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drugs" to cure the goiter," you must learn to

treat the case symptomatically, and to keep it New books as they appear, are sent to our Assistant Editor,

in the best hygienic condition. Fatigue must Dr. A. L. Russelí, of Midway, Washington Co., Pa., never be allowed. Indigestion and constipafor review As the Doctor thus has all the late books for reference, and is made familiar with them by reviewing each one care- tion must be corrected. They must be removed fully as it reaches him, he is unusually equipt for answering queries. Therefore it has been our custom for a long time to send

from all opportunity for excitement of any queries to him for reply. In fact, the Doctor made a special kind. Vary the preparations of digitalis as request that this be done, as he enjoys this work. It now occurs to us that time will be saved if you will send directly to Dr. Rus

distaste arises for the drug; and at the very sell matter intended for the Quiz Department, which has grown so outset of the treatment it may be laid down as much under his vigorous " treatment” Please notice that our query department is not used to "boost” proprietary remedies, a safe rule, to never allow patients to know almanac fashion. THE MEDICAL WORLD has no interests other

what they are taking. than to give to the medical profession the greatest amount of honest service possible. It has absolutely no interests in any proprietary There is no absolute cure for every case of preparation nor any medical supply house. Other medical editors have become, and are becoming, wealthy, by using their pages to

goiter; study each individual case, and you increase the sale of preparations that they are interested in; but

will probably derive benefit for each from a we prefer to render service to our subscribers that is above suspicion of personal pecuniary interest. How can a man interested in different method. -ED.] the sale of certain preparations render the best service! He is always trying to push one of his preparations in. That is commercial journalism. We prefer ethical journalism and so does the profession, for THE MEDICAL World is growing in popularity

Labor Complicated by an Ovarian Cyst. faster than ever before-and our subscribers are paying ones. Editor MEDICAL WORLD:-I have just been reading They must be, for we have no medicins to "boost," nothing to

in a medical journal as to an ovarian cyst and pregsell, nothing to depend on but pure journalism ; but doctors that want honest, straight journalism are willing to pay for it-they are

nancy being present in the same patient at the same glad of the opportunity,

time, and as to the probable effect or cause of such a Only such queries will be publisht as are likely to interest and condition. Years ago I was consulted by a lady who Instruct many others as well as the one asking help. No charge had noticed an enlargement of the abdomen. I found has ever been made, nor will any charge be made, for this service a cyst, supposed to be ovarian. It was not large, but to our subscribers. However, those who wish an immediate and personal reply by mail may obtain the same by inclosing two

still it was quite noticeable. In a few months this dollars to Dr. Russell. This is really a consultation in the interest

lady became pregnant, when she had two growing of the patient, and should be charged to the patient-two dollars tumors. They continued about equal size until about being a very moderate consultation fee. The Doctor agrees to give the seventh month, when the womb became and confull, careful and immediate attention to such consultations. We tinued the larger. Of course the abdomen was over reserve the right to publish in this department any such consulta. sized, but the patient got along quite well. I feared tions that may be interesting and helpful to our readers. Name

that when labor should come on, the abdominal conand address will be withheld if requested. Come freely for help, but read up as fully as you can before coming to us.

tractions might burst the cyst, with fatal effect. So at this time, when the cervix was sufficiently dilated, the

forceps were applied to assist the effect of the pains, Goiter.

and at the same time chloroform was administered to Editor MEDICAL WORLD:-I have three cases of

keep the patient as quiet as might be. A twelve goiter; two in women 32 to 37, and one in a girl 17

pound boy was born, who is now attending our public

school; and, altho ten years have elapst, the lady is years old, the daughter of the last named. This daughter is very nervous, and during any excitement

still coddling that watery cyst, being about as large as the gland enlarges very much, and any excitement a pregnancy at term.

Her health is fairly good.
Pierre, S. Dak.

O. N. Hoyt, M.D. will cause her menstruation to come, regardless of time. Have been giving her iodid of potassium intern- [Both the patient and yourself are to be ally, oxid of mercury and ichthyol externally, with complimented on the happy termination of very little success. Have tried thyroid extract with little benefit. Would be pleased if you can give me

the labor, as labor complicated by ovarian any thing to cure these cases.


cyst is frequently a very serious matter. If she [You should have stated the duration of the were to again become pregnant, we would not disease, and the length of time you had adhered advise risking the expectant plan again, as to treatment of a given kind. Effect of medi- your “luck” might fail you. The accepted cation is always slow, and nearly imperceptible teaching in such cases is to remove the cyst as in goiter.

soon as the pregnancy is positivly diagnosed. In severe goiter, especially in those in which Such operation rarely causes an untoward inthe nervous symptoms are well markt, no treat- terruption of pregnancy. In 17,382 births in ment is so effectiv as complete rest in bed,

the Berlin Frauclinik, but 5 ovarian cysts were massage, liberal milk feeding, and electricity : found. Of 321 pregnancies complicated by In other words, the well known S. Weir ovarian cyst, 55 underwent premature expulMitchell “rest cure." Belladonna, continued sion of the fetus. In 271 cases of delivery just short of the maximum physiological effect, complicated by an ovarian cyst, there was a for several months, has workt well in numerous maternal mortality of over 25 percent and a cases. Hydrastis canadensis has many cures fetal mortality of 66 percent. In version withto its credit. Arsenic, in the form of Fowler's out puncture, in forceps deliveries, and in solution, is useful in nearly all cases. Supra- puncture, the maternal mortality has been renal gland, in tablet form, has been admin- about 50 percent (Hirst). istered with benefit. Digitalis is the best drug The lack of trouble in your case may have to quiet tumultuous heart action. The ice bag, been due to the cyst being in the upper part locally applied, will give service in emergen- of the abdomen, where it could not fall into cies.

the bony pelvis to obstruct the presenting Beside seeking a method or combination of part.-Ed.]

Acromegaly.-A “Granny " Superstition. from the vagina, it usually takes origin in Editor MEDICAL WORLD :-Acromegaly : Correct

uterin secretion, and disappears without treatpronunciation ? Cause-i. e., what is the matter with ment and leaves no subsequent effect. One the pituitary body? What is the ultimate result of the affection? Can it be cured? The remedy?

might as well say that because the breasts of a A female infant a few days old had a slight hemor- female infant became inflamed, that she would rhage to stain the diaper" for a day or two. The grannys" said she would be barren. She has grown

never be able to perform lactation in later life and now been married five years and never been

-nothing in it, Doctor.–Ed.] pregnant. Where did the blood come from ? and that has that to do with sterility ? Pa.

A. K. Protection against Physicians Carrying

Infection. [Acromegaly is pronounced as ak-ro-meg a-le,

Editor MEDICAL WORLD:-I am a late subscriber to and Acromegalia as ak-ro-meg-a-le-ah.

THE WORLD, but by ordering several back numbers I Our knowledge regarding the pituitary body thing concerning disinfection of the physician when

have gotten five or six numbers, but failed to find anyis very limited, as yet. It is known to be es- treating contagious disease. I have not had any such sential to life, but in what way is not known.

cases yet (excepting measles), but I may be called to

such cases at any moment, and I wish to know the The anterior lobe of the pituitary body is de- best methods of disinfection for myself, as I have two rived from the epiblast, and differs from the children at home and I do not wish to take any posterior lobe, which consists of nerve tissue.

chances. What do you advise me to do in the way of

disinfecting my person and clothing when treating The structure of the anterior lobe is somewhat scarlet fever, diphtheria, whooping cough, or smalllike the structure of the thyroid, consisting of

OREGON. roughly spherical alveoli containing a semi- [Purchase a pair of blue overalls and a Auid substance as well as nucleated cells. It is blouse to match ; let them be of good quality not even known that the pituitary body is at so that the cloth will have sufficient weight; fault in acromegaly. All we know is that var- and get them large enuf to allow for shrinkage, ious pathological changes have been noted in and so they will slip on and off easily. If various parts of the body in conjunction with there is no pocket in the blouse, have a pocket certain pathological changes in the pituitary attacht on the outside for watch; another for body. An enlargement of the face and ex- thermometer and pencil ; and another for tremities, due to enlargement of the bones, has handkerchief and towel. Get a dollar watch, been noted. With this there is some thicken- a penny pencil, and a thermometer that you ing of the skin. The countenance becomes can leave in the suit. Get a yard of ordinary coarse and the hands and feet gigantic. The table oil cloth, with long tapes sewed on. result is merely an exaggeration of the natural Have your wife make a hood attacht at the prominences of the bones. The back is back of the neck, and with a “ draw string' bowed, and the condition is not infrequently at the front, so it can be drawn closely about associated with a great physical strength and the face and tied under the chin; have draw power which gradually diminishes until in the strings put in at the wrist; and have large later stages of the disease there is great mus- “stockings" sewed to the foot of the cular weakness. Enlargement of the pituitary trousers large enuf to admit the shoes and all. body has been noted in acromegaly; some- Five dollars will cover the cost of watch, thertimes due to simple hypertrophy and sometimes mometer, pencil, handkerchief, towel and suit. to a new growth. Enlargement of the thyroid If you attend a case where you will not have gland is also at times an accompaniment. opportunity to use a clean basin, put one in Later results are mental dulness; alteration of your buggy. When called to a case you know the voice due to changes in the vocal cords, infectious, sprinkle your suit liberally with i to sometimes becoming an actual paresis ; impair- 1,000 bichlorid of mercury solution and wrap it ment of the senses of taste, smell, and hearing ; in the oil cloth and put the bundle under the blindness due to optic atrophy; palpitation, buggy seat. When you reach your patient the and even hypertrophy of the heart; menstrual suit will be unisormly moist. Leave your hat derangement and early cessation of the moli- in the buggy ; don the suit ; tie the strings at men, etc. The disease has no definit dura. wrists and under chin. When you leave the tion; the course is long, and in most cases, house, wash the face and hands (the only parts ultimately fatal ; rare cases are reported as that have been exposed) in bichlorid of merhaving been arrested. No treatment of value cury solution, i to 1,000, remove the suit and has been discovered.

wrap it in the oil cloth; push it under the You do not state whether the hemorrhage buggy seat and go home or to your next case in was from vagina or rectum. We presume perfect confidence. People may laugh at you from vagina. Such cases are not rare, and at first, but they will not when once the wisdom have absolutely no bearing on fertility in later of the precaution is explained to them. Your life. The superstitions of the grandmothers opponent who leaves a case of scarlet fever or arise thru ignorance. When the blood comes smallpox and immediately enters another house will hear from his patients. The damp suit a dose every four hours. We would also bewill not mould, however long it may be tightly gin with small doses of potassium iodid, and wrapt. Some physicians prefer to cover the increase them up to the point of toleration. hands with rubber gloves, which may be Let him accustom himself to regular and mild subjected to the same disinfection as the exercise in the open air, always stopping short suit, but we prefer the hands bare. Others, of fatigue. Let him accustom himself to once the suit has been thoroly wet with the taking fairly large amounts of water, whether bichlorid, merely sprinkle it with water when he is thirsty or not; in fact, if you can get using it afterwards; but we prefer to use the him to take it no other way, prescribe a glass bichlorid each time. -Ed.]

every three hours, as medicin. Examin his

urin repeatedly for evidences of the uric acid Editor MEDICAL WORLD :- I have a hard case on diathesis. Keep his bowels free, and let him hand: A young man who was salivated about two months ago. His teeth are loose, and his gums are

avoid stimulating foods. In short, keep him red and sore. I tried everything in the astringent line, in as good hygienic condition as possible, and also peroxid of hydrogen, but cannot get his mouth well. Have you a remedy that will do his case any

keep up the tonics and eliminants. good? If so, please give it to me thru World.

We would not send him to a neurologist; Halstead, Kan.

J. C. Girk, M.D. you can do just as much for him as a special. [Diluted tincture of myrrh, saturated with ist.–Ed.] potassium chlorate, is the best local application, and may be used freely. Another very

Rheumatism. good local application is the fluid extract of Editor MEDICAL WORLD:- About seven weeks ago rhus glabra diluted with six parts of water,

I was called out in the country and found a man about and saturated with potassium chlorate. Per

38 years old lying in bed suffering with excruciating

pain in the knee ; stiffness of the joint; unable to haps the most efficient method of checking extend the limb; cannot stand pressure on either side the secretion is the employment of atropin, in

of the joint. I examined the knee and hip joints care

fully ; found no sign of inflammation. I askt the patient doses of to grain ; it must be carefully watcht, how long he had been suffering. A year," he said. of course. -ED.]

The pain first began on the anterior of the joint a little below the patella ; pain at first was very slight but

gradually increast and spread on each side of the Progressiv Neuritis.

joint. He consulted a physician and took treatment; Editor MEDICAL WORLD :- Tho. H., aged 69,

no improvement; on the contrary, the case grew youngest of twelve children, all of which still live ex

worse until patient was unable to get about; had to cept four who died of some fever. Father and mother

remain in bed. The joint has never been swollen at died at 60 and 58 respectivly ; mother had suffered

any time, nor has the patient ever had any fever ; has from “liver trouble" for 20 years. Patient served 5

not received any blow nor fall on the knee. He has years as a regular in the U. S. army on the plains,

had several doctors to treat him, but got no benefi: from 1854 to 1859. Was in perfect health till age of 49.

from their treatment. I diagnosed his case one of Had two attacks of malaria while living in swamps of

chronic rheumatism. I put him on the salicylate co., Missouri. At this time was taken very suddenly with

given in large doses, and a liniment of tr. opii, tr. excruciating pains in lumbar regions, which was

aconit, tr. belladon.; ammon., alcohol and ol. gaul. almost unbearable ; was in bed two weeks ; from this

theria; and a hot poultice around the joint. Kept him he apparently recovered, except a slight curvature of

on that for two weeks; found no change. Have also spine to right; also right thigh perisht away,” but given him, in different prescriptions, potass. iodid, it finally assumed normal size.

Fowler's sol., sarsaparilla, colchicum. Have applied He has been a Baptist preacher for 39 years; has

locally small blisters, menthol, camphor-chloral, been a close student all his life, and a moral man,

ichthyol, soap lin., and chloroform liniment. I am now never using whiskey nor tobacco. About two years

giving him vapor baths. Since he has been taking ago he began to get numb in hands, which gradually

them the pain has diminisht, but he is still unable to went over the entire body. At present he can't feed

straighten the limb or walk. Have also dieted him ; himself, but can walk about the place. Reflexes in

have examined his urin and found it about normal. right leg exaggerated; in the left leg entirely lost ;

He has never had gonorrhea ; had always been healthy. sensation very acute; coordination perfect; pupils

Now Mr. Editor and readers of THE MEDICAL contract and dilate normally ; memory good; apex

World, please give me your advice in this case. Am beat moved a little to right; arteries sclerosed.

I correct in my diagnosis ? What would be your treatHe is a very intelligent man and would love to get

ment and prognosis ?

C. J. VITAL, M.D. well. Now, what shall I do? Shall I call it senile

New Iberia, La. paresis, and give up? Or must I tell him to go to a [We would consider the prognosis good, and neurologist? I want help as a young practician who

have no criticisms on your diagnosis nor treatknows but little.

He has never been under treatment by a regular ment, both of which we consider correct. physician. I saw him only recently. He is taking Since the improvement has been but indifferstrychnin at present to increase peristalsis. He never

ent under the salicylates, we suggest a change wants water. Henderson, Okla.

J. T. Mills. to colchicum. We would perhaps say to com[We would not advise your

calling it"

bine the true salicylate of methyl and colchi. anything, at least in his presence, unless com- cin. Wm. S. Murreli Chemical Company put pelled to give a diagnosis. It is a chronic this combination up in pearls containing aso and progressiv neuritis, which it is not likely grain of the latter drug, and 242 minins of the any medication will succeed in checking. We former, and guarantee that the salicylate is think the strychnin good, and would gradually made from true wintergreen. We would also increase it until he is taking about to grain at suggest that you substitute the super-heated air for the vapor bath. Keep his skin acting freely lobelia leaves, powdered stramonium leaves, and insist on his drinking large amounts of powdered nitrate of potash, and powdered water. See that the urin is never permitted to black tea leaves, made into a powder, and a become acid.—Ed.]

half teaspoonful burned under an inverted fun

nel and the fumes deeply inhaled, will give reThe Urin of Pregnant Women.

lief during the paroxysm. This powder is Editor MEDICAL WORLD:-I noticed some time ago,

similar to a nostrum of great popularity among in some journal, an article on early diagnosis of preg. asthmatics, and sold at $1.00 per box. Pronancy by an examination of the urin. Will you please

tect him in as far as possible from cold drafts tell me if it was in THE WORLD? and if so, what number?


and sudden atmospheric changes. Have him St. Louis, Mo.

wear light woolen underclothing at all seasons [You did not see anything in The World of the year; or if he will not submit to this, at from the editorial pen regarding the early least insist on a light woolen shirt. Keep the diagnosis of pregnancy from an examination skin, bowels, and kidneys acting freely. Do of the urin, but it is possible some subscriber not allow him to eat more than the system might have mentioned it. This erroneous idea really demands. Keep the air in his sleeping bobs up every few years and runs the apartments warm, and it is generally preferable rounds of a certain class of medical journals to make it moist by steam which may be imthat fill their columns by clipping from neigh- pregnated with balsams, or spirit of turpentine. bors quite as ignorant as themselves. When Institute appropriate treatment for the cardiac the urin of pregnant women (and of other condition. This, in itself, will frequently women, frequently, for that matter) is allowed cure asthma of which any other exciting cause to stand for a time in a vessel, a pellicle is can not be ascertained. Always remember formed on the surface. This was formerly that the proper treatment of asthma, even when called the "kyesteinic pellicle," and was sup- actual emphysematous changes are well adposed to be diagnostic. It is no longer con- vanced, is instituted by endeavoring to ascer. sidered as of any diagnostic significance what- tain the exciting cause. Too many practicians ever. The urin of pregnant women increases approach asthma as a disease; it is always a in quantity, and becomes more watery, the symptom.—ED.] specific gravity often approaching 1,014, yet the quantity of urea and other solids excreted

An Old Lady's Ills. remains at the normal point. During the last Editor MEDICAL WORLD :-A lady, not married, 78 three months of gestation the urin of pregnant years old. I was called to her about 18 months ago. women contains twice or three times the nor

At that time found her suffering from what she called

'flashing (a spasmodic contraction of muscles, mal amount of urobilin-showing the greatly mostly of face). Here is a description written out by increast work thrown upon the kidneys. There


“A pulsation all thru me; when I lie down it is is no diagnostic change in the urin of the

worse. This flashing in my head is mostly on the left pregnant woman.--Ed.]

side. When not flashing, have a burning, cutting feeling nearly all the time, also a constant numb, dead

feeling in the bones ; in head, neuralgia or rheumatism Asthma.

in left side, and right too at times. The pain is very Editor MEDICAL World:-Man about 55 years of

sharp; darts and Aashes about. The burning, gripage suffers greatly from asthma. His father who died

ping sensation similar to the feeling in my head is all during a paroxysm of the disease (probably from

over my body in places, but not so bad. I feel it in my cardiac dilation from what I can learn from the symp

feet (more so than elsewhere except face and head) toms) had it for years, and the brother of this man also

especially in heels. I have a numb pain in my left has it. The paroxysm comes on at night shortly after

side. It extends to my stomach, across my kidneys, dark and continues until daylight, during which the

on the left side. Have pains like rheumatism, at times patient suffers extreme agony and sometimes pain.

all over my ody. İt itches awful, especially, my The paroxysms are more frequent in fall and winter. hands and arms; at the same time have a breaking His chest is somewhat emphysematous, and heart

out; it almost sets me crazy. Also suffer with a burnsounds are accentuated and probably heart is some

ing in my feet, and suddenly they are icy cold." larger than normal. Arterio-sclerosis present. Kid

Wayside, Md.

T. L. HIGDON. neys normal as near as can be ascertained. What [The pain is probably rheumatic in characwill lessen the frequency of the paroxysms? Have tried heart stimulants, syrup hydriodic acid, etc., with

ter, and the eruption likewise a manifestation little benefit.

E. T. KREBS. the uric acid diathesis. There is probably Bridgeport, Cal.

a nervous element in the case, and it is likely [Where they are nicely tolerated, large doses that the nerves themselves are affected. In of the less irritating bromids, combined with such cases there is no practical benefit to be iodid of potassium, help to retard the parox- derived from attempting to make a differentiaysms in nearly all cases of asthma. Such is the tion between rheumatism and neuralgia. At composition of one of the most popular in- her age, a complete cure of what is probably a ternal remedies among the nostrums. The chronic tendency is hardly to be expected ; manufacturers ask $3 per bottle, and get it, too. yet great relief will be experienced by a proA combination of equal parts of powdered longed course of the following treatment. Maintain complete control of the nervous sys- Success in this case would mean much to you tem by camphor monobromate; this will re- in the way of prestige, and if this man has quire five grains every four hours for a time, “suffered many things of many doctors," he when the dose may be reduced, or it may be would probably be satisfied to pay generously given intermitently as required.

Keep her

for relief or cure. bowels acting freely, yet not to the point of Try adjusting a firm bandage of several purgation, with any of the salines, say Rochelle thicknesses of muslin so pinned as to fit the salt. Have her drink freely of water, and in- body closely from iliac crest to ribs, while in a corporate with effervescent lithia salt in standing position, and then allow him to lie small doses, yet taken frequently enuf to keep down, and note effect. You are perfectly the system constantly saturated with the alka- competent to make a diagnosis in this case, line effect; the full amount taken in a day and were we in your shoes we would not rest should reach the maximum dosage. See that until we had succeeded. Study your case well the soap used in bathing is non-irritating. If and make your examinations thoro, and as the itching does not rapidly subside under this frequently as you think of something new to treatment, make her a liberal supply of solution look for. Do not make the mistake so many of hyposulfite of soda and direct that it be practicians make; i. e., making an examinasponged freely over all itching areas as_fre- tion without having anything definit in view quently as necessary to allay the itching.--Ed.] as to what to look for. Look for something

definit, and make a diagnosis by exclusion. Obscure Trouble in Back.

We hope the suggestions may give you some Editor MEDICAL WORLD :-Mr. G., farmer, aged 30, new thought, and believe when you succeed married, habits, appetite, and bowels O. K. History:

on this case that a carefully written report Some years ago an attack of blood poisoning. Can get no information regarding it, but it was while a

would be of interest to the family.- ED.) boy at home. About three years ago he began to be troubled with a severe aching in the lumbar region (bilateral), at times extending to occiput. Pain

Whooping Cough. comes on only when in recumbent position. In the MR. EDITOR :-Would be glad if you would give me morning on rising there is a stiffness and slight tender. the best treatment for whooping cough.

VA. ness of the muscles of the back, which wears off in an hour or so. Gives little if any trouble during the day,

[Your query is of sufficient general interest except occasionally on receiving a jar or jolt. But dur- to warrant considerable space at this time, and ing the night the severity of the pain causes him to we therefore quote from Diseases of Infancy writhe, moan, and grind his teeth in agony till he is compelled to rise to rest his back. Examined patient

and Childhood, Koplik, publisht by Lea about three months ago; no tenderness along spine, Brothers, the complete treatment that author in muscles, or kidneys; no evidence of aneurysm, gives for whooping cough. This author is a Pott's disease, or stone, except as above. Urin: Amount normal, but slightly clearer than normal; no

leader in this class of practise, and you can odor; reaction acid ; sp. gr., 1,015; no albumin. consider the extract on pertussis as up to date Diuretics have raised the sp. gr. to normal.

and authoritativ.-ED.] Patient has tried patent medicins, been the rounds of the doctors here, tried the osteopaths, all with little, if

The patient should be isolated, and should sleep in any help. I have tried lithium citrate, the salicylates, a large, well ventilated room. During the day the diuretics, saw palmetto compound, tonics, various sleeping-room may be filled for an hour with the vapor liniments, with slight temporary relief. W. B. of formalin (set free by means of a small formalin Iowa.

lamp). The object is to destroy suspended germs.

(We presume that the author means that the patient [Doctor, you need waste no time or money shall be removed to an adjoining room during the on liniments in such cases. That is the first fumigation.-Ed.) If two communicating rooms are treatment instituted by the patient before con

available they may be occupied alternately every

twenty-four hours, the unoccupied room being fully sulting a physician, and it is usually pretty ventilated in the interval. In this way reinfection thoroly done, too.

may be avoided. In spring and summer, if the

weather is favorable, the children should be constantly We believe you will find the trouble in the

in the open air during the day. In large cities the kidney. Read up carefully on floating kidney, mother is directed to take the children into the park. and then examin again. The position domi

When in the open air the paroxysms are notably less

ened. The child should be warmly clad in winter. nating the appearance of the pain could hardly Sea air seems to aggravate some cases and benefit be accounted for in any other way.

others. Pine woods and moderately high altitudes possibly have stone in the kidney or in the

are probably the most beneficial, for the patients are

not exposed to the unfavorable climatic conditions ureter, but a good X ray examination at the

peculiar to the sea coast. hands of an expert radiographer will probably

Medicinal treatment consists of inhalations, topical

applications, and internal remedies. Simply to enusettle that matter of doubt; do not base a con

merate all the remedies which have been proposed clusion on such an examination conducted by and used in pertussis would take up the space of a yourself, or by any other person except one

monograph. Inhalation of ozone has been advocated

by Caillé. The remedy is expensiv and the apparatus who has had extended experience in such

not readily procurable. Inhalation of a mixture of 20 work. Examin the urin repeatedly and care- percent nitrous oxid and 80 percent oxygen is benefully. If you do not have a microscope and

ficial in cases in which the heart is weak. The inhala.

tions are given with a cone for ten minutes twice centrifuge, it would be advisable to get them. daily. Insufflation of quinin or other drugs has not

You may

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