A group of physicians specializing in orthopedics recommended that the Kenny treatment should be available to these patients. Attacks of vomiting were occasionally troublesome. Respirations are shallow and diaphragmatic. As the disease is often secondary, contributing lesions in other parts of the body should be unearthed and reckoned with in the treatment of the infection. It is profitably put into ointments and salves that are warm, and comfort the outward parts, as the joints and sinews; and for swellings. It is a great purifier of the blood. One diphtheritic case failed to survive tracheotomy on account of extensive edema of the trachea and neck compressing the air passages.

On microscopic examination they were all so characterized by the invasion of leucocytes and by the absence of caseation, giant-cell formation, or the necroses typical of tuberculosis that we could see no reasonable excuse for mistaking them for tubercles.

It was voted to adopt the HMSA plan on Kauai on a fee schedule similar to the one adopted by the Honolulu County Medical Society. It causes remission in chronic leukemias and is more effective in chronic myeloid leukemia, but Its use is predicated on the fact that folic acid is essential for cell metabolism. This is done with a small needle and just as though one were making the puncture for the pus. The greatest improvement in technique has been in connection with splenic applications.

The use of alkalis administered before meals as digestive adjuvants has frequently been defended on the ground that they excite the secretion of the gastric juice. They also discovered that injections Because alcohol may diffuse out of the stomach after death, special cai-e must be taken in measuring alcohol levels in the blood during autopsy. One should, of course, search for a cause, but in the group which I have so far observed, it was rather the exception to find an etiological factor in a pelvic lesion or in an infected tonsil, sinus or tooth. In contrast to this condition it is of interest to note that when large quantities of these organisms are injected directly into the tissues at a single point there is no development as actinomyces. (Ayre.) When the urine is high coloured, scanty, and, on cooling, deposits a red sediment, or remains muddy, the liver, probably, is in a state of organic disease. Tonics are, indeed, generally recommended as peculiarly advantageous in counteracting the scrofulous diathesis; but I am inclined to think, that, except where the digestive powers are very feeble, and the mucous membrane of the stomach free from irritation, the active employment of remedies of this kind is seldom attended with advantage. The exact hour at which the rigor and rise of temperature took place tended, however, to vary slightly from day to day. From this it appears, that, the blood or part of it has suffered some change by the action of the uterine vessels; and that this change has been imposed upon the coagulating lymph by the process of secretion. As he could not follow his trade, he came to the city and consulted Dr.

After excising the old scar, the adhesions were freed with much difficulty because of their densely fibrous and unyielding nature, taking approximately two hours to mobilize the cyst (

The forearm was, however, hopelessly disorganized and the patient greatly prostrated.

One stumbling block to such contributions has always been that the potential contributors feel themselves unable to "" write well.

The existence of arteriosclerosis and cardiac disease in a few of the group had no causative relation to the liver condition, I think, because the heart was competent in all of the patients' examined.


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