50mg Viagra Canadian | Cheap Viagra Shanghai | Best Pharmacy













































such highly successful, and if this treatment stands, the test of time and general practice it will be a great improvement on the old method of the bromides, chlo- ral, morphine, and champagne. SHALL WE GIVE THE APPENDIX A REST? To the Editor ok the Medical Record. Sir: The somewhat incisive and sarcastic reply of Dr. Morris to the communication of Dr. McArtney is in accordance with the well-known views of the latter gentleman and as keen cheap viagra shanghai as his scalpel. However, it may be that the article of Dr. McArtney may provoke some views from foemen worthy of Dr. Morris' steel. Many of us who have been fortunate enough to be so situated as to spend our time and money in sitting under the droppings of the Eastern sanctuary for a limited 50mg viagra canadian time and have seen the skill of Wyeth, Gers- ter, Meyer, McBumey, Dawbarn, and other of "the lights," when confronted by results in actual practice of intelligent and honest country practitioners and conservative city surgeons have been led to question seriously whether ''the appendix should be removed as soon as the cheap viagra shanghai diagnosis of appendicitis is made,'" or, according to Dr. Hawley (?), whether it might not be better if every one should have the appendix removed. The idea has occurred to some of us that after a time the appendix might receive the same surgical rest that the ovaries are now receiving from conscientious men, or that it might lie down with the rectum, which now no longer retracts at the sound of Whitehead, or might eventually receive the treatment now accorded a tuber- cular knee-joint, which is cheap viagra shanghai now less frequently aesthet- 50mg viagra canadian ically carved and spiked. It is now, I believe, several years since Dr. Fenger, in an article which will bear perusal to-day, said : " In these days, when surgery or rather surgeons are claiming the treatment of ap- pendices to the 50mg viagra canadian exclusion of internal medicine, it is well to remember that appendicitis is on the whole a benign affection, with a mortality of about nine per cent." (I quote entirely from memory.) It is somewhat refreshing also to some of us, who after a moderate amount of success in operative proce- dures have adopted conservative views 50mg viagra canadian from the inevi- table logic of the facts presented by observation of many of the severer types of the disease when patients re- fused operation, to read the following from Dr. N. Senn : " The removal of the appendix should be limited to those cases 50mg viagra canadian in which during the first attack symptoms arise which portend danger to life and relapsing ap- pendicitis. Some cases of appendicitis yield to medi- cal treatment, and .in a large percentage of such eases [italics mine] the patients remain free from a second attack." What we desire to know, and from unbiased observers, is whether the latter assertion is true. It would seem to be in line with my cheap viagra shanghai experience, for I can May 23, 1896] MEDICAL RECORD. 755 recall but one relapse in a large number of cases seen in the past five years; that was a rapidly fatal one occurring after an operation and was wilfully brought on by hard labor before convalescence was com- pleted. Dr. Emory S. Lamphear, now of St. Louis, formerly of Kansas City, told cheap viagra shanghai me one year ago that he had ceased to operate in the majority of cases of appendi- citis; that he found patients would get well without, and he evidently has no such fear of "tuberculosis of the appendix, large enteroliths, strangulating adhesion bands, portal embolism," and other spectres that Dr. Morris fears. To those acquainted with Dr. Lam- phear it is unnecessary to refer to cheap viagra shanghai his skill as an ope- rator or to his judgment. I never could understand how the indiscriminate operators in appendicitis could interpret the figures of Fitz Hektoen and others, who find that thirty-five per cent, of all bodies in the dead-room show traces of ap- pendicitis. Certainly the type of the disease is differ- ent in New York City, the recuperative power less, or, what is more probable, only the worst cases seek or are sent to the surgeon at least the observation of intelligent country observers like Dr. McArtney is more in accordance with the statements of Fitz Hek- toen and others. I hate to " lower the caste of this article'' by refer- ence to the fee. There is no doubt that those of us who are conscientious are all cheap viagra shanghai perfectly honest and that we 50mg viagra canadian al! do plenty of charity work, the majority of us without the reward of signing ourselves professor to a diploma cheap viagra shanghai or even a mineral-water certificate. However, I cannot forbear to quote what has passed into comic history here and is a local slang medical phrase. It is the remark of a noted consultant to the attendant: " Will she stand a laparotomy?" which referred, not to the pathological condition, but 50mg viagra canadian to her financial standing. As this is written away from home while awaiting a train, my references and statements are from memory. J. H. Greene, M.D. Dubuque, Ia., May 11, 1896. Medical Stems. Contagious Diseases Weekly Statement. Report of cases and deaths from contagious diseases reported to the Sanitary Bureau, Health Department, for ths week ending May 16, 1896: