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came under the surgeon's care. In an editorial com- ment in a number of the Lancet for 1891, on a case of intussusception treated by enemata, which resulted Intussuscipiens or sHeaTh Fig. 1. Diagram of longitudinal section of intestine, showing an acute irre- ducible intussusception, and buy viagra sg the method of its treatment. C C, longitudinal opening made in the superior border of the intussuscipiens; A A, apex of in- tussusceptum; l' !', neckof the intussusceptum. fatally, it buy viagra sg was said: "It is true that the invagination can always be reduced, at all events in the early stages of the disease, by the operation of laparotomy, but this operation is attended by such a large percentage of mortality when undertaken in infants that the surgeon shrinks from performing it until all other means have been tried and failed." Mr. Lawson 100mg viagra diabetes Knaggs, in the course of his able article entitled, " Resection for Gangrenous and Irreducible Intussusception," Lancet for 1887, vol. i., p. 1,179, said: "This waiting policy, this surgery of hope, has so far been a dismal failure, nor should we forget that in all cases that last chance is far too poor to be relied upon for permanent success, and that in infants it practically does not exist." Rydygier, of Cracow, in discussing intestinal inva- gination at the last meeting of the German Surgical Congress, held in Berlin during April, 1895, is re- ported to have 100mg viagra diabetes said : i- The cases are usually treated too long by internal remedies, and accordingly come too late to the surgeon. The mortality is, therefore, very high, seventv-five per cent , especially in acute cases." Further testimony or argument would seem to be un- necessary, and we must at least begin to realize the important part played by delay in these cases, as it has in all other forms of intra-abdominal disease, in affecting the prognosis unfavorably. If by this clinical demonstration buy viagra sg of the disease, and of the results of its treatment from 1828 to 1895, the 86 MEDICAL RECORD. [January 18, 1896 general profession and the laity could be impressed with the facts that acute intussusception is in reality a form of strangulated hernia; that the subacute variety is an irreducible hernia; that enemata are far from being devoid of danger in their administration; that abdominal section performed under modern conditions and during the first forty-eight 100mg viagra diabetes hours of the disorder, has a chance of success represented by seventy-eight per cent., which would speedily rise to ninety per cent, as the cases came more frequently under operation dur- ing the first twenty-four hours, it would not be long before we should come to look upon the treatment of this disease by enemata of air and water much as we do to-day upon the pukes, purges, doses of metallic mercury, of gold and silver balls, of mixtures of bird- shot and olive oil, and blood-letting which were soberly employed 100mg viagra diabetes by good men not so many years ago for the relief of this distressing disorder, made more painful by reason of the heroic treatment considered necessary for its relief. With the light turned fully on what modern sur- gery has already accomplished in this direction, it is a safe prediction that before the dawn of the twentieth century it will be generally acknowledged that our science has fully and finally triumphed over another of her malignant 100mg viagra diabetes foes, infantile intussusception. 55 West Thirty-sixth Street. BICARBONATE OF MENT OF A ' SODA IN THE TREAT- COMMON COLD." By I.. 100mg viagra diabetes DUNCAN BULKLEY, A.M., M.D., PHYSICIAN TO THE NEW YORK SKIN AND CANCER HOSPITAL; PHYSICIAN TO THE NEW YORK HOSPITAL, ETC. CONSULTING Having very recently again broken up what threat- ened to be a very 100mg viagra diabetes severe " cold"' in myself buy viagra sg by the method of treatment to be described, I wish to present the matter briefly to the profession, even at the risk of writing on a subject with which all are supposed to be familiar. I may add that I have practised this method for something over two years, both profession- ally among my patients and casually in my family and among my friends and acquaintances, ami am well sat- isfied of its buy viagra sg value. The observation as to the control of bicarbonate of soda over a "common cold" came to me quite acci-