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Htibner, 1 of Frankfort, extols frequent applications of chloride of iron locally. He treated 52 cases with a mortality of 3.8 per cent. fake viagra prescription Six of them were thought hopeless. Rosenthal reports 79 genuine cases treated by the same iron treatment; mortality, 8.8 per cent.' Flahaut reports 40 cases in which petroleum was brushed fake viagra prescription on the throat every hour or two. There were no deaths. 7 Larcher reports 42 with same treatment and 2 deaths; mortality, 4.7 percent." Loeffler himself uses alcohol, toluol, and ferric chlor- ide locally. He reports 71 cases in private practice with no deaths. Also 30 hospital cases with 16.66 per cent, mortality.' Jacobi reports 40 consecutive cases treated with mercury and iron. Mortality, 2.5 per cent.'" The diphtheria cases at the New York Foundling Asylum from 1890 to 1893 inclusive are especially in- teresting, as all showed the Klebs-Loeffler bacilli. The treatment was trypsin, papoid, and hydrogen peroxide. The results were a mortality of 50.7 per cent, in 1S90, 52.2 per cent, in 1891, reduced to 38.3 per cent, in 1S92 and to 27.64 per cent, in 1893 321 cases in all. Dr. J. fake viagra prescription L. Smith in reporting them mod- estly remarked : " Results due in buy viagra phone part to change of type and also improved treatment." " These ratios surpass that of antitoxin and they are neither ancient nor foreign history. Their mortality in 1S95 with anti- toxin was 45 per cent. Billington reported a total of 225 cases in dispensary tenement practice. The diag- nosis was corroborated by Dr. A. H. Smith. Dr. W. T. White, and others. The treatment was iron internally, with carbolic acid and lime water locally. The result was a mortality of 8.4 per cent, in cases fairly tested.' 5 But I will pause. In one buy viagra phone evening's work I noted more than 7,000 cases with a mortality of 8.8 per cent., buy viagra phone and this fake viagra prescription without including reports of 571 cases with only 6 deaths, and the like. Most of them are from private practice. Examining my own cases for the year 1895, I was surprised to find so many more than in previous years. The explanation is not difficult. With the pro- fession at large, I found myself more particular about exudates in the throat than in former years and more ready to say " diphtheria." The bacterial culture would often help and often fail. Of the 64 cases 14 were reported in the negative as to Klebs-Loeffler bacilli. ' Deutsch. nied. Woch. , 1S95, Xo. 42, p. 1 -- >us' Annual. 1S90, vol. i., J. 7. : Berlin klin. Woch., 1SS9. p. 130. : - 11. vol. viii. , p. 42- 5 Therap. Monatsh., Berlin, 1S92, 6, p. 690. at. :. Med. Jour., April 2: 1- 13. is' Annual, fake viagra prescription tS 14. vol. i., fake viagra prescription H. 26. ! ;sche med. Woch., October iS, 1S94. Med. News, J une 1 =. 1895, p. 679. us' Annual, 1S94, H. 30. O'Dwyer: " Diphtheria and Croup," Wm. - ,. p. 211. June 20, 1S96] MEDICAL RECORD. 905 Two of these 14 were foetid cases. In two the germs were found fake viagra prescription on subsequent examination. Two had extensive exudate and nose bleed. Another had exudate on the palate, uvula, and tonsils. An- other was the mother of four children with diphtheria, one of whom died of the septic form. The mother complained of the inflammation of her throat, but no membrane presented. Two died without culture re- ports, yet the fake viagra prescription bureau of records did not discredit the diagnosis. Two cases not in my diphtheria report are of in- terest a brother and sister who were typical scarla- tina patients. Both had exudate in the tonsils which clinically was not diphtheria. However, cultures showed Klebs-Loeffler in one but not in the other. Both recovered without treatment. Another girl had scarlatina with marked exudate in the throat and bad discharge from the nose. Loeffler bacilli were found and paralysis developed later. The general mildness of the cases is shown by the fact that only two were intubated. One of these had pneumonia during the week that he wore the tube. He recovered after a hard struggle. fake viagra prescription My treatment during 1895 wa6 tne sarr| e as for sev- eral years previous. A few initial doses of calomel, tincture of ferric chloride throughout, strychnine when Table Showing Results of Treating Diphtheria without Antitoxin. Satton