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Le Concours Med., May 26, 1S8S. 906 MEDICAL RECORD. [June 20, 1896 female viagra purchase needed as a late stimulant, but no alcohol. Locally, peroxide of hydrogen, fifteen volumes, reduced to half strength by water and a little soda sometimes added. This is sprayed or syringed according to circumstances. Practically no remedy will so readily find and so thoroughly clear the many tortuous chambers of the naso-pharynx as the viagra cheap alternative hydrogen peroxide. With the same class of patients and the same remedies I un- consciously lowered my mortality from 13 per cent, to 7.8 per cent. Had this been a new treatment these results would have been wonderful. In reviewing the results of antitoxin treatment I find that I could not escape the unusual complications. A table will show the female viagra purchase frequency of broncho-pneu- monia, nephritis, etc., with and without antitoxin: Hospital of New York Foundling Asylum. [8 14, no antitoxin: 133 cases, 32 die = 40.62 per cent., with broncho-pneumonia. 1S95, with antitoxin: 94 cases, 43 die = 79 percent., with broncho- pneumonia. Cases in London. (Brit. Med. Jour., April 4, 1896 I 1894, no antitoxin: 50 cases, 1.6 have broncho-pneumonia. 1895, with " 80 " 3.6 " Willard Parker Hospital. lSg4, no antitoxin: 24 cases, 16.9 per cent, with broncho- pneumonia. 1895, with antitoxin: 66 cases, 53.2 per cent, with broncho- female viagra purchase viagra cheap alternative pneumonia. 1S94, no antitoxin: 1 case, 0.7 percent, has nephritis. iSgs, with antitoxin: 3 cases, 2.42 per cent, have nephritis. The increase of broncho-pneumonia is so marked that we must viagra cheap alternative believe that the presence of antitoxin favors the development of pneumonia female viagra purchase germs. The proportions of laryngeal stenosis and sepsis fell off in 1895 as compared with 1894. The paper by Dr. Welch ' has had a wide read- ing because of the great number of cases tabulated. But if the premises are wrong the conclusions can- not be right. The paper is based on the reports of antitoxin advocates, and those alone. The only com- parison is with the viagra cheap alternative deaths these same men think they had before antitoxin, when all deaths were counted. No. 68 in his tabler eports 225 cases, with mortality of 15.5 per cent. vs. about 55 per cent, previously an accurate statement against a guess. This author says: " 1 have therefore reduced my mortality some- what by not injecting hopeless cases of septicaemia." '' N. 69 is a report of 255 cases, " mostly in tene- ments." Mortality, 15.69 per cent. vs. 25 per cent, to 45 per cent, previously hundredths of a per cent, against a sliding scale of 25 to 45 per cent. The only published records 1 can find of similar cases are by Smith, Billington, and Stowell, which aggregate 495 patients, with mortality of 10.50 per cent. No. 70 is of 164 viagra cheap alternative hospital viagra cheap alternative cases, with a fatality of 27.4 per cent. vs. 32 per cent, previously. The 0ltici.1l reports of the same hospital have averaged 24.08 per cent, since iS.SS, as published by the health board. No. S2 is .Mason's report of 306 cases in Boston City Hospital, with a mortality of 26.4 percent. As stated previously in female viagra purchase this paper, 40 cases were elimi- nated' in this hospital in the six weeks from December 13th to January 31st. and their mortality was 30 per cent. In Dr. Welch's Table II. the mortality in operative cases with antitoxin is given as 61 per' cent. vs. "90 nt. ( ? 1 previously" another inference. Lovett ' recorded all the operations from 1886 to 1S91 in all, 719 cases; mortality. 74.13 per cent. In Table II. Kraske is reported as treating 16 cases by tracheotomy and antitoxin; mortality, 31.25 per cent. Previously he did twelve tracheotomies without antitoxin. The mortality was 6.25 per cent, better without antitoxin than with it, yet Dr. Welch says: " Kraske's exceptional series is female viagra purchase of so few cases [only 5 (?) with and 12 without serum] as to be without significance." If such numbers have no significance, thirteen reports based on the same and smaller num- bers should be dropped from Table I., and fifteen re- ports, i.e., one-third, from Table II. of operative cases. Korte reports 81 recoveries to 40 deaths, i.e.. 33.1 per cent, mortality, but the original article says 10 moribund cases at the same time were not injected. Heim ' reports his cases in two groups: one of 27 cases, mortality 22.2 per cent., one of which cases was on hand when the report was made. Group 2 : "21