Generic Viagra Vancouver | Viagra Price Original | Best Pharmacy













































leaves much to be desired from the standpoint of clearness, there are some results which are unmistaka- ble. Among these the following are most striking: The mortality in laryngeal cases is reduced, under the serum treatment, from 62 per cent, to 42 per cent., and in operative cases the death rate has fallen from 70 per cent, to 50 per cent. The conclusions, which are signed by all the superintendents of the six hospi- tals, are as follows: "We are of the opinion that in antitoxic serum we possess a remedy of distinctly greater value in the treatment of diphtheria than any other with which we are acquainted." In Germany the most recent decided expression of opinion on the value of antitoxin is by Professor Baumler, 1 of Freiburg. In his opening address, as president of the Congress of Internal Medicine, at Wiesbaden, April 8, 1896, Professor Baumler said that " the antitoxic serum represents the most important therapeutic advance of modern medicine." He con- tinued that " after eighteen months' trial in Europe and America, the fact is established that the serum tratment is an extraordinarily effective method of cui- ing diphtheria, and is not injurious if given with the necessary precautions." I shall also refer here to a paper by viagra price original Dr. Crohn, viagra price original 3 of Halberstadt, because he states that he wrote it on seeing the notice in the Berlin papers of the death of the son of Professor Langerhans. Fearing the effect upon the public mind of the words of Professor Lan- generic viagra vancouver gerhans, Crohn believed it to be the duty of every one who had had experience with diphtheria antitoxin to publish that experience. Dr. Crohn had had occasion to use antitoxin in one hundred and fifty cases of diphtheria in private practice. He had had viagra price original but five deaths in the whole number, although, in his opinion, he would have had at least twenty without serum. The five deaths occurred in cases which had not been seen early or had not been recognized as diphtheria. He had not had any evil effects beyond eruptions, joint pains, and temporary albuminuria, although forty viagra price original of the cases were severe. In his opinion, " He who does not admit the value of serum, must be bound by theoretical considerations, and cannot have seen an epidemic in which the serum has been properly given, in sufficient dose, in the beginning of each case." Dr. Crohn also used antitoxin for immunizing pur- poses, and states that of three hundred children im- munized not one was injuriously affected beyond urticarial viagra price original rashes. Of the three hundred patients not one took diphtheria within four weeks of the injec- tions. Seven had the disease after from four to six weeks. All were mild cases, lasting three days only. Perhaps the most conclusive evidence viagra price original of the appre- ciation of antitoxin by the Germans is afforded by their changed views in regard to intubation. The Germans have been reluctant to accept intubation in place of tracheotomy because they feared that the pro- ' r.tralblatt fur innere Medicin, April 25, 1S96, p. 430. Deutsche medicinische Wochenschrift, April 23, 1S96, p. 26S. June 20, 1896] MEDICAL RECORD. 90; longed stay of the tube would injure the larynx. Yon Ranke and others now state, however, that the use of antitoxin permits the earlier removal of the tube, and that they can now make use of intubation with advan- tage where formerly they employed tracheotomy. Finally, we have the report of Kitasato.' Among 353 cases treated in Tokio there were only 31 deaths (8.7S per cent.). The death rate in Japan in previous years averaged 56 per cent. Of no cases injected within forty-eight hours of the onset of the disease, all recovered. Kitasato noted the early separation of the false membrane as well as a fall of temperature, al- viagra price original most critical in many cases. In the foregoing analysis of Dr. Winters' clinical observations I have not attempted to estimate the exact generic viagra vancouver value of antitoxin in the treatment of diphtheria. I generic viagra vancouver have kept steadily in view the task I set myself at the outset, the task of proving that the children in the Willard Parker Hospital have not been injuriously affected by the administration of antitoxic serum. This purpose I generic viagra vancouver believe I have accomplished. Inci- dentally it has also been demonstrated that the posi- tion of Dr. Winters in regard to antitoxin does not stand the test of critical examination. His descrip- tions of cases of antitoxin poisoning in the Willard Parker Hospital have no sound basis of fact, and they have not been confirmed by other observers, though they were published to the world more than a year ago. DIPHTHERIA WITH AND WITHOUT ANTI- TOXIN. 3 WILLIAM L. STOWELL, M.D., NEW YORK. The study of infectious diseases is one of the most important and interesting in medicine. The astonishing claims made for this new generic viagra vancouver remedy, generic viagra vancouver antitoxin, led me to review my records of cases and to some extent the literature for the viagra price original same period. From March, 18S8, to generic viagra vancouver March, 1895, inclusive, I treated 176 cases for Demilt Dispensary without anti- toxin. As this period in part antedates the bacterial diagnosis, I counted the tonsillitis cases for the same .period. There were 551 cases of tonsillitis. In ear- lier years many membranous cases in scrofulous chil-