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no severe symptoms with viagra ambien online good virus, and indeed there should never be bad and sloughing arms if the pa- tient is in any reasonably healthy condition at the time. Antivaccinationists Getting Vaccinated Glou- cester, in England, sixteen miles from Berkeley, where Jenner made his discovery of vaccination, has been visited with an epidemic of small-pox. The " antis" in the place have for years been vociferous in their op- position online viagra inc to vaccination, but when the outbreak of the disease began to assume alarming proportions, almost every one of them hastened to get vaccinated. Some of these had the online viagra inc honesty to confess that they had been in error, but the majority said nothing at all, being vaccinated quietly, some even going to towns at a online viagra inc dis- tance from Gloucester in the hope that the fact of their apostasy from the holy cause of the antis might es- cape publicity. The editor of the paper which had led in the antivaccination crusade could viagra ambien online not get away r so he published a card to the public, announcing that he had been " influentially urged" to get vaccinated, and hence he had sacrificed his " personal convic- tions" in the hope of contributing to " the public good." online viagra inc The role of martyr in a bad cause is evidently not to the liking; of this little man. 760 MEDICAL RECORD. [May 30, 1896 THE VALUE OF FORCED ARTIFICIAL RES- PIRATION (FELL METHOD) IN SAVING HUMAN LIFE IN CHLOROFORM, ETHER, \ND NITROUS-OXIDE NARCOSIS. TO- GETHER WITH THE ACCOUNT OF A RE- M \RKABLE CASE IX WHICH online viagra inc IT WAS USED FOR FOUR DAYS AND THREE NIGHTS UPON A PHYSICIAN, RESULTING IN SAV- ING HIS LIFE.' By GEORGE E. FELL, M.D., F.R.M.S., I RESIDENT OF THE AMERICAN MICROSCOPICAL SOCIETY, ETC., BUFFALO*, N. V. First Cases. The first attempt I made to save life by forced artificial respiration was July 23, 1887, the subject a human being, and the operation resulted successfully. The laboratory apparatus used at that time merely demonstrated the value and safety of the principle which, previous to this and my following cases, had been universally condemned as not only unreliable but dangerous to use. The prevailing opinion at that time was that the air vesicles of the lungs would not resist forcible mechanical measures in artificial respiration. The medical world had ac- cepted the views of the celebrated English physician, Marshall Hall, to "avoid the use of bellows or any forcing instrument"' in his ready method in asphyxia. In this first case it was viagra ambien online found that no lesion or inter- ference with the pulmonary tissue had been produced, although the case came near being a failure through the laboratory apparatus used being unsuitable in its application to man. In my second viagra ambien online case, a much more difficult one, I succeeded in saving my patient after breathing for him fourteen and one-half hours, which I could have accomplished only through the new online viagra inc ap- paratus which I had specially devised for use upon human beings. Since then, December 10, 1887, some one hundred " human lives, which would certainly have been sacrificed by the methods at the command of the profession at that time, have been saved through forced respiration. Most of these cases have been saved at my hands with few exceptions in the city of Buffalo, where I reside. It may be truthfully asserted that the manner in which I have utilized forced respiration is the only one in which it has been systematically de- monstrated to be of value in saving human life. Author's Method with Face Mask The intro- duction of the use of the face cup or mask has also overcome the prevalent idea that the epiglottis would fall and close the glottis in forced respiration. Many lives have been saved by it without necessitating the operation of tracheotomy, and its use has demon- strated that intubation is seldom needed, although its value must not be lost sight of in forced inspiration, as I intimated in my first writings upon online viagra inc the subject. My work has also demonstrated the uselessness of double-bellows and double-cylinder schemes, which had long been advanced and had failed as measures for artificial respiration. They will never be utilized in forced respiration when the same work can be more thoroughly and more easily applied and at less expense by the measures I have utilized. Many believe forced respiration to be of value only in cases of opium narcosis, the field in which I first ematically utilized it. This is far from the truth, as many cases have de- online viagra inc monstrated, so that the broad assertion may lie made u:t t.-.ir of contradiction that it will keep up the respiratory action in man better than any other method 1 Read before the Buffalo Academy online viagra inc of Medicine, Buffalo, N. V., March 10, 1S96. Proceedings of the New York State ' : Medi- caid delphia; Journal of the American Medici tion; Archives online viagra inc of Paediatrics; Taper before Pan-American Medi- cal Congress, etc. of artificial respiration now known. These statements are all borne out by cases fully recorded by the au- thor in various medical journals, and it may be stated that in all cases of asphyxia or superficial respiration