Viagra Buy Here | Viagra Generic Side | Best Pharmacy













































The necessity of taking into consideration the char- acter of the prevailing epidemic in order to have a clear understanding, is shown by the following. At Gratz Escherich 4 treated : Cases. Deaths. Per cent. By injection of serum, 51 By viagra buy here non-injei tion, 36 viagra buy here 3 3. 3 Kohts' 1 mortality in tracheotomy cases treated with serum is 29.41 per cent.; without serum, twenty-five viagra generic side per cent. For cases not operated on, with serum, 7.6 per cent.: without serum, 6.9 per cent. At the beginning of the antitoxin viagra generic side treatment Behring told us all cases treated on the first day of the disease could be saved ; of those coming under treatment on the second day, nearly all, and of those brought under treatment on the third day. the larger part of them. Behring's words were : "We have it in our hands to reduce the mortality from diphtheria to one-tenth of its former rate" (three to five per cent.). Let us see how this promise of Behring's has been verified. At the Willard Parker Hospital e during the first nine months of 1895, the results were as follows: Day upon which Treat mini was Begun, 1895. Mortality, per cent. lav IOS 1 . 1 : 1 day 130 25.I9 Third day IK) 34. 19 We will lite a few cases showing actual results when treatment is begun in the earlier part of the disease: Case I. Six years old: admitted to scarlet fever ward February i, [896; recovered from scarlet fever and was ready for discharge. March 19th, at 11 130 a.m., she complained of sore throat. The diagnosis of diphtheria having been made by bacteriological examination, she was injected with 2,000 units of antitoxin, Man h 2 1 st, at 3 :3o a.m.. just forty hours after the disease began. In spite 1 treatment croupy symptoms, which manifested them- selves earlv. increased, and intubation was done at 10 A.M.. forty-six and one halt hours after the beginning of her illness. (In the evening of the same day. intu- bation mil affording sufficient relief from the stenosis. tracheotomy was performed at 9:40 p.m. The child died at 9 :45. In this case we have an instance of a child develop- ing diphtheria in the hospital and being put upon the serum treatment as soon as the diagnosis was con- firmed. Notwithstanding this, the local process ex- tended, even intubation not affording sufficient relief, the whole course of the illness being a repetition of what has been frequently seen in the Willard Parker Hospital service. Case II. Aged two and one-half years; admitted April 22d; ill one-half day. Throat clear; tonsils red and somewhat swollen; croup, some retraction, no cyanosis. Under the head of clinical notes I find: " Child rather croupy on admission.'" Antitoxin, 2,000 units, on admission. Patient admitted April 22d, about midday. April 23d, S:ss a.m., intubation necessary; 2,000 units of antitoxin. Temperature on admission, 100.8 F. April 23d, temperature, 103. 2 F. April 27th, temperature, 99 P. viagra generic side April 28th, temperature, 105 F. April 30th, temperature, 101.6 F. viagra generic side Afternoon of same day, 105.2 F. May 10th, the baby died, 2 :25 a.m. This is an extraordinary record. The child had been ill one-half day on admission. Clinical notes state: ''Child rather croupy on admission." About the only evidence of disease, then, was croup. In spite of antitoxin, 2,000 units, croup increased viagra buy here during the night; intubation became necessary the following day, about twenty-one hours after admission. Next observe the common temperature range which occurs when the patient shows unusual susceptibility to the influence of antitoxin. Case viagra buy here III. Aged two years; admitted October 2 2d: one day sick. Marked injection and swelling; dirty white membrane on left tonsil, croup. Prognosis viagra buy here doubtful. Antitoxin, 2,000 units, on admission. Ad- mitted, 9:30 a.m.; intubated, 4:15 p.m. October 23d, antitoxin, 2,000 units; 9:45 a.m., tube coughed up; 10:05 a.m., intubated. Temperature, 2 p.m., 104. 6 F. ; hypodermics of brandy and nitrogly- cerin, hot bath, etc. October 24th, antitoxin, 1,200 units, 11:45 A.M.; temperature, 104 F. : sponging, etc. October 27th, temperature, 105 F. ; sponge baths nearly every viagra generic side hour. October 28th, rash. October 29th, tube removed. viagra generic side November 1st, temperature went to 105 F. ; sponge baths almost hourly. November 3d, temperature reached 105.8 1-.; sponge baths nearly every hour. November 5th, temperature ranged from 10: to viagra buy here 105 F.