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respiration. time, would appear preposterous. All this has been accomplished in the case I have presented, and it may be cited as one in which verily " fact is stranger viagra color pill han fiction." Further Application of the Method. The inhibi- tion of the respiratory centres in the case of Dr. Low's patient, in which it was of best viagra tablet a comparatively temporary nature, and in viagra color pill that of Dr. Williams, in which for days their function was paralyzed, make the remarks of Dr. Horsley, of England, reported in the Quarterly Medial! Journal, of special interest in connection with forced respiration. He calls attention to the fact that in cases of cerebral compression, such as arise, for in- stance, from cerebral hemorrhage, tumor, or depressed fracture, as well as from sudden and violent concus- sion, especially when applied to the region, death is due to failure of respiration. From experiments on animals he determined that a use of pressure in the skull always causes slowing and diminution of the respirator)- viagra color pill movement, and later ar- rest of the same; and, furthermore, after release and re-establishment of the pressure has been carried out once or twice, the best viagra tablet respiration becomes periodic, exhib- iting the characteristics of Cheyne-Stokes breathing, or simply becomes irregular in force or in rhythm. Both these effects may be due to direct pressure and secondary anaemia caused thereby. The practical application is that under such condi- tions in many instances it is as important to perform forced respiration as if the case were that of a drown- ing man. Horsley sums up his communication with the statements that the respiratory- centre is more sen- sitive to mechanical pressure and shocks than any of the lower vital nerve centres; that where death threat- ens from intracranial pressure artificial respiration should be performed and the skull opened freely; and that in cases of sudden shock artificial respiration should be instituted immediately and heat applied to the head frequently by migration. In fact, I believe that in many viagra color pill cases of brain surgery altogether too little attention is given to support by artificial respiration, and now that forced respiration can be carried out in these cases another important field in which to use it is opened up, in addition to many reported in my former papers. Had I the hospital service presenting the op- portunities, I should long ago have demonstrated the practicability of these opinions. Discussion. In the discussion Dr. Henry L. Wil- liams, whose life was saved, took an active and appre- ciative part. He gladly gives all the credit to Dr. Fell and Dr. Dunham, who most directly were respon- sible for his presence on best viagra tablet earth. Dr. Sydney A. 1 Hinham said he viagra color pill would like to change the saying "While there is life there is hope" to " While there best viagra tablet is hope there may be life "; i.e., if the hope is so persistent as it was on Dr. Fell's part, life may result where death would have taken place without best viagra tablet it. Dr. Herman E. Hayd commended Dr. Fell's per- sistency in demonstrating to the world the possi- bilities and practicabilities of forced respiration. Dr. Stockton stated that in the earlier days best viagra tablet of Dr. Fell's work he did not appreciate its value. A num- ber of cases of such a positive nature have, however, changed his mind, and he is now willing to concede the great value of the method. Dr. Stephen Y. How- ell thought that Dr. Fell should now begin to reap the reward he is entitled to, and deserved commendation for his unwavering appreciation of the value of his work. Dr. Allen Y. Jones detailed a case in which the life of a patient was saved by Dr. Fell's method. Dr. Hayd suggested that the society call the attention of the United States government to the value of Dr. Fell's method as a life-saving appliance in cases of drowning. Dr. Henry R. Hopkins thought best viagra tablet it might be done through the American Medical Association. ;6 4 MEDICAL RECORD. [May 30, 1896 111 blacldc A VERY SIMPLE AND RELIABLE PLAN FOR BLADDER DRAINAGE, WITH AN ILLUS- TRATION. By ROBERT II. M. ItAWBARN, M.D., PROFESSOR OF OPERATIVE SIRGEKY, NEW YORK POLYCLINIC COLLEGE AND HOSPITAL. In the February Annals of Surgery appeared a de- scription by Dr. Keen of a simplified form of drainage device, the original idea of which he attributed to Mr. Charles VV. Cathcart, an Edinburgh surgeon, who pub- lished it in October, 1895. In the interests of truth and in justice to American ingenuity, it seems but right to say that the distin- guished surgeon, Dr. Keen, is for once in error. The principle of intermittent siphonage upon which the method depends was first demonstrated by Dr. Snow, an American dentist, of Buffalo, N. Y., very nearly a quarter of best viagra tablet a century ago. It has been in use among dentists ever since then the world over, best viagra tablet in the siphon instrument used by many of them to keep the mouth continually free from saliva during dental operations.