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MEDICAL RECORD. [June 20, 1896 Dr. Charles Jewett agreed with most points con- tained in both papers, but said he had found veratrum valuable. Dr. Hanks referred to the significance of headache, anemia, pulse of high tension, etc., even in the absence of urinary symptoms. He doubted whether one should wait for the' action of gauze; and as to Barnes' dila- tors, one always had his fingers with him. Dr. J. Clifton Edgar thought there were clinical indices of eclampsia which should enable us to avoid it. We ought not to pin our faith to any single symp- viagra online ottawa tom. Pressure on the ureters had been mentioned as a cause, but he had not been able to confirm it. He found use for veratrum viride. He felt thankful that Dr. Grandin had placed manual dilatation of the cer- vix in the light which he had this evening. He thought that formerly it had been spoken of too lightly, discount viagra cheap and that harm had been viagra online ottawa done the past two years in undertaking manual dilatation when it was not discount viagra cheap called for or without taking proper steps for its safe perforamnce. He wished to repeat that manual dilatation was extremely difficult and dangerous if un- dertaken before the internal os had disappeared or as long as there was a cervix. Dr. viagra online ottawa R. A. Murray was fully in accord with Dr. Grandin's paper. He had not heard Dr. Marx's. Calomel caused the kidneys to act, and enabled us to use verarum viride with advantage. Nitrogenous foods required to be used with care. Many cases of eclamp- viagra online ottawa sia seen by him had been precipitated by some impro- priety of diet. Dr. Murray was opposed to the use of chloral hydrate by the rectum, as had been recom- mended by Playfair and others, as he thought it was liable to produce fatal narcosis after the uterus had been emptied. Dr. Austin Flint, Jr., asked Dr. Marx whether he had known of a case of eclampsia due to valvular or other forms of cardiac disease. Also whether discount viagra cheap he had known of occlusion of the ureters from bending. Dr. Flint thought that veratrum viride, next to nitrogly- cerin, was the best drug we had in these cases. He forbade morphine. Dr. H. K. Crampton thought there were cases of eclampsia which were purely neurotic in origin. After some further remarks by Drs. Gordon and L. S. Rau, Dr. Marx closed. iUcclkal Items. Contagious Diseases Weekly Statement. Report of cases and deaths viagra online ottawa from contagious diseases reported to the Sanitary Bureau, Health Department, for the week ending June 13, 1896: Tuberculosis Typhoid fever Scarlet fever Cerebro-spinal meningitis Measles Diphtheria Small-pox Cases. Deaths. 170 100 15 5 IOI 9 3 2 228 17 262 31