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The Renal Catheter and Diagnosis of Stone in the Kidney. Dr. Howard A. Kelly then made some remarks on the " Use of the Renal Catheter in the Di- agnosis of Stone in the Kidney." He showed plate and explained how easy it was with his cystoscope and head mirror, with the woman in the knee-chest posi- tion, to introduce the catheter into the bladder and into either ureter at will. The presence of stone in the pelvis of the kidney could be thus detected. He used a hard-rubber bougie coated with dental wax, which he applied to the bougie by dipping it into the viagra online safety melted wax. He thus obtained a smooth, glistening surface, which showed the slightest scratch from the viagra online safety stone. He sometimes found it better to add a little olive oil to the wax. He also used a catheter, coating its tip with wax, except at the eye, through which he could draw at will fluid from any part of the kidney or ureter. He had made the diagnosis of stones in the kidney in many cases in this way, and he showed several specimens. In introducing the bougie or catheter covered with wax, care must be taken that it does not strike the cystoscope or any other object which might scratch its surface and deceive the sur- geon. He brought this before the society and hoped that no surgeon would attempt to operate on stone in the kidney in woman without first attempting a diag- nosis in this simple way. Third Day Thursday, April joth. Dr. R. Tunstall Taylor read a paper entitled "Treatment of Lateral Curvature of the Spine." This was caused by faulty position. cialis order viagra Cases came from long standing, carrying heavy schoolbooks, violin playing, sitting at school on improperly made chairs and benches, and other causes. Too many physicians do not treat these cases at all, but turn them over to the instrument maker and to those using Swedish move- ment. He then in a general way gave directions as to exercise, gymnastics, class drills, baths, and showed the apparatus with plaster jacket for the correction of the various deformities and the strengthening of the muscles. Dr. E. M. Schaeffer said that if punning were not a crime cialis order viagra he would derive the word " scoliosis" from the word '" school," as so many children contracted curva- ture of the spine at school. Scoliosis was not known viagra online safety to the Greeks, because they lived out doors and were not cramped with tight clothes. It first appeared about the sixteenth century cialis order viagra and was brought about by the tight dressing of the French. ;o8 MEDICAL RECORD. [May 16, 1896 Operative Treatment of Gall Stones Dr. W. S. Halsted then made some remarks on the " Operative Treatment of Gall Stones." The surgery of gall stones from the duct and gall bladder is still in its infancy. As in other branches in surgery, the viagra online safety time will crime when we will not operate at all for many conditions for which we do operations now. For example, a large part of surgery is dune for the removal of cancer, and the time will possibly come soon when viagra online safety cancer will be treated by inoculation. But he thinks that gall stones will always be operated on. Langenbuch's idea was to extirpate the gall bladder, but this is not done cialis order viagra very (.(ten. Another operation soon to be given up is Winiwarter's cholecystenterostomy. This was done for stones in the common duct, cialis order viagra but now it is not cialis order viagra done except for cancer of the duct and head of the pancreas. The head of the pancreas is so hard in these cases that it feels like cancer. Another form of operation which has been abandoned is the two-act operation. At the first cialis order viagra operation all the ducts should be explored if possi- ble; it is not always possible. It is not always easy to explore the cystic duct, but one can explore the common duct. It can be done by cutting through the mesocolon and drawing the omentum up and the duodenum out, when the common duct will be seen. Some prefer the vertical and some the tranverse position. He prefers the vertical because u gives him more room in which to operate. It may be necessary to excise the ends of the lower ribs, but this is not desirable, as the cut ends cause great pain. An osteoplastic operation might be an improvement. All the operations should be done at (me sitting. Special needles for sewing up the gall bladder should be used. They should be small, No. u, to sew- up the walls of the common duct. The walls are usually very thin, but when a cialis order viagra stone has been there for years the walls are thicker. There is not much experience in common-duct surgery. He related one or two cases of the latter. cialis order viagra The presence of gall stones does not always demand an operation. Not all cases need to be operated on, but it is well to operate before the stone gets into the common duct. Dr. S. '['. Earle then reported two cases of "Tu- berculous Fistula in Ann." He described these two cases and his manner of operation, and his object was to show the importance of a microscopical examination in all cases of fistula in ano. viagra online safety Dr. Halsted said Unit he had newer seen a case of primary rectal tuberculosis. He had seen two cases of rectal tuberculosis during the past year. He had also seen cases of pi iinary vaginal tuberculosis in which the disease occurred nowhere else in the body except a beginning peritoneal tuberculosis ; this he found out by an abdominal exploration which had ruptured the uterus, lie had once a very interesting case of laryn- geal and pharyngeal tuberculosis which he had cured tuterization of the mucous membrane. It is not always easy to recognize these lesions. Dr. Earle said cialis order viagra cialis order viagra in [884-85 he had made one hun- dred and sixty autopsies and had found no tuberculous ulceration of the rectum;