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serted most positively by the advocates of this treat- ment that there were no bad effects ; that it was abso- lutely harmless in doses of any amount. Antitoxin in Private Practice. The experience of physicians in private viagra generic definition practice is of much sen-ice in estimating the value of antitoxin. Dr. Edwin B. Tefft (New Rochelle), a most careful and experienced practitioner, communicated the fol- lowing cases to me: Case I. Child, aged five years; antitoxin on first and second days: died suddenly on the third day from heart failure. Peroxide of hydrogen and salt solution locally to throat and nose. Other treatment consisted of bichloride of mercury, iron, and stimulants inter- nally. Case II. Aged forty; treated without antitoxin; good recovery. Case III. Aged twenty-seven ; treated without anti- toxin ; good recovery. Case IV. viagra generic definition -Child, aged fourteen; treated without antitoxin; recovered with slight paralysis as a sequel, which soon passed off. Case V. Child, aged six, sister of Case IV. ; antitox- in on second, third, and fourth days ; died on fifth day. Case VI. Child, aged four years, brother of Cases IV. and V.; antitoxin on first and second days; re- covered. Case VII. Child, aged ten years; antitoxin on second day; recovered. Other treatment in both of these cases the viagra generic definition same as in Case I. Case VIII. Child, aged twelve; antitoxin on second, third, and fourth days; died on seventh day. Other treatment viagra generic definition same as in Case I. Case IX. Child, aged twelve; treated without anti- toxin; good recovery. Case X. Boy, aged sixteen, brother of Case IX.; also treated without antitoxin; good recovery. ' These were all viagra generic definition bad cases. In Case VII. I viagra online world am con- fident recovery would have followed without the use of antitoxin. From my experience and from cases I have seen in connection with other physicians, I am not fa- vorably impressed with the utility of antitoxin in the treatment of diphtheria." Dr. Tefft reports five cases treated with antitoxin on the first and second day of disease, the youngest being a child of five, the oldest twelve. Three of the five died; mortality, sixty per cent. During the viagra online world same period there were five cases, stated by Dr. Tefft to be equally severe, treated without antitoxin; all recov- ered. Cases treated with antitoxin had the same in- ternal and local treatment as those treated without antitoxin. These antitoxin cases had a so-called spe- cific at the very beginning of the disease, and in ad- dition such tonic, stimulating, and local antiseptic treatment as one of our best physicians could devise and yet show a viagra online world mortality of sixty per cent., as con- trasted with no deaths in five other cases treated with- out antitoxin. Dr. de Kraft recently had three cases of diphtheria in one family. Two patients viagra online world were treated with anti- toxin at the beginning of the disease and both died. One treated without antitoxin got well. Another pa- tient in Dr. de Kraft's practice died one hour after the injection of antitoxin. During the spring of 1895 Dr. de Kraft saw a very severe case'of diphtheria in the lower portion of the city, with another physician, in which it was decided to'give viagra generic definition antitoxin. Neither, however, having antitoxin, and not knowing just where it could be procured at the time, a physician who was known to have the serum was sent for. When he saw the child he re- fused to inject, saying that it would surely die and that it would do harm to the cause of serum treatment. He was willing that the child should not have a pos- sible chance of benefit which might arise from the use of the so-called specific fluid, but he was not willing that the fame of the serum treatment should be jeopar- dized. The baby, however, recovered, on the ordinary medicinal viagra generic definition treatment without antitoxin. Dr. J. C. Shanon recently treated two patients in one family with antitoxin at the very outset of the disease and both died. Dr. Koempel reports the case of a child taken ill on the night of April 22d. Antitoxin was given during the first twelve hours, and a second dose the following day. The child died viagra online world twenty-four hours later. Dr. J. H. Bache reports three patients treated at the beginning of the disease, two of whom died; the 886 MEDICAL RECORD. [I une 20, 1896 third viagra online world patient, the child of a physician, barely escaped death from the after-effects of the antitoxin. Dr. P. H. Ernst" reports twelve cases treated with antitoxin, seven deaths, mortality 58.3 percent: sixty- five cases treated without antitoxin, eleven deaths, mortality 16.9 per cent.