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veins are not prominent enough and for the other causes mentioned the salvarsan may be given by the rectum. A saline is given and after the bowels have moved the lower bowel is thoroughly cleaned with a normal saline enema; after which the salvarsan solution is viagra prescription sf allowed to flow into the rectum through a catheter attached viagra prescription sf to a glass funnel. This method while not much used is almost as efficacious as when the drug is injected intravenously. It has the ad- vantage of not increasing the blood pressure, does not produce "water sickness" and is much easier to give to a nervous patient. Should the woman be threatened with eclampsia salvarsan and mercury should be withheld until the urine is free from al- female viagra cheap bumin. I do not advise intramuscular injections of viagra prescription sf in- soluble mercurials, such as the salicylate or grey oil, in pregnant women — or in any woman for that mat- ter. My reason for this is that when such a menstruum is injected into the buttocks the layer of fat prevents its absorption and painful abscesses are prone to occur. If the patient's veins will per- mit I prefer to inject the mercury intravenously. A solution of bichloride or mercury benzoate is pre- pared so that each ten minims represents 0.006 of the drug. The initial dose is ten minims in 15 c.c. of warm normal salt solution. The procedure is the same as when salvarsan is given, only that the blood is allowed to run into the syringe and mix with the solution before it is injected. By so doing the chemical combination which thus female viagra cheap occurs renders the solution non-irritating and the danger of phlebitis is avoided. When properly done abso- lutely no ill effects are produced (which cannot be said when horse serum is used) and it is the most efficient and promptly acting method of introducing the female viagra cheap medicament into the system. The patient should receive two injections a week for six weeks. Treat- ment should then cease for a month and then be re- newed. If it is not possible to give mercury this way the next best way is by inunction. During the course of her pregnancy the woman should receive from sixty to viagra prescription sf ninety inunctions; each thirty in- unctions from four to six weeks apart. In giving inunctions it is best to give one each day for six successive viagra prescription sf days and viagra prescription sf then rest the patient a day, on which a hot bath is taken. I am in the habit of giving potassium iodid viagra prescription sf during the course of mer- cury and for a week or two thereafter, as it assists in eliminating the mercury and as mercury acts best in a state of flux, i. e. while being eliminated, the maximum effect is thus obtained. Patients under mercurial treatment should rinse the mouth several times a day as a viagra prescription sf guard against stomatitis. As preg- nant women sometimes have trouble with their teeth the services of the dentist should be requisitioned if necessary. Rest and a tranquil state of mind should be encouraged. The last the medical attendant can materially aid in by maintaining an optimistic out- look. The bowels should be cared for by the ad- ministration of a mild aperient as occasion requires. Sexual intercourse should be forbidden after the third month. In those cases where it is not possible to female viagra cheap give inunctions, the mercury may be adminis- tered by means of suppositories after the manner of Lanney. These patients require no other treatment, the mercury and salvarsan being sufficient to overcome any anemia that may be present. In some instances July 7, 1917] medical record. 19 female viagra cheap a bitter tonic may be given to improve the appetite. Treatment should be persistent; careless, casual treatment is, in my opinion, almost as bad as none at all. 163:; Avenue a. COMPLETE THROMBOSIS OF THE ABDOMI- NAL AORTA; WITH THE REPORT OF A CASE.* By ROBERT A. KEILTY, M.D., KIRST LIEUTENANT. M. R. C, U. S. ARMY. Thrombosis of the abdominal aorta is relatively uncommon, though not rare. It may be divided into partial and complete. female viagra cheap Partial mural thrombi, with and without organization, are frequently met with over plaques of advanced arteriosclerosis. Complete obstruction, however, above the bifurca- tion of the iliacs, aside from aneurysm, is not so common. The present case falls under this latter group. The literature for the past several years averages about three or four cases a year. One case, that of Moschowitz, is interesting. This began as an infection at the umbilicus, a thromboangeitis in a baby shortly after delivery, and terminated in com- plete thrombosis of the abdominal aorta. I am in debt to Dr. Alfred Stengel and the staff of the University Hospital for permission to use the following history: A. G., a white male, was admitted May 12, 1913, com- plaining of weakness. He stated he had been well un- til a year ago, when he had asthma for nine weeks. Following this, and continuing to admission, he was