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In all' these the clinical diagnosis was confirmed by bacteriological report of the health department. Dr. lohn Doming, who is known as a careful and skilful practitioner, employed antitoxin in his private practice in seven consecutive cases of diphtheria, treated in the early part of the generic viagra photos disease in some of the cases during the first twelve and eighteen hours and all the patients died. generic viagra photos He was compelled to give up the use of antitoxin more than a year ago because of viagra sale free the results in private practice. generic viagra photos Every member of this academy has the highest re- gard for the opinion of viagra sale free Dr. Erancis Huber on any- thing pertaining to clinical medicine or therapeutics. Two weeks ago I asked him what he thought of anti- toxin, knowing generic viagra photos that he had a large experience with diphtheria. His answer was, " Dr. Winters, it is a humbug." That is the impression of a man who used it in private practice in conjunction with his brother, each anxious to get the best possible results and do the most he possibly could in every case. These are the results obtained by " Heilserum," a so-called spe- cific against the toxin of the diphtheria bacillus, when used in private practice at the very beginning of the disease. The percentage mortality in the Willard Parker Hospital during the year 1895 is very misleading, owing to the mild character of many of the cases generic viagra photos re- ceived. Dr. T. W. Brannan 36 has reported five hundred and ninety-three cases admitted to the Willard Parker Hos- pital during the first nine months of 1895 and treated with antitoxin; mortality 26.1 per cent. During the first nine months of 1894 there were four hundred and sixty-nine cases in the hospital, or one hundred and twenty-four less than in 1S95. Every practitioner knows there was much less real or clinical diphtheria in New York City in 1895 than in 1S94, and yet we have as the result of bacteriological diagnosis one hundred and twenty-four more cases received into the hospital during the first nine months of 1S95 than there were during the corresponding months in 1894. The mortality in four hundred and sixty-nine cases in 1894 1 non-antitoxin) is reported as being 35.1 percent., but the report of the resident physician of the hospital to the health board gives the mortality for tire first quarter of 1894 as generic viagra photos 24.5 percent.; second quarter, 26.5 percent.; third quarter. 19.9 per cent.; fourth quar- ter, 26.8 per cent.; for the year, 29.3 per cent. The mortality of 35.1 per cent, in the report referred to was obtained by including all patients who devel- oped or contracted scarlet fever or measles and were transferred to North Brother Island, and there died of mixed infection. The mortality of the Willard Parker Hospital is recorded as follows: :,? \\ ILLARD Parker HO ITAL. Deaths. Per cent 1888 . 258 60 23.25 18S9 3S3 20.62 IS90