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sistant for my neighbor, Dr. Charles S. Butler, who practised dentistry in the same building, and told her that after summoning him she should go to the near- est telephone and call the Fitch ambulance, with the request that the hospital surgeon should bring with him 'the Fell forced-artificial-respiration apparatus.' " Dr. Butler came immediately to my assistance, but before he arrived I had opened the mouth and drawn the tongue well forward to open the air passages, and had again attempted several times to start respiration by telescoping the short ribs. Upon his arrival the pa- tient was placed on her back on the floor, a pillow first being placed under her shoulders, and artificial respi- ration was attempted by the Sylvester method. Some slight amount of air must have been forced into the air passages, inasmuch as the patient did not become badly cyanosed, but still no voluntary respiratory ef- fort could be induced, and Dr. Butler discovered that the radial pulse had become very indistinct. Applying his ear to the region of the heart, he reported its action as being both very viagra tablet purchase feeble and irregular. I resorted immediately to a hypodermic injection of from fifteen to twenty minims of brandy in the arm. The heart's action was soon observed to be somewhat improved, but the patient appeared to become if anything viagra tablet purchase more cy- anosed, in spite of our efforts at artificial respiration. " Upon arrival of the ambulance surgeon probably fifteen or twenty minutes had elapsed since the case had become alarming. The Fell apparatus was im- mediately brought into use, and hypodermic injections of fifteen minims of digitalis and one-thirtieth grain of strychnine were administered. " I was not present when it was finally discovered that the patient could breathe for herself, but I judge that it must have generic viagra jaipur been nearly or quite thirty minutes after the arrival of the ambulance surgeon. " The patient was now removed to the hospital, where I visited her an hour later and found her convalescent. She was able to be about her duties in the afternoon viagra tablet purchase of the same day, though feeling very much 'out of joint,' as she afterward told me, probably the result of my heroic effort before the arrival of the ambulance surgeon. " I have recently learned that the patient reported in the above case had, during the early morning hours of the day of operation, resorted to hypodermic injec- tions of morphine at different times, in all amounting to three-fourths of a grain. This was for the purpose of allaying the intense pain which she was suffering, not only in the offending tooth, but still more so in the regions of that side of her head. "F. W. Low.' r Will any one, I ask, question whether Dr. Long- necker's patient could have been saved in the face of Dr. Low's recital of his most important and interesting case? In the latter the previous administering of the morphine added difficulty to viagra tablet purchase the work of the appara- tus, but renders the result more important. Have we not now the right to ask who will be the next to let their patients die when they may be kept alive by the exercise of a viagra tablet purchase little right-minded forethought? Thou- sands of physicians and viagra tablet purchase generic viagra jaipur dentists are as placed to-day ignorantly ready to take their chances in dealing with the lives of patients entrusted to them. It would seem from these cases and others similar in nature which might be reported, that forced respiration might prove almost a specific in such cases. The Case of Dr. Henry J. Williams The pa- tient in this viagra tablet purchase case had been a student in the medical department of Niagara viagra tablet purchase University, Buffalo, N. Y. He had passed the general examination of the faculty of the generic viagra jaipur school and taken the viagra tablet purchase regent's examination to enable him to practise medicine in the State. During the entire course of his studies he had been employed as night out-door collector in the work of the Buffalo Post-Office Department. He was overtaxing his mind and body to a marked viagra tablet purchase degree. During the last few months of his medical course he had resorted to tinc- ture of mix vomica, twenty minims, three times daily. Owing to the inconvenience of carrying the liquid, he had resorted to viagra tablet purchase strychnine, one-fortieth grain, three times daily per stomach. On the night of July 2, 1894, he had been without sleep and needed rest for five days and nights; in fact, was a thoroughly ex- hausted man. About 1 :3o a.m., July 3, 1894, under these condi- tions, he administered to himself hypodermically two one-fortieth-grain tablets of strychnine. He did not obtain the viagra tablet purchase bracing-up effect desired so soon as he expected, and in a short time repeated the dose. He then took another one-fortieth, when the drug mani- fested its toxic effects in twitching of the muscles and tendency to opisthotonos. At this he became frightened generic viagra jaipur and gave himself a hypodermic injection of one-fourth grain tablet of morphine and atropine as an antidote, and repeated the dose twice at short in- tervals, as the convulsions had continued to increase. He stated that he did not believe his life to be in dan- ger at any time did not think it necessary to call a physician. The truth is that he was dazed and stu- pid, and was fast losing control of his faculties. He subsequently stated that he had the dreamy recollec- tion of repeatedly administering the morphine hypo- dermically until he became unconscious. There is thus no certain evidence of the amount of morphine and atropine administered. It was about 2 a.m. when the last drug was administered, and about seven o'clock next morning when his father discovered him on the floor of the bathroom, unconscious and cya- nosed. Dr. Archie Drake near by was summoned. He was 762 MEDICAL RECORD.