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There are probably few cheap amitriptyline online who realize what a large number of deaths are caused annually by this dis- ease. For instance, in the city of New York, it occasions far more than typhoid fever. Taking a year at random, we find that in 1909 buy cheap amitriptyline no less than 806 deaths were accredited to tuberculous menin- gitis, or a weekly average of about fifteen and two fifths, while the deaths from typhoid amounted to 564, or a weekly average of about ten and four fifths. In 1912 the weekly average of deaths from tuberculous meningitis recorded by the Bureau of Vital Statistics was about seventeen and a half, and that from typhoid about nine and a half. During the first half of the present year, when fewer cases of the latter disease (as well as a smaller mortality from it) were reported than ever before, the disproportion was very much greater ; the weekly average of deaths from tuberculous meningitis being the same as in 1912, and that from typhoid only about three and a half. Of course, recovery in tuberculous meningitis is a how much does amitriptyline cost rare exception, but possibly in the future the outlook may be average cost amitriptyline at least a little less gloomy. Dr. Robert L. Pitfield, of Phila- delphia, who reports one case of his own (Ameri- can Journal of the Medical Sciences, July, 1913I, has been able to collect, from various sources, twenty-eight other new cases of undoubted tuber- culous meningitis in which recover}- followed, and eight others in which the diagnosis was less positive. If in any given instance the process should fortu- nately generic drug amitriptyline be limited to a part of the surface of the brain, there would, it appears, be some prospect of amitriptyline online purchase a successful issue under intelligent treatment. Doctor Pitfield's studies show that recovery can take place amitriptyline cost without insurance in perhaps one in 200 cases, and in view of this fact he urges that steps should be undertaken ac- tively to facilitate such a possibility. In the treat- ment he would include prompt lumbar puncture, the free use of hexamethylenamine, morphine as an an- algesic and sedative (provided respiration is not embarrassed by it), and one or two injections of tuberculin. jS8 Mill's ITEMS. [New York EOiCAL Journal- llctos |tms. New Hospital for Fort Worth, Texas. — A new hos- pital will bo erected at Fort Worth, Texas, jointly by the city ami ccuiiity. at a cost of $20,000, of wliich $3,500 has been contributed by amitriptyline costochondritis tlie city confederation of women's clubs. Typhoid Fever in Evansville, Ind. — .Acting Assistant Surgeon Xeary. of the United States Public Health Serv- ice, reports that during the week ending July 26th, ninety- three cases of typhoid fever were reported in Evansville. making a total amitriptyline online no prescription of 14S cases reported since June 14th. Cerebrospinal Meningitis in Los Angeles. — Senior Surgeon Brooks, of the L'nited States Public Health Serv- ice, reports that during the week ending July 26, 1913, three cases of cerebrospinal meningitis were reported, making a total of eighty-two cases of the disease in Los Angeles since January i, 1913. Pellagra. — During the week ending July 12, 1913. pellagra was reported by cities to the L'nited States Pub- lic Health Service, at Washington, D. C. as follows: Bos- ton, Mass., I death ; Buffalo, N. Y.. I death ; Montgomery. -Ala., 2 cases with 2 deaths ; X'ashville, Tenn., 3 cases with 3 deaths: New Orleans, La., 3 deaths. Philadelphia Bureau of Health Plans Extensions to Bacteriological Laboratory. — Plans generic amitriptyline hcl have been prepared by the Department of Health and elavil generic amitriptyline Charities of Philadel- phia for making extensions to the bacteriological labora- tory of the Bureau of Health, so that physicians can have specimens examined, and the results known, in a less time than is now required for that purpose. The aim is to broaden the scope of the laboratory and to make it a greater help to the individual participating physician, as well as to the city in general. The additional receiving outfits, which will shortly be placed in the distributing sta- tions, are to inake it easier for physicians to have examina- tions made. The Washington State Medical Association. — .At the annual meeting of amitriptyline hcl generic elavil this association, held in Everett cost of amitriptyline 25mg amitriptyline hydrochloride generic on amitriptyline cost canada July 14th, 15th, and i6th, the following officers were elect- ed : Dr. C. J. Lynch, of Xorth Yakima, president : Dr. C. W. Sharpies, of Seattle, president-elect ; Dr. J. R. Brown, of Tacoma, first vice-president: Dr. D. amitriptyline cost in uk H. Palmer, of amitriptyline online Seattle, second vice-president : secretary-treasurer. Dr. C. H. Thomson, of Seattle; trustees. Dr. W'. N. Hunt, of Burlington ; Dr. L. M. Sims, of Kalama ; Dr. L. H. Redon, of Seattle: Dr. J. R. Yocom, of Tacoma: Dr. J. M. Sem- ple, of Medical Lake: Dr. S. E. Lambert, of Spokane: Dr. C. N. Suttner, of Walla Walla: and Dr. L. Ganson. of Odessa. Next year's meeting will be held in North Yakima. Seventeenth International Congress of Medicine. — Over seven thousand physicians from all over the world have met in London to attend this congress, which was opened on Wednesday. .August 6th, in .Albert Hall, by Prince Arthur of Connaught. The congress, which will be continued until next Tuesday, will bring together, it is said, the largest gathering of medical men that has ever taken place. About eight hundred .American physicians are attending the meeting, the names of buy generic amitriptyline over one hundred being on the official programme. Among the New York physicians who will take part in the proceedings are Dr. Robert Abbe, Dr. Simon Flexner, Dr. S. J. Meltzer, Dr. Henry Koplik, Dr. Theodore C. Janeway, Dr. Russell Fowler, and Dr. Simon Baruch. Surgeon General Charles F. Stokes represents the United States Xavy and Major Frederick amitriptyline online uk F. Russell the army. .A brief account of the proceedings of the congress w'ill appear in a later issue. Physicians of the Fifth Censorial District, Pennsyl-

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