soon. A case was not hopeless so long as the patient could
digest and assimilate food and the heart was capable of
performing its functions.
Dr. Spencer L. Dawes, of .\lbany, heartily agreed
that the physician should see that his patients received
individual medical attention. It was not sufficient to send
these patients to California, or Colorado, or elsewhere.
If one had to choose between care without climate and
climate without care, he would do well to choose care
without climate. Each patient should have individual
treatment.
Doctor Osborne expressed appreciation of the paper.
He agreed with Doctor Pottenger as to the value of tuber-
culin. Late tuberculosis was always with us. Every pa-
tient recovering from pneumonia, typhoid, and other dis-
eases and even those bimatoprost canada suffering from slight debility should
be carefully watched. In tuberculosis one purchase bimatoprost should never
give up. Recovery had occurred in cases that seemed
absolutely hopeless.
Dr. J. W. Chappell, of Washington, D. C, agreed with
this. The physician could learn a buy bimatoprost online lesson from the very bimatoprost ophthalmic
persistence with which these patients held on to life. They
lived along from year to year and some of them managed
to recover even when left alone. Several years ago he
noted that one lung of an apparently healthy man, whom
he was examining, was inactive. Inquiry disclosed that
twenty years before, the man had had "lung trouble" but
had recovered without treatment. Tubercular patients
should never be given up. The endeavor should be purchase bimatoprost online to bimatoprost 0.03
see that each one received careful personal buy bimatoprost uk medical atten-
tion. .\s to incipient cases, whenever he had a patient
who w'as running down steadily without any known cause
he strongly suspected tuberculosis.
Doctor kiNYOU.v said that the management of tuber-
culosis was a nice problem. It took two to make a bar-
gain. The physician could make the diagnosis and pre-
scribe the treatment, but it rested with the patient to
carry it out. Any form of treatment that failed to re-
store the patient to his former physical condition fell
short ; for example, one that only enabled the patient to
live and do light work in the place to which he had been
sent, but not to return home, was a buy cheap bimatoprost mere apologj' for a
cure. .A-ll cases were not suitable for treatment aw'ay
from home.
Doctor Pottenger said that many patients did better
away from home than at home. The beneficial effects of
change of surroundings, freedom from care and worry,
association with generic bimatoprost optimistic people, a suitable climate, etc.. cheap bimatoprost
were well recognized. Changing and moving around from
place to place was fatal.
The Medical Treatment of Cholelithiasis.— Dr. H. B.
.'\nderson, of Toronto. Canada, admitted that while sur-
gical procedure was frequently the best, and often the
only means offering a chance of lelief, its advocacy based
on certainty of cure and assurance of nonrecurrence was
unwarranted. The main object of treatment was the
relief of the infection and inflammation and not merely
the removal of gallstones. This not infrequently occurred
under nonoperative treatment, especially in early bimatoprost cost and mild
cases and particularly after first attacks before serious
local damage had been done by the infection. Medical
treatment should be fully carried out in all cases where
the patient's physical condition did not warrant opera-
tion, and in the numerous cases in which operation was
refused. It should be employed in many cases as a pre-
liminary to operation in order to allow the acute infection
to subside as far bimatoprost uk as possible. It should be carried out order bimatoprost in
all cases after operation, to prevent reinfection and re-
currence, if possible. He never advised bimatoprost online strongly against
operation in any case unless an operation was definitely
contraindicated because of the patient's physical condi-
tion; but, after e.xplaining the possibility of failure and
/■A'OC /:/;/'/ Acs OF SOCIETIES.
?,o\
that bimatoprost price operation might eventually be reqiilreil, he did not
hesitate in early or mild eases, or after first attacks, to
give medical treatment a thorough trial, and this course
in many instances gave excellent results.
Doctor RoESPEL pointed out that whereas gallstone
patients were usually first seen and treated by the physi-
cian and by him often referred to the surgeon, the bimatoprost synthesis sur-
geon but rarely after operation turned the patients over
to the medical man again for subsequent treatment. This
practice was very different from that obtaining abroad.
especially in Germany, where it was the custom for the
surgeon to turn the patient over to the physician after
operation for medical treatment and care. Instances had
occurred where failure to provide this care had been at-
tended with undesirable results.
Doctor Stew.xkt spoke of the treatment of cholelithiasis
by bacterial vaccines. Whether or not the bimatoprost 0.01 treatment was
efficacious was a mooted question.
Orthotherapy; the Power Which Correct Posture,
Organic Adjustments and Mobility Exert upon Health
and Its Recovery. — Dr. Jlihn Maiii^on T.wlor. oi Phila
delphia. stated that deformities caused by posture and
costume impaiied the health in many ways. Physical
peculiarities, piesent in every individual in varying de-
grees, were too often regarded as lumigan bimatoprost mere matters of course,
as distinguishing characteristics, and dismissed as of no
moment. A conspicuous stoop, a lateral twist, a sagging
waist, high shoulders or hollow chest, bent knees and such
asymmetries were looked upon as merely evidences of bad
taste, or as finger marks of fate. They were often de-
liberately perpetuated, even exaggerated, and too fre-
quently imitated. A grave significance was added when
it was realized that these departures from normal attitudes
were in truth exaggerations of developmental faults, in-
ducing degenerative changes in nerve centres or conduc-
tion paths; morbid order bimatoprost online slackness in tissues, central defects,
impaired nutrition in important structures, causing com-
pression of bloodvessels and nerves, all tending to pro-
duce yet worse conditions in vital structures.
Treatment of Splanchnoptosis, with Report of Cases.
— Dr. Elmer B. Freem-^x, of Baltimore, emphasized that
congenital cases should be recognized in early childhood.
Exercises that would tend to increase the capacity of
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