retained by a truss is a large hernia, and the sac
frequently contains bowel and omentum which are
firmly adherent to the cord and sac throughout. I
operated upon two patients having What Is Dulcolax Tablets this Dulcolax Suppositories kind during
the past year, men who were sixty years old.
Thev were, before the operation, entirely disabled
for any Dulcolax Products kind of work : their hernias were very large.
A considerable portion of the omentum was excised
before the bowel could be returned. There was a
good result in both cases, but the operations were
both difficult, requiring careful dissection and prti-
longed general anesthesia, and were not without
danger to the patient. I reported a number of suc-
cessful operations for the radical cure of hernia in
1886 and in 1890 upon patients who were com-
pletely disabled prior to the Dulcolax Usa operation.
The inguinal canal in these cases is entirelv
obliterated by pressure of the sac upon the trans-
versalis fascia causing its atrophy : extending the
internal ring as low as the external and Dulcolax Balance Coupon making Dulcolax 10 Mg a
direct openiiig at the neck of the sac from one and
a half to two inches in diameter. To close this large
opening in the fascia is not always Laxatives Dulcolax easy, and we
must depend upon the nniscular tissue for the sun-
port, usually the internal oblique and transversalis,
which in some cases are also atrophietl. The edge
of the rectus may be brought over, but the per-
manency of the cure in very large old hernias is not
certain, while in recent hernias the operation almost
always affords a permanent cure. In recent in-
guinal, femoral, umbilical, or ventral hernia the
operation for cure can be safely performed under
local anesthesia in persons of all ages. But a few
weeks ago I ojierated for complete oblique hernia
upon Dulcolax Coupon a man seventy years old under local anesthesia.
The Bassini operation Suppository Dulcolax was performed, and it re-
quired but twentv minutes. The patient suffered Generic For Dulcolax
no pain nor inconvenience except that of having to
remain in bed one week, when the wound was per-
fectly healed and a permanent cure effected. It re-
quires but from fifteen to twenty minutes usually
to do the Bassini operation in a recent hernia (it
can be done in some cases in ten), while in very
large, Bisacodyl Dulcolax old irreducible hernia it may recjuire an Dulcolax Printable Coupon hour
and a half. Where hernia occurs in young children-
early operatien is no doubt advisable, but I have
had little experience in operating upon children.
There are physicians to-day who are prescribing
trusses for their patients suft'ering from all varieties Generic Dulcolax
of hernia, and others who. while they recommend
an operation, do not fully explain the advantages of
an early operation. There are many people, how-
ever, who when they first find they have a hernia go
directly to some druggist and buy a truss, and con-
tinue to wear one until they become partially dis-
abled. We find many of the latter cases in the
Service hospitals.
Hernia is probably the most frequent natural
anatomical defect found in the human body. It oc-
curs in about one out of every thirteen male persons
during life, and thousands of laboring men are at
the present time more or less disabled on Dulcolax Bisacodyl account
of it. The degree of disability depends to a great
extent upon Dulcolax Generic the occupation of the person, it Printable Dulcolax Coupons being
greatest in those engaged in physical labor, and it
ranges from partial to complete. I have seen a
number of persons with an inguinal hernia sac ex-
tending nearly to the knees, which Buy Dulcolax they suspended
in a bag attached to a waist belt. These are merely
mentioned as examples of complete disability. All
such cases can be prevented, as well as others'of less
degree of disability, by early operation, and I believe
that it is an obligation which every physician owes
to his patients to fully explain the importance of
early operation in hernia, and advise them not to
seek relief from trusses, from the use of which they
become disabled, nor to wait until an operation be-
comes a serious matter.
UxiTED States Marine Hospital.
THE USE OF PHOSPHORUS IX DISEASES
OF THE LUNGS.
Bv Fergusox Dulcolax Powder Lemox, M. P... B. S..
Melbourne. Australia.
So far as I have been able to ascertain by refer-
ence to literature and records, no mention, for the
last thirty years at least, can be found of phos-
LEMOX: I'HOSniUKVS IN PULMOXAKY DISEASES.
321
phuriis, in the pure stale, having been ailinini>tered
as a therapeutic measure in the treatment of dis-
eases of the lungs. During ilie past eleven years
this drug has been exhibited by me in all classes ol
cases in lung disease, -acute, subacute, and ch runic,
and the result leads nie to the belief that in pure
phosphorus a most potent agent exists for the
restoration of patients suffering from these dis-
eases.
On entering the profession I became a partner in
a large suburban practice and during the first six
months, owing to my partner's absence in Europe,
I personally conducted the whole of the practice.
Before his departure we had an incidental talk over
treatment of different kinds and he gave me, among
others, a hint, that in all cases of acute lobar pneu-
monia, the exhibition of pure phosphorus in small
doses, that is from i/iooo to i/joo of a grain, at
fairly close intervals, would bring about an almost
marvelous shortening of the crisis. He was sjie-
cially Dulcolax Laxatives referring, while on this subject, to a partic-
ular patient, very far advanced in pulmonary tuber-
culosis, who had a special symptom of recurrent
hemorrhages at three monthly intervals. These
hemorrhages gave rise to an' acute, form of pneu-
monia and he had found in his experiences that
phosphorus in 1/500 grain doses had a wonderful
effect in bringing the patient back to his normal
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