marked, but no definite area of actual loss was found
cither by physical or by x ray examination. The spu-
tum was not profuse but buy eriacta contained large quantities of
bacilli. He was large and flabby and had been told that
he was well on the way to cure. This was one of the
marked eriacta uk morphine cases already referred to; at tirst he
responded Liut feebly to the exhibition of phosphorus.
Morphine seems to have an inhibiting effect on the growth
of the bacilli but it does not prevent widespread degenera-
tion from going on quietly. The patient, lulled to false
security, is" led to believe that he is progressing very
favorably because the cough is slight and easy and the
sputum scanty. In this case the -reaction to the phos-
phorus did not take place for three weeks when the sputum
became markedly profuse and contained excessive numbers
of bacilli. This continued till purchase sildenafil citrate the third month after which
it began to diminish rapidly. The treatment was continued
regularly till the sixth month, the patient living during the
later three months on a farm in a healthy part of the
country, and being allowed to do slight exercise such as
riding. The buy sildenafil citrate sputum was only seen after tliis period in the
early morning, while the cough was cheap eriacta the only troublesome
symptom. .\t the ninth month, when he was seen and
examined, the whole lung seemed to have become perfectly
normal except for the evidence of small patches of ad-
herent pleura. He was again seen at the end of twelve
months, when expectoration had completely ceased, and
though occasionally on exertion he had a hard cough, this
symptom was very rare, and physical and x ray exami-
nations showed practically a normal lung. He has now re-
turned to his farm and though he has been warned not
to overexert himself, he attends to all branches of the
farm work.
TATIEXTS IMPROVED BUT XOT CURED.
Case XI. Mr. J. D., of D. Aged thirty-nine years. Bad
family history. At the first consultation he complained
of general weakness, shortness of breath, soft cough, pro-
fuse sputum and frequent night sweats. He had been
treated for tw-o years by sildenafil citrate 100mg approved sanatorium methods
with no improvement. On examination. July, 1909, both
apices were found to be well advanced in tuberculous de-
generation, the right lung at the base being fairly eriacta online free
from adventitious signs, though the left lung throughout
had marked signs of advanced degeneration with evidences
of vomicae near the apex. His weight at the commence-
ment of treatment was nine stone ten pounds. He was
placed upon the full phosphorus treatment, and nour-
ishment according to the chart. During the first six weeks
he made fair progress, the sputum increased rapidly show-
ing large numbers of tubercle bacilli. At this date he had
gained six pounds, the night buy eriacta online sw-eats had disappeared, and
his breathing w-as much better. During the next six weeks
though he kept up his treatment he would not conform to
his instructions, but continually went among the workers
during the reaping and threshing, assisting at times in
the dirt and dust. Notwithstanding this he improved to
a great extent and at the end of the treatment he had
gained over a stone in weight. His cough became harder
and his sputum less profuse, nevertheless he refused fur-
ther treatment. He has not been heard of for the last
four years.
Ca.sk XH. Mrs. G.. of D. Aged twenty-eight years.
Married five and a half years she had one child who died
in infancy from tuberculous meningitis. She has suffered
from tuberculosis since her nineteenth year, when she had
tuberculous pleurisy sildenafil citrate 50mg for which she was tapped. The symp-
toms at the first consultation, in April, ipij. were general
weakness, thinness to emaciation, night sweats, profuse
sputum and soft cough: three months before she had had
severe hemorrhage and since then there has been a con-
stant color in the sputum. Her menses had not been seen
for over two years. Weight six stone two pounds. On
examination she exhibited marked signs of advanced de-
generation in both lungs, both apices very far advanced
with large vomicae in the left: the whole of the left lung
was more or less consolidated, with a marked band of
absolute consolidation over the middle third of the lung,
and large moist bubbling rales heard all over this area.
On the right side below the level of the upper lobe al-
though early signs were marked, it was, compared with order eriacta
the rest of the lung, comparatively free of disease and
puerile breathing was conspicuous. She had been treated buy sildenafil citrate online
for some time in various sanatoria and pronounced incur-
able. Treatment by phosphorus, diet as indicated in the
chart, and open air living were instituted, while high fre-
quency current was given twice a week. ranbaxy eriacta She reacted well
to the treatment, all hemorrhage ceasing by the third week ;
the sputum continued profuse till the twelfth week and at
this period the menses returned. She kept on the treat-
ment for another three months when the cough became
hard and the sputum greatly lessened, but all original
signs remained with but slight improvement. However,
she was advised to continue the treatment and her hus-
band, who was a ranbaxy eriacta 100 railway official, was transferred to a
warm country district eriacta tablets in the hope that she would improve.
Unfortunately, on her entrance into this district, she \yas
attacked with ptomaine poisoning the result of eating
potted meat. This impaired her condition very greatly.
She returned to me a year after the beginning of treat-
ment with evidences of early tuberculous caries of the
right tarsal bone due. she stated, to having tripped and
sprained her foot. The local doctor thought that either
dislocation or fracture had resulted, but x ray examina-
tion showed neither trauma nor tuberculous focus. On
examination of the lungs at this time a distinct drying up
process had taken place : the vomica; were dry and appar-
ently greatly i educed in size; the moist band of consoli-
dation gave all signs of advanced tuberculous degenera-
tion but the moist sounds had disappeared: the base of
the right lung had become practically free of all adventi-
tious sounds. Her weight at this time was only seven
stone, a gain of less than one stone in twelve mimths. At
the present time she writes stating that she is keeping very
well with the foot in a splint. Hopes are still entertained
that further improvement will be seen and all signs of
early caries may disappear.
P.\TIENTS IN WHOM TRE.\TMENT FAILED.
Case XHI. Mr. P., of E. Aged thiity years. He had
been treated for several years at various sanatoria by cheap sildenafil citrate the
approved methods. At first consultation, in August, 1908,
he exhibited all order sildenafil citrate the signs of advanced tuberculous infec-
tion of the right lung. The left lung, except for the apex,
was fairly clear. His family history was very bad. He
was engaged in a noxious occupation in an analyst's
laboratory. He was placed upon the full phosphorus
treatment and diet as in chart, and was advised to go to
his home in the country which he did. When he returned
six months later marked improvement had taken place in
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