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the early stages of anesthesia by other methods, and Purchase Lipitor pa- tients with low blood pressure, and particularly those suf- fering from shock, Lipitor Order were not good subjects for the intra- spinal method. The cases should Lipitor Cheap be selected with such considerations in mind. If, however, the patient had Lipitor Purchase no shock the intraspinal method tended to prevent its occur- rence. Prolonged-Precipitate Parturition Due to Order Lipitor Disengage- ment of the Disproportionate Head. — Dr. Order Lipitor Online A I rnest Gall.\nt, of New York, Online Lipitor related a case to illustrate the condition in point. The delay was due Lipitor Buy Online to the dispropor- tion between the size of the head and the inlet, so that the head did not tit snugly. The remedy was to press thr head down either by pressure on the fundus or otherwise. One maneuver was to stand behind the woman with your arms around her and your hands upon the fundus and let her throw the weight of her body forward upon your hands. Another way was to introduce one blade of the forceps and use it to press and guide the head downward. He exhibited a forceps that he had devised, with a com- bination English and French lock, designed to prevent undue pressure upon the fetal head. The precipitancy in cases such as he described was due to the small size of the head. He referred to babies weighing seven pounds or less. Doctor GoMPERTZ discussed the etficiency of various kinds of forceps. The maneuver described by Doctor Gal- lant for affording assistance in delayed labor appeared to have its counterpart among the lower animals. It had been noted that when toads were spawning, the males would encircle the females about the lower abdomen with their legs and exert pressure, apparently with the obect of aiding the expulsion of Lipitor Online the spawn. The following officers were chosen for the year 1913-14; President, Dr. Howard Van Rensselaer, of Albany; first vice-president. Dr. Robert T. Morris, of New York; sec- ond vice-president. Dr. Francis M. Pottenger. of Los Angeles; third vice-president. Dr. J. Madison Taylor, of Philadelphia; secretary. Dr. Lewis H. Taylor, of Washing- ton. D. C. ; treasurer. Dr. A. I.rnest Gallant, of New York. Council: Dr. Frederic H. Gerrish, of Portland, Me.; Dr. John Blake White, of New York ; Dr. Thomas E. Satterthwaite, of New York; Dr. Clarence John Blake, of Boston; Dr. Francis P. Morgan, of Washington, D. C. ; Dr. D. Olin Leech, of Washington, D. C. ; Dr. Noble P. Barnes, of Washington. D. C. ; Dr. Edward D. Fisher, of New York; Dr. A. Ernest Gallant, of New Y'ork; Dr. J. Madison Taylor, of Philadelphia; Dr. James C. W'ilson, of Philadelphia ; Dr. Alexander D. Blackader. of Mon- treal; Dr. Reynold Webb Wilcox, of New York; Dr. Spencer L. Dawes, of Albany; Dr. Lewis H. Taylor, of Washington, D C. f fttm to \\t €iiM. TREATMENT OF ERYSIPELAS. 708 W.\LDHEiM Building. Kansas City. Mo., July >8, 1913. To Lipitor Buy the Editor: I have read with much interest the editorial on the treat- ment of erysipelas in your issue of July 26th. For the past fourteen years I have used nothing, locally, save resor- cinol. one ounce to the pint of distilled water, or filtered rain water, using Lipitor Mg it as a cold compress. Internally I use saline laxatives and any of the pcptonate of iron prepara- tions, unless there are severe complications of exalted tem- perature and pain; in such conditions I use aconite for the fever and codeine sulphate for the pain. A. M. Wilson, M. D. THE BED BUG IN A NEW ROLE. 173 Lexington Avenue, New Y'ork Citv, August 4, 1913. To the Editor: Having read the editorial on this subject in your esteemed Journal of July 26th, I desire to call your at- tention to a letter of mine published in your Journ.m:. of November 5, if)io, in which correspondence I spoke of the bed bug in a much more important role Purchase Lipitor Online than the one you describe. Permit me to quote from that communication of mine: "In a European city there lived a widow who supported herself by letting lodgings. A young mechanic rented a room from her, lived in it for a time, became sick with phymatiasis (tuberculosis), and died from this disease. .\ second young Cheap Lipitor Online man then occupied the same room, and he likewise contracted phymatiasis and died from it. Buy Lipitor Cheap ,-\nd so it happened with a third occupant of the fatal room. .^ physician who attended the last of these three persons, on hearing of the preceding cases, examined the room and found it infested with bedbugs. He made a microscopical examination of these vermin and found they were carriers of the bacillus of phymatiasis. "We read much about the fly as a carrier of disease germs, but very little is heard of the bedbug as a danger- ous insect. For the presence of this syntrophos, as well as of another companion, the louse, there must be a raison d'etre. It indicates unsanitary conditions, and the ex- termination of these insects is a most important matter, especially in houses that are being disinfected on account of contagious or infectious diseases. The ordinary gen- eral disinfection will not reach these foes." Studying the history of the oldest popular disease, con- Cheap Lipitor sumption, which the ancient Lipitor 20mg East Indians called the king of diseases, I found that the danger of the bedbugs as carriers of the infection has been well understood by the Italian physicians of the eighteenth century, as we learn from an ordination of the board of health of Naples dated July 19, 1782. I shall give the translation of this ordina- tion in a paper Buy Lipitor on the history of phthisis which will ap- pear within a few weeks. But even in Spain a similar Buy Cheap Lipitor edict had been given out under Ferdinand VI in the year 1751, of which latter edict, however, I cannot give the full text until I have completed my researches.

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