in some cases secreting glands still persist that
under stimulation are capable of producing a sub-
stance as irritating, and poisonous, as the hydro-
chloric acid of generic conjugated estrogens the stomach — indeed, in their
atrophying, perhaps many times more irritating.
The effect of this fluid, poured into the empty and
contracted appendix, would be just such as we order premarin
see in those cases of fulminating appendicitis where
the reaction is intense, and no germ has been re-
covered from buy premarin the lesion, except those native to the
intestines, and to a certain degree harmless. It is
a bold, but nevertheless true expression, that the
ordinary case of appendicitis, under the present
methods of treatment, is a benign disease. Even
with rupture and abscess formation there are com-
paratively few deaths, but in spite of this fact we
must acknowledge that every once and a while we
are confronted with cases that die before we have
really settled down to any plan of treatment. These
fulminating cases can be compared with great
profit to a condition that .gives rise order premarin online to almost the
same set of symptoms, and which in fact is some-
times mistaken for them, that is, perforation of the
stomach or duodenum. The sudden onset, the
shock, the small, irregular pulse, the pain and rig-
idity in the hypochondrium, as the acid stomach
contents trickle downward, strongly simulate a
severe ajipendicitis. Even when the patient comes
to operation, except the i)erforation has occurred
while there is food in the stoinach. so that particles
of it may be seen free in the abdominal cavity,
rtie error may not be discovered, for the grayish
fluid may be mistaken for pus. while the deep suf-
fusion of the intestines and the appendix seems to
confinn the diagnosis — so the appendix is removed,
and the patient left to his fate.
Now if we look on the appendix as a vanishing
organ of digestion, having its utility in some previ-
ous age, when the sustenance of the human familv
was of such a nature that it required a longer
time, and a somewhat different apparatus to digest,
and that this atrophying organ is still capable of
producing under certain stimulation a digestive
fluid, we can see immediately the sequence-^death
37C'
DLXSTliX: XOXXITROGJiXIZED AXD XITROGEXI/.IU) FOOD.
(New York
Medical Journal.
from ;i strongly irritating chemical poison. If
these deductions are correct, there is only one
method of treatment for such cases, and that is
immediate removal of the appendix. It is a well
known fact that extraordinary results have fol-
lowed in almost moribund cases where sluicing
with warm saline solution was resorted to, follmv-
ing removal of the appendix, and even large quan-
tities left in the abdominal cavity. This would be
a logical treatment where a chemical irritant was
the cause of the condition, though contraindicated
in the purchase premarin online ordinary cases of bacterial infection.
C.VRBON, OXYGEN, HYDROGEN GROUP,
PLUS NITROGEN OR NONNITROGEN-
IZED AND NITROGENIZED FOOD.
By J. C. Densten, Ph. D., M. D.,
Scranton, Pa. cheap premarin
Food, or aliment, as distinguished from condi-
ment, means, in the scientific sense, any substance
that, being taken into the generic premarin body of animal or plant,
serves through organic action to build up normal
structure or supply the waste of tissue. Liebig
classifies buy premarin online food into (i) nitrogenized elements of
nutrition, or those that serve for the nutrition of
organized tissue — flesh formers; (2) nonnitro-
genized elements, or those that are consumed in
respiration — buy conjugated estrogens heat givers. Therefore, we have,
from the nitrogenized and nonnitrogenized ele-
ments, not only tissue building material, but also
fat forming elements, each belonging to the carbon,
oxj'gen, hydrogen group ; one a carbohydrate ; the
other a hydrocarbon. These elements exist, in
some form of combination, in almost every sub-
stance used as food, and, in the process of digestion,
become subsen'ient to the premarin mg function of organic
action. buy cheap premarin
To this carbon, premarin online oxygen, hydrogen group belong
all substances containing the elements of starch,
and it is confined to the vegetable world ; potatoes
and the cereals being the most active source of
production. All foods containing starch we term
carbohydrates ; but carbohydrate food will not
build up or maintain life indefinitely without the
combining eflfort of the added element, nitrogen.
We must therefore have, not only carbohydrated buy conjugated estrogens online
food, but nitrogenous food also ; and since nitrogen premarin price
is found largely in meats, eggs, fish, etc., we have
learned to partake of mixed foods, containing both
starch and nitrogen.
Now, what is the modus operandi within the
animal economy, as the result of this mixed diet?
Let us first premarin tablets inquire into the chemical changes neces-
sary to maintain life and produce tissue. Starch
and nitrogen, given per se, will mean nothing to-
ward sustenance until the animal economy has con-
verted these elements into tissue building material.
Metabolism is the all important factor in the main-
• tenance of life and health. Heat afld energy be-
come absolutely necessary in order to convert the
nitrogenous or protein purchase premarin elements into proteids and
thence into tissue and fat. In order to get this heat
and energy our body burns carbon, and thereby gets
the heat, while the energy is supplied, as the result premarin cost
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