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sedatives and one especially adaptable to many of
these cases. Some online american roulette for fun individuals have a marked idio-
syncrasy for this drug, and I have repeatedly seen
a american roulette slots hypodermic injection of i/ioo of a grain produce
severe delirium and in one case collapse. Some time
ago I read an article in one of the medical journals
in which a free american roulette games download physician stated that he was giving his
patient 1/25 of a grain every three hours and that in
spite of this sedative he was wildly delirious. The
physician attributed the delirium to the withdrawal
of the morphine when in reality american roulette game free play it was due to an
overdose of hyoscine.
Tonics of nux vomica and cinchona seem to be
very useful in these cases, and hypodermic injec-
tions of ergot are recommended by Dr. Osier, al-
though I have had no experience with this drug in
Of course we must call into requisition all hygi-
enic aids such as fresh air. cold sponge baths, mas-
sage, etc., and a hot w-et pack will often relieve the
excessive nervousness which nothing else seems to
benefit. A nourishing but easily digestible diet is
essential. Other symptoms must be treated as american roulette free game download ne-
cessity demands. But let one last word american roulette wheel slots of caution
stand out in letters of fire : Never give a patient
who has once been free american roulette flash game cured an injection of morphine
or any other derivative of opium, for a single in-
jection may be sufficient to bring about a relapse
after months or even years of apparent cure.
400 McLeod Street.
LETTER FROM LONDON.
Low Blood Pressure and Its Treatment. — Smallpox in
London, March 14, igii.
At a meeting of the Medical Section of the Royal
Society of Medicine Dr. \\'. Edgecombe read a
paper entitled Observations on Low Blood Pressure.
He had how many slots in american roulette made free online american roulette no download a long series of examinations to de-
termine the average level of the blood pressure
both morning and evening. The eft'ect of various
drugs had also been tried, and as the chief object
was to test whether they produced a sustained rise
in blood pressure, the method of play roulette for free no download american roulette taking morning
and evening readings play american roulette online for fun was preferred to that of ob-
serving the immediate effect of the drug. The lat-
ter was. .however, also done in certain instances.
Excluding cases of acute illness with febrile dis-
turbance the following were some types of disorder
which frequently presented a low blood pressure:
1. Subjects with poor circulation, cold hands and
feet, and those liable to chilblains.
Dr. Edgecombe had met with several examples free online american roulette game
in which the systolic blood pressure rarely rose
above 95 mm. Hg. By means of baths, massage,
and exercise a temporary rise might be effected,
during the maintenance of which the objective and
subjective signs of defective circulation improved
manifestly, but it was difficult to effect an enduring-
rise in the general level of blood pressure in these
cases, for they were prone on cessation of treat-
ment to relapse to their former state.
2. Cases of pure neurasthenia having as their
prominent characteristic profound fatigue, either
somatic or psychical or both. Whether the low
blood pressure in those cases of neurasthenia was
the cause or the effect of the extreme fatigue it was
not easy to say. The probable sequence of events
was a lowering of blood pressure by toxic or other
causes, and it was the extreme feebleness of the
circtilation that gave rise to the subjective sensation
of intense a north american roulette wheel has 38 slots of which 18 are red fatigue. It was certain that a rise of
blood pressure was an almost invariable accom-
paniment of improvement. In marked contrast to
those was the irritable type of neurasthenia — the
neurotic individual, online american roulette simulator who was frequently not a true
.■\|)ril 8. 191!]
neurasthenic, but a psychasthenic or a hypochon-
driac. In those cases the pulse was usually quick
and irritable and the blood pressure subject to great
variation, but generally above the normal and some-
times markedly so.
3. Another cause of low blood pressure was to-
4. In cases of dilated heart, with or without val-
vular disease, the pressure was usually found low,
and a rise in pressure was one of the indications
of the progress of the case toward recovery.
5. Fibrositis. Many gouty or rheumatic patient-
showed a blood pressure somewhat below normal.
The blood pressure was also below normal in cer-
tain cases of phosphaturia and arthritis deformans.
Contrasted with the ease with free online american roulette games which a high
blood pressure was reduced, the permanent raising
of a low pressure was a matter of great difficulty.
Fortunately it was seldom necessary, were live american roulette online casino it pos-
sible to raise the blood pressure to a great extent.
A relatively small rise was in most cases coincident
with marked amelioration. To effect a rise, non-
medicinal measures, such as diet, exercise, change an american roulette wheel has 38 slots
of air — for example, to high altitudes — and hydro-
therapeutic procedures, were to be preferred to
drug treatment. With regard to diet an excess of
meaty food should be prescribed with a correspond-
ing diminution of the starchy elements.
If drugs were required, pituitary extract would
seem to have the most powerful and rapid effect,
Init the speaker had little experience of its con-
tinued use over long periods and would rather hesi-
tate to give much of so powerful a substance lest
unlocked for late results should accrue of a harm-
Next in potency was caffeine, to be given only it
f)ie patient was not an excessive tea drinker. Cal-
um lactate appears to be moderately effective, but
trychnine free american roulette simulator was disappointing. Digitalis was useful
ior cardiac cases.
The epidemic of smallpox in London now shows
signs of diminution. In answer to a play roulette free no download american roulette question in
Parliament Mr. Burns stated that from January ist
to the evening of February 27th forty-one cases
were notified and removed to the Metropolitan Asy-
lums Board's Hospitals. There were now thirty-
six cases in the hospital. Of these, twenty-nine
were vaccinated and seven were unvaccinated. In
twenty-four of the cases the vaccination was per-
formed more than fifteen years ago and in two
others at least ten years ago. The three other vac-
cinated cases were those of children and the attack
was said to be mild. In answer to other questions
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