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instances the suffering was so severe as to make
work impossible, and here heroic measures were
called for. We could prevent motion either by op-
eration or by the employment of a splint, but very
few adult patients were willing online casino slots tips to put up with the
inconvenience of wearing a hip splint indefinitely.
Personally, he had performed the operation in
question three times, with the assistance of Dr.
.\lbee. It was a fairly difficult and somewhat te-
dious procedure, and it would be wise to do the
first operation on the cadaver. Excision of the
head of the femur had been performed for the re-
lief of this condition, but as a rule it had not proved
satisfactory, and he considered .Mbee's operation
the best that had as yet lieen devised.
Tendon Transplantation. — This paper, by Dr.
Reginald H. S.-vyre, will be published in the Jotir-
Dr. T. HAr.STED Myers said it had been argued
by some that extensors could not be made to per-
form the function of flexors, but this had been free online casino slots with bonus rounds no downloads dis-
proved by the successful results of manj^ operations.
In operating, the use of the Esmarch band had been
found to be of great assistance. Personally, he had
employed the bichloride silk, covered with paraffin,
and had never free casino chips bonus codes had any untoward results from the
Dr. Russell A. Hibbs said that when tendon
transplanting first came into notice all the surgeons
were very enthusiastic over it. He was free to con-
fess, however, that in many cases which he had fol-
lowed up for four, five, or six years there had not
been very much gain. Disappointment in the re-
sults free online casino video slots with bonus obtained had led to arthrodesis, and this
seemed to him a decidedly preferable procedure.
In the matter of transplantation the question should
always be considered. Do what casino games give you the best odds we gain enough to sacri-
fice the good muscles ? In operations on the upp>er
extremities, as for infantile paralysis, he had not
observed that the results were sufficiently satisfac-
tory to justify transplantation, and therefore he had
never resorted to it in these parts.
Dr. Cornwell, in closing, said that it was un-
doubtedly the case, as Dr. Daniels had stated, that
other infections often preceded the symptoms of
rheumatism. The point which he desired to bring
out was that there was a specific form of acute in-
fectious disease, characterized more particularly
than any other by certain manifestations, and this
he would designate as free casino downloads for android rheumatic fever. The term
rheumatism he thought should be abolished.
Dr. Cornwall, in closing, said that if the word
rheumatism were used at all it should be only in
connection with rheumatic fever, as to the distinc-
tive free casino slots with bonus rounds no download no registration and specific character of which he entirely
agreed with Dr. Cornwell.' It should be limited to
this particular disease.
THE COLLEGE OF PHYSICIANS OF PHILADEL-
Meeting of January 4, igii.
The President, Dr. George free online casino slots with bonus no download E. deSchweinitz, in the Chair.
Dioxydiamidoarsenobenzol as a Therapeutic
Remedy in Lues \\ as the title of the paper read
by Dr. Judson Dalaxd. He stated that a study of
this treatment seemed to show that we liad in it a
remedy with a definite and very play online casino win real money distinct influence
upon syphilitic processes, primar)-, secondary, ter-
tiary, and congenital. There was evidence also
that the influence varied in different cases. In
cases in which the disease was not definitely local-
ized the intravenous method of treatment gave the
best results. Relapses had occurred in from best free online casino bonuses five
to fifteen per cent.
Therapeutic Results from the Use of Dioxy-
diamidoarsenobenzol in Lues. — This paper was
prepared by Dr. Jay F. .Schamherg and Dr. Nate
GiNsruuG. Dr. Schamberg gave a brief summan-
of nineteen cases of syphilis treated with free casino game downloads for android arseno-
henzol; eight subcutaneously free casino slots for android and eleven intraven-
ously. Of the patients with secondary syphilis
treated subcutaneously, free casino slots no download required one was freed of eruptive
manifestations by two injections. In one the erup-
tion had disapiicared, but the disease was obviously
\].nl S. 191 11
I'ROCEEVIXCS OF SOCIETlllS.
not cured. In two cases the treatment failed, pos-
sibly as a result of an inadequate dose. In one pa-
tient the ulcerating S3'philide of lip was cured. One
case of tabes was not improved. In one case of
cerebral syphilis the result was indeterminable. In
one case of spinal sj^philis the improvement had
Of the intravenous injections, one case of pare-
sis was not improved free casino slots download pc ; one case of paresis was im-
proved ; one case of tabes was reported by the physi-
cian as improved ; one patient with secondaries was
free of recurrence at the end of sixty days, while
in one case of secondaries there was suspicion of
recurrence after forty days. One patient with semi-
malignant late casino slots tips and tricks secondaries was free of symptoms
when last seen. , Three cases of late secondaries
with mouth lesions were casino slots bukkit youtube healed. One gummatous
ulcer of leg and one case with initial lesion were
In his experience the intravenous injections had
produced a prompter response to treatment and had
exerted a more permanent beneficial effect than the
subcutaneous route. used casino slots for sale Ehrlich's latest advice was to
inject intravenously and follow this in some days
by a subcutaneotis injection.
Intravenous injections were usually painless, but
were followed, as a rule, by nausea, vomiting, and
by brief moderate fever. In the two cases in which
alarming symptoms followed the injection, they felt
strongly that the result was due to faulty technique.
The subcutaneous injections given by them were in
the scapular region. In three patients there was
se\-ere pain ; in three, moderate ; and in three, little
or no pain. .\n infiltrative tumefaction, tender to
touch, slowly subsiding in the course of several
VN'eeks, developed in practically all of the cases.
They recognized the fact that the results obtained
in these cases with arsenobenzol could, in large
part, have been achieved more slowly with mer-
cury. It must be remembered, however, that the
successful treatment of syphilis consisted in more
than the mere effacement of cutaneous and mucous
Ehrlich and others had proved that arsenobenzol
had a greater spirillicidal value than any known
remedy. .As to the duration of effect no one was
in a position to speak dogrnatically at the present
day. Ehrlich's liope of a therapcia sterilisans magna.
a cure at one stroke, was certainly not realized.
save possibly in exceptional instances, but those
who were disappointed in this must not conclude
that a great therapeutic advance had not been made.
Dr. Fraxk Ckozer Kxowles remarked that
practically all of the articles first w-ritten on the
subject of "606" were a unit in sign casino slots bukkit the praise of Pro-
fessor Ehrlich's preparation. free casino slots online The tide was now
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