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arguments for reconciling prognostications with facts. If the patient lives when otherwise he should die, he never loses his best free roulette app lucky privilege of talking back. His family and friends forget the joy of his recovery, often in spite of fate, in the satisfaction of getting even with the pnysician who gave up his patient so prematurely. The sympathies are always on the side of the man who wins, and, while no one regrets his reason for felicita- tion, the absence of one less witness against us might under other circumstances be borne by us with becom- ing resignation. The lesson is learned too late, that of saying and promising too much, and in thus doing more than our real duty to our patients. When we MhlJlCAL RECORD. [January- 2, 1897 cannot control the causes of disaster, it is worse than folly to predict results. If we mistake a seventy-year clock for a twenty-year one, the pendulum in the former generally swings on until it runs clown in its own reg- ular way. It is the vital pendulum, after all, that must be studied, and until it actually stops it is never safe to say what is or what will free roulette strategy tester be. bally roulette slot machine for sale In all our relations with our patients, it is the safer and better rule to be more than cautious in our temp- tations to think slot roulette aloud in free roulette online their presence. A discrete general guards his line of possible retreat with as much care as that of attack, concluding that while it is quite bad enough to be defeated, ii is still worse to be hopelessly bagged by the enemy. roulette free game flash The older prac- titioner need not be told that the practice of his art is constantly beset by startling surprises. Patients not only get well who should die, but many die without ostensible scientific reasons. To reconcile these con- stantly recurring experiences makes him an ever-ready trimmer to circumstances and an adept diplomatist with shifting fortune. While apparently knowing everything, he finds it eminently fitting his actual po- sition to know little and say less. The loophole of expediency is as essential to vegas casino-slot roulette play roulette free 888 him as are his advice and prescription to his patient. He learns to be aston- ished at nothing and always on the lookout for the unexpected. A sudden death is always explained with greater plausibility by the man who never declares his positive prognosis than by the one who has previously committed himself to its impossibility. So also with a doubtful diagnosis. It is always wiser to wait and see the eruption than on general reasoning to promise its appearance, to be sure that pus is present before risking a city tap. The qualifying " if" comes in everywhere and every time. If the patient does not die, he may live; if pus is not present, the signs are simply misleading; if the case is not one of measles, the clinical history is wrong and the patient has not been exposed; if it is not diphtheria, the bacteriologi- cal examination is at fault; if the wound does not heal, the sutures were not thoroughly aseptic. When nothing is promised, nothing is expected. We must balance download game farm frenzy 3 russian roulette + crack one condition by the other, and the more evenly we do this the less often will the physician be charged with what he cannot reasonably help. A guarded mouth never needs to explain why the foot dropped in. YAWS. Most readers probably have an indefinite idea as to what constitutes the disease termed "yaws." They know the term as a synonym of frambcesia, and are aware that the latter name is derived from the re- semblance which the fungus-like outgrowths or vege- tations hear tfree roulette games no download into the etiology. Indeed, unless the student has come from one of these far-off lands himself, he will scarcely be able to give a good description of the affection or shed light upon its behavior with or without drug administration. It is therefore with considerable sat- isfaction that we see the term " yaws" at the head of an article bearing the name of Sir Jonathan Hutchin- son, in The Medical Press and Circular of November 18, 1896. The writer here expressed the conviction that there slot roulette game is no such disease as yaws, and he asserts that he has long been of the opinion that the latter is simply syphilis modified by climate and race. The term frambcesia, he recalls, was applied to out- breaks of syphilis in Scotland many years ago, when the eruptions were associated with papillary over- growth giving the appearances which were thought to resemble let's vegas casino-slot roulette photos raspberries. Frambcesia-like eruptions are met with in syphilitic subjects at the present time in England, and lesions of a granulomatous nature are not uncommon in European syphilitics. If a negro with yaws starts across the bookies roulette machine for sale Atlantic, his disease develops into unmistakable syphilis before he has been long on his voyage. This is the reason that cases do not arrive in England to become the subject free roulette strategy system of scientific investigation. While not admitting the identity of the disease with syphilis, farm frenzy 3 russian roulette free online game many physicians in countries where it flourishes admit the efficacy of mercury. Reinfection is admitted for yaws, but the same free roulette games download is true of syphilis, and in the literature of the subject the distinguished author finds no differential feature which clearly points to the disease in question not being syphilis. The Charing Cross Hospital in London is said to be in financial straits, and the hospital authorities have made a modest appeal to the charitable public for half a million dollars to get them live roulette free bonus out of their distress. A Medical Report Without the Sanction of the Medical Staff. — We have received a document signed by the entire consulting medical staff of the Hebrew- Sheltering Guardian Orphan Asylum, viz., Carl Beck, M.D., W. T. Alexander, M.D., Henry S. Oppenheimer, M.D., James G. Wallach, M.D., H. T. Brooks, M.D., George free roulette online ipad H. Fox, M.D., A. T. Swan, M.D., William S. Gottheil, M.D., stating that the medical report in the recently issued annual report of the said asylum was made without the knowledge or consent of the medical officers of the institution (!). The consulting medical board desires to disclaim all responsibility therefor. Who then is capable of bearing the responsibilitv ? The doctor is growing to be a useless appendage even to a let's vegas casino-slot roulette cheat hospital ! Christmas in the Hospitals. The Polyclinic Hos- pital was destroyed by tire, which spread from a burn- ing factory in the rear, on Christmas morning. There were fifty-five patients in the building at the time, but .ill were removed in safety to a neighboring hotel. Two bodies ot patients recently dead were also re moved without accident. In the afternoon of the- same day their was a small fire in St. John's Guild: 1 rei Hospital Eoi Children in West Sixtj first Street. January 2, 1897] MEDICAL RECORD. 19 It was extinguished by means of a few pailfuls of water and very little damage was done. There were

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