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of a mild nature may also be given in an attempt to quiet the irritated nerve centres. In the past, various means of counterirritations to the spine, such as the Paquelin fruit frenzy slot game catitery, iodine, mustard, ice- bags, etc., have been recommended. I think at the present time most of us believe they are of no serv- ice whatever because of the fact that our new pathology of the disease emphasizes the fact that there is a stasis of blood in the cord rather than a hyperaemia. High temperatures may be reduced by hydrotherapeutic measures. While as to medication in the acute stage there is a wide divergence of opinion, there is a complete agreement that there must be perfect rest during this stage, some au- thorities even advocating the encasing of the entire body in a plaster of Paris cast during this stage so as to make sure there is a perfect rest of all the parts affected. I cannot agree with this, for the necessary handling of a supersensitive child to carry out this procedure will certainly do more harm at that time than the completed treatment of this kind will remedy w-hile it is in force. The affected parts must be mapped out and measures taken to protect them. They should be carefully wrapped in cotton and artificial heat applied if necessary in an attempt to keep up their normal circulation and temperature. Care must be taken to prevent con- tractures and deformities even in the fruit frenzy online game acute fruit frenzy stage, therefore the affected parts should be put in posi- tions of overcorrection in the direction which the affected or paralyzed muscles could have formerly put them, and held there by proper and competent apparatus strong enough to resist the counterpull of the unaffected opposing muscles. Nothing should be allowed to rest against the extremities, not even the bed coverings. Use a cradle over the bed to -26 STEINHARDT: ASTERIOR POIJOENCEPHALIT/S. prevent this. Have your patient handled as little as possible, but do not keep him in bed flat on his back. Have this posture changed from time to fruit frenzy slot time to a lateral one. This will help some in preventing additional stasis in play fruit frenzy online the cord and lungs. After the acute stage comes the chronic one, dur- ing which recovery begins. The acute stage ends with the cessation of the spread of the paralysis, the disappearance of the pain, the tenderness, and the supersensitiveness. And until the cessation of the acute stage, which may free online fruit frenzy slot machines last from one to three weeks, and even longer, no active curative meas- ure is to be started. When you do start this fruit frenzy slot free online latter treatment, however, be prepared to carry it out earnestly and faithfully for from two years to three years, and if you are get- ting results stick to it for a longer time, even though the process is slow, resolutely pushing aside any suggestions as to relief by surgical measures. It is wonderful what perseverance can accomplish in some of these cases which in the beginning looked positively hopeless ; in which, jocuri ninja fruit frenzy online even at the end of six or eight months, we felt we had made no pro- gress toward a cure. The treatment in the chronic stage is mainly electricity, massage, and muscle education, combined with properly fitted and fitting braces, worn preferably both day and night, to guard against contractions and deformities. If the braces are play fruit frenzy online free too cumbersome or uncomfortable to wear at night their place should be taken by light, moulded plaster of Paris splints. Under no circum- stances should the affected parts be left unguarded free online fruit frenzy slot machines for any length of time. Remember, in your fruit frenzy online free treat- ment, that it is not at all likely that all paralyzed parts are permanently afifected — in other words, that their nerve cells have been destroyed. They may be only temporarily affected by the then prevailing conditions of inflammation in the vicinity of their nerve centres and with the recession of this dis- turbing element the nerve centres will attempt to resume their normal function. They can do this perfectly if the parts have been protected against contractures and deformity, and the muscles they supply with power kept in good condition by the proper care. In the early stage of this resumption of power they will still need the assistance of braces to help them maintain their proper function iust as a convalescent patient needs tonics during the final stage of recovery and return to normal conditions. The question as to how much good free fruit frenzy slot game is obtained l)v the continuous use of electricity in this disease is a very mooted one. In the beginning all agree that it should be used, hut after muscle action is not to be secured from the use of the galvanic cur- rent is it of any service ? I do not believe it is, but because it may be I continue it indefinitely. I do not know of any harm that has ever come from its use. Of course for this continuous use the galvanic current is used. In the beginning one must be very careful in not frightening the patient by using too strong fruit frenzy slot in atiantic city a current. To get any benefit at all from (he use of electricity, either in the early or late treat- ment, you must understand something of electro- therapeutics. Massage of the proper kind and given by a com- petent masseur working under the doctor's super- vision, and given fruit frenzy slot free as often as can possibly be ar- ranged for is of prime importance in the successful treatment of this disease. It keeps the muscles in good condition by exercising them and helping their nutrition along. It must be kept up continu- ously for from two years to three years to get the best results from it. In the beginning light, gentle massage gradually increasing to heavier deep mas- sage with muscle kneading and beating. With this massage is instituted both active and passive mo- tion, every part involved going through its normal movements, so far as is possible by the patient's own efforts and wherever necessary assisted in whole or in part by the physician or attendant. These active and passive Tuovements must be gone through several times daily. To those who live near hospitals maintaining departments of mecano- therapeutics or who can aflford to have the machines built and installed at home great benefit can be had in the exercise and fruit frenzy game free online muscle education given by these apparatus. Patients must be stimulated mentally to attempt to help themselves by offers of rewards of some kind ninja fruit frenzy online game for accomplishing certain movements. Children may be seated before large mirrors in which they can see every movement of a well part and encouraged to try and repeat these movements v-'ith the afifected part. Various pastimes may be devised in which unconsciously the patient will be made to try to overcome the existing disability in the excitement of the game. A tendency to limp and a lateral curvature may ofttimes be overcome by building up the shoe on the affected side so fruit frenzy online as to make such a posture uncomfortable. At all times must the affected parts be dressed niore warmly than the normal parts, because only in this way can the impaired nutrition be partially over- come. Also, during the chronic stage of treatment the general health must be looked after. Strych- nine is of fruit frenzy slot machine value because of its stimulating effect on iioth the nervous and circulatory systems. Plenty 01 fresh air and good food are of course very much indicated. If they can get the proper treatment there, the country is better for these patients than the city. On many of my younger patients I use the Brad- ford frame for the first six months, keeping the pa- tient on it continuously. In cases of paralysis of the lower limbs I put on this frame, a device of my own, which keeps the limbs stretched fruit frenzy slot review out straight and the feet in an overcorrected position, favoring the weakened and paralyzed muscles. Even where

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