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at a time, when, owing to a slight blow or an over- strain, the disease lights up afresh and the patient goes to bed or makes use of a splint and crutch. The general health suffers, and playstation home brimstone poker table rewards even on the good days the thermometer shows elevation of temperature. The only thing to hope for in such cases is a stiffening of the joint, and it is true that proper fixation will often accomplish this result. If, however, there is ever so little motion, the cure is not complete, while the dan- ger of an awakening of the dormant tuberculosis bv a slight blow or other injury is ever present. A patient with such a knee is truly an invalid, being able to walk but a short distance governor of poker 2 free download full version deutsch mac at a time, simslots free online slots and video poker in constant fear of injury, and acquiring the characteristic tuberculous pale and waxy look. playstation 3 online store poker game To such a one excision will prove the greatest of blessings. Usually within three months from the time of operation he will be able to walk comfortably, and. confidence being restored, ex- ercise becomes once wsop world series of poker 2011 $50 k the poker player's championship more a pleasure. The color re- turns to his cheeks, the entire genting poker players championship 2011 results expression changes, and life is again worth living. I have found this offline poker for android free download class types of video poker games of patients more grateful than any others — even those who have gone through a life-saving operation for acute disease, because they are rescued from a life of suffering and are made healthy, while the robust man who is suddenly stricken with a life-threatening ail- ment often enough chafes at the necessary restraint and the possible deformity following his recovery. When the kidney is the seat of tuberculosis, it should be treated largely according to the type of dis- ease present. If there is perinephritic abscess, evacu- ation of the pus sac is in order. When we have true kidney abscess with or without stone, it is far safer to get casino poker tournaments chicago rid of the offending organ, unless our patient has the misfortune to suffer from bilateral disease. When there is no abscess, but bloody urine with pus and bacilli, the case may be not so hopeless, for it shows that the site of disease is washed by the urine, the ul- ceration being, as it were, superficial. I have tl world series of poker players championship 2011 one man. thirty-six years old. who had long-continued hematuria with enormous numbers of tubercle bacilli. and both of these signs disappeared completely after a rather long-contmi diuresis by the inges- tion of water. This man disappeared from my obser- vation after about three months' treatment with Klebs' tuberculocidin. and I afterward learned that he bad gone to a hospital, where operation was proposed and was by him refused. Three years later, when I had long looked upon him as dead and buried, he walked into my office apparently well, merely to show hi I examined him with interest, and took a specimen of his urine, which was normal. Careful examination failed to disclose the presence of bacilli. I sh.ill cow 1 .de with the brief report of a C pyothorax, which came under my observation on No- vember 2, 1892. I was called in consultation by the patient's phj 1. 11 — . a little girl, four vears old. whose right chest was full of pus. The subjective symptoms had world series of poker playstation 2 cheats been slight and the tempera- ture not high, the existence of the disease ha\ ing beer. revealed in the routine examination. The next day we operated, making the incision well down and slightly back ol the post-axillary line. No rib resec- tion was done. The cavitv was washed out with five- January 2, 1S97] MEDICAL RECORD. per-cent. carbolic, then with plenty of Thiersch's so- lution, and two rubber tubes were inserted. A very thick dressing was applied, after we had by experiment determined in which position of the child's body the Thiersch's solution injected would best run out. It was my advice to adopt in this case the method of Koenig. not to wash out again but to leave the original dressing in place as long as possible, placing the child in the position to aid drainage, as determined at the operation, for several minutes once every hour. The treatment was well carried out, and no change of dree- ing was made for six days. In ten days more the child ea poker playstation home was perfectly well, and the wound had closed permanently. I examined a specimen of the pus, by boiling it with a sodium-hvdrate solution and concentrating the sediment. It contained many tubercle bacilli. The brilliant result can be explained by supposing that a fairly complete disinfection took place at the opera- tion, and that the lung expanded so quickly and com- pletely as to leave but little space for stagnating pus. The drainage by gravity, according to Koenig, and the abstinence from irrigation after the day of opera- tion. I consider of importance. It is probable that, as our science advances, more and more remote portions of the body will become ac- cessible for the employment of local remedial meas- ures, and until a specific shall be play poker online no download discovered which will be to tuberculosis what mercury is to syphilis, it is perhaps well to work with the rule in mind, which I may be pardoned for repeating: Tuberculosis is ame- nable to treatment in direct proportion to the aci bility of the part involved. LENTICULAR MYOPIA AS A CAUSE OF SO- CALLED "SECOND SICHT." By D. L. St. JOETN ROOSA, M.D., LL.D., SEW YORK. A great deal more is said among the laity than in the profession about the ability of playstation 3 pokerstars old people to read without glasses. The reasons for this are not far to seek. Very many of the people who are able to read fine type in old age without glasses are simply short- sighted. The myopia, although it may have ej from a very early age. is not generally recognized by those who speak of their ability to see without glasses, and who think that their sight is rather better than the ordinary, because such persons are generally able to go about, see large objects, and even recognize faces at some distance, without glasses. They do texas holdem poker free download full version mac not have a high degree of myopia. This apparent wonder is. therefore, not one to ophthalmologists, and no serious consideration is usually given it. Those who have not given optical defects any careful consideration, even if they be physicians or surgeons, may not know- that a myope who requires, say, a glass of six or eight inches focal power to see objects well at a distance must necessarily, even in advanced age, be able to read fine type at six or eight inches from the eye. be- cause the antero-posterior diameter of the eye is adapted to the divergent rays that proceed from near objects, and because this abnormal length more than balances the effects of time on the muscle of accom- modation and the crystalline lens, which practically shorten the eye and cause presbyopia, with its neces- sity for convex glasses. Hut there is quite a number of cases, not myopic originally, in which the patient after middle life discards the ordinary glasses for pres- byopia, and reacL for years without glasses. Lenticu- lar myopia occurs in such eyes: that is to say. th< becomes legal status of online poker in usa elongated by swelling. This swelling, how- ever, if it simply produce capacity to read fine type without glasses, is not attended with opacity: cata- ract does not occur, although, as is well known, all opaque lenses become increased in refractive power. The condition different types of poker card games now spoken of is, so to speak, an abor- tive cataract, a swelling of the lens -without opacitv. Since very few of these cases have been carefully- observed, or, at least, since they have are poker machines legal in south carolina not been re- ported before the transition period or afterward, I pub- lish the following, which pokerstars auf playstation 3 illustrates what happens in all cases of this class:

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