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fifty years ago by Flint, with his palliative meth- ods, were just as good as those of Osier to-day, with the most modern online casino games for real money for free treatment. The cases in wliich the salicylates were successful were those re- sembling gout, in which there was a chemical, rather than a bacterial, aetiology. Arthritis Deformans, and its Relation to In- testinal Putrefaction. — Dr. Edward E. Corn- w .\LL said that arthritis deformans was not the name of a disease, but of a clinical group which included cases of deforming inflammation of the joints whose specific cause was unknown. As soon as we learned the cause of any case in this group we stopped calling it arthritis deformans, and classed it with the disease to which it belonged by aetiology. The clinical varieties of online casino biz reviews arthritis deformans gener- ally recognized were the follow'ing: i. Cases in- volving the finger joints chiefly or exclusively, with development of Heberdens' nodes. 2. Cases show- ing progressive polyarthritis. 3. Cases involving only one joint, occurring mostly in the aged. 4. Cases with progressive ankylosis of the spine. 5. Cases differentiated as Still's disease, an acute arthritis occurring in children. Pancet, of Lyons, had recently stated that all joint conditions, and especially those hitherto called rheumatic, which could not be associated with a specific pathological cause, were really tuberculous. He did not maintain that the joints were directly in- fected by the tubercle bacillus, but that they were irritated by an attenuated tuberculous virus, derived from some tulierculous focus in the body, circulat- ing in the blood. The opinion that was free online casino games real money no deposit perhaps most widely held at the present time, however, re- garding the cases classed as arthritis deformans, was that they were caused by specific infections, by the absorbed products of specific infections, or bv putrefactive processes. To the speaker it seemed more reasonable to believe that these arthritides were due to several causes, rather than to a single spe- cific cause. Among the to.xic agents which had been suspected of causing arthritis deformans were the poisons produced by the putrefaction of animal proteids, and in this connection, and regarding the general treatment, he emphasized the following points: i. The importance of finding out, in any particular case, if chronic putrefaction to.xaemia was a constant factor. 2. The value of a diet of lactacid milk, cereals, fruit, and vegetables in cases caused or aggravated by putrefaction toxaemia. 3. The importance of properly "feeding up" debilitated pa- tients, and also the injuriousness of overloading the alimentary canal of a feeble subject with an ex- cessive amount of food, particularly proteid. 4. The value of potassium iodide in some cases and the worse than worthlessness of the salicylates in all cases. 5. The beneficial effects that might be de- rived from residence in a warm, dry climate. 6. The necessity of patience and perseverance in treat- ment on the part of both invalid and physician. In speaking of putrefaction poisoning as a possi- ble cause of arthritis deformans. Dr. Cornwall called attention to the relation of the putrefaction of flesh online casino reviews usa 2011 products in the intestines to disease in general. In the course of his remarks online casino no deposit codes on this point he said there was little doubt that chronic putrefaction toxaemia could produce, or strongly assist in producing, Bright's disease, arteriosclerosis, cirrhosis of the liver, obstinate headaches, epileptoid attacks, func- tional disorders of the heart and vasomotor system, irregular fevers, and neurasthenia. It could also aggravate casino online usa players the symptoms observed in die so called lithxmic condition. In all these conditions marked benefit was usually derived from treatment which diminished putrefaction toxjemia; and cases of ar- thritis deformans had been reported which improved very markedly under treatment of this character. He' then narrated in detail a case of his own. in a w-oman seventy-seven years old. in \^hich such bene- fit had been observed. The Surgical Treatment of Arthritis Deformans. — This paper, by Dr. Fred H. play free online casino bonus slots Albee, was confined to the consideration of arthritis deformans and similar conditions of the hip. In his first report of the operation he devised, which was published in June. 1908. five cases were given. Twenty-one operations had now been done by online casino no deposit bonus codes june 2012 him, and sixteen f)ther surgeons had reported one or more opera- tions successfully performed. Sufficient opportu- nity had therefore been afforded, he said, to report final results with certainty. Three years and nine months had elapsed since the first case was op- erated in, and of hi> own twenty-one cases, seven- teen were instances of arthritis deformans. He de- scribed the technique of the procedure in detail. -Approximately one half the upper free online casino games for money hemisphere -of the head of the femur was removed with a large chisel, through a plane as nearly parallel as pos- sible with the long axis of the femoral neck. The portion renidved was split, in situ, into segments. from one half to two thirds of an inch thick, by means of a small osteotome, and these fragments were removed with a curette or clamp. The upper part of the acetabulum was transformed by means PROCEEDINGS OF SOCIETIES. [New Vork Medical Journal. of a chisel and strong curette into a flat surface, against which the flat surface of the head was final- ly approximated by abduction of the thigh. After the removal of the upper portion of the head the fenuir was strongly rotated outward, and all the cartilage which could be reached on the anterior aspect of the remaining portion was removed with slots oasis casino usa online casinos a chisel, after which the cartilage on the contigu- ous surface of the acetabulum was destroyed as far as possible, in the endeavor to get an ankylosis in two planes at right angles to each other. To pre- online casino no deposit bonus codes 2012 vent a recurrence of the adduction deformity after operation, tenotomies of the adductor muscles and tendons were done, and both thighs were encased in double plaster of Paris spicas. reinforced with steel, (extending on the operated side to the toes and on the other to the knee), with both limbs in abduction. The speaker expressed the opinion that the field of this operation should be extended to include all conditions which, if they existed at the best online casino no deposit bonus codes knee joint, would be rightly treated by excision, and, further- more, that the hip was much better adapted to this kind of treatment than the knee. The .Albee op- eration, as shown by the cases treated, had the fol- lowing advantages: i. It brought large bony sur- free online casino no deposit codes faces into close approximation, and held them there by the correction of the deformity, thus assuring bony ankjdosis free online casino slots real money and eliminating a painful joint and a recurrence of the deformity. 2. It produced a minimum amoimt of bony shortening, which was compensated for, as well as that already existing, by the online casino reviews uk fixed abduction of the limb. 3. A disloca- tion or displacement of the online casino no deposit bonus codes 2013 femur was extremely unlikely, even from weight bearing, immediately after operation. Therefore, newest online casino no deposit bonuses aged patients could be got out of bed free casino online games no download registration very early, if online casino games for real money in india necessary. 4. It in- volved very little cutting of soft tissues, and did not require the dislocation of the head from its socket, and thus produced very little postoperative shock, even in old people. Dr. Henry Lixg Taylor said that the pain ex- perienced in these cases was due to the rubbing to- gether of the bony surfaces, and the object of treat- ment was to prevent motion. Of course, it was not every case that was to be operated in, as some cases were of a mild type and could be rendered comfortable by palliative treatment. But in some

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