THE MEDICAL RECORD.
[October ii, li
partial mind, and he had been disappointed in the re-
sults. In many cases he found no such results as Dr.
Thomas and others had claimed. There were two cases
in particular, which he had in mind, Coupon For Avelox where the coil had
been used most thoroughly. At first its influence had
been to reduce the temperature and pulse, but after a
time the temperature ran up to 104^ or 105° F., and the
pulse became quick, while associated with it was a very
bad general condition. He had found symptoms of
general depression and impending pneumonia or bron-
chitis. The whole abdomen was pale, the capillary cir-
culation almost arrested, with doubtless, in consequence,
a hyperemia of the deejier-seated organs. After remov-
ing the coil and the administration of stimulants, and ap-
plication of turpentine to the abdomen, the most marked
improvement occurred. The temperature fell, and the
pulse became slower and stronger.
These e.Avelox 400 Mg Price a
self-possessed and calm temperament, but suffering such
agony that she could hardly bear a sheet upon her. The
abdomen was puffed up and very sensitive. Dr. Barker
gave a hypodermic of fifteen minims of Magendie's solu-
tion. After waiting half an hour, there being no abate-
ment in the pain, he sent for an ether-spray apparatus, and
at the same time gave her another hypodermic injection
of fifteen minims. He thought that there was an in-
cipient peritonitis, and that the cold might act favorably
upon that as well as have a direct anesthetic action.
The patient meanwhile had commenced vomiting. He
SPR.'VVED THE WHOLE ABDOMINAL SURFACE
until it was very cold, as if it had been covered with ice.
The rehef was remarkable ; the pain disappeared, the
hand could be pressed firmly upon the abdomen without
causing pain, and the patient went to sleep. The pulse
became quite natural also.
Next day the menstruation came on again, and the
patient seemed ver)' well. Dr. Barker thought that he
had very possibly aborted an attack of peritonitis by the
use of the cold.
This case had naturally prepared him to expect much
from the treatment of obstetrical peritonitis by cold.
But the question was whether, as he had said, the condi-
tions were the same here as in surgical peritonitis. In
puerperal peritonitis we have a natural and necessary
wasting of tissue. This is not the fact in traumatic peri-
tonitis. The prolonged ajiplication of cold has a paral-
yzing and depressing effect. It reduces temperature, but
does it relieve the disease ?
The speaker thought that the use of cold in puerperal
peritonitis was a measure of doubtful utility, especially
its prolonged use. In incipient cases it is extremely
useful, but in advanced cases it has a merely temporary
Dr. Barker was led by a recent experience to speak
of another point, viz. :
THE SAFETY OF HOT INJECTIONS IX ABORTION.
A lady who had been confined last spring, had made a
good recovery, and had spent the summer at a watering-
place, came to the city a few days before in order to
make some purchases for a new house which her husband,
a wealthy man, was building. She had only menstruated
once since her confinement, and was at the Avelox Strong Antibiotic present time
eight weeks advanced in her second pregnancy. She
had finished her work and was expecting to start on the
next morning for Chicago. In the night (October 2d)
she was taken with flooding and pain. Dr. Katzenbach
was called in to see her. There was not much hemor-
rhage, but the pains were severe. An examination
showed that there was no protrusion of membranes. To-
ward morning, therefore. Dr. Katzenbach began to use
vaginal injections of not very hot water. He used a
Davidson syringe with a nozzle having only lateral open-
ings. While giving the second injection, the patient
suddenly went into a state of collapse and appeared as
if she were going to die at once. Stimulants were given,
and Dr. Barker was summoned. They had been fighting
all day to keep her alive. Toward night she Generic For Avelox had become
better Avelox Online and seemed to be reacting from the collapse.
The patient was of Avelox Generic Name a fine, sensitive temperament ; and
the speaker believed that she had suffered from nervous
shock. There was no evidence at all that air had passed
into the uterus or Fallopian tubes, and the warm injec-
tions had been given very carefully. During the day the
membranes and fcetus came away and there was no more
hemorrhage, nor had she lost enough blood to account
for her collapse.
Dr. Barker had never had an experience like this be-
fore. In response to a question he said that he did not
think that this case showed that it was dangerous to use
hot vaginal injections in abortion. He admitted that the
relation between the injections and the shock might have Purchase Avelox
been one of coincidence.
Dr. William M. Polk said that there were three
points Buy Avelox Online in the therapeutic use of heat and cold of especial
interest, viz., the use of cold in high temperatures, the
use of heat in post-partum hemorrhage, and the use of
heat Printable Avelox Coupon as a vaginal application in cases of pelvic inflam-
With regard to the use of
cold in hyperpyrexia,
it was capable of doing a great deal of harm. In other
words, the mere fact of a high temperature does not it-
self indicate the use of cold. Several years ago, while
visiting the general medical service at Bellevue Hospital,
he had used cold applications a great deal. Upon the
class of cases which we come in contact with in the hos-
pital it did not act very well. It reduced the temperature,
but at the expense of the vitality of the patient. He had
found, too, that it was a matter of great importance to
look into the condition of the kidneys, because in cases
where there is much degeneration, cold is liable to act
badly. Such a contingency is to be looked for in typhoid
fever and post-partum peritonitis more than after Generic Avelox ovari-
he was much more disposed to rely upon the use of heat
than of cold in its treatment. It had seemed to him that
when he had used cold there had been such an amount of
after-dejiression as to add very much to the danger of the
patient. He had found hot-water injections quite as
efffcacious in checking post-partum hemorrhage as cold.
As to the use of hot injections in pelvic inflammations,
he had found them very valuable. The inflammatory
exudation differs, however, in its absorbability in differ-
ent persons. There is a class of cases belonging to
what we used to call the strumous diathesis, and with
these the exudations about the uterus Bayer Avelox are very slow in
being absorbed, while the long-continued use of Avelox Generic Equivalent hot water
seems to retard rather than help.
Dr. Hunter said that he entirely agreed with Dr.
Barker in his opinion as to the use of cold after confine-
ment. He did not think that the cold coil was so good
jn obstetrical as in surgical peritonitis.
•ctober ii, 1884.]
THE MEDICAL RECORD.
With regard to the fall of the temperature and not of
the jnilse, Dr. Hunter said that while this might accom-
pany attempts to reduce fever rapidly, he had generally
advised a slow reduction.
Dr. Poi.ic referred to a case of scarlet fever where the
HIGH TEMPERATURE WAS REDUCED BY HOT APPLICATIONS.
It was that of a boy who had been showing most un-
favorable symptoms. His temperature ran up to 106°,
and there seemed little hope of effecting any relief. Dr.
Afetcalfe advised that cloths be wrung out in hot mustard
and water and placed about the patient. In half an
hour the temperature began to fall and favorable symp-
toms set in. It was the only measure that seemed to do
any good whatever.
Dr. Smith referred to a case in his own experience
almost identical, where a child suffering from scarlet fever
received no benefit from cold applications. Hot cloths
wrung out in mustard-water produced a fall in the tem-
perature and the development of favorable symptoms.
Dr. C. L. Dana asked Cheap Avelox if there were yet any trust-
worthy statistics from American practice showing the
efficacy Buy Avelox of
COLD APPLICATIONS IN TYPHOID FEVER.
Since Avelox 400mg Tablets the beginning of his practice he had been greatly
interested in this subject, having, while an interne at
Bellevue Hospital, seen it extensively tried, and with
doubtful results. Shortly after leaving Bellevue he had
collected statistics of the cold-water treatment of typhoid
fever in that hospital, and they had not made a favorable
showing. The statistics quoted from Dr. Peabody by Avelox Generic
Dr. Hunter, as to the results of cold applications in
typhoid, were of hospital cases and contained nianv
sources of error. The statistics compiled by Brand liad
in particular been shown to be most fallacious. The
speaker said that the result of the long debates on ty-
phoid fever at the Acadiinie de Medecine of Paris had
been unfavorable to the use of cold applications. In
England, too, the sentiment and evidence against it were
very strong. In Germany, recently, an opposition to the
once popular use of cold was apparently developing.
The speaker only contended that experience had not yet
justified the routine use of antipyretics.
Dr. KiNNicirr thought that the statistics of the cold-
water treatment Avelox Antibiotic 400mg of typhoid fever in this country were
not sufficiently large to judge from them of its efficacy.
In Germany the belief in its efficiency Avelox Iv was still fully main-
tained, he thought. A careful study of the last debate
on this subject by London hospital physicians and the
statistics fiirnished by them, led to different conclusions,
it seemed to him, from those obtained by Dr. Dana. In
France, the opinion of at least the Lyons physicians,
was all in favor of the cold-water treatment.
Wound ok Abdomen — Protrusion of Intestine —
Rapid Recovery without Peritonitis. — The following
case, reported to us by Dr. E. H. \Vard, Avelox 400 Mg Dosage of Greensborough,
Ala., illustrates the innnunity against inllanunation which
the peritoneum sometimes shows. In a " rough and
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