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Related post: incontinence of urine, which was much lessened in fre-
quency by elevation of the foot of the bed and the inter-
nal use of belladonna. Digestion was fairly well per-
formed, although occasionally attacks of looseness of
the bowels occurred, and migraine happened about once a
month. No cranial nerve palsies. The course of her
disease had been attended by slight remissions, but, on
the whole, had been progressive. Latterly the palpitation
and dyspnoea had decidedly increased.
The pathology of Graves's disease has been the sub-
ject of much discussion and investigation, and the con-
sensus of recent opinion seems to be that it results from a
perversion of the function of the thyreoid gland, whereas
myxcedema and cretinism residt from simple loss of Mebendazole Online
function of the gland.*
Some would attempt to correct this perversion of
function by excising the thyreoid gland, others by ad-
ministering thyreoid extract to atone for the loss to the
blood of the proper thyreoid secretion. Each pro-
cedure has been highly praised, and each condemned
with Buy Cheap Mebendazole emphasis, by various writers. An eminent chnician
of this city accepts the blood-poison theory, but thinks
that the poisoning Where Can I Buy Mebendazole results from gastro-intestinal pto-
maines, and treats his patients successfully by elimi-
nating meat from Where To Buy Mebendazole the diet and substituting fermented
milk as the staple Purchase Mebendazole article, together with the systematic
and unremitting use of intestinal antiseptics. A recent
method of treatment Mebendazole 100 Mg which has attracted the attention
of many is the administration of thymus gland, the re-
sults of which have been summed up by Hector Mac-
kenzie.! This writer states that Mebendazole 100mg the thymus gland pos-
sesses no specific action in Graves's disease, but that it
improves the patient's general condition, and should be
placed in the same class of remedies as cod-liver oil.
Some of the authorities reviewed by him, however, report
very gratifying results from its use. Todd,J in particu-
lar, reports excellent results in a case very similar to ours,
in which the amount of thymus was gradually increased
to Purchase Mebendazole Online a hundred grains daily. My patient began with three
of Armour & Co.'s tablets, equivalent to twenty-four
grains a day, and is now taking seventy-two grains daily.
In her case the pulse is now 132, measurement of the
neck fourteen inches and an eighth, exophthalmia much
less, tremor decidedly relieved. The patient herself
states that she suffers much less from palpitation and
nervousness since she began taking the thymus tablets.
It is difficult, however, to estimate the value of any rem-
* American Journal of the Medical Sciences, Mebendazole Buy February, 1897, p. ilS.
t Ibid., February, 1897, p. 151.
i British Medical Journal, July 25, 1896, p. 195.
14
WIENER: THE PRESENT STATUS OF GYNECOLOGY ABROAD. [N. T. Med. Joub..
edy in a disease so variable m. its course as exophthalmic
goitre, since marked remissions — even intermissions —
sometimes occur.
42 East T\yenty-ninth Street.
THE
PRESENT STATUS OF GYNECOLOGY ABROAD.
Bt JOSEPH WIENER, Jk., A. B., M. D.
(Contimied from vol. Izv,page S57.)
Paht II.
It may perhaps be of interest to compare the meth-
ods pursued at the different clinics in the preparation
of their cases, their apphcation of the principles of asep-
sis and antisepsis, their choice of anassthetics, suture, and
drainage material.
In Hamburg, Kiimmell has his patients shaved be-
forehand, and an antiseptic dressing applied to the field
of operation. After they are placed on the operating
table the dressing is cut away, and the skin is first washed
with a mixture of green soap and sand with water. This
is applied with a handful of wood fibre. It gives an
excellent lather in a short time, and has Buy Mebendazole Online the additional
advantage that the same wood fibre is only used once and
then thrown away. After the soap is washed away alco-
hol is appUed, and then a strong solution of sublimate.
The hands of operator and assistants are scrubbed in the
same manner as the skin of the patient, a brush being
used for the nails. Kiimmell lays great stress on the
length of time the hands are scrubbed with soap. He
has sand-glasses standing at the wash basins which allow
the sand to run through in five minutes; he, Buy Mebendazole Order Mebendazole Online as well as Order Mebendazole
his assistants and nurses, scrub during that length of
time. By means of a pedal, which compresses a rubber
bulb connected with a rubber tube that runs into a ves-
sel containing alcohol, enough of the alcohol Generic Mebendazole is. forced

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