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pletory course of treatment was followed by the worst results. Close attention had to be g^ven to the diet, encouraging nutrition, and to checking excessive dis- charges. About i860 diphtheria began to prevail in Delaware, and marched up the Delaware River, and existed in Sullivan County in the epidemic form for about five purchase prozac years, being very violent, and carrying away many patients. The odor of persons suffering discount prozac from the disease was peculiar, and buy prozac online no prescription could be recognized at prozac price per pill a great distance firom the sick-bed. In the author's opinion, it was a constitutional, not local, affection, although the local deposit, buy prozac online no prescription needed constituting diphtheritic croup, was present. About 1862-63 it was present in the form of black fever, petechial fever, etc., being in places very malig- nant. Afterward it again appeared as genuine diph- generic prozac theria of the throat. In these cases they applied tur- pentine and sweet oil to the throat at night with benefit. During a part of this period dysentery prevailed, first severe, then of mild type. Scarlet fever was present at intervals of buy prozac canada about five years, sometimes of severe, sometimes of mild character. Rubeola buy generic prozac no prescription or measles had occurred at different periods, but in general required little treatment. Occasionally diphtheritic cases occur up to the present time, but the contagion was generally brought from afar. Typhoid fever continued to prevail more generic prozac price or less, especially in the fall months; typhoid pneumonia during the winter, up to 1881. The spread of typhoid fever up the Hudson and its prozac cost per pill tributaries oc- curred at one period. The highest point was situated 1200 feet above the level of the sea at Montauk. The treatment prozac price ireland consisted chiefly in moving the bowels, par- ticularly by calomel," and then genuine as a sheet- anchor. ( To tt ctncliultd.) Digitized by Google 6o8 CINCINNATI ACADEMY OF MEDICINE. [Medical Nkws CINCINNATI ACADEMY OF MEDICINE. Stated Meeting, November i6, iSSj. The President, Samuel Nickels, M.D., IN THE Chair. (Specially reported for THE MEDICAL NEWS.) Dr. Bernard Tauber read a paper on THE local treatment OF LARYNGEAL TUBERCULOSIS. ^ (See page 596.) Dr. a. B. Thrasher gave expression to his disbelief in the ability of any plan to prolong life in cases of laryngeal phthisis. purchase generic prozac The instances in which a favorable result has been claimed for a certain plan of treatment, usually depend upon errors in diagnosis. With refer- ence to the relation of the laryngeal affection to phthisisof the lungs, referred to without comment by the essayist, the speaker expressed the belief that the disease gener- ally, if not always, commences within the chest, the af- fection of the larynx being in prozac price without insurance the same proportion a secondary disease. Prolonged expiration, as referred to, is the very earliest indication of the presence of dis- ease in the lungs. It is further prozac discount coupons possible, in many of these cases, to effect a cure of the disease simply by proper hygienic treatment without the use of remedies. The local treatment, in these cases, is not of much impor- tance with regard to the final result of the case, and in making a buy prozac online no prescription canada choice of remedies we should confine our- selves to those which will give the most complete tem- porary relief from suffering. Inhalations of carbolized steam have been employed with benefit, but, so far as the speaker was aware, the remedy had not been em- ployed to so vigorous an extent as was recommended in the paper. The production of anaesthesia in the larynx in the second stage of tuberculosis is of great impor- tance. A number of agents have been employed for this purpose. buy prozac uk Dr. Carl Seller claims to relieve the pain by the local application of the nitrate of silver. If em- ployed, the remedy must of course be used in concen- trated solutions, because of the painful effects otherwise produced. In the treatment prozac cost uk of the third stage he agreed with the authors who recommend the use of morphia by insufflation generic prozac no prescription combined with starch powder. This method should not, however, be practised within a shorter in- terval than an hour before a meal, for it requires fully an hour to obtain' the full effect of the remedy. The re- lief afforded by it is only transient, it is true, but the method has the advantage of being easy of application, not requiring the skill of a specialist, or indeed of the physician. The opinion that tuberculosis, when found in the larynx, is always a secondary affection, the speaker be- lieved is further demonstrated by the fact that no post- mortem examinations have yet been conducted upon persons dying with laryngeal phthisis, in which the af- fection had been positively diagnosticated during life, where the disease was not found also in the lung. prozac purchase uk Dr. James G. Hyndman remarked that the hopes offered us by the essayist of being able to cure a disease whose prognosis is almost universally fatal, would be very cheering, did not the combined and uniform ex- perience of the leading specialists of the world prove them fallacious.

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