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too long, or are loaded with tabular matter or prolix histories of cases, or deal with subjects Cost Of Tricor of little interest to the medical profession at large. We can not enter into any correspondence concerning our reasons for declining an article. All letters, Tricor 145 Mg whether intended for publication or not, must contain the writer\s Cheap Tricor name and address, not necessarily for publication. No at- tention will be paid to anonymous commurtications. Hereafter, cor- respondents a-^king for information that we are capable of giving, and that can properly be given in this journal, will be Tricor Fenofibrate answered by number, a jn-ivate communication being previously sent to each cor- respondent infomdng him under what number the answer to his note is to be looked for. All communications not intended for publication under the author^s name are treated as strictly confidential. We can not give advice to laymen as to particular cases or recommend indi- vidual practitioners. Secretaries of medical societies will confer a favor by keeping us in- formed of the dates of their societies^ regular meetings. Brief notifi- cfitions of matters that are expected to come up at particular meet- ings will be inserted when they are received in time. Newspapers and other publications containing matter which the person, sending them desires to bring to our notice should be marked. Mem- bei-s of the prof ession who send us information of matters of interest to our readers will be considered as doing them and us a favor, and, if the space at our command admits of it, we shall take pleasure in inserting the substance of such communications. All communications intended for the editor should be addressed to him in care of the publishers. Tricor Online AH communications relating to the business of the journal should be ad- dressed to the publishers. THE NEW YORK MEDICAL JOURNAL, Mat 4, 1889. Inginal Commmtkations, CRITICAL REMARKS ON THREE OASES OF ABDOMINAL SECTION FOR THE RELIEF OF INTERNAL Tricor Cost OBSTRUCTION OF THE INTESTINE. By ARPAD G. GERSTER, M.D., PROFESSOR OF SURGERY AT THE NEW YORK POLYCLINIC ; SURGEON TO THE GERMAN AND TO MOUNT SINAI HOSPITALS, NEW YORK. In bringing to public notice from time to time both the successful and unsuccessful cases of intestinal obstruction within my experience treated by laparotomy, I only fulfill a duty universally acknowledged by the profession. In two of the cases here reported bands were found to be the cause of strangulation. Comparatively mild symptoms were ob- served in the beginning of the disorder in both instances, and, unfortunately, led to fatal procrastination. In spite of the relief afforded by the division of the bands, both pa- tients died of the peritonitis and shock found to be present before and at the Order Tricor Buy Tricor Online time of the operation. The morbid condition requiring surgical interference in the third case was volvulus. Here the disease had set in at once with such decided symptoms of general dejection as to suggest the possibility of the presence of typhoid fever in its initial stage. Tricor Coupon This led to the speedy transfer of the patient to the hospital, where, the true character of the trouble being recognized, no time was lost in giving relief, and in every way successfully, by prompt laparotomy. The cases Purchase Tricor were as follows: Case I. — Miss Rosa L., a rather slender anjemic girl of nine- teen, had, in May, 1888, some abdominal trouble accompanied by vomiting and ileo-csecal pain, but no swelling. She was kept in bed for Tricor Coupons a week. June 6th — that is, about three weeks after the occurrence — she Tricor Price was well enough Tricor Mg to dance. In taking a leap she felt a sudden sharp pain above the umbilicus. She was put to bed and a laxative was administered, with no appreciable effect, except to cause vomiting. The rectum, however, seems to have been evacuated Tricor 145mg by a series of enemata. No movement of the bowels had taken place Buy Tricor between the 6th and 14th of June, when I first saw the patient. The family Tricor 48 Mg attendant re- ported that ever since June 6th persistent, since June 9th fsecal, vomiting and intense thirst had been complained of. No fever, however, nor meteorism were present. The pulse also was full and normal in quantity. June 13th a medical consultant, who had repeatedly seen the case, and had, in spite of the faecal vomiting, rejected the proposal made by the family attendant of doing laparotomy, performed a rather vigorous course ot massage of the belly of the patient, who was kept in the prone position during the procedure. Very intense pain was com- plained of during this process, which was followed up by the administration of a number of large enemata administered in the Tricor Prices knee-elbow Tricor 145 position. No improvement followed any of these measures, but, on the contrary, fever and meteorism set in — indications of peritonitis. The patient's condition being nearly hopeless now, the proposal of laparotomy w^as finally accepted. June 14th I found the patient lying in the dorsal de- cubitus, with anxious expression, face covered Coupons For Tricor by perspiration, rate of respiration increased, temperature 101-5° F., tongue dry, thirst intense, a great deal of tympanites, the thighs flexed on the pelvis. No vomiting occurred when food was withheld, but

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