He wondered whether there might not be some condition
of Raynaud's disease. The patient had been carefully
watched and the possibility of the lesion having been self
prtxluccd had been eliminated.
Salt-free Treatment of Epilepsy. — Ur. Alfred Gordo.v
of Philadelphia stated the object of Tegretol Vs Trileptal his paper to be the
application of the knowledge of experimental physiology
to clinical studies of epilepsy. It had been shown that
sodium chloride played an Trileptal Cost important role in normal metab-
olism of the body by influencing the elimination of waste
products. Applied to epilepsy its presence in the diet in-
creased the severity and the frequency of the seizures. Its
withdrawal produced a decidedly beneficial eflfect upon the
duration and the character of the attacks and upon their
frequency. From prolonged observation and a systematic
study of thirty-seven cases the author concluded that while Trileptal Vs Tegretol
the removal of the alimentary salt was not a specific for
epilepsy, it modified its course, and therefore added a valua-
ble means in treatment.
Dr. Guy Hinsdale of Hot Spring, Va., referred to the
retention of chlorides as one of the great disadvantages in
cases of renal disease. Buy Trileptal Online This fact and the occurrence of
convulsions in advanced renal disease formed two points
of contact between the two aflFcctions. In the employment
of mineral waters he would prefer those with as little chlo-
ride of sodium as possible and those which tended to dis-
solve out of the system some of the salts which were known
to be injurious.
Dr. Gordon in closing referred to the reported cases of
Mioperable Jacksonian epilepsy in which dechloridization
had given remarkable result-.
Symptomatology and Diagnosis of Lobar Pneumonia.
— Dr. Jame,s I. Johnston of Pittsburg had made an analy
>is of one hundred cases from the wards in the Trileptal Generic Name Mercy
Hospital to determine the frequency of the so-called class
ical symptoms and signs. The initial chill was present in
S2 per cent, of the cases: .S; per cent, had pain over Purchase Trileptal Online the
area of lung involved; cough was present in all. .-Vttention
was called to the frequency of apical pneumonia in the
.-eries, 16 per cent. The cases were all of lobar pneumonia
uncomplicated by other diseases.
Certain Complications of Lobar Pneumonia, Con-
sidered with Reference to Surgical Interference.— Dr.
Philip Y. Eisenber.t of Xorristown read this paper.
The Treatment of Lobar Pneumonia. — Dr. James M.
-Anders of Philadelphia said the leading indication in the
hygienic Cheap Trileptal management was absolute rest. He advised under
feeding, but did not advocate the "therapeutic fast." In
the treatment of the toxemia he considered water, six to
eight ounces every third hour, the best diuretic. The fresh-
air treatment to be effective should be carried out with
rigid personal supervision. The importance of maintaining
the activity of the sweat glands was shown. When the
condition of the circulation cannot be constantly watched
he advised the use of cardiac stimulants in small doses
almost from the beginning.
Diagnostic Significance of Herpes Simplex in Infec-
tious Diseases. — Dr. Jay F. Schamberg of Philadelphia
said it w;is highly probable that herpes of whatever typo
was the result of the action of a toxin. Pneumonia, spotted
icvcr, and malaria were said to be the diseases in which
herpetogenic toxin developed with a fair dcgrree of con-
stancy. Its frequency in these diseases and its rarity in
typhoid fever and other infectious maladies make its ap-
pearance a symptom of consiilcrable diagnostic import.
The Relation of the Cardiac Muscle and Valves to
Arterial Tension. — Dr. W. M. Stanton of Philadelphia
said that the factors concerned in arterial tension were the
heart, the arteries, the small vessels under the control of
the vasomotor system, and the quality of the blood. The
action of these several factors was described. The blood
pressure picture was given in cases of aortic regurgitation,
aortic stenosis, and other conditions.
Some Aids in Teaching Climatology and Climato-
therapy. — Dr. Guv Hinsdale of Hot Springs, Va., sug-
gested the Trileptal 135 Mg organization of medical journeys, similar to
those arranged annually in France, so as to familiarize
physicians with climatic stations and sanatoria. A classifi-
cation of American health resorts on a therapeutic basi^
Hypertrophic Pulmonary Osteoarthropathy. — Dr. H.
R. M. I-ANDis of Philadelphia reported two cases of this
The Relation of the Lymph Glands in the Mediasti-
num to Disease, Trileptal 60 Mg and Their Value in Early Diagnosis.
— Dr. William S. Newco.met of Philadelphia spoke upon
the need of signs for the early recognition of chest dis-
eases, and particularly in pulmonary tuberculosis, and said
that if the lymphatic glands were properly studied in early
cases they would aid materially toward a proper determina-
tion of the nature and extent of the disease.
First Day — Tuesday, September 11.
The meeting was called to order by the Chairman, Dr.
William L. Estes of South Bethlehem.
Chairman's Address. — Dr. William L. Estes of South
Bethlehem, in this address, considered particularly the pre-
vcntability and cure of syphilis and carcinoma, the first by
educating the public in the doctrines of cleanliness and
sterilization and the amenability of venereal diseases in
the early stages to treatment: the education of the pupils
in the higher schools along the lines of sociology, the re-
quirement of aseptic practices in barber shops, etc., and
the second by educating the physician to the necessity for
prompt diagnosis and early radical removal.
Oration in Neurology. — Dr. Theodore H. Weisen-
BURG of Philadelphia delivered this address, in which he
discussed the advances in the surgery of the nervous sys-
tem considered from the standpoint of the neurologist. He
remarked upon the value of surgical measures for the pal-
liative relief of intracranial pressure, even if radical
removal was not possible, and urged the necessity for the
surgeon to know more of the anatomy of the nervous
Cranial Injuries. — Dr. Daniel A. Webb of Scranton, in
this paper, considered particularly late Buy Cheap Trileptal cerebellar abscess
of traumatic origin, the only treatment for which, he said, Trileptal Coupon
was operative (either palliative or curative), and Trileptal 150 Mg reported
a case diagnosed as cerebellar tumor, which autopsy proved
to be a deep-seated abscess of the middle lobe.
lOct. 6, igof'i
Fractures of the Base of the Skull, Resulting from
Direct Violence Through the Inferior Maxilla. — Dr.
.-^LE.XANDER G. Fell of Wilkesbarre, reported a case of
compound conimimited fracture lietween the median line-
and the left mental foramen, caused by a fall of twenty
feet. The patient gradually regained, but there had ^ince
developed a slight abscess of the ear.
The Present Status of Cranial Surgery. — Dr. Ch.\ki.es
H. Frazier of Philadelphia reviewed tlie progress of this
branch of the science during the last decade, and consid-
ered particularly its applicabilit)' in epilepsy, hemorrhage of
the newborn and childhood, the cranial, fifth, and auditory
nerves, and tumors.
Brain Complications Following Mastoiditis. — Dr
Fkemont \V. Frankh.\u.ser Trileptal Acne of Reading. ni this paper, con-
sidered meningitis, abscess, thrombus in the internal jugu-
lar vein, in the lateral sinus, or in the cavernous sinus,
treating particularly of the mode of infection and location
of the abscess, and the symptoms, prognosis, and tre.it-
An Unusual Case of Trauma of the Trileptal Tablets Head, Exhibiting
Symptoms of Astereognosis as the Only Localizing
Symptoms. — Drs. John H, W. Rhein and Edward Mar-
tin of Philadelphia reported this case.
Impaired Cerebral Development Due to Other Than
Cranial Causes, and Its Surgical Treatment. — Dr.
Ernest Laplace of Philadelphia considered particularly
adenoids, tongue-tie, and phimosis, recommending that
they be corrected as promptly as possible, and stating that
in the cases which had come luider his care this had pro-
duced satisfactory results.
Second Day — U'cdiusday, Sct>tt-iiiber 12.
Oration in Gynecology. — Dr. Frank F. Simpson of
Pittsburg delivered this oration, in which he reviewed the
work that had been done in this field and the progress that
had been made.
Surgical Treatment of Chronic Colitis. — Dr. William
M. Beach of Pittsburg considered particularly the opera-
tion of appendicostomy, and cited as suitable cases for this
procedure amebic dysentery, colon adhesions following
catarrhal appendicitis, gynecological operations, syphilis
and primary tuberculosis of Trileptal 450 Mg the colon, describing the
technique of the operation and the after-treatment.
Dr. George Erety Shoemaker of Philadelphia cited as
disadvantages of the operation the establishment of a
mucous channel, and the weakening of the abdominal wall.
Dr. J. M. Fisher of Philadelphia believed that the appen-
dix should be opened immediately after attachment.
Dr. J. C. O'Day of Oil City referred to the employment
of Trileptal 150 the procedure in typhoid fever and epilepsy.
Dr. Otto C. Gaub of Pittsburg believed that the opera-
tion was not justified in uncomplicated cases of typhoid
A Modification of the Technique of Fixation of Mov-
able Kidney. — Dr. George Erety Shoemaker of Phila-
delphia read Order Trileptal this paper, in wdiich he described in detail the
technique of the operation, the chief factor of which was
the preservation, instead of the removal of the fatty
The paper was discussed by Order Trileptal Online Drs. J. C. O'Day of Oil
City, Frank F. Simpson of Pittsburg, and John J. Gli-
bride of Philadelphia.
Perineal Prostatectomy — Its Accidents and Complica-
tions. — Dr. L. J. Hammond of Philadelphia read this
paper. He said he felt that this was both anatomically and
clinically the logical route, and cited as indications the im-
possibility of catheterization, permanent hypertrophy, large
amounts of residual urine, frequent and painful micturi-
tion, and acute cystitis.
Dr. William L. Rodman favored the same route as the
author, except when there was very much enlargement of
the middle lobe, projecting into the cavity of the bladder,
he preferred the suprapubic.
Tlie paper was further discussed by Dr. John B. Rob-
erts of Philadelphia.
The Value and Safety of Surgical Exploration in the
Abdominal Complications of Typhoid Fever. — Dr. John
B. Roberts of Philadelphia Cost Of Trileptal read this paper. He stated that
the only difficulty in these cases was the question of diag-
nosis, and recommended an exploratory operation in case^
The Use of Silk in Tenoplasty — An Experimental
Study. — Dr. George P. Miller of Philadelphia reported
the experiments made upon ten dogs, in all of which a part
of the tendon was removed and replaced by silk suture,
the nearest approach to normal being in those cases in
which new tendonous tissue ha
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