Buy Viagra In Canada With Paypal | OVERNIGHT Delivery!







































as was formerly assumed, but might attack the white substance as well. As to the a;tiolog)', intoxications and infections had been found to be responsible, and influenza had been regarded as by far the most frequent cause. In the cases observed by himself no microorganisms of any kind could be identified. Those few cases of other observers in which the influenza bacillus was found, showed a mixed infection, and therefore could not be counted upon to verify this assump- tion. The symptomatology naturally varied with the location of the pathological process. The four cases observed were all in young male adults, whose ages varied from eighteen to twenty-two yeais, and one of the cases proved fatal. There had been no previous serious illness in any of them, and the state of nutrition was perfectly normal in all. The only prodromatory symptom was headache in two in- stances, lasting respectively one and two weeks. The onset was sudden Buy Viagra In Canada With Paypal in all four cases. In three cases there was a convulsion, and in the fourth, ver- 8cJ4 LETTERS TO THE EDITOR— BOOK NOTICES. tigo and unconsciousness, changing into stupor later. More or less rigidity of the neck was pres- ent in all. There was headache in all the cases. In one it lasted for two weeks after admission to the hospital, and another for six days, and in the third for three days. Vomiting Buy Viagra In Canada With Paypal was also a feature. The mental condition was as follows : Case I, apa- thetic, dull, unconcerned ; stupor deepening into coma, with Cheyne-Stokes respiration. Case II. conscious, but irritated at times. Case III, dull and listless, but could be aroused. Case IV, stupor, which could be interrupted ; patient answering in a Buy Viagra In Canada With Paypal slow, hesitating manner. In two cases the reflexes were exaggerated ; in one, normal, and in one nor- mal at first, and later much diminished. ( To be continued.') *cttcrs to tilt iL-i)itor, THE WEBSTER ROUND LIGAMEXT OPER.\TION. Chicago, Af'ril 12, 1911. To the Editor: In a recent issue of the Journal of the American Medical Association (February 18, 191 1) is an arti- cle by Dr. J. M. Baldy entitled Operation for Retro- displacement of the Uterus. I desire to point out that the procedure described is exactly that which was first published by me in that journal on Octo- ber 5, 1900. I am highly gratified that Dr. Baldy advocates the operation so strongly in his paper; but, though he refers to "Webster, who has for the same length of time performed an operation with Buy Viagra In Canada With Paypal exactly the same principles," his description is of such a charac- ter as to give readers the impression that the opera- tion is Dr. Baldy "s invention. This is not the first paper by this writer in which a similar purpose has been evident. In your Jour- nal (April 14, 1906) the same operation was de- scribed without the slightest reference to my share in originating it. I now consider that it is time to point out what Dr. Baldy has really done and to correct some mis- representations. In his recent paper the Buy Viagra In Canada With Paypal following sentences occur : "The operation is not new. I first referred to it in a paper in 1902." These statements are incorrect. The operation was originally described by me in the Journal of the American Medico! Association, October 5, 1900, its essential features consisting in perforation of the Buy Viagra In Canada With Paypal broad ligaments, seizing the round ligaments with forceps and drawing them double under the uteroovarian ligaments, and stitch- ing them to the back of the uterus. In Dr. Baldy 's first paper [American Journal of Obstetrics, May, 1902. p. 650), seven months later, he commends the principle of my operation, criti- cises my method of doubling back the round liga- ments, and there describes his own procedure, which he regards as an improvement, viz., to divide the round ligaments close to the uterus and to draw them through the broad ligaments, attaching them to the posterior surface of the uterus. Here, then, in clear language is Dr. Baldy's first published account. I may say, in passing, that I carried out this pro- cedure in a few cases several years ago, but aban- doned it as unnecessary. Moreover, there is more liability to intestinal adhesions in connection with it, as some raw edges are apt to be left exposed. Four years Buy Viagra In Canada With Paypal later he published an article in your Journal (April 14, 1906, p. 741) of a somewhat amazing character. I quote his own account : "The operation which I am in the habit of per- forming for backward displacements of the uterus, and which is frequently designated by my name, is one which obtains its result through the use of the round ligaments. The broad ligaments are perfo- rated from their posterior surface by forceps which, on emerging from the anterior surface, are made to grasp the round ligaments, which are then drawn through to the posterior surface with the forceps. The round ligaments are brought together and sutured both together and to the uterus. One who has not seen the result (of this operation) can have no conception of its completeness.'" Here is evi- dence of a complete change in the author's practice. The operation which he lauds so highly is the very one which was described by me in 1901 and which was discarded by him in 1902. He has de-