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The doctor evidently meant well, and was surely to be Cheap Viagra For Women complimented when he was so interested as to take a sick dog with him to bed every night to watch him. I must confess that I never carried the love of Cheap Viagra For Women science so far. In conclusion, I agree with Dr. McLaughlin when he says that "in rabies, the human general practitioner must join hands with Cheap Viagra For Women the veterinary everyday practitioner to clear up the diagnosis of rabies" (I leave out the mystery and confusion part of it), for the physician who has not seen the dog which bit the patient coming to him for treatment and advice, needs the veterinarian's opinion on the dog's condition whenever there is something abnor- mal. But I must add : I. — The laboratory hax "made good," and when an uncertain or no diagnosis Cheap Viagra For Women was made during the life of Cheap Viagra For Women an animal submitted for examination, it can. within a few hours, in ninety per cent, of the cases, clear up the case. II. — The Negri bodies, when present, prove in 199 cases out of 200 that the animal was rabid. Their absence means that, with a probability of ninety per cent., the animal was not rabid. Then, experimental inoculation will settle the case within twelve to twenty days. III. — The bite of a rabid dog is harmful to man in proportions varying from ten to ninetv per cent., according to dififerent conditions. New York P.vsteur Ixstitl'te. HICCOUGH— A FEW REMARKS AS TO TKI-IAT- MENT. Bv How.\RD D. KiNX, M. U., New Orleans. T.;i. I'ew conditions present a more complex problem than does hiccough, and for that reason the writer believes a short review of the subject would not be untimely or out of place. Frequent disputes among lexicographers as to the term justify the writer in tracing briefly its etvmology. The spelling "hiccough" is recent, be- ing a combination of the syllables "hie" and the latter term of "cough." which is without either ph\-siological or etymological basis : the pronuncia- tion, with perhaps the rarest exceptions, is still that AV.VG'; TREATMEXr i)F HICCOUGH. 827 of the older form "hiccup," earlier given variously as "hickup,'' "hickupsnickup." "hickhop,'' "'hick- cock,'' "hichcock," and "hickett," with quasi dimin- ishing sufifixes, ock, et; but the "hick," a syllable aptly expressive of the spasmodic sound produced by the conditions giving Cheap Viagra For Women rise to the particular dis- turbance, is found in all references to the origin of the term to which the writer has been able to obtain access. The term singultus is rarely used. Before any intelligent discussion on the question of treatment can take place, it is necessary that the physiology or mechanism of the hiccough be ap- preciated. Hiccough may be described as an in- voluntary sudden contraction or descent of the dia- phragm, whereby a vacuum is formed in the chest, into which outside air attempts to rush, but is de- nied entrance by the sudden closing of the glottis, the impact causing a characteristic sound. The im- pressions to the respiratory centre are afferent and eiTerent (though the Cheap Viagra For Women former may be peripheral or central in origin), while the direct cause of the spasm is the transmission of efferent impressions to the diaphragm through the agency of the phrenic nerve and the laryngeal branches of the vagus to the glottis, resulting Cheap Viagra For Women in sudden Cheap Viagra For Women closure as the ,Tir is inspired. Passing now to the practical significance of the subject, this sudden, spasmodic, diaphragmatic con- traction, which is often regarded as of small mo- ment, may become one of the greatest importance in certain acute or chronic diseases. The attacks vary in duration and, as a rule, are short, but may be experienced for days or weeks, even months — the prolonged attacks rapidly exhausting the suf- ferer; they are attended with considerable distress and greater annoyance. Fortunately, in the great majority of cases, the causes responsible for its presence are quickly and easily eliminated. The remedies offered for the alleviation of this listressing condition arc almost innumerable; some are valuable, but the majority are useless. Before resorting to any measures for the relief of hic- cough, the causation or the type of the condition should be determined. Cheap Viagra For Women The condition may be: A. G.^.strointestin.^l: i. Irritative, as when the -pasm is caused by swallowing hot or dry food ; ' esophageal disease ; gastric or intestinal dis- 'irder. 2. /nflammatory : under this subdivision would be embraced all organic or functional dis- eases of the abdominal organs, as gastritis, appendi- citis, peritonitis, hernia, and strangulation. 3. Re- 'V.i'.- singultus gastricus nervosus, a neurotic con- lition of the stomach, extremely rare, according to ijassler,^ the cause of w'hich is primarily situated in that organ giving rise to involuntary contrac- tions of the diaphragm as a reflex manifestation. B. Specific, in which the condition is secondary to abdominal or diaphragmatic abscess, gastric car- Cheap Viagra For Women cinoma, mediastinal malignancy, gout, diabetes. nephritis, pneumonia, typhoid fever, and other se- vere acute infections. C. NiujROTTC or Reflex, occurring in hysteria, ■pilepsy, cerebral tumor, shock, emotional disturb- ance, peripheral irritation, and other organic or functional diseases of the nervous system. D. MiscELT-.vNEOUS Causes, such as alcoholism,