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The tracing of proscar price philippines the non prescription proscar kyphos is shown in this drawing. The amount of lowest price proscar force employed was not greater then in the first case. During the operation his respiration became rather labored, and the administration of the anesthetic was discontinued. The only reaction was a slight slowing of the proscar film tablet 5 mg 28 tb pulse after the operation and again a few days afterward. • The third case, in a girl aged fourteen years, is one of marked curvature of the spine in which I was led to at- tempt a similar operation best place buy proscar online because her parents urged me to do something to correct the deformity and were even willing to have section performed. She took the anesthetic badly, and three attempts were made. I employed a twisting motion for some five or ten minutes and then put her in plaster of Paris. There was no reaction. She is now an inch and three-quarters taller than she was be- fore the operation, proscar price compare and the back is in a much better position than it was previously. I have presented these three cases merely to show that the operation can be done without bad results. I have a patient who has paraplegia due to pressure and upon whom I expect to operate by this method in the hope of relieving the paraplegia. Cases have been reported in which this has been done. While I believe, as do most of the Continental and 0.5 mg proscar English surgeons, that deformities can be materially reduced by this method, I am of the opinion that it is best to go slow and do it gradually at several sittings rather than all at once. I appreciate the objections which have been raised against the method, but the clinical facts must bear some weight in the proscar 10mg dis- cussion. I best price proscar have here also a rather obscure case. This boy came to the hospital during May last. In January, 1897, Digitized by iv/v/' JA- April 30, proscar online no prescription 1898] NEW YORK ACADEMY OF MEDICINE. 573 he complained of pain in the left knee, and walked lame. The mother was told proscar rxlist that he had "consumption" of the knee, and the limb was amputated at Bellevue Hospital during March of that year. The history is rather con- proscar 5 mg tabletas fused, but it was said that he had had a fall. There is now an excoriation of the shaft of the left humerus upon which we have operated several times, and do need prescription proscar also one upon the right elbow. In the discharge from the latter strepto- cocci, staphylococci, and some micro-organisms which re- sembled diphtheria bacilli were found, but no tubercle bacilli. Recently the house surgeon called my attention to the price proscar fact that the patient has some difficulty in opening the mouth, and there seems to be a beginning ankylosis of the jaw. DISCUSSION. Dr. Phelps : In connection with Dr. Gibney's cases of Pott's disease treated by forcible reduction, I have one which I would like to present. This little girl is seven years of age. Four and a half years ago she developed a curvature of the spine, and since then has worn a jacket. She had had some cough, but no evening temperature. She had a kyphos, which is shown in this tracing, buy proscar online uk between the sixth and ninth dorsal vertebrae. She entered the Post-Graduate Hospital, and I proscar cost ireland operated upon her there. I confess that I approached the case with fear and trem- bling, and when I began making pressure there was so much snapping and cracking that I desisted, for I thought the child's back was broken. However, the kyphos was somewhat proscar online prescription reduced as is shown by this second tracing, made after the operation. The operation seems very cruel, and, if I had not been fortified by the favorable reports of the French surgeons, I would not have dared attempt it; and yet there was no reaction following the operation. The child was up and about within less than four days. In one other case I succeeded, without anesthesia, in reducing a beginning kyphos by this method. Dr. Townsend : It seems to be that we ought to go slow in advising the profession to employ this treatment. The dangers of the operation are many. For instance, the result would have have been disastrous if forcible re- duction has been employed in a case we had at the hos- pital last week. A proscar prescription drug child three years old, with Pott's dis- ease, was admitted and was put upon an open frame. She had some difficulty in moving the head. She had had an attack of bronchitis before admission ; so when a slight cough developed it was ascribed to the bronchitis. I was called up one night by the house surgeon who said that the child's respiration was bad. I suggested some mild remedies, and the. next morning asked Dr. Holt to see her. He advised the use of a croup kettle. At this time there was no pneumonia and no asphyxia. That night the child became asphyxiated and died. Autopsy showed a retroesophageal abscess in the median line di- rectly over the vertebral column best place to buy proscar online and extending to the right. There was no pressure on the trachea, which was normal in size and not flattened. There were numerous enlarged glands, and these pressed upon the nerves. The second dorsal vertebra was much diseased, so much so that in examining it I pushed my finger clear through the spinous process. If *I bad attempted forcible reduc- tion in this case I would have ruptured that abscess or caused damage to the bone. I am aware that we all real-

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