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dark-colored discharge for three or four weeks, and had not seen anything for two months before that. I subse- quently learned from her husband that she had gone to a notable in the neurontin price increase West and had been operated on twice by him. On examination, I neurontin discounts found a dark, purulent dis- charge and the cer\^x covered with a yellowish-brown membrane. I neurontin 800mg curetted the uterus and neurontin 300 mg for nerve pain then swabbed it with iodized phenol. I then put her on large doses of quinine, and ordered ice-water sponge neurontin 600 mg high baths every hour. This would only reduce the temperature about one de- gree, generic neurontin manufacturers and this in every case would go up again inside of an hour. These sjTnptoms continued for three days, the patient then presenting all the appearances of a very virulent infection; a short, rather rapid, catchy respira- tion; was quite cyanosed; a general mottled condition of the skin; very drowsy. There was a well-formed mem- brane on the tonsils, closely resembling that on the cer- vix uteri. In the afternoon of that day I injected sixteen cubic centimetres of Parke, Davis, & Co.'s antistreptococ- cic serum. The pulse, immediately before the injection, was 145; temperature, 105° F.: twelve hours later the pulse was 105 and the temperature 102°; twentj-four hours later the temperature again went up to 103.1°. Again I injected another sixteen cubic centimetres, after which the temperature dropped to 101° F.,and neurontin prices generic remained down for neurontin price comparison thirty-six hours, after which it again went up to 103.4° F. I then repeated the injection, which was fol- lowed by a drop to 100° F. The temperature ranged between this and normal for three days and nights, when suddenly it began to rise, and within two hours it went up to 105° F. I injected sixteen cubic centi- metres of the serum and in twelve hours the tempera- ture was normal. neurontin mg At no time were there any bad symptoms following the injections. The improvement in the facial expression soon after the first injection was very marked. Bacteriological examination showed myriads of Streptococci pyogenes. Several cases of neurontin price without insurance serum treatment have been reported within the past year, and with one generic neurontin solution excef)tion all have been successful. In the cases by Josue and generic neurontin gabapentin Hermary there was a rapid improvement, with perfect recovery in generic neurontin 300mg a few days. Rogers, of Paris, has reported several cases, both of puerperal neurontin price streets fever and erysipelas, success- fully treated in neurontin 200 mg this way. There have, during the past neurontin price two or three years. been very gratifying reports from the use of generic neurontin available copious injections of artificial serum or normal salt solution, either intravenous, subcutaneous, or by means of the high rectal injections. I have used the latter very freely in all fever eases; the copious flow of pale urine which follows the injections is quite convincing of it- self. When copious intravenous injections are given, they are followed by free watery stools and large quan- tities of pale urine. One can readily see that this is a very efficient way of washing the blood. Though I have not seen it recommended, yet I think it would be a per- fectly rational treatment, in a very severe ease, to draw off a quart of blood at a time, and at the same time in- ject about two quarts of the artificial serum into the vein of the other arm. This could be done with per- fect safety, as we know that in severe haemorrhages the patient does not collapse from the loss of blood per se, but from the loss of fluid, as very little blood is re- quired to sustain the system; but a certain amount of fluid must be kept in the vessels in order to keep up the mechanism of the circulation. Leech recommends the following powder, which, when added to a pint of warm water, yields a solution of the normal salinity of the blood: Chloride of sodium 50 grains. Chloride of potassium 3 " Sulphate of sodium 2.5 " Phosphate of sodium 2 " Carbonate of sodium 2.5 " This he uses just about as hot as the hand can be borne in it. In every case the general strength of the patient must be kept up with good nourishing food and stimidants, as required. If all these precautions are observed, and the differ- ent lines of treatment carefully carried out, the cases we will require to hand over to the abdominal surgeon will be very few indeed. And now all that has been said, or all that can be said, is practically useless, as it has been in the past, unless we can arrive at some conclusion as to what is the best means by which septicemia can neurontin discount card be prevented in private practice. In 1875 the International Congress of Physicians and Surgeons, assembled at Brussels, adopted a resolution to the effect that on account of the great mortality in lying-in asylums, all such in- stitutions should be abolished; but now the tide has turned. In the best-conducted lying-in hospitals death from sepsis is almost unknown, while in private prac- tice, according to statistics, the mortality is 1.12 per cent., as against one per cent, in the Ipng-in hospitals. Now, I do not intend to burden you with statistics, but will refer any that are at all skeptical to the neurontin 300 mg pain American Text-hoolc of Olstetrics. Notwithstanding all the indis-

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