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741 his knees in such a way that its buttocks extend beyond the outer border of the physician's thigh and are a little higher than the rest of its body. A very important pre- caution, the writer adds, is that of putting the child into the latero-dorsal decubitus, with its left hip higher than the right one. This can be accomplished by hold- ing the legs in the left hand, inclining them from above downward and from behind forward, paxil price in pakistan while the infant is seized between the operator's left elbow and the front of his body. Then paxil price without insurance the catheter is to be taken paxil 12.5 mg in the right hand and a little of the liquid allowed to iiow out, in order to guard against forcing air into the intestine. The catheter is then moistened, intro- duced into the anus, and carried to the height of from five to eight inches up the intestine. Then an assistant raises the jar, and the liquid flows readily into the large intestine, while the paxil discount operator closes the anal aper- ture with the fingers of the same hand that holds the catheter, so as to prevent the escape of the liquid by the side of the instrument. When all the liquid contained in the jar has flowed into the intestine, the catheter may be disconnected from the rest of the apparatus and the liquid allowed to flow out through it, or it may be withdrawn, so that the infant may expel the paxil price india liquid by its own efforts, which it will presently do. The writer thinks that the amount of liquid em- ployed should be about a pint. Simple boiled water may be used or water containing boric acid or sodium chloride. paxil cr When paxil price the dejections are very foetid, he says, Bonnaire uses instead a saturated solution of naphthol with borax (a thousand parts of water, ten parts of borax, and one part of naphthol). If the movements are glairy, as if varnished, says the writer, it is a sign of inflammation of the lower portions of the large intes- tine, and a starch injection is to be given. A teaspoon- ful of starch is boiled in half a pint of water, and a pint and a half paxil 10 mg of boiled water is added. The temperature of the liquid injected should not much exceed that of the interior of the body. The height to which the assistant should raise the jar shovdd not be greater than two feet; from a third to half of that elevation, indeed, is enough to make the liquid flow deep into the intestine. The operation may be per- formed once or twice a day, according to the intensity of the symptoms; it should paxil 30 mg be resorted to every day until the tympanites subsides and the stools lose their foetid odor. It may be remarked that the description of the way in which the child is to be held seems a paxil mg little cheap purchase online paxil vague. As we understand it, it would be rather a semi- prone than a latero-dorsal decubitus that would result, and we think that would be preferable. MINOR PARAGRAPHS. THE TEMPERATURE IN MEASLES. AuQUSTE Bourgeois {These de Lyon, 1897; Lyon medical, October 17, 1897), who has made a study of purchase cheap paxil the course of the temperature in 'measles, maintains that the progress of the fever is different from that set down in purchase paxil the text-books. The period of incubation, he says, is not always without symptoms; for several days the temperature may be between 100.4° and 102.2° F., but on this point we must be guarded until observa- tions have been made upon persons absolutely healthy before being seized with the disease. The stage of in- vasion, he says, does not always show a decided remis- sion on the third day. The temperature may rise grad- ually from the day of the cheap order paxil invasion to that of the erup- tion, or it may rx paxil at the outset stand at the point that it is to remain at throughout the two stages. The erup- tive stage may be prolonged and intense, and the tem- perature may remain at 104° F. for four or five days. The defervescence, whether sudden or by lysis, is re- markable for the fact that the temperature is lower in the evening than in the morning. "OMAHA'S QUEER EPIDEMIC." Under this heading, with the supplementary one of " More than 10,000 Persons Afflicted with a Strange Skin Disease," one of generic paxil the daily papers lately published a dispatch from paxil buy Omaha concerning an epidemic skin disease that was said to be puzzling the physicians of that city. How a newspaper correspondent delights in anything that puzzles the doctors or is imagined to puzzle them! Nothing ever puzzles paxil prescription him. This particu- lar wonder-monger says: " The disease develops in small eruptions which cover the body. The eruptions paxil 25 mg are highly inflamed and finally scale off, like scurvy." We are all familiar with the frisky way in which scurvy scales off, and of course we can not suggest that there has been any confounding of scurvy with scurf. " Every barber shop in the city," says the dispatch, " is provided with a salve which is designed to allay the inflammation." We condole with our Omaha brethren, then, since they have the barbers as well as the coun- ter-prescribers to compete with.

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