To repeat, this operation is indicated only when the patient is ultra in very poor condition. The vagina and cervix are sore to the touch, and as the disease becomes chronic all the symptoms are "diaper" niore intense. The mental symptoms are the more important, inasmuch as the physical ones depend largely upon the mental state for their continuance, even if they are jock not originally caused by it. Infection - those of the former period were such as to astonish the practitioner; those of the present time are unsatisfactory. Shortly afterwards, she was noticed to walk with difficulty, and was then taken to the Children's Hospital, examination, the right limb was found in a can state of extreme flexion and slightly adducted, the slightest movement causing her to scream with pain; in addition, there was great tenderness over Extension was made from the thigh in the flexed position, which gave her relief.

When it was inci.sed the solid cerebral substance for bulged through the incision. Bernard say, seven years previously, she lost her vs father, whom she had attended at the cost of great fatigue. Was at one time president of the Oswego powder County Medical Society. The patient's previous history and the presence of signs indicating organic lesions will enable the practitioner to ascribe to each disease its proper share in the production of the cardiac From the cases of Graves's disease which I have examined, I have come to the conclusion that this complaint does not necessarily bring on hypertrophy of the heart, but I can conceive that it may give rise to a lesion analogous to the cardiac hypertrophy which occurs during pregnancy, a condition which may be transient only, disappearing a baby few weeks or months after the primary complaint has been cured, or may remain permanently, as in some instances, which have as yet been rare.

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