lief of social distress and disease was not less im-
portant than the cure of physical ailments and dis- cipro price
eases. For the happiness buy cipro and wellbeing which could
be brought to the individual mother and those asso-
ciated with her by intelligent guidance, sympathy
and help were nnmeasurable.
The Importance of a FoUowup System. — Dr.
George W. Kos.mak, of New York, asked whether
a recently delivered mother in either private or hos-
pital practice was accorded as much attention in a
followup sense as a patient recovering from medical
or surgical illness. During the past decade the de-
velopment of prenatal care might be regarded as one
of the most important advances in obstetrics. In
view of the tendency to injuries resulting in invalid-
ism remaining unrecognized in the usual postpartum
examination, a discharge of the patient should not be
made for at cipro 500mg least three months after the birth of the
child. During this interval at least two or three ex-
aminations of the patient should be made. It was
possible to treat minor traumatic and other lesions
during this period and avoid later complicating con-
ditions resulting in invalidism.
A survey of forty-eight American maternity hos-
pitals showed that thirty-six of this number main-
tained some sort of followup system but in the
majority of the latter the patients returned only if purchase cipro
abnormalities developed. The admission was made
by practically all observers that a followup system
for obstetrical patients was not only desirable but
necessary. Certain difficulties must be acknowledged
in instituting such a system but with the better edu-
cation of the patient the realization of the need would
become apparent to her and her family. A regularly
organized postpartum clinic should be part of the
equipment of every maternity hospital and in con-
nection with the same an organization of social serv-
ice workers or followup nurses to visit the patients
in buy cipro online their homes was essential. The necessity of more
prolonged postpartum obser\-ation shoidd be includ-
ed in every scheme of hospital standardization and
the' shortcomings of institutional work in this field
applied with equal buy cheap cipro force to cipro 250mg private patients. The
advisability of some form of maternity insurance
might do a great deal cipro cost to obviate some of the diffi-
culties connected with the scheme of more prolonged |
postpartum care of obstertical patients. I
An Analysis of the Failures in Radium Treat-
ment of Cervical Cancer. — Dr. F'rederick J.
Taussig, of St. Loui.-., stated that radium treat-
ment of uterine cancer should be kept cipro online in the hands
of cost of cipro the gynecologist rather than the rontgenologist,
but such a gynecologist cipro 250 mg should seek preliminary
training in the use of radium and must have con-
tinued opportunity for observation and treatment of
cancer cases in order to reduce mistakes to a mini-
mum. Good permanent results could be obtained
in a certain proportion of cervical cancers with cipro 250
amounts of radium not exceeding one hundred to
one hundred and fifty mgs. of the element, though
the use of large amounts in the form of emanation
would doubtless decrease complications and increase
the number of cures to some degree. If possible, all
necessary treatment should be given within the first
six or eight week period before sclerosis had set in
and rendered the cancer less accessible and the nor-
mal tissues more susceptible to injury.
Tumor filtration or light metal filtration together
with intracervical application did most good and
least damage; twenty-five hundred to thirty-five
hundred mgs. buying cipro online were usually enough to give results in
the favorable cases. In the absence of the Bailey
bomb and large amounts of emanation, purchase cipro online well directed
and prolonged x ray from six to eight portals would
usually affect the parametrial and glandular involve-
ments. Prolonged necrosis and fistulas were due to
repeated treatments, to vaginal applications and to
heavy gamma radiation or to a combination cipro hc of the
three. Rectovaginal fistulas were more frequent
and cipro order vesicovaginal fistulas less frequent after radium
treatment. Operation was to be preferred in all
operable cases where the patient was under thirty-
five years and in the early operable cases where the
patient was beyond this age. Radium was to be rec- i
ommended wherever obesity, lung, heart or kidney I
lesions made operation difficult or dangerous, and in
advanced operable, borderline and inoperable cases, price of cipro
but not in the advanced inoperable group with cipro cheap cach-
exia. The advanced inoperable cases had better be
treated with acetone, since radium increased the ten-
dency to fistulas and pain in most instances. These
views were based on an experience extending over
two and a half years in the treatment of eighty-six
cases of cervical and vaginal cancer and six cases of
vulvar cancer, in which radium or a combination of
radium with operation was cipro online pharmacy employed.
(To be concluded.)
(.
New York Medical Journal
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