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with their confreres in the rest of the world that the scope of obstetrical teaching embraces not only the phA-siology and pathology of reproduction but necessarily all the diseases of women. The chief of an obstetrical department must be a thoroughly trained abdominal and pelvic surgeon maintaining proficiency in his art by constant practice. Other- wise he is not fit for his position and would be incompetent to deal with the cases that may be admitted to his clinic at any moment ; ruptured uterus with injury of intestines, requiring resection ; diaphragmatic hernia in pregnancy ; discovery of disease of the gallbladder in the course of an ab- dominal operation, and so on through a long list. In brief he must be prepared doxycycline tetracycline to deal surgically or otherwise with all the ills of online tetracycline women whether com- plicating pregnancy, labor and the puerperium or often their indirect consequence. We have in the University of Pennsylvania a voluntary and a compulsory student's internship in the maternity hospital ; the amount of material he sees, the notes he takes, and his conduct on the service are collated to establish his rating in the final examination. I find this tetracycline 500mg capsules for acne record tetracycline 250mg tablets of a student's clinical opportunities during a voluntary intern- ship of two weeks : Seven normal deliveries, an extraperitoneal Cassarean section, transverse pre- sentation with version, Caesarean section for pla- centa where to buy tetracycline prasvia, compound presentation with two feet, hand, occiput and prolapsed cord, a Caesarean section for a monster, dicephalus tetrabrachius, ten plastic operations, two ovarian cysts, a hydrosal- pinx, a salpingitis, an exploratory laparotomy, a supravaginal hysterectomy, generic version of tetracycline a large ovarian cyst, a cancer of the sigmoid : resection, six dilatations and curettage, three appendectomies, a gas anesthesia, a radium application, two intravenous iiajections of salt solution, a blood transfusion, two inevitable abortions, a uterine irrigation, and a ruptured ecto- pic gestation. This same intern had another compulsory week's internship in the hospital ; a two weeks' voluntary service in the outpatient department and another compulsorj' ten day period; a year of theoretical lectures ; another year of clinics, conferences, sec- tion buy tetracycline 500mg work and ward classes in which he saw, heard described, and personally assisted in the treatment of a large additional number of cases, such as have just been detailed. The following question natur- ally suggests itself: If the chief of an obstetrical department must be an accomplished pelvic and abdominal surgeon ; if his department, properly organized and 500 mg tetracycline rosacea conducted, controls an amount of clinical material that no other can rival ; if he alone in the medical faculty can teach all the conditions which the physician must treat in women, is it pedagogically or economically justifiable to main- tain in a medical school a socalled gA-necological department, which can only duplicate the teaching of the surgical and obstetrical departments and in a manner necessarily inferior to both? This ques- tion has alreadj' been answered in the only way it could be answered by the majority of our best medical schools; it is being answered as opportunity occurs by vacancies in existing chairs, and it will presently be answered conclusively and finally. As an interested observer, an occasional partici- pant in the transactions and an old member of the American Gynecological Society, it appears to me impolitic to allow a movement which vitally con- cerns us all to gain tetracycline hydrochloride capsules usp 500mg irresistible headway and to reach its ultimate goal, apparently ignored by the very organization that should have fostered and directed it. The reason for our attitude is obvious: some of the members might fear an interference with their vested interests. where can i buy tetracycline Others, disinterested, might, in the buy tetracycline spirit of a laudator temporis acti, be honestly convinced that the old order should not be disturbed. But the issue is too. important to be influenced by selfinterest or unprogressive minds. This is the only country in the world now rich enough to ad- equately equip its medical schools tetracycline 250 mg acne : consequently the hegemony of the medical education of the world lies within our grasp if, having the money, we have the wit to seize it. Apparently the world's centre buying tetracycline online of wealth, power and civilization, shifting with the tetracycline mgd ages from Meso- potamia, Egypt, Greece, tetracycline 500mg capsules Rome, and Northern Eu- rope, is moving to tetracycline mail order this cheap tetracycline continent. It is an inspir- ing thought that each one of us puny mortals in his tiny sphere may play a part in such a stupendous cosmic drama. Let us teachers of one of the most important medical branches put our 500 mg tetracycline acne house in order, that we may merit a place among those who assist and do not hinder the passage to America of the world's leadership in medical education. TREATMENT OF DISPLACEMENT OF THE UTERUS. tetracycline hcl bp 250 mg By P. Brooke Bland, M. D., F. A. C. S.,

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