ploratory section should be resorted to more fre-
quently. (3) Patients should be made to under-
stand that wJiile the disease is ordinarily incur-
able, yet they will be better where to buy nolvadex and clomid treated by honest
physicians that promise little than by charlatans
who promise much.
2. Cancer of the Stomach. — Fitz takes a
rather pessimistic view of the surgical treatment
of cancer of the stomach. He analyzes the rec-
ords of 37 patients on whom operation was per-
formed. Twenty-eight of these patients died
within two months after operation, and only one
was in good conditon one year after operation.
The author concludes: "It would appear from
this experience that merely exploratory opera-
tions tamoxifen nolvadex in cheap nolvadex online advanced malignant disease involving the
stomach have a considerable mortality, afford no
relief cheap nolvadex and are followed by an buying nolvadex online early death. That
explorations in such advanced cases followed by
operations intended to relieve symptoms have a
high mortality, and that in the survivors, relief
is inconstant, though sometimes where can i get nolvadex prolonged at
least a vear. It may be admitted that the sur-
gical trc:itment of advanced cases of malignant
disease of the stomach is humane because it some-
times gives more or less prolonged relief, and
often shortens the period of suffering even if it
gives no considerable relief. buy nolvadex uk On the other hand,
the treatment of such cases by other than sur-
PITH OF CURRENT LITERATURE.
N. Y. Med. Jode. axi>
Pbila. Med. Joubnau.
gical methods often gives more or less prolonged
relief and usually makes dying easy. It may be
more humane buying nolvadex to treat every case surgically, what-
ever its condition at the time, or nolvadex pct to administer a
lethal dose to how to get nolvadex an incurable and buy nolvadex online suffering patient.
Should the choice lie between the two methods,
the latter has certain advantages in its favor."
3. Gastroenterostomy. — This is Gould's fourth
paper where to get nolvadex on proposed improvements in surgical
technics. The ideal operation should satisfy the
following requirements: (i) The pylorus should
never be closed, merely to ensure the patency of
the artificial opening. (2) The gastroenteros-
tomy opening should be so constructed tha't it
will remain open of itself. (3) An enteroenteros-
tomy should be performed between the proxi- order nolvadex online
mal and the distal coils of the jejunum. (4) That
as much as possible of the food should be pre-
vented from entering the stomach, where can i buy nolvadex online without en-
tirely cutting oft' the jejunal patch from the buy cheap nolvadex pro-
tection of the bile against the eroding effect of
the gastric nolvadex purchase juice. In the proposed operation the
second requirement is attained by making the open-
ing in the stomach at right angles where can i buy nolvadex to the greater
curvature. This gives a diamond shaped open-
ing when the operation is completed. The fourth
requirement is obtained by constructing an arti-
ficial valve in the proximal loop of the jejunum
on the stomach side of the buy nolvadex enteroenterostomy.
January si, 1^03.
1. A Contribution to the /Etiology of Malaria, and to the
Analysis of Some Relations of Meteorology to Chem-
ical Pathology, By Homer Wakefield.
2. The Use of Sulphate of Copper Alone, and in Combi-
nation with Lime, for the Destruction of Mosquito
Larvae, as a Deodorant, and as a Disinfectant,
By A. H. Doty.
2. The Subconscious Self, By J. Allen Gilbert.
4. Some Painful Affections of the Feet, Diagnosis and
Treatment, By Charles Ogilvy.
5. An Inflamed Appendix in an Inguinal Hernia, Simu-
lating Strangulation, By Joseph E. Golding.
1. Malaria. — Wakefield contends that " ma-
laria " is a syndrome more typical in symptom-
atology than in incidental blood changes or spe-
cific mode of infection. It is " essentially a dis-
ease of general stasis of catabolism, involving pri-
marily blood destruction, and is, in different
cases, nolvadex buy caused by the suboxidation of humidity,
vitiated atmospheres, etc., by toxicity, of many
mosquito bites, by intravascular bacterial toxines,
and undoubtedly, also, by direct inhalation of
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