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patient, in turn, might have given it to the next, for instance, by means of expectoration Generic Viagra Cialis Levitra Cheap upon the floor, and its subsequent dis- semination in a pulverized condition in the atmosphere. In- halations of this might have affected the next child, and in this way the infection have been propagated from one to the other till all died. He thought it rather strange that Dr. Bartley should conclude, not until after two years, that the ice-cream- poisoning cases he mentioned were the result of gelatin poisoning instead of vanilla adulterations, as he at first reported, because all who were poisoned had eaten this flavor of cream. Bicar- bonate of sodium could not be found in beer if added with tar- taric acid. Dr. Little asked if Dr. Bartley had found any strychnine in beer. Dr. Bartley replied that he had not. In reference to Dr. Conway's remarks he had only to say that the adulterations he had spoken of were mainly found outside of this country and did not prevail here. Many teas that had been examined were found to contain less harmful substances than simply other herbs. It had been said that many fruit-iellies contained no fruit. Out of 360 cans of fruit-jelly actually analyzed, not over a dozen had been found to be made of gelatin. There were, perhaps, some factories in New York and Brooklyn that used gelatin. Out of twenty-five vinegars examined during many years, no sulphuric-acid Generic Viagra Cialis Levitra Cheap specimen had been found, and only one of pyro- iigneous acid. Vinegar was made cheaply and its falsification did* not pay. It had just occurred to him that a few years ago there was a series of cases Generic Viagra Cialis Levitra Cheap of lead poisoning in New England. All the flour that these affected people had used came from the same mill. Upon examination, it was found that the miller who ground the flour had filled some holes in his mill-stones with lead. The addition of antiseptics to beer was done at the end of the fermenting process. The hicarbonate of sodium was added only twenty-four hours before the beer was delivered. That removed the objections that had been made. The objec- tion to it was the same that could be urged against taking the same quantity in watei-. He did not maintain that it was al- ways ingested as such, but it was so excreted. He was not sure, because he could not be, that the five tubercular patients he had mentioned became so from drinking the milk of a tuber- culous cow. It was quite certain, though, that they did not develop it from each other, as Dr. Kretzschmar had supposed, for they all had meningeal and intestinal tuberculosis and no tubercular sputa. Concerning the ice-cream cases, he remarked that all the vanilla cream had been flavored out of the same bottle of vanilla before and after the occurrence of the cases of poisoning, so that it could not have Generic Viagra Cialis Levitra Cheap been the cause. The total quantity was too small anyway to do any harm. Generic Viagra Cialis Levitra Cheap He was not positive that these were cases of gelatin poisoning, but was in- chned to think so. As to whether the subjects were poisoned by some alkaloid, he could not say. It took two weeks of hard work Generic Viagra Cialis Levitra Cheap to determine that, and for this he hardly had the time. Dr. EocLES suggested that physicians ought to instruct people as to what were the best and safest antiseptics and disinfectants Benzoic acid had none of the objectionable features of other members of this group. His last summer's experiments had showed it to be the best fluid preservative. Meeting of March 11, 18S6. The President, Dr. B. F. Westbrook, in the Chair. Dr. A. H. P. Leuf, Secretary. The Pathology and Treatment of Enlarged Prostate. — Dr, F. W. Rookwell read a paper on this sulg'ect. [See p. 29.1 July 10, 18e)6.] PROOEEDINOS OF SOCIETIES. 53 Dr. Robert Newman, of New York, had almost entirely dis- carded all old instruments. Some catheters had two lioles, hut he could see no use for them when it was desired to relieve those with retention from prostatic enlargement. Pus, hlood, etc., were found in the urine of these cases, and stopped up the small openings of most catheters. The object was to allow the ropy, thick mucous strings to pass through the holes of the catheter, and thereby relieve tbe bladder. Now, the small holes would defeat this object. For many years he had used his own double- cannula catheter for drawing off the urine, as well as for wash- ing out and dilating the bladder. This catheter had two sepa- rate cannulas and two openings, one for the injection and another for the return flow. The one fenestra for the latter was a large slit Generic Viagra Cialis Levitra Cheap near the end of the instrument, Generic Viagra Cialis Levitra Cheap large enough to allow thick masses of pus and mucus to pass. Tbis slit was an opening in the middle of the instrument, which was prefera- ble to the old catlieters having a small fenestra on -the outer side. But such an opening irritated the mucous lining on pass- ing over it. It would be even better to have the opening on the inner side. The old long Generic Viagra Cialis Levitra Cheap curve of the catheter was useful only in very few cases. At present, the short curve gave best satisfaction. In fact, the hand of the operator guided the instrument, no mat- ter what the curve was. He commended Dr. Rockwell's exhi- bition of almost all the genito-urinary instruments used in such cases, and he might add only filiform guides, tunneled catheters, and Mercier's invaginated catheter. The latter was an ingenious instrument, which often passed over the enlarged prostate when other instruments failed. But in extreme cases it might also fail. He preferred tunneled sounds, which, in his practice, had scarcely ever failed. Sometimes the introduction of a filiform guide might relieve retention for the following reason : The retention was caused by the mechanical obstruction of the enlarged prostate filling up the neck of the bladder. Now, the introduction of the filiform guide pushed the obstruction somewhat backward, and then the water would run alongside this Generic Viagra Cialis Levitra Cheap guide and empty the bladder. This little manauvre had an advantage, as with it micturition would be made a voluntary act, while the drawing of urine by means of the catheter was always an involuntary act. The latter weakened while the former strengthened the muscles of micturition. He preferred firm metallic instruments, which the operator could guide with his fingers, and depreciated Generic Viagra Cialis Levitra Cheap the old elastic catheters, which were unreliable, bending like a spring, so that tlie operator was un- certain where the end passed on. The soft catheters were be»t for use by the patient himself, as he could do no harm with them. He employed for enlarged prostate rectal suppositories of potassium iodide, hyoscyamus, and nux vomica. Sometimes there was slight constipation, due either to the patient's condi- tion or to the medicine. In such cases he added one grain of extract of colocynth. It did all the good required, though but a single grain. For spasm he added a small quantity of bella- donna and with it a little opium. Some peculiar idiosyncrasies were met with at times. He had had a Generic Viagra Cialis Levitra Cheap patient that very morn- ing who, although he took but one tenth of a grain twice a day,