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^ftltrs ia i\i ^iixiat. THE STATE SOCIETY'S COMMITTEE ON LEGISLATION. New York, April 17, ISS4. To the Editor of the New York Medical Journal : Sir: Your issue of this date contains a letter from Dr. Sturgis criticising tlie action of the present Committee on Legis- lation of the State Society, of which committee he was formerly chairman. The gentleman in question has on numerous occa- zithromax-cheap.net sions urged the order zithromax over the counter committee to do its duty, hoth through your coluums and by means of persistent letter-writing to the mem- bers of the committee. The criticism of the present committee by its former chairman is, to say the least, in rather bad taste, and perhaps unwise, as I doubt if he can be fully informed as to just what the committee have done, and what they may have neglected to do. safe order zithromax online The committee itself is responsible solely to the body that appointed it, and the proper time for a review of its work is when its report is presented generic zithromax cheap at the next meeting of the State society. In this connection, however, it may not be improper to state that no fewer than ten objectionable and in- jurious medical bills were introduced order zithromax canada into the Legislature during the session generic zithromax 500mg just ended. Of tliese, six have been killed outright, and four of them amended in a manner satisfactory to the com- mittee. Two of the generic zithromax (azithromycin) foregoing bills were introduced a second time, but did not succeed in buy cheap zithromax online passing. The expenses of the com- mittee, which it will ask the State society next year to reim- burse, will not exceed $73. The expenses of the previous Com- mittee on Legislation, of which Dr. Sturgis was chairman, amounted to something over $1,200, which sum the State soci- ety was called upon to pay, the amount being seven hundred dollars in excess of the sum that order zithromax online uk the society had authorized the committee to expend. Respectfully yours, Henry G. Piffard, Chairman Com. on Legislation Med. Soc. S. N. generic zithromax z pack T. |lroreft)ings of Sodttics. NEW YORK ACADEMY OF MEDICINE. Meeting of May 15, I8S4. The Vice-President, Dr. H. T. Hanks, in the chair. Practical Soggestions upon the cheap zithromax online Alimentation of Pa- tients SUFFERING FROM DYSPHAGIA. Dr. D. BrYSON DeLAVAN read a paper the object of which was to direct attention to the morbid conditions with which dysphagia might be prominently associated, to point out its generic zithromax price influence upon the course of such conditions, to discuss certain measures of relief not commonly made use of, and to urge the importance of resorting to such measures for their effect upon the disease, for the prolongation of life, and for the comfort of the patient. The causes of dys- phagia were either organic or functional. Among can you order zithromax online the organic derangements which might lead to dysphagia he^mentioned tu- berculosis, cancer, syphilis, di|)htheria, generic zithromax z pak amygdalitis, and retro- pharyngeal abscess ; among functional causes were spasm from any cause and cheap zithromax paralysis. Tiie general indications in treatment were : To secure rest, to avoid pain, to protect the parts from irritation, and to sustain nutrition. The generic zithromax no prescription means of administer- ing nourishment were by the rectum and by the mouth, rectal alimentation being specially of service in cases in which, if food could be carried to the stomach, the stomach nevertheless re- belled. But the chief point which the author wished to make related to the importance and manner of nourishment by means of a simple apparatus for conductiug food into the stomach or beyond the point of obstruction in the pharynx or oesophagus. By this means the indications before mentioned would be at once fulfilled; rest would be secured, pain and injury avoided, and nutrition maintained. Dr. Delavan then described a very simple apparatus to be used as a stomach-pump. It consisted of a soda-water bottle, with a rubber cork containing two per- forations, into one of which was introduced a small soft-rubber tube, and into the other another like tube, to which was at- tached the bulb of a Davidson syringe. Pressure upon the order zithromax online no prescription bulb would cause the liquid nutriment in the bottle to flow out of the first tube. On the end of this might be attached a suitable instrument for introduction through the stricture — as a No. 9 to a No. 13 catbeter. If necessary to be introduced through the nose, a small-sized soft-rubber tube generic zithromax 250mg might be used. This apparatus was modeled after that of Dujardin-Beaumetz, but was much simpler and less expensive. The introduction of the catheter was much easier and less uncomfortable to the patient than the introduction of the ordinary stomach-tube, and, with a little experience, the instrument might be employed by the patient himself Its introduction would be facilitated by dip- ping it into mucilage and having the patient swallow mucilage. The details of the use of the instrument and the importance of artificial alimentation in the various affections alluded to were considered. Dr. John 0. Peters said that in some of the acute afl:"ectioBS referred to, as ordinary sore throat and diphtheria, it order zithromax for chlamydia was not necessary to feed and stimulate the patient to the extent that some supposed. He sometimes thought we were going to the opposite extreme of the practice of physicians of olden times who starved their patients, and were now often over-stimulating

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