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five
Fig. 20.— D. R. This Cheap Alli
years Where To Purchase Alli ago. when no x-rays were made, as their Order Alli value was
not recognized at that time. But I realized the Online Alli trouble
was of nasal origin, and after the operation it subsided
He has been seen at intervals since, and there has been no
Fig. 21. — Mr. T. Typical nose case. This patient Where To Buy Alli had
temporal pain on the left side, the pain area covering a
spot about the size of Alli For Cheap a half dollar. This did not vary,
came on at nights, grew increasingly severe, until it was
extremely difficult to relieve. I made a study of this x-ray
and watched the case in the hospital, coming to the con-
clusion that the cause of the trouble was closure of the
sphenoidal sinus. I operated and he was cured of pain
Each case is a law unto itself as regards location of pain,
and the clinical symptoms must be considered with the
x-ray picture.
Fig. 22. — Mr. T. The best picture we have, taken through
the mouth, shows a distinct shadow of Purchase Alli Online the turbinal pressing
against the posterior end of the septum, which a succeeding
picture (not now available" does not show.
Fig. 23. — H. L. Typical case of central scotoma ; the
boy could not go to school, had suffered at intervals all his
life. The eye conditions and nasal reflexes combined to
bring about unusual vaso-motor disturbances. The x-ray
picture of the case follows.
Fig. 24. — The x-ray picture shows very little septal pres-
sure, but a good deal of closure due to deflected septum and
enlarged turbinals. An operation correcting this relieved
the Alli Cheap trouble. I H. L.)
Fig. 25.— Mrs. H. Interesting case of functional glau-
coma of right side, occurring in a young woman, and de-
stroying, through Alli Where To Buy tension (she developed a 100 point ten-
sion) the sight of the right eye. The left eye became
somewhat disturbed functionally, and at intervals developed
some tension. Immediately following the operation, with-
out anything being done to the eye. the tension in the
right eye dropped from 100 to 50, and in the left from 35 to
24. But due to the destructive pathology, the right eye
remained more or less painful, and some weeks later I did
a LaG range operation on that eye to relieve this.
Fig. 26.— Mr
nent sphenoid*
of such cases.
Fig. 27. — Mrs. H. After Alli Purchase the operation.
Fig. 28.— Author's method of getting rid of the blood in
nasal mastoid or sinus operations, particularly valuable
where general anesthetic is used, as is the routine in
these cases.
Fig. 29.— Dr. J. D. Poe's plan to keep the tongue out
of the way, and etherizing the patient with a stethoscope
kept over throat. The operations are done without any
blood getting into lungs.
664
SOUTHERN MEDICAL JOURNAL
August 1922
DISCUSSION
Dr. J. A. Stuck)/. Lexington, Ky. — Unfortu-
nately, many of the x-rays that we have been
having in the last year or two have been mis-
leading. They have not told us exactly what
part the nasal septum was playing in many of
these cases. There is no part of rhinology in
which my views have Alli Online changed more than in the
relation of the middle turbinate to the septum.
Formerly, I contended that we had better sacri-
fice the middle turbinate and save the septum.
But in the last few years I have learned that
these thickening, slightly deviated, partially
bifurcated septa interfere with ventilation and
drainage of the nasal attic and produce a nega-
tive pressure, retaining the secretions in the
ethmoid and sphenoid cells. These retained se-
cretions are apt Alli Order to become purulent and then
we have a positive pressure. I have also learned
that a great many of us, in operating upon de-
viating septa, have been doing harm by using
too much force. I have seen operators separate
the mucosa, cut out the septum, then go in
with a pair of forceps and twist and Where Can I Buy Alli pull as
they would at an impacted tooth. This causes
trauma that does a great deal of harm. It is
the obstructed attic of the nose that is the cause
of a great many of these reflex ocular condi-
tions that we meet with. If this is not relieved
the condition becomes purulent and then septic.
These cases mentioned by Dr. Cary were in
the hospital during the time they were under
treatment. Their method of living was changed
for the time they were there. It does Alli To Buy not take
long to get a remarkable change in these cases.
Some of the children in my clinic have changed
like magic in three or four days as a result of
changing their method of living and feeding.
My Where Can You Buy Alli attention has been called to the work of
Englebach and Selfridge on endocrine disturb-
ances. In two cases similar to those mentioned
by Dr. Cary, in which I was getting no results
at all, I obtained great improvement by using
pluri - glandular treatment. I am more and
more calling to my assistance the internist in
handling these cases. Undoubtedly the necros-
ing osteitis is Cost Of Alli caused by pressure, for we have
erosion there which medication alone does not
relieve. You might as well try Alli Buy Online to clean the
front porch with a sprinkling can as Alli In Uk to clean a
nose with an atomizer. It cannot be done.
Dr. Cary (closing). — I am convinced that diet
is important in these cases, but while the intern-
ist is making up his mind what diet to give the
patient, you have cured him. The transforma-
tion is almost as rapid as anything can be. You
do not have to think about diet. Of course you
must see that the individual is properly nour-
ished, but it is not a question of diet. It is a
question of correcting the zone of disturbance.
I have myself been unable in many cases to
classify with exactness the cause of eye Purchase Alli condi-
tions such as have been discussed in my paper;
of course, we have classified some of the causes.
We know for instance, Alli Buy that the absorption of
toxins and septic material influences the resist-
ance of the patient. By some this has been
thought to be the whole cause, but I can not agree.
I am sure you must consider the individual in the

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