muqotyh mobikibop
|
 |   Related post: 755 Of the utmost importance to a human being is the selection of his ancestry. This is delegated to his parents, and if they fail in observing natural laws that in a measure give them option in the matter, they are responsible for the result. As to consanguinity, it seems that the character of the stock is the important factor. The presence of neuropathic tendencies in one or both parents, especially if there is similarity in the character of the neurosis, means almost invariably neurosis in the offspring in definite measure. Even a consan- guineous marriage between those of good stock re- sults as a rule in high class offspring. But when neurosis is introduced, the progeny suffers far more than in indifferent mating. There is in this a logi- cal suggestion of high prophylactic value. I do not agree with the learned New York jurist, Judge Foster, who asserts that sterilization of the criminal — he might better have said the unfit — is the cure for crime. In my opinion, you must go far back of the individual who is already afflicted. Individual conscience must awaken, and public sentiment crystallize so that general laws of men- tal hygiene will be enacted and carried out under the supervision of competent scientists, and then we may eventually hope to be relieved of the awful burden of caring for Buy Maxolon the mental and physical anomalies. 34 West Eighty-seventh Street. HEMORRHOID OPERATIONS. A Local Anesthesia Technic. By Leigh Watson, M. D., Oklahoma City, Okfa. I am describing a case of internal varicose hem- orrhoids of ten years' duration. There is an ex- ternal connective tissue pile, Tuttle's skin tab, on the left side. The patient is a printer, thirty years of Maxolon 10mg age. The hemorrhoids frequently protrude and the patient is often annoyed by bleeding and tenes- mus. The patient is lying on his left side in the Sims position. The internal hemorrhoids are Maxolon Tablets above the sphincteric ring and are not visible (Fig. i). A small pledget of cotton saturated with a one fifth per cent, cocaine solution is introduced into the anus as the patient strains, as he relaxes the pledget is drawn up within the sphincteric ring. The local applications are repeated with pledgets of increasing size, until the mucosa is completely anesthetized and the sphincter sufficiently relaxed to admit the index finger without pain. The needle is now introduced through the anes- thetized mucosa and the mucocutaneous margin is carefully infiltrated with a one tenth per cent, co- caine solution. The needle should be very superfi- cial and always in sight beneath the epidermis. The infiltration is made into the deep lasers of the der- mis, and not under the skin. .-Vfter each injection the needle is reinserted well within the anesthetized area. The skin infiltration is now complete, a series of small tense wheals encircling the margin of the anus. This is all that is required for external hem- orrhoids when it is not necessary to dilate the sphincter. Note the small amount of infiltration necessary when it is properly placed in the deep lay- ers of the dermis. Massive infiltration distorts or obliterates the hemorrhoids and is a frequent cause of failure when physicians neglect to remove all the pile tumors when using local anesthesia (Fig. 2). -Hemorrhoids before local .iiiestlie Fig. 2.— .^11 amount of solutio Related links: where can i buy clomid, Saw Palmetto Zinc, Voltarol Emulgel, Asacol Discount, Ha Hyaluronic Acid, Lisinopril With Hctz, Legal Order Prozac Online, Cytotec Tablets, lisinopril/hctz 20- 25mg tab, Order Benadryl
|