The instmment which I have been using is roughly
constructed, and imperfect in several respects, yet I have
been able methotrexate canada to produce anaesthesia with ether in from two
to twenty minutes. The quantity of ether used varied in
different cases. I have generally found one-half ounce to
two ounces sufficient for minor surgical operations.
The stage of excitement I find to be scarcely percepti-
ble, and my patients do not complain of difficult breath-
ing. Their complexion may be flushed, but there is no
coughing or jerky catching respiration. The quantity
of mucus is not materially increased.
Charles methotrexate generic name Truax (Ireen \- Co., of Chicago, 111., have
made me an instrument constructed on the principles
set forth in this ar-
ticle. Its dimensions
are as follows:
I leight, a little over
live inches ; greatest
diameter, three and
jne-half inches ; ca-
fl^ ' pacitv of reservoir,
^ . ', three ounces.
I believe this in-
haler to be safe,
economical, and as
well adapted to the
a d m i n i stration of
chloroform or mixt-
ures as ether. Sus-
pended by an elastic
cord from the ceiling, it makes a very convenient in-
strument tor the administration of chloroform in obstet-
The patient methotrexate 12.5 mg grasps the inhaler and holds it down over
her face, but as soon as the muscles methotrexate b12 of the arm and fingers
relax, the elastic cord carries it away, and the valves close,
preventing the escape of the anaesthetic into the room.
Medico-philosophic Definitions. — Health. — A unit
that gives value to the zeros of life (Jousset). Hunger. —
Dyspepsia of the poor. Remorse. — Moral indigestion.
Life. — That which holds matter together (Bichat).
October 28, 1893]
A NEW methotrexate usp INTRA-UTERINE IRRIGATOR.
By ALAN B. MURRAY, M.D.,
The ordinary metallic intra-uterine irrigator, having di-
rect and return tubes, is objectionable for several reasons,
the principal one of which is that it is almost impossible
to properly clean the tubes. After having tried a variety
of the instmments commonly in use, it occurred to me methotrexate india
that an irrigator made of hard rubber, with the inner or
direct tube removable, would do away with several of the
objectionable features. Acting on this idea I have had
Messrs. Tiemann & Co. make for me the instrument here
illustrated. pharmacology of methotrexate Made of hard rubber, it is unaffected by any
a new mask should be used for each patient, especially as
the cost is so moderate.
These masks may be obtained from E. B. Meyrowitz,
104 East Twenty-third Street, New York.
BLUNT-HOOK AND HOOK-KNIFE FOR FACIL-
ITATING THE OPERATION FOR SECOND-
Bv JOHN HERBERT CLAIBORNE, M.D.,
of the usual irrigating solutions. After use, the removal
of the methotrexate cream inner 6 mp methotrexate or direct tube renders the cleansing of the
return tube a simple matter. After methotrexate for ms properly cleansing
and boiling, the instrument is rendered absolutely aseptic.
There are no points within the tube for the lodgement of
shreds of tissue or blood-clots.
RING'S methotrexate 17.5 mg OCULAR MASK.
By FRANK VV. RING, M.D.,
This mask is designed for the purpose of protecting eyes
from injury, especially after cataract extraction. Eyes
are not infrequently lost after extraction of cataract, from
force inflicted by ^he patients, either consciously or un-
consciously, and this device serves as a complete pro-
tection, as it is i|uite impossible to disturb the eye with-
out breaking the tapes.
One great advantage consists in the security with which
the bandage may be permanently removed at the end of
from thirty-six to forty-eight hours, by simply filling in
the oval depression in the mask with cotton — it being
desirable to relie\e the eye from the pressure of the band-
age, and consecpient
heat and soaking there- -^ ~ '^ ^^*>^~^
by produced, as soon as -'^
The patients are al-
ways very anxious to
have the mask applied,
especially at night, as it
gives them a feeling of
security against acci-
This shield is made methotrexate sodium 2.5 mg
of papier-mache, lined
on the outside with silk
and inside with linen.
It is made to fit the
contour of the average
face. If the nose should
be rather prominent, cut
two snips either side of the nose-piece. If less promi-
nent, fill in the space with a little cotton. Surgeons using
other dressing than the roller bandage will find it of es-
pecial advantage. It is designed to be used immediately
after operation, and maybe continued for some days. If
one desires to give the patient light, a perforation may
be easily made with a penknife in front of the unoperated
As a matter of cleanliness and safety against contagion
The instruments which the accompanying cut represents
are intended to facilitate the operation for secondary cat-
aract. It is a well known fact that
after the lens has been extracted from
an eye the methotrexate and ms remains of the capsule are
often found to be so dense and opaque
that the usual good results of the op-
eration are not attained. This ne-
cessitates the operation for the so-
called secondary cataract.
Owing to the fact that the attach-
ments of the capsule to the ciliary mus-
cle are insecure and easily ruptured,
and owing to the extreme instability of
the capsule as it lies between the a(iue-
ous and vitreous methotrexate 7.5 mg humors, it becomes a
difficult undertaking to tear a hole in
the capsule either with a single needle
or with two. The endeavor to attain
this end with one needle or knife has
largely been supplanted by the operation
with two needles, in methotrexate rxlist which it is at
tempted to tease the capsule apart. That
even this is difficult to accomplish will
be recognized by all who have tried it.
The methotrexate 2.5 mg tablet two instruments, as can be seen in
the cut, are a methotrexate injection cost blunt-hook and a sharp-
The idea of having them constructed
came to me in the following wise:
I removed a hypermature cataract
from methotrexate pharmacology a woman and had the misfortune
to find an extremely dense capsule re-
maining. It was, indeed, so dense that
very little improvement in vision was
attained through the operation. Two
attemi)ts were made with the teasing
needles to tear a proper aperture in the
capsule. Failure attended each attempt.
The capsule was slightly torn, but not
sufficiently. A dense tongue of capsule
hung in the rift, and could not be dis-
placed by the teasing needles. Two
weeks later I determined to use a small keratome and
tear away the tongue with forceps.
.\ small opening was made at the upper sclero-corneal
margin with a keratome, but when I endeavored to grasp
the piece of capsule it escaped from the jaws of the for-
ceps and retired to the vitreous chamber. Repeated at-
tempts failed. I was on the point of giving up the task
when I thought of Stephens's small tenotomy-hook.
I introduced this instrument through the wound and
neatly tucked the tongue of capsule back behind the iris,
leaving a perfectly clean and proper pupil. It has re-
mained ever since.
Stephens's hook is a trifle large and hardly has the
proper cur\'e for this work.
It will be seen that the blunt -hook here shown is
beaked. The knife- hook has the same cur\'e, is very
sharp-pointed, with a cutting edge that extends to the
' Tlie writer is not unaware tliat a hook has been devised by Stell-
wag for the purpose of removing the entire capsule, when it under- topical methotrexate
goes chalky degeneration, through a linear incision. The method of
procedure suggested here differs from that of Stellwag in several re-
spects. Hence he feels himself warranted in presenting the above.
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