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Ix-en a prostitute. Venereal history, syphilized three years ago. Locomotor ataxia appeared two years ago. Treated off and on with internal and injection methods Discount Viagra Pills dur- ing the past two years. Physical examination, general condition poor. Locomotor ataxia with symptoms of op- tic neuritis. One half gramme of 606 was injected on or about November 20th. The results have been that the early symptoms Discount Viagra Pills of locomotor ataxia very greatly improved so that the patient has been able to get back to her work. The eye symptoms have also improved. It is hoped only that this ground fully gained will be increased. The ser- um test was very strong on November 17th, 28th, and De- cember 13th, and strong on December 20th and Januarv ,3d. On Decenil)er Discount Viagra Pills 27th. her weight was 151 K; pounds, blood pressure. 117. January 3d. weight, 152' S pounds; blood pressure, wy. January Discount Viagra Pills roth, weight, 153 jiounds. Jan- uary 17th. weight, \S7'/- pounds: blood pressure. 112. Rather recent retinal hemorrhages were in the eyes prior to the treatment. Case 11. H. B., married, Denmark, saloon keeper, forty-four years old. .\dmitted, November i6th, to the Discount Viagra Pills People's Hospital. Diagnosis, early tabes dorsalis. Fam- ily history, negative. Previous history, excessive alcohol- ism. Can remember no disease of childhood or ;ccute ill- ness. Gonorrhoea six years ago, cured in about two Discount Viagra Pills months. Syphilis alx)Ut four years ago. Secondaries ac- knowledged. Treated by internal medication for a short |)eriod about one year. No history M gumma, complains Discount Viagra Pills of pain in the right knee and thigh and of constipation, and at times difficult micturition with straining. Physical examination, fairly well nourished, rather alcoholic ap- pearance. Inequality of the pupils, right reacts to light and distance but left docs not. Vision, nnrmai. Reflexes for the most part exaggerated, also the Romberg signs of ataxia. .After considerable trcatmetit with mercury with- out effect on any of bis symptoms during which what ap- peared to l>e a syphilitic myositis appeared ; it was de- termined to give the Discount Viagra Pills patient (toCi although it was realized that no benefit to his ataxia wotdd be established. On November rfith, 0.5 gramme was injected. .After this the patient's temperature varied from normal tn 102.2°. Re 868 PEDERSEX: THERAPEUTICS Of SYPHILIS. turned to normal on November 22d, when he was dis- charged. ' Since that time the patient's general condition has improved a good deal. His tendency toward nervous- ness, headache, ataxia have improved. The ataxia is still present, but in a much less degree. The patient states that he feels a good deal better and the pains in the thighs, which seem to me to be a myositis, and not an evidence of locomotor ataxia, have disappeared. The muscles were somewhat thickened where the pain was. The serum test on November i8th and 22d was positive; November Discount Viagra Pills 30th, weak ; December 8th, negative. The blood pressure in this patient on admission was 65. Varied from lOi to Case VI. — ^J. J. H., exhibiting conditions before injection, namely, gumma of forehead, excavation of mandible, and gumma formation there. 117. His weight increased from 149 pounds to 164J4 pounds. Case III. M. B. Referred by Dr. I. M. Rottenberg. Admitted November 7, 1910, to People's Hospital. Discount Viagra Pills Mar- ried ; thirty years old. Family history, negative. Pre- vious history, formerly an excessive, at present a very moderate smoker. No alcoholism. Diseases oi child- hood not remembered. Venereal diseases denied, espe- cially syphilis, no acute illnesses. Tn the last six weeks has lost a great deal of weight. Present illness, a large mass protrudes from rectum causing bleeding on def^eca- tion, duration three years. Bleeding may have weakened patient. Appetite and sleep fair. No symptoms referable to the abdomen or chest. Physical examination, patient shows signs of gumma on the brain, is greatly reduced, is of slow mentality, speaks slowly and has a left hemiplegia, combined with loss of kneejerk and other signs of cere- liral difficulties. After a consultation with t'vo of the vis- iting physicians of the Discount Viagra Pills People's Hospital, it was decided that the patient probably Discount Viagra Pills had gumma of the brain, as his Wasscrmann test was strongly positive After the family had been told that probably no treatment would avail for more than temporary relief, it was at their request decided to give him a dose of 606. On account of his de- preciated condition on November 15th only 0.45 gramme was injected. The patient after this ran a temperature which varied from 99° to 101° Discount Viagra Pills imtil November 2.3c, when it Discount Viagra Pills reached 102° and on the 2Sth had declined ag.iin to 100°. His mentality in this period picked up wonderfully so that he could answer questions with almost normal promptness and correctness. His defascation and urination which had been involuntary, became voluntary and the whole aspect of the man was one of great improvement. Reasonable hopes were held out to the family that if present condi- tion continued the patient might improve a good deal. Unfortunately, however, through circumstances that can- not be fixed the patient's blood pressure must have risen, because he died of symptoms of cerebral hemorrhage, November 26th, nineteen days after his admission and twelve days after the injection. It cannot be said in any sense that the injection contributed to his death; quite to the contrary, if his toxxmia could have been foreseen his cerebral haemorrhage might have Discount Viagra Pills been prevented. Hi^ kidneys were in reasonably good condition. On Novem- ber 20th the uranalysis showed the presence of albumin. November 22d and 2.3d the same. The serum test on No- Discount Viagra Pills vember l6th was positive; November 27th, weak. Discount Viagra Pills Exam- ination of the eyes showed vision for two fingers at twenty feet, and old multiple retinal haemorrhages on November 22d. Case IV. J. M., U. S., white, forty-eight years old, male, married, merchant. Syphilis, tertiary stage. Re- ferred by Dr. Johnathan G. Wells. Gonorrhoea thirty N'ears ago, followed by stricture, cured by dilatation. Ap- parently infected with syphilis eight years ago, although lie does not remember a chancre and denies distinct sec- '.mdaries. On the elbow and calf two years ago small ^umniata appeared which were relieved by mixed treat- ment. Three years ago syphilitic leucoplakia appeared on the tongue which resisted treatment. Has also had a serpiginous syphilide of the palm. Kidneys negative ex-