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This plan answers perfectly well when you can but every now and then you will find a patient who will retch a little just after the bloiling aper has touched the surface, and the mucous membrane becomes wet before you can apply the varnish. I then adopted the plan putting a piece lint around finger and buy pre written research papers drying the throat with this, and then quickly applying the varnish with a brush. This does not hurt the child, and I eak children, because nine-tenths our cases occur among children, and answers perfectly well but if you should have difficulty with this, I should advise you apply the varnish all the same.

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I have had several patients treated entirely the help me do my essay use of the varnish, without constitutional remedies, and I will now say a few words with reference the use steam and the use ice. Both these remedies are useful, but they should applied in different classes cases.

In the early stages is very useful employ ice.

It affords the greatest comfort the patient. Let them have ice, and take as much as possible.

Many young children are pleased have pieces ice put into their mouths.

There no doubt that restricts the associated inflammation often present. In the early stages most desirable use ice, and you can use any amount without doing any harm. It only in exceptional cases, where the patient very much depressed, and in the very advanced degrees poisoning, where there a gangrene, that ice does harm. In many cases diminishes With reference steam, was first recommended, I think, Mr Prossor James,ondon. After, was pointed out Oertel that steam must cure almost every case, and that it was the only remedy any value at all, because custom essay help the effect separate academic writing professional letter writing service help centre the false membrane from the mucous membrane. The fact that when a certain point in the disease reached, when the Uk membrane beginning separate, steam is useful. At that time its effect admirable.

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In the early stages I not think does any good. I think lowers the vitality the tissues, and that its effect most prejudicial but when the false membrane shows evidences separating from the mucous membrane its effect most beneficial.

So you need have no fear clashing heat and cold, for you use ice at first and steam afterward, when the disease has reached a certain stage. One great advantage steam that you can use some antiseptic with such as carbolic acid, salicylic acid, or any other substance you may choose. I should advise you use some mild antiseptic at this stage the disease, cause a certain amount The question often arises whether or not you will perform tracheotomy. I may say here that friend Sulis Cohen, Philadelphia, who is with to-day, his published one the most complete essays tracheotomy ever published in the English language. I think the conclusion which may drawn from his paper that the operation should performed at a comparatively early stage. Tnat the conviction which I have. need help starting an essay My advice that when once there considerable fabe membrane in the larynx, when inspiration so difficult that you see falling in the sternum each time the patient breathes, and each supra-clavicular space deepened with every inspiration, the time his arrived for tracheotomy.

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