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NEW YORK, SURGEON TO ST. BARTHOLOMEW'S CLINIC. The first case, the results in which amitriptyline cost without insurance I desire to discuss, is that of Mrs. P., who was brought to me March 18, 1903, by Dr. S. K. Royle. She was a large, handsome woman of 50 years, but young in looks and spirits. She had suffered for amitriptyline online sev- eral years how much does amitriptyline cost from an enormous fibroid tumor of the uterus, which had finally undergone carcinoma- tous degeneration. This wa.s accompanied by a profuse sanguineous discharge of very offensive odor, and great loss of strength. In February, elavil generic amitriptyline 1903, she had followed the advice of a number of physicians and had taken amitriptyline online uk a private room at the Presbyterian Hospital for the purpose of having the growth removed. Under ether, however, it was found that the entire pelvis was one cancer- ous cost of amitriptyline 25mg mass, and that cheap amitriptyline online anything like an attempt at extirpation would be immediately fatal. A small [jortion of the cervix was removed and a micro- scopical examination showed the growth to be carcinoma. A few days later she left the hospital, her friends being led to expect that she would live only about six weeks. Instead of this, however, Dr. Royle brought her to my office for x ray treat- ment. At first she had to come in a coach with generic amitriptyline hcl her nurse, the doctor, her mother, and husband. She was very weak and miserable, and it would take an hour to give her the few minutes' actual treatment and get her back into the carriage again. Then again she was not able to keep her appointments ; she might have one for Tuesday and not be able to come until Saturday. Mean- while, she was having very severe haemorrhages, and these the doctor continued to treat by intra- uterine and generic drug amitriptyline vaginal injections of a very weak March ii, 1905.] TOUSEY: amitriptyline online no prescription X RAY TREATMEXT IX CARCIXOMA. 481 formalin solution. The abdomen was distended by the tumor, giving almost the appearance of the completion of gestation. There were very painful and somewhat tender areas correspond- ing to the position of the broad ligaments. The vaginal portion of the uterus was cartilaginous to the touch, as were also amitriptyline cost canada the anterior vaginal wall, the urethra, and the entire fornix. There was a profuse bloody discharge with offensive odor. The treatment consisted in allowing the x ray to shine through the uncovered abdominal wall, and also through a Nott's speculum — which has a duck bill blade posteriorly and two divergent blades anteriorly — and in the application of high frequency currents over the two painful areas. The intensity and the quality of the radiation from buy cheap amitriptyline an x ray tube are subject to myriad varia- tions. In the manipulation of the apparatus, either to produce a perfect radiograph or to se- cure a beneficial eiTect in any case, the thickness of tissue to be penetrated and many other factors are to amitriptyline hcl generic elavil be considered. Experience will average cost amitriptyline enable one to accomplish the result, but the following de- tails may serve as a rough guide : The current was from the hundred and ten volt direct current of the incandescent lighting sup- plv. A liquid interrupter of the Simon's type was used. In this the current has to pass from a lead electrode through dilute sulphuric acid — one part, to six parts of water — through pin holes in a tough porcelain beaker, and amitriptyline cost in uk through dilute sul- phuric acid in a large outer jar to another lead electrode. In passing through this, the current encounters enormous resistance and is reduced to seven amperes or less. Then, again, as soon as the current begins to flow, bubbles of gas are formed by electrolysis, which block up the pin holes in the inner beaker and arrest the flow of the current. The bubbles of gas immediately rise to the surface and the current begins to flow ; more bubbles are then formed amitriptyline online purchase and the current is checked. In this way the current is interrupted something like ten thousand times a minute. These ten thousand successive currents, all flow- ing in the same direction, amitriptyline costochondritis pass through a pri- mary coil of about a hundred feet of heavy cop- per wire, carefully insulated, and each successive current causes a wave of induced electricity in the secondary coil containing a hundred thousand feet of insulated wire amitriptyline hydrochloride generic which surrounds — but which has no connection with — the primary coil. It is by connecting the x ray tube with the two poles of the secondary coil that the x ray is pro- buy generic amitriptyline duced. It is not necessary to detail the different

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