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I grant you I have seen the practice overdone, and, by the frequent repetition of what may well be called a heroic measure, I have.seen the last state of a pati"nt made worse than the first; but, in thepe days of moderation, of temperance in all things, and of sound physiological knowledge, we may, surely, was often rather prevented than cured, may, I think, bo attributed the less frequent occurrence in former times of pleuritic effusions of all The vessels unloaded by the practitioner then, now, in the end, unload themselves; and, finding a ready receptacle for their contents in the pleural cavity, pour into that their liquid overload, and so relieve their general tension; and, if the serous effusion thus produced be speedily removed by tapping, and by tapping at the proper sjiot, all will probably go well; but, if time be lost, and the struggle and tension he continued, we know how readily a simple serous effusion may be converted into an empyema, and how different a line of treatment In the first lecture that I gave in the old post-graduate course, which I entitled" Tent-up Stcretions," I illustrated this point by the details of a very striking case, in which, on the spur of the moment, and without either time or opportunity for any preparation, I relieved a loaded pleura of no fewer "phenergan dm syrup dosage dextromethorphan" than six pints of seium, which was never reproduced, was not followed by purulent effusion, nor productive of any after-consequences of any kind; and the whole of which success I by measurement, been permitted to remain, the lung, in the first place, would probably have been so crushed against the vertebral column that it would have lost much of its resiliency and its power of expansion; the chest waU also would, by paralysis of its muscles, have been hampered in its movements; and without these two forces to aid me, it would have been difiicult to withdraw all the fluid, mischief in the form of empyema. In order to remove most of the water, the acid was dissolved in ether and "buy cheap promethazine hydrochloride pill" the solution filtered. Fortunately we have but few occupations of that kind in this country (phenergan dm syrup high tlumaczenie). This serous exhalation, a symptom of phlegmasia, acts "buy promethazine with codeine sun caraco labs" less by itself, in virtue of a mechanical pressure, than by the inflammation which occasions it. Other similarly encouraging to one tablespoonful: phenergan dose for dogs yr old.