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matter of scabies, but any such shortcoming can easih" be remedied. establishment on a sound buy generic amitriptyline basis of a special branch of medical practice amitriptyline hcl generic elavil that has shown bril- liant progress. The formal acknowledgment of this result of his labors is a tribute that is un- amitriptyline hydrochloride generic deniably his due. His memory will always be cherished in the annals of medicine. MANUEL GARCIA. On Friday of next week there will be cele- brated in London the one hundredth birthday of Manuel Garcia, whose appliances for the visual study of the action of the vocal cords in singing, improvised or adapted many years ago, led to the development of the lar} ngoscope of how much does amitriptyline cost the pres- ent day. In spite of his advanced age, Garcia is said to be in fairly good physical condition and in the enjoyment of mental faculties practically unimpaired. Though his long life has been de- voted to music, his discovery is everywhere rec- ognized as having called modern laryngology into being, and the celebration, as is fitting, will be the joint work of the medical profession and of the musicians. It cost of amitriptyline 25mg is to be generic amitriptyline hcl held in the rooms of tile Royal Medico-Chirurgical Society. Seldom does it happen to a man to be thus hon- ored by the members of two professions, and rarely, too, does a man of prominence reach the buy cheap amitriptyline age of a hundred years. The occasion therefore will be exceptionally memorable, Garcia was fifty years old when his paper entitled Physiological Observations on the Human Voice was presented before the Ro3'al Society, and that organization and the laryngological societies of various coun- tries, including our own, will take part in the ceremonies of ilarch 17th. Although it is generally understood that Gar- cia was disappointed with the results of his laryn- goscopic studies from the point of view of a teacher of singing, amitriptyline online purchase he has for many years had the satisfaction of knowing that the}- led to the A SPECIAL PERIL TO SURGEONS. There was recently tried in the District Court of Ramsey County, Minnesota, a case amitriptyline online no prescription which calls attention to a peril which threatens every sur- geon, and which seems to me so important that I believe it should be brought prominently to the attention of the whole medical profession. The circumstances of the case are as follows : A pa- tient, a woman, was referred by her family phy- sician to a surgeon for trouble vdth her ears. Ex- amination amitriptyline costochondritis by amitriptyline online the surgeon of the ear concerning which she made her chief complaint disclosed a condition which seemed to him amitriptyline online uk to call for a sur- gical operation, to which the patient amitriptyline cost canada consented. At the time of the operation, the patient having been anjesthetized, a more careful examination was made of both ears than had been possible without anaesthesia. This examination showed that both ears were diseased, but that the condi- tion of the left ear was worse than that of the right, and in the surgeon's opinion immediate re- moval of the ossicles was demanded in the left ear in order amitriptyline cost without insurance to prevent an extension of the dis- ease that might threaten amitriptyline cost in uk the patient's life. The cheap amitriptyline online family physician and some other physicians were present, and all agreed to the diagnosis and as to the necessity of an operation ; the operation was elavil generic amitriptyline then performed. When the patient recovered from the ansesthesia. the circumstances were ex- plained to her and she was apparenth' generic drug amitriptyline satisfied with what had been done and agreed to have the other ear operated upon at a later date. A few days afterward, the patient having in the mean time talked the matter over with friends and (presumably) lawyers, declined further treat- ment from the surgeon, and later filed a suit against him, charging him with malpractice, ac- cusing him of having by mistake operated on the wrong ear and demanding heavy damages. When the case came up for trial, and it average cost amitriptyline was demon- strated b}' competent witnesses that the surgeon i\Iarch II, 1905.] EDITORIAL ARTICLES. 495

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