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CASES OF OVARIOTOMY. 2S9 pretty free licemorrhage was gusliing up from can you order clomid online the interior of the cyst, and from the incised walls. About this time also, from getting too much ether, the patient rapidly sank, and for a brief space her immediate death seemed inevitable ; happily' on withdrawing the ether, this state passed off. Two assist- ants, one on either side, by grasping the tumor, could only raise it two or three inches out of its bed, where to buy clomid cheap in get clomid cheap consequence of adhesions which seemed to involve much of the posterior wall of tlie tumor ; they were strong and S23read out laterally into broad bands, like the broad ligaments of the womb. As much as possible they were removed by the hands, but the knife was required at many points. Kine ligatures buy cheap clomid no rx were required before the pedicle (if it may be called such) was reached and isolated. Storer's clamp w^as placed around the up- per portion of the vagina, and the vagina severed above the clamp. It may on first thought seem quite impracticable to apply a clamp to the vagina, and have sufficient should order clomid online length to bring the clamp out and rest it cleverly upon the abdomen. It must be borne in mind, however, that the womb had been by the growth of the tumor, carried up high above the pubis, elongating the vagina as a result. After cleanly sponging, the buy generic clomid cheap abdominal walls were closed by needles, which were made to penetrate the peritonceum, and the clamp placed trans- versely. As soon as the woman rallied from the ether, one- third of a grain of sulphate of morphine was injected purchase clomid cheap under the skin, and repeated at intervals of three hours during the night. The tumor proved to be fibro-cystic, and, as before stated, twelve quarts of serum were caught in a vessel ; while a quan- tity, variously estimated from two to six quarts, escaped upon the floor. It is to be regretted that the fibrous order clomid online no prescription mass was not weighed. It was not convenient at the moment to do so, and, when preparation was made to do it, it was discovered that the tumor had been buried by the superstitious husband, who declared, after a shammed search, that it could order clomid online not be found. It was larger than the water-pail which held the serum, and in the opinion of all present could not have weighed less than twenty pounds. December '^Ith. — Patient slept several hours during the night, without pain. Pulse 100 ; surface cool ; no thirst. 290 CLINICAL RECOEDS. Ordered the morphine to be continued, and beef-tea and brandy injections eyery third honr. Evening. — Has slight pains in the abdomen and some tenderness. Pulse 104 ; treatment continued the same. December 'i^th, morning. — Slept very well through the night, slight vomiting, stomach too irritable to retain food ; indeed, from that time it continued so irritable that little or no food was retained ever after. The only sustenance order clomid cheap retained was given by the rectum. Pulse 110, skin moist and cool ; treatment the same. Evening. — Has slept quietly all day, skin moist, pulse 110 ; some tension and tenderness of the abdomen. Wound suppurating slightly. Solution of carbolic acid applied over the stump of the pedicle. Tr. opii was sub- stituted for price of clomid in the uk morphine, and given by the rectum. Evening. — Less tenderness and tension of the abdomen ; pulse 100. December SOth, Tnorning. — Pulse 108 ; pain and slight soreness of the abdomen; treatment the same. DeG€ml)er Zlst. — Condition remains the same. Clamp and needles removed ; wound dressed with adhesive straps. January 1st. — Condition remains unchanged. January 2<^. — Pulse 104 ; bowels moved by an enema of warm water; the evacuation of wind generic clomid cheap and where is the best place to order clomid online price clomid australia water was large, and relieved the abdominal distention very much. January ^d. — Pulse 110. More restlessness, sleep dis- turbed ; attributed to the change from morphine to opium ; changed back to morphine. A clomid cheap sero-purulent discharge is issu- ing through the opening in the abdominal wall. At the lower angle of the wound which has not closed, the pedicle retracting after the clamp was removed, is the supposed cause of the non- union. A solution price clomid of chloride of soda was injected warm through tlie opening into the cavity of the peritonceum. January ^th^ morning.— Slept quietly through the night ; pulse 104. The soda again injected. Morphine, brandy, and beef-tea, continued the same. Evening. — Very comfortable ; pulse 100. January 6t/i.—T*rof. Perkins (to whom can i order clomid online I am indebted for this record of the treatment, and who had immediate care of the case, as I reside too far from the patient to visit her daily) was taken ill yesterday, and, a knowledge of the fact coming CASES OF OVAEIOTOMr. 291 to the ears of the family, they all took fright, and gave up in despair, so that the patient went twenty houi's without nom-- ishment or medicine. Patient's piilse, 125 safe order clomid online ; good deal of nausea; nourishment taken into the stomach is raised without much effort order clomid online canada ; enema, followed by the passage of a large quan- tity of liquid fseces and gas. Treatment the same, with the ad- dition of creamx-and-brandy administered by the stomach. January 6^A, morning. — Pulse 115 ; slept quietly all night ;

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