around joints that were worse on rainy days. Not in-
frequently there was a thickening of joint tissues. It
was said not often to follow acute rheumatism, but to
come more generally after subacute rheumatism. All
three forms of rheumatism could be grouped under the
head of toxsmia, whether the poison was considered
to be of microbic or of metabolic origin. The term
toxic arthritis conveyed a more definite idea of the
causation of the affection than the word rheumatism.
Dr. WisNER TowNSEND, of New York, was not pre-
pared to accept the term toxic arthritis, but there was
no doubt that topamax generic brand it was time to make an effort to get rid
of the word rheumatism. Surgeons saw many cases of topamax generic availability
svphilitic, tuberculous, and other joint affections due
to definite causes which had been diagnosticated as
rheumatic. There were a number of varieties of rheu-
matoid arthritis which deserved special study. The
two principal forms topamax order were hypertrophic and atrophic.
It was not known as yet whether these were infectious
Dr. Vander Veer, of Albany, said that Dr. Fair-
bairn's suggestion that a change of name should be
made was timely. The more cases were investigated
PROCEEDIXGS OF SOCIETIES.
the less frequenth- was the diagnosis of rheumatism
made. Many of the vague conditions around the joints
were undoubtedly due to autoinfeclion. This came
mainly from intestinal trouble, and how much the con-
dition of this tract might affect a patient, topamax order online surgeons
knew because of the better conditions when the intes-
tinal tract was thoroughly cleansed topamax generic weight loss before an operation.
There was still much to learn about the causation of
these affections, and the 100 mg topamax less pretense of knowledge
there was the more would the next generation feel the
necessity for studying them.
Dr. B. O. KiNNE.\R, of Clifton Springs, said that
many of the joint affections were due non prescription topamax to over rich
Dr. J.vcOBi said that rheumatism might mean almost
anything, but polyarthritis order topamax canada was a definite affection, not
always due to the same microorganism, however, but
sometimes to a streptococcus, sometimes to a staphy-
lococcus, and sometimes to the gonococcus. It used
to be thought that when a single joint was aft'ected
the arthritis was of gonococcus origin, but now it had
been shown that gonorrhoeal arthritis might affect half
a dozen joints. When there was a single joint affected,
especially in children, the disease was almost sure to
be tuberculosis. This was true in nineteen out of twenty
cases. These cases topamax 50mg and weight loss must not be treated surgically
alone, but also medically. Good air and good food
were not the only things needed ; guaiacol, arsenic, and
phosphorus gave excellent results.
Dr. W.'iLSH said that the use of another general term
like toxic arthritis would almost surely lead to as many
abuses as was now the case with regard to the word
rheumatism. What was particularly needed was more
study of individual cases. Many cases of so called
acute recurring rheumatism and of subacute topamax generic price rheuma-
tism were really forms of beginning rheumatoid arth-
ritis ; hence the crippling which eventually occurred.
Many of the cases of chronic rheumatism had nothing
to do with the joints at all, but were nerve and mus-
cular affections. Many buy topamax online without script cases of chronic rheumatism
were really due to the faulty use of muscles topamax mg for weight loss in some
occupation in which they had to be frequently em-
ployed. Very often the basis of this was buying topamax online a low need prescription topamax grade
inflammation of the nerve leading to a group of mus-
cles which had become especially lacking in resistive
vitality, and liable to infectious processes because of
the amount of work required migraine prescription topamax of it. Some of the so
called rheumatisms were the pains of old dislocations
of fiat bones, and the like.
Dr. Bristow said that two terms in medicine more
than any others covered a multitude of diagnostic sins.
They do i need a prescription for topamax were rheumatism and malaria. Fortunately ma-
laria had gone out before the microscope. Now it was
time to get rid of rheumatism. Dr. Fairbairn's paper
was not so much a plea for change of terminology as
■for better diagnosis and individualization of get prescription topamax cases.
Much work of great value could be done topamax 100 mg weight loss along topamax generic vs brand this
(To be continued.)
WESTERN SURGICAL AND GYNECOLOGICAL
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