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As to the second: I believe that all consumptive patients who run a fever should be kept in bed until their temperature has dropped to normal and re- viagra paypal france mained there for several days, and that then the patients are to be gotten out of bed with as much care as would be used with a typhoid fever patient, for one of our main objects of treatment is to avoid fever. There is one thing the best viagra pills that may keep them in bed even after the fever is gone, and that viagra paypal france is a weak heart. If the sphygmomanometer shows the pulse pressure to be below 25 mm. of mercury then the patient should be kept in bed still the best viagra pills longer and an effort made to strengthen the heart before the patient the best viagra pills is allowed to get up. It has been my experience that practically all patients coming from the East have fever. Either the long train ride or the change to the high alti- tude brings it on. So all patients coming to the West should be put to bed. The incipient cases will not have to remain there very long, a few days' rest may be all that they will need, but the more advanced cases will be there for a long time and will need constant care and attention. But the hardening process must begin even though they are in bed, so we will get the bed out into the open either in a tent or some sort of a tent cottage. Next, daily baths are to be commenced and are to be given at that time of day that the fever is found to be highest. By using a rubber sheet they can be given with very little inconvenience and witli- out wetting the bedclothes, if the nurse is experi- enced. These baths must be so given that they will be a the best viagra pills pleasure to the patient and not looked upon with dread, for in such case they will do moro viagra paypal france harm than good. It may be necessary to commence with almost tepid water and to give simply a cold rub, but each day it will be found that the water can be used a little cooler and more plentifully. To begin with, it may be found neces,sary to surround 526 MEDICAL RECORD. viagra paypal france [September 25, 1915 the patient with hot water bottles before, and per- haps after, the bath, but in neither case should the bottles be left there long enough to cause the pa- tient to perspire. After the patient has become accustomed to his daily bath it is time to begin using massage, pro- viding the fever is not running very high, and the massage should follow the daily bath. At first it must be given the best viagra pills very gently and for only a few min- utes at a time, but gradually it can be given with the best viagra pills more force and Swedish movements and vibratior.s added. As the patient improves he can be taken each day on a wheel stretcher to the bath room for his bath and massage treatment and these can be given on the stretcher or on a table, but as long as the patient has fever he must not be allowed on his feet. After the patient is up the cold bath can be given viagra paypal france each morning to save needless dressing and undress- ing, and the patient should be taught that the cold douche or bath must be kept up for the remainder of his life. It is well with most, perhaps with all patients, to give them a few moments in a hot-air cabinet before giving them their douche, but care must be taken to see that they do not remain there long enough to cause them to perspire. Much can be done in the way of hardening the patient by these cold douches but the doctor in charge must be an expert in hydrotherapy and must give individual attention to each patient if the best results are to be accomplished. Most consumptives, if left to follow their own in- clinations, will load themselves down with clothing Heavy wool underclothes, chest pads, leather vests, and all that sort of thing, keep the skin con- stantly moist and in a most unhealthy condition, ready to take cold at viagra paypal france the slightest exposure. All this must be corrected and the patients taught to get along with the least clothing possible; even while confined to bed they should be urged to accus- tom themselves gradually viagra paypal france to a small amount of covers. It will be found often during the the best viagra pills heat of the day that they can throw off all covers and lie with their naked bodies exposed to the air, and this they should be encouraged to do. In the New Yoi-k Medical Journal for November 19, 1904, I had an article on "Ideal Tent Life for Consumptives," in which I said, quoting Knopf: "Of the value of care- the best viagra pills fully conducted solar therapy, I cannot speak too highly. The exposure of the whole body in its nude state to the air and rays of the sun at the same time has a remarkably favorable influence on met- abolism, oxygenation, and the general condition of the phthisical patient, aside from the fact that thereby his cutaneous system will be educated to a greatly dimini.'^hed susceptibility, and intercurrent colds will be much rarer." I believed at the time I wrote that article that the good results of this treatment came almost entirely from the exposure to the rays of the sui'. but now I think that the greatest good comes from the hardening of the patient due to the exposure of his skin to the air. Now if this really is the case then the only logical course of procedure is to ex- pose the skin of our patients to the air as much of the time as possible, and we can best do this by adopting viagra paypal france for them the costume of the aboriginal inhabitants of this region: a breech-clout and a pair of moccasins with a blanket for chilly days. In the North and East this "Indian garb" would hardly be feasible but viagra paypal france in the Southwest it is per-