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 |   Related post: gard to the number of cases treated, but to try to get results for the patients. In order to do these things certain requirements present themselves, which must be met as completely as possible. First : There should be a sufficient amount of room placed at the disposal of such a clinic, so that there may be no crowding, and no lack of space and ventilation, and that the utensils and the appliances which are needed may have a place, without en- croaching upon the space necessary for proper work. Second : There must be a sufficient number of as- sistants to permit of each branch of the work being done thoroughly and systematically. Third : In doing the work the aim should be to do it as well and thoroughly as possible, without, how- ever, encroaching unnecessarily upon the working time of the patients. Rooms: There should be two adjoining rooms, one for the examination and treatment of such cases as may be of an infectious nature, and a second for the examination and treatment of such as are not infectious, or such as require the use of special in- struments, or appliances, and for the examination and treatment of females and children. In the Ger- man Dispensary we have arranged it so that in one room the ordinary treatment is carried out, partic- ularly of those patients with gonorrhoea, or its com- plications, while the other room is reserved, so far as possible, for endoscopies, cystoscopies, dilatations, the use of the psychrophore, for electrical treatment, and for females and children. Both rooms must have proper light and ventilation, and should have a sink with running hot and cold water. In the room in which the routine work is performed, and into which the patients should enter from the wait- ing room, there should be a desk at which the records and histories are taken ; next, a table for the microscope ; third, a sink with sloping shelf to provide for the proper draining of glasses, etc. ; fourth, a sterilizer sufficiently large to permit of the sterilization of the catheters, sounds, etc. ; fifth, an operating chair or table ; sixth, a stand containing basins for the various solutions in ordinary use : seventh, an instrument cabinet to contain the in- struments in ordinary use ; eighth, shelves contain- ing the stock solutions, reagents, etc. Furthermore, hooks for the patients' clothing. The second room shnnld contain, in addition to the sink, an operating table, an instrument cabinet for the examining in- struments, such as the cystoscope, endoscope, and electrical instruments, a glass topped table or two, and a wall cabinet containing the electric controllers, rheostats, etc. There should, in addition, be an Diltiazem Hcl 240 Mg arrangement with the pathological laboratory to make the uranalyses, and the more intricate bacte- riological examinations and culture experiments. Assistants: For the proper carrying out of a com- prehensive scheme of management of a clinic of this character one chief and at least four assistants are required. The chief, who should be a man properly equipped in the special study of genitourinary dis- eases, must be in general charge of the clinic, and should personally see to or superintend the exam- ination of each new case which presents itself. The first assistant should assume the treatment, under the chief's direction, nf all the old cases, and represent him during his absence. The second as- sistant should be kept for the purpose of rendering general assistance to both chief and first assistant when required. The third assistant should be at the microscope, and the fourth in charge of the records. The plan followed in the writer's class has been to allow the assistants to rotate monthly in the posi- tions as outlined above. Each new month the as- sistant who has been in charge of the old cases dur- ing the preceding month takes the records. The second assistant thereupon takes the place vacated by the first assistant. The third, who was at the microscope, takes the general assistantship, and the assistant who was at the records takes the micro- scope. In this way each assistant is Diltiazem Hcl Cd 240 Mg repeatedly brought into direct contact with each branch of the work, Diltiazem Hcl Er and is made familiar therewith. The assist- ants should be required to pledge themselves to serve for at least six months, with the understand- ing that, if their services prove satisfactory, the}- will be appointed for the subsequent six months. Examinations: It has been our custom to make a microscopical examination of the discharge in every case presenting itself for examination, at the first visit, and. in case of gonorrhceal infections, to microscopically control the secretions at each subse- quent visit, until the patient is discharged as cured, or withdraws from treatment. With nongonor- rhoeal cases the examinations are made until such a time as the secretion is found to be free of bac- teria, after which the examinations are not necessari- ly made at each visit. Any change in condition, however, which appears in the slightest degree sus- picious brings with it a microscopical examination. Where a suspicion exists that the prostate is in- volved, the secretion of the prostate is taken after a previous total irrigation of the urethra, and ex- amined, both with regard to its cellular and its bac- terial contents. Should it be found abnormal in any respect it is regularly examined at each visit, Buy Diltiazem Hcl until it is found to be free of bacteria, and. later, at less frequent intervals, until it is found to be normal in every respect. This, naturally, entails a large amount of work upon the assistant who is at the microscope, Diltiazem Hcl Er Cd Caps but as he has Diltiazem Hcl Cd no other duties it is found to be easily possible for him to make the necessary examinations at each session. Where any doubt exists concerning the infectious or noninfectious character of the secretions, the patient is instructed to stop all treatment until the question shall have been definitely decided. It is our hope in future Diltiazem Hcl Cr to be able also to add the examination of urines, where necessary, to the microscopical work already undertaken. Records: The taking of records is. as stated be- fore, the exclusive work of one assistant. The pa- Related links: price seroquel xr 400mg, Betoptic 0.5, cheapest propecia uk, Catapres Patches, cipro buy online, Erythromycin Stearate Tablets Bp 500mg, Valsartan 40mg, Verapamil Hcl Cr, buy strattera canada, Buy Nitroglycerin Ointment
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