Tri-State medical journal and practitioner . this place,as I have already done so in extenso in a former paper in this it to say that the physician should be certain in regard to thenature of the lesion which confronts him, and act accordingly for thegreatest advantage of his patient. And I would advise, in case of doubt,the practice of auto-inoculations, which will be attended by the best andmost indubitable evidence which it is possible to adduce Under any cir-cumstance, establishing a diagnosis beyond the possibility of a doubt, andthus adding to the certainty of the phvsici


Tri-State medical journal and practitioner . this place,as I have already done so in extenso in a former paper in this it to say that the physician should be certain in regard to thenature of the lesion which confronts him, and act accordingly for thegreatest advantage of his patient. And I would advise, in case of doubt,the practice of auto-inoculations, which will be attended by the best andmost indubitable evidence which it is possible to adduce Under any cir-cumstance, establishing a diagnosis beyond the possibility of a doubt, andthus adding to the certainty of the phvsician and, as a result, to thecomfort of the patient. Make assurance doubly sure if you would gain theconfidence of your patient, and always make your prognosis be borne outby subsequent developments. It is in this way only that any one can hopeto establish, a reputation and make his medical labors appreciated by * Read before the St. Louis Academy of Medical and Surgical Sciences, October 12, Tri-State Medical Jot-rnai., Januar3, 498 Original Articles. others and an honor to himself. Furthermore, it is in the field of venerealdiseases that these requisites are more expected than in any other one. Under ordinary circumstances the chancroid is an ordinary venereallesion, which induces no very great inconvenience, yields rapidly to propertreatment, and is followed by a pretty rapid recovery, unaccompanied byany untoward symptoms or complications. The old method of treatmentwas, without doubt, an efficient one, but was looked upon by patients asworse than the disease. This procedure of applying strong cauterizingagents has been practically abandoned, to-day resort to them being onlyhad in exceptional cases. The favorite applications were nitric acid,chromic acid, Ricords paste, and stick nitrate of silver, all of which wereexcruciatingly painful. That they were efficient is beyond all doubt, butthe inflammatory troubles which supervened were often of a most severecharac


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