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No one suspected cocain they thought it was whiskey till Eva was forced to tell much to the good old doctor-details revealing her husband's uncouth carelessness of habits, his outbreaks of cruelty to her and the boy, his obvious and shameless lying, his unnatural coarseness of speech. This friend in need spent a bad hour, a hard hour with Waring.
As has been mentioned in the chapter on diagnostic principles, if the condition is so painful that the subject does not relax the parts and crepitation is masked, local anesthesia is necessary. An anesthetic solution of cocain or novocain may be applied to the metacarpal or metatarsal nerves and an entirely satisfactory examination is then possible.
It is perhaps best to deposit the cocain solution by means of two hypodermic punctures at different points along the course of each nerve, though closely situated to one another, thereby making more sure of the solution actually contacting the nerve.
This may be done by making use of cocain in solution for the production of local anesthesia as in lameness of the phalanges. Such means are not, in themselves, dependable but are valuable when used in conjunction with all other available and practical methods.
Neither had learned the first page in Life's text-book of happiness, and as both, could not have their way at the same time, rifts grew into chasms which widened and deepened. Then the wife sought attentions she did not get at home in social circles and the husband sought comforts his wife and his home did not give, in drink and fast living, later with cocain and morphin.
The spasms were greatly relieved by cocain administered by the mouth, as much as 15 grains being given in twelve hours. Laborde and Lepine report the case of a young girl who was relieved of an obstinate case of hiccough lasting four days by traction on her tongue. After the tongue had been held out of the mouth for a few minutes the hiccoughs ceased.
Where the subject, suffering phalangeal fracture, manifests evidence of pain due to tensing the structures about a fractured part, one may anesthetize the parts by using about two cubic centimeters of a two per cent. solution of cocain upon the plantar nerves, proximal to the fracture.
Here it was discovered that he had been using quantities of codein and cocain, against the sale of which there were then no restrictions. Unusual had been his physical equipment, his indulgences unchecked by any sentiment or restraint, the penalty of inactivity was meting a horrible exaction an exaction which could be dulled only by dope.
In the various forms of meningitis also, and in some cases of injury to the head, it is common; and it is sometimes met with after severe hæmorrhage, and in cases of poisoning by such drugs as iodoform, cocain, or alcohol. Delirium may also, of course, be a symptom of insanity.
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