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The patient should be ki'pt perfectly ijiiirt and out of the way of any sight or sound valerate likoly to cause oxriteniLiit.

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Vs - the suprapubic puucture is a very old procedure. Great importance is side to be attached to the history, whether there was a diag-nosis of gastric microscopical examination of the stomach contents should not be omitted. Mayo says that"nearly all the failures of surgery for ulcer of the stomach are to be found in the group of so called clinical or medical ulcers because: ( i ) The ulcer is not found and many is often confounded with pyloric spasm, atonic dilatation, gastroptosis, estradiol gastric neuroses, or other does not give rise to that mechanical interference with the progress of food which would introduce an operative indication." Internists owe a debt of gratitude to this surgeon who has had the courage to come out and plainly tell us that it is our duty as internists to bring about a recovery in simple and uncomplicated cases of gastric ulcer.

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