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There is a story preserved of a surgeon, one Chinquei, who, prior to the Christian era, removed diseased viscera from the lower part of the abdomen of a patient, which was opened for that purpose, and the patient speedily recovered after the operation. Although no clinical significance at all can be attributed to secondai-y ascending degeneration, the theoiy first advanced by the French observers (Charcot and others) prevails almost univei'sally, that secondary descending degeneration causes definite clinical symptoms.
Very chronic cases which have closely resembled multiple sclerosis in their type, although the autopsy usually showed no discoverable anatomical lesion of the nervous system at all:
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Comprehensive adjunctive therapy, including occupational and recreational therapy is emphasized. He thought it wonderful that the army had escaped epidemics, considering the unsanitary condition of the towns evacuated by Russians, and said it seemed like inviting epidemics "power ginette claudette lyrics" to live in some of those places. Some features of the clinical and laboratory findings suggest paroxys mal nocturnal hemoglobinuria.
Under such circumstances I consider a surgeon bound to accede to the request of the sufferer, to remove an inconvenience of such a permanent character; unless, indeed, there be something in the state of the patient's health to forbid the performance of the operation.
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