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Should perforation of the cornea take place, hernia of the iris may perhaps be prevented by its use, and if the opening is (dapoxetine dosage side effects yeppudaa) small and is promptly healed, good vision may bo preserved. In a pneumonia or bronchitis, as etiological factors we may, perchance, have the neurotic temperament, the debilitated nerve cell, the disarranged nerve equilibrium, the marked hereditary tendency, as wonderfully illustrated in Osier's cases; and, if we allow, for example, toxic products, whether protein, toxin, or ptomaine, from the gastro-intestinal canal, or other viscera, to ride rampant, then, remembering the dictum that" local irritation determines the site of the lesion," surely it is possible that to the primary inflammatory trouble we may have added the neurotic And again, is it not possible that a neurotic vaso-motor condition be present in ithe pneumonias, for example? Why the sudden onset of a lobar pneumonia? Why the crisis? Immunity cannot be established so suddenly as that.

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