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these men who hold official position under the health board shows how little he appreciates the significance of his own expressions on the subject. Let me now read to you an extract, brand viagra facts taken from the Medical Record of April 20, 1895 : I will ask you to go with me for the time being to the Willard Parker Hospital and see some of the ef- fects of antitoxin which I have witnessed there. Babies have been brought to that hospital with slight viagra price search clinical evidence of diphtheria; babies, with the ex- ception of a slight exudate in the throat, and perhaps a slight croupy viagra price search cough, that brand viagra facts were apparently healthy and with rosy color. They remained in good condi- tion for brand viagra facts perhaps ten days or two weeks after receiving antitoxin, when one day as you enter the ward you hear a moan, and approaching the crib you find the baby lying on its side with its head retracted, its anus and legs flexed, and moaning piteously. This is the condition in which I have seen many of the little babies in the Willard Parker Hospital. The tempera- ture chart shows a record of 105 to 106. S ?., and a note of the night nurse tells that the patient has hardly slept at all. What is brand viagra facts this condition? It is due to the action of the antitoxin on the blood, fforse' serum dissolves human blood corpuscles, and thereby produces veil.' elements of decomposition. The condition of the babies just spoken of was one of antitoxin septicemia, and brought about by the influence of the antitoxin on the blood. "Autopsies asked for but not granted in any of these cases. Physical examination revealed no evi- dence of organic disease in either of these cases: they were unquestionably viagra price search cases of antitoxin poisoning." The above words were spoken by Dr. Winters in this academy on the evening of April 3, 1895, in the course of a discussion in which he was asked to take part by the gentlemen who had been using antitoxin in the viagra price search Willard Parker Hospital during the three pre- vious months. Compare the description of these un- questionable cases of antitoxin poisoning with the nineteen fatal cases of the early months of 1S95, which have been analyzed above. They are the same cases. Comment is unnecessary. European Evidence of Dr. Winters. I shall now take up the brand viagra facts evidence obtained by Dr. Winters in the course of his visit to Europe last summer. Who are the great Kuropean opponents of antitoxin ? Hanse- mann, of Berlin. Kassowitz, of Vienna, and Lennox Browne, of London. Hansemann'" read a paper condemning antitoxin earlv in December, 1894. at a meeting of the Berlin Medical Society. Hansemann was attached to the University of Berlin in the capacity of instructor and was also a demonstrator of anatomy. In addition, he held the place of assistant to Virchow, and it was 1 Italics in original text. Berliner klinische Wochenschrift, 1S94, pp. 1127, 1195. this last circumstance which gave importance to his words. In the New York Medical Record of De- cember 29, 1894, an editorial entitled "An Attack on Diphtheria Antitoxin," was given great prominence. The editorial states that " Hansemann 's paper carries especial weight because the author is announced as the assistant to Professor Virchow, and his work and conclusions brand viagra facts are presumably endorsed by the dean of modern pathology." In the discussion, however, which followed the reading of Hansemann's paper, much to the surprise of some of those present, Virchow announced himself as having become convinced of the value of diphtheria antitoxin. Some months previ- ously Virchow had expressed great scepticism of the specific nature of antitoxin, and it was not known that he had changed his views. He had, however, been so impressed by viagra price search the reduction of the mortality of diph- theria under the serum treatment in the Berlin Chil- dren's Hospital during the previous six months, that he was obliged brand viagra facts to admit that the serum had curative value, although he refused to accept Behring's expla- nation of its action. Other speakers at the meeting, such as Von Bergmann and Baginsky, disputed Hanse- mann's conclusions, and proved that the great weight of evidence was against him. From that day to this, Hansemann has not said one word in regard to anti- toxin, though he has continued to publish articles on other medical subjects. Kassowitz ' made his protest against antitoxin in January, 1895, at a meeting of the Vienna Medical Society. Like Hansemann, he did not believe in the specific nature of the antitoxic serum. brand viagra facts His own per- sonal experience of the remedy was limited to eight cases, all of which recovered, but, in his opinion, showed no effect from the treatment. He had also made an elaborate study of the mortality figures of the various children's hospitals of the world, and was brand viagra facts con- vinced that they proved nothing in favor of antitoxin. Kassowitz was answered by Widerhoefer, the chief ex- ponent of the serum treatment in Vienna, and it was done so thoroughly that Kassowitz has expressed viagra price search no further interest in the subject. I do not know whether Lennox Browne has changed his views of antitoxin or not. I think, however, we can safely leave him to the English, who, though they may be slow, usually come to sound conclusions in the end. Perhaps when they have successfully ana- lyzed the recent report of the London Metropolitan Asylums Board they will be able to convince even Browne that diphtheritic antitoxin has some value. Let us now turn to the European authorities quoted by Dr. Winters. He first mentions Dr. Cortheron, whom he describes as a London graduate, who after- ward studied in Paris under Roux, and subsequently took charge of viagra price search a diphtheria hospital in London. Dr. Cortheron, after watching the effects of the antitoxin treatment for a few months, went to the medical super- intendent of his hospital and protested against further use of the brand viagra facts remedy, saying that it certainly did no good the children died just the same. Dr. Winters' next authority is Dr. Grant, " an Edinburgh student, who studied in Paris under Roux, and subsequently took charge of a diphtheria hospital in London." Dr.