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movements improved, air entering the chest more read- ily. An hour later, and subsequently every three hours for the next twenty-four hours, the injection of digitalin and strychnine was repeated, supplemented by enemata of peptonized milk, beef tea, and brandy. About five o'clock he regained consciousness and was able to take some nourishment. The next day consid- erable hypostatic congestion of the lungs manifested itself, but passed off under appropriate treatment. During the remainder of his illness rigors threatened on two or three occasions, the temperature rising to 103 or 104" F., but the patient ultimately made a complete recovery. Dr. Chapman noticed that the venesection was suc- cessful in reducing the temperature after the usual an- tipyretics had failed. Dr. F. L. buying viagra paypal buying viagra paypal Benham said it was an open question how far this reduction in the temperature was due to the venesection. In a case of rheumatic hyperpyrexia which resisted antipyretic measures he employed vene- section as a last resort, but without any benefit. Dr. S. West pointed out that rigors not unfrequently follow hyperpyrexia. Bleeding, he said, is a great re- lief to the overdistended right ventricle, acting in a mechanical way, but will not of itself reduce buying viagra paypal pyrexia. Dr. H. D. buy viagra plant Rolleston and Mr. Warrington Howard related a case of chronic dilatation of the colon in a boy aged twelve. During the three months that he was under observation his condition varied, often very suddenly. He would improve for a time, the bowels acting daily and the abdomen becoming soft. Then suddenly constipation and vomiting would come on without manifest cause. These attacks usually sub- sided in buying viagra paypal a day or two, but in one of them he died. There was never any obstruction, the bowels acting nearly every day. Treatment was varied, but, with the exception of calomel, nothing seemed to do any material good. Post-mortem: Great dilatation of buying viagra paypal the colon was found; the ascending colon passed up to the hepatic flexure, from which point the transverse colon de- scended to the neighborhood of the caecum ; the de- scending colon occupied the greater part of the right half and upper portion of the abdomen; it passed out of sight in the left lumbar region, and then joined the dilated sigmoid flexure. No stricture or cause for ob- struction could be found anywhere. There were nu- merous ulcers in the colon, due presumably to dis- tention. The muscular coats were hypertrophied. Mr. Baldwin buying viagra paypal related a case of central sarcoma of the femur with early dissemination, in a man aged thirty- five, who died two days after admission. A post-mor- tem examination was made, and widely disseminated growths were found. OUR BERLIN LETTER. THE TWENTY-FIFTH (JUBILEE) CONGRESS OF THE GERMAN SURGICAL SOCIETY. (From our Special Correspondent.) The German Surgical Society, which was founded in buy viagra plant 1872 by Langenbeck, Volkmann, Simon, Bardeleben, v. Bruns, Gurlt, and Billroth, held its twenty-fifth meeting here during Whitsun week. There was a large attendance of surgeons from all parts of Ger- many, and many foreign guests were present. Among the latter were Sir Spencer Wells, Reginald Harrison, and John Langton from England ; Halsted, of Balti- more, and Lange, of New York: Oilier and Guyon, from France; d'Antona and Bottini, from Italy; and Sklifossovski, from Russia. The meeting was opened by v. Bergmann, who gave a sketch of buying viagra paypal the foundation and work of the society and spoke of the many buy viagra plant great surgeons who had taken part in its deliberations. The cultus-minister welcomed the members on the part of the State. The first paper was one of an historical nature, by v. Esmarch, of Kiel, in which he reviewed the history and development of his method of bloodless opera- tion. When the speaker was a student, the main ob- jections to many operations were the pain, the clanger of infection, and the hemorrhage. It had been his fortune, after the buying viagra paypal first two of these obstacles had been overcome, to discover by accident the way to remove the third. Bruns, of Tubingen, then delivered an address upon the development of the modern treatment of goitre. The earlier treatment by injection of iodine and other medication had been superseded by extirpation of the gland, for it was thought that the thyroid was of no special importance in the economy. The buy viagra plant symptoms following this operation had, however, demonstrated the physiological significance of the gland, and now the extirpation was only a partial one. The most re- cent treatment is with thyroid extract, by means of which a rapid and extensive improvement in the symptoms, if not an absolute cure, buying viagra paypal is obtained. Konig followed Bruns with a paper on the development cf 93 2 MEDICAL RECORD. [June 27, 1896 our knowledge of local tuberculosis, particularly of the bones and joints, in the past twenty-five years. He said that surgeons were now more conservative than formerly in their treatment of buying viagra paypal these affections, injections of appropriate remedies and orthopaedic