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There remains to him the method of travelling about from Fifteenth to One Hundred and Fourteenth Street and surprising people in the ofiices by inquiring if any operations take place in their hospital on that day ; but as for seeing the special operations that he needs, or many of the men of national reputation that he came to see, the prospect soon grows doubtful. By perseverance — and chance — if his time is not too limited, or he does not begin buy viagra video to buy viagra video feel that it could be better spent at home, he does witness some surgery, and very good surgery it is likely to be. The surgeons themselves treat him so kindly, and are so obliging in answer and demonstration, that he cannot think that it is from any unwillingness on their part that their hos- pital work cannot be better seen. It might well be that the eminent surgeons would feel that too many were dabbling in surgery, and that the little knowl- edge they could impart by too public clinics would be a dangerous thing for the country practitioner as well as for themselves. This idea, however, is not the gen- eral one. That giving doth not impoverish, and with- holding doth not enrich, is, I think, the belief most generally held by our profession in regard to scientific truth or its adaptation to the healing art. It is because this waste of time to the visitor does seem so needless that I have ventured to call attention to it in this letter. A practical remedy is not so easy to suggest. If each hospital should send a list of oper- ations for the next day to the Academy of Medicine — furthermore if the Academy should endeavor to keep this list complete, charging those who consult it a fee if thouglxt best, or posting it publicly if they could afford to do so — it buy viagra video would certainly be a very great con- venience. Any other location might be selected and an item to the effect published in our city medical journals. Two or three years ago such a list was dailv posted in the viagra without online College of Physicians and Surgeons in Philadelphia, which must have proved an accommo- dation to others besides the writer. I am quite sure that if buy viagra video this statement of the troubles of the visitor from outside shall fall under the eyes of certain of the energetic physicians of New York City, they will add to our present obligations to them by putting in operation some remedy similar to or better than the one here proposed. F. N. HiGGINS. Cortland, N. ^^ [If the writer had consulted the bulletin board at the left of the entrance in the Academy he would have seen cards announcing operations in many, if not most, of the hospitals in the city. He evidently looked only at the bulletin at the library door. — Ed.] THE CARE OF THE TROOPS IN HAWAII. (From our Special Correspondent.) To THE Editor of the Medical Record. * Hawaian Islands, November 30, iSgS. Sir : Of numerous sanitary questions arising from a new colonial departure of the United States in tropi- cal countries, the health condition of our troops re- quires immediate attention. Since the beginning of the war to this day Honolulu is crowded with troops, partly as a local garrison but principally as a trans- port and coaling station on the way to the Philippines. buy viagra video Ever since, an epidemic of typhoid fever, with a per- centage of mortality far above the usual for this place, has continued to ravage in their midst. The mischief is due to several causes. Upon inquiries we learn that a considerable part of the volunteers are clerks, merchants, and others untrained for viagra without online any active physi- cal viagra without online life and privations connected w ith an extemporized campaign. Owing to the hardships of camp life, forced MEDICAL buy viagra video RECORD. [December 31, 189S marches, and poor diet, they embark at San Francisco with tlieir constitutions already undermined. During the voyage of seven to twelve days to Honolulu their condition becomes still worse; upon the transports they are crowded, and the food is poor and insufficient. Complaints in this regard upon landing are general. As a rule, several cases of typhoid fever develop on board every transport already on the way. Thus all conditions for an epidemic are present; buy viagra video burning matches are lying close to the powder, germs of dis- • ease close to a good medium for their quick and ex- tensive propagation. The commander of a body of such troops may be compared with a man holding a bo.x of matches in a conflagration. The only course for him is to scatter them far and wide to save those yet unaffected. Another cause comes into play upon landing: it is the local climate of the place. As I will show in my fuither letters, there is no such entity as buy viagra video viagra without online a "tropical climate." Tropical countries have all kinds of cli- mates, with but buy viagra video few general characters not dependent buy viagra video pure drinking-water; to avoid large settlements; to buy viagra video avoid low elevations in general and swampy, undrained plains in particular; to choose localities away from all resources of stag- nant water and malaria. None of these precautions are taken upon landing