Viagra Generic Comparison | Generic Viagra Risks | Best Pharmacy













































during the past lew years is taking place. time will never arrive when every patient with a diseased appendix will have it excised, neither will the profe 1 a whole ever endorse wholesale re- nt al. Si. mi :i . m mnol ome will not, and some do not need to be operated upon: therefore the sooner we recognize this and put the medical treatment on an established and scientific basis, the earlier will med- ical progress be benefited thereby. The specialist, including tile operative surgeon, generic viagra risks who is no exception to the rule unless he carefully guards against it. grows sided, like a house plant kept in one window the leaves all face one way, ami a view from the background may disclose defects not visible from the front. The extremes are dangerous, the truth lies midway, and there the pendulum est modus in 1 will eventuall) < II rest viagra generic comparison when some bright nius with sufficiently "ripe experience" can formulate rules when and when not to operate, for the guidance of those fortunate ones among us who can make a proper diagnosis of appendicitis. W. N. MacArtxev. M.D. Fort viagra generic comparison Covjngton, X. V. To the Editor viagra generic comparison of the Medical Record. Sir : The correspondents' column is very often not the least interesting and instructive portion of the rich contents of the Medical Record. Here the writers put forward their impressions, opinions, and conceptions of facts, with a familiarity and rave that are necessarily absent from long and sometimes weary- ing systematic articles. These letters are similar to photographic snap shots. They reveal points and characteristics which the finished work of the artist lets slip in favor of a more harmonious general effect. Drs. Morris' and Wyeth's letters of recent date and Dr. Greene's letter in to-day's Medical Record con- firm what I have just said. Will you grant me the favor of joining them? I am, I hope, a not too im- modest member of that highly-praised and indispen- sable band or portion of the medical profession com- monly called "general practitioners." The general practitioner is the life and soul of the specialist, not only in holiday orations but in reality. If the gen- eral practitioner were out of existence, the specialist would be onscious of a very distressing want, namely, that indefinite glittering conglomeration of nobodies against which specialism parades its importance and distinction. But the nobodies the great crowd of the voiceless are the medical profession. All other practitioners are members of the " surgical profession," as Professor Wyeth phrases it, or of more limited specialties. It is with a generic viagra risks certain sense of superiority that viagra generic comparison Professor Wyeth speaks of the surgical profession he does not speak for generic viagra risks the medical profession when he criticises Dr. MacArtney's remark on " fulminant" cases of appendicitis. Dr. Morris is somewhat con- descending, but just as proud as Dr. Wyeth. Dr. Mor- ris is so generic viagra risks much of a surgeon that he seems to be igno- rant of the existence of human nature. His reference viagra generic comparison to Dr. MacArtney's inability (a presumptuous assump- tion 1 proves this, as does his reference to time and money. " The general practitioner," says Dr. Morris, viagra generic comparison " must have so much information upon so many things" and human life is so short! It was always short when art was the subject considered. Well, the gen- eral practitioner cannot, according to Dr. Morris, get the right point of view concerning appendicitis. " So many things of equal importance with appendicitis" keep hid viagra generic comparison from him the facts and phenomena of appen- dicitis as seen by operative surgeons only. Therefore some, not all, surgeons, with more charity than justice .mil wisdom, insist with more or less bluntness that the general practitioner is not a being with senses and a brain, but a simple tool good enough to prepare the way for antiseptics and the scalpel with. That seems to me to be the logical inference to be drawn from Drs. Wyeth and Morris' letters on Dr. Mac- Artney's interesting article, which has not been treated at all fairly by them. When I compare my own experience, plus my im- pressions gathered from conversations and reading, I cannot suppress the thought that surgeons can learn something from the clinician and general practi- tioner. The surgeon may teach us, but he ought not to force his lessons on us. It will be a sad day for the medical profession, as well as for society, when eral practitioners shall cease to present generic viagra risks their pro- tests as Drs. MacArtney and Greene have done. Pro- fessor Wyeth is viagra generic comparison not teaching when he says: " If all of a viagra generic comparison thousand suspected cases were operated upon, the mortality would be fifty per cent. -less than in an- other thousand cases which physicians now let pass June 6, 1896] MEDICAL RECORD. 821 without operation." As a practitioner of nearly twenty years' experience, I must say that Dr. Wyeth is labor- ing under illusional prejudices which do not affect the physician. Surgeons are not, in this generic viagra risks question of appendicitis, free from "the failing common to spe- cialists of all classes they are bent upon finding the entire theory of the phenomena they investigate within their own specialty, and they too often turn a deaf ear to any explanation of them drawn from other sources." Let us hope that the clinician and general practi- tioner will not refuse to take lessons from the surgeon, but let us also hope that the members of the " surgi-