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cus infection has more fever, red tongue, often chilly sensations, cool, moist skin, rapid pulse, and fre- quent heart involvement, and is hardest to cure. The Diplococcus rheumaticus arthritis, which I think is often aided by the colon bacillus, has red, hot swollen joints, changing from one viagra online ads to another joint, quickly bounding pulse, coated tongue and acid sweats. Ammonium chloride and sodium sali- cylate preceded by a mercurial purge, will relieve this type in a few days, as a rule. If the stomach will not bear large doses of viagra online ads aspirin or other sali- cylates, as it often will not in such cases, the sali- cylate and bicarbonate of soda may be given in hot water as a clyster. Or the chemically pure sodium salicylate, in 10 to 30 grain doses, may be given in 50 c.c. of sterile water intravenously as recom- mended by Conner. A word of caution against giving medicines in- travenously. They must be neutral or slightly alka- line. Most medicines are bacteria-free when opened unless touched by hands, and may be decomposed by boiling. I have had some very excellent results by giving the sodium salicylate intravenously, but the urine should be examined always every day to detect possible renal irritation. Doses of 200 to 300 c.c. of a 2 per cent, solution of magnesium sulphate have been given intravenously viagra online ads by Harrower and others for true streptococcemia with good results in puerperal cases and in erysipelas, and should be tried in streptococcal arthritis. The treatment, however, in all cases should be under four heads corresponding to the four etiological steps and to viagra online ads the bacteria present: (1) Drainage or removal of the focus of infection, by whatever means neces- sary according to its location. (2) The steriliza- tion and healing of that focus by half viagra tablet antiseptics, sali- cylates, mercurials, castor oil, or thymol and char- coal in the alimentary types, as recommended by Geronne in the case of typhoid carriers. (3) The elimination of bacteria and toxins already in the system by means of baths, purgatives, diuretics, and massage. (4) The building up of the powers of re- sistance to prevent or antagonize absorption and assist elimination by means of sunshine, fresh air, deep breathing, a good balanced ration with iron, arsenic, and tonics. Vaccines are useful in the chronic recurrent cases, autogenous are prefera- ble, but the mixed polyvalent vaccines often help. All vaccines are irrational in acute conditions, with high fever, unless given at the very onset. The thyroid and thymus glands have helped much in many chronic cases, especially in patients with dry skin, thin dry hair, slow pulse, no fever. Statistics are usually very tiresome and very one- sided, depending upon the physician's viewpoint and experience. The surgeon comes to think that the tubes, gall-bladder, and appendix are the sources of most infections. Many laryngologists have re- garded the tonsils as the source of 40 per cent of all cases of rheumatism. The internist believes a one-sided or excessive dietary with constipation, half viagra tablet in- testinal stasis, or autotoxemia to be the most com- mon trouble. The dentist accuses the teeth and alveoli as such. The genito-urinary man reports 65 per cent, due to infected vesiculae seminales. Each partisan quotes with enthusiasm some high sounding, far-away name as his authority, then often fails to use his own eyes and gray matter as he should. All authorities are human beings, in a measure one-sided and subject to err. Fifteen years ago I saw a bad case of rheuma- tism recover and gain 30 lb. after having the teeth extracted, giving drainage in pyorrhea, but I half viagra tablet have seen many cases of pyorrhea that had no rheuma- tism at all. We now know, according to Hartzell and Rhien and others, that it is not pyorrhea but the Streptococcus viridans, from the dental granu- loma of half viagra tablet the crowned or filled tooth in which the root canals were not perfectly cleansed, sterilized, and closed, that the infection comes to form alveolar ab- scesses and systemic half viagra tablet infection. Pain is often not present and a Roentgenogram is the only means of showing this condition. I shall give you briefly a resume of cases from all walks of life classified according to etiology so far as we could determine. Many cases are classed under two or three heads. To May 1, 1916, accord- ing to half viagra tablet our statistics for the past four months, we treated in all 611 cases, 10 per cent, of that number being neuritis and 31 per cent, so-called rheuma- tism. viagra online ads Of these 251 cases of rheumatism and neuri- tis 40 per cent, lived on a high protein diet, had constipation and indican, oxalate of calcium or uro- bilinogen in the urine, indicating the alimentary canal as the probable source of the trouble, 21 per cent, viagra online ads had chronic inflammation of the nose, throat or tonsils, 16 per cent, began with fever or so-called grip, being an acute respiratory infection. 16 per cent, showed no discernible cause half viagra tablet unless hereditary, 10 per cent had bad teeth, which does not include those that might have been shown up by the Roent- genogram as due to alveolar infection. viagra online ads 7 per cent, were due to gonorrhea, 3 per cent, to lues, and 1 per cent, to deficient thyroid glands. SYPHILIS AND PREGNANCY. By BURTON PETER THOM, M.D., NEW TORK. The influence of syphilis upon pregnancy has at- tracted the attention of viagra online ads syphilologists and ob- stetricians from the days of Paracelsus to the pres- ent. The knowledge gained in the past ten years has added zest to its perennial interest and has wrought great changes in our views so that the aphorisms of the teachers of a former time half viagra tablet have been relegated to the limbo of ideas no longer held as true.