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871 on the " Comparative Results of the Treatment of Diphtheria with and without Antitoxin in the District of Columbia.'' It appears that the death rate from diphtheria in the District of Columbia since the intro- duction of antitoxin has materially diminished. Dr. A. Seibert, of New York, read a paper on Sudden Death generic viagra test after Antitoxin Injections." He purchase viagra mexico re- ported a series of striking experiments which showed that the injection into animals of carbolic acid even in very weak solution was constantly followed by most characteristic spasmodic movements. Another series of experiments was made to determine the effects of subcutaneous injections of air. The results seemed to show that antitoxin can contain but infinitesimal quan- tities of carbolic acid. They also generic viagra test rendered the propo- sition reasonable that the few sudden deaths reported after the use of antitoxin might be due to the injection of air at the same time. The general discussion elicited by these papers was extremely interesting and showed a unanimous and very strong sentiment in favor of antitoxin. At the fourth session, Dr. Rowland G. Freeman, of New York, read a paper on " Low Temperature Pas- teurization of Milk at about 67 C." He proved that this temperature was sufficient to kill numerous patho- genic bacteria and various atmospheric bacteria, and referred to generic viagra test the importance of avoiding unnecessary heat in the preparation of milk for infants' use. He presented purchase viagra mexico a new apparatus of simple construction, de- signed to Pasteurize milk at 67 C. Dr. Charles W. Townsend, of Boston, reported several cases of " Thigh Friction in Infants." Dr. William P. Northrup, of New York, reported a most interesting case of "Apparently Relapsing Cerebro- spinal Meningitis Followed by Death and Autopsy," which elicited a warm discussion on the pathology and diagnosis of meningitis. Dr. Henry Laflelr, of Montreal, reported a case of " Insolation in an Infant of Thirteen Months." 1>k. purchase viagra mexico A. I). Blackader, of Montreal, reported a case of "Enlargement of the Liver" in a young child, with symptoms closely re- sembling those of typhoid fever. Papers were read by title by Drs. B. K. Rachford, of Cincinnati; F. Forchheimer, of Cincinnati; Ir- ving M. Snow, of Buffalo; and Henry I). purchase viagra mexico Chapin, of New York. The last session was devoted to the presentation of pathological specimens, specimens being presented by Drs. Rotch, Holt, Caille. Adams, Packard, Ack- er, Freeman, and Townsend. The following officers were elected for the coining year: President, Dr. Samuel S. purchase viagra mexico Adams, Washington, D. C; First Vice-President, Dr. W. S. Christopher, Chicago; Second Vice-President, Dr. Charles P. Put- nam, Boston; Secretary, Dr. Frederick A. Packard, Philadelphia; Treasurer, Dr. Charles YV. Townsend, Boston; Recorder and Editor, Dr. Floyd M. Crandall, New York; Member of Council, Dr. William Osier, Baltimore; Chairman of Council, Dr. William P. Northrup, New York. NEW YORK COUNTY MEDICAL ASSOCIA- TION. Stated Meeting, May 18, f8p6. Joseph E. Janvrin, M.D., President, in the Chair. Disturbance of Arm Circulation Simulating Neu- ritis Dr. L. F. Bishop presented a girl, about four- teen years of age, who had come to the clinic with the history that the day before she had felt pain in the elbow and wrist. He found complete anesthesia from the wrist down, but subjective pain in the finger tips, and here pressure caused some increase of pain. Tactile sensation was quite absent. At first glance he thought of neuritis, perhaps due to trauma, but found absence of radial pulse and of all pulsation until he reached the upper third of the arm. There had since been generic viagra test gradual return purchase viagra mexico of sensation and of col- lateral circulation, but there was slight dry gangrene of the tip of the index and ring fingers, less of the thumb. He supposed there had been sudden plugging of the brachial artery, followed by gradual develop- ment of collateral purchase viagra mexico circulation. The radial purchase viagra mexico pulse was still absent. Experience with Pilocarpine in the Treatment of Uraemia of Bright's Disease. Dr. Charles J. Proben in the first part of this paper generic viagra test briefly consid- ered the physiological action of pilocarpine and pointed out the antagonism between it and atropine. The inconvenience in the use of other measures to excite the skin and kidneys to action in uraemia and eclampsia, and the slowness of their action, he said, have led to a trial of pilocarpine by Barker, Saenger, and many others, in spite of the dangers from depressing ef- fects. Barker considers the use of pilocarpine in eclampsia contraindicated ; Saenger reports three cases with one recovery; Loomis thinks the drug can be tried cautiously in uraemia of Bright's disease under certain conditions. Briefly stated, the author thinks it is not safe when there is fatty degeneration of the purchase viagra mexico heart, dilatation, senile change of arteries, cardiac in- efficiency; in fact, probably its only indication in uraemia is when there is simple hypertrophy of the heart with strong action. Here its beneficial ef- fects are said to be striking. Moreover, the modern way of directly attacking the blood is a far more efficient method of treating uraemia. By some, this is carried out by withdrawing a portion of the ve- nous blood, even to the extent of a thousand grams, and generic viagra test replacing it with saline solution. The proportion of poisonous elements withdrawn from the circulation in this manner is far greater than it would be in withdrawing an equal amount of sweat or urine. Dr.