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24 36 l.Vl'.OII 13,800 0.8 1 0. 0.2 The patient reported two days later following the first injection, feeling perfectly well, and objectively presented normal heart sounds, regression of the cardiac dilatation, lowered diastolic, increased pulse pressure, a smaller figure for take viagra prescription the one minute mercury pressure. The results of the last injection could not be controlled by physical examination but the patient leaving the city for the South, notwithstanding very hot ana damp weather, roses and take viagra prescription other flowers in full bloom, was entirely free from symptoms suggesting her former "rose-colds." Whilst sojourning in New England dur- ing a wet summer, the veega generic viagra patient reported that she had experienced veega generic viagra only very slight discomfort of occasional watery discharge from her eyes and nose, but never any asthmatic attacks, which were so troublesome in former years. Since the patient was at my office only twice before starting out for her vacation, I had some doubt whether the two injections of pituitrin and adren- alin were sufficient to protect her from any further manifestations of her rose colds. If it could have been arranged to give the patient the pituitrin injections, it is my impression that even the slight manifestations mentioned above could have been averted. Among my hay fever patients there are four more cases, two women and two men, who were treated by the pituitrin and adrenalin injections. Time, however, and space forbid me to enter into a de- tailed analysis of their cases. Briefly speaking, on first examination they all revealed dilatation take viagra prescription of the heart, with weak sounds, rapid pulse, low systolic and high diastolic blood pressure, low pulse pres- sure, digestive disorders, particularly marked indi- canuria. Under pituitrin and adrenalin injections these cases showed all at least reduction in the size of veega generic viagra their heart, better take viagra prescription heart sounds, improved blood- pressure findings ; symptomatically the attacks did not return, or were lessened in intensity and sever- ity. In giving my personal clinical observations on a few hay fever cases, I veega generic viagra am fully aware that definite conclusions from the present observations should not be drawn. From the theoretical and clinical standpoint two points seem of interest, namely : 1. That the symptoms emanating from the re- spiratory tract are probably not the only ones pres- ent; that, at least as shown in the cases referred to above, there may be found definite signs of a cardiovascular deficiency-cardiac dilatation, weak heart sounds, abnormal blood pressure findings, vasomotor weakness, associated with indicanuria of nutritional or intestinal origin, which functional disturbances may be favoring factors for the mani- festations resulting from the pollen irritation. Somewhere, somehow, the pollen floating in the air must reach the mucous membrane. Admitted the lack of a vasomotor tonus, a low circulation, and weakened heart condition, the possibilities are that the irritation of the pollen is more apt to cause the distressing clinical symptoms. 2. That from the therapeutic standpoint pituitrin administered in appropriate doses may remove the cardiovascular depression and in some instances cure, or at least alleviate, the clinical symptoms. The making of such a statement does not imply that pituitrin medication is the only substance to be used in hay fever cases, nor does it mean that the pollen vaccination is out of place. As said be- fore, the vaccination treatment has its usefulness and is apt to secure good results. From the clinical standpoint I believe that the attendant signs of vasomotor and cardiac weakness ought to be con- sidered veega generic viagra in the outline of treatment for hay veega generic viagra fever cases. Admitting that the posterior part of the pituitary body plays a more important part in human physi- ology than generally supposed, especially with refer- ence to the vagus nerve, it is at veega generic viagra least probable that by the proper therapeutic use of pituitrin we are able to help the patient and secure him better pro- tection from the tedious symptoms attributed to hay fever. Price Hill. Syndrome Seen in Soldiers with Intestinal Troubles. — Depechaux describes an augmentation in volume of the abdomen, with ptosis, meteorism and depression of the cupola of the diaphragm as shown by .r-ray examina- tion. These phenomena appear only in predisposed veega generic viagra sub- jects and are of hysterical nature. They appear through autosuggestion consecutive to colitis or dys- entery. — Le Progres Medicate. July 7, 1917] MEDICAL RECORD.