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most profound and fatal anaemia; also a fatal case of anaemia following sunstroke. A number of cases have been reported in literature, but the connection be- tween the nervous shock and the anaemia, he said, have not been definitely studied. Dr. Herrick felt warranted in drawing the conclu- sion that in some cases of pernicious viagra health shop anaemia there is a causal connection between shock or injury to the splitting 100mg viagra nervous system and the resulting amemia. Whether such shock acts by interfering with the nervous mech- anism of the digestive organs, the stomach, intes- tines, pancreas, the ultimate result being a splitting 100mg viagra severe anaemia, or whether through altered nervous influence there is abnormal performance of function on the part of the haematopoietic organs, it was impossible to say. It is not necessary to regard the nervous shock as the sole or even the viagra health shop prime cause. How to Cure Rheumatism. Dr. Elmer Lee, of Chicago, said that it is upon the recognition of the physical alterations of the blood, consisting so far as known in diminution of the red globules and serum, that his treatment is based. Such changes seemed to throw the responsibility upon the capillary circula- tion rather than upon any change in blood chemistry. Coming to the treatment, he said it is hydriatic, re- quiring the use of water internally and externally. None of the patients on coming to him had been tak- ing sufficient water. Further, attention should be given to nutrition and elimination. The Care of Cardiac Disease during the Quies- cent Period Dr. Louis Faugeres Bishop, of New York, read a paper with this title. One of the most honorable offices of the physician, he said, is the care of chronic disease. Modern accurate diagnosis and therapy have removed much of the dread of sudden death in heart disease. The care of chronic cardiac disease is the care of the myocardium and the pro- tection of the endocardium from further acute in- splitting 100mg viagra flammation. The splitting 100mg viagra danger of extension of chronic inflammation from the endocardium to the other structures of the heart is great. The value of suit- able exercise in maintaining compensation is very great. Indolence is as fatal as overwork. Golf and quiet bicycle riding helps many indolent cases. When failure of compensation is threatened viagra health shop absolute rest is better splitting 100mg viagra than drugs. Hydrotherapy and mas- sage are very useful in combating passive conges- tion. The patient, if intelligent, should be instructed as to the nature and requirements of his disease. The greatest evils to be avoided are indolence and dissipation on the one hand, and overwork and worry on the other. The proper care of such cases is far more satisfactory than the hopeless contest when the power of the myocardium has been exhausted. The Action of Alcohol on the Organs of Special Sense. Dr. J. W. Grosvenor, of New York, said in this paper that there is no difference of opinion among physiologists regarding the effects of large doses of alcohol. It is narcotic. All the senses are dulled the pupils fail to respond to light, a sharp instru- ment does not cause pain, most volatile substances pro- duce no influence on the olfactory nerve, and so with the other senses. The author quoted recent experi- ments by Ridge, Crouthers, and others, testing the effect of varying doses of alcohol on the special senses in total abstainers and those more or less given to the use of alcohol. The results showed diminished sense of pain, weight, hearing, etc., produced by small as well as large doses of alcohol, and in proportion to the dose administered, from half a drachm upward. Dr. Grosvenor said that in his study of this subject the thoughts which have forced themselves upon his attention are as follows: i. Guided by the chief characteristic of alcohol, its paralyzing influence, splitting 100mg viagra is it splitting 100mg viagra not more appropriate to call it a depressant than a stimulant? 2. If alcohol becomes popularly known as a depressant, will it not be less frequently used by the laity in those physical conditions which are commonly viagra health shop supposed to demand stimulation? 3. Knowing that alcohol viagra health shop is a depressant, even when given in small doses, ought not the medical profession to exercise great care in administering it in debilitated states of the system? 4. The use of alcoholics hypodermically in cases of heart failure or arrest of respiration caused either by ether or by chloroform narcosis is bad prac- tice. 5. It is the duty viagra health shop of viagra health shop the profession to discard its use to the end viagra health shop that our national life may be charac- terized by physical and moral integrity, clear brains, steady hands, and brave hearts. Drs. Hare, Ochterlonv, and a number of members opposed the view that alcohol is never a stimulant, while some held that it is always depressant. Lycopersicum Esculentum in Cardiopathia Dr. W. T. English, of Pennsylvania, in describing this plant, said it is indigenous to South America, but was introduced for its beauty into the United States and England. Then it came to be used as a food. The writer believes that the tomato has a more or less poisonous effect upon one-half to one-fourth of those who use it as food. It causes irregu- larity and inequality of heart rhythm and force, and 73$ MEDICAL RECORD. [May 23, 1896 the effect upon those with previous heart disease has been deplorable. Among the unpleasant symptoms are gastric uneasiness, pyrosis, heartburn, acid eruc- tations, sighing respiration, dyspnoea, etc. In preg- nant women it produces particularly unpleasant circu- latory symptoms. Many suffer from this form of