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The average viagra prescription only number of sick is no viagra prescription only less than former- ly, but there is a growing disposition to avoid the so- called calamity viagra prescription only of adding a doctor's bill to the other general and pressing expenses of household necessities. The man who formerly viagra prescription only paid the canadian viagra soft physician a modest sum gets advice free in the dispensary, or pays a small bed fee in some of the many so-called hospital chari- ties and has his medical and surgical advice thrown in free of extra charge. Many of the larger hospitals are run on the cheap boarding-house plan and openly compete with the family physician by reducing medi- cal sen-ice to the lowest level of volunteer gratuity. This, however, is an old story, which hardly gives ex- cuse for rehearsal save in connection with the fact that the practice upon which it is founded is steadily in- creasing to alarming proportions. Medical charity is now a well-organized business with plenty of capital behind it, and is necessarily run on business principles. The hospital managers with patronizing smile tell the poor viagra prescription only doctor that he is no businessman; the doctor admits it, and witli hat in hand begs for an opportunity to give his services free. He cooks the meal and grovels for the crumbs. There is no so-called trade protection in this much-lauded charity business that applies in viagra prescription only any way to the medical man who is struggling to make an honest living. A dispensary with half a million behind it must neces- sarily imbue itself with a commercial spirit. There is very little sentiment in such a game. The bluff is higher education, the hollow echo ;i broader humanity. By this and other means the public is educated to belittle professional services. The best newspapers lend their columns to the quacks and dare not fight with fraudulent advertisers. Clergymen sign certifi- cates of false cures. Statesmen canadian viagra soft and would-be great men allow their likenesses in papers to prove that le- gitimate medicine is nothing and that their lives were saved by the newest advertised nostrum. It is melancholy to think that the physician him- self is often to blame for the self-prescribing tendency of the public. The desire to please and satisfy the sick tempts prescribers to volunteer private clinical canadian viagra soft lectures to the family on the nature of the maladies in hand, the reasons for using certain drugs, their ex- tended application to ordinary ailments, and their safety in proper hands. Even if the patient is not at first inclined to do so, he is often advised to repeat prescriptions at his own discretion, and too frequently drifts into a habit that is harder to cure and easier to endure than any other to which he may be exposed. Promiscuous prescribing on the part of laymen is an outbreak of hereditary taint from grandmothers, and needs only the slightest provocation to bring it into full recognition as the manifestation of an alarmingly prev- alent evil. Worse than all, however, are the penny-a- line prescriptions contributed by medical men and paid for by the column, always to mislead and often to harm the ignoramus who takes them at their face value. Many canadian viagra soft apothecaries, when they have not curealls of their own, peddle the doctors' prescriptions and dodge the law by refusing to do more than sell a medicine. The patients themselves do the same thing with their friends, and one prescription may serve an entire com- munity. The intelligent layman would scorn the im- putation of ignorance of the fashionable drugs. He has his own remedy for grippe, headache, and rheu- matism ; his own cough mixture, viagra prescription only his own mineral water, and his own tonic. His good doctor started him in the business and he naturally claims his rights as a free and independent citizen. It would also appear that the laws governing the practice of medicine have been made to suppress rather than to encourage legitimate medicine. What else can be said in extenuation of the fact that the notori- ous advertising quacks are as safe from prosecution as canadian viagra soft are those who by dint of conscientious study have thoroughly qualified themselves to practise their pro- fession in accordance with the highest and mest exact- ing standards? SUGAR AS A MUSCULAR FOOD. Some time ago Dr. Y r aughan' Harley published the re- sults of some experiments which seemed to show that sugar had an almost specific value as a food for the muscles. These results were published in the Jour- nal of Thysiology iox 1894, and the conclusions given were widely circulated. Dr. Harley, in a recent num- ber of the British Medical Journal, returns to the sub- ject. He canadian viagra soft states that physiologists have shown that sugar is the principal, if not the only, source of mus- cular activity. Other physiologists have shown that sugar is present in large amount canadian viagra soft in the blood during the activity of muscles, and that the blood returning from these muscles is free from sugar. Dr. Harley then states that, as the result of his long-continued experiments, he found that a person living upon sugar for twenty-four hours could do nearly as much work as upon an ordinary full diet. viagra prescription only He also shows that May 23, 1896] MEDICAL RECORD. /J when nine ounces of sugar were taken in addition to an ordinary diet the gain in muscular power, or the power to do muscular work, ranged from ten to thirty-six per cent. He found that when sugar was added to a small diet there was an canadian viagra soft increase of from nine to twenty-one per cent, of muscular power. He considers that these experiments prove the value of sugar as a muscular food.