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this season of the year are wanting. The same may be said of Paris, the mortality rate of which is just now considerably below the average. Moreover. Paris and Marseilles are two of the best-watered cities in Europe. Marseilles has the Durance to depend upon, which authentic viagra online carries fifty cubic metres of water a second, so that it has been and is possible to give to all the canals, and especially to the Marseilles canal, their normal quantity of water, and hygienists know how- much that means in times of drought, which always favor and foster outbreaks of epidemic cholera. An incident has just occurred that is making quite a stir in the medical and pharmaceutical world, and which has resulted in the resignation of one of our most distinguished chefs de laboratoire, as it has viagra price online in the dismissal of his aid, or garcon de laboratoire. The facts are briefly as follows: Dr. Bouchard, pro- fessor of general pathology at the Faculty of Medicine. lias Eor one of his favorite pupils Dr. Rog -.sor and medecin des hopitaux, editing at the same time with Professor Bouchard his great work, " liaite de Pathologie Ge'ne'rale." Dr. Roger's best - known contribution to science is his discovery of the authentic viagra online antistreptococcic serum, a serum entirely different from that of Marmorek. It seems that the pharmaceutical house of Chaix & Re'my undertook the sale and advertisement of Dr. Roger's serum, and as the discovery became public property the inventor remained entirely out of the case. Unfortunately, the aid or garcon, who understood per- fectly the handling of toxins and how to use them, earning but a slender one hundred francs a month, vielded to the tempting offers of Messrs. Chaix & Remy, and began to give more attention to the manu- facture of serums than to his regular laboratory duties. When Dr. Roger was informed of this he did nothing to prevent it, and the matter was referred to Professor Brouardel, dean of the faculty. The resignation and dismissal above noted were the consequence. No blame is authentic viagra online attached to Dr. Roger, who certainly made a mistake in not bringing the matter to light at once. He evidently acted from motives of kindness. The serum is used chiefly in the treatment of erysipe- las and puerperal fever, in both of which diseases the streptoccus is characteristic. pXcdicat gtems. Contagious Diseases Weekly Statement. Report of cases and deaths from contagious diseases reported to viagra price online the Sanitary Bureau, Health Department, for the week ending June 20, 1896: Tuberculosis Typhoid fever Scarlet fever Cerebro-spinal meningitis. At easles Diphtheria Small-pox Surgical Morals. According to Dr. David W. Cheever in the present feverish condition of operative surgery it may be prudent to ask ourselves what is the object of an authentic viagra online operation and how should we regulate our conduct in unforeseen contingencies {Boston Medical and Surgical Journal). The problem may be con- densed into the following questions: 1. When to op- erate. 2. When not to operate. 3. viagra price online When to stop. 4. When not to stop. In regard to the first question, says the author, if we confine our selection of cases to those which clearly come under the cardinal rule for operation namely, to relieve suffering, to prolong life, or both there will be very little difficulty in the choice. We must consider whether life is imperilled and whether the suffering can probably be relieved. If we are asked to operate, he says, shall we accept only good risks, and decline the doubtful or hopeless cases? The second question is a difficult one to de- cide. Operations should not be undertaken without the full consent of the patient and his family, if it is possible to obtain it, viagra price online and there should be some respon- sible person who undertsands the nature of the opera- tion to be done and what may be reasonably expected from it. No operation should be done when the pa- tient is in a state of shock, unless hemorrhage, apnoea, or obstruction of the bowels is present, as in hernia, for example. If there is time the systemic condition of the patient should be fully considered for exam- ple, as to the integrity of the heart, the arteries, and the kidneys. In a viagra price online case of no emergency the age and the prospect of life of the patient should be taken into authentic viagra online account. viagra price online In cases viagra price online of glandular infiltrations which authentic viagra online are so extensive as to preclude perfect removal, he says an operation should not be done; for instance, in a tuber- culous organ, or in a sarcoma of the antrum where the June 27, 1896] MEDICAL RECORD. 935