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block would be less disturbed. Now he must wait for each succeeding bleat or blast until the regulation: number of thirty to the block have been given. Then he must lie and wonder what the next man's yell will be like, and when it comes he finds it more strange and more difficult to bear, and still from the sound he cannot make out whether it be " potted plants" or " bananas, all ripe." According to the statistics kept by the street-vender license bureau, only one man has applied for a permit so far this season who was not the victim of a severe chronic cheap viagra edu laryngitis. This one is recorded as having only an aggravated cleft palate. Some of those cheap viagra edu who are being rendered deaf by the discordant cries may receive satisfaction from the thought that six weeks in the business is the average time for a boy to lose his voice entirely. While the abatement of the noise nuisance rests in a great measure with the dwellers cheap viagra edu in the different lo- calities themselves, invalids in institutions must be guarded in their rights to a cheap viagra edu certain amount of quiet by the community at large. Comparatively few dis- turbing cries, for example, are now heard in those blocks bordering upon Fifth Avenue, for the reason that in mutual self-protection the occupants of houses refuse to encourage street venders by the purchase of their cheap viagra edu wares. There would seem to exist no valid rea- son why citizens living upon any given streets should not enter into compact not to deal with these peace disturbers, and then demand from the authorities that such disturbers be excluded. This viagra sale cost would have espe- cial force as applied to quarters in which hospitals are situated. For the comfort of invalids and nervous individuals generally in their homes, there should cheap viagra edu be restrictions placed upon the hours during which street cries could be engaged in. Then the sufferer could better bear them, knowing that his hour of rest would come. THE SECOND PAN-AMERICAN MEDICAL CONGRESS. We have received from the international executive committee for the United States a notice, printed in another column, of the second Pan-American Medical Congress, which is to be held in Mexico City during the third week of November. It is to be regretted that this announcement is made so late, for the summer is not a favorable time for original investigations or for the necessary research preliminary to the preparation of scientific papers. However, there will be a month of cool weather in this latitude before the date set for the meeting, and this is ample time for viagra sale cost one who al- ready knows his subject to write an article that will do credit viagra sale cost to American medicine. But doubtless many have long been working in anticipation of this meet- ing and are even viagra sale cost now prepared to assist in its deliber- ations. There are others again, and we trust many, who will derive pleasure and profit from attendance at the congress although they have no scientific contribu- tions to present. Listeners form as necessary a part of an assemblage of this kind as do speakers, and we can pay no greater compliment to our Mexican breth- cheap viagra edu 770 MEDICAL RECORD. [May 30, 1896 ren than to go in numbers to hear what they have to tell us. Mexico is an attractive city, the climate of which at all times and especially during the month which has been selected for this meeting is most delightful, and no one viagra sale cost who is able to accept the invitation of its citi- zens will ever regret having done so. As a matter of courtesy, also, there ought to be a generous participa- tion in the congress by physicians of the United States. Many representatives from viagra sale cost all the Latin- American republics were present in Washington three years ago, and we owe it to our Mexican confreres, whose interest in the first congress was especially marked, to give a most cordial support to the meet- ing in their capital. The Mexican government is manifesting a warm interest in the congress, and viagra sale cost the success of the meeting, so far as it depends upon the local profession, is already assured. knus of the MlccH. Statistics of Diphtheria was the title of a pa- per read before the New York Academy of Medicine, May 21st, by Dr. C. G. Coakley, who was followed by Dr. Joseph E. Winters, with "Clinical Observations on Antitoxin Treatment of Diphtheria and Report of Personal Investigations of Treatment in the Principal Fever Hospitals in Europe during the Summer of 1895." Dr. Winters held that antitoxin treatment had not decreased the mortality; that in many cases it had produced fatal results which would not otherwise have occurred; and that statistics as to cures were faulty in view of the fact that a large proportion of cases of so- called diphtheria were treated on a bacteriological rather than a clinical basis. Dr. Winter's paper will appear in the Medical Record soon. The hour was too late to hear from those who believe in the anti- toxin treatment, but they are to have an opportunity to reply at a special meeting, date to be announced by the president. Examination for Marine Hospital Service. There will be held cheap viagra edu at Washington, D. C, on June 15,