Viagra Cialis Buy | Viagra Tablet Wholesale | Best Pharmacy













































doctor at the poste de secours, but which is sim- ply an exaggerated manifestation of fatigue. The debut, sometimes sudden, is insidious; the viagra cialis buy subject complains of pains all over — in his head, back, legs, with frontal or occipital headache, rachialgia and myalgia, and always elevation of temperature, sometimes 101° to 102\ He has chills, coated tongue, and distaste for food, but demands drink. The headache is almost always accompanied viagra cialis buy by vertigo and roaring in the ears ; the eyes may be bloodshot. The myalgia is most pro- nounced in the hips and legs and not infrequently the patient complains of pains in the joints. Nau- sea and sometimes vomiting are present. The patient may have diarrhea, but is more often constipated. His pulse is accelerated and in keeping with the temperature, his face is hag- gard, and a hectic flush covers the cheeks. His eyes are brilliant and restless, or heavy, luster- less, and dead. Some give a history of or have epistaxis and sometimes vesicles appear upon the lips. These symptoms last from three to six days. The temperature oscillates but, under the influence of a brisk purge (if constipated) and quinine, falls to normal, in the bad cases possibly to subnormal; but the pains in the bones and muscles persist and the patient is greatly fatigued or prostrated. This usually disappears, however, with rest. The symptomatology makes the doctor think of grippe, pneumonia, typhoid, paratyphoid, rheuma- tism, or malaria. Sometimes viagra cialis buy in spite of the abatement of the fever and other viagra tablet wholesale disquieting symptoms, the patient seems to lose strength. He complains of the continued pains in the lumbar region and legs and neuralgia all over. He complains of muscular asthenia and is without force or energy, to which may be added gastrointestinal atony. There is no doubt but that most cases are the result of a considerable period of resistance and evolution in the course of which the continued viagra cialis buy exercise, physical, and mental fatigue have so de- pleted the functional vitality that the waste prod- ucts are imperfectly eliminated and the subject is poisoned by autotoxins, which are doubtless active agents in the upsetting of the thermic equilibrium, producing the fever of fatigue, the professional malady of the soldier. 146 Avenue des Champs Elysees. CASUALTIES IN THE MEDICAL SERVICE. To the Editor of The Medical Record: Sir: — As you are aware, many various and ex- travagant figures have been published of the casual- ties in viagra cialis buy the Medical Service of the British Army. To obtain authoritative information in regard to these figures, I wrote to Colonel T. H. Goodwin, of the British Army Medical Service, who has been at the Western front since the war began until very re- cently, when he was viagra cialis buy detailed with the British Com- mission to the United States. He very kindly cabled the British War Office, asking for definite information, and obtained the following figures. "The total casualties among medical officers of the British forces on the Western front from the 22 MEDICAL RECORD. [July 7, 1917 commencement of the war viagra cialis buy until the present date (June 25) are as follows: Killed 195 Died of sickness 62 Wounded 707 Total 964 Total battle casualties (964 — 62) 902." From these figures it is seen that only about 20 per cent, of the injured die. It viagra tablet wholesale is hardly necessary for me to add, for the information of our own medi- cal profession who contemplate doing their bit, that these figures show the same relation between killed and injured as in our own estimated battle casual- ties, as given in the "Medical Service in Campaign," by Straub. To encourage the volunteering viagra cialis buy of a greater num- ber of medical men, who may have been deterred by the previous and widely published extravagant fig- ures, I trust you will see your way to use the in- formation supplied by Colonel Goodwin. Robert H. Halsey, M.D., Captain, Officers' Reserve Corps, viagra tablet wholesale Medical Section. CEREBRAL HEMORRHAGE DUE TO GAS POISONING. Of all the horrors of the present war there is none