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Dr. II. II. Bn di i r then exhibited a case of "Tre- phining for a Total Paralysis with Cure." He had undertaken this operation with very little knowledge of the cause of the trouble and with little expectation of such good results. 1)R. E. M. Kmi> said that the case had been viagra line pharmacy 011 the medical side of the hospital, and tenderness on pet 1 ussion bad been found on the left side of the head; syphilis had been suspected, and the case had been ommended to the surgical ward. Gonorrhceal Endocarditis. -Dr. William S.Thayer then made some remarks on " Gonorrhoea 1 Endocar- ditis." Since Neisser in 1885 discovered the gono- coccal, many tumbles whicjfi were formerly obscure had been now shown to be caused by tfi ism. There may be a pure infection, or there may be a mixed infection, or the gonococci may enter and make a way for other organisms, or pyogenic organisms may find viagra line pharmacy their way in and drive out the gonococci. Also these local processes may be non-bacterial. viagra line pharmacy He had seen at the Hopkins Hospital two cases of gonor- rhceal endocarditis, in both of which the patient died. viagra tabs buy In the first case the cultures were made from flowing blood taken from the arm. From the growth obtained the gonococcus was suspected, but was not certain. In the second case it was found, and examination of the blood and also of the clot on the valve of the heart verified the diagnosis. Dr. W. A. Duvall asked how long a time elapsed between the initial lesion and the endocarditis, and also concerning the line of treatment followed. Dr. Thayer replied that very little was known in one case, but in another case recorded five days elapsed, which is a very short time. He has no record of his cases before they came in, but in one of them the severe viagra tabs buy chills which took place showed that further infection with the gonococcus had occurred. It is hard to say what to do with these cases. In one case the gonococcus was also found in the genital organs. Dr. J. D. Blake then reported "Sixteen Cases of Laryngeal Croup Treated viagra tabs buy by Intubation and with An- titoxin.'' The oldest patient was seven years, the voungest four months. Twelve recovered and four died. In one case the antitoxin was used on the second day and in another on the ninth. In viagra line pharmacy two cases no orga- nisms were found in the throat, but they can carry con- tagion to other cases. He then showed a simple but very effective instrument for removing the tube. Dr. ! C. Hemmeter asked if he had observed any differen. e between the German and American antitoxin. Dr. Blake replied that there were no discriminat- ing results for either. Gastro-Intestinal Manifestations of Hysteria. Dr. George J. Preston then read viagra tabs buy a paper entitled " 'The Gastro-Intestinal Manifestations of Hysteria." He first spoke of contraction of the cesophagus caus- ing rejection of the food. Blood was often vomited ; this was bright red in color and simulated other viagra line pharmacy affections. Many cases of so-called vicarious men- struation were really hysterical in character. Hyster- ical anorexia was common. Hysterical patients seemed to be able to live on very little food and often go an incredibly long time with very little to eat. They will often attempt to deceive by starving in public and stuffing in private. They suffer greatly with distention of the bowels with gas. Dr. Hemmeter said this paper was written from the standpoint of a neurologist. All the symptoms related seem to come from the nervous system. Cer- tain forms of these troubles are intestinal and are due to auto-intoxication. Dr. Preston replied that we cannot classify the pathology of neuroses, hence we have to run the gamut of all the specialties. In very niEftry cases we can find no evidence of a pathological lesion. In viagra tabs buy the evening the annual oration was delivered by Dr. Solomon Solis- Cohen, of Philadelphia. His subject was "The Path of viagra line pharmacy Progress in Modern 'Thera- peutics." After this, the portraits of Dr. George W. Miltenberger and Dr. H. P. C. Wilson were presented to the society with appropriate addresses by Dr. S. C. Chew and Dr. T. A. Ashby. Fourth Day Friday, May 1st. viagra tabs buy Dr. John C. Hemmeter then read two viagra tabs buy papers as follows: one on the "Possibility of Intubation of the Duodenum." and the other on the " Effects of Persist- ent Intestinal viagra tabs buy Putrefaction upon the Kidneys." May 1 6, 1896] MEDICAL RECORD. 709 Dr. Joseph T. Smith then reported several cases showing the importance of a careful examination of the urine in suspected disease of the kidney and showing also that when we find abnormal ingredients we must know how to interpret them. Dr. Hemmeter referred to the importance of ex- amining the patient on both sides before any operative treatment on the kidney, and referred to a case in which one kidney had been removed for some disease and it was found out afterward that that was the only kidney the man had.