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home, Councilman acknowledges the same. In his most lucid article in Dennis' "System of Surgery" he defines inflammation as "the sum of the phenomena 1 The most striking example of this class is to be seen in the experiment which has been frequently repeated, among others by my colleague, Dr. James Stewart, of assuring a susceptible in- dividual under hypnotic influence that the hand or other region lias been burned or blistered, when within a very short period the part becomes reddened, swollen, and, it may be, the seat of marked serous effusion. '-' Ziegler's "Beitrage," v., 1SS9, p. 347. ; I here quote from Professor Senn, not having been able to discover the original passage. March 14, 1896] MEDICAL RECORD. 36; which take place in the tissue as the effect of an in- jury. The object of these various phenomena is to overcome or to diminish the effects of the injury." ' Whatever justice there might have been a few years ago in the objection that this view of inflammation is teleological, now, with the facts at our disposal, the objection is no longer valid. As well may the pfizer coupons for viagra state- ment that the function of the heart is to propel the blood into the arteries be condemned as teleological, or objection pfizer coupons for viagra be taken to the statement that digestion is the series of processes whereby matters received into the alimentary tract tend to be converted to the uses of the tissues of the body. We are ready enough to admit the deductions drawn from physiological ex- periments; we must equally accept the results of ex- perimental pathology. But the definition here enunciated is pfizer coupons for viagra altogether too broad for many to accept, and ever since Hiiter pro- pounded the view that the term inflammation ought to be restricted to those conditions in which there is in- fection by micro-organisms, with pus formation, there have not been wanting adherents of the pfizer coupons for viagra narrower view. And as what is to follow must largely stand or fall ac- cording to the acceptance of the definition herein set forth, and inasmuch as this confounding of infection and pyogenesis with inflammation appears to be grow- ing more and more popular upon this continent, I needs must for a short time discuss the propriety and soundness of the movement. I do this, sir, with some hesitation, for I feel that I am reverting to very elementary pathology; never- theless it is just because the matter is so elementary, so fundamental, so all-important for a right compre- hension of all pathology, and because the distinction with which you have honored asda viagra me affords an asda viagra almost unique opportunity for calling attention to this mat- ter, that I make bold to utilize this opportunity to urge a broad and logical consideration of pfizer coupons for viagra the subject. Dr. Senn, professor of the principles of surgery in the Rush Medical College, Chicago, whose writings have obtained a wide circulation and whose influence in the North and West perhaps transcends that of any other surgeon, states in his " Principles of Surgery" that inflammation, in the widest and most comprehen- sive meaning of the word, should be made to embrace pathological conditions which are caused by the action of pathogenic microbes or their ptomaines upon the histological elements of the blood and fixed-tissue cells, and that "true inflammation is always caused by the presence of one or more kinds of pathogenic mi- crobes," a statement which, it may be added in paren- thesis, does not prevent him from employing figures from Hamilton and others to illustrate the stages of the process, although those figures represent the re- sults obtained by the use of chemical and not bacte- rial irritants. Ur. Roswell Park, professor of surgery in the Uni- versity of Buffalo, in a straightforward address read before the American Surgical Association in May of last year 2 is inclined toward the same opinion, and, as he at the onset especially invites kindly criticism, asda viagra I may say that his challenge has perhaps more than anything else led me to take up the subject here. He urges first the revolutionary thesis that the combina- tion of the four cardinal symptoms should not be re- garded as indicating inflammation. We should dis- miss from our minds the associated idea, and should refer to the redness and heat as hyperemia, the swell- ing as exudation, the pain as the result of pressure. Only when these pfizer coupons for viagra become developed or modified by the growth of micro-organisms in an injured area or by the action of their products should we venture to speak of inflammation. And the term pfizer coupons for viagra should then 1 Dennis' "System," vol. i., 1895, p. 144. 2 Medical Record, New York, i., 1895, p. 705. comprise not only the local but also the general effects produced by the growth of the micro-organism. In fact, the existence of these general effects (as, for ex- ample, the rise of bodily temperature associated with the appearance of a small furuncle upon the nose) is given as a distinction between what Dr. Park regards as true inflammation and the non-inflammatory reac- tions of the tissues to non-microbic lesions. While epitomizing Dr. Roswell Park's argument, I believe that I have accurately stated his main con- tentions. Let us see what is the logical outcome pfizer coupons for viagra of this idea. First and foremost the frequent association of redness, swelling, heat, and pain which may result from mi- crobic invasions of the body is not in itself to be re- garded as symptomatic of inflammation. The associ-