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pains buy liquid viagra online over the heart and was unable to lie on that side. The case was then submitted to the Portland Acad- emy of Medicine. There was only one dissenting voice. He, a genitourinary specialist, simply said, "1 have no opinion to offer, but I have profound respect for a man's testicles." Dr. S. A. Robinson, who took great interest in the case, took the history of it to the Governor of the State. In his opinion the State had no place to care for such a case, and he strongly advised castration. I then operated on March 20, 1911, and castrated the boy. The small incisions through which the testicles were re- moved, as well as the scrotum and a large portion of the penis were covered with a flexible collodion dress- ing to prevent him from infecting the wound should he continue his habit in spite of it. This dressing put him to some inconvenience, but he continued the habit immediately after the operation. During the night of March 24, four days after the operation, he mastur- bated six times, and during the morning following he accomplished the act seven times before coming to my office. He said that he usually could and did do it oftener in the afternoon than in the morning. The operation seemed to have no immediate effect on the boy. The incisions healed by first intention. While he still continued the habit the father reported on April 15 that more effort was required on the part of the daily viagra use boy to obtain satisfaction in the buy liquid viagra online act. Shortly after this the mother reported that he had gone back to his boy- hood method, viz., with his head and feet on the bed daily viagra use or sofa, he formed an arch of the body with the abdo- men downwards and then by a forward and backward rocking of the body he obtained his gratification. The hands were not used at all except to steady the body while they rested on the sofa. At one time at my re- quest he proceeded without shame or buy liquid viagra online embarrassment to a demonstration of the method which I interrupted. In rocking the body forward the head was flexed under the chest to such an incredible degree daily viagra use that the impact of the movement brought the occiput of the head against the sofa with such force that he was bald at that point. One really felt that he was in danger of breaking his neck in the process. This method had so daily viagra use developed the posterior muscles of the neck that when he stood up- right and let the head drop on the chest they stood out in a marked curve. His general physical condition suf- fered from the excessive strain. For a while he lost in weight but by November, 1912, examination showed that he was about normal so far as the respective physical . functions were concerned. At home it was necessary to keep him a close prisoner for the protection of his younger brother and the community at large. The brother seemed to be perfectly normal. He is a half- brother to D. H , the father having married the sec- ond time. Continued difficulty in dealing with the boy at home seemed to make it advisable to renew previous efforts to have him taken care of in some institution. The crowded condition of the School for Feeble-minded pre- vented his admission for a buy liquid viagra online time, daily viagra use but space for him was finally made and he was transferred to that institution. Up to the time of his admission to the institution the habit was still sufficiently strong to make it necessary to keep him practically daily viagra use a prisoner in his own daily viagra use home in order to protect his brother. About two years after his admission to the institution the Child Welfare Commission, daily viagra use in going through the institution, ran across D. H •. Inquiry developed the fact that he had not had the habit since the change of Superintendents. Close watch night and day failed to catch him in the indulgence of his habit. The nurse who had him in charge immediately after his admission reported that he had the habit when he was admitted but that it had gradually disappeared. During a recent visit to buy liquid viagra online the institution on Jan- uary 25, 1915, I was able to see the boy again. He is now thirteen years of age, rugged in appear- ance, and liked very much by the officers in the in- stitution. The superintendent says, however, that he is not perfectly noi-mal mentally. While he is of opinion that the boy is slightly feebleminded, yet he is so far above daily viagra use the average class of daily viagra use boys of his age in the school that it is really not the proper place for him. As can well be imagined, criticism for castrating the boy was both severe and disconcerting, but the 610 MEDICAL RECORD. [Oct. 9, 1915 severity and final outcome of the case have certainly justified the procedure. The problem presented many points for consideration which made respon- sibility heavy. The case is closed with a certain degree of satisfaction — certainly without regret for having treated the case as it was treated. THE EFFECT OF INTRAVENOUS INJEC- TIONS OF RADIUM ON A PERSISTENT POSITIVE WASSERMANN REACTION. Bt WINFIELD AYRES, M.D., NEW YORK. Nearly every physician has been at least annoyed by his inability to obtain a buy liquid viagra online negative Wassermann in a certain proportion of his cases of syphilis. The writer, being no exception, wondered what effect radium would have on this condition. The histories of the following cases seem worthy of report in this connection.