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chloroform in alleviating the pains of childbirth. The evolution of the Freiburg method and the respective contributions to it of Kronig and Gauss are described in detail. The experiences of those in America who have written upon this subject are quoted in full. The most valuable parts of this book to the medical reader viagra cream for women are the appendices comprising translations of the origi- nal articles by the authors of the Freiburg method, as follows: "Painless Delivery in Dammerschlat," by Kronig in the Deutsche viedizinische Wochcnsckrift, 1908; "Births in Artificial Dammerschlat," by Gauss in the Archw. fiir Gyniikologie, 1906, and "Further Ex- periments in Dammerschlat," by Gauss, in the Karls- ruhe Address viagra cream for women before the Conference of German Nafc- nralists and Doctors. A useful bibliography on various phases of analgesia in obstetrics is given at the end. John Shaw Billings. A Memoir. By Fielding H. Garrison. M.D. Illustrated. Price $2.50. New York and London : G. P. Putnam's Sons, The Knicker- bocker Press, 1915. Most medical men are, or should be, sufficiently in- formed as to the late Dr. Billings's scope of activities and the monuments to his fame — chiefly the Army Medical Museum, Index Catalogue of the Surgeon viagra cream for women Gen- eral's Library and Index Medicines, and also the part he played in the creation of the Johns Hopkins Hospital and New York Public Library, to say nothing of less known achievements. If this mere enumeration viagra cream for women is not sufficient. Dr. Billings has been the subject of very many appreciations and eulogies, and biographical sketches of him have appeared for many years past, or as soon as the extent of his labors was understood. Dr. Garrison has given us a full biography, in which his subject is viewed from a number of angles. It com- prises about 400 pages, and is above all criticism. Judged by the ordinary man, even by the ordinary distinguished man, Billings was a paradox as an Amer- ican ; since, with transcendent abilities, he preferred to serve his country in a comparatively humble capacity, during the best years of his life. His biographer as- cribes this choice to simple loyalty to the government, and doubtless in Europe his indefatigable capacity for work, his executive ability, and power of organization would have led to governmental honors which have no counterpart with us. In his own country his abilities could have counted in various ways. He could have been one of our great surgeons, and considering the number of American physicians who have left medicine for high executive positions, and who have become capitalists and Congressmen, he should have found opportunities by scores to win fortune and power. That he remained a shining example of one who in a relatively humble sphere performed titanic works does not at first sight harmonize cipla viagra online with the descriptive appela- tives "Viking," "Norman," and cipla viagra online other terms which sug- cipla viagra online gest sovereignty. We can only conclude that Billings looked much further into the future than most men, cipla viagra online and, perhaps alone, saw and improved opportunities to erect certain foundations, which are well nigh imperish- able, which can never be superseded, and which far out- weigh anything he might have accomplished under more autocratic circumstances. Not half enough has been said of the viagra cream for women example set by Billings to workers in subordinate capacities who com- plain that they have no future, save in slow or fixed promotion. The services are of the type of institutions in the country in which exceptional ability cannot be recogrnized in a fitting manner. Billings was merely given the opportunity of doing what no one else would have welcomed or could have done; but throughout he remained a plain captain and major in the Army to the time of his retirement. Even thereafter he continued to work for a modest remuneration. He was cipla viagra online in a way a survivor of that "antique world" when "duty sweat for service, not for meed." 458 MEDICAL RECORD. [September 11, 1915 AMERICAN SURGICAL ASSOCIATION. Annual Meeting Held at Rocliester, Minn., June 9, 10, ayid 11, 1915. (Concluded from page 422.) Cavernous Angioma of the Spleen. — Dr. Charles N. DoWD of New York said that angiomas of the spleen were very uncommon; some of them had ruptured and had been reported as blood cysts, others had undergone such changes as to be classified under sarcoma. A tabu- lation of 13 cases of cavernous angiomas was given. In six of these cases other organs besides the spleen were involved in the growth, especially the liver. The author reported one case in a woman of 37, who for six months had noticed a splenic tumor which had extended into the epigastrium across the median line. Splenec- tomy was done. At the operation angiomatous spots were noticed in the liver. The patient recovered from the splenectomy but thirteen days later suffered from liver hemorrhage similar to that which had occurred in the spleen. The liver enlarged greatly and the patient died six weeks later. Abscess of the Spleen. — Dr. Arthur W. Elting of Albany, N. Y., said that abscess of viagra cream for women the spleen had been known to follow a great variety of acute infectious diseases, as well as some of a more chronic nature, es- pecially those associated with a splenic tumor. In many cases the original portal of entry for the infect- ing microorganisms had not been demonstrable. Many cases of left-sided subphrenic abscess had undoubtedly been abscesses of the spleen. Abscess of the spleen al- ways resulted from contiguous or metastatic infection, the" latter being by far the more frequent. The bacteri- ology of the process had been cipla viagra online very varied. Almost every variety of pyogenic organism had been cultivated from splenic abscess, while in some instances the pus has been sterile. Most abscesses of the spleen were embolic or thrombotic in origin, and developed in in-