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BROOKLYN, NEW YORK. Dr. John E. Sheppard died at his viagra alternatives that work country home, Putnam, Conn., on September 13, following a surgi- cal operation. He was born in Greenwich, N. J., in 1859 and was graduated in arts from Haverford College in 1879 and in medicine from the Medical Department of the University of Pennsylvania, in 1882. After an interneship in the Pennsylvania Hospital and a period of study in Munich and Ber- lin, he generic viagra visa debit began practice in Atlantic City, but removed to Brooklyn in 1889 and devoted himself to otology as a specialty. He was clinical professor of diseases of the ear at the Long Island College and aurist to the hospital, and was also consulting surgeon to the Brooklyn Eye and Ear, Jewish, Methodist Episcopal, and St. Catharine's Hospitals. He was a member of the American Medical Association, of the American Academy of Medicine, the American Laryngological, Rhinological, and Otological Association, the Patho- logical Society, the New York Otological Society, and the generic viagra visa debit Associated Physicians of Long Island. OUR LONDON LETTER. (From Our Regular Correspondent.) WAR NOTES — emergency COMMITTEE viagra alternatives that work — DEARTH OF medical OFFICERS — STAR AND GARTER HOTEL — VreLSH MEDICAL SCHOOL — <;1UY'S PATHOLOGICAL CHAIR — SERBIAN ARMY MEDICAL PHOTOGRAPHS. London, Aug. 27, 1915. The war in some aspect or other enters into almost all our conversations, even on those of a medical nature. It is discussed in our daily papers which assume familiarity with the professional generic viagra visa debit questions concerned. The sanitary conditions at the front are not what they ought to be, for a correspondent writes about the inadequate burial arrangements causing many bodies to be left for long periods un- buried and the rags which once covered them hang- ing on the barbed wire. The pollution of the at- mosphere thus arising is perceived by the men who ascribe to it the origin of what they have named the "liquid German fever." Perhaps the bacteriologists will presently decide on its place in the list of maladies. The chart is said to resemble sandfly fever and its four-day period is similar. Another correspondent at generic viagra visa debit the front says the stable fly abounds there and complains that it occasionally makes open air bathing impossible by rendering anyone unable viagra alternatives that work to defend his naked body against the assaults of its swarms. He relates too that in the great famine which prevailed in that country in 1892 and the land was littered with the decaying carcasses of cattle, an unknown form of fever af- fected nearly all the inhabitants of the district. At that time any connection between the fly and fever was unthought of, but now when in the trenches "one starts at the prick of the stable fly's proboscis, and smells the old reek of decaying flesh in the air," he admits there is some ground for Thomas Atkins' diagnosis. This trench fever pro- duces a rise of temperature seldom exceeding 103° and lasting only about four days, but leaving de- bility, headache, and other general symptoms for another week. The unsanitary conditions in the trenches give us cause to wonder at the freedom from epidemic disease which has so far marked the campaign. Great credit is due to the constant efforts of the medical officers to prevent infection from some of the numerous toxic germs abounding in the air and in the soil of the encampments. In the latter the danger of tetanus is obvious and may serve as an example, for from an early period it has been the rule to give an injection of serum to every wounded man generic viagra visa debit as soon as possible after the reception of the wound. The damage to tissues and the shock from the bullet wound are of secondary generic viagra visa debit importance to the poison it may carry. If it has 492 MEDICAL RECORD. [September 18, 1915 not taken up mud by contact with the soil the soldier's clothing is contaminated with bacilli — not seldom is it thickly coated with mud in traversing which the bullet takes up some and carries it into the deepest part of the wound it inflicts. Many such cases cannot be dressed immediately and when received at the clearing hospital are found to be infected with fly maggots. In some of these, however, it is reported that the wounds were cleaner than in those in which no maggots were found. The war emergency committee is calling the at- tention of all practitioners who are not engaged in the naval or military medical service to the great effort which viagra alternatives that work the country is making and the neces- sity, as they allege, for a further response from the profession. The director-general, army medi- cal department, Sir Alfred Keogh, has authorized this committee to act as his agent in securing more medical oflicers of military age. The committee has issued a circular to practitioners pointing out that fighting units cannot be complete without medical officers. They appeal personally to those of military age to come forward, to those over age to encourage the enlistment of their younger neigh- bors. The elder, generic viagra visa debit they say, who helps to release the younger is doing his part as much as he who serves. Arrangements have been made in a num- ber of districts for setting free a proportion of its