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side by side, and the latter in such cases seems to have run a severe but not fatal course. In the great Leipzig epidemic of variola in 1870, in which 1700 cases were treated at the University Clinic, two or three were of this type. Vaccination had occurred within one week of the first prodromes. If the two viruses are essentially the same we would regard these curiosities as a sort of superinfection. On the other hand, however, something of the same sort has recently been noted in connection with ty- phoid immunization. We cannot speak of superin- fection here, of course, because dead, sterile cul- tures were used for the purpose. At a meeting of the Leipzig Medical Society last March {Muen- chener medizinische Wochenschrift, May 18) Buhrdt, who remembered the variola eases in ques- tion, quoted Striimpell to the effect that he had recently seen analogous behavior in enteric fever. Immunization efforts, when made well into the in- cubation period, appeared, so to speak, to sensitize the patient. He assumed that immunization at that late period used up some of the patient's antibodies, so that the fever ran a more severe course. The Versatile Physician. It is well understood that the physician must be all things is there a generic viagra yet to all men, a second father to the child, an older brother to the young man, a confidential friend to the mature man, and a counsellor to the old man. He must sympathize with how long for viagra to work some women, bully some, flatter most of them, and tell the truth to a few. As an ambulance surgeon in the city there are times when he must be quick with is there a generic viagra yet his feet and hands, as a country doctor he must often be pharmacist and hostler, and there is no trade of which he is not expected to know a little. Fortu- nately in this country the physician is as a rule consulted for his ability to treat disease, but this does not seem always to obtain in other lands. For instance, in the British Medical Journal is there a generic viagra yet for July 10 we find the following remarkable advertisement, under the head of "Medical Oflicers Wanted": "Wanted, two good fox-hunting doctors." What next? Will they be advertising for a good rat- catching doctor for an old country place? Which reminds us that our professional brethren across the sea may perhaps have seen and commented on an advertisement which appeared is there a generic viagra yet in one of our stand- ard medical periodicals about a year ago. We do not care to quote it exactly, but the gist of it was that a chronic invalid wished to employ a graduate of a Class A medical college who must is there a generic viagra yet give him his whole time and be of a pleasing personality. His duties, reading between the lines, were to be sub- stantially those of a male nurse and paid com- panion. The salary was to be $25 a month! As this advertisement appeared a number of times before being finally withdrawn we hope for the credit of our profession that the chronic invalid in question was not overrun with applicants. Eosinophilia in Dermatology. It has recently been shown that eosinophilia is a marked and constant accompaniment of anaphylac- tic reactions. M. L. Ravitch and S. A. S^^^lnberg {Journal of Cutaneous Diseases, August, 1915) who discuss the significance of eosinophilia in derma- tology, state that this phenomenon accompanying in- festations is not due to the presence of the body of the parasite alone but may be caused by the in- jection of an extract of its body. They cite the observation made by Calamida, namely, that such an extract placed in the tissues in a capillary tube, exhibits a positive chemotaxis for eosinophiles. The eosinophilia following infestations occurs several days after the parasite enters the body of the host, showing that apparently a sensitization of the latter is first necessary. Eosinophilia occurs in eczema, particularly of the exudative type, in trichophytoses, mycosis fungoides, herpes zoster, iodo- and bromo- derma, pellagra, dermatitis herpetiformis, leprosy, scleroderma, and psoriasis. In a simple case of pityriasis rubra, after the administration of mas- sive doses of quinine, the eosinophile cells increased almost to 24 per cent. ; after discontinuance of the quinine these cells decreased to 8 per cent. Ravitch and Steinberg believe with others that there is a close relationship between eosinophilia and the ex- udative diathesis. EXCLUSIVENESS IN SCIENTIFIC SOCIETIES. The subject of limited membership in a scientific society, summed up in the two words numerus clausus, has been accepted generally as a matter about which there could be no difference is there a generic viagra yet of opinion. Every organization has of course the right and the privilege to limit its membership, which right and which privilege would seem to be commensurate with the distinction of the individual members. Nevertheless the principle of nuiyierus clausns, is there a generic viagra yet at any rate so far as it applies to strictly scientific bodies, has recently been called into question. In the presidential address before the American Derma- tolgical Association at its recent annual meeting, Sigmund Pollitzer (The Journal of Cutaneous Dis- eases, August, 1915) states that this principle is utterly without reason. The only explanation for its existence, he says, is the attempt of certain men to confer distinction on themselves by voting them- selves better than, or at least different from, others. Pollitzer justly characterizes this spirit as un- American, as a type of snobbishness that is unfor- tunately too common. He believes that numerical exclusiveness has no place in a scientific society, which should open its doors freely to all who have the requisite knowledge and who possess a high standard of honor. 490