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Thirty-second Annual Meeting, Held in San Fnnicisco, June 18 and 19, 1915. The President, Dr. Henry Sew.4ll of. Denver in the Chair. Friday, June 18 — First Day. President's Address. — Dr. Heney Sew.\ll of Denvfr de- livered this address in which he said that the scheme conceived by the founders of the society to bring to- gether a band of workers who comprar viagras baratas should systematically in- vestigate physical forces of nature as they influenced the phy.siological reactions of the body did not seem to be sufficient viagra eu to maintain the enthusiasm of the organiza- tion, and hence it had extended its scope to embrace practically all conceivable disorders of the human frame. After dwelling on the importance of the external en- vironment reaction in its relation to the welfare of our minds and bodies, the speaker said there was an internal environment which came definitely with the spirit and scope originally marked out viagra eu for the activities of the society, namely food and its metabolism. If it v/ere necessary to comprar viagras baratas banish from the medical curriculum every subject but one, he suspected that their practical comprar viagras baratas use- fulness as physicians would best be conserved if that one subject were dietetics. The meaningless and tiresome aspect which this subject had always presented had been utterly transformed in the light of the recent concep- tions of intermediary metabolism, and especially of the still mysterious activities involved in the reactions of anaphylaxis. They had learned that the extraordinary manifestations of idiosyncrasy to foods and drugs were only extreme illustrations of foi'ces common to them all. Disorder of metabolism which transformed the analysis of the most expert pharmacologist could yet often be foi'eshadowed or diagnosed by the every-day practitioner who but made the simple test for the presence of acetone in the urine. Acidosis, whatever its origin, was an ex- pression of a pathological condition which it behooved the clinician to recognize, for it showed the presence of a criminal agent in the peaceful community of cells. The practitioner who would make routine tests for acetone in the urine of his comprar viagras baratas patients might see many obscure conditions illuminated to the improvement comprar viagras baratas of his therapeutic aim. From reports in the medical press it viagra eu seemed that thei-e was an epidemicity in the condition of acidosis which deserved definite investigation in order to determine the factors, seasonal, climatic, dietetic, or biologic, involved in its occurrence. The scientific study of diet had scarcely begun. Medical teaching on the sub- ject of dietetics was lamentably deficient. A review of the medical literature showed very little on the sub- ject of acidosis and that only in connection with diabetes mellitus. Here lay a comprar viagras baratas rich field fallow to their plow. In speaking of the objects of the society. Dr. Sewall pointed out that their ideal should be not only happy social in- tercourse and intellectual uplift, but that the influence of each member should radiate far beyond the bounds of his personal activity. He should be productive. A very happy criterion of the fitness for publication of any piece of work was to be found in the query, "Does it ad- vance medical science?" The enormous output of patho- logical, bacteriological, immunological, and pharmaco- logical research had supplied them with a therapeutic armamentarium of a complexitv which no man under- stood. This made ludgment diificult. Although it was justifiable, nay imperative, that they should daily resort to the use of remedial measures of whose agents viagra eu and reactions they were profoundly ignorant, nevertheless critical viagra eu judgment was never to be deleted. The selfsame therapeusis might in the one case be the choice of a mas- ter and in the other of a fool. They had been reared in the teaching that to help Nature should be the guiding motto of the doctor's practice. It was not always real- ized that Nature held as dear the pathosrenic germ as the higher organism which it invaded. As physicians they must realize that their human endeavors were simply a modern addendum to the eternal forces of evolution. In evolution there was coordinate trans- formation of the mental and moral with the physical attributes comprar viagras baratas of man, and the practising physician must be a mind doctor and in the end his chief service was to comfort. In conclusion Dr. Sewall said that no organiza- tion was likely to duplicate the task which was theirs and expressed the opinion that it might be an advantage to appoint each year special committees for the con- sideration of definite subjects, such as, the alleged radio- activity propei-ties of natural waters; the relation of the phjjsicai and chemical properties of the air in ventilation ; the relations of immune sera and vaccines in the treatment of bacterial infections; the relative value of sensitized and non-sensitized bacteria in the treatment and prophylaxis, and many other themes in which they all were interested. The Importance of the Pcrsonai Equation in the Treat- ment of Tuberculosis. — Dr. Will Howard Swa.m of Col- orado Springs presented this paper, which was read by Dr. G. W. Holdcn of Denver, lie comprar viagras baratas stated that while not questioning in the least the importance of exact knowl- edge as to comprar viagras baratas the pathology, bacteriology, and scientific data that might be available now or later, he wished to state what comprar viagras baratas was evident in a body like this, that until a specific agent for treating tuberculosis was discovered, their chief aim must be to raise the resistance of the indi- vidual to the disease. They must study and treat the individual who had tuberculosis rather than the di.sease itself. The fact of the very infrequent incidence of tuberculosis in Colorado and other health viagra eu resorts where there was an unusually viagra eu large proportion of tuberculous population was good proof of the reality comprar viagras baratas of acquired personal resistance. Resistance might be influenced by many factors in the person's physical, nervous, mental, and moral make-up; by his circumstances as to proper living and by his adjustment to and viewpoint of his environment, and much study was often necessary to get at the real situation. In many cases one's success would be in proportion to the care and accuracy with which this was done. Among the factors overlooked were co- existent disease and lack of sufficient food when it was supposed that the patient was getting enough. The recognition of the importance of obscure focal infections in the causation of various systemic and general diseases had brought help to some of the victims of tuberculosis and similar relief had been brought about by the re- moval of diseased tonsils or the cure of accessory sinus disease. It was quite certain that viagra eu they often failed to appreciate how frequently weakened resistance was caused by lowered nervous and mental tone due to