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lent. You might need to do a second test for antitoxin at the end of 14 days. Dr. Meara asked if you could render diphtheria pa- tients immune by the use of the bacillus, as in active immunization. Dr. Park said the person had been immunized to the bacillus. Dr. Meara said he had understood Dr. Park to say there was usually no immunity. Dr. Park explained that there were two kinds of im- munity — bactericidal and antitoxic. Dr. Meara asked if the recurrence of diphtheria were not unusual. Dr. Park said he believed that cases that were called recurrence were really croupous tonsillitis. Dr. Miller asked what was a unit for a dose, and if you got viagra kaufen ohne rezept deutschland necrosis with a very strong reaction, and did the pseudo reaction vary with the character of the toxin. Dr. Park said the dose was 1/50 of a fatal dose; if no reaction occurred you doubled it and gave 1/25; if no reaction was obtained then green viagra pills you could give twenty times that amount; you could be sure of no reaction. With a strong toxin a true reaction could be very severe. The pseudo reaction varied with the toxin. Dr. LoNGCOPE asked if skin reactions were obtained with the bodies of the bacilli, and if most people gave a reaction to the bodies themselves. Dr. Park said in complement fixation they found very little reaction in the patients, although they were im- mune. The reaction to the toxin solution was more powerful than with bodies of the bacilli. Dr. St.\RR asked if this test applied to anything ex- cept diphtheria. Dr. Park said no; he thought all other reactions were from the standpoint of sensitization. This was a re- action of the cells direct. Dr. Longcope asked if a similar reaction had been tried with tetanus toxin. Dr. Park said no, that that was a nerve reaction. Autoplastic Tissue Grafting from Calf of Leg. — viagra kaufen ohne rezept deutschland Dr. Abbe presented this patient, a girl, 10 years old, who had been knocked down by an automobile and run ov©r green viagra pills two and one-half years before. The right heel had been torn off. The child had been walking for two years on the toes, with the help of a stick. She had a marked talipes equinus. The heel was covered by a thin scar with a hard, tender center crust. Dr. Abbe made a new heel by taking a flap from the calf of the opposite leg, putting the child's leg in plaster of Paris. The thick tissue from the calf made a beautiful cushion heel which would last a life time. The child could now walk, run, and green viagra pills play with other children. The graft had been taken off at the end of 14 days. Dr. Gibson said the result was very good. He had done the same thing with an autoplastic flap from the same leg by turning down a flap. The position of the patient was a little less irksome and the flap was fully as efficacious. The Belgian Red Cross Hospitals of Dr. Depage. — Dr. Gibson presented this paper (see Vol. 87, No. 17, p. 692). In reply to a number of questions Dr. Gibson said he had been green viagra pills most struck with the pluck and spirit of the Belgians in planning for the future. The work of organizing hospitals close to the firing line was being splendidly conducted. The green viagra pills hope was that as the Allied troops advanced former hospitals wrtuld be used as a base and new equipments would keep near the trenches. The great need was that the wounded should receive immediate attention. First care made all the difference in the world. The matter of getting to the front was surrounded with difficulties. He had seen no pneu- monia. There was much tj^phoid in the British Army, owing to the fact that typhoid inoculation was volun- tary, and the injections were so severe that many re- fused them. Tetanus, he thought, was a good deal localized. There was nothing done about intraspinal injection ; they did not seem to have heard of it, and there was a lack of antitoxin in Belgium. He had heard a rumor that German surgeons were amputating more freely than the Allies. The latter seemed to be saving perfectly useless limbs in many cases. The whole town of Boulogne was practically an English hospital. They were using motor ambulances, mostly Ford. In Belgium these were useless as they broke down on the heavy roads. Mrs. Whitney had turned an old monastery into a hospital for 100 cases. In the American Hospital in Paris 400 cases were being treated. The French plan, however, had been not to bring the wounded to Paris at all. The reason for this was that the Germans had been within 15 miles of Paris. A very pressing viagra kaufen ohne rezept deutschland need for base hospitals existed. Prompt removal of the wounded was possible in the rear trenches. In the front trenches they had to wait till nightfall, when they were taken in ambulances di- rect to hospital. The Germans fired upon the rescuers. Dr. Depage had told him that if the wounded did not die at once the mortality was under 10 per cent. There were often rifle wounds in the head. As to insanity, the men were often completely dazed, but after rest they recovered. He did not believe that one shell in 20 did any damage. Of the troops he thought the finest men were from England. The alcohol question had not come up when he was there, but he believed that there viagra kaufen ohne rezept deutschland was more drinking in England than in other countries. In France the better classes did not drink. It was not considered good form. MEDICAL ASSOCIATION OF THE GREATER viagra kaufen ohne rezept deutschland