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of the tongue. I did not have the chance to try the acuteness of the gustatory sense by the galvanic method, as sug- gested by Dr. Newman. This test is well appreciated in the examination of pathological cases. Examination in regard to the sense of smell showed that the sense of touch in the nasal mucous mem- brane was normal, for he felt all irritating, caustic substances, which he evidenced by sneezing after insufflation of tobacco, inhalation of ammonia, etc., but the sense of smell was entirely absent. With viagra prescription over the phone closed eyes, he even by forcible inhalation could not differentiate the odor of volatile oils, of eau de cologne, camphor, or St. Ignatius' beans. Upon irritating the upper part of the nasal septum (where the olfactory nerves end) with a strong aroma, he felt an unpleasant tickling sensation, accompanied by a flow of tears from the corresponding eye. The other special senses viagra need prescription canada did not exhibit any abnor- mal character. The above-described case was, therefore, one of uni- lateral ageusia and bilateral anosmia as a result of a cranial injury. In deciding which nerves governing the functions of smell viagra need prescription canada and taste were affected by the trauma we must exclude the chorda tympani and the lingual branches of the trigeminus, for there was no loss of ordinary sen- sation nor of the power of motion in the tongue. Examination viagra prescription over the phone of the tongue revealed a loss of gusta- tory sensation on the back part of the dorsum of the tongue, where the ends of the glosso-pharyngeal nerve are distributed. Therefore, excluding the branches of the fifth and seventh nerves, we must accept as the cause a derange- ment of the first and twelfth or of certain points of the brain substance connected with them. The hypothesis of a derangement of the olfactory and glosso-pharyngeal nerves is here unlikely, because their cerebral origins are found anatomically far apart in the intervals and separated by various nervous cen- tres. As a result of injuries of these adjacent centres there should be more grave symptoms symmetrically associated with two points in each hemisphere (four in both). Here this was not the case. Therefore we are forced to locate the trouble in the cerebral cen- tres governing the senses of smell and taste. These senses of smell and taste have been located in that part of the brain which is called the gyrus hippocampi. This has been shown experimentally by Claude Ber- viagra prescription over the phone nard, Magendie, Meynert, and others. By destroy- ing these centres the two special senses were com- pletely lost. So we can viagra need prescription canada conclude that the trouble was more probably a lesion of certain cerebral parts rather than of the first and twelfth viagra need prescription canada cranial nerves. In this case the patient suffered with bilateral anos- mia. For this occurrence a probable explanation may be found in the fact asserted by Meynert, that in the anterior commissure there viagra need prescription canada is a crossing of the fila- ments of olfactory nerves; that this crossing can viagra prescription over the phone be seen very distinctly in the lower animal (dogs, cats, rabbits, monkeys, etc.), in which the olfactory lobes are much more developed than in man. Thus, if we admit a connection between the two olfactory centres, there would be no wonder that the patient with cere- bral destruction in the hippocampal gyrus of one side should suffer at the same time with some disturbances on the other side. Gratifying to Smokers. Professor Hajak, of Vi- enna, says smokers are less liable to diphtheria and other throat diseases than non-smokers in the ratio of one to twenty-eight. Dr. Schiff tells us that smoking is forbidden in bacteriological laboratories because it hinders the development of the bacteria. GUNSHOT WOUND OF THE NECK FOL- LOWED BY ANEURISM DELIGATION OF THE LEFT COMMON CAROTID RECOV- ERY. By E. C. CARTER, M.D., ASST. SURG., U. S. A. J. C , private, Troop " D," 10th Cavalry, aged twenty-three, was shot by a comrade with a viagra prescription over the phone revolver, calibre 38, about 6:30 p.m., June 13, 1895. The ball entered the back of the neck one and one- half inches to the left of the median line and one and one-half inches above the seventh cervical vertebra, and ranged horizontally forward. The aperture of exit was viagra need prescription canada one-half inch to the left of the median line of the lower jaw and one-half inch below the mental tubercle. The ball passed between the vertebral column and the great vessels of the neck, wounding some of the latter. There was great shock with irregular action of the heart at times slow, at times rapid and tumul- tuous, due probably to injury of the pneumogastric nerve. There was considerable hemorrhage from the aperture of entrance, perhaps a pint or more. This hemorrhage was easily checked by pressure. A tu- mor three by four inches formed under the left angle of the inferior maxilla. When shot the man fell on his hands and knees, asked "Who shot me?'' and be- came unconscious. He remained unconscious and in convulsions for some hours. Next morning his con- dition was more satisfactory. The wound healed rapidly superficially. The size of the swelling under the jaw diminished gradually, but a small pulsating tumor about the size of a pigeon's egg remained. Surgical interference was contemplated, but after con- sultation with Dr. C. F. Kieffer, viagra prescription over the phone U. S. Army, who gave me valuable aid throughout the case, it was de- cided to wait, keeping the patient under observation. About July 10th the patient was considered to be in sufficiently good condition to make a railway journey of some hundred miles to appear before a United States court.