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peasant he must read the papers and such letters as he receives, although he will be as able as before to earn his living. If he has a calling which demands close work with his eyes he will he forced to change it if his vision cannot be improved. This can be done, even if vision is but one-tenth, by using ordinary magnifying lenses. But the far vision is equally defective, and telescopic lenses viagra rezeptfrei kaufen must be used to get viagra rezeptfrei kaufen corresponding results. With- out prisms objects of distant vision can be magnified but twofold at most, but when prisms are employed sixfold may be reached. Many of the wounded men were short- sighted to begin with. Thus one soldier was not accept- ed for service until provided with certain lenses. Shot in battle he lost the sight of the right eye. The left eye gradually improved, but vision with ordinary lenses was but 5/50. As he was a theological student ability to read was paramount. By using special magnifying sys- tems acuteness was raised to 5/10. cheap viagra 100mg tablets Much practice viagra rezeptfrei kaufen was required before he could read fluently, and viagra rezeptfrei kaufen he com- plained of the narrowness of the visual field and lack of distant vision. In a man who had been emmetropic and had lost the sight of one eye, with the other badly crip- pled by lesions of both opticus and bulb, 5/50 of natural vision still remained. This was raised by magnifying systems to 5/12. As he is an innkeeper he can pursue his calling without hardship. Verba Mate as a Substitute for Tea cheap viagra 100mg tablets and Coffee in the Field and in the Hospital. — Richter writes in praise of Paraguay tea, which he viagra rezeptfrei kaufen has drunk for over twenty years. Any substitute for coffee and tea must be readily made, cheap and not prone to deteriorate, must quench thirst and not stimulate, and have viagra rezeptfrei kaufen a viagra rezeptfrei kaufen pleasant taste. Large supplies of yerba mate are in the Bremen warehouses, and the price, slightly higher than before the war, is about 25 cents a pound. The tea comes both in dried leaves and powder, and an infusion is easily made, as in the case of ordinary tea. Hot or boiling water should be used and the infusion allowed to stand for ten minutes. The leaves, which are relatively heavy, fall to the bot- tom, and a strainer is not required. From 10 to 12 gms. makes a liter of tea. Fi-om the grounds further infusion may be made with fresh hot water. Paraguay tea may be drunk either hot or cold, plain, sweetened, or acidu- lated with lemon or wine. While the infusion contains some caffeine it never causes insomnia. It quenches thirst better than either tea or coffee, yet is devoid of the least bitter taste. Drunk lukewarm it exerts this thirst- quenching property to the full, hence it is not necessary either to heat or chill it. A slight smoky taste, if found disagreeable, may be removed by parching the herb in the oven. Deutsche medizinische Wochenschrift. July S, mio. Indications for Intervention in Graves's Disease and Operative Results. — Starck has operated on sixty-nine patients with Graves's viagra rezeptfrei kaufen disease and has secured 30 per cent, of recoveries and from 30 to 45 per cent, of im- provement. His operative mortality was 9 per cent., and some of those who were not improved by intervention became worse. In view of the prevalent opinion that a persistent thjTnus means a fatal outcome of operations, this organ must always cheap viagra 100mg tablets be looked for, and if present it must either be resected or have its bloodvessels ligated. In operating for Graves's disease general narcosis must be the choice in the very nervous, myasthenic, psycho- pathic subject. The other patients get along with local anesthesia. Operation is really contraindicated when there is a status lymphaticus, but may be done with local anesthesia. In many cases a successful operation will pave the way for intensive medical treatment. In the stadium incrementi of the disease operation is con- traindicated; intervention belongs to the stationary or latent periods. Best suited for operation are cases of Krauss's goitre heart and classical cases of Graves's dis- ease. In the nervous-myasthenic type with little in- volvement of the heart operation accomplishes but little. The size of the thyroid on palpation does not constitute a viagra rezeptfrei kaufen factor in operative indications. Better results are ex- pected with small, soft thyroid than large, firm organs. The blood picture likewise is not a factor in indications. Gastroenferitis Paratyphosa. — Hake recalls that in- fection with the paratyphus B causes two clinical types September 4, 1915] MEDICAL RECORD. 415 of disease, viz., a cheap viagra 100mg tablets paratyphoid fever and a gastroenter- itis; also that these viagra rezeptfrei kaufen infections have been associated with meat poisoning. He relates two cases which occurred in cheap viagra 100mg tablets troops in which gastroenteritis paratyphosa was the di- agnosis. As often happens the meat ingestion is a pure hypothesis. We know now that the paratyphus B oc- curs in nearly all our nutriment. The two soldiers, al- though in a garrison, upon a common regimen, were the only ones to be attacked. Prompt isolation, in the au- thor's opinion, prevented an epidemic, as the disease can surely viagra rezeptfrei kaufen be spread by contact. In the first case the dis- ease began sharply with chills, hoarse voice, diarrhea, and vomiting. The spleen showed no enlargement. The extremities were cyanotic. Cholera morbus was at first suspected (the paratyphus form), but the state of the pulse and temperature and the absence of rice-water stools spoke against this presumption. The Widal was negative in this patient. The case ended fatally and the diagnosis of paratyphus infection was not in doubt. This patient had subnormal temperature throughout. The second patient, who recovered, was taken ill rather insidiously, first having diarrhea and colic, for which he received opiates. As he did not mend the diagnosis was made of simple gastroenteritis, altered later to dysen- tery. He had fever, and a positive Widal, while the paratyphus B viagra rezeptfrei kaufen was found in the urine and stools. A neg-