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tients object to special examinations, and adds that it is far better to relinquish such a case, lose a pa- tient, and save your reputation; he especially refers to the examining viagra under tongue of patients through their clothing, and asks how it is possible in such cases to distin- guish slight modification of breath sounds and to discern fine rales which are present in the early cases of tuberculosis. It now seems as if there should be an awakening of the general practitioner to the part he is to play or should play in the overcoming of pulmonary tuberculosis and he should not be viagra holland allowed to sit supinely by and see his cases left at home or sent to sanatoria in an incurable condition, when, by a little work on viagra under tongue his part, such a case might have had a chance for an arrest and be able to return to his work and family. viagra under tongue Such figures as 133 men, or 7 viagra holland per cent., of 1,940, making a conscientious effort to make a correct diagnosis by means of physical examination, taking of temperature, and examining sputum, against 197 men, or 10.2 per cent., who make absolutely no effort whatever to get at the seat of the patient's com- plaint, do not viagra under tongue reflect any great credit upon the body of the medical profession. And as I have said be- fore, this same percentage of conscientious viagra holland and non-conscientious men as regards the diagnosing of tuberculosis seems to be the same in all parts of this country and Canada. The advice given to most of these patients for whom the diagnosis was made was, in a majority of cases, of little value. They were told to stay in viagra holland the open air, get an outside occupation, and to take eggs and milk. Absolutely nothing was said to them as to the amount of rest that they required, or anything told as regards the care of the sputum or the viagra holland shielding of the mouth during coughing or anything else that would tend to lessen their viagra under tongue being a source of danger to those with whom they came in contact. It is evident then that when the gen- eral practitioner does diagnose pulmonary tuber- culosis he is unable to line out a systematic course of treatment for his patient. viagra holland These then are the facts as deducted from our study and now appears to be the time that the viagra holland mem- bers of this association should seriously consider and devise some means of impressing upon the members of the medical profession the necessity of utilizing all the means at their disposal for the viagra under tongue diagnosing of tuberculosis in its incipiency when the chances for viagra holland arrest are excellent and so to drive this relentless and unmerciful foe of the human race from the face of the earth. I wish to thank Dr. David R. Lyman for the use of his records and the encouragement given me in the preparation of this paper. REFERENCES. 1. Sustained Interest in the Problem of Tuberculosis, Editorial, Journal of the American Medical Association, March 6, viagra under tongue 1915. 2. Stoll, Henry F.: Yale Medical Record, Vol. XV, No. 7, 1909, page 335. 3. Hawes, John B., 2nd: Boston Medical and Surgical Jonrtial, February 8, 1912, page 195. 4. viagra under tongue Barnes, Harry L. : Journal of the American Medi^ cal Association, February 16, 1907, page 602. 5. Laverson, Ralph S. : Journal of the American Medical Association, April 18, 1914, page 1245. 6. Miller, A. F.; Canadian Medical Journal, Septem- ber, 1914. 7. Abrahams, Adolph : Practitioner, London, England, March, 1915, viagra holland Vol. XCIV., viagra under tongue No. 3, page 380. The Efifect of the Thymus on the Leucocytes. — Gino Baggio has found that the injection into the growing or adult rabbit of aqueous extracts of the thymus causes an increase in the number of leucocytes, the increase being in the polynuclear neutrophiles and the lympho- cytes, sometimes predominantly or exclusively the one or the other, and sometimes both to an equal extent. — Archivio per le Seienze Mediclie. September 18, 1915] MEDICAL RECOKD. 477 ON THE USE OF THE TERM "PSYCHOAN- ALSIS" AND ITS SUBSTITUTE. Bt JIEYER SOLOMON, M.D., CHICAGO. -iSSOCI-lTE IN NEUROLOGY, MAIMONIDES H0SPIT-\1.. The terms "psychoanalysis" and "psychoanalyst" have become very familiar to all physicians, not to say many laymen, since the widespread dissemina- tion of the Freudian theories. Psychanalysis is but an abbreviation of psychoanalysis. For this reason, and for euphonic and other reasons, I pre- fer the latter term. Psychoanalysis is, indeed, a good term, but it has been so much misused and abused that it viagra holland is generally misunderstood and mis- applied.