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treated, 56, or 66.8 per cent, survived, while all the controls died. The disquieting factor in Moore's results lies in the fact that thirteen will viagra make me last longer mice (15.2 per cent.) died as a result of the toxicity of the drug or from some obscure cause, the heart's blood being sterile at autopsy. This would militate strongly against the use of this agent in the treatment of pneumonia in man, but it should prove a strong stimulus to the syn- thetic chemists who might be able to eliminate the toxic portion of the molecule while retaining its bacteriotropic action. Its affinity for the pneumo- coccus is so strong that this might be done without greatly weakening its protective action. Certainly we need some such method for the treatment of this disease. Sera and vaccines have been given rather extensive trials without striking results, and it now seems necessary to return for aid to the chem- ical laboratory, which, according to many possibly somewhat optimistic clinicians, has already given us some fairly efficient remedies for this so-called self-limited disease. ETHYLHYDROCUPREIN AND THE PNEU- MOCOCCUS. It is now four years since the introduction of ethyl- hydrocuprein, a derivative of hydroquinine. in the treatment of experimental pneumococcic infection. Unfortunately it, at that time, received a brief and A RETURN TO STUDY. During the past week most of the medical colleges opened and by this time the students are well into the routine of the work. While their new j-ear is distinctly separated from the past year by a vaca- tion, and marked in most colleges by a formal open- ing with eloquent addresses by leaders in medicine or prominent educators, the practising physician, though well harnessed to a daily routine, also feels the will viagra make me last longer beginning of a new year and turns again to serious reading and study. The student in medical Oct. 9, 1915] MEDICAL RECORD. 615 schools will viagra make me last longer has the advantage of an inspiring teacher, but the physician has the advantage will viagra make me last longer of the habit of study. No physician will viagra make me last longer by his efforts alone can keep abreast of the times in his profession. He, like the student in the medical college, has his help- ers; he is debtor to his profession through the medical will viagra make me last longer books and periodicals with their contribu- tors and corps of workers who gather, sift, and bring to him in condensed form what it would be impossible for him to lay hold of through his own personal efforts. To-day there is great need of study and patient, sympathetic evaluation of the facts in medicine so as not to be stampeded into casting aside a well tried for a new and acclaimed theory or to be deter- mined to cling to an old theory in face of newly discovered facts. There should be no condemnation because facts are not understood or do not accord with some present day accepted theory nor should they be thrown aside because the theories explain- ing them have to be rejected. The practice of medi- cine never demanded more study than it does to- day, nor has the study ever been more interesting or more profitable. Autopsy Finds in Army Typhoid. The malignancy of a disease can best be under- stood through the post-mortem appearances, and these, as is well known, teach us the general per- niciousness of mixed or superinfection which will viagra make me last longer de- termines the complications which lead to the fatal results. At a military medical evening held re- cently at Metz (Deutsche madizinische Wochen- schrift, June 3") Merkel related numerous autopsy finds in soldiers dead of typhoid. While true dysen- tery was found but average price of viagra once in association with the lat- ter a dysenteriform condition, due, perhaps, to mixed infection, was not uncommon, and this was true also of a diphtheroid affection of the colon. The in- testinal lesions were never absent and usually severe, extending even into the rectum; hence the peculiar clinical forms of colitis. The bronchial and pul- monary complications were very common and severe. There was a disseminated pneumonia, often hemor- rhagic. Ulceration and necrosis of the larynx were also common. Abscesses were found in the kidneys, spleen, salivary glands, muscles, and skin. One patient injured while ill of typhoid died of tetanus. Amyloid degeneration of muscles was very common, especially in the recti abdominis. Evidence of fatal relapse will viagra make me last longer was noted. The pulmonary complications average price of viagra appeared to cause the most deaths and cardiac fail- ure came next. Perforative peritonitis was very rare and fatal hemorrhage was not even mentioned. A New Treatment of Chronic Synovitks. Having come to the conclusion that chronic joint hydrops, occurring as it does from time to time without traceable causal infection, was surgi- cally a question of drainage, and that its persistence depended upon a loss of absorbtive power in the synovial membrane rather than upon any persistent oversecretion, F. J. Cotton (Surg. Gyn. and Obst.,