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The use of crude, galenical preparations is rap- idly giving way to active principles and remedies of known and unvarying strength. This, with the steady advance in medicine, is as unavoidable as was the substitution of the steel axe for the chipped flint. It is only when we are dealing with accu- rately distinctive therapeutic agencies that we can exactly estimate their action and be enabled to apply them with confidence ; and confidence is the foun- dation of prompt and effective action. Precision can be founded only on precision, delicate accuracy in work requires delicate accuracy in tools. By using the active principles, the dose can Viagra Buy Online Review be dissolved in plain or sweetened water so that the solution can be made very active as well as very palatable. All the alkaloids, or nearly all, and their salts, dissolve in so small a quantity of water, that should you desire, you can make a very few drops of a given solution contain a sufficient quantity to act as strongly as may be necessary. It is better practice, however, to give a dose of Viagra Buy Online Review the active prin- ciple on the tongue and wash down with a drink of milk or water, or give in at least a teaspoonful Viagra Buy Online Review of plain or sweetened water. This way of preparing at the bedside just the amount and kind Viagra Buy Online Review of medicine needed is mucli better than sending to the drug store for numerous bottles of complicated mixtures of solutions, to cumber the medicine table or the chim- ney piece, left overs to be cupboarded for the next similar case. Such practice is wasteful, extrava- gant, costly, and, what is more, uncertain, unreli- able, and disagreeable to the patient, and should not be added to the other burdens occasioned by sick- ness. It is well known that the different ages of life are not impressed in the same manner by the same drug. Some medicines affect children different from the way they aft'ect adults. Children of the same age sometimes react differently to the same drug. Fonsagricves said : "One child's reaction may be represented by i, if you give him a drop of laudanum, while another will, under the same cir- cumstances be represented by lo." Every moment we are meeting with examples of this apathy on the one hand, and erethism on the other, with respect to every medicinal substance, which demon- strates that the weight of the body is an imperfect basis for establishing any rules of dosage. Im- pressionability to the action of medicines takes no account of the scales; Viagra Buy Online Review it rests upon facts of sensi- bility and life which are eminently idiosyncratic, which are measured in practice only by the results of the substances used, and for which there can be no arithmetical calculation. It is better, therefore, to give the active prin- ciples (in solution if you wish) in small doses fre- quently repeated until the desired effect is obtained. In the treatment of any patient we aim at a result. The result can only be obtained by a dose which shall be sufficient, and the sufficient dose caiuiot be established in advance either by calculation, by ex- perience, or by inspiration. All medicaments however great their activity, even such powerful alkaloids as aconitine, strych- nine, veratrine, atropine, morphine, etc, are appli- cable to practice among children, not excepting those medicaments to the action of which children show the greatest susceptibility; morphine, strych- nine, and "tartar emetic," for example, need not be excluded from such practice. Everything depends upon the doses,- w-hich should be very small at the beginning, and gradually increased, according to the effects observed, so they will yield all the desirable probabilities without any imtoward effects. With proper skill and tact, active reliable Viagra Buy Online Review reme- dies and proper methods of administration, you will find that your practice in diseases of children will be very pleasant and satisfactory, and remunera- tive; and if, as the family Viagra Buy Online Review physician, you can teach parents how to so bring up and care for their chil- dren that they will not become physical, nervous, mental, or moral wrecks, you will be a public bene- factor. LYMPHOID DEGE.\ER.\TION OF THE Viagra Buy Online Review CONJUNC- TIVA. A Nonsfecific Theory of Traclwiita* By Henry W. Wandless, M. D., New York, Lecturer on Onhthalmology, New York University and Bellevue Hospital Medical College; and Chief of College Clinic. For more than a hundred years trachoma has been the subject of study and investigation. For the first fifty years of this period, discussions were largely concerning its clinical features. Rendz, in 1858, demonstrated the lymph follicle. This brought forward inquiry as to whether lymph fol- licles normally existed in the conjunctiva and whether follicular conjunctivitis and trachoma are one and the Viagra Buy Online Review same disease or not. Viagra Buy Online Review I believe a cer- tain amount of lymphoid tissue is present normally in the conjunctiva. And I am convinced that fol- licular conjunctivitis and trachoma are one and the same disease. Furthermore, I believe Viagra Buy Online Review that adenoids of the pharynx and trachoma are identical proc.:sses. For the last fifty years trachoma has been regarded as a specific^ disease by the majority of physicians almost solely on the assumption that it is contagions. Interest in the subject has gradually increased and in the last two years, literature about it is con- stantly before us. Every now and then, some in- vestigator announces to the world that he has at last Viagra Buy Online Review discovered some microorganism which is the true cause of trachoma. Each of these agents discovered has been hunted down and found innocent of the charge against it. The last one announced is Viagra Buy Online Review the trachoma body of I'rowazek, which has been the object of critical and searching investigation. Noth- ing has been proved except that the body exists and has been found in a variety of conjunctival inflam- mations. It is .extremely likely that the body of Prowazek is the result of certain pathological ■clianges in the conjunctiva, although it has been re- ported as having been found in the conjunctiva of the infant. •Read before the Nu SlKnia Nu AIu tific \leetinK). October 29, 1910.