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By George Gibier Rambaud, M. D., New York, Director of the New Can You Buy Viagra In Cozumel Mexico Vork I'asteu;- Institute. In the April 8th number of the Joiirnal. there appeared, under the title Rabies, by John A. Mc- Laughlin, D,A'.S., a paper which had been read be- fore the Hudson County, N. J., Practitioners' Can You Buy Viagra In Cozumel Mexico Club, on February 20, 191 1. Upon glancing at the con- clusions, in which the author stated that "the laboratory has not made good," and that "the diag- nosis of rabies is pure guesswork," I thought that the reading of the whole article might prove as re- freshing as that of one of our regretted Mark- Twain's stories. But I was disappointed : I found nothing of interest from a humoristic or scientific point of view. However, when a reporter from one of our large dailies came to interview me on this very article. I realized that the subject was of more imjxirt than T had attributed to it. At first T declined to com- ment on the opinions expressed by Dr. McLaugh- lin, but finally decided to contradict a few iroints. In fact, we inu'^t never foreret that one of our fore- RAMBAUD: RABIES. 825 most duties, as physicians, is to educate the public in all matters pertaining to the prevention of dis- ease. When certain statements are made in a medical publication of the standing of the Xezv York Medical Journal, they are very Hkely to be accepted as true, if not by most of the members of the profession, at least by those laymen into whose hands that publication may happen to fall. The sub- ject of rabies is one about which there still exist a great many false conceptions and beliefs, even, I must be permitted to say, among ourselves. That is why 1 judge it quite proper to make here a few comments on the article which was recently given space in these columns, and not because I merely wish to pick up the gauntlet apparently thrown down to the laboratory men-. They will convey no new knowledge to those who are familiar with the subject, but they may ofifset, as they should, the im- pression which may have been created, especially among the Practitioners" Club and among the laity, by Dr. McLaughlin. I shall not stop to question whether it is scientifi- cally correct for the author to "assert the right to cling fast to apparent facts until they are disproved, even though these apparent facts run counter to ac- Can You Buy Viagra In Cozumel Mexico cepted beliefs and laboratory conclusions." I had. till now, been firmly convinced that, Can You Buy Viagra In Cozumel Mexico nowadays, laboratory conclusions were based upon icell ob- served facts. I shall simply take up the few points of the article which need to be placed in their proper light. Although the object of reporting the different cases mentioned in Dr. McLaughlin's paper is not I quite clear to me. I believe that I am right in arriv- ing at the conclusion : that the doctor's idea of the Xegri bodies is somewhat uncertain ; that the "bite of a rabid dog is absolutely harmless to man" ; that the diagnosis of rabies is "pure guesswork." As for the Negri bodies, which are put under a very severe fire, the doctor seems to base his re- narks on six cases (in dogs) he had occasion to bserve. In four cases Xegri bodies were found in I the brain ; they were absent in the two other cases. ' In three of the cases with Xegri bodies Dr. Mc- Laughlin evidently did not believe that the animals were suflfering from rabies ; in the fourth case he does not commit himself. In the two cases in which no Xegri bodies were found, one was diagnosticated as distemper by Dr. McLaughlin ; as to the other, he does not say. In all these cases it is not stated whether experimental inoculation was resorted to in order to substantiate the microscopical findings. Therefore, a laboratory man would conclude that they meant absolutely nothing. Dr. McLaughlin. nevertheless, says he does not want us to forget that "where the Xegri bodies were found in profu- sion but one symptom was in evidence, and when this one symptom was in greater evidence, the Ne- gri bodies were absent!" Good shot! Mr. Labora- tory Man is badly hit ! Then, Dr. McLaughlin add= : "I wish to justify myself by this circum- -tance to ask a question of very serious import, to \it: If. when present in abundance, in but one in- stance, the Can You Buy Viagra In Cozumel Mexico Xegri bodies produce but one symptom, is it possible for their presence ever t" produce any other symptom? And this question leads to an- ther: If Negri bodies produce but one symptom, what is it that protluces the symptoms of furious rabies, in which form of rabies this particular symp- tom is always absent? And this leads to still an- other: What symptoms, if any, are produced by the Xegri bodies?'' Well, well! if Dr. McLaughlin had looked up a little the recent literature on rabies, his "task," which he tells us. was "no sinecure for a busy everyday practitioner," would have been much lighter in every sense and he would have saved himself the trouble of Can You Buy Viagra In Cozumel Mexico propounding questions of such "serious import." Let me answer theni briefly. No one has ever maintained that the Xegri bodies caused any symptoms. We know from thousands of observations made in dozens of scientific labora- tories by trained pathologists, veterinarians, physi- cians, and biologists, that the Negri bodies are pres- ent in the brain of about ninety per cent, of rabid animals. The exact nature of these bodies is not yet positivel)^ known, some observers maintaining they are the pathogenic agent of rabies, and others, Can You Buy Viagra In Cozumel Mexico the majority, asserting they are the product of de- generation of the ner\^e cells caused by the organ- ism of rabies. In very rare cases, about one in 200, they have been observed when rabies was apparent- ly not present. (In the several hundred cases examined at the New York Pasteur Institute we have not observed one such case.) They are found