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Some girl patients I vaccinate on the inner side of leg, just below the knee. I have had two patients faint and have had others scream and struggle while being vaccinated. This can usually be avoided by diverting their mind from the operation, by talking to them, asking them about their playmates, etc. After completing the operation I tell the patient. or if the patient is a child I also tell whoever comes with him. "You are not to touch the sore or to allow your clothing to touch it. If the shield comes off sew a freshly laundried clean piece of white cloth to the inner side of the underclothing right over the vaccination. Change this cloth as often as it be- comes soiled and at the same time wash the sore with clean boiled water, using absorbent cotton. Come back a week from to-day, as I wish to ex- amine the arm, but come sooner if the arm becomes swollen or the shield becomes soiled with discharge." When the patient returns I dress the arm and in- struct him how to do it, if it is necessary. If the scraped area is dried up, I ask the patient to call again in six days, when, if necessary, I again in- oculate them. Corrfspouticiirc. LETTER FROM LONDON. ./ Discussion on Syphilis and Its Treatment, Especially u'itit "606." — Tonsorial Hygiene. — Women in House Staff Positions. London, December si, 1910. At a recent meeting of the Harveian Society, Mr. Ernest Lane read a paper on the treatment of syph- ilis, restricting his remarks to How Much Does Viagra Cost At Walgreens a consideration of the value of the various arylarsonates, atoxyl. arsacctin soamin, or sudan, and the more recently introduced "606." While admitting their value, he recalled the fact that irremediable blindness had followed the use of .some of them, which had led him to abandon them. Speaking of "606," he deprecated the ad- So CORRESPONDENCE. vertisenient it had received in the lay press. He re- ferred to the excellent results obtained with it by Professor \\'echselniann. There was another side to the picture to be considered. Ehrlich himself had admitted that there were many conditions in which the employment" of "606" was inadvisable. Two cases of blindness had been recorded and two others hinted at. Twelve deaths following its use Avere incontestable. Early recurrences of symptoms were frequent and the drug had not been long enough in use for any one to speak positively on the question of late recurrences. He had submitted some of his own cases to injection by Sir Almroth Wright and Mr. J. E. R. Alacdonagh. The results were in the main favorable so far as he could judge in so short a time, but no better than he would have expected from mercurial treatment. One case of syphilitic ulceration improved temporarily, but soon relapsed ; another injection was given, followed again by improvement and another relapse, the ul- ceration spreading to twice its former size. The condition was now improving on intramuscular in- jections of gray oil. How Much Does Viagra Cost At Walgreens This case had been somewhat prematurely recorded as one of the successes of "606." Another case was malignant syphilis which had resisted mercury, and the patient received no benefit from "606," but died some ten weeks after the injection. Other cases were mentioned in which the improvement was not How Much Does Viagra Cost At Walgreens particularly satisfactory, although the Wassermann test became negative. Of his seventeen cases, five certainly called for no en- thusiasm. Syphilis was a mild disease generally, perfectly amenable to mercury. Intolerance of that drug was rare and would be the only justification for looking elsewhere for a remedy. In appropri- ate cases "606," like the other arylarsonates, was of value. Laboratory research in syphilis, as in other diseases, was of great importance, but should not replace the results of clinical experience. Dr. W. d'Este Emery then spoke on the modern ideas of the pathology of syphilis. He dealt especial- ly with the Wassermann reaction, allowing for his own modification the advantages of rapidity and ac- curacy. He urged particularly the importance of testing all cases quantitatively. He believed that when a quantitative method was used and interpret- ed in the light of the clinical history, the percentage of error was extremely small. Sir Almroth Wright dealt with the matter from the laboratory standpoint. He considered that "606" undoubtedly caused the disappearance of the spiro- chjctse and therefore cured synhilis, clinical mani- festations to the contrary notwithstanding; these he thought were probably due to a secondary strepto- coccal or staphylococcal infection. Mr. Campbell Williams drew attention to three deaths following the injection of "606" additional to the twelve mentioned by Mr. Lane. In view of the risks attached to its use, he suggested a form to be signed by the patient How Much Does Viagra Cost At Walgreens for the surgeon's protec- tion. Many of the cases reported as having been cured by ''606" were nervous afifections generally regarded as parasyphilitic and on which theoretical- Iv it should have no action. If it were ultimately found to have this specific action we should have to alter our views How Much Does Viagra Cost At Walgreens as to their pathology. Mr. Lane, in reply, argued that, syphilis being a mild disease, a dangerous treatment such as How Much Does Viagra Cost At Walgreens the in- jection of "606" was not justifiable. Recently there have been several legal action - taken against hairdressers claiming damages for skin diseases produced by "foul shaves." Probably