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The author ne.xt takes up cystocele and vagino- fixation and prolapse of the uterus. It is not neces- sary, we believe, for the bladder, in cases of cysto- cele, to be pushed back into the peritoneal cavity. Of course, this is necessary if a vaginal fi.xation or suspension of the uterus is to be done ; but the ordi- nary cystocele can be cured as well by pushing the bladder back as far as the peritonaeum and uniting the e.xcised edges of anterior vaginal wall — the well known Wertheim-Schauta operation. It will prob- ably always be a matter of dispute Where To Buy Viagra In Mexico City whether the Diihrrsen method of vaginal fixation or suspension is a wholesome operation for a woman in the child bearing age. The same objection holds to the operation which Dr. Bandler describes for total prolapse of the uterus. W'e have no doubt that patients will be cured by it; but they will also be cured by less formidable procedures than the one he gives. In fact, a well known German author practises only anterior and posterior colporrhaphy in cases Where To Buy Viagra In Mexico City of prolapsus with alleged excellent results. But, if nothing else. Dr. Handler's operation is cer- tainly thorough. The succeeding chapters deal with simple vaginal nephrectomy, with diseases of the annexa suitable for vaginal operation, with myomectomy in its vari- ous phases, and with vaginal Cesarean section. We have derived much pleasure and considerable bene- fit from reading this monograph and we feel confi- dent that others may do the same. Where To Buy Viagra In Mexico City While we have no desire to be captious, we confess to an inability to understand why 145 pages of a book on vaginal coeliotomy out of a total of 445 pages are devoted to descriptions Where To Buy Viagra In Mexico City of extensive plastic operations. It would have been better, we think, to include them in some other work. The illustrations by Bosse are admirable — unusu- ally clear and to the point ; and the whole work bears the imprint of careful preparation and assidu- ous industry. Der Einfluss gcisiiger Arbeit auf den Korpcr unter bcson- derer Beriicksichtigung der Eriniidtingserscheinungen. Von W. Bethace, Halle a.S. : Halle a.S.: Carl Marhold. loio. Pp. SI. The author has, with a great amount of labor and industry, reviewed our knowledge of the influence of mental labor upon the bodv. and his work will be of interest not only to the physiologist but also to the practitioner. MEDICOLITERARY NOTES There are few rules without exceptions. Dr. Sara T. Chase, in an address at a Doctors' and Druggists' Get Together Meeting, at Traverse City, Mich., advanced the opinion that if a physician should send in a prescription calling for the mix- ture in a mortar of sulphur and potassium chlorate, the druggist, in order to keep his shop and himself intact, ought to be allowed the privilege of substi- tuting something just as good. 8o6 BOOK NOTICES. Ill Fariri and Home for April ist a serial story, The Great Physician, begins ; it is by the well known writer and botanist, Eben E. Rexford. The intro- ductory chapters are pitched in a low key. As the hero and heroine, aged just over and just under thirty years respectively, are referred to as middle aged people, we presume that the story is intended for young readers. * * -^ Two quacks are en route through Connecticut with a proposition to make to the local physicians; they will advertise that their local representative is ready to administer a dose of salvarsan to all com- ers for a fee of twenty-five dollars, and will boom the remedy in true, flaring, Quacksalber style, guaranteeing a cure, or money refunded, and so on. The practitioner who is fool enough to compound with these knaves will receive five dollars for his trouble and Where To Buy Viagra In Mexico City acceptance of all the responsibility. * * * A friend writes us that Where To Buy Viagra In Mexico City these quacks managed to obtain an entree into his oifice, considerably un- der the influence of liquor. It is characteristic that they presumed ignorance of salvarsan and of its history on the part of the physician. One of them explained gravely that the curious name 606 con- ferred upon it was due to the fact that the first six hundred and six patients treated therewith were "all cured." It is worthy of note, particularly by young physi- cians, that the late Dr. Edward Gamaliel Janeway rose to a position in the medical profession in Amer- ica surpassed by none without having passed any time in European clinics. The time when it was necessary to supplement an American training by study in France, Germany, or England has gone by ; the clinical material furnished in New York, Phila- delphia, Chicago, F>oston, and Baltimore presents every conceivable aspect of disease, while the post- graduate teaching is now probably superior to any- thing Europe can offer. We desire to draw the attention of the proper societies to the outrageous treatment of a dumb animal in Central Park on April 13th; on a snap diagnosis of colic the keeper of the trick elephant. Hattie, filled up the unfortunate pachyderm with a mixture of two ounces of laudanum and two quarts of whiskey and linseed oil. It is denied that mara- schino cherries were added. Be that as it may. all antis, who are familiar with the designs and plans of Providence, well know that it was never intend- ed to pour into an unsophisticated animal stomach any such combination of artificial compounds as laudanum and whiskey, with or without preserved fruit. The unhappy elephant resisted to the last, but in vain ; some ten minutes after the vile dose she showed her agitation and annoyance by standing on her head Where To Buy Viagra In Mexico City and trying to play the Jungle Rag upon