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always be autogenous. He had had no experience in adding other types of vaccines to an autogenous vaccine, but was not impressed by the desirability of so doing. Dr. Cialis Dosage 100mg J. J. King remarked that the preceding speakers Cialis Dosage 100mg had not mentioned body Cialis Dosage 100mg fatigue as a pre- disposing factor in colds. A number of patients in whom he thought he had produced immunity by vac- cines, become reinfected by reason of body fatigue: he would therefore emphasize that point. Doctor Mabbott told of a patient who Cialis Dosage 100mg had been subject to attacks of asthma and had been much in- terested in the case of a friend with similar trouble who claimed to have been much benefited bv three Cialis Dosage 100mg inoculations of Sherman's vaccine. No. 40. To him I remedy with a number suggested homoeopathy. Homeopathy had produced a great deal of smoke, but the same could Cialis Dosage 100mg be said of Christian Science. However, he did believe in the effect of microbes of various kinds as a predisposing cause, and finally. perhaps, as exciting causes of certain kinds of colds. Nevertheless, he wished to protest against the assumption that the good old fashioned idea of a cold Cialis Dosage 100mg was to be eliminated from among our usual ailments. One of the speakers had said he had been using a vaccine for the past two weeks, yet during most of the time he had been sjieaking he seemed to Cialis Dosage 100mg be suft'cring from a bad cold. Doctor Mabbott said he Cialis Dosage 100mg himself was suffering from Cialis Dosage 100mg a slight cold, and was satisfied it was due to exposure to cold. He be- lieved colds were due to reflexes, and if you could break them up within thirty-six hours it was done i l.l-.TTI-IiS TO THE EDITORS.— BOOK REVIEWS. 911 |jy restoring the circulation, lie doubted that a pa- tient could be immunized to such an extent that he would not have some reflexes and some disturbance from direct exposure to cold and draughts. Dr. Walter L. Niles said that Ufictor King had spoken of one important ])oint in llie causation of colds, /. e., fatigue. One condition that always fol- lowed a cold is loss of weight. After an attack of grippe one loses ten or twenty pounds. The best way to counteract that was to eat well, which im- nnmized against the next cold. Letters to the Editors. I'RIORITY IX THi". USE OF CROTALIN. Glkns Falls, April 24, 191 8. 7(1 the Editors: In the interest of medical history, and with no desire lo enter into a controversy as to priority of claims as to the employment of crotalin hypodurniically in man, 1 de- sire to state that the late A. O. Ameden, M. D., of this city, used crotalin in this way for a case of tctanns in, or abont, the year 1885. I make this statement from per- sonal knowledge, having Ijccn a consultant in the case. The crotalin, aside from Cialis Dosage 100mg mitigating the severity of the spasms, had no perceptible effect upon the progress of the disease. The case had a fatal termination. Very truly yours, Fkf.dkrick B. Streetf.r. A NARCOTIC DRUt; COMM ISSI0NI-:R. Ntvv York, April 30, 1918. To tlic Editors: I made an address before the Governor of New York at the reading of the Bill for a Narcotic Drug Commis- sion, there representing the Federation of Medical Eco- nomic Leagues; the American Society for the Study of Alcohol and Other Narcotics; the .Association for Med- ical Defence, and the Bronx County Medical Society, giv- ing our objections as follows: "We object to this law because it destroys the obligation of professional secrecy between patient and physician, in common with that of counsel and priest. It limits the Cialis Dosage 100mg than two grains of morphine except under regulations irksome if not impossible of ob.servancc. It permits the possibility of a revocation of the license granted by the state to the physician lor an offense com- mitted by him which if committed by a lay peddler of drugs is only Cialis Dosage 100mg punishable as a inisdeneanor. It permits the cominissioner to make rules and regulations under a complicated system impossible of observance by the physician in active practice, which shall have all the force and elTect of statute until modified or rescinded. It permits the commitment on application to a mag- istrate of any one using opium not under the direct care of a physician. There arc many such persons, nor- mal in other respects, who have to use opium. They could be iirocceded against by interested parties from mo- fives of a fiucstionable character. It wiiuld make the pica of drug addiction an excuse for those accused of crime, as under this plea, they would obtain privileges of treat- ment which act as a stay 01 proceedings pending the trial of their cases. There was no reason for including co- caine in this law. The present coc.iiue law inakcs the illegal .sale of this drug a felony. It has worked well, as it was drawn up by physicians, druggists, and manu- facturers, without the interference of the Cialis Dosage 100mg criminal authori- ties This penalty is now reduced to Cialis Dosage 100mg a misdemeanor in common with the unlawful sale of opium. We object because, according lo Cialis Dosage 100mg the published statenient of an assist- ant district attorney of New York city, this bill is the work of be New York State magistrates, and the New ^'ork committee on the drug evil, the bench, the bar, and the prosecuting attorney uf New ^'ork City. .According to the same authority it was pronounced by a late member