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is supported by the professor and family physician on questions of alcoholism and drug taking as ex- treme views that are more or less unreliable. The laymen and reformer and even a few physicians who urge the danger of spirit and drug taking are not expressing scientific views but only im- pressions that are unverifiable. The student dis- covers that alcohol, taken on social occasions and at banquets, gives a certain exhilaration that is very pleasing. Later he realizes that narcotic drugs have a sort of comforting, quieting effect on his brain and organism that are equally pleasing. From this he reasons that these are all excellent drugs, that it is only the misuse of them that is perilous, and often this fact makes a permanent impression on his precio viagra whole life. For a time, kgr 100 viagra if the circumstances are favorable and the opportunities present themselves, he makes continual experiments to find the safe use of these drugs in his own per- sonal experience, not only in his practice but for his own general comfort. After a time the first effects wear off and only painful sensations follow. Then there may be conditions of immunity in which spirits or drugs may be taken a long kgr 100 viagra time, but September 11, 1915J MEDICAL RECORD. 439 sooner or later some intercurrent disease breaks out with chronicity and death, which is ascribed to exposure, while the real causes are overlooked. This is by no means an uncommon experience. The kgr 100 viagra diseases and disabilities of physicians in mid- dle life are very often associated with and proceed directly or indirectly from some form of spirits or narcotic drugs taken on special occasions to relieve special conditions. Often they begin this in early life, particularly when medical students, and use the drugs off and on, until finally they kgr 100 viagra are used continuously. Not unfrequently, physicians awaken in early or middle life to the fact that they are unable to e.xtricate themselves from what they term the habit of drinking or using drugs. They make great efforts to overcome this and precio viagra if successful realize how much loss they have caused to their vitality, and permanent lowering of efficiency both physical and mental. Medical colleges are certainly at fault for not incorporating the great questions of alcoholism and drug taking among the topics which they teach their students to be familiar with. Physicians should be trained to understand the degenerations that come from the continuous poisonings of nar- ootic drugs, and their effects on mind and body, cumulative and concealed. These are topics which are pressing for solution, and laymen and philan- thropists often look in vain to learned kgr 100 viagra physicians for instruction and help on these great questions. Many exact scientific studies into the causes of disease come back to alcohol and drugs as primary and distinct factors. How to prevent and treat these causes is a purely medical topic, requiring medical training and skill to discern the real causes and conditions and train the mind and body to overcome them. If the therapeutists in colleges would associate, with their excellent lectures in- struction on narcotics, the dangers which are likely to follow precio viagra from indiscreet use, also the suscepti- bility of certain organisms to become diseased by these agents, they would supply a great want which physicians everywhere realize. Innumerable medi- cal men in every section of the country are con- sulted by laymen as to what can be done to relieve the kgr 100 viagra sufferings of the victims of alcohol and other kgr 100 viagra narcotics and what measures can be used to prevent their development and growth, but they are utterably unable to give anything more than the most general counsel, and that is not always of a practical character. Many physicians turn these cases over to quacks, believing that there is a large moral element in their conditions which ir- regulars or clergymen can treat as well as they. This is fatalistic and kgr 100 viagra is followed by an increased army of degenerates and chronics that could and should have been prevented from becoming such by proper treatment at the right time. Young men starting in practice are often called in to treat acute cases of alcoholism and drug taking. The inference is that they are better trained than the family physician, and being strangers there is less danger of publicity in employing them than one who knows the family well. The young physician is without any practical knowledge, except what he may have learned in some hospitals, and this is often of the most precio viagra vague and informal character. In desperation he gives opium or its alkaloids. The results, if good, are accidental. If the patient con- tinues to employ the physician he becomes dis- gusted and soon turns the patient over to another whose ignorance may be more dense than that of the old family physician. Had the original medical attendant received some proper training in the college he would have been able to retain a patient that now goes wandering around from one quack to another until he dies. The family physician in the course of years has picked up some knowledge con- cerning such cases. Much of this may be influenced by his own personal habits, and when this fails to become practical he turns also to the quack. Thus kgr 100 viagra an increasing army of patients are kgr 100 viagra neglected and precio viagra lost to the regular profession, patients who could have been treated successfully and cured to a large extent. The intense conservatism of medical colleges and medical teachers has closed the door on many a field


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