I do not feel that an apology is necessary for briefly calling the attention of the profession to the necessity for greater care and honesty in dealing with syphilis and its dangers. No disease is so universally distributed and none which is so insidious in its invasions, even into the ranks of the most innocent. I do not believe that there is as much candor displayed in discussing this disease as its gravity demands, and that by our silence and easy acquiescence in the mistaken idea of its harmlessness, after a year or two of treatment, we are adding to the burdens of mankind. The dangers of syphilis are most frequently its remote effects, the immediate symptoms, such as chancre and the lesions of the skin and mucous membranes passing away quickly under appropriate remedies. We find the remotest effects in all the different forms of paralysis, locomotor ataxia and