50 HOME Ti; i:\TMKNT AND 



the treatment is started at once, \n lirf.nv 

 diagnosis is verified. There is no ri tion 



if this treatment is carried out thoroughly, i 



erity of the trouble, ho\\ .-vn. is greatly K 

 The few hours' delay caused by removal to a hos- 

 make a marked difference in the result. 

 The trouble spreading to the nose or Eustach 

 tubes is unknown to me; yet, as one specialist 

 remarked : " After a short time we have not only 

 the scarlet fever germ infection to deal with, but 

 others secondary to this, causing the very greatest 

 trouble." As I have said, I have never had any 

 experience of secondary troubles with this treat- 

 ment. This point has been most powerfully im- 

 pressed on my mind by the intercourse I have 

 had with superintendents of scarlet fever hospitals. 

 It greatly surprised them to learn that I have 

 never had secondary difficulties with throats, noses, 

 ears, or kidneys. These, then, are powerful argu- 

 ments for the home treatment of scarlet fever. 

 The hospital specialist, it appears to me, is placed 

 at a great disadvantage with the results which 

 will follow private treatment of the trouble at 

 home by an ordinary medical man. All this is 

 most fully borne out by the following from the 

 Practitioner for December 1909, p. 866 : 



