Fifty Years Recollections of British Guiana. 265 
Since then I have seen no case of yellow fever. Most people, I believe, have 
heard of the old treatment of 20 and 24, 7.e., 20 grains of calomel and 24 grains 
of quinine. I had two cases of yellow fever in one house. I treated them with 
the 20 and 24dose. They recovered. I had a third case in the same house, 
and I adopted the same treatment. There was a question of having a nurse. 
I was very anxious to maintain my reputation, and I solved the nursing pro- 
blem by paying the nurse out of my own pocket. This patient recovered. 
The nurse was very devoted in her attendance. Nursing is a matter of 
paramount importance in yellow fever. I was called in to a case 
that was under the care of a nurse, but not of a doctor. I found 
the case progressing so favourably under the care of the nurse that I 
complimented her on her skill, and after a few remarks | left the 
case without prescribing. The patient recovered. I had another case 
of a very different character. This case had two doctors, for before its 
close I was superseded in the charge of it. The poor patient was very ill. It 
was a hopeless case, and I made no secret of my unfavourable prognosis. The 
other doctor did not appear altogether to agree with me. It was the worst 
case of yellow fever I ever saw; I need hardly add that he died. Although I 
had some success in the use of the 20 and 24dose I was under the impression 
that a less heroic treatment might succeed. I had an opportunity before long 
of testing the question. A sea captain died in Georgetown, and left a young 
son. I thought thatit was very likely the lad would contract the disease, and I 
got permission from my father (with whom I stayed at that time) to take him 
to my father’s house. I watched the lad closely and I remember well when 
he showed the first symptoms of the disease. I gave the lad my own bed-room, 
and made a close study of the case. This patient had no calomel—I am not sure 
whether he had quinine—but whether he had quinine or not is a matter of no 
importance—quinine is not indicated in yellow fever and as regards controlling 
the disease is useless. In this respect yellow fever is quite different from malarial 
fever. Quinine is useless in yellow fever although it is a specific in that fever. 
I had a yellow fever patient who told me that he would recover if he got his 
swizzle. He got his swizzle and he recovered. Many people have a great 
dread of yellow fever. I remember a young doctor who came here, and when 
he found that yellow fever was prevailing did not land, but went back in the 
vessel in which he came. I mentioned my father in connection with the young 
lad who had yellow fever. Perhaps I may say a few words about my father. 
His action in the case of the sicklad wasin keeping with his action generally, 
ready to help the suffering and the weak. He was a firm friend of the black 
people, and lost no opportunity of rendering them all the assistance in his 
power. My father was a parson, but above all he was a politician. He was 
an example to all politicians. He had the courage of his convictions, and he 
showed his courage boldly and bravely and he did not talk nonsense. He took 
a deep interest in all that concerned the black people, and used his influence 
on their behalf. My father and I did not see alike in religious matters, but I 
had a great respect for him. He was a Director of the R. A. & C. Society. 
A few more words about practice in Georgetown. At one time I had the 
largest share of the Portuguese practice. In Georgetown some persons paid 
