460 WHITMOllE. 



The attempt Wiis made; to give tlie succinimide ot mercury, as advised 

 by Wright, in doses of one-liftli of a grain every otlier day for fifteen 

 doses, then two-fi.fths of a grain every four days for fifteen doses, then 

 three-fifths of a grain once a week ; but we very soon found that our cases 

 would not stand that much mercury. In this connection it is well to 

 remember that one-fifth of a grain of succinimide of mercury contains the 

 same amount of the metal as one-eightli of a grain of bichloride of mer- 

 cury, so we were not giving vei'v large doses. Still our patients could 

 not stand that amount of succinimide. 



Possibly the succinimide does not cause as much induration and sore- 

 ness at the site of injection, but it does not seem to have any other 

 advantage over bichloride of mercury. 



Thirty-eight of oui' cases had fever above 100° at the time treatment 

 was started. Fifteen of these fever cases have died, 'while only 4 have 

 died of the C3 patients who had normal temperature or fever of- less 

 than 100° when treatment was started. Oidy one man who had fever 

 above 100° when treatment was started has been discharged as recovered. 

 Of the remaining cases who had i'ever above 100°, 3 have remained 

 stationary in weight, 11 have lost and 10 have gained weiglit. 



From this short series it would seem that tuberculin had given the 

 best results with one death and six recoveries; cinnamate of mercury 

 next with two deaths and six recoveries; the control series next with 

 four deaths and four recoveries; atoxyl next with five deaths and two 

 recoveries ; succinimide of mercury' last with seven deaths and three 

 recoveries; or possibly atoxyl and succinimide of mercury should change 

 places. 



We can not draw conclusions from so few cases, but it is evident that 

 none of the methods of treatment Ave used is of very great value in the 

 treatment of tuberculosis among the natives of the Philij)pines. 



At a later date we hope to be able to give a full report of the final 

 result in this series of one hundred cases. 



I take this opportunity of thanking Dr. W. A. Christensen, physician at 

 Bilibid Prison, for valuable assistance rendered throughout the work. 



