90 SPECIAL CATTLE THEEAPT 



normal temperature, we urge her at intervals. As 

 soon as she makes a good attempt to arise she is as- 

 sisted by lifting by the tail. "When she gains the stand- 

 ing position she is supported until she becomes steady 

 and stands firmly; until she is standing quite firmly 

 she must not be permitted to move about for fear that 

 she may fall. When she does stand firmly she is left 

 to herself ; water may be allowed but no feed for from 

 eight to twelve hours; at the end of that time she may 

 be milked. This concludes the handling of this disease 

 in its usual typical form. 



"We will now consider some of the variations, those 

 especially which are of the most frequent occurrence. 



Relapse 



In some cases of parturient paresis, which in the 

 start are apparently typical cases, the cow gives only 

 a very moderate response to the treatment. She be- 

 gins to brighten up some but after an hour or two 

 no further progress has been made. In such cases 

 the best method is to "leave well enough alone" for 

 a few hours. If at the end of four or five hours no fur- 

 ther improvement has set in the entire course of treat- 

 ment is to be repeated. In other cases the cow re- 

 sponds to the treatment promptly, gets up on her feet 

 within a few hours and is apparently entirely relieved. 

 After about eight or ten hours she suddenly develops 

 another attack, goes down, and soon falls into a coma- 

 tose state. In cases of this sort the entire treatment 

 is to be repeated, just as though it were an initial at- 

 tack. The response to treatment in relapses of this 

 disease is not so prompt as in primary attacks. 



