and Magazine of the Ceylon Agricultural Society.— September, 1911. 273 



he desires ; cold barley water with lemon and a 

 little sugar. Some one should certainly be in 

 attendance the first 2 nights, and see that at 

 least once in the night the patient's hot bottles 

 are refilled and he be given a hot drink and 

 made comfortable. This can often be done 

 without disturbing him. At 3 to 4 a.m. the 

 vitality is at the lowest and also from this time 

 to dawn is the coldest part of the night. 



A patient has nothing to do but to sip drinks 

 and sleep. Properly treated, on the 2nd or 3rd 

 evening the crisis should come, that is he should 

 wake bathed in profuse perspiration, with head 

 relieved and other functions acting. 



Now be extra careful that he gets no cold 

 again. He is not to lift his head or put even an 

 arm out till he has had a cup of 



(1) hot milk, or 



(2) hot tea made with milk 



(3) hot chicken broth. 



The perspiration shows the skin is doing its 

 work again, and one has to be most careful not 

 to check it, for the patient is still very weak. 

 Having drunk the hot milk and rested for an 

 hour he may be sponged with warm water from 

 head to foot in a blanket. 



Method.— Attendant must spread a blanket 

 on edge of the bed, and tell the patient to roll 

 himself upon it. Then cover him at once with 

 the other half of the blanket. Divest him of his 

 damp perspiry garments, and putting the 

 sponge underneath the blauket rub him down 

 rapidly a limb at a time. Dry thoroughly and 

 dress in warm new pyjamas. Bundle blankets 

 round him and change the sheets quickly. 



Get him back to bed quick'y and put a hot 

 bottle to his feet. 



One more drink of hot chicken broth and 

 milk, and he will fall asleep and probably sleep 

 12 hours waking well, but weak. 



He requires nourishment, but not ordinary 

 diet for several more days. However, the 

 following dishe3 may be given if there is no 

 relapse. 



1. A beaten up egg, flavoured with vanilla 



and sugar, and mixed with milk. 



2. Fish very lightly fricasseed in milk, or 



boiled with parsley sauce. 



3. Onions stewed in milk. 



4. Vegetable marrow, stewed in milk and 



parsley. 



5- Savoury baked custard. (If sweets are dis- 

 liked, the custard may be made as usual, 

 seasoned with salt, pepper and a sprink- 

 ling of. powdered cheese.) 



6. Omelet 



7. Sago jelly with custard. 



8. Cream soup (milk thickened with yolk of 



egg, salt, pepper, cheese) with fried 

 croutons. 



All these dishes are nourishing, but make 

 very little demand on the digestion, and leave 

 very little waste for the enfeebled organs to 

 deal with. 



General Remarks on Illness and 

 Norsing. 



It is to be remembered that almost every 

 illness begins in the same way, i.e., with con- 



35 



gestion, or failure in some way of the organs 

 of elimination to do their work properly. 

 Therefore, the treatment above described ap- 

 plies to the initial stages of almost every case 

 of fever, malaria, chills and general sickness. 

 This should not be taken that it should super- 

 sede the Doctor, but only if he is not at hand, or 

 to go on with while waiting for him. 



Those attending on the sick are sometimes 

 very thoughtless in the little things for the pati- 

 ent's comfort. Always a little table with a 

 hand bell should be beside him. Always every 

 particle of food or drink should be covered 

 with paper or muslin, if obliged to be left in 

 the room. Always have plenty of hot water 

 going. It is misery to have to wait for things. 



Firstly, finally and chiefly, every bungalow 

 ought to have a feeding cup. Really anyone 

 who takes drink of any sort in a long soda 

 tumbler to a patient who is helpless in bed 

 ought to be slapped ! 



Just try it for yourself 1 Keep the head on 

 the pillow and see if you can drink a drop 

 without spilling it on the bedclothes and down 

 your neck ! And why should a patient have 

 to lift his head and untuck the clothes and 

 get chilled again ? If there is no feeding cup, 

 give the lowest cup or shortest little basin 

 you can possibly get. But a feeding cup costs 

 only 6d. to Is., at any of the cash chemists in 

 England. For 5s. each lonely man could pro« 

 vide himself with a capital sick-room-outfit and 

 it would be well worth while. 



Remember fever only means that the system 

 cannot get rid of its rubbish by normal means, 

 so it tries to burn them up ! ! All very well, 

 but if the temperature goes too high it burns 

 some of the good tissues as well as the rubbish. 

 A clinical thermometer is a necessity. 



There are many more remedial treatments 

 I could name, but they require too much care. 

 What I have here prescribed is so simple that 

 the average " wayfaring fool, though a man 

 need not err therein " I 



I wish Sir Allan Perry and Mr John Har- 

 ward would ask me to write Juvenile books on 

 Hygiene for his Educational Department!— I 

 am, Sir, yours faithfully, 



NURSE OON AMORE. 



We are indebted for the following to a Straits 

 contemporary who heads it 



"The Malaria Scourge." 



Organised Action by Singapore Authorities. 



It would appear that, at long last, the Govern- 

 ment and Municipality of Singapore have been 

 moved to take some definite action to combat 

 the scourge of malaria on the island. No 

 public announcement has yet been made on the 

 subject, but the contemplation of the scheme 

 has gone sufficiently far to justify the expec- 

 tation that it will come to something. 



There is, we understand, nothing more in the 

 scheme than has been urged upon the autho- 

 rities time and again in various ways — by the 

 medical faculty, by the layman writer in the 

 press and by the forcible example of many other 

 cities in the east. It is proposed to establish 



