13 
reported hy physicians of ivestern Montana. 
About what day of ill- 
ness did spots appear. 
Death on what day of 
disease, or convales- 
cencebeginningabout 
what day. 
Fifth 
Died eleventh dav 
Fotirth 
do 
Sixth 
Beginning of lysis on 
fifteenth dav. 
Third 
Died sixth dav 
Third or fourth 
Convalesced eighteenth 
dav. 
Third 
Died fifth dav 
do 
Died seventh dav 
do 
do 
Fifth 
Died eleventh dav 
Fourth 
Died tenth dav 
Xo record 
Recovered 
Third 
Died sixth dav 
do 
Died seventh dav 
do 
Died sixth dav 
do 
2 or 3 weeks 
do 
Died eighth dav 
Had but little erujuion. 
Began to get better on 
ninth or tenth day. 
Xo record 
Recovered 
do 
do 
Third 
Died about thirteenth 
dav. 
do 
Died twelfth dav 
do 
Died eighth dav 
do 
Died twelfth dav 
Don’t remember 
Died about eleventh 
dav. 
Fourth 
Died' tenth dav 
Can not sav 
Died about eighth day . 
Fourth . . : 
Died eighth dav 
About third dav 
Died in a few da vs 
do 
do 
.....do 
do 
Third 
Died ninth dav 
do 
Died eighth dav 
do 
Died tenth dav 
do 
Died eighth dav 
do 
do 
Fourth 
Recoverv 
Ibout fourth 
Recovered at the end 
of the fourth week 
after attack. Dis- 
missed at end of five 
and a half weeks 
from date of attack. 
Third 
Recovered. 
Fourth 
Died tenth dav. 
No record 
Recovered after about 
3 weeks treatment. 
Remarks. 
Made 3 Adsits — July 2, 3, 4. 1885. Spots present at 
my first visit. Diagnosed case “ typhoid fever.” 
This case occurred in a year when there were 
many deaths from spotted fever from Carlton 
to Corvallis. It was then called by the valley 
physicians “black measles.” 
This man lived in Stevensville. A short time 
before he was taken sick he was on the west 
side of the river and slept out in the mountains. 
Mrs. C. had been delivered of male babe 4 days 
before her death. Early in the second morning 
after birth the babe’s grandmother called my 
attention to the child’s fever and jaundiced 
appearance. 
Had but few spots; began to get better on ninth 
or tenth day of his sickness. 
I can give no good account of them. The man, 
as near as I can remember, was under my care 
for about 3 weeks, then went to his relations 
at Wausau, Wis. The case of the female was 
slight. 
Considerable swelling of legs and face last day 
or two. 
Impossible to find any records in this case in St. 
Patrick’s Hospital records. 
Case came from Hamilton and taken to St. Pat- 
rick’s Hospital; only lived 2 days. Was broken 
out thoroughly on arrival; could get no history 
from him. A post-mortem held; only thing 
apparently abnormal was spleen largely in- 
creased in size. 
This man was seen by me in con.sultation -with 
the late Dr. G. F. Mills, who had charge of the 
case. It presented the usual type. He had 
marked delirium, was abundantly “spotted,” 
but made a good recovery. 
Was called to see this case on July 9, he having 
been attended by others prior to this. Found 
him entirely comatosed and learned that had 
existed for 3 days prior. Respirations hurried. 
Temperature but slightly above normal and 
the petechic abundant,' many of which, by 
their coalescence, made a spot as large as 1 
inch in width and 2 or 3 in length, all of which, 
later on, formed dry gangrene and sloughed 
to a depth including deep fascia. 
Child from “ Big Blackfoot ” country, after disease 
was well developed. The spots were not as 
general as in the cases I had before, and were 
only general in distribution over the region of 
shoulders and spine. 
