98 
OXYGEN. 
Oxygen was repeated!}^ resorted to in emergencies in 1904 with 
temporar}" good effect. 
BLEEDING. 
Case 11 (1904) was bled twice with veiy marked temporary relief. 
On June 27, p. m., about 12 ounces of blood were taken, after which 
the patient had a good night’s rest; the next morning the spots were 
much lighter in color. On June 28, p. m., about 1 ounce of blood 
was taken, followed by noticeable temporaiy improvement; the next 
morning the spots were lighter, but the patient died later in the day. 
SUPPORTIVE TREATMENT. 
“As supportive treatment as well as germicidal, and having a particular action on 
the blood, I have found useful: I^. hydrarg. bichlor., gr. i; liq. pot. arsenitis, 3 iu 
tinct. ferri chlor., 3 ss. ; acid phos. dil., 5 i; syr. limonis q. s., 3 vi. M. sig. Tea- 
spoonful in wineglass of water four times a day. 
‘ ‘ In addition to the above medication, the special symptoms require careful treat- 
ment best adapted to such complications individually.” — McCullough, 1902, p. 228. 
Prevention. 
“In the way of prophylaxis, I have advised an occasional dose of calomel, the 
drinking of boiled water, and thorough protection against cold and wet,” — Gwinn, 
1902. 
“If, as seems very probable and almost proved, the tick is the means by which 
the disease is spread, the question of the prevention of the disease resolves itself 
into the destruction of the tick. This is an almost impossible task over such a large 
area, especially of such varied topography. When conditions will permit, burning 
the undergrowth and stubble will be an effective method for the destruction of ticks. 
This may be done either in the earh' fall or, preferably, in the early spring, when 
the ticks are just beginning to move about.” — Anderson, 1903c, p. 41. 
“In view of the almost certain role of the tick in the conveyance of pyroplasmosis 
to man, measures should be taken to reduce the numbers and limit the spread of this 
arachnid. The burning of underbrush, sawdust, etc., wherever practicable, is recom- 
mended. Persons going into the brush in the infected area should use all possible 
precautions to prevent ticks from biting them. As soon as a person is bitten by a 
tick, the arachnid should be removed and the wound cauterized by 95 per cent car- 
bolic acid.” — Wilson and Chowning, 1904a, p. 56. 
Detinite statements regarding prevention can not be made until the 
cause of the disease and its method of transmission are definite! v 
known. All that can be said at present seems to be that people in the 
valley should take the best possible care of themselves during the 
spring months, and in case one member of a family is taken sick no 
other person should occup}" the bed with the patient. 
Sequel.e. 
Idaho . — Dubois (1896) states that no constitutional symptoms are left. The only 
sequela which ]\Iaxey (1899, p. 438) has noticed is a little stiffening of the knee 
joints, lasting some weeks. 
