139 
A few more words and I have finished. No reference has been 
made to any of the coal-tar products. I do not use them. If you pin 
your faith to these antipyretics you are only creating trouble for your 
patient. The older and the newer compounds have the same 
depressing action in yellow fever. 
Educate your clients never to neglect a case of yellow fever. Half 
the battle is gained if the patient is in bed and under treatment within 
the first few hours of the onset. I cannot do better than give you the 
opinion of Touatre* ‘ At the onset of the infection the patient can 
be succoured, but what can be done when the organism is poisoned, 
when the toxin has already affected the hepatic cells and the renal 
parenchyma, and when the mucous membranes are bleeding ? e 
physician is practically disarmed, for such lesions are nearly always 
fatal. It is during the first days of the disease that the physician mus 
act. When black vomit has come to darken the situation, we can ye 
save some patients, but are much better prepared to prevent the 
occurrence of black vomit than to cure it. The first and most : m. 's 
pensable thing for success in the treatment of yellow fever is that 
be begun as soon as the disease has declared itself. 
* Touatre, Just.; Yellow Fever. New Orleans, 1898 - 
