plication of heat, as suggested by Dr. Chason, and such other remedies as the symptoms and condition of my patient required. I have never used the "cold treatment," and think I would be afraid to rely on it, in the robust and plethoric subjects.

Dr. J. McFadden Gaston, Jr., of Atlanta: My experience in the use of cold for the treatment of pneumonia has been very favorable. I recall the case of a child, one of the worst cases that I have ever treated, and I thought sure the little one was going to die. Every time she had elevation of temperature to 105 degrees, I told her mother that I thought she needed a cold bath to reduce it. The manner of applying the cold was this: The child was placed in a bath tub with the water at a temperature almost the same as that of the body-say 105 degrees then cold water was poured on the edge of the tub, decreasing the temperature to at least 70 degrees, and keeping the child in the bath for ten or fifteen minutes. I have tried this method for the reduction of temperature frequently since then, and I have never failed. I prefer it to the use of ice.

Dr. Charles F. Benson of Atlanta: I have had considerable experience in the treatment of pneumonia, and I must say that I have never seen two cases of the disease that were exactly alike, or any two cases where I could apply the same treatment exactly. It is a self-limited disease; the indications for treatment are very plain, namely: control the temperature, sustain the patient in every way you can. In young children, I use the hot pack, with which I can reduce the temperature as well as by any other method. I use very few drugs in the treatment of pneumonia. Where the indications are those of exhaustion, I use whiskey and strychnia. I do not give veratrum. Recently, I had a child come under my care with broncho-pneumonia, following an attack of measles, in which lobar pneumonia developed first in one lung, then in the other. This case ran along for three weeks. The treatment consisted of sustaining the patient and controlling the temperature, and my patient got well.

Dr. Herrman (closing the discussion): Heart-failure and exhaustion being generally the cause of death in pneumonia, barring some intercurrent accident, it is easily understood at the outset that depressing treatment of any kind is bad.

Therefore, I claim the cold treatment by ice applications reduces the temperature, and controls the area of congestion in the lung without any depressing effect upon the patient. I have used both the hot and cold treatment, and my success during the last two years has been decidedly in favor of the cold application.

A REPORT OF TWO INTERESTING CASES.

BY W. D. TRAVIS, M.D., COVINGTON, GA.

1. The first case I wish to report is that of Lizzie F., a German, aged 14 months. She was taken sick September 4th, and admitted to the hospital three days later, with a well-defined case of measles. Her temperature being 104 1-5 on admission, she was given phenacetin and whiskey by means of which it was easily reduced. In that she had an annoying cough she was given Stokes's Mixture for several days. She was convalescent three days after entrance into the wards.

It being customary to keep patients in the hospital in all cases of contagious diseases until desquamation was completed, she remained in the convalescent ward for some time.

On September 26th her temperature rose rapidly to 104 2-5, whereupon she was promptly isolated for observation. The child's gums were considerably swollen from teething, and a very discrete rose-colored macular eruption was scattered over the body. This rash was not perceptible the following evening, the temperature having fallen to 99 2-5 (see chart). From time to time phenacetin and whiskey were given to reduce fever.

The cough which had persisted since the attack of measles was still present.

On October 1st there was a reappearance of the abovementioned rash, which again disappeared in the evening to reappear in patches and disappear in the same manner on

the 5th instant. On the 6th the temperature rose to 106, the cough was dry and more troublesome, and there were crepitant rales in chest at lower part of right lung. On the

evening of the 7th the child vomited twice, and though the fever was high it did not seem to render the patient uncomfortable. The first stage was followed by that of consolidation. Strophanthus and digitalis were added to the treatment and sponge baths given on the 9th, 10th, and 11th.

The condition of the bowels had been good and the patient had passed a sufficient quantity of urine up to the 12th, when there was no movement from the bowels and no urine passed. She was given nitroglycerine, concentrated solution of Epsom salts and hot baths. These rendered her more comfortable but there was no urine passed until the morning of the 13th, when she passed only a small amount. Early in the afternoon of the same day her bowels acted and she passed a considerable quantity of urine and was perspiring freely. Rales had reappeared in her chest and her cough seemed quite painful. From this time until the 19th her bowels were regular and she passed a sufficient quantity of urine. On the afternoon of the 19th she had a rather severe general convulsion and was placed in a warm bath and given chloroform by inhalation, but died three hours later.

A French physician is quoted as saying that "No report of a case is complete without an autopsy," and I was fortunately allowed to perform a post-mortem, and thereby complete my report.

The result, simply stated, is as follows:

Considerable quantity of sero-fibrinous fluid in pleursæ -no adhesions. Upper lobe left edematous. Lower lobe right lung completely consolidated. Pericardium distended with fibrinous pus.

Kidneys-capsules free-both enlarged and pale; pyramids distinct.

Liver and spleen not apparently affected.

The accompanying chart gives a record of the pulse, respiration and temperature.

My second case is as follows:

Kate B., aged 9 years. Thrown from horse September,