s and actually taking the evening tea with him. His
instructions to the mother not to let her son go to sleep and to
watch him carefully for the slightest sign of the return of
symptoms, were unfortunately disobeyed. Both mother and son went
to sleep, deeming all danger over. During this sleep the lad again
relapsed into coma and was found so at daylight. All attempts to
rouse him were fruitless, and he died before the messenger
intended for me had time to saddle a horse. The death of the
unfortunate lad, however, has saved some lives since. It taught
the writer the lesson never to trust to the apparent success of
the antidote until it shows distinct signs of its own
physiological action, and even then to watch his patients
carefully for the first twenty-four hours, and let them sleep for
short periods only.
CASE 2.--A.H., a vigorous girl of 20 years, bitten above the left
ankle by a snake in some long grass, and therefore not identified.
Had applied two tight ligatures above the bite, ran home and got
her mother to cut out the bitten skin, showing two distinct
punctures. Seen within an hour after the bite the girl presented
distinct, but moderate symptoms, deadly paleness, very cold skin,
small frequent pulse, and a peculiar feeling of agony about the
heart, just able to sit upright, but unable to walk. All symptoms
increased rapidly after writer cut ligatures. She reeled from side
to side, and suddenly fell forward as if in a swoon. Injected
1/6th grain of strychnine and, as she did not lose consciousness,
was able to watch the interesting and rapid effect of the
antidote. It had not been injected more than five minutes when
slight colour returned to the cheeks, naturally very red. Patient
then stated that the distressing feeling about the heart was
getting less and also that of drowsiness. From minute to minute
her condition improved, and in about ten she was able to rise and
walk a few steps. Profiting, however, by the lesson his first case
had given him, the writer did not trust to her apparent recovery,
but seeing that much of the poison had been eliminated by the
prompt measures taken before he saw her, he injected only 1/12th
of a grain, which produced slight muscular spasms. Careful
precautions were taken in this case against a relapse, but none
took place, and wh
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