y not be present; it is
present in a majority of the cases. Children with inflammation of the
ear are exceedingly restless and do not sleep long at a time nor do they
sleep soundly.

Treatment.--The treatment is to open the drum membrane, at the right
time, which of course will always be done by a physician who has had
some experience in this work.

After Treatment.--The after treatment consists of washing or syringing
the ear every three hours with eight or twelve ounces of a 1:10,000
solution of corrosive sublimate. This will be kept up for four days;
then the intervals between the washing will be extended to five hours,
and kept up until the drum membrane closes. If the corrosive sublimate
solution should cause any eruption around the ear, a normal salt
solution (see page 627) may be used in the same way, and in the same
quantity as above. A running ear will run for from three to six weeks.
It may heal up at any time after ten days. If the discharge should
suddenly stop and the fever rise, it indicates that the opening has
become plugged or healed too quickly. In either case it will have to be
opened again. As soon as the ear begins running again the symptoms will
disappear. After syringing the ear it should be dried thoroughly with
pieces of sterile absorbent cotton.

The best syringe to use for washing out the ear is a one-ounce
hard-rubber ear syringe with a soft rubber tip. An ordinary douche bag
will do if a syringe of the above character cannot be obtained. The
douche bag should not be held higher than two feet above the patient's
head. The double-current ear irrigator is an excellent device for this
purpose. The child should be on its back on a table. Its arms should be
fastened down by its side. A basin can be placed under its ear and the
irrigating done without causing any pain or discomfort.

Any child addicted to disease of the ear should be closely watched and
examined for tuberculosis. Scrofula may accompany this condition. These
children need careful attention in every little detail, they need good
nourishment, fresh air night and day, and they should not be pushed at
school. During the winter they should be protected from "catching
colds;" it is a good plan to put them on a cod-liver-oil mixture for the
entire cold season. During the summer they should have a radical change
of climate.

SUMMARY:

1st. Inflammation of the ear is frequently a complication of or follows
some other disease which