The New Orleans daily Democrat. [volume] (New Orleans, La.) 1877-1880, 1878-09-11
DEMOCRAT WEDNESDAY, SEPTEMBER L. 1875

| and even up to fifteen, who were born here
and have lived here since their BIRTH these
| understand to be natives, for do not include
! children who were born here and have been
| away for years and returned.
| Without being further questioned DR.. Tur
| pin proceeded: AS you may have done your
| self, [ have noticed that native children living
above Canal street die in much greater pro-
| portion than those who live below, and [ may
add that there are as many children below as
above, and as many are attacked by the dis
| ease. | attribute the disprOpOrtiOn in the
number of deaths to the mode Of treatment
Up town, / fear, when child falls sick it is
Immediately treated for yellow fever, and
such is the case with some Of the physicians
| down town, with unfavorable results. My
diagnosis Of the large number of cases OF
children in my practice cOnvinces me Of the
! absence of some Of the main characteristics
OF yellow fever, such as the affection of the
liver and the retention Of urine, for at various
stages Of their illness / have observed that
they passed perfectly pure urine, and tho func-
tons OF the bowels 1ndicated-even near into
deaths, that, thu, liver, was free and unim;-
paired. AS to the yellowness Of skin and
black vomiting, these are not characteristics
exclusively belonging to yellow fever, as all
educated physicians will readily admit. The
present fever among children | have found to
exist in. three degrees, the second and third
has induced me at the outset of
the malady to administer quinine in high
doses, without regard to the degree of the
fever, which necessarily ] cannot determine
at the beginning OF the sickness [ have in
variably administered double doses of quinine
to my patients. giving as high as sixty grains
to children and to adults as much as 100
grains, within the first twenty-four hours,
and they die If their system is unable to
absorb the drug
am sustained in my practice Of admins
tering quinine in large doses by the fact
that in cases OF unmistakable remittent fever
| have found and find daily that the ordinary
dose is insufficient, and that a fever that
would usually yield under a dose of five
grains, requires frequently as much as
twenty grains during this epidemic.
At this iuncture we asked DR.. Turpin:
doctor, yellow fever is continuous fever.
is it not, and distinct from remittent and in
termittent? What, then. is the character of
the fever you find among these children?'
DR.. Turpin-It is not continuous fever,
for 1t is marked by a decrease on the second
day, and Is attended by exacerbations. Death
occurs under various conditions, sometimes
without parOXysnls, at other times q general
collapse occurs, and again it is attended by
delirium, more or less violent.
Q.-Do you treat all patients which YOU
consider attacked by genuine yelitteH~ fever
with quinine?
Al do?
Q.-Do you purge them?
Al do.
Q.-Do you purge native children in the
Al do not give purgatves to children at
tackled by this malignant fever. | do not
overload their stomach. When find it ne
cessary / obtain the same results with the
proper enemas