victory as frequently with one as with another. Certain it is that, to
the common mind, quinine is the reputed cause and is avoided in large
doses by men who have once had blackwater, or who are in that low rotten
state that predisposes to it. In one point all agree, that one must be
saturated with malaria before blackwater can develop. So great is the
aversion shown by some men to the big doses of quinine as laid down by
regulations, that men have often refused to take their quinine. Others,
too, who have protested at first, take their quinine ration only to find
themselves in the grip of this disease within twelve hours. Such a case
was a Frenchman named Canarie (and the colour of his face, upon
admission, did not belie his name), who had been treated for blackwater
fever by the great Koch in Uganda many years before, and had been warned
by him against big doses of quinine. That evening he was on my hands,
fortunately soon to recover, and to win a prolonged convalescent leave
out of this rain to the sunny and non-malarial slopes of Wynberg.

Seldom do the rumbling ambulances roll in but among their human freight
is some poor wretch snoring into unconsciousness or in the throes of
epileptiform convulsions. Custom has sharpened our clinical instinct,
and where, in civil life, we would look for meningitis, now we only
write cerebral malaria, and search the senseless soldier's pay-book for
the name that we may put upon the "dangerous list." As this name is
flashed 12,000 miles to England, I sometimes wonder what conception of
malaria his anxious relatives can have.

For there is no aspect of brain diseases that cerebral malaria cannot
simulate; deep coma or frantic struggling delirium. A drop of blood from
the lobe of the ear and the microscope reveals the deadly
"crescents"--the form the subtertian parasite assumes in this condition.
No time this for waiting or expectant treatment. Quinine must be given