n-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
in huge doses, regardless of the danger of blackwater, and into the
muscles or, dissolved in salt solution, into the veins. The Germans have
left me some fine hollow needles that practice makes easy to pass into
the distended swollen veins. Through this needle large doses of quinine
are injected, and in six hours usually no crescent remains to be seen.
As a rule, conscious life returns to these senseless bodies after some
hours; but, unhappily, such success does not always crown our efforts.
Then it is the padre's turn, and in the cool of the following afternoon
the firing party, with arms reversed, toils behind our sky-pilot to that
graveyard on the sunlit slopes of Mount Uluguru, where our surgical
failures are put to rest.

One can always tell, you know, the onset of such a complication as this;
for when one finds the victim of malaria hazy and stupid after his fever
has abated; and, more especially, if he develops wandering tendencies,
leaving his stretcher at night to choose another bed in the ward, often
to the protesting consternation of its present occupant, then one passes
the word to Sister Elizabeth to get the transfusion apparatus ready. I
shall not readily forget one stout fellow, a white company
sergeant-major in the Gold Coast Regiment, who was lost in the bush and
discovered after many days in the grip of this fell disease. Him they
bore swiftly to me at Handeni, and after many injections and convulsions
innumerable, he was restored to conscious life again. Sent back by me
eventually to Korogwe with a letter advi