In  our  catM  in  the  102  ndmif«ion»  twvrra]  of  the  81  ca!>»  being;  admitted  more
an  once)  tile  average  fini  bluod-couni  was  1.575,000,  Thiii  it  Mnnewhat  higher
an  that  which  other  oliserver«  have  rcporicd.  and  i^  iltie  10  the  fact  that  we  lud
vera)  catei  admitted  nut  for  ihe  lymplomn  oE  pernicious  ana;mia  alone,  but  (rvm
Icndani  conditions,  for  instance,  for  nervous  disorders.  [ii  81  per  cent,  of  ouf
\%a  the  count  on   admiMton    wai  under  ^.000.000  and   in    ti  per  cciit.   under

The  count  may  go  as  low  as  500.000,  and  yet  the  man  remain  com-
)rtably  at  work,  while  others  with  four  times  the  count  suffer;  evi-
ence  that  the  reason  for  the  symptoms  is  not  alone  the  oligocythxmia.
abot  thinks  that  the  counts  tend  to  stick  at  about  1.000,000  cells.
popping  rapidly  to  this  point  aiul  remaining  there,  then  sometimes  in
nprovement  gaining  rapidly  to  about  3.ooo,ooi»:  l,iicr  to  return  to
liout  this  same  figure.  The  coimt  may  remain  stationary  for  some
me.  or  it  may  diminish  progressively  until  death.  Quincke  reported
ne  case  with  a  blood-count  of  143,000.  and  yet  recovery.  Haycm's
iwest  case  was  292,000.  a  fatal  case.  Scott's  case  had  at  death  268,-
DO  reds;   index.  2;   leticocytes.  5900.'"

After  admission  the  count  may  continue  to  drop  for  a  while,  then
>  rise,  or  it  rises  at  once,  or  it  remains  stationary.
It  cannot  Ijc  too  often  emphasized  that  a  change  in  oiint  may  mean
change  in  the  total  number  of  red  cells  or  a  change  in  the  volume  of
asmn.
