The daily morning journal and courier., 1899-11-23

Y Ine lQ6a or DullulHB liS NdluS ana COT
 riders only one story high is to avol(
 the netessary of placing unnecessar!
 exercise on the circulatory organs, es
 pecially the heart which in consump
 tives is often weak and liable to over.
 strain. The wards contain each 20 to 3t
 beds, and have fire place in the cen.
 ter. The beds are well supplied with
 blankets from three to seven for each
 when needed the supply is unlimited
 and in cases of necessity these are sup
 plemented by the use of rubber bags
 filled with hot water. The windows are
 on each side of the wards, and ventila-
 tion is secured by these, and by open
 spaces of holes under the caves. The
 floors are of hard wood, polished with
 was dressing once or twice a week, and
 wiped over with turpentine every day.
 The Solarium is ample with wide
 verandas, well arranged for light and
 air. On the outside of the buildings are
 plastered with Portland cement. On the
 inside the finish is plain, and no sharp
 corners are allowed where dust and
 detritus might lodge, and be hid from
 every process of cleansing.
 Heat is furnished by steam and hot
 water, and light by the sun in the day.
 and electricity by night The wards
 for women are on the opposite side of
 the building and of similar construc-
 ton. The windows to the wards are kept open night and day in all weathers, ' temperature seldom rises in the winter
 months above 40 degrees Fahrenheit.
 The principle of treatment can be cas- fly inferred from the preceding data. The four conditions: Sunlight, air, water and food, The latter is ample and of
 the most nutritious character. Three full meals day and three light meals or lunches besides. Fresh meats, eggs, butter are generously supplied, and, in- deed, urged upon patients. Even dys- peptices are made to eat and drink of these when their appetites are averse to food. The appetite, however, soon comes through the stimulus of fresh air and high altitude and rest. Other foods are allowed according to individ- ual tastes. Tea, coffee and tobacco are allowed in moderation to old offenders, but their general use Is discouraged. Medicines are prescribed according to special indications, but never continued in case they seem to interfere with ap- petite and digestion, and they are not relied upon for permanent results or cure. No provision is made for carrying out for special methods of treatment, such as hydropathic appliances or cab inets for the use of hot or arified air, nor the use of the Roentgen rays to as- sist in making a correct diagnosis.
 Where the tubercular bacillus is pres- ent the diagnosis Is considered as es- tablished but when absent other symp- tons may establish the existence of the disease, for it's non-dscovery does not, In the opinion of the managers, estab- fish beyond doubt it's non~existence.
 The exercises are various, but not compulsory Those able to go into the adjoining woods and construct tempor- ary houses of the boughs of trees, make camp-tires around which they prepare and occupy benches, and thus spend the passing hours in the enjoyment of the wildness of Nature and the fresh air laden with those natural odors that for ests only can supply These conditions existing, it Is wonderful how soon weight increases, with improved digest ion and oxidation, and how soon cough and other physical symptnos disappear. | HSSe ItSultS Cuulu not De Opldllleu DY 1 the use of ordinary means.
 Daily records of patients are kept by l the officers The temperature is taken | twice day, the weight once a week, | and in case where complicat tions arise, | records of pulse and respiration are su- | peradded. The patients themselves also | keep daily records of their symptoms and | so far as tiiey can, and these are made matters of record, investigat- | ion and classificati ton. For this purpose a notebook is furnished, in which the patient records the number of hours spent out of doors, the amount of sleep taken, the condition of the digestive functions. etc. A clinical thermometer Is also sometimes used by patients. They are supplied with a pasteboard sputum ,up for indood use, and Japanese paper for outdoor use, and napkins of this paper are used at table service, all of which are burned to prevent convey ance of disease.
 All patients in order to admission are examined by the physicians, Dr. Bow litch regular" visits the institution once a week, and Dr. Clapp, homeo- path, once a week also. Drs. Bowditch tUu nave olllCtS III loUSlpIl TOT eX- ,mining patients for admission once week. These are salaried officers Patients are permitted to select the sys- em of practice which they may prefer 0r. Marclay is the superintendent, and las a salary, while Drs. Butler and Dun ire non-salaried officers, serving as louse physicians.
 Incipient case only are. admitted, on- y those for whom there is hope of inn or cure. The usual time al- owed for treatment is from three ( months to year, and whenever the hysicians decide that a case cannot be ( enefited, he or she Is discharged. When l ersons have active symptoms on admis- ion, they are isolated for while, until I hese have subsided; and no fear of con- i agion is experienced, as the sputum ( nly can convey the disease, and this I carefully deposited on Japanese paper t nd burned. There are no private pa- ( ents, but all are of one grade and pay f he same price, which is $3.50 week. | his price, however, does not cover the t ctual expense which for the past year I reported to have been $S.40 a week, C 'hich covers all expenses, s The nurses are all trained nurses, and V aceive post graduate instruction in the 0