Gloucester County Democrat. (Woodbury, N.J.) 1878-1932, 1904-02-25

ment can be established, and can be main
tanned for long enough period of time.
Among the poor these conditions can only
be established in sanatoria
How far the disease must be advanced
before it comes hopeless cannot be deter
mined definitely at the present time Much
depends upon how much tissue is involved.
When number of organs of the body are
affected and much tissue has been damaged,
the case is hopeless.
In a general way, loss Of body-weight
gives a fair guide by which to guage the
chances Of recovery. Lose Of one-third of
the body-weight is very near the point
where all chance of recovery ends.
In the treatment Of consumption two Of
the most important features are hygiene
and nutrition. In the matter of dress it
should be comfortable and according to the
weather, always avoiding excessive cloth
ing, as chest protectors, additional under
shirts. These are frequently the cause of
contracting colds they make the individual
supersensitive. As much time as possible
should be spent in the open air, the win
dows of his room should be open at all
times, summer and winter; if he feels cold
put on more bed-clothes. He should have
a bedroom to himself, and have at least
nine hours sleep.
The question of nutrition is Of such vital
Importance that many sanitaria have adop-
ted the plan of forced feeding, claiming
that the best cure for indigestion is in
creased feeding. Many cases could be cited
in which the whole digestive apparatus was
working insuficiently, the symptoms being
eradicated by this plan-good, nourishing
food given at such intervals as to be prop
erly assimilated. The improvement of nu-
triton is the key to the situation. De-
pendent for inception upon previous state
Of malnutrition, it develops further loss Of
appetite, dyspepsia and wasting, allowing
the tubecular process to advance to firmer
footing.
The proper education of consumptives is
of great Importance. Some are over-care-
ful; others extremely careless. Some san
guine; others morose, These are all mat
ters Of prime Importance.
The most fertile source Of infection is
from the sputum, which, when dried, finds
an entrance into the body Therefore all
patients must destroy the sputum before it
passes from their control. The following
suggestions wi be helpful, as formulated
by DR.. F. w. Reilly
1. At home, expectorate into 8 cup kept
for that purpose. This cup should be half
full or three-quarters filled with solution
consisting of one part of carbolic acid to
twenty Of water. Burn the contents and
boil the cup.
2. Never expectorate into pocket hand
kerchief or cloth which will be allowed to
dry Keep the sputum wet, and test with
the ahove solution. Soak handkerchief in
the same and immerse them in boiling
water before storing them with soiled
linen.
3. For use on streets, or when away from
home, let patient be provided with thin
japanese napkins.
A. Do not spit where domestic animals
have access to this matter. Cattle and
fowls are very susceptible and become in
turn sources of Infection In fact, do not
spit at all where sputum is not destroyed
5.Do not spit on streets, and never
swallow sputum.
s. No tuberculosis person should kiss
anyone on the mouth.
Z. Tuberculous patients should be
smooth shaven. 1t is not possible to keep
beard clean and from being infected.
g. The tubercular must always sleep
alone.
g. All bed clothing should be changed
often-every day when the case is far ad-
vanced-and should be at once immersed
in boiling water for five minutes.
10. Have separate table utensils and
cause them to be scalded as soon as used,
and washed separately.
IL. Do not permit Others to use pa
TENTS personal property.
10 A tubercu ous mother must not
nurse her baby nor kiss it on the mouth
and, in preparing its food, must observe
special care.
10. TubercuIous persons should not en-
gage in occupations where they are COM
PEELED to handle food supplies. If this is
unavoidable, use every precaution to pre-
vent infection.
IA. There is no need Of isoIating patients
nor Of depriving them single home COM
fort.
Next he gives a few directions to those
- x.,ex,ld ovr,sd notafrnokin0 the disease