The daily morning journal and courier. [volume] (New Haven, Conn.) 1894-1907, 1905-04-27
TUBERCULOSIS LECTURES.

CONTINUED from Ninth Page.)
cannot afford the prices of private in |
situations. All patients are charged the
same, $7.25 per week, which includes ev- |
cry expense of board, nursing, !
laundry, supplies, etc, and which
leaves us a deficit of 81 per week for
each patient, which deficit is met by
voluntary contributions to our work.
And to show YOU how how much an
institution at this low cost is needed, I
might say that of the 4S patients so far
received by us, % have been enabled to
come only by the aid of timely friends.
A patient on entering the sanatorium
is first instructed in the sanitary pre-
cautions to be observed. He is fur
nished with a metal frame in which is
fitted cup of heavy paper. He is re-
quired to keep this cup with him and to
use it for all expectoration, any
branch of this rule being met by in
slant dismissal. These cups are
changed once day or oftener, and
burned in crematory erected for that
purpose. Patients are required to
shield their mouths with their handker-
chiefs when coughing or sneezing, that
the fine invisible spray expelled from
! the mouth may not be scattered to dry
| on the floor or porches. The soiled
/ handkerchiefs are placed in little jars
! and kept moistened, and are boiled be-
/ fore being put in the laundry. The
patients are taught that the germ
| which causes this disease is carried in
4 c1xot =,
| above precautions they may return
home and live without danger to any
| one. b. ~
| How adequate these precautions are
| is shown by the records of the sana-
toria. AT the Adirondacks, for instance
\ in period of 20 years there has never
4 been case of, tuberculosis developed
among the staff or servants. And these
| latter, in the care of the rooms and the
laundry work for 100 tuberculosis
/ cases day after day, yet never an in
lection resulting, are proof absolute of
4 the adequacy of the sanitary measures
employed. And not patient has left
| US to return home but has purchased
cup and supply Of papers to take
home with him. Not only that, but
those whose occupation takes them out
\ and in other homes where there are no
/ such receptacles, come to me for in
formationas as to pocket flask that
/ they can carry with them. You can
see for yourselves the far-reaching good
that will be accomplished in this way.
After admission, a patient is kept at
rest on the verandas for 10 days during
which time his case is studied medically
as thoroughly as possible and its
special features and requirements as
4 certained. Then, as the case may be,
the rest is continued or exercise COM
menced under medical direction. And
here, too, the benefit of sanatorium is
infinite. The out-of-door life to the
average mind means horseback rides,
baseball, mountain climbing, and
generally violent exercise. And many
] a man, working out his own scheme of
life. has lost, by expending on what
seemed to him beneficial, strength that
it was vitality important for him to
hoard in order to overcome the disease.
Throughout patients term of treat
ment, constant supervision, advice and
cooperation are essential on the part
of the staff of the place So much so
that recently a patient paid us, all I'M
knowingly, compliment by leaving
because his family had induced him
to come by telling him he could run
around and do as he pleased and he
found the facts to have been misrepre-
sented The patients are required to
keep their windows open at night, and
are shown how to place their bed to
~,
4 sit out-of doors all day, and soon learn
that, when properly wrapped up and
shielded from direct exposure, no
weather is too bad to be out. They go
home knowing how to get the fresh air
i without. danger, and become so
4 accustomed to pure air that close,
stuffy, badly ventilated rooms will be
4 intolerable to them. In other words,
they have learned that though their
working hours may be spent in close
shops or factories, vet there are only
those few hours in the day during
4 which the bad air can be blamed on
4 others. the larger part of the "a hours
"a part previously oyerlooked) being in
their own control. i.tt.s:. III. II.
1 And while learning the sanitary pre-
A cautions essential to prevent the
spread of the disease and the necessity
of securing in their home sufficient air
and sunlight, they are also taught the
requirements of their individual cases.
how much exercise to take, how much
work and of what type they may safely
take up, what are the danger signals
along their path to health and how to
meet them; in short how to continue to
Icare for themselves after leaving us
and the great Importance of SO doing.
4 That they can and do learn much
you can see from the following: A
" patient went home from Saranac dur
ing my residence there, who was a
clerk in a dry goods store and man
of only ordinary intelligence. He had
been home one week when he wrote us
that his wife had been sick for two
years, and treated for various ailments,
but that he was certain the trouble
was tuberculosis and was sending her
to Saranac on his own responsibility.