Gilpin observer., 1905-06-08

Or. r. II. walters IN MIS- study on
the various sanatoria for consumptives
calls the open-air life the keynote Of
sanatorium treatment. He further
says that the patient, instead of being
kept In carefully warmed room ven
tilated from other parts of the house,
according to the popular notions Of
old, lives in the open air from morn
ing till night, at all seasons and in all
weathers. Lack Of fresh air is the
greatest predisposing cause of con-
sumption; fresh air is the most po-
tent means of restoring him to he,Ilth.
Now this prescription is very easy
to carry out in dry climates such as
those of Egypt, the Alpine health re-
sorts, South Africa or Colorado; but
1t requires special arrangements and
special precautions in damp and
rainy climate. The credit of showing
how this may be accomplished belongs
mainly to Brehmenr, Dettweiler and
their followers. The open-air method
may perfectly well he carried out in
any climate which is healthy for those
who are not consumptive. AS Leon
Petit observes: Here the climate
may help the cure, there it
may hinder it; but it only exerts a
secondary influence on the treatment"
| ID Moreover, just as the pleasantest
climates are not always those which
are best for healthy people, (2) so it
may be that the most pleasant clim-
ates for an out-of-door life-where the
air is warm and dry and little rain
falls-are not best for those consump-
tives who have later on to return to
less favored place. 1t is bracing
climates rather than warm and equ-
able ones which have the greatest in
fluence in restoring the consumptive
to health, in all but exceptional cases
For the open-air treatment, four
fold shelter should be provided against
wind, excessive cold, extreme sun heat
and rain. Wind raises dust, increases
cough in consumptives, and intensifies
the chilling effects of cold. The for
eign sanatoria with few exceptions
have both natural and artificial shelf2r
against wind. Cold within certain linn
Its is useful to the consumptive; but
1t should be a MINDLESS cold, and suit
ed to the individual power of reac-
ton. AS damp intensifies the eli
matte effect of both heat and cold, the
chilly consumptive will be able to
Withstand a lower temperature in
dry than in humid climate. Protec-
tion against rain and snow will seem
! to most people an obvious necessity,
although at Nordach rain is often dis
regarded. 1t is not enough to provide
resting places in the sanatorium
which are protected against rain. At
certain stages exercise is imperative,
and sheltered paths and open covered
corridors are needed for exercise in
rainy weather. At Falkenstein there
is such corridor 200 feet long
In places where the suns rays are
very powerful, as at Canigou in the
Pyrenees. direct exposure to the sun
is found to increase the tendency to
fever. Even at Hohenhonnef on the
Rhine, which is not far south, large
verandah has been provided which in
hot weather can be artificially cooled
| by a stream of water. Protection
against wind and weather is afforded
in most santoria by large verandas,
which may be fitted with movable
| glass screens, as the Adirondack Cot
tage Sanatorium. In our own climate
1t would be useful to have veranda
with hollow floor, which could be
warmed. as cold and damp can be
more easily borne If the feet are
kept warm. Other simpler ways are
the provision of hot bottles and warm
clothing. Redundancy also helps a
chilly patient, the blood circulating
with less cardiac effort in this posi-.
tion. According to DR.. Weicker and
DR.. Jacoby, the recumbent position
also favors the flow of blood to the
apices of the lungs. In most foreign
sanatoria summer houses or sun
boxes are also provided; at Falken-
stein some of these can be rotated ac-
cording to the direction of the wind.
DR.. Burton-Fanning, in his expert
mental sanatorium near Cromer has
modified the well-known shelters of
our seaside resorts by providing them
with reversible glass screens.
"a Loc. cit, p. 40.
(2) Hermann Weber and Michael G..
| Foster, article In Allbutt's Syst of Med.
on Climate in the Treatment Of Dis
| ease"
Stable and Conditiona