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

ing food from almost none at all, the
general condition improves quite
rapidly, and the patient soon comes to
what has aDtIy been termed the
danger point in tuberculosis, that is,
where he looks well and feels well, and
only to the physician in charge is the
fact apparent that the real process OF
getting well'' has only just begun.
This is the most difficult stage of san
atorium cure, and the one fraught with
infinite danger in home treatment; for
to patient and relatives the countless
precautions, the good motto in
(tuberculosis) Ego slow seem over
anxiety and often pure foolishness. 1t
is often almost impossible to persuade
the patient and the family that con-
tinuation of the treatment Is impera-
tive. And I ask you who are here to-
night that if at any time you are in
terested in such a patient, do all in
your power to aid rather than to OBJ
struct those in charge at this most
critical stage. The extra expense that
may seem to you needless is usually
absolutely necessary to secure perma-
nent results.
What the results have been to date I
shall now show you. Our sanitorium
aims to receive only those cases in
which We see the probability of per-
manent benefit, and of almost 100 APP
plicants to date we have admitted 43.
To the remainder, who Invariably ask,
"But, where can we go? we are
forced to reply. Some place out Of the
state of Connecticut, for with the ex-
ception of the private institution at
New Canaan, our little sanitorium with
| its 80 beds, is the only place in the state
where these cases can be cared for, yet
there are 400 deaths in each year in
New Haven county alone.
| Il come back here to DR.. Nadler's
question of the tubereulous poor. That
question comes up very strongly to me
in my work at the New Haven dispen-=
sary. AS I said, there have been IS
cases there since the first of October
| last. 1t is a question of deepest inter-
est to the town of New Haven at the.
present time, and on which the least is
really being done. Patients come in
/ there, we examine them, diagnose them
/ as having tuberculosis. Then we give
them some literature, which they prob
ably never read, give them cough
mixture, advise them to go home, stop
work, stay out doors in the open air and
eat plenty of nourishing food. We
might as well advise them to take a
yachting trip in the Mediterranean, it
would be about as easy for them to do
That work as done there at the present
4. t.xrr n
way to make that work amount to a
great deal and it is way which we
! hope to work out in the near future.
That is by systematic tuberculosis
clinic devoted to nothing else, whereby
Y the patients who come there may have
I their cases studied as carefully as we
can and the needs Of the case ascer-
! tanned. Then, our first aid, visiting
nurse connected with it, who will go
around to all the houses and explain to
4 them, read the pamphlets to them, tell
them how to keep their windows open,
| and report back to us the exact con-
ditions found, how many people living
III the house, CHOW many in the room,
| how many sleeping in the same bed,
what windows there are in the room,
j what chance they have there for any
! kind of hygiene. After that we expect
4 to follow up personally the homes
/ where it is necessary, and so far as
possible persuade patients, if necessary,
/ to go to Springside, or wherever 1t may
be, and we can, with the aid of very
/ little funds and the co operation Of the
! Organized Charities in keeping us from
being imposed upon, and also in aiding
us in distributing supplies--with the aid
/ of comparatively little funds distribu-
1 ted in the line of milk and eggs, the ne
cessary sputum cups and to pay for
4 the nurse, we can save some, cure some,
and do an enormous amount Of good, II
we work continuously and steadily, in
| the prevention of tuberculosis among
4 the tenement districts Of the city. That
work carried along, together with ade-
quate accommodations at Springside
for those. that we are able to persuade
to go where they would be under. con-
slant medical supervision and where
! they would learn the absolute necessity
! of all those things we tell them about,
4 but which they do not half believe are
necessary until we drill it into them
4 month after month, / believe in time
| will accomplish great results in the ten
/ ements. But the need that DR.. Nader
spoke of of a place to send these people
where they can have that instruction,
4 where they can be watched, where they
can learn how to continue the care of
themselves, such as are fortunate
enough to get well and go back home,
4 is the most pressing andpracticai need
of the city of New Haven to-day.
To return to the results that we have
thus far gotten at our sanatorium at
Wallingford. Of the forty-three cases
so far admitted, twenty are at present
/ in the sanatorium, leaving twenty
three to be reported upon. divide
these into the nine who were with us less
than three months, and fourteen who
remained over that. time. of the nine
that remained less than three months,
average stay being thirty days, three
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