The Bridgeport evening farmer., 1912-12-14
(Richard c. Cabot, M.D.l

(Exclusive Service THE SURVEY
 Press Bureau.)
 R =--s4-.um where patients can ~s~@ tn~ cost of their maintenance, where they can sit at ease out of doors all the year round in one of the loveliest spots of beautiful Cali fornia and make pottery so finished and so exquisite that the demand far exceeds the supply-that is what Dr. Philip King Brown has estab- ushed at Arequipa, an hour by rail from San Francisco. It sounds too good to be true I could scarcely have believed it if I had not seen # and lived near sit for some weeks. Patients do some work at other san atoria but what is done at AreQuipa Is done, so far as I know, no where else in the world.
 The great curse of tuberculosis to all but the rich is the serious eX- penSe of so long and wearing illness stretching over months and years and the ravage which long idleness makes in the patients character To eonquar these evils through work Is Dr. Browns great achievement.
 How Is it done9
 In the first place he gets his milk, cream, eggs and butter direct from She farmer This saving and the warmth of the climate are the chief clements which keep the total cost of care at Arequipa down to ST a week. laundry included, the lowest figure that I know of in institutions giving a high type of care.
 Next Dr. Brown succeeded through the commercial value of the pottery made by the patients. There are no invested funds and no income for the Institution except the sale of the pot tery and the money paid in by friends of patients who are not well enough to work Yet now at the end of it's first year there is no deficit and no debt
 But are there no dangers to the girls health in this work? None. I believe, under the careful medical supervision which they receive. A trained nurse, herself a patient, works in the shop and watches the effects of the work upon the girls. Each begins with an hours work daily Her temperature is taken be- fore anw after her work and if any fever follows the work, she is taken away from the shop and not allowed to go until she can do so without producing any fever or other signs of over fatigue The girls are paid by the piece but few work more than four hours a. day and none of them on Saturday or Suncays.
 The dangers of clay dust and lead poisoning are avoided by cleanliness
 
 main work room is open on two sides and another work room on four sides. The climate makes it possible to do this work out of doors almost any day in the year.
 pr. Brown accepts as a rule only inctDient cases. He has room at present for only twenty-three pa ttents at a time but here, as in ev- cry other sanatorium, it is hard TO get them to give up work and face the task of treatment while still in the early stages of the disease. In the hope of solving the difficult problem of getting hold of girls be- fore it is too late to cure them. pr. Brown laid the matter before the or ganizations of employees in some of the San Francisco department stores, and these associations have now es-1 tabHshed the precedent of paying at Arequipa the board of members of their organization who have aequir- ed tuberculosis and are not able to support themselves in the pottery. This sort of connection with the em- ployes of large business concerns is not one that is essential so long as the majority of doctors cannot or will not recognize tuberculosis in it's ear ly stages and cannot or do not per suade patients to undergo sanator- ium treatment
 passed a considerable part of three days at Arequipa and during that time never neard patient cough I found the buildings of the best and modern type, the table ex- cellent. the patients more cheerful and lively than in any sanatorium that can remember The pottery that saw them making was so beau tifu1 that I could hardly believe that these unskilied girls could produce #. But to me one of the most impres- sfve things about the AreQuipa sana- torfum is the fact that 1t is the work of one busy doctor who raised the money to build it-about $25,O0O-| within a few months and now super intends it by a weekly visit and many telephone messages. The building was started with only $1o,OoO in sight yet now at the end of it's first year the institution is in a flourish ing condition. free from debt.
 Indeed 1t has hourished so we'll that cured patients do not want to leave 1t and go back to stenography telephone operating and housekeep- ing They prefer to earn their living by making pottery Two cured pa f1ents are now living in the neigh boring village and work daily at the thing for them just the way to pre- vent relapse. But ob~iousIy if many girls did this there would soon be no room In the pottery for patients still under treatment Hence pr. Brown has been forced to turn away girls whom he would gladly keep in the pottery were there room for them.
 This dilemma has suggested to him the building of a large pottery, dis tdnct from the sanatoriunn work shop but under the same management Here the apparently cured tubercu- Iosis patients, the deaf the partially crippled and other handicapped per sons will supply the labor and reaD the benefits. Dr. Brown has no de- sire to employ healthy persons and to compete with the industrial world; he rzra rts tn cnratir11a tha acnarir,a or,t