Evening journal., 1917-04-25
ANTI TUBERCULOSIS SOCIETY TO
BROADEN ITS EDUCATIONAL WORK;
YEARS ACTIVITIES AT HOPE FARM

, S2 admitted during the year. 10;
discharged during the year. S4; died.
30; remaining, April 1, 1917, 2s. They
included-men, &C; women. "a; child
rem. 10 OF these 40 admitted in all
stages OF the disease. there were dis.
charged apparently cured, 10: disease
arrested tquiescenD, l6; improved.
% unimproved. Sc Patients remain
ing in sanitarium less than one month,
23 shortest time. days: longest
! time, 365 days. or the patients, l07
were from Delaware. ! from Pennsyl-
vania and from Maryland. There
were accepted. but not entering, six
persons. Or. Robin added:
] IN the matter of food practically
all patients take three regular meals
I per day MIX is served at each meal,
and patients are also served with a
glass Of milk at 10 a. m, 8 p m, 7.30
p. m. Coffee is served for breakfast
and tea and cocoa for supper We do
not use raw eggs as a routine treat
ment
"Pneumothorax and tuberculn are
given in suitable cases. All patients
are required to sleep out OF doors at
night except the very sick patients
and probably twenty out OF the TWEEN
ty-four hours are spent on the por-
ches.
"ln connection with the above data
/ desire to make the following com
ments.
First Advanced cases We are
still laboring under the DISADVANTAGES
which hanpered our progress I'm the
past, namely. failure on the part OF
/ physicians 10 use the institution for
the treatment OF their early cases OF
! tuberculosis. This failure is due in
part to the Indifference toward the
problem of handling tuberculosis still
shown by the rank and file of the
medical profession, and, more largely.
to the erroneous belief that institu-
tional care is needed only by the very
sick, who cannot receive such atten.
/ ton at home. AS a result only the
: very sick are referred to the sani.
tarlum. In other words, the belief is
maintained that as long as the pa
tient has good nutrition. is able to
take care OF himself, and can visit the
doctor at his Office he can be treated
at home. Experience shows, however.
] that these are the very cases that
should be in an institution. The period
at which tuberculosis can be either
cured or arrested is before mixed in
fection has taken place, and the treat
ment that will bring that about Is the
proper regulation OF rest and exercise
and such change of personal habits
as will place the organism at its
maximum defensive efficiency. Late
| hours. insufficient sleep, indulgence
/ In drtulrfpU aud ofhar axancuao
sive smoking, spending evenings i'm
theatres and other crowded places,
business worries. social Intercourse
all these activities require an expen-
dlture OF energy which the consump
tive cannot make without dlverting it
/ from the source to which Il should be
applied namely, the elaboration OF
immunity. Animal experiments have
shown that fatigue reduces greatly
the resistance OF the individual, rem
dering him more susceptible to infec-
tion. This principle, applied In the
case of tuberculosis shows how a
consumptive may lower his resistance
by mental or bodily overexertion. Let
us for the purpose of clearness put in
parallel columns the various environ.
mental factors surrounding the con.
sumptive at home and in sani.
tarium;
Home
a. Business activities.
"2 Irregular eating.
'3. Excessive smoking.
"a. Unrestricted use OF alcohol
"5 Irritation of home surround
ings.
"6. Late or irregular hours.
- Pernicious advice offered by
friends
"S. Tendency TO over-drugging.
90 The abnormal psychic state OF
sick man among the well.
Sanitarium.
a. Rest from business.