The Washington times., 1920-06-27

turesquely placed about. The for those who
confined to their beds perfectly ventilated spacious
and inviting In the dining rooms instead Of coarse
bare tables the tables are covered with white lincn
adorned with ferns flowers and the patients served
with care and attention to the whoesomeness Of the food
There are no handouts, no chains, strsitjackets
Only occasionally Is heard the outburst Of acute
maniacal patient The nurses and attendants are Of
higher type instructed in the physical treatment Of those
in their care
For centuries past it has been the custom in hospitals
for the insane glance the memorandum Of the type
and degree Of the patiens insanity and then the key
upon the in ha cel-and let him out his
weary years until the progress Of the disease or
accident or blow from the club Of attendant ended
the unfortunate ones existence.
The method now adopted upon the arrival Of pa
tient at the Trenton State Hospital is follows.
The admitting physician makes thorough physical
and mental examination He then makes provisional
diagnosis The patient is subsequently presented to the
entire staff of doctors at which time this provisional dag
nosis is either confirmed changed the staff may de-
termne after hearing the complete history etc. OF the
An X-ray % the teeth is then taken and such teeth
only show positive appearances of Infection are re-
moved This appearance of infection is subsequently
confirmed by laboratory tests),
stomach test is next made. test meal is given
and individual tests are taken at intervals OF hfteen
minutes five Of which placed culture media for
bacteria and five examined to determine the amount OF
hydrochoric acd One test also taken from the small
intestine and put on culture media
Following this the tonsis are examined infected,
they are removed and cultures taken and sections are
also made and examined in the laboratory for bacteria
Other intestinal examinations then made An ab.
dorninal Xray next taken together with microscopic
exposures of which annotatons recorded specimen
of the blood and spinal fluid is also taken and examined
After searching all parts thoroughly for possible
causes Of Infection specific autogenous vaccine is then
made in each where infection is found and the pa
tent is given ten Of these treatments reexaminaon
is made wherever it is possible, to note the efficacy OF
the treatment.
Nurses and attendants are informed to the nature
Of each under their care and the patient is treated
by them in the wards from psychica point, best Sc
ected for each particular Improvement is keenly
sought by them and buttressed in many ways when OBJ.
served.
The principal form Of infection found in all of the
above tests is that caused by the streptococcus mcobe
This is found in the roots of infected teeth tonss and in
the intestinal tract.
This germ generates toxin which Is absorbed by
the ymphatc glands and carried through the blood sup
ply to ell parts Of the body The nervous system being
the most delicate naturally the first to feel the effects
of this contamination which slowly and progressively
dermincs the system. Then follows impaired
fexes which reach point clearly noticeable, and what
is known as nervous breakdown This is followed by
absence Of cooperation Of the faculties and eliminating