Deming graphic. (Deming, N.M.) 1903-1948, 1920-10-05
4 FEW REMARKS RELATIVE TO
EXERCISE IN TUBERCULOSIS

prescribed and regulated exercise IL
soon after the symptoms Of the disease
subsidle. After the disease is arrested Is
the time TO return 10 work or prepare
for the venture IN useful occupation.
The intelligent and conscientious pa
tient will by this time understand the
purpose Of exercise and have some con-
ception rs. To the progress he Is max
ing. IL Is only with this understand
ing that he may hope TO derive last
ing benefit from treatment. During
the period of activity. exercise means
the utilization OF energy that should
properly be used in combating the dis
ease. Hence exercise during this pc
riOd means an extension of the diseasc
and an unfavorable outcome. II should
only be INDUCED in after the disease
is no longer active.
A muscle contracts everytime used
and some Of its cells are consumed,
but during the period Of rest the loss
Is more than supplied by the absorp-
ton of nourishmcnt. Repeated exer-
else in II normal individual also i'm
proves the tone and quality OF the
muscles. thickening the sheaves which
bind the muscle fibres and strengthens
the tendons. The capacity Of the heart
Is increased as well as the thickness
Of its walls, and il is able to pump a
greater volume Of blood in each cycle.
The lungs also expand, and the air.
cells take In larger volume Of air
and throw off more rapidly the waste
products which the blood brings to
them for that purpose. Fatigue is a
manifestation Of poisoning due to the
accumulation in the tissues Of the prod
ucts Of combustion. AS long as elm
instion equals production then fatigue
is postponed, hut rs the paison accu-
mulates In greater quantity, one first
becomes tired and then exhausted In
the tubercuous the same holds true,
and he is to all inteDtS and purposes
an exhausted man poisoned by the
products Of the growth Of thetuberclc
bacillus, which produces symptoms
similar to that group seen In the over.
worked man. How evident then Is the
folly OF one suffering from an active
tuberculosis to attempt TO exercise an
ALREADY overburdcned and exhausted
body Physical bankruptcy and an ex-
tension OF the disease Is the inevitable
result Even In normal individual the
effects OF too arduous exercise may
last for weeks
Naturally a normal man needs physi
cal activities TO keep in perfect health
The proper use of leasure time has
much TO do with happiness, efficiency
and health. Normally, during rest, w
recupcrate from the extravaganza OF
our energy expenditures. As rule
men use mp a small part of the power
they possessg and which they might
use under suitable conditions. The
body and mind interdepcndency must
be- rcckOned with at all times. cover.
emotions exhaust more than do over
eXcrtiunS." The amount of sleep noccs
snrv ., recommend IN fr,n, tho foti,p,inu
stress Of the day will vary with the
individual and with the same man at
ficient and adequate sleep is related
vitality To health and efficiency as one
must maintain balance between sup
ply and demand. The tuberculous man
who has his disease arrested must Sc.
cure adequate sleep, he must always
maintain II margin of safety In his
energy expenditure, never permitting
the body machine Ia approach the
stage of exhaustion. in which event
he may face renctivatiou Of his dis.
ease So we sire that normally Ger.
tain portion Of physical exercise is
necessary. and involves certain
amount of fatigue This will be in no
way harmful, provided there is inter
posed period Of rest long enough To
allow the body to re-cstablish itself
without permanent deterioration. When
the body Is fatigued, as it is in active
tuberculosis. even n small amount Of
work produces disastrous effects.
Formerly the Sanatorlum discharged
lncfficients from within its walls.
Now we expect that the patient will
leave not only with his disease arrest
ed, but through course Of occupa-
tional training he will become physi-
ally and mentally restored and pre-
pared for the life which lie expects to
lead when convalesccnce Is ended,
While he is still In bed with active
disease ne is given an occupation suit
ed to his invalid state. This prepares
the patient for training that will
lead 10 definite re-education. II also
i a. I'LL