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the sufferer is not a pleasant sound, and his presence is not usually agreeable. When thus afflicted, it must be admitted that he is frequently shunned except by fellow unfortunates. Realizing that the presence of this class prejudiced others from becoming their guests, some of the landlords have gone so far as to decline to receive them, and not a few of the advertisements of winter resorts contain this statement :
Consumptives not admitted.” Nor is the attempt at isolation confined to the South,—it has spread to the mountains of Colorado and northern New York as well as elsewhere in the country, and has become so general that apparently, in the next few years,
the victim of
pulmonary complaint who and, as in the States, exercise is encouraged. wishes to remain at some resort frequented by At the Tonassen institution in Norway, the mer those in pursuit of mere recreation will be comcury in winter is close to the zero point for pelled to lodge at a hospital or sanitarium, as all weeks at a time, but the invalids suffering from other doors will be closed against him. pulmonary complaint remain out of doors most While this attitude may be condemned as of the day, wrapped in blankets and furs, some both selfish and unjust, it will undoubtedly ineven taking their midday refreshment in the crease the interest already manifested in the open. Both of the resorts named are patronized simple methods of arresting the disease already by persons from all parts of the Continent as outlined. If they are practical, the question well as Great Britain, and their mode of treat arises : Why go beyond the frost line with the ment has been pronounced not only practical falling of the leaves ?—why not remain in the but successful by eminent European practition- home country, select a spot where the conditions ers who have made a study of their methods. are similar to those at White Haven or Sharon,
For the last twenty years there has been an annual human exodus southward at the approach of winter ; thousands of consumptives whose means permitted have resided among the moun. tains or amid the pineries until warm spring sunshine has melted the snows of the Northern winter. They have formed communities in nearly every State from North Carolina to the Mississippi River. During the first years of their migration they were welcome,-partly because the money they expended represented an important item of revenue to the hotel and boarding. house keeper and tradesman. Hotels were constructed, amusements provided, and other inducements offered to secure their patronage ; but in recent years, as this section of the country became attractive in winter to the pleasure as well as the health seeker, the latter has not been welcomed as in the past. The cough of
and there live the life that seems to be so bene. ically, the boon which the open-air method will ficial in these settlements ? To the average man confer upon this class alone is of an impor
woman its various features attract rather tance which cannot be overestimated. In this than repel, for it is an existence which eliminates connection a movement in the State of Pennmany of the features that tend to depress the sylvania is well worthy of note,-it is an agitainvalid, while various influences daily tend to tion in favor of a series of sanatoriums, under hopefulness and encouragement. In a material the supervision of the State authorities, to be sense it is a most economical method of healing, devoted to the care of tuberculosis and the eradi. for the simplicity of the daily routine necessi cation of the disease. All sufferers are to be tates but a small expense. As an illustration of treated at the expense of the commonwealth. the fact may be cited the Sharon Sanitarium, This plan is entirely distinct from the Phipps where the average outlay for each inmate is but bequest of $1,000,000 to the State, to endow an $5 a week,—and only this amount is charged. institution for the study of the malady, with the This is truly an important element, for disease view of eliminating it, and is based on the sucdoes not discriminate between classes, and in cess attained at White Haven, where the attendcludes poor and rich alike. There are thou ance is confined to those who are too destitute sands whose means will not allow them to take to otherwise obtain treatment, and which is advantage of the Southern clime, but must re largely supported by voluntary contributions. main at home to battle with their complaint. Massachusetts, however, has taken the lead in If the pine or other woodland on the neigh- providing for such patients. Rutland is one illusboring hillside or plateau can be converted tration of what it has thus far accomplished, into a source of health thus easily and econom being carried on by a State appropriation.
II.-IIOW TO LIVE OUT OF DOORS.
BY EVELYN MAE HART
YEAR ago, when one of the best physicians
of Philadelphia snapped his fingers and told me that my life would go out like that, indignation at his indifference filled my soul, and I firmly resolved to prove he was mistaken.
To live out of doors seemed such an impossible thing to do ; I did not know how. To learn that secret has cost me much, so I pass it on to those who may not be able to leave home and go to a health resort.
When the lungs become affected it is impossible to get well unless you stop everything and cure yourself. One may grow worse slowly, but the realization will come at last that all else must be given up,—it may then be too late. Stop in time and there is absolute cure for you.
The specialist, under whose care I was, said that he had but three remedies, rest, food, and air. He gave me no medicine.
wood rug costs $10, and the steamer rug $6. If First, from actual statistics and personal ex
you have a Morris chair without the foot slide perience, let me insist that to sit or sleep in a room with two or three windows open cannot
use a box or a low chair, but it is essential that
the feet should be kept up. The angle at which compare with being outside.
the chair is shown in the photograph, with the Out of the twenty-four hours in a day I spend
use of a sofa pillow, is very good for reading, twenty-two out of doors. In the morning I have a cold sponge salt bath
and yet it is far more restful and beneficial than (and this is very necessary), and immediately sitting up. The idea is to relax all muscles.
No matter how cold it is, no matter how after breakfast I go out on a porch and lie in a reclining chair.
stormy, feel perfectly safe in staying out; but
be sure of two things. For the daytime my accessories are a Morris
First, that you do not get chilled.
Put on extra comforts until you chair with a slide for the feet, and for winter a Kenwood rug and a steamer rug or regular car.
are warm enough, and a hot-water bag for the riage lap robe. This chair costs $13, the Ken
feet is good, although I have never needed one. Secondly, that it does not rain or snow on you. Moisture is not harmful unless one suffers from rheumatism. For that this same cure is used, with the exception of staying out when it is damp. With fifteen inches of snow and the thermometer at eleven degrees I laid out on my porch eight hours a day, and it was glorious.
A Kenwood rug is laced across the bottom, so that one can slip into it as though it were a bag, and no cold air can penetrate. It hooks down the front with openings for the arms, so that a book can be held with ease. Thus one is literally as “snug as a bug in a rug." Before I get in I put on a heavy coat and mittens and wrap a woolen scarf around my head, and in extreme weather I tuck a steamer rug around me, over my Kenwood. If one doesn't have these rugs, comforts will do, but he should be sure to use enough. At first I felt helpless, as I did
not know how to wrap up enough to keep com side the rail, and ropes fixed to roll it up. By fortable.
reaching out I can lower it, and neither rain nor Sometimes the glare of the sun hurts the eyes. wind prevents my staying out. If the balcony is Tie the handle of an umbrella to the arm of your short, the canvas should be stretched across each chair, and by using little devices for keeping it end and the side. There will never be a rain in place you will soon learn to tilt it at the right when all three have to be down. There is a angle.
width of unbleached muslin tacked inside the At 10 o'clock take a walk, beginning with five railing, which serves as a screen, and which minutes a day and increasing to an hour. Do keeps the glare from my eyes in the morning. this very gradually, for the one point with lung If you once sleep out of doors you will wonder trouble is never to become fatigued. Go back why people have bedrooms ; it is so exhilarating. to your chair until luncheon. After that the When you awake in the morning, it is dechair again. It sounds monotonous, but one lightful to see trees and flowers. The garden soon becomes used to it and can be even happy ; and yard are so green and fresh in summer, and in fact, cheerfulness is essential, for nothing can cure you if you constantly medi. tate on yourself and your sacrifices.
If you are strong enough, drive in the afternoon, at first only ten minutes a day, Increasing to an hour and a half, but never more than that. Interest often keeps you from knowing you are tired.
In the summer one should go out again after dinner, if well protected from the dew, but in winter it is permissible to stay indoors, though not in
room which is crowded or close. I usually read or play some quiet game, but always avoid overexertion.
So much for the day; now for the night. Retire at 9 o'clock; in fact, after being out all day I gener even in the city the air seems wonderfully rare ally get so sleepy that I can hardly wait until 9.
If you have no upstairs porch, have a carpen This treatment should be begun before cold ter extend one of the lower piazzas or build a weather, in order to get used to it gradually. balcony from some window, but be sure there is A glass of milk when you awaken, one at 11 a roof over it. This is a photograph of mine, A.M., one at 4 P.m., and one when you retire, is which was built at very little cost.
almost necessary. Get an iron bed, and a ready-made mosquito I have been taking this cure in Pennsylvania. net ($1.50) to fasten to the roof. Even if there There is, however, no reason, whether you are are no mosquitoes there may be bugs and flies, North or South, in city or country, why you and with the net one feels secure against them. should not take this treatment. You need not The first night I slept out I was awakened by a fear exposure if carefully wrapped up, but avoid shower and had to carry all the bedclothes into fatigue as your worst enemy. the house. The next morning I found a piece You must give up your entire time to it for at of heavy canvas in the attic, 7 feet by 15. I least one year, but when you perceive the won. had a wooden pole tacked to one side of this and derful improvement you will know it has repaid the other fastened to the roof so that it fell out you.
III.-THE CONSUMPTIVE'S CHANCES IN COLORADO.
BY FRANCIS S. KINDER.
F the thousands of tuberculous persons OF
comes, as is usually the case, without friends who come in the course of a year to the
and with little money. semi-arid region of the West and Southwest for The people of Colorado are not ungenerous the sake of its climate, probably a larger pro. in spirit, yet with a large class of consumpportion come to Colorado than to any other sec tives among them, and the need of guarding tion of equal area.
There has been so far no against infection being often emphasized by strong sentiment here in favor of their exclu. physicians and press, a dread of the disease has sion from the State (such as has been reported grown so strong that the invalid can rarely sein California), but the conditions under which cure accommodations in the better residence these persons come, and under which they live sections. In a local paper one recently comwhile here, should be of interest to thoughtful plained that his exclusion from the homes of people outside as well as in the State.
Denver could hardly have been more rigid had It is natural that these health-seekers should he been a leper.
The writer of this article some be found mainly in the larger cities, such as time ago had the care of a brother with lung Denver, Colorado Springs, and Pueblo, particu- trouble, and, being in need of larger quarters, larly the first, which is reached by so many of rented a house. The landlord, after receiving the transcontinental railroads. But cities like the rent, asked about sickness, and on being Denver and Pueblo, with their smelters and told the facts he returned the rent, declaring rapidly growing manufactures, become each that his tenants in the neighboring houses would year more smoky and dusty, and hence less leave were a consumptive so near. suited as residence places for pulmonary invalids, The matter of securing suitable employment, except in the higher sections and suburbs. in the case of one who needs to support him
Of those coming a large proportion, accord self, adds to the difficulties of his situation. ing to physicians, are in a stage of the disease With impaired physical strength, and with emwhich seldom leaves any hope for more than a few ployers and employees prejudiced against his added weeks or months of life. And many of
presence, the consumptive is indeed handicapped, these arrive here with little or no means of sup Whether or not he realizes how greatly he port, being sent by family, lodge, or local poor needs to be outdoors, and why he should avoid authorities, who seem to assume that the inva certain kinds of work, the result is likely to be lid's difficulties will be over once he reaches a
As necessity becomes urgent he acsunny clime. Being unable, through lack of cepts whatever employment is offered. How means, or because of the prejudice of residents, often it is unsuited to his condition may be to secure accommodations in the better sections partly realized when we remember that it is the of the city, he usually drifts into the slum dis undesirable place usually that is vacant. Often tricts, and lives out his days in some ill-lighted, he accepts work at greatly reduced wages, being ill-ventilated room in a cheap lodging-house, content to do this in order that he may remain without medical attention and (unless discov. in this climate. This struggle for self-support ered by the charity workers) often without a is pretty sure sooner or later to drive the confriend to care properly for his needs. In most sumptive to the cheap restaurants and lodging. cases, doubtless, the family and friends at home houses in the low, unhealthful quarter of the do not know the real situation, for it is char city,-if the prejudice of householders has not acteristic of the consumptive to send words of already sent him there. cheer, — under the influence of that strange, So it comes about that a large proportion illusory light of hope which glows more brightly of those also in the incipient stages of conas the lamp of life burns low.
sumption live under conditions which counterFor those coming who are in the early stages act the beneficial influence of the climate. Phy. of the disease there is, according to most phy. sicians here unite in saying that a patient's sicians, a better chance of recovery here than in chances in a low altitude, if he lives in a wellthe lower altitudes, provided the patient is fur lighted, well-ventilated room, with good food nished with proper quarters, food, and medical and some suitable occupation, are better than care. To secure the first two, however, has be- here, if these conditions are lacking. come a difficult problem, especially if the patient Country life in Colorado at present offers