up it is transformed into an open veranda and is excellent.

(Those who are interested in providing a suitable sitting-out shelter for themselves should consult "Fresh Air and How to Use It," by T. S. Carrington, published in 1912, for $1.00, by the National Association for the Study and Prevention of Tuberculosis, 105 East 22d Street, New York City.)

It might be advisable to add a word about taking cold while living suitably protected in the open air. It is true that some patients are more susceptible than others to slight atmospheric changes. These patients must be trained or hardened to live in the open. This mode of living often brings about an entire readjustment, and the patient loses his susceptibility to colds.

V

ON A PATIENT'S DAY

"The deficiencies of the present day will be supplied by the morrow."

It may seem unnecessary to many to enter into such specific details as are mentioned in this chapter, but odd things occur. Some years ago a patient was told he could walk ten minutes a day. He was very conscientious and strove to obey orders, but wishing to go to a certain place which required a walk of sixty minutes there and back, he saved up his exercise for a week and went! As the path to cure is steep and is paved with the stones of small details, it must be closely watched, as he who walks carelessly soon finds himself astray. The daily routine on the next page is not to be blindly followed, but must serve as a basis for a talk with the patient's physician who alone is in a position to order most successfully his time. This program has been found to be the best for the great majority of patients:

7.30 Awake. Take temperature

Milk (hot if desired) if necessary

Warm water for washing. Cold sponge

8.00 Breakfast

8.30

10.30

11-1

1-2

2-4

Out of doors in chair or on bed

Lunch when ordered

Exercise or rest as ordered

Dinner. Indoors not over one hour, less if possible

Rest in reclining position. Reading, but no talking allowed

Take temperature

3.30 Lunch when ordered

4.00 Exercise in prescribed amount

6.00 Supper

7.00 Out on good nights

8.00 Take temperature

9.00 Lunch and bed

Once or twice a week a hot bath, followed by cold

sponge

VI

ON SITTING OUT

They also serve who only sit and wait.

LEADING an outdoor life in summer is a simple enough matter, more enjoyable than otherwise, but during the winter, especially in a cold climate and when one is not exercising, as is usually the case at first with those taking the open air treatment for tuberculosis, some hardships may be expected. These hardships are magnified, however, by those who have never "taken the cure" and therefore know little or nothing about the

matter.

It

If he be properly clad and sheltered from wind, rain, and snow, a person may be quite comfortable sitting outdoors even when the temperature is twenty or thirty degrees below zero. is the aim of this chapter to be helpful to those "sitting out" for the cure of tuberculosis. In offering suggestions the conditions which prevail in a cold climate are considered, but there are hints applicable to all climates.

While the patient must be outdoors in all kinds of weather for at least eight hours daily, it should be borne in mind that open air does not mean exposure, and that to subject one's self to

necessary hardships is not only foolish, but dangerous. A person should gradually accustom himself to the outdoor life, and should not stay out when chilled. "Chilled," however, does not mean that he merely prefers sitting indoors beside a fire. In being "unfaithful to the cure" —that is, in staying in when he should be outhe is retarding his recovery and inviting more serious illness.

One should be so "faithful to the cure" that his conscience will trouble him when he remains inside; in other words, he should develop an "outdoor conscience.' Some may laugh at this, but it is when such a feeling asserts itself that the patient's chances of recovery are greatest.

If any encouragement be needed to brave the severe cold, it can be found in statistics, showing that patients improve more rapidly with the onset of winter than in summer. In fact it has come to be said that "one winter is worth two summers."

Below will be found mentioned a great many articles that have proved of service to the "sitter-out." Of course each patient will not require all of these articles, but what are absolute necessities at the start, beside warm clothing, are a comfortable chair, two good rugs or horse blankets, a small table, and a sheltered spot on a porch or in a shack. The various articles of clothing suggested may be acquired as necessity arises.