SITE OF THE NEW YORK MUNICIPAL SANATORIUM. Journal of The Outdoor Life PUBLISHED MONTHLY AT ADIRONDACK COTTAGE SANITARIUM JOURNAL OF THE OUTDOOR LIFE PUBLISHING Entered as second-class matter June 5, 1905, at the Post-office at Trudeau, N. Y., under the Act of Congress of March 3, 1879. The Aim of this Journal is to be helpful to persons seeking health by an outdoor life, and particularly to disseminate reliable information looking to the prevention and cure of tuberculosis. It should be distinctly understood, however, that the JOURNAL OF THE OUTDOOR LIFE is not intended to supplant personal medical advice. Anyone suffering from pulmonary trouble who is not under the care and guidance of a physician is taking grave chances. Subscription Price $1 a year, in advance; foreign postage, 25 cents extra; single copies, 10 cents. Back Numbers.-Several issues are completely exhausted. Those that we have may be had for ten cents per copy. When an order is received for a number not in stock another number will be sent unless otherwise specified. Advertisements accepted only from reliable firms. Fraudulent and misleading advertisements barred. Advertising rate card sent upon request. Change of Address.-Subscribers should notify us promptly of any change in their address. Always give the old as well as new address and your name in full. Contributed Articles of any length up to 2,000 words are always welcome. Write on one side of the paper only. Expired Subscriptions.- If you find a blue pencil mark here it means that your subscription expires with this number. Please renew promptly and thereby make sure of not missing a number. In renewing a subscription please say that it is a renewal. Copyright. The articles in the JOURNAL of The OUTDOOR LIFE are protected by copyright, but editors are given permission to republish selections on condition that credit be given to JOURNAL OF THE OUTDOOR LIFE, Trudeau, N. Y. The illustrations used in this journal last month in connection with the article by Dr. Joseph Walsh, of Philadelphia, on "Preventing Infection by the Proper Disposal of the Sputum," were not submitted to Dr. Walsh before publication. Dr. Walsh writes us that he does not approve of some of the sputum cups shown in the article. He says that he does not believe very much in metal pocket sputum cups, and that the only ones he would be perfectly willing to endorse are the first and the last ones shown, which are made of paper and may be burned after using. ASSISTANT WANTED AT STONY WOLD. An assistant resident physician is wanted at Stony Wold Sanatorium, Kushaqua, N. Y., to serve for maintenance. His duties would not occupy his time for more than half each day. If your newsdealer does not have the Journal of The Outdoor Life on sale, or does not properly display it, you will serve a good cause by speaking to him about the matter. PHYSICIAN AND PATIENT. I swear by Apollo the physician and Aesculapius and Health and All-heal and all the gods and godesses that according to my ability and judgment I WILL KEEP THIS OATH. This stipulation to reckon him who taught me this Art equally dear to me as my parents, to share my substance with him, to relieve his necessities if required, to look upon his offspring in the same footing as my own brothers and to teach them this Art, if they shall wish to learn it Without Fee or Stipulation. I will follow the system of regimen which according to my ability and judgment I consider for the benefit of my patients and abstain from whatever is deleterious and mischievous I will give no deadly medicines to any one if asked nor suggest any such counsel. ** With purity and with holiness I will pass my life and practice my art. Into whatever houses I enter, I will go into them for the benefit of the sick and will abstainfrom every voluntary act of mischief and corruption. ** Whatever in connection with my professional practice or not in connection with it, I see or hear, in the life of men which ought not to be spoken of abroad I will not divulge as reckoning that all such should be kept secret. While I continue to keep this oath unviolated may it be granted to me to enjoy life and the practice of the Art respected by all men in all times tut should I trespass and violate this Oath may the reverse be my lot. Until recently every physician did and even at the present time many physicians still subscribe to this Hippocratic oath. The word physician, many think, is derived from a word in an ancient language, meaning to serve. The physician, therefore, is one who serves. When a patient employs a physician he enters into a contract with the physician which is fully recognized by law. The physician must use a reasonable amount of skill and knowledge or else he is held accountable by the courts. A patient is held liable by the courts for the bills that he contracts with the physician and is forced by law to pay such bills. So far, goes the law but no farther. It will soon become evident to any one who looks at the matter at all carefully that a physician stands in much the same relation to his patient as a builder does to the person who employs him. Few would be so foolish as to ask a builder to construct a house for them and then either refuse to give him true information about the foundation on which he was to build or later make misleading, and at times, erroneous if not false replies to his questions which relate to the perfection of the building. Nor would they, when the building is three-quarters completed, try to see if it could stand all the strain that it was expected to do when completed. It would, indeed, be foolish if during the night they should knock down a number of bricks from the walls while the builder was not there or injure the property in any one of a hundred ways which could be suggested. Some of these may seem possibly to have little bearing upon the relation of physician and patient. But let us see. When a patient consults a physician, the physician supposes that the patient has put himself entirely in his hands to be guided in the matter of his health by the physician's knowledge and skill whatever they may amount to. Any patient who does not tell the physician everything related to his health in the past or who by mis-statements leads him to believe that something is the case which is not is certainly giving the physician false information about the foundation for the upbuilding of his health. Many patients, however, who think when they are given certain instructions that it is not necessary to carry them out, assume that they know more than the physician. Possibly this may be so. If it is, the patient should at once discharge the physician and seek advice elsewhere. Physicians are human and sometimes err, but wide experiences teaches us that their mistakes can be numbered in the units while patients' mistakes run up into the thousands. In no disease is absolute confidence so important as in pulmonary tuberculosis - confidence of the patient in the physician, confidence of the physician in the patient. Each must look upon the other not as a master at a boarding school nor as a proctor at a university, nor again as a policeman in a large city, but each should consider the other as his personal friend, a friend to whom his troubles can be imparted, a friend with whom his joys can be shared. Bacon has well said that when you tell your joy to a friend you double it, when you divulge your grief you halve it. Such should be the relation, certainly as far as matters of health are concerned, between physician and patient. No patient can expect the best results until such relations exist. The physician must be his confidant. The physician knows only too well that his patient will err at times, will stray away from the straight and often difficult path that leads to health. He expects it but he also expects that his patient will be frank and will tell him. An honest confession disarms criticism and engenders a feeling of confidence and respect which is worth more to physician and patient than any pecuniary or other reward. When you next go to your physician go to him in the same spirit that one should approach a confessor. You may be certain that he will divulge nothing that you tell him. You may rest assured that his advice, based upon a full knowledge of your condition and upon what you have done and will do, will be thousands of times more valuable to you than the advice based upon insufficient knowledge of the past history of your disease or an insufficient knowledge of your temperament. NATURE STUDY "Better to hunt the fields for health unbought, WH THE SPINNERS. HEN the morning dew sparkles on the stubble of the grain fields and the tender aftermath of the meadows it reveals in marvellous beauty thousands of gossimer snares adorned with liquid crystals, making the fields look as if Old Father Time had broken his watch and strewn its jeweled wheels broadcast. One often wonders whether the fields are always set with these filmy fly traps or whether the builders have spread their nets overnight specially to catch the morning dew. Neither of these speculations hit the truth squarely, but the latter comes near it, for these spiders' webs seldom outlast the winds and other accidents of the day. Each evening the spider builds or mends his net, not for the purpose of beautifying the fields but to provide him his evening meal. So interesting are these little spinners and their beautiful, gauzy webs, that only their somewhat repulsive ap pearance can account for the common aversion for them and ignorance of their helpfulness in thinning the numbers of insect pests. The spider is not a true insect for he does not undergo metamorphosis, but simply sheds The class his skin as he grows larger. Arachnida is a varied one but its members may always be recognized by their eight legs, all attached to the thorax, by their fangs that hang down over the mouth, by the breathing slits on the under side of the abdomen and by the external horny skeleton. The family of true spiders has a set of remarkable organs On the with which they spin their webs. under side of the abdomen near the end are Each of six little nobs called spinnarets. these spinnarets is pierced by at least a hundred tiny holes, each one of which is connected with a gland which secrets a gummy fluid. When this fluid comes into contact with the outer air it solidifies into a fine silky thread of considerable strength and elasticity. The spider can control these tiny openings so as to make a thread of any degree of fineness. In some species the two posterior spinnarets exude a different quality of material so that the finished thread will be covered with tiny drops of gum that remains sticky. HE construction of the wheel-shaped web of the common garden spider is an engineering feat worthy of study. Mrs. Spider selects her site, and, going to a point above it, presses her spinnarets against the branch or rail from which she is going to suspend her web. Then she swings off into the air letting herself hang suspended until the breeze or her own efforts land her at the desired point of attachment. From this she runs another thread and then another until a sort of margin or frame is made to which the spokes of the wheel may be attached. She then runs a few spokes across at nearly equispaced diameters. The stress is now equalized and she can go on filling in new spokes until she has as many as she washes. She begins now to wind a spiral of a few turns from center to edge, fastening it securely to each spoke. This first spiral is a sort of temporary staging, afterwards removed, by the aid of which she spins a much finer meshed one. When she has completed a few turns of this spiral she stops using the smooth thread with which she has builded so far and finishes the spiral with the lumpy, sticky thread to which an insect immediately sticks upon contact. All being completed she takes up her station on the platform in the center of the web to await a catch, or she may attach a thread to the center of the web, spin it to some convenient leafy covert or crevice in a fence post, and there wait, like a patient fisherman, for the jerk that betckens a catch. When the signal comes she rushes out, whether to seize the struggling victim with her poisonous fangs, to cautiously enwrap him in more folds of her silky snare, or cut him loose, depends upon whether he is a small bug or fly or beetle, or a deadly wasp or hornet. The house spider builds its nest entirely of smooth thread and depends upon its exceeding fineness of mesh to stop any passing fly. For her, too, life is uncertain. Food is less abundant and the tidy housewife's broom or dust brush is sure, soon or late, to seek her out. Some spiders do not build webs but approach their prey, attach their thread to some object, and throw themselves at the insect, as a child throws a handball, depending upon the thread to catch them and prevent a fall. Mrs. Spider is very much larger and stronger than her consort, and he, poor fellow, leads a life fraught with danger, for, if he escapes the birds he finally falls a victim to his cannibalistic wife. Besides the true spiders this order includes the scorpions and many kinds of ticks, an account of which is beyond the scope of this article. Curiously enough many species of the spider order have been studied very little. Consequently, if you are interested in these little spinners close observation of one of them may contribute to the general fund of human knowledge as well as furnish you much entertainment. Just Grit. It pays tew keep a-hangin' on began. These five hundred dollars paid, in part, the expenses of organization, and, with the money raised at a fête at Ardsley in 1901, made the formation of auxiliaries possible. These auxiliaries, at present eighteen in number, three of which are composed of children, are groups of interested persons which aid the work of the institution by assuming the support of one or more patients, who, in turn, are their guests at the sanatorium for about six months. One auxiliary now has five guests. Before the auxiliaries had been formed, however, the present site had already been selected. This was at (Lake) Kushaqua, in sanatorium now stands. From its vantage point, sixty feet above the lake, it commands an unbroken view of woodland and mountain readily suggesting the meaning of the Indian word "kushaqua," "beautiful resting place," as it also suggested to its present occupants the name "Stony Wold," "wold " in old English meaning an elevated tract of woodland where hunters fish and roam. The incorporation, the organization of a building fund committee, who raised funds for the purchase of the property, and the organization of several of the auxiliaries, took place during 1901. The first meeting of the corporation was |