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cal factor in remain unad guidance. ays be conment of the hat stage of therapy and d to psychothe patient y, is still in atching it is the hands, ng, making

or intellec

typewriting, temperature,

direct the from himgreat advanase needs to and be conhe does not vard life, in The recovered nd civilians, is proper at sanatorium

ne minds of Te an opporcan only be pation such individual's a sufficient oyment, and nal and spir

contentment. ist must also -a physician ell as of the

cion.

res just deydrotherapy, and psychomedicationnumber of considered as as the physiersonal train

mains the necessity of selecting an oc-
cupation and environments for him
that will tend to increase his chance of
remaining well. This is a problem in
itself and all I can say here is that in
a general way the more the individuals
who have passed through post-sanato-
rium treatment can be occupied out-
doors, the less danger will there be of
any renewal of the disease. At the
same time we must bear in mind that
there will be many who are neither
temperamentally disposed nor phys-

ically fit to do agricultural or horticul-
tural work, to raise chickens, drive
trucks, become chauffeurs or outdoor
salesmen, or be ticket choppers on ele-
vated railroads. For those who have
had the necessary training and are
willing to occupy such or similar posi-
tions, which will assure outdoor life
and at the same time enable them to
make

a

comfortable living, nothing

better could be selected. But there will
be many men who, prior to entering the
Army, had been successful in pursuing
trades or professions which demanded
indoor life, for which they had been
prepared by training and study and in
which they made a very comfortable
living. Such would wish, if at all pos-
sible, to return to their former occupa-
tions, and I am inclined to believe this
can be done safely in many instances,
provided the indoor office or workshop

structed by any one handy with t
The accompanying picture (Fig.
shows the simplicity of the device.
this way complete outdoor life ea
had, at least at night.*

A draftsman, bookkeeper,
tailor, or shoemaker will rarely
a good farmer; but if the precau
just mentioned are taken, these
will do better and be happier when
can return to their former occupa
Of course there will be exceptions
if the soldier's or sailor's occup

*The simple window-tent is particular ful in winter. It consists of an awning instead of being placed outside the win attached on the inside of the room, the head end of the bed, which is place to the window. The air from the room enter or mix with the air in the tent person lying in the bed, which is placed with the window, has his head and sh resting in the tent. The lower portion. body, being indoors, is consequently (Fig. 17). By following the descrip will be seen that the ventilation is a perfect as can be produced with so s device. The tent is attached to the f an American window, without quite fil lower half. A space of about 2 inches for the escape of the warm air in th (Fig. 18). By lowering the window, th can be reduced to 1 inch or less, acco the need. On extremely cold and wind there need not be left any open spac above the tent frame. The patient's bre rise to the top of the tent, the form aids in the ventilation. The tent is con of a series of four frames, made of suitably formed and furnished with him minals; the hinges operate on a sto pin at each end with circular washe posed to insure independent and easy folding the same; the rod makes a st frame and insures its maintaining the form. The frame is covered with thi sail twill, fitting the frame and hav gated ends to admit of their being t under and around the bedding to pre cold air from entering the room. ing the bed the sleeper lowers the the aid of a cord and a little pulley to the upper portion of the window. or Venetian blinds, whether attached inside or on the outside of the window used as a screen to intercept the gaz neighbors and as a protection in storm (Fig. 19). If the bed cannot be plac the window, which is the best way, placed at a right angle to the windo that case it must have a low bed better, it may be a metal bedstead. transparent celluloid is usually place front of the tent serving as a window which the occupant can see what is go the room; but this, of course, is not During the daytime the window ter pulled up so that it will be out of (Fig. 20).

is sanitarily constructed and well ven-
tilated, and the individual lives the
most hygienic life possible at home. It
is especially important for him to sleep
in a well ventilated room with the win-
dows wide open. Whenever it is possi-
ble, he should sleep outdoors on the
porch, in a tent placed on the roof, in
the garden or yard. For those living
in city apartments or tenement houses,
I would suggest the installation of the
indoor window-tent, which I was privi-
leged to devise for poor consumptives
who had to be taken care of at home.

Af

g picture (Fig. 17) ty of the device. In e outdoor life can be ight.*

bookkeeper,

clerk, xer will rarely make ut if the precautions re taken, these men be happier when they _r former occupations. ill be exceptions, and or sailor's occupation

w-tent is particularly usesists of an awning which, ed outside the window, is de of the room, covering bed, which is placed close air from the room cannot The air in the tent. The ed, which is placed parallel as his head and shoulders The lower portion of the

is consequently warmer Lowing the description, it Le ventilation is as nearly roduced with so simple a attached to the frame of - without quite filling the of about 2 inches is left he warm air in the room ing the window, this space inch or less, according to mely cold and windy nights eft any open space at all

The patient's breath will me tent, the form of which n. The tent is constructed frames, made of steel rod furnished with hinged teroperate on a stout hinge th circular washers interDendent and easy action in me rod makes a stiff, rigid Es maintaining the original covered with thick yachtLe frame and having elon

of their being tucked in me bedding to prevent the ng the room. After entereper lowers the tent with nd a little pulley attached

of the window. Shutters whether attached on the side of the window, can be intercept the gazes of the rotection in stormy weather ed cannot be placed beside Is the best way, it can be agle to the window, but in have a low bed board or, metal bedstead. A piece of

is usually placed in the ving as a window, through can see what is going on in of course, is not necessary. the window tent can be it will be out of the way

or to the extremes of cold and heat, night work or unusual physical strain, it will be wiser to choose another way for him to earn a living. Lastly, all soldiers and sailors discharged as arrested cases, whether or not they have had post-sanatorium treatment, should be impressed with the necessity of having the chest examined at least every three months for the first year or two, and later on semi-annually, so as to guard against any insidious recurrence of the trouble. Any intercurrent indisposition or actual disease of whatever kind should be considered important enough to have medical advice sought immediately. The recovered tuberculous soldier or sailor should be particularly careful in times of influenza and pneumonia epidemics. He should avoid overcrowded assemblies, keep his bowels in good condition, and above all guard against overfatigue. Let him abide by the simple rule never to continue to work physically or mentally when already tired from manual brain labor and never to work to the extent of getting over-tired (acutely fatigued.) It is my conviction that the fatigue poisons are as much responsible for the prevalence of infectious respiratory diseases as careless sneezing and coughing.

or

Whether the periodic examination of the discharged tuberculous soldier shall be done by the surgeon of the nearest military post, by a civilian practitioner, by a physician especially qualified and appointed by the government, or by the

medical staff attached to the various tuberculosis institutions under the direction of the National Tuberculosis Association, is a matter which should be worked out carefully by the respective authorities.

I offer this modest contribution to our government in the hope that it may

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government. Aside from this, the former soldier or sailor will have acquired in the sanatorium a practical knowledge of sanitation; he will have become familiar with all that tends toward the prevention of tuberculosis; he will have become a lover of fresh air and deep breathing; he will advocate hydrotherapy wherever and whenever he can, recommending the use of cold water inside and outside to preserve health and strength; he will have become a foe to disease-spreading habits, such as indiscriminate expectoration, careless sneezing and coughing. His military training will have made him precise, neat in his dress, sober and industrious. As a soldier he fought for democracy so that the world may be a safe and fit place to live in; as a civilian he will try to make this world amore beautiful place to live in. Just as he once fought victoriously against the arrogance of a cruel foe who imagined himself invincible, so will he now fight against ignorance and disease, also thought invincible in bygone days. To his laurels won on the field of battle he will add another wreath by his labors among humanity.

16 West Ninety-fifth Street.

WASHINGTON, June 30.- Stringent regulations governing the sale of alcohol for medicinal purposes were issued today by the Bureau of Internal Reve

rue.

"Physicians may prescribe wines and liquors for internal use, or alcohol for external uses," the regulations said, "but in every case each prescription shall be in duplicate and both copies be signed in the physician's handwriting. The quantity prescribed for a single patient at a given time shall not exceed one quart. In no case shall a physician prescribe alcoholic liquors uniess the patient is under his constant personal supervision.

"All prescriptions shall indicate clearly the name and address of the patient, including street and apartment number, if any, the date when written, the condition or illness for which prescribed and the name of the pharmacist to whom the prescription is to be presented for filling."

Similar detailed restrictions on the sale of alcohol by drug stores were promulgated. All prescriptions must be preserved and once a month a list of physicians prescribing alcohol, the names of the patients and the total quantity distributed to each patient during the month must be transmitted to the Collector of Internal Revenue.

Liquor dealers, wholesale and retail, having stocks on hand, may sell to pharmacists holding permits until the present stocks are exhausted.

Alcohol for internal use must pay the tax of $6.40 a gallon, while alcohol medicated to render it unfit for beverage use will be taxed at $2.20.

Wine used for sacramental purposes may continue to be made in quantities not exceeding 1000 gallons. It must pay the usual tax.

Major Thomas C. Meyers, surgeon, of Los Angeles, has returned from the Italian front, wearing the Cavaliere di Corona de Italia, conferred by the King, and the Croix de Guerre for distinguished service just prior to the armistice. He was attached to Base Hospital No. 102, surgical section, which, though American in personnel and equipment, was made part of the Italian army. Major Meyers was the only American medical officer with the Italians in their last victorious offensive across the Piave, being then with the 156th Field Hospital of the Third Italian Army Corps. The Major speaks very emphatically of the present cordial relations between the two countries and, in his opinion, Italian claims are entitled to every consideration.

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mer soldier or sailor will have aed in the sanatorium a practical know of sanitation; he will have be familiar with all that tends towar prevention of tuberculosis; he will become lover of fresh air and breathing; he will advocate hydr apy wherever and whenever he recommending the use of cold wat side and outside to preserve healt strength; he will have become a disease-spreading habits, such as criminate expectoration, careless ing and coughing. His military ing will have made him precise, n his dress, sober and industrious. soldier he fought for democracy s the world may be a safe and fit pl live in; as a civilian he will try to this world a more beautiful pla live in. Just as he once fough toriously against the arrogance cruel foe who imagined himself in ble, so will he now fight against rance and disease, also thought in ble in bygone days. To his laure on the field of battle he will a other wreath by his labors amo manity.

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16 West Ninety-fifth Street.

when not in use.

by the auhabilitating of only because ad conclusions of a quarter e among con- well-to-do, in actice, but bea the plan outement of the Cuberculosis in

Fig. 19. View of window tent and patient taken from outside.

I am convinced that by carrying out systematically the methods I have described to prevent relapses in arrested cases of tuberculosis, and by the subsequent periodic reexamination of the one-time tuberculous soldier or sailor, not only will many valuable lives be saved, so greatly needed in this period of reconstruction, but individuals and families will be spared a great deal of suffering, and thousands of dollars of pension money will be saved to our

WASHINGTON, June 30.–St regulations governing the sale o hol for medicinal purposes were today by the Bureau of Interna

"Physicians may prescribe wi liquors for internal use, or alco external uses," the regulation "but in every case each pres shall be in duplicate and both be signed in the physician's ha ing. The quantity prescribed single patient at a given time s exceed one quart. In no case physician prescribe alcoholic unless the patient is under his personal supervision.

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