NO. I AIR AND TUBERCULOSIS — HINSDALE 75 



tion. Dullness and deficient breath sounds were detected close to the 

 left scapula. After three years of unsuccessful treatment in Eng- 

 land, during which time two winters were spent at Hyeres, on the 

 Mediterranean, losing ground and growing thinner and showing evi- 

 dence of commencing disease in the opposite lung, she was sent for 

 the winter to St. Moritz. She returned the following May vigorous 

 and well bronzed, having taken plenty of exercise, skating, walking, 

 and tobogganing. She had lost all cough and had gained much 

 strength. The chest measurement showed an increase of one inch. 

 The whole thorax was found hyper-resonant and no physical signs 

 of consolidation could be detected. After eleven years of residence 

 subsequently in England, she was free from chest symptoms. 



In this case, notwithstanding the improvement following two 

 winters spent at Hyeres, at sea level, the disease was not arrested 

 and increased the following year. But during one winter's residence 

 at St. Moritz, elevation 6,000 feet (diminished atmospheric pressure 

 and out-door life with winter sports), there was complete arrest of 

 the disease, as the experience of eleven years with absence of phy- 

 sical signs testifies. 



There is a wealth of clinical material to show the advantages 

 of high altitude treatment at the well-known European and Ameri- 

 can resorts. Sir Hermann Weber, of London, and his son, Dr. F. 

 Parkes Weber, have had a long and favorable experience in the treat- 

 ment of pulmonary tuberculosis in high altitudes and they support 

 Dr. C. T. Williams in a higher estimate of treatment of this disease 

 at high elevations as contrasted with results at the sea level. 



Twenty-five years ago Sir Hermann Weber stated that out of 106 

 tuberculous patients sent to high altitudes, 38 were cured, either 

 permanently or temporarily, 16 were stationary or but slightly im- 

 proved and 10 deteriorated. More than half of the cases in the first 

 stage were cured. 



The American statistics of Drs. Samuel A. Fisk,' W. A. Jayne,' 

 S. E. Solly,' Charles Denison and S. G. Bonney, all of Colorado, 



'Fisk, Samuel A.: Concerning Colorado (Medical News, Sept. 16, 1899); 

 Climate of Colorado (Trans. Amer. Climat. Ass., 1888, p. 11). 



''Jayne, W. A.: Climate of Colorado and Its Effects (Trans. Amer. Cli- 

 mat. Ass., 1888). 



* Solly, S. E. : Invalids Suited for Colorado Springs (Trans. Amer. Climat. 

 Ass., 1888, p. 34). 



