316 HEISER AND CALUERON. 



such a dispensaiy in every county seat in the State and in some of tlie 

 principal cities. These, as well as those being built by the munificence 

 of Mr. Phipps, are perhaps typical of their class. They consist usually 

 of two rooms, one a waiting room where the patients are received ))y 

 the nurse, who records the history and makes a most complete card 

 index record of the case; temperatures are taken, and in general the 

 patient is in every way prepared for the doctor's visit. The latter 

 usually arrives after the patients have been prepared for him, makes the 

 diagnosis and prescribes the treatment. 



These dispensaries are usually open from 8 until 1 each day and 

 have, as a rule, one nurse and two physicians on duty. In addition 

 to the nurse who is on duty in the dispensary, there are usually two 

 who make visits to homes of tuberculosis patients, and give them 

 practical demonstration in hygienic living. They also recomiuend as to 

 whether fresh eggs and milk should be supplied gratis. 



SANATORIUMS AND CAMPS. 



White Haven. — This institution differs from all of the others visited 

 in that a systematic trial is being made on a large scale to put the 

 sanatorium on a self-supporting basis by means of the labor of the 

 patients. So far as our own observations went, it can not be said that 

 this plan has proved successful up to this time. 



Trudeaus. — As is M'ell known, the oldest advocate of the outdoor 

 treatment of tuberculosis is Doctor Trudeau, and it is here that it is 

 most interesting to observe the gradual development of small buildings 

 suitable for the treatment of tuberculosis. The first primitive shack 

 still stands and each structure btiilt since is an improvement on its 

 predecessor. The accompanying illustrations (figs. 1 and 2) show what 

 he regards to be the most modern type of building for the outdoor 

 treatment of tuberculosis. Doctor Tnideau's place is situated in the 

 Adirondacks at Saranae Lake. 



Ray Brook. — The State of New York has erected at Eay Brook a large 

 brick structure much on the order of a modern hospital building, 

 where patients are treated in wards of the two-story type, with enormous 

 air space allowance for each patient. In addition, a few tents or shacks 

 are built near by for the treatment of such cases as are considered more 

 favorable for the hardy outdoor life. 



Beelitz, Germany. — At Beelitz, Gennany, there is probably one of 

 the most modern tuberculosis sanatoriums in the world. This was 

 built by a Gennan Life Insurance Company for the use of their policy 

 holders. The institution is built upon the same general lines as the 

 Ray Brook institution mentioned above, but on account of the greater 

 amount of funds available, the institution presents a more finished 

 character. 



