350 REPORT OF THE COMMISSIONERS OF 



Janeway, Dr. Walter B. James, and Dr. H. P. Loomis ; and at Saranac Lake, Dr. E. 

 L. Trudeau and Dr. E. R. Baldwin. During the first ten years of the Sanitarium's 

 existence most of the applicants for admission in New York were examined by the 

 late Dr. Alfred L. Loomis, who was the first to call attention to the value of the 

 Adirondack climate in the treatment of consumption. 



The Sanitarium is incorporated under the laws of the State of New York, and is 

 governed by a board of trustees. Dr. E. L. Trudeau is the president of the board of 

 trustees, and the institution is, and has been since its inception, under his medical 

 supervision. There are two resident physicians — Dr. Charles C. Trembley and Dr. 

 Lawrason Brown, and Mrs. Julia A. Miller is the superintendent. 



Since the wards of general hospitals in the past had shown that aggregation is a 

 real danger to the consumptive, the cottage plan was adopted from the first, in spite 

 of the greater cost of building and operating an institution on this plan, although the 

 germ origin of tuberculosis was not as yet generally accepted. The new light thrown 

 by science on the infectious nature of the disease, and an experience of fourteen years 

 in developing a sanitarium on this plan, have but strengthened my confidence in this 

 method of construction, which represents an attempt at segregation, separates patients 

 as much as possible from one another, and affords each individual so large an airspace 

 as to make it difficult, when rigid precautions as to the care of expectoration are 

 enforced, for the buildings to become contaminated. Besides, it affords patients a 

 regular walk to and from their meals, which are served in the main building, 

 encourages them to lead an outdoor life, allows them to select as companions 

 those who are congenial to them, and to avoid unnecessary contact with those who 

 are not. 



The cottages of the Adirondack Sanitarium are one-story buildings, accommodating 

 from two to ten persons each ; but the greater number have a capacity for four or 

 five inmates only, and these have been found the most satisfactory. Each patient has 

 his own room, opening into a central sitting-room in direct communication with the 

 veranda, on which the outdoor plan of treatment is carried out, a good shelter from 

 the prevailing winds being secured by means of a single glass screen. The partitions 

 between the sleeping and general sitting-rooms reach but seven feet from the floor, 

 an arrangement which gives the patient the benefit of the entire air space of the 

 cottage, and allows of its being heated by a fireplace during the cool months, and by 

 a hot-water plant during the winter season ; but the walls which separate the sleeping 

 rooms from each other reach to the ceilings, and are of solid construction. Good 

 ventilation is insured by transoms located over the front verandas. These cottages, 

 as well as all the other buildings on the grounds, are lighted by electricity. In the 

 main or administration building are to be found the dining-room, kitchen, reception 



