24 



Indiana University Studies 



for him. She was very much interested in the child, and also was 

 bright enough to know that rest meant just that. He has been 

 in school every year, and upon last examination his heart was in 

 a good state of compensation. To be sure, this shows the differ- 

 ence in the people to whose care the children were subjected, 

 and so long as we deal with children their home conditions must 

 be taken into consideration and met. 



CASE M.C. Some of the patients haye obtained much benefit 

 from short stays at homes of intelligent and interested relatives 

 and friends. "M. needed a change very badly. Her mother 

 was unable to send her away from home, or, in fact, to do any- 

 thing that would have meant an extra expenditure of money. 

 Her relatives were written to and the situation explained. The 

 grandmother was found to be greatly concerned about the child 

 And willing to do anything possible for her. Arrangements were 

 quickly made and the child sent to the home of the grandmother 

 for convalescent care. The doctor wrote out very detailed direc- 

 tions as to diet and care for the grandmother to follow. When 

 the child was returned to her home she was in a very much better 

 physical condition. Since that time she has never returned to 

 the hospital nor been sick enough to miss more than a few days 

 of school at a time. 



CASE MRS. E. Some patients have been sent on vacation 

 trips to the country or summer camps. One woman took her 

 family of little children with her one summer, and spent several 

 weeks at a summer camp. The little boy, who was sick, was 

 greatly benefited by the life in the open air. He was unable to 

 take an active part in the outdoor games, but the rest and fresh 

 air did him the good he needed. 



It has been said that there is more done for sick or friend- 

 less children than for any other dependent class. This is because 

 of the readiness of everyone to respond to the childish appeal. 

 When an attempt is made -to obtain help for older people less 

 appealing to sympathy-, the task is difficult. This has especially 

 been found true in work with the adult cardiac case. As a usual 

 thing a man with a very weak heart, even one in such a poor state 

 of compensation that walking one block causes such a shortness of 

 breath that he must stop to rest, does not attract the notice of the 

 bystander. The man stops, looks in a show window for some time 

 to hide the fact that he is resting, but shows no outward signs of 



