26 



Indiana University Studies 



probably would never live should she have another child. She 

 now has a bab}- less than a year old, and with the exception of 

 the laundry is able to manage her own household affairs. An 

 interested person furnishes the money for the laundry. About a 

 month ago the patient thought she would use the money given 

 her for a waist which the older boy needed and do the work 

 herself. At a result she was in bed one week. She now knows 

 her limitations and understands the necessity of being careful. 

 A suggestion driven home by bitter experience was needed here. 



CASE MR. C. In the course of treatment the recreation 

 must be watched as well as the work. Mr. C. left the hospital in 

 a very good condition. He was warned against overwork of any 

 kind. He obeyed the orders literally and was doing well. One 

 day he decided to visit a sister who lived about three miles away. 

 The day was nice, so why not walk? He walked to his sister's 

 and then rode to the hospital for another course of treatment. 



In all cases it is the doctor's business to find the trouble and 

 then prescribe the treatment. It is then the duty of the patient 

 to carry out directions. Here is where the service of the social 

 worker is called for. If the heart is in an acute state, immediate 

 rest is ordered, with proper diet. How is a man to go home and 

 go to bed, put in his order for oranges when there is no one in 

 the family to earn money for even bread to eat? An outsider 

 can usually help here. 



CASE MR. E. One family was of a very independent nature 

 and did not like to "live on charity". They were forced, however, 

 to let the Charity Organization Society care for them one winter 

 while the bread-winner was regaining his health. Because of 

 their disposition, no injury was done the family, for they could 

 not be pauperized. 



CASE H.N. In other cases different members of the family 

 have been urged to go to w^ork and provide the living until the 

 wage-earner could become strong. He was thus given a chance 

 to follow the doctor's directions and regain a strong heart. One 

 patient was in the hospital for several weeks. His wife under- 

 stood the situation, so went to work in a box factory to earn the 

 living. After he left the hospital she continued her work and 

 gave him a chance to recover. All that was necessary in this case 

 was someone to make the suggestions. 



