A SANATORIUM FOR THE TREATMENT OF CONSUMPTION. 
807 
of the world to those renowned institutions. But, as I hope to be able 
to prove to you, all these particulars, though advantageous at home, 
are out of place and unnecessary in Queensland. My suggestion is, that 
we should not have a sanatorium as described above, but a sanatorium 
farm. A piece of land of about 1,000 or 2,000 acres should be set apart 
at a distance of about live miles from a railway town which is in con- 
venient communication with the big centres of population in Australia. 
I mention the distance of five miles from the town because it is not 
desirable that there be too frequent communication between the 
patients of the sanatorium, who should he under strict discipline, and 
the inhabitants of the town. At least I noticed that too close com- 
munication between the inmates of the sanatorium and the town proved 
a great nuisance in Groerbersdorf. There are always some who, when 
they are supposed to be walking or driving, go down into the smoking- 
rooms of the hotel to drink beer and play cards, often for hours 
together. Happy in the consciousness of having successfully deceived 
their doctor, they come home and demoralise some of their friends until, 
the cough getting worse, they have to give up, for some time at least, 
their clandestine excursions. At the same time the above-mentioned 
distance of five miles is not too great to allow a speedy communication 
when it is wanted; especially when patients arrive, they are frequently 
not in a condition to stand long drives in going out to the sanatorium. 
The whole place should bo sheltered against the prevailing, especially 
westerly, wind, either by scrub arid forest or by selecting a site at the 
slope ot a hill. It would be very desirable to plant pine trees as soon 
as the formation of the sanatorium has been undertaken. The houses 
should be built on a specially protected place on the selection where 
plenty of shade trees abound. The houses should not contain more 
than four or six rooms, a single bedroom for each patient, one of the 
six rooms to bo the parlour, the rest all bedrooms. They are to be 
built of wood, stand on piles about 5 feet high, and be surrounded by 
a veranda about 10 or 12 leet wide. The patients have only to sleep 
indoors. They should take their meals even on the veranda, which 
will be protected at least on two sides even when it rains. Each of 
the houses has to be provided with good bathing accommodation. 
In the centre of the establishment the house of the medical 
director is situated, who should have the whole management of the 
place, both the medical and administrative part. The patients, as 
soon as they arrive, are divided into two classes — those who are able 
to get about, and those who are confined to their beds. The latter 
class will be very small, and consist of persons who are affected 
with pneumonic tuberculous processes, high fever, haemorrhage, or 
other untoward complications. Every patient who is able to get about 
is told off to do some work according to the strength he possesses, as he 
is ordered by the medical director. This, in my opinion, forms a very 
important factor in the whole scheme, for the following reasons : — 
In the first instance, men who have been used to a busy occupa- 
tion, and who are not sick enough to lay up, would not stand the 
ennui of a lazy life for any length of time. The great majority of the 
consumptive patients have not had any physical out-door occupation, 
or otherwise they very likely would never have become affected with 
consumption. Their muscles have mostly atrophied. The small atrophic 
heart of the consumptive we are so familiar with in the post-mor tem 
