As™ptJember,1i9o&0*}    Sanitorium  Treatment  of  Consumption.  427 
charts.  This  keeping  of  records  serves  to  impress  upon  the  mem- 
bers the  importance  of  attention  to  detail  in  the  treatment.  It  helps 
them  to  persevere  in  their  monotonous  life.  We  have  found  that  it 
does  not  depress  their  spirits  or  cause  introspection.  It  serves 
rather  to  keep  up  their  courage.  Most  of  the  class  take  great  pride 
in  their  records.  Of  course  if  a  patient  were  doing  badly,  and 
losing  weight  rapidly,  the  individual  record  would  be  omitted. 
A  weekly  meeting  of  the  class  has  been  held  on  Friday  after- 
noons, formerly  in  my  consulting  room,  now  at  the  Massachusetts 
General  Hospital.  The  record  books  are  then  inspected,  and  the 
patient's  weight,  temperature,  pulse,  and  vital  capacity  are  taken. 
Expenses. — Emmanuel  Church  has  paid  for  a  special  nurse,  fur- 
nished tents,  reclining  chairs,  and  all  other  necessary  supplies.  To 
a  few  of  the  members  a  small  amount  of  money  has  been  loaned, 
and  aid  has  been  offered  when  it  was  necessary  for  a  family  to  move 
to  another  tenement.  A  nominal  fee  of  $2.00  a  month  is  required 
from  each  patient.  In  some  instances  this  has  been  remitted.  The 
total  expenses  for  the  first  six  months  ending  January,  1906,  were 
#5f3.00. 
Miss  Isabel  Strong,  acting  as  friendly  visitor,  gave  her  entire 
time  to  the  work  without  pay  during  July  and  August.  Dr.  J.  B. 
Hawes  has  assisted  me  in  the  medical  work  since  the  organization  of 
the  class.  Recently  Dr.  C.  S.  Millet  and  Dr.  N.  K.  Wood  have  asso- 
ciated themselves  with  us,  and  Dr.  C.  L.  Tobey  has  taken  charge  of 
the  laryngological  work. 
Old  tuberculin  has  been  used  in  a  number  of  cases  with  apparent 
benefit.  Pharmacotherapy  has  not  been  employed  except  for  special 
conditions,  such  as  constipation  or  diarrhoea.  A  few  patients  have 
been  given  creosote.  Hydrotherapy  has  been  found  of  value  in 
every  case.  Teilwaschungen,  full  baths,  chest  compresses  were  the 
procedures  selected. 
Resutts. — Of  the  nine  patients  who  have  been  members  of  the  class 
for  three  months  or  more  all  show  a  gain  in  weight  and  all  but  two 
improvement  in  their  general  condition.  One  patient's  weight  has 
increased  40^  pounds.  In  five  of  the  nine  cases  the  disease  has 
been  arrested.  The  term  "  arrested  "  is  used  in  the  sense  in  which 
it  is  employed  by  the  Committee  on  Nomenclature  of  the  National 
Association  for  Study  and  Prevention  of  Tuberculosis  in  their 
proposed  classification. 
