city. A rubber cloth should be placed under the sheet. An
intelligent nurse should be in charge; when this is impossible, the
attending physician should write out special instructions, regarding diet,
treatment of the discharges and of the bed linen.

Much of the above on typhoid is from the world-wide authority, Dr. Osler,
and should be-followed in all cases if possible.

Diet and Nursing in Typhoid Fever.--Milk is the most suitable food. Three
pints every twenty-four hours may be given when used alone, diluted with
water or lime-water.

The stools will show if the milk is digested. Peptonized milk, if not
distasteful, may be used. Curds are seen in the stools if too much milk is
given and is undigested. Mutton or chicken broth or beef juice can be
used; fresh vegetable juices can be added to these, instead of milk. The
animal broths are not so good when diarrhea is present. Some patients will
take whey, buttermilk, kumiss, when ordinary milk is distasteful. Thin
barley gruel well strained is an excellent food for this disease. Eggs may
be given, either beaten up in milk or better still, in the form of albumin
water, This is prepared by straining the whites of eggs through a cloth
and mixing them with an equal quantity of water, which may be flavored
with lemon. Water can be given freely; iced tea, barley water, or lemonade
may be used, and there is no objection to weak coffee or cocoa in moderate
quantities. Feed the patient at stated intervals. In mild cases it is well
not to arouse the patient at night. When there is stupor, the patient
should be aroused for food at the regular intervals night and day. Do not
give too much food. I once had a case in which I did not give more than
one quart of liquid food in four weeks, as it distressed her. She made a
good recovery on plenty of water.

[INFECTIOUS DISEASES 199]

Cold Sponging.--The water may be warm, cool, or ice cold, according to the
height of the fever. A thorough sponge bath should take from fifteen to
twenty minutes. The ice cold sponging is quite as formidable as the full
cold bath, for which there is an unsuperable objection in private
practice.

The Bath.--This should be given under the doctor's directions, and I will
not describe it.

Medical Treatment.--Little medicine is used in hospital practice. Nursing
is the important essential in typhoid fever.

Management of the Convalescent.--An authority writes, My custom has been
not to allow solid food