tubes allows the sound portions of the
lungs to be more perfectly used; the strain upon the emphysematous
parts being thereby relieved, the patient ultimately breathes with
greater comfort, and the bronchitis is in time removed. Where old,
chronic bronchitis with emphysema exists there is frequently marked
dilatation of the right side of the heart, in which case a patient
should by all means avoid Colorado.

"_Advanced Cases._--Where the disease is much advanced it goes
without saying that no honest physician would recommend a change of
climate, and especially so great a change as to an elevation of
several thousand feet; but cases do often come of their own will,
cheered by the delusive hope that is characteristic of the disease,
and though the result is usually a hastening of the end, yet death is
generally less tedious and harassing, the sick one frequently being
out enjoying the sunshine up to the last day, dying quietly and
quickly with a failing heart, instead of being confined to bed for
days or weeks in a close, heavy atmosphere, which impedes the last
struggling efforts at respiration.

TIME OF STAY.

"In cases of decided phthisical tendency, even in the first stage,
the treatment should extend over some years, though whether the
whole or a portion of each year should be spent on the mountains
depends much upon the character of the individual and the place.

"That those cured of phthisis upon the mountains can never live again
low down, is not the case; of course a cured consumptive will have to
take care of himself for some years, and a return to the social and
climatic conditions in which he got sick will always be dangerous,
but this difficulty is usually much greater for those who have been
cured in warm places than those who have been hardened by the
mountains."

I have given all the above copious extracts, because it appeared to
me while I was at Colorado Springs, that many people lived and
enjoyed good health there, who _could_ not live elsewhere. Some told
me so much, and declared the place was full of similar cases. A part
of these were English, of whom some had tried the Riviera, and they
averred that Colorado Springs was much better for all pulmonary
complaints than the northern shores of the Mediterranean. When we
consider how easy it is to get to Colorado, seven days to New York,
and three and a half days beyond by rail, with luxurious comforts,
and no fatigue for invalids, it is, I think