ent in which a consumptive can pass his
time out of doors. If the patient is quite weak and feverish he may
remain in bed, or on a couch, placed on a veranda or balcony during
the day, and in a room in which all the windows are open at night.
Screens may be used to protect from direct draughts.
No degree of cold, nor any of the common symptoms, as night sweats,
fever, cough, or spitting of blood, should be allowed to interfere
with this fresh-air treatment. The treatment may seem heroic, but is
most successful. The patient must be warmly clothed or covered with
blankets, and protected from strong winds, rain, and snow. During
clear weather patients may sleep out of doors on piazzas, balconies,
or in tents.
Nutritious food is of equal value with the open-air life. A liberal
diet of milk and cream, eggs, meat and vegetables is indicated. Raw
eggs swallowed whole with a little sherry, or pepper and salt on them,
may be taken between meals, beginning with one and increasing the
number till three are taken at a time, or nine daily. If the appetite
is very poor it is best that a glass of milk be taken every two hours,
varied by white of egg and water and meat juice. Drug treatment
depends on individual symptoms, and can, therefore, only be given
under a physician's care. Sanitarium treatment is the most successful,
because patients are under the absolute control of experts and usually
in an ideal climate. Change of climate is often useful, but patients
should not leave their homes without the advice of a competent
physician, as there are many questions to consider in taking such a
step.[5] There is a growing tendency among physicians to give
consumptives out-of-door treatment at their homes, if living out of
cities, as careful personal supervision gives much better results than
a random life in a popular climatic resort.
=Prevention.=--Weakly children and those born of consumptives must
receive a generous diet of milk, eggs, meat, and vegetables, and spend
most of their time in the open air. Their milk should be heated for
fifteen minutes to a temperature of 160 deg. F., in order to kill any
germs of tuberculosis, unless the cows have been tested for this
disease. The patient must have a separate sleeping room, and refrain
from kissing or caressing other members of the family.
The care of the sputum (expectoration) is, however, the essential
means of preventing contagion. Out of doors, it should be deposited in
a bot
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