ly.

The owners also of special institutes for curing pulmonary consumption
need not despair with the idea that they will not be needed in the
future. On the contrary, those needing cure will flock to them in all
the greater numbers, as they now know that they certainly will be
restored to health within a definitely limited time.

The other forms of Tuberculosis.

Of the other forms of tuberculosis _laryngeal consumption_ is very often
combined with pulmonary consumption. It is estimated that this is true
of at least one-fourth of all cases of pulmonary consumption.

At first laryngeal consumption can not in any way be distinguished from
an ordinary inflammation of the larynx. A certain weakness and
sensitiveness of the organs however is suspicious, also great liability
to hoarseness. On the other hand laryngeal consumption may exist without
any sort of ailing to the patient.

These appear later, however, when lung tuberculosis is progressing. The
larynx shows more distinct outlines on the lean throat, difficulty in
swallowing is experienced, pains radiate toward the ear. Food and drinks
come up again after being swallowed.

The painful cough has a hollow, barking, harsh sound, provokes vomiting,
and the sputum together with foul breath consists of foamy, slimy,
purulent lumps. Breathing gradually becomes more difficult and louder.

As regards the duration of laryngeal consumption it generally runs
parallel with pulmonary consumption. If the latter progresses more
rapidly so also will the destruction of the larynx by the
tubercle-bacilli be a more rapid one and vice versa. In several cases it
has been observed that, if pulmonary consumption progressed or remained
without any extraordinary symptoms, those with diseased larynx have
lived for years, with alternating improvements and diminutions, and also
an occasional suspension of all symptoms, till on account of often only
a trivial, evil influence a new stimulus is given and the disease found
an unexpectedly rapid completion of its course.

Until now only few cases of laryngeal consumption could be looked upon
as really cured. Lately it has been tried to accomplish cures especially
by the application of caustics. This will not now be necessary. But
those afflicted in this way, will henceforth be obliged to try and live
in air free from dust, to travel south during the winter and to subject
themselves to a general strengthening treatment.

_Tuberculosis