may never have one open. Because it is not understood that the charge of
the sick-room extends to the charge of the passage. And thus, as often
happens, the nurse makes it her business to turn the patient's room into
a ventilating shaft for the foul air of the whole house.

[Sidenote: Uninhabited room fouling the whole house.]

An uninhabited room, a newly-painted room,[1] an uncleaned closet or
cupboard, may often become the reservoir of foul air for the whole
house, because the person in charge never thinks of arranging that these
places shall be always aired, always cleaned; she merely opens the
window herself "when she goes in."

[Sidenote: Delivery and non-delivery of letters and messages.]

An agitating letter or message may be delivered, or an important letter
or message _not_ delivered; a visitor whom it was of consequence to see,
may be refused, or whom it was of still more consequence to _not_ see
may be admitted--because the person in charge has never asked herself
this question, What is done when I am not there?[2]

At all events, one may safely say, a nurse cannot be with the patient,
open the door, eat her meals, take a message, all at one and the same
time. Nevertheless the person in charge never seems to look the
impossibility in the face.

Add to this that the _attempting_ this impossibility does more to
increase the poor patient's hurry and nervousness than anything else.

[Sidenote: Partial measures such as "being always in the way" yourself,
increase instead of saving the patient's anxiety. Because they must be
only partial.]

It is never thought that the patient remembers these things if you do
not. He has not only to think whether the visit or letter may arrive,
but whether you will be in the way at the particular day and hour when
it may arrive. So that your _partial_ measures for "being in the way"
yourself, only increase the necessity for his thought.

Whereas, if you could but arrange that the thing should always be done
whether you are there or not, he need never think at all about it.

For the above reasons, whatever a patient _can_ do for himself, it is
better, i.e. less anxiety, for him to do for himself, unless the person
in charge has the spirit of management.

It is evidently much less exertion for a patient to answer a letter for
himself by return of post, than to have four conversations, wait five
days, have six anxieties before it is off his mind, before the person