y expectorate into a vessel filled with a carbolic acid
solution or he may expectorate into a vessel filled with water which may
afterwards be boiled. He may use a cloth or paper, like a Japanese
napkin, which may later be burned in the fire. But, above all things, he
must not expectorate anywhere and everywhere, regardless of the
consequences.
The consumptive patient must not cough without holding a handkerchief
over his mouth, since small particles of sputum may become dislodged and
distributed in this way.
The eating utensils used by a consumptive patient must not in any way be
allowed to infect other people. The consumptive must have his own dishes
reserved exclusively for him, and they must be, after each meal,
carefully disinfected. With these precautions and with avoidance of such
practices as kissing or otherwise directly infecting others, there is no
reason why a consumptive patient should be in any way an object of
dread or why he should not live with his family in as much comfort as he
can obtain, in perfect safety to himself and to them.
_Cure of consumption._
The chief factor in the cure of consumption is the time at which the
attempt at cure is started. Consumption is not an incurable disease, as
was once thought, and there is no reason for so considering it. There is
no such thing as galloping or quick consumption as distinguished from
slow or lingering consumption, since the consumptive germ is the same in
all people. The same germ may act differently in different people, and
if one's power of resistance, as happens with those accustomed to
drinking liquor, is low, the action of the germ is rapid, although the
disease is identical with the form in which death comes only after years
and years. If taken in time, that is, before the germ has so infected
the body as to be beyond all possible restraint, as large a proportion
of consumptive patients may recover as of patients from typhoid fever or
diphtheria or any other infectious disease, but the cure must be started
early. For instance, at one of the sanitariums in the Adirondacks, out
of 267 patients admitted, who had the disease in an incipient stage,
complete recovery was had in 219 cases, the disease was arrested in the
case of 42 others, and in only 6 was the treatment not effective. Where
the disease had become advanced, however, it was found that out of 192
cases, only 32 apparently recovered and 140 were improved to some
extent. These are th
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