Q. Is it better for a person with T. B. throat to whisper or to write out all conversation with pencil and pad?

A. We recommend the sign language as being less wearing and more economical.

Q. I am a young lady twenty years of age and have been an arrested case for one year. I have been working all this time and have a splendid position. What are my chances for getting married?

A. Where do you live?

Q. What occupation is best for a moderately advanced case? I am leaving the San. and must again take up work.

A. Your old position is always best, especially if you have been a deep-sea diver, steeplejack or trombone player. All the light outdoor jobs are now being held down by the army of the unemployed.

Q. I am troubled with the most horrible dreams, followed by headaches and dizziness. What causes this?

A. Do you buy it or make it yourself?
Q. Why cannot the X-ray penetrate bone?
A. Can anything else?

Q. What place has the warmest climate? My doctor advises a change.

A. Consult your doctor about it. He can do more to get you there than we can.

Q. I have been taking the cure for three years and doctor says I may soon return to work, an arrested case. What do you think?

A. Don't worry about it. He may be wrong after all.

Q. I am ordered to take hot baths once a week. I am not accustomed to this and fear the effects.

A. Don't be discouraged. One can get used to almost anything, even to bathing once a week.

Q. How can I stop my nails from curving over the ends of my fingers?

A. Manicuring has often been used with marked success.

Q. Is Cod Liver Oil good for a person with T. B.?

A. Yes, indeed. We find when used as a furniture polish it gives excellent results with very little rubbing.

Q. How can I determine if my lungs are fected? I am greatly worried.

af

A. Very easily. Simply join a good gymnasium and take up, preferably, long-distance running. If, after several months of strenuous training, nothing startling happens, you may be sure your fears are groundless.

Q. I am a married man and have been an arrested case for about six months. Do you think it safe for me to join a bowling club?

A. Consult your wife, then see your physician.

Q. Why does the doctor ask you to count only up to three when he examines?

A. Remember you are not taking an intelligence test. The counting is merely a device to keep you from asking a lot of darn fool questions while the doctor has his ears plugged.

3. In event that advertising does not produce results, pursue your clients by calling each number in the directory, starting at A and ending with the Z's.

4. In diagnosing a prospective patient, always remember that medical science tells us that ninety per cent. of the population at large is infected; hence, all you need to do is pronounce nine out of every ten tuberculous. The tenth individual you fail to find positive will be so happy he will indubitably laud your wisdom to the skies.

5. For the sake of effect ask your client to strip to the waist. Have him place the telephone transmitter to left chest, right chest, back, etc. Follow the usual procedure of "1-2-3" or "99" -inhale-exhale-cough. Always be sure to have him repeat these manoeuvers several times before shifting the transmitter to a new area. 6. While conducting these examinations always speak vaguely of "bubbling rales," "broken wheezes," "cog-wheeled respiratory sounds," etc.

7. Ask him if he thinks his morning contribution of mucous to be "post-nasal catarrh." Whether he answers "Yes" or "No" mark him positive just the same. By closely following

A

A $ Fling

MERCENARY hay-hitter comes along with a suggestion that will fetch Mazuma to the pocket of the sanatorium patient with a nose for news hunting. While the Joy Flingers do not claim to be dispensers of money-making secrets there is a certain joy attached to the possession of money which few persons realize to as great an extent as the average cure pursuer.

This chap, confident of his ability to write good news stories of sanatorium happenings, approached the editor of the nearest newspaper with the suggestion and was given permission to try it out. His news, written in a style somewhat different from ordinary copy, became a feature of the paper, and after a while the editor told him they wouldn't care to get along without it. They paid him at a good rate.

Just recently another newspaper asked his services and now he writes breezy sanatorium news for both to the benefit of his exchequer.

The neighboring public is interested in what goes on at the san, and there should be many such opportunities at large awaiting ambitious patients whose conditions will allow them to carry on such work.

But It Didn't Collapse

Lenton J. Sculthorp, of Albuquerque, N. M., sends in the following quip with the suggestion that it be used as a Joy Fling for "gas patients":

"My daughter, three and a half years old, went to the filling station with a neighbor and upon returning came to my porch and said, 'Oh, Daddy, they gave the automobile gas in the back just like the doctor does to you!'"

Prize Goes Begging

The Joy Fling contest announced in November died a natural death. Cnly one entry arrived, and that two days late. But the heart of that contestant was in the proper location and what he wrote in his letter ought to make the whole caboodle of husky patients, who might have entered the contest but did not, hide their cheeks for blushes:

"I am still in bed and it was perhaps a mad thing for me to attempt, but after reading again your contest announcement in the November JOURNAL, I simply had to crawl out to-day and whip this Joy Fling outrage into shape."

With a fair proportion of literary cure chasers showing a like spirit, the editor might settle back comfortably and take some cure himself!

THE JOURNAL'S CHECKER Department That Proofreader Again!

Editor JOURNAL:

In your Chess and Checker Department for October you have a problem from Lee's Guide, and it is a very good one with the exception that through error or otherwise you place the White King on No. 48.

This problem works out all right with the White King on No. 8 instead of No. 48.

If I am correct, the numbers on a checkerboard run only to 32. I got a considerable amount of practise in determining where the White King really should be. Yours truly,

(An Old Bug) P. W. FARRELL.

and in some it may be even years. I know that many patients get well and remain well who do not follow these rules, but I also know just as well that for every one who remains well after less than six months' rest there are a score who later break down. Time is an element in the cure whose importance can not be overestimated. Every specialist in tuberculosis has seen many apparently hopeless tuberculous patients who have recovered after years of painstaking training and careful living and they have also seen many patients eventually succumb who gave great promise

of recovery but who threw away their chances by the failure to be impressed with the necessity of a few months' longer rest. Unfortunately, in this connection, it must be mentioned that finances often play an important part. Many patients who should "cure" for eight months have money for only five and the one who should "cure" for a year can finance only eight months. This is a sad affair and is the point where the state or county should step in, and often does step in, and help carry the burden.

8. The patient must continue to take a modi

fied cure for a long time after returning home. This is a very serious proposition. The average home, as intimated above, is not suited for "taking the cure." Not only is the average home not so suited but the family of the patient and their friends with whom the patient must take the cure very rarely realize, as does the patient, the necessity for the strict attention to details and the careful following out of the régime begun in the sanatorium. The family and friends see only a well-nourished healthy-looking person with a good appetite and digestion but without fever and free from cough and expectoration. They fail to see what is below these surface indicationsthe tubercle bacillus ready to take the offensive when once the patient oversteps his limitations. Many patients are unable to resist their own desires plus the urging of their friends and sooner or later again break down from overwork or overplay. What the patient really needs is the moral support of his associates. Too frequently he fails to secure it. It is only too true that many patients are killed by the mistaken kindness of their friends after leaving the institution. This situation which the patient is called upon to meet can be overcome in only one of two ways. Either the patient should bring some member of his family with him to act as an attendant, or nurse, so that the attendant learns the régime at the same time as the patient, or the patient must be so taught that he will have the courage to resist the importunities of friends to depart from the strict rules so necessary to secure a complete

arrest. It is needless to say that the patient who spends the most time at the institution will, other things being equal, be the best fortified to contend with home conditions.

It has not been my intention to deal with medication, per se, nor with such operative procedures as pneumothorax, nor with the treatment of the complications and accidents which occur during the course of tuberculosis. It has rather been my desire to avoid details and to discuss in a general way those things which seem to me to be the really important things in the treatment of tuberculosis. We have no specific medication, although we have many medicines which are of value in the relief of symptoms. Tuberculin and vaccines are, at best, usually only aids to cure. Pneumothorax is suitable for certain cases only and then it is but an added factor in obtaining rest. With the aid of these measures we can help promote cures, but these alone, without the help of the fundamentals mentioned above, will not cure tuberculosis. Tuberculosis is a long, slow, obstinate disease which chooses to manifest itself differently in different individuals. To cure the patient one must treat the patient and not the disease. To be successful in treatment, the doctor must know people. He must know how to suit the environment and the régime to the individual and his temperament as well as he knows etiology, pathology, and diagnosis. Some day we may be able to cure patients by means of medicine. When that day comes, all that the physician will have to know will