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(They all rush to open the door.) SAWYER-Yep. See, "White Cupboard Inn and Shop." Gee, look at the size of it. Oh, Bevo!

EVERETT (He goes to his drawer and pulls out a small hammer)-Here, lemme at that box! WILKINS-Where did you get that dinky hammer?

EVERETT That? Say, that hammer I got for twenty years. Used it to learn my trade with. Learnt it. That's more than these hicks do nowadays.

SAWYER-Aw come on. Get the box open.
That's the main job.
EVERETT (With commendable skill, he takes

off the cover)-Say, look how nice everything is packed. Beans! Say! SAWYER--What does it say? (Reading) "Made by Woodstock's best bean cooker-Miss Bertha Metcalf."

WILKINS-Who's that?

SAWYER-How do I know? I don't know

anybody but Eth . . . but, say, she's the sweetest . . .

EVERETT AW, stop raving about her. Let's

get this stuff out before he starts readin' us another one of her cute letters. What's this? (Reading) “Light as ling, as ling" (Spells it out) "L-i-n-g-e-r-i-e, but guess again-E. J." Whatinel?

SAWYER-Let's see. O-0-0-oh! Pussy Willows. Aren't they pretty? Spring in New

England. (Looks whimsically at the box and then tosses off the mood.) EVERETT-Do they eat them things in Vermont? WILKINS (Sensing the cause of Sawyer's

nostalgia)-Everett, a guy with your practical sense ought to be in a place where he can milk the public. It's a shame to keep you in a San. Politics, say, or a chamber of commerce.

EVERETT (Puffing up)—I was Commissioner of Buildings in Cleveland once. SAWYER (Deep, now, in the box)-What's this? (Reading) "Having found these highly beneficial I recommend them to Tom Sawyer." Look at the footprint! What do you think they did? They put the dog's paw in ink and made him sign it!

WILKINS-Say, ain't this a treat?

And did you ever see anything done up so neatly, tissue paper and nice ribbon! EVERETT That ain't ribbon; that's wax paper, printed so as to make it look like ribbon. WILKINS-S'at so? Now you've spoiled my whole day. What do we care what it is?

It looks like ribbon and that's all I care about.

SAWYER-It makes a lot of difference to a practical man a Commissioner of

Buildings, for instance.

EVERETT (Assuming a gang foreman's atti tude)-Come on. Get the stuff out. No guff. I wish I had you birds working for me. I'd make you get a move on. SAWYER-You'd get your block knocked off, if you want a practical suggestion from me as to how your rawhiding would work WILKINS-Whatinell can these be? (Reading) "Life buoys for sinking appetites. Miss Clara Salter."

out.

SAWYER-Doughnuts, of course.

EVERETT Sure anybody with brains ... WILKINS (Biting into one)—Oh, you Clara! SAWYER (Deep in the box)-Look at this one! (Reading) "Sappy Sweets for Synical Sawyer-Bob Royce."

WILKINS-Gee, open it. What can it be? EVERETT (With a burst of intelligence)-Don't he know how to spell "cynical"? WILKINS-What can it be? Sappy . . .? SAWYER-It comes from Vermont . . . and it's sappy. I got it! I got it!

for Maple Syrup!

Get set

EVERETT Sure anybody with brains . . . WILKINS (Reading)—“Read's Maple Sugar." Well... well . . . well.

EVERETT (With his head in the box)-Here's one. (Reading) "New England, Dixie, Arizona, Fudge Am Fudge-Betty Royce." SAWYER (AS the box is unwrapped)—And in a hand-painted box. And such a pretty name... Betty Royce.

EVERETT I want that box when it's empty. Gee, that's pretty.

WILKINS (All satire)-What do you want it for? You can't make any practical use of the paint, even if you scrape it off. EVERETT IS that so? If you had any brains. Get on with the research.

SAWYER (Digging near the bottom)-Listen to this. Say, they must have spent a lot of Boss Royce's time digging up these titles. (Reading) "Dyspeptics Don't Dally With Dates. Take Your Temp before Diving, or Try Them on Your Enemies." WILKINS (With a malicious smile as he passes them to Everett)-Here, old kid, you're the best enemy I have.

SAWYER-What pretty boxes! Japanese sandlewood.

EVERETT Bunk. Veneer. Say, ain't this never gonna end?

SAWYER-AW Gosh! The Beans ...
EVERETT 'Smatter? Disappointed 'cause they
ain't dolled up in pink ribbon?
SAWYER (Sadly)-No. . . . Spoiled.

WILKINS-Look out! They're sizzling!

My

grandfather got his hand knocked off from a jar of beans that went bad once.. EVERETT Too bad. . . . I mean, about the beans.

SAWYER-Well, you can't expect everything to
hold out with the kind of express service
we get now. "Made by Miss Bertha Met-
calf, Woodstock's best bean cooker." Ah,
well. . .
WILKINS-Well, thank God, the pickles are
not sizzling. Say, I'm nuts about pickles.
It says, "Made by Mrs. Marsh." How
did she ever hear of me?

EVERETT She sees your picture every week
in the funny papers.
SAWYER-Listen to this: "One of these will
tell us you have survived-Miss Daisy
Moore." Can you guess what's inside?
WILKINS-Looks like Seidlitz powders.
EVERETT-If we get the colic, eh?
SAWYER (Opening them)-No, they're stamps.
EVERETT Sure, anybody with brains . . .
WILKINS-Say, Eveready, is that all you do?

Yap all day about "brains"? Do you think
you've cornered the market?

SAWYER-Sure he does. He often says that a man with any brains can make a fortune in five years. He must have made and lost four of them since he first voted. You recall that $5,000 brick-yard he bought for $150? Contracted to buy all the bricks in the place. And then, not satisfied with his bargain, he ripped down the man's kilns. Said they were part of the bricks in the place! Shake hands with Wallingford. He thinks brains and graft and shyster business ethics mean the same thing.

EVERETT Never mind any editorials. Go on with the unpacking. (He is handed a package to unwrap) Say, this is heavy! (Reading) "Ye Famous Brown BreadMade by Mrs. Elizabeth Marsh." WILKINS-Well! well! well! So here's the New England you-all talk about. Say, I'm gonna send for some canned beans. I must have the complete set. EVERETT (Reading) - "Fruit Cake - Fruity within, Nutty without, if you know what I mean. Made by Miss Mary Clark." Gee, if you anybody got some hooch? You dip this in and let it draw up the licker. . . .

SAWYER-If we don't eat to-night! Look, "Jelly," it says, "made in the dearest red brick house in the village." EVERETT-Who sent them?

SAWYER-Miss Bertha Metcalf and Miss Mary Masales.

EVERETT Are you sure of that "Miss"? SAWYER-Yes, but you can write to the one who donated "The Sticky Twins." EVERETT-What's that?

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SAWYER-And here's a book! EVERETT That bird. He goes nuts over things not worth a toot The labels, the pussy-willows, the hand-painted box and now a book.

SAWYER (Reading)-"Lights and Shadows of New York Life, or the Sights and Sensations of a Great City." Say, it's an old volume. Printed 'way back in 1870. EVERETT Ooo, all about Noo Yawk. I wanna see that. Lots of pitchers. Gee! Comes right out in straight print about everything. Vice, graft, gambling. Everything. WILKINS-You might pick up some pointers, Evvie, on how to milk the public. Better read it.

SAWYER-Well, here's the end. "Last Course," it says.

WILKINS-Let "Anybody with Brains Everett" guess it.

EVERETT (Deep in the book)—I'm busy. SAWYER "Jamaica Ginger." That's the berries!

WILKINS (Looking over Sawyer's shoulder) -Well, that's the end of a perfect day. SAWYER-Did you ever see such people? Don't know us from Adam.

WILKINS-I'll say the war wasn't fought in vain.

EVERETT Gee, I could fall in love with That Girl myself.

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(The Merry Feast is set. It is supper-time. About the bare room the trimmings are scattered, giving the place a gay, carnival atmosphere. The wind has died down, making life more cheerful for everybody. The trays bringing the regular supper, have come and have been scornfully set aside. Outsiders having smelled something good, gather like mice at a convention of cheese-makers. Each has begged something and received it, being first forced to sit down and hear the whole story and then being admonished not to tell anybody else.) EVERETT I hope these Guineas don't clean us

out.

SAWYER-Where do you get that us stuff? WILKINS (Going after his fifth piece of fudge)--Are you gonna keep all the labels? Pretty. Look like old wood-cuts.

SAWYER-No, you chaps can have one a-piece. WILKINS (Still musing)—Gee, they must have

Mrs.

had some fun packing them. A fellow doesn't mind being sick when his friends don't forget. All too many do. EVERETT (The Epicurean) - I'll say Marsh knows her business. WILKINS-They all do, bless their motherly hearts.

EVERETT (With noble sentiment)-Suppose we all write to our mothers to-night? SAWYER (Fearing the party is getting sentimental) Did you ever realize things could spruce up a meal so? Yes, let's write home. (He feels nostalgia overcoming him and makes a feeble attempt at jest) Even the holes in the doughnuts were luscious.

WILKINS-Hole on, hole on there!

(A stranger enters and snoops around. His presence helps hold off the homesickness that is filling the room like a fog.)

STRANGER-Hey, here's a box you forgot.

"Butternut Meats - Real New England Butternuts-Mrs. Gerald Squires." Findings keepings?

WILKINS-Here. Come here with that. If I

find your pocketbook under your pillow, does that give me legal possession? Hand it over.

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He starts to write, then stops. He rises, goes to the box, and, with the aid of his little hammer which served him as an apprentice carpenter, he removes one of the labels of the White Cupboard Inn and Shop, being careful not to tear it in any way.)

EVERETT-Gee, I'd like to build a house like that. So homelike. Nothing flashy. Looks like the print of an old wood-cut. (He opens the book to put the label in, just as Sawyer and Wilkins enter for a last piece of fudge.)

WILKINS-Look at Everett. Reading a book! The first time in the three months he's been here. All about the Wicked City. SAWYER-Nobody ever made any money reading books, Evvie.

EVERETT (Not wishing them to know he took the book to put the label in it and so preserve it like an old rose from careless hands and the ravages of time)-Neither they do. I still say most of the books are bunk. But some things make life easier to live.

WILKINS-What's become of the hard-headed business man?

They

SAWYER (Looking at the box)—Who snaked one of the labels? I want them. look so New Englandish. So much like home. (He looks at Everett and the latter returns the look in a way that means he does not want to be kidded about it. Sawyer understands, pats Everett on the back and walks toward the table.) Everett—If you guys are going to write home

you'd better get busy. It will be bed-time soon and you know in this joint they switch the lights out from the main building. Here, take some of my paper and get busy. (They accept_the_proffered sheets and begin, "Dear Mother." curtain falls with no sound other than the scratching of three_pens.)

THE END

The

Cheer Up, Pard!

By Dr. WILLIAM T. SHERMAN, Monticello, N. Y.

Cheer up, pard, and don't be blue

Just 'cause things went wrong with you;
Brace up, man, and chase that frown,
Don't let worries cast you down.
When the dark clouds cast their gloom
And your troubles 'fore you loom
And the sun has ceased to shine,
There's no reason to repine.

Just 'cause now there seems no hope,
Is no cause to sit and mope
And to rail at life's tough break,

'Cause you've seemed to lose your stake. It's the hard knocks which we get

And we take without a fret,
That make men who are worth while,
Take their drubbing with a smile.

When you get one on the chin,

Try to bear it with a grin;
'Stead of throwing up the sponge,
Just you try another plunge;
Fortune's bound to favor you
If you will begin anew.

XXVIII-The Local Symptoms of Pulmonary Tuberculosis: Their

Importance and Significance

By ALLEN K. KRAUSE, M.D.

T is instructive to observe the relative rank and importance which the several symptoms of pulmonary tuberculosis assumed for the early medical writers. Franciscus Sylvius (1614-1672) wrote the first formal work on phthisis. He was the first to describe and trace accurately the development of tubercles and point out their association with phthisis. He defines the disease as follows: "Besides wasting of the whole body we observe, as other symptoms which are peculiar to phthisis, cough with spitting of pus (cum puris excretione); to which is added hectic fever which is increased an hour or two after the taking of food."

Richard Morton's definition (1689) is short and sharp: "Phthisis pulmonalis is a consumption of the whole body with fever." William Cullen (1712-1790) in his day was the last word in keen observation, broad experience and common sense judgment. His "First Lines of the Practice of Physic" was the standard textbook on medical practice for forty years and more after his death. "The Phthisis Pulmonalis I would define to be," writes Cullen, "an expectoration of pus, or purulent matter from the lungs, attended with a hectic fever." Thomas Reid's idea (1785) is more comprehensive: definitely established phthisis may be defined as the expectoration of pus dislodged from the lungs by the repeated efforts of a painful cough and accompanied by fever of a peculiar type, which brings on morning sweats, suffers remissions in the afternoon and soon causes considerable loss of strength and flesh.

When Bayle came to write his classic on phthisis (1810) he accepted Pinel's definition: "cough, difficulty in breathing, wasting. hectic fever, and sometimes expectoration of pus."

What

Symptoms were the only guide posts which directed the men of a century ago to a recognition of tuberculosis. these men were familiar with as a particular disease was a stage of the infection far beyond that which we try to detect. We should expect them to be struck by the more common and more impressive earmarks of the disease; and these we find to be wasting or emaciation, spitting of pus, fever of a peculiar type called "hectic" and cough.

All these symptoms have long since passed into the common stock of household medical lore. Every grandmother will render a verdict of consumption on the pres

ence of any two of them. But the "man on the street" should have a little more knowledge about the symptoms of tuberculosisof a kind that may on occasion be more useful to him. If he is ever to develop active tuberculosis of the lungs, it may cost him his life to wait for the appearance of the old familiar symptoms of consumption before he becomes convinced that he may be in a bad way and screws up his courage to see a physician. From the modern medicine of a hundred years ago have filtered into the public mind some ideas of the symptoms of consumption that have stuck, and are dangerous to-day. They are dangerous because they are delusions, and yield slowly to a newer and more correct appreciation of how tuberculosis shows its face.

If every man and woman walked into a physician's office within a day or a week after a possible symptom or combination of symptoms of lung tuberculosis first made itself felt and if, in addition, these men and women followed their physician's advice, the tuberculosis death rate would be cut in half. Let it be granted that there are ignorant physicians, careless physicians, irresponsible physicians and lying physicians. Let it pass for a truth that patients will be assured by these men that they have "nothing wrong," or "are as sound as a nut." or "have only a little catarrh," or "nerves": and that, given the sedative, they lazily drift into the tuberculosis that cannot be denied or mistaken and is hard or impossible to put a stop to. Let anyone make the total of these victims what one pleases. It is, nevertheless, my conviction that many more are sacrificed by their own delay in seeking medical advice after tuberculosis has begun to murmur within them or put its mark upon them..

Cough and Expectoration

Cough and expectoration (sputum) naturally fall together as symptoms of nulmonary (or laryngeal) tuberculosis. There may be (and frequently is) cough without expectoration. There can be no expectoration without cough. At the very least there must occur enough cough to "raise" the sputum. that is, bring it from the windpine and larynx into the mouth. Sooner or later some sputum "shows itself" in the vast majority.

Cough: The first and most important thing for everyone to know about cough and tuberculosis is that active lung disease can exist

without cough. Ignorance of this fact has had serious consequences for not a few who waited for cough to appear before viewing tuberculosis as a possible reason for their let down from good health. Cough and consumption have become a necessary association in the minds of a large part of the public. Cough and consumption is right: but consumption is an advanced stage of tuberculosis of the lungs.

Many tuberculosis patients find that their cough leaves them during treatment, yet their disease remains active. They have other symptoms and may have a return of their cough if they neglect or interrupt treatment. Again, every disease has a beginning; and active tuberculosis is unusual in the extremely long time it may take to this period of beginning. While it is getting under full headway, the patient may experience one or several symptoms, of greater or less intensity and significance, plain enough again and again to assure a presumptive diagnosis of tuberculosis and, after confirmatory examination, justify the initiation of treatment before more serious signs appear; but meanwhile, cough may be absent. Don't think you can't have tuberculosis because you don't cough. This line should be on the first page of every primer of tuberculosis.

There is no characteristic or diagnostic cough of tuberculosis. The "short, dry, hacking cough," heralded as of tuberculosis in the old family doctor book, will probably be heard more often from nontuberculous smokers of tobacco than those who are "running into" consumption. The coughs of tuberculosis are short, drawn out, dry, loose, productive, easy, harassing, hacking, explosive, spasmodic, ringing, shrill, deep, hoarse, hollow, barking, hard, teasing, and whatever else coughs can be. It all depends on what is going on in the lungs.

And since tuberculosis can bring about practically every known type of anatomic change with consequent diversity of physiological disturbance of every structure in the lungs, any cough which results may be similarly varied.

While, as mentioned, cough need not be the first symptom or among the first symptoms, it is nevertheless an early symptom in most cases of active tuberculosis. It is also a symptom which tends to persist throughout the course of progressive tuberculosis. In very general terms, patients with much active tuberculosis cough more than those with a little; but there are many exceptions. An unproductive cough may be hard and teasing or harassing, to become looser and more comfortable as secretion is established. The sudden lessening of cough with access of fever and prostration in a patient with chronic tuberculosis who has been doing well is of grave significance and suggests the onset of acute tuberculous pneumonia or miliary tuberculosis of the lungs. On the other hand, with

everything else remaining the same, subsidence of cough is a favorable sign; increase or intensification, the reverse.

Cough is a valuable symptom in diagnosis. It may be the first to announce impending illness to the patient. It, perhaps it alone, may point out the seat of trouble to patient and physician; sometimes, too, when the location may otherwise have been obscure.

In prognosis it can frequently be of service. Being a chief local symptom, it may, by undergoing change, be the first indication to suggest that a patient is geting better or worse; but while cough may give a first clue to prognosis, it almost invariably requires other evidence to make a reasonably sound estimation of future probabilities.

Sputum: While there is one kind of sputum which, when it occurs, is significant of tuberculosis and to which we shall refer later, almost every variety of sputum occurs in pulmonary tuberculosis. The basic constituent of nearly all sputum is mucus, a whitish or water-white, sticky, slimy or gummy substance. To this may be added pus in varying proportions. Pus is yellow, whitish-yellow or greenish-yellow. It is pus which gives sputum its yellowish character when it is present. Pus may be intimately mixed with the mucus or may appear as separate masses or small yellow flecks in the otherwise colorless or whitish sputum. In addition to mucus and pus the most common grossly visible elements of sputum are reddish or brownish streaks or masses, which usually mean the presence of blood, small white, cheesy particles which are bits of necrotic tissue, and particles or larger, round, yellowish, gritty, or chalky masses, the so-called lung stones or pneumoliths which come from foci that have healed by the deposition of lime salts.

In general, the chief interest and importance of tuberculous sputum in the gross centre around the presence of pus. Pus occurs in the sputum in many diseases besides tuberculosis-in the various types of non-tuberculous bronchitis and pneumonia. in bronchiectasis (a disease characterized by weakening and dilatation of the bronchial walls), in lung abscess, and many other less common infections. The early expectoration of active pulmonary tuberculosis may be without pus, but as the process progresses every case is bound to show some indications of yellowish material in the sputum sooner or later.

Microscopically, the preponderant significance of sputum concerns the presence or absence of tubercle bacilli. Bacilli are rarely to be found in purely mucoid sputum. It is almost an axiom that if bacilli are to be present pus must also be in the sputum. The man in the laboratory comes by experience to learn some fairly good working rules which, though touched with fallibility, hold well enough to be servicable. For instance, he comes to believe that a sputum

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