:.>^


 -4.
 '.4,
~s., -~U-


moisture or dryness, are to


for
tion


individual
s, diversion


patients


be considered in
congeniality, am


thoughts


from


making a choice


usements,


within


, life,


occupa-
activity,


facility of access to and from the outside world.


But, suppose .the


.disease


is not incipient.


Suppose it is


advanced


that it involves a considerable


portion of the lung,


that softening has commenced, even an abscess exists.


be asked


It may


" Would you still inform a patient of his condition "


To a certain extent, yes


dividual.
involve


How far,


would


There are exceptions to all rules.


more


stringent


rules


advice


depend on the in-
 Such conditions


than


milder


cases


few patients will


disposed


atfall times if they are not impressed with


submit to them
3 necessity, and


they cannot be so impressed if they are told that nothing very


serious


exists.


The general condition of


many of these-the


appearance,


figure, the


muscular strength,


appetite,


the sleep, the ability to sustain


considerable fatigue-may be


good, or quite fair ;


it requires no small degree of


confi-


dence in a physician to convince such
edition is such as to demand so close an


invalids that their con'
adherence to hygienic


rules.


Even if


usual


debility,


cough,


emaciation,


exist


the delusion


which is an


almost


*inseparable attendant


on the disease, prevents the invalids from realizing the mean-


ing of


these symptoms.


Being in


Ignorance of their condi-


tion, they are constantly wondering why the cough cannot be


' stopped;
be arrested
they do n<


" why the hoarseness or soreness of


throat cannot


why the expectoration cannot be checked ;


)t gain flesh


whom they look upon


why


or strength more rapidly, like others
as afflicted with the same form of dis-


ease.


physician


kept them in


ignorance of their


condition


, he cannot explain himself satisfactorily; his appar-


want


success impairs confidence,


they


apply to


some other


, in going from one to-another, and from one


location to another, and


thus


undergoing a succession of ex-


periments with various drugs and various climates, they lose


the only hope,
 Some of thi


which is in a steady perseverance.
e reasons toa iwacids fail to a


r Mte cM-


ir:,


I -


I


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