early stages of the disease with much fever, it may require several months of this rest treatment to the open air before the temperature falls to normal.”  The sputum is dangerous when it becomes dry.  As long as sputum is moist the germs are held in the sputum; but when it is dry they are released and roam at will in the atmosphere and are inhaled.  They are then ready to lodge themselves in suitable soil.  Always keep the sputum (expectoration) moist, and then there is no danger.

Diet.  Treatment.—­The outlook in this disease depends upon the digestion.  Nausea and loss of appetite are serious obstacles.  Many patients loathe foods of all kinds.  A change of air or a sea voyage may promptly restore the appetite.  When this is not possible, rest the patient, keep in the open air nearly all day and feed regularly with small quantities either of buttermilk, milk, or kumiss, alternating if necessary with meat juice and egg albumin.  Some cases which are disturbed by eggs and milk do well on kumiss.  Raw eggs are very suitable for feeding, and may be taken between meals, beginning with one three times a day, and can be increased to two and three at a time.  It is hard to give a regular diet.  The patient should be under the care of a physician who will regulate the kind of diet, amount and change.  When the digestion is good there is less trouble in feeding.  Then the patient can eat meat, poultry, game, oysters, fish, animal broths, eggs.  Nothing should be fried.  Avoid pork, veal, hot bread, cakes, pies, sweet meats, rich gravies, crabs, lobsters.

[Infectious diseases 215]

Diet in Tuberculosis furnished us by a Hospital.—­

May Take.—­Soups.—­Turtle or oyster soup, mutton, clam, or chicken broth, puree of barley, rice, peas, beans, cream of celery or tomatoes, whole beef tea; peptonized milk, gruel.

Fish.—­All kinds of fresh fish boiled or broiled, oysters or clams, raw, roasted or broiled.

Meats.—­Rare roast beef or mutton, lamb chops, ham, fat bacon. sweetbreads, poultry, game, tender steaks, hamburger steak rare.

Eggs.—­Every way except fried.

Farinaceous.—­Oatmeal, wheaten grits, mush, hominy, rice, whole wheat bread, corn bread, milk toast, biscuits, muffins, gems.

Vegetables.—­Potatoes baked, boiled, or creamed, string beans, spinach, onions, asparagus, tomatoes, green peas, all well cooked, cresses, lettuce, plain or with oil dressing, celery.

Desserts.—­Farina, sago, tapioca, apple or milk pudding, floating island, custards, baked or stewed apples with fresh cream, cooked fruits, rice with fresh cream.

Drinks.—­Fresh milk, cool, warm, or peptonized, cocoa, chocolate, buttermilk, pure water, tea, coffee, panopepton.

Must Not Take.—­Fried foods, salt fish, hashes, gravies, veal, pork, carrots, parsnips, cabbage, beets, turnips, cucumbers, macaroni, spaghetti, sweets, pies, pastry, sweet wines.