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December 2, 1911


Author Affiliations

Associate Professor of Medicine, University of Pittsburgh PITTSBURGH

JAMA. 1911;LVII(23):1825-1827. doi:10.1001/jama.1911.04260120015005

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There are certain peculiar features about advanced cases of tuberculosis which are often lost sight of in our discussions of their care from a theoretical standpoint. These features are, it seems to me, essential to consider before practical application of our present schemes can be adopted.

These features may be tabulated as follows:

1. Advanced consumptives are sick and provision for their caremust include an equipment for their continuous stay in bed and adequate nursing under such conditions.

2. They are wanted nowhere: Our ordinary institutions for the care of the sick refuse them; sanatoriums for the tuberculous refuse them; private practitioners want to get rid of them; boarding-houses and homes discharge them without compunction.

3. Few of these patients can ever be so built up that they can return to their former occupation, for while many recover sufficiently to do light tasks and live an average lifetime, their working

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