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The author of this work sets forth his object in the preface. The only drawback to this is that prefaces are rarely read, and the reviewer hopes that something may be gained by noting Dr. Fishberg's intentions here. He believes that physicians can and should do more to recognize phthisis in its earliest or pretuberculous stage; that institutional treatment is not the only effective way of handling the phthisical patient; available institutions would hardly accommodate 10 per cent, of the eligible patients should all wish to enter; even those who enter sanatoriums require treatment before admission and after discharge; careful home treatment may produce practically the same immediate and ultimate results as institutional treatment and is less costly to the patient and to the community. It would be well if these principles were inculcated into the minds of all classes of the community. It is useless for physicians alone to