Tuberculosis in infancy and childhood : its pathology, prevention, and treatment . re, immediatelyon their recovery from anaesthesia, they are taken into the open result of such environment has been encouraging to a degree, andour prognosis in such cases is full of hope. When we look round ourhomes for incurables and our cripples asylums in the bustle and noiseof our cities, we see with regret a large proportion of spinal children, iS4 TUBERCULOSIS IN INFANCY AND CHILDHOOD with wan, pathetic faces, fighting a hopeless fight against well-meantbut hostile surroundings. Let us recognize t


Tuberculosis in infancy and childhood : its pathology, prevention, and treatment . re, immediatelyon their recovery from anaesthesia, they are taken into the open result of such environment has been encouraging to a degree, andour prognosis in such cases is full of hope. When we look round ourhomes for incurables and our cripples asylums in the bustle and noiseof our cities, we see with regret a large proportion of spinal children, iS4 TUBERCULOSIS IN INFANCY AND CHILDHOOD with wan, pathetic faces, fighting a hopeless fight against well-meantbut hostile surroundings. Let us recognize that sunshine and countryair and good food are essential elements if full justice is to be meted totuberculous children. Those of us who have spent our lives amongstthese cases are often impressed by the qualities of brain and heart thatmany of them possess ; qualities which, under better and more hygienicconditions, would prove valuable national assets. General Principles of Treatment. Treatment may be considered from a hygienic, therapeutic,mechanical, and operative standpoint. fig. -THOMAS COLLAR APPLIED TO A CASE OF TUBERCULOUSDISEASE OF CERVICAL . Hygienic.—For many vears the writer has refused to treat tuber-culous cases in a town hospital ward for longer than has been needed tocorrect deformity by operative measures. Children belonging to theslums who can be kept lying outside their alley doors do better thanwhen confined in a hospital ward under exemplary sanitary super-vision. Good fresh air and sunshine are essential for tuberculouschildren, and should be secured for them at all costs. Whereverpossible, they should be in the open air during the day, and in a tent atnight-time. Having charge of hospitals in the middle of the countryas well as in the town, the writer speaks with the authority of anexceptional experience when he pleads for open country air. If thiscannot be secured, the room which the sun mostly favours should be TUBERCULOSIS OF THE SPINE


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