,,notes ,,on ,,nurs+3 ,,:at ,,x ,,is1 ,,& ,,:at ,,x ,,is ,,n4 ,,by ,,flor5ce ,,night+ale4 ,,london3 ,,h>rison1 #ei1 ,,pall ,,mall1 ,,booksell] ,,to ,,! ,,que54 ,! "r ( ,translation is res]v$4 ,,pr9t$ ,,by ,,h>rison ,,& ,,sons1 ,,/4 ,,m>t9',s ,,lane1 ,w4,c4 ,,preface4 ,! foll[+ notes are by no means int5d$ z a rule ( ?\ght by :i* nurses c tea* !mselves to nurse1 /ill less z a manual to tea* nurses to nurse4 ,!y are meant simply to give h9ts = ?\ght to wom5 :o h p]sonal *>ge ( ! heal? ( o!rs4 ,e woman1 or at lea/ almo/ e woman1 9 ,engl& has1 at "o "t or ano!r ( h] life1 *>ge ( ! p]sonal heal? ( somebody1 :e!r *ild or invalid1--9 o!r words1 e woman is a nurse4 ,e day sanit>y k1 or ! k ( nurs+1 or 9 o!r words1 ( h[ to put ! con/itution 9 su* a /ate z t x w h no disease1 or t x c recov] f disease1 takes a high] place4 ,x is recogniz$ z ! k :i* e "o ought to h--di/9ct f m$ical k1 :i* only a pr(ession c h4 ,if1 !n1 e woman mu/1 at "s "t or o!r ( h] life1 become a nurse1 i4e41 h *>ge ( somebody's heal?1 h[ imm5se & h[ valuable w\ld be ! produce ( h] unit$ exp]i5ce if e woman w\ld ?9k h[ to nurse4 ,i d n pret5d to tea* h] h[1 ,i ask h] to tea* h]self1 & = ?is purpose ,i v5ture to give h] "s h9ts4 ,,table ,,( ,,cont5ts4 ,,pages ,,v5tilation ,,& ,,w>m+ #h ,,heal? ,,( ,,h\ses #ad ,,petty ,,managem5t #bj ,,noise #be ,,v>iety #cc ,,tak+ ,,food #cf ,,:at ,,food8 #ci ,,b$ ,,& ,,b$d+ #de ,,light #dg ,,cleanl9ess ,,( ,,rooms ,,& ,,walls #di ,,p]sonal ,,cleanl9ess #eb ,,*att]+ ,,hopes ,,& ,,advices #ed ,,obs]vation ,,( ,,! ,,sick #ei ,,conclusion #ga ,,app5dix #gg ,,notes ,,on ,,nurs+3 ,,:at ,,x ,,is1 ,,& ,,:at ,,x ,,is ,,n4 ,sid5ote3 ,disease a rep>ative process4 ,%all we beg9 by tak+ x z a g5]al pr9ciple--t all disease1 at "s p]iod or o!r ( its c\rse1 is m or less a rep>ative process1 n necess>ily accompani$ ) suff]+3 an ef=t ( nature to rem$y a process ( poison+ or ( decay1 :i* has tak5 place weeks1 mon?s1 sometimes ye>s be=eh&1 unnotic$1 ! t]m9ation ( ! disease be+ !n1 :ile ! antec$5t process 0 go+ on1 det]m9$8 ,if we accept ?is z a g5]al pr9ciple we %all be imm$iately met ) anecdotes & in/ances to prove ! contr>y4 ,j s if we 7 to take1 z a pr9ciple--all ! climates ( ! e>? are meant to be made habitable = man1 by ! ef=ts ( man--! objection w\ld be imm$iately rais$1--,w ! top ( ,mont ,blanc ev] be made habitable8 ,our answ] w\ld be1 x w be _m ?\s&s ( ye>s be=e we h rea*$ ! bottom ( ,mont ,blanc 9 mak+ ! e>? heal?y4 ,wait till we h rea*$ ! bottom be=e we discuss ! top4 ,sid5ote3 ,( ! suff]+s ( disease1 disease n always ! cause4 ,9 wat*+ disease1 bo? 9 private h\ses & 9 public hospitals1 ! ?+ :i* /rikes ! exp]i5c$ obs]v] mo/ =cibly is ?is1 t ! symptoms or ! suff]+s g5]ally consid]$ to be inevitable & incid5t to ! disease are v (t5 n symptoms ( ! disease at all1 b ( some?+ q diff]5t--( ! want ( fre% air1 or ( light1 or ( w>m?1 or ( quiet1 or ( cleanl9ess1 or ( punctuality & c>e 9 ! adm9i/ration ( diet1 ( ea* or ( all ( ^!4 ,& ?is q z mu* 9 private z 9 hospital nurs+4 ,! rep>ative process :i* ,nature has in/itut$ & :i* we call disease has be5 h9d]$ by "s want ( k or att5tion1 9 "o or 9 all ( ^! ?+s1 & pa91 suff]+1 or int]ruption ( ! :ole process sets 94 ,if a pati5t is cold1 if a pati5t is fev]i%1 if a pati5t is fa9t1 if he is sick aft] tak+ food1 if he has a b$-sore1 x is g5]ally ! fault n ( ! disease1 b ( ! nurs+4 ,sid5ote3 ,:at nurs+ ought to d4 ,i use ! ^w nurs+ = want ( a bett]4 ,x has be5 limit$ to signify little m ?an ! adm9i/ration ( m$ic9es & ! application ( p\ltices4 ,x ought to signify ! prop] use ( fre% air1 light1 w>m?1 cleanl9ess1 quiet1 & ! prop] selection & adm9i/ration ( diet--all at ! lea/ exp5se ( vital p[] to ! pati5t4 ,sid5ote3 ,nurs+ ! sick little und]/ood4 ,x has be5 said & writt5 scores ( times1 t e woman makes a good nurse4 ,i believe1 on ! contr>y1 t ! v elem5ts ( nurs+ are all b unkn[n4 ,by ?is ,i d n mean t ! nurse is always to blame4 ,bad sanit>y1 bad ar*itectural1 & bad adm9i/rative arrangem5ts (t5 make x impossible to nurse4 ,b ! art ( nurs+ ought to include su* arrangem5ts z alone make :at ,i und]/& by nurs+1 possible4 ,! art ( nurs+1 z n[ practis$1 seems to be expressly con/itut$ to unmake :at ,god _h made disease to be1 viz41 a rep>ative process4 ,sid5ote3 ,nurs+ ought to assi/ ! rep>ative process4 ,to recur to ! fir/ objection4 ,if we are ask$1 ,is su* or su* a disease a rep>ative process8 ,c su* an illness be unaccompani$ ) suff]+8 ,w any c>e prev5t su* a pati5t f suff]+ ?is or t8--,i humbly say1 ,i d n "k4 ,b :5 y h done away ) all t pa9 & suff]+1 :i* 9 pati5ts are ! symptoms n ( _! disease1 b ( ! abs5ce ( "o or all ( ! above-m5tion$ ess5tials to ! success ( ,nature's rep>ative processes1 we %all !n "k :at are ! symptoms ( & ! suff]+s insep>able f ! disease4 ,ano!r & ! commone/ exclamation :i* w be in/antly made is--,w\ld y d no?+1 !n1 9 *ol]a1 fev]1 c48--s deep-root$ & univ]sal is ! conviction t to give m$ic9e is to be do+ some?+1 or r ev]y?+2 to give air1 w>m?1 cleanl9ess1 c41 is to d no?+4 ,! reply is1 t 9 ^! & _m o!r simil> diseases ! exact value ( p>ticul> rem$ies & modes ( treatm5t is by no means asc]ta9$1 :ile !re is univ]sal exp]i5ce z to ! extreme importance ( c>eful nurs+ 9 det]m9+ ! issue ( ! disease4 ,sid5ote3 ,nurs+ ! well4 ,,ii4 ,! v elem5ts ( :at con/itutes good nurs+ are z little und]/ood = ! well z = ! sick4 ,! same laws ( heal? or ( nurs+1 = !y are 9 reality ! same1 obta9 among ! well z among ! sick4 ,! break+ ( !m produces only a less viol5t consequ5ce among ! =m] ?an among ! latt]1--& ?is sometimes1 n always4 ,x is con/antly object$1--,b h[ c ,i obta9 ?is m$ical k8 ,i am n a doctor4 ,i mu/ leave ?is to doctors4 ,sid5ote3 ,little und]/ood4 ,oh1 mo!rs ( families6 ,y :o say ?is1 d y "k t "o 9 e sev5 infants 9 ?is civiliz$ l& ( ,engl& p]i%es be=e x is "o ye> old8 ,t1 9 ,london1 two 9 e five die be=e !y are five ye>s old8 ,&1 9 ! o!r great cities ( ,engl&1 ne>ly "o out ( two8#a ,! life duration ( t5d] babies 7z "s ,saturn1 turn$ analytical *emi/1 says7 is ! mo/ delicate te/ ( sanit>y conditions4 ,is all ?is premature suff]+ & dea? necess>y8 ,or did ,nature int5d mo!rs to be always accompani$ by doctors8 ,or is x bett] to le>n ! piano-=te ?an to le>n ! laws :i* subs]ve ! pres]vation ( (fspr+8 ,macaulay some:]e says1 t x is extraord9>y t1 :]eas ! laws ( ! motions ( ! heav5ly bodies1 f> remov$ z !y are f u1 are p]fectly well und]/ood1 ! laws ( ! human m9d1 :i* are "u our obs]vation all day & e day1 are no bett] und]/ood ?an !y 7 two ?\s& ye>s ago4 ,b h[ mu* m extraord9>y is x t1 :]eas :at we might call ! coxcombries ( education--e4g41 ! elem5ts ( a/ronomy--are n[ taught to e s*ool-girl1 nei!r mo!rs ( families ( any class1 nor s*ool-mi/resses ( any class1 nor nurses ( *ildr51 nor nurses ( hospitals1 are taught any?+ ab\t ^? laws :i* ,god has assign$ to ! relations ( our bodies ) ! _w 9 :i* ,he has put !m4 ,9 o!r words1 ! laws :i* make ^! bodies1 into :i* ,he has put our m9ds1 heal?y or unheal?y organs ( ^? m9ds1 are all b unle>nt4 ,n b t ^! laws--! laws ( life--are 9 a c]ta9 measure und]/ood1 b n ev5 mo!rs ?9k x wor? _! :ile to /udy !m--to /udy h[ to give _! *ildr5 heal?y exi/5ces4 ,!y call x m$ical or physiological k1 fit only = doctors4 ,ano!r objection4 ,we are con/antly told1--,b ! circum/ances :i* gov]n our *ildr5's heal?s are beyond our control4 ,:at c we d ) w9ds8 ,!re is ! ea/ w9d4 ,mo/ p c tell be=e !y get up 9 ! morn+ :e!r ! w9d is 9 ! ea/4 ,to ?is "o c answ] ) m c]ta9ty ?an to ! =m] objections4 ,:o is x :o kn[s :5 ! w9d is 9 ! ea/8 ,n ! ,highl& drov]1 c]ta9ly1 expos$ to ! ea/ w9d1 b ! "y lady :o is worn out ) ! want ( exposure to fre% air1 to sunlight1 c4 ,put ! latt] "u z good sanit>y circum/ances z ! =m]1 & %e too w n "k :5 ! w9d is 9 ! ea/4 ,i4 ,,v5tilation ,,& ,,w>m+4 ,sid5ote3 ,fir/ rule ( nurs+1 to keep ! air )9 z pure z ! air )\t4 ,! v fir/ canon ( nurs+1 ! fir/ & ! la/ ?+ ^u :i* a nurse's att5tion mu/ be fix$1 ! fir/ ess5tial to ! pati5t1 )\t :i* all ! re/ y c d = him is z no?+1 ) :i* ,i _h almo/ said y may leave all ! re/ alone1 is ?is3 ,,to ,,keep ,,! ,,air ,,he ,,brea!s ,,z ,,pure ,,z ,,! ,,ext]nal ,,air1 ,,)\t ,,*ill+ ,,him4 ,yet :at is s little att5d$ to8 ,ev5 :]e x is ?\ght ( at all1 ! mo/ extraord9>y misconceptions reign ab\t x4 ,ev5 9 admitt+ air into ! pati5t's room or w>d1 few p ev] ?9k1 :]e t air comes f4 ,x may come f a corridor into :i* o!r w>ds are v5tilat$1 f a hall1 always unair$1 always full ( ! fumes ( gas1 d9n]1 ( v>i\s k9ds ( mu/9ess2 f an und]gr\nd kit*51 s9k1 wa%h\se1 wat]-closet1 or ev51 z ,i myself h _h sorr[ful exp]i5ce1 f op5 sew]s load$ ) fil?2 & ) ?is ! pati5t's room or w>d is air$1 z x is call$--poison$1 x %\ld r be said4 ,always air f ! air )\t1 & t1 too1 ?r\gh ^? w9d[s1 ?r\gh :i* ! air comes fre%e/4 ,f a clos$ c\rt1 especially if ! w9d d n bl[ t way1 air may come z /agnant z any f a hall or corridor4 ,aga91 a ?+ ,i h (t5 se5 bo? 9 private h\ses & in/itutions4 ,a room rema9s un9habit$2 ! fire place is c>efully fa/5$ up ) a bo>d2 ! w9d[s are nev] op5$2 probably ! %utt]s are kept always %ut2 p]haps "s k9d ( /ores are kept 9 ! room2 no brea? ( fre% air c by possibility ent] into t room1 nor any ray ( sun4 ,! air is z /agnant1 mu/y1 & corrupt z x c by possibility be made4 ,x is q ripe to bre$ small-pox1 sc>let fev]1 diph!ria1 or any?+ else y please4#b ,yet ! nurs]y1 w>d1 or sick room adjo9+ w positively be air$ 787 by hav+ ! door op5$ into t room4 ,or *ildr5 w be put into t room1 )\t previ\s prep>ation1 to sleep4 ,a %ort "t ago a man walk$ into a back-kit*5 9 ,que5 squ>e1 & cut ! ?roat ( a poor consumptive creature1 sitt+ by ! fire4 ,! murd]] did n d5y ! act1 b simply said1 ,x's all "r4 ,( c\rse he 0 mad4 ,b 9 our case1 ! extraord9>y ?+ is t ! victim says1 ,x's all "r1 & t we are n mad4 ,yet1 al?\gh we nose ! murd]]s1 9 ! mu/y unair$ unsunn$ room1 ! sc>let fev] :i* is beh9d ! door1 or ! fev] & hospital gangr5e :i* are /alk+ among ! cr[d$ b$s ( a hospital w>d1 we say1 ,x's all "r4 ,sid5ote3 ,)\t *ill4 ,) a prop] supply ( w9d[s1 & a prop] supply ( fuel 9 op5 fire places1 fre% air is comp>atively easy to secure :5 y\r pati5t or pati5ts are 9 b$4 ,nev] be afraid ( op5 w9d[s !n4 ,p don't cat* cold 9 b$4 ,?is is a popul> fallacy4 ,) prop] b$-clo!s & hot bottles1 if necess>y1 y c always keep a pati5t w>m 9 b$1 & well v5tilate him at ! same "t4 ,b a c>eless nurse1 be h] rank & education :at x may1 w /op up e cranny & keep a hot-h\se heat :5 h] pati5t is 9 b$1--&1 if he is able to get up1 leave him comp>atively unprotect$4 ,! "t :5 p take cold 7& !re are _m ways ( tak+ cold1 besides a cold 9 ! nose17 is :5 !y fir/ get up aft] ! two-fold exhau/ion ( dress+ & ( hav+ _h ! sk9 relax$ by _m h\rs1 p]haps days1 9 b$1 & !reby r5d]$ m incapable ( re-action4 ,!n ! same temp]ature :i* refre%es ! pati5t 9 b$ may de/roy ! pati5t j ris54 ,& common s5se w po9t out t1 :ile purity ( air is ess5tial1 a temp]ature mu/ be secur$ :i* %all n *ill ! pati5t4 ,o!rwise ! be/ t c be expect$ w be a fev]i% re-action4 ,to h ! air )9 z pure z ! air )\t1 x is n necess>y1 z (t5 appe>s to be ?\ght1 to make x z cold4 ,9 ! aft]noon aga91 )\t c>e1 ! pati5t ^: vital p[]s h !n ris5 (t5 f9ds ! room z close & oppressive z he f\nd x cold 9 ! morn+4 ,yet ! nurse w be t]rifi$1 if a w9d[ is op5$#c4 ,sid5ote3 ,op5 w9d[s4 ,i "k an intellig5t humane h\se surgeon :o makes a practice ( keep+ ! w>d w9d[s op54 ,! physicians & surgeons inv>iably close !m :ile go+ _! r\nds2 & ! h\se surgeon v prop]ly z inv>iably op5s !m :5ev] ! doctors h turn$ _! backs4 ,9 a little book on nurs+1 publi%$ a %ort "t ago1 we are told1 t ) prop] c>e x is v seldom t ! w9d[s _c be op5$ = a few m9utes twice 9 ! day to admit fre% air f )\t4 ,i %\ld ?9k n2 nor twice 9 ! h\r ei!r4 ,x only %[s h[ little ! subject has be5 consid]$4 ,sid5ote3 ,:at k9d ( w>m? desirable4 ,( all me?ods ( keep+ pati5ts w>m ! v wor/ c]ta9ly is to dep5d = heat on ! brea? & bodies ( ! sick4 ,i h kn[n a m$ical (fic] keep 8 w>d w9d[s h]metically clos$1 ?us expos+ ! sick to all ! dang]s ( an infect$ atmosph]e1 because he 0 afraid t1 by admitt+ fre% air1 ! temp]ature ( ! w>d w\ld be too mu* l[]$4 ,?is is a de/ructive fallacy4 ,to attempt to keep a w>d w>m at ! exp5se ( mak+ ! sick repeat$ly brea! _! own hot1 humid1 putresc+ atmosph]e is a c]ta9 way to delay recov]y or to de/roy life4 ,sid5ote3 ,b$rooms almo/ univ]sally f\l4 ,d y ev] g into ! b$-rooms ( any p]sons ( any class1 :e!r !y conta9 "o1 two1 or tw5ty p1 :e!r !y hold sick or well1 at night1 or be=e ! w9d[s are op5$ 9 ! morn+1 & ev] f9d ! air any?+ b un:olesomely close & f\l8 ,& :y %\ld x be s8 ,& ( h[ mu* importance x is t x %\ld n be s8 ,dur+ sleep1 ! human body1 ev5 :5 9 heal?1 is f> m injur$ by ! influ5ce ( f\l air ?an :5 awake4 ,:y c't y keep ! air all night1 !n1 z pure z ! air )\t 9 ! rooms y sleep 98 ,b = ?is1 y mu/ h suffici5t outlet = ! impure air y make y\rselves to g out2 suffici5t inlet = ! pure air f )\t to come 94 ,y mu/ h op5 *imneys1 op5 w9d[s1 or v5tilators2 no close curta9s r\nd y\r b$s2 no %utt]s or curta9s to y\r w9d[s1 none ( ! contrivances by :i* y und]m9e y\r own heal? or de/roy ! *ances ( recov]y ( y\r sick4#d ,sid5ote3 ,:5 w>m? mu/ be mo/ c>efully look$ to4 ,a c>eful nurse w keep a con/ant wat* ov] h] sick1 especially weak1 protract$1 & collaps$ cases1 to gu>d aga9/ ! effects ( ! loss ( vital heat by ! pati5t himself4 ,9 c]ta9 diseas$ /ates mu* less heat is produc$ ?an 9 heal?2 & !re is a con/ant t5d5cy to ! decl9e & ultimate ext9ction ( ! vital p[]s by ! call made ^u !m to su/a9 ! heat ( ! body4 ,cases :]e ?is occurs %\ld be wat*$ ) ! greate/ c>e f h\r to h\r1 ,i _h almo/ said f m9ute to m9ute4 ,! feet & legs %\ld be exam9$ by ! h& f "t to "t1 & :5ev] a t5d5cy to *ill+ is discov]$1 hot bottles1 hot bricks1 or w>m flannels1 ) "s w>m dr9k1 %\ld be made use ( until ! temp]ature is re/or$4 ,! fire %\ld be1 if necess>y1 repl5i%$4 ,pati5ts are frequ5tly lo/ 9 ! latt] /ages ( disease f want ( att5tion to su* simple precautions4 ,! nurse may be tru/+ to ! pati5t's diet1 or to 8 m$ic9e1 or to ! occasional dose ( /imulant :i* %e is direct$ to give him1 :ile ! pati5t is all ! :ile s9k+ f want ( a little ext]nal w>m?4 ,su* cases happ5 at all times1 ev5 dur+ ! height ( summ]4 ,?is fatal *ill is mo/ apt to occur t[>ds e>ly morn+ at ! p]iod ( ! l[e/ temp]ature ( ! tw5ty-f\r h\rs1 & at ! "t :5 ! effect ( ! prec$+ day's diets is exhau/$4 ,g5]ally speak+1 y may expect t weak pati5ts w suff] cold mu* m 9 ! morn+ ?an 9 ! ev5+4 ,! vital p[]s are mu* l[]4 ,if !y are fev]i% at night1 ) burn+ h&s & feet1 !y are almo/ sure to be *illy & %iv]+ 9 ! morn+4 ,b nurses are v fond ( heat+ ! foot-w>m] at night1 & ( neglect+ x 9 ! morn+1 :5 !y are busy4 ,i %\ld rev]se ! matt]4 ,all ^! ?+s require common s5se & c>e4 ,yet p]haps 9 no "o s+le ?+ is s little common s5se %ewn1 9 all ranks1 z 9 nurs+4#e ,sid5ote3 ,cold air n v5tilation1 nor fre% air a me?od ( *ill4 ,! extraord9>y confusion betwe5 cold & v5tilation1 9 ! m9ds ( ev5 well educat$ p1 illu/rates ?is4 ,to make a room cold is by no means necess>ily to v5tilate x4 ,nor is x at all necess>y1 9 ord] to v5tilate a room1 to *ill x4 ,yet1 if a nurse f9ds a room close1 %e w let out ! fire1 !reby mak+ x clos]1 or %e w op5 ! door into a cold room1 )\t a fire1 or an op5 w9d[ 9 x1 by way ( improv+ ! v5tilation4 ,! safe/ atmosph]e ( all = a pati5t is a good fire & an op5 w9d[1 except+ 9 extremes ( temp]ature4 7,yet no nurse c ev] be made to und]/& ?is47 ,to v5tilate a small room )\t draughts ( c\rse requires m c>e ?an to v5tilate a l>ge "o4 ,sid5ote3 ,night air4 ,ano!r extraord9>y fallacy is ! dread ( night air4 ,:at air c we brea! at night b night air8 ,! *oice is betwe5 pure night air f )\t & f\l night air f )94 ,mo/ p pref] ! latt]4 ,an unacc\ntable *oice4 ,:at w !y say if x is prov$ to be true t fully "o-half ( all ! disease we suff] f is occasion$ by p sleep+ ) _! w9d[s %ut8 ,an op5 w9d[ mo/ nights 9 ! ye> c nev] hurt any "o4 ,?is is n to say t light is n necess>y = recov]y4 ,9 great cities1 night air is (t5 ! be/ & pure/ air to be _h 9 ! tw5ty-f\r h\rs4 ,i c\ld bett] und]/& 9 t[ns %utt+ ! w9d[s dur+ ! day ?an dur+ ! night1 = ! sake ( ! sick4 ,! abs5ce ( smoke1 ! quiet1 all t5d to mak+ night ! be/ "t = air+ ! pati5ts4 ,"o ( our highe/ m$ical au?orities on ,consumption & ,climate has told me t ! air 9 ,london is nev] s good z aft] t5 o'clock at night4 ,sid5ote3 ,air f ! outside4 ,op5 y\r w9d[s1 %ut y\r doors4 ,always air y\r room1 !n1 f ! outside air1 if possible4 ,w9d[s are made to op52 doors are made to %ut--a tru? :i* seems extremely difficult ( appreh5sion4 ,i h se5 a c>eful nurse air+ h] pati5t's room ?r\gh ! door1 ne> to :i* 7 two gaslights1 7ea* ( :i* consumes z mu* air z elev5 m571 a kit*51 a corridor1 ! composition ( ! atmosph]e 9 :i* consi/$ ( gas1 pa9t1 f\l air1 nev] *ang$1 full ( effluvia1 includ+ a curr5t ( sew] air f an ill-plac$ s9k1 asc5d+ 9 a cont9ual /ream by a well-/aircase1 & dis*>g+ !mselves con/antly into ! pati5t's room4 ,! w9d[ ( ! said room1 if op5$1 0 all t 0 desirable to air x4 ,e room mu/ be air$ f )\t--e passage f )\t4 ,b ! few] passages !re are 9 a hospital ! bett]4 ,sid5ote3 ,smoke4 ,if we are to pres]ve ! air )9 z pure z ! air )\t1 x is ne$less to say t ! *imney mu/ n smoke4 ,almo/ all smoky *imneys c be cur$--f ! bottom1 n f ! top4 ,(t5 x is only necess>y to h an inlet = air to supply ! fire1 :i* is fe$+ itself1 = want ( ?is1 f its own *imney4 ,on ! o!r h&1 almo/ all *imneys c be made to smoke by a c>eless nurse1 :o lets ! fire get l[ & !n ov]:elms x ) coal2 n1 z we v]ily believe1 9 ord] to sp>e h]self tr\ble1 7= v r>e is unk9dness to ! sick71 b f n ?9k+ :at %e is ab\t4 ,sid5ote3 ,air+ damp ?+s 9 a pati5t's room4 ,9 lay+ d[n ! pr9ciple t ! fir/ object ( ! nurse mu/ be to keep ! air brea!d by h] pati5t z pure z ! air )\t1 x mu/ n be =gott5 t ev]y?+ 9 ! room :i* c give (f effluvia1 besides ! pati5t1 evaporates itself into 8 air4 ,& x foll[s t !re ought to be no?+ 9 ! room1 except+ him1 :i* c give (f effluvia or moi/ure4 ,out ( all damp t[els1 c41 :i* become dry 9 ! room1 ! damp1 ( c\rse1 goes into ! pati5t's air4 ,yet ?is ( c\rse seems z little ?\ght (1 z if x 7 an obsolete fiction4 ,h[ v seldom y see a nurse :o ackn[l$ges by h] practice t no?+ at all ought to be air$ 9 ! pati5t's room1 t no?+ at all ought to be cook$ at ! pati5t's fire6 ,inde$ ! arrangem5ts (t5 make ?is rule impossible to obs]ve4 ,if ! nurse be a v c>eful "o1 %e w1 :5 ! pati5t leaves 8 b$1 b n 8 room1 op5 ! %eets wide1 & ?r[ ! b$ clo!s back1 9 ord] to air 8 b$4 ,& %e w spread ! wet t[els or flannels c>efully out ^u a horse1 9 ord] to dry !m4 ,n[ ei!r ^! b$-clo!s & t[els are n dri$ & air$1 or !y dry & air !mselves into ! pati5t's air4 ,& :e!r ! damp & effluvia d him mo/ h>m 9 8 air or 9 8 b$1 ,i leave to y to det]m9e1 = ,i _c4 ,sid5ote3 ,effluvia f excreta4 ,ev5 9 heal? p _c repeat$ly brea! air 9 :i* !y live ) impunity1 on acc\nt ( its becom+ *>g$ ) un:olesome matt] f ! lungs & sk94 ,9 disease :]e ev]y?+ giv5 (f f ! body is highly noxi\s & dang]\s1 n only mu/ !re be pl5ty ( v5tilation to c>ry (f ! effluvia1 b ev]y?+ :i* ! pati5t passes mu/ be in/antly remov$ away1 z be+ m noxi\s ?an ev5 ! emanations f ! sick4 ,( ! fatal effects ( ! effluvia f ! excreta x w\ld seem unnecess>y to speak1 7 !y n s con/antly neglect$4 ,conceal+ ! ut5sils beh9d ! vallance to ! b$ seems all ! precaution :i* is ?\ght necess>y = safety 9 private nurs+4 ,did y b ?9k = "o mom5t ( ! atmosph]e "u t b$1 ! saturation ( ! "u side ( ! mattress ) ! w>m evaporations1 y w\ld be />tl$ & fright5$ too6 ,sid5ote3 ,*amb] ut5sils )\t lids4 ,! use ( any *amb] ut5sil )\t a lid#f %\ld be utt]ly aboli%$1 :e!r among sick or well4 ,y c easily conv9ce y\rself ( ! necessity ( ?is absolute rule1 by tak+ "o ) a lid1 & exam9+ ! "u side ( t lid4 ,x w be f\nd always cov]$1 :5ev] ! ut5sil is n empty1 by cond5s$ (f5sive moi/ure4 ,:]e does t g1 :5 !re is no lid8 ,e>!nw>e1 or if !re is any wood1 highly poli%$ & v>ni%$ wood1 are ! only mat]ials fit = pati5ts' ut5sils4 ,! v lid ( ! old abom9able close-/ool is en\gh to bre$ a pe/il5ce4 ,x becomes saturat$ ) (f5sive matt]1 :i* sc\r+ is only want$ to br+ out4 ,i pref] an e>!nw>e lid z be+ always clean]4 ,b !re are v>i\s good new-fa%ion$ arrangem5ts4 ,sid5ote3 ,aboli% slop-pails4 ,a slop-pail %\ld nev] be br\ght into a sick room4 ,x %\ld be a rule inv>iable1 r m important 9 ! private h\se ?an else:]e1 t ! ut5sil %\ld be c>ri$ directly to ! wat]-closet1 empti$ !re1 r9s$ !re1 & br\ght back4 ,!re %\ld always be wat] & a cock 9 e wat]-closet = r9s+4 ,b ev5 if !re is n1 y mu/ c>ry wat] !re to r9se )4 ,i h actually se51 9 ! private sick room1 ! ut5sils empti$ into ! foot-pan1 & put back unr9s$ "u ! b$4 ,i c h>dly say :i* is mo/ abom9able1 :e!r to d ?is or to r9se ! ut5sil 9 ! sick room4 ,9 ! be/ hospitals x is n[ a rule t no slop-pail %all ev] be br\ght into ! w>ds1 b t ! ut5sils %all be c>ri$ direct to be empti$ & r9s$ at ! prop] place4 ,i w\ld x 7 s 9 ! private h\se4 ,sid5ote3 ,fumigations4 ,let no "o ev] dep5d ^u fumigations1 dis9fectants1 & ! l1 = purify+ ! air4 ,! (f5sive ?+1 n its smell1 mu/ be remov$4 ,a celebrat$ m$ical lectur] began "o day ,fumigations1 g5tlem51 are ( ess5tial importance4 ,!y make su* an abom9able smell t !y compel y to op5 ! w9d[4 ,i wi% all ! dis9fect+ fluids inv5t$ made su* an abom9able smell t !y =c$ y to admit fre% air4 ,t w\ld be a useful inv5tion4 ,,ii4--,,heal? ,,( ,,h\ses4#g ,sid5ote3 ,heal? ( h\ses4 ,five po9ts ess5tial4 ,!re are five ess5tial po9ts 9 secur+ ! heal? ( h\ses3-- #a4 ,pure air4 #b4 ,pure wat]4 #c4 ,effici5t dra9age4 #d4 ,cleanl9ess4 #e4 ,light4 ,)\t ^!1 no h\se c be heal?y4 ,& x w be unheal?y j 9 proportion z !y are defici5t4 ,sid5ote3 ,pure air4 #a4 ,to h pure air1 y\r h\se mu/ be s con/ruct$ z t ! out] atmosph]e %all f9d its way ) ease to e corn] ( x4 ,h\se ar*itects h>dly ev] consid] ?is4 ,! object 9 build+ a h\se is to obta9 ! l>ge/ int]e/ = ! money1 n to save doctors' bills to ! t5ants4 ,b1 if t5ants %\ld ev] become s wise z to refuse to occupy unheal?ily con/ruct$ h\ses1 & if ,insurance ,companies %\ld ev] come to und]/& _! int]e/ s ?or\ghly z to pay a ,sanit>y ,surveyor to look aft] ! h\ses :]e _! cli5ts live1 speculative ar*itects w\ld spe$ily be br\ght to _! s5ses4 ,z x is1 !y build :at pays be/4 ,& !re are always p fooli% en\gh to take ! h\ses !y build4 ,& if 9 ! c\rse ( "t ! families die (f1 z is s (t5 ! case1 nobody ev] ?9ks ( blam+ any b ,provid5ce#h = ! result4 ,ill-in=m$ m$ical m5 aid 9 su/a9+ ! delusion1 by lay+ ! blame on curr5t contagions4 ,badly con/ruct$ h\ses d = ! heal?y :at badly con/ruct$ hospitals d = ! sick4 ,once insure t ! air 9 a h\se is /agnant1 & sickness is c]ta9 to foll[4 ,sid5ote3 ,pure wat]4 #b4 ,pure wat] is m g5]ally introduc$ into h\ses ?an x us$ to be1 ?anks to ! ex]tions ( ! sanit>y re=m]s4 ,)9 ! la/ few ye>s1 a l>ge "p ( ,london 0 9 ! daily habit ( us+ wat] pollut$ by ! dra9age ( its sew]s & wat] closets4 ,?is has happily be5 rem$i$4 ,b1 9 _m p>ts ( ! c\ntry1 well wat] ( a v impure k9d is us$ = dome/ic purposes4 ,& :5 epidemic disease %[s itself1 p]sons us+ su* wat] are almo/ sure to suff]4 ,sid5ote3 ,dra9age4 #c4 ,x w\ld be curi\s to asc]ta9 by inspection1 h[ _m h\ses 9 ,london are really well dra9$4 ,_m p w\ld say1 surely all or mo/ ( !m4 ,b _m p h no idea 9 :at good dra9age consi/s4 ,!y ?9k t a sew] 9 ! /reet1 & a pipe lead+ to x f ! h\se is good dra9age4 ,all ! :ile ! sew] may be no?+ b a laboratory f :i* epidemic disease & ill heal? is be+ di/ill$ into ! h\se4 ,no h\se ) any untrapp$ dra9 pipe communicat+ imm$iately ) a sew]1 :e!r x be f wat] closet1 s9k1 or gully-grate1 c ev] be heal?y4 ,an untrapp$ s9k may at any "t spread fev] or pymia among ! inmates ( a palace4 ,sid5ote3 ,s9ks4 ,! ord9>y oblong s9k is an abom9ation4 ,t great surface ( /one1 :i* is always left wet1 is always exhal+ into ! air4 ,i h kn[n :ole h\ses & hospitals smell ( ! s9k4 ,i h met j z /rong a /ream ( sew] air com+ up ! back /aircase ( a gr& ,london h\se f ! s9k1 z ,i h ev] met at ,scut>i2 & ,i h se5 ! rooms 9 t h\se all v5tilat$ by ! op5 doors1 & ! passages all unv5tilat$ by ! clos$ w9d[s1 9 ord] t z mu* ( ! sew] air z possible might be conduct$ into & reta9$ 9 ! b$-rooms4 ,x is wond]ful4 ,ano!r great evil 9 h\se con/ruction is c>ry+ dra9s und]nea? ! h\se4 ,su* dra9s are nev] safe4 ,all h\se dra9s %\ld beg9 & end outside ! walls4 ,_m p w readily admit1 z a !ory1 ! importance ( ^! ?+s4 ,b h[ few are !re :o c intellig5tly trace disease 9 _! h\seholds to su* causes6 ,is x n a fact1 t :5 sc>let fev]1 measles1 or small-pox appe> among ! *ildr51 ! v fir/ ?\ght :i* occurs is1 :]e ! *ildr5 c h caught ! disease8 ,& ! p>5ts imm$iately run ov] 9 _! m9ds all ! families ) :om !y may h be54 ,!y nev] ?9k ( look+ at home = ! s\rce ( ! mis*ief4 ,if a neighb\r's *ild is seiz$ ) small-pox1 ! fir/ "q :i* occurs is :e!r x _h be5 vacc9at$4 ,no "o w\ld und]value vacc9ation2 b x becomes ( d\btful b5efit to society :5 x leads p to look abroad = ! s\rce ( evils :i* exi/ at home4 ,sid5ote3 ,cleanl9ess4 #d4 ,)\t cleanl9ess1 )9 & )\t y\r h\se1 v5tilation is comp>atively useless4 ,9 c]ta9 f\l di/ricts ( ,london1 poor p us$ to object to op5 _! w9d[s & doors because ( ! f\l smells t came 94 ,ri* p l to h _! /ables & dunghill ne> _! h\ses4 ,b does x ev] occur to !m t ) _m arrangem5ts ( ?is k9d x w\ld be saf] to keep ! w9d[s %ut ?an op58 ,y _c h ! air ( ! h\se pure ) dung heaps "u ! w9d[s4 ,^! are common all ov] ,london4 ,& yet p are surpris$ t _! *ildr51 br\ght up 9 l>ge well-air$ nurs]ies & b$-rooms suff] f *ildr5's epidemics4 ,if !y /udi$ ,nature's laws 9 ! matt] ( *ildr5's heal?1 !y w\ld n be s surpris$4 ,!re are o!r ways ( hav+ fil? inside a h\se besides hav+ dirt 9 heaps4 ,old pap]$ walls ( ye>s' /&+1 dirty c>pets1 uncleans$ furniture1 are j z ready s\rces ( impurity to ! air z if !re 7 a dung-heap 9 ! basem5t4 ,p are s unaccu/om$ f education & habits to consid] h[ to make a home heal?y1 t !y ei!r nev] ?9k ( x at all1 & take e disease z a matt] ( c\rse1 to be resign$ to :5 x comes z f ! h& ( ,provid5ce2 or if !y ev] ent]ta9 ! idea ( pres]v+ ! heal? ( _! h\sehold z a duty1 !y are v apt to commit all k9ds ( neglig5ces & ignorances 9 p]=m+ x4 ,sid5ote3 ,light4 #e4 ,a d>k h\se is always an unheal?y h\se1 always an ill-air$ h\se1 always a dirty h\se4 ,want ( light /ops gr[?1 & promotes scr(ula1 rickets1 c41 among ! *ildr54 ,p lose _! heal? 9 a d>k h\se1 & if !y get ill !y _c get well aga9 9 x4 ,m w be said ab\t ?is f>!r on4 ,sid5ote3 ,?ree common errors 9 manag+ ! heal? ( h\ses4 ,?ree out ( _m neglig5ces & ignorances 9 manag+ ! heal? ( h\ses g5]ally1 ,i w "h m5tion z specim5s--#a4 ,t ! female head 9 *>ge ( any build+ does n ?9k x necess>y to visit e hole & corn] ( x e day4 ,h[ c %e expect ^? :o are "u h] to be m c>eful to ma9ta9 h] h\se 9 a heal?y condition ?an %e :o is 9 *>ge ( x8--#b4 ,t x is n consid]$ ess5tial to air1 to sun1 & to clean rooms :ile un9habit$2 :i* is simply ignor+ ! fir/ elem5t>y notion ( sanit>y ?+s1 & lay+ ! gr\nd ready = all k9ds ( diseases4--#c4 ,t ! w9d[1 & "o w9d[1 is consid]$ en\gh to air a room4 ,h y nev] obs]v$ t any room )\t a fire-place is always close8 ,&1 if y h a fire-place1 w\ld y cram x up n only ) a *imney-bo>d1 b p]haps ) a great wisp ( br[n pap]1 9 ! ?roat ( ! *imney--to prev5t ! soot f com+ d[n1 y say8 ,if y\r *imney is f\l1 sweep x2 b don't expect t y c ev] air a room ) only "o ap]ture2 don't suppose t to %ut up a room is ! way to keep x clean4 ,x is ! be/ way to f\l ! room & all t is 9 x4 ,don't imag9e t if y1 :o are 9 *>ge1 don't look to all ^! ?+s y\rself1 ^? "u y w be m c>eful ?an y are4 ,x appe>s z if ! "p ( a mi/ress n[ is to compla9 ( h] s]vants1 & to accept _! excuses--n to %[ !m h[ !re ne$ be nei!r compla9ts made nor excuses4 ,sid5ote3 ,head 9 *>ge mu/ see to ,h\se ,hygi5e1 n d x h]self4 ,b aga91 to look to all ^! ?+s y\rself does n mean to d !m y\rself4 ,i always op5 ! w9d[s1 ! head 9 *>ge (t5 says4 ,if y d x1 x is by s mu* ! bett]1 c]ta9ly1 ?an if x 7 n done at all4 ,b c y n insure t x is done :5 n done by y\rself8 ,c y insure t x is n undone :5 y\r back is turn$8 ,?is is :at be+ 9 *>ge means4 ,& a v important mean+ x is1 too4 ,! =m] only implies t j :at y c d ) y\r own h&s is done4 ,! latt] t :at ought to be done is always done4 ,sid5ote3 ,does ,god ?9k ( ^! ?+s s s]i\sly8 ,& n[1 y ?9k ^! ?+s trifles1 or at lea/ exagg]at$4 ,b :at y ?9k or :at ,i ?9k matt]s little4 ,let u see :at ,god ?9ks ( !m4 ,god always ju/ifies ,8 ways4 ,:ile we are ?9k+1 ,he has be5 tea*+4 ,i h kn[n cases ( hospital pymia q z sev]e 9 h&some private h\ses z 9 any ( ! wor/ hospitals1 & f ! same cause1 viz41 f\l air4 ,yet nobody le>nt ! lesson4 ,nobody le>nt any?+ at all f x4 ,!y w5t on ?9k+--?9k+ t ! suff]] _h scrat*$ 8 ?umb1 or t x 0 s+ul> t all ! s]vants _h :itl[s1 or t some?+ 0 mu* ab\t ?is ye>2 !re is always sickness 9 our h\se4 ,?is is a fav\rite mode ( ?\ght--lead+ n to inquire :at is ! uni=m cause ( ^! g5]al :itl[s1 b to /ifle all inquiry4 ,9 :at s5se is sickness be+ always !re1 a ju/ification ( its be+ !re at all8 ,sid5ote3 ,h[ does ,he c>ry out ,8 laws8 ,sid5ote3 ,h[ does ,he tea* ,8 laws8 ,i w tell y :at 0 ! cause ( ?is hospital pymia be+ 9 t l>ge private h\se4 ,x 0 t ! sew] air f an ill-plac$ s9k 0 c>efully conduct$ into all ! rooms by s$ul\sly op5+ all ! doors1 & clos+ all ! passage w9d[s4 ,x 0 t ! slops 7 empti$ into ! foot pans2--x 0 t ! ut5sils 7 nev] prop]ly r9s$2--x 0 t ! *amb] crock]y 0 r9s$ ) dirty wat]2--x 0 t ! b$s 7 nev] prop]ly %ak51 air$1 pick$ to pieces1 or *ang$4 ,x 0 t ! c>pets & curta9s 7 always mu/y2--x 0 t ! furniture 0 always du/y2 x 0 t ! pap]$ walls 7 saturat$ ) dirt2--x 0 t ! floors 7 nev] clean$2--x 0 t ! un9habit$ rooms 7 nev] sunn$1 or clean$1 or air$2--x 0 t ! cupbo>ds 7 always res]voirs ( f\l air2--x 0 t ! w9d[s 7 always tight %ut up at night2--x 0 t no w9d[ 0 ev] sy/ematically op5$1 ev5 9 ! day1 or t ! "r w9d[ 0 n op5$4 ,a p]son gasp+ = air might op5 a w9d[ = himself4 ,b ! s]vants 7 n taught to op5 ! w9d[s1 to %ut ! doors2 or !y op5$ ! w9d[s ^u a dank well betwe5 high walls1 n ^u ! airi] c\rt2 or !y op5$ ! room doors into ! unair$ halls & passages1 by way ( air+ ! rooms4 ,n[ all ?is is n fancy1 b fact4 ,9 t h&some h\se ,i h kn[n 9 "o summ] ?ree cases ( hospital pymia1 "o ( phlebitis1 two ( consumptive c\gh3 all ! imm$iate products ( f\l air4 ,:51 9 temp]ate climates1 a h\se is m unheal?y 9 summ] ?an 9 w9t]1 x is a c]ta9 sign ( some?+ wrong4 ,yet nobody le>ns ! lesson4 ,yes1 ,god always ju/ifies ,8 ways4 ,he is tea*+ :ile y are n le>n+4 ,?is poor body loses 8 f+]1 t "o loses 8 life4 ,& all f ! mo/ easily prev5tible causes4#i ,sid5ote3 ,physical deg5]ation 9 families4 ,its causes4 ,! h\ses ( ! gr&mo!rs & great gr&mo!rs ( ?is g5]ation1 at lea/ ! c\ntry h\ses1 ) front door & back door always /&+ op51 w9t] & summ]1 & a ?or\gh draught always bl[+ ?r\gh--) all ! scrubb+1 & clean+1 & poli%+1 & sc\r+ :i* us$ to g on1 ! gr&mo!rs1 & /ill m ! great gr&mo!rs1 always out ( doors & nev] ) a bonnet on except to g to *ur*1 ^! ?+s entirely acc\nt = ! fact s (t5 se5 ( a great gr&mo!r1 :o 0 a t[] ( physical vig\r desc5d+ into a gr&mo!r p]haps a little less vigor\s b /ill s\nd z a bell & heal?y to ! core1 into a "m languid & conf9$ to h] c>riage & h\se1 & la/ly into a daught] sickly & conf9$ to h] b$4 ,=1 rememb]1 ev5 ) a g5]al decrease ( mortality y may (t5 f9d a race ?us deg5]at+ & /ill (t5] a family4 ,y may see poor little feeble wa%$-out rags1 *ildr5 ( a noble /ock1 suff]+ morally & physically1 ?r\gh\t _! useless1 deg5]ate lives1 & yet p :o are go+ to m>ry & to br+ m su* into ! _w1 w consult no?+ b _! own conv5i5ce z to :]e !y are to live1 or h[ !y are to live4 ,sid5ote3 ,don't make y\r sick-room into a v5tilat+ %aft = ! :ole h\se4 ,) reg>d to ! heal? ( h\ses :]e !re is a sick p]son1 x (t5 happ5s t ! sick room is made a v5tilat+ %aft = ! re/ ( ! h\se4 ,= :ile ! h\se is kept z close1 unair$1 & dirty z usual1 ! w9d[ ( ! sick room is kept a little op5 always1 & ! door occasionally4 ,n[1 !re are c]ta9 sacrifices :i* a h\se ) "o sick p]son 9 x does make to t sick p]son3 x ties up its knock]2 x lays /raw be=e x 9 ! /reet4 ,:y c't x keep itself ?or\ghly clean & unusually well air$1 9 def]5ce to ! sick p]son8 ,sid5ote3 ,infection4 ,we mu/ n =get :at1 9 ord9>y language1 is call$ ,infection2#aj--;a ?+ ( :i* p are g5]ally s afraid t !y frequ5tly foll[ ! v practice 9 reg>d to x :i* !y ought to avoid4 ,no?+ us$ to be consid]$ s infecti\s or contagi\s z small pox2 & p n v long ago us$ to cov] up pati5ts ) heavy b$ clo!s1 :ile !y kept up l>ge fires & %ut ! w9d[s4 ,small pox1 ( c\rse1 "u ?is rgime1 is v infecti\s4 ,p are some:at wis] n[ 9 _! managem5t ( ?is disease4 ,!y h v5tur$ to cov] ! pati5ts lightly & to keep ! w9d[s op52 & we he> mu* less ( ! infection ( small pox ?an we us$ to d4 ,b d p 9 our days act ) m wisdom on ! subject ( infection 9 fev]s--sc>let fev]1 measles1 c4--?an _! =efa!rs did ) small pox8 ,does n ! popul> idea ( infection involve t p %\ld take great] c>e ( !mselves ?an ( ! pati5t8 t1 = in/ance1 x is saf] n to be too mu* ) ! pati5t1 n to att5d too mu* to 8 wants8 ,p]haps ! be/ illu/ration ( ! utt] absurdity ( ?is view ( duty 9 att5d+ on infecti\s diseases is af=d$ by :at 0 v rec5tly ! practice1 if x is n s ev5 n[1 9 "s ( ! ,european laz>ets--9 :i* ! plague-pati5t us$ to be condemn$ to ! horrors ( fil?1 ov]cr[d+1 & want ( v5tilation1 :ile ! m$ical att5dant 0 ord]$ to exam9e ! pati5t's tongue ?r\gh an op]a-glass & to toss him a lancet to op5 8 abscesses )6 ,true nurs+ ignores infection1 except to prev5t x4 ,cleanl9ess & fre% air f op5 w9d[s1 ) unremitt+ att5tion to ! pati5t1 are ! only def5ce a true nurse ei!r asks or ne$s4 ,wise & humane managem5t ( ! pati5t is ! be/ safegu>d aga9/ infection4 ,sid5ote3 ,:y mu/ *ildr5 h measles1 c48 ,!re are n a few popul> op9ions1 9 reg>d to :i* x is useful at times to ask a "q or two4 ,= example1 x is commonly ?\ght t *ildr5 mu/ h :at are commonly call$ *ildr5's epidemics1 curr5t contagions1 c41 9 o!r words1 t !y are born to h measles1 hoop+-c\gh1 p]haps ev5 sc>let fev]1 j z !y are born to cut _! tee?1 if !y live4 ,n[1 d tell u1 :y mu/ a *ild h measles8 ,oh because1 y say1 we _c keep x f infection--o!r *ildr5 h measles--& x mu/ take !m--& x is saf] t x %\ld4 ,b :y mu/ o!r *ildr5 h measles8 ,& if !y h1 :y mu/ y\rs h !m too8 ,if y believ$ 9 & obs]v$ ! laws = pres]v+ ! heal? ( h\ses :i* inculcate cleanl9ess1 v5tilation1 :ite-wa%+1 & o!r means1 & :i*1 by ! way1 are laws1 z implicitly z y believe 9 ! popul> op9ion1 = x is no?+ m ?an an op9ion1 t y\r *ild mu/ h *ildr5's epidemics1 don't y ?9k t ^u ! :ole y\r *ild w\ld be m likely to escape altoge!r8 ,,iii4 ,,petty ,,managem5t4 ,sid5ote3 ,petty managem5t4 ,all ! results ( good nurs+1 z detail$ 9 ^! notes1 may be spoil$ or utt]ly negativ$ by "o defect1 viz43 9 petty managem5t1 or1 9 o!r words1 by n kn[+ h[ to manage t :at y d :5 y are !re1 %all be done :5 y are n !re4 ,! mo/ devot$ fri5d or nurse _c be always !re4 ,nor is x desirable t %e %\ld4 ,& %e may give up h] heal?1 all h] o!r duties1 & yet1 = want ( a little managem5t1 be n "o-half s effici5t z ano!r :o is n "o-half s devot$1 b :o has ?is art ( multiply+ h]self--t is to say1 ! pati5t ( ! fir/ w n really be s well c>$ =1 z ! pati5t ( ! second4 ,x is z impossible 9 a book to tea* a p]son 9 *>ge ( sick h[ to manage1 z x is to tea* h] h[ to nurse4 ,circum/ances mu/ v>y ) ea* diff]5t case4 ,b x is possible to press ^u h] to ?9k = h]self3 ,n[ :at does happ5 dur+ my abs5ce8 ,i am oblig$ to be away on ,tuesday4 ,b fre% air1 or punctuality is n less important to my pati5t on ,tuesday ?an x 0 on ,monday4 ,or3 ,at #aj ,p4,m4 ,i am nev] ) my pati5t2 b quiet is ( no less consequ5ce to him at #aj ?an x 0 at #e m9utes to #aj4 ,curi\s z x may seem1 ?is v obvi\s consid]ation occurs comp>atively to few1 or1 if x does occur1 x is only to cause ! devot$ fri5d or nurse to be abs5t few] h\rs or few] m9utes f h] pati5t--n to arrange s z t no m9ute & no h\r %all be = h] pati5t )\t ! ess5tials ( h] nurs+4 ,sid5ote3 ,illu/rations ( ! want ( x4 ,a v few in/ances w be suffici5t1 n z precepts1 b z illu/rations4 ,sid5ote3 ,/rang]s com+ into ! sick room4 ,a /range wa%]woman1 com+ late at night = ! ?+s1 w bur/ 9 by mi/ake to ! pati5t's sick-room1 aft] he has fall5 into 8 fir/ doze1 giv+ him a %ock1 ! effects ( :i* are irrem$iable1 ?\gh he himself laughs at ! cause1 & probably nev] ev5 m5tions x4 ,! nurse :o is1 & is q "r to be1 at h] supp]1 has n provid$ t ! wa%]woman %all n lose h] way & g into ! wrong room4 ,sid5ote3 ,sick room air+ ! :ole h\se4 ,! pati5t's room may always h ! w9d[ op54 ,b ! passage outside ! pati5t's room1 ?\gh provid$ ) sev]al l>ge w9d[s1 may nev] h "o op54 ,because x is n und]/ood t ! *>ge ( ! sick-room ext5ds to ! *>ge ( ! passage4 ,& ?us1 z (t5 happ5s1 ! nurse makes x h] bus9ess to turn ! pati5t's room into a v5tilat+ %aft = ! f\l air ( ! :ole h\se4 ,sid5ote3 ,un9habit$ room f\l+ ! :ole h\se4 ,an un9habit$ room1 a newly pa9t$ room1#aa an unclean$ closet or cupbo>d1 may (t5 become a res]voir ( f\l air = ! :ole h\se1 because ! p]son 9 *>ge nev] ?9ks ( arrang+ t ^! places %all be always air$1 always clean$2 %e m]ely op5s ! w9d[ h]self :5 %e goes 94 ,sid5ote3 ,deliv]y & non-deliv]y ( lett]s & messages4 ,an agitat+ lett] or message may be deliv]$1 or an important lett] or message n deliv]$2 a visitor :om x 0 ( consequ5ce to see1 may be refus$1 or "o :om x 0 ( /ill m consequ5ce n to see may be admitt$--because ! p]son 9 *>ge has nev] ask$ h]self ?is "q1 ,:at is done :5 ,i am n !re8#ab ,at all ev5ts1 "o may safely say1 a nurse _c be ) ! pati5t1 op5 ! door1 eat h] meals1 take a message1 all at "o & ! same "t4 ,nev]!less ! p]son 9 *>ge nev] seems to look ! impossibility 9 ! face4 ,add to ?is t ! attempt+ ?is impossibility does m to increase ! poor ,pati5t's hurry & n]v\sness ?an any?+ else4 ,sid5ote3 ,p>tial measures su* z be+ always 9 ! way y\rself1 increase in/ead ( sav+ ! pati5t's anxiety4 ,because !y mu/ be only p>tial4 ,x is nev] ?\ght t ! pati5t rememb]s ^! ?+s if y d n4 ,he has n only to ?9k :e!r ! visit or lett] may arrive1 b :e!r y w be 9 ! way at ! p>ticul> day & h\r :5 x may arrive4 ,s t y\r p>tial measures = be+ 9 ! way y\rself1 only increase ! necessity = 8 ?\ght4 ,:]eas1 if y c\ld b arrange t ! ?+ %\ld always be done :e!r y are !re or n1 he ne$ nev] ?9k at all ab\t x4 ,= ! above reasons1 :atev] a pati5t c d = himself1 x is bett]1 i4e4 less anxiety1 = him to d = himself1 unless ! p]son 9 *>ge has ! _s ( managem5t4 ,x is evid5tly mu* less ex]tion = a pati5t to answ] a lett] = himself by return ( po/1 ?an to h f\r conv]sations1 wait five days1 h six anxieties be=e x is (f 8 m9d1 be=e ! p]son :o is to answ] x has done s4 ,appreh5sion1 unc]ta9ty1 wait+1 expectation1 fe> ( surprise1 d a pati5t m h>m ?an any ex]tion4 ,rememb]1 he is face to face ) 8 enemy all ! "t1 int]nally wre/l+ ) him1 hav+ long imag9>y conv]sations ) him4 ,y are ?9k+ ( some?+ else4 ,rid him ( 8 adv]s>y quickly1 is a fir/ rule ) ! sick4#ac ,= ! same reasons1 always tell a pati5t & tell him be=eh& :5 y are go+ out & :5 y w be back1 :e!r x is = a day1 an h\r1 or t5 m9utes4 ,y fancy p]haps t x is bett] = him if he does n f9d out y\r go+ at all1 bett] = him if y d n make y\rself ( too mu* importance to him2 or else y _c be> to give him ! pa9 or ! anxiety ( ! tempor>y sep>ation4 ,no su* ?+4 ,y ought to g1 we w suppose4 ,heal? or duty requires x4 ,!n say s to ! pati5t op5ly4 ,if y g )\t 8 kn[+ x1 & he f9ds x out1 he nev] w feel secure aga9 t ! ?+s :i* dep5d ^u y w be done :5 y are away1 & 9 n9e cases out ( t5 he w be "r4 ,if y g out )\t tell+ him :5 y w be back1 he c take no measures nor precautions z to ! ?+s :i* conc]n y bo?1 or :i* y d = him4 ,sid5ote3 ,:at is ! cause ( half ! accid5ts :i* happ58 ,if y look into ! reports ( trials or accid5ts1 & especially ( suicides1 or into ! m$ical hi/ory ( fatal cases1 x is almo/ incr$ible h[ (t5 ! :ole ?+ turns ^u some?+ :i* has happ5$ because he1 or /ill (t5] %e1 0 n !re4 ,b x is /ill m incr$ible h[ (t51 h[ almo/ always ?is is accept$ z a suffici5t reason1 a ju/ification2 :y1 ! v fact ( ! ?+ hav+ happ5$ is ! pro( ( its n be+ a ju/ification4 ,! p]son 9 *>ge 0 q "r n to be !re1 he 0 call$ away = q suffici5t reason1 or he 0 away = a daily recurr+ & unavoidable cause3 yet no provision 0 made to supply 8 abs5ce4 ,! fault 0 n 9 8 be+ away1 b 9 !re be+ no managem5t to supplem5t 8 be+ away4 ,:5 ! sun is "u a total eclipse or dur+ 8 nightly abs5ce1 we light c&les4 ,b x w\ld seem z if x did n occur to u t we mu/ also supplem5t ! p]son 9 *>ge ( sick or ( *ildr51 :e!r "u an occasional eclipse or dur+ a regul> abs5ce4 ,9 in/itutions :]e _m lives w\ld be lo/ & ! effect ( su* want ( managem5t w\ld be t]rible & pat5t1 !re is less ( x ?an 9 ! private h\se4#ad ,b 9 bo?1 let :oev] is 9 *>ge keep ?is simple "q 9 h] head 7n1 h[ c ,i always d ?is "r ?+ myself1 b7 h[ c ,i provide = ?is "r ?+ to be always done8 ,!n1 :5 any?+ wrong has actually happ5$ 9 consequ5ce ( h] abs5ce1 :i* abs5ce we w suppose to h be5 q "r1 let h] "q /ill be 7n1 h[ c ,i provide aga9/ any m ( su* abs5ces8 :i* is nei!r possible nor desirable1 b7 h[ c ,i provide aga9/ any ?+ wrong aris+ out ( my abs5ce8 ,sid5ote3 ,:at x is to be 9 *>ge4 ,h[ few m51 or ev5 wom51 und]/&1 ei!r 9 great or 9 little ?+s1 :at x is ! be+ 9 *>ge--,i mean1 "k h[ to c>ry out a *>ge4 ,f ! mo/ colossal calamities1 d[n to ! mo/ trifl+ accid5ts1 results are (t5 trac$ 7or r n trac$7 to su* want ( "s "o 9 *>ge or ( 8 kn[+ h[ to be 9 *>ge4 ,a %ort "t ago ! bur/+ ( a funnel-cas+ on bo>d ! f9e/ & /ronge/ %ip t ev] 0 built1 on h] trial trip1 de/roy$ sev]al lives & put sev]al hundr$s 9 jeop>dy--n f any undetect$ flaw 9 h] new & untri$ works--b f a tap be+ clos$ :i* ought n to h be5 clos$--f :at e *ild kn[s w\ld make its "m's tea-kettle bur/4 ,& ?is simply because no "o seem$ to "k :at x is to be 9 *>ge1 or :o 0 9 *>ge4 ,nay m1 ! jury at ! inque/ actually altoge!r ignor$ ! same1 & app>5tly consid]$ ! tap 9 *>ge1 = !y gave z a v]dict accid5tal dea?4 ,?is is ! mean+ ( ! ^w1 on a l>ge scale4 ,on a mu* small] scale1 x happ5$1 a %ort "t ago1 t an insane p]son burnt h]self sl[ly & int5tionally to dea?1 :ile 9 h] doctor's *>ge & almo/ 9 h] nurse's pres5ce4 ,yet nei!r 0 consid]$ at all to blame4 ,! v fact ( ! accid5t happ5+ proves its own case4 ,!re is no?+ m to be said4 ,ei!r !y did n "k _! bus9ess or !y did n "k h[ to p]=m x4 ,to be 9 *>ge is c]ta9ly n only to c>ry out ! prop] measures y\rself b to see t e "o else does s too2 to see t no "o ei!r wilfully or ignorantly ?w>ts or prev5ts su* measures4 ,x is nei!r to d ev]y?+ y\rself nor to appo9t a numb] ( p to ea* duty1 b to ensure t ea* does t duty to :i* he is appo9t$4 ,?is is ! mean+ :i* mu/ be atta*$ to ! ^w by 7above all7 ^? 9 *>ge ( sick1 :e!r ( numb]s or ( individuals1 7& inde$ ,i ?9k x is ) individual sick t x is lea/ und]/ood4 ,"o sick p]son is (t5 wait$ on by f\r ) less precision1 & is really less c>$ = ?an t5 :o are wait$ on by "o2 or at lea/ ?an #dj :o are wait$ on by #d2 & all = want ( ?is "o p]son 9 *>ge47 ,x is (t5 said t !re are few good s]vants n[3 ,i say !re are few good mi/resses n[4 ,z ! jury seems to h ?\ght ! tap 0 9 *>ge ( ! %ip's safety1 s mi/resses n[ seem to ?9k ! h\se is 9 *>ge ( itself4 ,!y nei!r "k h[ to give ord]s1 nor h[ to tea* _! s]vants to obey ord]s--i4e4 to obey intellig5tly1 :i* is ! real mean+ ( all discipl9e4 ,aga91 p :o are 9 *>ge (t5 seem to h a pride 9 feel+ t !y w be miss$1 t no "o c und]/& or c>ry on _! arrangem5ts1 _! sy/em1 books1 acc\nts1 c41 b !mselves4 ,x seems to me t ! pride is r 9 c>ry+ on a sy/em1 9 keep+ /ores1 closets1 books1 acc\nts1 c41 s t any body c und]/& & c>ry !m on--s t1 9 case ( abs5ce or illness1 "o c deliv] e ?+ up to o!rs & "k t all w g on z usual1 & t "o %all nev] be miss$4 ,sid5ote3 ,:y hir$ nurses give s mu* tr\ble4 ,,note4--,x is (t5 compla9$1 t pr(essional nurses1 br\ght into private families1 9 case ( sickness1 make !mselves intol]able by ord]+ ab\t ! o!r s]vants1 "u plea ( n neglect+ ! pati5t4 ,bo? ?+s are true2 ! pati5t is (t5 neglect$1 & ! s]vants are (t5 unfairly put ^u4 ,b ! fault is g5]ally 9 ! want ( managem5t ( ! head 9 *>ge4 ,x is surely = h] to arrange bo? t ! nurse's place is1 :5 necess>y1 supplem5t$1 & t ! pati5t is nev] neglect$--?+s ) a little managem5t q compatible1 & inde$ only atta9able toge!r4 ,x is c]ta9ly n = ! nurse to ord] ab\t ! s]vants4 ,,iv4 ,,noise4 ,sid5ote3 ,unnecess>y noise4 ,unnecess>y noise1 or noise t creates an expectation 9 ! m9d1 is t :i* hurts a pati5t4 ,x is r>ely ! l\dness ( ! noise1 ! effect ^u ! organ ( ! e> itself1 :i* appe>s to affect ! sick4 ,h[ well a pati5t w g5]ally be>1 e4g41 ! putt+ up ( a scaffold+ close to ! h\se1 :5 he _c be> ! talk+1 /ill less ! :isp]+1 especially if x be ( a famili> voice1 outside 8 door4 ,!re are c]ta9 pati5ts1 no d\bt1 especially :]e !re is slight concussion or o!r di/urbance ( ! bra91 :o are affect$ by m]e noise4 ,b int]mitt5t noise1 or sudd5 & %>p noise1 9 ^! z 9 all o!r cases1 affects f> m ?an cont9u\s noise--noise ) j> f> m ?an noise )\t4 ,( "o ?+ y may be c]ta91 t any?+ :i* wakes a pati5t sudd5ly out ( 8 sleep w inv>iably put him into a /ate ( great] excitem5t1 d him m s]i\s1 aye1 & la/+ mis*ief1 ?an any cont9u\s noise1 h[ev] l\d4 ,sid5ote3 ,nev] let a pati5t be wak$ out ( 8 fir/ sleep4 ,nev] to all[ a pati5t to be wak$1 int5tionally or accid5tally1 is a s9e qu non ( all good nurs+4 ,if he is r\s$ out ( 8 fir/ sleep1 he is almo/ c]ta9 to h no m sleep4 ,x is a curi\s b q intelligible fact t1 if a pati5t is wak$ aft] a few h\rs' in/ead ( a few m9utes' sleep1 he is mu* m likely to sleep aga94 ,because pa91 l irritability ( bra91 p]petuates & int5sifies itself4 ,if y h ga9$ a respite ( ei!r 9 sleep y h ga9$ m ?an ! m]e respite4 ,bo? ! probability ( recurr5ce & ( ! same int5sity w be dim9i%$2 :]eas bo? w be t]ribly increas$ by want ( sleep4 ,?is is ! reason :y sleep is s all-important4 ,?is is ! reason :y a pati5t wak$ 9 ! e>ly "p ( 8 sleep loses n only 8 sleep1 b 8 p[] to sleep4 ,a heal?y p]son :o all[s himself to sleep dur+ ! day w lose 8 sleep at night4 ,b x is exactly ! rev]se ) ! sick g5]ally2 ! m !y sleep1 ! bett] w !y be able to sleep4 ,sid5ote3 ,noise :i* excites expectation4 ,sid5ote3 ,:isp]$ conv]sation 9 ! room4 ,i h (t5 be5 surpris$ at ! ?\ghtlessness1 7result+ 9 cruelty1 q un9t5tionally7 ( fri5ds or ( doctors :o w hold a long conv]sation j 9 ! room or passage adjo9+ to ! room ( ! pati5t1 :o is ei!r e mom5t expect+ !m to come 91 or :o has j se5 !m1 & kn[s !y are talk+ ab\t him4 ,if he is an amiable pati5t1 he w try to occupy 8 att5tion else:]e & n to li/5--& ?is makes matt]s worse--= ! /ra9 ^u 8 att5tion & ! ef=t he makes are s great t x is well if he is n worse = h\rs aft]4 ,if x is a :isp]$ conv]sation 9 ! same room1 !n x is absolutely cruel2 = x is impossible t ! pati5t's att5tion %\ld n be involunt>ily /ra9$ to he>4 ,walk+ on tip-toe1 do+ any ?+ 9 ! room v sl[ly1 are injuri\s1 = exactly ! same reasons4 ,a firm light quick /ep1 a /eady quick h& are ! desid]ata2 n ! sl[1 l+]+1 %uffl+ foot1 ! timid1 unc]ta9 t\*4 ,sl[ness is n g5tl5ess1 ?\gh x is (t5 mi/ak5 = su*2 quickness1 lightness1 & g5tl5ess are q compatible4 ,aga91 if fri5ds & doctors did b wat*1 z nurses c & %\ld wat*1 ! features %>p5+1 ! eyes gr[+ almo/ wild1 ( fev] pati5ts :o are li/5+ = ! entrance f ! corridor ( ! p]sons ^: voices !y are he>+ !re1 ^! w\ld nev] run ! risk aga9 ( creat+ su* expectation1 or irritation ( m9d4--,su* unnecess>y noise has und\bt$ly induc$ or aggravat$ delirium 9 _m cases4 ,i h kn[n su*--9 "o case dea? ensu$4 ,x is b fair to say t ?is dea? 0 attribut$ to fright4 ,x 0 ! result ( a long :isp]$ conv]sation1 )9 sight ( ! pati5t1 ab\t an imp5d+ op]ation2 b any "o :o has kn[n ! m ?an /oicism1 ! *e]ful coolness1 ) :i* ! c]ta9ty ( an op]ation w be accept$ by any pati5t1 capable ( be>+ an op]ation at all1 if x is prop]ly communicat$ to him1 w hesitate to believe t x 0 m]e fe> :i* produc$1 z 0 av]r$1 ! fatal result 9 ?is in/ance4 ,x 0 r ! unc]ta9ty1 ! /ra9$ expectation z to :at 0 to be decid$ ^u4 ,sid5ote3 ,or j outside ! door4 ,i ne$ h>dly say t ! o!r common cause1 namely1 = a doctor or fri5d to leave ! pati5t & communicate 8 op9ion on ! result ( 8 visit to ! fri5ds j outside ! pati5t's door1 or 9 ! adjo9+ room1 aft] ! visit1 b )9 he>+ or k ( ! pati5t is1 if possible1 wor/ ( all4 ,sid5ote3 ,noise ( female dress4 ,x is1 ,i ?9k1 al>m+1 peculi>ly at ?is "t1 :5 ! female ink-bottles are p]petually impress+ ^u u woman's p>ticul> wor? & g5]al mission>9ess1 to see t ! dress ( wom5 is daily m & m unfitt+ !m = any mission1 or usefulness at all4 ,x is equally unfitt$ = all poetic & all dome/ic purposes4 ,a man is n[ a m h&y & f> less objectionable be+ 9 a sick-room ?an a woman4 ,compell$ by h] dress1 e woman n[ ei!r %uffles or waddles--only a man c cross ! floor ( a sick-room )\t %ak+ x6 ,:at is become ( woman's light /ep8--! firm1 light1 quick /ep we h be5 ask+ =8 ,unnecess>y noise1 !n1 is ! mo/ cruel abs5ce ( c>e :i* c be inflict$ ei!r on sick or well4 ,=1 9 all ^! rem>ks1 ! sick are only m5tion$ z suff]+ 9 a great] proportion ?an ! well f precisely ! same causes4 ,unnecess>y 7al?\gh slight7 noise injures a sick p]son mu* m ?an necess>y noise 7( a mu* great] am\nt74 ,sid5ote3 ,pati5t's repulsion to nurses :o ru/le4 ,all doctr9es ab\t my/]i\s aff9ities & av]sions w be f\nd to resolve !mselves v mu*1 if n entirely1 into pres5ce or abs5ce ( c>e 9 ^! ?+s4 ,a nurse :o ru/les 7,i am speak+ ( nurses pr(essional & unpr(essional7 is ! horror ( a pati5t1 ?\gh p]haps he does n "k :y4 ,! fidget ( silk & ( cr9ol9e1 ! rattl+ ( keys1 ! creak+ ( /ays & ( %oes1 w d a pati5t m h>m ?an all ! m$ic9es 9 ! _w w d him good4 ,! noiseless /ep ( woman1 ! noiseless drap]y ( woman1 are m]e figures ( spee* 9 ?is day4 ,h] skirts 7& well if !y d n ?r[ d[n "s piece ( furniture7 w at lea/ bru% aga9/ e article 9 ! room z %e moves4#ae ,aga91 "o nurse _c op5 ! door )\t mak+ ev]y?+ rattle4 ,or %e op5s ! door unnecess>ily (t51 = want ( rememb]+ all ! articles t might be br\ght 9 at once4 ,a good nurse w always make sure t no door or w9d[ 9 h] pati5t's room %all rattle or creak2 t no bl9d or curta9 %all1 by any *ange ( w9d ?r\gh ! op5 w9d[1 be made to flap--especially w %e be c>eful ( all ?is be=e %e leaves h] pati5ts = ! night4 ,if y wait till y\r pati5ts tell y1 or rem9d y ( ^! ?+s1 :]e is ! use ( _! hav+ a nurse8 ,!re are m %y ?an exact+ pati5ts1 9 all classes2 & _m a pati5t passes a bad night1 "t aft] "t1 r ?an rem9d 8 nurse e night ( all ! ?+s %e has =gott54 ,if !re are bl9ds to y\r w9d[s1 always take c>e to h !m well up1 :5 !y are n be+ us$4 ,a little piece slipp+ d[n1 & flapp+ ) e draught1 w di/ract a pati5t4 ,sid5ote3 ,hurry peculi>ly hurtful to sick4 ,all hurry or bu/le is peculi>ly pa9ful to ! sick4 ,& :5 a pati5t has compulsory occupations to engage him1 in/ead ( hav+ simply to amuse himself1 x becomes d\bly injuri\s4 ,! fri5d :o rema9s /&+ & fidgett+ ab\t :ile a pati5t is talk+ bus9ess to him1 or ! fri5d :o sits & proses1 ! "o f an idea ( n lett+ ! pati5t talk1 ! o!r f an idea ( amus+ him1--ea* is equally inconsid]ate4 ,always sit d[n :5 a sick p]son is talk+ bus9ess to y1 %[ no signs ( hurry1 give complete att5tion & full consid]ation if y\r advice is want$1 & g away ! mom5t ! subject is end$4 ,sid5ote3 ,h[ to visit ! sick & n hurt !m4 ,always sit )9 ! pati5t's view1 s t :5 y speak to him he has n pa9fully to turn 8 head r\nd 9 ord] to look at y4 ,ev]ybody involunt>ily looks at ! p]son speak+4 ,if y make ?is act a we>isome "o on ! "p ( ! pati5t y are do+ him h>m4 ,s also if by cont9u+ to /& y make him cont9u\sly raise 8 eyes to see y4 ,be z motionless z possible1 & nev] ge/iculate 9 speak+ to ! sick4 ,nev] make a pati5t repeat a message or reque/1 especially if x be "s "t aft]4 ,occupi$ pati5ts are (t5 accus$ ( do+ too mu* ( _! own bus9ess4 ,!y are in/9ctively "r4 ,h[ (t5 y he> ! p]son1 *>g$ ) ! reque/ ( giv+ ! message or writ+ ! lett]1 say half an h\r aft]w>ds to ! pati5t1 ,did y appo9t #ab o'clock8 or1 ,:at did y say 0 ! address8 or ask p]haps "s mu* m agitat+ "q--?us caus+ ! pati5t ! ef=t ( memory1 or worse /ill1 ( decision1 all ov] aga94 ,x is really less ex]tion to him to write 8 lett]s himself4 ,?is is ! almo/ univ]sal exp]i5ce ( occupi$ invalids4 ,?is br+s u to ano!r caution4 ,nev] speak to an invalid f beh9d1 nor f ! door1 nor f any di/ance f him1 nor :5 he is do+ any?+4 ,! (ficial polit5ess ( s]vants 9 ^! ?+s is s grateful to invalids1 t _m pref]1 )\t kn[+ :y1 hav+ none b s]vants ab\t !m4 ,sid5ote3 ,^! ?+s n fancy4 ,^! ?+s are n fancy4 ,if we consid] t1 ) sick z ) well1 e ?\ght decomposes "s n]v\s matt]1--t decomposition z well z re-composition ( n]v\s matt] is always go+ on1 & m quickly ) ! sick ?an ) ! well1--t1 to obtrude abruptly ano!r ?\ght ^u ! bra9 :ile x is 9 ! act ( de/roy+ n]v\s matt] by ?9k+1 is call+ ^u x to make a new ex]tion1--if we consid] ^! ?+s1 :i* are facts1 n fancies1 we %all rememb] t we are do+ positive injury by int]rupt+1 by />tl+ a fanciful p]son1 z x is call$4 ,alas6 x is no fancy4 ,sid5ote3 ,int]ruption damag+ to sick4 ,if ! invalid is =c$1 by 8 avocations1 to cont9ue occupations requir+ mu* ?9k+1 ! injury is d\bly great4 ,9 fe$+ a pati5t suff]+ "u delirium or /upor y may suffocate him1 by giv+ him 8 food sudd5ly1 b if y rub 8 lips g5tly ) a spoon & ?us attract 8 att5tion1 he w swall[ ! food unconsci\sly1 b ) p]fect safety4 ,?us x is ) ! bra94 ,if y (f] x a ?\ght1 especially "o requir+ a decision1 abruptly1 y d x a real n fanciful injury4 ,nev] speak to a sick p]son sudd5ly2 b1 at ! same "t1 d n keep 8 expectation on ! tiptoe4 ,sid5ote3 ,& to well4 ,?is rule1 inde$1 applies to ! well q z mu* z to ! sick4 ,i h nev] kn[n p]sons :o expos$ !mselves = ye>s to con/ant int]ruption :o did n muddle away _! intellects by x at la/4 ,! process ) !m may be accompli%$ )\t pa94 ,) ! sick1 pa9 gives w>n+ ( ! injury4 ,sid5ote3 ,keep+ a pati5t /&+4 ,d n meet or ov]take a pati5t :o is mov+ ab\t 9 ord] to speak to him1 or to give him any message or lett]4 ,y might j z well give him a box on ! e>4 ,i h se5 a pati5t fall flat on ! gr\nd :o 0 /&+ :5 8 nurse came into ! room4 ,?is 0 an accid5t :i* might h happ5$ to ! mo/ c>eful nurse4 ,b ! o!r is done ) int5tion4 ,a pati5t 9 su* a /ate is n go+ to ! ,ea/ ,indies4 ,if y w\ld wait t5 seconds1 or walk t5 y>ds fur!r1 any prom5ade he c\ld make w\ld be ov]4 ,y d n "k ! ef=t x is to a pati5t to rema9 /&+ = ev5 a qu>t] ( a m9ute to li/5 to y4 ,if ,i _h n se5 ! ?+ done by ! k9de/ nurses & fri5ds1 ,i %\ld h ?\ght ?is caution q sup]flu\s4#af ,sid5ote3 ,pati5ts dread surprise4 ,pati5ts are (t5 accus$ ( be+ able to d mu* m :5 nobody is by4 ,x is q true t !y c4 ,unless nurses c be br\ght to att5d to consid]ations ( ! k9d ( :i* we h giv5 "h b a few specim5s1 a v weak pati5t f9ds x really mu* less ex]tion to d ?+s = himself ?an to ask = !m4 ,& he w1 9 ord] to d !m1 7v innoc5tly & f in/9ct7 calculate ! "t 8 nurse is likely to be abs5t1 f a fe> ( h] com+ 9 ^u him or speak+ to him1 j at ! mom5t :5 he f9ds x q z mu* z he c d to crawl f 8 b$ to 8 *air1 or f "o room to ano!r1 or d[n /airs1 or out ( doors = a few m9utes4 ,"s extra call made ^u 8 att5tion at t mom5t w q upset him4 ,9 ^! cases y may be sure t a pati5t 9 ! /ate we h describ$ does n make su* ex]tions m ?an once or twice a-day1 & probably mu* ab\t ! same h\r e day4 ,& x is h>d1 inde$1 if nurse & fri5ds _c calculate s z to let him make !m undi/urb$4 ,rememb]1 t _m pati5ts c walk :o _c /& or ev5 sit up4 ,/&+ is1 ( all positions1 ! mo/ try+ to a weak pati5t4 ,ev]y?+ y d 9 a pati5t's room1 aft] he is put up = ! night1 increases t5fold ! risk ( 8 hav+ a bad night4 ,b1 if y r\se him up aft] he has fall5 asleep1 y d n risk1 y secure him a bad night4 ,"o h9t ,i w\ld give to all :o att5d or visit ! sick1 to all :o h to pron\nce an op9ion ^u sickness or its progress4 ,come back & look at y\r pati5t aft] he has _h an h\r's animat$ conv]sation ) y4 ,x is ! be/ te/ ( 8 real /ate we "k4 ,b nev] pron\nce ^u him f m]ely see+ :at he does1 or h[ he looks1 dur+ su* a conv]sation4 ,le>n also c>efully & exactly1 if y c1 h[ he pass$ ! night aft] x4 ,sid5ote3 ,effects ( ov]-ex]tion on sick4 ,p r>ely1 if ev]1 fa9t :ile mak+ an ex]tion4 ,x is aft] x is ov]4 ,inde$1 almo/ e effect ( ov]-ex]tion appe>s aft]1 n dur+ su* ex]tion4 ,x is ! highe/ folly to judge ( ! sick1 z is s (t5 done1 :5 y see !m m]ely dur+ a p]iod ( excitem5t4 ,p h v (t5 di$ ( t :i*1 x has be5 proclaim$ at ! "t1 has done !m no h>m4#ag ,rememb] nev] to lean aga9/1 sit ^u1 or unnecess>ily %ake1 or ev5 t\* ! b$ 9 :i* a pati5t lies4 ,?is is inv>iably a pa9ful annoyance4 ,if y %ake ! *air on :i* he sits1 he has a po9t by :i* to /eady himself1 9 8 feet4 ,b on a b$ or s(a1 he is entirely at y\r m]cy1 & he feels e j> y give him all ?r\gh him4 ,sid5ote3 ,diff]5ce betwe5 real & fancy pati5ts4 ,9 all t we h said1 bo? "h & else:]e1 let x be di/9ctly und]/ood t we are n speak+ ( hypo*ondriacs4 ,to di/+ui% betwe5 real & fanci$ disease =ms an important bran* ( ! education ( a nurse4 ,to manage fancy pati5ts =ms an important bran* ( h] duties4 ,b ! nurs+ :i* real & t :i* fanci$ pati5ts require is ( diff]5t1 or r ( opposite1 "*4 ,& ! latt] w n be spok5 ( "h4 ,inde$1 _m ( ! symptoms :i* are "h m5tion$ are ^? :i* di/+ui% real f fanci$ disease4 ,x is true t hypo*ondriacs v (t5 d t beh9d a nurse's back :i* !y w\ld n d be=e h] face4 ,_m su* ,i h _h z pati5ts :o sc>cely ate any?+ at _! regul> meals2 b if y conceal$ food = !m 9 a draw]1 !y w\ld take x at night or 9 secret4 ,b ?is is f q a diff]5t motive4 ,!y d x f ! wi% to conceal4 ,:]eas ! real pati5t w (t5 boa/ to 8 nurse or doctor1 if ^! d n %ake _! heads at him1 ( h[ mu* he has done1 or eat51 or walk$4 ,to return to real disease4 ,sid5ote3 ,concis5ess necess>y ) ,sick4 ,concis5ess & decision are1 above all ?+s1 necess>y ) ! sick4 ,let y\r ?\ght express$ to !m be concisely & decid$ly express$4 ,:at d\bt & hesitation !re may be 9 y\r own m9d mu/ nev] be communicat$ to !irs1 n ev5 7,i w\ld r say especially n7 9 little ?+s4 ,let y\r d\bt be to y\rself1 y\r decision to !m4 ,p :o ?9k outside _! heads1 ! :ole process ( ^: ?\ght appe>s1 l ,hom]'s1 9 ! act ( secretion1 :o tell ev]y?+ t l$ !m t[>ds ?is conclusion & away f t1 ought nev] to be ) ! sick4 ,sid5ote3 ,irresolution mo/ pa9ful to !m4 ,irresolution is :at all pati5ts mo/ dread4 ,r ?an meet ?is 9 o!rs1 !y w collect all _! data1 & make up _! m9ds = !mselves4 ,a *ange ( m9d 9 o!rs1 :e!r x is reg>d+ an op]ation1 or re-writ+ a lett]1 always injures ! pati5t m ?an ! be+ call$ ^u to make up 8 m9d to ! mo/ dread$ or difficult decision4 ,f>!r ?an ?is1 9 v _m cases1 ! imag9ation 9 disease is f> m active & vivid ?an x is 9 heal?4 ,if y propose to ! pati5t *ange ( air to "o place "o h\r1 & to ano!r ! next1 he has1 9 ea* case1 imm$iately con/itut$ himself 9 imag9ation ! t5ant ( ! place1 gone ov] ! :ole premises 9 idea1 & y h tir$ him z mu* by displac+ 8 imag9ation1 z if y _h actually c>ri$ him ov] bo? places4 ,above all leave ! sick room quickly & come into x quickly1 n sudd5ly1 n ) a ru%4 ,b don't let ! pati5t be we>ily wait+ = :5 y w be out ( ! room or :5 y w be 9 x4 ,concis5ess & decision 9 y\r movem5ts1 z well z y\r words1 are necess>y 9 ! sick room1 z necess>y z abs5ce ( hurry & bu/le4 ,to possess y\rself entirely w ensure y f ei!r fail+--ei!r loit]+ or hurry+4 ,sid5ote3 ,:at a pati5t mu/ n h to see to4 ,if a pati5t has to see1 n only to 8 own b also to 8 nurse's punctuality1 or p]sev]ance1 or read9ess1 or calmness1 to any or all ( ^! ?+s1 he is f> bett] )\t t nurse ?an ) h]--h[ev] valuable & h&y h] s]vices may o!rwise be to him1 & h[ev] incapable he may be ( r5d]+ !m to himself4 ,sid5ote3 ,read+ al\d4 ,) reg>d to read+ al\d 9 ! sick room1 my exp]i5ce is1 t :5 ! sick are too ill to read to !mselves1 !y c seldom be> to be read to4 ,*ildr51 eye-pati5ts1 & un$ucat$ p]sons are exceptions1 or :]e !re is any me*anical difficulty 9 read+4 ,p :o l to be read to1 h g5]ally n mu* ! matt] ) !m2 :ile 9 fev]s1 or :]e !re is mu* irritability ( bra91 ! ef=t ( li/5+ to read+ al\d has (t5 br\ght on delirium4 ,i speak ) great diffid5ce2 because !re is an almo/ univ]sal impression t x is sp>+ ! sick to read al\d to !m4 ,b two ?+s are c]ta93-- ,sid5ote3 ,read al\d sl[ly1 di/9ctly1 & /eadily to ! sick4 7#a47 ,if !re is "s matt] :i* mu/ be read to a sick p]son1 d x sl[ly4 ,p (t5 ?9k t ! way to get x ov] ) lea/ fatigue to him is to get x ov] 9 lea/ "t4 ,!y gabble2 !y plunge & gallop ?r\gh ! read+4 ,!re nev] 0 a great] mi/ake4 ,h\d91 ! conjuror1 says t ! way to make a /ory seem %ort is to tell x sl[ly4 ,s x is ) read+ to ! sick4 ,i h (t5 he>d a pati5t say to su* a mi/ak5 read]1 ,don't read x to me2 tell x me4#ah ,unconsci\sly he is aw>e t ?is w regulate ! plung+1 ! read+ ) unequal paces1 slurr+ ov] "o "p1 in/ead ( leav+ x out altoge!r1 if x is unimportant1 & mumbl+ ano!r4 ,if ! read] lets 8 own att5tion w&]1 & !n /ops to read up to himself1 or f9ds he has read ! wrong bit1 !n x is all ov] ) ! poor pati5t's *ance ( n suff]+4 ,v few p "k h[ to read to ! sick2 v few read al\d z pleasantly ev5 z !y speak4 ,9 read+ !y s+1 !y hesitate1 !y /amm]1 !y hurry1 !y mumble2 :5 9 speak+ !y d none ( ^! ?+s4 ,read+ al\d to ! sick ought always to be r sl[1 & exce$+ly di/9ct1 b n m\?+--r monoton\s1 b n s+ song--r l\d1 b n noisy--&1 above all1 n too long4 ,be v sure ( :at y\r pati5t c be>4 ,sid5ote3 ,nev] read al\d by fits & />ts to ! sick4 7#b47 ,! extraord9>y habit ( read+ to oneself 9 a sick room1 & read+ al\d to ! pati5t any bits :i* w amuse him or m (t5 ! read]1 is unacc\ntably ?\ghtless4 ,:at d y ?9k ! pati5t is ?9k+ ( dur+ y\r gaps ( non-read+8 ,d y ?9k t he amuses himself ^u :at y h read = precisely ! "t x pleases y to g on read+ to y\rself1 & t 8 att5tion is ready = some?+ else at precisely ! "t x pleases y to beg9 read+ aga98 ,:e!r ! p]son ?us read to be sick or well1 :e!r he be do+ no?+ or do+ some?+ else :ile be+ ?us read to1 ! self-absorption & want ( obs]vation ( ! p]son :o does x1 is equally difficult to und]/&--al?\gh v (t5 ! readee is too amiable to say h[ mu* x di/urbs him4 ,sid5ote3 ,p ov]head4 ,"o ?+ m3--,f ! flimsy mann] 9 :i* mo/ mod]n h\ses are built1 :]e e /ep on ! /airs1 & along ! floors1 is felt all ov] ! h\se2 ! high] ! /ory1 ! great] ! vibration4 ,x is inconceivable h[ mu* ! sick suff] by hav+ anybody ov]head4 ,9 ! solidly built old h\ses1 :i*1 =tunately1 mo/ hospitals are1 ! noise & %ak+ is comp>atively trifl+4 ,b x is a s]i\s cause ( suff]+1 9 lightly built h\ses1 & ) ! irritability peculi> to "s diseases4 ,bett] f> put su* pati5ts at ! top ( ! h\se1 ev5 ) ! additional fatigue ( /airs1 if y _c secure ! room above !m be+ unt5ant$2 y may o!rwise br+ on a /ate ( re/lessness :i* no opium w subdue4 ,d n neglect ! w>n+1 :5 a pati5t tells y t he ,feels e /ep above him to cross 8 he>t4 ,rememb] t e noise a pati5t _c see p>takes ( ! "* ( sudd5ness to him2 & ,i am p]suad$ t pati5ts ) ^! peculi>ly irritable n]ves1 are positively less injur$ by hav+ p]sons 9 ! same room ) !m ?an ov]head1 or sep>at$ by only a ?9 comp>tm5t4 ,any sacrifice to secure sil5ce = ^! cases is wor? :ile1 because no air1 h[ev] good1 no att5dance1 h[ev] c>eful1 w d any?+ = su* cases )\t quiet4 ,sid5ote3 ,music4 ,,note4--,! effect ( music ^u ! sick has be5 sc>cely at all notic$4 ,9 fact1 its exp5siv5ess1 z x is n[1 makes any g5]al application ( x q out ( ! "q4 ,i w only rem>k "h1 t w9d in/rum5ts1 includ+ ! human voice1 & /r+$ in/rum5ts1 capable ( cont9u\s s\nd1 h g5]ally a b5efic5t effect--:ile ! piano-=te1 ) su* in/rum5ts z h no cont9uity ( s\nd1 has j ! rev]se4 ,! f9e/ piano-=te play+ w damage ! sick1 :ile an air1 l ,home1 sweet home1 or ,assisa a pi d'un salice1 on ! mo/ ord9>y gr9d+ organ w s5sibly soo! !m--& ?is q indep5d5t ( association4 ,v4 ,,v>iety4 ,sid5ote3 ,v>iety a means ( recov]y4 ,to any b an old nurse1 or an old pati5t1 ! degree w\ld be q inconceivable to :i* ! n]ves ( ! sick suff] f see+ ! same walls1 ! same ceil+1 ! same surr\nd+s dur+ a long conf9em5t to "o or two rooms4 ,! sup]ior *e]fulness ( p]sons suff]+ sev]e p>oxysms ( pa9 ov] t ( p]sons suff]+ f n]v\s debility has (t5 be5 rem>k$ ^u1 & attribut$ to ! enjoym5t ( ! =m] ( _! int]vals ( respite4 ,i incl9e to ?9k t ! majority ( *e]ful cases is to be f\nd among ^? pati5ts :o are n conf9$ to "o room1 :atev] _! suff]+1 & t ! majority ( depress$ cases w be se5 among ^? subject$ to a long monotony ( objects ab\t !m4 ,! n]v\s frame really suff]s z mu* f ?is z ! dige/ive organs f long monotony ( diet1 z e4g4 ! soldi] f 8 tw5ty-"o ye>s' boil$ beef4 ,sid5ote3 ,col\r & =m means ( recov]y4 ,! effect 9 sickness ( beautiful objects1 ( v>iety ( objects1 & especially ( brilliancy ( col\r is h>dly at all appreciat$4 ,su* crav+s are usually call$ ! fancies ( pati5ts4 ,& (t5 d\btless pati5ts h fancies1 z1 e4g4 :5 !y desire two contradictions4 ,b mu* m (t51 _! 7s call$7 fancies are ! mo/ valuable indications ( :at is necess>y = _! recov]y4 ,& x w\ld be well if nurses w\ld wat* ^! 7s call$7 fancies closely4 ,i h se51 9 fev]s 7& felt1 :5 ,i 0 a fev] pati5t myself7 ! mo/ acute suff]+ produc$ f ! pati5t 79 a hut7 n be+ able to see out ( w9d[1 & ! knots 9 ! wood be+ ! only view4 ,i %all nev] =get ! rapture ( fev] pati5ts ov] a bun* ( bright-col\r$ fl[]s4 ,i rememb] 79 my own case7 a nosegay ( wild fl[]s be+ s5t me1 & f t mom5t recov]y becom+ m rapid4 ,sid5ote3 ,?is is no fancy4 ,p say ! effect is only on ! m9d4 ,x is no su* ?+4 ,! effect is on ! body1 too4 ,little z we "k ab\t ! way 9 :i* we are affect$ by =m1 by col\r1 & light1 we d "k ?is1 t !y h an actual physical effect4 ,v>iety ( =m & brilliancy ( col\r 9 ! objects pres5t$ to pati5ts are actual means ( recov]y4 ,b x mu/ be sl[ v>iety1 e4g41 if y %ew a pati5t t5 or twelve engrav+s successively1 t5-to-"o t he does n become cold & fa9t1 or fev]i%1 or ev5 sick2 b hang "o up opposite him1 "o on ea* successive day1 or week1 or mon?1 & he w revel 9 ! v>iety4 ,sid5ote3 ,fl[]s4 ,! folly & ignorance :i* reign too (t5 supreme ov] ! sick-room1 _c be bett] exemplifi$ ?an by ?is4 ,:ile ! nurse w leave ! pati5t /ew+ 9 a corrupt+ atmosph]e1 ! be/ +r$i5t ( :i* is c>bonic acid2 %e w d5y him1 on ! plea ( unheal?9ess1 a glass ( cut-fl[]s1 or a gr[+ plant4 ,n[1 no "o ev] saw ov]cr[d+ by plants 9 a room or w>d4 ,& ! c>bonic acid !y give (f at nights w\ld n poison a fly4 ,nay1 9 ov]cr[d$ rooms1 !y actually absorb c>bonic acid & give (f oxyg54 ,cut-fl[]s also decompose wat] & produce oxyg5 gas4 ,x is true !re are c]ta9 fl[]s1 e4g41 lilies1 ! smell ( :i* is said to depress ! n]v\s sy/em4 ,^! are easily kn[n by ! smell1 & c be avoid$4 ,sid5ote3 ,effect ( body on m9d4 ,volumes are n[ writt5 & spok5 ^u ! effect ( ! m9d ^u ! body4 ,mu* ( x is true4 ,b ,i wi% a little m 0 ?\ght ( ! effect ( ! body on ! m9d4 ,y :o believe y\rselves ov]:elm$ ) anxieties1 b are able e day to walk up ,reg5t-/reet1 or out 9 ! c\ntry1 to take y\r meals ) o!rs 9 o!r rooms1 c41 c41 y little "k h[ mu* y\r anxieties are !reby light5$2 y little "k h[ int5sifi$ !y become to ^? :o c h no *ange2#ai h[ ! v walls ( _! sick rooms seem hung ) _! c>es2 h[ ! gho/s ( _! tr\bles haunt _! b$s2 h[ impossible x is = !m to escape f a pursu+ ?\ght )\t "s help f v>iety4 ,a pati5t c j z mu* move 8 leg :5 x is fractur$ z *ange 8 ?\ghts :5 no ext]nal help f v>iety is giv5 him4 ,?is is1 inde$1 "o ( ! ma9 suff]+s ( sickness2 j z ! fix$ po/ure is "o ( ! ma9 suff]+s ( ! brok5 limb4 ,sid5ote3 ,help ! sick to v>y _! ?\ghts4 ,x is an ev] recurr+ wond] to see educat$ p1 :o call !mselves nurses1 act+ ?us4 ,!y v>y _! own objects1 _! own employm5ts _m times a day2 & :ile nurs+ 767 "s b$-ridd5 suff]]1 !y let him lie !re />+ at a dead wall1 )\t any *ange ( object to enable him to v>y 8 ?\ghts2 & x nev] ev5 occurs to !m1 at lea/ to move 8 b$ s t he c look out ( w9d[4 ,no1 ! b$ is to be always left 9 ! d>ke/1 dulle/1 remote/1 "p ( ! room4#bj ,i ?9k x is a v common error among ! well to ?9k t ) a little m self-control ! sick might1 if !y *oose1 dismiss pa9ful ?\ghts :i* aggravate _! disease1 c4 ,believe me1 almo/ any sick p]son1 :o behaves dec5tly well1 ex]cises m self-control e mom5t ( 8 day ?an y w ev] "k till y are sick y\rself4 ,almo/ e /ep t crosses 8 room is pa9ful to him2 almo/ e ?\ght t crosses 8 bra9 is pa9ful to him2 & if he c speak )\t be+ savage1 & look )\t be+ unpleasant1 he is ex]cis+ self-control4 ,suppose y h be5 up all night1 & in/ead ( be+ all[$ to h y\r cup ( tea1 y 7 to be told t y ought to ex]cise self-control1 :at %\ld y say8 ,n[1 ! n]ves ( ! sick are always 9 ! /ate t y\rs are 9 aft] y h be5 up all night4 ,sid5ote3 ,supply to ! sick ! defect ( manual lab\r4 ,we w suppose ! diet ( ! sick to be c>$ =4 ,!n1 ?is /ate ( n]ves is mo/ frequ5tly to be reliev$ by c>e 9 af=d+ !m a pleasant view1 a judici\s v>iety z to fl[]s1#ba & pretty ?+s4 ,light by itself w (t5 relieve x4 ,! crav+ = ! return ( day1 :i* ! sick s con/antly ev9ce1 is g5]ally no?+ b ! desire = light1 ! remembrance ( ! relief :i* a v>iety ( objects be=e ! eye af=ds to ! h>ass$ sick m9d4 ,aga91 e man & e woman has "s am\nt ( manual employm5t1 except+ a few f9e ladies1 :o d n ev5 dress !mselves1 & :o are virtually 9 ! same category1 z to n]ves1 z ! sick4 ,n[1 y c h no idea ( ! relief :i* manual lab\r is to y--( ! degree to :i* ! deprivation ( manual employm5t increases ! peculi> irritability f :i* _m sick suff]4 ,a little ne$le-"w1 a little writ+1 a little clean+1 w\ld be ! greate/ relief ! sick c\ld h1 if !y c\ld d x2 ^! are ! greate/ relief to y1 ?\gh y d n "k x4 ,read+1 ?\gh x is (t5 ! only ?+ ! sick c d1 is n ?is relief4 ,be>+ ?is 9 m9d1 be>+ 9 m9d t y h all ^! v>ieties ( employm5t :i* ! sick _c h1 be> also 9 m9d to obta9 = !m all ! v>ieties :i* !y c enjoy4 ,i ne$ h>dly say t ,i am well aw>e t excess 9 ne$le-"w1 9 writ+1 9 any o!r cont9u\s employm5t1 w produce ! same irritability t defect 9 manual employm5t 7z "o cause7 produces 9 ! sick4 ,,vi4 ,,tak+ ,,food4 ,sid5ote3 ,want ( att5tion to h\rs ( tak+ food4 ,e c>eful obs]v] ( ! sick w agree 9 ?is t ?\s&s ( pati5ts are annually />v$ 9 ! mid/ ( pl5ty1 f want ( att5tion to ! ways :i* alone make x possible = !m to take food4 ,?is want ( att5tion is z rem>kable 9 ^? :o urge ^u ! sick to d :at is q impossible to !m1 z 9 ! sick !mselves :o w n make ! ef=t to d :at is p]fectly possible to !m4 ,= in/ance1 to ! l>ge majority ( v weak pati5ts x is q impossible to take any solid food be=e #aa ,a4,m41 nor !n1 if _! /r5g? is /ill fur!r exhau/$ by fa/+ till t h\r4 ,= weak pati5ts h g5]ally fev]i% nights &1 9 ! morn+1 dry m\?s2 &1 if !y c\ld eat ) ^? dry m\?s1 x w\ld be ! worse = !m4 ,a spoonful ( beef-tea1 ( arr[root & w9e1 ( egg flip1 e h\r1 w give !m ! requisite n\ri%m5t1 & prev5t !m f be+ too mu* exhau/$ to take at a lat] h\r ! solid food1 :i* is necess>y = _! recov]y4 ,& e pati5t :o c swall[ at all c swall[ ^! liquid ?+s1 if he *ooses4 ,b h[ (t5 d we he> a mutton-*op1 an egg1 a bit ( bacon1 ord]$ to a pati5t = breakfa/1 to :om 7z a mom5t's consid]ation w\ld %[ u7 x mu/ be q impossible to ma/icate su* ?+s at t h\r4 ,aga91 a nurse is ord]$ to give a pati5t a tea-cup full ( "s article ( food e ?ree h\rs4 ,! pati5t's /oma* rejects x4 ,if s1 try a table-spoon full e h\r2 if ?is w n d1 a tea-spoon full e qu>t] ( an h\r4 ,i am b\nd to say1 t ,i ?9k m pati5ts are lo/ by want ( c>e & +5uity 9 ^! mom5t\s m9uti 9 private nurs+ ?an 9 public hospitals4 ,& ,i ?9k !re is m ( ! ent5te cordiale to assi/ "o ano!r's h&s betwe5 ! doctor & 8 head nurse 9 ! latt] in/itutions1 ?an betwe5 ! doctor & ! pati5t's fri5ds 9 ! private h\se4 ,sid5ote3 ,life (t5 hangs ^u m9utes 9 tak+ food4 ,if we did b "k ! consequ5ces :i* may ensue1 9 v weak pati5ts1 f t5 m9utes' fa/+ or repletion1 7,i call x repletion :5 !y are oblig$ to let too small an int]val elapse betwe5 tak+ food & "s o!r ex]tion1 ow+ to ! nurse's unpunctuality71 we %\ld be m c>eful nev] to let ?is occur4 ,9 v weak pati5ts !re is (t5 a n]v\s difficulty ( swall[+1 :i* is s mu* increas$ by any o!r call ^u _! /r5g? t1 unless !y h _! food punctually at ! m9ute1 :i* m9ute aga9 mu/ be arrang$ s z to fall 9 ) no o!r m9ute's occupation1 !y c take no?+ till ! next respite occurs--s t an unpunctuality or delay ( t5 m9utes may v well turn out to be "o ( two or ?ree h\rs4 ,& :y is x n z easy to be punctual to a m9ute8 ,life (t5 lit]ally hangs ^u ^! m9utes4 ,9 acute cases1 :]e life or dea? is to be det]m9$ 9 a few h\rs1 ^! matt]s are v g5]ally att5d$ to1 especially 9 ,hospitals2 & ! numb] ( cases is l>ge :]e ! pati5t is1 z x 71 br\ght back to life by exce$+ c>e on ! "p ( ! ,doctor or ,nurse1 or bo?1 9 ord]+ & giv+ n\ri%m5t ) m9ute selection & punctuality4 ,sid5ote3 ,pati5ts (t5 />v$ to dea? 9 *ronic cases4 ,b1 9 *ronic cases1 la/+ ov] mon?s & ye>s1 :]e ! fatal issue is (t5 det]m9$ at la/ by m]e protract$ />vation1 ,i _h r n enum]ate ! in/ances :i* ,i h kn[n :]e a little +5uity1 & a great deal ( p]sev]ance1 might1 9 all probability1 h av]t$ ! result4 ,! consult+ ! h\rs :5 ! pati5t c take food1 ! obs]vation ( ! times1 (t5 v>y+1 :5 he is mo/ fa9t1 ! alt]+ seasons ( tak+ food1 9 ord] to anticipate & prev5t su* times--all ?is1 :i* requires obs]vation1 +5uity1 & p]sev]ance 7& ^! really con/itute ! good ,nurse71 might save m lives ?an we wot (4 ,sid5ote3 ,food nev] to be left by ! pati5t's side4 ,to leave ! pati5t's unta/$ food by 8 side1 f meal to meal1 9 hopes t he w eat x 9 ! int]val1 is simply to prev5t him f tak+ any food at all4 ,i h kn[n pati5ts lit]ally incapacitat$ f tak+ "o article ( food aft] ano!r1 by ?is piece ( ignorance4 ,let ! food come at ! "r "t1 & be tak5 away1 eat5 or uneat51 at ! "r "t2 b nev] let a pati5t h some?+ always /&+ by him1 if y don't wi% to disgu/ him ( ev]y?+4 ,on ! o!r h&1 ,i h kn[n a pati5t's life sav$ 7he 0 s9k+ = want ( food7 by ! simple "q1 put to him by ! doctor1 ,b is !re no h\r :5 y feel y c\ld eat8 ,oh1 yes1 he said1 ,i c\ld always take some?+ at -- o'clock & -- o'clock4 ,! ?+ 0 tri$ & succe$$4 ,pati5ts v seldom1 h[ev]1 c tell ?is2 x is = y to wat* & f9d x out4 ,sid5ote3 ,pati5t _h bett] n see m food ?an 8 own4 ,a pati5t %\ld1 if possible1 n see or smell ei!r ! food ( o!rs1 or a great] am\nt ( food ?an he himself c consume at "o "t1 or ev5 he> food talk$ ab\t or see x 9 ! raw /ate4 ,i "k ( no exception to ! above rule4 ,! break+ ( x always induces a great] or less incapacity ( tak+ food4 ,9 hospital w>ds x is ( c\rse impossible to obs]ve all ?is2 & 9 s+le w>ds1 :]e a pati5t mu/ be cont9u\sly & closely wat*$1 x is frequ5tly impossible to relieve ! att5dant1 s t 8 or h] own meals c be tak5 out ( ! w>d4 ,b x is n ! less true t1 9 su* cases1 ev5 :]e ! pati5t is n himself aw>e ( x1 8 possibility ( tak+ food is limit$ by see+ ! att5dant eat+ meals "u 8 obs]vation4 ,9 "s cases ! sick are aw>e ( x1 & compla94 ,a case :]e ! pati5t 0 suppos$ to be ins5sible1 b compla9$ z soon z able to speak1 is n[ pres5t to my recollection4 ,rememb]1 h[ev]1 t ! extreme punctuality 9 well-ord]$ hospitals1 ! rule t no?+ %all be done 9 ! w>d :ile ! pati5ts are hav+ _! meals1 g f> to c\nt]balance :at unavoidable evil !re is 9 hav+ pati5ts toge!r4 ,i h (t5 se5 ! private nurse g on du/+ or fidget+ ab\t 9 a sick room all ! :ile ! pati5t is eat+1 or try+ to eat4 ,t ! m alone an invalid c be :5 tak+ food1 ! bett]1 is unque/ionable2 &1 ev5 if he mu/ be f$1 ! nurse %\ld n all[ him to talk1 or talk to him1 especially ab\t food1 :ile eat+4 ,:5 a p]son is compell$1 by ! pressure ( occupation1 to cont9ue 8 bus9ess :ile sick1 x ought to be a rule ,,)\t ,,any ,,exception ,,:atev]1 t no "o %all br+ bus9ess to him or talk to him :ile he is tak+ food1 nor g on talk+ to him on int]e/+ subjects up to ! la/ mom5t be=e 8 meals1 nor make an engagem5t ) him imm$iately aft]1 s t !re be any hurry ( m9d :ile tak+ !m4 ,^u ! obs]vance ( ^! rules1 especially ! fir/1 (t5 dep5ds ! pati5t's capability ( tak+ food at all1 or1 if he is amiable & =ces himself to take food1 ( d]iv+ any n\ri%m5t f x4 ,sid5ote3 ,y _c be too c>eful z to quality 9 sick diet4 ,a nurse %\ld nev] put be=e a pati5t milk t is s\r1 meat or s\p t is turn$1 an egg t is bad1 or vegetables und]done4 ,yet (t5 ,i h se5 ^! ?+s br\ght 9 to ! sick 9 a /ate p]fectly p]ceptible to e nose or eye except ! nurse's4 ,x is "h t ! clev] nurse appe>s2 %e w n br+ 9 ! peccant article1 b1 n to disappo9t ! pati5t1 %e w :ip up some?+ else 9 a few m9utes4 ,rememb] t sick cook]y %\ld half d ! "w ( y\r poor pati5t's weak dige/ion4 ,b if y fur!r impair x ) y\r bad articles1 ,i "k n :at is to become ( him or ( x4 ,if ! nurse is an intellig5t be+1 & n a m]e c>ri] ( diets to & f ! pati5t1 let h] ex]cise h] intellig5ce 9 ^! ?+s4 ,h[ (t5 we h kn[n a pati5t eat no?+ at all 9 ! day1 because "o meal 0 left unta/$ 7at t "t he 0 incapable ( eat+71 at ano!r ! milk 0 s\r1 ! ?ird 0 spoil$ by "s o!r accid5t4 ,& x nev] occurr$ to ! nurse to extemporize "s exp$i5t1--x nev] occurr$ to h] t z he _h _h no solid food t day1 he might eat a bit ( toa/ 7say7 ) 8 tea 9 ! ev5+1 or he might h "s meal an h\r e>li]4 ,a pati5t :o _c t\* 8 d9n] at two1 w (t5 accept x gladly1 if br\ght to him at sev54 ,b someh[ nurses nev] ?9k ( ^! ?+s4 ,"o w\ld imag9e !y did n consid] !mselves b\nd to ex]cise _! judgm5t2 !y leave x to ! pati5t4 ,n[ ,i am q sure t x is bett] = a pati5t r to suff] ^! neglects ?an to try to tea* 8 nurse to nurse him1 if %e does n "k h[4 ,x ruffles him1 & if he is ill he is 9 no condition to tea*1 especially ^u himself4 ,! above rem>ks apply mu* m to private nurs+ ?an to hospitals4 ,sid5ote3 ,nurse mu/ h "s rule ( ?\ght ab\t h] pati5ts diet4 ,i w\ld say to ! nurse1 h a rule ( ?\ght ab\t y\r pati5t's diet2 consid]1 rememb] h[ mu* he has _h1 & h[ mu* he ought to h to-day4 ,g5]ally1 ! only rule ( ! private pati5t's diet is :at ! nurse has to give4 ,x is true %e _c give him :at %e has n got2 b 8 /oma* does n wait = h] conv5i5ce1 or ev5 h] necessity4#bb ,if x is us$ to hav+ its /imulus at "o h\r to-day1 & to-morr[ x does n h x1 because %e has fail$ 9 gett+ x1 he w suff]4 ,%e mu/ be always ex]cis+ h] +5uity to supply defects1 & to rem$y accid5ts :i* w happ5 among ! be/ contriv]s1 b f :i* ! pati5t does n suff] ! less1 because !y _c be help$4 ,sid5ote3 ,keep y\r pati5t's cup dry und]nea?4 ,"o v m9ute caution1--take c>e n to spill into y\r pati5t's sauc]1 9 o!r words1 take c>e t ! outside bottom rim ( 8 cup %all be q dry & clean2 if1 e "t he lifts 8 cup to 8 lips1 he has to c>ry ! sauc] ) x1 or else to drop ! liquid ^u1 & to soil 8 %eet1 or 8 b$-g[n1 or pill[1 or if he is sitt+ up1 8 dress1 y h no idea :at a diff]5ce ?is m9ute want ( c>e on y\r "p makes to 8 com=t & ev5 to 8 will+ness = food4 ,,vii4 ,,:at ,,food8 ,sid5ote3 ,common errors 9 diet4 ,sid5ote3 ,beef tea4 ,sid5ote3 ,eggs4 ,sid5ote3 ,meat )\t vegetables4 ,sid5ote3 ,arr[root4 ,i w m5tion "o or two ( ! mo/ common errors among wom5 9 *>ge ( sick respect+ sick diet4 ,"o is ! belief t beef tea is ! mo/ nutritive ( all articles4 ,n[1 j try & boil d[n a lb4 ( beef into beef tea1 evaporate y\r beef tea1 & see :at is left ( y\r beef4 ,y w f9d t !re is b>ely a teaspoonful ( solid n\ri%m5t to half a p9t ( wat] 9 beef tea2--nev]!less !re is a c]ta9 rep>ative quality 9 x1 we d n "k :at1 z !re is 9 tea2--b x may safely be giv5 9 almo/ any inflammatory disease1 & is z little to be dep5d$ ^u ) ! heal?y or convalesc5t :]e mu* n\ri%m5t is requir$4 ,aga91 x is an ev] ready saw t an egg is equival5t to a lb4 ( meat1--:]eas x is n at all s4 ,also1 x is seldom notic$ ) h[ _m pati5ts1 p>ticul>ly ( n]v\s or bili\s temp]am5t1 eggs disagree4 ,all pudd+s made ) eggs1 are di/a/eful to !m 9 consequ5ce4 ,an egg1 :ipp$ up ) w9e1 is (t5 ! only =m 9 :i* !y c take ?is k9d ( n\ri%m5t4 ,aga91 if ! pati5t has atta9$ to eat+ meat1 x is suppos$ t to give him meat is ! only ?+ ne$ful = 8 recov]y2 :]eas scorbutic sores h be5 actually kn[n to appe> among sick p]sons liv+ 9 ! mid/ ( pl5ty 9 ,engl&1 :i* c\ld be trac$ to no o!r s\rce ?an ?is1 viz43 t ! nurse1 dep5d+ on meat alone1 _h all[$ ! pati5t to be )\t vegetables = a consid]able "t1 ^! latt] be+ s badly cook$ t he always left !m unt\*$4 ,arr[root is ano!r gr& dep5d5ce ( ! nurse4 ,z a vehicle = w9e1 & z a re/orative quickly prep>$1 x is all v well4 ,b x is no?+ b />* & wat]4 ,fl\r is bo? m nutritive1 & less liable to f]m5t1 & is pref]able :]ev] x c be us$4 ,sid5ote3 ,milk1 butt]1 cream1 c4 ,aga91 milk & ! prep>ations f milk1 are a mo/ important article ( food = ! sick4 ,butt] is ! lighte/ k9d ( animal fat1 & ?\gh x wants ! sug> & "s ( ! o!r elem5ts :i* !re are 9 milk1 yet x is mo/ valuable bo? 9 itself & 9 enabl+ ! pati5t to eat m bread4 ,fl\r1 oats1 groats1 b>ley1 & _! k9d1 are z we h already said1 pref]able 9 all _! prep>ations to all ! prep>ations ( arr[ root1 sago1 tapioca1 & _! k9d4 ,cream1 9 _m long *ronic diseases1 is q irreplaceable by any o!r article :atev]4 ,x seems to act 9 ! same mann] z beef tea1 & to mo/ x is mu* easi] ( dige/ion ?an milk4 ,9 fact1 x seldom disagrees4 ,*eese is n usually dige/ible by ! sick1 b x is pure n\ri%m5t = repair+ wa/e2 & ,i h se5 sick1 & n a few ei!r1 ^: crav+ = *eese %ew$ h[ mu* x 0 ne$$ by !m4#bc ,b1 if fre% milk is s valuable a food = ! sick1 ! lea/ *ange or s\rness 9 x1 makes x ( all articles1 p]haps1 ! mo/ injuri\s2 di>rhoea is a common result ( fre% milk all[$ to become at all s\r4 ,! nurse !re=e ought to ex]cise h] utmo/ c>e 9 ?is4 ,9 l>ge in/itutions = ! sick1 ev5 ! poore/1 ! utmo/ c>e is ex]cis$4 ,w5ham ,lake ice is us$ = ?is express purpose e summ]1 :ile ! private pati5t1 p]haps1 nev] ta/es a drop ( milk t is n s\r1 all ?r\gh ! hot wea!r1 s little does ! private nurse und]/& ! necessity ( su* c>e4 ,yet1 if y consid] t ! only drop ( real n\ri%m5t 9 y\r pati5t's tea is ! drop ( milk1 & h[ mu* almo/ all ,engli% pati5ts dep5d ^u _! tea1 y w see ! great importance ( n depriv+ y\r pati5t ( ?is drop ( milk4 ,butt]milk1 a totally diff]5t ?+1 is (t5 v useful1 especially 9 fev]s4 ,sid5ote3 ,sweet ?+s4 ,9 lay+ d[n rules ( diet1 by ! am\nts ( solid nutrim5t 9 diff]5t k9ds ( food1 x is con/antly lo/ sight ( :at ! pati5t requires to repair 8 wa/e1 :at he c take & :at he c't4 ,y _c diet a pati5t f a book1 y _c make up ! human body z y w\ld make up a prescription1--s _m p>ts c>bonif]\s1 s _m p>ts nitrog5\s w con/itute a p]fect diet = ! pati5t4 ,! nurse's obs]vation "h w mat]ially assi/ ! doctor--! pati5t's fancies w mat]ially assi/ ! nurse4 ,= in/ance1 sug> is "o ( ! mo/ nutritive ( all articles1 be+ pure c>bon1 & is p>ticul>ly recomm5d$ 9 "s books4 ,b ! va/ majority ( all pati5ts 9 ,engl&1 "y & old1 male & female1 ri* & poor1 hospital & private1 dislike sweet ?+s1--& :ile ,i h nev] kn[n a p]son take to sweets :5 he 0 ill :o dislik$ !m :5 he 0 well1 ,i h kn[n _m fond ( !m :5 9 heal?1 :o 9 sickness w\ld leave (f any?+ sweet1 ev5 to sug> 9 tea1--sweet pudd+s1 sweet dr9ks1 are _! av]sion2 ! furr$ tongue almo/ always likes :at is %>p or pung5t4 ,scorbutic pati5ts are an exception1 !y (t5 crave = sweetmeats & jams4 ,sid5ote3 ,jelly4 ,jelly is ano!r article ( diet 9 great fav\r ) nurses & fri5ds ( ! sick2 ev5 if x c\ld be eat5 solid1 x w\ld n n\ri%1 b x is simply ! height ( folly to take #a_/h oz4 ( gelat9e & make x into a c]ta9 bulk by dissolv+ x 9 wat] & !n to give x to ! sick1 z if ! m]e bulk repres5t$ n\ri%m5t4 ,x is n[ kn[n t jelly does n n\ri%1 t x has a t5d5cy to produce di>rhoea1--& to tru/ to x to repair ! wa/e ( a diseas$ con/itution is simply to />ve ! sick "u ! guise ( fe$+ !m4 ,if #ajj spoonfuls ( jelly 7 giv5 9 ! c\rse ( ! day1 y w\ld h giv5 "o spoonful ( gelat9e1 :i* spoonful has no nutritive p[] :atev]4 ,&1 nev]!less1 gelat9e conta9s a l>ge quantity ( nitrog51 :i* is "o ( ! mo/ p[]ful elem5ts 9 nutrition2 on ! o!r h&1 beef tea may be *os5 z an illu/ration ( great nutri5t p[] 9 sickness1 co-exi/+ ) a v small am\nt ( solid nitrog5\s matt]4 ,sid5ote3 ,beef tea4 ,dr4 ,*ri/ison says t e "o w be /ruck ) ! read9ess ) :i* c]ta9 classes ( pati5ts w (t5 take dilut$ meat juice or beef tea repeat$ly1 :5 !y refuse all o!r k9ds ( food4 ,?is is p>ticul>ly rem>kable 9 cases ( ga/ric fev]1 9 :i*1 he says1 little or no?+ else besides beef tea or dilut$ meat juice has be5 tak5 = weeks or ev5 mon?s1 & yet a p9t ( beef tea conta9s sc>cely #a_/d oz4 ( any?+ b wat]1--! result is s /rik+ t he asks :at is its mode ( action8 ,n simply nutri5t--#a_/d oz4 ( ! mo/ nutritive mat]ial _c ne>ly replace ! daily we> & te> ( ! tissues 9 any circum/ances4 ,possibly1 he says1 x belongs to a new d5om9ation ( rem$ies4 ,x has be5 obs]v$ t a small quantity ( beef tea add$ to o!r articles ( nutrition augm5ts _! p[] out ( all proportion to ! additional am\nt ( solid matt]4 ,! reason :y jelly %\ld be innutriti\s & beef tea nutriti\s to ! sick1 is a secret yet undiscov]$1 b x cle>ly %[s t c>eful obs]vation ( ! sick is ! only clue to ! be/ diet>y4 ,sid5ote3 ,obs]vation1 n *emi/ry1 mu/ decide sick diet4 ,*emi/ry has z yet af=d$ little insight into ! diet+ ( sick4 ,all t *emi/ry c tell u is ! am\nt ( c>bonif]\s or nitrog5\s elem5ts discov]able 9 diff]5t dietetic articles4 ,x has giv5 u li/s ( dietetic sub/ances1 arrang$ 9 ! ord] ( _! ri*ness 9 "o or o!r ( ^! pr9ciples2 b t is all4 ,9 ! great majority ( cases1 ! /oma* ( ! pati5t is guid$ by o!r pr9ciples ( selection ?an m]ely ! am\nt ( c>bon or nitrog5 9 ! diet4 ,no d\bt1 9 ?is z 9 o!r ?+s1 nature has v def9ite rules = h] guidance1 b ^! rules c only be asc]ta9$ by ! mo/ c>eful obs]vation at ! b$-side4 ,%e !re tea*es u t liv+ *emi/ry1 ! *emi/ry ( rep>ation1 is some?+ diff]5t f ! *emi/ry ( ! laboratory4 ,organic *emi/ry is useful1 z all k is1 :5 we come face to face ) nature2 b x by no means foll[s t we %\ld le>n 9 ! laboratory any "o ( ! rep>ative processes go+ on 9 disease4 ,aga91 ! nutritive p[] ( milk & ( ! prep>ations f milk1 is v mu* und]valu$2 !re is ne>ly z mu* n\ri%m5t 9 half a p9t ( milk z !re is 9 a qu>t] ( a lb4 ( meat4 ,b ?is is n ! :ole "q or ne>ly ! :ole4 ,! ma9 "q is :at ! pati5t's /oma* c assimilate or d]ive n\ri%m5t f1 & ( ?is ! pati5t's /oma* is ! sole judge4 ,*emi/ry _c tell ?is4 ,! pati5t's /oma* mu/ be its own *emi/4 ,! diet :i* w keep ! heal?y man heal?y1 w kill ! sick "o4 ,! same beef :i* is ! mo/ nutritive ( all meat & :i* n\ri%es ! heal?y man1 is ! lea/ n\ri%+ ( all food to ! sick man1 ^: half-dead /oma* c assimilate no "p ( x1 t is1 make no food out ( x4 ,on a diet ( beef tea heal?y m5 on ! o!r h& spe$ily lose _! /r5g?4 ,sid5ote3 ,home-made bread4 ,i h kn[n pati5ts live = _m mon?s )\t t\*+ bread1 because !y c\ld n eat bak]'s bread4 ,^! 7 mo/ly c\ntry pati5ts1 b n all4 ,home-made bread or br[n bread is a mo/ important article ( diet = _m pati5ts4 ,! use ( ap]i5ts may be entirely sup]s$$ by x4 ,oat cake is ano!r4 ,sid5ote3 ,s\nd obs]vation has sc>cely yet be5 br\ght to be> on sick diet4 ,to wat* = ! op9ions1 !n1 :i* ! pati5t's /oma* gives1 r ?an to read analyses ( foods1 is ! bus9ess ( all ^? :o h to settle :at ! pati5t is to eat--p]haps ! mo/ important ?+ to be provid$ = him aft] ! air he is to brea!4 ,n[ ! m$ical man :o sees ! pati5t only once a day or ev5 only once or twice a week1 _c possibly tell ?is )\t ! assi/ance ( ! pati5t himself1 or ( ^? :o are 9 con/ant obs]vation on ! pati5t4 ,! utmo/ ! m$ical man c tell is :e!r ! pati5t is weak] or /rong] at ?is visit ?an he 0 at ! la/ visit4 ,i %\ld !re=e say t incomp>ably ! mo/ important (fice ( ! nurse1 aft] %e has tak5 c>e ( ! pati5t's air1 is to take c>e to obs]ve ! effect ( 8 food1 & report x to ! m$ical att5dant4 ,x is q incalculable ! good t w\ld c]ta9ly come f su* s\nd & close obs]vation 9 ?is almo/ neglect$ bran* ( nurs+1 or ! help x w\ld give to ! m$ical man4 ,sid5ote3 ,tea & c(fee4 ,a great deal too mu* aga9/ tea#bd is said by wise p1 & a great deal too mu* ( tea is giv5 to ! sick by fooli% p4 ,:5 y see ! natural & almo/ univ]sal crav+ 9 ,engli% sick = _! tea1 y _c b feel t nature kn[s :at %e is ab\t4 ,b a little tea or c(fee re/ores !m q z mu* z a great deal1 & a great deal ( tea & especially ( c(fee impairs ! little p[] ( dige/ion !y h4 ,yet a nurse because %e sees h[ "o or two cups ( tea or c(fee re/ores h] pati5t1 ?9ks t ?ree or f\r cups w d twice z mu*4 ,?is is n ! case at all2 x is h[ev] c]ta9 t !re is no?+ yet discov]$ :i* is a sub/itute to ! ,engli% pati5t = 8 cup ( tea2 he c take x :5 he c take no?+ else1 & he (t5 c't take any?+ else if he has x n4 ,i %\ld be v glad if any ( ! abus]s ( tea w\ld po9t out :at to give to an ,engli% pati5t aft] a sleepless night1 in/ead ( tea4 ,if y give x at #e or #f o'clock 9 ! morn+1 he may ev5 sometimes fall asleep aft] x1 & get p]haps 8 only two or ?ree h\rs' sleep dur+ ! tw5ty-f\r4 ,at ! same "t y nev] %\ld give tea or c(fee to ! sick1 z a rule1 aft] #e o'clock 9 ! aft]noon4 ,sleeplessness 9 ! e>ly night is f excitem5t g5]ally & is increas$ by tea or c(fee2 sleeplessness :i* cont9ues to ! e>ly morn+ is f exhau/ion (t51 & is reliev$ by tea4 ,! only ,engli% pati5ts ,i h ev] kn[n refuse tea1 h be5 typhus cases1 & ! fir/ sign ( _! gett+ bett] 0 _! crav+ aga9 = tea4 ,9 g5]al1 ! dry & dirty tongue always pref]s tea to c(fee1 & w q decl9e milk1 unless ) tea4 ,c(fee is a bett] re/orative ?an tea1 b a great] impair] ( ! dige/ion4 ,let ! pati5t's ta/e decide4 ,y w say t1 9 cases ( great ?ir/1 ! pati5t's crav+ decides t x w dr9k a great deal ( tea1 & t y _c help x4 ,b 9 ^! cases be sure t ! pati5t requires dilu5ts = q o!r purposes ?an qu5*+ ! ?ir/2 he wants a great deal ( "s dr9k1 n only ( tea1 & ! doctor w ord] :at he is to h1 b>ley wat] or lemonade1 or soda wat] & milk1 z ! case may be4 ,lehmann1 quot$ by ,dr4 ,*ri/ison1 says t1 among ! well & active ! infusion ( #a oz4 ( roa/$ c(fee daily w dim9i% ! wa/e go+ on 9 ! body by "o-f\r?1 & ,dr4 ,*ri/ison adds t tea has ! same prop]ty4 ,n[ ?is is actual exp]im5t4 ,lehmann weighs ! man & f9ds ! fact f 8 weight4 ,x is n d$uc$ f any analysis ( food4 ,all exp]i5ce among ! sick %[s ! same ?+4#be ,sid5ote3 ,cocoa4 ,cocoa is (t5 recomm5d$ to ! sick 9 lieu ( tea or c(fee4 ,b indep5d5tly ( ! fact t ,engli% sick v g5]ally dislike cocoa1 x has q a diff]5t effect f tea or c(fee4 ,x is an oily />*y nut hav+ no re/orative p[] at all1 b simply increas+ fat4 ,x is pure mock]y ( ! sick1 !re=e1 to call x a sub/itute = tea4 ,= any r5ovat+ /imulus x has1 y might j z well (f] !m *esnuts in/ead ( tea4 ,sid5ote3 ,bulk4 ,an almo/ univ]sal error among nurses is 9 ! bulk ( ! food & especially ! dr9ks !y (f] to _! pati5ts4 ,suppose a pati5t ord]$ #d oz4 br&y dur+ ! day1 h[ is he to take ?is if y make x into f\r p9ts ) dilut+ x8 ,! same ) tea & beef tea1 ) arr[root1 milk1 c4 ,y h n increas$ ! n\ri%m5t1 y h n increas$ ! r5ovat+ p[] ( ^! articles1 by increas+ _! bulk1--y h v likely dim9i%$ bo? by giv+ ! pati5t's dige/ion m to d1 & mo/ likely ( all1 ! pati5t w leave half ( :at he has be5 ord]$ to take1 because he _c swall[ ! bulk ) :i* y h be5 pleas$ to inve/ x4 ,x requires v nice obs]vation & c>e 7& meets ) h>dly any7 to det]m9e :at w n be too ?ick or /rong = ! pati5t to take1 :ile giv+ him no m ?an ! bulk :i* he is able to swall[4 ,,viii4 ,,b$ ,,& ,,b$d+4 ,sid5ote3 ,fev]i%ness a symptom ( b$d+4 ,a few words ^u b$/eads & b$d+2 & pr9cipally z reg>ds pati5ts :o are entirely1 or almo/ entirely1 conf9$ to b$4 ,fev]i%ness is g5]ally suppos$ to be a symptom ( fev]--9 n9e cases out ( t5 x is a symptom ( b$d+4#bf ,! pati5t has _h re-introduc$ into ! body ! emanations f himself :i* day aft] day & week aft] week saturate 8 unair$ b$d+4 ,h[ c x be o!rwise8 ,look at ! ord9>y b$ 9 :i* a pati5t lies4 ,sid5ote3 ,uncleanl9ess ( ord9>y b$d+4 ,if ,i 7 look+ out = an example 9 ord] to %[ :at n to d1 ,i %\ld take ! specim5 ( an ord9>y b$ 9 a private h\se3 a wood5 b$/ead1 two or ev5 ?ree mattresses pil$ up to above ! height ( a table2 a vallance atta*$ to ! frame--no?+ b a miracle c\ld ev] ?or\ghly dry or air su* a b$ & b$d+4 ,! pati5t mu/ inevitably alt]nate betwe5 cold damp aft] 8 b$ is made1 & w>m damp be=e1 bo? saturat$ ) organic matt]1#bg & ?is f ! "t ! mattresses are put "u him till ! "t !y are pick$ to pieces1 if ?is is ev] done4 ,sid5ote3 ,air y\r dirty %eets1 n only y\r clean ones4 ,if y consid] t an adult 9 heal? exhales by ! lungs & sk9 9 ! tw5ty-f\r h\rs ?ree p9ts at lea/ ( moi/ure1 load$ ) organic matt] ready to ent] into putrefaction2 t 9 sickness ! quantity is (t5 greatly increas$1 ! quality is always m noxi\s--j ask y\rself next :]e does all ?is moi/ure g to8 ,*iefly into ! b$d+1 because x _c g any:]e else4 ,& x /ays !re2 because1 except p]haps a weekly *ange ( %eets1 sc>cely any o!r air+ is attempt$4 ,a nurse w be c>eful to fidget9ess ab\t air+ ! clean %eets f clean damp1 b air+ ! dirty %eets f noxi\s damp w nev] ev5 occur to h]4 ,besides ?is1 ! mo/ dang]\s effluvia we "k ( are f ! excreta ( ! sick--^! are plac$1 at lea/ tempor>ily1 :]e !y mu/ ?r[ _! effluvia into ! "u side ( ! b$1 & ! space "u ! b$ is nev] air$2 x _c be1 ) our arrangem5ts4 ,mu/ n su* a b$ be always saturat$1 & be always ! means ( re-introduc+ into ! sy/em ( ! un=tunate pati5t :o lies 9 x1 t excrem5titi\s matt] to elim9ate :i* f ! body nature _h expressly appo9t$ ! disease8 ,my he>t always s9ks )9 me :5 ,i he> ! good h\se-wife1 ( e class1 say1 ,i assure y ! b$ has be5 well slept 91 & ,i c only hope x is n true4 ,:at8 is ! b$ already saturat$ ) somebody else's damp be=e my pati5t comes to exhale into x 8 own damp8 ,has x n _h a s+le *ance to be air$8 ,no1 n "o4 ,x has be5 slept 9 e night4 ,sid5ote3 ,iron spr+ b$/ead ! be/4 ,sid5ote3 ,com=t & cleanl9ess ( two b$s4 ,! only way ( really nurs+ a real pati5t is to h an iron b$/ead1 ) rheocl9e spr+s1 :i* are p]meable by ! air up to ! v mattress 7no vallance1 ( c\rse71 ! mattress to be a ?9 hair "o2 ! b$ to be n above #c-a_/b feet wide4 ,if ! pati5t be entirely conf9$ to 8 b$1 !re %\ld be two su* b$/eads2 ea* b$ to be made ) mattress1 %eets1 blankets1 c41 complete--! pati5t to pass twelve h\rs 9 ea* b$2 on no acc\nt to c>ry 8 %eets ) him4 ,! :ole ( ! b$d+ to be hung up to air = ea* int]m$iate twelve h\rs4 ,( c\rse !re are _m cases :]e ?is _c be done at all--_m m :]e only an approa* to x c be made4 ,i am indicat+ ! ideal ( nurs+1 & :at ,i h actually _h done4 ,b ab\t ! k9d ( b$/ead !re c be no d\bt1 :e!r !re be "o or two provid$4 ,sid5ote3 ,b$ n to be too wide4 ,!re is a prejudice 9 fav\r ( a wide b$--,i believe x to be a prejudice4 ,all ! refre%m5t ( mov+ a pati5t f "o side to ! o!r ( 8 b$ is f> m effectually secur$ by putt+ him into a fre% b$2 & a pati5t :o is really v ill does n /ray f> 9 b$4 ,b x is said !re is no room to put a tray d[n on a n>r[ b$4 ,no good nurse w ev] put a tray on a b$ at all4 ,if ! pati5t c turn on 8 side1 he w eat m com=tably f a b$-side table2 & on no acc\nt :atev] %\ld a b$ ev] be high] ?an a s(a4 ,o!rwise ! pati5t feels himself out ( humanity's rea*2 he c get at no?+ = himself3 he c move no?+ = himself4 ,if ! pati5t _c turn1 a table ov] ! b$ is a bett] ?+4 ,i ne$ h>dly say t a pati5t's b$ %\ld nev] h its side aga9/ ! wall4 ,! nurse mu/ be able to get easily to bo? sides ! b$1 & to rea* easily e "p ( ! pati5t )\t /ret*+--a ?+ impossible if ! b$ be ei!r too wide or too high4 ,sid5ote3 ,b$ n to be too high4 ,:5 ,i see a pati5t 9 a room n9e or t5 feet high ^u a b$ betwe5 f\r & five feet high1 ) 8 head1 :5 he is sitt+ up 9 b$1 actually )9 two or ?ree feet ( ! ceil+1 ,i ask myself1 is ?is expressly plann$ to produce t peculi>ly di/ress+ feel+ common to ! sick1 viz41 z if ! walls & ceil+ 7 clos+ 9 ^u !m1 & !y becom+ s&wi*es betwe5 floor & ceil+1 :i* imag9ation is n1 inde$1 "h s f> f ! tru?8 ,if1 ov] & above ?is1 ! w9d[ /ops %ort ( ! ceil+1 !n ! pati5t's head may lit]ally be rais$ above ! /ratum ( fre% air1 ev5 :5 ! w9d[ is op54 ,c human p]v]sity any f>!r g1 9 unmak+ ! process ( re/oration :i* ,god has made8 ,! fact is1 t ! heads ( sleep]s or ( sick %\ld nev] be high] ?an ! ?roat ( ! *imney1 :i* ensures _! be+ 9 ! curr5t ( be/ air4 ,& we w n suppose x possible t y h clos$ y\r *imney ) a *imney-bo>d4 ,if a b$ is high] ?an a s(a1 ! diff]5ce ( ! fatigue ( gett+ 9 & out ( b$ w j make ! diff]5ce1 v (t51 to ! pati5t 7:o c get 9 & out ( b$ at all7 ( be+ able to take a few m9utes' ex]cise1 ei!r 9 ! op5 air or 9 ano!r room4 ,x is s v odd t p nev] ?9k ( ?is1 or ( h[ _m m times a pati5t :o is 9 b$ = ! tw5ty-f\r h\rs is oblig$ to get 9 & out ( b$ ?an !y are1 :o only1 x is to be hop$1 get into b$ once & out ( b$ once dur+ ! tw5ty-f\r h\rs4 ,sid5ote3 ,nor 9 a d>k place4 ,a pati5t's b$ %\ld always be 9 ! lighte/ spot 9 ! room2 & he %\ld be able to see out ( w9d[4 ,sid5ote3 ,nor a f\r po/] ) curta9s4 ,i ne$ sc>cely say t ! old f\r-po/ b$ ) curta9s is utt]ly inadmissible1 :e!r = sick or well4 ,hospital b$/eads are 9 _m respects v mu* less objectionable ?an private ones4 ,sid5ote3 ,scr(ula (t5 a result ( disposition ( b$clo!s4 ,!re is reason to believe t n a few ( ! app>5tly unacc\ntable cases ( scr(ula among *ildr5 proce$ f ! habit ( sleep+ ) ! head "u ! b$ clo!s1 & s inhal+ air already brea!d1 :i* is f>!r contam9at$ by exhalations f ! sk94 ,pati5ts are sometimes giv5 to a simil> habit1 & x (t5 happ5s t ! b$ clo!s are s dispos$ t ! pati5t mu/ necess>ily brea! air m or less contam9at$ by exhalations f 8 sk94 ,a good nurse w be c>eful to att5d to ?is4 ,x is an important "p1 s to speak1 ( v5tilation4 ,sid5ote3 ,b$ sores4 ,x may be wor? :ile to rem>k1 t :]e !re is any dang] ( b$-sores a blanket %\ld nev] be plac$ "u ! pati5t4 ,x reta9s damp & acts l a p\ltice4 ,sid5ote3 ,heavy & imp]vi\s b$clo!s4 ,nev] use any?+ b light ,witney blankets z b$ cov]+ = ! sick4 ,! heavy cotton imp]vi\s c\nt]pane is bad1 = ! v reason t x keeps 9 ! emanations f ! sick p]son1 :ile ! blanket all[s !m to pass ?r\gh4 ,weak pati5ts are inv>iably di/ress$ by a great weight ( b$-clo!s1 :i* (t5 prev5ts _! gett+ any s\nd sleep :atev]4 ,,note4--,"o ^w ab\t pill[s4 ,e weak pati5t1 be 8 illness :at x may1 suff]s m or less f difficulty 9 brea?+4 ,to take ! weight ( ! body (f ! poor *e/1 :i* is h>dly up to its "w z x is1 ought !re=e to be ! object ( ! nurse 9 arrang+ 8 pill[s4 ,n[ :at does %e d & :at are ! consequ5ces8 ,%e piles ! pill[s "o a-top ( ! o!r l a wall ( bricks4 ,! head is ?r[n ^u ! *e/4 ,& ! %\ld]s are pu%$ =w>d1 s z n to all[ ! lungs room to exp&4 ,! pill[s1 9 fact1 lean ^u ! pati5t1 n ! pati5t ^u ! pill[s4 ,x is impossible to give a rule = ?is1 because x mu/ v>y ) ! figure ( ! pati5t4 ,& tall pati5ts suff] mu* m ?an %ort ones1 because ( ! drag ( ! long limbs ^u ! wai/4 ,b ! object is to support1 ) ! pill[s1 ! back bel[ ! brea?+ app>atus1 to all[ ! %\ld]s room to fall back1 & to support ! head1 )\t ?r[+ x =w>d4 ,! suff]+ ( dy+ pati5ts is imm5sely increas$ by neglect ( ^! po9ts4 ,& _m an invalid1 too weak to drag ab\t 8 pill[s himself1 slips 8 book or any?+ at h& beh9d ! l[] "p ( 8 back to support x4 ,,ix4 ,,light4 ,sid5ote3 ,light ess5tial to bo? heal? & recov]y4 ,x is ! unqualifi$ result ( all my exp]i5ce ) ! sick1 t second only to _! ne$ ( fre% air is _! ne$ ( light2 t1 aft] a close room1 :at hurts !m mo/ is a d>k room4 ,& t x is n only light b direct sun-light !y want4 ,i _h r h ! p[] ( c>ry+ my pati5t ab\t aft] ! sun1 accord+ to ! aspect ( ! rooms1 if circum/ances p]mit1 ?an let him l+] 9 a room :5 ! sun is (f4 ,p ?9k ! effect is ^u ! spirits only4 ,?is is by no means ! case4 ,! sun is n only a pa9t] b a sculptor4 ,y admit t he does ! photograph4 ,)\t go+ into any sci5tific exposition we mu/ admit t light has q z real & tangible effects ^u ! human body4 ,b ?is is n all4 ,:o has n obs]v$ ! purify+ effect ( light1 & especially ( direct sunlight1 ^u ! air ( a room8 ,"h is an obs]vation )9 ev]ybody's exp]i5ce4 ,g into a room :]e ! %utt]s are always %ut1 79 a sick room or a b$room !re %\ld nev] be %utt]s %ut71 & ?\gh ! room be un9habit$1 ?\gh ! air has nev] be5 pollut$ by ! brea?+ ( human be+s1 y w obs]ve a close1 mu/y smell ( corrupt air1 ( air i4e4 unpurifi$ by ! effect ( ! sun's rays4 ,! mu/9ess ( d>k rooms & corn]s1 inde$1 is prov]bial4 ,! *e]fulness ( a room1 ! usefulness ( light 9 treat+ disease is all-important4 ,sid5ote3 ,aspect1 view1 & sunlight matt]s ( fir/ importance to ! sick4 ,a v high au?ority 9 hospital con/ruction has said t p d n en\gh consid] ! diff]5ce betwe5 w>ds & dormitories 9 plann+ _! build+s4 ,b ,i g f>!r1 & say1 t heal?y p nev] rememb] ! diff]5ce betwe5 b$-rooms & sick-rooms1 9 mak+ arrangem5ts = ! sick4 ,to a sleep] 9 heal? x does n signify :at ! view is f 8 b$4 ,he ought nev] to be 9 x except+ :5 asleep1 & at night4 ,aspect does n v mu* signify ei!r 7provid$ ! sun rea* 8 b$-room "s "t 9 e day1 to purify ! air71 because he ought nev] to be 9 8 b$-room except dur+ ! h\rs :5 !re is no sun4 ,b ! case is exactly rev]s$ ) ! sick1 ev5 %\ld !y be z _m h\rs out ( _! b$s z y are 9 y\rs1 :i* probably !y are n4 ,!re=e1 t !y %\ld be able1 )\t rais+ !mselves or turn+ 9 b$1 to see out ( w9d[ f _! b$s1 to see sky & sun-light at lea/1 if y c %[ !m no?+ else1 ,i ass]t to be1 if n ( ! v fir/ importance = recov]y1 at lea/ some?+ v ne> x4 ,& y %\ld !re=e look to ! position ( ! b$s ( y\r sick "o ( ! v fir/ ?+s4 ,if !y c see out ( two w9d[s in/ead ( "o1 s mu* ! bett]4 ,aga91 ! morn+ sun & ! mid-day sun--! h\rs :5 !y are q c]ta9 n to be up1 are ( m importance to !m1 if a *oice mu/ be made1 ?an ! aft]noon sun4 ,p]haps y c take !m out ( b$ 9 ! aft]noon & set !m by ! w9d[1 :]e !y c see ! sun4 ,b ! be/ rule is1 if possible1 to give !m direct sun-light f ! mom5t he rises till ! mom5t he sets4 ,ano!r great diff]5ce betwe5 ! b$-room & ! sick-room is1 t ! sleep] has a v l>ge balance ( fre% air to beg9 )1 :5 he beg9s ! night1 if 8 room has be5 op5 all day z x ought to be2 ! sick man has n1 because all day he has be5 brea?+ ! air 9 ! same room1 & dirty+ x by ! emanations f himself4 ,f> m c>e is !re=e necess>y to keep up a con/ant *ange ( air 9 ! sick room4 ,x is h>dly necess>y to add t !re are acute cases1 7p>ticul>ly a few oph?almic cases1 & diseases :]e ! eye is morbidly s5sitive71 :]e a subdu$ light is necess>y4 ,b a d>k nor? room is inadmissible ev5 = ^!4 ,y c always mod]ate ! light by bl9ds & curta9s4 ,heavy1 ?ick1 d>k w9d[ or b$ curta9s %\ld1 h[ev]1 h>dly ev] be us$ = any k9d ( sick 9 ?is c\ntry4 ,a light :ite curta9 at ! head ( ! b$ is1 9 g5]al1 all t is necess>y1 & a gre5 bl9d to ! w9d[1 to be drawn d[n only :5 necess>y4 ,sid5ote3 ,)\t sunlight1 we deg5]ate body & m9d4 ,"o ( ! greate/ obs]v]s ( human ?+s 7n physiological71 says1 9 ano!r language1 ,:]e !re is sun !re is ?\ght4 ,all physiology goes to confirm ?is4 ,:]e is ! %ady side ( deep valleys1 !re is cret9ism4 ,:]e are cell>s & ! unsunn$ sides ( n>r[ /reets1 !re is ! deg5]acy & weakl9ess ( ! human race--m9d & body equally deg5]at+4 ,put ! pale )]+ plant & human be+ into ! sun1 &1 if n too f> gone1 ea* w recov] heal? & _s4 ,sid5ote3 ,almo/ all pati5ts lie ) _! faces to ! light4 ,x is a curi\s ?+ to obs]ve h[ almo/ all pati5ts lie ) _! faces turn$ to ! light1 exactly z plants always make _! faces turn$ to ! light2 a pati5t w ev5 compla9 t x gives him pa9 ly+ on t side4 ,!n :y d y lie on t side8 ,he does n "k1--b we d4 ,x is because x is ! side t[>ds ! w9d[4 ,a fa%ionable physician has rec5tly publi%$ 9 a gov]nm5t report t he always turns 8 pati5ts' faces f ! light4 ,yes1 b nature is /rong] ?an fa%ionable physicians1 & dep5d ^u x %e turns ! faces back & t[>ds su* light z %e c get4 ,walk ?r\gh ! w>ds ( a hospital1 rememb] ! b$ sides ( private pati5ts y h se51 & c\nt h[ _m sick y ev] saw ly+ ) _! faces t[>ds ! wall4 ,x4 ,,cleanl9ess ,,( ,,rooms ,,& ,,walls4 ,sid5ote3 ,cleanl9ess ( c>pets & furniture4 ,x _c be necess>y to tell a nurse t %e %\ld be clean1 or t %e %\ld keep h] pati5t clean1--see+ t ! great] "p ( nurs+ consi/s 9 pres]v+ cleanl9ess4 ,no v5tilation c fre%5 a room or w>d :]e ! mo/ scrupul\s cleanl9ess is n obs]v$4 ,unless ! w9d be bl[+ ?r\gh ! w9d[s at ! rate ( tw5ty miles an h\r1 du/y c>pets1 dirty wa9scots1 mu/y curta9s & furniture1 w infallibly produce a close smell4 ,i h liv$ 9 a l>ge & exp5sively furni%$ ,london h\se1 :]e ! only con/ant inmate 9 two v l(ty rooms1 ) opposite w9d[s1 0 myself1 & yet1 ow+ to ! abovem5tion$ dirty circum/ances1 no op5+ ( w9d[s c\ld ev] keep ^? rooms free f clos5ess2 b ! c>pet & curta9s hav+ be5 turn$ out ( ! rooms altoge!r1 !y became in/antly z fre% z c\ld be wi%$4 ,x is pure nons5se to say t 9 ,london a room _c be kept clean4 ,_m ( our hospitals %[ ! exact rev]se4 ,sid5ote3 ,du/ nev] remov$ n[4 ,b no p>ticle ( du/ is ev] or c ev] be remov$ or really got rid ( by ! pres5t sy/em ( du/+4 ,du/+ 9 ^! days means no?+ b flapp+ ! du/ f "o "p ( a room on to ano!r ) doors & w9d[s clos$4 ,:at y d x = ,i _c ?9k4 ,y _h mu* bett] leave ! du/ alone1 if y are n go+ to take x away altoge!r4 ,= f ! "t a room beg9s to be a room up to ! "t :5 x ceases to be "o1 no "o atom ( du/ ev] actually leaves its prec9cts4 ,tidy+ a room means no?+ n[ b remov+ a ?+ f "o place1 :i* x has kept clean = itself1 on to ano!r & a dirti] "o4#bh ,flapp+ by way ( clean+ is only admissible 9 ! case ( pictures1 or any?+ made ( pap]4 ,! only way ,i "k to remove du/1 ! plague ( all lov]s ( fre% air1 is to wipe ev]y?+ ) a damp clo?4 ,& all furniture ought to be s made z t x may be wip$ ) a damp clo? )\t injury to itself1 & s poli%$ z t x may be damp$ )\t injury to o!rs4 ,to du/1 z x is n[ practis$1 truly means to di/ribute du/ m equally ov] a room4 ,sid5ote3 ,floors4 ,z to floors1 ! only really clean floor ,i "k is ! ,b]l9 lack]$ floor1 :i* is wet rubb$ & dry rubb$ e morn+ to remove ! du/4 ,! ,fr5* p>quet is always m or less du/y1 al?\gh inf9itely sup]ior 9 po9t ( cleanl9ess & heal?9ess to our absorb5t floor4 ,= a sick room1 a c>pet is p]haps ! wor/ exp$i5t :i* c\ld by any possibility h be5 inv5t$4 ,if y mu/ h a c>pet1 ! only safety is to take x up two or ?ree times a ye>1 in/ead ( once4 ,a dirty c>pet lit]ally infects ! room4 ,& if y consid] ! enorm\s quantity ( organic matt] f ! feet ( p com+ 91 :i* mu/ saturate x1 ?is is by no means surpris+4 ,sid5ote3 ,pap]$1 pla/]$1 oil-pa9t$ walls4 ,z = walls1 ! wor/ is ! pap]$ wall2 ! next wor/ is pla/]4 ,b ! pla/] c be r$eem$ by frequ5t lime-wa%+2 ! pap] requires frequ5t r5ew+4 ,a glaz$ pap] gets rid ( a good deal ( ! dang]4 ,b ! ord9>y b$-room pap] is all t x ought n to be4#bi ,! close connection betwe5 v5tilation & cleanl9ess is %[n 9 ?is4 ,an ord9>y light pap] w la/ clean mu* long] if !re is an ,arnott's v5tilator 9 ! *imney ?an x o!rwise w\ld4 ,! be/ wall n[ extant is oil pa9t4 ,f ?is y c wa% ! animal exuvi4#cj ,^! are :at make a room mu/y4 ,sid5ote3 ,be/ k9d ( wall = a sick-room4 ,! be/ wall = a sick-room or w>d t c\ld be made is pure :ite non-absorb5t cem5t or glass1 or glaz$ tiles1 if !y 7 made sightly en\gh4 ,air c be soil$ j l wat]4 ,if y bl[ into wat] y w soil x ) ! animal matt] f y\r brea?4 ,s x is ) air4 ,air is always soil$ 9 a room :]e walls & c>pets are saturat$ ) animal exhalations4 ,want ( cleanl9ess1 !n1 9 rooms & w>ds1 :i* y h to gu>d aga9/1 may arise 9 ?ree ways4 ,sid5ote3 ,dirty air f )\t4 #a4 ,dirty air com+ 9 f )\t1 soil$ by sew] emanations1 ! evaporation f dirty /reets1 smoke1 bits ( unburnt fuel1 bits ( /raw1 bits ( horse dung4 ,sid5ote3 ,be/ k9d ( wall = a h\se4 ,if p w\ld b cov] ! outside walls ( _! h\ses ) pla9 or encau/ic tiles1 :at an incalculable improvem5t w\ld !re be 9 light1 cleanl9ess1 dryness1 w>m?1 & consequ5tly economy4 ,! play ( a fire-eng9e w\ld !n effectually wa% ! outside ( a h\se4 ,?is k9d ( wall+ w\ld /& next to pav+ 9 improv+ ! heal? ( t[ns4 ,sid5ote3 ,dirty air f )94 #b4 ,dirty air com+ f )91 f du/1 :i* y (t5 displace1 b nev] remove4 ,& ?is recalls :at ought to be a s9e qu non4 ,h z few l$ges 9 y\r room or w>d z possible4 ,& "u no pret5ce h any l$ge :atev] out ( sight4 ,du/ accumulates !re1 & w nev] be wip$ (f4 ,?is is a c]ta9 way to soil ! air4 ,besides ?is1 ! animal exhalations f y\r inmates saturate y\r furniture4 ,& if y nev] clean y\r furniture prop]ly1 h[ c y\r rooms or w>ds be any?+ b mu/y8 ,v5tilate z y please1 ! rooms w nev] be sweet4 ,besides ?is1 !re is a con/ant degradation1 z x is call$1 tak+ place f ev]y?+ except poli%$ or glaz$ articles--,e4g41 9 col\r+ c]ta9 gre5 pap]s ars5ic is us$4 ,n[ 9 ! v du/ ev51 :i* is ly+ ab\t 9 rooms hung ) ?is k9d ( gre5 pap]1 ars5ic has be5 di/9ctly detect$4 ,y see y\r du/ is any?+ b h>mless2 yet y w let su* du/ lie ab\t y\r l$ges = mon?s1 y\r rooms = ev]4 ,aga91 ! fire fills ! room ) coal-du/4 ,sid5ote3 ,dirty air f ! c>pet4 #c4 ,dirty air com+ f ! c>pet4 ,above all1 take c>e ( ! c>pets1 t ! animal dirt left !re by ! feet ( visitors does n /ay !re4 ,floors1 unless ! gra9 is fill$ up & poli%$1 are j z bad4 ,! smell f ! floor ( a s*ool-room or w>d1 :5 any moi/ure br+s out ! organic matt] by :i* x is saturat$1 might alone be en\gh to w>n u ( ! mis*ief t is go+ on4 ,sid5ote3 ,rem$ies4 ,! out] air1 !n1 c only be kept clean by sanit>y improvem5ts1 & by consum+ smoke4 ,! exp5se 9 soap1 :i* ?is s+le improvem5t w\ld save1 is q incalculable4 ,! inside air c only be kept clean by excessive c>e 9 ! ways m5tion$ above--to rid ! walls1 c>pets1 furniture1 l$ges1 c41 ( ! organic matt] & du/--du/ consi/+ greatly ( ?is organic matt]--) :i* !y become saturat$1 & :i* is :at really makes ! room mu/y4 ,)\t cleanl9ess1 y _c h all ! effect ( v5tilation2 )\t v5tilation1 y c h no ?or\gh cleanl9ess4 ,v few p1 be !y ( :at class !y may1 h any idea ( ! exquisite cleanl9ess requir$ 9 ! sick-room4 ,= mu* ( :at ,i h said applies less to ! hospital ?an to ! private sick-room4 ,! smoky *imney1 ! du/y furniture1 ! ut5sils empti$ b once a day1 (t5 keep ! air ( ! sick con/antly dirty 9 ! be/ private h\ses4 ,! well h a curi\s habit ( =gett+ t :at is to !m b a trifl+ inconv5i5ce1 to be pati5tly put up )1 is to ! sick a s\rce ( suff]+1 delay+ recov]y1 if n actually ha/5+ dea?4 ,! well are sc>cely ev] m ?an eight h\rs1 at mo/1 9 ! same room4 ,"s *ange !y c always make1 if only = a few m9utes4 ,ev5 dur+ ! suppos$ eight h\rs1 !y c *ange _! po/ure or _! position 9 ! room4 ,b ! sick man1 :o nev] leaves 8 b$1 :o _c *ange by any movem5t ( 8 own 8 air1 or 8 light1 or 8 w>m?2 :o _c obta9 quiet1 or get out ( ! smoke1 or ! smell1 or ! du/2 he is really poison$ or depress$ by :at is to y ! m]e/ trifle4 ,:at c't be cur$ mu/ be endur$1 is ! v wor/ & mo/ dang]\s maxim = a nurse :i* ev] 0 made4 ,pati5ce & resignation 9 h] are b o!r words = c>elessness or indiff]5ce--contemptible1 if 9 reg>d to h]self2 culpable1 if 9 reg>d to h] sick4 ,,xi4 ,,p]sonal ,,cleanl9ess4 ,sid5ote3 ,poison+ by ! sk94 ,9 almo/ all diseases1 ! function ( ! sk9 is1 m or less1 disord]$2 & 9 _m mo/ important diseases nature relieves h]self almo/ entirely by ! sk94 ,?is is p>ticul>ly ! case ) *ildr54 ,b ! excretion1 :i* comes f ! sk91 is left !re1 unless remov$ by wa%+ or by ! clo!s4 ,e nurse %\ld keep ?is fact con/antly 9 m9d1--=1 if %e all[ h] sick to rema9 unwa%$1 or _! clo?+ to rema9 on !m aft] be+ saturat$ ) p]spiration or o!r excretion1 %e is int]f]+ injuri\sly ) ! natural processes ( heal? j z effectually z if %e 7 to give ! pati5t a dose ( sl[ poison by ! m\?4 ,poison+ by ! sk9 is no less c]ta9 ?an poison+ by ! m\?--only x is sl[] 9 its op]ation4 ,sid5ote3 ,v5tilation & sk9-cleanl9ess equally ess5tial4 ,! am\nt ( relief & com=t exp]i5c$ by sick aft] ! sk9 has be5 c>efully wa%$ & dri$1 is "o ( ! commone/ obs]vations made at a sick b$4 ,b x mu/ n be =gott5 t ! com=t & relief s obta9$ are n all4 ,!y are1 9 fact1 no?+ m ?an a sign t ! vital p[]s h be5 reliev$ by remov+ some?+ t 0 oppress+ !m4 ,! nurse1 !re=e1 mu/ nev] put (f att5d+ to ! p]sonal cleanl9ess ( h] pati5t "u ! plea t all t is to be ga9$ is a little relief1 :i* c be q z well giv5 lat]4 ,9 all well-regulat$ hospitals ?is ought to be1 & g5]ally is1 att5d$ to4 ,b x is v g5]ally neglect$ ) private sick4 ,j z x is necess>y to r5ew ! air r\nd a sick p]son frequ5tly1 to c>ry (f morbid effluvia f ! lungs & sk91 by ma9ta9+ free v5tilation1 s is x necess>y to keep ! pores ( ! sk9 free f all ob/ruct+ excretions4 ,! object1 bo? ( v5tilation & ( sk9-cleanl9ess1 is pretty mu* ! same1 to wit1 remov+ noxi\s matt] f ! sy/em z rapidly z possible4 ,c>e %\ld be tak5 9 all ^! op]ations ( spong+1 wa%+1 & cleans+ ! sk91 n to expose too great a surface at once1 s z to *eck ! p]spiration1 :i* w\ld r5ew ! evil 9 ano!r =m4 ,! v>i\s ways ( wa%+ ! sick ne$ n "h be specifi$1--! less s z ! doctors ought to say :i* is to be us$4 ,9 sev]al =ms ( di>rhoea1 dys5t]y1 c41 :]e ! sk9 is h>d & h>%1 ! relief af=d$ by wa%+ ) a great deal ( s(t soap is incalculable4 ,9 o!r cases1 spong+ ) tepid soap & wat]1 !n ) tepid wat] & dry+ ) a hot t[el w be ord]$4 ,e nurse ought to be c>eful to wa% h] h&s v frequ5tly dur+ ! day4 ,if h] face too1 s mu* ! bett]4 ,"o ^w z to cleanl9ess m]ely z cleanl9ess4 ,sid5ote3 ,/eam+ & rubb+ ! sk94 ,comp>e ! dirt9ess ( ! wat] 9 :i* y h wa%$ :5 x is cold )\t soap1 cold ) soap1 hot ) soap4 ,y w f9d ! fir/ has h>dly remov$ any dirt at all1 ! second a little m1 ! ?ird a great deal m4 ,b hold y\r h& ov] a cup ( hot wat] = a m9ute or two1 & !n1 by m]ely rubb+ ) ! f+]1 y w br+ (f flakes ( dirt or dirty sk94 ,aft] a vap\r ba? y may peel y\r :ole self clean 9 ?is way4 ,:at ,i mean is1 t by simply wa%+ or spong+ ) wat] y d n really clean y\r sk94 ,take a r\gh t[el1 dip "o corn] 9 v hot wat]1--if a little _s be add$ to x x w be m effectual1--& !n rub z if y 7 rubb+ ! t[el into y\r sk9 ) y\r f+]s4 ,! black flakes :i* w come (f w conv9ce y t y 7 n clean be=e1 h[ev] mu* soap & wat] y h us$4 ,^! flakes are :at require remov+4 ,& y c really keep y\rself clean] ) a tumbl] ( hot wat] & a r\gh t[el & rubb+1 ?an ) a :ole app>atus ( ba? & soap & sponge1 )\t rubb+4 ,x is q nons5se to say t anybody ne$ be dirty4 ,pati5ts h be5 kept z clean by ^! means on a long voyage1 :5 a bas9 full ( wat] c\ld n be af=d$1 & :5 !y c\ld n be mov$ out ( _! b]?s1 z if all ! appurt5ances ( home _h be5 at h&4 ,wa%+1 h[ev]1 ) a l>ge quantity ( wat] has q o!r effects ?an ^? ( m]e cleanl9ess4 ,! sk9 absorbs ! wat] & becomes s(t] & m p]spirable4 ,to wa% ) soap & s(t wat] is1 !re=e1 desirable f o!r po9ts ( view ?an t ( cleanl9ess4 ,,xii4 ,,*att]+ ,,hopes ,,& ,,advices4 ,sid5ote3 ,advis+ ! sick4 ,! sick man to 8 advis]s4 ,my advis]s6 ,_! "n is legion4 99 99 99 ,someh[ or o!r1 x seems a provision ( ! univ]sal de/9ies1 t e man1 woman1 & *ild %\ld consid] him1 h]1 or itself privileg$ especially to advise me4 ,:y8 ,t is precisely :at ,i want to "k4 ,& ?is is :at ,i h to say to !m4 ,i h be5 advis$ to g to e place extant 9 & out ( ,engl&--to take e k9d ( ex]cise by e k9d ( c>t1 c>riage--yes1 & ev5 sw+ 767 & dumb-bell 767 9 exi/5ce2 to imbibe e diff]5t k9d ( /imulus t ev] has be5 inv5t$4 ,& ?is :5 ^? be/ fitt$ to "k1 viz41 m$ical m51 aft] long & close att5dance1 _h decl>$ any j\rney out ( ! "q1 _h prohibit$ any k9d ( motion :atev]1 _h closely laid d[n ! diet & dr9k4 ,:at w\ld my advis]s say1 7 !y ! m$ical att5dants1 & ,i ! pati5t left _! advice1 & took ! casual advis]'s8 ,b ! s+ul>ity 9 ,legion's m9d is ?is3 x nev] occurs to him t ev]ybody else is do+ ! same ?+1 & t ,i ! pati5t mu/ p]=ce say1 9 %e] self-def5ce1 l ,rosal9d1 ,i c\ld n d ) all4 ,sid5ote3 ,*att]+ hopes ! bane ( ! sick4 ,*att]+ ,hopes may seem an odd head+4 ,b ,i really believe !re is sc>cely a great] worry :i* invalids h to endure ?an ! incurable hopes ( _! fri5ds4 ,!re is no "o practice aga9/ :i* ,i c speak m /rongly f actual p]sonal exp]i5ce1 wide & long1 ( its effects dur+ sickness obs]v$ bo? ^u o!rs & ^u myself4 ,i w\ld appeal mo/ s]i\sly to all fri5ds1 visitors1 & att5dants ( ! sick to leave (f ?is practice ( attempt+ to *e] ! sick by mak+ light ( _! dang] & by exagg]at+ _! probabilities ( recov]y4 ,f> m n[ ?an =m]ly does ! m$ical att5dant tell ! tru? to ! sick :o are really desir\s to he> x ab\t _! own /ate4 ,h[ int5se is ! folly1 !n1 to say ! lea/ ( x1 ( ! fri5d1 be he ev5 a m$ical man1 :o ?9ks t 8 op9ion1 giv5 aft] a cursory obs]vation1 w weigh ) ! pati5t1 aga9/ ! op9ion ( ! m$ical att5dant1 giv51 p]haps1 aft] ye>s ( obs]vation1 aft] us+ e help to diagnosis af=d$ by ! /e?oscope1 ! exam9ation ( pulse1 tongue1 c42 & c]ta9ly aft] mu* m obs]vation ?an ! fri5d c possibly h _h4 ,suppos+ ! pati5t to be possess$ ( common s5se1--h[ c ! fav\rable op9ion1 if x is to be call$ an op9ion at all1 ( ! casual visitor *e] him1--:5 diff]5t f t ( ! exp]i5c$ att5dant8 ,unque/ionably ! latt] may1 & (t5 does1 turn out to be wrong4 ,b :i* is mo/ likely to be wrong8 ,sid5ote3 ,pati5t does n want to talk ( himself4 ,! fact is1 t ! pati5t#ca is n *e]$ at all by ^! well-mean+1 mo/ tiresome fri5ds4 ,on ! contr>y1 he is depress$ & we>i$4 ,if1 on ! "o h&1 he ex]ts himself to tell ea* successive memb] ( ?is too num]\s conspiracy1 ^: "n is legion1 :y he does n ?9k z !y d1--9 :at respect he is worse1--:at symptoms exi/ t !y "k no?+ (1--he is fatigu$ in/ead ( *e]$1 & 8 att5tion is fix$ ^u himself4 ,9 g5]al1 pati5ts :o are really ill1 d n want to talk ab\t !mselves4 ,hypo*ondriacs d1 b aga9 ,i say we are n on ! subject ( hypo*ondriacs4 ,sid5ote3 ,absurd consolations put =? = ! b5efit ( ! sick4 ,if1 on ! o!r h&1 & :i* is mu* m frequ5tly ! case1 ! pati5t says no?+1 b ! ,%akespe>ian ,oh6 ,ah6 ,g to6 & ,9 good soo?6 9 ord] to escape f ! conv]sation ab\t himself ! soon]1 he is depress$ by want ( sympa?y4 ,he feels isolat$ 9 ! mid/ ( fri5ds4 ,he feels :at a conv5i5ce x w\ld be1 if !re 7 any s+le p]son to :om he c\ld speak simply & op5ly1 )\t pull+ ! /r+ ^u himself ( ?is %[]-ba? ( silly hopes & enc\ragem5ts2 to :om he c\ld express 8 wi%es & directions )\t t p]son p]si/+ 9 say+ ,i hope t x w please ,god yet to give y tw5ty ye>s1 or1 ,y h a long life ( activity be=e y4 ,h[ (t5 we see at ! end ( biographies or ( cases record$ 9 m$ical pap]s1 aft] a long illness ,a4 di$ r sudd5ly1 or1 unexpect$ly bo? to himself & to o!rs4 ,unexpect$ly to o!rs1 p]haps1 :o did n see1 because !y did n look2 b by no means unexpect$ly to himself1 z ,i feel entitl$ to believe1 bo? f ! int]nal evid5ce 9 su* /ories1 & f wat*+ simil> cases3 !re 0 e reason to expect t ,a4 w\ld die1 & he knew x2 b he f\nd x useless to insi/ ^u 8 own k to 8 fri5ds4 ,9 ^! rem>ks ,i am allud+ nei!r to acute cases :i* t]m9ate rapidly nor to n]v\s cases4 ,by ! fir/ mu* int]e/ 9 _! own dang] is v r>ely felt4 ,9 writ+s ( fiction1 :e!r novels or biographies1 ^! dea?-b$s are g5]ally depict$ z almo/ s]aphic 9 lucidity ( intellig5ce4 ,sadly l>ge has be5 my exp]i5ce 9 dea?-b$s1 & ,i c only say t ,i h seldom or nev] se5 su*4 ,indiff]5ce1 except+ ) reg>d to bodily suff]+1 or to "s duty ! dy+ man desires to p]=m1 is ! f> m usual /ate4 ,! n]v\s case1 on ! o!r h&1 delights 9 figur+ to himself & o!rs a fictiti\s dang]4 ,b ! long *ronic case1 :o kn[s too well himself1 & :o has be5 told by 8 physician t he w nev] ent] active life aga91 :o feels t e mon? he has to give up some?+ he c\ld d ! mon? be=e--oh6 sp>e su* suff]]s y\r *att]+ hopes4 ,y d n "k h[ y worry & we>y !m4 ,su* real suff]]s _c be> to talk ( !mselves1 /ill less to hope = :at !y _c at all expect4 ,s also z to all ! advice %[]$ s pr(usely ^u su* sick1 to leave (f "s occupation1 to try "s o!r doctor1 "s o!r h\se1 climate1 pill1 p[d]1 or specific2 ,i say no?+ ( ! inconsi/5cy--= ^! advis]s are sure to be ! same p]sons :o exhort$ ! sick man n to believe 8 own doctor's progno/ics1 because doctors are always mi/ak51 b to believe "s o!r doctor1 because ?is doctor is always "r4 ,sure also are ^! advis]s to be ! p]sons to br+ ! sick man fre% occupation1 :ile exhort+ him to leave 8 own4 ,sid5ote3 ,wond]ful presumption ( ! advis]s ( ! sick4 ,wond]ful is ! face ) :i* fri5ds1 lay & m$ical1 w come 9 & worry ! pati5t ) recomm5dations to d some?+ or o!r1 hav+ j z little k z to its be+ feasible1 or ev5 safe = him1 z if !y 7 to recomm5d a man to take ex]cise1 n kn[+ he _h brok5 8 leg4 ,:at w\ld ! fri5d say1 if he 7 ! m$ical att5dant1 & if ! pati5t1 because "s o!r fri5d _h come 91 because somebody1 anybody1 nobody1 _h recomm5d$ some?+1 any?+1 no?+1 7 to disreg>d 8 ord]s1 & take t o!r body's recomm5dation8 ,b p nev] ?9k ( ?is4 ,sid5ote3 ,advis]s ! same n[ z two hundr$ ye>s ago4 ,a celebrat$ hi/orical p]sonage has relat$ ! commonplaces :i*1 :5 on ! eve ( execut+ a rem>kable resolution1 7 %[]$ 9 ne>ly ! same words by e "o ar\nd successively = a p]iod ( six mon?s4 ,to ^! ! p]sonage /ates t x 0 f\nd lea/ tr\ble always to reply ! same ?+1 viz41 t x c\ld n be suppos$ t su* a resolution _h be5 tak5 )\t suffici5t previ\s consid]ation4 ,to pati5ts endur+ e day = ye>s f e fri5d or acqua9tance1 ei!r by lett] or viv voce1 "s torm5t ( ?is k9d1 ,i w\ld sugge/ ! same answ]4 ,x w\ld inde$ be sp>$1 if su* fri5ds & acqua9tances w\ld b consid] = "o mom5t1 t x is probable ! pati5t has he>d su* advice at lea/ fifty times be=e1 & t1 _h x be5 practicable1 x w\ld h be5 practis$ long ago4 ,b ( su* consid]ation !re appe>s to be no *ance4 ,/range1 ?\gh true1 t p %\ld be j ! same 9 ^! ?+s z !y 7 a few hundr$ ye>s ago6 ,to me ^! commonplaces1 leav+ _! sme> ^u ! *e]ful1 s+le-he>t$1 con/ant devotion to duty1 :i* is s (t5 se5 9 ! decl9e ( su* suff]]s1 recall ! slimy trail left by ! snail on ! sunny s\!rn g>d5-wall load$ ) fruit4 ,sid5ote3 ,mock]y ( ! advice giv5 to sick4 ,no mock]y 9 ! _w is s holl[ z ! advice %[]$ ^u ! sick4 ,x is ( no use = ! sick to say any?+1 = :at ! advis] wants is1 n to "k ! tru? ab\t ! /ate ( ! pati5t1 b to turn :atev] ! sick may say to ! support ( 8 own argum5t1 set =?1 x mu/ be repeat$1 )\t any inquiry :atev] into ! pati5t's real condition4 ,b x w\ld be imp]t95t or indec5t 9 me to make su* an inquiry1 says ! advis]4 ,true2 & h[ mu* m imp]t95t is x to give y\r advice :5 y c "k no?+ ab\t ! tru?1 & admit y c\ld n inquire into x4 ,to nurses ,i say--^! are ! visitors :o d y\r pati5t h>m4 ,:5 y he> him told3--#a4 ,t he has no?+ ! matt] ) him1 & t he wants *e]+4 #b4 ,t he is committ+ suicide1 & t he wants prev5t+4 #c4 ,t he is ! tool ( somebody :o makes use ( him = a purpose4 #d4 ,t he w li/5 to nobody1 b is ob/9ately b5t ^u 8 own way2 & #e4 ,t he ought to be call$ to ! s5se ( duty1 & is fly+ 9 ! face ( ,provid5ce2--!n "k t y\r pati5t is receiv+ all ! injury t he c receive f a visitor4 ,h[ little ! real suff]+s ( illness are kn[n or und]/ood4 ,h[ little does any "o 9 good heal? fancy him or ev5 h]self into ! life ( a sick p]son4 ,sid5ote3 ,means ( giv+ pleasure to ! sick4 ,d1 y :o are ab\t ! sick or :o visit ! sick1 try & give !m pleasure1 rememb] to tell !m :at w d s4 ,h[ (t5 9 su* visits ! sick p]son has to d ! :ole conv]sation1 ex]t+ 8 own imag9ation & memory1 :ile y w\ld take ! visitor1 absorb$ 9 8 own anxieties1 mak+ no ef=t ( memory or imag9ation1 = ! sick p]son4 ,oh6 my de>1 ,i h s mu* to ?9k (1 ,i really q =got to tell him t2 besides1 ,i ?\ght he w\ld "k x1 says ! visitor to ano!r fri5d4 ,h[ c\ld he "k x8 ,dep5d ^u x1 ! p :o say ?is are really ^? :o h little to ?9k (4 ,!re are _m bur!n$ ) bus9ess :o always manage to keep a pigeon-hole 9 _! m9ds1 full ( ?+s to tell ! invalid4 ,i d n say1 don't tell him y\r anxieties--,i believe x is good = him & good = y too2 b if y tell him :at is anxi\s1 surely y c rememb] to tell him :at is pleasant too4 ,a sick p]son does s enjoy he>+ good news3--= in/ance1 ( a love & c\rt%ip1 :ile 9 progress to a good end+4 ,if y tell him only :5 ! m>riage takes place1 he loses half ! pleasure1 :i* ,god kn[s he has little en\gh (2 & t5 to "o b y h told him ( "s love-mak+ ) a bad end+4 ,a sick p]son also int5sely enjoys he>+ ( any mat]ial good1 any positive or practical success ( ! "r4 ,he has s mu* ( books & fiction1 ( pr9ciples1 & precepts1 & !ories2 d1 in/ead ( advis+ him ) advice he has he>d at lea/ fifty times be=e1 tell him ( "o b5evol5t act :i* has really succe$$ practically1--x is l a day's heal? to him4#cb ,y h no idea :at ! crav+ ( sick ) undim9i%$ p[] ( ?9k+1 b little p[] ( do+1 is to he> ( good practical action1 :5 !y c no long] p>take 9 x4 ,d obs]ve ^! ?+s ) ! sick4 ,d rememb] h[ _! life is to !m disappo9t$ & incomplete4 ,y see !m ly+ !re ) mis]able disappo9tm5ts1 f :i* !y c h no escape b dea?1 & y c't rememb] to tell !m ( :at w\ld give !m s mu* pleasure1 or at lea/ an h\r's v>iety4 ,!y don't want y to be la*rymose & :9+ ) !m1 !y l y to be fre% & active & int]e/$1 b !y _c be> abs5ce ( m9d1 & !y are s tir$ ( ! advice & prea*+ !y receive f e body1 no matt] :om x is1 !y see4 ,!re is no bett] society ?an babies & sick p = "o ano!r4 ,( c\rse y mu/ manage ?is s t nei!r %all suff] f x1 :i* is p]fectly possible4 ,if y ?9k ! air ( ! sick room bad = ! baby1 :y x is bad = ! invalid too1 &1 !re=e1 y w ( c\rse correct x = bo?4 ,x fre%5s up a sick p]son's :ole m5tal atmosph]e to see ! baby4 ,& a v "y *ild1 if unspoil$1 w g5]ally adapt itself wond]fully to ! ways ( a sick p]son1 if ! "t !y sp5d toge!r is n too long4 ,if y knew h[ unreasonably sick p suff] f reasonable causes ( di/ress1 y w\ld take m pa9s ab\t all ^! ?+s4 ,an infant laid ^u ! sick b$ w d ! sick p]son1 ?us suff]+1 m good ?an all y\r logic4 ,a piece ( good news w d ! same4 ,p]haps y are afraid ( di/urb+ him4 ,y say !re is no com=t = 8 pres5t cause ( affliction4 ,x is p]fectly reasonable4 ,! di/9ction is ?is1 if he is oblig$ to act1 d n di/urb him ) ano!r subject ( ?\ght j yet2 help him to d :at he wants to d3 b1 if he has done ?is1 or if no?+ c be done1 !n di/urb him by all means4 ,y w relieve1 m effectually1 unreasonable suff]+ f reasonable causes by tell+ him ! news1 %[+ him ! baby1 or giv+ him some?+ new to ?9k ( or to look at ?an by all ! logic 9 ! _w4 ,x has be5 v ju/ly said t ! sick are l *ildr5 9 ?is1 t !re is no proportion 9 ev5ts to !m4 ,n[ x is y\r bus9ess z _! visitor to re/ore ?is "r proportion = !m--to %ew !m :at ! re/ ( ! _w is do+4 ,h[ c !y f9d x out o!rwise8 ,y w f9d !m f> m op5 to conviction ?an *ildr5 9 ?is4 ,& y w f9d t _! unreasonable int5sity ( suff]+ f unk9dness1 f want ( sympa?y1 c41 w disappe> ) _! fre%5$ int]e/ 9 ! big _w's ev5ts4 ,b !n y mu/ be able to give !m real int]e/s1 n gossip4 ,sid5ote3 ,two new classes ( pati5ts peculi> to ?is g5]ation4 ,,note4--,!re are two classes ( pati5ts :i* are un=tunately becom+ m common e day1 especially among wom5 ( ! ri*] ord]s1 to :om all ^! rem>ks are pre-em95tly inapplicable4 #a4 ,^? :o make heal? an excuse = do+ no?+1 & at ! same "t allege t ! be+ able to d no?+ is _! only grief4 #b4 ,^? :o h br\ght ^u !mselves ill-heal? by ov] pursuit ( amusem5t1 :i* !y & _! fri5ds h mo/ unhappily call$ intellectual activity4 ,i sc>cely "k a great] injury t c be inflict$ ?an ! advice too (t5 giv5 to ! fir/ class to vegetate--or ?an ! admiration too (t5 be/[$ on ! latt] class = pluck4 ,,xiii4 ,,obs]vation ,,( ,,! ,,sick4 ,sid5ote3 ,:at is ! use ( ! "q1 ,is he bett]8 ,!re is no m silly or univ]sal "q sc>cely ask$ ?an ?is1 ,is he bett]8 ,ask x ( ! m$ical att5dant1 if y please4 ,b ( :om else1 if y wi% = a real answ] to y\r "q1 w\ld y ask x8 ,c]ta9ly n ( ! casual visitor2 c]ta9ly n ( ! nurse1 :ile ! nurse's obs]vation is s little ex]cis$ z x is n[4 ,:at y want are facts1 n op9ions--= :o c h any op9ion ( any value z to :e!r ! pati5t is bett] or worse1 except+ ! con/ant m$ical att5dant1 or ! really obs]v+ nurse8 ,! mo/ important practical lesson t c be giv5 to nurses is to tea* !m :at to obs]ve--h[ to obs]ve--:at symptoms indicate improvem5t--:at ! rev]se--:i* are ( importance--:i* are ( none--:i* are ! evid5ce ( neglect--& ( :at k9d ( neglect4 ,all ?is is :at ought to make "p1 & an ess5tial "p1 ( ! tra9+ ( e nurse4 ,at pres5t h[ few !re are1 ei!r pr(essional or unpr(essional1 :o really "k at all :e!r any sick p]son !y may be ) is bett] or worse4 ,! vagu5ess & loos5ess ( ! in=mation "o receives 9 answ] to t mu* abus$ "q1 ,is he bett]8 w\ld be ludicr\s1 if x 7 n pa9ful4 ,! only s5sible answ] 79 ! pres5t /ate ( k ab\t sickness7 w\ld be ,h[ c ,i "k8 ,i _c tell h[ he 0 :5 ,i 0 n ) him4 ,i c record b a v few specim5s ( ! answ]s#cc :i* ,i h he>d made by fri5ds & nurses1 & accept$ by physicians & surgeons at ! v b$-side ( ! pati5t1 :o c\ld h contradict$ e ^w1 b did n--sometimes f amiability1 (t5 f %yness1 (t5e/ f languor6 ,h[ (t5 h ! b[els act$1 nurse8 ,once1 sir4 ,?is g5]ally means t ! ut5sil has be5 empti$ once1 x hav+ be5 us$ p]haps sev5 or eight times4 ,d y ?9k ! pati5t is mu* weak] ?an he 0 six weeks ago8 ,oh no1 sir2 y "k x is v long s9ce he has be5 up & dress$1 & he c get across ! room n[4 ,?is means t ! nurse has n obs]v$ t :]eas six weeks ago he sat up & occupi$ himself 9 b$1 he n[ lies /ill do+ no?+2 t1 al?\gh he c get across ! room1 he _c /& = five seconds4 ,ano!r pati5t :o is eat+ well1 recov]+ /eadily1 al?\gh sl[ly1 f fev]1 b _c walk or /&1 is repres5t$ to ! doctor z mak+ no progress at all4 ,sid5ote3 ,lead+ que/ions useless or mislead+4 ,que/ions1 too1 z ask$ n[ 7b too g5]ally7 ( or ab\t pati5ts1 w\ld obta9 no in=mation at all ab\t !m1 ev5 if ! p]son ask$ ( _h e in=mation to give4 ,! "q is g5]ally a lead+ "q2 & x is s+ul> t p nev] ?9k :at mu/ be ! answ] to ?is "q be=e !y ask x3 = in/ance1 ,has he _h a good night8 ,n[1 "o pati5t w ?9k he has a bad night if he has n slept t5 h\rs )\t wak+4 ,ano!r does n ?9k he has a bad night if he has _h int]vals ( dos+ occasionally4 ,! same answ] has actually be5 giv5 z reg>d$ two pati5ts--"o :o _h be5 entirely sleepless = five times tw5ty-f\r h\rs1 & di$ ( x1 & ano!r :o _h n slept ! sleep ( a regul> night1 )\t wak+4 ,:y _c ! "q be ask$1 ,h[ _m h\rs' sleep has ---- _h8 & at :at h\rs ( ! night8#cd ,i h nev] clos$ my eyes all night1 an answ] z frequ5tly made :5 ! speak] has _h sev]al h\rs' sleep z :5 he has _h none1 w\ld !n be less (t5 said4 ,lies1 int5tional & un9t5tional1 are mu* seldom] told 9 answ] to precise ?an to lead+ que/ions4 ,ano!r frequ5t error is to inquire :e!r "o cause rema9s1 & n :e!r ! effect :i* may be produc$ by a great _m diff]5t causes1 n inquir$ aft]1 rema9s4 ,z :5 x is ask$1 :e!r !re 0 noise 9 ! /reet la/ night2 & if !re 7 n1 ! pati5t is report$1 )\t m ado1 to h _h a good night4 ,pati5ts are completely tak5 aback by ^! k9ds ( lead+ que/ions1 & give only ! exact am\nt ( in=mation ask$ =1 ev5 :5 !y "k x to be completely mislead+4 ,! %yness ( pati5ts is seldom all[$ =4 ,h[ few !re are :o1 by five or six po9t$ que/ions1 c elicit ! :ole case & get accurately to "k & to be able to report :]e ! pati5t is4 ,sid5ote3 ,means ( obta9+ inaccurate in=mation4 ,i knew a v clev] physician1 ( l>ge disp5s>y & hospital practice1 :o inv>iably began 8 exam9ation ( ea* pati5t ) ,put y\r f+] :]e y be bad4 ,t man w\ld nev] wa/e 8 "t ) collect+ inaccurate in=mation f nurse or pati5t4 ,lead+ que/ions always collect inaccurate in=mation4 ,at a rec5t celebrat$ trial1 ! foll[+ lead+ "q 0 put successively to n9e di/+ui%$ m$ical m54 ,c y attribute ^! symptoms to any?+ else b poison8 ,& out ( ! n9e1 eight answ]$ ,no6 )\t any qualification :atev]4 ,x appe>$1 ^u cross-exam9ation3--#a4 ,t none ( !m _h ev] se5 a case ( ! k9d ( poison+ suppos$4 #b4 ,t none ( !m _h ev] se5 a case ( ! k9d ( disease to :i* ! dea?1 if n to poison1 0 attributable4 #c4 ,t none ( !m 7 ev5 aw>e ( ! ma9 fact ( ! disease & condition to :i* ! dea? 0 attributable4 ,surely no?+ /rong] c be adduc$ to prove :at use lead+ que/ions are (1 & :at !y lead to4 ,i _h r n say h[ _m in/ances ,i h kn[n1 :]e1 ow+ to ?is sy/em ( lead+ que/ions1 ! pati5t has di$1 & ! att5dants h be5 actually unaw>e ( ! pr9cipal feature ( ! case4 ,sid5ote3 ,z to food pati5t takes or does n take4 ,x is useless to g ?r\gh all ! p>ticul>s1 besides sleep1 9 :i* p h a peculi> tal5t = glean+ inaccurate in=mation4 ,z to food1 = in/ance1 ,i (t5 ?9k t mo/ common "q1 ,h[ is y\r appetite8 c only be put because ! que/ion] believes ! que/ion$ has really no?+ ! matt] ) him1 :i* is v (t5 ! case4 ,b :]e !re is1 ! rem>k holds good :i* has be5 made ab\t sleep4 ,! same answ] w (t5 be made z reg>ds a pati5t :o _c take two ounces ( solid food p] diem1 & a pati5t :o does n enjoy five meals a day z mu* z usual4 ,aga91 ! "q1 ,h[ is y\r appetite8 is (t5 put :5 ,h[ is y\r dige/ion8 is ! "q meant4 ,no d\bt ! two ?+s dep5d on "o ano!r4 ,b !y are q diff]5t4 ,_m a pati5t c eat1 if y c only tempt 8 appetite4 ,! fault lies 9 y\r n hav+ got him ! ?+ t he fancies4 ,b _m ano!r pati5t does n c>e betwe5 grapes & turnips1--ev]y?+ is equally di/a/eful to him4 ,he w\ld try to eat any?+ :i* w\ld d him good2 b ev]y?+ makes him worse4 ,! fault "h g5]ally lies 9 ! cook+4 ,x is n 8 appetite :i* requires tempt+1 x is 8 dige/ion :i* requires sp>+4 ,& good sick cook]y w save ! dige/ion half its "w4 ,!re may be f\r diff]5t causes1 any "o ( :i* w produce ! same result1 viz41 ! pati5t sl[ly />v+ to dea? f want ( nutrition3 #a4 ,defect 9 cook+2 #b4 ,defect 9 *oice ( diet2 #c4 ,defect 9 *oice ( h\rs = tak+ diet2 #d4 ,defect ( appetite 9 pati5t4 ,yet all ^! are g5]ally compreh5d$ 9 ! "o sweep+ ass]tion t ! pati5t has no appetite4 ,surely _m lives might be sav$ by draw+ a clos] di/9ction2 = ! rem$ies are z div]se z ! causes4 ,! rem$y = ! fir/ is1 to cook bett]2 = ! second1 to *oose o!r articles ( diet2 = ! ?ird1 to wat* = ! h\rs :5 ! pati5t is 9 want ( food2 = ! f\r?1 to %[ him :at he likes1 & sometimes unexpect$ly4 ,b no "o ( ^! rem$ies w d = any o!r ( ! defects n correspond+ ) x4 ,i _c too (t5 repeat t pati5ts are g5]ally ei!r too languid to obs]ve ^! ?+s1 or too %y to speak ab\t !m2 nor is x well t !y %\ld be made to obs]ve !m1 x fixes _! att5tion ^u !mselves4 ,aga91 ,i say1 :at is ! nurse or fri5d !re = except to take note ( ^! ?+s1 in/ead ( ! pati5t do+ s8#ce ,sid5ote3 ,z to di>rhoea4 ,aga91 ! "q is sometimes put1 ,is !re di>rhoea8 ,& ! answ] w be ! same1 :e!r x is j m]g+ into *ol]a1 :e!r x is a trifl+ degree br\ght on by "s trifl+ indiscretion1 :i* w cease ! mom5t ! cause is remov$1 or :e!r !re is no di>rhoea at all1 b simply relax$ b[els4 ,x is useless to multiply in/ances ( ?is k9d4 ,z long z obs]vation is s little cultivat$ z x is n[1 ,i d believe t x is bett] = ! physician n to see ! fri5ds ( ! pati5t at all4 ,!y w (t5] mislead him ?an n4 ,& z (t5 by mak+ ! pati5t out worse z bett] ?an he really is4 ,9 ! case ( infants1 ev]y?+ mu/ dep5d ^u ! accurate obs]vation ( ! nurse or "m :o has to report4 ,& h[ seldom is ?is condition ( accuracy fulfill$4 ,sid5ote3 ,means ( cultivat+ s\nd & ready obs]vation4 ,a celebrat$ man1 ?\gh celebrat$ only = fooli% ?+s1 has told u t "o ( 8 ma9 objects 9 ! education ( 8 son1 0 to give him a ready habit ( accurate obs]vation1 a c]ta9ty ( p]ception1 & t = ?is purpose "o ( 8 means 0 a mon?'s c\rse z foll[s3--he took ! boy rapidly pa/ a toy-%op2 ! fa!r & son !n describ$ to ea* o!r z _m ( ! objects z !y c\ld1 :i* !y _h se5 9 pass+ ! w9d[s1 not+ !m d[n ) p5cil & pap]1 & return+ aft]w>ds to v]ify _! own accuracy4 ,! boy always succe$$ be/1 e4g41 if ! fa!r describ$ #cj objects1 ! boy did #dj1 & sc>cely ev] made a mi/ake4 ,i h (t5 ?\ght h[ wise a piece ( education ?is w\ld be = mu* high] objects2 & 9 our call+ ( nurses ! ?+ itself is ess5tial4 ,= x may safely be said1 n t ! habit ( ready & correct obs]vation w by itself make u useful nurses1 b t )\t x we %all be useless ) all our devotion4 ,i h kn[n a nurse 9 *>ge ( a set ( w>ds :o n only c>ri$ 9 h] head all ! little v>ieties 9 ! diets :i* ea* pati5t 0 all[$ to fix = himself1 b also exactly :at ea* pati5t _h tak5 dur+ ea* day4 ,i h kn[n ano!r nurse 9 *>ge ( "o s+le pati5t1 :o took away 8 meals day aft] day all b unt\*$1 & nev] knew x4 ,if y f9d x helps y to note d[n su* ?+s on a bit ( pap]1 9 p5cil1 by all means d s4 ,i ?9k x m (t5 lames ?an /r5g!ns ! memory & obs]vation4 ,b if y _c get ! habit ( obs]vation "o way or o!r1 y _h bett] give up ! be+ a nurse1 = x is n y\r call+1 h[ev] k9d & anxi\s y may be4 ,surely y c le>n at lea/ to judge ) ! eye h[ mu* an oz4 ( solid food is1 h[ mu* an oz4 ( liquid4 ,y w f9d ?is helps y\r obs]vation & memory v mu*1 y w !n say to y\rself ,a4 took ab\t an oz4 ( 8 meat to day2 ,b4 took ?ree times 9 #bd h\rs ab\t #a_/d p9t ( beef tea2 in/ead ( say+ ,b4 has tak5 no?+ all day1 or ,i gave ,a4 8 d9n] z usual4 ,sid5ote3 ,s\nd & ready obs]vation ess5tial 9 a nurse4 ,i h kn[n sev]al ( our real old-fa%ion$ hospital si/]s1 :o c\ld1 z accurately z a measur+ glass1 measure out all _! pati5ts' w9e & m$ic9e by ! eye1 & nev] be wrong4 ,i d n recomm5d ?is1 "o mu/ be v sure ( "o's self to d x4 ,i only m5tion x1 because if a nurse c by practice measure m$ic9e by ! eye1 surely %e is no nurse :o _c measure by ! eye ab\t h[ mu* food 79 oz47 h] pati5t has tak54#cf ,9 hospitals ^? :o cut up ! diets give ) q suffici5t accuracy1 to ea* pati5t1 8 #ab oz4 or 8 #f oz4 ( meat )\t weigh+4 ,yet a nurse w (t5 h pati5ts loa?+ all food & incapable ( any w to get well1 :o j tumble ov] ! cont5ts ( ! plate or dip ! spoon 9 ! cup to deceive ! nurse1 & %e w take x away )\t ev] see+ t !re is j ! same quantity ( food z :5 %e br\ght x1 & %e w tell ! doctor1 too1 t ! pati5t has eat5 all 8 diets z usual1 :5 all %e ought to h meant is t %e has tak5 away 8 diets z usual4 ,n[ :at k9d ( a nurse is ?is8 ,sid5ote3 ,diff]5ce ( excitable & accumulative temp]am5ts4 ,i w\ld call att5tion to some?+ else1 9 :i* nurses frequ5tly fail 9 obs]vation4 ,!re is a well-m>k$ di/9ction betwe5 ! excitable & :at ,i w call ! accumulative temp]am5t 9 pati5ts4 ,"o w blaze up at once1 "u any %ock or anxiety1 & sleep v com=tably aft] x2 ano!r w seem q calm & ev5 torpid1 "u ! same %ock1 & p say1 ,he h>dly felt x at all1 yet y w f9d him "s "t aft] sl[ly s9k+4 ,! same rem>k applies to ! action ( n>cotics1 ( ap]i5ts1 :i*1 9 ! "o1 take effect directly1 9 ! o!r n p]haps = tw5ty-f\r h\rs4 ,a j\rney1 a visit1 an unwont$ ex]tion1 w affect ! "o imm$iately1 b he recov]s aft] x2 ! o!r be>s x v well at ! "t1 app>5tly1 & dies or is pro/rat$ = life by x4 ,p (t5 say h[ difficult ! excitable temp]am5t is to manage4 ,i say h[ difficult is ! accumulative temp]am5t4 ,) ! fir/ y h an out-break :i* y c\ld anticipate1 & x is all ov]4 ,) ! second y nev] "k :]e y are--y nev] "k :5 ! consequ5ces are ov]4 ,& x requires y\r close/ obs]vation to "k :at are ! consequ5ces ( :at--= ! consequ5t by no means foll[s imm$iately ^u ! antec$5t--& co>se obs]vation is utt]ly at fault4 ,sid5ote3 ,sup]/ition ! fruit ( bad obs]vation4 ,almo/ all sup]/itions are ow+ to bad obs]vation1 to ! po/ hoc1 ergo propt] hoc2 & bad obs]v]s are almo/ all sup]/iti\s4 ,f>m]s us$ to attribute disease among cattle to wit*craft2 w$d+s h be5 attribut$ to see+ "o magpie1 dea?s to see+ ?ree2 & ,i h he>d ! mo/ highly educat$ n[-a-days draw consequ5ces = ! sick closely resembl+ ^!4 ,sid5ote3 ,physiognomy ( disease little %[n by ! face4 ,ano!r rem>k3 al?\gh !re is unque/ionably a physiognomy ( disease z well z ( heal?2 ( all p>ts ( ! body1 ! face is p]haps ! "o :i* tells ! lea/ to ! common obs]v] or ! casual visitor4 ,because1 ( all p>ts ( ! body1 x is ! "o mo/ expos$ to o!r influ5ces1 besides heal?4 ,& p nev]1 or sc>cely ev]1 obs]ve en\gh to "k h[ to di/+ui% betwe5 ! effect ( exposure1 ( robu/ heal?1 ( a t5d] sk91 ( a t5d5cy to conge/ion1 ( suffusion1 flu%+1 or _m o!r ?+s4 ,aga91 ! face is (t5 ! la/ to %ew emaciation4 ,i %\ld say t ! h& 0 a mu* sur] te/ ?an ! face1 bo? z to fle%1 col\r1 circulation1 c41 c4 ,x is true t !re are "s diseases :i* are only betray$ at all by some?+ 9 ! face1 e4g41 ! eye or ! tongue1 z great irritability ( bra9 by ! appe>ance ( ! pupil ( ! eye4 ,b we are talk+ ( casual1 n m9ute1 obs]vation4 ,& few m9ute obs]v]s w hesitate to say t f> m untru? ?an tru? is convey$ by ! (t repeat$ words1 ,he looks well1 or ill1 or bett] or worse4 ,wond]ful is ! way 9 :i* p w g ^u ! slighte/ obs]vation1 or (t5 ^u no obs]vation at all1 or ^u "s saw :i* ! _w's exp]i5ce1 if x _h any1 w\ld h pron\nc$ utt]ly false long ago4 ,i h kn[n pati5ts dy+ ( %e] pa91 exhau/ion1 & want ( sleep1 f "o ( ! mo/ l+]+ & pa9ful diseases kn[n1 pres]ve1 till )9 a few days ( dea?1 n only ! heal?y col\r ( ! *eek1 b ! mottl$ appe>ance ( a robu/ *ild4 ,& scores ( times h ,i he>d ^! un=tunate creatures assail$ )1 ,i am glad to see y look+ s well4 ,i see no reason :y y %\ld n live till n9ety ye>s ( age4 ,:y don't y take a little m ex]cise & amusem5t8 ) all ! o!r commonplaces ) :i* we are s famili>4 ,!re is1 unque/ionably1 a physiognomy ( disease4 ,let ! nurse le>n x4 ,! exp]i5c$ nurse c always tell t a p]son has tak5 a n>cotic ! night be=e by ! pat*9ess ( ! col\r ab\t ! face1 :5 ! re-action ( depression has set 92 t v col\r :i* ! inexp]i5c$ w po9t to z a pro( ( heal?4 ,!re is1 aga91 a fa9tness1 :i* does n betray itself by ! col\r at all1 or 9 :i* ! pati5t becomes br[n in/ead ( :ite4 ,!re is a fa9tness ( ano!r k9d :i*1 x is true1 c always be se5 by ! pal5ess4 ,b ! nurse seldom di/+ui%es4 ,%e w talk to ! pati5t :o is too fa9t to move1 )\t ! lea/ scruple1 unless he is pale & unless1 luckily = him1 ! muscles ( ! ?roat are affect$ & he loses 8 voice4 ,yet ^! two fa9tnesses are p]fectly di/+ui%able1 by ! m]e c\nt5ance ( ! pati5t4 ,sid5ote3 ,peculi>ities ( pati5ts4 ,aga91 ! nurse mu/ di/+ui% betwe5 ! idiosyncracies ( pati5ts4 ,"o likes to suff] out all 8 suff]+ alone1 to be z little look$ aft] z possible4 ,ano!r likes to be p]petually made mu* ( & piti$1 & to h "s "o always by him4 ,bo? ^! peculi>ities might be obs]v$ & indulg$ mu* m ?an !y are4 ,= q z (t5 does x happ5 t a busy att5dance is =c$ ^u ! fir/ pati5t1 :o wi%es = no?+ b to be let alone1 z t ! second is left to ?9k himself neglect$4 ,sid5ote3 ,nurse mu/ obs]ve = h]self increase ( pati5t's weakness1 pati5t w n tell h]4 ,aga91 ,i ?9k t few ?+s press s heavily on "o suff]+ f long & incurable illness1 z ! necessity ( record+ 9 words f "t to "t1 = ! in=mation ( ! nurse1 :o w n o!rwise see1 t he _c d ?is or t1 :i* he c\ld d a mon? or a ye> ago4 ,:at is a nurse !re = if %e _c obs]ve ^! ?+s = h]self8 ,yet ,i h kn[n--& kn[n too among ^?--& *iefly among ^?--:om money & position put 9 possession ( ev]y?+ :i* money & position c\ld give--,i h kn[n1 ,i say1 m accid5ts1 7fatal1 sl[ly or rapidly17 aris+ f ?is want ( obs]vation among nurses ?an f almo/ any?+ else4 ,because a pati5t c\ld get out ( a w>m-ba? alone a mon? ago--because a pati5t c\ld walk z f> z 8 bell a week ago1 ! nurse concludes t he c d s n[4 ,%e has nev] obs]v$ ! *ange2 & ! pati5t is lo/ f be+ left 9 a helpless /ate ( exhau/ion1 till "s "o accid5tally comes 94 ,& ?is n f any unexpect$ apoplectic1 p>alytic1 or fa9t+ fit 7?\gh ev5 ^! c\ld be expect$ f> m1 at lea/1 ?an !y are n[1 if we did b obs]ve74 ,no1 f ! expect$1 or to be expect$1 inevitable1 visible1 calculable1 un9t]rupt$ increase ( weakness1 :i* none ne$ fail to obs]ve4 ,sid5ote3 ,accid5ts aris+ f ! nurse's want ( obs]vation4 ,aga91 a pati5t n usually conf9$ to b$1 is compell$ by an attack ( di>rhoea1 vomit+1 or o!r accid5t1 to keep 8 b$ = a few days2 he gets up = ! fir/ "t1 & ! nurse lets him g into ano!r room1 )\t com+ 91 a few m9utes aft]w>ds1 to look aft] him4 ,x nev] occurs to h] t he is q c]ta9 to be fa9t1 or cold1 or to want some?+4 ,%e says1 z h] excuse1 ,oh1 he does n l to be fidgett$ aft]4 ,yes1 he said s "s weeks ago2 b he nev] said he did n l to be fidgett$ aft]1 :5 he is 9 ! /ate he is 9 n[2 & if he did1 y ought to make "s excuse to g 9 to him4 ,m pati5ts h be5 lo/ 9 ?is way ?an is at all g5]ally kn[n1 viz41 f relapses br\ght on by be+ left = an h\r or two fa9t1 or cold1 or hungry1 aft] gett+ up = ! fir/ "t4 ,sid5ote3 ,is ! faculty ( obs]v+ on ! decl9e4 ,yet x appe>s t sc>cely any improvem5t 9 ! faculty ( obs]v+ is be+ made4 ,va/ has be5 ! increase ( k 9 pa?ology--t sci5ce :i* tea*es u ! f9al *ange produc$ by disease on ! human frame--sc>ce any 9 ! art ( obs]v+ ! signs ( ! *ange :ile 9 progress4 ,or1 r1 is x n to be fe>$ t obs]vation1 z an ess5tial "p ( m$ic9e1 has be5 decl9+8 ,:i* ( u has n he>d fifty times1 f "o or ano!r1 a nurse1 or a fri5d ( ! sick1 aye1 & a m$ical fri5d too1 ! foll[+ rem>k3--,s ,a is worse1 or ,b is dead4 ,i saw him ! day be=e2 ,i ?\ght him s mu* bett]2 !re c]ta9ly 0 no appe>ance f :i* "o c\ld h expect$ s sudd5 787 a *ange4 ,i h nev] he>d any "o say1 ?\gh "o w\ld ?9k x ! m natural ?+1 ,!re mu/ h be5 "s appe>ance1 :i* ,i %\ld h se5 if ,i _h b look$2 let me try & rememb] :at !re 01 t ,i may obs]ve ano!r "t4 ,no1 ?is is n :at p say4 ,!y boldly ass]t t !re 0 no?+ to obs]ve1 n t _! obs]vation 0 at fault4 ,let p :o h to obs]ve sickness & dea? look back & try to regi/] 9 _! obs]vation ! appe>ances :i* h prec$$ relapse1 attack1 or dea?1 & n ass]t t !re 7 none1 or t !re 7 n ! "r ones4#cg ,sid5ote3 ,obs]vation ( g5]al conditions4 ,a want ( ! habit ( obs]v+ conditions & an invet]ate habit ( tak+ av]ages are ea* ( !m (t5 equally mislead+4 ,m5 ^: pr(ession l t ( m$ical m5 leads !m to obs]ve only1 or *iefly1 palpable & p]man5t organic *anges are (t5 j z wrong 9 _! op9ion ( ! result z ^? :o d n obs]ve at all4 ,= in/ance1 !re is a brok5 leg2 ! surgeon has only to look at x once to "k2 x w n be diff]5t if he sees x 9 ! morn+ to :at x w\ld h be5 _h he se5 x 9 ! ev5+4 ,& 9 :atev] conditions ! pati5t is1 or is likely to be1 !re w /ill be ! brok5 leg1 until x is set4 ,! same ) _m organic diseases4 ,an exp]i5c$ physician has b to feel ! pulse once1 & he kn[s t !re is aneurism :i* w kill "s "t or o!r4 ,b ) ! great majority ( cases1 !re is no?+ ( ! k9d2 & ! p[] ( =m+ any correct op9ion z to ! result mu/ entirely dep5d ^u an enquiry into all ! conditions 9 :i* ! pati5t lives4 ,9 a complicat$ /ate ( society 9 l>ge t[ns1 dea?1 z e "o ( great exp]i5ce kn[s1 is f> less (t5 produc$ by any "o organic disease ?an by "s illness1 aft] _m o!r diseases1 produc+ j ! sum ( exhau/ion necess>y = dea?4 ,!re is no?+ s absurd1 no?+ s mislead+ z ! v]dict "o s (t5 he>s3 ,s-&-s has no organic disease1--!re is no reason :y he %\ld n live to extreme old age2 sometimes ! clause is add$1 sometimes n3 ,provid$ he has quiet1 good food1 good air1 c41 c41 c42 ! v]dict is repeat$ by ignorant p )\t ! latt] clause2 or !re is no possibility ( ! conditions ( ! latt] clause be+ obta9$2 & ?is1 ! only ess5tial "p ( ! :ole1 is made ( no effect4 ,i h he>d a physician1 des]v$ly em95t1 assure ! fri5ds ( a pati5t ( 8 recov]y4 ,:y8 ,because he _h n[ prescrib$ a c\rse1 e detail ( :i* ! pati5t _h foll[$ = ye>s4 ,& because he _h =bidd5 a c\rse :i* ! pati5t c\ld n by any possibility alt]4#ch ,und\bt$ly a p]son ( no sci5tific k :atev] b ( obs]vation & exp]i5ce 9 ^! k9ds ( conditions1 w be able to arrive at a mu* tru] guess z to ! probable duration ( life ( memb]s ( a family or inmates ( a h\se1 ?an ! mo/ sci5tific physician to :om ! same p]sons are br\ght to h _! pulse felt2 no enquiry be+ made into _! conditions4 ,9 ,life ,insurance & su* l societies1 7 !y in/ead ( hav+ ! p]sons exam9$ by a m$ical man1 to h ! h\ses1 conditions1 ways ( life1 ( ^! p]sons exam9$1 at h[ mu* tru] results w\ld !y arrive6 ,w4 ,smi? appe>s a f9e hale man1 b x might be kn[n t ! next *ol]a epidemic he runs a bad *ance4 ,mr4 & ,mrs4 ,j4 are a /rong heal?y c\ple1 b x might be kn[n t !y live 9 su* a h\se1 9 su* a "p ( ,london1 s ne> ! riv] t !y w kill f\r-fif?s ( _! *ildr52 :i* ( ! *ildr5 w be ! ones to survive might also be kn[n4 ,sid5ote3 ,av]age rate ( mortality tells u only t s _m p] c5t4 w die4 ,obs]vation mu/ tell u :i* 9 ! hundr$ !y w be :o w die4 ,av]ages aga9 s$uce u away f m9ute obs]vation4 ,av]age mortalities m]ely tell t s _m p] c5t4 die 9 ?is t[n & s _m 9 t1 p] annum4 ,b :e!r ,a or ,b w be among ^!1 ! av]age rate ( c\rse does n tell4 ,we "k1 say1 t f #bb to #bd p] #a1jjj w die 9 ,london next ye>4 ,b m9ute enquiries into conditions enable u to "k t 9 su* a di/rict1 nay1 9 su* a /reet1--or ev5 on "o side ( t /reet1 9 su* a p>ticul> h\se1 or ev5 on "o floor ( t p>ticul> h\se1 w be ! excess ( mortality1 t is1 ! p]son w die :o ought n to h di$ be=e old age4 ,n[1 w\ld x n v mat]ially alt] ! op9ion ( :oev] 7 endeav\r+ to =m "o1 if he knew t f t floor1 ( t h\se1 ( t /reet ! man came8 ,mu* m precise might be our obs]vations ev5 ?an ?is & mu* m correct our conclusions4 ,x is well kn[n t ! same names may be se5 con/antly recurr+ on workh\se books = g5]ations4 ,t is1 ! p]sons 7 born & br\ght up1 & w be born & br\ght up1 g5]ation aft] g5]ation1 9 ! conditions :i* make paup]s4 ,dea? & disease are l ! workh\se1 !y take f ! same family1 ! same h\se1 or 9 o!r words ! same conditions4 ,:y w we n obs]ve :at !y are8 ,! close obs]v] may safely pr$ict t su* a family1 :e!r its memb]s m>ry or n1 w become ext9ct2 t su* ano!r w deg5]ate morally & physically4 ,b :o le>ns ! lesson8 ,on ! contr>y1 x may be well kn[n t ! *ildr5 die 9 su* a h\se at ! rate ( #h out ( #aj2 "o w\ld ?9k t no?+ m ne$ be said2 = h[ c\ld ,provid5ce speak m di/9ctly8 yet nobody li/5s1 ! family goes on liv+ !re till x dies out1 & !n "s o!r family takes x4 ,nei!r w\ld !y li/5 if "o rose f ! dead4 ,sid5ote3 ,:at obs]vation is =4 ,9 dwell+ ^u ! vital importance ( s\nd obs]vation1 x mu/ nev] be lo/ sight ( :at obs]vation is =4 ,x is n = ! sake ( pil+ up miscellane\s in=mation or curi\s facts1 b = ! sake ( sav+ life & increas+ heal? & com=t4 ,! caution may seem useless1 b x is q surpris+ h[ _m m5 7"s wom5 d x too71 practically behave z if ! sci5tific end 7 ! only "o 9 view1 or z if ! sick body 7 b a res]voir = /[+ m$ic9es into1 & ! surgical disease only a curi\s case ! suff]] has made = ! att5dant's special in=mation4 ,?is is really no exagg]ation4 ,y ?9k1 if y suspect$ y\r pati5t 0 be+ poison$1 say1 by a copp] kettle1 y w\ld in/antly1 z y ought1 cut (f all possible connection betwe5 him & ! suspect$ s\rce ( injury1 )\t reg>d to ! fact t a curi\s m9e ( obs]vation is !reby lo/4 ,b x is n ev]ybody :o does s1 & x has actually be5 made a "q ( m$ical e?ics1 :at %\ld ! m$ical man d if he suspect$ poison+8 ,! answ] seems a v simple "o1--insi/ on a confid5tial nurse be+ plac$ ) ! pati5t1 or give up ! case4 ,sid5ote3 ,:at a confid5tial nurse %\ld be4 ,& rememb] e nurse %\ld be "o :o is to be dep5d$ ^u1 9 o!r words1 capable ( be+ a confid5tial nurse4 ,%e does n "k h[ soon %e may f9d h]self plac$ 9 su* a situation2 %e mu/ be no gossip1 no va9 talk]2 %e %\ld nev] answ] que/ions ab\t h] sick except to ^? :o h a "r to ask !m2 %e mu/1 ,i ne$ n say1 be /rictly sob] & hone/2 b m ?an ?is1 %e mu/ be a religi\s & devot$ woman2 %e mu/ h a respect = h] own call+1 because ,god's preci\s gift ( life is (t5 lit]ally plac$ 9 h] h&s2 %e mu/ be a s\nd1 & close1 & quick obs]v]2 & %e mu/ be a woman ( delicate & dec5t feel+4 ,sid5ote3 ,obs]vation is = practical purposes4 ,to return to ! "q ( :at obs]vation is =3--,x w\ld really seem z if "s _h consid]$ x z its own end1 z if detection1 n cure1 0 _! bus9ess2 nay m1 9 a rec5t celebrat$ trial1 ?ree m$ical m51 accord+ to _! own acc\nt1 suspect$ poison1 prescrib$ = dys5t]y1 & left ! pati5t to ! poison]4 ,?is is an extreme case4 ,b 9 a small way1 ! same mann] ( act+ falls "u ! cognizance ( u all4 ,h[ (t5 ! att5dants ( a case h /at$ t !y knew p]fectly well t ! pati5t c\ld n get well 9 su* an air1 9 su* a room1 or "u su* circum/ances1 yet h gone on dos+ him ) m$ic9e1 & mak+ no ef=t to remove ! poison f him1 or him f ! poison :i* !y knew 0 kill+ him2 nay1 m1 h sometimes n s mu* z m5tion$ _! conviction 9 ! "r qu>t]--t is1 to ! only p]son :o c\ld act 9 ! matt]4 ,,conclusion4 ,sid5ote3 ,sanit>y nurs+ z ess5tial 9 surgical z 9 m$ical cases1 b n to sup]s$e surgical nurs+4 ,! :ole ( ! prec$+ rem>ks apply ev5 m to *ildr5 & to pu]p]al wom5 ?an to pati5ts 9 g5]al4 ,!y also apply to ! nurs+ ( surgical1 q z mu* z to t ( m$ical cases4 ,inde$1 if x be possible1 cases ( ext]nal injury require su* c>e ev5 m ?an sick4 ,9 surgical w>ds1 "o duty ( e nurse c]ta9ly is prev5tion4 ,fev]1 or hospital gangr5e1 or pymia1 or purul5t dis*>ge ( "s k9d may else sup]v5e4 ,has %e a case ( comp\nd fracture1 ( amputation1 or ( erysipelas1 x may dep5d v mu* on h[ %e looks ^u ! ?+s enum]at$ 9 ^! notes1 :e!r "o or o!r ( ^! hospital diseases attacks h] pati5t or n4 ,if %e all[s h] w>d to become fill$ ) ! peculi> close foetid smell1 s apt to be produc$ among surgical cases1 especially :]e !re is great suppuration & dis*>ge1 %e may see a vigor\s pati5t 9 ! prime ( life gradually s9k & die :]e1 accord+ to all human probability1 he ought to h recov]$4 ,! surgical nurse mu/ be ev] on ! wat*1 ev] on h] gu>d1 aga9/ want ( cleanl9ess1 f\l air1 want ( light1 & ( w>m?4 ,nev]!less let no "o ?9k t because sanit>y nurs+ is ! subject ( ^! notes1 !re=e1 :at may be call$ ! h&icraft ( nurs+ is to be und]valu$4 ,a pati5t may be left to ble$ to dea? 9 a sanit>y palace4 ,ano!r :o _c move himself may die ( b$-sores1 because ! nurse does n "k h[ to *ange & clean him1 :ile he has e requisite ( air1 light1 & quiet4 ,b nurs+1 z a h&icraft1 has n be5 treat$ ( "h = ?ree reasons3 #a4 t ^! notes d n pret5d to be a manual = nurs+1 any m ?an = cook+ = ! sick2 #b4 t ! writ]1 :o has h]self se5 m ( :at may be call$ surgical nurs+1 i4e41 practical manual nurs+1 ?an1 p]haps1 any "o 9 ,europe1 hone/ly believes t x is impossible to le>n x f any book1 & t x c only be ?or\ghly le>nt 9 ! w>ds ( a hospital2 & %e also hone/ly believes t ! p]fection ( surgical nurs+ may be se5 practis$ by ! old-fa%ion$ ,si/] ( a ,london hospital1 z x c be se5 n[h]e else 9 ,europe4 #c4 ,:ile ?\s&s die ( f\l air1 c41 :o h ?is surgical nurs+ to p]fection1 ! conv]se is comp>atively r>e4 ,sid5ote3 ,*ildr53 _! great] susceptibility to ! same ?+s4 ,to rev]t to *ildr54 ,!y are mu* m susceptible ?an gr[n p to all noxi\s influ5ces4 ,!y are affect$ by ! same ?+s1 b mu* m quickly & s]i\sly1 viz41 by want ( fre% air1 ( prop] w>m?1 want ( cleanl9ess 9 h\se1 clo!s1 b$d+1 or body1 by />tl+ noises1 improp] food1 or want ( punctuality1 by dulness & by want ( light1 by too mu* or too little cov]+ 9 b$1 or :5 up1 by want ( ! _s ( managem5t g5]ally 9 ^? 9 *>ge ( !m4 ,"o c1 !re=e1 only press ! importance1 z be+ yet great] 9 ! case ( *ildr51 greate/ 9 ! case ( sick *ildr51 ( att5d+ to ^! ?+s4 ,t :i*1 h[ev]1 above all1 is kn[n to injure *ildr5 s]i\sly is f\l air1 & mo/ s]i\sly at night4 ,keep+ ! rooms :]e !y sleep tight %ut up1 is de/ruction to !m4 ,&1 if ! *ild's brea?+ be disord]$ by disease1 a few h\rs only ( su* f\l air may endang] its life1 ev5 :]e no inconv5i5ce is felt by gr[n-up p]sons 9 ! same room4 ,! foll[+ passages1 tak5 out ( an excell5t ,lecture on ,sudd5 ,dea? 9 ,infancy & ,*ildhood1 j publi%$1 %[ ! vital importance ( c>eful nurs+ ( *ildr54 ,9 ! great majority ( in/ances1 :5 dea? sudd5ly befalls ! infant or "y *ild1 x is an accid5t2 x is n a necess>y1 inevitable result ( any disease f :i* x is suff]+4 ,x may be "h add$1 t x w\ld be v desirable to "k h[ (t5 dea? is1 ) adults1 n a necess>y1 inevitable result ( any disease4 ,omit ! ^w sudd52 7= sudd5 dea? is comp>atively r>e 9 middle age27 & ! s5t5ce is almo/ equally true = all ages4 ,! foll[+ causes ( accid5tal dea? 9 sick *ildr5 are enum]at$3--,sudd5 noises1 :i* />tle--a rapid *ange ( temp]ature1 :i* *ills ! surface1 ?\gh only = a mom5t--a rude awak5+ f sleep--or ev5 an ov]-ha/y1 or an ov]-full meal--any sudd5 impression on ! n]v\s sy/em--any ha/y alt]ation ( po/ure--9 %ort1 any cause :atev] by :i* ! respiratory process may be di/urb$4 ,x may aga9 be add$1 t1 ) v weak adult pati5ts1 ^! causes are also 7n (t5 sudd5ly fatal1 x is true1 b7 v mu* (t5] ?an is at all g5]ally kn[n1 irrep>able 9 _! consequ5ces4 ,bo? = *ildr5 & = adults1 bo? = sick & = well 7al?\gh m c]ta9ly 9 ! case ( sick *ildr5 ?an 9 any o!rs71 ,i w\ld "h aga9 repeat1 ! mo/ frequ5t & mo/ fatal cause ( all is sleep+1 = ev5 a few h\rs1 mu* m = weeks & mon?s1 9 f\l air1 a condition :i*1 m ?an any o!r condition1 di/urbs ! respiratory process1 & t5ds to produce accid5tal dea? 9 disease4 ,i ne$ h>dly "h repeat ! w>n+ aga9/ any confusion ( ideas betwe5 cold & fre% air4 ,y may *ill a pati5t fatally )\t giv+ him fre% air at all4 ,& y c q well1 nay1 mu* bett]1 give him fre% air )\t *ill+ him4 ,?is is ! te/ ( a good nurse4 ,9 cases ( long recurr+ fa9tnesses f disease1 = in/ance1 especially disease :i* affects ! organs ( brea?+1 fre% air to ! lungs1 w>m? to ! surface1 & (t5 7z soon z ! pati5t c swall[7 hot dr9k1 ^! are ! "r rem$ies & ! only ones4 ,yet1 (t5] ?an n1 y see ! nurse or "m j rev]s+ ?is2 %utt+ up e cranny ?r\gh :i* fre% air c ent]1 & leav+ ! body cold1 or p]haps ?r[+ a great] weight ( clo!s ^u x1 :5 already x is g5]at+ too little heat4 ,brea?+ c>efully1 anxi\sly1 z ?\gh respiration 7 a function :i* requir$ all ! att5tion = its p]=mance1 is cit$ z a n unusual /ate 9 *ildr51 & z "o call+ = c>e 9 all ! ?+s enum]at$ above4 ,t brea?+ becomes an almo/ volunt>y act1 ev5 9 gr[n up pati5ts :o are v weak1 mu/ (t5 h be5 rem>k$4 ,disease hav+ int]f]$ ) ! p]fect accompli%m5t ( ! respiratory function1 "s sudd5 dem& = its complete ex]cise1 issues 9 ! sudd5 /&/ill ( ! :ole ma*9]y1 is giv5 z "o process3--life goes out = want ( n]v\s p[] to keep ! vital functions 9 activity1 is giv5 z ano!r1 by :i* accid5tal dea? is mo/ (t5 br\ght to pass 9 infancy4 ,also 9 middle age1 bo? ^! processes may be se5 end+ 9 dea?1 al?\gh g5]ally n sudd5ly4 ,& ,i h se51 ev5 9 middle age1 ! sudd5 /&-/ill "h m5tion$1 & f ! same causes4 ,sid5ote3 ,summ>y4 ,to sum up3--! answ] to two ( ! commone/ objections urg$1 "o by wom5 !mselves1 ! o!r by m51 aga9/ ! desirabl5ess ( sanit>y k = wom51 plus a caution1 comprises ! :ole argum5t = ! art ( nurs+4 ,sid5ote3 ,reckless amateur physick+ by wom54 ,real k ( ! laws ( heal? alone c *eck ?is4 7#a47 ,x is (t5 said by m51 t x is unwise to tea* wom5 any?+ ab\t ^! laws ( heal?1 because !y w take to physick+1--t !re is a great deal too mu* ( amateur physick+ z x is1 :i* is inde$ true4 ,"o em95t physician told me t he _h kn[n m calomel giv51 bo? at a p9* & = a cont9uance1 by mo!rs1 gov]nesses1 & nurses1 to *ildr5 ?an he _h ev] he>d ( a physician prescrib+ 9 all 8 exp]i5ce4 ,ano!r says1 t wom5's only idea 9 m$ic9e is calomel & ap]i5ts4 ,?is is und5iably too (t5 ! case4 ,!re is no?+ ev] se5 9 any pr(essional practice l ! reckless physick+ by amateur females4#ci ,b ?is is j :at ! really exp]i5c$ & obs]v+ nurse does n d2 %e nei!r physics h]self nor o!rs4 ,& to cultivate 9 ?+s p]ta9+ to heal? obs]vation & exp]i5ce 9 wom5 :o are mo!rs1 gov]nesses or nurses1 is j ! way to d away ) amateur physick+1 & if ! doctors did b "k x1 to make ! nurses ob$i5t to !m1--helps to !m in/ead ( h9drances4 ,su* education 9 wom5 w\ld inde$ dim9i% ! doctor's "w--b no "o really believes t doctors wi% t !re %\ld be m illness1 9 ord] to h m "w4 ,sid5ote3 ,:at pa?ology tea*es4 ,:at obs]vation alone tea*es4 ,:at m$ic9e does4 ,:at nature alone does4 7#b47 ,x is (t5 said by wom51 t !y _c "k any?+ ( ! laws ( heal?1 or :at to d to pres]ve _! *ildr5's heal?1 because !y c "k no?+ ( ,pa?ology1 or _c dissect1--a confusion ( ideas :i* x is h>d to attempt to dis5tangle4 ,pa?ology tea*es ! h>m t disease has done4 ,b x tea*es no?+ m4 ,we "k no?+ ( ! pr9ciple ( heal?1 ! positive ( :i* pa?ology is ! negative1 except f obs]vation & exp]i5ce4 ,& no?+ b obs]vation & exp]i5ce w tea* u ! ways to ma9ta9 or to br+ back ! /ate ( heal?4 ,x is (t5 ?\ght t m$ic9e is ! curative process4 ,x is no su* ?+2 m$ic9e is ! surg]y ( functions1 z surg]y prop] is t ( limbs & organs4 ,nei!r c d any?+ b remove ob/ructions2 nei!r c cure2 nature alone cures4 ,surg]y removes ! bullet out ( ! limb1 :i* is an ob/ruction to cure1 b nature heals ! w\nd4 ,s x is ) m$ic9e2 ! function ( an organ becomes ob/ruct$2 m$ic9e1 s f> z we "k1 assi/s nature to remove ! ob/ruction1 b does no?+ m4 ,& :at nurs+ has to d 9 ei!r case1 is to put ! pati5t 9 ! be/ condition = nature to act ^u him4 ,g5]ally1 j ! contr>y is done4 ,y ?9k fre% air1 & quiet & cleanl9ess extravagant1 p]haps dang]\s1 luxuries1 :i* %\ld be giv5 to ! pati5t only :5 q conv5i5t1 & m$ic9e ! s9e qu non1 ! panacea4 ,if ,i h succe$$ 9 any measure 9 dispell+ ?is illusion1 & 9 %[+ :at true nurs+ is1 & :at x is n1 my object w h be5 answ]$4 ,n[ = ! caution3-- 7#c47 ,x seems a commonly receiv$ idea among m5 & ev5 among wom5 !mselves t x requires no?+ b a disappo9tm5t 9 love1 ! want ( an object1 a g5]al disgu/1 or incapacity = o!r ?+s1 to turn a woman into a good nurse4 ,?is rem9ds "o ( ! p>i% :]e a /upid old man 0 set to be s*oolma/] because he 0 pa/ keep+ ! pigs4 ,apply ! above receipt = mak+ a good nurse to mak+ a good s]vant4 ,& ! receipt w be f\nd to fail4 ,yet popul> noveli/s ( rec5t days h inv5t$ ladies disappo9t$ 9 love or fre% out ( ! draw+-room turn+ into ! w>-hospitals to f9d _! w\nd$ lov]s1 & :5 f\nd1 =?) ab&on+ _! sick-w>d = _! lov]1 z might be expect$4 ,yet 9 ! e/imation ( ! au?ors1 ^! ladies 7 none ! worse = t1 b on ! contr>y 7 h]o9es ( nurs+4 ,:at cruel mi/akes are sometimes made by b5evol5t m5 & wom5 9 matt]s ( bus9ess ab\t :i* !y c "k no?+ & ?9k !y "k a great deal4 ,! ev]yday managem5t ( a l>ge w>d1 let alone ( a hospital--! kn[+ :at are ! laws ( life & dea? = m51 & :at ! laws ( heal? = w>ds--7& w>ds are heal?y or unheal?y1 ma9ly accord+ to ! k or ignorance ( ! nurse7--are n ^! matt]s ( suffici5t importance & difficulty to require le>n+ by exp]i5ce & c>eful inquiry1 j z mu* z any o!r art8 ,!y d n come by inspiration to ! lady disappo9t$ 9 love1 nor to ! poor workh\se drudge h>d up = a livelihood4 ,& t]rible is ! injury :i* has foll[$ to ! sick f su* wild notions6 ,9 ?is respect 7& :y is x s871 9 ,roman ,ca?olic c\ntries1 bo? writ]s & work]s are1 9 !ory at lea/1 f> be=e ours4 ,!y w\ld nev] ?9k ( su* a beg9n+ = a good work+ ,sup]ior or ,si/] ( ,*>ity4 ,& _m a ,sup]ior has refus$ to admit a ,po/ulant :o appe>$ to h no bett] vocation or reasons = (f]+ h]self ?an ^!4 ,x is true we make no v[s4 ,b is a v[ necess>y to conv9ce u t ! true _s = le>n+ any art1 mo/ especially an art ( *>ity1 aright1 is n a disgu/ to ev]y?+ or some?+ else8 ,d we really place ! love ( our k9d 7& ( nurs+1 z "o bran* ( x17 s l[ z ?is8 ,:at w\ld ! ,mre ,anglique ( ,port ,royal1 :at w\ld our own ,mrs4 ,fry h said to ?is8 ,,note4--,i w\ld e>ne/ly ask my si/]s to keep cle> ( bo? ! j>gons n[ curr5t ev]y:]e 7= !y are equally j>gons72 ( ! j>gon1 namely1 ab\t ! rights ( wom51 :i* urges wom5 to d all t m5 d1 includ+ ! m$ical & o!r pr(essions1 m]ely because m5 d x1 & )\t reg>d to :e!r ?is is ! be/ t wom5 c d2 & ( ! j>gon :i* urges wom5 to d no?+ t m5 d1 m]ely because !y are wom51 & %\ld be recall$ to a s5se ( _! duty z wom51 & because ?is is wom5's "w1 & t is m5's1 & ^! are ?+s :i* wom5 %\ld n d1 :i* is all ass]tion & no?+ m4 ,surely woman %\ld br+ ! be/ %e has1 :atev] t is1 to ! "w ( ,god's _w1 )\t att5d+ to ei!r ( ^! cries4 ,= :at are !y1 bo? ( !m1 ! "o j z mu* z ! o!r1 b li/5+ to ! :at p w say1 to op9ion1 to ! voices f )\t8 ,& z a wise man has said1 no "o has ev] done any?+ great or useful by li/5+ to ! voices f )\t4 ,y d n want ! effect ( y\r good ?+s to be1 ,h[ wond]ful = a woman6 nor w\ld y be det]r$ f good ?+s1 by he>+ x said1 ,yes1 b %e ought n to h done ?is1 because x is n suitable = a woman4 ,b y want to d ! ?+ t is good1 :e!r x is suitable = a woman or n4 ,x does n make a ?+ good1 t x is rem>kable t a woman %\ld h be5 able to d x4 ,nei!r does x make a ?+ bad1 :i* w\ld h be5 good _h a man done x1 t x has be5 done by a woman4 ,oh1 leave ^! j>gons1 & g y\r way /raight to ,god's "w1 9 simplicity & s+l5ess ( he>t4 ,,app5dix4 ,transcrib]'s ,note3 ,! tables bel[ h be5 rotat$ ?r\gh #ij = easi] display4 ,,table ,a4 ,,great ,,brita94 ,,ages4 ,nurse ,nurse ,,nurses4 7n ,dome/ic 7,dome/ic ,s]vant7 ,s]vant7 ---------------------------------------- ----- ,all ,ages #be1dff #ci1aci ,"u #e ,ye>s4 444 444 #e- 444 #ejh #aj- 444 #g1bei #ae- 444 #aj1cee #bj- #fbd #f1ecg #be- #hag #d1agd #cj- #a1aah #b1die #ce- #a1cei #a1fha #dj- #b1bbc #a1dfh #de- #b1gdh #a1bjf #ej- #c1ihb #a1aif #ee- #c1def #hcc #fj- #c1hbe #gab #fe- #b1edb #cfi #gj- #a1efh #bjd #ge- #gdf #aja #hj- #caa #be #he & ,upw>ds #adg #af ---------------------------------------- ----- ,,table ,b4 ,,ag$ #bj ,,ye>s ,,( ,,age1 ,,& ,,upw>ds4 ,nurse ,nurse 7n ,dome/ic 7,dome/ic ,s]vant7 ,s]vant7 ---------------------------------------- -------------------------------- ,great ,brita9 & ,isl&s 9 ! ,briti% ,seas4 #be1dff #ba1jag ,engl& & ,wales4 #bc1gea #ah1ide ,scotl&4 #a1edc #a1ibb ,isl&s 9 ! ,briti% ,seas4 #agb #aej #a/ ,division4 ,london4 #g1hjg #e1jfa #bnd ,division4 ,s\? ,ea/]n4 #b1hgh #b1ead #crd ,division4 ,s\? ,midl&4 #b1bhf #a1beb #d? ,division4 ,ea/]n ,c\nties4 #b1djh #iei #e? ,division4 ,s\? ,we/]n ,c\nties4 #c1jee #a1gcg #f? ,division4 ,we/ ,midl& ,c\nties4 #a1bbe #b1chc #g? ,division4 ,nor? ,midl& ,c\nties4 #a1jjc #ieg #h? ,division4 ,nor? ,we/]n ,c\nties4 #igj #b1ace #i? ,division4 ,york%ire4 #a1jgd #a1jbc #aj? ,division4 ,nor!rn ,c\nties4 #djb #daj #aa? ,division4 ,monm\? & ,wales4 #cdc #fad ---------------------------------------- -------------------------------- ,,note ,,z ,,to ,,! ,,numb] ,,( ,,wom5 ,,employ$ ,,z ,,nurses ,,9 ,,great ,,brita94 #be1dff 7 return$1 at ! c5sus ( #ahea1 z nurses by pr(ession1 #ci1aci nurses 9 dome/ic s]vice1#dj & #b1hbb midwives4 ,! numb]s ( diff]5t ages are %[n 9 table ,a1 & 9 table ,b _! di/ribution ov] ,great ,brita94 ,to increase ! effici5cy ( ?is class1 & to make z _m ( !m z possible ! disciples ( ! true doctr9es ( heal?1 w\ld be a great national "w4 ,= !re ! mat]ial exi/s1 & w be us$ = nurs+1 :e!r ! real conclusion ( ! matt] be to nurse or to poison ! sick4 ,a man1 :o /&s p]haps at ! head ( our m$ical pr(ession1 once said to me1 ,i s5d a nurse into a private family to nurse ! sick1 b ,i "k t x is only to d !m h>m4 ,n[ a nurse means any p]son 9 *>ge ( ! p]sonal heal? ( ano!r4 ,&1 9 ! prec$+ notes1 ! t]m nurse is us$ indiscrim9ately = amateur & pr(essional nurses4 ,=1 besides nurses ( ! sick & nurses ( *ildr51 ! numb]s ( :om are "h giv51 !re are fri5ds or relations :o take tempor>y *>ge ( a sick p]son1 !re are mo!rs ( families4 ,x appe>s z if ^! unpr(essional nurses 7 j z mu* 9 want ( k ( ! laws ( heal? z pr(essional ones4 ,!n !re are ! s*ool-mi/resses ( all national & o!r s*ools ?r\gh\t ! k+dom4 ,h[ _m ( *ildr5's epidemics orig9ate 9 ^!6 ,!n ! proportion ( girls 9 ^! s*ools1 :o become mo!rs or memb]s among ! #fd1fjj nurses record$ above1 or s*oolmi/resses 9 _! turn4 ,if ! laws ( heal?1 z f> z reg>ds fre% air1 cleanl9ess1 light1 c41 7 taught to ^!1 w\ld ?is n prev5t "s *ildr5 be+ kill$1 "s evil be+ p]petuat$8 ,on wom5 we mu/ dep5d1 fir/ & la/1 = p]sonal & h\sehold hygi5e--= prev5t+ ! race f deg5]at+ 9 z f> z ^! ?+s are conc]n$4 ,w\ld n ! true way ( infus+ ! art ( pres]v+ its own heal? into ! human race be to tea* ! female "p ( x 9 s*ools & hospitals1 bo? by practical tea*+ & by simple exp]im5ts1 9 z f> z ^! illu/rate :at may be call$ ! !ory ( x8 ,,footnotes #a ,sid5ote3 ,curi\s d$uctions f an excessive dea? rate4 ,^u ?is fact ! mo/ wond]ful d$uctions h be5 /rung4 ,= a long "t an ann\ncem5t some?+ l ! foll[+ has be5 go+ ! r\nd ( ! pap]s3--,m ?an #be1jjj *ildr5 die e ye> 9 ,london "u #aj ye>s ( age2 !re=e we want a ,*ildr5's ,hospital4 ,?is spr+ !re 0 a prospectus issu$1 & div]s o!r means tak5 to ?is effect3--,!re is a great want ( sanit>y k 9 wom52 !re=e we want a ,wom5's ,hospital4 ,n[1 bo? ! above facts are too sadly true4 ,b :at is ! d$uction8 ,! causes ( ! enorm\s *ild mortality are p]fectly well kn[n2 !y are *iefly want ( cleanl9ess1 want ( v5tilation1 want ( :ite-wa%+2 9 "o ^w1 defective h\sehold hygi5e4 ,! rem$ies are j z well kn[n2 & among !m is c]ta9ly n ! e/abli%m5t ( a ,*ild's ,hospital4 ,?is may be a want2 j z !re may be a want ( hospital room = adults4 ,b ! ,regi/r>-,g5]al w\ld c]ta9ly nev] ?9k ( giv+ u z a cause = ! high rate ( *ild mortality 9 7say7 ,liv]pool t !re 0 n suffici5t hospital room = *ildr52 nor w\ld he urge ^u u1 z a rem$y1 to f\nd a hospital = !m4 ,aga91 wom51 & ! be/ wom51 are w(ully defici5t 9 sanit>y k2 al?\gh x is to wom5 t we mu/ look1 fir/ & la/1 = its application1 z f> z h\sehold hygi5e is conc]n$4 ,b :o w\ld ev] ?9k ( cit+ ! in/itution ( a ,wom5's ,hospital z ! way to cure ?is want8 ,we h x1 inde$1 ^u v high au?ority t !re is "s fe> le/ hospitals1 z !y h be5 hi!rto1 may n h g5]ally increas$1 r ?an dim9i%$1 ! rate ( mortality--especially ( *ild mortality4 #b ,sid5ote3 ,:y are un9habit$ rooms %ut up8 ,! common idea z to un9habit$ rooms is1 t !y may safely be left ) doors1 w9d[s1 %utt]s1 & *imney bo>d1 all clos$--h]metically seal$ if possible--to keep out ! du/1 x is said2 & t no h>m w happ5 if ! room is b op5$ a %ort h\r be=e ! inmates are put 94 ,i h (t5 be5 ask$ ! "q = un9habit$ rooms--,b :5 ought ! w9d[s to be op5$8 ,! answ] is--,:5 ought !y to be %ut8 #c ,x is v desirable t ! w9d[s 9 a sick room %\ld be su* z t ! pati5t %all1 if he c move ab\t1 be able to op5 & %ut !m easily himself4 ,9 fact ! sick room is v seldom kept air$ if ?is is n ! case--s v few p h any p]ception ( :at is a heal?y atmosph]e = ! sick4 ,! sick man (t5 says1 ,?is room :]e ,i sp5d #bb h\rs out ( ! #bd is fre%] ?an ! o!r :]e ,i only sp5d #b4 ,because "h ,i c manage ! w9d[s myself4 ,& ,transcrib]'s ,note3 ,^w1 possibly x miss+ 9 orig9al4 is true4 #d ,sid5ote3 ,an air-te/ ( ess5tial consequ5ce4 ,dr4 ,angus ,smi?'s air te/1 if x c\ld be made ( simpl] application1 w\ld be invaluable to use 9 e sleep+ & sick room4 ,j z )\t ! use ( a !rmomet] no nurse %\ld ev] put a pati5t into a ba?1 s %\ld no nurse1 or "m1 or sup]9t5d5t be )\t ! air te/ 9 any w>d1 nurs]y1 or sleep+-room4 ,if ! ma9 function ( a nurse is to ma9ta9 ! air )9 ! room z fre% z ! air )\t1 )\t l[]+ ! temp]ature1 !n %e %\ld always be provid$ ) a !rmomet] :i* indicates ! temp]ature1 ) an air te/ :i* indicates ! organic matt] ( ! air4 ,b to be us$1 ! latt] mu/ be made z simple a little in/rum5t z ! =m]1 & bo? %\ld be self-regi/]+4 ,! s5ses ( nurses & mo!rs become s dull$ to f\l air t !y are p]fectly unconsci\s ( :at an atmosph]e !y h let _! *ildr51 pati5ts1 or *>ges1 sleep 94 ,b if ! tell-tale air-te/ 7 to exhibit 9 ! morn+1 bo? to nurses & pati5ts & to ! sup]ior (fic] go+ r\nd1 :at ! atmosph]e has be5 dur+ ! night1 ,i "q if any great] security c\ld be af=d$ aga9/ a recurr5ce ( ! misdemean\r4 ,& oh2 ! cr[d$ national s*ool6 :]e s _m *ildr5's epidemics h _! orig91 :at a tale its air-te/ w\ld tell6 ,we %\ld h p>5ts say+1 & say+ rightly1 ,i w n s5d my *ild to t s*ool1 ! air-te/ /&s at ',horrid4' ,& ! dormitories ( our great bo>d+ s*ools6 ,sc>let fev] w\ld be no m ascrib$ to contagion1 b to its "r cause1 ! air-te/ /&+ at ,f\l4 ,we %\ld he> no long] ( ,my/]i\s ,disp5sations1 & ( ,plague & ,pe/il5ce1 be+ 9 ,god's h&s1 :51 s f> z we "k1 ,he has put !m into our own4 ,! little air-te/ w\ld bo? betray ! cause ( ^! my/]i\s pe/il5ces1 & call ^u u to rem$y x4 #e ,) private sick1 ,i ?9k1 b c]ta9ly ) hospital sick1 ! nurse %\ld nev] be satisfi$ z to ! fre%ness ( _! atmosph]e1 unless %e c feel ! air g5tly mov+ ov] h] face1 :5 /ill4 ,b x is (t5 obs]v$ t nurses :o make ! greate/ outcry aga9/ op5 w9d[s are ^? :o take ! lea/ pa9s to prev5t dang]\s draughts4 ,! door ( ! pati5ts' room or w>d mu/ sometimes /& op5 to all[ ( p]sons pass+ 9 & out1 or heavy ?+s be+ c>ri$ 9 & out4 ,! c>eful nurse w keep ! door %ut :ile %e %uts ! w9d[s1 & !n1 & n be=e1 set ! door op51 s t a pati5t may n be left sitt+ up 9 b$1 p]haps 9 a pr(use p]spiration1 directly 9 ! draught betwe5 ! op5 door & w9d[4 ,nei!r1 ( c\rse1 %\ld a pati5t1 :ile be+ wa%$ or 9 any way expos$1 rema9 9 ! draught ( an op5 w9d[ or door4 #f ,sid5ote3 ,don't make y\r sick-room into a sew]4 ,b nev]1 nev] %\ld ! possession ( ?is indisp5sable lid confirm y 9 ! abom9able practice ( lett+ ! *amb] ut5sil rema9 9 a pati5t's room unempti$1 except once 9 ! #bd h\rs1 i4e41 :5 ! b$ is made4 ,yes1 impossible z x may appe>1 ,i h kn[n ! be/ & mo/ att5tive nurses guilty ( ?is2 aye1 & h kn[n1 too1 a pati5t afflict$ ) sev]e di>rhoea = t5 days1 & ! nurse 7a v good "o7 n "k ( x1 because ! *amb] ut5sil 7"o ) a lid7 0 empti$ only once 9 ! #bd h\rs1 & t by ! h\semaid :o came 9 & made ! pati5t's b$ e ev5+4 ,z well might y h a sew] "u ! room1 or ?9k t 9 a wat] closet ! plug ne$ be pull$ up b once a day4 ,also take c>e t y\r lid1 z well z y\r ut5sil1 be always ?or\ghly r9s$4 ,if a nurse decl9es to d ^! k9ds ( ?+s = h] pati5t1 because x is n h] bus9ess1 ,i %\ld say t nurs+ 0 n h] call+4 ,i h se5 surgical si/]s1 wom5 ^: h&s 7 wor? to !m two or ?ree gu9eas a-week1 d[n ^u _! knees sc\r+ a room or hut1 because !y ?\ght x o!rwise n fit = _! pati5ts to g into4 ,i am f> f wi%+ nurses to sc\r4 ,x is a wa/e ( p[]4 ,b ,i d say t ^! wom5 _h ! true nurse-call+--! good ( _! sick fir/1 & second only ! consid]ation :at x 0 _! place to d--& t wom5 :o wait = ! h\semaid to d ?is1 or = ! *>woman to d t1 :5 _! pati5ts are suff]+1 h n ! mak+ ( a nurse 9 !m4 #g ,sid5ote3 ,heal? ( c>riages4 ,! heal? ( c>riages1 especially close c>riages1 is n ( suffici5t univ]sal importance to m5tion "h1 o!rwise ?an cursorily4 ,*ildr51 :o are always ! mo/ delicate te/ ( sanit>y conditions1 g5]ally _c ent] a close c>riage )\t be+ sick--& v lucky = !m t x is s4 ,a close c>riage1 ) ! horse-hair cu%ions & l9+s always saturat$ ) organic matt]1 if to ?is be add$ ! w9d[s up1 is "o ( ! mo/ unheal?y ( human receptacles4 ,! idea ( tak+ an air+ 9 x is some?+ prepo/]\s4 ,dr4 ,angus ,smi? has %[n t a cr[d$ railway c>riage1 :i* goes at ! rate ( #cj miles an h\r1 is z un:olesome z ! /rong smell ( a sew]1 or z a back y>d 9 "o ( ! mo/ unheal?y c\rts (f "o ( ! mo/ unheal?y /reets 9 ,man*e/]4 #h ,god lays d[n c]ta9 physical laws4 ,^u ,8 c>ry+ out su* laws dep5ds our responsibility 7t mu* abus$ ^w71 = h[ c\ld we h any responsibility = actions1 ! results ( :i* we c\ld n =esee--:i* w\ld be ! case if ! c>ry+ out ( ,8 laws 7 n c]ta94 ,yet we seem to be cont9ually expect+ t ,he w "w a miracle--i4e4 break ,8 own laws expressly to relieve u ( responsibility4 #i ,sid5ote3 ,s]vants' rooms4 ,i mu/ say a ^w ab\t s]vants' b$-rooms4 ,f ! way !y are built1 b (t5] f ! way !y are kept1 & f no intellig5t inspection :atev] be+ ex]cis$ ov] !m1 !y are almo/ inv>iably d5s ( f\l air1 & ! s]vants' heal? suff]s 9 an unacc\ntable 787 way1 ev5 9 ! c\ntry4 ,= ,i am by no means speak+ only ( ,london h\ses1 :]e too (t5 s]vants are put to live "u ! gr\nd & ov] ! ro(4 ,b 9 a c\ntry mansion1 :i* 0 really a mansion1 7n aft] ! fa%ion ( adv]tisem5ts71 ,i h kn[n ?ree maids :o slept 9 ! same room ill ( sc>let fev]4 ,h[ cat*+ x is1 0 ( c\rse ! rem>k4 ,"o look at ! room1 "o smell ( ! room1 0 q en\gh4 ,x 0 no long] unacc\ntable4 ,! room 0 n a small "o2 x 0 up /airs1 & x _h two l>ge w9d[s--b ne>ly e "o ( ! neglects enum]at$ above 0 !re4 #aj ,sid5ote3 ,diseases are n individuals arrang$ 9 classes1 l cats & dogs1 b conditions gr[+ out ( "o ano!r4 ,is x n liv+ 9 a cont9ual mi/ake to look ^u diseases1 z we d n[1 z sep>ate entities1 :i* mu/ exi/1 l cats & dogs8 in/ead ( look+ ^u !m z conditions1 l a dirty & a clean condition1 & j z mu* "u our own control2 or r z ! reactions ( k9dly nature1 aga9/ ! conditions 9 :i* we h plac$ ourselves4 ,i 0 br\ght up1 bo? by sci5tific m5 & ignorant wom51 di/9ctly to believe t small-pox1 = in/ance1 0 a ?+ ( :i* !re 0 once a fir/ specim5 9 ! _w1 :i* w5t on propagat+ itself1 9 a p]petual *a9 ( desc5t1 j z mu* z t !re 0 a fir/ dog1 7or a fir/ pair ( dogs71 & t small-pox w\ld n beg9 itself any m ?an a new dog w\ld beg9 )\t !re hav+ be5 a p>5t dog4 ,s9ce !n ,i h se5 ) my eyes & smelt ) my nose small-pox gr[+ up 9 fir/ specim5s1 ei!r 9 close rooms or 9 ov]cr[d$ w>ds1 :]e x c\ld n by any possibility h be5 caught1 b mu/ h begun4 ,nay1 m1 ,i h se5 diseases beg91 gr[ up1 & pass into "o ano!r4 ,n[1 dogs d n pass into cats4 ,i h se51 = in/ance1 ) a little ov]cr[d+1 cont9u$ fev] gr[ up2 & ) a little m1 typhoid fev]2 & ) a little m1 typhus1 & all 9 ! same w>d or hut4 ,w\ld x n be f> bett]1 tru]1 & m practical1 if we look$ ^u disease 9 ?is light8 ,= diseases1 z all exp]i5ce %[s1 are adjectives1 n n\n sub/antives4 #aa ,sid5ote3 ,l+]+ smell ( pa9t a want ( c>e4 ,t excell5t pap]1 ! ,build]1 m5tions ! l+]+ ( ! smell ( pa9t = a mon? ab\t a h\se z a pro( ( want ( v5tilation4 ,c]ta9ly--&1 :]e !re are ample w9d[s to op51 & ^! are nev] op5$ to get rid ( ! smell ( pa9t1 x is a pro( ( want ( managem5t 9 us+ ! means ( v5tilation4 ,( c\rse ! smell w !n rema9 = mon?s4 ,:y %\ld x g8 #ab ,sid5ote3 ,:y let y\r pati5t ev] be surpris$8 ,:y %\ld y let y\r pati5t ev] be surpris$1 except by ?ieves8 ,i d n "k4 ,9 ,engl&1 p d n come d[n ! *imney1 or ?r\gh ! w9d[1 unless !y are ?ieves4 ,!y come 9 by ! door1 & somebody mu/ op5 ! door to !m4 ,! somebody *>g$ ) op5+ ! door is "o ( two1 ?ree1 or at mo/ f\r p]sons4 ,:y _c ^!1 at mo/1 f\r p]sons be put 9 *>ge z to :at is to be done :5 !re is a r+ at ! door bell8 ,! s5try at a po/ is *ang$ mu* (t5] ?an any s]vant at a private h\se or in/itution c possibly be4 ,b :at %\ld we ?9k ( su* an excuse z ?is3 t ! enemy _h ent]$ su* a po/ because ,a & n ,b _h be5 on gu>d8 ,yet ,i h con/antly he>d su* an excuse made 9 ! private h\se or in/itution & accept$3 viz41 t su* a p]son _h be5 let 9 or n let 91 & su* a p>cel _h be5 wrongly deliv]$ or lo/ because ,a & n ,b _h op5$ ! door6 #ac ,!re are _m physical op]ations :]e coet]is p>ibus ! dang] is 9 a direct ratio to ! "t ! op]ation la/s2 & coet]is p>ibus ! op]ator's success w be 9 direct ratio to 8 quickness4 ,n[ !re are _m m5tal op]ations :]e exactly ! same rule holds good ) ! sick2 coet]is p>ibus _! capability ( be>+ su* op]ations dep5ds directly on ! quickness1 )\t hurry1 ) :i* !y c be got ?r\gh4 #ad ,sid5ote3 ,petty managem5t bett] und]/ood 9 in/itutions ?an 9 private h\ses4 ,s true is ?is t ,i c\ld m5tion two cases ( wom5 ( v high position1 bo? ( :om di$ 9 ! same way ( ! consequ5ces ( a surgical op]ation4 ,& 9 bo? cases1 ,i 0 told by ! highe/ au?ority t ! fatal result w\ld n h happ5$ 9 a ,london hospital4 ,sid5ote3 ,:at in/itutions are ! exception8 ,b1 z f> z reg>ds ! art ( petty managem5t 9 hospitals1 all ! milit>y hospitals ,i "k mu/ be exclud$4 ,^u my own exp]i5ce ,i /&1 & ,i solemnly decl>e t ,i h se5 or "k ( fatal accid5ts1 su* z suicides 9 delirium trem5s1 ble$+s to dea?1 dy+ pati5ts dragg$ out ( b$ by drunk5 ,m$ical ,/aff ,corps m51 & _m o!r ?+s less pat5t & /rik+1 :i* w\ld n h happ5$ 9 ,london civil hospitals nurs$ by wom54 ,! m$ical (fic]s %\ld be absolv$ f all blame 9 ^! accid5ts4 ,h[ c a m$ical (fic] m\nt gu>d all day & all night ov] a pati5t 7say7 9 delirium trem5s8 ,! fault lies 9 !re be+ no organiz$ sy/em ( att5dance4 ,7 a tru/wor?y man 9 *>ge ( ea* w>d1 or set ( w>ds1 n z (fice cl]k1 b z head nurse1 7& head nurse ! be/ hospital s]jeant1 or w>d ma/]1 is n n[ & _c be1 f default ( ! prop] regulations71 ! ?+ w\ld n1 9 all probability1 h happ5$4 ,b 7 a tru/wor?y woman 9 *>ge ( ! w>d1 or set ( w>ds1 ! ?+ w\ld n1 9 all c]ta9ty1 h happ5$4 ,9 o!r words1 x does n happ5 :]e a tru/wor?y woman is really 9 *>ge4 ,&1 9 ^! rem>ks1 ,i by no means ref] only to exceptional times ( great em]g5cy 9 w> hospitals1 b also1 & q z mu*1 to ! ord9>y run ( milit>y hospitals at home1 9 "t ( peace2 or to a "t 9 w> :5 our army 0 actually m heal?y ?an at home 9 peace1 & ! pressure on our hospitals consequ5tly mu* less4 ,sid5ote3 ,nurs+ 9 ,regim5tal ,hospitals4 ,x is (t5 said t1 9 regim5tal hospitals1 pati5ts ought to nurse ea* o!r1 because ! numb] ( sick altoge!r be+1 say1 b ?irty1 & out ( ^! "o only p]haps be+ s]i\sly ill1 & ! o!r tw5ty-n9e hav+ little ! matt] ) !m1 & no?+ to d1 !y %\ld be set to nurse ! "o2 also1 t soldi]s are s tra9$ to obey1 t !y w be ! mo/ ob$i5t1 & !re=e ! be/ ( nurses1 add to :i* !y are always k9d to _! comrades4 ,n[1 h ^? :o say ?is1 consid]$ t1 9 ord] to obey1 y mu/ "k h[ to obey1 & t ^! soldi]s c]ta9ly d n "k h[ to obey 9 nurs+4 ,i h se5 ^! k9d fell[s 7& h[ k9d !y are no "o kn[s s well z myself7 move a comrade s t1 9 "o case at lea/1 ! man di$ 9 ! act4 ,i h se5 ! comrades' k9dness produce abundance ( spirits1 to be drunk 9 secret4 ,let no "o und]/& by ?is t female nurses ought to1 or c\ld be introduc$ 9 regim5tal hospitals4 ,x w\ld be mo/ undesirable1 ev5 7 x n impossible4 ,b ! head nurse%ip ( a hospital s]jeant is ! m ess5tial1 ! m important1 ! m inexp]i5c$ ! nurses4 ,und\bt$ly1 a ,london hospital si/] does sometimes set relays ( pati5ts to wat* a critical case2 b1 und\bt$ly also1 always "u h] own sup]9t5d5ce2 & %e is call$ to :5ev] !re is some?+ to be done1 & %e kn[s h[ to d x4 ,! pati5ts are n left to d x ( _! own unassi/$ g5ius1 h[ev] k9d & will+ !y may be4 #ae ,sid5ote3 ,burn+ ( ! cr9ol9es4 ,=tunate x is if h] skirts d n cat* fire--& if ! nurse does n give h]self up a sacrifice toge!r ) h] pati5t1 to be burnt 9 h] own petticoats4 ,i wi% ! ,regi/r>-,g5]al w\ld tell u ! exact numb] ( dea?s by burn+ occasion$ by ?is absurd & hide\s cu/om4 ,b if p w be /upid1 let !m take measures to protect !mselves f _! own /upidity--measures :i* e *emi/ kn[s1 su* z putt+ alum into />*1 :i* prev5ts />*$ articles ( dress f blaz+ up4 ,sid5ote3 ,indec5cy ( ! cr9ol9es4 ,i wi% too t p :o we> cr9ol9e c\ld see ! indec5cy ( _! own dress z o!r p see x4 ,a respectable eld]ly woman /oop+ =w>d1 inve/$ 9 cr9ol9e1 exposes q z mu* ( h] own p]son to ! pati5t ly+ 9 ! room z any op]a-danc] does on ! /age4 ,b no "o w ev] tell h] ?is unpleasant tru?4 #af ,sid5ote3 ,nev] speak to a pati5t 9 ! act ( mov+4 ,x is absolutely ess5tial t a nurse %\ld lay ?is d[n z a positive rule to h]self1 nev] to speak to any pati5t :o is /&+ or mov+1 z long z %e ex]cises s little obs]vation z n to "k :5 a pati5t _c be> x4 ,i am satisfi$ t _m ( ! accid5ts :i* happ5 f feeble pati5ts tumbl+ d[n /airs1 fa9t+ aft] gett+ up1 c41 happ5 solely f ! nurse popp+ out ( a door to speak to ! pati5t j at t mom5t2 or f 8 fe>+ t %e w d s4 ,& t if ! pati5t 7 ev5 left to himself1 till he c sit d[n1 su* accid5ts w\ld mu* seldom] occur4 ,if ! nurse accompanies ! pati5t let h] n call ^u him to speak4 ,x is incr$ible t nurses _c picture to !mselves ! /ra9 ^u ! he>t1 ! lungs1 & ! bra91 :i* ! act ( mov+ is to any feeble pati5t4 #ag ,sid5ote3 ,c>eless obs]vation ( ! results ( c>eless visits4 ,z an old exp]i5c$ nurse1 ,i d mo/ e>ne/ly deprecate all su* c>eless words4 ,i h kn[n pati5ts deliri\s all night1 aft] see+ a visitor :o call$ !m bett]1 ?\ght !y only want$ a little amusem5t1 & :o came aga91 say+1 ,i hope y 7 n ! worse = my visit1 nei!r wait+ = an answ]1 nor ev5 look+ at ! case4 ,no real pati5t w ev] say1 ,yes1 b ,i 0 a great deal ! worse4 ,x is n1 h[ev]1 ei!r dea? or delirium ( :i*1 9 ^! cases1 !re is mo/ dang] to ! pati5t4 ,unp]ceiv$ consequ5ces are f> m likely to ensue4 ,y w h impunity--! poor pati5t w n4 ,t is1 ! pati5t w suff]1 al?\gh nei!r he nor ! inflictor ( ! injury w attribute x to its real cause4 ,x w n be directly traceable1 except by a v c>eful obs]vant nurse4 ,! pati5t w (t5 n ev5 m5tion :at has done him mo/ h>m4 #ah ,sid5ote3 ,! sick w\ld r be told a ?+ ?an h x read to !m4 ,sick *ildr51 if n too %y to speak1 w always express ?is wi%4 ,!y inv>iably pref] a /ory to be told to !m1 r ?an read to !m4 #ai ,sid5ote3 ,sick suff] to excess f m5tal z well z bodily pa94 ,x is a matt] ( pa9ful wond] to ! sick !mselves h[ mu* pa9ful ideas pr$om9ate ov] pleasurable ones 9 _! impressions2 !y reason ) !mselves2 !y ?9k !mselves ungrateful2 x is all ( no use4 ,! fact is1 t ^! pa9ful impressions are f> bett] dismiss$ by a real laugh1 if y c excite "o by books or conv]sation1 ?an by any direct reason+2 or if ! pati5t is too weak to laugh1 "s impression f nature is :at he wants4 ,i h m5tion$ ! cruelty ( lett+ him />e at a dead wall4 ,9 _m diseases1 especially 9 convalesc5ce f fev]1 t wall w appe> to make all sorts ( faces at him2 n[ fl[]s nev] d ?is4 ,=m1 col\r1 w free y\r pati5t f 8 pa9ful ideas bett] ?an any argum5t4 #bj ,sid5ote3 ,desp]ate desire 9 ! sick to see out ( w9d[4 ,i rememb] a case 9 po9t4 ,a man receiv$ an injury to ! sp9e1 f an accid5t1 :i* aft] a long conf9em5t end$ 9 dea?4 ,he 0 a workman--_h n 9 8 composition a s+le gra9 ( :at is call$ en?usiasm = nature1--b he 0 desp]ate to see once m out ( w9d[4 ,8 nurse actually got him on h] back1 & manag$ to p]* him up at ! w9d[ = an in/ant1 to see out4 ,! consequ5ce to ! poor nurse 0 a s]i\s illness1 :i* ne>ly prov$ fatal4 ,! man nev] knew x2 b a great _m o!r p did4 ,yet ! consequ5ce 9 none ( _! m9ds1 s f> z ,i "k1 0 ! conviction t ! crav+ = v>iety 9 ! />v+ eye1 is j z desp]ate z t = food 9 ! />v+ /oma*1 & tempts ! fami%+ creature 9 ei!r case to /eal = its satisfaction4 ,no o!r ^w w express x b desp]ation4 ,& x sets ! seal ( ignorance & /upidity j z mu* on ! gov]nors & att5dants ( ! sick if !y d n provide ! sick-b$ ) a view ( "s k9d1 z if !y did n provide ! hospital ) a kit*54 #ba ,sid5ote3 ,physical effect ( col\r4 ,no "o :o has wat*$ ! sick c d\bt ! fact1 t "s feel /imulus f look+ at sc>let fl[]s1 exhau/ion f look+ at deep blue1 c4 #bb ,sid5ote3 ,nurse mu/ h "s rule ( "t ab\t ! pati5t's diet4 ,:y1 because ! nurse has n got "s food to-day :i* ! pati5t takes1 c ! pati5t wait f\r h\rs = food to-day1 :o c\ld n wait two h\rs ye/]day8 ,yet ?is is ! only logic "o g5]ally he>s4 ,on ! o!r h&1 ! o!r logic1 viz41 ( ! nurse giv+ a pati5t a ?+ because %e has got x1 is equally fatal4 ,if %e happ5s to h fre% jelly1 or fre% fruit1 %e w frequ5tly give x to ! pati5t half-an-h\r aft] 8 d9n]1 or at 8 d9n]1 :5 he _c possibly eat t & ! bro? too--or worse /ill leave x by 8 b$-side till he is s sick5$ ) ! sight ( x1 t he _c eat x at all4 #bc ,sid5ote3 ,intellig5t crav+s ( p>ticul> sick = p>ticul> articles ( diet4 ,9 ! diseases produc$ by bad food1 su* z scorbutic dys5t]y & di>rhoea1 ! pati5t's /oma* (t5 craves = & dige/s ?+s1 "s ( :i* c]ta9ly w\ld be laid d[n 9 no diet>y t ev] 0 inv5t$ = sick1 & especially n = su* sick4 ,^! are fruit1 pickles1 jams1 g+]bread1 fat ( ham or ( bacon1 suet1 *eese1 butt]1 milk4 ,^! cases ,i h se5 n by ones1 nor by t5s1 b by hundr$s4 ,& ! pati5t's /oma* 0 "r & ! book 0 wrong4 ,! articles crav$ =1 9 ^! cases1 might h be5 pr9cipally arrang$ "u ! two heads ( fat & vegetable acids4 ,!re is (t5 a m>k$ diff]5ce betwe5 m5 & wom5 9 ?is matt] ( sick fe$+4 ,wom5's dige/ion is g5]ally sl[]4 #bd ,x is made a frequ5t recomm5dation to p]sons ab\t to incur great exhau/ion1 ei!r f ! nature ( ! s]vice or f _! be+ n 9 a /ate fit = x1 to eat a piece ( bread be=e !y g4 ,i wi% ! recomm5d]s w\ld !mselves try ! exp]im5t ( sub/itut+ a piece ( bread = a cup ( tea or c(fee or beef tea z a refre%]4 ,!y w\ld f9d x a v poor com=t4 ,:5 soldi]s h to set out fa/+ on fatigu+ duty1 :5 nurses h to g fa/+ 9 to _! pati5ts1 x is a hot re/orative !y want1 & ought to h1 be=e !y g1 n a cold bit ( bread4 ,& dreadful h be5 ! consequ5ces ( neglect+ ?is4 ,if !y c take a bit ( bread ) ! hot cup ( tea1 s mu* ! bett]1 b n in/ead ( x4 ,! fact t !re is m n\ri%m5t 9 bread ?an 9 almo/ any?+ else has probably induc$ ! mi/ake4 ,t x is a fatal mi/ake !re is no d\bt4 ,x seems1 ?\gh v little is kn[n on ! subject1 t :at assimilates itself directly & ) ! lea/ tr\ble ( dige/ion ) ! human body is ! be/ = ! above circum/ances4 ,bread requires two or ?ree processes ( assimilation1 be=e x becomes l ! human body4 ,! almo/ univ]sal te/imony ( ,engli% m5 & wom5 :o h und]gone great fatigue1 su* z rid+ long j\rneys )\t /opp+1 or sitt+ up = sev]al nights 9 succession1 is t !y c\ld d x be/ ^u an occasional cup ( tea--& no?+ else4 ,let exp]i5ce1 n !ory1 decide ^u ?is z ^u all o!r ?+s4 #be ,9 mak+ c(fee1 x is absolutely necess>y to buy x 9 ! b]ry & gr9d x at home4 ,o!rwise y may reckon ^u its conta9+ a c]ta9 am\nt ( *icory1 at lea/4 ,?is is n a "q ( ! ta/e or ( ! :olesom5ess ( *icory4 ,x is t *icory has no?+ at all ( ! prop]ties = :i* y give c(fee4 ,& !re=e y may z well n give x4 ,aga91 all laundresses1 mi/resses ( dairy-f>ms1 head nurses 7,i speak ( ! good old sort only--wom5 :o unite a good deal ( h>d manual lab\r ) ! head-"w necess>y = arrang+ ! day's bus9ess1 s t none ( x %all tread ^u ! heels ( some?+ else7 set great value1 ,i h obs]v$1 ^u hav+ a high-pric$ tea4 ,?is is call$ extravagant4 ,b ^! wom5 are extravagant 9 no?+ else4 ,& !y are "r 9 ?is4 ,real tea-leaf tea alone conta9s ! re/orative !y want2 :i* is n to be f\nd 9 sloe-leaf tea4 ,! mi/resses ( h\ses1 :o _c ev5 g ov] _! own h\se once a day1 are incapable ( judg+ = ^! wom54 ,= !y are incapable !mselves1 to all appe>ance1 ( ! _s ( arrangem5t 7no small task7 necess>y = manag+ a l>ge w>d or dairy4 #bf ,sid5ote3 ,nurses (t5 d n ?9k ! sick room any bus9ess ( !irs1 b only ! sick4 ,i once told a v good nurse t ! way 9 :i* h] pati5t's room 0 kept 0 q en\gh to acc\nt = 8 sleeplessness2 & %e answ]$ q good-hum\r$ly %e 0 n at all surpris$ at x--z if ! /ate ( ! room 71 l ! /ate ( ! wea!r1 entirely out ( h] p[]4 ,n[ 9 :at s5se 0 ?is woman to be call$ a nurse8 #bg ,= ! same reason if1 aft] wa%+ a pati5t1 y mu/ put ! same night-dress on him aga91 always give x a prelim9>y w>m at ! fire4 ,! night-g[n he has worn mu/ be1 to a c]ta9 ext5t1 damp4 ,x has n[ got cold f hav+ be5 (f him = a few m9utes4 ,! fire w dry & at ! same "t air x4 ,?is is mu* m important ?an ) clean ?+s4 #bh ,sid5ote3 ,h[ a room is du/$4 ,if y l to clean y\r furniture by lay+ out y\r clean clo!s ^u y\r dirty *airs or s(a1 ?is is "o way c]ta9ly ( do+ x4 ,hav+ witness$ ! morn+ process call$ tidy+ ! room1 = _m ye>s1 & ) ev]-increas+ a/oni%m5t1 ,i c describe :at x is4 ,f ! *airs1 tables1 or s(a1 ^u :i* ! ?+s h la9 dur+ ! night1 & :i* are !re=e comp>atively clean f du/ or blacks1 ! poor ?+s hav+ caught x1 !y are remov$ to o!r *airs1 tables1 s(as1 ^u :i* y c\ld write y\r "n ) y\r f+] 9 ! du/ or blacks4 ,! o!r side ( ! ?+s is !re=e n[ ev5ly dirti$ or du/$4 ,! h\semaid !n flaps e ?+1 or "s ?+s1 n out ( h] rea*1 ) a ?+ call$ a du/]--! du/ flies up1 !n re-settles m equally ?an x lay be=e ! op]ation4 ,! room has n[ be5 put to rights4 #bi ,sid5ote3 ,atmosph]e 9 pa9t$ & pap]$ rooms q di/+ui%able4 ,i am sure t a p]son :o has accu/om$ h] s5ses to comp>e atmosph]es prop] & improp]1 = ! sick & = *ildr51 c\ld tell1 bl9dfold1 ! diff]5ce ( ! air 9 old pa9t$ & 9 old pap]$ rooms1 coet]is p>ibus4 ,! latt] w always be mu/y1 ev5 ) all ! w9d[s op54 #cj ,sid5ote3 ,h[ to keep y\r wall clean at ! exp5se ( y\r clo!s4 ,if y l to wipe y\r dirty door1 or "s portion ( y\r dirty wall1 by hang+ up y\r clean g[n or %awl aga9/ x on a peg1 ?is is "o way c]ta9ly1 & ! mo/ usual way1 & g5]ally ! only way ( clean+ ei!r door or wall 9 a b$-room6 #ca ,sid5ote3 ,absurd /ati/ical comp>isons made 9 common conv]sation by ! mo/ s5sible p = ! b5efit ( ! sick4 ,!re are1 ( c\rse cases1 z 9 fir/ conf9em5ts1 :5 an assurance f ! doctor or exp]i5c$ nurse to ! fright5$ suff]+ woman t !re is no?+ unusual 9 h] case1 t %e has no?+ to fe> b a few h\rs' pa91 may *e] h] mo/ effectually4 ,?is is advice ( q ano!r ord]4 ,x is ! advice ( exp]i5ce to utt] inexp]i5ce4 ,b ! advice we h be5 ref]r+ to is ! advice ( inexp]i5ce to bitt] exp]i5ce2 &1 9 g5]al1 am\nts to no?+ m ?an ?is1 t y ?9k ,i %all recov] f consumption1 because somebody kn[s somebody some:]e :o has recov]$ f fev]4 ,i h he>d a doctor condemn$ ^: pati5t did n1 alas6 recov]1 because ano!r doctor's pati5t ( a diff]5t sex1 ( a diff]5t age1 recov]$ f a diff]5t disease1 9 a diff]5t place4 ,yes1 ?is is really true4 ,if p :o make ^! comp>isons did b "k 7only !y d n c>e to "k71 ! c>e & precis5ess ) :i* su* comp>isons require to be made1 7& are made71 9 ord] to be ( any value :atev]1 !y w\ld sp>e _! tongues4 ,9 comp>+ ! dea?s ( "o hospital ) ^? ( ano!r1 any /ati/ics are ju/ly consid]$ absolutely valueless :i* d n give ! ages1 ! sexes1 & ! diseases ( all ! cases4 ,x does n seem necess>y to m5tion ?is4 ,x does n seem necess>y to say t !re c be no comp>ison betwe5 old m5 ) dropsies & "y wom5 ) consumptions4 ,yet ! clev]e/ m5 & ! clev]e/ wom5 are (t5 he>d mak+ su* comp>isons1 ignor+ entirely sex1 age1 disease1 place--9 fact1 all ! conditions ess5tial to ! "q4 ,x is ! m]e/ gossip4 #cb ,a small pet animal is (t5 an excell5t companion = ! sick1 = long *ronic cases especially4 ,a pet bird 9 a cage is sometimes ! only pleasure ( an invalid conf9$ = ye>s to ! same room4 ,if he c fe$ & clean ! animal himself1 he ought always to be enc\rag$ to d s4 #cc ,x is a mu* m difficult ?+ to speak ! tru? ?an p commonly imag9e4 ,!re is ! want ( obs]vation simple1 & ! want ( obs]vation comp\nd1 comp\nd$1 t is1 ) ! imag9ative faculty4 ,bo? may equally int5d to speak ! tru?4 ,! in=mation ( ! fir/ is simply defective4 ,t ( ! second is mu* m dang]\s4 ,! fir/ gives1 9 answ] to a "q ask$ ab\t a ?+ t has be5 be=e 8 eyes p]haps = ye>s1 in=mation exce$+ly imp]fect1 or says1 he does n "k4 ,he has nev] obs]v$4 ,& p simply ?9k him /upid4 ,! second has obs]v$ j z little1 b imag9ation imm$iately /eps 91 & he describes ! :ole ?+ f imag9ation m]ely1 be+ p]fectly conv9c$ all ! :ile t he has se5 or he>d x2 or he w repeat a :ole conv]sation1 z if x 7 in=mation :i* _h be5 address$ to him2 :]eas x is m]ely :at he has himself said to somebody else4 ,?is is ! commone/ ( all4 ,^! p d n ev5 obs]ve t !y h n obs]v$ nor rememb] t !y h =gott54 ,c\rts ( ju/ice seem to ?9k t any body c speak ! :ole tru? & no?+ b ! tru?1 if he does b int5d x4 ,x requires _m faculties comb9$ ( obs]vation & memory to speak ! :ole tru? & to say no?+ b ! tru?4 ,i kn[s ,i fibs dreadful3 b believe me1 ,miss1 ,i nev] f9ds out ,i h fibb$ until !y tells me s1 0 a rem>k actually made4 ,x is also "o ( mu* m ext5d$ application ?an mo/ p h ! lea/ idea (4 ,concurr5ce ( te/imony1 :i* is s (t5 adduc$ z f9al pro(1 may prove no?+ m1 z is well kn[n to ^? accu/om$ to deal ) ! unobs]vant imag9ative1 ?an t "o p]son has told 8 /ory a great _m times4 ,i h he>d ?irte5 p]sons concur 9 decl>+ t a f\rte5?1 :o _h nev] left 8 b$1 w5t to a di/ant *apel e morn+ at sev5 o'clock4 ,i h he>d p]sons 9 p]fect good fai? decl>e1 t a man came to d9e e day at ! h\se :]e !y liv$1 :o _h nev] d9$ !re once2 t a p]son _h nev] tak5 ! sacram5t1 by ^: side !y _h twice at lea/ knelt at ,communion2 t b "o meal a day came out ( a hospital kit*51 :i* = six weeks !y _h se5 provide f ?ree to five & six meals a day4 ,su* in/ances might be multipli$ ad inf9itum if necess>y4 #cd ,?is is important1 because on ?is dep5ds :at ! rem$y w be4 ,if a pati5t sleeps two or ?ree h\rs e>ly 9 ! night1 & !n does n sleep aga9 at all1 t5 to "o x is n a n>cotic he wants1 b food or /imulus1 or p]haps only w>m?4 ,if on ! o!r h&1 he is re/less & awake all night1 & is dr[sy 9 ! morn+1 he probably wants s$atives1 ei!r quiet1 coolness1 or m$ic9e1 a light] diet1 or all f\r4 ,n[ ! doctor %\ld be told ?is1 or h[ c he judge :at to give8 #ce ,sid5ote3 ,m important to sp>e ! pati5t ?\ght ?an physical ex]tion4 ,x is commonly suppos$ t ! nurse is !re to sp>e ! pati5t f mak+ physical ex]tion = himself--,i w\ld r say t %e ought to be !re to sp>e him f tak+ ?\ght = himself4 ,& ,i am q sure1 t if ! pati5t 7 sp>$ all ?\ght = himself1 & n sp>$ all physical ex]tion1 he w\ld be inf9itely ! ga9]4 ,! rev]se is g5]ally ! case 9 ! private h\se4 ,9 ! hospital x is ! relief f all anxiety1 af=d$ by ! rules ( a well-regulat$ in/itution1 :i* has (t5 su* a b5eficial effect ^u ! pati5t4 #cf ,sid5ote3 ,engli% wom5 h great capacity ( b little practice 9 close obs]vation4 ,x may be too broad an ass]tion1 & x c]ta9ly s\nds l a p>adox4 ,b ,i ?9k t 9 no c\ntry are wom5 to be f\nd s defici5t 9 ready & s\nd obs]vation z 9 ,engl&1 :ile peculi>ly capable ( be+ tra9$ to x4 ,! ,fr5* or ,iri% woman is too quick ( p]ception to be s s\nd an obs]v]--! ,teuton is too sl[ to be s ready an obs]v] z ! ,engli% woman might be4 ,yet ,engli% wom5 lay !mselves op5 to ! *>ge s (t5 made aga9/ !m by m51 viz41 t !y are n to be tru/$ 9 h&icrafts to :i* _! /r5g? is q equal1 = want ( a practis$ & /eady obs]vation4 ,9 c\ntries :]e wom5 7) av]age intellig5ce c]ta9ly n sup]ior to t ( ,engli%wom57 are employ$1 e4g41 9 disp5s+1 m5 responsible = :at ^! wom5 d 7n !oriz+ ab\t man's & woman's missions71 h /at$ t !y pref]r$ ! s]vice ( wom5 to t ( m51 z be+ m exact1 m c>eful1 & incurr+ few] mi/akes ( inadv]t5ce4 ,n[ c]ta9ly ,engli%wom5 are peculi>ly capable ( atta9+ to ?is4 ,i rememb] :5 a *ild1 he>+ ! /ory ( an accid5t1 relat$ by "s "o :o s5t two girls to fet* a bottle ( salvolatile f h] room2 ,m>y c\ld n /ir1 %e said1 ,fanny ran & fet*$ a bottle t 0 n salvolatile1 & t 0 n 9 my room4 ,n[ ?is sort ( ?+ pursues e "o ?r\gh life4 ,a woman is ask$ to fet* a l>ge new b\nd r$ book1 ly+ on ! table by ! w9d[1 & %e fet*es five small old bo>d$ br[n books ly+ on ! %elf by ! fire4 ,& ?is1 ?\gh %e has put t room to rights e day = a mon? p]haps1 & mu/ h obs]v$ ! books e day1 ly+ 9 ! same places1 = a mon?1 if %e _h any obs]vation4 ,habitual obs]vation is ! m necess>y1 :5 any sudd5 call arises4 ,if ,fanny _h obs]v$ ! bottle ( salvolatile 9 ! aunt's room1 e day %e 0 !re1 %e w\ld m probably h f\nd x :5 x 0 sudd5ly want$4 ,!re are two causes = ^! mi/akes ( inadv]t5ce4 #a4 ,a want ( ready att5tion2 only "p ( ! reque/ is he>d at all4 #b4 ,a want ( ! habit ( obs]vation4 ,to a nurse ,i w\ld add1 take c>e t y always put ! same ?+s 9 ! same places2 y don't "k h[ sudd5ly y may be call$ on "s day to f9d some?+1 & may n be able to rememb] 9 y\r ha/e :]e y y\rself _h put x1 if y\r memory is n 9 ! habit ( see+ ! ?+ !re always4 #cg ,sid5ote3 ,approa* ( dea?1 pal5ess by no means an inv>iable effect1 z we f9d 9 novels4 ,x falls to few ev] to h _h ! opportunity ( obs]v+ ! diff]5t aspects :i* ! human face puts on at ! sudd5 approa* ( c]ta9 =ms ( dea? by viol5ce2 & z x is a k ( little use ,i only m5tion x "h z be+ ! mo/ />tl+ example ( :at ,i mean4 ,9 ! n]v\s temp]am5t ! face becomes pale 7?is is ! only recogniz$ effect72 9 ! sangu9e temp]am5t purple2 9 ! bili\s yell[1 or e mann] ( col\r 9 pat*es4 ,n[1 x is g5]ally suppos$ t pal5ess is ! "o indication ( almo/ any viol5t *ange 9 ! human be+1 :e!r f t]ror1 disease1 or any?+ else4 ,!re c be no m false obs]vation4 ,grant$1 x is ! "o recogniz$ liv]y1 z ,i h said--de rigueur 9 novels1 b n[h]e else4 #ch ,i h kn[n two cases1 ! "o ( a man :o int5tionally & repeat$ly displac$ a dislocation1 & 0 kept & pett$ by all ! surgeons1 ! o!r ( "o :o 0 pron\nc$ to h no?+ ! matt] ) him1 !re be+ no organic *ange p]ceptible1 b :o di$ )9 ! week4 ,9 bo? ^! cases1 x 0 ! nurse :o1 by accurately po9t+ out :at %e _h accurately obs]v$1 to ! doctors1 sav$ ! "o case f p]sev]+ 9 a fraud1 ! o!r f be+ dis*>g$ :5 actually 9 a dy+ /ate4 ,i w ev5 g fur!r & say1 t 9 diseases :i* h _! orig9 9 ! feeble or irregul> action ( "s function1 & n 9 organic *ange1 x is q an accid5t if ! doctor :o sees ! case only once a day1 & g5]ally at ! same "t1 c =m any b a negative idea ( its real condition4 ,9 ! middle ( ! day1 :5 su* a pati5t has be5 refre%$ by light & air1 by 8 tea1 8 beef tea1 & 8 br&y1 by hot bottles to 8 feet1 by be+ wa%$ & by clean l951 y c sc>cely believe t he is ! same p]son z lay ) a rapid flutt]+ pulse1 ) puff$ eye-lids1 ) %ort brea?1 cold limbs1 & un/eady h&s1 ?is morn+4 ,n[ :at is a nurse to d 9 su* a case8 ,n cry1 ,"l bless y1 sir1 :y y'd h ?\ght he 7 a dy+ all night4 ,?is may be true1 b x is n ! way to impress ) ! tru? a doctor1 m capable ( =m+ a judgm5t f ! facts1 if he did b "k !m1 ?an y are4 ,:at he wants is n y\r op9ion1 h[ev] respectfully giv51 b y\r facts4 ,9 all diseases x is important1 b 9 diseases :i* d n run a di/9ct & fix$ c\rse1 x is n only important1 x is ess5tial t ! facts ! nurse alone c obs]ve1 %\ld be accurately obs]v$1 & accurately report$ to ! doctor4 ,i mu/ direct ! nurse's att5tion to ! extreme v>iation !re is n unfrequ5tly 9 ! pulse ( su* pati5ts dur+ ! day4 ,a v common case is ?is3 ,betwe5 #c & #d ,a4,m4 ! pulse becomes quick1 p]haps #acj1 & s ?ready x is n l a pulse at all1 b l a /r+ vibrat+ j und]nea? ! sk94 ,aft] ?is ! pati5t gets no m sleep4 ,ab\t mid-day ! pulse has come d[n to #hj2 & ?\gh feeble & compressible is a v respectable pulse4 ,at night1 if ! pati5t has _h a day ( excitem5t1 x is almo/ imp]ceptible4 ,b1 if ! pati5t has _h a good day1 x is /rong] & /eadi] & n quick] ?an at mid-day4 ,?is is a common hi/ory ( a common pulse2 & o!rs1 equally v>y+ dur+ ! day1 might be giv54 ,n[1 9 inflammation1 :i* may almo/ always be detect$ by ! pulse1 9 typhoid fev]1 :i* is accompani$ by ! l[ pulse t no?+ w raise1 !re is no su* great v>iation4 ,& doctors & nurses become accu/om$ n to look = x4 ,! doctor inde$ _c4 ,b ! v>iation is 9 itself an important feature4 ,cases l ! above (t5 g (f r sudd5ly1 z x is call$1 f "s trifl+ ailm5t ( a few days1 :i* j makes up ! sum ( exhau/ion necess>y to produce dea?4 ,& ev]ybody cries1 :o w\ld h ?\ght x8 except ! obs]v+ nurse1 if !re is "o1 :o _h always expect$ ! exhau/ion to come1 f :i* !re w\ld be no rally1 because %e knew ! pati5t _h no capital 9 /r5g? on :i* to draw1 if he fail$ = a few days to make 8 b>ely daily income 9 sleep & nutrition4 ,i h (t5 se5 really good nurses di/ress$1 because !y c\ld n impress ! doctor ) ! real dang] ( _! pati5t2 & q provok$ because ! pati5t w\ld look1 ei!r s mu* bett] or s mu* worse ?an he really is :5 ! doctor 0 !re4 ,! di/ress is v legitimate1 b x g5]ally arises f ! nurse n hav+ ! p[] ( lay+ cle>ly & %ortly be=e ! doctor ! facts f :i* %e d]ives h] op9ion1 or f ! doctor be+ ha/y & inexp]i5c$1 & n capable ( elicit+ !m4 ,a man :o really c>es = 8 pati5ts1 w soon le>n to ask = & appreciate ! in=mation ( a nurse1 :o is at once a c>eful obs]v] & a cle> report]4 #ci ,sid5ote3 ,dang] ( physick+ by amateur females4 ,i h kn[n _m ladies :o1 hav+ once obta9$ a blue pill prescription f a physician1 gave & took x z a common ap]i5t two or ?ree times a week--) :at effect may be suppos$4 ,9 "o case ,i happ5$ to be ! p]son to in=m ! physician ( x1 :o sub/itut$ = ! prescription a comp>atively h>mless ap]i5t pill4 ,! lady came to me & compla9$ t x did n suit h] half s well4 ,if wom5 w take or give physic1 by f> ! safe/ plan is to s5d = ! doctor e "t--= ,i h kn[n ladies :o bo? gave & took physic1 :o w\ld n take ! pa9s to le>n ! names ( ! commone/ m$ic9es1 & conf\nd$1 e4g41 colocyn? ) col*icum4 ,?is is play+ ) %>p edg$ tools ) a v5geance4 ,!re are excell5t wom5 :o w write to ,london to _! physician t !re is mu* sickness 9 _! neighb\rhood 9 ! c\ntry1 & ask = "s prescription f him1 :i* !y us$ to l !mselves1 & !n give x to all _! fri5ds & to all _! poor] neighb\rs :o w take x4 ,n[1 in/ead ( giv+ m$ic9e1 ( :i* y _c possibly "k ! exact & prop] application1 nor all its consequ5ces1 w\ld x n be bett] if y 7 to p]suade & help y\r poor] neighb\rs to remove ! dung-hill f be=e ! door1 to put 9 a w9d[ :i* op5s1 or an ,arnott's v5tilator1 or to cleanse & lime-wa% ! cottages8 ,( ^! ?+s ! b5efits are sure4 ,! b5efits ( ! inexp]i5c$ adm9i/ration ( m$ic9es are by no means s sure4 ,homoeopa?y has introduc$ "o ess5tial amelioration 9 ! practice ( physic by amateur females2 = its rules are excell5t1 its physick+ comp>atively h>mless--! globule is ! "o gra9 ( folly :i* appe>s to be necess>y to make any good ?+ acceptable4 ,let !n wom51 if !y w give m$ic9e1 give homoeopa?ic m$ic9e4 ,x won't d any h>m4 ,an almo/ univ]sal error among wom5 is ! supposition t ev]ybody mu/ h ! b[els op5$ once 9 e tw5ty-f\r h\rs or mu/ fly imm$iately to ap]i5ts4 ,! rev]se is ! conclusion ( exp]i5ce4 ,?is is a doctor's subject1 & ,i w n ent] m into x2 b w simply repeat1 d n g on tak+ or giv+ to y\r *ildr5 y\r abom9able c\rses ( ap]i5ts1 )\t call+ 9 ! doctor4 ,x is v seldom inde$1 t by *oos+ y\r diet1 y _c regulate y\r own b[els2 & e woman may wat* h]self to "k :at k9d ( diet w d ?is2 ,i h kn[n defici5cy ( meat produce con/ipation1 q z (t5 z defici5cy ( vegetables2 bak]'s bread mu* (t5] ?an ei!r4 ,home made br[n bread w (t5] cure x ?an any?+ else4 #dj ,a curi\s fact w be %[n by ,table ,a1 viz41 t #ah1abb out ( #ci1aci1 or ne>ly "o-half ( all ! nurses1 9 dome/ic s]vice1 are betwe5 #e & #bj ye>s ( age4 ,,pr9t$ ,,by ,,h>rison ,,& ,,sons1 ,,/4 ,,m>t9',s ,,lane1 ,w4,c4 99 99 99 99 99 ,a ,,summ] ,,se>* ,,= ,,sir ,,john ,,frankl91 ) a ,peep into ! ,pol> ,bas91 by ,comm&] ,e4,a4 ,+lefield1 ,r4,n4 ,demy #hvo41 #ads4 ,,fr5* ,,naval ,,tactics2 ,translat$ f ! ,fr5* by ,augu/us ,phillimore1 ,capta91 ,r4,n4 ,demy #hvo41 #ajs4 ,,despat*es ,,& ,,pap]s ,,relative ,,to ,,campaign 9 ,turkey1 ,asia ,m9or1 & ! ,crimea 9 #ahed #e-f1 by ,capta9 ,say]4 ,,despat*es ,,( ,,visc\nt ,,h>d+e1 ,,"l ,g\gh1 & ,sir ,h>ry ,smi?4 ,demy #hvo41 #fs4 ,,pres5t ,,/ate ,,( ,,! ,,turki% ,,empire1 by ,m>%al ,m>mont1 translat$ by ,g5]al ,sir ,f4 ,smi?1 ,k4,h41 ,f4,r4,s4 ,second ,edition1 po/ #hvo41 #gs4 #f;d4 ,,pa/oral ,,& ,,o!r ,,poems1 by ,mrs4 ,george ,halse1 ,fcap4 #hvo41 #bs4 #f;d4 clo?4 ,,! ,,laurel ,,& ,,! ,,palm1 by ,mrs4 ,*allice1 ,clo?1 #fs4 ,,eda ,,morton ,,& ,,h] ,,c\s9s4 ,fcap4 #hvo41 #fs4 ,,cav5di%1 ,,or ,,! ,,patrician ,,at ,,sea1 by ,w4 ,johnson ,neale4 ,fcap4 #hvo41 clo?4 #bs4 #f;d4 ,,*oll]ton1 ,a ,,tale ,,( ,,our ,,own ,,times1 ,fcap4 #hvo1 #gs4 #f;d4 ,,evel9a1 by ,miss ,burney4 ,fcap4 #hvo41 #cs4 99 99 99 99 99 ,,h>rison1 #ei1 ,,pall ,,mall1 ,,london1 ,s4,w41 ,,booksell] ,,to ,,! ,,que54 ,,! ,,p>i% ,,*oir1 ,,or ,,*ur* ,,music ,,book1 ,9 #c vols41 #bas4 clo?4 ,a ,,pla9 ,,tract ,,on ,,s++ ,,9 ,,public ,,wor%ip4 #a;d41 or #gs4 p] #ajj4 ,,conv]sations ,,on ,,! ,,*oral ,,s]vice1 be+ an ,exam9ation ( popul> prejudices aga9/ ,*ur* ,music4 ,fcap1 #hvo41 #as4 ,,bi%op ,,blomfield ,,& ,,8 ,,times1 by ! ,rev4 ,g4,e4 ,bib]1 ,,ll4,d4 #a vol41 po/ #hvo41 #gs4 #f;d4 ,a ,,pla9 ,,tract ,,on ,,*ur* ,,ornam5ts1 #a;d41 or #gs4 p] #ajj4 ,,h[ ,,to ,,/op ,,& ,,:5 ,,to ,,/op2 ,punctuation r$uc$ to a ,sy/em4 ,fcap4 #hvo41 clo?1 #as4 ,,an!ms ,,= ,,p>i% ,,*oirs1 collect$ & edit$ by ! ,rev4 ,sir ,w4,h4 ,cope1 ,b>t4 #a vol41 #dto41 #is4 ,,g]man1 ,,9 ,,fifty ,,lessons1 by ,h]r ,c4,a4,a4 ,bran1 ,fcap4 #hvo41 #es4 #f;d4 ,,! ,,turki% ,,campaign]',s ,,vade-,,mecum ,,( ,,! ,ottoman ,colloquial ,language1 by ,j4,w4 ,r$h\se1 ,f4,r4,a4,s4 ,pocket ,edition1 #ds4 clo?4 ,,comp>ative ,,gramm> ,,( ,,! ,,dravidian or ,s\?-,indian ,family ( ,languages1 by ! ,rev4 ,r4 ,caldwell1 ,b4,a4 ,demy #hvo41 clo?4 #bas4 99 99 99 99 99 ,transcrib]'s ,note3 ,! foll[+ adv]tisem5ts 7 at ! beg9n+ ( ! orig9al text b h be5 mov$ "h = ease ( read+4 ,,london3 ,,h>rison1 ,booksell] to ! ,que51 #ei1 ,,pall ,,mall4 99 99 99 99 99 ,illu/ration ,,sir ,,b]n>d ,,burke',s 7,ul/] ,k+ ( ,arms7 ,,pe]age ,,& ,,b>onetage = #ahfj4 ,9 #a ,vol41 royal #hvo41 ,price #chs41 #bbnd ,edition4 ,,cont5ts ,,introduction--7,%ort ,hi/ory ( ! ,pe]age & ,b>onetage--rights & privileges--& orig92 engrav+s & h]aldic descriptions ( ! ,royal ,cr[n & ! ,coronets ( ! ,nobility7 ,royal ,family4 ,k+s ( ,scotl&4 ,h\se ( ,guelph4 ,pe]s entitl$ to qu>t] ! ,plantag5et ,arms ,,diction>y--,includ+ ! ,pe]age & ,b>onetage ( ,engl&1 ,irel&1 & ,scotl&1 & ! ,unit$ ,k+dom4 ,scale ( ,prec$5ce4 ,spiritual ,lords4 ,=eign titles ( ,nobility borne by ,briti% ,subjects4 ,pe]ages rec5tly ext9ct4 ,pe]ages claim$4 ,surnames ( ,pe]s & ,pe]esses1 ) ,heirs ,app>5t & ,presumptive4 ,c\rtesy ,titles ( ,elde/ ,sons4 ,pe]age ( ! ,?ree ,k+doms1 collectively1 9 ord] ( ,prec$5ce4 ,b>onets 9 ord] ( ,prec$5ce4 ,privy ,c\ncils ( ,engl& & ,irel&4 ,ord]s ( ,knigh?ood3 ,g>t]1 ,?i/le1 ,/4 ,patrick1 ,ba?1 ,/4 ,mi*ael & ,/4 ,george1 & ,guelphic4 ,knights ,ba*elors4 ,mottoes ,translat$1 ) ,illu/rations4 ,seats & ,mansions ( ,pe]s & ,b>onets1 alphabetically arrang$4 ,daught]s ( ,pe]s m>ri$ to ,common]s4 99 99 99 99 99 ,! be/ g5ealogical & h]aldic diction>y ( ! ,pe]age & ,b>onetage4--,globe4 ,= ! amaz+ quantity ( p]sonal & family hi/ory1 admirable arrangem5ts ( details1 & accuracy ( in=mation1 ?is g5ealogical & h]aldic diction>y is )\t a rival4 ,x is n[ ! /&>d & ackn[l$g$ book ( ref]5ce ^u all que/ions t\*+ p$igree4--,morn+ ,po/4 ,n[h]e else is !re to be f\nd s full an acc\nt ( ! families ( m5 newly admitt$ 9 ! ,pe]age or ! ,b>onetage4 99 99 99 99 ,! m9ute/ *ange to ! date ( ,publication w be f\nd record$ 9 ?is ,volume1 :i* is 9 fact a ,pe]age & ,b>onetage1 n only beyond comp>ison ) any o!r book ( ! same class ext5t1 b :ile x rema9s z x n[ is1 p]fect ( its k9d above all risk f any future competition4--,exam9]4 ,! book comb9es1 9 "o volume1 & at "o view1 :at no o!r "w ( ! k9d has ev] done1 ! complete pa/ g5ealogy1 & n[ liv+ condition1 ( ! family ( ea* ,pe] & ,b>onet ( ,great ,brita9 & ,irel&4 99 99 99 ,burke's ,pe]age & ,b>onetage may be fairly look$ on u ! gold5 book ( ! h]$it>y rank & ari/ocracy ( ! ,briti% ,empire4--,morn+ ,po/4 ,burke's ,pe]age & ,b>onetage is n[ q a national annual4--,illus4 ,london ,news4 ,,complete ,,9 #a ,,volume1 ,,price #b ,transcrib]'s ,note3 ,price uncle> 9 orig9als4 #f;d4 ,,sir ,,b]n>d ,,burke',s 7,ul/] ,k+ ( ,arms7 ,,l&$ ,,g5try ,,( ,,great ,,brita9 ,,& ,,irel&4 ,a "w ( ?is k9d is ( a national value4--,morn+ ,po/4 ,a "w 9 :i* e g5tleman w f9d a dome/ic int]e/1 z x conta9s ! fulle/ acc\nt ( e kn[n family 9 ! ,unit$ ,k+dom4--,bell's ,mess5g]4 ,a ,transcrib]'s ,note3 ,^w uncle> 9 orig9al "w1 n[ = ! fir/ "t complete 9 "o v h&some & portly volume1 has j be5 publi%$4--,illu/rat$ ,london ,news4 ,,n[ ,,ready1 ,,price #bs4 #f;d4 ,,! ,,=eign ,,(fice ,,li/ = #ahfj1 ,exhibit+ ! ,rank1 ,/&+1 & ,v>i\s ,s]vices ( e ,p]son employ$ 9 ! ,=eign ,(fice1 ! ,diplomatic ,corps1 & ! ,consul> ,body4 ,& also ,regulations respect+ ,exam9ations1 ,passports1 ,=eign ,ord]s1 c4 ,compil$ by ,francis ,w4,h4 ,cav5di% & ,edw>d ,h]tslet4 ,,easy ,,an!ms4 ,,= ,,f\r ,,voices1 ,,) ,,organ ,,or ,,piano ,,=te ,,accompanim5ts4 ,o love ! ,"l ,goldw9 #b;d4 ,praise ! ,"l ,okel& #b;d4 ,= unto u a ,*ild is ,born ,haselton #b;d4 ,o ,praise ,god 9 8 ,hol9ess ,weldon #b;d4 ,behold1 n[ ,praise ! ,"l ,rog]s #b;d4 ,deliv] u1 ,o ,"l our ,god ,batt5 #d;d ,tea* me1 ,o ,"l ,rog]s ,o ,praise ! ,"l ,weldon #b;d4 ,v5i1 ,creator ,spiritus ,tallis #c;d4 ,out ( ! ,deep ,aldri* #f;d4 ,,! ,,above ,,an!ms1 ,,=m+ ,,"p ,i1 ,,may ,,also ,,be ,,_h ,,9 ,,wrapp]1 #bs4 ,o ,praise ! ,"l ,batt5 #b;d4 ,plead ,?\ my ,cause ,gl>eanus #b;d4 ,praise ! ,"l1 ,o ,j]usalem ,scott #d;d4 ,my ,s\l ,truly ,waite? ,batt5 #b;d4 ,if ,ye ,love ,me ,tallis #b;d4 ,?\ ,visite/ ! ,e>? ,gre5e #b;d4 ,o ,h[ ,amiable ,ri*>dson ,(f]tory ,an!m ,:itbroke #c;d4 ,n unto ,u1 ,o ,"l ,aldri* #c;d4 ,he> my ,pray] ,batt5 #d;d4 ,"l1 ,:o %all dwell ,rog]s #d;d4 ,,! ,,above ,,an!ms1 ,,=m+ ,,"p ,,ii1 ,,may ,,also ,,be ,,_h ,,9 ,,wrapp]1 #bs4 ,h m]cy ^u ,me ,gibbs #b;d4 ,:]e)al %all a ,"y ,man ,alcock #b;d4 ,i give y a ,new ,comm&m5t ,%eph>d #c;d4 ,holy1 ,holy1 ,holy ,bi%op #b;d4 ,call to ,remembrance ,f>rant #b;d4 ,tea* ,me ,?y ,way1 ,o ,"l ,fox ,bless$ art ,?\1 ,o ,"l ,weldon #b;d4 ,o ,israel1 ,tru/ 9 ! ,"l ,cr(t #b;d4 ,bless+ & ,glory ,boyce #b;d4 ,lilt ,up ,y\r ,heads ,turn] #b;d4 ,?\ ,kn[e/1 ,"l ,purcell ,set up ,?yself1 ,o ,god ,wise #b;d4 ,behold n[1 ,praise ! ,"l ,creyghton #b;d4 ,gloria 9 ,excelsis ,s4 ,m>k's use #b;d4 ,,! ,,above ,,an!ms1 ,,=m+ ,,"p ,,iii1 ,,may ,,also ,,be ,,_h ,,9 ,,wrapp]1 #bs4 ,! ,?ree ,p>ts1 =m+ ,vol4 ,i ( ,,easy ,,an!ms1 may be _h1 neatly b\nd toge!r 9 clo?1 price #fs4 ,o ,praise ! ,"l ,goldw9 #b;d4 ,o ,give ,?anks ,rog]s ,"l1 ,we ,besee* ,!e ,batt5 #d;d4 ,(f]tory ,an!ms ,monk #b;d4 ,glory be to ,god on ,high ,loosemore #d;d4 ,"l1 = ,?y ,t5d] ,m]cies ,f>rant #b;d4 ,o ,"l1 ,grant ! ,k+ ,*ild ,behold ,h[ ,good & ,joyful ,rog]s #b;d4 ,! ,"l is ,k+ ,k+ #b;d4 ,s+ ,we ,m]rily ,batt5 #d;d4 ,o ,pray = ! ,peace ,rog]s #d;d4 ,,! ,,above ,,an!ms1 ,,=m+ ,,"p ,,iv1 ,,may ,,also ,,be ,,_h ,,9 ,,wrapp]1 #bs4 99 99 99 99 99 ,,an!ms ,,= ,,p>i% ,,*oirs1 ,by ,em95t ,compos]s ( ! ,engli% ,*ur*4 ,,collect$ ,,& ,,edit$ ,,by ,,! ,,rev4 ,,sir ,,william ,h4 ,,cope1 ,,b>t41 ,,m9or ,,canon ,,( ,,/4 ,,pet]',s1 ,,we/m9/]4 ,,no4 ,i4 7,,price #h;d47 ,,conta9s3 ,s+ we m]rily ,adrian ,batt5 ,let my compla9t ,ditto ,i w n leave y com=tless ,dr4 ,william ,byrde ,,no4 ,,ii4 7,,price #aj;d47 ,,conta9s3 ,o ,clap y\r h&s ,dr4 ,william ,*ild ,:5 ! ,"l turn$ aga9 ,adrian ,batt5 ,o ,pray = ! ,peace ( ,j]usalem ,dr4 ,b5j4 ,rog]s ,h[ ,long wilt ,?\ =get me ,ditto ,,no4 ,,iii4 7,,price #as47 ,,conta9s3 ,oh6 t ! salvation ,dr4 ,b5j4 ,rog]s ,praise ! ,"l1 ,o my s\l ,ditto ,o ,give ?anks unto ! ,"l ,ditto ,save me1 ,o ,god ,ditto ,behold h[ good & joyful ,ditto ,,no4 ,,iv4 7,,price #h;d47 ,,conta9s3 ,by ! wat]s ( ,babylon ,rev4 ,dr4 ,h4 ,aldri* ,n unto u1 ,o ,"l ,?omas ,kelway ,o praise ! ,"l all ye hea!n ,john ,goldw9 ,,no4 ,v4 7,,price #h;d47 ,,conta9s3 ,ha/e ,!e1 ,o ,god1 to deliv] me ,adrian ,batt5 ,:y art ?\ s heavy ,dr4 ,orl&o ,gibbons ,behold n[ praise ! ,"l ,rev4 ,dr4 ,h4 ,aldri* ,,no4 ,,vi4 7,,price #aj;d47 ,,conta9s3 ,praise ! ,"l1 ,o my s\l ,dr4 ,john ,bl[ ,9 ,!e1 ,o ,"l1 h ,i put my tru/ ,william ,evans ,,no4 ,,vii4 7,,price #h;d47 ,,conta9s3 ,unto ,!e ,o ,"l1 w ,i lift up ,?omas ,kelway ,! ,"l is ,k+ ,william ,k+ ,9 ! beg9n+1 ,o ,"l ,mat!w ,lock ,,no4 ,,viii 7,,price #as47 ,,conta9s3 ,let ,god arise ,mat!w ,lock ,s+ unto ! ,"l a new song ,ditto ,:5 ! ,son ( ,man %all come ,ditto ,"l1 we besee* ,!e ,adrian ,batt5 ,,no4 ,,ix4 7,,price #h;d47 ,,conta9s3 ,o ,"l1 ,i h lov$ ! habitation ,?omas ,tomk9s ,great & m>vell\s ,ditto ,he t ha? pity ^u ! poor ,ditto ,,no4 ,x4 7,,price #aj;d47 ,,conta9s3 ,o ,"l ,god ( our salvation ,rev4 ,dr4 ,h4 ,aldri* ,"l1 :o %all dwell ,adrian ,batt5 ,o ,praise ! ,"l3 laud ye ,dr4 ,william ,*ild