IC-NRLF SB Efi D3D OUTWITTINQ THE "T. B. BUQS" A LITTLE MESSAGE OF HOPE, HELP AND COMMON SENSE FOR THOSE WHO SEEK BETTER HEALTH By MARY MACK CAHILL PUBLISHING COMPANY 860 PACIFIC BLDG., SAN FRANCISCO 1920 Outtwtting the "T. B. Bugs" A little message of hope, help and common sense for those who seek better health By MARY MACK Published by the Cahill Publishing Company 860 Pacific Bldg., San Francisco 1920 Copyright 1920 by Cahill Publishing Company All Rights Reserved "Hope, like the glimmering taper's light Adorns and cheers the way, And still, as darker grows the night, Emits a brighter ray." 822183 Outwitting the "T. B. Bugs" ... By ... MARY MACK This book provides a convenient means of health accounting in terms that everybody can understand. Foreword THIS is a Message for Everyman. That, of course, includes Everywoman. If you are well, this will help you to stay well. If you are ill, what is here will help you to get well again. Tuberculosis being the result of a run-down condi- tion, which permits bacteria to gain a foothold and thrive, that which helps arrest tuberculosis will naturally help any one to build up his or her general health. The primary object of this little brochure is to en- courage those who are afflicted with tuberculosis, and to inspire them to intelligent effort to regain health and happiness. In that which follows, no effort has been made towards showy style and composition. It is but a plain Page Five OUTWITTING THE " T. B. BUGS" setting forth of the true story of a man and a woman who are living examples today of what a conscientious effort to defeat tuberculosis will accomplish. It cost the man and the woman several thousand dollars to learn how to "beat the T. B.'' They believe that they would be committing an un- pardonable crime against Humanity at Large if they should fail to record and pass on their experience to others. Neither is in the medical profession. They are just every day individuals with ordinary common sense and a sufficiency of backbone. In these pages are set forth the results of their personal experience and how they conquered what ordinarily strikes such terror into the human heart as to weaken power of resistance when it should be strongest. The story of their lives comes first, followed by a simple, clear explanation of the cause, treatment, pre- vention and remedy of tuberculosis. For ready refer- ence there is an index to the subjects covered. If you have a tendency toward pulmonary disorders and want to know of a practical method of overcoming your troubles or If you already have tuberculosis and wish to profit by practical suggestions which, if followed, will un- doubtedly help you or Page Six OUTWITTING THE " T. B. BUGS" If you would merely like to know how to improve your physical condition in any way, or even just how to preserve your present well-being then Digest every word of this little book, remembering that you are reading the unvarnished truth. If you possess that negative force that defeats every good intention, it is useless for you to attempt to "beat the T. B." If you are of the type that, when told of certain rules that must be observed, takes particular delight in break- ing them, then read no further. If, on the other hand, you are a sensible person, and feel that your character is strong enough to abstain from certain habits and lead a careful life, then read this narrative. You will profit by it. It is difficult to understand the state of mind of a person who goes to a sanitarium with every intention of obtaining a cure, and then starts right in to break every rule of the institution, knowing that those rules were made to help him in the fight for health. You must begin by fixing in your mind the fact that you CANNOT "beat the bugs" and dissipate. You can't beat them and drink whiskey; any more than you can beat them and lose sleep. Now, if you realize that those cannot be helped who will not help themselves; that some men could not win Page Seven OUTWITTING THE " T. B. BUGS" a race with a centipede's legs; that no loafing, lagging quitter ever made good then there is a chance for you. You cannot fail if you reinforce the fight for health with will, ambition and determination, following to the letter every instruction given herein. Study this little book carefully. It contains a gold mine of health information. Practice, and never forget, the simple health principles outlined in it, and, barring accident, you may live to a ripe old age. Following is the story of two real people told for a real purpose and written by a friend of both. For obvi- ous reasons the names used are fictitious. Page Eight The Real Story Written By a Friend A DECADE AGO, an eminent New York Doctor xlL conceded Ted Blair three months more of life on this planet. To make sure of his having that many months, the doctor bade him spend them in Arizona. Ted, once a handsome, strapping young giant, with a baritone voice famous in more than one New York ca- thedral and fashionable drawing-room, was then tip- ping the beam around 125 pounds, and making his wants known in pale whispers for with his health had gone his splendid voice. He was paying a fearful price for having burned the candle at both ends for that was the cause of his break- down. His case was one of "T. B.", which is the term the man in the street and many a doctor today applies to active pulmonary tuberculosis. Nothing unique about it, save that, whereas "T. B." is popularly supposed to be a disease of poverty and undernourish- ment, Ted was a fine example of what can happen to a sleek, popular, well-fed young man with a world of "pep" and "jazz" and super-vitality when he tries to squeeze twenty-six or twenty-eight hours out of a solar day and bucks the combination of business and social Page Nine TED in 1910 on Leaving Phoenix for Denver Picture of TED Taken in 1917 Showing how He Looks Today OUTWITTING THE " T. B. BUGS" life without regard to the limitations of the human body as a power generator. Utterly discouraged, Ted that fall went back to his home in the Middle West. A social favorite because of his handsome face, stalwart figure and engaging per- sonality, and a musical favorite because of a God-given voice, he was suddenly hurled from business prosperity and social popularity in America's greatest city to the very depths of hopeless contemplation of a consumptive's grave. He went on long, solitary rambles in the snowy woods around his home the home he had quitted for Broadway a few years before in a glow of hope and am- bition and perfect health, turning over in his mind ways and means of defeating "the Bugs." His plan of action called for a change of scenery, light and sunshine. With his natural quick decision he said, "Arizona for me", packed up and was on his way. And there, in the dry air and desert sunshine, the deadly "T. B/' seemed to pause in its march through his tho- racic regions. When June came he decided that Arizona sunshine was too much of a good thing, and migrated to Denver where he entered one of the finest sanitariums in the country. A place where the doctors and nurses conscientiously strive for results and in the great per- centage of cases obtained them. A sanitarium such as this, which reclaims to useful life so many "T. B/s" is Page Ten OUTWITTING THE " T. B. BUGS" about the greatest philanthropy in the world. To the philanthropist who endowed this wonderful institution and to the doctor who has directed its destinies for so many years, thousands today turn in gratitude. Blair is one of the grateful ones for in a short time by comply- ing with the rules that had been laid down for him to follow he began to obtain good results. He started to expand and expanded so rapidly that he had to have "V-inserts" let into the waistband of his pantaloons. He couldn't believe it was real, despite the fact that he had determined that that was what was going to happen. After one year of "chasing", a familiar term used in "beating the bugs", he weighed in at 215. That was the "peak weight''. Gradually he reached equilibrium at 195, and today his "fighting business weight" is around 190 pounds. About the same time Ted had received his walking papers from New York to Arizona, a girl from Chicago a girl he never had heard of, though they were born but a few miles apart was entering on her second year of the Battle of Phoenix. A year previously Mary Mack weighing ninety pounds and shaking every ounce of it with the coughs that spell "goodbye" to so many people, was escorted to the train in Chicago by a cohort of former school friends. As she, her father and companion stepped Page Eleren MARY in 1907 before Going to Phoenix Picture of MARY Taken in 1917 Showing how She Looks Today OUTWITTING THE " T. B. BUGS" aboard, the girls sang, under the pathetic guise of a cheerful vacation sendoff but with their hearts aching at the fearful reality of it, the then popular ditty, "So Long, Mary!" They never thought to see her alive again; for Miss Mack's physician had conceded her six months more among us mortals. The day Blair left Phoenix for Denver, the follow- ing June, it happened that Miss Mack boarded the same train. A mutual friend, who knew both stories and be- thought him that both had outlived their professional allottments of mundane months, introduced them. Today Mrs. Blair weighing what a normal young woman of her height and build should weigh, and with a ruddy and healthy complexion that is the envy of many a woman friend who never had a conscious ailment, not to mention saucy, snapping Irish blue eyes that dance with the sheer joy of living whether the occasion demands it or not ably manages important departments in her husband's business, drives his big automobile when she feels like it, does her own housework and snaps her fingers at the Servant Problem, and generally constitutes another living proof that not every medical prediction is one hundred percent accurate and that the supposedly sure-shot tubercle bacillus can be whipped 'round the stump with plain common sense. Mrs. Blair, Oh, yes that part started almost as Page Twelve OUTWITTING THE " T. B. BUGS" soon as did the train pulling out of Phoenix for Denver. Miss Mack's Irish blue eyes and blue-black tresses struck deep into the cardiac regions of the big, gaunt chap with the whisper and the hollow eyes. "Geef he thought. "I've got to get well now!" His wife tells it on him today that the big fellow lost no time. He couldn't entertain the amazingly pretty young woman with the deep toned, impressive stories, for he still worried along without even a speaking voice, much less a singing voice. So he whispered the Big Idea, which was that he was beginning to think that after all he had better take a new hitch on Things in General, get back to the old status of "pep" and then well, let's get to the point : They were married. And therein lies the nub of the whole tale. From San Francisco to Phoenix came a message to Blair that he was needed in a business that had its base of opera- tions in San Francisco. He first decided to go thither and accept the offer, and then informed his doctor at Phoenix that he had so decided. "Pure suicide!" exploded the M. D. "Sure death! don't think of it for a minute. Stay right here." But the old Blair will-power was in the saddle again. He weighed two hundred pounds and could eat nails. He went to the city of nipping sea fogs and brusque sea winds declared to be one of the last Page Thirteen OUTWITTING THE " T. B. BUGS" places in the world for a "T. B." to hang his hat and resumed the activities of business. Before he left, however, it was decided that his wife would join him at the Golden Gate as soon as he should become established there. And, as has been suspected, she did. Before long he launched in business for himself. No, it was not an outdoor occupation. It was the business of advertising a sedentary occupation, tend- ing to confine men to office atmosphere and keep them humped over a desk. Today, as president of the Blair Advertising Com- pany, Ted exhibits to close scrutiny about as little suggestion that he ever harbored a "T. B." bug in his system as does a prizefighter in the pink of condi- tion about to step into the squared circle. Only when he speaks does he show the effect of the battle. A husky speaking voice was all that he recovered. The golden baritone never returned. But "Never mind that," says his pretty wife. "You ought to have heard him propose in a whisper on that' train!" Asked how they did it, either will tell instantly: "Just common sense and rational living, plus will power." Page Fourteen OUTWITTING THE " T. B. BUGS" Mrs. Blair herself was another example of how the deadly "T. B." will pounce out of dormancy and into deadly activity in the system of a well-to-do person, living amid comforts and good sanitary sur- roundings and financially able to nourish the system with the best the market affords. Her case was par- allel to that of her husband's. She also had tried to extract twenty-five and twenty-six hours of living out of a twenty-four hour day. A brilliant young elocutionist and dramatic stu- dent, on her graduation she had taken up the profession of teaching in those lines. Years afterward her dra- matic teacher said of her: "More than one woman I taught at the same time has since become world- lamous on the stage with far less brilliancy than she." Popular socially and much sought for her gifts, she, too, failed to recognize the limitations of the human power plant until the load she imposed upon it "threw the circuit breaker" and the plant had to be shut down for repairs. Mary had had several hemorrhages and her family physician, who knew her intimately, considered her power machinery only good for the junk pile, never- theless, something 'way down inside of her told her that the doctor was mistaken and that the machinery wouldn't have to be scrapped, just sent Page Fifteen OUTWITTING THE " T. B. BUGS" to a repair shop. She knew her idea was right when after a short time in Phoenix she felt benefits from the practice of what she had never known how to do before "rest." Another discovery epochal in her life, likewise made while "fighting in the Phoenix Sector" was that one can do for oneself what the canniest, most skill- ful physician in the world cannot do. That discovery, besides instilling in her the very spirit of self-reliance to which she ascribes her remarkable discovery, has saved her and her family thousands of dollars in medical fees. After going to Arizona, Mary spent just six weeks under the care of the best doctor her father could scare up. She watched him work. He was a good doctor, too. But all he did was to take her pulse and tempera- ture regularly. She decided that she could do those things herself at a far less cost; and so she undertook the job. The fact that her recovery was really more rapid from that time on proved to her that for a nor- mal, thinking person to take personal charge of his or her own physical health providing, of course, that there's no deep organic disorder requiring the services of a trained specialist, or any broken bones to reckon with is the shortest way to regain lost health. She bought a good clinical thermometer, took her Page Sixteen OUTWITTING THE " T. B. BUGS" own temperature and pulse at the same intervals as the doctor had taken them, and kept the same sort of records. And she made the same sort of a study of these records. From it she regulated her every action. Also she made a study of dietetics as she realized that food played an important part. Many doctors hold up their hands in holy horror at the mere thought of letting a patient know when she is running a temperature, but it is the doctor who takes his patient into his confidence in the matter of pulse and temperature who gets that patient to work with him towards the desired cure who gets real results, rather than the doctor who maintains a good-natured air of mystery such as a father maintains towards a sick child. More and more physicians are coming around to see the matter in the same light. This refers, of course to patients sufficiently well educated and well poised mentally, and in the proper mental condition to co-operate with the physician. Fear kills more real and suspected "T. B." cases than do the bacilli themselves. Not only fear in the heart of the one stricken, but that in the hearts, minds and faces of solicitous relatives. No sick person ever recovers who gives up the fight; and no doctor can effect a cure if, besides the disease itself, he has to fight the depression caused by fear in the heart of his Page Seventeen OUTWITTING THE " T. B. BUGS" patient. That's why the most successful doctors are those with such personalities and dominance of will that they inspire confidence in themselves and self- confidence in their patients. When you get a combination of a patient with the character and will-power and ability to think and act for himself, and a doctor willing to share the honors of a cure with such a patient, plus real faith in the great goodness of God, you have a combination pow- erful enough to pull back from the edge of the grave the worst case of illness that ever baffled and defeated a doctor who relied solely on his own science and skill and who for traditional reasons kept his patient in the dark. Neither member of this now widely-known "anti- T. B." combination has any patience with long-faced sob sisters, male or female, who flock to offer mis- guided sympathy when their friends temporarily lose out in the eternal battle against the bacilli. Cheer, cheer and more cheer is their doctrine of life. The Blairs are firm protagonists of the theory that tuberculosis is NOT hereditary ; that it is communicable and in a way infectious but not contagious; and that it is easily avoided and prevented and, if contracted, can be arrested by ordinary common-sense methods wherein medicine and drugs have little place. Page Eighteen OUTWITTING THE " T. B. BUGS" Ted invariably waxes interested when doctors are the topic of conversation. While some of his most intimate personal friends are of the medical profession, he has many a good-natured wrangle with them over the old traditional "pig-Latin," from the days of the tribal medicine man and his pot of stinking herbs down to the present. Times have changed, and they keep on changing. The race may devoutly thank its collective self that the day is really here when doctors are devoting them- selves more to the preservation of health and to the prevention of disease, than to the cure of disease already contracted. Physicians, as well as their patients, see a great new light. But don't get the idea that either of the Blairs considers doctors unnecessary. Doctors are a very real necessity, and do a tremendous good. Their ad- vice is invaluable when they consent to give it to us. When they learn to take their patients into their confidence and let them share in the work they do, they will double their efficiency to the human race. That the tuberculosis rate in the world will de- crease when the human race manages somehow to learn the science of resting is another platform in the Blair's health plank. The popular fallacy that sleep lost one night for social or other reasons can "be made up" Page Nineteen OUTWITTING THE " T. B. BUGS" the next night or subsequently, is one of the pet Blair horrors. They say, basing the dictum on painful personal experience, "It can't be done!" "I know. I tried it once," observes Blair with a reminiscent grin. "Back in those New York days, I had a deal of night work to do. That is, I thought I had to do it. I had blown in fresh from a small town, with a voice that went big there and was said to be the real lever for my prying loose a big success in the Big Town. It did open the doors for me, sure enough. Then the glamor of it all went to my head. I was studying vocally, and studying hard, singing in this and that cathedral and church, and at many a social gathering. Next night, when I wasn't on some program or other, I would get busy and do the work I had shunted aside the previous evening. I slept when I could find the time and when a chap lives in bachelor apartments he is apt to find almightly little time for that which he needs more than anything else in the world, not excepting food. "It soon 'got me.' I had spent my early years in just the sort of work that ought to equip a man for perfect health, for my father was a contractor and I was employed in that business. But, along in 1908 somewhere, I felt myself slipping. I laughed at the Page Twenty OUTWITTING THE " T. B. BUGS" idea and went on overdrawing the account, burning the candle at both ends and in the middle. Why should I admit that I had limitations? A great big athletic fellow like me? "Then the cord snapped all of a sudden and you know the rest/' It cost the Blairs several thousand dollars to learn how "to beat the bugs/' since then all it has cost them has been adherence to the ordinary common-sense rules of health, plus a few additional rules made necessary because they both overdrew their accounts at the Bank of Health and had to make good the overdraft. That is one reason why they want to pass on their ex- perience so that others may benefit without such expenditure. The Blairs are interesting examples of what can be done to fight and defeat the "T. B." bug; but they are unique in another accomplishment also and that is the attainment of a wonderful happiness in their love for each other, something rarely to be found among married couples of today. If these "confessions of an ex-T. B." help any young man or woman who may be trying to do the same sort of thing, or awaken any one to the reali- zation of the truth that the human motor will burn Page Twenty-one OUTWITTING THE " T. B. BUGS" out under overloads just as surely and certainly as will an electric motor, the Blairs are both glad to have opened the pages of their health account book to public inspection. Page Twenty-two T "Every rule of health observed is equivalent to a deposit in the Bank of Health. Every neglect of the body or harmful indulgence is a check drawn on that bank" "T. B." Curable-Heredity UBERCULOSIS is an infectious and a com- municable, but not a contagious disease. It may be: AVOIDED PREVENTED CURED Most human beings have a natural resistance to tuberculosis, and with ordinary good fortune and atten- tion to our food and surroundings we can stave off the "white plague" until old age or some other cause brings us to the grave. Arresting "T. B." (or, as many call it, consumption or decline) is simply a question of fresh air, good food, sleeping outdoors, eating heartily, resting abso- lutely, keeping the bowels open, avoiding all infection and maintaining a cheerful, confident frame of mind. Contrary to popular belief, "T. B." is not neces- Page Twenty-three OUTWITTING THE " T. B. BUGS" sarily inherited (though when it seems to run in a family, there is apt to be a natural tendency that will bear watching). The shape of the chest, and the lung capacity, should be developed in children of families with such a tendency. When adults develop active tuberculosis it may not be a new infection, but only the development into activity of germs that they may have carried in their systems since childhood. Any man or woman may carry tuberculosis germs about in the mouth, throat or nasal passages; but unless one's blood and vitality be run down there is not much danger of the germs doing any harm. Up to a short time ago, one out of every eight persons died of tuberculosis. Seven in every eight had tuberculosis. People like the Indians, who have been accustomed to an outdoor life, are less infected under those natural conditions; but if they are housed up, and are brought into contact with these microbes, they have no im- munity wherewith to fight them off and they die like flies It was not until long after mankind began to cluster together in confined and congested shelters, such as tenements in dusty cities, that "T. B." became a human affliction. This is why a big part of the cure is con- tinuous fresh air. Pagre Twenty-four OUTWITTING THE " T. B. BUGS" Fear Versus Confidence THE GREAT factor in the fight against tuber- culosis is to find out where you stand. Don't be afraid to learn the truth. You can't fight something you do not know. If you can get your mind in a state where you don't fear tuberculosis you can combat it successfully, even though you may be well along in the second stages. We humans haven't yet learned how properly to fear things our eyes can't clearly see. If "T. B. bugs" were as large as elephants we would see them in their true proportions; but because they are individually so insignificant, we don't consider their numbers, and fail to acquaint ourselves with the appalling fact that many of us pay as much to feed them as we pay to feed our stomachs. Mere fear kills like a lightning stroke, by par- alyzing the nervous system, whereupon the bodily machinery tears itself to pieces through loss of central control. It is too much to suppose that the imagina- tion ever broke or set a bone; but it has either saved or lost the life of many a sick person, according to the way in which it happened to be directed either by the will of the patient himself, or by the guiding influence of a doctor or a nurse. The successful doctor is the one who enters the sickroom with his face full of cheer and masterful Page Twenty-five OUTWITTING THE " T. B. BUGS" confidence, and not with his expression stern and mys- terious and his 'pockets full of pills. That nurse is well worth her pay who keeps her patient cheerful and confident. It is not sympathy that heals. Too much sympathy sometimes kills. It is confidence that does the good work. The best way to combat disease is to meet it squarely with your own will. While there is a point in tubercular condition beyond which cure is impossible, nevertheless no one but God alone can tell when a patient has passed that stage; so it is always well to make a well-determined effort of the will itself to overcome the disease. When patients are given up by doctors they sometimes re- cover; but when patients give themselves up they rarely can be saved. Believe with all your might in your powers of resistance.' Think of recovery, not of death; and do your utmost to persevere in the habits that will help you win. Fear of "T. B." has added terribly to its casualty list. There are diseases far worse than "T. B.," but the human race hasn't the same fear of them. Elim- inate the element of fear and your battle is partly won at the outset. Page Twenty-six OUTWITTING THE " T. B. BUGS" Bad Habits to Avoid YOUR LIFE is worth a good deal to you; and you will find that if you live regularly you will get a great deal more out of it than by dissipating and abusing your body. There is a difference of opinion as to what con- stitutes pleasure. If you prefer a short life and a merry one to a long life and a happy one, there is no use in your trying to subdue the "T. B." germs. You will not succeed. If you think that waking up in the morning feeling like the Wrath of God, with no "jazz" nor "pep," is ideal, there is little use of your attempting to fight the germs. But if your mind is made up that you will never be a member of that dark brown morning-after club; that you want to feel when you awaken as fresh as a two-year-old, with a sweet taste in your mouth and ready to take up the day's work with a vim, then you can "beat the T. B." Are you ready, then, to step out and fight on these terms ? Then fix these -"NEVERS" in your mind and from now henceforth keep them in full force and effect : Page Twenty-seven OUTWITTING THE " T. B. BUGS" Never wet the thumb or finger in the mouth to turn pages or count money. wet the tip of a lead pencil in the mouth. moisten a stamp or an envelope with the tongue. touch liquor of any kind, hard or medium or soft. (If you believe that drinking liquor is in- dispensable to you, don't try to fight the "T. B." Some may think otherwise. It is an established fact, however, that you can't fight the "bugs" with booze.) spit on the floor, private or public. Use a sputum cup. swallow sputum. cough or sneeze without covering the mouth and nose. Try to control your coughing. It becomes a habit. permit yourself to become excited in any man- ner. It sends up temperature and is dangerous in hemorrhage condition. (Many sanitariums find it advisable to separate the sexes entirely.) use rugs or drapes in your living rooms. They are germ catchers. dry-sweep a patient's room or, if you are a Page Twenty-eight OUTWITTING THE " T. B. BUGS" patient, permit it. It is a prolific way to spread germs. sleep with another person. You might infect another with your breath. Sleeping alone is conducive to better repose, use tobacco in any form. touch the face with the hands unless absolutely necessary. The hands invariably carry germs, and the face is the direct route into the system. You will have to make up your mind at the out- set that "chasing the bugs" is considerable of an undertaking. It means a lot of sacrifice. If you are big enough to give up for a short time some of your wilful habits, and adhere to the "nevers" and "don'ts" outlined in this little book, you will succeed in your efforts; but if you go at it in a half-hearted manner you will gain nothing and get nowhere. Make up your mind, then, that if you can't go into the fight hide, hair and sole you will be wasting time to begin at all. Pessimism Versus Optimism-Hope YOU WHO set out to combat tuberculosis should remember that it took you years to reach your present condition, and that you cannot expect to rid yourself of all those germs and become well and strong Page Twenty-nine OUTWITTING THE " T. B. BUGS" within a few months. Just make up your mind that if you have patience and live properly you will slowly but surely rout the invaders and win your b?ttle for health. To patience you must add an optimistic outlook on life and affairs generally. There is no other place in the world where a smile is such an effective weapon as in this war upon "T. B." Develop your imagination. Start in by figuring the wealth you are going to accumulate. Build air castles. Think of all the philanthropic good you can do with this dream wealth the sanitariums and hospitals you are going to endow, the wonderful business ventures you will undertake. Think of everything possible to stimulate an optimistic outlook on life. Calamity has no pet days nor favorite dates. Acci- dents are bound to happen in the best regulated cal- endars; but nothing is hopeless before imagination and faith. "Incurable" is a temporary word in every disease. If a wire pole and a pot of acid can spit speech be- tween two continents if a woman born blind can be made to see after twenty-five years in the dark if trains can be driven over the Rocky Mountains by the power of waterfalls along the way if a ten-cent store can be managed well enough to pay for a fifty-five Page Thirty OUTWITTING THE " T. B. BUGS" story building if a simple skull operation can reform a criminal then it's about time to muzzle pessimism (the "can't-be-did" stuff) in fighting tuberculosis, a disease that may be conquered. Worry never helped any cause. A man fighting "T. B." must not worry, or all effort will be lost. Life is just the interval between one breath and another, anyway so why worry? We seldom become anything except what we desire to become, and it is equally true that often we do become what we confidently expect to be. Our minds should be governed by faith, not fear. Fear includes pessimism, dissatisfaction, grief, anxiety, despondency, worry, moroseness and vacil- lation. Faith is expressive of optimism, satisfaction, happi- ness, confidence, assurance, hopefulness, cheerfulness, courage and determination. It is hard to be patient at times, in this fight that takes a long time; but impatience with circumstances will not improve them. The law of compensation is always working, and we must earn our way towards the desired goal. We must believe in ourselves. We cannot make a mistake in giving our ego the benefit of the doubt, and giving Providence a chance to help Page Thirty-one OUTWITTING THE " T. B. BUGS" us. Remember that we are, to a large extent, the arbiters of our own destinies. Optimism at its best is wise and cautious; so prac- tice optimism in its true sense, for each daybreak is a token of encouragement a promise to some a ful- fillment to many an inspiration to all. Discourage- ment means defeat, so let it not enter your thoughts. In mind, be cheerful and hopeful. In body, be a "naturopath" a fresh air seeker. Page Thirty-two Are you adding daily to your health balance? Or are you draw- ing constantly upon your physical resources? Are you living on the credit or debit side of life? Causes of Tuberculosis SYMPTOMS IMPERFECT breathing, lack of fresh air, irregular and insufficient sleep, lack of proper exercise, in- sanitary surroundings, lack of nourishing food or improper combination of food, use of stimulants, dis- sipation, overwork, overstudy, thoughts of fear, jealousy and hate that poison the blood any one of these, or combinations of them, plus "bugs," may cause tuberculosis. Parental care of children, as to tonsils and aden- oids, may save them, in later years, from tuberculosis. Your chances for recovery depend upon an early diagnosis. The later in its course the disease is dis- covered, the less chance there is for recovery. Her.e are some facts about tuberculosis, and the signs of its approach, which if heeded may save your life: Page Thirty-three OUTWITTING THE " T. B. BUGS" A hemorrhage from the lungs usually means tuber- culosis; but blood coming through the mouth may not come from the lungs at all. It may be from mouth, throat or head, or may be due to the rupture of a blood vessel by coughing. The blood from the lungs is pale pink and frothy. A subnormal temperature (by clinical thermometer) in the morning, and a rise in temperature in the after- noon, occurring regularly every day over a period of several months, means "T. B." ninety-nine times out of a hundred and the hundredth time, too, unless that can be otherwise accounted for by a physician. A low blood pressure (taken with a proper instru- ment) is suggestive of tuberculosis. A cough that lasts over two months would suggest "T. B.," and should call for an examination by a com- petent physician. Tubercular bacilli in the sputum are a positive indication of "T. B."; but the diagnosis should have been made long before these can be found. Night sweats, loss of appetite and marked loss of weight, are also symptoms. Severe diarrhoea, running for a long time, is beyond symptoms. It usually indicates an advanced stage of tuberculosis. Page Thirty-four OUTWITTING THE " T. B. BUGS" Loss of voice, or a husky voice is another symptom. X-ray or radio photographs of the lungs can show the presence of tuberculosis two years before actual symptoms otherwise appear. Teeth and Mouth THE ALIMENTARY canal is about thirty-five feet long. Three inches of it are just behind your teeth. The meat of this "T. B." nut is right there in these three inches. At the same time your system is throwing off germs, it is taking in other germs. If you take in as many as you throw off, you are making no progress. To establish yourself on the road to recovery, there- fore, you must throw off more germs than you take in. How can you do this? Make it a point yes, make it part of your daily religion to keep your mouth and nose clean, thus robbing these deadly "bugs" of what is virtually their main entrance into your system. If otherwise good food is mixed with germs, the value of the food is lost and it may become a poison to you. That is why plenty of time should be taken to cleanse the mouth and teeth before, as well as Page Thirty-five OUTWITTING THE " T. B. BUGS" after, every meal. In this way you may avoid taking new "bugs" into your system with your food If you eat the right kind of food, and take the proper rest, you will daily throw off a certain num- ber of germs in excess of the number you take in. Soon you will have more than enough leucoytes (white blood corpuscles, the little scavengers of the blood) and new vigorous red corpuscles, to arrest your case. And once you succeed in arresting your case, then a little more perseverance will make you well again. Returning to the mouth: See that your toothbrush is "kept clean." Use a good antiseptic mouth wash. Have your teeth competently examined for pyorrhea. If you have pyorrhea pockets, don't hesitate to have the teeth extracted if your dentist thinks the trouble cannot be cured by treatment. The poison seeping constantly into the system from pyorrhea pus-pockets overtaxes your heart, kidneys and liver. Never kiss anyone on the mouth if you can resist; nor allow anyone to kiss you on the mouth. Affection can be demonstrated without direct contact of the lips. Maintain a personal drinking cup, and never use any one else's. Page Thirty-six OUTWITTING THE " T. B. BUGS" Qerms and Contamination SOME people object to the idea, the mere thought, of germs, microbes, bacteria and the like. There is, nevertheless, an insect life; an invisible, microscopic life, inimical to mankind and thousands of times more deadly than poisonous reptiles and the most terrible war machines. Filth, ignorance and poverty breed and encourage such insect life. Cleanliness, enlightment and education dissipate and discourage these micro-organisms. The hairy, dirty feet of flies carry disease germs to unprotected food. Unwashed raw fruits and vege- tables are dangerous. It is a fact that microbes exist although they are invisible to the naked eye; and they cause disease; but they can be fought and downed. The power of man to understand and combat disease is marvelous when he stops shivering with fear long enough to use his brain. There are people who are very contemptuous of the "germ theory." They are somewhat like the old-fashioned doctor whose daughter was found by the school inspector to be in- fested with the carriers of typhus. Her reply was : "Oh, that's nothing! Papa says that's a sign of health in children." Page Thirty-seven OUTWITTING THE " T. B. BUGS" Apparently sensible people have been heard to re- mark that mosquito bites are good for rheumatism yet they were at the time shaking with malaria due to mosquito bites! And so it goes. Admitting that germs do exist, and do cause disease, there is no need for fearing them. Healthy people always have many germs in their mouths and nasal cavities including "T. B. bugs" but those germs can do them no harm while they keep their blood and vitality built up. The germs are always ready, though, to pounce on a weak spot if we allow ourselves to "run down." So the idea is to aim at building up the blood. Vitality will follow, and disease will be overcome. Face the truth, and do your best to "fight the bugs" but above all keep your sense of humor and practice patience. THE HEALTH SEXTET Food Rest Sun Air Water Exercise Page Thirty-eight OUTWITTING THE " T. B. BUGS" Night Air Fresh Air Draughts BREATHE through your nose. Cold fresh air will never kill you. Germ-laden air and bad ventilation may kill you. When Cassius is sick, it is not daring the "vile con- tagion of the night" that has made him so; for night air can be safe and pure, despite widespread belief to the contrary. This notion that night air does harm, arises from the fact that people out at night are losing necessary sleep, and probably abusing their stomachs. Then, the next day, if they have a cold, it is blamed on the night air. Of course, the body must have proper warmth day or night. As to the air of the night as compared to "day air," it has been proved that outdoor air is much purer in a given location at night then it is during the day. At night the atmosphere is cleansed by the precipitation of dew and frost; for moisture, as it falls to the earth, carries with it from the air the particles of dust and smoke that pollute it. You therefore need have no fear of sleeping out in the open or at least having your windows wide open at night. Fresh air is a recognized remedy for Page Thirty-nine OUTWITTING THE " T. B. BUGS" both pneumonia and tuberculosis, and is a preventive of disease generally. Don't be afraid of draughts. If you are properly dressed a draught will not hurt you. Avoid ill-ven- tilated theatres and such places where crowds gather. Do not sit in a room with another person unless there is a window open. Work in daylight if possible. Above all things, get all the fresh air you can, both day and night. Temperature Coughing and "Raising" HOT HEADS and cold feet have always been silent partners in every bankruptcy. That has always been true also in the case of the fight against "T. B." One of the vital factors in fighting "T. B." is watching the temperature. Buy a clinical thermom- eter of approved make, take your own temperature, and keep a record of it. Some contend and many doctors contend that it is better for a patient not to know when he is "run- ning temperature." If you have temperature, however, you will be aware of it anyway; and if you gamely face the fact and persevere in the proper preventive Page Forty OUTWITTING THE " T. B. BUGS" measures, you can gradually reduce it better, we believe, by far, than if kept in ignorance. Ninety per cent of business is in the failure class because it doesn't want to know what it costs to do business. Know your own case and you can handle it and your- self that much better. The main thing in treating for temperature reduc- tion is absolute rest. Lie flat on your back, with arms relaxed at your sides. Do not read while lying down. If running temperature do not read at all even sitting up. Bathing the feet will often draw the heat from the head and aid in general reduction. Take your temperature before breakfast in the morning. You will usually find that you are sub- normal, or at the most just normal. That should prove to you what rest will do towards holding down temperature. After eating, one's temperature usually rises a little, but this is not alarming. Take your temperature about two hours after each meal. You will find that each day, if you persevere in your efforts for health and follow the hints set forth here, your temperature will be a little less than at the same hour on the pre- vious day. Of course, at first it will probably take many days before any decrease is noticeable. Occa- Page Forty-one OUTWITTING THE " T. B. BUGS " sionally when your hopes are high that you have almost reached normal your temperature may begin to soar again. Don't let this discourage or alarm you. Dig right in and "play the game over." One does not have to remain in bed all the time. Stay there in case of hemorrhage or when running temperature. Manage to get ten hours of sleep or more, regularly. Sleep outdoors, no matter what the climate but be dressed to fit your climate. (Refer to the chapter on "Sleeping" for suggestions as to dressing for outdoor sleeping). A patient MUST avoid taking exercise too soon after the temperature has been reduced for the first time to normal. Never remain up after nine o'clock at night until you are positive you are entirely well. Never go on the theory that if you lose a couple of hours of sleep one night you can "make them up" by sleeping two hours extra the next night. Sleep lost is gone forever so far as restorative power is concerned. You never can regain it. An hour's rest before and after each meal helps keep down the temperature and aids digestion. * * * Coughing and "raising" are another important phase of the fight against "T. B." If you are "rais- Page Forty-two OUTWITTING THE " T. B. BUGS" ing much/' as they say, forego all violent exercise. When running temperature and "raising," exercise is strictly taboo. Provide yourself with several sputum cups, which are made of paper, and are for sale by all druggists. Use these for expectoration and then burn them. Expectorating into handkerchiefs that someone else has to wash will spread the disease. Dishes used by a "T. B." patient should be thor- oughly scalded and washed and kept for the patient's use alone. The patient should not feel resentment over this, as it helps him by preventing the spread of his malady and by keeping his own condition sanitary. Never cough nor sneeze without covering the mouth and nose with your kerchief. It is not only the proper sanitary preventive, but also an act of politeness that all should practice. Drugs NATURE is forever working overtime to keep people well. Most disease (the word disease means "lack of ease") limits itself and finally tends toward curing itself. However, Nature cannot do it all. She must have our cooperation. Thus, many turn to drugs. Page Forty-three OUTWITTING THE " T. B. BUGS" Drugs are a necessity in emergencies, but should be prescribed by a doctor. When given to a person suffering from malnutrition, for instance (and every "T. B." is in that class) they only compound his troubles instead of helping. However, heart stimu- lants and hemorrhage hypodermic injections are often imperative. While drugs do sometime palliate suffering, by stupefying the nerves that carry pain messages to the brain ; they cannot cure, as they have no power to build up tissues and blood. Beware of patent medicines and cure-alls. No medicine can reach the lungs. That is why fresh air and good food and general building up are the best remedies. Clothing USE GOOD judgment in choosing your clothes, as they play a large part in your battle for health. Do not dress too warmly, as perspiration in winter causes many colds. Try to keep your body at a uni- form temperature. Perspiration in summer is not so dangerous. Absolute cleanliness is a prime necessity. In the winter time, two days wear for hose and three days Page Forty-four OUTWITTING THE " T. B. BUGS" for underwear should be the limit. In the summer time change the underwear and hosiery every day. There should be no pressure anywhere about the body. Women should not wear corsets. Men should not wear belts, nor stiff, tight collars, nor garters around the calves of the legs. Don't lace your shoes too tightly. Wear collars a size or two too large. In wearing collars, care should be exercised to avoid pressure on the thyroid gland. This applies to both men and women. Enlargement of the thyroid gland is known as goitre. Pressure of any sort on the neck is liable to injure this gland. Women should wear white or light colors. Never wear black. Dark colors are depressing. Light colors are cheering. A cheerful frame of mind plays a large part in beating "T. B." Blue serge is the nearest one should come to wearing dark colors. Men will find it more than a mere hobby to adopt the wearing of white wash ties all the year around. They are swagger, and will be a constant reminder of the necessity for clean underwear, clean outer shirts and collars, clean socks, etc. These ties are, moreover, the most economical a man can wear. Page Forty-five OUTWITTING THE " T. B. BUGS" Climate LET IT be understood that it is possible to regain health in any climate. Where ailing persons can live outdoors in warmth and comfort, however, a quicker and more pleasant cure is possible. While it is claimed that tubercular people who regain health in frigid climes have a more lasting cure, yet there is nothing that helps along a cure as fast as light and sunshine. People grow dull and torpid in an unpleasant, depressing atmosphere. Sunlight is golden with health dividends. It is claimed that a tubercle bacillus lasts just seven seconds when exposed to the direct rays of the Arizona sunshine. If our germs were all on the outside of our bodies, we could quickly kill them with an air and sunshine bath. Nevertheless, air and sunshine aid greatly when penetrating from the outside inward. Warm, dry climates have one drawback. That is dust. When caught in a dust storm, as will happen in an arid climate, take out your handkerchief and breathe through it. Page Forty-six OUTWITTING THE " T. B. BUGS" Water Sun Air Baths UNDOUBTEDLY there is great virtue in the sun, probably the result of its radio-activity. Sit or lie nude near a window through which the sunshine enters, or right out in the sun if you can arrange to do so. Cover the head for protection from intensely hot sun. Air and sun directly reaching your skin are most beneficial. Everyone should walk around the bedroom nude occasionally. Our bodies get little enough ventilation, day or night, always being clothed. Be sure to wash the hands very carefully before eating, and keep your fingers out of your mouth. A thermal bath (of hot steam) is excellent to relieve congestion. Free expectoration is thus stimu- lated. If mucus is present in the passages, it must be raised; so do not fear to bring it up. By opening the pores of the skin, as they will be opened by a steam bath, the whole sewerage system of the body becomes more active, throws off impurities and relieves the afflicted parts and tissues. Keep your body clean; but, if you are in a greatly weakened condition, don't bathe too often. No one, however, should go a week without a warm bath. Twice a week is better; and, if you are able to stand it, oftener. Tt will help your circulation to take a Page Forty-seven OUTWITTING THE " T. B. BUGS" bath at least every other day. Take a warm bath and gradually allow the water to cool off while in it. If inclined to hemorrhages beware of cold show- ers. Cold baths are usually too much of a shock to one in a weakened condition. Salt baths are beneficial. After any sort of bath a person should lie down and rest for a while before dressing. Keep the hair properly cleansed and shampooed. Never use another person's soap or towel. Olive oil rubs are excellent for "T. B." patients. Someone else besides the patient should do the mas- saging. Massage half the body one day and the other half the next day or later; as olive oil is rich, and if the whole body were covered with it at once the patient might be distressed, as it affects digestion. Olive oil is the only oil that can enter the pores of the body. Page Forty-eight OUTWITTING THE " T. B. BUGS" Water, air and sunshine are Nature's greatest tonics. Sleeping and Living Surroundings SLEEP and live entirely outdoors if you can. If you cannot do that, keep the air of your living and sleeping quarters fresh and pure, and avoid close, stuffy, ill-ventilated places especially those where many people are assembled. Tuberculosis is a disease of improper housing, not one liable to be contracted in the open air. When you retire at night, do so with intent to "sleep through"; but, if you should be wakeful, have a covered pitcher of drinking water and a glass on a table within reach. A urinal vessel within easy reach is also a comfort. If you live in a cold climate, place a piece of build- ing paper between the mattress and the springs of your bed. Nature should keep you warm if you are dressed properly. Have an electric heating pad at your feet if you suffer from cold extremities; or take a two, three or five gallon jug, fill it with water nearly boiling, cork it tight and place it between the sheets Page Forty-nine OUTWITTING THE " T. B. BUGS" at the foot of the bed. It will not only keep your feet warm, but will heat the entire bed. It is an absolute necessity to be warm and com- fortable. Wear heavy woolen bed-socks, heavy woolen mittens, and a woolen cap that buttons around the throat and extends over the shoulders. A 4< Red Cross helmet" of knitted yarn, such as our soldiers used in France, is an excellent night head covering. If sleeping outdoors where it is below zero, it is advisable to supplement the suggested head covering with a nose piece of w r ool that has an opening at the nostrils, thus leaving only your eyes, nostrils and mouth exposed to the low temperature. Never cover your face with your bedclothes. You must be able to breathe plenty of pure air. Have your bedding of bright colors; and scrupu- lously clean. White semi-sheets are advisable to cover the ends of the blankets near the head, for obvious sanitary reasons. One is constantly breathing on the upper ends of the bea clothing, and these sheets can be washed often. Use a light blue or white washable spread. Change the sheets and pillow cases at least tzvice a week, and every day if you can afford it. Bright cheery surroundings in living rooms and bedrooms play a most important part in the "T. B." chase. The walls of a bedroom should be tinted in Page Fifty OUTWITTING THE " T. B. BUGS" pale colors. Good paint is easy to wash and white woodwork helps wonderfully in cheering a patient. Eliminate all dark and sombre hues in your rooms. For washing furniture, metal surfaces and floors in the room of a tubercular patient, use good strong soap (soft soap). For washing hands and face use tincture of green soap. The Blood THE BLOOD is the life stream of your existence. It consists of a fluid called the lymph, in which float the red corpuscles that give it its color, and the fighting leucocytes or white corpuscles that are the scavenger policemen of the blood system. Lower the quality and supply of the blood, and you ruin the human machine. While it is true that the circulatory system is the channel of life, it is also true that it can become a chan- nel of death. The circulatory system is like a sewer- age system in that if it becomes overloaded with poisons, you become ill. But it is just as dangerous, if not more so. for the blood to become too thin. Life is a continuous process of building up and tearing down. Just as the blood, through the arteries, carries to the various parts of the body the food Page Fifty-one OUTWITTING THE " T. B. BUGS" needed to build up the cells, so it also, through the veins, carries away from all parts of the body the waste material that has been torn down. The stress and rush are tremendous. Not a fraction of a second's delay is ever permitted, for the waste materials are poisonous and must be taken away immediately, while the nourishment to take their place must be supplied. The battle against "T. B." is a battle of building up the blood so that the blood can perform better its purifying functions and thus "kill the bugs/' Some tuberculosis patients have hemorrhages. Others have not. Hemorrhages often occur in the early stages. A loss of much blood, from a severe hemorrhage is hard to make up; but perseverance will accomplish it. Beef juice or beef broth are an aid in such a case. If hemorrhage occurs, it is well to call in a doctor or a nurse; for a hypodermic injection proves an immediate aid. In slight "spitting of blood," eating salt or cracked ice and keeping the body (and mind) perfectly quiet, usually helps to stop it. Ice about the throat also helps. Often a slight loss of blood is due merely to the bursting of a small blood vessel from coughing. Many times blood coming from the mouth is in reality from the head or nasl passages, as a nose bleed, and not from the lungs at all. Ordinary nose Page Fifty-two OUTWITTING THE " T. B. BUGS" bleed may be stopped by pressure on the hollow place under the eyebrows, or on the upper lip. In cases of hemorrhages or apparent hemorrhages, first of all the patient must not become "panicky." Absolute calmness may be the means of saving a life. There is nothing to be done, to avoid recurrence, but to maintain absolute rest and take thorough nourish- ment. Rest is paramount. To use a paradox, one must not get tired of resting. Rest! Rest!! Rest!!! Rest!!!! Don't wait 'till you are weary. Rest and Exercise BEFORE and after eating, recline. When you rest, rest in every sense of the word. Eliminate all restless and unnecessary move- ments of the body. Apply the same process to your mind. Try to "make your mind a blank." Don't think. Shut off your brain. Never recline with your arms over your head. Page Fifty-three OUTWITTING THE " T. B. BUGS" Let your arms lie at your sides. Just relax entirely and absolutely. Cultivate physical poise and muscular relaxation at all times. Avoid mental stress and anxiety. Cul- tivate serenity of mind. Don't worry. Worry is a destroyer of tissue. A couch in a business office is a wonderful preserva- tive of nervous force, even if one reclines but fifteen minutes in the afternoon preferably after lunch. Never exercise when running temperature. A "T. B." should always be wary of arm exercise. The infected lungs are like a sore on a finger joint. If you keep exercising the finger you keep the sore open and agitated all the time. Arm exercise thus disturbs the affected lung tissues. Rest helps them to heal. Take moderate exercise when free from tempera- ture. Leg exercise helps the bowels and will not hurt the lungs. Lie down, draw the legs up to the chin, and then straighten them out. Massaging the abdomen will stimulate bowels ; but you had better have someone else do the massaging. Raise the body at the buttocks and lower it gently. The "muscle dance" movement is a good aid in stimulating peristalsis of the bowels. When one is entirely free of temperature, and has been so for a few months, walking is beneficial. Begin Page Fifty-four OUTWITTING THE " T. B. BUGS" with a very short walk a few yards only. Then increase gradually, say a block; and more daily. Strength will gradually be regained. When one has not shown temperature for, say, a year, and is virtually well, normal living may be resumed and normal exercise taken. But one who has ever had active "T. B." must always thereafter live with care. That does not mean continually thinking of what should and should not be done. It means only to observe the natural laws of health which everyone should do at all times. Exercise is essential to the wellbeing of a per- fectly well person. When one is well, a flexing and tension exercise night and morning for hands and arms say six times for each exercise is beneficial; as also is a bending of the body at the waist line. Try to touch the floor with the hands without bending the knees. Kick the legs out from the hips, in regular cadence. Swing the head around in a circle, and swing the trunk, bent at the waist, in a semi-circle or almost a full circle from the waist as a pivot. The United States Army "setting up" exercises are excellent if used judiciously. The Army's "Manual of Physical Drill" can be obtained by anyone at a bookstore handling army publications, and is worth the purchase price. Page Fifty-five OUTWITTING THE " T. B. BUGS Breathing NO BREATHING exercise is of much if any benefit unless taken in the open air. Get out in the open and practice (in the light of what has just been read here) the army breathing exercises as de- scribed in the Manual referred to. Every physical drill exercise, or "setting up" exer- cise, should be followed by one of the simple breathing exercises always taken slowly, calmly and with the body and mind in perfect poise. Forced breathing usually makes one dizzy. "Pack- ing" the lungs is not a sensible breathing exercise for one with pulmonary trouble. It is the quiet, steady, deep breathing exercise that does the work. One should strive to make deep breathing second nature. The average person, particularly one who works at a desk or in an office, breathes as a rule with but a fraction of the lungs. The cells at the bottoms of the lobes seldom, save under the stress of physical exercise, get their share of pure air. Deep breathing will counteract this condition. By practicing it con- sciously for some time, deep breathing can be made a subconscious process a habit. To reiterate something that has already been said: Always breathe through the nose. The mouth is an Pasre Fifty-six OUTWITTING THE " T. B. BUGS" open cavern of easy access to whatever impurities the air contains. The nose contains the proper safe- guards, and moistening apparatus to humidify the ingoing air. When a patient is well recovered he should try, while walking, taking in the breath for six steps; holding it for the next six steps, and exhaling slowly for the next six steps. Do this ten or fifteen times a day. Increase the intervals to seven or eight steps, or more if you can without discomfort. Moderation JUST AS it is necessary to use discretion in matters of diet and cleanliness, always, so it is equally important to use common sense, care and good judg-. ment in all things. Be moderate in the use of all save three things: Fresh air, sunshine and drinking water. Be prodigal in the use of these three. Be calm, find and do work that you like, and strive for real love. Page Fifty-seven OUTWITTING THE " T. B. BUGS Constipation NEVER allow yourself to become constipated. Auto-toxemia sets in (that is, self -poisoning) and does almost as much harm as tuberculosis itself. If you have to spend a great deal of time in bed, resort to enemas. An olive oil enema is excellent. Watch yourself carefully in this direction. It is of prime importance. It is better to regulate the functioning of the bowels by proper choice of food. Buttermilk is beneficial in most cases. The very nourishing nature of the diet necessary to build up the blood and general system quickly, and the small amount of exercise that a "T. B." can take, naturally lead to biliousness; but biliousness in this case is the lesser of two evils, and your eating (or really over-eating) must be kept up until your blood begins to show the benefit in added strength. Then normal diet may be resorted to. One may, and should, prevent this bilious condition so far as possible, or remedy it at the outset, by eating laxative food and, if absolutely necessary, taking a suitable physic. Remember what the Creator gave you your teeth for, and use them. Food that is properly masticated tends far less to constipation than food that is piled into the stomach and bowels as one lays in a winter's Page Fifty-eight OUTWITTING THE " T. B. BUGS" coal supply. Therefore, chew your food long and well before you send it downstairs. The process of digestion, remember, begins in the mouth. When the patient is well along toward recovery he should begin to eat the proper foods and take such exercises as will obviate the need of laxatives. From two to four glasses of pure water, taken half an hour before breakfast, act as a mild laxative; but it is a perfectly normal means of forcing the bowels. A glass of orange juice taken half an hour before breakfast is also beneficial to the bowels, and has a cleansing action on the blood. Food NECESSITY forces us to do many things that we otherwise wouldn't bother about. One rarely gives his stomach a thought until something goes wrong with it. If he suffers enough from his stomach or bowels, he will consult a physician; nevertheless every individual has to make a personal study of himself and, after deciding what agrees with him and what does not, must choose from among the foods agreeable to him the ones containing the elements for building up blood, tissues and energy. Page Fifty-nine OUTWITTING THE " T. B. BUGS" In these days when army diet is still fresh in the public mind, the term "balanced ration" is familiar. It means a ration, or a food allowance per diem, that contains all the elements necessary to body building and maintaining. It is the "fighting ration" of the American soldier the best physically among the sol- diers of the world. It is a suitable "balanced ration" that the patient must work out for himself with such aid and directions as he can obtain from his physician. It is the purpose of this book to give certain hints as to diet that will aid the "T. B." in this direction. How to select, combine and proportion food so as to build up your blood and assist nature in the cura- tive process is a deep study. First of all it should be remembered that neither the stomach nor the intestines have teeth. Refer back to the preceding section on "Constipation" in this connection. The advice will bear repetition here: Food must be well chewed before it is swallowed. It is only the well-chewed food that is properly digested for, as has just been said, digestion commences in the mouth. Well -chewed food yields strength and vigor without discomrort. The "T. B." must remember at all times that the main thing for him is the rebuilding of wasted tissues as rapidly as possible. To this end he must eat lib- Page Sixty OUTWITTING THE " T. B. BUGS" erally of the most nourishing foods, selected as indi- cated in the earlier part of this chapter. Then, if that brings on biliousness or constipation, he must resort to enemas or other suitable measures such as have been discussed under the subject of constipation. The diet system about to be discussed here, for "T. B." patients, is not to be considered as suitable for normal conditions. Under such conditions, such a diet would be akin to over-stoking a furnace. For anyone wishing to rebuild tissues, blood and strength, excepting where organic complications would indicate restricted diet (as in liver and kidney diseases) the following plan will yield results: Drink plenty of water between meals say an hour and a half after eating. Do not use ice water. Always use individual, perfectly clean drinking vessels. Besides adhering to the rule of chewing well what you eat (and too much stress cannot be laid on this factor) establish and stick to a rule of not eating between meals. The stomach must have rest, just as must the brain and the entire body. If inclined to constipation, drink, as suggested under that head, a glass of orange juice at least half an hour before breakfast. Drink two or three glasses of water later hot or cool, as preferred. Page Sixty-one OUTWITTING THE " T. B. BUGS" Avoid pork and veal, but eat red meats and plenty of vegetables and fruits. Milk is a food of recognized value, and you need it; but you should strive to drink it with your meals if you can. Tubercular patients need lime, and milk contains it. So do eggs and carrots. Bread contains some lime. Menu for "T. B." There are appended below some suggestions as to a selection of foods for the three meals of the day. BREAKFAST If orange juice is not available, eat stewed fruit (prunes, rhubarb, etc.) or baked apples. Follow with oatmeal (well cooked with bran), with a piece of butter melted in it and plenty of cream (and sugar also if the taste requires). Grape-Nuts is beneficial. Bacon is desirable, though a little hard to digest. After eating plenty of the foregoing, take two raw eggs (with a little lemon juice or a pinch of salt if desired) and a glass of milk if you can without discomfort. LUNCHEON. Beef broth properly made for a starter, followed with cold roast beef or a broiled lamb chop. (Use no fried foods whatever). Boiled rice or macaroni and cheese is a good item, plus a warm vegetable or else a salad with olive oil dressing. Page Sixty-two OUTWITTING THE " T. B. BUGS" Finish with an apple, two more raw eggs and salted nuts (either peanuts or almonds). For a beverage use chocolate or milk. To make Beef Broth. Cut beef in cubes 3-4 inch square; place in Mason jar, screw lid on tight; place in large kettle in warm water, not hot, and let stand for two hours; run through press or lemon squeezer to obtain juice. Then serve to patient with a little salt if one must have it. DINNER. Commence with a rich cream soup. Then broiled beefsteak, roast beef or roast lamb. For vegetables use spinach, carrots, peas, etc., boiled and creamed if you like. Potatoes are best baked; but variety is needed to "keep up interest" in this valuable tuber. For dessert serve custard, tapioca or any similar dish that you may enjoy always trying to stick to those in which eggs, milk and cream are embodied. Finish, again, with two raw eggs, a glass of milk and salted nuts. Besides the nourishment the reason for eating the salted nuts is that they create thirst and thus induce drinking plenty of water. There is given below a selection of desserts that will aid you in gaining weight: Cakes or cookies. Custards. Ice cream. Rice or tapioca. Soufflle. Whipped cream. Sago-figs-dates. Gelatin. Rich pie crust. Raisins, candy. Junket. Nuts. Page Sixty-three OUTWITTING THE " T. B. BUGS" Rest before and after every meal. Talk of pleas- ant subjects at table. Have your table service as attractive and clean as possible. Food Values and Combinations For those not ill but desiring to live long and in good health, good food in proper combination is essential. The majority of us eat too much. It is not under normal conditions, how much we eat, but how well we digest what we eat, that affects the balance. There is no need of "shutting down the plant for repairs" if we eat properly. It has been truly said that "we dig our graves with our teeth" very often. In what follows is embodied information along these lines that will prove valuable both to the "T. B." patient seeking to regain health and to the person who is well and strong and wants to remain so or grow still stronger. ( Proteins Tissue-Formers or Body-Builders < Mineral Matter t Water Energy or Work and Heat \ Carbohydrates Producers ) at 1 Proteins Regulators of Body Processes J Mineral Matter Page Sixty-four OUTWITTING THE " T. B. BUGS Important sources of Proteins Milk, eggs, meat, fish, cheese, beans, peas, lentils, some nuts, some cereals. IMPORTANT SOURCES OF FATS Olive oil, butter, cream, bacon and other fat meats and nuts. IMPORTANT SOURCES OF CARBOHY- DRATES Cereals and cereal products, sago, tapioca, starchy vegetables such as potatoes, sugar, honey, sweet dried fruits. IMPORTANT SOURCES OF MINERAL MAT- TER Those available in organic form: Nitrogen, supplied by protein ; Phosphorus, in milk and cream, eggs (especially yolks of eggs), meat, whole wheat, oatmeal, dried and fresh peas and beans, spinach, raisins, prunes. Those available in organic or inorganic form: Cal- cium in milk, dried beans and peas, oranges, spinach, turnips, other fresh fruits and vegetables and whole grains; magnesium, potassium, iodin, etc., likely to be adequately supplied if other ash constituents are provided for. The addition of sodium chloride (com- mon salt) as a condiment usually supplies a surplus of sodium and chlorine. Special functions of each Food Principle: Proteins supply energy, nitrogen, sulphur and some- times phosphorus and iron. Fats supply energy in the most concentrated form. Carbohydrates supply energy in the form most economical to the body. Mineral matter supplies building material, except nitrogen and sulphur, and helps to regulate body pro- cesses. Cow's milk is rich in calcium and phosphorus in Page Sixty-five OUTWITTING THE " T. B. BUGS organic forms and contains small amounts of sodium, potassium, magnesium, iron and chlorine. Eggs contain iron and phosphorus in their most assimilable forms, especially in yolks. Meats are lacking in calcium and while red meats are compartively rich in iron, it is not in as available form as in eggs. Calcium is abundant especially in such vegetables as beans, peas, fresh or dried, or other green vege- tables; in fruits and outer parts of grains. There is little in polished rice or fine flour. Vegetable foods are rich in potassium, which usually occurs in the form of potassium phosphates. Spinach is richer in iron than almost any other plant food. Whole wheat, oatmeal, peas, beans, rais- ins, prunes are also valuable sources of organic iron. Vegetable acids and their salts compose the acids of juicy fruits, such as citric acid of the citrus group, the malic acid of apples, pears, etc., and tartaric acid of grapes. There is some sulphur in turnips, onions, cabbage, cauliflower, water cress, horseradish. The fibres in vegetables are necessary and excel- lent for roughage (helping peristalsis of the bowels). Cultol (a culture of the Bulgarian bacilli) is a won- derful aid in intestinal troubles. This you may obtain at the drug store. It comes in glass jars. FOR THE SPRING CLEANING Most fruits and vegetables, but especially parsley, tomatoes, dande- lion, rhubarb, lettuce, strawberries, lemons, oranges, Page Sixty-six OUTWITTING THE " T. B. BUGS" grape-fruits, cabbage, cauliflower, asparagus, other citric and acid fruits. Baked or boiled foods are the best. Combinations to avoid Acids with cream soups. Acids with cereals. Acids with starch. Vinegar with starchy foods. Milk with cucumbers. Milk with shell fish. Ice cream with fish or shell fish. Milk with fruit pie. Acid fruits, as oranges, lemons, pineapple, straw- berries, apricots, grapefruit, are better not taken with meals. Acid fruits are allowable with meat but without sugar. Page Sixty-seven OUTWITTING THE " T. B. BUGS" Are you a "T. B."f If you want to get well, change your ways. In the past you figured that you were living in the right way. . But see zvhat a mix-up you've made of it! Conclusions Now: To sum up tersely what has been said, and to impress our readers again with a few salient facts: We assume that you have drawn your own con- clusions as you have read. What we have written has been straight to the point and devoid of technical or liter- ary frills. Just a few plain facts gleaned from real experience. We hope you have benefited. While we have dwelt at length on the necessity for maintaining in the quest for health, a cheerful and peaceful state of mind, we have had little to say concerning the services of the medical man; yet we wish it distinctly understood that the ideas herein set forth were not derived from any of the faith-healing cults extant today and equally understood that we are in no wise discrediting nor condemning the medical man, as we know his necessity in the scheme of things. A physician's position in "T. B." is first of all a true diagnosis. Then advice to the patient as to how to Page Sixty-eight OUTWITTING THE " T. B. BUGS" live so as to build up the body and blood and thus increase its natural resistance to the disease. He would, if he could, but he cannot give you medicine that will reach and heal the lesions in the lung tissues. However, he is indispensable in case of hemorrhages and where local treatment is required. A few physi- cians today are obtaining results from X-ray treat- ment of the lungs; but unless the treatment is thor- oughly understood, it may do more harm than good, and it seems that but very few medicos understand how to give it properly where the lungs are concerned. As a closing word we would reiterate and make clear, that the greatest achievement in the search for better health, is the development of serenity of mind, and that in the search it may be necessary for you to change your ideas and your very views of life. Try to see good in everything. God sends the heat of summer to aid Nature's processes in storing up energy, in the form of food, for the development of animal life. He sends the icy blasts of winter to complete Nature's marvelous cycle of heat and cold for the benefit of man the rain and the sun for irri- gating and refreshing the soil, and the electric storms for purifying the atmosphere. Remember it took you a long time to become a "T. B." and you must be prepared to expect that it Pige Sixty-nine OUTWITTING THE " T. B. BUGS" may take you a longer time to overcome the damage; so be patient and persevering. Disappointment should act merely as a stimulant to greater effort. Even the infidelity and ingratitude of others may be made a crucible in which our char- acters are moulded and come forth purified and strengthened. Fight the good fight with all your might and God will help you win. Page Seventy M J OOffi ^ g S O*l 3 ^C S" 2 5T C * p O CTco" I* 5-3 & { 1 i If '' 1 t i-' 8. r*- rt ^ " w rt f* jjf rt- 8 f rt- p- Otd^d U O Of* sr&ii fcgt* if* ! ||i 3" ff.3 S. rt ^ 21 o-2 c ' 3-cr S'2 frfefi" ' f!l r!Hl !iVi!f ill illsj p : |fi r 1 "o ^ ^ CO "* Cu Cu r o a * o w Si 3 'o SI! | S lg| ^g'^Cr^" .3p -1 ^ S^POQ' oq'rr ^c r* -t-3 w s- 3 tr r* rt g;g| CJQ QQ ' CO ^ S* ?"3 |"3^3 S-o* S ^ 3-- o s- 5'S Cu jo ^ rt 3 rt " *?"~* P* s-l Cu T" Sunshine. ?nc? ? *'2 -,? rt Q. f^ jj| . JJJ. rt- 3 OQ. ^5 O PV >Q p ^0^3" \rpO >irt ^* *<2 pcoO rt^ n- cn^ w3 ^ co^. r . P2 |? ' ?rtSt s- B 5 B.. 3 j **-' rt 2 "* n> <-* ^^ n> >* n* 3 ^," 2S S' rt J g ri P o o ^ S.S g ^ ? 0^^ 3 3 rt ^ -co o 2.3 cu p 1* 2. 5' Cu ^ rt S; ftj ft} 3U 3 X Cu Water. ws:>wz^^^^ S*rt rt< K^O --rt SJ ^ j^co jx,co 3 rt -rP 1 8 as |3. I? ; |^ p Hi 1 llsMlsl^ |! ill !.^IM^'ip^ . jj j ii|ls ^ c* ^n? 2- 3 SS- CO V^ k CO ^ o" rt p Rest Exercise. t/3 W O W co g o gr ^ r>3*rt 2. ^^ 3J 3sx' y 3! |"B ^""1 " |i |. 1 P< - ^ Avoid mental stress anxiety. Equanimity. I. INDEX Page FOREWORD 5 THE STORY 9 T. B. CURABLE HEREDITY 23 FEAR vs. CONFIDENCE 25 BAD HABITS TO AVOID 27 DON'TS 28 PESSIMISM vs. OPTIMISM 29 CAUSES OF T. B. SYMPTOMS ... 33 TEETH AND MOUTH 35 GERMS CONTAMINATION 37 NIGHT AIR FRESH AIR 39 TEMPERATURE COUGHING RAISING. ... 40 DRUGS 43 CLOTHING 44 CUMATE 46 WATER AIR SUN BATHS 47 SLEEPING LIVING QUARTERS 49 THE BLOOD 51 REST EXERCISE 53 BREATHING 56 MODERATION 57 CONSTIPATION 58 FOOD 59 MENU FOR T. B 62 FOOD VALUES COMBINATIONS. 64 CONCLUSIONS 68 CHART . 71 RETURN TO the circulation desk of any University of California Library or to the NORTHERN REGIONAL LIBRARY FACILITY Bldg. 400, Richmond Field Station University of California Richmond, CA 94804-4698 ALL BOOKS MAY BE RECALLED AFTER 7 DAYS 2-month loans may be renewed by calling (510)642-6753 1-year loans may be recharged by bringing books to NRLF Renewals and recharges may be made 4 days prior to due date. DUE AS STAMPED BELOW aiinQ42QQO 12,000(11/95) 822183 UNIVERSITY OF CALIFORNIA LIBRARY