Oconomowoc, Wis., Feb. 28, 1898.
To the Editor:
—Miss B. applied for treatment at Sanatorium Waldheim, Nov. 21, 1897, on account of a hacking cough, bloody expectoration, general emaciation and night sweats. The patient is single, a servant, 21 years of age. Both parents are dead; father died of tuberculosis; cause of mother's death unknown. Patient says she has always been well up to May, 1897, when she took a severe cold, causing a cough which lasted through the summer and increased toward autumn. She weighs 104 pounds, is anemic, cheeks slightly flushed and gives the impression of one in the second stage of tuberculosis. She coughs mostly toward night, expectorates (with difficulty) a small amount of blood-stained sputum and often vomits after a severe attack of coughing. She has anorexia, night sweats, and does not sleep well. Expansion of chest is fair, with slight dulness over both apices, harsh