The sick-room should be kept as much as possible in its usual order. The paraphernalia of illness distresses the sick person, causing nervousness. Do not let physic bottles be visible in all directions, or the patient will never feel well, and those in attendance will fancy they have caught the infection, simply because they are nauseated with the smell of the medicines, and the disagreeable sight of their dregs left about in spoons and glasses. The medicines that have to be given at stated hours should be neatly placed in readiness on a small tray, near the clock if possible, so that they may be remembered and the hours observed. Keep perfect cleanliness and neatness in the room, and avoid clatter. Wear thin shoes, and do not let your dress rustle. A woman's hand should at every touch improve or replace something, so that there may never be a great bustle of setting to rights. We have already spoken at length of ventilation: in sickness it must be particularly attended to, as fresh air is the most beneficial of all medicines.
At the time of the great cattle-plague, fumigation with chlorine gas was advocated, and beneficially employed, by Professor Stone, of Owen's College, Manchester. It is simple for domestic use.
One teaspoonful of powdered chlorate of potash should be loosely stirred together with three table-spoonfuls of dry sand in an empty dry pickle bottle; add to this nearly an ounce of muriatic acid; stand the bottle on some warm embers in an old Australian-meat tin, or other receptacle of this kind, and place it (with the embers in it) on a shelf, or somewhere high up in the room, taking care not to scorch the wood-work. The heavy chlorine gas will descend and so fill all parts of the room, and in about three hours disinfection will be complete.
It would be a good thing if district-visitors, and other charitable persons, would instruct the clergy and their poor people in such effectual means of stamping out infection.
In all hospitals "Condy's solution" is placed with the water and towels for the use of the visiting medical men. It is highly advisable to keep this in every house for cleansing and disinfecting purposes, and for the removal of unpleasant smells. It is useful in cleansing bird-cages and gun-barrels, in preparing poultry or game, and in many other ways.
The solution may be made at home. The British Pharmacopœia allows four grains of the permanganate of potash (the basis of the solution) to the fluid ounce. It is chiefly for external use. The permanganate of potash is sold in crystals of two kinds: the most expensive is the purple, which is used in what is called the ozonized water, a very weak solution of permanganate, sold by chemists for toilet use. The cheaper and more general disinfectant is a greenish coarse powder, sold by any honest chemist at under five shillings a pound. It may be bought of the General Apothecaries' Company, 49, Berner's Street, London, for from three shillings a pound to three-and-sixpence, as it varies with the market; and this does as well as Condy's patent, and is 500 per cent. cheaper, as fourteen gallons of disinfectant may be prepared from a pound of the powdered crystals, and these again will be extensively diluted for use. The purple crystals may be bought by the ounce.
Be cautious in using this fluid, or the Condy, whichever you may happen to prefer, as it turns almost everything brown that it touches. Very deep stains will never come out; slight stains wash and wear out after a time, but china and all white ware, and sponges and brushes, have their appearance greatly injured by it. Bed-room floors may be washed with it; they will be thoroughly purified, and the colour will be as if they were stained dark oak previous to being varnished. Stains will wear off the hands in a few days, and a weak solution will not discolour them. The purple fluid is a test of water—if it turns brown the water is impure. It decolorizes on contact with animal matter.
It is a useful plan to keep a filter on every floor of a house; the expense is not very great, while the increased safety is incalculable. Spencer's patent, or magnetic-carbide, filter is one of the best. He imitated nature's process when constructing it, having observed that the purest water filtered through oxide of iron in the earth's strata.
Two articles of furniture will be found of great use in a sick-room. One is a chair back with bars of broad webbing, made to lift up and down like the music-desk of a grand piano. This is a most comfortable support to an invalid when sitting up to take food or medicine. When closed flat it will slip easily under the pillow, and it can be raised gently and gradually to the angle required. The other thing is an arm-chair, stood and fastened on a board with four French castors. This is a great assistance in cases of lameness or extreme weakness, as it is easy for the invalid to sit on it and be wheeled to any part of the room; and it costs less than a wheeled chair.
None of the learned professions have advanced during the last thirty years so much as the medical. Medicine has become a new science since it has taken hold of the sanitary improvement of our towns and dwellings. The profession, with a disinterestedness and devotion to science worthy of liberal minds, combines to make the prevention of disease its aim, even beyond its cure. It forms a noble co-operative society.