On what day of the week were you born?
On what day of the month?
And with all this they will have acquired habits of order, and, above all, they will have formed the habit of observing themselves. Indeed, I may say here, that the children take a great pleasure in being measured; at the first glance of the teacher and at the word stature, the child begins instantly to take off his shoes, laughing and running to place himself upon the platform of the anthropometer; placing himself of his own accord in the normal position so perfectly that the teacher needs only to arrange the indicator and read the result.
Aside from the measurements which the physician takes with the ordinary instruments (calipers and metal yard measure), he makes observations upon the children's colouring, condition of their muscles, state of their lymphatic glands, the condition of the blood, etc. He notices any malformations; describes any pathological conditions with care (any tendency to rickets, infant paralysis, defective sight, etc.). This objective study of the child will guide the doctor when he finds it advisable to talk with the parents concerning its condition. Following this, when the doctor has found it desirable, he makes a thorough, sanitary inspection of the home of the child, prescribing necessary treatment and eventually doing away with such troubles as eczema, inflammation of the ear, feverish conditions, intestinal disturbances, etc. This careful following of the case in hand is greatly assisted by the existence of the dispensary within the house, which makes feasible direct treatment and continual observation.
I have found that the usual question asked patients who present themselves at the clinics, are not adapted for use in our schools, as the members of the families living in these tenements are for the greater part perfectly normal.
I therefore encourage the directress of the school to gather from her conversations with the mothers information of a more practical sort. She informs herself as to the education of the parents, their habits, the wages earned, the money spent for household purposes, etc., and from all this she outlines a history of each family, much on the order of those used by Le-Play. This method is, of course, practical only where the directress lives among the families of her scholars.
In every case, however, the physician's advice to the mothers concerning the hygienic care of each particular child, as well as his directions concerning hygiene in general, will prove most helpful. The directress should act as the go-between in these matters, since she is in the confidence of the mothers, and since from her, such advice comes naturally.
ENVIRONMENT: SCHOOLROOM FURNISHINGS
The method of observation must undoubtedly include the methodical observation of the morphological growth of the pupils. But let me repeat that, while this element necessarily enters, it is not upon this particular kind of observation that the method is established.