It is hard to understand the periods of decadence in hospital construction and maintenance and in nursing care and training, but not more difficult than to understand the ups and downs of surgery. That anaesthesia and antiseptic practice should obtain for a while and then gradually be lost is no harder to understand than that hospitals should gradually "sink to an almost indescribable level of degradation." Miss Nutting and Miss Dock, in their "History of Nursing," have described the century from 1750 to 1850 as "The Dark Period of Nursing." They quote Jacobsohn, the well-known German writer about care for the ailing, who says "that it is a remarkable fact that attention to the well-being of the sick, improvements in hospitals and institutions generally and to details of nursing care, had a period of complete and lasting stagnation after the middle of the seventeenth century, or from the close of the Thirty Years' War. Neither officials nor physicians took any interest in the elevation of the nursing or in improving the conditions of hospitals. During the first two-thirds of the eighteenth century he proceeds to say nothing was done to bring either construction or nursing to a better state. Solely among the religious orders did nursing remain an interest and some remnants of technique survive. The result was that in this period the general level of nursing fell far below that of earlier {194} periods. The hospitals of cities were like prisons, with bare, undecorated walls and little dark rooms, small windows where no sun could enter, and dismal wards where fifty or one hundred patients were crowded together, deprived of all comforts and even of necessities. In the municipal and state institutions of this period, the beautiful gardens, roomy halls and springs of water of the old cloister hospital of the Middle Ages were not heard of, still less the comforts of their friendly interiors." It so happens that just about the beginning of Columbus' Century there was a great new development of hospital building. This was only what might have been expected, for a wonderful new period of architecture was just beginning and buildings of all kinds were being erected with a magnificence that has made them the admiration of the world ever since. Handsome basilicas, Renaissance palaces, town halls were being executed by the architects of the time so as to make them precious monuments for future generations. Hospitals came in for their share of this renewal of architectural interest, and a series of really beautiful hospital buildings were erected which we have come to admire very much since we ourselves have wakened up to the duty of building fine hospitals. The old municipalities felt that buildings erected for the poorer citizens must not be planned with the idea that anything was good enough for the poor, but must be suitable to the dignity of the city.