=Porches.= In some houses we find a porch readily available for the patient’s use, where he can sleep and spend most of his daylight hours. It is sometimes difficult to induce him to make use of it, however. We must also remember that there is a great difference in porches. Some are narrow, unroofed, exposed to sun and wind, have disagreeable outlooks, for instance, as on unsavoury alleys, and in other ways are unfit to be used as living-rooms. They should be used, of course, whenever practicable, since undoubtedly the patient will get more air, and more constantly changing air, than if he sleeps indoors. Yet it is well to realize that a place where the patient is unsheltered, uncomfortable, and where he cannot sleep or have a quiet mind, is often far less valuable than a good bedroom which may give him all of these necessities. Patients in well-to-do circumstances can equip their porches admirably, both with awnings and with canvas screens. These latter should roll up from the floor, rather than down from the roof. Screens and awnings can be made to order by any awning or sail maker; the price varies with their construction, from about five dollars upward. To teach a patient to use a porch for sleeping and also to use it as a living-room should be the nurse’s constant endeavour. Even an ideal porch is like an ideal bedroom—only valuable if it is used. =Gardens and Tents.= Many houses have little yards or gardens, easily adaptable for open-air living. A tent may be erected for sleeping purposes, if the space is large enough and the family can afford it. Women and children are usually afraid to sleep under such exposed conditions, and in consequence refuse to make use of what would otherwise be an excellent opportunity. These gardens may be used during the day, however, and the patient made comfortable in a reclining chair or lounge. But excellent as they appear theoretically, the extremes of our climate, excessive heat and cold, often make them unpractical for the consumptive’s use. Under such circumstances, these little back yards often become anything but ideal places in which to “take the cure.” =Flat Roofs.= We also find flat roofs or sheds attached to certain houses in the tenement districts. These sometimes offer excellent conditions for long hours out-of-doors, and may also be used as sleeping-porches. The nurse must be alert to seize all opportunities which present themselves, and to teach her patients to utilize them.