Moreover, the welfare of the patient himself is not as a rule secured by this method. These journeys to the “country” are usually to out-of-the-way little farm-houses, with various shortcomings both as to food and accommodation. They are often anything but satisfactory places for a sick man; or, if they happen to possess advantages, the patient may not know enough to use them. In making these statements, we are not speaking entirely at random, or from general surmises as to probabilities. A few years ago, we had on our visiting list some fifty-five patients who went to the country for the summer. They were in all stages of the disease, and it is well to note, in this connexion, that it is usually the advanced case who is most anxious to get away. Of the fifty-five cases, two were really benefited by their sojourn; thirteen were temporarily improved, but lost it all within a few weeks after their return; thirty-two came back to town worse than when they went away, and eight died while in the country. Of these fifty-five removals, it is safe to assume that fifty-five centres of infection were established in consequence. The families where they were quartered were doubtless unaware of the nature of the disease, or how to protect themselves in any way. Nor is it likely that any of these fifty-five farm-houses were afterwards properly cleaned or disinfected. It was of course impossible to follow the results in these scattered centres of infection—remote counties of Maryland and Virginia—but we succeeded in doing so in one instance out of the fifty-five. In this case, the patient had gone to a farm in Virginia; as a result of his visit, three members of a hitherto healthy family became infected, all of whom have since died, as well as the original patient, the “city boarder” who carried infection among them. Of course, if patients insist upon going to the country, nothing can prevent them, although the nurse must do her best to dissuade them. One patient who had a large airy room in town, decided that she would be better off on a farm. She was questioned as to conditions at the farm, and it transpired that she was to occupy an attic room, with one window, and that this room was to be shared with three other people. It then became an easy matter to dissuade her from going. It is not always thus easy to deflect them. Should they insist, they should be given plentiful supplies, and if the nurse can obtain the address of the family where they are to stay, she should send full information as to the patient’s condition. It is a regrettable fact, but when a patient is removed from surroundings where his condition is known, he is apt to discard his sputum cup and all other precautions by which he is rendered conspicuous.