If circumstances oblige us to treat such a person in her own home, let us at least change her room, and also have it well understood how far we are to control her surroundings and to govern as to visitors and the company of her own family.

Do as we may, we shall always lessen thus our chances of success, but we shall certainly not altogether destroy them.
I should add here a few words of caution as to the time of year best fitted for treatment.

In the summer seclusion is often undesirable when the patient is well enough to gain help by change of air; moreover, at this season massage is less agreeable than in winter, and, as a rule, I find it harder to feed and to fatten persons at rest during our summer heats.

That this rule is not without exception has been shown by Drs.
Goodell and Sinkler, both of whom have attained some remarkable successes in midsummer.
One of the questions of most importance in the carrying out of this treatment is the choice of a nurse.

Just as it is desirable to change the home of the patient, her diet, her atmosphere, so also is it well, for the mere alterative value of such change, to surround her with strangers and to put aside any nurse with whom she may have grown familiar.