LIBRARY OF CONGRESS. Writ* ~ J 77 UNITED STATES OF AMERICA. THE WILDERNESS CURE. / MAEC COOK, AUTHOR OF ' "CAMP LOU." 1° %*■ NEW YOEK: WILLIAM WOOD & COMPANY, 1881. 7r Copyright by WILLIAM WOOD & COMPANY, 1881. Trow's Printing and Bookbinding Company, 20X-213 East x-zth Street, NEW YORK. ©0 DR. WILLIAM H. WATSON ( Surgeon- General, and Regent of the University of the State of New York), WITHOUT WHOM THE WRITER WOULD NOT NOW BE, NOR THIS LITTLE VOLUME EVER HAVE BEEN, Hfotst Pag** a« (KrattfuIIs Inmifab* NOTE. The publication of the article " Camp Lou," in Harper's Magazine for May, 1881, has called forth such a flood of inquiries that the author finds it quite beyond his powers to make individual reply to each. Precisely those minor details which could not well be embodied in a magazine paper have been most sought after by correspondents. This little volume, it is believed, contains the information desired. And it is given to the public in the hope that it will be accepted as a general response to the numerous let- ters which the writer has received on the subject of the Wilderness Cure. CONTENTS. CHAPTER I. The Young Man's Case, CHAPTER II. The Wilderness and the Experiment, CHAPTER III. Some Delusions Dispelled, . CHAPTER IV. Preparations for an Invalid's Camp, CHAPTER V. Making a Camp Attractive, CHAPTER VI. Camp Life as an Invalid Finds It, . CHAPTER VII. Wintering in the Wilderness, . CHAPTER VIII. The Year-Round Inhabitants, CHAPTER IX. Dr. Loomis on the St. Regis Country, CHAPTER X. The Cost of the Thing, . . , Appendix, 18 28 37 48 58 71 96 136 149 THE WILDERNESS CURE. CHAPTEK I. THE YOUNG MANS CASE. Late in the autumn of 1877, a young man at work in a newspaper office in New York City found him- self the possessor of an inconsequential cough. It came to him unsolicited, and, so far as he could dis- cover, without sufficient — certainly without specific cause. Up to that time he had enjoyed fairly good health. He had stood the strain of a reporter's life and boarding-house fare, and while pretty steadily disregarding the precepts of the doctors, he was never obliged to call upon them for prescriptions. It was not until he had found more congenial employ- ment in the office of a weekly journal — not until he had sown his few wild oats, married, and settled down to the cultivation of tame oats, that the medical men got their grip upon him. The inconsequential cough was scarcely noticed at first. It caused its owner neither inconvenience nor 1* 10 THE WILDERNESS CURE. anxiety. In the consciousness of never having in- herited anything, there was the comforting convic- tion that he could not have inherited consumptive tendencies. From no branch or root or twig of his genealogic tree was it possible to draw the wasting sap of phthisis. Still the cough, coming thus with no claim to kinship, stuck closer than a brother. At the end of a month or so, a physician prescribed some simple remedies. They were taken with no apparent effect. Another month went by. The ' cough had grown a trifle tiresome, but was still re- garded as a small matter by its involuntary owner. It continued to be the only perceptible symptom of anything wrong. The young man lost neither flesh nor strength — at least, not to an appreciable degree. He went to the office, performed his usual duties without special effort, and was able to eat and sleep regularly. But he kept on coughing. By the time the third month had been rounded the cougher had consulted other physicians, had taken three or four bottles of cod-liver oil, a gallon or two of rye whiskey with rock candy, and an amazing amount of good advice. The doctors found nothing very serious, they said, in the case. Perhaps a pre- disposition to pulmonary weakness — that was all. Exposure to the weather should be avoided, and pos- sibly the climate of Florida or Nassau might prove of benefit. But there was no immediate necessity for leaving the city, and nourishing food, rest, and regularity of life would be pretty sure to overcome the trouble. So, still coughing, yet still free from THE YOUNG MAN'S CASE. 11 anxiety regarding himself, the young man continued at his desk. In March, 1878, some unpleasant accompaniments to the cough began to show themselves. "Work be- came more exhausting, and a walk of a mile produced a strong desire for rest. The young man gave up the habit of mounting stairs two steps at a time. Tenderloin steak lost its old-time flavor, and indeed all eating became somewhat of a task. The pulse often rose to the nineties, and at times a slight fever manifested itself. Night-sweats were also developed, although in a mild form. All this time cod-liver oil, whiskey, and a diet of special nutritive qualities were continued perseveringly. And so was the cough. On the first of April came the sharp warning which less alarming symptoms had failed to convey. On the evening of that day, after an especially laborious siege of it in the office, the cougher was attacked with hemorrhage of the lungs just as he stepped from the Fulton ferry-house. He raised, perhaps, half a teacup of blood. He had an idea, at the time, that it was a quart. This hemorrhage brought relief so far as the cough was concerned, but it brought also a tardy realization of the clanger that threatened. The flow of blood was stopped by the use of common table-salt, and although the first at- tack was followed by a number of others, more or less severe, no other remedy was used. A day or two later, the young man locked his office desk and set forth in search of that unpurchasable luxury- — 12 THE WILDERNESS CUKE. health. He went first to his father's home in the central part of New York State. There he re- mained about two months, and then, in conformity with the advice of his physician, Dr. William H. Watson, the present Surgeon-General of New York State, he journeyed to the White Mountains, New Hampshire. The period between his departure from New York and this mountain trip was marked by some noteworthy peculiarities of his case. At first, after his arrival at his father's house, he lost ground at a discouraging rate. It was fully two weeks be- fore the hemorrhages were completely stopped. Meantime, his strength failed rapidly, the cough be- came extremely vicious, and the nights were made mis- erable through copious sweats, burning fever, and ina- bility to sleep. In good time, however, matters began to mend. Under the treatment of his physician the patient regained his appetite, found the cough grow- ing by degrees less troublesome, was able to sleep restf ully at night, and was entirely relieved from that sense of nervous prostration which is not uncommon in cases of hemorrhage. So rapid was his gain, that in June the young man had reason to believe that he should speedily be rid of the cough which now again was the only reminder of disease. On his way to the mountains he spent a few days in Boston, and there submitted himself to a thorough examination at the hands of Dr. Gr. Hermann Merkel. The result of this examination showed that the lower part of the left lung was slightly consolidated, while the upper part of the THE YOUNG MAn's CASE. 13 right lung gave some faint indication of catarrhal difficulty. Neither lung was in anything like a seriously diseased condition. Indeed, a less practised ear than the doctor's might have failed to detect any- thing wrong in the delicate tissues. Journeying on to North Conway, the health-seeker spent the re- mainder of the summer, where, from his window, he could see the giant front of Mount Washington. In the dry, bracing atmosphere of that region, where the sandy soil sucks up the moisture, and no foul odors pollute the air, he gained steadily. It was not easy, either for himself or others, to regard him as an invalid in those days. He led no life of piazza indolence. He turned off his allotted portion of work every day, and wrote with unusual ease and freedom. A three-mile jaunt did not tire him. He- freshing nights of sleep, and a regular appetite brought increased strength and added materially to his weight. And yet, through this cheering period, never, for a day, did the cough loosen its hold. At times, to be sure, it grew mild, and gave its victim long hours of respite ; but all the same it was there. There to irritate, to watch its chance, and in the end to break forth again with renewed viciousness. In September the young man believed himself so far re- stored to health as to justify his return to New York. He turned the scales then at 158 pounds, a gain of twenty pounds over his weight in April. He felt in all respects as well, physically and mentally, as ever. His capacity for work and beefsteak was at its max- imum. The physicians interposed no obj ections to his 14 THE WILDERNESS CUKE. return to office work. So he made his way back to New York in the cheering belief that he had done with cod-liver oil, quinine, and doctors' prescriptions. But he took with him the cough. In the next three months he attended regularly to his duties, and did his best to shut out the too palpa- ble truth that he was losing ground daily. At last, however, the sharp warning was a second time sounded. On the first of January, 1879, he was taken down with severe hemorrhages. For the two weeks following he was forced to keep his bed. All the bad symptoms came back — nervous prostration, weakness, loss of appetite, fever, debilitating sweats. It was with the dawn of the new year that Dr. Ed- ward W. Vietor, of Brooklyn, took charge of the case. He gave the patient large hope of recovery, and devoted himself faithfully to the work of bat- tling the insidious enemy. It will ever remain the conviction of the patient that without Dr. Yietor's skilful treatment and the untiring care of a devoted wife, his life would have ended at that time. As it was, hope's thermometer rose and fell alternately for many days. February found the young man seem- ingly on the straight road to recovery. And, indeed, for a period of two months or more, he was well enough to work daily, although not going to the office — well enough to enjoy his meals, to find comfort in books' companionship, and, in fair weather, in leisure- ly strolls about town. But through some slight over- exertion, added, perhaps, to indiscreet exposure, this cheering condition of things was brought to a sudden THE YOUNG MAN'S CASE. 15 end. Toward the latter part of March a congestive chill was followed by something unpleasantly like pneumonia. Then for a month the patient ran down at an alarming rate. His physician saw the old foe gaining inch by inch, and foot by foot, until he felt the necessity for an immediate change of ground. The first thing was to get away from New York ; the second was to get into the Adirondack wilderness. So weak, that he could with difficulty make the jour- ney, the patient set out once more in the search for health — this time with very small hopes of finding what he sought. He spent a month at his father's home, hoping thereby to pick up a little strength for what, in his condition, seemed a laborious undertak- ing. Instead, however, of gaining, he grew steadily weaker. Dr. "VVatson, who renewed his interest in the case, joined heartily in the project of visiting the Adirondacks. He very plainly told the friends of the young man that this was the one chance left — that if it failed. the long fight would be over. En- thusiastic as the doctor was over the Adirondack trip, he could not conscientiously hold out much hope in the present case. He made the fact emphatic, how- ever, that the patient would die, and die speedily, if he remained where he was. Should he live to reach the St. Regis country, there was a chance — shadowy, no doubt, but still a chance — of recovery. Had the question been left for the young man himself to de- cide, the experiment would probably have remained untried. For it is to be confessed, that at this time (the early part of June, 1879), he had loosened his 16 THE WILDERNESS CUKE. hold on hope and prepared himself, with what of philosophic calmness he could muster, for the coming of the end. Through many weary months he had held steadfast to the belief that he should find ulti- mate relief from his ailment ; but now that belief gave place to one equally deep-seated, that death would claim its own. Cheering words from those nearest and dearest to him, even the blessed false- hoods which it is the physician's duty as well as privi- lege sometimes to utter, neither comforted nor de- ceived him. He needed no physician to tell him that he was sinking rapidly. And surely, with days made weary by the racking cough, with no appetite for food, with alternate fits of burning fever and chilling cold, with utter prostration of the nerve-force, with nights devoid of rest, the body drenched in perspira- tion, and the cough still racking the tired lungs^ - with all these things, it is not to be wondered at that hope went out, and the fight seemed altogether an uneven and vain contest. Still the wiser opinion of others prevailed, and on the sixth of June the patient started for the wilder- ness. Plattsburg was reached that evening, and the night spent at a hotel. At an early hour the next morning the journey was resumed — twenty miles of it over a backwoods railway, and forty by stage over a backwoods highway. Only by means of alcoholic stimulants, freely taken, could the patient have made this trip. As it was, when he stepped from the stage at " Paul" Smith's, his wasted body and bloodless face afforded reason enough for the sturdy guides to shake THE YOUNG MAN'S CASE. 17 their heads ominously over this doubtful specimen of a " sportsman." That was the seventh of June. This is the middle of December. And the young man ? Well, he lays down his pen to-day to go out for a seven-miles ride over the glistening snow. The thermometer is close to zero. The air is crisp and cold. It might freeze your dainty city ears, but it is nothing to the hardy backwoodsman. Nothing to the young man. CHAPTER II. THE WILDERNESS AND THE EXPERIMENT. Distasteful as it is to parade one's bodily infirmi- ties before the world, such a course seems to be the only one to follow in a narrative like this. Indeed, my little volume would surely fail of its purpose if it did not have a personal story to tell. If this story should seem largely egotistical that is to be counted the misfortune, not the vanity of the teller. The description of my own case given in the pre- ceding chapter, however untechnical, is at least un- exaggerated. As it stands, it applies specifically to one victim; but with little alteration, no doubt, it would cover thousands of other cases. It has not been my object to make my condition worse than it was, nor shall it be my aim to color too rosily the curative virtues of the wilderness. The young man who, in June, found it no easy task to walk the length of the hotel piazza, in December could turn off a mile over snow-covered roads without exhausting his strength. But he is still far from robust health. The experiment has proved successful beyond the most hopeful anticipation, but it is to be remembered that it is an experiment still under trial. The man THE WILDERNESS AND THE EXPERIMENT. 19 who has been afflicted with disease of twenty years' standing, and given np by the doctors, and who, af- ter using six bottles of Dr. Lumbo's Liniment is, forthwith, able to lift a seven-octave piano, is not the writer of this book. Probably all of us who are doomed to long familiarity with pills and powders, have, in one shape or another, been informed of the merits of innumerable Dr. Lumbos, each with his infallible liniment. I regret to say, however, that personally I have never found that distinguished gentleman in the flesh, nor a drop of his liniment in the bottle. I did not find them when I came up here into the woods. Yet I heard of them — of a dozen of them — before I had got fairly settled in my room. "D'yer want to know what '11 cure that there cough of yonr'n ? " inquired a solicitous backwoods- man, before I had been three hours in the wilderness. "Yes, it would afford me infinite satisfaction to learn what would cure that cough." "Cherry-bark and balsam," was the impressive answer. " Nothin' like it in the world ! Why, land o' the livin' there was a young feller come up here three years ago — " But I spare you the proof of cherry-bark and bal- sam's magic properties, as illustrated in the case of that "young feller." His case is painfully familiar. Sometimes it is cherry-bark and balsam, sometimes it is buttermilk, sometimes it is dandelion tea — but whatever the remedy, the result is invariably the same. If any of my consumptive readers are emu- lous of the fame of Dr. Lumbo's patients, they will 20 THE WILDERNESS CURE. not come to the Adirondacks. I am persuaded, how- ever, that there are in this country to-day ten thou- sand persons who, fighting the weary fight for health, would find cause enough for thanksgiving if they could penetrate this vast wilderness and breathe in the life-giving air day and night the year round. If it brought them that measure of strength which it has brought the writer, surely they, like him, would deem it a duty to write a recommendation of the medicine as sincere, if not as remarkable, as any ever given to Doctor Lumbo's Liniment. The two weeks and more which we spent at " Paul " Smith's before getting into camp were wretched in the extreme. Nothing could have been worse than the weather. It rained almost incessantly the greater part of the time, and when not raining, it might with perfect consistency have snowed. The ther- mometer, on two or three occasions, sank below forty, and throughout it showed no- more disposition to rise than the guides did when once seated about the office fire. Even the few enthusiastic anglers who had come in for the June fishing needed the warm glow of ardent zeal to keep them at their honored pursuit. As for a weak and shivering invalid, he could only move listlessly about his room, or hug the fire tenaciously in the parlor. If anything, I found myself worse during this fortnight than I had been at any time before. The nights especially became periods of almost continuous suffering: So hard and constant was the cough, that sleep, except the restless and troubled dozing produced by opiates, was out of THE WILDERNESS AND THE EXPERIMENT. 21 the question. The expectoration was copious, gen- erally of a greenish tint, and so solid that it sank like a stone in water. Then the drenching sweats, alternated with burning fever and occasional chills, made up a list of more ills than any flesh should at one and the same time fall heir to. We found kind friends at the hotel, and the sympathetic interest manifested in my case by " Paul " Smith and his es- timable wife surprised me more then than it does now, when I have come to know them better. Dr. Trudeau, whose own case is referred to elsewhere in this book, freely gave his professional services in my behalf, and I was fortunate, also, in coming under the care of the late Dr. Bronson, of New Haven. All that medical skill and constant care and tender nurs- ing could do was done for me at that critical time. If it did not surprise others, it did me, that I pulled through. It had been a part of the wilderness plan, and a very important part in our preliminary arrangements, to go into camp at the earliest moment practicable. For myself, I had a very confused idea of what " camping out " meant. The plan was vaguely sug- gestive of salt pork, rubber blankets, a bed of hemlock boughs, and much physical discomfort, which is per- versely declared to be fun. However, the camp was indispensable to a fair trial of the Adirondack ex- periment, and so our preparations were made with as much haste as possible. In the matter of selecting a camping ground we were peculiarly fortunate. The spot was a bluff on 22 THE WILDERNESS CUKE. Osgood Pond, rising thirty feet above the level o£ the water, and stretching like a peninsula into the pond. Pines, spruces, and the aspen poplar, known in the vernacular of the region as the "popple," abound- ed. The pond itself stretched about this neck of land so as to form a little bay, toward which the land ex- tended in a gentle declivity. We thus had a breeze blowing across the water in front to the water in the back — a very important consideration in keeping clear of insect pests. The spot had never before been used for camping purposes, and that also was to be counted in its favor. For custom gives the first settler a sort of right of claim on Adirondack ground. Our preliminary preparations were not elaborate, and were left necessarily for the most part to the guides employed to build the camp. We moved into our primitive quarters on the 21st of June. We found awaiting us two bark buildings and a canvas tent, built in a line along the bluff, and facing the picturesque little lake which nestles among the pine- covered hills. Osgood is the first of the ponds lying north of the Lower St. Pegis, and is reached by a three-fourths of a mile carry. To get to our camp, another three-fourths of a mile had to be travelled by boat ; or the entire distance could be covered by land, reckoned at about a mile and a half to the hotel. It cannot be said that Camp Lou, as we after- ward called it, presented a very attractive appear- ance on that first Saturday afternoon. To be sure the scene about us was beautiful in the extreme ; but scenery was something which could not inspire us THE WILDEKNESS AND THE EXPERIMENT. 23 much just then. As I have explained, our fortnight's sojourn at the hotel had not in any way benefited me. When I reached the camp, the walk up the gradual slope from the boat-landing to the tent was enough to exhaust my strength. Despite the phy- sicians' assurances, I looked with suspicion on the canvas tent, and very seriously doubted whether it would afford protection against the rain and wind. Timely advice had prevented us from putting our faith in hemlock boughs, and we had a comfortable bed, with mattress, pillows, and the other appurten- ances of civilized sleeping. But we slept very little that first night. The weather was warm and mugny, with an unmistakable hint of rain in the lowering sky. After an unrelished supper, we sat down dis- consolately in the bark cabin and reflected that if this was the invigorating manner of life destined to restore health and strength, it was at least a question- able kind of invigoration. The one tallow candle burned dimly, and was finally extinguished altogether to keep away the midges— which, if you want to be understood here, you must call midgets. Our guides made a sorry attempt at enlivening the occasion by some reminiscenses of their backwoods life. Then, finally, clinging stubbornly to my own belief about the insecurity of the tent, and finding that a drizzling rain had already set in, I insisted upon having the bed made up in the cabin. This suited the midges exactly, and in the brief intervals of the night when the cough did not keep me awake, the persistent lit- tle insects did. 24 THE WILDERNESS CITEE. We arose on the following morning to find the sky a mass of leaden clouds, and a penetrating rain still falling. With the conveniences at our disposal we made a rough and ready toilet and ate with doubt- ful appetite the breakfast which the guides had pro- vided. Then wrapping ourselves in rubber coats, we sat down in the tent, more discouraged and more wretched even than on the night before. It was a long, dull, miserable day, brightened only for an hour by a visit from two of our hotel friends, whose goodness of heart prompted them to brave the abom- inable weather and seek us out to make sure that we still lived. That night we took to the tent, our for- mer experience having satisfied me that the bark cabin was not a place for sleeping. And here came the first convincing proof of the benefit I was to derive from camp life. I found the tent as condu- cive of sleep as the cabin had been antagonistic to its enjoyment. To those accustomed all their lives to the stifling atmosphere of the ordinary chamber, it would be impossible to convey an adequate idea of the delicious purity of the air as inhaled under can- vas. Always as fresh as if out of doors, the tent still shields the sleeper from the wind, and makes a draught, that everlasting promoter of colds, an im- possibility. From that first night I became an en- thusiast over canvas coverings. Xor were my fore- bodings with regard to the leaking of the tent in a single instance verified. Throughout all the four months and a half which we spent in camp, not once did the rain penetrate the tent. And this was due to THE WILDERNESS. AND THE EXPERIMENT. 25 no lack of test, for we had days when the drenching storms were enough to put the best shingled house to a severe trial. Moreover, our tent was neither new nor exceptionally secure. It was purchased at second- hand of a guide, and had done service for two or three years. The " fly " which protected it was made of ordinary cotton cloth and afterward immersed in linseed-oil. For the first four weeks of camp life the only per- ceptible improvement in my condition was in the matter of sleep. Although still troubled at intervals by the cough, and by no means exempt from the sweats, still as a whole the nights brought a measure of rest which I had not known for many weeks. I had hoped to find a keener appetite for food in this out-door life, and some abatement of the cough. I cannot say that I expected these results, but the faith of others was so great that it gave me at least hope. But no such cheering symptoms manifested them- selves. The cough — except, as I have already ex- plained, during the night — remained as vicious as before. The fever became more constant, and that in the face of large doses of quinine recommended by the doctors. Instead of gaining, my appetite grew less and less, until most of the nourishment taken was in the form of beef-tea, milk, and raw eggs. Oc- casionally the sputa was colored with blood, and I was continually apprehensive of hemorrhage. With- out energy enough even to find solace in reading, I passed the days listlessly in a chair, with no other desire than to be let alone. 2 26 THE WILDERNESS CURE. So passed the first month. The weather was vari- able and very different from what I had been led to expect. The Fourth of July, for example, came and went, while we shivered over a roaring fire. Two weeks later, a hot wave struck us, which sent the mercury up among the nineties, even in the coolest spot of our pine-shaded ground. Along with these sudden and extreme changes of temperature, came a great deal of rain and some wind. The insects did what they could to bother us, and our lack of experi- ence cost us many petty annoyances, which would seem silly to enumerate, but which are not trivial to the invalid. With the second month a gain, very slight, but still appreciable, began to show itself. There were days when I could eat with fair relish, when the fever was wholly absent, and when my energy was sufficiently aroused to do a little work in the way of writing, and to take some slight physical exercise. Sometimes these good turns would cover a period of three or four days. Of tener, however, they gave way at the end of twenty -four hours to a condition wherein all the worst symptoms displayed themselves anew. At my best, it must be remembered that the cough was always present, and always persistent. At my worst there were also the fever, the nervous prostra- tion, and a miserably impaired digestion. At the close of the third month, that is, toward the latter part of September, I had made some un- mistakable progress. With rare exceptions I sat down to my meals with a good appetite. I could THE WILDERNESS AND THE EXPERIMENT. 27 walk half a mile without overtaxing my strength. Patience, atropine, and the pure air of the tent had about mastered the sweats. The nights, although sometimes wakeful, were still restful. I spent an hour or two every day in writing, and kept in motion enough to give me a fair amount of exercise. From this time to the breaking up of our camp, November 3d, I continued to pick up a little, albeit a backward wave would at intervals strike me and temporarily chill my hopes. But when we took down the canvas tent in a driving snow-storm, nineteen weeks after we had first slept under its shelter, I felt that the camp life experiment had proved a success. I had gone in miserable, indifferent, and skeptical. I was not cured ; but I came out comfortable, alive, and full of hope. CHAPTER III. SOME DELUSIONS DISPELLED. "When we first came into the wilderness, or more strictly speaking, when the idea of coming was first decided upon, a little definite information would have been of much practical value. A knowledge of what was needed for the trip, of what ought to be done after we had reached our destination and of what manner of life it was that we were to lead, would have saved us an undetermined amount of annoyance, disappointment, and unnecessary expense. In short, if some other fellow had recorded his experience be- fore the summer I went into the woods, I should have blessed him, and I should not have written this little book. The physicians had said, " You must go to the Adirondacks and camp out." Yery well. The Adi- rondacks it is. And a very little investigation was enough to show that the particular spot to go to must be " Paul " Smith's. So far the programme was sim- ple. But at this point all exact information came to an abrupt end. There were the doctors themselves, but they had never visited "Paul" Smith's, and never camped out. Besides, they were not supposed SOME DELUSIONS DISPELLED. 29 to be encyclopedias of backwoods lore. Their duty ended with the command to go. There was Dr. Loomis's paper in the Medical Record. This I got hold of and read with profound interest, but while it gave large cause for hope, it left all minor details untouched, and confined its narrative to that simple, technical style, characteristic of the medical professor. There was the Rev. Mr. Murray's book. That cer- tainly ought to contain some important facts. So I secured a copy and read it diligently. Facts I found, and some very excellent reading to boot ; but the possible tourist of Mr. Murray's imagination could not be an invalid. He was to journey over long " carries," run rapids, penetrate the unexplored for- est, and shoot a deer whenever he was hungry. He was to provide himself with a rifle, with strong woollen trousers, a pair of woollen shirts, two pairs of woollen socks, soft felt hat, top boots, a rubber over- coat, and plenty of woollen blankets. This super- abundance of woollen seemed a little mysterious for midsummer wear. But for Mr. Murray's traveller it was undoubtedly the thing. Mr. Murray further in- structed his reader to make a bag of muslin in which to tie up his head and thus shield it against insects, and to procure a pair of stout buckskin gloves with gauntlets, along with a copious supply of tar and sweet oil. To his lady tourist he recommended short flannel skirts, Turkish trousers, and a soft hat like a man's. All this was undeniably good advice, but it did not exactly meet the case of the invalid. From Mr. Murray we turned to a dozen other 30 THE WILDERNESS CURE. books bearing upon the wilderness, but found only a repetition of the woollen, gauze bags, and tar oil. Nobody apparently had prepared for other than ro- bust travellers in his calculations. It did not seem safe to wholly ignore these numerous warnings, and so we burdened ourselves with many useless things that are never needed here nor elsewhere. I may be par- doned if I undertake to dispel a few of the popular delusions which have long been cherished with re- spect to the Adirondacks, and which, when once re- moved, may make the tour for health appear more inviting. To begin with, " camping out " may be absolutely dissociated from salt pork, the frying-pan, and all other abominations. One may surround himself, forty miles in the wilderness, with all the comforts, and nearly all the luxuries, that he might enjoy in his own city home. This assertion is made, of course, on the assumption that the camp is to be permanent, and pitched within easy access of some one of the ho- tels. In these pages all the facts given relate to the St. Regis region, of which " Paul " Smith's may be considered the centre. Perhaps other parts of the wilderness afford equal advantages to the seeker after health : but it will be my purpose to deal with those matters only which come within range of my per- sonal experience. A camp, then, situated within a radius say of three miles from the hotel, can be made thoroughly comfortable. And this is what is meant by comfort : A tent affording complete protection against rain SOME DELUSIONS DISPELLED. 31 and wind. A good bed in which yon may sleep be- tween sheets, and in proper night-garments. Two or three bark buildings, one of which may be used as a sitting and lounging room, when the weather is unpropitious ; another as a dining-room, and a third as a kitchen. A small storehouse for garden imple- ments, tools, etc. An open arbor, at the water's edge an ice-house. In your tent and buildings well-laid floors, a stove to take the chill off, if the night grows cold, tables, chairs, books, writing utensils, a student lamp, a clock, and such other conveniences as you may desire. A good table, with a menu embracing anything you want, from bouillon to ice-cream. A daily mail. Wine and lager beer, stowed in the cool bank of sand. A boat to glide over the picturesque lake when you feel so disposed. The great forest about yon, through which the wind comes laden with the rare odors of pine and balsam. A cigar in the evening as you sit in front of a blazing log lire, which roars and crackles and makes fantastic shadows among the giant trees. Freedom — delicious, absolute free- dom — from dust and noise, and the roar of city streets. There is an idea of comfort. But there are other mistaken beliefs regarding the wilderness besides that which makes camp life a hardship. Those who have drawn their information from books, instead of experience, are pretty apt to pin their faith on one of two extremes. Either they picture the Adirondacks as a place where wild beasts still rove at large, or else they speak of it disdain- 32 THE WILDERNESS CURE. fully as the resort of embryo sportsmen who never shoot off their guns for fear of blackening the silver mountings. Both of these extremists should come up into the woods and look about them with discern- ing eyes. They would concede, probably, that the best hunting and fishing in New York State are to be found here. Whether what is best in New York would be more than tolerable in the far West admits of doubt. The man who penetrates these woods for the first time, expecting to find deer browsing in herds, and schools of trout awaiting impatiently the delusive fly, will be sadly disappointed. There are deer here, undoubtedly — deer to be shot, if the hunts- man is possessed of patience and skill enough to shoot them ; but observation quickly convinces one that these timid animals do not invite self-destruc- tion by holding conventions in conspicuous places. There are trout here, too, any number of them ; but they are wise in their generation, and will not, as a rule, accept every fly that is cast with unquestioning confidence. From our own tent door we have seen three tempting bucks at one time drinking in the lake. And yet it was generally difficult to get hold of venison throughout the season. An expert and genial angler brought in, during our sojourn at the hotel, a speckled trout which actually weighed five pounds and a half. The skeptical reader may satisfy himself of the truth of this assertion, whenever he enters "Paul" Smith's, for the rare fish is preserved in a glass case in the office. And yet, in spite of this palpable proof of what the Adirondack waters con- SOME DELUSIONS DISPELLED. 83 tain, other expert fishermen may cast the fly all day and land nothing bigger than a nine-ouncer. Brieiiy put, game and fish are here, but they are not to be had for the asking. So far as the insect pest is concerned, it would not be right to count it among the delusions ; but, as has already been intimated, it is by no means the evil generally represented. If one is careful in the selec- tion of a camping spot, making it a point to find high ground, overlooking the water, he need not worry much about the insects. It would be unjust to rob the Adirondack bugs of any of the glory which right- fully belongs to them, but, certainly, their achieve- ments in the past have been grossly exaggerated. I have known mosquitoes — known them intimately and to my sorrow — which, dwelling in the modest retire- ment of a Brooklyn boarding-house, could do more effective work in five minutes than their Adirondack fellows can in five weeks. The black flies which come early in the season, and disappear almost wholly by the first of July, were scarcely seen by us in camp. Midges are certainly a nuisance, but a very slight breeze is enough to carry them off, and this breeze we generally enjoyed. It may be necessary, oc- casionally, to resort to the smudge — that is, a half- smothered fire, kindled in an old pan or pail, and placed in the tent long enough to smoke out the winged nuisances — but, as a rule, the pollution of the atmosphere caused by this remedy is more to be dreaded than the evil itself. A mosquito netting to cover the bed should always be provided. Yet even 2* 34 THE WILDERNESS CURE. this will be found unnecessary after the first week of September, and from that time forth no trouble need be apprehended from any sort of insect. A few years ago it was a common thing to run across a bear anywhere in the St. Regis region. So, at least, the veteran guides declare, and doubtless there is some foundation for the assertion. But all the accounts of wild beasts in the woods to-day are to be accepted with caution, if accepted at all. The tourist might travel through the very heart of the wilderness, and, indeed, spend his life in so travel- ling, without once setting eyes on any animal more ferocious than the deer. The wild beast feature may, therefore, be entirely eliminated from Adirondack life. Then, again, although a camp should be pitched forty miles in the wilderness, the dweller therein would not be shut out from communication with the world. He will get his mail regularly every day through the hotel, and he will find the telegraph wires at his disposal. He may read Monday morn- ing's papers in his tent Tuesday afternoon. If urgent reasons should make it necessary for him to return at once to civilization, he can take his departure at eight o'clock in the morning and awake the next morning in New York. This consciousness of prox- imity to the outer world, while one is seemingly shut up in the primeval forest, does much to reconcile the invalid to his new life. He is comforted, too, by the reflection that skilful medical aid, if such should be needed, is within reach ; for, apart from Dr. Trudeau, SOME DELUSIONS DISPELLED. 35 whom the year-round inhabitants are proud to regard as belonging to the country, there is scarcely a week during the camping-out season, when one or more physicians may not be found at the hotel. Dr. Loomis owns a cottage within a stone's throw of the St. Regis Lake House, in which he spends a month or two every summer. The consumptive does not come into the wilderness to dose himself with med- icine, but it is nevertheless a good thing to have a trustworthy physician within easy call. Adopting the theory which is held to by most of the medical authorities of the day, that phthisis is a disease which calls for an abundance of the most nutritious food, the invalid in the woods finds him- self in a peculiarly fortunate position. For here he may obtain, with comparatively little trouble, almost anything he desires to eat. Through the supply- store in the hotel, the delicacies and dainties of the table are at his disposal. Beef, mutton, and poultry are always to be had. In its season, venison, while not superabundant, can generally be obtained as often as the patient craves it. Speckled trout, fresh from the clear waters of the mountain streams, are as plentiful as smelts in Fulton Market. Later, the partridge tempts the appetite, and is supplied at surprisingly cheap rates. Fresh eggs, pure milk, and excellent butter are all to be had from the inhabit- ants or hotel. In short, if good living ever enables a man to conquer consumption, this is the place to find it. Briefly, then, to recapitulate : this wilderness ex- 36 THE WILDERNESS CURE. periment need entail no hardship, no privation, and, as I shall show hereafter, only a very moderate out- lay of money. In setting out on the journey the in- valid need not encumber himself with any of the ex- traordinary equipments enumerated in the guide- books. He may rest assured that his camp-life can be made comfortable and even luxurious. He has the word of the writer, given after full and fair ex- perience, that a bed in a canvas tent is one of the de- licious things in this life which, after trial, can never be forgotten. If his strength permits, and his taste runs in that direction, he may be sure that he will find fair hunting and excellent fishing in the St. Regis region. On the contrary, if he is too much of an in- valid to indulge in these pursuits, or if he has no fondness for them, he may solace himself with the reflection that others will gladly provide him with fish and game. If a lady, nervous and timid, she may put the wild beast bugbear out of mind once and for all. As for the flies and mosquitoes, they are too trivial an annoyance to be seriously considered. The patient is not shut off from communication with the outer world nor from agreeable companionship. He is not put beyond the reach of skilful medical attendance. He is not obliged to forego the pleas- ures of the table. In a word, he is not compelled to make any great sacrifice in return for the precious privilege of breathing in, by night and by day, this God -given, life-saving air. CHAPTER IV. PREPARATIONS FOR AN" INVALID^ CAMP. Let it be supposed that the searcher after health lias made up his mind to give the Adirondack ex- periment a trial. This conclusion should he reached, of course, only after consultation with a reputable physician. For it is always to be borne in mind, that while the more apparent symptoms of what is called consumption bear a close resemblance in pret- ty much all cases, yet the treatment required for one may be very different from another. And certainly it is not the purpose of the writer to persuade others to try the experiment of the woods unless with the consent of a doctor in whom the patient himself has confidence, and under whose advice he acts. Supposing, however, the advice to have been given, and the trip determined upon. For its preparation, as has been already said, no extraordinary steps need be taken. If a man, the invalid will pack his trunk with such articles as naturally suggest themselves for a sojourn abroad of six months or a year. The only deviation from the usual necessities should be made by substituting woollen shirts for those which need the laundryman's skill before wearing. Linen cuffs 36 THE WILDEENESS CUKE. and collars may be dispensed with, and a plentiful supply of underclothing and woollen socks provided. It is a good thing, too, to have a night-dress of flan- nel, long and loose. In the case of a woman, it would be presumptuous to dictate her wardrobe, but she may safely leave behind her the Turkish trousers and gauze bags. For anybody, the simple direction to take plenty of good warm apparel is enough. From whatever point the tourist sets out, unless it be from Montreal or that part of Xew England which lies nearer to Lake Champlain than to Boston or Albany, he should make Saratoga his objective point. Thence the journey to Plattsburg may be accom- plished all the way by rail, in something less than six hours ; or a steamer may be taken at Whitehall by those who care to get a better view of the pictu- resque Lake Champlain. Plattsburg is well provided with hotels, and a pleasant rest of a day or two may be taken there, if desired. The distance to St. Regis Lake is. about sixty miles. At present, twenty of this is made by rail, and the remainder by stage. It is expected, however, that before the close of the summer of 1881 this stage ride of forty miles will be shortened by more than one third — the railroad, which was built by the State to the Clinton Prison, liaving been extended so as to bring it to a point twenty-four miles from " Paul " Smith's. It remains now only to cut a carriage-road through the woods from the terminus of the railroad to the hotel. However, the invalid need not be frightened out of coming at the prospect of travelling over the old route. PREPARATIONS FOR AN INVALID^ CAMP. 39 He will find the stage ride much less irksome than he supposes, and if too weak to make the entire trip in one day, he may stop over at the half-way house, which is reached about noon, and which supplies the traveller with dinner. If the invalid chooses to push ahead, he will be set down at "Paul" Smith's some- where about five o'clock in the afternoon. It is safe to assume that pretty nearly everybody who has heard of the Adirondacks has heard also of Paul Smith's. Indeed, the definiteness with which that name is fixed in the tourist's mind causes him to stare with rather a nonplussed expression at the sign which greets his eyes when he first steps from the stage on to the piazza of this remarkable hostelry. Can it be that he has gone astray and brought up at the wrong spot ? If not, why is the sign over the door " A. A. Smith," instead of " Paul " Smith ? When he comes to solve this riddle, he learns that the genial backwoods landlord was originally named Apollos Austin. The Austin was condensed to an A., and the Apollos abbreviated to Polly, which in good time reduced itself to Pol. This stood the test of some years, but finally, by precisely what system remains unknown, evolved itself into Paul. To-day, the owner of the double-vowel initials repudiates them both and recognizes himself only as Paul. This metamorphosis in name is less remarkable than that in the landlord's surroundings. Twenty years ago, when " Paul " Smith put up a frame building of modest dimensions to accommodate the stray sports- men who occasionally drifted through that part of the 40 THE WILDERNESS CURE. wilderness, lie would have counted twelve lodgers oh a single night as indicative of amazing prosperity. Now, in what is called " the season," more than three hundred guests often find accommodation in the house. By successive stages of growth — periodic ad- ditions of wings and Ls — the original tavern has stretched itself into the proportions of a first class summer-resort hotel. Indeed, its wings are so ab- surdly out of proportion to it3 original body, that it presents a butterfly appearance to those who knew it of old. The general verdict of all who make the hotel their headquarters is that it sets an excellent table, and furnishes every comfort which in reason can be expected. The rooms are neat and attractively furnished, the beds what they should be, the attend- ance good, and the general atmosphere of the house pleasant and homelike. But above all this, to the person accustomed to a city hotel, the thing which makes the deepest impression — which leads him al- ways to return to " Paul " Smith's, after he has been there once — is the unaffected kindness of the land- lord and his wife. In this there is not the slightest flavor of obsequiousness, nor a hint of mercenary motive. In evolutionizing from Apollos to Paul, in the transition from buckskin to point-lace surround- ings, the man himself has not changed. No one is ever more welcome than he when the big parlor is crowded with fashionably dressed women and velvet- coated sportsmen. Yet if you want to find " Paul," you must look elsewhere than here, The simplicity of his nature, which is in nowise allied to simpleness, PREPARATIONS FOR AN INVALID^ CAMP. 41 would be ref resiling in any man. It is absolutely irresistible in the proprietor of a " fashionable " hotel. For, I grieve to say, that Paul Smith's has become an undeniably fashionable resort. You will find less vulgar display than at Saratoga, but you will also find more solid wealth and more genuine purse-aris- tocracy. Precisely why these robust ladies put them- selves to the inconvenience of penetrating the wilder- ness for the purpose of displaying their diamonds on the hotel-piazza, of reading a novel or lounging lazily in their rooms, of playing a mild game of whist and eating three hearty meals a day, is a mystery. For, although fashionable, St. Pegis Lake affords most limited opportunities for the display of wealth where it can be seen of others. The year-round inhabitant is certainly an unpromising subject to undertake to dazzle. The man who has never seen a train of cars in this age is not to be made envious by diamonds or the most elaborate of toilets. The fashionable element, however, is not to be counted a drawback in the case of the invalid. On the contrary, it is much better that he should be set down on the gay piazza of the hotel, where laughter and bright faces and the hum of many voices tell of the pleasures of life, than that he should find his destination a sanitarium pervaded by the odor of the sick-room. The very presence of these thoughtless, sound-lunged persons often proves a kind of tonic. His cough brings no sympathetic response from any fellow-sufferer — only a kind of brazen stare from the man with the athletic chest and the friar's diges- 42 THE WILDEKNESS CUKE. tion ; and that stare awakens the invalid's resentment, and causes him to struggle with the wretched indica- tion of his ailment until he strangles it for the time being. As to the length of time to be spent at the hotel before entering upon the experiment of camp-life, that must, of course, be largely determined by cir- cumstances. If the patient's strength permits, there is no reason why he should not be established in his tent within a week after his arrival. But should his condition be more critical, it may be necessary to de- lay the removal to camp until the bracing air has done something toward building up the wasted pow- ers. In rare instances, where the disease is far ad- vanced, it may not be advisable to try the camp-life at all, but in lieu thereof, to remain permanently at the hotel. In any event, it will be best to leave the question of camping-out to the physician — not neces- sarily to the home doctor, but to" some one of the faculty who is personally familiar with this manner of life. For our present purpose, let it be assumed that the invalid is strong enough to try the camp as soon after his arrival as the necessary preparations can be made. What steps shall he take to best ac- complish his object ? First. — It is all-important that the invalid should secure the services of a faithful, competent guide. That word is used in conformity with the vernacular of the wilderness. As a matter of fact, there is very little " guiding " required by the person who is hunt- ing for health. But as all the men who offer their PREPARATIONS FOR AN INVALID S CAMP. 4J services are called guides, the word may be used to avoid confusion. A good guide, then, is the first essential thing to find. And this question, like many others, may be advantageously left to the managing clerk of the hotel, Mr. Charles E. Martin. Second. — The selection of a guide once made, the next step will be the choice of a spot whereon to pitch the camp. In deciding this question it should be kept in mind that the point chosen ought not to be more than a mile or two from the hotel, that it should be on high ground, as nearly surrounded by water as possible, and as abundantly supplied with trees as may be. Plenty of such places may be found on the Upper and Lower St. Hegis Lakes, on Spitfire and Osgood Ponds. It were much wiser to build a camp within jiyq hundred feet of the hotel — and many of them might be built within such a radius — than to strike out too far from the centre of supplies. High ground is to be looked to, not so much to avoid dampness, for there is no dampness worth speaking of in the region, as to keep clear of insects. The proximity of pine and balsam trees is a most desir- able thing, whether regarded from the medical point of view or as a matter of mere comfort. For it should not be forgotten that even in the Adirondacks there are days when the sun blisters the earth and makes shade most welcome. The camping-ground should invariably border the water, not only because of the invigorating breeze thus obtained, but also because the mountain lakes are the highways over which most of the travel is accomplished. 44 THE WILDERNESS CURE. Third* — We have now the guide and the camping- ground. In the sequence of importance, the tent stands next. This is so prominent a feature of the whole experiment, that it will richly repay the in- valid to provide himself with the Lest. If two per- sons are to occupy the tent, it should be not less than 12 feet square. 12 by 14 feet is perhaps a better size. If the camper-out is alone, the canvas will serve its purpose if it measures 8 by 10 feet. Yet, even for one person, the larger size is much to be preferred. In case there is no question about the invalid's ability to go into camp immediately upon his reaching the wilderness, then it would be an ex- cellent plan to purchase a tent before setting out on his journey. Otherwise, he may either order one after his arrival, or, if his sojourn is uncertain, he may hire one from the hotel. Large or small, the tent should be of the shape known as a wall tent, sound and whole, and protected by a "fly." The interior should always be floored, and provided with a stove. For the rest of the furniture the taste of the occupant must decide. A serviceable bedstead can be constructed by the guide out of poles, but the tourist should see to it that he is provided with a good mattress or two, pillows, and plenty of warm bedding. In place of an under mattress, boughs of balsam or hemlock may be used, a covering of stout cloth being first stretched over the bedstead. If the guide possesses the usual ingenuity of his class, he will be able to build tables, chairs, a lounge, and many other useful articles of furniture. PREPARATIONS FOR AN INVALID' S CAMP. 45 Fourth. — Apart from the tent, the only building absolutely necessary to the carrying out of the camp- life experiment is a kitchen, which may be so divided as to afford accommodations for the storage of pro- visions. It is better, however, on some accounts to have a separate storehouse or pantry, as the guide calls it ; but this is a matter of individual preference. Some sort of a place in which to cook, however, is indispensable. Such a place can be put up in a day by two competent men. If to be used only as a kitchen, a bark building, say six feet by eight, will serve all purposes. These bark buildings, which can be made to display no little architectural beauty, are constructed on a frame- work of poles and boards, to which latter the bark is nailed. It is best to floor the kitchen, and, indeed, all the buildings of a per- manent camp, with boards ; but, except in the case of a tent, it is not a necessity. A good cook-stove should be the first and chiefest adornment of the kitchen. They have some theories here, indigenous to the country, of cooking by an open fire out of doors. The idea is poetical, but the palpable results are smoky. Let the kitchen be furnished with all the utensils usually found in such quarters, and let the frying-pan be hung so high up that the guide can reach it only in case of an emergency. If the store- room is to be a part of the same building, make the kitchen three or four feet longer. If separate quar- ters are provided for the keeping of ice, food, and other stores, it will be found wiser to put up a build- ing six or seven feet square, rather than a mere cup- 46 THE WILDERNESS CUKE. board. The storehouse, in any case, should have a cellar ; and if the floor is boarded, this may be cov- ered by a trap-door. Fifth. — The proximity of the hotel makes unne- cessary the laying-in of a large stock of provisions ; but on many accounts it is advantageous to buy the staple articles of food in considerable quantities. Flour, oatmeal, hominy, canned vegetables, potatoes, butter, eggs, sugar, tea, coffee, and whatever else is needed, may be bought at the hotel, much or little, as is desired ; also beef and mutton, ham and pork — for the guide will be unhappy without the latter. For milk it will be best to look to the nearest year- round inhabitant who keeps a cow. From a similar source eggs and butter may be obtained. The coun- try is too bleak, and the soil too sandy, for the pro- duction of early spring vegetables, but, still, string beans, green peas, sweet corn, squashes, beets, onions and turnips, with now and then a cucumber and musk-melon, may all be had in good time. "Wild strawberries and blueberries are plentiful. Tomatoes rarely ripen, so that the canned article must be sub- stituted. A week's rations will be all sufficient to take into camp at the outset. Sixth. — The regular guide furnishes his own boat ; but in the case of a man who is hired to take charge of a permanent camp, he may or may not be the pos- sessor of this indispensable accompaniment. All other things equal, the man with a boat is much to be preferred to the man without one. If, however, the camper-out sees fit, he may engage a boat for the PREPARATIONS FOR AN INVALID'S CAMP. 47 season from the hotel, or he may buy one outright. For the other absolutely necessary things — stoves, boards for the bark building and floors, nails, mat- tresses, bedding, crockery, and cooking utensils, a mosquito-netting, candles — the novitiate need only make known his wants to the clerk of the hotel and all will be provided. When the foregoing steps have been taken, the invalid will be prepared to move into camp. As for enlarging and beautifying his primitive quarters, that will be a task to afford pleasant occupation after he has taken possession. "What has already been pointed out will be quite sufficient for him to begin the experiment comfortably and auspiciously. CHAPTER Y. MAKING A CAMP ATTRACTIVE. At the outset of camp life, assuming that the invalid has never tried it before, there will be, of necessity, some drawbacks and disappointments. Perhaps the weather will be cold or stormy, making it imperative to hug the stove the day through. Or perhaps the guide's manner of preparing food will prove unsatisfactory, thereby making the food itself seemingly of poor quality. Or perhaps a high wind will come up at night and roar through the trees with a dismal sound, and shake the tent with such vio- lence that the occupant will believe his frail structure is about to be blown to atoms. Or perhaps the excitement attendant upon arranging the camp, ad- ded to the strangeness of the life, will temporarily prostrate the patient and cause the bad symptoms to display themselves with renewed virulence. Under any or all of these discomforting conditions, it must be the one great aim of the invalid not to grow dis- couraged. A fortnight, a month, two months may pass, and still no perceptible results of the new mode of life can be perceived. And still it is the health- seeker's one chance, to hold to the faith which first inspired him to make the experiment. MAKING A CAMP ATTRACTIVE. 49 When Nature is called in as a physician, she is often dishearteningly slow in her process and cure. She has none of Dr. Lumbo's liniment in her phar- macopoeia. She exacts unquestioning belief in her powers, and a patience which endures with the dura- tion of life. The experimenter in the wilderness has been in the grip of grim disease for months — for years, possibly. For months, for years, he has been breathing in the poisoned air of crowded cities and un ventilated rooms. Slowly, very slowly, as the walls of the dungeon closed in, inch by inch, on the wretched prisoner, until the great apartment had become but a tomb, so the hand of disease has closed upon its victim. And this terrible grip in a day, nor a month, cannot be loosened. Perhaps it never can be loosened ; but if at all, only by that slow process of Nature which prints the delicate fern upon the solid rock. That wondrously fine tissue of the lungs has been torn and wasted by the racking cough. If this waste is to be checked, it must be a work of pa- tient labor. So, if the experiment of pure air is to be tried at all, it should be undertaken with the firm resolve to give it a full and fair trial. Otherwise, the consumptive would better keep out of the wilder- ness altogether. If he has the pluck to withstand the first few dis- couragements which will be pretty sure to fall to his lot, the invalid will very soon discover many things about camp life which make it in the end decidedly pleasant. It is somewhat of a gift, and not wholly a virtue to be acquired, for one to adapt himself easily 3 50 THE WILDERNESS CURE. to his surroundings. Still, will-power has something to do with making one contented. If the patient is strong enough to interest himself in the work of im- proving the camp, he is to be counted fortunate. Naturally, a person will take more or less pride in fitting up attractively quarters he is to occupy for a considerable period, and where the means for doing this are so abundantly furnished as in the woods, the work may be prosecuted with very gratifying results. Our suppositious invalid has thus far provided him- self only with what may be termed the indispensa- ble adjuncts of camp life. He may now, with equal pleasure and profit, devote himself to the procure- ment of the luxuries possible in the wilderness. The thousand and one little conveniences with which he may surround himself will tend in no small measure to make his new life attractive. Nothing can be prettier in their way than the bark buildings to which reference has been made. One or two of these, in addition to the kitchen and store- house, can easily be erected and serviceably used. Whatever the virtues lacking in the average Adiron- dack guide, mechanical ingenuity is certainly not among them. He is quick in expedients, and handles the hammer and saw like a skilful carpenter. So the bark buildings, as well as the other contrivances which may be mentioned, can be had with small out- lay of time and money. One of these cabin-like structures may be fitted up as a dining-room, to be used in stormy weather or when it is too cold to eat out-of-doors. Then, an open arbor, with the roof of MAKING A CAMP ATTRACTIVE. 51 bark covered, is both ornamental and useful. There, in pleasant weather, the meals may be served, a sta- tionary table being set up under the roof. If the camper-out is given to hunting and fishing, a small bark building can be utilized for the storage of guns and fishing-tackle. The guide's quarters may be either of bark or canvas, and he may be left to fur- nish them for himself. A boat-landing can be readily constructed by pro- jecting two or three heavy logs into the water and covering these with planks. It is a good thing, too, to have some sort of structure in which to store the boat when not in use. The all-serviceable bark may be used for this purpose, and the boat-house can be made an ornamental gateway to the camp. The small spruce-trees, which almost everywhere in the region are to be found in abundance, furnish precisely the material wanted for the manufacture of rustic chairs and benches. The ingenuity of the guide may be counted upon for the construction of almost every piece of furniture needful. That is, he can build chairs, tables, a lounge and bedstead ; and all these can be made not only comfortable, but tasteful, and in keeping with the surroundings. It will be seen, therefore, that there is no need to supply one's self be- forehand with such articles as have been enumerated. The work of improving and beautifying a camp may be continued indefinitely, for something will suggest itself daily, which, when done, will add to the comfort or pleasure of the life. Of course, no fixed rules can be laid down for the details of this 52 THE WILDERNESS CUKE. work, since the location of the ground and individual taste must determine how to proceed. It may not be out of place, however, to sketch with some min- uteness one camp which has had an existence other than that on paper. This view, let it be remembered, is taken toward the end of the camping-out season, and after a four months' occupancy of the premises. Some idea of its situation and general appearance has already been given in these pages, but the Camp Lou of October was a very different place from the Camp Lou of June. Standing, as has been said, on a bluff, which stretches, peninsula-like, into the clear waters of Os- good Pond, the natural advantages of the spot for the purpose desired could not well be surpassed. Almost always a cool breeze sweeps across the lake, making the air, even in the hottest days, deliciously cool. Whichever way the eye turns, it rests upon a scene of singular beauty. The densely -wooded shore across the lake rises darkly against the blue of the more distant mountains. Nowhere within the whole range of vision is there aught to be seen to mar the face of ^Nature by the suggestion of man's laborious toil. Xot a house nor barn nor fence nor foot of cultivated soil. Nothing but the sentinel pines, and ail the fragrant family of evergreens, the blue moun- tains, the clear, transparent lake, and the over-arch- ing sky. As you climb the gradual ascent which leads from the boat-landing, your feet press down a carpet of moss which grows luxuriantly on all sides. Besides this, the sandy earth is strewn with the dried MAKING A CAMP ATTRACTIVE. 53 pine-needles and the stubby partridge-grass, while here and there sprouts a blueberry bush, or a cluster of plume-like ferns. Facing the lake, and in a line with the precipitous bank, stand the bark buildings and the canvas tent which collectively make up the camp. First in order comes the cabin. Its framework of spruce poles and boards is covered with wide strips of bark. The in- terior measures but ten feet by eight, while the porch in front, over which the roof projects, adds six feet to its length. Both the interior and porch are floored with planks, while a rustic seat outside gives an invit- ing appearance to the little house. The cabin is water- proof, or at all events so nearly so that the rain is not to be feared. It has its window, door, and stove, and is altogether a snug place. Within may be found a lounge, shelves containing books and maga- zines, a rifle hanging on the wall, chairs, and a table. In the cool autumnal days, this cabin serves as a dining-room, while in the heat of summer it affords a cool retreat for a midday nap. Next to the cabin, and a dozen or more feet beyond it, is the tent. This measures thirteen feet by twelve. The board floor is partly covered with rags, while the open stove rests ( on a stone fireplace. The furniture of the tent, al- beit mostly home-made, is comfortable and designed for use. There is a bed, quite as inviting as one finds in his own room. A writing-table, a set of shelves, a bookcase, a waslistand, two easy chairs and a trunk, transformed into an ottoman, complete the equipments. Beyond the tent, in line with it, are 54 THE WILDERNESS CUKE. two more bark buildings, the first the kitchen and the second the storehouse. Still further on and nearer the bank is an open arbor, densely shaded by spruce-trees. Then there are the guide's quarters, and, here and there, under the branches of the trees, rustic benches and chairs. The stretch of level ground on which Camp Lou is built, cost no little labor to prepare ; for, origin- ally, the earth was uneven and disfigured by the stumps of fallen pines which may have gone down in a forgotten forest fire. Young spruces have been set out at various points, and gravel walks connect the several buildings. Taken as a whole, although the adornments are of a simple, and by no means ex- pensive nature, the spot is attractive to the eye, and the conveniences sufficient to make camp life a pleasure rather than hardship. It will be very quickly discovered by the new- comer, that man's resemblance to the parrot is quite as strongly developed here in the wilderness as in the centres of civilization. The second camper-out imitates the one who went before him, and the last one follows pretty closely the footsteps of all who have preceded. Another name. for this imitative faculty is fashion — and there is a prevailing fashion even in the construction of camps. Precisely what that is may be best learned from the guides who have their own ideas as to how things ought to be done. The camper-out will sometimes do better to be gov- erned by his own judgment than by that of others. Of course, the size of a camp should be regulated by MAKING A CAMP ATTRACTIVE. 55 the number of persons it is intended to accommodate. Its adornments will perhaps be determined by tlie purse of the builder. Given the necessary equip- ments, and the ordinary work of a camp for two peo- ple can be satisfactorily done by one good man. If, however, one wishes to make more of a display, half a dozen guides — it will be remembered that this word is used simply as a convenient way of designat- ing those native and to the wilderness born — may be given employment. Precisely the same rule can be applied to the camp as to the private house, and the domestic economy of one bears a strong resemblance to the other. If rich enough to afford it, the patient in the wilderness may have his valet, his cook, his butler, his coachman, and his retinue of attendants all as devoted as valets, cooks, butlers, and coachmen ever were or will be. But if too poor to surround himself with these auxiliaries, he may still live, and live comfortably, with a single competent attendant. Among the minor things which it will be well to look after closely when fitting up a camp, are the floors, especially in the tent, the stoves, and the roofs of the bark buildings. The fact seems a little odd, but it is none the less a fact, that in the very heart of a lumber-growing country, lumber is unusu- ally difficult to obtain. For the most part unplaned, and generally unseasoned, planks are used in the con- struction of a camp. These serve well enough for a majority of purposes, but when it comes to the floor- ing of the tent, well-seasoned, matched boards, and no others, should be used. This is of much import- 56 THE WILDEENESS CUKE. ance, for the reason that the rougher timber warps and shrinks under the action of the weather, so that when the colder days of autumn come around, the floor is filled with wide crevices through which the wind blows up uncomfortably cold. It need hardly be said that this is a condition of things which the invalid should avoid. With regard to the stoves, it is to be remembered that whatever the season of the year, or whatever the altitude of the mercury, no health-seeker should think of going into camp with- out providing his tent with some sort of heating ap- paratus. Even if the days are scorchingly hot, there is pretty sure to come a time in the twenty-four hours when the air grows chilly ; and it is always safe, moreover, to count on some stormy days, even in midsummer, when a fire is most acceptable. The necessity of making the roofs of the bark buildings as nearly water-proof as may be, will be apparent to all. This can much better be accomplished when the building is first constructed, than afterwards by attempting to calk up the crevices. If the boards which support the bark on the roof be placed not more than a foot apart, and the bark itself be lapped over, shingle -fashion, and closely nailed, there will be little to fear from the rain. " If the first season of camp life justifies the patient in looking forward to a second trial of it, it may be a good thing to have an ice-house built in the autumn and stored with ice during the winter. This may be done with little trouble and expense. Two or three tons are enough to last through the camping-out MAKING A CAMP ATTRACTIVE. 57 period, and besides saving the labor of bringing the ice from the hotel, its place of storage forms a capi- tal refrigerator for keeping supplies through the hot weather. The land about the St. Regis region is for the most part private property. It is held in immense tracts by individual owners. The right to the ground is not, therefore, a legal one, with the camper-out. But so long as a proper regard is shown for the pres- ervation of the property, and care taken not to ma- liciously injure the woodland, nobody need fear dis- possession. 3* CHAPTER YI. CAMP LIFE AS AN INVALID FINDS IT. Given a fishing-rod and a rifle, as central figures ; a mountain lake, flashing in the sunlight ; fragrant forests of mighty pines, through which the timid deer runs affrighted at the hounds' ominous bark; hours of sweet idleness and delicious communion with nature, and, with all, a background of robust health, of high spirits, of absolute freedom from gnawing anxiety ; given all these, and it is not a very difficult task to paint an attractive picture of camp life. But where these happy conditions are in many essential respects lacking ; where the camp is not an Eden of a week for the tasting of sport, but the san- itarium of a season for the getting of health, and, above all, where the camper-out himself cannot cut loose from the thraldom of disease, nor know the keen pleasure of the rod and gun, then to invest camp life with anything of a charm is a more per- plexing undertaking It seems to have been assumed by all whose enthu- siasm has prompted them to write and publish their experiences iu the Adirondacks, that everybody is born into the world with a yearning for out-of-door CAMP LIFE AS AN INVALID FINDS IT. 59 sport. Perhaps there is a large foundation in fact for this assumption. Still it must be confessed that now and then some wretched barbarian comes to the surface who finds no enjoyment in a gun — no ses- tlietic delight in a fly-rod. Luckily this particular specimen of the barbarian is rare, as are the people who do not eat strawberries or relish oysters. But a more numerous class of those who may hereafter seek the wilderness as health-hunters only, will be found composed of invalids, whose physical weakness, and not natural inclination, will shut them off from the enjoyment of the rod and gun. To these, more es- pecially, this chapter will address itself, with a view to indicating the camp life of an invalid. It cannot be denied that this life is monotonous. The days come and go with so little to distinguish one from another, except it be the variable mood of the weather, that one is really in danger of losing track of time as completely as did Robinson Crusoe. In densely-settled places — in the bustle of great cit- ies—every day in the week gets to have a character peculiar to itself. ISTobody could mistake Saturday in Central Park any more than he could Sunday at Manhattan Beach. What thrifty New England house- wife would wash on any day save Monday, or iron on any day save Tuesday ? What orthodox boarding- house would omit to mark Friday with a fish ? But here, in the heart of the vast wilderness, there is no Monday nor Tuesday, and only a very faint impres- sion of Sunday. The fish sign would make Friday of pretty much all days, while the unbroken stillness 60 TFTE WILDERNESS CUBE. gives seven old Puritan Sundays to every week. Take away the ability to hunt or cast a fly, and there is really nothing left to the camper-out in the way of circumstantial recreation. He must devise his own amusements, and find contentment in what, under other conditions, would perhaps seem tame and in- sipid. He will have always the gracious companion- ship of Nature — but that is something at once so subtle and exalted, that all mankind are not permit- ted to enjoy it. The camp life of an invalid will be pleasant just in proportion to the resources within himself for making it so. If long accustomed to find recreation in excitement, in society, in the stimulus of city at- tractions, then, naturally, the seclusion and isolation of the camp will be wearisome in the extreme. Not a few of those who have already made the experi- ment of the wilderness cure have found this tempo- rary banishment so irksome, that they have volunta- rily thrown up the chance of recovering health, and gone back to die within hearing of the gay world's laugh. For this very reason it has seemed proper to impress upon those who may contemplate a trial of the Adirondacks, the necessity of preparing for all such discomforts as they will really be called upon to encounter. If this little book were the product of a physician's brain, it would not be likely to deal with the question of cure in this unscientific manner. The medical authorities, who decree that castor oil is sometimes a needed remedy, do not stop to discuss the probability of the pinafored -patient's objecting CAMP LIFE AS AN INVALID FINDS IT. 61 to the dose. With even better grounds, it might be assumed that the person of mature years, who is fight- ing a desperate disease, and who, unlike the young- ster doomed to castor oil, is intelligent enough to understand that the oil is for his good only, would not hesitate to make any sacrifice of mere temporary physical comfort for the sake of ultimate recovery. And yet, limited as has been the writer's observation in this matter, it has still served to convince him that the whiskered phthisical patient is often quite as obstinate as the small boy sentenced to castor oil. Moreover, those things which are counted the veriest trifles by the strong and able-bodied, assume often an importance in the eyes of the confirmed invalid which would be ridiculous were it not seriously connected with his chances of recovery. It may so happen that an unfortunate selection of a guide will determine a patient to abandon the wilderness experiment alto- gether. Or, barren in resources within himself, and cut off from long-accustomed associations, he may find the quiet monotony of camp life unendurable ; and, in a moment of feverish longing for the bustling city, he may hasten home, thus throwing to the winds his. last hope of restored health. The three degrees of comfort attainable in the camp of the invalid may be thus formulated : First, if the patient is in the earlier stages of the disease so that he can roam about at will, and is possessed of an honest love of nature and of the hunter's or fisherman's craft, then there is no reason why he should not be in a state of superlative contentment. G2 THE WILDERNESS CURE. Again, supposing him still strong enough to enjoy life, and to feel a well man's interest in what is taking place, then, even if he has no taste for the sportsman's pursuits, his camp life may, nevertheless, represent comparative contentment. But if he be an actual sufferer from the more acute phthisical symp- toms, doomed to wearying inaction, and additionally unfortunate in possessing neither a love of sport nor a mind to grasp the beauties of nature, then it is easy to perceive that his lot in the wilderness will be one of positive misery. Yet in so deplorable a con- dition as the last, it may be questioned whether he would not be positively miserable anywhere. Nothing can add so much to the attractiveness of the invalid's camp as congenial companionship. The man who is so blessed by fate as to be able to bring wife and children into the wilderness with him — and this, as will be demonstrated later, is practicable even to the degree of economy — has, perhaps, the best chance for recovery, and the smallest claim to sympathy. If there be no wife or child, then some one near of kin and dear to heart should, if possible, bear the patient company. The society, too, of the hotel and the neighboring camps may be sought with profit. Nature is sometimes wonderfully helped in the miracle of turning the consumptives watery blood to wine by the bright presence of kindred and friends. It may be, of course, impossible in all cases for the invalid to be thus attended, but com- panionship should be counted by no means an unim- portant element in the wilderness experiment. CAMP LIFE AS AN INVALID FINDS IT. 63 After all, the thing which is pretty sure to do most toward making the sick man contented is the con- sciousness that he is gaining health, even if it be by inches. To a greater degree than any other method of cure which the doctors have advocated this camp- ing-out tends to turn a man's thoughts away from his own condition. That is no small thing itself. One can- not live very long in St. Augustine or Santa Barbara, an invalid himself, without daily contact with those suffering from the same malady, and seeking the same end by precisely the same measures. That end has not been reached often enough to make the sub- ject an encouraging one for conversation. And yet a dozen invalids thrown together will inevitably turn to their ills as the one theme in which there is unan- imous interest. Still worse, on this account, is any regular sanitarium, where the constant society of those similarly afflicted must be, as it always has been, a serious drawback to recovery. In the wil- derness camp the patient is effectually removed from all these unfavorable conditions. Around and about him on every side, are the evidences of vigorous life. Life in the grand old pines, in the whispering poplar, in the tough -fibred tamarack ; life in the tapping of the woodpecker, in the drum of the partridge, in the whistle of the robin ; life in the startled deer, as it leaps affrighted into the dense underbrush, and in the squirrel as he springs nimbly from branch to branch ; life in the placid lakes and laughing stream, in the fresh breezes that blow across the land, in sky and earth and water — everywhere life. And so the 61 THE WILDERNESS CURE. shadow of the great destroyer is swallowed up in the sunlight and beauty and grandeur of nature. Then, too, this isolation which the camp affords is not allied to that sense of loneliness which attends the invalid who seeks more remote resorts. I ad- dress myself now, of course, to those who live in the Eastern and Middle States, for from this vast region thousands of health-seekers have gone forth in the past, journeying to far-away places, nor ever bethink- ing them of the rare virtues of this forest which lies, as it were, at their doors. Probably every phy- sician of much experience has had occasion to note the ill effects which frequently attend this removal from home and friends. There is a kind of heart yearning — call it homesickness, if you please — -which takes hold of a sick man banished to unfamiliar pla- ces, too strong to be resisted. Now, while an Adi- rondack camp may seem cut off from the busy world as completely as a South Pacific island, yet the inva- lid knows that in fact he is not very far away from his home. He knows that the journey back is no very great undertaking. In short, he knows that he can put an end to his voluntary banishment to-mor- row, if he chooses. And that gives him courage to remain to-day. So far as the writer's own case is concerned, this sense of freedom to do as he pleased went a good way toward making camp life endurable. Even a more important consideration than that of contentment, is the relative cost of the wilderness cure as compared with that of living in the places winch have heretofore been regarded as the consump- CAMP LIFE AS AN INVALID FINDS IT. 65 tive's hope. This matter of money has nothing to do with the theory of therapeutic measures, but, un- fortunately, it has a great deal to do with the prac- tice of them. Man is presumed to value his life beyond any worldly possession. To the hard alter- native of surrendering a remunerative position and expending his last dollar, or yielding up his life, a vast majority of mankind would unhesitatingly ac- cept the former. But what is one to do if he has no treasure to give in lieu of his life ? What is the clerk, dependent on his meagre wages, to answer when the physician tells him that he must go to the South of France or Lower California, if he does not want to die within six months ? As well recommend him to go to the moon ; and the more certain the be- lief that the impossible trip would restore him to health and strength, the more bitter his cup 3 as he reflects on the utter inability of any man to reach the moon. But even the clerk can reach this wilder- ness and pitch his tent, and try the experiment which may give him a new lease of life. If the camp life of the invalid is monotonous, it is not, as has already been indicated, a life of either privation or hardship. The sick man gets up in the morning when he feels like it — say nine o'clock. He finds at hand all the conveniences for making a toilet, and when he steps from the tent into the crisp, fresh air, he ought to be hungry and thankful. A breakfast, as good as any man can reasonably expect, is ready, steaming hot. Excellent butter, smoking muffins, fra- grant coffee, and eggs which no man ever saw longer QG THE WILDERNESS CUKE. ago than yesterday; a dish of dainty trout, now crisply fried in cracker-crumbs, but two hours ago jumping at flies in the water ; baked or fried pota- toes, with a leaf of fresh salad ; milk that produces more cream to the square inch than the city-restau- rant fluid does to the acre ; and with all this, the inevitable wheat-cake, hot from the griddle, served with a generous supply of maple-syrup. It is well on to ten o'clock when the breakfast is over. Then, if the day be warm and fair, the camper-out may lounge under the trees and read the daily papers — a day or two old, to be sure, but fresh enough up here. Or he may take a turn on the lake, and try his hand at fishing. Somewhere about one o'clock he is ex- pected to grapple with a lunch of cold beef or chicken or mutton, bread and butter, milk, fruit, and cake. Then he may sleep or read or write or philosophize, or wander off to explore the surrounding forests — do anything, in short, that his fancy dictates. At six o'clock he sits down to a dinner which, if not rel- ished, will be the fault of the eater only. Roast veni- son or lamb, green corn, tomatoes, potatoes, cucum- bers, squash and beets, with a tempting entree or two, in the shape of frogs' legs or game, salad, and a blueberry pudding, not lacking the brandy-sauce — ■ there is his menu. After that a cigar and an hour about a roaring camp-fire ; or, later in the season, a fire within the tent, the canvas flaps cozily drawn, the student-lamp lighted, a good book, or a game at chess, backgammon or cards at his preference. Then bed. CAMP LIFE AS AN INVALID FINDS IT. 67 The domestic economy of the camp is generally in- trusted to the guide ; and, if he be the right sort of a man, this method saves considerable trouble. If, however, a more direct supervision of affairs becomes desirable, there is no reason why it cannot be exer- cised. Supposing the camp to contain but two per- sons, the invalid and his companion, and supposing, further, that the money question cannot be eliminated from the wilderness experiment, then one competent guide should be counted as sufficient for all the work, for the daily routine labors in a permanent camp are neither very burdensome nor very numerous. The chief difficulty is to find a really good man who takes kindly to this sort of life. Yery many of them prefer the much harder task of " guiding " proper, with its attendant excitement and nomadic charm. And perhaps this is not to be wondered at ; for their lives are monotonous enough through the greater por- tion of the year to make them keenly appreciative of the company of pleasure-seeking sportsmen. Then, too, many of them feel, and rightly, that they are capable of something better than washing dishes and making beds. There is, indeed; no reason why the ordinary work of the invalid's camp should not be performed by a woman. The duties would not be unlike those of the average hired girl, in the average city house. To cook the food would be her chief task. Add to the woman a strong, active boy to chop wood, draw water, and run errands, and the domestic machinery of a camp could certainly be kept in harmonious motion. ]STot that the services 68 THE WILDERNESS CURE. of a guide are not desirable always, and indispensa- ble where the invalid intends to devote himself to hunting or fishing ; but the suggestion is made for the benefit of those who may care nothing for the latter pursuits, and who are compelled to economize in order to make the experiment at all. Depending largely upon the hotel for supplies, as most of the permanent camps do, it is customary to send over daily for the mail, and such stores as may be needed. This regular receiving of the mail marks a bright hour in the day. The incentive of getting it may also lead the patient, when his strength shall have so far returned as to warrant it, to walk over to the hotel, and thus get an hour's tramp equally pleasant and beneficial. Although the experiment has never, I believe, been made, there is certainly no reason why a per- son desiring to avoid the delay or trouble of fitting up a camp, might not pitch a tent in the woods sur- rounding " Paul " Smith's, and take his meals at the hotel, while sleeping under canvas. This would give him the benefit of the great end sought — the con- stant breathing in of pure air — and at the same time it would assure him an excellent table. It would hardly do to recommend the plan on the score of economy, however, as it would probably prove more expensive than the full-fledged camp. Nobody should attempt a prolonged residence in this wilderness without that steadfast friend and faithful companion — a dog. The Adirondack spaniel, which is, perhaps, the most common breed here, is pos- CAMP LIFE AS AN INVALID FINDS IT. 69 sessed of a degree of intelligence, docility, and good nature which raise him to the rank of the princes of his kind. He is not often pretty to the eye, nor would he, as a rule, pass muster under the close scrutiny of a dog-fancier ; but if not pretty, he is good, and if lacking in " points," he is rich in affection. lie takes to partridges as naturally as the terrier to rats, and he develops often into an acute and sagacious hunter. His unvarying mildness is perhaps due, in part, to his diet — -for the Adirondack dog gets very little meat. There is also the deer-hound, excellent in his special line of work, but less companionable than the spaniel. Many an hour which would otherwise drag wearily in camp, may be pleasantly passed in canine company. Your dog never burdens you with long stories or impertinent inquiries. He never has a sure cure for your cough, which he insists upon your try- ing. He is never moody nor out of sorts, nor averse to a frolic. In short, he is tip-top company for a sick man. The camp may also afford refuge for live chickens, and it might even be practicable to keep a cow. Dr. Trudeau has a high opinion of the nutritive qualities of milk, and has accustomed himself to take eight or ten glasses through the day. Altogether the camp life of the invalid ought to be made as bright, as cheerful, and as comfortable as the circumstances of the place will admit. If sometimes the days drag monotonously — and they will — let it be kept steadily in mind that if the ex- periment is worth making at all, it is worth making 70 THE WILDERNESS CURE. well and thoroughly. And if weeks, and even months, should pass, bringing little of that restored strength which was promised, then let this solacing reflection arise, that in nearly every instance where the case has been serious, the patient has been called upon thus similarly to put his faith to the test, but that in the end the wilderness has wrought a cure which has sometimes seemed little less than a miracle. CHAPTER VII. WINTERING IN THE WILDERNESS. The proposition to spend a winter in the Adiron- dack wilderness, when first made to a consumptive invalid, shivering even in the May temperature of ]STew York City, seemed grotesquely absurd. Most of us have long been taught to look upon mild climate as a prime requisite in the cure of weak lungs. To ac- cept, in place of this orthodox creed, one diametri- cally opposed thereto, and to voluntarily go in search of what heretofore we had conscientiously run away from, was like stumbling upon a new Galileo, with a new dogma to shake fixed faith and disarrange the stars themselves. And yet this experiment of sending pulmonary patients to winter in a cold region is by no means new or untried. The virtues of the Alps in this mat- ter have been put to the test for many years, and with results that abundantly justify the theory. In an untechnical, but interesting, paper, published some two or three years ago in the Fortnightly Review, and entitled "Davos in Winter," many facts are given which bear so directly on the subject in hand, that I may be pardoned for reproducing some brief 72 THE WILDERNESS CUEE. extracts therefrom. The writer tells us that a German physician of repute, himself far gone in consumption, determined in 1865 to try whether high Alpine air was really a cure for serious lung disease. In spite of having to rough it more than invalids find safe and pleasant, the doctor derived so much benefit from his first visit that he persevered and ultimately re- covered his health. The result is that Doctor Unger and his fellow- workers have transformed Davos from a mere mountain village into a health-station fre- quented by nearly one thousand invalids who passed the winter with every comfort of good accommoda- tion, excellent food, and not a few amusements. Continuing, the writer in the IZevieio says : " The method of cure is very simple. After a minute per- sonal examination of the ordinary kind, your phy- sician tells you to give up medicines, and to sit warmly clothed in the sun as long as it is shining, to eat as much as possible, to drink a fair quantity of Valtel- line wine, and not to take any exercise. He comes at first to see you every day, and soon forms a more definite opinion of your capacity and constitution. Then, little by little, he allows you to walk ; at first upon the level, next up-hill, until the daily walks begin to occupy from four to ~Q.ve hours. The one thing relied upon is air. To inhale the maximum quantity of the pure mountain air, and to imbibe the maximum quantity of the keen mountain sunlight, is the sine qica non. Every thing else — milk-drink- ing, douches, baths, friction, counter-irritant appli- cations, and so forth — is subsidiary. Medicine is very WINTERING IN THE WILDERNESS. 16 rarely used ; and yet the physicians are not pedan- tic in their dislike of drugs. They only find by long experience that they can get on better without medi- cine. Therefore they do not use it except in cases where their observation shows that it is needed. And certainly they are justified by the result. The worst symptoms of pulmonary sickness — fever, restless nights, cough, blood-spitting, and expectoration — gradually subside by merely living and breathing. The appetite returns, and the power of taking exer- cise is wonderfully increased. When I came to Da- vos, for example, at the beginning of last August, I could not climb two pairs of stairs without the great- est discomfort. At the end of September I was able to walk one thousand feet up hill without pain and without fear of hemorrhage. This progress was main- tained throughout the winter ; and when I left Davos, in April, the physician could confirm my own sensa- tion that the lung, which had been seriously injured, was comparatively sound again, and that its wound had been healed. Of course I do not mean that the impossible had been achieved, or, in other words, that what had ceased to be organic had been recom- posed for me, but that the disease had been arrested by a natural process of contraction." All that the writer here claims for the little Alpine village may be applied with equal force to the St. llegis country. If the elevation of the latter is much less than that of the former, the purity of the atmos- phere, the abundance of sunlight, the complete ab- sence of anything like dampness, and the almost 4 74 THE WILDERNESS CUKE. magical results of the climate, are all as characteristic of the Adirondack wilderness as of Davos. Here, as there, the worst symptoms of pulmonary complaints subside by merely living and breathing. Here, as there, the appetite returns, and the progress of the disease is arrested. But, whereas in Davos, the pa- tient finds himself forced to combat the evil in- fluences attending a sanitarium, to which reference has already been made in these pages, in the wilder- ness he may utterly avoid contact with people af- flicted like himself; and, whereas, to a thousand Americans upon whom consumption has laid its skeleton hand, the long journey to the Alps would be as impossible as a tour around the world, this experi- ment of the wilderness may be made — and made with small outlay and little discomfort. So I hope it will not be charged to the overenthusiasm of the writer if he claims even greater virtues for the Adirondacks than others may for Davos. Dividing the year" into the two seasons of camp life and house life, the former, although necessarily varying somewhat in length, may be set down as covering at its maximum five months. It will very seldom be found safe to get into camp before the first of June ; nor is it, as a rule, desirable to remain later than the middle of October. These remaining seven months, then, constitute the winter season in the wilderness — that is, the season of house life. By this phrase, however, is not meant a life of indoor indolence. In winter, not less than summer, the great end sought after is to breathe all the pure air WINTERING IN THE WILDERNESS. 75 possible, and to keep out-of-doors as much of the time as the condition of the patient. warrants. Saranac Lake, which is something of a town for the backwoods, and which lies on the Saranac River, about thirteen miles from "Paul" Smith's, and six from Bloomingdale, has heretofore been the point to which invalids remaining through the winter have turned most often. It may be explained that Saranac Lake is here applied not to the body of water bearing that name, but to the post-office ; and the post-office, with the aid of weak lungs, has re- sulted in building up a diminutive village. A few of the winter health-seekers have remained at the St. Regis Lake House, whenever that comfortable inn has been kept open. During the past winter the house was closed to boarders. This sent the majority of invalids to Saranac. The writer, for reasons which will hereafter be explained, preferred to take up his abode in the town of Brighton, Franklin County, on the main road which leads from Bloom- ingdale to " Paul " Smith's. So far as the climatic benefits are concerned, it is really a matter of no consequence whether the invalid spends the winter at St. Regis Lake, Bloomingdale, or Saranac. I should not presume to make this statement except on the authority of a physician who has passed a num- ber of winters in the immediate neighborhood re- ferred to, and whose opinion is entitled to the high- est respect. To those who depend largely upon society for re- creation, and who are without other resources of con- 76 THE WILDERNESS CURE. tentment, Saranac Lake may be recommended as tlie most desirable spot in which, to pass the winter. Not that the village offers other than a very mild type of excitement, but in the backwoods we must measure attractions in a liberal spirit. By chance, or otherwise, Dr. Trudeau hit upon the village as the place for spending his first winter in the wilderness, and since that time many others have followed his example. The result is that a comfortable boarding- house, known as the Berkley, has been fitted up with a special view to the accommodation of invalids. There are also a number of smaller houses where good board may be obtained at reasonable rates. The Saranac Lake House, called by everybody here Martin's, stands at the northern extremity of the lit- tle lake of the same name, a mile or so from the vil- lage. Next to " Paul " Smith's, Martin's is perhaps the best-known inn anywhere in the wilderness. It has not, I believe, heretofore been kept open through the winter, but board could probably be obtained there if one chose to apply for it. Saranac gets its daily mail, enjoys telegraphic communication, and is con- nected by stage with Elizabethtown, as well as Au- sable Forks. Besides these advantages, a sufficient number of health-seekers were to be found there last winter to constitute a little social coterie. There is an Episcopal church, regularly supplied with a clergy- man, while the Methodists worship in the school- house. The post-office holds its treasures in a store, where letters and groceries are meted out together. What to others would perhaps seem an attraction, WINTERING IN THE WILDERNESS. 77 to the writer appeared as the one drawback in con- nection with Saranac. It was to rid himself of the companionship of other invalids, agreeable as that companionship might be, invalidism apart, that he avoided the place of more common resort, and found a winter home with a farmer-guide in Brighton. If the camp life of an invalid is of necessity some- what monotonous, his winter life in these woods must be even more so. And yet there is so much to com- pensate for the self-imposed exile, that the winter, to my thinking, is fraught with greater charms than the summer. Others, I know, will not agree with me in this respect ; but all who make the experiment will surely discover that wintering in the wilderness is a far pleasanter process of cure than they pictured it in fancy. A measure of monotony is conceded ; but monotony is productive of a methodical manner of life — of regularity of habits which the doctors praise and all the sage saws of the world seek to inculcate. I am forced to admit that the first winter I spent in the Adirondacks failed miserably to sustain its repu- tation for evenness of temperature and extreme cold. This, however, must be attributed to the exceptional character of that season the country over. As a rule, the winter months here will be found dry, bracing, and remarkably free from thaws. As a rule, also, to which the winter of 1879-80 afforded a striking ex- ception, snow falls in great abundance, and three or four months of continuous sleighing are counted upon with certainty. In spite of its unusual mildness, the winter we spent in the woods serves to illustrate 78 THE WILDEKNESS OUEE. what the cold season in the Adirondacks can do to- ward strengthening weak lungs. It was early enough, certainly, when the wilderness first put on its winter robes. We broke camp in a snow-storm on November 3d, and the backwoods sov- ereigns, who were called upon the next day to exer- cise their glorious right of suffrage, drove to the polls in cutters and bob-sleds. But this premature prom- ise of winter's arrival had melted completely away, even before the hopes of many a beaten candidate were extinguished in his heart. November gave us scarcely a taste after that of genuine winter. Through- out December there were some bright, clear days scattered at intervals ; in January we saw the ther- mometer once or twice mark a temperature of twen- ty-five degrees below zero, although the month, as a whole, was unreasonably warm ; while in February, bringing, as it did, more snow than the resident of New York City is likely often to see, there were times when the mercury got up to preposterously high figures, standing in the sun, once at least, above sixty. Thaws were unpleasantly frequent, and although taken as a whole, there were many days of excellent sleighing, this was so often interrupted that a carriage was more serviceable on many occasions than a sleigh. Still, in spite of these unexpected drawbacks, the climate continued to work an improvement in the writer's condition. Neither did the sudden and often extreme changes in the temperature produce any of those ill effects which almost invariably follow in other re- gions. "With a jump of the mercury from twenty- WINTERING IN THE WILDERNESS. 79 five degrees below zero to fifty degrees above, in twenty-four hours' time, exposure to the out-of-door air was attended with no bad results. The capacity of the soil to absorb all surface moisture, even in midwinter, is certainly astonishing. The atmosphere, too, seems absolutely free from dampness, even while the snow is melting under one's feet. In short, if steady and decided improvement could be made un- der the exceptionally unfavorable conditions of the winter in question, then ordinarily the cold season in the Adirondacks must prove highly beneficial to weak lungs. In sketching briefly the manner of life here in winter, the writer must draw chiefly upon his own experience. If others, like him, should regard it as desirable to search out a private boarding-place, it will be by no means difficult to accomplish that end. Along the main road, between Bloomingdale and St. Regis Lake, are scattered numerous farm-houses, in almost any one of which comfortable accommodation could probably be had. The village of Blooming- dale itself contains a good-sized inn and several dwellings of more pretentious appearance than those on the road. There are two or three stores in the place, a telegraph station, post-office, public school, and church. Certain advantages are gained if one prefers the seclusion of a private house by living on the stage road, although pleasant quarters can, no doubt, be found in many of the more remote houses. If the means of recreation through the winter months are limited, they may still serve to prevent the time 80 THE WILDERNESS CURE. from hanging heavily on the invalid's hands. In the bright, clear, sunshiny days — and a good many of these may be counted upon in the course of the sea- son — it will be the first duty of the patient to keep as much out of doors as is practicable. If his strength justifies him in taking moderate bodily exercise, lie may walk over the roads with a scene before his eyes grander than was ever yet put on canvas ; or he may strike across lots through the woods on a pair of snow-shoes, which barbarous contrivances are here indicative of civilization ; or he may hunt rabbits ; and if he knows how to use his gun, he may be sure of plenty of this lively gan^e. Should he be still too weak to safely indulge in these more violent exer- cises, he may ride out instead, and thereby secure to himself the benefit of the bracing air without the slightest fear of taking cold. The majority of the year-round inhabitants own horses, and it is not therefore difficult to obtain some sort of turnout. The writer found riding a more congenial form of exercise than any other, and made it a point to go out at least once a day, except in extremely stormy weather. It may not be out of place in this connec- tion to recommend the purchase of a buffalo-skin overcoat as by far the most suitable garment for winter wear in the wilderness. These coats are in- expensive, durable, and the only things that have been discovered warm enough to protect a person riding against the cutting winds that sweep across this country. It may not fall to the lot of all others to secure so WINTERING IN THE WILDERNESS. 81 home-like and comfortable a boarding-place as did the writer, but it is safe to say that the health-seeker will be well provided for in his wilderness abode. In the matter of food, the resources of the country are naturally less rich in winter than summer. After the first of December few if any trout are taken, nor should there be. The period in which deer may legally be killed expires now in this State the first of December, I believe. At all events, venison is a pretty juiceless meat in midwinter, and very little of it is offered for sale in the St. Regis region. Par- tridges string along until January, but they lose in plumpness and flavor, and are by no means abundant. Cutting off thus trout, deer, and birds, the domestic menu of the woods reduces itself chiefly to pork and potatoes. This diet hardly meets the wants of the consumptive patient, but he will find that those who make a business of taking boarders will not expect 3iim to subsist thereon. Our own table, which was set distinct from that of the household, was liberally sup- plied with beef, mutton, chickens, winter and canned vegetables, eggs, excellent bread, fresh butter, and milk. It is pleasant to speak in praise of the cook- ing of the Adirondack housewife, and if the expe- rience of others coincides with the writer's, such praise will be happily justified. One thing, how- ever, cannot share in the smallest measure in this otherwise complimentary report. If there be any- thing poorer in the way of meat than the average Adirondack beef, then most of us, I hope, have yet to discover it. It is tough, dry, and tasteless. If it 82 THE WILDERNESS CURE. has any mission in the world, it is to teach resigna- tion, while it strengthens the muscles of the jaw. This unvarnished truth applies equally to all beef raised and slaughtered here. Even at the best of the hotels the best of their beef would surely be criticized in a fifteen-cent city restaurant. The fault is in the country, rather than in the people ; and the deficiency can only be supplied by having good beef sent on from some point where good beef is to be had. I speak thus particularly of this matter be- cause of the large dependence which the physicians place upon nourishing beef in the diet of the con- sumptive patient. For any other delicacies it will also be necessary to look to the city markets ; but barring the beef, a wholesome and nutritious diet will be found in the winter boarding-house. With pleasant indoor accommodations, an excel- lent table, a daily drive of two or three hours, an occasional jaunt on foot, plenty of books and news- papers, and the cheering consciousness of steady progress toward recovery, the winter life of the in- valid in this remote wilderness may, after all, be counted an endurable one. If the first week or two after the breaking-up of camp should be followed by some return of the bad symptoms, it need cause no alarm. As a rule, after sleeping three or four months in a tent, any room, however well ventilated, will seem close and stifling. The lungs, long accus- tomed to the absolute purity of the tent air, become acutely sensitive to whatever is vitiated or foul. As a matter of fact, the atmosphere of a well-lighted, WINTERING IN THE WILDERNESS. 83 properly ventilated room in one of these wilderness houses is incomparably purer than the most imposing apartment in the finest city residence. While, there- fore, the change from the tent to the bedroom may here be accompanied with some unpleasant effects, it is quite certain that this change will be far less per- ceptible than would the sudden transition from the wilderness house to the city home. Among the writer's friends who shook their heads ominously over the idea of sending a sick man into the bleak woods to pass a winter, it was a common argument that if a person was compelled to spend the greater portion of the time in-doors, why not re- main at home where in-door life would certainly be more attractive ? These kindly advisers forget that the air within doors can never be purer than that outside. It may, and perhaps of necessity must, be less pure. If, then, the air is bad without, it will be the same air made worse within ; while if pure with- out, it will be by so much the purer in-doors. In a word, there is no special atmosphere manufactured for house use. Shut up in a room in Water street, a person must breathe Water street air ; housed in the wilderness, he still inhales none other than wil- derness air. And with no noxious odors, no defec- tive drains or gas-pipes, no miserable furnaces, no double windows to shut out the oxygen — with none of these abominations, but in place thereof, cheery wood-fires, open chimney-places, and a surrounding atmosphere of absolute purity, it must be admitted that in-door life in the Adirondacks gives the lungs 84 THE WILDERNESS CURE. something very different from the air of the average city house. The wilderness winter, as a rule, lingers so long in the lap of spring that he leaves very little of the calendar to be reigned over by the balmier season. Often the sleighing stretches far into April, and the ice in the lakes has been known to remain until the 10th of May. This makes June very like a Long Island April. Happily, however, the transition from winter to spring is attended with very few, if any, of those sudden changes which are apt to prove so try- ing to weak lungs in places like New York and Bos- ton. And this adds another to the many virtues of the Adirondack region, the more conspicuous because it is possessed by so few of the health resorts. Even our Davos enthusiast admits that the Alpine village should be deserted by the invalid with the first ap- proach of spring. Here, all seasons seem to afford more or less benefit to the consumptive. Pie is not forced to fly at the approach of spring or to inter- rupt the slow processes of nature with the coming of the winter. To all who may be induced to try the wilderness experiment, the writer would say, and say most earnestly, that the winter residence is quite as essential as the camp life through the warmer months. Even if the latter fails to accomplish any perceptible good in the patient's condition, let him still hold fast to his faith in the cold-weather theory. The danger is, that either discouraged at the absence of the re- sults expected, or, in more fortunate cases, made too confident by a speedy progress toward recovery, the WINTERING IN THE WILDERNESS. 85 invalid yields to a natural desire to return to home and kindred or to those pursuits which he fancies he is strong enough to follow, and so puts an end to the experiment before he has given it half a trial. An active, energetic man may look upon a year's banish- ment from the field of his labors as too hard a sen- tence ; but a shorter sojourn than that, where pul- monary disease has taken any firm hold on its victim, will fail to give the wilderness cure a reasonable test- It must be winter as well as summer — perhaps two or three winters and two or three summers. A long game — but the stakes are high. CHAPTER YIII. THE YEAR-ROUND INHABITANTS. Mr. Richard Grant White has somewhere put on record that, to his thinking, " there is nothing in the world more charming than simple, unpretending ignorance, nothing more respectable, nothing surer to elicit sympathy from healthy minds." If this use of words be not an abuse, then to find what is su- premely charming, overwhelmingly respectable, and superlatively deserving of sympathy Mr. White and the rest of the world should come up here and min- gle with the native inhabitants. To the year-round resident of the wilderness the world is bounded by Canada on the north, Platts- burg on the east, Boonville on the south, and Ma- lone on the west. All that lies beyond this clearly defined territory is dim, shadowy, and uncertain. The end and aim of life is to " guide " in summer, and " log " in winter. Nowhere else on the face of the earth is it so easy to divide all people into classes at once so distinct and comprehensive. Every man must come under one of the two heads — he must be either a guide or a sportsman. For the qualifications of the latter, anything like previous training is un- THE YEAR-KOTTND INHABITANTS. 87 necessary. The writer freely confesses that before he came into the St. Regis country he had never to his knowledge, shot off a gun in his life, except possibly the air-guns that are sometimes made a tributary means of revenue in church fairs ; he had never cast a fly, nor jointed a rod, nor told a fish story — inten- tionally, at any rate — he had never seen a deer save those in Central Park, while the few " strikes " he ever made on speckled trout were confined exclu- sively to Fulton Market. And yet — the assertion is made with a full sense of the responsibility that may hereafter attach thereto — and yet he was not fairly in the wilderness before he made the startling dis- covery that he was a "sportsman." So much for one of the grand divisions of mankind as found in the St. Regis country. The other is far more unique and interesting. To begin with, the nationality of these backwoods- men is a mixed problem. French blood mingles in at least equal proportions with American, and proba- bly nine-tenths of all the people are descended more or less directly from Canadian ancestors. The French of Canada is not exactly the French of Paris, but it may be said to bear about the same relation to the latter that the sardine does to the herring. Ichthyo- logists classify these fishes under the same family head, but it is not very difficult to distinguish be- tween them. Here in the immediate St. Regis Lake region a large proportion of the inhabitants speak Canadian French with at least as much facility as they speak English. The vastness of the country, OO THE WILDERNESS CUEE. as compared with the population, has led to such a complex intermarrying that pretty nearly everybody is either the aunt or uncle or cousin of everybody else. If the soil yields but a sorry harvest of grain, it seems at least adapted to the production of large families. A dozen children and sometimes a score grow to robust maturity in spite of all hardship and privation. That the life of these people is a hard one — that the privations they are called upon to en- dure are such as would drive away a less hardy or stubborn race — is not to be denied. The few acres of land that have been cleared and cultivated return at best but a meagre harvest for the most unremit- ting toil. Through the long winter the one industry which offers employment is the chopping and draw- ing of logs. Many a man is glad to swing an axe ten hours out of the twenty-four for seventy-five cents wages. Ready money is always scarce and always hoarded. Young and old live principally on pork and potatoes, with now and then a soup of dry beans or peas. Sheep thrive here fairly well, but the mut- ton is, as a rule, regarded too valuable a product to be used for food. The wife of the backwoodsman works even more untiringly than her husband, and in the absence of the latter often does unaided the drudgery which should be assigned only to men. But there comes a genial ray of sunlight into the wilderness with the advent of the sportsmen. It is then that every man and boy is ready to offer his services as a guide. The guide does not grow. He bears a striking resemblance to the city barber in THE YEAR-ROUND INHABITANTS. 89 that he never serves an apprenticeship. The world, or at least as much of it as is shaved, long ago dis- covered that the barber-shop never existed which employed other than experienced " artists." It fol- lows, therefore, that the barber, full-fledged, springs up in the night or else drops from the skies, razor in hand, and the praises of the best hair tonic in the world on his lips. Similarly comes the Adirondack guide into this barren world. He rolls, so to speak, out of his log cradle into a pair of top boots, dis- cards the bottle for a plug of tobacco, possesses himself of a boat and a jackknife, and becomes forthwith an experienced guide. His duties are multifarious. He pulls a steady if not exactly scien- tific oar ; he carries his boat on his shoulders from one mountain pond to another, often a distance of two or three miles ; he conducts you to the spot where deer ought to be, and where sometimes they are ; he fishes for you if you don't know how to fish for yourself, and breaks your new fly-rod with per- fect good humor; if in camp, he cooks and chops wood and forecasts the weather with an unvarying inaccuracy which would discourage the most hopeful of meteorological prophets. It would never do to assert that the Adirondack guide is constitutionally lazy after thus particularizing his labors. True, he is forced to drag through seven or eight months of the year in waiting for the other four or five months to come around ; but that is not his fault. Nor is this period of waiting by any means one of idle ease. The winter work is far more laborious and much 90 THE WILDEENESS CTJEE. less profitable than the summer guiding. Many of the men spend a good part of the cold season in a logger's camp, as it is called, and that is a kind of camp which offers very few attractions. It implies steady chopping from sunrise to sunset, exposure to the coldest weather, coarse fare, small wages, and no pleasanter recreation than a pipeful of tobacco in the evening. Harder even than the cutting, ' c skidding" (which means piling), or drawing of logs, is the driv- ing of them down the rivers in the spring. The drivers are often drenched with water or half frozen by cold ; and they run no inconsiderable risk of los- ing life or limb. The work pays better, however, than any other branch of the lumberman's calling. Besides the severity of the winter work here, there is frequently no job to be had even at the small wages demanded. Last winter, for example, the lack of sleighing, without which the drawing of logs cannot be undertaken, shut out many men from the chance of earning a few needed dollars. Were it not that the cost of living is reduced to its mini- mum, the less thrifty inhabitants would be driven to sorry straits. Many of them are poor enough, as it is ; but there is none of that acute suffering from poverty which is to be found in the cities. Oddly enough, the want of money here, while it may en- hance its value as a personal possession, seems to give to the native a supreme indifference for the wealth of others. This wealth may have its existence wholly in the imagination, as much of it indeed does ; but that is of small matter so long as the stock of imag- THE YEAR-ROUND INHABITANTS. 91 ination holds out. The Adirondack guide, whose uncertain income seldom reaches five hundred dollars a year, will talk to you of millions with the refresh- ing assurance of Colonel Sellers. He sets every man down as rich who comes into the wilderness unpur- sued by a deputy-sheriff. He believes that eveiy man is a sportsman because he is rich, and that he is rich because he is a sportsman, and that he is both because he is not a St. Regis guide. There you have the pith of backwoods logic in a nutshell. The crossing of nationalities — the uncommon con- genital mixture of a French peasant and a Yankee backwoodsman — gives rise to some curious combina- tions in names. You may find the thoroughly Anglo- Saxon James, John, and Henry, flanked by such sur- names as St. Germain, La Bountie and Bobal. Y T ou may have your faith in philology sadly shaken by the discovery that Mitchell Sweeney is a Frenchman, and that Mrs. Stephen Otis cannot speak English. It is a noteworthy fact that almost without exception the French residents give no hint of their nationality in speaking English. It may not be very pure English, but it is certainly freer from provincialisms and infi- nitely better in its pronunciation than is the speech of the average rural New Englander. This wilderness must be set down as a spot which puts greatness to a terribly severe test, and extin- guishes notoriety with a beautiful simplicity. Edison's name is unknown, and the thrifty housewife who told me that she thought she remembered vaguely of having once heard of Henry "Ward Beecher, 92 THE WILDEENESS CUEE. compelled an indescribable admiration. The late Yice-President of the United States secure his claim to recognition, not because of the office he held, but because he lived in Malone. John Brown is not here the martyr to a great cause, but the man who bought a big tract of land in North Elba. I remember, at the time when the tempest-tossed bones of the late A. T. Stewart were rattled afresh in the public ears, Joshua La Fontaine came over to camp one day on a friendly visit. We fell to talking together, and I drew out some curious confessions from Joshua. He had lived the thirty-five years of his life wholly in the woods. He had never visited a city, nor even a village ; never had ridden on a railway, nor seen a steam engine ; never had been to a circus nor to school ; was in doubt as to whether Plattsburg was a bigger place than New York ; and was profoundly impressed by the statement that the earth is round and not flat. The mention of Plattsburg suggested the Stewart case for the double reason that, in the correspondence printed a few days before, that town had incidentally figured, and also because Plattsburg was reasonably to be considered within Joshua's geo- graphical grasp. " They seem to have found out where Stewart's body is, at last," said I, taking up the newspaper which contained the report. " Yer don't say so ? " said Joshua, evincing at once the keenest interest in the subject. " Yes ; and, according to the story here, it passed through Plattsburg on its way to Montreal." THE YEAR-ROUND INHABITANTS. 93 "My land o' the livin', now, who'd a thought that?" rejoined Joshua, gazing meditatively at the back of his left hand while he worked the ringers as if to test their joints* "If what the paper says is true, Judge Hilton can get the remains by the payment of two hundred and fifty thousand dollars." " He ken, ken he ? "Wall, now, I'll be chewed ! " " Yes ; the thieves sent on the silver plate and the piece of coffin-lining that was cut out, so there can be no question about identity." " Jes'so ! And the Jedge ken git 'em for two hundred and fifty-thousand dollars ? " " That's the sum. Seems pretty big, doesn't it — but there's money enough back, you know." " Two hundred and fifty thousand dollars ! " repeat- ed Joshua, still studying with profound interest the back of his hand. " Wall, now, I'd never athought old Stewart left as much as that behind him ! " " Why, bless your soul, he left probably a hundred times that sum ! " " Old Jeems Stewart did ? " " Jeems ? His name wasn't Jeems — it was Alex- ander—A. T. Stewart," There was dead silence for half a minute, and then Joshua, finishing the inspection of his last knuckle, remarked : " I thought yer was talking about Jeems Stewart who bought that thar mill up at Keeseville. I guess I never beared of this other one — Alexander B., did you say ? " 94 THE WILDERNESS CURE. " T.," I murmured faintly. And there ended my effort to discuss affairs of the day with Joshua La Fontaine. Under this surface of calm indifference to all that is passing in the great world outside, there is a solid basis of content. Without this the Adirondack back- woodsman would be impossible. His ignorance, after all, is superficial; his wisdom is deep-rooted and practical. He may not be able to write his name, but he can read with unerring accuracy the chirog- raphy of nature. He may not know his letters, but he never trips on the alphabet of forest lore. He finds himself born to a lot of privation and hardship. Instead of repining over this, or vainly coveting the fortune of the more prosperous, he sets to work man- fully to make the best of his surroundings. In an exceptional degree he is thrifty, saving, and indus- trious. Not a few of the men in the St. Regis country have, by the dint of unflagging toil, amassed a competence. They recognize, apparently by some intuitive wisdom, that while the lines of their life here are not cast in easy places, still it is here that they can best fight the battle for bread. They have no desire to throw themselves into the vortex of city life, nor are they often led away by the ignis fatuus of the indefinite West. In this respect, and especially among the young men, the prevailing characteristic of the year-round inhabitant is peculiar. In almost every farming region, the dream of the younger gen- eration is to break loose from home moorings, and cast their fortune upon the untried sea of the world THE YEAR-ROUND INHABITANTS. 95 outside. Here, on the contrary, this ambition for a larger field of action — this craving to see and know something of the busy world we inhabit — seems to be utterly lacking. If content be indeed another name for happiness, the dwellers in the wilderness ought to be supremely happy. The green earth over, there certainly could be found no better spot in which temporarily to plant a college sophomore or a rural Congressman. The small vanities and pretensions of a man will be taken out of him here with much the same jerky suddenness that a fish is taken out of the water. Tie may be great in a town, great in a State, great even in a nation ; he will be small as a midge here unless he can cast a scientific fly, or hit a buck at a hundred yards. Hard-working, truthful, sober, book-ignorant, na- ture-wise — this is the general character of these back- woods dwellers. And yet you cannot bunch these men and label them with any one ticket. Here, as elsewhere, the good and the bad may be found ; and under a crust of laziness and saleratus I have dis- covered many a brave, patient, and heroic nature — men like the trees they have grown up among, sturdy and upright as the grand old pine, yet as f nil of the juices of humanity as the maple is full of sap in spring. CHAPTER IX. DK. LOOMIS ON THE ST. REGIS COUNTRY. To Prof essor Alfred L. Loomis, of New York City, belongs, in a very large degree, the honor of awaken- ing in the medical profession a lively interest in the curative powers of the Adirondacks. A paper of his on this subject was read before The Medical Society of the State of New York in 1879, and afterward printed in the Medical Record. That paper must stand as the excuse for this little book. Not only in New York, but all over the country, the doctors evinced a sudden enthusiasm respecting the Adi- rondacks that was obviously kindled by Dr. Loomis- s torch. Limited as is the writer's own circle of ac- quaintance, he has been besieged in his wilderness retreat by letters of inquiry from those seeking the facts this volume is designed to furnish. Among other things wanted was Dr. Loomis's paper. Ap- pearing as it did in a strictly technical journal, it could not, of course, reach the mass of unprofessional readers. That is why it has been thought well to in- clude it in this book. The writer hastens to add that the distinguished medical professor is not only not responsible for this DR. LOOMIS ON THE ST. REGIS COUNTRY. 97 republication of his essay, but he is ignorant even of its appropriation. Furthermore, the writer does not enjoy a personal acquaintance with Dr. Loomis. If he did, this public apology might not be called for. As it is, he sincerely hopes that the use of this ma- terial will not seem a misappropriation. The article is given entire. All attempts to con- dense or abbreviate a purely technical article, written by a physician, are usually worse than vain. They are apt to do the medical author a positive injury. This was abundantly proved in the only newspaper extract of Dr. Loomis's paper which the writer has seen. Apart from that, although designed for pro- fessional ears, there is not a word in Dr. Loomis's report which will not be read with keen interest by every sufferer from phthisical disease. Dr. Loomis's Address. Mr. President and Gentlemen of the State Medical Society: — I invite your attention to the Adirondack region as a therapeutical agent in the treatment of pulmonary phthisis. I have long been convinced that the most important factor in the successful manage- ment of pulmonary phthisis is to be found in climate. It seems to me that at the present time no subject of medical study is more deserving of attention than the climatic treatment of disease, yet to a student of the medical literature of to-day there is none more confusing and unsatisfactory. Some localities have been considered especially favorable on account of their equability of temperature, others on account of 5 98 THE WILDERNESS CTTKE. their luxurious vegetation or their peculiarity of soil ; some on account of the dryness, others on account of the humidity of the atmosphere, From the data given, widely differing conclusions have been reached by different observers. In regard to the localities which are claimed to be especially adapted to the treatment of pulmonary phthisis, few writers have carefully observed, for any considerable length of time, the effect of the climate upon individual cases, or, if they have so observed, they have not made public the result of such observations ; and on this ac- count very definite conclusions as to the relative merits of the different localities have never been reached. In the preparation of this paper, my object has been to show the effect of the climate of the Adi- rondack region upon all the cases of well-developed phthisis which, under my observation, have given the region an extended trial. I am largely indebted for facts given, and the history of cases, to my friend Dr. Edward L. Trudeau, who, with a phthisical invalid, took up his residence in this region five years ago. By way of explanation, I would state that clinic- ally and pathologically I recognize three varieties of pulmonary phthisis, viz., catarrhal phthisis, fibrous phthisis, and tubercular phthisis. In catarrhal phthisis, the primary changes are in the cavities of the alveoli and bronchi, and are epi- thelial and cellular in their nature. In. fibrous phthisis, the primary changes occur in the bronchial and alveolar connective-tissue, and are connective-tissue hyperplasias. DR. LOOMIS ON THE ST. REGIS COUNTRY. 99 In tubercular phthisis, the primary changes occur in the lymphoid elements of the lung, associated with connective- tissue hyperplasias forming little masses or nodules, which ordinarily are termed tubercles. The development of tubercle in a lung may be pre- ceded or accompanied by an alveolar cellular process, or by a connective-tissue hyperplasia, and as the one or the other predominates, so is the duration of the case long or short. In the later stages of these different varieties of phthisis, it is always difficult, and sometimes impos- sible, to distinguish the one from the other ; but in the earlier stages, in most cases, the differential diag- nosis can readily be made. The peculiar clinical feature of catarrhal phthisis is, that at the onset the local symptoms are well marked and precede or accompany the constitutional. The local signs may be those of pneumonia or of localized bronchitis of the small tubes, while the peculiar clinical feature of tubercular phthisis is, that at the onset of the disease there are few local signs, while the constitutional disturbance is very marked. Fibrous phthisis is distinguished from all other forms by its greater chronicity. Usually it commences as a chronic affection, coming on very insidiously. Its chief clinical feature is, that its development is preceded by a chronic bronchitis or pleurisy limited to one lung, or perhaps an unresolved pneumonia. In rare instances, it is developed in the course of some constitutional disease — as syphilis, gout, etc. These three varieties of pulmonary phthisis not 100 THE WILDERNESS CURE. only differ in their origin, mode of development, progress and termination, but necessarily they require different plans of treatment, and are differently af- fected by climate. To rightly estimate the effect of the climate of any place or region, it is absolutely necessary that we be able to determine what variety of phthisis it is that is cured or arrested in that locality. Frequently, in- dividuals with catarrhal phthisis will do badly at an altitude at which those with fibrous phthisis will be benefited. Besides, in determining the locality in which phthisical developments will be most likely to be arrested, we must take into account the age and general condition of the individual. Tgr instance, an enfeebled and broken down middle-aged phthisi- cal subject does badly in a high mountain region, but is benefited by the air of the sea. The region known as the Adirondack region is com- prised in that portion of our State which lies north of the Mohawk and west of the Champlain Valley. It may be said to include the counties of Clinton, Franklin, Essex, Hamilton, with portions of adjoin- ing counties, and has an area equal in extent to nearly one-third of the State of New York. Within its limits there is a plateau from 1,500 to 2,000 feet above sea level, 150 miles in length (latitude), and 100 miles in breadth (longitude). On this plateau there are more than two thousand square miles of primitive forests, mostly evergreen, and many hun- dred lakes and ponds. From the surface of this plateau rise granitic mountain peaks more than five DR. LOOMIS ON THE ST. REGIS COUNTRY. 101 thousand feet in height. The drainage of this table- land is toward Lake Champlain on the east, the St. Lawrence River on the northwest, and the Hudson River on the south. Many of the streams which flow in these different directions intercept each other, and some of them, as well as the lakes, are navigable for light canoes or boats. Occasionally there are easy portages between these bodies of water, and sometimes we meet with rapids or falls. I doubt whether any region in this country furnishes to the invalid or pleasure-seeker such a stimulus to out-of- door life. Mr. Verplanck Colvin, in the conclusion to his re- port, published in 1874, on the Topographical Survey of the Adirondack Wilderness, uses the following words to express his enthusiasm — words which fitly express the enthusiasm of many another one familiar with this region : "The Adirondack wilderness may be considered the wonder and glory of New York. It is a vast natural park, one immense and silent forest, curi- ously and beautifully broken by the gleaming waters of a myriad of lakes, between which rugged moun- tain ranges rise as a sea of granite billows. At the northeast the mountains culminate within an area of some hundreds of square miles ; and here savage, treeless peaks, towering above the timber line, crowd one another, and, standing gloomily shoulder to shoulder rear their rocky crests amid the frosty clouds. The wild beasts may look forth from the ledges on the mountain sides over unbroken wood- 102 THE WILDERNESS CUKE. lands stretching beyond the reach of sight — beyond the blue hazy ridges at the horizon. The voyager by canoe beholds lakes in which these mountains and wild forests are reflected like hi verted reality ; now wondrous in their dark grandeur and solemnity; now glorious in resplendent autumn color of pearly beauty." These words are the enthusiastic outbursts of one who has a more accurate and comprehensive knowl- edge of the topography of this region than has any other man. It is not surprising that in such a region the tired worker and worn-out invalid find the rest and quiet which is so powerful a restorer of health. Here, as I have already intimated, there is every inducement for . one to lead an out-of-door life ; the very surroundings infuse new life into the feeble body, and one daily grows stronger and stronger and feels better, scarcely able to tell how or why. One condition which I regard of the greatest importance in seeking a suitable home for the phthisical invalid is here met with, viz. : dryness of soil. Undoubtedly a damp warm, as well as a damp cold, climate acts unfavorably upon phthisical invalids, but the peculiar dampness which acts most unfavor- ably is not usually present in those localities where there is the greatest rainfall, nor is it present because large bodies of water are in close proximity, but it mainly depends upon the nature of the soil. To avoid this dampness, the soil should be porous and sandy — a loose soil of sufficient porosity to permit the DR. LOOMIS ON THE ST. REGIS COUNTRY. 103 rapid filtering of water from its surface, so that after a heavy rainfall the surface will soon become dry. All clay soil drains slowly and imperfectly, and the peculiar dampness arises which acts so unfavorably on phthisical invalids. Laennec states, that the dampness arising from such a condition of soil is one of the most certain developing causes of phthisis, and he makes mention of a locality, having such a soil, in which the dampness was so constant and of such a character, that more than two-thirds of the resident population died of phthisis. In determining the fit- ness of a locality as a residence for phthisical invalids, I have come to regard the external configuration and conformation of the soil as of greater importance than the amount of rainfall, or the relative moisture. The climate of the Adirondack region may be con- sidered a moist, cool climate. The rainfall is above the average for other portions of the State, and may be roughly estimated at fifty-five inches. The spring is cool, and there is considerable rain until about the middle of June. There is a dry period during the summer, when little rain falls, and the days become hot, while almost without an exception the nights are cool, often cold, and heavy dews fall. There is rarely at any time excessive heat, and during the warmest weather there are but few nights, even in August, when a blanket is not needed. My friend Dr. Tru- deau, who has remained here summer and winter for the past five years, makes the following statement : " That he has never found the mercury above 87° during the past six summers, and this high temper- 104 THE WILDERNESS CUKE. atnre was only maintained for a few hours during the afternoon. The air during the fall months, with the exception of one or two long rain-storms, is bra- cing and admirably suited to out-of-door life. During the winter the cold is almost uninterrupted, no thaw- ing of any consequence taking place before the month of March. There is a preponderance of cloudy days and snow-storms. The mercury, during January and February, frequently for days at a time stands many degrees below zero. As the cold weather usually con- tinues until the end of March, the thawing takes place quickly, and owing to the sieve-like nature of the soil the snow disappears very rapidly, conse- quently the change from winter to spring is soon ac- complished. There is no marked preponderance of clear days at any season ; on the contrary, the sky, especially in winter, is constantly overcast. This cool, cloudy weather is a marked feature of this climate. The altitude varies with the different localities ; but the immense plateau which forms the lake region of the Adirondacks is about eighteen hundred feet above sea-level. The soil is very light and sandy, with here and there rocks, but little or no clay. There appears at first sight but little to induce one to consider this locality as favorable for persons af- fected with phthisis. Hitherto heat and cold and absence of moisture, or an equable temperature, have been regarded as necessary in order to favorable re- sults in the treatment of phthisis ; but it has been shown by trial that neither cold, nor heat, nor mois- DR. LOOMIS ON THE ST. REGIS COUNTS Y. 105 % ture, alone, are all-sufficient factors in guiding us to a right understanding of the most favorable atmos- pheric conditions for phthisical patients. In a written communication to me, Dr. Trudeau also says : " High mountains, the desert, and the open sea, have per- haps given so far the best results in the treatment of chronic chest disease ; and yet all these differ widely except in one respect, namely, purity of atmosphere. It is neither hot nor cold air, damp nor dry air, but pure air which is necessary to diseased lungs. Many conditions render the atmosphere of these mountains perfectly pure. The elevation of this region, its sandy soil, the undulating nature of the country, which ensures perfect drainage ; the absence of culti- vation, even of dwellings — all these conditions pre- clude the presence of telluric or miasmatic poison, and we have a purity of atmosphere unknown in more settled districts. The forests of this region are almost unbroken, stretching over the valleys, cover- ing the mountains often to their very summit, and extending in some directions for nearly a hundred -miles, while innumerable lakes dot this elevated pla- teau and give moisture to the air. That the atmos- phere of such a region, especially when set in motion, should, by its contact with myriads of tree-tops and pine sheaves, become heavily laden with ozone is a natural sequence. Whatever other properties this gas may hereafter be found to possess, we know that it is a powerful disinfectant and Nature's choice agent for counteracting atmospheric impurities. This pro- cess, which during the summer months is carried on 5* 106 THE WILDERNESS CURE. by all varieties of trees, during the winter months is maintained by the evergreens, while the deciduous trees are deprived of "their foliage. Pine, balsam, spruce, and hemlock trees abound, and the air is heavily laden with the resinous odors which they ex- hale. An agent which it is universally admitted ex- erts a most beneficial influence on diseased mucous membranes is thus brought in contact with the air- passages, while balsamics, which are also disinfect- ants, purify the atmosphere, which is constantly im- pregnated with them. Besides this, the air of the wilderness is optically pure, noticeably free from dust or visible particles of any kind. The invalid, there- fore, is here surrounded by a zone of pure air, which separates him, as it were, from the germ-pervaded world, and his diseased lungs are supplied with a specially vitalized and purified atmosphere, free from germs and impurities of any kind, and laden with the resinous exhalations of myriads of evergreens.'' Though as yet but few phthisical invalids have been induced to give the Adirondack region an ex- tended trial, the good results obtained by those who have remained there for any considerable length of time are the strongest arguments in its favor. Dr. Trudeau writes : " My own personal experience and my personal observation of other phthisical invalids lead me to say that any comparison of the relative £;ood effects of the climate of St. Paul, Minn., or of the South, with that of the Adirondack region, is decid- edly in favor of the latter." In regard to camp life, he writes : " Camping out, which is the peculiar fea- DR. LOOMIS ON THE ST. REGIS COUNTRY. 107 ture of this place, if done in an intelligent manner, from June to October, I consider an important and beneficial measure in the treatment of phthisis; if done carelessly, it is by no means free from risk. The advantages gained by this mode of life are evident. The phthisical invalid for four months, night and day, lives out-of-doors, in a pure atmosphere ; he is quiet, has perfect rest, plenty of good food (for which this mode of life gives an amazing relish) ; he has no opportunity to daily observe the effect upon other phthisical invalids of the disease from which he is suffering ; his surroundings are such that he can lie down whenever standing fatigues him, can eat when- ever he is hungry, sleep when exhausted, and dress as suits his own comfort — all of which comforts the requirements of society sometimes interfere with. " All these things — the breathing of the pure air of the wilderness, the perfect rest, the wholesome food, and early hours — combine to make tent-life a powerful weapon in combating this disease. " Exposure in inclement weather, which this mode of life at times renders almost unavoidable, is well borne in this climate by phthisical invalids who stead- ily live out of doors. During the past six years I have never seen any evil results from this mode of life ; but I have seen men in camp lose their cough and gain in flesh while it rained daily, and in the midst of occasional frosts and snow-storms." Dr. Trudeau expresses himself strongly on this point, having faithfully tried tent-life, and he adds : " Many of the risks supposed to attend out-of-door 108 THE WILDEENESS CUBE. life exist only in the imagination of the timid ; " and he believes that tent-life, and a return to the invigor- ating, ont-of-door existence of the savage is Nature's antidote for a disease which is almost an outgrowth of civilization and its enervating influences. To proceed to results obtained from a fair trial of this region. Case I. — Eleven years ago, in the summer of 1867, as an invalid, I first visited this region. For several months previous I had suffered from cough with muco-purulent expectoration, loss of flesh and strength, night-sweats, and other rational and physical signs which attend incipient phthisical development. The only survivor of a family, every member of which (save, perhaps, one) had died of phthisis, I had come to regard my case a critical one. A Southern trip had not relieved, if it had not aggravated, my phthisical symptoms. In this condition I went into this region and into camp, and when, before the summer months had passed, I came out of the Adirondack or north woods free from cough, with an increase in weight of about twenty pounds, with greater physical vigor than I had known for years, I very naturally became an enthusiast in regard to them. My personal experience that summer convinced me that there was something in the air of this region especially adapted to diseased lungs ; that, if the climate had no direct influence in arresting or pre- venting phthisical developments, it certainly allayed bronchial irritation, and the phthisical invalid soon became able to spend the greater portion of his time DR. LOOMIS ON THE ST. REGIS COUNTRY. 109 in the open air ; still more, his surroundings were such that if a lover of nature or of sport, he neces- sarily forgot himself, and thus was nature aided, and vigor and health restored. I would mention here that my personal experience, as well as my experience since that time in regard to its effect upon others, leads me to believe that, dur- ing the warm season, a camp or tent-life is of the greatest service to pulmonary invalids, if they are not enfeebled. From time to time, since that summer, eleven years ago, I have sent phthisical invalids into this region. At first I sent them only during the sum- mer months, but I found that while temporary relief was afforded, and in some instances marked improve- ment took place, in cases of fully developed phthisis the latter was not permanent, and although the win- ter months might be spent at the South, yet before another summer came around the disease progressed. Not until 1873 was I able to persuade any phthisical invalid to remain during the winter. The effect of the winter climate on this invalid showed so marked- ly the benefit to be derived from a winter's residence in this region, that from that time, each winter, others have been induced to remain. Fourteen re- mained last winter. A brief analysis of the cases which have been under my own personal supervision, or that of Dr. Trudeau, will, I think, enable us to reach some satis- factory conclusions in regard to the therapeutical effects of the climate of the Adirondack region. They 110 THE WILDERNESS CTTEE. are unselected cases, and the only cases of value, as these are the only phthisical invalids who have re-* mained in the region a sufficient length of time to give the climate anything like a fair trial. Case II. — Dr. E. L. T , aged twenty-five ; fam- ily history good ; began to lose his health in the win- ter of 1872. His symptoms were rapidly becoming urgent ; he was examined by several physicians. Ex- tensive consolidation at left apex was found, extend- ing posteriorly nearly to angle of scapula ; on the right side nothing was discovered save slight pleuritic adhesions at the apex. He was ordered South, but returned in the spring in no way benefited. On the contrary, night-sweat- ing had set in, and his fever was higher. In the latter part of May he started for the Adirondacks, the ride in the stage being accomplished on an im- provised bed. His condition at this time was most unpromising ; he had daily fever, night-sweats, pro- fuse and purulent expectoration, had lost his appe- tite, and was obliged constantly to have recourse to stimulants. Weight about one hundred and thirty- four pounds. He began to improve at once, his appetite returned, all his symptoms decreased in severity, and after a stay of more than three months he returned to New York, weighing one hundred and forty-six pounds, with only slight morning cough, presenting the appearance of a man in good health. A few days after his arrival in New York he had a chill, all his old symptoms returned, and he was advised to leave for St. Paul, where he spent the DR. LOOMIS ON THE ST. REGIS COUNTRY. Ill entire winter. He did badly there ; was sick the greater portion of the winter. In the spring of 1873 he again went to the Adirondacks. At this time he was in a most debilitated state, was anaemic, emaci- ated, had daily hectic fever, constant cough, and pro- fuse purulent expectoration. The marked improvement did not commence at once, as it did the previous summer, and the first of September found him in a wretched condition. I then examined him for the first time, and found com- plete consolidation of the left lung over the scapula and supra-scapula space, with pleuritic thickenings and adhesions over the infra-clavicular space. On coughing, bronchial rales of large and small size were heard over the consolidated portion of the lung. Over the right infra-clavicular region the respiratory murmur was feeble, and on full inspiration pleuritic friction sounds were heard. I advised him to remain at St. Regis Lake during the winter, and although he was repeatedly warned that such a step would prove fatal, he followed my advice. From that time he began slowly to improve. Since that time he has lived in this region. At the present time his weight is one hundred and fifty-eight pounds, a gain of twenty-two pounds since he first went to the Adirondacks in 1873, and ten pounds more than was his' weight in health. lie has slight morning cough and expectoration, his pulse is from 72 to 85, and he presents the appearance of a person in good health. In his lungs evidences still remain of the disease he has so many years combated. 112 THE WILDERNESS CUEE. Although he has made three attempts to live in New York, at intervals of two years, each time his re- moval from the mountains has been followed within ten days by a chill, and a return of pneumonic symp- toms — symptoms so ominous that he lias become convinced that it will be necessary for him to remain in the Adirondack region for some time to come. Case III.— In the fall of 1873, Mr. E , aged twenty, with decided hereditary tendency to phthisis, went into the hike region of the Adirondacks. He had then been ill about eighteen months, had spent two winters in Nassau, and for the three months immedi- ately preceding his arrival, he had failed very rapidly. When he first consulted me, in September, 1873, I found him extremely emaciated, weighing one hun- dred and eight pounds, pulse habitually ranging from 110 to 130, morning temperature from 102° to 103°. He had loss of appetite, night-sweats, and a constant harassing cough with slight hemorrhages. Physical examination revealed a large cavity on the right side posteriorly, with entire consolidation of the right lung. At the left apex there was also a small cavity with fine crackling rales over the upper third of the left lung. His condition remained desperate during the follow- ing winter, but in the spring he somewhat recovered his appetite, he regained strength, and he had long intervals during which he was entirely free from fe- ver. He spent the spring and summer of 1874 in camp, and his improvement was very marked. A physical examination of his chest in the fall of 1874 showed a marked decrease in the pulmonary consoli- DR. LOOMIS ON THE ST. REGIS COUNTRY. 113 dation on the right side, the cavity had apparently diminished in size, and vesicular murmurs could be heard below and on either side of it. On the left side the crackling sounds had disappeared, and no signs of cavity could longer be detected, but broncho- vesicular breathing was still distinctly heard. His heart was hypertrophied, pulse 88, evening tempera- ture 99f °, weight one hundred and sixteen pounds. For the succeeding eight months he steadily improved. In June, 1875, after an exposure which it would have been unwise for one in health to risk, he was seized with a prolonged chill, which was very severe, and was followed by a pulmonary hemorrhage so profuse that for some time he was thought to be dead, but he lingered until morning, and died from pulmonary con- gestion and oedema. Although this case terminated fatally, I regarded it as one of arrested phthisis. The beneficial effects of the climate of this lake region were so positive and well-marked in this case, that I assumed the responsi- bility and induced other phthisical invalids to make a trial of it, contrary to the advice of other physicians, and regardless of the expostulations of friends. Case IY. — Mr. M , aged twenty-seven, with a good family history, after an illness of several months, which was marked by cough, expectoration, and loss of flesh, spent the summer of 1870 at Saranac Lake, where he markedly improved, lost his cough, and gained in weight. After his return to 'New York in the fall, his cough returned, other physical symptoms developed, and he was quite ill throughout the win- 114 THE WILDERNESS CUKE. ter. The next summer he returned to the Adiron- dacks much worse than he was the previous year. Again he improved, and he thought he was almost well. He went to California for the winter, did badly there, and on his return to New York in the spring, two physicians of large experience pronounced his case a hopeless one — -one which would probably terminate fatally within six months. In the early summer of 1872 he reached the Adirondacks in a most pitiable condition. Both lungs were extensively diseased. At the apex of the left lung were the physical signs of extensive consolidation and softening. The upper third of the right lung was consolidated, and was the seat of large and small mucous rales. He had hectic fever, extreme dyspnoea, a rapid pulse, and other symptoms of advanced phthisis. lie soon began to gain flesh and strength, his appetite improved, he coughed less, his expectoration was diminished in quantity, and by early fall he was able to keep out of doors the greater portion of the time. For five years he remained in the lake region. At times his condi- tion was most promising, although little change took place in the physical signs. Last spring, tired of the seclusion, he returned to his home in New York* Unquestionably this was a case of catarrhal phthisis, and the results obtained from his first summer's residence in the Adirondack region lead me to believe that if Mr. M. had remained in the region the winter succeeding this first summer, he would have reached complete recovery. Even after reaching an advanced stage of the disease, when there was no longer a pos- DR. LOOMIS ON THE ST. REGIS COUNTRY. 115 sibility of recovery, a condition of stasis was readied when lie permanently resided in the region. Case V. — Mrs. L , aged forty, good family history ; early in the summer of 1871 went to the Adirondacks. She had been ill eight months with a cough and other phthisical symptoms. At the time of her arrival she was in a state of extreme exhaus- tion ; for several weeks previous she had lived en- tirely upon beef -tea and champagne. She had a harassing cough, with profuse expectoration, and hectic fever. Physical examination revealed a mode- rate amount of consolidation at the apex of the right lung, with crackling rales of large and small size ; no evidence of softening. At once her desire for food returned, and she began to gain flesh and strength ; gradually her cough and expectoration diminished, and late in the fall she returned to her home markedly improved. Since that time she has spent some time every summer or fall in this region, and for the last three years none of the rational or physical signs of phthisis have been present. In this case the rapidity and completeness of the recovery was quite surprising, when we consider how unpromising was the condition of the patient at the time when she first reached the Adirondacks. Case YI. — Mr. P , aged thirty, with no here- ditary tendency to any disease, first consulted me in the spring of 1875. He had been ill six months with cough, expectoration, hectic fever, gradual ema- ciation, and other well-marked phthisical symptoms. Physical examination of chest revealed consolidation 116 THE WILDERNESS CURE. at the apex of the right lung, with sharp crackling rales, most abundant posteriorly, where distinct bron- chial breathing could be heard below the spine of the scapula; left lung healthy. I advised him to take up his residence in the Adirondacks. He re- mained in camp in the lake region during the sum- mer of 1875, with only a slight increase in weight, a slight improvement in strength, and no change in cough or physical signs. During the fall and winter he had several hemorrhages, with fever, and was con- fined to his bed at different times. Early the next spring he went into camp, and remained until Sep- tember. When he came out of camp he weighed one hundred and eighty-one pounds, had gained forty pounds ; he had no cough, no expectoration, no fever. An examination of his chest revealed no ab- normal sound, except pleuritic creaking and feeble respiratory murmur posteriorly over the former seat of the pulmonary consolidation. I regarded him a well man, and permitted him to return to his home. He remained well until the following spring, when he had an attack of acute cystitis. He was confined to his bed for six weeks ; as soon as he was able to travel he returned to the Adirondacks, but the cysti- tis became chronic, Was complicated by pyelitis and nephritis, and in early winter he died from acute uraemia. At the time Mr. R. took up his residence in the Adirondacks, his digestive and assimilating processes were in a feeble condition. Undoubtedly this ac- counted for the fact that for nearly a year there was DE. LOOMIS ON THE ST. REGIS COUNTRY. 117 little, if any, improvement in his lung disease. Bis five months' camp life during the second year of his residence in the Adirondacks not only cured his dis- eased lung, but wrought an entire change in his physical condition. So great was the change, that one would scarcely recognize him. When he left the woods the following fall, no evidence of lung dis- ease could be detected, nor was any detected during the remainder of his life. Case VII. — Miss C , aged eighteen, in the spring or early summer of 1875 reached the Adiron- dacks in a very feeble condition. She had had a cough for six months, with frequent pulmonary hem- orrhages, attended by fever, loss of flesh and strength. Physical examination of the chest revealed dulness on percussion, bronchial respiration, and crackling rales at the apex of -the right lung. Her improve- ment began at once ; at the expiration of three months she had gained eleven pounds in weight, had no cough, and had so regained her strength as to be able to take active out-of-door exercise. In early fall she returned to her home, and has there remained in good health. In this case the pulmonary consolidation was evi- dently catarrhal in its nature, and of recent date. That she came to the Adirondacks in the earlier stages of the disease, probably had much to do with her rapid and complete recovery. Case YIII. — Mr. B , aged thirty-two, with a decided hereditary predisposition to phthisis, took up his residence in the lake region of the Adirondacks 118 THE WILDERNESS CURE. in the summer of 1875. After lie left home, before he reached the Adirondacks, he had a severe hem- orrhage. For three months after his arrival he was in a critical condition, had severe cough, frequent hemorrhages, fever, and rapid emaciation. He did not begin to improve until late in the fall, after which time his improvement was steadily progressive. During a two years' residence in the region he fully regained health and strength, his cough ceased, and in August, IS 78, I could find no trace of disease in the lungs, except old pleuritic thickenings and ad- hesions at the apex of the left lung. In September, 1878, he left the Adirondacks. ' During his first year's residence in the Adirondacks no physical examination was made, but he stated that previous to his coming into the region his medical advisers had told him that his lungs were extensively diseased, and that he had come with a "forlorn hope." His disease commenced as a " severe cold," and unquestionably his case was one of catarrhal phthisis. Case IX — Dr. T , aged thirty-two, with marked hereditary tendency to phthisis, came to the Adiron- dacks in the summer of 1875. For ten months he had been ill with well-marked phthisical symptoms. The upper third of the right lung was consolidated, with circumscribed liquid rales in the supra- scapular fossa. At the apex of the left lung there was ex- aggerated rude respiration, but no rales. He remained four months, in camp the greater portion of the time. As he improved he became restless, and could DR. LOOMIS ON THE ST. REGIS COUNTRY. 119 not be induced to longer remain. His weight was now one hundred and forty-eight pounds, he had gained twelve pounds, and had no cough. After leaving the Adirondacks he went South, but re- turned in the spring in a most' enfeebled condition ; weight one hundred and twenty-seven pounds, with pallid countenance, difficult breathing, and so weak that he was obliged to lie down the greater portion of the time. The entire upper lobe of the lung on the right side was consolidated, and abundant rales were heard throughout the consolidated portion. The respirations at the apex of the left lung had become markedly bronchial in character. He began to im- prove, and by the first of December had regained his appetite and strength. Again he became restless, left the Adirondacks, went to Colorado and Califor- nia, was twice near death, and in early summer re- turned to the Adirondacks "in extremis," with a large cavity in his right lung, and commencing soft- ening in his left lung. Having thrown away his chances for recovery, he died in early winter. A series of mistakes marked the course of this- patient. A short time previous to his death he stated to me that in attempting to follow the advice of his Philadelphia physician, who recommended a warm climate, and that of his New York medical adviser, who recommended a cold climate, he had made the result a failure. As we review his history, it seems to me that we are warranted in coming to the conclusion that the result might have been different had he remained in 120 THE WILDERNESS CUBE. the Adirondack region for two or three years suc- ceeding Lis first visit. Case X. — Mrs. M , aged twenty-eight, with no hereditary tendency to phthisis, consulted me in the fall of 1876. She had a cough, which was paroxysmal in character, with little expectoration. For several months she had been losing flesh, had had daily fever and night-sweats ; at times she had suffered from severe attacks of dyspnoea, which were followed by an expectoration which she termed " stringy." Physical examination revealed pulmonary consolida- tion posteriorly at the apex of the right lung, with sharp bronchial rales over the consolidation. At dif- ferent points over the chest, dry and moist rales were heard, and I made the diagnosis of probable fibrous bronchitis, with pulmonary consolidation at the apex of the right lung. I advised her to spend the winter in Asheville, E\- C, where she obtained little, if any, relief. During the winter she expectorated a num- ber of well-formed bronchial casts. On her return, I found her more feeble than when I first saw her, and the area of lung consolidation increased. Following my advice, in June she went into the lake region of the Adirondacks, remained nearly a year, and entirely recovered from the bronchitis and pulmonary consolidation. This case was one of well-marked plastic bronchi- tis, with circumscribed consolidation at the apex of the right lung. When we recall the fact that the majority of cases of chronic plastic bronchitis are followed by phthisis, and terminate fatally, the com- DR. LOOMIS ON THE ST. REGIS COUNTRY. 121 plete recovery readied in this case is somewhat sur- prising. I would call attention to the fact that in this case the climate of the Adirondacks produced such differ- ent results from that of Asheville, UST. C. Case XI. — Miss F ■, aged nineteen, of a non- phthisical family, consulted me in March, 1875, having taken cold the previous January. She was rapidly losing flesh, had an almost constant hacking cough, night-sweats, with other well-marked phthisi- cal symptoms. On physical examination, I found complete consolidation of the upper third of the right lung, with crackling rales posteriorly. Evening tem- perature 103°, and pulse feeble. She had lost ten pounds since January, and was easily exhausted. Ten days after I first saw her she had a profuse hemorrhage ; in two days this was followed by a second. She was so reduced in strength by these hemorrhages, and her general symptoms became so aggravated, that unless soon arrested it was evident her pulmonary disease would progress very rapidly, and soon terminate fatally ; I feared acute phthisis. In the early part of April she went to Washington, was carried to and from the cars ; she remained six weeks, with very little improvement in her condition, the entire upper lobe of the right lung having now become involved in the pulmonary consolidation. The early part of July she reached the Adirondacks. She rapidly began to improve, and when I examined her the following October, she had gained twenty pounds in weight, coughed only in the morning after 122 THE WILDERNESS CUBE. rising, had no fever, and had a pulse of 80. Bron- chial breathing was heard posteriorly over the area of the pulmonary consolidation, while qnite extensive pleuritic adhesions and thickening could be detected in front. She spent portions of the summer and fall months in the Adirondacks for the two succeeding years, and now regards herself perfectly well, and is so regarded by her f riends. The pleuritic changes which occurred during the active progress of the disease alone give evidence of her former pulmonary disease. When this patient first went to the Adirondacks, not only did her disease in- volve a large amount of lung-tissue, but her general condition was very unpromising, her stomach, was exceedingly irritable, and her emaciation was rapid and her anaemia extreme. Case XII. — Mrs. P , aged forty, from a non- phthisical family, first came under my observation in March, 1877. Since 1869 she had suffered with phthisical symptoms ; at times her case had been re- garded as hopeless. Physical examination revealed fibrous induration of the upper lobe of the right lung, with the physical signs of cavity under the right clavicle, and pleuritic thickening over the entire lung. Pulse 100, feeble, and easily accelerated. Temperature 101° ; extreme dyspnoea consequent upon exertion. She had night-sweats, was extremely anaemic, not markedly emaciated, but her weight was less than when in health. Cough paroxysmal and violent, with si ate- colored expectoration ; her appetite was capric- ious, and her disease had made marked progress since DR. LOOMIS OF THE ST. REGIS COUNTRY. 123 the early part of January. In early summer she went to the lake region, where she remained until fall. In her general health the improvement was very marked ; hut little change took place in the physical signs. During the winter there was little change in her con- dition. Early the following summer (summer of 1878) she went to the Adirondacks and into camp, where she remained until the following October. Not only was the improvement in her general health very marked, but her cough almost entirely disap- peared, and her general physical condition was better than it had been since the commencement of her dis- ease. The fibrous induration remained at the apex of the right lung, although vesicular breathing could be heard over the remaining portion of the lung. When I first examined this case I regarded it as one of fibrous phthisis, and only hoped for that com- plete cicatricial process to be developed which renders the diseased lung- tissue inactive. While, as yet, she has not reached such a condition, her steady improve- ment without any new lung-tissue becoming involved, and the absence of any evidence that degenerative processes have been developed in the lung-tissue already involved, leads me to believe that if the same climatic influences be continued, which during the past two years have produced such beneficial results, at length the desired result may be obtained. Case XIII. — Mr. S , aged thirty-one, with a good family history ; at my suggestion went to the Adirondacks in the early part of the summer of 1876. He first consulted me in the fall of 1875, had then 124 THE WILDERNESS CTEE. been ill about one year ; had well-marked phthisical symptoms. He had received a most unfavorable prognosis from medical men in this country and in Europe. A physical examination revealed quite ex- • tensive consolidation of the apex of the right lung, with sharp crackling rales. I advised him to spend the winter in Aslieville, N. C. On his return in early summer, I found that although his general condition had somewhat improved, his pulmonary disease had made considerable progress. Soon after his arrival in the Adirondacks he was seized with an acute cystitis, which prostrated him very much. Although he re- mained nearly two years in the lake region, his pul- monary disease steadily, but slowly, progressed. In the spring of 1878, in an extremely debilitated con- dition, he returned to his home in Ohio. In this case, the disease from its onset steadily pro- gressed, and the diagnosis of tubercular phthisis which was made the first time I saw him, was confirmed by his subsequent history. While he was in the Adiron- dack region, although at times he seemed to be im- proving, the periods of improvement were of short duration, and each exacerbation of fever left him in a more and more enfeebled condition. With each exacerbation of fever, new areas of lung-tissue became involved. At the time he left for his home in Ohio, suspicious bubbling sounds were heard over the origi- nal seat of his disease, and his respirations were amphoric in character. Case XIY. — Mr. L , aged twenty-two, with well-marked phthisical symptoms, had been ill six DR. LOOMIS ON THE ST. REGIS COUNTRY. 125 months, when, in the summer of 1877, he took up his residence in the Adirondacks. At the time of his arrival his cough was constant, his expectoration was of a greenish color, and of tenacious consistency. He was rapidly losing flesh, had night-sweats, and shortness of breath upon slight exertion. Physical examination revealed consolidation at the apex of the right lung, with fine crackling rales in the supra-scap- ular fossa. He remained about one year, spending the summer and early fall in camp. His cough dis- appeared, and he gained fourteen pounds in weight. Ten months after his arrival no abnormal sound could be heard in his lungs, except feeble respiratory mur- mur, and pleuritic creaking at the end of a full in- spiration at the former seat of the pulmonary con- solidation. He has continued perfectly well to the present time, and is now studying law. This was a case of catarrhal phthisis in its first stage, in which, like the previous case of which I have made men- tion, the recovery from the pulmonary disease was rapid and complete. Case XY. — Mrs. G , of a non-phthisical fam- ily, first consulted me in April, 1878. She had suf- fered with well-marked phthisical symptoms for six months, the result of a cold contracted the previous summer, while she was in a debilitated condition, which had been followed by a cough. Physical ex- amination of the chest revealed consolidation of the upper two-thirds of the right lung, with circumscribed moist rales under the right clavicle with amphoric breathing. She was very feeble ; had rapidly lost 126 THE WILDERNESS CURE. flesh ; bad night-sweats, loss of appetite, an almost constant cough, an abundant expectoration, with oc- casional spitting of blood, and dyspnoea upon slight exertion. Temperature in the evening, 103° ; pulse, 110 to 120. She went into the lake region of the Adirondacks in June, and returned the last of September. She made little or no improvement until the last of Au- gust ; from that time she began to rapidly improve, and has continued to gain flesh to the present time. She now weighs thirty-eight pounds more than be- fore she went to the Adirondacks, and coughs only in the morning. Physical examination shows vesic- ular breathing over the seat of the former consolida- tion, except posteriorly, where the breathing is bron- cho-vesicular in character, and pleuritic creakings are well marked. No signs of cavity can be detected. The improvement in this case did not commence until two months after she reached the Adirondacks ; in fact, for a time the disease seemed to be progress- ing with some degree of rapidity. During this time she had two quite profuse hemorrhages. The changes in the diseased lung were so extensive, and of such a nature, that I did not hope for recovery. The in- crease in weight has been greater and more rapid than in any other case of phthisis which has come under my observation. Case XYI. — Mr. K, , aged thirty, of a phthisi- cal family, began to cough in the winter of 1876. Two months after he began to cough he had a hem- orrhage. Soon after the hemorrhage he began to DR. LOOMIS ON THE ST. REGIS COUNTRY. 127 have fever and to lose flesh. He first consulted me in May, 1876. He then presented the appearance of one in advanced phthisis. He was emaciated, had an evening temperature of 102° and 103°, and had great difficulty of breathing, becoming exhausted from the exertion attending the ascent of a flight of stairs. Physical examination revealed extensive consolida- tion of the upper lobe of the right lung. Distinct bronchial respiration could be heard from the clavi- cle to the upper border of the fourth rib. He went into the Adirondack region, where he remained a year. On his return to New York he presented the appearance of perfect health. He had no cough, and said he weighed more, and felt stronger and better than he had for years. Physical examination re- vealed only pleuritic thickening over the former seat of the pulmonary consolidation. No physical exami- nation of the chest was made from the time he went into the Adirondack region in early winter until his return to New York, one year later. He stated that his improvement commenced about three weeks after he reached the Adirondacks, and that every day dur- ing the winter months he spent from six to eight hours out of doors. He has remained in New York until the present time, and has had no return of his phthisical symp- toms. Case XYII. — Mr. A , aged thirty-one, with a strong hereditary tendency to phthisis, had his first hemorrhage in February, 1877, after which he rap- idly lost flesh and strength, and in June, when I first 128 THE WILDERNESS CURE. saw him, lie was extremely emaciated and anaemic ; liad a constant hacking cough, with muco-purulent expectoration, and frequent slight hemorrhages. Tem- perature ranged from 100° to 103° ; pulse never be- low 100, and easily accelerated. Physical examina- tion revealed slight consolidation at both apices, with moist, bubbling rales in left supra- scapular fossa. He went into the Adirondacks in July, and remained nearly a year, during which time his disease slowly, but steadily, progressed. A physical examination in July, 1878, revealed a cavity at the apex of the left lung, with infiltration of the entire left lung. I ad- vised his return to his family. In this case the diagnosis of tubercular phthisis was made at the first examination. The subsequent history and the uninterrupted progress of the disease fully sustained the diagnosis first made. Case XVIII. — Mrs. O , aged thirty- four, with no hereditary predisposition to phthisis, first con- sulted me in May, 1878. She had coughed for six months, had repeatedly had hemorrhages. She went South during the winter of 1877-78, where she did badly, rapidly losing health and strength, and had afternoon fever and night-sweats. Pulse 102° F., feeble and easily accelerated. Afternoon temperature 102°. She complained of dyspnoea on slight exer- tion, and became easily fatigued, was anaemic, had no desire for food, and was dyspeptic. A physical examination revealed consolidation of the upper third of the left lung, with bronchial rales and pleuritic adhesions over the entire left side. DR. LOOMIS ON THE* ST. REGIS COUNTRY. 120 In July she went to St. Regis Lake (Adirondacks), where she remained three months. Immediately she began to improve ; the cough became less and less troublesome, her appetite returned, and she soon gained fourteen pounds in weight. By the first of September her pulse and temperature were normal, and by the first of October the only physical evidences of disease were slight pulmonary consolidation un- der left scapula, and pleuritic creaking in left infra- clavicular space. She has continued to improve since her return, and is now apparently well. This was another case in which the rapid and con- tinued improvement was unexpected. The general appearance and condition of the patient when first seen by me w^as unpromising. The perseverance or fixedness of purpose, and good sense of the patient, I believe had very much to do with her marked im- provement. She remained out of doors nearly the whole of every day, took no risks, and made use of everything in her surroundings which would aid iii bringing about the desired result. Case XIX. — Mr. M , aged thirty-four, con- sulted me in the spring of 1877, having had a pul- monary hemorrhage. For the previous three months he had been rapidly losing flesh and strength, had fever, night-sweats, and was extremely ansemic. He had had cough with expectoration for more than a year. Physical examination revealed consolidation of the apex of the left lung as far as the lower bor- der of the third rib, with quite extensive pleuritic changes and marked retraction of the left side of the 0* 130 THE WILDERNESS CUKE. chest. He had repeated hemorrhages, was confined to his room for several weeks, and it was the latter part of June before he was able to travel. Early in July he started for the Adirondacks. He presented the appearance of a person in advanced phthisis, and physical examination at this time detected marked retraction of the left chest and bronchial dilatation in the left supra-scapular space. During July and August his improvement was very slight, and it was the latter part of August before he was able to go into camp. He remained about two months in camp, during which time he regained his normal weight, his strength returned, and he had great physical endurance. Late in the fall he re- turned to Xew York, presenting the appearance of one in health, although he still had cough and short- ness of breath, and physical examination showed little change in the consolidated lung. His improvement continued until the following March, when he again grew worse, lost flesh, and had occasional fever. In May he had another slight hemorrhage. An exam- ination of his chest showed an increase in the pul- monary consolidation since the previous examination ; pleuritic adhesions and thickenings were detected over the whole of the left side, with more marked retraction on the left side. He again went to the Adirondacks, and remained in camp the greater por- tion of the summer and fall. He rapidly regained flesh and strength, and all his active phthisical symp- toms again disappeared, excepting morning cough with expectoration. Little change could be detected DK. LOOMIS ON THE ST. REGIS COUNTRY. 131 in liis physical signs. Unquestionably this is a case of fibrous phthisis, and although while he remains in the Adirondack^ he regains his flesh and strength, and the progress of the disease seems to be arrested, yet little or no improvement can be detected in the diseased lung. Cast: XX. — Miss IT had her first pulmonary hemorrhage, which was quite profuse, in January, 1877. Within the week following this first hemor- rhage she had frequent hemorrhages, averaging more than one per day. During the preceding year her physical and mental labor had been unusually taxing or severe, and she was not in her usual health. For. several months she had suffered more or less from nasal, pharyngeal, and bronchial catarrh. She first consulted me in June, 1877, .at which time she pre- sented all the symptoms of well-developed phthisis. She had constant cough, with muco-purulent expec- toration frequently streaked with blood, was ema- ciated, had fever, night-sweats, loss of appetite, short- ness of breath, etc. A physical examination revealed consolidation of left lung from its apex down to the fourth rib, with abundant mucous rales over the left scapula. In the early part of July she went into the Adirondacks, and into camp. On her return from the region in I\o- vember, I found her much improved ; she coughed little, had no fever, had gained eight pounds in weight, could walk long distances without fatigue or shortness of breath. Physical examination showed marked diminution in pulmonary consolidation in the 132 THE WILDERNESS CUKE. left iiif ra-clavicular space ; bronchial respiration and mucous rales were still heard over left scapula. She steadily improved until the middle of February, when she had a severe attack of influenza, from the effects of which she did not entirely recover, and June, 1878, found her in a worse condition than she was in June, 1877. Following the influenza, a pleurisy was estab- lished over the whole of the left pleura. This greatly increased her difficulty of respiration. June 11th she again left for the Adirondacks, went into camp July 1st, and remained in camp until October 10th. During the summer she had two slight hemor- rhages, but she steadily regained her strength and weight, and seldom coughed. A physical examina- tion, made the following November, showed entire absence of pulmonary consolidation at the apex of the left lung, and the only remaining physical signs of disease were pleuritic adhesions or thickenings over the upper third of the lung, with localized bronchial rales in the left supra-scapular fossa. Since Novem- ber her improvement has been steadily progressive ; she has the appearance of one in health, yet she has slight cough with muco-purulent expectoration, and physical signs of disease are still present. The statement previously made in regard to the probable effect of a longer stay in the woods, holds true in this case. A brief summary of the foregoing cases gives the following results : Of the twenty persons who have testea the thera- peutical power of the climate of the Adirondack re- . DR. LOO MIS ON THE ST. REGIS COUNTRY. 133 gion, by giving it an extended trial, ten have recov- ered, six have been improved, two have not been benefited, and two have died. The ten cases of recovery were those of catarrhal phthisis; of the six cases in which improvement took place, four were those of catarrhal phthisis, and two were cases of fibrous phthisis. The two cases in which no benefit was received from a stay in the region were cases of tubercular phthisis, in both of which the disease steadily progressed, and at no time could it be said that it was even temporarily arrested. In both cases of fibrous phthisis, extensive retraction of lung had taken place, with bronchial dilatation and compensatory emphysematous developments. Exer- cise could not be taken, for very slight physical ex- ertion brought on attacks of severe and frequent dyspnoea, and the severe attacks of coughing inter- fered with digestion and nutrition. In both cases failure of the right heart was well marked. In both the improvement manifested itself in the gaining of flesh and strength, rather than hi any change in the lungs which could be appreciated by physical exam- ination. I believe these cases would have done bet- ter in Colorado. Those cases of catarrhal phthisis which were im- proved, but not cured, were those in which the pul- monary changes were extensive, or had reached the stage of excavation — cases in which complete recov- ery is always problematical. In all these cases the improvement did not com- mence immediately — not until some time after the 134 THE WILDERNESS CURE. individual had taken up his residence in the region ; and when it did commence, it was not constantly progressive. Each case had a long history of getting Letter and worse, but each advance toward recovery was more marked than the former. Whether these cases will or will not reach complete recovery, is a question, but I am certain that a permanent residence in the region greatly increases the probabilities of such a result, from the fact that in those cases which have come under my observation a temporary ab- sence from this region has been followed by such sad results. In all the cases of catarrhal phthisis which have reached recovery, either the pulmonary changes were not extensive, or they were of re- cent origin, and improvement commenced soon after reaching the Adirondacks. The results obtained established the fact, that a large proportion of the cases of this variety of phthisis, if they have not passed the first stage, or stage of consolidation, can recover. The two cases that terminated fatally were cases of catarrhal phthisis. Although, when they came into this region, their lungs were extensively diseased, they were much benefited during their stay, and it seems to me that impatience and imprudence had very much to do with the fatal termination. Results show that the climate of this region is better adapted to the treatment of catarrhal phthisis than of any other variety. I believe fibrous phthisis does better in higher altitudes — for instance, in Colorado. DR. LOOMIS ON THE ST. REGIS COUNTRY. 135 My experience leads me to believe that climate lias little beneficial effect upon tubercular phthisis. For some time I have believed — in fact I became convinced soon after I began to study carefully the effect of climate upon phthisical invalids — that a larger proportion of such were benefited or cured in a cold than in a warm climate. The testimony of those who have spent a winter, or more than one winter, in the Adirondacks is, that improvement was far more rapid during the winter than during the summer months ; and I have found, by physical examination of the lungs, that the arrest in the morbid processes and the establishment of the curative processes was more marked during the win- ter than during the summer months. I shall have accomplished my purpose, if by this hastily prepared paper I shall have awakened in my professional brethren the spirit of investigation as regards this extensive 'health-restoring region, within the boundaries of our own State, which we have been passing by, while we have sent phthisical invalids far from home and friends to regions far less re- storative. CHAPTER X. THE COST OF THE THING. In dealing with the matter of expense, as connected with the wilderness experiment, it has been thought advisable to put the information under a separate heading, instead of scattering it over the pages of this little volume. The cost of any undertaking of this sort will, of course, depend largely on the tastes and circumstances of the invalid. To the fortunate few whom fate has in some measure compensated for the loss of health by bestowing large fortunes upon them, this chapter will be of little moment. They may omit it alto- gether in deciding upon the trip. To that infinitely larger number, however, who must consult their purses before carrying out any plan, even where that plan may involve the question of life or death, the money item assumes no insignificant proportions. And for those who are called upon to bear the burden of actual poverty with that of wasting disease — those who have heretofore looked upon a journey to the established health-resorts as among the bitter impos- sibilities which poverty imposes — for those it will be THE COST OF THE THING. 137 a gracious duty to point the way to this new El Dorado whose gold is life. As a convenient starting-point in the calculations which are to follow, we will suppose the health-seeker to have reached the most important gateway of the upper wilderness — Plattsburg. The fare from that town to the St. Regis Lake House by the present route is §4.50. Each passenger is allowed one trunk by the stage, and will be charged an extra $2 for each additional trunk. Dinner at the half-way house, seventy-five cents. The established price for board at " Paul 5; Smith's is $2.50 per day. Unlike any other house of its character of which the writer has any knowledge, no deduction from the per-diem rates is made on ac- count of a prolonged stay. The guest pays $2.50 if he remains a day, and at precisely the same rate if he remains four months. Guides consider their services worth $2.50 per day and their board. The hotel sets a separate table for their accommodation, at which meals are served for twenty-five cents each. When engaged in the work of guiding proper, the men fairly earn all they get. When employed regularly in the permanent camp of an invalid, it must be confessed that $17.50 a week, with board included, is a rate of wages for un- skilled labor out of all keeping with existing values. The men themselves understand this fact, and where one can be found willing to attend an invalid, he may generally be hired for $1 a day. In all such cases it is understood that the place is to be permanent 138 THE WILDERNESS CURE. for tlie season, provided, of course, the man proves satisfactory. Where it is possible, it is best to hire a guide who owns a boat. Otherwise one may be rented from the hotel at fifty cents a day. When new, these boats cost from $40 to $75. A good second- hand one may often be bought in the autumn as low as $15. A good canvas tent, ten by twelve feet, can be pur- chased in New York for about $35. This might not include poles and stakes, but as it costs much more than their value to transport these, they are better left behind. A covering or fly for the tent may be jnade of heavy cotton cloth, which serves the purpose quite as well as canvas. For the ordinary labor required in preparing a per- manent camp, $1 a day, with the man's board, is a fair allowance. A good strong woman for kitchen work ought to be found for $3 a week. Boys (if any can be found small enough or young enough not to regard themselves as guides) may be employed for fifty cents a day. _N o other kind of labor need be considered, as there are no regular mechanics or artisans in the region. In the necessary furniture of a camp, a very small outlay will meet the requirements, if the items of stoves and beds be excepted. For the former, a good cook-stove may sometimes be hired from the year- round inhabitants, the user paying two or three dol- lars for the season. This is the most economical way. A tent-stove of sheet-iron costs, perhaps, $5, with THE COST OF THE THING. 139 something more for the pipe. A good bed is the most expensive necessity of the sick man's camp. The hotel furnishes blankets for roughing it, bnt it will not be well to depend on this source for a com- fortable and civilized bed. Those who set out with an eye to economy cannot do better than bring their bed with them — that is, a good mattress, pillows and blankets, with enough of the last to meet the colder nights safely. The staple articles of food are sold, as a rule, at a considerable advance on the New York market prices, but to this statement exception must be made in the matter of eggs, butter, and milk. The very best of butter was supplied us at fifteen to twenty cents per pound. The highest price for eggs was twenty cents per dozen. Rich, creamy milk could be had for five cents a quart. Spring lambs can be bought for from $2 to $3, which reduces the price of delicious chops, roasts, and stews, to something under ten cents per pound. Beef sells at the hotel for twenty cents a pound — but Adirondack beef would be dear at twenty pounds for a cent. Yenison brings from ten to twelve cents a pound. Chickens are plentiful at twenty-five cents apiece. Trout, in their season, if sold at all, may be had for twelve or fifteen cents a pound. As a rule, however, the camper-out may count on all the trout he cares for without money and without price. Flour, meal, sugar, tea, coffee, canned fruits, and vegetables — all these are sold in the supply store at the hotel, and although the prices range high, the quality of the articles is superior. If 140 THE WILDERNESS CUEE. the permanency of the camp is definitely fixed upon, it will be well to purchase stores in considerable quantities, thus reducing their cost, as well as the la- bor of conveying them to camp. In Bloomingdale there is an excellent supply store, where the prices rule considerably lower than in the hotel. To the proprietor of this store, Mr. Isaac Chesley, all orders for provisions maybe intrusted, with the certainty of getting what you want, and getting it on reasonable terms. By no means an unimportant item of expense to those who make any prolonged stay in the woods, is the cost attending the transportation of articles from the outer world. The express charges of the stage lines would seem preposterously high anywhere save in the backwoods. Even here they are much higher than they should be, and, what is worse, they seem to be fixed by no regular schedule, but wholly at the option of the driver. This lack of uniformity leads to no little annoyance. Often we found that the cost of an article was more than doubled by the express charges from Plattsburg to the hotel ; and the ab- surdity of paying forty cents to get a ten-cent tack- hammer brought in from Ausable Forks, reminds one of the purchasing power of Confederate money in 1864. The invalid who depends on friends at home to send him dainties and medicines must be interested in this matter of express charges. "Wher- ever practicable, it is well to use the mail for the transmission of small packages not excluded by the postal rules. THE COST OF THE THING. 141 From the foregoing outline of expenses we may formulate some exact estimates as to the cost of camping-out in the Adirondacks, Let us seek first the minimum outlay required to make the experi- ment. The patient, we will assume, is poor — so poor that every dime, as well as dollar, must be counted. Sup- pose him to be a mechanic, with a thrifty, compe- tent, hard-working wife. Suppose him to have been told by a trustworthy physician that his one chance of recovery lies in giving the wilderness cure a trial ; that this chance is so large as to amount almost to a certainty, but that if he does not avail himself of it he must inevitably die in a short time. To such a man, living, we will say, in Is ew York or Boston or Philadelphia, Florida would be a mockery, Santa Barbara a dream ; but the wilderness invites him, offers him all the benefits which can accrue to any- body, and presents no exorbitant bill for working its marvellous cure. In the estimate that follows, it is assumed that the camp shall consist of a good tent and one bark building ; that the invalid's wife shall do the domestic work of the camp, as she has always done of the home ; that there shall be an abundance of wholesome food and in greater variety than the poor of our cities can afford ; and that, finally, all the essential conditions of the wilderness cure shall be fulfilled as perfectly as if the patient were a rich man. Here are the figures : 142 T1IE WILDERNESS CUKE. Minimum Cost of a Gamp for Two Persons, to Occupied Four Months. Canvas tent, $25 00 . Bark building, . . . „ 10 00 Camp equipments, . . . 15 00 Food and all necessary expenses, per week, $6, ... 102 00 $152 00 In tlie above, no provision is made for tlie cost of reaching tlie wilderness nor of tho medicines which may be required ; neither is there any margin for those delicacies which the invalid is apt to crave ; but, nevertheless, the estimate is sufficiently liberal for the making of the experiment under such condi- tions as have already been explained. Rather than not try the Adirondack cure at all, let the man with $150 and a good wife come along. Let us pass next to an estimate of the expenses which will be incurred by those persons who are neither rich nor poor — who seek to economize, but are not driven to the stern necessities which pinching poverty demands. Here the comforts of camp life will be considerably increased, and not a few luxuries may be counted upon. The camp itself may include a first class tent and three or four bark buildings ; it can employ the steady services of a competent man, who will provide his own boat and attend to all the ordinary labor ; it can furnish a table iruod enough THE COST OF THE THING. 143 for anybody ; and, in short, it can be made home-like and attractive, as an invalid's camp should be. The figures will, I think, in every instance, be found large enough to allow of some little surplus, and the totai Avill be more apt to fall below the estimate than to rise above it. The schedule stands thus : Medium Cost of a Camp for Two Persons, with Guide, for Four Months. Canvas tent, . $40 00 Building camp, . . 50 00 Equipments, 50 00 Food and all necessary expenses, per week, $9, 153 00 Guide for season, . 125 00 $418 00 It should be remembered that in fitting up a camp in the manner supposed in the table above, the health-seeker will have not a little to show at the end of the season in the line of equipments. If he de- cides to remain through a second or third summer, comparatively little money will need to be added to the original outlay. On the other hand, if he is able to go out of the woods at the end of his first season, he can easily dispose of all his camp adjuncts at a fair price. Although anything like a precise calculation of the amount of money which might be spent in this wil- derness experiment would be as impossible to make 144 THE WILDERNESS CUBE. as it would to determine the sum Sinbad might have spent in those years which intervened between his rash demand for the roc's egg and his happy death, nevertheless, an approximation to the possible extravagance of life in the woods may properly be added. And here it is : Maximum Cost of a Camp for Two Persons, and Guides, for Four Months. Canvas tents, . . . . $100 00 Building camp, . . . 250 00 Equipments, .... 250 00 "Wages, live men and one woman (all "guides"), . . . 1,200 00 Running expenses, . * . . 500 00 62,300 00 Here, of course, the "maximum" is that of the probable, not by any means of the possible. The Count of Monte Christo might fashion his tent of camel's-hair, and floor his bark cabins with the cedar of Lebanon. Pie might spend as much money in the woods as in Paris ; but he would not recover his health any the quicker for that. The maximum esti- mate presumes extravagance, but it does not exceed the actual outlay which has been made by campers- out in the Adirondacks. So much for the cost of one part of the wilderness experiment. For the other — the winter residence — it may easily be shown that the cost of living is con- THE COST OF THE THING. 145 siderably less than at the long-established health re- sorts ; while to the person willing to economize, it is a simple matter to materially reduce the amount usually expended by health-seekers. In Saranac Lake, superior accommodation may be had for $20 a week for two persons. The smaller houses fix their prices at from $14 to $16 per wee'k for two. In Bloomingdale, fair board can be ob- tained anywhere from $12 to $20 per week, while in the farm-houses scattered over the country, the win- ter sojourner may find a home for the price — little or much — he is able to pay. His own experience in this matter was so pleasant, that it may naturally prejudice the writer in favor of farm-house board ; but others, less fortunate in the selection of a place, might find it wearisome. But the winter may be passed in the woods at a much smaller outlay than boarding in any way ne- cessitates. Let us take up our mechanic again, who, with the coming of the keen November days, finds the promise of recovery already half -fulfilled. What- ever sacrifice a continued stay may call for, he must not think of leaving the woods now. All his prog- ress will come to naught if he refuses to give nature 'time to work out her miracles in her own way. Six or seven months longer and he may go back with a twenty years' lease of life. It is worth some pinch- ing to get a grip on a lease of that sort. So the man who is absolutely poor puts the thoughts of board out of his mind, rents a small house a mile perhaps from his camp, furnishes it with the equipments of 7 146 THE WILDERNESS CUKE. the latter, and such additional articles as he can make with his own hands, and is prepared to brave the winter in comfort and independence. A house with enough room to decently accommodate two, or even four persons, can be rented for $2 a month. It is a backwoods house to be sure, most likely of logs, but still inhabitable — a palace to the tenement prisons of New York. It is lacking all modern nuisances. The atmosphere within it may be kept almost as pure and fresh as that outside. An abundance of wood for fuel to keep two stoves roaring through the cold sea- son can be bought for $10, or for something less than a dollar a cord. Here, then, are the two important items of shelter and fuel provided for at a total out- lay of $24 for the full seven months. In the matter of food, a plain, nourishing, abundant diet can be furnished for two persons at an expense of $4 a week. This would allow of good bread and butter, mutton, beef, sausages, ham, fish, potatoes, beans, peas, tur- nips, cabbages, milk, all in generous quantities, and with now and then some dainty from the outer- world market. Allow twenty-five cents a week for light, another twenty -five for a good daily newspaper, and fifty for the heathen — or tobacco. This gives us a total, w T ith the house-rent and fuel, of something over $6 a week for all ordinary household expenditures ! Where, the country over, can the mechanic and his wife live for less than that ? If it shall seem to the general reader that this matter of cost has been entered into with too great minuteness of detail, let it charitably be remembered THE COST OF THE THING. 147 that in a large number of cases it is the question which must determine the invalid's course. We should not all be rich, even if the bricks which pave Boston were turned suddenly to gold. There would be plenty of bricks, but we could not all get to Bos- ton. So when Hope points the way to the weary victim of wasting disease, but points always and only to those distant heights he can never mount, what a solace is it to know that others more lucky have found the treasure he coveted, but could not seek ? Here, in the vast wilderness, that treasure may be searched for anew. And this little book will have fulfilled its modest mission if it carries aught of aid, or cheer, or comfort to the sick. APPENDIX. Although nearly everything necessary for the building and equipping of a camp has been men- tioned in the preceding pages, it may, nevertheless, be a convenience to the reader if the essential ar- ticles are grouped together under a single heading. First, then, for the Necessities. 1 cook-stove. 1 tent-stove, with at least four lengths of pipe. 1 tea-kettle. 1 iron pot, for boiling. 1 broiler, for meat. 1 baking-pan. 1 frying-pan. 1 coffee-pot. Heavy stone-ware crockery, number of pieces to be determined by number of persons. 6 tin pails, from two to sixteen quarts in size. Knives and forks, spoons, and carving-knife and fork. 150 APPENDIX. 6 tin cnps. 6 tin bread-pans of different sizes. 2 market-baskets. 4 candlesticks. 1 lantern. 1 hatchet. 1 axe f 1 hammer. 1 hand-saw. "With regard to the provisions and stores, the amount to be expended will, as has already been in- timated, depend largely upon the taste and means of the camper-ont. The subjoined tables may serve to convey an approximate idea of what will be needed. A Minimum Estimate. Flour, 1 bag. Sugar, 20 pounds. Yeast, or yeast cakes. Baking-powder. Salt, pepper, etc. Potatoes. Salt pork. Tea and coffee. Indian-meal. Beans. Candles — kerosene, or both. Matches — a goodly supply. Crackers. APPENDIX. 151 To the above list, if one cares to give himself a little larger variety of food and some additional com- forts, may be added the following, which we will call A Moderate Estimate. All that is contained nnder the minimum estimate. 1 dozen canned tomatoes. 1 dozen canned corn. 1 dozen canned fruit to suit the taste. Ham. 1 dozen chickens (to be bought alive and kept in camp). •| dozen boxes sardines. Pressed corn-beef. Cheese. Dried beef. Lager-beer.* To those who may desire a still more varied menu, here is a list which may be helpful in making out the schedule of stores. A Luxurious Estimate. All that is contained under the preceding heads. Canned lobster, salmon, shrimps, etc. Clam-chowder, pickled oysters, chow-chow, etc. * So many consumptive patients take lager-beer regularly, under advice of their physicians, that it is regarded almost a ne- cessity in their diet. The writer found it a great saving to buy his lager by the keg in Plattsburg and bottle it in camp. It kept excellently buried in the sand. Empty bottles can be had at the hotel. 152 APPENDIX. Canned soups, turtle, chicken, beef, etc. Potted meats. Canned fruits and vegetables to suit taste. Olives, pickles and relishes to taste. Wine. With regard to milk, butter, and eggs, these, as has been heretofore suggested, may best be procured of the nearest farmer. As to the quantity of provisions to be taken into camp, the invalid must, of course, use his own dis- cretion. If there be but two in the party with the guide, enough of the staple articles to last a fort- night will do to begin with. After a little experience it may be advantageous to buy on a larger scale. I have already sought to point out what is and what is not necessary in the way of wearing apparel. All advice on this may be epitomized in a single sentence : — Take as little as you can consistent with comfort, and let that little be all available. Plenty of woollen and flannel, either for man or woman, is the golden rule. The reader has fully discovered that this little vol- ume is not a sportsman's book ; but as many a patient may be strong enough to amuse himself with gun and rod, I append the following Sporting Outfit. One rifle (a shotgun is of no use, except for par-, tridge-hunting, and a rifle answers equally well even for that). APPENDIX. 153 Ammunition, a moderate supply. You can refill your cartridge-box any time at the hotel. One fly-rod. If you choose you can buy it in the wilderness ; or, if you are a beginner, you may save ' some considerable loss by learning to cast a fly with a tamarack pole, which can be cut anywhere. i One landing-net. An assortment of flies. "With regard to these last, I cannot do better than quote the advice of the Rev. Mr. Murray, who ought to be an authority on trout-fishing. . He says : " Take of hackles six each, of black, red, and brown. Let the flies be made on hooks from Eos. 3 to 1, Lim- erick size. In addition to the hackles, take six Can- ada flies, six green drakes, six red ibis, six small sal- mon flies, and, if in the fall of the year, six English bluejay and six gray drake." The cost of the above fishing outfit ought not to exceed $25.