The White Plague

Written by Sydney Smith
Published May 28, 2003

There's a new book out about Gary Trudeau's great-grandfather's tuberculosis sanatarium in the Adirondacks, Portrait of Healing: Curing in the Woods. From the review in the New York Times it sounds as if Dr. Trudeau's sanitariam was a blissful haven of happiness:

Accounts of Dr. Trudeau's nurses and patients, teased from diaries and interviews with survivors, are gathered in a large photo-filled book, "Portrait of Healing: Curing in the Woods" (North Country Books, 2002), by Dr. Victoria E. Rinehart, a nurse in Burlington, Vt. Unlike some of the other accounts dwelling on the suffering of the patients, this book, with a foreword by Garry Trudeau, the creator of "Doonesbury" and great-grandson of the founder, paints a remarkably happy picture of the sanitarium.

....These were the days before there were drugs to treat tuberculosis, a leading killer in the United States. Most patients back home were left to wither and die. At the sanitarium, many patients died or were sent home to die. But they were not allowed to wither. They were commanded to maintain a positive attitude in an effort to ward off the illness.

... Dr. Trudeau told his patients when to rest, what to eat and how to socialize. Mandatory arts and crafts classes were considered an adjunct to treatment. (Dr. Trudeau was usually too sick to go to dances and formal dinners that he insisted his patients attend.)

...Alcohol and intimate liaisons were strictly forbidden, though prohibitions may have fostered frequent boozing and romance. Historians of the Trudeau cure have found a trove of love letters revealing clandestine affairs, often adulterous. It was all very adolescent, with patients referring to their secret lovers as cousins and their favorite spot for courtship on the compound as the Cousinola, Dr. Rinehart writes.

Despite Dr. Trudeau's insistence on a rigid life, patients sought the cure. Perhaps, as Dr. Rinehart said, patients were seeking hope and companionship more than remedies.

"I looked for some negatives and couldn't find them," Dr. Rinehart said. The oldest patient she interviewed, she said, was 95 and had been there as a patient and then as a nurse supervisor. "Obviously when one looks backward, the memory could be distorted," Dr. Rinehart said. "But I couldn't find anyone alive today that didn't have anything but glowing things to say."

The review points out that historians are skeptical. Back in the days before antibiotics, tuberculosis patients went through all manner of horrible "cures." They had their lungs collapsed intentionally, sometimes just by puncturing the chest wall, sometimes by adding foreign material to the chest cavity to keep them collapsed. (I remember once reading about a case in which lucite balls were packed in the chest.) But most of the time, they went to these santariums for the "rest cure," where they lived by strict rules until their tuberculosis either killed them or went into its natural dormancy stage.

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The White Plague
Published: May 28, 2003
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Section: Books
Filed Under: Books: Nonfiction, Books: History, Books: Health
Writer: Sydney Smith
Sydney Smith's BC Writer page
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#1 — July 5, 2006 @ 16:43PM — debbie

I think that your synopsis of Ms. Macdonald's book about her stay at a SANATORIUM(not sanitarium-a place for mentally ill)is off the mark,greatly.While we find the course of cure that she endured as barbaric,without it,many died,and still more infected others.A sanatorium was a place to get well,by resting your lung(s),which is very hard to accomplish as our lungs are used quite frequently.I found Mrs. Macdonald's book to be very inspiring;I strive to have her attitude towards all of life's problems.I'm sure her stay was no vacation,and she followed the sanatoriums rules so as to be out of there within the year.She made it,by the grace of God,others did not.And there is no "natural progression" of TB that miraculously just wears off,as you suggest.If you don't get well,you die.

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