every step on the stairs, and along the floors, is felt all
over the house; the higher the story, the greater the vibration. It is
inconceivable how much the sick suffer by having anybody overhead. In
the solidly built old houses, which, fortunately, most hospitals are,
the noise and shaking is comparatively trifling. But it is a serious
cause of suffering, in lightly built houses, and with the irritability
peculiar to some diseases. Better far put such patients at the top of
the house, even with the additional fatigue of stairs, if you cannot
secure the room above them being untenanted; you may otherwise bring on
a state of restlessness which no opium will subdue. Do not neglect the
warning, when a patient tells you that he "Feels every step above him to
cross his heart." Remember that every noise a patient cannot _see_
partakes of the character of suddenness to him; and I am persuaded that
patients with these peculiarly irritable nerves, are positively less
injured by having persons in the same room with them than overhead, or
separated by only a thin compartment. Any sacrifice to secure silence
for these cases is worth while, because no air, however good, no
attendance, however careful, will do anything for such cases without
quiet.

[Sidenote: Music.]

NOTE.--The effect of music upon the sick has been scarcely at all
noticed. In fact, its expensiveness, as it is now, makes any general
application of it quite out of the question. I will only remark here,
that wind instruments, including the human voice, and stringed
instruments, capable of continuous sound, have generally a beneficent
effect--while the piano-forte, with such instruments as have _no_
continuity of sound, has just the reverse. The finest piano-forte
playing will damage the sick, while an air, like "Home, sweet home," or
"Assisa a pie d'un salice," on the most ordinary grinding organ, will
sensibly soothe them--and this quite independent of association.

FOOTNOTES:

[1]
[Sidenote: Burning of the crinolines.]

Fortunate it is if her skirts do not catch fire--and if the nurse does
not give herself up a sacrifice together with her patient, to be burnt
in her own petticoats. I wish the Registrar-General would tell us the
exact number of deaths by burning occasioned by this absurd and hideous
custom. But if people will be stupid, let them take measures to protect
themselves from their own stupidity--measures which every chemist
knows, such as putt