Read Ebook: Wear and Tear; Or Hints for the Overworked by Mitchell S Weir Silas Weir
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"In making up the verdict we must not forget that others besides the teacher may be responsible for overwork and overworry. The parents and pupils themselves are quite as often to blame as are the teachers. An unwillingness on the part of pupils to review work imperfectly done, and a desire on the part of parents to have their children get into a higher class, or to graduate, frequently cause pupils to cram for examinations and to work unduly at a time when the body is least able to bear the extra strain. Again, children are frequently required to take extra lessons in music or some other study at home, thus depriving them of needed exercise and recreation, or exhausting nervous energy which is needed for their regular school work.
"It will be observed that in this charge against parents I do not speak of those causes of ill health which really have nothing to do with overwork, but which are oftentimes forgotten when a school-boy or girl breaks down. I allude to the eating of improper and unwholesome food, to irregularity of eating and sleeping, to attendance upon parties and other places of amusement late at night, to smoking, and to the indulgence of other habits which tend to unduly excite the nervous system. For very obvious reasons these causes of disease are not brought prominently forward by the attending physician, who doubtless thinks it safer and more flattering to his patrons to say that the child has broken down from hard study, rather than from excesses which are somewhat discreditable. While parents are clearly to blame for endangering health in the ways indicated, it may be a question whether the work required to be done in school should not be regulated accordingly; whether, in designating the studies to be taken, and in assigning lessons, there should not be taken into consideration all the circumstances of the pupil's life which can be conveniently ascertained, even though those circumstances are most unfavorable to school work and are brought about mainly through the ignorance or folly of parents. Of course there is a limit to such an adjustment of work in school, but with proper caution and a good understanding with the parents there need be little danger of advantage being taken by an indolent child; nor need the school be affected when it is understood to be a sign of weakness rather than of favor to any particular pupil to lessen his work. Not unfrequently there are found other causes of ill health than those which I have mentioned; such, for instance, as poor ventilation, overheating of the school-room, draughts of cold air, and the like; not to speak of the annual public exhibition, with the possible nervous excitement attending it. All of these things are mentioned, not because they belong directly to the question of overwork, but because it is well, in considering the question, to keep in mind all possible causes of ill health, that no one cause may be unduly emphasized."
In private schools the same kind of thing goes on, with the addition of foreign languages, and under the dull spur of discipline, without the aid of any such necessities as stimulate the pupils of what we are pleased to call a normal school.
In private schools for girls of what I may call the leisure class of society overwork is of course much more rare than in our normal schools for girls, but the precocious claims of social life and the indifference of parents as to hours and systematic living needlessly add to the ever-present difficulties of the school-teacher, whose control ceases when the pupil passes out of her house.
As to the school in which both sexes are educated together a word may be said. Surely no system can be worse than that which complicates a difficult problem by taking two sets of beings of different gifts, and of unlike physiological needs and construction, and forcing them into the same educational mould.
It is a wrong for both sexes. Not much unlike the boy in childhood, there comes a time when in the rapid evolution of puberty the girl becomes for a while more than the equal of the lad, and, owing to her conscientiousness, his moral superior, but at this era of her life she is weighted by periodical disabilities which become needlessly hard to consider in a school meant to be both home and school for both sexes. Finally, there comes a time when the matured man certainly surpasses the woman in persistent energy and capacity for unbroken brain-work. If then she matches herself against him, it will be, with some exceptions, at bitter cost.
It is sad to think that the demands of civilized life are making this contest almost unavoidable. Even if we admit equality of intellect, the struggle with man is cruelly unequal and is to be avoided whenever it is possible.
The colleges for women, such as Vassar, are nowadays more careful than they were. Indeed, their machinery for guarding health while education of a high class goes on is admirable. What they still lack is a correct public feeling. The standard for health and endurance is too much that which would be normal for young men, and the sentiment of these groups of women is silently opposed to admitting that the feminine life has necessities which do not cumber that of man. Thus the unwritten code remains in a measure hostile to the accepted laws which are supposed to rule.
As concerns our colleges for young men I have little to say. The cases I see of breakdown among women between sixteen and nineteen who belong to normal schools or female colleges are out of all proportion larger than the number of like failures among young men of the same ages, and yet, as I have hinted, the arrangements for watching the health of these groups of women are usually better than such as the colleges for young men provide. The system of professional guardianship at Johns Hopkins is an admirable exception, and at some other institutions the physical examination on matriculation becomes of the utmost value, when followed up as it is in certain of these schools by compulsory physical training and occasional re-examinations of the state of health.
I do not see why the whole matter could not in all colleges be systematically made part of the examinations on entry upon studies. It would at least point out to the thoughtful student his weak points, and enable him to do his work and take his exercise with some regard to consequences. I have over and over seen young men with weak hearts or unsuspected valvular troubles who had suffered from having been allowed to play foot-ball. Cases of cerebral trouble in students, due to the use of defective eyes, are common, and I have known many valuable lives among male and female students crippled hopelessly owing to the fact that no college pre-examination of their state had taught them their true condition, and that no one had pointed out to them the necessity of such correction by glasses as would have enabled them as workers to compete on even terms with their fellows.
In a somewhat discursive fashion I have dwelt upon the mischief which is pressing to-day upon our girls of every class in life. The doctor knows how often and how earnestly he is called upon to remonstrate against this growing evil. He is, of course, well enough aware that many sturdy girls stand the strain, but he knows also that very many do not, and that the brain, sick with multiplied studies and unwholesome home life, plods on, doing poor work, until somebody wonders what is the matter with that girl; or she is left to scramble through, or break down with weak eyes, headaches, neuralgias, or what not. I am perfectly confident that I shall be told here that girls ought to be able to study hard between fourteen and eighteen years without injury, if boys can do it. Practically, however, the boys of to-day are getting their toughest education later and later in life, while girls leave school at the same age as they did thirty years ago. It used to be common for boys to enter college at fourteen: at present, eighteen is a usual age of admission at Harvard or Yale. Now, let any one compare the scale of studies for both sexes employed half a century ago with that of to-day. He will find that its demands are vastly more exacting than they were,--a difference fraught with no evil for men, who attack the graver studies later in life, but most perilous for girls, who are still expected to leave school at eighteen or earlier.
I firmly believe--and I am not alone in this opinion--that as concerns the physical future of women they would do far better if the brain were very lightly tasked and the school hours but three or four a day until they reach the age of seventeen at least. Anything, indeed, were better than loss of health; and if it be in any case a question of doubt, the school should be unhesitatingly abandoned or its hours lessened, as at least in part the source of very many of the nervous maladies with which our women are troubled. I am almost ashamed to defend a position which is held by many competent physicians, but an intelligent friend, who has read this page, still asks me why it is that overwork of brain should be so serious an evil to women at the age of womanly development. My best reply would be the experience and opinions of those of us who are called upon to see how many school-girls are suffering in health from confinement, want of exercise at the time of day when they most incline to it, bad ventilation, and too steady occupation of mind. At no other time of life is the nervous system so sensitive,--so irritable, I might say,--and at no other are abundant fresh air and exercise so important. To show more precisely how the growing girl is injured by the causes just mentioned would lead me to speak of subjects unfit for full discussion in these pages, but no thoughtful reader can be much at a loss as to my meaning.
The following remarks I owe to the experience of a friend, a woman, who kindly permits me to use them in full. They complete what I have space to add as to the matter of education, and deserve to be read with care by every parent and by every one concerned in our public schools.
"There can be no question that the health of growing girls is overtaxed; but, in my opinion, this is a vice of the age, and not primarily of the schools. I have found teachers more alive to it than parents or the general public. Upon interrogating a class of forty girls, of ages varying from twelve to fourteen, I found that more than half the number were conscious of loss of sleep and nervous apprehension before examinations; but I discovered, upon further inquiry, that nearly one-half of this class received instruction in one or two branches outside of the school curriculum, with the intention of qualifying to become teachers. I could get no information as to appetite or diet; all of the class, as the teacher informed me, being ashamed to give information on questions of the table. In the opinion of this teacher, nervousness and sleeplessness are somewhat due to studies and in-door social amusements in addition to regular school work; but chiefly to ignorance in the home as to the simplest rules of healthy living. Nearly all the girls in this class drink a cup of tea before leaving home, eat a sweet biscuit as they walk, hurried and late, to school, and nothing else until they go home to their dinners at two o'clock. All their brain-work in the school-room is done before eating any nourishing food. The teacher realized the injurious effects of the present forcing system, and suggested withdrawing the girls from school for one year between the grammar- and high-school grades. When I asked whether a better result would not be obtained by keeping the girls in school during this additional year, but relieving the pressure of purely mental work by the introduction throughout all the grades of branches in household economy, she said this seemed to her ideal, but, she feared, impracticable, not from the nature of schools, but from the nature of boards.
"A Latin graduating class of seven girls, aged seventeen and eighteen years, stated that they do their work without nervousness, restlessness, or apprehension.
"This, with other statistics, would seem to bear out your theory that after seventeen girls may study with much less risk to health.
"So far as I have observed, the strain or tear is chiefly in the case of girls studying to become teachers. These girls often press forward too rapidly for the purpose of becoming self-supporting at the age of eighteen. The bait of a salary, and a good salary for one entering upon a profession, lures them on; and a false sympathy in members of boards and committees lends itself to this injurious cramming.
"Our own normal school, which is doing a great, an indispensable, work in preparing a trained body of faithful, intelligent teachers, has succumbed to this injurious tendency. We have here the high and normal grades merged into one, the period of adolescence stricken out of the girl's school life, and many hundreds of girls hurried annually forward beyond their physical or mental capacity, in advance of their physical growth, for the sake of those who cannot afford to remain in school one or two years longer. I say this notwithstanding the fact that this school is, in my opinion, one of the most potent agencies for good in the community."
"Overpressure in school appears to me to be a disease of the body politic from which this member suffers; but it also seems to me that this vast school system is the most powerful agency for the correction of the evil. In the case of girls, the first principle to be recognized is that the education of women is a problem by itself; that, in all its lower grades at all events, it is not to be laid down exactly upon the lines of education for boys.
"The school system may be made a forceful agency for building up the family, and the integrity of the home is without doubt the vital question of the age.
"Edward Everett Hale, with his far spiritual sight, has discerned the necessity for restoring home training, and advocates, to this end, short school terms of a few weeks annually. It is probable that in the future many school departments will be relegated to the home, but the homes are not now prepared to assume these duties.
"When it was discovered that citizens must be prepared for their political duties the schools were opened; but the means so far became an end that even women were educated only in the directions which bear upon public and not upon household economy. The words of Stein, that 'what we put into the schools will come out in the manhood of the nation afterward,' cannot be too often quoted. Let branches in household economy be connected with all the general as distinguished from normal-school grades, and we not only relieve the girl immediately of the strain of working with insufficient food, and of acquiring skill in household duties in addition to the school curriculum, we not only simplify and harmonize her work, but we send out in every case a woman prepared to carry this new influence into all her future life, even if a large number of these women should eventually pursue special or higher technical branches; for we are women before we are teachers, lawyers, physicians, etc., and if we are to add anything of distinctive value to the world by entering upon the fields of work hitherto pre-empted by men, it will be by the essential quality of this new feminine element.
"The strain in all work comes chiefly from lack of qualification by training or nature for the work in hand,--tear in place of wear. The schools can restore the ideal of quiet work. They have an immense advantage in regularity, discipline, time. This vast system gives an opportunity, such as no private schools offer, for ascertaining the average work which is healthful for growing girls. It is quite possible to ascertain, whether by women medical officers appointed to this end, or by the teachers themselves, the physical capacity of each girl, and to place her where this will not be exceeded. Girls trained in school under such wise supervision would go out into life qualified to guard the children of the future. The chief cause of overwork of children at present is the ignorance of parents as to the injurious effects of overwork, and of the signs of its influence.
"The first step toward the relief of over-pressure and false stimulus is to discard the pernicious idea that it is the function of the normal school to offer to every girl in the community the opportunity for becoming a teacher. This unwholesome feature is the one distinctive strain which must be removed from the system. It can be done provided public and political sentiment approve. The normal school should be only a device for securing the best possible body of teachers. It should be technical.
"Every teacher knows that the average girl of seventeen has not reached the physical, mental, or moral development necessary to enter upon this severe and high professional course of studies, and that one year is insufficient for such a course.
"Lengthen the time given to normal instruction,--make it two years; give in this school instruction purely in the science of education; relegate all general instruction to a good high school covering a term of four years. In this as in all other progressive formative periods the way out is ahead.
"It will be time enough to talk of doing away with a portion of the girls' school year when the schools have fulfilled their high mission, when they have sent out a large body of American women prepared, not for a single profession, even the high feminine vocation of pedagogy, but equipped for her highest, most general and congenial functions as the source and centre of the home."
I am unwilling to leave this subject without a few words as to our remedy, especially as concerns our public schools and normal schools for girls. What seems to me to be needed most is what the woman would bring into our school boards. Surely it is also possible for female teachers to talk frankly to that class of girls who learn little of the demands of health from uneducated or busy or careless mothers, and it would be as easy, if school boards were what they should be, to insist on such instruction, and to make sure that the claims of maturing womanhood are considered and attended to. Should I be told that this is impracticable, I reply that as high an authority as Samuel Eliot, of Massachusetts, has shown in large schools that it is both possible and valuable. As concerns the home life, it is also easy to get at the parents by annual circulars enforcing good counsel as to some of the simplest hygienic needs in the way of sleep, hours of study, light, and meals.
It were better not to educate girls at all between the ages of fourteen and eighteen, unless it can be done with careful reference to their bodily health. To-day, the American woman is, to speak plainly, too often physically unfit for her duties as woman, and is perhaps of all civilized females the least qualified to undertake those weightier tasks which tax so heavily the nervous system of man. She is not fairly up to what nature asks from her as wife and mother. How will she sustain herself under the pressure of those yet more exacting duties which nowadays she is eager to share with the man?
While making these stringent criticisms, I am anxious not to be misunderstood. The point which above all others I wish to make is this, that owing chiefly to peculiarities of climate, our growing girls are endowed with organizations so highly sensitive and impressionable that we expose them to needless dangers when we attempt to overtax them mentally. In any country the effects of such a course must be evil, but in America I believe it to be most disastrous.
As I have spoken of climate in the broad sense as accountable for some peculiarities of the health of our women, so also would I admit it as one of the chief reasons why work among men results so frequently in tear as well as wear. I believe that something in our country makes intellectual work of all kinds harder to do than it is in Europe; and since we do it with a terrible energy, the result shows in wear very soon, and almost always in the way of tear also. Perhaps few persons who look for evidence of this fact at our national career alone will be willing to admit my proposition, but among the higher intellectual workers, such as astronomers, physicists, and naturalists, I have frequently heard this belief expressed, and by none so positively as those who have lived on both continents. Since this paper was first written I have been at some pains to learn directly from Europeans who have come to reside in America how this question has been answered by their experience. For obvious reasons, I do not name my witnesses, who are numerous; but, although they vary somewhat in the proportion of the effects which they ascribe to climate and to such domestic peculiarities as the overheating of our houses, they are at one as regards the simple fact that, for some reason, mental work is more exhausting here than in Europe; while, as a rule, such Americans as have worked abroad are well aware that in France and in England intellectual labor is less trying than it is with us. A great physiologist, well known among us, long ago expressed to me the same opinion; and one of the greatest of living naturalists, who is honored alike on both continents, is positive that brain-work is harder and more hurtful here than abroad, an opinion which is shared by Oliver Wendell Holmes and other competent observers. Certain it is that our thinkers of the classes named are apt to break down with what the doctor knows as cerebral exhaustion,--a condition in which the mental organs become more or less completely incapacitated for labor,--and that this state of things is very much less common among the savans of Europe. A share in the production of this evil may perhaps be due to certain general habits of life which fall with equal weight of mischief upon many classes of busy men, as I shall presently point out. Still, these will not altogether account for the fact, nor is it to my mind explained by any of the more obvious faults in our climate, nor yet by our habits of life, such as furnace-warmed houses, hasty meals, bad cooking, or neglect of exercise. Let a man live as he may, I believe he will still discover that mental labor is with us more exhausting than we could wish it to be. Why this is I cannot say, but it is not more mysterious than the fact that agents which, as sedatives or excitants, affect the great nerve-centres, do this very differently in different climates. There is some evidence to show that this is also the case with narcotics; and perhaps a partial explanation may be found in the manner in which the excretions are controlled by external temperatures, as well as by the fact which Dr. Brown-S?quard discovered, and which I have frequently corroborated, that many poisons are retarded in their action by placing the animal affected in a warm atmosphere.
It is possible to drink with safety in England quantities of wine which here would be disagreeable in their first effect and perilous in their ultimate results. The Cuban who takes coffee enormously at home, and smokes endlessly, can do here neither the one nor the other to the same degree. And so also the amount of excitation from work which the brain will bear varies exceedingly with variations of climatic influences.
We are all of us familiar with the fact that physical work is more or less exhausting in different climates, and as I am dealing, or about to deal, with the work of business men, which involves a certain share of corporal exertion, as well as with that of mere scholars, I must ask leave to digress, in order to show that in this part of the country at least the work of the body probably occasions more strain than in Europe, and is followed by greater sense of fatigue.
The question is certainly a large one, and should include a consideration of matters connected with food and stimulants, on which I can but touch. I have carefully questioned a number of master-mechanics who employ both foreigners and native Americans, and I am assured that the British workman finds labor more trying here than at home; while perhaps the eight-hour movement may be looked upon as an instinctive expression of the main fact as regards our working class in general.
A distinguished English scholar informs me that since he has resided among us the same complaints, as to the depressing effects of physical labor in America, have come to him from skilled English mechanics. What share change of diet and the like may have in the matter I have not space to discuss.
Although, from what I have seen, I should judge that overtasked men of science are especially liable to the trouble which I have called cerebral exhaustion, all classes of men who use the brain severely, and who have also--and this is important--seasons of excessive anxiety or of grave responsibility, are subject to the same form of disease; and this I presume is why we meet with numerous instances of nervous exhaustion among merchants and manufacturers. The lawyer and clergyman offer examples, but I do not remember to have seen many bad cases among physicians. Dismissing the easy jest which the latter statement will surely suggest, the reason for this we may presently encounter.
My note-books seem to show that manufacturers and certain classes of railway officials are the most liable to suffer from neural exhaustion. Next to these come merchants in general, brokers, etc.; then less frequently clergymen; still less often lawyers; and more rarely doctors; while distressing cases are apt to occur among the overschooled young of both sexes.
The worst instances to be met with are among young men suddenly cast into business positions involving weighty responsibility. I can recall several cases of men under or just over twenty-one who have lost health while attempting to carry the responsibilities of great manufactories. Excited and stimulated by the pride of such a charge, they have worked with a certain exaltation of brain, and, achieving success, have been stricken down in the moment of triumph. This too frequent practice of immature men going into business, especially with borrowed capital, is a serious evil. The same person, gradually trained to naturally and slowly increasing burdens, would have been sure of healthy success. In individual cases I have found it so often vain to remonstrate or to point out the various habits which collectively act for mischief on our business class that I may well despair of doing good by a mere general statement. As I have noted them, connected with cases of overwork, they are these: late hours of work, irregular meals bolted in haste away from home, the want of holidays and of pursuits outside of business, and the consequent practice of carrying home, as the only subject of talk, the cares and successes of the counting-house and the stock-board. Most of these evil habits require no comment. What, indeed, can be said? The man who has worked hard all day, and lunched or dined hastily, comes home or goes to the club to converse--save the mark!--about goods and stocks. Holidays, except in summer, he knows not, and it is then thought time enough taken from work if the man sleeps in the country and comes into a hot city daily, or at the best has a week or two at the sea-shore. This incessant monotony tells in the end. Men have confessed to me that for twenty years they had worked every day, often travelling at night or on Sundays to save time, and that in all this period they had not taken one day for play. These are extreme instances, but they are also in a measure representative of a frightfully general social evil.
Is it any wonder if asylums for the insane gape for such men? There comes to them at last a season of business embarrassment; or, when they get to be fifty or thereabouts, the brain begins to feel the strain, and just as they are thinking, "Now we will stop and enjoy ourselves," the brain, which, slave-like, never murmurs until it breaks out into open insurrection, suddenly refuses to work, and the mischief is done. There are therefore two periods of existence especially prone to those troubles,--one when the mind is maturing; another at the turning-point of life, when the brain has attained its fullest power, and has left behind it accomplished the larger part of its best enterprise and most active labor.
I am disposed to think that the variety of work done by lawyers, their long summer holiday, their more general cultivation, their usual tastes for literary or other objects out of their business walks, may, to some extent, save them, as well as the fact that they can rarely be subject to the sudden and fearful responsibilities of business men. Moreover, like the doctor, the lawyer gets his weight upon him slowly, and is thirty at least before it can be heavy enough to task him severely. The business man's only limitation is need of money, and few young mercantile men will hesitate to enter trade on their own account if they can command capital. With the doctor, as with the lawyer, a long intellectual education, a slowly-increasing strain, and responsibilities of gradual growth tend, with his out-door life, to save him from the form of disease I have been alluding to. This element of open-air life, I suspect, has a share in protecting men who in many respects lead a most unhealthy existence. The doctor, who is supposed to get a large share of exercise, in reality gets very little after he grows too busy to walk, and has then only the incidental exposure to out-of-door air. When this is associated with a fair share of physical exertion, it is an immense safeguard against the ills of anxiety and too much brain-work. For these reasons I do not doubt that the effects of our great civil war were far more severely felt by the Secretary of War and President Lincoln than by Grant or Sherman.
The wearing, incessant cares of overwork, of business anxiety, and the like, produce directly diseases of the nervous system, and are also the fertile parents of dyspepsia, consumption, and maladies of the heart. How often we can trace all the forms of the first-named protean disease to such causes is only too well known to every physician, and their connection with cardiac troubles is also well understood. Happily, functional troubles of heart or stomach are far from unfrequent precursors of the graver mischief which finally falls upon the nerve-centres if the lighter warnings have been neglected; and for this reason no man who has to use his brain energetically and for long periods can afford to disregard the hints which he gets from attacks of palpitation of heart or from a disordered stomach. In many instances these are the only expressions of the fact that he is abusing the machinery of mind or body; and the sufferer may think himself fortunate that this is the case, since even the least serious degrees of direct exhaustion of the centres with which he feels and thinks are more grave and are less open to ready relief.
When affections of the outlying organs are neglected, and even in many cases where these have not suffered at all, we are apt to witness, as a result of too prolonged anxiety combined with business cares, or even of mere overwork alone, with want of proper physical habits as to exercise, amusement, and diet, that form of disorder of which I have already spoken as cerebral exhaustion; and before closing this paper I am tempted to describe briefly the symptoms which warn of its approach or tell of its complete possession of the unhappy victim. Why it should be so difficult of relief is hard to comprehend, until we remember that the brain is apt to go on doing its weary work automatically and despite the will of the unlucky owner; so that it gets no thorough rest, and is in the hapless position of a broken limb which is expected to knit while still in use. Where physical overwork has worn out the spinal or motor centres, it is, on the other hand, easy to enforce repose, and so to place them in the best condition for repair. This was often and happily illustrated during the late war. Severe marches, bad food, and other causes which make war exhausting, were constantly in action, until certain men were doing their work with too small a margin of reserve-power. Then came such a crisis as the last days of McClellan's retreat to the James River, or the forced march of the Sixth Army Corps to Gettysburg, and at once these men succumbed with palsy of the legs. A few months of absolute rest, good diet, ale, fresh beef and vegetables restored them to perfect health.
In all probability incessant use of a part flushes with blood the nerve-centres which furnish it with motor energy, so that excessive work may bring about a state of congestion, owing to which the nerve-centre becomes badly nourished, and at last strikes work. In civil life we sometimes meet with such cases among certain classes of artisans: paralysis of the legs as a result of using the treadle of the sewing-machine ten hours a day is a good example, and, I am sorry to add, not a very rare one, among the overtasked women who slave at such labor.
Now let us see what happens when the intellectual organs are put over-long on the stretch, and when moral causes, such as heavy responsibilities and over-anxiety, are at work.
When in active use, the thinking organs become full of blood, and, as has been shown, rise in temperature, while the feet and hands become cold. Nature meant that, for their work, they should be, in the first place, supplied with food; next, that they should have certain intervals of rest to rid themselves of the excess of blood accumulated during their periods of activity, and this is to be done by sleep, and also by bringing into play the physical machinery of the body, such as the muscles,--that is to say, by exercise which flushes the parts engaged in it and so depletes the brain. She meant, also, that the various brain-organs should aid in the relief, by being used in other directions than mere thought; and lastly, she desired that, during digestion, all the surplus blood of the body should go to the stomach, intestines, and liver, and that neither blood nor nerve-power should be then misdirected upon the brain: in other words, she did not mean that we should try to carry on, with equal energy, two kinds of important functional business at once.
If, then, the brain-user wishes to be healthy, he must limit his hours of work according to rules which will come of experience, and which no man can lay down for him. Above all, let him eat regularly and not at too long intervals. I well remember the amazement of a distinguished naturalist when told that his sleeplessness and irregular pulse were due to his fasting from nine until six. A biscuit and a glass of porter, at one o'clock, effected a ready and pleasant cure. As to exercise in the fresh air, I need say little, except that if the exercise can be made to have a distinct object, not in the way of business, so much the better. Nor should I need to add that we may relieve the thinking and worrying mechanisms by light reading and other amusements, or enforce the lesson that no hard work should be attempted during digestion. The wise doctor may haply smile at the commonplace of such directions, but woe be to the man who neglects them!
When an overworked and worried victim has sufficiently sinned against these simple laws, if he does not luckily suffer from disturbances of heart or stomach, he begins to have certain signs of nervous exhaustion.
As a rule, one of two symptoms appears first, though sometimes both come together. Work gets to be a little less facile; this astonishes the subject, especially if he has been under high pressure and doing his tasks with that ease which comes of excitement. With this, or a little later, he discovers that he sleeps badly, and that the thoughts of the day infest his dreams, or so possess him as to make slumber difficult. Unrefreshed, he rises and plunges anew into the labor for which he is no longer competent. Let him stop here; he has had his warning. Day after day the work grows more trying, but the varied stimulants to exertion come into play, the mind, aroused, forgets in the cares of the day the weariness of the night season, and so, with lessening power and growing burden, he pursues his purpose. At last come certain new symptoms, such as giddiness, dimness of sight, neuralgia of the face or scalp, with entire nights of insomnia and growing difficulty in the use of the mental powers; so that to attempt a calculation, or any form of intellectual labor, is to insure a sense of distress in the head, or such absolute pain as proves how deeply the organs concerned have suffered. Even to read is sometimes almost impossible; and there still remains the perilous fact that under enough of moral stimulus the man may be able, for a few hours, to plunge into business cares, without such pain as completely to incapacitate him for immediate activity. Night, however, never fails to bring the punishment; and at last the slightest prolonged exertion of mind becomes impossible. In the worst cases the scalp itself grows sore, and a sudden jar hurts the brain, or seems to do so, while the mere act of stepping from a curb-stone produces positive pain.
Strange as it may seem, much of all this may happen to a man, and he may still struggle onward, ignorant of the terrible demands he is making upon an exhausted brain. Usually, by this time he has sought advice, and, if his doctor be worthy of the title, has learned that while there are certain aids for his symptoms in the shape of drugs, there is only one real remedy. Happy he if not too late in discovering that complete and prolonged cessation from work is the one thing needful. Not a week of holiday, or a month, but probably a year or more of utter idleness may be absolutely essential. Only this will answer in cases so extreme as that which I have tried to depict, and even this will not always insure a return to a state of active working health.
I am very far from conceding that the vehement energy with which we do our work is due altogether to greed. We probably idle less and play less than any other race, and the absence of national habits of sport, especially in the West, leaves the man of business with no inducement to abandon that unceasing labor in which at last he finds his sole pleasure. He does not ride, or shoot, or fish, or play any game but euchre. Business absorbs him utterly, and at last he finds neither time nor desire for books. The newspaper is his sole literature; he has never had time to acquire a taste for any reading save his ledger. Honest friendship for books comes with youth or, as a rule, not at all. At last his hour of peril arrives. Then you may separate him from business, but you will find that to divorce his thoughts from it is impossible. The fiend of work he raised no man can lay. As to foreign travel, it wearies him. He has not the culture which makes it available or pleasant. Notwithstanding the plasticity of the American, he is now without resources. What then to advise I have asked myself countless times. Let him at least look to it that his boys go not the same evil road. The best business men are apt to think that their own successful careers represent the lives their children ought to follow, and that the four years of college spoil a lad for business. In reality these years, be they idle or well filled with work, give young men the custom of play, and surround them with an atmosphere of culture which leaves them with bountiful resources for hours of leisure, while they insure to them in these years of growth wholesome, unworried freedom from such business pressure as the successful parent is so apt to put on too youthful shoulders.
Somewhat distracted by the desire to be brief, and yet to tell the whole story, I have sought, in what I fear is a very loose and disconnected way, to put in a new light some of the evils which are hurting the mothers of our race, and those which every day's experience teaches the doctor are gravely affecting the working capacity of numberless men. I trust I have succeeded in satisfying my readers that we dwell in a climate where work of all kinds demands greater precautions as to health than is the case abroad. We cannot improve our climate, but it is quite possible that we have not sufficiently learned to modify the conditions of labor in accordance with those of the sky under which we live.
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