Almanack Contributor Amy Catania

The fresh air cure wasn’t all a bed of roses.

First-hand accounts left behind in letters, photographs, diaries, and memoirs paint a picture of life in Saranac Lake during the TB years. It’s an incomplete record that can lead us to believe curing was an overwhelmingly positive experience.

It takes energy, time, and a degree of mental and physical well being to leave behind a personal record. People who were very ill, illiterate, or struggling with poverty did not have the same opportunity to create, or later preserve, accounts of their experiences.

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One of my favorite stories in our local history is about a meteor shower over Mount Baker and a tuberculosis patient named Isabel Smith.

Ms. Smith spent 20 years of her life sick in bed at the Trudeau Sanatorium. She wrote a book about her experience titled Wish I Might. Her book touches upon so many aspects of the cure — the importance of routine, diet, friendships, “cousining,” the natural world, reading, and occupational therapy. So many threads of the story are there.

Most intriguing is Isabel’s description of how she changed as a person during her long illness. She endured disfiguring operations and the removal of ribs to deflate her lung. At times, her case seemed hopeless. As the reality of her sickness settled in, Isabel felt anger, sadness, loneliness, and fear. But one night, on her porch overlooking Mount Baker, she stayed up with her porch mate to watch the Leonid meteor shower. For hours, the young women watched the sky, feeling transported from their sick beds to connect with the vast universe. Suddenly, life was very much worth living.

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Since we first opened our museum doors in 2009, thousands have come to learn about Saranac Lake’s history as a center for tuberculosis research and treatment. Visitors often ask about the cost of care and who was able to afford it. Was Saranac Lake’s fresh air treatment just for rich people? Did people of different ethnic groups and social classes have access to the cure?

These were topics we discussed with a school group this past March. The students were participating in the spring break program of the Division of Diversity, Equity & Inclusion at SUNY Potsdam. We were days away from the pandemic shutdown, and Saranac Lake’s historic connection to infectious disease felt newly relevant that morning.

In the late 1800s, when Saranac Lake was becoming famous as a health resort, one in seven people in the United States was dying of TB. The disease afflicted people from all walks of life. Public health measures and improved living conditions were beginning to lower the rate of infection in the United States. Still, TB continued to spread. It especially plagued poor people, living and working in crowded, poorly ventilated spaces.

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The old neighborhoods of Saranac Lake are lively these days, as people of all ages take a break from solitude to go out walking at all hours. Like the TB patients of the past, we are eager to stretch our legs, breathe some fresh air, and wave to a friendly face across the street.

Moderate exercise was a key part of the treatment in Saranac Lake. Doctors recognized that exercise could boost the immune system by strengthening the body and improving mental health. Not all TB patients were bedridden, and those who were well enough to get out of bed went walking on their doctors’ orders.

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