He also directed a free public health clinic in downtown Seattle and was the authority on who was admitted to Firland.

To be admitted to Firland, patients had to have lived in Seattle for at least one year, and their chance at recovery needed to be reasonable.

It operated in its Shoreline location from 1911 until 1947, when it was relocated to a decommissioned naval hospital at 15th Avenue Northeast and 150th Street in Seattle.

Because fresh air was considered to be key in the treatment of tuberculosis, windows were kept open all year long.

In addition to fresh air, nourishment was also extremely important, and hearty meals were provided for all patients.

Thoracoplasty was prescribed for some patients; the removal of ribs so that the chest wall would compress around the lung.

In addition to giving them vocational training, this allowed Firland's doctors to observe the patients and monitor their recovery.

Occupational therapy positions at Firland included delivering mail, tending the library, pushing wheelchairs, or cooking food in the dining hall.

Patients also staffed the woodshop, print shop, domestic arts center, machine shop, beauty parlor, vegetable gardens, farm (raising eggs, poultry, and pork) and volunteer fire department, all on Firland's grounds.

The occupational therapy program grew to include scale-model aircraft production, to be used as teaching tools about enemy planes.

Three new antibiotic drugs were introduced to the cure for tuberculosis in 1947: Streptomycin, Para-amino Salicylic Acid, and isoniazid.

[1] Patients at Firland began to behave with less docility than in the past due to the high recovery rates and changing social expectations after World War II.

Patient needs were addressed by newly hired social workers, psychologists, and psychiatrists.

There was no formal process to ensure an alcoholic patient stayed in the sanatorium, though it fell in line with the Health Department's quarantine regulations.

Patients classified as "difficult" were also put in Ward Six to maintain order and punish those who broke rules.

In 1965, monthly hearings were held by District Court Judge Robert M. Elston to identify and address the needs of patients confined to Ward Six.