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THE LAND OF SILENCE AND LIGHT

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DIRECTED BY HENRI GRIGNON
MUSIC: E. ROBERT PAUX

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COMMENTARY: ED. BEN DANOU
SOUND RECORDING: FIATFILM

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TO REASSURE FAMILIES AND PATIENTS

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BY EXHIBITING LIFE IN A RESORT TOWN

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SPECIALIZING
IN TUBERCULOSIS TREATMENT,

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SUCH IS THE HUMANITARIAN PURPOSE
OF THIS FILM

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<i>Tourists arriving in Leysin</i>
<i>are quite surprised to see</i>

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<i>very unusual road signs.</i>

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<i>The town abides </i>
<i>to the strict medical needs</i>

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<i>of the resort,</i>

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<i>forbidding road traffic</i>
<i>between 2 and 4pm,</i>

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<i>to facilitate silent rest,</i>

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<i>one of the pillars</i>
<i>of sanatorium treatment,</i>

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<i>to be respected by all.</i>

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<i>It is also forbidden at night</i>
<i>so as not to disrupt patients' rest.</i>

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<i>Such a result wouldn't be easily</i>
<i>attained elsewhere.</i>

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<i>But silence isn't enough.</i>

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<i>There is much more to a sanatorium</i>
<i>than an elegant building</i>

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<i>in the mountains.</i>

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<i>Experts dictate that bedrooms,</i>

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<i>treatment galleries</i>
<i>and other patient premises</i>

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<i>must face south,</i>

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<i>to benefit</i>
<i>from the maximum sunlight each day.</i>

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<i>The resort should be built high enough</i>

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<i>that the mists coming</i>
<i>up from the valleys</i>

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<i>do not reach treatment galleries.</i>

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<i>Air must remain pure</i>
<i>and above all, dry.</i>

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<i>Finally, high mountains</i>
<i>should protect the resort</i>

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<i>against north and west winds</i>
<i>as they bring humidity and cold.</i>

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<i>As early as 1890,</i>

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<i>physiologists noticed</i>
<i>that the small village of Leysin</i>

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<i>met all of these needs.</i>

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<i>A treatment centre was built.</i>

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<i>Others followed.</i>

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<i>From a small village,</i>
<i>Leysin has grown into a sanatorium hub,</i>

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<i>specializing in all the different forms</i>
<i>of tuberculosis treatment.</i>

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<i>A cog railway takes you to Leysin.</i>

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<i>On the way up,</i>

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<i>passengers experience</i>
<i>curious optical illusions.</i>

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<i>At an altitude of 1,400 m,</i>

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<i>patients and their companions</i>
<i>are delighted</i>

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<i>with the pleasant and gay surroundings.</i>

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<i>However,</i>

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<i>very strict hygienic measures apply.</i>

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<i>Further, everyone should appreciate</i>

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<i>such measures.</i>

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<i>The policy</i>

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<i>is the same in all the resorts:</i>

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<i>offer patients maximum comfort</i>

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<i>and care.</i>

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<i>Family,</i>

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<i>friends and other visitors,</i>
<i>like the patients,</i>

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<i>enjoy this wonderful alpine landscape.</i>

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<i>In the quiet setting</i>

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<i>of the high mountains,</i>
<i>days pass filled with air, sun and rest.</i>

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<i>These standardized cures</i>

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<i>are usually enough to heal</i>
<i>most pulmonary lesions,</i>

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<i>provided that carelessness,</i>

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<i>neglecting the disease</i>
<i>in its early stages,</i>

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<i>or excessive trust</i>
<i>put into some remedies,</i>

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<i>didn't exacerbate the condition.</i>

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<i>In such cases, these cures</i>
<i>are complemented by treatment</i>

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<i>designed to bring</i>
<i>relative rest to the lesions</i>

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<i>of the affected lung,</i>

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<i>thus facilitating their healing.</i>

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<i>Of all the methods</i>

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<i>used in collapse therapy</i>
<i>of pulmonary tuberculosis,</i>

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<i>artificial pneumothorax</i>
<i>is the simplest and most common.</i>

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<i>It isn't a surgical procedure.</i>

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<i>Air is simply blown</i>
<i>into the pleural space</i>

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<i>around the lung.</i>

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<i>Here is a diagram to briefly outline</i>

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<i>this treatment.</i>

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<i>Air pressure</i>

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<i>slightly collapses the lung on itself,</i>

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<i>which keeps it at relative rest.</i>

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<i>X-ray and radioscopic images</i>
<i>are continually used.</i>

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<i>This is repeated regularly</i>

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<i>over an extended period of time.</i>

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<i>The lung collapses</i>

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<i>more and more,</i>

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<i>and the lesion heals</i>
<i>by progressively forming a scar.</i>

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<i>When the healing is complete,</i>

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<i>insufflations are continued</i>
<i>as a matter of precaution,</i>

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<i>but at increasingly wider intervals.</i>

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<i>Then they are stopped for good.</i>

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<i>The air is gradually resorbed.</i>

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<i>The lung recovers its volume</i>
<i>and returns to normal function.</i>

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<i>Frame of mind is just as important</i>
<i>as physical state.</i>

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<i>Good spirits lead to a quicker recovery.</i>

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<i>Patients usually adapt very quickly</i>
<i>to their new way of life.</i>

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<i>The morning cure is brightened</i>
<i>by varied tasks until lunch.</i>

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<i>Overfeeding is no longer recommended.</i>

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<i>Varied menus, simple dishes, fresh fruit</i>

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<i>provide sufficient,</i>
<i>vitamin-rich food intake.</i>

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<i>Diets are at times</i>
<i>prescribed by the doctor.</i>

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<i>The afternoon cure,</i>
<i>a cure of silence,</i>

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<i>is rigorously observed.</i>

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<i>For patients, the doctor's daily visit</i>

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<i>actually feels like a long,</i>
<i>amicable conversation.</i>

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<i>The reciprocal trust thus established</i>
<i>grows during months of cure,</i>

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<i>until the progress achieved</i>
<i>and confirmed by X-ray</i>

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<i>are such that the doctor</i>
<i>can safely deem the patient </i>

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<i>to be recovered,</i>
<i>and send him back to active life.</i>

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<i>...are the heliotherapy facilities</i>

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<i>dedicated to the cure</i>
<i>of so-called surgical tuberculosis,</i>

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<i>which affects the bones,</i>

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<i> joints, glands, peritoneum, etc.</i>

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<i>The aim of the treatment</i>
<i>is both to heal the lesions</i>

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<i>and restore the whole organism.</i>

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<i>It is based on full body sun baths,</i>

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<i>wisely measured for each individual.</i>

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<i>Very simple orthopaedic devices</i>

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<i>immobilize affected joints as needed,</i>

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<i>while still allowing access</i>

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<i>for air and sun.</i>

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<i>Hence the advantage</i>
<i>of maintaining blood flow</i>

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<i>and almost always preserving</i>
<i>joint function.</i>

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<i>This patient</i>
<i>has tuberculosis of the spine</i>

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<i>or Pott disease.</i>

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<i>The left X-ray was taken</i>
<i>before treatment.</i>

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<i>It shows extensive destruction</i>
<i>of the 11th and 12th dorsal vertebrae.</i>

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<i>The axis of the spine</i>
<i>has a significant curvature.</i>

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<i>On the right, after treatment,</i>

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<i>the radiography shows the results</i>

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<i>of heliotherapy</i>
<i>and orthopaedic treatment.</i>

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<i>Both damaged vertebrae</i>
<i>have completely healed</i>

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<i>by fusing together.</i>

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<i>The spine is now straightened.</i>

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<i>Patients' good morale</i>
<i>is sustained by the work cure.</i>

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<i>It offers even bed-ridden patients</i>

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<i>the opportunity to perform</i>
<i>not overly exerting manual activities.</i>

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<i>Without impeding the heliotherapeutic</i>
<i>and orthopaedic cure in any way,</i>

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<i>they provide</i>

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<i>invaluable solace</i>
<i>and some financial support.</i>

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<i>In children's clinics, young patients</i>
<i>have regular school lessons</i>

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<i>alternated with calisthenics</i>

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<i>always accompanied by music.</i>

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<i>The affected joint is spared,</i>

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<i>while the child's musculature</i>
<i>is developed</i>

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<i>and good spirits are maintained.</i>

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<i>As the recovery stage nears,</i>
<i>the patient begins</i>

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<i>to carefully learn</i>
<i>to stand again using crutches,</i>

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<i>then canes.</i>

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<i>He goes for longer and longer walks.</i>

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<i>They restore him</i>

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<i>while letting him admire</i>
<i>the marvellous surroundings.</i>

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<i>Finally, when he leaves,</i>

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<i>his fellow patients bid him farewell.</i>

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<i>He returns to the joys of family</i>

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<i>and his profession.</i>

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<i>Thus in this resort</i>

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<i>entirely designed for the well being</i>
<i>and recovery of all patients,</i>

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<i>time goes by quite fast.</i>

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<i>On long summer days,</i>
<i>bus trips are organized</i>

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<i>for convalescents.</i>

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<i>The Great St. Bernard Pass</i>
<i>is a favourite.</i>

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<i>In winter,</i>

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<i>sports competitions</i>
<i>are organized for them to attend.</i>

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<i>They can practise</i>
<i>winter sports in moderation.</i>

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<i>This teenager will always remember</i>
<i>his youth around Leysin,</i>

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<i>in the upper air preventorium.</i>

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<i>A frail child, he has benefited</i>
<i>from the great outdoors,</i>

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<i>and the sun.</i>

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<i>Physical education in such conditions</i>

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<i>make children so resistant</i>

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<i>that, during sunny winter days,</i>
<i>they can go skiing or sledding</i>

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<i>with just a bathing costume on,</i>
<i>like in summer.</i>

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<i>These adults,</i>

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<i>often growing morally and intellectually</i>
<i>in their months of cure,</i>

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<i>will also remember Leysin.</i>

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<i>They will come back as tourists,</i>

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<i>for the altitude</i>
<i>and pure air that cured them.</i>

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THE END

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Subtitles:
Ariane Fénart & Élisabeth Fuchs