t^ieriai

College of ^tpsiicians; anb burgeon*
Hibvavp

IWE5TSPBINv'Hl
fASTCUVUit^
INOIANAPOLl

u<-

MIA-EXCHANCE

SOUTH PROPERTY

MIA -EXCHANGE

I

Digitized by the Internet Archive

in 2010 with funding from
Columbia University Libraries

http://www.archive.org/details/annualreportoftr9598mass

Ninety-fifth Annual Report

TRUSTEES

Massachusetts
General Hospital.

Including the General Hospital in Boston,

the McLean Hospital and the

Convalescent Home in

Waverley. ^^^^^^^^^^=^^^

1908. f'.;^ MAY 11 1933

BOSTOX :

THE BARTA PRESS.

1909.

The legal title of the Corporation is

''The Massachusetts General Hospital."

All gifts and bequests, if without restriction, will^^
be used as the Trustees deem most for the interest
of the Corporation and its Beneficiaries.

TABLE OF CONTENTS.

Page.

Accounts. Trial Balance 16

Examinations of 34

Admission OF Patients. General Hospital. Rules and Rates 91

Annual Report of Committee ox the Book of Donations 14

,, Treasurer 15-33

„ Auditor of Accounts 34

„ Administrator and Resident Physician, General Hos-
pital 37

„ Training School for Nurses, General Hospital 62

„ Medical and Surgical Statistics, General Hospital... 92 -183
„ Director of Clinico-Pathological Laboratory,

General Hospital 77

„ Treadwell Library, General Hospital 84

„ Superintendent, McLean Hospital 209

„ Training School for Nurses, McLean Hospital 232

,, Trustees 5

Board of Consultation 267

Clinico-Pathological Laboratory. General Hospital 77

Convalescent Home. Officers of 275

Expenses and receipts of 22

Expense and Revenue Statement for the Year 1908 60-61

Patients at, number of 59

Institution, Officers of 267

Dalton Scholarship, Rules of 87

Donations ant) Legacies. Report of Committee on 14

Free Beds at General Hospital. Amounts subscribed in 1908 22

List of subscribers to 22

Funds. General Fund 20

Restricted Funds 24

Treadwell Library Fund 31

"Warren Library Fund 31

"Wooden Leg Fund 32

Bowditch History Fund 32

Pathological Laboratory and Randall Funds 33

General Hospital. Officers of 270

Rules for Admission and Rates 91

Expenses and Receipts of 21

Expense and Revenue Statement for the year 1908 52-53

Statement of Stock on Hand 54

Administrator and Resident Physician, Annual Report of 37

Residence of Persons Admitted" . 46

Birthplace of Persons Admitted 46

Occupations of Persons Admitted, Males 47

Occui)ations of Persons Admitted, Females 49

Out-Patients of 45

Table of Admissions, Discharges, and Results, twenty-three years. 60

Trainin<r School for Nurses 62

List of House Pupils 245

Income. Amounts of 21

McLean Hospital Fund 30

Investments. Producing no Income 17

Producing Income 17

Income from, Amount of 21

Ladies' Visiting Committees. General Hospital 269

List of House Pupils 245

McLeau Hospital. Officers of 274

Expenses and Receipts of 21

Expense and Revenue Statement for the year 1908 56-57

Superintendent's Annual Report 209

Art Room 215

General Statistics of 1908 218

Admissions, Discharges, and Results for ten years 219

Insane Received on First and Subsequent Adnaissions 219

Page.

Parentage of Persons Admitted 220

Residence of Persons Admitted 221

Civil Condition of J'ersons Admitted 223

Occupation of Persons Admitted 223

Ages of Insane at First Attack 224

Causes of Diseases in Persons Admitted 225

Probable Duration of Mental Disease Before Admitted 226

Form of Mental Disease of Patients 227

Discharges Classifled 229

Causes of Deatli .' 230

Duration of Mental Disease and Its Treatment 231

Cost of Principal Stores 58

Training School for Nurses. Annual Report of 232

Officers of the Institution 267

General Hospital 270

McLean Hospital 274

Convalescent Home 275

Out-Patients. General Hospital. Number of, etc 45

Patients. General Hospital. Number of and Rates 44-45

,, „ Residences, Birthplaces, and Occupation 46-49

,, ,, Admissions, Discharges, and Results, twenty-
three years 50

McLean Hospital. Admissions and Discharges 219

Voluntary 218

Convalescent Home. Admissions and Discharges 45

Resident Physician. General Hospital. Annual Report of 37

Statistics. General Hospital, 1908. Medical Diseases 92

,, ,, ,, Surgical , 105

,, ,, ,, ,, Operations 139

,, ,, ,, iSIajor Operations 181

,, ,, ,, Out-Patient Department 185

Superintendent McLean Hospital. Annual Report of 209

Training School for Nurses.

Of General Hospital. Admission to Training and Instruction — 74

,, ,, Diplomas to (Jraduates 76

Of McLean ,, Annual Report of 232

,, ,, Admission to. Training and Instruction 235

,, ,, Pupils Employed and Paid 237

,, ,, Diplomas to Graduates 237

,, ,, Course of Instruction 238

„ „ Order of Exercises for Men 243

,, „ ,, „ ,, „ Women 242

Trkadavell Library. Annual Report of 84

Receipts and Payments, 1908 20

Trial Balance 16

Trustees. Annual Report of 5

List of 267

Standing Committees of 268

Visiting Committees. Of Trustees ■ . 2C8

Of Ladies General Hospital 269

Warren Triennial Prize 89

THE

NINETY-FIFTH ANNUAL REPORT

FOR THE YEAR 1908.

The Committee appointed by the Trustees to pre-
pare the Annual Report to the Corporation respect-
fully submit the following:

LAND.

The real estate of the McLean Hospital has been
increased during 1908 by the purchase of two tracts
of land at Waverley, one on Mill Street, containing
about 71,800 square feet, and the other, the Brown
Farm, so called, comprising hft3'-six and forty-eight
one hundredths (56.48) acres, which had been oc-
cupied by the Hospital for several years under a
lease. Since its purchase a spring has been discov-
ered upon the Farm which has a large flow of water,
sufficient, it is believed, for more than the present
needs of the Hospital. A pipe line has been laid
connecting with the old line, and a pump-house is
in process of construction, in which a pump will
be installed.

Three (3) lots of land on Fruit Street in Boston,
with the houses thereon, adjoining the grounds of
the General Hospital, have been bought during the
year. This purchase completed the ownership by
the Corporation of the land bounded by Blossom

Report of the Trustees.

Street, Fruit Street, the old yard of the Hospital,
and the Parkman land and buildings on Fruit Street
Place. All the old houses upon this property, thirty-
three (s^) in number, have been torn down, the land
graded and made a part of the Hospital yard, around
which a brick wall with a gate at the foot of North
Anderson Street has been built. The accompanying
illustration shows this gate, and the new land.

Ten thousand (10,000) square feet of land on
Hammatt Road, West Roxbury, lying between two
pieces of land belonging to the Hospital, were
acquired by purchase.

BUILDINGS.

A bay window has been added to the Wyman
House at Waverley and a partition removed, which
will admit more sun and air, and a room for continu-
ous baths for patients is now building.

At the Convalescent Home the two rooms which
were formerly used as a laundry have been thrown
into one, making a very pleasant small ward and in-
creasing the number of beds from thirty-two (32) to
thirty-six (36). The extra space gained has been
used to obviate the crowded condition of the beds
for men in the old wards.

A veranda has been added to the Weld Ward at
the General Hospital through the generosity of Dr.
Charles G. Weld.

FINANCIAL.
During the year the system of accounting at the
Hospital has been changed to a uniform system,
adopted by several of the most prominent hospitals
of the country. The adoption of this system makes
it difficult to make detailed comparisons of the

7

Keport of the Trustees.

financial results in the workings of this Institution in
1908 with former years, but it can be said in general
terms that the General Hospital has done a larger
business, at about $9,000 less expense than in 1907.

The McLean Hospital, on a basis of 1907 account-
ing, will show for 1908 that the receipts, including
the income from the Special Funds, exceeded the
expenditures by about $3,000, and the Convalescent
Home will show a deficit of about $1,000.

The income from invested funds, as shown in the
Treasurer's Report, is considerably less than in 1907,
but this difference is not the result of a less earning
power of the investments, but has come about
through the receipt in 1907 of certain unusual settle-
ments happening in that year, and also to a difl^'erence
in the system of bookkeeping, which closed the
books on December 31, and did not include certain
January first dividends in 1908, which happened to
come in in 1907 and appeared in the accounts of
that year.

In connection with the new system of accounting,
which deals with cash transactions only, it was con-
sidered advisable to charge off the various stocks and
uncollected charges for board at the McLean
Hospital, which has occasioned a nominal shrinkage
of the General Fund to that extent.

Under this new system it is expected that here-
after comparisons and an intelligent understanding of
the workings of the Institution will be clearer and
more valuable than ever.

8

Report of the Trustees.

STATISTICAL.

AT THE GENERAL HOSPITAL IN BOSTON.

The total number of patients admitted during the
year was 5,362 against 5,517 in 1907. The daily
average was 291 against 279 in 1907. The total
number treated during the year was 5,637. The
actual work done by the Hospital, however, is shown
by the total patients' da3's treatment, 106,034 in 1908,
as opposed to 102,109 in 1907.

The number of free patients treated during the
year was 3,558 as against 3,285 in 1907, and the
number of paying patients in whole or in part was
2,079 ^s opposed to 2,364 in 1907.

In the Out-Patient Department the number of
new cases treated was 20,729 as against 20,358 in
1907.

The total number of visits from these patients was
116,008; the average daily attendance 382, and the
total number of prescriptions filled was 46,390.

The number of patients treated in the Accident
Ward was 5,313 as opposed to 5,802 in 1907. The
average number of days during which patients have
remained in the Hospital was 20— against 18+ in
1907. In the early part of the year two of our wards
were closed for a short period because of scarlet
fever.

THE CONVALESCENT HOSPITAL IN WAVERLEY.

The total number of patients admitted during the
year was 508 against 563 in 1907. The daily average
was 28 — against 26+ in 1907. The total number
of days' board was 10,106, as opposed to 9,735
in 1907.

Report of the Trustees.

THE MCLEAN HOSPITAL IN WAVERLEY.

The total number of cases admitted during the
year was i68 as against 192 in 1907, and the daily
average number of patients in the Hospital was 216
as against 200 in 1907. The total number treated
during the year was 394.

The average duration of illness, from the beginning
of the attacks in the cases recovered, was 10.81
months, and the average duration of their residence
in the Hospital was"* 5.72 months. The average
weekly cost per patient in 1908 was $24.37 'igainst
$26.01 in 1907.

OFFICERS AND STAFF.

No changes have occurred in the Board of Trus-
tees during the year.

The Corporation lost by death early in the year its
President, Mr. Charles H. Dalton. At the request
of the Trustees the following tribute to his memory
was prepared by the Chairman:

" Charles H. Dalton was a member of the Board of Trustees of
this Hospital during the years 1866 to 1881. He was President
of the Corporation from 1888 until his death on Feb. 23, 1908.
During this long connection with the administration of the Hos-
pital he gave it the same vigorous, intelligent, and devoted service
which marked his life in the many important public and private
employments to which his time was so freely given.

" As Chairman of the Building Committee of the new Hospital
at Waverley, he was untiring in his labors, and the highly satisfac-
tory result of this, the greatest undertaking of the Hospital, is
largely due to his courage and foresight.

" Two distinguished members of his family have served the
Hospital in its medical administration, and in their memory our
late associate together with his brother, Mr. Henry R. Dalton,

* The statistics of McLean Hospital are made out for the year ending Sept. 30,
1908, in order tliat tliey may be compared with the tables of other Insane Hospitals in
the State.

10

Report of the Trustees.

established ' The Dalton Scholarship,' a lasting memorial of the
conspicuous, devoted, and wise contribution of this family to the
cause of medicine and humanity.

" The Trustees of the Massachusetts General Hospital in
affectionate remembrance of their late associate have entered this
tribute upon their records."

In less than two months after the loss of its Presi-
dent, Mr. Franklin Haven, Treasurer of the Corpora-
tion, was suddenly removed by death. At the next
meeting after his death the Board adopted the
following minute:

" For nearly a quarter of a century, Franklin Haven, who died
on April 7, 1908, served as Treasurer of the Massachusetts
General Hospital.

" The trustees desire to place upon their records their grateful
appreciation of his long, continuous, and valuable services, of his
fidelity to the trust committed to his charge, of his unvarying
courtesy of manner, and of his cheerful welcome to this room
(the Directors' .Room of the Merchants National Bank) where
at his invitation we have held our meetings for so many years.

" His kindly and constant presence at our meetings will be
greatly missed, and his memory long be cherished."

On Oct. 16, 1908, Mr. Charles H. W. Foster, who
had been acting, since Mr. Haven's death, as Treas-
urer ^ro tempore^ resigned as Secretary and was
elected Treasurer and Mr. John A. Blanchard was
chosen Secretary.

The following changes have taken place in the Staff.
The term of office of Dr. Reginald H. Fitz as Visit-
ing Physician expired, and the Trustees expressed
to him their " regret that the time for his retirement
through age limit had arrived " and also entered upon
their records their " high appreciation of his services
as Microscopist and Curator of the Pathological
Cabinet from 1871 to 1889, Pathologist from 1889 to

11

Jleport of the Trustees.

1892, and Visiting Physician from 1888 to 1908."
Services such as these not only add to the high
reputation of the Hospital, but increase the welfare
of the whole community.

Dr. Elbridge G. Cutler, Dr. Henry L. Morse, and
Dr. Joel E. Goldthwait resigned from the StalT, and
the appreciation of their services by the Trustees
was expressed by their votes and communicated to
those. gentlemen.

Dr. Fitz and Dr. Cutler were appointed upon the
Consulting Staft'. Dr. Elliott G. Brackett was ap-
pointed Orthopedic Surgeon in the place of Dr.
Goldthwait, and Drs. Eugene A. Crockett and
Harris P. Mosher were appointed Aural Surgeons.

Dr. Frederic C. Shattuck was appointed Con-
tinuous Service Physician at the General Hospital
and Dr. Richard C. Cabot as his Assistant.

In the McLean Hospital Dr. Guy C. Fernald
resigned.

ADMINISTRATION.

In the Administration Department Dr. Herbert B.
Howard resigned to accept the position of Superin-
tendent of the Peter Bent Brigham Hospital. The
Board accepted his resignation with regret and re-
quested the Secretary to express to him their appre-
ciation of his able and faithful administration and of
the tact, justice, and courtesy shown by him in the
settlement of the intricate affairs of the Hospital.

Dr. Frederic A. Washburn was appointed Admin-
istrator to fill the vacancy caused by the resignation
of Dr. Howard, and Dr. Joseph B. Howland was
appointed Assistant Administrator.

The Trustees express their gratitude to the Ladies'
Visiting Committee and to many other ladies inter-

12

Report of the Trustees.

ested in the Hospital for the 103'al and efficient serv-
ice rendered b}- them in contributing to the comfort
and entertainment of the patients.

In their Report for the year 1886, the Trustees
said: "The excess of the ordinary expenses over
the income is substantially due to the number of free
beds at the General Hospital. That this deficit
should cease to exist without curtailings the number
of our free beds and diminishing our charit}' we must
make large additions to the subscribers to our free
beds." This is equally true at the present time. And
the Trustees would again ask for a more generous
support to the fund and annual subscription for free
beds, to the end that a restriction in their number
need not become an imperative necessity, resulting
in a reduction in the number of free patients.

The pressing needs of the General Hospital are an
Administration Building, a new Nurses' Home, and
suitable quarters for graduate nurses emplo3'ed by the
Hospital. The Trustees would call attention to the
Report of the Administrator and Resident Physician
for the reasons given by him why these needs ought
to be met now, and make an appeal to the friends of
the Hospital for prompt and liberal contributions to
enable them to make the needed improvements
without delay.

The Medical Superintendent at the McLean Hos-
pital has again brought to the notice of the Trustees
the need of a new Nurses' Home at that Institution,
a need too well known by the Trustees who have
been prevented bv the want of funds alone from
erecting a new building for that purpose. For these
funds the Trustees make an earnest appeal to the
benevolent and charitable.

In conclusion the Trustees invite attention to the

13

Report of the Trustees.

Treasurer's Report ; the Report on Donations ;
the Report of the Ladies' Visiting Committee, and
the valuable reports of Drs. Washburn and Tuttle,
and through them to the detailed reports of medical
and surgical cases, records, and statistics.
David P. Kimball,
Francis Henry Appleton,

Committee on Annual Report.

DONATIONS FOR 1908.

The Committee on the Book of Donations reports
that the following donations and legacies have been
received during the year:

Donation, Miss Georgina Lowell $25.00

"A Friend" 1,000.00

,, in memory of Moses Williams .... 5,000.00

Mrs. B. L. Young 25.00

Philip S. Sears 25.00

Bequest, Mrs. Anna S. C. Prince 650.00

„ Edward Gerrish 8,000.00

„ Henry Mulliken 79,865.00

Donation, Miss Harriet O. Cruft 5,000.00

Mrs. W. Scott Fitz 5,000.00

Bequest, Luther Farnham 466.63

„ J. Putnam Bradlee 168,033.28

Mrs. Grace M. Kuhn 10,000.00

Donation, Xurses' Alumna Association .... 4,720.02

„ Charles W. Hubbard 25.00

Mrs. .John H. Sturgis 10.00

From " Sundry Donors to Yearly Free Beds " . . 20,750.00

1308,594.93
Donations to McLean Hospital Art Room Fund :

Henry Simonds $10.00

Miss Marian Wetherell 25.00

„ Edith L. Simonds 10.00

These sums have been entered in the Book of
Donations in the usual form.

George Wiggleswortii,
Committee on the Book of Donations.

Massachusetts General Hospital,
December 31, 1908.

14

REPORT OF THE TREASURER.

In accordance with the Fifth Article of the By-
Laws, the Annual Report of the accounts of the
Massachusetts General Hospital, made up to the
last day of December, 1908, is respectfully sub-
mitted, to be laid before the Corporation at its
annual meeting.

16

Report of the Treasurer.

MASSACHUSETTS GENERAL HOSPITAL.

Land and Buildings,

Hospital . .
Land and Buildings

McLean ....
Land and Buildings

Convalescent Home
Annuities ....
Insurance Stock
Manufacturing Stock
Bank Stock . . .
Railroad Bonds . .
Railroad Stocks
Town Bonds . . .
Sundries ....
Notes Receivable .
Real Estate . . .
Nurses' Home . .
Province House
Real Estate Stocks
American Tel. & Tel

Company . .
Ad ministrator — Hospital
Administrator — McLean
Administrator — Conva-
lescent Home
Cash ....
General Fund .
Restricted Fund
Notes Payable .
McLean Hospital Fund
Warren Prize Fund .
Treadwell Library Fund
Shattuck Fund . . .
Warren Library . .
Bowditch History Fund
Surgicallnstrument Fund
Wooden Leg Fund
Convalescent Fund
Permanent and Ten Year

Beds

Clara Barton Fund
Millar Annuity . . .
Whittemore Memorial
Nurses' Training School
Samuel Cabot Fund
Pathological Laboratory

and Randall Fund .
Dalton Fund . . .
Codman Fund . . .
Orthopedic Ward Fund

lance, January

1, 1909.

Income.

Principal.

Dr. Cr.

Dr.

$1,874,971.23

1,859,485.09

50,000.00

160,000.00

50,000.00

85,172.50

49,336.00

-618,755.67

134,645.00

10,000.00

33,869.00

23,723.00

1,758,363.16

17,183.94

500,000.00

43,500.00

113,000.00

15,743.35

1,127.16

1,295.59

Cr.

$7,857.77

32,478.13

$3,735,347.67

2,366,670.35

450,000.00

339,209.83

$547.63

4,333.68
5,000.00

238.60

2,000.00
1,000.00

1,939.35

2,000.00

536.73

6,475.00

7,600.00

145,620.66

12,000.00

151.67

3,241.00

1,557.74

33,720.00

39,957.92

768.00

10,000.00
80,674.09

2,437.00

10,000.00
149,769.96

1,238.79

26,470.92

$7,857.77 $7,857.77 $7,432,648.82 $7,432,648.82

17

Report of the Treasurer.

MASSACHUSETTS GENERAL HOSPITAL.
Investments Producing No Income,

General Hospital : Land and Buildings

occupied for Hospital $1,874,971.23

Convalescent Home : Land and Build-
ings at Belmont 50,000.00

McLean Hospital : Land and Buildings

at Belmont 1,859,485.09

Administrator's Balance 18,166.10

Nurses' Home in Roxbury (Mohr Bequest) 17,183.94

Reversionary Interest in Province House

Estate 500,000.00

$4,319,806.36

Investments Producing- Income.

Policies Massachusetts Hospital Life Ins. Co $160,000.00

500 Shares Massachusetts Hospital Life Ins. Co. ... 50,000.00

$25,000 Chicago, Bur. & Quincy R. R. 5 per cent Bonds . 25,000.00
$48,000 Chicago, Bur. & Quincy R. R., Plain, 4 per cent

Bonds 48,000.00

$35,000 Chicago, Bur. & Quincy R. R., Joint, 4 per cent

Bonds 34,000.00

$161, 500 Atchison, Topeka & Santa Fe 1st 4 per cent Bonds 137, 905. 67

$8,000 Bur. & Mo. River R. R. 6 per cent Bonds .... 8,000.00

$5,000 Chicago, Mil. & St. Paul 6 per cent Bonds . . . 5,000.00

$5,000 Central Ry. of Vermont 4 per cent Bonds .... 2,500.00
$5,000 Bur., Cedar Rapids & Northern R. R. 5 per cent

Bonds 5,000.00

$20,000 Central Cross Town St. Ry. 5 per cent Bonds . . 19,875.00
$7,000 Kansas City, Ft. Scott & Memphis R. R. 6 per cent

Bonds 7,000.00

$25,000 New York, New Haven & Hartford R. R. 4 per

cent Bonds 25,000.00

$10,000 Fremont, Elkhorn & Mo. Valley R. R. 6 per cent

Bonds 10,000.00

$20,000 West End St. Railway 4 per cent Bonds .... 20,000.00

$1,000 Omaha St. Railway 5 per cent Bonds 1,000.00

$3,000 K. City, Memphis & Birm. R. R. 4 per cent Bonds . 3,000.00

$25,000 Chicago Junction Ry's 4 per cent Bonds .... 25,000.00

$20,000 Chicago Junction Ry's 5 per cent Bonds .... 20,000.00

$10,000 Oregon Short Line R. R. 5 per cent Bonds . . . 10,000.00

$7,000 Southern Ry. Co. 3 year 5 per cent 6,790.00

$15,000 Lake Shore Mich. So. Ry. 3 year 5 per cent . . . 15,000.00

$25,000 New York Central Rd. 3 year 5 per cent .... 25,000.00

$10,000 Michigan Central Ry. 3 year 5 per cent .... 10,000.00

$30,000 Chicago & N. Western Ry's 5 per cent Bonds . . 30,000.00

Amount carried forward $703,070.67

18

Report of the Treasurer.

Amount brought forward $703,070.67

$100,000 Richmond, Washington Co. 4 per cent Bonds . . 100,000.00

$113,000 American Tel. &.Tel. Co. 4 per cent Bonds . . 113,000.00

337 Shares Boston & Albany R. R 48,995.00

189 ,, Old Colony R. R 26,775.00

80 ,, Fitchburg R. R. Preferred 10,000.00

25 ,, New York, New Haven & Hartford R. R. . . 4,900.00

100 ,, Boston & Lowell R. R 24,000.00

140 ,, Merrimack Manufacturing Co 14,000.00

2 ,, Appleton Co 200.00

100 ,, Pepperell Manufacturing Co 24,122.50

2 ,, Pacific Mills 4,600.00

145 ,, Amoskeag Manufacturing Co 14,500.00

25 ,, Great Falls Manufacturing Co 2,500.00

2 ,, Lancaster Mills 250.00

100 ,, National Union Bank 10,000.00

25 ,, Old Boston National Bank 2,500.00

65 ,, State National Bank 6,500.00

200 ,, Merchants National Bank 20,000.00

50 ,, New England National Bank 5,000.00

50 ,, National Bank of Commerce 5,000.00

2 ,, Boston Ground Rent Trust 1,800.00

125 ,, State Street Exchange 12,500.00

25 ,, Barristers Hall 2,500.00

50 ,, Board of Trade Building 5,000.00

10 ,, Boston Real Estate 10,000.00

25 ,, Hotel Trust (Touraine) 2,500.00

12 ,, Municipal Real Estate Trust 1,200.00

50 ,, South Terminal 3,000.00

50 ,, Commonwealth Building 5,000.00

Land and Stores, 17 Blackstone Street 30,000.00

168 Washington Street 45,000.00

Redman Estate, 839 to 855 Washington Street .... 115,785.42

Building on Floral Place, Rear 847 Washington Street . . 46,794.41

Land and Stores, 496 to 500 Washington Street .... 384,349.05

474 to 480 Washington Street .... 336,717.92

859 Washington Street 30,000.00

273 and 275 Washington Street . . . 125,860.15

,, Buildings, 553 Washington Street 68,600.00

,, ,, Stores, Broadway and F Street, So. Boston . . 67,565.71

„ ,, ,, 237 Congress Street 49,418.82

Union Block, Union and Marshall Streets 66,875.00

Land and Houses, 15 to 21 Warrenton Street 48,700.00

„ ,, Buildings, 103 to 117 Chambers Street . . . . 62,383.85

,, ,, House, 10 Common Street 26,012.83

,, ,, Buildings, 72 to 74 Tremont Street 250,000.00

,, ,, House at Medford 4,300.00

Amount carried forward $2,941,776.33

19 .

Report of tlie Treasurer.

Amount brought forward $2,941,776.33

Notes Secured by Mortgages 23,723.00

Cash 32,478.13

100 Shares Union Pacific R.R. Preferred 8,000.00

50 ,, Chicago Junction Railway Preferred .... 5,525.00

50 ,, ,, Milwaukee & St. Paul R.R 6,450.00

3 ,, Old Boston National Bank 336.00

30 ,, American Sugar Ref. Co. Common .... 3,720.00

50 ,, ,, ,, ,, ,, Preferred .... 6,400.00

33 ,, Galveston Electric Co. Preferred 2,739,00

16 ,, Calumet & Hecla Mining Co 10,160.00

$5,000 Pacific Coast Co. 5 per cent 5,175.00

$5,000 Illinois Steel Deb. 5 per cent 4,850.00

$8,000 American Pneumatic Service Co. 5 per cent . . . 6,000.00

$2,500 Detroit, Grand Rapids & Western R.R. 4 per cent 2,050.00

$3,000 Chicago Junction Ry's 4 per cent 2,580.00

$3,000 Chicago & Western Michigan R.R 2,970.00

$3,000 Kansas City & Memphis Ry. & Bridge Co. ... 2,850.00

$10,000 Old Colony Street Railway Co. 4 per cent . . . 8,200.00

$2,000 Missouri, Pacific Equipment Notes 1,860.00

250 Shares Ballard Vale Mills 25,000.00

$10,000 Town of Belmont 10,000.00

Investments producing Income $3,112,842.46

no Income .... 4,319,806.36

Total, foot of Trial Balance $7,432,648.82

20

Report of the Treasurer.

MASSACHUSETTS GENERAL HOSPITAL.

General Fund.

Balance, Jan. 1, 1908 $3,547,792.56

One third profits of Massachusetts Hospital

Life Insurance Company 5,000.00

Donations 1908, account General Fund . . 249,124.91

Orthopedic Ward Building 38,577.72

Brown Land in Waverley 16,944.00

$3,857,439.19

Interest $19,676.92

Insurance 4,141.04

Premiums 1,269.00

Pathological Laboratory and Randall Fund . 4,763.22

Nurses' Training School 1,421.54

Warren Library Fund 236.91

Treadwell Library Fund 1,681.05

$33,189.68
Credit.
Wooden Leg Fund 31.03

$33,158.65

General Expense 2,555.92

McLean Hospital, items now charged off . . 46,375.06

General Hospital 36,939.87

McLean Hospital 452.65

Convalescent Home 2,609.37

$122,091.52
Balance to 1909 3,735,347.67

$3,857,439.19

21

Report of the Treasurer.

MASSACHUSETTS GENERAL HOSPITAL.

Income from Investments.

American Tel. & Tel. Company Bonds $6,780.00

Annuities Receivable 6,600.00

Massachusetts Hospital Life Insurance Company Stock . 4,000.00

Railroad Bonds 30,728.17

Manufacturing Stocks ' 4,368.00

Bank Stocks ' 4,899.51

Real Estate Productive 89,800.10

Notes Receivable 1,268.88

Railroad Stocks 3,491.25

Real Estate Stocks 1,659.25

Town Bonds " 64.44

Sundry Stocks and Bonds 619.00

$154,278.60

MASSACHUSETTS GENERAL HOSPITAL.
General Hospital.

Expenses for year, $317,863.28

Receipts, 1908, at

Hospital . . . $142,582.16
Income, $110,760.15
Less sun-
dry items, 168.09

110,592.06

Income Codman

Fund .... 6,999.19
Yearly Free Bed

Fund 20,750.00

Balance General

Fund .... 36,939.87

$317,863.28

Mcliean Hospital.

Expenses for year, $307,772.

Receipts, 1908, at
Hospital . . .

Income from Mc-
Lean Hospital
Fund .... 15,876.98

Balance from Gen-
eral Fund . . . 452.65

$307,772.89

22

Report of the Treasurer.

Convalescent Home.

Expenses for year, $13,581.16 \ Receipts, 1908, at

Home ....

Income from Con-
valescent Home
Fund . . . ..

Balance from Gen-
eral Fund . . .

$4,157.77

6,814.02

2,609.37

$13,581.16

Total, $639,217.33

Total

$639,217.33

( Board. . . $438,183.19

Summary : -< Income . . 161,032.25

( General Fund, 40,001.89

$639,217.33

MASSACHUSETTS GENERAL HOSPITAL.
Free Bed Subscription List for 1908.

Miss Mary S. Ames . .
Ames Shovel & Tool Co .
C. W. Amory ....
S. Reed Anthony . . .
Mrs. Larz Anderson . .
Francis Henry Appleton
Francis Bartlett . . .
Walter C. Baylies . .
Thomas P. Beal . . .
Mrs. James H. Beal . .
E. Pierson Beebe . . .
George Nixon Black . .
Mrs. Arthur W. Blake .
Francis Blake ....
Boston & Albany Railroad

Company

Boston Bridge Works .
Boston Firemen's Relief

Fund ......

Boston Elevated Railway

Company

Boston & Maine Railroad

Company

Mrs. Arthur H. Bowditch
Mrs. John L. Bremer

$100

Miss Sarah F. Bremer

100

Shepherd Brooks . .

100

Mrs. W. S. Bullard

100

Mrs. Elton Clark .

100

Alexander Cochrane

100

John T. Coolidge .

100

J. Randolph Coolidge

100

T. Jefferson Coolidge

100

Mrs. T. J. Coolidge, Jr

100

Charles E. Cotting .

100

Mrs. Charles P. Curtis

100

Mrs. Greely S. Curtis

100

Louis Curtis ....

100

Mrs. Susan P. Gushing

Lewis S. Dabney . .

1,000

Charles H. Dalton

100

Mrs. C. H. Dalton
Henry R. Dalton .

200

George Dexter . .
Gordon Dexter . .

500

Philip Dexter . .
William S. Dexter

2,400

C. S. Eaton . . .

100

W. S. Eaton . .

100

William Endicott .

$100
100
100
100
100
200
100
100
100
100
100
100
100
100
100
100
100
100
300
100
100
100
200
100
100

23

Reiiort of the Treasurer.

William Endicott, Jr.

. . $100

Mrs. George F. Faby

an . . 100

H. H. Fay ... .

. . 100

Mrs. Elizabeth E. Fa

y . . 100

L. Carteret Fenno

. . 100

William H. Forbes

. . 100

Charles H. W. Foster

• . . 100

Mrs. Charles H. W. ]

Foster 100

George A. Gardner

. . 100

George P. Gardner

. . 100

William A. Gardner

. . 100

Miss Harriet Gray

. . 100

Mrs. Reginald Gray

. . 100

Edward S. Grew .

. . 100

Mrs. G. G. Hammond

. . 100

Dr. John M. Harlow

. . 100

Franklin Haven .

. . 100

Mrs. Jacob H. Hecht

. . 100

Mrs. Adams S. Hill

. . 100

F. L. Higginson .

. . 100

Miss Ellen S. Hooper

. . 100

J. R. Hooper . .

. . 100

Robert C. Hooper .

. . 100

William Hooper .

. . 100

Luther G. Howard

. . 100

Henry S. Howe

. . 100

F. W. Hunnewell .

. . 100

H. S. Hunnewell .

. . 100

Mrs. Oscar lasigi .

. . 100

Arthur S. Johnson

. . 100

Edward C. Johnson

. . 100

Wolcott H. Johnson

. . 100

Nathaniel T. Kidder

. . 100

David P. Kimball .

. . 100

L. Gushing Kimball

. . 100

Mary B. Klock . .

. . 200

Mrs. H. A. Lamb .

. . 100

Amory A. Lawrence

. . . 100

Estate Mrs. Gertrude

Law-

rence ....

. . 100

John Lawrence and F

rancis

Peabody, Jr., Trust

ees . 200

Mrs. John Lawrence

. . 100

George C. Lee . .

. . 200

Mrs. Anna Cabot Loc

ge . 100

Augustus P. Loring

. . 100

Mrs. William Caleb I

coring 100

T. K. Lothrop . .

. . 100

Mrs. T. K. Lothrop

. . 100

Arthur T. Lyman ...
Mrs. Theodore Lyman .
Miss Fanny P. Mason .
Miss Ida M. Mason . .
Massachusetts Humane So

ciety

Laurence Minot . . .
Miss Madeleine C. Mixter
Mrs. John H. Morison .
Mr. and Mrs. E. Preble Mot

ley

New York, New Haven &

Hartford R. R. Co. .
Mrs. W. G. Nickerson .
Mrs. Otis Norcross . .
New England Telephone &

Telegraph Co. . . .
Richard Olney ....
Mrs. William C. Otis .
Charles J. Paine . . .
Robert Treat Paine . .
Mrs. F. S. Parker . .
George F. Parkman . .
Frank E. Peabody . .
Mrs. Francis Peabody, Jr
Dudley L. Pickman . .
J. M. Prendergast . .
George Putnam . . .
A. Lawrence Rotch . .
Mrs. Robert Shaw Russell
Mrs. F. W. Sargent . .
Frederick R. Sears . .
Mrs. Frederick R. Sears, Jr
Henry F. Sears . . .
Herbert M. Sears . . .
Mrs. P. H. Sears . . .
Henry S. Shaw . . .
Mrs. G. Howland Shaw .
Robert G. Shaw . . .
Francis Skinner . . .
Solidarity Bed ....
Solidarity Bed (1909) .
WiUiam S. Spaulding .
Mrs. Robert H. Stevenson
Estate E. V. R. Thayer
Nathaniel Thayer . . .
Charles Thorndike . .
Victorian Memorial Asso.
Miss Mary L. Ware . .

$10C
20C
100
100

100
100
100
100

100

1,200
100
100

200
100
100
100
100
100
100
200
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
150
1.50
100
100
100
200
100
150
100

$100

Moses Williams . . .

. $100

100

Mrs. R. C. Winthrop, Jr.

100

100
200

Mrs. T. L. Winthrop . .

. 100

100

$20,750

24

BAort of the Treasurer.

Siimuel D. Warren .
^ephen M. Weld . .

[rs. W. F. Weld . .

ieorge Wigglesworth

Fohn D. Williams ...._._

Restricted Funds lor the General Hospital.

Income devoted to Free Beds:

The Joy Fund, a bequest from Miss Nabby

Joy $20,000.00

Belknap Fund, a bequest from Jeremiah

Belknap 10,000.00

WilUam Phillips Fund, a bequest from

William PhiUips 5,000.00

Williams Fund, a bequest from John D.

Williams, of Estate No. 17 Black-
stone Street 19,600.00

Bromfield Fund, half of a bequest from

JohnBromfield 20,000.00

Miss Townsend Fund, a donation from the

executors of the will of Miss Mary P.

Townsend 11,486.50

Brimmer Fund, a bequest from Miss Mary

Ann Brimmer 5,000.00

Wilder Fund, a bequest from Chas. W.

Wilder 12,000.00

Sever Fund, a bequest from Miss Martha

Sever 500.00

Thompson Fund, a bequest from S. B.

Thompson 500.00

Tucker Fund, a bequest from Miss Mar-
garet Tucker 3,312.37

Davis Fund, a bequest from Mrs. Eleanor

Davis 900.00

Loring Fund, a bequest from Abigail

Loring 5,000.00

Nichols Fund, a bequest from B. R.

Nichols 6,000.00

Gray Fund, a donation from John C. Gray, 1,000.00
Dowse Fund, a bequest from Thomas

Dowse 5,000.00

Todd Fund, a bequest from Henry Todd 5,000.00
J. PhiUips Fund, a bequest from Jonathan

PhiUips 10,000.00

Greene Fund, a bequest from Benj. D.

Greene 5,000.00

Amount carried forward $145,298.87

25

Report of the Treasurer.

Amoxint brought forward $145,298.87

The Percival Fund, a bequest from John

Percival 950.00

Pickens Fund, a bequest from John

Pickens 1,676.75

Treadwell Fund, part of a bequest from

J. G. Treadwell 38,703.91

Raymond Fund, a bequest from E. A.

Raymond 2,820.00

Harris Fund, part of a bequest from

Charles Harris 1,000.00

Mason Fund, a bequest from Wm. P.

Mason 9,400.00

J. L. Gardner Fund, a donation from J. L.

Gardner 20,000.00

B. T. Reed Fund, a donation from Benj. T.

Reed 1,000.00

Wm. Reed Fund, a bequest from Wm.

Reed 5,233.92

McGregor Fund, half of a donation and

bequest from James McGregor . . 7,500.00
Miss Rice Fund, a bequest from Miss

Arabella Rice 5,000.00

Templeton Fund, half of a bequest from

John Templeton 5,000.00

Mrs. J. H. Rogers Fund, a donation from

J. H. Rogers 1,177.50

Lincoln Fund, half of a bequest from Mrs.

F. W. Lincoln 85,000.00

Beebe Fund, a bequest from J. M. Beebe 50,000.00
Blanchard Fund, a bequest from Mrs.

M. B. Blanchard 4,000.00

George Gardner Fund, a donation of

$1,000 from George Gardner, and

$5,000 from Shepherd Brooks . . . 6,000.00
Hemenway Fund, a donation from the

executors of the will of Augustus

Hemenway 20,000.00

Jessup Fund, part of a bequest from Dr.

Chas. A. Jessup 1,000.00

Tufts Fund, a bequest from Quincy Tufts 10,000.00
Read Fund, half of a bequest from James

Read 1,000.00

Parker Fund, a bequest from Jonathan

Parker, Jr 10,000.00

Miss Shaw Fund, a donation and bequest

from Miss M. Louisa Shaw .... 5,500.00

Amount carried forward $437,260.95

26

Report of the Treasurer.

Amount brought forward $437,260.95

The Eliza Perkins Fund, a donation from Mrs.

H. B. Rogers 1,000.00

Dwight Fund, a donation from Mrs. T.

Bradford Dwight 1,000.00

Hunnewell Fund, a donation from H. H.

Hunnewell 10,000.00

R. M. Mason Fund, a bequest'from R. M.

Mason .5,000.00

Kannah Lowell Cabot Fund, a donation

from Dr. Samuel Cabot 1,000.00

Welles Fund, a donation from Miss Jane

Welles -5,000.00

Black Fund, a bequest from Miss Mari-

anna Black 2,000.00

Eben Wright Fund, an assignment of

legacies by the children of T. .Jeffer-
son Coolidge 14,000.00

Paraclete Holmes Fund, a donation from

W. S. Adams 2,000.00

Estabrooks Fund, a bequest from J. W.

Estabrooks 1,000.00

Thayer Fund, a bequest from Nathaniel

Thayer 30,000.00

Ann E. Gray Fund, a bequest from Miss

Ann E. Gray . 5,000.00

John Bertram Fund, a donation from Mrs.

Clara Bertram Kimball 5,000.00

Hannah C. Leland Fund, a bequest from

Mrs. Hannah C. Leland 15,000.00

Esther E. Beebe Fund, a bequest from

Mrs. Esther E. Beebe 2,000.00

Ella F. Roehl Fund, a bequest from Ella F.

Roehl 8,085.02

Donations from friends, two of 8100 each

and one of 850 250.00

Henry B. Rogers Fund, a bequest from

Henry B. Rogers 10,000.00

John H. Eastburn Fund, a bequest from

John H. Eastburn 10,000.00

Mrs. Susan F. Eastburn Fund, a bequest

from Mrs. Susan F. Eastburn . . . 1,000.00
William B. Craft Fund, a bequest from

William B. Craft 5,000.00

Emily W. Appleton Fund, a donation

from Mrs. Emily W. Appleton . . 1,000.00
Stephen P. H. May Fund 1,000.00

Amount carried forward $572,595.97

27

Report of tlie Treasurer.

A^noiait brought forward $572,595.97

The Charles R. Hayden Fund, a donation from

Mrs. Annie Ruth Hayden .... 2,000.00
Spaulding Fund, a donation of Mahlon D.

and John P. Spaulding 10,000.00

Shattuck Fund, a donation of Mrs.

George C. Shattuck 500.00

Joel Spaulding Fund, a donation of Miss

Sarah R. Spaulding 3,000.00

McGregor Fund, a bequest of Mrs. James

McGregor 1,000.00

Bartlett Fund, a bequest of Sidney

Bartlett 10,000.00

Sawyer Fund, a bequest from M. P.

Sawyer 76,966.19

Jas. B. and Mary Dow Fund,a gif t of Mary

Dow, under the will of James B. Dow 5,000.00
Elisha T. Loring Fund, a bequest of

Elisha T. Loring 10,000.00

Ellen M. Gifford Fund, part of bequest of

Ellen M. Gifford 10,000.00

Turner Sargent Fund, a bequest of

Amelia Jackson Sargent 5,000.00

Sarah E. Allen Fund, a bequest of Sarah

E. Allen 5,000.00

Wm. S. Dexter Fund, a donation of Wm.

S. Dexter 5,000.00

Wm. B. Spooner Fund, a bequest of Wm.

B. Spooner 3,000.00

Caroline Merriam Fund, a donation from

Frank Merriam 1,000.00

Elizabeth W. Gay Fund, a bequest of

Elizabeth W. Gay 7,931.19

Waldmeyer Fund, a bequest of Philip

Waldmeyer 1,000.00

Lawrence Fund, a bequest of Abbott

Lawrence 10,000.00

Isaac Sweetser Fund, a bequest of Mrs.

Anne M. Sweetser 46,913.14

Burnham Fund, a bequest of T. O. H. P.

Burnham 250,000.00

Moseley Fund, a bequest of Wm. 0.

Moseley 20,000.00

Snow Fund, a bequest of Sophia J. Snow, 5,000.00
Glover Fund, a bequest of Albert Glover, 5,000.00
R. W. Turner Fund, a bequest of Royal

W. Turner 21,086.48

Amount carried forward .... $1,086,992.97

28

Report of the Treasurer.

Amount brought fortvard .... $1,086,992.97
The Coolidge Fund, a bequest of Susan G.

« Coolidge 176,000.00

Vose Fund, a bequest of Ann White Vose, 38, 983. 09
Cheney Fund, a bequest of B. P. Cheney, 10,000.00
Mary B. Turner Fund, a bequest of Mary

B. Turner 5,000.00

Theodore Chase Fund, a donation of

Alice Bowdoin Chase 5,000.00

Henry E. Moody Fund, a bequest of Jane

C. Moody 2,091.42

Urbino Fund, a bequest of S. R. Urbino, 6,000.00
Chas. Paine Cheney Fund, a donation of

Mrs. B. P. Cheney 5,000.00

Benj. Jos. Gilbert Fund, a donation of

Mrs. Susan B. Richards 5,000.00

Wm. Hilton Fund, a bequest of Wm.

Hilton 22,553.66

J. Sullivan Warren Fund, Legacy of

Elizabeth T. L. Warren 62,350.00

Harriet T. Andrew Fund, a bequest of

Harriet T. Andrew 5,000.00

Cornelia V. R. Thayer Fund, a bequest of

Mrs. C. V. R. Thayer 25,000.00

Chas. B. Porter Fund, a bequest of W. L.

Chase 5,000.00

Henry L. Pierce Fund, a bequest of

Henry L. Pierce 50,000.00

Luther Farnum Fund, a bequest of

Luther Farnum 2,637.37

J. Huntington Wolcott Fund, a bequest

of Mrs. J. Huntington Wolcott . . 25,000.00
Geo. A. Newell Fund, a bequest of Geo.

A. Newell 5,000.00

Ira C. Calef Fund, a donation of Ira C.

Calef 5,000.00

J. Collins Warren Fund, a bequest of

Anna S. C. Blake 10,000.00

Henry Saltonstall Fund, a bequest- of

Henry Saltonstall 10,000.00

Conrad Mohr Fund, a bequest of Conrad

Mohr 33,630.86

Sarah H. A. Burnham Fund, a donation

of Mrs. Sarah B. Whittemore and

Mrs. Theresa B. Dodge 5,000.00

Chas. L. Young Fund, a bequest of Chas.

L. Young 5,000.00

Amount carried forward .... $1,611,239.37

29

Report of the Treasurer.

Amount brought forward .... $1,611,239.37
The Henry Woods Fund, a bequest of Henry

Woods 5,000.00

Henry Whitman Fund, a bequest of

Henry Whitman 10,000.00

Jos. B. Glover Fund, a bequest of Jos. B.

Glover 5,000.00

Stuart Wadsworth Wheeler Fund, a

donation of Susan Farnum Wheeler, 1,000.00
Wm. Whitworth Gannett Fund, a dona-
tion of Wm. Whitworth Gannett . . 1,000.00
Robert Chas. Billings Fund, a bequest of

Robert Chas. BiUings 5,000.00

Fred'k L. Ames Fund, a bequest of Mrs.

Fred'k L. Ames 5,000.00

John Ruggles Fund, a bequest of Mrs.

Mary L. Ruggles 10,000.00

Chas. H. Hayden Fund, part of a bequest

of Chas. H. Hayden 5,000.00

Harriet 0. Cruft Fund, a donation of Miss

Harriet O. Cruft 3,000.00

Henry C. Weston Fund, a donation of

Mrs. Evelyn O. Weston 5,000.00

Geo. B. Upton Fund, a bequest of Geo. B.

Upton 5,000.00

Shepard Norwell Fund, a donation of

John Shepard 5,000.00

Hannah Smith-Lexington Fund, a bequest

of George 0. Smith 5,000.00

Coburn Fund, a bequest of Mrs. Helen G.

Coburn 75,000.00

Charles Merriam Fund, a bequest of

Charles Merriam 5,000.00

Moses William Fund, a donation of Laura

L. Cases 5,000.00

Smith-Gerrish Fund, a bequest of Edward

Gerrish 8,000.00

Nurses Training School, Free Bed Fund, 5,000.00
Donation of Mrs. W. Scott Fitz .... 5,000.00
Donation of Miss Harriet O. Cruft as a

Children's Fund 5,000.00

Bequest of Mrs. Grace M. Kuhn for Clini-
cal Laboratory 10,000.00

$1,799,239.37

Income unrestricted:

Waldo Fund, a bequest from Daniel

Waldo $40,000.00

Amount carried forward $40,000.00 $1,799,239.37

30

Report of the Treasurer.

Amount brought fortvard $40,000.00 $1,799,239.37

The Blake Fund, a bequest from Stanton

Blake 10,000.00

Charles W. Faulkner Fund, bequest of

C. W. Faulkner 2,940.00

John Foster Fund, bequest of John Foster 10, 000. 00
Brown Fund, bequest of Harriet Louisa

Brown 5,000.00

Elizabeth C. Ware Fund, bequest of

Elizabeth C. Ware 10,000.00

Lucretia A. Wilder Fund, a bequest of

Lucretia A. Wilder 9,377.64

Roger Wolcott Fund, bequest of Roger

Wolcott 5,000.00

92,317.64

Income devoted to any Purpose
except Buildings :

Redman Fund, a bequest from John Red-
man 455,113.34

Chester H. Davis Fund, for
Crippled Children, a bequest of
Chester H. Davis 20,000.00

Total Restricted Fund .... $2,366,670.35

McLean Hospital Fund.

The Bromfield Fund, half of a bequest from

John Bromfield $20,000.00

Read Fund, half of a bequest from James

Read 1,000.00

Appleton Fund, $10,010, a bequest from

Samuel Appleton ; $20,000 being a

donation from Wm. Appleton . . . 30,010.00
McGregor Fund, half of a donation and

bequest from James McGregor . . 7,500.00
Austin Fund, part of a bequest from Mrs.

Agnes Austin 5,000.00

Kittredge Fund, a bequest from Rufus

Kittredge 5,500.00

Templeton Fund, half of a bequest from

John Templeton 5,000.00

Proctor Fund, a bequest from Mrs. Lydia

P. Proctor 1,000.00

Amount carried forward $75,010.00

31

Report of the Treasurer.

Amount brought forward $75,010.00

The Higginson Fund, a bequest from George

Higginson 10,000.00

Ellen M. Gifford Fund, part of a bequest

from Ellen M. Gifford 5,000.00

Matchett Fund, a donation of Sarah F.

Matchett 15,000.00

Vose Fund, a bequest of Ann White Vose, 34,491.54
Abbott Fund, a bequest of Marshall K.

Abbott 2,500.00

Lincoln Fund, half of a bequest from Mrs.

F. W. Lincoln 85,000.00

Bradlee Fund, a donation from Helen C.

Bradlee 50,000.00

Vose Fund, a bequest of Ann White Vose, 4,491.55
Amusement Fund, S5,000 bequest of Miss

Mary Louise Shaw ; 85,000 donation of

Mrs. Quincy A. Shaw and other ladies 10,000.00

Hibbard Occupation Fund 1,000.00

Thomas E. Proctor Fund for maintenance

of buildings 30,000.00

Fund for Department of Scientific Re-
search, a donation of Sarah F.

Matchett 5,000.00

Art Room Fund 811.90

Samuel Eliot Memorial Chapel Fund for

maintenance of Chapel 10,904.84

Total McLean Hospital Fund . . $339,209.83

Income devoted to a Triennial
Prize :

Warren Prize Fund, a bequest from

Dr. J. M. Warren 4,333.68

Income devoted to the library:

Treadwell Library Fund, part of a bequest

from J. G. Treadwell 5,000.00

Income devoted to ]Music at Hos-
pital:

George C. and Anne H. Shattuck Fund,

donation of Dr. Frederick C. Shattuck 2, 000. 00

32

Report of the Treasurer.

Income devoted to Books for

Patients :

Warren Library Fund, a donation from

Dr. J. C. Warren $1,000.00

Income and Principal devoted to
the Publication of a History of
the Hospital:

Bowditch History Fund, a bequest from

N. I. Bowditch 2,000.00

Income devoted to Special Surgi-
cal Instruments: $225.00

Donation of Dr. Henry J. Bigelow . . 1,250.00
Arthur Appleton Beebe Fund .... 5,000.00

Wooden Leg Fund $loo.oo

Bequest of N. I. Bowditch 5,000.00

George A. Newell Fund 2,500.00

Convalescent Home Fund . . . $67,320.66

Bequest of Jerome G. Kidder .... 15,000.00

Bequest of Samuel W. Sweet .... 50,000.00

Donation from George A. Gardner . . 5,000.00

Bequest of Elizabeth B. I. B. Dixwell . 1,000.00

Donation from Miss Helen C. Bradlee . 1,300.00

Bequest of Elizabeth B. Bowditch . . . 5,000.00
Donation from Mrs. Isaac Sweetser in

memory of Dr. Edw. H. Clarke . . 1,000.00

Free Bed Subscribers; Perma-
nent or for ten years:

Mrs. John T. Morse $1,000.00

D. R. Whitney 1,000.00

Mrs. Anna T. Phillips 1,000.00

Mrs. Eliot Hubbard 1,000.00

Walter Hunnewell 1,000.00

Miss Ellen F. Mason 1,000.00

Amount carried forward . . . , . . $6,000.00

6,475.00

7,600.00

145,620.66

33

Report of the Treasurer.

Amount brought forward $6,000.00

Mrs. W. Scott Fitz 1,000.00

Mr. and Mrs. Henry S. Grew .... 1,000.00

Jordan Marsh Co 1,000.00

Henry L. Higginson 1,000.00

Mrs. George D. Howe 1,000.00

Wm. S. Dexter 1,000.00

$12,000.00

Clara Barton Annuity .... 3,241.00

Euphemia Millar Annuity ... ' 1,557.74

Dr. J. H. Whittemore Memorial

Fund 33,720.00

Training School for Nurses Fund, 39,957.92

Samuel Cabot Fund for Patholog-
ical Investigation. Founded in 1888.
Donation of Samuel Cabot and Dr. Arthur
T. Cabot. Income devoted to salary of
Surgical Pathologist 10,000.00

Pathological Laborator}- and Ran-
dall Funds 80,674.09

John Call Dalton and Edward
Barr}^ Dalton Fund, a donation from

Charles H. and Henry R. Dalton. Income
devoted to Investigation in the Science of
Medicine 10,000.00

Codman Fund , 149,769.96

Orthopedic Ward Fund .... 26,470.92

C. H. W. Foster,

Treasurer.

34
[Exaiuinations of Accounts.

Boston, Feb. 5, 1909.

To the Co7nmittee on Accounts,

Massachusetts General Hospital :

Dear Sirs : — We have examined the books and accounts of
the Massachusetts General Hospital, McLean Hospital and
Convalescent Home, and of the Treasurer for the year ending
Dec. 31, 1908, and hereby certify:

That all funds shown to have been received have been accounted
for ; that we have found vouchers or other satisfactory evidences
of payment for all disbursements ; that the various balances of
Cash were on hand as called for by the books ; that we have
inspected securities and notes representing the items of Stocks,
Bonds, Annuities Receivable and Notes Receivable, as shown in
the Balance Sheet; and, that the accounts on the Treasurer's
books are in agreement with the accounts which they represent on
the books of the Hospitals.

Very respectfully,

EASTERN AUDIT COMPANY,

By Fred. A, Caton, Manager.

REPORT OF LADIES' VISITING COMMITTEE.

The Ladies' Visiting Committee are unable, in so
brief a report, to enter into the details of their work
in the wards of the Hospital. This work has been
of great interest to them, and they believe it has been
of benefit to the patients.

The Committee have received constant assistance
from Miss Tippet, and on account of her intimate
knowledge of the patients, her suggestions have been
very helpful to the members of this Committee in
their efforts to make their work more effective.

The Committee have now undertaken to include
the entire Hospital in their friendly visiting. Two
or three visitors are assigned to visit the Hospital
each month of the year, and each visitor assumes for
the time responsibility for the work of the Com-
mittee in certain wards. They have also undertaken
more frequent visits to the Convalescent Home at
Waverley, and they are now preparing to furnish
some handiwork to those of the patients in the
Home who may care for it. They believe a very
simple occupation, voluntarily undertaken, will prove
helpful during the period of convalescence.

The Committee are able to report a marked increase
in the circulation of books in the wards, from the War-
ren Library. Several donations, including some of the
best class of fiction, have been greatly appreciated,
as books of this order are constantly called for.
They are also glad to place on record the testimony
of many patients in the Hospital to the excellent
quality of the food, the faithful care of the nurses,

35

36

Report of Ladies' Visiting Committee.

and the skill of the physicians and surgeons in
charge.

The members of the Ladies' Visiting Committee
wish to thank the Administrator of the Hospital and
his assistants for their courtesy, and to express to the
nurses and to others in various departments, with
whom they are brought in contact, their appreciation
of their ever-ready cooperation.

Respectfully submitted,

Charlotte S. Sprague,

Secretary.

ANNUAL REPORT OF THE ADMINISTRATOR
OF THE MASSACHUSETTS GENERAL
HOSPITAL AND RESIDENT PHY-
SICIAN OF THE GENERAL
HOSPITAL.

To the Trustees of the Massachusetts General
Hospital:

Gentlemen : — I have the honor to submit my first
report as Administrator of the Massachusetts General
HospitaL

When, upon the resignation of Dr. Herbert B.
Howard to become Superintendent of the Peter Bent
Brigham Hospital, I was elected by your Board to
the position of Administrator, the appointment was
accepted with ^eep appreciation of the responsibility
to the Trustees and to the community thus placed
upon me.

The year has been a satisfactory one, upon the
whole, at all three institutions. The actual cost of
operating has been slightly less in 1908 than in 1907.
The system of bookkeeping has been changed this
year to agree with the uniform system of accounting
which has been adopted by several New York hos-
pitals and other large institutions. This system
makes our accounts more easily understood by the
general public and makes it possible to compare the
expenditures of large general hospitals upon approxi-
mately the same basis. The change in the method
of accounting makes it difficult to compare this
year's expenditures with those of last year, and so in
spite of the fact that the General Hospital spent less

37

38

Report of the Administrator and Resident Physician.

this year than last, the cost per patient per day shows
greater. The reason is that this is the first time that
the expenditures from the Special Funds have been
counted in reckoning the per capita cost. Henceforth
we shall be upon the same basis with other institu-
tions which have adopted the system and it will be
possible to compare the cost intelligently.

The receipts at the General Hospital from board
of patients are $8,277.93 less in 1908 than in 1907.
The lessened income of wage earners during the past
year has been largely responsible for this. There
have been more free patients than usual, and the
amounts contributed by those who did pay something
for their board were less than in the preceding
year.

There has been an increase of $10,094.63 in the
amount received from board of patients at the McLean
Hospital. This is due mainly to the fact that more
accommodations have been available, as this is the
first full year that the Codman House has been used
to its capacity, and the Women's Belknap, which had
been partially closed for repairs, has been in service
the greater part of the year.

The receipts for board at the Convalescent Home
show an increase of $236.90 over 1907.

GENERAL HOSPITAL, BOSTON.

I would respectfully urge upon the Trustees the
pressing needs of the General Hospital. Of first im-
portance is an Administration Building. The entrance
of the Hospital is entirely unsuited to the size of the
institution. The offices are outgrown for the business
carried on, and the congestion in narrow, dark corri-
dors is serious and gives rise to well-grounded com-

39

Report of the Administrator and Resident Pbysician.

plaints. This is especially noticeable at visiting hours
when long lines of the friends of patients pack the
front corridor.

A new Administration Building would properly
include quarters for the Resident Doctors and House
Stall'. The present accommodations for such officers
are outgrown and unsuitable. We cannot quarter on
the premises all of the House Doctors who should
properly live here now, and the needs of the imme-
diate future are quite beyond any accommodations
which the Hospital can furnish.

An Administration Building could be so built that
it would include an Accident Ward convenient of ap-
proach, equipped with modern facilities for the care
of the injured, and in such a situation would be under
easy control of the administrative officers.

Another pressing need is suitable quarters for
graduate nurses employed by the Hospital. During
the great expansion of recent years and the increased
demand for better care of the patients, it has been
necessary to employ skilled graduate nurses as assist-
ant superintendents of nurses and at the head of de-
partments, such as the Out-Patient Department,
Surgical Building, and Accident Ward. For these
positions we wish to retain the best of our graduates,
and to do so it is essential that we should give them
better accommodations than single, small sleeping
rooms, such as are supplied to pupils of the Training
School. To accomplish this, new construction is
necessary. Either a new Nurses Home should be
built, or an addition to the present building.

The orderlies and other men employed at the Hos-
pital are at present crowded in the old Out-Patient
Building and the attic of the Bulfinch Building.
Suitable dormitories and rooms should be provided

40

Report of the Administrator and Resident Physician.

for these employees. If a new Nurses Home were
built, the present building could be fireproofed and
used for these men.

In urging these needs and the new construction in-
volved I do not lose sight of the needs of the patients
and the changes required in the present wards. We
are all here to serve the patients, but before we can
build for them we must perfect our organization, and
also clear the ground for ward construction and the
remodeling of old buildings. New ward buildings
are necessary to properly house the present number
of patients. In the Bullinch Building, the Children's
Ward is not suited for its purpose. All of the wards
in this building are crowded. They should contain
not more than two-thirds as many patients as they
now have. Small wards are demanded, especially for
the medical service. This is important, so that the
different classes of cases may be separated. It is par-
ticularly desirable that cases of typhoid fever should
be treated by themselves.

The Bullinch Building should be made fireproof.
This cannot well be attempted until new wards are
built in which the patients may be placed while this
work is being done.

The needs of the General Hospital as I have in-
dicated them are numerous and costly, but they are
urgent and should be met as I have outlined them
above, or in such other manner as seems wise to
your Board, if we are to maintain the high standard
of our work and perfect it as the years go by. There
has been no new building of importance at the
General Hospital since the Out-Patient Building was
finished in 1903. The amount of our work increases
greatly from year to year, and the character of it
improves. Both these things mean more facilities,

41

Report of the Administrator and Resident Physician.

and more officers and employees. Construction can-
not lag if wc are to reach a high grade of excellence
in all branches of our work.

The increased yard of the Hospital is much ap-
preciated. The razing of the neighboring tenements
gives admittance to more light and air. It is hoped
that the effect upon our elm trees will be beneticial.
We have lost a number of these trees in recent years
and those that remain are not in flourishing condi-
tion. A veranda has been added to the Weld Ward
by the gift of Dr. Charles G. Weld.

The year at the General Hospital shows a falling
off of the number of patients admitted to the Hospital
wards; 5,362 in 1908, as opposed to 5,517 in 1907.
The actual work done by the Hospital, however, is
shown by the total patients' days treatment, 106,034
in 1908, as opposed to 102,109 in 1907. The aver-
age number of days each patient has been in the
wards was larger this year than last. Twenty minus
days in 1908. Eighteen plus days in 1907. In the
early part of the year two of our wards were closed
for a short period because of scarlet fever. There
were 3,634 operations upon house patients as op-
posed to 3,212 operations in 1907.

The Accident Ward shows fewer visits this year
than last, 5,313 in 1908, as opposed to 5,802 in 1907.
Visits made to the Out-Patient Department show an
increase: 116,008 in 1908, as opposed to 107,063 in

1907, making an average of 382 -visits a day in

1908, as opposed to 351+ visits per day in 1907.
Attention is invited to the reports of the Director

of the Pathological Laboratory, Superintendent of
the Training School for Nurses, and the Assistant
Librarian, which are appended.

During the year Miss Alice O. Tippet, graduate

42

Report of the Administrator and Resident Physician.

nurse, has been employed as an " Executive Assist-
ant." Her work has been in the wards amonsf the
patients. It is her business to make the acquaintance
of every new patient admitted, select those who have
needs, and see what we can do to aid them. In this
work she has cooperated with the Ladies' Visitino-
Committee to their satisfaction. She has been the
patients' friend, and has been of use to the Visiting
Ladies so that they have not needed to waste their
time and effort in finding which patients were in need
of their sympathy and help. She has also been of
use to this office in helping us place cases which
have to be moved from the Hospital to an institution
of a more chronic nature. This was work formerly
done by an Assistant Resident Physician, but it was
found to demand more time and attention than could
be devoted to it b}^ him. Miss Tippet's report to me
brings out a fact which has impressed itself upon all
hospital workers in Boston, and that is the need of a
hospital for chronic cases other than the pauper sick.
I would here express to the Trustees my apprecia-
tion of the debt which the Hospital owes to the
Ladies' Visiting Committee for the faithful visiting
and generous thought which they have given the
Hospital. We are also indebted to the ladies who
have voluntarily given their services to social work
in the Out-Patient Department, and other ladies not
connected with either of these associations.

. MCLEAN HOSPITAL, WAVERLEY.

The new farm land acquired during the year will
be of value to the McLean Hospital and, to a lesser
extent, to the General Hospital and Convalescent
Home. The fact that it contains a spring with a

43

Report of the Administrator and Resident Physician.

large flow of water is sufficient in itself to justify its
purchase. It also gives us an increased area of graz-
ing and arable land. A new pigger}' has been built.
The small cottage on Mill Street opposite the farm-
house, which was acquired last year, has been made
habitable and is now occupied by the Supervisor of
the INIen's Department at the McLean Hospital.
Considerable expenditures have been made for re-
pairs and furnishings, but much remains to be done
in these two lines. The greatest need of the
McLean Hospital, in the administration department,
is a new power house situated at the foot of the hill.
The total patients' da3's treatment was 78,897 in
1908, as opposed to 72,956 in 1907.

CONVALESCENT HOME, WAVERLEY.

The year at the Convalescent Home has not been
remarkable. The laundry has been given up and
the work is done at the McLean Hospital. The two
rooms which were formerly used for the laundry have
been thrown into one and make a very pleasant ward
of eight beds. This has enabled us to rectify the
over-crowded condition in the other men's wards.
The total number of beds at the Home is now ^6,
against 23 last year. The total patients' days treat-
ment was 10,106 in 1908, as compared with 9,735 in
1907.

The statistics for all three branches of the Hospital
will be found elsewhere in the Report.

I wish to thank your Board for the consideration
shown the Administrative Officers of the Hospital
and to state my appreciation of the faithful work ot
officers and employees.

Frederic A. Washburn,

Ad^ninistrator.

44

Report of the Administrator and Resident Physician.

TABLE NO. 1.
Comparative Statement of Statistics.

Patients in Hospital January 1, 1908: »908- »««7.

Medical 100 98

Surgical ' 175 178

Total 275 276

Patients admitted during the year :

Medical 1,908 2,021

Surgical 3,454 3,496

Total 5,362 5,517

Total patients treated during the year :

Medical 2,008 2,119

Surgical . . : 3,629 3,674

Total 5,637 5,793

Patients discharged during the year :

Well 1,112 1,138

Much relieved 1,418 1,614

Relieved 1,823 1,803

Not relieved 308 248

Against advice 80 77

Died 465 471

Not treated 135 167

Total 5,341 5,518

Patients in Hospital at end of year :

Medical 98 100

Surgical 198 175

Total 296 275

Total patients' days treatment :

Free patients 58,516 48,674

Pay patients 47,518 53,435

Total 106,034 102,109

Percentage :

Free days 55+ 48—

Paydays 45- 52+

Total • 100 100

45

Report of the Administrator and Uesideut Pljysician.

Average patients per day : lixts. i«»07.

Free 160+ 133+

Pay 130+ 146+

Total 291- 279+

Average time per patient in the Hospital . . 20— days 18+ days

Daily average cost per patient, excluding
actual cost of running Out-Patient De-
partment and Accident Ward, Heat, etc.,
furnished Eye and Ear Infirmary, and
goods furnished the Convalescent Home
and McLean Hospital $2.26+ $2.15+

Daily cost per capita for provisions for all

persons supported .29— .30+

Paying patients were admitted at the following rates per week :
42 at $35.00, 23 at $23.34, 141 at $21.00, 80 at $14.00, 1 at $12.00, 854
at $10.50, 32 at $10.00, 23 at $8.00, 1 at $7.50, 385 at $7.00, 30 at $6.00,
27 at $5,25, 329 at $5.00, 57 at $4.00, 118 at $3.00, 6 at $2.50.

There were 5,313 patients treated in the Accident Ward. Of this
number 1,586 were retained in the Hospital.

Out-Patient Department.

Number of cases treated (new cases) . . . . 20,729

Americans 10,093

Foreigners 10,636

Residents of Boston 10,145

Residents of other places 10,584

Medical Department 6,511

Surgical ,, , 6,599

Department for Diseases of the Skin .... 2,224

,, ,, ,, ,, Nervous System 844

,, Throat .... 2,734

Orthopedic Department 1,817

1908. 1907.

Total number of visits from patients . . 116,008 107,063

Average daily attendance 382 351

Total number of prescriptions filled . . . 46,390 43,674

Number of visits to Hydrotherapeutic Room 5, 290 3, 955

,, ,, ,, Med. -Mechanical Room 11,466 7,150

Number of applicants 23,282

Number admitted 20,729

Referred to other Institutions 575

Number refused 1,978

Costof Maintenance of Out-Patient Department $50,902.61 $50,929.12
Daily average cost per Out Patient .... .44— .48—

46

Report of the Administrator and Resident Physician.

Ambulance.

1908. 190T.

Ambulance calls during the year 1,747 1,535

Average calls per day 5— 4-f

Accident Ward.

1908. 1907.

Visits made to Accident Ward during the year 5,313 5,802

Average visits made per day 15— 16—

Cost of Maintenance of Accident Ward . , .$4,141.03 $4,306.63

Daily average cost per Accident Ward Patient .78 — .74+

X-Ray.

1908. 1907.

Number of X-ray cases taken in the Out-

Patient Department 2,902 2,420

Number of X-ray cases taken in the House . . 1,353 1,064

TABLE No. 2.

Residences.

Boston 1,631

Massachusetts (except Boston) 3,589

Maine 24

New Hampshire and Vermont 62

Rhode Island and Connecticut 7

Other States 27

British Provinces 16

Foreign Countries 6

Total 5,362

TABLE No. 3.

Birthplaces.

Boston 314

Massachusetts (except Boston) 1,667

Maine 193

New Hampshire 120

Vermont 66

Rhode Island and Connecticut 66

New York 120

Southern and Western States • 167

Other States 18

Totalin the United States 2,731

47

Report of the Administrator and Resident Physician.

Table No, 3.— Continued.

British Provinces 602

Great Britain 252

Ireland 666

Norway and Sweden 102

Germany 49

Italy 222

France 9

Russia and Poland 479

Other Places 250

Total Foreigners 2,631

TABLE No. 4.
Occupations.

Males.

Acrobats 16

Actors 2

Architects 1

Artists 3

Auditors 1

Bakers 16

Barbers 15

Bar Tenders 10

Blacksmiths 25

Bookkeepers 11

Brokers 2

Butchers 13

Butlers 6

Carpenters 98

Chauffeurs 10

Cigar Makers 7

Clergymen 3

Clerks 88

Coal Dealers 1

Contractors 1

Cooks 13

Dentists 2

Drivers 121

Druggists 3

Electricians 14

Engineers 28

Engravers 3

Expressmen 13

Farmers 64

Firemen 24

Carried forward 614

48

Report of the Administrator aud Resident Physician.

Brought forward 614

Fishermen 12

Florists 4

Foremen 9

Gardners 23

Hostlers 7

Icemen 4

Ironworkers 14

Janitors 18

Jewelers 7

Junk Dealers 7

Laborers 328

Lawyers 4

Leather Workers 2

Linemen 4

Longshoremen 7

Machinists 78

Masons 16

Mechanics 3

Merchants 7

Mill Hands 95

Minors 636

Musicians 2

None 57

Nurses 12

Painters 41

Pedlars 22

Photographers 7

Physicians 35

Pilots 1

Plumbers 9

Police Officers 6

Porters . . . .^ 7

Postmasters 2

Printers 20

Railroad Employees 112

Real Estate 3

Reporters 2

Retired 10

Roofers 4

Salesmen 43

Servants 82

Shippers 12

Shoemakers 127

Soldiers 10

Stenographers 1

Stone Masons 21

Carried forward 2547

49

Report of the Adiniuistrator and Resident Physician.

Brought forxvard 2,547

Store Keepers 10

Street Railway Employees 29

Students 17

Superintendents 6

Tailors 36

Teachers 10

Telephone and Telegraph Operators 2

Tinsmiths 7

Upholsterers 3

Waiters 20

Watchmen 7

Weavers 8

Others 397

Total Males 3,099

Females.

Actresses 1

Artists 1

Bookkeepers 13

Clerks 15

Cooks 42

Domestics 423

Dressmakers 30

Druggists 1

Laundresses 21

Librarians 1

Matrons 1

Mill Hands 60

Milliners 6

Minors 396

None 95

Nurses 60

Physicians 2

Saleswomen 16

Seamstresses 43

Shoeshop Employees ~ 2

Stenographers 18

Students H

Teachers 30

Telephone and Telegraph Operators 6

Type Setters 1

Waitresses 37

Widows 13

Wives 873

Others 45

Total Females ....-...., 2,263

50

Report of the Administrator and Resident Physician.

2 - rt "

3 " _j-^

•SaijC'Bj

c; ^s * -- X ^ t- c-i o CO 'f ^^ ic

-!• « iC oL X c; i~ X X t- .; ^: r: c- -^ »:; 1- t- I- X T — ■»• ■* Tf

■-ir-irtt-ii-i.-i-H?i.-i;i.o-,5C;c-. cr; xr: xc — r:r:Ki.';

C

f-vin^itt aai J 1" X ?i t- -^ c: o -^ -»< -i — i< ?j r; ^ -i .— t- ^ u- — t; 13 53 3

JO 9CUIX 9^BJ9AV ■* ■* c^ r: cc cc ^3 ?^' ri cc ri ^^ ?i ?i c-i w ?^ c^ c-i - 1 ?< c-j c-i -N c-i

o X X c » X -r r; t- -a" r-. ^ M c5 o I

r. t- — L-: ^ ^ a

■S^a3A\. SniABJ p :-. .- r. - ?i - -i -- = c £ rj e S .= S u: f- =-. o -. -^^
JO StniX OSVJdA'Y c^ M ri rJ ci ;j jg li ?i ^ r; r: •^ ^5 ?i ci ;i ^i ;i ri r: ^; rj n «

•sjaaptoDy

:orixi':iXi-icj-i«»

•a:o'BJ8AY

j"-* ^ ^ --^ ^ CI ^ C'l ^1 7) 71 7^ ?1 ?■) ?4 *1 £N C^ ?> CI C) CI C< C-> C^

•I«aox»s«aT;

•IBJOxisajBaaO

■^ 3' -^ t- u- I- L- CJ C-. CI r; -^ -^ ^.
CI c) CI c3 CI CI ci M c» CI ;

* * S r! r; U S! n r: 13 n K i:* t? S X X y X 9 o c 5 o c>

r . C^ , .^rn-T arT/-k 1T» ^ITT ^'v T'® ^ o ^ '' ^ t^^ ^ ^ 2^ CI ^ c: :^ »-' 1^ t- c: CI uc -^ -r c X

fH >-" I ainiX °''0 -J^ -""JABd,^ ^rj^^-j j;^^^;-, —;«„;; ~; -Irt ^ — ^ ^ ^ ;S ^

X -aintx aao !« aaJ J iSgSS^SiSSSSSSI^FrSxx^Sxx^t^S

P -- pajiunpY iBjox

X "^ uo aSBiuaojad

o

H-

~(

^

Q

-t 1

w

7^,

oo !

H-l

.^

00 1

n

-1

1—1 1

<;

^

1

tH

7.

1—1

^*

■r^

<-'

<

•-J

•sqiBaa

■018 'passioisjci

■paAaiiaa Jox

•JJBJ UI p9Aai[8H

:/!

71

X
X

•paMiuipY iB^ox

UO 8:SeiU9018(I

'II3jiV pa3J«qosia

•»3aj

■amix JO jJBj

pjBO}{ SUIABJ

pi'Boa: Saiicj

atnix am
JO aJBcl SuiiEj

•amix aqi

[IB pjBOJJ :SUIABJ

•-ici-ri-.-tr:-^r:c-. = o^cro>-~o<-icir-. — cxw5a;.o
:■. X t- « X X X X X C-. — . ci X X X X c: C-. I - X C-. X — . X X

^ Ci ci L- t- o X X X o o ■* ^ — s t- r. ■-; — X r; — r: .
~. c ~ -f I' X t- — r: CI CI -f X — ?c c -r r. — r; '^ L." X I
'^-"-<MMCic>cicircr:r;r;r^^'*"-t"ri<-r-rTTi<T-

,-(^^^7i:Y;:s|^l^)^~j^l^Cr5^-^jvj-^^l

* ^ X^^^^'^^^^^cii^i^ — ^cici^^cirS

t- ^^ — ic c c. -r CI tc c. ci u: tr; ^ I* ic CI X c — :c c 1^ t- •-•

;r — ^;::'J•Xl-x^:t— i^-T^cit;trcoxr:t-t!;cio^^-r

r:r;TriCcs-.sx»-0'*'*c-. —icii-x-rxi-cioxs-TCi

t-i^»-«r-f^c^cicic^cicicircrccicocccc

2 =

ciX'=C'-c:i=r:ocr-e;-<-<'-rrcc-. ST. xom^s — cc
;c — ;o ;c :^ 13 ic ■* i:t ^ re re re CI CI CI CI CJ CI ci CI ci CI c^ Ci

X-^Ci^^ — ^ — CCC^Cll''4«w^-r»3t;^i3;C^t£XXCI

• -^ X re X — X r: ;

xci*t— C'^c;r::st-*-C^-rcxci'^;c^t^^xxr:-^
-rxc-rt- — — . •^'wCirecicici — xrc-3 cire — — XXI-
"i< re ^ •* iC Le u; -r ic -^ -^ c: »- CI X X i-e -r i.e I- X c; — — ;-.

■ :si»»ie'^-i*-**ci-i«cicixocj»3rerecCLecit^Le»3x

'■^:CTj'i3Cii-e-^:C'^ct2-r^t'Ci — ^x — cr. :;t-t^C

t-H cicii-'»-'^'-'^^--Cicirecici'^t-'-Ht-i^

I — ci r-. re c — ue r. -r — X -H -^ X »- ci ue r: re -" X o I- r-
: I- * CI ue c X CJ -r — ci CI — CI I' X -^ X CI L* :c 13 ce le re

:rere^oi3t3-rLe:^i^C — ^i-i--j*re-r;:;t-xoox

aaij

•panirapv i«iox

•J«ai

;^--ci-r-rci-T:^ — — Xi30■^*r:'-«x-rclClle^-l0x--
^s ct — re 13 X te ».e :i r- :i 13 ^ X X x c. re CI CI CI o X ci ■*
•-I *^ CI CI ci CI ci CI CI CI CI CI re ci ci CI CI re re re rs re CI ?e re

;ct'0"3«:;w^cei3'^:cc:-^r;h-:C0'»"-^c-r — »3r-ci
C;Cix-"i3 — xocic_i = T = i;;0 — ^r:rex = c-. t;^-;^

cic»cicsifecire?erererereT^^T*r^i3rrL!5i3SL5i3ie

X X X X X X :

52

Report of the Administrator and Resident Physician.

oc o T)< -f lo r-I <£ ci c-i oi ci o

Ill:

aJ2

J-:

- J*_

£0.2

•«.2 O a> ~

^ J- fc- o

4> tQ

O c
i- D.

.-I «

O Tl

00 o

»3 O

5i

u/ . O) o
*- -01 ^

OJcci-^M

g

in

}-

5?

C-J

!0

'"

05

■ u ■

a :

CO

3 •

.

2i

rt .

s

w

H .

<u

•a

^

e

x> •

p.

X

a

«

X

^

uu

c :

4) •

PS :

*->

2

93

o aj

a
.1

S<^

S <^

rt

m%*^

o

u o t.

H

t<! IK O

E-

^

_2X S

: ai 3

«52
c-< .

" 3 3 .ti a 3 =

So!* =«— c3 a
, o S O = o a) o

§^

«f^

■< So

CO

c-

in

^

^

<

Q^

U

?i

H

<

•C

:S

a

a

u

2

u

a

z

o

rrt

O

H

Tf ;o
O o
I" n

CO in

2S

3S 1

9l

oo 1

S'^

•*
m

Sf^

-** t- o « o in
CO in in 00 t--; c-1
(m' i< t-^ o; 00 t-^

^ CO C^ ^- »« C-l

in^o^T -i^ rH in

r-t 1-H r-I T-l Csi

o a

c a _ „
.3 a, .3 a .a a

eS 3 c4 3

5 a 5 3.

JCK ^JXl B

3 <J

_, GO S r*

.i; -3 " 0) oj is ^-

in

^

«)

?^

4>

E©

CO

e

V

b

X

U

>>

'W

u

V

a

o

u

^

Ou

til

B

•o

&

c

X

es

U

u

a

CO

3

F

O

c

a

«

a

u

a

c

irf

u

H

O

TjioicoooOf-Hcocot^in
m_ c- 00 c^_ o CO I- ■^ cc in
CO —< t-' (m' o in m' — ' CO cc
inc-i-rmcoajco-^om
^.^t'~ '^'^ ^,'^i '*.'"'
off-- ino'^c^fo"

Hpi^iO

Kg

3-3 hi
^33
33 oi"i2

H.S 2
© ca -u

ass«>

« » 3 >. 3

2 2 =«■= °
s 3 .,aa)

5 5 2fJ?S

3 3 — t- c^

j^ 01 1) 2 *i=

2 3 3 gSg
§c t«rt'3 3 2.2

t- O CO CO o
1-; 00 T-i <N ■N

oi t-^ t-i CO M

CO ^ CO t- CO

co_o_in_'*_
o-f>-rco"(N''

D sPh 3 3
43 D , c4 O

•E s-S big

03 g 2 c s

CO

00

05

a^

CO

■<>)

c

V

»

CS

cu

<»•

o

01

lO

4)

3

u

a

5

H

__

3

C9

o

e

*^

o

c«

^

CO

CO

4)

g

2

13
<

a

c«

4.^

O

e

o 05 in in t- c

CO !>• •* CO CO^JS^O

co"c-f^"co c^"oa

cj o -H 05 I CO -r

o o CO -f ; o t*

.ii a
c^ 3

Vim

~ w S S ^ ■•

bo .2 2 !; t;

u "s^t; o a

3 sa3-3 u

75 c« a — c Q

58

Report of tlie Administrator and Resident Physician.

H
0.

ul

O

UJ
Qi

<

a

o
c

a

l-

«

C)

o

^

s

8

2

'-2

J~t

l-H

c;

O -f rH

Ph ij

a) -^ -ts

r^ O •^ <1 H Ph

hJ ffi

^ g ^ S

O Tf

.a ■«

2 rt H

a S3 a

fc- c o

C ^ fc-

a O fc*

CO o t-- o ^

1^ CO iO a Ci

00 <-I O O CD

-t< CO 3; 00 t^

t- O 00 CD L'^^

cT cT CO*" 10" <z)

^ L-- CO CD .-(

<

o a -3

o H

K ""

<jj (L, o o w

C ;3

H ^ "5
— , CO

y o O Q

54

Report of the Administrator and Resident Physician.

Statement of Stock on Hand.

Administration Supplies $973.37

Professional Care of Patients' Supplies 8,295.10

Department Supplies .' . 16,763.01

General House and Property Supplies 3,365.28

Wooden Leg Stock 200.00

General Material 1,369.91

Total Stock on hand Jan. 1, 1909 $30,966.67

Stock on hand Jan. 1, 1908 $32,906.19
Stock on hand Jan. 1, 1909 30,966.67

$1,939.52

55

Report of the Adiniiiistrator.

TABLE No. 1.

MCLEAN HOSPITAL.

Comparative Statement of Statistics.

1908. loo:

Patients in Hospital First of Year
on Visit

>> ft

Patients Admitted During Year . .
,, Discharged During Year . .

Not Insane 6

Recovered 36

Much Improved 21

Improved 47

Not Improved 35

Deceased 19

Patients in Hospital End of Year . .
on Visit „ ,, ,, . .

Total No. Days' Treatment ....

Free Patients

Patients Paying Less than $20 . .
$20 or More . . .

Average Patients Per Day ....

Free Patients

Patients Paying Less than $20 . .
$20 or More . . .

Average Rate of Board Charged Per

Week

Average Cost Per Patient Per Week .

Daily Cost Per Capita for Provisions

for all Persons Supported . . . .457 .444

204

176

13

10

217

186

168

192

164

6
39
19
39
33
25

161

215

204

6

13

221

217

78,897

72,956

647

565

22,996

22,830

55,254

49,561

216

200

2

2

63

62

151

136

$23.55

$24,65

24.37

26.01

Report of the Administrator.

56

2 «

o S

C OJ

o

yj .fL,

V2 O

5i

5 : M

(D

u

CC Cfi hJ M H «5

cr

a

r--

»

>

(A

4>

la

3

a

'W

•a

0

c

C

M V

'/<

a

X

c

UJ

^

d

c

', a

;.

' CS

L

5 O

C

5

e

3 iX)

Z. u
s =«

U^

J; » M
^ a ®
■a S 3 ^
s » 13

cc ;: ;i o u
O c3 c^ ^ .s
cai-'-joas.--

" ■" •" c** 5 S O

«:^

c == 5

P3

w
;>^

a

O

§
W
H
<5
H

CO

W

>

Q

<

CQ

w
Pi

X

com

QC CC

O I-l

co^

Oi O

00 o

00 CC

H^-r^

m

(ff

-ti ?q (M COOO

LO t- ci « TT

.2 a

l-JtK

!CK hJcC

■«. c

3 U

■^1

^ *^ a

2.QJ c«

.2 '^ s ® ^ *r
o >~ 2 s E ®

H E

« i-JPh

C^OiO<MtncOCOO(MCOt-

^C-1C^S5COOC5001^0tH

^ o t-H t- -j^ c; »-i -^ ^ CO ^D
i-'too-i'f-HCO-T^::^ — co^

lfe.J<l

(>)

(M l-H

CC o

aTaTfl
o o 03

a a

c« c«

a a aj c«
^ Qj OJ 'a "r ^

^ .s .;; s £ o
(c«5^c3c«a.a.2

C/j 00 O ^^ IC

•a O!

C 9

C« 2

btJA

a »

u (K aH
a) OJ —

e

^ <u -oj o

.> s-'t; a

•s c.2St8

^EtlS.2

CO in "t o o

00 CS^^ tH

C-l!^ *-• 3 «?

5*3 a S^

^

■-

-^

o

r

^

^

u-

OS

^

^

w

CO

*j

e«

"3

g

o

CS

b(0

a"

0)

o

<

^CO

-15

c :?^-„- g

Report of the Administrator.

57

^ 1-5

i <

I ^

W

P5

O

H

H

H

H

w

>
Q

X

w

H
O.

UJ

u

<

a
o

E

»0 W 00

« s o

t. o i.

O H

Ph Q a

o o cj

Report of the Administrator.

58

c

t-

X

X

oq

■-0

^

S

eg

■^

Ci

■M

t-

ci

I^

o

■^

CS

CO

c^

CO

^r

O

LO

uO

to

^

o

o

Ol

•^

eg

^

1-H

CO

to

T

lO

s

>

l-H

T— (

^

i-j

1—1

OJ

1-^

CO

eg

evj

OS

o

1

<

*

LO

OS

c-

00

CO

CO

t-

CO

.^

LO

,

UO

X

1— (

eg

00

05

eo

rH

lO

to

eo

LC

?3

X

X

o

eg

o

X

c^

tri

CO

ui

^

eg

o

■^

CO

00

OS

1-i

CO

CO

•^

L^

c~

to

to

^^

1— t

CO

CO

OS

C-.

o

l-H

to

o

c

3C

t>^

Oi

OS

lO

CO

t>

o

CO

-^

o

eg

CO

CO

o

T-H

se-

•^

1—1

«o

w

l>

rf

i>

T-T

CO

eg

>.

es

T— I

(M

X

o

U3

c-

-^

eg

tn

X

eg

t-

CO

^

CO

c~-

S

c~

eg

-^

to

tn;

t-

^3>

LO

CO

UO

f— 1

*^

to

T— <

X

to

c-

1—1

OS

c~

t-^

X

CO

UO

00

lo

5

00

c-

o

CO

o

C-

to

cT

to

eg

eg

eg

U3

OS

Tl<

(M

'^f

eg

cg

eg

O

<5

eg

la

0)

^

t-

00

OS

OS

\a

CO

lO

«D

o

-*

1—1

•*

1— 1

t;^

1—1

CO

CO

OS

OS

o

lO

CO

^

o

t-

to

-^

]S

eg

•<*

«

c^

o

1-H

T— 1

1—1

eg

1—1

OS

eg

eg

t-^

o

>

^

TT

o

^

lO

I— 1

CD

OS

■^

CO

t-

I— I

to

•^

to

\a

r^

(M

00

o

CO

O

OS

o

00

o

CO

00

•<*

CO

OS

4i

00

t-^

t-^

00

ui

\Q

I-H

CO

l-H

eg

eg

t^

1-5

CD

o

3D

00

o

S2

OS

to

1—1

in

eg

CD

X

X

n<

l-H

CO

^■rf

o

T— (

00

X

o

eg

c-

us

1-1

OS

■^

"^

o

CO

0)

o

UO

l-H

lO

CO

CO

CO

C^

of

e^f

00

>i

o

IC

t-

UC

t-

-*

o

X

■^

CO

,^

X

CO

OS

CO

o

c-

UO

cs

X

t-

t-

CO

o

CO

OS

00

^

i>

T]<

t-

o

CO

CO

CO

t-

CO

1—1

to

t-

CO

2

1— <

cc

c-

X

CO

LO

c-

CO

^

eg

e^f

cg

00

^

*—

L.~

T— 1

■CO

eg

eg

C>]

lO

c-

C'

"

rH

o

o

•*

-M

iM

CO

1-H

&0

Ci

o

X

■^

o

o

J5

,_(

o

r-

Cl

to

a

CO

c:

^

'^

^A

71

to

CO

-r

t-

■<I<

h
o

o

o

c; ,

1— <

CI

5

CO

*'.

^-

•M

O

i^

o

>

'

*

*

■^

*

"

""J

€&

O

t-

^

r^

■CJ

o

o

,

r-

!N

-N

1

t-

o

(0

■^

CO

o

c;

Cl

tc

'tr-

C<)

0^

-r

CS

to

CD

jS

o

t-^

^

~<

c"

c"

to

t^

•4

rf

d

_:

-^

l-^

o

<D

t-

o

Ci

g

t-O

I-

*0

X

•M

to

ci

t-

o

-*

«a

c^

t-^

o_

»^

t-^

^

r^

-r

-r

Ci

to_

2

u

o"

■*"

-t'

cf

t-^

i^

-m'

^'

Jt^

■^

>L

00

Ci

f

^_l

CO

^

o

•^

>o

t-

t^

r-

Ci

o

s

t-

o

-J"

«— 1

r~

o

X

o

o

1— i

X

o

1-1

^

eo_

ec

Ci_

o

X

CO

c;

b-

CO

c:

to

»o

lO

X

s
1^

«d"

o'

cT

-r"

1—)

l-H

t-

«o

-*

1-H

l-H

(M

S2

o

CO

e^

5^

(N

o

o

'"'

t-K

'A

s:

S

■r.

v:

.J

la

^

^

^

^

"^

c

0

-5

*

f

^

52

CS

OQ

j

3

^

-i

C3

i

1

-1

1

>i

'

o

3

i.

o

O

u

o

"B

:^

":;

■^

a:

"T^

:2

O

s^

-e

fcc

^

5

^

^

3

^

i£

r:

pji

s

O

_^53

p

■^4

S

>►

P-

X

W

—

—

—

O

r"

-^

s

59

Report of the Administrator and Resident Phj-sician.

TABLE No. .1.

CONVALESCENT HOME.

Comparative Statement of Statistics.

Patients in Home Jan. 1 : 1908.

Medical 11

Surgical 18

Total 29

Patients admitted during the year :

Medical 120

Surgical 388

Total 508

Total patients treated in the Home during the
year :

Medical 131

Surgical 406

Total 537

Patients discharged during the year :

Medical 119

Surgical 388

Total 507

Patients in Home at end of year :

Medical 12

Surgical 18

Total 30

Total patients' days treatment:

Free patients 6,278

Pay patients 3,828

Total 10,106

Percentage :

Free days 62+

Pay days 37+

Total 100

Average number of patients 28 —

Daily average cost per patient $1.32+

Daily cost per capita for provisions for all per-
sons supported .34+

1907.

6
19

25

150
413

563

156
432

588

145

414

559

11
18

29

6,747
2,988

9,735

69+
30+

100

26+
1.25-h

.31+

60

Report of the Administrator and Resident Pliysician.

o

00

< ^

w <

W !^

O W

W p

• ^ iz;

^ S w

OQ S w

H K W

g Q

C <

K H

t ^

H (^

O X

1-:;
!>
o

s «

S^.S ="^■
g C « O

o>:2 =

a> e Ed -/J _
•r" c ^ <» « 0)

S: 'n ts S^ ® o

^

® :

C-C

o.

^:

2 M

cS ;

"S cS

o :

^^

t*H *

It «-l

OJ

5 cc

OS

c .
a ■

= 1)

u

3 ^

^ s^ s-rt =i2

i*' 5 ^5 O = 5 aj
s- o 5 _ J o 5J
^ -^ ^ ^ c -*« ■'^

^ -^ < S

UI

u
z

u
o

<o c=

■M CC

00 :::

I, -(.

en 01

t^ CO

"9 -"

•» -f

^ ^-

m

CJ - 1 lO QC ^ I>-

<-i ■* c X 'i; o
m"ci c;'-T c-".-i
t- :c 3 »-* -^ o

a

a.

a

J

CO

a

t-9cc >-;cc iJicc^co

« 0) cS

m O -- S
oj 3 :; O

5!

C)

«■

"^

9&

V

CO

e

V

a

X

U

>>

-4-)

S.

4>

a

o

u

«

0.

e

■o

o.

B
es

u

4>

■*i

(0

e

3

E

O
E

b

es

a

es

V

Q

a>

aa

c

V

^

O

' cc >c cc ^^ o ;

ci o o 0-. -< CO la

O t» .-c rt C-. i-l

&3iH

03 w +J

u - c«^ o
c c 5 '^ ^

ai^'cS cs£ £.2

« m . 03 O
O C. >. ^ 2

^ ^ i I "

K O cc H «

lO o o
'"' *! ^.

^ 2 S

£» _. ;2 ~ g

•3 ^O

c« ^

S" ^

= a:

a: hJ

S.2

'3d o

c o

t. o

<;s

OQ ^

61

Report of the Administrator and Resident Physician.

t* 1-H ^H

u"5 C5

a

u:
o

u

<

a

O

r

£ ^

^ ;a

^ aj -*

s s s

>
<

•O -^ CI .1

.1 00 (N

I =3 ^ s

.2 -2 g „

<« p: c o

OS „ -3

REPORT OF TRAINING SCHOOL FOR NURSES.

The letters of inquiry in regard to the Training
School have increased from 793 last year to 905.
There were 34 applications for postgraduate work
and three graduates of German and Dutch schools of
nursing have requested the privilege of spending
several months in the wards of this Hospital during
the coming year. Two of our own graduates came
to take the two months' postgraduate course in surgi-
cal work, but neither of chem remained the full time.

There were 62 probationers admitted, 56 for the
three years' course, and 41 of this number were
accepted as pupils of the school. The other six were
graduates of the McLean Hospital Training School;
five were accepted for the thirteen months' course ;
one withdrew because of illness in her family. One
pupil was dismissed for cause during the year and
one was asked to withdraw. The number who com-
pleted the three years' course and graduated was 23.
Eleven graduates of the McLean Hospital completed
the thirteen months' course. Three others were pre-
vented by serious illness from finishing their course.
Fourteen pupils of the Children's Hospital completed
the four months of ward duty. Twelve of the pupils
had long illnesses ; three were cases of typhoid fever
and nine were contagious diseases. All made good
recoveries.

The demand for our graduates to fill positions
grows steadily and is far greater than can be met.
The positions offered last year numbered 65. There
were many requests for practical teachers of nursing
methods, for district and school nurses, and for social

C2

63

Report of Training School for Nurses.

workers, in addition to the usual calls for superin-
tendents of small hospitals and of training schools.
Almost invariably graduates of experience have been
asked for. The six months' course in institution
management, recently established in the Hospital,
meets the need of providing training and experi-
ence for those who would become hospital superin-
tendents.

Although the school shows larger numbers, it is
still impossible to supply nurses for some depart-
ments where their services are needed. Conse-
quently we have made an arrangement with the
New England Baptist Hospital for one year to re-
ceive one pupil at a time for two months who shall
assist at the clinics in the Men's Surs^ical room in the
Out-Patient Department during forenoons and in the
Accident Ward afternoons. This pupil has the privi-
lege of attending the lectures which are given to our
pupils. At the request of the superintendent of the
Melrose Hospital, it has been decided to receive the
senior pupils from that hospital for two months'
general ward duty.

By mutual agreement the plan of receiving pupil
nurses from the McLean Hospital for eight months'
training has been given up. Twelve pupils entered
and ten of the number completed the course.

In January the number of assistant superintendents
of the Training School was increased from two to
three, and Miss Jessie E. Grant was appointed to the
position. During the year we lost two important
members of the school staff who had given us many
years of most efficient service. In May Miss Fran-
ces A. Chandler, the second assistant superintendent
of the Training School, resigned to become superin-
tendent of a hospital; and in October Miss Nellie J.

64

Report of Training Scliool for Xurses.

Hart, the night superintendent, resigned to be mar-
ried. The}' were succeeded by Miss Frances C.
Daily and Miss Elizabeth M. Jamieson.

The surgical instructor appointed for the year was
Dr. Robert M. Green. The preparatory course for
pupils at Simmons College has been offered us for
three years' trial without fees ; this year the Hospi- •
tal Trustees have generously undertaken the payment
of a tuition fee of $50 for each pupil.

The supervision and instruction of pupils who are
on duty as special nurses is continued by Miss Mar-
garet Lea, who also is head nurse of Ward B. The
special duty of pupils increased to 1,026 days last
year. The Surgical Out-Patient Clinic for women
and the Hydrotherapy are now in charge of Miss
Margaret K. Smith.

In July a graduate of this school. Miss Alice O.
Tippet, was appointed executive assistant ; her duties
consist in cooperating with the Ladies' Visiting Com-
mittee and in finding suitable places in homes or in-
stitutions for the ward patients who need such
provision when they are discharged from the Hospital.

Our thanks are again offered to the ladies of the
Advisor}' Committee whose visits to the nurses, both
on duty in the ward and during illness, have been most
welcome. They have also remembered us gener-
ously with tickets for concerts and entertainments
throughout the year.

The present Training- School Staff is as foUoivs :

Superintendent 1

Assistant Superintendents 3

Night Superintendent 1

Graduate Head Nurses 20

Postgraduate Pupils 3

Pupils, Class of 1909 25

Pupils, Class of 1910 35

65

Report of Training School for Nurses.

Pupils, Class of 1911 30

McLean Hospital Graduates 6

McLean Hospital Pupils 1

Probationers 2

Pupils in Preparatory Course 10

Total 137

Special Instruction :

Diet Kitchen Miss E. Grace McCullough.

Massage Miss S. May Taylor.

Respectfully submitted,

Pauline L. Dolliver,

Superintendent Training School.

SURGICAL INSTRUCTION.

Given by Robert M. Green, M.D.

The surgical teaching covers the first two years of the course in
the Training School. During the first year instruction is given in
the following subjects :

Bandaging.

Anatomy.

Biology.

Bacteriology.

Pathology.

The method of instruction is by weekly lectures, at which the
nurses are expected to take notes and of which they are required
periodically to prepare abstracts, by demonstrations and recita-
tions, and by assigned reading in a text-book.

The attempt is made to have the lectures simple and informal,
to encourage the asking of questions by the class, to emphasize
always the practical importance to surgical nursing of the subject
under study.

There are two written examinations during the course.

BANDAGING.

The instruction is given to small sections of the class once a
week. After consideration of the manufacture, economy, and
indications for bandages, the fundamental figures of bandaging
are taught, followed by detailed instruction in the common ban-
dages used for the several regions of the body. By the use of
artificial legs and of patients from the wards, each nurse has
opportunity to apply the various bandages under the individual
direction of the instructor. The application of swathes and the
preparation of the ordinary splints is demonstrated by the in-
structor or by one of the head nurses.

66

67

Training School for Nurses.

ANATOMY.

The normal anatomy of the adult human body is considered
under the following topics :

The skeleton (bones and joints).

Muscles, fascia, and skin (with its appendages).

The alimentary system.

The respiratory system.

The cardio-vascular and lymphatic systems.

The genito-urinary system.

The nervous system.

The organs of special sense.

In connection with the gross anatomy under each of these
topics is taught the elementary histology of the tissues in question
and the attempt is made to correlate this instruction with that
given in physiology. Especial attention is paid to surface anatomy,
not only to bony landmarks in relation to fractures and measure-
ments but to the location of the large blood vessels with reference
to the control of hemorrhage. The lectures are illustrated by pic-
tures, lantern slides, microscopic sections, the manikin, fresh
organs from autopsy, and demonstrations on the living subject.
Particular emphasis is laid on the relations of the male and female
pelvis with regard to the use of the catheter and the rectal tube.
In general, the practical rather than the academic aspects of the
subject are made prominent.

BIOLOGY.

The primary concepts of vegetable and animal life are briefly
considered, and the relation of lower organisms to human disease.
The cellular theory is explained, and the normal development of
the human embryo outlined.

BACTERIOLOGY.

After a sketch of the development of the science of bacteriology
and the enormous importance of its discoveries to medicine and
surgery, the nature, action, and growth of bacteria are described
and the methods of identifying and cultivating them studied. By
means of material from the hospital laboratories are demonstrated
the cultural and microscopic characteristics of all the common

68

Training School for Nurses.

surgical bacteria, and in connection with each is taught the mode
of action by which it produces disease.

Great emphasis is laid on the practical application of bacteriol-
ogy to the treatment and the prevention of disease. The history
and evolution of antisepsis and asepsis are sketched, methods of
sterilization described at length, and the duties of a nurse at a
surgical operation explained. Instruction is given in methods of
avoiding infection, both for the nurse and for the patient, and in
its prompt recognition and treatment. The elementary principles
of immunity and of the use of bacterial vaccines are outlined.

PATHOLOGY.

In connection with the study of the various bacteria is taught
the elementary pathology of the lesions produced by each. The
nature of inflammation is explained, and the repair of tissues and
the healing of wounds studied.

During the second year instruction is given in surgical anes-
thesia and in the surgical diseases. The method is similar to
that of the first year — by weekly lectures, notes, abstracts,
demonstrations, recitations, and two written examinations. Em-
phasis is laid on the practical application of the knowledge
gained to the immediate care and subsequent nursing of surgical
cases.

ANESTHESIA,

A lecture is given to the class on the fundamental principles of
surgical anesthesia and the methods of its production. During
the year each nurse then receives at least twice individual
instruction in the actual administration of ether to patients for
surgical operation, and is also taught the manufacture of cones
and the care of ether patients.

SURGICAL DISEASE.

All the important surgical diseases are considered in detail,
under the following groups :

Trauma.
Malformations.
Neoplasms.
Infections.

69

Training School for Nurses.

In the discussion of each disease are presented its causes,
nature, symptoms, recognition, and immediate treatment. The
subjects are abundantly illustrated by lantern slides, pathologic
specimens, and patients from the wards. So far as possible the
case method of teaching is employed. Attention is also paid to
diseases on the border line between medicine and surgery. The
aim is to familiarize the nurse with the common appearances of
disease, to fit her by this knowledge to care intelligently for the
sick, and to prepare her to act promptly and efficiently in
emergencies.

MEDICAL INSTRUCTION.

Given by George S. C. Badger, M.D.

The present method of teaching has been in force for several
years, and is proving very satisfactory. The work is carried on
as follows:

During the first five months physiology alone is taught by
lectures and quizzes, supplemented with the use of the reflector-
scope. A knowledge of the fundamentals of physiology is
essential and must be acquired before other instruction can advan-
tageously be given. A few nurses receive their instruction in
physiology at Simmons College, but the majority must receive
it while giving their services in the wards. The latter are at a
disadvantage because often too tired to give their concentrated
attention to a lecture after a day's work. Following the course in
physiology are two lectures on hygiene.

In the second half of the first year the nurses are taken into
the medical wards in sections of twenty, where once a week for
a year a medical clinic is held. These ward visits are by far the
most interesting and profitable part of the course. In spite of the
fact that the nurses are constantly with the patients, it is found
that systematic instruction in the observation of patients and
diseases and the results of treatment are very much needed and
appreciated. Much time is devoted to diseases of the circulatory,
respiratory, digestive, and excretory organs, and to typhoid fever.
The subject matter of lectures is apt to be soon forgotten, while
the mental pictures of actual disease conditions seen at the bed-
sides are retained. The progress of diseases is watched, the re-
sults of treatment noted.

The last half of the second year is taken up with lectures on
therapeutics, and certain diseases not seen in the open wards, as
the exanthemata and tuberculosis.

It is apparent with this system of instruction that the nurses
have become better clinical observers and more intelligent and
enthusiastic workers.

71

Training School for Nurses.

The outline of the two years' course is as follows :

First half of first year :

Physiology, fourteen lectures with demonstrations, quizzes,

and examination.
Hygiene, two lectures.

Second half of first year and first half of second year :

Clinical medicine, ward visits.
Last half of second year :

Lectures on Therapeutics, The Exanthemata, Tuberculosis.

NURSING.

Course Given to Probationers by Demonstrations.

Care of refrigerators and water coolers.
Sweeping and dusting.

Beds and bedmaking :

Care of linen.

Disinfection of beds, linen, etc.

Care of bed patients :

Bathing and care of skin, mouth, teeth, head, hands, and

feet.
Filling and applying ice-caps and hot water bottles.
Application of abdominal swathes.

Reception and care of new patients.

Observing and reporting symptoms.
Charting — temperature, pulse, respiration.
Food — medication.

Enemeta : Uses. Methods.
Douches — Catheterization.
Surgical Dressings.
Surgical Supplies.
Sterilizing Instruments.

72

Training School for Nurses.

Subsequent Instruction by Lectures^ Recitations^ and Demonstrations.

i to Hospital.
Ethics : Relation of pupil J to Training School.

( to Patients-
Care of Hospital Property.
Care of Patients' Property.
Ward Supplies.
Hygiene: Personal. Ward.
External Applications.
The Urine.
Nursing in typhoid fever cases, in diseases of the lungs, heart,

kidneys. Rheumatism.
Nursing of contagious diseases.
Nursing of sick children and infants.
Nursing in nervous diseases.
Obstetrical nursing.
Gynaecological nursing.
Emergency cases. Fractures.
Assisting at operations : sterilization : uses of disinfectants : the

uses, care, and repair of instruments and utensils.
Care of the dead.
Private nursing.

THIRD-YEAR LECTURES.

ETHICS.

Dr. Richard C. Cabot . i hour

NURSING IN GENITO-URINARY CASES.

Dr. Franklin G. Balch i hour

NURSING OF SICK CHILDREN.

Dr. Charles W. Townsend 2 hours

NURSING IN NERVOUS CASES AND CONVALESCENCE.

Dr. Henry C. Baldwin 2 hours

TREATMENT OF NEURASTHENIC AND HYSTERICAL PATIENTS.

Dr. James J. Putnam 2 hours.

73

Training School for Nurses.

NURSING IN DISEASES OF THE SKIN.

Dr. John T. Bowen i hour

Given by Dr. E. Laurence Oliver

NURSING IN DISEASES OF THE EYE.

Dr. Frederick E. Cheney i hour

NURSING IN DISEASES OF THE EAR.

Dr. Eugene A. Crockett i hour

NURSING IN DISEASES OP THE NOSE.

Dr. Algernon Coolidge, Jr. i hour

Given by Dr. J. Payson Clark

NURSING IN DISEASES OF THE THROAT.

Dr. Algernon Coolidge, Jr. i hour

Given by Dr. J. Payson Clark

NURSING IN ABDOMINAL. SURGERY.

Dr. Maurice H. Richardson i hour

74

Training School for Nurses.

[The circular of information which is sent to applicants.]

THE MASSACHUSETTS GENERAL HOSPITAL
TRAINING SCHOOL.

The Massachusetts General Hospital Training School for
Nurses in Boston has made arrangements for giving a three years'
course of training to women who desire to learn the art of
nursing the sick.

Letters of application to the Superintendent of the Training
School should contain a brief personal history, and should be
accompanied by a statement from a physician testifying to sound
health and unimpaired faculties. Applicants must be between
twenty-one and thirty-five years of age, and of at least average
height and weight.

A high school education or its equivalent is required, and appli-
cants should be prepared to show school diplomas or certificates
as an aid in determining the amount of education they have
received.

The Superintendent of the Training School and the Resident
Physician of the Hospital decide as to the acceptability of
candidates. The class is formed during the spring and summer
months, but application should be made at least six months in
advance. If approved, applicants are received for a period of
two months' probation, and during this time they should be pre-
pared for an examination in reading, English dictation, and simple
arithmetic. The Superintendent of the Training School will
decide as to their fitness* for the work, and the propriety of re-
taining or dismissing them.

Those who prove satisfactory are accepted, and become pupils
of the School on signing an agreement to remain thirty-four
months, after the period of probation, and to obey faithfully the
rules of the Hospital and of the School.

During he first twelve months the record of the pupil is care-
fully considered, and if found unsatisfactory or unpromising, the
Superintendent of the Training School can drop the pupil from
the School. She may, at any subsequent time, suspend, and with
the approval of the Resident Physician and the Training School
Committee, dismiss a pupil for misconduct, inefficiency, or neg-
lect of duty.

75

Training School for Nurses.

Except under special circumstances, failure to pass the exami-
nations will be sufficient cause for terminating a pupil's connec-
tion with the School.

Pupils reside in the Home, and act as assistants in the various
departments of the Hospital. They are expected to perform any
duty assigned them by the Superintendent of the Training School.

The hours of duty are from 7 a.m. to 7 p.m.

A vacation of three weeks is given each year.

In sickness, the pupils are cared for gratuitously, but all time
so lost must be made up.

As the school is unsectarian, there are no religious services
connected with it ; but all pupils are expected to attend the places
of worship they prefer once on Sunday.

An allowance of $6.00 per month, exclusive of the months of
probation, is made to defray the necessary expenses of uniforms
and text-books.

Pupils receive board, lodging, and a limited amount of laundry
work.

Pupils should come prepared to pay at the close of the period
of probation for their uniforms and text-books, the cost of which
will not exceed fifteen dollars.

A regular course of lectures, recitations, and demonstrations is
given, with examinations at stated periods. Instruction is also
given at the bedside of patients by the visiting and resident
physicians and surgeons.

The course includes three months' special training in obstetrics,
three months in private nursing at the Corey Hill Hospital,
Brookline, and one month district nursing with the Instructive
District Nursing Association.

For those who desire it a preparatory course of four months is
offered at Simmons College devoted to the study of the following
subjects :

Household Arts.

Chemistry.

Bacteriology.

Anatomy.

Physiology.

When the full term of training is completed, after passing the
examinations, the nurse receives the diploma of the School, and is
at liberty to choose her own field of labor, either in hospital or

76

Training School for Nurses.

district work, or in private families. As it is believed that an
annual report of the addresses and positions of the graduates of
the School will be for the advantage of the nurses as well as the
School, the graduates are requested to send their addresses to the
Superintendent of the Training School on or before December
first of each year.

A graduate of this School who wishes to gain special profi-
ciency in the care of nervous and mental cases has the privilege,
under certain restrictions, of entering the McLean Hospital
Training School for Nurses. Such graduates will, after one
year's satisfactory study, receive the diploma from that School in
addition to the one received from the Massachusetts General
Hospital Training School for Nurses.

Personal application may be made to the Superintendent of the
Training School, Wednesday mornings, between lo and 12
o'clock.

Postgraduate Course.

A two months' Postgraduate Course is open to the graduates
of this Training School. The course consists of two months'
surgical work, or of two months' medical work, or of one month
each of medical and surgical work, as the graduate prefers.

Students must provide themselves with the uniform of the
School. They live outside the Hospital, pay no fee, and receive
no pay for this course. Their hours of duty conform to those of
the pupils of the School, and they act as assistants in the wards.

Those who wish to take this course should apply to the Super-
intendent of the Training School, and state definitely what ex-
perience they wish to have, and the time when they could most
conveniently take the course.

During the summer months there would be more openings for
graduates, but, so far as possible, appointments will be made to
suit the convenience of the applicants.

REPORT OF THE PATHOLOGICAL
LABORATORY.

The usual routine bacteriological, chemical, micro-
scopical, and pathological examinations in connection
with the study of diseases of the patients in the Hos-
pital have been carried on during 1908. During the
year two hundred and five autopsies were performed
in the Laboratory, including those performed by the
Medical Examiner. Dr. Oscar Richardson has con-
•tinued to do most of the important work of perform-
ing the autopsies and keeping the autopsy records.
He has also carried on the routine bacteriological
examinations required by the Hospital.

The facilities and material otfered b}' the Labora-
tory for the instruction of physicians and of students
of the Harvard Medical School in bacteriology,
pathological anatomy, pathological histology, and in
diagnosis by laborator}- methods have continued to
be extensively utilized.

The weekly demonstrations of pathological material
and discussions of the clinical aspects of the cases
conducted in the Laboratory before fourth-year
medical students and others have been continued
during the year by Drs. R. C. Cabot, Oscar Richard-
son, and J. H. Wright.

Instruction in pathology to second-3^ear students
and special courses in this subject to fourth-year
students have been given by Dr. Wright. During
the summer, courses in pathological anatomy and
clinical pathology for graduates in medicine were
given by Dr. Oscar Richardson ; Drs. W. H. Smith

77

78

Report of the rathological Laboratory.

and R. I. Lee cooperating in the latter course.
Eighteen physicians attended these courses. It is
worthy of note that most of them came from outside
the city and several from other states.

A special room in the Laboratory has been assigned
again for the laboratory work of certain students of
the Harvard Medical School who are studying in the
wards of the Hospital. Laboratory facilities have
also been "provided for the students in the summer
courses conducted by Dr. F. T. Lord.

The treatment of cases of bacterial infections by
the subcutaneous injection of killed cultures of the
infecting bacteria has been continued in the Labora-
tory during the year on a larger scale than before.
Including a number of cases treated in the wards and
in the Lying-in Hospital, nearl}' five hundred patients
were treated during 1908. Most of these patients
came to the Laboratory rather than to the Out-
Patient Department to receive injections, because
those who administer the treatment require the facili-
ties of a well- equipped bacteriological laboratory
close at hand, and spend much of their time and
energy in obtaining cultures of the patient's own
infecting bacteria and in preparing special material
for injection from these. Most of this time-consum-
ing and exacting work, requiring a practical knowl-
edge of bacteriology and skill in a special technique,
has been done by Dr. H. F. Hartwell assisted by
Dr. E. C. Streeter. Drs. R. I. Lee and R. M. Green
have also participated in the work.

The results obtained in many of these cases will be
published soon by Dr. Hartwell and his collaborators.
For the present it may be stated that this method of
treatment has been followed by very satisfactory

79

Report of the Pathological Laboratory.

results in many of the cases and that it seems to be
an important addition to therapeutics.

Facilities for special studies in various branches of
pathology, bacteriology, and chemistry have been
afforded as usual to a number of special workers.
Among these may be mentioned the following : Dr.
Mark W. Richardson has continued his study of the
specific treatment of typhoid fever ; Dr. Wyman
Whittemore has investigated the value of haemolysis
in the diagnosis of cancer, and, in conjunction with
Dr. Roger I. Lee, has begun a study of the Wasser-
man reaction for the diagnosis of syphilis ; Dr. F. T.
Lord has studied the epidemic of influenza and has
conducted investigations on tuberculin ; Drs. H. S.
Denison and L. H. Newburg have studied the blood
of pernicious anaemia with reference to hccmolysis ;
Dr. Oscar Richardson, in cooperation with Dr. C. J.
White, completed an extensive study of an obscure
case of leprosy ; Dr. J. H. Wright has studied the
properties of the blood platelets and their relation to
thrombosis and the coagulation of the blood. In a
part of this work he has been assisted by Dr. H. K.
Marks. Dr. Wright also worked upon the revision
for the fourth edition of the text-book " Pathological
Technique," of which he is joint author with Dr.
F. B. Mallory.

Concerning the work done in the Chemical Labora-
tory, Dr. Wm. F. Boos reports as follows : " The
scope of the laboratory work has greatly increased
during the past year. The house pupils have been
encouraged to carry on systematically more advanced
chemical work in conjunction with the clinical
observation of ward cases. Besides numerous
chemical tests supposed heretofore to be beyond the
training of the house pupils, the latter have carried

80

Report of the Pathological Laboratory.

out a series of careful studies on the metabolism of
kidney diseases, as well as of the acidosis in cases of
diabetes mellitus.

Dr. F. W. Peabody has prepared concentrated
solutions of pyocyanase and has studied the action
of this body on B. diphtherige and other organisms.

Dr. Haskell has begun an investigation of surgical
acetonuria.

In order to determine the value of the so-called
" Cammidge reaction" Dr. P. W. Harrison has ap-
plied this test to a large number of urines including
the specimens from all cases of pancreatic disease.
He has also examined the urine of dogs for the
Cammidge body. A stable crystalline derivative of
the body yielding the Cammidge test having been
obtained by Dr. Boos, Dr. Harrison is at work to
identify this most interesting urinary constituent by
means of its derivative. Other tests designed to
throw light on the function of the pancreas have
been applied by Dr. Harrison in all suitable cases.

Dr. F. T. Lord has been at work on methods to
concentrate cultures of the tubercle bacillus without
the use of heat.

Dr. Wilder Tileston has continued his studies on
fat absorption in cases of pancreatic disease. As
Dalton scholar he has been engaged in an extensive
study of a case of probable benign disease of the
pancreas in which pancreatic digestion is entirely
absent. There is also ach37lia gastrica in this case.
The metabolism is being determined under various
forms of diet, both with and without the use of drugs,
pancreatic preparations, and pepsin-hydrochloric acid.
The various functional tests for pancreatic disease
have also been applied.

Besides continuing his studies of eclampsia Dr.

81

Report of the Pathological Laboratory.

Boos has been at work on methods for clinical quan-
titation of albumin and urea. lie has devoted con-
siderable time to a study of the excretion of lead and
of methods for its detection in the excreta. A paper
on this subject was read b}^ Dr. Boos at the clinical
meeting of the stati" on Nov. 13, 1908. His research
on the reducing component of yeast nucleic acid is
to appear in the January number of the Journal of
Biological Chemistry.

At a meeting of the Norfolk District Medical
Society held Dec. 29, 1908, Dr. Boos spoke on the
pharmacological action of the digitalis group, as also
on the indications for the intravenous use of
strophantin."

A number of papers based in whole or in part on
subjects and observations made in the Pathological
Laboratory proper and in the Chemical Laboratory
under Dr. William F. Boos, have appeared during
the year. The titles and authors of these papers are
set forth below. It may be worthy of mention that
to one of these papers was awarded the Boylston
Medical Prize for 1908 of the Harvard Medical
School.

" Primary Carcinoma of the Hepatic Ducts," by Charles L.
Scudder, M.D., and O. Richardson, M.D. (Annals of Surgery,
Vol. XLVII., p. 728.)

" Endocarditis," by A. K. Stone, .M.D. (Boston Medical and
Surgical Journal, Vol. CLIX., p. 65.)

" Lymphosarcoma of the Tonsil," by J. L, Goodale, M.D.
(Boston Medical and Surgical Journal, Vol. CLIX., p. 409.)

" Final Report on a Case of Stokes- Adams Disease," by H. F.
Vickery, M.D. (Boston Medical and Surgical Journal, Vol.
CLIX, p. 435.)

82

Report of the Pathological Laboratory.

" Etiology of an Epidemic of Influenza. Relation of the Influ-
enza Bacillus and Other Organisms to the Recent Epidemic in
Boston (1907-08). Comparison with an Inter-Epidemic Period
(1902-04)," by F. T. Lord, M.D. (Journal of Medical Research,
Vol. XIX., p. 295.)

" Experimental Study of the Conjunctival Tuberculin Test in
Guinea Pigs Infected with Human, Bovine, or Avian Tubercle
Bacilli ; Specificity, Reaction, Unity of the Group ; Lack of Sen-
sitization," by F. T. Lord, M.D. (Boston Medical and Surgical
Journal, Vol. CLIX., p. 639.)

" The Subcutaneous, Cutaneous, and Conjunctival Use of
Tuberculin in Diagnosis; Technic ; Reliability; Results of Ani-
mal Experimentation," by F. T. Lord, M.D. (Boston Medical
and Surgical Journal, Vol. CLIX., p. 779.)

" Acute Yellow Atrophy of the Liver. A Report of Two
Cases, One with Ascites," by Wilder Tileston, M.D. (Bos-
ton Medical and Surgical Journal, Vol. CLVIII., p. 510.)

" Certain Aspects of the Treatment of Infections with Bacte-
rial Vaccines," by Roger I. Lee, M.D. (Boston Medical and
Surgical Journal, Vol. CLVIII., p. 14.)

" A Differential Stain for Nucleated Red Cells," by L. H.
Newburgh, M.D. (Boston Medical and Surgical Journal, Vol.
CLIX., p. 868.)

" On the Present Status of Serum and Vaccine Therapy," by
Mark Wyman Richardson, M.D. (Transactions of the Associa-
tion of American Physicians, Vol. XXIII., 1908, p. 449)

" Some Personal Experience with Specific Vaccines in the
Treatment of Bacterial Disease," by Mark Wyrnan Richardson,
M.D. (Boston Medical and Surgical Journal, Vol. CLVIII.,
p. 12.)

" Facts and Speculation Concerning the Nature of Typhoid
Fever," by Mark Wyman Richardson, M.D. (Boston Medical
and Surgical Journal, Vol. CLVIII., p. 688.)

" The Use of Tuberculin in the Treatment of Localized Tuber-
culosis Excluding Pulmonary Tuberculosis," by Roger I. Lee,

Co
Report of the rathological Laboratory.

M.D. (Boston Medical and Surgical Journal, Vol. CLVIII.,
p. 671.)

"Age and Its Relation to Arteriosclerosis and Death from
Arteriosclerosis," by William H. Smith, M.D. (Boston Medical
and Surgical Journal, Vol. CLVIII., p. 701.)

*' Two Cases of Atypical Leukemia," by Williston W. Barker,
M.D. (Boston Medical and Surgical Journal, Vol. CLVIII.,
p. 609.)

"On the Toxin of Eclampsia," by William F. Boos, M.D.,
Ph.D. (Boston Medical and Surgical Journal, Vol. CLVIII.,
p. 612.)

" On the Excretion of Lead," by William F. Boos, M.D., Ph.D.
(Boston Medical and Surgical Journal, Vol. CLIX., p. 860.)

" Pathological Technique. A practical manual for workers in
pathological histology and bacteriology, including directions for
the performance of autopsies and for clinical diagnosis by labora-
tory methods," by Frank Burr Mallory, M.D., and James Homer
Wright, M.D., S.D. Fourth edition. (W. B. Saunders Company,
1908.)

" The Histogenesis of the Blood Platelets," by James Homer
Wright, M.D., S.D. (Not yet published.) To this essay was
awarded the Boylston Medical prize for 1908.

Respectfully submitted,
James Homer Wright, M.D., S.D.

Director.

ANNUAL REPORT

OF THE

TREADWELL LIBRARY.

The work of the Library force has steadily in-
creased during the past year, as is shown in the
appended table of statistics. Readers number nearly
500 more than in 1907, and the number of cards
added to the clinical catalogues exceeds by over
1,000 the number of last year. Eighty-five volumes
of Records have been compiled and indexed, ready for
binding. It has been necessary to store away about
150 volumes of the oldest Records in another part
of the building, in order to accommodate the new
books. More room is needed in every way : for the
library, for the Records, and for the workers.

Gifts of books have been received as follows :
From Dr. J. C. Warren, Dr. F. C. Shattuck, Dr. G.
L. Walton, Dr. J. G. Mumford, Dr. R. C. Cabot,
Dr. J. H. Wright, Dr. H. B. Howard, Dr. F. A.
Washburn, Dr. G. O. Clark, Dr. J. B. Hawes, 2d,
Dr. C. H. May of New York, Dr. Aldo Perroncito
of Italy (the winner of the Warren Prize of 1907),
Harvard University, the Medical Library of McGill
University, Montreal, the University of Manchester,
England, the State and Municipal Governments, and
the United States Government. Thanks are hereb}^
expressed to the various Associations and Societies
who have again contributed copies of their Transac-
tions.

A smaller number than usual of reprints has been re-
ceived. It is desired to keep in the Library as com-

85

Report of the Treadwell Library.

plete a file as possible of the writings of all members of
the Hospital Staff, and of ex-House Officers, and each
one is invited to send reprints as they appear. These
files are already large enough to be valuable, although
by no means as complete as it is hoped to make them.

A renovating coat of paint applied to the walls
during the summer has given the Library a much
fresher and more attractive appearance.

Followinof are statistics :

Books.

No. of vols, on hand Jan. 1, 1908

Purchased

Gifts

Periodicals bound

Total no. of bound vols, added

Making total no. of accessions
Given away

No. of vols, on hand Jan. 1, 1909

No. of vols, loaned

Approximate number of readers

37

56

103

211
1,771

6,889

196

7,085
18

7,067

Pamphlets.

No. on hand Jan. 1, 1908
Received

Total

Given away (duplicates)

No. on hand Jan. 1, 1909 . . .
Reports.

Received from other Institutions

3,779
342

4,121
415

3,706

168

Periodicals.

Subscriptions .
Sent by courtesy

47
30

Total

Cards Added To Book Catalogue .

77
619

86

Report of the Treadwell Library.

Work on Hospital Records.

No. of vols, indexed and prepared for binding 85

Cards written :

For Clinical catalogues 10,632

For Name catalogue 5,870

Total 16,502

No. of Records abstracted or copied . . . 358

Respectfull}',

Grace W. Myers,

Assistant Librarian and

Kee-per of Records.

DALTON SCHOLARSHIP.

The income of this fund, amounting to $500 annu-
all}^, is devoted to investigation in the science of
medicine. The rules of the Trustees applicable to
it are as follows:

Article i. Candidates shall be nominated to the Board of
Trustees by a Committee consisting of the General Hospital
Staff and the Director of the Pathological Laboratory, with recom-
mendations for the information of the Board. They shall be
either Internes of the General Hospital or male graduates of a
regular American Medical College.

Article 2. The nature of the work in medical investigation
proposed to be prosecuted by each candidate shall be designated.

Article 3. Scholars shall be appointed by the Board from
among the candidates named.

Article 4. Scholars shall be under the supervision of the
Staff and the Staff shall, whenever it thinks desirable, report to
the Board any dissatisfaction it may feel as to the work or
methods of scholars, and the Board may act in the premises as in
the case of Internes.

Article 5. Scholars are required to do an amount of work
equivalent to not less than ten hours per week from the last
Wednesday in September to the last Wednesday in June, and to
present to the Trustees, at the end of the year, a report on the
amount and result of the work performed. The results of work
of scholars shall appertain to the Hospital, and when made
public, the name of the scholar shall accompany the publications ;
but no publication shall be made unless recommended by the
Staff and approved by the Board.

87

Dalton Scholarship.

Article 6. Should the work of a scholar extend through a
part of the year only, he shall be entitled to a proportionate share
of income.

Article 7. When the income is insufficient, appointments
for the year may be omitted.

Article 8. Any income not used shall be cumulative and not
added to the principal.

Article 9. Scholars shall be eligible for renomination and
reappointment.

Article 10. Candidates for scholarship should make written
application to the Resident Physician of the Massachusetts
General Hospital on or before May 15, and the scholarship shall
be held for one year from September 15 following.

Further information ma}' be had b}' appl3-ing to
the Resident Physician of the Massachusetts General
Hospital.

WARREN TRIENNIAL PRIZE.

MASSACHUSETTS GENERAL HOSPITAL.

The Warren Triennial Prize was founded by the
late Dr. J. Mason Warren in memory of his father,
and his will provides that the accumulated interest of
the fund shall be awarded ever}- three years to the
best dissertation, considered worthy of a premium on
some subject in Physiology, Surger}^, or Pathological
Anatom}-; the arbitrators being the Physicians and
Surgeons of the Massachusetts General Hospital.

The subject for competition for the year 1910 is on
some Special Subject in Physiology, Surgery, or
Pathology.

Dissertations must be legibly written, and must be
suitably bound, so as to be easily handled. The
name of the writer must be enclosed in a sealed
envelope, on which must be written a motto corre-
sponding with one on the accompanying dissertation.
Work which has alread}- been published will not be
received in competition.

Any clue given by the dissertation, or any action
on the part of the writer which reveals his name be-
fore the award of the prize, will disqualify him from
receiving the same.

Essays must be typewritten in English, French, or
German.

The amount of the prize for the year 1910 will be
$500.

90

Warren Triennial Prize.

In case no dissertation is considered sufficiently
meritorious, no award will be made.

A high value will be placed on original work.

Frederic A. Washburn,

Resident Physician.

RULES FOR ADMISSION, ETC.

Application for admission of patients should be
made at the Hospital on Blossom Street, Boston, on
week days between the hours of 9 and 11 a.m. and
2 and 3 P.M.

Recent accidents admitted at all hours.

Out-patients received on Fruit Street, between the
hours of 8.30 and 10 a.m., week days onl}-. Out-
patient service is for the poor onlv.

Applications from a distance should be made in
writing, accompanied by a full description of the
case by the attending ph3-sician, with reason of the
physician for thinking hospital treatment desirable,
and when a free bed is needed, by a statement of the
pecuniary condition of the patient. Always wait for
a reply before sending the patient.

Contasfious and chronic diseases are not admitted.

Regular charges to pa3'ing patients are as follows:
In the Jackson Ward (private), $35 per week; in
small room in the Townsend and Bigelow Wards,
$21 per week; in the General Wards, $10.50 per
week. These rates, covering only expenses of board
and lodging, may be increased or abated in individual
cases bv the Resident Phvsician.

An ambulance, accompanied by a medical officer
will be despatched to jin}' point within the city
proper for the conve3'ance of cases of accident or
urgent sudden sickness, not contagious, to this
Hospital, or elsewhere, upon notice from a physician,
the police, or other responsible source, subject to the
approval of the Resident Physician.

In cases requiring gratuitous treatment no charge
will be made.

MEDICAL AND SURGICAL STATISTICS.

MEDICAL DISEASES.

FROM JANUARY 1, 1908, TO DECEMBER 31, 1908, INCLUSIVE.

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS.

Admitted.

Discharged.

X-

Q s^:

GENERAL DISEASES.
Diseases of the Blood.

Anemia

Chlorosis

Pernicious anemia

Leukemia

Purpura

Purpura rheumatica

Purpura hemorrhagica

Diseases of the Ductless
Glands.

Of the Thyroid Gland.

Goitre

Exophthalmic goitre.

Cretinism

Of the Spleen.

Hypertrophy

Of the Adrenal Glands.

Addison's disease . . . .

Diseases of the Lymphatic
Apparatus,

Cervical adenitis (without known
cause)

Tuberculosis of cervical glands.

Locomotor and Constitutional
Diseases.

Arthritis :

infectious
atrophic . .

Carried forxva rd.

93

MEDICAL DISEASES, IdOH — Continued.

Admitted. |

Discharged.

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS.

tn

a)

a

fa

1

^

"3

•3
>

"3
I

O 4)

;5Pi

■a

H
1

5

If

So* -

S4

s

&

5

35

1

38

1

22
14

1
1

1
1
1

14
1

24

2
3

81
2

11

1
<>

78
1
1

53

28
2

1
3
1
1
3
1
1
1

20
1

31

3

6

201

2

28

1

6

1

6
14

7

1

503

6

39

13

10

10

1

78

Arthritis, hypertrophic

I

rheumatoid

39
14

1

12
12
2

1

Articular rheumatism :

acute

3
1

28
13
2

1
2

2
1

53

subacute .
Arthritis deformans

1

28

Osteoarthritis of spine (? )

1

1

Sacro-iliac strain

1

9

2

166

2

24

3

2

1
1
1
13

20

2

6

3

Osteitis deformans

1
1

1

Rickets

1
3

1

Pain in si«le (cause ?)

3

Strain of side

1

Obesity

1

Glycosuria

1

Diabetes mellitus

1

5

1
1

1
1
1

20

Diabetes insipidus

1

Debility

2

5

1

3

110

1

31

Infectious Diseases.
Scarlet fever

3

Measles

3

1

10

17

6

Typhoid feyer

10

201

Paratyphoid fever

2

17

1
5

1
4

2

1

1

6

28

Pyemia

1

Septicemia

6

Sepsis of skin of ankles, following

1
12
5

1

282

1

Cerebrospinal meningitis

5

G

Influenza

1

1
10 3

2

14

2

1

251

5
229

1

1

1

23

119

~^

6

Carried forward

40 .S3

503

94

MEDICAL DISEASES, 190S — Continued.

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS.

Discharged.

c --

Brought forward .
Whooping cough . . .
Malaria

Dysentery

Tuberculosis (See also Diseases of
the Lymphatic Apparatus, Kid
neys, Bladder, and Skin):

pulmonary .

incipient

general

Dactylitis, tuberculous
Syphilis

PARASITIC DISEASES.

Oxyuris vermicularis

Tapeworm

Trichinosis

Poisoning.
Acute Poisonin/j.

Alcohol

Carbolic acid

Corrosive sublimate

Mercury

Lead

Chronic Poisoning.

Acetanilid

Tobacco (?)

Alcohol, with deliriniii tremens.

Lead

Opium

DISEASES OF THE NERVOUS
SYSTEM.

Functional Diseases.

Insanity

Carried forward.

251

503

1

13

1

119 23

19 12
2

646

311

46

95

MEDICAL DISEASES, 190S — Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

fl^

Discharged.

Brought forward .

Melancholia

Acute mania

Hysteria

Hypochondriasis. .

Singultus

Psychoneiirosis . . .

Apprehension

Neurasthenia

Epilepsy

Convulsions

Torticollis

Chorea

Paralysis agitans.

Neurosis

Neuralgia

Headache

Organic Diseases of the Brain
AND ITS Membranes.

Hemiplegia

Of the Membranes of the Brain.

Meningitis

tuberculous

Of the Blood Vessels of the Brain.

Edema

Hemorrhage

Of the Brain.

Paralytic dementia

Tumor

Syphilis

Organic Diseases of the Spinal
Cord and its Membranes.

Myelitis.

Carried forward .

29

646
2

1

20

1

1

311

186

12

3611 773 325

259

52

1
20
1
1
8
6
18
1
1
1
19
1
2
3
3

1
10

3
4

5

2
773

96

MEDICAL DISEASES, 190S — Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

Discharged.

Brougfit forivard .
Poliomyelitis :

acute...
chronic.

Tabes dorsal is

Sclerosis :

lateral . . . .
multiple . .

Paraplegia

Syphilis

Organic Disea.ses of the Nerves

Neuritis

alcoholic

multiple

Sciatica

Vaso-Motor and Trophic Dis-
eases.

Malnutrition

Raynaud's disease.

DISEASES OF THE CIRCULA-
TORY SYSTEM.

Of the PERICAKDI0M.

Pericarditis

adhesive

Of THE Heart and Myocardium

Rupture

Dilatation

Hypertrophy

Hypertrophy and dilatation

Myocarditis

Cardio-renal

361

259

Carried forward .

296

83

97

MEDICAL DISEASES, 1908 — Continued.

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS.

Discharged.

0>-i

Brought forward —

Weak heart

Congenital cyanosis

Of the Endocardium.

Endocarditis

malignant

Chronic Valvular Diseases.

Mitral insufficiency

Mitral stenosis

Mitral insufficiency and stenosis .

Aortic insufficiency

Aortic stenosis

Aortic insufficiency and stenosis . .
Aortic and mitral insufficiency . . .
Aortic and mitral stenosis

Aortic and mitral insufficiency
and stenosis

Cardiac JVeurosis

Of the Arteries and Veins.

Arteriosclerosis

Aneurism

Phlebitis

Thrombosis

DISEASES OF THE RESPIRA-
TORY SYSTEM.

Of the Xose.

Sinusitis

Of the Larynx.

Laryngitis ,

Croup

Of the Trachea.

Tracheitis ,

859
3
1

6
3

26
13
47
4
1
2
12
1

5
1

29
9
3
1

Ca rried forward

53

514 i 463

1030

335

13

55

3
1

6
3

26
13
47
4
1
2
12
1

5
1

29
9
3
1

345

366 127 10 120. 62

1
1030

98

MEDICAL DISEASES, 190S — Conti7iued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

Discharged.

a 8

Brought forward

Of the Bronchi.
Bronchitis :

acute

chronic

with emphysema

Bronchiectasis

Asthma

Of the Lungs.

Abscess

Hemoptysis

Acute edema

Emphysema

Croupous pneumonia

tuberculous.

Broncho-pneumonia

Sarcoma

Lymphosarcoma

Of the Pleura.

Pleurisy

tuberculous

traumatic

Carcinoma

DISEASES OF THE DIGESTIVE

SYSTEM AND OF THE

PERITONEUM.

Of THE Mouth.

Alveolar abscess.

Stomatitis

Of THE Tongue.

Acute glossitis ..
Of the Pharynx.

Pharvnaritis

Carried forward.

1030

3
1
1

132
1

IS
1
1

46
11

345

366

135 10 167 74

99

MEDICAL DISEASES, 190S — Continued.

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS.

Admitted.

Discharged.

■s la- ■

Brought fonvard

Of the Tonsils.

Tonsillitis

follicular

Of the Esophagus.
Stricture (non-malignant).

Carcinoma

Of the Stomach.
Gastritis :

chronic

alcoholic

Gastro-enteritis

Ulcer

Pyloric stenosis

Carcinoma

Neurosis

Dyspepsia

Hematemesis

Of the Intestines.

Enteroptosis

Improper feeding

Intestinal indigestion

Enteritis :

acute

chronic

tuberculous

Appendicitis

Constipation

Colitis

Ileo-colitis

Duodenal ulcer

Hemorrhage

66

669 563

Carried fonvard

1299 481

432

135

74

1299

3

1

5

16

1

20

49

16

1

3

2
2

5
6

551

151 10 175 86 150:

100

MEDICAL DISEASES, 190S — Cofitinued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

Discharged.

.^1

Brought forward

Of the Livek.
Acute yellow atrophy .

Hepatitis

Hypertrophy

Cirrhosis

Carcinoma

Of the Gall Bladder and Bile
Ducts.

Jaundice

Cholecystitis

Cholelithiasis

Carcinoma (?)

Of the Pancreas.

Carcinoma

Tumor (unspecified)

• Of the Rectum.

Hemorrhoids

Carcinoma

Of the Peritoneum.

Ascites.

Peritonitis :

general

tuberculous
cancerous. ..

Abdominal pain

DISEASES OF THE URINARY
APPARATUS.

Op the Kidneys.

Movable kidney

Hjrpertrophy with displacement.

Hematuria

Uremia

Carried forward.

662

528

151 10

169

12

187

101

MEDICAL DISEASES, 190S — Contimced.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

Discharged.

Brought forward

Gravel

Nephritis :

acute •»

subacute

chronic

acute diffuse

subacute cliff use

chronic diffuse

chronic interstitial.

Tuberculosis

Tumor (unspecified)

Of the Renal Pelvis.

Pyelitis

Renal colic (?)

Of the Bladder.

Cystitis

Tuberculosis

78

DISEASES OF THE GENERATIVE
ORGANS.

Of the Male Genitalia.

Urethritis

Of the Female Genitalia.

Dysmenorrhea

Metrorrhagia

• Subinvolution of uterus

Vaginitis

Abscess of cervix uteri

Salpingitis

Carcinoma of uterus

Diseases of Pregnancy,

Emesis

Carried forward

83

866

1574
2

7

5

29

1

2

13

21

559

169

12

187

1691

570

1574
2

7
5
29
1
2
13
21
2
1

7
1

7
2

202 14 203 87

1
1

1

2
1
3
1

3
1691

102

MEDICAL DISEASES, 190S — Continued.

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS.

Adsettted.

So

— . £

Discharged.

:^\ 1^

5 £>5

Brought forward

Albuminuria

Miscarriage

Puerperal septicemia

DISEASES OF THE EAR.

Otitis media

DISEASES OF THE SKIN.

Subcutaneous inkstain

Ulcers

Hyperemias.

Erythema

Inflammations.

Erythema multiforme

Erythema induratum

Urticaria

Pityriasis rosea

Dermatitis

Dermatitis exfoliativa

Prurigo

Lichen planus

Psoriasis

Eczema :

acute

chronic

Eczema seborrhoicum

Herpes zoster

Dermatitis herpetiformis

Pemphigus

Impetigo contagiosa

Impetigo herpetiformis

Furunculus

Anthrax

83

Carried forward-

ed

1691
1
2
1

926 791

570

615

1
1
4
2
1
10

5
31

4
4
2

87

1807 584 7041 205

1

207

103

MEDICAL DISEASES, 190S — Conti7iued.

TAI'.LES OF DISEASES

COMPILED FROM
MEDICAL RECORDS.

Admitted.

Discharged.

- o3 g

ess

as

CI

Brou'jld fonvard ,

Erj-sipelas

Dermatitis venenata —

Dermatitis medicamentosa

Hypertrophies.

Nevus pigmentosus

Ichthyosis

Scleroderma ...

New Growths.

Nevus vasculosus

Tuberculosis cutis

scrofuloderma

lupiis vulgaris

Lupus erythematosus

Carcinoma cutis

Mycosis f ungoides

Neuroses.

Pruritus

Diseases of the Appexdages.

Onychogryphosis

Sycosis

Seborrhea

Parasitic Affections.

Tinea favosa

Scabies

TUMORS (not otherwise specified).

Multiple lymphosarcoma

Sarcoma, recurrent, of chin

Sarcomatosis

Carcinoma of breast

Carcinoma of inguinal region. ...
Subdiaphragmatic (?) tumor

Carried forward.

1807

4

820

597

205

740

207 92

1807
4

208 96 1868

104

MEDICAL DISEASES, 1908 — Continued

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS.

3s

CO -

54

to

in
o
"5

a

i

"3

•a
>

1

1

O 0)

1

g
H

0

1?

■a

5

3s

i

93

955

820
3

1
1

3

1
68

1
900

1868
3

1
1
1
3
1
166
4
1

597

1
1

740

210
3

17

208

96

1868

Mediastinal tumor

3

MISCELLANEOUS.

Exposure (to cold)

1

Inhalation of vomitus

1

Fracture of base of skull

1

1
1
1

1

Pregnancy

2

1

20

1
89

2

57

1

3

1

Transferred for surgical treatment

7

91

2

166
4

1

100

1049

760

303

77

211

96

Total

2049

602

2049

SURGICAL DISEASES.

FROM JANUARY 1, 1008, TO DECEMBER 31, 1908, INCLUSIVE.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

^00

to .

Discharged.

DISEASES AND INJURIES
OF THE BLOOD VESSELS

Arteriosclerosis

Phlebitis

Aneurism

Varicose reins

ruptured

Hemophilia

DISEASES OF THE GLANDS,
Of the Lymph Nodes.

Hodgkin's disease

Of the Cervical Lymph Nodes.

Septic adenitis

Adenitis (of unknown origin)

Tuberculosis

Lymphosarcoma

Of the Axillary Lymph Nodes.

Septic adenitis

Tuberculosis

Carcinoma

Of the Mesenteric Lymph Nodes

Tuberculosis

Ofphe Inguinal Lym,ph Nodes.

Septic adenitis

Of the Mammary Glands.

Hypertrophy

Mastodynia

Chronic mastitis

Sepsis with abscess

Ulcer

Myxoma

Carried forward .

61 42

105

109

761

106

SURGICAL DISEASES, 190S— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

S •

Discharged.

BroVijht forward

Fibroma

Adenoma

Carcinoma

primary

recurrent

Cyst

Of the Salivary Glands.
Of the Parotid Gland.

Sepsis with abscess

Sarcoma

Endothelioma

Carcinoma, recurrent

Tumor (unspecified)

Of the Sublingual Glands.

Ranula

Of the Sufjmaxlllary Glands.

Septic adenitis

Tuberculosis

Sarcoma, recurrent

Of the Ductless Glaitds.
Of the Thyroid Gland.

Hypertrophy

Exophthalmic goitre

Adenoma

Carcinoma

Cyst

Of the Spleen.

Hypertrophy

Of the Sabaceous Glands.

Adenoma

61

109
9
3

30

Carried forward .

6 73

111

19 139

8 11

107

SURGICAL DISEASES, IdOS—Coiiti/med.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

a ■

Discharged.

Bro ught forward .

DISEASES AND INJURIES OF
THE NERVOUS SYSTEM

Functional

EASES.

Nervous Dis-

Hysteria

Neurasthenia

Epilepsy

Erythromelalgia

Of the Brain.

Concussion

Wound, punctured

Hemorrhage

Sepsis with ahscess. ..

Sarcoma

Carcinoma

Tumor (unspecitied)

Of the Spinal Cord.

Crush

Hemorrhage

Anterior poliomyelitis.

Meningocele

Of the Nerves.

Injury to musculo-cutaneous
and circumflex nerves

Severed nerves

Paralysis of facial nerves.
Neuralgia

auricular

occipital

trifacial

Neuroma

Carried forward .

73

10

111

190

135

180 11

1
4
3
1

13
1
6
1
1
1
5

3

3

12

1

1

2
1

1
1

7

2

261

108

SURGICAL DISEASES, IdOS— Continued.

TABLES OF DISEASES 55
COMPILED FROM 12

SURGICAL RECORDS. g^- ^■

Discharged.

Brought forward 10 116

DISEASES AXD IX.I CRIES OF

THE RESPIRATORY

SYSTEM.

Of the Xose.
Deformity, traumatic

Deviated septum

Chronic rhinitis

Nevus

Carcinoma

primary

recurrent

Of the Larynx.
Persistent thyro-glossal duct.

Cutthroat

Hemorrhage, post-operative..

Laryngitis

Inflammation, post-operative

Stenosis

Papilloma

Carcinoma

Cyst of thyro-glossal duct —
Tumor (unspecified)

Of the Trachea.
Sinus

Of the Lungs.

Sepsis with abscess.
Of the Pleura.

Wound, incised, of pleura and
liver

Pleurisy. ..
Empyema.

Carried forward I 15. 200

261

32
390

25

180

17 16 12 261

277! 13

8

57

1

1

3
1

2
2

15 390

109

SURGICAL DISEASES, 190S— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Discharged.

^;«

Sirs

Brought forward..

15

200

175

DISEASES AND INJURIES

OF THE DIGESTIVE

SYSTEM.

Of the Mouth.

Carcinoma

primary

recurrent

Of the Lips.

Harelip

Harelip and cleft palate .
Cicatricial contraction.. .

Gangrene

Carbuncle

Carcinoma

primary

recurrent

Of the Tongue.

"Wound, lacerated ,

Carcinoma

Of the Palate.

Cleft palate ,

Perforation of soft palate .
Tumor (unspecified)

Of the Pharti^x.

Pharyngitis ,

Sepsis with abscess ,

Adenoids

Fibroma of naso-pharynx.,

Tumor (unspecified) of naso-
pharynx

Of the Tonsils.
Hypertrophy . .

390

31

35

277

29

22 28

Carried forivard .

15

478

16 31 32

18

110

SURGICAL DISEASES, 190S— Continued.

Admitted, 1

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

o,-i

6
H

g

Is

0

H

g

"3

-0

>

1

>

o «

-3

s

o

s

•i

15

257
12
11

2

1

3

1

206
23
21

1

3

478

35

32

3

1

6

1

41
1

1

340

35

29

3

1

5

16

31
2

32

18

478

Hypertrophy with adenoids . .
Tonsillitis

35
32

Peritonsillar abscess

3

Cyst ...

1

Ov THE Esophagus.
Foreign body

6

Diverticulum

1

1

Stricture

11

9

1
1

6
4

5
1

1

1

non-malignant

6
2

1
2

7
4

7
4

1

2

primary

recurrent

6
1

1

2

1
2

1

1

3

1

2
3

1

8
1

1
1
3

1
2
2
2
9

2
6
7
16

1

8
1

Of the Stomach.

1

1

1

1

1
1

6

1
5
5
13

1
1

2
1

1

3

Persistent emesis, following

1

Adhefeions

1
1

2

Gastrectasis

1

2

2

2
1

1

2
6

1
5
3

7

1
2

2

Pyloric stenosis

1

9

Vicious circle in gastro-en-

2

1

5

1

2

2
2

1

6

perforating

7

Carcinoma

16

Carcinoma, recurrent, of py-

1

Of the Intestines.

2

Carried forward

18

339

274

631

45)

460

2£

; 37

41

19

631

Ill

SURGICAL DISEASES, l90S—Cotitinued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

•s,l

Discharged

3

o

■6

B
a

O.-'

s

^

>

>

H

■^

-d

art

cc

!?

«

ir.»

•^

Q

Brought forward.

Acute indigestion

Appendicitis

acute —

274

acute, with dif-
fuse peritonitis.

subacute

chronic ,

Colitis

Dilatation.

Enteroptosis

Perforation :

traumatic ,

typhoid

Fecal fistula

Constipation

Volvulus

Intussusception

Torsion of omentum

Obstruction

from adhesions.

from constricting
band

no pathological
cause given

Duodenal ulcer

perforating. .
Perforating ulcer of cecum.

Gangrene

Lipoma

Lymphosarcoma

Carcinoma

Tumor (unspecified) of duo
denum

Carried forward .

627

448

23

103

111

2

2

1

1
1
2
1
4
6

431

49

631
1

23

103

111

2

2

1

1
1
2
1
4
6
1

4
4
5
1
1
2
1
12

2
1126

112

SURGICAL DISEASES, 190S— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

DlSCHABGED.

Brought forward

Of the Liver.

Rupture

Ruptured Uver and spleen .

Acute yellow atrophy

Hypertrophy

Subhepatic abscess

Cirrhosis

Carcinoma

Echinococcus cyst

627

Of the Gall Bladder and
Bile Ducts.

Adhesions

Dilatation of common duct. . .

Stricture of papilla of Vater. .

Cholangitis

Cholecystitis

Cholelithiasis

Carcinoma

Of the Pancrea.s.

Carcinoma

Of the Rectum.

Prolapse

Sepsis with abscess :

ischio-rectal
of rectal wall

Ischio-rectal sinus

Stricture (non-malignant)

Hemorrhoids

Polypus

Papilloma

Ulcer

Carried forward.

1126

16
2
2
1
50
3
1
1
1306

209

26

50

58

92

113

SURGICAL DISEASES, 190S— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

33-

Admitted.

Discharged.

X

Brought forward.. .

Carcinoma

primary . .

recurrent

Tumor (unspecified)..

Of the Axes.

Imperforate anus

Cicatricial contraction of
sphincter

Pruritus

Eczema

Fissure

Fistula

Carcinoma

DISEASES AND INJURIES

OF THE GENITO-URI-

NARY SYSTEM.

Genito-urinarj' tuberculosis..
Of the Kidneys.

Malformation

Movable kidney

Hematuria

Perinephritic abscess

Sinus

Acute hematogenous infection

Nephralgia

Renal colic

Hydronephrosis

Pyonephrosis

Nephritis

Pyelonephritis

Pyelitis

Tuberculosis

528

16

856

32

58

1306

14
2
1

1
10

2
5
2
5
1
2
2
9
2
3
7
15
1437

Ca rried foriva rd .

1437

951

40

114

SURGICAL DISEASES, 190S— Continued.

TABLES OP DISEASES

COMPILED FROM
SURGICAL RECORDS.

UN-

DISCHARGED.

BroiKjht forward

Calculus

Sarcoma

Hypernephroma

Of the Uretehs.

Calculus

Of the Bladder.

Rupture

Incontinence of urine

Acute retention of urine.

Dilatation

Cystitis

Tuberculosis

Calculus . .

Ulcer

Papilloma

Adenoma

Carcinoma

Tumor (unspecified.)

Of the Male Urethra.

Rupture

Foreign body

Hemorrhage

Urethritis

Sepsis with abscess

Sinus

Stricture

traumatic

Of the Prostate.

Benign enlargement

Prostatitis

suppurative . . .

Carried forward I 74' 945

1437
11
2
2

213

677 15961

101

10551 47l 76 11

38

2

2

1596

116

SURGICAL DISEASES, 190S— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Clj 00

*J o

K ■
a

I— t"^

Discharged.

Brought fonvard

Adenoma

Carcinoma

Of the Penis.

Hypospadias

Sepsis witli abscess

Carcinoma

primary

recurrent

Of the Scrotum.

Sepsis with abscess

Hematoma

Hematocele

Hydrocele

Spermatocele

Carcinoma

Of the Testicles.

Undescended testicle

Ectopic testicle r

Sepsis with abscess

Orchitis

Epididymitis

tuberculous .

Tuberculosis

Hematoma

Sarcoma

Adenoma

Cyst of epididymis

Mixed tumor

Of the Spermatic Cord.

Gangrene

Varicocele

Carried fonvard .

1596
2
4

26

577! 1676

5
1114

1596
2

4

1
1

4
1

2
1
1
26
1
1

5
1
1
1
2
3
4
1
2
1
1
1

1

11
1676

116

SURGICAL DISEASES, 190S— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

0.1

Discharged.

Brotight forward

Of the Male Peblseum.

Rupture

Sepsis with abscess

Sinus —

Fistula

DISEASES AND INJURIES

OF THE FEMALE GEN-

ERATITE ORGANS.

Geneeal Diseases.

Dysmenorrhea

Menorrhagia

Metrorrhagia

Dyspareunia

Miscarriage

Extra-uterine pregnancy

Interstitial pregnancy

Retained placenta

Of the Vulva.

Fibroma

Cj'st

Of the Urethra.

Prolapse

Gangrene

Caruncle

Papilloma

Of the Vagina.

Imperforate hymen

Atresia

Infection of Bartholin's gland

Vaginitis

gonorrheal

Fistulse

Carried forward .

78

1021

1

4
2

7

677

1676

1

4
2

8311035: 634

1752

228 1114 50 81 119

3 ..
2 ..

5 ..
1 ..

6 ..
5 ..

Ij..
5 ..

245

1168 50 83 119| 87

1676

1

4
2
7

4
2
9
1
9
12
1
9

1
2

1
1
2
1

1
2
1
1

2

1752

117

SURGICAL DISEASES, 190S— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

^C5

Cs!

Brought forward. .....

Fistulfe, recto-vaginal

vesico-vaginal...

Cystocele

Cystocele and rectocele. ..
Carcinoma

of vaginal wall.

of clitoris

Tumor (unspecitied)

Of the Utebus.
Displacements :

anteflexion

retroversion

of strangulated
pregnant uterus

procidentia

Endometritis

Sepsis :

with abscess

without abscess

Angioma of endometrium.

Hypertrophy

Polypus

Fibromyoma

Adenoma

Carcinoma

Chorio-epithelioma

Of the Cervix Uteri.
Laceration :

of cervix

of cervix and perineum

Hypertrophy

Sarcoma

Ca rried forwa rd

1035

1752
1
2

1035 854 1988

245

1168
1
2
1

7

83

131ll 53! 90 122 100

119

1752
1
2
2
9

1
1
1

2
43

1

40
21

1

4
1
1
4
49
1

118

SURGICAL DISEASES, 190S— Continued.

Admitted.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

— *

=? sE

o

w

£

2

ll

- 5

"5

3
g

a

o

^

>
1

II

o

o

5

0'^

Discharged.

Brought forward

Sarcoma, primary

recurrent

Carcinoma

primary

recurrent

Cyst

Of the Begad Ligamext.

Cyst

Of the Fallopiajs Tubes.

Salpingitis

tuberculous ...

Hydrosalpinx

Pyosalpinx

Of the Ovaries.

Adhesions

Malignant papilloma

Fibroma

Sarcoma

Adenoma

Carcinoma

Cyst

991035! 8541 1988

5 ..

Of the Perineum.

Wound, lacerated

Laceration

Sepsis with abscess

DISEASES AND INJURIES
OF THE HEAD AND FACE.

Of the Head.

Injury (old)

Contusion

Wound, gunshot, of head

Carried forward i 110 1039

1029

2178

3121311

20

17

90 122 100

3« 1443 59' 96 130i 107i

1988
1
1

19
1
2

54
3
6

41

1
1
1
1
6
6
29

1
5
1

2

2
2

2178

119

SURGICAL DISEASES, IQOS—Co7itinued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

.

03

e

0

3}

•3

a

"S

5-1

a

£4

^

a
CO

Discharged.

Bro^ight forward

Wounds of scalp :

granulating.

gunshot

incised

lacerated . . .

septic

Sinusitis

Ethmoiditis

Empyema of antrum

Tumor, congenital, of fore-
head

Carcinoma of antrum .

Of the Face.

Contusion

Foreign body

Wounds, lacerated

Cicatricial contraction .

Chronic inflammation of sub-
cutaneous tissues

Sepsis with abscess :
supraorbital,
submental. . .

Erysipelas

Angioma

Actinomycosis

Keloid

Lupus

Carcinoma :

primary . .
recurrent

Carried forward .

110

1039

1029

113 1 1084

2178

1
1
1

9

13

10501 22471

1443

347

62

107

1
1

3
1
2
1
1

13
2

2247

120

SURGICAL DISEASES, \^Q%— Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

■^00

£4

"3

"3

•a

>

>

<B

C IB

"Ad

Not Treated.
Died.

m -

il

Brought forward

113

1084

1

1

1050
1

2247

1
1
1

3
4

547

1

1494

1
1

621 10.^

130

111! 2^47

DISEASES AND INJURIES
OF THE EYE AND EAR.

Of the Eye.

"Wounds :

gunsbot of eye

lacerated of eyebrow

1

1

1

Carcinoma of eyelid

2

1

3

1

2
10

primary . . .

2
1

2

1

9

1

Of the Ear.
Carcinoma

primary

3

1

2

7
2
8
1
1
1
3
1

4
3

2

3
1

11

2

11

1

1
1
5
3

3

1

DISEASES AND INJURIES
OF THE NECK.

Contusions

2

1
1

11

Cellulitis

1
2

2

Sepsis with abscess

11

1

9

1
1

1
4
2

4
1
1

11

1

1

1

2

5

1
1

1
3

1
1

3

2
8

1
I

1

2
9

1
1

?.

9

Cyst ....

1

1

Carried forward

115

1131

1061

2307

349

1539

64

107

135

113

2307

121

SURGICAL DISEASES, 190S— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Discharged.

Brought forward ,

DISEASES AND INJURIES

OF THE CHEST AND

CHEST WALL.

Of the Chest.

Contusion

Crush of chest and head

Wound, gunshot

Hemothorax

Of the Chest Wall.

Burns of chest wall and arm..

Wound, gunshot

Sepsis with abscess

tuberculous

Tuberculosis

Actinomycosis

Lipoma

Sarcoma

Carcinoma

DISEASES AND INJURIES

OF THE ABDOMEN AND

ABDOMINAL WALL, AND

OF THE PERITONEUM.

Of the Abdomen.

Contusion

Ruptured rectus abdominis .

Wound, gunshot

Adhesions

Pain (cause ?)

Sepsis with abscess :

pelvic

subdiaphragmatic
Hemorrhage, post-operative
Phantom tumor

Carried forward .

115

1131

117

1158

2307

2356

349

1539

1571

67

135

139

113

2307

115

4
1
3
4
2

12

6

1

1

2356

122

SURGICAL DISEASES, 190 S— Co?itinued.

Admitted.

DiSCHAKGED.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

3s

00 .

OrH

£4

50

15

"3
1

g

"3

0)

>
.2

1

•s"
f

0 «

■a

1
£

H
o

5

3"s

00 -

=1

"3
1

117

1158

1081

2356

3

354

1571

67
1

110

139

115

?,'156

1

1
2
3

1
1

1

1

2
2

1

315

1
1

2
2

1
1

1
6

2

1

3

Of the Abdominal Wall.

1

1

1

2

1

6

1
33

2
12

1
8
3

3

1
7
1

1

1

2

7

1

43

2

228

18

11

3

1

7
1

2

8
1

1

1
1

1
1

2

1
2

2

3

1

10

12

1

100

7

10

I

24

100

8

1
1

1
1

43

2

5

211
17
3

9

1
2

17
1

228

strangulated . .

18
11

1

1

3

1

4

1

1

1

Sepsis :

with abscess

1
1
1

7
1

7

7

1

' Septic umbilicus, without

1

2

1

8

1

Papilloma of umbilicus

Of the Inguinal Region.

1
1
1

1

1

490

1
1
1

1

1

tuberculous

1

1
1

... 1

146

Carried forward

124

1414

1166

2704

1737 71i 123

137 1 2704

123

SURGICAL DISEASES, 190S—Co?iti7iued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

C« 00

od"

e

o,-<'

"3

w _•

0)

£^

rt

s

Discharged.

tf

^S

!^ , G

Brought forward .

Fibroma

Sarcoma

Carcinoma, recurrent.

Of the Peritoneum.

Ascites

Extraperitoneal abscess.
Peritonitis

pelvic

general

tuberculous ..

Sarcoma

Retroperitoneal cyst

OTHER DISEASES AXD IN
JURIES OF THE TRUNK.

Of the Back.

Burns

X-ray burns

Contusion

Sepsis with abscess.,

tuberculous .

Sinus, tuberculous . .

Carbuncle

Hematoma

Lipoma

Fibroma

Of the Lumbak Region.

Sepsis with abscess

tuberculous

Lipoma

1414

Carried fonvard

1166
1

1

1

1

1197

2704
1
1
1

1
1

31

2766

1737
1
1

1

1774

123

75 126

146 137

2704
1
1
1

156

1
1
1

2766

124

SURGICAL DISEASES, 190S— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

Brought forward ,

1445

DISEASES AND INJURIES OF

THE SOFT PARTS OF

THE UPPER LIMB.

Of the Shoulder.

Wound, gunshot, of shoulder
and abdomen

Paralysis of deltoid muscle. . .
Sarcoma

Of the Axilla.
Sepsis with abscess.
Sarcoma

Of the Arm.
Cicatricial contraction .

Burns

of arms and face.

Crush

Wounds

lacerated

punctured

Swelling (cause?)

Gangrene, traumatic —
Erysipelas

Sepsis :

witli abscess

without abscess. . . .

Sinus

Paralysis

of arms and legs.

Sarcoma

primary

recurrent

Carried forward .

128

1474

1203

1
1
I

3

1

1807

126 156

125

SURGICAL DISEASES, 190S— Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

3°°

a

1

"3
o
H

a

a

■d
>

1

■a
>

o o

IS

*^
OS

O

s

« -

l-|t-5

"3
Eh

128

1474

1

1203

1

2805

1
1

1

2

491

1807

1
1

1

1
1
1

3
1
1
2
2
1

1
5

79

126

156

146

2805

Of the Fokearm.

1

1

Of the Hand.

1

1

1
1

1

1
1
1

4
1
2
2
2
2

1

Dupuytren's

1

1

Burns :

4
1
2
2
2
2

1

4

1

X-ray burns

1

2

2

2

1

2

Wounds

1
5

1

5
8

1

1
2
1
1

1
4

1

1
6

1

10

8

1
1

1
3

1
1

1

1

6

1

1

Sepsis :

491

10

8
1

1

1
3

1

1

1855

10

8

Angiomata of hand and arm

1

1

Of the Fingers and Thumb.

1

3

1

Crush

80

126

1

Carried forward

130

1517

1211

2858

150 150

2858

126

SURGICAL DISEASES, 190S— Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Is 00

a!

a

e

£

5

"eS

0

1

H

S

c
^

•c"
>

"S

5
2:K

1

4-3

•a
.S

ll
E" -

1

Brought foriva rd

130

1517

1211
1

1

2

1

1

2858
1

1

1
1

1
4

1
1

2
1

1
2
1

491

1

1855

80

126

156

150

2858
1

1
1

1
2
1

1

1

1

1

Sepsis :

1

1

DISEASES AND INJURIES

OF THE SOFT PART OF

THE LOWER LIMB.

Of the Gluteal Regiox.

1
2

1

2

1
1

2
1
1
2

4

1

1

Of the Thigh.

2

2

1

1
2

1

1

Ruptured quadriceps tendon

2

1

1

6

6
4

1
1

4
1
2
6
1
1

3
1

2
1889

5
1

2
5
I

1

5

1
2
6

1
1

5

1

Cellulitis

2

1

6

tuberculous

1

1

1
2

0

1

3

3

3

recurrent

Of the Leg.

2

3

^

3

1 49J

1 80

128

lo-

153

Carried foricard

: 131

!l548

1222

1 290]

2901

127

SURGICAL DISEASES, 190S— Continued.

Adsutted.

Discharged.

TABLES OF DISEASES

Tt X

■^

S

_-

COMPILED FROM

"3.5

X

■a

•c

a

1?*

SUKGICAL KECORDS.

«

■5

^

^

>
0

|h

1 x"^-

•3

z ~

s

0

■^

■St -

» .— r

-■=; S

-

r-

7:

"

-

i'.s: z

— i— .

&-

Broufjht J'oruard 131

Deformity following fracture . .

Burns 1

Crush 1

of both legs

"Wounds

gunshot

lacerated

septic

I^IS 12-22

Painful stump

Paralysis

Sepsis :

with abscess . . .
without abscess

Erysipelas

Gangrene, senile

Ulcer

varicose

Carcinoma

Of the Foot.

Malformation

Calcaneo equino varus .
Talipes equino varus . . .

Talipes varus

Deformity, traumatic .

Flatf oot

Bums

Crush

of both feet

Wounds

incised

lacerated

1 ..
1 ..
Carried fonvard 134 16011-2

2901
1

1

1
1

2975

494

1889 SO
1

128

157 153

497 1947, 80, 130, 165 1561

2901
1
1
7
3

3
1
1
3
1

3
2
5
2
1

1
1
6
2
2
4
1
8
2

1

1
2975

128

SURGICAL DISEASES, 190S—Conti?iuecl

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged

In Hospital,
Jiiii. 1, 1908.

Males.

o

"3

o

1

"3

s

"3

•d

>

1

■6

>
a

1
t

Eh

z

£

ll
« -

SI

3
^

134

1601

1

6
3

4

1240

2975

1

7
3
5

5

487

1947

1

6
2

4

80

130

165

156

2975

"Wounds, punctured

1

Sepsis :

1
1

1
1

1
2

1

7

■without abscess

Obliterative endarteritis

Gangrene

3

5

diabetic

1
2

1
2

1

1

1
3

1
1
1

4
1

5

1

1

1

1
1

2
2
1

1
3

1

1
1

4

2

1
1

6

1

6

1

2

1
1

2

traumatic

1

1
1
1
1

1

1

Tuberculosis

1

1

1

3

1

Of the Toes.

1

1

1

4
2

1
1

5

4

Crush

2

1

1

DISEASES AND INJURIES
OF THE JOINTS.

1

1

6

Arthropathy (of unknown

1

1

Of the Shoulder.

6

6

1

2

4

1

6

1

...

3

2

2

1

2
4

9.

2

4

Of the Elbow.

1

«

Carried forward

139

1645

1249

3033

499

1992

82

133

169

158

3033

129

SURGICAL DISEASES, 190S— Co7itimied.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

^00

a4

a

a

»

^

■d
?
.2

1

>

O <D

01

+->

CS

o

;2;

5

3
^

139 lfi4.«i

1249

1

3033
3

1
1
1
1

1

6

1
2

1

499

1992
3

6

82

133

169

158

3033

3
1

1

1
1

4

1
2

1

3

1

Loose cartilage

1

1

1

1

1

Of the Wrist.
Deformity, following fracture
Volkmann's contracture

1

6

1

2

0

1

1

3
2

2

1

2
1

1

1

2

1
1
1
1
2
1

2

1

1

Tuberculous tenosynovitis.. ..

1

1
2

1

1

1

2

1

1

1

1

1

1
6

4

1

1

1

9
2
11

5

1

1

1

Of the Phalangeal Joints

(fingers)

499

1

9

2
6

4

1

Of the Sacroiliac Joint.

1

7
1
5

1

9

2

2

1
135

1
170

2
161

11

Of the Hip.

5

2039 86

Carried forward

142

1683

1265

3090

3090

130

SURGICAL DISEASES, 190 S— Co ntimied.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

Brought /orivard . .

Ankylosis

Dislocation

congenital..
Charcot's arthropathy .
Arthritis

atrophic

hypertrophic.

infectious . . . .
Sepsis with abscess . . . .

Sinus, tuberculous

Tuberculosis

Of the Knee.

Genu valgum

Genu varum

Contracture

Ankylosis

Hypertrophy

Contusion

Dislocation, habitual .

Dislocation of semilunar car-
tilage

Foreign body

Ruptured ligament ,
Ruptured tendon . . .

Wound, incised

Loose cartUage

Bursitis

popliteal ...

prepatellar .

Arthritis

atrophic. .

Carried forward .

1265
3
1

3090
9
3
4
1

502

3090
9
3
4
1

1
4
1
1
1
11

2
1
1

12

2
5

1

3165

131

SURGICAL DISEASES, 190S— Co7itinued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

cix,

» .

OrH

5^

Discharged.

c^

S-.

s

Kd

0

a^

Brought forward . . .
Arthritis, hypertrophic.

infectious

rheumatoid . . .

Synovitis

tuberculous . .
Sepsis :

with abscess

without abscess

Tuberculosis

Lipoma arborescens

Cyst of hamstring tendon-
sheath

Of the Ankle.

Dog-bite

Sprain

Dislocation ,

compound... .
Wounds

granulating

punctured

Synovitis, tuberculous

Tenosynovitis

Sepsis with abscess

Tuberculosis

Ulcer

Of the Metatabso-Phalan-
geal Joint.

Ankylosis .
Necrosis. ..

DISEASES AND INJURIES
OF THE BONES.

General.
Multiple fractures.

Carried forward .

151

1738
3
3

5

17S3

1283

2
1

3165
3
7
1
3
1

8
1

11
4

1

1303

323';

502

13^

503 2150

139

170

3165
3

1
3
1

8
1

11
4

6
3237

132

SURGICAL DISEASES, l90S—Contimced.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

3g
54

o

s

rt

a

1

1

o
H

a

s
m

»

^

•a

>

1

O 0)

•3

o
55

s

54

"3

*^
o

EH

151

1783

1303

1

1

1

3237

503

^150

1

1

1

94

139

180

171

3237

Multiple osteomyelitis

Of the Vertebrae.
Malformation of lumbar ver-

Ankylosis of lumbar vertebrae
Dislocation of cervical verte-

1

1
1

4

1
1
1

1

1
4
1
10
1
6
1

1

4

1

5
1
5

1

1

IG
2

12
1

2

5
1

1

1

1

1

Fracture, ununited, of sacrum

1

5
1
14

11

1

1

1

2

16

2

1

1

1

1?

Carcinoma (?)
Of the Sternum.

1

2

5
1

2

Of the Ribs.

1

5

1

1

1

3

2
5

2

1

Of the Skull.

25

7

10

2

8
4

1

10

2
9

4

10

simple, with hem-

2

1

3
2

9

4

Carried forward

155

1842

1321

3318

504

2208

95

140

197

174

3318

133

SURGICAL DISEASES, 190S— Contimced.

Admitted.

DlSCHARGKD.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

£4

. 1

1 I 5

>

4)

>

C ®

■a
S

e

5

li

2 -

a4

o

155 1842

1321

1
1

1

3

1

3318

1

1
1

3

1

1
6

1
1
1
3

2
11
5

504 9(208

95

140

197

174

3318

1

1

1

2

1
1

1

Periostitis, specific, of frontal

1

Sarcoma

1

1

0/ the Malar Bone.

3
1

1
5

3

1

0/ the y^asal Bones.

1
4

1
1
1
3

2
8
4

1

Hypertrophy of turbinate

5

Of the Maxillary Bones.

1

1

1
1
3

2
10
5

1

1

1

3

Hemorrhage, secondary, from

••»■

2

1

11

5

1

1

3

1

1

2

3
1

3

recurrent

1

12

4
3

1

1

1

1

8
4

1

1
1

1

8

4

Cyst

1

Of the Clavicle.

1

1

1

Of the Scapula.

1

1

1

Carried fonoard

156

188«

1331

3375

504

2253

97

147

198

176

3375

134

SURGICAL DISEASES, 190S— Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

li

rj

9-"

3

«
H

1
^

M

>
1

"6

S

II

1

2
1

■6
«

^2'

oo -

3
^

156

1888

1
3

1331
2

3375
1
5

21

504
2

2253

1
3

12
3

97

147

198

176

3375

1

5

Of the Humerus.
Fractures

2

1

11
3

1

1
2

1
1

4

.1

1

1

15
3
1
2

1
3

1
2

15

3

1

1

2
1
3

2

Exostosis,

1

3

Epiphysitis, suppurative (up-

1
1

1

12

1

1

1
4

4

1
1

1

1

1
1

2

Of the Radius.

1

2

1
4

4

1
1

1

2
1
4

4
1
1

1
1

2

3

Colles':

compound...
Separation of lower epiphysis
Osteomyelitis of radius and

1

Of the Ulna.

1

1
1

1
1
1

1

2

1

1

1

1

Carried forward

107

1930

1341

3428

506

2296

97

151

198

180

3428

135

SURGICAL DISEASES, IdOS— Co7itinued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

d

Discharged.

3428

1
2
1

Brought forward.

Fractures of olecranon, com-
pound

Necrosis

Osteomyelitis

Of the Radius and Ulna.

Fractures

simple

compound

Separation of lower epiphyses

Of the Cabpal Bones.

Necrosis

Of the Metacarpal Bones.

Fractures

simple

compound

ununited

Tuberculosis

Of the Phalanges (fingers).

Fracture

Necrosis

Osteochondroma

Of the Os Innominatum.

Fracture . .

Necrosis of ilium

Of the Femur.

Deformity

following disease . .

following fracture.

Non-union, following osteo-
tomy

Fractures of shaft of bone .
simple

Carried forward .

157

1930
1

1

1341

3428

3501

507

26
2356

151

31
3501

136

SURGICAL DISEASES, 190S - Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admittbd.

Discharged.

2g

H

3501
3

10
6

1
9
1
1

4

Brought forward.

Fractures of shaft of bone, un.
united

Fractures of neck of bone .

simple

impacted . . . . .

Fracture, compound, of femur
and tibia

Osteomyelitis

Sinus

Osteochondroma

Sarcoma

Of the Patella.

Fractures

simple

ununited

Exostosis

Of the Tibia.
Deformity, following disease
Fractures

simple

compound

ununited

Necrosis

Periostitis

Osteomyelitis

Osteoma .

Of the Fibula.
Fractures

simple

Pott's

Exostosis

Osteomyelitis

166

1980 1355 3501

3 ....

Carried forward .

507 2366

16

13

1383 3624

99 151 204

508 2460 102

153 2071 194

27
5
2
3
7

13
1

6
1

1

3624

137

SURGICAL DISEASES, 190S— Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

1|

a S

as
e

5

<B

■3

*^

H

s

=2 j

■3

■8
>

1

•V

e

>
0

0 0

s

2
0

5

ll
5^

5

§

1T5

2066

1383

3624

508

2460

21

1
2

1

•102

153
1

207

194

4

3624

Of the Tibia akd Fibula.
Fractures

31

20
2
3

6

1

1

2
1
3

1

26
2
3

3
1

2
5
3
3

1

1
1
2
1

1
1

26

compound

o

ununited

Osteitis

3

Osteomyelitis

1

1
1
1
1

1

1
2

1

1

Of the Tabsal Boxes.
Fracture of os calcis

1

1

1
1
1

1

Periostitis of astragalus

Osteomyelitis of cuboid

Of the Metatarsal Bones.

....

Fracture

2

1

1

1

3

1

ACUTE IXFECTIYE
DISEASES.

2

4

5

1
2

1

5

puerperal

1

1
1

3

3
1

1

1
1

3

Tetanus, following punctured

1

1

1

1

1

1

2

General miliary tuberculosis

li

1

1

1

1

1

1

Carried forward

175

2114

1399

1 3688

511

2499

102

155

221

200

3688

138

SURGICAL DISEASES, 190S— Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

g

1

1

2

>
1

II

5

3
^

Brought fonvard

175

2114
3

1399

1

1
10

1

3688
3
1
1

2

1

4
18
14

2

511

2499

102

155' 221
3 ....
1 ...

200

1

3688

Apprehension

3

1
1

1

Pericarditis

1
2
1

3

8
14

1

1

Pneumonia

2

1

2

Broncho-pneumonia

MISCELLANEOUS.
Multiple contusions

3
4

1
4

Multiple burns

14

18

14

14

Internal injuries

2

2

1
1
2

2

1
1

2
3

16
3

1
1

3

2

46
3
3

1

!

1

2

3

2

3

2

29
3

2

Transferred for medical treat-

1

16

1

13

17
1
3

46

No diagnosis

1

3

3

Total

176

?18S

14^

3795

511

'>'i31

115

18?

'>54

202, .3795

SURGICAL OPERATIONS.

FROM JANUARY 1, 1908, TO DECEMBER 31, 1908, INCLUSIVE.

SURGICAL OPERATIONS.

Admitted.

Discharged.

OPERATIONS ON THE BLOOD VES
SELS.

Total number

Excision of aneurism of radial artery.

Exploratory laparotomy, for aortic
aneurism

Ligation :

of radial artery —
of saphenous vein,
of ulnar artery

Obliteration of aneurism of external
iliac artery

Resection of varicose veins of leg.
Transfusion of blood

OPERATIONS ON THE GLANT)S.

On the Lymph Nodes.

On the Cervical Lymph Nodes.

Total number

Curetting, for tuberculosis

Excision :

for adenitis

for carcinoma

for Hodgkin's disease

for lymphosarcoma

for tuberculosis

Incision and drainage, for tuberculosis
On the Axillary Lymph Nodes.

Total number

Dissection :

for carcinoma

Carried forward..

1

57

139

26

13

140

SURGICAL OPERATIONS, 1908 — Coiitinued.

SURGICAL OPERATIONS.

DiSCHAKGED.

Brought foricard

Dissection for sarcoma

Excision :

for septic adenitis.

for carcinoma

for tuberculosis.. .

57

Incision and drainage of septic aden-
itis

On the Mesenteric Lymph Nodes.

Excision, for tuberculosis

On the Inguinal Lymph Xodes.

Total numlier

Excision :

for carcinoma

for septic adenitis

On the Mammaky Gland.

Total number

Amputation of breast

for adenoma

for carcinoma

for chronic mastitis .
for fibroma

Excision :

of adenoma

of carcinoma (recurrent).

of cyst

of fibroma

of myxoma

of tumor (unspecified) —

of ulcers

Excision of breast tissue :

for examination

Carried forward . ,

63|

1
14ol

1

19 104

1
9 140

141

SURGICAL OPERATIONS, 190S — Contimied.

SURGICAL OPERATIONS.

Admitted.

Dlscharged.

O'-i

Brought forward .

Excision of breast tissue for byper-
tropby

Exploratory incision, for pain —
Incision and drainage, for sepsis.

On the Salivary Glands.

On the Parotid Gland.

Total nvmber

Excision :

of carcinoma

of endothelioma

of sarcoma

Incision and drainage, for sepsis.
On the Snblinffual Gland.

Total number

Excision of ranula

Incision and drainage :

for sepsis,
of ranula .
On the Submaxillary Gland.

Total number

Excision, for tuberculosis

Incision and drainage of septic ad-
enitis

On the DrcTLEss Glands.
On the Thyroid Gland.

Total number

Excision :

of adenoma

of carcinoma

of cyst

Thyroidectomy

for adenoma,
for cyst

Carried forward.

63 77 140

92

163

12

121

140

2
1
3

1
1
3

1

1

163

142

SURGICAL OPERATIONS, 1908 — Continued.

Admitted. 1

DiSCHAKGED.

SURGICAL OPERATIONS.

3

0
H

1

s

s

>
1

>

0 3)

. j
1 1

1

71

92

1
8
1

163

1
8
1

2
1

19
9

22

121
1

6

4

10

163

Thyroidectomy, for exophthalmic goitre

1

8
1

1

8

for tumor (unspecified)

On the Spleen.
Exploratory laparotomy, for hj-per-

2

1

1

2

2

Ou THE Sebaceous Glands.

1

OPERATIONS ON THE BRAIN AND
NERVOUS SYSTEM.

Ox THE Brain.

1
1

V

1
1
2

1

1
1

1
2
2
1
3

1

1

for gunshot wound

8

1

1
1

2
<>

1

2

3

3

2
1
3

2

1

2
1

5

1
1

o

1
2

1
1

1

2 1

5

1

Incision and drainage, for sepsis

1

1

25

1
o

1

1

1

2
1

1

1
I 201

1

1

Excision :

2

1
1

2

1

of meningocele

1

1

1
11

1

91 i 110

23 146

10

11

Carried forward

201

143

SURGICAL OPERATIONS, 190S — Conti7iued.

SURGICAL OPERATIONS.

Admitted.

DiSCHAKOED.

Brought forward

Exploring nerve, for paralysis:
facial
ulnar

Injection of osmic acid, for trifacial
neuralgia

Neurectomy

Neurorrhaphy

Resection of Gasserian ganglion.

Section and suture of spinal accessory
nerve, for torticollis

91

Stretching posterior tibial nerve

OPERATION ON THE HEART.

Incision and drainage of pericardium
for pericarditis

OPERATIONS ON THE AIR
PASSAGES.

On the Nose.

Total number

Deformities corrected

deviated septum . .

traumatic

Excision of carcinoma

Plastic, for nevus

On the Larynx.

Total number

Excision :

of papilloma

of persistent thyro-glossal
duct

Laryngectomy, for carcinoma .
On the Trachea.

Total number

Closing sinus

Carried forward I 1581 141

201

1
1

1
4
4

2

5
1

146

10

233| 12

201

1
1

1

4
4
2

5
1

11 12

1

299

144

SURGICAL OPERATIONS, 190S — Continued.

Admitted. |

D18CHABGED.

SURGICAL OPERATIONS.

01

g

1

■3
0

EH

g

s
tn

Relieved.

Not
Relieved.

Died.

In Hospital,
Jan. 1, 1909.

t

158

1

141

1

299

1

1

23

27

31

1

32

233

1

1

3

1
1
1

5
1
3
1

1

1
3

1

1

2

1

2K

12

11

12

299

1

On the Pleura.

1

OPERATIONS ON THE HEAD
AND FACE.

On the Head.

Cleaning and repairing lacerated

3

1

2

1

3
1

1
1
1

1

2

1

2
2

1

4

1
2
1

5

1
3
1
1

1
3

4

Excision :

1

1

2

Exploratory incision of antrum

Incision and drainage :

of empyema of antrum

of septic wound of scalp . . .

of sinusitis • • ■

1

5

1

3

1

1

Suturing wounds:

incised, of scalp and neck
lacerated, of scalp

On the Pace.

1

3

1
1

2

2

152

1
1

1

1

331

1

Cleaning and repairing lacerated

1

Curetting :

2

ethmoid cells, for ethmoid

2

1

1

13

~Ti

12

Carried forward

17S

331

146

SURGICAL OPERATIONS, 1908 — Continued.

Admitted.

Discharged.

SUBGICAL OPERATIONS.

v

rt

s

a

i

a

CO

>

1

•a

"6

5

28

to .

1

Brought forward

179

152

1

3
1

1

1

331

1

1
9

1

1

1
1
1
1
1
2

32

263

13

1

11

12

331

Curetting for chronic inflammation of
tissues

1

Excision:

of actinomycosis

1
6

1
9

1

1

of carcinoma

9

1

Exploratory incision of supraorbital
abscess

1

1

1

Incision and drainage :

of actinomycosis

1

1
1
1
2

1

of submental abscess

1

1

of ulcer

1

1

Plastic, for carcinoma

8
4

1
1

1

1

Removing bullet

1

Suturing lacerated wound

2

1

1
1

1

2

OPERATIONS ON THE EYE AND
EAR.

Total number

Cauterization, for carcinoma of eyelid
Curetting old wound of eyebrow

1
1

1

1
1

Enucleation, for trauma

Excision :

of carcinoma of eyelid

Exploring bullet wound

1
1
1

1
1
1

1
2

Incision and drainage of septic wound
of eyebrow

Plastic on eyelid, for recurrent carci-

On the Ear.

Total number

Cauterization, for carcinoma. .

1

2

1

2

1

2

Carried forward

201

161

362

34

288

15

12

13

362

146

SURGICAL OPERATIONS, 1908 — ConthiKed.

SURGICAL OPERATIONS.

Admitted

Discharged.

"e^S

K

o

e

o

a*^

IS

<A

i

H

>
_2

>
_2

5

st-

s

&M

^

m

^

^

Z5

54|

Brought forward

Resection, for carcinoma

OPERATIONS ON THE MOUTH,
LIPS, TONGUE, PALATE, ETC.

OS THE MOUTH.

Excision of carcinoma

Ox THE Lips.

Total number

Excision of carcinoma

Incision and drainage of carbuncle.,

Plastic operation :

for cicatricial contraction

for harelip

On the Toxgue.

Total number

Excision, for carcinoma

Resection, for carcinoma

On THE Palate.

Total number

Closing perforation of soft palate

Excision of tumor (unspecified)

Staphylorrhaphy ».

Uranoplasty

Uvulotomy

Ox the Phabynx.

Total num.ber

Excision :

of adenoids

of fibroma of naso-pharynx .

of tumor (unspecified) of naso-
pharynx

201; 161
1

25

On the Tonsils.
Total number.

362
1

23

Carried fonvard I 261 201 465

34

10

112

15

12

14

147

SURGICAL OPERATIONS, 190S — Continued.

SUKGICAL OPERATION'S.

Admitted.

DiSCHABGED.

— -— »

©•I

Brought foruard 261, 204

Excision of cyst I 1

Incision and drainage of peritonsillar!
abscess ' 1

Tonsillectomy I 42

Ox THE Esophagus.

Total number

Dilating stricture 7 1 8

Excision of carcinoma 1 1

Removing foreign body 2 1 3

OPERATIONS OX THE NECK (see also

Operations on Tendons).

Total number ,

Cauterization, for carcinoma

Curetting :

carbuncle

carcinoma

Dissection of muscles :

for carcinoma

for tuberculous sinus

Excision :

of carcinoma

of cyst

of sarcoma

of subhyoid fistula

Exploratory incision, for carcinoma..,
Incision and drainage :

for cellulitis

for sepsis with abscess

tuberculous

Plastic operation, for cicatricial con-
traction

Carried foncard ' 35ll 282

465
1

2
109

2

17

1

1
633!

12

44

38

17

17

14

465
1

2
109

3

2

6
1

4
1
3
1
1

2
17
1

41 52.5 281 23: 16i

148

SURGICAL OPERATIONS, IdOH — Continued.

Admitted. 1

Discharged.

SUKGICAL OPERATIONS.

®

a

75
1

o

a

®
^

o

>
.2

1

>
.2

II

5

"esse

'S.-

Kb

1

351

?«■>

633

41

5?5

?R

fS\

16

633

OPERATIONS ON THE CHEST AND

CHEST WALL.

On the Chest.

4

Thoracotomy :

1

1

?

1

1

2

for drainage of empyema ....

1

1

1

1

1

1

1

1

On the Chest Wall.

10

Cleaning and repairing gunshot wound

1

1

1

1

Excision :

1

1

1

1

1

1

1

1

of tuberculous tissue

Exploratory puncture of tumor

Incision and drainage :

1

1

1

1

1

1

1

1

for sepsis with abscess

2
1

1

3
1

2
1

1

3

1

1

1

1

1

ABDOMINAL OPERATIONS.

On the Stomach and Pylorus.

49

Closing pylorus, for vicious circle

1

1

1

1

Division of pylorus, following gastro-

1

1

1

1

Exploratory incision, preparatory to

1

1

1

1

6

3

3

^

3

for perforating ulcer

3

3

m:

43

1
535

36

1

2fi

16

3

Carried forward

370

286

656

656

149

SURGICAL OPERATIONS, 190S — Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

CO .

Orl

S4

Br (mght forward .

370

Fixation of stomach wall in abdom-
inal incision, preparatory to gastro-
enterostomy

Gastrectomy, for carcinoma

Gastro-enterostomy

for adhesions about pylorus

for borborygmus

for carcinoma:

of pylorus. .
of stomach .

for gastrectasis

for pyloric stenosis

for tumor (unspecified) of
duodenum

for ulcer :

of pylorus

of stomach

Gastrorrhaphy

for gunshot wound. . .

for perforating ulcer.

Gastrostomy

for carcinoma :

of esophagus

of stomach

for stricture of esophagus

Pylorectomy

for carcinoma

for ulcer of stomach

Pyloroplasty, for stenosis

Separating adhesions

On the Pancreas.

Exploratory laparotomy, for carci-
noma

Carried forward .

656

1
1

43

535 36

298

699

49

560

26

16

666

1

1

1
1

1

7
1

7

1
1
1

1
1
2
1

3

699

150

SURGICAL OPERATIONS, 190S — Continued.

SURGICAL OPERATIONS.

Admitted

DiSCHABGED.

"Sg

c«

o

-3

p.^

si

g

"5

a

-d

0)

^

s

CO

^

S

;^^

0

s^

Brought forward

On THE Intestines.

Total number

Anastomosis

end-to-end

lateral

Appendicitis

Operation during attack,
for acute appendicitis. .

for acute appendicitis -with
diffuse peritonitis

for chronic appendicitis . .

for subacute appendicitis .

Operation during interval . .

Normal appendix removed in
connection with other opera-
tions

401

Closing colostomy wound

Closing fecal fistula

Colostomy

for carcinoma :

of intestine

of rectum

for imperforate anus

for intussusception

for obstruction

for perforation

for volvulus

Enterorrhaphy

for gunshot wound

for perforating ulcer. . .

for rupture

Enterostomy

699

Carried forward .

578

189

24

97

111

40

52
1
2

24

49

211

878

41

33

53

12G3

151

SURGICAL OPERATIONS, IdOS — Continued.

Admitted.

Discharged.

SURGICAL OPERATIONS.

<B
"eS

01

a

"5

S
a
CO

■3

>
1

01
0)

1^

5

Cr-T

1

Brought forward

685

578

1

1

1263

1
1

3

1
1

1

211

878

1
1

1
1

65

56

53

12C3

Enterostomv, for carcinoma

1

for distension

1

2

1
1

1

1

for drainage, following
other operation

2

3

for imperforate anus

for obstruction

1

1

1

1

Excision of tumor (unspecified)

Exploratory laparotomy

1

1

2

1
5

1
1

1

1

for carcinoma

3

1
5

1

1
1
1

1

4
1
5
1
3
3
1

1
2

4

1

for duodenal ulcer

5

for gangrene

1

2
2

1

2
2

1

3

for perforation

3

Ileostomy

1

Incision and drainage about fecal
fistula

1

1
1

1

1

Reducing :

intussusception

3
2

13

1

1

1

3

volvulus

2

Resection

1

2
1

1
2
2
1
2
1
1
1

1

1

1

2
1
1

1
1

2

for lipoma

1

1

9

1

for obstruction

1

1

2

1

for traumatic perforation. . .

1

1

1

1

1

1

for vicious circle in gastro-

1

1

1

Carried forward

715

593

1308

214

903

68

69

54

1308

152

SURGICAL OPERATIONS, 1908— C<mtinued.

SURGICAL OPERATIONS.

Admitted

DiSCHAKGED.

■casj

ea

m

O

£

•o

P.-'

1

a

B

H
S

>

d

S

^

s

OS

^

S

^^

C

s 5

Brought fonvard .
Separating adhesions ,

Tube connection of ends of intestine
in colostomv wound

On the Liver.

Total number

Exploratory laparotomy

for acute yellow atrophy

for carcinoma

for cirrhosis

for hypertrophy

for rupture

Incision and drainage, for sepsis ,

Laparotomy, for echinococcus cysts. .

Omentopexy

Talma's operation

On the Gall Bladder and Bile
Ducts.

Total luimher

'Cholecystectomy

for cholecystitis . .
for cholelithiasis.

Cholecystenterostomy, for carcinoma
of pancreas

Cholecystostomy

for carcinoma

for cholangitis

for cholecystitis

for cholelithiasis

for drainage of subhepatic abscess

Cholecystostomy and choledochotomy

Cholecystostomy and choledochoen-
terostomy

Choledochostomy .

Carried for ward. .

1308
6

1401

18

903 68

6'....

220

1308
6

59

2
1
4
35
1
7

1

4

1401

163

SURGICAL OPERATIONS, IdOS — CmHriued.

8UKGICAL OPERATIONS.

ADStTTTED.

D18CHABOED.

a

■o

a

«

a

■5

H

S

>

>

»

'd

s

S

^

3

OS

^

<S

^^

Q

Brought foricard

Exploratory laparotomy

for carcinoma

for gangrenous cholecystitis...

Separating adhesions

On the Peritoneum.

Total number

Excision of retroperitoneal cyst

Exploratomy laparotomy, for sarcoma
Incision and drainage of abscesses :

extraperitoneal

retroperitoneal

Operation for peritonitis

adhesive

general

pelvic

tuberculous...
On the Abdominal Wall.

Total nximher

Curetting sinus

Excision :

of lipoma

of track of sinus

Excision of umbilicus

for papilloma

for sepsis

Exploring persistent sinus

Incision and drainage :

for sepsis

for septic umbilicus

of ulcer

Repairing inguinal and femoral rings

Carried forwa rd .

749

652

1401

683; 1451

220

26

21

957

77

81

1401

1
3

1
1
1

6
I

1
1

1451

154

SURGICAL OPERATIONS, 190S — Continued.

SURGICAL OPERATIONS.

Admitted.

DI.9CHABGED.

G |,2h^

Brought forward.
Secondary suturing . .

On the Abdomen (not otherwise speci-
fied).

Total number

Dissection of pelvis, for vaginal
atresia

Excision :

of carcinoma of pelvis

of fibroma of inguinal region
of iiydrocele of canal of Nuck
of sarcoma of inguinal region

Exploratory laparotomy

f or ?

for fractured os inno-
minatum

for gunshot wound. .
for phantom tumor. .
for tumor (unspecified)
Incision and drainage :

for sepsis in inguinal region
tuberculous

Laparotomy, for drainage of ab-
scesses :

pelvic

subdiaphragmatic ... . .
Laparotomy, for drainage of cyst.

Obliteration of inguinal canal, for
hernia

Radical cure of hernia

epigastric

femoral

strangulated .
inguinal

Carried forward .

207
1004

13

1451
3

1
10

3
13
737i 1741

361

2

3

1

101

1134

86

94

155

SURGICAL OPERATIONS, IQOS — Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

Brought forward

Radical cure of hernia :

inguinal, strangulated

umbilical

ventral

strangulated

Removing foreign body :

from inguinal region

from laparotomy wound
Suturing ruptured rectus abdominis..

OPERATIONS OX THE RECTUM

AND ANUS.

On the Rectum.

Total number

Cauterization, for prolapse

Closing lire thro-rectal fistula

Curetting" isehio-rectal abscess

Dilating stricture

1004

Excision :

of carcinoma

of polypus

of prolapsed mucous membrane

of tissue, for examination

of track of isehio-rectal sinus .
Excision of rectum, for carcinoma

Exploratory laparotomy, for suppura-
tive inflammation

Incision and drainage of isehio-rectal
abscess

Kraske's operation

Operations for hemorrhoids

clamp and cautery

excision

Whitehead's . . .

Carried forward .

41
2

1
1105

1741

17

10

42

1

1
2
1

57

5

1

1913

100

1134

98 80

104

156

SURGICAL OPERATIONS, IQQS — Co?itinued.

SURGICAL OPERATIONS.

Admitted.

Dlschabged.

Brought fonvard

Resection

for carcinoma

for stricture (non-malignant)

On THE AJJUS.

Total number

Curetting fistula

Dilating sphincter

Excision :

of carcinoma

of track of fistula

Incision and drainage :

for sepsis

of fistula

Plastic operation, for artificial anus..

Tightening sphincter, for prolapse of
rectum

OPERATIONS ON THE GENITO-
URINARY SYSTEM.

On THE Kidney.

Total number

Curetting sinus

Decapsulation

Exploratory incision, for sarcoma..

808

Exploratory laparotomy, for mal
formation

Incision and drainage of perinephritic
abscess

Nephrectomy

for acute hematogenous infection

for calculus

for hydronephrosis

for hypernephroma

for pyelonephritis

Carried forward .

1159

1913

1982

379

24

1251

1

1309

104 91

1

105 97

157

SURGICAL OPERATIONS, 190S — Co7itinued.

•

Admitted.

DiSCHABOED.

SURGICAL OPERATIONS.

3

uS

"O

•e

o

o

«

K

o

5
a
o

3
^

H

S

s

OQ

>
®

1

>

•a
o

s

54

'a

Brought forward

Nephrectomy, for pyonephrosis

for tuberculosis

Nephropexy

Nephrotomy

for acute hematogenous infection

for calcuhis

for pyonephrosis

Nephro-ureterectomy

On the Ueeteb.

Total number

Ureterotomy

for calculus

for hydronephrosis

0>' THE Bladdeb.

Total number

Cystostomy, suprapubic

exploratory

for adenoma

for calculus

for chronic cystitis

for drainage

for papilloma

for perineal flstulse

for retention of urine

for rupture

for tumor (unspecified)

preliminary to prostatectomy

Cystostomy, transperitoneal

for carcinoma
for drainage.,
for papilloma.

1159
3
9

Carried forward 1209 846

1982

4

12

11

1
1

2
2055

13

1309 91
2

105

1388 11358: 97 1108

97 1982
4
12
11

104

1
1
9
1
2
2
2
3
1
1
1

1

1

2
2055

158

SURGICAL OPERATIONS, 1908 — Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

O

X

C is

c4

O

H

2055
1
5

Brought forward

Exploratory laparotomy, for rupture. .

Litholapaxy

On the Prostate.

Total number

Prostatectomy, perineal

for?

for adenoma

for benign enlargement

Prostatectomy, suprapubic

for adenoma

for benign enlargement
On the Male Urethra.

Total number

Curetting sinus

Excision of track of urinary fistula. ..

Incision and drainage, for sepsis

Operations for stricture

divulsion

meatotomy

perineal section

resection

urethrotomy :
external . .
internal . .
Plastic operation, for chronic stricture

Removing foreign body

On the Penis.

Total number —

Amputation, for carcinoma

Plastic operation :

for hypospadias

Carried forivard .

1209
1

5

1
1311

2055
1
5

54

1358
1
4

97

108 104

2157

1440

100 115 112

1

2157

159

SURGICAL OPERATIONS, IdOS — Conti7iued.

SURGICAL OPERATIONS.

Admitted.

c«

Discharged.

«

Brought for wa rd

Plastic operation, for recurrent carci-
noma

1311
1

846

On the Prepuce.

Circumcision

On the Scrotum.

Total yiumber

Excision :

of hematocele...
of spermatocele.

Exploratory incision, for gangrene of
cord

Incision and drainage :

for sepsis

of hematoma

of hematocele

Radical cure of hydrocele

On the Testicle.

Total number

Curetting, for tuberculosis

Epididymectomy

Excision :

of cyst of epididymis

of hematoma

of sarcoma

Exploratory incision, for epididymitis

Orchidectomy

for adenoma

for gangrene

for hydrocele (old) . ...

for mixed tumor

for orchitis

for sarcoma

2157
1

35

1440
1

100

115

215T
1

Carried fonvard. -

1363 846 2209

1482 100 117 115 2209

160

SURGICAL OPERATIONS, 190S — Continued.

SUEGICAL OPERATIONS.

ADMrmn>.

DiSGHABOED.

«=•

H

2209
5
3
4
1

Brought forward

Orchidectomy, for tuberculosis

for undescended testicle

Orchidopexy

Reducing ectopic testicle

On the Speksiatic Cord.

Total number

Incision and drainage of septic wound

Resection of veins, for varicocele

Ox THE Male Perinecsi.

Total number

Curetting sinus

Excision :

of track of fistula

of track of sinus

Incision and drainage, for sepsis

Perineal section

exploratory

for drainage of bladder

for drainage of flstulae

for extravasation of urine

for ruptured bladder

for ruptured urethra

GYNECOLOGICAL OPERATIONS.
Ox THE Urethra.

Total number

Excision :

of caruncle

of papilloma

Reducing prolapse

Resection, for gangrene

Twisting urethra, for incontinence. . .

1363
5
3
4
1

Carried forward.

1413

2209
5
3
4
1

395

19

1482
5
2
4

100

117

8oi

2265

102 118 122

2
1
1
1
1
2265

161

SURGICAL OPERATIONS, 1908 — Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

Brought forward

On the Vulva.

Total number

Excision :

of cyst

of libroma

On the Vagina.

Total number

Closing flstulse :

recto-vaginal . .

vesico-vaginal.

Colporrhaphy

1413 852

Colpotomy, for drainage of pelvic
abscess

Dissection of tissues, for malformation
Excision :

of Bartholin's gland, for sepsis

of carcinoma of clitoris

of hymen

of tumor (unspecified)

Incision in imperforate hymen

On the Uterus. •

Total number

Alexander's operation

Cauterization, for carcinoma

Curetting, for sepsis

Dilating and curetting

Excision :

of adenoma

of polypus

Exploratory laparotomy, for carcinoma
Freeing strangulated pregnant uterus

Carried forward .

2
1

1067

2265

402

72

1

1

2

2

46

46

17

17

1

1

1

1

1

1

1

1

1

1

1

1

323

1
2
3

125

1521

102

122

2480

439 1683

106 120 132

162

SURGICAL OPERATIONS, 190S — Continued.

SUKGICAL OPERATIONS.

Discharged.

Brought forward

Hysterectomy (abdominal)

for carcinoma

for choro-epithelioma —

for fibromyoma

for hypertrophy

for laceration of cervix . .

for procidentia

Hysterectomy (vaginal)

for carcinoma

for endometritis

for laceration of cervix..

for hypertrophy

Hysterectomy and salpingo-oophorec-
tomy

for carcinoma

for fibromyoma

for salpingitis

Myomectomy

Removing interstitial pregnancy.

Shortening round ligaments

Steaming uterus

Ventral fixation

1413

1067

On the Cervix Uteri.

Total number

Amputation

for hyperplasia. .
for hypertrophy .
for laceration . . .
for procidentia. .
Cauterization :

for carcinoma .

Carried forvmrd .

15

1280

2693

439

12

1683

1
1

5
2

24

106

1
1

6

12

1824

120

132

145

2480

2
1
20
3
1
4

3
1
1
1

1
10

1
19

1
14

1
99

1
1
2
11

15
■^693

163

SURGICAL OPERATIONS, 1908 - Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

Brought for ward

Cauterization, for sarcoma

Curetting carcinoma

Excision of cysts

Puncturing cysts

Trachelorrhaphy

Trachelorrhaphy and perineorrhaphy.
On the Broad Ligament.

Total number

Excision of cyst

Laparotomy, for drainage of cyst

On the Fallopian Tubes and Ovaries.

Total number

Curetting cyst of ovary

Excision :

of carcinoma

of cyst

of sarcoma

Exploratory laparotomy, for carci-
noma

Laparotomy, for drainage of pyosal-
pinx

Oophorectomy

for adenoma

for adhesions

for carcinoma

for cyst

for fibroma

for malignant papilloma.

Resection of tube, for salpingitis

Salpingectomy

for extra-uterine pregnancy.,
for hydrosalpinx

Carried forward.

1413

1280
2

2

1

1

20

33

5

2

1387

2693
2
2
1
1
20
33

24

2800

2
2

1895

124

145

114 126 149

1

4
1

4

1

1

1
1
19
1
1
3

6
2

2800

164

SURGICAL OPERATIONS, 190S — Continued.

SURGICAL OPERATIONS.

Admitted.

f^

Discharged.

«

Brought forward

Salpingectomy, for pyosalpinx

for salpingitis

Salpingo-oophorectomy

for adenoma of ovary

for cyst of broad ligament. .

for cyst of ovary ,

for extra-uterine pregnancy

for fibroma of ovary

for hydrosalpinx

for pyosalpinx

for salpingitis

Separating adhesions about ovary. . .
On the Perineum.

Total number

Excision of cyst

1413

Perineal section, for extravasation of
urine

Perineorrhaphy

OPERATIONS ON THE UPPER LIMB.

On the Shoulder.

Total number

Excision of sarcoma

Exploratory incision, for sepsis —
On the Axilla.

Removing bullet

On the Arm.

Total number

Amputation

for crush

for gangrene

for sarcoma

Carried forward 1418 1537 2955

1387
11
17

2800
11
17

1895
10
12

2
1
9
2
1
3
17
20

2008

126

149

116 131

2800
11
17

3

2

16

3

1

6

21

26

1

157

1
1

2
2955

165

SURGICAL OPERATIONS, 190S— Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

.

tSg

P.-'

O'-

•a

Wfl-

Q

a4

Brought forward. ..
Amputation, for sepsis.

Amputation at shoulder-joint, for sar-
coma

Re-amputation, for sepsis

Cleaning and repairing :

crush

lacerated wound.

Excision :

of fibroma

of sarcoma

Exploratory incision, for necrosis.

Exploring punctured wound

Incision and drainage :

for sepsis

of sinus

Removing foreign body

On the forearm.

Total number

Amputation, for crush

Incision and drainage, for sepsis. . .

Separating adhesions

On the Hand.

Total number

Amputation (partial) of both hands,
for crush

Cleaning and repairing :

crush

lacerated wound.

Excision :

of carcinoma

of cicatrix

of palmar fascia, to relieve
Dupuytren's contraction . .

Carried forv!ard .

1418
1

1
1

1

2

1
3

1
1

1

1446

1541

2955
1

1
1

1
3

1
1

1
2987

28

543

2008
1

1
1

1
2

116

131

157

2039

1171 131| 157

2955
1

1
1

1

2

1

2
1
1

1

2987

166

SURGICAL OPERATIONS, 190S — Continued.

SURGICAL OPERATIONS.

DiSCHABGED.

Brought forward

Excision of track of gunshot wound..

Incision and drainage, for sepsis

Plastic operation :

for cicatricial contraction

c

for old x-ray burns

RemoTing foreign body

Sntnring lacerated wound

Ok the Fixgers.

Total number

Amputation

for crush

for gangrene

for tuberculous dactylitis

Cleaning and repairing lacerated
wound

Curetting tendon-sheath, following
injury

Exploratory incision, for pain

Incision and drainage, for sepsis

Plastic operation :

for cicatricial contraction
for webbed fingers

OPERATION'S OX THE LOWER LIMB
On the Gluteal Region.

Total number

Curetting pilo-nidal sinus

Excision :

of bursa

of teratoma

of track of pilo-uidal sinus.. .
Incision and drainage, for sepsis

Carried forward.

1446

1

10

1
1

1541

1553

2987
1
14

543 2039
1

131

2987

514 2076

122

157

4
1
1
1
3030

167

SURGICAL OPERATIONS, VM^ — Continued.

SURGICAL OPERATIONS.

Discharged.

Brought forward...
Ox THE Thigh.

Total number —

Amputation

for crush

for gangrene
for sarcoma .
for sepsis

1477

1353

5

rs

"O

9

H

>

>

a

o

^

9
1

IS

5

3030

for spontaneous fracture (oste-
omyelitic)

Excision :

of chronically inflamed tissue

of sarcoma

Incision and drainage :

for cellulitis . . .

for sepsis I

tuberculous. ..
of gunshot wound

Plastic operation on stump

Removing bullet

Removing other foreign body

Suturing lacerated -wound

Os THE Leg.

Total number

Amputation

for crush . . .-

of both legs

for gangrene

for obliterative endarteritis

for sepsis

for tuberculosis of ankle...
Re-amputation

O '

M4 2076 122

131

157

3030

Carried forua

j.^ 15171560. 307

516

.21121 1221 138, 159; 3077

168

SURGICAL OPERATIONS, 190S — Co7iti?iued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

;2;o3

Brought for ward

Re-amputation, for necrosis of tibia. . .

for painful stump

for protruding bone.. .

for sepsis

Curetting ulcer

Excision of carcinoma

Incision and drainage, for sepsis

Plastic operation, for ulcer

Removing bullet

Scoring, lor sepsis

On the Foot. (See also Operations on
Tendons.)

Total number

Amputation

for crush

of both feet

for obliterative endarteritis
Cleaning and repairing :

crush

lacerated wound

Correcting congenital deformity

Curetting :

for tuberculosis

ulcer

£xcision :

of carcinoma

of tetanic focus, with injec-
tion of serum

Incision and drainage, for sepsis
Manipulation :

for deformity

for flatfoot

Carried forward.

1617 1560
1
1
2
1
2
1
5
3

1560

1567

3077
1
2
2
2
2
1
5
3
2
1

312

2112

1

2151

3077
1
2
2
2
2
1
5
3
2
1

1421 160 3127

169

SURGICAL OPERATIONS, 190S — Co?itinued.

SURGICAL OPERATIONS.

Discharged.

Carried forward .

Brought forivard 1560

Plastic operation, following crush 2

Stretching plantar fascia, for flatfoot

Suturing lacerated wound

On the Toes.

Total number

Amputation

for crush

for deformity

for gangrene

for tuberculosis

Correcting deformities :

hallex vulgus
hammer toe. .
OPERATIONS ON THE JOINTS.
Ok the Shoulder.

Total number

Aspiration, for Charcot's arthropathy

Excision of bursae

subcoracoid

subdeltoid

Manipulation :

for adhesions

for dislocation

for subcoracoid bursitis

Reducing dislocation

On the Elbow.

Total ntimber

Excision :

of loose cartilage

of osteophyte

Excision of joint

1567

1
1

1583

3127
2
1
1

1578

2151
2
1
1

547

2184

127

142

160

3127
2
1
1

128 142 160 3161

170

SURGICAL OPERATIONS, 1908 — Continued.

Admitted.

Discharged.

SURGICAL OPERATIONS.

a

"3
1

"3
1

s

■a
>
.2

PS

>

.2
11

5

3s

C eS

"3

1583

1
1

1
1
1
4
1

1578

1

3161

1
1

1
1
1
5

1

c

547

2184
1
1

1

1
1
3
1

1

2

1

128

142

160

3161

Excision of joint, for ankylosis

1

1

Incision and drainage :

for sepsis

1

1

1

1

1

6

compound

On the Wrist.

1

Cleaning and repairing lacerated

1

2

1

1

1

1

2

1

1

1

1

Incision and drainage :

for sepsis

for tuberculosis
Manipulation, for separation of radial

2

1

1

1
1

1

On the Metacarpo-Phalangeal
Joint.

2

1

Excision of joint, for contracture

1
1

1
1

1

1

1

On the Sacro-Iliac Joint.

7
17

1
2
3

1

Manipulation .-

1
3
2

1
1

1
4
3

1

for tuberculosis

2

4
3

On the Hip.

1
165

1

1

2

2

Carried forward

1607

1583

3190

547

2205

131

142

3190

171

SURGICAL OPERATIONS, 190S — Continued.

Admitted. 1

Discharged.

SURGICAL OPERATIONS.

CO

a

3

o
H

1

a

s

Relieved.

Not
Relieved.

Died.

In Hospital,
Jan. 1, 1909.

"3
1

1607

1583

3190

4

547'

2205

131

142

165
2

3190

2

2

1
1

2

2
2
4

2

1
1
1
1

1

1

1
1
1

Incision and drainage, for tubercu-

1

Manipulation :

64

5

1

1
1

2
2
2

2

10
6

2

1

3

2

1

4

On the Knee (see also Operations on

Tendons).

1
1

1
1

1
2

1

1
1
S

1
164(

1

1
1
1
2

4

1

160C

2

1
1
1

1
2
1

2
2
IC
4

1

1
32«

2

for loose cartilage

1

1

1

Closing joint, following operation for

1

f)

1

Excision :

2

2

10

4

of tumor of semilunar cartilage

1

6

Excision of joint, for tuberculosis —
Exploratory incision, for foreign bodj

J
135

1

55C

224'

Carried forward

142, 168

3240

172

SURGICAL OPERATIONS, 190S— Continue(^.

SURGICAL OPERATIONS.

Admitted

rt

n

ei

•

H

■3

a

s

®

0

s

1X4

H

CQ

Discharged.

Brought fonvard

Genuclasis

Incision and drainage :

for sepsis

for septic bursitis.
Manipulation :

for ankylosis

for contraction

Murphy operation

Removing foreign body

Suturing :

incised wound

ruptured ligaments

On the Ankle.

Total number

Arthrodesis

for calcaneo equino varus.

for infantile paralysis

Curetting, for tuberculosis

Incision and drainage, for sepsis.. .

Open reduction of dislocation

Reducing compound dislocation .. .

On the Metatakso-Phalanoeal
Joint.

Total number

Arthroplasty, for ankylosis

Excision of joint

for deformity

for osteomyelitis.
OPERATIONS ON THE BONES.
On the Vertebrae.

Total number

Carried forward .

1640

1600
1

1667 1615 3282

3240
1

550

2247
1

2
4

1
2
1
1

1

1

2272

132

142

169

142 145 173 3282

3240
1

13
5

2
2
2

173

STJRGICAL OPERATIONS, 190S — Continned.

Admitted. 1

DiSCHABOED.

SURGICAL OPERATIONS.

*

X

1

i

t

a
s

OQ

Relieved.

Not
Relieved.

Died.

Ill Hospital,
Jan. 1, 1909.

■3
1

1667

1

1

1615

1

3282
1

1
1

3

5505

J272

1

1
1

142

145

173

3282

Excision :

of track of coccygeal sinus..
of lateral process of lumbar

1

1

1

following gunshot wound

1
2
1

1
1

1

1

1
2
1

1

1

2

Manipulation, for osteoarthritis

Resection of sacrum and coccyx, for

39

....

1

1
1

2

ununited fracture

0>- THE Steb^um.

2

On the Ribs.

1

1
5

1

2
9

2

1
1

3

2-2

1

11

1
1

3
33

1

1

....

1

Resection, for drainage :

of abscess of lung
of empyema

15

! ....
)

r

1
1 551

17

1

1
2

1

1
;

23«

3:

1

Oy THE Skull.

]

]

]

<

1
I ...

1
1

) 334'

Incision and drainage of specific peri

Removing depressed fragments, fol

...
, la

L, IK

1

Carried forward

iin

5;162<

>! 334

174

SURGICAL OPERATIONS, 1908 — Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

Brought forward

On the Malar Bone.

Total number

Curetting, for necrosis

Elevating depressed fracture.
On the Nasal Bones.

Total number

Turbinectomy

Turbinotomy

On the Maxillary Bones.

Total nximber

Curetting :

for carcinoma

for cyst

for necrosis

Excision of sarcoma

1718

Incision and drainage of alveolar ab-
scess

Removing foreign body

Resection

for ankylosis

for carcinoma

On the Clavicle.

Reducing dislocation of outer end.
On the Scapula.

Total number

Correcting Sprengel's deformity. . .

Excision of superior angles

On the Humerus.

Total number

Curetting, for osteomyelitis.

Excision :

of exostosis

Carried forward .

1
1756

3347

3400

26

551

2306

2355

163

176

1G4

3347

176

1

3400

175

SURGICAL OPERATIONS, 1908 — Continued.

SURGICAL OPERATIONS.

Admitted.

ci

DiSCHAKOED.

.

Cli2

■a

-a

ft-^

>

>

<D

'6

^

£

^^

a

S OS

Brought forward .

Excision of spicule of bone, following
fracture

Excision of head of bone

for old dislocation

for tuberculosis

Incision and drainage :

of osteomyelitis

of suppurative epiphysitis . . .
Reducing fractures

compound

simple

Resection, for osteomyelitis

Sequestrectomy

Wiring fractures

On the Radius.
Total number

Excision of head of bone, for fracture-
dislocation :

Excision of osteoma.

Open reduction of separation of lower
epiphysis

Reducing CoUes' fracture

Suturing ununited fracture

Wiring fractures

simple

ununited

On the Ulna.

Total number

Curetting, for periostitis

Incision and drainage :

following compound fracture,
of osteomyelitis

Carried forward.

1756
1

1
1

1783

S400
1

1649 3432

553 2355 152 164 176 3400

55312381

164 179

3432

176

SURGICAL OPERATIONS, 190S — Co7itinued.

SUKGICAL OPERATIONS.

Admitted.

Discharged.

a,

Brought forward

Reducing fractures

compound

simple

compound, of olecranon . .

Removing foreign body

Resection, to correct deformity

Sequestrectomy

Wiring fracture of olecranon

On the Radius and Ulna.

Total number

Osteoclasis

Reducing fractures

simple

compound

Wiring fracture

1783

On the Carpal Bones.
Total nuviber

Excision of scaphoid, for deformity
following fracture

Excision of semilunar bone, for dis
location

Resection of scaphoid, for deformity
following fracture

Sequestrectomy

On the Metacarpal Bones.

Reducing fracture

On the Phalanges (fingers).
Total number

Curetting, for necrosis

Excision of osteochondroma.
On the Os Innominatum.

Sequestrectomy of ilium

Carried forward.

1806

3432

553

2381

155

553

1
1

1

2405

166

179

177

SURGICAL OPERATIONS, l90S — Conti7ived.

SURGICAL OPERATIONS.

Admitted.

DlSCHABQED.

ias>

p,rt

O'-

Wc

Q

5^

Broxight forward

On the Femur.

Total number

Curetting :

for osteomyelitis

for tuberculosis

Excision :

of exostosis

of osteochondroma

Incision and drainage of osteomyelitis

Nailing ununited fracture

Osteoclasis

Osteotomy

for ankylosis of hip

to correct deformity

Reducing fracture

Removing nail

Sequestrectomy

1806

1652

Wiring ununited bone, following os-
teotomy

Wiring ununited fracture...
On the Patella.

Total num her

Exploratory incision

Suturing periosteum ,

Wiring ununited fracture . . ,
On the Tibia.

Total number ,

Curetting, for osteomyelitis.
Excision :

of exostosis

of osteoma

Carried foiivard..

18

2405

180

3458

178

SURGICAL OPERATIONS, 190S — Continued.

SURGICAL OPERATIONS.

Discharged.

O'-i

Brought forward

Exploring old compound fracture

Incision and drainage of osteomyelitis

Mechanical fixation of ununited frac-
ture

Moorhoff 's, operation ,f or osteomyelitis
Osteoplasty, for ununited fracture. . . .

Osteotomy, to correct deformity

Reducing compound fracture

Removing bullet

Sequestrectomy

On THE FiBOLA.

Excision of exostosis

On the Tibia and Fibula.

Total number

Curetting :

for osteitis

for osteomyelitis

Reducing compound fracture

Transplanting fibula onto tibia

Wiring ununited fracture

On the Tarsal Bones.

Total number

Curetting :

for necrosis

for osteomyelitis

Excision of astragalus

for ankylosis

for correction of deformity

for talipes valgus

for tuberculosis

Excision of scaphoid, for flatfoot.. .

Carried forward .

1848
1
1

1
1
1

1

1871

3511
1
1

1
1
1
1
2
1
3

1668

1
1
1
2
1
3539

554;2449
1

1
2
1

2472

158

165

185

165

179

SURGICAL OPERATIONS, 1 90S — Co?iti?iued.

Admitted.

Discharged.

SURGICAL OPERATIONS.

"3

m

"3
o
H

g

3

•a
>

1

•n
>
.2

II

■6

(5

'S.'-i
« -

Or*

"3

1871
1

1668

3539

1

554

2472

159

1

165

189

1
1

3539

Incision and drainage of osteomyelitis
of OS caleis ."

1

On the Metatarsal Bones.

Total number

4
2

1

Curetting, for necrosis

1

1

2

2

Excision of head of bone i

for digiti minimi varus

1
1

1
1

1

for hypertrophy

OPERATIONS ON TENDONS.
Total number

37

11
11

1

1
1

1

1

6

5
1

4
14

5

1

1
2

1

1

Excision :

of cyst of hamstring tendon-sheath

of fibromata of tendon-sheaths of
wrist and ankle

1

1
1

1

1

1

1
6

1

1

of tendon-sheaths of wrist, for tu-

1

Incision and drainage, for tenosyno-

1
6

1

Lengthening tendo-Achilles

6

Tenoplasty

1

for anterior poliomyelitis

for paralysis of deltoid muscle
for talipes

4

1

3

14

2

1

1

6

1

4

15

6
1

4

Tenorrhaphy

1

15

Tenotomy

2

3

1
2

1

5

1
2
3

1

5

of hamstring tendons :

for congenital spas-

1

for contraction

1
1

<)

2

1

3

UNCLASSIFIED.
Curetting multiple gunshot wounds. . .

1

Carried forward

1910

1682

3592

554

2518

160

165

195

3592

180

SURGICAL OPERATIONS, 1908 — Continued.

Admi'ited. 1

DiSCHABOEa).

SURGICAL OPERATIONS.

05
ID

0
H

■3

1

g

■3
>
2

1

>

<D

0 a>

•6

<D

s

•3|
5^

"3
1

1910

2

5

1

1682

7
1696

3592

2
1

1

6
1
3
2
1

1

24
3634

554

2518
2

160

165

195

3592

Excision :

of fibroma of back

of lipoma of back

of lipoma of lumbar region. .
Incision and drainage :

2

1

1

1

6
1

2
2

1

1

6

1

1

3

1
1

1

17
1938

2

of septic hematoma of back. .
Plastic operation on back, for x-ray

1

1

2

200

1

in:

554

20
2553

?

24

Total

162

165

3634

181

MAJOR OPERATIONS, 1908.

SUMMARY OF MAJOR
OPERATIONS.

Discharged.

Amputations :

of arm

at shoulder-joint.

of breast

of foot

of forearm

of hands (partial)

of leg

of thigh

Anastomosis, intestinal

Arthrodesis

Bone transference

Cholecystectomy

Cholecystenterostomy

Cholecystostomy

Cholecystostomy and choledochotomy.

Cholecystostomy and choledochoenteros-
tomy

Choledochostomy

Colostomy

Colporrhaphy

Cystostomy, suprapubic

Decapsulation of kidney

Enterorrhaphy

Enterostomy

Excision :

of elbow-joint

of head of humerus.

of head of radius

of knee-joint

of rectum

Gastrectomy

Carried forward .

160

280

22

188 18

35

182

MAJOR OPERATIONS, 1908— Continued.

SUMMARY OF MAJOR
OPERATIONS.

Discharged.

Brought forward

Gastro-enterostomy

Gastrorrhaphy

Gastrostomy

Hysterectomy :

abdominal

vaginal

Hysterectomy and salpingo-oophorectomy

Kraske's operation

Laminectomy

Laryngectomy

Nailing ununited fracture of femur

Nephrectomy

Nephropexy

Nephrotomy

Nephro-ureterectomy

Omentopexy

Oophorectomy

Operation for

appendicitis

peritonitis, general

Prostatectomy

Pylorectomy

Pyloroplasty

Radical cure of hernia

Reducing dislocation :

of ankle

of elbow

of hip

of sacro-iliac joint

of shoulder

of wrist

243

Carried forward .

726 595

280

26

4

3

31

6

12

2

3

1

1

24

11

13

1

8

24

513

5

25

2

2

309

158

135

1
1

16
7
7
1
1

13

296
1

18
1
1

146

3
4

2
3

18

355 763 37 76

35

183

MAJOR OPERATIONS, 190S — Conti7iued.

SUMMARY OF MAJOR
OPERATIONS.

Admitted.

Discharged.

O.H

-«

V

Wd

a

5^

Brought forward

Reducing intussusception.

Reducing volvulus

Resection :

of humerus

of intestine

of jaw

of rectum

Salpingectomy

Salpingo-oophorectomy

Talma's operation '. ...

Thyroidectomy

Trephining skull

Ureterotomy

Ventral fixation

Wiring fractured patella..

595

12

99

Total.

1321
3

2

1
13

8
2

35

78
1

12
9
4

99

1

1589

37

41

93

90

1321
3
2

1
13

35

78
1

12
9
4

99

1

1589

MASSACHUSETTS GENERAL HOSPITAL.

OUT-PATIENT'S REPORT
For the Year ending December 31, 1908.

NUMBER OF NEW PATIENTS, 20,729.

Men, 9,520. Women, 6,967. Children (under 14), 4,242

American, 10,093 Foreign, 10,636

Residents of Boston, 10,145 Residents of other places, 10,584

Total attendance, 116,008

MALE SURGICAL.
No. of new patients, 3,952 No. of old patients, 22,789

FEMALE SURGICAL.
No. of new patients, 2,647 No. of old patients, 14,261

MALE MEDICAL.
No. of new patients, 2,593 No. of old patients, 4,359

FEMALE MEDICAL.
No. of new patients, 3,918 No. of old patients, 7,717

SKIN.
No. of new patients, 2,224 No. of old patients, 8,784

NERVE.

No. of new patients, 844 No. of old patients, 5,752

THROAT.
No. of new patients, 2,734 No. of old patients, 8,750 ■*

ORTHOPEDIC.
No. of new patients, 1,817 No. of old patients, 8,235

ZANDER.

No. of old patients, 8,925

HYDROTHERAPEUTIC.

No. of old patients, 4,282

SUBURBAN TUBERCULOSIS CLASS.

No. of old patients, 1,425

20,729 95,279

1 lost

184

OUT-PATIENT DEPARTMENT.

FROM JANUARY 1, 1908, TO DECEMBER 31, 1908, INCLUSIVE.

NAME OF DISEASE.

"5

c

2l?

3; -

-1 i*"

ST 1

5 i

0

>

d

•S

A

o

O

1, Specific infectious diseases.

2

1

3

1

41

7
2

2

1

1

16
2

2
2
1

2

1
25

7

1

150
138
42

1

Acute urethritis

11

2

1

1
5
16
10
2

1

3

9

1

1

11

3

Syphilis :

33

216

5
10

22

5

13

7

1
1

2

13

3

Bones and joints (unclassified)

2

1

11

2

1A

1

2

Elbow

1

3

3

186

OUT-PATIENT DEPARTMENT, 190 S— Contimced.

NAME OF DISEASE.

1

"3

is

Si

face

1 >^

a

I

3

4^

O

H

O

o

Wrist

2

1

1

2

Hip

1

1

27

10

Ankle

4

3
2
2
3
9

Kidney

4

1

2

2

1

1

Bladder

Prostate

1

1
2

7

1

Miliary tuberculosis

1

3

182

Pleura ... ...

Pulmonary

152

2

15

1

4

1

7

6
2
3

2
5

2
3

.S

1

14

3

71

1

8
4

1

76

9

2. Disease due to animal parasites.

20
1
11

70

7

e

170

1

12

4

1

3. General constitutional and nutritional

4

47

Debility

3

9
3
2

Glycosuria

1

....

Gout

2

1
20

4

4

Obesity

27

4

187

OUT-PATIEXT DEPARTMENT, 1908 — Continued.

NAME OF DISEASE. | S

Children's.
Throat.

>
u

01

6

a.

o

O

4

3

2

8

Rickets (unclassified)

11

4

1

1
45
15

1

4. Intoxications

Alcoholism

1

6
2

6

1

Opium

Tea

1

Tobacco

4

1
1

1

5. General injuries and diseases of skin
and sub-cutaneous tissues.

Abrasions

80
43
12
29

1

3

63

38

9

28

1

•1^

2
9

1

Abscess (unclassified)

1

21
1

1

?

Neck

Chest

Abdomen

Axilla

16

20

6

2

3

1
18
89
23
87
32
85
7
5
33
31

13

12

1

Arm and hand

Buttock

Groin

2
3

J

Bites :

1
1

31

38

26

120

2
40

2
12

6
11

1
2

11

70

Blisters

1

*

Leg and foot

2

188

OUT-PATIENT DEPARTMENT, 190S — Co?itinued.

NAME OF DISEASE.

Male

Medical.

Male

Surgical.

Female

Medical.

Female
Surgical
Genito-
urinary.

1

5

t
1

s

OS

o

Trunk

5
2

40
3

10
3
4

12
4

19
3
7
6
1

17

42
2

18
2

32

11
4
1
4
6

5

Crush (unclassified)

Fingers and hand

....

13
3
3

Arm

Foot and toes

Leg

Erysipeloid

2

Foreign bodv (unclassified)

2
1

U

6
3

1

16
1

34

13
1
1
1
6

34
1

34
5

24

18
1

2

18

Face and head

Hand and arm

1

Foot and leg

Frost bite

Gangrene (unclassified)

Ravnaud's disease

2

1

1

Ingrowing nails

1

Keloid

3

10
22

5

3
3

5

3

Angioma

Cyst

Epithelioma

13

Fibroma

1

2

1
1

18

13

1

6

10

16

1

72

19

6

3

28

3

Lipoma

Mvoma

5
13
26

2

1

1

1

4

Neck

Finger and thumb

151
69
18

7
23

1
1

Hand

Toe

Foot

189

OUT-PATIENT DEPARTMENT, 1908 — Continued.

NAME OF DISEASE.

S5;

©'fct

IS

SCO

IB

OS

to

C

£>

2
5

o

.a

5H

(D

>■

55

a

■3

D

a.
o

.a
bi
O

Leg

15

8

6

6

29

40

54

172

299

72

23

4

1

10

8
11
10

3
10
33
27

145

278

30

2

4

Sinus (unclassified)

1

1

Pilo-nidal

Ulcer (unclassified)

3

1

4

2

2

43
11

4

Wen

Wounds :

Punctured

6. Special skin diseases.

Acne

36
196
25
36
20

Alopecia

Alopecia areata

Alopecia f urf uracea

Bromidrosis

1

Callositas

10

5

17
2
4
3
5

16

5

Canities

Chloasma

6
2

1

14

1

Clavus

Comedo

1

Condyloma acuminatum

1

1

1
1

Cornu

Dermatitis (unclassified)

1

2

66

11

1

1

17

151

567

,, ca'orica

exfoliativa

,, herpetiformis

2

Eczema

1

2

2

34

190

OUT-PATIENT DEPARTMENT, 190S— Continued.

NAME OF DISEASE.

■3

0

_c'3d

IB

Exec

.§5

c.S

05

a

2
3
0

a

0

Si

0

'5

01

6

1

u
0

Eczema seborrhoicum

Erythema exudativum

....

12

2

2

17

7

1

19

16

13

40

1

31

8

2

57
190

„ induratum scrofulosorum . .

„ multiforme

,, nodosum

1

,, scarlatiniforme

„ unclassified

Folliculitis

2

1

3
3

1

7

,, zoster

1

Hjrperaesthesia

Hypertrichosis

Ichthyosis

1
1

1

1

1

Impetigo contagiosa

Keratosis palmaris et plantaris

, pilaris

6
20

, , (unclassiiied)

2

Lentigo

1

Leucoderma

4

6
12
2

1
1
7
3
15
5

Molluscum contagjosum (Epitheliale).
Morbilli

1
1

3

Mycosis f ungoides

2

1

2

1

3

6

208

12
2

1

34

2

2

1

Pediculosis capillitii

1

191

OUT-PATIENT DEPARTMENT, 190S — Continued.

NAME OF DISEASE.

Male
Surgical.

Female
Medical.

Female
Surgical.
Genito-
urinary.

C
o

5

i

iZi

CO

c

o

1

1

25

6

15

26

1

3

59

68

19

302

6

62

2

2

21

15

40

16

136

41

1

Pompholix

1
3
2

4

e

2

1

1

1

3

1

7

1
5

6

Vitiligo

2
4

7, Lymphatic system.

1
1
5

1

6
4
32
8
3

3

2

2

42

2

1

3

7
88
11

1

2
47

1
1

23

20

2

8. Circulatory system,
a. Arteries.

10

120

1

1

37

Embolus

192

OUT-PATIENT DEPARTMENT, 190S — Continued.

NAME OF DISEASE.

"a
u

OS <o

o

Female
Surgical.
Genito-
urinary.

CD

a

2

2

(V
>

OS

V

o
u

o

b. Veins.

Phlebitis

3

7

?

3

4

48

3

57

1

9

1

8

c. Pericardium.

Pericarditis.

Drv

13

7

1

22
14

5
q

3
4

d. Heart.

Angina pectoris

f)

1

1

08

8

0

1

1

9

4

1

9

5

„ (unclassified)

9

9

R

Myocardial weakness

25

14

Neurosis

5
3

6

Valvular lesions.

g

1

59

16

3

1

17

5

Disease of pulmonary valve —

1

48

4^^

15

1

99

88

'>0

1

3

5

1

1

Wounds :

2

3

9. Blood and Ductless Glands.

a. Blood diseases.

Anfemia pernicious

8

i

Anaemia secondary

5

69

6

193

OUT-PATIENT DEPARTMENT, 1908 — Continued.

NAME OF DISEASE.

"3
o

2"!*

3 .Si;

IB

0 ^

Jt2

00

C

2

2

1

■3

o
I

1

11

3

1

1
1
3

1

Pseudoleukaemia (Hodgkins)

h. Spleen.

1

1
1

1

2

1

c. Suprarenal.

3

d. Thyroid.

1

30
3
5
2

2
4

6

3

2

2

1

1

1
2

3
1

1

11

4
22

30

2
4
14
2

4
8
4
1

10. Nervous system.
a. Peripheral nerves.

2

Brachial plexus.

1

?!

2

2

1

1

Cranial nerve paralysis.

Lumbar and sacral nerves.

7

2

4

7

2

14

1

2

2

1

6. Spinal cord.

1

1

3

Friedreich's ataxia

194

OUT-PATIENT DEPARTMENT, 1908 — Continued.

NAME OF DISEASE.

15

15
w

le S:

Is .2

52
IB

si

*-* TO

a S

a
2

o
u

Si
H

>

5C

o

"■3
«
a,
o

u

O

1

6
18
6
1
55
2
5

1
3

40

1
1
1
2

7

14

8
18
6

Lateral sclerosis

2

7

Ti

Syringomyelia

7

1

7

c. Brain and Meninges.

3

7

1

d. Cerebro-spinal,

6. Mental.

3

2
4

1
7

1

1
23
104

5
146

9

1

7
6

2

136

9

1

6
63

2

2

43

30

6

5

7

3

17
6

5

' g. Miscellaneous.

Acroparaesthesia

195

OUT-PATIENT DEPARTMENT, 1908— Conthmed.

NAME OF DISEASE.

C« (S

o

g5

5^

IB

213

11

B

'.S
o

£8

O

li

s:
H

6

>

u

3

o

•3

V

0.

1

he

o

1

10
3

1

1

66

1

1

7

31

5

3

22
18

2

1

62
1
4

18
3
4
4
4

1

6

2

3

10
1
1

3

Stammering (speech defect)

Tic

5

14

1
1

—

3

1

5

3
1

9
20

2
24
28
17

6
10
16
15
22
31
65

1

1

1
1

3

1

1

1
1

9

1

1?

Fractures.

Skull

22

1
40

Clavicle

?

36

28

38

8

1

17
7

?i

Ulna

?

1

5

7

">

Ribs . . ...

4

Pelvis

2

196

OUT-PATIENT DEPARTMENT, 1908 — Continued.

NAME OF DISEASE.

OS

"5

« OS

^1

IB

si

OS

a
£

o

>
o

2

2
o

16
11
11
14

8
10

4

8
32
27
11

3

2
10

6

9

Patella

1

Tibia

1

1
2

16
8

2
4
1
3
11
16
6
2

3

1

Fibula

4

?

1

4

10

2

12

2

4«

13. Joints.

7

1«

Dislocations.

1
1

Rib .

1
6
11
6
1

5
3

1
1
1
1

?

1
3
2
2
4

1
4

1
1

Hip

B

Patella

2

11
5
2

3

3

Non. tubercular joint diseases.

8
7
1

11
8

1

2

1?1

?

1

3

8
1

5

1?

Traumatic type

2

197

OUT-PATIENT DEPARTMENT, 1908 — Continued.

NAME OF DISEASE.

o

11

■3.2

2.'%

g'5s
» 3

face

•3.2

OS

a

S
0

U

SI

H

6

t

a'

p

•3
«
0.
0

XI

0

1

1

6

1

10
5
2

3

2
2

14

r.8

1
5
4

57

15

2

33

3

Sprains.

2

1
11

4
16

4

Back

4

117

4

7

13

3

Elbow

1

1

"Wrist

.. .1

1

\ ....

Hip

1

7

14
15

4
6

2
13
5

4

11

8

13. Muscles, Tendons and Fascia.

1

10

24

.... 1
1

11

4

1

2

1

1

?

1

1

1
3
1

1

1

16

7

10

20
18
10

6
10
4

2

3

1 ....

2

1

123

10

1

2

1

1

2

14. Bursae.

Bursitis (acute and chronic)

Gluteal

1

4

1

5

2

Olecranon

13

198

OUT-PATIENT DEPARTMENT, 190S — Conti7iued.

NAME OF DISEASE.

Si

H

1

c'

a.

o

s

1
281 ---I n

n

Sub-deltoid

23

7

1

18
2

4
1

—

??

1<»

15. Foot Strain and Flat Foot.

'y\

Flat foot

1

7

1

11

4

■504

Metatarsalgia

8

Unclassified

3

16. Deformities.
a. Congenital.

Torticollis

1

3

1

5

?0

Spine

1

1
1

1

2
3

1

1

2

2

41

Digits

Pelvis

Hip

?

R

1

9

17

1

8

1
3

1
1

9

2
5
5

15
3

24
23

1

1

1

9

b. Acquired.

?fi

2

....

2
2

8

IT. Secretory glands.
Salivary Glands.

Fistula

23

1

Breast.

1

1

7

1

Periductal fibroma and myxoma

39

1

18. Eve Affections

2

1

5

1

1

1

199

OUT-PATIENT DEPARTMENT, 1908 — Continued.

NAME OF DISEASE.

o

2.%

0.5

05

B

6

2

>

a

u

p.
o
.a
..^

o

19. Nose and Naso-pharynx,

1

2

8

7

75

11

56

48

9

40

382

65

34

10
262

5
17
22
40

3

Bullous middle turbinate

Ear affections

2
1

7

7

1

t

Polypus

Rhinitis (unclassifledj

1

2
1

Acute

Chronic

1

1
1

Vaso-motor .

Septum.

Abscess

Deviation, spurs

3

Acute

2
1

2

2

1

80. Mouth, Lips and Cheek.

1

Cyst

1
6

1

5

2
14

1

1

22

1

1

3

1
1

5
32

Unclassified

38

1

1
9

31
6

Dental affections

1

200

OUT-PATIENT DEPARTMENT, 190S — Co7itinued.

NAME OF DISEASE.

1

1

*C0

IB

a't.

Children's.
Throat.

6

>

1

a

CO

w'
v

o

u

O

1

1

7
1
4

Tumors of jaws and gums :

Cancer

3

1

1

Epulis

2

1
4

22. Tongue.

2

1
1
3

7

Tumors of tongue

Cancer

1

1

1

8
4

1

4

24
66
90

2
4
13

45
113

1162

107

7

1

27

140

23. Palate.

Cleft Palate

8

Unclassified

24. Pharynx.

57
3

7

9

1
1

3

25. Tonsils.

1
9

3

2

20

9
2

3
3

7

acute

201

OUT-PATIENT DEPARTMENT, 190S — Continued.

NAME OF DISEASE.

5 -Si

Tonsillitis, chronic

26. Larj'nx.

Abscess

Hysterical aphonia

Laryngitis (unclassified)..

,, acute

,, chronic

Neurosis (unclassified)

Paralysis recurrent nerve.

Singers nodes

Tumors of larynx :

Carcinoma

Papilloma

Polyp

27. Oesophagus.

Foreign body

Oesophagitis

Oesophagismus

Stricture

Tumors

28. Stomach.

Achylia gastrica

Carcinoma

Dyspepsia

Gastrectasig

Gastritis (unclassified)

Gastroptosis ,

Haematemesis

Hyperchlorhydria

Hypersecretion ,

Hypochlorhydria ,

Hypomotility

Improper feeding

Neurosis

Nervous dyspepsia

202

OUT-PATIENT DEPARTMENT, 1908 — Continued.

NAME OF DISEASE.

<»'

(A

V

©la
■5.H

®1

■S.S

£

2

S?,|Sm

.a

•Sc ii p

Pyloric stenosis

Ulcer

29. Intestine.

Acute intestinal obstruction

Appendicitis (unclassified)

,, acute

,, subacute..

,, chronic

Colitis (unclassified)

Mucous colitis

Constipation

Diarrhoea (unclassified)

Duodenal ulcer

Dysentery (unclassified)

Enteritis

Enteroptosis.

Faecal fistula

Tumors :

Carcinoma

30. Liver and Gall Ducts.

Amyloid

Catarrhal jaundice

Cholecystitis

Cholelithiasis

Cirrhosis

Fatty liver

Icterus

Tumors :

Carcinoma of liver

Carcinoma of gall bladder

Unclassified

31. Abdomen and Peritoneum in general

Ascites

Diastasis of recti ■

Hernia (unclassified)

203

OUT-PATIENT DEPARTMENT, 1908 — Continued.

NAME OF DISEASE.

p

is

Sec

Female
Medical.
Female
Surgical

1 >>

o l-

c
£

1

H

>

u

■5

V

o
a

o

Hernia :

1

1

3
187
3
8
5
2

1
2

6

6
14
4

1
1

1
1
1

4

2
11

49
26
20
2

13

1

16
5
1

4

1

4

1

32. Rectum and Amis,

3

1

2

4

13

26

62

7

8

24

1
2
4
6

21
5
4

1
1
4

53
5

6

Polvp

1

1

8

1

13
4
76
12
22
6

33, Trachea and Bronchi.

10
3

89
9

74

10

1

4

1

126

1

Tracheitis

9

8

34. Lungs.

1

2
63

4

1

2

20

1
2

Haemoptysis

4

4

....I....

204

OUT-PATIEXT DEPARTMENT, 190S — Co-ntinued.

1
NAME OF DISEASE.

JO

s

>

e

it

o

S

o

1

1

35. Pleura,

Emj»yema

2

4
1
1
38
27
16
2

6

3

5

1

1

Hydropneumothorax

1

PleurisT funclassifiedj

1

11

8

4

3

., cbronic

1
1

1

36. KidDey.

1
5
2
9

14
3

12

1

1

2

1

2
2

4
4
7

1

3

XephrolithiasiS

3

....

2

1

11
7

8

8

„ subacute glomerulo —

11

1

5

1

1

1

2

2

1
2
1

37. Ureter.

2

1
1

1

1
3

28

38. Bladder (male and female).

Cystitis (unclassified)

11

1

1

6
3

22

11

Malformation

205

OUT-PATIENT DEPARTMENT, 190S — Contmued.

NAME OF DISEASE.

s «
fag

IB

« 3

6^

■S.S

Ot3

2
3

2

H

«

cc

-3

v

o.
o

u

O

Neuroses :

Enuresis

1
2

1

1

8
3
2

1

47

Frequent micturition

Painful micturition

Retention

3

2

Stone

Tumors

39. Urethra (male and female).

Caruncle

5

6

1

Fistula

6

3
1

1
18
21

Rupture

Stone

1

1

Stricture

Urethritis (unclassified)

Unclassified

1

40. Male generative organs,
o. General.

Impotence

3
4

1

9

7

1

25

1

5

7

25
17

3

1

Masturbation

1

1

b. Penis.

Abscess

Balanitis

Malformations

1

3

2

36

6

Paraphimosis

Tumors (unclassified) :

1

1

Hypertrophy

3

2

1

4

Tumors :

Unclassified

206

OUT-PATIENT DEPARTMENT, 190S— Continued.

NAME OF DISEASE.

"a

"5

Sim

^1

■S.5

55

00

n

£

■a

s

2

JS

u
1

a'
a:

6

•3

e

©

o

d. Seminal vesicles.

1

1

1

29

8

25

64
1

e. Scrotum.

1

16

17

2

11
1

1

/. Testicle.

1

1
4

5

3

1

5

-

41. Female generative organs,
o. Vulva.

1

2

1
8

39

35

2

21

6

5

13
13

b. Vagina.

19

2
2

4
3
24

Tumors :

5

38
29
46

14
11

6

c. Uterus.
Cervix.

Deformities-displacements.

Auteversion

7

207

OUT-PATIENT DEPARTMENT, 190S — Continued.

NAME OF DISEASE.

u

1 'I'slicb

a
£

i

£

.a

1

3

£

c.
o

O

Prolapse

22

34

59

13

3

9

2

3

10

3

6

3

22

28
2

5

1
3

1
3

12

22

8

3

9

11

20

23

1

1

Retroflexion

Metritis

Subinvolution

7
9
5

1
5

22

Carcinoma

PolvD

d. Fallopian tubes.

Chronic

Extra-Uterine pregnancy

6

1
5

8
2
2

e. Ovary.

Prolapse

/. General and functional.

1

1

8

2

110

21

28

52

462

1

1
9

Sterility

43. Unclassified diseases

25
427

20
252

15

188

5
105

5
108

7
164

29
108

2
58

34

43. Js 0 diagnosis .

349

'^

•^-s--

^.r

\

%M ""

f^L..M^^

W J^^

i ^

a

Q

I

\\

r?

ANNUAL REPORT (ninety-first)

OF THE

SUPERINTENDENT OF THE McLEAN HOSPITAL.

To the Trustees of the Massachusetts Genei-al
Hospital:

The following report of the McLean Hospital for
the year 1908 is respectfully submitted.

The whole number of patients under treatment
during the calendar year was 345, which is 28 less
than for 1907. The daily average number was
215.54, an increase of 16 over that of the previous
3-ear. The recoveries were '^^'^.6 per cent of the
admissions and 34.7 per cent of the dismissals. Of
the 128 admissions 67 per cent were voluntary pa-
tients, live of whom were afterward formally com-
mitted, and there remained in the Hospital December
31 on the voluntary- basis 69 persons, 37 men and 32
women. The statistical tables presented herewith
are for the year ending September 30 in accordance
with the requirement of the State Board of Insanity.

Repairs of various houses have been much more
extensive than usual and there has been some new
construction. The halls and rooms of the Bowditch
House have been repainted and linoleum laid on the
floors of the halls. The Proctor House also has
been quite thoroughly renovated and is now in good
condition. Twenty-four rooms on the third floor of

210

Report of the Superintendent of the McLean Hospital.

the Women's Belknap House, occupied by nurses,
have been put in order, with new tubs in the bath
rooms ; and twelve wardrobes have been built in the
third floor of the Codman House, which changes
have very materially improved the accommodations
for a number of our nurses. All the furniture of
four sitting rooms in the Women's Belknap House
has been recovered and rugs have been laid on the
corridors of this house and on four large halls of the
Upham Memorial House. The cottage opposite the
farm house has been thoroughly renovated and is
occupied by the supervisor of the men's department.
Most important changes are being made in the
Wyman House. A partition in the center of the
house which divided a service corridor from the
main hall has been removed and a spacious sitting
room has thus been obtained. A bay-window of two
stories has been built on the south side, which adds
eight feet to the length of the two sitting rooms and
admits an abundance of- light. Two new skylights
have been placed where additional light was needed.
These changes have improved the ventilation, added
greatlv to the cheerfulness of the house, and have
provided additional space in the sitting rooms which
was so much needed. A one story addition is being
finished on the northeast side of the house, which
will provide two bath rooms, one for two, the other
for three tubs, which are to be used in the treatment
of excited patients by means of the continuous warm
bath. The ordinar}- bath room with its small, high
placed window ofters few attractions for its contin-
uous occupation. These new rooms will be well
lighted, cheerful, and have an outlook that will afford
some diversion to the patients. The bath-tubs will
be of special construction, adapted to the purpose.

211

Report of the Superintendent of the McLean Hospital.

The men's gymnasium is now undergoing renova-
tion, which includes a restaining of the finish of the
house to a darker and richer color and painting of
the walls throughout. This is the men's club for all
who are well enough to use it.

The hospital laboratories are the centers for our
medical work. Dr. Folin, who has been the head of
the chemical laboratory where he has done such
advanced and valuable work since Oct. i, 1900, was
obliged to resign October 31, to give his whole serv-
ice to the Harvard Medical School where he is asso-
ciate professor of biological chemistry. Since Dr.
Folin's departure the laboratory has been under the
direction of Mr. Erdmann. Work has been continued
on "the separation of methylamine and ammonia as
applied to urine analysis and its significance in meta-
bolism experiments." This is not yet finished, but
will be ready for publication in a few months. Work
also has been started in connection with the chemis-
try of the brain. It is a new field of research so far
as this laboratory is concerned, and time will be
required to show results.

" The. work of the ps3'chological laboratory has
proceeded almost exclusively along the lines indi-
cated in the previous report. The anomalous fatigue
phenomena in manic-depressive depressions have been
studied in a number of other cases, and seem to
afford a fairly precise indication of the presence and
extent of motor retardation in these disorders. The
result of the method in thirteen cases has been
published, and the remainder of the cases studied,
including observations with other psychoses, are
practically ready for publication.

In that large group of cases, mainly dementias,
which are inaccessible to observations involving vol-

212

Report of the Superintendent of the McLean Hospital.

untary cooperative eftbrt, the study of the involun-
tary responses to experimentally given situations is
indicated as a fruitful problem. The possibilities of
this field are well indicated in the recent work of
Diefendorf and Dodge. Efforts are being made in
the laboratory toward the study of vaso-motor and
allied responses, especially as influenced by affective
elements. The immediate clinical bearing of this
inquiry is the problem presented, in certain cases, of
the differentiation between the retardation of manic-
depressive insanity and the blocking of dementia
prsecox.

Some work directed toward the standardization of
psychological tests, especially those of association,
has also been carried on in the laboratory, the condi-
tions of which are peculiarly adapted to problems of
this nature.

The principal additions to the equipment of the
laborator}/ are a rotary transformer, and a continuous
record kymograph especially adapted for the contin-
uous registration of the movements of a beam of light."
" During the last 3'ear work in the clinical depart-
ment has been carried on along the same lines as
adopted now for some years. A special effort has
been made to get accurate, detailed histories of the
cases previous to the time of entrance to the Hospital.
Owing to the class of cases usually admitted it is
possible, as a rule, to obtain excellent information as
to heredity, educational and social environment, and
the reaction of the patient thereto-facts indicating the
general character and make-up of the individual-as
well as the details of onset and development of the
attack. Soon after entrance, and at frequent intervals
throughout their stay at the Hospital, the patients are
carefully observed and thorough mental examinations

213

Report of the Superintendent of the McLean Hospital.

made with the aid of such psychological tests as are
applicable. The physician is aided not only by the
assistants, but also by the nurses who are especially
instructed in the observation of patients and the daily
recording of the results of such observation. A sum-
mary of the nurses' notes for the time between the
observations of the physician not only gives continuity
to the records but often furnishes valuable additional
information.

Such complete histories and records are naturally
of great assistance in forming an opinion as to diag-
nosis and prognosis, but more than that they furnish
the data for later scientific work. The Hospital has
now accumulated data of this kind extending back
for nearly fifteen years, and it is the custom from
time to time to send out letters of inquiry concerning
patients who have left the Hospital in order to com-
plete the records and bring them up to date. In this
way we obtain observations of individual cases ex-
tending over many ^-ears. At the present time in
addition to the routine work we have begun collect-
ing additional information concerning some five hun-
dred patients, many of whom left the Hospital ten
years ago. When these records shall have been
brought up to date in this way they will form a very
excellent data for scientific work and it is proposed
to study them and publish the results."

In the pathological department six autopsies have
been done during the year and the grosser patholog-
ical findings recorded.

The following papers have been published during
the year by :

Dr. Folin, " Chemical Problems in Hospital Practice." (Jour-
nal of the American Medical Association, May 2,
1908.)

214

Report of the Superintendent of the McLean Hospital.

" On Total Sulphur Determinations in Urine."
(Journal of the American Medical Association, Janu-
ary, 1909.)

Dr. Wells, " Technical Aspects of Experimental Psychopathol-
ogy." (The American Journal of Insanity.)
" A Neglected Measure of Fatigue." (The American
Journal of Psychology.)

" Normal Performance in the Tapping Test." (The
American Journal of Psychology.)
" Studies in Retardation." (The American Journal
of Psychology.)

In collaboration with Dr. Cady, "A Critique of the
Psycho-Galvanic Reflex, with Some Experiments."
(Abstract of a paper read at a meeting of the New
England Society of Psychiatry, March 31, 1908.)
(The American Journal of Insanity.)

Reviews

Van-Ginneken, " Principes de Linguistique Psycho-
logique." (Journal of Philosophy, Psychology, and
Scientific Methods.) Wieg-Wickenthal, " Zur Klinik
der Dementia Prascox." (Journal of Philosophy,
Psychology, and Scientific Methods.)

There has been expended during the year $943.88
on the libraries, of which sum $252.27 was for the
general library and $691.61 for the medical libraries.

The library, devoted to the use of patients, now
numbers 5,811 volumes, 283 having been added in
the year. The room has been entirely redecorated
and partially refurnished; window seats have been
added and it now is most attractive. The patients
come here in the evening where with an open fire,
periodicals, and books they can spend a pleasant
hour. It is a great resource and is invaluable in our
work.

215

Report of the Superintendent of the McLean Hospital.

The Space is already insufficient and man}- of the
books, at least thirty-five shelves, are consigned to
the basement till more room is provided. An almost
ideal arrangement would be to add to the library the
large square room across the passage wa}', after build-
ing shelves around the walls. It is in need of repair
and it is hoped that this change ma}' be made during
the coming 3'ear.

The medical libraries located in the medical offices*
and the laboratories now number 4,522 volumes, 230
having been added during the year. It is indispen-
sable for the ph3'sicians who tr}- to do good work and
is becoming one of the most valuable assets of the
Hospital.

The loans to the art rooms during the year are
eio;ht oils and seventeen water colors. There have
been gifts of twenty-nine oils; one was presented b}'
Miss Emery and twent3'-eight by Mrs. Henry S.
Grew, Mrs. Henry Pickering, ]\Irs. W. S. Fitz, Mrs.
A. S. Porter, Jr., Mr. Edward Wigglesworth, and Mr.
George Wigglesworth. These twentj'-eight pictures
have been hung together in the art room of the
women's gymnasium and have made a most interest-
ing collection. Twelv'e framed photographs, and
several more unframed, were presented by Charles P.
Greenough, Esq. Forty-three pictures were framed in
the carpenter shop during the vear by men patients
and have been hung in the Proctor and Wyman
houses. There now remain, chiefly loans, hung in
the art rooms of the two gymnasiums, eighty-nine
oils, fifty-one pastels and water colors, and thirty-
four photographs.

Althouo^h something- over half the number of
women nurses are comfortably accommodated on
the third floors of the Codman and Belknap houses

216

Report of the Superintendent of the McLean Hospital.

the}', and the others, still are in rooms over the
patients and have not the feeling of freedom and
relaxation when otf duty which they would have in
a house devoted entirely to their use. I venture to
make another plea for such a house in the interest
of the young women who are doing valuable work
and who should have the opportunity of rendering
such trying service under the most favorable
•conditions.

It is one of the most important requirements of a
good hospital that the food should be of sufficient
variet}', well cooked, and properly served. A special
eftbrt is being made to improve the dietarj^ and to
this end another officer hafe been added to the Hospi-
tal Staff. Miss Elizabeth Hinchman was engaged
September j, and was given charge of the culinary
department with gratifying results. Steam-tables
are being placed in the serving rooms, which will
lead to changes in the matter of cooking and serving
food and it is hoped, with a high degree of expecta-
tion, that there will be a still further improvement
in the immediate future.

The following changes in the Hospital Staff have
taken place during the year: Dr. Ralph C. Kell,
Junior Assistant Physician, resigned June 30 to accept
the position of Second Assistant Physician in the
Worcester State Asylum. Dr. Otto Folin, Assistant
in Pathological Chemistry, resigned October 31 to
sive his entire service to the Harvard Medical
School. Dr. Frederic B. M. Cady, Junior Assistant
Physician, resigned November 5 to engage in pri-
vate work. Mr. Elmer D. Full, apothecary, re-
signed November 6 and was succeeded by Mr.
Bernard C. Burdette. Dr. Guy G. Fernald, Second
Assistant Physician, resigned November 13 to

217

Report of the Superintendent of the McLean Hospital.

accept the position of Physician to the Massachu-
setts Reformatory. He had been an officer of the
Hospital for over nine years and had rendered most
faithful service. He was succeeded November 27
by Dr. Earl D. Bond who had been a Junior Assist-
ant Physician since July i. Dr. Edmund M. Pease
was elected a Junior Assistant Physician October i
after having served in that capacity since June 21.
Miss Elizabeth Hinchman assumed charo'e of the
culinary department September i. Miss Emma M.
Stone, Supervisor of the Women's Department, was
given leave of absence August 31; Miss Clara H.
Luscombe has been the acting Supervisor since that
date. Mr. George A. Allen, storekeeper, withdrew
from the service August 31. He was succeeded
October 22 by Mr. Rufus F. Ames.

My thanks are due and are here expressed to all
who have aided in the hospital work by faithful and
cheerful service and to the Trustees for their
invariable kindness and support.

George T. Tuttle,

Medical Superintendent.

218

Report of the Superintendent of the McLean Hospital.

tf

<

w

>^

w

tn

H

l-H

P=:h

o

o

"A

C/3

^

1— 1

vA

H

pq

<:

H

Fh

<5

H

ai

kJ

<1

fci

W

"A

W

O

oo

OOOT • >-iCll-(N <M>-l • HOC". •»< •*CCI->

■''MOi^CSr-KOC^^OL'lCii-tC^ias -coic*1<t-eo 0»-<-H

00 CO O C) IM l-H

■CO 05 00 e-<

• osoo . •!-( moot

10 0^00t-HOW5000C-3{MOOCC -^t- .lOt^^COCO OSOOW

rH CO 'J !■] •«< rH ■

OOt-OCO •■^incO'^J^OM'"*" -000 .<N(M00OC0 -^COrH

t-cortO--tDOin-H»-(coioss •e^m •eoioeooco icoi-i

X OOOOl (M - i-H

05 t- t-C<3 COOOCN

lit

eS ? a

S.2a'

la-*

«»,■ to

W- a =^

O to c«.3

a a o^

O S ^X3

5 o 5? £.1^ «

g t. o .s a a

^ 00 cA (A en a:

O c< c< c^ c€ e^

ca

^"d

I 3 S

;12

CO IU.2

.a. a) 0) '^ —
«oD^ ^ a.i->

aa 5^ g S t-

_• 2 St aj w it-i i», "S
•OBcS>t.oOo'=^

1 rH • »Ht--Ot^ t- lO ^ rH c

9 e

a>.a

> cS

o &,

u oi

(U u

■rt'O
•3 aj aj

.2 c3 5

!"«

to to 2

a s a

O o o

£££
g s s

OJ S »

t. S t-

« s *■

qh{

^s

'^ '^u u u u

■) "t- a:' i> <» ffi

« 5 = 5 5

<« 2 5 5 ~

.^ !*-! tM <M

C O O O -w 4)
O) t< t- fci t >
I g 0) g X c«

i a = a S'S

219

Report of the Superintendent of the McLean Hospital.

TABLE No. 2.

TABLE OF ADMISSIONS, DISCHARGES, AND RESULTS FOR

TEN YEARS.

Years.

■6

a

5

it

•6

1 u

Is

•6
£

o
u

End

ing Dec. 31, 1899 ....

135

132

291

11

51

37

159

157

J

„ 31, 1900 .

169

155

328

23

58

37

173

164

„ 31, 1901 .

157

154

330

27

19

45

176

166

„ 31, 1902' .

154

149

330

19

25

43

181

176

„ 31, 1903 .

141

144

322

23

50

34

178

170

Sept. 30, 1904 .

1.58

105

341

15

23

42

189

178

„ 30, 1905 .

117

86

320

26

28

29

180

186

,, .30, 1906 .

129

131

309

17

42

38

184

185

,, 30, 1907 .

179

159

338

20

56

42

205

193

'

„ 30, 1908 .

177

170

382

21

60

42

218

214

Total number of admissions from the year 1818,-9,905.

TABLE No. 3.

INSANE RECEIVED ON FIRST AND SUBSEQUENT
COMMITMENTS.

Number of the Commitment.

Cases Committed.

Males. Females. Total

First to this Hospital

Second to ,,

Third ,, ,,

Fourth ,, ,,

Fifth „ ,,

Seventh ,, ,,

Ninth ,, ,,

62
5
3
1
1

73
11
2
1
1
1
1

135
16
5
2
2
1
1

Total cases

Total persons

Never before in any hospital for the insane

72

90

69

87

49

59

162
156
108

220

Report of the Superintendent of the McLean Hospital.

<
H
)— I

PL,

o

12;
<

o

H

Q

H
H

P

H
CO

P5

C/2

o

Pi
W
Pi

I— I

O

w
o
<

Eh

12;

P5
<
Oh

Q

li

1

O

A

rHOiO

O(M-^(M-^C0r-l,-lT-(

00

o

00

O

COi-ItH

COl— 1 iH

CO

1-1

o

IJ

S

tH

k^

«5j

s>

H

^

CC00O5

O-^(N.-HlOC0(Mi-<T-l

05

05

00

o

c«

eoi-i

to r-( 1—1

CO

o

H

^

rH

■4J

C

a>

u3oo:

00(MC<I ■ (MIMj-I • .-1

o

00

Ph

tQ(Mi-H

OOt-I .

<N

O

i-H

^

S

,4

t-occ

CO t- .-1 1-1 00 1-1 .-1 1-1 •

o

to

05

O

T— 1 T— 1

CO

<M

in

tc

g

1^

^

hJ

£

■<

p^

OO"^

•^ t- 1— 1 • t- i-l(M 1— 1

05

cc

■5

g

Is

oai-H

CO

T-l

lO

H

f^

(o

^

a

.*

00-^ t-

OS to 1—1 • 1—1 1—1 1—1 •

o

Oi

c^

(Mi-I

Tt

r-{

kO

Ch

h

0)

A

Tt* 05^

c- uT) CO 1-nD eg • • rH

00

-^

05

o

1—1

oq . .

1—1

-<a<

g

hJ

r^

oooou:

O t>i-lTHO0(M • • 1—

o

cc

Oi

«!

c«

T-H

<N . .

(M

-*

S

fe

C

a>

t-tcnc

Oi tr> 1— 1 • 1— 1 rH • • I—

O

05

cS

(M

CO . . .

tH

T(<

S

>

03

b

•4J

t-

c8

^

CO

T3

S*

C

1/

c

>

C

&

<!'►>?■

1

o

-«:

<

c

• •

«(-l

P

5

3 ^^
to (u a

Total
anada
ngland
ermany
■eland
ussia
::otland
urkey

13

c

13
o

^5i

^

OC

C

E^

C

^i:

PC

a

e

<

h-

1

221

Report of the Superintendent of the McLean Hospital.

1

T-lT-Ht>fOCO-<^,-lrHC<lCO

lo

1—1

00 T-H rH 1—1

03

H

1— t CO I— 1 CO

1—1

m

g

"eS

a

• •■^OOCOOOi-HCDCMt-

■^

CO

C<1 1— 1 1— 1 i-l

H

1— ( 1—1

CO

O

<D

H

ES|

_2

•

1— 1 th CO to 'to 'in • <:o

T-H

00

(Xl • • •

H

1

. 1— 1 . . r-t

Tf

;z;

pc]

1^

'

H

•3

HH

*?

T-H r-l • '^ • o • ia • o

(M

CO

(M • iH rH

§

^2;

o

. T— 1 . . ,-H

CO

§

O
So

o

o

tn

cc

;>H

0
<

S

0)

• • -co • iO -co • lO

(>)

OS

• 1—1 i-l

M

T-H

p

;^

H

H

w

H
O

<0

r-l 1— i • T-i • -^ • (M • LO

^

<M • • •

§

•

T-H

P

O!

>^

^

■jS

■ -OOTCO^T-ltDC^ICO

CO

00

CO 1-4 • •

o

o

. . (M (M

t>

CO

o

H

p^

%i

2 CO

H

■2

a

• •->*u^coc^.-icocqc<i

. ■ . I— 1 T— 1

(M

^

(M rH • •

CO

fe

1— 1

H

»3

O

C/3

13

• • CO -^ -co -co • rH
• 1— I . . tH

i-H

^

T^f • • •

(^

o

:?

■

P

CO

>— I

"S

CO

0)

H

3

«

O
<

;

OS
m

CQ

.s

•1

• ^
'3

m 0" . . -tJ

%^

■l->

3 «4-l

Massachusetti
Barnstabl
Berkshire
Bristol
Essex
Hampden
Middlesex
Nantucke
Norfolk
Plymouth
Suffolk

-M

m
o

C

i

c

g.2
O P

222

Report of the Superintendent of the McLean Hospital.

f-

^

M

^

H

1— (

S

S

O

O

h

w

Q

'^

P<^

is

^

o

H

1— 1

a

n

1

^

lO

d

O

P5

W

w

Pi

<

<5

H

cc

^

r-i

fe

o

f^

o

^

W

Q

h- (

r/7

W

W

4J

tOr-li-l-rJ<C^tOTHCOT-lrH,-l-^

t-

00

in

o

T-l -*

1—1

CO

in

CO

H

iH

1—1

(»

I-)

V

^

"3

CO • •Ot-Ii-H.-Hi-I,-! -i— I-^

<x>

1—1

t-

H

a

. . ,-1 . (M

^

(M

00

O

«

H

^

!0

£

73

•.-li-ITti-l-<* -eg -T-H -O

I-l

C-

00

. (M

in

1—1

^

«

3

rH • --^ -T-H • Oi i-< •t-HtJ'

00

a>

c-

(£

o

I— 1

CO

■^

jz;

H

O

OQ

t«

tfj

hH

0^

0

"3

a

1—1 • -CO • • •!— Ii-I -i-HCi

S

T}<

§3

<J

IS

a

H

■2

o

• T-H • T— 1 ■ 1— ( • • • LO

■<#

in

05

rf

1—1

1-1

s

!>i

;?;

"5

<

•w

(Ml— li— IOC<l-^i— li-H -i— 1 "O

OS

OS

00

o

i-( . . CO

t>

N

o

H

1-1

O

9J

•3

(M • -t-i-li— li-l • • * 'LO

(M

t-

05

a

. 1—1

-<»

1—1

in

^«

H

03

cc

CJ

•iHi-ieoi-ico -1— 1 •!— 1 -uo

t-

(M

05

e^

s

. 1—1

CO

1-1

"1'

0)

73

-t->

c

0}

m

Ph

•

C3

c

a. >>
C rt ^. o

iS ^ -s

CO -g 0)

a-

.Si

CO

g S 1 .S g' ^ ^ ^ .9 -? S 1

c

Q

o

c

>>
(i

a)

sWHjSS:^2;^otf>'g

c

73

X

■!->

3

-i3

o

,"^

o

O

H

C

) O

E-

* 1

223

Report of the Superinteiulent of the McLean Hospital.

TABLE No. 6.

CIVIL CONDITION OF INSANE PERSONS FIRST ADMITTED
TO ANY HOSPITAL.

Males. Females. Total.

25

48

27

49

7

11

Unmarried I 23

Married 22

Widowed 4

Divorced

Unknown

Total 1 49

59

108

TABLE Xo. 7.

OCCUPATION OF INSANE PERSONS FIRST ADMITTED TO
ANY HOSPITAL.

Occupations. Males. | Females. | Total.

Agent, Insurance and Real Estate ... 3

Artist 2

Boarding House Keeper

Bookkeeper 1

Charity Worker

Clergyman 1

Clerk 5

Chiropodist

Die Sinker 1

Farmer 3

Factory Superintendent 2

Housewife

Hotel Keeper 2

Lawyer 2

Manufacturer, retired 3

Merchant 5

Mill Hand 1

Nurse

Physician 1

Piano Action Maker 1

Printer 2

Reporter 1

Shoe Stitcher

Student 4

Stationer 1

Steam Shovel Engineer 1

Stenographer 1

Teacher 3

Writer 1

None 2

Unknown

Total 49 i 59

3

2

i

1

1

i

1

. .

1

2

7

1

1

1

3

2

31

31

2

2

3

5

1

i

1

1

1

2

. .

1

2

2

5

9

1

, ,

1

1

4 1

7

1 1

2

10

12

108

224

Report of the Superintendent of the McLean Hospital.

TABLE No. 8.

AGES OF INSANE AT FIRST ATTACK, ADMISSION, AND

DEATH.

First Admitted to axy
Hospital.

Died.

AGES.

At First
Attack.

When
Admitted.

At First
Attack.

At Time
of Death.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Congenital

2

1

3

15 years and less

1

...

1

From 15 to 20 years

4

5

9

3

2

5

20 to 25 years

6

5

11

7

5

12

25 to 30 years

6

7

13

7

8

15

1

2

1

1

2

30 to 35 years

2

13

15

2

10

12

35 to 40 years

1 1 6

7

2

7

9

2

3

1

2

3

40 to 50 years

8

13

21

8

14

-22

2

2

4

1

2

3

50 to 60 years

14

6

20

13

7

20

6

2

8

5

2

7

60 to 70 years

4

3

7

6

6

12

1

1

2

2

70 to 80 years

1

1

1

1

1

2

3

1

2

3

Over 80 years . . .

••

1

"l

Total

49

59

108

49

59

108

12

9

21

12

9

21

Mean known ages in
years

Ybs.
39.36

Ybs.

35.77

Ybs.

37.56

Ybs.

42.78

Ybs.

39.48

Ybs.
41.13

Yes.

52.41

Ybs.

49.77

Ybs.
51.09

YBS.

56.08

Yes.

55.56

YBS.

.55.82

225

Report of the Superintendent of the McLean Hospital.

<

H
CO

o

<

M

l-H

O

<J

H

o
m

<!
o

PQ
<J
PQ
O
03
Oh

"5

1

t3<

f i

^

s

r r

■^ s

Tf

Tl<

— <

T,

i5

<

O

'.

H

z;

Q

2

W

2.,

H

7.

H

;2

3

£-1

■5
0

6

(MC<I '-Hr-I,-! -OO-HO

(M eg - -^ • -eg -1^ • Tji ?D

Ttiai-iT-ic<ii— ii— iLt-Nir: — X o

— I ;£ -^

l-H • T-l I— I 1—1 I— I l-H eg CO -o I 1— <

-*■«*,-( -,-1 • • -^ • io i-i X en

£-2

c *- 'y

33 Jn

o
E-i

226

Report of the Superintendent of the McLean Hospital.

TABLE No. 10.

PROBABLE DURATION OF MENTAL DISEASE BEFORE
ADMISSION.

PREVIOUS DURATION.

First Admitted to any
Hospital.

Ma.

Tot.

Congenital

Under 1 month

From 1 to 3 months

3 to 6 „

6 to 12 „

1 to 2 years

2to5 „

5 to 10 ,,

Over 10 years

Total

Total average known duration (in years).

2
13
5
12
3
8
3
2
1

1

19
10
11
5
8
4
1

3
32
15
23

8
16
. 7

3

1

49
2.14

59
1.49

108
1.81

227

Report of tlie Superintendent of the McLean Hospital.

2

O

Q

o
o

a

H
K

p
o

S3

H O

Oh

•^<— .-trs^H*^ -•-*cc3»d -ecio ^^•^'^•-'ccrt

O b <4
'^ ■= «

^?»^>-<Ni-i^ -lO -iiopiei -coeo •-lI-l^^ ..nej

• ?« . • »-(

i 2

• ^ •« «

^

-

::c

• t>

• 11

:- :

• — ;> —

.--

• ?j?i

S

£

:''

I"*

:'' :

:""" :

: :""

. «-H

SO

"

^
S

-co

:'^

r-^

-M^rt

:""

'--' —

._^

ol

0

^ .«

:'^ : : :

- .Nr-rt . . .

: : : :- :

«

■5 X

:- : : :

: : : : :

::::-:

■0

cS —

- :-

00

■6
2

0)

1

^- :

• • -" t- -^ Cl - OJ ;

S

0

^

>
c

?i--L-:i>s . — i-iX'H

rt 1-1 -m) ;3

-H ■?) . — T

Up-

■3 -X- I

X —

: r^ ■ I S = o c o

— ":; rr S > > >

- - ' >.-r ~ -

^i5~ ^"i-S ''•£'- "".£ -.

> >

X X
X X

p p
'S'S*

S £ O

-1-5 = 552 = =

226

Report of the Superintendent of the McLean Hospital.

o

"A

o

Q

o
o

Pi

l-H

a
w

o

Q

H

O

«

<:

ffi

o

•

ro

p

1— 1

M

(-4

t— 1

Q

O

H

l-H

w"

SO

^

K

o

<

o

ffi

D

111

C/3

04

CO

en

<
E-t

O

o

■1-3

II

e S

■^

• r. r: — — jj w= c-i Ti ^ rt r-i M ;5 ^ ^

c

t1

2 <D

6

.- " •" • inc~t-

E-

•*ne<

Nt-t-

*3

o

OOi-l-H

H

ci

,2^

a>

-N . . .1-1

^0)0

Q

d ■

• .^i ■ -n ^i?>ca

«

„•

o

>

H

S

■

o

.J, . . .^ . .rt . . .^lOiii^

g

&^

z

03

1

^

S

^•

1

o

•=

H

■ ■ • •l»-l'*'«

>

o

r®

. . .,.l_l~) . .,_l,-l .,4 .

t-CCM

a

P

fH

C-lN

j

25

1-^

a

• Mil • -M Isjia-c

S

■ ' j

o g

o

: : : : : ^ i*^ : :'" : : i'^'iJS i

P

1 ^

«*

:::::-:::::::

^-.o j

-^Si

cc

g

: : : : ."^ ■.'^ : '.'^ : :

«50 5S

^^rt . . . .(M

1

H

0)

r- ?i »- o rt o

o

fo

o

cd

s

-air^-H . . . .1-1 30W1-I

.... t, c»

r>'

«i

eo-Hio

g

H

<M

—

o

1 .— 1

E:h

« csoo

cj

.^t--^

94 •4 00

S

C^I-»

O

:-«?
:|||

^ I

\

»

§ ':

•.ilf

\\

09

c .

.5 o x-i •.=

S'xooiiScco.S-.S

z~

!

5

o
o

-••S cr s-r > > > -^ s « ;i

5 = t S .= - 2 1 1 c ■= = 5 'S

•
s

r. £

O -322 i

1 S ^^

'. a bttbo

a

&■

<

■««

II

•Off

•cS

si

■8 -a
o£

X s

OS'S

■8 a

S«>
^ C3
O to

og

s s.

5 5X

229

Report of the Superinteiiilent of the McLean Hospital.

<
W
Q

Q

<

Q

O

t— I

CO
CO

p

m

CO

<d
a
o

H

12;

CO

iz;

I— I

w

O

CO

W
O
«

o

CO

"3
1

1

S

5

1'

s'

>
o

a
0

0

>■

2

a
S

h-t

4J*

0 0
tS ID

0
H

to

6^

c^

s

■3

0)

>■
0

OS

1^

CM

E

s

a

10 CO -rf T-l

CO LO C^l T-l • 1— 1

(M 00 (M - 1-1

00 (N

tH

00

l-(

0 (M

1—1 ■ 1—1

(M • 1-1

1—1

05

00 Tjt' 1-1

§ ^ -^

CO ^

CO

1— 1

CO

iO

T-l l> CO rH rH

CO

t- CO - • ■ i-l

1-1 . . . «

-^ '^ CO iH •

1—1

&^

3 4h >

o ^ 5)

Ct< fe CO

CO

1—1

?2

?2

05

1-H
CO

CO

CO
I— 1

05

05

\a

CO

1—1

CO

00

CO
CO

CO
CO

1—1

00

1—1

CO

1-1

00

05

Oi

«o

00

CO

CO
CO

CO
CO

CO
1— 1

CO

^

05
tH

CO

1— (

CO

1—1

00

CO

CO

U3

CO

CO

CO

CO

1—1

^

T-l

CO

§

1—1

rH

1—1

CO

1-1
cq

CO

p

*- s

Pm

eS .3

■O 2

s a
a =«

^ =?

•o a

>?■%

» 2

a a
^ a

230

Keport of the Superintendent of the McLean Hospital.

Q

O

w
o

02
PL,

CO

m

^ P

w
<

H

>>

1
1

i

: :-:--:: : :

: : :-

■*

£

: : :-

fH

1

: '^ :'■"■': : : :

: : : :

CO

<

i

O CO f-l fH i-l » tH CI i-ICC<H i-ltlf-l

«

£

rH M .^ . . .^ ... ^,-1^

a>

si

s

Cj

2-8.2

t3 P

H

: : ■.:■.■. -.-^ : :

iH

i

: : :,::::: :

: : : : : : - :

-

B

: :-:::::-

!M

frj

ei

: :--::::: --

ei

5&

ti

~ OS

w5

o

:- :

-^

£

: -.-^ :

-^

g

Manic-
Depressive
Insanity.

1

- - :- i^-^-^ :

'^ : : :

00

£

: - :-:::- :

CO

1

"^ : : : : '^' '"' : :

- : : :

>=

V. <»

1

: : :-

--

rave
seas

£

: : :--

-

^rH

s

• -^ ■ ; ; r*^ : : : :

■*

£

si

. . ^ . . . . CO • • : •

•*

IS

1

i-i c-i :::::: :

i "

£

11 0-) :::;:: :

1 "

ci

2.2--

1

: : - : :

-

£

: : - : :

1 "

ej

S

02
<

o

Broncho-rneu-
monia

Cerebral Hemor-
rhage

Cerebral Arterio-
sclerosis

Chronic Nephritis

Duodenal Cancer..

Exliaustion . ...

Fracture of Spine

Gastro-ententis...

General Arterio-
sclerosis

Lobar Pneumonia.
Pulmonary Em-
bolism

Status Epilipticus
Uni'mia

3

231

Report of the Superintendent of the McLean Hospital.

li

o

^ »-4T lO t-

-r.

■ X

a

■f.

X

-r

1

■E S

ti

'T

^"•3

CD

CO

e

• »-i . ?^ ?> ■*

o

o

5

s|

Sc<

• ••••'*-"'■

O

CG

'^

'^

o 7

Is

eS

. . rH rHCO ^>

X

• X. ■'■.

•r .-r ".

^^

s

^

N

<

&
X

•d
5e

*j

• »H .H M H ^

GO

.» s

; ; ; • H r- M -CO

s

X -00 c^

!s "

^

• -^ ac

o

'^

c "

HJ

ia

o

li

h^

■ • <-l I< -< -J

O

•o •*.

f-i • r:

T • -r ~i

<

•—' •»

g

^1

(^

._| .^,-HlO

X

.00 S

. . • . e-J r-l 1-1 . .

-, .^ g

^°

S

00

2'

^

P

. ?) u: :-. -.3 11

-r

.,, s

c^ CO >i c-^ ;■? c^ • • .

n -^ ^

c .

:^

■e-i o

*-i • .-1 ,_,

O.M

•"I

i

o

e

. . Tj* :o »-t .

,^

• ^ 00

1.-. • o ".

;xi

^H

• --l t-

:i'

hi

®!S

<

H

s

^o

<^

■ c) rt r: L- ri

ro

■ r; "

.- -- iq —1 1-1 M • • •

X -00 "

CC

S

<-<

■ '~' rt

I*

o

—'

"^

t-

!z;

o

. 00 SI lO rj •

Tf

■'»' s

t- —1 ~i .-( n . . . -

o

P

C^

•IM •-

■<

c .

E^

12

o

■a

H

:-■'--' : :

S

""::'";:::

- - 5

H

"3

H

4:>

<

ft
CD

o

(S'

• O M ?: H ;

^

■ r; ^

■* . e<i <-i rt . . . .

X . =c t-

w

s

■*

g

S

4^

o

~- " -^ - -- '^

?

:3; -

(N^Jiq-H — ^ .^^

o <»-s

o

o

-■= «

«■

«5 I-H jq n . •

^-

• »-H C^

• I-H • -at • .ii^

ic . la «>

''^ c-

c-. ,

S c^

Q

-: d, ^ ^ ^

-

•^ !:

X • X 0^.

•

• . OQ

. . . QD .

0

n

si

ci

« * ' " '

o

X

0

^

^

«

s " t ^

1

= : '-2

0

-«

^— ^ X o "

X

- = o - - - -

•■ — M w ^1 C^ M

—

— y

■^2

e c i-i

O f-i -^ ri -M

a

i 5 = o 0 c i-

s t:

"Hocscocoj;

o-s

•-^

3 is 4J W *J s

i

i

0 C

^5

1 = s^

-

3 :- >c

"*.£ 5 ^

'.;3E=.

-^

= S<

',^i,

0 = 0*''

<!

E^

3?

M

^

1-

EH

1

TWENTY-SIXTH ANNUAL REPORT

OF THE

MCLEAN HOSPITAL TRAINING SCHOOL FOR NURSES.

The Training School for Nurses, with the comple-
tion of the twenty-seven years of its existence, has a
roll of graduates including 615 names — 394 women

and 221 men. In the following summar}' it is shown

how many remain in the work of nursing, and into
what positions in life others have gone.

Men. Women.

Number of graduates in twenty-three years .... 221 394

Graduates remaining in the service as nurses .... 9 26

Graduates remaining in the service as officers .... 3 5

Graduates in Mass. General Hospital Training School . 9

Pupils in Massachusetts General Hospital Training School 1

Previously graduated at Mass. Gen. Hospital Tr. School 141

Superintendents of hospitals 1 5

Superintendents of nurses, other hospitals 6

Assistant superintendents of nurses 3

Employed in other institutions 7 14

Engaged in private nursing 59 142

Medical students 12 1

Physicians '. 34 3

Instructor in Physical Training 1

Sanitary Inspector 1

Dental Students 1

Dentists 9

Masseur 1 2

Principal of High School 1

Clergyman 1

Missionary 1

Lawyers 3

In other business 60 1

At home 34

Married and left the profession 116

Deceased 14 19

Pupils now in this school 45 62

Unknown 6 4

232

233

Keport of the McLean Hospital Training School for Nurses.

It will be seen from this table that of 375 women
graduates who are now living, 211 are still pursuing
the work of nursing ; and of the 207 men graduates
who are now alive, 75 are still nurses, while 56 are
physicians, dentists, or students of medicine or den-
tistry.

Another change has been made in the length of
the course of study in the school. It is made two
and a half years for both men and women. The men
did not care to avail themselves of the privilege of
spending eight months at the Massachusetts Gen-
eral Hospital for additional experience in general
nursing, and the women preferred to get this experi-
ence in a posf-graduate course as, except for a recent
short period of time, has always been the custom.
It also was found expedient to make the change for
reasons pertaining to the nursing service from the
point of view of the Hospital. The women grad-
uates still have as before the privilege under certain
restrictions of taking a post-graduate course of thir-
teen months at the Training School of the Massachu-
setts General Hospital in Boston.

Because of change in the course no man w^s grad-
uated this year.

It has been found best to arrange the studies on a
basis of six terms of four months each ; October to
January inclusive, and February to May inclusive,
examinations being held in the last two weeks of
each term. Since pupils are admitted to the school
at all times of the year, men can enter upon their
studies at the beginning of the term nearest to the
time of their admission, and take the studies of that
and the succeeding terms till they have completed
their two years and a half. If they enter at a time
nearer to the beginning of the second term (Feb-

234

Report of the McLean Hospital Training School for Nurses.

ruary to May), they will take the studies of the first
term of the first year in addition to those of the sec-
ond year, so far as it can be arranged for them so to
do. For women pupils most of the studies of the
preliminary course of four months are repeated dur-
ing the second term, so that those entering during
the winter receive their preliminary training before
taking up the rest of the course. If they enter the
school late in the term the}' attend the course of
lectures on applied anatom}^ from the time of their
entrance, and in the succeeding year attend the earl-
ier lectures of that course. In other words, lectures,
recitations, and other exercises are given as for a
three years' course of two terms of tour months each
year and pupils entering the school at different times
take what they can of these exercises during the two
and a half years that they are in the school. Pupils
entering late in October get nearl}' three years of
continuous instruction, since they have but two sum-
mer vacation periods in their course. Those enter-
ing in the late spring get two years of school work
and three summer vacation periods. It is inevitable
that there should be this discrepancy in the amount
of instruction given to different pupils unless a five
term course were arranged and started at the begin-
ning of each semester, and instruction given in the
four months of June to September inclusive. This
would put an impossible amount of teaching on the
shoulders of the present force of instructors.

George T. Tuttle,

Medical Superintendent.

McLEAN HOSPITAL TRAINING SCHOOL FOR
NURSES, WAVERLEY, MASS.

1882-1909.

The Trustees of the Massachusetts General Hospi-
tal Corporation established a school for the instruc-
tion of nurses at the McLean Hospital in 1882. It
gives to men and women desirous of becoming pro-
fessional nurses a two and a half years' course of
training in general nursing, with special reference to
the care of cases of nervous and mental disease.
The school is conducted by the Superintendent of
the Hospital under the authority of the Board of
Trustees.

Those wishing to receive such a course of instruc-
tion should write to the Superintendent of the McLean
Hospital, Waverley, Mass., giving a brief personal
history and also the names and addresses of three
responsible persons, not of their own kin, who know
of their character and capabilities. If on receipt of
this letter it is thought advisable for such prospective
candidates to make a formal application, blank forms
especially provided for this purpose will be sent to
them.

Candidates must be in sound health, and must send
with their application a certificate from a physician
certifying to the fact. They should preferably have
had a high school education or its equivalent, and
should be not less than twenty, nor more than thirty-
five years of age.

235

236

McLean Hospital Training School for Nurses.

On furnishing satisfactory evidence of their prob-
able fitness they will be received for two months on
probation. If accepted at the expiration of this time
they will sign an agreement to complete the pre-
scribed course of two and a half years. At the end
of the first six inonths the record of each pupil is
again carefully scrutinized and the right is reserved
to terminate then, or at any other time, the con-
nection of any pupil or nurse with the School and
Hospital for inefficiency, misconduct, generally un-
satisfactory record, or for any other reason which
may be deemed sufficient.

The pupils reside in the Hospital and are em-
ployed as assistant nurses in its wards. Men proba-
tioners while on duty will wear ordinary plain
clothing. The women are expected to dress plainly
and neatly in a cotton gown, and are permitted to
wear the cap and apron of the regular uniform.
After formally joining the School, at the end of the
period of probation, both men and women are re-
quired to wear the Hospital uniform while on duty
in the wards. Each woman nurse is required to
have a gymnasium costume, the material for which,
if desired, will be furnished at moderate cost by the
Hospital.

As compensation for their services, both men and
women receive board, lodging, and laundry, instruc-
tion in nursing, and a certain amount of money,
which for the women is only sufficient to purchase
books and uniforms and to defray other absolutely
necessary incidental expenses. The men, who for
the present do not receive the preliminar}' course of
study given to the women, are paid twent}^ dollars
($20) per month during the first fifteen months, and
twenty-four dollars ($24) per month during the re-

237

McLean Hospital Training School for Nurses.

mainder of the course. The women receive seven
dollars ($7) per month during the first fifteen months,
and ten dollars ($10) per month during the remainder
of the course. Most graduates engage in private
nursing, or accept positions of trust in other institu-
tions. Some are invited to remain in the service of
this Hospital. For the first six months after gradua-
tion men who remain in or return to the service of
the Hospital receive twenty-seven dollars ($27) per
month, women twenty-five dollars ($25) ; after that
they both are paid thirty dollars ($30) per month.
Graduates of this School, who are also graduates of
the Massachusetts General Hospital Training School
for Nurses in Boston, are paid thirt3'-five dollars
(^3S) per month.

All pupils and nurses are allowed one afternoon,
a part of Sunday, and two or three evenings off duty
each week. They are also given a two weeks' vaca-
tion in each vear: and no deduction of time is made
for sickness unless it exceeds two weeks in any
given year.

On completion of the full term of two and a half
years, nurses who have passed all the required exam-
inations receive diplomas certifying to their period of
training, their proficiency, and their good character.

Women graduates of this School who wish to have
additional practical experience and instruction in gen-
eral nursing have the privilege, under certain restric-
tions, of entering the Training School for Nurses at
the Massachusetts General Hospital in Boston. Such
graduates will, after thirteen months' satisfactor}^
study, receive the diploma from that School, in addi-
tion to the diploma received from the McLean Hos-
pital Training School.

238

McLean Hospital Training School for Nurses.

COURSE OF INSTRUCTION.

Instruction is given for eight months of tlie year,
from October i to June i. It is no disadvantage to
enter the School between May and October, since
the pupil will get some practical knowledge of the
care of patients before taking up the required study.

The course for men differs from that for women.
The latter receive less monev and are allowed more
time for study.

A preliminar}- course of four months is given to the
women, and during half of the first school vear the
pupil is given no more work on the wards than is neces-
sary to put in practice the instruction received. This
occupies about two hours dail}-. Most of the time is
devoted to lectures, recitations, demonstrations, and
laboratory work. Instruction to both men and women,
chiefly by the officers of the Hospital, includes courses
in anatomy, physiology, h3'giene, bacteriology, drugs
and materia medica, urinalysis, hydrotherapy, physi-
cal exercise (including massage, medical gymnastics,
and Swedish movements), housekeeping, dietetics
and cookery, general nursing, obstetrical nursing (to
women), and especially nursing of cases of nervous
and mental diseases. There are written examina-
tions in the middle and at the end of each school
year, and pupils must attain on critical marking at
least 60 per cent.

Women graduates of this School have the privi-
lege, under certain restrictions, of going to the Massa-
chusetts General Hospital Training School for addi-
tional instruction. Such graduates will, after thirteen
months' satisfactory study, receive a diploma from
that school in addition to the diploma received from
the McLean Hospital Training School.

239

McLean Hospital Training; School for Nnrses.

Anatomy. Recitations from a text-book on anat-
omy and physiology are required, and a course of
lectures is given on applied anatom}^, in which the
general plan is to describe the anatomy of the
various ph^^siological S3'stems, to refer briefly to
their origin and use, to explain the different injuries
and diseases to which they are liable, and to describe
the treatment and nursing care of these morbid con-
ditions. There is an articulated and a disarticulated
skeleton which the pupils can use for study. It is
intended that each one shall see a post-mortem
examination.

Physiology. In addition to recitations from a
text-book, lectures are given on the blood, heart, cir-
culation, vaso-motor system, digestion (mechanical
and chemical), absorption, secretion, respiration,
animal heat, movement, nervous S3'stem, and special
senses. In the senior year another course of lectures
is given on the nervous system — general anatom3^and
physiology, peripheral nerves, sympathetic system,
spinal cord and medulla, cerebellum and cerebrum.

Hygiene. Recitations from a text-book are re-
quired, and a course of lectures is given which in-
cludes a consideration of water, food, air, ventilation,
heating, lighting, sewerage, disinfectants and disin-
fection, and personal h^-giene.

Bacteriology. A text-book is used for recita-
tions, and a course of lectures is given on benign and
pathogenic bacteria, methods of cultivation and ex-
amination, the relation of pathogenic germs to various
medical and surgical diseases, with a consideration
of some of the more common of these diseases.

Drugs and Materia Medica. Instruction is
given in the dispensary by lectures, demonstrations,
and practical work. The pupils are taught to use

240

McLean Hospital Training School for Nurses.

the prescription balance and the various measures,
and are given practice in w^eighing and folding
powders, the different methods of measuring drops,
etc. They are taught to make weight-to-volume
solutions of various strengths, also percentage solu-
tions such as are used in the operating room or for
purposes of disinfection.

Instruction is also given in elementar}' chemistr}^
and botan}', on the drugs in ordinar}' use, poisons
and their antidotes. The course is made a labora-
tor}' exercise so far as is possible.

Urinalysis. There are brief lectures on normal
and abnormal urines and the diseases in which they
occur. These are followed b}' demonstrations of
methods of analysis, and the nurse is taught by
actual practice to make different tests. It is princi-
pally a laboratory exercise.

Physical Therapeutics. Lectures and demon-
strations are given on the various hydrotherapeutic
procedures and their effects. The pupils are also
given instruction in general massage and free stand-
ing movements of the Swedish S3'stem, the use of
apparatus in the gymnasium, and games. The}' are
also taught the use of the Zander apparatus, of elec-
tricit}', and later in the course a more extended sys-
tem of medical gymnastics. During the two and a
half years' course of instruction the nurse has frequent
opportunity for the practical application of the knowl-
edge gained in the treatment of patients.

Housekeeping. Instruction is given b}' the As-
sistant Superintendent of Nurses, the Supervisor,
and the Head Nurses, and consists chieflv in actual
demonstrations and practice on the wards of general
household duties, and of such special duties as are
required for the proper care of the patients.

241

McLean Hospital Training School for Nurses.

Dietetics and Cookery. Twenty-four exer-
cises of three hours each are given the women each
morning for one month, during which a lecture of
one hour is followed by two hours of practical work.
The men receive twelve exercises of two hours each.
The instruction includes a consideration of the pur-
chase of food, utensils, kitchen and dining room fur-
nishings; dietetics and general cookery, with special
reference to the preparation and serving of food for
the sick and the convalescent.

During the course meals are prepared and served
by the pupils, to illustrate the laying of trays and
tables and the duties of the hostess and waitress.

After sufficient practice in the care of the kitchen
and dining room, the pupils are taken to the wards
to apply their knowledge, and throughout the re-
mainder of their service in the Hospital they assist
in serving food to the patients under the supervision
of the instructor.

Nursing. The theory of general nursing is taught
by text-books, lectures, and demonstrations, and a
practical application of the instruction is made so far
as the facilities of the Hospital will allow. Much of
the ordinary routine work of a nurse is the same for
patients treated here as for those in a general hospital,
while in the matter of bathing, changing bed and per-
sonal clothing, serving food, giving enemata, etc., it
is often much more difficult.

The lectures on nursing given during the second
year include a description of various diseases, a con-
sideration of methods of prevention, the various
remedial measures emplo3^ed in the treatment of
these diseases, and their nursing care.

The teaching of obstetrical nursing is necessarily
by the use of text-books and by lectures. Many

242

McLean Hospital Training School for Nurses.

nurses, after graduation, take a ^hree months' course
at some maternity hospital. The nursing of cases of
nervous and mental diseases is taught by recitations,
lectures, demonstrations in the wards by the super-
intendent of nurses, supervisors, and head nurses,
and actual practice in the care of the patients of the
Hospital. Besides this, written reports of individual
cases are required, and nurses are taught to observe
and make daily notes of cases under their care.

Previous to the consideration of insanity, a brief
description of the normal mind is given in eight lec-
tures. In order to make it as practical as possible,
patients are assigned to each nurse to observe and to
report verbally upon as to the condition of the vari-
ous mental states or faculties while they are under
discussion. Lectures are given on the causation,
symptoms, treatment, and nursing care of the ditfer-
ent forms of mental disease, with special attention to
the duties of the nurses.

FIRST YEAR.

Women : October — January.

Preparatory Course.

Applied Anatomy: Lecture, Dr. Abbot, 15 hours.

Physiology: Lecture^ 12 hours.

Physiology: Recitatioti^ Miss Mcintosh, 12 hours.

Physiolog}' and Hygiene (Hutchison) : Recitation, Mrs. Holmes,

15 hours.
Hygiene : Lecture, Dr. Bond, 8 hours.
Hygiene : Recitation, Miss Woodward. 8 hours.
Bacteriology: Lecture, Dr. Packard, 5 hours.
Bacteriology : Recitation, Miss Woodward, 8 hours.
Dietetics and Cookery: Lecture, demonstration, and practice. Miss

Swanson, 72 hours.

243

McLean Hospital Training School for Nurses.

Drugs and Materia Medica : Lecture^ demonstration^ and practice,

Mr. Burdette, 15 hours.
Housekeeping : De?nofistraiion and practice, Miss Mcintosh, 10

hours.
Nursing : Demonstration and practice, Misses Mcintosh, Leach,

and Macdonald, 10 hours.
Massage : Demonstratioji and practice. Miss Taylor, 1 2 hours.
Gymnastics : Demonstration and practice, Miss Taylor, 1 2 hours.

February — May.

Applied Anatomy : Lecture, Dr. Abbot, 1 5 hours.

Personal Hygiene (Pyle) : Recitation, Miss Luscombe, 8 hours.

Bacteriology and Surgical Technic (Stoney) : Recitation, Miss

Mcintosh, 8 hours.
Technic of Asceptic Surgery : Demonstration and practice. Miss

Mcintosh, 10 hours.

Men : October — May.

Applied Anatomy : Lecture, Dr. Abbot, 30 hours.

Physiology and Hygiene (Hutchison): Recitation, Dr. Pease 15

hours.
Hygiene : Lecture, Dr. Bond, 8 hours.
Bacteriology : Lecture, Dr. Packard, 5 hours.
Hydrotherapy, Zander Apparatus and Electricity : Demonstration

and practice, Mr. Holmes and Dr. Packard, 10 hours.
Massage : Demonstration and practice, Mr. Holmes, 1 2 hours.
Gymnastics: Demonstration and practice, Mr. Holmes, 12 hours.
Housekeeping : De?}tonstration and practice, Mr. Magoon and

Head Nurses, 12 hours.
Nursing : Demonstration and practice, Mr. Magoon and Head

Nurses, 12 hours.

SECOND YEAR.
Women : October — May.

Nursing : Lecture, Dr. Abbot, 30 hours.

Text-book of Nursing (Weeks-Shaw) : Recitation, Miss Mcintosh
15 hours.

How to Care for the Insane (Granger) : Recitation, Miss Wood-
ward, 10 hours.

244

McLean Hospital Training School for Nurses,

Materia Medica (Stoney) : Recitation, Dr. Cady, 8 hours.
Medical Gymnastics : Devionstraiiofi and practice, Miss Taylor, 12

hours.
Hydrotherapy, Zander Apparatus and Electricity : Demonstration

and practice, Miss Taylor and Dr. Packard, 18 hours.

Men : October — May,

Nursing : Lecture, Dr. Abbot, 30 hours.

Text-book of Nursing (Weeks-Shaw) : Recitation^ Mr. Magoon,
15 hours.

Drugs and Materia Medica: Lecture^ de?nonstration, and practice,
Mr. Burdette, 15 hours.

Technic of Aseptic Surgery : Demonstration and practice,
Mr. Magoon, 10 hours.

Dietetics and Cookery : Demonstration and practice, Miss Swan-
son, 24 hours.

THIRD YEAR.

Women : October — May.

Physiology and Hygiene (Hutchison) : Recitation, Miss Wood-
ward, 8 hours.
Mental Diseases : Lecture, Dr. Tuttle, 24 hours.
Handbook for the Instruction of Attendants on the Insane ;

Recitation, Miss Woodward, 5 hours.
Manual of Nursing (Humphrey) -.Recitation, Miss Woodward, 10

hours.
Obstetric Nursing (Fullerton) : Recitation, Miss Woodward, 10

hours.
Urinalysis : Lecture, demonstration, and practice, 6 hours.
Gynaecology : Lecture and demonstration, 10 hours.

Men : October — May.

Mental Diseases : Lecture, Dr. Tuttle, 24 hours.

How to Care for the Insane (Granger) : Recitation, Mr. Magoon,

10 hours.
Manual of Nursing (Humphrey) : Recitation, Mr. Magoon, 10

hours.
Genito-Urinary Diseases : Lectures, demonstration, and practice,

10 hours.

LIST OF HOUSE PUPILS.

Adams, Benjamin Faneuil Dunkin Surg. 1863

Died 1895.

Adams, Charles Goldthwaite Surg. 1850

Died 1852.

Albee, Fred Houdelett South Surg. 1904

125 West 5Stb St., New York City.

Alden, Eliot West Surg. 1902

710 East Madison Ave., Cleveland, Ohio.

Allen, Dudley Peter West Surg. 1880

1110 Euclid Ave., Cleveland, Ohio.

Allen, Freeman South Surg. 1900

5 Mt, Vernon Place, Boston.

Allen, Seabury Wells West Surg. 1898

4 East 41st St., New York City.

Andrews, Thomas Surg. 1847

Died 1852.

Ayer, James Bourne Surg. 1872

518 Beacon St., Boston.

Badger, George Sherwin Clark West Med. 1898

48 Hereford St., Boston.

Bain, John Baxter East Med. 1903

348 Haverhill St., Lawrence, Mass.

Balch, Franklin Greene West Surg. 1893

279 Clarendon St., Boston.

Baldwin, Henry Cutler East Surg. 1885

126 Commonwealth Ave., Boston.

Barker, Williston Wright 'West Med. 1908

4 Lyndhurst St., Dorchester, Mass.

Barnes, Allen Foster South Surg. 1903

83 Brattle St., Cambridge.

Barney, Charles Norton West Med. 1896

Care Surgeon General, United States Army.

Barney, George Lawrence East Surg. 1895

Died 1898.

Barney, James Bellinger East Surg. 1905

384 Commonwealth Ave., Boston.

Barrett, Benjamin Apothecary 1823

Died 1869.

Barrett, Henry Augustus Med. 1844

Died 1899.

Bartlett, Lyman Med. 1832

Died 1865.
245

246

List of House Pupils.

Bartol, Edward Francis Washburn East Surg. 1901

jNIilton, Mass.

Bartol, John Washburn East Surg. 1891

1 Chestnut St., Boston.

Bates, Everett Alanson East Med. 1891

6 Chestnut St., Springfield, Mass.

Beach, Henry Harris Aubrey Surg. 1867

28 Commonwealth Ave., Boston.

Beal, Howard Walter South Surg. 1899

55 Pearl St., Worcester, Mass.
Beals, Lynn Staley West Med, 1905

134 N. Norwood St., Buffalo, N. Y.

Beebe, Arthur Appleton East Surg. 1899

Died 1900.

Belknap, James Lyman West Med. 1904

Massachusetts General Hospital.

Bell, Charles Surg. 1854

Chester, N. H. ?

Benner, Richard Standwood West Surg. 1903

2 Temple St., Springfield, Mass.

Bertody, Charles Surg. 1846

Died 1893.

Bigelow, Henry Jacob Med. 1838

Died 1890.

Bigelow, Leslie Lawson West Surg. 1908

185 E. State St., Columbus, Ohio.

Binney, Horace South Surg. 1902

1 Marlboro St., Boston.

Blake, John George Surg. 1860

212 Beacon St., Boston.

Blake, Samuel Coleman Med. 1852

Died 1897.

Blanchard, Albert Henry Med. 1850

Sherborn, Mass.

Blodget, Albert Novatus Surg. 1870

51 Massachusetts Ave., Boston.

Boos, William Frederick West Med. 1902

28 Newbury St., Boston.

Booth, Edward Chauncey West Med. 1877

40 Boston St., Somerville, Mass.

Borland, John Nelson Med. 1850

Died 1890.

Boutelle, James Thacher Surg. 1870

Hampton, Va.

Boutwell, Henry Thatcher Surg. 1869

164 Myrtle St., Manchester, N. H.

Boutwell, Horace Keith East Med. 1905

483 Beacon St., Boston.

247

List of House Pupils.

Bowditch, Henry Ingersoll Med. 1830

Died 1892.

Bowditch, Vincent Yardley East Med. 1879

500 IJeacon St., Hoston.

Bowen, John Templeton West Med. 1883

14 Marlboro St., Boston.

Bradford, Edward Hickling Surg. 1872

133 Newbury St., Boston.

Brannan, John Winters East Surg. 1878

11 West 12th St., New York City.

Brewster, George Washington Wales .... East Surg. 1893

277 Clarentlon St., Boston.

Bridge, Horatio Med. 1870

Paoli, Ind.

Briggs, Charles Edwin East Surg. ._ 1898

118 Lenox Bldg., Cleveland, Ohio.

Briggs, Frederick Melancthon East Surg. 1884

31 Massachusetts Ave., Boston.

Bright, George Adams Med. 1859

Brooks, William Allen East Surg. 1892

167 Beacon St., Boston.

Broughton, Arthur Nicholson South Surg. 1898

10 Roanoke Ave., Jamaica Plain, Mass.

Brown, Dillon West Surg. 1885

28 West 59th St., New York City.

Brown, Francis Henry Med. 1860

28 State St., Boston.

Brown, Lloyd Thornton South Surg. 1908

70 Elm St., Worcester, Mass.

Buckingham, Edward Marshall West Surg. 1874

342 Marlboro St., Boston.

Buffum, William Henry East Med. 1903

Benefit St., Providence, R. I.

Bullard, William Norton East Med. 1880

89 Marlboro St., Boston.

Bumstead, Freeman Josiah Surg. 1850

Died 1879.

Burlingham, Louis Herbert West Med. 1907

Massachusetts General Hospital.

Burnett, Francis Lowell South Surg. 1908

Elmwood, Cambridge, Mass.

Burnett, Waldo Irving Med. 1849

Died 1854

Burnham, Elmond Arthur West Med. 1893

154 Huntington Ave., Boston.

Burrage, Thomas Jayne East Med. 1904

139 Park St., Portland, Maine.

248

List of House Pupils.

Bush, John Standish Foster East Surg. 1874

651 Boylston St., Boston.

Butler, Charles Shorey East Surg. 1899

257 Newbury St., Boston.

Butler, Joel Ives South Surg. 1905

26 Maple St., Springfield, Mass.

Cabot, Arthur Tracy West Surg. 1876

1 Marlboro St., Boston.

Cabot, Hugh South Surg. 1899

87 Marlboro St., Boston.

Cabot, Richard Clarke East Med. 1894

190 Marlboro St., Boston.

Capps, Joseph Almarin East Med. 1896

100 state St., Chicago, 111.
Carney, Sidney Howard Med. 1860

Sailors' Snug Harbor Hospital, New Brighton, Staten Island, N. Y.

Caryl, Lucian Willard Surg. 1829

Died 1837.

Chadbourne, Arthur Patterson East Med. 1890

193 Beacon St., Boston.

Chadwick, James Read Surg. 1870

Died 1905.

Chamberlain, Weston Percival West Med. 1898

Care Surgeon General, United States Army.

Chandler, Norman Fitch West Med. 1888

27 High St., Medford, Mass.

Channing, Walter Surg. 1871

Channing Sanatorium, Brookline, Mass.

Chapin, Lawrence Dudley East Med. 1908

20 Maple St., Springfield, Mass.

Chase, Henry Melville West Surg. 1902

409 Marlboro St., Boston.

Chauncey, Charles William Apothecary 1823

Died 1864.

Churchill, Frank Spooner West Med. 1891

439 N. State St., Chicago, 111.

Chute, Arthur Lambert South Surg. 1895

350 Marlboro St., Boston.

Clap, Edmund Wright East Med. 1895

222 Marlboro St., Boston.

Clark, George Oliver East Surg. 1904

142 Beacon St., Boston.

Clark, John Howe Med. 1861

Amherst, N. H.

Clark, Joseph Payson East Surg. 1887

71 Marlboro St., Boston.

Clark, Nelson "Henry West Med. 1905

131 N. Highland Ave., I'ittsburg, I'a.

Cobb, Farrar East Surg. 1893

317 Marlboro St., Boston.

249

List of House Pupils.

Codman, Ernest Amory East Surg. 1895

227 Beacon St., Boston.

Cogswell, William South Surg. 1896

1069 Boylston St., Boston.

Conant, William Merrit West Surg. 1884

486 Commonwealth Ave., Boston.

Cooke, Henry Arnold East Med. 1897

234 Benefit St., Providence, R. I.

Coolidge, Algernon, Jr East Surg. 1886

613 Beacon St., Boston.

Coolidge, Frederick Shurtleff West Surg. 1891

103 State St., Cbicago, 111.

Cooper, Charles Wendell West Surg. 1877

Died 1897.

Cotton, Frederick Jay West Surg. 1894

425 Marlboro St., Boston

Coues, William Pearce West Surg. 1895

261 Beacon St., Boston

Crandell, Arthur Richmond South Surg. 1898

6" Spring St., Taunton, Mass.

Crane, Phineas Miller Apothecary 1826

Died 1882.

Crosbie, Arthur Hallam East Surg. 1907

29 Commonwealth Ave., Boston.

Cummin, John White South Surg. 1897

9 Massachusetts Ave., Boston.

Curtis, Hall Surg. 1856

Died 1906.

Cushing, Edward Fitch East Surg. 1888

3849 Prospect Ave., Cleveland, Ohio.

Cushing, Edward Fitch West Med. 1890

3849 Prospect Ave., Cleveland, Ohio.

Cushing, Harvey Williams South Surg. 1897

107 East Chase St., Baltimore, Md.

Cushing, Joseph Whitney Surg. 1860

Died 1897.

Cusick, Lawrence Francis East Surg. 1906

99 Newbury St., Boston.

Cutler, Elbridge Gerry Med. 1871

214 Beacon St., Boston.

Cutler, William Ward Med. 1835

Died 1870.

Dalton, John Call Surg. 1847

Died 1889.
Dana, Francis Med. 1829

Died 1872.

Dane, John East Surg. 1893

29 Marlboro St., Boston.

250

List of House Pupils.

Davenport, Francis Henry Med. 1875

419 Boylston St., Boston.

Davis, Abel Albert . East Surg. 1894

Calumet, Mich.

Davis, Lincoln East Surg. 1899

217 Beacon St., Boston.

Davis, William Augustus Med, 1840

Died 1898.

Davis, William Horace West Surg. 1898

23 Beaumont St., Asbmont, Mass.

DeCourcillon, Eugene Med. 1857

Died.
Denny, Francis Parkman West Med. 1895

111 High St., Brookline, Mass.

DeNormandie, Robert Laurent East Surg. 1903

31 Massachusetts Ave., Boston.

Derby, George Strong East Surg. 1901

7 Hereford St., Boston.

Derby, Hasket Surg. 1857

352 Beacon St., Boston.

Derby, Richard Henry Surg. 1866

Died 1907.

Dexter, Richard East Med. 1906

121 Beacon St., Boston.

Dolliver, George Carroll South Surg. 1895

Died 1897.

Donoghue, James Crowley East Med. 1897

236 Newbury St., Boston.

Dunbar, Franklin Asaph East Med. 1882

Bouita, Cal.

Dunn, Charles Hunter West Med. 1901

220 Marlboro St., Boston.

Dunn, William Aloysius West Surg. 1875

139 Beacon St., Boston.

Dupee, Horace Surg. 1835

Died 1891.

Durand, Henry Strong West Surg. 1887

87 South Fitzhugh St., Rochester, N. Y.

Dwight, Thomas Surg. 1866

235 Beacon Street, Boston.

Dyer, Ezra Surg. 1858

Died 1887.

Eastman, Theodore Jewett West Med. 1907

330 Dartmouth St., Boston.

Easton, Charles Daniel East Med. 1905

98 Mill St., NewiJort, R.I.

Edes, Richard Howard East Surg. 1895

Died 1901.

251

List of .House Pupils

Ela, Walter East Surg. 1875

13 Asli St., Cambridge, Mass.

Eliot, George West Surg. 1890

Died 1891.

Elliot, John Wheelock West Surg. 1878

124 Beacon St., Boston.

Ellis, Calvin Med. 1849

Died 1883.

Ellis, Joshua James Med. 1851

Died 18G1.

Emerson, Benjamin Kendall, Jr East Surg. 1902

37 Pearl St., Worcester, Mass.

Emerson, Edward Waldo West Surg. 1874

Concord, Mass.

Emmons, Arthur Brewster, 2d West Surg. 1905

1378 Beacon St., Brookline, Mass.

Eustis, John Fenwick Med. 1839

Died 1844.

Eveleth, Charles Wilson West Med. 1904

237 West 127tli St., New Yorls City.

Everett, Oliver Hurd East Surg. 1877

53 Pearl St., Worcester, Mass.

Fabyan, Marshall East Med. 1905

Warren St., Brookline, Mass.

Farlow, William Gilson Surg. 1869

24 Quincy St., Cambridge, Mass.

Finney, John Miller Turpin West Surg. 1889

1300 Eutaw Place, Baltimore, Md.

Fisk, Arthur Lyman West Surg. 1890

41 West 50th St., New York City.

Fitch, Ralph Roswell West Med. 1904

209 East Ave., Rochester, N.Y.

Flagg, Elisha East Surg. 1902

190 Commonwealth Ave., Boston.

Fletcher, Ezra Wood Med. 1841

Died 1847.

Flint, Carleton Phillips South Surg. 1898

Died 1908.

Flint, John West Surg. 1903

Care Surgeon General, United States Navy.

Flint, John Sydenham Med. 1845

Died 1887.

Floyd, Cleaveland . West Med. 1904

1378 Beacon St., Brookline, Mass.
Folsom, Norton Med. 1863

Died 1903.

Ford, Lester Sackett East Surg. 1882

Died 1882.

252

List of House Pupils.

Foster, Burnside West Surg. 1887

Lowry Arcade, St. Paul, Minu.

Francis, George Ebenezer Surg. 1862

79 Elm St., Worcester, Mass.
Francis, George Hills East Surg. 1887

295 Walnut St., Brookline, Mass.

Frost, Horace Bird East Surg. 1897

100 State St., Chicago, 111.

Gage, Homer East Surg. 1888

72 Pearl St., Worcester, Mass.

Gage, Thomas Hovey Surg. 1851

50 Pearl St. , Worcester, Mass.

Galloupe, Charles William West Surg. 1884

188 Commonwealth Ave., Boston, Mass.

Gannett, William Whitworth West Med. 1879

274 Marlboro St., Boston Mass.

Garland, Frederick Eugene South Surg. 1903

483 Beacon St., Boston, Mass.

Garland, Joseph Everett West Surg. 1876

Died 1907.

Garland, Roy West Surg. 1904

17 Pleasant St., Gloucester, Mass.

Gay, George Henry Surg. 1844

Died 1878.

Gay, Warren Fisher West Surg. 1893

416 Marlboro St., Boston, Mass.

Gibson, Robert Francis West Med. 1902

108 Highland Ave., Somerville, Mass.

Gibson, William Borrowe Surg. 1861

Died 1862.

Gilbert, Louis Whitmore West Med. 1897

1410 Beacon St., Brookline, jNIass.

Godding, Clarence Miles East Surg. 1883

Benefit St., Providence, R. I.

Goodale, Joseph Lincoln West Med. 1893

258 Beacon St., Boston.

Goodall, Harry Winfred West Med. 1903

71 Marlboro St., Boston.

Goodridge, Frederick James South Surg. 1904

5 Appian Way, Cambridge, Mass.

Gould, Alfred Henry South Surg. 1901

Died 1907.

Gould, Augustus Addison Med. 1828

Died 1866.

Graves, James Chapman, Jr East Surg. 1906

20G Hyde Block, Spokane. Wash.

Graves, Robert John East Surg. 1904

5 N. state St., Concord, N. H.

253

List of House Pupils.

Graves, William Phillips East Surg. 1900

395 Beacon St., Boston.

Gray, Francis Henry Med. 1833

Died 1880.

Greene, John Orne Surg. 1865

182 Marlboro St., Boston.

Green, Joshua Apothecary 1821

Died 1875.

Green, Robert Montraville South Surg. 1907

78 Marlboro St., Boston.

Green, Samuel Abbott Surg. 1853

1154 Boylston St., Boston.

Greene, Edward Miller East Med. 1889

20 Mt. Vernon St., Boston.

Greenough, Francis Boott Med. 1865

Died 1904.

Greenough, Robert Battey East Surg. 1896

377 Beacon St., Boston.

Greeijough, Robert Battey West Med. 1897

377 Beacon St., Boston.

Greenwood, Arthur Moses West Surg. 1904

69 Pleasant St., Marblehead, Mass.

Habersham, Joseph Clay •. . . . Med. 1852

Died 1881.

Hale, Josiah Little Surg. 1867

Died 1903.

Hall, Herbert James East Surg. 1896

69 Pleasant St., Marblehead, Mass.

Hamilton, Robert De Lancey East Med. 1904

210 High St., Xewburyport, Mass.

Harmer, Torr Wagner East Surg. 1908

Lying-in-Hospital, Boston.

Harrington, Charles East Med. 1881

Died 1908.

Harrington, Francis Bishop East Surg. 1881

201 Beacon St., Boston.

Harris, Francis Augustine Surg. 1871

483 Beacon St., Boston.

Hartwell, Harry Fairbanks South Surg. 1899

220 Marlboro St., Boston.

Hartwell, John Bryant West Surg. 1905

29 Commonwealth Ave., Boston.

Haskins, Alfred Laonard Med. 1864

Died 187G.

Hastings, William Henry Howe Med. 1867

Died 1900.

Hatch, Royal West Med. 1906

"Wellesley, Mass.

254

List of House Pupils.

Haven, Henry Cecil East Surg. 1877

Stockbridge, >Ias9.

Haven, Samuel Foster Med. 1854

Died 1862.

Hawes, John Brougham, 2d East Med. 1904

2C*o Beacon St., Boston.

Hay, Gustavus Med. 1856

Died I'jos.

Hayden, David Hyslop Surg. 1862

Newport, R. I.

Hayward, George Surg. 1841

Died 19*jl.

Hayward, George Griswold East Surg. 1880

16.D Newbury St., Boston.
Head, John Frazier . . . . ! ! Med. 1843

Died 1905.

Heard, John Theodore Surg. 1858

Died 1906.

Hewes, Henrj- Fo.x East Med. 1895

12.^ Marlboro St., Boston.

Heywood, Charles Frederick Surg. 1846

Died 1893.

Hildreth, Charles Hosea . .- Surg. 1850

Died l.*f4.

Hill, George Hillard West Surg. 1895

66 Pleasant St., Worcester, 3Iass.

Hill, George Sumner East Med. 1901

29.5 Beacon St., Boston.

Hodgdon, Andrew Hall West Med. 1882

Maple Place, Dedham, Mass.

Hodges, William Donnison East Surg. 1881

Died 1893.

Holden, Charles Sumner West Surg. 1883

24 So. ilain St., Attleboro, Mass.

HoUings, Charles Byan West Surg. 1908

63 Ellery St., Cambridge, Mass.

Holmes, Christopher Columbus Surg. 1839

Died 1882.

Holmes, Edward Lorenzo Surg. 1853

Died 1900.

Homans, Charles Dudley Surg. 1849

Died 1886.

Homans, John Surg. 1861

Died 1C«j3.

Homans, John South Surg. 1904

1&4 Beacon St., Boston.

Homans, John, 2d East Surg. 1882

Died 1902.

256

List of House I'upils.

Hooker, Anson Parker Med. 1857

Died 1873.

Hooper, Henry Surg. 1868

10 Astor St., Chicago, 111.

Hosmer, Alfred Surg. 1855

Died 1891.

Houghton, Henry Lincoln West Surg. 1895

419 Boylston St., Boston.

Howe, Estes Med. 1834

Died 1887.

Howe, Octavius Thorndike West Surg. 1877

Room 008, Bay State Bldg., Lawrence, Mass.

Howe, Samuel East Surg. 1875

Died 1879.

Howland, Joseph Briggs West Surg. 1897

Massachusetts General Hospital.

Hoyt, Charles Wentworth West Surg. 1906

209 East Ave., Rochester, N. Y.

Hubbard, Joshua Clap South Surg. 1897

84 Bay State Road, Boston.
Huntington, James Lincoln South Surg. 1908

150 Fisher Ave., Brookline, Mass.

Huntington, Thomas Waterman East Med. 1876

1118 Sutter St., San Francisco, Cal.

Hutchinson, Marcello East Med. 1877

Died 1908.

Hyde, George Smith Med. 1855

Died 1905,

Inches, Charles Edward Surg. 1864

38G Beacon St., Boston.

Jackson, Henry East Med. 1885

380 Marlboro St., Boston.

Jackson, James Marsh West Med. 1891

230 Beacon St., Boston.

Jackson, John Barnard Swett Apothecary 1827

Died 1879.

Jacobs, Henry Barton East Med. 1888

11 Mt. Vernon Place, W. Baltimore, Md.

Jaques, Henry Percy West Med. 1880

Lenox, Mass.

Jelly, Arthur Carleton East Med. 1892

10 Arlington St., Boston.

Johnson, Harold Abbott West Surg. 1901

68 Broad St., Lynn, Mass.

Johnson, John Bates Surg. 1838

St. Louis, Mo.

Johnson, Walter Sidney West Surg. 1899

717 Grant Bldg., Los Angeles, Cal.

256

List of House Tupils.

Johnson, William Otis Med. 1848

Died 1873.

Jones, Claudius Marcellus East Med. 1875

Died 1892.

Jones, Daniel Fiske West Surg. 1897

114 Marlboro St., Boston.

Jones, Ralph Kneeland Med. 1846

Died 1888.

Joslin, Elliot Proctor West Med. 1895

81 Bay State Road, Boston.

Jouett, Frederic Robert West Med. 1900

3 Garden St., Cambridge, Mass.
Kennedy, Arthur Lemuel East Med. 1902

2709 Bond St., Denver, Col.

Kent, Barker Brooks Surg. 1868

Died 1873.

Kidder, Edward Hamilton West Surg. 1894

Died 1898.

Kidner Frederick Clinton South Surg. 1905

16 Brimmer St., Boston.

Kimball, George Morrill West Surg. 1885

266 No. Main St., Concord, N. H.

Kingman, Lucius Collinwood West Surg. 1905

325 Broad St., Providence, R. I.

Kingsley, George Lyle West Surg. 1891

Died 1890.

Kinnicutt, Roger East Med. 1908

72 Cedar St., Worcester, Mass.

Ladd, Maynard West Med. 1900

295 Beacon St., Boston.

Lambert, Alfred Surg. 1845

Died 1885.

Lane, Jonas Henry Apothecary 1824

Died 1861.

Lane, William Nourse Surg. 1852

Died 18G2.

Langmaid, Samuel Woods Surg. 1863

277 Dartmouth St., Boston.

Lecompte, Walter Augustus West Surg. 1899

Died 1907.

Lee, Roger Irving East Med. 1907

259 Beacon St., Boston.

Lee, William George East Surg. 1905

1904 Evanston Ave., Chicago, 111.

Lincoln, Merrick West Med. 1901

2 Linden St., Worcester, Mass.

Lincoln, Rufus Pratt Surg. 1867

Died 1900.

257

List of House Pupils.

Little, John Mason South Surg. 1902

317 Marlboro St., Hoston, Mass.

Locke, Edwin Allen East Med. 1902

117 lieacon St., Boston.

Lombard, Frederick Howard West Surg. 1882

Died 1885.

Lord, Frederick Taylor East Med. 1901

305 Beacon St., Boston.

Lord, Sidney Archer South Surg. 1894

Cromwell Hall, Cromwell, Conn.

Loring, Robert Gardner West Surg. 1896

2 Arlington St., Boston.

Lothrop, Howard Augustus East Surg. 1892

101 Beacon St., Boston.

Lund, Fred Bates West Surg. 1893

529 Beacon St., Boston.
Lynam, Frank West Surg. 1893

216 Alworth Bldg., Duluth, Minn.

Mack, William Surg. 1837

Died 1895.

Manahan, Thomas James South Surg. 1900

14 Newbury St., Boston.

Marshall, Herman Weston West Surg. 1907

36 High St., Brookline, Mass.

Mason, Amos Lawrence Med. 1871

265 Clarendon St., Boston.

Mason, George Edward Surg. 1864

Died 1882.

Mason, William Castein East Surg. 1878

Bangor, Maine.

May, William Ropes East Med. 1900

74 ;Madison Ave., New York City.

Mead, Louis Guy East Med. 1901

259 Beacon St., Boston.

Mears, Elijah Raymond Surg. 1840

Died 1841.

Metcalf, Carleton Ray East Surg. 1907

22 Linnean St., Cambridge, Mass.

Miller, Ernest Parker West Med. 1877

24 Church St., Fitcliburg, Mass.

Minot, James Jackson East Med. 1878

188 Marlboro St., Boston.

Mixter, Charles Galloupe West Surg. 1907

180 Marlboro St., Boston.

Mixter, Samuel Jason West Surg. 1879

180 Marlboro St., Boston.

Mixter, William Jason South Surg. 1907

180 Marlboro St., Boston.

258

List of House Pupils.

Moffit, Herbert Charles East Med. 1895

1818 Broadway, San Francisco, Cal.

Monks, George Howard . East Surg. 1880

67 Marlboro St., Boston.

Moore, Frederick Fiske West Med. 1876

Moorehouse, George Wilton East Med. 1899

842 Logan Ave., Cleveland, Ohio.

Morrill, Ferdinand Gordon Surg. 1868

Died 1907.

Morse, Henry Lee West Surg. 1878

112 Marlboro St., Boston.

Morton, William James Surg. ' 1871

19 East 28th St., New York City.

Moseley, William Edward East Med. 1874

301 West Monument St., Baltimore, Md.

Moseley, William Oxnard West Med. 1878

Died 1879.

Mosher, Harris Peyton East Surg. 1897

828 Beacon St., Boston.

Mumford, James Gregory East Surg. 1890

29 Commonwealth Ave., Boston.

Murphy, Fred Towsley West Surg. 1901

309 Marlboro St., Boston.

Musgrave, Percy East Med. 1899

6 Dupont Circle, Washington, D. C.

Newell, Franklin Spilman South Surg. 1896

379 Beacon St., Boston.

Newell, Otis Kimball East Surg. 1883

68 St. James Ave., New York City.

Newhall, Harvey Field East Surg. 1906

82 Broad St., Lynn, Mass.

Newhall, Herbert William West Med. 1883

82 Broad St., Lynn, Mass.

Nichols, Arthur Howard Surg. 1865

55 Mt. Vernon St., Boston.

Norton, Chauncey Williams West Surg. 1902

Cazenovia, N. Y.

Oakman, Carl Shepard East Surg. 1904

32 Adams Ave., Detroit, Mich.

Odin, John Surg. 1832

Died 18(>4.

Odiorne, Walter Burlingame East Surg. 1900

Died 1906.

Oliphant, Robert Woodruff Med. 1848

Died 1883.

Oliver, Henry Kemble Med. 1854

St. Botolph Club, Boston.

269

List of House I'upils.

Oliver, Joseph Pearson Med. 1870

Died 1903.

O'Neil, Richard Frothingham West Surg. 1895

379 Beacon St., Boston.

O'Neil, Richard Frothingham East Med. 1896

379 Beacon St., Bos<ton.

Ordway, Clarence Eugene West Surg. 1906

Wincliester, Mass.

Osgood, Robert Bayley West Surg. 1900

372 Marlboro St., Boston.

Otis, Walter Joseph West Surg. 1880

207 Beacon St., Boston.

Overlander, Charles Leonard West Med. 1906

127 Newbury St., Boston.

Page, William Hussey Surg. 1852

Died 1888.

Painter, Charles Fairbanks East Surg. 1896

372 Marlboro St., Boston.

Palfrey, Francis Winslow West Med. 1903

88 Beacon St., Boston.

Park, John Gray Med. 1861

Died 1905.

Parker, Willard Med. 1829

Died 1884.

Parkman, Samuel Med. 1836

Died 1854.

Peabody, Francis Weld East Med. 1908

13 KirklandSt., Cambridge, Mass.

Pearl, Frederick Warren East Surg. 1895

Hotel Tendome, Boston.

Pease, Edward Allen West Surg. 1892

1684 Beacon St., Brookline, Mass.
Pegram, John Combe, Jr West Surg. 1896

Died 1906.

Pfeiffer, Oscar Joseph East Surg. 1884

5212 Colfax Ave., Denver, Col.

Phillips, Jerrie Knowlton West Surg. 1886

Died 1899.

Phippen, Hardy East Surg. 1889

84 Wastiington St., Salem, Mass.

Phippen, Walter Gray South Surg. 1906

88 Washington Sq., Salem, Mass.

Pierce, George Burgess West Surg. 1900

178 Devonshire St., Boston.

Pierson, Edward Brooks Surg. 1842

Died 1874.

Porter, Charles Allen East Surg. 1893

254 Beacon St., Boston.

260

List of House Pupils.

Porter, Charles Burnham Surg. 1864

5 Arlington St., Boston.

Porter, Francis Edward Surg. 1872

Auburndale, Mass.

Post, Abner Surg. 1869

Ifi Newbury St., Boston.

Potter, Alexander Carleton South Surg. 1900

186 Commonwealth Ave., Boston.

Potter, Nathaniel Bowditch East Med. 1898

48 West 51st St., New York City.

Pratt, Calvin Surg. 1865

South St., Bridgewater, Mass.

Pratt, Herbert James Med. 1867

Care Francis Bartlett, 40 State St., Boston.

Pratt, John Washburn West Surg. 1886

Dedham, Mass.

Prescott, Henry Dudley East Surg. 1904

108 S. Ash St., New Bedford, Mass.

Putnam, Charles Pickering Med. 1868

63 Marlboro St., Boston.

Putnam, Charles Russell Lowell South Surg. 1895

121 East 38th St., New York City.

Putnam, James Jackson Med. 1869

lOG Marlboro St., Boston.

Quinby, William Carter East Surg. 1903

330 Dartmouth St., Boston.

Quincy, Henry Parker Surg. 1866

Died 1899.

Ray, Benjamin Lincoln Med. 1858

Died 1879.

Reynolds, Edward East Surg. 1885

65 Marlboro St., Boston.

Reynolds, John Phillips Med. 1851

416 Marlboro St., Boston.

Reynolds, Joseph Apothecary 1825

Died 1872.

Rice, Alexander Hamilton East Surg. 1905

389 Beacon St., Boston.

Richardson, Edward Pierson East Surg. 1907

224 Beacon St., Boston.

Richardson, Mark Wyman West Med. 1895

419 Boylston St., Boston.

Richardson, Maurice Howe East Surg. 1877

224 Beacon St., Boston.

Richardson, William Lambert Med. 1866

225 Commonwealth Ave., Boston.

Risley, Edward Hammond East Surg. 1908

Newburyport, Mass.

261

List of House I'upils.

Robbins, Chandler South Surg. 1905

259 Beacon St., Boston.

Robinson, Samuel South Surg. 1902

355 Marlboro St., Boston.

Robinson, Samuel Quincy Surg. 1876

Died 1899.

Ropes, Francis Codman Surg. 1859

Died 18G9.

Rotch, Thomas Morgan West Med. 1874

197 Commonwealth Ave., Boston.

Sabine, George Kraus Surg. 1872

30 Irving St., Brookline, Mass.

Salisbury, Stephen Surg. 1834

Died 1875.

Sanford, Henry Lindsay East Surg. 1901

275 Prospect St., Cleveland, Ohio.

Sargent, Joseph Med. 1837

Died 1888.

Sargent, Lucius Manlius Surg. 1855

Died 1864.

Sawyer, Albert Franklin Surg. 1851

Died 190.3.

Sawyer, Wilbur Augustus West Med. 1908

2345 Telegraph Ave., Berkeley, Cal.

Sayward, William Henry, Jr., West Med. 1900

Wayland, Mass.

Schram, Charles West Med. 1886

52 East 82d St., New York City.

Scudder, Charles Locke East Surg. 1889

189 Beacon St., Boston.

Scudder, Gardiner Hubbard West Med. 1896

Died 1896.

Sears, George Gray West Med. 1885

426 Beacon St., Boston.

Seaverns, Joel Med. 1853

Died 1894.

Seelye, Ralph Holland East Surg. 1891

37 Chestnut St., Springfield, Mass.

Seelye, Walter Clark . , West Surg. 1900

64 William St., Worcester, Mass.

Sewall, John Gallison Med. 1847

Died 1872.

Shattuck, Frederick Cheever Med. 1872

135 Marlboro St., Boston.

Shattuck, George Cheever East Med. 1906

227 Beacon St., Boston.

Shaw, Henry Alden West Surg. 1891

Major-Surgeon, United States Army, Washington, D. C.

262

List of House Pupils.

Sheahan, George Maurice West Surg. 1908

Quincy, Mass.

Sherman, Thomas Foster West Med. 1881

Died 1893.

Sibley, Benjamin Ernest South Surg. 1906

1407 Beacon St., Brookline, Mass.

Simmons, Channing Chamberlain East Surg. 1900

66 Beacon St., Boston.

Sinclair, Alexander Doull Med. 1856

38 Lornsen Strasse, Kiel, Schleswig- Holstein, Germany.
Slade, Daniel Denison Surg. 1848

Died 1896.

Smith, Harold Wellington South Surg. 1903

Care Surgeon General, United States Navy.
Smith, Hervey Lewis West Med. 1907

179i State St., Springfield, Mass.

Smith, Ira St. Clair Surg. 1868

Died 1891.

Smith, William Henry West Med. 1897

377 Beacon St., Boston.

Smith, WilUam Lord West Surg. 1892

397 Marlboro St., Boston.

Spalding, Roger East Med. 1902

Duxbury, Mass.

Sparhawk, Thomas Med. 1831

Died 1874.

Spear, Louis Mahlon East Med. 1906

Hotel Westminster, Boston.

Sprague, Richard . West Surg. 1888

Died 1892.

Stearns, John Surg. 1859

Died 1898.

Stedman, Charles Ellery Surg. 1854

17 Edgeliill Road, Brookline, Mass.

Stedman, George West Surg. 1875

380 Newbury St., Boston.

Stedman, Henry Rust East Surg. 1874

South St., Brookline, Mass.

Stevens, Horace Paine West Surg. 1907

1911 Massachusetts Ave., N. Cambridge, Mass.

Stevens, Lewis Tibbets West Med. 1887

Died 1898.

Stickney, Josiah Henry Surg. 1857

Died 1901.

Stone, Arthur Kingsbury West Surg. 1888

543 Boylston St., Boston.

Stone, James Savage East Surg. 1894

234 Marlboro St., Boston.

263

List of House Pupils.

Storer, Malcolm East Surg. 1890

5 Brimmer St., Boston.

Stowell, Edmund Channing East Med. 1893

OO'J Centre St., Jamaica Plain, Mass.

Strong, Charles Pratt West Surg. 1881

Died 1893.

Sturgis, Frederick Russell Surg. 1866

116 West 55th St., New York City.

Swain, Howard Townsend East Surg. 1898

68 Marlboro St., Boston.

Swain, Howard Townsend West Med. 1899

68 Marlboro St., Boston.

Swan, Charles Walter Med. 1863

119 Livingston Ave., Lowell, Mass.

Swan", William Donnison East Surg. 1886

167 Brattle St., Cambridge, Mass.

Swett, Samuel Surg. 1831

Died.

Swift, William Nye East Med. 1881

378 Countj- St., New Bedford, Mass.

Talbot, Fritz Bradley East Med. 1907

171 Bay State Rd., Boston.

Tarbell, George Grosvenor Surg. 1864

Died 1900.

Taylor, Frederick Weston East Med. 1882

1735 Massachusetts Ave., N. Cambridge, Mass.

Thayer, William Henry Med. 1842

Died 1897.

Thayer, William Sydney West Med. 1889

Johns Hopkins Hospital, Baltimore, Md.

Thomas, Thomas Kemble Surg. 1830

Died 1863.

Thompson, Frederick Henry Surg. 1869

3 Pleasant St., Fitchburg, Mass.

Thorndike, Augustus West Surg. 1889

601 Beacon St., Boston.

Thorndike, William Surg. 1856

Died 1884.

Thorndike, William Henry Surg. 1848

Died 1884.

Tilden, George Horton East Surg. 1876

Naples, Italy.

Tileston, Wilder East Med. 1900

117 Beacon St., Boston.

Tobey, James Edwin Surg. 1871

Died 1891.

Torbert, James Rockwell East Surg. 1902

252 Marlboro St., Boston.

264

List of House Pupils.

Tower, Charles Carroll Med. 1858

Died 1893.

Townsend, Charles Wendell East Med. 1886

76 Marlboro St., Boston.

Townsend, William Edward Surg. 1843

Died 18CG.

Tuck, Henry ' . Surg. 1833

Died 1845.

Tuck, Henry Med. 1866

Died 1904.

Van Niiys, Fresenius East Med. 1907

Weston, Mass.

Vaughn, Charles Everett Med. 1862

Died 1904.

Vickery, Eugene Augustus West Surg. 1904

Care Surgeon General, United States Navy.

Vickery, Herman Frank West Med. 1882

263 Beacon St., Boston.

Vincent, Beth West Surg. 1903

227 Beacon St., Boston.

Vose, Robert Henry East Surg. 1897

347 Marlboro St., Boston.

Wadsworth, Oliver Fairfield Med. 1863

526 Beacon St., Boston.

Wadsworth, Richard Goodwin South Surg. 1901

323 Beacon St., Boston.

Wakefield, Alley Talbot West Surg. 1883

Died 188G.

Walcott, William Walter South Surg. 1906

32 West Central St., Natick, Mass.

Warren, Hobart Endicott East Surg. 1894

Ashbnrnham, Mass.

Warren, John Collins Surg. 1865

58 Beacon St., Boston.

Washburn, Frederic Augustus South Surg. 1897

Massachusetts General Hospital.

Waterman, George Arthur West Med. 1901

395 Marlboro St., Boston.

Waterman, Thomas Surg. 1867

Died 1901.

Watson, Francis Sedgewick East Surg. 1879

92 Marlboro St., Boston.

Webster, Fred Patterson West Med. 1902

12 Pine St., Portland, Maine.

Weis, Joseph Deutsch West Med. 1899

1548 Jackson Ave., New Orleans, La.

West, George Webb West Surg. 1879

Died 1897.

265

List of House Pupils.

Wheeler, Alfred Augustus South Surg. 1894

48 >lt. Pleasant St., Leominster, Mass.
Wheeler, John Brooks East Surg. 1879

210 Pearl St., lUirlington, Vt.

Wheeler, Leonard Med. 1869

12 Cliestnut St., Worcester, Mass.
Whipple, Jeremiah Med. 1865

Died 1871.

White, Franklin Warren East Med. 1896

416 Marlboro St., Boston.

White, James Clark " Med. 1855

2r/J Marlboro St., Boston.

White, John Lane Med. 1854

Died 1902.

Whiteside, George Shattuck West Surg. 1898

Dekum Bldg., Portland, Ore.

Whitney, James Lyman West Med. 1906

Schroth Bldg., Union Sq., San Francisco, Cal.

Whitney, William Fiske West Med. 1875

228 Marlboro St., Boston.

Whittemore, James Madison Apothecary 1822

Died 1863.

Whittemore, Wyman West Surg. 1906

259 Beacon Street, Boston.

Whittier, Edward Newton Med. 1868

Died 1902.

Willard, Josiah Newell Med. 1859

Died 1870.

Willard, Robert Med. 1862

Died 1892.

Williams, Hugh West Surg. 1899

267 Beacon St., Boston.
Winn, William Adams . . . . ' East Surg. 1876

Died 1889.

Winslow, Fred Bradlee South Surg. 1901

275 Clarendon St., Boston.

Witherlee, Charles Bryant West Surg. 1881

77 Park St., Portland, Maine.

Wood, Edward Stickney Surg. 1870

Died 1905.

Woodbury, Frederick Clinton East Med. 1887

Died 1886.

Woodbury, Willard Porter East Surg. 1908

167 Hale St., Beverley, Mass.

Workman, William Hunter Med. 1871

■Worcester, Mass.

Wyman, Morrill Med. 1836

Died 1903.

266

List of House Pupils.

Yost, Jno. Dixon East Surg. 1898

Care of Surgeon General, United States Army.

Young, Ernest Boyen West Surg. 1897

434 Marlboro, St., Boston.

Young, James Herbert West Med. 1908

Amesbury, Mass.

OFFICERS OF THE INSTITUTION.
1909.

President.
Francis C. Lowell.

Vice-President.
Charles G. Weld, M.D.

Treasurer.
Charles H. W. Foster, 50 Congress Street.

Secretary.
John A. Blanchard, 39 Court Street.

Trustees.

Henry P. Walcott, M.D., Chairman, 142 State House.

Francis Henry Appleton, 251 Marlboro Street.

Francis Bl.\ke, Aubumdale, Mass.

Charles H. W. Foster, 50 Congress Street.
*Charles p. Greenough, 39 Court Street.

Francis L. Higginson, 50 State Street, Room 68.
*Henry S. Howe, 89 Franklin Street.
*Henry S. Hunnewell, 87 Milk Street.
*David p. Kimball, 35 Congress Street.

Nathaniel Thayer, 50 State Street.

George Wigglesworth, 53 State Street, Room 1004.

Moses Wiluams, 126 State Street.

Administrator.
Frederic A. Washburn, M.D.

Assistant Administrator.
Joseph B. Howland, M.D.

Board of Consultation.
Algernon Coolidge, M.D. Charles B. Porter, M.D.

Frederick I. Knight, M.D. John Collins Warren, M.D,

Oliver F. Wadsworth, M.D. John W. Elliot, M.D.

George F. Jelly, M.D. Henry H. A. Beach, M.D.

William L. Richardson, M.D. Arthur T. Cabot, M.D.

James C. White, M.D. George L. Walton, M.D.

Edward Cowles, M.D. Reginald H. Fitz, M.D.

Elbridge G. Cutler, M. D.

•Appointed by the Governor of the Commonwealth.

267

268

Officers of the Institution.

STANDING COMMITTEES OF THE TRUSTEES.

Admitting McLean Hospital Patients.
Messrs. Appleton, Foster, and Greenough.

Finance.
Messrs. Kimball, Howe, Thayer, and Williams.

Accounts and Expenditures.
Messrs. Thayer, Williams, and Foster.

Buildings and Repairs.
Messrs. Blake, Foster, Higginson, and Hunnewell.

Free Beds.
Messrs. Williams, Howe, and Blake.

Book of Donations.
Mr. Wigglesworth.

Nominations.
Messrs. Wigglesworth, Williams, and Walcott.

General Hospital Training School for Nurses.
Messrs. Walcott, Hunnewell, and Appleton.

General Library and Warren Fund.
Messrs. Howe, Hunnewell, and Greenough.

Dalton Scholarship.
Messrs. Walcott, Higginson, and Hunnewell.

Ether Day.
Messrs. Walcott, Williams, and Greenough.

VISITING COMMITTEES

1909.

March and September.
Messrs. Howe and Greenough.

April and October.
Messrs. Kimball and Wigglesworth.

269

Officers of the Institution.

May and November.
Messrs. Appleton and Foster.

June and December.
Messrs. Walcott and Higginson.

July.
Messrs. Thayer and Williams.

August.
Messrs. Blake and Hunnewell.

January, June, and December.
Messrs. Thayer and Williams.

February and July.
Messrs. Blake and Hunnewell.

March and September.
Messrs. Kimball and Wigglesworth.

tADIES' VISITING COMMITTEE.

January.

Mrs. a. L. Joslin, 517 Beacon Street.
Mrs. Nathaniel Thayer, 22 Fairfield Street.
Miss Rosamond Gibson, 137 Beacon Street.
Mrs. Lincoln Davis, 217 Beacon Street.

February.
Mrs. a. L. Joslin, 517 Beacon Street.
Mrs. Nathaniel Thayer, 22 Fairfield Street.
Miss Rosamond Gibson, 137 Beacon Street.
Mrs. Lincoln Dams, 217 Beacon Street.

March.
Mrs. F. L. Higginson, 274 Beacon Street.
Mrs. Hugh Whitney, 14 Gloucester Street.
Miss A. N. Ward, 304 Marlboro Street.

April.
Mrs. F. L. Higginson, 274 Beacon Street.
Mrs. Hugh Whitney, 14 Gloucester Street.
Miss A. D. Blake, 265 Beacon Street.
Mrs. Charles A. Coolidge, 82 Marlboro Street.

270

Officers of the Institution.

May.
Mrs. Wm. T. Councilman, 78 Bay State Road.
Mrs. Barrett Wendell, 358 Marlboro Street.
Mrs. Arthur D. Hill, 83 Mt. Vernon Street.

June.
Mrs. Arthur D. Hill, 83 Mt. Vernon Street.
Mrs. J. G. Mumford, Chestnut Hill.
Mrs. Richard W. Hale, Needham, Mass.

July.
Mrs. Richard W. Hale, Needham, Mass.
Mrs. Arthur T. Cabot, 3 Marlboro Street.

August.
Mrs. Henry H. Sprague, 33 Fairfield Street.
Mrs. J. G. Mumford, Chestnut Hill.

September.
Mrs. Arthur T. Cabot, 3 Marlboro Street.
Mrs. C. p. Greenough, Carleton Street, Longwood.

October.
Mrs. C. p. Greenough, Carleton Street, Longwood.
Mrs. Edmund J. Burke, Chestnut Hill.

November.
Mrs. Rufus Sew all, 260 Clarendon Street.
Miss J. L. Motley, Chestnut Hill.
Mrs. John C. Gray, 176 Beacon Street.
Mrs. Philip S. Sears, 315 Commonwealth Avenue.

December.
Mrs. Jeffrey R. Brackett, 41 Marlboro Street.
Mrs. a. L. Hopkins, 46 Commonwealth Avenue.
Mrs. Harold J. Coolidge, 303 Berkeley Street.

General.
Mrs. Greely Curtis, 28 Mt. Vernon Street.
Mrs. Franz Pfaff, 29 Gloucester Street.
Miss Ellen A. Boynton, 9 Oakland Avenue, Winter Hill.

OFFICERS OF THE GENERAL, HOSPITAL.

Resident Physician.
Frederic A. Washburn, M.D.

Assistant Resident Physicians.
1st, Joseph B. Howland, M.D.
2d, Louis H. Burlingham, M.D.
3d, J. Lyman Belknap, M.D.

271

OflBcers of the Institution.

Visiting Physicians.
Frederick C. Shattuck, M.D. Herman F. Vickery, M.D.
William W. Gannett, M.D. James J. Minot, M.D.

Visiting Surgeons.
Maurice H. Richardson, M.D. James G. Mumford, M.D.
Francis B. Harrington, M.D. William A. Brooks, M.D.
Samuel J. Mixter, M.D. Charles A. Porter, M.D.

William M. Conant, M.D. Franklin G. Balch, M.D.

Charles L. Scudder, M.D. Elliott G. Brackett, M.D.

* Assistant Visiting Physician.

Richard C. Cabot, M.D.

Assistant Visiting Surgeons.

George W. W. Brewster, M.D. Farrar Cobb, M.D.

Ernest A. Codman, M.D.

Physicians to Out-Patients.
Charles W. Townsend, M.D. William H. Smith, M.D.
Arthur K. Stone, M.D. Joseph H. Pratt, M.D.

James M. Jackson, M.D. Frederick T. Lord, M.D.

Henry F. Hewes, M.D, George S. C. Badger, M.D.

Roger I. Lee, M.D.

Surgeons to Out-Patients.
Robert B. Greenough, M.D. Lincoln Davis, M.D.
Daniel F. Jones, M.D. Fred T. Murphy, M.D.

Hugh Williams, M.D. Channing C. Simmons, M.D.

Hugh Cabot, M.D. Elisha Flagg, M.D.

Samuel Robinson, M.D.

Physicians to Out-Patients with Diseases of the Skin.
John T. Bowen, M.D. Charles J. White, M.D.

Physicians to Out-Patients with Diseases of the Nervous System.
James J. Putnam, M.D. Henry C. Baldwin, M.D.

Physicians to Out-Patients with Diseases of the Throat.
Algernon Coolidge, Jr., M.D. J. Payson Clark, M.D.

Orthopedic Surgeon to Out-Patients.
Robert B. Osgood, M.D.

Aural Surgeons.
Eugene A. Crockett, M.D. Harris P. Mosher, M.D.

Ophthalmic Surgeons.
Frederick E. Cheney, M.D. Alexander Quackenboss, M.D.

272

OfWcers of the Institution.

Surgical Pathologist.
William F. Whitney, M.D.

Director of the Pathological Laboratory.
James H. Wright, M.D.

Chemist.
William F. Boos, M.D.

Consulting Anesthetist.
Freeman Allen, M.D.

Surgeon in Charge of the Medico-Mechanical Department.
C. Hermann Bucholz, M.D.

Skiagrapher.
Walter J. Dodd, M.D.

MEDICAIi AND SURGICAT. ASSISTANTS.

. Assistant Physicians to Out-Patients with Diseases of the Skin.
Harvey P. Towle, M.D. Frederick S. Burns, M.D.

Assistant Physicians to Out-Patients with Diseases of the Nervous

System.
Walter E. Paul, M.D. Edward W. Taylor, M.D.

George A. Waterman, M.D.

Assistant Physicians to Out-Patients with Diseases of the Throat.
Frederic C. Cobb, M.D. Harris P. Mosher, M.D,

Joseph L. Goodale, M.D. D. Crosby Greene, Jr., M.D.

Assistant Orthopedic Surgeons to Out-Patients.
William R. MacAusland, M.D. Mark H. Rogers, M.D.

Zabdiel B. Adams, M.D.

Assistant to Physicians to Out-Patients.
John B. Hawes, 2d, M.D. Cleaveland Floyd, M.D.

Assistants to the Orthopedic Surgeons to Out-Patients.
Warren F, Gay, M.D. Carl C. Crane, M.D.

Harvey F. Newhall, M.D. Henry L. Langnecker, M.D,

Frederick J. Goodridge, M.D. C, Hermann Bucholz, M.D.

273

Oflficers of the Institution.

Assistants to Surgeons to Out-Patients.
Robert M. Green, M.D. William J. Mixter, M.D.

Assistant to the Physicians to Out-Patients with Diseases of Skin.
E. Lawrence Oliver, M.D.

Assistant Pathologist.
Oscar Richardson, M.D.

Assistant Surgical Pathologist.
Frederick C. Kidner, M.D.

Medical House Pupils.

Richard M. Smith. Louis H. Newburgh.

Lesley H. Spooner. Henry K. Marks.

Donald Gregg. Charles H. Lawrence, Jr.
Roy a. Sadler.

Surgical House Pupils.

Harold G. Giddings. John B. Swift, Jr.

George B. Farnsworth. Paul W. Harrison.

Russell T. Congdon. George G. Smith.

Augustus Riley. William S. Whittemore.

Charles 0. Day, Jr. George W Morse, Jr.

Oliver A. Lothrop. John Bryant.

Matron.
Mary E. Clark.

Superintendent of Nurses.
Pauline L. Dolliver.

Assistant Superintendents of Nurses.

1st, Annabella McCrae. 2d, Jessie E. Grant.

3d, Frances C. Daily.

Dietitian.

E. Grace McCullough.

Apothecary.

Joseph Godsoe.

Assistant Librarian.

Grace W. Myers.

Clerk.

LiDA E. Crawford.

274

Officers of the Institution.

-ADVISORY COMMITTEE.

General Hospital Training School for Nurses.

Dr. Henry P. Walcott, Chairman.

Dr. Frederic A. Washburn, Resident Physician.

Miss Pauline L. Dolliver, Superintendent of Nurses.

Dr. Joseph B. Howland, 1st Assistant Resident Physician.

Dr. Francis B. Harrington. Mrs. Nathaniel Thayer.

Dr. James J. Minot. Mrs. Herbert L. Burrell.

Dr. James G. Mumford. Mrs. George H. Monks.

Dr. James M. Jackson. Miss Mary B. Lothrop.

Dr. Richard C. Cabot. Mrs. Francis L. Higginson.

Dr. Herman F. Vickery. Mrs. Robert H. Gardiner.

Mrs. Alexander Whiteside. Miss Susan Thayer.

Mrs. William W. Vaughan. Miss Marian Homans.

Mrs. Grace W. Myers, Secretary.

OFFICERS OF THE McLEAN HOSPITAL.

Medical Superintendent.
George T. Tuttle, M.D.

1st Assistant Physician. 2d Assistant Physician.

E. Stanley Abbot, M.D. Earl D. Bond, M.D.

Pathologist and Assistant Physician.
Frederic H. Packard, M.D.

Assistant in Pathological Psychology.
F. Lyman Wells, Ph.D.

Assistant in Pathological Chemistry.
Charles C. Erdmann, A.B.

Junior Assistant Physicians.
Edmund M. Pease, M.D. Frederic B. M. Cady, M.D.

Chaplain.
Rev. George J. Prescott.

Superintendent of Nurses, and Matron.

Lucia E. Woodward.

Assistant Superintendent of Nurses.

Jennie McIntosh.

275

Officers of the Institution.

Clerk. Librarian.

Margaret E. Clark. E. Kathleen Jones.

Instructors in Physical Training.
David H. Holmes. S. May Taylor.

Dietitian.
Elizabeth Hinchman,

Instructor in Cookery.
• Grace M. Swanson.

Supervisor of Women's Department. Supervisor of Men's Department.
Emma M. Stone. Henry E. Magoon.

Purveyor.
John P. Bradbury.

Apothecary. Storekeeper.

Bernard C. Burdette, Ph.G. Rufus F. Ames.

OFFICERS OF THE CONVALESCENT HOME.

Superintendent.

Frederic A. Washburn, M. D.

(Resident Physician, General Hospital.)

Matron.
Alice Scott.

Ninety-sixth Annual Report

OF THB

TRUSTEES

OF THE

Massachusetts
General Hospital.

Including the General Hospital in Boston,

the McLean Hospital and the

Convalescent Hospital

in Waverley.

t

1909.

BOSTON :

THE BART A PRESS.

19I0.

The legal title of the Corporation is

"The Massachusetts General Hospital.''

All gifts and bequests, if without restriction, will
be used as the Trustees deem most for the interest
of the Corporation and its Beneficiaries.

TABLE OF CONTENTS.

Page.

Accounts. Trial Balance 14

Examinations of 34

Admission OF Patients. General Hospital. Rules and Rates 92

Annual Report of Committee on the Book of Donations 12

„ ,, ,, Treasurer 13-33

,, „ ,, Auditor of Accounts 34

„ „ ,, Administrator AND Resident Physician, (ieneral Hos-
pital 37

„ ,, „ Training School FOB Nurses, General Hospital 62

„ „ „ Medical AND Surgical Statistics, General Hospital... 93-141

„ „ „ Director of Clinico-Pathological Laboratory,

General Hospital 77

„ ,, „ Treadwell Library, General Hospital 85

,, ,, ,, Superintendent, McLean Hospital 213

„ „ ,, Training School for Nurses, McLean Hospital 239

„ „ ,, Trustees 5

Board of Consultation 276

Clinico-Pathological Laboratory. General Hospital 77

Convalescent Hospital. Officers of 283

Expenses and receipts of 20

Expense and Revenue Statement for the year 1909 60-61

Patients at, number of 59

Institution, Officers of 275

Dalton Scholarship, Rules of 88

Donations and Legacies. Report of Committee on 12

Free Beds at General Hospital. Amounts subscribed in 1909 20

List of subscribers to 20

Funds. General P'und 18

Restricted Funds 22

Treadwell Library Fund 30

Warren Library Fund 30

"Wooden Leg Fund 31

Bowditch History Fund 31

Pathological Laboratory and Randall Funds 32

General Hospital. Officers of 278

Rules for Admission and Rates 92

Expenses and Receipts of 19

Expense and Revenue Statement for the year 1909 52-53

Statement of Stock on Hand 54

Administrator and Resident Physician, Annual Report of 37

Residence of Persons Admitted 46

Birthplace of Persons Admitted 46

Occupations of Persons Admitted, Males 47

Occupations of Persons Admitted, Females 49

Out-Patients of 45

Table of Admissions, Discharges, and Results, twenty-six years. 51

Training School for Nurses 62

List of House Pupils 253

Income. Amounts of 19

McLean Hospital Fund 29

INYBSTMENTS. Producing no Income 15

Producing Income 15

Income from. Amount of 19

Ladies' Visiting Committees. General Hospital 277

List of House Pupils 253

McLean Hospital. Officers of 282

Expenses and Receipts of 19

Expense and Revenue Statement for the year 1909 56-57

Superintendent's Annual Report 213

Art Room 217

General Statistics of 1909 225

Admissions, Discharges, and Results for ten years 226

Insajie Received on First and Subsequent Admissions 226

3

Page.

Parentage of Persons Admitted 227

Residence of Persons Admitted 228

Civil Condition of Persons Admitted 230

Occupation of Persons Admitted 230

Ages of Insane at First Attack 231

Causes of Diseases in Persons Admitted 232

Probable Duration of Mental Disease Before Admitted 233

Form of Mental Disease of Patients 234

Discharges Classitted 235

Causes of Death 237

Duration of Mental Disease and Its Treatment 238

Cost of Principal Stores 58

Training School for Nurses. Annual Report of 239

Officers of the Institution 275

General Hospital 278

McLean Hospital 282

Convalescent Hospital 283

Odt-Patients. General Hospital. Number of, etc 45

Patients. General Hospital. Number of and Rates 44-45

,, ,, Residences, Birthplaces, and Occupation 46-50

,, ,, Admissions, Discharges, and Results, twenty-
six years 51

McLean Hospital. Admissions and Discharges 226

,, „ "Voluntary 225

Convalescent Hospital. Admissions and Discharges 59

Report of the Medico-Mechanical Room 211

Report of the Hydrothebapeutic Room 211

Diseases Treated in the Hydrotherapeutic Department, 1909 211

Resident Physician. General Hospital. Annual Report of 37

Statistics. General Hospital, 1908. Medical Diseases 93

„ ,, ,, Surgical 108

,, ,, ,, ,, Operations 142

,, ,, ,, Major Operations. 182

,, ,, ,, Out-Patient Department 186

Superintendent McLean Hospital. Annual Report of.. 213

Training School for Nurses.

Of General Hospital. Admission to Training and Instruction — 74

,, ,, Diplomas to Graduates 76

Of McLean ,, Annual Report of 239

,, ,, Admission to. Training and Instruction 243

,, ,, Pupils Employed and Paid 245

,, ,, Diplomas to Graduates 245

,, ,, Course of Instruction 246

,, ,, Order of Exercises for Men 251

,, „ „ ,, „ „ Women 250

Treadwell Library. Annual Report of 85

Trial Balance 14

Trustees. Annual Report of 5

List of 275

Standing Committees of 276

Visiting Committees. Of Trustees 276

Of Ladies General Hospital 277

WARBKN Triennial Prize 90

THE

NINETY-SIXTH ANNUAL REPORT

FOR THE YEAR 1909.

The Committee appointed by the Trustees to pre-
pare the Annual Report to the Corporation respect-
fully submit the following:

LAND.

The real estate of the Corporation has been in-
creased during the year by the purchase of certain
land and buildings on Fruit Street. The Harvard
Dental School having vacated during the year the
building used b}- them at the foot of North Grove
Street, this building and land upon which it stands
was acquired from the Corporation of Harvard
University.

At the McLean Hospital, a piece of land known
as the Kendall property, with dwelling house thereon,
has been purchased. There are seven and one-
quarter acres in this piece, and a very serviceable
dwelling house. The land fronts on Mill Street and
is in the rear of the Hospital stables. It rounds out
the Hospital property on this side and furnishes a
needed house for one of the Assistant Physicians.

BUILDINGS.

At the General Hospital there has been no new
building or large repairs.

5

6

Report of the Trustees.

At the McLean Hospital the changes at the
Wyman House have been completed. Considerable
sums have been spent upon repairs and refurnishings
and charged to the regular expense account of run-
ning the Hospital. A section of connecting corridor
has been re-covered with asphalt, leaking gables of
the Women's Belknap and East House have been
covered with copper, a dairy has been built, the
pump-house at the new spring has been completed,
and the pump installed, giving the Hospital an abun-
dant water supply of a high degree of purity, and the
grates of two of the boilers in the power house have
been changed to another type.

At the Convalescent Hospital a dressing room has
been added and the interior walls have been painted.

FINANCIAL.

An important matter connected with the financial
affairs of the Institution is the acquirement of the
Province House lease from the David Greenough
heirs, so that the Hospital for all practical purposes
is now in possession of this large property, which it
hopes eventually to turn to better account, as far as
increased income is concerned.

The total income from investments, as shown by
the Treasurer's Report, is about the same as last year,
in spite of the fact that the payments for insurance
during the past year have been nearly $20,000
more than is usual. This came about through the
adjustment of various insurance items on the Province
House Court property, and the happening of a large
amount of long time insurance coming due.

The new system of accounting referred to in the
last Annual Report has been continued during the

7

Report of the Trustees.

past 3'ear, with every evidence of satisfaction on
the part of all who have used it.

The Administrator's Report shows that the actual
operating cost of the three hospitals has been
$16,763.77 greater than in 1908, and the hospital re-
ceipts have been $9,350.71 larger. This leaves a net
increased cost of $7,413.06.

STATISTICAL.
AT THE GENERAL HOSPITAL IN BOSTON.

The total number of patients admitted during the
year was 5,871, against 5,362 in 1908. The daily
average was 289, against 291 in 1908. The total num-
ber treated during the year was 6,167. The total
patients' days treatment, 105,295, as . opposed to
106,034 ^^ 1908.

The number of free patients treated during the year
was 3,524, as against 3,558 in 1908, and the number
of paying patients in whole or in part was 2,643, ^^
opposed to 2,079 ^" 1908.

In the Out- Patient Department the number of new
cases treated was 21,518, as against 20,729 in 1908.

The total number of visits from these patients was
121,327; the average daily attendance 399, and the
total number of prescriptions filled was 48,250.

The number of patients treated in the Accident
Ward was 5,314, as opposed to 5,313 in 1908.

The average number of days during which patients
have remained in the Hospital was 18 minus, against
20 minus in 1908.

The death rate last year was 7.68 per cent, lower
than it has been any year since 1886, at which time
it was 7.44 per cent.

8

Report of the Trustees.

THE CONVALESCENT HOSPITAL IN WAVERLEY.

The total number of patients admitted during the
year was 6^6, against 508 in 1908. The daily average
was 31 plus, against 28 minus in 1908. The total
number of days' board was 11,428, as opposed to
10,106 in 1908.

THE McLEAN HOSPITAL IN WAVERLEY.

The total number of cases admitted during the year
was 169, as against 168 in 1908, and the daily aver-
age number of patients in the Hospital was 218, as
against 216 in 1908. The total number treated dur-
ing the year was 384.

The average duration of illness, from the beginning
of the attack in the cases recovered, was 15.44
months, and the average duration of their residence
in the hospital was * 9.02 months. The average
weekly cost per patient in 1909 was $23.77, against
$24.37 in 1908.

OFFICERS AND STAFF.

At a meeting of the Corporation Mr. Francis C.
Lowell was elected President of the Corporation
to succeed the late Mr. Charles H. Dalton, and
Dr. Charles G. Weld was elected Vice-President to *
succeed Mr. Francis C. Lowell.

On October 29th the resignation of Mr. Francis
Blake was received, and the following resolution
was passed by the Board of Trustees:

" That the resignation of Mr. Francis Blake as a Trustee of the
Massachusetts General Hospital is accepted with great regret and

* The statistics of McLean Hospital are made out for the year ending Sept. 30, 1909,
in order that they may be compared with the tables of other Insane Hospitals in the
State.

9

Report of the Trustees.

that the Secretary be requested to convey to Mr. Blake this senti-
ment and also the high appreciation of his fellow Trustees of the
many and valued services rendered to the Hospital by him during
the many years he has been a member of the Board."

There have been no other changes in the Board of
Trustees during the 3^ear.

At the General Hospital the position of Medico-
Legal Pathologist was created and Dr. George B.
Magrath was appointed.

At the McLean Hospital Dr. Frederic H. Packard
was appointed First Assistant Physician and Dr. E.
Stanley Abbot appointed Assistant Physician and
Pathologist.

ADMINISTRATION.

On March 5th, Dr. Carleton Ray Metcalf was ap-
pointed Fourth Assistant Resident Physician.

The building, formerly occupied by the Dental
School, having come into the possession of the Hos-
pital during the year, makes that location available
for the greatl}^ needed new Administration Building.
Our Administrator said, and the Board of Trustees
strongly sustained his opinion, in the Report of 1908:
" Of first importance is an Administration Building.
The entrance of the Hospital is entirely unsuited to
the size of the Institution. The offices are outgrown
for the business carried on, and the congestion in
narrow, dark corridors is serious and gives rise to
well-grounded complaints. This is especially notice-
able at visiting hours when long lines of friends of
patients pack the front corridor." (The Ladies'
Visiting Committee have laid special stress upon
this need.)

10

Report of the Trustees.

The Administrator emphasized the need of quar-
ters for the Resident Doctors and House Staff in an
Administration Building, which building could in-
clude an Accident Ward, convenient of approach,
equipped with modern facilities, which in such a
situation would be under easy control of the admin-
istrative officers.

For the erection of such a building, and other
needed construction and improvement in present
buildings, money is needed.

A largely increased Free Bed Fund, with more
annual subscriptions for this purpose, would be most
helpful, and would relieve other investments for
other pressing requirements.

It is the duty of the Trustees to continue to report
the needs of the hospital until the means for meeting
them are received.

A new Nurses' Home at Boston, and a Nurses'
Home at Waverley, are still greatly needed.

The work of Dr. J. H. Wright needs more room;
and such enlargement would be deserved recogni-
tion of the value of his efforts, as soon as funds be-
come available.

Most of these needs are not new, while some are
always present. Efforts must be made to meet the
demands caused by the increase of population and
the advance of scientific knowledge.

It is again the duty of this Board, as continuously,
to appeal to a generous people, who have always
appreciated the value of this splendid Institution,
and endeavor to lay before them the needs of the
Hospital, in the hope that they will ever continue to
o-ive of their means for such a noble work, that was
founded by wise men of Massachusetts to lessen pain
and aid humanit}'.

11

Report of the Trustees.

The Trustees invite attention to the Treasurer's
Report; the Report on Donations; the Report of
the Ladies' Visiting Committee; and the Reports of
Dr. Tuttle and of Dr. Washburn, the Administrator.

Henry S. Howe,

Francis Henry Appleton,

Committee on Annual Report.

DONATIONS FOR 1909.

The Committee on the Book of Donations reports
that the following donations and legacies have been
received during the year:

General Fund :

Cash $1.00

A. S. C. Prince 550.00

C. 0. Brewster 12.00

Geo. F. Parkman Estate . . 50,000.00

MuUiken Estate 32,834.58

J. P. Reynolds, Jr 50.00

State Board Charity .... 6.50

Francis Skinner 2,000.00

Rebate National Bank Stock . 1,351.06

Free Bed Subscriptions, 1909 . 17,835.00

$104,640.14

Free Beds : Permanent and 10 year

Free Bed Subscriptions . . . 2,000.00

Restricted Funds :

George Gardner Fund . . . 6,000.00

Dalton Fund :

Estate of C. H. Dalton . . . 15,000,00

McLean Hospital :

Geo. F. Parkman Estate . . $50,000.00

E. B. Maxwell Estate . . . 1,030.00

Mercy A. Bailey Estate (R. Est.) 5,500.00

S. C. M. Lovering Estate . . 2,750.00

. 59,280.00

Nurses Training School Fund :

Mrs. A. Coolidge 10.00

Late Result Fmid :

Anonymous 500.00

$187,430.14

These sums have been entered in the Book of
Donations in the usual form.

George Wigglesworth,
Committee on the Booh of Donations.

Massachusetts General Hospital,
December 31, 1909.
12

REPORT OF THE TREASURER.

In accordance with the Fifth Article of the By-
Laws, the Annual Report of the accounts of the
Massachusetts General Hospital, made up to the
last day of December, 1909, is respectfully sub-
mitted, to be laid before the Corporation at its
annual meeting.

13

14

Report of the Treasurer.

MASSACHUSETTS GENERAL HOSPITAL
Trial Balance, January 1, 1910

Dr.

Income.
Cr.

Dr.

Principal.
Cr.

Land and Buildings,

Hospital

Lanld and Buildings,

McLean

Land and Buildings,
Convalescent Hospital

Annuities

Insurance Stocks . .
Manufacturing Stocks
Bank Stocks ....
Railroad Bonds . . .
Railroad Stocks . .
Town Bonds ....
Sundry Stocks and Bonds
Notes Receivable .
Real Estate . . .
Nurses' Home . .
Province House . .
Real Estate Stocks
American Tel. & Tel. Co.
Administrator— Hospital $1,426.75
Administrator — McLean 1,828.58
Administrator — Conva-
lescent Hospital .

Cash

General Fund . .
Restricted Fund .
Mort.38 No.. Anderson St.
Notes Payable . . .
McLean Hospital Fund
Warren Prize Fund .
Treadwell Library Fund
Shattuck Fund . . .
Warren Library Fund
Bowditch History Fund .
Surgical InstrumentFund
Wooden Leg Fund
Convalescent Fund
Permanent and Ten Year

Beds

Clara Barton Fund .
Millar Annuity . . .
Whittemore Memorial
Nurses' Training School

Fund ....
Samuel Cabot Fund . -
Pathological Laboratory

and Randall Fund .
Dalton Fund . . •
Codman Fund . . •
Orthopedic Ward Fund
Late Result Fund . .
Free Bed Subscriptions

Profit and Loss .... 6,531.92

$1,875,042.33

1,875,465.80

50,000.00

160,000.00

50,000.00

95,292.50

44,336.00

544,895.67

144,118.12

10,000.00

36,809.00

20,223.00

2,145,269.16

17,183.94

400,000.00

28,493.50

113,000.00

15,743.35

1,127.16

$666.85

678.81

202.60

2,016.35

376.42

34.13

151.67

753.00

2,649.50
2,257.92

1,295.59
36,906.35

53,747,460.32

2,372,670.35

12,000.00

575,000.00

398,489.83

4,333.68

5,000.00

2,000.00

1,000.00

2,000.00

6,475.00

7,600.00

145,620.66

14,000.00
3,241.00
1,557.74

33,720.00

39,967.92
10,000.00

80,674.09

25,000.00

149,769.96

26,470.92

500.00

650.00

),787.25 $9,787.25 $7,665,201.47 $7,665,201.47

16

Report of the Treasurer.

MASSACHUSETTS GP^NERAL HOSPITAL.
Investments Producing No Income.

General Hospital : Land and
Buildings occupied for Hos-
pital $1,875,042.33

McLean Hospital : Land and Build-
ings at Belmont 1,875,465.80

Convalescent Hospital : Land and

Buildings at Belmont . . . 50,000.00

Administrator's Balance .... 18,166.10

Nurses' Home in Roxbury (Mohr Be-
quest) 17,183.94

Reversionary Interest in Province

House Estate 400,000.00

$4,235,858.17

Investments Producing Income.

Policies Massachusetts Hospital Life Ins. Co. . . $160,000.00
500 Shares Massachusetts Hospital Life Ins. Co. . 50,000.00

$113,000 American Telephone & Telegraph 4 per

cent Bonds 113,000.00

$161,500 Atchison, Topeka & Santa F^ R. R. 1st

4 per cent Bonds 137,905.67

$5,000 Bur., Cedar Rapids & Northern R. R. 1st

5 per cent Bonds 5,000.00

$8,000 Bur. & Mo. River R. R. 6 per cent Bonds . 8,000.00

$48,000 Chicago, Bur. & Quincy R. R. 4 per cent

Bonds 48,000.00

$25,000 Chicago, Bur. & Quincy R. R. 5 per cent

Bonds . 25,000 00

$20,000 Central Cross Town R. R. of N. Y. Col. 5

per cent Bonds 19,875.00

$5,000 Central Ry. of Vermont 4 per cent Bonds . 2,500.00

$28,000 Chicago Junct. Ry. & Union Stock Yards

Co. 4 per cent Bonds 27,580.00

$20,000 Chicago Junct. Ry. & Union Stock Yards

Co. 5 per cent Bonds 20,000.00

$5,000 Chicago, Mil. & St. Paul R. R. 1st 6 per cent

Bonds 5,000.00

$3,000 Chicago & West Michigan R. R. 5 per cent

Bonds 2,970.00

$2,500 Detroit, Grand Rapids & Western R. R 4 per

cent Bonds 2,050.00

$10,000 Fremont, Elkhorn & Mo. Valley R. R. 6 per

cent Bonds 10,000.00

$7,000 Kansas City, Ft. Scott & Memphis Ry. 6 per

cent Bonds "... 7,000 00

Amount carried forward $643,880.67

16

Report of the Treasurer.

Amount brought forward

$3,000 Kansas City, Memphis & Birm. R. R. 4 per

cent Bonds

$3,000 Kansas City, Memphis Ry. Bridge Co. 5 pei

cent Bonds

$35,000 Northern Pacific & Great Northern Joint

4 per cent Bonds

$25,000 New York, New Haven & Hartford R. R.

4 per cent Bonds

$5,000 New York Central & Hudson River R. R.

5 per cent Notes

$1,000 Omaha Street Railway 5 per cent Bonds .
$13,000 Oregon Short Line 5 pel- cent Bonds . .
$10,000 Old Colony Street Ry. 1st 4 per cent Bonds
$100,000 Richmond & Washington Co. 4 per cent

Bonds

$7,000 Southern Ry. Co. 5 per cent Notes ....
$20,000 West End Street Ry. 4 per cent Bonds . .
$5,000 Pacific Coast Co. 5 per cent Bonds

337 Shares Boston & Albany R. R

100 „ Boston & Lowell R. R

50 „ Chicago Jmict. Ry. & Union Stock
Yards Co

50 Shares Chicago, Milwaukee & St. Paul R. R.

80

25
189
100
100

50

30

145

2

250

25

2

140

2

100

200

50
100

28

65

50
2

10

Fitchburg R. R

New York, New Haven & Hartford R. R.

Old Colony R. R

Union Pacific R. R

West End Street Ry

American Sugar Refining Co. Preferred
American Sugar Refining Co. Common .

Amoskeag Manufacturing Co

Appleton Co

Ballard Vale Mills Co. Preferred . . .

Great Falls Manufacturing Co

Lancaster Mills

Merrimack Manufacturing Co

Pacific Mills

Pepperell Manufacturing Co

Merchants National Bank

National Bank of Commerce ....

National Union Bank

Old Boston National Bank

State National Bank

Board of Trade Building Trust

Boston Ground Rent Trust

Boston Real Estate Trust

$643,880.67

3,000.00

2,850.00

34,000.00

25,000.00

5,000.00

1,000.00

13,000.00

8,200.00

100,000.00

6,790.00

20,000.00

5.175.00

48,995.00

24,000.00

5,525.00
6,450.00

mooo.oo

4,773.12

26,775.00
8,000.00
9,600.00
6,400.00
3,720.00

14,500.00
200.00

25,000.00

2,500.00

250.00

14,000.00
4,600.00

24,122.50

20,000.00
5,000.00

10,000.00
2,836.00
6,500.00
5,000.00
1,800.00
9,993.50

Amount carried forward $1,168,435.79

17

Report of the Treasurer.

Amount brought forward $1,168,435.79

50 Shares Commonwealth Building Ti-ust Preferi'ed ) » ^^^ ^^

25 ,. ., „ „ Common j '"'

25 ., Hotel Trust 2,500.00

50 ., South Terminal Trust 3,000.00

12 ., Municipal Real Estate Trust .... 1.200.00

16 .. Calumet & Hecla Mining Co 10,160.00

33 .. Galveston Electric Co. Preferred . . . 2,739.00

2 ., Missouri Pacific Equipment Association . 1.860.00

80 ,. American Tel. & Tel. Co 11,200.00

$8,000 American Pneumatic Service Co. 5 per cent

Bonds 6,000.00

$5,000 Illinois Steel Co. 5 per cent Bonds . . . 4,850.00
$10,000 To\\ni of Behuont Sewerage Loan 4 per cent

Bonds 10,000.00

Land and Buildings. 17 Blackstone Street .... 30,000.00

Union and Marshall Streets . . 66,875.00

„ „ „ 168 Washington Street . . . 45,000.00

„ „ „ 273 and 275 Washington Street 125,860.15

„ „ „ 474 to 480 Washington Street . 336,717.92

„ „ „ 496 to 500 Washington Street . 384,349.05

„ „ ,, 553 Washington Street . . . 68.600.00

„ „ „ 10 and 10^ Conmion Street . 26^012.83

„ „ „ 837 to 847 Washington Street . 59,874.86
„ „ „ Rear 837 to 847 Washington

Street 65,115.71

„ „ „ 851 to 859 Washington Street . 67,589.26
„ „ „ 11 and 15 to 21 Warrenton

Street 48.700.00

„ „ „ 72 to 74 Tremont Street . . 250.000.00

„ „ „ 103 to 117 Chambers Street . 62.383.85

„ „ „ 237 Congi-ess Street .... 49,418.82
„ „ „ Broadway and F Streets, South

Boston 67,565.71

„ „ „ At Medford 4,300.00

„ „ „ At West End 281.406.00

„ „ „ ProA^nce House Estate . . . 100,000.00

„ „ „ 1800 Dorchester Avenue . . 5,500.00

Notes secured by mortgages 20.223.00

Cash 36.906.35

Investments producing Income

., „ no Income

$3,429,343.30
4,235,858.17

Total, foot of Trial Balance $7,665,201.47

18

Report of the Treasurer.

MASSACHUSETTS GENERAL HOSPITAL.

General Fund.

Balance, Jan. 1, 1909 $3,735,347.67

One-third profits of Massachusetts

Hospital Life Insurance Company 5,000.00

Donations 1909, account General Fund 104,640.14

Profits, sale of Investments .... 5,000.00

$3,849,987.81-

General Hospital . • | ^73;o52:89 j" $90,887.89

McLean Hospital 1,932.12

Convalescent Hospital 4,060.44

Special Funds • • • | ^^'g^^^S } 9'022.93

Loss, sale of Investments 3,125.00

Wooden Leg Fund 31.03

$109,059.41
Less Reserve for Special Funds . . 6,531.92

$102,527.49
Balance to 1910 3,747,460.32

$3,849,987.81

19

Report of the Treasurer.

MASSACHUSETTS GENERAL HOSPITAL.

Income from Investments.

Annuities Massachusetts Hospital Life Insui"ance

Company $6,800.00

Massachusetts Hospital Life Insurance Company

Stock 4,000.00

American Tel. & Tel. Company 4 per cent Bonds 4,520.00

Raih-oad Bonds .....' 28,576.38

Raih-oad Stocks 9,271.50

Manufacturing Stocks 8,152.00

Bank Stocks 3,795.00

Real Estate Stocks 1,610.52

Sundry Stocks and Bonds 1,900.00

Real Estate 85,869.08

Notes Receivable 986.23

Town Bonds 400.00

$155,880.71

MASSACHUSETTS GENERAL HOSPITAL.
General HospitaL

Expenses for year, $337,588.30 Receipts, 1909, at

Hospital . . $149,986.46
Income . . . 91,347.80
Income Codman

Fund . . . 5,366.15
Income Yearly

Free Bed Fund 17,835.00
Balance General

Fund . . . 73,052.89

$337,588.30

McLean HospitaL

Expenses for year, $308,508.14

Receipts, 1909. at

Hospital . . $291,234.16
Income McLean

Hospital Fund 15,341.86
Balance General

Fund . . . 1,932.12

$308,508.14

20

Report of the Treasurer .

Convalescent Hospital.

Expenses for year, $13,819.08

Receipts, 1909, at
Hospital

Income Conva-
lescent Hospi-
tal Fund . .

Balance General
Fund . . .

Total, $659,915.52
Summary :

Total,

$4,152.23

5,606.41
4,060.44
$13,819.08

$659,915.52

Board
Income .
General Fund

$445,372.85

135,497.22

79,045.45

$659,915.52

MASSACHUSETTS GENERAL HOSPITAL.
Free Bed Subscription List for 1909.

Jolm T. Coolidge .
J. Randolph Coolidge
T. Jefferson Coolidge .
Mrs. T. J. Coolidge, Jr.
Charles E. Cotting
Mrs. Charles P. Curtis
Mrs. Greely S. Curtis, Jr
Mrs. Greely S. Curtis
Louis Curtis
Mrs. Susan P. Gushing
Mrs. Mary McG. Dalton
Henry R. Dalton
Estate F. Gordon Dexter
George Dexter .
Philip Dexter .
C. S. Eaton .
^y. S. Eaton .
AVilUam Endicott
AViUiam Endicott. Jr. .
Employers' Liability As

sm-ance Corp. Ltd. .
Mrs. George F. Fabyan
WiUiam Farnsworth .
H. H. Fay . . . .

Miss Mary S. Ames .
Ames Shovel & Tool Co.

$100
100

C. W. Amory ....
S. Reed Anthony .
Francis Henry Appleton .
Francis Bartlett . . .

100
100
100
100

Walter C. Baylies . . .

100

Thomas P. Beal . . .

100

Mrs. James H. Beal .

100

E. Pierson Beebe .

100

Dr. WiUiam S. Bigelow .

100

George Nixon Black .
Francis Blake ....

100
100

Boston Elevated Railway

Company

Boston & Maine Railroad

100

Company

1,600

Mrs. Arthur H. Bowditch

100

Mrs. John L. Bremer .

100

Miss Sarah F. Bremer .

100

Shepherd Brooks .
Mrs. WiUiam S. Bullard .

100
100

Mrs. Elton Clark . . .

100

Alexander Cochrane . .

100

$200
100
100
100
100
100
100
100
100
100
100
100
100
300
100
200
100
100
100

100
100
100
100

21

Report of the Treasurer.

Mrs. Elizabeth E. Fay .

SlOO

George C, Lee . . . .

$100

L. Carteret Fenno . . .

100

Mrs. Anna Cabot Lodge .

100

Mrs. Desmond FitzGerald

Augustus P. Loring .

100

(Dr. Stephen Salisbiu-y

WiUiam Caleb Loring

100

Bed)

100

T. K. Lothrop . . . ,

100

Forbes Lithograph Mfg. Co.

100

Mrs. T. K. Lotluop . .

100

C. H. W. Foster . . .

100

Miss Georgina Lowell

10

Mrs. C. H. W. Foster .

100

Ai'thur T. Lyman ,

100

George A. Gardner .

100

Mrs. Theodore Lyman

100

George P. Gardner

100

Miss E. F, Mason . .

100

Miss Harriet Gray

100

Miss Fanny P. Mason

100

Mrs, Reginald Gray .

100

Miss Ida M. Mason .

100

Mrs. John Chipman Gray

100

Laurence Minot

. 100

C. P. Greenough . .

100

Miss Madeleine Cm

'tis

Edward S. Grew .

100

Mixter ....

100

Mrs. G. G. Hammond

100

Mrs. John H. Morison

100

Mrs. Frances K. Harlow

Mrs. Leslie McG. Morison

100

(Memory Dr. Harlow)

100

Mrs. E. P. Motley .

100

Mrs. Franklin Haven

Mrs. George A. Nickerson

100

(Franklin Haven Bed)

100

Mrs. William G. Nicker-

Mrs. Jacob H. Hecht . .

100

son

100

Augustus Hemenway

100

Mrs. Otis Norcross

100

Mrs. Adams S. Hill . .

100

Richard Ohiey .

100

William H. Hill . . .

100

Mrs. WiUiam C. Otis .

100

F. L. Higginson

100

Charles J. Paine .

100

James R. Hooper .

100

Robert Treat Paine

100

WiUiam Hooper

100

Mrs. Francis S. Parker

100

Luther G. Howard .

100

Frank E, Peabody

200

Henry S. Howe .

100

Mrs. Francis Peabody, .Jr

100

Hmuane Society of Massa-

Charles L. Peirson

100

chusetts

100

Dudley L. Pickman .

100

F. W. HunneAvell .

100

S. S. Pierce Company

400

Henry S. HimneweU .

100

James M. Prendergast

100

Arthur S. Johnson .

100

Mr. and Mrs. George Put-

Edward C. Jolinson .

100

nam

100

Wolcott H. Johnson .

100

A. La^^^'ence Rotch .

100

Nathaniel T. Kidder .

100

Mrs. F, L, W, Richardson

100

David P. Kimball . . .

100

Mrs. Robei't S. RusseU

100

L. Gushing Kimball .

100

C. S. Sargent . . .

100

Mrs. H. A. Lamb . . .

100

Mrs. F. W. Sargent .

100

Amory A. Lawrence .

100

Albertina H. Sears

100

Amory A. Lawrence (For

Frederick R. Sears

100

Gertrude Lawrence

Henry F. Sears

100

Free Bed) ....

100

Herbert M. Sears .

100

John Lawrence and Fran-

Richard D. Sears . . .

100

cis Peabody, Jr., Trus-

Mrs. Sarah P. Sears . .

100

tees, under will of

Henry S. Shaw

100

Abbott Lawi'ence . .

200

Mrs. G. H. Shaw . . .

100

I\Irs. .John Lawrence . ,

100

Robert G. Shaw . . .

100

22

Report of the Treasurer.

Mrs. R. G. Shaw . .

SlOO

Francis Skinner

100

Sons of St. George
W. S. Spaulcling
L. S. Starrett Company
Robert H. Stevenson .

ir>()
100
100
100

Nathaniel Thaver .

200

Charles Thorndike

100

Victorian Memorial Asso-

ciation ....

ir.o

^liss Marv Lee Ware

100

Samuel D. Warren

100

S. M. Weld . . .

100

J. R. Whipple & Company 8200

George Wiggles worth . 200

John D. WiUiams ... 100

Moses Williams . . . 100
AVinslow Brothers & Smith

Company 100

Mrs. Robert C. Winthrop,

Jr 100

Mrs. T. Lindall Winthrop 100

Mrs. Henrv Woods . . 100

Estate E. L. Wyman . . 100

Mrs. Benj. L. Young . 25

S17,835
Restricted Funds for the General Hospital.

Income devoted to Free Beds:

The Jov Fund, a bequest from Miss

Nabby.Joy 820,000.00

Belknap Fund, a bequest from

.Jeremiah Belknap .... 10,000.00

William Phillips Fund, a bequest

from WilUam PhiUips . . 5,000.00

Williams Fund, a bequest from

•John D. Wilhams. of Estate

No. 17 Blackstone Street . 19,600.00

Bromfield Fund, half of a bequest

from .John Bromfield . . . 20,000.00

Miss Townsend Fund, a donation

from the executors of the vriW

of Miss Mary P. Townsend . 11.480.50

Brimmer Fund, a bequest from

Miss Marj' Ann Brimmer . .5,000.00

Wilder Fund, a bequest from

Chas. W. WUder .... 12.000.00

Sever Fund, a bequest from Miss

Martha Sever 500.00

Thompson Fund, a bequest from

S. B. Thompson .... 500.00

Tucker Fimd. a bequest from

Miss Margaret Tucker . . 3,.312..37

Davis Fund, a bequest from JSlrs.

Eleanor Da\-is 900.00

Loring Fund, a bequest from

Abigail Loring 5,000.00

Nichols Fund, a bequest from

B. R. Nichols 6.000.00

Amount carried forward . . S119,298.8(

23

Report of the Treasurer.

Amount brought forward . . $119,298.87
The Gray Fund, a donation from John

C. Gray 1,000.00

Dowse Fund, a hequest from

Thomas Dowse 5,000.00

Todd Fund, a bequest from Henry

Todd 5,000.00

J. PlxilUps Fund, a bequest from

Jonathan PhiUips .... 10,000.00

Greene Fund, a bequest from

Benj. D. Greene .... 5,000.00

Percival Fund, a bequest from

JohnPercival 950.00

Pickens Fund, a bequest from John

Pickens 1,676.75

Treadwell Fund, part of a bequest

from J. G. Treadwell . . . 38,703.91

Raymond Fund, a bequest from

E. A. Raymond .... 2,820.00

Harris Fund, part of a bequest

from Charles Harris . . . 1,000.00

Mason Fund, a bequest from Wm.

P. Mason 9,400.00

J. L. Gardner Fund, a donation

from J. L. Gardner . . . 20,000.00

B. T. Reed Fund, a donation from

Benj. T. Reed 1,000.00

Wm. Reed Fund, a bequest from

Wm. Reed 5,233.92

McGregor Fund, half of a dona-
tion and bequest from James

McGregor 7,500.00

Miss Rice Fund, a bequest from

Miss ArabeUa Rice . . . 5,000.00

Templeton Fund, haK of a bequest

from John Templeton , . . 5,000.00

Mrs. J. H. Rogers Fund, a dona-
^ tion from J. H. Rogers . . 1,177.50

Lincoln Fund, half of a bequest

from Mrs. F. W. Lincoln . 85,000.00

Beebe Fund, a bequest from J. M.

Beebe 50,000.00

Blanchard Fund, a bequest from

Mrs. M. B. Blanchard . . 4,000.00

George Gardner Fund, a donation

of S1,000 from George Gard-
ner, and $11,000 from Shep-
herd Brooks 12,000.00

Amount carried forivard . . $395,760.95

24

Report of the Treasurer.

Amount brought fonrard . . $395,760.95
The Hemenway Fund, a donation from
the executors of the will of
Augustus Hemenway . . . 20,000.00

Jessup Fund, part of a bequest

from Dr. Chas. A. Jessup . 1,000.00

Tufts Fund, a bequest from Quincy

T"fts ". 10,000.00

Read Fund, half of a bequest from

James Read 1,000.00

Parker Fund, a bequest from

Jonathan Parker, Jr. . . . 10,000.00

Miss Shaw Fund, a donation and
bequest from Miss M. Louisa

Shaw 5,500.00

Eliza Perkins Fund, a donation

from Mrs. H. B. Rogers . 1,000.00

Dwight Fund, a donation from

Mrs. T. Bradford Dwight . 1.000.00

Hunnewell Fund, a donation from

H. H. Hunnewell .... 10,000.00

R. M. Mason Fund, a bequest

from R. M. Mason . . . 5,000.00

Hannah Lowell Cabot Fimd, a
donation from Dr. .Samuel

Cabot 1.000.00

_ AVelles Fund, a donation from

Miss Jane Welles .... 5,000.00

Black Fund, a bequest from Miss

Marianna Black .... 2,000.00

Eben Wright F'und, an assignment
of legacies by the children of
T. Jefferson "Coohdge . . . 14,000.00

Paraclete Holmes Fund, a dona-
tion from W. S. Adams . . 2,000.00
Estabrooks Fund, a bequest from

J. W. Estabrooks .... 1,000.00

Thayer Fund, a bequest from

Nathaniel Thayer .... 30,000.00

Ann E. Gray Fund, a bequest

from Miss Ann E. Gray . . 5,000.00

John Bertram Fund, a donation
from Mrs. Clara Bertram

Kimball 5,000.00

Hannah C. Leland Fund, a be-
quest from Mrs. Hannah C.
Leland 15,000.00

Amount carried forward . . $540,260.95

25

Report of the Treasurer.

Amount hrouffkt forward . . $540,260.95
The Esther E. Beebe Fund, a bequest

from Mrs. Esther E. Beebe . 2,000.00

Ella F. Roelil Fund, a bequest

from Ella F. Roehl . . . 8,085.02

Donations from friends, two of

$100 eaeh and one of S50 . 250.00

Henry B. Rogers Fund, a bequest

from Henry B. Rogers . . 10,000.00

John H. Eastburn Fund, a bequest

from John H. Eastburn . . 10,000.00

Mrs. Susan F. Eastburn Fmid, a

bequest from Mrs. Susan F.

Eastburn 1,000.00

William B. Craft Fund, a bequest

from AVilliam B. Craft . . 5,000.00

Emily W. Apple ton Fund, a dona-
tion from Mrs. Emily W.

Appleton 1,000.00

Stephen P. H. May Fund . . . 1,000.00

Charles R. Hayden Fund, a

donation from Mrs. Annie

Ruth Hayden 2,000.00

Spaulding Fund, a donation of

Mahlon D. and John P.

Spaulding 10,000.00

Shattuck Fund, a donation of

Mrs. George C. Shattuck. . 500.00

Joel Spaulding Fund, a donation

of Miss Sarah R. Spaulding 3,000 00

McGregor Fund, a bequest of

Mrs. James McGregor . . 1,000.00

Bartlett Fund, a bequest of Sidney

Bartlett 10,000.00

Sawyer Fimd, a bequest from

M. P. Sawyer 76,966.19

Jas. B. and Mary Dow Fund, a

gift of Mary Dow, under

the will of James B. Dow 5,000.00

Elisha T. Loring Fund, a bequest

of EHsha T. Loring . . . 10,000.00

Ellen M. Gifford Fund, part of

bequest of EUen M. Gifford 10,000.00

Turner Sargent Fund, a bequest of

AmeHa Jackson Sargent . . 5,000.00

Sarah E. Allen Fund, a bequest of

Sarah E. Allen ..... 5,000.00

Amount carried forward . . $717,062.16

26

Report of the Treasurer.

Amount brought forward . . $717,062.16
The Wm. S. Dexter Fund, a donation of

Wm. S. Dexter 5,000.00

Wm. B. Spooner Fund, a bequest

of Wm. B. Spooner . . . 3,000.00

Caroline Merriam Fund, a dona-
tion from Frank Merriam 1,000.00
Elizabeth W. Gay Fund, a bequest

of Ehzabetli W. Gay . . . 7,931.19

Waldmeyer Fund, a bequest of

Phihp Waldmeyer .... 1,000.00

Lawrence Fund, a bequest of

Abbott Lawrence .... 10.000.00

Isaac Sweetser Fund, a bequest of

Mrs. Anne M. Sweetser . . 46.913.14

Burnham Fund, a bequest of

T. O. H. P. Burnham . . 250,000.00
Moseley Fund, a bequest of Wm.

O. Moseley 20,000.00

Snow Fimd, a bequest of Sophia J.

Snow 5,000.00

Glover Fund, a bequest of Albert

Glover 5,000.00

R. W. Turner Fund, a bequest of

Royal W. Turner .... 21,086.48

Coohdge Fund, a bequest of

Susan G. Coohdge .... 176,000.00
Vose Fund, a bequest of Ann

White Vose 38,983.09

Cheney Fund, a bequest of B. P.

Cheney 10,000.00

Mary B. Turner Fund, a bequest

of Mary B. Turner . . . 5,000.00

Theodore Chase Fund, a donation

of Ahce Bowdoin Chase . . 5,000.00

Henry E. Moody Fund, a bequest

of Jane C. Moody . . . 2,091.42

Urbino Fund, a bequest of S. R.

Urbino 6,000.00

Chas. Paine Cheney Fund, a dona-
tion of Mrs.'B. P. Cheney 5,000.00
Benj. Jos. Gilbert Fund, a donation

of Mrs. Susan B. Richards 5,000.00

AVm. Hilton Fund, a bequest of

Wm. Hilton 22,553.66

J. SuUivan Warren Fund, Legacy

of EUzabeth T. L. Warren 62,350.00

Amoimt carried forioard . . $1,430,971.14

27

Report of the Treasurer.

Amount brought forward . . $1,430,971.14
The Harriet T. Andrew Fund, a be-
quest of Hai-rlet T. Andrew 5,000.00
Cornelia V. R. Thayer Fund, a

bequest of Mrs. C. V. R.

Thayer 25,000.00

Chas. B. Porter Fund, a bequest

of W. L. Chase 5,000.00

Henry L. Pierce Fund, a bequest

of Henry L. Pierce . . . 50,000.00

Luther Farnimi Fund, a bequest

of Luther Farnum . . . 2,637.37

J. Huntington Wolcott Fund, a be-
quest of Mrs. J. Huntington

Wolcott 25,000.00

Geo. A. Newell Fimd, a bequest

of Geo. A. NeweU .... 5,000.00

Ira C. Calef Fund, a donation of

Ira C. Calef 5,000.00

J. Collins Warren Fund, a bequest

of Anna S. C. Blake . . . 10,000.00

Henry Saltonstall Fund, a bequest

of Henry Saltonstall . . . 10,000.00

Conrad Mohr Fund, a bequest of

Conrad Mohi- 33,630.86

Sarah H. A. Bm-nham Fund, a

donation of Mrs. Sarah B.

AVhittemore and Mrs. Theresa

B. Dodge 5,000.00

Chas. L. Young Fund, a bequest

of Chas. L. Young . . . 5,000.00

Henry Woods Fund, a bequest

of Henry Woods .... 5,000.00

Henry Whitman Fund, a bequest

of Henry Whitman . . . 10,000.00

Jos. B. Glover Fund, a bequest of

Jos. B. Glover 5,000 00

Stuart Wadsworth Wheeler Fund,

a donation of Susan Farnum

Wheeler 1,000.00

Wm. Whitworth Gannett Fund, a

donation of Wm. Whitworth

Gannett 1,000.00

Robert Chas. Billings Fund, a be-
quest of Robert Chas. BilHngs 5,000.00
Fred'k L. Ames Fund, a bequest

of Mrs. Fred'k L. Ames . . 5,000 00

Amount carried forward . . $1,649,239.37

28

Report of the Treasurer.

Amount brought forward . $1,649,239.37
The John Ruggles Fund, a hequest of

Mrs. Mary L. Ruggles . . 10,000.00

Chas. H. Hayden Fund, part of a

bequest of Chas. H. Hayden 5,000.00

Harriet O. Crvift Fund, a donation

of Miss Harriet O. Cruft . . 3.000.00

Henry C. Weston Fund, a donation

of Mrs. Evelyn O. Weston . 5,000.00

Geo. B. Upton Fund, a bequest of

Geo. B. Upton 5,000.00

Shepard Norwell Fund, a donation

of John Shepard .... 5,000.00

Hannah Smith-Lexington Fund, a

bequest of George O. Smith , 5,000.00

Coburn Fund, a bequest of

Mrs. Helen G. Coburn . . 75,000.00

Charles Merriam Fund, a bequest

of Charles Merriam . . . 5,000.00

Moses Williams Fund, a donation

of Laura L. Case .... 5,000.00

Smith-Gerrish Fund, a bequest of

Edward Gerrish .... 8,000.00

Nurses Training School, Free Bed

Fund 5,000.00

Donation of Mrs. W. Scott Fitz . 5,000.00

Donation of Miss Harriet O. Ciuft

as a Children's Fund . . . 5,000.00

Bequest of Mrs. Grace M. Kuhn

for CUnical Laboratory . . 10,000 00

■ — $1,805,239.37

Income unrestricted:

The Waldo Fund, betpiest from Daniel

Waldo $40,000.00

Blake Fund, a bequest from

Stanton Blake 10,000.00

Charles W, Faulkner Fund, be-
quest of C. W. Faulkner . 2.940.00

John Foster Fund, bequest of John

Foster 10,000.00

Brown Fund, bequest of Harriet

Louisa Brown 5,000.00

Elizabeth C. Ware Fund, bequest

of EUzabeth C. Ware . . . 10,000.00

Lucretia A. Wilder Fund, a be-
quest of Lucretia A. Wilder . 9,377.64

Roger Wolcott Fund, bequest of

Roger Wolcott 5,000.00

$92,317.64

Amount carried forward $1,897,557.01

29

Report of the Treasurer.

Amount hroiiyht forward . . $1,897,557.01

Income devoted to any Pur-
pose except Buildings :

Redman Fund, a bequest from

John Redman .... 455,113.34

Chester H. Davis Fund, for
Crippled Children, a be-
quest of Chester H. Davis . 20,000,00

Total Restricted Fund . . $2,372,670.35

McLean Hospital Fund.

The Bromfield Fund, lialf of a bequest

from John Bromlield . . . S20,000.00
Read Fund, half of a bequest from

James Read 1,000.00

Appleton Fund, $10,010, a bequest

from Samuel Appleton,

$20,000being adonation from

Wm. Appleton 30,010.00

McGregor Fund, half of a donation

and bequest from James

McGregor 7,500.00

Austin Fund, part of a bequest

from Mrs. Agnes Austin . . 5,000.00

Kittredge Fund, a bequest from

Rufus Kittredge .... 5,500.00

Templeton Fiuid, half of a bequest

from John Templeton . . 5,000.00

Proctor Fimd, a bequest from

Mrs. Lydia P. Proctor . . 1,000.00

Higginson Fund, a bequest from

George Higginson .... 10,000.00

Ellen M. Gifford Fund, part of a

bequest from Ellen M.

Gifford 5,000.00

Matchett Fund, a donation of

Sarah F. Matchett . . . 15,000.00

Vose Fund, a bequest of Ann

White Yose 34,491.54

Amount carried forward . . $139,501.54

30

Report of the Treasurer.

Mar-

A mount hroiight fo r uui rd
The Abbott Fund, a bequest of

shall K. Abbott

Lincoln Fund, half of a bequest

from Mrs. F. W. Lincoln
Bradlee Fund, a donation from

Helen C. Bradlee . . . .
Vose Fund, a bequest of Ann

White Vose

Amusement Fund, $5,000 bequest

of Miss Mary Louise Shaw;

$5,000 donation of Mrs.

Quincy A. Shaw and other

ladies

Hibbard Occupation Fund .
Thomas E. Proctor Fund for

maintenance of buildings .
Fund for Department of Scientific

Research, a donation of

Sarah F. Matchett . . . .

Art Roona Fund

Samuel EUot Memorial Chapel

Fund for maintenance of

Chapel

George F. Parkman Estate
EUzabeth B. Maxwell Estate
Mercy A. Bailey Estate
S. C. M. Lovering Estate .

$139,501.54

2,500.00

85,000.00

50,000.00

4,491.55

10,000.00
1,000.00

30,000.00

5,000.00
811.90

10,904.84

50,000.00

1,030.00

5,500.00

2,750.00

Total McLean Hospital Fund $398,489.83

Income devoted to a Triennial
Prize :

Warren Prize Fund, a bequest
from Dr. J. M. Warren . .

4,333.68

Income devoted to the Lib-
rary :

Treadwell Library Fund, part of
a bequest from J. G. Tread-
well

5,000.00

31

Report of the Treasurer.

Income devoted to Music at
Hospital :

George C. and Anne H. Shattuck
Fund, donation of Dr. Fred-
erick C. Shattuck .... $2,000.00

Income devoted to Books for
Patients:

Warren Library Fund, a donation

from Dr. J. C. Warren . . 1,000.00

Income and Principal devoted
to the Publication of a His-
tory of the Hospital:

Bowditch History Fund, a bequest

from N. I. Bowditch . . . 2,000.00

Income devoted to Special

Surgical Instruments: . . $225.00

Donation of Dr. Henry J. Bigelow 1,250.00

Arthur Appleton Beebe Fund . . 5,000.00

Wooden Leg Fund .... $100.00

Bequest of N. I. Bowditch .
George A. Newell Fund

Convalescent Hospital Fund .

Bequest of Jerome G. Kidder .

Bequest of Samuel W. Sweet .

Donation from George A. Gard-
ner

Bequest of Elizabeth B. I. B.
Dixwell

Donation from Miss Helen C.
Bradlee

Bequest of Elizabeth B. Bowditch

Donation from Mrs. Isaac Sweet-
ser in memory of Dr. Edw. H.
Clarke

6,475.00

5,000.00
2,500.00

7,600.00

$67,320.66

15,000.00

50,000.00

5,000.00

1,000.00

1,300.00
5,000.00

1,000.00

145,620.66

32

Iteport of the Treasurer.

Free Bed Subscribers; Perma-
nent or for ten years:

Mrs. Jolm T. Morse $1,000.00

D. R. Whitney 1,000.00

Mrs. Anna T. PhiUips .... 1.000.00

Mrs. EUot Hubbard 1,000.00

Walter Hunnewell 1,000.00

Miss EUen F. Mason . ". . . 1,000.00

Mary G. Pickering 1,000.00

Mrs. W. Scott Fitz 1,000.00

Mr. and Mrs. Henry S. Grew . 1,000.00

Jordan Marsh Co 1,000.00

Henry L. Higginson .... 1,000.00

Mrs. George D. Howe .... 1,000.00

Wm. S. Dexter 1,000.00

Walter Hunnewell Renewal . . . l.OOO.dO

$14,000.00

Clara Barton Annuity .• . .
Euphemia Millar Annuity

3,241.00

1,557.74

Dr. J. H. Whittemore Memo-
rial Fund

33,720.00

Training School for Nurses

Fund

39,967.29

Samuel Cabot Fund for Patho-
logical Investigation. Founded
in 1888. Donation of Samuel
Cabot and Dr. Arthur T. Cabot.
Income devoted to salary of Surgi-
cal Pathologist

Pathological Laboratory and
Randall Funds . • . . .

10,000.00
80,674.09

John Call Dalton and Edward
Barry Dalton Fund, a dona-
tion from Charles H. and Henry R.
Dalton. Income devoted to Inves-
tigation in the Science of Medicine.

25,000.00

33

Report of the Treasurer.

Codman Fund $149,769.96

Orthopedic Ward Fund . . - 26,470.92

Late Result Fund (Anonymous) 500.00

C. H. W. Foster,

Treasurer.

34

Kxaminations of Accounts.

Boston, Jan. 24, 1910.
Nathaniel Thayer, Esq., % -

Moses Williams, Esq., C Committee on Accounts.
C. H. W. Foster, Esq., )

Massachusetts General Hospital, Boston, Mass.

Sirs : — In accordance with your instructions, we have exam-
ined the books and records of the Massachusetts General Hospital,
including those of the General Hospital, Convalescent Hospital,
McLean Hospital, and of the Treasurer, for the year ending
Dec. 31, 1909, for the purpose of verifying the cash transactions.

We submit herewith one Exhibit, showing the General Balance
Sheet as of Dec. 31, 1909, prepared from the Treasurer's Books,
and one Schedule, showing the Stocks and Bonds on hand Dec. 31,
1909.

WE HEREBY CERTIFY:

1. That all funds shown to have been received have been
accounted for, and that we have found vouchers or other
satisfactory evidences of payment for all disbursements.

2. That the balance of cash on Dec. 31, 1909, as shown by
the books of the hospitals and the Treasurer, amounting to
$57,660.93, was on hand as of that date.

3. That Stocks and Bonds (par value $1,018,900.00) amount-
ing to $1,066,944.79, and Annuities Receivable, consisting
of three policies, amounting to $160,000.00, as shown by the
books, are certified by the New England Trust Company, as
being in their custody on Dec. 31, 1909.

4. That Notes Receivable, amounting to $20,223.00, were in
the custody of the Treasurer on Dec. 31, 1909.

5. That the books of the hospitals and Treasurer are in agree-
ment as of Dec. 31, 1909, with the exception of the Accounts
Receivable and Stock on hand, which appear on the books
of the McLean Hospital, but in accordance with the usual
custom, are not included in the Treasurer's accounts.

6. That the Balance Sheet, submitted herewith, is correctly
compiled from the Trial Balance of the Treasurer's Ledger
as of Dec. 31, 1909.

Respectfully submitted,
PATTERSON, TEELE & DENNIS,

Certified Public Accountants.

REPORT OF LADIES' VISITING COMMITTEE.

The Ladies' Visiting Committee have little that is
new to report of a definite nature in their routine of
friendly visiting in the wards. As experience is an
important factor in successful visiting they are glad
to state that all of their members have served for
several years, while some have given their services
for many years.

The simple handiwork, voluntarily undertaken by
the patients in the Orthopedic Ward and at the Con-
valescent Hospital, has proved to be a diversion and
resource to these patients. The circulation of books
from the Warren Library has increased over that of
last year. It is the endeavor of the Committee to re-
place the so-called " yellow literature," often brought
into the wards, with wholesome reading.

The members of the Committee are of the opinion
that the Children's Ward is inadequate, both in size
and equipment, and that the crowding of visitors at
the entrance to the Hospital and in the waiting hall,
during the visiting hour, is unfortunate and should be
remedied. The}' wish to place on record their ap-
preciation of the valuable work of the Dietitian,
Miss McCullough, as they see it in the careful prepa-
ration of diets for the wards. They believe that the
social work in the wards of Miss Tippet, the Execu-
tive Assistant, is so wisely directed that the results
are a benefit to the community.

The Ladies' Visiting Committee desire to expres?

35

36

Report of Ladies' Visiting Committee.

their appreciation of the assistance given to them by
the Administrator and other officers and by all the
workers in the Hospital with whom they come in
contact.

Respectfully submitted,

Charlotte L. Sprague,

Secj'etajy.

ANNUAL REPORT OF THE ADMINISTRATOR
OF THE MASSACHUSETTS GENERAL
HOSPITAL AND RESIDENT PHY-
SICIAN OF THE GENERAL
HOSPITAL.

To the Trustees of the Massachusetts General
Hospital :

Gentlemen: — I have the honor to submit my sec-
ond annual report as Administrator of the Massachu-
setts General Hospital.

The year 1909 may be regarded as satisfactory in
essential particulars. The actual operating cost of
the three hospitals has been $16,763.77 greater than
in 1908. The hospital receipts have been $9,350.71
larger.

The increase in operating expenses is practically
all at the General Hospital, due to the larger amount
of work done and its better accomplishment. Econ-
omies and more etfective checking are believed to
have about offset the increased cost of all supplies.

GENERAL HOSPITAL.

Operating Cost. Hospital Receipts.

1909 . . . S336.131.35 1909 . . . 8143.379.56

1908 . . . 317.832.23 1908 . . . 13.5.002.24

$18,299.12 S8,377.32

Greater in 1909 than in 1908. Greater in 1909 than in 1908.

McLEAN HOSPITAL.

Operating Cost.

1909 . . . 8284,294.64
1908 . . . 286,027.83

Hospital Receipts.

1909 . . . 8279.762.41
1908 . . . 278,722.50

81,733.19

$1,039.91

Less/in 1909 than in 1908.

37

Greater in 1909 than in 1908.

38

Report of the Administrator and Resident Physician.

CONVALESCENT HOSPITAL.

Operating Cost. Hospital Receipts.

1909 .... S13,548.48 1909 .... 83,901.21

1908 .... 13,350.64 1908 .... 3,967.73

$197.84 S66.52

Greater in 1909 than in 1908. Less in 1909 than in 1908.

The tables showing these tigures in detail are
appended.

GENERAL HOSPITAL, BOSTON.

I would respectfully invite the attention of the
Trustees to the need of new construction at the Gen-
eral Hospital, as outlined in the report for 1908. We
can not do our work to the best advantage under
present conditions. The administration is badly ham-
pered by the lack of a suitable place to receive pa-
tients and their friends. The offices are cramped for
the large and growing business of the institution.
There is no adequate protection for valuable records.
There are no quarters for certain Resident and House
Doctors who should live on the premises. A very
considerable addition to the old Nurses' Home, or an
entirely new structure is needed. These are the
needs which should be met tirst. It would seem that
if the communit}^ were thoroughly informed how this
great charit}' is hampered in its work, there would be
a response in contributions.

The number of patients admitted to the wards was
5,871 in 1909 — 5,362 in 1908. Total patients' days
treatment, 105,295 in 1909 — 106,034 in 1908. Aver-
age length of stay in the hospital was 18 minus da3-s
in 1909 — and 20 minus days in 1908. There were
3,841 operations upon house patients in 1909 — 3^634

39

Report of the Administrator and Resident Physician.

in 1908. Visits to Accident Ward in 1909 were
5,314. In 1908,5,313.

The Out-Patient Department shows 121,327 visits
in 1909 — 116,008 visits in 1908. A daily average of
399 plus in 1909 — 382 in 1908.

The daily average cost per patient was $2.36 plus
in 1909 — $2.26 plus in 1908. This figure is reached
by deducting from the total operating expenses, the
actual cost of- conducting the Out-Patient Depart-
ment and Accident Ward, heat, power, etc., fur-
nished Eye and Ear Infirmary, and goods furnished
McLean Hospital and Convalescent Hospital. The
figure thus found is divided by the total patients'
days treatment. This dail}' cost seems high until we
stop to consider that it includes such items as the.
cost of conducting laboratories for pathological and
chemical investigation, libraries for the Staff and pa-
tients, salaries of those engaged in research, and
much special individual nursing of patients. The
great modern hospital is an institution for research,
study and teaching, in addition to the scientific care
of the sick. The daily cost per capita for provisions
for all persons supported was $ .30 minus in 1909 —
$ .29 minus in 1908.

The year 1909 marked the introduction of teach-
ing of graduates in medicine under the auspices of
the hospital. Courses have been given by Dr. D. F.
Jones and b}' Dr. Hugh Cabot, and other courses are
already advertised or contemplated for the ensuing-
year. A nominal fee is charged, sufficient to re-
imburse the hospital for expenses incurred. This
teaching fills a need which is not covered by exist-
ing medical schools. The lectures in each course
are given but once a week, and so arranged that phy-
sicians living within easy train ride of Boston may

40

Report of the Administrator and Resident Physician.

attend them without seriously interfering with their
daily practice. Any member of our Staff who has
teaching aspirations, and who receives authority from
the Trustees, may give one of these courses.

A course in hospital administration has been started
for graduate nurses. This course is six months in
length, and it is practicable to admit but two nurses
at a time. Three nurses have graduated from this
course, and two others are now taking it. We be-
lieve it gives them an invaluable experience and sends
them out fitted to take charge of small hospitals.

THE PATHOLOGICAL LABORATORY.

Dr. J. H. Wright's report follows. I would invite
'attention to the splendid work here accomplished
under the able management and example of
Dr. Wright. Few people realize the original and valu-
able work which is done in our Laboratory, which
has access to a wealth of material unrivaled in this
country. The call of the Director for more room
should not go unheeded.

OUT-PATIENT DEPARTMENT.

The work of this department has increased enor-
mously during the year, reaching the total of 121,327
visits, an increase of 5,319 over 1908. The tables of
statistics follow. The social service work continues
and grows. It has been successful, widely copied,
and reflects credit upon the hospital. •

Attention is invited to the large amount of work
in the Medico-Mechanical and Hydrotherapeutic
Rooms, under the administration of Dr. Bucholz.

The X-Ray work and photography has grown dur-
ing the year.

41

Report of the Administrator and Resident Pliysician.

NURSING DEPARTMENT.

Miss Pauline L. Dolliver, Superintendent of
Nurses, resigned during the year, and her place has
been filled by the appointment of Miss Georgiana J.
Sanders. Miss Dolliver served the hospital faithfully
and ably for ten years. It was with regret that her
resignation was accepted. It ma}' well be the ambi-
tion of servants of the institution to leave behind
them as good a record as has Miss Dolliver.

The Trustees have authorized an increase in the
number of pupils in the Training School. It is the
intention to shorten the working hours of nurses.
We hope to make our school so attractive that we
shall call to our numbers a goodly proportion of
women who have received a higher preliminary edu-
cation. We graduate now nurses who make satis-
factory private nurses ; but only a few who are
capable of filling the higher administrative positions
now so attractively opening. We hope to do our
share in training nurses fitted for these positions.

Reference to the report of the Superintendent of
Nurses is invited.

TREADWELL LIBRARY.

The use of the Library has been greater in 1909
than ever before. The complete report of the Assist-
ant Librarian follows.

The social work in the wards of the hospital has
been continued by Miss Tippet with marked success.

A word of recognition is due Miss McCullough,
the Dietitian, for raising the standard of work in that
department.

I would invite the attention of the Trustees to the
services cheerfully and freely rendered the hospital

42

Report of the Administrator and Resident Pliysician.

by its large Staff of Physicians, the members of the
Advisory Committee to the Training School, the
Ladies' Visiting Committee, the ladies of St. Paul's
Industrial Societ}', the ladies and gentlemen con-
nected with the Social Service in the Out-Patient
Department, and many others, including the ladies
of Cambridge who for so many years have helped to
make Christmas bright for the unfortunate at the
hospital.

MCLEAN HOSPITAL, WAVERLEY.

The house upon Mill Street, acquired during the
year, has been assigned to Dr. Bond, Second Assist-
ant Physician. The land which came with it
rounded out the hospital estate on the Mill Street
side in a most desirable manner.

The year has been noticeable for the substantial
sums spent upon repairs and refurnishings from the
money received from board of patients and income
from the restricted funds of the McLean Hospital.
A long section of connecting corridor has been re-
covered with asphalt, leaking gables of the Women's
Belknap and East House have been covered with
copper, a dairy has been built, the pump house at
the new spring has been completed and the pump
installed, and two of the boilers in the Power House
have been equipped with new fronts, new" grates, and
forced draft. The furnishings in the various build-
ings will be described in the report of the Medical
Superintendent. His report will show also the
changes and addition to the Wyman House. The
cost of this improvement was also partiall}" met from
income.

The saving in the water bill etiected by the de-
velopment of the new spring promises to exceed

43

Report of the Admiuistrator ami Resident Physician.

$2,000 per year. No water has been purchased
since this spring was used. It has furnished us with
about 130,000 gallons daily.

A decided effort has been made to simplify the
kitchen arrangements and improve the dietary. It
is believed that this has been accomplished and at
ver}' slight increase of the daily cost per capita for
provisions for all persons supported. This was $ .41^8
in 1909 agamst $.457 in 1908.

The average daily cost per patient was $3.39 plus
in 1909, and $3.49 plus in 1908. Total number of
days treatment was 79,515 in 1909, and 78,897 in
1908,

Tables showing financial statements and statistics
in detail are appended.

CONVALESCENT HOSPITAL, WAVERLEY.

The year has not been remarkable. The expenses
and receipts have varied little from those of 1908.
The total patients admitted was 6^6 in 1909 and 508
in 1908. Total patients' days treatment, 11,428 in
1909 — 10,106 in 1908.

The hospital interior walls have been painted. A
new dressing room has been added during the year.

I would here express m}^ appreciation of the
faithful service of officers, nurses, and employees, and
thank your Board for the consideration invariably
shown the administrative department.

Very respectfull}^,

Frederic A. Washburn,

A dm in istra to r.

44

Report of the Administrator and Resident Physician.

TABLE No. 1.

Comparative Statement of Statistics.

Patients in Hospital January 1 : 1909. 1908.

Medical .....' 98 100

Surgical 198 175

Total "296 275

Patients admitted during the year :

Medical 2,059 1,908

Surgical 3,812 3,454

Total 5,871 5,362

Total patients treated during the year :

Medical ......'..... 2,157 2,008

Surgical 4,010 3,629

Total 6,167 5,637

Patients discharged during the year :

Well ■ 491 1,112

Much reheved 1,567 1,418

Relieved 2,739 1,823

Not relieved 278 308

Against advice 121 80

Died 451 465

Not treated 220 135

Total 5,867 5,341

Patients in Hospital at end of year :

Medical ■ 101 98

Surgical 199 198

Total 300 296

Total patients' days treatment :

Free patients 51,684 58,516

Pay patients 53,611 47,518

Total 105,295 106,034

Percentage :

Free days 49+ 55 +

Paydays 50+ 45—

Total 100 100

45

Report of the Administrator and Resident Physician.

1909. 1908.

Average patients per day :

Free 142— 160+

Pay 147— 130 +

Total 289— 291—

Average time per patient in the Hospital . . 18 — days 20 — days

Daily average cost per patient, excluding
actual cost of running Out-Patient Depart-
ment and Accident Ward, Heat, etc., fur-
nished Eye and Ear Infirmary, and goods
furnished the Convalescent Hospital and

McLean Hospital S2.36+ S2.26+

Daily cost per capita for provisions for all

persons supported .30 — .29 —

Paying patients were admitted at the following rates per week :

57 at $35.00, 7 at S23.34, 163 at $21.00, 5 at 815.00, 104 at S14.00,
1 at $12.00, 1,461 at $10.50, 103 at $10.00, 1 at $9.00. 1 at $8.75,

15 at $8.00, 2 at $7.50, 550 at $7.00, 18 at $6.00, 1 at $6.50,

4 at $5.25. 423 at $5.00, 1 at $4.50, 45 at $4.00. 59 at $3.50,

1 at $3.25, 127 at $3.00, 4 at $2.50, 126 at $2.00, 8 at $1.50,
25 at $1.00.

There were 5,314 patients treated in the Accident AVard. Of this
nmnber 1,737 were retained in the Hospital.

Out-Patient Department.

1909. 1908.

Niunher of cases treated (new cases) . . . 21,518 20,729

Americans 10.441 10,093

Foreigners 11,077 10,636

Residents of Boston 10,059 10,145

Residents of other places 11.459 10.584

Medical Department 7,043 6,511

Surgical Department 6,559 6,599

Department for Diseases of the Skin . . 2,059 2,224

,, ,, ,, Nervous System 1,088 844

, Thi-oat . . . 3,006 2,734

Orthopedic Department 1,763 1,817

Total nmnber of visits from patients . . . 121,327 116,008

Average daily attendance 399+ 382

Total number of prescriptions filled . . . 48,250 46,390

Number of visits to Hydrotherapeutic Room 4,187 5,290

Medico-Mechanical „ 11,837 11,466

Number of apphcants 24,042 23,282

Number admitted 21,518 20,282

Referred to other Institutions 596 o i o

Nmnber refused 1,928 1.9 (o

46

Rejiort of the Administrator and Resident Physician.

1909. 1908.

Cost of Maintenance of Out-Patient Dept. so4,739.32 850,902.61

Daily average cost per Out-Patient . . . .45-|- .44 —

Ambulance.

1909. 1908.

Anilnilance calls during the year . . . 1.539 1.747

Average calls per day 4-f- 5 —

Accident Ward.

1909. 1908.

Visits made to Accident Ward during the

year 5,314 5,313

Average visits made per day .... 15 — 15 —

Cost of Maintenance of Accident AVard . 84,389.78 84.141.03
Daily average cost per Accident Ward

Patient .83 — .78 —

X-Ray.

1909. 1908.

Niunber of X-ray cases taken in the Out-
Patient Department 3,323 2,902

Numher of X-ray cases taken in the

House . . . ^ 1.441 1,353

TABLE No. 2.

Residences.

Boston 1,408

Massachusetts (except Boston) 4,295

Maine 38

New Hampshire and Vermont 66

Rhode Island and Connecticut 22

Other States 24

British Provinces 12

Foreign Countries 6

Total 5,871

TABLE No. 3.

Birthplaces.

Boston 274

Massachusetts (except Boston) 1.955

Maine 212

New Hampsliire 101

Vermont 67

Rhode Island and Connecticut 86

New York 108

Southern and Western States 185

Other States 25

Total in the United States 3,013

47

Rei>ort of the Administrator and Ue»ident Physician.

Tablk No. 3 — Continued.

British Provinces 575

Great Britain 197

Ireland 725

Norway and Sweden 110

Germany 50

Italy \ 297

France (5

Russia and Poland 512

Other Places 38(5

Total Foreigners 2,858

TABLE No. 4.
Occupations.

Males.

Actors 3

Agents 8

Architects 1

Bakers 16

Bankers 1

Barbers 31

Bar Tenders 10

Blacksmiths 19

Bookkeepers 14

Brewers 1

Brokers 1

Builders 2

Butchers 12

Butlers (>

Carjjenters 91

Cashiers 3

Chauffeurs 9

Chemists 1

Cigar Makers 8

Clergymen 4

Clerks 100

Compositors 4

Confectioners 5

Contractors 1

Cooks 26

Coopers ^

Dentists 3

Drivers 124

Druggists 7

Electricians 14

Engineers 19

Carried forward , . . . o49

48

Report of the Administrator and Resident Physician.

Brought forward 549

Farmers 81

Firemen 37

Fishermen 10

Florists 2

Foremen 8

Fruit Dealers 1

Gardeners 20

Grocers 10

Hostlers 3

Icemen 2

Ironworkers 19

Janitors 17

Jewelers , 14

Junk Dealers 11

Laborers 389

Laundrymen 1

Lawyers 3

Leather Workers 4

Linemen 5

Longshoremen 10

Machinists 85

Manufacturers 4

Masons 12

Mechanics 8

Merchants 4

Messengers 19

Metal Workers 2

Mill Hands 103

Minors 104

Musicians 15

None 297

Nurses 10

Officers 1

Painters 57

Pedlers 17

Photographers 1

Physicians 23

Plmnbers 15

Police Officers 3

Porters 9

Printers 18

Raih'oad Employees 92

Retired 8

Roofers 4

Rubber Workers 9

Salesmen 33

Carried forward 2,149

49

Report of the Administrator and Resident Physician.

Brought forward 2.149

Seamen 9

Servants 17

Shippers 22

Shoemakers 122

Soldiers 2

Stenographers 1

Stone Masons 15

Store Keepers 12

Street Railway Employees 21

Students 332

Superintendents o

Tailors 51

Tamiers 1

Teachers 11

Telephone and Telegi*aph Operators 5

Tinsmiths 4

Upholsterers 4

Waiters 21

Ward Tenders 2

Watchmen 9

Weavers '

Woodworkers 10

Others 595

Total Males 3,427

Females,

Bookkeepers 7

Cashiers 1

Clerks 26

Compositors 1

Cooks 43

Domestics 37o

Dressmakers 1"

Governesses ^

Home 433

Laundresses 2o

Matrons 1

Mill Hands 78

Milliners 5

Minors 70

Musicians 3

None 2oo

Niu'ses ' -^

Physicians 2

Rubber Workers 1

Carried forward 1,414

50

Report of the Administrator and Resident Physician.

Brought forward 1,414

Saleswomen 13

Seamstresses 22

Shoeshop Employees 22

Stenogx'aphers 14

Students 191

Tailoresses 5

Teachers 14

Telephone and Telegraph Operators 7

Waitresses 41

Wives 630

Others 71

Total Females 2,444

51

Report of the Administrator and Resident Physician.

<
E-t

Ph

o

<

Ho

O I— ' Eh

02 i-H

of

o

t-H

02
C»
t— (

O

m

QQ
<1

•paitjaix
s}u9ij«d-ano

n be 'A ■

a c £ S"
M a 5 » «

•aajj

•Sui^Bj

JO aniix 9:SuiaAV

JO araij, aSBjaAV

"sjuapioov

t- ^o — o -o c —

C^r^OClXt'tSXr-iC^-^L-t-^C^l-l'-fTli^MOOOT

•33BJaAV

IBioi isBaq:

•lB10XaS81B3J9

l5h-C0O«t-XXW!

: t- i.'O ^3 -^ '^ >3 "loj" -^ t- ci ;; — 00

w:ot-xcsoc500C»-iocsiccL:;w:ot.-;ir2i

iw^i^r-lr^Z^w^Z<iOi-:i

I C^ ?1 7-1 C^J 7^* C^ ^ C^ r^ ^1 ?-l W C^ C^ d

ooxo^^c^?<lrc»-<7)r:rci

i ?> t- -J -^ S-. •* T o n •* i: -< ^ « t

:oxxxxc = oooo)'<

-H .-I n »i ~i ^) j.^ J) ;<)?) ~q N Mj.) ro u M n n r^ ?3 r; « rs « eo

aniix 9UO 5^ 3ui.iBj

O » O O M

- ;s c ci ~q ?io Oi -.i — o t- C5 ;

•acnu, 8UO 1^ 38J^

•paninipv ITJJOX
uo aSejuaojaj

sm^aa

■018 'passitnsid
'igna 'paaB'.^JX^ox

•p»A9Il8a ion

JO 'paA8ii8H ipniv

•psjltoipv I^jox
uo a:^Bju3oi3j

•liaAi paSiBqosia

•aajj

•amix JO iivd
piBoji SaiAB,!

■pjBog SuiAB<j

anifx aqj
JO 5J«cI ^ai^Bj:

•anijx aqi

■aajj

•paaiimpY i^jox

•jBai

-i'?jr:'j'^r)?5n'i*co»cO'-::5m?<'-i«r;-r^-^^ot-

0:ot^r;r;oooocc;x:ct^t^t'Xxr;cxx:it^x;3

5

o6t-^odx»»o6ooc>

3

t-

Oe0l3O-HC005OOX!3io^O
» X X X C5 S5 t^ X C5 00 C5 00 00 t-'

2

C5 =:

M ?q ?i ?i n Ti ^3

2

4H'.I
471
4(15
451

g; S5 L3

r: = o— 1

§

P

71

_ -)■ •!< r: i^ — -^ t- c o «
;> M M ?q « c^ c^ ?i u ^^ CO

?M$.

•.2t--jxo-HOCe-. ^:co«t-t:-^^rs■JXl:;o .

_ - - . _ ; 55 ^ X X X

nr:-^XL^occs~'S'Ot^

^^^iS»:^X^i5'1*-^CSi-'5-lt-X^wt-*OX^-*'C'4?5

^ « ^ rt ^ ^q ;i M M »i M 7) ~: ~; M ~; ~5 m -r

CJX"OOi-iC5l3«OQt-Oi-"^1'?5C50»XOCOO"<00

X'*^-. -r — •* = sn^*)t-"i'r-. >=■

— X X :r. 71

xct~c2t-M'*i-':?;x'«"i=t-.Ti"C-. I

: IS :s X X m-i

o S3?

i c|l

WJ

O ® T*

ill

■Sa-c'-'
^eS O O

"7 75 "3

: T)> « n rt -^ — . :

. __ Z t^t~os '^ — t~x C-. n y. yi T. x^~

»-i «# X Ti ^2 — -^ -r C-. ^ -^ X ^: X — X rj ~i r: — . re — — rj 2 ci
X o c) o t- = t- t- [- C-. X X ci r-. I r; --I l: rt ^; 3 Ti r-. 3" i; 1^

-H ;■) IN 10 M — ?q M n ri CM ;■) « ~) ro n r; r; CO r^ ^5 c^ u « r; ^;

-:s«*<i5-f^-tM-*'wb-x0 7Ji^^3r;QCOc-ii^L;ox"t

-l"xStt~-"""*'-=co=^cn?)?i-^xr:2cor33-.2XXt-t--

■*r;-«"*ir;oo-j'ir;w»o.-<coxxi2'*2''"22"'^~S!

• M-fi^^Mxonisrinooi^j^moox

§3

N^I0S5^3O — or:'^<-iXi-i-.;X'"C)i::3JC5-<xot-t--t
xt-C!C-)moxM^rtTi?]-^rqt-X"»<x?jic-^i=Cor;c

:a»^co-r-rc*T — -* — X^-— "''^"^X'^-»cou-:t't2x^x
3 C5 ■-' ?^ c; X li u- .; f- 3 L- — X X X r. r: Ti 71 T) c X Ti ■* cj

: r-. — « u; -j> -^ ::

C5S<)X^iC^XC71

o ?^ ir: X 71 'I' rc r" "
71 ?) 71 7] r^ 7) rs :

c^^r^o — ^r;?:;

X X X X X X r-. ^. — r-. ^. C5 ^. CJ :■. r: o c s 5 i :
xxxxxxxxxxxxxxxxr;*^:" ~:

52

Report of the Administrator and Resident Physician.

:0 O O lO 05 ^H -^ C5 ^ C5 cc o c^

aa o »-H CO c^ 'i' o c^ ^ cc CO »o rt

9 i-> CC ^ 'T CO ^.,»-'^ «, t^ lO

(C oS

■Sj2 cS

o P <* 'S

;k £ c ? ■§ >..

o 2

tJ5 _.; tit„ w '"^ cc 5

c c'S.2.2 1^ 5 t.

ooc-i

eS

£ = «£
»"r «J o

W -^^ — .(-5

q5 C ^ X' _

c *^S

it

■sgg

ir. ■£ .2 ■« "

.:; ^ "^ 5 t^
SSSo.5

i si si

a< -

cS rt s

C C i-

2 £ 5

-e -a C =« ^ ii
■cs s^ v^

u *J OJ " i^

S J &S 5 =* «

s

CO

!^

<$;

lb

1^

,M

»»

J

<

««

m

0]

V

H

■1^

<

0

b

0)

1=.

^

Cli

^

<*

(X

M

Oi^

it

2

u

o.

z:

a
0

rt

u

O

o

rt

rrt

n

H

a

rH ^ O

«fe --.«

or-

2g

II

00 C-1

^ t-

SS

■^ OC t- CC U* X oc

^ 00 X -r -^t X i>

re" o re cc'-c C'i o

L- t- -r r- — X cc

-T ^_ :;;_ t'^ r: c:_ -^^

^' cc x' -r 1— »-*' x"

^ ^ ^ i-< *— c-i

:J

a

a

.£

.— fc- —

3 S

■£.£^5.=

Vi

CO

tv

tQ

^5

4)

m

CO

C

4)

a

M

UJ

>.

-M

h

u

a

o

u

I

0.

B

■o

cL

B

M

CS

u

u

3

F

o

r

a

"3

Q

9>

a

C

4)

H

o

OOOC-IOOOiHlNNlC'*

i-icDto>-ie<NC05mco
(n' •« la -H M oc i6t^r;S

lCtOCOCOOl2COCOC-t-
b-_^.-> 00 »H c<3 t^ '^'O^'^-^

rt c c

01 5* 'S

— 7- cS

. .-a

CCS >>3

2 2 e«£ O

a c H fc" =*
, aj oj 'S tis

l^ CCCO t^ 00

00 05 o c-i c;
t-- ift T-H cc :o

•H C 0> 00' Q

lo^c: Oi oo„^

o

Oh .
"B »
C S

blC
C »

^"5

t. K aE-'

e" cPh a a
o . c« o

- i<: b^ a
00 H 2 a Si

■CS-2 u.g

t* X O CC CC U* t-

-^ cc -^ ;d c^ CO ^

O X X CO
C^ C) CD CO

CIX'

Mt-

»

»

.££Sa

iS t: M-, a

* s 5 a. jr Jr b- a

a j2

e« a
ccco

c« a

MM

M '-' a/.a t.

r ■s = 7;2

•= csr: «

53

Report of tlie Administrator and Resident Physician.

H

a
o

u

Oi

<

CU

o

r

o> m i^ 00 iM

S 2

flC ^ lo 00 o 00 as
iS o> >o o m -» to

^ 00 o> N ej ^

» 00 OS .

* o e< >-i OS

^ rt Cl

irt e< o>

CO »a
;o CO

.I CO o J2 00

. M CO -- ° 00

§ S 5!' ^ i

QJ O CJ> 00 '».

r. ^ 5- ^- g

g 8 S S

00 00 CO o o
00 i-« c^ in o

0

0

CO

g

0
0

CO
05

in

N

t-

i

i

^

CO

00

§5

00

"^

i

s

m

■^

* o

8
0)

4^

u

t«

'tr;

■w

c

0

0,

a

0

o o -a „

■^ ;= c cS

■3 eS S w

5 J fa S,

- - ^ o

•5 5 t« 5

p, '3

10 o

►-5 h, a

o o O fa

>-

IS

X 00 -J o
w t- o; 00

2 2" gf g?"

a

Ci

10

CO

CD

CO 10 CO ►-

<N ,-( ai -r

(m" 00' CO 10

CO CO CD O

00^ CO^ Oi^ (>l^

•*

g

g

T-l

—

CO

CO

05

CO

03

05

g

0

00
CO

CO

^

s

CO

s

i

s

^

CO

CO

'"

1-H

^

ft *;

o O w

o fa

2 W

5 ^

' £

c

c

c

' ?

p. 5

«* — rs S. a
o i5 i^ 2 3 2

u o O

<1 O &^

54

Report of the Administrator and Resident Physician.

Statement of Stock on Hand.

1909, 1908.

Administration Supplies .... $1,302.74 $973.37

Professional Care of Patients'

Supplies 10,879.16 8,295.10

Department Supplies 16,721.10 16,763.01

General House and Property Sup-
plies 419.56 3,365.28

Wooden Leg Stock 200.00

General Material 1,084.56 1,369.91

Total Stock on hand Jan. 1 $30,407.12 $30,966.67

55

Report of the Administrator.

TABLE No. 1.

McLEAN HOSPITAL.

Comparative Statement of Statistics.

Patients in Hospital First of Year
on Visit „ „ „

Patients Admitted During Year ,
„ Discharged During Year
Not Insane .
Recovered .
Much Improved
Improved
Not Improved .
Deceased

Patients in Hospital End of Year

on Visit „ „ „

Total No. Days' Treatment

Free Patients

Patients Paying Less than $20
„ „ $20 or More .

Average Patients Per Day
Free Patients .
Patients Paying Less than i
„ $20 or More

Average Rate of Board Charged Per

Week

Average Cost Per Patient Per Week

1909.

1908.

215

204

6

13

221

217

169

168

160

164

2

6

30

36

19

21

40

47

34

35

35

19

221

215

9

6

230

221

79,515

78,897

709

647

24,626

22,996

54,180

55,254

218

216

2

2

68

63

148

151

$23.37

$23.55

23.77

24.37

Daily Cost Per Capita for Provisions for
all Persons Supported

.458

.457

56

Report of the Administrator.

Z O

CQ

a

4)

b
3

u

o S

C U

o

e»

M

O

>^
a

o
w

P
>

•CQ

■X

"2 u

£ s -i "

X a-. — — H s s a

'^2

s 6t»
— a s)
= = 1

n

,

1

o

1

»

CO

o

b

3

-M

•o

a

c

- u

X

b

b,

X

c

Ul

eS

, o.

-.-

1 es

c

!o

c

ir

w -. © •«

I 5 = r 2

■» :3

• ei • c4

- :;;)

• !., : o

■ - • c*

: 2 : ~

E "=«

• X S ^^

: = 0 •

— wS

= <*

^

<<;i, ;?; <; -sj s

<;

s«

1

s

S

s

»

*»

m

.

a

I

&u

s

d

•3

1 >>

o

5

' !£

*

^

1 =

a; S

:S

1-S.I §£•

tn

t. ®

U 1 ■"«

'«

1 -

*S»

rt

c

il^ .

o

H 1 2<B

H

^>

X o

Is,-

S o

lOO

t~- i*

CO IS

— -^

aia

"^ -1

^ r-I

06 •♦

-r

C". CO

«&

¥f

</t

eff

■ ^ t- —

5a- ca. "a. =

.a a. .2 a, ^ a! "

«S S c«S CSS E

Mco iJm )Jtc f

a) 5-,

X c -i n C-. ^ — . -js ■>< -r
H '"■ ~' ^" il" i.' 3 ^ ^ '^'

ci ^' :£

5^:2

3 «

_— ^ 5 5 5^ ^ =^ ^

e
a

■a
a

es

4)

CO

3
O

r 1"
13 S

u ii:_ - „

C --coo 5
V u -ii • -

Kfc.

X 0

♦3 >-S

« fcfe,
« c -

a> S S

U U aJ

-, * == =£ ® c^

=* b :S (4 »* S^ —

S' 3» 10 t-^ 10
CI C^ COO

ca £ -wi » kj

g

d

cs

ic

»

CO

-«-•

C

V

C3

CL

«•

0

0

u

u

S
X

- 6

El.

^

s

c

c

0

b

CO

?J

s

«•

E

0 ■

b

T

CL

<

r

C

6-

<

« CO

« 00 -^ -^ I' (O

^ 'j; — 00 c) ^

^' o CO o -f r-^

O C". O r^ i" C^

"^ * = = «, •-

g) — «-. . . T. r*;

„ <t z ■r. t. ~ •»<

r =5s.££^t

C/]

•=S.2£ ^

•S = -a.i g

«■

CB ^ " si "Z

«

=■ V

w ~ o V

CT 5 u C

a.1- -— u 3

V T— -

Report of the Administrator.

57

o

<

w

H

P5
O
fa

H

O §

H
<3
H
CO

W
H

Q

Pu,

><!

H

u
<:

O
£

-t* lO CO 00

CO OJ t-- 00

- s

05 r-1 rt

l~ 01

^

CO

CN 5

o

'H

'^

^

i-C M cc

;i| Tl< ^ ^ 01

<

C/3

00 1-1 ^

-J o >n oi
oi 01 ^ t-

Ol 1-1 X

a a

cu i; Sh S

1<

CO

lO

t^

a>

«te

Oi Ol

50 t- «D in

2; iM s iQ •*

C b- 00 rf o

OJ co_ t-^ •*_ ■*_

r^ lO" t^ lo" w"

^j lO Ol OJ

« lO N 03

00 O «0 CO

h-' co' oi oi

01 b- CO CO
O CO OS OS

CO t- 05 CO
1-1 i-H t-; C0_

ci 03 oi o

O H

a

01

W

i=<

H

«

n(

0)

o

^ Ph Q O

ft ■" r3 o<
X ^ -5 cc

,>1 S -^

Report of the Administrator.

58

?r

■*

I— t

00

1—1

CO

o

OS

CO

OS

tr-

00

eg

^

bt

3;

t-

iO

Tf

c-

1— (

c-

00

eg

in

in

00

1-H

f— \

2

o

Oi

o

t>

■^

in

eg

eg

t-

CD

■^

TT

eg

CD

i-H

O

1—1

1—1

1— (

(M

1— t

t>-

eg

1—1

eg

o

00

^

>

«»

in

»o

O

"*

o

t-

00

o

CTl

o

eg

1—1

-^

T}<

eg

0)

as

1—1

-^

-^

C5

c-

o

in

t-

eg

1-H

oo

eg

c~-

■W

«D

«5

o

00

t^

co

00

d

oi

i-J

Tji

t;)!

in

in

o

o

T-H

05

OS

lO

■*

<^

00

eg

•<*

00

CO

CO

o

CO

00

1—1

1-1

o

Oi

05

t-

in

o

o

in

o

00

eg

0)

<?

00

w

CO

CO

I>

in

00

tH

CO

eg

fh"

^

1—1

tA

^

cr>

to

1—1

1—1

1— 1

o

00

■*

CO

1-H

t-

eg

+i

CD

1—1

00

00

o

o

CD

in

1— 1

1—1

t-

rj<

o

CO

■^

Oi

CO

CO

c-

00

in

1— i

05

■^

m

i-H

t~

oo_

o

s

00

o

o

-*

CD

1— (

CD

OJ

CD

(N

eg

eg

t>

05

'^

N

CO

eg

CO

eg

CO

00

&

I-H

^

o

00

00

(M

CD

"*

OS

eg

■^

Ol

eg

CD

t-

ei

23

o

-^

Oi

CO

Oi

Oi

CD

^

o

in

1-H

in

CD

h

o

o

<Ji

-^

(M

CD

1—1

CO

CO

CD

■^

in

I-H

in

1—1

i-j

o

1-H

1—1

eg

1-1

CO

eg

1-H

eg

o

05

o

m

in

05

t^

00

(M

CO

t-

CO

CD

in

o

in

00

I-H

eg

CO

o

a>

<x>

1—1

UO

CD

eo

CD

in

in

eg

00

00

o

eg

4-3

c4

l6

CO

iri

1— (

eg

o

-^

CD

00

oi

1-H

CO

CO

o

-^

uo

t-

CD

CD

1—1

CO

CO

05

t-

o

I-H

m

0)

;^

00

t-;^

aj_

en

lO

CO

t-

o

CO

o

in

eg

CD

CD

o

T-H

■<*

i-H

CD

IM

t-

^

t-

1—1

CO

eg

i-T

I-H

>1

?£>

1-1

(N

00

o

in

t>

CD

eg

in

00

eg

t-

CO

*;^

00

t^

O

c-

eg

^

CD

in

t-

-^

m

CO

in

o

+J

^

1—1

00

CD

c-

1-1

Oi

o

i>

00

CO

in

00

in

fl

ce

00

t>

o

CD

o

c~

CD

oT

CD

eg

eg

eg

in

3

Oi

■*

(N

-<a<

(M

cg

eg

CD

o

a

eg

in

43

«£>

t-

00

05

Oi

in

CO

lO

co

o

-<a<

I-l

Tj<

1—1

t>

1—1

CO

CO

05

o

LO

CO

■<*

o

o

c-

CO

Tt

-^

eg

Tjf

«

O

o

1-i

i-H

tH

eg

rH

Oi

eg

I— I

eg

o

t>

o

>
■«1

۩^

•^

o

o

lO

1—1

CD

Oi

-^

CO

t-

1-H

CD

■^

CO

in

t^

N

00

o

CO

o

Oi

O

00

o

CO

00

-^

CO

Oi

jj

00

c-^

t>^

00

i6

in

1-H

CO

tA

eg

eg

c-^

1-5

CO

o

m

00

CD

CO

Oi

1—1

in

eg

CO

00

00

'^

1—1

CO

o

o

CC

I-l

00

00

o

eg

c-

in

rH

Oi

■^

-*

o

CO

©

o

in

i-T

uf

CO

CD

CO

t-^

eg

eg

00

1—1

>L

«D

in

c-

lO

t-

Tj<

o

00

•^

CD

Oi

00

CO

OS

^

CO

o

c-

lO

Ol

00

t-

1—1

c-

CO

o

CO

Oi

00

•^

t>

Tf

t-

o

CO

CO

co

c-

CO

1-H

o

CD

t-

00

1—1

CO

t-

00

CO

in

t-

CO

CD

eg

eg

eg

00

1—1

im

1— (

CO

eg

eg

eg

in

c-

1—1

I-H

M

N

09

05

09

^

00

,fi

O

XI

3
^

XI

CQ

x

4-3

a

rj

4^

k-

cS

r

'C

e

?

a
o

t>a

•

09

'rt

9

o

s

05

-^3

••-1

o

U
4J

ce

be

o

-u

^

»

<o

o

be

c«

3

o

c»

p

O

• ^

M

>

Ph

CO

m

h:]

s

cq

O

H

c«

Ph

S

59

Report of the Administrator and Resident Physician.
TABLE No. 1.
CONVALESCENT HOSPITAL.

Comparative Statement of Statistics.

Patients in Hospital, Jan. 1 : 1909. i908.

Medical 12 11

Surgical 18 18

Total 30 29

Patients admitted during the year :

Medical 175 120

Surgical 461 388

Total ' 636 508

Total patients treated in Hospital during the year :

Medical 187 131

Surgical 479 406

Total 666 537

Patients discharged during the year :

Medical 178 119

Surgical 463 388

Total 641 507

Patients in Hospital at end of year :

Medical 9 12

Surgical 16 18

Total . . . . ; 25 30

Total patients' days treatment :

Free patients 6,642 6,278

Pay patients 4,786 3,828

Total 11,428 10,106

Percentage :

Free days 58+ "62 +

Paydays 42— 37 +

Total 100 100

Average number of patients 31+ 28 —

Daily average cost per patient $1.19 — $1.32+

Daily cost per capita for provisions for all per-
sons supported .35+ .34 +

60

Report of the Administrator and Resident Physician.

1-3
<

I— 1
O

hJ o

W o

O H

H H
^ K
W H

•N <t: g
« w S

^ K ^
^ H w

O g

^ o

g<

O H
>

o

•a •
B '''

A (0
4> C
» V

3 a

O X

EM

to -H too ■<J"N to

ci o53S
iri ojcoeo
t~ — ioc5

H
•a M

= c

aa

^s • o . o i« b

O £ 03

® 5 Clip's .= 'Ss.£

2 c it:

OK

ai" O

"S

•a

hfi

T3

(0

cs

4J

+a

4>

s.

^

c

U

tl!

si

3

™ *-

o

.3

U

♦J

C

2 Tr>«

O

■a

2

-a

«>

UJ

a *-> =3

a
®

g

3Z

CM

5

■ut— 1

2?^-

tK-t: —
o a =
« oj =«
oa ce ©
S C ^
O o s

O I-"

— c o c
ai cS 3

ratusand I
apital Ace
lances, etc

3
O

D

c

O. c

A^ 5 " f

-3 13 3

<<<fa

^

<

<<

S

lO o

« 00

lO -1<

CI c^

CO

■s n

m

m

e©

CO t~ ■* C-l C". lO
n« « CO CO ^ <>)

•h' o CO' ci ui CO

CS ^^ 00 tC iC Q

a

If

a

32

— t> ^

;= £1.
h) 0!

;= a ^ a .o & S

oi 3 03 3 cS 3 B
J 03 ij CO i_) EC n

'5'a'g

.Sc "<u 5S^-

73 ^'S c«Ji: «

C8 2 > "-5 >- — ^

UI

<
Qi
U
Z

u

o

O OS IC h- ©
O ^ CO Oi <»

3 S =

.2 S:g

tl - "

•M o S

cr, EH S

i-H o

<0

■^ 5 a 2

^ & 3 -2"

g t» ^ 3

g "5 g o

5? 5 MO

a « 5 ii

"{ S CO <1

61

Report of the Administrator and Resident Physician.

8 2

00 ?)

p -r rt

H
Ou

U

o

u

.J
<

a

O
E

H
Z

u

u

-1

>
z
o
o

1-1 m

•:< ^ o

-1 .?« T,

CO IN —I

00 CO « CO

;s IN CO

^ 00 CO

^ fcl

<

O H

a -

•< tLl O O

'^ o

REPORT OF THE SUPERINTENDENT OF
NURSES TO THE RESIDENT PHYSICIAN.

In preparing my first report of the Training
School of the Massachusetts General Hospital, I am
conscious that the ver}" recent date at which I have
taken up the work makes it difficult to present a re-
port as full, in all particulars, as I should wish.

Miss Dolliver retired on the first of September
from the post she had so abl}' filled for over ten
^•ears. When one has put her whole heart and
energ}- into the welfare of a school for so long a
period the gap that is left takes time as well as
good-will to fill, and, for a long time to come.
Miss Dolliver will be sincerely missed and regretted
by her pupils and those that worked with her.

I am fortunate in retaining as my first assistant,
Miss A. McCrae, whose eight years of devoted serv-
ice to the Training School and hospital have won
her the confidence and respect of our large com-
munity. I fully appreciate that she has lightened
immensely for me the labor of taking up a work so
crowded with details and conflicting interests.

The past vear has not, with the sole exception of
the change of the Superintendent, been one of much
change in the Training School.

The number of letters of inquiry for admission to
the training school was seven hundred and ninety-five,
of which forty were selected for admission as proba-
tioners and thirty-four have been retained as pupils
after the probationary months.

At the present date the number of pupils in the
different classes stands as follows:

63

Report of Training School for Nurses.

Class graduating 1910 34

1911 34

1912 36

104

Ol the class of 19 13. twenty have just entered on
the probationary period.

The Children's Hospital continues to send us the
pupils of their training school for four months during
their third year. Their work is in the general adult
wards, with a short term in the Out-Patient Female
Medical Clinic.

Of the McLean Hospital graduates, eight have
this 3-ear taken the thirteen months' course open to
them in this hospital. Four are at present with us
completing their course.

The New England Baptist Hospital, the Beverly
Hospital, and the Peabody Hospital, also send their
pupils, one at a time, for a term of two months, to our
Out-Patient and Accident Department. Brockton
Hospital has also sent us a senior pupil for a special
term of four months, to gain experience in surgical,
out-patient, and operative work.

The number of pupils from the outside working
with us at the present date is as follows:

The Children's Hospital 6 pupils

McLean Hospital 4 graduates

New England Baptist Hospital ... 1 pupil

Beverly Hospital 1 ^

Peabody Hospital 1 v

Brockton Hospital 1 »

14

In addition, from September ist to January ist, we
have taken four pupils from the Melrose Hospital,
two at a time, for two months' work in the medical
and suro-ical wards.

64

Report of Training School for Nurses.

A certain proportion of our pupils are constantly
absent for special work outside this hospital. At the
present date the number so engaged is as follows:

Lying-in Hospital, NeAv York 7

Lying-in Hospital. Boston 1

Corey Hill Private Hospital 3

District Visiting Niu-ses 2

Convalescent Hospital 1

Simmons College Course 8

22

At a recent meeting of the Training School Com-
mittee, the question of lightening the hours on duty
of the pupil nurses was discussed. At the same time
was pointed out the importance of having a nursing
staff large enough to supply the very active services
in amphitheatre and Out-Patient Department without
calling the ward nurses from their duties. It was
also shown that with our present numbers it becomes
almost impossible to give our own pupils the work
of the nursing of special cases, thus putting the hos-
pital to heavy expense for graduate nurses, and with
a loss to the pupils of extremely valuable experience.

A recommendation was, in consequence, made to
the Board of Trustees that, in order to meet these re-
quirements, the number of pupils be increased by
fift3'-two and accommodation provided for the in-
crease in numbers. The recommendation has been
accepted and the numbers will be increased as soon
as the necessary accommodation can be found.

In order that we may not have too large a propor-
tion of probationers at one time, it is proposed for
the present year, and until the increase in numbers is
established, to give to a limited number of graduate
nurses from other schools a post-graduate course of
six months in oreneral nursingf.

65

Report of Training School for Nurse^i.

During the past year the number of serious ill-
nesses among the nurses has been less than the pre-
vious year. There have been in all:

Scarlet fever 3

Pneumonia 1

Oj>eration for appendix .">

Operation for varicose veins 1

10

In conclusion. I should like to tender m\" verv
sincere thanks to the Administrative Staff, to the
officers of the hospital, to the ladies of the Advisorv
Committee, and. not least, to the pupils and graduates
of the school, who have all. bv their courtesv and
helpful kindness, made incalculablv easier the burden
of beginning what cannot but be an arduous work.

Training Scliool Staff.

Superintendent 1

Assistant Superintendents -

Supervising Xui'ses 4

Head Nurses 1-

Pupils 104

Probationers 20

Xui'ses from other schools 14

157

Georgiaxa J. Sanders,
SHperi?iteudent Trai?iing School.

SURGICAL INSTRUCTION.

Given by Robert M. Green, M.D.

The surgical teaching covers the first two years of the course in
the Training School. During the first year instruction is given in
the following subjects :

Bandaging.

Anatomy.

Biology.

Bacteriology.

Pathology.

The method of instruction is by weekly lectures, at which the
nurses are expected to take notes and of which they are required
periodically to prepare abstracts, by demonstrations and recita-
tions, and by assigned reading in a text-book.

The attempt is made to have the lectures simple and informal,
to encourage the asking of questions by the class, to emphasize
always the practical importance to surgical nursing of the subject
under study.

There are two written examinations during the course.

BANDAGING.

The instruction is given to small sections of the class once a
week. After consideration of the manufacture, economy, and
indications for bandages, the fundamental figures of bandaging
are taught, followed by detailed instruction in the common ban-
dages used for the several regions of the body. By the use of
artificial legs and of patients from the wards, each nurse has
opportunity to apply the various bandages under the individual
direction of the instructor. The application of swathes and the
preparation of the ordinary splints is demonstrated by the in-
structor or by one of the head nurses.

6G

67

Training Sciiool for Nurses.

ANATOMY.

The normal anatomy of the adult human body is considered
under the following topics :

The skeleton (bones and joints).

Muscles, fascia, and skin (with its appendages).

The alimentary system.

The respiratory system.

The cardio-vascular and lymphatic systems.

The genito-urinary system.

The nervous system.

The organs of special sense.

In connection with the gross anatomy under each of these
topics is taught the elementary histology of the tissues in question
and the attempt is made to correlate this instruction with that
given in physiology. Especial attention is paid to surface anatomy,
not only to bony landmarks in relation to fractures and measure-
ments but to the location of the large blood vessels with reference
to the control of hemorrhage. The lectures are illustrated by pic-
tures, lantern slides, microscopic sections, the manikin, fresh
organs from autopsy, and demonstrations on the living subject.
Particular emphasis is laid on the relations of the male and female
pelvis with regard to the use of the catheter and the rectal tube.
In general, the practical rather than the academic aspects of the
subject are made prominent.

BIOLOGY.

The primary concepts of vegetable and animal life are briefly
considered, and the relation of lower organisms to human disease
The cellular theory is explained, and the normal development of
the human embryo outlined.

BACTERIOLOGY.

After a sketch of the development of the science of bacteriology
and the enormous importance of its discoveries to medicine and
surgery, the nature, action, and growth of bacteria are described
and the methods of identifying and cultivating them studied. By
means of material from the hospital laboratories are demonstrated
the cultural and microscopic characteristics of all the common

68

Training School for Nurses.

surgical bacteria, and in connection with each is taught the mode
of action by which it produces disease.

Great emphasis is laid on the practical application of bacteriol-
ogy to the treatment and the prevention of disease. The history
and evolution of antisepsis and asepsis are sketched, methods of
sterilization described at length, and the duties of a nurse at a
surgical operation explained. Instruction is given in methods of
avoiding infection, both for the nurse and for the patient, and in
its prompt recognition and treatment. The elementary principles
of immunity and of the use of bacterial vaccines are outlined.

PATHOLOGY.

In connection with the study of the various bacteria is taught
the elementary pathology of the lesions produced by each. The
nature of inflammation is explained, and the repair of tissues and
the healing of wounds studied.

During the second year instruction is given in surgical anes-
thesia and in the surgical diseases. The method is similar to
that of the first year — by weekly lectures, notes, abstracts,
demonstrations, recitations, and two written examinations. Em-
phasis is laid on the practical application of the knowledge
gained to the immediate care and subsequent nursing of surgical
cases.

ANESTHESIA.

A lecture is given to the class on the fundamental principles of
surgical anesthesia and the methods of its production. During
the year each nurse then receives at least twice individual instruc-
tion in the actual administration of ether to patients for surgical
operation, and is also taught the manufacture of cones and the
care of ether patients.

SURGICAL DISEASE.

All the important surgical diseases are considered in detail,
under the following groups :

Trauma.
Malformations.
Neoplasms.
Infections.

69

Training School for Xurses.

In the discussion of each disease are presented its causes,
nature, symptoms, recognition, and immediate treatment. The
subjects are abundantly illustrated by lantern slides, pathologic
specimens, and patients from the wards. So far as possible the
case method of teaching is employed. Attention is also paid to
diseases on the border line between medicine and surgery. The
aim is to familiarize the nurse with the common appearances of
disease, to fit her by this knowledge to care intelligently for the
sick, and to prepare her to act promptly and efficiently in
emergencies.

MEDICAL INSTRUCTION.

Given by George S. C. Badger, M.D.

The present method of teaching has been in force for several
years, and is proving very satisfactory. The work is carried on
as follows :

During the first five months physiology alone is taught by
lectures and quizzes, supplemented with the use of the reflector-
scope. A knowledge of the fundamentals of physiology is
essential and must be acquired before other instruction can ad-
vantageously be given. A few nurses receive their instruction in
physiology at Simmons College, but a proportion must receive
it while giving their services in the wards. The latter are at a
disadvantage because often too tired to give their concentrated
attention to a lecture after a day's work. Following the course in
physiology are two lectures on hygiene.

In the second half of the first year the nurses are taken into
the medical wards in sections of twenty, where once a week for
a year a medical clinic is held. These ward visits are by far the
most interesting and profitable part of the course. In spite of the
fact that the nurses are constantly with the patients, it is found
that systematic instruction in the observation of patients and
diseases and the results of treatment are very much needed and
appreciated. Much time is devoted to diseases of the circulatory,
respiratory, digestive, and excretory organs, and to typhoid fever.
The subject matter of lectures is apt to be soon forgotten, while
the mental pictures of actual disease conditions seen at the bed-
sides are retained. The progress of diseases is watched, the re-
sults of treatment noted.

The last half of the second year is taken up with lectures on
therapeutics, and certain diseases not seen in the open wards, as
the exanthemata and tuberculosis.

It is apparent with this system of instruction that the nurses
have become better clinical observers and more intelligent and
enthusiastic workers.

70

71

Training School for Nurses.

The outline of the two years' course is as follows :
First half of first year :

Physiology, fourteen lectures with demonstrations, quizzes,

and examination.
Hygiene, two lectures.

Second half of first year and first half of second year :

Clinical medicine, ward visits.
Last half of secojid year :

Lectures on Therapeutics, The Exanthemata, Tuberculosis.

NURSING.

Course Gkefi to Probationers by Demonstrations.

Care of refrigerators and water coolers.
Sweeping and dusting.

Beds and bedmaking :
Care of linen.
Disinfection of beds, linen, etc.

Care of bed patients :

Bathing and care of skin, mouth, teeth, head, hands, and

feet.
Filling and applying ice-caps and hot water bottles.
Application of abdominal swathes.

Reception and care of new patients.

Observing and reporting symptoms.
Charting — temperature, pulse, respiration.
Food — medication.

Enemata : Uses. Methods.
Douches — Catheterization.
Surgical Dressings.
Surgical Supplies.
Sterilizing Instruments.

72

Training School for Nurses.

Subsequent Ifistruction by Lectures^ Recitations, and Demonstrations.

i to Hospital.
Ethics : Relation of pupil < to Training School.

( to Patients.

Care of Hospital Property.

Care of Patients' Property.

Ward Supplies.

Hygiene : Personal. Ward,

External Applications.

The Urine.

Nursing in typhoid fever cases, in diseases of the lungs, heart,

kidneys. Rheumatism.
Nursing of contagious diseases. ,

Nursing of sick children and infants.
Nursing in nervous diseases.
Obstetrical nursing.
Gynaecological nursing.
Emergency cases. Fractures.
Assisting at operations: sterilization: uses of disinfectants: the

uses, care, and repair of instruments and utensils.
Care of the dead.
Private nursing.

THIRD- YEAR LECTURES.

ETHICS.

Dr. Richard C. Cabot i hour

Nursing in genito-urinary cases.
Dr. Franklin G. Balch i hour

nursing of sick children.
Dr. Charles W. Townsend 2 hours

NURSING IN nervous CASES AND CONVALESCENCE.

Dr. Henry C. Baldwin , 2 hours

TREATMENT OF NEURASTHENIC AND HYSTERICAL PATIENTS.

Dr. James J. Putnam 2 hours

73

Training School for Nurses.

NURSING IN DISEASES OF THE SKIN.

Dr. John T. Bowen i hour

Given by Dr. E. Lawrence Oliver

nursing in diseases of the eye.
Dr. Frederick E. Cheney i hour

NURSING IN DISEASES OF THE EAR.

Dr. Eugene A. Crockett i hour

NURSING IN DISEASES OF THE NOSE.

Dr. Algernon Coolidge, Jr. i hour

Given by Dr. J. Payson Clark

NURSING IN DISEASES OF THE THROAT.

Dr. Algernon Coolidge, Jr. i hour

Given by Dr. J. Payson Clark

NURSING IN ABDOMINAL SURGERY.

Dr. Maurice H. Richardson i hour

74

Training School for Nurses.

[The circular of information whicli is sent to applicants.]

THE MASSACHUSETTS GENERAL HOSPITAL
TRAINING SCHOOL.

The Massachusetts General Hospital Training School for
Nurses in Boston has made arrangements for giving a three years'
course of training to women who desire to learn the art of
nursing the sick.

Letters of application to the Superintendent of the Training
School should contain a brief personal history, and should be
accompanied by a statement from a physician testifying to sound
health and unimpaired faculties. Applicants must be between
twenty-one and thirty- five years of age, and of at least average
height and weight.

A high school education or its equivalent is required, and appli-
cants should be prepared to show school diplomas or certificates
as an aid in determining the amount of education they have
received.

The Superintendent of the Training School and the Resident
Physician of the hospital decide as to the acceptability of
candidates. The class is formed during the spring and summer
months, but application should be made at least six months in
advance. If approved, applicants are received for a period of
two months' probation, and during this time they should be pre-
pared for an examination in reading, English dictation, and sim-
ple arithmetic. The Superintendent of the Training School will
decide as to their fitness for the work, and the propriety of re-
taining or dismissing them.

Those who prove satisfactory are accepted, and become pupils
of the school on signing an agreement to remain thirty-four
months, after the period of probation, and to obey faithfully the
rules of the hospital and of the school.

During the first twelve months the record of the pupil is care-
fully considered, and if found unsatisfactory or unpromising, the
Superintendent of the Training School can drop the pupil from
the school. She may, at any subsequent time, suspend, and with
the approval of the Resident Physician and the Training School
Committee, dismiss a pupil for misconduct, inefficiency, or neg-
lect of duty.

75

Training School for Nurses.

Except under special circumstances, failure to pass the exami-
nations will be sufficient cause for terminating a pupil's connec-
tion with the school.

Pupils reside in the home, and act as assistants in the various
departments of the hospital. They are expected to perform any
duty assigned them by the Superintendent of the Training School.

The hours of duty are from 7 a.m. to 7 p.m.

A vacation of three weeks is given each year.

In sickness, the pupils are cared for gratuitously, but all time
so lost must be made up.

As the school is unsectarian, there are no religious services
connected with it ; but all pupils are expected to attend the places
of worship they prefer once on Sunday.

An allowance of $6.00 per month, exclusive of the months of
probation, is made to defray the necessary expenses of uniforms
and text-books.

Pupils receive board, lodging, and a limited amount of laundry
work.

Pupils should come prepared to pay at the close of the period
of probation for their uniforms and text-books, the cost of which
will not exceed fifteen dollars.

A regular course of lectures, recitations, and demonstrations is
given, with examinations at stated periods. Instruction is also
given at the bedside of patients by the visiting and resident
physicians and surgeons.

The course includes three months' special training in obstetrics,
three months in private nursing at the Corey Hill Hospital,
Brookline, and one month district nursing with the Instructive
District Nursing Association.

For those who desire it a preparatory course of four months is
offered at Simmons College devoted to the study of the following
subjects :

Household Arts.

Chemistry.

Bacteriology.

Anatomy.

Physiology.

When the full term of training is completed, after passing the
examinations, the nurse receives the diploma of the school, and is
at liberty to choose her own field of labor, either in hospital or

76

Training School for Nurses.

district work, or in private families. As it is believed that an
annual report of the addresses and positions of the graduates of
the school will be for the advantage of the nurses as well as the
school, the graduates are requested to send their addresses to the
Superintendent of the Training School on or before December
first of each year.

A graduate of this school who wishes to gain special profi-
ciency in the care of nervous and mental cases has the privilege,
under certain restrictions, of entering the McLean Hospital
Training School for Nurses. Such graduates will, after one
year's satisfactory study, receive the diploma from that school in
addition to the one received from the Massachusetts General
Hospital Training School for Nurses.

Personal application may be made to the Superintendent of the
Training School, Wednesday mornings, between lo and 12
o'clock.

Postgraduate Course.

A two months' Postgraduate Course is open to the graduates
of this Training School. The course consists of two months'
surgical work, or of two months' medical work, or of one month
each of medical and surgical work, as the graduate prefers.

Students must provide themselves with the uniform of the
school. They live outside the hospital, pay no fee, and receive
no pay for this course. Their hours of duty conform to those of
the pupils of the school, and they act as assistants in the wards.

Those who wish to take this course should apply to the Super-
intendent of the Training School, and state definitely what ex-
perience they wish to have, and the time when they could most
conveniently take the course.

During the summer months there would be more openings for
graduates, but, so far as possible, appointments will be made to
suit the convenience of the applicants.

REPORT OF THE PATHOLOGICAL
LABORATORY.

The usual routine bacteriological, chemical, micro-
scopical and pathological examinations in connection
with the study of diseases of the patients in the hos-
pital have been carried on during 1909. During the
year two hundred and thirty-eight autopsies were
performed in the laboratory, including those per-
formed by the Medical Examiner. Seven of them
were cases from the Boston Lying-in Hospital. Dr.
Oscar Richardson has continued to do most of the
important work of performing the autopsies and
keeping the autopsy records. He has also carried
on the routine bacteriological examinations required
by the hospital.

The facilities and material offered by the laboratory
for the instruction of physicians and of students of
the Harvard Medical School in bacteriology, patho-
logical anatomy, pathological histology, and in diag-
nosis by laboratory methods have continued to be
extensively utilized.

The weekly demonstrations of pathological mate-
rial and discussions of the clinical aspects of the
cases conducted in the laboratory before fourth-
year medical students and others have been contin-
ued during the year by Drs. R. C. Cabot, Oscar
Richardson and Hugh Cabot.

Instruction in pathology to second-year students
and special courses in this subject to fourth-year
students have been given by Dr. Wright. During
the summer, courses in pathological anatomy and in
clinical pathology for graduates in medicine were

77

78

Report of the Pathological Laboratory.

given by Dr. Oscar Richardson; Drs. W. H. Smith
and R. I. Lee cooperating in the latter course.

A room in the laboratory has been assigned again
for the laboratory work of certain students of the
Harvard Medical School who are studying in the
wards of the hospital.

A collectionof morbid specimens has been begunfor
use by Dr. Hugh Cabot and Dr. C. L. Scudder in their
courses for graduates in medicine at the hospital.

The treatment of cases of bacterial infection by
the subcutaneous injection of killed cultures of the
infecting bacteria has been continued in the labora-
tory during the year. Including a number of cases
treated in the wards and in the Lying-in Hospital,
three hundred and eighty-three patients were treated
in 1909. Most of these patients came to the labara-
tory rather than to the Out-Patient Department to
receive injections, because those who administer the
treatment require the facilities of a well-equipped
bacteriological laboratory close at hand and spend
much of their time and energy in obtaining cultures
of the patient's own infecting bacteria and in pre-
paring special material for injection from these.
Most of this work, requiring a practical knowledge
of bacteriology and skill in a special technique,
has been carried on by Dr. H. F. Hartwell and
Dr. E. C. Streeter.

The results obtained in certain" classes of these
cases in this and previous years have been published
during the year by Dr. Hartwell and his collab-
orators. This method of treatment has been followed
by very satisfactor}' results in many of the cases and
it seems to be an important addition to therapeutics.
Special studies in various branches of pathology,
bacteriology, and chemistry have been carried on as

79

Report of the Pathological Laboratorj-.

usual by a number of special workers. Among these
may be mentioned the followino- :

Dr. A. A. \V. Ghoreyeb has invented a simple and
practical method for demonstrating the micro-organ-
ism of syphilis in microscopical preparations from
the lesions, which gives great promise of usefulness
and has many advantages over previous methods.

Dr. John B. Hawes, 2d, has made a study of
certain peculiar bodies occurring in red blood cor-
puscles.

Dr. R. I. Lee and Dr. Wyman Whittemore have
tested the blood of a large number of patients for
the presence of the Wassermann reaction which is
regarded as diagnostic of syphilitic infection, recent
or old. In this work they used a technique devised
by themselves which is a great improvement over the
original technique of Wassermann.

Dr. Donald Gresrsf has worked on the occurrence
of typhoid bacilli in the excreta of apparently well
persons.

Dr. L. H. Spooner has carried on special work in
connection with the vaccination of the nurses and
ward-tenders of the hospital against typhoid fever.

Dr. G. O. Clark has studied the subject of the
occurrence of ston}' concretions in certain veins and
their recognition by the X-ray.

Dr. H. F. Hartwell has worked on the bacteriology
of the acne bacillus. He has demonstrated that this
bacillus grows much better in the absence of oxygen
and that the difficulties in its cultivation are due to
ignorance of this fact.

Dr. W. H. Smith has worked at the development
of an improved method for demonstrating the capsules
of certain bacteria.

Dr. Oscar Richardson has studied the distribution

80

rteport of the Pathological Laboratory.

of the bacillus of tetanus in the tissues of the body in
cases of lock-jaw.

Dr. J. H. Wright and Dr. Oscar Richardson have
examined microscopical!}' the walls of the aorta in
many cases of disease of that blood vessel for the
presence of the micro-organism of syphilis. The re-
sults of this work have placed upon a firmer basis
than before the syphilitic nature of many cases of
aortic disease. Dr. J. H. Wright has also continued
his work upon the blood platelets and has greatly im-
proved his method for demonstrating their origin and
nature. He has also devised a new and practical
method for counting their number per cubic milli-
meter in the blood, b}' which it is hoped that our
limited knowledge of the numerical fluctuations of
these elements in various diseases may be much
increased.

Dr. Roger Kinnicutthas counted the blood platelets
in a large number of patients and normal individuals
by Dr. Wright's method referred to above and he has
obtained results of great interest.

On account of the large number of persons work-
ing in the laboratory with the microscope, more
working space, suitably lighted for such work, is
much desired.

Concerning the work done in the Chemical Lab-
orator}/, Dr. William F. Boos reports as follows:
" The work of the Chemical Laboratory in connection
with the ward cases is steadily increasing. More and
more questions of special diagnosis and treatment are
reported to the chemist for chemical and pharmaco-
logical stud}^ The House Officers show great inter-
est in the problems of the laboratory. Unfortunatel}-,
their routine duties allow them but little time for
actual laboratory research; they keep the chemist

81

Report of the Pathological Laboratory.

well informed, however, concerning the cases which
may offer suggestions for laboratory stud}^ Sugges-
tions of this kind are frequently obtained from appar-
ently ordinary cases. Thus, an old man with chronic
cardiac disease, for example, passes a sugar-free
urine with a specific gravity of 1070, which Dr. Boos
is asked to explain. The unusual specific gravity
proves to be due to clinical magnesium poisoning.
Dr. Boos has had the opportunity of observing three
such cases. Their clinical importance has led him
to undertake an experimental investigation of the
conditions governing the absorption from the intes-
tine of magnesium sulphate in solution, the results of
which will be reported at the annual meeting of the
American Medical Association next June.

" In order to facilitate his work on the excretion of
lead. Dr. Boos has elaborated a new method for the
complete oxygenation of organic matter in tissues
and excretions. The method gives most excellent
results and may also be used for the detection ot
arsenic and heavy metals in general. New points
of view in regard to excretion of lead obtained by
Dr. Boos demand a radical change in the treatment
of saturnism. Anew method of treatment suggested
by Dr. Boos has given satisfactory results during the
past year in the hospital and Out-Patient Department.

" Copper sulphate having been suggested as a uri-
nary antiseptic in cases of colon bacilluria. Dr. Boos
thought it of interest to determine if the copper is
actuall}^ excreted by the kidneys, or if, as some au-
thors claim, it is excreted mainly by the liver, in
which case it would appear in the bile and leave the
body in the feces, this being the method of excretion
which Dr. Boos found for lead.

*' During the past year Dr. Boos has perfected the

82

Report of the Pathological Laboratory.

method for the clinical quantitation of albumen based
on the biuret reaction. This method was reported
at the December meeting of the Boston Society of
Medical Sciences. He has also completed a method
of detecting the presence of the tryptic and amyloly-
tic ferments in the stools as evidences of function, or
lack of function, of the pancreas in cases of suspected
pancreatic disease. For similar purposes the study
of the so-called Cammidge reaction was continued
by Drs. Boos and P. B. Harrison ; and certain facts
of interest relative to the nature of the Cammidge
body were obtained.

" Dr. Boos has continued his work on the therapy
of cardiac disease. Strophanthin given intravenously
is most valuable in cases where immediate heart
stimulation is required and the character of the treat-
ment is such as to render it unsuitable for continued
digitalis medication. On this account a new scien-
tific preparation of digitalis, digipuratum (digitalis
depuratum) was tried by Drs. Marks and Newburgh
in the medical wards. Dr. Boos reported on its use
in twenty cases of cardiac disease at the Clinical
Meeting of the Staff in November.

" In continuation of Dr. Boos's work on the toxemia
in eclampsia Dr. A. B. Emmons has begun a study
of the toxemias of pregnancy from a chemical view-
point.

" A number of authors suggest the possibility of en-
zymatic changes in proteid material at temperatures
considerably below zero. This suggestion is being
investigated experimentally by Dr. Boos."

A number of papers based in whole or in part on
subjects and observations made in the Pathologi-
cal Laboratory proper and in the Chemical Labora-
tory under Dr. William F. Boos, have appeared

83

Report of the Pathological Laboratory.

during the year. The titles and authors of these
papers are set forth below.

" Two cases of ' rusty nail ' tetanus, with tetanus bacilli in
the inguinal glands," by C. A. Porter, M.D., and Oscar Richard-
son, M.D. (Boston Medical and Surgical Journal, Vol. CLXL,
p. 927.)

" Renal tuberculosis ; pathogenesis and pathology," by Lincoln
Davis, M.D. (Boston Medical and Surgical Journal, Vol. CLXI.,
p. 647.)

" Diagnosis of ulcer of the duodenum," by E. A. Codman, M.D.
(Boston Medical and Surgical Journal, Vol. CLXL, pp. 767, 816,
853, 887.)

" A study of the reticulated red blood corpuscle by means of
vital staining methods ; its relation to polychromatophilia and
stippling," by John B. Hawes, 2d, M.D. (Boston Medical and
Surgical Journal, Vol. CLXL, p. 493.)

" Studies on the diagnostic bearing of certain normal and ab-
normal pulmonary and pleural conditions," by F. T. Lord, M.D.
(Boston Medical and Surgical Journal, Vol. CLXL, p. 571.)

" Surgical treatment of X-ray carcinoma and other severe X-ray
lesions based upon an analysis of 47 cases," by C. A. Porter, M.D.
(Journal of Medical Research, Vol. XXL, p. 357.)

" On the importance of distinguishing simple round ulcers of
the duodenum from those ulcers which involve the pylorus, or
above it," by E. A. Codman, M.D. (Boston Medical and Surgi-
cal Journal, Vol. CLXL, pp. 307, 351, 399.)

" The Wassermann reaction in syphilis and other diseases," by
R. I. Lee, M.D., and Wyman Whittemore, M.D. (Boston Medi-
cal and Surgical Journal> Vol. CLX., p. 410.)

" Treponemata (spirochaetae) in syphilitic aortitis ; five cases,
one with aneurysm," by J. H. Wright, M.D., S.D., and Oscar
Richardson, M.D. (Boston Medical and Surgical Journal, Vol.
CLX., p. 539.)

84

Report of the Pathological Laboratory.

"A deceptive case of leprosy," by C. J. White, M.D., and Oscar
Richardson, M.D. (Journal of the American Medical Associa-
tion, Vol. LIL, p. 1 8.)

" A study of specificity and sensitization by means of the cuta-
neous test with human and bovine tuberculin," by F. T. Lord, M.D.
[Journal of Medical Research, Vol. XX., No. 3 (N.S. Vol. XV.,
No. 3) pp. 327-345.]

" The treatment of gonorrheal arthritis with vaccines made
from the gonococcus," by H. F. Hartwell, M.D. (Annals of Sur-
gery, November, 1909.)

"The treatment of sepsis with bacterial vaccines," by H. F.
Hartwell, M.D., E. C. Streeter, M.D., and R. M. Green, M.D.
(Surgery, Gynecology and Obstetrics, September, 1909, pp. 271-
278.)

" Peri-ureteral pelvic phleboliths," by G. O. Clark, M.D. (An-
nals of Surgery, November, 1909.)

" On the cold storage of poultry," by W. F. Boos, M.D. (Bos-
ton Medical and Surgical Journal, Vol. CLX., p. 107.)

"On magnesium poisoning" (preliminary paper), by W. F.
Boos, M.D, (Boston Medical and Surgical Journal, Vol. CLX.,
p. 122.)

" On the intravenous use of strophanthin," communicated to the
Massachusetts Medical Society, 1909, by W. F. Boos, M.D.
(Boston Medical and Surgical Journal, Vol. CLX., p. 389.)

" On the reducing component of yeast nucleic acid," by W. F.
Boos, M.D. (Journal of Biology and Chemistry, Vol. V, No. 5.)

" On the use of digipuratum in cardiac disease " (preliminary
paper), by W. F. Boos, M.D. (Boston Medical and Surgical Jour-
nal, Vol. CLXL, January, 19 10.)

Respectfully submitted,

James Homer Wright, M.D., S.D.

Director.

ANNUAL REPORT

OF THE

TREADWELL LIBRARY.
1909.

It is a pleasure to the Assistant Librarian this year
to call attention to the statistics at the end of this
report, for they show in every particular not only an
increase, but a very marked increase. The number
of readers exceeds by about three hundred any num-
ber before recorded; more books and more reprints
have been added, and experience develops the fact
that the Library is becoming more and more a center
of information for the Hospital Staff; and it is in-
tended that those on duty in this department shall be
ready to meet the demand.

On June 4th a portrait of Dr. George Cheyne
Shattuck was presented to the Library by his
daughter, Mrs. Alexander Whiteside. Dr. James B.
Ayer has added another old picture of the hospital to
the collection towards which he has already been a
generous donor.

Gifts of books have been received from Dr. W. M.
•Conant, Dr. G. L. Walton, Dr. J. B. Rowland,
Dr. W. J. Dodd, Dr. F. H. Albee of New York, Dr. E.
H. Bashford of London, Dr. G. M. Gould of Phila-
delphia, the Medical Library Association, Harvard
University, the Harvard Medical School, the Univer-
sity of Manchester, England, the Wellcome Research
Laboratory, Khartoum, the State and Municipal
Governments, and the United States Government.
The Government documents are most valuable, par-
ticularly those issued by the Hygienic Laboratory and

85

86

Report of the Treadwell Library.

the Public Health and Marine-Hospital Service;
among the latter have come some papers upon
leprosy, and upon pellagra, which should prove inter-
esting to those concerned in these subjects. It is
hoped, during the next year, to bring these publica-
tions into more prominence in the Library, and make
them somewhat easier of reference.

Thanks are again extended to the Associations and
Societies who have contributed copies of their trans-
actions.

Following are the statistics for the year:

Books.

No. of vols, on hand Jan. 1, 1909 . . . 7,067

Purchased 42

Gifts 65

Periodicals bound 104

Total no. of bound vols, added . . . 211

Making total no. of accessions .... 7,278

Given away 1

No. of vols, on hand Jan. 1, 1910 . . . 7,277

No. of vols, loaned 284

Approximate number of readers .... 2,040

Pamphlets.

No. on hand Jan. 1, 1909 ' 3,706

Received 646

No. on hand Jan 1, 1910 4,352

Reports.

Received from other Institutions .... 182

Periodicals.

Subscriptions 48

Sent by courtesy 29

Total 77

Cards Added to the Book Catalogue . 689

87

Report of the Tieadwell Library.

Work on Hospital Records.

No. of vols, indexed and prepared for binding 105

Cards written :

For Clinical catalogues 11,779

For Name catalogue 6,221

Total 18,000

No. of Records abstracted or copied . . . 497

Respectfully submitted,

Grace W. Myers,
Assistant Librarian.

DALTON SCHOLARSHIP.

The income of this fund, amounting to $500 annu-
ally, is devoted to investigation in the science of
medicine. The rules of the Trustees applicable to
it are as follows:

Article i. Candidates shall be nominated to the Board of
Trustees by a Committee consisting of the General Hospital Staff
and the Director of the Pathological Laboratory, with recom-
mendations for the information of the Board. They shall be
either Internes of the General Hospital or male graduates of a
regular American Medical College.

Article 2. The nature of the work in medical investigation
proposed to be prosecuted by each candidate shall be designated.

Article 3. Scholars shall be appointed by the Board from
among the candidates named.

Article 4. Scholars shall be under the supervision of the
Staff and the Staff shall, whenever it thinks desirable, report to
the Board any dissatisfaction it may feel as to the work or
methods of scholars, and the Board may act in the premises as in
the case of Internes.

Article 5. Scholars are required to do an amount of work
equivalent to not less than ten hours per week from the last
Wednesday in September to the last Wednesday in June, and to
present to the Trustees, at the end of the year, a report on the
amount and result of the work performed. The results of work
of scholars shall appertain to the hospital, and when made
public, the name of the scholar shall accompany the publications ;
but no publication shall be made unless recommended by the
Staff and approved by the Board.

89

Dalton Scbolarship.

Article 6. Should the work of a scholar extend through a
part of the year only, he shall be entitled to a proportionate share
of income.

Article 7. When the income is insufficient, appointments
for the year may be omitted.

Article 8. Any income not used shall be cumulative and not
added to the principal.

Article 9. Scholars shall be eligible for renomination and
reappointment.

Article id. Candidates for scholarship should make written
application to the Resident Physician of the Massachusetts
General Hospital on or before May 15, and the scholarship shall
be held for one year from September 15 following.

Further information may be had by applying to
the Resident Physician of the Massachusetts General
Hospital.

WARREN TRIENNIAL PRIZE.

MASSACHUSETTS GENERAL HOSPITAL.

The Warren Triennial Prize was founded by the
late Dr. J. Mason Warren in memory of his father,
and his will provides that the accumulated interest of
the fund shall be awarded every three years to the
best dissertation, considered worthy of a premium on
some subject in Physiology, Surgery, or Pathological
Anatomy; the arbitrators being the Ph^'sicians and
Surgeons of the Massachusetts General Hospital.

The subject for competition for the year 1910 is on
some Special Subject in Physiology, Surgery, or
Pathology.

Dissertations must be legibly written, and must be
suitably bound, so as to be easily handled. The
name of the writer must be enclosed in a sealed
envelope, on which must be written a motto corre-
sponding with one on the accompanying dissertation.
Work which has already been published will not be
received in competition.

Any clue given by the dissertation, or any action
on the part of the writer which reveals his name be-
fore the award of the prize, will disqualify him from
receiving the same.

Essays must be typewritten in English, French, or
German.

The amount of the prize for the year 1910 will be
$500.

90

91

Warren Triennial Prize.

In case no dissertation is considered sufficiently
meritorious, no award will be made.

A high value will be placed on original work.

Frederic A. Washburn,

Resident Physician.

RULES FOR ADMISSION, ETC.

Application for admission of patients should be
made at the hospital on Blossom Street, Boston, on
week-days between the hours of 9 and 11 a.m. and
2 and 3 P.M.

Recent accidents admitted at all hours.

Out-patients received on Fruit Street, between the
hours of 8.30 and 10 a.m., week-days only. Out-
patient service is for the poor only.

Applications from a distance should be made in
writing, accompanied by a full description of the
case bv the attending ph3'sician, with reason of the
physician for thinking hospital treatment desirable,
and when a free bed is needed, b}' a statement of the
pecuniary condition of the patient. Always wait for
a reply before sending the patient.

Contagious and chronic diseases are not admitted.

Regular charges to paving patients are as follows:
In the Jackson Ward (private), $35 per week; in
small room in the Townsend and Bigelow Wards,
$21 per week; in the General Wards, $10.50 per
week. These rates, covering only expenses of board
and lodging, may be increased or abated in individual
cases by the Resident Physician.

An ambulance, accompanied by a medical officer,
will be despatched to any point within the city
proper for the conveyance of cases of accident or
urgent sudden sickness, not contagious, to this
hospital, or elsewhere, upon notice from a physician,
the police, or other responsible source, subject to the
approval of the Resident Physician.

In cases requiring gratuitous treatment no charge
will be made.

92

MEDICAL AND SURGICAL STATISTICS.

MEDICAL DISEASES.

FROM JANUARY 1, 1909, TO DECEMBER 31, 1909, INCLUSIVE.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

Xc

Discharged.

X

GENERAL DISEASES.

Diseases of the Blood.

Anemia (not specified)

secondary

Chlorosis

Pernicious anemia

Leukemia

Hemophilia

Purpura

Purpura rheumatica

Purpura hemorrhagica —

Diseases of the Mammaby
Gland.

Mastitis

Carcinoma

Tumor (unspecified) .

Diseases of the Ductless
Glands.

Status lymphaticus. .
Of the Thyroid Gland.

Hyperthyroidism

Myxedema (?)

Carcinoma

Cyst

Of the Spleen.

Hypertrophy

Splenic anemia

Banti's disease

Carried forward .

32

30

34

3 66

94

MEDICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

s =

DiSCHABGKD.

w,

a^

Brought forward .

Of the Adrenal Glands.

Addison's disease

Diseases of the Lymphatic
Apparatus.

Hodgkin'8 disease

Septic cervical adenitis.

Cervical adenitis (without
known cause)

Septic axillary adenitis . .

Tuberculosis of retroperitoneal
glands

Malignant lymphoma.
Carcinoma

Locomotor and Constitu-
tional Diseases.

Muscular rheumatism.
Arthritis :

infectious

atrophic

hypertrophic

villous

Articular rheumatism :

acute

subacute..

Arthritis deformans

Osteoarthritis

Spondylitis typhosa

Subacromial bursitis

Sacro-iliac strain

Sprained ankle

Pain in shoul der (cause ?)

Flatfoot

Osteomyelitis of tibia

Carried forward.

32

15 116

30

82

30

34

23

3 66

9 12

95

MEDICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS.

Adbotted.

Discharged.

= 1

^

11

9

9

9

11

2

"So

a4

s

"3

a
1

1

>
9

1

>
_9

CO

X J;

o

S

a -•

c 5

s K -■ *

Brought foru-ard

Fain in side (cause ?)

Glycosuria

Diabetes mellitus

with gangrene of foot.

Diabetes insipidus

Debility

Intectiocs Diseases.

Scarlet fever

Measles

Typhoid fever

Paratyphoid fever

Acute infection (unknown) —

Furunculosis

Continued fever

Septicemia

Sepsis of chest -svall with ab-
scess

Psoas abscess ,

Septic toe ,

Cerebrospinal meningitis .

Influenza

Diphtheria

Mumps

Whooping cough

Erysipelas

Malaria

Dvsentery

Tuberculosis (See also Diseases
of the Lymphatic Apparatus,
Kidney. " Bladder and Skin,
and Miscellaneous):

Tuberculosis, miliary,
pulmonary . .

15

27

82 213
1
1

22
1
1

35

12

30

22

20 23

16

12 213
1

1

22

1

1

35

3
2

101
1
24
1
2
8

1
1
1
1

3
2
6
1

3
15

8

Carried forward .

2711 201' 509

158 214

28 11

35

24

509

96

MEDICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

Sd

Discharged.

Br oitght forward

Tuberculosis :

pulmonary, incipient

genito-urinary

general

Glanders

Syphilis

PARASITIC DISEASES.
Tapeworm

Tricliiniasis

Uncinariasis

Elephantiasis

POISONIXG.

Acute Poisoning.

Carbolic acid

Corrosive sublimate

Lead

Opium

Ptomaine

Chronic Poisoning.

Alcohol

delirium tremens.

Lead

with paralysis

Opium

Thermic Fever

DISEASES OF THE NERVOUS
SYSTEM.

Functional Diseases.

Insanity

Mental deficiency.
Dementia praecox
Hysteria

Carried forward.

271 201 509

14

158

173

214

39 28

299

58

35 24 509

43

97

MEDICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL. RECORDS.

Brou'jht for ward —

Hypochondriasis

Singultus

Psychoneurosis

Psychasthenia

Apprehension

Xeurastlienia

Epilepsy

Psychosis

Chorea

Tetany

I'aralysis agitans

Neurosis

Neuralgia

Ileadache

Migraine

Syncope

Coma (unknown origin).

Organic Diseases of the Brain
AND ITS Membranes.

Hemiplegia

0/ the Meinbrancs of the Brain.

^leuingitis ,

tuberculous

Of the Blood Vessels of the Drain

Edema

Embolism

Thrombosis .

Hemorrhage

Of the Brain.

Encephalitis

Tabo-paralysis

Admitted.

Sc

Discharged.

Carriedforicuru Mij 396 309 755 178 357

351

31

16

1-2 2

|« -

. o-

£ '24

43

29

7ll 33] 211 64i 3i; 755

98

MEDICAL DISEASES, 1909— Continned.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

Discharged.

Brought forward .
l\iralytic dementia . .

Tumor

Syphilis

Organic Diseases of the
Spinal Cord and its Mem-
branes.

Myelitis

Progressive muscular atrophy. ,
Acute anterior poliomyelitis. .

Tabes dorsalis ,

Multiple sclerosis

Paraplegia

Syphilis

Organic Diseases of the
Nerves.

Neuritis

alcoholic
multiple..

Vaso-Motor and Trophic Dis
eases.

Marasmus

Malnutrition...
Angioneurosis .

DISEASES OF THE CIRCULA
TORY SYSTEM.

Of the Pericardium.

Pericarditis ,

adhesive

Of the Heart and Myocar

DIUM.

Arrhythmia

Dilatation

Hypertrophy and dilatation .
Myocarditis

Carried forward 67 1 449

309

755

1

4

4

10

2

4

2

2

3

11

1
1

1
1

1

1

1

3

1

1

2

1

4

3

8

1

2

3

4

8

1

2

1

1

8

22

342

848

178

33

21

C4

31

755
4
10
4

99

MEDICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

^

fi-

o

o

- 5

o
rt
S

6

o

j;

.2
1

DiSOnABOED.

Brouff lit forward

Cardio-renal

Weak heart

Congenital cyanosis

Of the EXDOCARDIITM.

Endocarditis :

acute

malignant

Chronic Valvular Diseases.

Jlitral insufficiency

Mitral stenosis

Mitral insufficiency and stenosis

Aortic insufficiency

Aortic insufficiency and stenosis

Aortic and mitral insufficiency.

Aortic and mitral insufficiency
and stenosis '.

Mitral and tricuspid insuffi-
ciency

Cardiac Neuroses

Angina pectoris

Oi" THE Arteries and Veins.

Syphilitic aortitis

Arteriosclerosis

Aneurism

Phlebitis

Thrombosis

DISEASES OF THE RESPIRA-
TORY SYSTEM.

Acute respiratory infection
Of the Nose.

Sinusitis

Epistaxis

57

39

C --I

£

M =

O

848
19
10
1

1

2

llOO

Carried forward 64

428

1100

524

29 131 49

100

MEDICAL DISEASES, 1909— Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS,

.11

a4

a

a

3

o
H

"33

a)

>
2

1

>
.2

2-§

CO I-

■d
a)

■i.s

£
H

o

■6

o

5

.SC5

S4

3
^

Brought forward ...

Of the Lakyxx.
Laryngitis

64

608

3
2

428
1

1

8
2

8

1
3

1

3

44

1

6

5
11

524

1100

4
2

1

21
11
17

4

1

3
4
2

161

1

3

17

1

13
58

2

' 2
1443

185

524
4

142

40

29

131

49

1100
4

Papilloma

2

o

Of the Trachea.
Tracheitis

11

1

10
11
10

1

3

I

Of the Bronchi.
Bronchitis :

acute

13
9

8

7
1

3

1
2

111

3
11

8

42

6

2

2
842

21

chronic

11

with emphysema

Bronchiectasis

1

3
2

2

1

3

3

17

g

Asthma

1

1

4

Malignant lymphoma

1

Of the Lungs.
Abscess

2

82

8
3

2

3

Edema

1

1

4

Gangrene

1

20
1
2
4
1

1

48
6

1

2

Pneumonia :

6

35

15

161

interstitial

1

unresolved

1
5

3

Broncho-pneumonia

17

Malignant lymphoma

1

1

Of the Pleura.
Empyema

3
1

12

1

13

5

1

o

58

tuberculous

Malignant lymphoma

DISEASES OF THE DIGESTIVE

SYSTEM AND OF THE

PERITONEUM.

Of the Mouth.

Stomatitis

2

1
292

1

658

2

77

151

61

~32

179

70

Carried forward

1443

101

MEDICAL DISEASES, 1909— Continued.

TABLES or DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

Discharged.

Brought forward

Stomatitis, gangrenous

Of the Tongue and Palate.

Ulceration

Of the Pharynx.

t'haiyngitis

Of the Tonsils.

Tonsillitis

follicular

Of the Esophagus.

Diverticulum

Stricture (cause?)

Esophagismus

Carcinoma

Of the Stomach.

Gastritis

Gastro-enteritis

Gastrectasis

Gastroptosis

Ulcer

Pyloric stenosis

Carcinoma :

of stomach

of pylorus

Tumor (unspecified) of pylorus

Adhesions about pylorus

Vicious circle

Neurosis

Emesis :

neurotic

persistent

Dyspepsia

Carried forward .

950

1443
1

292

321

151

32

32

179

1443
1

2

22
10

1
5
1
8

3

5

2

5

32

7

39
3
1
1
1

38

7
3
6

757

341 188i 83,1649

102

MEDICAL DISEASES, 1909— Co?iti?iiied.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED PROM

MEDICAL RECORDS,

Il

a

o
H

"3

1

>

O 0)

2; Pi

1

o

5

54

"3

84

950

615

2
1
2

1
1

1
6
2
8
10
2
1
1

1

3

1
1

1
4
2
14

1649

2
1

2

6

8

2

11

3

17

13

5

7

3

1

9

3
20
1
2
1
1

1
12

4
20

321

1
1

1

1

2

2
6
1

757

1
1

lt9

97

34

188

83

1649

Of the Intestines.

9.

1

1

Enteritis :

5

7

1
5
1
9
3
3
6
2
1
8

3

16

1
1

4

1 C

7

4

1

15

4

5

8

Appendicitis :

2
5
1

S

11

1

3

17

Colitis

1

1
2
2

1
6

1
4

2
2

13

r^

..

3

Lymphadenoma of colon

1

1

1

2

7

1

5

9

Of the Liver.

3

1

4
1

1

1

20

1

1

2

1

1

1
2

339

1

1

Of the Gall Bladder and
Bile Ducts.

1

8

1
5

8

2
815

1

1

179

2

3

17

146

12

1
1

4

20

37

202

"si

Carried forward

88

1036

680

1804

1804

103

MEDICAL DISEASES, 1^0^— Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
MEDICAI. RECORDS.

05 -

flrt

m

a

3

1

1

>

Hi
O O'

"to

CM

■3

o

4-3

o
"A

•6

5

*2
« -

Oi-l

a «

i

Brought forward

88

1036
2

2

1

3

680
1

2

2

1
1

2

2
3
7

1

1

1
1
3

1

4
2
17
2

1804
3

4
1

5

1
1

3
1

2
3
13
2

1

3

1
7
1

1
1

8

4

41

3

339

815

179

146

2

1

4

1

37

1

202

1
80 1804

3

Of the Pancreas.

2

2

1

4

Tumor (unspecifleil)

1

Of the Rectum.
Hemorrhoids

5

Prolapse

1

1

1

Of the Peritoneum.
Ascites

1
1

1

2

1

3

Subplirenic abscess

1

Peritonitis :

dlif use

2

2

pelvic

G

1

1
1

1
G
1

2

3

tuberculous

13

Abdominal pain

■>

Retroperitoneal tumor (nn
specified)

1
1

1

DISEASES OF THE URINARY
APPARATUS.

Of the Kidneys.

Hematuria

2

3

Anuria

1

Calculus

1

3

1
1
1

3

7
1

Hydronephrosis

Perinephric abscess

Acute hematogenous infection.
Xephritis :

acute

4

2

24

1

1

1

1

6

2
IT
3

1

9

1

871

subacute

1
13

1

1

4

41

chronic diffuse

3

199

173

43

214j

Carried for^oard

88

1092

734

1914

342

856

1914

104

MEDICAL DISEASES, 1909— Continued.

Admitted.

DiSCHABGKD.

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS.

"5 2
-5

a:

to

P
1

"3

1
.2

1

0}

>

1^

•a

H
*^
o
1?

S

S

lio'

c<-<"

5^

1

Brought forward

1
88 109"

734

5

1
1
1

11

6
1
1

1
2
1
2
2
2

19141 -'u^

856
4

199 1 175

43

214

C

1

Nephritis :

chronic interstitial

11

IG
1
3

1

12

1
7
2

1

1

1
2

1
1
1
1
1
1

1
2
1
2
2
2i

6

16

chronic parencbvmatous . . .

1

Pvelonephritis

2

3
1

3
1

Tuberculosis

Of the Renal Pelvis.
Pyelitis

1

1
1
1

1

8

1
5

1

1

1

12
1

Of the Bladder.
Enuresis

Cystitis

2
2

7

Papilloma

2

Tuberculosis

1

1

DISEASES OF THE GENERA-
TIVE ORGANS.

Of the Male Ge:?itali.v.
(ronorrhea

1
1

1

Urethritis

1

Hypertrophy of prostate

1

1

2

Carcinoma of prostate

1

Priapism

1

1

G angrene of penis

1
1
1

1

1
2
1
2
2
2

1

1

Elephantiasis of scrotum

1

Sarcoma of testicle

1

Of the Female (fExitalia.
Cyr^tocele

1

Metrorrhasia

•>

Endometritis

1

Retro version of uterus

2

Myoma of uterus

<?

Carcinoma of uterus

£

■•■•

tamed forward

88

1119

771

1978!

349

877

20O

197

45

223

87

197£

105

MEDICAL DISEASES, 1909— Continued.

Admitted. 1

DiSCHAEQED.

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS,

13 g

®

n

a

«

^

01

.2
1

O V

+* >

if

■6
•2

o

5

CO -

88

1119

771
8
4
4
2
1

2

2

1

4
6

1

2

1
f

2

9

831

1978
8
4
4
2
1

2

1
1
1
1
2
2

3

1

9
8

1

2
1
2

3

11

4

40
2094

349

877
2

200

197
6
3
3

2

1

45

223

87

1978

8

1

1

4

4

2

1

Diseases of Pregnancy.

2

"^

1

1

—

1

1

1

1

1

2

1

9,

1

?.

DISEASES OF THE EAR.

2

1

2

2

1

3

3

Mastoiditis

1

1

DISEASES OF THE SKIN.
L^lcers

1

1
2
1

1

1

356

9
5

1

9

1

1

1

8

Hyperemia.

Erythema

Inflammations.

Erythema multiforme

1

1

2

nodosum

1

Urticaria

2

Dermatitis

3

1

2

29

1172

2
9

3
33

946

3

2

1

11

Eczema :

acute

4

chronic

2
91

2
206

219

1
49

224

4
94

40

Carried forward

2094

106

MEDICAL DISEASES, 1909— Continued.

Admitted. 1

Discharged.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

a.'-

as -

S4

rf.

a

"3
1

"3

>
.2
"3

Hi

>
0*3

•3

2

£

EH
■u

o

IZi

5

(8 =
0.'-'

M -

S4

i

Brought forvKU'd

91

1172

831
2

1

1
3
1

1

2
1
1
6
1
4
2

1
1 805

2094
2

1

1

12

1
2
7
2

1

1
3
1

5

1

11

1
9
2
1

1

1
1

1

1

21t>6

356
1
1

946

1

20C

219

49

224

94

2094

1
4

1

Pemphigus

1

1

1

1

1

11

1"^

1

' 1

1
4

1

1

1

3

1
1
1

1
5

1

1

1
2

1
2

o

1

_

r,

Hemorrhages.

1

Hypertrophies.

1

1

.T

1

New Growths.

2

1

1

1

1

1
1

5

1

1
5

1

11
1

8
1

1

1

1
1

1

11

1

5

1

9

1

?,

Yaws (?) ....

1
1

1

1

Neuroses.

1

Diseases of the Appendages.

1

•

1

Parasitic Affections.

1

1

1205

1

1

1 51

22b

97

1

95

1 210

220

Carried forward

362 1 99£

2105

107

MEDICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS,

Admitted.

DiSCHAEGED.

■c

aj

V

ll

2

"« £

'E.^

0"

a

3

O

"»
^

1

IS
O 01

4;b

H

O

ri
o

(5

54

Drought forward

Pediculosis vestimentorum.
Scabies

TUMORS (not otherwise spe-
cified).

Enchondroma of cervical ver-
tebrae

Sarcoma of cliest wall

Carcinoma of abdomen

CadTcinoma of spine

Carcinomatosis

Tumor (unspecified) of abdomen

Mediastinal tumor

MISCELLANEOUS.
Delayed eruption of tooth . . —

Harelip

Inguinal hernia

Movable coccyx

Hallex valgus

Localized tuberculosis

Senility

Pregnancy

Weaning

Donor of blood

No diagnosis

No disease

Total.

95; 1205
1
6

4
96 1235

865 2165
1

885 2216

302

210

1012 218 232

220

51 220

97 2165
... 1
... 10

2

2

7

2216

SURGICAL DISEASES.

FROM JANUARY 1, 1909, TO DECEMBER 31, 1909, INCLUSIVE.

TABLES OF DISEASES

COMPILED FROM
SUKGICAX, RECORDS,

Admitted

.

!iCi

o,-i

tc

£4

<:>

1

r"
b

Discharged.

o

<5

"So

>

1.0.

a:

.

a

oo

^'i

0

®

^1

a

^,e;

HS

;?

5

DISEASES OF THE BLOOD
VESSELS.

Anemia

Arteriosclerosis

Phlebitis

Aneurism :

aortic ,

popliteal

radial

Embolism, popliteal

Thrombosis, mesenteric

Varicose veins

DISEASES OF THE GLANDS.
Of the Lymph NoDfis.

Hodgkin's disease

Of the Cervical Lymph Nodes.

Septic adenitis

Adenitis (unknown origin)

Tuberculosis

Of the Axillary Lymph Kodes.

Septic adenitis

Adenitis (unknown origin)

Tuberculosis

Of the Mesenteric Lymph Nodes.

Tuberculosis

Of the Riac Lymph Nodes.

Adenitis (unknown origin)

Of the Inguinal Lymph Nodes.

Septic adenitis

Adenitis (unknown origin)

Carried forward .

47

5 10

3
11

23

6
1

2

1

3

119

109

SURGICAL DISEASES, 1909— Continved.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

OrH

DiSOHARQED.

°.2 -6

Brought forward

Sarcoma

Of the Mammary Glands.

Hypertrophy

Mastodynia

Mastitis

Sepsis :

with abscess

without abscess

Fibroma

Adenoma

Carcinoma :

primary

recurrent

Paget's disease

Cyst

Of the Salivary GLA^DS.
Of the Parotid Gland.

Enchondroma

Chondromyxoma

Sarcoma, recurrent

Carcinoma :

primary

recurrent

Of the Subliiigiial Glands.

Ranula

Of the Submaxillary Glands.

Cyst

Of the Ductless Glands.

Status lymphatici\s

Of the Thyroid Gland.
Hyperthyroidism

2 ...

Carried forward .

218

5 21

5 13 218

no

SURGICAL DISEASES, 1909— Cojitinued.

Admitted.

Discharged.

.

"C

.

TABLES OF DISEASES

4-S O

2

't«o

COMPILED FROM
SURGICAL RECORDS.

OfH

m

"is

a

rt

_•

>•

■si

'C

.•So

ff

^

^

«

Sr,pj

2^

^

0

a c4

g

Brought forward

10

75

1SS

''18

4

1fi5

5

5

21

5

13

Hypertrophy

4

4

1

?

I

Exophthalmic goitre

0

•)

1

1

Adenoma

3

3
1

3
1
3
1

3

Carcinoma

1

1

Cyst

1

2

Tumor (unspecified)

1

Of the Spleen.

.Splenic anemia

1

1

2

1

1

DISEASES AND IN.TURIES OF
THE NERVOUS SYSTEM.

Fi NCTiONAL Nervous Diseases.

Vertigo

1

1
1

1

1

Hysteria

Neurasthenia

1

1

3
1

1
1

2

Epilepsy

Of the Brain.

( Concussion

1

,

1
1

6
1
4

2
1

4
1
1

Laceration

Hemorrhage

o

Cyst

1

1

Tumor (unspecified)

0

6

1

1

4

Of the Spinal Cord.

Progressive muscular atrophy
Crush

1

1

1
1

1
1

Anterior poliomyelitis

1

H

14

?3

'>•?

1

0

9

1

1

Of the Nerves.

Injury to brachial plexus

•>

?

o

1

1

1

Severed nerve

1

1

1

15

17

Carried forward

13

108

169

290

9

209

8

5

27

1

1

290

Ill

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

DI8OHAROED.

.

0)

0 0

•c

C4C5

*^ '^

0

■c.S

0

0

1%

5^

■3

a

1

"3

>
.2

1

0 e

^•3

1

•6

5

Brought forward

IS

108

16P

''<¥)

q

909

s

5

27

15

17

29C

Paralysis :

brachial

1

1
1
1

1

1
2
1
1

1
1
1
1

1

of facial nerve

1

9

of ulnar nerve

1

Neuritis of lingual nerve

1

Neuralgia :

supraorbital

1

1

1

1

trifacial

4

.5

9

8

1

9

Neuroma, submental

1

1

1

1

OF THE HEART.

Pericarditis, adhesive

<>

1

3

1

1

1

3

DISEASES AND INJURIES OF
THE RESPIRATORY SYSTEM.

Of the Nose.

4

li

q

6

1

9

9

Deviated septum

1

48

16

65

61

4

65

Cicatricial contraction

1

1

1
1

1
1

1

Dog-bite

1

1

1

1

1

Epistaxis

9

9

0

?

Rhinitis, chronic

1
1

1

1

1
1

1

Polypus

1

Carcinoma, recurrent

2

1

3

2

1

3

Of the Laryjtx.

Hemorrhage, post-operative

Stenosis

9

1

3

s

3

3

1

3

3

6

3

6

Carcinoma

1
1

1

2
1

9
1

?.

1

Of the Tkachea.

Stenosis

1

1

1

1

Carried forward

14

189

206

409

9

315

10

6

35

16

18

409

112

SURGICAL DISEASES, 1909— Continued.

Admitted.

Discharged.

.

0§

"d

.

TABLES OF DISEASES

SB

T-n

9

't8 0

COMPILED FROM
SURGICAL RECORDS.

•3

(0

a3 o

■6

"3

5^

^

^

^

S

^S

^

Q

a^

^

Brought forward

14

189

206

409

9

315

10

6

35

16

18

409

Of the Bronchi.

Bronchiectasis

1

1

1

1

Of the Lungs.

Sepsis with abscess

10

10

7

1

1

1

10

Of the Pledra.

1

1

1

1

1

1

1

1

adhesive

1

S6

15

1

5S

1

1
41

1

0

1

^

S

.53

DISEASES AND INJURIES OF
THE DIGESTIVE SYSTEM.

Of the Modth.

Cicatricial contraction

1

1

1

1

Perforation (specific) of roof of

1
1

1
1

1

1

Carcinoma

1

1

Of the Lips.

<>

?

4

<>

9

4

Harelip and cleft palate

1

1

4

6

1

4

1

6

1

1

1

1

?

0

0

2

1

1

1

1

1

1

1

1

1

1

1

1

Carcinoma :

1

10

11

11

n

3

3

3

3

Of the Tongue.

1

1

1

1

Carcinoma

If.

16

9

fi

1

16

Of the Palate.

Cleft palate

3

6

9

1

3

4

1

9

Carried forward

19

280

236

535

12

407

11

8

49

24

24

535

113

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

c^

Discharged.

Brought forward

Of the Pharynx.

Pharyngitis, chronic

Retropharyngeal abscess .

Adenoids. (See also Hyper-
trophy of Tonsils.)

Fibroma of naso-pharynx

Carcinoma of naao-pharynx

Of the Tonsils.

Hypertrophy

with adenoids

Tonsillitis :

acute

chronic

Peritonsillar abscess

Sarcoma

Carcinoma

Of the Esophagus.

Foreign body

Stricture

Carcinoma

Of the Stomach.

Neurosis

Persistent emesis

Gastritis

Pyloric stenosis

Ulcer

perforating

Tumor (unspecified) of pylorus

Carcinoma

of pylorus

Of the Intestines.

Foreign body

Carried forward .

20

355

407 11 8 49 24 24

19

35 24

114

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

DtSCHABGED.

"ceci

sl

«

"So

24

9

i

-3

a
o

"3
1

>
2

1

IS
it

2

Eh
1

Broufjht forward.

Rupture

Wound, incised

Adhesions

Indigestion

Appendicitis :

acute . .

acute, with diffuse
peritonitis

subacute

chronic

Colitis

ulcerative

Enteritis :

acute

chronic

Enteroptosis

Perforation, typhoid

Fecal fistula

Constipation

Volvulus

Intussusception

Obstruction :

from adhesions.

no pathological
cause given

Duodenal ulcer

perforating .

Gangrene

Malignant lymphoma .

Sarcoma

Carcinoma ,

Tumor (unspecified)

20

17

405 355
2
1
5
1

13 614 19 10 65 35 24 780

Carried forward .

729

593

1373 43

1084

25

821 44

1373

115

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

.

^

<S2

o

O-H

S

a>

11

^S

£■5

o

o

•3

1

c
^

1

0 «

0-3

5'g

o

o

si

/ir ought forward

51

729

593

1
1

1
1

1

3

7
62

1

1

1

2

1
3

1373

1
1
1
1
4
1
1
1

1

3

1

3

1

16

75

2

1
6

1
1
1
2
20
3
1
3

43

1084

25

19

76

82
1

44

1373
1

Of the Liver.
Rupture

Hypertrophy

1

1

Perihepatitis

1

1

1

1

Sepsis with abscess.

1

1

Cirrhosis

4

1

4
1
1

Carcinoma

Echinococcus cvst

1

1

Svphilis

1

1

Of the Gall Bladder a>d
Bile Ducts.

Contracture

1
3

1

Adhesions

3

1

1
8
8

1
1

1

3

Stricture of papilla of Vater. ..

1

1

4
6

1

4
7

1

Biliarv fistula

1

2

1

8

57

1

1
3

3
1

Empyema

1
5

Cliolecvstitis

16

Cholelithiasis

1

3

75

Of the Pancreas.
Pancreatitis

2

Sarcoma

1

Carcinoma

1
1

2

1

6

Of the Rectum.
Incontinence of feces

1

Prolapse

....

1

Urethro-rectal fistula

1

2
17
2

44

1
2
19
2
1
3
1190

1

Proctitis

2

Ischio-rectal abscess

1
1

1

20

Ischio-rectal sinus

1

3

1

Stricture (cause ?)

3

60

786

31

22

81

~^

~55

Carried forward

679 1525

1525

116

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

DiSOHAKGED.

Hen

2|

■d

_

■a

o

a

j.«.

S

ft"

54

6

■3

a

a

"3

•4-3

.2

II

h3

1

■a

Se il

Brought forward .

Hemorrhoids

Polypus

Adenoma

Ulceration

Carcinoma

Of the Anus.
Ruptured sphincter. . .

Fissure

Fistula

Tuberculous ulcer

DISEASES AND INJURIES OF

THE (iENITO-URINARY

SYSTEM.

Hemorrhage into external geni-
tals

Genito-urinary tuberculosis

Of the Kidneys.

Horseshoe kidney

Movable kidney

Dysuria

Glycosuria

Oxaluria

Hematuria

Renal colic

Hyperemia

Adhesions

Hydronephrosis

Acute hematogenous infection

Nephritis

Perinephric abscess

Pyelitis

Pyelonephritis

Carried forward .

894

152.')

50

2

1

2

10

1

4

43

1

1

1
1
1

4
6
1
1
4
5
4
1
7
6
1687

1190 31

1
3
2
1
1
3
3
1
1

6

4
1329

22| 84
1

5511525

4! 50

I

...! 2

1
2
10

1

4

43

1

117

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged. .

.

= £

_•

1 - 1

:Ss>

o

cj

«

o

f-3Q

r

-('-5

95

S

1

1

>

1

II

»3

1

5

•S -J _• ei

mI^I H

Brought for^oard

Pyonephrosis ,

Tuberculosis

Calculus

Adeuoma

Hypernephroma

Sarcoma

Carcinoma (perinephric).. .

Tumor (unspecified;

Of the Uketees.

Fistula

Calculus

Of the Bladder. '

Exstrophy ,

Diverticulum

Foreign body

Incontinence of urine

Acute retention of urine.. .

Suppression of urine

Paralysis

Prevesical ab.scess

Cystitis

Tuberculosis

Calculus

Polypus

Angioma

Fibroma

Papilloma

Carcinoma

Of the Male L'rethra.

False urethra

Rupture

Carried foncard ,

73! 969

728 1687
13

51

1329

8

5

11

4
1
10
1
1
1
4
1

1

3

1386

27 95
2
4
3

1687
13
12
16
1
5
2
1
1

1

7

1
1
1
2
1
2
1

10
6

13
1
1
1

41 27 113 11" CS 1803

118

SURGICAL DISEASES, 1909 - Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

cio

OrH

a -■

a

a =*

a

Discharged.

M

Brought forxvard

Extravasation of urine..

Urinary fistula

Stricture

Urethritis. ..

Sepsis with abscess

Of the Prostate.

Benign enlargement

Calculus

Prostatitis

Sepsis with abscess

Tuberculosis

Adenoma

Carcinoma

Of the Penis.

Hypospadias

Priapism

Ulcer

Carcinoma

Of the Prepuce.

Phimosis

Of the Scrotum.

Wound, lacerated

Intertrigo

Sepsis :

with abscess

without abscess. .

Hydrocele

tuberculous.
Of the Testicles.

Undescended testicle. ..

Orchitis

Carried forward

761

1805

1

5
S.'i

3
11 ..

33
1
1

761 1967 53

1386
1

3
48

2
10

21
1

1803
1
5

55
3

11

33
1
1
2
2
1

10

2
1
1

2

1191 131! 79! 1967

119

SURGICAL DISEASES, 1909 — Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

(B

2--

5

"Sc

Is

o »

nl'-'

o

li^pj

hS

1<

P

Brought forward

Epididymitis

tuberculous .

Tubercijlosis

Gumma

Sarcoma

Tumor (unspecified)

Of the Spermatic Cord.

Varicocele

Hydrocele

Of the Male Perineum.

Chronic inflammation

Sepsis with abscess

Sinus

DISEASES AND INJURIES OF

THE FE.VIALE GENERATIVE

ORGANS.

(jEneral Diseases.

Dysmenorrhea

Menorrhagia

Metrorrhagia

Abortion

Miscarriage

Painful pregnancy

• Extra-uterine pregnancy ,

Retained placenta

Eclampsia

Of the Vulva.

Labial abscess

Fibroma

Of the Urethra.

Malformation

Spasm

Carried forward .

86

1120
11
6
5
3
2

761

196
11

6
1
4
1

21
1

19
6
1

1
1

1
1

1509
11

131

128 132

1967
11
7
.5
3
2
1

6
1
4
1

21
1

19

1

1
2106

120

SURGICAL DISEASES, 1909 — Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

"So

=1

01

g

1

1

■a
1

>

o o

■2-3

it

en

5

13 2

"3
o

Brought forward

92

1189

825
1

4

1
1

2
3
1

1
5

4
38
21
35

1

2106

1

4

1
1

2
3

1
1
5

5
40
24
37

56

11

4
24

64

16221 'IS

29

128

132

83

2106
1

Caruncle

1

3

1

Of the Vagina.
Atresia

1

4

Cicatricial contraction

1

Infection of Bartholin's gland.
Fistulae :

recto-vagiual

1

1

1

1

4

1
3

2

2
1
1
1
4

4
32
20
30

1

1

1

48

1
1

1

o

vesico-vaginal

3

Cystocele

1

Rectocele

J

Cystocele and rectocele

Of the Utekus.

Displacements :

anteflexion

retroversion . . .
procidentia ...

Endometritis

1
2
3

2

1
1
3
2

3

2

5
40
24
37

tuberculous

Sepsis with abscess

1

1

53

1

1

1

1

11

4
21

2

2

2

3

56

Adenoma

Chorionepithelioma

Sarcoma :

primary

1
1

2

recurrent

8

3

22

1
1

1

1

11

Of the Cervix Uteri.
Laceration :

of cervix

of cervix (and perineum).

3

24

Carried fonvard

107

1189

1037

2333

75

1808

54

29

140

135

92

2333

121

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Brought forward

Polypus

Carcinoma

Of the Broad Ligament.

Cyst

Of the Fallopian Tdbes.

Salpingitis

tuberculous

Hydrosalpinx

Pyosalpinx

Of the Ovaries.

Prolapse

V^aricocele of pampiniform
plexus

Malignant papilloma.

Fibroma

Adenoma

Sarcoma

Carcinoma

Cyst

Of the Perineum.

Laceration

Sepsis with abscess. . .

Admitted.

Disohabged.

CSO

107

DISEASES AND INJURIES OF
THE HEAD AND FACE.

Of the Head.

Injury (unknown)

Contusion

Burns of scalp

Avulsion of scalp

Wounds ;

gunshot, of head .
of scalp

Carried forward .

1037
1
12

2333
1

75

1194

1

2507

1808
1

83

1956

135

:2333
1

139

1
2
1
1

3

1

!2507

122

SURGICAL DISEASES, 1909 — Cotitinued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SUKGICAL RECORDS.

+J o

'p.S

a

"3
o
H

"S
^

•a
>

1

o u

0; ^
UTS.

1
o

5

.■Sa

Oi -

We

115

1194

1198

1

1
4

2

1
2

1

1

1
1

2507

1
6

1

7
1
3

2
2
1

1

1
9

1

I

1
1
1
3

1
3

1
1

1
1
1
1

83

1

19.56

1
6
1
2

7
1
2

2

58

29

144

139

98

'.'567
1

Wounds :

incised, of scalp

lacerated, of scalp

2

4
1
1
3
1
1

1

6

Foreign body in antrum

1

Hematoma of scalp

2

Sinusitis, chronic

Ethmoiditis

\

Empyema of antrum

1

Sepsis of scalp :

with abscess

2

■without abscess . . .

1

2

Phlegmon of scalp

1
1

1
9

1

Wen

1

1
8

1

1
1
1

1

Of the Face.
Deformity, traumatic

1

Burns of face and hands

9

Burns of face, neck and chest
wall

1

1

Wounds :

gunshot

1

1
1
1
1
2

1
2

1

1
1
1

1

lacerated

1

septic

1

Painful cicatrix. f

1

Keloid

3

1
3

1
1

1

3

Abscess, submental

1

Erysipelas

3

Wen

1

1

1

1

Lymphangioma

Anthrax

1
1
1

1

1

1

1

Carried forward

117

1232

1213

2562

85

2003

58

29

148

139

99 1

25C2

123

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

-

0 Si

"S

ffliOl

«

Ho)

o

•0

c8

to

a

■3
0
H

1

.2
0©

^■3
h3

.2

= =• i?

117

PT'

l''l?1

''56'^

85

2003

58

148

13i

0!

23(i2

Carcinoma :

primary

1

4

1''

q

g

12
6

3

3

6

4

1

1

DISEASES AND INJURIES
OF THE EYE AND EAR.

Angioma of eyelid, ear and
breast

1

1

1

1

Of the Eye.

Deformity, post-operative, of
eyebrow

1

1
1

1

1

1

1

1

Cicatricial contraction of eyelid

?

9

1

1

2

Carcinoma of eyelid :

primary ..
recurrent.

1

4

5

'S

5

2

2

4

3

1

4

Of the Ear.

1
1
1

1
1
1

1

1

Mastoiditis

1

1

1

1

Carcinoma

1

1

1

1

DISEASES AND INJURIES
OF THE NECK.

Torticollis

1

3

2

6

3

1

?

6

Wounds :

1

1

1

lacerated

Phlegmon

3

10

9

j

1

10

1

..^.

1

1

29

156

141 1

102

Carried forward

H9

1268

1235

2622

85

2050

59 1

2622

124

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

.

oS

^

T-.Ci

0)

■30

•~c-.

r.

0

■a

a e

X

■3

0

■3

■3

0 »

"?!

H
0

£

Ort

■^"^

^

fa

^

==■

tf

S^«

hS

X

«

WHJ

S -- _• cS

Brought forward .

Nevus

Carbuncle

Fibroma

Malignant lymphoma

Anthrax

Sarcoma

Carcinoma:

primary ..
recurrent.

Cyst

Branchial cyst

Tumor (unspecified) . .

DISEASES AND INJURIES

OF THE CHEST AND

CHEST WALL.

Of the Chest.

Contusions

Crush

Wound, punctured

Sinus '.

Cavity, following thoracotomy,
Of the Chest Wall.

Burns

Wound, gunshot

Sepsis with abscess

Erysipelas

DISEASES AND INJURIES

OF THE ABDOMEN AND

ABDOMINAL WALL, AND

OF THE PERITONEUM.

Of the Abdomen.

Contusion

Contraction of artificial anus.

1235
1
2

2622
1
7
1
1
2
3

2
2
3
2
3

2050
1
6
1
1
2
2

1
1

2
2
1

2622
1
7
1
1
2
3

2
2
3
2
3

3
1

2669

Carried forward .

1301

2082

59 29 161 149 102

125

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Orn'

Discharged.

«*2

Brought fonvurd

Adhesions

Sepsis with abscess :

pelvic

subphrenic

Sepsis without abscess

Sinus

Endothelioma of pelvis

Carcinoma

Carcinoma, recurrent, of ])elvis

Tumor (unspecified)

Of the Abdominal Wall.

Foreign body

Wound, gunsliot

Hernia :

femoral

strangulated,. .

inguinal

strangulated . . .

with undescend-
ed testicle. . .

umbilical

strangulated,
rentral

strangulated,
ventral and femoral . .

Sepsis :

with abscess

without abscess.

Fibroma

Ulcer (x-ray)

Carcinoma of umbilicus.

Tumor (unspecified)

Carried forward .

1301

1248
1

2669
2

15
6
1
3
1
1
1
4

1
1

13

3

239

20

9
11

3
29

1

1

3
2

2082
1

1

I

1560 134213044 126

1

1

9

1

186

14

7
10

1
22

1

1

3
1
2
1
1
1

2369

69

62

29

161 1 149

i

1'.

102

2669
2

15
6
1
3
1
1
1
4

1
1

13

3
239
20

9
11

3
29

1

1

3
2
2
1
1
1

29 185; 157! 11613044

126

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

"ScJ

s|

s

"So

5.S

«

o

<s

2=g

£4

a
S
1^

■3

2
1

1

II

H

■fc3

■a

5

Brought forward

m

1560:1342

3044

126

23C9

02

2y

185

157

116

3044

On the Inguinal Region.

Painful cicatrix

1

1

1

1
1
1

1

1

1
1

1

Lipoma..

1

Malignant lymphoma

2

<>

f

2

Carcinoma :

primar\'

1

1

1

1

recurrent

1

1

1

1

Of the I'ERITONEUM.

Retroperitoneal abscess

1

1

1

1

Peritonitis :

pelvic

3

S

?'

1

3

diffuse

1

3
3

5
10

8
14

1
7

7

1

3

K

tuberculous

1

2

14

j!

1

1

Hydrocele of canal of Nuck

1

1

Endothelioma

1

1
1

1

1

2

2

1
1

4

1
1

1

2

1

1

1

Ecliinococcus cyst

1

Retroperitoneal tumor (unspeci-
fied)

1

1

OTHER DISEASES AND IN-
JURIES OF THE TRUNK.

Of the Back.

Burns

1

1

2
1

9

1
1
?

1

9.

i|....
1

1

1

91

1

1

1
1
2

1

1

Strain ...

1

1

2

2

9.

Ca rried forward

144

1581

1372

3097

127

2396

65

31

189

166

123

3097

127

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGIC^U. RECORDS.

Admitted.

Discharged.

.

o£

r— '

da,

Ol

ceg

^iH

r/l

0)

-a

0, a

S4

c4

a

1

2
1

O (»

.2 a

ii

73

s

1-1 iTi

Brought forivard

144

1581
1

1372

1

1

1

1
2

1
1

3097
1

1

I

2

1

1
1

1
1

1

3
3

2

1
1
2

1

7
2

1
2

127

2396

65

31

189

1

166

1

123

Carbuncle

Lipoma

1

2

1

1

1

1
1

1

1

1

Of the Ldmbak Region.
Sepsis :

with abscess

1

without abscess

DISEASES AND INJURIES OF

THE SOFT PARTS OF THE

UPPER EXTREMITY.

Of the Shoulder.

Gumma .

1

1

Tumor (unspecifleii)

1

Of the Arm.
Cicatricial contraction

1

3

2
2

1

1
2

1

5
2

1
1

Limitation of motion, following

2

1
2

1

1

Wounds:

2

Sepsis :

7
2

1
2

1

1

Of the Forearm.

Crush ... ...

1

Carried forward

146

1607

1380

3133

127

2424

65

31

191

168

127

3133

128

SURGICAL DISEASES, 1909— Contimied.

Admitted.

Discharged.

.

0 «

-d

TABLES OF DISEASES

2S

^&

S

'cso

COMPILED FROM

'H,S

•o

■e

i'rr

c8

.■So

SURGICAL RECORDS.

a4

(a

o

a

01

fa

"3

.2

1

5

o

Brought forward

"Wound, gunshot

Painful stump

Sepsis with abscess ,

Of the Hand.
Contraction :

cicatricial . . . ,

Dupuytren's

Burns (x-ray)

Crush

of both hands

Wounds:

gunshot . .
lacerated.

Sepsis :

with abscess

without abscess

Erysipelas

Tuberculous tenosynovitis . . .

Fibroma

Sarcoma

Carcinoma

Of the Fingeks and Thumb.

Malformation

Cicatricial contraction

Frostbite

Crush

Wound, lacerated

Gangrene, traumatic

Sepsis with abscess

Tenosynovitis

Dactylitis

Felon

146 1607 1380 3133 127 2424 05 31 191 168 127 3133

Carried for ward 149

1657

127

65 31 192 168

2
13113205

129

SURGICAL DISEASES, 1909— Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

a

>
.2

1

>
.2

S5«

a)
£■-

1.32
.2 0

s

1

5

1

Brought forward

149

1657

1
1

1
7

1
1

1399
2

1
2

1

1405

3205

1
5

1
7

1
1

1
3
1
1
4
2

3

1
1

5

2
2

1
2
1
■2

1

3254

127

2491

1
5

3

65

31

192

168

131

3205

DISEASES AND INJURIES OF

THE SOFT PARTS OF THE

LOWER EXTREMITY.

Of the Gluteal Region.

Burns

Bursitis

2

Sinus

1

pilo-nidal

Of the Thigh.
Deformity following fracture . .
Foreign body

1

1

Dog-bite

1

Burns

1
1
4
2

3

1
1

4
2
2
1
2
1
2

1

1697

3

Ruptured rectus fenioris

1

Ruptured quadriceps extensor.

1

1
2

?

Wounds :

127

3

1
2534

3

lacerated

1

1

Sepsis :

1

5

?

1

1

?

Wen.

1

1

?

Of the Leg.
Deformity from spastic p&Ta.-

1

152

65

31

193

171

133

Carried forward

3254

130

SURGICAL DISEASES, 1909— Continued.

Admitted.

Discharged.

-

°.2

^

TABLES OF DISEASES

:^i

■H

ts2

COMPILED FROM

m

■a

■c

SURGICAL RECORDS.

54

03

01

■3

a

■3

1

"3

.2
1

>

II

b

H

^
^

P

54

i

Brought forward

152

1697

1
3
1

1

1405

1

3

1

1
2
4

1

1
2
3
2
2

0

3254

1
3
I
1
1
1

8
3
1

1

1
1
8
4

1
1

1
2
5
4
"lO
1
2
2
11
2
3
1

127

2531

1
3

65

31

193

171

133

3254

Abrasions

1

Crush

3

of both legs

1

1

Painful stump

1

1

1
1

6
3

1
1

1
1
5
2

1

1

Hematoma

1

Erysipelas

1

Sepsis :

with abscess

5
2
1
1

1

1

1

K

without abscess

3

Sinus

1

tuberculous

1

Obliteratlve endarteritis of
stumps

•

1

Elephantiasis

1

Ulcer

5

1

2

1

8

4

Myxofibroma

1

1

Sarcoma

1

1

Deformity following fracture..

1
2
4
4

10
1
2
1

10
1
3
1

1

Flatfoot

9.

Talipes equino- varus

2
2

7
1
2
2
8
2
3
1

5

Talipes equinus

4

10

1

9.

Frostbite

1

1

9.

Crush

11

of both feet . .

9

Wound gunshot .......

S

1

Carried forward

156

1749

1430

3335

127

2602

65

35

195

174

137

3335

131

SURGICAL DISEASES, 1909— Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

OrH

a4

ID

a

1

"3

>

is

1
a?

II

<U IB
fcCO

1
1

•6

(0

s

Brought forward

Cellulitis

loG

1749

1

3
3
4

1
3

1
1

1

1430
4

4

2

1
4

1
2

3335
1

4

5

8

1
4

1
1

1
1
4
1

2

1

1
1
1

1
8

1

1
2
6

127

2(J02
1

4

5
4

1
3
1

1

1
1
4
1
2
1

1

65

35

195

174

137

3335

Sepsis:

with abscess

1

4

without abscess

5

3

1

Gangrene :

diabetic

1

senile

1

1

4

Keloid

1

Ulcer, perforating

1

Of the Toes.
Supernumerary toes

1

Digiti minimi varus

1

1

Hallez valgus

4

1

1

Hammer-toe

2

Frostbite

1

1
1
1

1

Gangrene :

traumatic

1

senile

1

1

Bunion

1

1
5

1

1

DISEASES AND INJURIES
OF THE JOINTS.

Arthritis :

1

infectious

4

1

3

8

1

Of the Shoulder.

1

1

2
4

1
5

1

?

1

6

Carried forward

159

1T83

1450

3392

127

2647

67

35

200

174

142

3392

132

SURGICAL DISEASES, 1909— Conti7ined.

TABLES OF DISEASES

COMPILED FROM
SUBGICAL KECORDS.

Admitted.

Discharged.

.

■3

^

cia>

0)

■a

V

>•
.2

o »

■m09

"is

£1

a

1

"3

.2

12;«

2
o

»

5

00 -^

Sri

Brought fonvard

Infectious arthritis

Bursitis, subacromial

Tuberculosis

Of the Elbow.

Ankylosis

Contusion

Foreign body

Fringes In joint

Dislocation

Arthritis :

hypertrophic

infectious

Sepsis :

with abscess

without abscess

Tuberculosis

Of the Wrist.

Deformity following fracture.

Volkmann's contracture

Sprain

Wound, lacerated

Severed tendon

Sepsis with abscess

Tenosynovitis, tuberculous ...

Tuberculosis

Of the SA.CRO-ILIAC Joint.

Strain

Dislocation

Tuberculosis

Of the Hip.

Deformity

Carried fonvard .

1783 1450
1

1821 1465

3392
1
4
1

3447

127

127

2647
1
3

1
1
1

5
6

8

1
2695

200

351 203 174 143

3392
1
4
1

6
1
1
1
1

1
1

1
1
1
1
2
1
1
1

5
6
8

1
3447

133

SURGICAL DISEASES, 1909— Continued.

Admitted. |

Discharged.

TABLES OF DISEASES

COMPILED FROM
SUKCrlCAL RECORDS.

IS

2

"3
1

"3

73

.2

1

>

o <s
S5«

11

5-5

S

4-1

2

o

5

a «4

1
Brought forivard

161

1821
1
1
1
1
5

1
2
1
3
17

4
9
1

1

1
2
1
1
3

2
2
2
4
3
3

1465

2

1
1
8

1
1

7

3
3

1

1

1
2

3

2

1

3447
1
3
2
2
15

3

3

1

3

25

7

12

3

2

1
2

1
1
4

2
3
3
6
3
6

3

1

3565

127!

2695
1
2
2
2
13

2

70

35

203

174

143

34^7
1

1

3

2

2

2

1

2

15

Arthritis :

1

3

3

,

1

1
128

2
18

7

12

3

2

1
2
1
1
4

2
3
3
5
3
4

3
1

2798

1
5

3

1

1

1

25

Of the Knee.

7

12

1
1

3

2

Dislocation of semilunar carti-

1 1

2

1

1

4

Arthritis :

2

1

3

3

1

6

3

1

6

Sepsis :

1

3

1

71

35

206

174

Carried farward

169

1893

1503

153|3565

134

SURGICAL DISEASES, 1909— Co?itimied.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

.

0
0 '-^

^.

3iO

0

■3=

wo

Hoi

54

6

o

a

1

0
H

"3

0
>

1

>

IS

0)

0

0

5

0-"

54

Brought forward

Sinus, tuberculous

Tuberculosis

Lipoma

Gumma, prepatellar

Sarcoma

Of the Ankle.
Deformity following fracture.

Contraction

Sprain

Dislocation

compound

Crusli

Arthritis, infectious

Sepsis :

with abscess

without abscess.

Tuberculosis

Charcot's arthropathy . .

Chondrofibroma

169 1893 1503

Of the Phalangeal
(toes).

Arthritis, infectious . . .

Joints

DISEASES AND INJURIES
OF THE BONES.

General.

Multiple fractures . .

Rickets

adolescent...
Of the Vertebrae.

Contusion

Dislocations :

of cervical vertebrae
of dorsal vertebrae

Carried forivard i 170

1953

3565

1

28

2

1

128

1520,3643

2798

1

26

2

128

36

1741 153

3565

1

28

2

1771 163 3643

135

SURGICAL DISEASES, 1909— Continued.

Abmitted. 1

Discharged.

.

1

o 1
0.S 1

■e

.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

o

a

•3

1

"3

"8

>
2

1

>
0®

"11

2

» 1

•3
s>

5

So

S4

3
§

170 19531

15?i0

3643 128l

2859

73 36

207

177

163

3643

Fractures :

of cervical vertebrae

1

2

3

2

1

3

with crush of cord
of dorsal vertebrae . .

1

1

1

1

3

3

2

1

3

with crush of cord

1

....

1

1

1

of lumbar vertebrae..

4

4

4

4

of dorsal and lumbar

1

1

1
1

1

1

1

1

Coccyp:odynia

1

1

2

2

2

Osteoarthritis

2

2

2

2

1

fi

1

8

7

1

8

4

13

18

35

31

3

1

35

psoas aliscess

3

3

2

1

3

Carcinoma

Of the Ribs.

Cervical rib

Fracture

8

1
1

1

1
8

1

8

1

1
8

Necrosis

Tuberculosis

Of the Skull.

1
2

1

1
3

1
3

1
3

Fractures :

simple

1

4

3

8

6

1

1

8

with subdural hemorrhage

3

4

3

4

1

1
3

2

3
4

F 1 11

n

3

14

1

9

3

1

14

1

1

1

1

Of the Malar Bone.

4

1

5

4

1

5

Of the Xasal Bones.

Fracture

3

3

3

3

Hypertrophy of turbinate bones

1 177

3
2034

6
1557

9
,3768

! 131

9

2958

76

36

—

166

9

Carried forward

212; 1»»

136

SURGICAL DISEASES, 1909— Continued.

Admitted.

DiSCHABGED.

.

0?

•8

.

TABLES OF DISEASES

2S

*' >

o

OSO

€<JMPILED FROM

•a

«

1^

a"?
H2

si

£

1

He-.

SURGICAL RECORDS.

-a

a

&4

■i
1

"3

>
.2

1

5

* .

1

Brought forward

Of the Maxillary Bones.

Ankylosis

Foreign body

Fractures :

simple

ununited

Hematoma

Sepsis :

with abscess

tuberculous

Alveolar abscess

Sinus

Necrosis

Fibroma

Sarcoma :

primary

recurrent

Epulis

Carcinoma :

primary

recurrent

Cyst

Of the Clavicle.

Dislocation (outer end)

Fractures .

simple

compound comminuted.
Of the Scapula.

Faulty development

Sprengel's deformity

Fracture

3768 131

76

Carried forward 178

2078

1574

168

137

SURGICAL DISEASES, 1909— Contimied.

Admitted.

Discharged.

TABLES OF DISEASES

lien

?

s

rtO

COMPILED FROM

m

"C

>c

frf

rt

.S05

SURGICAL RECORDS.

q

1

"3

1

0 (B

Eh

o

S

X -

B

g

178

■JOTS

1574

^SO

m

3010

77

%

?18

1%

168

1

1

1

Sarcoma

1

1

1

Of the Humerus.

Fractures :

1

7

4

n

10

1

1

compound comminuted.

1

1

1

3
1

3
1

3
1

Osteomyelitis :

of head of bone..

2

2

1

5

4

1

5

'\

4

1

o

o

?

1

1

Cyst .

1

1

1

Of the Radius.

Deformity following fracture . .
Fractures :

1

1

1

1

1

1

0

•>

1

1

compound comminuted
CoUes' :

1

1

1

3

8

2

1

1

1

1

1

1

1

1

1

1

Of the Ulna.

Deformity following fracture . .

2

2

2

Fractures :

1

1

1

of olecranon

\

1

1

2

2

2

191

171

Carried forward

181

2117

1582

3880

132

3051

78

36

221

3830
1
1

3880

138

SURGICAL DISEASES, 1909— Co7itinuecl

Admitted. 1

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

ii

6,4

^1

a

o
H

•a
>
.2

1

>

o c

Is

5 !

H
o

.2

M

So

0* -

* .

5H5

"is
1

Brought fonvard

181

2117

5
1
1

1

1
1
1

1

5
1

1

1582

1

1
1

6
1

1
1

1596

3880

5
2
1

1

1
1

1

1

6
1

2
1

28
1
2

10

4
3
1

1
3953

132

3051

4
2

78
1

36

221

191

171

3880

Of the Radius and Ulna.
Fractures :

5

2

1

1

Of the Cakpal Bones.
Fractures :

1

1
1

1

of scaphoid :

simple —

1

1

1

1

Of the Metacarpal Bones.

1
.5

1

Of the Os Innominatum.

1

1

1

r>

1

Of THE Femuk.
Separation of epiphysis :

upper.

2

1

23

o

1

Fractures of shaft of bone :

3

23
1
2

2
3
2

1
1

4

"S

compound (septic)

I

132

2

10
4
3
1

1
3113

2

Fractures of neck of bone :

simple

impacted . .
ununited..

2

i

10

4

3

1

1

1

73

: 3b

222

194

177

Carried forward

187

2170

395£

139

SURGICAL DISEASES, 1909— Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURdlCAL RECORDS.

■3 05

£4

6

a
S

1

"3

■d

>

1
11

H

0

>5

■3

5

M

tn -

1

187

2170
10

8
2

1

16
3

1
1
2
2
19

1596
5

1

4

1

5
1

1
2

1
1

3953
15

11

2

1

23
3
1
2

2

2

26

1

I

4

11

1

27
9
3
4
6

1

3

132

3113
11

9
2

1

22

2

1
1
0

79

36

222

194

177 3953

Osteomyelitis

4 If.

Of the Patella.
Fractures :

2
3

n

compound comminuted

0

Of the Tibia.
Separation of upper epiphysis . .

1

Fractures :

1
1

23

a

compound comminuted

1

1

0

■^

Necrosis

2
3

1

Osteomyelitis

2

22

1

"6

1

1

4
10
1

22
9
3
4

5

1

4
11

1

26
8
3
4
6

1
3

1

Of the Fibula.

Fractures :

4

Pott's

11

1

Of the Tibia and Fibula.
Fractures :

3

1

''7

1

9

compound comminuted

3

4

1

6

Of the Tarsal Bones.

1

2

3

Carried forward

198

2296

1618

4112

132

3254

79

36

223

195

193

4112

140

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

-

<0

0 j;

.

cSo

n

m

■a

?

73

g

1

"3

>
.2

1

>

.£•3

o

s

198

2296

1
4

1618
1

4112

1

132

3254

1
3

79

36

223

195

193

411?

1

1

1

5

Of the Metatarsal Bones.

Fractures :

1

1

1

1

1

1

1

1

1
1

1
1
3

1

1
3

1

1

9

1

3

1

1

1

1

Cyst

1

1

1

1

ACUTE INFECTIVE DISEASES.

9

1

3

3

3

1

1

1

1

1

4

?

7

1

6

7

9

•>

1

1

9

1

„

S

6

3

1

1

1

6

Tetanus, following

2

2

2

?

3

3

pistol wound of hand —

1

1

1

1

splinter wound of finger

1

1

1

1

1

1

1

1

MEDICAL DISEASES.

1

1

1

1

1

1

■?

2

1

1

1

1

Debility

2

1

1

9

1

1

1

1

1

1

1

1

2

2

2

2

39

226

207

197

Carried forward

200

2329

1635

4164

132

3281

82

4164

141

SURGICAL DISEASES, 1909— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

U<

Discharged.

hs

=*2

a c8

Brought forward.

Syphilis

Lead poisoning

Meningitis, acute

Tabes dorsalis

Syphilis of central nervous sys-
'tern

Endocarditis

Mitral insufficiency

Mitral insufficiency and
stenosis

Pneumonia :

post-operative ,
traumatic

Jaundice

Scabies

MISCELLANEOUS.

Multiple contusions

Multiple burns

electric

Multiple injuries

Internal injuries

Shock

Pain in side

Carcinomatosis

Pregnancy

Premature delivery

Donor of skin

Donor of blood

No disease

2329 1635
2 3
2

Total,

4164
5
2

2
9
1
1
3

1671

132

14
1
6
2
2
1
3
9

3281
1

82 39
1

2

207 197

4164
5

200

1
4
1

8
14
1
6
2
2
1
3
9
2
1
7
2
4249

SURGICAL OPERATIONS.

FROM JANUARY 1, 1909, TO DECEMBER 31, 1909, INCLUSIVE.

SURGICAL OPERATIONS.

Admitted.

DiSCHAKGED.

rtS

m

o

s

fr'^

ai

3

a

.2

'd

^

s

^

^

^^

Q

C OS

OPERATIONS ON THE BLOOD

VESSELS.

Total number .

Anastomosis of sapbeoous vein to peri-
toneum, for ascites

Excision of aneurism of radial artery. . .
Ligation:

of common carotid artery

of lingual artery

of popliteal artery

Resection of varicose veins of leg

Transfusion of blood

following gunsliot wound of
wrist

following bemorrhage

for anemia

splenic

for purpura hemorrhagica

for shock

Wiring aneurism

OPERATIONS ON THE GLANDS.
On the Lymph Nodes.
On the Cervical Lymph Nodes.

Total n um,be.r

Curetting, for tuberculosis

Excision :

for adenitis

for carcinoma

for tuberculosis

Incision and drainage, for tuberculosis.

Carried forward \ 63

142

22

76

22

..., 1

li....

I
1 ....

5li....

2!....

1
••! 1

2 1

I

2

ll|.

1 .

l_

82' 4

143

SURGICAL OPERATIONS, 1909— Continued.

SURGICAL OPERATIONS.

ADaOTTED.

DiSCHABOED.

"eeo

in

0

0

■0

ja,^

■3

a

"3

a

>

2

3.
.2

■a

bt

^

3

^

S

^;«

Q

- e«
1-1 '-5

s -■ *

Brought J or ward

On the Axillary Lymph Xodes.

Total number

Excision :

for recurrent carcinoma

for tetanus

for tuberculosis

Incision and drainage of septic adenitis
On the Mesenteric Lymph Nodes.

Exploratory laparotomy.for tuberculosis
On Vie Ingttinal Lymph Xodes.

Total number

Excision :

for malignant lymphoma...

for sarcoma

Incision and drainage of adenitis

On the Pelvic Lymph Nodes.

Excision of periurethral gland

On the Mammaky Gland.

Total number

Amputation of breast

for carcinoma.. .

for cyst

for Paget's disease
Excision :

of adenoma

of carcinoma

of cyst

of libroma

of hypertrophic tissue

Incision and drainage, for sepsis

Secondary suture of wound

Carried fonvard I 74

35

96

82

1
4

4
7
1
5
1
o! 170

^144

SURGICAL OPERATIONS, 1909— Continued.

Admitteb.

Discharged.

SURGICAL OPERATIONS.

S)

"5

1

1
o
H

B
s

"3

>

.2

i

>

O O"

S 1
i2

74

%

170

4

144

4

0

n

170

On the Salivary Glands.

()n the Parotid Gland.

10

Excision :

r?

■^

6

5

1

6

2

o

<>

1

1

1

1

1

1

1

1

On the Submaxillary Gland*

?

0

?

o

On the Ductless Glands.

On the Thyroid Gland.

Total nntnher

14

Excision :

1

1

1

1

3

3

1

•;>

10

1

»

4

4

4

forexophthalmic goitre. .

2

2

1

1

4

4

1

2

1

4

071 the Spleen.

2

1

Incision and drainage, for sepsis

1

1

1

1

1

1

1

OPERATIONS ON THE BRAIN AND
NERVOUS SYSTEM.

On the Brain.

W

1.S

following fracture of skull . .

3

1

4

3

1

4

1

87

116

1

203

1
7

12

11

1

6

167

Carried forward

203

145

SURGICAL OPERATIONS, 1909 — Continued.

SURGICAL OPERATIONS.

Admitted.

DiSCHAKGED.

•

"So

n

o

«

•c

S*'^

«

si
S

i

H

>
.2

>

©11

£

&

3

^

S

^^

0

Brought fonvard

87

116

203

6

167

7

12

11

203

1

1

1

1

1

1

1

1

1

1

1

1

for traumatic hemorrhage

3

1

4

1

3

4

1

1

1

1

7

following fracture

1

1

1

1

1

1

1

1

4

1

5

1

1

3

5

Ox THE Xebvous System.

Total nitmher

?,^

1

1

?

o

?

Excision :

1

1

1

1

of neuroma

1

1

1

1

Exploratory incision, to find lingual

1

1

1

1

Exploring :

1

2

1

0

1
0

1

brachial plexus, for injury...

Injection of alcohol, for trifacial neu-
ralgia

?

1 1

9.

■ 2

2

l!

1

1

1

Neurectomy

1

3

4

4

4

O

7

•>

?,

Replacing dislocated ulnar nerve

Resection :

1

1

1

1

of Gasserian ganglion

?

■?.

1

1

2

2
1

2
1

2

2

of spinal accessory nerve, for

1

1

OPERATION ON THE HEART.

Cardiolysis

1

1

',

1

12

1

1

Carried forward

115

127

242

7

187

12

'1 24

242

146

SURGICAL OPERATIONS, \^)(i^ — Continued.

SURGICAL OPERATIONS.

Admitted.

DiSCHABOED.

0/

>

<B

-a

^Bi

0

X.

Brought forward

OrERATIONS ON THE AIR PASSAGES.
On the Nose.

Total number

<Jauterization of dog-bite

Deformities corrected

deviated septum.,
traumatic

Excision :

of carcinoma

of polypus

Plastic operation:

for carcinoma

for post-operative deformity

Repairing gunshot wouOd

Suturing lacerated wound

Transplantation of cartilage, for defor-
niitv

ON THE Larynx.

Total 11 umlicr

Excision:

of papilloma

of thyro-glossal cyst

Intubation, for stenosis

Laryngectomy, for carcinoma

On the Tbachea.

Total number

Tracheotomy

following operation on larynx.

for stenosis

preceding operation on larynx
On the Lungs.

Total number

Carried forward .

127 242

156 334

10

187 12 24 12 242

24 13 334

147

SURGICAL OPERATIONS, 1909 ^ Continued.

Admitted.

Discharged.

SURGICAL OPERATIONS.

«

Cm

i

"(3
1

g

CO

1
1

0 0.

Q

"So

Or-

i

BroxioM forward

178
3

1

1

2

156

334
3

1
1

2

14

7

278
3

1

1

2

1
1

1
G
1
2

1

12

24

13

334

Incision and drainage, for sepsis

Pneumectomy (partial) for chronic em-
pyema

3

1

Pneumolysis, for chronic empyema

On the Pleura (see also Operations on
the Chest).

Aspiration, with injection of glycerine
and formalin, for empyema

1

2

OPERATIONS ON THE HEAD AND
FACE.

Ox THE Head.

Curetting, for chronic sinusitis

1

5
1
1

1
1

1

6
1

1
1

Exploratory incision of scalp, following
injury

1

1
1

1
1

1

Incision and drainage :

of chronic sinusitis

of empyema of antrum
of hematoma of scalp. .
of sepsis of scalp

Removing foreign body from antrum... .

Suturing lacerated wound ...

1

On the Face.

Total number

22

2

Cauterization, for carcinoma

1
6

1

2
1

2

8

<)

Excision ;

of carcinoma

1

8

of cicatrix

of leprous nodules.

1

of lymphangioma

of sarcoma

of wen ...

Incision and drainage of submental ab-
cess

14

25

13

Carried forward

203

168

371

7

312

371

148

SURGICAL OPERATIONS, 190Q — Continued.

Admitted.

DiSCHABGED.

SURGICAL OPERATIONS.

"3

o

-e

"So

a

"S

a

>

.2

>

rt

^

CO

^

«

g«

»

art

^

Brought forward

9m

168

.^71

7

31?

14

9.5

13

Plastic operation :

1

1

1
1

1

1
?

1

1

1

1

1

OPERATIONS ON THE EYE AND EAR.

On the Eye.

14

1

1

1

Enucleation

3

9

for carcinoma

1

1

o

1

1

1

•

Excision :

1

1

1

s

■^

c

fi

ParafBne injection for post-operative

1

1

1

Plastic operation, for cicatricial con-
traction of eyelid

9

•>

1

1

On the Bab.

Total number

4

1

Excision of carcinoma

1

1

1

1

1

o

0

1

1

OPERATIONS ON THE MOITTH, LIPS,
TONGUE, PALATE, ETC.

On the Mouth.

Pla,stic operation, for specific perfora-

1

1

1

On the Lip.s.

25 1

15

Carried forward

211!

180

396

7

334

14

26

3T1

1
1
2
1
1

396

149

SURGICAL OPERATIONS, 1909 — Catttinued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

Brought forward

Excision :

of angioma

of carcinoma

of papilloma

Excision of lip, for carcinoma

Plastic operation :

for cicatricial contraction

for harelip

for post-operative deformity ..

On the Tongue.

Total number

Excision, for carcinoma

Resection, for carcinoma

On the Palate.

Uranoplasty

On the Pharynx.

Total number

Excision :

of adenoids

of fibroma of naso-pharynx

Incision and drainage of retropharyn-
geal abscess

On the Tonsils.

Total 7iumber

Excision of sarcoma.

Incision and drainage of peritonsillar
abscess

Tonsillectomy

On the Esophagus.

Total number

Dilating stricture

Esophagostomy, for stricture..

Carried forwa rd .

180

377 350

112

173

658

14

26 15 396

16 26

106
3

1
172

1
1

727

150

SURGICAL OPERATION'S, 1909 — Continued.

SURGICAL OPERATIOXS.

Admitted.

DiSCHAKGED.

•Se

m

o

s

"S

O.'-

o

S
^

H

3

s

>
1

>
IS

s>

s

5^

377

WO

7W

10

658

16

?6

17

7?7

OPERATIONS OX THE NECK.

V

Dissection of musclo, for carcinoma. ..

3

1

^

3

1

1

1

1

Excision :

1

1

1

1

o

1

^

3

:i

1

?

3

9,

3

o

2

0

?

1

1

1

'

1

1

1

1

1

of malignant lymphoma

1

1

1

1

2

4

2
10

1

2
11

9,

Incision and drainage:

8

1?

1

2

3

3

3

Plastio operation :

1

1

1

1

2

2
1

2
1

9.

1

1

OPERATIONS ON THE CHEST ANI>
CHEST WALL.

0>' THE Chest.

60

1

1

1

1

3

following operation for empyema

2

2

2

?

1

1

1

1

1

1

1

1

Thoracotomy, secondary :

'

for exploration of pleural cavity
for exploration of tuberculosis

1

1

1

1

1

1

1

1

Carried forward

40G

3G5

771

11

697

17

28

18

7-.1

151

SURGICAL OPERATIONS, 1909 — Continued.

Admitted.

DiSCHABGKD.

SURGICAL OPERATIONS.

ai

3

o

•a

•?■

"So

5

■§

H

>■

s t-

■3

^

3
CO

^

^j

^(S

C

- eS

^

Broxigh t forward

406

165

771

11

697

17

28

18

771

Thoracotomy with resection of rib

5?

for abscess of chest wall

1
6

1
6

1

for abscess of lung

2

6

for bronchiectasis

1
''7

14

1
41

30

1

for empyema

0

5

2

41

for subphrenic abscess

1

1

1

to relieve adherent pericardium

1

1

1

to relieve adherent pleura

1

1

1

Thoracotomy with trephining of rib, for
drainage of empyema

1

1

1

On the Chest Wall.

Incision and drainage, for sepsis

2

1

3

2

1

3

ABDOMINAL OPERATIONS.

On the STOSLA.CH AND PYLORUS.

Total number

45

Exploratory laparotomy :

for carcinoma

8

3

11

5

4

2

11

for ulcer

1

1

1
1

1

1

perforating
Gastrectomy (partial) for carcinoma. . . .

1

1

1

1

1

1

Gastro-enterostomy

?1

for carcinoma

7

8

7

5

6

2

1
1

g

for pyloric stenosis

7

for tumor (unspecified) of pylorus

9.

?

?

f.

for ulcer

3

2

4

4
1

4

Gastrorrhaphy, for perforating ulcer. ..

....

3

Gastrostomy

■>

for carcinoma of esophagus

2

3

3

3

for carcinoma of larynx —

1

1

1

1

for stricture of esophagus..
Pylorectomy, for stenosis

1

1

1

1

1

1

1

Carried fonvard

480

391

871

11

771

27

42

20'

871

152

SURGICAL OPERATIONS, 1909 — Continued.

SURGICAL OPERATIONS.

Admitted. 1

a

o

05

rt

"S

H

^

s

DiSCHABGED.

Brought forward

Pyloroplasty, for stenosis.

On the Pancreas.

Total number

Excision of sarcoma

Exploratory laparotomy :

for carcinoma..
for pancreatitis
On the Intestines.

Total tmmber

Anastomosis

end-to-end

lateral

Appendicitis

Operation during attack

for acute appendicitis

for acute appendicitis with
diffuse peritonitis

for chronic appendicitis. . .

for subacute appendicitis..

Operation during interval

Normal appendix removed in con-
nection with other operations..

Appendicostomy

Colostomy

for carcinoma :

of intestine

of rectum

for chronic colitis

for gangrene

for obstruction. . . .
Enterorrhaphy

Carried forward | 792

708

1500

84

163

SURGICAL OPERATIONS, 1909 — Continued

Admitted.

Discharged.

SUKGICAL OPERATIONS.

1

0

"So

P,r-(

6

15

a

■^

a

>
.2

>

-d

•3

S

^

s
CO

b

^

^pS

0

a OS

>-l>-5

^

Br ouglit forward

792

708

1500

6

45

1298

1
1

32
1

84

1

1
1

41

1500

Enterostomy

for carcinoma

3

1

1
1

1
1

4

2

1

3
2
1

1
2

1

7

2
2
6

1
2

1
1

1

3

2

for ulcerative colitis

1

Excision :

of gangrenous omentum

1
1
1

1
1

1
3

1
1

1

of track of fecal fistula

Exploratory laparotomy :

for adhesions

1

1
3
2
2
2
3

1
2

1
1

1

2
1

2

1
1

1

7

2

for duodenal ulcer

2

perforating

?

for obstruction

2

3

5

Reducing :

inguinal hernia

1

1

strangulated

2

1

9,

intussusception

1

volvulus

19

1

1
1

3

1

Relieving stricture of appendix follow-
ing appendicostomy

1

Resection

4

1

5
1

1
1
1

1
1
2

1

3

1
1

8
1
1
1

1

2
1
3
1

8

for gangrene

1

for lymphoma

1

1

for mesenteric thrombosis

1

1

for rupture

1
1

1

for strangulated hernia :

inguinal, with gangrene

1

2

umbilical

1

2

1

for sarcoma

1
1

3

for volvulus

1

Carried forward

829

724

1553

49

1318

39

104

43

1553

154

SURGICAL OPERATIONS, 1909 — Co?ituiued,

SURGICAL OPERATIONS.

Admitted,

Discharged.

*2

to

S

o

S

V

p,^

"is

a

i

H

>
as

>

■d

Oi-"

a>

o

3

O (U

fe'

P:^

H

cc

>

«

^K

Q

wl-5

Brough t forward .

Separating adhesion>

Ojj the Liver.

Total numlier

Exploratory laparotomy :

for rupture

for sepsis

for syphilis

Omentopexy

On the Gall Bladder and Bile Ducts.

Total number

Oholecystectomy

for cholecystitis

for cholelithiasis

for persistent fistula. .

Cholecystenterostomy

Cholecystoduodenostomy

Cbolecystostomy

exploratory

for cholecystitis

for cholelithiasis

for contracture

for empyema

Choledochoduodenostoiuy

Choledochostomy

Exploratory laparotomy : i

for cholelithiasis

for perforation of common bile duct
Exploring biliary fistula

Laparotomy, for drainage of biliary
fastula

Separating adhesions

Carried forwat d .

829 724 1553

813

49 1318

10

39 104

41 1 119

1 10

• 1

.. 1

1

52 1676

165

SURGICAL OPERATIONS, 1909 — Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

P wt-S

Brought fonvard

On the Peritoneoji.

Total numbrr

Excision :

of cyst of mesentery

of hydrocele of canal of Nuck

Exploratory incision in retroperitoneal
hematoma

863

Exploratory laparotomy :

for carcinoma

for endothelioma

Incision and drainage of retroperitoneal
abscess

Laparotomy :

for echinococcus cyst

for removal of sarcoma —

Operation for peritonitis

diffuse

localized

pelvic

tuberculous —
On the Abdominal Wall.

Total number

Excision :

of carcinoma .

of flbroma

of lipoma

of ulcer (x-ray)

Excision of umbilicus, for carcinoma.

Exploratory incision of tumor

Exploring bullet wound

Incision and drainage :

of cellulitis.

of sepsis

of sinus

Carried fonvard .

32

1
1723

51

1441

119

129

156

SURGICAL OPERATIONS, 1909 — Conti?iued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

"So

o

«

-c

•p.y

a

"rt

a

>
.2

"d

Oil

^1

&

3
05

^

S

^«

P

Brought forward I 877

Removing foreign body

Secondary suture, following operation . .

Suturing stab wounds

On the ABDOMEN(not otherwise specified).

Total number

Exploratory laparotomy:

for adhesions

for ascites

for carcinoma

for cause of vaginal atresia

for endothelioma

no pathological cause given.
Exploring :

old appendix wound.. .

sinus

ventral hernia

Incision and drainage :

of septic wound of operation

of subphrenic abscess

Laparotomy :

for drainage of pelvic abscess

for drainage of post-operative
hemorrhage

Radical cure of hernia

femoral

strangulated

inguinal

strangulated .

umbilical

strangulated

ventral

strangulated ,

Carried forward

2

1

1132

1723
2

1
1

935

343

14

3

234

11

9

4

28

1

2067

43 129

1723
2
1
1

133 73 20b7

G
1

14

3

234

11

9

4

28

1

157

SURGICAL OPERATIONS, 1909 — Continued.

SURGICAL OPERATIONS.

Admitted.

DiSCHABOED.

•ad

o

•e

p.'-'

o

g

"S

a

>

.2

-d

Ed

e

s

CD

^

«

^W

Q

i-hI-j

Broxight forward .

1132 935 2067

Separating adhesions

OPERATIOiNS ON THE RECTUM
AND ANUS.

On the Rectum.

Total number

Cauterization :

for prolapse

for ulceration

Curetting ischio- rectal sinus

Dilating stricture

Excision :

of adenoma

of polypus

of prolapsed mucous membrane

of track of ischio-rectal sinus

Incision and drainage:

for periproctitis

of ischio-rectal abscess

Operations for hemorrhoids

cauterization . .

clamp and cautery

excision

Proctotectomy, perineal, for carcinoma

Separating adhesions

On the Anus.

Total nunilier

Cauterization of tuberculous ulcers .

Curetting fissure

Dilating sphincter

Incision and drainage, for sepsis

Carried fonvard

4

1

1209

973

100

1

2182

63

56

88 1722

51 1331 73 2067

1 ...

53 135 80

1
1

1
2

1
3
1

2

1

22

1

60
2
1
1

1

2182

158

SURGICAL OPERATIONS, 1909 — Co?itinued.

SITRGICAL OPERATIONS.

Admitted.

Discharged.

s «5

Brought forward —

Operations for fistula

curetting

excision of track

incision and drainage
Rei)airing ruptured sphincter

OI'ERATIONS ON THE GENITO-
URINARY SYSTEM.

On the Kidney.

Total number

Decapsulation

for chronic nephritis

for hyperemia

for suppression of urine

Exploratory laparotomy, for horseshoe
kidney

Exploring sinus.

Incision and drainage of perinephric
abscess

Laparotomy for removal of sarcoma —
Nephrectomy

for adenoma

for calculus

for hematogenous infection

for hydronephrosis

for hypernephroma

for pyelonephritis

for pyonephrosis

for tuberculosis

for ureteral fistula

Nephropexy

Nephrostomy

for calculus

Carried forward .

973

43

1825

12

21

8

I

4
1896

135

80

2182

83

9
5
1
1

4

2262

159

SURGICAL OPERATIONS, 1909 — Continued.

SURGICAL OPERATIONS.

ADMrTTED.

DiSCHABGED.

Brought forward

Nephrostomy, for carcinoma of V)ladder.

for hydronephrosis

for pyonephrosis

Nephrotomy

exploratory

for calculus

for hematogenous infection..

Separating adhesions

On the Uretek.

Ureterotomy, for calculus

0>f THE Bladder.

Total number

Cystectomy

Cystostomy, suprapubic

for angioma

for calculus

for carcinoma :

of bladder

of prostate

for chronic cystitis

for fibroma

for fistula

for hemorrhage

for benign enlargement of prostate

for papilloma

for polypus

for removal of foreign body

Cystostomy, transperitoneal

for calculus

for carcinoma

for drainage

for papilloma

1268
1
3
1

39

19

1896

S2262
1
3
3

3
6
1
1

1
6

1
2
1
1
1
1
1
2
1
1

2

2

1

3

>2313

Carried forward .

1309!l004l2313;

19271 58 151

160

SURGICAL OPERATIONS, 1909 — Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

"eSo

m

0

•e
0

0

Sr*^

■3

e

"ei

H

G

>
.2

>
«

-d

^

S

^

(^

^^

5

Brought forward

Excision of track of fistula

Exploratory cystotomy

Extracting calculus through urethra —

Incision and drainage of prevesical
abscess

Litholapaxy

Maydl's operation for exstrophy
Resection, for sarcoma

1309
1
1
1

On the Prostate.

Total number

Exploratory laparotomy, for carcinoma.

Exploratory prostatotomy

Incision and drainage, for sepsis

Prostatectomy, perineal

for adenoma

for carcinoma

for benign enlargement.
for prostatitis :

purulent

tuberculous. ..

Prostatectomy, suprapubic

for carcinoma

for benign enlargement..
On the Male Urethra.

Total number

Closing urinary fistula

Excision of false urethra

Incision and drainage, for sepsis

Operations for stricture

divulsion

meatotomy..

1004j2313
1

Carried forward ,

11
3

1380|1006|2386

32

60

92 192;

93 19S5; 63 155

90

161

SURGICAL OPERATIONS, 1909— Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

m

o

S

"C

a.'^

to

a

"i

s

>

.2:

>

<B

&4

^

s

^

«s

^^

Q

a^

Brought fonvard

1380

1006

2386

93

1985

63

156

90

2386

Operations for stricture :

perineal urethrotomy

25

25

20

1

3

1

25

plastic operation

5

5

4

1

5

resection

4

4

3

1

4

urethrotomy :

external

3

3

2

1

3

internal

9

9

8

—

1

9

On the Penis.

Total number

3

1

1

?

?

o

Plastic operation, for hypospadias

On the Prepuce.

1

1

1

1

7

7

7

7

On the Scrotum.

Total number

30

Excision :

T)

"6

4

oo

?«

")

0

o

2

Incision anrl drainage, for sejisis

On the Testicle.

■y

9

9

?,

44
10

for epididymitis

3

3

2

1

3

for tuberculosis

7

7

6

1

7

1

9

1

0

1
?

1

Exploratory incision, for epididymitis . .
Incision and drainage of epididymitis . .

9.

5

5

5

">

Orchldectomy

18

S

1,

3

3

for gumma

3

3

s

3

1
2 ....

2

9

o

j

Carried forward

1492

1006

2498

97

2080

65

160

96

2498

162

SURGICAL OPERATIONS, 1909 — Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

rtg

o

•d

P^rH

IK

g

a

i

H

>
.2

"d

Or-"

&

a

^

^

^«

P

£^

Brought forward

Orchidectomj', for hypertrophy

for sarcoma

for tuberculosis

for undescended testicle.

Orchidopexy

On the Spermatic Cokd.

Total number

Excision :

of hydrocele

of varicocele

On the Male Perineum.

Total number

Excision:

of track of sinus

of tumor (unspecified)

Incision and drainage, for sepsis

Perineal section

exploratory

for acute retention,

for drainage of extravasation of
urine

for prostatic calculus

for ruptured urethra

GYNECOLOGICAL OPERATIONS.
On the Urethra.

Total number

Excision of caruncle

Formation of urethra, to correct con-
genital absence

Reinforcement of sphincter urethrae
On the Vulva.

Total number

1492
1
1

2498
1
1
5
3

•2080
1

Carried forward.

1564

1009

100 2149

65 161 98 2573

103

SURGICAL OPERATIONS, 1909 — Continued.

SURGICAL OPERATIONS,

Admitted.

DlSCHABOED.

■^c

IB

O

s

a.

o,rt

a

1

H

3

>

-d

^

3

£:

Pi

^S

Q

i-|l-5

1564

1009

''STS

100

''149

65

161

98

2573

Excision :

1

1

1

1

1

1

On the Vagina.

Total number

73

Closing flstulae

4

S

S

3

1

1

1

^5

35

4

97

1

^

30

W

*>+

4

9

30

Excision :

1
1

1
1

1
1

1

1

Plastic operation, for cicatricial con-

1
1

1
1

1
1

1

1

On the Utekus.

275

Cauterization :

3
1

194

3
1

194

q

9

103

1
1
3

9

3

1

1?4

3

3

9

1

3

Exploratory laparotomy, for sarcoma. . .
Hysterectomy (abdominal)

1

1

1

1

'>fi

3

3

3

3

1

1

1

1

1

1

1

1

''1

''1

?

17

r,

f.\

4

3
1

3

1

3
1

3

1

Carried forward

1564

1246

2810

115

2343

76

163

113

2810

164

SURGICAL OPERATIONS, 1909 — Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

rtc

03

o

<a

Ir'^

3

H

>

to

Tf

C-"

£

^

3
03

^

^

^«

Q

£>?

a „■ c«

Brought forward

Hysterectomy and salpingectomy.

Hysterectomy and salpingo-oophorec-
tomy

for adenoma

for carcinoma

for ehorionepithelioina

for myoma

for salpingitis

for vaginal atresia

Hysterorrhaphy, for rupture

Myomectomy

Shortening round ligaments

Ventral fixation

On the Cervix Uteri.

Total nnmher

Amputation

for hyperplasia

for laceration

for procidentia

Cauterization, for carcinoma

Curetting :

for carcinoma

for endocervicitis

for polypus

Dilatation

Excision of eroded area

Trachelorrhaphy

Trachelorrhaphy and perineorrhaphy

Ox THE Broad Ligament.

Excision of cyst

On THE Fallopian Tubes and Ovaries.
Total number

Carried forward.

1564

1246
4

2810
4

2343
3

76

113

2810
4

120 2978

165

SURGICAL OPERATIONS, 1909 — Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

"So

o

S

0)

•ai^

g

rt

a

>

>

TJ

^

3

CO

^

s

&^

Q

-£

Br oitght forward ' 1564

Excision :

of adenoma

of cyst

Exploratory laparotomy :

for adenoma

for carcinoma

for cyst

for multiple malignant cysts..

Laparotomy, for removal of extra-uter-
ine pregnancy

Oophorectomy

for adenoma

for cyst

for fibroma . .

for varicocele of pampini-
form plexus

Ovarian fixation

Puncturing cysts

Resection of ovaries, for cysts ,

Salpingectomy

for extra-uterine pregnancy.

for pyosalpinx

for salpingitis

for tuberculosis

Salpingo-oophorectomy

for adenoma of ovary

for carcinoma of ovary

for cyst of ovary ...

for extra-uterine pregnancy . .

for hematosalpinx

for hydrosalpinx

for painful pregnancy

1414

2
4

1
1
1
1

Carried forward 1 15641 1498

3
1
8
6
1
1
1
3062

28

6

4
1
1
1

12912563

167

120

123

2978

2
4

1
1
1
1

6
1
1
1

3062

166

SURGICAL OPERATIONS, 1909 — CotiHnued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

JhCV
©i-c

Brought forward.

Salpingo-oophorectouiy, for papilloma,
malignant

for pyosalpinx

for salpingitis

for sarcoma of ovary

(no pathological cause given).

On the Perineum.

Perineorrhaphy. (See also Operations
on Cervix Uteri.)

OPERATIONS ON THK UPPER
EXTREMITY.

On the Shoulder.

Total number

Excision of gumma

Incision and drainage, for sepsis .

Suturing incised wound

On the Arm.

Total number

Amputation

for burns (electric) —

for crush

for osteochondroma. . .

for sepsis

Amputation of shoulder-girdle . . .

for carcinoma

for sarcoma

Incision and drainage, for sepsis.

Plastic operation, for cicatricial con-
traction

Removing bullet

Repairing lacerated wound.
On the Forearm.

Total number

Carried f on vard |1679

1498

1
37
31

1

3062

1

37

31

1

1

129 2563 79 168 123 3062

141 2749 84

1

1 37

2 31
1
1

174 135 3283

16'

SURGICAL OPERATIONS, 1909 — Continued.

Admhttkd.

DiSCHABGED.

SURGICAL OPERATIONS.

ai

3

o

<0

•6

P

a

i

a

>
.2

>

-d

0'-'

li

g

^

a
m

^

(S

;SS

Q

^

Brought fonvard

1579

1704

3283

141

2749

84

174

135

3283

«>

■>

1

1

o

Re-amputation, for painful stump

1

1

1

1

1

1

1

1

On the HAifD.

23

3

■

1

<)

3

3

Excision :

1
2

1
?

1
2

1

of palmar fascia to relieve
Dupuvtren's contraction . . .

2

1

1
6

4

1
1
10

1

1

of track of bullet wound

1

1

1

Incision and drainage, for sepsis

9

10

?

?

0

<>

S

"^

3

3

0>' THE Fingers.

Total nwmber

23

for crush

8
1

8
7

8
1

8

for gangrene

1

for lacerated wound

2
1

1

3
1

2
1

1

3

for osteomyelitis

1

1

1

1

for tuberculous dactylitis...

1

1

1

1

1

1

1

1

1

1

?

?

o

Incision and drainage :

1

1

1

1

of felon

?

?

V?

2

Plastic operation :

for cicatricial contraction

1

1

1

1

for malformation

1

1

1

1

Carried forward

1617

1614

3231

135

2706

84

172

134

3231

168

SURGICAL OPERATIONS, 1909— Continued.

Admitted.

DiSCHAKGED.

SURGICAL OPERATIONS.

"3

o

•e

O

at

a

"5

g

>

.s

>

d

O —

13

S

^

s
rt2

^

(S

^^

Q

£^

^

Brought forward

OPERATIONS ON THK LOWER
EXTREMITY.

On the Gluteal Region.

Total number

Excision :

of bursa

of track of pilo-nidal sinus

Incision and drainage of bursitis

On the Thigh.

Total number

Amputation

for crush . .^.

of botli thighs. .

for gangrene

for osteosarcoma of tibia. .

Re-amputation

for chronic endarteritis.

for painful stump

for sepsis

Cauterization of dog-bite

Cleaningand draining gunshot wound .

Curetting tuberculous sinus

Excision :

of myositis ossificans

of sarcoma

of wen

Incision and drainage :

for sepsis.

of sinus. ..

Plastic operation on stump

Removing foreign body

Repairing lacerated wound

Carried forivard.

3231

162213275

135

2706

172

3231

1

2

5
1
1
1
2
3275

169

SURGICAL OPERATIONS, 1909 — Contifiued.

Admitted.

Discharged.

SURGICAL OPERATIONS.

m

3"

o

•d

a

B

>
.2

■d

■a

^

5

fe:

1

^^

0

l-|l-5

S

Brought forward

1fi5"S

Ifi''?

3275

135

2744

86

173

137

3275

On thk Leg.

Total number

41
25

Amputation

1

1

1

for compound fracture

1

1

1

7
1

7
1

7

of both legs

1

1

9

2

for obliterative endarteritis

2

1

2

3

3

3

3

for sarcoma

1

2

s

1

2

3

for tuberculous ankle

2

3

3

3

Re-amputation

s

for painful stump

1

1

for persistent sinus

1

for protruding bone

1

Capillary drainage, for elephantiasis

plegia

1

Excision :

of myxofibroneuroma

1

of ulcer

1

of varix >.

Exploratory incision of sarcoma

Incision and drainage :

for sepsis

0

S

1

of tuberculous sinus

1

1

Removing foreign body

1

1

Repairing lacerated wound

9

o

0

9

On the Foot. (See also Operations on
Tendons.)

Total nitmher

20

Carried forward

1685

1631

3316

135

2779

87

174

141

3316

170

SURGICAL OPERATIONS, 190d — Continued.

SURGICAL OPERATIONS.

Admitted.

DiSCHAKGED.

CS =

15

0)

a-"

■kfii

0

^^

Br ought forward. .

Amputation

for crush ,

1685 1631

for osteomyelitis of tarsal
bones —

Amputation of both feet, for traumatic
gangrene

Cleaning and draining gunshot wound..

Curetting perforating ulcer

Excision of keloid

Incision and drainage, for sepsis

Manipulation :

for deformity following fracture

for talipes

Plastic operation , following crush

Removing bullet

On the Toes.

Total number

Amputation

for crush

for gangrene

for hammer-toe

for obliterative endarteritis

for sepsis

of supernumeraries

Correcting deformities:

hallex rigidus . .
hallex valgus . . .

haUex varus

hammer- toe

Excision :

of bunion

of septic wound (tetanus)

Carried forward. .

1647 3356

136

87 174 1413316

1
1
335G

171

SURGICAL OPERATIONS, 1909 — Continued.

Admitted.

DiSCHABGED.

SURGICAL OPERATIONS.

a

i

3
3

CO

"3

■a
>
2

1

<B

>

0

"So
1--

1709 1647

3356

10

136

2810

1

1

90

176

144

•W'lfi

OPERATIONS ON THE JOINTS.
On the Shoulder.

1
1
1

1
1

1
1
1
1

2

1

1
1

1

1

1

1

1

Exploring subacromial bursa

Manipulation :

1

1
1

1

1

1

16
4

2

1

1
1
1

1
3

1
3

1

1
1

?

1

Plastic operation, following traumatic

1

1

1

1

Qy THE Elbow.

1
2

1

1
3

1

3

for osteomyelitis

for tuberculosis

1
3

1

1
3

1

1

1
1
1

1
2

1
3
1

Manipulation :

1
1
1

1

1
2

1

1

1

1

6

136

1

1
2

2833

1

Removing fragments of bone following

1

?

On the Wbist. (See also Operations on
Tendons.)

92

176

145

Carried foncarct

1728

1654

3382

3382

172

SURGICAL OPERATIONS, 1909— Continued.

SURGICAL OPERATIONS.

Brought forward

Cleaning and draining gunshot wound. .

Incision and drainage, for sepsis

Manipulation, for arthritis

Reducing dislocation

compound

On the Sacro-Iliac Joint.

Total number

Manipulation :

for dislocation

for osteoarthritis

for tuberculosis

On the Hip. (See also Operations on
Tendons.)

Total number

Arthrodesis

Arthroplasty, for deformity

Incision and drainage, for sepsis —

Mani pulation , for ankylosis

Reducing dislocation

congenital

open reduction.

On the Knee. (See also Operations on
Tendons )

Total number

Arthrodesis

Arthrotomy :

exploratory

^ for hemorrhage into joint

for tuberculosis

Curetting, for tuberculosis

Excision;

of cicatrix

Admitted.

S

1728
2
1

1654

Carried forward .

1

1758

3382
2
1
1
1
1

1675

DlSCHABGED.

136

1
1
1

3

1

2875

Ot-c

176 145

3382
2
1
1
1
1

150

1
1
1

3

1
3433

173

SURGICAL OPERATIONS, 1909 — Continued.

SURGICAL OPERATIONS.

ADMTTTEiD,

DlSOHABOED.

•ad

m

o

-a

•a^

OS

a

i

H

3

.2

>

4)

-6

^

3

^

^

lz;«

Q

Brought fonvard

Excision of fringes

of gumma

of lipoma

Excision of loose cartilage

of prepatellar bursa

Excision of joint

for ankylosis

for tuberculosis

Genuclasis

Implantation of silk ligaments

Incision for synovitis

Incision and drainage :

for sepsis

of prepatellarbursitis.
of tubercular abscesst.

Making flail-joint, for ankylosis

Manipulation, for arthritis

Plastic operation, for tuberculosis

Removing foreign body

Resection of joint, for osteomyelitis... .
Suturing lacerated wound

On the Ankle.

Total mimher
Arthrodesis

Arthroplasty, for deformity following
fracture

Curetting :

chondroflbronia

for Charcot's arthropathy.

for tuberculosis ,

Excision of joint, for tuberculosis. . .

Carried forward .

1758
2
1
1
4

1
1
1
1

1797

1675
1

3433
3
1
1
5
2

136

2875
3

1

2919

150

3433
3
1
1
5
2

15713487

174

SURGICAL OPERATIONS, 1909— Continued.

SURGICAL OPERATIONS.

Admittkd.

DlSCHAKGED.

"So

M

S

o

-c

P.rH

01

ci

i

>

.2

>

ri

3=r

&

^

S

^^

Q

Brought forward

1797
2

1690

1

1

1

1

3487

1
2
1
1
1
1

1

137

2919

98

176

157

1
1

3487
1

Incision and drainage :

for infectious arihritis

for sepsis . . .

2

for tuberculosis

1

Manipulation, for arthritis

1

Reducing dislocation

1

1

1

compound

1

1

On the Metatarso-Phalangeal Joint.
Open reduction of dislocation

1

1

OPERATIONS ON THE BONES.
On the Vertebrae.

Total number

8

4

1
1

Coccygectomy, following fracture

Excision of exostosis of sacrum

1
1

1
1

1
1

Laminectomy

1

1

1

for dislocation

1
3

2

1
3

1

for fracture

4
5

1

1
2

1
2
1

1

1
1

3

Reilucing dislocation of cervical verte-
brae

•>

On the Ribs. (See also Operations on the
Cliest.;

Total number

Curetting:

for necrosis

1
1

1

1

1
2
1

1

for tuberculosis

■>

Excision of cervical rib

1

On the Skull.

Total number

Excision of exostosis

1

2

2

1

2

2

1

Removing fragments of bone, following
fracture

2

Trephining, following fracture

1

161

?

Carried fonvard

1814

1698

3512

140

2933

101

177

3512

175

SURGICAL OPERATIONS, 1909 — Continued.

Admitted.

Discharged.

SURGICAL OPERATIONS.

91

o

g

"5

a,

1

s

s

CO

<a

>

"3

PS

•6
1^

•6

s

"So
ft'-'

«=•

1

1814
3

1698

1

3512
4

20

39

140

2933
4

1
13
6

1
101, 177

161

3512

On the Malar Bone.

4

On the Nasal Bones.

Reducing compound fracture

1
3
4

10
2

1
13
6

1

13

Turbinotomy

Ox THE Maxillary Bones.

6

1

Curetting:

1
1

1
3

1
1
1

1
1

2

1
1
1

1
4
1

1

1
1
3

1
3

1

1
3
7
1

1

1
1

1
4

1

1

1
1
3

1

2

1

1
3

7

1

1

for necrosis

1
1

1

1

1

4

1

Excision :

of condj'le, for ankylosis

•

1

1

1

2

1
2

3

of sapheno-maxiUary articula-

1

1

3

Extraction of teeth, for drainage of

1

Incision and drainage :

for necrosis

for sepsis

1
3
5
1

1
3

7

1 ....

1

Carried forward

1846

1722

3568

140

2986

102

179

IGl

3568

176

SURGICAL OPERATIONS, 1909 —Continued.

SURGICAL OPERATIONS.

Discharged.

Brought forward — .

Resection, for carcinoma .

for fibroma ....

Sequestrectomy ,

Wiring ununited fracture.
On the Clavicle.

Reducing compound comminuted frac
ture

On the Scapula.

Total number

Excision of superior angles.

Resection, for sarcoma

On the Humerus.

Total number

Application of plate, for ununited frac-
ture

Curetting :

for cyst

for osteomyelitis

Excision of head of bone

for old dislocation

for osteomyelitis .

for tuberculosis . . .

Exploratory incision, for periostitis . . .

Incision and drainage of osteomyelitis.

Osteoclasis

Reducing fractures

compound comminuted

simple

ununited

open reduction

Resection

for sarcoma

Carried forivard .

1846
4
1
1
1

1722

35C8
4
1
1
1

1724

1
3598

140

2986
4
1
1
1

141

1
3015

102 179 161

3568
4
1
1
1

1

3598

177

SURGICAL OPERATIONS, 1909 — Continued.

Adiotted,

Discharged.

SURGICAL OPERATIONS.

a

i

1

s

3
00

9

>
£

1

.2
11

so

54

1

1874
1
1

1724

3o9S
1
1

^41

3015

1

102

179

161 .'^598

1

1

1

On the Radius.

10
4

6

4
2

1
1

2

1
1
1
1
1

3

1

1
1

1

1
1

1
1

2

1

1

Excision of head of bone, following frac

1

1

2

1
1
1
1

1
1
1
1

0

compound conuniiinted

1

1

1

1

On the Ulna.

Application of bone plate for fracture..
Osteotomy, for deformity following

3

1
1

2

1

3

1

1
1

2

3

1

Reducing compound fracture

Suturing ununited fracture of olecranon
On the Radius and Ulna.

Reducing fracture

On the Carpal Bones.

1

1
1

J

1

2

1
1
2

1

1
2

1

2

141

1
2

1
3035

1

Excision of semilunar bone, for fracture
On the Os Innominatcm.

9.

Excision of exostosis of acetaV)uluin . . .

1895

1
1728

1
3623

1

103

I79

165

Cartied fonvard

3623

178

SURGICAL Ol'ERATIONS, -i[)09 —Co>>(i>n,e((.

SURGICAL OPERATIONS.

Admitted.

ei

a

Discharged.

ee =

Drought for ira rd .

Incision and drainage of <)9teon1yeliti^
of ilium

1895 1728

1 ....

On the Femur.

Total number

Application of bone plate, for fracture..

Curetting osteomyelitis

Excision of exostosis

Excision of head of bone, for ununited
fracture

Incision and drainage of osteomyelitis.

Nailing ununited fracture

Osteoclasis :

for genu valgum

for genu varum

Osteotomy :

for ankylosis of hip

for deformity

for genu valgum

for genu varum

for osteomyelitis

for separation of upper epiphysis

for tuberculosis of hip

Re<lucing fractures

compound

simple

Reducing separation of epiphysis

Resection, for osteomyelitis

Sequestrectomy

Wiring bone after osteotomy

Wiring ununited fracture

On the Patella.

Total nmnher

Carried forward.

3623
1

53

3677

141

3035

103

105

165 3623

:3677

179

SURGICAL OPERATIONS, VJOU — C'o7iti7itie(L

Admitted.

Discharged.

SURGICAL OPERATIONS.

3

o

•c

3

"3

a

.2

■d

0^-

"eS

Cm

^

3

^

eS

^^

Q

5^

g

Jiroiight for ward

iqQf,

IT'S?

%77

141

3079

105

180

172

3677

1

1

1

Operations for fracture

9

suturing bone

1

1

1

suturing periosteum

6

1

7

5

2

1

1

\

On the Tibia.

Total nxiniber

43

3

1

Application of bone plate, for fracture. .

3

1

4

Curetting osteomyelitis

11

4

Ti

13

1

1

15

Exploratory incision, for osteomyelitis

1

1

1

Filling bone cavity with wax

?.

.S

3

Incision and drainage of osteomyelitis
Insertion of copper wire for epiphyseal

4

4

4

2

1
1

2

2

1
1

Osteoclasis, for genu varum

Osteoplasty, for ununited fracture

Reducing fractures

3

1

1

compound comminuted

1

1

simple

1

1

Removing bone plate

1

I

Removing foreign body

1

1

Resection, for osteomyelitis

1

1

S

1

■>

Suturing fracture

1

2

1

Wiring fractures

1

compound

1

ununited

1

1

On the Fibula.

Total number

2

1

Exi)Ioratory incision, for osteomyelitis

1

1

18(1

Carried forward

1971

1760

3731

141

3124

107

179 .S731

180

SURGICAL OPERATIONS, 1909 — Continued.

SURGICAL OPERATIONS.

Admitted.

DiSCHABGED.

o>-<"
5ts

BroutjIU forward

Osteotomy, for talipes

On the Tibia and Fibula.

Total nvmber ... ,

Bone transplantation (fibula onto tibia).

Osteotomy, for genu varum

Reducing fractures

compound

compound comminuted..

simple

open reduction

Wiring old fracture

On the Tarsal Hones.

Total number

Curetting :

for necrosis

for osteomyelitis

Excision of astragalus, for deformity
following fracture "

Incision and drainage, for osteomyelitis

Reducing fracture of astragalus

On the Metatarsal Bones.

Total ntanher

Curetting :

for necrosis

for osteomyelitis

for tuberculosis

Excision of bone

following compound fracture..

for osteomyelitis

Excision of cvst

Removing fragments of bone, following
compound fracture

Carri mI fo rivard . .

1

1
1

1
1996

3731
1

1
1
1

1
37G2

17

1413124 107

1 ....

180 179

112 1801 180

3731
1

1
2
1

1
1

1

1

3762

181

SURGICAL OPERATIONS, 1909 — Continued,

SUBGICAL OPERATIONS.

Admitted.

DlSCHAKOED.

"eSO

m

0

-3
9

p,rt

■3

i

H

3

>

2

>

Tf

s

^

3

CO

^

^

;^^

Q

art

1996

176637fi2

14l'.S14Q

112' isJfl

1

OPERATIONS OX THE TENDONS.

Total numher

33

....
....

2

1
1

Excision of tentlon-sheaths, for tubercu-
losis

1
1

2

1
1

2

Incision, for tenosynovitis of finger

Lengthening tendo-Achilles

1

1

Tenoplasty

5

for anterior poliomyelitis

for talipes

S

4

4

4

1

1

1

Tenorrhaphy

5

1

6

4

1

1

6

Tenotomy :

for anterior poliomyelitis

for contraction :

?

9.

?

?

of hip

1

1

1

1

1
1

1
6

1
6

1

for talipes

5

6

2

6

8

8

8

UNCLASSIFIED.

Incision and drainage :

of lumbar abscess .. .

6

1

1
1

6
2

6
1

6

of multiple abscesses

1

2

of psoas abscess

2

•>

4

4

4

V

3

1

0

3

Skin grafting

t
16 10

?6

94

1

1

?6

secondary operation to remove flap

1
1! 4

5

3
3219

114

183

2

184

5

Total

•2(M3 1798

3841

141

3841

182

MAJOR OPERATIONS, 1909.

SUMMARY OF MAJOR
OPERATIONS.

Admitted.

Discharged.

(Sg

o

>

>

d

S-
a;^-

^

0 «

(3

a^

Amputations :

of arm

shoulder-girdle

of breast

of foot

of forearm

of band

of leg

of thigh

Anastomosis :

intestinal

of saphenous vein to peiitoneum

Arthrodesis

Bone transference

Cardiolysis

Cholecj'stectomy

Cholecystenterostomy

Cholecystoduodenostomy

Cholecystostomy

Choledochoduodenostomy

Choledocliostoniy

Colostomy

Craniotomy

Cystectomy

Cystostomy

Decapsulation of kidney

Decompression

Enterorrhaphy

Enterostomy

Excision :

of ankle-joint

of astragalus

Carried forward .

10
1
1

13
1
1

71
1

15
8

13
1

27
3
7
3
G

1
1

294

lOl 48

183

MAJOR OPERATIONS, 1909— Continued.

SUMMARY OF MAJOR
OPERATIONS.

Admitted.

m

<B

ei

s

tS

C3

a>

o

^

Ik

H

Discharged.

Brought forward

Excision of cervical rib

of elbow-joint

of head of femur

of head of humerus ,

of head of radius

of jaw '.

of knee-joint

of meningocele ,

of rectum

Gastrectomy (partial)

Gastro-enterostomy

Gastrorrhaphy

Gastrostomy

Hysterectomy :

abdominal

vaginal

Hysterectomy and salpingectomy.

Hysterectomy and salpingo-oophorec-
tomy

Hysterorrhaphy.
Laminectomy. ..
Larj'ngectomy . ..
Litholapaxy

Maydl's operation, for exstrophy of
'bladder

Nailing ununited fracture of femur.

Nephrectomy

Nephropexy

Nephrostomy

Nephrotomy

Omentopexy

( lophorectomy

Carried forward 241

294
1
4
1
6
2
5

13
1
1
1

21
3
5

26
4
4

17
1
4
1
5

1

2
24

1
11
10

1

19

489

48

23

184

MAJOR OPERATIONS, 1909 — Continued.

Admitted.

Discharged.

SUMMARY OF MAJOR

"So

OPERATIONS.

w
o

o^

■3

S

rt

>

(S

>•

_.

"^ B

"3

1

S

^

^

Pd

Z«

5

s*

^

Brought forward

241

288
4
18
4

7

248

304
4

3
11
3

66

11

1
1

2

5

1
1

48S

592

8
18
7
18
3
1
1
29
1
1
304

2

1

13

«
2

2

1

1

1
1
2
2
19
5
1
1

13
33

!

2

366

509

1
18
7
15
1
1
1
23
1

17
4

62

26
6

30

20

1

489

502
g

Operation for :

appendicitis

peritonitis, diffuse

Orchidectomy

18

Osteoclasis

7
18

Osteotomv of femur

I

2

Ovarian fixation

3

Fneumectomv (partial)

1
1
29
1
1
238

2

1
2
7
I
2
1
1

1
1

1

Pneumolvsis

X

Prostatectomy

3

3

29

Pvlorectom V

1

Pyloroplasty . ...

1
1

14
1
2

1

Radical cure of hernia

37
....

251

1

9

8
2
2

1

1
2

304

Reducing dislocation :

2

1

of hip

13

of sacro-iliac joint.,
of shoulder

8
2

of wrist

2

Reducing intussusception

1

1

Reducing volvulus

1

1

1

Resection :

of bladder

1

1

1

1

1
2

7
5

1
1

1

2

of humerus

2
14
5

2

of intestine

1

9

1

19

of jaw

5

1

of patella

1

|----|

Carried forward

873,

661'

1534'

861]

1235

27

111

75

1534

185

MAJOR OPERATIONS, 1909— Contimied.

SUMMARY OF MAJOR
OPERATIONS.

Admitted.

DiSCHABQED.

■a \X

S Ls^

lirnitght forivard

Resection of tibia

Salpingectomy

Saliiingo-oophorectoQiy

Splenectomy

Tenoplasty

Tenotomy

Thoracoplasty

Thoracotomy

with resection of rib..

ThjToidectoniy

Trephining skull

Ureterotomy

Ventral fixation

Wiring aneurism

Wiring fractures ;

of femur

of patella

of tibia

of tibia and fil)ula .
Total

873

939

«83

1534

1
28
92

1

5
18

3

3!

I
52

I
lOj

i
62'

1

1
1

2

I
1....

I822! 99

1235
1

23

79
1
5

18
3
3

41
7
1
5

55

87

1534

1

28

92

1

5

18

3

3

52

10

2

5

62

1

1

1

2

1

1822

MASSACHUSETTS GENERAL HOSPITAL

OUT-PATIENT'S REPORT
For the Year eiirtiiig^ December 31, 1909.

NUMBER OF NEW PATIENTS, 21,518

Men, 10,244. Women, 7,232. Children, 4,042.

American, 10,441 Foreign, 11,077

Residents of Boston, 10,059 Residents of otliei- places, 11,459

Total attendance, 121,327

MALE SURGICAL.

No. of new patients, 4,207 No. of old patients, 23,326

FEMALE SURGICAL.
No. of new patients, 2,352 " No, of old patients, 12,325

MALE MEDICAL.
No. of new patients, 2,930 No. of old patients, 5,299

FEMALE MEDICAL.
No. of new patients, 4,113 No. of old patients, 9,310

SKIN.
No. of new patients, 2,059 No. of old patients, 8,897

NERVE.
No. of new patients, 1,088 No. of old patients, 6,643

THROAT.
No. of new patients, 3,006 No. of old patients, 8,822

ORTHOPEDIC.
No. of new patients, 1,763 No. of old patients, 8,583

ZANDER.

No. of old patients, 11,837
HYDROTHERAPEUTIC.

No. of old patients, 4,187
SUBURBAN TUBERCULOSIS CLASS.

No. of old patients, 576

21,518 99,805

lost, 4

99,809

186

OUT-PATIENT DEPARTMENT.

FROM JANUARY 1, 1909, TO DECEMBER 31, 1909, INCLUSIVE.

NAME OF DISEASE.

o

"3

s5

.2 *

k

IB

o !-

Ct3

a
2
5

o

iz;

'2

o

o

1. Specific infectious diseases.

1
1

1

1

2

53

Diphtheria

2
2

3
3

2
4

1

22

1

3
3

20

188
53
50

14

8

2
9
15

1

1

1

2

8

Rheumatic fever

15

6

2

3

1

Syphilis:

Bones, joints

14

1

41

Skin lesions

235

Testicle

9

1

2

Other lesions

20

G

9

6

3

19

6

4

Tuberculosis :

2
3
3
2
3

1

55

1
2
1

1

3

Wrist

188

OUT-PATIENT DEPARTMENT, 1909 — Continued,

NAME OF DISEASE.

"5
o

£-■£

"(5 1

face

03

c

3

■4J

o
H

>

§.

o

O

Fingers

1

Hip

3

33

Knee

20

1

1

3

1

2

1

1

5

Genito-urinary System

Kidney

2

1
1

Bladder

Testicle

Intestine

1
1

Larynx

1

30

Lymph nodes

2

1

1

2

257

4

Pleura

5

228

1

30

9

1

3

7

1
5
13
2

1
4

3
1
1

4
4

I

1

2

?

79
2

10

2. Disease due to animal parasites.

1
8

18

1

8
3
1

1

3

1

3

63
2

13
1

» 5

3. General constitutional and nutritional
disorders.

134

1

13
5

1

92

1

2

P9

1

Glycosuria

i

1

189

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

SSi

6 t'l

3

H

>

as

c" ■
CO I

u

o

Gout

1

2

1

1
1

9

1

1

Obesity

6

1

55
3

s

....

2
20

4

5

16

Senilitv ...

1
3

1
23
3
15
3
9
3

1

4. Intoxications.

8

5

1

3

....

1
1

4

Tea. .

Unclassitieil

5. General injuries and diseases of skin

Abrasions

1

87
14

5
17

2

2

2

52

7

17

30

1

1

2
2

8

2

4

Xeck

1

Che«t . ...

2
14
9

1
2
10
9
1
10
38
20

Axilla .

9
11
3

1
9
9
6
7
137
13

5

Bites

Boils

2

1

8

....

57

1

Blisters

190

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

o

ail*

n

01 S

1 >.
Ct2

to

1

s

■4^

1

9)

>

V

o

u
O

Burns

91

23

74

4

12

41

26

8

1

48

13

96
3
65
1
14
29
13
3

1

Carbuncle

1

Contusions (unclassified)

s

Multiple

Face and head

Arm and hand..

Leg and foot

Trunk

Crush (unclassified)

Fingers and hand

15
1

1

Foot and toes

2

Foreign body (unclassified)

7
26
6
6
4

12
34
12

8

Hand and arm

Foot and leg

Frost bite

Gangrene (unclassified)

3

Raynaud's disease

1

Haeniatoma

22

42

4

13

19
2
3
6
1

30

1

8

21
4

20
6
4

13
7

14

15
1
1
4
6

21
1

83

2

Ingrowing nails

1

12
1
3

1

Keloid

Tumors (unclassified)

11

3

7

G

2

Angioma

Carcinoma

4
2

1
1
1

9
10
13

8
15

2

1

3

Cyst

Epithelioma

66
2

Fibroma

Lipoma

3

2

5

Myoma

1

Neuroma

2
1
8
36
1
129

2
3

1

Papilloma

5

1

4

1

^

Sarcoma

2

1

Sepsis (unclassified)

Neck

Finger and thumb

1

1

191

OUT-PATIENT DEPARTMENT, 1909 — Continued,

NAME OF DISEASK.

o

as

II

it

2^

0

2

4^

o
H

>

6

<u
o.
o

o

106
15

35

10

4

9

9

33

44

43

2G7
395

58
18

1

0

2

5

1
8
7
7

10

1

8

39

27

224

268

22

13

2

Toe

1

1

1

1

1

4

»

2

2

22
1
9

Wen

3

1

1

Wounds :

1

3

Gunshot

198
13

42
18

1
16

5

8
12
18

1

1
63
10

2
10

'6

1

6. Special skin diseases.

1

8

1

2G
2

12
3

3

2

1

1

2

1

1

,, papillaris capillitii

192

OUT-PATIENT DEPARTMENT, W09 — Conti7iued.

XAME OF DISEASE.

i

"3
o

Female
Medical.
Female
Surgical.

at,

_J0

1

5

1

6

>

a

CO

1

.a

u

o

1

1
34

137
523
24

1

7

,, seborrlioicum

1

Elepllantiasi^^

Erythema induralum scrofiilosorum..

1

1

1

13
5
5

,, multiforme

„ noflosum

,, unclassitied

Folliculitis

18' ... .

Framboesia (yaws)

1 ....

Herpes simplex

1
3

4

1

1

1

12 ... .

,, zoster

3

38 ....

Hidroa vacciniforme

1 ....

Hyperidrosis

1

1
31 ....

Hypertrichosis

6
1

Ichthyosis

1

2

1

306 ---

Keratosis palinaris et plantaris

7

18
5
2
8

17
9
3
7
1
3
3

10
4

23

,, pilaris

■

,, (unclassitied)

2

Lichen planus

Lupus erythematosus

Miliaria (prickly heat;

1

Molluscum contagiosuiu (f^pitheliale)

Mycosis f ungoides

1

Naevus tibrosus

, papillaris

1

4

. ,

Onychia

1

3 ...

193

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

Male

Medical.

Male

Surg jo al.

Female

Medical.

S s-

it

09

a
2

2

2

>
u

a'

s.
o

Paronychia

17|

34
2

8
202

17
8
6

17
1
2
1

32
100

38

255

2

17

62

6
1

1

3

3

1
1

Pernio ...

Pityriasis rosea

Pruritus

3
2

1
2

3

1
1

Rosacea

1

Staphylococcia

1

1

27
7
77
27
94
32
11
2
10

Tinea favosa

3

Verruca

3

6

7

Vitiligo

Xanthoma

7. Lymphatic system.

1

10

2

54

13

5

1

1
30

3

8

7

92

12

1

1

1

Axillary

5

51

21

1

28

....

1

1

1
14

1

8. Circulatory system.

Aneurism

194

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

o

"5
o

Sec

•3.2

sB

a, -3

face

1 >>

o t-

a

2
S

o

M

a

91

>
;5

3

6

'-3

a>

o.
o
Si

O

Arterio sclerosis

102

1
7
2

1

5
59

64

1

G

15

1

1

5

2

1

1

1

38

1

b. Veins.

3

C
92

Phlebitis

1

3

1

14

c. Pericardium.

Pericarditis

4
23

8
3
18

1
1

cl. Heart.

17
1
2

1

1

Dilatation

r

2
3
5
34
1
1

11

46
10
20
61
5
8

19

1

2

2

5
16
3
1

7
21

4
56
&4

8

3

2
33

•

Valvular lesions.

1
2

6

2

1

6
15
2

1

9. Blood and Ductless Glands.
a. Blood diseases.

Anaemia pernicious

Anaemia secondary

1
9

6

195

OUT-PATIENT DEPARTMENT, 190Q — Co7itinued.

NAME OF DISEASE.

Is
o

9>'3o

IS

.2 «s

6^

B.S

OP

to

2

3
o

i

.a

H

O

a
o

Anaemia splenic

1

1
10

Chlorosis

1
1

Leukaemia

Lymphatic

2

1
1

5

1

1

Myeloid

1

1

Pseudoleukaemia (Hodgkins)

ft. Spleen.

Enlarged spleen

2
1

1

Unclassified

c. Suprarenal.

Addison's disease

d. Thyroid.

Carcinoma

1

Cretinism

1

28

7

3

8

2

Exophthalmic goitre

2

1

1

Goitre (cyst and adenoma)

1

1

Myxoedema

1

1

2

1

Unclassified

3

2

10. Nervous system.

a. Peripheral nerves.

Unclassified

9

2
2
1

2

1

26

14

1

6

. 30

Brachial plexus.

Injuries

1

Neuritis

1

1

Brachial nerves

1

2

Injuries

Neuritis

Cranial nerve paralysis.

Facial palsy

1

Lumhar and sacral nerves.

Neuritis

6
8

1

2

2

Sciatica

1

Multiple neuritis. .. ^.

8

3

1

3

3

4

Intercostal

196

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

s^.

3-=

03

a

<o

4^

o3

0)

^

O

a

^

x;

M

U

H

'A

cc

Optic atrophy

Wounds

b. Spinal cord.

Amyotrophic lateral sclerosis. .

Ataxic paraplegia

Friedreich's ataxia

Haemato-myelia

Lateral sclerosis

Poliomyelitis

Progressive muscular atrophy.

Syringomyelia

Tabes

Unclassified

c. Brain and Meninges.

Aphasia

Bulbar paralysis

Diplegia

Hemiplegia

Hydrocephalus

Meningitis

Trauma

Tumor

Unclassified

d. Cerebrospinal. •

Multiple sclerosis

e. Mental.

Degeneracy

Dementia praecox

General paresis

Manic depressive insanity

Melancholia

Paranoia

Unclassified

/. Psycho-neuroses.

" Apprehension "

1
6

2
6
2
1
7

48
6
3

60
5

1
2
2
36
3
1
1
1
3

\

197

OUT-PATIENT DEPARTMENT, 1909 — Conti?iued.

NAME OF DISEASE.

as

0

Female
Medical.

Pemale
Surgical.

0 t-

0^

"a
2

1

H

1

d

1

hi
0

Hysteria

15

70

3

1

1

4
1

35

7

144

2

13
15
2

1

2

Psycbastbenia

14

1

Unclassified

2

g. Miscellaneous.

Acroparaesthesia

1

23
6

20

1

15
2

1

Cephalalgia

12

36
3
5

1

89
31

Chorea

Epilepsy

6

1

1

2

91
1
9
8

22
7
4
4
3

11

49

Family periodic paralysis

1

Migraine

3
11

2

4
4
1

1

Occupation neurosis

1

Stammering (speech defect)

Tic

1
1
2

2
4

11
2
2

Traumatic neurosis

3

1
13

Vertigo

1

6
2

1
20

ITnclassiiied

7

1

9

3

6

1

14

6

24

1

32

30

26

7

11. Bones.

3

Fractures.

Skull

1

Spine

9.

1

13

1
1

Malar bone

1
26

1

4

44
20
49

1

1

?,

CoUes' fracture

6

198

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

Male
Surgical.
I'emale
Medical.

2.%
S'So

a; u

"a

4^

a
2
H

>
u

9
S5

d
2

CO

•3

S3

P.
O

o

Ulna

12

6

21

46

31

56

1

2

8

8

14
14
10
IS
6
12
28
19

1

6
1
17
8
7
4

1

Olecranon

1

Both bones forearm

Metacarpals

Phalanges (fingers)

1

Ribs

3

1

Sternum

Pelvis

1
9

1

Femur

3

Patella

2

Tibia

1

1

12
5
3
7
5
2
5

30

2

Fibula

2

Potts' fracture

2

Both bones of leg

3

Metatarsals

3

Phalanges (toes)

Unclassified

2

13

Osteomyelitis and necrosis

1

17

3

1
3

12
3

10
6

4
2

11

1

4
. 4

1

1

3

20

2

1

6

12. Joints.

9

4

11

Dislocations.

Rib

1

1

Clavicle

3
19

7
2

1
2
1

1
5
3

1

3

Elbow

Pelvic articulations

5

47

199

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

"5
o

"3

o

l5

a 9

ai

O

2
3

i

2

EH

«

>

6

ai

P.
o
a
t,
O

Hip

11

Knee

1

1
1
1
9

1
1
2
7
2
16
2

1

Metatarsals

1

1

Toes

6
11
2
1
4

7

11

Non-tubercular joint diseases.

3

13

1

8

13

1

4

1?7

Acute

4

4

1
2

7
3
2
7

11
1

4

9

4

1

1
3

13

4
2
2

1

C

1

11

1

6

1

2

98

39

15

2

1

3

3

7
11

?1

Sprains.

Neck

2

9

3

2

31

8

3

37

15

2
16

Back

1

4

Shoulder

Elbow

3

7

17

5

6

28

10

5

24

2

Wrist . .

1

10

4

13. Muscles, Tendons and Fascia.

1

4

Myalgia (lumbago)

34

5

200

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

» c8

IB

1 >-.

11

a
£
2

0

1

>
«

c'

6

a.
0

1

0

Myositis

1

Strains :

Attitudinal

1

2
33

2
6

1

21

Occupational

16

Unclassified

25
24

1
3

7
1
3

3
10
4
3

3

1

1

183

Tenosynovitis

8

Wounds of muscles

12

Wounds of tendons

3

Wounds of fascia

1
1

3

1

UnclassiSed

15
2

2

10

1

39

14. Bursae.

Bursitis (acute and chronic).

Bunion

1

2

Gluteal

1

Olecranon

1
1
1
6

1
7

1

14
20
22
18

1
1

1

Prepatellar

1
2
2

15

10
12
19

1
12

3

Sub-deltoid

3

15

Unclassified

21

15. Foot Strain and Flat Foot.

Foot strain

162

Flat foot

1

2
1

414

21

Unclassified

1

16. Deformities.
a. Congenital.

1

1

4

1

Scoliosis

6

1

3

71

Chest

?

3

Hip

4

20

?1

8

Unclassified

2

6

6

1

1

18

201

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

"3

■3
0

II

■5.2

faS

"3

si

00

c

1

0

2

H

0
>

1

i

«

0
a

0

h. Acquired.

Torticollis

y

3

2

4

Scoliosis.

Paralytic

Hallux valgus

1

5
3
3

1
1

2

1

1

5

1

1

39

Hammer toe

5

Unclassified

3

1

1

30

17. Secretory glands.
Salivary glands.

Fistula

Ranula

2

2
2

1

Breast.

Abscess

13

19

17

2

2

35

Acute mastitis

1

Hypertrophy

Tumors

Carcinoma

1

1

2

2

Unclassified

18. Eye Affections

2

5

23

2

3
12
18
14
89
•6
14
45
20
37
526
85
39

6

2

a

19. Xose and Naso-pharynx.

Anosmia

Bullous middle turbinate

1

Deformity of nose

Ear affections

2

2

9

1

5

1

Epistaxis

Foreign body in nose

Injury to nose

1

....

Polypus

1
6
1
2

Rhinitis (unclassified)

14

7
2

1

Acute

Chronic

1

Atrophic

Vaso-motor

Septum.

Abscess

202

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAMK OF DISEASE.

i

o

05

£

6

(a

o

>

CG

o
O

Deviation, spurs

1

1

352
6
6
21
31
1
9

Perforation

Sinusitis (unclassified)

Acute

1

Tumor of nose

2
1

5

Unclassified

2
2

2

1
1

20. Mouth, Lips and Cheek.

Stomatitis

8

16
2

Tumors (unclassified)

15

2

1

1

34

2

1

5

21. Jaw, Teeth, Gums.

1
6

28
5
2

4
4

1
2

4

2

7

1

4
21

2
2

Tumors of jaws and gums :

22. Tongue.

2

3

2

1

2

Tumors of tongue.

13

1

3
3

2

23. Palate.

1

8

24. Pharynx.

Abscess

1

1

203

OUT-PATIENT DEPARTMENT, 1909 ~ Co7iti7iued.

NAME OF DISEASE.

"3

3j|
IB

2
3

OS

o
u

H

t

>
u

U

3

o

Foreign body

5

1

2G

44

131

Pharyngitis (unclassified)

40
3
2

2

6
2

1

1

4

1

„ chronic

1
1

8

_

193

1046

219

3

1

16

159

121

5
4
14

45
71
14

4
2
2

1

7
1
4

Unclassified

2
1
5
4
24

25. Tonsils.

Abscess (circumtonsillar)

1
2

2

1

1
5

1

!

2

1

1
9
2
3

7
4
1

9

4

26. Larynx.

2

1

2

1

1

27. Oesophagus.

3

4
2

2
1

1

1

Tumors

204

OUT-PATIENT DEPARTMENT, 1909 — Continued.

'\ME OF DISEASE.

J8. Stomach.

Carcinoma

Dyspepsia

Gastrectasis

Gastritis (unclassified) .

Gastroptosis

Haematemesis

Hyperchlorhydria

Hypo-chlorhydria

Hypo-motility

Improper feeding

Neurosis

Anorexia nervosa . .

Nervous dyspepsia.

Pyloric stenosis

Ulcer

Unclassified

39. Intestine.

Acute intestinal obstruction.
Appendicitis (unclassified). . .

,, acute

„ subacute

,, chronic

Colitis (unclassified)

Entero-colitis

Mucous colitis

Constipation

Diarrhoea (unclassified)

Cholera infantum

Dysentery (unclassified)

,, Ameobic

Enteritis

Enteroptosis

Faecal fistula

oi

c

rt
c

O

51*

?!

1 >>

2S

■a

03

«

= ii

^

O

u

s

Sx

55

o

205

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

1

1

* -
S5

IB

® 3

fate

Genito-
urinary.

Children's,

2

H

a
•3

o
O

1

1

1

1

30. Liver and Gall Ducts.

1

Amyloid

1
1

3
2
17

2
5

...

Cholecystitis

1

8

34

4

2
6

1

Cirrhosis

2
2

Icterus

1

3

1

Tumors :

4
2

2

Unclassified

1
2

33. Abdomen and Peritoneum in General.
Ascites

7
20
3
6
184
4
7

1

1

2

6

41

66

12

3

2
1
2
2
4
7
5
3
2

2

9

«
1

9

66

26

12

4

1

11

Hernia (unclassified)

9

2

2

Inguinal

7
1
2
6
2

14

1
3
3
2
1

1

Umbilical

1

33. Rectum and Anus.

3

1
3
1
9

4
7
11

17

1

1

»

1
4

1

1

1

External

206

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

Haemorrhoids, 'nternal

Ischio-rectal abscess

Polyp

Proctitis

Prolapse of rectum

Unclassified

34. Trachea and Bronchi.

Bronchial asthma- ,

Bronchiectasis

Bronchitis (unclassified)

Acute

Chropic

Tracheitis

35. Lungs.

Abscess

Broncho-pneumonia

Emphysema

Haemoptysis

36. Pleura.

Empyema

Pneumothorax

Pleurisy (unclassified) —

, , acute

,, chronic

Pyo-pneumothorax

37. Kidney.

" Albuminuria "

Haematuria (unclassified)

Renal unilateral

Nephrolithiasis

Nephritis (unclassified)

„ acute

,, chronic

,, chronic diffuse

,, chronic interstitial.

207

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

V

is

si

s.s

a
£

n

o

.a

a'
2

a)

O

Nephritis, subacute glomerulo —

Nephroptosis

5
1

1
1

5
9

6

1

1

Pyelonephritis

2
2

Pyonephrosis

Perinephritic abscess

1

2

1

2

38. Ureter.
Fistula

" Renal Colic "...'.

1

2

1

Stricture

1
9

2

19

1
4

3

39. Bladder (male and female).

1

16

4

3

Neurose

13

1
1
2

10

44

1

2

1

1

2
1

Retention

9

7

1
4

Unclassified .

1
2
I

1

8

2

1
1

4

40. Urethra (male and female).

Caruncle

1

9
2
73

3
2

1

1

a. General.

1
3

Masturbation

3

V

208

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

a; s

11

2
o

1

u

o

1

2

1

13
2
2

19
6

3

1

b. Penis.

1

1

4
2

3

27

Tumors (unclassified;.

1

1
1

2
3

13
27
28

2
5

2

45

7

1

64
3

2

1

c. Prostate.

1
2

■

5

•

Tumors (unclassified).

1

d. Seminal Vesicles.

e. Scrotum.

2

11
1

29

12

2

2

/. Testicle.

3

1

....

1

10

1
3

5

....

Unclassified

2

209

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

■(3

11

|1

si

a a

£

1

hi
1

.2

■3

V

o

o

42. Female Generative Organs.
a. Vulva.

Abscess of Bartholin gland

1
1

7
1

Cyst

2
1
3
3

1

82
48
27

1
23
2

1

48
31
51

23
1

45
106

90

27
1
6
1

14
5

Vulvitis

b. Vagina.

5
12
23
12

1
3

Cystocele

Tumors (unclassified).

,

6

d. Uterus.

Bndocervicitis

Erosion

1
14

2

1

Laceration

Deformities-displacements .

Anteflexion of cervix

12
11
10
24

Retroflexion

Metritis

1

1

Sub-involution

Tumors (unclassified)

4

210

OUT-PATIENT DEPARTMENT, 1909 — Continued.

NAME OF DISEASE.

(O

"3

"5

ii

S^

a

«■

Male
Medl

Male
Surg

II

U

2

>
o

en

6
11

2
15

27
3
8
8
2
2

1
4
18

14
2
5
6

16

1
2
1

1

Polyp

e. Fallopian Tubes.

/. Ovary.

Ovaritis

5
1

1

3

10
25
34
10

1
2
6
5
166
16
11

g. (Seneral and Functional.

1

1

Menstruation.

1

1

2

Sterility

2

11

165

64
677

11
331

43

785

5
125

14
97

12
138

17
88

2
95

25

270

211

REPORT OF THE MEDICO-MECHANICAI. ROOM.

1909. 1908.

Out-Patient Department 12,890 9,442

Hospital Patients 1,281 1,134

Private Patieuts 1,028 890

Total 15,199 11,466

REPORT OF THE HYDROTHERAPEUTIC ROOM.

1909. 1908.

Male 2,782 2,547

Female 2,614 2,743

Total .' 5,396 5,290

HYDROTHERAPEUTIC ROOM.

Abdominal

Lungs

Heart and Vessels

Kidney

Female Organs

Obesity

Constipation

Debility

Goitre

Neurasthenia

ISeurosis

Headache

Nervous Dyspepsia

Neuritis

Hysteria

Various Nervous Diseases.
Infectious Arthritis

Total 71 195 266

M.

T.

Arthritis Deformans .
Various Arthritis . . . .

Ankylosis

Bursitis

Subacrom. Bursitis.. .

Fractures

Dislocations

Sprains

Strains

Lateral Curvature . . .

Feet

Skin

Wounds

Infectious Diseases. .
Various Diseases

Total

M.

F.

11

12

14

9

2

19

5

11

5

2

19

15

10

2

6

99

68

23

23
1
6

24

16
1
3

34
1

14
3
7
1

10

167

Male 170

Female 263

Total 433

DISEASES TREATED IN THE HYDROTHERAPEUTIC
DEPARTMENT, 1909.

M.

F.

T.

Infectious Diseases

1

'i

7

7

'4

3

'4

3
7
11

1

1

38

11

14

1

19

4

19

4

1

1

3
1

"4

"s

7
2

'9
3
9
41
14
5
9

5

28

12
9
2

15
2
5

10

'7
12
17

14

1

11
6

1

General Constitutional and 1
Nutritional Diseases )

Debility

8

Obesity

7

Skin Diseases

3

Wounds

7

Circulatory System

16

3

Nervous System

13

Neurasthenia

44

Hysteria

14

Headache

9

12

Bones

Various Nervous Diseases ....
Fractures

7
16

Joints

Dislocations . .

1

Ankylosis

1

Infectious Arthritis

66

Arthritis Deformans

23

Various Arthritis

23

Sprains

3

Strain

34

Bursitis

6

Subacromial Bursitis

24

Flat and Weak Feet

14

Lateral Curvature

1

Abdominal Diseases

8

Nervous Dyspepsia

12

Constipation

17

Diseases of the Respiratory
Organs

17

Diseases of the Kidneys

2

Diseases of the Female Gen-
erative Organs

Various Other Diseases

11

10

170

263

433

e:^;€?

lO

)r

It
e
!r

IS

e

l-

9
n

i-

y
d

.y

.r

I,
n

ANNUAL REPORT (ninety-second)

OF THE

SUPERINTENDENT OF THE MCLEAN
HOSPITAL

To the Trustees of the Massachusetts General
Hospital :

The following report of the McLean Hospital for
the year 1909 is respectfully submitted.

The whole number of patients under treatment
during the calendar year was 384, which is 37 more
than for the year 1908. The daily average number
was 218, an increase of 2 over that of the previous
year and practically the limit of the capacity of the
hospital. The recoveries were 18 per cent of the ad-
missions and 19 per cent of the dismissals. Of the 169
admissions 95 were voluntary patients, 8 of whom
were afterwards committed because of a formal de-
mand for discharge which at that time it was im-
proper to grant. There remained on the voluntary
basis at the end of the year 78 persons, 38 men and
40 women. The law concerning the admission of
voluntary patients was changed in 1905 in the way
of a removal of certain restrictions, and in the four
years since that date the percentage has increased,
over that of the four years preceding the change in
the law, from 45 per cent to 57 per cent of all the ad-
missions. It is a satisfaction to report this increase,
for it is believed that patients sent to hospitals for

213

214

Report of the Superintendent of the McLean Hospital.

mental diseases should be admitted with the least
possible formality and that the use of such hospitals
by the public should be made as nearly like that of
general hospitals as is consistent with the condition
of the patient. A commitment should be the last
resort.

The original law concerning the admission of
voluntary patients was passed in 1881. The follow-
ing table shows the total admissions to the hospital
for each year since that date, the number of those
admitted on the voluntary basis, and the number of
those who were afterwards committed while they
were in the hospital.

Year

1881

Admitted
66

Voluntary
1

Afterwards
Committed

0

18§2

1883

82

109

113

11

4

33

3

1884

49

6

1885

95

34

4

1886

. . . 93

29

4

1887

75

29

34

41

2

1888

1889

105

113

123

119

2

3

1890

1891

58

40

3

2

1892

1893

1894

1895

150

109

116

108

52

46

46

. .. 39

1

5

4

0

1896

127

48

3

1897

137

61

9

1898

132

135

169

61

2

1899

1900

60

84

3

6

1901

1902

'_ 157

154 - - -

61

. .. 82

3

5

1903

141

66

2

1904

135

55

5

1905

120

55

2

1906

132

.... 75

0

1907

192

128

169

101

1

1908

1909..

86

95

5

8

215

Report of the Superintendent of the McLean Hospital.

The number of deaths, 35, is the largest for many
years. Of these 13 were cases of general paralysis,
13 were of those in advanced age, arterio-sclerotic or
senile, and 3 were due to valvular disease of the
heart. It is no doubt a proper function of the hos-
pital to take care of some of these cases of arterio-
sclerotic or senile dementia and the frequent requests
for their admission, many of which it has been
necessary to decline for want of room, is evidence of
an increasing tendency on the part of the general
public to resort to hospitals for the care of such
patients, who not many years ago would have been
provided for at home. It is a gratifying mark of
public confidence in hospitals for mental diseases.
The statistical tables presented herewith are for the
year ending September 30th, in accordance with the
requirement of the State Board of Insanity.

The expenses of the hospital have been greater
during this year than ever before. Much was done
during the summer in the way of new construction
and repair of the outside of various houses, as is given
more in detail in the report of the Administrator.
Extensive repairs also have been made on the in-
teriors. Furniture and rugs have been purchased
for the men's gymnasium, which now is exceedingly
comfortable and attractive. New furniture also has
been placed in the sitting-rooms of the Wyman
House, and purchased, but not yet received, for the
billiard room of the Upham House. All the rooms
on the third floor of the Pierce Building have been
re-papered as well as the halls of the first and second
stor}', and the reception room. The third floor of the
East House, which is occupied by ward maids, is being
thoroughly renovated, and the rooms on the second
floor occupied by patients are being put in order as

216

Report of the Superintendent of the McLean Hospital.

rapidly as they can be obtained. New rugs have
been purchased for some of the patients' rooms and
for the corridors of the first floor of the Women's
Belknap House. Although more than the ordinary
repairs have been made during the year much still
remains to be done before all the houses will be in an
entirely satisfactory condition.

The changes in the Wyman House mentioned in
the last annual report are proving most satisfactory
and it is now well adapted to the care of excited
patients. If any house needs good ventilation it is
one used for this purpose. The removal of partitions
and the construction of new air shafts have helped
materially to this end. The added floor space is a
great advantage in allowing the separation of excitable
patients who react unfavorably on each other, and the
added light makes for cheerfulness. The two rooms
provided for the continuous warm baths are of great
value as a means of treatment. They are light and
airy with low windows. The baths are not made
compulsory, and yet no patient for whom they have
been prescribed thus far has refused to take them.
If one objects, the matter is postponed and an invita-
tion is given later. The patients are not swathed in
sheets or held in the tub by nurses or fastened in by
a cover, as is sometimes done, but are allowed to get
in and out of the tub as they like and throw out the
water at will. Although no extended observations
have yet been made the results up to the present
time are exceedingly satisfactory. There is no doubt
of the soothing effect, the lessening of excitement,
noise and violence. There is no doubt also that they
promote sleep and in most cases have appeared to
cause an increased appetite and gain in weight.
This house is now chiefly devoted to the care of

217

Report of the Superintendent of the McLean Hospital.

acute, excited cases, who are likely to be benefited
by this method of treatment.

For most of the time during the year there has been
but one Junior Assistant Physician and work in the
laboratory has been somewhat impeded for lack of
helpers. In the chemical department the chemistry
of the brain has received some attention. The
preparation of soluble starch, which has been used
for feeding purposes for a long time, has been further
investigated and perfected with the intention of pub-
lishing the results to make it more available for
general use. Other papers nearly ready for publica-
tion are :

The Separation of Methylamine and Ammonia as
applied to Urine Analysis and its Significance in
Metabolism Experiments.

On the Allied Occurrences of Trimethylamine in
Urine.

" The clinical department has continued its work
along the lines already established. The careful
histories and the detailed records of the mental and
physical examinations not only have furnished infor-
mation of practical value in the care and treatment of
the patients, but they are also constant additions to
the valuable collection of data already at hand and
imperative for good scientific work in the further
st;udy of mental diseases. Efforts have been made
to make this material as corriplete as possible by a
continued following up of patients who have left the
hospital and noting the further progress of their con-
dition.

" A constant attempt has been made in the routine
examinations to find and apply such psychological
and other scientific methods as can be made practical.

" An analysis of some 80 cases of mental disease as-
•

218

Report of the Superintendent of the McLean Hospital.

sociated with Graves' disease has been made, and a
paper based upon this analysis was read at the annual
meeting of the American Medico-Psychological As-
sociation.

" In the pathological department 15 autopsies were
made, some of which proved to be of exceptional in-
terest and on which reports will be made later." The
increase in the number of patients in the hospital
calls for more work in the careful observation and
recording of symptoms than one man can do. It is
therefore recommended that another Jimior Assistant
be engaged for the laborator}- departments.

About half the time of the head of the department
of pathological psychology has been devoted to the
clinical examination of cases, which was rather neces-
sar}' because of the lack of clinical assistance, but
which was of great service in obtaining a more per-
fect comprehension of the clinical problems to be
solved and a more intimate knowledge of the material
dealt with experimentally.

" Renewed attention has been directed to the
' psychogalvanic phenomena,' and with the valuable
help of Mr. Alexander Forbes, of the Harvard Medi-
cal School, a considerable advance has been made in
this problem. Clinically it is a fairly coercive indi-
cation of affective response, and psychologically it
promises to be one of the most significant forms of
the ' method of expression.' The work concerned with
the standardization of controlled association tests has
been continued. Some special aspects of the free
association test were made the subject of a brief study,
the material for which was kindly furnished by Dr. A.
J. Rosanoff. The attempt has also been made to
systematize the present conceptions of the so-called
' adaptive ' and ' substitutive ' mental reactions, with

219

Report of the Superintendent of the McLean Hospital.

a view to determining more exactly their relation to
the development and course of the psychoses. The
equipment and facilities of the laboratory have been
extended according to the demands of the problems
under investigation."

The following papers have been published during
the year by:

Dr. Abbot, " Forms of Insanity in Five Years' Admissions to and
Discharges from the Hospitals for the Insane in
Massachusetts." (American Journal of Insanity,
July, 1909.)

Dr. Packard, " The Munich Psychiatric Clinic." (State Board of
Insanity, 1909.)

" An Analysis of Psychoses Associated with Graves'
Disease." (American Journal of Insanity, Octo-
ber, 1909.)

Dr. Wells, " Sex Differences in the Tapping Test : An Interpreta-
tion." (American Journal of Psychology, July,
1909.)

" Motor Retardation as a Manic-Depressive Symp-
tom." (American Journal of Insanity, July, 1909.)

Reviews :

" Diefendorf and Dodge, The Experimental Study
of the Ocular Reactions of the Insane from Photo-
graphic Records." (American Journal of Insanity,
April, 1909.)

" Contributions to Psychopathology by Vaschide,
Viollet, Marie, Lubomirska, Meunier, Laures."
(Journal of Philosophy, Psychology and Scientific
Methods, May, 1909.)

The medical library so necessary for laboratory
workers now numbers 4,719 volumes, 197 having
been added during the year. Of these, 30 were pur-
chased by the hospital, 20 were gifts, and 147 were
bound periodicals. The total cost of this library for
the year was $694.68.

220

Report of the Superintendent of the McLean Hospital.

In the month of November the hospital received a
bequest from the estate of Miss Sarah C. M. Lover-
ing of $2,750, which was half the surplus income of
her estate for a period of two years and which is to
be used to " promote the comfort and happiness of
the patients." A portion of this sum is being ex-
pended to make more attractive the art room, music
room and other apartments of the gymnasium for
women, and to prepare in this house two rooms for
industrial occupation of the patients, which is a matter
of great importance as a means of treatment. Several
large carbon photographs have been purchased, which
are to be framed here at a moderate expense, to re-
place some of very ordinary merit that now hang in
the sitting-rooms of the various houses. A substan-
tial addition has been made to the patients' library in
the department of fine arts. The stage of the amuse-
ment hall is being changed to adapt it to amateur
theatricals, and scenery is being made so that a
greater variety of entertainments can be provided.
A portion of the bequest will be expended from time
to time for such entertainments as the hospital would
otherwise not be warranted in providing, and it may
be possible to add three stops to the chapel organ,
for which provision was made when it was built. It
is a pleasure to record that a somewhat smaller, but
still a substantial sum, is to be expected yearly from
this source, for while the hospital has been liberal in
such expenditures there always remains something
to be desired. This is a most acceptable and useful
bequest. It was made by one who personally knew
the conditions of hospital life and the desirability of
providing for certain refinements that otherwise
would be impossible of attainment.

The general library has more than ever demon-

221

Report of the Saperintendent of the McLean Hospital.

strated its usefulness as a source of entertainment and
diversion — a remedial influence for the patients.
Early in the year the large reception room, separated
from the library by a passage and large sliding doors,
was fitted with bookcases and other new furnishings
and is an exceedingly attractive addition. In it are
placed the books on literature, travel and history
and all those in foreign languages, for which it fur-
nishes a space that accommodates about 2,000 vol-
umes. To this library were added during the year
553 volumes — 303 purchased by the hospital at an
expense of $299.43; 7- from the Gorham Library,
formerly in the Men's Belknap House; and 178 gifts,
of which 83 were from the Sarah C. M. Lovering
bequest. These 83 volumes were purchased at a cost
of S290.33 and are entirely in the department of fine
arts. Some of them are costly and large and will be
kept in the library where they can be seen by the
patients during their evening visits. Ot the 553 vol-
umes, 162 are fiction and 391 non-fiction. The cir-
culation was 9,542, which is an increase of 1,279 over
that of the previous year and nearly double that ot
seven 3'ears ago. Of these, 6,602 were taken by
patients, the remainder by officers, nurses and vari-
ous employees. This library now numbers 6,665
volumes.

The art rooms in the gymnasiums for both men
and women, the other rooms in these houses and
even some of the sitting-rooms in the houses where
patients live have been hung throughout the year
with loans from many sources. The number ot such
loans on our walls at the end of the year is 81 oils,
44 water colors and 9 photographs. As a result of
this movement gifts of pictures have been made from
time to time. Some of these are still in the rooms of

222

Report of the Superintendent of the McLean Hospital.

the gymnasium buildings, while others have been
placed in the sitting-rooms of the patients' houses.
They are most acceptable, and number 38 oils, 6
water colors, 66 framed photographs and engravings
and about 650 unframed photographs, of which 348
have been catalogued for purposes of study.

The need of a house for the Second Assistant
Physician was satisfied by the purchase in May of
the Kendall property, on which was a cottage near
enough to the men's houses so that the physician is
practically as available for duty by night as though
he lived in the Pierce Building.

Another plea is here made for a house for the
women nurses. This subject has been discussed in
several annual reports, and it would seem that no
further arffument is needed to demonstrate its desir-
ability. Nothing could be done which would place
the nursing service of the hospital on a better basis
than the erection of such a house.

The patients in the Proctor and Bowditch Houses
who are not quite well enough to participate in the
benefits of the gymnasium proper, because they
would be disturbing to others, have no place where
they can go for diversion in bad weather. There is
a room under the men's gymnasium of good size
already wired for electricity which could be fitted
up at a moderate expense for their use. It would be
accessible from the yard of the Proctor House by a
short flight of steps, or in stormy weather through
the corridor. A chimney with a fireplace divides
the room in nearly equal parts. One end could be
used as a sitting-room and the other for the billiard
table now in the women's gymnasium. This room
also would serve the very useful purpose of a place
of recreation for the men nurses during the evenings

223

Report of the Superintendent of the McLean Hospital.

when they are off duty. They now are allowed,
with some restrictions, the use of the gymnasium,
but it is not an entirely satisfactory arrangement.

For a long time the men have had the use of a
room fitted up as a carpenter's shop-where they can
spend the morning in profitable occupation. It is not
large enough to accommodate all who would like to
work there, and it is therefore recommended that an
addition at least as large as the present room be built
on the end of the men's gymnasium for this purpose.

Industrial occupations for the women have been
encouraged and such have been pursued as are
proper for the sitting-rooms of the different houses and
for the patients' rooms. It is now proposed to take
two adjoining rooms in the women's gymnasium, one
of which has been heretofore of little use and the
other of which contains a billiard table, and fit them
up for certain industries which cannot be pursued in
the patients' buildings. This will necessitate the
employment of an enthusiastic, tactful and skilful
woman as a teacher who can give her whole time to
the work.

The Bowditch House for excited men is far from
satisfactory. It is too small, poorly lighted and
poorly ventilated. It is hoped that during the com-
ing year changes can be made in this house similar
to those already made in the Wyman House. This
would necessitate a bay window which would add
at least eight feet to the small sitting-room on the
front of the house and furnish more light; a bay win-
dow to the dining room; at least two new air shafts
which would go directly to the roof and which
would admit light and be of great service in ventila-
tion; the removal of one long partition; and the
building of an addition for bath rooms in order to

224

Report of the Superintendent of the McLean Hospital.

provide the continuous warm bath for this class of
men patients.

The following changes in the hospital staff have
taken place during the year.

The Superintendent was absent on a vacation
from May ist to November rst, and during that time
Dr. E. Stanley Abbot, the First Assistant Physician,
was the Acting Superintendent. The hospital was
fortunate in securing the services of Dr. Daniel H.
Fuller as Assistant Physician for six months from
May I St. Dr. E. Stanley Abbot resigned his position
as First Assistant Physician December ist, and was
on that day appointed Pathologist and Assistant
Physician. Dr. Frederic H. Packard resigned the
position of Pathologist and Assistant Physician on
December ist, and was on that day appointed First
Assistant Physician. Dr. Howard T. Child was ap-
pointed Junior Assistant Ph^-sician December 9th.
Miss Emma M. Stone resigned the place of Super-
visor of the women's department August 9th;
Miss Clara H. Luscombe has been Acting Super-
visor since that date.

The needs of the hospital are:

A house for the women nurses.

Cottages for married men nurses.

An increase to $10,000 of the fund for the art
rooms.

An increase to $200,000 of the fund for research
work in the laboratories.

The remodeling of the Bowditch House for men.

A recreation room for the patients of the Proctor
House and for the men nurses.

An enlargement of the work room in the gymna-
sium for men.

GEORGE T. TUTTLE,

Medical Superintendent.

225

Report of the Superintendent of the McLean Hospital.

05
<

>^

m

H

o
o

H

I— I
H
<
H
CQ

hJ
<J

05
H

o

5^

X«h*Ht$< . ^C5 oo 00 !N C^ "5 CO C* -^ • -^ C5
^^C-CD 0Ot-»-tC^IC^COCa CO.H •♦-< —

. -. 00 O CO fl to
-^ <0 00 CO IM C-l S

J10.-I c
> I- « ■■

1 C<5^

eoooco(N . CO « lo o OS C5 05 <-i N t- >"! -t^SHsiSS SS£2 '^

.-100CB»-1 r-Ci-l

!-(• ciooo-* cot---"

lOcooocQ .c<3ooiooococoTj<rHioco •t~2???St: ^SS^ ^S'"^

w-i'^n • •i-ii^'^n

)00 • OQOIO»-H f-ti-H* T-l' C^Ot'-T' COt^rH

-QO-TJ* .O-^COb-OOC^CllO

COOO-^OOO la C5 00

00CSO(NC<IC0(M -COtH •rHrHt--100 CO»C(N C^llO

^2'S''

■3 O-a

2 •?■= :=*5^='a

' 'S o cS eS C« :

sa

tig

- ON

s^s^

'^ O O S i"

^- ii £ S s

_ — m (U !;; ^
o i> S.S.2

■£. = S S § £
^ s S S 5 S

u ^-
01^

> cj
o ^
O 03

te aj 2

O o o

?^ QQ ?2

5 S 2

PhO

^5

.2 g s 2 5

01 u •- tH ;

P » O) 0) >

a 3 3 5 to "S

226

Report of the Superintendent of the McLean Hospital.

TABLE No. 2.

TABLE OF ADMISSIONS, DISCHARGES, AND RESULTS FOR

TEN YEARS.

Years.

■6
2

a
<1

to

3

•6

(5

S 4)

■6

£

>
o
o

«

.2 °

rt 0 a
Sd.2

End

ing Dec. 31, 1900 ....

169

155 328

23

58

37

173

164

„ 31, 1901 .

157

154

330

27

19

45

176

166

„ 31, 1902 .

154

149

330

19

25

43

181

176

„ 31, 1903 .

141

144

322

23

50

34

178

170

, Sept. .30, 1904 .

158

105

341

15

23

42

189

178

„ 30, 1905 .

117

86

320

20

28

29

180

186

,, 30, 1906 .

129

131

309

17

42

38

184

185

,. 30, 1907 .

179

159

338

20

56

42

205

193

,, 30, 1908 .

177

170

382

21

60

42

218

214

„ 30, 1909 .

165

156

389

32

54

28

219

216

Total number of admissions from the year 1818, — 10,070.

TABLE No. 3.

INSANE RECEIVED ON FIRST AND SUBSEQUENT
COMMITMENTS.

Number of the Commitment.

Cases Committed.

Males. Females. Total

First to this Hospital

Second to ,, ,,

Third „ „ „

Fourth ,, ,, ,, , .

Eighth „ „ „

Total cases

Total persons

Never before in any hospital for the insane

68
7
1
1

77
76
55

66
8
3
2
2

81
78
56

134

15

4

3

2

158
154
111

227

Report of the Superintendent of the McLean Hospital.

<

I— I

O

K

<

O
Eh

Q

H

H

H
I— I

Q
<J

H

d ^:

Eh :z;

I— t
o

o

Q
<

H

1

1

1

1

u

.S

coo«o

Oi rH T-H 05 in C<I CO rH 1-1 i-H r-l C<1 00 tH •

1—1

1—1

rH

o

coco

m 1—1

•^

1—1

1—1

HJ

s

1—1

»^

•oi

V

H

d

ooo t-

iCi • i-H Oi CD C<1 t- T-l • • • C<I CO 1— 1 ■^

CD

o

1—1

O

C^JCO

lO . ,-(...

Tl<

1—1

1-^
1-1

■fi

s

.2

t- CO o

O i-l • O 1— 1 • CO T— 1 i-H • • I— 1 tH 1— 1 T-H

o

I-l

iH

cS

U3C<I»-I

0> .r-l .

CO

1—1
1—1

h

»^

2

•

.c

^ 00 ^

,-( rH .-( US -^ •«£> • i-H •i-HCOt-I • •

CO

CO CD

o

T-l I— I

CO ... . .

CO

U3

Cfi

s

H

f^

i-l

s

<)

A

?Ot-IC0

O •T-iCO-^Oi^ • ' • -COtH -r-l

o

CD

?s

g!

ts

l-Hi-H

CO • ....

CO

U5

W

Ed

fa

■4-3

g

2

i-(eo(M

?DT-t -co • -co • tH • • r-* • '.-I

Oi

1—1

CD

eoi-H

Tj<

LO

£

b

1

2

1

a

05t-C<l

00 • • -^ 1— 1 CO C- tH • I— I • • CO 1— 1 •

Oi

00

lO

o

i-H

CO • . ...

1—1

lO

;»

g

;^

»

v

iJ

ps

C<1 05 •^

in • -coco • i-H 1— 1 • • • • C0 1— 1 CO

«D

Tj<

lO

•«J

eS

I— 1

CO . . .T-l ....

CO

\a

S

b

I

S

00

<£iO0C

Tjt • • t- T-l • • I-l • • • • T-l 1—1 •

1-1

•

SS

+3

C^rH

■^ . .

1-1

in

(2

H

E»

1

-1

^

s

i

-(

w

«!

■73

«;

C

f

3

'be

01

>

.bp

m c

•73

s

C

^
J

0) . c

I 1

C73

«j

M ^ -t-

> c • •

• •;::: cs

»tH

1

^

M

3 QJ «

S5f

Total
ustria
zores
anada
ngland
ermany
eland
aly .
ewfounc
ew Zeal
orway
ussia
Gotland

weden
Total

nknown
Total

^

;OC

> <

;<

:c

)Cl

5C

5^

h-

;:z

:^

\7-

;p:

v

lu

!!/

J

)

228

Report of the Superintendent of the McLean Hospital.

Q
<
m

^;
o

Oh

<

m

t— I

o

H

a

Q

I— I

xn

P5

1

cgi-HioO'-ii-ieoooooioiNT)"

o

t- T-l T-H 00

5

CO CO ec

CO

t»

H

T-l

ai

ij

®

^

s

r-lTH(Nt-.-HrH(M(M-^eOOCVl

C£>

CO • • -^

H

og (M

CD

o

r*

H

Ed

1-1 -co .CO • •T-l^->!t(N(M(M

•^

■^ tH T-l -^

I— ( . . 1— 1 tH

U3

3

• T— 1 • O I— 1 • • i-H 1-H • 00 1—1

CO

CO 't-It-I

r/i

o

. ,-1 . . t-l

CO

y.

H

m

ITl

i

s

• >-i • eo I— 1 • • 00 i-H ■ -^ i-(

1— (

• • • T-l

1^

a

H

n

O

"ei

...t-.-.fo-.T^.

1—1

CO • T-l •

>H

<

"§

CO -mo • i-l CO t- t- lO -^ CO

c-

lOi-i • r-

p

T-l . CO CO

00

H

o

H

S o

u

a

T-l •CO'* • 1-1 CO -^ CO CO to T-l

T-l T-\

co • -co

Q a

H

oS

"3

T-l •COCO • • i-l CO -^ CO 00 CO
. . 1— t

o

COi-l • '^

m

•+J

OJ

CO

3

JZ

«

c4

<

c
o

CO

O

_g

m

o

CO ra O X ^ a <Pl.~=. O g rr g

c^-^ S c £ gia'jH go o

mmpqw&HffiffiS:z;D-iw>

C
CO

rt

-c

es

a

01

C

^

"^
c

c
1=

229

Report of the Superintendent of the McLean Hospital.

o
o

H

S

o

CO

o

O

CO

o

l-|l-ll-HTj<,-(Ttl-HT-|

s

i-t • tH t-H rH (M

•*• ^

CO t-l ,— I C<I -^ 00 CO

1— ( I— I T-l Ci

^ bo

«J 0)

5 .y .s

^^

S to 'S

OQ 0) c

ea .a>

O

230

Report of the Superintendent of the McLean Hospital.

TABLE No. 6.

CIVIL CONDITION OF INSANE PERSONS FIRST ADMITTED
TO ANY HOSPITAL.

Hales. iFemales. Total.

Unmarried 19

Married 34

Widowed 2

Divorced \

Unknown

Total I 55

21
24
11

40
58
13

56

111

TABLE No. 7.

OCCUPATION OF INSANE PERSONS FIRST ADMITTED TO
ANY HOSPITAL.

Occupations.

Males. Females. Total.

Bookkeeper . . .
Carpenter . . .

Clerk

Dentist ....
Druggist ....
Electrical Engineer
Expressman . .
Farmer ....

Florist

Grocer

Housewife . . .
Inspector . . .

Laborer

Lawyer ....

Librarian ....

Maid

Manager ....
Manufacturer . .
Merchant . . .

Nurse

Paymaster . . .
Physician . . .
Railroad Man . .
Real Estate Agent
Recorder ....
Salesman ....
Steam-fitter . .
Steamship Captain
Stenographer . .
Student ....
Teacher . . . •
Treasurer . . .
None

Total

1
2
1
4

55

24

3
3
3

14

56

2
1

10
1
1
1
1
2
1
1

24
1
3
2
1
1
2
2
7
2
1
2
1
1
2
5
1
1
3
4
5
1

18

231

Report of the Saperintendent of the McLean Hospital.

TABLE No. 8.

AGES OF INSANE AT FIRST ATTACK, ADMISSION, AND

DEATH.

FiBST Admitted to ajjy
Hospital.

Died.

AGES.

At First
Attack. 1

When
Admitted.

At First
Attack.

At Time
of Death.

Ma. 1 Fe. Tot.

Ma.

1

Fe.

Tot.

Ma.

Fe.

Tot.

!

Ma.

Fe.

Tot.

Congenital

1

1

15 years and less

1

1

1

1

• •

From 15 to 20 years

1

5

6

1

1

2

20 to 25 years

3

3

4

2

6

..

25 to 30 years

5

7

12

4

5

9

1

1

1

1

30 to 35 years

5 5

10

6

5

11

1

1

35 to 40 years

9 9

18

8

9

17

8

8

4

4

40 to 50 years

19 13

32

17

18

35

6

5

11

6

3

9

50 to 60 years

6

8

14

8

8

16

5

1

6

6

2

8

60 to 70 years

4

4

8

5

5

10

1

1

4

1

5

70 to 80 years

2

1

3

2

2

4

2

1

3

2

2

Over 80 years . . .

3

3

1

1

2

1

3

Total

55

56

111

55

56

111

25

7

32

25

7

32

Mean known ages in
years

YB8.
44.38

Yks.
43.02

YB8.

43.68

Ybs.
43.4

Yks.

45.41

Yes.
44.42

Ybs.

45.1

Yks.

50.7

Yks.
46.3

Yks.

'53.54

!

Yks.

69.1

YBS.
57.26

232

Report of the Superintendent of the McLean Hospital.

o

<
H
>—{
Oh
C/2

o

K

<3
o

H

Q

H
H
»— I

Q
<3

w

"A
O

w

Oh

CO

:?
o

Xfl

o

►J

PQ
<5
M
O
P5

I T-H • 'rH • • Tj<.-(i-(eO

•CO • • (M

t-C-T-HrtTfi^-^-^fMi-ICO

(M -^ • -^ ■<* rH I* CO (N T-H CO

•00 • • O

6-2

m

>>

Oh

233

Report of the Superintendent of the McLean Hospital.

TABLE No. 10.

PROBABLE DURATION OF MENTAL DISEASE BEFORE
ADMISSION.

PREVIOUS DURATION.

First Admitted to ant
Hospital.

Ma.

Tot.

Congenital . . .
Under 1 month
From 1 to 3 months

3 to 6 „ .

6 to 12 „ .

1 to 2 years

2 to 5 „ .
5 to 10 ,, .
Over 10 years

1
9
16
11
4
7
6
1

17
6
5
7
9
7
1
4

1
26
22
16
11
16
13
2
4

Total

Total average known duration (in years).

234

Report of the Superintendent of the McLean Hospital.

o

O

Q

o
o

«

w
a

H

Q

O

<J
W

Q "-I
Q

o w
o

H O

<

Oh

►J
H

^;
w

Cm

o
o

™ be S
o S «s

^•

o

O.

.3

St

M

23

ct

■•J

£

C-li^'t'-"'^ • •CCN-HC-IL*'^ •L'lio .c«^«>HC4i-< *-"

• MCJ -CSC -»• .«

tH .«.-i-^ . .lO .i-CCClO • -MO ,r-l^<-(

rl . .WIN

N ■ -e» . . ©la . . oiN

. lO ^ • ■ .H II

• 11 'i ■* • ■ C-1 "I

. COrH . . ^

■ rt MCO • ■ i-Crl

• aoton ■ ■ r^ • CJ - -i-l C^

•r1 • -rt «C

r- • roil

rii ••^^^m • -Ntoro ■« . rt .lOiio

lO -I-l ■ -eo •t-iroOi-irHM-*' t-i .iH,-!^

d 3 ^ C

^s-S£3^

.■S o o o

■ill--

?* O O O

' 2 " Z = S.-S
— 2 ii <K ce g

3 a 3 c,g 3

S c •.= = c ^
o 9 o &<e c

;i= OQ (K OD CQ
^ M CO 03 .

fe C<C.C«J

° ■= -o -c .s
£ c c n tT

O c« !« t4 C

5 Tj ■ ^ rt aD CO

;=5-2g|£2§
S o d rt c ■'■ S) Ml

t^ m m ^ ui «££

235

Report of tlie Superintendent of the McLean Hospital.

O

o

1-3

<

Eh

o

:^

o

Q

o

H

^j lyj

qS

c-i I— (

s

H
IX,

<

H
I?

O

o

4J

rt n g

^

h15
OS

^

1-1^ : : :'3'»<^ -o*^ .«

Sg§

1 s

(N M eo . . O CI . . . ,1 . <M

*j

e:!

^•CO..C<|rt...J).rt

Q

H

a>

Q

Eei

'•'•'•'■'.'.'.'.'. '.""^ :: ""^'^

es"

iH.m. .c^,*...^.^

'*-

■3

iJ

>

E^

-H c-i . . ^ ^

"gg

o

e.

S

b

:^:::'^::::::'-' "'^'^

'

4J

o

iz;

-

io.i<i<

^-

1

^

rtr-l . . .rO<N,H 0O<N»H

t

2

0.

>-i....niNw

t-C5 00

S

;2

eS

«

s

: "^ ::;:;:;;;;■»< M 00

^•

I

u

»-i ■£

o

« . . .M . .^

tOlMiJ»

1 1

**•

i

P

: : : : : '^ : ; ; N ■ . .

«oo

.*■

;^ <v

eS

cc

s

W?5«0

•z

c

4i

£

H

: : ; ; ; C^ es • ■ ■ . . rt

11

z

8

• . . . -SJ

.0 0 00

n

^

«'

£

s

sS

Q

H

H

'-'•-'■ •* 1= lO

£

H

o

I^

«eo-Hrt .t^o . .«_ .^L-s-oo

o

u

S

§
S

CO CO t-

C

d
g

'^

O

,H -N ..Ht-lO .,1 .^MtH c

o

o

5

><t> t-

c

:•»■•.:. ... 1

s

Sc3

• * 2 :

<s

eS

t>

H

s

£2 5

S^'^o •

"S

CO

<

s

dep
exci
mix
n . . .

2^B '

t- c -

01

••- X 00

® » ®.2cii c - -

" o ©"S

Q

mission
clerotl
ia praec
paraly
liriuni
1

M M X ~ "" .= rt £8

>•

■

O

£££oSi = -2

is

1

c

o

Other adi
Arterios
Dement
(Jeiieral
Drug de
Paranoi
Manic-d
Manic-d
Manic-d
Paranoi
I'sychoi
Psychos
Undiagn
Undiagi

jil

:22

• !« a

) bCUl

aj ID

a

o

•

1 s icui

Jt a bCbs 1

E-

^

^

il

236

Report of the Superintendent of the McLean Hospital.

O
JZ5

m
X
H
<

Q
Q

<J
Q

o

I— (

I— I

Q
<J

>^
CQ

^ R

CO

o

CQ

a;
I— t

W
Eh

(^
O

O

<!
K
o
en

1

1

1

O eg lii (N
1— 1

OS c- ec
CO ec o

£'

lO t- (N i-H

lo ec o
CO CO lo

03

lO in P3 T-l

•* ■<* CO
t> t- lO

s

5

1'

00 (M (M
CO

(N c^j eg

CO ec eg

S

t-

c- c~ to

JH ^ ^

lO U5 «0

eg eg I-l

2

S

o
!5

4^

o

c. «

\a \a CO
eg eg I-H

9>

Oi <M

1 T-H .-( OS 1

CO rH

i-l

' -<3< Tji OS I

>— 1 rH

' 2

£

1

lO lO i-H ,— 1 ' <M .-H lO

<N ec eo (N

CO -<* 1-1 ,1 OS 00 ec

ej
S

(N .-1

CO CO !M '

T— 1 I— 1 ,— 1

c

53 -"

(N (M CO
(M IM T-( j

OS

OS OS sD

(>) .-1

■t-i

M CO O

l-^ T-l r-\

■3

£

>
o

1"

Tt ,-1 N ,-1 00 t- <N

tr- »-H i-H • OS 00 ?0 '

T-H . I— 1 I— 1 i-H 1

ei

t> • T-H .-1 OS OS 50

«

s

5

1

00

s

■o
<

'ft. "

o
K

o

fe 02 E-

1 t
i c

^

Is

*S.

>>

. c

. • -a

»5 a

S *3

^ £ £

73 "rt -g

o o .J:
H H fe

237

Report of the

O

m
o

Pui

C/2

SI

o
o

Q
<

W
H
<J
W
Q

O

CO

W

t3
<J
U

Superintende
■isdojnv

ntof t

he McLean Hospital.

1

(b

^ e< • .... . 1 CO

s

•COfH.COt^ • . rlllO

TYXOX

*-< 1 CO

rH (N „ rt « « • 1 "^

g

•*1H ^eOiXi-l i-<|10

: : '* \ '^

•paiBOHSoa
-a«!pua

H

: : " ; : : : : : 1 -^

fa

-

s

: '. "^ : : : '. : • 1 '^

•Bijuainaa
annas

fa

: : : ; : : : : ^ i ^^

-

s

; ! : ". : ; : : .^ i -<

astasia

oiiBUiby

miAi.

c^

: <N rt • : ; : ; : i '^

fa'

• IN ;' ; : : : : : 1 "^

-

SlSOllOASJ

s

'.'.'*: :'.'.: ■ 1 ^

uoiiipuog
piduBJBj

H

: : : : "^ : : : • 1 "

fa'

'■.:'.■. \'-\\\ ! 1 ':

s

: : : : "^ : : : • 1 '^

laaoi

-aiioxg

aAissaadao;

-6inBi\r

H

: : : '^ : : : : : i '^

fa

s

: ; : "^ : : : : . 1 "^

. , 1 ^'

• ■ .-1 . . - ■ (N . 1 CO

aAissaadao

fa'

.■;■.! : : ; " • 1 "

g

^llOTfO -.

aonnioAui

" : : : : : "^ : ; 1 "^

— ' ; ; ; I : '^ ; : 1 ^'

I'waaaf)

fa

: ." : : : 3 '^ : i 1 2

: : ; : : '^ : : • 1 "^

: : : : : " "^ : : 1 21

xooaBJj;
■Bnnaaiaa

fa

: ; '^ : : : : : : 1 '^

g

'. '. '^ '. : : : : • 1 "^

•Biauamaa
oijojaios
-buaaay

H

... -Df . . . ■ 1 .«

fa'

: . : : "^ : : : ■ 1 "

g

CO • • • ■ 1 CO

93

<

Acute Intestinal Ob-
struction

Brain Tumor

Cardiac Disease

Empyaema

General Arterioscle-
rosis

General I'aralysis. . .

Lobar I'neumonia ..

Suicide

Thrombosis of Coro-
nary Artery

Tol.nl

238

Report of the Superintendent of the McLean Hospital.

<5 H

li

0

■ • rt CO CI

0

to c:

0

.0 n

b D

Cm

XI • • •

'-< •'-1 c»

OJ-s

to

Mr

0)

1^

. . .w^^

CO • CO 'O ^ . . .

-4 -.-■ 0

a.'

O

"^

•<j<

en

P

; ; ; ;INrt

CO-CO ". .i-l.-(NCOC^<H-

0 .o i^.

^■s

0 • ■ •

• 2

<

■a
.2«

«

: : : ; '^• '*'

tC • '-S ^. ■ • • • CO C) rt< 1-H •

0-0 -1

t< m

H

Oi . . . ■

t-i -^ 0

H
O

p. 0)

t-

1-3

la

a

0

hj

0 —

: : : ;'-"^

CO-CO ^ .H---

"" ■'^ 3

<!

■ s

ca

; ; ; ; rt C^

CO
CO ■ CO '~ . . - . CO r-1 -«l r-1 -

0 -o S

^®

S

CJ ....

•^

"^

s

^

^

^

rH CO «ttlin ■*

(M • 01 ^. « e<5 M • la 0 CI 11 -

CJ - CJ o

c^

N -O) c

c. -c ^

■r 0

b-

CO

0

>H rt CT 10 CO -K

tO ■ -O ■-! . .H - . CO . - CI •

f^

"-1 • •-' -t

ffi

hj

ID'S

to

s

^0

5

•C^T-I rH(N ;

0 ■ 0 0^. CI 0 e« . c^ to c> - •

to -to 0

t«

00 • • •

rH .r-l 05

o

»s<

«

0

12;

0'

0

p

CO CO CO Cj CO '■^

Cl -ci 5=

C4 ■ CI ^

rH iH l-( 0 . CO rj^ ^ •

CI -CI <N

CI -CI ^

H

C"

•*

0

_s

H
Q

PS

(M <N CI t- ^ r-c

rt . .CO . .rHrH .

to • to S

H

"3

H

4->

"S.
0

c^'

W^^C,^

-^ ''

- .-c .1 « - CC CO • ■

0 -to <^

s

r-

-^ •-" §

.

s

0

t~ 10 ■* CO «-! <N

N .ci S N cj cj t- e^ CO c<i -H .H

C4 . CI

CI -d '~.

CI • CI :a

E^

H

•*

n

0 «■"

,^

t^

r-..^ "

0)

;o CO ^ CO rt C-)

0 -to ^

•-I -1-1 CO ■ . ■ .-1 •

0 • to '^

■sod

E-H

'^ •'-' u-

s

S cS

:0 -to c

cs

Q

C3

rH(NeO ; ; ;

i-lCI>-l'*ClCOCl -1-1

to .to "-1

S

c^

CO

... (A

. . . oo .

«

• »

• in

c4

: ««

CO ' ■ ' '

u

9)

; «

2 ^

a

2 «

: fl

a • li-

^

a : t*i

: S

Q
0

" 0 ' M :

0

. 5i i'-'"''

- 0

■8^ a S
gj +j a >^

s

: 0 ■

s

t. a „ 50 C-l C4 (M
® 0 *H

«M.a

acowodioooo

0 rH rt CO CI

00

.<w-a

w

^200005;

®"

"Hoooooooi?

•*S

(^

a

c c

aj,T-ico50>HCjioo^

-.•BO 1

«-^co;c^>

^£

? ;^a

f^ « a
,12

"o

0 • t- r-

- ll2

0 - 0^

'.&&;

^aS-<

LU!6h

<

e-

^

t-

n

^

"-

H

1

<

h

Q.
O)

O

? 5

TWENTY-SEVENTH ANNUAL REPORT

OF THE
MCLEAN HOSPITAL TRAINING SCHOOL FOR NURSES.

The Training School for Nurses, with the comple-
tion of the twenty-eight years of its existence, has a
roll of graduates including 643 names — 415 women
and 228 men. In the following summary it is shown
how many remain in the work of nursing, and into
what positions in life others have gone.

Number of graduates in twenty-three years .
Graduates remaining in the service as nurses
Graduates remaining in the service as officers
Graduates in Mass. General Hospital Training School
Pupils in Mass. General Hospital Training School .
Previously graduated at Mass. Gen. Hospital Train-
ing School

Superintendents of hospitals

Superintendents of nurses, other hospitals

Assistant superintendents of nurses

Employed in other institutions

Engaged in private nursing

Medical students

Physicians

Instructor in Physical Training

Sanitary Inspector

Dentists

Masseuse

Clergyman

Missionary

Lawyers

In other business

At home

Married and left the profession

Deceased

Pupils now in this school

Unknown

239

Men.

Women.

228

415

8

31

3

4

2

1

151

1

6

5

3

7

12

62

155

7

1

37

4

1

1

10

2

1

1

3

74

1

39

125

14

19

44

60

1

3

240

McLean Hospital Training School for Nurses.

It will be seen from this table that of 396 women
graduates of the school who are now living 4 are
physicians, i a medical student and 222 are still in
the profession of nursing; and that of the 214 men
graduates who are now alive 81 are still nurses, while
54 are students of medicine or are ph3sicians or
dentists.

The only change in the course of study during the
3^ear is a gradual substitution of demonstration and
practical work for a certain amount of theoretical in-
struction as given b}- lectures and recitations, which
is not 3^et sufficiently matured to be expressed in the
printed course of stud3\ There is no doubt that the
proper way to teach is by actual demonstration and
by giving along with this enough of theor3'or explana-
tion to make it clear and interesting. After this
comes practice b3' the nurse in the care of the sick.
It still is found better for this school to give a con-
tinuous course of two and a half years in the hospital
and to let those who desire it obtain further instruc-
tion in other branches of nursing b3' a post-graduate
course in some other hospital. A large number of
our graduates take such a course.

During the 3'ear there has been no lack of pupil
nurses for the work of the hospital in the care of its
patients. The shortage of nurses of which some
complain is not due to a smaller number of 3'oung
men and women who enter this profession, but rather
to the fact that new hospitals large and small are
being built throughout the countr3' and that these as
well as more of those of older establishment have
opened schools for the instruction of their nurses.
Notwithstanding this increase of suppl3' the number
of trained nurses in the communit3' is not too large
for the demand, and the compensation for the nurse '

241

McLean Hospital Training School for Nurses.

in private work is steadily increasing. When the
trained nurse first came on the scene her pay was
$15; it now is S25 or S30 a week. No one who is
reasonably well fitted by nature and education need
remain idle, if willing to accept the more modest
sum of S20. Many families of moderate means can-
not atford a nurse even at this price. The inability
of many to pav the high prices of the present day
has led to an effort in some places to provide a num-
ber of domestic nurses or attendants b}' giving a six
months' course of instruction with the expectation
that nurses so educated will render tairlv satisfactory
service for a smaller compensation, perhaps Si 2 or
$15 a week. In the long run it will be found that
this will be regulated by the law of supplv and de-
mand and that the best of these nurses soon will
command a higher price. The problem is not yet
solved. The poor, if unable to employ a pupil nurse
from some training school, must still depend on the
nursing skill of their relatives or friends, supple-
mented by the assistance of the visiting nurse, or
must go to a hospital. Meanwhile the voung men
and women who can make themselves personally
acceptable to their patients and to the families of
their patients, who have a thorough education in nurs-
ing, and who are not afraid of work, can demand and
will receive S25 or S30 a week for their services.
And it is not to be expected that they can do much
for charity considering the time they have spent in
their education and the short period of their profes-
sional life. There is no better calling or profession
for a youns: man or woman with a fair oreneral edu-
cation, from the point of view of the development of
the individual as well as i'rom that of the pecuniar}-
compensation.

242 ^

3IcLean Hospital Training School for Nurses.

Since the length of the course of study was in-
creased a smaller number of men have been orradu-
ated. Men have a wider range in the choice of
occupation or profession than women and fewer
resort to nursing. The man, however, who intends
to stud}" medicine, as soon as he can earn enough
money, cannot engage in anything to get the money
which also is so valuable in the wa}' of preparation
for his future work as a course in a g^ood trainingr
school for nurses. It would be well if every phy-
sician knew more about nursing.

In these days of state registration it often is of
advantage for graduates of this school to become
registered nurses in other states. Application was
made to the Education Department of the State of
New York for the registration of the McLean
Hospital Training School for Nurses, which was
acted upon favorably by the Regents of the Univer-
sity of New York April i, 1909, so that our gradu-
ates are now elisfible for reg-istration in that state.
This, no doubt, will be of assistance to those who
wish to become registered nurses in other states than
New York.

All graduates are requested to communicate with
the Superintendent of Nurses yearly, during the
month of December, so that correct information con-
cerning them mav be printed in the annual report.

George T. Tuttle,

Medical Supei'intendent.

McLEAN HOSPITAL TRAINING SCHOOL FOR
NURSES, WAVERLEY, MASS.

1882-1910.

The Trustees of the Massachusetts General Hospi-
tal Corporation established a School for the instruc-
tion of nurses at the McLean Hospital in 1882. It
gives to men and women desirous of becoming pro-
fessional nurses a two and a half years' course of
training in general nursing, with special reference
to the care of cases of nervous and mental disease.
The School is conducted by the Superintendent of
the Hospital under the authority of the Board of
Trustees.

Those wishing to receive such a course of instruc-
tion should write to the Superintendent of the McLean
Hospital, Waverley, Mass., giving a brief personal
history, and also the names and addresses of three
responsible persons, not of their own kin, who know
of their character and capabilities. If on receipt of
this letter it is thought advisable for such prospective
candidates to make a formal application, blank forms
especially provided for this purpose will be sent to
them.

Candidates must be in sound health, and must send
with their application a certificate from a physician
certifying to the fact. They should preferably have
had a high school education or its equivalent, and
should be not less than twenty, nor more than thirty-
five years of age.

243

244

McLean Hospital Training School for Nurses.

On furnishing satisfactory evidence of their prob-
able fitness they will be received for two months on
probation. If accepted at the expiration of this time
they will sign an agreement to complete the pre-
scribed course of two and a half years. At the end
of the first six months the record of each pupil is
again carefully scrutinized and the right is reserved
to terminate then, or at any other time, the con-
nection of any pupil or nurse with the School and
Hospital for inefficiency, misconduct, generally un-
satisfactory record, or for an}' other reason which
may be deemed sufficient.

The pupils reside in the Hospital and are em-
ployed as assistant nurses in its wards. Men proba-
tioners while on duty will wear ordinar}' plain
clothing. The women are expected to dress plainl}-
and neatly in a cotton gown, and are permitted to
wear the cap and apron of the regular uniform.
After formally joining the School, at the end of the
period of probation, both men and women are re-
quired to wear the Hospital uniform while on duty
in the wards. Each woman nurse is required to
have a gymnasium costume, the material for which,
if desired, will be furnished at moderate cost by the
Hospital.

As compensation for their services, both men and
women receive board, lodging, and laundry-, instruc-
tion in nursing, and a certain amount of mone}',
which for the women is only sufficient to purchase
books and uniforms and to defra}' other absolutely
necessaiy incidental expenses. The men, who for
the present do not receive the preliminaiy course of
study given to the women, are paid twent}' dollars
($20) per month during the first fifteen months, and
twentj'-four dollars ($24) per month during the

245

McLean Hospital Training School for Xurses.

remainder of the course. The women receive seven
dollars ($7) per month during the first fifteen months,
and ten dollars ($10) per month during the remainder
of the course. Most graduates engage in private
nursing, or accept positions of trust in other institu-
tions. Some are invited to remain in the service of
this Hospital. For the first six months after gradua-
tion men who remain in or return to the service of
the Hospital receive twenty-seven dollars ($27) per
month, women twenty-five dollars ($25); after that
they both are paid thirty dollars ($30) per month.
Graduates of this School, who are also graduates of
the Massachusetts General Hospital Training School
for Nurses in Boston, are paid thirty-five dollars
($35) per month.

All pupils and nurses are allowed one afternoon,
a part of Sunday, and two or three evenings off duty
each week. They are also given a two weeks' vaca-
tion in each year; and no deduction of time is made
for sickness unless it exceeds two weeks in any
given year.

On completion of the full term of two and a half
years, nurses who have passed all the required exam-
inations receive diplomas certifying to their period of
training, their proficiency, and their good character.

Women graduates of this School who wish to have
additional practical experience and instruction in gen-
eral nursing have the privilege, under certain restric-
tions, of entering the Training School for Nurses at
the Massachusetts General Hospital in Boston. Such
graduates will, after thirteen months' satisfactory
study, receive the diploma from that School, in addi-
tion to the diploma received from the McLean Hos-
pital Training School.

246

McLean Hospital Traitiinj;- School for Nurses.

COURSE OF INSTRUCTION.

Instruction is given for eight months of the year,
from October ist to June ist. It is no disadvantage to
enter the School between May and October, since
the pupil will get some practical knowledge of the
care of patients before taking up the required study.

The course for men differs from that for women.
The latter receive less money and are allowed more
time for study.

A preliminary course of four months is given to the
women, and during half of the first school year the
pupil is given no more work on the wards than is neces-
sary to put in practice the instruction received. This
occupies about two hours daily. Most of the time is
devoted to lectures, recitations, demonstrations, and
laboratory work. Instruction to both men and women,
chiefly by the officers of the Hospital, includes courses
in anatomy, physiology, hygiene, bacteriolog}-, drugs
and materia medica, urinalysis, hydrotherapy, ph3'si-
cal exercise (including massage, medical gymnastics,
and Swedish movements), housekeeping, dietetics
and cookery, general nursing, obstetrical nursing (to
women), and especially nursing of cases of nervous
and mental diseases. There are written examina-
tions in the middle and at the end of each School
year, and pupils must attain on critical marking at
least 60 per cent.

Women graduates of this School have the privilege
under certain restrictions, of going to the Massa-
chusetts General Hospital Training School ibr addi-
tional instruction. Such graduates will, after thirteen
months' satisfactory study, receive a diploma from
that School in addition to the diploma received from
the McLean Hospital Training School.

247

McLean Hospital Traininj;- School for Nurses.

Anatomy. Recitations from a text-lDook on anat-
omy and pliysiology are required, and a course of
lectures is given on applied anatomy, in which the
general plan is to describe the anatomy of the
various physiological systems, to refer briefly to
their origin and use, to explain the different injuries
and diseases to which the}- are liable, and to describe
the treatment and nursing care of these morbid con-
ditions. There is an articulated and a disarticulated
skeleton which the pupils can use for study. It is
intended that each one shall see a post-mortem
examination.

Physiology. In addition to recitations from a
text-book, lectures are given on the blood, heart, cir-
culation, vaso-motor system, digestion (mechanical
and chemical), absorption, secretion, respiration,
animal heat, movement, nervous system, and special
senses. In the senior year another course of lectures
is given on the nervous system — general anatomy and
physiology, peripheral nerves, sympathetic system,
spinal cord and medulla, cerebellum and cerebrum.

Hygiene. Recitations from a text-book are re-
quired, and a course of lectures is given which in-
cludes a consideration of water, food, air, ventilation,
heating, lighting, sewerage, disinfectants and disin-
fection, and personal hygiene.

Bacteriology. A text-book is used for recita-
tions, and a course of lectures is given on benign and
pathogenic bacteria, methods of cultivation and ex-
amination, the relation of pathogenic germs to various
medical and surgical diseases, with a consideration
of some of the more common of these diseases.

Drugs and Materia Medica. Instruction is
given in the dispensary by lectures, demonstrations,
and practical work. The pupils are taught to use

248

McLean Hospital Training Scliool for Xurses.

the prescription balance and the various measures,
and are given practice in weighing and folding
powders, the different methods of measuring drops,
etc. They are taught to make weight-to-volume
solutions of various strengths, also percentage solu-
tions such as are used in the operating room or for
purposes of disinfection.

Instruction is also given in elementary chemistry
and botany, on the drugs in ordinary use, poisons
and their antidotes. The course is made a labora-
tor}' exercise so far as is possible.

Urinalysis. There are brief lectures on normal
and abnormal urines and the diseases in which they
occur. These are followed by demonstrations of
methods of anal3'sis, and the nurse is taught by
actual practice to make different tests. It is princi-
pally a laboratory exercise.

Physical Therapeutics. Lectures and demon-
strations are given on the various hydrotherapeutic
procedures and their effects. The pupils are also
given instruction in general massage and free stand-
ing movements of the Swedish S3^stem, the use of
apparatus in the gymnasium, and games. They are
also taught the use of the Zander apparatus, of elec-
tricity, and later in the course a more extended sys-
tem of medical gymnastics. During the two and a
half years' course of instruction the nurse has frequent
opportunity for the practical application of the knowl-
edge gained in the treatment of patients.

Housekeeping. Instruction is given by the As-
sistant Superintendent of Nurses, the Supervisor,
and the Head Nurses, and consists chiefly in actual
demonstrations and practice on the wards of general
household duties, and of such special duties as are
required for the proper care of the patients.

249

McLean Hospital Training School for Nurses.

Dietetics axd Cookery. Twenty-four exer-
cises of three hours each are given the women each
morning for one month, during which a lecture of
one hour is followed by two hours of practical work.
The men receive twelve exercises of two hours each.
The instruction includes a consideration of the pur-
chase of food, utensils, kitchen and dining room fur-
nishings; dietetics and general cooker}-, with special
reference to the preparation and serving of food for
the sick and the convalescent.

During the course meals are prepared and served
by the pupils, to illustrate the laying of trays and
tables and the duties of the hostess and waitress.

After sufficient practice in the care of the kitchen-
and dining room, the pupils are taken to the wards
to apply their knowledge, and throughout the re-
mainder of their service in the Hospital they assist in
serving food to the patients under the supervision of
the instructor.

Nursing. The theory of general nursing is taught
by text-books, lectures, and demonstrations, and a
practical application of the instruction is made so far
as the facilities of the Hospital will allow. ]Much of
the ordinary routine work of a nurse is the same for
patients treated here as for those in a general hospital,
while in the inatter of bathing, changing bed and per-
sonal clothing, serving food, giving enemata, etc., it
is often much more difficult.

The lectures on nursino^ aiven durins^ the second
year include a description of various diseases, a con-
sideration of methods of prevention, the various
remedial measures employed in the treatment of
these diseases, and their nursing care.

The teaching of obstetrical nursing is necessarily
b}' the use of text-books and by lectures. Many

260

McLean Hospital Training School for Xurses.

nurses, after graduation, take a three months' course
at some maternity hospital. The' nursing of cases of
nervous and mental diseases is taught by recitations,
lectures, demonstrations in the wards by the super-
intendent of nurses, supervisors, and head nurses,
and actual practice in the care of the patients of the
Hospital. Besides this, written reports of individual
cases are required, and nurses are taught to observe
and make dail}' notes of cases under their care.

Previous to the consideration of insanity, a brief
description of the normal mind is given in eight lec-
tures. In order to make it as practical as possible,
patients are assigned to each nurse to observe and to
•report verbally upon as to the condition of the vari-
ous mental states or faculties while they are under
discussion. Lectures are given on the causation,
symptoms, treatment, and nursing care of the differ-
ent forms of mental disease, with special attention to
the duties of the nurses.

FIRST YEAR.

Women : October — January.

Preparatory Course.

Applied Anatomy: Lecture^ Dr. Abbot, 15 hours.

Physiology : Lecture^ 1 2 hours.

Physiology: Recitation^ Miss Mcintosh, 12 hours.

Physiology and Hygiene (Hutchison) : Recitation^ Mrs. Holmes,

15 hours.
Hygiene : Lecture^ Dr. Bond, 8 hours.
Hygiene : Recitation^ Miss Woodward, 8 hours.
Bacteriology : Lecture, Dr. Packard, 5 hours.
Bacteriology : Recitation, Miss Woodward, 8 hours.
Dietetics and Cookery : Lecture^ demonstration^ and practice^ Miss

Swanson, 72 hours.

251

McLean Hospital Training School for Nurses.

Drugs and Materia Medica : Lecture^ demonstration, and practice,

Mr. Burdette, 15 hours.
Housekeeping: Demonstration and practice. Miss Mcintosh, 10

hours.
Nursing: Demonstration and practice. Misses Mcintosh, Leach,

and Macdonald, 10 hours.
Massage: Demonstration and practice. Miss Taylor, 12 hours.
Gymnastics : Detnonstration and practice. Miss Taylor, 1 2 hours.

February — May.

Applied Anatomy: Lecture, Dr. Abbot, 15 hours.

Personal Hygiene (Pyle) : Recitation, Miss Luscombe, 8 hours.

Bacteriology and Surgical Technic (Stoney) : Recitation, Miss

Mcintosh, 8 hours.
Technic of Aseptic Surgery : Detnonstration a?id practice. Miss

Mcintosh, 10 hours.

Men : October — May.

Applied Anatomy : Lecture, Dr. Abbot, 30 hours.

Physiology and Hygiene (Hutchison): Recitation, Dr. Pease, 15

hours.
Hygiene : Lecture, Dr. Bond, 8 hours.
Bacteriology: Lecture, Dr. Packard, 5 hours.
Hydrotherapy, Zander Apparatus and Electricity : Demonstration

and practice, Mr. Holmes and Dr. Packard, 10 hours.
Massage: Demonstration and practice, Mr. Holmes, 12 hours.
Gymnastics: Demo7istratio7i and practice, Mr. Holmes, 12 hours.
Housekeeping : Demonstration and practice, Mr. Magoon and

Head Nurses, 12 hours.
Nursing : Demonstration and practice, Mr. Magoon and Head

Nurses, 12 hours.

SECOND YEAR.

Women : October — May.

Nursing : Lecture, Dr. Abbot, 30 hours.

Text-book of Nursing (Weeks-Shaw) : Recitation, Miss Mcintosh,
15 hours.

How to Care for the Insane (Granger) : Recitation, Miss Wood-
ward, 10 hours.

252

McLean Hospital Training School for Nurses.

Materia Medica (Stoney) : Recitation, Mr. Burdette, 8 hours.
Medical Gymnastics : Demonstration and practice^ Miss Taylor,

12 hours.
Hydrotherapy, Zander Apparatus and Electricity : De7nonstration

and practice, Miss Taylor and Dr. Packard, i8 hours.

Men : October — May.

Nursing : Lecture, Dr. Abbot, 30 hours.

Text-book of Nursing (Weeks-Shaw) : Recitation, Mr. Magoon,
15 hours.

Drugs and Materia Medica : Lecture, demofistration, and practice,
Mr. Burdette, 15 hours.

Technic of Aseptic Surgery : Demonstration and practice,
Mr. Magoon, 10 hours.

Dietetics and Cookery : Demo?istration and practice. Miss Swan-
son, 24 hours.

THIRD YEAR.
Women : October — May.

Physiology and Hygiene (Hutchison) : Recitation, Miss Wood-
ward, 8 hours.

Mental Diseases: Lecture, Dr. Tuttle, 24 hours.

Handbook for the Instruction of Attendants on the Insane :
Recitation, Miss Woodward, 5 hours.

Manual of Nursing (Humphrey): Recitation, Miss Woodward, 10
hours.

Obstetric Nursing (FuUerton) : Recitation, Miss Woodward, 10
hours.

Urinalysis : Lecture, demonstration, and practice, 6 hours.

Gynaecology: Lecture and demonstration, 10 hours.

Men: October — May.

Mental Diseases: Lecture, Dr. Tuttle, 24 hours.

How to Care for the Insane (Granger) : Recitation, Mr. Magoon,

10 hours.
Manual of Nursing (Humphrey) : Recitation, Mr. Magoon, 10

hours.
Genito-Urinary Diseases : Lectures, demonstration, and practice,

10 hours.

LIST OF HOUSE PUPILS.

Adams, Benjaium P^aneuil Dunkiii .... Sui'g. 1863

Died 1895.

Adams, Charles Goldthwaite Surg. 1850

Died 1S52.

Albee. Fred Houdelett South Surg. 1904

63 Centre St., Waterburj', Conn.

Alden. Eliot West Sui-g. 1902

G09 Exchange Bldg., Los Angeles, Cal.

AUen. Dudley Peter AVest Sui-g. 1880

1110 Euclid Ave., Cleveland, Ohio.

Allen. Freeman South .Surg. 1900

•200 Beacon St., Boston.

AUen, Seahury Wells West Surg. 1898

509 Beacon St., Boston.

Andrews. Thomas '*'^ii'o- 1847

Died 1852.

Ayer. -Tames Bourne Surg. 1872

518 Beacon St., Boston.

Badger. George Sher^^-in Clark West Med. 1898

48 Hereford St., Boston.

Bain, .John Baxter East Med. 1903

M8 Haverhill St., Lawrence, Mass.

Baloh, Frankhn Greene West Smg. 1893

279 Clarendon St., Boston.

Baldwin. Hemy Cutler East Surg. 1885

126 Commonwealth Ave., Boston.

Barker. WiUiston Wright West Med. 1908

4 Lyndhurst St., Dorchester, Mass.

Barnes, AUen Foster South Surg. 1903

44 Brattle St., Cambridge.

Barney. Charles Norton West Med. 1896

Care Surgeon General, United States Army.

Barney. George Lawrence East Sui-g. 1895

Died 1898.

Barney. James DeUinger East Surg. 1905

384 Commonwealth Ave., Boston.

Barrett, Benjamin Apothecary 1823

Died 1SG9.

Barrett, Henry Augustus Med. 1844

Died 1899.

Bartlett, L\nnan Med. 1832

Died 1865.
253

254

List of House Pupils.

Bartol. Edward Francis Washburn .... East Surff. 1901

Miltou, Mass.

Bartol. Jolm Washburn East Surg. 1891

1 Cliestnut St., Boston.

Bates. Everett Alanson East Med. 1891

57 Cliestnut St., Springfield, Mass.

Beach. Henry Harris Aubrey Si^"'ff- 1867

28 Commonwealth Ave., Boston.

Beal. Howard Walter South Surg. 1899

55 Pearl St., Worcester, Mass.

Beals. Lynn Staley West Med. 1905

119 X. Norwood St., Buffalo, X.Y.

Beelje. Arthur Appleton East Sm-g. 1899

Died 1900.

Belknap. James Lyman West Med. 1904

Massachusetts General Hospital.

Bell. Charles ,Surg. 1854

Chester, X. H ?

Benner. Richard Stanwood West Suro-. 1903

2 Temple St., Springfield, Mass. *'

Bertody. Charles Sm.„, l§4g

Died 189.3.
Bigelow. Henry Jacob Med. 1838

Died 1890.

Bigelow. Leshe Lawson West Surg. 1908

288 Boyden Rd., Columbus, Ohio.

Binney. Horace South Surg. 1902

1 Marlboro St., Boston.

Blake. John George Surg. I860

212 Beacon St., Boston.

Blake. Samuel Coleman Med. 1852

Died 1897.

Blancliard. Alljert Henry Med. 1850

Died 1909.

Blodgett. Albeit Xovatus Surg. 1870

51 Massachusetts Ave , Boston,

Boos. WiUiam Frederick ....... West Med. 1902

374 Marlboro St., Boston.

Booth. Edward Chauncey West Med. 1877

4fi Boston St., Somerville, Mass.

Borland. John Nelson Med. 1850

Died 1890.

Boutelle, James Thacher Surg. 1870

Hampton, Va.

Boutwell. Henry Thatcher Surg. 1869

951 Elm St., Manchester, X".H.

BoutweU, Horace Keith East Med. 1905

416 Marlboro St., Boston.

255

List of House Pupils.

Bowditch, Henvv Ingersoll Med. 1830

Died l»'.t2.

Bowditch, Vincent Yivvdley Ea«t Med. 1879

50G Beacon St., Boston.

Bowen. John Tem])leton West Med. 1883

14 Marlboro St., Boston.

Bradford, Edward HiokUng Surg. 1872

133 Newbury St., Boston.

Brannan. John Winters East Surg. 1878

11 West 12th St , New York City.

Bi-ewster, George Washington Wales . . . East Surg. 1893
99 Commonwealth Ave., Boston.

Bridge, Horatio Med. 1870

Chicago, 111.

Briggs. Charles P:dwin East Surg. 1898

118 Lenox Bldg., Cleveland, Ohio.

Briggs. Frederick Melancthon East Surg. 1884

31 Massachusetts Ave., Boston.

Bright. George Adams Med. 1859

Died 1905.

Brooks. WilHani Allen East Surg. 1892

167 Beacon St., Boston.

Broughton, Arthur Nicholson South Surg. 1898

10 Roanoke Ave., Jamaica Plain, Mass.

Brown. Dillon West Surg. 1885

Died 1909.

Brown. Francis Henry Med. 1860 ,

28 State St., Boston.

BroAvn, Lloyd Thornton South Surg. 1908

295 Beacon St , Boston.

Buckingham, Edward Marshall West Surg. 1874

342 Marlboro St., Boston.

Buitum. William Henry East Med. 1903

276 Beneiit St., Providence, R. I.

BuUard. Wilham Norton East Med. 1880

89 Marlboro St., Boston.

Bumstead, Freeman Josiah Surg. 1850

Died 1879.

Burhngham, Louis Herbert West Med. 1907

Massachusetts General Hospital.

Burnett, Francis Lowell South Surg. 1908

187 Main St., Northampton, Mass.

Burnett, Waldo Irving Med. 1849

Died 1854.

Burnham, Elmond Arthur " . West Med. 1893

144 Huntington Ave., Boston.

Burrage, Thomas Jayne East Med. 1904

139 High St., Portland, Maine.

256

List of House Pupils.

Bush, John Standish Foster East Surg. 1874

651 Boylston St., Boston.

Butler, Charles Shorey East Surg. 1899

257 Newbury St., Hostoii.

Butler. Joel Ives South Surg. 1905

26 Maple St., SpringfieM, Mass.

Cabot, Arthur Tracy West Surg. 1876

1 Marlboro St., Boston.

Cabot, Hugh South Surg. 1899

87 Marlboro St., Boston.

Cabot, Richard Clarke P^ast Med, 1894

190 Marlboro St., Boston.

Capps, Joseph Ahuarin East Med. 1896

100 State St., Chicago, 111.

Carney, Sidney Howard ]\Ied. 1860

Sailorn' Snug Harbor Hospital, New Brighton, Staten Island, N. Y.

Caryl. Lucian Willard Surg. 1829

Died 1837.

Chadbourne. Arthur Patterson East Med. 1890

193 Beacon St., Boston.

Chadvvick. James Read Surg. 1870

Died 1905.

Chaniljerlaiu, Weston Percival West Med. 1<S98

Care Surgeon General, United States Army.

Chandler. Norman Fitch West Med. 1S88

27 High St., Medford, Mass.

Channing, Walter Surg. 1871

Channing Sanatorium, Brookline, Mass.

Chapin. Lawrence Dudley East Med. 1908

20 siaple St., Springfield, Mass.

Chase, Henry Melville West Surg. 1902

400 .Marlboro St., Boston.

Chauncey, Charles AVilliam Apothecary 1823

Died 18G4.

Churchill. Frank Spooner West Med. 1891

439 X. State St., Chicago, 111.

Chute, Arthur Lambert South Surg. 1895

350 Marlboro St., ISoston.

Clap, Edmund Wright East Med. 1895

222 Marlboro St., Boston.

Clark, George Oliver P^ast Surg. 1904

142 Beacon St., Boston.

Clark. John Howe Med. 1861

Amherst, X. H.

Clark, Joseph Payson East Surg. 1887

71 Marlboro St., Boston.

Clark, Nelson Henry West Med. 1905

]31 X. Highland Ave., I'ittsburg, Pa.

267

List of House Pupils.

Cobb, Farrar East Surg. 1893

317 Marlboro St., Boston.

Codniau, Kniest Aiuoiy East Surg. 1895

227 Beacon St., Boston.

Cogswell, WilHaiu South Surg. 1896

Bradford, Mass.

Couant, Willlaiu Merritt West Surg. 1884

486 Commonwealth Ave., Boston.

Cooke, Heury Aruokl East Med. 1897

234 Benefit St , Providence, R. 1.

Coolidge, Algeruou, Jr East Surg. 1886

G13 Beacon St., Boston.

Coolidge, Frederick Shurtleff West Surg. 1891

Pittsfield, Mass.

Cooi)er, Charles Wendell West Surg. 1877

Died 1897.

Cotton, Frederick Jay West Surg. 1894

483 Beacon St.. Boston.

Coues, William Pearce West Surg. 1895

903 Boylston St., Boston.

Crandell, Arthur Richmond South Surg. 1898

67 Spring St., Taunton, Mass.
Crane, Phineas Miller Apothecary 1826

Died 1882.

Crosbie, Arthur Hallam East Surg. 1907

29 Commonwealth Ave., Boston.

Cummin, Jolin White South Surg. 1897

9 Massachusetts Ave , Boston.

Curtis, Hall Surg. 1856

Died 1900.

Cushing, Edward Fitch East Surg. 1888

3849 Prospect Ave., Cleveland, Ohio.

Cushing, Edward Fitch West Med. 1890

3819 Prospect Ave., Cleveland, Ohio.

Cushing, Harvey Williams South Surg. 1897

107 East Ch;ise St., I'.altiinore, Md.
Cushing, Joseph Wliitney Surg. 18()0

Died 1897.

Cusick, Lawrence Francis East Surg. 1906

99 Newbury St., Boston.

Cutler, Elbridge Gerry Med. 1871

214 Beacon St., Boston.

Cutler, William Ward Med. 1835

Died 1870.

Dalton, John Call Surg. 1847

Died 1889.

Dana, Francis Med. 1829

Died 1872.

258

List of HoHse Pupils.

Dane. John East Surg. 1893

29 Marlboro St., Boston.

Davenport. Francis Henry Med. 1875

419 Boylston St., Boston.

Davis. Abel Albert East Surg. 1894

Calumet, Mich.

Davis. Lincoln East Surg. 1899

213 Beacon St., Boston.

Davis. William Augustus Med. 1840

Died 1808.

Davis, William Horace West Siu"g. 1898

23 Beaumont St., Ashmont, Mass.

Day. Charles Orrin. Jr East Surg. 1909

Massachusetts State Hospital, Tewksbury, Mass.

DeCouroillon, Eugene Med. 1857

Dieil.

Denny. Francis Parkman West Med. 1895

112 High St., Hrookline, Mass.

DeNormandie, Robert Laurent East Surg. 1903

357 Marlboro St., Boston.

Derby, George Strong East Surg. 1901

7 Hereford St., Boston.

Derby, Hasket Surg. 1857

352 Beacon St. , Boston .

Derby, Richard Henry Surg. 18(55

Died r.'07.

Dexter. Richard East Ued. 1906

1U03 Rose Building, Cleveland, Ohio.

DolHver, George Carroll South .Surg. 1895

Died 1S'.I7.

Donoghue. James Crowley East Med. 1897

23G Newbury St., Boston.

Dunbar. Franklin Asaph East Med. 1882

Bonita, Cal.

Dunn. Charles Hunter West Med. 1901

220 Marlboro St., Boston.

Dunn. William Aloysius West Surg. 1875

139 Beacon St., Boston.

Dupee. Horace Surg. 1835

Died 1891.

Durand. Henry Strong West Sui'g. 1887

87 South Fitzhugh St., Rochester, X. Y.

Dwight. Thomas Siu'g. 1866

235 Beacon St., Boston.
Dyer. Ezra Surg. 1858

Died 1887.

Eastman. Theodore Jewett West Med. 1907

396 Marlboro St., Boston.

269

List of House Pupils.

Easton. Charles Daniel • • Ea.st Med. 1905

36 Ayrault St., Newport, R- I.

Eaes. Richard Howavl East Surg. 1895

Died l'.<il.

Ela. Walter • • East Surg. 1875

13 Ash St., Cambridge, Mass.

^,- r. West Sure. 1890

Ehot. George »»e&Loui„

° Died ISOl.

Elliot. Jolm Wheelock West Surg. 1878

124 Beacon St., Boston.

EUis. Culvin ^^'^'^•

Died IS^.

1849
Med. 1851

EUis. Joshua James

Died l««l.

Emerson. Beniamin Kendall. Jr East Sui-g. 1902

37 Fearl St., Worcester, Mass.

Emerson. Edward Waldo West Surg. 1874

Concord, Mass.

Emmons. Arthur Brewster. 2d West Surg. 1905

31 Massachusetts Ave., Boston.

Eustis. John Fem^-ick ^^ed. 1839

Died 1844.

Eveleth. Cliarles Wilson ^^^t Med. 1904

471 Central Park West, New York City.

Everett. Oliver Kurd East Surg. 1877

53 Pearl St.. Worcester, Mass.

Fahvan. Marshall East Med. 1905

Warren St., Brookline, Mass.

Farlow. William Gilson Surg. 1869

24 Qolncy St., Cambridge, Mass.

Farnsworth. George Bourne East Surg. 1909

Bethel, Me.

Finnev. Jolm MiUer Tmijin • West Surg. 1889

131X1 Eataw Place, Baltimore, Md.

T— 1 t ^1 T West Sui'O". 1890

Fi.sk. Arthur Lvman i> e.i. oiix^

41 West 50th St., New York City.

Fitch. Ralph Ro.well We.tMed. 1904

209 East Ave., Rochester, X. Y.

Flagg.Efeha East Surg. 1902

190 Commonwealth Ave., Boston.

Fletcher. Ezra Wood ^^e^^- ^"^"^^

Died 1847.

Flint. Carleton Pliillips ^^'"tb !^^u-g. 1898

Died WIS.

Flint. John WestSixrg. 1903

Care Surgeon General, I'nued states >a\y.

Flint. John Sydenham ^i«"^- ^^"^'^

Died IfiSl.

2H0

Liht of House Pupils.

Floyd, Cleaveland "... West Med. 1904

1378 Beacon St., Hrookline, Mass.

Folsoni, Norton Med. 1863

Died 1903.

Foi'd, Lester Sackett East Surg. 1882

Died 1882.

Foster, Burnside West Surg. 1887

90 Lowry Arcade, St. Paul, Minn.

Francis, George Ebenezer Surg. 1862

79 Elm St., Worcester, Mass.

Francis, George Hills East Surg. 1887

295 Walnut St., Brookline, Mass.

Frost, Horace Bird East Surg. 1897

103 State St., CliicaRo, 111.

Gage, Homer . East Surg. 1888

72 Pearl St., Worcester, .Mass.

Gage, Thomas Hovey Surg. 1851

Died 1909.

Galloupe, Charles AVilliam West Surg. 1884

188 Commonwealth Ave., Boston.

Gannett, William Whitworth West Med. 1879

274 Marlboro St., Boston.

Garland, Frederick P^ugene South Siu-g. 1903

483 Beacon St , Boston.

Garland, Joseph Evei-ett West Surg. 1876

Dieil 1907.

Garland, Roy • West Surg. 1904

17 Dale Ave., (Jlouccster, Mass.

Gay, George Henry Surg. 1844

Died 1878.
Gay, Warren Fisher West Surg. 1893

416 .Vlarllioro St., Boston.

Gibson, Robert Francis West Med. 1902

108 Highland Ave., Somerville, -Mass.
Gibson, William Borrowe Surg. 1861

Died 1862.

Giddings, Harold Girard South Surg. 1909

491 Massachusetts Ave., I?oston.

Gin)ert. Louis Whitmore West Med. 1897

1410 Beacon St., Brookline, Mass.

Godding, Clarence Miles East Surg. 1883

312 Benettt St , Providence, R. I.

Goodale, .Joseph Lincoln AVest Med. 1893

258 I'.eacon St., Boston.

Goodall, Harry Winfred AVest Med. 1903

71 Marlboro St , Boston.

Goodridge. Frederick .Tames South Surg. 1904

5 Ajjpian Way, Cambridge, .Mass.

261

List i)f House rupil*.

Gould, Alfred Heiuy South Surg. 1901

Died 1907.

Gould. Augustus Addison Med. 1828

Died 1S6G.

Graves, James Cluipnian. Jr East Surg. 1906

206 Hyde Block, Spokane, AVash.

Graves. Robert John East Surg. 1904

5 N. State St., Concord, N. H.

Graves. William PhiUips East Surg. 1900

244 Marlboro St., Boston.

Gray, Francis Henrv Med. 1833

Died 1880.

Greene. John Orne Surg. 1865

2(!2 Xewbury St., Boston.

Green. Joshua Apothecary 1821

Died 1875.

Green. Robert Montraville South Surg. 1907

7S .Marlboro St., Boston.

Green, Samuel Abbott Sui-g. 1853

115i Boylston St., Boston.

Greene, Edward Miller East Med. 1889

20 Mt. Vernon St., Boston.

Greenough, Francis Boott Med. 1865

Died 1004.

Greenough, Robert Battey East Surg. 1896

377 Beacon St., Boston.

Greenough, Robert Battey West Med. 1897

377 Beacon St., Boston.

Greenwood. Arthui* Moses West Surg. 1904

69 Pleasant St., Marblehead, Mass.

Gregg, Donald West Med. 1909

Manila, P. 1.

Habersham, Joseph Clay Med. 1852

Died 1881.

Hale, Josiah Little Surg. 1867

Died 1903.

Hall, Herbert James East Surg. 1896

69 Pleasant St., Marblehead, Mass.

Hamilton, Robert De Lancey East Med. 1904

210 High St., Newburyport, Mass.

Harmer, Torr Wagner East Surg. 1908

18 Adam St., Somerville, Mass.

Harrington, Charles East Med. 1881

Died 1908.

Harrington, Francis Bishop East Surg. 1881

201 Beacon Street, Boston.

Harris, Francis Augustine Sui-g. 1871

Winthrop Centre, Mass.

262

List of House Pupils.

Harrison. Paul WilLei-force East Surg. 1909

25 East 22(1 St., Xew York.

Hartwell, Harry Fairbanks .South Surg. 1899

220 Marlboro St., Boston.

HartwelL, John Bryant "West Surg. 1905

' 29 (3ommon wealth Ave., Boston.

Haskins. Alfred Leonard ]\Ied. 1864

Died 1876.

Hastings. William Henry Howe Med. 1867

Died liviri.

Hatch. Royal West Med. 1906

572 Wa-liington St., Wellesley, Mass.

Haven. Henry Cecil East Surg. 1877

Scockbridfie, -Ma-ss.

Haven. Samuel Foster Me<l. 1854

Died 1862.

Hawes, John Biomhani. L'd East Med. 1904

205 Beacon St., Bo>toii.

Hav. Gu.sta\iis 3Ied. 1856

Died 190S.

Hayden. David Hyslop Surg. 1862

6 Red Cross Ave., Newport, R. I.

Hayward. George Suig. 1841

Died 1901

Havward. George Giiswold Ea.st Surg. 1880

lo.j Newbury St., Boston.

Head. John Fiazier Med. 1843

Died 190S.

Heard. Jolm Theodore Surg. 1858

Died inf»6.

Hewes. Henry Fox East Med. 1895

125 Marllx)ro St., Boston.

Hevwood. Charles Frederick Surg. 1846

Died 18;t3.

Hildreth. Charles Hosea Surg. 1850

Died 18S4.

Hill. George Hillard West Sui-g. 1895

66 Pleasant St., Worcester, .Mass.

Hill. George Sumner Ea.st Med. 1901

295 Beacon St., Boston.

Hodgdon, Andrew Hall AVest Med. 1882

Maple Place, Dedhatn, Mass.

Hodges. William Donnlson East Surg. 1881

Died 1893.

Holden. Charles Sumner West Surg. 1883

24 So. Main St., Attleboro, .Mass.

HoUings. Charles Byani West Surg. 1908

53 Ellery St., Caruliridge, Mass.

263

List of Houi^e riipils. >

Holiues, Clu-istopher Coluinlnis Surg. 1839

Died 1882.

Holmes, Echvaid Lorenzo Surg. lSo3

Died 190<J.

Homans, Charles Dudley Sm-g. 1849

Died 188G.

Homans. John Siu-g. 18<il

Died 1903. ,

Homans. John South Surg. 1904

164 Beacon St., Boston.

Homans. John. 2.1 East Sm-g. 1882

Died 190-2.

Hooker. Anson Parker ^le<l. 1857

Died 1873.

Hooper. Henry Surg. 1868

lOAstor St.. Chicago, 111.

Hosmer. Allred Surg. 1855

Died 1891.

Houghton. Henry Lincohi West Sm-g. 1895

419 Hoylston St.. Boston.

Howe. Estes Med. 1834

Died 1887.

Howe. Oetavius Thorndike West Siu-g. 1877

Koora 60S, Bay State Bldg., Lawrence, Mass.

Howe. Samuel East Sm-g. 1875

Died 1879.

Howland. Joseph Briggs West Surg. 1897

Massachusetts General Hosintal.

Hoyt. Charles Wentworth West Sm-g. 1906

209 East Ave., Rochester, N.Y.

Hubbard. Joshua Clap South Surg. 1897

84 Bay State Rd., Boston.

Huntington. James Lincoln South Surg. 1908

150 Fisher Ave., Brookline, Mass.

Huntington. Thomas Waterman East Med. 1876

Union Square Bldg., 350 Post St., San Francisco, Cal.

Hutchinson. MarceUo East Med. 1877

Died 190S.

Hyde. George Smith Med. 1855

Died 1905.

Inches, Charles Edward Surg. 1864

386 Beacon St., Boston.

Jackson, Henry East Med. 1885

380 Marlboro St. , Boston.

Jackson, James Marsh West Med. 1891

230 Beacon St., Boston.

Jackson, John Barnard Swett Apothecary 1827

Died 1879.

264

List of House Pupils.

Jacobs, Henry Barton East Med. 1888

11 Mt. Vernon Place, W. Baltimore, Md.

Ja(iues, Henry Percy West Med. 1880

Lenox, Mass.

Jelly, Arthur Carleton East Med. 1892

10 Arlington St., Boston.

Johnson, Harold Abbott West Surg. 1901

70 Broad St., Lynn, Mass.

Johnson. .John Bates Surg. 1838

St. Louis, Mo.

Johnson. Walter Sidney West Surg. 1899

717 Grant Bldg., Los Angeles, Cal.

Johnson. William Otis Med. 1848

Died 1873.

Jones, Claudius Marcellus East Med. 1875

Died 1892.

Jones, Daniel Fiske West Surg. 1897

195 Beacon St., Boston.

Jones, Ralph Kneeland Med. 1846

Died 1888.

Joslin, Elliot Proctor West Med. 1895

81 Bay State Rd., Boston.

Jouett, Frederic Robert West Med. 1900

3 Garden St., Cambridge, Mass.

Kennedy, Arthur Lemuel East Med. 1902

2709 Bond St., Denver, Col.

Kent, Barker Brooks Surg. 1868

Died 1873.
Kidder, Edward Hamilton West Surg. 1894

Died 1898.

Kidner, Frederick Clinton South Surg. 1905

16 Brimmer St., Boston.

Kimball, George MorriU West Surg. 1885

266 No. Main St., Concord, N.H.

Kingman, Lucius Collinwood West Surg. 1905

325 Broad St., Providence, R.I.

Kingsley, George Lyle West Surg. 1891

Died 1890.

Kinnicutt, Roger East Med. 1908

Massachusetts General Hospital.

Ladd, Maynard West Med. 1900

270 Clarendon St., Boston.

Lambert, Alfred Surg. 1845

Died 1885.

Lane, Jonas Henry Apothecary 1824

Died 1861.

Lane, WiUiam Nourse Suro-. 1852

Died 1862.

265

List of Mouse I'lipils.

Langinaid, Sanmel AN'oods Surg. 1863

277 DartiiiDuth St., Boston.

Lecompte, Walter Augustu.s "West Surg. 1899

Died 19(17.

Lee. Roger Irving East Med. 1907

99 Commonwealth Ave., Boston.

Lee, William George East Surg. 1905

1904 Evanston Ave., Chicago, 111.

Lincoln, :Merrick West Med. 1901

2 Linden St., Worcester, Mass.

Lincoln, Rufus Pratt Surg. 1867

Died 190().

Little, John Mason South Surg. 1902

St. Anthony's Hospital, St. Anthony, Newfoundland.

Locke, Edwin AUen East Med. 1902

311 Beacon St., Boston.

Lombard, Frederick Howard West Surg. 1882

Died 1885.

Lord. Frederick Taylor East Med. 1901

305 Beacon St., Boston.

Lord, Sidney Archer South Sui-g. 1894

Cromwell Hall, Cromwell, Conn.

Loring, Robert Gardner West Surg. 1896

2 Arlington St., Boston.

Lothi'op, Howard Augustus East Surg. 1892

101 Beacon St., Boston.

Lothrop, Oliver Ames West Sm-g. 1909

101 Beacon St., Boston.

Lund, Fred Bates West Surg. 1893

529 Beacon St., Boston.

Lynam, Frank West Surg. 1893

1713 E. Superior St., Duluth, Minn.

Mack, William Surg. 1837

Died 1895.

Manahan, Thomas James South Surg. 1900

14 Xewbury St., Boston.

Marks, Henry Koval East Med. 1909

Rockefeller Hospital, New York City.

Marshall, Herman Weston West Surg. 1907

8 Marlboro St., Boston.

Mason, Amos Lawrence Med. 1871

265 Clarendon St., Boston.

Mason, George Edward Sui'g. 1864

Died 1882.

Mason, William Castein . . East Surg. 1878

Bangor, Maine.

May, William Ropes East Med. 1900

27 West 44th St., New York City.

266

List of House Fupils.

Mead, Louis Guy East Med. 1901

"259 Heacon St., Hoston.

Mears, Elijah Raymond •'^ui'g. 1840

Died is-il.

Metealf. Carleton Ray East Surg. 1907

Massachusetts (Jeneral Hospital.

Miller, Ernest Parker West Med. 1877

408 Main St., Fitcblinrg, Mass.

Minot, James Jackson •. East Med. 1878

188 Marlboro St., Hoston.

Mixter, Charles Galloupe West Surg. 1907

180 Marlboro St., Hoston.

Mixter, Samuel Jason West Surg. 1879

ISO Marlboro St., Boston.

Mixter. William Jason South Surg. 1907

180 .Marlboro St., Boston.

Moffit, Herbert Charles East Med. 1895

1818 Broadway, San Francisco, Cal.

Monks, George Howard East Surg. 1880

G7 -Marlboro St., Boston.

Moore. Frederick Fiske West Med. 187G

Moorehouse, George Wilton East Med, 1899

144 N. Main St., Wauwatoso, Wis.

Morrill, Ferdinand Gordon Surg. 1868

Died I'tOT.

Morse, Henry Lee West Surg. 1878

112 Marlboro St., Boston.

Morton. William James Surg. 1871

19 East '28th St , New York City.

Moseley, William Edward East Med. 1874

301 West Monument St , Baltimore, Md.

Moseley, WilUain Oxnard West 'Sled. 1878

Died 1879. ,

Mosher, Harris Peyton East Surg. 1897

828 Beacon St., Boston.

Mumford. James Gregory East Surg. 1890

29 Commonwealtli Ave., Boston.

Murphy. Fred Towsley West Surg. 1901

309 Marlboro St., Boston.

Musgi-ave, Percy East Med. 1899

6 Dupont Circle, Washington, D.C.

Newhurgh, Louis Harry West 31ed. 1909

655 Forest Ave., Avondale, Cincinnati, Ohio.

Newell, FrankUn Spihnan South Sm-g. 1896

379 Beacon St., Boston.

Newell, Otis Kimball East Surg. 1883

G8 St. James Ave., New York City.

267

List of House Fupils.

Newhall, Harvey Field East Surg. 190(>

51 Nahant St., Lynn, Mass.

Newhall, Herbert William West Med. 1883

82 Broad St., Lynn, Mass.

Nichols, Arthur Howard Surg. 1865

55 Mt. Vernon St., Boston.

Nortou, Chaunc-ey Williams West Surg. 1902

Cazenovia, N.Y.

1904
1832
1900
1848
1854

Oakman, Carl Shepard East Surg.

32 Adams Ave., Detroit, Mich.

Odin. John Surg.

Died 18G4.

Odiorne, Walter Burhngame East Surg.

Died 190G.

Oliphant, Robert Woodruff Med.

* Died 1883.

Oliver, Henry Kerable Med.

St. Botolph Clul), Boston.

Oliver, Joseph Pearson Med. 1870

Died 1903.

1895

1896

O'Neil, Richard Frothingham West Surg.

379 Beacon St., Boston.

O'Neil, Richard Frothingham East Med.

379 Beacon St., Boston.

Ordway, Clarence Eugene West Surg. 1906

371 Main St., Winchester, Mass.

Osgood, Robert Bayley West Surg. 1900

■ 372 Marlboro St , Boston.

Otis, Walter Joseph West Surg. 1880

267 Beacon St., Boston.

Overlander, Charles Leonard West Med. 1906

1112 Bi)ylston St., T.oston.

Page, Wilham Hussey Surg. 1852

*= Died 1888.

Painter, Charles Fairbanks East Surg. 1896

372 .Marlboro St., Boston.

Palfrey, Francis

88 Beacon St., Boston.

Winslow West Med. 1903

88 Beacon St., Boston.
Park, John Gray .... ^;^ ;_; • • • ^^^^^•

Parker, WiUard . . •

1861

Died 1905.

Med. 1829

Died 1884.

Parkman, Samuel Med. 1836

Died 1854.

Peabody, Francis Weld East Med. 1908

Johns Hopkins Hospital, Baltimore, Md.

Pearl, Frederick Warren East Surg. 1895

Hotel Vendome, Boston.

268

List of House Pupils.

Pease. Eclwaid Allen West Surg. 1892

1684 Beacon St., Brookline, Mass.

Pegram, John Comhe, Jr West Surg. 1896

Died 1906.

Pfeiffer. Oscar Joseph East Surg. 1884

letli and Stout Sts., Denver, Col.

Phillips, Jerrie Knowlton West Surg. 1880

Died 1899.

Phippen, Hardy East Surg. 1889

81 Washington Sq , Salem, Mass.

Phippen. Walter Gray . . South Surg. 1906

78 Washington Sq., Salem, Mass.

Pierce, George Burgess West Surg. 1900

178 Devonshire St., Boston.
Pierson, Edward Brooks Surg. 1842

Died 1874.

Porter. Charles Allen East Surg. 1893

254 Beacon St., Boston.

Porter, Charles Burnhani West Surg. 1864

Died 1909.

Porter, Francis Edward Surg. 1872

Auburndale, Mass.

Post, Abner Surg. 1869

16 Newhury St., Boston.

Potter, Alexander Carleton South Surg. 1900

186 Commonwealth Ave., Boston.

Potter, Nathaniel Bowditch East Med. 1898

48 West 5l8t St., New York City.

Pratt. Calvin Surg. 1865

South St., Bridgewater, Mass.

Pratt, Herbert James Med. 1867

Denver, Col.

Pratt, John Washburn West Surg. 1886

Dedham, Mass.

Prescott, Henry Dudley East Surg. 1904

176 William St., New Bedford, Mass.

Putnam, Charles Pickering Med. 1868

63 Marlboro St., Boston.

Putnam, Charles Russell Lowell South Surg. 1895

121 East 38th St., New York City.

Putnam, James Jackson Med. 1869

106 Marlboro St., Boston.

Quinby, WiUiam Carter East Surg. 1903

396 Marlboro St., Boston.

Quincy, Henry Parker Surg. 1866

Died 1899.

Ray, Benjamin Lincoln Med. 1858

Died 1879.

269

List of House Pupils.

Reynolds, Edward East Surg. 1885

321 Dartmouth St., Boston.

Reynolds, dolni Phillijjs Med. 1851

Died 1909.

Reynolds, dose])!! Apothecary 1825

Died 1872.

Rice, Alexander Hamilton East Surg. 1905

389 Beacon St., Boston.

Richardson, Eldward Pierson East Surg. 1907

224 Beacon St., Boston.

Richardson, INIark Wynian West Med. 1895

419 Boylston St., Boston.

Richardson, Maurice Howe East Surg. 1877

224 Beacon St., Boston.

Richardson, William Lambert Med. 1866

225 Commonwealth Ave., Boston.

Riley, Augustus vSouth Surg. 1909

240 West Newton St., Boston.

Risley, Edward Hammond East Surg. 1908

527 Beacon St., Boston.

Robbins, Chandler South Surg. 1905

259 Beacon St., Boston.

Robinson, Samuel South Surg. 1902

374 Marlboro St., Boston.

Robinson, Samuel Quincy Surg. 1876

Died 1899.

Ropes, Francis Codinan Surg. 1859

Died 18G9.

Rotch, Thomas Morgan West Med. 1874

197 Commonwealth Ave., Boston.

Sabine, George Kraus Surg. 1872

30 Irving St., Brookline, Mass.

Sadler, Roy Angelo East Med. 1909

83 Congress St., Milford, Mass.

Salisl)ury, Stephen . Surg. 1834

Died 1875.

Sanford, Henry Lindsay East Surg. 1901

1021 Prospect St., Cleveland, Ohio.

Sargent, Joseph Med. 1837

Died 1888.

Sargent, Lucius Manlius Surg. 1855

Died 1864.

Sawyer, Albert Franklin Surg. 1851

Died 1903.

Sawyer, Wilbur Augiistus West Med. 1908

2434 Durant Ave., Berkelej', Cal.

Sayward, William Henry, Jr West Med. 1900

Way land, Mass.

270

List of House Pupils.

Scliniiu. Charles West Med. 1886

52 East 82(1 St., New York City.

Sciulder, Charles Locke P^ast Surg. 1889

209 Beacon St., Boston.

Sciulder. Gardiner Hubbard West Med. 1896

Died 189G.

Sears, George Gray West Med. 1885

42G Beacon St., ]5oston.

Seaverns, Joel Med. 1853

Died 1894.

Seelye, Ralph Holland East Surg. 1891

73 Cliestnut St., Springfield, Mass.

Seelye, AValter Clark West Surg. 1900

64 William St., Worcester, Mass.

Sewall, John Gallison Med. 1847

Died 1872.

Shattuck, Frederick Cheever Med. 1872

135 Marlboro St., Boston.

Shattuck, George Cheever East Med. 1906

227 Beacon St., Boston.

Shaw. Henry Alden West Surg. 1891

Major-Surgeon, United States Army, Washington, D.C.

Sheahan. George Maurice West Surg. 1908

12 School St., Quincy, Mass.

Sherman. Thomas Foster AVest Med. 1881

Died 1893.

Sibley. Benjamin Ernest South Surg. 1906

1407 Beacon St., Brookline, Mass.

Simmons, Channing Chamberlain East Surg. 1900

317 Marlboro St., Boston.

Sinclair, Alexander DouU Med. 1856

Villino Lampo, Fiesole, Florence, Italy.

Slade, Daniel Denison Surg. 1848

Died 1896.

Smith, George Gilbert West Surg. 1909

50 Edgemont Rd., Upper Montclair, N.J.

Smith, Harold Wellington South Surg. 1903

Care Surgeon General, United States Navy.

Smith. Hervey Lewis West Med. 1907

249 Union St., Springtield, Mass.

Smith, Ira St. Clair Surg. 1868

Died 1891.

Smith, Richard Mason West Med. 1909

222 Marlboro St., Boston.

Smith. AVilliam Henry West Med. 1897

377 Beacon St., Boston.

Smith. William Lord AVest Surg. 1892

397 Marlboro St., Boston.

271

List of House Pupils.

Si)akling. Roger East Med. 19U2

Ouxbury, Mass.

Spuihawk, Thomas Med. 1881

Died 1874.

Spear, Louis Mahloii East Med. 190 G

Hotel Westniinhter, Boston.

Spooner, Lesley Hinckley p^ast Med. 1909

313 Beacon St., Boston.

Sprague, Richard West Surg. 1888

Died 1892.

Stearns, John Surg. 1859

Died 1898,

Stednian, Charles Ellery Surg. 1854

Died 1909.

Stednian, George West Surg. 1875

380 Newbury St., Boston.

Stednian. Henry Rust p:ast Surg. 1874

48 Beacon St., Boston.

Stevens. Horace Paine West Surg. 1907

1911 Mas-sachusetts Ave., N. Cambridge, Mass.

Stevens. Lewis Tibbets West Med. 1887

Died 1898.

Stickney. Josiah Henry Surg. 1857

Died 1901.

Stone. Arthur Kingsbury West Surg. 1888

543 Boylston St,, Boston.

Stone. James Savage East Surg. 1894

234 Marlboro St., Boston.

Storer, Malcolm p:ast Surg. 1890

476 Boylston St., Boston.

Stowell, Edmund Channing East Med. 1893

662 Centre St., Jamaica Plain, Mass.

Strong. Charles Pratt ......... West Surg. 1881

Died 1S93.

Sturgis. Frederick Russell Surg. 1866

lie West 55tl] St., New York City.

Swain. Howard Townsend East Surg. 1898

68 Marlboro St., Boston.

Swain, Howard Townsend West Med. 1899

68 Marlboro St., Boston.

Swan, Charles Walter Med. 1863

119 Livingston Ave , Lowell, Mass.

Swan, William Donnison East Surg. 1886

167 Brattle St., Cambridge, Mass.

Swett, Samuel Surg. 1831

Died.

Swift. John Baker. Jr South Surg. 1909

465 Beacon St , Boston.

272

List (if House Pupils.

Swift, William Nye East Med. 1881

378 County St., New Bedford, Mass.

Talbot, Fritz Bradley P:ast Med. 1907

171 Bay State Rd., Boston.

Tarbell, George Grosvenor Surg. 1864

Died 1900.

Taylor, Frederick Weston East Med. 1882

17;55 Massachusetts Ave., N. Cambridge, Mass.

Thayer, William Hemy Med. 1842

Died 1897.

Thayer, WiUiam Sydney West Med. 1889

4<)6'Cathedral St., Haltiinore, Md.

Thomas, Thomas Kemble Surg. 1830

Died 1863.

Thompson, Frederick Henry ^"I'g- 1869

3 Pleasant St., Fitcliburg, Mass.

Thorndike, Augustus West Surg. 1889

601 Beacon St., Boston.
Thorndike, William Surg. 18r)6

Died 18S4.

Thorndike, William Henry Surg. 1848

Died 1884.

Tilden, George Horton P^ast Surg. 1876

Naples, Italy.

Tileston, Wilder East Med. 1900

.308 Crown St., New Haven, Conn.
Tobey, James Edwin Surg. 1871

Died 1S91.

Torbert. James Rockwell East Surg. 1902

252 ^larlboro St., Boston.

Tower, Charles Carroll ........ Med. 18,"')8

Died 1893.

Townsend, Charles Wendell East Med. 1886

76 Marlboro St., Boston.

Townsend, William Edward Surg. 1848

Died 1860.

Tuck. Henry Surg. 1833

Died 1845.

Tuck, Henry Med. 1866

l>ied 1904.

Van Nliys, Fresenius East ^Vled. 1907

Westun, Mass.

Vaughn, Charles Everett ....... Med. 1862

Died 1904.

Vickery, Eugene Augustus West Surg. 1904

Care Surireon General, United States Navy.

Vickery, Herman Frank West Med. 1882

263 Beacon St., Boston.

273

List of House Pupils.

Vincent, Beth West Surg. 1903

295 Beacon St., Boston.

Vose, Robert Henry East Surg. 1897

53 Hereford St., Boston.

Wadsworth, Oliver Fairfield Med. 1863

526 Beacon St., Boston.

Wadswortli, Richard Goodwnn South Surg. 1901

323 Beacou St., Boston.

Wakefield, Alley Talbot West Surg. 1883

Died 1886.

Walcott, William Walter South Surg. 1906

32 West Central St., Xatick, Mass.

Warren, Hobart Endicott East Surg. 1894

Ashburnham, Mass.

Warren, John Collins Surg. 1865

58 Beacon St., Boston.

Washbui-n, Frederic Augustus South Surg. 1897

Massachusetts General Hospital.

Waterman, George Arthur West Med. 1901

395 Marlboro St., Boston.

Waterman, Thomas Surg. 1867

Died 1901.

Watson, Francis Sedgewick East Surg. 1879

92 Marlboro St., Boston.
Webster, Fred Patterson West Med. 1902

310 Y.M.C.A. Bldg., Portland, Maine.

Weis, Joseph Deutsch West Med. 1899

1448 Jackson Ave., New Orleans, La.
West, George Webb West Surg. 1879

Died 1897.

Wheeler, Alfred AugustiLs South Surg. 1894

48 Mt. Pleasant St., Leominster, Mass.

Wheeler, John Brooks East Surg. 1879

210 Pearl St., Burlington, Vt.

Wheeler, Leonard Med. 1869

12 Chestnut St., Worcester, Mass.
Whipple, Jeremiah Med. 1865

Died 1871.

White, Franklin Warren East Med. 1896

416 Marlboro St., Boston.

White, James Clark Med. 1855

259 Marlboro St., Boston.
White, John Lane Med. 1854

Died 1902.

Whiteside, George Shattuck West Surg. 1898

804 Dekum Bldg., Portland, Ore.

Whitney, James Lyman West Med. 1906

2620 Laguna St., San Francisco, Cal.

2T4

List of House Pupils.

Whitney, Wmiam Fiske West Med. 1875

328 Marlboro St., Boston.

Whittemore, James Madison Apothecary 1822

Died 1863.

Whittemore, Wyman West Surg. 1906

99 Commonwealth Ave., Boston.

Whittier, Edward Newton Med. 1868

Died 1902.

WiUard, Josiah NeweU Med. 1859

Died 1870.

WiUard, Robert Med. 1862

Died 1892.

Williams, Hugh West Surg. 1899

301 Beacon St., Boston.

Winn, William Adams East Surg. 1876

Died 1889.

Winslow, Fred Bradlee South Surg. 1901

275 Clarendon St., Boston.

Witherle, Charles Bryant West Surg. 1881

704 Congress St., Portland, Maine.

Wood, Edward Stickney Surg. 1870

Died 1905.

Woodbury, Frederick Clinton East Med. 1887

Died 1886.

Woodbuiy, WiUard Porter East Surg. 1908

167 Hale St., Beverly, Mass.

Workman, WiUiam Hunter Med. 1871

Worcester, Mass.

Wyman. MorriU Med. 1836

Died 1903.

Yost, Jno. Dixon East Surg. 1898

Care of Surgeon General, United States Army.

Young, Ernest Boy en West Surg. 1897

434 Marlboro St., Boston.

Young, James Herbert West Med. 1908

Vernon Court, Newton, Mass.

MST OF HOUSE OFFICERS TO SPECIAL DEPARTMENTS.

CasweU, Charles O Orthopedic 1910

Eaton, William E Dermatological 1907

Felch, Lewis P Orthopedic 1909

Goodridge, Frederick J Dermatological 1905

Janes, Benjamin Franklin Dermatological 1909

MarshaU, Herman W Orthopedic 1908

MorriU, Gordon N Orthopedic 1909

Oliver, E. Lawrence . Dermatological 1907

OFFICERS OF THE INSTITUTION.
1910.

President.
Henry P. Walcott, M.D.

Vice-President.
Charles G. Weld, M.D.

Treasurer.
Charles H. W. Foster, 50 Congress Street.

Secretary.
John A. Blanchard, 39 Court Street.

Trustees.

Henry P. Walcott, M.D., Chairman, 142 State House.
Francis Henry Appleton, 251 Marlboro Street.
Charles H. W. Foster, 50 Congress Street.

* Charles P. Greenough, 39 Court Street.
Francis L. Higginson, 50 State Street, Room 68.

* Henry S. Howe, 89 Franklin Street.

* Henry S. Hunnewell, 87 Milk Street,

» Nathaniel T. Kidder, 69 Ames Building.

* David P. Kimball, 35 Congress Street.
Nathaniel Thayer, 50 State Street.

George Wigglesworth, 53 State Street, Room 1004.
Moses Williams, 126 State Street.

Administrator.
Frederic A. Washburn, M.D.

Assistant Administrator.
Joseph B. Howland, M.D.

Board of Consultation.

Algernon Coolidge, M.D. John Collins Warren, M.D.

Oliver F. Wadsworth, M.D. John W. Elliot, M.D.

George F. Jelly, M.D. Henry H. A. Beach, M.D.

William L. Richardson, M.D. Arthur T. Cabot, M.D.

James C. White, M.D. George L. Walton, M.D.

Edward Cowles, M.D. Reginald H. Fitz, M.D.

Elb ridge G. Cutler, M.D.

•Appointed by the Governor of the Commonwealth,

275

276

Officers of the Institution.

STANDING COMMITTEES OF THE TRUSTEES.

Admitting McLean Hospital Patients.
Messrs. Appleton, Foster, and Greenough.

Finance.
Messrs. Kimball, Howe, Thayer, and Williams.

Accounts and Expenditures.
Messrs. Thayer, Williams, and Foster.

Buildings and Repairs.
Messrs. Hunnewell, Foster, and Higginson.

Free Beds.
Messrs. Williams, Howe, and Kidder.

Book of Donations.
Mr. Wigglesworth.

Nominations.
Messrs. Wigglesworth, Williams, and Walcott.

General Hospital Training School for Nurses.
Messrs. Walcott, Hunnewell, and Appleton.

General Library and Warren Fund.
Messrs. Howe, Hunnewell, and Greenough.

Dalton Scholarship.
Messrs. Walcott, Higginson, and Hunnewell.

Ether Day.
Messrs. Walcott, Williams, and Greenough.

visiting COMMITTEES.

1910.

March and September.
Messrs. Kimball and Wigglesworth.

April and October.
Messrs. Appleton and Foster.

277

Officers of the Institution.

May and November.
Messrs. Walcott and Higginson.

June and December.
Messrs. Thayer and Williams.

July.

Messrs. Hunnewell and Kidder.

August.
Messrs. Howe and Greenough.

1911.

January, June, and December.
Messrs. Hunnewell and Kidder.

February and July.
Messrs . Howe and Greenough.

March and September.
Messrs. Appleton and Foster.

I.ADEES' nSmXG COMMITTEE.

January.

Mrs. a. L. Joslin, 517 Beacon Street.

Mrs. Jeffrey R. Brackett, 41 Marlboro Street.

Miss Rosamond Gibson, 137 Beacon Street.

February.
Mrs. a. L. Joslin, 517 Beacon Street.
Mrs. Franz Pfaff, 29 Gloucester Street.
Mrs. Nathaniel Thayer, 22 Fairfield Street.

March.
Mrs. Nathaniel Thayer, 22 Fairfield Street.
Miss A. N. Ward, 304 Marlboro Street.
Mrs. Charles A. Coolidge, 82 Marlboro Street.

April.
Mrs. F. L. Higginson, 274 Beacon Street.
Mrs. Elisha Flagg, 164 Marlboro Street.

May.
Mrs. Richard W. Hale, Needham, Mass.
Mrs. John C. Gray, 176 Beacon Street.
Miss J. L. Motley, Chestnut Hill.

278

Officers of the Instimtion.

June.
Mrs. Lincoln Da\7S, 217 Beacon Street.
Mrs. Henry H. Sprague, 33 Fairfield Street.

Jtdy.
Mrs. J. G. Mumford, 282 Berkeley Street.

August.
Mrs. Henry H. Sprague, aS Fairfield Street.

September.
Mrs. Charles P. Greenough, Carleton Street, Longwood.

October.
Mrs. Arthur D. Hill, 83 Mt. Vernon Street.
Mrs. Charles P. Greenough, Carleton Street, Longwood.

November.
Mrs. Wm. T. Cou-ncilman, 78 Bay State Road.
Miss J. L. Motley, Chestnut Hill.
Mrs. Barrett Wendell, .358 Marlboro Street.

December.
Mrs. Harold J. Coolidge, .303 Berkeley Street.
Mrs. a. L. Hopkins, 46 Commonwealth Avenue.

General.
Mrs. Greely Curtis, 28 Mt. Vernon Street.

OFFICERS OF THE GENERAL HOSPITAL.

Resident Physician.
Frederic A. Washburn, M.D.

Assistant Resident Physicians.

1st, Joseph B. Howland, M.D.
2d, Louns H. Burlingham, M.D.
3d, J. Lyman Belknap, M.D.
4th, Carleton R. Metcalf, M.D.

Visiting Physicians.

Frederick C. Shattuck, M.D. Herman F. Vickery, M.D.
William W. Gannett, M.D. James J. Minot, M.D.

279

Officers of the Institution.

Visiting Surgeons.

Maurice H. Richardson, M.D. James G. Mumford, M.D.

Francis B. Harrington, M.D. William A. Brooks, M.D.

Samuel J. Mixter, M.D. Charles A. Porter, M.D.

William M. Conant, M.D. Franklin G. Balch, M.D.

Charles L. Scudder, M.D. Elliott G. Brackett, M.D.

Assistant Visiting Physician.
Richard C. Cabot, M.D.

Assistant Visiting Surgeons.

George W. W. Brewster, M.D. Farrar Cobb, M.D.
Ernest A. Codman, M.D.

Physicians to Out-Patients.

Arthur K. Stone, M.D. Joseph H. Pratt, M.D.

James M. Jackson, M.D. Frederick T. Lord, M.D.

Henry F. Hewes, M.D. George S. C. Badger, M.D.

Wiluam H. Smith, M.D. Roger I. Lee, M.D.

Surgeons to Out-Patients.

Robert B. Greenough, M.D. Lincoln Dams, M.D.
Daniel F. Jones, M.D. Fred T. Murphy, M.D.

Hugh Williams, M.D. Channing C. Simmons, M.D.

Hugh Cabot, M.D. Elisha Flagg, M.D.

Samuel Robinson, M.D.

Physicians to Out-Patients with Diseases of the Skin.
John T. Bowen, M.D. Charles J. White, M.D.

Physicians to Out-Patients with Diseases of the Neirvous System.
James J. Putnam, M.D. Henry C. Baldwin, M.D.

Physicians to Out-Patients with Diseases of the Throat.
Algernon CoouDGE, Jr., M.D. J. Payson Clark, M.D.

Orthopedic Surgeon to Out-Patients.
Robert B. Osgood, M.D.

Aural Surgeons.
Eugene A. Crockett, M.D. Harris P. Mosher, M.D.

Ophthalmic Surgeons.
Frederick E. Cheney, M.D. Alexander Quackenboss, M.D.

280

Officers of the Institution.

Surgical Pathologist.
William F. Whitney, M.D.

Director of the Pathological Laboratory.
James H. Wright, M.D.

Medico-Legal Pathologist.
George B. Magrath, M.D.

Chemist.
William F. Boos, M.D.

Consulting Anesthetist.
Freeman Allen, M.D.

Surgeon in Charge of the Medico-Mechanical Department.
C. Hermann Bucholz, M.D.

Skiagrapher.
Walter J. Dodd, M.D.

Dental Surgeon.
Leroy M. S. Miner, M.D., D.M.D.

MEDICAL AND SURGICAIi ASSISTANTS.

Assistant Physicians to Out-Patients with Diseases of the Skin.
Harvey P. Towle, M.D. Frederick S. Burns, M.D.

Assistant Physicians to Out-Patients with Diseases of the Nervous

System.

Walter E. Paul, M.D. Edward W. Taylor, M.D.

George A. Waterman, M.D.

Assistant Physicians to Out-Patients with Diseases of the Throat.

Frederic C. Cobb, M.D. D. Crosby Greene, Jr., M.D.

Joseph L. Goodale, M.D. Wm. F. Knowles, M.D.

Harris P. Mosher, M.D. Harry A. Barnes, M.D.

Assistant Orthopedic Surgeons to Out-Patients.

Wiluam R. MacAusland, M.D. Mark H. Rogers, M.D.

Zabdiel B. Adams, M.D.

Assistant Physicians to Out-Patients.
John B. Hawes, 2d, M.D. George C. Shattuck, M.D.

Louis G. Mead, M.D. Harry W. Goodall, M.D.

281

Officers of the Institution.

Assistants to Physicians to Out-Patients.
John B. Hawes, 2d, M.D. Cleaveland Floyd, M.D.

Assistants to the Orthopedic Surgeons to Out-Patients.

Harvey F. Newhall, M.D. C. Hermann Bucholz, M.D.
Frederick J. Goodridge, M.D. Harry C. Low, M.D.
Henry L. Langnecker, M.D. Andrew P. Cornwall, M.D.

Assistants to Surgeons to Out-Patients.

Torr W. Harmer, M.D. Edward H. Risley, M.D.

Harold G. Giddings, M.D.

Assistant to the Physicians to Out-Patients with Diseases of Skin.
E. Lawrence Oliver, M.D.

Assistant Pathologist.
Oscar Richardson, M.D.

Assistant Surgical Pathologist.
Frederick C. Kidner, M.D.

Assistant in Clinical Pathology.
Roger Kinnicutt, M.D.

Medical House Pupils.

Charles H. Lawrence, Jr. Hugh P. Greeley.

William W. Duke. Francis G. Brigham.

Robert G. Hall. Eugene S. Kilgore.

Paul D. Lamson. Reginald Fitz.

Surgical House Pupils.

William S. Whittemore". Walter W. Manton.

George W Morse. Harrison B. Webster.

John Bryant. Edward L. Young, Jr.

Roland L. Toppan. Donald Macomber.

Charles A. Holbrook. Ralph W. Dennen.

James M. Gallison. Loring T. Swaim.

House Officers to Special Departments.
Louis A. 0. Goddu, Orthopedic. Charles E. Wells, Orthopedic.

Matron.
Mary E. Clark.

282

OflBcers of the Institution.

Superintendent of Nurses.

Assistant Superintendents of Nurses.
1st, Annabella McCrae. 2d, Irene W. Mason.

Dietitian.
E, Grace McCullough.

Apothecary.
Joseph Godsoe.

Assistant Librarian.
Grace W. Myers.

Clerk.
Lida E. Crawford.

ADVISORY COMariTTEE.

General Hospital Training School for Nurses.

Dr. Henry P. Walcott, Chairman.

Dr. Frederic A. Washburn, Resident Physician.

Dr. Joseph B. Rowland, 1st Assistant Resident Physician.

Superintendent of Nurses.

Dr. Francis B. Harrington. Mrs. Nathaniel Thayer.

Dr. James J. Minot. Mrs. Herbert L. Burrell.

Dr. James G. Mumford. Mrs. George H. Monks.

Dr. James M. Jackson. Miss Mary B. Lothrop.

Dr. Richard C. Cabot. Mrs. Francis L. Higginson.

Dr. Herman F. Vickery. Mrs. Robert H. Gardiner.

Mrs. Alexander Whiteside. Miss Susan Thayer.

Mrs. William W. Vaughan. Miss Marian Homans.
Mrs. Grace W. Myers, Secretary.

OFFICERS OF THE McLEAN HOSPITAL.

Medical Superintendent.
George T. Tuttle, M.D.

1st Assistant Physician. 2d Assistant Physician.

Frederic H. Packard, M.D. Earl D. Bond, M.D.

Pathologist and Assistant Physician.
E. Stanley Abbot, M.D.

283

Officers of the Institution.

Assistant in Pathological Psychology.
F. Lyman Wells, Ph.D.

Assistant in Pathological Chemistry.
Charles C. Erdmann, A.B.

Junior Assistant Physicians.
Edmund M. Pease, M.D. Howard T. Child, M.D.

Chaplain.
Rev. George J. Prescott.

Superintendent of Nurses, and Matron.
LucLA E. Woodward.

Assistant Superintendent of Nurses.
Jennie McIntosh.

Clerk. Librarian.

Margaret E. Clark. E. Kathleen Jones.

Instructors in Physical Training.
David H. Holmes. S. May Taylor.

Dietitian.
Euzabeth Hinchman.

Instructor in Cookery.
Grace M. Swanson.

Supervisor of Women's Department. Supervisor of Men's Department.
Emma M. Stone. Henry E. Magoon.

Purveyor.
John P. Bradbury.

Apothecary. Storekeeper.

Bernard C. Burdette, Ph.G. Rufus F. Ames.

OFFICERS OF THE CONVALESCENT HOSPITAI..

Superintendent.

Frederic A. Washburn, M.D.

(Resident Physician, General Hospital.)

Matron.
Alice Scott.

-L33aj.S

S31dVl-ID

Ninety-seventh Annual Report

OP THB

TRUSTEES

OF THB

Massachusetts
General Hospital.

Including the General Hospital in Boston,

the McLean Hospital and the

Convalescent Hospital

in Waverley.

I 910.

BOSTON:

THE BARTA PRESS.

191 1.

The legal title of the Corporation is

''The Massachusetts General Hospital."

All gifts and bequests, if without restriction, will
be used as the Trustees deem most for the interest
of the Corporation and its Beneficiaries.

TABLE OF CONTENTS.

Page.

Accounts. Trial Balance 16

Examinations of 37

Admission OF Patients. General Hospital. Rules and Rates 100

Annual Report of Committee on the Hook of Donations 13

„ „ „ Treasurer 15-36

,, ,, ,, Auditor OF Accounts 37

„ „ „ Administrator and Resident Physician, General Hos-
pital 42

„ „ „ Training School FOR Nurses, General Hospital 70

,, „ „ Medical and Surgical Statistics, General Hospital.. 101-149

„ „ ,, Director of Clinioo-Pathological Laboratory,

General Ho8i)ital 86

„ ,, „ Treadwell Library, General Hospital 94

,, ,, ,, Superintendent, McLean Hospital 221

,, „ „ Training School FOR Nurses, McLean Hospital 249

,, ,, ,, Trustees 5

Board of Consultation 285

Clinico-Pathological Laboratory. General Hospital 86

Convalescent Hospital. Officers of , 294

Expenses and receipts of 22

Expense and Revenue Statement for the year 1910 68, 69

Patients at, number of 07

Institution, Officers of 285

Dalton Scholarship, Rules of 97

Donations and Legacies. Report of Committee on 13

Free Beds at General Hospital. Amounts subscribed in 1910 22

List of subscribers to 22

Funds. General Fund 20

Restricted Funds 25

Treadwell Library Fimd 34

Warren Library Fund 34

Wooden Leff Fund 34

Bowditch History Fund 34

Pathological Laboratory and Randall Funds 36

General Hospital. Officers of 288

Rules for Admission and Rates 100

Exi)enses and Receipts of ^ 22

Expense and Revenue Statement for the year 1910 60, 61

Statement of Stock on Hand 62

Administrator and Resident Physician, Annual Report of 42

Residence of Persons Admitted 53

Birthplace of Persons Admitted 53

Occupations of Persons Admitted, Males 54

Occupations of Persons Admitted, Females 57

Out-Patients of 52

Table of Admissions, Discharges, and Results, twenty-six years. 59

Training School for Nurses 70

List of House Pupils 263

Income. Amounts of 22

McLean Hospital Fund 32

Investments. Producing no Income 17

Producing Income 17

Income from, Amount of 21

Ladies' Visiting Committees. General Hospital 287

List of House Pupils 263

McLean Hospital. Officers of 293

Expenses and Receipts of 22

Expense and Revenue Statement for tlie year 1910 64, 65

Superintendent's Annual Report 221

General Statistics of 1910 234, 235

Admissions, Discharges, and Results for ten years 236

Insane Received on First and Subsequent Admissions 236

Page.

Parentage of Persons Admitted 237

Residence of Persons Admitted 238,239

Civil Condition of Persons Admitted 240

Occupation of I'ersons Admitted 2-40

A}ies of Insane at First Attack 241

(_"auses of Diseases in Persons Admitted 242

Prol)al)le Duration of Mental Disease Before Admitted 243

Form of Mental Disease of Patients 244,245

Discharges Classified 246

Causes of Deatb 247

Duration of Mental Disease and Its Treatment 248

Cost of Principal Stores 60

Training School for Nurses. Annual Report of 249

Officers of the Institution 285

General Hospital 288

McLean Hospital 293

Convalescent Hospital 294

Out-Patients. General Hospital. Numlter of, etc 47

Patients. General Hospital. Number of and Rates 51,52

,, ,, Residences, Birthplaces, and (.)ccupation 53-58

,, ,, Admissiiins, Discharges, and Results, twenty-
six years 59

McLean Hospital. Admissions and Discharges 236

Voluntary 234,235

Convalescent Hospital. Admissions and Discharges 67

Report of the Medico-Mechanical Room 220

Report of the Hydrotherapeutic Room 220

Diseases Treated in the Hydrotherapeutic Department, 1910 220

Resident Physician. General Hospital. Annual Report of 42

Statistics. General Hospital, 1908. Medical Diseases 101

„ ,, ,, Surgical , 116

„ ,, ,, ,, Operations 1.50

,, ,, ,, Major Operations. ... 191

,, ,, ,, Out-Patient Dei)artmeiit 194

Superintendent McLean Hospital. Annual Report of 221

Training School for Nurses.

Of General Hospital. Admission to Training and Instruction — 75

,, ,, Dii)lomas to (iraduates 79

Of McLean ,, Annual Report of 249

,, ,, Admission to. Training and Instruction. .. . 253

,, ,, Pujiils Employed and Paid 245

,, ,, Dijilomas to Graduates 255

,, ,, Course of Instruction 246

,, ,, Order of Exercises for Men 251

,, ,, ,, ,, ,, ,, Women 250

Tre ADWELL Library. Annual Rei)ort of 94

Trial Balance 16

Trustees. Annual Report of 5

List of 285

Standing Committees of 286

Visiting Committees. OfTrustees 286

Of Ladies General Hospital 287

Warren Triennial Prize 99

THE

NINETY-SEVENTH ANNUAL REPORT

FOR THE YEAR 1910.

The Committee appointed by the Trustees to pre-
pare the Annual Report to the Corporation, felt that
this 3'ear, instead of a statistical report of the work of
the Hospital, a brief summary of some of the special
features in the various departments might perhaps be
acceptable. Some transactions appear only on the
records of the Trustees, and these are given first.
For details of the subjects mentioned further on, we
refer to the reports of the Administrator, and of the
heads of the various departments, for we lay no claim
to making these more interesting, but simpl}^ abbre-
viate for the sake of those who cannot give the time
to read the whole report of the Hospital.

Hon. Francis C. Lowell, Vice-President of the
Corporation for eleven years, and President in 1909,
declined re-election, and Henry P. Walcott, M.D.,
was elected President of the Corporation at its last
meeting, and continues as Chairman of the Board of
Trustees.

To fill the vacancy caused in the Board of Trustees
by the resignation of Mr. Francis Blake, chronicled
in the last Annual Report, Mr. Nathaniel T. Kidder
was elected.

On the 30th September, the resignation of
Mr. Nathaniel Thayer as a Trustee was received and
accepted, the following vote being passed: " Voted to

5

6

Report of the Trustees.

accept with regret the resignation of Nathaniel Thayer
as a member of the Board of Trustees, and that the
Secretary be requested to convey to Mr. Thayer the
appreciation of his associate Trustees of his long and
valued services to the Hospital as a member of the
Board, of which he was, in length of service, the
senior member, having served continuousl}^ since
the annual meeting of 1881, and also to convey to
Mr. Thayer their realization of their loss and that of
the Hospital in no longer having his presence and
assistance at the future deliberations of the Board."

At a subsequent meeting Mr. John Lowell was
elected a Trustee.

On receiving the resignation of Dr. Brooks, it was
"Voted to accept the resignation of Dr. William A.
Brooks, as a Visiting Surgeon at the General
Hospital, and that the Secretary be requested to con-
vey to Dr. Brooks the regrets of the Board therefor
and its appreciation of Dr. Brooks' long and valued
services to the Hospital."

There has been placed on the wall of the old oper-
ating theatre the following inscription.

''On October 16 1846 in this room th^n the oper-
ating theatre of the Hospital was given the first
public demonstration of anaesthesia to the extent of
producing insensibility to pain during a serious surgi-
cal operation. Sulphuric ether was administered by
William Thomas Green Morton a Boston dentist.
The patient was Gilbert Abbott. The operation was
the removal of a tumor under the jaw. The surgeon
was John Collins Warren. The patient declared that
he had felt no pain during the operation and was dis-
charged well December 7th. Knowledge of this
discovery spread from this room throughout the civi-
lized world and a new era for surgery began."

7

Report of the Trustees.

At the request of the Cancer Commission, a vote
was passed by which, as a temporary arrangement
and under certain conditions, a limited number of
cases of inoperable cancer may be admitted to the
wards of the Hospital.

A Children's Medical Department has been estab-
lished with Dr. Fritz B. Talbot in charge, with
assistants. This was done partly because of the con-
templated removal of the Infants' Hospital from the
thickly populated neighborhood of this Hospital.
A limited dental clinic was also established after the
removal of the Harvard Dental School from this part
of the city, and a dental surgeon and assistant were
added to our staff.

A Genito-Urinary Department was established in
the Out-Patient Department, and Dr. Hugh Cabot
was appointed Surgeon in Charge.

The Warren Prize was awarded to George H.
Whipple, M.D., of Johns Hopkins University.

The Conrad Mohr property, used by our student
nurses while we had an arrangement for their taking
courses at Simmons College, was sold when this
arrangement was discontinued, and the house, 92
Charles Street, was bought. Through this exchange
it has become possible to accommodate most of the
nurses near the Hospital, a decided gain from all
points of view, though the conditions will not be ideal
until a new building or addition is constructed to sup-
plement the Thayer Building given in 1882. The
number of nurses has been increased, making it pos-
sible to give shorter hours: for their own comfort, as
well as for economy, they should all be cared for on
the Hospital grounds.

The financial affairs of the Hospital during the
year 1910 have beenwithout matters of especial com-
ment. The gross income from its investments has

8

Report of the Trustees.

increased about $12,000. The net excess of ex-
penses of the three Hospitals over income from in-
vestments and receipts from patients is about $5,000
less than in 1909. In 1909 this excess was about
$79,000, and in 19 10, $74,000.

So much of the debt of the Hospital as was in the
form of floating indebtedness has been paid during
the year.

The general business of the Hospitals shows evi-
dences of excellent management, both in the increase
of the work done and in the smaller deficit referred
to above.

The Ladies' Visiting Committee, in its report, ex-
presses its sincere regret for the resignation of
Mrs. Nathaniel Thayer, a serious loss to the Hospi-
tal. In this regret the Trustees heartilv join.

These ladies interest themselves in those of the
patients in the Hospital and in the Out-Patient De-
partment who need encouragement, finding them
light work, temporary lodging places during con-
valescence, and cheering them in many other ways
so necessary when one is weak and discouraged.
This is one of the most important of the newer
phases of hospital work.

Anyone familiar with conditions at the Hospital
through personal observation or reading its reports,
will realize the need of an Administration Building,
supplying better entrance way as well as better
offices. This need is again referred to in the Ad-
ministrator's report, this, and a new building for
nurses, being in his estimation the two most urgent
needs of the General Hospital. A ward building is
also most desirable. The Administrator and the
Trustees believe that there should be a country
branch to which surgical patients may be taken to

9

Report of the Trustees.

regain their strength in the better air, as soon as they
eease to need the constant nursing of a hospital for
serious cases. New cases needing this closer atten-
tion would till their places at the Hospital and in
their turn be moved to the country.

We should also like to see a private hospital close
at hand for the accommodation of those who are
able to pay their own surgeon or physician, but wish
the advantages which only a hospital can supply.

Several additions have been made to the list of
salaried officers, resulting in a saving of the time of
the voluntary corps, whose valuable time and serv-
ices we feel should be expended where most useful.

The Ether Day address was delivered by Dr.
George W. Crile, of the Lakeside Hospital, Cleve-
land, Ohio, and was of unusual interest and impor-
tance. The subject was " Ph3'logenetic Association
in Relation to Certain Medical Problems."

The report from the General Hospital Training
School for Nurses refers to the strengthening of the
Hospital courses and the addition of a new in-
structor, both tending to a better arrangement of
hours. There have been instituted a course in Invalid
Occupations, a course in Current Events, and other
methods of broadening the nurses' outlook and mak-
ing them more useful. Senior pupils are given ex-
perience in executive work under supervision of
expert graduate nurses. The Superintendent urges
scholarships for nurses.

The Advisory Committee on Training School for
Nurses speaks of the increase in number of nurses,
the improvement in their hours, and the substitution
of work in the Hospital for the part of the work
formerly done outside. This Committee meets the
nurses in a social as well as a business way, advis-
ing, directing, and in all ways helping.

10

Report of the Trustees.

The importance of the work in the Pathological
Laboratory can scarce!}' be overestimated. Assist-
ants have been added for this work, and new sub-
jects are always under study. Demonstrations are
held, and many students from the Harvard Medical
School are taught here. For details we refer to
Dr. Wright's report.

The Treadwell Library and Department of Rec-
ords continue to grow, and it has again been neces-
sary to move some of the less used volumes to other
parts of the building. An index of the Annual Re-
ports of the Hospital has been completed from 1876
to 1909, and this is to be kept up and gradually ex-
tended back until all the reports are included. As a
result of the efforts to get the portraits of the origi-
nal twelve Trustees of the Hospital, live have been
obtained, and it is hoped that the others may be
forthcoming.

The Convalescent Hospital has done its share in
the work. It is on a small scale and does not handle
many cases, but we feel that it is a very important
feature in the work, taking care as it does of those
having no comfortable place to go to during con-
valescence.

While the McLean Hospital has been conducted
in a manner thoroughly satisfactory, it must not be
lost sight of that the conditions, so far as the nurses
are concerned, are not all that might be desired, since
they are all housed in the same buildings with the
patients. It will be readily understood that with this
arrangement there is no thorough rest and relaxation
even while off duty. Further, were the nurses housed
in a separate building, it would free considerable
sections of the present buildings which could then
be used for the accommodation of other employees.

11

Report of the Trustees.

and in the case of the Codman House, there would
be more room for patients. During this past year it
was necessary, for lack of room, to decline forty-nine
applications for admission.

The Bowditch House has been altered and reno-
vated, more ventilating shafts and more windows
have been added, and continuous warm baths, which
now form an important feature in the treatment of
mental disorders, have been installed. A lounging
room has been fitted up in the basement of the gym-
nasium for men patients, where they may smoke, and
a piano and billiard table have been provided.

Stress has been laid on the records kept by the
nurses which are most important in supplementing
the doctors' observations. Weekly conferences are
held, to which physicians from outside are sometimes
invited. It may be stated here that the nurses gradu-
ated from the Massachusetts General Hospital, in-
cluding the McLean, are much in demand at other
hospitals as teachers and organizers.

Psychological, chemical and other investigations
are carried on regularly at the McLean Hospital.
Important papers on subjects studied are issued.
The Medical Librar}' is well kept up, and the
patients' library, which is much used, grows con-
stantly.

Increasing attention is given to manual occupation,
which diverts the mind and tends to regulate it. A
carpenter shop, which sometimes proves too small,
serves to occupy men patients more or less usefull}',
and this year handicraft has been provided for
women, and is proving a success. The flower gar-
den has been increased this year.

Though improvements in the various buildings arfe
made each year, there are others urgently needed, and

12

Report of the Trustees.

these will be made as funds permit, but Dr. Tuttle
sees the need of a number of improvements which
the present finances do not allow. Amongst these
stand out most prominently a nurses' home, men-
tioned above, a larger fund for laboratory research,
and a larger industrial occupation fund.

The McLean Hospital Training School for Nurses
has had very few changes in any wa}'. The number of
applicants for admission was rather larger than some
years. The Superintendent recommends that the
graduates take a course in general hospital work, and
notes that this is becoming more customary. He
speaks of the advantages to the nurses in observing
the handiwork of the patients and thus getting ideas
for the occupation of invalids. The number of
graduates has not been sufficient to fill all the appli-
cations for services.

Let it not be forgotten that this is but a sketch of
one year at the Hospital, which has been in existence
for one hundred years, that each year the work in-
creases, and that over one-half of the cases are treated
free of charge. Practically every division of the
work is more or less hampered by lack of space and
funds. We would again accentuate the fact that the
Hospital receives no support from the State, though
its name mis^ht sui^s^est that it does.

George Wigglesworth,
Nathaniel T. Kidder.

DONATION FOR 1910.

The Committee on the Book of Donations reports
that tlie following donations and legacies have been
received during the year:

General Fund :

Bequest of Mrs. Anna S. C. Prince . $700.00

Donation of Miss Georgina Lowell . 35.00

„ T. C. Thacher .... 25.00

„ Mrs. B. L. Young . . . 25.00

Bequest of George W. Boyd .... 2,000.00

Donation of Mrs. Francis R. Jones . 25.00

,, „ Henry Siegel Co. Charity

Contest 15.00

„ „ William P. Blake . . . 50.00

„ „ Mrs. G. AV. W. Dorr . . 25.00

„ „ Miss Ellen T. Emerson . 10.00

Bequest of J. Putnam Bradlee . . . 357.96

„ William J. Chever . . . 8,116.95

„ „ John E. Atkins .... 20,093.00

„ „ George Dexter .... 10,000.00

Donation of Mrs. Frederick C. Shattuck 300.00

„ R. M. Burden .... 50.00

Bequest of Lucy F. Simmons . . . 2,209.78

From Sundry Donors to Yearly Free

Beds. 1909 . . . S2,'0(J0.00

1910 . . . 18,850.00

1911 . . . 500.00

21,350.00

Restricted Funds :

Bequest in memory of Eugene V. R.

Thayer $5,000.00

Bequest of Florence Lyman .... 3,877.10
„ Thomas Niies ...'.. 29,281.67

$65,367 69

„ ,, William Litchfield

„ „ Lucius Clapp ....

,, ,, Charles H. Draper

Free Beds : Ten Year Free Bed Fund.

Donation of INIrs. Charles H. Dalton
McLean Hospital Fund :

Donation of Howard T. Child
Lovering Fund :

Bequest of S. C M. Lovering

5,000 00

5,000.00

20.000.00

m

68,158.77

1,000.00

25.00

1,800.00
^^136.35]L46
the Book of

These sums have been entered
Donations in the usual form.

George Wiggi.esworth,
Committee o?i the Book oj" Donations.
Massachusetts General Hospital,
December 31, 1910.

13

REPORT OF THE TREASURER.

In accordance with the Fifth Article of the By-
Laws, the Annual Report of the accounts of the
Massachusetts General Hospital, made up to the
last day of December, 19 lo, is respectfully sub-
mitted, to be laid before the Corporation at its
annual meeting. Among the assets enumerated are
many gifts to the Corporation which for various
reasons have been retained as originally received.

15

16

Report of the Treasurer.

MASSACHUSETTS GENERAL HOSPITAL.
Trial Balance,

Land and Buildings, Gen-
eral Hospital ...

Land and Buildings
McLean Hospital

Land and Buildings, Con
valescent Hospital .

Administrator— Genera
Hospital ....

Administrator — McLean
Hospital

Administrator — Conval
escent Hospital . .

Annuities

Insurance Stocks . .

Railroad Bonds . . .

Miscellaneous Bonds .

Railroad Stocks . . .

Manufacturing Stocks

Bank Stocks ....

Real Estate Stocks

Miscellaneous Stocks .

Real Estate ....

Notes Receivable . .

Cash

Sundry Accounts Simmons
Estate

Lucy F. Simmons Estate

Province House Est Mort

Mortgages Assumed .

General Fund . . .

Restricted Fund . .

Codman Fund . . .

Convalescent Fund . .

Clara Barton Fund . .

Bowditch History Fund

Samuel Cabot Fund .

Dalton Fund ....

McLean Hospital Fund

Millar Annuity . . .

Nurses' Training School
Fund

Orthopedic Ward Fund

Pathological Laboratory
and Randall Fund .

Shattuck Fund . . .

Surgical Instrument Fund

Warren Library Fund .

Warren Prize Fund .

Treadwell Library Fund

Wooden Leg Fund . .

Whittemore Memorial

Late Result Fund . .

Ten Year Free Beds .

Lovering Fund . . .

Profit and Loss . . .

January 1,

1911.

Income.

J'rincipal.

Cr.

IJr.

Cr.

$1,939,193.25

1,882,449.71

50,000.00

$912.82

15,743.35

20.99

1,127.16

365.69

1,295.59

160,000.00

50,000.00

406,266.25

123,000.00

95,011.12

101,967.50

44,336.00

26,153.50

33,762.00

2,486,931.36

71,215.42

15,754.40

6,439.52

$6,439.52

350,000.00

23.700.00

3,736,023.31

2,443,829.12

149,769.96

145,620.66

151.67

3,241.00

2,096.35

2,000.00

753.00

10,000.00

3,399.50

25,000.00

395,764.83

1,557.74

39,967.92

3,316.76

26,470.92
80,674.09

194.60

2,000.00

310.09

6,475.00
1,000.00
4.685.84
5,000.00

119.13
50

7,600.00

33,720.00

306.22

8,000.00

1,800.00

$11,640.

$11,640.60 $11,640.60 $7,510,646.13 $7,510,646.13

17

Report of the Treasurer.

MASSACHUSETTS GENP:RAL HOSPITAL.

luvestiueiits Producing No Income.

General Hospital : Land and
Buildings occupied for Hos-
pital $1,939,193.25

McLean Hospital : Land and Build-
ings at Belmont 1.882,449.71

Convalescent Hospital : Land and

Buildings at Belmont . . . 50,000.00

Administrator's Balance .... 18,166.10

. . $3,889,809.06

Investments Producing Income.

Policies Massachusetts Hospital Life Ins. Co. . . . $160,000.00
500 Shares Massachusetts Hospital Life Ins. Co. . . 50,000.00

$5,000 BurUngton, Cedar Rapids & Nor. R. R. 1st

5 per cent Bonds 5,000.00

$7,000 BurUngton & Missouri River R. R. 6 per cent

Bonds 7,000.00

$5,000 Central Ry. of Vermont 4 per cent Bonds . 2,500.00

$48,000 Chicago," Bur. & Quincy R. R. 4 per cent

Bonds 48,000.00

$25,000 Chicago, Bur. & Quincy R. R. 5 per cent

Bonds .• ■ 25,000.00

$28,000 Chicago Junct. Rv- & Union Stock Yards

Co. 4 per cent Bonds ". 27,580.00

$20,000 Chicago Junct. Ry. & Union Stock Yards

Co. 5 per cent Bonds 20,000.00

$5,000 Chicago, Mil. & St. Paul R. R. 1st 6 per cent

Bonds. 5,000.00

$25,000 Chicago & Northwestern Ry. 4 per cent

Bonds . . ■ 24,687.50

$3,000 Chicago & West Michigan R. R. 5 per cent

Bonds 2,970.00

$2,500 Detroit. Grand Rapids & Western R. R. 4

per cent Bonds 2,050.00

$7,000 Kansas City, Ft. Scott & Memphis Ry, 6 per

cent Bonds .' 7,000.00

$3,000 Kansas City, Memphis & Birm. R. R. 4 per

cent Bonds 3,000.00

$3,000 Kansas City, Memphis Ry. & Bridge Co. 5 per

cent Bonds .' 2,850.00

$25,000 New York Central & Hudson River R. R.

3^ per cent Bonds 22,428.75

$25,000 New York, New Haven & Hartford R. R.

4 per cent Bonds 25,000.00

Amount carried forward $440,066.25

18

Report of the Treasurer.

Amount /iroiff/htforino-d if;440,066.2r)

$35,000 Northern Pacific & Great Northern Joint

4 per cent Bonds 34,000.00

$10,000 Old Colony Street Ry. 1st 4 per cent Bonds 8,200.00

$1,000 Omaha Street Railway 5 per cent Bonds 1,000.00

$13,000 Oregon Short Line 5 per cent Bonds . . 13,000.00
$100,000 Richmond & Washington Co. 4 per cent

Bonds 100,000.00

$20,000 West End Street Ry. 4 per cent Bonds . . 20,000.00
$113,000 American Telephone & Telegraph Co. 4 per

cent Bonds 113,000.00

$10,000 Town of Belmont Sewerage Loan 4 ])ei' cent

Bonds 10,000.00

70 Shares Boston & Albany R. R 0.00

100 „ Boston & Lowell R. R 24,000.00

50 „ Chicago Junct. Ry. & Union Stock Yards

Co. Preferred ..." 5,525.00

50 Shares Chicago, Milwaukee & St. Paul R. R.

Preferred 6,450.00

80 Shares Fitchburg R. R. Preferred 10,000.00

25 „ New York, New Haven & Hartford R. R. 4,773.12

189 „ Old Colony R. R 26,775.00

100 „ Union Pacific R. R. Preferred . . . 8,000.00

100 „ West P:nd Street Ry. Connnon . . . 9,488.00

50 „ American Sugar Refining Co. Preferred 6,400.00

30 „ American Sugar Refining Co. Common 3,720.00

145 „ Amoskeag Manufacturing Co 14,500.00

2 „ Appleton Co 200.00

250 „ Ballard Vale Mills Co. Preferred . . . 25,000.00

25 „ Great Falls Manufacturing Co. ... 2,500.00

2 „ Lancaster Mills 210.00

140 „ Merrimack Manufacturing Co. . . . 14,000.00

2 „ Pacific Mills 4,600.00

100 „ Pei)perell Manufacturing Co 24,122.50

30 „ United States Rubber Co. 1st Preferred 3,150.00

28 „ United States Steel Corp. Preferred . . 3,220.00

5 „ United States Steel Corp. Common . . 345.00
200 „ Merchants National Bank 20,000.00

50 „ National Bank of Commerce .... 5,000.00

100 „ National Union Bank 10,000.00

28 „ Old Boston National Bank 2,836.00

65 „ State National Bank 6,500.00

50 „ Board of Trade Building Trust . . . 5,000.00

2 „ Boston Ground Rent Trust .... 1,800.00

10 „ Boston Real Estate Trust 9,993.50

50 ,, Commonwealth Build. Trust Preferred ) r riAA aa

etc- ' ^ - 5,000.00

iSO ,, „ ,, „ Common \

6 „ Delta Building Trust 420.00

Amount carried forward $1,002,794.37

19

Report of tlie Treasurer.

Amount hroi(<)ht forirard $1,002,794.37

25 Shares Hotel Trust'. 2,500.00

12 „ Journal Buil(lin<r Trust 480.00

8 „ Western Ileal Estate Trustees .... 960.00

82 „ American Telei)lione & Telegraph Co. . 1 1,468.00

22 „ Calumet & Hecla JNIining Co 18,4,30.00

33 „ Galveston Electric Co. Preferred . . . 2,739.00

125 ,, United Shoe Machinery Corp. Common 6,125.00

5 ,, Union Bi-ewing Co 0.00

Land and Buildings, 17 and 18 Blackstone Street . 30,000.00

., ,. „ Union and Marshall Streets . . 70,147.51

„ „ ,, 166 and 168 Washington Street 45,000.00

„ „ „ 273 and 275 Washington Street 125,860.15

„ „ „ 474 to 480 Washington Street . 336,717.92

„ „ „ 496 to 500 Washington Street . 384,349.05

„ „ 553 Washington Street . . . 68,600.00

„ „ „ 10 and 10^ Common Street . 26,012.83

„ „ „ 837 to 847 Washington Street . 59,874.86
„ „ ,, Rear 837 to 847 Washington

Street 65.115.71

„ „ „ 851 to 859 Washington Street . 67,589.26
,, „ „ 11, and 15 to 23 Warrenton

Street 48,700.00

„ „ 72 and 74 Tremont Street . . 250,000.00

„ „ „ 103 to 117 Chambers Street . 62,383.85

„ „ „ 235 and 237 Congress Street . 49,418.82
,, „ ,, Broadway and F Street, South

Boston 67,565.71

„ „ „ At Medford 4,300.00

At West End 219,361.75

„ „ „ Province House Estate . . . 500,000.00

1800 Dorchester Avenue . . 3,750.00

Land, Hammatt Road, West Roxbury 2,183.94

Notes Receivable . " 71,215.42

Cash 15,754.40

Sundry accounts Simmons Estate 6,439.52

Investments producing Income .... $3,620,837.07

„ „ no Income . . . 3,889,809.06

Total, foot of Trial Balance $7,510,646.13

20

Report of the Treasurer.

MASSACHUSETTS GENERAL HOSPITAL.
General Fund.

Balance, Jan. 1. 1910 $3,747,460.32

One-third profits Massachusetts Hos-
pital Life Insurance Company . 5,000.00

Donations and Bequests to this Fund 65,367.69

Ten Year Free Bed Subscription —

Rights Expired 4,000.00

National Bank Stock — Tax Rebate 1,388.31

Profits from Sale of Investments . 919.34

Excess of Receipts over Expenditures

at McLean Hospital .... 1,792.97

Balance of Income after crediting
Restricted and Special Funds
with Interest 5,692.89

Unexpended Income from certain
Special Funds :

Jan. 1, 1911 Sll.640.60

Jan. 1, 191U 6,531.92

5,108.68.

Excess Expenses over Receipts at

( '§73 '^96 11 )

General Hospital j 2l'35o!o0 i 894,646.11

Convalescent Hospital . . . . . 2.874.01

Refund State Board of Charity • • 6.50

Nurses' Training School Fund . . 264.96
Pathological Laboratory and Randall

Fund . • 1,886.44

Warren Library Fund 281.18

TreadweU Library Fund .... 747.69

S3,836,730.20

8100,706.89
Balance Jan. 1, 1911 3,736,023.31

$3,836,730.20

21

Report of tlie Treasurer.

MASSACHUSETTS GENERAL HOSPITAL.
Income from Investments.

Massachusetts Hospital Life Insurance Company

Annuities '. $6,600.00

Massachusetts Hosjiital Life Insurance Company

Stock 4,000.00

Raih-oad Bonds 22,709.65

Miscellaneous Bonds 5,358.89

Raib-oad Stocks 6,538.50

Manufacturing Stocks 5,685.25

Bank Stocks 3,695.00

Real Estate Stocks 1,035.58

Miscellaneous Stocks 1,503.06

Real Estate ........ $103,824.06

Interest in Province House Estate . . . 3,077.81

106,901.87

Interest on Deposits ' . . 801.04

Notes Receivable 2,428.46

Simmons Estate 49.85

$167,307.15

( Interest on Notes Payable . . . $19,317.63
■^^^^ ( Insurance at Hospitals .... 4,764.71

24,082.34

$143,224.81

The Income from Investments has been distributed
as follows:

Clara Barton Fund $151.67

Millar Annuity 60.00

Whittemore Memorial Fund 1,500.00

Adams Annuity Fund 2,000.00

Restricted Fund 97,753.16

Cofbnan Fund 5,990.80

Convalescent Fund 5,824.83

Bowditch History Fund 80.00

Samuel Cabot Fund 400.00

Dalton Fund 1,000.00

McLean Hospital Fund 15,830.59

Nurses' Training School Fund 1,598.72

Orthopedic Ward Fund 1,058.84

Pathological Laboratory and Randall Fund .... 3,226.96

Shattuck Fund 80.00

Surgical Instrument Fund 259.00

Warren Library Fund 40.00

Warren Prize Fund 173.35

Treadvvell Library Fund 200.00

Wooden Leg Fund 304.00

General Fund 5,692.89

$143,224:81

22

Report of the Treasurer.

MASSACHUSETTS GENERAL HOSPITAL.
General Hospital.

Expenses for year. $367,433.15

Receipts for year . $169,443.08
Income R e -

stricted Funds 97,753.16
Income Codman

Fund . . . 5,590.80

Yearly Free Bed

Subscriptions . 21,350.00
Balance from

General Fund 73,296.11

$367,433.15 $367,433.15

McLean Hospital.

Exjienses for year . $334,110.55 j Receipts for year . $320,072.93

Income McLean
1,792.97 Hospital Fund 15,830.59

Balance to Gen-
eral Fund

$335,903.52
Convalescent Hospital.

Expenses for year. $12,713.13

$12,713.13

Total, $716,049.80

Summary.

Receipts for year .

Income Conva-
lescent Fund .

Balance fro m
General Fund

$335,903.52

$4,014.29
5,824.83
2,874.01
$12,713.13
Total, $716,049.80

Expenses :

General Hospital $367,433.15
McLean Hospital 334,110.55
Convalescent

Hospital . . 12,713.13

To General Fund . 1.792.97

$716,049.80

Receipts :

Board .... $493,530.30
Income . . . 124,999.38
Free Beds . . 21,350.00
From General

Fund . . . 76.170.12

$716,049.80

MASSACHUSETTS GENERAL HOSPITAL.

Subscribers for Free Beds for 1910.

Charles F. Adams, 2d $100.00 C. W. Amory . . .

Francis Henry Apple-
ton ...'... 100.00

American Telephone &

Telegraph Comjiany 200.00

Miss Mary S. Ames . 100.00

Ames Shovel &. Tool

Co

Francis Bartlett
Walter C. Baylies .
Mrs. James H. Beal .

$100.00

100.00
100.00
100.00
100.00

23

Report of the Treasurer.

Thomas P. Beal . .

SIOO.OO

PI Pierson Beebe .

100.00

Dr. William S. Bige-

low

100.00

George Nixon Black .

100.00

Mrs. A. W. Blake . .

100.00

Francis ]ilake .

100.00

Boston Bridge Works,

Inc

100.00

Boston Bridge Works,

Inc. (1909) . . .

100.00

Boston Elevated Rail-

500.00

Boston Elevated Rail-

w a y Company

(1909) ....

500.00

Boston Firemen's Re-

lief Fund (1909) .

200.00

Boston & Maine Rail-

road Company .

1,600.00

Mrs. Arthur H. Bow-

ditch

100.00

Mrs. John L. Bremer

100.00

Miss Sarah F. Bremer

100.00

Shepherd Brooks .

100.00

Mrs. William S. Bul-

lard

100.00

Mrs. Elton Clark . .

100.00

Cochrane Chemical

Company ....

100.00

John T. Coolidge .

200.00

J. Randolph Coolidge .

100.00

T. Jefferson Coolidge .

100,00

Mrs. T. J. Coohdge, Jr.

100.00

Charles E. Cotting .

100.00

Walter S. Crane

100.00

Mrs. Charles P. Curtis

100.00

Mrs. G. S. Curtis . .

100.00

Mrs. G. S. Curtis, Jr.

100.00

Louis Curtis ....

100.00

Mrs. Susan P. Cushing

100.00

Mrs. Charles H. Dalton

100.00

Henry R. Dalton .

100.00

Estate of F. Gordon

Dexter ....

100.00

George Dexter .

300.00

Philip Dexter .

100.00

Charles S. Eaton .

200.00

William Endicott .

100.00

William Endicott, Jr.

100.00

H. H. Fay .... $100.00

Mrs. EHzabeth E. Fay 100.00

L. Carteret Fenno . . 100.00
Mrs. Desmond FitzGer-

ald ( In memory of

Dr. and Mrs. Ste-
phen Sahshury) . . 100.00
W. H. Forbes . . . 100.00
C. H. W. Foster . . 100.00
Mrs. C. H. W. Foster 100.00
George A. Gardner . 100.00
George P. Gardner . 100.00
Miss Harriet Gray . 100.00
Mrs. John Chipman

Gray 100.00

Mrs. Reginald Gray . 100.00

Charles P. Greenough 100.00

Edward S. Grew . . 100.00

S. E. Guild .... 100.00

Mrs. E. B. Hammond 100.00
Mrs. John M. Harlow
(Dr. John M. Harlow

Free Bed) . . . 100.00
Mrs. Franklin Haven

(Franklin Haven

Free Bed) . . . 100.00

Augustus Hemenway . 100.00

F. L. Higginson .' . 100.00

Mrs. A. S. Hill . . 100.00

James R. Hooper . . 100.00

AVilliam Hooper . . 100.00

Luther G. Howard . 100.00

Henry S. Howe . . 100.00

Mrs. Arthur Hunnewell 1 00.00

Francis W. Hunnewell 100.00

Henry S. Hunnewell . 100.00

Mrs. Oscar lasigi . . 100.00

Arthur S. Johnson . 100.00

Edward C. Johnson . 100.00

Wolcott H. Johnson . 100.00

Nathaniel T. Kidder . 100.00

David P. Kimball . . 100.00

L. Cushing Kimball . 100.00

Mrs. H. A. Lamb . . 100.00

Amory A. Lawrence . 100.00
John Lawrence and

Francis Peabody,

Trustees, under Will

of Abbott Lawrence,

Sr 500.00

24

Report of the Treasurer.
Aniory A. Lawrence

(For Gertrude Law-
rence Free Bed) . SIOO.OO
George C. Lee . . . 100.00
Mrs. Anna Cabot

Lodge .... 100.00

Augustus P. Loriug . 100.00

WiUiani Caleb Loring 100.00

T. K. Lothrop . . ^. 100.00

Mrs. T. K. Lothrop . 100.00

Arthur T. Lyman . . 100.00

Mrs. Theodore Lvman 100.00

Miss Fanny P. Mason 100.00

]Miss Ida M. Mason . 100.00

Laurence Minot . . 100.00
Miss Madeleine Curtis

Mixter .... 100.00

Mrs. John H. Morison 100.00

Mrs. Frank Morison . 100.00

Mrs. E. P. Motley . 100.00
New York Central &

Hudson River Rail-

r o a d C o m p a n v

(1909) . . . '. 500.00
New York. New Haven

& Hartford Raib-oad

Company (1909) . 600.00
Mrs. George A. Nick-

erson 100.00

Mrs. William G. Nick-

erson 100.00

Mrs. Otis Norcross . 100.00

Richard Olney . . . 100.00

Herbert Foster Otis . 100.00

Mrs. William C. Otis . 100.00

Charles J. Paine . . 100.00

Robert Treat Paine . 1 00.00

Mrs. Francis S. Parker 100.00

John Parkinson . . 100.00

Frank E. Peabody . 500.00
Frank E. Peabodv

(1911) . . . '. 500.00
Mrs. Francis Pea-
body, Sr 100.00

Charles Lawrence Peir-

son 100.00

Dudley L. Pickman . 100.00

S. S. Pierce Company 200.00

James M. Prendergast 100.00

George Putnam . . 100.00

Mrs. F. L. W. Richard-
son

Mrs. J. C. Rogers .
A. LawTence Rotch
Mrs. Robert Shaw Rus

sell

C. S. Sargent
Mrs. F. W. Sargent
Mrs. F. R. Sears .
Frederick R. Sears
Henry F. Sears
Herbert M. Sears .
Richard D. Sears .
Mrs. Pliilip H. Sears
Mrs. G. H. Shaw .
Henry S. Shaw
Robert G. Shaw
Mrs. R. G. Shaw, 2d
Francis Skinner
Solidarity Bed .
Sons of St. George
W. S. Spaulding .
Mrs. Robert H. Ste

venson
Bavard Thayer .
Bayard Thayer (1909)
Nathaniel Thayer
Charles Thorndike
Victorian Memorial

Association .
Miss Mary Lee Ware
Samuel D. Warren
F. G. Webster .
Stephen M. Weld .
J. R. Whipple Com

pany ....
George AVigglesworth
John D. AVilliams .
Moses Williams
Winslow Brothers
Smith Company .
Mrs. Henry Winsor
Mrs. R.' C. Win

throp, Jr.
Mrs. T. Lindall Win
throp ....

&

SIOO.OO
100.00
100.00

100.00
100.00
100.00
100.00
100.00
100.00
100.00
100.0(»

100.00

100.00

100.00

100.00
100.00
100.00
150.00
150.00
100.00

100.00
100.00
100.00
200.00
100.00

150.00
100.00
100.00
100.00
100.00

100.00
200.00
100.00
100.00

100.00
100.00

100.00

100.00

§21,350.00

25

Report of the Treasurer.

MASSACHUSETTS GENERAL HOSPITAL.
Restricted Funds for the General Hosi»ital.

Income devoted to Free Beds:

The Joy Fund, a bequest from Miss

NabbyJoy $20,000.00

Belknaj) Fund, a bequest from

Jeremiah Belknap .... 10,000.00

WiUiam Philhps Fund, a bequest

from William Phillips . . 5,000.00

Williams Fund, a bequest from

John D. AVilliams, of P^state

No. 17 Blackstone Street . 19,600.00

Bromfield Fund, half of a becpiest

from John Bromfield . . . 20,000.00

Miss Townsend Fund, a donation

from the executors of the will

of Miss Mary P. Townsend . 11.486.50

Brimmer Fund, a bequest from

Miss Mary Ann Brimmer . 5,000.00

Wilder Fund, a bequest from

Chas. W. AVilder .... 12,000.00

Sever Fund, a bequest from Miss

Martha Sever 500.00

Thompson Fund, a bequest from

S. B. Thompson .... 500.00

Tucker Fund, a bequest from

Miss Margaret Tucker . . 3,312.37

Davis Fund, a bequest from Mrs.

Eleanor Davis 900.00

Loring Fund, a bequest from

Abigail Loring 5,000.00

Nichols Fund, a bequest from

B. R. Nichols 6,000.00

Gray Fund, a donation from John

C.Gray 1,000.00

Dowse Fund, a bequest from

Thomas Dowse 5,000.00

Todd Fund, a bequest from Henry

Todd ". 5,000.00

J. Phillips Fund, a bequest from

Jonathan Phillips .... 10,000.00

Greene Fund, a bequest from

Benj. D. Greene .... 5,000.00

Percival Fund, a bequest from

John Percival 950.00

Amount carried forward . . $146,248.87

26

Report of the Treasurer.

Ainount hrniight forn^ard . . $140,248.87
The Pickens Fund, a becjuest from John

Pickens 1,676.75

Treadwell Fund, part of a bequest

from J. G. Treadwell . . . 38.703.91

Raymond Fund, a bequest from

E. A. Raymond .... 2,820.00

Harris Fund, part of a bequest

from Charles Harris . . . 1,000.00

Mason Fund, a bequest from Wm.

P. Mason 9,400.00

J. L. Gardner Fund, a donation

from J. L. Gardner . . . 20,000.00

B. T. Reed Fund, a donation from

Benj. T. Reed 1,000.00

Wm. Reed Fund, a bequest from

Wm. Reed 5.233.92

McGregor Fund, half of a dona-
tion and bequest from James

McGregor 7,500.00

Miss Rice Fund, a bequest from

Miss Arabella Rice . . . 5.000.00

Templeton Fund, half of a bequest

from John Templeton . . . 5,000.00

Mrs. J. H. Rogers Fund, a dona-
tion from J. H. Rogers . . 1.177.50
Lincoln Fund, half of a bequest

from Mrs. F. W. Lincoln . 85.000.00

Beebe Fund, a bequest from J. M.

Beebe 50.000.00

Blanchard Fund, a bequest from

Mrs. M. B. Blanchard . . 4,000.00

George Gardner Fund, a donation

of $1.0U0 from George Gard-
ner, and $11,000 from Shep-
herd Brooks 12.000.00

Hemenway Fund, a donation from

the executors of the will of

Augustus Hemenway . . . 20,000.00

Jessup Fund, part of a bequest

from Dr. Chas. A. Jessup . 1.000.00

Tufts Fund, a bequest from Quincy

Tufts ■ . 10.000.00

Read Fund, half of a bequest from

James Read 1,000.00

Parker Fund, a bequest from

Jonathan Parker, Jr. . . . 10,000.00

Amount curried foi'wanl . . $437,760.95

Report of the Treasurer.

Atiioiiiit h)'()i((iJit fonrn rd . . :it^437, 700.9;")
The Miss Shaw Fund, a donation and be-

questfioni]\Iiss M.Louisa Shaw 5.500.00

Eliza Perkins Fund, a donation

from Mrs. H. B. Rogers . . 1.000.00

Dwight Fund, a donation from

Mrs. T. Bradford Dwight . 1,000.00

Hunnewell Fund, a donation from

H. H. HunneweU .... 10,000.00

R. M. Mason Fund, a bequest

from R. M. Mason .... 5,000.00

Hannah Lowell Cabot Fund, a

donation from Dr. Samuel

Cabot 1,000.00

Welles Fund, a donation from

Miss Jane Welles .... 5,000.00

Black Fund, a bequest from Miss

Marianna Black .... 2,000.00

Eben Wright Fund, an assignment

of legacies by the children of

T. Jefferson CooHdge . . . 14,000.00

Paraclete Hohnes Fund, a dona-
tion from W. S. Adams . . 2,000.00
Estabrooks Fund, a bequest from

J. W. Estabrooks .... 1,000.00

Thayer Fund, a bequest from

" Nathaniel Thayer .... 30,000.00

Ann E. Gray Fund, a bequest

from Miss Ann E. Gray . . 5,000.00

John Bertram Fund, a donation

from ]\Irs. Clara Bertram

Kimball 5,000.00

Hannah C. Leland Fund, a be-
quest from Mrs. Hannah C.

Leland 15,000.00

Esther E. Beebe Fund, a bequest

from Mrs. Esther E. Beebe . 2.000.00

Ella F. Roehl Fund, a bequest

from Ella F. Roehl . . . 8,085.02

Donations from friends, two of

SlOO each and one of S50 . 250.00

Henry B. Rogers Fund, a bequest

from Henry B. Rogers . . 10,000.00

John H. Eastburn Fund, a bequest

from John H. Eastburn . . 10,000.00

Mrs. Susan F. Eastburn Fund, a

bequest from Mrs. Susan F.

Eastburn 1,000.00

Amount carried for u-anl . . So71,595.97

28

Report of the Treasurer.

Amount hrouijld fot'umrd . . $571,595.97
The William B. Craft Fund, a bequest

from William B. Craft . . 5,000.00

Emily W. A])pleton Fund, a dona-
tion from Mrs. Emily W.

Appleton " . . 1.000.00

Stephen P. H. May Fund . . . 1,000.00

Charles R. Hayden Fund, a dona-
tion from Mrs. Annie Ruth

Hayden 2,000.00

Spaulding Fund, a donation of

Mahlon D. and John P.

Spaulding 10,000.00

Shattuek Fund, a donation of

Mrs. George C. Shattuek . 500.00

Joel Spaulding Fund, a donation

of Miss Sarah R. Spaulding 3.000.00

McGregor Fund, a bequest of

Mrs. James McGregor . . 1.000.00

Bartlett F'und. a be(piest of Sidney

Bartlett 10.000.00

Sawyer Fund, a bequest from

' M. P. Sawyer 76.966.19

Jas. B. and Mary Dow F'und, a

gift of Mary Dow, under the

will of James B. Dow . . 5.000.00

Ehsha T. Loring Fund, a bequest

of Ehsha T. Loring ... 10,000.00

Ellen M. Gilford Fund. i)art of

bequest of Ellen M. Gifford . 10,000.00

Turner Sargent Fund, a bequest

of Amelia Jackson Sargent . 5,000.00

Sarah E. Allen Fund, a bequest of

Sarah E. Allen 5,000.00

W^m. S. Dexter Fund, a donation

of Wm. S. Dexter .... 5,000.00

AVm. B. Spooner Fund, a bequest

of Wm. B. Spooner . . . 3,000.00

Caroline Merriam Fund, a dona-
tion from Frank Merriam . 1,000.00
Elizabeth W. Gay Fund, a bequest

of Ehzabetli W. Gay . . . 7.931.19

Waldmeyer Fund, a bequest of

PhiUp Waldmeyer .... 1,000.00

Lawrence Fund, a bequest of

Abbott LaAvrence .... 10,000.00

Isaac Sweetser Fund, a bequest of

Mrs. Anne M. Sweetser . . 46,913.14

Amount cfiri-led forward . . $791,906.49

29

Report of the Treasurer.

A moil nt brought forward . . $791,906.49
The Burnhani Fund, a bequest of

T. O. H. P. Burnham . . 250,000.00
Moselev Fund, a bequest of Wni.

O.^Moseley 20,000.00

Snow Fund, a bequest of Sophia J.

Snow 5,000.00

Glover Fund, a bequest of Albert

Glover 5,000.00

R. W. Turner Fund, a bequest of

Royal W. Turner .... 21,086.48

Coolidge Fund, a bequest of

Susan G. Coohdge .... 176,000.00
Vose Fund, a bequest of Ann

White Vose 38,983.09

Cheney Fund, a bequest of B. P.

Cheney 10,000.00

Mary B. Turner Fund, a bequest

of Mary B. Turner . . . 5,000.00

Theodore Chase Fund, a donation

of Alice Bowdoin Chase . . 5,000.00

Henry E. Moody Fund, a bequest

of Jane C. Moody .... 2,091.42

Urbino Fund, a bequest of S. R.

Urbino 6,000.00

Chas. Paine Cheney Fund, a dona-
tion of Mrs. B. P. Cheney . 5,000.00
Benj. Jos. Gilbert Fund, a donation

of Mrs. Susan B. Richards . 5,000.00

Wm. Hilton Fund, a bequest" of

Wm. Hilton 22,553.66

J. Sullivan Warren Fund, Legacy

of Elizabeth T. L. Warren . 62,350.00

Harriet T. Andrew Fund, a be-
quest of Harriet T. Andrew 5,000.00
Cornelia V. R. Thayer Fund, a

bequest of Mrs. C. V. R.

Thayer 25,000.00

Chas. B. Porter Fund, a bequest

of W. L. Chase 5,000.00

Henry L. Pierce Fund, a bequest

of Henry L. Pierce ... 50,000.00

Luther Farnum Fund, a bequest

of Luther Farnum .... 2,637.37

J. Huntington AVolcott Fund, a be-
quest of Mrs. J. Huntington

Wolcott 25,000.00

Geo. A. Newell Fund, a bequest

of Geo. A. NeweU .... 5,000.00

Amount carried forward . .$1,548,608.51

30

Report of the Treasurer.

Aviount broiKjht fonravd . .$1,548,608,51
The Ira C Calef Fund, a donation of

Ira C. Calef 5,000.00

J. Collins Warren Fund, a bequest

of Anna S. C. Blake . . . 10,000.00

Henry Saltonstall Fund, a bequest

of Henry Saltonstall . . . 10,000.00

Conrad Mohr Fund, a bequest of

Conrad Mobr 33,630.86

Sarah H. A. Burnham Fund, a

donation of Mrs. Sarah B.

Whittemore and Mrs. Theresa

B. Dodge 5,000.00

Chas. L. Young Fund, a bequest

of Chas. L. Young . . . 5,000.00

Henry Woods Fund, a bequest

of Henry Woods .... 5,000.00

Henry AVhitman Fund, a bequest

of Henry Whitman . . . 10,000.00

Jos. B. Glover Fund, a bequest of

Jos. B. Glover 5,000.00

Stuart Wadsvvorth Wheeler Fund,

a donation of Susan Farnuni

Wheeler 1,000.00

Wni. Whitvi'orth Gannett Fund, a

donation of Wm. Whitworth

Gannett 1,000.00

Robert Chas. Billings Fund, a be-
quest of Robert Chas. Billings 5,000.00
Fred'k L. Ames Fund, a bequest

of Mrs. Fred'k L. Ames . . 5,000.00

John Ruggles Fund, a bequest of

Mrs. Mary L. Ruggles . . 10,000.00

Chas. H. Hayden F'und, part of a

bequest of Chas. H. Hayden 5,000.00

Harriet 0. Cruf t P\ind, a donation

of Miss Harriet O. Cruft . . 3,000.00

Henry C. Weston Fund, a donation

of Mrs. Evelyn O. Weston . 5,000.00

Geo. B. Upton Fund, a bequest of

Geo. B. Upton 5,000.00

Shepard Norwell Fund, a donation

of John Shepard .... 5,000.00

Hannah Smith-Lexington Fund, a

bequest of George O. Smith . 5,000.00

Coburn Fund, a bequest of

Mrs. Helen G. Coburn . . 75,000.00

Amount carried forivard . . $1,762,239.37

31

Report of the Treasurer.

Amount hroiu/hf foruutrd . .$1,762,239.37
The Charles Merriani Fund, a bequest

of Charles Merriam . . . 5,000.00

Moses Williams Fund, a donation

of Laura L. Case .... 5,000.00

Smith-Gerrisli Fund, a bequest of

Edward Gerrish .... 8,000.00

Nurses' Training vSchool, Free Bed

Fund 5,000.00

W. Scott Fitz Fund, a donation of

Mrs. W: Scott Fit/ . . . 5,000.00

Harriet O. Cruft Fund, a donation

of Miss Harriet O. Cruft, as a

Children's Fund .... 5,000.00

Grace M. Kuhn Fund, a bequest

of Mrs. Grace M. Kuhn for

CUnical Laboratory . . . 10,000.00

Eugene V. R. Thayer Fund, a

a bequest in memory of

Eugene V. R. Thayer . . 5,000.00

Florence Lyman Fund, a bequest

of Florence Lyman . . . 3,877.10

Thomas Niles Fund, a bequest

of Thomas Niles . . . 29,281.67

William Litchfield Fund, a bequest

of William Litchfield . . 5,000.00

Lucius Clapp Fund, a bequest

of Lucius Clapp .... 5,000.00

Charles H. Draper Fund, a bequest

of Charles H. Draper . . . 20,000.00

D. R. W^hitney Fund, a donation of

D. R. Whitney 1,000.00

Anna T. Phillips Fund, a donation

of Mrs. Anna T. Phillips . 1,000.00

Jordan Marsh Co. Fund, a dona-
tion of Jordan Marsh Co. . 1,000.00

$1,876,398.14

Income unrestricted:

The Waldo Fund, bequest from Daniel

AValdo $40,000.00

Blake Fund, a bequest from

Stanton Blake 10,000.00

Charles W. Faulkner Fund, be-
quest of C. W. Faulkner . . 2,940.00

$52,940.00

Amount carried forward $1,876,398.14

32

Report of the Treasurer.

Amount hrovfjht forward . . $52,940.00 $1,876,398.14
The Jolin Foster Fund, bequest of John

Foster 10.000.00

Brown Fund, bequest of Harriet

Louisa Brown 5,000.00

Elizabeth C. Ware Fund, bequest

of EUzabeth C. Ware . . . 10,000.00

Lucretia A. Wilder Fund, a be-
quest of Lucretia A. Wilder . 9,377.64
Roger Wolcott Fund, bequest of

Roger Wolcott ..... 5,000.00

$92,317.64

Income devoted to any Pur-
pose except Buildings:

Redman Fund, a bequest from

John Redman 455,113.34

Chester H. Davis Fund, for
Crippled Children, a be-
quest of Chester H. Davis . 20,000.00

Total Restricted Fund . . $2,443,829.12

McLean Hospital Fund.

The Bromlield Fund, half of a l)equest

from John Bromfield . . . $20,000.00
Read Fund, half of a bequest from

James Read 1,000.00

Appleton Fund, a bequest $10,010

from Samuel Appleton and

a donation of $20,000 from

Wm. Appleton 30,010.00

McGregor Fund, half of a donation

and bequest from James

McGregor 7,500.00

Austin Fund, part of a bequest

from Mrs. Agnes Austin . . 5,000.00

Kittredge Fund, a bequest from

Rufus Kittredge .... 5,500.00

Aynofiint carried forward . . $69,010.00

33

Report of tlie Treasurer.

Aviouuthroufihtfonvard . . $69,010.00
The Tenipletou Fund, half of a bequest

from John Tenipleton . . 5,000.00

Proctor Fund, a bequest from

Mrs. Lydia P. Proctor . . 1,000.00

Hlgginson Fund, a bequest from

George Higginson .... 10,000.00

Pollen M. Gilford F'und, part of a
bequest from Ellen
M. Gifford ....... 5,000.00

Matchett Fund, a donation of

Sarah F. Matchett .... 15,000.00

Vose Fund, a bequest of Ann

Wliite Vose 34,491.54

Abbott Fund, a bequest of Mar-
shall K. Abbott 2,500.00

Lincoln Fund, half of a bequest

from Mrs. F. W. Lincoln . 85,000.00

Bradlee Fund, a donation from

Helen C. Bradlee .... 50,000.00

Vose Fund, a bequest of Ann

White Vose 4,491.55

Amusement Fund, S5,000 bequest
of Miss Mary Louise Shaw :
$5,000 donation of Mrs.
Quincy A. Shaw and other

ladies 10,000.00

Hibbard Occupation Fund . . . 1,000.00

Thomas E. Proctor Fund for

maintenance of buildings . . 30,000.00

Fund for Department of Scientific
Research, a donation of
Sarah F. Matchett .... 5,000.00

Art Room Fund 811.90

Samuel Eliot Memorial Chapel
Fund for maintenance of

Chapel 10,904.84

George F. Parkiuan Fund, a be-
quest of George F. Parkman 50,000.00
Ehzabeth B. Maxwell Fund, a be-
quest of Ehzabeth B. Max-
well 1,030.00

Mercy A. Bailey Fund, a bequest

of Mercy A. Bailey . . • 5,500.00

Howard T. Child Fund, a dona-
tion of Howard T. Child . 25.00

Total McLean Hospital Fund $395,764.83

34

Report of the Treasurer. »

Income devoted to a Triennial
Prize :

Warren Prize Fund, a bequest

from Dr. J. M. Warren . . $4,685.84

Income devoted to the Lib-
rary:

Treadwell Library Fund, part of
a bequest from J. G. Tread-
well 5,000.00

Income devoted to Music at
Hospital:

George C. and Anne H. Shattuck
Fund, donation of Dr. Fred-
erick C. Shattuck .... 2,000.00

Income devoted to Books for
Patients:

Warren Library Fund, a donation

from Dr. j. C. Warren . . 1,000.00

Income and Principal devoted
to the Publication of a His-
tory of the Hospital:

Bowditch History Fund, a bequest

from N. I. Bowditch . . . 2,000.00

Income devoted to Special

Surgical Instruments: . . $225.00

Donation of Dr. Henry J. Bigelow 1,250.00

Arthur Appleton Beebe Fund . . 5,000.00

6.475.00

Wooden Leg Fund .... $100.00

Bequest of N. I. Bowditch . . . 5,000.00

George A. Newell Fund . . . 2,500.00

7,600.00

35

Report of the Treasurer.

Convalescent Hospital Fund . $67,320.66

Bequest of Jerome G. Kidder . . 15,000.00

Bequest of Samuel W. Sweet . . 50,000.00

Donation from George A. Gard-
ner 5,000.00

Bequest of Elizabeth B. I. B.

Dixwell 1,000.00

Donation from Miss Helen C.

Bradlee 1,300.00

Bequest of Elizabeth B. Bowditch 5,000.00

Donation from Mrs. Isaac Sweet-
ser in memory of Dr. Edw.
H. Clarke ...... 1,000.00

S145,620.66

Free Bed Subscribers; for
ten years:

Mrs. W. Scott Fitz (1903-1913) $1,000.00
Mr. and Mrs. Henry S. Grew

(1905-1915) .^ . . . . 1,000.00

Henry L. Higginson (1906-1916) 1,000.00

Mrs. (Seorge D. Howe (1906-1916) 1,000.00

WiUiam S. Dexter (1908-1918) . 1,000.00

Walter HimneweU (1909-1919) . 1,000.00

Mary G. Pickering (1909-1919) . 1,000.00
Mrs. Charles H. Dalton (1910-

1920) 1,000.00

8.000.00

Clara Barton Annuity . . . 3.241.00

Euphemia Millar Annuity . 1,557.74

Dr. J. H. Whittemore Memo-
rial Fund 33,720.00

Training School for Nurses

Fund 39.967.92

Samuel Cabot Fund for Patho-
logical Investigation. Founded
in 1888. Donation of Samuel
Cabot and Dr. Arthur T. Cabot.
Income devoted to salary of Surgi-
cal Pathologist 10,000.00

36

Report of the Treasurer.

Pathological Laboratory and

Randall Funds $80,674.09

John Call Dalton and Edward
Barry Dalton Fund, a dona-
tion from Charles H. and Henry R.
Dalton. Income devoted to Investi-
gation in the Science of Medicine. 25,000.00

Codman Fund 149,769.96

Orthopedic Ward Fund . . 26,470.92

Late Result Fund (Anonymous) 306.22

Lovering Fund 1,800.00

C. H. W. Foster,

Treasu7'er.

37

I^xaminations of Accounts.

Boston, Jan. 30, 191 1,
Nathaniel Thayer, Esq., \

Moses Williams, Esq., > Cotninittee on Accounts.
C. H. W. Foster, Esq., )
Massachusetts Getieral Hospital, Boston, Mass.

Sirs : — In accordance with your instructions, we have exam-
ined the books and records of the Massachusetts General Hospi-
tal, including those of the General Hospital, Convalescent Hospi-
tal, McLean Hospital, and of the Treasurer, for the year ending
Dec. 31, 1910, for the purpose of verifying the cash transactions,
and reporting upon the financial condition at that date.

We submit herewith the General Balance Sheet at Dec- 31,
19 10, with supporting Schedules and Exhibits, prepared from the
Books of the Treasurer.

WE HEREBY CERTIFY:

1. That all funds shown to have been received have been
accounted for, and that we have found vouchers or other
satisfactory evidence of payment for all disbursements.

2. That the balance of cash on Dec. 31, 19 10, as shown by the
books of the Hospitals and the Treasurer, amounting to
$32,621.00, was on hand as of that date.

3. That Stocks and Bonds (par value $824,675.00), amounting
to $880,496.37, and Annuities Receivable, consisting of
three policies, amounting to $160,000.00, as shown by the
books, are certified by the New England Trust Company as
being in their custody on Dec. 31, 19 10, with the exception
of an amount of $9,000.00 New York Central & Hudson
River Railroad bonds, which were purchased Dec. 31, 19 10,
and received Jan. 4, 191 1.

4. That Notes Receivable, amounting to $71,215.42, were in
the custody of the Treasurer on Dec. 31, 19 10.

5. That the books of the Hospitals and Treasurer are in agree-
ment as of Dec. 31, 19 10, with the exception of the Accounts
Receivable and Supplies on hand, recorded on the books of
the McLean Hospital, which, in accordance with the usual
practice, are not included in the accounts.

6. That the Balance Sheet, submitted herewith, is correctly
compiled from the Trial Balance of the Treasurer's Ledger
as of Dec. 31, 1910.

Respectfully submitted,
PATTERSON, TEELE & DENNIS,

Certified Public Accountants .

REPORT OF LADIES' VISITING COMMITTEE

The Ladies' Visiting Committee has suffered a
great loss in the recent resignation of Mrs. Nathaniel
Thayer who had been for the last four and a half
years the President of the Committee. Mrs. Thayer
had, for a period of twenty-three years as a member
of the Committee, given an active and devoted
service to the Hospital.

The members of the Committee feel that their
friendly visits have been in many ways helpful to
the patients. The}- have endeavored to get in touch
with the patients and to offer them, when there
seemed a need, such sympathy and assistance as has
been in their power to give. Their efforts have
met with a gratifying response. It is, of course,
impossible in a short report to give in detail what
has been accomplished.

The Committee has continued its efforts to make
the Warren Library more attractive to the patients.
The circulation of books, owing 'largely to the
efficient service of the new librarian. Miss Wiffg-in,
has greatly increased. The number of books issued
to the patients, during the last seven months, has
been 3,419, and 1,262 books have in addition been
given out to the employees. Only 15 volumes have
been lost. There were added to the library, during
this time, 84 books, nearly half of these having been
donated. The number now upon the shelves is
1,965. Of these, as many as 300 are of poor print,
or ill-adapted to the needs of the patients, and there
are still more which are of little general service,
leaving scarcely more than 1,000 volumes which are
of practical use /or circulation.

38

89

Report of Ladies' Visiting Coinmittee.

All the best books of current fiction in the library
are eagerly sought and read by the patients and
additions must be made, from time to time, if their
requests are supplied. There is an especial need of
more foreign books, owing to the various national-
ities found in the wards, many of the patients being
unable to read in English. Additional books in
Italian, French, German, Russian, and even in
Yiddish, seem greatly needed, and more periodicals
would be of service.

The Committee annually receives $50.00 from the
Warren Fund for the purchase of books, but it feels
that this sum is inadequate to meet the increasing
needs of the Library. It is hoped that additional
sums ma}' be given for this purpose.

The members of the Committee have been happy
to find a high standard maintained in the wards, in
the diet served to the patients, and in the care and
consideration which is given them. They still feel
that there is an unfortunate crowding of visitors at
the entrance of the Hospital and in the waiting-hall,
during the visiting hours. This is due to inadequate
facilities and shows the need of an Administration
Building.

The Committee, in its work, has received constant
help from Miss Tippet, the Executive Assistant. It
desires again to express its appreciation of the assist-
ance it has received from the Administrator of the
Hospital and other officers and from all the workers
with whom its members have been brought in
contact.

Respectfully submitted,

Charlotte L. Sprague,

Secretary.

REPORT OF THE ADVISORY COMMITTEE ON
GENERAL HOSPITAL TRAINING SCHOOL.

The Ladies' Committee on Training School, which
is that part of the Advisory Committee, appointed by
the Trustees, most closel}^ connected with the train-
ing of the nurses, desires to report excellent conditions
in the School.

The increase in the number of nurses which was
made early in the 3'ear, has given more time and ease
and opportunity for better work b}' the nurses, as
well as given more nurses to each ward and shortened
the hours of duty.

In their weekl}' visits, the Ladies' Committee
observe distinct improvement in the nursing condi-
tions since this increase in this number of nurses, and
believe the training will be much more assimilated
when the nurses are not so rushed and pressed in
their work, as they inevitably had to be when there
were fewer nurses.

The outside work of district nursing and obstetrical
training continue to give good results, but the pre-
liminar}' course of instruction outside the Hospital
has been relinquished in favor of more varied pre-
liminary training inside the Hospital. It was not
possible to give to all the nurses outside preliminary
training', and the benefits received did not compen-
sate to the nurse for the loss of time in Hospital
training during her three vears' course.

There is constant improvement in the teaching
and training within the Hospital, and a universal de-
sire to make use of every means of improvement.

The ladies of the Committee meet the nurses

40

41

Report of the Advisory Committee on General Hospital Training School.

weekly on the wards and learn to know their work
and capacities. They also meet them in a friendly
way with an occasional party or dance, and have the
pleasure of a real and growing relation with them.

The work of this Committee is much forwarded
by the constant co-operation of the Superintendent of
the Training School and the Superintendent of the
Hospital, Dr. Washburn, whose careful consideration
of any suggestions is of the greatest assistance.

The most pressing need of the Training School at
the present moment is a new Home for nurses. Our
existing building, given by Mr. Nathaniel Thayer in
the year 1882, was built in the very early days of the
Training School and can now accommodate only a
part of the present force of 156 nurses. The remain-
ing number live in houses owned by the Hospital in
Charles Street and part of one in McLean Street,
which can never be wholly satisfactory, owing to the
distance from the Hospital and extra expense.

The Committee wish very much that funds could
be raised to build a suitable Home for these faithful
nurses, who work so hard for their three 3^ears' train-
ing and then go out to succor and help the com-
munity in time of illness and need.

Eleanor Whiteside,
. Ellen T. Vaughan,

For the Committee^

ANNUAL REPORT OF THE ADMINISTRATOR
OF THE MASSACHUSETTS GENERAL
HOSPITAL AND RESIDENT PHY-
SICIAN OF THE GENERAL
HOSPITAL

To the Ti'iistees of the Massachusetts General
Hospital :

Gentlemen: — I have the honor to submit 1113- third
annual report as Administrator of the Massachusetts
General Hospital.

The 3'ear 1910 has been satisfactory financially
from the point of view of the Administrator. The
actual operating cost of the three hospitals has been
$32,412.29 greater than in 1909. The hospital
receipts have been $31,888.41 larger.

The following is a resume of the operating cost
and hospital receipts:

GENERAL HOSPITAL.

Operating Cost. Hospital Receipts.

1908 .... S31T,832.23 1908 .... S135,002.24

1909 .... 336,131.35 19U9 .... 143,379.56

1910 .... 350,308.22 1910 .... 151,568.68

McLEAN HOSPITAL.

Operating Cost. Hospital Receipts.

1908 .... $286,027.83 1908 .... S278,722.50

1909 .... 28-4,294.64 1909 .... 279,762.41

1910 .... 303,508.18 1910 .... 303,500.06

CONVALESCENT HOSPITAL.

Operating" Cost. Hospital Receipts.

1908 .... $13,350.64 1908 .... $3,967.73

1909 .... 13,548.48 1909 ... . 3,901.21

1910 .... 12.570.36 1910 .... 3,862.90

The tables showinof these figures in detail are
appended.

43

Report of the Artininistrator antl Resident I'liysician.

GENERAL HOSPITAL, BOSTON.

I would again invite tlie attention of the Trustees
to the needs of the Hospital as shown in the Admin-
istrator's reports for 1908 and 1909. We have as yet
been unable to accomplish any of the construction
urged in these reports. As the years go by and our
work increases, these needs become more pressing.
An administration building is of first importance.
It is needless for me to repeat the reasons to you
gentlemen who know them so well. Another build-
ing for nurses is urgently required. We now quarter
many of our pupil nurses in houses outside the
grounds. The house at 92 Charles Street is used
for nurses' rooms, and by the courtesy of the Boston
L'3'ing-in Hospital we are allowed to quarter some
of our nurses in the old building formerly used by
the House of the Good Samaritan, at the corner of
McLean and Chambers Streets. This arrangement
is unsatisfactory' and should be as temporary as is
consistent with the financial resources of the Hospital.
A ward building is needed in order to give beds to
special departments which now have none of their
own. A country branch is most desirable. The
Hospital has the land at the top of the beautiful hill
in Belmont where this could be located. In such an
institution patients could be received from the Gen-
eral Hospital shortl}' after operation and there regain
their health and strength in lower cost beds in the
open country. This would leave us an opportunity
to care for many more serious cases which require
special medical attention and nursing in the higher
cost beds at the General Hospital. The present
Convalescent Hospital does not meet this need, as it
can care only for such patients as are able to dress
themselves and be up and about.

44

Report of the Administrator and Resident Physician.

A private hospital built in close connection with
the General Hospital is much to be desired. From
the point of view of the community, this is needed
because there is now in Boston no place where
people of moderate means and the well-to-do can
go to a hospital and pay their doctor and get all
the advantages which they could have in a hospital
connected with such an institution as ours. We
have here the high traditions of a hundred years,
well equipped laboratories with their accrued knowl-
edge and recognized standing, the X-ra}', Electrical,
Hydrotherapeutic and Medico-Mechanical Depart-
ments with their skilled and experienced operators.
From the point of view of the Hospital, a private
hospital would be of value in the training of our
nurses, in furnishing us a revenue to help support the
charity wards, and in bringing to our doors people of
means who, we would hope, would become interested
in the work done by the institution. It would con-
centrate the work of the Staff and enable them to
spend more of their time at the Hospital to the ad-
vantage of the patients. Such in brief are some of
the needs of the General Hospital. They would in-
volve a large outlay, but it is to be hoped that char-
itably disposed members of the community will see
what this would mean for Boston and the State and
give accordingly.

During the year 1910 the Children's Medical De-
partment has been created with its own Chief, thus
ensuring continuity of treatment and research, both
in the house and Out-Patient Department. The
Genito-Urinary Department has been reorganized
with a Chief on duty throughout the 3'ear, ensuring
the same results in that department. These are
important steps and are in line with modern hospital
organization.

45

■Report of the Administrator and Resident Physician.

An Assistant Skiagrapher and two Laboratory
assistants have been added to the number of salaried
officers of the Hospital. This also seems to be in line
with the trend of events in great modern hospitals
which tind that to get the best results they cannot
rely entirely upon voluntary work, as has been done
so largely in the past. We must expect in the future
to pay laboratory workers enough to attract men of
the first ability, as modern medicine has become so
dependent for its success upon laboratory work.

A Dental Surgeon and Assistant Dental Surgeons
have been appointed to the Hospital, and a Dental
Clinic established in the Out-Patient Department.
This last was made necessary by the removal of the
Harvard Dental School from our neighborhood to
another section of the city.

Four Assistant Physicians to Out-Patients have
been appointed with the result of making the Medical
Clinics run more smoothly and to the advantage of
the patients.

The graduate teaching established last year by the
Hospital has been continued with success. The
clinics have been very popular .and much appreciated
by the ph3'sicians who have attended them. The
fee has been nominal as heretofore.

Many of the wards have been equipped with appa-
ratus for disinfecting by heat excreta and other dan-
gerous material. This method seems to have been
originated in this Hospital and to have been copied
by many other institutions.

Some of the wards have been equipped with dish-
Avashing machines and tanks for boiling all dishes.

In the Warren Prize Competition for 1910, ten
essays were offered. Five were from the United
States, two from England, one from Denmark, one

46

Report of the Administrator and Resident Physician.

from Hungary and one from Germany. The prize
was won by Dr. George H. Whipple, Johns Hopkins
Hospital, Baltimore, Maryland, for an essay entitled
"The Pathogenesis of Icterus."

The publications of the Hospital have been issued
at intervals during the year, and many congratulatory
letters have been received from physicians and scien-
tists who value these reports.

The Ether Day address was delivered by Dr.
George W. Crile, of the Lakeside Hospital, Cleve-
land, Ohio. The subject of the address was " Phy-
logenetic Association in Relation to Certain Medical
Problems."

The number of patients admitted to the wards was
6,092 in 1910 — 5,871 in 1909. Total patients' days
treatment, 105,617 in 1910 — 105,295 in 1909. Aver-
age length of stay in the Hospital was 17 plus days in
1910 — 18 minus days in 1909. There were 4,016
operations upon house patients in 1910 — 3,841 in
1909. Visits to Accident Ward in 1910 were 5,590
— 5,314 in 1909. The Out- Patient Department shows
124,584 visits in 1910 — 121,327 in 1909. A daily
average of 413 minus in 1910 — 399 plus in 1909.

The daily average cost per patient was $2.52 plus
in 1910 — $2.36 plus in 1909. The daily cost per
capita for provisions for all persons supported was
$ .28 plus in 1910 — $ .30 minus in 1909.

THE PATHOLOGICAL LABORATORY.

Attention is invited to the report of Dr. J. H.
Wriofht which follows. The excellent work of this
department continues and is widely known and
recognized.

Report of the Administrator and Resident Physician.

OUT-PATIENT DEPARTMENT.

The following tabic of statistics showing the work
in the Out-Patient Department since the opening of
the new building may be of interest.

New Cases. Total Number of Visits

1904 . .

. 25,082 . .

. . 106.174

1905 . .

. 21,874 . .

. . 110,081

1906 . .

. 20,010 . .

. . 99,251

1907 . .

. 20,358 . .

. . 107,063

1908 . .

. 20,729 . .

. . 116,008

1909 . .

. 21,518 . .

. . 121,327

1910 . .

. 22,302 . .

. . 124,584

The record system is very complete. It has been
extensively copied by other hospitals and is always of
interest to*the medical visitor.

The social service work continues successful as in
the past. A dental clinic has been established. The
older departments continue their successful work.

NURSING DEPARTMENT.

Miss Sara E. Parsons was appointed Superintend-
ent of Nurses in March. What has been accom-
plished during the year, and our hopes for the future,
have been so well described in the reports of the
Ladies' Advisory Committee and the Superintendent
of Nurses that the}' will not be repeated here, but
attention is invited to them.

TREADWELL LIBRARY.

The careful work done in this Library in the in-
dexing and compiling of records is commendable.
The complete report of the Assistant Librarian
follows.

48

Report of the Administrator and Resident Physician.

WARREN LIBRARY.

This is the patients' library. The fund at the dis-
posal of this department is small and the income is
not sufficient to furnish all that could wisel}^ be ex-
pended for books and periodicals for patients. It is
to be hoped that some generous friend will contribute
to this object.

Music has been furnished the Hospital at Easter,
Christmas and on other occasions. This has been
paid from the income of the Shattuck Fund. The
Hospital Music Fund furnished us with music at
Thankso^ivino:.

There have been more worthy applicants for arti-
ficial limbs than we have been able to supply from
the limited income of the Wooden Leg Fund. We
have been obliged to make up from the General Fund
the sums which could not be furnished from the in-
comes of the Pathological Laboratory and Training
School for Nurses Funds.

The social work in the wards by Miss Tippet has
continued in a satisfactor}' manner. It is gratifying
to note the letters ol appreciation which she has re-
ceived from patients who have been discharged. In
her report to me, Miss Tippet again invites attention
to the great need in this community of a hospital for
incurable or chronic maladies. This is more espe-
cially noticeable in the case of men. We look for-
ward with hope that the new Robert Brigham
Hospital will go a long way toward meeting this
need.

We should acknowledge with gratitude the volun-
tary services rendered the Hospital by the Physicians
.and Surgeons of the Staff, the Ladies' Visiting Com-
mittee, the members of the Advisory Committee to

49

Report of the Administrator and Resident Physician.

the Training School, the ladies of Cambridge, the
Whitman Sewing Society of Trinity Church, the
ladies of St. Paul's Industrial Society, the ladies and
gentlemen connected with the Social Service in the
Out-Patient Department, and man}- individuals who
have entertained the patients or given aid to the Hos-
pital in other wa3-s.

McLEAN HOSPITAL, WAVERLEY.

The year has been a prosperous one at the
McLean Hospital. On account of the increased in-
come from board, it has been possible to make
many repairs and to renew many furnishings which
have long been needed. This largely accounts
for the increased cost of operating. It has not been
necessary to call upon the Treasurer for an}- money
over and above the income from the restricted funds
of McLean Hospital.

A new farm stable has been built and nearl}' coin-
pleted and its cost met by money received from
board of patients.

A room for continuous bath for patients is in proc-
ess of construction as an annex to the Bowditch
House. Chancres in the interior of this buildins^
have also been made.

A room in the basement of the Men's Gymnasium
has been made accessible from the yard and been
fitted as a lounging room for patients.

For a detailed account of the improvements within
the ward buildings, reference is invited to the report
of the Medical Superintendent.

The average daily cost per patient was $3.59 plus
in 1910, and $3.39 plus in 1909. Total number of
days* treatment was 80,978 in 1910, and 79,515 in
1909. The daily cost per capita for provisions for

50

Report of the Administrator and Resident Physician.

all persons supported was $.488 in 1910, and $.458
in 1909.

Tables showing financial statements and statistics
in detail are appended.

CONVALESCENT HOSPITAL, WAVERLEY.

The year has not been remarkable. The expenses
and receipts have varied little from those of 1909.

The total patients admitted was 638 in 1910, and
6^6 in 1909. Total patients' days treatment, 11,331
in 1910, and 11,428 in 1909.

I desire to acknowledge again faithful services
rendered the Hospital by officers, nurses and em-
ployees, and to thank your Board for consideration
shown the administration of the hospital.

Ver}^ respectfully,

Frederic A. Washburn,

A dm in istra to r.

51

Report of the Administrator and Resident Physician.

TABLE No. 1.
Comparative Statement of Statistics.

Hospital Wards and Single Rooms :

Patients in Hospital January 1 : i9io.

Medical 101

Surgical 199

Total 300

Patients admitted during the year :

Medical 2,159

Surgical 3,933

Total 6,092

Total patients treated in Hospital wards and
single rooms during year :

Medical 2,260

Sui'gical 4,132

Total 6,392

Patients discharged during the year :

Well 508

Much relieved 987

Relieved • . . . 3,521

Not relieved 310

Against advice 73

Died 450

Not treated 257

Total 6,106

Patients in Hospital end of the year :

Medical 96

Surgical 190

Total 286

Total patients' days treatment :

Free patients 57,606

Pay patients 48,011

Total 105,617

Percentage :

Free days 55 —

Pay days 45-|-

Total 100

1909.

98
198

296

2,059

3,812

5,871

2,157
4,010

6,167

491
1,567
2,739
278
121
451
220

5,867

101
199

300

51,684
53,611

105,295

49+
50 +

100

52

Report of the Administrator and Resident Physician.

Average patients per day : 1910. 1909

Free 158— 142—

Pay 132— 147—

Total 289+ 289—

Average time per patient in Hospital . . . 17-|-days 18 — days

Daily average cost per patient, excluding actual
cost of running Out-Patient Department
and Accident Ward, Heat, etc., fm-nished.
Eye and Ear Infirmary, and goods fur-
nished Convalescent Hospital and McLean
^Hospital $2.52+ 82.36+

Daily cost per capita for provisions for all per-
sons suppoi'ted .28+ .30 —

Paying patients were admitted at the following rates per week :
49 at $35.00, 18 at $23.34. 189 at $21.00. 3 at $16.50, 1 at $15.00,
44 at $14.00, 1.830 at $10.50, 4 at $10.00, 8 at 89.00, 18 at $8.00,
4 at $7.50, 724 at $7.00. 14 at $6.00. 1 at $5.50. 1 at $5.25. 335
at $5.00, 2 at $4.50, 46 at $4.00. 292 at $3.50. 90 at $3.00, 9
at $2.50, 76 at $2.00, 2 at $1.50. 2 at $1.00.

There Avere 5,590 patients treated in the Accident Ward. Of this
number 1,695 were retained in the Hospital.

Out-Patient Department.

1910. 1909.

Number of cases treated (new cases) . . . 22.302 21,518

Americans 10,876 10,441

Foreigners 11.426 11.077

Residents of Boston 10.555 10,059

Residents of other places 11.747 11,459

Medical Department 7,058 7,043

Surgical Department 6.811 6,559

Department for Diseases of the Skin . . . 2.062 2,059

„ „ „ „ Nervous System 1.023 1,088

„ Throat . . 3,055 3,006

Orthopedic Department 2,225 1,763

Dental Department 68

Total number of visits from patients . . . 124,584 121,327

Average daily attendance 413 — 399+

Total number of prescriptions fiUed . . . 48.676 48,250

Number of visits to Hydrotherapeutic Room . 4,610 4,187

„ „ ,, Medico-Mechanical ,. . 17.008 11,837

„ applicants 24,634 24,042

„ admitted 22,302 21.518

Referred to other Institutions 474 596

Number refused 1,858 1,928

53

Report of tlie Administrator and Resident I'liysician.

1910. 1909

Cost of Maintenance of Out-Patient Dept. $56,383.06 $54,739.32

Daily average cost ])er Out-Patient . . . .45-)- A5-{t

Amlmlance.

1910. 1909.

Ambulance calls during the year .... 1,639 1,539

Average calls per day 4-1- ■ 4-\-

Accident Ward.

1910. 1909.

Visits made to Accident Ward during the

year 5,590 5,314

Average visits made per day 15~l~ 1^ —

Cost of Maintenance of Accident Ward $4,555.97 $4,389.78
Daily average cost per Accident Ward

Patient .82— .83—

X-Ray.

1910. 1909.

Number of X-ray cases taken in the Outr

Patient Department 3,414 3,323

Number of X-ray cases taken in the

House 1,363 1,441

TABLE No. 2.

Residences.

Boston 1,510

Massachusetts (except Boston) 4,359

Maine 42

New Hampshire and Vermont 83

Rhode Island and Connecticut 20

Other States 49

British Provinces 24

Foreign Countries 5

Total 6,092

TABLE No. 3.
Birthplaces.

Boston 359

Massachusetts (except Boston) 1,904

Maine . 238

New Hampshire . 139

Vermont . 66

Rhode Island and Connecticut 69

New York 119

Southern and Western States 205

Other States 28

Total in the United States 3,127

54

Report of the Administrator and Resident Physician.

Table No. 3 — Contlnueil,

British Provinces 645

Great Britain 179

Ireland 635

Norway and Sweden 139

Germany 55

Italy 339

France 11

Russia and Poland 532

Other Places 430

Total Foreigners 2,965

TABLE No. 4.

Occupations.

Males.

Advertisers 1

Accountants 2

Actors 1

Agents 16

Apprentices 1

Artists 3

Bakers 5

Bankers 1

Barbers 27

Bar Tenders 5

Blacksmiths 26

Boiler Makers 1

Book Binders 3

Bookkeejjers 10

Brass Finishers 1

Brewery . 1

Bricklayers 2

Brokers 2

Butchers 13

Butlers 9

Cabinet Makers 3

Candy Makers 2

Canvassers 1

Carpenters 95

Cashiers 1

Chauffeurs 20

Chiropodists '. 1

Cigar Makers 14

Clergymen 10

Carried forward 277

55

Report of the Administrator and Resident I'hysician.

Brought forwcur a ■^''

Clerks ^^l

Collectors „

Compositors ^

Contractors ^_

Cooks rt

Coopers o

Coppersmiths ^

Curators ^

Curriers {

Decorators ^

Dentists ..

Dredgemen ^ ._

Drivers ..

Druggists ^^ *

Electricians .

Elevatormen ^

Embalmers „^

Engineers ^

Engravers co

Factory ^J^

Farmers „-

Firemen ^ .-^

Fishermen ^

Florists q

Foremen g.

Forresters ^

Foundrymen -

Frame Makers ^

Fruit Dealers ' • • ^

Furriers oq

Gardeners ^

Gas Fitters „

Grocers -.

Homes -.^

Hostlers ^

Inspectors ..

Instructors -

Instrument Makers

Inventors - p.

Iron Workers ^

Janitors -. r

Jewelers ^

Journalists ^

Judges ^

Junk Dealers ^.

Laborers

Carried forward •^'^°'

56

"Report of the Adrninistrator and Refsident Physician.

Broil f/ht fonrnrd 12S7

Laundiyrnen 2

lawyers 11

\jc/diih(:r W'oikfiJH 10

ljf'A\MY (Jairiers 0

LiLiariar)« 1

Liquor Dealerw 1

LockHinityiK 1

Lonj^Khorenien 4

Lurriiiei- Dealers 1

Luiubf;rinen 2

JMa^}iini8tK 70

Manaj^ers 2

.Marinf'acturer« 9

Manners ?»

Masons 14

Masseurs 2

Mechanics 10

Merdiants 2

Meshejif^ers 10

Metal Workers S

Milkmen 7

Miners 4

Musicians 0

Naval Officer- 1

None 360

Nurses o

<'>fKce Boys ?,

Painters 4H

Paper Han^^ers 3

Pajjei- Makejs ;j

Pedlers 31

Photof^aphers 4

Physicians 44

Plasterers 1

Plumbers 17

Policemen (;

Poi-ters 16

Pressmen 2

i^i-inters 27

Professors 1

Provision Dealeis 2

C^uarrynien 3

Rabhis 2

Railroarl Employees 87

lieal Estate 7

Retired 17

(Uirr'icjl foriin id 2174

57

Report of the Ailiuiiiistrator and Resident Physician.

Brought foficd rd l.'l(4

Roofers T

Rubber Workers 19

Sale.smen 47

Seamen 13

Sextons 1

Shippers 14

Shoemakers 145*

Silversmiths 1

Skiagraphers 1

Soldiers 1

Steam Fitters 1-

Stenograpliers 1

Stewards 1

Stone Cutters 10

Storekeepers 9

Street Railway Employees 32

SUidents . '. . / 320

Superintendents o

Supervisors 1

Surveyors 1

Tailors 07

Tanners 1

Teachers o

Telephone Operators 3

Tinsmitlis 3

Treasurers 1

Upholsterers 0

Ushers 1

AVaiters 30

Ward Tenders 10

Watelunen 1 '

Weavers lo

AVoodworkers i

Wool Business 3

Others 480

Total Males 3,480

Females.

Actress 1

Attendants 9

Book Binders 3

Bookkeepers 10

Candy Makers ^

Canvassers 1

Cashiers 1

Chiropodists ^

Carried fot'icd rd 32

58

Report of the Administrator and Resident Physician.

Brought forward 32

Cigar Makers 2

Clerks 25

Cooks 50

Domestics 133

Dressmakers 31

Factory 61

Forewomen 1

Governesses 2

Hair Dressers 3

Home 78

Housewives 927

Housework 197

Janitress 1

Jewelers 2

Laundresses 24

Librarians 1

Maids 98

Manicurist 1

Masseuse 1

Mill Hands 9

Milliners 5

Missionaries 1

Music Teachers 4

None 309

Nurse Maids 10

Nurses 99

Photographers 1

Physician 1

Post Mistresses 2

Proof Reader 1

Saleswomen 20

Seamstresses 25

Secretaries 3

Sewing 14

Shoeshop Employees 36

Sisters of Charity 1

Stenographers 17

Stewardess 1

Stitchers 3

Students 221

Tailoresses 10

Teachers 10

Telephone Operators 7

Typewriters 1

Waitresses 39

Weavers 4

Others 88

Total Females 2,612

59

Report of the Administrator and Resident Physician.

I— I

cu
o

Eh S

-^'^

tf <i:

^§

of

O
I— (
m

m

O

5

•paiuajX
siuan^d-ino

17016
17925
18981
19472
22939
22545
25819
26718
26527
27989
29146
29867
29181
28741
31003
31043
27667
27662
27865
25020
21874
20010
20358
20729
21518
22302

Patients
remain'g

under
treatm't
Dec. 31.

•99JJ

coiOoi.ooait-xoot-;ococciS^i.-5i-t-t-«-5<-iTj<-r'*coco

•Suiif'BJ

-<l-«t-'>J<00'S<t-OiOCO"J<0-H04-H'M-t<QOOOCl-1".-ic»iO
rtrHrtr-l.-H^Cqr-lC^lOtD050)001(»03COO.-IMCOC<3lCc!5lO

■83198AV aaJJ
JO erajx a3«JaAV

ot-m'*'*int~ia-,^5'oco-j<3t-Sooc-iSSioS?3<J£S

■l<C<3COmcOCOMeOCOe<5eOC^C-)0)C^MC'>^JC^NC^(N'NUNIN

JO aniix aSBaaAV

S§gtSS2;S^^g8?3Sglg3?SSS;S8;:s§§5

C^ClC^<MC^lMC-»O^»-ICOCO'^C*5C^ClC)C^dC)COCCC0COeoCOC<

siuapioov

•aS'BjaAV

-H — 1 rt .1 (N ^ C^ C^ rj C» I^ C) <M C^) 0) Cq C^ Cl CI (M !M IM CI C^ IM (N

•fB^ox is'ca'i

t-^5Oc0OQ0l0-^lCClf0QC^'McDlCt-t--<t^:£>cDC^'^J1-^c^
5^?5i£5iot-int-t-r-mt-5-^rt^:co — -HLiMMciioiooS

•[■B^oxisaiBaao

00O-H.-l'MCIMi-(ClC0CC10lOO3000Q0»OOOOOCl--i-l

^e<ic-5cicicicjoc-)Cicioc-)cocie^cic-)MMMcococb««i

J8qain>i ^sai^eiao

SgSSSS;S§§SS§|2SS?gJ:;S5^^33gg{=S

rt^^^„^^„rt^ei

tOt;j2g000000300COI-(-t-OOCC3iOOO'»tOt-00«>l~:

•paMirapv l^jox
uo aS^^uaojati

iprl<OOMCOtOtOta-S"t-COt-r-00500M.-llO^«lOa300
(N->!f<t-.U5CO^r5000rHOt»:iOOrtC>01«SOOO<oS--sS«

(»t-coco'36o6Qdocoioioo6a>ododajo>^-eoc>odoioooot-"t-

•sm^aa

O3as^t-00b-^C5'Md-1*0O<DCCQ'*a)*-«COCCir:00t-.COlC»O

019 'passitnsia

-irtr-lc.)COdde<lr-i01C<llMM0030CldO-lCOOClC)ClC%CJ

•p9A9I[9a *0^

t-cooooSioco-. cococot-t-coojcoSooocsS^cSS

•4JB<I UI P9A9II9H

JO 'p9A9ii9a qonm

361
411

565
640
669
874
1182
1035
1479
1452
1945
2115
2224
2755
2835
2402
2688
2730
3076
3056
2820
3005
3417
3241
4306
4508

•pajqirapv l^jox
uo 9.3Biuaoj9j

SggS§gSgS?5§^SS;§5g5S?§SS5g?3SS*"

'118iVi paSjBqosicr

1584
1689
1694
2021
2034
1880
1400
1673
1396
1272
1127
1344
9.59
1135
1084
1345
1457
1375
1046
1196
1356
1068
1138
1112
491
508

4>

a -a"

oH

•99JJ

2044
2283
2523
2731
3016
2719
2748
2793
2949
2860
2687
3237
2980
3010
2981
3136
3527
3398
3399
3433
3213
2968
3429
3558
3525
3685

•9UIIX JO U'BJ

•X> -*l O tf ■* Cl -f to t- 00 C Cl L- CO CO O O "-I Cl IC lO UT» ■* -.o

Tl> O ■«< u^ Ci iS -- -O Tji O 5S -* rt t- CI rt -O « O C-. -X 1- t- O S ^

T^ ClCI^.-l«rt^rt--ClC<COC)Clrtr-irtrHrtC<M

■pjBog SuiyCBj

382
409
447
570
514
599
449
566
627
636
1091
124
220
868
882
534
466
521
737
861
968
188
189
971
378
361

^T-. i-.^"'-.uc*"^-<'.^

amix am
JO u'Bj :gui^T3d:

^^Orf-t^-^CO-^C^ClOOOC^iOCOCOOOirrtCJiCiCiOoO-^O
rH ClClrHrH.-l^^^^C^CJCOCJCJ'-Hf-.-H^;::;^^

•9aiix 9m

^^ciciroOi-'ir:ci'^rHoOi-i:ooo»-HCiioascoi-tQCOt--t'.t--co

COCO'^iOiCm'^iC'X'OOOi-Hr^t'-#rO'^Xit--ooOOCCC^C«l

1-1 iH r-ti-Hi-l»-iCJC)t-iC^C^

•99JJ:

1910
2124
2340
2549
2825
2546
2566
2612
2768
2683
2553
3103
2841
2854
2812
2985
3349
3227
3222
3251
3073
2850
3285
3417
3380
3523

•pgilimpv XBlox

2327
2580
2814
3256
2419
3381
3203
3325
3524
3406
3749
4304
4079
4807
4816
4640
5094
4936
5080
5204
5096
5075
5517
5302
5871
6092

•JB9

A

1885
1886
1887
1888
1889
1890
1891
1892
1893
1894
1895
1896
1897
1898
1899
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1010

(50

Report of the A<Uninistrator and Resident Physician.

00000:0 OaocOiCCi-^

So CC to" t'^ CD iC Q >^' C^ Ci O^

^. OCOfOT3<:sj COOC»iO-fCt

c-1 -r M 0^ CO t- CO w-« C". Id

i2 t^ S

O ^ S

i : o

;= s =«

■*— ■ OS

O rt t.— s
o 0) d tifa

.27;

^ *J *< o o

o S :!i 'Z^ «

c =* "? c&
.2Ph o c

2 3 cs aft

10 1-

CO 06

OS

t. C 03 Ih

S£w^ :;S

™ 3 hfl ^ i>
«•"% = =*

CBCCMmH

S»J

^ ^ o ^
o g = o s

« S £ - ■o ?

o o 3 ff ^ s

■ST! sO' 3)-<

«>! "J S

TO O CO
TO O fM

-»i CO

to»-"

O -.S O ■* TO ■3<
00 t-- L^ in CC tH

■ai Tf CO -«' TO oJ

OS -^ CO Oi C-l l-
CO^0C_lO t^ ^j:^

TO CO lO C-J C^ Ci
t-i rH r-t C^l

0

^

2

'.2:

i-ICC l-Jcfi iJCC

2 c *!

t r vf TO

5 !r! i; yj '^-

.0^
9 o
-J e

^ e« .a g t^ •-

9 O

?r -^ r o) ^ .

2:5 C a n »

an

ot

1

•^

1

" 1 ^

ir

4>

i W

' c

4>

a

X

U

>»

'W

u

v

a

0

y

u

0.

a.

•0

C

s

't'

es

'i^

4>

0

S

0

(f

' ! es

C

^

rf

e

V

H

0

i
1

LOt-cj-rOTOCooso

C:»-'OJOOC5lOO

2^

Ct3 M

«« c c
© ^ *n

— 7-3
e« « 1)

flj TO ♦J

to s> a s

a a "* 8
S e« ^a
a c a OS

5- -u •« •" ■::;
» a a

CD TOTOOt)"
■* O iq TO ff)
t^^ 00 oioi
o »o I— CI c^

IC

o

111

■a »
fl S
15

UP.

a v

» c^iS a
*H a) - OS o

®^ 9 2s
'C «>.2 bcS

oiOaE-iS

CO CO CO <3<

CO 00 .-< o

IC la CS o

C-)_ -<^ 00_ 05_

O 0 TO O 00 O CO l-
-1; C^_ CD C^ 00 .-< tH 05

•-< 00* -^ 06 Q TO Ci C^

OOrtlftOOCpt-O
^ TO_^C^^0-^05_00_C^O
^ ■*"to'"-*'"cO C-fTO — '

t~in ?)■*

I-(M OC5

>Oi-l

e<i 10

>- oop 0

oKcO 00

ii

f-

.-1 CO TO

R

III

S u . a).5 I- f'— 3

(A

2 «
= i

■S J* 0. iS E

fe c« 3 nl 5
'' CCcC CCCC

« 0) x"

« a ^ ^ " ® »

•^•1} 3 C S. ? 3

5„ t« =«£-3.?

3.?
5 ^iJ 3-

s

(51

Report of the Administrator and Resident Physician.

<
C

o

pq
<

W
H

O

^ >

Q

w

w

Ok
X!

,H

CD

O

in

(X>

l^

o

o

<=

■*

i.

CD

o

o o

9

to

1-

,-■

,

CO ;0 -^ O 00

q o o o cc

in

to l-

3~-

l^-

(M

05

00 ^ CO (^ cc

<M -r o rt 03

00 to d o o

•r

c

^

in CO

=

^<

CD

00

^ e< Lo lo t-

to o

g

-M

Ci

§

o o> CC » tT

« M CO

ce

CO

11^ in

f"^

-^

§!_ ,

T^

•*" -I"' -h" m"

th" 00

C*"

00 r-T

c*-

in"

<-> -r -J"

•d

c

S?

■n

<fe

e-

CO

(ff

m

0*

s s g s g

oo — o o in

3

•»< O)

a

1 C5

t^

to

p« I- .-( q 1-

i-

CO CO

c

(M

a

00

O

^ ^- rt' o rt

lO 00 00 S t-
O C5 CO =1 L-

2" 5' '^'" 5

O o" (N t: ;0

oc

.-,

!>■ CO*

c

C3

--•

00

00 O ^ C5

t-

&

a <T.

a

CO

^5

c^

a

« rH c:

h-

^-

*

c->_

c

to

^

(N

"

CO

(f}

f»

(fe

, ^

in

c

o

1

00

«

o

1

o :

CO

o

S" ' ;

•*
s

o

i

UJ

„

^

j

Of

"j

'^^

".

1

<

J£

:«

c:

M

J

3

a. £

u

d

s

o

CO

i

O

r

: =1
. ^ -"^

: S^

>

— H - IK

y .^ m 7

OJ _ J ci

%

\

7

w

• " £?

O

J £^

o

Ci

s

n

t 111
cl S S3

-f

S* -c

: ~ "^ r^ •-

O i /5 c

iJ "^

^

a

11^

^ 4-

5

•ill s

a

1 1

p •^

t

o ,

■^ i

c 1

> -- ^ '. T

c
a

o 3i 1

=■

3

-

1

<i

y

s

5" c S

05 -« Cl (>) ^

lO :o o X

o l~

^

O (N O C5 T

CO cc c; cc

o-

q to

Ol

^

CC l- t- o t-

^' lO CD CO

d u-

oo

CC C: O o cc

CO -H S 5

S c^

X

00_ t- l^_ ■«•_ f

cr

t—

A

c-f cC oT o" t-"

cd" co' ^^ T-

iS

I-J 00 M CS ^

g § s § &

co

S !:; S S

c

f.

d

U5 ^ •»>■ in -

1 i i p

c

o

0)

g ;:. 51 ^_ 3

u-

s

^

^ O O lO

5fe '^ "

'^

CO

CO

*

^

>■'

0*

Q^

L«

<

a

cb

^

i

£

3

■ H
t/) >•

U —

t«

-^

SI

<

s

a m

g " » ;^ cs

^ 5 q § £

"*

O co-

1

3

o =

CL

"s S t £ s
'S •£ S 2 S
■e 2 a> 5 ?

.

1 s

O

H
e

-5! Ch Q C ft
15

E

£1. =

£ I

■M .s .^ *

t' &> -

^

c

> C

e

<

r^

II

62

Report of the Adminietrator and Resident Physician.

Statement of Stock on Hand.

1910. 1909.

Administration Supplies $1,007.85 $1,302.74

Professional Care OF Patients' Supplies 9,012.37 10,879.16

Department Supplies 20,475.15 16,721.10

General House and Property Supplies . 2,980.02 419.56

General Material 1,000.19 1,084.56

Total Stock on hand Jan. 1 $34,475.58 $30,407.12

63

Report of the Administrator.

TABLE No. 1.

McLEAN HOSPITAL.
Comparative Statement of Statistics.

Patients in Hospital First of Year
on Visit

Patients Admitted Dui'ing Year .
,, Discharged During Y'^ear

Not Insane 8

Recovered 43

Much Improved 27

Improved 35

Not Improved 42

Deceased 13

Patients in Hospital End of Year

on Visit „ „ „ . .

Total No. Days' Treatment

Free Patients

Patients Paying Less than $20 .
„ „ $20 or More . .

Average Patients Per Day

Free Patients

Patients Paying Less than $20 ,
„ „ $20 or More

Average Rate of Board Charged Per

Week

Average Cost Per Patient Per Week

Daily Cost Per Capita for Provisions

for all Persons Supported . . .488 .458

1910.

1909.

221

215

9

6

230

221

166

169

168

2
30
19
40
34
35

160

220

221

8

9

228

230

80,978

79,515

340

709

22,010

24,626

58,628

54,180

222

218

1

2

60

68

161

148

$25.19

$23.37

25.15

23.77

64

Report of the Administrator.

C lOO

CI o o

05 00 O
00 CO o
« Of,

2 <«

C UI

o

fff

us

*H S^ O

CD S '^^ ^/^

« 4J QJ C ^

a; (U CS
G C0H
^^ g

'3 "3 .2

O O t«

y^ eft c

»S '>'

?

1-

oc

*

w

4>

u

3

a

4^

•o

e

e

H «

><

a

te

X

c

UJ

c

c-
t-
C

O

cr

e

1

■*-< ^ rt s

tfi "Z. u

.J ^ ... J

3;

CB ci"

< ^

3 C 01 *^ C^O
&^ J^ <J

s

£

to

g

?

oi

•*

•*

in

c-

c<r

m

»|6^

J

<

ai

^

m

S

UJ

•c ■

2

1^

H

be

5

<

5

o

a

<

r-°

H

a

o

;^

W U

S"

"eS

S

UJ

ft
<A

o

3

sfct CO

•|2P -a

z

o

^

"55^

p

S'E P

■=1^ s

H

« 0) Eh

a P "

ft>

■<"

S

« o

<!
W
>H

H
W
H

03
O

;^

o

;^
>

p
w

Ph

>^

t- t-

00 IM

-* o

CO !-•;

00 CO

■■o en

m

m>

m

COO CO O CO

O 00 CO CO 00 O

0

of

.2

Oft Oft

Pa p ft .Oft

1^ 3 t« s cs a ^

Hcc h]c« iJta -t

a E

2 M

3 «

^i^ -

.2 S s S =S -

(A

lO in O CO h- ^ •-< C5 lO CO

O CI t- t--^ CO C<) C. rH ^ 00

-t^' CD CO oi OS c-i r-^ ^ CO CO

CO »-(^OCO^t^ODCOCO

r-4^ O CI C^^O^t'^O^O^^^CJ^

1-^ o'co"'— "iffio'i-Tcf

o o o

cnooco
■-0 o o
.-1_C0 10_

es pj_-

_ <a

r- ceo C«

fc.( c^ +j "n ti
o'j o 5 ::

Sis

e« cS ^m a

a a c a> c«

Ci h-00-* CO

iCft
"S o)

O ft >-. - *
"S ».2 Ssg

cSg-u ®S

coOoshS

,^

o;

1^

-o

»3

(»

-<-•

e

4)

4J

«3

0.

«•

Q

o

C

Vi

^ 5

ft

_l

ca

c

c

X

o

*■

to

.^

• 4>

c

£

o

a ia

t:

< CU

•fl

1

c

5

Er

■1

C<I O t- O O CO

05 ^_ CI 5 o o

-f ^* in i~- o CO

lO O 00 CJ l'1-l

00 o^-^ CD cr^t—

co" CO co" ^"

Ml •■^

« .._

« sis

< O £ S _ u

> « S o s -..i;

" CS O te tiX^ ^

wo QJ 0^ wJJ_w OI

b £ E^a =3 S ^ is

tfl lA ft^'C

acc

COhJ

■ g'S go

s

65

Report of the Administrator.

p5

<:

w

>^

H

W

H

tf

■«

.

O

1

1-1

fa

1— (

a

1

O

w

OJ

W

H

n

:^

H
r/2

1 1

J

')

>5

<

^

>

H

Q

iz;
w

Pl,

X

H
Oj

UJ

u

.J
.<

&

O
E

i-H (N 00

C-l O (M OTi

g o_ 3i. ■* "^

r- 3 :: -«' ^i'

== «= 2 rt
^ C) •-< o »

ci -- i-

ID

8

o

e^

<M

cm o

o o o

god o

CO o

in o 't*

c-reo' <n"

5so

u -

"5 H

>

<

O t^ CO m

o 00 e-j •*

I- CO « o

aE( lo oi C-.

— ( ■* 00 lO

»H O CO (M -^
^ O lO^ o_ ^_^

^^ lO CO o

O *H rH t- CO

^' ci ci ci o

a> o ~- -T o

C-l CD O C-1 c^

■ijr o" lo" o"

c^

o

o

CO

<M

00

lO

CO

CO

CO

o

o

s

C-)

X ° s -

S) Ol

'S

0)

4-1

a.

<!

Q

O

eS

^

.

O

H

« a 5; -

■r fl &. CIS fci

fe 1 « ^ s

tT p. a

O (S «
O O C

Report of the Ailiuinistrator.

66

H

Cu

o
w

o

Eh
<

W

C3
O
H

!«

cu

I— I

o

t-H

o

O

o

w

H

Jz;

o

a

?,

bt

2

9S

1—1

'>D

00

m

eg

CO

in

rj

— '

c^

eg

<T.

1—1

o

c^

o

o

c-

t-

^

eg

c-

a-.

in

in

CO

«

1—1

I— 1

r-H

eg

T— 1

eg

1—1

CO

?3

T-l

o

in

q

>■

^

€«-

in

00

00

t-

00

o

in

00

m

o

in

00

■^

eo

CO

o

■^

1-1

1—1

00

^

CO

c-

05

t>

00

in

eg

a>

o» 1

4^

"^3

CO

in

o

-^

t-^

CO

C5

CO

CO

•^

1-5

•^

CO

^4

CO

la

CD

CD

eg

•<*

in

05

05

05

o

I— 1

1—1

t~

1—1 1

O

CD

in

in

o

in

CD

00

o

Tf

eg_

-^

eo

tr-

eg

0)

o

in

(M

t>

CO

00

m

00

T-H

CO

^^

eg

T-l

€©■

1—1

^

eo

CD

CO

CO

o

05

1—1

00

00

c-

CD

■^

C-

CO 1

00

■^

CD

00

CO

1— (

05

m

t-

00

C5

05

CO

c~

*3

lA

00

T-l

c-

eg

00

o

C5

T-H

05

o_

CO_

1—1

eg '

a

00

LO

-^

CO

o

1— i

CD

o

CO

eg

CO

CO

t-

ei

Oi

■^

eg

eo

eg

CO

CO

CO

05 1

1—1 1

P

^

T-(

00

i-t

eo

o

05

CO

05

t>

00

O]

^ i

M

^

c-

in

•^

t-

1—1

t-

00

eg

in

in

00

^?

e«

o

C5

c-

•^

in

eg

eg

c-

CO

-<*

-^

eg

CO

O

1—1

o

i-H

1— 1

1—1

eg

1—1

t--

eg

e-)

o

00

q

f

uo

<)

€«-

lO

o

-^

o

t-

00

Q

C5

o

eg

I— 1

Tj<

^

eg

0>

05

1-1

■>*

-<1<

05

t>

o

in

t-

eg

1—1

CO

eg

c-

■fs

«o

CO

c5

00

t>

CO

00

o

05

i-J

•^

-^

in

in

o

00

o

1—1

05

Oi

in

■<J<

o

00

eg

■<S"

00

CO

CO

o

CO

00

1-1

o

Oi

05

t-

in

o

o

m

o

CO

eg

0)

a^

CO

(M

CO

CO

t>^

m

oc

r-H

CO

eg

i-T

&e-

1—1

>,

^

CD

CD

1—1

1-1

1—1

o

-*>

00

t-

rl<

CO

1—1

c-

eg i

CO

1-1

00

00

o

o

CO

in

1—1

1—1

c-

■^

o

CO

4^

Od

CO

CO

t-

00

in

1—1

05

TT

in

c-

00

o

a

CO

o

o

'^

CO

i-H

CO

05

CO

eg

eg

eg

t> 1

05

-^

eg

CO

eg

CO

eg

CO

00 ,

a

1-1 '

a

t-

00

00

eg

CO

'^

C5

eg

•^

C5

eg

t-

<N

'^

Oi

CO

C5

cr.

CO

■^

o

in

T-l

in

CD

2

o

^^

Oi

^

eg

CD

CO

CO

CO

•ri<

in

r-{

in

>
•<

T-l

1— (

o

I— 1

1— (

eg

1—1

eg

eg

o

C-.

q

ae-

in

i

Oi

t^

oc

eg

CO

c-

CO

CO

in

o

in

00

1—1

eg

00

Oi

CD

1—1

in

CD

co

CO

in

m

eg

00

00

q

eg

w

c4

lO

CO

in

^

eg

o

^

CO

CO

05

1-i

CD

CO

o

o

■^

in

c-

CO

CD

^^

1—1

CO

CO

^-

o

in

S

t>

C5

Oi

in

CO

t-

o

o

m

eg^

CD

CO

0)

o

-^

T— 1

to

eg

t-

■n<

t>

y—\

CO

eg

T-H^

1-1

1—1

»>

«o

T-H

eg

00

o

in

t-

CO

eg

in

00

eg

t-

1

;J^

00

t-

o

c-

eg

-^

CO

in

t>

Ti<

in

CO

in

o

-w

"^

1—1

00

CO

t>

T-l

05

t~

c-^

00

CO

in

00

in

sa

s

00

t-

o

CO

o

t-

CD

oT

CD

eg

eg

eg

in

s

05

•^

eg

-^

eg

og

<N

CO

o

&

Ol

(C

N

IB

^

02

^

ao

^

-c

.£

3

^

£

02

-4^

<

4

B

-]

ce

02

'

J

1 "^

+J

rt

H

'C

v

i:

<!

s

>i

S

TZ

05

5

"rt

o
E

a;

-r

=

-2

9

is

hi

to

5

cS

^

flj

^

«

o

tli

«

^

S

o

»

o

-^-

«

s

>

Ph

CO

»

J

&^

25

O

JH

Tu

cu

S

67

Report of the Administrator and Resident Fliysician.

TABLE No. 1.

CONVALESCENT HOSPITAL.

Comparative Statement of Statistics.

Patients in Hospital January 1 : i9io.

Medical 9

Surgical 16

Total 25

Patients admitted during the year :

Medical ' 247

Surgical 391

Total 638

Total patients treated in Hospital wards and
private rooms during the year :

Medical 256

Surgical 407

Total 663

Patients discharged daring the year :

Medical ' 240

Surgical 395

Total 635

Patients in Hospital end of the year :

Medical 16

Surgical 12

Total 28

Total patients' days treatment :

Free patients 7,480

Pay patients 3,851

Total 11,331

Percentage :

Free days 66+

Pay days 34 —

Total 100

Average patients per day :

Free 20+

Pay 11—

Total 31 +

Average time per patient in Hospital . . . 18 — days

Daily average cost per patient $1.12 —

Daily cost per capita for provisions for all

persons supported .35+

1909.

12

18

30

175
461

636

187
479

666

178
463

641

9
16

25

6,642

4,786

11,428

58+
42—

100

18+'
13 +

31 +

1 8 — days

$1.19—

.35+

68

Report of the Administrator and Resident Physician.

D.

O
u
0.

•a •
e w

4) n

3 a
o X

3;

1 —iCjO
«£>'■* O to
« T •* n*

i, :

® :

K

Ph :

H

-o :

•a M

fl ■

c s

es-;3

^ •

>>.ti

Sfa

S :

K^

rt*

2c
So

gu.

s 5 =«

OK

Cl3

m

= ■?

'§•

u

cS

'S cS

o .

<u •

'"i

-M

5 M

5

0}

C 01

a

t- r-

o

5 *j

ei-i

I aj;

us rt

~ ■ s o ,■
r* . , o *-

■K =* S «
- _ 3.ti2S-
^ si^ — 3 s «s

. " O So S o 4)

> o §.„.= u u
;2i <! -< S

CO

*t*

€#

m

Vf

O " CO ^ C. Cl

a

c

if

_a

O ft

■i ^

•?; t ■?.

^ p< .Q ft .5 &

r a

iJm I-5CC ijMjco

SJCOI >j

_ m O c S

05 C« .iC a « '5 J^

!» ci u

.2 mPh

s

UJ
U

z

OJ

o

C^ (3

W CO H

. (£ a>

■ o o

.2 e
So

M _,

e
es

^2;

M

®

09

0

^

^

0

1)

Z

CC

0

ST <D *

03 1-3

5 = MO

-^ S 03 <!

G9

Report of the Ailministrator and Resident Physician.

O

<

&-'

O

^ <

H
H

O
fa

H

Eb
u

u

<
O

r
z

UJ

U

-J
<
>

z

o

o

H
J
CQ

Eh

a

<5
O

o

Xfl

!>

O

o

I- >-i cq

=£ « g =

«0

o o a

2 »

<) s, G o

S 3 o

O r-l --^

I <»

o o

REPORT OF THE SUPERINTENDENT OF
NURSES TO THE RESIDENT PHYSICIAN.

The past 3^ear has been one of considerable change
in the Training School for Nurses. In educational
methods these changes have been those that we be-
lieve will produce more uniform excellence and
greater thoroughness.

It was decided to give up outside instruction, and
to strengthen the hospital courses.

Miss Amy P. Miller, a graduate of the Johns Hop-
kins Hospital, also of the course in Hospital Econ-
omy at Teachers' College, Columbia University, has
been added to the Training School stati' as an in-
structor. She has the probationers in class every
day of the first two months of their probationary
period, and she supplements the instruction of
Doctors Badger and Green in a manner that enables
the pupils to assimilate to a greater degree the ad-
vantages offered them. Since Miss Miller came we
are able to have late afternoon classes for niffht
nurses, obviating the necessity of calling them in the
middle of the day.

The work of hospital nursing is acknowledged to
be so absorbingly interesting that nurses in training
are prone to neglect other interests, and at the end
of three years to lack the mental resources that are
so valuable to the nurse herself and to her patients
who may depend upon her for diversion.

To remedy this situation, in a measure. Miss Susan
Tracy has been giving the senior class lessons twice
a month in Invalid Occupations. This innovation is

71

Report of Training School for Nurses.

felt by experienced teachers of nurses to be an im-
portant one in promoting their efficiency.

During Januar}', Februar}^, and March, Professor
William Ward will give the seniors six talks on cur-
rent events. This last is made possible through the
generosity of Mrs. Nathaniel Tha3^er.

The course in Dietetics is to include a few lessons
in the laborator}- on food bacteria and the chemistr}'
of digestion.

It is also planned to give the nurses some practice
with drugs in the pharmacy under Mr. Godsoe's
direction.

Present day standards require training schools to
prepare their pupils so they may be able to pass the
state board examination for registration. Among
other kinds of experience the schools must furnish
maternity work. We, unfortunately, are obliged to
send our nurses to other hospitals for that purpose.
Until now it has been necessar}' to send them to
New York, but we have recentl}' been able to affili-
ate with the Wesson Maternity Hospital, of Spring-
field, which is much nearer home, and where our
pupils have the opportunity to care for private pa-
tients while learning this specialty.

We are sending two nurses instead of one to the
Boston L3'ing-in Hospital for the six months' train-
ing. Six months is a long time during a three years'
course to devote to one specialty, especially in the
senior year when the nurses are keen to take advan-
tage of the diverse experience to be gained in our
own wards. With the exception of the length ol
time required by this affiliation, it is a very popular
one.

I believe our experiment of placing senior pupils
in charge of the open wards under supervision of

72

Report of Training School for Nurses.

expert graduate nurses will work out satisfactorily.
Each supervisor has from three to five wards under
her care. There are drawbacks to be sure, but they
seem to be more than counterbalanced by the advan-
tages of the S3'stem. Even in the short time that is
allowed for the experience, it is possible for the pupil
to determine whether she cares to pursue executive
work, and for us to know whether she is adapted to
it. The supervisors are meanwhile getting admirable
training for positions as superintendents of nursing
schools.

There is a closer connection maintained between
the administrative oflfices and the wards than would
be possible under the old system.

To obviate the annoyance of frequent change of
operating nurses in the surgical building; and to in-
sure more S3'stematic and thorough instruction in
surgical technic, a graduate nurse has been placed
in the amphitheatre whose 'chief dut}^ it is to observe
and instruct the pupils while on operating duty.
These pupils now have a four months' service in
place of two, and each has an understudy who is
working with her so as to take her place when nec-
essar}' without hindrance to the surgeon. The sys-
tem of shorter working hours is appreciated.

We have to report the death of Mrs. French, which
occurred early in the 3'ear from septicemia. She
was well liked and the School mourned her loss sin-
cerely. Otherwise we are fortunate in having had
comparatively little illness among the nurses, and no
critical cases. The number of nurses has been in-
creased gradually, but perhaps as quickl}- as it is
possible to assimilate them, for increased numbers
mean added strain on every other department.

The present senior class numbers thirty-seven in-

73

Report of Training School for Nurses.

eluding ti\e McLean graduates. Two of the class
during the past year dropped out on account of ill
health. There has been a considerable diminution
in the second class. One left to get married, one is
on an indefinite sick-leave of absence and five have
been dropped for inefficiency. There are twent}--
nine in the intermediate class, including four McLean
graduates.

There are fifty-five nurses in the class of 1913.
We have eighteen more pupils in the School than at
this time last vear. Eighty-one probationers entered
the Hospital during the year, fifty-one of whom have
been accepted as pupils.

We have s^iven a four months' course in greneral
medical and surgical work to twelve pupils of the
Melrose Hospital; and two pupils of the Choate Hos-
pital, of Woburn, are now taking a three months'
course. The New England Baptist, the Peabody and
Beverly Hospitals have continued to send nurses for
experience in the Out-Patient Department and Ac-
cident Ward.

There have been seven accepted applicants for the
six months' postgraduate course, three of whom
finished their time and received a certificate.

As a rule the pupils who are given these oppor-
tunities appreciate them, and adapt themselves very
well to the new environment.

Looking into the future, among other things that
would be desirable, I feel that there should be an
effort to create some scholarships and a loan fund for
pupils who desire further special training as teachers
of nurses, or for those who need financial assistance
during the period of training.

The allowance of $6.00 per month that is given each
pupil to cover the expense of text-books and uniforms

74

Report of Training School for Nurses.

is often misapplied. That being the definite purpose
of the allowance, I believe it would be better to fur-
nish the uniforms and text-books free of cost, and to
give those pupils who need financial assistance in
their personal expenses, scholarships or loans.

If we were to select a pupil nurse and send her to
take the course in Hospital Economy at Teachers'
College with the understanding that she was to re-
turn to us, we would onl}- be following a precedent
established by other schools.

The nurses have been indebted to several members
of the Ladies' Committee for tickets to delig'htful
musical and dramatic entertainments, which have
been greatly enjo3'ed.

The sitting room furnished by the ladies for the
graduate nurses is a source of constant pleasure and
recreation. The number of people who have ren-
dered valuable service to the School without re-
muneration is too large to mention individually, but
each and all are gratefull}^ remembered.

In closing I wish to say that I owe gratitude to all
with whom I have been associated for unfailing co-
operation and consideration.

Sara E. Parsons, R. N.,
Superintendent of Nurses.

Training School for Nurses.

[The circular of information sent to applicants.]

TRAINING SCHOOL FOR NURSES.

The Massachusetts General Hospital was established in 1811,
and has from the first been recognized as one of the leading
hospitals for the care of general diseases. It has on its stafif men
of distinguished ability. In connection with the Hospital there
has developed one of the largest Out-Patient Departments in the
world. The daily average of patients in the Hospital is 290.
The daily clinic in the Out-Patient Department is between 400
and 500 patients. The therapeutic resources of the Hospital in-
clude hydrotherapy, light therapy, and Zander departments. Be-
cause of the large staff of nurses, particular and individual care of
the patients, unusual in large hospitals, is carried out, and an
exceptional opportunity is given for the training of nurses.

The School for Nurses was established in 1873, and now the
nursing staff consists of 23 graduates and 150 pupils. There are
865 alumnte.

During the first two years of training the pupils work under
the instruction of graduate nurses in the medical, surgical, ortho-
pedic, children's, skin, throat and nerve wards. For obstetrical
experience they go to the Wesson Maternity Hospital of Spring-
field, and to the Boston Lying-in Hospital.

A certain number of wards are conducted by senior pupils
under the supervision of expert graduate nurses. This offers a
valuable opportunity for executive experience.

Illustrative material such as the manikin, skeleton, microscopic
slides, lantern pictures, and specimens is freely used.

Realizing that the School is so situated that pupils may avail
themselves of some of the opportunities for education offered in
a city like Boston in art, music, and historical interests, a special
effort is made by the instructors to encourage these diversions
and to impress upon the pupils the desirability of cultivating such
intellectual interests so that their three years in Boston will make
them not only good nurses but broader and more cultured women.

It is the purpose of the School to maintain a high standard
commensurate with the opportunities it has to ofTer, and to assist
in meeting the demands of the public which is to-day recognizing
the trained nurse as an essential factor in solving many economic

76

Training School for Nurses.

and social problems. She is not only more and more in request
as a home nurse but, when qualified by education and experience,
she is called upon to teach nurses, to organize schools and hospi-
tals at home and abroad, to help in preventive medicine warfare
as a social worker, tenement house inspector, school nurse, dis-
trict nurse, and tuberculosis nurse. She may be invited to take
charge of milk stations, to inspect training schools in connection
with state registration, and to manage nurse registries.

GENERAL SCHEME OF EDUCATION.

Probatioxarv Period.

It is designed to give probationers such an amount of theory
and practice in the elementary nursing methods as will lead them
gradually to the more responsible duties of nursing. Demonstra-
tions are given in the class room but the lessons are put in
practice in the wards under the observation of the supervising
nurses, so that at the end of three months the pupil is familiar
with ward routine and discipline, and can judge quite well what
she is undertaking.

First Year.

During the first year in the training school, elementary anatomy,
physiology, biology, bacteriology, materia medica. bandaging, and
the principles of nursing are taught. Bedside clinics are con-
ducted by one of the medical instructors.

Second Year.

During the second year the clinics are continued and surgical
and medical diseases are discussed ; massage, dietetics, and
0|)erating-room work are learned. Abstracts of lectures and
clinics are required of the pupils.

Third Year

During the third year lectures by specialists are given and the
various departments of nursing are brought to the attention of the
pupil. Obstetrical training is given at some of the affiliated hos-
pitals, and so far as is possible the senior is given an opportunity
to do some executive work or to get experience in some specialty
that she may prefer. Field work in the way of visits to other

77

Training School for Nurses.

hospitals, milk stations, etc., is a feature, and each senior will be
required to write at least two papers on some nursing subject.

Postgraduate Opportunities,

Graduates who wish to specialize in the care of cases of mental
diseases may, by spending a year at McLean Hospital, secure the
diploma of that school, or they may take a six months' post-
graduate course, after which a certificate will be given them.
This experience opens up a large, lucrative field of work. A two
months' course of observation in the wards is offered to Massa-
chusetts General Hospital alumnae who wish to study methods
adopted since their graduation. An administrative course is
offered to those graduates who wish to prepare themselves to take
positions as hospital superintendents. This course includes ob-
servation and instruction in all the administrative departments,
and requires from four to six months' attendance, depending on
the former experience of the nurse. Among the many important
measures studied are the methods of contracting for hospital
supplies.

There are 23 positions on the nursing staff that command
salaries from forty dollars ($40.00) a month upward, according to
the responsibilities of the position, which offer good experience to
graduates who desire executive work, and the demand for , gradu-
ates to fill positions in other hospitals and in different fields of
nursing work considerably exceeds the supply.

Applicants,

The candidate should apply to the Superintendent of Nurses in
person; if this is impossible, a written application may be submitted.
The hours for seeing applicants are between 10 and 12 a.m.
Wednesdays, and at other times by appointment. In selecting
candidates for training, the preference is given to those who have
had at least elementary Latin, chemistry, biology, anatomy, and
physiology, other things being equal.

Age.

There is no arbitrary rule as to an applicant's age, but she
should preferably be between twenty and thirty years old.

Education,

A high school education or its equivalent is essential, and those
who have had a normal school or college course are preferred if
they meet the requirements in other particulars.

78

Training School for Nurses.

Applicants who have not studied the sciences that relate to
nursing, viz : anatomy and physiology, bacteriology, chemistry
and sanitation, are recommended to take such a course before
entering the Hospital.

Simmons College, Boston, offers a one term course in the above
subjects to high school graduates, and Teachers' College of
Columbia University, New York City, offers a preparatory course
covering a year's college work.

Both of these courses are highly desirable and applicants hold-
ing either of these certificates would be favorably considered.

Physique.

The applicant should be of average size and weight, and must
be in good health. Persons with organic defects cannot be re-
ceived. The Resident Physician and the Superintendent of Nurses
decide as to their fitness for the work and may retain or dismiss
them at the end of the probationary period. The Superintendent
of Nurses may, with the approval of the Resident Physician and
the Chairman of the Advisory Committee, terminate the connection
of a pupil with the School at anytime for reasons which may seem
to them sufficient. Classes are formed in June, October, and
February.

Hours of Duty and Recreation.

The pupil averages not less than eight hours per day in the
wards. She has one half-day per week, four or five hours each
Sunday, and two hours daily off duty, for recreation and study.
Six weeks' vacation are allowed during period of training. Sick
nurses are cared for by the Hospital for a reasonable length of
time, but time lost from sickness, or otherwise, must be made up.

Home.

There is a pleasant, comfortable home on the hospital grounds
which accommodates one hundred and twenty-one of the nurses,
and has a good library and a piano. The new wing in which the
graduates live overlooks the Charles River, and has a roof, fur-
nished with hammocks and steamer chairs, which is used by all
the nurses. The remainder of the pupils have rooms in two
houses outside the hospital grounds which are fitted up comforta-
bly, and have ample bathing facilities. An assistant of the Su-
perintendent resides in each of these houses.

79

Training School for Nurses.

Probationary Period.

The first three months of probation are to enable the appli-
cants to decide definitely whether they really care enough for
nursing to agree to complete the three years' course ; also to en-
able the Superintendent of Nurses to determine whether the ap-
plicant is adapted to the work and qualified to make a success of
it. During this period the probationers are maintained by the
Hospital but receive no financial compensation.

Admission Requirements.

If probaticmers are accepted they must be prepared to pay for
text-books and uniforms and to sign a contract to finish the
course.

Compensation.

The education and experience are considered ample compensa-
tion for services rendered. The monthly allowance of six dollars
($6.00) is given to defray the cost of uniforms, books, and carfares.
Each pupil should have a private allowance of at least fifty dollars
($50.00) a year for personal expenses.

Breakage.

A deposit of ten dollars (110.00) will be required when the pupil
is accepted, to cover breakage during the course of training. Any
excess of deposit remaining at graduation will be refunded.

Graduation.

When the three years' course is completed and the examina-
tions are passed, a diploma will be given.

COURSE OF INSTRUCTION.
Probationers' Course.

Three Months.

Lectures. Miss Parsons and Miss Miller.

Dust and its dangers.
Personal hygiene :

Bathing.

Care of bowels, teeth, hair, hands, and feet.
Waste and repair of body.

80

Training School for Nurses.

Food-Stuffs.

Physiology of digestion.
Absorption.
Circulation.
Elimination.
Dietetics :

Serving trays.

Liquid diets.

Feeding patients.

Demonstration and Practice in the Wards.

Miss McCrae, Miss Friend, Miss Doherty.

Care of refrigerators and water coolers.
Sweeping and dusting.
Beds and bed-making :

Care of linen — removing stains.

Disinfection of beds, linen, etc.
Care of bed-patients :

Bathing and care of skin, mouth, teeth, head, hands, and
feet.
Filling and applying ice-caps and hot-water bottles.
Application of abdominal swathes.
Reception and care of new patients :

Observing and reporting symptoms.

Charting — temperature, pulse, and respiration.

Food.

Medication.
Enemata — uses, methods.
Douches — catheterization.
Surgical dressings.
Surgical supplies.
Sterilizing instruments, etc.

Junior Year.

Anatomy. 21 hours. Dr. Green.

The elementary histology of the tissues is taught in connection
with the gross anatomy, and the attempt is made to correlate this
instruction with that given in physiology. Especial attention is
paid to surface anatomy, not only to bony landmarks in relation

81

Training School for Nurses.

to fractures and measurements, but to the location of the large
blood vessels with reference to the control of hemorrhage. The
lectures are illustrated by pictures, lantern slides, microscopic
sections, the manikin, fresh organs from autopsy, and demonstra-
tions on the living subject. Particular emphasis is laid on the
use of the catheter and the rectal tube in the male and female
pelvis. In general, the practical rather than the academic aspects
of the subject are made prominent.

Biology and Bacteriology. 13 hours. Dr. Green,

The primary concepts of vegetable and animal life are briefly
considered, and the relation of lower organisms to human disease.
The cellular theory is explained, and the normal development of
the human embryo outlined.

After a sketch of the development of the science of bacteriology
and the great importance of its discoveries to medicine and sur-
gery, the nature, action and growth of bacteria are described and
the methods of identifying and cultivating them studied. The
cultural and microscopic characteristics of all the common surgi-
cal bacteria, together with the manner in which each group of
bacteria produces disease, are demonstrated by means of material
from the hospital laboratories. Great emphasis is laid on the
practical application of bacteriology to the treatment and the
prevention of disease. The history and evolution of antisepsis
and asepsis are sketched, methods of sterilization described at
length, and the duties of a nurse at a surgical operation explained.
Instruction is given in methods of avoiding infection, both for the
nurse and for the patient, and in its prompt recognition and
treatment. The elementary principles of immunity and of the use
of bacterial vaccines are outlined.

Physiology and Hygiene. 14 hours. Dr. Badger.

The method of instruction is by weekly lectures, when the
nurses are expected to take notes from which they are periodically
required to prepare abstracts ; by demonstrations and recitations ;
and by assigned reading in a text-book. The attempt is made to
have the lectures simple and informal, to encourage the asking of
questions by the class, and to emphasize always the practical
importance of the subject under study to surgical nursing. There
are two written examinations during the course.

82

Training School for Xurses.

Bedside Clinics. i6 hours.

Principles of Nursing. Quizzes. 34 hours. Miss Miller.

Bandaging. 8 hours. Dr. Green.

The instruction is given to small sections of the class once a
week. After consideration of the manufacture, economy, and in-
dications for bandages, the fundamental figures of bandaging are
taught followed by detailed instruction in the common bandages
used for the several regions of the body. By the use of artificial
legs and of patients from the wards, each nurse has opportunity
to apply the various bandages under the individual direction of
the instructor. The application of swathes and the preparation
of the ordinary splints are demonstrated by the instructor or by
one of the head nurses.

Materia Medica. Mr. Godsoe, Pharmacist.

Weights and measures and how to calculate percentage.

Drugs — their uses ; active principles and doses.

Pharmaceutical preparations.

Making powders, ointments, and simple solutions.

Poisons and antidotes.

Care of stock from an economical standpoint.

Care of rubber goods and how to make repairs.

The nurses will receive this instruction in the pharmacy.

Hospital Expenses and Administration. Dr. Washburn.

Hospital Economy. Mr. Currier.

Laundry.

Intermediate Year.

Surgical Diseases. 35 hours. Dr. Green.

Trauma.
Malformations.
Neoplasms.
Surgical Infections.

In the discussion of each disease, its causes, nature, symptoms,
recognition and immediate treatment are presented. The sub-
jects are abundantly illustrated by lantern slides, pathologic speci-

83

Training School for Nurses.

mens and patients from the wards. So far as possible the case
method of teaching is employed. Attention is also paid to diseases
on the border line between medicine and surgery. The aim is to
familiarize the nurse with the common appearances of disease, to
fit her by this knowledge to care intelligently for the sick, and
to prepare her to act promptly and efficiently in emergencies.

Pathology. Dr. Green.

The elementary pathology of the lesions produced by the vari-
ous bacteria is taught in connection with this study. The nature
of information is explained, and the repair of tissues and the heal-
ing of wounds studied. During the second year instruction is
given in surgical anesthesia and in the surgical diseases. The
method is similar to that of the first year — by weekly lec-
tures, notes, abstracts, demonstrations, recitations, and two
written examinations. Emphasis is laid on the practical applica-
tion of the knowledge gained to the immediate care and subse-
quent nursing of surgical cases.

Bedside Clinics. 12 hours.

Therapeutics. 5 hours.

Infectious Diseases of Childhood. 2 hours.' Dr. Badger.

Contagious Diseases. 5 hours.

Medical Emergencies, i hour.

Principles of Nursing. ] ,,. ,,.,,
„ , > Miss Miller.

Quizzes. 34 hours. )

Dietetics. Miss McCullough.

Food — Its composition, nutritive value, digestibility, and its
relation to health and disease. 15 hours.

Dietaries — Elementary bacteriology in its relation to food,
illustrated by microscope and cultures.

Invalid .cooking in ten lessons of 2 hours.
Test lesson, 2^ hours.
Field lesson, 2>4 hours.

Practical experience in preparation of extra and special diets ;
infants' formulee ; responsibility for the order and routine of the
diet kitchen, i month.

Operating Room. 4 months. Miss Morrison.

84

Training School for Nurses.

Anesthesia. Dr. Allen.

A lecture is given to the class on the fundamental principles of
surgical anesthesia and the methods of its production. At least
twice during the year each nurse receives individual instruction in
the actual administration of ether to patients for surgical opera-
tion, and is also taught the manufacture of cones and the care of
ether patients.

A certain number of pupils who are specially interested get
one month's experience.

Massage, io lessons. Miss Taylor.

Bedside Supervision of Special Nursing. Miss Story.

Senior Year.

Obstetrical Nursing for three or four months with lectures and
class work.

Urinalysis.

Lectures by Specialists.

Ethics.

Genito-urinary Cases.

Sick Children.

Nervous Cases and Convalescents.

Neurasthenic and Hysterical Patients.

Skin Diseases.

Eye Diseases. '

Ear Diseases.

Nose Diseases.

Throat Diseases.

Abdominal Surgery.

Oral Hygiene.

Orthopedics.

X-ray Diagnosis and Light Therapy.

Hydrotherapy.

Serum Therapy.

Public Health.

Social Service.

Red Cross Nursing.

Army and Navy Nursing.

District Nursing.

Private Nursing.

Visits to Hospitals.

85

Training School for Nurses.

I>rvALiD Occupations, io lessons.

Lesson I. Lesson for a child. No money to be spent on
materials. Includes : Paper construction work, pasteboard box
furniture, doll's house, stitching up scrapbooks.

Lesson IL Work adapted to restricted positions — designed
for sale. Cloth animals, rake knitting, crochet, rag-dolls.

Lesson IIL Contagious cases. Paper pulp modeling, metal
work, sealing-wax, cut paper pictures (reproduction).

Lesson IV. One-hand work. Illuminating, coloring photo-
graphs, leather-tooling, cross-stitch.

Lesson V. Ribbon flowers, basketry, bags.

Lesson VI. Boy's lesson. Stencil, spatterflies, vegetable
animals, masks.

Lesson VII. Old lady. Knitting, scrapbook, rag-dolls, egg
cosy, cross-stitch.

Lesson VIII. Man. Book-binding, woodwork, leather.

Lesson IX. Basketry, sailor knots, rug-making.

Lesson X. Portfolios, small books, brush work, children's
clothing.

Talks. Miss Parsons.

History of Nursing — of Hospitals.

The Nurse, her Alumnae Society, and Other Organizations.

Nursing literature, etc.

REPORT OF THE PATHOLOGICAL
LABORATORY.

The usual routine bacteriological, chemical, micro-
scopical and pathological examinations in connection
with the study of diseases of the patients in the Hos-
pital have been carried on as in previous years.
During the year 250 autopsies were performed,
including 9 performed by the Medical Examiner.
Dr. Oscar Richardson has continued to do most of
the important work of performing the autopsies and
keeping the autopsy records. He has also carried
on certain of the bacteriological examinations re-
quired by the Hospital.

The new position of Assistant in Clinical Pathol-
og}^ has been created and Dr. Roger Kinnicutt has
been appointed to it. The duties of this position are
to supervise and instruct the medical house pupils in
their laboratory work and to make a complicated
test of the blood in cases of suspected syphilis, which
requires a special technique.

The new position of Assistant in Clinical Bacteriol-
ogy has also been created, the duties of which are
to carry on the treatment of certain cases of bacterial
diseases by the subcutaneous injection of bacterial
vaccines and Dr. A. E. Steele has been appointed
to it. During the year about 220 patients were treated
b}^ this method as compared with 383 last year. This
diminution in the number of patients is chiefly due
to clearer knowledge, gained by the experience of
previous years, of the limitations of the applicability
of this mode of treatment to only certain kinds of
cases. In the work of carrying on the treatment,

87

Report of the Pathological Laboratory.

Dr. E. C. Streeter and Dr. T. W. Harmer have
participated.

The facihties and material ottered by the laboratory
for the instruction of physicians and of students of the
Harvard Medical School in bacteriology, pathological
anatomy, pathological histology, and in diagnosis by
laboratory methods have continued to be extensively
utilized.

The weekly demonstrations of pathological mate-
rial and discussions of the clinical aspects of the
cases conducted in the laboratory before fourth-year
medical students and others have been continued
during the year by Drs. R. C. Cabot, Oscar Richard-
son and Hugh Cabot.

Instruction in pathology to second-year students
and special courses in this subject to fourth-year stu-
dents have again been given by Dr. Wright. During
the summer, courses in pathological anatomy and in
clinical pathology for graduates in medicine were
given by Dr. Oscar Richardson; Drs. W. H. Smith
and R. I. Lee co-operating in the latter course.

A room in the laboratory has been assigned again
for the laboratory work of certain students of the
Harvard Medical School who are studying in the
wards of the Hospital.

The collection of morbid specimens for use by
Dr. Hugh Cabot and Dr. C. L. Scudder in their
courses for graduates in medicine at the Hospital has
been added to.

As was pointed out in the last report, on account of
the large number of persons working in the labora-
tory with the microscope, more working space,
suitably lighted for such work, is much needed.

Special studies in various branches of pathology,
bacteriology and chemistry have been carried on as

88

Report of the Pathological Laboratory.

usual by special workers. Among these may be
mentioned the followino^:

Dr. Roger Kinnicutt has continued the work of
enumerating the blood platelets in normal and dis-
eased individuals, using the method devised by
Dr. J. H. Wright. He has also carried on a bacte-
riological study of certain micrococci concerned in
heart disease.

Dr. F. T. Lord has carried on an investigation to
determine whether or not the micro-organism of
actinomycosis is regularly present in the tonsils and
in carious teeth of individuals free from that disease.

Dr. C. C. Simmons has undertaken to repeat the
remarkable observations of Dr. Carrell and Dr. Bur-
roughs, of the Rockefeller Institute for Medical Re-
search, that cells of the body and of tumors are
capable of multiplying outside the bod}^

Dr. W, H. Smith has continued his work on a
method for the demonstration of the capsules of cer-
tain bacteria. The results obtained by this method
are better than those obtained by any other method.

Dr. J. H. Wright and Dr. Oscar Richardson have
continued the work of searching for the micro-
organism of syphilis in certain cases of disease of the
blood vessels.

Dr. Wright has devoted considerable time and
eifbrt to finding the cause and mode of prevention of
faulty working of the widely-used blood staining
fluid devised by him some years ago. These objects
have been attained. He has also continued his work
on the occurrence of a kind of tumor the nature of
which has not been generally recognized. The re-
sults of this work were presented at the meeting of
the Association of Pathologists and Bacteriologists in
Washington in May.

89

Report of the Pathological Laboratory.

Concerning the work done in the Chemical Labo-
ratory, Dr. W. F. Boos reports as follows:

'' In the Chemical Laborator}- Dr. Boos has con-
tinued his work on methods for the detection and
quantitative estimation of lead, arsenic and other
metals in human tissues and excreta. A number of
cases of colon cystitis which were treated with cop-
per sulphate by mouth furnished valuable material
for an investigation concerning the excretion of
copper. An analysis of all the urine and feces from
one of the patients showed that copper, like lead, is
excreted mainly by the liver, onl}- small traces of the
metal being recovered from the urine. x\rsenic on
the other hand was found to be eliminated almost
entirely by the kidneys.

"The excretion of arsenic after '606' is being in-
vestigated by Dr. Boos with a view to determining
the comparative efficiency of the various inethods of
preparing and applying the drug. The amount of
arsenic present in the urine of a given period gives
an excellent measure for the quantity of ' 606 ' activel}'
circulating in the blood during this period. Dr. Boos
has constructed an apparatus for the intravenous ap-
plication of ' 606,' which is being tried on the medi-
cal services of the Hospital.

" The results of his studies on poisoning by Epsom,
salts were reported by Dr. Boos at the meeting of the
American Medical Association last June. The cases
of magnesium poisoning suggested an experimental
study of the conditions governing the absorption of
magnesium sulphate from the gastro-intestinal tract,
the results of which will be published in the course
of a month or so.

Dr. Boos has continued his pharmacological and
therapeutic study of digitalis and, together with

90

Report of the Pathological Laboratory.

Mr. Joseph Godsoe, he has been at work on the puri-
fication of digitalis extracts. As a result of their
work Mr. Godsoe and Dr. Boos have succeeded in
obtaining several new, carefully standardized prepa-
rations of digitalis, which are being tested in the
medical wards of the Hospital.

'' Dr. Torr W. Harmer has continued his work on
the diagnosis of pancreatic disease. He examined a
large number of cases for the Cammidge reaction.
The reaction was found to be positive in all cases
which showed a leucocytosis or an increase in the
other forms of white corpuscles. It was also found
to be positive in a number of cases which did not
show a high white count. Their experiences with
the Cammidge test led Dr. Harmer and Dr. Boos to
the conclusion that this test cannot be used for the
diagnosis of pancreatic affections. Dr. Harmer is
therefore investigating other chemical methods which
have been proposed for the recognition of diseases of
the pancreas.

" Dr. A. B. Emmons has been engaged on a care-
ful study of eclampsia from the clinical, pathological,
and chemical viewpoint. He has examined a num-
ber of placentas from cases said to be eclampsia or
' threatened eclampsia' for the presence of the toxin.
From one of the cases he obtained an extract the
intravenous application of which produced death in
rabbits. The toxin seems to be present in a limited
number of cases only; these are probably the cases
of true eclampsia. In the cases with negative ex-
tracts a variety of causes may be active to produce a
clinical picture closely resembling eclampsia. In
the absence of a specific poison these cases may be
classed under the head of pseudo-eclampsia.

" Dr. Fritz Talbot has entered upon a study of

91

Report of the I'athological Laboratory.

the metabolism in certain diseases of infancy and
Dr. H. W. Marshall has begun an experimental
investigation of digestive disturbances in their re-
lation to various forms of arthritis."

A number of papers based in whole or in part on
studies and observations made in the Pathological
Laboratory proper and in the Chemical Laboratory
under Dr. W. F. Boos have appeared during the
year. The titles and authors of these papers are set
forth below.

" On the So-called Cammidge Reaction," by William F. Boos,
M.D., and Torr W. Harmer, M.D. (Boston Medical and Surgi-
cal Journal, June i6, 1910.)

" Magnesium Poisoning, A Study of Ten Cases," by William F.
Boos, M.D. (Journal of the American Medical Association,
1910, Vol. LV., p. 2037.)

" On the Use of Digipuratum in Heart Disease," by William F.
Boos, M.D., Harry L. Newburgh, M.D.. and Henry K. Marks,
M.D. (Archives of Internal Medicine, January, 191 1.)

" Bacterial Vaccines in Pyogenic Infections of the Urinary
Tract," by H. F. Hartwell, M.D. (Boston Medical and Surgical
Journal, Vol. CLXIII., p. 472.)

" The Treatment of Infections of the Urinary Tract with Bac-
terial Vaccines," by H. F. Hartwell, M.D., and E. C. Streeter,
M.D. (Boston Medical and Surgical Journal, Vol. CLXIL,
p. 409.)

" Vaccine Therapy in the Treatment of Diseases of the Skin at
the Massachusetts General Hospital," by Harvey P. Towle, M.D.,
and George P. Lingenfelter, M.D. (The Journal of Cutaneous
Diseases, Vol. XXVIII., p. 583.)

" A Case of Myasthenia Gravis," by W. E. Paul, M.D. (Boston
Medical and Surgical Journal, Vol. CLXII., p. 281.)

92

Report of the Pathological Laboratory.

" Acute Intussusception of the Ileum with Volvulus." by
Charles L. Scudder, M.D. (Annals of Surgery, Vol. LI., p. 237.)

" The Bone Metastases of Hypernephroma," by Charles L.
Scudder, M.D. (Annals of Surgery, Vol. LII., p. 533.)

" A Method of Staining Capsulated Bacteria in Body Fluids,"
by William H. Smith, M.D. (Boston Medical and Surgical Jour-
nal, Vol. CLXIIL, p. 791.)

" Twenty-one Cases of Acute Pancreatitis," by F. G. Balch,
M.D., and G. G. Smith, M.D. (Boston Medical and Surgical
Journal, Vol. CLXIIL, p. 384.)

" A Study of Mistaken Diagnosis Based on the Analysis of
1,000 Autopsies and a Comparison with the Clinical Findings," by
Richard C. Cabot, M.D. (Journal of the American Medical
Association, Vol., LV., p. 1343.)

" The Etiology of Actinomycosis. The Presence of Actino-
mycetes in the Contents of Carious Teeth and the Tonsillar
Crypts of Patients without Actinomycosis," by Frederick T.
Lord, M.D. (Journal of the American Medical Association,
Vol. LV, p. 1261.)

" A Contribution to the Etiology of Actinomycosis. The Ex-
perimental Production of Actinomycosis in Guinea Pigs Inocu-
lated with the Contents of Carious Teeth," by Frederick T.
Lord, M.D. (Boston Medical and Surgical Journal, Vol.
CLXIIL, p. 82.)

" Seven Cases of Dermatitis Exfoliativa with a Fatal Ending in
Five," by John T. Bowen, M.D. (Journal of Cutaneous Diseases,
Vol. XXVIIL, p. I.)

" A New and Quick Method for Staining Spirochetes (Trepo-
nemata) in Smear Preparations," by .-Albert A. W. Ghoreyeb, M.D.
(Journal of the American Medical Association, Vol. LIV., p. 1498.)

" Revised Directions for Making and Using the Wright Blood
Stain," by James H. Wright, M.D. (Journal of the American
Medical Association, Vol. LV., p. 1979.)

93

Report of the Pathological Laboratory.

** Neurocytoma or Neuroblastoma, A Kind of Tumor Not Gen-
erally Recognized, " by James H. Wright, M.D. (Journal of Ex-
perimental Medicine, Vol. XII., p. 556.)

" The Histogenesis of the Blood Platelets," by James H.
Wright, M.D. (Publications of the Massachusetts General Hos-
pital, Vol. III., No. I, July, 1910, Reprinted from the Journal of
Morphology, Vol. XXI, No. 2, July, 19 10.)

Respectfully submitted,
James Homer Wright, M.D., S.D.,

Director.

ANNUAL REPORT

OF THE

TREADWELL LIBRARY.
1910.

The past year has seen growth in every direction
in the work of the Treadwell Library and the depart-
ment of Records. It has been necessary to remove
several hundred more of the older books from the
main room to accommodate the ever increasing tiles
of periodicals and the reprints, which form so large
a part of our reading matter. About fifty more
volumes of Records have also been removed to
another part of the building, to make space for the
number of volumes bound during the year. A large
room in the attic of the Bulfinch building has been
fitted up, and the old bookcases from the original
library quarters placed there, thus giving ample space
for the above mentioned overflow. The staff' of
workers has been increased, and an opportunity is
now afforded not only to carry forward work which
has been at a standstill owing to lack of assistance,
but also to begin new work which progression ever
demands.

Of especial importance is the completion of an in-
dex of the annual reports of the Hospital from 1876
to 1909, inclusive. This is a valuable piece of work
as an aid in looking up Hospital data, and it is pro-
posed to continue it, and also to work backwards
from the first mentioned date until the entire file of
reports has been indexed.

An attempt is now being made, as a mark of the
celebration of the one-hundredth anniversary of the
incorporation of the Hospital during 191 1, to make

95

Report of the Treadwell Library.

complete a collection of portraits of the 12 original
Trustees. Five of these have been obtained already,
and certain members of the Visiting Staff are making
efforts to obtain the others.

Through Dr. A. T. Cabot, a gift of $175 was re-
ceived during January, to be spent for books upon a
specified subject. Dr. W. M. Conant has recently
presented a general encyclopedia in several volumes,
which will meet a long-felt need. In November,
Mrs. John E. Rousmaniere, daughter of the late
Dr. J. B. Ayer, gave to the Librar}' an old picture of
Boston Common (a bird's-eye view), taken about
1850, and which shows the Massachusetts General
Hospital.

Gifts of books have been received from Dr. F. C.
Shattuck, Dr. W. M. Conant, Dr. C. L. Scudder,
Dr. Hugh Cabot, Dr. F. B. Talbot, Dr. J. H. Wright,
Dr. W. J. Dodd, Dr. G. L. Walton, Dr. M. W. Rich-
ardson, Dr. fimile Jeanbrau, of Montpelier, France;
from Harvard University, Harvard Medical School,
the State and Municipal Governments, and the United
States Government.

Thanks are extended to the various Associations
and Societies, whose transactions are courteously and
regularl}' sent.

Following are the statistics for the year:

Books.

No. of vols, on hand Jan. 1, 1910 . . . 7,277

Purchased 34

Gifts 65

Periodicals bound 116

Total no. of bound vols, added .... 21.5

Making total no. of accessions .... 7,492

No. of vols, on hand Jan. 1, 1911 . . . 7,492

No. of vols, loaned 268

Approximate no. of readers 1,929

96

Report of the Treadwell Library.

Pamphlets,

No. on hand Jan. 1, 1910 4 352

Received 593

Total 4.950

Given away (duplicates) 266

No. on hand Jan. 1. 1911 4,684

Reports.

Received from other Institutions .... 168

Periodicals.

Subscriptions 48

Sent by courtesy 30

Total 78

Cards Added to Book Catalogue . . . 755

Work ox Hospital Records.

No. of vols, indexed and prepared for binding 108

Cards Avritten :

For Clinical catalogues 12,943

For Name catalogue 6,289

Total 19,232

No. of Records abstracted or copied . . . 532

Respectfully submitted,

Grace W. Myers,
Assistant Librarian.

DALTON SCHOLARSHIPS.

The income of this fund, amounting to $1000 annu-
all}', is devoted to investigation in the science of
medicine. The rules of the Trustees applicable to it
are as follows:

Article i. Candidates shall be nominated to the Board of
Trustees by a Committee consisting of the General Hospital Staff
and the Director of the Pathological Laboratory, with recom-
mendations for the information of the Board. They shall be
either Internes of the General Hospital or male graduates of a
regular x\merican Medical College.

Article 2. The nature of the work in medical investigation
proposed to be prosecuted by each candidate shall be designated.

Article 3. Scholars shall be appointed by the Board from
among the candidates named.

Article 4. Scholars shall be under the supervision of the
Staff and the Staff shall, whenever it thinks desirable, report to
the Board any dissatisfaction it may feel as to the work or
methods of scholars, and the Board may act in the premises as in
the case of Internes.

Article 5. Scholars are required to do an amount of work
equivalent to not less than ten hours per week from the last
Wednesday in September to the last Wednesday in June, and to
present to the Trustees, at the end of the year, a report on the
amount and result of the work performed. The results of work
of scholars shall appertain to the Hospital, and when made
public, the name of the scholar shall accompany the publication ;
but no publication shall be made unless recommended by the
Staff and approved by the Board.

Article 6. Should the work of a scholar extend through a
part of the year only, he shall be entitled to a proportionate share
of income.

97

98

Dalton Scholarships.

Article 7. When the income is insufficient, appointments
for the year may be omitted.

Article 8. Any income not used shall be cumulative and not
added to the principal.

Article 9. Scholars shall be eligible for renomination and
reappointment.

Article 10. Candidates for scholarship should make written
application to the Resident Physician of the Massachusetts
General Hospital on or before May 15, and the scholarship shall
be held for one year from September 15 following.

Further information may be had by applying to
the Resident Physician of the Massachusetts General
Hospital. '

WARREN TRIENNIAL PRIZE.

MASSACHUSETTS GENERAL HOSPITAL.

The Warren Triennial Prize was founded by the
late Dr. J. Mason Warren in memory of his father,
and his will provides that the accumulated interest of
the fund shall be awarded every three years to the
best dissertation, considered worthy of a premium on
some subject in Physiology, Surgery, or Pathological
Anatomy; the arbitrators being the Physicians and
Surgeons of the Massachusetts General Hospital.

The subject for competition for the year 1913 is on
some Special Subject in Physiology, Surgery, or
Pathology.

Dissertations must be legibly written, and must be
suitably bound, so as to be easily handled. The
name of the writer must be enclosed in a sealed
envelope, on which must be written a motto corre-
sponding with one on the accompanying dissertation.
Work which has already been published will not be
received in competition.

Any clue given by the dissertation, or any action
on the part of the writer which reveals his name be-
fore the award of the prize, will disqualify him from
receiving the same.

Essays must be typewritten in English, French, or
German.

The amount of the prize for the year 1913 will be
$500.

In case no dissertation is considered sufficiently
meritorious, no award will be made.

A high value will be placed on original work.
Frederic A. Washburn,

Resident Physician.

RULES FOR ADMISSION, ETC.

Application for admission of patients should be
made at the Hospital on Blossom Street, Boston, on
week-days between the hours of 9 and 11 a.m. and
2 and 3 P.M.

Recent accidents admitted at all hours.

Out-patients received on Fruit Street, between the
hours of 8.30 and 10 a.m., week-days only. Out-
patient service is for the poor only.

Applications from a distance should be made in
writing, accompanied by a full description of the
case by the attending physician, with reason of the
physician for thinking hospital treatment desirable,
and when a free bed is needed, by a statement of the
pecuniary condition of the patient. Always wait for
a reply before sending the patient.

Contagious and chronic diseases are not admitted.

Regular charges to pa3'ing patients are as follows:
In the Jackson Ward (private), $35 per week ; in
small room in the Townsend and Bigelow Wards,
$21 per week; in the General Wards, $10.50 per
week. These rates, covering only expenses of board
and lodging, may be increased or abated in individual
cases by the Resident Physician.

An ambulance, accompanied by a medical officer,
will be despatched to any point within the city
proper for the conveyance of cases of accident or
urgent sudden sickness, not contagious, to this hospi-
tal, or elsewhere, upon notice from a physician, the
police, or other responsible source, subject to the
approval of the Resident Physician.

In cases requiring gratuitous treatment no charge

will be made.

100

MEDICAL AND SURGICAL STATISTICS.

MEDICAL DISEASES.

FROM JANUARY 1, 1910, TO DECEMBER 31, 1910, INCLUSIVE.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Sc

Admitted.

Discharged.

CSrH

Q S^

GENERAL DISEASES.
Diseases of the Blood,

Anemia, secondary

Chlorosis

Pernicious anemia

Leukemia :

myelogenous . . .

lymphatic

Hemophilia

Purpura

Purpura rheumatica

Purpura hemorrhagica. . . .

Diseases of
Gland.

THE Mammary

Carcinoma

Diseases of the
Glands.

Ductless

Status lymphaticus. .
Of the Thyroid Gland.

Thyroidism

Goitre

exophthalmic.

Myxedema

Of the Thymus Gland.

Hypertrophy (?)

Of the Spleen.

Hypertrophy

Splenic anemia

Carried forward .

2 37l 40 79
101

34 22

9| 2 79

102

MEDICAL DISEASES, lUlO— Continued.

Admitted.

DiSCHABGED.

TABLES OF DISEASES

"So

c

?

'3'-'

COMPILED FROM
JLEDICAL RECORDS.

s§

■a
a>

.Sci

/

In 11 OS
Jan. 1,

Males

a
^

■i

:=

>

Z

_s

zl

i

Browjht forii.ard

Of the Adrenal Glands.

Addison's disease

JIalignant tumor

Diseases of the Lymphatic
Appabatcs.

Hodgkin"3 disease

Septic cervical adenitis.

Cerrical adenitis (without
known cause)

Septic axillary adenitis.

Tuberculosis

Lymphoma

malig;nant. . .

Locomotor ant) Cokstitu-
TiosAL Diseases.

Arthritis :

infectious

atrophic

hypertrophic

Articular rheumatism :

acute. ...
subacute.

Arthritis defonnans

Osteoarthritis

Bursitis :

deltoid

prepatellar

Sacro-iliac strain

Sinasofhip

Flatf oot

Rickets

Obesity

Glvcosuria

40

28

73
1
7

57
15

4

3

1
1

2
1

1
3
1

2 ...

34

2 79

Carried forward I 10 150; 105 > 285 34 153 36, 13 7

11 265

103

MEDICAL DISEASES, 1910— Continued.

Admitted. 1

Discharged.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

it

to .

0}

H

g

o

"3

1
.2

"3

.2

c'5

« u

o

4)

5

d ^

3
^

10
2

1
1

150
14

5

1
58

1
13

4

2

1

1
1
1
1

105
4

1

17

I
43

4
14
6

3
4

1

3
19

1

17

2

265
20

1

1

23

2
106

5
27
11

2

1
1
1
6
5
1
7
3

4

45

1

2

2

4

1

45

4

696

34

153
13

36

2

13

1

7

11

4

11

1

265

20

with gangrene of toes

1

2

16

1
1

1

Debility

1
2

10

3

4

23

Infectious Diseases.

2

5

82
5

16
2

9

1

106

5

10

1

1

27

1

1

2

1
1

7

11

Sepsis of neck with abscess ....
Sepsis of chest wall with ab-

2

1

1

3

4

3

1

1
2

1

4
2

19

1

1

1

2

1

6

5

1

I

7
3

1
25

7

3

Tuberculosis (See also Diseases
of the Lymphatic Apparatus,
Kidney, Bladder and Skin,
and Miscellaneous) :

1
21

1

1

2

4

3

1

4

1

45

1

I

1

2
4

1

27

2

1

2

2

1
1

1

4

1

Syphilis

1

152

35
4

272

5

1

1

3

45

4

74

22

15

37

24

Carried forward

25

326

245

596

104

MEDICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAX, RECORDS.

Admitted.

c«0

DiSCHAKGED.

Q i5.

Broiight forward .
Parasitic Diseases.

Tapeworm

Ascaris lumbricoides .

Trichinosis

Uncinariasis

Elephantiasis

Poisoning.
Acute Poisoning.

Alcohol

Benzine

Corrosive sublimate . .

Lead

Chronic Poisoning.

Alcohol

delirium tremens .

Bisulphide of carbon .

Lead

Opium

Thermic Fever

DISEASES OF THE NERVOUS
SYSTEM.

Functional Diseases.

Insanity

Melancholia

Transitory excitement .

Mental deficiency

Idiocy

Hysteria

Psychoneurosis

Psychasthenia

Apprehension

Carried forward .

25

326 245

27

372

152 272 74

23

18

39

29

105

MEDICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Brotight forward .

Xeiirasthenia

Epilepsy

Psychosis

Chorea

Paralysis agitans . .. .
Neurosis, traumatic .

Headache

Syncope

=*2

— • _

27

Orgaxic Diseases of the Beain
AND ITS Membranes.

Hemiplegia

Hemiparesis

0/ the Membranes of the Brain.

Meningitis

tuberculous

Of the Blood Vessels of the Brain

Thrombosis

Hemorrhage

Of the Brain.

Aphasia

Paralytic dementia

Granuloma

Glioma

Tumor (unspecilied)

Abscess

Syphilis

Organic Diseases of the
Spinal Cord and its Mem-
branes.

Myelitis

Poliomyelitis, anterior,
acute

13

Carried forward 29 439 331 799 171 379 106 31 22

Discharged.

9

c-

.-«

T.S'

C«

a

H

^

■u

(O 1

»- S

s^,

(=) 1

18

X-

683-

16

6

2

35-
1
2'
1
1

1
2-
1
1

1»
2

33

1
3

799

106

MEDICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

ceo

Discharged.

X.
5^

Brought fonvard ,

Tabes dorsalis

Multiple sclerosis

Paraplegia

Orga>-ic Diseases
Nerves.

Xeuritis

alcoholic

multiple

Obstetrical paralysis

Post-diphtheritic paralysis.

Sciatica

Vaso-Motor Disease.
Kavnaud's disease

DISEASES OF THE CIRCULA-
TORY SYSTEM.

Of the Pericakdicm.

Pericarditis

adhesive

Of the Heart and Myo-
cardium.

Arhythmia

Dilatation, acute

Hypertrophy

Hypertrophy and dilatation.

Mj-ocarditis

Cardio-renal

Weak heart

Of the Endocardium.
Endocarditis :

acute

malignant.

Carried forward ! 39

27

33

799

13

2

4

36

5
5

3
2
3
6
26
16
4

6
910

107

MEDICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Brought forward

Chronic Valmdar Diseases.

Mitral insufficiency

Mitral stenosis

Mitral insufflcienc}- and steno.
sis

Aortic rougjhening. .
Aortic insuificiency.
Aortic stenosis

Aortic insufficiency and sten-
osis

Aortic and mitral insufficiency
Aortic and mitral stenosis. .

Aortic and mitral insufficiency
and stenosis

Tricuspid insufficiency

Mitral and tricuspid insuffi-
ciency

OS -

*=■

39

Cardiac Neuroses.

Angina pectoris

Or THE Arteries and Veins.

SjT)hilitic aortitis

Arteriosclerosis

Aneurism

Phlebitis

Thrombosis

Dilatation of aortic arch

DISEASES OF THE RESPIRA.
TORY SYSTEM.

Of THE Nose.

Coryza

Rhinitis

Sinusitis

Necrosis of septum

Carried forward

504

Discharged.

910

12
4

51
1
6
2

11

19

1

9
1

2

1093

123

32

&1

910

12
4

51
1
6
2

11

19

1

9
1

112 46

2
1
2
1
1093

108

MEDICAL DISEASES, 1910 - Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

cSO

Discharged.

Brought forward

Epidermoid carcinoma.
Of the Larynx.

Laryngitis

Perichondritis

Laryngismus

Stenosis

Of the Bronchi.

Bronchitis :

acute

chronic —

■with emphysema . . .

Bronchiectasis

Asthma

Of the Lungs.

Abscess

Emphysema

Pneumonia:

lobar

unresolved

Broncho-pneumonia

Carcinoma

Of the Pleura.

Pleurisy,

tuberculous

Empyema

Hydrothorax

Pyopneumothorax

Carcinoma

DISEASES OF THE DIGESTIVE
SYSTEM AND OF THE PERI-
TONEUM.

Of the Tongue.

Abscess

Carried forward

1093
6

1
1
1
3

17
16
30
13
4

10
1

176

2

17

2

176 541
4

68l 8521 58311503

324| 670

166

68

112

46:

37

175

1
1503

109

MEDICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

Discharged.

•3

■30

•a

-c"

II

0)

i!S

(D

(C

ai

2:

= 5

3>

"cS

0

"3

.2
"3
Pi

H

0

5

C --I

s *

Brought forward

Of the Pharynx.

Pharyngitis

Of the Tonsils.

Peritonsillar abscess. . .

Tonsillitis

Hypertrophy

Of the Esophagus.

Stricture :

traumatic —
specific

Carcinoma

Of the Stomach.

Gastritis, alcoholic

Gastro-enteritis

Gastrectasis

Gastroptosis

Hemorrhage

Lncer

Pyloric stenosis

Carcinoma :

of stomach,
of pylorus . .

Adhesions

Vicious circle

Neurosis

Hyperemesis

Dyspepsia

■Of the Intestines.

Enteroptosis

Improper feeding.

Carried for~tvard .

852 583 1503 324 670 166 68 37 175 63 1503

3 21
2

2

2
1734

800

179

182 72

110

MEDICAL DISEASES, 1910— Contimied.

Admitted.

Dischabqed.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

15 2

3 1-5

to

to

a

3

1

>
S

1

>

0 4)

a Pi

il
t-

•a
2

H

1

•6

a)
S

34

i

78

966

6
8

10
3

3
1

690
6

1
1

4

1
9
8

3

1
1
1

1

4
13

1

1734

12

8

11

4

4
1
4
5
17
17
3
1

19
1
8

3
12
1
7
1
1

15

18

1
1

371
2

6

800

10
5

1

4

179

86

44

182

72

1734

Indigestion :

T>

3
3

8

Enteritis :

acute

1

1

1

11

4

Appendicitis:

4

4

with diffuse peritonitis

1

1

1

2

1
9

2

15
7
1

18

1
3

4

4

8
7
3
1

16
1
7

2
11

5

1
1

17

Colitis

2

17

1

1

1

3

Congenital dilatation of colon..

1

1

1
3

19

1

3

1
5

2

2
4

a

Of the Livkr.

3

1

3

1
1

1

12

1

1

6

1

1

1

10

1

4

1

1

7

1

1

Of the Gall Bladder and
Bile Ducts.

11

5

3

2

1
11

15

Cholelithiasis

3

1
1

18

Carcinoma :

1

of Vater's ampulla. . .

1

1

1

Carried forward

83

1081

745

1909

392

884

199

114

48

197

75

1909

Ill

MEDICAL DISEASES, 1910— Conti7iued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

Admitted.

rtO

."S^

&'"'

(O

a4

a

Discharged.

cS'-c

«
o

X~

Q

£^

Brought forward.
Of the Pancreas.

Carcinoma (?)

Of the Rectum.

Hemorrhoids

Stricture

Of the Peritoneum.

Ascites

Peritonitis :

difEuse

tuberculous .
Abdominal pain

DISEASES OF THE URINARY
APPARATUS.

Of the Kidneys.

Movable kidney

Hematuria

Hemoglobinuria

Albuminuria

Nephralgia

Anuria

Calculus

Hydronephrosis

Pyonephrosis

Perinephric abscess .

Nephritis :

acute

chronic

glomerulo :

acute

subacute . .
chronic

Carried forward.

1081

745

2 2
1

1162

12

1909

392

114

48 197 75 1909

212

1
1
1
3

2

1

8
3
3

4

3
12

1

7

48

2037

112

MEDICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS.

Admitted.

_

cSO

A'-'

C^

s>

5

"3

- 5

rt

s

o

DiSCHAEGED.

Brottght forward

Nephritis :

chronic diffuse

chronic interstitial.

Sarcoma

Congenital cystic kidney

Tuberculosis

Of the Renal Pelvis.

Pyelitis

Of the Bladder.

Cj'Stitis

Tuberculosis

Of the Ukethra.

Urethritis

Urinary fistula

Stricture

DISEASES OF THE OEXERA-
TIVE ORGANS.

Of the Male Genitalia.

Prostatitis

Hypertrophy of prostate

-Of the Female Genit.\lia.

Vaginal atresia

Menorrhagia

Displacements, uterine :

anteflexion

retroversion

procidentia

Myoma of uterus

Carcinoma of uterus

Salpinjjitis

Pyosalpinx

Carried forward.

1162

1
5
1
2

789

2037

1

9
2
2

1
1

1
1

1

2
1
1
1
4
1
2090

395

39^

M 7\'^ %'

1\1

•6

9

Cj

H

*

S5

«

137 54

213 85

2037

1
9
2
2

8

10

1
1

2
1

1

1
1

1
1

1
2
1
1
1
4
1
12090

113

MEDICAL DISEASES, 1910 — Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

■30

00 -

to

g

"3

>
.2

o.H

i

*^ S

d t.

■3

H
0

m
5

0

87

1182

821
2

1

3

1
2

1

2

1

8

1

2

1
1

1

1
1

1
1
4

K

2090
2

1

3

1
2

1
1

6
2

12
3

3
1
1
1
1
1
4
3
1
I
12

1
33

397

961

221

153

1

55

218

1

85

1

2090

Cvst of ovary

2

1

Diseases of Pregnancy.
Hvperemesis

1
1

1

2
2

1
1

1
3

2

3

1

1

1
1

4

10
1

2

1

2

DISEASES OF THE EYE.

1

1

Dacrj'ocystitis

1

DISEASES OF THE EAR.
Otitis media

4

1

4
1

1

6

1

1

?

DISEASES OF THE SKIN.
Ulcers

1?

1
1

3

Inflammations.

Erythema multiforme

Erythema nodosum

3

1

Erythema induratum

1

1
1
3
2
1
1
10

1
28

1

Pellagra

1

1

1

1

Pityriasis rosea

1

Dermatitis

3

3

1
1

4

Dermatitis exfoliativa

3

1

Lichen planus

1

1

2

7

1
21

1

12

Eczema :

1

chronic

1

1

33

Carried forward

92

1228

i 8t)b

2187

410

1032

224

154

56

220

91

2187

114

MEDICAL DISEASES, 1910 —Co7itinued.

TABLES OF DISEASES

COMPILED FROM

MEDICAL RECORDS.

=*2

Discharged.

Brought forward

Eczema seborrhoicum

Herpes zoster

Pompholyx

Dermatitis herpetiformis...

Pemphigus

Impetigo contagiosa

FuruncuUis

Carbunculus

Erysipelas

Dermatitis calorica

Dermatitis venenata

Dermatitis factitia

Dermatitis medicamentosa.

Hypertrophies.

Verruca

Ichthyosis

New Growths.
Molluscum contagiosum
Tuberculosis cutis

scrofuloderma

lupus vulgaris

Lupus erythematosus

Epithelioma

Appendages.
Sycosis

Parasitic Affections.

Tinea sycosis

Pediculosis

Scabies

92

1229
1
4

2187
1
6
1
1
1
4
3
2
1
1
17
1
3

2
2

earned forward | 97 1259| 909 2265

41011032
1
6
1
1

154 56

220

91

1087 225 155

2187
1
6
1
1
1
4
3
2
1
1

17
1
3

2
2

1

4
2
4
3
2

222 94

10
2265

115

MEDICAL DISEASES, 1910 —Continued,

TABLES OF DISEASES

COMPILED FROM
MEDICAL RECORDS.

Discharged.

a;

0.-

— '

v

'=*s

.«o:

a

H

C-'

3^.—

£

X--

a tK

?5

5

£^

Ha:

Brought fonvard .

TUMORS (not otherwise speci-
fied).

Multiple angloinata . . .
Carcinoma of spine . . . .

Carcinomatosis

Tumors (unspecified) :

of abdomen

of neck

Mediastinal tumor

MISCELLANEOUS.
Displaced abdominal viscera.

Fractured ribs

Hernia

Sea-sickness

Localized tuberculosis

Senility

Pregnancy

No diagnosis

No disease

Total.

97

1259 909 22t)5

5

2

1277

425

1087

225 155 57 222 94 2265

1
1

2

4
1
2

1
1
2
1

8
3
1

7

5

2305

429

1093

64 225

2305

SURGICAL DISEASES.

FROM JANUARY 1, 1910 TO DECEMBER 31, 1910, INCLUSIVE.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Discharged.

d^

DISEASES OF THE BLOOD
VESSELS.

Aberrant renal artery

Arteriosclerosis

of uterine vessels

Phlebitis

Varicose veins

DISEASES OF THE GLANDS.
Of the Lymphatic System.

Hodgkin's disease

Of the Submental Nodes.

Septic adenitis

Of the Cervical Nodes.

Septic adenitis

Adenitis (unknown origin)

Tuberculosis ,

Of the Axillary Nodes.

Septic adenitis

Tuberculosis

Of the Mesenteric Nodes.

Adenitis (unknown origin)

Tuberculosis

Of the Mediastinal Nodes.

Adenitis (unknown origin)

Of the Inguinal Nodes.

Septic adenitis

Adenitis (unknown origin)

Tuberculosis

Of the Retroperitoyieal Nodes.

Tul)erculosis

Carried forward .

60 1 33
116

117

SURGICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

.

■a

CSO

o

CS-H

73 fci

-4^

CO

® 0)

?

&'-

g

rt

3*

.3)

•si

■c

"3

a^

^

^

M

l^tf

^

a

^

Broil ffht forward

Of the Mammary Glands.

Hypertrophy

Mastitis

Sepsis with abscess

Tibroiua

Sarcoma, recurrent

Carcinoma :

primary

recurrent

Cyst

Of the Salivary Glands.
Of the Parotid Gland.

Enchondroma

Sarcoma, recurrent

Carcinoma

Tumor (unspecified)

Of the Sublingual Glands.

Cyst

Of the Submaxillary Glands.

Septic adenitis

Carcinoma

Cyst

Of the Ductless Glands

Status lymphaticus

Of the Thyroid Gland.

Hypertrophy

Goitre

exophthalmic

Carcinoma :

primary

recurrent

Carried forward 11

73

112

196

154| 5

118

SURGICAL DISEASES, 1910— Contiymed.

Admitted,

Discharged.

.

SI

0 ^

■a

.

TABLES OF DISEASES

S2

"*^ >

<s

"^zi

COMPILED FROM

•pC;

m

-a

"C

(P »

c^

Ha

SURGICAL RECORDS.

a ■

to

Is

■3

^

>

0

■si

^

■6

•s

!i

01

<D

c"®

ii-a

0

IS

-~

s

U<

H

«

;z;«

•a

-^

wl-5

H

Brought forward

11

73

112

196

154

5

1

20

7

9

19C

DISEASES AND INJURIES OF
THE NERVOUS SYSTEM.

FCXCTIONAL NeEVOUS DISEASES.

1

1

Hvsteria

1

3

1

1

1

1

1

1

1

1

1

1

Convulsion (unknown origin)..

1

1

Of the Beain.

10

10

1

9

10

0

?

?

9,

1

1

1

1

1

1

1

1

1

1

9,

?,

2

1
1
1

1

1
2
'1

1
2

1

2

1

4

?

n

2

6

Of the Spinal Cord.

Progressive muscular atrophy. .

1

1

1

1

1

1

1

1

1

1

1

1

1

q

9

19

17

1

1

19

1

1

1
1

1

1

1

1

1

1

1

0

9

2

1

1

•>

9

2

1

1

1

28

16

12

Carried forivard

13

115

134

262

1

193

9

3

262

119

SURGICAL DISEASES, 1910-^ Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

S^\ H

Brought fonvard | 13, 115 1»4 262

Of the Xerves.
Ruptured brachial plexus...
I'aralysis :

brachial

nerves of arm

Landry's paralysis

Adhesions about spinal acces-
sory nerve

Xeuralgia :

nerves of arm.

lingual

trifacial

Neuroma of ulnar nerve...

OF THE HEART.
Pericarditis, adhesive . .

DISEASES AND INJURIES OF
THE RESPIRATORY SYSTEM,

Asphyxia

Of the No.se.
Deformity :

congenital

traumatic

following disease

Deviated septum

Atresia of nostril

Rhinitis

Fibroma of nasal septum —

Fibroma of nasal vault

Carcinoma :

primary

recurrent

1

193

28 16

12 262

Carried fonvard I 14,177 157 3i8 1 268 12

35 16| 13 348

120

SURGICAL DISEASES, 1910— Continued.

Admitted.

Discharged.

.

_•

TABLES OF DISEASES

ns

:;;i^

s

•3-

COMPILED FROM

■^:ii

■d

"O

2^

ii

0!

2

H
o

.-OS

SURGICAL RECORDS.

54

a

«
.2
1

o s>

5

1

14

177

157

348

1

?68

1?

1

a.")

16

I'l

348

Of the Larynx.

Persistent thyro-glossal sinus..
Cut throat.

1

1

1

1

1
1

1
1
?

1
1
?

1

Perichondritis

1

Hemorrhage, post-operative

Stenosis

?

2
2
5

4

?

6
2
7

6
2

7

6

Tuberculosis

2

Papilloma

7

3

1

3
1

3
1

3

Cyst

1

Tumor (unspecitied)

1

1

1

1

Of the Trachea.

Peritracheal abscess

1
1

1

2

1

2
1

2

Perichondritis

1

Of the Bronchi.

Foreign body

1

0

3

2

1

3

Bronchiectasis

1

•>

3

1

1

1

3

Of the Lungs.

Sepsis with abscess

2

1

3

1

2

3

Of the Pleura.

Empyema

0

35

17

54

37

1

3

10

3

54

DISEASES AND INJURIES OF

THE DIGESTIVE SYSTEM.

Foreign body in alimentary
canal

3

3

1

2

3

Of the Mouth.

Stomatitis

1

1

1
1

1
1

1

Carcinoma

1

Of the Lips.

Harelip

3

3

1

1

1

3

Carried forward

17

240

190

447

3

342

13

7

38

28

16

447

1-21

SURGICAL DISEASES, 1910— Cotitinued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

.

o S

^•

cSO

«

"3-;

i

73
0)

-a

?:-

P

C'^

0^

m

o

s

s

5

1

®

>
1

o ®

o

5

Brought fomvard

Carcinoma :

primary

recurrent

Of the Tongue.

Glossitis

Sepsis with abscess

Ulcer, tuberculous

Carcinoma

Of the Palate.

Cleft palate

Osteoma of hard palate

Of the Pharynx.

Adenoids

Fibroma

Of the Tonsils.

HjiJertrophy

with adenoids .

Tonsillitis, chronic

Peritonsillar abscess

Sarcoma

Of the Esophagus.

Foreign body

Stricture :

traumatic

non-malignant

Carcinoma

Of the Stomach and Duo-
denum.

Foreign body in duodenum .
Rupture

Neurosis.

Carried forward .

691 1

38

28 16

31| 20

447

10

1

2
1
»

15
1

2
1

28

99

47

5

1

1

1

4

691

122

SURGICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

COMPILED FR(^M
SURGICAL RECORDS.

Admitted,

Discharged.

"cSd

5

■a

cS

Soi

x"^

ID

IV

f-,^'

^

"5

d

^

>

a>

^■5

H

■e"

C-i

c

a

o
El

3

o

5

a 5

Brought forward

Acute dyspepsia

Gastrectasis

Gastro-enterltis

Pyloric stenosis

Vicious circle

Ulcer, gastric

perforating

Ulcer, duodenal

perforating. . . .

Carcinoma ;

of pylorus

Of the Intestines.

Rupture

Adhesions

Artificial anus

Dilatation of colon

Appendicitis:

acute

acute, with peritonitis

subacute

chronic

Enteritis, acute

Stitch abscess

. Enteroptosis

Fecal fistula

Constipation

Obstraction :

from adhesions

20

from gangrenous Meckle's
diverticulum

no pathological cause
given

Ca rried forward .

39

4
1
6
3
16
2

1
3
1
1

137
21
48
99
1

691
1
1
1
5

716 562|1317

2
1057

15

31

40

691
1
1
1
5
1
S
3
7
4
19
3

1

4
1
1

225

34

107

173

3

1

1

6

3

1

4
131T

vzs

SURGICAL DISEASES, IdlO— Continued,

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

^1

IT.

33

"3

o

en

■3

>

0 a

(D

■o C

i|

1

Eh

5

.■So

a OS

i

0

39

716

1

1

10

562

1

6

1

4

1
1
1
10
55
1

3

1
4

1317

2

1

18

1
1

3
3

1

7

1

1
2
1

1
18
80

2

5

1

1
1

1
1

3

1
13

39

1057

27

15

81

58
2

40

1317

?

1
7
1

1

1

1

Carcinoma

2

6

4

1

18

1

Tumor (unspecified) . .

1

3
3

1
3

1

1
1

1

Of the Liver.
Rupture

1

1
3

1

3

S

1

Carcinoma

1

3

1

2

1

7

Echinococcus cyst

1

Of the Gall Bladder and
Bile Ducts.

Adhesions

1

1

Jaundice

1

1

?

obstructive

1

1

16

65

1

Biliary fistula

1

Cholecystitis

4

7

4
18

1

2

1

1

1
1

1

2
3

8

1

2

3
1

18

Cholelithiasis

80

Carcinoma

2

Of THE Pancreas.
Pancreatitis

2
1

1
1

5

Carcinoma

1

Of THE Rectum.
Prolapse

1

Edema

1

1

Proctitis

1

2

1

13

1

1

tuberculous

1

Sepsis :

with abscess

3

1
9

1

^

without abscess

1

ischio-rectal

n

Carried forward

52

784

651

1487

39

1173

40

16

89

83

47

1487

124

SURGICAL DISEASES, 1910 ~Co7itinued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Discharged.

«

a a:
X -

^ I o

Brought forward

Stricture (non-malignant) ,

Tuberculosis

Hemorrhoids

Polypus

Ulcer ,

Carcinoma ,

Of the Anus.

Imperforate anus

Incompetent sphincter

Bulla

Fissure

Fistula

DISEASES AND INJURIES OF

THE GENITO-URINARY

SYSTEM.

Edema of external genitals . . .
Genito-urinary tuberculosis. . .
Of the Kidneys.

Movable kidney

Contusion

Rupture

Oxaluria

Hematuria

Pyuria

Parenchymatous degeneration

Renal colic

Adhesions

Hydronephrosis

Acute hematogenous infection.

Nephritis, chronic

Uremia

Perinephric abscess

Carried forward .

925

1487
3
3

73
1
4

23

1

2

1

12

45

1
5

4

1
2
1
4
1
1
1
1
7
3
8
1
5
1701

1173
3
1

63
1
4

15

5
41 1343

83

1487
3
3

73
1
4

23

1

2
1

12
45

90

55 1701

125

SURGICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

OrH

X ■

a

c =?

Brought forivard

Sinus

Pyelitis

Pyelonephritis

Pyonepbrosis

Tuberculosis

Calculus

Cyst, maligrnant

Tumor (uiispecifled)

Of the Uketers.

Calculus

Stricture

Of the Bladder.

Exstropby

Diverticulum

Contraction, neck of bladder

Foreign body

Entero-vesical fistula

Acute retention of urine —

Cystitis

Tuberculosis

Calculus

Papilloma

Ulcer

Carcinoma

Tumor (unspecified)

Of the Male Ukethka.

Rupture

Urinary fistula

Stricture

with extravasation of urine

Urethritis, acute gonorrheal

Carried forward .

925 715
1 1

7

Discharged.

1701
2
7
1
9
13
18
1
1

12

4111343
2
5
1
7
5
11

2

4
47

...1 2!..
1 ..
rie 1875 4214681 55

22

103

90

1701
2
7
1
9
13
18
1
1

12
1

1
3
1
1
1
3

14
5

12
4
1
5
2

2
4
47
2
1
65,1875

126

SURGICAL DISEASES, 1910— Conti7iued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

32

a4

"a

•a

>

1

c ®

i|

'6

(B

H

o

-a
®

s

Ha

ft—

1

75

1054
5
2

41
3
1

1

1
11

2
2

1

2
1
2
26
1

2
1
5
11
11
3
3
4

746

1875
5
2

43
3

1
1
1
1
13

2
2

1

2
1
2
26
1

3
1
5
11
11
3
3
4

42

1468
5

1

30

6

2
2

1

2

55

22

125

98

65

1875

Sepsis, with abscess

5

without abscess

2

1

2

Of the Prostate.

2

6

1

4
1

1

43

Prostatitis

3

Sepsis with abscess

1

Tuberculosis

1

1

Adenoma

1

Malignant lymphoma

1

Carcinoma

2

2

3

2

n

Of the Penis.
Hypospadias

2

Carcinoma

2

Of the Prepuce.
Phimosis

1

Of the Scrotum.
Sepsis :

with abscess

2

without abscess

1

1

1

1

(iangrene

2

1

1
22

1

3

1
5
9
10
3
3
3

o

Hydrocele

1

20

Hematocele

1

Of the Testicles.
Undescended testicle

1

3

Torsion

1

Orchitis

Epididymitis

1
1

1

11

tuberculous

Tuberculosis

11
3

Gumma

3

Sarcoma

4

Carried forward

81

1196

746

2023

45

1583

59

23

136

107

70

2023

127

SURGICAL DISEASES, 1910 — Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Or-l

Discharged.

4J T*

K

Mt^

Brought forward
Cyst of epididymis . .
Tumor (unspecified) .

Of the Spermatic Cord.

Varicocele

Hydrocele

Sarcoma

Of the Male Perineum.
Recto-urethro-periueal fistula .

Sepsis with abscess

Sinus

DISEASES AND INJURIES
OF THE FEMALE GEN-
ERATIVE ORGANS.

Malformation, general

General Diseases.

Dysmenorrhea

Menorrhagia

Metrorrhagia

Sterility,

Hyperemesis of pregnancy.

Retention of urine with preg-
nancy

Abortion

Miscarriage

Extra-uterine pregnancy.

Retained placenta

Of the Vulva.

Furuncle

Hematoma

Carcinoma

Cyst

Carried forward .

1196
1
1

85

1231

2023
1
1

821

45

1583
1

59

6

3

1

1

1

4

25

24

3

1

1

2

1
2137

46

23

136

107

70

23 143

2023
1
1

23
4
1

1
3
3

109

74

3
5
3
1
1

1

4

25

24

3

1
1

2

1

2137

128

SURGICAL DISEASES, 1910— Co7iU7iued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

DiSCHAKGED.

HS

Brought forward

Of the Urethra.

Caruncle

Of the Vagina.

Atresia

Fistiilje :

rectovaginal

uretero-vaginal

vesico-vaginal

Vaginitis

Cystocele

Cystocele and rectocele

Vul vo-vaginal cyst

Of the Utebds.

Rupture

Displacements :

anteflexion- .
retroversion,
procidentia .

Endometritis

Parametritis

Sepsis with pregnancy

Tuberculosis

Hydatidiform mole

Polypus

Myoma

Carcinoma

Tumor (unspecified)

■Of the Cervix Uteri.

Hypertrophy

Laceration :

of cervix

Carried forxcard .

85 1231 821 2137 -iG 1680

2353

1863

113 109 74 2137

156 113 83 2353

44

18

34

1

1

1

2

9

54

11

2

129

SURGICAL DISEASES, 1910— Contmued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

as

X

UroHijlit forward

Laceration of cervix and peri-
neum

Stenosis

Erosion

Cervicitis

Sepsis witli abscess

Cellulitis

Carcinoma

Of the Broad Ligament.

Cyst

•Of the Fallopian Tubes.

Salpingitis

Hydrosalpinx

Hematosalpinx

Pyosalpiiix

Fibroma

Of the Ovaries.

Oophoritis

Papil loma

Fibroma

Adenoma

Sarcoma

Carcinoma

Cyst

Of the Pkrineuji.

Laceration

91 1231 1031 2353

DISEASES AND IXJURIES OF
THE HEAD AND FACE.

Of the Head.

Hydrocephalus

Avulsion of scalp

Carried forward 1 99

47 1863

24 156 113

163

1
116

38
3
2
1
1
1

17

40
8
2

39
1

1
1

2
3
1
4

45

1
1

12589

130

SURGICAL DISEASES, 1910— Contimied.

TABLES OF DISEASES

COMPILED FKOM
SURGICAL RECORDS.

DiSOHAKGED.

o

*^ >

o

"5^

rs t.

«

S

§-<■"

11

o

0

Brought forward

Wounds of scalp:

lacerated.

septic

Frontal sinusitis

Ethmoiditis, purulent

Empyema of antrum

Wen

Hemangioma of scalp

Fibroma of forehead

Sarcoma of antrum

of ethmoid cells. . . .

Carcinoma of antrum

Of the Face.

Contusion

Burns of face and arm

Powder face

Wound, lacerated

Cicatrix

Contraction, cicatricial

Erysipelas

Sepsis with abscess

Actinomycosis •.

Lupus

Keratosis

Anthrax

Carcinoma :

primary

recurrent

DISEASES AND INJURIES OF
THE EYE AND EAR.

Of the Eye.

Ectropion

99

1232

1258

2589

1

6

2

2

1

1

1

1

2

8

3

5

1

1272

2652

24 163 116

98 2589

earned forward .

52

2124

71 25 163 116

2652

131

SURGICAL DISEASES, 1910— Cojitinued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

0,-l

K •

Discharged.

ei^

Brought foruard 101

Ectropion, post-oi)erative

Cicatricial contraction of eyelid

Angioma of orbit

Mucocele

Carcinoma of ej"elid :

primary . . .
recurrent . .
Of the Ear.

Ruptured tympanum

Post-aural abscess

Otitis media

Carcinoma

DISEASES AND INJURIES OF
THE NECK.

Torticollis

congenital

Strain

"Wounds :

granulating .

lacerated

Keloid

Bursitis, subhyoid . . . .

Cellulitis

Sepsis with abscess . . .

Actinomycosis

Carbuncle

Lipoma

Endothelioma

Adenoma

Lymphoma

malignant.

Carried forward .

1279
1
2

105

1272

1320

2652
1
2
1

1295

522124
1
2
1

2
1
1
2
4
21
2
7
1
1
1
2
2
2720

2
2
21
1
6
1
1
1
2
1
52 2184

25

163

116

101

102

2652
1
2
1
1

1

2

1
1
1
1

6
3
1

2
1
1
2

4
21

2
7
1
1
1
2
2
2720

132

SURGICAL DISEASES, ldlO—Co?7ti?iued.

TABLES OF DISEASES

C()MPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

15d

c|

£

"S^'

o

<0

<D

^•ab

f

s'^-

ti

■3

_•

«

0

11

H

-o

- 5

£«
S

1^

g

IB

2|

0

5

Brought forward .

Anthrax

Ulcer

Carcinoma :

primary . .

recurrent

Branchial cyst

Hyoid cyst

DISEASES AND IN.TURIKS OF

THE CHEST AND CHEST

WALL.

Of the Chest.

Contusion

Crush

Wounds, gunshot

incised

punctured ..
Post-operative cavity.

Of the Chest Wall.

Burns

Wounds :

granulating.

punctured. . .
Sepsis with abscess. . .

Erjsipelas

Actinomycosis

Carcinoma

DISEASES AND INJURIES

OF THE ABDOMEN AND

ABDOMINAL WALL. AND

OF THE PERITONEUM.

Of the Abdomen.
Foreign body in pelvis
Pelvic adhesions

Ca rried forward 106 1356 1310

132011295
1

2720
1
1

5
7
2
2

1
10

2772

2184| 72
1

25

165 120

72 25

172

2720
1
1

5
7
2

2

124 i 106,2772

133

SURGICAL DISEASES, 1910— Contimiecl

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

OlH

Discharged.

Broufjht forward

Sepsis with abscess :

pelvic

tuberculous
subphrenic

106

Sepsis without abscess (un-
known origin)

Sinus

tuberculous

Sarcoma of pelvis (?)

Carcinoma

of pelvis

Echinococcus cyst

Tumor (unspecified)

Of the Abdominal Wall.

Bums

Foreign body

Hernia :

epigastric

femoral

strangulated .

inguinal

strangulated .

through omentum

with undescended
testicle

umbilical

strangulated .
ventral

strangulated ,

Sepsis :

with abscess

without abscess.

Carried for ward .

121.1653

2772

15
1
1

1
3
1
1

7
2
1
1

1
1

3

23

6

272

14

1

1411 3185

2221

H

I -o

t .2

257:

172

75; 26

124 1062772

184

15

3
23

6

272

14

1

7
14

1
32

1

1

3185

134

SURGICAL DISEASES, 1910— Co?Hinued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

"So

D.rH

5^

Is

a
fa

"is
1

•a
>

1

.2

13 u

(D

u
H

o

5

ft-'

1

121

1653

1411

1

1

1

2

1

3

8
6

1
1
1

1
2
1

3185
1

1

1
1

1
2

1
1

3
14

11

1
1
1
1

1
3
1
3

2
1

1

71

2577
1
1

1
1

1
2
1
1

2

2

7

75

26

184

136

116

3185

Sepsis, tuberculous

1

Sebaceous cyst

1

Of the Inguinal Region.

Sepsis :

with abscess

1

without abscess

1
1

1

Of the Peritoneum.
Abdominal pain

1

Adhesions

2

Intraperitoneal abscess

1

1

Retroperitoneal abscess

1

Peritonitis:

pelvic

1

10
2

1

2

3

diffuse

6
2

14

tuberculous

carcinomatous

3

1

1

11
1

Hydrocele of canal of Nuck

1
1
1

1

Fibroma, retroperitoneal

1

Carcinoma

1

1
2

1
1
2

1

OTHER DISEASES AND IN-
JURIES OF THE TRUNK.

Of THE Back.

Burns

1

1

Strain

. 2
1
2
2
1

1

1

3

Actinomycosis

1

Carbuncle

1

...^

3

Lipoma

2

Ulcer

1

DISEASES AND INJURIES OF

THE SOFT PARTS OF THE

UPPER EXTREMITY.

Of the Shoulder.

Burns

1

1

Carried forward

125

1672

1441

3238

71

2609

77

26

187

150

118

3238

135

SURGICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

DiSOHAROED.

.

0 "

-3

cSO

«

"3^

c«

ii<x>

i^

<v

f^7J

f"

g"'^

5^

"3

S

"3

O

H

>
.2

0 IS

H

^
^

•6

ID

5

Drought forivard

Sepsis with abscess

Lipoma

Sarcoma

Of THE Axilla.

I'hlegmon

Of THE Arm.

Deformity, following fracture.

Ruptured tendon

Burns of arm and chest wall...

Crush

Erj-sipelas

Sepsis :

with abscess

without abscess

Sarcoma

Of the Forearm.

Crush

Wound, incised

Sinus

Sarcoma

Of the Hand.

Septic abrasions

Burns

Electric burns of hands and foot

Crush

Wounds :

gunshot

lacerated

Multiple injuries

Sepsis :

with abscess

1672
1

3238
1
1
2

15

2609
1
1
1

26

187

118

3238
1
1
2

Cai-ried forivarcl .

132

188 152

120

3295

136

SURGICAL DISEASES, 191Q— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

0.-I

Discharged.

z. : a

Brought forward

Sepsis, without abscess..

Tenosynovitis

Hemangioma

Carcinoma :

primary

recurrent

Of THE FiXGEKS.

Contraction

cicatricial

Frostbite

Crusli

Gangrene, traumatic ,

Dactylitis, tuberculous..
Obliterative endarteritis
Sepsis :

with abscess

without abscess. .

DISEASES AND INJURIES OF

THE SOFT PARTS OF THE

LOWER EXTREMITY.

Of the Gluteal Region.
Wounds :

gunshot

lacerated

septic

Sinus :

pilo-nidal ,

tuberculous ,

Actinomycosis

Sarcoma

Carcinoma

132

1714
3
1

26611 77

26

188

152

120 3295

4

6
1
1

2
1

1213334

Carried fortvard .

1739il461i3334l 712692

137

SURGICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admittkd.

Discharged.

do

OrH

X ■

■ri r.- .'--^ ->'•

cs;2

- ,--"^1 H

Brow/ht forward .

Of the Thigh.

Burns

Ruptured quadriceps extensor .

Ruptured tendon

"Wound, punctured

Sepsis with abscess

Sinus

Myositis ossificans

Lipoma

Sarcoma

134 1739 1461 33341 71 2692 78| 26 192: 154 121 3334

Of the Leg.
Deformity :

following fracture. . .

following osteomyelitis

Cicatricial contraction

Burns

Crush

both legs

"Wound, septic

Periosteal hemorrhage

Erysipelas

Sepsis :

with abscess

without abscess

Cellulitis

Sinus

Chondroma

Ulcer

Sarcoma

Carcinoma

Carried forward 138 17»4 1470 3392

72 2733

801 26! 194 i 1621

5
5
1

1
1

6
2
1
12513392

138

SURGICAL DISEASES, 1910— Contmued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Is

•S.2

s

S

£14

1

■3

■6

>

s,

"3

C (D

0

urn
11

2
0

£

15 -j

l-H'-S

0

Brought forward

138

178411 47(1

3392

2
1

15
1
1
3
2
1

12
1

1
2

1

5
4
3

1
4

1
1

1
8
1
1
3
1

T2

2733

2
1

15
1

80

26

194

162

125

3392

Of THE Foot.
Malformation

2
1
4

1
2

1
2

i

1
1

8

I

2

Deformity

1

Talipes varus

1

10

1
1
2

15

Pes planus

1

Contraction

1

1

Burns

3
2

3

Foreign bodv

2

Frostbite

1
12

1

1
2

1

3
2
2

1

1

1
12

1

1

Crush

10
1

1
2

1

5
4

1

both feet

"Wounds :

granulating

lacerated

punctured

1

5

4
3

1
4

1
1

1
8
1
1
3
1

Sepsis :

with abscess

1

without abscess

Obliterative endarteritis

1

1

1

1

Gangrene, diabetic

1

1
1

1
8
1
1
3
1

senile

4
1

1

2

1

Tuberculosis

Carcinoma

Of the Toes.
Supernumerary toes

Hallex valgus

Hallex rigidus

Frostbite

1

3
1

Crush

Gangrene, traumatic

Carried forward \

142!

1831

1495

3468,

72

27981

81

26

196

166

129

3468

139

SURGICAL DISEASES, W\0— Continued

TABLES OF DISEASES

COMPILED FROM
SLTIGICAL RECORDS.

Admitted.

0.5

Discharged.

^tfliai z , =;

Brought forward 142,1831:1495 3468 72 2798

DISEASES A^"D INJURIES OF
THE JOINTS.

Arthritis :

atrophic. ,
infectious

Still's disease

Of the acromio-Claviculak
Joint.

Tuberculosis

Of the Shoulder.

Contusion

Dislocation

Functional disability.
Arthritis, infectious..
Bursitis, subacromial
Tuberculosis

Of the Elbow.

Ankylosis

Arthritis, hypertrophic

Tuberculosis

Cyst

Of the Wrist.

Dislocation :

compound
Wounds :

lacerated —

septic

Ganglion

Sepsis with abscess. . .
Tuberculosis

81

26i 196 166

Carried forward 147 1857 1513 351'

7
1

2
1

2
1

2
1
2

2835

eS^

^i-si H

129 3468

26, 197 166 133

3

la
1

1

2
3517

140

SURGICAL DISEASES, 1910— Continued.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

"So

£4

a
S

73
o

EH

"3

>

.2
1

>
.2

0®

4

in OJ

-a
S

2

EH

o

0

.■So:

J* -

Ml-5

13

Brought forward

Of the Metacarpo-Phalan-
GEAL Joint.

Ankylosis

147

1857

1

6
1
4

1
3
2

1513

2
1
6

1

28
3

3
4

16
3

3517

1

9
2
10

1
3
2
1

34
4

1

1
8
8

1
2

1

3

33

2
9

1
1

72

2835

1
9

88

26

197

166

133

3517
1

Of the Sacroiliac Joint.
Strain

1

9

Dislocation

2

2

Tuberculosis

9

1
3
2

1

33

2

1

1
6
2

1

10

Of the Hip.
Malformation

1

Ankylosis

H

Contusion

">

Strain

1

Dislocation :

congenital

2

4

1
1

1
5
4
1
2
1
3
13

2
6

1
1

1
2

34

traumatic

4

Wound, gunshot

1

Arthritis :

atrophic

1

hypertrophic

. 1

1

1
4
1

8

infectious

1

g

Synovitis

1

Charcot's arthropaihv

1

1

3

26

2

7
1
1

1

2

Bursitis, ilio psoas

1

Ischial abscess

3

4

2

1

1

3

33

Of the Knee.
Genu valgum

2

Genu varum

1

1

9

Cicatricial contraction

1

Contusion

1

Carried forivard

154

1921

1580

3655

72

2948

96

27

202

167

143

3655

141

SURGICAL DISEASES, 1910— Cont I niied.

TABLES OF DISEASES

COMPILED FROM
SURGICAL KECORDS.

Admitted.

a ««

Discharged.

K

Brought fomvard

Dislocation

compotind

of semilunar cartilage

Ruptured ligament

Wounds :

incised

lacerated

Lacerated tendon

Loose cartilage

Adhesions

Arthritis :

hypertrophic

infectious

villous

Charcot's arthropathy

Synovitis

Bursitis :

popliteal

prepatellar

Sepsis :

with abscess

without abscess

Tuberculosis

Sarcoma

Of the Ankle.

Sprain

Dislocation

Wound, lacerated

Arthritis, infectious

Charcot's arthropathy

Sepsis with abscess

1580
2

3655
2
1

72

2948
2
1

27

202

167

13655
2
1
2
2

2
2
1
5
1

Carried fonvard .

3735

73

27 203

167i 149;

142

SURGICAL DISEASES, IdW—Coniimied.

Admitted.

Discharged.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

"So

OrH

a

o

>
.2

o c

£^

r. o

-a
<s

2

en

o

.2

5^

i

o
H

159

1963

5

1

1613

1

1
2

1

2

1

2

1
1
1

11

1
3

1

1

3735
6
1

1
12
3

2
2
1

3

1
1
1
4
1
5
34
3
7

1

8
2
2

1

73

3017
5

1

5
3

2
2

99

27

203

167

1

149 S73S

Tuberculosis

1

6

Ulcer

1

DISEASES AND INJURIES OF
THE BONES.

General.

Chondrodystropliia

1

1

Multiple fractures

1
1

9

1

6

1

12

Multiple osteomyelitis

3

Of the A'^ertebrae.
3Ialf ormation

2

Scoliosis

1
1

1

1

1

0

Spondylolisthesis

1

1

Dislocation of cervical verte-
brae

3
1

1
1
3
1
5
28
3
5

1

2
2
1

3

Fracture of axis

Crush of a lumbar vertebra

3

5

22

1

3

1

7
1
2

1

Sepsis with abscess over sacrum

Typhoid spine

5

Tuberculosis

1
1
1

1

2

3

34

lumbar abscess . . .

<l

psoas abscess

Of the Sternum.
Osteomyelitis

1

1

7
1

Of the Ribs.

1

8

Periostitis

?

?

Tuberculosis of costal cartilage

1

Carried forward

165

2029

1643

3837

73

3100

102

28

206

173

155

3837

143

SURGICAL DISEASES, IQ\0 — Continued.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

c

£

"3^"

-o >-

tS

.■So

2

m -

o

.2 '

Sl;

Brought forward

Of the Skull.
Fractures :

simple

compound

with hemorrhage

of base of skull

Periostitis

Exostosis

Osteoma

Sarcoma

Of the MaiTar Bone.

Fracture

Of the Xasal Boxes.

Adherent turbinate bones

Hypertrophied turbinate bones

Malignant lymphoma

Of the Maxillary Bones.

Fracture

Excoriation of gum

Hemorrhage from gums

Alveolar abscess

Actinomycosis

Necrosis

Osteomyelitis

Tuberculosis

Malignant lymphoma

Sarcoma, recurrent

Epulis

Carcinoma :

primary

recurrent

165

2029

1643

3837

73

3100

102

28 206 173

Carried forward .

167^2087

1656

3910

73 3149 105 28

155; 3837

158

1
1
6
1
8
1
1
1
1
1

7

1

3910

144

SURGICAL DISEASES, 1910 ~ Conthmed.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Discharged.

Brought fonvard .

Cyst, dentigerous

Tumor (unspecified) . .
Of the Hyoid Bone.
Crush

•Of the Clavicle.
Dislocation :

inner end.

outer end.

Tuberculosis

Sarcoma

•Of the Scapula.
Faulty develoiuuent .

Fracture

Necrosis

Osteomyelitis

Of the Humerus.
Fractures :

simple

compound

ununited

Necrosis

Osteomyelitis

Tuberculosis of head of bone.
Sarcoma

•Of the Radius.
Fractures :

simple

impacted . .
compound

2087
2
1

Ca rri ed Jo rivard .

170

21'22|16C5

395'

3149
3

215 182

3910
3
1

109 28, 216 185

4
1

2
158 3957

145

SURGICAL DISEASES, 1910 — Co?itmuecl

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

Admitted.

0.1

Drouglit forward 170

■Of THE Ulna.
Fractures :

simple

compound

Periostitis

Necrosis

Of the Radius and Ulna.

Fractures:

simple

compound

ununited

Of the Cakpal Bones.

Fracture of scaphoid

Osteomj'elitis

Exostosis

Of the Metacakpal Bones.

Fractures :

simple

compound

Osteomyelitis

Of the Phalanges (fingers).

Fracture, compound

Necrosis

Of the Os Innominatum.

Fractures :

simple

impacted, of crest of ilium

Osteomyelitis of ilium

Tuberculosis of ilium

Chondrosarcoma of ilium

Of the Femur.

Separation of epiphysis (lower)

Carried forward .

1665

17212150

Discharged.

.2 |S o

1 ...

1 ...
li...
1 ...

3188

1
1
1

2 ..

3 ..
2 ..

t

2'.,

2

1

ll..
1 ..

16721;

73

no! 28

;3957

1
1
1
1

2
3
2

2
2
1

187

10
1
1
1
1

1

3994

146

SURGICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

C(JMPILED FROM
SURGICAL RECORDS.

Admitted.

Discharged.

rtd

if-j

'1-^

9

UW

01

S„-

13

c8

"3

o

>
"3

c »

H

O

— c

-^

1^

t^

H

!?

K

;^hK

k;

«

Ml-S

Brought for ward

Fractures of shaft of bone :

simple

comminuted,
compound . . .
Fractures of neck of bone :

simple

impacted.

Exostosis

Periostitis

Osteomyelitis

Tuberculosis

Chondroma

Sarcoma

Osteosarcoma

Of the Patella.
Fractures :

simple

ununited

Of the Tibia.
Fractures :

simple

compound

ununited

Epiphysitis

Periostitis

Necrosis

Osteomyelitis

Sarcoma

Of the Fibula.
Fractures :

simple

Carried forward .

172

2150 1672

11

190 2251 1700

3216

28

4141 7513330, 113

219

187

227 190

161 3994

178

1
1
4
3

20

11
4141

147

SURGICAL DISEASES, 1910— Continued.

TABLES OF DISEASES

COMPILED FROM
SURUICAL RECORDS.

Admitted.

Discharged.

.

00

—•

(SO

-" V

«

a-"

9J

•0

£

t-CC

OrH

tn •

13

a

a

0
EH

"3

1

0 c

^1

0
f5

5

Brourjht forward

Fracture, Pott's :

simple

compound

Of the Tibia and Fibula.
Fractures :

simple

comminuted

compound

ununited

Of the Tarsal Bones.
Fractures :

simple

comminuted

Necrosis

Osteomyelitis

Tuberculosis

Of the Metatarsal Bones.
Fractures :

simple

compound

Necrosis

Tuberculosis

Of the Phalanges (toes).

Necrosis

ACUTE INFECTIVE DISEASES

Septicemia

jiuerperal

Pyemia

Tetanus, following

crush of foot

extraction of tooth . .

Carried forward .

198

2324

1713

30

4236

3402

115

28

11

30

185 4235

148

SURGICAL DISEASES, \^10— Continued.

TABLES OF DISEASES

COMPILED FR(JM
SURGICAL RECORDS.

Admitted.

Discharged.

2-- 1 -'

Brought forward

Tetanus, following

lacerated wound of leg

nail wound of foot

severe scalp wound...

Glanders

Syphilis

MEDICAL DISEASES.

Debility

Cerebro-spinal meningitis

Typhoid fever

Lead poisoning

Paralysis agitans

Neurosis

Paraplegia, spastic

Senile dementia

Malnutrition

Raynaud's disease

Myocarditis

Mitral insufficiency

Neurosis, cardiac

Pneumonia :

lobar

traumatic

post-operative

Broncho-pneumonia

Hyperemesis

Eczema

Pruritus

MISCELLANEOUS.
Multiplecicatricial contractions
Multiple contusions

198 2324

Carried forward .

23461172.5

42701 7713410

116 36 235

149

SURGICAL DISEASES, 1910— Continued.

Admitted.

DiSCHAKGED.

TABLES OF DISEASES

COMPILED FROM
SURGICAL RECORDS.

8

a

to

"3
1

■3

.2

0 <s

"*^ >

■a fci

||

13

(B

4-i

£

0

s

5^

3
0

Brought forward

199

2346
6

1725
2
1

1
1
9
1

1

4270
8

14

77

3410
4

1
3

116

30

235

210
4

186

4270

g

Multiple lacerated wounds

-

13

9

2
1

14

Pain in side

1
1
C

Carcinomatosis

Pregnancy

1

2

Parturition

1
1
3

1

Child at full term

1

1
1

1

1

No disease

Total

''no

''STO

1741

4311

79

3422

116

37

94 s

"^05

189

4311

SURGICAL OPERATIONS.

FROM JANUARY 1, 1910, TO DECEMBER 31, 1910, INCLUSIVE.

SURGICAL OPERATIONS.

Admitted.

DiSCHABGED.

OPERATIONS ON THE BLOOD

VESSELS.

Total mmiher

Division of aberrant renal artery

Excision of varix of saphenous vein

Ligation of thyroid arteries (incomplete
operation for goitre)

Resection of aberrant renal artery

Resection of varicose veins :

of broad ligament

of leg

Transfusion of bloofl

for hemorrhage

for shock

prior to major operation
OPERATIONS ON THE GLANDS.
On the Ly.-mphatic System.

Suturing severed thoracic duct

On the Cervical Nodes.

Total number

Curetting, for tuberculosis

Excision :

for adenitis

for carcinoma

for lymphoma

malignant

for tuberculosis

Incision and drainage, for sepsis

On the Axillary Nodes.

Total number

28

Carried forward 44

150

32 76

2 76

151

SURGICAL OPERATIONS, 1910 — Continued.

ADMITtED.

Dischabged.

SURGICAL OPERATIONS.

3

"5

0

1

3
s

CO

0

>

1

O)

5

II

4)

5

Or-.

13
1

Brouqht forward

44

1
1

32

2

1

76

1
1
2

1

1

5

52
34

69

1

1
2

1

1

3

1
1

1

1

26
2
2
1

2

1

10

1

2

129

2

3

2

76

Excision :

for adenitis

1

for sarcoma

1

for tuberculosis

2

Incision and drainage of septic adenitis

1

1

On the Mesenteric Nodes.
Curetting, for adenitis

1

On the Inguinal Nodes.

Total number

Excision :

for adenitis

3

1

1

1

3

1
1

1

1

3

(for diagnosis)

1

Incision and drainage for tuberculosis..

1

On the Retroperitoneal Nodes.
Excision, for tuberculosis

X

On the Epitrochlear Nodes.
Excision, for adenitis

1

1

On the Mammary Gland.

Total number

3

Amputation of breast

for carcinoma

29
1
2
1

3

1

10

1

3

87

29
2
2
1

3

1

10

1

3

141

29

for cyst

1

2

for fibroma

2

for hypertrophy

1

Excision :

1

3

of cyst

1

of fibroma

10

of tumor (unspecified)

1

Incision and drainage, for sepsis

2

3

1

7

3

54

Carried forward

141

152

SURGICAL OPERATIONS, 1910 — Continued.

Admitted.

Discharged.

SURGICAL OPERATIONS.

o

5

-c

1:^

p.-'

*

<a

g

15

H

3

aj

«■

c ^

1

S

^

^

3

^

«

^«

0

o
H

Brought forward

On the Salivary Glands.
On the Parotid GUuid.

Total number

Excision : "^

of carcinoma

of chondroma

of enehondroma

On the Submaxillary Oland.

Total number

Excision of cyst

Excision of gland, for carcinoma

Incision and drainage, for sepsis

On the Thyroid Gland.

Total number

Excision of cyst

Thyroidectomy

for exophthalmic goitre .
for hypertrophy

OPERATIONS ON THE BRAIN AND
NERVOUS SYSTEM.

On the Brain.

Total number

Craniotomy

exploratory

for decompression

for drainage of abscess

for epilepsy

for traumatic hemorrhage. . .

for tumor

On the Nervous System.

Total number

Carried forward .

106

179

153

SURGICAL OPERATIONS, 1910 — Co?itinued.

SURGICAL OPERATIONS.

Brought forwa rd .
Excision of neuroma.

Exploring brachial plexus, for pressure
symptoms

Injection of alcohol, for trifacial neu-
ralgia

Neurectomy

Neurorrhaphy

Resection of lingual nerve, for neuralgia

Section of spinal accessory nerve, for
torticollis

Separating adhesions about spinal ac
cessory nerve

OPERATIONS ON THE AIR PASSAGES,

On the Nose.

Total number

Correcting deformity

deviated septum.

Curetting carcinoma

Excision :

of carcinoma

of cicatricial tissue from nostril

Excision (attempted) of fibroma of nasal
vault

Admitted.

Gleason operation, for deviated septum.
Plastic operation, for deformity

Resection of septum, for maUgnant
lymphoma

On the Lakynx.

Total number

Excision :

of cyst

of papilloma

of persistent thyro-glossal duct,
of tuberculous tumor

Carried forward I 130

127 i 257

Discharged.

ejrt

ft'^

>

>

*^'^

•d

Sr

«

15 ei

"

►^»-^

54

229

12

12

6

3T
1

3
1

1
1

3

1
5
1
1

25T

154

SURGICAL OPERATIONS, 1910 — Continued.

SURGICAL OPERATIONS.

Admitted.

Di

SCHi

^BGI

d

«

•a

<li

(B

Ol

3

H

>

>

03

1

a

.2

.2

-C

Ol

^

to

^

S

Izitf

0

Brought forward

Excision of tumor (unspecified).
Intubation, for stenosis

Laryngotomy, witli excision of car-
cinoma

Removing tube

Ok the Trachea.

Total number.

Incision and drainage of peritraclieal
abscess

Tracheotomy

for carcinoma of larynx.

for extraction of foreign body in
bronchus

for papilloma of larynx . . .

for perichondritis

for stenosis

for tuberculosis of larynx.

preliminary to operation for cai'-
cinoma

On the Bronchi.

Removing foreign body

On the Lungs.

Decortication, for empyema

On the Pleura (see also Operations on
the Chest).

Resection, with drainage of empyema.. .

OPERATIONS ON THE HEAD AND
FACE.

On the Head.

Total number

Cauterization for hemangioma of scalp .
Curetting :

antrum :

for empyema

Carried fomvard.

143

229
1
2

1
1

13

155

SURGICAL OPERATIONS, 1910 — Contifiued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

m

%

£

4>

P,r-1

15

a

i

H

a

>•
.2

•d

<0

^

p

CO

^

^

^tf

fl

Ml-5

Brought fonvard

Curetting :

antrum, for sarcoma

ethmoid cells, for carcinoma

frontal sinus, for purulent sinusitis
Excision :

of sarcoma of ethmoid cells. . .

of wen of scalp

Exploring antrum, for empyema

Incision and drainage :

of empyema of antrum

of frontal sinusitis

Killian's operation

Suturing lacerated wounds

On the Face.

Total number

Curetting carcinoma

Excision :

of carcinoma

of keratosis

of lupus

Incision and drainage :

for sepsis

of submental abscess
Plastic operation :

following other operation
for cicatricial contraction
. OPERATIONS ON THE EYE AND EAR.
On the Eye.

Total number

Curetting cysts of eyelid

Enucleation, for carcinoma

Carried forward .

143

1
1
1

1
1

174

285

7 13 9 279

9 14

1

1

321

156

SURGICAL OPERATIONS, 1910 — Contviued.

SURGICAL OPERATIONS.

Discharged.

^;tf

Brought forivard

Excision :

of angioma of orbit

of carcinoma of eyelid

Exploratory incision of mucocele

Plastic operation on eyelid :

for recurrent carcinoma
for cicatricial contraction

for ectropion

On the Ear.

Total number

Excision of carcinoma

Mastoid operation

174

OPERATIONS ON THE MOUTH, LIPS,
TONGUE, PALATE, ETC.

On the Mouth.

Total number

Excision of carcinoma

Plastic operation, for cicatricial con-
traction

On the Lips.

Total number

Excision of carcinoma

Plastic operation, for harelip.
On the Tongue.

Total number

Excision :

of sublingual cyst. . .
of tuberculous ulcer

Resection, for carcinoma

On the Palate.

Total number

Excision of osteoma

Carried forward .

1
1 315

157

SURGICAL OPERATIONS, 1910 — Continued.

Admitted.

Discharged.

SURGICAL OPERATIONS.

03

a

i

a

>

2
1

>
1^

5

Is
1

Brought forward

203
4

154
5

357
9

121
172

4

47

1

315
4

19
102

1

1

1
167

2

1

1

1
2

1
2
5
4

1
2

1

9

5

18

14

357

Uranoplasty

9

Ok the Pharynx.

Total number

Adenectomv

9
38

10
64

19
102

19

Curetting adenoids

•

102

On the Tonsils.

Excision of sarcoma

1

1

1
70

99

1

1

1
169

1

Incision and drainage of peritonsillar
abscess

1

Suturing pillars, for post-operative hem-

1

Tonsillectomy

2

169

On the Esophagus.

Total number

Dilating stricture

2

1
1

2

1
1

■>

Esophagotoniy, for removal of foreign
bod V .'

1

Extraction of foreign body

1

OPERATIONS ON THE NECK.

Cauterization, for recurrent carcinoma

1
2

1
1

2

1

1
2

1

2
5

4
1
2
1
2

1

Curetting carbuncle

2

Excision :

of adenoma

1

1
5

4

1

2

of carbuncle

5

of carcinoma

4

1

of hyoid cyst

2

of lipoma

1

of subhyoid bursa

2

2

343

341

684

1

635

14

181

16

684

158

SURGICAL OPERATIONS, m^ — Continued.

SURGICAL OPERATIONS.

Discharged.

ZPi

Q ks'-s

£ronght forivard

Excision : of ulcer

of wen

Exploratory incision :

for carcinoma (recurrent) .

for cellulitis

Incision and drainage :

for actinomycosis . . .

for cellulitis

for sepsis

Section of sterno-mastoid muscle, for
torticollis

OPERATIONS ON THE CHEST AND
CHEST WALL.

On the Chest.

Total number

Eslander's operation

Exploring sinus

Exploratory thoracotomy

Incision and drainage of old empyema
cavity

Plastic operation, for post-operative
cavity

Removing bullet

Thoracotomy with resection of rib.. . .

for abscess of lung

for empyema

for subphrenic abscess. .

Thoracotomy with trephining of rib, for
empyema

On the Chest Wall.
Total mimher —
Curetting :

actinomycosis .

341 (i84
1 1

16

C84
1

Carried forward.

3921 373

765

694

221 29| 19

159

SURGICAL OPERATIONS, 1910 — Contimted.

SURGICAL OPKRATIOXS.

Admitted.

Discharged.

rs

•c

.J- S^

>

>

0)

<o

■a

*T- • '

<D

o s>

«

^eJ

Q

«-,!

Brought foru-ard

Curetting granulating area, following
burns

Excision of track of sinus

Incision and drainage :

for actinomycosis
for sepsis

373

Myotomy of pectoralis major, for con-
traction

ABDOMINAL OPERATIONS.
0>' THE SXOJIACH AXD DUODENUM.

Total number

Closing old gastro-enterostomy, for
vicious circle

Duodenotomy

exploratory

for exploration of common duct..

for removal of foreign body

Exploratory laparotomy :

for carcinoma

for repair of old gastro-enterostomy

Gastrectomy (partial), for carcinoma

Gastro-enterostomy

for carcinoma of pylorus

for carcinoma

for duodenal ulcer

perforating

for gastric ulcer

for pyloric stenosis

for stricture from adtaesions about
duodenum

Gastrorrhaphy

for perforating ulcer.

25

694 22 29 19 765

Carried forward.

37

160

SURGICAL OPERATIONS, 1910 — Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

Brought forward

Gastrorrhaphy, for rupture

Gastrostomy, for carcinoma

Repairing };;astro-duotlenal fistula.,

Resection of stomacli (Mayo), for car-
cinoma

On the Pancrea.s.
Total numher

Exploratory laparotomy :

for carcinoma. ..
for pancreatitis..
On the Inte-stine.?.

Total mmiber

Anastomosis

end-to-end

lateral

Appendicitis

Operation during attack

for acute appendicitis.

for acute appendicitis with
peritonitis

for chronic appendicitis...

for subacute appendicitis . .

Operation during interval

Normal appendi.x removed in con-
nection witli other operations

Closing fecal fistula

Colostomy, for carcinoma .

of intestine

of rectum

Drainage of fecal fistula. . .
Enterorrhaphy

earned J'orivard.

721

726

13

1310 35 Gl 44 1486

161

SURGICAL OPERATIONS, 1910 — Co?iHnued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

Brought forward

Enterorrhaphy :

for perforating ulcer

for perforation, from other cause

for rupture

Enterostomy

for drainage of perforation

for obstruction

Excision :

of cyst of omentum

of Meckle's diverticulum...

of track of fecal fistula

Exploratory laparotomy :

for carcinoma

for dilatation of colon.

for obstruction

for rupture

for tumor (unspecified)

Herniotomy with enterostomy, for
strangulated femoral hernia

Laparotomy with secondary drainage of
appendix abscess

Removing irritating suture

Resection

for carcinoma

for fecal fistula

for gangrene

for strangulated femoral hernia

for strangulated inguinal hernia
Resection of omentum, for gangrene. .

Separating adhesions

On the Liver.

Total number

Carried forward.

802

1485

1
1
1

739

1310

15411

1340

1485

1
1
1

1
3

1
1
1

10
1

10
1
1

1

1
1

79

162

SURGICAL OPERATIONS, 1910 — Co?itinued.

SURGICAL OPERATIONS.

Discharged.

.2 .£

Brought forward

Laparotomy :

for carcinoma

for rupture

with drainage of sepsis

with removal of echinococcus cysts
Talma's operation, for cirrhosis

On the Gall Bladder and Bile Ducts.

Tata? number

Cholecystectomy

for cholecystitis

for cholelithiasis

Cholecystenterostomy, for carcinoma of
duodenum

Cholecystostomy

for cholecystitis

for cholelithiasis

for pancreatitis

Cholecystotomy, exploratory

Choledochotomy, for cholelithiasis

\
Exploratory laparotomy :

for cause of persistent jaundice

for obstructive jaundice

Separating adhesions

On the Peritoneum.

Total number

Excision :

of hydrocele of canal of Xuek..

of retroperitoneal fibroma

Laparotomy with drainage of abscess :

intraperitoneal

retroperitoneal

739 1541

4
1
2

1

1

Carried forward .

36

1340 41 79

45 1541

52

11

51
2
1
6

1
1
1

1
1

1651

163

SURGICAL OPERATIONS, 1910 — Continued.

SURGICAL OPERATIONS.

DiSCHAKOED.

Brought fonvard

Operation for peritonitis

carcinomatous .

diffuse

tuberculous

Ok the Abdomixal Wall.

Total number

Curetting abscess

Excision :

of carcinoma

of sebaceous cyst

of track of sinus

Incision and drainage :

of hematoma

of sepsis

of sinus

Removing foreign body

Re-suturing wound of operation

836

On the Abdomen (not otherwise sped
fled).

Total number

Exploratory laparotomy :

for abscess

for adhesions

for carcinoma

for contusions of viscera —

for femoral hernia

internally strangulated.

for inguinal hernia, internally
strangulated

for malformation of genital organs

for sarcoma (?)

no pathological cause given

815

17

12

422

36

s2 ;;zici

1421

52

1651

26

Carried fonvard 860, 860 1720

38 1467 52 107 561720

164

SURGICAL OPERATIONS, 1910 — Co?itinued.

SURGICAL OPERATIONS.

Admitted.

DiSCHABGED.

"3'-'

x*

"C

"d

o

«

"5

■5
1

g

>

1

>
«

0 a>

e
5

S c °*

Brought foncard

Exploring :

inguinal region for hernia,
septic laparotomy wound..

Incision and drainage of subphrenic
abscess

Laparotomy :

for drainage of pelvic abscess

for partial excision of car-
cinoma

■with reduction of strangu-
lated ventral hernia

Radical cure of hernia

epigastric

femoral

strangulated

inguinal

strangulated

umbilical

strangulated

ventral

Reducing hernia :

jejunal, through omentum.

strangulated inguinal

Separating adhesions

OPERATIONS ON THE RECTUM AND
ANUS.

On the Rectum.

Total number

Cauterization :

for carcinoma,
for prolapse . . .
for ulceration .

1720

1
1

361

381467

30

52

107

Carried foncard 111661 91212108

58|1816

54

114

165

SURGICAL OPERATIONS, 1910 — Continuecl.

STTRGICAL OPERATIONS.

Admitted.

Discharged.

1'E.S
So* -

S L5>^

Brought forward

Curetting :

abscess :

ischio-rectal

of rectum

carcinoma

ischio-rectal sinus

ulcer

tuberculous

Dilating stricture

Excision of polypus

Exploratory laparotomy for carcinoma. .
Incision and drainage, for sepsis :

ischio-rectal

perirectal

Operations for hemorrhoids

cauterization

clamp and cautery

excision

1166

incision and drainage of
thrombosed hemorrhoids

Proctectomy, for carcinoma

Proctostomy, for imperforate anus

Rectal puncture, for drainage of appen-
dix abscess

Whitehead's operation, for prolapse
On the Anus.

Total number

Dilatiug sphincter

Excision of fissure

Operations for fistula

curetting

excision of track

Carried forward .

942

2108

10
1

17

21

1966

54 114

55

66 2

116

70

10
1

17
21

2266

166

SURGICAL OPERATIONS, 1910 — Co7iti7iued.

Admitted.

Discharged.

SURGICAL OPERATIONS.

m

Is

trj

<o

a
fa

1

s

CD

"3

-3

.2
1

•6

o <s

•a

s

.tig

ft-'

to .

Oi-"

a4

1

Brought forward

1282
6

984

2
1

1

2266

8
1
1

56
3

5S

1966

8
1

1

1

1
1

1

55

116

70

2266

Operations for fistula :

incision and drainage

g

Puckering incompetent sphincter

1

Resection, for incompetent sphincter. ..

1

OPERATIONS ON THE GENITO-
URINARY SYSTEM.

On the Kidney.

Total number

1

Curetting sinus

1

1

Decapsulation

for chronic nephritis

2

1
1

1
1

1
1

6

1

for intracapsular tension

1

Excision of cyst

1

Exploratory laparotomy :

for malignant cyst

1

1

for tumor (unspecified)

1

1

Incision and drainage:

of perinephric abscess

4

21

1

5

1

3
2

1
1
5

5

of sinus

1

Nephrectomy

for calculus

2

1
1

1

1
3

1
3

3

3

1
1

5
2

C
3

3

for hydronephrosis

3

for persistent uretero-vaginal fis-
tula

I

for pyelitis

I

for pyonephrosis

2
2
5

5

for rupture

1
2

121

1
1

1

2
75'

for tuberculosis

18

60

4

2

4

8
i016

1
57

6
3

Nephropexy

Nephrotomy

exploratory

3

6

1318

3

1

1011 i

6

10

!329

6
10

for calculus

Carried forward

J329

167

SURGICAL OPERATIONS, 1910 — Continued.

SUR(;iCAL OPERATIONS.

f^

Brought forward .

Nephrotomy, for pyonephrosis

Separating adhesions

On the Uretek.

Total number

Plastic operation on ureter and renal
pelvis, for stricture of ureter

Operations for calculus

ureterectomy

ureterotomy

Ureteroplasty

On the Bladder.

Total number

Closing fistulae :

entero-vesical

recto-vesical

Cystostomy, suprapubic

exploratory

for acute retention

for calculus

for carcinoma of prostate

for chronic cystitis

for diverticulum

for excision of papilloma

for excision of tumor (unspecified)
for prostatitis

Cystostomy, suprapubic and transperi-
toneal, for carcinoma

Cystostomy, transperitoneal.

for calculus

for diverticulum

for tuberculosis

Carried forward 1351 1021 2372

1011
1

2329

DiSCHABOED.

19

60

67

75

2329

2
1

61 2047 57 1261 81 2372

168

SURGICAL OPERATIONS, 1910 — Continued.

SURGICAL OPERATIONS.

Admitted.

DiSCHABGED.

Brought forward

Exploratory laparotomy :

for diverticulum

for tumor (unspecified)

Exploratory suprapubic incision

Litholapaxy

Removing foreign body

On the Prostate.

Total numlter

Prostatectomy, perineal

for adenoma

for carcinoma

for hypertrophy

for malignant lymphoma. . .

Prostatectomy, suprapubic

for carcinoma

for hypertrophy

Ox THE Male Ueethra.

Total number

Cauterization, for folliculitis

Closing fistula

Drainage of fistula

Excision of track of urinary fistula

Incision and drainage, for sepsis

Operations for stricture

divulsion

internal urethrotomy

meatotomy

perineal urethrotomy

plastic operation

resection

suprapubic cystostomy

1351 1021 2372

1 ...

1

1

1

6

Carried forward 114671021

5
13
5
30
2
2
1
2488

•s

■c

<o

o

>

>

9

<s

■c

e

e>

f^

zei

S

s 5 e

2047

4
13
5
27
2
2
1
21491 60

126

81

2372

1
5
1»

1

2
»

13
5

30
2
2
1

8312488

169

SURGICAL OPERATIONS, 1910 — Co7itinuecl.

SURGICAL OPERATIONS.

Discharged.

^a

Brought forward

Urethrorrhaphy, for rupture

Urethrotomy, external :

for rupture

for tuberculous cystitis

On the Penis.

Total number

Amputation, for carcinoma

Excision of carcinoma

Incision and drainage, for gangrene . .
Plastic operation :

for hypospadias

for malformation

On the Prepuce.

Circumcision .

On the Scrotum.

Total mtmber

Excision :

of hematocele

of hydrocele

of spermatocele

Incision and drainage :

for gangrene

for sepsis

of hydrocele

On the Testicle.

Total number

Epidldymectomy, for tuberculosis . . .
Excision :

of cyst of epididymis

of tuberculous tissue

Exploratory incision

1467
1

1
1

1021

2488
1

1
1

Carried fonvard |l532il021

61

40

2149
1

25531

63 2208

.2 I

5 !^>^| H

135

83 2488
1

1

Ifr

I

2
3
15

136 i 85,2553^

170

SURGICAL OPERATIONS, 1910 — Continued.

Ad DOTTED,

Discharged.

SURGICAL OPERATIONS.

o

-c-

o

a

i

s

.2

®

0<-l

"S

s

^

&

^

«

;?;«

Q

g

Brou'jht forward

Incision and drainage, for epididymitis

Orchidectomy

for gumma

for orchitis

for sarcoma

' for torsion

for tuberculosis

for undescended testicle

Orchidopexy

On the Spermatic Cord.

Total number

Excision :

of hydrocele

of sarcoma

of varicocele

Incision and drainage of hydrocele

On the IVlALE Perineum.

Total number

Curetting sinus

Exploring sinus

Incision and drainage, for sepsis

Perineal section

1532
1

for removal of foreign body in
pelvis

for ruptured urethra

with dilatation of contracted
neck of bladder

Repairing recto-urethro-perineal fistula
GYNECOLOGICAL OPERATIONS.
On the Urethra.

Total num,ber

Divulsion of stricture

Carried forward .

1596

1022

2553
1

2618

19

29

64

2272

136

85

85

2653
1

3
4
4
1
4
3

1
2618

171

SURGICAL OPERATIONS, 1910 —Continued.

SURGICAL OPERATIONS.

Admitted.

DiSCHAKGED.

Brought forward

L596

1022

2618

64

2272

01

136

85

2618

0

9

?,

2

Ox THE Vulva.

3

Excision:

9

?

2

2

1

1

1

1

On the vagina.

Total nxiniber

53

Closing fistulae :

1

1

1

1

3

3

2

1

3

9.1

91

26

1

27

Drainage of pelvic abscess through vag-

1

1

1

1

Excision :

of track of recto-vaginal fistula
of vulvo-vaginal cyst

1
1

1

1

1

1

1

1

Plastic operation, for atresia

Vaginal puncture, for drainage of pelvic

1

18

1
18

1
14

2

1

1

1
18

On the Uterus.

400

3

3

3

3

Cauterization :

>i

5

5

5

1

1

1

1

Curetting :

1

1

1

1

(for diagnosis)

1

1

1

1

for miscarriage

r. 4

2

1097

4

2
2693

1

4

2
139

88

4

2

1596

64

2341

64

Carried forward

2693

172

SURGICAL OPERATIONS, IQIO —Continued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

"rt <-<

*3

■3

'O

0

s>

a>

■3

■3

0

-d

0
H

^

«

;?;«

0

Ml-!

Brought forward .

Delivery of fetus, for threatened mis-
carriage

Delivery of macerated fetus

Dilating and curetting :

for endometritis . .

for miscarriage. . .

Dudley's operation for anteflexion

Evulsion of polypus

Excision of polypus

Exploratory laparotomy :

for carcinoma..

for fibromyoma
Hysterectomy (abdominal)

for arteriosclerosis

for carcinoma

for fibromyoma

for hydatidiform mole

for procidentia

for tuberculosis

Hysterectomy (vaginal)

for arteriosclerosis

for fibromyoma

for procidentia

Hysterectomy and salpingectomy for
fibromyoma

Hysterectomy and salpingo-oiiphorec-
tomy

for carcinoma

for chronic endometritis

for fibromyoma

for hypertrophy

Irrigation, for sepsis

Myomectomy

1596

1097

1
1

162
20

2693

1

1

162
20
1
1
4

1
1

64 2341 64 139 88 2693

1
1

151

18

1

1

4

162
20

25

Carried forward

1362

2958

173

SURGICAL OPERATIONS, 1910 — Continued.

SURGICAL OPERATIONS.

Admitted.

Brought forivard

Shortening round ligaments

Ventral fixation

Ventral suspension

On the Cervix Uteri.

Total number

Amputation

for carcinoma

for laceration

for procidentia

<Dauterization, for carcinoma

Dilatation

Excision of polypus

Incision and drainage, for sepsis

Trachelorrhaphy

Trachelorrhaphy and perineorrhaphy
On the Broad Ligament.

Total number

Excision of cyst

Exploratory laparotomy, for cyst

■On the Fallopian tubes and Ovaries.

Total number

Excision of cyst

Exploratory laparotomy :

for carcinoma

for cyst

for recurrent papilloma

Oophorectomy

for adenoma

- for carcinoma

for cyst

for sarcoma

1596

Carried forward.

1362
11
31
76

Discharged.

2958
11
31
76

1596

179

1612 1 3208 1

p,^

^'^

•a

Sc

o w

r- C«

^tf

"

l-(l-J

2578
11
30
69

70

2806

144

71

2958
11
31

76

115

1
4
1

1
1

31
1

3208

174

SURGICAL OPERATIONS, ]mO — Co7iti?itied.

Admitted.

Discharged.

SURGICAL OPERATIONS.

_a3

i

75

1

3
p

>

1

>

£

5

a4

"3
1

1596

1612

1

1

1
3

3208

1

1
1
3

36

89

69

2806

1

1

1
3

1
8
2
11
11

1

71

147

115

^''08

Plastic operation, for hydrosalpinx

Resection :

of ovary :

1

1

1

3

1
10

2
11
12

1
10

2
11
12

1

for extra-uterine pregnancy. ..

2

10
?

11

1

1
1

1
1

1

1?

2

1

16
12

1
1
2
6
25
22
1

37

2

1
16
12

1
1
2
6
25
22
1

37

0

for cyst :

1

2

14
11

1
1
2
5
24
20
1

34

16

1''

for fibroma :

1

1

?

1

1
1

1

fi

?5

09

1

On the Perineum.
l*erineorrha})liy (see also Operations on

3

37

OPERATIONS ON THE UPPER EX-
TREMITY.

On the Shoulder.

Carried forward

1596

1780

3376

69

2959

71

151

126

3376

175

SURGICAL OPERATIONS, V310 — Coyitimied.

Admitted.

Discharged.

SrHGICAL OPERATIONS.

s

"5
1

1

a
s
m

"3

-5
1

1

1^

5

= =•1 t

1596

1780

1

1

3376

1
1

1

8
5

69

2959

1
1

1

2

1

1

71

151

126

3376
1

Excision :

of lipoma

of sarcoma

1

1

On the Axilla.
Dissection, for sarcoma

1

Ox THE Arm.

Total number

Amputation

for crush

2

1

1

1
1
2

2

1

1
1
1
2

2

for sarcoma

1

for sepsis, follomng compound
fracture

1

1

Amputation at shoulder-joint, for crush

1

Exploring sinuses

3

2

1
2

X

Incision and drainage, for sepsis

o

Ojf THE FOREAKM.

Total number

1

Amputation

for carcinoma

1
1
1

1
1
1

1

for crush

27
4

1
1

2
2

3
1

1
10

1

Suturing incised wound

1

On THE Hakb.

Total number

Amputation

for carcinoma

2

1

3

1

1

2
2

3

1

1
11

o

for crush

2

Excision :

of carcinoma

3

of hemangioma

1

of palmar fascia, to relieve
Dupuytren's contraction

1
11

1

Incision and drainage, for sepsis

1

11

Carried fonvard '.

1626

1784

3410

69

2990

72

153

126

3410

176

SURGICAL OPERATIONS, 1910 — Cofitinued.

Discharged.

SURGICAL OPERAXIOXS.

Brought forward

Plastic operation, following crush

Kemovlng bullet

Repairing :

crush

lacerated wound

On the Fingers.

Total nurtiber

Amputation

for coDtraction

for crush

for gangrene

a in

O J s

16261784
1

for obliterative endarteri-
tis

for Raynaud's disease.

Re-amputation , for necrosis

Cutting web l>etween fingers

OPERATIONS OX THE LOWER
EXTREMITY.

Os THE Gluteal Regiox.

Total number

Curetting actinomycosis

Excision :

of pUo-nidal sinus ,

of tuberculous sinus

Incision and drainage, for tuberculosis
cutis

Oif THE Thigh.

Total number

Amputation

for Charcot's arthropathy of knesj 1

for crush 3

for gangrene of foot 1 . . .

Carried forward 11656 178

3410
1

1
3
1

3444

*S

69 2990
1

10

72

153

69 30181

126

3410
1
1

1551 129,3444

177

SURGICAL OPERATIONS, 1910— Continued.

SUKGICAL OPERATIONS.

Admitted.

DiSCHABGED.

Brought forward

Amputation, for osteomyelitis

for sarcoma of tibia

Amimtatiou at hip-joint

for osteomyelitis

for sarcoma

He-amputation

for chondroma

for sepsis

Excision of lipoma

Incision and drainage:

for myositis ossificans . . .

for sepsis

Myotomy, for contraction

Suturing ruptured quadriceps extensor,
■On the Leg.

Total number

Amputation

for crush

of Vioth legs

for gangrene

for obliterative endarteritis

for sepsis

for tetanic infection

for tuberculosis

for ununited fracture

Re-amputation

for protruding bone

for sepsis

for ulcerated stump . . . .
Excision ;

of cicatrix

1656
3
1

3444
4
1

69

3018 73
3

Carried forward 11G91 1793 3184

3444
4

70,3040 761 162 136.3484

178

SURGICAL OPERATIONS, 1910 —Contttiuecl

SURGICAL OPERATIONS.

Admitted.

Discharged.

'S'-

o

rs
a

C--'

^

•

H

>

>

^ i-T

6

"5

^

s>

o

-a

r •

S

^

^

CO

^

ai

i.S

>^^

Brought forward .

1691 1793 3484

Excision of sarcoma

of ulcer

Incision and drainage:

of hematoma

of sepsis

Plastic operation :

following burns..

for ulcer

Repairing lacerated wound

On the Foot.
Tendons.)

(See also Operations on

TotaJ number

Amputation

for carcinoma

for Charcot's arthropathy

for crush

for gangrene

for lacerated wounds

for osteomyelitis of tarsal bones

for tuberculosis

Correcting deformity

Curetting punctured wound

Incision and drainage, for sepsis

Manipulation, for talipes varus

Removing foreign body

Repairing crush

On the Toes.

Total number

Amputation

for crush ,

70 3040 76 162 136 3484

Carried forward 11726 1180113527

70 3076 80 163 138 3527

179

SURGICAL OPERATIONS, 1910 — Continued.

SURGICAL OPERATIONS.

Brought forward

Amputation :

for gangrene

for necrosis

for Raynaud's disease. . .

for tetanus

of supernumeraries

Correcting deformities :

hallex rigidus.
liallex valgus. .
hammer-toe . . .

Admitted.

Discharged.

O'

X

1726

1
1
1
1

OPERATIONS ON THE JOINTS.

On the Acromio-Claviculab Joint.

Excision of joint, for tuberculosis

On the Shoulder.

Total number

Arthrodesis, for poliomyelitis ,

Breaking adhesions

Curetting, for tuberculosis

Exploratory arthrotomy

Incision and drainage :

for sepsis

for subacromial bursitis . .

Manipulation, for arthritis

Open reduction of dislocation

On the Elbow.

Total number

Curetting tuberculous sinus

Excision of cyst

Excision of joint

for ankylosis

1801

Carried forward.

3527

1
1
1
1
1

1

9

3556

70

70

163

138

164

3527

1
1
1
1
1

1

9
1

139

1

3556

180

SURGICAL OPERATIONS, 1910 — Continued.

SURGICAL OPERATIONS.

DlSCHABGia).

X.

lirought forward

Excision of joint :

for deformity, following fracture

for tuberculosis

Resection of joint, for tuberculosis

On the Wrist.

Total number

Curetting, for tuberculosis

Excision of ganglion

Incision and drainage, for tuberculosis.

Reducing dislocation

open reduction

On the Sacro-Iliac Joint.

Total number

Manipulation :

for strain

for tuberculosis

On the Hip.

Total number

Albee's operation

for ankylosis

for arthritis

for tuberculosis ....

Arthrodesis

for hypertrophic arthritis

for old dislocation

Arthrotoiuy, for infectious arthritis. . .

Curetting, for tuberculosis

Fasciotomy :

for ankylosis

for contraction

for malformation

1816

Carried fonvard

11...
1 ...

176211833

1

1
1

3595

164

139

3556

1
2
1

16l| 14313595

181

SURGICAL OPERATIONS, 1910 — Continued.

SURGICAL OPERATIONS.

Brought forward

Incision and drainage :

for arthritis

for ileo-psoas bursitis.

for sepsis

for tuberculosis

for tuberculous sinus .
Manipulation :

for adhesions

for ankylosis

for arthritis

Reducing dislocation

congenital

traumatic

Removing bullet

1762

1
1
3
2

On the Knee. (See also Operations on
Tendons.)

Total number

Arthroplasty

Arthrotomy ;

exploratory

for sarcoma

for Still's disease

for tuberculosis

Arthrotomy with injection of oil .

for arthritis

for tuberculosis

Breaking adhesions ,

Curetting for sepsis

Excision :

of bursae :
popliteal

Admitted.

Carried forward 1785 1857

1833

3595

2
1
4
3
1

1
1
3

3
3642

47

Discharged.

70 3133

1
1
4
3

3
70 3171

85

164

143 3595

146 3642

182

SURGICAL OPERATIONS, 1910 — Continued.

SURGICAL OPERATIONS.

Admitted.

Brought forward

Excision of prepatellar bursa . . . .
It

of fringes

of loose cartilage

of sarcoma

Excision of joint

for deformity

for tuberculosis .
Incision and drainage, for sepsis.

iMauipulation, for arthritis

Reducing compound dislocation. .

Removing bone plate

Suturing patellar ligament

On the Ankle. (See also Operations on
Tendons.)

Total number

Arthrodesis

for poliomyelitis

for tuberculosis

Arthrotomy, for tuberculosis .
Curetting:

for abscess

for tuberculosis . . .

Excision of .ioint, for old compound
Pott's fracture with dislocation

Excision of ulcer

Incision and drainage, for sepsis.

Ox Phalangeal Joint (toe).
Arthrodesis

OPERATIONS ON THE BONES.
On the Vertebrae.

Total number

Carried forward.

1785
2
1
4

1857
1
1

3642
3
2
4
1

Discharged.

70

3171
3
1
3

(S^

U.'*

C-l

T3

Sc

W

l-l»^

91

164

3202 93 164 148 3678

3642
3
2
4
I

1
6
3
2
1
1
1

183

SURGICAL OPERATIONS, 1910 — Continued.

SURGICAL OPERATIONS.

Admitted.

C4

a

"3

H

3

4>

^

CO

^

Discharged.

BroKffh t forward .

1809 1869 3678

Laminectomy

for gunshot wound. .

with exploration of cord .

Manipulation, for arthritis . .

Reducing dislocation of cervical ver-
tebrae

On the Ribs. (See also Operations on the
Chest.)

Total number

Excision of costal cartilage, for tuber-
culosis

Resection, for necrosis.

On the Skull.

Total number

Elevating depressed fracture .
Excision :

of fibroma

of osteoma

On the Malar Bone.

Elevating depressed fracture.
On the Nasal Bones.

Total number

Excision of exostosis

Reducing old fracture

Turbinectomy

On the Maxillary Bones.

Total numX)er

Curetting ;

for carcinoma

for necrosis

for osteomyelitis. .

Carried forward.

1882

3723

71 3202

1

1
1

21

4

1

3245

-

C-i

<0

X s

W ■

^hs

164 148 3678

165

1

5

1

3723

184

SURGICAL OPERATIONS, 191Q— Continued.

SURGICAL OPERATIONS,

Discharged.

Brotu/ht fonvard

Excision :

of carcinoina

of dentigerous cynt

of epulis

of tumor (unspecified)

Excision of jaw, for carcinoma

Incision and drainage :

for necrosis

for osteomyelitis.,
of alveolar abscess

Resection

•for carcinoma

for dentigerous cyst

1841 1882 3723

for malignant lymphoma of
antrum

Sequestrectomy .

On the Sternum.
Curetting osteomyelitis

On the Clavicle.

Total number

Excision of sarcoma

Resection, for tuberculosis.

On the Scapula.

Total number

Curetting, for osteomyelitis

Excision of superior angles

Sequestrectomy

On the Humerus.

Total num,ber

Application of bone plate for fracture.

Carried forward .

1891

71 3245 94 165 148 3723

3272

95

167 I 148

3763

185

SURGICAL OPERATIONS, 1910— Co7itmued.

SURGICAL OPERATIONS.

Brought forward

Curetting :

for necrosis

for osteomyelitis

Excision of tlisplaced external condyle

Excision of bead of bone, for fracture-
dislocation

Excision of shaft of bone, for osteo-
myelitis

Admitted.

1862

1
2
1

1891

Incision and drainage :

of osteomyelitis

of tuberculosis of head of bone

Reducing fractures

compound ...

simple

Sequestrectomy

On the Radius.

Total number

Application of bone plate for fracture . .

Reducing fractures

compound

simple

open reduction

On the Ulna.

Total number

Removing bone plate

Sequestrectomy

Suturing fracture

On the Radius and Ulna.

Total number

Application of bone plate for fracture . .
Reducing simple fracture

Carried forward .

3753

2
2
1

1

1

4
1

3782

Discharged.

71

3272

95

3298

97

148

375a
2

1

1
1

4
1

3

a
1

149

1
1

13782

186

SURGICAL OPERATIONS, 1910 — Cotitinued.

Admitted.

Discharged.

SURGICAL OPERATIONS.

to

a)

s

"3
1

o
H

a

u

^

>
"S

>
0)

0 a

a)

s

P,r1
O'-t"

2 03

1

1887

1895

3782

5

2
2
3

47

71

3298

1
1

1
1

1

1

1

1
1

1
1

4

7

1

97

167

149

378?

On the Cakpal Bones.

1

1
1

1

1

1
1
1

1

1

1

Excision of boue, for osteomyelitis

1

1

Reducing simple fracture of scaphoid. . .
Removing fragments of scaphoid, fol-

1

1

On the Metacarpal Bones.

Excision of head of bone, for stiff joint

1
1

1

1

1

1

On the Phalanges (fingers).

1

1

1
1

1

1

On the Os Innominatum.

2

1

1
2

1

Incision and drainage of osteomyelitis

1

0

On the Femur.

Application of bone plate for fracture. .
Curetting :

2

8
1

1
1
1

2
3

1

4

11

1

1

2

1

3814

4

3

1

11

1

Excision :

1

1

1

1

•?.

Exploratory incision, for sarcoma

1
103

167

150

1

72

3322

Carried forward

1911

1903

3814

187

SURGICAL OPERATIONS, 1910— Continued.

Admitted.

Discharged.

7?"-;

.>

SURGICAL OPERATIONS.

o

•a

g

3

a

>

>•

-a

OtH

i

^

CO

^

«

^Pi

(=1

i-hI-5

&

Brought forward

Incision and drainage :

for osteomyelitis.

for periostitis

Osteoclasis :

for genu valgum

for genu varum

Osteotomy :

for genu valgum

for genu varum

for old fracture

for osteomyelitis

for poliomyelitis

for tuberculosis

Reducing fractures

simple

open reduction

Sequestrectomy

On the Patella.

Total number

Operations for fracture

reduction

suturing periosteum

wiring bone

Resection, for tuberculosis

Ox THE Tibia.

Total number

Application of bone plate for fracture
Curetting :

for epiphysitis

for necrosis

for osteomyelitis

1911

4
2

1
1

1903

3814

5

2

1
1

2
1
1
1

72 3322

103 167

150 3814

Carried forivard .

1947

1922

72

3369

156 3869

188

SURGICAL OPERATIONS, 1910— Contmued.

SURGICAL OPERATIONS.

Admitted.

Discharged.

Brought forward .
Excision :
of exostosis

of fragment of bone, following frac-
ture

!l947

1

2

1922

Excision of shaft of hone, for osteomye-
litis

Filling hone cavity with wax.

Incision and drainage, for osteomyeli-
tis

Osteoclasis, for genu varum . .,

Reducing fractures

compound
simple

Removing hone plate

Resection, for osteomyelitis . .

Sequestrectomy

Oy THE Tibia and Fibula.
Total number

Application of bone plate, for fracture.

Osteoclasis, for genu varum

Reducing fractures

compound

simple

Oh the Taksal Bones.
Total mimber

Curetting :

for necrosis

for osteomyelitis

Excision of astragalus

for comminuted fracture
for tuberculosis

Carried forward.

1994 192413918

13

17

72

104 168

1

2

3410

15613869

1

2

1
1

9
5

1
1

1
1

107l 168

16i;3918

189

SURGICAL OPERATIONS, 1910— Continued.

SURGICAL OPERATIONS.

Discharged.

Brought forward

Excision of cuboid, for tuberculosis —
Incision and drainage, for osteomyelitis
Osteotomy :

for malformation

for poliomyelitis

Reducing fracture of os calcis

Resection, for correction of talipes varus

Ox THE Metatarsal Bones.

Total number

1994

Excision, for tuberculosis —
Osteotomy, for malformation
Sequestrectomy

OPER.A.TIOXS ON THE TENDONS.
Total number

Excision of tumor of tendon of finger.

Lengthening tendo-Achillis

Resection of tendon, for pes planus . . .

Tenoplasty

Tenorrhaphy

Tenotomy:

for contraction of knee

for talipes

of tendo-Achillis

Excision :

UNCLASSIFIED.

of carbuncle of back
of lipoma of back . . .
of ulcer of back

192413918

Carried forward 20251951

1

5 2

61 5 11

3976

•3

•a

>

>

i ,_,""

s

O

Ss

^

cs

»«

i^

--,

72

3410
1

107

168

108

3918
1
1

1
6
1
1

1
2
1

3976

190

SURGICAL OPERATIONS, IdlO — Coyitimied.

Admitted.

DiSCHABGED.

SURGICAL OPERATIONS.

g

g

"3

1

1

a

CO

>

2

1

■a
0 a

5

►Hi"?

13

1

2025

1

2
1
1
1
3
15
1
2050

1951

1

2
5

7

1966

3976

1
3
1
1

■> 3

8

22

1

4016

72

3466

1
3
1
1
2
7
21

108

168

162 .'JOTfi

Incision and drainage :

1

of abscess of groin

3

1

of actinomycosis of back

of lumbar abscess

of psoas abscess

1

1

1

1

"l70

1
163

3

8

??,

Suturing multiple lacerated wounds ....
Total

1

72

3502

109

4016

191

MAJOR OPERATIONS, 1910.

SUMMARY OF MAJOR
OPERATIONS.

Admitted.

Discharged.

Alexander's operation

Amputations :

of arm

at shoulder-joint.

of breast

of foci

of forearm

of hand

of leg

both legs

of thigh

at hip-joint

Anastomosis, intestinal

Arthrodesis

Cholecystectomy

Cholecystenterostomy

Cholecystostomy

Cholecystotomy, exploratory

Choledochotomy

Colostomy

Craniotomy

Cystostomy

Decapsulation of kidney

Decortication of lung

Duodenotomy

Enterorrhaphy

Enterostomy

Excision :

of ankle-joint

of astragalus

of elbow-joint

of head of hu inerus

Carried forward ,

1
3
14

51

4
9
6
3

1
2
1
1

139

4

1

34

12

2

4

11
2

10
2
6
6

22
1

64
1
6

23

18

23
3
2
3
3
5

1
3
3
1

279

53

206

4

1
34
12

2

4
11

10

2

6

6

22

1

64

1

6

23

18

23

3

2

3

3

5

1
3
3
1

201 279

192

MAJOR OPERATIONS, 1910— Continued.

SUMMARY OF MAJOR
OPERATIONS.

Admitted.

DiSCHAKGED.

o<-i

a,

Brought for ward

Excision of jaw

of knee-joint

of Meckle's diverticulum.

of shaft of hiunenis

of shaft of tibia

Gastrectomy (partial)

Gastro-enterostomy

Gastrorrhaphy

Gastrostomy

Hysterectomy :

abdominal

vaginal

Hysterectomy and salpingectomy

Hysterectomy and salpingo-oophorectomy

Laminectomy

Lilholapaxy

Mastoid operation

Nephrectomy

Nephropexy

Nephrotomy

Oophorectomy

Operation for

appendicitis

peritonitis, diffuse

Orchidectomy

Osteoclasis

Osteotomy of femur

Proctectomy

Prostatectomy

Radical cure of hernia

Carried fo rivard .

3

25

3

1

29
4
1

21

6
1
21
3
18
34

()33

9

19

10

15

3

37

3G1

1549

1

19
10
15
3

37
361
63 1 1549

193

MAJOR OPERATIONS, 1910— Contumed.

SUMMARY OF MAJOR
OI'ERATIONS.

Discharged.

'a

■a

(D

>■

>

+^^

■a

^r.

o aj

«

^tf

Q

^H,

Brouff lit forward

Reducing dislocation :

of hip

of shoulder..

of wrist

Resection :

of intestine

of jaw

of ovary

of pleura

of tibia

of tube

Salpingectomy

Salpingo-oophorectomy

Shortening round ligaments

Tenoplasty

Tenotomy

Thoracotomy

with resection of rib.

Thyroidectomy

Ureterectomy

Ureteroplasty

Ureterotomy

Ventral fixation

Ventral suspension

Wiring fractured patella

Total .

892 657

960

1

4

9

3

2

1

1

3
36
89
11

io|.,

19 ..

5 ..
I

43 ..

6 ..

l'..

t
2 ..

I

'"l

31 ..

!

76 ..

iL

1921 1

1318

12

99

63

6

2

1
4

3

6

2

1

2
1
1
3
33

3

80

4

5

11
9

1

19

2

2

1

26

6

8

3

5

1

1
1

1

6

3

30

1

69

2

5

1

1634

22

123

84

1

4

9

3

2

1

1

3

36

89

11

10

19

5

43

6

1

2

10

31

76

1

1921

MASSACHUSETTS GENERAL HOSPITAL

OUT-PATIENTS' REPORT
For the Year endings December 31, 1910.

NUMBER OF NEAV PATIENTS, 22,802.

Men, 10,540 Women, 7,513 Children, 4,249

American, 10,876 Foreign, 11,426

Residents of Boston, 10,555 Residents of other places, 11,747

Total attendance, 124,584

MALE SURGICAL.
No. of new patients, 4,211 No. of old patients, 23,569

FEMALE SURGICAL.
No. of new patients, 2,600 No. of old patients, 11,793

MALE MEDICAL.
No. of new patients, 2,808 No. of old patients, 5,591

FEMALE MEDICAL.
No. of new patients, 4,250 No. of old patients, 9,730

SKIN.
No. of new patients, 2,062 No. of old patients, 8,054

NERVE.
No. of new patients, 1,023 No. of old patients, 6,291

THROAT.
No', of new patients, 3,055 No. of old patients, 9,698

ORTHOPEDIC.
No. of new patients, 2,225 No. of old patients, 9,636

ZANDER.

No. of old patients, 13,128

HYDROTHERAPEUTIC.

No. of old patients, 3,366

SUBURBAN TUBERCULOSIS CLASS.

No. of old patients, 409

DENTAL.
No. of new patients, 68 No. of old patients, 384

X-RAY.

No. of old patients, 426

VACCINE.

No. of old patients, 169

22,302 102,242

9 lost 31 lost

194

OUT-PATIENT DEPARTMENT.

FKOM JANUARY 1, 1910, TO DECEMBER 31, 1910, INCLUSIVE.

NAME OF DISEASE.

C3

"3

u

IS 3

Female
Medical.
Female
Surfiical.
Genito-
urinary.

3

i
s

(5

a

6

O

O

1. Specific infectious diseases.

Actinomvcosis

3

1

1

1

1

1

Chancroid

3

1
1

29
1

10
1
1

2

1
6
2
5

1

48

'

1
4
8
2
2

1

7

3

Epidemic parotitis (mumps)

1
23

Erysipelas

Gonorrhoea (unclassified)

5

120
91
66

4

Acute urethritis

1

22

1

Influenza

1

2
10
18

1
1

Measles

1

Pertussis

Pneumonia

10
4

Rheumatic fever

3

3

Scarlet fever

3

Syphilis.

Bones, joints

3

■?

Nervous system

18

1

2

5

1
1
9

1
1
1
6

34
6

Skin lesions

Testicle

2

219

17

8

11

9

1

2

2
2

11

11

1

1

Tuberculosis.

Bones and joints (unclassified)

Spine

1
2

1
1

o

1

38

Shoulder

8

Elbow

1

4

195

196

OUT-PATIENT DEPARTMENT, 1910 — Continued.

NAME OF DISEASE.

"3

Male
Surgical.

Female
Medical.

ll
5 s
face

£

2
3

11

1

>

a

3
en

d

•3

e

P.

1
O

VTrist

1

1

0

2

Hip

1

31

16

Ankle

9

1

2

Oenito-urinary system.

Kidney

9

2

1

6

1
1

Bladder

Testicle

'

2

1

4

1

258

1

18

2
2

3

1
222

5

1

C

26

2

2

1
3

6

1

Skin (unclassified^.

1
2

1
8

5

1

1

1

4

97

4

8

2S. Disease due to animal parasites.

1

2
2

8

1

277

1

11
7

15
1
4

1

1

3
2

1

3. General constitutional and nutritional
disorders.

1
73

Debility

90

5

54

6

1

25
3
3

1

1

Haemophilia

1

197

OUT-PATIEXT DEPARTMENT, 1910 — Contifwed.

XAME OF DISEASE.

i

O

"3
o

©bbi

Female
Medical.
Female
SurRical.
(Sent to-
Urinary.

Children's.

J

i

6

■S

s.
o

O

1

'

1

1
34

1

1

8

6

1
1

2
4

9

4

21

3

1

14

Senility

2
3

4. Intoxications.

22

2

1

11

1

25
5
9
1

2

3

1
1
1

5

1

1

Tea

86
24
11
23

4

1
1

1

1

5. General injuries and diseases of skin
and sub-cutaneous tissues.

Abrasions

38

27
9

47

1
1
17

7

1

2

1

1

Xeck

1

Chest

2
14
13

1

4

2

5

2

130

14

94

28

60

3

Axilla ....

1

1

4

2

1

1

2
3
4
11
43
25
78
1
50

1

Boils

3

8

4

15

50

1

1

1

2

1
1

Contusions (unclassified)

1

....

9

5

Multiple

....i 3

198

OUT-PATIENT DEPARTMENT, 1910 — Continued.

XAIVIE OF DISEASE.

1

o8 ©"ZS

Female
Surgical.
Oeiiito-
Urinary.

Children's.

o

9

>
u

e

EC

e

P<

o

hi
O

11

38

39

H

12

25

16

2

6

1

25

14

11

3

11

1

28
17
2
2
6
4

1

3

3

1

10

8

48
20

1

\

2

1

1

2

1

7
52

3
12

1
21
4
5
3
1
!*>

1

2

1
8

1

8
39

1
10

7
12

n

3

1

Keloid

1

4
6

2

1
9.

1

1
3
2
2

1

5

Cyst

1
67

Epithelioma '.

1

4

1

1

12

15

1

1

5

11

67

29

5

9

16

1

1

1

1

1

9.

3

1

2

1

4

1
1

1
1

6

1

3

4

1

6
18

119
95
18
11

' 25

1
1

1

1

Hand

9.

Foot

199

OUT-PATIENT DEPARTMENT, 1910 — Continnecl

NAME OF DISEASE.

"ii

1
« 3b

Si

l5

a
£

2
3

i
g

H

a
3

6

«

p.
o

o

4

7

7

5

18

38

62

311

427

39

5

1

1

3

7
9
8
2
9
43
16

224

258

20

2

1

1

2

7

1

1

1

22
7
4

1

Wounds.

1

4

1

1

4

4

G. Special skin diseases.

4

166

1

1

1

20

46

14

1

10
2
3
4
6
20
1

4

3

3

3

5

1

11

2

1

1

1

1

9

2

45
16

1
12

3
156

venenata

1

1

1

1

200

OUT-PATIENT DEPARTMENT, 1910 — Continued.

• NA>IE OF DISEASE.

i

Male
Surgical.
Female
Medical.

2."%
IB

li

C

£

2

1

IS

t

02

6

O

u
O

Dysliidrosis

12
536

Eczema

3

1

1

2

34

22

Elephantiasis. ,

1

Erythema hyperaemicum

1
11
17
10

1

18
23
37

1
3ii

9

10

242

6

4
18

4

23
5

5

1
1
3

■

13
4

13
5
1

,, multiforme

,, nodosum

„ unclassitied

Erythrasma

Folliculitis

1

2

2

Herpes simplex

1
3

^

„ zoster

3

2

Hidroa vacciniforme

Hyperidrosis

Hypertrichosis

■

Ichthyosis

Impetigo contagiosa

1
1

Intertrigo

Keratosis pilaris .-

,, senilis

,, (unclassified)

Lichen planus

Lupus erythematosus

Miliaria (prickly heat)

Milium ; . .

Molluscum contagio.«um (Epitheliale).
Morbilli

1

1

Morphoea

Mycosis fungoides

1
1

Naevus fibrosus

1

„ pigmenlosus

,, pilosus

, , unclassified

Oedema circumscriptum acutum

Onychauxis

201

OUT-PATIENT DEPARTMENT, 1910 — Continued.

NAME OF DISEASE.

Onj'chia

Paronychia

Pediculosis capillitii.

„ corporis.

,, pubis

Pernio

Pityriasis rosea

Pompholix

Pruritus

Psoriasis.

Rosacea.

Scabies

Scleroderma...
Scrofuloderma.
Seborrhoea —

Sycosis

„ vulgaris...

Telangiectasis

Tinea favosa

„ tricophylina.

„ versicolor —

Urticaria

Verruca

Vitiligo

Xanthoma

Xeroderma

n. Lymphatic system.

Lymph adenitis (unclassified).

Axillary

Cervical

Inguinal

Lymphangioma

Lymphangitis

2g .SS'o^

x: . .a ' ®

14

30

39

133 .
11 .
13 .

7 .

17 .

4 .

22 .

90 .

27 .

209

2 .

9],

55

4

22

1

18

76

28

143

50

7

1

5

202

OUT-PATIENT DEPARTMENT, 1910 — Continued.

NAME OF DISEASE.

"5

.III II
Si^ t.S ',i>'Z

hi
Is

05

'a
2

is

§

>
o

a
2

1

a
o
a

u

O

8.

Circulatory system.

a. Arteries.

Aneurism

Arteriosclerosis

b. Veins.

Phlebitis

11

80

3

2

4

17
64

4
62

6

1

62

9

11
104

1

Varicose veins

5

15

Wounds

1

c. Pericardium.

I'ericarditis

5
19

4

11

4

1

13

With effusion

1

5

4

Unclassified

d. Heart.

Angina pectoris

5

Arrylhmia

3

Bradycardia

" Cardio renal "

4
2
7
3
2
3
14
2
1

6
34

7
64

84
7

4

1

Congenital affections

4

Dilatation

8
6
1

11

32

6

5

16

44

7

33

112

6

2

Endocarditis (acute)

6

1

,, (unclassified)

Hypertrophy

1
4

Myocardial weakness

Neurosis

Tachycardia

1

2

4

Valvular lesions.

Aortic stenosis

J

Aortic insufficiency

1
1
3

1

Aortic roughening

Mitral stenosis

12
39

Mitral insufficiency

1

Unclassified

Unclassified

1

203

OUT-PATIENT DEPARTMENT, 1910 — Continued.

NAME OF DISEASE.

9, Blood ami ductless glan