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NINETEENTH  REPORT 


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OP  THE 


Trustees  of  the  City  Hospital, 


BOSTON,, 


WITH 


REPORTS  OF  THE  SUPERINTENDENT  AND  PROFES¬ 
SIONAL  STAFF,  RULES  FOR  ADMISSIONS 
AND  DISCHARGES,  ETC. 


1882-83. 


BOSTON: 

ROCKWELL  AND  CHURCHILL,  CITY  PRINTERS, 

No.  39  ARCH  STREET. 

1  8  83. 


WbLLGOMli 
1 J  RAHY 


A:*»r% 


[Document  104  — 1883.] 


CITY  OF 


BOSTON. 


NINETEENTH 


REPORT 


(  > 


.  /> .  . 


OF  THE 


* 


TRUSTEES  OE  THE  CITY  HOSPITAL, 


WITH 


REPORTS  OF  THE  SUPERINTENDENT  AND  PROFESSIONAL 
STAFF,  RULES  FOR  ADMISSIONS  AND 
DISCHARGES,  ETC. 


Board  of  Trustees  for  1882-83. 

Alderman  —  Cyrus  S.  Haldeman. 

Councilman  —  John  P.  Hilton. 

At  Large —  Geo.  W.  Pope,  President,  for  three  years. 

Henry  H.  Sprague,  Secretary,  for  two  years. 
Jos.  A.  Tucker,  for  five  years. 

M.  F.  Gavin,  M.D.,  for  four  years. 

Timothy  J.  Dacey,  for  one  year. 


2 


City  Document  No.  104. 


The  Hospital  Staff. 

Board  of  Consulting  Physicians  and  Surgeons. 

Benj.  E.  Cotting,  M.D.  Fitch  E.  Oliver,  M.D. 

J.  Baxter  Upham,  M.D.  Benj.  Cushing,  M.D. 

A.  D.  Sinclair,  M.D. 


Resident  Physician  and  Superintendent . 

Geo.  H.  M.  Rowe,  M.D. 


Visiting  Physicians . 

John  G.  Blake,  M.D.  O.  W.  Doe,  M.D. 

Geo.  H.  Lyman,  M.D.  A.  L.  Mason,  M.D. 

C.  Ellery  Stedman,  M.D.  A.  M.  Sumner,  M.D. 

Frank  W.  Draper,  M.D.  G.  B.  Shattuck,  M.D. 

For  Diseases  of  the  Nervous  System. 

R.  T.  Edes,  M.D.  S.  G.  Webber,  M.D. 

Jas.  H.  Denny,  M.D. 

Visiting  Surgeons . 

Chas.  D.  Homans,  M.D.  W.  C.  B.  Fifield,  M.D. 
David  W.  Cheever,  M.D.  William  Ingalls,  M.D. 

Wm.  H.  Thorndike,  M.D.  George  W.  Gay,  M.D. 

Ophthalmic  Surgeons. 

Henry  W.  Williams,  M.D.  Oliver  F.  Wadsworth,  M.D. 

Physicians  to  Out-Patients. 

Edward  J.  Forster,  M.D.  Thomas  M.  Rotch,  M.D. 

Surgeons  to  Out-Patients. 

W.  P.  Bolles,  M.D.  E.  H.  Bradford,  M.D. 

Abner  Post,  M.D. 

Out-Patient  Department  for  Diseases  of  Women. 

W.  E.  Boardman,  M.D.  Geo.  H.  Bixby,  M.D. 

Out-Patient  Department  for  Diseases  of  the  Shin. 
Edward  WTigglesworth,  M.D. 


Assistant. 

Geo.  H.  Tilden,  M.D. 


City  Hospital. 


3 


Out-Patient  Department  for  Diseases  of  the  Ear. 

J.  Orne  Green,  M.D. 

Assistant. 

Francis  H.  Brown,  M.D. 

Out-Patient  Department  for  Diseases  of  the  Nervous  System. 

Chas.  F.  Folsom,  M.D. 

Out-Patient  Department  for  Diseases  of  the  Throat. 

E.  W.  Cushing,  M.D. 

Assistant. 

Morton  Prince,  M.D. 

Pathologist. 

W.  W.  Gannett,  M.D. 

Assistant. 

H.  C.  Ernst,  M.D. 


House  Staff. 


House  Physicians . 

H.  S.  Johnson, 

C.  D.  Sawin, 

E.  P.  Elliot. 


House  Surgeons . 

John  Trumbull, 

H.  A.  Wood. 


Medical  Internes. 

Samuel  Delano, 

Wallace  Preble. 

Medical  Externes . 

John  B.  Brainard, 
Clement  W.  Sparhawk. 

Ophthalmic  Interne. 

Philip  C.  Knapp,  Jr. 


Surgical  Internes . 
Jos.  B.  Murphy, 

David  E.  Baker. 

Surgical  Externes . 
Stephen  A.  Welch, 

Geo.  E.  Thompson. 

Ophthalmic  Externe . 
Robert  Bell. 


Hospital  Officers. 

Samuel  M.  Nesmith,  Steward . 

Miss  Linda  Richards,  Supt.  Training-School  and  Matron. 
Greenleaf  R.  Tucker,  Apothecary . 

Edw.  J.  Cutter,  M.D.,  Office  Assistant. 

Miss  Olivia  H.  Hews,  Housekeeper. 


4 


City  Document  No.  104. 


REPORT  OF  THE  TRUSTEES. 


City  Hospital,  Boston,  April  30,  1883. 

To  the  Honorable  City  Council:  — 

The  Trustees  of  the  City  Hospital,  in  compliance  with  the 
Ordinances,  respectfully  present  herewith  their  Nineteenth 
Annual  Report. 


Number  of  patients  remaining  in  the 

Hospital, 

April  30,  1882  .... 

•  » 

279 

Admitted  during  the  year  — 

Medical  ..... 

.  2,551 

Surgical  ..... 

.  1,798 

Ophthalmic  ..... 

74 

4,423 

Treated  during  the  year 

•  • 

4,702 

Discharged  ...... 

.  3,948 

Died 

.  473 

4,421 

Remaining  in  Hospital,  April  30,  1883 

•  • 

281 

Largest  number  in  Hospital  at  any  time 

•  • 

341 

Smallest  number  in  Hospital  at  any  time 

•  • 

241 

Daily  average  number  of  patients 

•  • 

286 

Average  length  of  stay  of  each  patient  (days) 

22.17 

Number  of  patients  treated  in  the  out-patient  de- 

partment,  classified  according  to  their  dis- 

eases :  — 

Medical  diseases  .... 

.  2,508 

Surgical  “ 

.  5,651 

Diseases  of  the  Eye  .  . 

.  1,626 

“  “  Ear  .... 

364 

“  “  Skin  .... 

894 

“  of  W omen  .... 

388 

“  “  Nervous  System 

299 

‘  ‘  *  ‘  the  Throat 

444 

Total 


.  12,174 


City  Hospital. 


5 


Number  of  visits  to  the  Hospital  classified  according  to 
diseases :  — 


Medical  diseases  ......  4,720 

Surgical  66  ......  15,743 

Diseases  of  the  Eye  ......  10,450 

“  “  Ear . 2,132 

“  “  Skin . 2,138 

“  of  Women  ......  1,044 

“  “  Nervous  System  .  .  .  .  1,671 

“  “  the  Throat  .....  1,657 

Surgical  out-patients  treated  at  accident  room,  and 

not  elsewhere  included  .....  1,068 


40,623 


The  report  of  the  Superintendent  and  Resident  Physician, 
presented  herewith,  contains,  besides  other  information,  a 
statement  of  the  expenditures  of  the  year,  and  is  accompa¬ 
nied  by  the  reports  of  the  medical  staff.  These  reports  give 
in  detail  the  number  of  patients  treated  in  the  Hospital,  and 
the  number  treated  in  the  out-patient  department  during  the 
year,  with  classified  statements  of  their  diseases  and  the 
results  of  treatment. 

The  whole  number  of  patients  in  the  Hospital  during  the 
year  was  4,702,  and  they  were  under  treatment  an  average 
of  22.20  days  each,  making  a  total  of  104,261  days,  or  14,894 
weeks.  The  entire  cost  of  maintaining  the  Hospital  during  the 
year  was  at  the  rate  of  $9.80-|-  per  week  .  $145,965  57 

But  of  the  patients  enumerated  above, 

503  paid  for  1,695  weeks’ board  .  .  13,504  44 


Leaving,  therefore,  the  sum  of  .  .  $132,461  13 

as  the  cost  to  the  city  of  treating  4,199  non-paying  patients, 
for  a  total  of  12,645  weeks.  But  after  deducting  money 
received  from  pay-patients,  stock  on  hand,  etc.,  and  averag¬ 
ing  the  net  cost  of  maintaining  the  Hospital  for  the  year, 
among  all  the  patients  treated,  we  find  the  average  cost  to 
the  city,  of  board  for  each  patient,  was  $8.91  per  week. 

The  report  of  the  Superintendent  explains  in  detail  the 
expenditures  made  during  the  year  in  maintaining  the  Hos¬ 
pital. 

By  his  statements,  and  the  above  figures,  and  by  a  com¬ 
parison  with  previous  reports,  it  will  be  seen  that  during  the 


6 


City  Document  No.  104. 


past  year  the  largest  number  of  patients  in  the  Hospital  at 
any  one  time  was  5  more  than  the  previous  year  ;  the  smallest 
number  at  any  one  time  was  11  more,  and  the  average  length 
of  stay  of  each  patient  was  nearly  one  day  less. 

The  net  cost  in  maintaining  the  Hospital  has  been  $7,702.- 
01  more  than  last  year.  This  has  been  mainly  due  to  the 
higher  cost  of  subsistence  and  general  supplies,  and  was  an¬ 
ticipated  last  year  in  our  report  when  we  said,  "The  cost 
during  the  coming  year  will  be  still  greater  unless  there  is 
a  decrease  in  the  cost  of  supplies,  which  is  not  now  antici¬ 
pated.  The  expensive  outlay  incident  to  the  care  of  the 
sick  does  not  allow  retrenchment,  without  lowering  the 
standard  heretofore  maintained  as  a  first-class  Hospital, 
wholly  devoted  to  acute  diseases.”  This  is  considerably 
below  the  weekly  cost  in  several  other  general  hospitals, 
and  cannot  well  be  diminished,  without  being  directly  felt 
by  the  sick  who  are  brought  to  us  to  be  cared  for.  So 
fully  were  the  Trustees  convinced  of  this  necessity  that 
this  year  they  asked  for  an  appropriation  slightly  larger 
than  that  of  last  year,  which  was  granted. 

The  number  of  weeks’  board  this  year  was  384  more  than 
last;  316  more  patients  were  admitted  this  year  than  last, 
and  the  total  who  have  received  treatment  in  the  Hospital 
was  4,702,  —  an  excess  of  420  over  last  year. 

Last  year  5,824  patients  were  examined  for  admission; 
this  year,  5,991.  Last  year  1,735  applicants  were  denied 
admission;  this  year,  1,568.  By  reference  to  the  report  of 
the  Superintendent  the  reasons  for  rejection  appear  in  detail. 
A  large  proportion  of  the  rejected  patients  could  have  been 
relieved,  provided  they  could  have  been  received ;  but  most 
of  these  were  treated  at  the  out-patients’  departments,  or 
referred  elsewhere,  according  to  the  needs  or  feasibility  in 
each  case. 

There  have  been  times,  however,  when  very  urgent  and 
pressing  cases  have  been  turned  away,  because  it  was  impos¬ 
sible  to  furnish  them  accommodation.  The  treatment  of  the 
sick  demands  classification,  and  often  special  location,  — 
as  to  sex,  disease,  whether  surgical,  medical,  contagious, 
or  mental.  It  often  happens,  that,  while  there  is  room 
for  one  sex  or  class  of  cases,  there  is  an  overcrowding 
of  another ;  and  this  leads  to  rejection,  if  the  case  at 
the  time  happens  to  be  one  for  which  there  is  no  room. 
This  has  been  especially  embarrassing  in  the  infectious 
diseases,  such  as  diphtheria,  scarlet  fever,  measles,  ery¬ 
sipelas,  and  blood-poisoning  diseases,  or  surgical  diseases, 
having  alcoholism  as  a  complication.  This  is  the  only 
Hospital  in  or  near  Boston  where  the  above  diseases  will 


City  Hospital. 


{ 


be  received,  and,  as  a  consequence,  a  larger  percentage 
of  these  than  other  diseases  gravitates  to  this  Hospital. 
The  accommodations  here  are  limited ;  each  disease  must 
be  isolated,  and,  as  the  number  of  patients  applying  who 
are  sick  with  contagious  illness  varies,  it  again  happens 
that  there  may  be  room  for  scarlet  fever,  but  none  for 
diphtheria.  It  often  happens  that,  in  isolating  rooms  with 
4  beds  each,  8  patients  of  both  sexes  may  occupy  the 
rooms  which  could  be  utilized  for  32  patients,  pro¬ 
vided  no  classification  was  necessary.  This  condition  of 
classification  will  be  still  further  illustrated  by  the  fact 
that,  on  a  given  day,  28  patients  onty  could  be  received 
into  rooms  which  might  have  been  used  by  64  patients, 
no  other  condition  than  sex  being  considered.  The  Trustees 
deem  it  advisable  to  call  attention  to  the  above  facts, 
since  there  has  been  a  growing  demand  for  room  for  this 
class  of  cases.  The  building  for  infectious  diseases  was 
erected  in  1866  ;  and,  while  the  Hospital  has  been  enlarged 
in  accommodations  for  general  medical  and  surgical  dis¬ 
eases,  the  number  of  beds  for  contagious  diseases  remains 
the  same  as  17  years  ago.  Since  that  time  the  population 
of  the  city,  by  annexation  and  otherwise,  has  increased  nearly 
50  per  cent. 

To  this  add  the  fact  that  the  increase  in  the  number  of 
infectious  diseases  has  been  proportionately  larger  than  the 
growth  of  the  population.  Other  facts  could  be  added  to 
show  that,  while  the  demand  for  room  for  this  class  of  cases 
has  probably  been  doubled,  there  have  been  no  increased 
accommodations  in  16  years.  This  subject  has  been  alluded 
to  in  the  annual  reports  for  several  years.  Last  year  we 
said,  "  A  large  proportion  of  urgent  cases  rejected  were 
those  suffering  from  contagious  diseases.  There  is  no  need 
so  imperative  as  accommodations  for  those  requiring  special 
hospital  treatment.  The  remedy  can  only  be  found  in  an 
additional  ward  for  medical  diseases,  and  must  soon  be  pro¬ 
vided  to  meet  the  increasing  demands  for  hospital  treatment.” 
In  the  seventeenth  annual  report  it  was  said,  "If  the 
Hospital  continues  to  receive  contagious  diseases  to  the  same 
extent  as  during  the  past  year,  it  must  speedily  have  larger 
and  better  accommodations.”  The  want  of  such  room  has 
caused  the  rejection  of  a  large  number  of  cases,  and  some, 
under  conditions  that  were  a  hardship  to  the  patient,  or  the 
friends,  as  well  as  danger  to  the  public  health.  Such 
rejection  brings  upon  the  Hospital  .criticism,  for  which 
the  Trustees  cannot  be  held  responsible  as  long  as  this 
deficiency  exists,  and  it  cannot  discharge  its  duty  to  the 
public  until  increased  accommodations  are  supplied. 


8 


City  Document  No.  104. 


The  Trustees  for  several  years  have  called  the  attention  of 
the  City  Council  to  the  subject  of  the  support  at  the  City 
Hospital  of  non-resident  patients.  Some  progress  has  been 
made  during  the  past  year.  A  general  but  incomplete 
investigation  has  been  made  as  to  the  claims  of  those  ad¬ 
mitted,  and  it  has  been  found  that  there  has  been  charge¬ 
able  to  — 

State  of  Massachusetts  .  .  „  30,319  days’ board 

Towns  and  cities  (other  than  Boston)  2,623  44  44 

Total .  32,942  44  44 

or  4,902  weeks’  board,  which,  at  the  cost  of  the  present  year, 
$9.37  per  week,  would  represent  the  sum  of  $45,931.74  ex¬ 
pended  from  the  appropriation  of  this  year,  on  account  of 
those  having  no  legal  settlement  in  Boston.  Of  the  above 
$45,931,  only  $2,164  has  been  collected,  and  that  from  towns 
and  cities,  leaving  $43,767  uncollected.  In  other  words 
nearly  one-third  of  the  benefits  of  the  City  Hospital  during 
the  past  year  has  been  given  to  those  Avho  have  no  legal 
claim.  Nearly  the  entire  amount  is  due  from  patients 
chargeable  to  the  State. 

The  State  authorities  are  reluctant  to  reimburse  the 
city  for  patients  treated  here  who  are  the  wards  of  the 
State.  The  Trustees,  through  the  Corporation  Counsel, 
again  appeared  before  the  State  Board  of  Charities,  in 
March,  and  the  subject  was  more  fully  discussed.  A  brief 
of  the  claim  of  the  city  has  been  published  by  the  Law 
Department,  and  is  accessible  to  those  desiring  it.  It  is 
believed  that  eventually  a  sound  basis  of  understanding 
will  be  established,  and  that  the  claims  of  the  city  will  be 
acknowledged. 

The  work  of  the  year  has  been  very  satisfactory.  The 
statistical  tables  will  exhibit,  in  detail,  the  great  amount  of 
service  rendered  to  the  public,  and,  we  believe,  in  a  manner 
not  excelled  by  other  hospitals. 

Those  not  familiar  with  the  daily  routine  of  hospital  work 
cannot  readily  appreciate  the  amount  of  labor  involved  in 
the  admission,  treatment,  and  discharge  of  a  single  patient, 
however  trivial  the  case.  The  admissions  and  discharges  of 
patients  each  day  averaged  24,  and  in  a  single  day  amounted 
to  51  patients. 

No  new  departure  has  been  made  in  the  work  of  the  year, 
but  much  has  been  done  to  keep  the  Hospital  up  to  a  higher 
standard  in  the  care  of  the  patients.  During  the  year  con- 


City  Hospital. 


9 


siderable  has  been  accomplished  in  repairs.  All  basement 
corridors  have  been  repainted,  and  also  the  corridors  and 
stairways  in  Pavilions  I.  and  II.  Wards  Q,  K,  and  S  have 
been  repainted  and  colored,  and  much  work  done  elsewhere 
to  keep  the  various  wards,  rooms,  and  the  furniture  in  re¬ 
pair. 

The  Trustees  seriously  regret  that  the  City  Council  did  not 
grant  their  repeated  request  for  an  appropriation  with  which 
to  build  a  pavilion  for  nurses.  This  is  the  sixth  year  that 
mention  has  been  made  of  it.  The  want  of  a  suitable  building* 
has  been  the  cause  of  much  ill-health  and  inconvenience 
among  the  nurses  ;  it  would  have  supplied  us  with  rooms  for 
50  more  patients,  and  would  enable  us  to  isolate  delirious 
patients,  those  very  ill  or  dying,  which  now  can,  as  a  rule, 
be  provided  for  only  in  associate  wards.  While  the  City 
Hospital  is,  and  has  been,  foremost  in  many  of  the  cardinal 
points  of  a  good  hospital,  it  is  far  behind  most  others  in  its 
accommodations  for  those  who  nurse  the  sick.  The  necessity 
is  acknowledged  by  all,  and  we  would  respectfully  urge 
the  City  Council  to  benefit  the  sick  by  carrying  out  this 
measure,  which  has  been  so  fully  explained  in  previous 
reports. 

The  accommodations  for  the  service  of  out-patients  are, 
and  have  been  for  several  years,  entirely  inadequate.  The 
Trustees  hoped  that  their  request  for  the  means  to  enlarge 
and  re-arrange  this  service  could  be  granted.  The  present 
building  was  erected  in  1868,  at  which  time  there  were  only 
3  services  to  out-patients,  and  the  number  of  visits  was 
16,403.  There  are  now  8  services,  and  the  visits  of  out¬ 
patients  this  year  were  40,623.  The  increase  in  the  number 
of  services  has  more  than  doubled,  and  the  great  lack  of 
room  necessitates  alternate  days  for  the  various  diseases  : 
the  number  of  visits  has  more  than  doubled.  There  is 
much  confusion,  and  the  physicians  work  at  great  incon¬ 
venience,  and,  as  a  consequence,  to  the  detriment  of  those 
seeking  relief.  It  is  in  this  department  that  the  greater 
number  are  assisted  at  the  least  cost,  and,  if  the  required 
room  could  be  obtained  with  better  outfit,  an  incalculable 
benefit  would  be  conferred  upon  the  sick  poor.  It  would 
likewise  be  sound  economy,  as  many  cases  could  be  treated 
as  out-patients  at  a  nominal  expense,  which  now,  by  reason 
of  this  want,  require  admission  to  the  Hospital. 

The  report  of  the  Superintendent  will  furnish  much  infor¬ 
mation  concerning  the  work  of  the  year. 

The  report  of  the  Medical  Staff  exhibits,  in  detail,  much 
that  must  be  instructive  and  valuable  to  those  interested  in 
the  medical  and  surgical  statistics. 


City  Document  No.  104. 


10 

There  have  been  but  few  changes  during  the  year  in  the 
Hospital  staff.  Dr.  Janies  H.  Denny  was  appointed  Visit¬ 
ing  Physician  to  the  Department  for  Diseases  of  the  Nervous 
System.  Dr.  C.  F.  Folsom  was  appointed  Physician  to  Out- 
Patients’  Department  for  Diseases  of  the  Nervous  System. 
Dr.  Maurice  H.  Richmond  resigned  as  Surgeon  to  Out- 
Patients,  and  Dr.  Abner  Post  was  elected  to  the  vacancy. 
Dr.  J.  R.  Chadwick  resigned  as  Physician  to  Out-Patients’ 
Department  for  Diseases  of  Women,  and  Dr.  George  H.  Bixby 
was  elected  in  his  place.  Dr.  E.  G.  Cutter  resigned  as  Pa¬ 
thologist,  and  Dr.  Gannett  was  chosen  to  the  position.  Dr. 
H.  C.  Ernst  was  elected  Assistant  Pathologist. 

The  thanks  of  the  Board  are  due  to  the  many  friends  of  the 
Hospital,  who  have  continued  during  the  year  to  manifest 
their  interest  in  the  patients  as  in  former  years. 

In  conclusion,  the  Trustees  desire  to  bear  testimony  to 
the  faithful  services  of  the  Physicians  and  Surgeons,  and  to 
the  excellent  management  of  the  Hospital  by  its  Superin¬ 
tendent,  Dr.  Rowe. 

'  The  Board  of  Trustees, 

G.  W.  POPE, 
President . 


City  Hospital 


REPORT  OF  THE  SUPERINTENDENT  AND 
RESIDENT  PHYSICIAN. 

City  Hospital,  April  30,  1882. 

To  the  Board  of  Trustees :  — 

Gentlemen,  —  I  have  the  honor  to  present  herewith  my 
Annual  Report  of  the  Hospital  for  the  past  year. 

The  following  table  shows  the  number  of  patients  who 
have,  each  year,  applied  for  admission,  and  been  treated  at 
the  Hospital :  — 


1 

Patients  examined 
for  admission. 

Patients  admitted. 

1 

Patients  accident¬ 

ally  injured. 

Number  of  out-pa¬ 

tients  treated. 

From  June  1,  1864,  to  December  31, 1864 . 

703 

475 

129 

371 

From  January  1,  1865,  to  December  31,  1865  .... 

1,451 

1,066 

242 

1,143 

From  January  1,  1866,  to  December  31, 1866  .... 

1,749 

1,432 

345 

3,324 

From  January  1,  1867,  to  December  31,  1867  .... 

1,913 

1,534 

328 

7,015 

From  January  1,  1868,  to  December  31,  1868  .... 

2,729 

2,078 

417 

8,794 

From  January  1,  1869,  to  April  30,  1870 . 

4,632 

3,054 

482 

11,791 

From  May  1,  1870,  to  April  30,  1871 . 

3,977 

2,396 

525 

8,899 

From  May  1,  1871,  to  April  30,  1872 . 

4,387 

2,873 

565 

8,947 

From  May  1,  1872,  to  April  30,  1873 . 

4,326 

3,304 

660 

7,526 

From  May  1,  1873,  to  April  30,  1874 . 

4,250 

3,201 

804 

9,272 

From  May  1,  1874,  to  April  30,  1875 . 

4,652 

3,424 

756 

8,732 

From  May  1,  1875,  to  April  30,  1876 . 

4,434 

3,180 

689 

9,413 

From  May  1,  1876,  to  April  30,  1877 . 

4,713 

3,580 

663 

8,526 

From  May  1,  1877,  to  April  30,  1878 . 

5,068 

4,034 

604 

9,658 

From  May  1,  1878,  to  April  30,  1879 . 

5,285 

4,323 

734 

10,419 

From  May  1,  1879,  to  April  30, 1880 . 

5,444 

3,995 

505 

10,309 

From  May  1,  1880,  to  April  30,  1881 . 

5,781 

4,418 

553 

10,605 

From  May  1,  1881,  to  April  30,  1882 . 

5,842 

4,107 

567 

12,035 

From  May  1,  1882,  to  April  30,  1883 . 

5,991 

4,423 

666 

12,174 

Total  . 

77,327 

56,897 

10,234 

158,953 

The  number  of  patients  classified  according  to  their  dis¬ 
eases,  who  visited  the  Hospital  for  advice  and  treatment  in 
the  out-patient  department,  was  as  follows  :  — 

Medical  diseases  under  charge  of  Drs.  Forster  and 

Rotch  ........  2,508 


12 


City  Document  No.  104. 


Surgical  diseases  under  charge  of  Drs.  Bolles,  Brad¬ 
ford,  and  Post  .......  5,651 

Diseases  of  the  Eye,  under  charge  of  Drs.  Williams 

and  Wadsworth  .......  1,626 

Diseases  of  the  Ear,  under  charge  of  Dr.  Green  .  364 

Diseases  of  the  Skin,  under  charge  of  Dr.  Wiggles- 

worth  ........  894 

Diseases  of  Women,  under  charge  of  Drs.  Boardman, 

Chadwick,  and  Bixby  ......  388 

Diseases  of  the  Nervous  System,  under  charge  of  Drs. 

Denny  and  Folsom  ......  299 

Diseases  of  the  Throat,  under  charge  of  Dr.  Cushing,  444 


Total . 12,174 


Number  of  Visits  made  by  Out-patients  to  the  Hospital. 


Year. 

Month. 

Medical. 

Surgical. 

Eye. 

Ear. 

Skin. 

Women. 

Nervous. 

Throat. 

Total. 

1882 

May . 

380 

1,154 

1,039 

206 

213 

45 

134 

126 

3,297 

June  . 

483 

1,301 

931 

180 

191 

65 

138 

112 

3,401 

July . 

405 

1,331 

797 

171 

209 

45 

122 

108 

3,188 

August . 

543 

1,566 

850 

169 

143 

72 

161 

78 

3,582 

September  . . 

372 

1,467 

948 

141 

109 

33 

93 

87 

3,250 

October . 

409 

1,407 

881 

147 

171 

80 

111 

126 

3,332 

November. . . 

341 

1,132 

884 

147 

174 

56 

110 

151 

2,995 

December. . . 

335 

1,246 

813 

87 

164 

77 

107 

86 

2,915 

1883 

January . 

330 

1,270 

706 

204 

161 

132 

122 

160 

3,085 

February  ... 

294 

1,295 

740 

268 

164 

110 

130 

290 

3,291 

March . 

408 

1,415 

865 

185 

202 

165 

231 

189 

3,660 

April . 

420 

1,159 

996 

227 

237 

164 

212 

144 

3,559 

4,720 

15,743 

10,450 

2,132 

2,138 

1,044 

1,671  f 

1,657 

39,555 

Surgical  out-patients  treated  in  the  accident  room,  not  classified  elsewhere 


Total 


1,068 


40,623 


I 


City  Hospital 


13 


Applicants  examined  for  Admission  during  the  Year. 


Year. 

Month. 

Number 

examined. 

Number 

admitted. 

Number  not 
admitted. 

1882. 

May . 

515 

380 

135 

June . 

495 

336 

159 

July . 

512 

384 

128 

August . 

514 

384 

130 

September . 

480 

342 

138 

October . 

458 

339 

119 

November . 

424 

311 

113 

December . 

447 

332 

115 

1883. 

January  . 

549 

430 

119 

February  . 

455 

347 

108 

March . 

594 

440 

154 

April . 

548 

398 

150 

Total . 

5,991 

4,423 

1,568 

Applicants  not  Admitted. 


Cause  of  rejection. 

May. 

June. 

July. 

August. 

September. 

October. 

November. 

December. 

January. 

February. 

March. 

April. 

Total. 

For  want  of  accommodation, 

6 

3 

2 

1 

4 

5 

6 

5 

11 

1 

10 

12 

72 

Referred  to  out-patient  de¬ 
partments  . 

37 

54 

40 

45 

47 

42 

25 

29 

25 

26 

32 

35 

437 

Non-resident . 

19 

17 

6 

2 

2 

8 

13 

14 

25 

18 

22 

15 

161 

Visited,  but  changed  their 
minds . 

1 

4 

1 

1 

3 

4 

1 

2 

1 

1 

2 

21 

Absent  from  home  when 
called  upon  .  . . 

1 

3 

1 

4 

1 

3 

1 

1 

1 

1 

4 

21 

Chronic  and  incurable  .  .  . 

25 

31 

26 

34 

31 

24 

24 

21 

20 

29 

37 

35 

337 

Delirium  Tremens  and  Al¬ 
coholism  . 

15 

11 

20 

17 

16 

11 

17 

13 

8 

6 

18 

14 

166 

Venereal . 

18 

20 

12 

12 

20 

15 

10 

14 

9 

9 

9 

15 

163 

Pregnant  . 

2 

4 

2 

3 

8 

6 

•  • 

4 

•  • 

3 

3 

3 

38 

Malingerers . 

6 

3 

5 

2 

2 

1 

3 

3 

8 

5 

5 

2 

45 

Miscellaneous . 

4 

7 

6 

6 

6 

2 

4 

6 

7 

7 

10 

7 

72 

Insane  . 

1 

1 

4 

•  • 

1 

•  • 

1 

1 

1 

1 

•  • 

5 

16 

Under  age . 

1 

4 

•  • 

3 

•  • 

1 

3 

3 

2 

1 

•  • 

1 

19 

Total . 

135 

159 

128 

130 

138 

119 

113 

115 

119 

108 

154 

150 

1,568 

14 


City  Document  No.  104. 


Statistical  Statement. 


Applicants  for  admission  . 

Admitted  of  the  above  .  .  .  .  . 

Patients  accidentally  injured  .  .  .  . 

Patients  in  the  Hospital,  May  1,  1882  . 

Total  number  in  Hospital  during  the  year  . 

Total  number,  including  out-patients,  treated  dur¬ 
ing  the  year  .  .  .  .  .  .  %  . 

Discharged,  including  deaths  .  .  .  . 

Daily  average  number  in  Hospital 
Largest  number  at  any  time  in  Hospital 
Smallest  number  at  any  time  in  Hospital 
Average  time  of  remaining  in  hospital  (days) 


5,991 

4,423 

666 

279 

4,702 

17,944 

4,421 

286 

341 

241 

22.17 


Recapitulation. 

Medical  patients  admitted  . 

Surgical  “  “ 

Ophthalmic  “  “ 

Total  . 


2,551 

1,798 

74 


4,423 


Employment  of  Patients  Admitted  during  the  Year. 


Males. 


Actors .  3 

Artists .  3 

Apprentices .  8 

Auctioneer .  1 

Butchers .  15 

Boiler-makers .  11 

Bricklayers .  8 

Butcher-boy .  1 

Boatman .  1 

Blacksmiths .  36 

Bleacher  .  1 

Bartenders .  28 

Basket-maker .  1 

Book-keepers .  8 

Bootblack .  1 

Bakers .  25 

Barbers .  16 

Bookbinder .  1 

Banker .  1 

Box-makers .  2 

Brewers .  9 

Brass  finishers  .  3 

Brush-makers .  3 

Brickmakers  .  1 

Base-ball  player .  1 

Boot-makers  .  3 

Billiard-maker  .  1 

Carried  forward  .  192 


Brought  forward .  192 

Blanket-maker  .  1 

Bridge-builder  .  1 

Boxer  .  1 

Civil  engineers  .  3 

Coachmen  .  15 

Car-drivers .  3 

Clerks .  86 

Carpenters  . .  117 

Cash-boys  .  5 

Carriage-makers  .  2 

Coal-dealers  .  4 

Confectioners .  3 

Car-manufacturers  .  2 

Carriage-smith .  1 

Conductors .  15 

Circus-follower .  1 

Chair-maker  .  1 

Crockery-dealer .  1 

Cap-makers .  2 

Coopers  .  10 

Cigar-makers .  9 

Curriers  .  18 

Compositors  .  4 

Commercial  travellers .  20 

Cabinet-makers .  19 

Clothes-dealer  .  1 

Cashiers  . 2 

Crimper  .  1 


Carried  forward  .  540 


City  Hospital 


15 


Brought  forward .  540 

Coal-heaver  .  1 

Carriage-washers  .  3 

Collector .  1 

Chain-maker  .  1 

Carpet-layer  .  1 

Caulkers .  2 

Custom  House  officer  .  1 

Curtain-maker  .  1 

Druggists .  7 

Designers  .  2 

Domestics  .  26 

Dry-goods  .  1 

Dyers  .  3 

Die-cutter  .  1 

Engineers  .  11 

Editor  .  1 

Elevator-boys .  7 

Errand-boys  .  14 

Expressmen  .  4 

Farmers  .  29 

Factory-operators .  3 

Foundry-men .  4 

Fish-canner .  1 

Fishermen  .  19 

Fish-dealers  .  3 

Fruit-dealers .  G 

Flax-dresser  .  1 

Firemen  .  26 

Finishers .  3 

File-cutter  .  1 

Flagman .  1 

Florists  .  12 

Firework-maker .  1 

Gas-fitters  .  8 

Gilders .  2 

Grocers .  6 

Glass-makers .  5 

Hostlers  . 37 

Hoop-skirt  maker .  1 

Hairdresser .  1 

Horse-dealer  . » .  1 

Hotel-business .  1 

Harness-makers .  9 

Hatters .  4 

Horse-jockeys .  2 

Hardware .  1 

Hack-drivers .  5 

Iron-workers .  8 

Inventors .  3 

Interpreter .  1 

Instrument-maker .  1 

Junk-dealers . „ .  8 

Jewellers .  4 

Joiner .  1 

Janitors .  7 

Journalist .  1 

Laborers .  687 

Locksmiths .  2 

Landlord .  1 

Longshoremen .  60 

Lithographers .  4 


Brought  forward . 

Lamplighters . 

Liquor-dealers  . - . 

Loom-fixer . 

Leather-dressers  . 

Lead-worker . 

Lawyers  . 

Laundry-men . 

Millwright . 

Machinists  . 

Mill-hands  . 

Merchants  . 

Miner  . . 

Masons . 

Moulders . . . 

Milkmen . . 

Musicians  . 

Marble-workers . . 

Manufacturer . . 

Morocco-dresser  . 

Newsboys  . 

Net-maker  . 

Nurses . 

No  occupation . 

Oyster-opener . 

Office-boys . 

Overseers . . 

Oil-pressman . 

Polishers . , . 

Plumbers . 

Printers . 

Piano-forte  makers . 

Peddlers  . 

Physicians  . 

Provision-dealers  . 

Packers . 

Pressmen . 

Painters . 

Porters . 

Pressers  of  clothing . 

Pile-drivers . 

Police  officers  . 

Powder-maker  . 

Photographers  . 

Plasterers  . 

Potters . 

Page . 

Puddler . 

Riggers  . 

Rope-makers  . 

Roofers  . . . 

Reporter . 

Riveter . 

Rolling-mills  . 

Rattan-worker  . 

Rubber-workers . 

Real  estate  brokers  . 

Restaurant-keepers  . 

Students . 

Seamen . 

Sewing-machine  operator  .  • . . 
Slaters  . 


1,609 

2 

4 

1 

3 
1 

15 

2 

2 

45 

6 

6 

1 

22 

14 

4 

3 

4 
1 
1 
2 
1 
9 

110 

1 

5 

4 
1 

33 

17 

14 

5 

33 

6 
7 

10 

5 

64 

21 

3 

o 

O 

2 

1 

3 

13 

2 

1 

1 

5 

O 

7 

1 

1 

1 

1 

10 

3 
2 

6 
91 

1 

4 


Carried  forward 


1,609 


Carried  forward 


2,261 


16 


City  Document  No.  104 


Brought  forward . 2,2G1 

Sugar- refiners  .  3 

Shoemakers  .  41 

Soldier .  1 

Sawyers  .  15 

Saw-filer .  1 

Scholars .  97 

Seissors-grinder .  1 

Stewards .  8 

Spinners .  4 

Stevedores  .  4 

Sail-makers  .  2 

Stone-cutters .  25 

Ship-carpenters .  9 

Silversmith .  1 

Sausage-maker  .  1 

Showmen  .  2 

Silver-plater .  1 

Ship-joiner .  1 

Steam-gauge  manufacturer....  1 

Stove-fitter .  1 

Store-keepers .  3 

Section  hands .  2 

Stable-keepers  .  2 

Shooting-gallery  .  1 

Submarine  diver  .  1 

Steam-fitters  .  2 

Tailors .  46 

Train-men  . 13 

Teacher .  1 

Teamsters .  110 

Trunk-makers  .  3 

Telegraph  boys .  3 

Truss-maker  .  1 

Traders  .  3 

Tinsmiths .  10 

Telegraph  operator .  1 

Tire  man .  1 

Unknown .  67 

Upholsterers  .  13 

Undertaker .  1 

Varnishers .  2 

Waiters  .  32 

Weavers .  5 

Wire-worker .  1 


Carried  forward . 2,804 


Nativity  of  Patients 


Boston .  865 

Other  towns  in  Massachusetts..  301 

Maine  .  200 

New  Hampshire .  80 

Vermont .  25 

Rhode  Island .  17 

Connecticut .  24 

Middle  Atlantic  States .  149 

Southern  States .  14 

Central  States .  22 

Pacific  States .  4 

British  Provinces .  435 


Brought  forward .  2,804 

Watchmaker  . .  1 

Wood-workers .  10 

Watchmen .  6 

Wheelwrights .  5 

Wool-sorters  .  2 


Total  .  2,828 

Females. 

Cooks  .  50 

Compositor .  1 

Clairvoyant .  1 

Domestics  .  714 

Dressmakers  .  28 

Editress  .  1 

Factory  operators .  3 

Housekeepers .  119 

Housewives .  187 

Hairdressers  .  2 

Laundresses .  67 

Librarian .  1 

Landlady .  1 

Lace-worker  .  1 

Milliners .  4 

Nurses .  45 

No  occupation .  133 

Nursery-maids  .  4 

Paper-ruler .  1 

Proof-reader  . 1 

Rubber-workers .  4 

Rag-pickers .  4 

Shop-girls .  9 

School-girls  .  53 

Students .  15 

Seamstresses .  65 

Saleswomen .  4 

Tailoresses .  16 

Teachers .  5 

Unknown .  35 

Upholstress .  1 

Weavers .  4 

Waitresses .  15 

Wool-sorter .  1 


Total . 1,595 


DURING  THE  YEAR. 


West  Indies .  4 

England  .  229 

Ireland  . 1,542 

Germany  . .  121 

France  .  6 

Scotland  .  66 

Italy .  15 

Sweden .  59 

Norway  .  27 

Spain  .  2 


Carried  forward . 4,19S 


City  Hospital. 


17 


Brought  forward . 4,198 

Denmark .  12 

Prussia  .  4 

Wales .  8 

Belgium .  1 

Newfoundland  .  36 

Labrador .  1 

Austria . .  ....  6 

Finland .  4 

Western  Islands .  14 

South  America  . .  1 

Russia  .  17 

Portugal .  7 

Switzerland  .  7 


Poland .  14 

District  of  Columbia .  2 

China .  1 

Cuba .  1 

Egypt .  1 

Greece .  5 

Hungary  .  3 

Heligoland  .  1 

Sicily .  2 

At  Sea .  3 

Unknown .  74 


Total . 4,423 


Condition  of  Patients  Discharged. 


Well . 1,792 

Relieved . 1,915 

Not  relieved .  145 

Not  treated .  92 


Died  .... 
Eloped  . . 

Total 


473 

6 

4,423 


Ages  of  Patients  Admitted  during  the  Year. 


Males. 


Under  12  months .  12 

From  1  to  5  years .  40 

“  5  to  10  67 

“  10  to  20  288 

“  20  to  30  . -847 

“  30  to  40  .  648 

“  40  to  50  .  414 

“  50  to  60  .  274 

“  60  to  70  .  142 

“  70  to  80  .  43 

“  80  to  90  .  9 

Unknown . 44 


Total . 2,828 


Females. 


Under  12  months .  8 

From  1  to  5  years  .  26 

“  5  to  10  .  52 

“  10  to  20  .  195 

“  20  to  30  .  521 

“  30  to  40  .  312 

“  40  to  50  .  205 

“  50  to  60  .  131 

“  60  to  70  .  91 

“  70  to  80  . .  .  27 

“  80  to  90  .  4 

Unknown .  23 


Total . 1,595 


Civil  Condition. 


Males. 


Married .  963 

Single  . 1,573 

Widowers .  250 

Unknown .  42 


Total . 2,828 


Females. 


Married .  496 

Single .  778 

Widows .  308 

Unknown .  13 


Total . 1,595 


The  number  of  patients  admitted  with  accidental  injuries 
was  666  ;  and  of  all  patients  treated  in  the  Hospital  149  died 
within  forty-eight  hours  after  admission. 


18 


City  Document  No.  104. 


Number  of  Patients  treated  each  Year, 

AND 

Rate  of 

Mortality. 

No.  of  patients 

Rate  of 

treated. 

Died. 

mortality. 

1864, 

7  months,  ending  Dec.  31 

475 

47 

.099 

1865, 

year 

ending 

Dec.  31 

1,167 

97 

.083 

1866, 

t  i 

« i 

t  i 

•  * 

1,549 

123 

.080 

1867, 

i  i 

i  ( 

i  i 

•  • 

1,697 

146 

.086 

1868, 

i  i 

i  <. 

i  i 

•  • 

2,219 

163 

.073 

1870, 

16  months,  ending  April  30, 

3,235 

246 

.076 

1871, 

year 

ending 

April  30  . 

2,569 

215 

.083 

1872, 

;  t  - 

( i 

t  i 

•  • 

3,054 

247 

.080 

1873, 

( i 

i  i 

t  i 

•  • 

3,527 

351 

,099 

1874, 

i  i 

i  i 

i  t 

•  • 

3,435 

282 

.082 

1875, 

i  i 

i  6 

i  i 

•  • 

3,662 

291 

.079 

1876, 

i  i 

l  i 

i  i 

•  9 

3,421 

290 

.084 

1877, 

i  i 

i  i 

i  i 

9  9 

3,843 

287 

.074 

1878, 

i  i 

i  i 

i  i 

9  9 

4,334 

311 

.071 

1879, 

i  t 

i  i 

i  i 

9  9 

4,631 

347 

.074 

1880, 

i  i 

4  i 

t  i 

9  9 

4,298 

401 

.093 

1881, 

i  i 

i  i 

i  i 

9  9 

4,707 

421 

.089 

1882, 

i  i 

(  i 

i  i 

9  9 

4,382 

415 

.094 

1883, 

i  t 

i  i 

i  i 

9  9 

4,702 

473 

.100 

Disbursements  from  May  1,  1882,  to  April  30,  1883. 


Articles. 

Quantity. 

« 

Cost. 

Average  Price. 

Beef . 

98,187  lbs. 

$10,590  55 

10|  c.  per  lb. 

Mutton  and  Lamb  .  .  . 

21,400  “ 

2,539  93 

113 

<  it 

Yeal . 

4,986  “ 

565  69 

m 

i  it 

Fowls . 

24,014  “ 

4,965  13 

20! 

i  it 

Pork  and  Hams . 

8,703  “ 

1,121  75 

123 

i  it 

Lard . 

2,439  “ 

304  65 

121 

t  it 

Butter . 

18,783  “ 

6,089  75 

321 

t  it 

Cheese . 

2,224  “ 

319  89 

143 

t  it 

Eggs . 

f  0  r 

15,208  doz. 

4,115  88 

m 

*  doz. 

Milk . 

25,632  cans. 

8,881  30 

341 

4  can. 

Flour . 

554  bbls. 

4,369  75 

$7  88 

4  bbl. 

Water . 

1,413,267  ft. 

2,254  88 

15  c. 

4  hund.  ft 

Ice . 

649  tons. 

1,170  75 

18  03 

4  ton. 

Coal . 

9  8  5  0  << 

12,489  40 

5  96 

<  <  t 

Carried  forward  .  . 

$59,778  30 

City  Hospital. 


19 


Disbursements.  —  Continued. 


Articles. 


Brought  forward . 

Vegetables . 

Fish . . . 

Groceries . 

Liquors  . 

Ale,  Porter,  and  Cider . 

Alcohol  . 

Medical  Supplies . 

Compress  and  Bandage . 

Surgical  Instruments . 

Salaries  and  Labor . 

"Wood  and  Charcoal . 

Stable,  Repairs,  Harnesses  and  Vehicles . 

Gas . 

Printing  and  Annual  Reports . 

Stationery . 

Furnishing . 

Dry  Goods . 

t 

Painting . 

Repairs  on  Buildings . 

Grounds . 

New  Fixtures . 

Medical  Library . 

Telephone  Rentals,  Repairs,  and  Service . 

Watering  Streets . 

Miscellaneous  and  Advertising . 

Fire  Extinguishers . 

Total  expenditure  in  maintaining  the  Hospital  from 
May  1,  1S82,  to  April  30,  1883  . 

New  Furniture . 

Ambulance  Service . 

Tents . 

Quinquennial  Report . 

Expenses  incurred  in  ascertaining  settlements  of 
patients . 


Cost. 

$59,778 

30 

5,149 

40 

1,701 

76 

7,692 

50 

2,082 

09 

538 

40 

721 

48 

5,189 

29 

4,194 

56 

881 

90 

35,271 

05 

195 

00 

1,388 

20 

5,525 

51 

1,164 

38 

820 

29 

2,478 

66 

1,050 

90 

1,998 

68 

4,779 

3S 

793 

29 

1,322 

07 

161 

08 

435 

98 

120 

00 

230 

42 

300 

00 

$145,965 

57 

786 

78 

422 

84 

458 

29 

758 

87 

1,318 

50 

$149,710 

85 

» 


Carried  forward 


20 


City  Document  No.  104. 


Disbursements.  —  Concluded. 


Articles. 


Cost. 


Brought  forward . 

$149,710  85 

Beds  and  Bedding . 

2,788  42 

Total  Expenditures . 

$152,499  27 

Stock  on  Hand,  May  1,  1882. 

General  Supplies . . 

$1,600  00 

Medical  Supplies . 

1,740  00 

Liquors  . . .  .  .  . 

615  00 

$4,045  00 

Deduct. 

Cr. 

$156,544  27 

Stock  on  Hand,  April  30,1883. 

General  Supplies  .  . . 

$1,125  00 

Medical  Supplies . 

1,842  00 

Liquors . . 

380  00 

$3,347  00 

*  Furniture,  Beds,  and  Bedding . .  . 

$3,575  20 

Ambulance  Service  . . 

422  84 

Tents . ...... 

458  20 

Quinquennial  Report . 

758  87 

Settlement  Expenses . .  . 

1,318  00 

Income  of  Paying  Patients  ......... 

13,504  44 

Sale  of  Old  Material . 

147  50 

Fire  Extinguishers  • . 

300  00 

Net  cost  of  maintaining  Hospital  from  May 
April  30, 1883  . .  . 

1,  1882,  to 

23,832  14 

$132,712  13 

The  foregoing  statistics  show  that  the  total  expenditure 
during  the  past  year  has  been  $152,499.27.  This  sum  is 
reduced  to  $145,965.57  by  deducting  from  the  total  expendi¬ 
ture  the  cost  of  tents,  quinquennial  report,  new  beds  and 
bedding,  new  furniture,  expenses  incurred  in  tracing  settle¬ 
ment  of  patients,  which  are  not  chargeable  to  the  current 
expenses  of  the  Hospital.  This  amount  includes  every  ex¬ 
penditure,  and  gives  a  cost  of  $9.80  per  week  for  each 


City  Hospital. 


21 


patient.  If,  also,  we  allow  for  the  difference  in  stock  in  the 
beginning  and  close  of  the  year,  the  income  from  paying  pa¬ 
tients,  sale  of  old  material,  and  income  from  trust  fund,  we 
have  as  a  net  cost  to  the  city  of  running  the  Hospital  $132,- 
712.13,  or,  per  capita  for  each  patient  treated  during  the 
year,  $8.91  per  week. 

The  income  from  paying  patients  has  been  $13,504.44, — 
an  increase  of  $273.15  over  last  year. 

The  largest  number  of  patients  at  any  one  time  was  341 
against  336  last  year ;  the  smallest  number  was  241  against 
230  last  year.  The  daily  average  was  286  against  282  last 
year.  The  whole  number  under  treatment  was  319  more 
than  last  year,  and  the  average  stay  of  each  patient  was  1.08 
days  more  than  last  year. 

The  number  of  patients  admitted  with  accidental  injuries 
was  666,  a  considerable  increase  from  the  previous  year.  Of 
all  patients  admitted,  149  died  within  48  hours  after  admis¬ 
sion,  which  is  10  more  than  last  year.  The  rate  of  mortality 
was  10  per  cent.  If  from  the  total  number  of  deaths  we 
deduct  those  brought  to  the  Hospital  in  a  dying  condition, 
the  annual  mortality  is  reduced  from  .10  to  .07. 

As  will  be  seen  by  the  statistics  the  benefits  of  the  Hospital 
have  been  received  by  17,944  persons,  —  a  number  consider¬ 
ably  larger  than  any  previous  year. 

While  the  total  number  each  year  increases,  the  number  of 
available  beds  remains  the  same,  and,  as  a  consequence, 
the  stay  of  each  patient  is  shortened.  The  character  of  the 
cases  admitted  is  more  serious  or  acute,  and  the  intent  of  the 
founders  of  the  Hospital  is  more  nearly  met,  —  “  that  the  City 
Hospital  be  used  for  the  care  and  relief,  during  temporary 
sickness,  of  those  of  its  residents  who  are  afflicted  by  accident 
or  acute  disease.” 

No  special  event  is  to  be  chronicled  in  the  history  of  the 
year.  Various  improvements  of  a  minor  character  have  been 
made,  and  much  has  been  done  to  keep  in  as  good  repair,  as 
our  resources  would  allow,  all  parts  of  the  building,  which 
suffer  great  wear  and  tear  from  the  character  of  the  work  and 
the  occupants. 

The  Training-School  for  Nurses,  now  in  its  sixth 
year,  continues  its  good  work  with  the  sick.  The 
standard  of  62  nurses  has  been  found  sufficient  at  most 
times  to  meet  the  requirements  of  nursing,  and  has 
been  followed  by  a  marked  decrease  in  the  amount  of  ill- 
health  and  sickness.  Most  of  the  sickness  has  been  of  a 
nature  not  attributable  to  undue  strain,  as  was  conspicuous  in 
the  two  previous  years,  but  to  other  causes. 

During  the  past  year  14  pupils  have  finished  the  required 


22 


City  Document  No.  104. 


»  \ 

course,  and  received  diplomas.  There  are  now  1  night 
supervisor  of  nurses,  1  housekeeper,  3  head-nurses,  —  all 
graduates  of  our  own  school  ;  11  senior  pupils,  acting  head- 
nurses  ;  43  assistant  nurses  who  are  pupils,  and  3  proba¬ 
tioners.  Since  the  date  of  the  last  report  35  have  entered, 
and  35  have  left  the  school ;  14  of  the  latter  were  graduates 
of  this  year’s  class,  and  4  of  previous  classes;  5  were  per¬ 
mitted  to  resign  on  account  of  lack  of  health  or  strength  ;  6 
were  probation  nurses,  who  were  rejected  or  left  voluntarily 
at  the  end  of  the  trial  month ;  3  on  account  of  claims  of 
kindred,  and  3  were  discharged  for  cause. 

The  course  of  instruction  has  been  increased  and  improved 
in  many  ways,  and  the  value  of  hospital  work  as  an  educator 
has  been  more  apparent  this,  than  any  previous  year.  The 
graduating  class  has  received  24  lessons  in  sick-room 
cookery  at  the  Boston  Cooking  School.  Eighty-seven  lessons 
in  massage  have  been  given  to  small  classes.  The  Training 
School  Superintendent  has  given  197  class  recitations,  and  4 
examinations  have  been  made  by  the  Staff. 

The  following  lectures  have  been  given  to  the  school  by 
members  of  the  Medical  Staff :  — 


4  by 

Dr. 

Bolles,  on 

the  Administering  of  Medicines. 

5 

i  i 

Gay, 

Surgical  Dressings  and  Appli¬ 
ances. 

5 

<  < 

i  l 

Gannett, 

Anatomy. 

6 

t  i 

( i 

Lyman, 

Gynaecological  Nursing. 

3 

i  i 

( ( 

Edes, 

Physiology  and  Food. 

2 

i  i 

t  i 

Rotch, 

Diseases  of  Children. 

1 

i  i 

i  i 

Cheever, 

Before  and  after  Surgical  Opera¬ 
tions. 

2 

<  i 

i i 

Doe, 

Obstetrical  Nursing. 

1 

i  t 

( ( 

Wadsworth, 

Diseases  of  the  Eye. 

1 

t  i 

( ( 

Mason, 

Fever  Nursing. 

1 

i  i 

i  ( 

Draper, 

Arrangement  of  the  Sick-room. 

1 

1 1 

i  i 

Wigglesworth, 

Nursing  in  Skin  Diseases. 

1 

i  t 

( i 

Tilden, 

Syphilis  in  Adult  and  Infants. 

1 

i  t 

^  ( 

Post, 

Nursing  and  Dressings  of  Fract¬ 
ures. 

1 

t  i 

i  i 

Green, 

Diseases  and  care  of  the  Ear. 

In  September  last  the  school  lost  the  valuable  services  of 
Mi  ss  A.  C.  Davis,  who,  after  more  than  three  years’  faithful 
labor,  was  compelled  to  withdraw  on  account  of  overwork. 
She  was  succeeded  by  Miss  Linda  Richards,  the  first  Super¬ 
intendent  of  Nurses  in  the  organization  of  the  Training 
School.  The  Hospital  and  School  have  been  fortunate  in 


City  Hospital. 


23 


securing  one  so  familiar  with  the  work,  and  who  is  so  well 
fitted,  by  experience  and  character,  for  a  most  difficult  and 
trying  office. 

The  friends  of  the  Hospital  have  continued  in  many  ways 
their  kind  offices  and  benefactions  to  the  patients. 

My  sincere  thanks  are  due  to  the  officers  and  employes  for 
their  faithful  services  in  a  work  that  is  always  laborious  and 
often  irksome. 

I  am  under  increased  obligations  to  the  gentlemen  of  the 
Hospital  Staff  for  advice  and  assistance. 

In  presenting  this,  my  Fourth  Annual  Report  to  the 
Trustees,  I  am  deeply  grateful  for  their  renewed  confidence. 

I  have  the  honor  to  be, 

Your  obedient  servant, 

GEO.  H.  M.  ROWE, 

Superintendent  and  Resident  Physician. 


24 


City  Document  No.  104 


REPORT  OF  THE  HOSPITAL  STAFF. 


Medical  Diseases. 

Classified  according  to  the  Nomenclature  of  Diseases ,  as  Published  by  th  e 
Royal  College  of  Physicians  of  London ,  and  American  Medical 

Association. 

From  May  1,  1882,  to  May  1,  1883. 


ADMITTED. 


DISCHARGED. 


DISEASES. 

In  Hospital, 

May  1,  1882. 

Males. 

Females. 

Total. 

Well. 

Relieved. 

Not  Relieved. 

Not  Treated. 

Died. 

Total. 

General  Diseases. 

A. 

19 

14 

33 

23 

1 

1 

25 

Snarl  of.  fever . . . 

3 

14 

14 

28 

26 

1 

3 

30 

2 

2 

2 

2 

2 

2 

Typhoid  fever . . . 

2 

135 

91 

226 

167 

14 

4 

1 

38 

224 

21 

15 

36 

28 

5 

33 

33 

7 

40 

34 

4 

38 

Diphtheria  . 

1 

23 

41 

64 

37 

3 

2 

.... 

20 

62 

7 

32 

40 

72 

6S 

3 

2 

73 

1 

1 

1 

1 

1 

1 

2 

2 

2 

15. 

Acute  rheumatism . 

11 

105 

40 

145 

107 

37 

1 

2 

147 

Snha, elite  rheumatism  . . . 

2 

76 

37 

113 

81 

17 

9S 

Qon^TThceal  rheumatism . 

1 

6 

6 

2 

4 

6 

fivnnvia.l  rheumatism  . . . 

1 

1 

1 

1 

Mil  senior  rheumatism  . 

1 

1 

9 

2 

2 

Clhrnnie  rheumatism  . . 

2 

10 

8 

18 

10 

9 

19 

1 

1 

1 

1 

Carried  forward . 

29 

483 

309 

792 

585 

99 

7 

2 

71 

764 

8 

1 

2 


4 

3 

2 

3 

6 


9 

17 

1 


1 


07 


Remaining 

in  Hospital, 

May  1,  1883. 


City  Hospital.  25 

MEDICAL  DISEASES.  —  Continued. 


DISEASES. 

In  Hospital, 

May  1,  1882. 

ADMITTED. 

DISCHARGED. 

Remaining 

in  Hospital, 

May  1,  1883. 

Males. 

Females. 

Total. 

'o 

Relieved. 

Not  Relieved. 

Not  Treated. 

Died. 

Total. 

Brought  forward . 

29 

483 

309 

792 

585 

99 

7 

2 

71 

7&4 

57 

1 

1 

1 

1 

Syphilis . . . 

3 

3 

4 

1 

1 

2 

4 

•  •••••» 

Sop.ondarv . 

2 

1 

4 

5 

1 

5 

6 

f, 

Tnherenlar  mpninpnt.is  . 

1 

1 

2 

2 

2 

Phthisis  pulraonalis . 

1 

32 

9 

41 

7 

23 

2 

.... 

9 

41 

1 

TT^pmoptysis . T..Tr 

4 

10 

14 

6 

7 

1 

14 

A  onto  miliary  tnhprenlosis . 

1 

1 

1 

1 

Diabetes . . . 

8 

8 

5 

2 

1 

8 

Purpura,  rhenmntiea. . 

1 

1 

1 

1 

. 1 

Simple  . . . 

•  1 

1 

1 

1 

1 

2 

TT  rp.m  orrli  a  in  c. . 

1 

1 

T\  pi  ilcn?  min . 

1 

1 

1 

1 

Anaemia . 

2 

1 

24 

25 

19 

5 

2 

1 

27 

Psendolenkpemia. . 

1 

1 

1 

1 

frftnftral  Hrrmsv . 

1 

1 

1 

1 

r^prphrnl  ftvrVhilift . . . 

1 

1 

2 

Diseases  op  the  Nervous  System. 

• 

Afpninmtis . 

8 

1 

9 

3 

8 

i 

Tumor  of  brain . 

1 

2 

3 

1 

1 

2 

1 

i 

2 

1 

1 

2 

C!on  trpftt inn  of  brain . 

1 

i 

2 

1 

1 

2 

i 

1 

1 

1 

1 

Sunstroke  and  effeets  of . 

10 

i 

11 

6 

3 

2 

11 

Patty  or  cal  ear eons  degeneration  .... 

1 

1 

1 

1 

1 

2 

Cerebral  embolism . 

1 

1 

■t 

1 

Tmpaotion  of  ooagula . 

1 

1 

1 

Capillary  apoplexy  ......... _ _ 

1 

1 

1 

1 

AT pninrrpnl  Vinom  orrli  nerp  . 

i 

1 

1 

1 

Diseases  of  Spinal  Cord  and 

Membranes. 

Spinal  meninedtis . 

1 

1 

1 

1 

Carried  forward . 

37 

566 

368 

934 

634 

u 

4 

101 

906 

65 

26 


City  Document  No.  104 


MEDICAL  DISEASES.  —  Continued. 


DISEASES. 


Brought  forward . 

Myelitis . . . 

Spinal  concussion . 

Spinal  irritation . 

Meningo-myelitis . 

Cerebro-spinal  sclerosis . 

Diseases  of  the  Nerves. 

Hemiplegia . 

Paraplegia .  . 

^Locomotor  ataxy . 

Infantile  paralysis . 

Local  paralysis . 

Neuro-asthenia . 

Neuritis  brachial  plexus . . 

Hystero-epilepsy. . . . 

Aphasia . 


Functional  Diseases  of  Nervous 
System. 


Hyst.  monospasms . 

Infantile  convulsions . 

Epilepsy  (Single  fit) . 

Epilepsy . 

Shaking  palsy . 

Chorea . 

Hysteria . 

Catalepsy . 

Neuralgia  (General) . 

Facial.  Tic  douloureux. 

Hemicrania . 

Sciatica . 

Pleurodynia . 

Lumbago . 


r-T  <M 

d  c© 
—  00 

§,-7 
tt  >> 


37 

2 

1 


55 


ADMITTED. 


oc 

Is 

t-l 


566 

6 

4 

2 


20 

4 

10 

1 

3 

8 

1 


2 

1 

9 

11 

1 

4 


9 

1 

o 

20 

2 

6 


00 

•3 

a 

o 


o 

E-i 


368 

2 


15 

3 


4 

4 
1 

5 

15 

1 

7 


694  447  1141 


934 

8 

4 

2 


35 

** 

1 

10 

] 

3 
17 

1 

1 

1 

2 
1 

13 

15 

2 

9 

15 
1 

16 
1 
2 

27 

4 
7 


<D 

£ 


634 


8 

4 

•  •  • 

4 

15 

1 

9 

2 

6 

1 

3 


DISCHARGED. 


a> 

> 

<u 

73 


154 

7 

4 

1 

1 

2 

20 

4 

9 


2 

12 

1 

1 

1 


18 

2 

4 


a> 

> 

<D 

o 


690  275 


13 

1 


re 

a> 

rt 

O 

H 

o 

£ 


34 


T3 

a) 


101 

1 


10 

1 


o 


906 

9 

4 

2 

1 

3 

34 

6 

11 

1 

2 

17 

1 

1 

1 


2 

1 

13 

16 

1 

11 

17 
1 

18 
1 
2 

28 

3 

7 


117  1120 


65 

1 

1 


4 

1 


1 

1 


1 

1 


78 


Carried  forward 


Remaining 

in  Hospital, 

May  1,  1883. 


City  Hospital 


27 


MEDICAL  DISEASES  Continued. 


ADMITTED. 


DISCHARGED. 


DISEASES. 


ci  co 
tj  00 
eu'-' 

CO  • 

O  ^ 

w  >> 

c  5! 

i— I 


Brought  forward . 

Cephalalgia . 

Intercostal  neuralgia . 

Myalgia . 

Hyperaesthesia . 

Hypochondriasis . 

Vertigo . 

Crural  neuralgia . 

Diseases  of  Intellect. 

Mania . 

Acute . 

Transitory  mania . 

Melancholia . 

Dementia . 

Hysterical  mania . 

Paralysis  of  the  insane . 

Diseases  of  the  Circulatory 
System. 

Diseases  of  the  Heart  and  its 
Membranes. 


55 


2 


1 


Pericarditis . . . 

Valve  disease  . 4*  •  ■ 

Aortic . 

Mitral . 

Dilatation  . 

Fatty  degeneration  . 

Diseases  of  the  Arteries. 

Aneurism,  abdominal . 

Aneurism . 

Diseases  of  the  Veins. 

Phlebitis . 

% 

Phlegmasia  dolens . 


9 


68 


Males. 

Females. 

Total. 

Well. 

Relieved. 

Not  Relieved. 

O) 

a 

o 

EH 

o 

Died. 

Total. 

694 

447 

1141 

690 

275 

34 

4 

117 

1120 

14 

1 

15 

6 

5 

2 

.... 

2 

15 

3 

1 

4 

3 

1 

4 

2 

3 

5 

4 

4 

1 

1 

1 

1 

6 

6 

4 

3 

•  •  •  • 

1 

•  •  •  • 

8 

2 

2 

1 

1 

2 

• 

1 

1 

1 

1 

2 

1 

3 

1 

1 

i 

3 

2 

2 

4 

4 

4 

1 

2 

3 

1 

0 

3 

5 

7 

12 

3 

4 

3 

.... 

i 

11 

1 

2 

3 

2 

2 

3 

3 

1' 

1 

2 

2 

2 

1 

1 

9 

5 

5 

1 

1 

2 

4 

55 

39 

94 

6 

53 

5 

3 

31 

98 

1 

1 

1 

1 

4 

1 

5 

1 

4 

5 

1 

1 

1 

1 

1 

3 

4 

3 

1 

4 

1 

1 

1 

1 

1 

1 

1 

1 

2 

9 

1 

1 

2 

1 

1 

802 

517 

1319 

723 

360 

51 

9 

157 

1300 

78 


1 


2 

1 

1 


1 

5 


89 


Carried  forward 


Remaining 

in  Hospital, 

May  1,  1883. 


28 


City  Document  No.  104 


MEDICAL  DISEASES.  —  Continued. 


ADMITTED. 


» 

DISEASES. 

In  Hospital, 

May  1,  1882. 

Males. 

Females. 

Total. 

Brought  forward . 

68 

802 

517 

1319 

Diseases  op  Respiratory  System. 

1 

1 

Disease  op  Nostrils. 

1 

1 

Diseases  of  Larynx. 

2 

2 

. . . . . . 

1 

1 

1 

1 

Caucer  of  larynx . 

1 

1 

Diseases  of  Trachea  and 

Bronchi. 

Tracheal  polypus . 

1 

1 

'Rrnnc'hitis . . 

7 

7 

14 

Acute . 

2 

19 

21 

40 

15 

7 

22 

Capillary  . 

2 

2 

5 

6 

11 

Ulcer  . . . 

1 

1 

Diseases  of  the  Lung. 

Pneumonia . 

14 

104 

40 

144 

1 

1 

Emphysema . 

1 

12 

5 

17 

Acute  pneumonic  phthisis . 

1 

5 

3 

8 

Chronic  pneumonic  phthisis . 

9 

82 

44 

126 

Diseases  of  the  Pleura. 

Pleurisy . 

6 

51 

13 

64 

Chronic  pleurisy . 

5 

.... 

5 

Empyema  . 

3 

5 

1 

6 

Pncumo-hydrothorax  . 

2 

2 

Pneumothorax . 

1 

2 

2 

Pyo-pneumo-thorax . 

1 

1 

Carried  forward . 

105 

1125 

s  1 

668  1793 

DISCHARGED. 

Remaining 

in  Hospital, 

May  1,  1883. 

Well. 

Relieved. 

Not  Relieved. 

Not  Treated. 

Died. 

Total. 

723 

360 

51 

9 

157 

1300 

89 

1 

1 

1 

1 

1 

1 

2 

1 

1 

1 

1 

1 

1 

4 

1 

6 

1 

14 

31 

8 

1 

40 

2 

4 

17 

1 

22 

2 

2 

3 

6 

1 

.... 

1 

ii 

1 

i 

71 

20 

1 

1 

48 

141 

17 

1 

1 

4 

9 

.  .  .  . 

1 

3 

17 

1 

2 

5 

2 

9 

O 

83 

11 

3 

23 

122 

13 

30 

31 

4 

2 

67 

3 

o 

1 

3 

2 

1 

4 

3 

8 

1 

1 

1 

2 

.  .  .  . 

1 

1 

1 

3 

1 

1  884 

553 

71 

15 

248 

1771 

129 

City  Hospital 


29 


MEDICAL  DISEASES.  —  Continued. 


ADMITTED. 


DISCHARGED. 


DISEASES. 

9 

In  Hospital, 

May  1,  1882. 

Males. 

Females. 

Total. 

Well. 

Relieved. 

Not  Relieved. 

Not  Treated. 

Died. 

Total. 

Brought  forivard . 

105 

1125 

668 

1793 

884 

553 

71 

15 

248 

1771 

Diseases  of  the  Fauces  and 

Palate. 

Gastrodynia . 

2 

1 

3 

2 

1 

3 

Tonsililis . 

2 

22 

'  30 

52 

50 

3 

53 

A hsepss  of  tonsil  . 

4 

4 

8 

7 

1 

8 

Diseases  of  the  Pharynx. 

Pharyngitis  . . 

3 

3 

6 

0 

Stricture  of  oesophagus  . 

2 

2 

1 

1 

2 

Diseases  of  the  Stomach. 

Gastritis . 

1 

4 

5 

3 

2 

a 

Chronic  ulcer  . . . . 

1 

1 

1 

i 

Dyspepsia . 

10 

15 

25 

8 

12 

1 

21 

Gastric  dilatation  . 

1 

1 

1 

1 

Hanna  tern  esis . 

4 

1 

5 

1 

3 

1 

ft 

Gastro-duodenitis  . . . . 

1 

1 

5 

6 

5 

2 

7 

Gastric  cancer . 

1 

2 

3 

1 

1 

1 

3 

Diseases  of  the  Intestines. 

Cat.  colitis  . 

1 

1 

1 

i 

Typhlitis  peri . 

2 

2 

1 

Dysentery . 

8 

16 

24 

15 

3 

5 

23 

Tnt.  obstruction  . . 

2 

2 

1 

1 

9 

Diarrhoea . 

2 

16 

11 

27 

19 

4 

3 

1 

1 

28 

Colic  . 

4 

1 

5 

1 

1 

1 

3 

Constipation . 

1 

3 

4 

3 

1 

4. 

Enteritis . 

1 

1 

9 

2 

9 

Ulcer  of  intestine  . 

1 

i 

Diseases  of  the  Liver. 

Abscess  . 

1 

i 

1 

7 

Simple  enlargement . 

1 

l 

1 

7 

Cirrhosis  . 

9 

9 

ii 

7 

1 

3 

ii 

Jaundice  . 

1 

2' 

3 

1 

1 

9 

Carried  forward . 

110 

1220 

774 

1994 

1009 

596 

82 

16 

262 

1965 

129 


1 


4 


1 

1 


1 


1 


1 


141 


Remaining 

in  Hospital, 

May  1,  1883. 


30 


City  Document  No.  104 


MEDICAL  DISEASES.  —  Continued. 


DISEASES. 

In  Hospital, 

May  1,  1882. 

ADMITTED. 

DISCHARGED. 

Males. 

Females. 

Total. 

Well. 

Relieved. 

Not  Relieved. 

Not  Treated. 

Died. 

Total. 

Brought  forward . 

110 

1220 

774 

1994 

1009 

596 

82 

16 

262 

1965 

Carcinoma  ... . . . . . . 

5 

1 

6 

1 

1 

3 

5 

TT vpartrophi n  cirrhosis . . . 

1 

1 

Diseases  of  the  Peritoneum. 

Peritonitis. . . . . . 

1 

*  8 

7 

15 

8 

6 

14 

A  sc, it.es . . . . . 

1 

1 

3 

4 

1 

1 

i 

3 

Diseases  of  Urinary  System. 

Disease  of  Kidney. 

Bright's  kidney . 

1 

1 

2 

1 

i 

2 

Acute . . 

3 

20 

11 

31 

6 

20 

1 

•  •  •  • 

4 

31 

Chronic . 

3 

36 

7 

43 

.... 

26 

1 

2 

17 

46 

Granular  . 

2 

1 

3 

1 

2 

3 

Uraemia . . 

4 

4 

4 

4 

Abscess  (Perinephritic) . 

1 

1 

1 

1 

Pyelitis . 

1 

1 

1 

1 

Hematuria  renalis . 

1 

1 

1 

1 

1 

Renal  calculus . 

1 

1 

1 

1 

Diseases  of  the  Bladder. 

Cystitis . 

2 

3 

5 

1 

4 

5 

Acute  . 

1 

1 

1 

1 

Chronic . 

2 

2 

2 

2 

Incontinence  of  urine . 

1 

1 

1 

1 

Retention  of  urine . 

9 

2 

1 

1 

Diseases  of  Women  of  the 

Ovary. 

Inflammation  . . 

2 

2 

2 

2 

Diseases  of  Broad  Ligament. 

Pelvic  peritonitis . 

1 

8 

8 

5 

2 

1 

8 

Pelvic  cellulitis  . 

2 

23 

23 

11 

10 

21 

Pelvic  abscess  . . 

7 

7 

1 

3 

3 

7 

Abscess . 

1 

1 

1 

1 

Cyst . 

1 

1 

1 

1 

Periuterine  hematocele  . 

1 

1 

1 

1 

Carried  forward . 

123 

1306 

854 

2160 

1051 

667 

86 

20 

305 

2129 

141 

1 

1 

2 

2 


3 


1 


1 


1 

4 


157 


I 


Remaining 

in  Hospital, 

May  1,  1883. 


City  Hospital 


31 


MEDICAL  DISEASES.  —  Continued. 


DISEASES. 

In  Hospital, 

May  1, 1S82. 

ADMITTED. 

DISCHARGED. 

Males. 

Females. 

Total. 

Well. 

Relieved. 

Not  Relieved. 

Not  Treated. 

Died. 

Total. 

Brought  forward . 

123 

1306 

854 

2160 

1051 

667 

86 

20 

305 

2129 

Diseases  of  the  Womb. 

(lafarrli  f  Ppiiporrhopn^ . 

2 

2 

2 

2 

Snhin  volution . 

1 

1 

1 

1 

Carei n om a,  . . . . . . . 

1 

5 

6 

3 

3 

6 

"Epithpliomn, . . . , . T  t r 

6 

6 

4 

1 

5 

Fndo-p.ervieitis  . . 

2 

7 

7 

5 

4 

9 

Laeorated  cerviv . . . 

3 

8 

8 

5 

3 

8 

Fihrnns  tnmnrs . 

3 

3 

2 

1 

3 

1 

1 

1 

1 

Knrlompfritis . ***»*»». 

2 

2 

2 

9 

1 

1 

1 

l 

Displacements :  — 

A  ntpvprfiirm . 

1 

1 

1 

l 

Relroversion . 

1 

8 

8 

4 

4 

1 

9 

A  ntpflovion . 

5 

5 

2 

3 

5 

Rptrnflpxinn . 

3 

3 

2 

1 

3 

Prolrmsn s  . . . 

2 

2 

2 

2 

Tflp.Vnn.rpp.tfll  nhsppfis . 

1 

1 

1 

1 

1 

1 

1 

1 

1 

1 

1 

1 

1 

1 

2 

2 

* 

2 

2 

Puerperal  Rtate . 

1 

3 

3 

4 

4 

Functional  Diseases  of  Women. 

A  m  prmrrhrpn . r  r  T .  .  t  T . 

1 

1 

1 

I 

Dysmenorrhcea . 

4 

4 

3 

1 

•  •  •  • 

•  .  • 

.... 

4 

Mnnnrrlm^in, . T . 

1 

1 

1 

1 

6 

6 

6 

6 

Pregnancy  . 

1 

3 

3 

2 

1 

1 

4 

Afprirmnnsp  . . . 

1 

1 

1 

1 

Vomiting  of  rjrpPTiftnp.v . 

4 

4 

1 

1 

1 

3 

Carried  forward . 

132 

1306 

938 

2244 

1091 

703 

89 

21 

312 

2216 

15T 


1 


3 


1 


1 


163 


Remaining 

in  Hospital, 

May  1,  1883. 


32 


City  Document  No.  104 


MEDICAL  DISEASES].—  Continued. 


DISEASES. 


Brought  forward . 

Diseases  op  Pregnancy. 

Extra-uterine  fcetation . 

Recent  confinement . 

Abortion . 

Premature  labor . 

Labor . 

Retained  placenta . 

Diseases  op  the  Muscular 
System. 

Progressive  muscular  atrophy.... 

Diseases  op  Cellular 
Tissue. 

Cellulitis  . 

Diseases  op  Cutaneous 
System. 

Erythema  . 

Urticaria  (acute) . 

Eczema . 

Zoster . 

Dermatitis . 

Pemphigus  . 

Scleroderma . 

Poisons. 

Metals  and  their  Salts. 

Lead  . 

Colic . 

Palsy . 

Cachexia  . 

Encephalopathy . 

Vegetable  Poisons. 

Opium . 

Opium  habit . 

Aconite . 


ri  $3 
w  CD 

GO  •* 

O  T-H 

a  >> 

c z 
P  ^ 

f-H 


ADMITTED  . 


132 


m 

o 

a 


1306 


134 


to 

o 

Is 

8 

o 

Ph 


938 

1 

1 

8 

4 

1 

1 


03 

o 

H 


2244 

1 
1 
8 
4 
1 
1 


DISCHARGED. 

Well. 

Relieved. 

Not  Relieved. 

Not  Treated. 

Died. 

Total. 

1091 

703 

89 

21 

312 

2216 

1 

1 

1 

1 

8 

8 

4 

4 

1 

1 

1 

1 

2 

2 

1 

* 

1 

1 

1 

1 

1 

3 

2 

5 

1 

1 

1 

1 

1 

1 

1 

1 

5 

5 

2 

5 

7 

1 

1 

2 

1 

1 

1 

1 

7 

1 

1 

1126 

721 

89 

22 

312 

2270 

163 


1 


1 


165 


Carried,  forward 


Remaining 

in  Hospital, 

May  1,  1SS3. 


City  Hospital 


33 


MEDICAL  DISEASES.  —  Continued. 


DISEASES. 


Brought  forward . . 

Abuse  of  alcohol  (alcoholismus) . . . 

Strychnia . 

Ivy  (Rhus  tox) . . 

Poisoning . 

Gaseous  Poisons. 

Coal  gas . 

Unclassified. 

Debility . 

Diagnosis  undetermined . 

Infancy . 

Inanition . 

Ophthalmia  neonatorum . 

Surgical  . . 

Epistaxis  . 

Gonorrhoea . . . 

Laceration  of  perineum . 

Spinal  caries . 

Exophthalmic  goitre . 

Tremor  of  hands . 

Fracture  of  skull . 

Transferred  for  surgical  treatment. 

No  disease . 

Parasitic  (intestinal) . 

Lymphangitis . 

Lateral  sclerosis . 

Anterior  poliomyelitis . 

Unilateral  spasm . 


Iritis. 


Podalgia . 


Talipes  valgus 


~Z  <M 

5  CO 

a  oo 

an  „ 
O 

K  >> 

_  e« 
G  WH 

f— 1 1*3 


134 


ADMITTED. 


u 

&> 

c3 


143 


1333 

29 


34 

8 

5 

1 

1 

8 

1 

2 


00 

O 

•a 

3 

V 


965 

13 

1 


54 

4 

5 


o 

Eh 


11 


1444  1075 


2298 

42 

1 

1 

1 


88 

12 

10 

1 

1 

16 

1 

3 

6 

2 

2 

1 

1 

3 

18 

2 

1 

1 

1 

1 

2 

1 

1 


£ 


1126 

27 

1 

1 

1 


46 

1 

8 


12 


2519  1228 


DISCHARGED. 


X) 

o 

Cj 

”3 


721 

13 


36 

3 

1 

1 

1 

7 


798 


T3 

V 

> 

a 

» i~H 

13 

o 

5zi 


89 


T3 

O 

-4-> 

c3 

O 

u 

H 

+3 

O 


104 


22 


xs 


312 

1 


cS 

o 


36  323 


2270 

42 

1 

1 

1 


89 

12 

10 

1 

1 

15 

1 

3 
6 

4 
2 
1 
1 
3 

19 

2 

1 

1 

1 

1 

1 

1 

1 


2489 


165 


173 


Carried  forward 


Remaining 

in  Hospital, 

May  1,  1883. 


34 


City  Document  No.  104 


MEDICAL  DISEASES.  —  Concluded. 


DISEASES. 

In  Hospital, 

May  1,  1882. 

ADMITTED. 

DISCHARGED. 

Remaining 

in  Hospital, 

May  1,  1883. 

Males. 

Females. 

Total. 

Well. 

Relieved. 

Not  Relieved. 

Not  Treated. 

Died. 

Total. 

Brought  forward . 

143 

1444 

1075 

2519 

1228 

798 

104 

36 

323 

2489 

173 

V  rI  gn  Rf . . . . . 

1 

1 

1 

Rnmninn.!  incminal  gdanda  . . 

1 

1 

1 

1 

Adenitis . . 

1 

1 

1 

1 

Svrirtvifis*  non  to . . . . 

1 

1 

2 

1 

1 

2 

Chronie. . . 

1 

1 

1 

1 

Enteral  cna . . . . 

1 

2 

3 

1 

2 

3 

Catnraet,  . . 

1 

1 

2 

1 

1 

2 

Chronie  nlner  of  \pp . . 

1 

1 

1 

Abdominal  tnmnr  ................... 

1 

i 

1 

1 

Poisoned  wound  . . . 

1 

i 

1 

1 

'N'n  disease  . . . 

1 

i 

1 

1 

Heat,  prostration . 

1 

i 

1 

1 

Delirium  tremens . . . 

2 

2 

1 

1 

2 

Tertiary  syphilis . . 

2 

2 

2 

2 

A  hseess . . . . 

1 

1 

1 

1 

Ei ssn res  of  anus  . 

1 

1 

1 

1 

Internal  haemorrhoids . 

1 

1 

1 

1 

Total . 

144 

1457 

1084 

2541 

1235 

808 

106 

38 

324 

2511 

174 

City  Hospital 


35 


Surgical  Diseases. 


DISEASES. 


General  Diseases. 

Diphtheria . 

Phagedsena . 

Erysipelas . 

Simple . 

Phlegmonous . 


Diffuse  inflammation  of  cellular 
tissue  . 


Haematopliilia . 

Pyaemia . 

Chronic  osteo-arthritis . 

Syphilis . 

Primary . 

Secondary  . 

Tertiary . . . . 

Hard  chancre . 

Soft  chancre . 

Bubo  (hard  or  suppurating)  . . 

Cancer  . 

Epithelial . 

Melanotic . 

Sarcoma . 

Non-Malignant  Tumors. 

Adenoma . 

Fatty . . 

Glandular . 

Haematoma . 

Myxoma . 

Cysto-sarcoma . . 

Lupus  . 


rt 

OO 

•g  co 

P-trH 
o  TH 

W  >> 

53 


ADMITTED. 


oo 

A 

"ca 


5 

3 

11 

1 

1 

1 

3 

4 

1 

5 
2 
2 

4 

2 


oo 

« 

'3 

a 

u 


7  65  43 


2 

1 

11 

1 


rt 

o 


.  7 

4 

22 

2 

1 

1 

3 

5 

1 

8 

5 
2 

6 
2 
1 

12 

2 


DISCHARGED. 


OJ 

£ 


108 


1 

2 

13 

1 


n 

<D 

> 

13 

P5 


30 


■u  p* 

o  .2 
P? 


o  a 

*  S2 

H 


52 


<n 


18 


c3 

O 


22 

1 

1 

1 

3 
8 

1 

7 

4 
1 
6 
2 
1 

13 

2 

7 

1 

4 

1 

3 
1 
1 

4 


106 


1 

1 


Carried  foncard 


Remaining 

in  Hospital, 

April  30,  1883. 


36 


City  Document  No.  104. 


SURGICAL  DISEASES  —  Continued. 


DISEASES. 


Brought  forward 


Diseases  of  the  Brain  and  its 
Membranes. 


Meningitis . 

Diseases  of  the  cerebral  arteries. 
Embolism . 

Diseases  of  the  Nerves. 

Neuroma . .  . 

Paraplegia  . . 


Functional  Diseases  of  Ner¬ 
vous  System. 


Tetanus . 

Neuralgia . i . 

Tic  douloureux . 

Sciatica . 

Diseases  of  the  Ear. 

Disease  of  mastoid  cells . 

Necrosis  of  petrous  bone . 

Disease  labyrinth . 

Polypus. . . 

Acute  Inflam.  mid.  ear . 

Chronic  Inflam.  mid.  ear . 

Disease  of  Eye. 

Wound  cornea . 

Diseases  of  the  Nose. 

Epistaxis . 

Scrofulous  inflammation . 

Diseases  of  the  Arteries. 

Aneurism . 

Diseases  of  the  Veins. 

Phlebitis  . . 

Adhesive . . 

Suppurative . . 


Carried  forward 


-2  ^ 

w  GO 

.tJ  CO 

p.1-1 

Cd  ~ 

O  rH 

a  >> 

c3 

52 


ADMITTED. 


2 


65 


0Q 

O) 

a 

o 


43 


c3 

o 


108 


DISCHARGED. 


1  1 
1 

5 
2 


11 


93 


55 


30 


148 


T3 

> 

0> 

o 


i, 

O  >  I  " 

«  1  O  « 

a>  u 

a ' 


52 


38 


71 


4!  2 


t3 


O 

E-* 


18 


106 


26 


2 . 

4  1 

1 . 

9 . 

5  1 
1 


145 


•  •  •  •  • 


14 


Remaining 

in  Hospital, 

April  30, 1883. 


City  Hospital 


37 


SURGICAL  DISEASES.  —  Continued. 


DISEASES. 

In  Hospital, 

May  1,  1882. 

admitted. 

DISCHARGED. 

TO 

O 

n 

£ 

GC 

13 

a 

£ 

13 

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o 

H 

% 

£ 

T3 

O 

> 

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PS 

13 

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Eh 

0> 

3 

13 

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o 

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Brought  forward . 

11 

93 

55 

148 

38 

71 

6 

4 

26 

145 

2 

2 

2 

2 

*N7pvii«  . TT.__TT _ . 

2 

2 

4 

2 

2 

4 

Haemorrhage  from . 

1 

•  •  •  • 

1 

1 

•  •  •  • 

•  •  • 

•  •  •  • 

1 

Diseases  of  the  Absorbents. 

Inflammation  of  glands . _ 

1 

1 

2 

2 

2 

Suppuration  of  glands . . . 

1 

1 

1 

Scrofulous  Disease  of  glands . 

3 

2 

5 

1 

4 

5 

Parotiditis . 

1 

1 

1 

1 

Diseases  of  Ductless  Glands. 

Bronchocele . 

1 

1 

2 

1 

1 

2 

Diseases  of  the  Larynx. 

Membraneous  croup  . 

1 

3 

5 

8 

6 

3 

9 

Tumor  of  the  glottis  . 

1 

1 

1 

1 

Diseases  of  Lips  and  Mouth. 

Hare-lip . 

1 

2 

3 

2 

1 

3 

Chancre  of  lip . 

1 

1 

1 

1 

Diseases  of  the  Jaws. 

Necrosis . 

1 

3 

3 

2 

2 

4 

Abscess . 

1 

1 

1 

1 

Diseases  of  the  Gums. 

Epulis . 

1 

] 

1 

1 

Diseases  of  the  Tongue. 

Cancer  . 

2 

2 

1 

1 

2 

Diseases  of  the  Fauces. 

Tonsillitis . 

3 

2 

5 

1 

3 

4 

Cancer  of  tonsil . 

] 

1 

1 

1 

Cleft  palate . 

1 

1 

1 

Sinus  palate . 

1 

1 

1 

1 

Diseases  of  the  Pharynx  and 

Salivary  Glands. 

Abscess . 

2 

2 

1 

1 

Carried  forward . 

15 

118 

76 

194 

55 

92 

11 

4 

31 

193 

Remaining 

in  Hospital, 

April  30,  1883. 


38 


City  Document  No.  104 


SURGICAL  DISEASES.  —  Continued. 


DISEASES. 

In  Hospital, 

May  1,  1882. 

ADMITTED. 

DISCHARGED. 

Males. 

Females. 

Total. 

Well. 

Relieved. 

Not 

Relieved. 

Not 

Treated. 

Died. 

Total. 

Brought  forward . 

15 

118 

76 

194 

55 

92 

11 

4 

31 

193 

ffnlivnrv  fifctnla. . . 

1 

1 

1 

1 

Diseases  of  the  Oesophagus. 

Canner . . . . . 

1 

1 

1 

1 

Diseases  of  the  Intestines. 

TT ernia  . . . . . 

3 

3 

3 

3 

Tngninnl . . . . . . 

1 

1 

1 

1 

Ktranom Inter!  . . 

1 

1 

2 

3 

1 

2 

3 

Inflamed  . . . . . . 

2 

1 

3 

2 

1 

3 

Reducible  . . . . . ..... 

8 

8 

2 

4 

1 

1 

8 

Irreducible . . . 

3 

1 

4 

3 

1 

4 

Umbilical  ... . . . 

3 

3 

1 

1 

1 

3 

1 

1 

1 

1 

Perityphlitis . . . 

2 

2 

1 

1 

2 

Diseases  of  the  Rectum. 

• 

TTl  aeration . . . 

1 

4 

5 

4 

1 

5 

Fistula  in  ano . 

2 

14 

4 

18 

7 

11 

,  •  •  •  • 

1 

19 

Haemorrhoids . 

3 

1 

4 

3 

3 

1  nternal . . 

9 

1 

10 

2 

6 

2 

10 

External . 

1 

1 

1 

1 

1 

2 

Ischio-rectal  abscess . 

8 

3 

11 

2 

8 

10 

Haemorrhage  from  rectum . 

1 

1 

1 

Fissure  of  the  anus . 

2 

1 

3 

1 

2 

3 

Prolapsus . 

4 

1 

5 

•  •  •  • 

4 

.  .  •  • 

1 

•  •  •  • 

5 

Stricture . . 

1 

3 

4 

1 

2 

3 

Cancer . 

1 

1 

2 

1 

1 

2 

Disease  of  Urinary  System. 

Disease  of  Kidney. 

Abscess  (Perinepbritic) . 

2 

2 

1 

1 

2 

Haematuria . 

1 

1 

1 

1 

Diseases  of  the  bladder. 

Cystitis . 

1 

15 

2 

17 

1 

15 

1 

•  •  •  • 

1 

18 

Extroversion . . 

1 

1 

1 

1 

l 

Carried  forward . 

21 

202 

106 

308 

79 

165 

15 

12 

37 

308 

16 


1 


1 

1 


1 


1 


21 


Remaining 

in  Hospital, 

April  30,  1883. 


City  Hospital 


39 


SURGICAL  DISEASES.  —  Continued. 


Admitted. 

Discharged. 

In  Hospital, 

May  1,  1882. 

Diseases. 

Males. 

Females. 

Total. 

Well. 

Relieved. 

Not 

Relieved. 

1  Not 

Treated. 

Died. 

Total. 

21 

202 

106 

308 

79 

165 

15 

12 

37 

308 

1 

1 

•  •  •  • 

1 

1 

1 

2 

2 

3 

3 

Diseases  of  the  Prostate 
Gland. 

6 

6 

•  •  •  • 

5 

1 

6 

Gonorrhcea  and  its  Complica¬ 
tions. 

1 

1 

1 

•  •  •  • 

2 

2 

5 

5 

2 

2 

•  •  •  • 

1 

5 

» 

1 

1 

•  •  •  • 

1 

1 

1 

5 

5 

3 

3 

9 

TO 

10 

4 

3 

7 

10 

2 

2 

2 

2 

4 

1 

1 

1 

1 

Diseases  of  the  Male  Urethra. 

3 

3 

3 

3 

1 

.... 

20 

4 

15 

1 

20 

1 

1 

1 

1 

1 

1 

% 

1 

1 

1 

1 

2 

•  •  •  • 

2 

2 

2 

3 

3 

•  •  •  • 

1 

2 

3 

Diseases  of  the  Scrotum. 

1 

1 

1 

1 

2 

2 

1 

1 

2 

1 

1 

1 

•  •  •  • 

1 

2 

2 

2 

2 

1 

1 

1 

1 

1 

1 

1 

1 

Diseases  of  the  Cord. 

.Hydrocele :  — 

3 

3 

1 

1 

2 

1 

Carried  forward . 

25 

78 

!  108 

386 

96 

221 

15 

14 

41 

387 

21 


1 


1 


1 


24 


Remaining 
in  Hospital, 
April  30,  1883. 


40 


City  Document  No.  104. 


SURGICAL  DISEASES.  —  Continued. 


Admitted. 


Diseases. 


Brought  forwards 
V  aricocele . 


Diseases  of  the  Tunica 
Vaginalis.  . 


Hydrocele . 

Haematocele . 

Diseases  of  the  Testicle. 
Orchitis :  — 

Acute . . 

Chronic . . 

Epididymitis  . 

Cancel' . 

Retained . 

Tubercular . 

Abscess . . 

Diseases  of  Penis. 

Phimosis . 

Paraphimosis . 

Cancer . 

9 

Haemorrhage  chancre . 

Gangrene . 


Diseases  of  Female  Organs 
of  Generation. 

Diseases  of  Ovary. 

Fibrous  tumor . 

Complex  cystic  tumor . 

Diseases  of  Broad  Ligament. 

Pelvic  cellulitis . 

Diseases  of  the  Womb. 

Cancer . 

Diseases  of  the  Vulva. 

Inflammation  of  labia . 

Abscess . . . 

Condyloma . 


eJ  c© 
ti  oo 

,&rH 
®  - 

O  — 

W  >> 

\  \  C5 

32 


25 


GO 

0> 

rcS 

2 


00 

o 

n 

a 

0) 


278 

3 

6 

1 


31 


108 


3 

o 

H 


386 

3 

6 

1 


1 

2 


313  117  430 


Discharged. 


96 

1 


« 

> 

« 


P5 


221 

2 

3 

1 


109 


*0 

<u 

o.*> 


15 


248 


o  ca 
£  2 
H 


14 


18 


X} 


41 


ca 

•*-* 

o 


387 

3 

7 

1 


17  45  437 


24 


24 


Carried  forward 


Remaining 
in  Hospital, 

April  30,  1883. 


City  Hospital 


41 


SURGICA  L  DISEASES.—  Continued. 


Diseases. 

In  Hospital, 

May  1,  1882. 

Admitted. 

Males. 

Females. 

Total.  1 

Brought  forward . 

31 

313 

117 

430 

Diseases  of  the  Female  Breast. 

Inflammation :  — 

Acute  . . . 

1 

1 

Chronic . 

1 

1 

Abscess  . 

3 

3 

Lacteal  fistula . 

1 

1 

Cancer . 

3 

•  •  •  • 

11 

11 

Scirrhus . . . 

7 

7 

Medullary . 

1 

i 

Non-malignant  tumors . 

1 

i 

Diseases  of  Bones. 

Ostitis . . . 

4 

1 

5 

Periostitis . 

•3 

5 

8 

Osteo-myelitis . 

1 

1 

Caries . . . 

-4 

1 

5 

Necrosis . 

2 

26 

5 

31 

Myeloid  tumor . 

1 

1 

2 

Osseous  tumor . 

1 

1 

Rachitic  curvature . . . 

1 

1 

Cysts :  — 

Osteo -sarcoma . .  . 

2 

2 

Exostosis . .  ... 

1 

1 

Diseases  of  Joints. 

Synovitis :  — 

Acute  . 

2 

25 

6 

31 

Chronic  . 

2 

11 

3 

14 

Pulpy  degeneration . 

1 

4 

2 

6 

fiprofnlmifl  rlisnnfiP . 

1 

1 

2 

Morbus  coxae . 

9 

9 

10 

19 

A  rtliritis  . . . . . 

2 

2 

fronorrhcpal  arthritis . 

1 

1 

AhflftPflfl . . . 

1 

1 

Anfcvlofiis . . . 

1 

2 

3 

Carried  forward . 

50 

410 

182 

592 

Discharged. 


109 


0> 

> 

o 


248 


o 
> 
o  <u 

C5 


♦e  £ 
o  c5 

£  £ 


18 


17 


13 

0> 


45 


,2 

o 

H 


437 


24 


156 


22 

8 

5 

1 

16 

1 


338  26 


25  57 


32 

15 

7 

2 

24 

2 


602 


1 

1 


40 


Remaining 

in  Hospital, 

April  30,  1883. 


■  -  -7  '  - 

• '  •  :  a  >  *r  ± 
•v  >  • 


42 


City  Document  No.  104. 


SURGICAL  DISEASES.  —  Continued. 


DISEASES. 

In  Hospital, 

May  1,  1882. 

ADMITTED. 

DISCHARGED. 

Remaining 

in  Hospital, 

April  30,  1883. 

Males. 

Females. 

Total. 

Well. 

Relieved. 

Not 

Relieved. 

Not 

Treated. 

Died. 

Total. 

Brought  forward . 

50 

410 

182 

592 

156 

338 

26 

25 

57 

602 

40 

Loose  cartilage . . . 

1 

1 

1 

1 

Relaxation  of  li  "aments . 

1 

1 

1 

1 

Diseases  of  the  Spine. 

% 

Caries  and  necrosis . 

1 

5 

1 

6 

6 

1 

6 

1 

An  Pillar  curvature. . 

] 

1 

1 

1 

Diseases  of  Tendons. 

• 

Inflammation :  — 

Thecal  abscess . 

1 

1 

1 

1 

Contraction . 

1 

1 

1 

Synovitis . 

1 

1 

1 

1 

Club-foot :  — 

Talipes  varus . 

1 

1 

1 

Diseases  of  the  Appendages  of 

the  Muscular  System. 

Enlarged  bursa . 

1 

1 

1 

1 

Bunion . 

1 

1 

1 

1 

Ganglion . . 

2 

2 

1 

1 

Bursitis  . 

1 

4 

4 

g 

4 

3 

7 

2 

Hvgroma . 

3 

3 

6 

5 

1 

6 

Diseases  of  the  Cellular 

Tissue. 

• 

Cellulitis  . 

7 

40 

9 

49 

16 

31 

4 

51 

5 

Abscess . 

1 

49 

20 

69 

16 

40 

3 

•  •  •  • 

4 

63 

n 

i 

Sinus . 

1 

2 

3 

1 

1 

1 

3 

Carbuncle . 

1 

1 

1 

i 

Diseases  of  Cutaneous  System. 

Erythema  . 

6 

e 

2 

3 

5 

i 

Eczema . 

1 

3 

5 

13 

1 

13 

14 

Frostbite . 

4 

4 

2 

2 

4 

Ulcer . 

5 

*>8 

17 

45 

12 

36 

1 

4Q 

1 

Boil . 

l 

1 

] 

Carbuncle . 

g 

6 

5 

1 

6 

Felon . . 

1 

3 

3 

6 

2 

5 

Carr  ied  forward . 

68 

574 

251 

825 

223 

489 

30 

26 

66 

834 

59 

City  Hospital 


43 


SURGICAL  DISEASES.  —  Continued. 


DISEASES. 


Brought  forward . 

Gangrene . 

Senile  gangrene . 

Ch.  pemphigus . 

Bed-soies . 

Psoriasis  . 

Wen  . 

Molluscum . 

Ingrown  toe-nail . 

Cicatrices . . 

Hypertrophy  nail . 

Injuries. 

Burns . 

Multiple  injuries . 

Asphyxia . 

Contusions . 

Gunshot  wound . 

Explosion . 

Local  Injuries. 

Of  the  head:  — 

Contusion . 

Scalp-wound;  hone  exposed . 

“  hone  not  exposed . 

Concussion  of  the  brain . 

Fracture,  simple,  without  depression. 
“  “  with  depression. .. . 

compound,  without  depression 
“  “  with  depression .. . 

Fracture  of  the  base  of  the  skull  .... 
Laceration  of  brain,  without  fracture. 
Injuries  of  the  Face. 

Contusion . 

Wound . . 


Carried  forward. 


ra  co 
•tioo 
P.'-' 
•co  - 
O 

a  >> 

c3 


68 


ADMITTED. 


OQ 

73 

3 


574 

1 

1 

1 


29 

4 
3 

20 

23 

5 


4 

9 

25 

14 

1 

1 

6 

4 

11 

1 

1 

9 


251 


23 

•  •  • 

1 

1 

1 


1 

10 

2 


o 

E-i 


825 

1 

2 

2 

1 


DISCHARGED. 


v 


52 

4 

4 
21 
24 

5 


4 

10 

35 

16 

1 

1 

6 

4 

13 

1 

1 

13 


223 

1 

1 

1 


75  751  SC6  1057  287  608 


T3 

0) 


O 

g 


489 


a> 

|J 
^  0) 


30 


22 

1 

3 

8 

1 


1 

1 

11 

1 


19 

1 

2 

17 

13 

3 


3 

9 

21 

10 


a 

3;  © 


26 


30 


T3 

4> 


66 


12 

1 


26  111  1062 


q 

o 


834 


50 

5 

4 

21 

24 

4 


4 

10 

34 

16 

2 

1 

6 

3 

13 

1 

1 

13 


59 


1 

1 


70 


Remaining 

in  Hospital, 

April  30, 1883. 


44 


City  Document  No.  104 


SURGICAL  DISEASES.  —  Continued. 


DISEASES. 


—  CS 
c3  co 

'  co 

0Q  •* 

G  ^ 

■-M 

a  y 

l-H  -5 


Brought  foncard . 

Fracture  of  the  facial  hones . 

“  lower  jaw . 

Injuries  op  the  Neck. 

Contusion  of  soft  parts . . 

Wound,  cut  throat . 

Foreign  bodies  in  the  air-passages. . . 
Lac.  wound  of  laryngeal  cartilage. . . 
Wound,  tongue . 

Injuries  op  the  Chest. 

Contusion  . 

Fracture  of  ribs . 

“  “  with  injury  of  lung. 

“  the  sternum . 

Perforating  wound  of  the  chest. , . . . 

Injuries  op  the  Back. 

Contusion . 

Sprain . 

Wound . 

Concussion  of  spine  . 

Fracture  of  spine . 

Injuries  op  the  Abdomen. 

Contusion  . 

“  with  rupture  of  viscera. 
Penetrating  wound  of  parietes . 

Injuries  op  the  Pelvis. 

Rupture  of  perineum . 

“  urethra  . 

Laceration  cervix . 

Iliac  synchondrosis . 

Fracture  of  pelvis  . 


ADMITTED. 


0Q 

IS 

a 


75  751 
12 


CD 

<U 

S 

4) 


306 

1 

2 


e3 

o 

H 


79 


7 

11 

3 

1 

3 

18 

3 

4 
1 

11 

1 

1 


847 


DISCHARGED. 


1057 

13 

8 

2 

8 

1 

3 

1 

8 

18 

3 

1 

3 

26 

3 

4 
1 

11 

4 

2 


287 

o 

1 


T3 

01 


0) 

£ 


T3 
V 
> 

0> 


608 

10 

8 

2 

6 


347  1194 


4 

14 

2 


19 

2 

1 


30 


317 


689 


T3 
o 
O  -H 

^  o 

Si 

Eh 


26 


'O 

<u 


111 

1 


rt 

O 

£-1 


1062 

13 

9 

2 

9 
1 
3 
1 

8 

17 

3 

1 

3 

25 

2 

4 
1 

10 

4 
2 
3 

5 
t 
3 
1 

5 


30  28  126  1198 


70 


1 

1 


75 


Carried  forward 


Remaining 

in  Hospital, 

April  1,  1883. 


City  Hospital 


45 


SURGICAL  DISEASES.  —  Continued. 


DISEASES. 


-r 

a  co 

‘  GO 

W* 

cc  - 
O  rH 

a  >> 

c3 

>~i  << 


Brought  forward. 


Injuries  of  the  Upper 
Extremities. 


Contusion  . 

Sprain . 

Wound . 

Lacerated  wound  of  hand 

Wound  of  joint . 

Injury  to  vessels . 

Separation  of  epiphysis  . . 

Greenstick  fracture . 

Fracture  of  the  clavicle. .. 
“  “  scapula... 


i< 

K 


humerus . 

“  comp... 

“  “  fore-arm . 

“  “  “  comp... 

Colies’  fracture  . 

Fracture  olecranon . . 

Metacarpus  or  phalanges,  comp. 


Dislocation  of  the  sterno-clavicular 
joint  . 


Dislocation  of  the  shoulder. . 

“  “  elbow . 

“  “  phalanges 


Injuries  of  the  Lower  Extremi¬ 
ties. 


Contusion  . 

Sprain . 

Wound . 

Lacerated  wound  of  foot . . 

Wound  of  joint . 

Injuries  of  vessels . 

Foreign  bodies  imbedded. 
Fracture  of  the  femur  . . . . 


admitted. 


98 


DISCHARGED. 


E 

D 

3 

Females. 

Total. 

Well. 

Relieved. 

Not 

Relieved. 

Not 

Treated. 

Died. 

Total. 

47 

347 

1194 

319 

687 

30 

28 

126 

1198 

9 

9 

2 

9 

11 

O 

2 

2 

2 

10 

2 

12 

5 

7 

1 

13 

35 

2 

37 

23 

13 

3 

39 

1 

1 

1 

1 

2 

2 

1 

1 

2 

1 

1 

2 

2 

2 

1 

1 

i 

1 

7 

1 

8 

8 

8 

4 

1 

5 

2 

3 

5 

21 

14 

35 

9 

25 

2 

36 

4 

1 

5 

2 

3 

5 

7 

3 

10 

2 

8 

10 

6 

2 

8 

1 

5 

1 

7 

10 

10 

20 

4 

16 

20 

1 

1 

1 

1 

27 

27 

5 

22 

27 

1 

1 

1 

•  • 

1 

n 

6 

13 

2 

11 

13 

6 

6 

3 

3 

6 

1 

1 

1 

1 

30 

8 

38 

14 

24 

•  •  •  . 

1 

39 

37 

10 

47 

12 

37 

49 

19 

1 

20 

11 

10 

21 

10 

1 

11 

5 

5 

1 

H 

4 

4 

2 

i 

1 

4 

1 

1 

1 

1 

1 

1 

1 

1 

24 

8 

32 

14 

18 

32 

135 

419 

1554 

439 

933 

32 

29 

134 

1567 

85 


Carried  foncard 


Remaining 

in  Hospital, 

April  1,  1883. 


46 


City  Document  No.  104. 

SURGICAL  DISEASES.  —  Concluded. 


DISEASES. 


Brought  forward. . 

Fracture  of  the  femur,  comp . 

“  “  femoris . 

Intracapsular  fracture . 

Fracture  of  the  patella . 

“  “  leg,  both  bones . 

“  “  “  “  “  comp.. 

Fracture  of  the  tibia,  alone . . 

“  “  “  “  comp . 

“  fibula,  alone . 

Potts’  fracture . 

Fracture  of  the  bones  of  the  foot . 

<<  <<  <<  i<  n  comp. 

Ununited  fracture . 

Dislocation  of  the  semi  lunar  cartilage 

“  “  hip  . 

“  “  fibula . 


Dislocation  of  the  foot  at  the  ankle, 
comp . 


Dislocation  of  the  metatarsus  and 
phalanges,  comp . 


Injuries  not  Classified. 

Rupture  of  tendon . 

Rupture  of  ligament . 

Traumatic  peritonitis . 

Ulceration  of  stump . 

No  disease . 

No  diagnosis . 

Medical  cases . 


—  <N 
cs  no 

P.rH 

OQ 

O  rH 

52 


ADMITTED. 


GO 

<V 

2 


Totals 


98  1135 


2 

11 

4 

1 

2 

2 

1 


130 


3 

13 

1 

5 

50 

15 

11 

2 

30 

18 

13 

5 

8 

1 

1 

1 

1 

1 


n 

<u 


& 


1320 


419 


12 


15 


11 

2 

7 


o 


1554 

3 

25 

1 

5 

65 

15 

12 

2 

37 

22 

13 

5 

3 

1 

1 

1 

1 

1 


1 

1 

2 

14 

2 

11 


478  1798 


DISCHARGED. 


Well. 

Relieved. 

Not 

Relieved. 

Not 

Treated. 

Died. 

439 

933 

32 

29 

134 

1 

2 

1 

19 

1 

1 

4 

1 

2 

4 

1 

•  •  •  • 

•  •  • 

16 

53 

2 

•  •  •  • 

1 

6 

S 

•  •  • 

•  •  •  • 

3 

2 

9 

4 

28 

1 

7 

14 

•  •  •  * 

•  •  •  • 

4 

8 

3 

2 

1 

2 

•  •  •  • 

1 

•  •  •  • 

1 

1 

1 

1 

1 

1 

1 

1 

2 

1 

6 

2 

1 

6 

•  •  •  . 

1 

1 

3 

3 

•  •  •  • 

2 

2 

502 

1096 

38 

40 

14S 

os 

o 


1567 

4 

25 

1 

7 

72 

17 

11 

4 

36 

21 

12 

6 

3 

1 

1 

1 

1 

1 

1 

1 

1 

3 

15 

2 

10 


1824 


85 


4 

2 

2 


3 

2 

1 


104 


» 


/ 


Remaining 

in  Hospital, 

April  30?  1883. 


City  Hospital. 


47 


Surgical  Operations. 


OPERATIONS. 

M. 

F. 

T. 

REMARKS. 

Abscess,  incised . 

55 

12 

67 

Well  13;  relieved,  42;  not  i-elieved,  2;  died, 
5  (exhaustion) ;  in  hospital,  5. 

Ischio-rectal,  incised . 

8 

2 

10 

Well,  2;  relieved,  6;  in  hospital,  2. 

Perinephritic  abscess,  incised. 

1 

•  •  •  • 

1 

Relieved,  1. 

Abscess  of  joint,  incised . 

4 

1 

5 

Well,  2;  relieved,  2;  died,  1  (dilatation  of 
stomach) . 

“  “  aspirated... 

3 

2 

5 

Well,  2;  relieved,  2;  died,  1  (pyaemia). 

“  of  tunica  vaginalis  . . . 

1 

•  •  •  • 

1 

Well,  1. 

“  of  lids,  incised . 

Amputations  — 

1 

•  •  •  • 

1 

Relieved,  1. 

Of  fingers . 

36 

3 

39 

Well,  11;  relieved,  26;  died,  1  (pyaemia);  in 
hospital,  1. 

Of  leg . 

7 

1 

8 

Well,  5;  relieved,  2;  died,  1  (exhaustion). 

Re-amputation  of  leg . 

1 

*•** 

1 

Relieved,  1. 

Amputation  of  thigh . 

9 

•  •  •  • 

9 

Well,  2;  relieved,  4;  died  1  (shock);  in 
hospital,  2. 

“  foot  . 

2 

.... 

2 

Relieved,  1;  died,  1  (tetanus). 

“  toes . 

8 

2 

10 

Well,  4;  relieved,  4;  in  hospital,  2. 

*  ‘  arm . 

4 

1 

■  5 

Well,  2;  relieved,  1;  died,  1  (pyaemia),  1  (ex¬ 
haustion). 

“  shoulder  . 

3 

•  •  •  • 

3 

♦  Well,  3. 

“  penis . 

2 

•  t  *  • 

2 

Relieved,  1 ;  died,  1  (pyaerpia) . 

Ankylosis,  broken  up . 

3 

1 

4 

Relieved,  4. 

Bunion,  incised . 

1 

•  •  •  • 

1 

✓ 

Relieved,  1. 

• 

Bursa,  incised . 

5 

5 

10 

Well,  5;  relieved,  5. 

“  aspirated . 

3 

•  •  •  • 

3 

Relieved,  2;  in  hospital,  1. 

“  injected  with  iodine. . . 

1 

•  •  •  • 

1 

Well,  1. 

Bubo,  incised . 

6 

1 

7 

Well,  6;  relieved,  1. 

Carbuncle,  incised . 

7 

•  •  •  • 

7 

Well,  3;  relieved,  2;  in  hospital,  2. 

Cellulitis,  incised . 

22 

1 

23 

Well,  7;  relieved,  12;  died,  1  (pyaemia);  in 
hospital,  3. 

Circumcision  . 

Dislocation  of  Bhoulder  re- 

10 

.... 

10 

Well,  7 ;  relieved,  3. 

duced  . 

9 

3 

12 

Well,  2;  relieved,  10. 

Dislocation  of  hip  reduced.. 

Dislocation  of  elbow  re- 

1 

•  •  •  • 

1 

Well,  1. 

duced . 

4 

•  •  •  • 

4 

Well,  3;  relieved,  1. 

Carried  forward . 

217 

35 

252 

48 


City  Document  No.  104 


SURGICAL  OPERATIONS.  —  Continued. 


OPERATIONS. 

H. 

F. 

T. 

REMARKS. 

Brought  forward . . 

217 

35 

252 

Erysipelas,  incised . 

2 

3 

5 

Well,  1;  relieved,  3;  in  hospital,  1. 

Elevation  of  depressed  fract- 

ure  of  skull . 

1 

•  *  •  * 

1 

Died,  1  (meningitis). 

Extravasation  of  urine  (Cock’s 

operation)  . 

1 

•  •  •  • 

1 

Died,  1  (uraemia). 

Extroversion  of  bladder 

(Wood’s  operation) . 

1 

1 

Relieved,  1. 

Excisions  — 

Of  elbow-  .  . . . 

• 

1 

1 

Relieved,  1. 

Of  upper  jaw . 

1 

1 

In  hospital,  1. 

Of  metacarpus . 

1 

.... 

1 

• 

Relieved,  1. 

Of  metatarsus . 

2 

1 

3 

Well,  1;  relieved,  2. 

Tflimstosis  removed ........... 

1 

1 

Relieved,  1. 

Exploratory  incisions . 

2 

•  •  •  • 

2 

Well,  1;  in  hospital,  1. 

Fissure  of  anus . 

3 

3 

Well,  1;  relieved,  2. 

Fistula  ano . 

12 

3 

15 

Well,  7 ;  relieved,  8. 

Fistula  urinae . 

1 

•  •  •  • 

1 

Relieved,  1. 

Felon,  incised . 

2 

3 

5 

Well,  2;  relieved,  2;  died,  1  (pyaemia). 

Foreign  bodies,  removed . 

1 

.... 

1 

Well,  1. 

Fracture  of  skull,  incision.... 

1 

•  *  •  * 

1 

Died,  1  (shock). 

Gunshot  wounds,  ball  removed 

2 

.... 

2 

Relieved,  1;  died,  1  (tetanus). 

Ganglion,  incised . 

1 

1 

/ 

In  hospital,  1. 

Haematoma,  incised . 

2 

1 

3 

Well,  1;  relieved,  1;  died,  1  (pyaemia). 

Haemorrhoids,  ligatured . 

5 

2 

7 

Well,  2;  relieved,  5. 

Haemorrhoids,  by  cautery.... 

4 

•  •  •  • 

4 

Well,  3;  relieved,  1. 

Hernia  — 

Tapis . 

1 

1 

Died,  1  (haemorrhage  into  pancreas). 

Herniotomy  . 

1 

3 

4 

Well,  1;  relieved,  1;  died,  1  (rupture,  intes 

tines) ;  in  hospital,  1. 

Heaton’s  operation . 

12 

.... 

12 

Well,  2;  relieved,  10. 

Hydrocele  — 

Tapped . 

1 

•  '  *  • 

1 

Relieved,  1. 

Injected . 

7 

.... 

7 

Well,  5;  relieved,  2. 

Haematocele,  incised . . 

1 

.... 

1 

Relieved,  1. 

Mastoid  cells,  incised . 

3 

•  •  •  • 

3 

Well,  1 ;  relieved,  2. 

Caries  petrous  bone,  trephined 

1 

•  *  •  * 

1 

Died,  1  (abscess  of  brain). 

Carried  forward . 

285 

57 

342 

City  Hospital 


49 


SURGICAL  OPERATIONS.—  Continued. 


OPERATIONS. 


Brought  forward . 

Ingrown  toe-nail  removed.... 

Lacerated  cervix . 

Lacerated  perineum . 

Ligature  of  brachial  artery... 

Lupus,  excised . 

Necrosis,  incisions . 

Sequestrotomy . 

Nerve-Btretching  sciatic . 

Neurectomy . . . 

Nsevus,  excised . 

Ovariotomy . 

Periostitis,  incised . 

Perineorrhaphy . 

Phimosis . 

Paraphimosis . 

Operation  upon  sinus  of  palate 

Hare  lip . 

Refracture . 

Retention  of  urine :  — 

Aspiration . 

Cock’s  operation . 

Resection  of  humerus . 

Resection  of  tibia . 

Sinus  split  up . 

Sinus  explored . 

Stricture  oesophagus  dilated.. 
Stricture  of  rectum  dilated  .. 
Stricture  of  urethra:  — 
Dilated . «... 

Divulsed . 

* 

External  urethrotomy . 

Otis’  operation . 

Synovitis,  aspirated . 

Scrofulous  disease  of  knee.... 


M. 

F. 

T. 

285 

57 

342 

1 

1 

2 

2 

1 

1 

2 

•  •  •  • 

2 

1 

1 

4 

•  •  •  • 

4 

11 

3 

14 

1 

•  •  •  • 

1 

1 

1 

1 

1 

2 

1 

1 

2 

•  «  •  • 

2 

2 

2 

3 

•  •  •  • 

3 

1 

•  •  •  • 

1 

•  •  • 

1 

1 

1 

2 

3 

2 

1 

3 

1 

•  •  •  • 

1 

2 

•  •  •  « 

2 

1 

•  •  •  • 

1 

1 

1 

1 

4 

5 

2 

2 

1 

1 

2 

2 

15 

.... 

15 

2 

.... 

2 

1 

•  •  •  • 

1 

4 

.... 

4 

1 

.... 

1 

1 

.... 

1 

342 

84 

426 

REMARKS. 


Well,  1. 

Well,  1;  relieved,  1. 

Relieved,  1. 

Relieved,  1 ;  died,  1. 

Relieved,  1. 

Well,  2;  relieved,  1;  died,  1  (pyaemia). 

Well,  4;  relieved,  8;  in  hospital,  2. 

Well,  1. 

Relieved,  1. 

Relieved,  1;  well,  1. 

Died,  1  (peritonitis). 

Relieved,  1;  died,  1  (exhaustion). 

Well,  1;  relieved,  1. 

Well,  2;  relieved,  1. 

Well,  1. 

Relieved,  1. 

Well,  2;  relieved,  1. 

Well,  1;  relieved,  2. 

Died,  1  (peritonitis). 

Relieved  1;  died,  1  (exhaustion). 

Relieved,  1. 

Well,  1. 

Relieved,  4;  died,  1  (exhaustion). 

Relieved,  2. 

Relieved,  1. 

Relieved,  2. 

Well,  2;  relieved,  11;  died,  1  (exhaustion); 
in  hospital,  1. 

Relieved,  2. 

Died,  1  (shock). 

Well,  3;  relieved,  1. 

Relieved,  1. 

Relieved,  1. 


Carried  foi  ward 


50 


City  Document  No.  104 


SURGICAL  OPERATIONS.  —  Concluded. 


OPERATIONS. 

M. 

F. 

T. 

REMARKS. 

Brought  forward . 

342 

84 

426 

Dislocation  of  finger . 

1 

•  •  •  • 

1 

Relieved,  1. 

Tenotomy :  — 

For  talipes . 

1 

.... 

1 

In  hospital,  1. 

hip  disease  . 

Testes,  removed . 

5 

1 

•  •  •  • 

1 

5 

Died,  1  (exhaustion). 

Well,  3;  relieved,  2. 

Tonsils,  excised . 

1 

•  •  «  • 

1 

Well,  1. 

Tetanus  :  operation  on  hand. . 

1 

•  •  •  • 

1 

Died,  1  (embolism). 

Tracheotomy :  — 

For  croup . 

4 

1 

5 

Relieved,  3;  died,  2  (exhaustion);  (septicse- 

diphtheria . 

4 

5 

9 

mia)  1. 

Well,  4;  died,  5  (exhaustion)  3;  ( shock)  1. 

Trephining :  for  depressed 
fractures  . 

3 

.... 

3 

Relieved,  1;  died,  2  (exhaustion). 

Tumors,  excised :  — 

Tumor  of  scrotum . 

2 

•  •  •  • 

2 

Relieved,  2. 

Adenoma . 

4 

4 

8 

Well,  1;  relieved  4;  not  relieved,  1;  died,  1 

Carcinoma . 

20 

20 

(pneumonia) ;  in  hospital,  1. 

Well,  8;  relieved,  11;  died  1  (exhaustion). 

Well,  1. 

Condyloma . 

1 

1 

Mucus  cyst . 

1 

1 

2 

Well,  1;  relieved,!. 

Epithelioma  . . 

8 

1 

9 

Well,  3;  relieved,  6. 

Epulis . 

1 

•  •  •  • 

1 

Well,  1. 

Sarcoma . 

5 

1 

6 

Relieved,  5;  died,  1  (exhaustion). 

Lipoma . 

3 

2 

5 

Well,  2;  relieved,  1;  died,  1  (erysipelas);  in 
hospital,  1. 

Relieved,  1. 

Polypus  of  ear . 

1 

•  •  •  • 

1 

Wens . 

1 

3 

4 

Well,  2;  relieved,  2. 

Wound,  with  deformity  of  lip 

•  •  •  • 

1 

1 

Well,  1. 

Excision  of  cicatrix . 

1 

1 

2 

Well,  1;  relieved,  1. 

Artificial  nose . 

1 

1 

Relieved,  1. 

Amputation  of  hand . 

1 

1 

Relieved,  1. 

T, acerated  wound  of  hand.. 

2 

2 

Well,  1 ;  relieved,  1. 

Died,  1  (exhaustion). 

Bronchocele . 

1 

1 

Osteo-myelites . 

1 

•  *  *  * 

1 

Relieved,  1. 

Ulcers  cauterized . 

1 

2 

3 

Relieved,  3. 

Cancer . . . 

1 

•  •  •  • 

1 

Well,  1. 

Total . 

395 

130 

525 

City  Hospital 


51 


Diseases  of  the  Eye. 

Cases  treated  in  Hospital  from  May  1,  1882,  to  May  1,  1883. 


DISEASES. 

In  Hospital, 

May  1,  1882. 

ADMITTED. 

DISCHARGED. 

Males. 

Females. 

Total. 

Well. 

Relieved. 

Not 

Relieved. 

Not 

Treated. 

Hied. 

Total. 

Conjunctiva. 

Conjunctivitis,  catarrhal . . . 

1 

1 

1 

1 

“  blennorrhosal . 

1 

1 

1 

1 

“  gonorrhoeal . 

1 

3 

3 

4 

4 

Trachoma . . . . 

4 

1 

5 

2 

1 

2 

5 

Fr.ohymosis . . . . 

1 

1 

1 

1 

Burns  . . . . . 

1 

1 

1 

1 

Symblepharon . . . 

1 

1 

1 

1 

Pterygium . . . . 

1 

1 

1 

1 

Cornea  and  Sclerotic. 

Reratitis  phlyctenular . 

2 

2 

] 

1 

2 

TTypnpion-lrerntitifi . . . 

1 

2 

2 

2 

2 

Ulcer  . . 

2 

2 

2 

2 

Opacity. . . . . . . 

1 

1 

1 

1 

Patinn  s. . . . . 

1 

1 

1 

1 

Wounds . . . 

1 

1 

1 

1 

Staphyloma . 

1 

2 

3 

2 

1 

•  •  • 

•  •  •  • 

•  •  •  • 

3 

Foreign  bodies . . . . 

1 

1 

1 

1 

Kerato-Iritis . . . . . 

1 

1 

Lens. 

Cataract . 

1 

8 

9 

17 

11 

2 

3 

1 

.... 

17 

“  traumatic . . . . 

1 

1 

2 

1 

1 

9 

“  capsular . . 

2 

2 

2 

2 

Globe. 

Foreicm  hodv  in  the  pdohe . 

3 

1 

4 

3 

1 

4 

Lids. 

Tnmor  of  lirl  pHitp . 

1 

1 

1 

1 

54 

Carried  forward . 

3 

1  35 

19 

54 

21 

23 

7 

3 

1 


1 


1 


3 


Remaining 

in  Hospital, 

May  1,  1883. 


52 


City  Document  No.  104 


DISEASES  OF  THE  EYE.  —  Concluded. 


DISEASES. 

In  Hospital, 

May  1,  1882. 

ADMITTED. 

DISCHARGED. 

Remaining 

in  Hospital, 

May  1, 1883. 

Males. 

Females. 

Total. 

Well. 

Relieved. 

Not 

Relieved. 

Not 

Treated. 

Died. 

Total. 

Brought  forward . 

3 

35 

19 

54 

21 

23 

7 

3 

•  •  •  • 

54 

3 

TT.nt.rrmion . 

1 

1 

1 

1 

1 

1 

1 

1 

Orbit. 

1 

1 

1 

1 

1 

1 

1 

Iris,  Ciliary  Body  and  Choroid. 

3 

2 

5 

1 

4 

5 

c  i  rh  pn  m  nt/i  c. . . . . . 

2 

2 

2 

2 

i i  Rvnhilitio  . . . 

1 

4 

4 

1 

4 

5 

O  frlii  si  on  of  nnnil . . . 

2 

1 

3 

2 

1 

3 

<41  ail  mm  a . 

1 

1 

1 

1 

Retina  and  Optic  Nerve. 

Phot  op  hold  a, . . 

1 

1 

1 

1 

Miscellaneous. 

No  disease . . . 

1 

1 

1 

1 

Total . 

5 

49 

25 

74 

30 

36 

7 

3 

•  •  •  • 

76 

r» 

cr 

City  Hospital 


53 


OUT-PATIENT  DEPARTMENT. 


Medical. 

IN  CHARGE  OF  DRS.  FORSTER  AND  ROTCH. 
From  May  1,  1882,  to  April  30,  1883. 


DISEASES. 


General  Diseases. 

A. 


Chicken  pox . . 

Typhoid  fever - 

Febricula . 

Intermittent  fever 
Cholera  infantum 

Diphtheria . 

Mumps . 

Erysipelas . 


B. 

Acute  rheumatism . 

Subacute  rheumatism . 

Gonorrhoeal  rheumatism  . . . . 

Muscular  rheumatism . 

Chronic  rheumatism . 

Chronic  rheumatic  arthritis . . 

Secondary  . 

Scrofula  . 

Tubercular  meningitis . 

Haemoptysis . 

Diabetes  nullitus . 

Purpura . 

Haemorrhagic . 

Anaemia . . 

Chlorosis . 


Males. 


Females. 


1 

18 

10 

7 


1 

1 

1 

9 

39 

1 

19 

14 

1 


4 


26 

1 


1 

7 


4 

5 
3 

1 

1 


5 

13 

33 


8 

I 

14 


1 

7 

1 

10 


32 

3 


161 


141 


Total. 


1 


22 


15 

10 

1 

2 

1 

6 


22 

72 

1 

27 

28 
1 
1 

11 

1 

36 

1 


1 

39 

3 


Carried  forward 


302 


54 


City  Document  No.  104 


MEDICAL  OUT-PATIENT  DEPARTMENT.  —  Continued. 


DISEASES. 


Males. 


Females. 


Brought  forward . 

Diseases  of  the  Nervous  System. 

Cerebral  anemia . 

Chronic  hydrocephalus . . . 

Diseases  of  the  Nerves. 

Paralysis . 

Hemiplegia . 

Neuro-asthenia . 

Functional  Diseases  of  Nervous  System. 

Epilepsy  (single  fit) . 

Convulsions . 

Chorea . . . . 

Hysteria . 

Neuralgia  (general) . 

Hemicrania . 

Podalgia  . . . 

Pleurodynia . 

Lumbago . 

Cephalalgia . 

Intercostal  neuralgia . 

Myalgia . 

Hypochondriasis . 

Abdominal  neuralgia . 

Parsesthesia . 


161 


1 


1 


2 


1 


1 


47 


1 

8 

12 

1 

3 
26 

4 
2 
1 


Diseases  of  Intellect. 

Melancholia . 

Paralysis  of  the  insane . 

Insomnia . 

Diseases  of  the  Circulatory  System. 
Diseases  of  the  Heart  and  its  Membranes. 

Pericarditis . . . 

Endocarditis . 

Aortic . 


1 

4 

7 


285 


141 


1 


1 

3 


2 

1 

6 

6 

71 

2 


4 

4 
6 
3 

5 


1 


2 


1 

9 

269 


Total. 


302 


1 

1 


1 

1 

5 


3 
1 
7 
6 

118 

2 

1 

12 

16 

7 

6 

31 

4 
2 
1 


1 

1 

2 


1 

5 

16 


Carried  forward 


554 


City  Hospital 


55 


MEDICAL  OUT-PATIENT  DEPARTMENT.  —  Continued. 


DISEASES. 

Males. 

Females. 

Total. 

Brought  forward . 

285 

269 

554 

Mitral . 

28 

19 

47 

Aortic  and  mitral . 

3 

1 

4 

Functional . 

10 

T 

17 

Hvnertronhv . 

7 

7 

Dilatation . 

7 

........ 

7 

Cardiac:  variety  undetermined . 

9 

7 

16 

Disease  of  Nostrils. 

Nasal  catarrh . 

1 

1 

Diseases  of  Larynx. 

Laryngitis . 

9 

3 

12 

Diseases  of  Trachea  and  Bronchi. 

Bronchial  catarrh . . . 

14 

18 

32 

Bronchitis . 

70 

35 

105 

Acute . 

14 

20 

34 

Chronic . 

28 

9 

37 

Asthma . 

16 

8 

24 

Trachitis . 

1 

1 

Diseases  of  the  Lung. 

Pneumonia . 

10 

4 

14 

Convalescent  pneumonia . 

1 

2 

3 

Pulmonary  apoplexy  . 

1 

1 

Incipient  pneumonic  phthisis . 

13 

11 

24 

Chronic  pneumonic  phthisis . 

115 

58 

173 

Diseases  of  the  Pleura. 

Pleurisy . 

9 

3 

12 

Chronic  pleurisy . . . 

2 

2 

Diseases  of  the  Digestive  System. 

Stomatitis . 

3 

1 

4 

Diseases  of  the  Teeth,  Gums,  Etc. 

Teething  . . . . 

1 

1 

Diseases  of  the  Fauces  and  Palate. 

Tonsilitis . 

10 

11 

21 

Carried  forward . 

665 

488 

1,153 

56 


City  Document  No.  104 


MEDICAL  OUT-PATIENT  DEPARTMENT.  —  Continued. 


DISEASES. 

Brought  forward . 

Diseases  op  the  Pharynx. 
Pharyngitis . 

Diseases  op  the  Stomach. 

Gastritis . 

Chronic  ulcer . 

Dyspepsia  and  indigestion . 

Gastrodynia . 

Carcinoma . . . 

Gastro-duodenitis . 

Gastric  catarrh . 

Anorexia  and  vomiting . 

Diseases  op  the  Intestines. 

Rectal  catarrh . 

Diarrhoea . 

Haemorrhage . 

Constipation . 

* 

Enteritis,  catarrhal . . . 

« 

Diseases  of  the  Liver. 

Simple  enlargement . 

Cirrhosis . 

Gall-stones . 

Diseases  op  the  Spleen. 
Enlarged  spleen . 

Diseases  op  Urinary  System. 
Disease  op  Kidney. 

Bright’s  kidney . , . 

Chronic . 

Haematuria . 

Suppression  of  urine . 

Diseases  op  the  Bladder. 

Cystitis; . 

Dysuria . . . 


Males. 

Females. 

665 

488 

17 

8 

1 

1 

128 

149 

2 

1 

1 

7 

2 

3 

5 

5 

7 

1 

19 

30 

1 

56 

126 

3 

4 

1 

1 

1 

1 

4 

5 

1 

1 

1 

3 

2 

1 

1 

919 

834 

Total. 


1,153 


25 


1 

1 

277 

3 

1 

9 

8 

12 


1 

49 

1 

182 

7 


1 

1 

1 


1 


9 

1 

1 

1 


5 


2 


Carried  foncard 


1,753 


City  Hospital 


57 


MEDICAL  OUT-PATIENT  DEPARTMENT.  —  Continued. 


DISEASES. 


Brought  forward . 

Incontinence  of  urine . 

Spermatorrhoea . 

Diseases  of  the  Womb. 

Catarrh  (leucorrhoea) . 

Hyperplasia . 

Inflammation . . 

Non-malignant  tumors . 

Displacements . 

Functional  Diseases  of  Women. 

Amenorrhcea . 

Scanty  menstruation . 

Dysmenorrbcea . 

Menorrhagia  . . . 

Pregnancy  . 


Diseases  of  Pregnancy. 

Vomiting  of  pregnancy . 

Diseases  of  Cutaneous  System. 

Papulatum . 

Urticaria . 

Zoster . 

Ecthyma . 

Acne . 

Alopecia  areata . 


Poisons. 

Metals  and  their  Salts. 

Lead . 

Colic . 

Vegetable  Poisons. 

Abuse  of  alcohol  (alcoholismus) . 

Ivy  (Rhus  tox)  . 

Tobacco,  abuse  of . 

Tea,  abuse  of . 


Males. 

Females. 

919 

834 

6 

« 

5 

1 

• 

3 

1 

1 

2 

1 

7 

2 

3 

2 

10 

1 

1 

1 

5 

1 

1 

1 

1 

1 

5 

2 

36 

1 

2 

33 

11 

13 

1,018 

895 

Total. 


1,753 

11 

1 


3 

1 

1 

2 

1 


7 

2 

3 

2 

10 


1 

1 

6 

2 

1 

1 

1 


5 

o 


37 

2 

33 

24 


Carried  forward 


1,913 


58 


City  Document  No.  104 


MEDICAL  OUT-PATIENT  DEPARTMENT. —  Continued. 


DISEASES. 

Males. 

Females. 

Brought  forward. . . . 

1,018 

895 

Unclassified. 

Debility . . 

103 

144 

Diagnosis  undetermined . 

13 

11 

Infancy,  over  lactation . . . 

2 

Tn  an  it, ion . . . 

1 

Ophthalmia,  amaurosis . . . . . . . . 

1 

Otorrhnea,  goitre . . . 

1 

fiiirgir.nl . . 

2 

1 

Epistaxis . 

1 

Varicose  veins  . 

1 

4 

Oonorrhcca,  haemorrhoids  . 

3 

Perostitis . 

2 

No  treatment . 

15 

9 

Unsuitable . . . 

1 

2 

Transferred  for  surgical  treatment . 

12 

8 

No  disease...... . . . 

12 

2 

Parasitic  (intestinal) . 

1 

Tenia  solium . 

6 

1 

Oxyuris  vermicularis . 

2 

2 

Ascuris  lnmbricoides . 

1 

Surgical :  — 

Strain  of  shoulder . 

1 

•  •  •  •  •  •  •  • 

“  “  side . 

2 

41  44  abdomen . 

1 

44  44  back  . 

1 

Sprain  . 

2 

Lateral  curvature . 

1 

Hernia . 

1 

Enlarged  abdomen . 

1 

Enlarged  glands . 

1 

Wen . 

1 

Inflammation  around  joint . 

1 

Referred  to :  — 

House . 

29 

25 

Carried  forward . 

1,229 

1,115 

Total. 


1,913 

247 

24 

2 

1 

1 

1 

3 

1 

5 

3 

2 

24 

3 

20 

14 

1 

7 

4 
1 


1 

2 

1 

1 

2 

1 

1 

1 

1 

1 

1 


54 


2,344 


City  Hospital 


59 


MEDICAL  OUT-PATIENT  DEPARTMENT.  —  Concluded. 


DISEASES. 

Males. 

Females. 

Total. 

Brought  forward . 

1,229 

1,015 

2,344 

Dentist . . . 

1 

1 

2 

Department  of  Ear . . . . 

2 

1 

3 

“  “  Eye . 

1 

1 

2 

“  “  Nervous  disease . . . . 

17 

13 

SO 

“  “  Skin  disease  . . . .  * . 

11 

6 

17 

“  “  Throat  disease . . 

22 

12 

34 

‘‘  <t  'W'oman’R  disease . 

52 

52 

Boston  Dispensary . . . . . 

8 

5 

13 

Children’s  Hospital . . . 

8 

2 

5 

Onrney  Hospital . . . 

1 

1 

Massachusetts  General  Hospital . . 

2 

3 

5 

Totals . 

1,297 

1,211 

2,508, 

60 


City  Document  No.  104 


OUT-PATIENT  DEPARTMENT. 


.  Surgical. 

IN  CHARGE  OF  DRS.  BOLLES,  BRADFORD,  AND  POST. 
From  May  1,  1882 ,  to  May  1,  1883. 


General  Diseases  — 

Erysipelas .  8 

Simple .  2 

Phlegmonous .  2 

Diffuse  inflammation  of  Cel¬ 
lular  Tissue .  16 

Syphilis  not  classified .  13 

Primary .  10 

Secondary .  6 

Tertiary .  8 

Hard  Chancre .  10 

Soft  Chancre .  34 

Bubo  (hard  or  suppurating)  40 

Hereditary  Syphilis .  1 

Cancer  .  3 

Scirrhus .  2 

Epithelial .  8 

Melanotic .  1 

Sarcoma .  1 

Tumors  not  classified .  21 

Cartilaginous .  1 

Erectile .  1 

Fatty .  9 

Fibrous  .  3 

Papilloma .  3 

Simple  Cysts .  2 

Mucous .  1 

Lupus .  1 

Rickets  .  3 

Diseases  of  the  Nerves  — 

Neuritis .  1 

Paralysis .  9 

Functional  Diseases  of  Nervous 
System  — 

Tetanus .  1 

Hysteria .  4 

Neuralgia .  12 

Irritable  Stump .  5 

Chorea  .  1 

Sciatica .  1 

Delirium  Tremens .  1 

Diseases  of.  the  Nose  — 

Epistaxis .  3 

Polypus  Nasi .  2 

Carried  forward . 232 


Brouqht  forward .  232 

Ulcer .  1 

Bite .  1 

Foreign  Bodies .  3 

Diseases  of  the  Veins  — 

Phlebitis .  2 

Varicose  Veins .  33 

Nsevus .  5 

Diseases  of  the  Absorbents  — 

Inflammation  of  Lymphatics . .  11 

Suppuration  of  Lymphatics . .  13 

Inflammation  of  Glands .  14 

Suppuration  of  Glands .  19 

Hypertrophy  of  Glands  .  6 

Scrofulous  Disease  of  Glands.  30 

Diseases  of  Ductless  Glands  — 
Bronchocele  . .  2 

Diseases  of  the  Larvnx  — 

Laryngitis .  2 

Diseases  of  Lips  and  Mouth  — 

Hare-lip .  3 

Stomatitis .  7 

Cancer  (Epliithelial) .  2 

Abrasion .  2 


Diseases  of  the  Jaws  — 

Myeloid  Tumor .  1 

Teeth . 1074 

Alveolar  Abscess .  24 

Cysts  .  2 

Necrosis .  8 

Diseases  of  the  Tongue  — 

Glossitis  .  1 

Ulcer .  4 

Wound  .  1 

Tongue  Tie .  4 

Di  seases  of  the  Fauces  — 

Tonsilitis . 8 

Enlarged  Tonsils .  4 

Cleft  Palate .  1 


Carried  forward . 1,520 


City  Hospital 


61 


Brought  forward . 1,520 

Diseases  of  the  Pharynx  and 
Salivary  Glands  — 

Sloughing .  3 

Salivary  Fistula .  1 

Pharyngitis .  4 

Parotiditis .  4 

Diseases  of  the  Oesophagus  — 

Stricture .  1 

Foreign  Body  Swallowed .  2 

Diseases  of  the  Intestines  — 

Hernia .  12 

Inguinal .  42 

Reducible .  1 

Femoral .  1 

Umbilical .  6 

Diseases  of  the  Rectum  — 

Fistula  in  Ano .  27 

Haemorrhoids .  18 

Internal .  18 

External .  4 

Seat  Worms .  1 

Ischio-rectal  Abscess .  6 

Fissure  of  the  Anus .  3 

Prolapsus .  2 

Diseases  of  the  Bladder  — 

Cystitis .  15 

Calculus . 1 

Frequent  Micturition .  2 

Irritability .  1 

Incontinence  of  Urine .  4 

Retention  of  Urine .  10 

Diseases  of  the  Prostate  Gland  — 
Chronic  Enlargement .  7 

Gonorrhoea  and  its  Complica¬ 
tions  — 

Rheumatism .  2 

Gonorrhoea .  93 

Balanitis .  14 

Phimosis .  6 

Paraphimosis .  6 

Epididymitis .  31 

Diseases  of  the  Male  Urethra  — 

Stricture .  32 

Urinary  Fistula .  1 

Diseases  of  the  Scrotum  — 

Abscess .  1 

Wound .  1 

Diseases  of  the  Cord  — 

Hydrocele .  10 

Varicocele .  7 


Carried  forward . 1,938 


Brought  forward . 1,938 

Diseases  of  the  Tunica  Vagi¬ 
nalis  — 

Hydrocele .  34 

Diseases  of  the  Testicle  — 

Orchitis .  20 

Epididymitis .  23 

Spermatorrhoea .  3 

Hernia  Testis .  1 

Neuralgia .  1 

Scrofulous  Disease  .  4 

Retained  Testicle .  1 

Contusion .  2 

Vagrant  Testicle .  1 

Castration .  1 

Diseases  of  Penis  — 

Phimosis .  2 

Paraphimosis .  3 

Hypospadias .  2 


Diseases  of  Female  Organs  of 


Generation  — 

Diseases  of  Ovary  — 

Tumor .  1 

Diseases  of  the  Womb  — 

Fibrous  Tumors .  1 

Prolapsus  Uteri .  1 

Contracted  Cervix .  1 

Lacerated  Cervix .  1 

Diseases  of  the  Female  Breast  — 

Acute  Inflammation .  1 

Abscess .  4 

Lacteal  Fistula .  1 

Scirrhus .  4 

Non-malignant  Tumors .  5 

Diseases  of  Bones  — 

Ostitis . 4 

Periostitis .  13 

Caries . 10 

Necrosis .  28 

Osseous  Tumor .  1 

Rachitis .  2 

Dactylitis .  1 

Exostosis .  5 

Diseases  of  Joints  — 

Synovitis .  21 

Acute .  11 

Chronic .  31 

Scrofulous  Disease .  5 

Morbus  Coxae .  26 

Rheum.  Arthritis .  18 

Abscess .  1 

Ankylosis .  7 

Relaxation  of  Ligaments .  2 

Dislocation  of  Semilun.  Cart. .  1 


Carried  forward . 2,243 


62 


City  Document  No.  104 


Brought  forward . 2, 243 

Diseases  of  the  Spine  — 

Caries  and  Necrosis .  4 

Psoas  and  Lumbar  Abscess  . .  1 

Angular  Curvature .  3 

Lateral  Curvature .  8 

Diseases  of  Tendons  — 

Inflammation .  11 

Contraction .  2 

Talipes  Varus .  5 

Talipes  Valgus .  7 

Pes  Planus .  G 

Bow  Leg .  8 

Wry  Neck .  1 

Diseases  of  the  Appendages  of 
the  Muscular  System  — • 

Enlarged  Bursa .  7 

Bunion .  5 

Ganglion .  24 

Bursitis .  4 

Hygroma .  15 

Muscular  Strain .  11 

Diseases  of  the  Cellular  Tissue  — 

Cellulitis .  40 

Abscess .  180 

Sinus .  4 

Diseases  of  Cutaneous  System  — 

Erythema .  2 

Eczema .  45 

Frostbite .  7 

Ulcer . 219 

Fissure  .  1 

Boil .  40 

Carbuncle .  12 

Onvchia  . 4 

Felon .  103 

Rodent  Ulcer .  1 

Urticaria .  2 

Naevus .  6 

Wen  .  27 

Condyloma .  2 

Cheloid .  1 

Ingrown  Toe-nail .  33 

Cicatrices .  3 

Corns . 7 

Herpes  .  7 

Tinea  Tricophytina .  3 

Wai'ts .  12 

Psoriasis .  3 

Erythema  Nodosum .  1 

Dermatitis .  3 

Acne .  1 

Paronychia  .  5 

Profuse  Granulations .  3 

Pediculosus .  1 

Injuries  — 

Burns . . ..  54 


Carried  forward . 3,127 


Brought  forward . 3,197 

Dog  Bite .  14 

Contusions .  14 

Abrasions .  19 

Wounds .  4 

Gunshot  wound .  26 

Fractures  .  9 

Local  Injuries  — 

Contusions .  11 

Scalp-wound;  bone  not  ex¬ 
posed  .  52 

Fracture  of  the  Vault  of  the 
Skull .  1 

Injuries  of  the  Face  — 

Contusion .  21 

Wound  .  84 

Foreign  bodies  in  the  Nose ...  1 

Foreign  bodies  in  the  Eye ....  19 

Foreign  bodies  in  the  soft  parts  3 
Fracture  of  the  facial  bones  . .  5 

Fracture  of  lower  Jaw . .  9 

Fracture  of  Nose .  1 

Injuries  of  the  Neck  — 

Contusion  of  soft  parts .  5 

Wound,  cutthroat .  2 

Foreign  bodies  in  the  Pharynx  1 

Sinus .  1 

Foreign  bodies  in  the  Oesoph¬ 
agus  .  1 

Injuries  of  the  Chest  — 

Contusion .  59 

Fracture  of  Ribs .  26 

W ound  of  the  Parietes .  1 

« 

Injuries  of  the  Back  — 

Contusion .  36 

Sprain .  38 

Fracture  of  Spine .  1 

Injuries  of  the  Abdomen  — 

Contusion .  5 

Injuries  of  the  Upper  Ex¬ 
tremities  — 

Contusion .  189 

Sprain .  169 

Wound .  203 

Lacerated  Wound  of  Hand  . . .  177 

Arm .  1 

Wound  of  Joint .  2 

Foreign  Bodies  Imbedded. ...  41 

Separation  of  Epiphyses .  3 

Greenstick  Fracture .  8 

Fracture .  11 

Fracture  of  the  Clavicle .  65 

“  “  Scapula .  1 

“  “  Humerus  ....  39 

“  “  Forearm .  44 


Carried  forward . ..4,619 


City  Hospital 


63 


Brought  forward . 4,619 

Fracture  of  the  Forearm,  Comp.  2 

Colies’  Fracture .  69 

Injury  to  Elbow  .  31 

Amputation  from .  20 

Fracture  Ext.  Condyle  .  1 

Fracture  of  the  Carpus .  3 

Metacarpus  or  Phalanges  . .  24 

“  “  “  Comp.  1 

Dislocation  of  the  Sternoclavi¬ 
cular  Joint .  1 

Dislocation  of  the  Acromio¬ 
clavicular  Joint .  2 

Dislocation  of  the  Shoulder  . .  19 

Dislocation  of  the  Elbow  ....  8 

Dislocation  of  the  Wrist  and 

Carpus  .  1 

Dislocation  of  the  Thumb  ...  7 

Dislocation  of  the  Phalanges,  7 

Rupture  of  Tendon .  2 

Fracture  of  Ulna .  4 

Fracture  of  Olecranon .  1 

Unhealed  Stump .  4 

Injuries  of  the  Lower  Extremi¬ 
ties  — 

Contusion .  83 

Sprain  . . .  86 

Wound .  56 

Lacerated  Wound  of  Foot. ...  16 

Foreign  Bodies  Imbedded....  13 

Fracture  of  the  Femur .  6 

“  of  the  Patella .  2 

“  of  the  Leg .  25 

“  of  the  Leg,  Corap...  2 

of  the  Tibia,  alone..  5 
“  of  the  Fibula,  alone.  5 

“  of  Int.  Malleolus...  1 


Bro  ught  fo  rwa  rd . 5,126 

Fracture  of  the  Bones  of  the 

Foot .  7 

Fracture  of  the  Ext.  Malleolus,  1 

Dislocation  of  the  Hip .  1 

Dislocation  of  the  Patella. ...  1 

Dislocation  of  the  Foot  at  the 

Ankle .  1 

Dislocation  of  the  Metatarsus 

and  Phalanges .  1 

Removal  of  Plaster  Bandages,  7 

Injuries  and  diseases  not  classi¬ 
fied  — 

Rupture  of  Tendon .  1 

Wound  of  Nerve .  2 

Hjemorrhage .  2 

Malformed  Toe .  5 

Foreign  Substances  in  the  Cel¬ 
lular  Tissue .  3 

Medical  Cases .  80 

Debility .  3 

Pregnancy .  1 

Nephritis .  1 

Neuralgia .  3 

Lumbago .  3 

No  Disease .  28 

No  Diagnosis .  117 

Not  treated .  65 

Referred  to  Medical  Dep’t- ...  55 

“  to  Woman’s  Dep’t  ..  9 

“  to  Skin  Dep’t .  35 

“  to  Nervous  Dep’t  ...  16 

“  to  Throat  Dep’t  ... .  13 

“  to  Ear  Dep’t .  6 

“  to  Eye  Dep’t .  10 

“  for  Admission .  48 


Total . 5,651 


Carried  forward 


5,126 


64 


City  Document  No.  104 


OUT-PATIENT  DEPARTMENT. 


Diseases  of  the  Eye. 

IN  CHARGE  OF  DRS.  WILLIAMS  AND  WADSWORTH. 
From  May  1,  1882,  to  May  1,  1883. 


DISEASES. 

* 

Males. 

Females. 

Total. 

Conjunctiva. 

Conjunctivitis,  catarrhal . 

190 

299 

489 

“  phlyctenular . 

32 

56 

88 

“  blennorrhceal . 

2 

1 

3 

44  PTmnrrhnornl  . . 

4 

4 

44  rli  nTifhori  tic. . . . 

2 

2 

“  traumatic . 

2 

5 

7 

Blennorrhcea  neonatorum . 

3 

3 

6 

Trachoma . 

16 

14 

30 

Ecchymosis . 

3 

2 

5 

Burns . . . . . . . . 

2 

2 

CRdcmn, . . . . 

2 

2 

Symblepharon  . 

2 

1 

3 

Pinguecula . . . . . . ... _ ...... 

1 

1 

Pterygium . . . 

4 

1 

5 

Fatty  tumor . 

1 

1 

Foreign  bodies . 

4 

2 

6 

Cornea  and  Sclerotic. 

Keratitis. . . . 

11 

14 

25 

“  interstitial... . 

2 

3 

5 

“  phlyctenular . 

17 

41 

58 

<(  fascicular  . . . . . 

1 

1 

“  traumatic . 

6 

1 

7 

Hypopion-keratitis . 

2 

2 

Ulcer  . 

31 

51 

82 

Abscess . . . 

1 

1 

Opacity . 

21 

27 

48 

Adherent  leucoma . . 

1 

1 

2 

Carried  forward . 

360 

525 

885 

City  Hospital 


65 


DISEASES  OF  THE  EYE.  —  Continued. 


DISEASES. 


Brought  forward  ... . ........... 

Conical  cornea . ... . ... . 

Pannus . . . . . . 

Burns  . . - . . 

Wounds  . . . . . 

Staphyloma. . . . . 

Sclero-keratitis  . .  . . . . . . 

Episcleritis . . . 

I' oreign  bodies ............................... 


Vitreous. 

Floating  opacities. . . . . . . . . 

Haemorrhage .. . . . . 

Muscae  volitantes  (physiological) . . 

Lens. 

Cataract . . . . . . 

“  senile . 

“  traumatic . . 

“  capsular . » . 

“  posterior  cortical  . . 

Dislocation . . . . 

Globe. 

Hydrophthalmos . . . 

Panophthalmitis  . 

Phthisis  hulbi . . . 

Foreign  body  in  the  globe . 

Disorganization  from  injury . 

Refraction  and  Accommodation. 

Myopia . 

Hypermetropia . 

Anisometropia . 

Astigmatism . 

Presbyopia . 

Asthenopia . 

Paresis  of  accommodation . 


Mai  os. 

Females. 

360 

&25 

1 

1 

1 

2 

14 

3 

4 

.'9 

2 

1 

$5 

5 

11 

1 

2 

5 

1 

1 

1 

20 

29 

2 

1 

4 

1 

1 

3 

1 

3 

1 

1 

1 

1 

4 

1 

1 

12 

14 

11 

51 

3 

2 

7 

11 

4 

11 

5 

20 

1 

514 

698 

Total. 


885 

1 

2 

2 

17 

13 

3 

40 

12 


1 

2 

49 

3 
5 
1 

4 
4 

1 

2 

4 
1 
1 

26 

62 

5 

IS 

15 

25 

1 


Carried  forward 


1,212 


66 


City  Document  No.  104 


DISEASES  OF  THE  EYE. —  Continued. 


Diseases. 


Brought  forward . 

Lachrymal  Apparatus. 

Blennorrhoea  of  sac . 

Abscess  of  sac  . 

Fistula  of  sac  . 

Stricture  of  canaliculus . 

“  of  nasal  duct . 

Eversion  of  punctum . . 

Lids. 

Blepharitis . 

Hordeolum . 

Abscess . 

Tumor  of  lid  edge . 

Epithelioma . 

Chalazion . 

Entropion . 

Ectropion . 

Trichiasis . 

Ecchymosis . 

Oedema . 

Eczema . 

Xanthelasma . 

Wounds  . 

Burn . 

Tinea  ciliaris . 

Rodent  ulcer  . 

Nsevus  . 

Ulcer . 

Fungous  growth . 

Cyst . . 

Versuca . 


Orbit. 

Abscess . 

Caries . 

Fungus  in  orbit . 


Males. 


514 

4 

2 


5 

1 

1 


26 

9 

10 

2 

1 

9 


2 

3 


2 

1 
1 

2 


1 


1 


1 

1 


1 


1 


601 


Females. 


698 

6 

5 

1 

7 

5 

5 


51 

9 

4 

1 

1 

19 

1 


8 

1 

4 

3 


2 

1 

1 


1 

1 


1 

1 


837 


Total. 


1,212 

10 

7 

1 

12 

6 

6 


77 

18 

14 

3 
2 

28 

1 

2 

11 

1 

6 

4 
1 


2 


1 

1 

1 

1 

1 

1 


2 

1 

1 


Carried  forward 


1,438 


City  Hospital 


67 


DISEASES  OF  THE  EYE.  —  Continued . 


Diseases. 


Htwight  forward . 

Nerves  and  Muscles. 

Convergent  strabismus . 

Divergent  strabismus . 

Insufficiency  of  the  recti  interni . 

Paralysis  of  third  pair . 

“  “  fourth  pair . 

“  “  sixth  pair . 

“  “  facial . . 

Ptosis . 

Blepharospasm . . 

Nystagmus . . 

Myosis  . 

Mydriasis . 

Diplopia . 

Iris,  Ciliart  Body  and  Choroid. 

Iritis . 

“  traumatic . 

“  syphilitic . 

Posterior  synechiae  . 

Coloboma  of  iris . 

Irido-choroiditis . 

Choroiditis . 

Sclero-choi-oiditis  posterior . 

Glaucoma . 

Haemorrhage  into  anterior  chamber . 

Retino  choroiditis  . 

Retina  and  Optic  Nerve. 

Retinitis . 

“  pigmentosa  . 

Separation  of  retina . 

Neuritis . 

Atrophy  of  optic  nerve . 

Amblyopia . 

“  ex  abusu . . 


Males. 


601 


2 

1 

2 


2 

1 


18 

2 

12 

4 


1 

1 

1 

3 

1 

2 


9 

2 

4 


682 


Females. 


837 

12 

4 

11 

1 


2 

1 

1 

1 

12 

1 

2 

2 

1 

2 

8 

1 

5 


2 

1 

3 

1 

5 

3 


920 


Total. 


1,438 

21 

4 

12 

1 

2 

1 

2 

1 

2 

3 

1 

2 

1 

30 

3 
14 

6 

1 

2 

10 

1 

6 

1 

1 

5 

2 

5 

1 

14 

5 

4 


Carried  forward 


1,602 


68 


City  Document  No.  104 


DISEASES  OF  THE  EYE.  —  Concluded. 


DISEASES. 

Males. 

Females. 

Total. 

Brought  forward . 

682 

920 

1,602 

Phntnrjlinhia . . . . . . . 

1 

1 

TTprYifiralonia . . . . 

1 

1 

Hemorrhage  into  retina . 

1 

1 

2  . 

Miscellaneous. 

No  Disease . 

2 

1 

3 

No  Diagnosis  . 

5 

7 

12 

Refused  treatment  . 

1 

1 

2 

Referred . 

3 

...  .... 

3 

Total . 

696 

930 

1,626 

City  Hospital 


69 


OUT-PATIENT  DEPARTMENT. 


Diseases  of  the  Skin. 

IN  CHARGE  OF  DRS.  WIGGLESWORTH  AND  TILDEN. 
From  May  1, 1882,  to  May  1, 1883. 


DISEASES. 

Males. 

Females. 

Total. 

Diseases  of  the  Sebaceous  Glands. 

Seborrhcea  . 

11 

20 

31 

Comedo . 

4 

5 

9 

Milium  .... _ _ _ ............ _ _ _ .......... 

1 

1 

fiphaeemis  fwfif  ( wen  1 _ _ _ _ _ ....... _ _ _ 

1 

1 

Diseases  of  Sweat  Glands. 

Rromidrnsis  . . . . . . . . . 

2 

2 

Inflammations.  r 

Rubeola.  . . . . . . . . . 

l 

1 

Varicella . . . 

3 

4 

7 

A.  Erythematous  — 

Erythema  simplex . . . 

4 

11 

15 

“  intertrigo . 

2 

2 

“  multiforme . . 

1 

1 

2 

u  nodosum  . . . . . 

1 

1 

Urticaria . 

19 

24 

43 

B .  Vesicular  — 

Herpes . . . 

2 

1 

3 

“  labialis . 

2 

1 

3 

11  progenitalis  . . 

2 

2 

“  zoster . 

6 

1 

7 

C.  Builous  — 

Pemphigus  ehroniens . 

1 

1 

Cbeiro-pompholix . . . 

1 

1 

2 

D.  Papular  — 

Lichen  ruber . . . . . 

1 

4 

5 

“  trophicus . 

1 

3 

4 

Carried  foricard . . . . 

61 

81 

142 

70 


City  Document  No.  104 


DISEASES  OF  THE  SKIN.  —  Continued. 


DISEASES. 

Males. 

Females. 

Total. 

Brought  foi'voard . 

61 

81 

142 

E.  Pustular  — 

A one  . . . . . . .  . . 

20 

32 

K9 

“  rosacea . 

4 

3 

oz 

7 

Impetigo . 

10 

7 

17 

“  contagiosa . 

2 

2 

4 

Folliculitis  . . . 

1 

■f 

F.  Squamous  — 

1 

Psoriasis . 

14 

41 

55 

<5.  Phlegmonous  — 

■ 

Abscess . 

1 

5 

6 

Furuncle . 

3 

3 

6 

IT.  Ulceration  — 

Ulcers  . 

17 

7 

24 

Onychia . 

o 

o 

I .  Multiform  — 

Eczema,  acute . 

18 

20 

38 

“  chronic . 

85 

79 

164 

Dermatitis  . 

21 

11 

32 

“  septica,  erysipelas . 

1 

2 

3 

ILemorrhages. 

Purpura  simplex . 

3 

2 

5 

“  rheumatica . 

1 

H YPERTROPHIE  S . 

1.  Of  pigment  — 

Lentigo . 

1 

1 

2 

Chloasma . 

Naevus  pigmentosus . 

o 

O 

1 

2.  Of  Epidermis  and  papillae  — 

1 

1 

Cornu  cutaneum . T .  T . 

l' 

Verruca . 

2 

5 

L 

1 

“  acuminata . 

2 

2 

4 

Xerosis . 

2 

2 

4 

Molluscum  epitheliale  (contasriosum)  . 

1 

1 

3.  Of  corium . 

Scleroderma . 

1 

I 

Carried  forward . 

271 

312 

583 

71 


City  Hospital. 

DISEASES  OF  THE  SKIN.  —  Continued. 


DISEASES. 

Males. 

Females. 

Total. 

Brought  forward . 

271 

312 

583 

Atrophies. 

Of  Hair  — 

Alopecia  areata . 

1 

1 

2 

Defhivinm  onpillitii  . . . . . 

1 

1 

New  Formations. 

A.  Of  Granulation  tissue  — 

Lupus  vulgaris . 

2 

2 

Lupus  erythematosus . 

2 

2 

4 

Scrofuloderma . . . 

7 

15 

22 

Syphiloderma . 

42 

35 

77 

Epulis . . . . . . . 

1 

1 

B.  Of  Connective  Tissue  — 

Xanthnm.i, . . . ... _ ... _ ... _ ....... 

1 

1 

Keloid . 

1 

1 

Fibroma  mnllnseum . . . . . . 

1 

1 

Fibroma . 

1 

1 

2 

C .  Of  Blood-vessels  — 

Rosacea  . 

1 

1 

Nap.vus  vascnlnsns . . . 

1 

1 

Telangiectasis . 

1 

1 

♦ 

D.  Of  Epidermal  tissue  — 

Epithelioma . 

1 

1 

2 

Neuroses. 

Pruritus . 

7 

6 

13 

Parasitic  Diseases. 

A.  Animal  — 

Scabies . 

24 

7 

31 

Pedicuii  capitis . 

9 

18 

27 

“  vestimentorum . 

9 

6 

15 

“  pubis....... . 

2 

2 

B.  Vegetable  — 

Tinea  trichophytina  capitis . 

12 

6 

18 

14  corporis . 

19 

15 

34 

“  “  barbaa . 

13 

13 

44  favosa . 

1 

1 

2 

Carried  forward . 

427 

430 

857 

72 


City  Document  No.  104 


DISEASES  OF  THE  SKIN —  Concluded.. 


DISEASES. 

Males,. 

Females. 

Total. 

Brought  forward . . . . . . 

427. 

430. 

867: 

vfirj^icolor  «v.« •  ♦  •  •  «.*•  •, 

lli 

11 

1& 

Other  Diseases*. 

'] 

n^LD^10lGUCitl8  %«••*••••%•«••••••  «!<• 

1 

1 

TiVmnhansitis . 

a 

*  2 

Dympho-adenitis, . . . 

5 

S 

8 

Stomatitis . . . . .  . . 

i 

1 

2 

Excoriatio . . . . . . 

i 

1 

2 

balanitis  . . . . . . 

i 

1 

Vapinit.is . ,.... . . . . . . 

1 

1 

Hordeolum . . . . . . . . 

i 

1 

2 

Panaritium . . . . . 

2 

2 

Varicocele . . . . . . 

2 

2 

-Blepharitis . . . . . . 

2 

2 

Totals . . 

452 

442 

894 

City  Hospital. 


73 


OUT-PATIENT  DEPARTMENT. 


0 

Diseases  or  the  Nervous  System. 


IN  CHARGE  OF  DRS.  BENNY  AND  FOLSOM. 


I.  Disorders  affecting  Peripheral 
Nerves.  Neuroses  of  Sensa¬ 


tion  :  — 

Anaesthesia .  2 

Paraesthesia .  7 

Neuralgia  trigeminis .  5 

“  cervico-occipitalis . .  1 

“  plexus  brachialis  ..  3 

“  sacro-lumbalis .  1 

“  ischiadica .  10 

“  diffusa .  11 


II.  Neuroses  of  Motor  Nerves  :  — 


Torticollis .  7 

Tremor .  2 

Paralysis  facialis . .  8 

“  plexus  brachialis  .. .  7 

“  radialis .  2 

“  traumatica .  7 

“  saturnina .  8 

“  plexus  pharyngei .. .  1 

“  infantilis .  4 

Paraparesis .  5 

Neuritis .  6 


III.  Complex  Neuroses  :  — 


Epilepsy .  18 

Chorea .  25 

Vertigo .  8 

Hysteria .  3 


IV.  Disorders  and  Symptoms 
Involving  the  Sympathetic 
Nerves  :  — 

Cephalalgia . 

Hemicrania . 

Hemiansesthesia . 

Insomnia . 

Spermatorrhoea . 

Dyspepsia . 

Anaemia . 

Constipation . 

Masturbation . 


5 
2 
1 
1 

6 
G 
5 
1 
2 


V.  Diseases  of  the  Spinal 
Cord :  — 

Myelitis .  1 


Brought  forward .  181 

Sclerosis  (lateral  columns)  . .  2 

Hemiparesis .  1 

Tabes  Dorsalis .  4 

Spinal  Concussion .  2 

• 

VI.  Diseases  of  the  Brain  :  — 

Hemiplegia .  18 

Eclampsia  Infantilis .  1 

Epilepsia  Jacksonia .  1 

Cerebral  Syphilis .  1 

Cerebral  Concussion .  1 

Paraplegia .  2 

Aphasia .  2 

VII.  Diffuse  Neuroses  and 
Psychoneuroses  :  — 

Melancholia .  2 

Erotomania .  1 

Neurasthenia .  16 

Delusional  Insanity .  4 

General  Paralysis .  2 

Hypochondriasis .  2 

Alcoholic  Insanity . .  1 

Agoraphobia .  1 


VIII.  Miscellaneous  Disorders 
involving  the  Nervous  Sys¬ 
tem  :  — 

Chronic  Rheumatism . 

Cachexia  Saturnina  . 

Mercury  Poisoning . 

Muscular  Rheumatism . 

Bright’s  Disease . 

Syphilis . 

Tobacco  Poisoning . 

Insolatio . 

Alcoholism . 

Imbecility . 

Not  Diagnosed . 

Unclassified . 

Referred  for  admission . 

“  to  Surgeon . 

“  to  Physician . 

“  to  Throat  Dep’t  .... 

“  to  State  Hospital .... 


12 

3 

1 

3 

1 

1 

1 

1 

1 

2 

17 

2 

1 

2 

2 

1 

3 


Carried  forward 


181 


Total 


299 


74 


City  Document  No.  104 


OUT-PATIENT  DEPARTMENT. 


Diseases  of  the  Throat  and  Nose. 


From  May  1,  1882,  to  May  1,  1883. 


IN  CHARGE  OF  DR.  CUSHING. 


DISEASES. 

Males. 

Females. 

Total 

Laryngitis,  acute . 

6 

5 

11 

“  sub-acute  . 

17 

20 

37 

“  chronic  . 

10 

6 

16 

“  tuberculous  . 

2 

5 

7 

“  syphilitic . 

4 

2 

6 

Tia7,ynpreal  cancer . 

1 

1 

"  paralysis . . . . . 

1 

1 

11  stenosis  ............... _ _ _ _ ..... 

1 

1 

Pharyngitis,  acute . 

15 

13 

28 

“  chronic . 

39 

20 

59 

“  follicular  . 

8 

5 

13 

Pharyngeal  ulcer  (syph.) . 

10 

2 

12 

Amygdalitis,  acute . . . 

5 

3 

8 

“  follicular . 

1 

5 

6 

“  hypertrophic . 

10 

10 

20 

Uvula,  elongated . 

1 

2 

3 

Diphtheria . . . 

1 

1 

Rhinitis . . . . . . . 

3 

3 

Foreign  body  in  nose . 

1 

1 

2 

Epistaxis . 

2 

JL 

3 

Coryza . . . . . 

8 

3 

11 

Posterior  nasal  catarrh. . . 

40 

65 

105 

Anterior  nasal  hypertrophy . 

6 

4 

10 

Carried  forward . . . . . 

189 

175 

364 

City  Hospital 


75 


DISEASES  OF  THE  THROAT  AND  NOSE  —  Concluded. 


DISEASES. 


Brought  forward . 

Ozoena . . . 

Stomatitis,  simple . 

Adenitis,  cervical . 

“  pai*otid . 

Papilloma  of  larnyx . 

Neuralgia  of  pharynx . 

Tumor  of  tonsil . 

Polypus  nasi . 

Eczema  nasi . 

Hysteria . 

Goitre . 

Miscellaneous  . 

Referred  to  other  departments 


Males. 

Females. 

Total. 

189 

175 

364 

4 

5 

9 

2 

2 

4 

2 

1 

3 

2 

o 

mt 

1 

1 

2 

4 

4 

1 

1 

7 

4 

12 

6 

2 

8 

7 

7 

2 

2 

2 

5 

7 

15 

5 

20 

229 

215 

444 

Totals 


76 


City  Document  No.  104 


OUT-PATIENT  DEPARTMENT. 


Diseases  of  the  Ear. 

IN  CHARGE  OF  DR.  J.  ORNE  GREEN. 
From  May  1,  18 82,  to  May  1,  2883. 


DISEASES. 

* 

\ 

Males. 

Females. 

Total. 

Diseases  op  the  Auricle. 

Eczema:  — 

Acute,  one  side . 

1 

** 

t 

8 

4 *  EntE . .  - . . . . . 

1 

Intertrigo . 

•  •  •  • 

2 

2 

Cleft  lobule . 

1 

1 

Diseases  op  the  External  Meatus. 

Inflammation :  — 

Acute,  one . 

6 

•  •  •  • 

6 

“  both . 

3 

3 

6 

Chronic,  both . 

2 

•  •  •  • 

2 

Accumulation  of  cerumen . 

32 

31 

63 

Fczpmn.. . . . . . 

2 

2 

Foreign  body . 

2 

2 

4 

Furuncle . 

1 

1 

2 

Desquamative  inflammation . 

1 

•  •  •  • 

1 

Diseases  op  the  Tympanum. 

Catarrhal  inflammation :  — 

Acute,  one . 

13 

17 

30 

11  both . 

6 

2 

8 

Chronic,  one . 

4 

11 

15 

“  both . 

17 

25 

42 

Serous  inflammation,  one . 

2 

•  •  •  • 

2 

Purulent  inflammation :  — 

Acute,  one .  .... 

23 

26 

49 

“  both . 

6 

6 

12 

Chronic,  one . 

15 

23 

88 

“  both . 

11 

10 

21 

with  mastoid  inflammation . 

1 

.... 

1 

Carried  forward . 

146 

170 

316 

City  Hospital 


77 


DISEASES  OF  THE  EAR  .  —  Concluded. 


DISEASES. 

Males. 

Females. 

Total. 

Brought  forioard . 

146 

170 

316 

Purulent  inflammation  —  Continued. 

with  papilloma . 

•  •  •  • 

2 

2 

“  polypus . 

4 

1 

5 

"  caries . 

1 

2 

3 

Results  of  previous  pur.  infl . 

6 

3 

9 

Plastic  inflammation,  one . . . 

1 

•  •  •  • 

1 

“  “  both . 

2 

4 

6 

Neuralgia  of  tympanic  plexus . . . 

•  •  •  • 

1 

1 

Diseases  op  the  Internal  Ear. 

Nervous  deafness . 

3 

2 

5 

Total  deafness :  — 

from  fracture  of  skull . 

1 

•  •  •  • 

1 

“  purulent  inflammation . 

2 

4 

6 

“  cerebro-spinal  meningitis . 

1 

.... 

1 

Tinnitus . 

1 

.... 

1 

Other  Diseases. 

Trifacial  neuralgia . . 

1 

1 

2 

No  ear  disease . 

•  •  •  • 

1 

1 

No  diagnosis . 

1 

•  •  •  • 

1 

Referred  to  other  departments . 

•  •  •  • 

3 

3 

Totals . 

170 

194 

364 

City  Document  No.  104 


78 


OUT-PATIENT  DEPARTMENT. 


Diseases  of  Women. 

IN  CHARGE  OF  DRS.  BOARDMAN  AND  CHADWICK. 


Diseases  of  the  Ovary. 
Complex  Cystic  Tumor . 

Diseases  of  Broad  Ligament. 

Inflammation . 

Pelvic  Peritonitis . 

Pelvic  Cellulitis . 

Abscess . 

Cyst . 

Diseases  of  the  Womb. 

Catarrh  (Leucorrhoea) .  29 

Subinvolution .  4 

Inflammation .  5 

Epithelioma .  4 

Phantom  Tumor .  2 

Fibrous  Tumors .  3 

Polypus .  1 

Displacements :  — 

Anteversion .  8 

Retroversion .  25 

Anteflexion .  6 

Retroflexion .  5 

Prolapsus .  35 

Procidentia .  2 

Stenosis  of  Ext.  os .  1 

Inflammation  of  Vagina .  21 

Inflammation  of  Labia .  2 

Pruritus .  5 

Venereal  Warts .  3 


Brought  forward .  171 

Venereal  Ulcer .  3 

Functional  Diseases. 

Amenorrhoea .  51 

Scanty  Menstruation,  and  irregu¬ 
lar  .  36 

Vicarious  Menstruation .  1 

Dysmenorrhoea .  18 

Menorrhagia.'. .  23 

Metrorrhagia .  1 

Pregnancy .  20 

Menopause .  11 

Membranous  Decidua .  1 


Diseases  of  Bladder. 

Dysuria .  2 

Diseases  of  Pregnancy. 

Abortion .  2 

Mammary  Abscess .  4 

No  Diagnosis .  16 

Referred  to  Medical  O.P.D .  9 

“  Nervous  “  ....  2 

“  Skin  “  ....  1 

“  Surgical  “  ....  3 

“  Throat  “  ....  1 

Referred  for  Admission .  1 

Refused  Treatment,  Non-resi¬ 
dents .  11 


From  May  1,  1881 ,  to  April  30,  1883. 


1 


1 

3 

3 


Carried  forward 


171 


Total 


388 


City  Hospital. 


79 


BEQUESTS. 


Goodnow  Fund. — Elisha  Goodnow,  of  South  Boston 
(Ward  XII.),  who  died  in  the  year  1851,  and  whose  will  is 
dated  July  12,  1849,  bequeathed  to  the  city  "all  the  rest  and 
residue  of  his  estate,  real  and  personal,  not  otherwise  dis¬ 
posed  of,"  for  the  purpose  of  establishing,  in  the  Eleventh 
or  Twelfth  Wards  of  the  city,  a  Hospital  for  the  sick  ;  one- 
half  of  said  funds  to  be  applied  for  the  establishment  and 
maintenance  of  fiee  beds,  which  should  always  be  at  the  dis¬ 
posal  and  under  the  control  of  ^the  Officers  of  the  Govern¬ 
ment  of  said  Hospital  for  the  time  being.  Under  this  will 
the  city  came  into  possession  of  certain  real  estate  situated 
on  Cross  street,  which  has  been  disposed  of  and  has  pro¬ 
duced  the  sum  of  $16,500,  which  has  been  invested  in  City 
of  Boston  Six  per  cent.  Stock.  Also  a  lot  of  land  on  Third 
street,  South  Boston,  containing  6,683J  feet,  which  was  dis¬ 
posed  of  in  1867  for  $4,623.25,  of  which  $4,000  has  been 
invested  in  City  of  Boston  Five  per  cent.  Stock,  and  the 
balance  ($633.25)  remained  in  the  City  Treasury  at  interest, 
until  it  amounted  to  $1,000,  and  was  invested  in  a  City  of 
Boston  Six  per  cent.  Currency  Note.  The  $10,000  deposited 
by  the  Executors  of  Mr.  Goodnow,  June  22,  1852,  with  the 
Massachusetts  Hospital  Life  Insurance  Company,  the  interest 
upon  which  is  to  be  paid  to  the  widow,  will,  upon  her  de¬ 
cease,  be  distributed  as  follows  :  — 

$500  to  the  Penitent  Females’  Refuge. 

$5,000  to  City  of  Boston ;  income  to  be  expended  for  the 
relief  of  sick  and  infirm  persons. 

$4,500  to  be  added  to  the  fund  heretofore  provided  for  the 
support  of  free  beds  in  the  City  Hospital. 

Nichols  Fund. — Lawrence  Nichols,  who  died  in  Sep¬ 
tember,  1862,  made  the  following  bequest  to  the  city:  "I 
give  to  the  City  of  Boston,  towards  the  establishment  and 
endowment  of  a  City  Hospital,  in  case  such  Hospital  shall 
have  been  established  at  the  time  of  my  decease,  the  sum  of 
one  thousand  dollars.”  And  in  case  such  Hospital  should 
not  have  been  established  by  the  city  at  the  time  of  his  de¬ 
cease,  he  directed  the  same  amount  to  be  deposited  with  the 
Massachusetts  Hospital  Life  Insurance  Company,  and  suf¬ 
fered  to  accumulate,  by  the  addition  of  interest,  until  such  a 
Hospital  should  be  established. 

The  executor  of  the  will,  Wm.  Perkins,  Esq.,  has  paid 
into  the  treasury  nine  hundred  and  thirty-seven  dollars  and 


80 


City  Document  No.  104. 


twenty-five  cents  ($937.25),  being  the  amount  devised,  less 
the  Internal  Revenue  Tax  on  the  same,  and  $530.50,  as  one 
of  the  " residuary  legatees  in  the  United  States  ”  from  the 
surplus  remaining  undisposed  of.  The  $937.25,  with  the 
accumulated  interest  thereon,  has  been  invested  in  a  certifi¬ 
cate  of  City  Stock  for  $1,000.  The  balance  ($530.50)  re¬ 
mained  at  interest  until  it  amounted  to  $1,000,  and  was 
invested  in  a  City  of  Boston  Six  per  cent.  Currency  Note. 

Norcross  Fund.  — 1868,  January  1.  The  trustees  re¬ 
ceived  the  sum  of  two  thousand  dollars  from  Hon.  Otis 
Norcross,  as  the  foundation  of  a  fund  for  the  benefit  of  pa¬ 
tients  leaving  the  Hospital  poor  and  destitute  of  proper 
clothing.  The  principal  sum  is  invested  in  a  City  of  Boston 
interest-bearing  note,  to  be#deposited  with  the  City  Auditor, 
the  interest  of  which  is  to  be  collected  annually  or  oftener, 
and  paid  over  to  the  President  of  the  Board  of  Trustees,  for 
the  time  being,  of  the  City  Hospital,  to  be  by  him  expended 
at  his  discretion  for  the  benefit  and  temporary  assistance  of 
those  patients  wdio  are  in  his  judgment  deserving,  and  who 
are  destitute  of  proper  clothing  in  which  to  leave  the  Hos¬ 
pital,  and  having  no  means  of  procuring  it. 

Balance  on  hand  May  1,  1882  .  .  .  .  $421  69 

Received  interest  .  .  .  .  •  150  00 


$571  69 

Expended  .  .  .  .  •  •  •  .  314  19 


Balance  May  1,  1883  ......  $257  50 


Ball  Fund.  — 1870,  April  1.  The  Trustees  received 
from  the  estate  of  Mr.  Jonas  Ball  the  sum  of  one  thousand 
dollars  for  the  same  purpose,  and  under  the  same  restrictions, 
as  the  Norcross  Fund. 

Balance  on  hand  May  1,  1882  ....  $133  13 

Received  interest  .  .  .  .  •  .  167  50 


$300  63 

Expended  188  94 


Balance  May  1,  1883  . $111  69 

Goodnow  Library  Fund.  — 1874.  Donation  of  George 
Goodnow,  the  interest  of  which  to  be  expended  annually 
by  the  Board  of  Trustees  in  replenishing  the  library  of  the 
Hospital  with  books  and  pamphlets  suitable  for  the  reading 
of  the  patients  during  convalescence. 


City  Hospital. 


81 


% 


Balance  on  hand  May  1,  1882  .  .  .  .  $77  94 

Received  interest  .  .  .  .  .  .  90  00 


$167  94 

Expended  .......  48  02 


Balance  May  1,  1883  .....  $119  92 


Shaw  Fund. — 1875.  Bequest  of  the  late  Mary  Louisa 
Shaw,  the  income  of  which  to  be  expended  by  the  Trustees 
for  the  purchase  of  flowers  and  fruit  for  the  use  and  comfort 
of  the  patients  in  the  Hospital. 


Balance  on  hand  May  1,  1882  .  .  .  $256  50 

Received  interest  .  .  .  .  .  .  120  00 


$376  50 

Expended  .  .  .  .  .  .  .  165  24 


Balance  May  1,  1883  .....  $211  26 


Recapitulation  City  Hospital  Trust  Funds. 

Goodnow  Fund.  —  Two  certificates  City  of  Bos¬ 
ton  Six  per  cent.  Stock  for  $17,500,  and  one 
of  Five  per  cent.  Stock  for  $4,000,  payable  to 
the  Mayor  for  the  time  being  ....  $21,500  00 

JVorcross  Fund.  —  One  certificate  City  of  Boston 
Five  per  cent.  Stock,  payable  to  the  Mayor  for 
the  time  being  ......  2,000  00 

Nichols  Fund.  —  Two  certificates  City  of  Bos¬ 
ton  Six  per  cent.  Stock,  payable  to  the  Mayor 
for  the  time  being  .....  2,000  00 

Ball  Fund.  —  One  certificate  City  of  Boston  Six 
per  cent.  Stock,  payable  to  the  Mayor  for  the 
time  being  .......  1,000  00 

Goodnow  Library  Fund. — One  certificate  City 
of  Boston  Six  per  cent.  Stock  .  .  .  1,000  00 

Shaw  Fund.  —  One  certificate  City  of  Boston 
Six  per  cent.  Stock,  payable  to  the  Mayor 
for  the  time  being  .....  2,000  00 


$29,500  00 


82 


City  Document  No.  104. 

The  Ordinance  in  relation  to  the  City  Hospital,  Ordinances 
of  1876,  Sect.  9,  page  433,  provides  that  said  scrip  shall  be 
deposited  with  the  Auditor  of  Accounts,  who  shall  receive 
the  interest  as  the  same  shall  become  due  thereon,  and  add 
it  to  the  moneys  which  shall  have  been  appropriated  for  the 
use  of  the  Hospital. 


I 


r 


City  Hospital. 


83 


HOUSE  RULES, 

WITH  RULES  FOR  ADMISSION  AND  DISCHARGES  AND  GOV¬ 
ERNMENT  OF  PATIENTS;  ALSO  RULES  FOR  VISITORS. 


House  Rules. 

All  employes  shall  be  in  their  respective  places  during  the 
hours  of  duty. 

The  doors  and  gates  of  the  Hospital  will  be  closed  at  10 
o’clock  P.M.,  at  which  time  all  inmates  shall  be  quiet,  and 
all  not  on  ditty  shall  be  in  their  rooms. 

A  record  shall  be  kept  of  all  persons  entering  the  Hos¬ 
pital  between  the  hours  of  10  P.M.  and  7.30  A.M. 

No  employes  shall  be  absent  from  the  Hospital,  except  as 
permitted  by  special  rules  or  by  the  Superintendent. 

The  use  of  tobacco,  wine,  and  intoxicating  liquors  is  pro¬ 
hibited  within  the  Hospital,  unless  prescribed  by  the  Physi¬ 
cians  or  Surgeons. 

All  profane  and  obscene  language,  loud  talking,  and  incivil¬ 
ity,  are  prohibited. 

All  employes  shall  observe  such  further  rules  and  direc¬ 
tions  for  their  conduct  as  may  from  time  to  time  be  estab¬ 
lished. 

Admission  of  Patients. 

Applications  for  admission  of  patients  may  be  made  at  the 
Hospital  on  each  day  of  the  week,  Sunday  excepted,  between 
9  and  11  o’clock  A.M. 

Whenever  able  the  patient  shall  apply  in  person.  When 
not  able  to  appear  in  person,  on  application  made  by  a  friend, 
the  patient  shall  be  visited  at  his  residence. 

Any  Trustee,  or  either  of  the  Physicians  or  Surgeons  in 
attendance,  may,  in  case  of  emergency,  send  a  patient  in  the 
first  instance  to  the  Hospital  by  written  permit. 

Persons  accidentally  wounded,  or  otherwise  disabled  or 
injured,  shall  be  received  at  all  hours. 

Permits  for  admission  shall  be  subject  to  the  approval  of 
the  Visiting  Committee,  and  the  Committee  shall,  except 
as  above,  have  power  at  any  time  to  require  the  Superintend¬ 
ent  to  report  to  them  the  names  of  applicants  before  admit¬ 
ting  them,  and  may  dismiss  any  patient  whom  they 
think  improperly  admitted,  or  change  the  terms  of  admission. 


84 


City  Document  No.  104. 


Patients  may  be  admitted  by  the  Trustees  to  the  privileges 
of  the  Hospital  at  such  rates  of  board  as  the  Trustees  may, 
from  time  to  time,  determine,  payment  for  such  board  being 
secured  by  the  friends  of  the  patients  or  by  the  authorities 
of  the  city  or  town  to  which  the  patients  belong. 

Whenever,  in  the  opinion  of  the  Trustees,  the  circum¬ 
stances  of  the  patient  will  warrant  it,  the  whole  or  a  part  of 
the  board  shall  be  paid.  If  separate  apartments,  or  articles 
not  usually  furnished  at  the  Hospital,  are  provided,  such 
payment  shall  be  made  therefor  as  the  Trustees  shall  deem 
reasonable. 

No  person  having  acute  syphilitic  disease,  or  alcoholism, 
shall  be  admitted  except  as  a  paying  patient. 

No  person  shall  be  admitted  to  the  Hospital  whose  case  is 
judged  to  be  incurable,  unless  there  be  urgent  symptoms, 
which  are  deemed  capable  of  being  relieved. 

Discharge  of  Patients. 

Patients  shall  be  discharged  by  the  Superintendent  as 
before  provided. 

Patients  discharged  on  the  recommendation  of  the  Phy¬ 
sicians  or  Surgeons  shall  be  provided  with  a  certificate,  stat¬ 
ing  their  condition  at  the  time  of  discharge,  whether  cured, 
relieved,  or  not  relieved,  which  certificate  shall  be  signed  by 
the  Superintendent. 

Whenever  a  patient  is  removed  from  the  Hospital  without 
the  approval  of  the  Superintendent,  a  written  statement  to 
that  effect  shall  be  required  from  any  person  assuming  the 
responsibility  of  the  removal. 

In  case  of  the  decease  of  a  patient  the  Superintendent  shall 
sign  the  death-certificate.  He  shall  also  state  the  time  and 
cause  of  death,  the  disposition  made  of  the  body,  whether 
delivered  to  friends  or  buried  from  the  Hospital,  in  which 
latter  case  he  shall  mention  the  place  of  interment. 

The  body  of  any  person  dying  at  the  Hospital  shall  not  be 
delivered  without  a  written  receipt  from  the  parties  taking 
the  same. 

Government  of  Patients. 

Patients  shall  implicitly  observe  all  the  rules  of  the 
Hospital. 

Patients  shall  be  in  their  proper  places  in  the  wards  dur¬ 
ing  the  visit  of  the  Physicians  and  Surgeons,  and  always  by 
7.20  o’clock  P.M.,  unless  specially  excused  by  the  Superin¬ 
tendent. 

Such  free  patients  as  are  able  shall  assist  in  nursing,  and 


City  Hosfital. 


85 


in  such  other  services  as  may  be  reasonably  required  of 
them. 

No  patient  shall  leave  the  Hospital  Grounds  without  a  pass 
from  the  Superintendent,  nor  his  ward  without  the  consent 
of  the  Nurse  in  charge. 

No  patient  shall  purchase,  or  cause  to  be  purchased  for 
him,  any  article  of  food  whatsoever,  nor  any  other  article, 
without  the  consent  of  the  Superintendent. 

Profane  and  obscene  language,  loud  talking,  and  incivility 
are  prohibited. 

Patients  may  be  visited  by  clergymen  of  their  own  selec¬ 
tion,  and  any  wish  for  the  performance  of  a  particular  relig¬ 
ious  rite  shall  be  indulged  when  practicable. 

Complaints,  for  whatever  cause,  may  be  made  tot  he  Super¬ 
intendent  or  Visiting  Committee,  and  when  reasonable  shall 
be  by  them  reported  to  the  Trustees. 

Visitors. 

No  person  shall  visit  any  part  of  the  premises,  except  on 
business,  or  at  such  times  as  may  be  fixed  for  the  reception 
of  visitors,  without  the  permission  of  the  Superintendent,  or 
of  some  one  of  the  Trustees. 

On  Monday,  Tuesday,  Thursday,  and  Saturday  of  each 
week,  from  2  to  3  o’clock  P.M.,  friends  may  be  permitted 
to  visit  patients,  though  no  patient  shall  receive  more  than 
two  visitors  on  the  same  day.  In  all  cases,  however,  the 
Trustees  or  Superintendent  may  exercise  discretionary  pow¬ 
ers  as  to  excluding  or  admitting  visitors. 

All  visitors  shall  leave  the  Hospital  when  the  bell  rings  at 
the  expiration  of  the  visiting  hour. 

No  visitor  shall  take  any  meal  in  the  Hospital,  or  pass  the 
night  therein,  without  permission  from  the  Superintendent  or 
one  of  the  Trustees. 

No  visitor  shall  be  allowed  to  give  any  article  of  food  or 
drink  to  a  patient,  unless  by  permission  of  the  Nurse ;  and 
any  article  sent  to  a  patient  shall  be  left  with  the  Superin¬ 
tendent. 


86 


City  Document  No.  104. 


THE  BOSTON  CITY  HOSPITAL  TRAINING  SCHOOL 

FOR  NURSES. 


The  Trustees  of  the  Boston  City  Hospital  are  prepared  to 
give  a  two  years’  course  of  training  to  women  desirous  of 
becoming  professional  nurses. 

Those  wishing  to  receive  such  a  course  of  instruction 
must  apply  to  the  Superintendent  of  the  City  Hospital, 
Boston. 

The  most  desirable  age  for  candidates  is  from  twenty-one 
to  thirty -live  years  ;  they  must  be  in  sound  health,  and  must 
send  with  their  application  a  certificate  from  two  responsible 
persons  (one  a  physician)  as  to  their  good  character  and 
good  health.  Upon  the  recommendation  of  the  Superintend¬ 
ent  of  the  Hospital,  and  the  approval  of  the  Trustees,  they  will 
be  received  for  one  month  on  probation.  During  this  month 
they  are  boarded  and  lodged,  and  have  their  laundry  work 
done  at  the  Hospital,  but  receive  no  compensation. 

The  Superintendent  of  Nurses  has  charge  of  the  Training 
School,  under  the  authority  of  the  Superintendent  of  the 
Hospital  and  of  the  Board  of  Trustees,  and  the  nurses  are 
subject  to  the  rules  of  the  Hospital.  Their  fitness  for  the 
work,  and  the  propriety  of  retaining  or  dismissing  them  at 
the  end  of  the  month  of  trial,  are  determined  by  the  author¬ 
ities  in  charge  of  the  school,  under  the  direction  of  the 
Trustees  ;  and  the  same  authorities  can,  in  like  manner,  dis¬ 
charge  them  at  any  time,  in  case  of  misconduct  or  ineffi¬ 
ciency.  They  reside  in  the  Hospital,  and  serve  as  assistant 
nurses  in  its  wards. 

All  nurses  are  required  to  be  sober,  honest,  truthful, 
trustworthy,  punctual,  quiet,  orderly,  cleanly,  neat,  patient, 
kind,  and  cheerful. 

Course  of  Training. 

Those  fulfilling  the  conditions  of  the  probationary  month 
are  accepted  as  pupils.  They  must  sign  a  written  agreement 
to  remain  at  the  school  for  two  years,  and  to  conform  to  the 
rules. 

The  instruction  includes  :  — 

1.  The  dressing  of  blisters,  burns,  sores,  and  wounds, 
and  preparation  and  applying  of  fomentations,  poultices,  and 
minor  dressings. 


City  Hospital. 


87 


2.  Cupping,  leeching,  and  subsequent  treatment. 

3.  The  administering  of  enemas,  and  use  of  the  female 
catheter. 

4.  The  applying  of  friction  to  the  body  and  extremities 
in  the  best  method. 

5.  The  management  of  helpless  patients  in  bed,  in  mov¬ 
ing,  changing  bed  and  body  linen,  giving  baths,  keeping 
patients  warm  or  cool,  prevention  and  dressing  bed-sores, 
managing  position,  etc.,  and  in  feeding. 

6.  The  making  of  bandages  and  rollers,  preparation  of 
splints,  etc.,  and  bandaging. 

7.  The  making  of  beds  and  changing  sheets,  etc.,  with 
patients  in  bed. 

8.  The  cooking,  preparing,  and  serving  of  food  and  deli¬ 
cacies  for  the  sick. 

They  are  also  given  some  instruction  in  the  best  practical 
methods  of  supplying  fresh  air,  warming  and  ventilating 
sick-rooms  in  a  proper  manner,  and  are  taught  to  take 
proper  care  of  rooms  and  wards ;  in  keeping  all  utensils 
perfectly  clean  and  disinfected,  etc.  ;  to  observe  the  sick 
accurately  in  regard  to  the  state  of  the  secretions,  expec¬ 
torations,  pulse,  breathing,  skin,  temperature,  eruptions, 
sleep,  mental  condition  as  to  delirium,  stupor,  etc.,  con¬ 
dition  of  wounds,  appetite,  effect  of  diet  or  of  stimulants  and 
medicine,  and  the  managing  of  convalescents. 

The  instruction  is  given  mainly  by  the  Superintendent  of 
the  Training  School  and  by  the  Head  Nurses.  Lectures, 
recitations,  and  demonstrations,  also  take  place  at  stated 
periods  by  the  Hospital  Staff  and  House  officers.  Exami¬ 
nations,  chiefly  upon  practical  points,  will  take  place  from 
time  to  time. 

The  pupils  are  employed  as  assistant  nurses  in  the  wards 
of  the  Hospital,  and  are  paid  ten  dollars  ($10)  per  month 
during  the  first  year,  and  fourteen  dollars  ($14)  per  month 
during  the  second  year,  for  their  clothing  and  personal  ex¬ 
penses.  This  sum  is  in  no  wise  intended  as  wages,  it  being 
considered  that  their  education  during  this  time  is  a  fufl 
equivalent  for  their  services. 

They  are  required  to  wear  at  all  times,  while  on  duty  in 
the  wards,  the  Training  School  uniform  dress. 

When  the  full  term  of  two  years  is  completed,  the  nurses 
thus  trained,  receive  (after  final  examinations)  diplomas 
certifying  to  the  regular  course  of  training,  their  knowledge 
of  nursing,  and  their  ability. 

The  right  is  reserved  to  terminate  the  connection  of  any 
nurse  or  pupil  with  the  school  for  any  reason  which  may  be 
deemed  sufficient. 


88 


City  Document  No.  104. 


A  blank  form  will  be  furnished  to  applicants  to  be  filled  in 
with  answers  to  the  following  questions  in  the  candidate’s 
own  handwriting,  and  sent  to  the  Superintendent  of  City 
Hospital ,  Boston ,  Mass . 


Questions  to  be  answeked  by  Candidate. 

1.  Christian  name  in  full. 

2.  Are  you  a  single  woman  or  widow? 

3.  Your  present  occupation  or  employment. 

4.  Age  last  birthday,  and  date  and  place  of  birth. 

5.  Height.  Weight. 

6.  In  what  school  or  schools  educated,  and  in  what  place? 

7.  Are  you  strong  and  healthy?  Have  you  always  been 

so  ? 

8.  Are  your  sight  and  hearing  perfect? 

9.  Have  you  any  physical  defects? 

10.  Have  you  any  tendency  to  pulmonary  complaint? 

11.  If  a  widow,  have  you  children?  How  many?  Their 

ages?  How  are  they  provided  for? 

12.  Are  you  otherwise  free  from  domestic  responsibility,  so 

that  you  are  not  liable  to  be  called  away? 

13.  Where  (if  any)  was  your  last  situation?  How  long 

were  you  in  it? 

14.  The  names  in  full  and  addresses  of  two  persons  not  of 

your  own  kindred  to  be  referred  to.  State  how  long 
each  has  known  you.  If  previously  employed,  one 
of  these  must  be  the  last  employer. 


Having  read,  and  clearly  understanding  the  foregoing 
conditions  and  regulations,  I  declare  the  above  statement  to 
be  correct. 


Signed, 


Candidate . 


Date. 


Present  Address. 


City  Hospital. 


89 


DONATIONS. 

During  the  Hospital  year  1882-83  the  following  donations 
to  the  Hospital  have  been  received  :  — 


From  Miss  ' Helen  W.  Tinkham,  371  Marlboro’  street,  5  dozen  flower- 
vases. 

From  Miss  A.  R.  Evans,  Attleboro’  Falls,  a  barrel  of  papers  and  maga¬ 
zines. 

From  Miss  Florence  Nickerson,  9  dolls  and  scrap-book. 

From  Miss  Newell,  reading  matter. 

From  William  T.  Freejman,  Pepperell,  Mass.,  fruit. 

From  Chas.  P.  Grimmer,  florist,  West  street,  boxes  of  cut  flowers  several 
times. 

From  Father  Jamison,  Boston  College,  cut  flowers. 

From  the  Misses  Washburn,  Greenfield,  Mass.,  2  books  of  chromos  and 
cards. 

From  Charles  Stoddard,  reading  matter. 

From  A  Friend,  old  linen  for  the  Out-Patient  Eye  Department. 

From  Mrs.  S.  G.  Webber,  package  of  reading  matter. 

From  House  Officer  of  City  Hospital,  $6.00  for  Christmas  presents 
for  the  children. 

From  Mrs.  G.  H.  Lyman,  2  albums  and  package  of  cards. 

From  Miss  Leland  and  Miss  Pickering,  17  packages  of  books  and  toys 
for  Children’s  Ward. 

From  Miss  Cabot,  Christmas  cards. 

From  S.  S.  Children  of  St.  John’s  Church,  North  Adams,  Mass.,  illus¬ 
trated  papers  for  children. 

From  Mrs.  George  Thachkr,  Mt.  Yernon  street,  Swiss  Chateau,  picture 
puzzles,  and  Christmas  toys. 

From  Miss  Loud,  $3.00  for  delicacies. 

From  Miss  Ida  Mason,  1  Walnut  street,  37  packages  of  dolls,  games, 
large  to}~s,  etc.,  for  Children’s  Ward. 

From  A  Friend,  3  boxes  “cut-up  pictures.” 

From  Miss  Osbourne,  1  package  Christmas  cards. 

From  J.  A.  Roberts,  Beacon  street,  reading  matter. 

From  A  Friend,  25  “  Atlantic  Monthlies.” 

From  A  Friend,  a  large  package  of  magazines. 

From  M.  F.  Gavin,  M.D.,  packages  of  reading  matter  several  times. 

From  Mrs.  Lewis,  Brookline,  a  package  of  old  linen. 

From  A  Friend,  2  cloth  scrap-books. 

From  Mrs.  Marie  Scull,  illustrated  German  papers  and  cards  for  Chil¬ 
dren’s  Ward. 

From  Mrs.  Lewis,  Commonwealth  Hotel,  a  package  of  papers,  and  scraps 
on  pasteboard. 

From  A  Friend,  a  roll  of  old  linen. 

From  A  Friend,  by  Dr.  Gay,  92  books  for  Children’s  Ward. 

From  Jamaica  Plain  Employment  Society,  the  making  of  200  shirts,  18 
chemises,  and  8  night-dresses. 

From  First  Church,  Easter  Sunday,  flower-pieces. 

From  A  Friend,  a  package  of  illustrated  papers. 

From  Miss  L.  Stowe’s  Scholars,  Wellfleet,  Mass.,  a  large  box  of  May¬ 
flowers,  twice. 

From  Mrs.  Brown,  Norfolk  avenue,  June  roses. 

From  H.  L.  Higginson,  Beverly  Farms,  2  large  packages  of  reviews, 
English  papers,  and  illustrated  magazines. 

From  One  of  the  Visiting  Physicians,  $10.00  for  purchase  of  books  for 
Nurses’  Library. 

From  Mrs.  Roundy,  1  package  of  old  linen  for  dressing. 


90 


City  Document  No.  104. 


From  A  Friend,  a  large  box  of  crysanthemums. 

From  Mrs.  Osborne,  7  dressed  dolls,  sundry  toys  and  playthings. 

From  A  Lady  in  New  YorIc,  a  barrel  of  fruit. 

From  Mrs.  George  H.  Lymans,  magazines. 

From  Houghton,  Mifflin,  &  Co.,  a  large  lot  of  magazines,  illustrated 
papers,  etc. 

From  Mrs.  Fearing,  reading  matter. 

From  A  Friend,  North  End  Mission,  5  cloth  scrap-books  for  Children’s 


Ward. 


From  Ed.  J.  Brown,  80  Mt.  Yernon  street,  2  apparatus  for  hip-disease, 
Sayres’  splints,  surgical  shoes,  canes,  and  crutches.  * 

From  Union  Club,  a  large  lot  of  valuable  reviews,  magazines,  etc. 

From  Suffolk  Club,  illustrated  papers. 

From  Willie  Schirby,  books  and  papers  for  children. 

From  Anonymous  Friends  during  Christmas  holidays,  gifts,  toys,  fruits, 
and  flowers  for  children  in  Hospital. 

From  The  Physicians  and  Surgeons  of  City  Hospital,  60  volumes  for 
Nurses’  Library. 

From  Boston  Flower  Mission,  weekly  visits  to  the  wards,  and  distribu¬ 
tion  of  nosegays  to  the  patients  during  the  spring  and  summer 
season. 

From  Boston  Young  Men’s  Christian  Union,  tickets  for  96  carriage- 
drives  for  convalescent  patients. 

From  Two  Quartettes  of  Berkeley  Church,  singing  in  the  wards,  Sun¬ 
day  afternoons,  for  six  months  of  the  year. 

From  Publishers  of  following  magazines  and  papers,  1  year  free  sub¬ 
scription  :  — 


St.  Nicholas, 
Youth’s  Companion, 
Wide  Awake, 


Newton  Transcript, 

The  Omaha  Bee, 
Harper’s  Young  People. 


From  The  Hospital  Newspaper  Society,  many  thousands  of  daily  news¬ 
papers,  books,  and  miscellaneous  reading. 

From  Many  Unknown  Friends,  reading  matter,  fruit,  flowers,  toys,  and 
sundry  articles  too  numerous  to  mention. 

From  Easter  Card  Mission,  on  Easter  Sunday,  450  Easter  cards  and 
gifts. 


DIETARY  FOR  PATIENTS. 

MILK  DIET.  Daily.  —  Milk,  3  pints ;  Bread  (Wheat  or  Graham) ,  toasted,  if  desired ;  Butter,  Rice,  Oatmeal,  Corn  Starch,  or  Farina. 


City  Hospital. 


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