fs oti Vi eee ae ana-Centléten: Sar ae aly ry "ita, kay 8s, axe ae slllbere this is the Lent Soenakdesdeesbtenen ahiat I shall appear as a member of the University, I very gladly embrace the opportunity which it offers to express the mingled feelings of gratitude and sorrow which are maturally in my mind--gratitude to you all for sixteen years of exception- iq a@lly life, sorrow that I am to belong to you no more. Neither stricken deeply in years, nor damaged seriously by illness, you may well wonder at the motives that have induced me to give up a position of such influence and importance, to part from colleagues so congenial, from associates and students so devoted, and to leave a country in which I have so many warm So 7 friends, and in which I have been appreciated at much more than my real 7 a eR me a worth. It is best that you stay in the sini tagee Who can understand am another man's motives? Does he always understand bis own? This much I | may say in explanation=-nct in palliation. “After years of hard work, at the “very time when a man's energies begin to flag, and when he feels the need ' of more leigure, the conditions and surrountings that have made him what he is and that have movléeé his @haracter and abilities into something use- ful in the communityythese very circumstances ensure an ever increasing | Comes ’ a demand upon them; and when the call of the ee in one form or anoth- i 4 ox He hland by 24 of us, and which grows louder as we grow older, whemthe—cetl] { Thee Call. rag corre ia ual wones—~o—2 re at may. be ‘ee the summons to Elijah, when not alone the ploughing of the day, °° the work of a life, friends, relatives, even fath- Bor ae aah ‘ 21 too /90e psp oi ii lel Re. tM gt, ii a Eee od ele Ze er and mother, are left, to take up new work ina new field. Or, Beensee fir yet, if the call comes, as it did to Puran Das in Kipling's story, not to new labors, but to a life "private, Umactive, OREN contemplative." Dhere i 4 Pr: peveral roblems ef university life suggested by my — os. I-hbael 4 Ue . UL whether a metaboliem is active az " ys flare soriate body Mal a sat the loss of a ) proressor bring stimulating benefits sh in the peer % to & en We have not here lost very many=-this is not a univer-~ eity thst aon bdee ts leave--but in looking over its history I do not see 3 that the departure of any one has proved a serious blew. tu ie strange t , ’ ld : j of how slight value the unit #6 in a great system. A man may have built / up @ department and have gained a certain following, local or grneral, nay, more, he may have had a special value for his mental and moral qualities, ’ us 3 and his fission may leave a scar, even an aching scar, but it wirkl not be . for long. Those of us accustomed to the process know that the organism as ‘@ whole feels it about as much as a big posPeres when a colony breaks off, eon a hive of bses after a swarm--'tis not always a ee ‘it Yh, fe ty“n€ fea w : Cm Cg Por i eo | ae arelief. Of course the sense of personal loss falls heavy biibies! ‘bie 7... is /™ i : ry | J Penerne of getting attached to those with whom we work is strongly develop= at ed im-—most—of~us, and some will realize the bitterness of Shedtey’s lines: - < "Alas! that all we loved of him should be 3 3 2 + ‘ i eC CLE Ie j But for our grief as if it had not been." « But to the professor himself these partings belong to the life he has cho- sen. Like the hero in one of Matthew Arnold's poems, he knows that his heart was not framed to be "long loved." Change is the very marrow of his existence=-2 new set of students every year, @ new set of assistants, a new Every [eo set sth iemebetick oti-o0: cops thosp: cabled off to other fields;ein any active Se department there is no constancy, no stability in the human surroundings, A se fhe eee element of sadness in-its. A man comes into one's life for a few years, and you become attached to him, interested in his work and in his ferkeP gave - welfare, and ryou agate to love him, perhaps, as a son, and then off he goes! ~- Sey th nilen &B Sotdrei of Se Aausnter BASE STBysLoweing Cres eee heart. {nave covbect wth ~N - per and 60 ngpy # Mary ie oT - The question tm whether as professors we do not stay too long in one : j | | Place. It passes my persimmon to tell how some good men=--even lovable and righteous men in other respects-~have the hardihood to stay in the same | position for twenty-five years. To a man of active mind too long attach- ment to one college is apt to breed Self-satisfaction, to narrow his out- look, to foster a local spirit, and to promote Much of the phenomenal success of this institution has been due to the SE of a group of light-horse ‘intellectuals, withe cut local ties, whose operations were not neon ne wlodé fellegieacendetd was not always national, yet who were willing to serve faithfully in what- éver field of action they were placed. And this should be the attitude of AV eCvmee geleok @ vigilant professoriate. As St. Paul preferred acmen-to-bs wi hout attache ments, as more free for the °. Spaggispe in Avecdaverente of thee , . ai A 4 University President should cherish a proper nomadic spirit hw his facul— ties, even though it be on occasions a seeming detriment. A well-organized College Trust could arrange a rotation of teachers which would be most ‘ Stimulating all along the line. We are apt to grow stale and thin mentale 4. ly if kept too long in the same pasture. Transferred to fresh fields, amid new surroundings and other colleagues, a man gets a fillip which may last fdr séversl years. Interchange of teachers, national and inter- L | : Rational, shewid prove most helpful. How bracing the Turnbull lecturers have been, for example, : It would be an excellent work for the Opiversity Association which met here recently to arrange gw interchange of ddeenecei Even to swap College Presidents now and then might be 3 cod for the excheq- er. We have an excellent illustration of the value of the plan in the transfer this ean ben Prof. Rout gon (from Jena) to give the lectures here university = ~~ Mrcit ~ am Lease, on History. fa intennatdonei solearing-novee danta ve organized i+ a aT: How delightful it would be to have a return to the medi- ata Ar has evreth ull OL4%al @epe when the professor roamed Europe, or to théaa halcyon anna: the hes ol Sinpe decd. = f- old Greek teachers)~ ! , é 4 ie po Mulakh da 7 Zrere /Kez2e A ay pzrien i: ie ae f ; " warty / f Af Cus os eso 7 . ‘ Lt? fer ti lee Co. QA tZterse te». fy’ 2 mG . f j av atl (he Jlate Ate LV Chr tel pec e . | 4s Sf tin-~ jn Ve inj vies Gu a See . a It is more particularly alan the younger men cs E mb urge the advan- tages of an early devotion to siniak Setrgicoemnadioatin philosophy of life. Just so soon as you have ‘et your second teeth think of a change; get away from - the nurse, cut the &pron strings of your old teachers, seek new ties in j Cas a fresh envircnment, if possible where you have eerty a certain measure ; > of freedom and a Only do not wait for a fully equipped bil- hoe) ie Uestnt Phere—35—tr the corse, let. almost as eal as A small one, poorly ap- pointed, with many students and few opportunities for research, may be just what is iceumeeall to bring out the eres and perhaps unrecog- nized imyeu--that enabine: ho ae woll\in an unfavorable position > fm e% Pika, Peete gant RE TE a Pm, crepes oro” ie as laaestdiieccinsiaehenneiicoiinatianntie’ Be what another covld not do at all, mes even in the most helpful surround- ings.) There are two appalling diseases MAdinst which only a feline reste ur The Qlacwiuré Cartés “lessness of mind and body may head off in young men seeking colledceea- weers., There is a remarkable bodily condition, known as infantilism, in which adolescence does not come at the appointed time, or is deferred une til the twentieth abe or later, and is then Peereres ty so that the fii Che dich Th lutal Counliyhay> calor mor (Ommnd | ‘Shitciss mind and aform and fosture/ronain, , Tntellectval SRE RRD SAS: is wef re ned Kiakadre, n-amond-—-ws, and just as. imperfect nutrition may cauge failure of the marvellous changes which accompany puberty in vie as, ce tke mind gp Meet too long fed on em@ diet in one place may be rendered rickety or even in- fantile. Worse than this may happen. A rare, but still more extraordinary, ‘bodily state.is that of progeria, in which eeehébld;,. as though touched with the wand of some malign fairy, does not remain infantile, but skips adoles- ‘cence, maturity and manhood, and passes at once to senility, looking at eleven or twelve years,like a miniature Tithonus ‘marred and wasted, ! wrinkled and stunted, a little old man among his toys. It takes great | fix by care on the part of any one to live gw mental life corresponding to the agesor phases through which) ‘body passes. How few minds reach puber= a, ore ty, how few come to adolescence, how fewer attain maturity! It is really tragic--this wide-spread prevalence of mental infantilism due to careless habits of intellectual feeding. Progeria is an awful malady in a college. Few Faculties escape without an instance or two, and there are certain aizt> Rs which wild. cause it just as surely as there are waters in some of the 4 Swiss valleys that will produce cretinééq, I have known an entire faculty attac T a ee : look at and to pla attacked. The progerife is @ nice enough fellow to PiBay 6. Gute with, but he is sterile, with the Sent es horizon narrowed, and 1 wcapatle qu ‘AS Mi the case wit: g cured, and, taken early, change of air and diet may do much to antagonize mehond a tendency, inherited or acquired. Early steges may be cae by a@ pro- other diseases, it is more readily prevented than longed stay at the University Baths of Berlin or Leipzic, or if at the proper time a young man is transferred from an American or Anglican to a Gallic or Teutonic diet. Through no fault of the OOS of the systen, \ due to ' denominations that in 6 act —) “cot las a Foowe- States eech—one should thy-to have z% own educational insti- {collegiate infantilism and_pregerie‘ere far too % ite evser air and better diet of the re egeteped State Universities 4 Nor would I limit this desire for change to the teachers. The student of the technical sohooleshould begin his wanderjahre early, not postponing them until he has taken his M. D. or Ph.D. » four years in the one school tw BE Sa 0a BS Ge neni and to‘hawe mental astig- |. Matism which the after years may never be able to correct. One great dif- iniaiigh A is the lack of harmony in the curricula of the schools, but ir-time 4 thie will ® correctpA, and, once initiated and encouraged, the better stu- Fe | [fm 4 dentAwill take a year or éven two years in schools other than. the, ane at which /he,intendg to graduate. OO EE eeeee— < - ee Se ae EE Re ee ey a ska ee ee ee ee ee Ss ia a i i a NN ar a ee r) re Agi € 48 t I} | Rar * / , Pe thers-ines-/net ‘been-an- advance of the first rank, -I.am going to be very bold and touch upon another question of :some debisacy, but of -infinite importance in:university life; one that has -not ‘been settled-in this country. I refer to .a fixed period for the teacher, either of time of service or of age. Except :-in some proprietary schools, ‘I do not know of any institutions ‘in which there is a time limit of, say, vfs twenty years service as:in some of the acndin Hospitale, or ‘in which «4 man is engaged for a —_ of years. Usually the appointment is aut. vitam aut ee @s the old phrase reads. It sis a: wery-senigas..baennd 148) Ode: (> ee ae ee ape i ae youns universities to have all of the professors growing old at the same Ae V1.2 laces ° time. Only an epidemic, a time limit or an age limit can save the situa co : tion. I have two fixed ideas well known to my friends, harmless obs¢ess— ‘iens with which I sometimes bore them, but which have a direct bearing on ‘this important problem. The first is the comparative uselessness of men yead ayr ‘above forty years of age. This may sesom:shockinsg, and yet. the -wonid te ‘hin 1 ‘tory mwead—aritnt bears out the statement. Take the sum of human achieve- Snails - ibe Ae-cithn chy ncuadunintoatelini a olen art, in literature,~subtract from-it the work of the men above forty, and while we should miss great treasures, éven gnbes Vébwrer deskine ny::\"e would practically be where we are today. It -is dif- ere name a great and far-reaching conquest of the mind which has not been given to the world by a man on whose back the sun was still shining. The effective, moving, vitalizing work of the world is done between the ages of twenty-five and forty--these Fifteen golden years of plenty, the anabolic antl or constructive period, in which there:-is always a balance :in the vitel bank é and” Phe mantel credit. is woes — In the science and art of PATAGA BR, Sate A L ht ar& ton 9en initiated by young—or_c ty youtg-men, Vesalius, Harvey, Hunter, Bichat, i iii d Mebinaiiimee ciienditeai, Koch-6the green years were Nits Meentienie tabi ebitn < Minder odphobtpdssnd studies were made. To modify an old saying, a man is sane morally at thirty, rich ackhathp Rbctenbip nies nephedben¥id iis cidlilieneiumentens The young men should be encouraged and afforded every possible chance to show what isin them. If there -is one thing more than another upon which the professors of this university > nee * to be confratulat- “Ac ed it is this very sympathy and fellowship with ‘their disse associates, V1 sey Ln D00ceke Cork Hx «c be : upon whom really in gy PRT aay has fallen the brunt of the work. ‘And iiaiaenocnsaan of the teacher who has passed his climacteric and:is no longer a productive factor, he can play the man midwife as Socrates did to Theaetetus, and determine whether the thoughts which the young men are bringing to the light are false idols or true and noble ‘births. My second fixed idea is the usless$ness of men above sixty years of ‘age, and the incalculable benefiteit would be in commercial, political and re if, as a matter of course, men stopped work at this Seles nara egee o(Deane: neeees us ae his” Bisthenstds | that by the laws of certain wise ‘states sexasenarii were ies otnbtinbed 4 iam @ bridge, and-in Rome men of that Tarr age were not admitted to the suffrage and they were. ankbet: Deponater because the way to the -senaterwas pee spemben jand they tron sage were not permitted to come jhither. In that charming novel, The Pixed Period, Anthony Trollope discusses the practical advantages .in modern: life of a return to this ancient amb ‘usage, and the plot upon the admirable scheme of .a college . ABtO ERAGE > at sixty men retired for a year of contemplation ‘Deters: @ peaceful Shee iat ‘by chloroform. That incalculable benefits might follow such a scheme -is apparent to any one who, -like myself, is nearing the limit,and who haw® made a careful study of the calamities which befAlL-men during the sev-— enth and eighth decades. Still more when he contemplates the many evils which they perpetuate -unconsoiauslzsend with: impunity. As .it can be main- tained that all the great advances have come from men under forty, so the history of the world shows that a very large proportion of the evils may be traced to the sexagenarians=-nearly all the great mistakes politically and socially, all of the worst poems, most of the bad pictures, a major= ity of the bad novels, not a few of the bad sermons and speeches, It is not to be denied that occasionally there is a sexagenarian whose mind, CGicero remarks, stands out of reach of the body's decay, but Such. @ one /h | eo Se Ris en tly IE Feo pwn leeds y cane 0 ered (bthe ape fies, pester nelate - pepe lalacs of Peles tis Aen Phare Treg oo ff ey ~ In ' yf ae : ep bike—tie—reostat—vir sali Tins aon Life: whenh4 have threes periods, study until twenty-five, / ae : on werhacd, age 3 : ‘investigate, until forty, professj,until eixty anh l ecaaa: ANek have him re- : | | aa v chLoear tired on, double allowance. Whether Anthony Trollope's suggestion eeosee 7 | I e@arried out or not I have become a little dubious, as my own time is getting a 4o short. (I may say for the benefit of the public that with women I. wong ad- ‘Vise an entirely different iia: ie Aaah r-inPluence on. AO ann may be most helpful, particularly if aided by those charming Ce @ap and a fichu). ic take id words on the work sea lliceais Hopkins’ has-cdone. ane may ” for medicine, fhe hospital was organized at a most favorable period, when the profes- sion had at last awakened to its responsibilities, the leading universi- ties had begun to take medical education seriously, and to the public at large had come a glimmering sense of the ree of the scientific ine avd ef Mie odranlaes ¢, or tll + sgnieniginitlenniaen ; oe Co. C (41417110647 ee ee _it would” have been a ery easy matter to have OT ay haan Fhere are instances made colossal mistakes with these great in which larger bequests have been sterile from the start. Zn the iis ahi hard to name one more prolific. than daetyf~ Ane / t bret Let boned a the Johns Hopkins Universitys ont —od eiuply @a seed farn, a tee oon a Ley Oe ‘veritable nursery from which the country has been furnished with cuttings, of educational institutions it grafts, slips, @m@ seedlings, etc. It would be superfluous in this audi- ence to ~the great work which the Trustees and Mr. Gil- man did in twenty-five years=-their praise is in all the colleges. But Il fuse bs must pay a tribute to the wise men who planned the hospital, been—_so—easy—tvo establish an institution on the old lines,«a great city char- ity for the sick poor wat. organic connection; with the University. I do not know who was directly responsible for the provision in Mr. Hopkins’ will that the Hospital should form part of the Medical School, and that it should be af Mudide ei6n for the study as well as for the cure of disease. Perhaps the founder himself may be credited with 606 déda,; Sut I have always felt that Prancis T. King was largely responsible, as he had strong and sensible convictions on the subject, and devoted the last years of his useful life putting them into execution. As first President of the Siebdictutoons he naturally did much to shape the policy of the institu- les putntbete a@ pleasure to recall the zeal and sympathy with which he was always ready to cooperate. It is sad that in so few years all of the members of the original board have passed away, the last, Mr. Corner=-faith- ful and interested to the end--only a few weeks ago. They did at for this city, and their names should be held in everlasting remembrance. Judge Dobbin and James Carey Thomas in particular the members of the staff in the early days remember with gratitude for their untiring devotion to Nek cunrfrr tet us the medical school side of the problems To John S. Billings, so long the skilled adviser of the board, we all turned for advice and counsel, and his influence was deeper and stronger than was always apparent. For the admir-= able plan of preliminary medical study, and for the shaping of the scien— h q 25 ym 5 tific work before the hospital was opened for patients, we are indebted to jag dened intasesasdaythenses and Bez Welch. The present excelent plan of Study leading yp to medicine, in which the classics, science and litera- ture are fully represented, is the outcome ef 0heks Kabewes: About this time atehene years ago Mr. King, Dr. Billings, Dr. Welch and myself had many con- ferences with reference to the openings of the hospital. I had been appointee ead Jan. ist, but had not yet left Philadelphia. As so often happens, the pielabenn 6 a great organization are the most troublesone, and after some delay the whole matter was intrusted to Mr. Gilman, who became acting direc-— tor, and in a few months everything was ready, and on May y [ko the hospital was opened. I look back with peculiabp pleasure to my association with Mr. Gilman. It was both an education and a revelation. I had néver before ‘been brought into close contact with a man who loved difficulties just for fi, the pleasure of making them disappear. But I am not yating?ee wiAcibenweess of those happy days lest it should forestall the story I have written of the inner history of the first period of the hospital.: --prcenirseyourtt nothing. For example;~ the loves of the surgeons,.the-trials of the dinec- RAHI somennsattassicn rs tor, Dr, Hundy-the-troubles of the nurses are there sét doy : : sepcilitnains Soe ; ae is 3 Bs 2 = . : fe /~ change | - learned, deeply learned, on the subject. ‘bat — hip, beside = @ case, and he may not know which lung is involved, and not know how to find out, a : : endx tA fe « Lat ¢ ; iil in enh tial out, nee hd Le i Loe eeian put an ice-basg or a i poultice on the affected side, whether \to bleed or to give opium, whether to give a dose of medicine every hour on abit eben tipreakiee may not have the faintest notion whether the signs look ominous or favorable. 5o also witb other aspects of the art of the general practitioner. A student may know all about the bones of the wrist, in fact he may carry 4 set in his pocket and know every tae and knob an& nodule on them, he may have dis- gected a score of arms, awa yet when he is called to see Mrs. Jones who has fallen on the ice and broken her wrist, he may not maewiad 000 Sad from a Pott's fracture, and as for setting it) secundum | arten, he may not have the faintest notion, never having seen @ CaS. Or he may be ca@lled to pre- tb side at one of those awful domestic tragedies--—the i eaiamamacaaans ox some nonctnbbabantbeet of birth - of childhood, that require skill, technical skill, couragethse courage of full knowledge, and if he has not been in the obstetrical wards, if he has not been trained practical- oly, if he has not had the opportunities that are the rights of every med- ical student, he may fail at the critical moment, a life, two lives, may be lost, sacrificed to ignorance, often to helpless, involuntary ignor- ances npotennthongrenhestaner;the«dehestHephihotHoopitnlabes been the . demonstration to the profession of the United States and to the public of this country of how medical students should be instructed in their art. TI place it first because it was the most needed lesson, I place it first be- cause it has done the most good as a stimulating example, and I place it first because never before in the history of this country have medical stu-— @ents lived and worked in a hospital as part of its machinery, a8 an essen= “tial part of the work of the wards. In saying this Heaven Porbid that I ‘should obliquely disparage the good and faithful work of my colleagues elss- ‘where, But the amphitheatre clinic, the ward and dispensary classes, are put bastard substitutes for a system which makes the medical student him- self nelp in the work of the hospital as part of its human machinery. He does not see the pnevmonia case in the amphitheatre from the benches, but he follows it day by day, hour by hour, em@ he has his bine #0 .annenged that he can follow it; amé he sees and spenids tthapateben; canes of...the--same sesannalitttlan. snorensncharsvsendeietnbexennee-eunensensantspssiitileshine phases and variations as depicted in the living; aaé@ he learns under skilled direction when to act and when to refrain, he learns insensibly principles community, and important work ef—ny—liter ~) incon J/- prraclee Guat he pooily ht i ADece of! getian, we escapes the nickel-in-the slot attitude of mind, Bhich—-hes—e Ccwvee tle pkypaccsans wr [ha brealiunend G drcase deus for cach symptom. And the same wi ‘the other branches of -his art; he gets a first hand knowledge, which, if he has any sense, may make his wise | GE $ unto the sensetiem of his fellows. And all this has come about through the wise provision that the hospital was to be part of the medical school, and it has become for the senior students, as it should be, their college. More- over they are not in it upon sufferance and admitted through side-doors, but chop skpbneetocsed ines isporsantcaids jwithent shied: thesséskscoaldonets Peotone efficiently. The whole question of the practical education of the medical student is one.in which the public is vitally interested. Sane, intelligent. physicians and surgeons with culture, science ,and art jare worth much in a , lhe are worth paying for in rich endowments of our medical schools | | haps co welling UL rey hfe eta | and hospitals. Personally,l take wes greater pride than in my connection with { the organization of the medical clinic of the Johns Hopkins Hospital and with > Cf ce the introduction of the old-fashioned methods of instruction. I oeoukd desire ‘no other epitaph--no hurry about it I may say--than the statement that I taught A medical students in the wards, as 1 regard this as by far the most useful and | . the L Ufoe ts pho The second great problem is 4 much more difficult one, surrounded as it is with obstacles inextricably connected with the growth and expansion of a comparatively new country. Por years the United States had been the largest borrower in the scientific market of the world, and more particularly in the young men had to go abroad; only here and there was @ laboratory of physiol- and the active participation of this school as a leader sn—+his is sciences relating to medicine. To get the best that the world offered, our [how oly or pathology, and equipped as a rule for teaching. Fhe change in twenty In, years has been remarkable. There is scarcely today a department of scientif- | die medicine which is not represented in our larger cities by men who are work- ing as investigators, and American scientific medicine is taking its right- ful place in the world's work. Nothing shows this more plainly than the es- tablishment within a few years of journals devoted to scientific subjects; tyclh Mernpotd soot Shown by the important publications which have been started by its members. The Lary here Hospital Trustees frow+the-stent appreciated the value of scientific publi- | he cations, and the Bulletin and vee pervs have done much to spidaa thacbegell Ule Mapp tel viol a s 8 ts ddeed centre throughout the world. But let us understand clear- ly that only a beginning has been made. For one worker in pathology i*-thrrs commreey—--2 man, I mean, who is devoting his life to the study of the causes Seno tne bbamep Cozies a“ of diseasee--there are twenty-five at least in Germany, wre are a dozen laboratories of the first class in any one of the more important sciences ak c1e cognate to medicine for one hese, %It is not emtwthat the money is lacking io thee-coumtes; the mon are not always at hand. When the right man is avail- able he guickly puts American science into the forefront. Let me give you an illustration. Anatomy is a fundamental branch in medicine. There is no school, even amid sylvan glades, without its dissecting room; but it has been a great difficulty to get ie—-rrs country the higher anatomy represented in LAA EV Ch eee ouruniversities. Plenty of men have always been available to teach the subject to medical students, but when it came to questions of morphology connected with them, it was only here and there and not :in a thorough man- [he ner that the subjeots were approached. And esh_young men-had to go abroad to see a completely equipped, modern working anatomical :institate. Thers ‘is today connected with this university a school of anatomy of which any and embryology and the realy scientific study of the innumerable problems > (aud eountey might be proud, and the work of Dr. Matl demonstrates what can be oo ‘done when cs dane edicbebbasetnsrodeeihs [te 40 @ nopetul sign to.see special schools established for the study of disease such as the Rockefel- ler Institute in New York, the McCormick Institute in Chicago and the Phipps Institute in Philadelphia. They will give a great impetus in the higher ‘Lines of work :in which the country has heretofore been so weak. But it makes one green with envy to see how much our German brethren are able to ‘do. Take, for example, the saddest chapter in the history of disease=sin- ‘sanity, Sat greatest curse ot onyensemes,_ Seah bee ene fhe Wed OG stab. for the care of the insane, much in places for the study ab hee Jonay Ia+4 Tet Ofsses, end the gaod work which has been -inaugurated in this line at the Sheppard Hospital is attracting attention everywhere, but what a bagate ile it seems in comparison with the modern development of -the subject ‘in Germany & With tee great psychopathic olinics connected with seach ‘university, where ‘early and doubtf@ul cases are skilfully studied and skilfully treated. The new department for -insanity connected with the University of Munich has cost nearly half a iad ob eutsede! ans tae tee four new departments for which one side of the epentel -arenete ee and which rest will be built One Ther A Within the next twenty-five years, wit be 8 model psychopathic clinic to which the acute and curable cases may be sent. ~~ \ Pe TOR enc “ Fe, tree ies a te eo . Reh peat ey rarmecgan by TERRE RO RES Ry pm sptceg wide as that done in Dr. Kelly's division for the diseases of women. Fhe Ghird — \ ‘ : Ww) | oe | | : , ia Phe second, a clinic for the diseass of children, Much has been done with our out-patient department under De. Booker,who has helped to clarify one of the P ! £ | l t goeerer problems/in infans mortality, bub we need 4 AAG Duilding with fine wards and laboratories in which may be done work of a character as notable and worid—_ cf) seeat departments Por which a separate pbuilding must bs provided is that of Syphilis, and permatologye. Already no sie share of the reputation of this | hospital has come Prom the good work done in these eee h ines by the late | Bay Beers, 08 Drm GLLOhRABH», BAO. PF, PF Hugh Young; and lastly, for dissases of | the eye, ie ied canents a large separate clinic is needed, which will give to | @hese all important subjects the equipment they sieaibiens | (14) It is most grafifying co know that the Harrzet Lano Johnston Hospital for 4 shildven will be o@—beadeewsds—oi-tie Johns Hopkins Hospital and will meet the ~ requirenents of which I ha¥e spoken, & : : ' y i au ae iH X Bae, a toe ve sharedin the work srttreted_py these two great fLounrdtettens. We have been blessed with two remarkable Presidents whose active sympathies have the enormous benefits which these great trusts confer upon the oity and the cin the Life of the university. And we of the medical faculty have to feel ie For how much to be thankful have tress" cofus who have beerpermitteda Sh /he Uf laere oth been a stimulus in every department, and whose gpod sense has minimized the :loss of energy through friction between the various parts of the ma- ehine,=2 loss from which collefégyos are very prome to suffer. Gre-of Ge Nolewwh; the most ramarvable featuref&is that in so mothley a collection é&mea. | Pe M)]ewr from all parts of the country wa should have fitted into sach others lives Hallet so smoothly and peacefully, aN the good fellowship and harmony in the faculties has been delightful. And we have been singularly blessed :-in our relationship with the citizens, who have not only learned to appreciate state, but they have ccme forward ina noble way to make possible a new era ~ | -@ very Brateful to the profession, tkeough-whose influence and support much of the success of the hospital and the medical school is due; not only the Azal~r brut, ulk une physicians of the city and of the state, who have #edeomed—ve-waraly, but # 6 6 ha | trthe profession of the entire country, and more particularly ef the Southern iw ct. aw States, whose confidence we have enjoyed ,in’ axmost practical way. Upon a maintainence of this confidence the future rests. The character of the i Sigs per Art~-lur C2 work of the past sixteen years is the best guarantee of item continuance. What has been accomplished is only an earnest of what shall ‘be done € in the future. ~ Upon our heels a fresh perfection must tread, born of -us, fated to exce1) ud gine have but»served and have but seen’ a beginning. Per-~ ; a 4) ee 7 we > 2 on fix “ -- ae he eee aye ener work and to have bee united in it with men of high human ideada 0 @ @ U-i 2 BF he