COLL CAT. PROSPECTUS V $)Ll£.^Hospital for the Relief of Crippled and Vii Deformed Children. A1A3 6 West Twentieth Street, Baltimore, Md. Opened October 2d, 1895. ''Whosoever shall receive one of such children in My name, receiveth Me, and whosoever shall receive Me, receiveth not Me, but Him that sent Mc." THIS Hospital is supported by voluntary contributions. Poor children of Baltimore and its immediate vicinity are received without any charge whatever. Visitors are welcome on Thursdays and Sundays, from 3 to 5 P. M. A Memorial Bed can be named and supported for one year for $250. General Contributions and Donations of groceries, bedding, mate- rials and garments for the convalescent children are needed to carry on this work of charity, and may be sent to the Treasurer, Sister Sophie Mary, at the Hospital, No. 6 West 20th St., Baltimore, Md. Form of Application for Joining the Orthopaedic Guild or Orthopaedic Auxiliary: " Please enter my name as an j^orlrv member of The Orthopedic .......................................to zvhich I agree to pay $.......................annually." Name, ... Address,.......... Copy and mail to the Secretary of The Orthopaedic No. 6 West 20th St., Baltimore, Md. Form of Bequest: / hereby give and bequeath to The Hospital for the Relief of Crippled and Deformed Children of Baltimore, Md., the sum of............................ dollars. MAY 1 8 1962 PROSPECTUS OF THE Hospital for the Relief of Crippled and Deformed Children. 6 West Twentieth Street, Baltimore, Md. Opened October 2d, 1895. "Whosoever shall receive one of such children in My name, receiveth Me, and whosoever shall receive Me, receiveth not Me, but Him that sent Me." \ • * . * OFFICERS. President, MR. J. WILLCOX BROWX. Vice-President, MR. JULIAN LeROY WHITE. Trustees, MR. J WILLCOX BROWX, MR. GILMOR MEREDITH, MR. H. IRVINE KEYSER, MR. SKIPWITH WILMER, MR. JULIAN LeROY WHITE, MR. TUNSTALL SMITH, MR. DeCOURCY W. THOM, MR. ROBERTSON TAYLOR, MR. GUSTAY LURMAN STEWART, MR. ROBERT M. McLANE, Jr. Secretary, Treasurer and Matron, A SISTER OF THE EPISCOPAL SISTERHOOD OF ALL SAINTS. Chaplain, REV. C. ERNEST SMITH. Executive Committee, THE PRESIDENT, VICE-PRESIDENT AND SURGEON IN CHIEF. Visiting Committees, (January to July.) MESSRS. WHITE, KEYSER, MEREDITH, SMITH, STEWART. (July to January.) MESSRS. BROWN, THOM, TAYLOR, WILMER, McLANE. Surgeon-in- Ch arge, R. TUNSTALL TAYLOR, M. D. Assistant Surgeon, N. E. B. IGLEHART, M. D. Consulting Surgeons, L. McLANE TIFFANY, M. D., J. M. T. FINNEY, M. D. Consulting Physicians, WILLIAM OSLER, M. D., I. E. ATKINSON, M. D., WILLIAM F. LOCKWOOD, M. D. Head Nurse, MISS C. H. CARR, Of the Johns Hopkins Training School. (2) THE ORTHOP/EDIC GUILD AND ORTHOP/EDIC AUXILIARY. These associations were organized December n, 1895, to excite the interest of the women of Baltimore, in the work inaugurated at this Hospital, and that the Trustees might feel that they will have their constant co-operation and a reliable band of willing co-workers for the relief of little sufferers and to brighten their lives. OFFICERS OF THE GUILD. President, MRS. CHARLES MARSHALL. MRS. I. E. ATKINSON, ' MRS. NELSON PERIN, MRS. WILLIAM A. BOYKIX, MISS LOTA ROBINSON, MRS. JOHN B. MORRIS, MRS. W. B. BROOKS, Jr. MRS. HOWARD MUXNIKHUYSEN. Secretary, MRS. THOMAS G. STOWE, 2112 Oak Street. Treasurer, A SISTER OF ALL SAINTS. Members, Mrs. John N. Mackenzie, Miss Helen Wilmer, Mrs. Robertson Taylor, Miss E. B. George, Mrs. Tunstall Taylor, Miss Belt, Mrs. Henry B. Keyser, Mrs. Marshall, Mrs. Andrew D. Jones, Mrs. Morris, Mrs. George H. Coursen, Mrs. Stowe, Mrs. Atkinson, Mrs. J. B. Brown. OFFICERS OF THE AUXILIARY. President, MISS SARA POOR. Vice-Presidents, MRS. GOUGH WINN THOMPSON, MISS CORIXXE POPE, MISS ALICE BOWIE CARTER, ' MISS LITTELL, MISS NANNIE BEIRNE BROWN, MISS BELLE HAMBLETON. Recording Secretary, MRS. EDWIN B. NIVER. Corresponding Secretary, MISS ELIZABETH CLARK, in West Twentieth Street. Treasurer, A SISTER OF ALL SAINTS. 4 Mrs. Graham Archer, The Misses Archer, Miss Virginia Atkinson, Miss Nannie Beirne Brown, Miss Sarah Baldwin, Miss Myna Baldwin, Miss Nadine Brent, Miss Lizzie Boykin, Mrs. William H. Blackford, Mrs. John Randolph Bland, The Misses Boone, Miss Alice Carter, Miss Agnes Currie, Miss Virginia Cooper, Miss Elizabeth Clark, Mrs. Frank Chisholm, Mrs. George H. Coursen, Mrs. George D. Dixon, Mrs. Garland Davidson, Miss Olivia Gill, Miss Emma Gildersleeve, Miss Mollie George, Miss Anna George, Miss Ida Gary, Miss Bertha Gilmor, Miss Taylor Goodwin, Miss Bernard George, Miss Belle Hambleton, Miss Maud Haughton, Miss Helen Harvey, Mr. Charles Morris Howard, Mrs. William T. Howard, Mrs. Edward Howland, Mrs. Harry Jenkins, Mrs. Thomas Johnson, Miss Mary Jenness, Miss Annie Jackson, Miss Mathilde Keyser, Miss Littell, Members, Miss Lemmon, Mrs. C. W. Littell, Mrs. James Simons, Mrs. W. P. Lemon, Mrs. Julian McShane, Mrs. William McShane, Mrs. James McShane, Mrs. Charles F. Mayer, Dr. William A. Moale, Mrs. Edwin Barnes Niver, Mrs. Pemberton Pleasants, Miss Sara Poor, Miss Corinne Pope, Miss Eva Pope, Miss Carrie Pagon, Miss Lulie Price, Miss Achsah Preston, Miss Louise Pendleton, Miss Vjera Renshaw, Miss Champe Robinson, Miss Agnes Robinson, Mrs. Ralph Robinson, Mrs. Edward Shoemaker, Mrs. Charles Segrave, Mrs. T. Nelson Strother, Mrs. Thomas G. Stowe. Mrs. Alan P. Smith, Jr., Miss Mary Slingluff, Miss Maude Thompson, Miss May Thompson, Miss Cornelia Tucker, Mrs. R. Tunstall Taylor, Mrs. Robertson Taylor, Mrs. Gough Winn Thompson, Miss Bertie Von Lingen, Miss Emily Wilkins, Miss Helen Wilmer, Mrs. Thomas Whistler, Mrs. William C. Worthington. Stated joint meetings of the two associations are to be held on March i and November i in each year. Annual dues are payable on March i, in the Guild not less than $5, and in the Auxiliary not less than $1. Honorary members, both ladies and gentlemen, can be enlisted by the payment of the same dues as those paid by active members. All those interested in this work are especially requested to send in their names to one of the secretaries and become members of either the Orthopaedic Guild or Auxiliary. THE BASIS OF ACTION—THE PRESENT STATUS AND OPPORTUNITY. The Hospital for the Relief of Crippled and Deformed Children was opened on October 2, 1895, as a new7 and much needed charity in Baltimore. It is required, because most of our hospitals do not care to take in the diseases (especially tuberculous) which lead to deformity, as they run such a chronic course and cannot as a rule be operated on and discharged cured. Our general hospital beds are taxed to their utmost with applicants suffering from acute diseases, and these must needs be considered first. So this charity was inaugurated to help those cases which would otherwise go untreated, and bear through life the stigma, "Cripple," to find an asylum in the '' Home for Incurables '' or the Almshouse. If many a crippled child is treated early enough, eighteen months of continuous scientific treatment with the best nursing, food and clothing, will be so thoroughly beneficial, that perfect recovery will be insured, if the parents or guardians will co-operate in the after-treatment. There arc other cases which can be positively cured in a few weeks. At present we can give but eleven of the little patients bed-treatment. We have been compelled to take only children into the Hospital, because the number of beds is limited, but adults and convalescent children may receive treatment in the Dispensary daily. We have fully considered the necessity of needy parents trying to get relief from the duty of providing for afflicted and helpless children, for close and careful scrutiny of the experience of others, fortified by our own, has been convincing that no poor mother can care properly for her maimed and helpless child, do her duty to the others and work for her living. Even a helpful little sister or a kind neighbor, who can take charge of several well ones, cannot shoulder this burden. Could benevolent people really understand the depth of misery of these children when neglected, and the hopeful outlook that follows persistently good care of them, their co-operation with us would be spontaneous, We should not then have to plead their cause. (5) 7 What greater monument can be raised to the dear departed, than to place a Memorial Bed here ? If they could, would not the voices now beyond all pain, call back to earth and tell us to heal these sick and help these sufferers ? They no longer " see through a glass darkly," but face to face with the truth. The thanks of the Trustees are most heartily given for the liberal support already manifested, as shown in the reports of the gifts and donations ackowledged herein. Report of Surgeon=in=Chief. To the Board of Trustees of the Hospital for the Relief of Crippled and Deformed Children : GkntlkmEN :—I have the honor of making the following preliminary report : In our present limited quarters we can only provide bed-treatment for eleven children from two to fourteen years of age. It is in childhood that by far the largest number of crippling diseases develop. Many of the cases that are seen were born deformed. If not neglected until growth is attained, but treated early (if possible before deformity occurs), the results are by far more satisfactory and cure may be possible. Therefore, we have discriminated in giving children the benefit of bed-treatment. Examples of cases of neglect confront us on the streets constantly in the hump-backs, bandy-legs, shrunken limbs and inmovable joints. It was determined early in the work that for the present in the crowded wards it would not be advisable, much as it was to be regretted, to admit to the Hcspital beds, that class so in need of treatment, colored children. These, however, we treat in the Dispensary along with adolescents, adults and convalescent white children. The Dispensary is open daily from 2 to 4 p. m. except Sundays. The question simply of priority in application for bed-treatment has governed rather than any regard to creed, as the Hospital is essentially non-sectarian but humanitarian. Our selection of a site for the location of the beginning of this charity hospital work has proven most convenient to the crippled patients, as seven car lines pass within one block of the Hospital, from all parts of the citv. m0M .:■-& \i 7i.i :i'-^r In the Operating Room. 9 Since the opening day, October 2, we have treated the following cases : Tubercular ostitis of the vertebra, " Hump-back," ..... 4 Tubercular ostitis of the hip, " Hip Disease,"...... 9 Tubercular ostitis of the knee, " White Swelling," .... 1 Tubercular ostitis of the ankle.............. 1 Congenital club-foot, equino-varus, .......... 3 Paralytic club-foot, equinus,............. 2 Spastic, paraplegia,.................. 2 Infantile, paralysis,.................. 3 Traumatic, paralysis of the right arm,......... 1 Lateral curvature of the spine,............. 2 Cellulitis, ....................... 1 Bow-legs,...................... 2 Knock-knee,..................... 2 Rickets,....................... 1 Hammer toe,..................... 1 Total,........ ........35 The cases of tubercular bone disease have to be kept under observation and efficient treatment two or more years to obtain the best results. Of the total number of cases treated there have been : Discharged, cured, 8 ; discharged, improved, 2. There are still twenty-four cases under observation. The Hospital gave three braces to children whose parents were extremely destitute. The plan has, however, been pursued of requiring the parents, if possible, to buy the prescribed braces themselves, as they then value them more, and see that the buckles, etc., are kept tight, and that the brace is intelligently applied and worn. There have been nine operations as follows : 1. Subcutaneous tenotomy for club-foot. 2. Subcutaneous tenotomy and fasciotomy for club-foot. 3. Tenotomy of the " hamstrings " for spastic paraplegia. 4. Osteotomy of the femora for knock-knees. 5. Phelp's operation for club-foot. 6. Myotomy of the adductors of the thigh for spastic paraplegia. 7. Osteotomy of the tibiae and fibulae for bow-legs. 8. Tenotomy and osteotomy for hammer toe, 9. Phelp's operation for club-foot. The recovery, after each of these, was uninterrupted by complications and the results satisfactory. A Cornr.i* in* the Room for the Treatment of Lateral Curvature of the Si-ine. 11 The professional department of this Hospital has, from the first, been entirely separated from the department of the matron, and thus each can know exactly what duties and responsibilities appertain to each. The Head Nurse of the Hospital simply sees to the general care of the patients, and the carrying out of the surgeon's orders as to treatment, diet, drugs, bathing, etc. The Matron attends to the finances and correspondence, pays all bills, engages and controls the servants, receives all non-medical guests, purchases supplies (which if needed for the operating-room or wards are first approved by the Surgeon-in-Charge), etc. Many visitors to the Hospital say to us, " You have everything you need." Our reply to the philanthropic public is, " We have not." The wards are overcrowded, and in the upper ward the Assistant Nurse has, in lieu of better accommodations, been compelled to use one corner of the room as her quarters. The Orthopaedic Auxiliary has kindly come forward to meet this difficulty, and will, if approved by the Trustees, provide a room for the Assistant Nurse. We need a play-room or " sun parlor " at the top of the House, not so much for the children to play in, but to obtain an entire change of air from the wards, a point of no small moment in treating tubercular joint diseases. We need more Memorial Beds endowed. There are but heo perma- nently provided for of the eleven beds, still by good management on the part of the Matron and opportune donations of money and provisions, she has enabled us to keep all the beds filled, which we have done for the past three months. What will happen when the '' opportune donations '' fail to materialize ? Some need}- case in an unendowed bed will have to return home before the bed-treatment is completed, as there are but few, if any, hospitals here that care to take such chronic cases in. As Superintendent of the Hospital, I wish at this time to express my thanks to the Matron and Nurses for their entire co-operation with me, for the attainment of the end we have in view. Without this entire co-operation, whatever success we have had would have been lessened by friction. My thanks are also given to Dr. N. E. B. Iglehart for his kindness in giving ether at the operations. For this Hospital, I wish to express our gratitude to the officials of the Children's Hospital, Boston, and the New York Orthopaedic Hospital for contributions of apparatus, braces, etc. Respectfully submitted, R. TUNSTALL TAYLOR, M. D., Surgeon-in-Charge. 12 Report of the Head Nurse. It is difficult to give a systematic account of the nurses' duties and work, where the work is so young and the staff of workers so small. Every morning each child is bathed, the bed turned and thoroughly aired. Breakfast is at 7.30, crackers and milk at 10, dinner at 12.30, supper 5.30. After supper the children are made com- fortable for the night, and by seven o'clock all are asleep. The diets used are : Milk diet—milk only ; soft—pudding, milk, bread, broth. General diet, breakfast—cocoa or milk, bread and butter, oat meal; dinner—meats, broths, vegetables, pudding; supper—milk, bread and butter, fruit. On entering the hospital, a child is weighed, the temperature taken, has a thorough bath (where too ill to be put in the tub, a bed bath is given), then dons hospital garments, and is put to bed, waiting the doctor's orders. The nurse in charge has the care of the operating room and dispensary, keeping up the supplies, bandages, dressings, solutions, etc. All dressings, as ligatures, gnuze, sponges, towels, etc., are steam-sterilized by the fractional system ; /.