/ P5d4" 1681 WX 28 AP4 P5J4r lwr 53220900R NATIONAL LIBRARY OF MEDICINE REPORT OF THE TRUSTEES \ Jefferson Medical College i r, f'iuiade | bhi'G^ OF PHILADELPHIA THE CONTRIBUTORS Jefferson Medical College Hospital EXHIBITING THE OPERATIONS OF THE HOSPITAL FROM ITS FOUNDATION TO THE END OF THE THIRD FISCAL YEAR, SEPTEMBER 30, 1880. PHILADELPHIA: Mclaughlin brothers' book and job printing establishment 112 and 114 South Third Street. 1881. 2 8 PiP4 P5c5V c.l BOURD OF TRUSTEES THE JEFFERSON MEDICUL COLLEGE. ARMLD TORCE.S MEDICAL LIBRA** WASHINGTON, D. C. President, E. B. GARDETTE, M. D. Secretary, GEORGE W. F AIRMAN. E. B. GARDETTE, M. D. CHARLES M. PREYOST, HENRY M. PHILLIPS, JAMES R. LUDLOW, JAMES CAMPBELL, GEORGE W. FAIRMAN JOSEPH PATTERSON, JOSEPH ALLISON, FlTRMAN SHEPPARD, B. B. COMEGYS, ELLWOOD WILSON, M. D. THOMAS A. SCOTT, HENRY C. GIBSON, JOSEPH B. TOWNSEND, DANIEL B. CLMMINS. Hospital January. JOS. ALLISON, HENRY C. GIBSON, B. B. COMEGYS. February. HENRY C. GIBSON, B. B. COMEGYS, DANIEL B. CUMMINS. March. B. B. COMEGYS, DANIEL B. CUMMINS, E. B. GARDETTE, M. D. April. DANIEL B. CUMMINS, JAMES R. LUDLOW, HENRY M. PHILLIPS. May. JAMES R. LUDLOW, HENRY M. PHILLIPS, JOSEPH B. TOWNSEND. June. HENRY M. PHILLIPS, JOSEPH B. TOWNSEND, ELLWOOD WILSON, M. D. Committees. J«iy- JOSEPH B. TOWNSEND, ELLWOOD WILSON, M. D. GEORGE W. FAIRMAN. August. ELLWOOD WILSON, M. D., GEORGE W. FAIRMAN, JOSEPH PATTERSON. September. GEORGE W. FAIRMAN, JOSEPH PATTERSON, JAMES CAMPBELL. October. JOSEPH PATTERSON, JAMES CAMPBELL, FURMAN SHEPPARD. November. JAMES CAMPBELL, FURMAN SHEPPARD, JOSEPH ALLISON. December. FURMAN SHEPPARD, JOSEPH ALLISON, HENRY C. GIBSON. CLINICAL INSTRUCTION. DURING THE WINTER SESSION, Daily Clinical Lectures are Delivered IN THE HOSPITAL, MEMBERS OF THE F1CULTY OF THE COLLEGE, AND DURING THE REMAINDER OF THE YEAR, BY MEMBERS OF THE HOSPITAL STIFF. THE MEDICAL STUFF, The first election of a Hospital Staff was made by the Board of Trustees, March 28tli, 1877. Since then, the following changes have occurred in its organization: F. F. MAURY, M. D., one of the Surgeons, died June 4th, 1879, and JOHN B. ROBERTS, M. D., one of the Physicians, resigned J'Yliniary 7th, 1878. The present Staff is as follows:— Surgeons, JOHN H. BRINTON, M. D. S. W. GROSS, M. D. R. J. LEVIS, M. D. Physicians, J. SOLIS-COHEX, M. D. JAMES C. WILSON, M. D. OLIVER P. REX, M. D. W. W. VAN VALZAH, M. D. (Klccted November 27th, 1878.) Ophthalmic Surgeon, WILLIAM THOMSON, M. D. Gynaecologists, F. H. GETCIIKLL, M. D. J. EWING MEAL'S, M. D. Aural Surgeon, L. TURNBULL, M. D. Pathologist, MOLRLS LONCSTLETH, M. D. ing-named persons have served in the Hospital, since its organization, as Resident Physicians CHARLES WIRGMAN, M. D. A. POICHET, M. D. SAMUEL E. JAMES, M. D. W. C. McCLANAHAN, M. D. WM. L. KNEEDLER, M. D. WILLIAM RODMAN, M. D. R. M. AMES, M. D. C. E. BEAN, M. D. G. W. YORK, M. D. Druggists, SAMUEL E. JAMES, M. D. JOHN L. WRIGHT, M. D. W. SAVAGE. DAVID ULRICH, J. HAZLITT, Assistant Druggists, WILLIAM RIGHTER, W. H. SMITH. Steward, Housekeeper, Miss O. LOGAN. Engineer, W. H. ROSS. t^eport* The success of the Jefferson Medical College has been influenced to no little extent by those advances in practical teaching which have given character to the School. Chief among these has been the development of the great system of College Clinics, and the establish- ment of this method of instruction dates from the very foundation of the Institution. In fact, an infirmary had been opened within the walls of the Jefferson Medical College in May, 1825, in advance of its first session, and on the ninth of that month Dr. George McClellan per- formed the first surgical operation in the anatomical am- phitheatre. The system of practical teaching thus introduced was continued with regularity down to the year 1841, the date of the reorganization of the School. By the Faculty then elected by the Trustees, the College Clinic, medical as well as surgical, was made a prominent feature in the cur- riculum. The Clinic had become, and was recognized as, the right arm of the College. To give it greater strength and efficiency, the establishment of some sort of hospital or infirmary accommodation upon a more permanent footing was, however, needed. Accordingly, about 1843, rooms adjoining the College building were rented and fitted up for patients operated upon at the public Clinic. s This accommodation was gradually increased as needed, until the College possessed a miniature hospital, with a capacity of fifteen or twenty beds. The hospital thus organized served its purpose for twenty odd years. During the latter days of this period, the necessity for the foundation of a clinical hospital upon an extended scale had become firmly impressed upon the minds of the Trustees, Faculty and Alumni of the School. The pro- gress of medical science, changes and advancements in the manner of teaching, and above all, the interests of the future students of the College, alike urged the friends of the Institution to put forth their best endeavors to give to the Jefferson Medical College a great clinical hospital, worthy of the School, and destined,' it was hoped, to play an important part in its beneficent teachings. Urged by these considerations, the executive com- mittee of the Alumni Association, in December, 1872, met informally at the College, when it was determined to make an effort in the desired direction. To test the temper and earnestness of the meeting, subscriptions in aid of a future hospital were called for then and there, when nearly fifteen thousand dollars were at once pledged, in the event of any feasible plan for the erection of a hospital being set on foot. Committees were appointed to confer with the Trustees, to solicit subscriptions from the Alumni and from the public, and to petition the Legislature of the State for the grant of one hundred thousand dollars. The efforts of the Alumni were approved and seconded by the Trustees, and the respective committees vigorously <) began their work. Eventually, subscriptions from indi- viduals and corporations were obtained, as set forth on another page of this Report, contingent on the raising of a subscription fund of two hundred and fifty thousand dollars by the ioth day of June, 1874. On January 29th, 1873, a committee of the Trustees, Faculty and Alumni visited Harrisburg, to advocate the claims of the Jefferson Medical College to a liberal ap- propriation from the State for the erection of the hospital. The committee had an interview with the Committee of Finance of the Senate, and with the Committee of Ways and Means of the House of Representatives, in joint meeting. The views then expressed were favorably re- ceived by the legislative committees, and a clause appro- priating one hundred thousand dollars for the Jefferson Medical College Hospital was inserted in the general appropriation bill, which passed both Houses, and was approved by the Governor April 9th, 1873. At a meeting of a committee of the Faculty and Alumni Association, held April 2d, 1874, it was resolved " that the Board of Trustees be respectfully requested to appoint, at their next meeting, to be held Tuesday, April 7th, a committee, consisting of three of their number, to co-operate with a joint committee of the Faculty and Alumni in devising measures to obtain subscriptions for the purchase of a site, and the erection of a new college and hospital building, and to secure the appropriation made by the State Legislature." In response to this communication, a committee, con- 10 sisting of Messrs. Phillips, Lippincott and Gardette, was appointed on the 7th of April, 1874, to confer with the joint committee of the Faculty and Alumni. On the 20th of April, at a special meeting of the Board of Trustees, their committee reported that they had met a similar com- mittee of the Faculty and Alumni; and after an inter- change of views they were unanimously of opinion that the time had come when the Board should have a Com- mittee of Finance, through whom the subscriptions might be made and collected. It was then, on motion, resolved "that a Committee of Finance, to consist of three Trustees, be appointed to receive subscriptions and payments of subscriptions to the new College and Hospital, and that the said committee invest all funds received, in such man- ner as they deem advantageous, subject to any further action of the Board." Messrs. Henry M. Phillips, Asa Packer and James Campbell were appointed as a Com- mittee of Finance. In October, 1874, a munificent subscription of $50,- 000, for the endowment of the proposed hospital, was made by Mr. I. V. Williamson. This donation was made subject to certain conditions, one of which was the com- pletion of the hospital within three years from the date of the subscription. Encouraged by the success which had thus far at- tended the combined efforts of the friends of the School, the Trustees now proceeded to the selection of a site for the new hospital, and its immediate erection. After ma- ture consideration, and the examination of many localities, 11 a committee of the Trustees, consisting of Dr. E. B. Gardette, chairman, and Messrs. G. W. Fairman, Joseph Patterson, W. A. Porter, J. R. Ludlow, Joseph Allison, and Furman Sheppard, appointed by the Board to select a site for the contemplated college hospital, after consul- tation with the Faculty and with the executive committee of the Alumni, decided upon the site on which the hospi- tal now stands, near the College. The Board of Trustees accordingly directed, on April 21st, 1875, the purchase of this lot, 106 feet front by 107 feet 6 inches in depth, for $45,000, and in the following month the purchase was consummated. In March, 1876, the adjoining lot to the east, 20 feet front on Sansom street, was also purchased for $8,ooo. On the 14th of June, 1875, tne Board of Trustees substituted a "Building and Finance Committee" for the Finance Committee previously appointed. This new committee was composed of nine members, five of them being Trustees, two members of the Faculty, and two members of the Alumni Association. The committee was instructed to "call in, as early as practicable, the State appropriation from the State Treasurer, and all subscrip- tions and donations of money to the hospital fund through the canvassing committee of the Alumni Association or others. The said committee shall obtain plans and speci- fications for a hospital building, in all respects suitable to the wants and purposes of the College, and have power to erect the hospital." The following gentlemen were appointed to act on the "Building and Finance Committee:" 12 From the Board of Trustees—Dr. E. B. Gardette, chairman, and Messrs. Jos. Patterson, J. R. Ludlow, C. M. Prevost and G. W. Fairman; from the Medical Fac- ulty—Dr. Biddle and Dr. Da Costa; and from the Alumni Association—Dr. Brinton and Dr. Maury. In September, 1875, plans for the erection of the hospital building were obtained from several prominent architects of this city. After careful examination, those of Messrs. Furness and Hewitt were adopted, and propo- sals were immediately invited from contractors for its erection. On November 4th, 1875, the contract for the building (exclusive of heating and plumbing work) was awarded to Mr. John Ketchum for $94,787.93. This sum was afterward somewhat increased by the adoption of changes in the building plans, incident to the newly acquired possession of the eastern lot. By March, 1876, the excavations and foundation walls were finished, and by the end of November, 1876, the entire building was under roof. During the winter, the heating apparatus and the plumbing work were com- pleted. On the 27th of. April, 1877, the new hospital, having been entirely finished, was officially transferred by the Building and Finance Committee to the Board of Trustees; and on the 1st of May it was thrown open to the inspection of the public. The equipment of beds, bedding, and furniture generally, had in the meantime been provided by the action of a special committee, con- sisting of Drs. Wilson and Brinton, under an appropria- tion of $7,500 by the Board of Trustees. 13 The formal opening of the hospital for the reception of patients was deferred until September 17th, 1877. The inaugural addresses on that occasion before the Trustees, Faculty, Staff and Alumni of the College, and the invited public, were delivered by Dr. Gardette, the President of the Board of Trustees, and by Dr. Joseph Pancoast, the Emeritus Professor of Anatomy. The cost of building and furnishing the hospital may be thus set forth, up to the time at which it was opened for patients: Cost of the two lots of ground,............ $53,000.00 Cost of building, including heating apparatus, plumbing and gas fitting, architects'fees, insurance, etc., . 124,919.83 Outfit, bedding, furniture, etc.,........... s,000.00 8185,919.83 Since September 17,1877, and up to September 30,1880, the following sums have been expended, viz: For additional furniture,.............. 1,052.94 For repairs and permanent improvements,...... 4,436.42 Total cost of hospital building and furniture up to Sep- tember 30, 1880,............... $191,409.19 In explanation of the sums spent on the hospital during the last three years, it is right to state that these expenditures were for: The erection of a costly fire escape, which can be reached from every portion of the building. The fitting of galvanized iron gratings to all of the windows in the hospital above the first floor. The repairs and alterations of the floors in all the wards. The fitting of a steam heating apparatus in the pan- try of the fifth floor. 14 The purchase of an auxiliary engine, and alterations in the machinery. The purchase of additional furniture and bedding for the marine ward. On November 4th, 1875, the Board of Trustees ap- pointed a committee to petition the Legislature for an additional errant of one hundred thousand dollars. This application was accordingly made, and after an interval of three years, the act appropriating this sum passed the Legislature, and was approved by the Governor of the State June 17th, 1878. By the terms of the act, the sum appropriated was to be paid in instalments of ten thousand dollars each, which are now in process of payment. It is proper to state here that the passage of this act was greatly due to the energy and zeal of the late Dr. Maury, one of the surgeons to the hospital, who devoted his time and abilities unsparingly to the interests of the Institution. DONATIONS. Since the organization of the hospital, numerous gifts have been received, which are gratefully acknowledged by the Trustees. In March, 1877, Mrs. N. M. Grigg presented an original marble bust, by Cannon, of her brother, the late Dr. George McClellan, the founder of the Jefferson Medical College. The bust, with an appropriate inscrip- 1.") tion, has been placed by the President of the Board of Trustees in the clinical amphitheatre, overlooking the arena. Oil portraits of Professors S. D. Gross, Joseph Pancoast, Robley Dunglison and J. B. Biddle, have been presented by the Alumni; one of Professor J. Aitken Meigs, by the class of 1879-80, and one of Professor Charles D. Meigs has been presented by his son, Dr. J. Forsyth Meigs. All of these have been hung on the walls of the amphitheatre. An original portrait of him- self has been received from Dr. B. Howard Rand, which has been placed in the reception-room, and one of Dr. F. F. Maury, the gift of his brother,-Mr. J. Robb Maury, has been placed in the private operating-room. An original bronze bust of Dr. J. Marion Sims, presented at the request of the Alumni, has been by them transferred to the Trustees, and also placed in the reception-room of the hospital. Through the liberality of Mr. Henry C. Gibson, one of the Trustees, the smoking-room for patients has been comfortably fitted up, provided with book-cases, and the walls hung with engravings. Various pieces of carpets have from time to time been furnished by the Messrs. Dobson. A valuable donation of fifty tables has been received from Mr. Brinton Coxe. These tables are de- signed for the most helpless, and are so constructed as to slide over the bed, thus enabling the occupant to eat or read without exertion, and without change of position. Donations of books and papers have been re- ceived from Dr. Gardette, Mr. W. H. Drayton and others. l(i Illustrated journals in the Russian language have been constantly sent by Mrs. William S. Phillips. These have proved very acceptable to the Russian and Scandinavian sailors, so frequently to be found in the wards. About two hundred volumes of serials have recently been sent to the hospital by Mrs. C. F. Abbott, who, at the same time, kindly provided book shelves for their re- ception, uniform with those already erected in the library. Many journals have also been presented by the Philadel- phia Club, and by the Union League. Through the exertions and interest of Mr. G. Os- borne, boxes, properly labelled, for the reception of news- papers for the hospital, have been procured. One of these, by the kindness of Mr. Bradford Clarke, has been placed at his store, at the southwest corner of Broad and Chestnut streets. The other, by the courtesy of Mr. D. L. Gibson, has been placed at the ticket office of the Bal- timore and Ohio Railroad Company, at iioi Chestnut street. The boxes are usually filled with reading matter from by-passers during the day, and their contents are daily conveyed to the hospital. The following newspapers are kindly sent to the hos- pital from the respective publication offices, free of cost: North American, Ledger, Bulletin, Record and Progress. The services of the Ladies' Flower Mission are also gratetully acknowledged, and the lovely flowers, which in season are so often brought to the hospital, are most thankfully welcomed by the patients. 17 ENDOWED BEDS. By authorization of the Trustees, the contribution of five thousand dollars, or an annual payment of three hundred dollars, when made by a corporation or by an individual, has been regarded as an endowment for the establishment and support of a free bed, the occupancy of which is subject to the nomination of the donor. The following are the free beds at present in the hospital, and which are known by the names of their founders: The "I. V. Williamson" ten beds. The "Henry C. Lea" bed. The "Thomas A. Scott" bed. The "A. Whitney" bed. The "Asa Packer" bed. The "A. J. Drexel" bed. The "Joseph Pancoast" bed. The "Jesse George" bed. The "T. D. Mutter" bed. The "Read- ing Railroad" two beds. The "Philadelphia Contribu- tionship" two beds. The "William Struthers" bed, sup- ported by annual payments made by Mrs. Rudolph Ellis. The " Drifton" bed, supported by the annual payments of the Misses Coxe. It is much to be desired that this feature of the en ■ dowment and naming of free beds may be more generally known and appreciated by the community. A free bed, supported by the beneficence of its founder, is never idle. It is forever open to the occupancy of some one, afflicted by disease or stricken down by accident, and a name, it may be in memoriam, given by a donor, will thus stand linked with a lasting charity. is The Trustees would also suggest to the proprietors and managers of factories, machine shops and other industrial works, that the foundation and possession of a free bed in a hospital is a matter of no little importance to them. Workmen are at all times liable to be prostra- ted by accident or disease in the discharge of their daily duties, and at such times it often happens that they can be better treated in a hospital than at their own homes. The duty and interest of the employer are alike concerned in providing for them prompt and efficient surgical or medical care, and in no way can this be more readily ac- complished than by the possession, on the part of the employer, of a hospital bed to which he can send a case of injury or disease as a matter of personal right. Expe- rience, too, has shown that the sufferer himself is more content when he feels that he is being treated, not as an object of charity, but, as it were, under the supervision and care of his employer. Viewed from every stand-point, it is scarcely pos- sible to conceive of any form of benevolence more direct or continuous in its working than the foundation of a hospital bed, and the Trustees confidently hope that in the near future many such may be established. On the last page of this Report will be found a form of endowment and bequest. SUBSCRIPTIONS TO THE JEFFERSON COLLEGE HOSPITAL, Hexry C. Lea,......................$5,000.00 Ellwood Wilson, M. D..................1,000.00 J. M. DaCosta, M. D..................... 2,000.00 S. D. Gross, M. D............. . ...... 2,000.00 John H. Brinton, M. D..................1,000.00 B. Howard Rand, M. D. . ............. . . . 600.00 R. J. Levis, M. D....................... 1,000.00 Wm. H. Pancoast, M. D................. 2,000.00 Ellerslie Wallace, M. D................... 2,000.00 W. W. Keen, Jr., M. D....... .......... 500.00 Thos. H. Powers,....................1,000.00 Miss Rebecca Elmslie and Sisters, . ........... 500.00 Joseph R. Evans,...................... 200.00 F. H. Getchell, M. D......... ......... 300.00 David Milne,..................... 100.00 John B. Biddle, M. D..................... 1,000.00 J. Aitken Meigs, M. D..................... 1,000.00 John Gibson, Sons & Co................... 1,000.00 William Thomson, M. D..............■ • 250.00 Ralph Townsend, M. D.................... 500.00 Thomas A. Scott,................... 5,000.00 A. Whitney & Sons, ... . •................ 5,000.00 Matthew Baird,............. ...... 400.00 Asa Packer,......................... 5,000.00 E. Benson,........................ 500.00 Jksse Williamson, Jr., M. D.................. 100.00 A.J.Drexel,........................ 5,000.00 Andrew Nebinger, M. D.................... 100.00 James Elverson,....................... 500.00 Joseph Pancoast, M. D.................... 5,000.00 Estate of Jesse George (Deceased,) ........ .... 5,000.00 George T. Lewis, ...................... 500.00 X. Hatfield, Sr., M. I).................... 1,000.00 Mrs. T. D. Mutter,...................... 5,000.00 J. V. Shoemaker, M. D.................... 100-00 BrixtoxCoxe,..................... 250-00 Amount carried forward,......... .... $61,400.00 I'll Amount brought forward,.............$61,400.00 George W. Childs,..................... 1,000.110 I. V. Williamson,......................50,ooo.oo A. E. Borie,.................... 1,000.00 H. Pratt McKean,...................... 2,500.00 Wm. Weigiitman, ...................... 1,000.00 The Philadelphia Contributionship for Insurance of Houses from Fire,........................ 5,000.00 Isaac Lea,......................... 1,000.00 " A Contributor" (through Dr. E.Wallace),.......... 1,000.00 J. G. Fell,.......................... 500.00 "A Contributor" (through Dr. E. B. Gardette),......... 300.00 B. B. Comegys,........................ 100.00 George W. Biddle,...................... 200.00 Alfred G. Baker,..................... 250.00 "Cash" (through Dr. Gardette),............... 500.00 Mrs. Elizabeth S. Browx",.................. 10000 Mrs. S. C. Savage,...................... 100.00 Jno. B. Trevor,......,................. 200.00 Conyers Button,....................... 100.00 J. Forsyth Meigs, M. D................... 100.00 Charles H. Rogers,..................... 100.00 Miss Amelia Priestman, .................. 103.15 B. H. Moore,........................ 100.00 Edwin M. Lewis, ...................... 100.00 Mrs. N. M. Grigg,..................... 1,000.00 Perot Lardner,....................... 500.00 R. E. Rogers, M. D...................... 300.00 R. S. Davis,......................... 50.00 Daniel Smith. Jr.,...................... 50.00 W. MacPherson, M. D..................... 50.00 Neilson Brown,....................... 50.00 F. C. Brewster, ....................... 50.0H C. D. Ritchie, ........................ 25.00 S. Jones,........................... 50.00 Peter Williamson,..................... 50.00 Lawrence Turnbull, M. D................. . 80.00 S. Townsend,....................... 40.00 A. Wiegand,......................... 10.00 Estate of Jesse George (Deceased). Additional Subscription, . 2,500.00 Estate of John E. Spencer, M. D. Bequest to Hospital Fund, 1,000.00 Reading Railroad Company,................10,000.00 Dr. E. Wilson. Interest Received on Bank Deposits, as Treasurer of Alumni Committee on Collections,.............. 253.50 Grant From the State Legislature, April 9,1ST.",.......100,000.00 Grant From the State Legislature, June 17,1*73......100,000.00 £342,811. ■) able; wet preparations were mounted in jars, and casts and wax models were made of every proper case passing through the clinic, or received into the hospital wards. The whole collection thus obtained was then arranged under the direction of the curator, Dr. Longstreth, the pathologist of the hospital. The present condition of the museum is exceedingly satisfactory. The preparations on the shelves are rapidly increasing in number, and the value of the cabinet as a means of clinical illustration is being daily made more and more evident. The following tabulations exhibit the receipts and expenditures for the three years following the opening of the hospital, from September 17, 1877, to September 30, 1880, and also the statistics of the hospital and out-patient departments. TABULAR STATEMENT Showing the Receipts and Expenditures of the Hospital, including the Out-Patient Departments, from Septemher 17, 1877, to Septemher 30, 1880. Receipts : Expenses: Sept. 17,1877, to Sept. 30,1878. From Board of Patients, From Sale of Drugs. Total Receipts, Maintenance Account, Pay Roll,....... Extra Labor,...... Furniture, ...... Repairs and Improvements Stationery and Printing, Sundries, Dry Goods, etc. Returned Board, .... Gas, ......... Boiler Coal,...... Range Coal,...... Wood,......... Oils, ......... Water Kent,...... Drugs,......... Wines and Liquors, . . . Instruments,...... Muslin, Bandages, etc. Splints,........ Total Expenses, 85,656.21 ,343.91 $7,000.12 $3,192,10 13:5.59 167.02 568.H5 225.63 85.03 65.35 574.06 848.75 215.75 6.00 30.50 1,000.91 95.06 02.20 126.72 $4,214.70 3,325.99 1,112, 1.675.06 130.80 1,344.92 11,803.95 Oct 1,1878, to Sept. 30, 1879. £8,265.52 $1,788.56 $10,054.08 £4,095.08 293.13 491.00 2,067.95 170.55 141.62 285.43 916.56 1,589.60 187.50 36.98 96.95 1,940.56 121.23 185.30 302 20 61.27 87,438.31 4.988.21 3,156.55 2,827.59 2,610.56 .821,021.22 Oct. 1, 1870, to Sept. ISO, 1880. £15,287.15 $2,170.50 817,457.65 15,843.57 430.40 394.92 1,799.62 14(5.21 283.80 450.28 1,125.53 1,585.80 281.25 2.50 34.03 84.30 2,877.35 308.36 170.84 174.82 $11,850 6,274 3,074.83 3,113.41 3,531.37 827,844.38 01 TSBULSR STATEMENT Of Patients treated in Hospital since Septemher 17, 1877. First Year. From September 17, 1877, to September 30, 1878. Second Year. From October 1, 1878, to Sep- tember 30, 1879. 332 Third Year. From October 1, 1879, to Sep- 754 tember 30, 1880. a 6 •a c~ CO CO i-H rH Canada, .... Nova Scotia, . • Newfoundland, . England, • • • Ireland, . • Scotland, . . • • Wales, .... Germany, . • ■ Austria, . . • ■ Switzerland, Belgium, • Poland, ... Sweden, ... Norway, .... Denmark, . • • Saxony, . . ■ ■ Finland, . ■ . ■ • Russia, .... Holland, . . • • France, . . . ■ Italy, ... Spain,..... Portugal, . ■ • St. Helena, . ■ . Australia, . ■ ■ Brazil, ... West Indies, . • Western Isles, ■ Central America Africa, .... | China, ... 11 52 6 1 20 28 73 7 2 34 4 5 1 12 9 5 2 1 3 3 Total,............. 441 621 80 1,, 3 41 100 9 1 50 4 S35 21 B 3 80 2 20 11 5 2 6 3 1 5 3 1 1 1 1 4 10 1 1 2 890 225 22 4 | 101 8 6 j 1 2 34 | 20 13 2 8' 4 1 11 7 1 1 1 4 2 8 11 2 1 2 1,952 TABLE OF OCCUPATION AND TRADES Of Patients Admitted Since the Opening of the Hospital. Occupation. 1 11 Actor,................ Actress,........ ...... Artist,................ Acrobat,............... Attorney at Law,........... Agent,................ Baker,.............. • Blacksmith,............. Butcher,.............. Barkeeper,.............. Bookbinder,.............. Brickmaker, .......... Broker,................ Beltmaker, .... ......... Brushmaker,............. Boilermaker,............ Carpenter,............• . Confectioner,............. Clergyman,........ .... Coppersmith,............ Clerk,.................. 12 Coachmaker,..............I 1 Chainmaker,............. 1 Cook,................. Cabinetmaker,............ Cooper,................ Congressman,...........• Carbuilder,.............. Cigarmaker,.............. 1 Cork cutter,.............. 1 Cloth dresser,...........• • • * Civil engineer,............ 5 Dressmaker,.............: • ■ Druggist,................| • • Domestic,.............. 14 Dentist,...... ......... 1 Driver,................... Drover,................ 1 Total, 73 19 2 1 3 5 1 1 1 2 2 2 14 1 1 85 3 2 10 1 4 2 3 1 1 14 2 3 1 16 4 3 10 1 85 3 1 1 1 7 3 10 16 6 9 3 8 7 1 1 1 30 2 4 1 47 3 2 3 5 1 1 1 4 1 1 5 6 5 38 2 1 2 243 •»s TABLE OF OCCUPATION AND TRADES. (CONTINUED.) Engineer, Engraver, Ensign, . . . Farmer. . . . Factory hand, Florist, . . . Fireman, . . . Grocer, . . . . Glassblower, . Glass stainer, . Gardener, . . Groom, . . . Housekeeper, . Hatter, .... Hotelkeeper, . Huckster, . . Ironworker, Jeweller, . . . Laborer, . . . Liveryman, . . Merchant, . . Milliner, . . . Miller, .... Moulder, . . . Machinist, . . Messenger boy, Musician,. . . Miner, .... Mill hand, . . Nurse, .... Newsboy, . . Nailmaker, . . No occupation, Overseer, Farm Papermaker, . Policeman, . . Printer, . . . Occupation. 00 t-1 t> t~-00 rH oS c-i 00 c-00 rH >rought forward,..... . . 73 4 00 I en t- oo rH 1 36 1 1 67 1 1 1 14 1 3 3 1 97 1 3 1 2 1 82 1 1 34 7 2 3 14 4 1 1 64 6 1 4 33 1 20 1 1 4 12 2 1 15 81 243 10 1 1 92 7 4 2 1 3 1 234 1 4 4 92 1 41 1 4 10 29 . 2 1 27 4 4 1 1 242 1 o 10 11 Total,.............338 351 41c 1104 TABLE OF OCCUPATION AND TRADES. (CONTINUKD.) Occupation. Brought forward,........ 3 Puddler,................ Painter,................ Physician,............. Plumber,...... ........ Pianomaker,............. Porter,................ Peddler,............... Reporter,.............. Railroad agent,............ Railroad employee,.......... Rigger,............... School girl,.............. « boy,.............. « teacher,............ Sailmaker,.............. Student,............. Shoemaker,...... ....... Saloonkeeper,............. Salesman,.............. Soldier,................ Superintendent of stables,....... Sawmaker,.............. Seaman,............... Stewardess,............. Springmaker, ............ Stonecutter,............ 351 15 19 Spinner,............... Tailor,............... Telegraph operator,.......... Teamster,............... Tinsmith,............... Tool dresser,............ Upholsterer,............ Wool sorter,............ Weaver,.............. Wheelwright,............ Watchmaker,............. Waiter, . ■............. Total,............. 441 1 9 10 6 1 2 194 415 1 9 10 1 2 2 1 1 390 1104 1 21 27 1 1 1 1 1 16 2 1 24 40 11 2 11 19 1 2 2 1 1 603 2 1 1 3 3 1 5 2 10 6 1 8 6 10 2 3 o 1 2 3 2 2 4 6 1 1 1 5 621 890 1952 ABSTRACT OF PATIENTS Treated in the Hospital During the Tear ending Septemher 30th, 1880, Remaining from 1879,..........53 Admitted During the Year,........890 Treated During the Year,.........943 Discharged During the Year,.....832 Died............... 35 — 867 Remaining October 1, 1880,........j6 Average Number of Patients per day, .... 58.9 Average Stay of Each Patient in Hospital—Days, 23 Daily Cost of Each Inmate in Hospital, including all Patients and Employees,.....$ .84^0 Daily Cost of Each Patient, excluding from Esti- mate the Cost of Employees, .....$1-29 The expenses of the Out-Patient Departments are, necessarily, included in the aggregates from which the daily cost of each inmate and patient is computed. HOSPITAL WARDS AND PRIYATE ROOMS. Operations Performed During the Tear Ending Septemher 30th, 1880, No. of Cases. Abscess, .......... 9 Amputations,........ 11 Anchylosis,......... 13 Bubo,.......... 6 Cataract,.......... 6 Cauterization, Actual, .... 4 Cicatrix, Painful,...... 1 Club Foot,......... 3 Coxalgia,.......... 2 Dacrocystitis,........ 2 Eyeball, Enucleation of - . • 2 Fistula in Ano,....... ' Fistula, Urethral,...... 1 Fracture, Ununited,..... 1 Hare-lip,.......... 1 Haemorrhoids,........ 7 Hydrocele, . ....... 2 Hypospadias,........ 1 Iridectomy,......... 4 Najvus,........... 3 Necrosis,........- ■ 18 CEsophagus, Stricture of • • • 1 GEsophagotomy,....... 1 Ovariotomy,......... 2 Paracentesis Abdominis, ... 2 Perineum, Lacerated,..... 4 Phimosis,.........• 4 No. of Cases. Psoas Abscess,........ 3 Rectum, Fissure of ..... 2 Staphyloraphy,....... 1 Stone in Bladder,...... 9 Stone in Urethra,...... 1 Stricture of Urethra,..... 41 Testicle, Removal of..... 4 Toe-nail, Ingrown,...... 1 Tumors: Epithelioma,....... 17 Epulis,.......... 2 Osteoid Chondroma, .... 3 Sarcoma,........ 7 Scirrhus,......... 12 Sebaceous,........ 2 Urine, Retention of..... 4 Uterus, Amputation of Os . . 3 Uterus, Lacerated Os..... 2 Uterus, Stricture of Cervix . . 1 Varicocele,......... 19 Varicose Veins,....... 3 Whitlow,.......... 2 Wounds, Incised,...... 8 Wounds, Gunshot,...... 2 Total.........267 SURGICAL OUT-PATIENT DEPARTMENT, Operations Performed During the Tear Ending Septemher 30th, 1880, No. of Cases. Abscess, .......... 80 Amputation, . . •..... 1 Anus, Fissure of....... 3 « Fistula of......13 Anchylosis,.......■ • 1 Bubo,..........22 Bursoe, Enlarged,...... 9 Carbuncle, ......... 2 Cauterization, Actual, .... 1 Cicatrix of Face,....... 1 Condyloma,......... 4 Coxalgia,.......... 4 Foreign Bodies in Hand, ... 6 Fractures,.......... 29 Haemorrhoids,........ 8 Hare-lip,.......... 5 Housemaid's Knee,..... 2 Hydrocele,......... 16 Hypospadias,....... 3 Laceration of Aponeurosis, . . 1 Nail, Ingrown, ...... 9 Nasal Septum, Deviation of . . 1 Necrosis,.......... 4 Onychia,......... 1 Paraphimosis, ....... 2 Phimosis,.......... 13 Paracentesis Abdominis, ... 18 Sinus,........... 7 Spine, Curvature of, apparatus applied, ........ 4 No. of Cases Stricture of CEsophagus, ... 1 « Urethra,..... 52 Tenotomy,......... 11 Tonsils, Enlarged,...... 9 Tumors: Epithelioma,....... 23 Cystic,...... . . 3 Dermoid,........ 4 Sebaceous,........ 31 Epulis,........ . 3 Fibroma,......... 4 Fatty,.......... 4 Gumma,......... 4 Keloid,......... 1 Nsevus,.......... 3 Papilloma,........ 4 Polypus,......... 9 Ranula,.......... 2 Sarcoma,......... 2 Scirrhus,......... 6 Whitlow,...... . . 17 Wounds, Gunshot,...... 3 « Incised,..... 4 « Lacerated,..... 13 Total, ......• . 483 Operations in Ophthalmological Dept........... 55 Operations in Aural Dept. . . 49 THE OUT-PATIENT DEPARTMENTS, The out-patient departments, or public dispensaries, are open daily throughout the year, with the exception of Sunday. These departments are under the immediate charge of the members of the Faculty of the College and the Hospital Staff, during their respective terms of service. All patients presenting themselves are subjected to care- ful examination, and, in proper cases, the necessary ope- rations are performed in the hospital amphitheatre, in the presence of the clinical class. In the more serious cases, the patients are received into the wards of the hospital for after-treatment. The medical and surgical attendance upon all out- patients is absolutely gratuitous. The prescriptions or- dered are furnished them from the dispensary of the hos- pital, at a very low rate, when they are able to pay for them ; when they are not, all medicines are given to them without cost. The daily hours set apart for the attendance of out- patients at the hospital is as follows: Surgical out-patient department, from 12 to 2 P. M. Medical out-patient department, from 12 to 2 P. M. Gynaecological out-patient department, from 12 to 2 P. M. 34 Ophthalmological out-patient department, from 1.30 to 3 P. M. Aural out-patient department, from 1 to 2 P. M. Throat out-patient department, from 12.30 to 2 P. M. TABULAR STATEMENT OF OUT-DOOR PATIENTS. Surgical, . . . Medical, . . . Gynaecological, Eye, ...'., Ear, . . . . Throat, . . . , Total, The number of prescriptions compounded in the pharmacy during the last fiscal year was as follows : . For the hospital wards and private rooms,......9,865 For the clinics, in the aggregate, . ,........10,039 Total,.............19,904 Daily average of prescriptions, 54|. From Sept. 17 1877, to Sept. 3' 1878. I*. O .; o — s £" 5 '** 'A 1599 1406 609 473 '252 320 4659 From Oct. 1,1878, to Sept. 30, 1879. £" o 1446 5915 1834 3096 723 2008 489 2639 276 1616 658 2064 5426 17338 From Oct. 1,1879, to Sept. 30, 1880. ■m i*. o B- o Z ™ - 3 " '<■ fc" Y< 1533 6231 1960 5328 724 2111 536 4802 293 1701 451 2455 5497 22628 SURGICAL OUT-PATIENT DEPARTMENT. Oases Treated During the Tear Ending Septemher 30th, 1880, Chief Clinical Assistants—W'. G. MacCONNELL, M.D., JOSEPH HEARN, M.D. Second Assistants—G. A. HEWITT, M. D., A. HEWSON, Jr., M. D. Third Assistants—E. S. LAWRENCE, M. D., CHARLES WIRGMAN, M. D. No. of Cases. Abscess,.......... 93 Adenitis, .... ..... 3 Anchylosis,........20 Ascites,........... 1 Balanitis,......... 9 Bladder, Irritable,...... 4 Bubo, ........... 54 Bunion,........... 1 Burns,........... 2 Bursse, Enlarged,...... 2 Carbuncle,......... 2 Caries,........... 2 Cellulitis,.......... 4 Chancre,.......... 71 Chancroid,......... 42 Cicatrix, Face,........ 1 « Painful, of Forearm, . 1 (fleft Palate.......... 1 Contusion,......... 55 Coxalgia,.......... 18 Cystitis, '.......... 1 Dactylitis,......... 3 Debility, Sexual,..... 1 Deviation of Nasal Septum, . . 2 Dislocation, Elbow-joint, ... 1 « Knee-joint, ... 1 « Patella,..... 1 « Head of Radius, . 1 « Thumb,..... 1 Elephantiasis of Leg, ..... 1 Epididymitis,........ 14 No. of Cases. Erysipelas, Facial,...... 2 Felon,........... 19 Fissure of Anus,....... 5 Fistula in Ano,....... 16 « Urethral....... 1 Foreign Body in Hand, .... 8 i< « Foot, .... 1 « « Mouth, ... 1 « « Nose, .... 1 « « CEsophagus, . 1 Fracture of Clavicle,..... 6 « Femur, Intracapsu - lar, Old ... . 1 « Metacarpal Bone of Finger, .... 3 « Bones of Forearm, 2 « Humerus, Shaft, . 3 « Humerus, External Condyle, ... 5 « Bones of Leg, ... 1 « Nasal Bones, ... 1 « Radius, Shaft, . . 3 « « Colles', . . 5 « « Styloid Pro- cess, . . 2 « Scapula,..... 1 « Metacarpal Bones of Thumb, .... 3 « Phalangeal Bones of Thumb, Compound, 1 « Tibia....... 1 ;><; No. of O Fracture of Ulna, Shaft, . . . « « Olecranon Pro- cess, . . . Furuncle,.......... Glands, Axillary, Enlarged, . . « Cervical, « . . Gonorrhoea,......... Hoematuria,......... Haemorrhoids, External, . . . « Internal, . . . Hare-lip,.......... Hernia, Femoral,...... « Inguinal,...... « Umbilical,...... Hydrocele,........ « Encysted, of Cord, . Hydrosarcocele,....... Hydrocephalus,....... Hypospadias, . ...... Ingrown Nail,........ Laceration of Aponeurosis, Fore- arm, .......... Ligaments, Relaxed, Ankle-joint, Ligaments of Knee-joint, Lace- ration of........ Lymphangeitis,....... Mammitis,......... Muscle, Rupture of .... ■ « Atrophy of..... « Dislocation of ... . « Contraction of Soleus . Myalgia,.......... Necrosis,........... Neuralgia,.......... Neuritis, Posterior Tibial, . . Odontalgia,......... Orcheitis,.......... Otorrhcea,.......... Paralysis of Bladder,..... Paralysis, Infantile,..... Paraphimosis,........ Parotitis,.......... Periostitis,......... No. of Case*. 1 10 1 1 7 1 Prolapsus of Rectum, . . . o 1 9 Purpura Hannorrhagica, . . 1 80 6 1 .) 4 Scald .......... 1 15 1 5 76 1 10 25 Spine, Lateral Curvature of . 3 1 « Angular « 8 12 5 4 Stomatitis, Mercurial, . . . 1 1 1 2 Stricture of Oesophagus, . . 1 3 66 12 1 Subluxation, Shoulder-joint, 1 1 44 2 . 101 1 . 18 6 Talipes,.......... 9 6 Thecitis......... 3 4 1 1 Tonsils, Enlarged,..... 9 1 Tonsillitis, Acute,..... 3 1 o 2 . 177 14 . 46 9 '< Urethritis, Granular,..... 3 1 Urethra, Irritable,...... 3 1 Urine, Incontinence, . . : . . 1 7 Varicocele,......... 7 1 Veins, Varicose, of Leg, .... 8 1 Wounds, Incised,.....12 10 « Lacerated, . . . . • 23 2 « Contused,..... 10 1 No Diagnosis,........ 18 13 — Total,........1533 JOSEPH IIEARX, M. D. Chief Clinical Assistant. MEDICAL OUT-PATIENT DEPARTMENT, Cases Treated During the Tear Ending Septemher 30th, 1880, Chief Clinical Assistant—DANIEL E. HUGHES, M. D. Second Assistant—JOHN L. YARD, M. D. Third Assistant—THOMAS J. BEATTY, M. D. No of Cases. 4 Amaurosis, Tobacco, . . . . 1 44 9 4 o Asthma,......... 13 Ascarides Lumbricoides, . . . 10 « Vermicularis, . . 5 1 1 Blight's Disease, Acute, . . 4 « « Chronic, 6 . 13 '< Subacute, . . . . 11 « Chronic, . . . . . 109 ic Capillary, 3 Catarrh, Acute Nasal, . . . 6 « Chronic Nasal, . . 9 Cancer, Stomachic,..... 3 1 9 Cholera Infantum,..... 4 . 24 o No. of Cases. Chlorosis,.......... 2 Constipation, Habitual, .... 150 Cystitis, Chronic,...... 1 Colic, Idiopathic,...... 1 « Lead,......... 4 Delirium Tremens,...... 1 Diarrhoea, Acute,...... 8 « Chronic,...... 30 Diphtheria,......... 1 Dysentery, Acute,...... 1 « Chronic,..... 3 Dyspepsia,.........228 « Intestinal, .... 23 Ecthyma, ......... 1 Eczema,.......... 17 Embolism,......... 3 Emphysema,........ 13 Enterocolitis, Acute,..... 3 « Chronic, .... 10 Endarteritis, Chronic, .... 1 Epilepsy, Reflex,...... 13 « Idiopathic, .... 27 « Unilateral,..... 1 Erysipelas, Acute,...... 6 Exhaustion, Heat, ...... 4 Fever, Typhoid, (Ambulas,) . . 2 « Ephemeral,...... 3 Gastralgia,......... 6 No. of Cases. N. of Cases. 1 Malaria, Intermittent, ... 30 . 87 1 1 Melancholia, Puerperal, .• . . 1 1 1 « Exophthalmic, . . . 3 8 1 1 5 1 Heart, Degeneration of . . . . 14 Myalgia,.......... 9 « Dilated,...... 90 5 « Hypertrophy of . . . 10 ■) . 33 Neurasthenia,........ 11 3 5 « Aortic Stenosis, . . . 2 Neuralgia, Brachial,..... 1 « Mitral Regurgitation, . 19 « Cervicobrachial, . . 10 « Mitral Stenosis, . . . 2 « Facial,...... 7 5 « Fifth Nerve, .... 4 Hydrosis, Nocturnal, . . . 1 « Intercostal, .... 6 « Unilateral, .... 1 « Sciatica, ..... 27 Hydrocephalus, Acute, . . 1 CEsophagus, Stricture of . . . 1 « Chronic, . . 1 Paralysis Agitans,...... 3 Hydropneumothorax, • • • 1 « Forearm, (Pressure,) 5 1 « Hemiplegia, . . . 2 8 Hypochondriasis,..... 6 13 1 3 « Chronic,..... 4 5 . 10 1 Incontinence of Urine, . . . 5 Pericardium, Adhesion of . . . 1 Insanity,......... 9 4 1 « Chronic, .... 8 Jaundice, Acute Catarrhal, . 7 « Follicular, . . . 1 Kidney, Amyloid,..... 1 Phlegmasia Alba Dolens, . . . 1 « Congestion of . . . 1 274 4 Laryngitis, Acute,..... 1 2 « Chronic, .... 1 2 Lead Cachexia,..... 5 3 4 9 2 « Catarrhal, Acute, . 12 4 « « Chronic, 41 3 7 Lumbago, Acute,..... . 17 . 26 1 2 Liver, Congestion of ... . 1G Psoriasis,........ H « Cirrhosis of..... Pyonephrosis, ... ..... ■> Malaria, Chronic, 10 1 30 No. of Cases. No. of Cases 1 ... 4 Rheumatism, Acute Articular, 10 Tinea Favosa, .... ... 1 « . Subacute, « 4 ... 1 « Muscular Acute, 3 ... 1 k « Chronic, 27 Tonsillitis, Acute, . . ... 7 « Gonorrhoea!, . . 2 « Chronic, . 9 Rheumatoid Arthritis, . 5 ... 1 1 9 1 ... 1 1 1 1 ... 1 Seminal Emissions,. . . 1 8 16 Sympathetic, Disorders of. . . 2 Vomiting, Drunkard's, ... 6 Softening, Cerebral, . . 2 « Pregnancy, 2 Subinvolution, Uterine, 6 7 ... 1 ... 3 « Tertiary, . . . 8 No Diagnosis, .... ... 13 1 -- 1 1960 Tabes Mesentcrica, . . o . . . 5328 DANIEL E. HUGHES, M. D. Chief Clinical Assistant. GYNECOLOGICAL OUT-PATIENT DEPARTMENT. Cases Treated During the Tear Ending Septemher 30th, 1880, Chief Clinical Assistants—P. LODER, M. D., JOHN W. BARR, M. D. Second Assistant—J. C. DA COSTA, M. D. Third Assistant—A. H. HULSHIZER, M. D. No. of Cases. Abscess of Vulvo-vaginal Gland, 7 Amenorrhoea......... 25 Anteflexion of Uterus, .... 27 « « with Prolapsus, 3 Anteversion of Uterus, .... 9 Carcinoma Uteri,....... 20 Caruncle of Urethra,..... 8 Cervix, Erosion of...... 14 « Elongation of ... . 14 « Laceration of..... 50 Cystocele,.......... 10 Dextro-lateral Version of Uterus, 5 Dysmenorrhcea,....... 43 Dysuria,.......... 20 Epithelioma of Nymphae, ... 3 Endometritis, General, .... 84 « Cervical, .... 12 Fungous Granulations of Endo- metrium, ........ 3 Fibroid Tumors of Uterus, Inter- Mural, 10 « « « Subperi- toneal, 10 « « « Submucous, 3 Fibro-cyst,......... 2 Menorrhagia,........ 17 Menopause, Disorders of . Menses, Acute Suppression Ovary, Cyst of..... « Inflammation of « Neuralgia of . . « Prolapsus of . . Pelvic Cellulitis, . . . Perineum, Laceration of Polypus, Mucous, . . . « Fibroid, . . . Pregnancy, Disorders of Procidentia of Uterus, . Prolapsus of Uterus, . . Rectocele,....... Retroflexion of Uterus, . Retroversion,..... Stenosis of Uterine Canal, Subinvolution, Acute, . Senile Catarrh of Uterus, Uterus, Chronic Hypertropl Vaginitis,...... « Specific, . . Vesicovaginal Fistula, Vulvitis,...... of of Cases. 20 ry of 10 7 12 13 2 17 15 22 10 20 7 37 17 12 12 3 43 12 20 3 4 Total,........724 JOHN W. BARR, M. D. Chief Clinical Assistant. OPHTHALMOLOGICAL OUT-PATIENT DEPARTMENT. Cases Treated During the Tear Ending Septemher 30th, 1880, Chief Clinical Assistant—-Wm. S. LITTLE, M. D. Second Assistant—CHARLES W. KARSNER, M. D. Third Assistant—J. A. CARNCROSS, M. D. Conjunctiva. Conjunctivitis, Acute, . . 53 « Phlyctenular, 17 « Purulent. . 2 « Granular, . 16 Ophthalmia Neonatorum, . 1 Pterygium,....... 5 Foreign Body,...... 1 Sclera. Laceration,...... . 1 Sclerititis,........ 1 « Traumatic, ... 1 Cornea. Keratitis,........ 9 Pannus,......... 6 Opacity,........ 26 Staphyloma,....... 5 Foreign Bodies,..... 10 Conical Cornea,..... 1 Cornea and Iris. Kerato-Iritis,...... Choroid. Choroiditis,....... 3 « Double, ... 1 « Disseminata, . 2 Sarcoma Choroid, .... 1 Ciliary Body. Paralysis from Diphtheria, 95 57 15 Iris. Iritis,.......... 15 k Traumatic, .... 2 « Specific,...... 7 « Double,. Mydriasis, 29 Nerve—Optic. Neuritis,........ « Descendens, . • Choked Disc, Double, . . . Atrophy,........ Hemiopia,........ Embolus—Cerebral Artery, Retina,....... Nerve and Retina. Neuro-Retinitis, ..... 5 Amaurosis Exabusu, ... 2 Retina. Retinitis,........ 5 « Hemorrhagica, • 1 Detachment of Retina, . . 1 Vitreous. Hyalitis,........ 1 Vitreous Opacities, .... 8 Lens. Cataract, Incipient, ... 25 « Traumatic, ... 4 « Diabetes, .... 1 « Capsular, .... 1 « Posterior Polar, . 1 Aphakia,........ 1 19 42 Diseases of Eyeball. Glaucoma,...... Traumatic Injury, . . . Sympathetic Ophthalmia, Phthisis Bulbi, . . . . Lids. Blepharitis Marginalis, . Hordeolum,...... Eczema,........ Cellulitis,....... Chalazion,....... Entropion,...... Ecchymosis,...... Hydrops,....... Lagophthalmus, .... Ptosis,........ Epithelioma,..... Blepharo-spasm, .... 3 3 1 1 18 1 4 1 9 Lachrymal Apparatus. Dacryocystitis,..... Muscles. Strabismus Convergens,. « Divergens, . Nystagmus,....... 1 Paralysis of Third pair, « Sixth nerve, . 1 59 17 K'KFRACTION AND ACCOMMODATION. Myopia,......... 13 Hypermetropia,..... 75 Hypermetropic Astigmatism, 8 Myopic « 6 Compound Hypermet ropic Astigmatism, .... 31 Compound Myopic Astig- matism, ....... 16 Mixed Astigmatism, ... 3 Presbyopia,....... 29 Diagnosis not recorded, . • Operations. Foreign Bodies on Cornea, . Hordeolum,....... Chalazion,........ Pterygium,....... Stricture of Lachrymal Duct, (Bowman,)..... Strabismus Convergens, « Divergens, Enucleation,..... Iridectomy,...... Cataract (needle), . . , « (Grael'l'c1, . . 188 11 9 11 2 3 7 1 2 — 55 RECAPITULATION. Patients treated from October 1st, 1879, to October 1st, 1889, ..... 536 Number of visits,....................... 4802 Diseases. Vitreous,......... Conjunctiva,......... 95 Sclera,........... 3 Cornea,........... 57 Cornea and Iris,....... 15 Choroid,.......... 7 Ciliary Body,........ 1 Iris,............ 29 Optic Nerve,......... 19 Nerve and Retina,...... 7 Retina,.......•...'. 7 Crystaline Lens,..... Eyeball, General,..... Lids,.......... Lachrymal Apparatus,. . . Muscles,......... Refraction and Accommodation, 188 Diagnosis not recorded, .... 11 585 9 33 8 50 17 29 Operations,............................. 55 WILLIAM S. LITTLE, M. D. Chief Clinical Assistant. AURAL OUT-PATIENT DEPARTMENT, Oases Treated During the Tear Ending Septemher 30th, 1880, Chief Clinical Assistant— CHARLES S. TURNBULL, M. D. Second Assistant—L. W. STEINBACH, M. D. Third Assistant—ML. H. BOCHROCH, M. D. During the year ending September 30, 1880, the whole number of visits made by patients to the Aural Department of the Jefferson Medical College Hospital was 1701, of which 293 were first consultations. The number of Operations performed was 49. The following is a classification of cases: EXTERNAL EAR. Acute Eczema of Auricle and External Auditory Canal,..... . . 4 Chronic « « « « « « ........ 13 Furuncle of External Auditory Canal,................ 3 Impacted Cerumen,......................... 2 « « Complicated with Chronic Inflammation of Middle Ear, 24 Foreign Bodies in External Auditory Canal,.............. 1 Aspergillus Nigricans,........................ 3 Traumatic Inflammation of Membrana Tympani, ........... 2 Chronic Ulceration « « « « ........... 1 Post-auricular Abscesses,...................... 3 Sebaceous Tumors of Lobe,..................... 1 Fibroid « « ..................... 3 Otalgia, ..•........................... 5 Syphilitic Otalgia,......................... 1 Wound of the Auricle, Mastoid Process and Internal Ear, ....... 1 MIDDLE EAR, Foreign Body in Tympanum,.................... 1 Acute Inflammation of Middle Ear,.........• • • ■..... 22 (( Syphilitic Inflammation of Middle Ear,............. 4 Subacute Plastic « « « ............ 6 « Hypertrophic « « « ............. 3 u Chronic Plastic Inflammation of Middle Ear,............. 18 « Hypertrophic « « « ........ 15 « Rheumatic « « « ............. 1 « Syphilitic « « « ............. 3 « Inflammation of Middle Ear after Bathing........... 2 « « « « Scarlatina,....... 5 « « « « Measles........... 2 « « « « Smallpox, . . •..... 1 « « « « Diphtheria,........ 2 « « « « Sunstroke,...... • 1 Acute Purulent Inflammation of Middle Ear,............. 13 « « « « After Measles,...... 1 « « « « Syphilitic,........ 3 Subacute « « « ............. 5 Chronic « « « ............. 22 « « « « Syphilitic,........ 2 « « « « Tubercular,....... 3 « « « « Polypoid,....... 7 « . « « « After Typhoid Fever, . . . 5 « « « « « Diphtheria,..... 1 « « « « « Measles,...... 8 « « « « « Scarlatina,..... 17 « « « « « Dentition,..... 7 « « « (( « Bathing,...... 1 « « « « Traumatic,........ 1 Accompanying 212 cases of Middle Ear Disease, there were: 6 Cases of Subacute Pharyngeal and Tubal Inflammation. 21 « Chronic « « « 30 « Subacute Nasopharyngeal « 79 « Chronic « « 2 « Ozena. INTERNAL EAR. i Acute Inflammation of Internal Ear after Tubercular Meningitis, .... 1 Chronic Tubercular Inflammation of Internal Ear,........... 2 « Syphilitic « « « ........... 1 « Traumatic « « « ........... 2 « Hemorrhagic « « « ........... 1 « Congenital « « « (Deaf-muteism) ... 2 « Inflammation of Internal Ear, (Boilermaker's Deafness,) .... 1 « « « « After Typhoid Fever,...... 2 « « « « « Measles, (Deaf-muteism,) . . 1 ic « « . « « Meningitis,........ 1 « « « « « Cerebro-spinal Meningitis, . . 1 Tinnitus Aurium was present in 161 cases. -to OPERATIONS PERFORMED. Polypi and Polypoid Growth's Removed,..............- 7 Sebaceous Tumors Removed,............ .....• • 2 Fibroid « « ..................... 3 Foreign Bodies Removed from External Auditory Canal,...... 3 « « « Middle Ear,......... . 1 Post-auricular Abscesses Opened,.................. 3 Furunculous Abscesses Opened,................11 For Injuries to Temporal Bone,................. 3 « « External Ear,..............■ . . . 1 Perforation of Mastoid Process,................. 1 Myringotomy,..........................• 3 Tenotomy of Tensor-tympani,.................... 1 On Nose and Tonsils (Scarification of Nasal Mucous Membrane, etc., and Abscission of Tonsils,...................... 10 49 External Ear,.........67 Middle Ear, .... ... 212 Internal Ear,.......... 14 Total, . .'.........293 (New Patients.) Whole number of visits made, 1701. CHARLES S. TURNBULL, M. D., Chief Clinical Assistant. THROAT OUT-PATIENT DEPARTMENT. Cases Treated During the Tear Ending Septemher 30th, 1880, Chief Clinical Assistant—ISAAC BARTON, M. D. Second Clinical Assistant—C. E. SAJOUS, M. D. No. of Cases. Coryza,........... 7 Catarrh, Nasal,........ 16 « Post-nasal,..... 85 « Anterior and Posterior, 30 Pharyngitis, Acute, ..... 10 « Subacute, .... 24 « Chronic, .... 83 « Syphilitic, ... 13 Tonsillitis, Acute,...... 12 « Subacute,..... 6 « Chronic,...... 25 Hysterical Aphonia, ... 7 Elongated Uvula,...... 14 No. of Cases. 19 6 21 30 16 4 Total number of Visits, Laryngitis, ,Acute, . « Subacute, « Chronic, « Phthisical. « Syphilitic, Vocal Cords, Unilat'l Paralysis of « Bilateral « 1 « Growths of... . 5 Goitre,........... 7 Stammering,......... 2 Cleft Palate,......... 3 Enlarged Cervical Glands,... 5 Total number of cases, . . 451 ...............2455 ISAAC BARTON, M. D., Chief Clinical Assistant. MARINE WARD. On May ioth, 1879, the Trustees, through their hos- pital committee, entered into a contract with the United States Marine Hospital Service, for the reception, board and treatment of all sailors of the mercantile marine re- quiring hospital treatment in the port of Philadelphia. This arrangement took effect on the joth of May, 1879, and was renewed on the 14th of July, 1880. The treatment of the marine patients is conducted by a medical officer of the United States Marine Hospital Service, detailed for that duty, who in many cases avails himself of opportunities of consultation with the hospital staff. His assistant, appointed by himself, with the con- sent of the Board of Trustees, is resident in the hospital. The terms of the contract made between the Gov- ernment and the hospital have been faithfully carried out, and the whole arrangement has been characterized by perfect harmony and kind feeling on the part of the ma- rine surgeon and the hospital staff. The officer of the United States Marine Hospital Service on duty at this port when the first contract was entered into, was Dr. E. J. Dee ring, who was succeeded, 4S in November, 1879, by Dr. George W. Stoner, U. S. INI. Hospital Service, who is the present officer at this station. The following-named gentlemen have served succes- sively as resident physician for the marine ward: C. C. Beery, M. D.; J. W. Hazlitt, M. D.; H. B. Baker, M. D.; J. L. Wright, M. D. Since the above paragraph was written, Dr. Stoner has been relieved from duty in the hospital, and has been succeeded by Dr. J. M. Gasserway, U. S. M. Hospital Service. In reviewing the work of the hospital, from its estab- lishment up to the present time, the Trustees believe that they have ample reason to congratulate the contributors upon its success. They will be gratified to learn that the hospital lot and building are entirely free from debt. A more ample endowment is, however, necessary, in order that the Institution should attain its full measure of usefulness and beneficence. To that end, its claims are respectfully submitted to the favorable consideration of the community, in the hope that, from time to time, its funds and resources may be increased by such gifts as those who are charitably disposed may be inclined to be- stow—all of which will be thankfully received, and will be faithfully applied as the donors may be pleased to indicate. By authority of the Board of Trustees, E. B. GARDETTE, M. D., President. Form of Bequest. "I do hereby give, devise, and bequeath, to the Trustees of the Jefferson Medical College, of Philadelphia, their successors and assigns, for the use of the Jefferson Medical College Hospital----" [Here mention the amount of the bequest, or describe the property devised.] Form of Endowment of a Hospital Bed, " I do hereby give and bequeath to the Trustees of the Jefferson Medical College, of Philadelphia, the sum of five thousand dollars, for the endowment of a free bed in the Jefferson Medical College Hospital, said bed to be known and designated as the.......free bed." ARMED FORCES MEDICAl LIBRAE WASHINGTON. D. C. ^fi.j/i\ ■ Syrocuie, N. Y. ^^^ Stockton, Calif. WX 28 AP4 P5J4r 188* iHlMlllllll NLM 05271070 0