Fifty-Third Annual Report of the Directors of the General Hospital Society of Connecticut General Hospital Society of Connecticut

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1-1-1880 Fifty-Third Annual Report of the Directors of the General Hospital Society of Connecticut General Hospital Society of Connecticut

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Recommended Citation General Hospital Society of Connecticut, "Fifty-Third Annual Report of the Directors of the General Hospital Society of Connecticut" (1880). Yale-New Haven Hospital Annual Reports. Book 105. http://elischolar.library.yale.edu/ynhh_annual_reports/105

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YALE UNIVERSITY ~ CUSHING/WHITNEY MEDICAL UBRARY

FIFTY-THIRD j\NNUAL REPORT

OF THE

GENERAL HosPITAL SociETY

CONNECTICUT,

FOR THE YEAR 1879.

:jresenftb at i!Jt ~ nnual ~u ting, :Ma nuaru 2.9', 1:&:&.0'.

NEW HAVEN : TUTTLE, MOR.EHOUSE & TAYLOR., PR.INTER.S.

I 8 8 0, F O RM F BEQUEST.

Item. I give and bequeath to the General H ospital Society of Connecticut, in the City of New H aven, the sum of dollars, to be paid by my executors, out of my real or per sonal estate, as soon as the settlement of my affairs will permit, to the Treasurer of said Institution for the time being, in trust, to be applied by the Directors thereof to the humane purposes of said Institution. OFFI CERS

OF TH E

1880.

FRANCIS WAYLAND, Pres. T. H. BISHOP, Sw·etary. JAMES E. ENGLISH, Vice-P,·es . LEONARD S. HOTCHKISS, T reaszmr.

STATE COMMISSIONERS. His Excellency, THE GOVERNOR OF THE STATE, ex-officio. HENRY WHITE. (Vacant.)

DIRECTORS WHOSE TERM OF OFFICE EXPIRES, RESPECTIVELY, I N r88 r. r 88z. I 883. FRANCIS BACON, J . E. ENGLISH, E. H. BISHOP, S. E. BALDWIN, D. L. DAGGETT, F. L. DIBBLE, H . G. LEWIS, E. E. SALISBURY, LEVI IVES, C. A. LINDSLEY, L. J. SANFORD. S. E. MERWIN , JR., E. E. ATWATER, S. H. MOSELEY, FRANCIS WAYLAND, W . L. BRADLEY, WILLIAM GALE, E. M. REED, W. B. FENN, S. H. BRONSON, M. F . TYLER, WM. FRANKLIN. DANIEL C. EATON. W. H. CARMALT.

PRUDENTIAL COMMITTEE. WILLIAM GALE, S. H. BRONSON, W. H. CARMALT.

FINANCE COMMITTEE. WILLIAM FRANKLIN. H . H. BUNNELL, WALLACE B. FENN.

AUD ITING COMMITTEE. HENRY D. WHITE, DANIEL TROWBRIDGE.

SU PER INTENDENT. J OHN H. STARKWEATHER. MEDICAL BOARD.

FRANC IS BACON, M.D. , Pres. W . L. BRADLEY, M.D., Vice Pres. L. M . GILBERT, M.D., Sec,·ctmy.

ATTEND ING PHYS ICIANS. MOSES C. WHITE, M.D., S. H . BRONSON , M.D., T . H . BISHO P, M.D., LUTHER M. GILBERT, M.D., W. L. BRA DLEY, M . D., S. H. C HAPMAN, M. D.

ATTEND ING SE lOR SURGEONS. FRANC IS BACON, M.D., W. H . CARMALT, M. D.

ATTEND ! G JUN IOR SURGEONS. W . H . HOT C HKISS, M.D., T . H. RUSSELL, M.D.

CONSULTING PHYS ICIANS AND SU RGEONS . LEVI IVES, M.D., E. H . BISHOP, M .D., D. L. DAGGETT, M.D., T. B. T O WNSEN D, M. D. , C. A. LINDSLE Y , M. D., D. P. SMITH, M .D., F . L. DIBBLE, M.D., R . S. IVES, M. D., P . A . JEWETT, M .D. , L. J . SANFORD, M .D., GEO RGE B. FA R NA M , M.D., WALTER JUDSON, M.D .

PATHOLOG IST. APOT HECAR Y. MOSES C. WHITE, M .D. Miss FANNY COMSTOCK.

RESIDE NT PHYSICIAN S. NATH AN 1'. TYLER, M.D., THOMAS M . DURELL, M .D., W. J . WAKEMAN, M .D.*

BOARD OF VISITORS.

W . G. A NDREWS, W . J . ATWATER, B. F . MA NSFIE LD, J AMES REYNOLDS, W . S. C H A R N LEY, MAIER ZUNDER. BOARD OF LADY VISITOR S. M Rs. E. E . SALISB U RY, Miss C LARA COLLINS, M Rs . H EN RY 0 . HOT C HKISS, Mrss EMILY BETTS, M Rs. FRA NCIS BACO N, Mrss ISAPHENE HILLHOUSE, M Rs . W . S. C H AR NLEY. Mrss 2 USA N BRADLEY, M Rs. D ANIEL TRO WBRIDGE, MRs. HARRIET S. WHEELER, M Rs. WILLIAM FITC H. MISS LILLIE P A RKER, MRs . T . H . BISHO P, Mrss JUSTINE INGERSOLL, M Rs . E . C. SC RANTON, Miss BESSIE D. BEAC H, MRs. R . M. EVERIT. M Rs . HENRY L. HOTC HKISS, M Rs. J. W . MANSFIELD, M Rs. W . K . T O WN SEND, M Rs . ELI WHITN E Y, J R., MI SS EMM A C ARRI NGTON, MR s. WILLIAM GALE, Miss C ARRIE H . TROWBRIDGE, MRs. C HARLES H. STOUGHTON. * Time expired J anuary r, r 88o. VICE PRESIDENTS FOR LIFE.

A donation of $ I,OOO constitutes the donor a Vice President for life.

CHARLES ATWATER, *Dr. HENRY H OLMES, *BENJ. B EECHER, *NELSON HoTCHKiss, Dr. E. H. BISHOP, *Dr. ELI lVES, *TIMOTHY BISH OP, *WILLIAM J OHNSON, Mrs. L UCY C. B OARDMAN, *Dr. JONATHAN KNIGHT, * W. W . B OARDMAN, *SOLOMON LANGDON, *JAMES BREWSTER, *WM. LEFFINGWELL, Dr. H. B RONSON , ABRAM B. LEWIS, Dr. F . L. DIBBLE, NATHAN PECK, JAMES E. ENGLISH, EDWARD E . SALISBURY, Mrs. ELLEN M. GIFFORD, *J. SAMPSON, HENRY FARNAM, *BEN}. SILLIMAN, *WILLIAM FITCH, *ITHIEL T owN, *Mrs. C. L. HILLHOUSE, Mrs. S ARAH S. WHITNEY.

LIFE DIRECTORS.

A donation of $soo constitu t es the donor a life director.

*ELIHU ATWATER, Dr. P. A. JEWETT, WM. ATWATER, *Mrs. W. A. LARNED, Dr. FRANCIS BACON, * J. W . MANSFIELD, AMOS F. BARNES, -X·Mrs. MARTHA B. MARETT, Dr. TIMOTHY H . BI SH OP, S . E. MERWIN, Jr., * J OHN A . BLAKE, *ENEAS M ONSON, *ABRAHAM BRADLEY, * JoHN L. N ORTON, Dr. WM. L. BRADLEY, * Rev. SETH P YNE, * WM. B . BRISTOL, Dr. L. J . SANFORD, *JosEPH N. CLARK, E . S. S c RANTON, J osHUA Con, J OSEPH E . SHEFFIELD, PHILO CHATFIELD, W ELLS S ouTHWORTH, * D AVID DAGGETT, *SIDNEY STREET, Dr. DAVID L . DAGGETT, *TITUS STREET, *JEREMIAH DAY, D.O., N. D . SPERRY, *WM. C . DEFOREST, *SETH THOMAS, M. G . ELLIOTT, JAMES M . T OWNSEND, Dr. GEORGE B . FARNAM, DANIEL T ROWBRIDGE, Mrs. WILLIAM FITCH, THOMAS R. TROWBRI DGE, *ELEANOR S. GERRY, *MORRIS T YLER , *WM.- P . • GREENE, Dr. G.; A. wARD, *SAMUEL J . HITCHCOCK, H . M . WELCH, *Dr. W ORTHINGTON H oOKER, HENRY WHITE, * Dr. THOMAS H UBBARD, Dr. M. c. WHITE, Dr. LEVI lVES, ELI WHITNEY, Dr. RoBERT S . lvES, L. WINSHIP. * Deceased . 6

LIFE MEMBERS.

A donation of $so constitutes the donor a life-member.

* Dr. ALANSON ABBE, *HENRY "V. EDWARDS, *AUSTIN ALCOTT, -:• W~1. H. ELLIOTT, *TIMOTHY ALLI NG, *RICHARD ELLIS, Rev. E. E. ATWATER, RICHARD S. f ELLOWES, *jOSHUA ATWATER, *jEDEDIAH fiELD , *ELI B. AUSTIN, ELEAZAR T . FITCH, *jOHN BABCOCK, ~jOHN FITCH, *SIMEON B ALDWIN, P. B. FOSTER , S. E. BALDWIN, 0. B. FREEMAN, *W~ 1. BALDWIN, ~·Dr. SILAS FULLER, *jESSE BANKS, zd, Misses GERRY, *SELAH BARNES, *ELI GILBERT, * j OHN BEACH, *CHAU CEY A. GOODRICH. * I SAAC BEERS, * JARED GRISWOLD, H . B. BIGELOW, *ANDREW HARRIS, * Mrs. TIMOTHY BISHOP, ·X·GRINDLEY HARRISON, -~·WM. BRISTOL, *jEDEDIAH HAWLEY, Dr. S. HENRY BRONSON, I SAPHENE HILLHOUSE, *DANIEL BROWN, *WM. HILLHO USE, '~WM. BUELL, *Dr. CHARLES HOOKER, *GEORGE B uNcE, HENRY 0. H OTCHKISS, *AARON BURR, *OBADIAH H OTCHKISS, *RANSO M BURRITT, '~RUSSELL H OTCHKI SS , *THOMAS B . B UTLER, Dr. WM. H. HoTCHKiss , *BURTON M ALLORY, ·*WOOSTER H OTCHKISS, *Dr. CHAS. BYINGTON, *THOMAS H owELL. '*LEVERETT CANDEE, Dr. S. G. H uBBARD, DR. W. H. CARMALT, *RALPH I. I NGERSOLL, *OLIVER D. CooK, * Dr. CHAS. L. I VES, *THOMAS CooK, FREDERICK IvES, Dr. J. ]. CRANE, *Dr. NATHAN B. I VES, *"Vi\!. CUTLER, *WI>!. H. jONES, *ALFRED D AGGETT, TREDWELL KETCHAM, *JAMES E. P. D EAN, *DENNIS KIMBERLY, * j OHN DEFOREST, J H. KLOCK, *TIMOTHY DIMOCK, Dr. C. A. LINDSLEY, * J AMES DoNAGHE, *NATHANIEL LYON, * Dr. V. M . Dow, '*A. H. M ALTBY, *TIMOTHY DWIGHT, Mrs. JOHN W. MANSFIELD, Dr. C.]. D uBois, EDWI N MARBU:, Dr. H. A. D uBois, *WM. McCRACKEN, MARY RUTHERFORD jAY D UBO IS, *GEORGE MITCHELL, '*jOHN DURRIE, *AMos MoRRIS,

* Deceased. * Dr. ALFRED S. MuNSON, SIDNEY M . STONE, GARDNER MORSE, *JOHN SWAT HEL, SAMUEL N OYES , *ELI TERRY, '* DENISON OLMSTEAD, ELI TERRY, Jr., ~"J OSEPH P ALMER , *Dr. Eu T oDD, J OSEPH P ARKER , * I SAAC THOMSON, '* H ENR Y PECK , Dr. T . B. TOWNSEN D, Mrs. MARIA P ER ITT, CORTLANDT TROWBRIDGE, * Dr. J OH S. P ETERS, E . H . TROWBRIDGE, *D r. W. W . S. PIERSON, *HENRY TROWBR IDGE, * D ANIEL P ORTER, '* Dr. WM. TULLY, J OSEPH P ORTER , M. F. T YLER , L. S. P UNDERSON, * DANIEL W ADSWORTH, Mrs. MARTHA C. R EAD , * L YMAN WAKEFI ELD, Mrs. MARIA H. R OBERTSON , ALFRED WALKER, * E LIZABETH ROBINSON, G EORGE H. WATROUS , *GEORGE R oB INSON, F RANC IS vV AYLAND , *RoGERS, SMITH & Co .. *Dr. R EYNOLD W EBB , *ABBY SALISBURY, Mrs. K ATE F. WHEELER, * PHI LANDER SALMON, Dr. J AMES B . WHITCO MB, *ELIHU SANFORD, *DYER WHITE, * H AWLEY SANFORD, * Dr. C . B. WHITTLESEY , * E BENEZER SEELEY , * THOMAS S. WILLIAMS , *jOHN SKINNE R, *FRANcrs B. vVr NTHRoP, * H ENRY SMITH, * Dr. C HAS . W ooDWARD, Dr. IRA S. SMITH, * H ENRY WOODWARD, ~- N ATHAN SMITH, Dr. SAM. B. W ooDWARD.

MEMBERS FOR TEN YEARS.

A dona tion of $2S constitutes the donor a member for ten years.

Dr. EDWARD B UC KLEY, fro m April , I 873- J OHN E. B ASSETT, from Septe mber 4, I874· WILLIAM F RANKLIN, from D ecember 24 , r874. L. W. SPERRY, from Septembe r 4, I874. EDWA RD E. HALL, from April 24, I 87S- Mrs. J oHN S. BEACH, from March 14, 1874. JoHNSON B ROTHERS, from January IS, I87S - E. G. STODDARD, from January IS , 187s. R. & J . M. BLAIR, from January I6, 187S A NDREW W . D E FOREST, from April 24, I 87S · A. H. CARGILL, from D ec e mber 16, 1876. H UBBARD WILLI AMS, from December 16, 1876. WM. A. JONES , from January 13, 1878. S. H . MosELEY, from January 13, I 878. j oHN B . CARRINGTON, from January 13, 1878. Mrs. J oSEPHINE H. P oRTER ; from January I3, 1878. *Deceased. 8

J oHN P. T UTTLE, from January 13, 1878. THEODOSIA D . WHEE LER, from January 13,1878. I SAAC A NDERSON, from January 13, 1878. M ARTHA P . H oTCHKI SS, from January 13, 1878. J AMES M . H oPPIN, from January 13, 1878. H ENRY C . KINGSLE Y, from January 13, 1878. WILLI AM GAL E, from January 30, r 88o. H ENRY L. H oTC HKISS, from J anuary 30, r88o. W ALLACE B. FENN, J a nua ry 30, r 88o.

CORPORA TORS. *THOMAS H UBBARD, M.D., *J. S. P ETERS, M.D., *ELI l VES, M.D., * BENJAMIN SILLIMAN, M.D., *JONATHAN K NIGHT, M.D .. "*JOH N SKI 'NER, M .D ., *WM . L EFFINGWELL, Esq., ""NATHAN SMITH, M.D., *THOMAS MINOR, M.D., * Eu ToDD, M .D.

PRESIDENTS. *WM. L EFF INGWELL, Esq., I 82 7-1832 *Hon. SIMEON BALDW IN, !832-1833 *NATHAN P ECK, E sq., I833-1841 *Hon. W. W. BOARDMAN , ! 841-1842 *JONATHAN K NIGHT, M.D., 1842-1865 * H o n. W . W . BoARDMAN, 186s-r87 1 E . H . BISHOP , M .D., 1872-1880 Hon. FRANCIS WAYLAND, r88o-

VICE PRESIDENTS. *JOHNS. P ETERS, M .D ., 1827-I83I *Hon. SIMEON BALDWI N, . 1831-1832 *THOMAS HUBBARD , M.D., 1832-1839 * Hon. W. W. BOARDMAN, 1839-1841 *J oNATHAN K NIGHT, M.D., !84!-1842 *Hon. D ENN IS KIMB ERLY , 1842-1863 E. H. BISHOP, M .D., r 863-1866 *Hon. HENRY PECK, r 866-r867 E. H. BISHOP, M .D ., r 867-1872 *Hon. WM. FITCH, . I 872-1877 *Hon. JAMES E. ENGLIS H, ! 8]8-

TREASURERS. * Dr. J OHN SKINNER, . 1827-1832 AMOS T OWNSEND, 1832-1864 ALEX. M CALLISTER, 1864-1865 J . A . BISHOP , r86s-r8n WILBUR F. DAY, 1877-1879 L EONARD S. HOTCHKISS , ! 879- * Deceased. 9

SECRETARIES.

*C HARLES H ooKER , M .D ., 1827-1 830 *N. BEE RS lV ES , :\1.D., . 183o-1835 *VI RG IL M . Dow, M .D ., 1835-1840 E . H. BI SHOP, M.D., ! 840-1844 P . A . J EWETT , M .D., 1844- 1864 S. G. H UBBA RD , M.D., 1864-1865 C. A . LI NDS LEY , M.D., r865-1879 F . L . DI BBLE, M .D., 1879-1880 T . H . BI SHOP, M .D., 1880-

FREE BEDS IN PERPETUITY.

A do nation of $ s,ooo entitles the d o no r, his heirs and assig ns, to no minate patients to a fr ee bed, in perpetuity.

A d o na tio n of $2,500 e ntitles th e d onor to no mina te pa ti e nts to a free bed , in perpetuity, for six mon tlzs in eaclz year, o r to nomina te pa ti er.ts to a fr ee bed du ring the life of the d onor.

A donation of $1,ooo entitles th e d onor to no mina te patients to a fr ee bed for any three months in each year dur ~n g his life.

FREE BED FUND. 187-1-HENRY F ARNAM, $s,ooo 1874-WM. F ITC H, s.ooo 1874-J AMES E . E NGLISH , s,ooo 1878-ELLEN M. GIFFORD, s.ooo

PERMA NENT FUND.

1877-IRENE L AR NED, $s.ooo 1878-NELSON A . H OTCHKISS , 5,00<0 REPORT OF THE DIRECTORS.

The Directors of the G eneral H ospital S ociety of Connect icut respectfully p resent t o the Society their fifty-third Annual R eport as p repa red by the Prudential C o mmittee and adopted by the Directors. Soon after the last a nnual meeting of the S ociety, Mr. H. E . Mosely resignee! his offi ce as superintendent and Mr. J . H. Sta rkweather was employed to fill the place thus vacated. The Prudential Committee a re pleased to testify t heir belief that he is discha rg ing the duties of his offi ce with fid elity to the Society a nd with kindness a nd courtesy to those with who m, as the representative of the Directors, he has intercourse. Simultaneously with the cha nge of superintendents, a new housekeeper was employed. T he food bills for the year are less tha n those of the pre ceding year by $2,853.92. This diminution of ho usekeeping expenses is largely owing to the close a nd con stant super vision which Miss Gleason, the h o u ~e k ee p e r, has given to the culinary department. Something is due, h owever, to the action of the Directo rs a nd the coopera ti on of the Medical B oard with them in p reventing waste by the excessive use of special diet a nd of unnecessarily expensive a rticles of special diet. Something should be a llowed also fo r the state of the p rovisio n ma rket, prices having ruled lower tha n during the p receding year, a nd lower tha n at the present time. The ho pe was expressed in the last annual report that the exp enditures of the year which has n ow come to an end could be bro ug ht down o r nearly do wn to the a mount of income. The Prudential Commitee regret that the hope has not been realized. The excess of ex penditure o ver income is not quite so g reat as in the preceding year. Then it was $3,8oo, this year it is about $3,ooo. Of this de fi cit $ r,o3r.o2 was occasioned by the fire, which occurred on the fi fteenth day of October. T he insura nce recovered w as $2,2oo; the re pa irs and improvements in the part of the building which was damaged have cost $3,23 r .o2 . The da mage mig ht perhaps have been made good by the expenditure of $ 2,200 or a little m ore; but it was thought best in restoring the building to secure some useful accommodations in a portion of the edifice 11 which before had served only for architectural effect. The roof of the central part of the original hospital edifice having been entirely consumed, the new roof contains more and larger skylights; and by cutting windows in the side walls seven apartments have been secured in the upper story in stead of three as before. These are all furnished with gas and steam heat. Warm and cold water is conveyed to the hall into which they open. The accommodations for clinical instruction have been very much improved, and a new stair way of easy ascent from the second to the third story has been built. It is believed that these improvements are worth much more than they have cost, and that they have been wisely made. The contributions of Hospital Sunday in r879, amounting to $2,r86.52, reduced the deficit with which we began that year to about $r,6so. This debt we have carried through the year. The deficit of r879, added to the debt thus carried over from r878, and the interest we have paid, makes a debt of $4,750. The contributions of Hospital Sunday in r88o have not yet been fully paid in, but are known to exceed $3,400. If the donations of the year should amount to $3,6oo, as there is reason to hope they will, the debt which we must carry through the coming year will be considerably less than we carried during the preceding year. Among the donations of Hospital Sunday week was one of $r,ooo from Mrs. Sarah S. Whitney, given expressly for current expenses. The Direc tors have great pleasure in acknowledging with thanks this munificent gift. Another donation deserves special mention. The South American friends of Mr. S. ]. Legaspi, of Valparaiso, Chili, who died in the hospital on the 14th day of October last, sent $roo to the physicians who attended him, and, they feeling that under the rules of the hospital they could not accept the gift for themselves, handed it to the treasurer. The gift not only honors those who sent it, but illustrates the liberality ot the medical gentlemen who freely give their services to the hospital. Mr. Nelson Hotchkiss, who has recently departed this life, felt a deep interest in the hospital, giving it much of his time and thought, especially when the new building was erected. By the provisions of his will this society will, at some future time, come into possession of a sum of money 12

estimated, as we are info rmed, at n ot far from four or five thousand dollars. The free beds, which are four in number si nce the estab lishment of tha t mentioned in the last annual report as endowed by the munificence of Mrs. Gifford, enable us to entertain that number of patients g ratuitously. The Direc t ors would be g lad to have the number of free beds increased. Could a person who has $s,ooo to give in charity do a better deed than to endow a free bed in the hospital and invest some church or charitable society like the United ' Vorkers with the nomination of patients to occupy it ? Could a bereaved family astablish a more satisfactory memorial of a departed parent or child than a free bed in the hospital perpetuating the beloved name? The whole number of patients during the year is 407; of whom 7 I were in the hospital Dec. 31, 1878, and 336 were afterwards received. The aggregate time spent in the hos pital by these patients is 3,526t weeks, or 24,683 days. The daily average, therefore, 67ffi· They came from 56 towns and villages. Two hnndred a nd twenty-two of them received the benefit of the State appropriation, the amount received for each of them from other sources being less than six dolla rs per week. The aggregate time during which those who partook of this charity received treatment amounts to 2,671 weeks. The State appropriation being $s,ooo, affords $1.87 for each of these weeks. In a few instances we have received no other compensation; but usually something additional is received ·from some other source. Towns pay $4 per week for each patient they send; the State pays $4-SO per week, and those patients who are able to p ay something but not able to pay $6 are arlmitted on such t erms as seem to the Prudential Committee to be equitable. All the branches of the Hospital L eagu e m entioned in the last a nnua l report have increased their funds during the year. Hundreds of workingmen thus secure by the payment of one dime per month the right of a dmission to the hospital in case of sickness o r aecident. The Directors would be glad to have branches of the League esta blished in every factory, and the Prudential Committee will ch eerfully explain the p lan to employees and to committees of workingmen who wish in some way to provide beforeha nd for sickness and 13 accident. The aggregate sum deposited by the League now amounts to $358.zo. The Training School for Nurses finding the number of nurses allowed insufficient for the work required, asked in October that the number of pupil nnrses might be increased from eleven to fourteen, a nd the Prudential Com mit tee ac ceded to the request. W e cannot too highly commend the school for the quality of the work do ne within the hospital, and we hear from those who have employed graduates of the institution that they regard a trained nurse as an indispensa ble aid in the care of the sick.* vVe shonld do injustice to the nurses and to the physicians residing in the Hospital, did we not commend the coolness and self-possession displayed by them during the conflagra tio n in O ctober. Scores of helpless people, confiding in their attendants, remained in their beds while from all quarters the noise of engines was heard, and from a distant part of the building in which they lay, a column of flame and great clouds of smoke were ascending to heaven. For the quiet of that exciting hour we are indebted to the good conduct of those who were in attendance. As in fo rmer years the Directo rs have occasion to thank the friends of the hospital for many and manifold favors. Several contributions were received fo r the festive celebra tion of Thanksgiving, and Mr. Henry Farnam generously provided for Christmas. The contributions of Hospital Sun day enabled us to close the account of the year with less debt than at the beginning. The proprietors of the daily papers have not o nly admitted into their columns our appeals for aid, but in most cases have sent their daily issues to the hospital without money and without price. Clergymen and students of theology have conducted religious services. The Board of Visitors have constantly inspected the premises and have either reported that all was satisfactory, or called atten tion to what needed correction. Respectfully submited,

EDWARD E. ATWATER, l P rudential W. L. BRADLEY, ~ Committee. WILLIAM GALE, j

*See Appendix. MEDICAL STATISTICS.

MEDICAL CASES FROM JAN. r, 1879, TO JAN. r, r88o.

Abortion, . I Masturbation, Alcoholism, 22 Nephritis, . Anaemia, Neuralgia, Angina Pectoris, 2 Nihil, A poplexy, 2 Opium Habit, Asthma, 2 Ovaritis, Bile duct obstructed, 1 Oxaluria, Brain, tumor, I Paralysis, partial, Bright's D isease, chronic. general, Bronchitis, agitans, Cellulitis pelvic, I Paraplegia, Cerebro-spinal meningitis, r P ericarditis, Colic, I Peritonitis, pictonum, Pharyngitis, Constipation. I Phthisis, . 23 Debility, Pleuritis, 3 Diabetes mellitus. r Pneumonia, Diarrhrea, . 4 Poisoning, lead, Dysentery, corros. sub., Dyspepsia, I Pyrosis, Epilepsy, 2 Pregnancy, ro Fever, intermittent, 17 Rheumatism, acute, typhoid, 4 chronic, I3 Gastritis, . I Senility, 4 Gout, rheumatic, e tc., Uterus, Diseases of- H eart, aortic regurgitation, Anteflexion, Hemiplegia, Endometritis, Hysteria, Metritis, Inanition, Prolapsus, Incontinence of urine, Retroversion. Larnygitis, chronic, 2 Vaccinia, Locomotor ataxia, Lumbago, Total. II3 Malaria, chronic, IS

SURGICAL CASES FROM JAN. 1, 1879. TO JAN. I , 188o.

Abscess, breast, I Fracture, fem ur, groin, femur, comminuted, ischi o-rectal, int. cap., lumbar, patella, neck, legs (both), Aneurism aorta, arch, " compound, . abdominal, tibia, Anchylosis knee joint, " ununited, Arthritis, rheumatic, fibula, strumous, P ott's, Bed-sores, I Gangrene senilis, Bubo, 2 Gonorrhcea, Burn, 1 Granular lid s, Calculus vesical, 2 Hemorrhoids, Cancer, breast, 2 Hernia, . uterus, 1 Hydrarthrosis, Caries, radius, I Hydrocele, rib, I Injury, head, Cataract, single, eye, . double, chest, Chancroids, . hand, Choroiditis, thigh, Cicatricial adhesion, leg, Cornea, opaca, . 2 Laceration cen ·ix ute ri , lead deposit, I N eorosis tibia, Coxae morbus, . Optic nerv e atrophy, Cystitis, 1 Opthalmia, gonorrhceal, Dislocation vertebra, strumous, clavicle, I Otorrhcea, Eczema capitis, 1 Orchitis, rubrum, Periostitis, Elephantiasis, Pott's disease, Entropion, 1 Prolapsus rectum, Epididymitis, 2 Prosta titis, Epithelioma, face, 2 Prostate hypertrophy, UtP.rUS, I Phymosis, Erysipelas, 2 Retina apoplexy, . Eye, sympathetic irritation. I Rupture perineum, Fever, urethral, 1 Sarcocele, F istula, perineal, 2 Scald, urethral, I Stricture urethra, Fracture, skull, 2 Synechia post, . sub. max. inf., 1 Synovitis, knee joint, arm, 2 Syphilis, secondary, ribs, . tertiary, . r6

Torticollis, I Wound, finger, Tumor, cystic, hand, adipose, shoulder, ovarian, urethra, buttock, gunshot, Ulcer, leg, varicose, Total, indolent,

OPERATIONS.

Amputation of fingers, 2 For prolapsus rectum, thigh, I Iridectomy, leg, I Laryngotomy, Circumcision, 2 Lithotomy, Enucleation of eye, I Ovariotomy (both recovered), Exsection hip joint, I Plastic operation for burn, elbow, . I Removal lipoma, . For removal crystalline lens, cystic tumor, opacities cornea, sarcocele, " entropion, . I Urethrotomy, internal, " caries of ribs, . external, " scirrhus of breast, " ruptured perineum, Total, so " lacerated cervix uteri,

NUMBER OF BIRTHS.

. I In January, . J lln October, . In May, I In November, In July, . I ln September, 2 Total,

CAUSES OF DEATH.

Abscess of Kidneys, I Fracture femur and senility, appendix vermiformis, I Meningitis chronic, Anaemia, I Myelitis, Apoplexy, I Phthisis, Bed-sores and Senility, I Pneumonia, Bright's Disease, 2 Poisoning, corros. sub., Cancer of Stomach, I Pleurisy, Caries of Spine, I Railroad injury, Cerebro-spinal meningitis, Tuberculis, acute, Concussion of Brain, I Softening of brain, Convulsions uraemic, I Typhoid Fever, Epithelioma, Erysipelas facial, . Total, 3I REPORT OF THE SUPERINTENDENT.

NEw HAVE N, J a nuary 16, 188o.

T o the Prudential Committee of t!te General Hospital Society of Connecticut : GENTLEMEN-I herewith respectfully submit the fifty-third annual report of the receipts and disbursements, number of patients in the Hospital, and other items of information. The number of patients rema in ing in the H ospital Dec. 31, 1878, was 71-52 males, 19 females; admitted during the year 1879, 336-245 males, 91 females, making a total of 407 under treatment-297 males, 110 females. Of this number, r67 re covered, II8 males, and 49 females. I03 were discharged improved, 25 unimproved. 31 have died, and 8r remain under treatment. There have been 8 births ; ..J. males, and 4 females. The whole number of weeks occupied was 3,526.;., of which 2,671 weeks were occupied by charity patients. These pa tients came from 56 different towns and villages. The greatest number of patients a ny one day was 88, and the low est, 47, the daily average being 67~. The attendants and other inmates of the house have averaged 42 -§- , making a total of IIO yE . SUPERINTENDENT'S ACCOUNT. THE SUPERINTENDENT , in account with GE NERAL HOSPITAL SOCIETY. DR. 1879. To amount receive$1 : Balance from old account, J an. 15 , 1879, $37.2 3 Self-paying patients, 4.796.q2 Various towns for board of patients, 6,071.15 United States, 1,244·50 State of Connecticut," 4,203.26 State appropriation, s,ooo.oo Hospital League, 153·40 Board of extra nurses, 68 .45 Sundries, 928.87 Fire Insurance, . 2,200.00 $24,703.78 Orders on Treasurer, 26,314.97

$51,018.75 r8

CR. 1879. By amounts paid for : Salaries a nd wages, ' 5·946.92 Flo ur, b re?. d, cake, pies, crackers a nd rice, 1,168.70 Butter and ch eese, 965.27 M eat, fowl and fish, . 4,358.84 F ruit a nd vegetables, 678.83 Groceries and eggs, 1,672-91 Milk, 1,464.81 Liquors, medicines and instruments, 2,378.29 Fuel, gas, water a nd ice, 3.076.72 Furniture, clothing, bedding and crockery, 936-76 Repairs and improvements, 2,094·39 Printing. statione ry a nd postage, 396.88 Barn expenses, t

Number of weeks of Hospital care, 3,526t. Cost per week pe r patient, $7.I6f Total cost of food, 10,309.36 Average number of inmates, IIoYs x 365. Cost of food per day per inmate, 25,Vzc. GENERAL STATISTICS. Males. 1'-emales. Total. Re maining in H ospital, D ec. 31, 1878, 52 19 71 Admitted during the year r 879. 245 91 336 Total, 297 IIO 407 Of this number there have been discharged- Cured, n S 49 167 Impro ved, 75 28 103 Unimproved, 18 25 Died, 25 31 236 90 326 Re maining under treatment Dec. 3 1, 1879, 6r 20 81

297 IIO 407 MONTHLY ADMISSIONS FROM JAN. 1, 1879. TO DEC. 31. 1879.

Males. Females. Total. J anuary, 24 33 February, 13 r8 March, rs 23 April, !8 22 May, Ig 23 June, Ig 26 July, 33 40 August, q 21 September, 2S 12 37 October, 26 I2 38 November, !6 23 December, 24 32

Total, 246 go 336

NATIVITY OF PATIENTS ADMITTED.

United States, 172 Denmark, Ireland, 100 Finland, Germany, 27 France, England, I3 Chili, Scotland, Spain, . Sweden, Austria, Norway, Nova Scotia, Switzerland, Italy, Wales,

AGE AT TIME OF ADMISSION.

Males. Females. Total. Under I,; years, IS IO 2S From IS to 20 years, 24 I4 38 " 20 to 30 64 24 88 " 30 to 40 s6 IS 71 8 " 40 to so 43 5 I " so to 6o " 28 9 37 10 6 I6 " 6o t•J 70 '' " 70 to So " "Sotogo"

Total, 24S gr 2 0

OCCUPATION.

Nurse, ______I Agents, ______---- 4 Doctor,------· I Butchers,------4 Dress makers, ______2 O ve rsee r,------r Britannia worker,_-_ I Engineers, ------Ornamenter, ------r Baker, ______I F arme rs, ____ ----_ --17 Painters, ______8 I Ba rbers,------2 Fireman, ______Pedlar,------I Blacksmiths,------4 Grinders,-- · ___ ·-- - P o rte rs, ____ ·------2 Brass workers, ____ _ 3 Gunsmith,------I Polishers, ______3 Bookkeepers, ______Hatter, ____ ------I Plumber, ------I Bar tend e r, __ _ - ---- I H ostle rs, ------2 Rubber worker, ____ 2 B'dg house keeper, H o usekeepers, ___ __r s Seamen,------44 Carpenters,------7 H elpers, ______.. __ 2 Servants, ______I2 Cutl er, ______------r Leath er dresser, ____ I Shoemakers,------4 Corset stitcher, __ ___ 1 Labo rers, ______-- __24 Solderer, ------I Corset maker, ______I Machinists, -- _ ---- 7 Students, ---· ------5 Car build er, ______I Masons,------Stone cutters,------3 C lock ma ker, ______I Manufacturer, ______I Tailors, ------2 Cigar makers, ______Merchants, ______Varnisher, ------I Mold ers, ______2 Clerks, ------Washer,------I Cooks, ______2 Ma rine offi cer, ______I Weavers, ------3

REPRESENT ATION O F TOWNS AND VILLAGES OF CONNECTI CUT IN THE HOSPITAL D U RING THE YEAR ENDING DEC. 3I, 1879.

Ansonia, ______8 Montville, ______I Redding, ------I I6 Beacon Fall s, ___ · -- 2 Meriden, ______Roxbury,------I Branford ,------4 Milford,------4 Sey mour,------3 Bridgeport , ------8 Middlebury, ____ .. _ 1 Stratford,------I Birmingham, ______4 Mitld letown, ------4 Southbury, ______I Bristol,------I North Guilfo rd , __ __ r Stamford,------2 Cheshire, ------I North Bra nfo rd, ___ 2 South Norwalk, ____ r Collinsville, ______Norwalk, ------4 Union Ci ty, ______I Danbury, ------2 N ewtown,------I Warehouse Point, __ I Derhy , ______New Britain, ______2 Winsted , ______6

Deep River, ______I New H aven, ------23I W olcott, ------I East Haven, ______I Northford,---·---- I W estport,--·------I Guilford, ______I Naugatuck,------I W allingford, ------4 H ebron,------4 Norwich, ------2 Warre n, - -- · ------I Harwinton,------I N orth Haven ,_· -- - 2 Waterburv, ------9 Huntington,------I New London, _____ 1 Wolcottvill e,------I H a rtford, ___ _ ·- - --- I Orange, ____ ------I Woodbury, ------I H amden, ------· __ _ Old Lyme, ___ _ Watertown,------2 Madison, ------Ply mouth, ____ ·- __ I 21

STATEMENT OF DONATION S RECEIVED AT THE HOSPITAL FOR THE YEAR ENDING DECEMBER 31, r879.

Hachi-no-su, two packages under-clothing for children and adults. Hachi-no-su, two packages under-clothing. Hachi-no-su, bundle of women's underclothing. Hachi-no-su, one dozen men and women's under-clothing. Mr. Tredwell Ketcham, one basket oranges. Hachi-no-su, infants' dresses, and children's new under-garments. Miss Elliott, bundle old linen and cotton. Unknown, package under-garmen ts and old linen. Miss 'W oolsey, old linen, two flannel dressing-gowns, four flannel sacques. Mrs. Charles H. F arnam, package children's clothing. Mrs. E . E. Atwater, basket of flowers. Mrs. Everit, basket of flowers. Bethany Sunday School, basket of bouquets. Church of the Messiah, floral cross. Decoration Day Committee, large floral ornament. Mrs. Francis Bacon, four dozen palm leaf fans. Mrs. Everit, flowers, weekly. Miss Bunnell, old linen, etc. Mrs. Ketcham, basket of peaches. Mrs. Everit, basket of pears. Mrs. Everit, flowers. Several friends, flowers weekly. Several friends, floral cross. Mrs. Everit, half bushel of pears. Mrs. Enos Kimberly, one dressing-gown, two pairs slippers, old linen , flowers. Mrs. E. C. Read, basket of pears and apples. Mrs. Everit, basket of flow ers. Mrs. Franklin S. Bradley, large bundle of under-clothing and linen garments, nine pairs stockings. Levi C. Gilbert, bundle of old cotton and garments. Mrs. Reed, old linen and cotton. Mrs. Bartlett, old linen and cotton. Mrs. Crittenden, old linen and co tton. Miss Josie Newton, two boxes blocks and dishes. Mrs. H otchkiss, bundle of old cotton. Unknown, four pairs men's drawers, two shirts, one dressing-gown, two linen vests, and old lin en. Miss North, large bundle under-clothes and linen. Unknown, bundle of linen and. cotton under-clothes. Miss Smith Merwin, bundle of linen. Mrs. Philander Miller, three shirts, one pair drawers, linen pieces. Mrs. Wm. Goodwin, one woman's wrapper. 22

Mrs. Richards, old linen. Miss Bradley, old cotton. Mrs. Samuel H . Crane, four night-shirts. Lad ies of St. J a mes Church, W estville, sixty button-hole bouquets. Mrs. Dr. Alling, three pairs stockings, one night-gown, four shirts, one night-shirt, seven coll a rs. Unknown, bundle of line n. Miss Morris, bundle of linen. Mrs. Mitchell, four ni ght- shirts, stockings, drawers, neck ti es, two suits flannel under-garments. Dr. Chapman, a nu mber of books a nd mag az in e~, Littell 's Living Age. Wallingford, bundle of old cotton. Henry B. H a rrison, old cotton, linen, cotton and woole n unde r-garme nts. U nknown , four shirts, two unde r- shirts, three pair drawers. 35 Ve rn on street, six shirts. A. L . Kidston, one pair pantaloons, two pairs drawers. Mrs. Bacon, one un der-shirt, two ni g ht-shirts, two shirts, old line n, etc. Mrs. C hatfi eld, one pair pantaloons, one shirt, four under-garments. Nelson Hall, magazines. ] udge Betts, papers and magazines. John T . Brown. Norwich, o ne camp chai r. Dr. Carmalt, one hand atomizer. Mrs. Samuel Mille r, papers. Mrs. H enry Farnam, six sheets and six pillow cases. Mrs. Charl es Wilson, papers. Mrs. H enry Lines, magazines. Rev.]. W. De nton, papers. Mrs. E. M. Canfield, magazines. F. C. Gilbert, papers and magazines. Unknown, eight shirts. H. W . Bently, books and papers. Rev. ] . W. Denton, magazin es and papers. Mrs. Sa muel Miller, papers and magazines. Mrs. J . M. Davies, bundle of papers. Miss F . A. Bunnell, large number of books for library. Rev. ] . W. Denton, !Japers. Mrs. Samuel Miller, papers and magazines. Mrs. Cowles, pamphlets. James G. Brown, twelve numbers Illustrated History of the War. Rev. ]. W. Denton, papers and magazines. Mrs. Mary W . Nicholson, one dozen tumblers jelly. Mr. B. F. Clark, Newburgh, N.Y., illustrated papers. Mrs. Samuel Mille r, papers and magazines. Levi C. Gilbert, bundle old cotton. G. 0. Cruttenden, half bushel pears and package of clothing. Mrs. Nicholson, one large basket pears. Marcus Burwell, one turkey. Robert Morgan, one hall gas fixture. For Thanksgiving. A Friend, one turkey. Mrs. Everit, two turkeys. Wm. Armstrong, two turkeys. Mrs. Thomas W ells, one turkey. Mrs. Wm. Fitch, one turkey. Mrs. E. Malley, two turkeys. Mrs. George Rich, one: turkey. Tredwell Ketcham, two turkeys. Dr. T . H . Bishop, one turkey. Dr. E. H. Bishop, one turkey. Dr. Brad ley, one turkey. Mrs. Watkins. one turkey. Mrs. Joseph Barker, o ne turkey. S. H. Moseley, two turkeys. A Friend, one turkey. Mrs. 0. F. Winchester, two turkeys. Brownson & Plumb, one turkey. Mrs. Cowles, one turkey. Mrs. Prof. "Whitney, two pounds g rapes, one dozen oranges. H . T . Blake. cash, $s.oo. Rev. C. H . Williams, cash, $ 2 .00.

For Christmas. H enry Farnam, cash, $so.oo to be devoted to the pati~nts' comfort and pleasure. Mrs. H enry L. Hotchkiss, for Stuart Hotchkiss, box of toys. Miss. Rose Porte r, Christmas cards. Miss Talbot, Stratford, Christmas cards. Mrs. J . H . Latham, Christmas cards and fruit. Miss Ingersoll, fi,•e pairs stockings, filled. HOSPITAL SUNDAY CO TRIBUTIONS, 1879·

IN CHURCHES. Center, Congregational, ___ ...... --.------.. ------$<145.28 North, _. --- ____ ------. --- .. ------136.ro Third, ------P-57 Ch. of the Redeemer, Congregational,------82.00 Davenport, Congregational, ______------· ---· ------53 .00 Dwight Place, 14-71 East, 40.00 Howard Ave., 30.00 Taylor, q.OO First, Fair Haven, " 24.00 First, Derby, 15-50 Northford, 2.60 First Baptist, ------59-35 Cal vary, " ______. ______79-00 Trinity, Lutheran, ____ ------_____ ------______.. ------6.26 Trinity, Protestaot Episcopal,_ ... ------.. ------671-45 St. Paul's, ------·------87.51 St. Thomas, ______------______35-76 Christ, ------5-53 St. John's, ______.. _ ... ____ _ 23 .14 Ch. of the Ascension, Protestant Episcopal,.------15 .00 Trinity Chapel, ------7.66 Grace, Fair Haven, ------8.00 St. James, Fair Haven, ------13-59 First Methodist, .... ------______59-12 George Street, Methodist, ______. __ 8.39 Wesley Chapel, ______------__ _ 19.00 Ch. of the Sacred Heart, Catholic, .... ------____ _ 35-00 St. John's, Catholic,------____ ------28.oo

BY INDIVIDUALS. Prof. Salisbury, ______.. ______.$ 25.00

Prof. Dexter, ------______------____ ------______------10.00 Henry 0. Hotchkiss,------100. 00

T otal contributions, ______.$2,186.52 TREASURER'S ACC OUNT.

IB79· DR. Jan. I. T o cash on h a nd, as reported,------·- ..$2,534.23

RECEIPTS I N 1879· D eposited by Superintendent, .... - ---. ______.. ______. ______. ."20,854-13 Hospital Sunday Coll ections, .... ------___ _ ... 2, 186.52 O ther Donati o ns for curre nt ex penses, .. ______... ____ ... ------r65.oo ·Interest, ------· ------. ---··------· ____ _ 1.475-00 Bo rrowed, .... · ------· .... ____ ------··- -- 4,000.00

CR. P aid Orders of Prude ntial Committee, ---- ...... --.------...... $23,638.36 L oan to T own of New H aven (N. A. H o tch kiss Fund),---- · _____ 5,000.00 Inte rest on mo ney borrowed fo r c urrent expenses, ...... ·----- · _ 109-72 Cash on ha nd Jan. r , r88o, ______.... ------2,466.80

$3I,2I.j.88 The Funds of th e Society a mount to $30,000, a nd are invested In M o rtgage Notes, .... ------·------$ 5,000 Note of T own of N e•v H aven, .. ------· ---- I 5,000 5,000 F o ur Bonds of City of New Haven which cost ------.. ------4,100 U ninvested ..... ------·· ------·------· ·· 900

$30,000

4 REPORT OF THE BOARD OF VISITORS.

To lite Prudential Committee of the General H ospital Society of Connecticut:

Gr.N TLEME N :-The Board of Visito rs have the ho no r of p resenti ng to you, a nd throug h you to the public, their fin a l repor t for the current year. They have made about fifty visits to the H ospita l during t he year. T hey have found the obj ects of the institution conscientiously and intelligently promoted, a nd have ob served valuable impr ovements by which the conditions of successful treatme nt are better secured than ever before. Compla ints o n the part o f patients a re very ra re, a nd warm commendation is freq uent. A striking proof of the confi dence inspired by the t rained nurses a nd others in cha rge \Y as given at the late fire. A help less crip ple said that he was not fri g htened when the fl a m es were bursting through the roof of the adj o ining building, because he knew tha t he would be take n care of. Ther e has been the utmost r eadi ness to correct d efects a·nd n o disposition t o conceal them. The general condition of the H ospita l in these respects is, as it has a lways been wit hin the knowledge o f the present mem bers of the board, worthy of all praise. Their judgment may easily be verifi ed by a ny persons who choose to vi sit the institution. Such visits, however, a re seldo m mad e, whether because the residents of N ew H aven a nd its n eig hbo rhood a re satisfi ed with the administra ti o n of the hospita l, or be cause they are quite indiffe rent a bout the matte r. Probably they a re fairly well satisfied and a good deal indiffe rent. B11t public apathy with regard t o a matter of p ublic inter est is a serious, in the p resent case it is a n a la rming , evil. The H ospital is a charity of a hig h class a nd o n a large scale. It is the agent of this community in doing a wo rk which no civilized community can leave undone witho ut disgrace. Its position has been clearly d efin ed from the time when the Medical Associatio n of New Haven inaug urated the enter prise in r 826. The second a rticle of their p relimina ry agree m e nt provides that " the H ospita l shall be a charita ble insti tution, a nd that no physician o r surgeon sha ll receive any com pensation fo r his services." These provisions were in serted in the charter a nd have been fulfilled as far as our physicia ns could secure their fulfillment. They have no t been wholly unsecon ded . Those who from time to time have assumed the heavy burden of watching over the institution have g iven money as well as time and thoug ht, often in sums wholly o ut of proportio n to their sha re of obligation. Just be fore the new building was occupied seven years ago, the V isi t o rs' rep ort stated that the directors had thus far provided for emergencies by begging, "genera lly of each other. " A nother sentence in the same report, add ressed to your p redecessors in office, bears witness to the a bsence of active sympathy outside the limits of the H ospita l Society: " If ever a g reat p ublic cha rity lived a lo ng fr om ha nd to mo uth, it has been the charity whose a ffairs yo u a d minister ." The lack, here indirectly referred to, of endowme nts on' a n e xtensive scale, is the sta nding reproach of N ew H aven a nd the other towns w hich the H ospital ser ves. T hat "cha ritable institution " which the Medical Associatio n supposed themselves to have established has existed chiefly in virtue of the fact that they a nd their successors have worked for nothing. They w ould have better secured the fulfillment of the first clause of their provision o n the subject had they o mitted the second, a nd exacted full paym ent fo r every visit and every operatio n, p lacing the mo ney in the H ospital treasury. They mig ht then long ago have e ndowed it themselves. By the mutual begging of t he directors, however, a nd the charges made fo r the board and lodg ing of the si ck p oor, vv ith some help, to be cheerfu lly and g ratefully acknowledg ed, fro m other quarters, the H ospital has, until la tely, been able to keep o ut of debt. But two years ago the public was shocked by t he announcement that a n unendowed cha rity was n ot paying its own expenses. The excuses offered by the almoners of the p ublic were, nevertheless, indulgently ac cepted, a nd p rincipally through the medium of the first H os pital S unday, their obligations were cancelled. But a second and a third yearly deficit seem to have been a lm ost too much for the public patience. The second H ospita l Sunday yielded far less than the first, and it would appear that but for one large individual gift, the third would have yielded still less, while neither the second nor the third freed the institution from debt. It has been treated somewhat like a reckless spendthrift, who may for once be helped out of his difficulties, but after that must make the best of them. And yet we a ll know that the H ospital revenue is devoted to the relief of suffering; that uprig ht men are using thei r best judgment in expending it, a nd welcome candid criticism; that the gifts of the charitable have not grown with the growing d emands upon this charity, and that a deficit is inevitable till they do; and finally, that a yearly debt, with the loss of courage and hopefulness which it causes in those who are presumed to be responsible, threatens us not only with disgrace but with d isaster. The first victims would be the most he lp less and needy, but our university, which now gives a p r ominent place in its catalogue to the opportunities afforded by the H ospital to its medical students, would suffer, and the wealthiest of our citizens, who have learned to depend on the Training School and its graduates for services scarcely less valued than those of the family physician, would suffer more. H ow seriously we are threatened with such a calamity as the dos ing of the Hospital it is not for the Board of Visitors to say; they have heard it discussed with apparent serio usness. But it certai nly is not well that the agents of our charities sho uld be repeatedly tempted to abandon their task: n o set of men will go on forever making bricks without straw. It may be that a better way of securing needed help can be devised than that furnished by a H ospital Sunday. It has, however, had at least the advantage of revealing the depth and extent of the general indifference. Not far from ha lf the congregations of the town made no response this year, while, although about forty towns a nd villages were represented among the patients in the year r878, contributions have b een received from only four churches o utside of New Haven. But this method has been fo und successful elsewhere, and it has had the approval of the class to whom the appeal is made. A few weeks ago the leading journal of the Protestant Epis copal Church ( T!te Clzurclunan) gave a paragraph devoted to the Hospital Saturday and Sunday, then just at hand in New York, a place at the head of its columns, and expressed the hope that everybody ·Nould "on that day feel called on to contribute liberally to that good work." In its last issue the Cllllrcltmall says with respect to hospitals and other enterprises for the general good, "One can not excuse himself from taking part in the organizations to these ends, on the ground that the Church means them all, unless he makes the local church declare its hidden power." Which is much the same as saying that no church should refuse to help a general hos pital unless it has a hospital of 1ts own. Some of our poor est congregations, by the way, took part in the r ecent con tribution, and they probably find themselves no poorer. It will not be supposed that such an appeal to the churches implies that only church-members are benevolent. The records of this Hospital prove the contrary, and there are everywhere, outside even the class of church-goers, those who give gladly and freely for humanity's sake. But it is fair to assume that large-hearted men and women will be fo und most numerously in religious assemblies. The institution of Hospital Sunday is a tribute to religion, and one offered, in effect, by representatives of physical science, the medical profession. It was hardly to be expected that religion would decline such a tribute from such a source. And while the appeal is not made to Christians a lone, but to relig ious men in the widest sense, it is a fact for C hristians to think of that in the present case a contribution three times as large as the average of the rest has come from the Congregation Mishkan I srael. The Board of Visitors have felt that as, on the one hand, familiar "iith the condition of the H ospital while not respon sible for its management, and as, on the other hand, repre senting the thousands who are, consciously or otherwise, inter ested in its welfare and responsible for its support, they could use entire freedom in setting forth the claims of the former and the duties of the latter. They are per fectly sure that those on whose behalf they act are not really indifferent to human suffering. Their tasks of other kinds have given some of them a la rge acquaintance with the feeling of New Haven people towards the unfortunate, and they know that it often needs less to be stimulated than guided or even checked. It is only necessary in order to 30 excite active sympathy that a case should be clearly under stood. And, in spite of some discouraging experience, they are not yet convinced that in the matter of the Hospital this community is doomed to "invincible ignorance."

R espectfully submitted,

W. G. ANDREW I TREDWELL KETCHAM, I Board of BENJ. F. MANSFIELD. ~ W. ]. ATWATER, 1 Visiton WM. S. CHARN LEY, I CHAS. ATWATER. J

New Haven, January 24, 18So. ADMISSION OF PATIENTS.

I. Appli cations for the admission of patients should be accompanied by a certificate from some respectable physician, stating the nature a nd probable duration of the disease, and shoul d be addressed to the Superintendent of the Hospital. New Haven, Conn. In accordance with the regulations of th e Hospital, the Superintende nt, as the representative of th e Prudential Com mittee, arranges the terms of admission according JO the circum stances of the case and the accommodation required.

2. The nursing is performed by the Conn ecticut Training School for Nurses, 3· The ordinary charge per week for accommodation in the ·wards is $6.oo, which includes medical and surgical a ttendance, togeth er with medi cine, nursing and washing.

4· Private rooms are furnished at $12.00 or more, per week, accordi ng to the requirements of the case. 5· P ersons part!)• supported by th e towns in which they reside and partly by the State app ropriation, are admitted on an ord er fr om the town authori ti es. Town patients are received at $4.C10 per week, th e remainder is paid o ut of the State Appropriation. 6. Soldiers en rolled on the State quota in th e late war, a nd now resid ents, are admitt ed as State patients, to receive treatment for wounds or disability contracted in the service. 7· Sailors, whose support is provided for from the marine hospital fund, are admitted on the order of the coll ector of the Port of New H aven. 8. Persons carried directly to the Hospital from the place of acciden t a re admitted immediately. 9· A written history of the case shou ld be sen t with the patient. ro. Insane p n·sons and those suffe ring from contagious diseases a re not ad mitted. NEW HAVEN. CONN., IS In consideration of the admission of of into the Institution of the "General Hospital Society of Connecticut," a t New H aven, I e ngage to pro vide, or pay for, a s uffi ciency of clothing for use, and pay to th e Treas urer of said Institution dollars per week for board, medicine and medical attendance; and to cause said pati en t to be removed when discharged, with out expense to said Institution, and, in the event of death, to pay the expense of buri al. Principal. For value received, I hereby engage to become responsible for the fulfill ment of th e above stipulations. Sunty. APPENDIX.

CONNECTICUT TRAINI G SCHOOL FOR NURSES.

The Training School for Nurses has been established for six years. At first' the number of pupils was limited to six; within two year s it was increased to eleven, a nd these not being suffi cient to meet the many demands for special and continuous attention whi ch critical cases r equired, the Prudential Committee consented last N ovembe r to provide board a nd washing for fourteen pupils. These remain in the hospita l for one year a nd pursue their studies a nd daily r o utine of work nnder the superintendence of the head nurse. Instruction is a lso g iven by physicians at the bed side of the patients. and by lectures. Each nurse is assigned to o ne wa.rd or department for several week s, and in the course of a year has studied surg ical, medical, and obstetrical nursing, and a lso the preparation o f special di shes suitable for inva lids and convalescents. Symptom r ecords are kept which enable the physician to ascertain the varied phases of the disease since he last saw the patient. At the close of the year of study the nurse has a vacation of o ne month, a nd then returns to take fo r five m onths such cases of private p ractice as shall be assig ned to her. Her home is in the hospital when her services a re n ot called for elsewhere, and the school pays for all the nurses there in excess of the number allowed. There have been thirty-three nurses connected with the school during the past year. Seven have graduated, six are ready for cases of private practice, fourteen are pursuing their studies, five failed to g ive satisfaction during the month of probation, and one left on account of illness. The hospital authorities appreciate most highly the advan tages of having this school established here. Those who enter it either have a special gift for nursing, or with a true spirit of self-sacrifice have devoted themselves to the n oble work of 33 ministering to others, consequently the duties of that depart ment are performed more faithfully and more skillfully than in former years when it was thought that strength was the only requisite in a nurse. Those wishing to receive this course of instruction must apply to the Secretary of the Society, when, if approved by the Executive Committee, they will be accepted as pupils in the hospital. The candidates must be over twenty and under forty years of age, and must present a certificate from a clergyman and physician as to their good moral character and sound health. They will be received for one month on probation and without compensation. Information concerning the School will be furnished by the President, Vice President, or other members of the Ex ecutive Committee. The Fall Term of the School begins October 1st, the Spring Term April 1st. Pupils are received from any State. Applications for admission should be made as early as pos sible before the commencement of the terms, to the Secretary, Miss Betts, 37 Hillhouse avenue, New Haven. Physicians or others in any part of the state desiring to secure the services of trained nurses for men or women, medical or surgical patients, should apply by telegraph or letter, stating the nature of the case, to the Superintendent of Nursing, New Haven Hospital. The price per week for the services of a trained nurse is $1z.oo, unless two members of the family are ill at the same time, when there will be a slight additional charge. It can not be too strongly impressed upon the public that it is surer economy, and safer for the patient, to employ a reliable nurse, rather than to indulge in a natural but misplaced sen timent, which sacrifices the strength of an entire family to the care of one invalid member. COl\B1lTTEE OF ADMINISTRATION.

President.

M Rs. PRESID E NT P O RTER.

Vice Presidmts.

M rs. T . D . W ooLSEY, N e w H aven, M rs. S A~IUEL COLT, H a rtfo rd , " H. F ARNAM, " Dr. J . S. B UT LER, " D . C. SANFORD , New Milford, " G EO. M. B ART H LO MEW, " Mrs. F . J . KINGSBUR Y, W a te rbury.

Treasurer.

Mr. SAM UEL H EMI NG WAY.

Seotlary.

Miss E MILY B ETTS.

Auditors.

Mr. WI LRUR F . D AY , Mr. A RT II UR D. O SBORN E.

Committee on Finaua.

M r. S AMUEL H EM I NG WAY , Mr. H EN RY FARNAM, " J EREMI AH A . BISHOP, " WILBUR F . D AY , Ex.Gov. J AMES E . E NGLIS H.

Executive Committee.

Mrs. P RES. P ORTER, Mrs. D AN IEL C. E ATON, " VIILLIAM FITCH, Mi s s S USAN B RADLEY, " ARI EL P AR ISH, Mrs. M c K EE, " H . B . A LLEN , Mrs . G EoRGE E . D AY, " J. H . L ATHAM, Miss EM ILY B ETTS, " F RANCIS B ACON, F RANCIS BACON , M . D ., " VVl LLl AM G ALE , M osEs C . WHITE, M . D ., " S . H . CHAPMAN, G EORGE B . F ARNAM , M . D ., " F. \ VAYLAND, L EONARD J. SANFORD, M . D., " S . \ VELLS \VILI .TAMS, W M. L. B RAD LEY, M . D .