COLL CM irj,rt.. AN7 K$l ^ The Reconstruction Hospital One Hundredth Street Central Park West NEW YORK Tie reconstruction Hospital One Hundredth Street VT_„, „~n„ C 1 D I \\7 NEW york Central Park West X-RAY ROOM The highly specialized work of the Reconstruction Hospital utilize- the latest and best in -cientihc X-Rav rouipmeni. INTRODUCTION The Reconstruction Hospital is the out- come of the experience and knowledge ac- quired through the treatment of war injurie3 and applied to the great army of industrial injured, of whom there are annually 350,000 in New York State alone. A large part of its work is devoted to completing the after-care of patients discharged from our general hos- pitals who still have disabilities which pre- vent return to work and which, in many in- stances, would otherwise remain permanent. Its staff is composed of experts in all branches of industrial surgery and medi cine, who function collectively rather than as individuals, so that each patient may- have the benefit of the supervision of the the entire staff. Its methods are wholly original and its atmosphere is more like that of a cheerful home than of a routine general hospital. There is no existing institution of its kind in the country, and it offers for industry a unique service through greatly lessening the duration of disability after accidents. To the public and general economic situation it affords the service of markedly reducing the number of permanent dependents after seri- ous accidents. It puts the injured industrial worker back on the firing line. * i * ORIGIN The Reconstruction Hospital was incor- porated February 19, 1921, through a con- solidation of (1) The Clinic for Functional Re-education (opened July 15, 1918), (2) The Demilt Dispensary (founded 1851), and (3) The Park Hospital (founded 1902), (4) Affiliated with The Reconstruction Hospital by special resolution is the Institute for Crippled and Disabled Men. The Clinic was established as a war serv- ice for disabled soldiers, sailors and marines, together with a number of industrial acci- dent cases which have been treated from the beginning by the new methods of operation and particularly after-care learned in the war. After two years of remarkably suc- cessful work of the Clinic, the organization of the Demilt Dispensary, one of the oldest and most honored dispensary institutions of the city, was persuaded to close its doors for general medical and surgical work and transfer its property to and become incor- porated with the Clinic under the corporate title "The Industrial Clinic". A few months later the Park Hospital (originally known as the Red Cross Hospital), was persuaded to do the same thing, and another reincorpora- tion was effected with the present title "The Reconstruction Hospital". SITE The Reconstruction Hospital now owns and occupies a corner plot about 125 feet square on 100th Street, facing Central Park West. The present building, formerly the Park Hospital, built originally for private and a few ward patients, covers approxi- mately one-fourth of this area. The adjoin- ing and opposite buildings on 100th Street are not lofty, and the remaining vacant por- ELECTRICITY. BAKING AND MANAGE The Reconstruction Hospital administers scientific treatment sympathetically tiven by trained professionals only. always under supervision of a visiting specialist. tion of the plot affords one of the most ideal sites in the city for a large hospital. The lower stories would have light and air upon two sides and all above the fifth floor would have light and air upon four sides, with a view extending from the Palisades across Central Park to Long Island. ORGANIZATION The organization of The Reconstruction Hospital is as follows: Board of 30 Directors, including a Presi- dent, Chairman of the Board, three Vice- Presidents, Treasurer and Secretary. There is also an Assistant to the President, who is an independent full-time salaried ap- pointee, not a member of the Board. The Directors and officers are all volunteers. The Committees of the Directors are: 1. An Executive Committee of 10. 2. A Finance Committee of 3. 3. A Nominating Committee of 3. There is a Visiting Committee organiza- tion whereby all Directors are expected to visit the Hospital in rotation, to familiarize themselves with its practical working. There is a House Committee of 10 composed entirely of volunteers, not members of the Board of Directors. There is a Medical Board of 24, of whom about one-half are consultants, and none of whom are salaried. In addition, there is a paid staff of physicians and surgeons com- prising one full-time Chief of Clinic, and one full-time Assistant, with 3 part-time assist- ants, a dentist, a surgical interne and a radiographer. There are Department Chiefs in each of the following divisions: 1. Nursing—A Supervisor with a corps of 8 nurses. 2. Electrotherapy and Thermotherapy. 3. Hydrotherapy. 4. Mechanotherapy. All these divisions include masseurs. There are an anesthetist and an operating room Supervisor. The general administration is under a Superintendent with his assistants and em- ployees in the housekeeping and engineering service, with an Assistant Treasurer, Sec- retary and Registrar. A Social Service Committee has under it a full-time paid Director with Assistants and a full-time Occupation Therapy Director with Assistants. Numerous volunteer work- ers and agents of the Red Cross aid the work of the Hospital. There is also a vol- unteer Women's Auxiliary Committee. Patients are received daily for examina- tion and treatment from 9 A. M. to 5 P. M., excepting Sundays, and on Saturdays the hours are from 9 to 12 A. M. Emergency accident cases are received at any hour, day or night. Female ambulant cases are treated in spe- cial classes, but the present building does not afford space for reception of Female in- patients. An evening clinic for treatment is con- ducted three times a week for patients who are able to work during the day. MKCHANO-THERAPY The Mechano-Therapy apparatus of the Reconstruction Hospital provides a complete i ■•tern of muscular re-education EQUIPMENT Hydrotherapy — Specially constructed whirlpool baths (from the Canadian Military Service designs), pressure douches, shower, stationery baths, electric light baths, etc. Electrotherapy—The standardized U. S. Army hospital equipment for diagnosis and electric treatment. Massage — Special massage tables de- signed by Prof. Tait McKenzie of the British Reconstruction Service. Thermotherapy—Complete apparatus for hot air "baking" of all joints. Mechanotherapy — Complete and unique sets of apparatus copied by permission of the Canadian Military Service from the To- ronto Military Hospital, and manufactured at the Clinic with the aid of workers fur- nished by the Trade Schools of the City Department of Education. Also a complete set of apparatus made at the University of Pennsylvania by Prof. McKenzie. Radiology — A complete entirely new X-Ray outfit with fluoroscope and stereo- scope,—said to be the most elaborate in the hospitals of the city. Occupation Therapy—This department is growing with great rapidity and popularity. It is equipped with carpenters' tools and facilities for wood sawing and carving, bas- ket making, metal and leather work and par- ticularly looms for weaving rugs, blankets, table covers, etc. Recently the National Special Aid Society, Red Cross Division, donated $1,010 to this Department for the purchase of additional looms, having been greatly impressed by the high grade of work turned out by the patients which was exhibited at several public sales for the benefit of the patients. A recent sale netted over $800. HYDROTHERAPY The Reconstruction Hospital's Hydrotherapy equipment is in experienced hands—only trained workers are employed. PURPOSES First—The primary object of The Kr construction Hospital is to put the industrial employee, injured through accident, back on the job in the shortest possible time, and to prevent the seriously injured man from ever lapsing into the attitude of the hopeless crip- ple, who so often becomes wholly dependent or a beggar. To this end, he may enter the Hospital immediately after injury to receive first aid treatment, subsequent restorative operation when necessary, and continued after-treatment, by means of "physiothe- rapy" (baths, electricity, hot air baking, massage, special exercises, etc.). While still in bed, occupation therapy is begun, to be continued when the patient is up and about, so that he may make (although still dis- abled) articles of substantial value which are sold for his benefit. Thus, long before he is able to return to the factory or work- shop, he may be earning for his family and himself. When finally discharged from the need of further surgical care, he is referred to the Institute for Crippled and Disabled Men, where he may learn a new trade if un- fit for his original one, and, in any event, is aided through the special employment bureau to obtain a remunerative job. Second—To apply and develop all those methods of operative treatment, particular- ly of fractures, which achieved such remark- able advancement during the war. Third—To enable the disabled industrial worker to continue earning in the occupa- tion therapy department while still under- going treatment. Fourth—To treat disabled women as well as men. A large class for women has been conducted for some time, for ambulant cases, but space at present is inadequate for their admission to the operative service. .-t,r :---B" ■■] m '■ ' t4-4-1—r 4 -L-nioa«iKJ. ] i H ^r| -tiJ"-.!"--.. v:: : I'iuns of the Occupation Therapy Department Plans of Physiotherapy Department Fifth — To furnish evening classes for treatment of those who, being partially dis- abled, are able to do some work in the day- time. These classes are at present very numerously attended. Sixth — To maintain through the Social Service Committee and all the Hospital de- partments, a spirit of cheer and helpfulness for the patients and through lessons and educational entertainments to make them better citzens. Seventh—To make a special study of the occupation diseases, such as poisoning by lead, the anilines, noxious fumes, as those from "petroleum crude," etc., and receive and treat all such poison cases. At present no other hospital in the country is doing this work. Eighth—To publish researches in new sur- gical methods, particularly the treatment of fractures and joint cases, and publish re- searches in the early diagnosis of occupation diseases poisoning, regarding which at pres- ent there is very little knowledge. To de- velop research in radiology, and publish the results (as already begun). Ninth—To train nurses for service in in- dustrial plants. At present this is nowheie being done in this city. Tenth—To continue instruction to stu- dents and graduates in medicine in the mod- ern science of industrial medicine and sur- gery. Eleventh—To maintain a "follow-up" sys- tem for the records of all patients after leaving the hospital in order to check up end results. TOY MAKING A man may be somewhat disabled, but he can always "saw wood" at the Reconstruction Hospital ACHIEVEMENTS Since the original Clinic for Functional Re-education was founded, up to the pres- ent time of its consolidation with the two other important medical institutions, the work has not only been continued without in- terruption (excepting the two days occupied in moving from its original quarters in Stuy- vesant Square) but it has constantly been growing. From July 15, 1918, to June 24, 1921, 3,520 patients have been admitted, 617 operations have been performed and 203,706 individual treatments have been given in the various branches of physiotherapy, and about 6,688 X-Ray pictures have been taken. Patients have been sent from eight differ- ent departments of the Federal Govern- ment, from State and City Departments, and from Insurance Companies, including Aetna Life Insurance Company, American Mutual Liability & Insurance Company, Commercial Casualty Insurance Company, Employers' Liability & Insurance Co., Fidelity & Casualty Insurance Company, Frankfort General Insurance Company, General Accident Insurance Company, Globe Indemnity Insurance Company, Hartford Accident & Indemnity Co., Lumber Mutual Insurance Company, Massachusetts Bonding and Insurance Company, Travelers Insurance Company, Utica Mutual Insurance Company, Utilities Mutual Insurance Company. Patients have also been sent from many in- dustrial corporations, among which are Fuller Construction Company, Ed. Luckenbach Co., N. Y. Central Railroad, Post & McCord, N. Y. Telephone Company, Standard Oil Company of New Jersey, Staten Island Shipbuilding Corporation. The Clinic was awarded a medal of honor, given to its founder by the National Institute of Social Sciences, and many testimonials of commendation have been received from both Government and private sources. FUTURE AIMS It is the intention of The Reconstruction Hospital to aim at quality rather than quan- tity, i.e., not to seek to have an institution so large as to accommodate all industrial ac- cident cases, but to establish a system of treatment and after-care so thorough that it shall serve as a model for similar institu- tions throughout the country, and maintain the highest standards of instruction and re- search. Several hospitals have already be- gun to copy its methods in New Orleans, Detroit and elsewhere. CHARGES Ward Rates.........$3.00 per day Treatments........$2.00 per day X-Rays ...............] Usual Use of Operating Room \ Hospital Anesthetist, etc.........) Fees Fees for operations naturally vary on- siderably with the individual cases, but the Hospital is always glad after examining a patient to submit to those concerned, a statement of the professional services re- quired and a close estimate of the fees to be charged. RUG WEAVING At the Reconstruction Hospital the patients weave into their rugs and scarfs bright dreams re constructed physique and a self-reliant future. SPECIAL ADVANTAGES OFFERED BY THE RECONSTRUCTION HOSPITAL 1. An institution organized and main- tained by a volunteer Board of Direc- tors. 2. An institution operated by a volunteer board of visiting surgeons and physi- cians not in the immediate employ of insurance companies. 3. Disability will be rated for the insur- ance companies when the patient en- ters and leaves the institution. 4. Stated reports will be furnished to insurance companies of the patient's condition at regular intervals. 5. The insurance companies may send their own inspectors at any time for report on special cases if desired. 6. A follow-up system is maintained to look after ambulant cases. 7. Emergency cases are received as well as those requiring secondary opera- tions or other form of continued treat- ment. 8. The Hospital is specialized primarily for the treatment of industrial acci- dent and occupation diseases cases. The ordinary surgical work which can be dealt with in general hospitals is not included,—in other words, The Reconstruction Hospital specializes in the treatment of fractures, burns, dis- locations, sprains, hernia, nerve and muscle injuries, etc., but other cases not immediately due to injury, such as appendicitis, tumors, etc., are re- ferred to general hospitals. BASKET WEAVING Dull Care is crowded out at the Reconstruction Hospital 9. Occupation diseases, particularly poi- sons acquired in the chemical trades, occupation neuroses, etc., are included in the scope of the work of the Hos- pital. 10. The Hospital furnishes occupation therapy to patients and they are al- lowed to sell the products of their work while in the Hospital. They are also provided, when necessary, with vocational training, and the Social Service department of the Hospital endeavors to replace them in gainful occupations at the conclusion of their treatment. 11. Patients receive treatment by means of specially designed apparatus and equipment, such as was found most effective during the war in the French, British and Canadian Hos- pitals. The Hospital maintains a corps of operators, trained in the use of these appliances, many of whom have had two years' experience in the institution treating, under the sur- geon's direction, the maimed soldiers and sailors of the war. 12. Particular study is made of diagnoses before treatment is given, and when- ever necessary, a patient is examined by the Consulting Specialists together with the Visiting Staff. Thus the in- dications for the proper treatment are determined without loss of time through pursuing long initial meth- ods, as so often happens without such a well organized system. 13. The essential feature of the whole plan of The Reconstruction Hospital is to combine all the different pro- cedures of operative and post-opera- tive treatment in a complete logical sequence. Many of the general hos- pitals afford facilities for individual features of treatment, but the Recon- struction Hospital has grouped all these features with an increasing suc- cess during the two years and eleven months of its experience. From the preceding summary of the main features of The Reconstruction Hospital, it is evident that it offers facilities for treat- ment, skill in operating, expert manage- ment, and many other advantages not easily obtained through private treatment nor in the non-specialized hospitals. It is in the interest of the Hospital to keep the serv- ice as active as possible and to make every effort toward shortening the period of dis- ability in all accident cases. It is desired to furnish them the best possible service in all cases of industrial accidents or occupa- tion diseases. Any of the officers will welcome the oppor- tunity to discuss the services offered with officials of Insurance Companies, Industrial Corporations and others who bear responsi- bility for the safety and welfare of numbers of workers. OFFICERS Dr. W. Gilman Thompson..................President Mr. I. Wyman Drummond I Dr. John A. Hartwell |-..........Vice-Presidents Mr. Giraud F. Thomson I Mr. Allen Wardwell...........Chairman of the Board Mr. Edward M. Townsend..................Treasurer Mr. Elwyn W. Poor........................Secretary BOARD OF DIRECTORS Mr. Chester Alexander Mr. A. W. S. Cochrane Mrs. Carlos M. de Heredia Mr. Wm. H. Dolson Mr. I. Wyman Drummond Mr. W. E. S. Griswold Dr. John A. Hartwell Dr. Victor G. Heiser Dr. Gerard P. Hcrrick Mr. Robert C. Hill Mr. Andrew C. Imbrie Mr. Ralph M. Johnson Mr. Frank H. Jones Mrs. C. D. MacDougall Rt.Rev.W.T. Manning D.D. Mr. Francis R. Masters Mr. Robert G. Mead Mr. Gerrish Milliken Miss Gertrude Parsons Mr. A. M. Patterson Mr. Elwyn W. Poor Mr. W. Emlen Roosevelt Mr. Ralph S. Stubbs Dr. W. Gilman Thompson Mr. Giraud F. Thomson Mr. Edward M. Townsend Mr. George A. Vondermuhll Mr. G. K. B. Wade Mr. G. Owen Winston Mr. Allen Wardwell MEDICAL STAFF VISITING SURGEONS Dr. Charlton Wallace...............Surgeon-in-Chief Dr. James N. Worcester:...........Visiting Surgeon Dr. Henry S. Dunning.........Visiting Oral Surgeon Dr. Junius H. McHenry......Visiting Neuro Surgeon Dr. Arthur H. Cilley.....Visiting Orthopedic Surgeon Dr. Harold D. Meeker...............Visiting Surgeon VISITING PHYSICIANS Dr. William H. Sheldon...........Visiting Physician Dr. William V. P. Garretson.....Visiting Neurologist Dr. William C. Thro.............Visiting Pathologist Dr. Charles G. Brink............Visiting Neurologist Dr Maximin DeM. Touart.........Visiting Physician ASSISTANT VISITING PHYSICIANS R1"- w^-Ur L.H2Lland.......Asst" v>8iting Physician Dr. William A. Shufelt......Asst. Visiting Physician CLINICAL STAFF Dr. William V. Healey...............Chief of Clinic Dr. Christopher G. Smith. Asst. Chief of Clinic and Chief of Night Clinic Dr. Robert Burlingham.........Asst. Chief of Clinic Dr. Herbert Bergamini..........Asst. Chief of Clinic Dr. Edward Pyle...............Asst. Chief of Clinic Dr. Duke J. Hoy...................Resident Interne SPECIAL CONSULTANTS Dr. Joseph A. Blake.............Consulting Surgeon Dr. John A. Hartwell............Consulting Surgeon Dr. Irving S. Haynes.............Consulting Surgeon Dr. Irvin H. Beach........Consulting Dental Surgeon Dr. Charles L. Dana..........Consulting Neurologist Dr. Ralph E. Herendeen.......Consulting Radiologist Dr. John D. Kernan........Consulting Laryngologist Dr. N. Henry Larsen......Consulting Dental Surgeon Dr. Robert G. Reese.......Consulting Optholmologist Dr. Hans J. Schwartz......Consulting Dermatologist Dr. Charles H. Stockard........Consulting Anatomist DEPARTMENT HEADS Miss Jessie Shields..............Supervisor of Nurses Miss Irene Landry.......................Anesthetist Miss Myra Wallace.......Operating Room Supervisor Mr. Jose Carvajal Forero...............Radiographer Miss Lillian Schaeffer.........Laboratory Technician ADMINISTRATIVE STAFF Mr. Robert Stuart.....Supt. and Asst. to the President Mr. T. L. Lewis................Asst. Superintendent Miss Jean Briel......................Asst. Treasurer Mrs. Dorothea Bierhals.....................Secretary Miss Anna R. Mitchell.....................Registrar Miss Mary B. Polhemus.......Social Service Director Miss Grace Coffin........Occupation Therapy Director Mrs. E. M. Race........................Housekeeper FORM OF BKQUFSI I *> A NATIONAL INSTITUTION