FOURTH ANNUAL REPORT OF THE MEDICAL BOARD OP THE (Buttonwood below Broad Street,) TO THE BOARD OF TRUSTEES. JANUARY 1st, 1862. “Date et dabitur vobis.” Give and it shall be given you. PHILADELPHIA: KING & BAIRD, PRINTERS, 607 SANSOM STREET. 1 8 62. BOARD OF TRUSTEES President. GEORGE NUGENT, Esq. Hon. Oswald Thompson, “ Alexander Henry, Rev. Benjamin Watson, “ J. Hyatt Smith, Samuel Chapman, Esq., Francis Fearon, Esq., J. E. Todd, M. D., Hon. Jas. R. Ludlow, “ Wm. D. Kelley, Rev. Chas. D. Cooper, “ .John Chambers, Albert C. Roberts, Esq., Nicholas Wallace, Esq., Caleb Needles, Esq., H. St. Clair Ash, M. D. Secretary. Robt. Bolling, M. D. Treasurer. John Sharp, Esq. MEDICAL BOARD. President. H. St. Clair Ash, M. D., 1108 Vine Street. Paul B. Goddard, M. D., 1322 Walnut Street. R. H. Townsend, M. D., 1518 Arch Street. A. H. Fish, M. D., 1608 Vine Street. Wm. H. Pancoast, M. D., 1032 Chestnut Street Robt. Bolling, M. D., Ninth and Chestnut Street Jas. Cummiskey, M. D., 631 Spruce Street E. M. Shapleigh, M. D., 440 N. Eighth Street. Secretary. S. Updegrove, M. D., 615 N. Sixth Street. Treasurer. A. M. Slocum, M. D., 818 N. Eighth St. Resident Physician.—B. F. Straun, M. D. Matron.—Mrs. Buffington. LADIES’ BOARD President. MISS M. McCREDY, Tenth and Shippen. Mrss Harrison, 1405 Filbert Street. Mrs. John W. Forney, 613 Locust Street. Mrs. Bouvier, 1240 Broad Street. Mrs. Randall, 1715 Vine Street. Miss McGauly, 307 Pine Street. Mrs. McDevitt, 419 S. Broad Street. Mrs. Nathan Taylor, 1605 Green Street. Mrs. M. A. Jewel, 1611 Vine Street. Mrs. E. C. Luders, Filbert above Broad St. Mrs. T. McCredy, 1320 Spruce Street. Mrs. Geo. W. Edwards, Eighteenth and Walnut St. Mrs. H. Hacker, Eighth below Pine St. Mrs. Holahan, 609 N. Eleventh Street. Miss E. Gorton, 1640 Green Street. Mrs. Charles Grugan, 1505 Walnut Street. Mrs. Harrison, Locust and Eighteenth St. Mrs. E. C. Bullard, 1314 Arch Street. Secretary. Mrs. H. Overman, 1629 Green Street. Treasurer. Mrs. HosKtNS, 1321 Filbert Street. t Contributions are solicited, and will be gratefully received, by any of the Ladies or Medical Board. SPECIALTIES AND CONSULTING HOURS. SURGERY. DRS. GODDARD and PANCOAST. Monday and Thursday from 1 to 2 o’clock. OBSTETRICS. DR. ASH. Tuesday and Friday, from 11 to 12 o’clock. DISEASES OF WOMEN. DR. TOWNSEND. Tuesday and Friday, from 12 to 1 o’clock. DISEASES OF CHILDREN. DR. UPDEGROVE. Monday and Thursday, from 12 to 1 o’clock. DISEASES OF THE EYE, EAR, AND URINARY ORGANS. DR. SLOCUM. Wednesday and Saturday, from 12 to 1 o’clock. DISEASES OF THE CHEST. DR. FISH. Tuesday and Friday, from 1 to 2 o’clock. DISEASES OF THE SKIN. DR. CUMMISKEY. Wednesday and Saturday, from 11 to 12 o’clock. DISEASES OF THE BRAIN, DIGESTIVE ORGANS, AND NERVOUS SYSTEM. DR. SHAPLEIGH. Monday and Thursday, from 11 to 12 o’clock. FEVERS AND GENERAL DISEASES. DR. BOLLING. Wednesday and Saturday, from 1 to 2 o’clock. ANNUAL REPORT,. To the Board of Trustees : Gentlemen— We, the Surgeons and Physicians of the Charity Hos- pital, respectfully present you this our Fourth Annual Report, and would beg for it your careful consideration. All our other reports having been issued on the first of June, it may appear strange that this one should bear date the first of January. In explanation we would state that we have deemed it better to present it at the beginning of the new year rather than at the usual time in order to conform to the general custom of presenting annual reports at the commencement of the year. We regret to be obliged to record the loss to the Institution of the valuable services of several of our colleagues, who have withdrawn through various causes from our Board during the past year, and though no longer associated together or actively interested in the same charitable object, we feel assured that our paths will ever have but one goal—the alleviation of suffering humanity. The vacancies caused by the retiring of these gentle- men, we are happy to inform you, are now filled by competent and industrious physicians, each of whom is pursuing with successful vigor the cultivation of his particular speciality and is devotedly attached to the interests of the Institution! The Ladies’ Board, we are sorry to state, has suffered many mutations similar to our own, and hence has not 8 been in as efficient a condition for some time past as the pressing needs of the Hospital required. Recently, however, owing to the kindness of a few generous and benevolent ladies, we have been able to re-organize this Board, and hope from the intelligent and zealous ele- ments of which it is composed, to be able, with their valuable assistance and your own powerful co-operation, to place the Charity Hospital upon a more solid founda- tion than ever. Since we had the honor of reporting to you last, this Institution has afforded relief to some thirty-six hundred (3,600) patients, embracing those of almost every clime, age, and variety of disease. But, beside these, many cases, not recorded, have been attended at their homes, and their medicines furnished free of cost. In the Surgical Department, the number of cases has been large, and is constantly increasing. Surgical dis- eases and injuries of almost every part of the body have presented themselves for treatment. Operations in minor surgery, amputations (one at the shoulder joint,) resections, plastic operations, and operations on the eye, have all been successfully performed ; attest- ing in a more striking manner the value of the Institu- tion to the community, and affording particular gratifi- cation to us that we are able to present to you in our list such important operations, the happy results of which must reflect great credit upon the gentlemen in charge. The Lying-in Department of this Hospital supplies a want long felt in our city, and strange as it may appear, yet it is true, that until this Institution was established, there existed no place, except the Alms-house, where the stranger or the worthy female could resort to pass that period so full of peril and anxiety to every mother. 9 Forty females have been carefully attended in their confinement during the past year, and many of their children have been nursed in the Hospital for a con- siderable time after birth, at a trifling compensation weekly, in order that the mothers might be left free to obtain the necessary means of immediate as well as future support. We are sorry that the entire absence of any fund, and the depressed condition of our finances, still compel us to make a small weekly charge for the board of such as may need the assistance of this Department. But we sincerely hope that, in time, even this trifling tax may be removed, and that Philadelphia may one day proudly point to the possession of a Lying-in Charity where all the deserving, who may be so necessitated, can find a welcome refuge. The plan of the projectors of the Charity Hospital we believe to have been, not only to furnish the citizens with a Lying-in and General Hospital, but also, one in which special classes of disease were to be- specially treated, and the study of their nature cultivated. The plan is certainly a wise and grand one, but, to execute it with success, it is necessary to have a proper building, with wards allotted and arranged for the peculiar treat- ment of each special class of disease. The necessity of an Hospital so arranged to the thorough and effectual treatment of many affections, you will easily perceive, when we inform you that there are some forms of dis- ease which become inveterate and incurable to the masses of the people, because of the absence of such an institution, wherein they could find speedy relief and permanent cure. The buildings which the Hospital occupies are, as you are aware, the property of the city; and we take this 10 occasion to reiterate onr thanks to City Councils for their kindness in permitting us to use them free of rent so long a time undisturbed. Enlarged facilities are greatly needed, to meet the daily increasing applications for medical aid in the various Departments of the Hospital; but such improve- ments as even our limited means would justify, could hardly be ventured upon so long as we do not hold per- manent possession of the premises. We must remind you, therefore, that as the possession continues only by consent of Councils, and that we are liable to removal at their will, it becomes us to use our most strenuous efforts without delay to secure to ourselves a place whereon to erect such buildings as are suited to our wants. The establishment of a permanent fund is also a mat- ter of vital importance to the interests of the Hospital, as its continued prosperity, and ultimate greatness, de- pend upon the early possession of a revenue from some fixed and unfailing source. We cannot forbear expressing here our thanks to the many kind patrons of the Charity Hospital for their timely and willing assistance, and particularly would we distinguish the generous-hearted druggists, who have so unfailingly listened, and cheerfully supplied our wants. In conclusion, we would offer our heartfelt gratitude in this public manner to the Supreme Protector who has guided our institution through the many trials and struggles which have threatened its dissolution ; and would beg of Him for its future the continuance of His protecting influence, and a great and uninterrupted success. 11 TREASURER’S REPORT. Dr. To balance on hand from last year, $251.68 Amounts received to January 1st, 1862, 350.40 $602.08 Cr. B y amounts expended, 558.80 Balance on hand, $43.78 January lstf, 1862. Examined, and found correct, A. EL FISH, E. M. SEIAPLEIGH, Auditors. 12 TABLE OF DISEASES. Showing the variety of Diseases treated in the Hospital during THE TERM OF THIS REPORT, AND ARRANGED UNDER THE SPECIALTIES TO WHICH THEY BELONG. Abscesses Mammary, “ Strumous, Cancer of the Breast, Coxalgia, Caries of Inferior Maxillary, Hare Lip, Paronychia, Furunculus, Yarix, Varicose Ulcers, Incised Wounds, Surgery. Amputation at Shoulder Joint, Chilblains, Fractures of the Radius, “ “ Clavicle, Hemorrhoids, Hypertrophy of Tongue, Tongue Tie, Epithelioma, Tumors Lachrymal, “ Fatty, Lacerated Wounds. Diseases of the Eye, Ear, and Urinary Organs. Amaurosis, Opthalmia, Otitis, Otorlioea, Paraphymosis, Epididymitis, Dysuria, Bubo, Orchitis, Syphilis Primary, “ Secondary, ‘ * Tertiary, Strictures, Urethritis. Diseases of Women. Amenorrhcea, Leucorrhoea, Menorrhagia, Ansemia, Dysmenorrhoea, Hysteria, Anteversio-Uteri, Retroversion. Cholera Infantum, Convulsions, Diphtheria, Ascarides Lumbricoides, Marasmus, Diseases of Children. Stomatitis, Scarlatina, Rubeola, Pertussis, Inanition. 13 Diseases of the Digestive Organs, Brain, and Nervous System. Aptha, Dyspepsia, Diarrhoea, Constipation, Cholera Morbus, Gastralgia, Gastritis, Neuralgia, Odontalgia, Delirium Tremens, Epilepsy, Hypochondriasis, Icterus, Insanity. Diseases of the Lungs, Heart and Throat. Asthma, Angina, Bronchitis, Phthisis, Pharyngitis, Pleurodynia, Tonsilitis. Haemoptysis, Laryngitis, Pleurisy, Pneumonia, Pericarditis, ' Carditis. Diseases of the Skin. Acne, Eczeme Acute, “ Chronic, “ Impetigenoides, Erysipelas, Erethyma, Scabies, Variola, Porrigo, Herpes Circinnatus, Impetigo, Icthyosis, Lichen, “ Circumscriptus, Pityriasis, Sycosis, Rubeola, Taenia Capitis. Obstetrics. To this department we have already alluded particularly in our re- port, but would again state that it has given succor to no less than forty females during the past eighteen months. Fevers and Unclassified Diseases. Fever Intermittent, “ Typhoid, Ascites, Scrofula. Lumbago, Rheumatism, Rheumatic Gout. 14 APPEAL. Charitable Citizens : While presenting our Annual Report to the Board of Trustees, we would invite attention, in a more par- ticular manner, to our Hospital, in order to excite your charitable sympathies favorably towards it, and thereby obtain your co-operation in the proposed work of en- largement and improvement. Founded in 1857, by a few philanthropic gentlemen, the Charity Hospital, with no other support than the small individual contributions of a charitable few, has been pursuing a quiet and inobtrusive course of good during these five years of its existence, and thousands of your poorer and more afflicted brethren will bear grateful witness to its efficient aid. The design of this Hospital aims at affording the citizens, not only a general and lying-in hospital, but also, one for the treatment of specialties, as a reference to the report will show. The necessity of an Hospital, where parturient females could resort to pass the perilous period of confinement, with the assurance of receiving kind and constant attention and skilful medical care, had long been con- sidered here, and was one of the causes which gave origin to the present institution. Certainly, no argu- ments are necessary to persuade you that another place than the alms-house is needed in our large city to meet the necessities of this class, and that intelligent and Christian prudence should make provision for those who claim particularly our strongest sympathy. 15 The benefits derived by the people from an Hospital, in which the several specialties are each under the special care of a different physician, are great; for not only does this system give the physicians opportunities of becoming eminently skilled in the treatment of those particular affections, and thereby advance medical science, but it also serves directly to alleviate the sufferings of the sick more surely, and affords them facilities for a permanent and more rapid cure than they could elsewhere obtain. Owing to our insufficient accommodations, we are now anxious to increase the capacity of our Hospital, by either enlarging the buildings we occupy, or erecting a suitable one upon another and more eligible site. The general prostration of business, caused by our disturbed political condition, we are aware may afford an excuse to some for refusing us assistance in our benevolent object, but we would beg you all to reflect upon the good our institution has already accomplished, and the great good, which, with your assistance, it will continue capable of effecting, and we are sure you will not with- hold your charitable aid. In listening to our appeal, you help in a permanent manner, your poor, afflicted brethren, who will find alleviation and cure through your bounty, for the bodily afflictions which assail them. We ask your liberal assistance to accomplish our work of no little magnitude, and we hope that your well known generosity may prompt you to second our efforts in giving to the Charity hospital a permanent foundation, a wide and varied range of medical relief, and a build- ing creditable to the benevolent fame of our city. “ Extende manum tuam, et restituta est.” “Extend thy hand in charity, and thou shalt he abundantly rewarded.” 16 DONATIONS TO THE CHARITY HOSPITAL. Noble, Hammett & Caldwell, . . . . 2 tons coal. Repplier & Bro., 1 “ “ Chas. Magargee, 2 reams paper. B. F. Jackson, . . . . . . . . Printing. Chas. Deal, ....... Paper. Drug fixtures, through Dr. Bolling, . . . $10. Dr. Burgin, Lot of vials. Vandusen & Norton, 2 tons coal. R. C. Bowers, . . . Drugs valued at $5. L. C. Heyl, .... “ “ “ 5. Jno. Erben, • . “ “ “ 5. Sam. Chapman, ... “ “ “ 5. Caleb Needles, . . . ■ “ “ “5. Wiegand, . “ “ “ 5. Jno. M. Pleis, ... “ “ “ 5. A. Wiltberger, . . . . “ “ “5. Brodie, ... “ “ “ 5. Davis, ... “ “ “ 5. A. M. Slocum, M. D., . “ “ “ 3. Roidot, ... “ “ “5. T. Morris Perot & Co., . “ “ “ 5. Jno. Sharp, Lot of carpets. DONATIONS OF MONEY. Mr. Jeremiah Joynt, $50 Mrs. R. G. Gumber, 5 W. ...... 5 Miss E. K.’k. Wetherill, 10 Z. R. Jones, M. D., 5 W. K. Bellows, 4 Through Mrs. E. H. Hoskins. Dawson fund, $50 Mrs. Louis A. Godey, .3 Mrs. Z. Locke 2 Mrs. R. Gumbes, 5 Mrs. S. Y. Merrick, 1 Mrs. A. D. Morrison, 2 Mrs. Eli K. Price, 2 Mrs. Edwin Greble, 2 Mr. C. P. Eon 5 Mr. Samuel Jeanes, 10 Mr. John McAllister, 3 Howell & Brother, 1 Sharpless Brothers, 3