MEDICAL SERVICE Number of physicians including superintendent and internes. Ratio of all physicians to patients.... Ratio of physicians to patients, excluding superintendent and internes.. Staff meetings: 9 1 to 226 1 to 254 Two hundred and eighty-six staff meetings were held during the year, of which 46 were for the study of pathological and laboratory material. At the regular staff meeting each physician reports to the superintendent all matters of importance pertaining to his service. The new admissions are presented for examination, diagnosis and suggestions for treatment, and others are considered for parole or final discharge. The staff meeting is conducted by the superintendent, and in his absence by the senior medical officer present. Hydrotherapeutic procedures: The prolonged baths have been found most efficacious for the manic phase of manic-depressive insanity, while the depressed forms react less well; 408 patients in all have received hydrotherapeutic treatment in one or another department of the hospital. Surgical operations: Three major and 73 minor operations were performed during the year under anesthesia; also 377 minor operations on patients and 113 on employees were done without anesthesia. Scientific research work: The intraspinal use of salvarsan in cerebro-spinal syphilis has been tried in four cases. The investigation of the alcoholic psychoses is still in progress, and Dr. Moore has continued his studies in the hereditary types of insanity occurring among the families of the hospital patients. Laboratory work: The laboratory is utilized primarily for the clinical examination of urine, sputum, pus, spinal fluid, stomach contents, etc. Pathological material removed at operation or at autopsy has been regularly sent to the laboratory and examination made. Prevention and after-care work; out-patient department: Patients sufficiently improved have been paroled to the custody of relatives or friends for periods of from one to six months. Frequent reports are obtained whenever possible from paroled patients, and advice which may help them is freely offered. Patients in this district almost invariably have friends, and but little has been demanded of the after-care committee, which has been ready to render such assistance as possible. There is no regularly organized out-patient department connected with this hospital, but many are welcomed who call seeking advice. Autopsies: Forty-six autopsies were performed during the year, this being 44 per cent of the total deaths. Ratio of day nurses and ward attendants to patients..... Number of night nurses and ward attendants ... Ratio of night nurses and ward attendants to patients...... Ratio of all nurses and ward attendants to patients...... Number of graduates of training schools employed.... Percentage of ward employees that are graduates of State hospital training schools.... Number of graduates of general hospitals employed.... 68 113 181 Number of private and reimbursing patients.... Ratio of private and reimbursing patients to total patients ... RE-EDUCATION OF INSANE $409,874 59 64,913 35 205 76 297 1 to 6.84 One hundred and thirty-nine patients have been enrolled in the physical training classes, 50 in the re-educational classes, 45 in the basketry classes, and 70 in the embroidery classes. The members of the re-educational classes were patients who did little or nothing on the ward. Two patients showed most marked improvement. |