{ º N IN TH ANNUAL REPORT () F T I I IC D IR E O TO RS () F THE M. A. I.N. E. GENERAL HOSPITAL; WW IT II TII E *i, º \ ) REPORTS OF THE TREASURER AND RESIDENT PHYSICIA N. 1879. PORTL AND : 1S79. N IN TH ANNUAL REPORT OF THE DIRECTORS OF THE |MAIN E GENERAL HOSPITAL; WITH TEIE REPORTS OF THE TREASURER AND RESIDENT PHYSICIAN. J 8 7 9 . PORTLAND : WILLIAM M. MARKS, PRINTER. 1879. * *.*s, s REPORT OF THE DIRECTORS OF TEIE MAINE GENERAL HOSPITAL, tº: FOR THE YEAR ENDING OCTOBER, 1879. —-mº sº º- -sº * w gº- The Directors of the Maine General Hospital, in submitting their ninth annual report, congratulate the Corporators and its many friends throughout the State upon its present prosperous condition. - At the commencement of the year a debt of about eleven thousand dollars impended over us, which your Directors regarded as a serious obstacle to the prosperity of the Institu- tion, and determined to extinguish at the earliest possible day. They at once pledged themselves for more than a third of the amount needed, and the balance was promptly and generously furnished by residents of this city, viz: W. W. Thomas, $1,000 S. E. Spring, 1,000 A. W. H. Clapp, - 1,000 ‘I. P. Farrington, 1,000 J. B. Brown, 1,000 James P. Baxter, 500 John T. Gilman, 500 H. N. Jose, 250 J. S. Winslow, 250 W. F. Milliken, 250 F. H. Fassett, 250 Wm. G. Davis, 250 Henry St. John Smith, 250 Wm. Hammond, | Geo. S. Hunt, Cummings & Brock, Walter Corey, Marrett, Bailey & Co., Chas. E. Jose & Co., Israel T. Dana, Joseph Walker, Albion Little, Augustus Cummings, Charles McLaughlin, Mrs. Wm. Moulton, W. F. Phillips & Co., Randall & McAllister, George Walker, Deering, Milliken & Co., H. M. Payson, Chas. M. Gore, James Bailey, R. Lewis & Co., H. J. Libby, John B. Curtis, Daniel F. Emery, Jr., Francis Fessenden, George Burnham, D. W. Clark & Co., J. W. Waterhouse, A. L. Gilkey, A. K. Shurtleff, Henry Deering, Thomas Shannahan, E. Newman & Co., O. M. & I). W. Nash, E. H. Daveis, Smith & Abbott, J. A. Bond & Co., Knight, Redlon & Co., $250 250 125 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 75 50 50 50 50 50 50 50 50 25 25 25 5 The hospital is now placed on a firmer financial basis than ever before, and enters upon the new year free from debt and with a small balance in the treasury. One hundred and ninety-eight patients, coming from all parts of the State, have been under treatment during the year. Seventy-four were admitted on the free list,-and it is proper to say in this connection that they could not possibly have been received and supported without the liberal grant of five thousand dollars from the State, and private contributions gen- erously bestowed for the establishment of free beds. § The records of the hospital show that from this large num- ber of beneficiaries, nearly all returned in due time to their families and several avocations much improved, and by far the greater part with restored health. Some of them were unmarried men and women, without per- manent dwelling places, and dependent upon daily work for their daily bread. Others and the larger part were heads of families, to whom the conditions of health and bodily strength were necessary to enable them to meet the actual necessities of life. They could not have been successfully attended at their residences or homes, as a large proportion of them required for their restoration or relief both skillful surgery, and hospital treatment and care. In view of these facts, we respectfully ask the many patrons of the Institution, and especially our legislators, if the same amount of money could have been more wisely and satisfac- torily bestowed, whether regarded in a philanthropic point of view, or as an economical investment in the interest of the State. - Hospital Sunday contributions, amounting to $1,158.74, have been sent to our Treasurer, for which we return our warmest thanks. Congregational Church, Winthrop, $ 7.56 First Parish, Unitarian, Portland, 124.05 Park Street, Unitarian, Portland, 31.00 D. C. 1.00 First Baptist, Skowhegan, First Baptist, Rockland, Williston Chapel, Portland, First Congregational, Windham, Unitarian, Brunswick, St. Mark’s, Episcopal, Augusta, First Congregational, Bridgton, New Church, Fryeburg, North Christian Church, Eastport, Unitarian, Eastport, Unitarian, Saco, Lady from Saco, Episcopal, Saco, First Congregational, Falmouth, St. Luke's, Episcopal, Portland, W.ºwº, d, Rev. H. H. Osgood, Unitarian, Augusta, Second Congregational, Biddeford, High Street, Congregational, Portland, Portland Spiritual Association, Methodist Episcopal, (Chestnut St.) Portland, First Universalist, Rockland, Church and Society, Litchfield, |Universalist, Brownfield, Free St. Baptist, Portland, First Parish, Congregational, Brunswick, Congregational, Rockland, New Jerusalem, Portland, Congregational, Dennysville, Congregational, Gorham, Second Parish, Portland, • First Universalist, Dexter, Second Congregational, Falmouth, Congregational, Weld, Methodist Episcopal, Boothbay, $ 8.15 10.00 15,00 6.41 19.94 16.35 3.00 1.00 5.00 13.25 20.00 5.00 3.02 10.00 20.00 8.75 4.52 16.00 13.05 100.00 5.00 11.25 9.45 3.25 10.00 50.00 18.00 12.50 5.00 12.00 46.51 21.34 5.50 5.50 2.00 3.70 ; S. P. Jones, Norway, - - $ 7.00 Congregational, North Yarmouth, 2.00 Congregational, New Gloucester, . 26.34 Baptist, Alfred, 2.25 Bishop Healey, Catholic, Portland, - 108.00 Freewill Baptist, Vinalhaven, 8.25 First Congregational, Bridgton, - 1.50 First Universalist, Portland, 94.00 St. Stephen's, Portland, 15.00 State St., Portland, * 210.95 We must confess, however, to a feeling of disappointment, that so small a proportion of the eight hundred and more church organizations existing in the State have thus far res- ponded to our call. The failure, if it may be so regarded, we do not attribute to lukewarmness on the part of pastors and parishes, but rather to the fact that they place too low an estimate upon the importance of small collections, overlooking their value as expressions of confidence and regard, and for- getting also that if widely extended, the aggregate amount would be a large acquisition to the fund for the benefit of the poor. The pastor of a small parish in the interior of the State recently said to one of your Directors, “I received your cir- cular and have great faith in your Institution. It is indeed a noble charity, and eminently entitled to the sympathy and aid of a Christian community; but my parish consists of few mem- bers and is comparatively poor, and knowing that a contribu- tion, if taken, would necessarily be very small, I decided after consultation to let it pass.” The same consideration and method of reasoning have doubtless had their influence upon many other parishes in the State, and have led to a similar decision. We desire again to repeat what we have more than once said, that large contributions are only expected from those who are able to bestow them, and that the smallest offerings, such as will come within the means of all who may be interested in the object, will always be gladly and gratefully received. 8 The permanent fund, derived from gifts and bequests, the interest only of which can be used for Hospital purposes, amounts to eighteen thousand two hundred and twenty-one dollars and seven cents—six thousand dollars having been added to it since the last annual meeting—and is invested in unquestioned securities bearing six and seven per cent.interest. P. & R. R. R. Bonds, $200.00 Gift from Needle-Woman's Friend Society, . 721.07 Frothingham Fund, a gift from Rev. Frederic Froth- ingham, in memoriam of his father, the late Hon. John Frothingham, of Montreal, Canada, 2,000.00 Legacy of Mr. Charles Holden, 300.00 Legacy of Mr. Andrew Spring, 5,000.00 Gift of Mrs. Charles Dummer, Hallowell, in memoriam of her sister, Miss Mary Cleaves, 4,000.00 Legacy of Mrs. Rocksyllania True, 1,000.00 Bequest of Mrs. Eliza Ann Bradbury, the late wife of Hon. James W. Bradbury; Augusta, the income of which is to be applied to support a permanent free bed, to be known by her name, 5,000.00 We gratefully acknowledge the establishment of seven free beds during the year, the requisite funds having been kindly supplied from the following sources: Mrs. Charles Dummer, Hallowell, (permanent), Hon. S. E. Spring, Portland, • Ladies’ Visiting and Advisory Board, Hon. John Mussey, Portland, Mrs. Jane E. Judd, Augusta, Ex-Governor Coburn, Skowhegan, First Parish Sunday-school, Portland. Every year attests the importance of the Ladies' Auxiliary Committee. They occupy a place which could not otherwise be filled, -in their constantly increasing interests in the wel- fare of the patients, the kind words of sympathy which they alone can adequately express, as well as by various gifts in 9 culinary delicacies, books and flowers which they bestow with a generous hand. They also render material aid in the annual collection of money, no matter how small the amounts from individual sources, which goes into the free bed fund. The great value of their disinterested services we know and thank- fully acknowledge. - Surgical cases largely predominate. One hundred and fif- teen operations have been performed during the year, and their gravity and importance will be recognized by reference to the appended list. The medical and surgical staffs are composed of gentlemen actively engaged in their professional pursuits, four of them also having important positions as professors in the Medical School of Maine. Each physician and surgeon makes at least one daily visit, and as many more as the necessities of the patients may require. In all important cases a full consulta- tion is uniformly held, and no surgical operations are resorted to without the concurrence, and unless unavoidably prevented, the presence of the entire staff. Sometimes, and not unfre- quently, three or four consecutive operations are performed, occupying several of the most important working hours of the day. Their duties, often laborious and exacting, are faithfully discharged without any pecuniary compensation. We have called your attention to this particular topic, knowing that the actual amount of daily work which these gentlemen humanely and gladly bestow, can only be appreciated by those who are familiar with the details of hospital life. We are constantly striving to bring the current expenses down to the lowest limit compatible with a wise economy, and the best interests of the Institution. The gross expenditures for fuel, light, provisions, groceries, medicine and wages, notwithstanding the large increase of patients, have not much exceeded those of last year. It is true that no increase in the number of employés has been necessary to meet a larger requirement of service,—and the marked reduction of prices in almost every commodity requisite 10 to the maintenance of a large household will partly explain the fact; but we must also claim that close attention in the purchase of supplies, and the admirable system of accounts organized and carried out by our Superintendent, have largely contributed to this result. Your attention is respectfully called to the reports of the Treasurer, Superintendent, Ladies Auxiliary Committee and Matron, here with presented. They contain minute and important statistics relating to their respective departments, and will be read with interest and satisfaction. Our thanks are due, and are here with presented to the many friends of the Hospital in all parts of the State, who by generous donations in various forms have manifested their interest in its behalf, and largely contributed to the comfort and pleasure of the patients. A full list of gifts, including those received from town, county, and state fairs, with the names of the liberal donors, will be found in the reports of the Superintendent and Matron. - Before closing our report we desire to say a few words on hospital constructionin its relation toimmediate and prospective wants, a subject of great importance, and which, in our belief, is imperfectly understood in the community. All general hospitals, unless established in very populous cit- ies, make slow progress at first in securing public confidence and favor. As a general rule, a strong reluctance exists in all classes of society to recognize or partake of their manifold benefits. But this condition of things does not long continue. Sooner or later, a change comes over the public mind. Oft repeated ex- periences, and representations to others of the beneficent work- ings of such institutions, and especially, the triumphs of sur- gical skill, which, coming under personal observation, soon be: come widely known, are efficient factors in educating the peo- ple up to a just appreciation of their intrinsic worth, and of the strong claims they present for sympathy and support. Such is the universal experience. Hence, in the construction of a gen- 11 eral hospital, preparations are always made, and plans consum- mated with especial reference to its prospective wants. In oth- er words the selection of a location, its extent and surroundings, the size, architecture and finish of the buildings, must be deter- mined upon in obedience to a fact which long experience has fully established, namely, that every general hospital at its opening, and for a longer or shorter period thereafter, will have comparatively few patients, and that provision must always be made for a constantly increasing number, which, with proper management, is sure to follow. The early friends of the Maine General Hospital acted wisely, as we believe, in laying its foundations broad and deep, and with a far-seeing reference to the future. They decided, after mature deliberation, to erect a building which, in its appoint- ments and capabilities, would answer the wants of the State for a long period of years. That decision at the time and sub- sequently provoked severe criticism. The building is too large, it was said, and more money has been expended upon it than a wise economy can justify. But we have reason to be- lieve that public opinion in this regard is now modified if not changed, and that in the judgment of the best informed the present condition of the hospital, in this early period of its history, fully vindicates the wisdom of their decision. It is daily growing in public favor. The average number of patients admitted this year is more than thirty per cent larger than that of the preceding year, and, with a corresponding annual increase which we confidently expect, all the wards will be occupied long before the close of another decade. 12 REPORT OF THE TREASURER OF TEIE MAINE GENERAL HOSPITAL, FOR THE YEAR 1878–9. PORTLAND, October, 1879. To the Directors of the Maine General Hospital. GENTLEMEN:—I submit a summary of the receipts and expenditures of this Corporation for the year now closed, as required by the by-laws. From these statements it appears that the whole amount received by the Treasurer during the past twelve months, including balance on hand October, 1878, was thirty-two thousand eight hundred and twenty-five dollars and ten cents, and that the sum of payments made by him during the same period was thirty-two thousand five hundred and eighty-four dollars and twenty cents, and that there is on hand two hun- dred and forty dollars and ninety cents. The Treasurer is happy to say, that by the generous dona- tions of a few gentlemen in Portland, the sum of about $12,000 has been raised during the year to pay outstanding bills, and that by this means, the Institution is at the close of this year entirely free from debt. 13 RECEIPTS. Balance old account, Legacies, Annual Free Beds, Hospital Sunday, Special Donations, Appropriation of State, Loans, Board of Patients, Elevator Fund, Income from Investments, Subscriptions and Donations, EXPENDITURES. Salaries and Wages, Subsistence, Medical and Surgical Supplies, Fuel and Lights, Elevator, Insurance, Steam Heating Apparatus, Repairs, Construction, Investments, Loans, Interest, Furnishing, Outstanding Bills, Miscellaneous, Balance on hand, Respectfully submitted, $ 86.25 6,000.00 1,250.00 1,158.74 114.49 5,000.00 200.00 4,905.24 1,358.85 875.64 11,875.89 *- $32,825.10 $4,239.05 4,486.83 943.90 1,725.87 1,598.85 60.00 132.59 303.64 776.91 6,000.00 4,000.00 444.94 782.01 6,899.63 189.98 240.90 * $32,825.10 J. T. MCCOBB, Treasurer. 14 REPORT OF THE RESIDENT PHYSICIAN AND SUPERINTENDENT OF THE MAINE GENERAL HOSPITAL, FOR THE YEAR 1878–9. ss=s*ms: To the Directors of the Maine General Hospital. GENTLEMEN:—I have the honor to submit herewith my annual report for the year ending September 30th, 1879. Number of patients in the Hospital, October 1st, 1878: pay- ing, 11; paying in part, 2.; free, 9; total, 22. Admitted to the Hospital, from October 1st, 1878, to Septem- ber 30th, 1879: Males. Females. Total. Patients paying board, 54 48 102 Patients paying board part of the time, 15 11 26 Patients entirely free, 27 21 48 96 80 176 These have been divided between the two departments as follows: Medical, Surgical, 81 58 139 176 Whole number under treatment during the year, 198. There have been discharged during the year 173, with the following results: Males. FemaleS. Total, 15 Recovered, 96 Relieved, 53 Not relieved, 8 Not treated, 12 Died, 4 The proportion of deaths to the whole number treated, 2.02 per cent. The causes of deaths were as follows: Chronic Bright's Disease, 1 Concussion of the Brain, 1. Exhaustion following fracture of skull and femur, 1 Rapid gangrene following amputation of toe, 1. We have cause to feel great satisfaction at this low rate of mortality, which is much less than in any previous year not- withstanding the number of patients, and the number and variety of surgical operations have been larger than ever before. This is the best evidence we could have that the sanitary condition of the Hospital is all that could be desired. Paying patients paid at the following rates: 1 paid at the rate of $70.00 per week; 1 at $35.00; 1 at $24.00; 1 at $18.50; 25 at $14.00; 2 at $10.00; 97 at $7.00. RESIDENCES. Portland, - 46 Maine (except Portland), 122 New Hampshire, 3 Rhode Island, 1 Massachusetts, 1 Ohio, 1 Wisconsin, 1. Canada, 1 The residences of the 168 patients from Maine, by counties, were as follows: Androscoggin, 1 Hancock, 9 Cumberland, 81 Kennebec, 12 Franklin, - 3 Knox, 1() 16 Lincoln, 2 Somerset, 3 Oxford, 6 Waldo, 15 Penobscot, 3 Washington, 8 Piscataquis, 3 York, 9 Sagadahoc, 8 Number of weeks relief furnished to paying patients, 502 GG ( & GG “ free patients, 682 6–7 Total, 1184 6–7 This is equal to an average of 22.45 patients for the year, which is an increase over the average number of last year of over 39 per cent. The current expenses for the year have been as follows: Salaries and Wages, $4,239.05 Groceries, 1,746.99 Provisions, 1,634.71 Fish, 227.61 Milk, 522.24 Crackers, 30.23 Medical and Surgical Supplies, 943.90 Fuel, - 1,558.35 Lights, 125.24 Water, 100.00 Ice, - 71.50 Furnishing, 557.66 Repairs, 214.72 Insurance, - 60.00 Miscellaneous, 166.50 $12,198.70 Nearly all the amount charged to furnishing was for in- creasing the original equipment of the Hospital to meet the largely increased number of patients, which at one time came up to thirty-five. The amount expended on repairs was mostly on account of the damage caused by lightning, and was not ordinary repairs. 17 Notwithstanding these items have been charged in full as current expenses, the average cost of each patient per week has been but $10.30, which is $2.34 less than last year. This reduction, it is obvious, is due to the larger number of patients, and shows, I think, that with a fair number, the cost of supporting our patients would be as low as in any similar Hospital in the country. * There has been received from patients for board, $4,905.24. The excess of expenditure over receipts from patients is $7,- 298.46. The free beds maintained by permanent endowment or annual subscription which have been available during the present Hospital year have been as follows; By Mrs. Dummer, from Oct. 1, 1878, to Sept. 30, 1879. (Permanently established May 24, 1877, in memory of Miss Mary Cleaves.) By S. E. Spring, from Oct. 1, 1878, to Sept. 30, 1879. By Mrs. J. E. Judd, from Oct. 1, 1878, to Sept. 30, 1879. By Ladies’ Visiting Board, from Oct. 1, 1878, to Sept. 30, 1879. By Ladies' Visiting Board, from Oct. 1, 1878, to Dec. 16, 1878. By John Mussey, from March 3, 1878, to Sept. 30, 1879. By Abner Coburn, from March 20, 1878, to Sept. 30, 1879. By First Parish Sunday School, from Sept. 26, 1878, to Sept. 30, 1879. This gives an aggregate of 278 weeks or what is equal to 5.3 free beds for the year. The Hospital has furnished re- lief to free patients to the extent of 682 6-7 weeks, which is equivalent to an average of 13.09 for the year. The demand for free beds grows more and more urgent every year, and it is a source of gratification that, each year, we have been able to meet this demand to a greater extent. This ap- pears by comparing the present with the previous four years. The aggregate number of weeks relief furnished to free patients the first year was 114; in the second year, 261 2-7 ; in the third, 401 3-7 ; in the fourth, 495 5-7. The generous contributions that made it possible to pay off all the old debts of the Hospital in the early spring, relieved us of a serious source of embarassment, and enabled us to increase the free list to a larger extent than in any previous year. 18 It is important that the public should understand that it is the intention to increase the number of free patients to the utmost extent that the resouces of the Hospital will allow. Thus every donation, however small, may be said to go direct- ly toward the support of free patients. Since the aggregate number of weeks relief furnished to paying patients was 502 and the average cost per week was $10.30, the total cost of maintaining the paying patients was $5,170.60, while the amount received from them for board was $4,905.24, leaving a deficit of only $265.36. So that virtually, all the income of the Hospital from invested funds and donations from the State or private individuals (except those given to pay off the debt) during the past year have been expended in the care of free patients. - Since my last report, the elevator, which was so much needed, has been put in and has proved a great benefit to the patients, as they have been able to take exercise in the open air during convalescence, which they were formerly prevented from doing, on account of the fatigue caused by going up and down stairs. The corridor connecting the pavilion with the main building has been raised another story, so that the patients in the upper ward have easy access to the elevator. A telephone has been put into the Hospital, which puts us in communication with several of the Hospital staff, all the depots, steamers, etc., and most of the firms which we do busi- ness with, and is proving to be a great convenience. This was done without expense to the Hospital by special donations for that purpose. Appended to my report will be found a list of all the surgical operations performed during the year, by which it will be seen that the number has been very large in proportion to the whole number of patients. We have received during the year a great many valuable contributions of fruit, vegetables, delicacies and other useful articles which will be acknowledged in detail by the matron in her report, which I inclose. I would mention specially the 19 \ w \ large contribution of fruit and vegetables received from the exhibitors at the Maine State Fair. We have assurances that similar donations will be received from other county and town fairs soon to be held. In conclusion, I would say that the past year has been by far the pleasantest, most harmonious, and most successful in every respect, of any since the Hospital was opened. We have reason to believe that the prejudices against the institution are beginning to disappear, and its advantages to the community are being appreciated as they should be. Respectfully submitted. CHAS. O. HUNT, Resident Physician and Superintendent. Portland, Oct. 1st, 1879. 20 SURGICAL OPERATIONS. º OPERATIONS. ă 3 : REMARKS. 3| 3 |} #|#|3 Abscesses opened... . . . . . . . . . 5| 1| 6|Well, 4; relieved, 1; under treat- ment, 1. Amputation of breast. . . . . . . . 5| 5|for cancer, relieved, 5. of leg. . . . . . . . . . . || 1 || 1 || 2 for comp. fracture, well, 1 ; for enchondroma, tarsus, Well, 1. at knee joint..... 1| 1|under treatment, 1. of thigh. . . . . . . . . . 1 1|well, 1. of toe. . . . . . . . . . . . 1 1|died, 1. Anchylosis, fingers. . . . . . . . . . . 1 1|not relieved, 1. D66 . . . . . . . . . . . . . . 1 1|by section of femur, not relieved, 1. both knees. . . . . . . . | 1 1|relieved, 1. shoulder.......... 1 1|well, 1. Caries, tarsus. . . . . . . . . . . . . . . . 1| 1|relieved, 1. Clavicle. . . . . . . . . . . . . . . . 1 1|relieved, 1. Cataract, extraction. . . . . . . . . . 3| 3|well, 1; relieved, 1; not relieved, 1. Circumcision. . . . . . . . . . . . . . . . . 1 1|under treatment, 1. Ectropion. . . . . . . . . . . . . . . . . . . . l 1|relieved, 1. Extirpation of eye. . . . . . . . . . . . 3 3|well, 2; complicated by fracture of skull and femur, died, 1. of inf. maxilla.....] 3|1|4|partial for caries, relieved, 4. Fistulae divided, perimeal. . . . . . . . . . . . . . • 1 1|well, 1. in ano. . . . . . . . . . . . . . . 2 2|relieved, 1 ; under treatment, 1. Fracture, humerus............ | 1 1|well, 1. femur . . . . . . . . . . . . . . 2} 1 3|well, 2; died, 1. Hemorrhoids, by ligation...... 2| 2 well, 2. Hernia, radical cure. . . . . . . . . . 1|1|well, 1. Lacerated cervix. . . . . . . . . . . . 1|1|well, 1. Lithotomy, lateral. . . . . . . . . . . . 1 1|well, 1. Necrosis. . . . . . . . . . . . . . . . . . . . . 3| 3| 6|well, 2; relieved, 2; under treat- ment, 2. Ovarian tumor, tapped. . . . . . . 1| 1 |relieved, 1. Perineorraphy. . . . . . . . . . . . . . . . 9| 9|well, 6; not relieved, 3. Plaster jacket applied, for lateral curvature. . . . . . . . 1| 1 2 relieved, 2. for posterior curvature......] 3 5 8well, 1; relieved, 7. Plastic operation. . . . . . . . . . . . . 1| 1;for deforming cicatrix of neck, re- lieved, 1. Prolapse of rectum. . . . . . . . . . . 1. 1|by caustic, relieved, 1. Ranula. . . . . . . . . . . . . . . . . . . . . . . 1 1|by seton, well, 1. Staphylorraphy. . . . . . . . . . . . . . . 1 1|well, 1. Strabismus. . . . . . . . . . . . . . . . . . . 1| 1|well, 1. 21 SURGICAL OPERATIONS-Continued. fº OPERATIONS. § ; : REMARKS. sº ºs- ELEVATOR, ACCOUNT. Amount on hand at last report, $47,24 Friend, Portland, .50 Friend, Portland, 6.00 Mrs. S. B. Haskell, Portland, 1.00 Mrs. Dole, Norridgewock, 1.00 Mrs. Wakefield, Bangor, 5.00 Mrs. William Butler, Rockland, - .50 Mrs. Bradford Butler, Rockland, .50 Mrs. Henry Prentiss, Bangor, 20.00 Miss Rebecca Usher, Hollis, 5.00 Interest, - 1.70 Total, $88.44 OTHER CONTRIBUTIONS. Portland Press, daily paper for one year. Portland Advertiser, daily paper for one year. Mrs. James P. Baxter, Portland, pears and strawberries. Mrs. William Hammond, Portland, marmalade, pears, raspberry shrub and books. Miss H. B. Fuller, Augusta, pears, jellies and preserves. Mrs. George W. True, Portland, linen and cotton pieces. Millett, Chamberlin & Little, Portland, alpaca covers. Mrs. Nehemiah Rice, Boston, shirts. Mrs. Bosworth, Marietta, Ohio, 4 cans Liebig’s extract beef. Mrs. Charles McLaughlin, Portland, magazines, pieces linen and cotton. Mrs. W. W. Latham, Portland, cotton pieces for dressing. Mrs. Hall Boyd, Portland, sheets, shirts and pieces for dressing. \s Mrs. Jonas Clark, Portland, sheets, shirts and pieces for dressing. Mrs. Frank Pitcher, Portland, sheets and pieces for dressing. 22. Mrs. William P. Preble, Portland, shirts, night dress, 1 pair pants, 2 vests, cotton pieces for dressing, books, magazines, papers and other useful articles. Mrs. Charles Gilson, Portland, shirts, sheets and other pieces. Dr. Stephen Weeks, Portland, shirts and linen pieces for bandages. Mrs. Vickery, Portland, large bundle of sheets and pieces for bandages. Miss Margaret Neal, Portland, pillow slips, chair, crockery ware, glass mortar, can cosmoline and other useful things. Miss L. Bancroft, Portland, night dresses, shirts, sheets and snow pudding. Friend, Portland, 1% bushels potatoes. Miss Cornelia Dow, Portland, linen and cotton pieces. Mrs. Hophni Eaton, Portland, linen sheet and pieces cotton. Mrs. Thomas Shaw, Portland, linen and cotton pieces. Mr. J. E. Merrill, Boston, Littell's Living Age. Mrs. H. P. Storer, Portland, sheets, fruit, preserves and vegetables. Miss Marie Hersey, Portland, linen pieces, magazines, fruit and ice cream. Mrs. A. L. Dresser, Portland, shirts and damask for cushions. Mrs. W. W. Virgin, Portland, shirts and cotton pieces. Miss Anna Paine, Portland, wrapper, Scribner's Magazines and papers. Mrs. George Walker, Portland, sheets, linen and cotton pieces. Mrs. S. R. Lyman, Portland, sheets, shirts, towels, shrub and jellies. Mrs. J. E. Donnell, Portland, sheets and pieces of cotton. Mrs. William E. Gould, Deering, dresses, old blankets, sheets, shirts, dress- ing pieces, jellies, fruit and vegetables. & Mr. C. J. Pennell, Portland, 4 turkeys, 12 boxes strawberries. Mr. George C. Shaw, Portland, 1 barrel flour. Miss Abbie Steele, Portland, cotton pieces, jellies and preserves. Mrs. Waterman, Gorham, large bundle sheets and pieces. Mrs. William P. Chase, Paris, sheets and dressing pieces. Mrs. J. T. Gilman, Portland, crash towels, terry for cushions, linen pieces, 2 pairs slippers, baskets, books, fruit, preserves, patch-work quilt and ironing holder. - Mrs. Henry W. Hersey, Portland, shirts and papers. Mrs. Darius White, Portland, shirts, sheets and pillow slips. Mrs. Samuel Waterhouse, Portland, sheets and pieces. Mrs. C. G. Allen, Portland, sheets and pieces. - Mrs. J. T. Nichols, Saco, new night dress, drawers, chemise, jellies and fruit. Mrs. Eliphalet Merrill, Portland, sheets for bandages. Mrs. James Champlin, Portland, sheets for bandages. Unknown, roll of pieces. Mrs. E. P. Chase, Portland, cotton pieces. Mrs. Irving Blake, Portland, cotton and linen pieces. Miss Alicia Marks, Portland, cotton pieces. Mrs. Samuel E. Spring, Portland, box of oranges, strawberries, and shirts. 23 Mrs. Daniel Fox, Portland, 25 rolls of bandage. Mr. D. W. Fessenden, Portland, squashes, tomatoes, potatoes, pickles and crab apples. * Mrs. George Peirce, Portland, sheet and linen pieces. Mr. James F. Libby, Portland, newspapers. Mr. Francis Fessenden, Portland, 2 volumes Harper’s Magazines. Miss Abbie Dyer, Portland, sheets for bandages. Ladies of High Street Circle, 2 Canton flannel sacques, and flowers. Mrs. O. M. Nash, Portland, sheets for bandage. Unknown, books and papers. Mrs. Andrew Spring, Portland, 6 pairs slippers, sheets for bandage, oranges, apples, pears, strawberries, and crockery ware. Mrs. William G. Davis, Portland, sheets for bandage, strawberries and flowers. - Mrs. E. Y. Hinks, Portland, newspapers. Mrs. Joseph Lake, Portland, 1 pair crutches, cushions, hair pillows, large quantity of cotton and linen pieces, and several useful articles. Miss Octavia Fox, Portland, 2 dozen towels, 8 sheets, 12 pillow slips, new. Miss Emily Spring, Portland, games, book, and pieces cotton. Mr. W. F. Phillips, Portland, 1 volume magazines. Mrs. Bourne, Kennebunk, scrap book. Mrs. Daniel Small, Portland, 2 jars preserves. Mr. Preble, Portland, 2 boxes games and books. Miss E. S. Jones, Portland, 3 night dresses. Mrs. R. L. Ferrin, Brunswick, 1 dozen glasses jelly. Mrs. W. R. Stevens, Brunswick, 1 jar jelly. Miss Taylor, Saco, box of pieces for bandage, and dressing. Rev. Thomas Hill, D.D., Portland, calla lilies. Vickery & Leighton, Portland, 34 yards patch for cushions. Mr. Thomas Goodall, Sanford, elegant cut flowers. Miss Fannie C. Chadwick, Portland, night dresses and pieces for bandage, magazines and papers. - Miss Emma Ware, Portland, books. * = William Warren Greene, M.D., Portland, books and magazines. Mrs. Edward Fox, Portland, 8 sheets, new. Mrs. Frederick Lovejoy, Liberty, sheets and pieces of flannel. Mrs. Manasseh Smith, Portland, 1 piece sheeting, and old cotton. Mrs. Joseph Simms, Portland, shirts. Mrs. Henry Fox, Portland, magazines and linen pieces. Mrs. T. R. Hayes, Portland, preserves, magazines and papers. Mrs. Eliza Clark, Falmouth, patch-work quilt. Friends, Falmouth, 3 bags for bedsteads. w Mrs. W. W. Thomas, Portland, shirts. Mrs. Edward Daveis, Portland, shirts, night dresses, drawers and sheet. 24 Miss Mary Daveis, Portland, night dresses and drawers. Mrs. Lewis B. Smith, Portland, shirts. Frederick Maxey, M.D., Saco, dressing gown. Mrs. Frederick Storer, Portland, shirts. Mrs. Mason G. Webb, Portland, shirts and night dresses. Hon. Israel Washburn, Portland, books and magazines. Miss Butler, Portland, shirts. Gentleman, Portland, shirts. Mrs. C. O. Hunt, Portland, sheets, shirts and other garments. Dr. Johnson, Gorham, flowers. Mrs. Joseph Walker, Portland, sheets for bandage and 1 volume Scribner's Magazine. Ladies’ Visiting and Advisory Board, 6 pairs slippers. Unknown Friend, Gorham, large bundle of old sheets for bandages. Mrs. William Bradbury, Hiram, 1 barrel apples. - Mrs. Jonas Clark, Portland, shirts and sheets for bandages. Miss Helén A. Butler, Rockland, patch-work quilt. Mrs. Samuel Small, Portland, covering for cushions. Joe Spring, boy 13 years, Hiram, barrel apples. Mr. W. Jordan, Portland, shirts. |Unknown, pieces for cushion covers. Lydia Allen, Dennysville, crab apples. Mrs. Edward Baker, Portland, sheets, drawers, stockings, night shirts, rub- ber sheet and crockery ware. - Maine State Fair, Lewiston, 2 barrels apples. Flowers from the Flower Mission. Rho Alpha, Brunswick, 14 sheets, 4 pillow slips, 8 crash towels. Bee, 20 pillow slips, 12 calico tidies, oil chromo. - Mr. S. R. Sweetser and Mr. Charles S. Pope, Manchester, 1 barrel apples. Mr. Charles O’Brion, Portland, 1 barrel apples, Friend, air bed, new. CONTRIBUTIONS FROM BUXTON AND HOLLIS FAIR. Three barrels of apples and a box of grapes, from the following donors:— Stephen L. Smith, James Towle, O. Hanson, J. N. Marshall, E. Deering, W. E. Carle, William Waterhouse, Warren Aldrich, Stephen Towle, J. F. Warren, A. F. Smith, John F. McKenney, N. W. Sawyer, Lilla Emery. Ralph Ray, John B. Bradbury, Aaron Clark, W. P. Chadbourne, Moses Burn- ham, M. E. Owen, J. W. Eaton, Mrs. Anna Bacon, H. S. Martin, Mrs. Isaac Towle, Mrs. Usher, Charles Bradbury, B. J. Palmer, G. H. Moore, I. N. Deer- ing, S. E. Redlon, M. L. H. Owen, J. F. Smith. 25 REPORT OF THE VISITING AND ADVISORY BOARD OF THE MAINE GENERAL HOSPITAL, FOR THE YEAR ENDING SEPT. 30, 1880. At the November meeting of the Visiting and Advisory Board, the annual election of officers took place. Mrs. Spring, as President, and Miss Bancroft, as Treasurer, were re-elected, and Miss Paine was made Secretary, in place of Miss Swan, who, to the great regret of the ladies, met with them for the last time. The Board has been so unfortunate during this year as to lose, by resignation, Miss Swan, Mrs. Virgin and Mrs. Hammond, and, by death, Mrs. Storer. The vacancies have been in two cases filled, by Mrs. William E. Gould, of Deering, and Mrs. Thomas R. Hayes. ſº - Mrs. Henry M. Payson has given the sum of $86.32 to be used especially for the benefit of any children who may be patients, to render their stay in the Hospital happier or more comfortable. ... - By means of subscriptions collected by the members, the Board have been enabled to support two free beds for a 26 year, as well as to supply many little luxuries and comforts. Vases have been furnished for the flowers brought by the committee, by private friends or by the Flower Mission. Slippers were bought for the men in Ward B, where they were much needed. The regular weekly visits have been made, and appeared to be enjoyed by the patients. In this connection, it seems to the ladies advisable to urge upon the friends of the Hos- pital the fact that many things are needed, and that all things are useful. - Housekeeping articles, and even clothing, are in demand, as well as material for bandages, or fruit or delicacies for the patients. Many of the poorer patients come so illy pro- vided with necessary clothing, that it has been found indis- pensable, in several instances, to supply whole sets of warm underclothing, especially in cases of convalescents just leav- ing the Hospital. Contributions are earnestly solicited of old cotton and linen clothing of all kinds, table or bed linen, spreads, blan- kets, towels, or crash, glass or crockery, as well as vegetables, fruit, preserves, jellies, books, papers; in fact, all articles needed in ordinary housekeeping, as well as special contri- butions for the sick. The Hospital being in constant opera- tion, the wear and tear of housekeeping utensils is necessa- rily great, and the articles need constant renewal, causing a bill of expense not always taken into consideration by people in general, and it does not occur to many that reading mat- ter is very perishable. - ANNA. M. PAINE, Secretary Visiting and Advisory Board Maine General Hospital. 27 O F F I C E R S MAINE GENERAL HospitaL, 1879 – 8 O. PRESIDENT, JOHN B. BROWN. DIRECTORS, JOHN T. GILMAN, President of the Board, ISRAEL WASHBURN, JR, SAMUEL E. SPRING, > º € A. W. H. CLAPP, coºlion. HORATIO N. JOSE, WILLIAM W. THOMAS, – FRANCIS COBB, - Appointed - 2 by the - Board of Visitors. 2 SECRETARY, FREDERIC HENRY GERRISH. TREASUR.E.R. JAMES T. MCCOBB. 28 CONSULTING PHYSICIANS AND SURGEONS, JOHN T. GILMAN, M. D., WILLIAM WOOD, M.D., HIRAM. H. HILL, M. D., CHARLES E. SWAN, M. D., ANDREW J. FULLER, M.D., ALONZO GARCELON, M. D., ALFRED MITCHELL, M. D. RESIDENT PHYSICIAN AND SUPERINTENDENT, CHARLES O. HUNT, M. D. VISITING PHYSICIANs, ISRAEL T. DANA, M. D., HORATIO N. SMALL, M.D., AUGUSTUS S. THAYER, M.D. VISITING SURGEONs, WILLIAM WARREN GREENE, M.D., STEPHEN H. WEEKS, M.D., SETH. C. GORDON, M.D., t FREDERIC HENRY GERRISH, M. D. HOUSE PUPILS, FRED. E. MAXCY, M. D., CHARLES D. SMITH, M. D. MATRON, MRS. L. W. WARREN. 29 VISITING AND ADVISORY BOARD, MRS. ANDREW SPRING, MRS. H. P. STORER, MRS. SAMUEL SMALL, |MRS. M. H. SMITH, MRS. D. W. FESSENDEN, MRS. W. W. VIRGIN, MISS L. E. BANCROFT, MRS. THOMAS FILLEBROWN, MRS. WILLIAM HAMMOND, MRS. W. G. DAVIS, MISS A. M. PAINE, MRS. W. E. GOULD. vºw ºv. Cº. miur. Júl 14 1909 NINETEENTH ANNUAL REPORT OF THE DIRECTORS OF THE Maine General Hospital, WITH THE ACCOMPANYING REPORTS OF THE TREASURER AND RESIDENT PHYSICIAN. P. R. E S E N T E D TO THE CO R. PO R A TO R. S AT THEIR ANNUAL MEETING, NOVEMBER 5, 1889. PORTLAND : STEPHEN BERRY, PRINTER. 1889, NINETEENTH ANNUAL REPORT OF TDIE DIRECTORS OF THE Maine General Hospital, WITLI TIII: A CCOMPANYING. REPORTS OF THE TREASURER AND RESIDENT PHYSICIAN. P. R. E S E N T E D TO T H E C O R. P. O. R. A. T O R. S AT TIIIEIR. ANNUAL MEETING, NOVEMBER 5, 1889. PORTLAND : STEPHEN BERRY, PRINTER. 1889. O F F I C E R S OF TEIE MAINE GENERAL HOSPITAL, 1889–90. sº *º- sº PRESIDENT OF THE CORPORATION, WILLIAM T. PUTNAM. DIRECTORS, NATHAN WEBB, President, Portland. N A. W. H. CLAPP, C & Elected HORATIO N. JOSE, & 6 > by the WILLIAM W. THOMAS, “ & SIDNEY W. THAXTER, “ Corporation. JOSEPH W. SYMONDS, “ 2 GEO. E. B. JACKSON, Portland. Y † Appointed by WM. B. LAPHAM, M. D., Augusta, ). tº º WM. OSGOOD, M. D., North Yarmouth.J Board Of Visitors. SECRETARY AND TREASURER, F. R. B A R RETT, Address P. O. Box 616. 3 CONSULTING PHYSICIANS AND SURGEONS, WILLIAM WOOD, M. D. HIRAM. H. HILL, M. D. CHARLES E. SWAN, M. D. ANDREW J. FULLER, M. D. ALONZO GARCELON, M. D. ALFRED MITCHELL, M. D. M. C. WEDGWOOD, M. D. RESIDENT PHYSICIAN AND SUPERINTENDENT, CHARLES O. HUNT M. D. ATTENDING PHYSICIANS, ISRAEL T, DANA, M. D. AUGUSTUS S. THAYER, M. D. CHARLES A. RING, M. D. HENRY H. HUNT, M. D. ATTENDING SURGEONS, STEPHEN H. WEEKS, M. D. SETH. C. GORDON, M. D. FREDERIC HENRY GERRISH, M. D. LEWIS W. PENDLETON, M. D. OPHTHALMIG AND AURAL SURGEON, JAMES A. SPALDING, M. D. PATHOLOGIST, ADDISON S. THAYER, M. D. HOUSE PUPILS, CHARLES P. SMALL, M. D. A. F. HUNT, M. D. 4. MATRON, MRS. L. W. WARREN. SUPERINTENDENT OF NURSES, MTSS EMMA. L. STOWE. VISITING AND ADVISORY BOARD, MRS. ANDREW SPRING, President. MISS ANNA. M. PAINE, Secretary. MISS L. E. BANCROFT, Treasurer. MRS. D. W. FESSENDEN, MRS. W. E. GOULD, MRS. J. E. BLABON, MRS. W. W. VIRGIN, MRS. SAMUEL B. WASHBURN, MISS ELECTRA BROWN, MRS. EDWARD P. CHASE, MRS. H. L. HOUGHTON. MAINE GENERAL HOSPITAL. REPORT OF THE DIRECTORS, FOR THE YEAR ENDING WITH SEPTEMBER 30, 1889. -º-º- In making their 19th annual report, the Directors of the Maine General Hospital review with satisfaction the evidence that the Hospital has steadily grown in popular esteem, fully maintained its usefulness, and justified the confident hopes of its promoters. The service has continued to be well distributed among all portions of the state, no section receiving any preference over another. Indeed, the proportion of patients from Sections near to and within easy reach of the Hospital, is not as much in ex- cess of that from remote districts as might be naturally antici- pated. And if cases of severe accidents and injuries arising near by, and demanding instant care, in which naturally im- mediate recourse to the Hospital is had, are left out of account, any apparent disproportion in respect to locality largely dis- appears. No change has been made in the medical or surgical staff. The value to the Hospital of such a corps of physicians and surgeons whose scientific study has been supplemented by long and large experience, can hardly be set too high. To their un- remitting and gratuitous Services, the success of this institution must in no slight measure be attributed. In former reports, attention has been directed to the cer- tainty that before long steps ought to be taken to fully 6 execute the plans entertained at the time of the foundation of the Hospital, and to increase its accommodation. For several years, the number of inmates has at times exhausted the capacity of the wards and private rooms, compelling a tem- porary postponement of the reception of applicants for treat- ment. At the present time, the directors believe no serious inconvenience has been caused any one by this state of things —though they have been conscious that an unusual and sud- den increase of cases requiring prompt attention and aid would find them unable to afford the relief which the Hospital should give. They have been oppressed with the conviction that additional buildings are required to accomplish all that its friends and generous supporters expect from it, and have carfully considered what could and ought to be done to supply the deficiency. The funds that have been accumulated and strictly reserved for the support of the Hospital have always been, and for years are likely to be, insufficient without some state aid to maintain current expenses, while so much free support is given to destitute patients. Certainly the directors would anticipate censure if they should cut off all such support in excess of what can be maintained by the funds expressly given for free beds. To pursue such a policy would inevitably require the frequent dismissal of patients needing only a few weeks more care for full restoration to health, and who, if prematurely dismissed, would lose much of the benefit already received; and that for no other reason than because they have not means to pay for a few weeks, or it may be days, additional board. Yet this must follow any considerable diversion of the fund to building purposes, however urgent the need. After much discussion and examination of the problem, it has been deemed prudent to make a beginning on the work of extension, and to rely for its completion upon that spirit of our people which has never failed to sustain, and carry on to suc- cess, every measure for the promotion of this great charity. 7 Accordingly, they have obtained plans for an additional wing conforming generally with the Original design, and includ- ing some necessary accommodations for resident officers, and have caused the construction to the first floor to be undertaken. This work would have been by this time completed, had there not been some delay in obtaining material. Before adopting plans, and determining to adhere to the methods that the promoters of the hospital pursued, the ques- tions of the comparative advantages of permanent buildings and of cheaper temporary structures, to be destroyed after a few years occupancy, pressed itself on our attention. This is not a new question. It was carefully weighed before the first founda- tions were laid, at a time when the resources available would have dictated the cheaper course, if the advantages seemed nearly equal. At that time, the reasons for the policy taken seemed conclusive. The present directors, however, have not contented themselves with simply following the views of their predecessors. They have made all the investigations of the subject in their power, and are convinced that the original decis- ion in favor of permanency of erections should be adhered to. Perhaps no more concise and forcible statement in support of their decision, could be given than the following, from a gentle- man who adds to much experience in hospital management careful study of this question : “In regard to building cheap temporary structures for hos- pitals, with the idea of destroying them after a few years use, I think this plan is no longer advocated by the best authorities. It was proposed, on account of the mortality from pyaemia, Sep- ticaemia, erysipelas, hospital gangrene and diseases of that nature, which was formerly so large in some of the older hospitals. But with our present knowledge and practical use of disin- fectants and antiseptics, the death rate from these causes has become insignificant even in crowded hospitals, and there is no longer the same necessity for renewing the buildings every few years. - 8 “Cambridge and Worcester have within a few years built new city hospitals and have put up permanent buildings. The Massachusetts General Hospital and the Boston City Hospital have also within a few years added new wards to their institu- tions, and have built permanent structures. In building the Johns Hopkins Hospital in Baltimore, the question of hospital construction was examined in the most exhaustive manner, and permanent buildings have been erected at great cost. “I do not mean to say that cheap wooden structures may not serve a good purpose for a few years, when the need is pressing and the means small, but I do not think any good authority would advise building in that way from choice.” When the new wing is ready for use, the present capacity will be somewhat more than doubled, while increase of cost of maintenance will be in far less ratio. - The directors confidently anticipate the active co-operation of the corporators in the task of securing means required to carry on the work begun, and secure its early completion. For details of internal affairs during the year reference is made to the reports of the Superintendent, Matron and Ad- visory Board. The Treasurer's report makes full exhibit of financial affairs. To these reports, here with submitted, nothing need be added, but they are commended to the particular attention of every citizen of the state. NATHAN WEBB, A. W. H. CLAPP, HORATIO N. JOSE, WILLIAM W. THOMAS, SIDNEY W. THAXTER, JOSEPH W. SYMONDS, GEORGE E. B. JACKSON, WILLIAM OSGOOD, WILLIAM B. LAPHAM, Directors. .” R EP OR T OF THE T R E A SU R E R , FOR THE YEAR 1888–’89. sº lº wº- º To the Directors of the Maine General Hospital. GENTLEMEN:—I herewith submit my report for the year ending with September 30, 1889. There is no interest over- due or outstanding at the present time on any of the invested funds of the institution. Respectfully, F. R. BARRETT, Treasurer. Portland, October 1, 1889. 5 DR. TREASURER, IN Account witH MAINE GENERAL HospitaL. CR. To cash balance, October 1, 1888, . . . . . . . . . . . . . . . . . . $31.64 By cash paid for Expenses at Hospital, . . . . . . . . . . $33,700.76 & & from Sundry Donations, . . . . . . . . . . . . . . . . . . 118.00 & & “ “ General Expenses,.... . . . . . . . . . . 272.62 {{ “ Annual Free Bed Subscriptions, . . . . . . 3,500.00 {{ lent with collateral Security, . . . . . . . . . . . 51,300.00 {{ “ Hospital Sunday Contributions, . . . . . . 783.65 & & lent on Mortgages, . . . . . . . . . . . . . . . . . . . . 5,000.00 ( & “ State Appropriations, . . . . . . . . . . . . . . . . 5,000.00 ( & paid for Securities bought, . . . . . . . . . . . . . . 22,115.00 & & “ Paying Patients, . . . . . . . . . . . . . . . . . ... 17,703.66 & & paid on construction New Wing, . . . . . . 4,500.00 & & “ Service of Nurses, . . . . . . . . . . . . . . % . . . . 108.98 & & “ for completion New Boiler House, .. 4,834.60 & & “ Income from Investments applicable to Distributive Income, . . . . . . . . . . . 8,049.81 {{ “ Income from Investments applicable to other purposes, . . . . . . . . . . . . . . . 442.10 & £ “ Mortgages paid,... . . . . . . . . . . . . . . . . . . 6,550.00 & 4 “ Bonds matured and paid, . . . . . . . . . . . . 2,000.00 & & “ Loans on collateral paid,... . . . . . . . . . . 71,300.00 & & “ Legacy of Cyrus Woodman, ... . . . . . . . 1,000.00 4 & “ “ “ William H. Jerris,..... . . . . 250.00 & & “ Gift of George H. Witherle,... . . . . . . . . 500.00 ( & “ Concert of Mrs. Annie L. C. Raymond, 1,830.00 & & “ To credit H. C. Baxter, . . . . . . . . . . . . . . 100.00 {{ “ Withdrawn from deposit on interest,.. 2,455.14 $121,722.98 $121,722.98 l?ortland, October 1, 1889. F. R. BARRETT, Treasurer. 11 MAINTENANCE OF THE HOSPITAL. Receipts for the year:- Paying Patients, Sundry Donations, Annual Free Bed Subscriptions, Hospital Sunday Collections, Appropriations by the State, Income of Funds Applicable, Service of Nurses, Expenses for the year:- Salaries and Wages, Subsistence, Medical and Surgical Supplies, Fuel, * Light, Repairs, Furnishing, Miscellanous, General Expenses, Premium, $17,703,66 118.00 3,500.00 783.65 5,000.00 7,627.31 108.98 *ms $34,841.60 $ 9,388.34 13,162.12 3,096.97 3,770.61 213.52 2,318.80 1,320.82 429.58 272.62 S68.22 * $34,841.60 Payments from the General Fund this year have been for:— Completion of New Boiler House, $4,834.60 On Account of Construction of New Wing to the Hospital, 4,500.00 $9,334 60 12 TABLE NO. 1. ANNUAL FREE BED SUBSCRIPTIONS. Boston & Maine Railroad, Mrs. L. D. M. Sweat, The Maine Baptists, Henry L. Houghton, Mrs. Samuel E. Spring, State Street Church, Portland, Miss Almira K. Hasty, in memory of her father, Elihu $250.00 250.00 250.00 250.00 250.00 250.00 Hasty, 250.00 Portland Company, 250.00 Maine Central R. R. Company, 250.00 E. B. Mallet, Jr., of Freeport, for Freemasons, 250.00 & C & C . [ { { { for Freeport and Pownal, 250.00 Mrs. Annie L. C. Raymond, 250.00 Mrs. John B. Brown, 250.00 Bradstreet Lumber Company, 250.00 $3,500.00 TABLE NO. 2. HOSPITAL SUNDAY CONTRIBUTIONS. St. Luke's Cathedral, Portland, $39.85 First Congregational Church, Bridgton, 11.67 St. Lawrence Street Church, Portland, 5.00 High Street Church, Portland, 89.84 Williston Church, Portland, 7.00 First Congregational Church, Searsport, 17.00 First Congregational Church of Westbrook, Saccarappa, 61.83 First Parish Church, Yarmouth, 5.00 |Unitarian Church, Houlton, 7.00 First Congregational Church, York, 9.50 13 Free Baptist Church, Springvale, 3.10 South Bridgtou Congregational Church, 22.32 Church of the Good Samaritan, Houlton, 2.25 Essex Street Free Baptist Bangor, 2.00 Clark Memorial Church, Woodfords, 5.00 Free Baptist Church, Harrison, 5.46 Independent Congregational (Unitarian), Bangor, 51.83 M. E. Sunday School, Thomaston, 3.00 Second Parish Church, Portland, 7.75 Methodist Episcopal Church, Augusta, 3.50 Congregational Church, New Gloucester, 14.00 Unitarian Church, Brunswick, 10.00 West Congregational Church, Portland, 5.00 North Shapleigh, Free Baptist, 5.40 Universalist Church, Bryant's Pond, 4.16 Universalist Church, Hanover, 2.97 Rev. S. M. Dutton, Georgetown, 1.00 First Parish (Unitarian), Portland, 64.08 Second Congregational Church of Westbrook, Saccarappa, 25.17 Methodist Episcopal Church, Southport and Westport, 7.70 Cathedral of the Immaculate Conception, Portland, 208.53 Warren Church, Cumberland Mills, 23.64 North Yarmouth Congregational Church, 4.83 Edgecomb Free Baptist Church, 1.50 Congregational Church, Dennysville, 10.77 First Congregational Church, Calais, 35.00 $7S3.65 TABLE NO. 3. IN V E S T M E N T s. Maine Central Railroad Stock, $ 100.00 Portland & Rochester Railroad Stock, 100.00 14 Maine Central Railroad, cons. 7s, « . & C ( & cons. 5s, Cumberland National Bank Stock, National Traders Bank Stock, Canal National Bank & g Casco National Bank C & Adams Express Comply “ Portland 6s, due Sept. 1, 1907, Bath 6s, due April 1, 1891, Portland & Kennebec R. R. 6s, due 1895, Augusta Water Co. 5s, due July 1, 1917, Portland Water Co. 4s, due 1927, Wyandotte Co. 6s, due July 1, 1896, Bangor 6s, due January 1, 1894, Portland 6s, due March 1, 1891, Loans secured by collateral, Chicago & G. Western R. R. 5s, Lime Rock R. R. 5s, Portland Water Co. 6s, due 1891, Camden & Rockland Water Co. 4%s, Notes secured by mortgage of Real Estate, Bath 6s, due January 1, 1891, Add— Hospital, $178,622.81 Debit balance premium account, New Wing, Cash on deposit, Total of Trial Balance, 2,000.00 9,000.00 4,080.00 700.00 800.00 1,900.00 300.00 7,000.00 1,000.00 1,000.00 5,000.00 10,000.00 5,000.00 1,000.00 3,000.00 40,000.00 5,000.00 4,987.50 7,000.00 4,850.00 46,750.00 500.00 * $161,067.50 186,025.08 *sº 15 TABLE No. 4. Legacy of Mary H. Flagg, income for free beds, { { “ Rocksyllania True, income for free beds, Legacy of A. K. Shurtleff, income for free beds, with preference to natives of Oxford Co., Gift of Heirs of Miss Helen Spring, income for free beds, Gift of Miss Ann M. Williams, income for free beds, Gift of Mrs. Chas. Dummer, Mary Cleaves free bed, t Legacy of Nath’l C. Sawyer, “Sawyer Bed,” Gift of Sidney W. Thaxter, Laura M. F. Thaxter free bed, Gift of E. D. Chamberlain, Margaret E. M. Cham- berlain free bed, - Legacy of Mrs. Charles Dummer, Dummer free bed, Legacy of Mrs. Charlotte I. Harward, Wm. Eugene Harward free bed, Legacy of Charles Holden, no restriction on use of income, Legacy of Mrs. Eliza Ann Bradbury, no restric- tion on use of income, Legacy of Mrs. Sarah Bradbury, no restriction on use of income, Gift of Fred'k Frothingham, in memory of his father, John Frothingham, of Montreal, Legacy of John Taylor Gilman, M.D., no restric- tion on income, - Needlewoman's Friend Society, relief of needle- WOmen, LIST OF LEGACIES AND GIFTS TO THE FUNDS OF THE HOSPITAL. $2,000.00 1,000.00 5,000.00 2,000.00 1,000.00 4,000.00 4,000.00 4,000 00 4,000.00 4,000.00 4,000.00 300.00 5,000.00 200.00 3,000.00 5,000.00 721,07 16 Legacy of Abner Coburn, no restriction, 100,000.00 & & “ Joshua Maxwell, no restriction, 100.00 { { “ Andrew Spring, “ & & 5,000.00 {{ “ John B. Brown, “ & & 5,000.00 ( & “ Caroline W. Brooks, no restriction, 2,000.00 & C “ Dolly M. Field, ( C {{ 100.00 * “ Samuel E. Spring, no restriction, 5,000.00 C & “ Horace Harvey, & 4 ( & 1,000.00 & C “ Joseph Ilsley, ( & C & 1,000.00 C & “ Mrs. Charles Dummer, Dummer bed, to accumulate, 3,456.94 Legacy of William H. Jerris, for free bed, 250.00 & & “Cyrus Woodman, no restriction, 1,000.00 Gift of George H. Witherle, in memory of his wife, Sarah P. Witherle, income for free beds, 500.00 Gift of Annie Louise Cary, no restriction on in- COme, 2,500.00 $176,128.01 * DR. TRIAL BALANCE, OCTOBER 1, 1889. CR. Notes Receivable,. . . . . . . . . . . . . . . . . tº e g tº º e º a tº a tº º sº Premium, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hospital,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Stocks and Bonds, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Notes Secured by Mortgage, . . . . . . . . . . . . . . . . . . . . . . South Wing (construction), . . . . . . . . . . . . . . . . . . . . . . . SWan & Barrett, . . . . . . . . . . . . e s s e o e o e s • 2 * * * * * * * * * $ 40,000.00 2,380.28 178,622.81 74,317.50 46,750,00 4,500.00 521.99 $347,092.58 Free Bed Funds, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Funds with Income Unrestricted,............ • . Permanent Free Bed Funds, . . . . . . . . . . . . . . . . . . Needlewoman’s Friend Society Fund,....... . . . . General Fund, . . . . . . . …............. Dummer Free Bed (to accumulate), . . . . . . . . . . . . H. C. Baxter,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . October 1, 1889. F. R. BARRETT, $ 11,750.00 16,000.00 24,000.00 721.07 178,622.81 112,441.76 3,456.94 100.00 $347,092.58 Treasurer. 18 ATUDITOR'S CERTIFICATE. We hereby certify that we have audited the account of the Treasurer of the Maine General Hospital, for the year ending with September 30, 1889, and find the same correctly kept and with proper vouchers for the items charged. We have also examined the several securities in his keeping belonging to the Hospital, and find the same in accordance with the books, and to be as stated in the list of investments accom- panying his report for the year. - H. N. JOSE, GEO. E. B. JACKSON, Auditing Committee. Portland, November 5, 1889. 19 REPORT OF THE RESIDENT PHYSICIAN AND SUPERINTENDENT. To the Directors of the Maine General Hospital. GENTLEMEN:—I have the honor to submit herewith my an- nual report for the year ending September 30, 1889. Number of patients in the Hospital, October 1, 1888: Paying, 24; paying in part, 5; free, 27; total, 56. Admitted to the Hospital from October 1, 1888, to September 30, 1889: Males. Females. Total. Patients paying board, 222 186 4.08 Patients paying board part of the time, 34 37 71 Patients entirely free, 88 67 155 tºmmº-mºmes ºssºmsºmºmºsºme ºsmºmºmºs 344 290 634 These were classified as follows: Males. Females. Totai. Surgical, 236 214 450 Medical, & 91 68 159 Ophthalmic and Aural, 17 8 25 634 Whole number under treatment during the year, 690, 20 The above table does not fairly represent the work done in the ophthalmic and aural departments, as a number of patients admitted as medical or surgical patients were treated by the ophthalmic surgeon. His records show the number of patients treated as follows: Males, 37; Females, 22; Total, 59. There have been discharged during the year 633, with the following results: Recovered, 299 Relieved, 212 Not relieved, 34 Not treated, 52 Died, 36 Proportion of deaths to whole number of results 5.68 per cent. The causes of death were as follows: Cancer, Bright's disease, Tubercular meningitis, Phthisis, Rheumatism, Heart disease, Typhoid fever, Old age, Septicæmia, Rail-road injury, Empyama, Peritonitis, Exhaustion, Shock, Fracture of spine, 1 Paying patients paid at the following rates: 277 paid at the rate of $7.00 per week; 156 at $14.00; 15 at $21.00; 29 at $28.00; 2 at $35,00, 21 RESIDENCEs. Portland, 83 Maine (except Portland), 479 New Hampshire, Vermont, º Massachusetts, New York, Peunsylvania, Ohio, Minnesota, Dakota, California, : | Colorado, Indian Territory, Canada, New Brunswick, Nova Scotia, Prince Edward's Island, 1. The residences of the 562 patients from Maine, classified according to counties, were as follows: Androscoggin, 23 Oxford, t 38 Aroostook, 14 Penobscot, 41 Cumberland, 147 Piscataquis, 16. Franklin, 22 Sagadahoc, 20 Hancock, 28 Somerset, 15 Kennebec, * 42 Waldo, 23 Knox, - 44 Washington, 24 Lincoln, 16 York, 49 Number of weeks relief furnished to paying patients, 1,638% & & & 6 & & & &g “: free C & 1,273% This is equal to an average of 31.43 paying patients, and 24.42 free patients, and a total average of 55.85. The current expenses for the year were as follows: Salaries and wages, tº $9,388.34 Groceries, 4,865.37 Provisions, 5,618.45 Fish, 648.87 Milk, 1,594.33 Crackers and baker's bread, 184.60 Ice, 150.50 Water, 100.00 Medical and Surgical supplies, 3,096.97 Light, 213.52 Fuel, *2,484.64 |Purnishing, 1,320.82 Repairs, 2,318.80 General Expenses, 272.62 Miscellaneous, 429.58 $32,687.41 Average cost of each patient per week, $11.22. The cost of maintaining the paying patients, 1,638% weeks at $11.22 per week, was $18,386.37. There was received from patients for board $17,703.66. On November 30th, a case of diphtheria appeared in our female ward, which was quickly followed by two others in the same ward, and, later, by a case in the male ward, and the porter was also attacked. Two of the cases were quite severe and protracted in their course. The others were mild and of short duration. All eventually recovered. It was ascertained, without any doubt, that the disease was brought into the Hospital by the clothing of a patient, who had been exposed to it, in her family, just before coming here, and was not, in any way, * Value of coal on hand October 1, 1888, $ 678.47 £ & { { “ October 1, 1889, 1,964.44 Compare with Treasurer's report. e 23 chargeable to any unsanitary condition of the building. As diphtheria was prevalent at the time, the situation was con- sidered serious enough to demand the most radical measures to arrest the spread of the disease. The cases were removed at once to the isolating cottage. All patients, who could be safely sent home, were discharged, till the number was so much re- duced, that those remaining could be cared for in the two lower stories of the Hospital. The upper story was then thoroughly scoured and disinfected. All bedding was disinfected and sent to the laundry. The mattresses were put into a steam chest and exposed to steam, under pressure, for hours. The walls were given three coats of paint, and all the wood-work was varnished and the floors oiled. The patients were then moved and each of the other stories was treated in the same thorough manner. We had the satisfaction of seeing the disease quickly ar- rested. And at the same time the appearance of the Hospital was very much improved. The plaster walls, never having been painted, had become dingy from fourteen years' use. The walls can now be washed as often as may be necessary. The cost of this painting was $1,374,-which is the explanation of the unusual amount charged to repairs. Notwithstanding the interruption to our work which this trouble caused, and which extended over nearly two months, the statistics show an increase in the number of admissions, as compared with last year, of 73, and, in the daily average, of 3.88. The work grows every year, and never before have we felt the need of more room, to the same extent. There has been no time during the year, that we could accommodate all patients at the time applications for admission were made. There have been, at times, from twenty-five to thirty patients waiting for vacancies, that they might be admitted. In some CaSéS nearly a month has elapsed before an application on the file could be reached. It is to be hoped that means will be ob- 24 tained to finish the western pavilion, now commenced, as rapidly as possible. * > In May, Mrs. Leese, the Superintendent of Nurses, resigned her position, on account of the illness of a member of her family. Her resignation was accepted with much regret. The Training School, during the four years of her administration, had become well established, and had proved its usefulness to the Hospital and to the community. To fill the vacancy, we were very fortunate in securing the services of Miss Emma L. Stowe, a lady well equipped for the position by long Service as Assistant Superintendent of the Training School of the Boston City Hospital. Under her instruction, I feel sure that the school will continue to prosper, and the pupils will receive the thor- ough training needed to fit them for the responsibilities of their future work. - The following pupils were graduated during the year : Miss Elizabeth F. Read, London, England. Miss Neda S. Pratt, Auburn. -- Miss Elizabeth Elliott, East Machias. Miss Cindie E. Allen, Fairfield. Miss Annie L. P. Harrison, St. John, N. B. Miss Martha E. Bartlett, Hanover. - Miss Annie S. Noyes, Jonesboro. Appended to my report will be found a list of all the surgical operations performed during the year, with a statement of re- sults. * I enclose Matron's report of contributions received. Respectfully submitted, CHARLES O. HUNT, • Resident Physician and Superintendent. Portland, October 1, 1889. 25 SURGICAL OPERATIONS. ‘5 % º #3 # 3 # 3 || 3 || 3 || 3 || – 3 3 4– * | += º P = p Q) O • *-4 Z, O' | b | 2 | Z | C Abdominal Section. Cancer, . . . . . . . . . . . . . . . . . . . . . e e a e s e e e s is e s s a e e º 'º e 3 3 OVariotomy,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 6 4 Bullet wounds in intestines, ... . . . . . . . . . . . . . . . . 1 1 Hysterectomy,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1 2 Herniæ, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4 Tait's Operation, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 || 10 3 Tubal pregnancy, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l 1. Abscesses, opened, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 || 11 5 Amputation of forearm, . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 finger, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 thumb. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 thigh,. . . . . . . . . . . . . . . . . . . . . e e º 'º e º 'º º 3 3 leg, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4 1 Chopart's,. . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Pirogoff's,. . . . . . . . . . . . . . . . . . . . . . . . . 1 1. toe, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 2 || 3 Cervix uteri, . . . . . . . . . . . . . . . . . . . . . . . . 1 I at shoulder joint, . . . . . . . . . . . . . . . . . . . . 1. 1 Anchylosis broken up of ankle, . . . . . . . . . . . . . . . . . . . . . 2 2 elbow, . . . . . . . . . . . . . . . . . . . . . 2 2 knee. . . . . . . . . . . . . . . . . . . . . . 5 5 shoulder,. . . . . . . . . . . . . . . . . 2 2 Wrist, . . . . . . . . . . . . . . . . . . . . . 3. 3 Caries, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4 || 1 Castration, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Carbuncle, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Circumcision, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Cicatrix removed, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 J)ilatation of cervix uteri,. . . . . . . . . . . . . . . . . . . . . . . . . . . 6 3 || 3 of Vagina, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 1 Dislocation, shoulder, reduced,.... . . . . . . . . . . . . . . . . 3 3 Excision of knee joint,... . . . . . . . . . , sº e s • e º e s s e s e a s 1 , || 1 humerus,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 radius, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 | 1 femur,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 ribs, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 1 || 4 2 tonsils,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4 Vein, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Elytrorrhaphy,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for Cystocele, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 9 for rectocele, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 || 1 Felon, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Fissure of anus dilated, ... . . . . . . . . .... . . . . . . . . . . . . . . 4 4 Fistula, anal, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 6 recto Vaginal, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1. Salivary, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1 1 Fractures reduced, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . te radius, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 26 SURGICAL OPERATIONS (CONTINUED.) * º *H to iš | | | 3 |# .5 ± tº 3 || 3 | . ##| | | | #| g | 3 ż5 || 5 || 3 || 3 | # Fractures femur,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 tibia and fibula comp., . . . . . . . . . . . . . . . . . . . . 5 1 || 3 || 1 humerus, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 || 1 || | finger, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 patella, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 DOS6, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1 | 1 jaw, . . . . . . . . . . . . . . . . . . . . . . * * * e e a tº e º 'º e º e tº 1 1 Fracture of skull, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Foreign body removed from Oesophagus,...... . . . . . . . . . 1 1 Hare lip, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Haemorrhoids, ligation,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 | 26 || 1 Hernia, radical Cure, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Hydrocele, radical cure, . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Hysterectomy, Vaginal, . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Hypospadias,. . . . . . . . . . . . . . . . . . . . . . . . . • * tº a tº e º e º 'º e º e 1 1 Litholapaxy, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 . 1 Lacerations of flesh, . . . . . . . . . . . . . . . . . . . . . . tº ºs e o e e s a 6 5 | 1 Morbid growths removed. Cancer, Axilla, recurrent,. . . . . . . . . . . . • G c e s 2 & e º e < e e s 6 4 || 1 1 Breast, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 9 || 4 1. Eye lid, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 | 1 Groin, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1. Jaw, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 5 | 1 Lip, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5 Nose, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Nipple, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Penis,... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 1 Scrotum, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Tonsil,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Tongue, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3 || 1 Thigh,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l l Uterus, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Angioma, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Adenoma,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Cystic,... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4 Lipoma,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 6 Myoma, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1. Neuroma, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 1 Fibroma,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3 | 1 Naevus, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 I Osteoma,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Polypus—nasal,. . . . . . . . . . tº e º e º & © º º sº tº e º e º & © e º e º g 4 4 Uterine, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 1 Labia Majora,. . . . . . . . . . . . . . . . . . . . . . . . 1 1 Sebaceous, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Urethral caruncles, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Nerve stretching, . . . . . • * * * * * * * * * * * * * * * * * * * * * * * * * . . . . 1 1 2 2 Osteotomy,. . . . . . . . . . . . . . . . . . 9 e º 0 & 0 t e º e º 'º e s e º 0 e º tº e s e 27 SURGICAL OPERATIONS (continued.) &#-f º 2.É 3 | }. as "º | . . GO || Tº 5 : 53 || 3 || 3 || . B 5 || 3 || 4 || 2 || 3 = 5, E | 7 || o | Sº Zºo Ö £3 || 2 || C. Ophthalmic Operations. Cornea Tattooed,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Canaliculus opened,. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Cataract, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 3 || 2 || 1 Enucleation, . . . . . . . . . . . . . . . . . . . . ... tº tº e º 'º e º ſº tº . . . . . . 2 2 Ectropion,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * º ºr tº gº tº 1 1 Foreign body in iris, . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Internal Strabismus,. . . . . . . . . . . . . .* * * is e tº a e e s a s e º e 1 1. Iridectomy,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 2 || 1 || 1 | Reratotomy, . . . . . . . . . * c e º sº e º is e º e º & e º is e g º e º e s is e 1 1. Lacrymal abscess, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Sclerotomy,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Staphyloma of Cornea, . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Tarsal cyst, . . . . . . . . . . . . . . . . . . & e º 'º tº e º e s s e º e º º e e 1 1 Periostitis,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • gº tº * > * g e 3 3 Paracentesis, supra pubic,.... . . . . . . . . . . . . . . . . . . . . . . 1 1 Perineorrhaphy, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 33 || 1 Plaster jackets applied,. . . . . . . . . . . . . . . © º & © tº a º f tº e e º e 4 3 | 1 Plastic, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • - - - - - - - - 5 3. 2 Sequestrotomy,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . • ſº tº e º 'º ... 2 2 Sinus opened,.... . . . . . . . . * * * * g º is e º ſº tº e º ſº e º e º 'º e g º º e 10 5 4 1. Scalp Wound, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Stricture of urethra. dilatation, . . . . . . . . . . tº tº º ºx & © tº º ſº dº tº 8 7 | 1 divulsion, . . . . . . . . . . . . . . . . . . . . . . . . 7 3 || 4 of rectum, . . . . . . . . . . . a. * * * * * * * * * tº e º e º 'º e . . . . 4 4 Sponge grafting, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Skin grafting, . . . . . . . . . . . . . . . . tº dº º gº © e º & e º s º ſº gº e . . . . . . . 1 1 Skull trephined, ..... - - - - - - - - - tº ſº gº tº & © tº e º ſº tº º ſº e g º º . . . . . | 1 1. Tenotomy, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 1 || 6 Thoracentesis, . . . . . . . . . . . . . . ... • . . . . . tº º tº º ºs e º 'º e º ºs e º gº tº e 1 1 Trachelorrhaphy,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 41 2 I Talipes Varus, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Ununited fracture. Tibia, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * * 3 3 Radius and ulna, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Urethra, dilated, ... . . . • e º e o e s e a c e s e º is a s e s & & © e s e e s tº 4 1 3 Uterus, Curetted,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 || 14 || 4 || 1 Urethrotomy. - sº External, . . . . . . . . . . . . . . tº gº tº e º º is e º tº ſº e º ſº tº e º e s is e s e e 1 1 Internal, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Varicocele, ligation, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5 Varicose veins, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Vulvo vaginal gland, extirpated,. . . . . . . . . . . . . . . . . . . . . 1 1 28 MATRON'S REPORT OF CONTRIBUTIONS RECEIVED. ELEVATOR, ACCOUNT. Amount on hand at last report, $682.74 Mrs. Woodbury S. Dana, Portland, 1.6(\ Mrs. John T. Gilman, Portland, 2.50 Cash, 9.00 Interest on deposit, 36.70 $731.94 OTHER CONTRIBUTIONS. Portland Press, daily. Portland Advertiser, daily. Portland Express, daily. IPortland Globe, weekly, Portland Transcript, weekly. Zion's Advocate, weekly. Christian Mirror, weekly. Portland Sunday Times, weekly. Aroostook Herald, weekly. Kennebec Journal, daily. Maine Farmer, weekly. Mount Desert Herald, weekly. . Cape Elizabeth Sentinel, weekly. New York Medical Journal, weekly. Annals of Gynaecology. Bowdoinham Advertiser, weekly. American Sentinel, Weekly. Pemaquid Advertiser, weekly. Associated Charities, Portland, 3 night dresses. Bee, Portland, 5 pillow slips. 29 Bee Minor, Portland, 1 doz. sheets. Mrs. J. B. Brown, Portland, magazines, papers and flannels. Mrs. Henry Blanchard, Portland, Christian Registers, preserves, jellies, bandage and dressing pieces. Mrs. Giles O. Bailey, Portland, magazines and dressing pieces. Mrs. Borland, Damariscotta, 2 volumes Frank Leslie's Popular Monthly and other magazines, dressing and bandage pieces. Mr. W. B. Bradley, Portland, air cushion, syringe and shirts. Mrs. Mary Barbour, Portland, dressing pieces. Mrs. John Marshall Brown, Thornhurst Farm, one-half bushel pears. Miss Electra Brown, Portland, dressing pieces. Mrs. Nathan Clifford, Portland, night dresses, shirts, papers and maga- zines. Mrs. Edwin Clement, Portland, night dresses and magazines. Miss M. J. Clapp, magazines and dressing pieces. Mrs. Wm. Dennett, Bangor, night dresses, shirts, bandage and dressing pieces. Miss Annie T. Dennett, Bangor, 10 new towels. Mrs. Judge Day, Barnstable, Mass., shirts, dressing pieces and scrap book for children’s ward. Mrs. I. T. Dana, Portland, dressing gown, shirts, sacque and dressing pieces. Mrs. George F. Emery, Portland, magazines and papers. Miss Octavia Fox, Portland, 1 doz. sheets, 1 doz. pillow slips, 1 doz. towels. Society of Friends, Westbrook, 1 volume Harper's Young People, picture books, card pictures and paper dolls, for the children. Mrs. F. H. Fassett, Portland, night shirts. Mrs. Cornelius Groot, New York, box books. Mrs. J. T. Gilman, Portland, fruit, bandage and dressing pieces. Mrs. Allen Gardiner, Kezar Falls, bandage pieces. Mrs. J. W. Hathaway, Norridgewock, linen and dressing pieces. Miss Hussey, 1 night shirt, 4 glasses jelly. Mr. Stuyvesant T. B. Jackson, London Graphic. Mrs. Leonard Jordan, Portland, shirts. Ladies' Auxiliary Association, First Parish, books. Mrs. S. R. Lyman, Portland, bandage and dressing pieces. Miss Arilla Mitchell, Gray, books. Mrs. Marston, Portland, dressing pieces. Mrs. Megguier, Portland, large bundle dressing pieces. Miss A. M. Paine, Portland, book, papers, linen and cotton dressing pieces. Mrs. William Putnam, Portland, magazines. Mrs. Annie L. C. Raymond, New York, books, stereoscopic views and flowers. Mrs. Charles Ring, Portland, shirts, 30 Mrs. A. W. Roberts, Portland, 1 volume New Church Messenger. Miss Mary Spalding, Portland, magazines, books for children’s ward. Mrs. Louise E. Stetson, Camden, Me., 1 volume Youth's Companion. Mrs. R. T. Symonds, Portland, magazines, sacques, 1 pair gaiters, 1 pair linen pants, children's clothing, bandage and dressing pieces. Mrs. Manasseh Smith, Portland, 1 dozen towels, half dozen napkins, 4 sheets, for Smith Room. Mrs. Thomas Talbot, Portland, 1 pair feather pillows for Spring Room. Mr Josiah Snell, Winthrop, 8 bbls. apples. Mrs. T. O. Shaw, Portland, pictures for children. Miss M. E. Spalding, Portland, 1 volume Century, 1 volume Golden Rule and other papers. Mrs. George F. Talbot, Portland, night shirts, bandage and dressing pieces. Unknown, drawers, day and night shirts. Mrs. William Wirt Virgin, Portland, dressing gown, shirts and dressing pieces. Mrs. Robinson, Chicago, 2 rubber sheets, 1 bath tub. Mrs. Samuel E. Spring, Portland, 1 Volume Century, 1 box Florida oranges. Mrs. Andrew Spring, Portland, 100 huck towels and papers. Miss Abbie Steele, Portland, English Illustrated Magazine. Mrs. William Willis, Washington, linen dressing pieces. Mrs. George Walker, Portland, bandage and dressing pieces. Mrs. Woodbury, Portland, dressing pieces. Mrs. Warriner, Portland, 1 volume Harper’s Magazine. Mrs. George W. True, Portland, shirts and dressing pieces. Miss Alice M. Harlow, Augusta, jellies, linen and cotton pieces. Mr. J. G. Garland, Biddeford, large box of magazines. Mrs. Dane, Portland, Harper's Young People. Mrs. Henry Payson, Portland, shirts. Miss Etta Parker, Portland, bandage pieces. Miss Helen C. Brown, checker board. 31 REPORT OF THE WISITING AND ADVISORY BOARD. -º-e º º The report of the Visiting and Advisory Board can be made in few words, most of the work being of a nature difficult to put upon paper. The visiting has been done with more or less frequency. The Sunday services have been continued, causing great pleasure to the patients, who warmly express their gratitude to those serving in them. The committee having them in charge are also glad to express their thanks. The usual free bed has been maintained during the past year. ANNA. M. PAINE, Secretary. gº - . * - - … * * * J ** * ~ ** -- . s . . ... . D - * - ' ' ". . . . . $fi : º, * . * , , , , " . * * *. S. . } * *: * :. .* * * , § w " . ** #. # , TWENTY-FIRST ANNUAL REPORT OF THE DIRECTORS OF THE Maine General Hospital, REPORTS OF THE TREASURER AND RESIDENT PHYSICIAN. PRESENTED TO THE CORPORATORS, AT THE IR ANNUAL MEETING, NOVEMBER 3, 1891. PORTLAND : STEPHEN BERRY, Plt, NTElt. 1891. TWENTY-FIRST ANNUAL REPORT of THE DIRECTORS OF THE Maine General Hospital, REPORTS OF THE TREASURER AND RESIDENT PHYSICIAN. PRESENTED TO THE CORPORATORS, AT THEIR ANNUAL MEETING, NOVEMBER 3, 1891. PORTLAND : STEPHEN BERRY, PRINTER. 1891. — O El E I C E R S — OF THE MAINE GENERAL Hospital, 1 89 1–9 2. PRESIDENT OF THE CORPORATION, WILLIAM L. PUTN AM. DIRECTORS, NATHAN WEBB, President, Portland. ) HORATIO N. JOSE, & 6 WILLIAM W. THOMAS, “ SIDNEY W. THAXTER, “ > JOSEPH. W. SYMONDS, “ Corporation. WM. H. MOULTON, “ J Elected by the 5 | Avro wM. B. LAPHAM, M. D., Augusta, “” WM. OSGOOD, M. D., North Yarmouth. J Board of Visitors. SECRETARY AND TREASURER, F R A N K LIN R. B A R RETT, Address P. O. Box 616, Portland, Me. 3 CONSULTING PHYSICIANS AND SURGEONS, WILLIAM WOOD, M. D. CHARLES E. SWAN, M. D. ANDREW J. FULLER, M. D. ALONZO GARCELON, M. D. ALFRED MITCHELL, M. D. M. C. WEDGWOOD, M. D. * ESIDENT PHYSICIAN AND SUPERINTENDENT, CHARLES O. HUNT, M. D. * ATTENDING PHYSICIANS, ISRAEL T. DANA, M. D. AUGUSTUS S. THAYER, M. D. CHARLES A. RING, M. D. HENRY H. HUNT, M. D. ATTENDING SURGEONS, STEPHEN H. WEEKS, M. D. SETH. C. GORDON, M. D. LEWIS W. PENDLETON, M. D. ALFRED KING, M. D. SURGEON FOR THE EYE AND EAR, JAMES A. SPALDING, M. D. ADJUNCT SURGEONS, WM. LAWRENCE DANA, M. D. JOHN F. THOMPSON, M. D. GEORGE H. CUMMINGS, M. D. 4 PATHOLOGIST, ADDISON S. THAYER, M. D. HOUSE PUPILS, WM. H. BRADFORD, M. D. FRANK IRWING BROWN, M. D. MATRON, MRS. L. W. WARREN. SUPERINTENDENT OF NURSFS, Miss FANNY A. TUCKER VISITING AND ADVISORY BOARD, MRS. ANDREW SPRING, President. MISS ANNA. M. PAINE, Secretary. MISS L. E. BANCROFT, Treasurer. MRS. D. W. FESSENDEN, MRS. J. E. BLABON, MRS. W. W. VIRGIN, MRS. SAMUEL B. WASHIBURN, MISS ELECTRA BROWN, MRS. EDWARD P. CHASE, MRS. H. L. HOUGHTON. MAINE GENERAL HospitaL. REPORT OF THE DIRECTORS, FOR THE YEAR ENDING WITH SEPTEMBER, 30, 1891. In making this twenty-first annual report, the Directors would remind the Corporators and friends of the Maine General Hospital that the year just closed was the seventeenth of the actual Hospital work. The first four annual reports dealt with the questions connected with the work of organizing, providing means, and construction and furnishing. Examination of those early reports will show the magnitude of the task assumed by the early friends and managers of this institution, the difficulties: that continually faced them, and the patient persistence and hopefulness with which those difficulties were steadily met and overcome. The subsequent history of the Hospital gives abun- dant proof of their broad views and sagacious foresight. The embarrassment growing out of the want of pecuniary resources, which so seriously weighed on the institution at the outset, is still felt, and must continue to be felt for yet a long time. As this is a charitable and not a business corporation, it can look to no future profits in money from its management, however prudently and skillfully conducted, or however ex- tended. In the future it must depend, as in the past it has relied, on the voluntary contributions of the generous people of the state, and sympathizing friends without the state. 6 As announced in the last two reports, the Directors, urged by the pressing and steadily increasing demand for additional Service, ventured upon the erection of a new wing which will practically double the Hospital capacity. Though the finan- cial difficulties of this undertaking have compelled the slow progress of the work, other and inevitable delays have inter- vened, and have postponed its completion to the great disap- pointment of the Directors. The fair prospect now is, that it will be ready for occupancy at an early day. With all the assistance derived from the donations received since the commencement of this new building, it has been necessary to encroach to a large amount upon the funds we hoped to be able to reserve for the supply of means to meet current expenses. But a confident belief is entertained that the same generous disposition which has thus far sustained this institution will provide the necessary resources for its continued success and usefulness. The Treasurer's account. accompanying this report, shows the financial condition of the corporation, and its receipts and expenditures for the year 1890–91. * The Superintendent's report shows the work done and the results. An inspection of this report gives gratifying informa- tion of the great variety of service rendered, and at the same time that it manifests the necessity of an institution like the Maine General Hospital, awakens a sense of pride that this need has been so efficiently responded to by the benevolent citizens of Maine. - It is some months more than a year since the Directors felt constrained to relieve somewhat the tax upon the surgical staff, by the appointment of adjunct surgeons. The selections for those places have proved in an eminent degree fortunate and useful. The benefits hoped have been fully realized. Without such relief, the entire surgical staff was in danger of being over- worked, and forced by a sense of duty to themselves to retire from their arduous and unpaid work. Even with this aid, one 7 of the staff, Dr. Frederic H. Gerrish, has found himself com- pelled to resign his position as one of the surgeons. It is not \ necessary for the Directors to say they received Dr. Gerrish's resignation with profound regret, both because the Hospital would thereby be deprived of his intelligent and skillful service, and because they cannot escape a fear, that his long and ar- duous labors for this institution may have in a degree con- tributed to that impairment of his strength which admonishes him to care more for himself. From the outset, Dr. Gerrish entered zealously into the pre- liminary work of founding the Hospital, and without interrup- tion continued his labor in its behalf to the time of his resig- nation. The extent and value of his service can hardly be ap- preciated. He will, we trust, find ample reward in the grate- ful acknowledgments of all the officers and friends of the in- stitution, and in his own consciousness of unselfish and useful Service to this great charity. t To the vacancy occasioned by this resignation, the Directors have appointed Dr. Alfred King, M. D. During the past year this Board and the Hospital has suf- ferred serious loss by the death of Hon. A. W. H. Clapp, and of Hon. George E. B. Jackson. - Mr. Clapp was a member of every Board of Directors from the beginning. It is safe to say that of all who have up to this time given their time, influence and money to this insti- tution, no one was ever more zealously devoted to its success or more wisely anxious for its welfare than he was always found to be. He never shrank from any work that would benefit it, nor withheld his hand from any contribution to its needs. As an associate he was always frank, friendly and judicious. The Directors have taken care that their records shall preserve a sincere expression of the high estimation in which they hold his memory. Mr. Jackson had been for a shorter time one of the Directors, but long enough to confirm the hopes which prompted his 8 selection for the place. . On this Board he manifested all those qualities of intelligent judgment, conscientious firmness, courtesy, attention to duty and fidelity to trusts reposed in him, for which throughout his life he was so well known, and which gave him so exalted a reputation in this city, where he lived from his birth till the close of his honorable life. Of him, too, the Directors who survive cherish the most affectionate and grateful memory. * The ladies of the Visiting and Advisory Board deserve the thanks of the Directors for their interest in the work of the Hospital, and for the watchful care they have given to its well being. It is impossible, without too much extending this report, to name in it every one who has made valuable contributions and gifts to the Hospital. They are intended to be named in the reports of the Treasurer and of the Matron, and to each and every one the Directors desire to make thankful acknowledg- ment. The School for Nurses has been long enough established to amply confirm its value. The frequent testimony from families who have employed the graduates of this school would justify its continuance. If, however, the Hospital itself found no gain from the school, there might be question how far it would be warrantable to maintain it. Happily, Hospital experience and that of the public are in harmony, and this training school encounters no unfavorable criticism. By some oversight, an error was made in the last annual re- port, in respect to the number of patients admitted from the State of Maine. The total number was given as 3,047, when the correct number was 4,992. There followed a distribution by counties, which being based on the erroneous total, is also erroneous and prejudicial. Accompanying this report will be found a tabular state- ment of the “Residence of patients from Maine, classified by 9 counties.” By this it is shown that to the present time 5,610 residents of Maine have been received and treated as patients. There have also been received and treated 650 patients from other states and foreign countries, making a total of 6,260 . patients since the first was received November 9, 1874. NATHAN WEBB, H. N. JOSE, * WM. W. TMOMAs, SIDNEY W. THAXTER, JOSEPH. W. SYMONDS, WILLIAM OSGOOD, . WM. B. LAPHAM, October 1, 1891. * Directors. OT }-}}=-1 ) ► ►i }) }–1 e-ſ P-1 })=1 H=1 H=4 l=0 ſ-i ſ-1 H=4 |-1 }-} OOO OO OO OO CO CO CO CO CO CO CO OO CO CO OO OO OO e-+ C, Caeſ) º C-2 CM9 NO NO ! ;-) :-) H-1 ſ-a ►►H-1 – Q) C №) QUI CÒ NO HÊ> NO ~ NO CO Q}) \!> }{> ~] H-1 }{> HŌ NO H-4 }=\ !NO© }-, H- H-,|-4Aroostook. __HI_°NO SO \{> ~] ~] © CO CO H-, NO H-1}) }{> ſ-a }-, }=k }–1 H-1 H-4 H-1 H-1 H-1 H-1 H-1 H=2 l=4 ſ-1 93~] © }{> CuO CO } № H-4 , UND NO H-4 -4 °C CO CUI GOD OD HÊ…Cumberland. _S2|-ı C) ~I CO ~l Cy3) O -4 °C CO QUE NO H-4 ÇÃO COv SO HS- Ē|NONONO}=\,}~,}-iFranklin. _<!2}~ ~Ț NO QUA CO ~3 CO QUY CO ~3 QJu ÎND CO H-1 H-1 §3co no so so to – to – – – to –Hancock. CJDC º № CO Q> GO NO C ON HÊ> NO Q> ~0 °C) → CO NO C:3 GOH!» CO → № tºS) QU3 ©9 ſ-a t`NO UNO --});}=\Kenmebec. Hº}~. QUA NO CO CO CO CUR CO \, Q. ©O CO NO CJ'ſ -- OO OO . §3}ț> © }ț> ÎNO UNO NO H-a|---} }-}|----| |-4Knox. CDA SO OP H> }{> CO CO§ © 2 C)CO NO CO CO → CO NO NO H-4 H-4 H-1Oxford. }-}}ț> C > OO Q> ~] Caet C UND SO OD H> NO CO CO C0 CS HÊ! Caeſ)- }=*}}> Qo HÊ… CxO NO NO H-1 tºO +→. +→. +→.Penobscot. Q->CD CO → C CO CO HÊ> → H-1 CO CAO CO ~I NO QID HÊ> CO → C(3) H-1 H-1 CO NO ° QD QU'ı 1-) H-1P-ſWaldo §so so só – – – – – –Washington. ~]Jo Caeo H> CO O CO → H> QUI CO CO QUI CO CO CD Co tºOsae H!» }}>Co t`ND Hț> C,D ÎNC NO CJ lº3, NO Hț> [NO NOH-1 H-1 IND H-aYork. }=\~] CO QUv — ^ * 'SGIILNſlOO K9I (IHILHISSWTO *- ‘euſe W Luo.1] S]uelled Jo equepſses: 11 REPORT OF THE TREASURER, To the President and Directors of the Maine General Hospital. GENTLEMEN:—I beg to submit my report for the year end- ing with September 30, 1891. As heretofore, the expenses incurred for the maintenance of the Hospital have been paid by the Superintendent, who has received each month, from the Treasurer, the gross amount of a schedule of bills approved by the committee of your board. The classification, therefore, of all such expenses appears on my books from the returns made by him. Respectfully, F. R. BARRETT, Treasurer, Portland, October 1, 1891. § DR. TREASURER, IN ACCOUNT WITH MAINE GENERAL HospitaL. CR. To cash from last account, ... . . . . . . . . . . . . . . . . . . . . . $250.00 By cash paid for Expenses at the Hospital,.......|| $33,495.94 6 & “ Sundry Donations, . . . . . . . . . . . . . . . . 252.46|| § { “ “ General Expenses, Insurance, & & “ Annual Free Bed Subscriptions,...... 2,300.00 etc., . . . . . . . . . . . . . . . . . . . . . . . 356.81 & & “ Hospital Sunday Collections,. . . . . . . . . 937.52 & £ lent on collateral Security, . . . . . . . . . . . 33,506.50 & £ “ State Appropriations,. . . . . . . . . . . . . . . 5,000.00| * { “ on notes secured by mortgage, . . . . . 10,000.00 & & “ Paying Patients, . . . . . . . . . . . . . . . . . . . . 17,995.34|| || “ paid for other Investments,. . . . . . . . . . . . . 2,012.50 4 & “ Service of Nurses, . . . . . . . . . . . . . . . . . . . 251.43 & & deposited on interest, . . . . . . . . . . . . . . . . . 3,124.38 $ tº “ Income of Investments applicable to “ paid on construction of South Wing,.... 26,347.90 Distributive Income, . . . . . . . . . . . . . . 7,256.58 { { on hand to new account, . . . . . . . . . . . . . . . 157.46 & 4 “ Income applicable to other purposes, . 251.66 - { { “ Mortgages paid, . . . . . . . . . . . . . . . . . . . . 10,000.00 & & “ Bonds sold and matured, . . . . . . . . . . . . 11,500.00 & & “ Ioans on collateral paid,... . . . . . . . . . . 37,506.50 ( & “ Legacy of Miss Octavia Fox,... . . . . . . 1,000.00 & & & & 6 & “ A. W. H. Clapp, . . . . . . . . . . . 5,000.00 & g & & “ “ Charles P. Ingraham,. . . . . . 2,000.00 & & & Cº. £ 4 “ Lucy Ann Evans, . . . . . . . . . 2,000.00 & £ “ Gift of William W. Thomas,. . . . . . . . 5,000.00 & & { { “ “ Henry Pierce, . . . . . . . . . . . . . . . . 500.00 $109,001.49 $109,001.49 l?ortland, October 1, 1891. F. R. BARRETT, Treasurer. 13 MAINTENANCE OF THE HOSPITAL. Receipts from :- Paying Patients, Sundry Donations, Annual Free Bed Subscriptions, Hospital Sunday Collections, Appropriations by the State, Income of Funds Applicable, Service of Nurses, Expenses:— Salaries and Wages, Subsistence, Medical and Surgical Supplies, Fuel, - Light, F urnishing, Repairs, Miscellaneous, General Expenses, Construction, Premium, TABLE NO. 1. ANNUAL FREE BED SUBSCRIPTIONS. Mrs. Margaret J. Sweat, ''. 4. The Daughters of the late Darius Alden, Henry L. Houghton, preference for Bath patients, The Maine Baptists, - º $17,995.34 252.46 2,300.00 937.52 5,000.00 7,256.58 251.43 $33,993.33 $ 9,961.25 14,456.14 3,415.41 2,621.59 213.89 1,075.21 1,135.15 436.10 356.81 181.19 140.59 *s- $33,993.33 $250.00 250.00 250.00 250.00 - 14 g The Maine Baptists, extra Service, 50.00 Miss Almira K. Hasty, in memory of her Father, g Elihu Hasty, 250.00 Boston & Maine Railroad, 250.00 Mrs. Annie L. C. Raymond, - 250.00 Mrs. John B. Brown, 250.00 Mrs. H. M. Wheeler, 250.00 $2,300.00 LEGACIES AND SPECIAL GIFTS. Legacy of Miss Octavia Fox, $1,000.00 “ “ Hon. A. W. H. Clapp, 5,000.00 “ “ Mr. Chas. P. Ingraham, 2,000.00 6 & “ Mrs. Lucy Ann Evans, 2,000.00 Gift of Hon. Wm. W. Thomas for a Free Bed, in memory of his son, John Pickering Thomas, 5,000.00 Gift of Mr. Henry Pierce, 500.00 $15,500.00 TABLE NO. 2. HOSPITAL SUNDAY CONTRIBUTIONS. Second Parish Church, Portland, $22.15 Central Congregational Church, Bangor, 20.00 First Universalist Church, Portland, 45.00 St. Lawrence Street Church, Portland, 12.00 North Bridgton Congregational Church, North Bridgton, 6.81 Harrison Congregational Church, Harrison, - 3.61 Williston Congregational Church, Portland, 5.00 First Congregational Church, Gorham, - 38.40 Methodist Episcopal Church, Waterville, 5.00 High Street Congregational Church, Portland, 94.25 15 St. Stephen's Church, Portland, 15.32 Second Congregational Church of Westbrook, Saccarappa, 1921 Miss Belle Hall's Sunday School Class, Second Congre- gational Church, etc., Saccarappa, 2.50 Congregational Church, Bridgton, 7.00 State Street Church, Portland, 100.00 Methodist Episcopal Church, South Berwick, * 4.38 Methodist Episcopal Church, South Portland, 2.25 Pratt Memorial Methodist Episcopal Church, Rockland, 3.00 Congregational Church, Topsham, 6.38 Baptist Church, Alfred, . .65 Congregational Church, Princeton, 4.00 Baptist Church, Buxton Centre, 4.00 |First Parish Church, Portland, - 77.55 |Unitarian Church, Brunswick, 18.00 Congregational Church, Princeton, (additional), 1.00 Congregational Church, Dennysville, 8.25 Second Congregational Church, Searsport Harbor, 10.00 Congregational Church, New Gloucester, 10 50 Second Parish Church (Unitarian), Saco, 21.00 Infant Class M. E. Church, Thomaston, 4.00 Unitarian Church, Miss Fuller, Augusta, 30.00 IFirst Congregational Church, Brunswick, 17.35 First Congregational Unitarian Church, Castine, 10.25 North Bridgton Congregational Church, North Bridgton, 5.56 Harrison Congregational Church, Harrison, 5.10 Methodist Episcopal Church, Georgetown, 2.00 Warren Congregational Church, Cumberland Mills, 30.00 lſnitarian Church, Houlton, 6,05 Cathedral of the Immaculate Conception, Portland, 200.00 TJnion Church, Greenville, 10.00 Congregational Church, Kittery Point, 5.00 Congregational Church, Calais, 45.00 $937.52 16 TABLF, NO. 3. IN V E S T M E N T S. Par Value. Maine Central Railroad Stock, $ 100.00 Portland & Rochester Railroad Stock, 100.00 Maine Central Railroad, cons. 7s, 2,000.00 4 & & & § { cons. 5s, 9,000.00 Cumberland National Bank Stock, 4,080.00 National Traders Bank Stock, 700.00 Canal National Bank & 4 800,00 Casco National Bank & 4 1,900.00 Adams Express Company “ 300.00 Portland 6s, 1907, 7,000.00 Portland & Kennebec R. R. 6s, 1895, 1,000.00 Portland Water Company 4s, 10,000.00 Augusta Water Company 5s, - 5,000.00 Portage City W. W. Company 6s, 1,000.00 Washington Water Co. 6s, 1,000.00 Wyandotte County 6s, 1896, 5,000.00 Bangor 6s, 1894, 1,000.00 Portland Water Co. 68, 1891, 5,000.00 Camden & Rockland Water Co. 4%s, 5,000.00 Notes secured by mortgage, s 48,500.00 Loans on collateral, & + 27,000.00 $135,480.00 Add– Hospital, $178,622.81 New Wing, - 50,984.41 Cash deposited, - 3,583.05 “ on hand, f 157.46 233,347.73 * Total of Trial Balance, $368,827.73 17 TABLE NO. 4. LIST OF LEGACIES AND GIFTS TO THE SEVERAL MAINE GENERAL HOSPITAL. Legacy of Mary H. Flagg, income for free beds, “ “ Rocksyllania True, income for free beds, & 4 “ William H. Jerris, income for free beds, Gift of Heirs of Miss Helen Spring, income for free beds, Gift of Miss Ann M. Williams, income for free beds, Gift of George H. Witherle, in memory of wife, Sarah P. Witherle, income for free beds, Legacy of Mrs. Almira E. Rice, income for free beds, Gift of Mrs. Chas. Dummer, Mary Cleaves free bed, Gift of S. W. Thaxter, Laura M. F. Thaxter free bed, * Gift of E. D. Chamberlain, Margaret E. M. Cham- berlain free bed, Gift of Hon. W. W. Thomas, John Pickering Thomas free bed, Legacy of Nath’l C. Sawyer, Sawyer free bed, “ A. K. Shurtleff, Shurtleff free bed, “ “ Mrs. C. I. Harward, William Eugene Harward free bed, Legacy of Mrs. Charles Dummer, Dummer free bed, Legacy of Mrs. Charles Dummer, Dummer free bed, to accumulate, now, Legacy of Chas. Holden, no restriction on income, 6 & “ Mrs. Eliza . A. Bradbury, no restriction on income, - * Legacy of Mrs. Sarah Bradbury, no restriction on income, 2 FUNDS OF $2,000.00 1,000.00 250.00 2,000.00 1,000.00 500.00 3,000.00 4,000.00 4,000.00 4,000.00 5,000.00 4,000.00 5,000.00 4,000.00 4,000.00 3,829.00 300,00 5,000.00 200.00 18 Legacy of Dr. John Taylor Gilman, no restriction on income, - Gift of Miss Annie Louise Cary, no restriction on income, Gift of Frederick Frothingham, in memory of his father, John Frothingham, Legacy of Hon. A. W. H. Clapp, no restriction on income, Needlewoman's Friend Society Fund, income for relief of needlewomen, \ Legacy of Hon. Abner Coburn, no restriction, {{ “ Joshua Maxwell, & © & G. {{ “ Andrew Spring, {{ & & £ . “ Hon. John B. Brown, “ & © “ “ Mrs. Caroline W. Brooks, no restriction, & & C & & & Dolly M. Field, tg & © * “ Hon. Samuel E. Spring, “ & & C & “ Horace Harvey, & © ( & & C & & Joseph Ilsley, C & {{ {{ “Cyrus Woodman, & C { { Gift of Heirs of Mrs. Susan C. Messer, no restric- tion, ,' Legacy of Hon. William Senter, no restriction, “ “ William Henry Swart, “ C & & 6 “ Miss Octavia Fox, & C & © “ “ Charles P. Ingraham, “ & & “ “ Mrs. Lucy Ann Evans, “ {{ 5,000.00 2,500.00 3,000.00 5,000.00 721.07 100,000.00 100.00 5,000.00 5,000.00 2,000.00 100.00 5,000.00 1,000.00 1,000.00 1,000.00 250.00 500.00 1,100.00 1,000.00 2,000.00 2,000.00 § TRIAL BALANCE, DR. OCTOBER 1, 1891. CR. Cash, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 157.46 Free Bed Funds, . . . . . . . . . . . . . . . . e tº e º 'º e º e º e º 'º e $ 9,750.00 Hospital,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178,622.81 Funds with Income Unrestricted, . . . . . . . . . . . . . 21,000.00 Stocks and Bonds, . . . . . . . . . . . . . . . . . . . . . . © tº C & e º gº tº º 59,980.00 Permanent Free Beds, . . . . . . . . . . . . . . . . . . . . . . . . 34,000.00 Notes Secured by Mortgage, . . . . . . . . . . . . . . . . . . ,.... || 48,500.00 Needlewoman’s Friend Society Fund, .......... 721.07 South Wing, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50,984.41 General Fund, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120,404.85 Swan & Barrett, . . . . . . . . . . . . . . . . . . . tº 4 c e º 'º º ſº tº e º gº tº e e 3,583.05 Unproductive Property,. . . . . . . . . . . . . . . . . . . . . . . 178,622.81 Notes Receivable,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,000.00 Dummer Free Bed, (to accumulate,)........... 3,829.00 Gifts to Building Funds, ... . . . . . . . . . tº tº e e s is e e º 'º 500.00 $368,827.73 $368,827.73 October 1, 1891, F. R. BARRETT, Treasurer. 20 AUDITOR'S CERTIFICATE. We certify that we have audited the account of the Treas- urer of the Maine General Hospital for the year ending with September 30, 1891, and find the same correctly kept and with proper vouchers for the items charged. We have also examined the Securities, in his keeping be- longing to the Hospital, and find the same to agree with the books, and to be as stated in the list of investments accom- panying his report for the year. EH. N. JOSE, S. W. THAXTER, Auditing Committee. Portland, October 1, 1891. 21 R EP O R T OF THE Resident Physician and Superintendent. . To the Directors of the Maine General Hospital. - GENTLEMEN:—I have the honor to submit herewith my annual report for the year ending September 30, 1891. Number of patients in the Hospital, October 1, 1890: Paying, 24; paying in part, 8; free, 25; total, 57. Admitted to the Hospital from October 1, 1890, to Septem- ber 30, 1891. Males. Females. Total. . Patients paying board, 208 237 445. . Patients paying board part of the time, 39 28 67 Patients entirely free, 102 64 166. 349 329 678 These were classified as follows: ſ Males. Females. Total. Surgical, - - 254 263, 517 Medical, - 72 54 126. Ophthalmic and Aural, 23 12 35 678, Total number in Hospital during the year, 735. 22 There have been discharged during the year 675, with the following results: - - Recovered, 343 Relieved, 201 Not relieved, 22 Not treated, 76 , Died, 33 The causes of death were as follows: - Shock, (railroad injury, 4; fall, 1 ; operation, 2,) 7 Acute nephritis, 2 Exhaustion, (following multiple fractures,) 1. Paralysis, 1. Peritonitis, (following severe burn,) * 1. ;Septic Peritonitis, (following abdominal Section,) 8 iDraemic poisoning, 3 “Cancer, 4. Intestinal obstruction, 1. Heart disease, 1 Septicæmia, (following operation for stricture,) 1 & C (following litholapaxy,) 1. Gangrene of Intestine, 1. Delirium tremens, 1. Paying patients paid at the following rates: 261 paid at the irate of $7.00 per week; 188 at $14.00; 1 at $17.50; 24 at $21.00; 35 at 28.00; 3 at 35.00. $3 |RESIDENCEs. Portland, 91 Maine (except Portland), 526 New Hampshire, 35 Vermont, * 2 Massachusetts, 9 Other states and countries, 15 The residences of the 617 patients from Maine, classified ac- Cording to counties, were as follows: 23 Androscoggin, 25 Oxford, & 34 Aroostook, 32 Penobscot, 46 Cumberland, 171 Piscataquis, 11 Franklin, 21 Sagadahoc, 15 Hancock, 30 Somerset, 27 Rennebec, 41 Waldo, 30 Enox, 49 Washington, 23 Lincoln, 25 York, 37 Number of weeks relief furnished to paying patients, 1,640 & & & C & 4 { { { % “ free & & 1,398 This is equal to an average of 31.45 paying patients, and 26.81 free patients, and a total average of 58.26. The current expenses for the year were as follows: Salaries and wages, $9,961.25 Groceries, 4,767.25 Provisions, - 6,722.44 Fish, 693.70 Milk, 1,805.38 Crackers and baker's bread, 136.31 - Ice, 231.06 Water, 100.00 Medical and Surgical supplies, 3,415.41 Light, 213.89 Fuel, *2,571.13 Furnishing, 1,075.21 Repairs, 1,135.15 General Expenses, 356.81 Miscellaneous, 436.10 $33,621.09 Average cost of each patient per week, $11,06. *Value of coal on hand October 1, 1890, $297.10 & & { ºf “ October 1, 1891, 347.56 Compare with Treasurer's report. 24 The cost of maintaining the paying patients, 1,640 weeks at $11.06 per week, was $18,149.63. There was received from patients for board, $17,995.34 . - The preceding statistics of the year's work need no special comment. The resources of the Hospital have been taxed to the utmost, but we have not been able to meet the demand. We hoped to have the use of the new pavilion before this time, but unexpected delays have prevented. By discharging patients at the earliest possible moment, consistent with their safety, and refusing almost all cases of chronic disease, we have been able to have under treatment a much larger number than ever before, though the daily average has been but little greater than that of last year, and was less, by a small fraction, than that of 1886–7. The following is a summary of the work done in the Train- ing School : Eight nurses have been graduated. Three have fallen out on account of illness, or for cause. Of thirteen probationers received, ten have been accepted as pupils. One nurse has re- turned to complete her course. The Superintendent of Nurses has heard one hundred and four class recitations from the manuals and text books and given forty lessons in elementary massage, and twelve lessons in sick cookery, the nurses going to the kitchen for practical instruction. Thirty lectures have been given by Drs. Dana, Weeks, Gor- don, Gerrish, Pendleton and Ring, and Dr. W. L. Dana gave Several lessons in bandaging. The following nurses received diplomas after passing Satis- factory examination : Miss Sarah A. Lyons, Old Orchard, Me. Miss Evelyn M. Osgood, Durham, Me. Miss Amelia L. Smith, Machias, Me. 25 Miss Mary E. Whitehouse, Damariscotta, Me. Miss Jeannette L. Allen, Freeport, Me. Miss Minnie E. Hodgaon, South Paris, Me. Miss Emma Holt, Quebec. Miss Fidelia Drew, Haverhill, Mass. Appended to my report will be found a list of all the surgi- cal operations performed during the year, with a statement of results. I enclose Matron's report of contributions received. Respectfully submitted, CHARLES O. HUNT, Resident Physician and Superintendent. Portland, October 1, 1891. 26 f SURGICAL OPERATIONS. ^* *H ºn - ##| || 3 |# 33 E. Q) 9 Sº ~ 3 S. - || - º ##| 3 |#| gº! É ź5 || 3 || 3 || 2 || 5 Abdominal Section. * Ovariotomy,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 || 23 Cyst of broad ligament,..... . . . . . . . . . . . . . . . . . . 3 3 Tait's Operation, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - || 3 1 Hysterectomy,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 || 1 Cancer of uterus and broad ligaments, ... . . . . . . . 1 1 InêSentely, . . . . . . . . . . . . . . . . . . . . . . . . . 1 1. Uterine fibroid, ... .................... . . . . . . . . 3 1 . 2 Exploratory incision,. . . . . . . . . . . . . . . . . . . . . . . . . 3 1 2 Suppurative appendicitis, . . . . . . . . . . . . . . . . . . . . . . . 1 1 Enterectomy and anastomosis, .................. 1 1 Tubercular peritonitis, ... . . . . . . . . . . . . . . . . . . . . . . . 1 1 Abscess, spinal,. . . . . . . . . . . . . . . . . . . . . . . . . . . .... • * * * * * 2 2 C*cal, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 palmar, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 1 Amputation of finger, ................... . . . . . . . . . . 3 3 thumb, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T 1 thigh,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 4 || 1 3 at knee joint, . . . . . . . . . . . . . . . . . . . . . . . . I 1 Chopart's,. . . . . . . . . . . . . . . . . . . . . . . . 1 1 toe, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 penis, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Anchylosis broken up, of ankle,..... ... ' s e e s e s w w e e º e 1 1 elbow, . . . . . . . . . . . . . . . . . . . . 1 1 knee, . . . . . . . . . . . . . . . . . . . . 3 2 | 1 shoulder,. . . . . . . . . . . . . . . . . 1 1 Wrist,. . . . . . . . . . . . . . . . . . . . 1 1 Castration,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 10 || 1 Circumcision,. . . . . . . . . . . . . . . . . . . . . . . * * * * * > 0 e º e 2 2 Cicatrix removed,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 1 Colotomy, inguinal, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1. 1 lumbar, . . . . . . . . . . . . . . . . . . . . . . . . . . ... • * * * * * I 1 Dislocation of shoulder (old). . . . . . . . . . . . . . . . . . . . . . . 1 1 Excision of knee joint,........ . . . . . . . . . • * > * * * * * * * * s 4 3 || 1 ip, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 shoulder,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 elbow,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1. ribs, . . . . . . . . . . . . . . . . . . . . . . . } • • * * * * * * 1 1 upper jaw, . . . . . . . . • * * * tº e s tº e º 'º e º e º & e º e s e 1 - 1 COCCYX, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 tonsils,. . . . . . . . . . . . . . . . . '• • - - - - - - - - - - - - 2 2 Elytrorrhaphy, for cystocele, . . . . . . . . . . . . . . . . . . . . . . . . 10 || 10 - rectocele,'... . . . . . . . . . . . . . . . . . . . . . . 6 6 Extraction of bullets, . . . . . . . . . . . . . . . . . . . . . . . . .'• * * * * 3 3 Fissure of anus dilated, . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3 || 1 Fistula, anal, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 9 || 3 || 1 recto-Vaginal, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 27 SURGICAL OPERATIONS (CONTINUED.) 4- tº & º 3 #| 3 || 3 | # #3 || 3 || || || 3 a ; 3 || 3 || || || 3 3 = | & "3 || 3 | .9 Z, O' | Pº ſº | 2 | C Fistula, perimeal, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Fractures reduced, humerus, ... . . . . . . . . . . . . . . . . . . . . . . 2 2 radius, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 ulna, . . . . • e g g g g º ºs e º ºs e e º e s m e º e e º ºs º ºs e º e º sº a " 1 1 femur,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 tibia,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 fibula,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 | tibia and fibula,. . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 tibia and fibula, comp., . . . . . . . . . . . . . . . . . . 2 2 ribs, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 1. skull, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 I Hare lip, . . . . . . . . . . . . . . . . * * * * tº gº tº tº & & e º 'º e º 'º º is e º e º $ tº e 3 2 || 1 Haemorrhoids, ligation,. . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 | 18 || 1 || 1 excision, . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 || 1 Hermia, radical cure, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4 Herniotomy, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Hydrocele, radical cure, . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Hysterectomy, Vaginal, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Litholapaxy, . . . . . . . . . . . . . . • * * * * * * * * * * * * * * * * * ... • * s a e 3 2 1 Lacerated wounds sutured,......... tº , º e º gº tº as e & * e s is a e 5 5 Morbid growths removed. C2, D CCT. back, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 breast, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 | 20 cheek,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... e º e s e s 3 3 eye-lid, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 jaw, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1 || 2 ©3, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 1 lip, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 7 neck, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 110S6, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1 | 1 rectum, . . . . . . . . . . . . . . . . = e º 'º e s m e º e º e º & & e s s ſº 3 1 2 O testicle, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 tongue, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 uterus, . . . . . . . . . . . . . . . . . . . . . . . . . . * * * * g e s tº 1 1 Vulva, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 angioma,. . . . . . . . . . . . . . . . . . . . • - - - - - - - - - - - - - - - - 1 1 adenoma, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5 Cystic, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 3 3 epulis, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 lipoma,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 fibroma,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 D&VllS, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l 1 polypus-nasal,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1 || 1 pharyngeal, . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 uterine, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Sebaceous, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Urethral caruncles. . . . . . . . . . e e º e º 'º e e º e º ſº a º ºs e e º e e s tº e 1 1 28 SURGICAL OPERATIONS (continued) º 4- or, gº 35 | g | | | 3 | . 5 ; 3 || 3 | is 3 5 *, Q) Q O | . . zo || 2 || 2 || 2 || C. Nerve stretching, Sciatic, . . . . . . . . . . . . . . . . . . * c e º 'º gº . ... 2 1. Nephrotomy,. . . . . . . . . . . . . . . . . . . . . . . . . . Q tº º e < e < e º sº e e 1. Nephrectomy, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 1. Ophthalmic Operations. Canaliculi opened, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Cataract, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5 Enucleation, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Iridectomy,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1 || 2 Pterygium, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 1 1 Resection of Optic nerve, . . . . . . . . . . . . . . . . . . . . . . . | 1 1 Sclerotomy,. . . . . . . . . . . . . . . . 3 * * * * * * * e s e s e e s e e e 1 1 Strabismus, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Tarsal cyst removed, . . . . . . . . . * * * * * * * * * * * * * * * g º e 3 3 Paracentesis, abdominal, . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1. Perineorrhaphy, . . . . . . . e s e e s e g e º e s a e e e s s e e s e e * . . . . . . 45 || 45 Periostitis, incision, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 1 Plaster jackets applied,. . . . . . . . . . . . . . . . . . . . . . . . . . . 13 13 Plastic, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Sequestrotomy, . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • * 19 6 |12 || 1 Sinus opened, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 7 10 || 2 Stricture of urethra, dilatation, ...... . . . . . . . . . . . . . . . . 15 9 || 3 || 1 || 2 ext, urethrotomy,. . . . . . . . . . . . . . . 1 1. of rectum, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1 1 Skin grafting, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Tarsectomy,. . . . . . . . . . . . . . . . • e º ºs e < e < * * * * * * * * * * * * g e s e 1 1. Tenotomy,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 5 2 Trachelorrhaphy, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 49 1 Trephining tibia, . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . 1 1 Ununited fracture, humerus, . . . . . . . . . . . . . . . . . . . . . . . 1. 1 radius and ulna,. . . . . . . . . . . . . . . . . . 1 J Uterus Curetted, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 || 25 | 5 Varicocele, ligation, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 8 Varicose veins, ligation, . . . . . . . . . . . . . . . e e º ºs ºr e º e º e º e 5 5 29 MATRON'S REPORT OF CONTRIBUTIONS RECEIVED. IELEVATOR, ACCOUNT. Amount on hand at last report, $775.21 Friend, Portland, 5.00 Interest on deposit, 35.08 $815.29 OTHER CONTRIBUTIONS. Portland Press, daily. Portland Advertiser, daily. Portland Express, daily. Portland Globe, weekly. Portland Transcript, weekly. Zion's Advocate, weekly, two copies. Christian Mirror, weekly. Kennebec Journal, daily. Maine Farmer, weekly. Mount Desert Herald, weekly. Cape Elizabeth Sentinel, weekly. New York Medical Journal, weekly. Annals of Gynaecology. Times and Register, weekly. Bowdoinham Advertiser. Pemaquid Advertiser, weekly. Westbrook Chronicle. Farmington Chronicle. Industrial Journal. Miss Elizabeth T. Merrill, Lewiston Journal. Mrs. Fred Allen, Portland, 6 volumes Harper's Magazines. Miss Allen, Portland, Shirts. 30 From the ladies of All Souls Universalist Church, 1 Quilt. Bee, Portland, 12 sheets, 8 towels. Miss Electra. Brown, 1 doz, half sheets. A Mrs. L. A. Baker, l’ortland, bandage and dressing pieces. Mrs. Henry Blanchard, Portland, dressing pieces. Henry Coutts, 1 coat. Mrs. W. H. Clifford, Portland, shirts. Mrs. J. B. Coyle, Portland, shirts. Miss M. J. Clapp, Portland, magazines and books. Mrs. Annie L. Dolliff, Biddeford, 6 volumes magazines bound. Mr. E. B. Drummond, newspapers. Mrs. I. T. Dana, Portland, shirts, nightdresses, sacque coat and flannel dressing gown. Mrs. Edward Davies, Portland, dressing pieces. Miss Cornelia Dow, Portland, linen dressing pieces. Mrs. E. E. Eastman, Portland, shirts, night dresses, linen dressing pieces, magazines and papers. Mrs. John T. Gilman, Portland, shirts and drawers. Miss Louisa Harlow, Augusta, Me., $3.00. Mrs. J. H. Manley, Augusta, Me., box pictures for children. Augusta, Me., 1 bbl. magazines and papers. Mrs. Laura Heath, Portland, Missionary Review. King's Daughters, Westbrook, 6 night dresses for children, 6 nightingales Ring's Daughters, Calais, Me., Congregational Church magazines. Album Quilt from the Ladies of the Universalist Church, Freeport, Me. Mrs. A. W. Longfellow, Portland, shirts, drawers, stockings, cuffs, hand- kerchief and pair boots. Ladies of the Episcopal Church Woodfords, 1 log cabin quilt. Master Edson P. Mears and Miss Hattie Brown, Round Pond, Me., 1 patch- work quilt. A - - Mrs. McGlaughlin, Portland, 14 volumes Godey's Ladies Book, l volume Peterson's Magazines and several miscellaneous works. Dr. A. M. Parker, Deering, 1 affghan. Mr. Charles Pennell, Portland, turkeys for Christmas. Mr. H. M. Pearson, Portland, shirts and dressing pieces. --- Miss Ella Pratt, Crystal, Me., picture cards for children. Miss Etta Parker, Portland, dressing pieces. Mrs. Edward Rand, Portland, shirts and flannels. Mrs. Chas. Ring, Portland, shirts. Rainbow Band, Castine, Me., flowers. George C. Shaw & Co., 50 oranges, 15 lbs. candy, 15 lbs. nuts, for patients and nurses Christmas. Miss Abbie Steele, Portland, English Illustrated Magazines. Mr. Francis K. Swan, Portland, The Independent Congregationalist. 31 Mrs. James Hopkins Smith, Portland, large box of roses. Mrs. John Sawyer, Portland, shirts and dressing pieces. Mrs. Fred Storer, Portland, dressing pieces. Mr. P. A. Turner, Scrap books for children. Roger and Helen Thaxter, Portland, books, games and toys. Mrs. Paul, Portland, handkerchiefs, etc., for the children. Mrs. Weston Milliken, Portland, money. Miss A. M. Paine, Portland, magazines and papers. Miss Woodbury, $2.00 to purchase fruit for the children. Mr. Merry, a patient, money. - Dr. C. A. Small, Augusta, money. Unknown, shirts and dressing pieces. Unknown, Century, Harper's and Scribner's magazines. Mrs. William Wirt Virgin, Portland, shirts. Mrs. Augustus Wright's children, Portland, book, games, basket, fancy box for pencils, several other toys and candy. - Children of the Methodist Sabbath School, Malden, New York, books, pictures, letters and money. Woodford's Society of Christian Workers, dolls for children's Ward. Mrs. Dr. William Wood, Portland, shirts. Y. P. S. C. E., West Church, Portland, flowers. Georgie Graffam, pine apple, bananas and lemons for the children. Mrs. Stockwell, Quebec, picture books. Mrs. O. H. Hay, Portland, 1 woolen wrapper, 5 volumes Dickens, 3 vol- umes Thackery, 5 paper covered books, 1 volume Domestic Science. Mrs. W. H. Clifford, Portland, shirts. s J. S. Heald, M. C. R. R., night shirts. Miss Bancroft, Portland, day and night shirts. Mrs. Lucian Snow, for Spring room, 17 towels and 1 dozen napkins. Jnknown, package of shirts and other garments. - Mrs. Jacobs, Portland, large quantity of sweet peas. Harold and Jack Dana, Portland, 1 volume of St. Nicholas. Mr. George E. Bird, Portland, 2 volumes Littell's Living Age. Dr. James A. Spalding, Portland, books. Mrs. Abba D. Jones, Damariscotta, dressing pieces. Miss Georgianna Carson, Washington, card picture book. Mrs. John Lynch, Washington, 1% doz. pillow slips, 8 sheets, 2 quilts, 2 pair of blankets for Spring Room. Mrs. Swasey, Portland, magazines and papers. 32 REPORT OF TELE ; Visiting and Advisory Board. : As for several years past the officers of the Visiting and Ad- visory Board of the Maine General Hospital have been : Pres- ident, Mrs. Andrew Spring; Treasurer, Miss L. E. Bancroft ; Secretary, Miss Anna M. Paine. The visiting has been done with some interruptions, owing to two vacancies existing, soon we trust to be filled. The Sunday services have been regularly maintained, and the thanks of the committee are due to those clergyman who have come through all weathers to hold these services for the benefit of the patients. Through a member of this Board, Christmas cards were given to all the patients, some sixty in number, by Messrs. Loring, Short & Harmon. - ANNA. M. PAINE, Secretary October 1, 1891.