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Page 28 text:
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This Hospital was erected by the voluntary contributions of the Israelites of Philadelphia and is dedicated to the relief of the sick and wounded without regard to creed, color, or nationality under the management of a Board of Members of the Jewish Hospital Association. And so it is—those that seek relief from suifering are admitted without regard to creed, color, or nationality under the management of a Board of Members. The Hospital has a bed capacity of 426 beds with a resident staff of 9 and a Chief Resident. It has 115 student nurses, 55 supervisors, one Chief Nurse and an Assistant, and an Educational Director and an Assistant. Its d x rs were thrown open to the Medical Students of Temple University during the year of 1928 through the kindness of the Board of Members. Six hours a week are spent in Ward Walks under the supervision and guidance of Dr. Joseph C. Doane, formerly Superintendent of the Philadelphia General Hospital but now Medical Director of the Jewish Hospital. We are deeply indebted to the authorities who have granted us the privilege of its wealth of clinical material. MILNidIPaVIL LLSIPIITaVIL Philadelphia Hospital for Contagious Diseases. Il—JAVING been seen by most of us only on two short visits, Municipal is less IB I intimately known to us and is accordingly granted more space than are those other houses of mercy which were our daily workshops. Beginning as the Pest House at 9th and Spruce in 1726 and then disappearing only to reappear again in time of need, at some place more remote from the daily haunts of Philadelphians, the hospital in 1865, found a home at 22nd and Lehigh, crude to be sure, but serving its purpose until 1909. This was the year of completion of the present group of thirty-one separate buildings built at a cost of about two million dollars and embodying the last word in hospital construction. The year previous our friend Dr. Samuel S. Woody took up his duties as Medical Director and Superintendent which he has discharged with so much credit to the hospital and himself ever since. The distant situation was chosen because, as Dr. Woody says, with everyone holding the misconception that infectious diseases were disseminated through the air it was thought that no more isolated spot could be found than this which was, and is, bounded by farm land, a brick yard, and two cemeteries, now we know that the institution could stand at Broad and Chestnut Streets with perfect safety to the community. Equipped to take care of 1150 cases in case of an epidemic and regularly treating 5000 patients a year Municipal is the largest hospital for contagious diseases in the Western Hemisphere and probably has more acute cases than any other such hospital in the world. Since 1909, 85,000 patients have been cared for under her roofs most of whom have been suffering from scarlet and “diphtheria. Every case must be brought in the hospital ambulances, a requirement of the law. The routine procedures in cases of laryngeal diphtheria illustrates the efficiency of hospital administration; the special diphtheria ambulance answers the call on the minute accompanied by a doctor prepared to do an intubation at home if necessary; three doctors sleep in the diphtheria ward wing and arc always on deck and ready to answer from the laryngeal ward on the run. Since 1900 the w'ards have been open for the clinical instruction of medical students of all the medical scluxils in Philadelphia, in which time between seven and eight thousand students have used the privilege. Since 1907 Dr. Woody has done T wenty-four
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Page 27 text:
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G IE IE aVT IE IEAIET MAT IE IE NUTT W HE late Dr. John C. Applegate, Professor of Obstetrics in School of Medicine, ™ Temple University, always held that Senior students should have an opportunity to attend a certain number of maternity patients in their homes. He was ever in accord with, and an ardent advocate of the “Out Door Service. This service, he believed, afforded the students an opportunity to gain insight into the practical phase of Obstetrics that could not be acquired elsewhere. His assumption has been abundantly confirmed by the excellent service rendered by the students, by the industry and enthusiasm they have displayed in the work and by the gratitude, freely expressed of the patients whom they attended. Each student is now required to attend twelve maternity patients in the Obstetric service. This alone means that the Department of Obstetrics must provide more than six hundred full term maternity patients during the course of each college year. The Samaritan Hospital, it was found, could not adequately meet this need and accordingly it became necessary to provide other facilities. To meet the growing demand, the Greatheart Maternity Hospital was established at 1810 and 1812 Spring Garden Street, a neighborhood selected with the belief that it would provide the necessary clinical material. The Hospital now known as the Garretson-Greatheart Hospital opened its doors to the public on April 27, 192S. The response of the neighborhood people to the project has more than justified its existence, for during its six years of service the students with the aid of district or student supervisors have attended more than 4000 women in confinement. Even though working in many instances under the most unfavorable circumstances, the results with respect to morbidity and mortality compare most favorably with private obstetric practice in general. Each patient receives zealous pre-natal supervision and as a result convulsive toxemia has been a rarety and there has not occurred a single instance of infection that one could attribute to inadequate or improper care on the part of the students in attendance. Recently the building was somewhat remodeled and an elevator installed. To meet the growing needs of the hospital, a pre-natal clinic with modern equipment has also been established. These pre-natal clinics are held regularly each week day at one o'clock. Here the patients are registered for admission to the hospital or to have a Senior Medical Student assigned to their case to care for them in their homes. Prenatal care is given the expectant mother. She is also urged to return for Post-natal examination and to have the baby examined to see if it is developing as a normal child should. Nurses arc also assigned from this dispensary to visit and care for patients in their homes. TIE IE Jl IE WHS IE HOSPITAL “IT'HE Jewish Hospital was founded September 23rd, 1865, in a small building on II Westminster Avenue at Haverford Road and Fisher's Avenue, now 56th Street in West Philadelphia. It was soon realized that the quarters were inadequate to meet the needs of the service it offered. So a tract of 23 acres was acquired at York and Tabor Roads in North Philadelphia. The first building was erected and dedicated during the year of 1873. Above the entrance of what is today the Men's Surgical Ward, the following is inscribed: Twenty-three
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Page 29 text:
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the instructing personally. He has carefully checked up all cases of infectious diseases occurring in medical students and has found that only five out of nearly 7000 caught “theirs” on their visit to the hospital. The time may come when the medical profession will know the exanthemata as well as the experts at “Muni” and when the public will lx competent to care for the victims as the city is now doing, but until that day we're glad to have a “farm” at Second and Luzerne. TIHIE PHILADELPHIA GENERAL HOSPITAL By George Wilson, M.D., Philadelphia 1|-HE Philadelphia General Hospital has been situated at its present location since IB 1834, the old buildings of which few remain were built between 1830 and 1834. The Philadelphia Almshouse was first located at Third and Pine Streets and was commonly spoken of as “The Green Meadows” according to Agnew, “Green Meadows” was the oldest hospital in the country, having been founded in 1731. In 1767 the institution was moved to Tenth and Pine Streets and was called the “Bettering House.” The Legislature in March, 1828, authorized the purchase of a site and the erection of buildings suitable for a hospital, an almshouse, the children's house, and other departments. The site was located in Blocklcy township, and from the township the hospital has derived a name, which, while not official, has nevertheless clung to it persistently. There are some who feel that the name of Blocklcy should be abolished entirely, but most of those who have served as Internes and as members of the staff still prefer that old name. Dr. Gerhard, whose careful investigations established the distinction between typhus and typhoid fever, suggested to the board of guardians that the name Philadelphia Hospital” be adopted for that department of the almshouse which was concerned with the care of the sick and from that time until 1902 The Philadelphia Hospital” was the official name. In that year the three main divisions of the institution were called “The Philadelphia Home and Hospital for the Indigent,” which sheltered the paupers; the insane department was called The Philadelphia Hospital for the Insane” and the hospital proper was known as “The Philadelphia General Hospital. The original plot of land bought by the city in 1828 consisted of 187 acres and 60 perches which has dwindled to 20 acres. In 1906 a tract of land containing 874 acres was purchased by the city in Bybcrry and on that tract modern buildings have been erected for the care of the insane, feebleminded and tuberculous. Many of the old buildings of the Philadelphia Hospital have been demolished but the new structures which have been completed have entirely replaced them, only a few of the old buildings remaining. Over two thousand sick people make up the census of the Philadelphia Hospital and no patient unless he is suffering from acute contagious disease is ever denied admission. The sufferers from contagious diseases are sent to a separate department of the Hospital system located at Second and Luzerne. The resident staff of the hospital number fifty-five and the visiting staff over two hundred. Three hundred nurses and six hundred orderlies in attendance help to carry on the hospital’s work. As a hospital in which to spend one’s internship The Philadelphia General Hospital cannot be surpassed; the wealth of material in every line and the great amount of teaching which goes on within its walls assure the interne that the important post-graduate work which lie receives will equip him for the practice of medicine. Twenlyfive
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