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"^^'-V^ -v' t<^_ VH <<- *c ri^ ~"ri *^' ^>* *-A ''^ *"^'^i?i'^i?J4Ci » * f -„* / „«_ \ , ,^ • \^V V'tirT Jr-'l fm ^ 3®®S(89®®®@®®9)(9(90®®O®®®@®®(9©G)€^^)aS®(9O@®®@®^^^ 1"^ ^V'-* ^M'.* "^^fA* *i»'«^ *^"'":^ ■fc^)/'-^' J^M. ■) Mr THE COLONIST PRCSSCS. ■■i'^'iieaiii&m' TOGETHER With Lists of Subscriptions, Grants, Donations, Names of Directors, Etc. JUNE. 1596. VICTORIA. B. C. The Coi-ONisT Presses. i8q6. Ill Provincial Royal Jubilee Hospital Sixth Annual Report. OFFICERS ; JOSHUA DANIKS, Ks.j. GEOKCiK HVRNKS, Ksn. WM. M. CMUDLKV, Ksu. n. M. VATKS, Ks... PRr-:siDE.\i. Nick -Pkesidknt. Hon. Trkasi'kkk. Skckktarv. GOVERNMENT DIRECTORS: JOHN IJKADKX, Ks... GEORCiH HVRNKS, Ks... A. C. KHJMKRKELT, Ks.j. CITY DIRECTORS: F. B. PKAHIKRTON, Kso. H. DALLAS HKLMCKEX, Ks.,., (^). C, J. L. CRIMP, Ks.^ CILVS. HAVWARD, Ks..,. NN'. j. DWVKR, Es.j. FRENCH BENEVOLENT AND MUTUAL SOCIETY DIRECTORS: I. BRAVKRNLNN, Ks,. THO^rAS SHOTBOLT, Ks... GKOR(]K H. BROWN, Ks.j. ELECTIVE DIRECTORS: A. WILSON, Ks... WILLIAM M. CHUDLKV, Ks.^ J. STUART VATKS, Esq. JOSHUA DAVIES, Esq. President's Report. To the Directors: Gentlemkn, -Herewith I present to you the Sixth Annual Report, which will indicate the work done durin^r the year end- ing the 31st May, 1896. The appointment of W. J. Dwyer, Ivsq., by the city was the only chancre on the directorate, the members of the I^oard beinjj as follows : GOVERNMENT DIRECTORS: John Braden, Esq. Geo. Hvrnes, Ksq. A.C. Fu mereeli, Esq. CITY DIRECTORS: F. B. Pemuerton, Esq. H. Dallas Helmcken, Esq., Q.C. J. L. Crimp, Esq. Charles Hayward, Esq. W. J. Dwver, Esq. FRENCH BENEVOLENT AND MUTUAL SOCIETY DIRECTORS: I. Braverman, Esq. Thomas Shotboi.t, Esq. George H. Brown, Esq. ELECTIVE DIRECTORS: A. VVfLsoN, Esq. Wm.liam M. Chl'dlev, Esq. J. SruART Vates, Esq. Joshua Davies, Esq. The new Board held their first meeting on July 8th, when the following officers were elected : it;771i) Joshua Davies, - George Byrnes, Wm. M. Chudley, President. Vice-President. Hon. Treasurer. The Board re-appointed Mr. H. M. Yatej* as Secretary, A letter was received from the Hon. J. S. Helmcken, M.D. , pointing out the necessity of erecting" a Maternity School, and the question of caring for maternity cases, has been in some shape or other continuously before us during the whole year. The want of funds appears to be the greatest difficulty in furthering this object. The consensus of opinion, however, would indicate that the Directors favor the erection and maintenance of a Maternity Ward, as a separate institution, located upon the Hospital grounds. In the meantime, the nurses receive practical training in obstetrics, as part of their regular curriculum, and the Direct- ors have made satisfactory arrangements with the management of the Maternity Home, for graduated nurses to receive further obstetrical training. On August 9th, a special committee of the Hospital Board met His Worship the Mayor and Board of Aldermen, and dis- cussed hospital matters. It was suggested that the manage- ment of the City Isolation Hospital be transferred to the Jubilee Hospital authorities, with the view of economy and efficiency in administration, the city to pay running expenses. The sugges- tion apparently met with the approval of the city authorities, but the 1895 Coun'cil could not see their way clear to meet the necessary outlay. . The Directors asked, that certain necessary alterations and additions should be made to the City Isolation Hospital, that the city provide electric lighting, steam sterilizer and laundry, suitable for both institutions, besides to grant sufficient funds to pay the indebtedness of the Hospital. The Directors also asked the Board of Aldermen to make a further grant to enable the Directors to transact the business of the Hospital on strictly cash principles. The principle embraced in the suj^i'j^estions was approved by Mayor Teaj^iie and the Aldermen present, but an opinion prevailed that the full cost should be estimated, before the cit? committed itself, and while the funds mijj^ht not permit of j^'oing the whole leng-th of the improvements, part mij^ht be undertaken. The new Board should prepare a full estimate as to the cost and continue to press the matter to a successful issue. It will be necessary in preparing- this estimate to ascertain the actual cost to the city, in conducting the Isolation Hospital, and the number of patients treated. I am of opinion, that much ot the extra grant needed to carry on the work of the Jubilee Hospital, on the lines indicated by the special committee, can be saved by the city, if the man- agement of the Isolation Hospital be placed in our hands, and the present cost of carrying on the Isolation Hospital be paid in to our treasury. I have endeavored to ascertain the total cost of the main- tenance of the City Isolation Hospital, and the number of patients treated during the year, and have been furnished the reports for the years 1893, 1894 and 1895, but they do not con- tain the information required. The only figures of interest in this connectitMi can be found on page 79B, of the 1895 Report, under the heading " Board of Health," wherein is shown that $16,891.86 was paid out; $5,000 of which was the grant to the Provincial Royal Jubilee Hospital for the year ending 31st December, 1895. The city has con- tributed nothing since, nor have we been able to ascertain what grant the Corporation of the City of Victoria intend to make. To the Directors repeated enquiries, both to His Worship Mayor Beaven and the members of the Aldermanic Board, the invari- able answers have been: "The estimates have not been passed, and until they are, we cannot positively say." As the Provincial Lej^islature, however, has voted two thousand dollars in addition to the usual $8,000, on condition that the City of Victoria ^rant the Provincial Jubilee Hospital not less than $5,000, the city estimates will likely be at least that amount. It must be apparent to the Directors, that it would be conducive to the interests of the Hospital that the Board should at the begin- nin};^ of the year know definitely what the grant from the city will be. As it is now, five months have elapsed, and no informa- tion has yet been given. In this connection, I desire to call your attention to another feature of our unsatisfactory financial condition, and in respect to which I ask the Directors to join issue with the city authorities. The power given the jity to levy a rate for health and hos- pital purposes, I am sure, was voted by our representatives in the Legislative Assembly, under the idea that the Hospital would receive an equitable share, and I submit that $5,000 out of the money collectable under this special rate is not a fair pic- portion for the number of V^ ictoria free patients cared for at the Hospital, the maintenance of which has cost upwards of nine thousand dollars. My impression has been, and is still, that fully one-half of the amount received under the Health By-law should be the city grant to the Hospital, and a sum not less than six thousand dollars per annum, in monthly payments of five hundred dollars, should be guaranteed the Hospital, and the balance due under the rate as collected should be paid to our institution. Our citizens expect the Directors to have our Hospital maintained to its full capacity, thoroughly equipped and ready for any emergency, and to do so our Aldermanic Boards should allow the Directors, whoever they may be, to carry on the work as their experience and best judgment may direct, and not con- tinually harass the Directors by attempting to introduce changes that cannot possibly be for the benefit of the Hospital. .^«^t& The Directors have considereJ as of paramount importance the efficiency of the Hospital and its treatment of patients. Every other question has been subordinated to the attainment of this object, and the Directors submit tliat this purpose !ias in some measure been accomplished. To attempt to carry on the work of the Hospital by con- tinuously making changes in the attending physicians ai^d sur- geons, may be good for the professional men in their practice, but in the opinion of, I believe all of you, it would not be in the best interest of the Hospital, nor add to the well-being of the patients to make such a change. PAINTING AND REPAIRS. There has been little done during the past six years towards keeping the buildings repiiired and painted, and many hundreds of dollars must be expended during the coming year upon both the interior and exterior of the buildings, to preserve them. THE OLD MEN, not lit subjects for our Hospital, are now being cared for by the Provincial Government at the Home at Kamloops. HOSPITAL SUNDAY has been permanently fixed by the Directors on the Sunday fol- lowing Thanksgiving Day of each year. FRENCH HOSPITAL. On December 9th, 1895, an application was received from Mrs. Walkem, to rent the " Maison de Sante " for the purpose of establishing a home for aged and destitute women. The Board of Directors in response, and acting on the advice of its Committee, gave free use of the property for six months, from ist February, 1896; after which time Mrs. Walkem and 8 her associates were to meet the Directors and make further arrangements. There seems to be a decided partiality in the care the corporation gives to men as against women. It is to be hoped the philanthropic ladies, headed by Mrs. VValkem, may succeed in impressing upon the corporation of the city, that the old women should have at least equal, rights with old men, and that the paternal care of the City Father's slxould be extended in that direction. NURSES. On December 30th, Nurses Jessie Grady, H. E. Graves and B. L. Routledge graduated, and received their diplomas. The former obtained 90^ per cent., winning the gold medal, and in consideration of the high standing of Nurses Graves and Routledge, the Directors presented them with silver medals, similar in design to the gold one. Nurse Ethel M. Ferris completed her term on Sept. 20th, and the examinations having taken place previous to her two years, the Board withheld her diploma until the completion of the full two years service. LADIES AUXILIARY. This Committee have handed to the Hon. Treasurer $330.00, the proceeds of their annual ball, as well as the donations of $50.00 from Messrs. Robert Ward & Co., Limited, and that of Mr. Van Lokeren, France, who continues to send his usual $50.00. I have been requested to again bring to the notice of the Directors, that it is the wish of the Ladies Auxiliary, that hereafter the net amount of all monies collected at their enter- tainments shall be specially devoted to some specific object, and I am further notified by Mrs. S. Dalby, Secretary -Treasurer, that the sum of $321.20 is now on hand which they desire to have expended towards equipping the 'Pemberton Operating Room," and they will be pleased to undertake its full equipment during the coming year, if the sum required is within their reasonable efforts. ^e further ity in the . It is to Walkem, city, that old men, extended The Ladies Auxiliary have given many pleasant, inexpensive entertainments during the year, most all of which were well attended and tlioroughly enjoyed by our young citizens, and I but express the wish of the Directors in tendering our warmest thanks to Mrs. A. J. Smith, the indefatigable President and her co-workers for the interest they have always taken in promoting the welfare of our institution. THE KING'S DAUGHTERS . Graves liplomas. i medal, aves and medals, 3t. 2oth, her two letion of continue to take much interest in hospital matters, as evidenced by the care of their bed and cot, their visitations and floral offerings to the sick. DR. W. A. RICHARDSON, our Resident Medical Officer, has been zealous in his attention to the patients, skilful in his ministrations to those who require his services, and alike possesses the fullest confidence of both the medical men and the Directors. Your attention is specially directed to his able and exhaustive report on the work done, and details of management under his direction. '330-00, tions of that of s usual otice of ■y, that ■ enter- ct, and asurer, sire to ^rating ipmenf I their MATRON MISS MACMILLAN, has been attentive to her duties, and the Directors can only have praise for her good work. The many kindly expressions heard from patients during the year, indicate that her many unobtrusive actions are fully appreciated. THE TRAINING SCHOOL for Nurses, under Miss Macmillan, continues to give every satis- faction, the young ladies graduating with marked ability, and being eagerly sought after by other institutions. The graduates from our School are now employed in New York, San Francisco, Portland, Victoria and Vancouver, and from all accounts have proved themselves typical and worthy of the competent training- given to them by our medical men and Matron. The number of visitors who sij^ned the register between the ist June, 1895, and 31st May, 1896, inclusive, were as follows, viz.: On week days, 4,231, and on Sundays, 2,278, a total of 6,509. Daily average for week days, 13.47; Sundays, 43.8; or an average daily attendance of 17.78. Ill III il The following is taken from the Doctor's Register, showing the visits made by our medical men and recorded. VISITING STAFF. Dr. J. C. Davie, Surgeon, -------- 338 Dr. Edward Hazell, Asst. Surgeon, ----- loi Dr. A. T. Watt, Registrar, 94 Dr. O. M. Jones, Physician, - 222 Dr. J. A. Duncan, Asst. Physician, ----- 7 Dr. R. L. Fraser, Registrar, - - - - No record Dr. John Lang, Oculist and Aurist, - - - - -115 Dr. McKechnie, Pathologist, ------ 2 CONSULTATION STAFF. Dr. J. S. Helmcken, ------- No record Dr. E. B. C. Hanington, (out of city several months) - I Dr. J. D. Helmcken, ------- No record Dr. G. L. Milne, 44 Dr. I. W, Powell, Absent from city Dr. W. Redmond, ----------- 17 VICTORIA MEDICAL MEN. Dr. Crompton, Coroner, --------- 2 Dr. George Duncan, Victoria Health Officer, - - 5 Dr. Ernest Hall, 22 Dr. Frank Hall, 4 Dr. Holden, 2 Non-resident Physicians, -------- 19 II Many of the medical men forget, neglect or decline to register their visits, so that in many cases the register is not an accurate record.. The Directors would be pleased if the medical men would record all their visits, so that the record may be exact. * Drs. Hazell and McKechnie have left the city. The former always took an active part in hospital matters, and was ever ready to give his assistance, for which the Directors are thank- ful, and express the hope of his success at his new home in Seattle. Dr. McKechnie had hardly entered into his duties as Pathologist, when he removed to Vancouver. The Directors shall always be pleased to hear of his professional and personal success. During the year ending 31st May, 1896, there have been held twenty-eight Board Meetings, the attendance being as follows: Brown, 20, Braverman, 19; Braden, 4; Byrnes, 14; Crimp, 19; Chudley, 17; Davies, 27; Dwye-, 24; Flumerfelt, 5; Hay ward, 15; Helmcken, 14; Pemberton, 5; Shotbolt, 17; Wilson, 27 ; Yates, 19. The visits of Directors to the Hospital to 31st May, 1896, as recorded in the Directors' Register, were: J. Braden, o; I. Braverman, 11; G. H. Brown, 53; Geo. Byrnes, 1 1 ; W. M. Chudley, 18; J. L. Crimp, 21 ; Joshua Davies, 38; W.J. Dwyer, 15; A. C. Flumerfelt, 7; Chas. Hay ward, 15; H. D. Helmcken, 6; F. B. Pemberton, 3; Thos. Shotbolt, 6; A. Wilson, 34; J. S. Yates, 11. Total, 249. HON. J. S. HELMCKEN, on February loth, having resigned his position from the Con- sulting Staff, was asked by the Directors to reconsider his deci- sion to retire, and on the 27th of February his resignation was accepted with regret. 12 PEMBERTON MEMORIAL. On May 15th, the corner stone of the Pen]berton Memorial Operating" Ward was laid* and this useful addition will be ready for service during the year. Particulars of the ceremony will be found in the Appendices. ;i!n HONORARY TREASURER. I would advise that in future the duties of this officer be limited to depositing all monies in the bank, and countersigning cheques, and all accounts and books be hereafter kept by the Secretary as part of his duty. DR. J. LANG was one of the unfortunates so severely mjured by the Point Ellice Bridge disaster, that death resulted. The late Dr. Lang was our oculist and aurist, and during the year was successful as well as skillful in the care of the patients ne>. Jinghis services. The patients in the Hospital will miss his whole-souled good- ness, and the Directors express the greatest sympathy towards his wife and young family at their bereavement. ARION CLUB. The Directors have much pleasure again in thanking the Arion Club for their Christmas Concert at the Hospital, so much appreciated by the patients. THE PRESS. The thanks of the Board are acknowledged to theT ^'inist. Times and Province, for their ^imely and kindly notices. The Directors again thank their Consulting and Visiting Staff for their attention, and congratulate them on their con- tinuec* success. lii )n Memorial /ill be ready remonv will '3 The Directors duringf the year have acknowledged through the press the receipt of numerous gifts of fruits, flowers and other articles at all times acceptable, and now express thanks to our many friends for their kindness. > officer be itersigning x> — 10,000 00 6,150 75 7 68 12 00 226 00 211 45 330 00 517,058 52 0. By EXPENDITURES. Secretary, 12 months $ 600 Medical Otticer, 12 months 1,500 616 480 1.592 270 540 540 129 1 60 Matron, " House Steward, " Nurses and I'rohalioners, 12 months Housemaids, " Wardmaids, " 2 Female Cooks, kitchen, " Kitchen Helpers, " Furnaceman, 8 " Laundrymen, at new laundry, 6 months 261 Kxtra nursinjj at Maternity Home 25 Extra help (cooks in kitchen) .... 3 Hall Porter, 12 months Ij6 00 00 60 00 60 00 00 00 00 00 35 00 05 00 " Drug account and medical appliances " Meat account " Wood " " Coal " -$ 6,853 60 940 76 987 01 '23 227 40 70 " Furniture Account " Sundries, supplies account of domestic articles, tools and utensils for kitchen " Instruments, with freight and duty ' ' Telephone rent " Linen and dry goods " Fish, fruit and vegetables 98 267 48 97 " Soda Water ' ' Bread account " Hauling account, coal and wood ' ' Freight on coal 71 35 01 90 " Milk " French Hospital: Fire insurance .... City taxes for 1896 Scavenger 351 10 121 14 243 95 256 75 40 00 704 28 366 45 47 25 201 20 106 91 963 34 30 57 7 00 00 00 " New wash house and fixtures . " Auditor's fees, 1894 and 1895. Carried fo'-ivird 94 00 241 50 50 00 $12,569 24 iilli'i i8 Ihou^ht forwcitil Hy Law cosls " Ilinise Steward : June and July, 1895 Fruit account, etc. — Christmas, 1895, expenses .... Coal tickets, weijjhiny, etc Lime (Iroceries Coal oil Wines, sj^rits and stout I'etty expenses — I'ostage on annual reports and Hanks expenses on checjucs Washing ■ Drainage I'ainting Repairs . .• Printing and stationery Silver wire Typewriting Annual Reports and Statement for 1895. . . Llectric b^lls and repairs Building alterations and additions City water Chimney sweepers Fire insurance Undertaker •. Medals for Nurses Scavenger Treasurer, keeping hooks and accounts, hy order of the Board Balance cash at Bank $517 85 Less cheques issued and not ca.shed 422 30 $ 12,569 24 26 83 64 66 14 98 79 64 9 90 10 75 1,846 52 217 65 44 50 '5 55 898 13 9 90 ij- 13 39 08 169 21 250 10 10 00 II 80 27 75 72 80 35 61 5 00 203 20 34 00 18 cx» 126 64 Net. Balance in Treasurer's hands . 95 55 20 26 250 00 IIS 81 $17,058 52 UABIUTIES-31st MAY, 1896. To Sundry unpaid accounts, as per list $ 9.047 II J ill 1 $12,569 24 26 83 79 64 9 90 'o 75 1,846 52 217 65 44 50 '5 55 898 13 9 90 169 21 250 10 10 00 11 80 27 75 72 80 35 61 5 00 203 20 34 00 18 00 126 64 250 00 115 81 [7,058 52 9,047 II »9 COST OF LAND, BUILDINGS AND EQUIPMENT TO DATE. Cost i)f liuid ( IQ'2 acres) $ 6,702 50 " Construction, as per statement 31st May, 1894. . . . 69,3X5 19 " Kiirnishinj;, as per statement 3ISI May, 1895 $19,265 64 " I'urcliase of furniture, tools, etc., and instruments for this year 621 63 19. 887 27 French Hospital property (assessed at) 3,600 00 $99,574 96 What for. (Irocenes 5 Coal 5' 53 Fish, fruit, [loultiy, etc Bread 55 Milk account 58 LIABILITIES 31st MAY, 1896. L. Foliii. To Whom One. Krskine, VValK\: Co $ K. Dunsmuir I'v: Sons I). K. Chunijranes McMillan Hros Kvans iV Hohhs $594 67 Less refuse, 1895-96 12 00 Linen and dry ^oods. . Tinware, repairs, etc. . .Sup|)lies, etc Drainage . Soda water Druj^ account In.struments Oakum .Stationery, etc .Sup])lies Telephone rent Klectric hells, etc .... City water Instruments repaired. . Meat account Printing, etc Chimney sweep Drug account Scavenger and hauling coal 60 62 63 64 65 67 68 68 69 69 70 72 71 74 75 76 78 80 81&90 J. I'iercy iV Co A, .\: W. Wilson VVciler liros J. A. Silver i<: Co Christopher Morley Moore & Co . ; S. B. Chandler Stevens & Sons r. Mc(,)uade .K: Son . . T. N. Hihhen ^: Co R. A. Brown & Co V^ictoria and I'^. Telephone Co Cunningham iS: Co ... . . . . Corjioration Water Account . . M. & H. A. Fox L. Cioodacre Times Publishing Co William Neal ... . . ^ . . . . Langley & Co 81 Julius We.sl. .\moiint. 1.970 58 1,006 54 '59 J3 210 21 582 67 529 73 225 58 269 69 11 80 54 00 771 00 44 '« 24 30 87 55 05 13 45 8 00 5 05 92 i7 7 32 1.346 72 22 10 12 50 I 80 . 54 22 Carried forrvard . .$ 7.478 86 What for. L. Fi.lio. Jiron,i;/t( j'onviinl . . To Whom Due. Medals 82 I'aintinj;, etc 83 84 85 86 86 X7 88 LiiiLMi and dry goods. Ice Disbursements Stationery, etc Baths, etc., repaired. Printing, etc Supplies 89 Repairs 90 Kxpressage 90 Lights 90 Repairs 90 Messengers 90 Drugs 90 Soap .... 90 Music hire 90 Printing, etc 90 Rejiairs 90 Lime account 90 Ambulance rejiairs .... 90 Hauling coal Instruments 9 Vegetables 92 Instruments 93 Washing 94 Scavenger 97 Petty exp's, postage, &c 98 Splints and iron 99 Wood account 99 Challoner iV Mitchell Robert Lettice Lenz & Leiser H. C. Cold Storage and Ice Co . Robert Jenkinson C. Braund «.V Co Braden Bros ... Colonist (JtVice Nicholles & Renouf J. P. Burgess Kxpress Co Auer Light Co ... , R. Drake B. C. Telegraph Co., Messengers, Ac. D. E. Campbell , B. C. Soap Works M. W. Waitt li< Co Province Publishing Co . James Waites J. Wrigglesworth T. M. Brayshaw J. Haggerty Lyman, Sons iX: Co Sam Kee. G. Triemann & Co Victoria Steam Laundry Thomas Reagan Wm. M. Chudley John Meston J. E. I'ainter .'Vmount. $ 7.47« .^6 86 50 72 44 360 02 9 66 194 91 3 00 31 61 108 40 18 56 22 58 I 00 6 00 9 75 4 00 2 50 I 00 3 00 78 30 4 00 5 30 •4 75 46 35 42 10 97 34 61 68 141 65 83 30 7 85 lO 00 91 00 Total liabilities $ 9,047 1 1 ^ ai oo oo 75 oo 50 Amount. ..$ 7.478 86 36 SO 72 44 360 02 9 66 194 91 3 00 31 61 108 40 18 56 22 58 I 6 9 -• 4 2 I 00 3 00 78 30 4 00 5 30 '4 75 46 35 42 10 97 34 61 68 141 65 8330 78s 10 00 91 00 $ 9.047 II RESIDENT MEDICAL OFFICER'S REPORT. T/tc Pn'sidvnt and Board of Directors Provincial Royal Jubilee Hospital : (lENTLEMEN, — I have the honor to submit my Sixth Annual Report for the year ending May 31st, 1896: The estimate I made as to the probable cost of the main- tenance of the Hospital, $20,000.00, has not been exceeded. The total cost on all accounts was $19,989.08, apportioned as follows: Salaries, ------ Food, Drug's and Dressing's, - . - - Surgical Instruments, etc., Ale, Wine and Spirits, - - - - Soda Water, --.--. Ice, ------- Fuel, ------- Water, Insurance, ------ Scavenging cess-pit, - - - - Sweeping chimnies, - - - - - Furnishings and Repairs, - - . Linen, ------. Printing, ------ Office Stationery, - . - - . Advertising, . . - . - Telephone rent, - - - - . Repairs to Buildings, - - - - Laundry by contract (5 months) Building and equipping Laundry, - Sundry small payments — car fare, messen- gers, stamps, etc., - - . . $6,840 28 ^^459 08 1,874 93 302 00 lOI 20 64 50 25 01 I. '45 53 122 3^> 180 00 200 00 «9 10 420 45 365 7' 179 30 ^5 70 54 90 48 00 215 49 384 16 353 98 97 75 $19,989 08 ill:; 22 HI ! The total days stay ot all patients was 12,833 days, making an average cost per diem of $1.55 foi' each patient. The days stay of private ward patients was 2,184 days, amounting at $15.00 per week, to $4,680.00. These were also charged $1,103.30 for extras, making a total amount of $5,783.30, which may be taken as the cost incurred on behalf of the private ward patients. If that amount be deducted from the total >. ost of mainten- ance, $19,989.08, it gives the cost of maintenance of the general wards at $14,205.78. The days stay of the public ward patients was 10,649 days, or an average cost of $1.33^ per diem, for each general ward patient. The patients paying $10.00 a week amounted to 1,427 days, and were charged $2,038.55 for board and care, and $56.75 for extras ;.a total of $2,095.30. Deducting the total amounts charged all paying patients from the total cost of maintenance, there remains an approxi- mate cost of $12,110.48 expended on free patients. The free patients from Victoria City totalled 6,750 days. At the estimated cost of $i.33}'3 per day of general ward patients, their cost amounted to $9,011.25. For this expendi- ture the city contributed nothing during the past year. I would draw your attention to the large number of paying patients from places outside Victoria. I also wish to direct your attention to the number of patients charged $5.00 each for anaesthetic, amounting to $495.00. This amount is collected trom patients anaesthetized by myself. There has been a large number of major operations per- formed during the year. The salaries averaged 53c. per diem to each patient. 23 Drufj^s and dressings averaged i^YzC. per diem for each patient. , Food averaged 28}^c. per diem for each inmate, including staff and patients. This was divided as follows: Groceries, - _ - 9J2 cents Bread, - . - . - ly. - Meat, - - - - Milk, - - . . - 4 4 ■ 3 Poultry, Game and Fish, I Vegetables and Fruit, - 3 - 2Sy cents Lighting cost about $1*28 per night. Washing, by contract, averaged for 5 months, $76.83 per month. Washing in Hospital, averaged for 7 months, $70.00 per month. In addition to this lessened cost, we are enabled to get more washing done, and save bandages, etc., which other- wise were destroyed. The expense of cleaning the cess-pit is necessarily large, and would .. ;t have to be incurred if the Hospital was provided with proper drainage. $182.00 was collected from paying patients for extra fires. The fuel account is large, but on account of the plan of the Hospital, it cannot be reduced. The items of expenditure which admit of reduction, are: Scavenging, $200.00, and linen destroyed by laundr}- contract, 8*75.00. In the expenditure for the year are included insurance, 3 years, $180.00; surgical instruments, $302.00; building and equipping laundry, $353.98. It is unfortunate that more room cannot be provided for pupil nurses, as at times the nursing staff is very much over- worked. 24 The private rooms were not as well filled as in former years, but this is probably due to the economy which has to be practiced by patients, owing to hard times. All the members of the staff have discharged their duties faithfully and well. Our best thanks are due to those who have donated books, flowers, etc., to the patients, and especially to the Flower Mis- sion for their constant and unfailing attention to work they have undertaken in keeping the wards beautiful with fresh flowers. No storms or other obstacle seemed to affect their regularity, and I assure them that there are not words to express the grati- tude of the patients, whose suffering and loneliness is thus relieved, nor the pleasure it always is to the staff to have the Hospital made so pretty and bright. The Operating Room is nearing completion, and when finished will require an expenditure of about 6)500.00 for equip- ment. I trust means will be forthcoming to provide for this thoroughly well. The Training School continues to flourish, and I desire to thank the medical gentlemen who have contributed to the lectures. Four nurses graduated during the year. All our graduates are doing well in the practice of their profession. I have the honor to be. Your obedient servant, W. A. RICHARDSON, M. B., Resident Medical Officer. Victoria, June 29th, 1896. ormer years, be practiced their duties lated books, Flower Mis- rk they have 2sh flowers, r regularity, ss the g-rati- less is thus to have the 25 NUMBER OF PATIENTS ADMITTED DURING YEAR. Number of F'ree Patients 191 " French Benevolent Society 5 " Pay Patients (ai $10 per week 66 " &$1S " 105 * Number of Male Patients 253 " Female " 114 Patients in Hospital, ist June, 1895 43 " admitted durinjj year 367 Patients discharged during year to May 31st, 1896 354 " who died " " " " 28 " in Hospital May 31st, 1896 28 367 367 410 410 and when 3 for equip- de for this NUMBER OF PATIENTS TREATED DURING YEAR. Ill-door Patients Out-door attendances. 410 510 MONTHLY ADMISSIONS, DISCHARGES AND DEATHS. I desire to he lectures, iduates are B., nl Officer. Month. Admitted. Dis- charged. Died. Patients Treated. Total Collective Stay ot Patients. Days. Daily Average. June, 1895 J"iy. " August, " September, " October, " November, " Deceml^er, " January, 1896 February, " March, " April, " May, " 32 32 36 33 36 31 25 35 22 32 23 30 30 35 37 32 37 31 21 24 27 31 24 25 354 I I 2 I 2 2 2 5 8 2 2 75 76 76 70 IS 65 57 69 62 59 49 53 1.369 1,251 I,2!I 1,072 1,316 1,015 1,019 1,223 S93 880 746 838 43-6 38.61 37.88 34 46 41.32 32 7 31 42 38 35 29.77 27 -35 24.1 26.32 367 28 1 1 1 IXiilyaver- 12,833 age for yr. 33 82 iilJJ 26 !i'i! i 95 96. ■ i Davs Stay. • Q\ w i-< N vO vn 0^ • vO I'l i-« 1^ p-i "" 1-1 ; rON N 1^0 rOP^QsO 00 PI OsOO Tj- rri PI 00 00 t^oo 00 PI J2 u 1 PI 00 ;: ! • r'l r^ rr f^ r^ fO PJ in N N PO ro PI rO PI ro PI 5- LY. 18 If ■ Q N N Tj- • • ■ . v5 vo ^ pj • • • 00 PI u 1^ OS N Z ^ 1 PI 1- Z > UJ 1 d ro" • • • PI 1 » 00 YS STAY 1 ..ro--"-" ir UI in 8 1 .c S Cy5 ■ VO 'I ro "-I Tf Tj- t^ ►- 1^ Q 00 moo "I 1-4 1 OS < Q ^ u^mfO'i-'tN^ >* Tj- '^ON rOOO OvI m 1 PI 1 QC •s > . rf Tt IT) r ^1 . N i/i PI ri r^ "1 PI On >nsO "1 .0 a 00 "J 'J E 4 ■ ■* i-O r^ TfOO fi PI r^ (^ ■* N PI 1 5 i • 1 i UJ UJ oe u. 2 u ■ « vo r<-) p) .o "ISO N M M « „ « « 00 On -< 00 "1 PI CM^ 1-1 PI - PI PI PI PI ■ ^ « fO Tf ro PI N Tt Tj- PI rn\D Tj- 00 NUMBER OF PATIEI u > • r^ u-ivo t-« M "- • '* "^00 C^OO vO t^vO lO^O ^ VO u-> OS m r^ '-I 5 « r^ .^00 »>, iTi ro m r^ 1/ ■r. If 1 1 ■ I PI Tt- P^^O 1^ t^ T}- OS PI ►- "I " "" "" " t^ Os " 00 00 H Z i) ..... '"'^ >>sf c-'- > V = s 30 00 'a, a »5 < > 00 N t » 1 J< ^ iO o > o J" , N ^ c ^O ON I w in I ^ N 1 00 so Tf I ■X. t-^ Ji \r\ il ■* N U fO CH < o M ro 00 '*■ ■r t>. Ji o u N lO ,4) ■,':i 28 DISEASES— Continued. iii:i Asphyxia a Asthma i Bronchitis, Acute 4 ' ' Chronic 5 Calculus of Bladder 2 Cancer of Liver Vl 3 Neck 2 " Tongue 2 " Vagina i Carbuncle 2 Cirrhosis of Kidneys i " Liver 2 Colic, Renal i Conjunctivitis 2 Constipation Contusion of Abdomen Arm . Back . Head. Hips. Foot . Leg.. Cyst of Breast " Eyelid (Sebaceous) 2 Cystitis, Chronic 3 Debility i Diarrhoea 2 Dislocated fibro Cartilage of Knee i Dislocation of Elbow i Dysentry, Acute 3 ' ' Chronic i Dysmenorrhoea ,_ 2 Ephysema of Lung i Endocarditis, Acute 1 '* Chronic f 11 Endometritis 2 Enlarged Prostrate 1 Epilepsy 1 Empyema of Pleura 2 Erysipelas, Facial 1 Eczema, General 1 ' ' Capitis 2 Fibroid of Right Broad Ligament i " Uterus I 29 DISEASES— Continued. 2 I 4 S 2 • • vi 3 2 2 I 2 I 2 1 2 I I I I I 1 I I I • •-... • '^ J I o I ] 5 1 2 I I • II 2 T I 2 1 1 2 1 1 ■1 l-'istula-in-Ano Fitcal Urethral i-'racture of Claricle " Femur " Fibula " Fingers ' ' P'orearm " Humerus Ilium Jaw ' ' Left OS Calcis Leg Potts' Ribs Vertebra ( lastiic Ulcer (lout ( hmima of Leg " Palate (ainshot Wound of Arm Axilla Foot " Rectum Toe Hemiplegia Hemorrhoids I lernia, Femoral " Inguinal " Scrotal " Ventral I lydrothorax Hyperthrophy of Liver Influenza Insanity . . Insomnia Kerato-Iritis Kidneys, Moveable Laceration and Erosion of Cervix. ' ' of Perina;um I.encoma Lipoma of Shoulder Locomotor Ataxia Luml)ago 2 4 4 I 4 3 2 2 I I I 30 DISEASES- CoxriM'Ei). Menf)rrhat;ia i Metorrhagia i Multiple Spinal Sclerosis 2 Myoclonus Multiplex i Myoma of Uterus I Necrosis of Carpus i •' Maxilla 3 " Phalanx 2 Tibia 3 Nephritis, Chronic 5 Neuralgia 2 Oo-jihoritis 3 Opacity of Vitreous i Osteitis of Radius I Ovarian Cyst 3 Paralysis, Arm i " Bladder i ' ' Cieneral 2 " Legs I Pericarditis I Perionitis, Pelvic 4 " Septic 3 Pharyngitis I Phthisis II Phy mosis 5 Pleurisy 6 Polypi, Nasal 1 Potts' Disease of Spine 3 Pneumonia, Bronchial . i " Chronic 5 ' ' Double 2 Pregnancy 4 Tubal 2 Prolapse of Ovary 3 " Uterus I " Rectum i Pyosalpynx 4 Retroflexion of Uterus 3 Rheumatism, Acute 8 " Chronic 3 Salpyngitis 13 Scald I Sciatica 3 Senility 6 31 DISEASES— Com isiED. I I 2 I I I 3 2 3 5 2 3 I I 2 I I 2 I I 4 3 I II 5 6 I 3 I 5 2 4 2 3 I I 4 3 8 3 13 I 3 6 I I I 6 Stricture of Colon " Pylorus ' ' Rectum " Urethral Synovites Purulent Knee 2 I I 2 Syphilis Tertiary Talipes equino-varus Tonsilitis Typhoid Fever I Tuberculosis of Elbow I ' ' ( leneral 1 " of Kidney i " of Knee I Ulcers. Varicocele Wounds, Contused . " Incised .. . ' ' Lacerated , " I'oisoned . '4 8 I 2 I I SURGICAL OPERATIONS. Amputation of Cervix uteri I ' ' Fingers 2 Thigh I Toe I Appendicectoniy 15 Circumcision 4 Colotomy 2 Curettage of Abscess, Arm i Axilla I Elbow I " " Fistula-in-Ano 2 Foot I Hip 5 " " Knee Joint a " " Periurethral 2 " Endometrium of Uterus 33 Excision of Adenoma of Breast i Bursa 2 ' ' Cervical Glands 2 Eyeball i ijtfinitiiii— J.I 33 SURGICAL OPERATIONS— Continued. m- iii! ^' Kxcision of Carcinoma of Xeck " Fibrocartilage of Knee " Inguinal Glands " Lipoma: " Nasal Polypi " Sebaceous Cyst " Tongue " Tunica N'aginalis Ligation and Excision, Hemorrhoids " " Varicocele Herniotomy, Inguinal ' ' Femoral '« Ventral Iridectomy Laminectomy Laparotomy for Fibroitl of Broad Ligament . " " Ovariotomy " " Pelvic Abscess '« " Rupture 1 Gastric Ulcer '« " Shortening round Ligaments . «' " Ventrofixation of Uterus. Salpyngectomy Necrotomy of Carpus " Inferior Maxilla " Superior " " Mastoid *' O. S. Calcis Phalanges Radius Tibia Nephorrhaphy Osteotomy for Talipes Paracentesis Thoracis , . . . Perinaeorrhaphy Trachelorrhaphy Skin Grafting Suture of Femur " Humerus '* Inferior Maxilla " Nerves Tibia " Wounds Urethrotomy << I I 6 I I I I 3 2 7 13 I 2 2 I I 23 I 2 I 3 I 2 I 2 2 I 2 I I 3 I 2 2 3 I I 2 I I I 2 i>l]i, 33 DEATHS. Ai'iiiu MndDcanlitis. Chronic " Aneurism of Aorata A|)|)fn(iicitis ^ ( "ancLT of Colon " Liver ., Neck Chronic N(.'])hrilis ( icneral Paresis ' I Ienii|ilejj;ia ( )varian Cyst Perforatetl (jastric Ulcer I'vthisis Tneunionia i'yo-salinnx. . . . Senile Decay. . . I I 2 2 I I I 2 4 I 2 I 28 RESIDENCES. Ainsworth . Alaska . . . -Vierl Bay . . Ashcroft . . . Balfour . . . . Barkerville Cascena . . . Ceylon .... Cheniainu.s . . Cohhie Hill. Conio.K .... Cowichan . . . Dun.cans . . . . Knclerhy Ksqiiinialt and District 8 Fort Rupert Haddington Island lloodsport, Wa.sh . Kaniloo )ps. Kaslo Kuper Island. Lake Di.strict Lowe Inlet . . Mcl'herson's , I 34 RESIDENCES— Com IN I Ki). Montana I Mount lA-nian I Nanaiino . . 3 Nelson I Okanat^an I Otter Point I I'tMidcr Island I riinnjier's I'ass ... 2 Port 1 ladlock i I'ort Sini|)S(in I I'ort 'I'owiisend 7 Kevelsloke I Saanich 9 Salmon Ann I Salt Sprinj; Island 7 San I uan Island I Seattle 2 Sidney Sonicnos Sooke Seai)oard. Steveston Union I I ■ 5 2 8 N'icloria City 247 " District 4 Vancouver 12 Vernon i Warkworth, Ont I Yale I 367 RELiGION. Baptist 6 Christian Church 2 Congregationn 1 3 Church of England 1 27 Confucian 2 Hebrew 4 Lutheran 15 Methodist 47 Presbyterian .' 68 Protestant 24 Quaker I 35 RELIGION— CoMiM'Ki). Kcfonm-d K|)is( (ijkiI Roman Catholic . . . Salvation Army . . . . .S|)irituali.sl Unitarian Not slated 2 46 5 1 I BIRTHPLACE. British Columlmi . Cliina Dennvark Kngland Finland I*'ranro (lermany Holland Iceland Ireland Italy Jersey Manitoba Norway New Brunswick Newfoundland Nova Scotia Ontario . Prince Edward Island ... Quebec Scotland , South America Sweden , United States of America Wales West Indies 367 55 3 2 108 I I , 7 I 2 21 6 I 3 2 6 7 12 25 3 7 36 I 6 44 6 I 367 PROFESSION. Agents 7 Architects I Bakers 2 Barristers 2 36 PROFESSION— CoNTiM El). Baitenders i Bricklayers i Carpenters 12 Clerks 7 Cooks 6 Domestics . . 14 Draughtsmen 3 Klectricians I Engi'^"ers 6 Civil 3 Farmers and Ranchers .' 19 Firemen 5 Fishermen ' 8 ( lardeners 4 Harnessmakes i Hack Drivers and Motorneers 4 Hotelkeepers 2 Housewives 57 janitors 2 I'Oggi-''"'* 3 Labourers 48 Master Mariners 3 Mechanics 8 Merchants 5 Miners 22 Physicians i . . I I Nurses . . . I'ainters . . . , (^uarrymen. Sailmakers . , 4 I Sealers 4 Seamen 1 1 Seamstresses 6 School Boys 6 " Girls 12 Shoemakers 2 Skin Dressers 5 Stonemasons 10 Tailor mors .... Teachers . . Tea IManters Waiters Xo occupation, including infants 35 367 37 MAINTENANCE OF HOSPITAL. I I . 12 • 7 6 • H 3 I . 6 • 3 • 19 • 5 8 4 I 4 2 ■ 57 2 • 3 48 3 8 5 22 I I I 4 I 4 II 6 6 12 2 5 10 3 I I 6 35 367 SUMMARY OF ACCOUNTS, YEAR ENDING MAY 31st, 1896. Sai.ariks Food : Bread $ 293 21 I-'loiir 48 69 . $ 6,840 28 (Groceries Bacon and Ham , 2,050 29 122 u Meat Milk Poultry and Game 1 18 07 Fish 106 1 5 Vegelatiles — Fresh 242 15 Fruit — Fresh 231 o;. Canned and Preserved Fruit & \'egetal)les 131 66 Chicken Ranch — Feed and Stock Birils 4, 341 90 2,172 60 1,926 46 1,129 94 224 22 604 84 59 12 DrUCS, DrKSSINCS, Sl'ROICAI. iNSTRfMKN rs ANH Ari'I,IA> CKS : l^i'gs $ 630 47 Dressing and Material for Bandages S48 01 Ft her and Chloroform 175 9' Alcohol and Methylated Spirits 132 28 Surgical Instruments and appliances 302 00 I )ruggists' Sundries 88 26 $2,176 93 Ale, Wine and Spirits loi 20 6,4S9 08 Soda Water Ice 64 50 25 01 Fl'KI., WaTKR, LKiHTlNC, ScAVKNtUNC. : Flki,- Coal, including freight, hauling and weighing 906 43 Wood, including cutting and splitting 203 10 Coke for Laundry, including hauling 36 00 190 71 2,367 64 1. 145 53 Carried fonvard $I>I45 53 $15,667 00 li' lii;' 38 Brought forward $!> '45 SI $I5>667 00 Water 122 36 LiC.IlTINO — Coal Oil 405 80 Lamps, wicks, chimneys, etc 63 85 469 65 Sc WKNdi.si; andChimnky SwEEriNC. 219 10 1,956 64 Fl'RMSH NC. AND REPAIRS: Hoiiie Linen, etc 365 71 Ut< nsils and repairs to utensils and stoves 312 94 Furniture and repairs to furniture 107 51 786 16 I'rp.tinc, Stationery and Advert.sing : Printing 1 79 30 Advertising 54 9° Office Stationery 65 70 299 90 Telephone Kent 48 00 Lnsurance 180 o J Sundry Smai.i. Payments ; (-'ar fares, Stamps, ^:c 97 75 Laundry as per Contracts, June to October, inclusive 384 16 Repairs to r>uii.i)iN(; : Repairs and additions 87 59 Painting and renovating, and glazing windows 80 94 Plumbing repairs 46 96 215 49 lv,)Uii MENT OK Laundry : McKillican & Anderson 240 50 A. & W. Wilson 81 58 Weiler Hros 25 50 Krskine ^i Wall 5 20 Vuen Lung i 20 $19,989 ot 5 53 $15,667 oo J 36 •65 I 10 1,956 64 786 16 299 90 48 00 180 OJ 97 75 384 16 215 49 $19,989 o/: APPENDICES. SUCCESSFUL NURSES. Diplomas and Medals Presented to the Graduates at the Jubilee Hospital. President Davies Gives Some Facts About the Usual Work of the Institution. The interesting- ceremony of presenting- diplomas and medals to the nurses who have just graduated took place at the Jubilee Hospital on the afternoon of Feb, 6th. Quite a number of people were present, including- several of the Ladies' Auxiliary of the Hospital, the Directors being- represented by the President, Mr. Joshua Davies, Mr. A. C. Flumerfelt, Mr. G. H. Brown and Mr. J. L. Crimp. Mr. Huft" was the sole representative of the Legislature and Aid. Williams o'' the City Council. The staflF of nurses in their uniforms, with spotless whiti caps and aprons, were g-rouped together in front of the audience filling the dining room, when the President, Mr. Joshua Davies, presented the awards to the graduates and made an address, touching in an interesting way on the good work tiiat t'le worthy institution is doing in Victoria. He said : Ladies and GENTLE^(EN, - By resolution of the board of Directors it becomes my duty to-day to address you and to pre- sent to the graduating nurses their diplomas and medals, and in the exercise of this duty I shall endeavor to spenk of matters of general interest to all who are actively engaged in Hospital affairs. I have on previous occasions presided at similar inter- esting proceedings, in -the course of which our old and respected 40 friend, the Hon. Dr. J. S. Helincken, has by request officiated. You are doubtless aware that the Directors by resolution invited Dr. Helmcken, Sr., to present the diplomas and medals on this occasion, and he, in his reply by letter declining the task, intimated that there "existed strained and estrang'ed relations" between him and (I must assume) the Board of Directors, and perhaps one or more of our medical men. I have reason to know that neither the Board of Directors nor any of the medical men have any other feeling- than that oi' loftiest respect for the good Dr. Helmcken has done and is still doing in the city, and all of us regret if we have to differ with him upon the question of conducting a maternity ward in conjunction with our Hospital — a subject he had set his heart upon. The question of obstetric nursing has been before the Directors at many of our board meetings. It has been a fruitful cause of discussion ; it has caused friction between the Directors ; it has leen reported upon by committees ; it has been referred to our medical staff, and after all this it was the concensus of opinion of the Directors a«. well as our medical staff, that for the present it was not desirable in the interest of the Hospital to increase the expense of maintenance hy introducing obstetric nursing, and so the Directors were reluctantly compelled to abandon the idea. During the time that the question was before the Board of Directors a most important report was presented by a special committee which among other suggestions recommended the building of an operating room. In this connection it was stated that it was an imperative necessity to improve the facilities of the Hospital by erecting an operating room and its necessary accessories, as the existing conveniences afforded our surgeons were not adequate. By reason of the newer ideas modern sur- gery now deals with many cases that formerly were considered as coming under the province of medicine only, and in the treat- ment of which our surgeon has been eminently successful. Such conveniences and facilities could be provided within the limit of the Pemberton bequest and gift. uest officiated, solution invited medals on this lin^ the task, g-ed relations" r3irectors, and I of Directors : than that of >ne and is still differ with him in conjunction •t upon. The ! Directors at itful cause of ;ctors ; it has iferred to our us of opinion 3r the present al to increase •trie nursing-, abandon the :he Board of I by a special imended the it was stated facilities of ts necessary )ur surgeons modern sur- e considered in the treat- ssful. Such the limit of 41 Vou will ag'ree with me when I say that a number of medical men and many ladies and gentlemen have given much time to hospital matters. I believe that a majority of these agree with the Directors in their collective wisdom, in deciding that the Hospital needs better operating facilities rr?ore than it does the building of an annex for the education of nurses in midwifery. I express the Directors' regret that our old, respected and tried friend, one to whom the Directors have delighted to pay rever- ence, has disapproved of the course the Directors have adopted. The disagreement centres upon the management and require- ments of the Hospital, a question which ought to and must be settled by the Directors. Dr. Helmcken must see it in this light, and I know he has too kind a heart to withdraw his good wishes from an institution with which he has been and 1 hope is still to be pr minently connected. I can assure him that so far as the Directors are concerned they cannot recogni/e that, there exists between them and him an} strained relations. I but express the desire of Mr. F. B. Pemberton that it is his wish that the money bequeathed by his father and supplemented by the gift of his mother shall be devoted to an object of a perma- nent nature, and he approves of the building of an operating room. I desire, however, to assure those who favor having a maternity ward upon our Hospital grounds that my opinion is that whenever funds are available for the building of a modern maternity ward in keeping with our present buildings, and the maintenance of which will not too severely add to our already heavy burdens, the Directors will be found a unit in furthering such an enterprise. A few words about the financial status of the Hospital. Orr: receipts per annum from all sources are as follows: Provincial Government, Sio,ooo; City Council, $5,000; pay patients, receipts (about) $6,000; from the Lad'es' Auxiliary and other sources, say $1,000; or a total of $22,000, while the yearly expenditure required to meet our liabilities totals, roughly, from $25,000 to $26,000, with nothing left to provide for repairs or additions, both of which are needed. The Hospital has therefore in three years accumulated a debt of some $9,000, and 42 must continue to increase this sum if our receipts are not aug- mented, or the directors will be forced to reduce the expendi- ture of the Hospital and thus curtail its usefulness, l he limited rojm at our disposal for the care of paying patients, does not offer much hope of a greater revenue from that source, nor can we ask the government for an increase of the yearly grant; but we might ask for a special grant from the Provincial Govern- ment in conjunction with the corporation of this city to pay our debts. I would draw your attention to the capacity of the Hospital and the relative comparison as between free and paying beds. The three open wards have a collective capacity of thirty-six beds occupied almost continuously by free patients. The avail- able rooms for paying patients number only lo, so that 78 per cent, of our beds are given to the poor. The experience of the Directors teaches them that they cannot rely upon receiving anything after the first week from patients occupying beds in the open wards. To increase our receipts from paying patients it would be necessary to build two wards of private rc^oms afford- ing the best accommodation to those who would be willing to pay for such service. By adopting the advice of Dr. Richardson, accommodation could be provided for nine patients paying ten dollars per week, he recommending the removal of the partitions between two of the present private rooms in each of the wards. If the Provincial Government and City Council would pro- vide the funds to erect such buildings, it would give beds earning $30, $25, $20, $15 and $10 per week, and by so doing would increase the earning capacity of the hospital and be true economy. We might ask that the city should purchase the French Hospi- tal, which would aid Mrs. Walkem and her lady associates in the establishment of the Old Women's Home and assist us to pay our debts. We might also point out to our city fathers that a method can probably be inaugurated and maintained so that the lighting of the City Hall, Fire Halls, Isolation and Jubilee Hospitals would be probably less than the sums now required to be spent under the present systems. We might also express the opinion that if the affairs of the city Isolation Hospital were 43 )laced under the management of the Jubilee Hospital, it would )e a saving to the city, and the affairs of the hospital would je better and more popularly administered. If the Isolation Hospital were under the one management and proper quarters jrovided for paying patients, few would object to even an imperative law requiring that all suffering from infectious [diseases should be taken to the Isolation Hospital. We might with justice say that the $5,000 paid to the [Hospital last year was not an equitable proportion of the sum [received and collectable from the special rate of one mill levied by the city for health and hospital purposes. We might say, too, that the Hospital cares for nearly forty free patients monthly, at a cost of upwards of $40 per day. We can with truth say that the Directors are a unit in using their best efforts to have the Hospital do the utmost good to the poor and 'afflicted. We can point with pride and assert with confidence that there is no eleemosynary institution under our government that has been so successful in its mission and done more good to our people. The Directors point with satisfaction to the records of the Hospital, which show that from June, 1890, to May, 1895, 1 , 100 free patients were treated whose average stay was upwards of twenty days each, and during that time 81,591 out patients were cared for at a cost to the Hospital of probably $35,000. They can tell you also that 2,048 patients were admitted during the five years ending May, 1895 ; that covering the same period hundreds of surgical operations were performed, not one of which was attended with fatality during the operation ; they can say, that there was not a single loss of life from the administra- tion of anaesthetics by Dr. Richardson; and it is problematical whetiier in any single instance death has resulted by reason of the operation. The Directors acknowledge with gratitude that during the five years Dr. Davie has been surgeon of the Jubilee Hospital, at no time day or night did he neglect or refuse to answer any 44 call. We all know he loves his profession, that politeness ami suavity at times must and do stand aside when critical operji- tions are enj^'a^ing^ his attention. These characteristics are pari of the man and possibly cannot be chanj^ed; but those who know him best, who have assisted him in his operations, bu they medical men or nurses, have only praise to utter at his skill, care and his tenderness; and the Directors acknowledge with pleasure that the brilliant successful professional career o1 Dr. Davie has g-iven to the Jubilee Hospital its great reputation, and you, our nurses, have gained your surgical experience from him and from our resident medical officer and matron, all of whom have been painstaking to educate you in your profession. In addition our medical men have one and all delivered lectures to you teaching you your duties, and if you fail it must be your own fault. I now address you upon the object of our meeting here to-day. It is one of much moment to our Hospital but ot greater importance to the graduates of our nursing school. To the nurses graduating I would say that to-day's exercise is the crowning point of your nursing education, and we signalize the fact by the public presentation of diplomas and medals. I am free to acknowledge that I had but a faint conception of the hard work that is necessary to fit one to become a fully qualified professional nurse, and I am constrained to say that you have fully earned your diplomas and medals. I have examined into the nursing duties required by our Hospital and find them wear- ing and wearying by the long hours on duty, exposed as you often are to danger, and I wonder how few break down and how little illness our nurses have had. The conclusion I have come to is, it must be that your energy and determination to succeed carries you through, coupled with the fact that our resident medical oflicer and matron insist on all obeying the requirements as laid down by our Hospital. The Directors congratulate Dr. Richardson, Miss Macmillan and our medical men upon the success that has attended the nursing school. The Directors are of opinion that our graduates will bear favorable comparison with the graduates of any other politeness and 45 [hospitals. This class of 1896, individually and collectively, have L'-aiiiod high marks in their examinations. Nurse Grady, the winner of the gfold medal, has obtained 90^ per cent. This [total has only been once excelled, when Miss Anderson in 1893 obtained 93I6 percent. Nurse Graves received SGj^ percent. iand Nurse Rutledge 85}^ per cent., both ladies exceeding- the minimum percentage fixed by the Directors to entitle any i graduate to the gold medal. The woman who chooses nursing as a profession must be sympathetic and courageous, of untiring energy, having a gentle nature and true goodness of heart, and •ibove all she must be obedient, so as to win the implicit confi- dence of those to whom her assistance is so invaluable. I have been told by those who should best know, that our graduates have been most painstaking in their duties, and on behalf of the Directors I extend to them our best wishes for their future and our heartiest congratulations on their success. I desire. Nurse Cirady, to call your attention to the first day when you took charge of the surgical ward ; you noticed a look of displeasure cross Dr. Davie's face and accosting him said, that you knew that he disliked new, untried and partly educated nurses in his ward, but that you would try and do your best to win his approval and to satisfy his most exacting professional requirements. His reply was, "Arid if you do succeed in your endeavors I shall regret your leaving when the time comes as much as I have some of your predecessors." I am permitted now to tell you, ladies, that you have been of great assistance to Dr. Davie, Dr. Jones and Dr. Richardson, and they regret that you are leaving the Hospital. The Directors are sorry that Nurse Graves is not present. Her diploma has been forwarded to her address and the medal intended for her will be sent to her. It is my duty and pleasure to hand you your diplomas, and the Directors hope that your success in private nursing may be satisfactory, merit- orious and profitable. You have won ihe good opinion of the professional men, the resident medical oflicer and matron with whom you have gained your knowledge, and they look forward with confidence to your professional career. I take much pleasure. Nurse Grady, in presenting you the gold medal, the insignia of \our high standing, and we trust 46 that it may remind you that the institution which presents it, gives it with the hope that the receiver will in the future, as in the past, gain praise and fame and be an honor to herself, her profession and our Hospital. I am pleased, Nurse Routledgc, that the Directors, recognizing the worth and ability of you anJ Nurse Graves, have personally provided the funds to enable the hospital to present each of you with a medal similar in design to that of Nurse Grady. Yours I now hand you ; both are of silver, but both are lettered in gold, emblematic of the golden opinion both have won while serving at our Hospital. We greet you, ladies, as professional nurses. At the conclusion of the ceremony the visitors * ere enter- tained at afternoon tea by the matron. An opportunity was also given &{ inspecting the different departments of the Hospital, tlu' neatness and satisfactory condition of all the wards showing the admirable order with which the interior economy of the institu- tion is regulated. 1| ■:.!)! ■1: .ill. 47 PEMBERTON MEMORIAL. Corner Stone of the New Operating Room at the Jubilee hospital Laid. A Beautiful Trowel Made from British Columbia Silver Presented to Mrs. Pemberton. The corner stone of the Pemberton Memorial Operating Room at the Jubilee Hospital, was well and truly laid by Mrs. Pemberton on Friday afternoon, May 1 5th, in the presence of quite a number of ladies and gentlemen, who had gathered to see the interesting ceremony. Among those present were : Bishop Cridge, Senator and Mrs. Macdonald, Mrs. Pemberton, Sir Henry Crease, Mayor Beaven and Mrs. Beaven, Mr. Joshua Davies, President of the Hospital; Mr. John Teague, the archi- tect of the building; Rev. Canon Beanlands, Hon. B. W. Pearse, Messrs. Thos. Shotbolt, W. M. Chudley, F. B. Pemberton, 1. Braverman, A. Wilson, George Byrnes, G. H. Brown, repre- senting the Directors; Mr. W. C. Ward, Dr. J. C. Davie, Dr. Richardson, Dr. Watt, Aid. Glover, Messrs. E. Bragg, A. E. Phillips, S. D. Schultz and others. Letters of regret were received from Bishop Perrin and Canon Paddon, who were unable to attend, as they were out of town. After an opening prayer by Bishop Cridge, the President, Mr. Joshua Davies, said: Ladies and Gentlemen, — We have assembled to honor the memory of one who bequeathed a sum of money to the Hospital in the following words; "To the trustees for the time being of the Victoria Jubilee Hospital, the sum of $2,000, with the expression of the hope that my name may in some way be asso- ciated with that institution." 4« The bequest indicated that he loved Iiis fellow man, and tin wish to connect his name with our Hospital I ascribe to thi satisfaction experienced in having ^iven larj^ely to its construc- tion. It was first suij^f^ested that the memorial sliould take tlu shape of a ward for maternity cases, and when it was ascertjiinctl that the sum at our disposal was not suHicient, our co-Director. Mr. F. B. Pemberton, placed the matter before his mother, and that lady by letter dated 6th February, 1894, offered to supple- ment the bequest of her late husband by a donation of $1,500, for the purpose of erecting a maternity ward in memory of her late husband, and to be named according'ly. The questions of our financial oblij^ations and inability to bear an extra outlay were subjects of much concern at our board meetint^s, and by resolution, an appeal was made to the Hon. A. N. Richards, Q. C, to ascertain whether ii\ his opinion a trust was created by the words of the bequest, and whether it was imperative that the whole sum should be devoted in somo way that would associate the testator's name with the institution, or whether the money could be used to pay tht debts of the Hospital. On the 17th of February, i8f Mr. Richards gave an opinion that the bequest was a trusi ^ that the Hospital Board could not properly use the legacy as part of the general funds to pay debts contracted in operating the Hospital. Upon the acceptance of the Hon. Mr. Richards' opinion, a resolution was passed accepting Mrs. Pemberton's generous offer. On thi 28th February, 1894, the Directors, by resolution, requested Mr. John Teague, architect, to prepare plans for a Maternitv Hospital, to be approved by Drs. Davie and Hanington. It was found that a Maternity Hospital could not be erected for the sum of $3,500, and on the 12th November, 1894, ^ Maternity School was suggested for the training of our nurses in obstetric cases. This proposition did not meet with the approval either of th<. Directors or Mrs. Pemberton. On the 5th of January, 1895, Mrs. Pemberton wrote to the Board stating that she would be happy to donate the amount named by her husband's bequest, to be applied * ' to the erection ot 49 anything that would be a benefit to our Hospital and a complete and lasting memorial." It was finally decided to erect an oper- ating room, and to-day we propose laying the corner stone of an edifice which we hope will add to the usefulness of our Hospital. The building of this operating room is the first structure of any monu ' since the present buildings were completed, and while the Directors entertain the idea that some day the Hospital lands will be dotted over with other buildings, including a maternity ward and medical college, the reali<;ation of this idea nifiy only come after most of the Directors have passed away, like my predecessor Alex. McLean, my co-director James Fell, or our late trustee and principal donor, Honorable Robert Duns- muir. Still happier prospects may be consummated, and the brighter outlook for the prosperity of our province may make men wealthy, and richer in thought in the direction of making provision for charitable objects. To-day's undertaking is intended as a lasting memorial to one who, among his last acts, left two legacies, one having in view the healthy recreation and physical development of our youth, the other possessing the equally laudable aim of ministering to the wants of the sick. The expression of the hope that the gift would in some way preserve the testator's memory was a sentiment, a wish, a direction as to the use of the bequest. The legacy gave tangi- bility to the sentiment, and, supplemented by Mrs. Pemberton's liberal gifts, renders the execution of the testator's desire an assured fact — an actuality, and to-day we are engaged in the erection of a structure selected by the Directors and accepted as suitable by Mrs. Pemberton. The sum at our command to be used in the building of the operating room is the largest single gift ever received by the Hospital, and comes at a time when it is greatly needed, and is therefore doubly acceptable. No better service could the money be put to than the erection of an oper- ating room, and the Directors will always keep it in readiness for the reception of those whose afflictions may call for surgical treatment. It is characteristic of the age that gifts are made by the state and by private individuals for the care of the sick, the 50 relief of distress, and the maintenance of the helpless and infirm. Let us cultivate this sentiment of giving heed to the needs of want, misery and affliction. Let us do all in our power to make provi- sion for all these charitable objects, and let the pride of our people be that our eleemosynary institutions, both in their construction and management, shall refl ct honor on our province. Let us develop, both in the old and the young, a desire to help those who need and deserve our care, and teach by force of precept and example the extent of our moral obligations to the aged, the poor, the helpless and sick. Example has much to do with our every day life, forming our character for good or evil, mak- ing us liberal or illiberal, kindly in feeJng and thought or the reverse, and perchance giving us some one or more good objects in life and in .he furtherance cf which objects we take much pleasure. Typical of the idea I desire to impress upon you, I may mention the education of the young as practised by the King's Daughters, who are taught to exercise their ow n talents, ability and labor, in making or doing something for those who need and benefit by their generous actions and work. While no doubt much satisfaction is experienced by those who bequeath to charitable objects, how much more must be the pleasure experienced by the donor who gives while living and who can designate the direction and select the object of tiis or her benefaction. Let wealth be used in the service of poverty and misery and during the lifetime of the giver. Wait not until death to give your bequest, but be your own almoner. The genius of the age and the teachings of our civilization indicate that all have a duty to perform, as witness the example of Johns Hopkins of Baltimore, of McGill of Montreal, and of men of our own time and during their living, of Leland Stanford of Cali- fornia, of Lord Mount Stephen aud Sir Donald Smith of Mon- treal, and Baron Hirsch, whose gifts were limited by neither race, creed nor clime, and tell me whether posterity will not remember with gratitude their benefactions, enrolling and praising their names and extolling their examples ? The only envy one should have for the wealthy is, that they can give. It should be considered that giving is a duty — that the wealthy owe assistance to the poor. It certainly should be a satisfaction ; 5' it should be a pleasure. Our Hospital has done much good, is still doing all the good in its power. It requires more earning power; it wants paying wards. I appeal to you all to assist the Directors, to aid them by provincial, municipal or private assist- ance. The sick require to be cared for, no matter whether times are good or bad, or money is plentiful or scarce. The plan of the operating room is of the latest design, its appoint- ments and furnishings are to be modern, and have been promised by our Ladies' Auxiliary, and as these ladies are con- stant and preserving workers they will succeed in their object. Mrs. Pemberton I have asked your valued services in laying this corner stone so as to give me this opportunity to thank you personally for your gifts, which made it possible to erect so desirable a room for the use of our surgeons. I desire to express my thanks and gratification by presenting you with a trowel, beautiiiil in design and historical in its construct!*^".. The blade was made from a silver brick presented by Mr. Andrew B. Hendrix, the ore having been taken from the celebrated Blue Bell mine and smelted at Pilot Bay, and its purity was stamped 999 fine. The base of the handle was made from matte, the product of the Silver King mine, and was presented by the Hall Mining and Smelting Company, Nelson. The vast argentiferous deposits of this mine drew the earliest attention to the wonder- ful mineral wealth of Koocenay. The gold ferule was made from the matte smelted at Trail and extracted from the ore of the Le Roi mine, one of the largest gold properties in the world, so that the trowel is made from metals exclusively obtained in British Columbia won from the three largest and best known mines in Kootenay, and smelted by the only three smelters 'vorking in the province. I am indebted to Mr. Joseph W. McKarland for the wood from which the handle was made. It is a piece of oak timber taken from the steamer Beaver, the first steamer to turn a paddle on the Pacific Ocean. I hope that this memento may be acceptable. I now ask you, Mr. Teague, to give directions, and assist Mrs. Pemberton in laying the corner stone of this structure, which is to be erected to the memory of Joseph Despard Pem- \\fW mat tutmmm bertcn, expressing the_^hope that when used it may prove a safe- guard to the lives of those needing it. I further direct you, as a wish from the Directors, that you place in the operating room a tablet of white marble, upon which you are to have deeply cut the word "Pemberton," and may the structure be a lasting memorial. Mr. Davies then presented to Mrs. Pemberton the beautiful trowel, on the silver blade of which was inscribed : "Presented to Mrs. T. J. D. Pemberton, as a memento of the laying of the corner stone of the Pemberton Memorial Operating Room. Provincial Royal Jubilee Hospital, May 15, 1896." Mr. John Teague placed in a receptacle under the stone a copper box, containing the Hospital Reports for 1894-5; Dailr and Weekly Colonist, and the Special Colonist of April 5th ; Daily and Weekly Times; the Province; the Queen's Birthday Celebration Programme ; copies of letters and proceedings relating to the Pemberton Memorial, the President's address, the reply op behalf of Mrs. T. J. D. Pemberton, and a fifty, twenty- five, ten and five cent piece. The stone was then lowered into place and plumbed by the contractor for the building, Mr. Thomas Catterall, and Mrs. Pemberton tapped it with her trowel and pronounced the stone well and truly laid. Mr. W. C. Ward, on behalf of Mrs. Pemberton, acknowl- edged the gift in the following words written by Mrs. Pemberton : " I must thank you, Mr. President, and your co-Directors, for this interesting and beautiful memento of the occasion of our assemblage here to-day, and sincerely trust that God's blessini^ may attend the work that will in future be done in this place." Mayor Beaven upon being asked to speak, made a few brief remarks. They must all admit, he said, that one great charac- teristic of the people of the Province was their liberality towards charities. Taking into consideration the smallness of the popu- 1i 53 ition in British Columbia there were very few places in the /orld where there were so many charitable and benevolent istitutions as in this Province. His old and esteemed friend, [he late J. D. Pemberton, who had remembered the Hospital |n his will and made this new building possible, was unostentati- )usly one of the most charitable citizens in Victoria. The speaker recorded with pleasure that he was personally cognizant [hat Mr. Pemberton not only on many occasions has given ?rally to charitable objects, but had also remembered this lospital. Aft^r the ceremony the visitors were entertained at after- ioon tea at the Hospital.