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This history of the Hospital for Sick Children, which em- braces the work of the origjinal hospital founded in 1875 and of The Lakeside Home for Little Children, the Convalescent Branch on Toronto Island, is given to the public so that they may not only be fully informed as to the work and its progress, but may be led to take an interest in aiding a cause that should commend itself to every man, woman and child in the land. This great charity is supported by the volun- tary contributions of the people of Ontario, aided by grants from the Corporation of the City of Toronto and the Government of Ontario, and from small beginnings has assumed proportions that make it one of the greatest charities, not only of the City and Province, but of the Dominion. On the principle of faith in an all-wise Providence, the Hospital work has, without the use of the ordinary methods necessary in other public charities, from a very humble beginning quickened and prospered, so that to-day it stands erect as a charity that, with arms outstretched, gathers into its embrace the sick and ailing little ones who, unfor- tunately, are to be found in stately homes and humble dwellings in great cities, and in different parts of the Province. The work of caring for sick children appeals to all ranks and conditions of people, and the hope is expressed that the story of the cause may prove interesting to the people of Ontario, through whose liberality the work has been so nobly furthered and sustained i ^ML THE HOSPITAI. FOR SICK CHILDREN. I CHAPTER I. WHAT MODRRN MKDICAL SCIEMOK HAS ACCOMl'LISHKn — THR INCEPTION OK THK WORK — THE FIRST HOSPITAL ON AVENUK STREET — PEN PICTURES OK TJIK LITTLE ONKS AND THEIR SURROUNDINGS. Of all the great charities of the world, oven those which appeal in strongest terms tor public support, what one has so great a claim on the sympathies of men, women i nd children as the charity that has for its care < he sick, destitute and friendless children, the little ones who, through miofoiiune. diseabj and poverty, cannot help themselves? In the olden days the profession discussed with vigour the comparative merits of the treatment of children in mixed wards with adult patients in general hospitals or in liospitals designed and equipped for children only. Tliis discussion led to the whole question Uoing thoroughly threshed out by eminent physicians and surgeons and by others interested in the work, the palm of v >tory being awarded to those who fought for special hospitals for this duty of looking afli;r sick children, and who exemplified their earnestness — as great- hearted men and women— by not only advocating but by erecting hospitals to meet this particular want. So strong a hold did the movement for special hospitals take on the medical men that in Great Britain some of the older hospitals set aside wards for the exclusive treatment of children, while others made the best use of the space at their disposal. It was urged by those who advocated special buildings for the work, first, that the mortality of children under ten years of age is only two per cent, less than it was fifty years ago, and that of 50,000 persons dying annually in London. England, '21,000 are children under tliat atre. Second, that general hospitals are inadetjuate to afford ac- commodation for sick children ; ana third, that hospitals for children are needed, be- cause the proper care of children requires special arranger.ients. That these modern ideas prevailed is to be found in the evidence of magnificent hospitals for sick children in Lon- don, Manchester (Pendleborough), Glasgow, Berlin, Vienna, and other cities of the old world, with the temples of the healing art in America, where wards are arranged for the treatment of children . Is it not reasonable to cherish the hope that many more such structures will rise in the air, within whose walls the little sufferers may find ease and comfort and, if not permanently relieved, have the advantages of a bright home, where gentle and loving hands will smc oth their tiny pillows and let a sparkle of sunshine into th:. lives of the little ones, who. perhaps, brought up under the shadow of povertj', have never heard a kindly „uid n^r seen a happy smile ? The study of the diseases of children is today m every land creating more interest among physicir^ns, and in all great centres of population we find eminent Uicn making a specialty of this particular branch of medical treatment, and well may it be so when we remember that one-third of the deaths in the worla are those of children under ten years of age. With unaccountable neglect and perhaps from lack of knowledge no public or systematic institution for the care of sick children was known until within the last half century. Now, however, every large city of Europe and of the Unite.! States has one or more liospitals devoted to the treatment of these little sufferers. Regardless of the fact that soience in every department of life has made gigantic strides within the last fifty years, and wonderfully stimulated medical knowledge and surgical skill, yet the mortality of children has but slightly decreased, and therefore the absolute necessity for the institution of the children's hospital is paramount, and this necessity is not only becoming recognized, but the recognition is followed by the erection of buildings that could meet to the demands of modern civilization, and give modern medical science an opportunity of asserting itself in giving health and strengiih to the little ones who n.re stricken by disease and pain. The first General Ho'spital in Toronto was erected shortly after 1812, near the corner of King and John streets, under the superintciuleuce of Dr. Grant Powell, and in this The Hojpital for Sick Children, "^^^^^^"^^^^^^P THE FIRST HOSPITAL ON AVENUE oTREET, ^Mt^M HiMlBaaM Colley-1 Street, Toronto. 7 buildinji, which was ill use until 18r)4, althoi;j{li intended only for adults, children were treated, hut only sucli cases as were not chronic. In 1855 the new (ieneral Hospital on Oerrard street east was opened, and, as far as the facilities could afford, children were taken in, principally, however, accident cases, or those who could be permanently relieved. There was no children's hospital until sixteen years ago, in 1875, when Alra. S. F. McMaster, Miss Knapp, and other la des of the city determined to establish such an in- stitution. The entire work was founded on the principle of simple faith, and all sub- scriptions were to be voluntary. They secured the gratuitous services ot leading physi- cians and surgeons, and un ;er their care a commencement was made, and the flame of a humane work Icindled that will never while time lasts be extinguished. On the 19th of December, 1874, a contribution, consisting of some English coins, was given towards the establ'shment of a Hospital for Sick Children in Toronto, and, the project being noticed in the daily press, an anonymous letter from Fergus, Out., arrived, enclosing $20 " for the sick little ones." Tliese were the firot contributions, and well may it be said that out of small beginnings what mighty works are acom- plifchiid ! If ever the newspaper press carried a goodly message, it was when it made known to the Canadian people that such a merciful work was about to be inaugurated. Curious, and at the same time pleasant, it is to look back on the list of donations and the reasons many of the kind friends had for sending aid. " A few little boys, on hearing of the Hospital for Sick Children, sent 15 cents." Bless their little hearts for their precious n.ite, for what could be more fitting than to have the help of the brothers anod hears and answers prayer, and ihe building stood out as a protest agai ', the inn»ielity and scepticism of the world. The opening prayer was offered by the Rev. R. VV. Greene. After singing the hymn " Simply Trustiii;'," Rev. Dr. Potta apok'i of the work and the mode of its accom- plishment, " Simple Faith" being the motto. The hymn " At Even when the Sun was Set," v..vs sung, and, after a few encouraging words from the Rev. Dr. Castle, the Rev. J. M. Cameron offered the "Dedication Prayer," ^Bolemnly setting apart the building and those engaged in the work to the service of God. Hon. Mr. Justice Patterson mrale a financial statement regarding tlie purchase of the pro- perty known at present as the Hospital for Sick Children and the meeting was closed with rayor. The visitors expressed themselves as trreatly phrased with the appearance of the uilding, and many of them lingered a considerable time with the little invalids. The new premises wero commodious, possessing all the modern appliances for comfort .and convenience, and every facility for the successful treatment of hospital cases. The " wards" were cheerful and pleasant, with an outlook toward the south and east. Nos. 1 and 2, situated on the lower flat, were appropriated to the use of the boys. Nos. 3 and 4, on the upper, to the girls. 'I'he attractiveness of these rooms had been greatly in- creased by gifts of pictures, books and flowers from various kind friends, who, in their happy homes, remembered these patient little sufferers. " And whosoever shall give to drink unto one of these little ones a cup of cold water only, in the name of a Disciple, verily I say unto you he shall in no wise lose his reward." Let \is have a peep at a ward. Here is a sweet home scene, one full of force and joy almost painless. In the big, high, cheerful window sweet flowers are growing, and the little women, turn about, sick or well, tend to them with the same loving care and watch- ful attention that are so freely and unstintingly shown to themselves. The unfolding of every bud so small at first, then larger, greener and rosier, ti'l it expands in all its beauty, is watched by them with the same absorbing interest that Iheir nurses, physicians and friends watch them bud from puny ill-health into shining strength and beauty, crowned with a blessed hope and fired with noble ambitions. Above the flowers sings a bird, and no bird in all the land is tended to like him. The wee girl mending her doll's petticoat, the tiny ones studying the picture book, the thin faced maiden stretched on the cot quietly knitting, the new-comer asking the golden haired convalescent to help her out with a word, the little one in the dark dress talking to her doll — all, all are reposefuUy happy, and a peep at them iii that cosy room brings joy to the hearts of those who have heard the " cry of the children." Up to this date, there were in the Hospital six cots supported by individuals or fami- lies, two having been taken during the past year. With the exception of two, these are all kept in memory of children early transplanted from earth to heaven. Here are some pen pictures. \\'hat are all these little patients doing? ^^'lly, one has pushed the bandage up ever so little in a hope that he may see. Oh, if he could only see ! He bows his head and stealthily pushes the sheltering scarf upwards. Then with beating heart and quivering lip he slowly raises his head and tremblingly opens his eyes. Oh, brothers, pray that he may see. Pray that some morning when he awakes and tries this touching experiment the blessed rays of light may fill his glad young soul, and that he will be able to look up and see the face of her who has watched and tended him for so long. At the bottom the sweet singer in cloth of gold hath wakened both parties — wakened them to one day's march further away from pain. The little chap wait- ing for a meal is following the soup plate all across the room, and the two little ones are out for a stroll in the yard. The lad gets along first-rate with his new legs, and the little lady will come back shortly, satisfied with her outing. The annual report for the year, says :, — " In the 'RoUeston Cot' maintained by the young ladies of RoUeston House (Mrs. Neville's school) is found ' Wee Tom,' aged seven years, who is suffering from hip disease and curved spine, and, though an invalid now many months, is always bright and hap- py. The ' Morley Cot' is appropriated by ' Little Willie,' aged two years, having diseased «pine and crooked neck. He is a winning'child, generally demanding and even raising his mouth for a ' tiss ' from every visitor. |The • Children's Cot' has been given to Bertie, ri— gM| 1 College Street, Toronto. IS aged ten years ; he is afflicted with a troublesome nervous disorder, bui is now rapidly recovering. Tiie ' Consolidated Cot,' suppor*^^edby tlie ladies of tlieconiniittee, is occupied' by Bertie, a fine lad of nine years, who is very manly and patient, though confined to the cot nearly a iwelve month. a: O 5 en C^ "In a brief corner of the ward, devoted to the use of smaller girls, the visitor wil find 'Little Mary,' who lives in 'Violet's Cot.' Mary is about six years of age, and one- of the moat interesting cases in the Hospital. She comes from a distant town, and u year 14 The Hospital for Sick Children. ago was a gleeful, romping child. Returning home one :lay from the porf'^-mance of some triflii-k mosHage, a boy struck her with his foot, and from that time until quite recently the poor cliild h vd scarcely been a moment free from pain. When first ad- mitte<'i to the Hosp'tal her suff«iring8 wfv intense, her cries of agony being heart-rend- ini(. buD now I.e. physiu'an is of the opinivvc it to her last summer, with its caije; how it sang so loudly yet so sv eetly that it charmed another beautiful bird in from the yard and how the stranger perched itself quite saucily on the foot of 'Eliza's Cot', and when the nurse opened her birdie's cage in it popped and has remained ever since. In the 'Ethel Cot', which lias been used by one little patient after another, for nearly four years, is found at firesent 'Eliza,' aged seven years, who, like many others in this institution, is suffering rom hip disease. Eliza is a very attractive and vivacious child, generally receiving a large share of the attention of visitors. The cots are all provided with sliling traj's which are well stocked with toys, and plaything's of various descriptions, gifts from kind and frequently anonymous friends." The speciiied,but l)y no means the actual, cost of maintaining the one or many little patients, who at various times may occupy a cot, is ^100 per annum. Pay patients are Admitted to the Hospital. In a majority of instances the sum puid is trifling while in a few tlie entire charge, either in monthly or weekly payments, is regularly received. The .question h frequently apked — what is necessary to procure the admission of a patient into the Hospital ? The reply is simply and invariaV)lv this — the child for whom entrance is sought must be poor and sick ; but in cases where parents are in comfortable circum- stances, one or both having regular employment, and the child is sent to the Hospital for better care and nursirg than an already over-taxed mother can give,or where the earnings are innnfticieiit to procure medical advice and the requisite nourishment, the conimittee, unwilling to foster pauperism, would strictly enforce the rule of remuneration to nome extent, as conducive to a feeling of independence. The spiritual interests of the children are not forgotten, a regular service being held every Sabbath morning, while several young ladies, some of whom have visited the Hospital since its establishme"t, continue to minister not only to their amusement but to their instruction, in moments of freedom from pain. CHAPTER IIL THE SUCCKSa OF THE MANAGEMENT — AN ACT OF INCOHPORATION FOR THE WORK OF THE HOSPITAL— AN ANNIVERSArtY MEETINU — A RUN THROUGH THE WARDS— PLEASANT INCIDENTS. .; In order to handle matters in a busines.s-like manner, an act of incorporation was obtained. This act of incorporation and these rules gave the Hospital the status required for an association that had for its object the charge of a work that, in the near future, would stand in the front rank of the great charities of the land, in alleviating the sickness that overtakes so Large a percentage of the child population of the province. The founders were sensible of the blessing that would flow to theparents of little sick ones, and felt that the boon of such a home would not only be appreciated, but bring with it in- calculable benefits to thosj who were unfortunate enough to pass their lives within its walls. Let us take a stroll through the wards on a day for visitors and friends. Here in the corner is a poor little chap, who is not so well to-day, There is a reaction, and his wee body aches all over. His face is drawn with suffering, and he looks up in the doctor's face with pitiful pleading for health that woul«l touch the heart of a stone. Still he is wondrously patient. The fountain of his tears was long ago dried up, and nothing but the twitching .of the thin cheeks, the quivering of the white lips, and the tremolo in the little voice, tells of his suffering. The royal duke to the luft of him, however, is supremely happy. Some kind soul has given him a cent, and now all the wealth of King Solomon's ininej is his. The only objection to this young person is that he parades his fabulous wealth before everybody. The young lady on the right is taking a constitutional, and is immensely ■proud of the performance. If you will study her face you will see that she is conscious that some one is looking, and therefore she is doing it with amazing grace and caution ; .M . College Street, Toronto. 15 ano \e nurse has a \A<^e, motherly face, such a face as inspires confidence and affection. He, .p and apro>i arc as white ad the driver snow, and sle in as neat as a blackbird and OS L^ >t-footed as a cricket. The friends of the institution are visitini; them, and the little ones are pleased. Nor was the work forgotten by the friends outside of the immediate circle of those directly concerned. > ••1 o » H O ^^The executors of the late Mrs. M. remitted a legacy of $200 ; a friend deeply inter- ested in the work of love gave §200 ; another lady |125, $25 of which was to go towards the payment of the: urnace and the remaining $10'J to be applied to the building fund. Another friend sent SlOO, the proceeds of a bazaar, half of this sum to be appropriated to the furnace debt and Mr. H. sent iSlO.and Mrs P. $100 for the same purpose; while a parlour entertainment given by some children brought $11. Tlie young friends of RoUeston House still continue m keep up their cot, with "'Wee Tom" their protege as before. On December 24th, 1878, a lette: •VfJkS received from a lady whose sympathies had bcea IG The Iloapital for Sick Children, aroused by rea«liii>{ the accounts in the Evanoelical Churchman of tlio Sick Cliildren's- Hospitdl.iuulwho wisliinjj to show her gratitude to aloving Fiitlier.who had safely brought her four Utile ones through a dangerous illness, sent a che(iue for iJlOO "to be used in any- way tliat iniuht be of the greatest use to the sut'ering little ones." Kre this money was ap- Sliedasdesired.the sorrowful newsof a grcatand sudden aHliition reached thefrionds of the [ospital. The faithful, loving nurse, who night and day had watched an only little daughter through a previous illness, l)y a s.d mistake administered, with her own kind hand, a fatal draught, which in a few mouients left the sorrowing parents to mourn the loss of their "Little Mary." In answer to a htter of sympathy from the secrotai-y, came one saying "Wo would like to take a cot in the Hospital and name it 'Mary's Cot' ", so the thank-offering gift pieviously received was now applied "In Memoriam." A sweet, fair girl, Mabel, alHicted with disease of the spine, whose father was lost in the wreck of the Waubuuo was placed in tins cot. Another new cot "Fre y the larger lads, we found the room deserted. Supposing that this ward contained only 'con- valescents ' and that for some reason or other tliese Jiad all congregated in ward No. 2, we walked in, but the same blank, vacant condition of things existed here also, not a single person I eing visible but an attendant and two bed ridilen sufferers, one of whom, by the way, is an idiot boy of lender year,-* and is a case for an asylum rather than for a Sick Children's Hospital, as the ])resence of such a fretful, moaning, lielpless little sud'erer must have a depressing i;iHuence upon the occupants of surrounding cots. This boy has been deserted by his parents and is reported as too yjung for admission into an 'Idiot Asylum,' consecpiently the child has been thrown upon charity, and from all wo can as- certain, unless cared for by the Christian ladies comiected with the managimient of the Hospital, must be shelterless, or, as an only alternative, confined in the comuiDn jail. " jiut to return. W'o addressed the nurse vvith the (juestion : 'Whereare thesick boys? 'Oh! ma'am,' was tlie reply, 'step to the verandah on the south side of the building, ;i,nd there you will find our boys.' The day was bright and smniy, tiie air balmy, aiul the sight which met our gaze on the verandah was pictures(jue and refreslnng, tliough, as we investi- gated more closely, scanning the little upturned f.ices, in many instances so wan and colourless, and yet so placid, and pivthetically patient, we must cfl)'?r ball, iind no skipping rope, ami in lier little w.isted body tliere is hardly strength and spirit to play even had s)ie them. And more, liie sul- len, sonied and disappointed woma'i on the stool would not let her nmke any noise from fear of waking tiie puling infant in the rude and shabby cradle. The air is poisonous iind close, reeking with the fumes of licjuor, smoke and rank food — Haste to the rescue. .VHERE THE SICK COMK FRJM. " Pausing at the side of another ot, wo found a pale lad working at fancy work, and in^enioasly reeling his worsted by the aid of the hauule of the umbrella which shaded him from the wind, and the almost too intense heat of the sun. Upon the foot of his couch re clined a tall boy, the crutch at his side sp3:ikiiig volumis. A few adroit (|uestioni ad- •dressed to him drew forth quite a st )ry. Three years ago he had been very ill, just on the brink of tho old, dark river, but rho matron and ladies had taken such good care of him, one of them even sitting up with him hiany nights, now he was almost well, hia ipliysician having decided that he would soon be able to go home. », , 18 The Hospital for Sick Children. "A tliinl l>oy, with iliMOiiHed hip, lay quito near, rcaJins. 'Vith the view of engaging: ali tlireu in convermvtion, iwiil l>y tiiiu i ns ascurtiuning wTiothct* tlio spiritnal culture kept ]>iuo with the physioivl trentniont, w« iiniiiiieil, ' What are yon loiuling ?' 'Kinust's Sciioo! iJayH,' wiih the prompt answer. ' Antl wiiat Hort of a boy was Krno»t ?' wo asked. 'Oh' ht was jolly, i»iit — hut.' ' llut what?' wo (pieried. ' Ho was always getting into scrap . and rows, (lisohoyiiig hia parunts and teacher, falling into ponds, and sorainbliug out of trees, breaking his arm, and lots of other things,' ending the too true description of the avorage boy with a laugh. Wo ventured another ((I'lution. ' Do yon think a boy can bu jolly and yet !/oof/ /' After a moment'a hesiNition, tlio smallest lad said, 'Yes.' Again we lia/,ai i tr Cullegc Strcft, Toronto 10 Tho year 1H7U wah one of peeuliur triiil, us{>c-citilly tluriiij;; the hint hIx months. The giftH at tiiitea were not HUlliuiuiit to niuvt tlu) curroiit exponttcM, und iIiih, with im|irove< inentH ami nltorutioim iiiiiilu in tin; liuihling, Ir^tt tliu Hospital truaitui'y empty tunl unpuitl accounts to the ivinount of iii.'UiS 4'J. Oilier iniititntions fountled on the fume piincipleii hud not been without eo'iespondin^ times of Iriul and anxiety Or. CuUiit, of the Cun- ftumptivi'8' Home, Uo^ton, write!* thus in his journal : ' Since the year opened, tho xifti hud not been siilticient to nieei the current expenaeH of the work, 80 that I have been obli^ule, was compulsory, for in no depurtmout of un hos- pital do expenses run up so rapiidy us in tiie outdoor or disjjcnsury depiutment. Up to this duto there were in the ilospitul ten cots 8Uj)porteu by clubs, fumi'los or in- dividuals, four of these " In Memorium," viz : "The Ethel (Jot" ; "Freddie's Cot"; "Muy's Cot" ; und the "Violet Cot" ; "Tho KoUeston Cot," kept by the young ludies of Mrs. .Neville's school ; the "Consolidated Cot," by ladies of H. S. C. Coninattee ; "The Orilliu Cot," by u club of friends in Oi'illiu ; tho "I'reston ("ot, ' by u similar club in I'res- ton.Ont. ; the "Faith Cot"' by tho scholars of >t. I'etL-r's afternoon Sunday school— these lust two combine, each sending suliicient for half cot. The sum of §98 (i8 had also been received from the chilUren of the Uouunion, through the etlitorsof deuoi dnational papers, for tlie endowment of a cot, to be called "Tho Canadian Children's Cot." It was all de- posited in the 1'. O. Savings liank. The editor of the t iMinjelical Ciiurchmaa had iiiterestcd his readers regarding tho endowment of a cot, reijucsting the children of his subscribers (who did not wish to wait until the endowment fund wab coni[)leted) to send what moneys they wished to another cot, to be kept annually and called "The Children's t hurchnnn's Cot." All the moneys received from children, except the amounts sent directly to the Endowment Fund, were placed to the credit of this cot. 'J'his amounted to ^il.'VJ (Hi for the year. 1'he medical report chronicled but one death during th< year, little Johnnie McF — . This lad was natuially brigiit, loving und noble spirited, but long-continued confinement and weary hours of intense sull'ering iiad unnerved him, rendering him at times fretful and peevish. Tiiough coiilincd to Ium cot lor many month? death cum« bidd.;nly at last, find- ing him, we trust, among the "little children who love their Kede 'ner." The truly self-sacrificing spiiit manifested by Miss \V — . , a Christian lady of Ottawa, will not soon be forgotten by tlie management At her own recjuest Miss \V — . spent the month of August in the Hosp .vl, taki'ig the place and performing tiio duties of the lady huperintendont for the space of a fortnight, in order that she might enjoy a short holiday; ;ind upon her return, MissW — . of her own free will entered the nurses' department, ulluw- in-; each of them in turn a like privilege, and during their absence faithfully discharging all their ditficult and fretjuently unpleasant taska. The red-letter days of the year for the children were Christmas and a day in the early autumn, spent at Oakland?, the residence of the Hon. John Maodonuld. Conveyances were sent for all who were convalescent, and Mr. and Mrs. Mucdonald, with their daugh- ters, desoted themselves exclusively throughout the entire da;, , to the enjoyment of tho children, providing rcficshnient'^, and returning them before nightfall to the Hospital. The total receipts for 1880 were ^2,395 89, the expenses $'2,4m 48. There were CG patients under treatment, 54 ivom the city and 12 from the country. >/. ile G17exieni patients were looked after. Prosperity shone on the work in 1881. The Ontario Government made its first con - tributit)n of tlOO. (iifts in money and kind, to a bountiful extent, were sent in. On the 15th of January the Mayor and representatives of the City Council visited the Hospital and expressed gratification with the way the patients were cared for. The trustees, wha Mith pleasure saw the success of the work in which they had taken part, said that mora extended ground and premises were necessary. They said that the scope of work undertaken at such an institution as the Hospital for Sick Children, must be governed to a considerable extent by the acconuuodation aflforded in the buildings and premises occupied, and especially as the efiiciency of the work itself may depend upon the adapta- tion of the buildings and premises to their purpose in point of situation, character and arrangements. It will be remembered that the property acquired by the ilospital ran from Elizabeth to Emuia street a distance of 150 feet, with a frontage ou the two streets of 40 feet. The. 20 The Hospital for Hick Childre, main Imilding on Klizabeth street, occupied nearly one-half of the ground, and on the rear portion was a cottage wliioli had been fitted up as a laundry. This propurty is south of and parallel to College street, or, as it was tljen known, the Yonge street College avenue, from which it is separated by a plot of the same size, viz. : 40 feet by 150, consisting of two lots, fronting respectively on Klizabeth street and Emma street (Mission avenue), on which had been erected souu> wooden cottages of small value. As the reader of this iiistory will note, the work of tlie HoMpital liad grown beyond the capacity of the present buikiiug, and an increase of accommodation was felt to be an imperative necessity. It could have been provided, so far as the mere extension of the budding is concerued, by additifins made upon tiio preseiit sice. To this, however, there were objections, arising partly from the character of the main structure, which wiis not well adapted for alteration, and partly from the fact that tlie property was hemmed in by houses on tiie north and south sides fronting on the streets, with yards meeting in the centre. It was therefore essential that the lots next to the avenue should be acquired and added to the Hospital property, or tliat, if both could l)e obtained, the one fronting on Elizabeth street should b.; secured. In IHSOtliere were sixty-eiglit monthly instalments of §2i) 20 each to fall due upon the mortgage to the Imperial Loan ami Savings Co., and it was suggested tiiat possibly the friends of tiie Hospital might desire to redeem that mortijage, which would, at the end of 1880, have required about §1,250. Only two sums of sjftlOOeacli were given or promised in 1881 for the purpo.se of paying this debt, although other sums amounting to $255 were cjixeu for building ])urposes, prin- cipally with a view to the extension. The instalments wliich fell due upon the mortgage in 1881 were punctually paid, as part of the orduii'ry outlay, reducing the number to fifty-six, and representing a debt of about .'JljOOO. Under these circumstances the trustees advised the n.cinp.gement to appropriate to the )»urch:ise of other lands, and to the enlargement of the building, whatever moneys might be available for building purposes, rather than attempt to pay otl' the mortgage. Money contributed for any special purpose was, of course, ap[)lied only as directed, and, tiierefore, tiie 8200 referred to couid not, without the consent of the donors, be diver ed to tlie purchase of laud or exterision of the liuilding. Assuming, however, that such consent would b- given, there was iu)W a sum of about .$1 ,50 ) available. This was composed of t he two sums of !ii;200 and §225 alieady mentioned, of !?705 32 granted to tiie Hospital by tlie Ontario (rovernment under the Charities Act, and of a legacy of 820!) from the Lite Mis. Arciiibald McNal). Negotiations tor the purcliase of the adjoining laud were (piietly eondnctud, but nothing definite was done during the j'car. Indeed the plan of erctension wliich had been talked over was left in abeyance till it could be seen what shape matters would take in connec- tion with tiie land north of the Hospital and fronting on College street. The total receipts for 18d tniit no such sight can be seen w ithin the Wttils of your ow!i domicile as is to be witnes-sud in the Hospital for Sick Childrui. ''There aie tweuty-severi sick babiis being proviiled for in tiie Hospital, al out efjually divided as to sex, and ranging in a.'c from dxteen to unikr two years, nioic of them, how- i2 The Hospital for Sick Children, ever, being under eight years old. The veteran of the establishment is a bright little fellow known as ' Wee Tom.' This little man is about seven years old, and was the first patient to enter the Hospital. When he first came under the care of the ladies, Tom was BufTering from curved spine and hip disease, brouglit about by beuiu tumbled out of bed by a drunkard who called herself his mother. For many and many a long day tlie bright, brave little fellow kept his bed, never murmuring, but happy as a little invalid could be. Over Tom's cot is a card 'on which are printed tiic words ' Rollcslon Cot.' He is the special protege of tlie young ladies of Mrs. jNeville's school, who for more than three years have paid all the expense of his board and lodging. In a few weeks Tom goes out conval escent, but after witnessing the care, the kin Iness, the love and anxiety bestowed upon the little patients by their nurses and those in charge, one cannot but feel that tlie change for him may not be the bright one which he, poor little man, anticipates. *' It is impossible to mention all the little patients in the Hospital even briefly, but a few call for a few words. In the same room in which ' Wee Tom' sleeps, a sad sight is to be seen. Little Harry is only six years old, and yet his brief career is nearly over. He is a pretty little fellow with large liazel eyes and small features. Harry is slowly dying of consumption, and as the visitor notices the little fellow's arms and 1 jgs, wasted away to the thickness of a man's two fingers, he cannot but feel a i)ang of sorrow for him. Harry is a sober boy. It is a condescension oi\ his part to favour the visitor with a 8mile,but with his bright large eyes ho slowly follows nvery movement that is made in the room. It won't be very long before another little soul will be needed to swell the number of the angels, and little Harry will be summoned to cliange his sick bed for an eternal crown. In another room is a real good little man called Hymie. Hymic is from I>undas, and when lie enter- College Street, Toronto, 23 We hope that a stay of a couple of weeks or so will be loni; enough in most cases, and this will allow of our taking a great many during the snnimor. " The rent of a house will not be less tlian $loO for the season ; there will also Iw the expense of the furnishings, such as cots, etc., and plenty of war :i bcdclotho.s. There on the clear, clean sand these weak ones can play all day long in the sunshine and cooling fresh air, paddle their tiny feet in the l>eautiful lake and gather the marguerites and other beautiful wildtlowers that abound on this healthy spot and that are growing for tiiese poor children who never see wildflowers. Think of children who have been in bed eight years sitting by the lake shore with the waves dashing in close to them ; or our litrle Archie, only five years old, yet nearly two years of which have been spent in bed, being carried; cot and all, to see the fish jump up at sundown for their supper, or laid comfort- ably on pillows in the bottom of a boat while be is paddled about to gather the beautiful water-lilies and other aquatic plants. The fresh air and the constant out-door life will prove a wonderful health tonic, as well as unimagined happiness to them. One of the greatest difficulties we have to contend against in our present building is want of room for the convalescents ; for returning vigour means a certain amount of noisy play, and so glad are we to see the weak ones restored ag lin that it is almost impossible to find it in our hearts to stop their merry clatter At the same time, there may be lying in the ward a child needing the utmost quiet, and all we can do is to draw the screen aroun,'h lie woiiKl call them to liia bedside, iiiiii, after filling lii« niouUi full of water, would send the contents in their tiices and tlioroughly enjoy their dJHconifort. Wlien taken out of the ward and placed in an empty room, he climbed to the top HJielf of the cupboard, and Hecuring a parcel of linaeed meal scattered it on the floor as a sower scatters seed in a field. Yet when he begged not to be locked in and gave hia worii that he would not try to get out if the key were not turned, ho kept his vord like a man of honour ! I'oor Tim ! Mii/y He who feeds the ravens and takes not'? of the sparrow's full, look after thy young life, jouglit aa it has been by the Ulood of the Lamb ! " Another lad had been under our care for knee-joint disease for nearly three year, and at the end of that lime had to be dianussed, although very little better, because he Mould steal all upon which he could lay his himda, and then would try to hide the evil with lies. Cases such as these are far more discouraging than those like poor Tim's, and aiu College Street, Toronto. 311 only told here that no false gluniour may be tlirown arouml tluM work uiuleitaken for the Lord JoHUs. It is His work and, were it not that we iiave leariiud liy exiH-rience that our only duty is to do today whatever our hands find to do witii all our nnglit, and leave Wsults to (lod, we would soon bo diacourayed aiid cease to work because of tlie ' lions in the way.'" The receipts for 1882 wcie*t,:)9) 18, the expenses §4,322 78, witli 03 patients— 4.'> from the city and 18 from the country, 211-1 extern patients being treated. The daily routine of work went on witii unvarying regularity ; children were received and in many cases left eitlier improved in health or permanently relieved and tiie numage- ment were satisfied that with tiie accommodation at tiieir disposal and tiie facilities for tlie work all was being done that was possible to alleviate the i Is that lit*^le children arc either by heredity or neglect heir to. .TUK INTERIOR OF AMBl'LANCK We have in the picture a call from ambulance " A," with large views of these com- fortable and useful vehicles. Every one is familiar with the work. The telephone rings in the Central station on Court street, and in three minutes the four-wheeled messenger of mercy is on its way to lako the little sick one from tite dreary tenement or crowiled dwelling to the bright and cheerful wards of either the Victoria Hospital or down^to the ferry steamer for the Lakeside Home. * « In 1883, it became evident that more accommodation was retjuired at the motUc'r Bospital. This had to be done in order that the managemeui; might not be oldiged to dis- Oharge, as frequently wai the case, many patients before they were sufficiently strong. Or refuse others from lack of room. This year a housa and lot on Emma street, adjoining «nd north of the Hospital, were bought, to be used as a separate residence for the nurses •ud servants, thus adding four additional rooms to the service and securing for the nurses perfect quie* at night, besides the advantage of reat in an atmosphere free from the taint of sickness. Three new cots were added this year, viz., " Our Cot," by the Queen street Methodist Sunday Scho 1, •' Mamie's Cot," in memory of a" little daughter, and "The Oddfellows' 32 The Hospital for Sick CkUdi'eu, Clot," e)itii])liHlicd )ty tin* Soeioty of Odtlfellows, to ho held availahle at any timo for a liifinher's cliild. Tliin made a total of twelve cols at SlnO, and four lialt cots at STiO eaoli. A very pleasiiifj incident tiuH year was the vJHit of H. Ft. H. tiie I'riiiccHS liOniHO. One afternoon in Suptcndwr, tlio Princess, aceoinjiaiiied hy the Maninis of Lome, iiad visited Toronto r.nd, in the (Queen's I'ark, hail l>een presented with an address hy the citizens. The Hospital huiidiii({ in close to the I'arli and, iis vas natural, the chihlren were anxious to see her. The report of 188.3 gives tin; incident as follows : "Our little ones wcie placed at every window with flag.s in oriler to see her drive by 'I'hey wore lifted from their he.U, still wealing their nig'.il elolhof, and hright red jackets; and wore comfort ahly tucked aroiiml with (|uilts. 'I'hose ahlo to help themselves were placcul(i. "Nurse Rohinsoii had placed a chair upriii a tahle, and, seating herself, had taken liessie on one knee, and l)elia, her le;.,'s in splints, on the other. Similar pictures were jn-esentod at each window, all hands being called to assist in holding the children. LKillTINC THIi LANTERXV " The carriage at hist drovo by ; they had 'waved' to her an : were satisfied, when a commotion was heard down stairs. Miss Fowler, fearing sonu aceiduut had taken place, and that her help was needed, hurried from the ward and just met ller Royal Highness on the stairs on her way up. She had been graciously plerisod to ask for the Chihlren's Hospital, and had her carriage turned round, arriving unexpsctedly upon such a scene as is seldom presented to the eye of one holding so exalted a t>osition. " She entered the ward, enjoying heartily Nurse Ilobiiison's discomfiture, Who, from her lafty seat on the table, and with a helpless child on either kiiej, could not move. m f Collrfje Street, Toronto. S3 Such a sf^amjioring into cots of tliDsc wIki could lu?lp tlioinsclves ami u t'ciitlo layin)^ down of the ffohle ones as there wiih, and while little t^ycs weie j,'n/.inj; tlunr till lit her lovelv, 8yniitiithoti<; face, Alice struck up ' (Jod Save the t^ueon,' and they all sanu heartilj'. She rcnianicd quite a time talking to ;»y.' " . Christmas Day at the Hospital is looked forwarci to with great giee and this year it was particularly pleasing to the friends of the Hospital. The account in the report says : " The hour for the Christmas tree approaches, and one by one the lights glaw ''■ the corridors and wards. Liglit-footed nurses hasten to and fro, and at their touch > by magic, the place becomes a veritable fairyland. The tree becones a pyramid of chanty, C 84 The Hospital for Sick Children, and the walla look more lovely thati tmy thing ever seen by Sinbad the Sailor in all his ii markable tiavelc And as tlie lights aprint; into existeiue the little forms are dressed ni their Sunday ^owns, all panting with delight, forgeltuij. of the time. pain and sickness in the gladness < H 3 U9 a o -3 " So many gifts came in for tlietree tliat only a few things for tiie larijer girls had ( l)e^l)ought. At 1 p.m. shiirp the .i.st carol was sung ; and tlie banished patients retuiiui to their spaedily transformed ward. Where the table had been, when they left two hour College Street, Toronto. 35 fcefore, stood the gorgeously arrayed tree ; and the cots were drawn from the walla, making -an irregular circle round its branch 3s. A beautiful little fairy, with gold crown and wings, stood ready to distribute the gifts to the uplifted hand, raised as the name was called. " They are twining the pertumed l)ranches of the scented cedar boughs from the dark swamps of (Jwillimbury iui . aromatic festoons, and make the wards and corridors, the parlour and reception '•ooms, the concomitants of a fairy palace. What deft and tireless nngers are at work at this labour of love, and how the hub lued sounds of the hammer tack- ing the festoons in their places fill the little ones around with glad expectancy ! The ^romaof the evergreens floats to their nostrils weloomingly and gives them a delightful sen- sation of the far-away woods that many of them have never seen. The Chinese lanterns 4kre hung, and it only requn-es a few more yards of wreath and a bunch of red berries here, and a knot of white immortelles there, and everything will be in readiness for the fete. The boy holding the festoon is crmvalescent and is proud of a chance to lielp. He brings "the twine ; he runs for more branches ; he sliows in every way how eager '.e is to make the place glad for thos? who are not so fortunate as he. It is a home-like and beautiful j)icture of the sweet chaiity bequeathed to men by Him who took little children up in His arms and blessed them. " Fortuniite w^re those in bed tliat day ! as their trifts could be held on their trays ; ,,< whilst very soon those on cliaira could no more raise a liand as botli were needed to keep ,^vthe contents of their overflowing laps from roUinsx on the floor ; and the assistance of the ' ladies had to be called in. One little fellow cried out : ' I can't take any more, please, take me down ;?tairs !' One lady took tiie ihild, another followed with his share of the Christmas bounty. On the way up arrain we were met by another descending in like ■fashion, (he was a new pa'ient) and being asked if he were glad that he car.ie in before ■Christmas, exclaimed : ' You bet I awi !' " Silence was called, and Louie (the occupant of the 'Orillia Cot') was presented with a box fi'om the infant class of St. James' Sunday school, Orillia, while the letter accom- panying it was read to her. She did not know what to do for she already had so much, but decided to have Miss Fowler put it ..way until New Year's Day. Then Jo's turn oame ; a large doll, dressed, was presented to her from those interested in the ' Preston C!ot,' of which she is the fortunate occupant. Jo's surprise was delightful ; she stood up *ik1 carefully deposited all her other things on lier chair, took ' dolly ' in her arms, for once in her life speechless ! looked it over careful!}-, then suddenly gave her two good kisses and turned to Miss Fowler in despair, saying ; ' \\ hat shall I do ? What shall I do V " There were two little ones too ill to be moved into the Enchanted Chamber, and to these their gifts were taken from tJie tree, the fairy carrying them to their bedsides. After three trips had been made to little Maggie, she uskeil nurse, 'Please not to let the fairy come again ' as she was ' too tired ;' so her ward doo" was shut and Maggie quietly «njoyed such of lier gifts a; .'lad already come in. 'Too tired' for joy, 'too tired' to sleep, ' too tired ' to eat ; this is almost the only comi)laint made by our darlings ; they seldom flay they are sick, or suHering, only ' too tired.' About an hour afterwards, upon going into Maggie's ward, we were surprised to find all her presents untouched, and the child lying quietly with her face to the wall. .Stooping over her with a ([uestioning look, the dark eyes were raised and to our mute appeal the quiet, patient answer came ' only Another abscess ! " At last the glorious night has como. Oh nii'ht never to be forgotten — night of all nights redolent with uiuilloyed delights I One ]>y mo, in loving arms, the little ones are borne to the Hall of AYonders, and with unfailing instinct every eye unerringly finds the ■wondrous Christmas tree. And the}' are not disiippointed. It is more beautiful, more florious, Hr bigger, brighter, grander, nicer, lovelier than tiieir fondest hopes had anticipated, t takes their breath away. It makes th( in wcivk w ith joy. It makes them tremble with gladness. And see how the sexes are marked. The little crippled girl with flushing face pipes " I see a doll," and the cracked baritone of the lame boy is heard ejaculating '* Uet on to the gun." It is an hour of intoxicating joy. Look where they will, the beauty of kind faces and sweet surroundings encompass them. And when the moment comes when the nurses remove the presents for each of them from tlie wonderful tree their •€C8tacy knows no bounds. Chosen with infinite tact and judgment, each present is just what suits the recipient. When seated on the floor or grouped in corners they compare notes and all are satisfied. Music steals through the rooms, kind hands pat their glad ■faces, strong arms lift up the little wee ones high that they can see. Nor does the end come too soon, for the children are early overcome by the great triumph, and they are borne back to tlieir cots begging that they might rest with tlvelr presents, and thus the little girl drops to sleep with her wontlerfnl doll in her little arms, and the crippled boy dreams M'ouderful dreams with his gun resting on his pillow. I The Hospital for Sick Children, 86 In 1883 the receipts of f 'ejl.spital jveroJS^. ^Jo -jje^ 64 patients under treatinent-49 from the city ami lo irom patients were also attended to. CHAPTER VI. 1 11., <•!,« f/>nn.1in(T of The Lakeside Home for Little! The vear 1882 was marked /'y "^^/";,"7 Chihlren, a building on Toronto If '"^.^^'^ f /^/;;/;;^rt;,f;;ra,ui Lodge of Free and Accepted Te/e,,v.« ami at the present u ^^,.^^^,,^ ^,^^^. j.^^.J Masons of Canada. V nilt fssV co sisted of a centre building and a win^. In 18«6 honse, and, when f^'^l]:'''^'^,y^l^^\^^^ for lixty children and ten| another wing was ^^^^^'e'l' J^^^^^ JP^^, struc "e of 1883 cost *3,000, the enlargement $2,0m domestics and mu-ses. ^he ^ f mal sU^^^^^^^ 189! with its wards, bath rooms additional, and the ^^^l^f J'^^'^ f J^^^?^^ .?1«.000, or a total of .^2! ,()0() that lavatories, etc. useful i» * ^'"^'^':,*; ^ '/Xes^^^^^^ are removed to the KtenS^^^ ''-'•' '-'' ''' "^^""''"=^ '' '-'] tember. THK OKKIINAL LAKESIDK HOME, 1883. ■r?./" The conditions attached to the original gift in 1883 were that The Lakeside Home ami I the Hospital for Sick Children should always be free to the children of Freemasons, on tlu I roll ot the Granu Lodge of Cunaila. In 1885, a further condition was attached to the gift [ of the enlarged building, tliat the sick children of the other city cliarities siiould also be I admitted free, and in 1891, the donor desired that every sick child in the province, irie- spective of creed, colour or nationality should have the advantages of the extended I ami completed structure. The following members of the Craft endorse applica tions from that source : — Messrs. Daniel Spry, liarrie ; R. T. Walkem, Kingston ; George] Davis, London; J. .J. Mason, Hamilton; J. K. Kerr, Toronto; Frederick Cook, Ottawa; Samuel Davison. Toronto; F. M. Morson, Toronto; Wm. Forbes, Grimsby; E. T.| Malone, Toronto; VVm, White, Pembroke; W. J. Hambly, Toronto ; Pernard Saunders, Toronto; R. B. Hungerford, London; Arthur McGinuis, Belleville; E. H. D. Hall,| Peterboro' ; Col. W. H. Jackson, Brockville. The Lakeside Home occupies as. pleasant a spot as can be found on the Island. It isl a few hundred yards west of the lighthouse uud the same distance from the] southi College Street, Toronto. 37 Lhore of the Island. The buiUling is twenty minutes' walk from the dock at Hanlan's 1 Point, and the plot of ground, on which it is built, was leased by the corporation of the jCity of Toronto, as the deed states, so that " a convalescent Home for Sick Children " I should be " erected thereon in connection with the Hospital for Sick Children." It is prettily situated, just in the spot where the little sick ones can have all the advantages of the invigorating and health-giving breezes of Lake Ontario. The first building, that of ] 883, was not unattractive in appearance. It was, of course, of wood, light and airy in style, had two-stories, a centre and one wing, and each floor had a space ot about three thousand square feet. The interior w:is divided into reception rooms.dining rooms, and three wards, with bathroom conveniences. A broad verandah ran around the west and south sides of the building with doors leading into it from each ward. At the east end, and outside of the building, were a laundry and wasli liouse.pure water being brought from the ' lake by a windmill. This was, in brief, The Lakeside of 1883-85. THE ENLAROED L.\KESIDE HOME, 1886. In 1885 another wing was added and other improvements were made in the centre wing, which gave room for two more wards, and enabled the management to admit about sixty children at a time, exclusive of tiie accommodation for the nurses and domestics of the Home, and in 1890 the donor determined to remodel the entire build ing, and so enlarge it that for all time to come it would meet the requirements and needs of the mother hospital in Toronto. Plans were prepared in the winter of 1800, and in the spring of 1891 contracts were let for the new building. As it stands t<., day tlie building is a perfect sanitarium for sick children, and will accommodate with e.ise about two hundred children. Those who visited the original home in 1883 and the enlarged building of 1885 will be puzzled as they view the new structure. The fact is that every vestige of the old Lake- side Home has disappeared, for it is hidden in the wings and changed elevation of the handsome new erection. Tiie new building covers precisely six times the floor space of the old building, and while one bath room sufficed for tlie inmates previously, there are now seven, and accompaaying conveniences, with lavatory, consulting rooms and a dispensary. Let us survey the building before we enter. The old Lakeside Home lias dis- appeared, and we have before us a picturesque structure with many points of architectural beauty and a lightness in concejition which make& tlie building handsome and attractive and at the same time conveys the idea of usefulness. The front looks, of course to the west, the centre being three stories high, faced with four verandahs on two stories, which are flanked at the corners with two circular towers, which reach their highest elevation in a prettily constructed conic' roof. A balcony overlooks the main en- trance, which we enter and And ourselves in the reception vestibule. From this doors ■open into the verandahs on each side and from these into a large ward on the north and to the matron's room on the south. From the vestibule folding doors open into a largn flitting room, which can be enlarged and thus m.vde serviceable for meetings and euter^ 38 The Hospital for Sick Children, •"Mi » / • A- \\i«|irp, V(Uul\V^'' h3' C4lege Street, Toronto. 39 tainmeiits in connection with tlie Home. To tlie right of the entiar.cea door opens to the [nain hall and staircast?. In the rear of the hall, on the right, is a consulting room for physicians and the dispensaiy. At tlie rear ib an open-air corridor leading to all the Ivards, and at the north and south sides of the main building there are two tower wings, each having a linen room, nurses' rooms, a bathroom, liiviitory and closet. In the administration wing at the rear, mc have a dining room for nurses, one for the children and one for domestics, with a spacious kitchen and attendant storerooms, pan tries and closets. To tiie rear again there is a small bnildinji attached to the main, but separate as regards communication, in which the laundry, the hot water furnace, the heating fur- nace and the gasoline and electric ligiit apparatus are situated with bunkers on each side tnr the furiuiee and kitchen range coal. In re/ir of this is the laundry, 4() x 25, with a water tower which holds ten thousand gallons of water for fire and domestio purposes. This is the ground floor. Ascending the main staircase, we have a large centre ward, with two others opening on to the verandahs and open air corridors. Then in the tower wings, two large wards opening to balconies, each ward having a linen closet, nurses' room, batli room, lavatory and other conveniences. The sanitary airangements are excellent. The seven bathrooms of the building are fitted up with porcehiin lined l)aths, earthenware sinks and porcelain washout closets. The drainage runs to the rear of the annex oradministtation wing, and is su arranged that all excreta i-s completely and thoroughly deodorized and reduced before passing away. In the rear, we have a dnplicate of tlie open air corri7r)0 was spent in refitting, the first year's rent of §400 being generously ]iaid by Mr. E. B. Osier. The receipts for 1886 amounted to §6,0'24 04, the expenses to §6,097 16, while 166 patients, of whom 137 were from the city and 29 from the country, were treated. No record of extern patients won kept after this date, as owing to the expense this branch of the work had to be given up Of the 166 patients 92 were treated at the Lakeside Home. Whatever work had been done in the past, the year 1887 saw the men and women who had so large a corner in their hearts for the care and cure of little chihUen, buckle on their armour and take a deeper interest and greater strides to advance the cause than ever before. The new Hospital was in the mind's eye of all. The matter of a site was one of grave uncertainty until, in 1887, the old location at Elizabeth street aad College avenue College Street, Toronto. 41 was finally chosen. All the best hospitals and homes for little children in Europe, in (Jreat Britain and the United States liad been visited by Mr. Robertson, and he was so well pleased with the new Hospital for Sick Children at Garnetliill, Glasgow, which lie visited, that he reciuested the late John Sellars, the enunent Scotch architect, to prepare plans for a new Hospital for Sick Children in Toronto. These plans were accepted and placed in the hands of Messrs. Darling & Curry, who were directed to increase the accom- modation and make a new elevation and certain modifications suited to the location and circumstances of the Toronto Hospital. In order to do this and take advantage of all points in modern hospital architecture, Mr. Curry visited all the large hospitals oi the United States, the plans being redrawn wherever improvement could be effected. This year was the Jubilee year of Queen Victoria, and, in order to encourage the work, the citizens voted $2 1,000 to aid in the erection of a new Hospital for Sick Cfiildren, to be erected on the original site at the corner of Elizabeth street and College avenue. THE FOURTH HOSPITAL — JARVIS STREET. The year 1887 saw the work progressing favourably. The little ones of the province who had found a home within the walls of the charity, instead of languishing and dying, had, by good nursing and proper nourishment, their little lives brightened and made comfortable, through the liearty and sympathetic response of the good friends wlio, in the pioneer days of the work, had watched and prayed for the success of a movement which commended itself to the liearts of the t/ood men and women of every land. Donations flowed in, and the efforts of the workers were blessed at every step. The hearts of kind friends were drawn out in sympathy for the weakly children who, with pale faces and tottering steps, play in the streets and lanes and cramped back yards of the city. The receipts for 1887 amounted to §8,499 79, the expenses being §8,896 73, with 201 patients, 159 from the city and 42 from the country, while 74 of the 201 were treated at The Lakeside Home. During this year 54 oases were cured, 93 improved and six died. The Lakeside Home was doing its share in the general work, and the enlarged home on the Island was made useful not only to the inmates of the Hospital proper but to feeble children in the city and elsewhere, who needed change of air. , . 42 TJie Hospital far Sick Children, In the picture .ve have another look at the daily life of the little patient. It is never dark in the Home for Sick Children, for "o rpet" is there. Ood has pliicea in lier little deformed body a soul that mslta the darkness into night. There is no #^.3^^ N or a -9 o K O winter in the Home tor Sick Children, for her Maker hath given " our pet " a nature so sweet tiiat it is always June there. She has more patience than the little fellow on her left. See the look of half angry reproach with which he regards the doctor advance College Street, Toronto. 4.*? towards him to renew his splints. The little fellow fully thinks that the doctor should have been there two hours ai{o. l)ut he is mistaken ; his poor little leg got tired, that is all. To the right of our pet is a little patient who is only too glad to help his nurse, and so he rocks the baby. The little fellow in the left hand corner has a splitting headache,, and is looking across at liis nurse, whom he believes can do anytliing, and wonders why she does not take that awful ache away. The little girl in the riyht liand corner is help- ing iiopeep hnd her sheep, but like lio-peep she will have to l«i; iheni alone and they'll, come home and l>ring their long tails behind them. The year 1888 just sparkled with gleams from the sky of success. The shadows had betimes deepened on the work, but, in ihe sunlight of perfect faith, the management felt tliat even the aml>ition to have another Hospitcl that would be a model for the world was not too n\uch to ask for. " One half tl-.e world knows not how the other half lives " was the title of a picture seen over twenty-one years ago hanging in onoof the celebrated galleries of art in the motherland. Tlie scene is a small attic in which a man is seated, working at a fine shoe. His face wears the look of a determined will to conquer himself, for work he must. On. the floor in the foreground is a chubby little fellow of two or three years, iieating a tin pan with the back of a spoon. The centre figure is a woman standing, needle in hand, biting the end off her thread, her head and gaze turned where her heart is, to the corner where, on an old-fashioned chest, lies the still form of her dead baby, covered by a sheet — no time for mourning, no leisure for Sorrow : " Men must work and women must weep. For there's little to earn and many to keep." The endeavour is to teach every child to pray "Give us each day our daily bread" with, deep meaning and sincerity. Morning family prayer is held in tlie wards by our lady .superin- tendent, but evening prayer is conducted by tlie children themselves. Tiiey pray for tiieir nurses, for each other by name,, and if any child has been conspicuously naughty, for forgiveness. If an operation is pending they ask very simply and trust'.ully for strengtlv for the little one, and that it " mayn't hurt much." If any are leaving cured they thank God and pray that some other " little sick child who has no nice home" may come in the vacant place. They never fail to pray for " Night Nurse who is up all alone," for the matron, and often have the little voices been lifted up for the president in her work. Surely hands so uplield must be " strong and do exploits." " Out of the mouths of babes Thou hast perfected praise," and thus the sick ward becomes a nursery for the spirit of prayer. It may well be said that all the houseiiold are consecrated for the work. How else could they do what they have often to t'o when the children come in covered by both disease and filth, and these frequently repulsive-looking children, in many oases the offspring of wretched, diseased and drunken parents? Last year " A Christmas Letter to the Well Children of Canada'' was published in leaflet form and enclosed in the report of that year, describing the Christmas festival. 80 many gifts came in that there was a surplus given tt children of the city who had nothing for Christmas. One little maiden, whose mother sews for a large wholesale house, siiowed with great pride her Christmas present, the only one her poor mother had been able to provide ; the leg of a turkey dried, with a sinew left so as to open and close the foot. Tills poor little lad, held so tenderly by his nurse lest his injured foot should be hurt, is going to have a treat, which by him has been looked forward to all day. His iiark eyes, which usually look so Lad and give cvidenct; of much suffering, are now brilliant with excitement, and his thin cheeks are faintly flushed as ho holds on tiglitly to his nurse. Then the large room is reached where the Ciiristmas tree is to be shown to the delighted gaze of all the little boys and girls wiio are well enough to participate in the enjoyment. The nurse puts him down and fusses over him a moment ere going for another little patient. All around the brilliantly lighted room are eager little faces which have, for the time oeing, forgotten their pain and wondering what pretty toy is theirs off the tree whose branches are drooping with the unusual burden. Our little friend in the picture glances down on his Sunday bandage and believes it is worth while to have a sore foot in order to enjoy such a treat. Poor, poor little lad, his life has not been cast in pleasant nlaces, and he has many a time felt the pangs of hunger and cold in his sciualid home. The little group- of ladies around the tree look at the pleased faces of the little children and feel repaid for the trouble they have taken to provide the entertainment and realize tlie truth of the words " It is more blessed to give than to receive." When shown a basket full of toys and dolls, and told that, " The little sick folk in theHospitd have sent you any that you like to choose out of these," sl.e looked awe- 4^ The Hospital fw Suk Children, Btnick, and required coaxing and assistance in lier clioiee. VVliun handed a lar^e doll (it had only one lej? and not much nose to 8i)uak of) she took it lovingly in her amis, laid it upon the l>ed, petted it, cuddled it, then laid her own soft, win m cheek upon it, till the mother was weeping at her joy. From place to place the ladies ■went with the basket feeling ihut they who so hountifuUy supplioil the little sick children •would have been twice blessed could "they have watchBe along the streets where the windows were decorated. The .adies of the Flower Mission in connection with the W. C. T. U., came regularly every Friday distributing Howers, fruit and jellies. They have added to their loving-kindness this year by undertaking to teach those who are likely to be in bed for some time to read and write. At Easter-tide tlieseladiesbrought tiny baskets ■ containing a single ei;gand a Lilliputian baby nestling among fragrant blossoms and pre- sented one to each girl. The boys' gifts were ecjually approfwiate. The receipts for 1888 were .iSS, 172 lo and the expenses $7,731 45. There were 248 patients, of whom 225 were from the city and 23 from the country. 111 of the 248 being treated at The Lakeside Home. This year 112 cases were cured, 92 improved aud isix died. Oollege Street, Toronto. 45 The desire to see the work on the new Hospital het,'in now took practicul shnpc. A Building Coinniitteo was apnointed. Meetin^^s were liuld, pl'ins discusHed and every point was considered lieforo launclii g into an enterprise involving tl>eex|)ondituroof a largesum of money for a inodern hospital stnictnre. As there were yet tlouhts as to the exact loca- tion of the Hospital tlic plans were not hurried forward but rather delayed until definite arrangements weie made for the site. Some favoured the original site on College street, others a spot out of town, a few wished to go to Rosedalo and a projtosal was made to accept a plot of ground from tlie University authorities, near the new i'ark Hospital, on condition that if the Children's Hospital affiliated with the I'ark Hospital, in return for such clinics as could l)o given to the University Medical Scliool, they would give tlie site to Imild. At first view this pro- position met witli approval as ii would give value to tiie College street ito and enalile !|<2(),(M)() to he spent on the now building. However, oliscrving friends were not content with tiie scheme. It wa^ ihouifiit by son»e tliat the special work would bo overshadowed in tne larger building, and that the Hospital for Sick Children would oventually booonu- a secondary consideration in the general run of hospital work. All this discussion ended with a resolve on the part of tlie nianagement to l>uy tiie Davies property at Kosedale and on the 31st Decembei-, l8SS,the jmrcliase was completed forS;iO,()()(). Everything was now apparently in proper order, the site bought, the plans neatly leaily, when a little bird whispered to some of tiie friends that the ?<'JO,()(K) voUmI by the city could only be used for the addition of a wing to the Hospital for Sick Ciulilren on College street, to lie called the Victoria wing. In tiie meantime cousideralile opposition to the iihosen site in Ro;ie- (bile had^arisen, and eventually the Council decided not to recjuest increased powers of legislation from the (iovernment, but to confine the expenditure to a building tO' be erected on the C!ollege street site. The management in the meantime were experiencing a good deal of anxiety about the Rosedale pro[)crty. It had been placed in the hands of Mr. ,John Stark to be sold, bu . as yet n(< one hail offered to purchase it. A loan was obtained and the stun of $1'2,(X)() cash was psiid to Mr. Davieg, with a mortgage for tiio nMiiaining JSlS.OilO, and after negotiation with several probable ptirchitsers in lite month of May tiie land was bougiit by a Mr. W'liite for the sum of !j!,S'2,5(K), so that us a rciil estate dei',1 the management had been most fortunate. This happy transaction was tiie work of Mr. .John Stark, who was energetic in his efforts '■ brigiit sunshine on College avenue a group of devoted Cliristian workers, zealous philun- tiiropists and worthy citizens, to inaugurate a work which will redound to Toronto's honour, and like tiie glad sunshine, shed a cheering light and kindly warmth on many a sufferer in the ranks of diildhood. "Toronto is justly proud of her manifold institu- tions for aid to the distressed and relief to the stricken ones; but without disparagement of any should not a Hospital for the treatment of Christ's little children, have the preemii uce? Eni- pliatically such is the case in the estimation of Toronto's generous liearted ci ens, for is not tiie ' Hospital for Sick Children,' at present temporarily located at Jarvis and Lorn- "bard streets, a monument of prayer and work, faith and fruition, dire need and liberal aid ? "The World has kept its readers duly informed of the orogress of tlie good work from ' the day of small things' up to yesterday's glad proceedings. June 10th v/ill be a red letter day in the chronicles of this worthy institution, for with prayer and praise, -with joy and gladness, a commencement was made towards the erection of tho new Hos- pital on College avenue and Elizabeth street. " The site is excellent, near the homes of the poor, withal healthy owing to its pro- sent northerly boundary ; the plans are elaborate and in some respects unique, the design is grand, the building handsome, tlie funds encouraging. In brief, ti'is new Hospital when complete will cost .§100, (KM), will lie tho most complete of its kind on the continent, ^nd perhaps the most useful and ornamental in the city. " These were the reasons why ttrateful Ebene''ers were raised yesterdp.y, and faith and hope were strong for even greater things. Brief were tlie proceedings, and in ao- -cordance with the eternal fitness of things a child was the chief actor in the little scene. Set, in ' the midst of them,' he recalled an old-time scene and world-known verse, and also to the memory of the World's Reflective Voung Man, another citation from tlie same ■old book, ' A little cliild shall lead them.' "Mr. J. Ross Robertson, as chairman of the iUiiUling Committee and at the request of ■the Board of Managers, acceptably presided. Rev. Hugh Johnston, whose smiling countenance betokened he entered into the spirit of the scene, out-poured the assembly's thanks and fervently besought the blessing of Him without whom nothing is strong and holy, lovely or of good report. Fervent ' aniens ' eiulorsed the earnest supplication. Then the chairman, in clear, business-like manner, lucidly told the history of the Hospital, thankfully sketched its progress, extolled its Christ-like work, praised the plans, compli- mented the ladies, and was brimful of sanguine expectation. Pithily summarized and parajihrased he urged all to bate nor jot of heart nor hope,' but still bear up and press light onward to their good work. " Then Master Irving Earle Robertson, the seven year old son of the worthy chair- man, with joy sparkling in his bright eyes, and with boyish zeal and alacrity, seized his brand new spade, and, like a brave little man, cut the first sod on the Hospital's site. Cries of ' bravo ' and applause was his guerdon from the fair ladies and leal men forming the group. " Of the rest of the proceedings suffice it to say that the Rev. Dr. Johnston, Mr. Samuel Rogers, Dr. Machell. Mr. Burson, endorsed the encomiums of the chairman, who it must be confessed, fairly blushed at the praise of his own excellence? and at the classical aspir- ation of the new doctor, that Master Irving Earle may be, like Achillis of old, ' iu arms fiuperior to his sire.' ^Vork on the new building will commence at once, and « College Street, Toronto, 47 it ia expected that the structure \\\\\ be roofed and reaily for occupancy by th«- lutter part of the «iniiner of 1H!H». The lot is 150 x 1()6 feet, and every inch of thia LTound will be coveretl by the new building, which ia to b» of ntoue and brick of four Htoiiea." The contractM are let as follows for the building ; Masonry, Henry Lucas .^41,0,'»(J Carpentry, Scott & Cross "2'2,41)S (M) (M) . J'hunoing and heating, W. J. McOuire A; Co. . . , 2(),'24l (M( Adamant plastering, SV. J. Hynes (),(MK,> (M» Klevators, John Fensom . . r),r) (Kl Painting and glazing, M. O'Connor ;V2()7 00 KooHng, Robt. Uennie & Son '2,088 01) Laundry machinery, Troy Laundry Machinery Co 1,787 00 Electric wiring, Edison (ieneral Electric Light Co 924 (K> Iron stairs. The Harnum Wire &. Iron Works Co B2"» 00 Tinsnu thing, John iJouglas & Co r»4;{ (JO Sundry contracts and otlicr items 10,0.S7 00 $lli>,(KX) 00 On Friday, the 6th Sept , the foundation stone of the new Hospital for Sick Children •was laid by E. V. Clarke, Esq.. the Mayor of Toronto. A large gathering of interestetl friends assembled The late Hon John Macdonald presided, and congratulrtory ad- dresses were given by the late Rev. T. W. Jeffery, Rev. D. J. Macdonnell, Kev. J. Burton, Rev. Elmore Harris, Hon. S. H. Hlako and Mr. J. J. Withrow. The devotional cxeicises were oonducted by the Rev. Elmore Harris, Rev. W. A. Hunter and Rev. W. Brooknian. Some ■of the friends invited to atteml were unavoidably ab.senl, but tliey kindly lo- inembered us and sent encouraging letters. A scroll, contdiining a short sketch of the work of the Hospital from tlie beginning, was read by I.e. Samuel Rogers, and enclo.;ed witii a copy of the last report, the programme of the service, copies of the daily papers, coins, etc., in the stone. The Ladies' C(«nmittee of Management, through the Acting President, Mrs. Harvic, presented the .Mayor with a silver trowel, containing the following inscription: "Pre- sented to E F.Clarke, Esq., Mayor of the City of loronto, on the occasion of the laying of the corner stone of the new Ho.spilal for Sick Chihlren, Toronto, tJth September. 1889." The Evening Telegram gives the following account of the ceremony : — " About four o'clock yesterday afternoon the sun shone out from a sky that had been overcast all day, threatening rain, and sent long shadows of the trees on College avenue across the platform made among the foundations of the new Hospital for Sick Children. " Gathered on the platform were the men and women whose kindliness and perse- verance have ' •'.in the real foundations of the Hospital Hon. John Macdonald presided, and grouped around him were Mrs. A. M. Smith, Mrs. Joiiu Harvie, Mrs. Carlyle, Miss Maria liuchan, Mrs. W. S. Lee, Miss Muttlebury, Mrs. Cnrrie, Mrs. Donal'1. Mrs. Leigh, Miss Rogers, Mrs. Ne son, Hon. 8. H. IJlake, Mayor Clarke, Rev. J. D. Macdo.Miell, Rev. John Burton, Rev. Elmore Harris, Rev. T. W. Jeffery, Rev. W. A. Hunter, J. J. Withrow, Dr. Machell, John Harvie, A. M. Smith, Dr. Wishart, W. S. Lee, Dr. Buchan, Dr. J. F. W. Ross, and Dr. Thorbuni. " The services began with the singing of a hyinn : " From all that dwell below the skies, Let tlie (.'reator's praise arise, Let the Itcdcemor's name be sung, Throuc:^ every land, by every tongue. '■ Eternal are Thy mercies. Lord, Eternal truth attends T'ly word ; Thy praise shall sound from shore to sliore 'J'ill suns shall rise and set no more ••Rev. Elmore Harris and Rev. W. A. Hunter followed in reading of the Scriptures and prayer, and Mr. Samuel Rogers then came forward ani hand, with his frock coat buttoned tisjlitly, a full blown yellow- rose in his buttonhole, and a halo of late afternoon sunlight about his bare head, the Mayor listened to Mrs. Harvie's little spoech, took the trowel and turned to the sione. He did not handle the trowel like a skilled orafisnian, and a smile ran round the assembly while ho laboriously sprt-ad the mortar. The stone was lowered and placed, his Worship then applied the levels, scanned the edges and at last declared the stone ' Well and truly laid.' " When the stone was laid, the Rev, William Brookman offered a prayer. " Hon. John Macdonald then asked Rev. Elmore Harris to read letters from Chan- cellor lioyd and Rev. Dr. Sweeny, of .St. Philip's church, expressing their regret at finding tliemselves unable to be present. " ' I now call upon his Worship the Mavor,' said the Senator. " ' 1 have to express how honoured I feel,' said the Mayor, speaking from before the corner stone, ' in being chosen to lay the corner stouc ox this new Hospital for Sick Children. It is a fitting thing that it sliould be so named. Her Majesty's reign has seen a great advance in public charities, and the erection and maintenance of such institu- tions as tliis is an ornament that t.jie city may be well proud of. ^ ne City Council is commonly regarded as a set of hard-hearted, unregenerate men, whoso ways are wholly wick'Kl. Let their help towards charitable work of this kind plead ir. their behalf. From the time fourteen years ago when Mrs." McMaster made a beginning of tliis Hospital with oight iron cots, until to-, the first year of the Hosjntal, the city devoted iirlS.OOO to hospitals and charities, seven years later, in 1883, .'?'24,000 was devoted to tiie samy purposes ; anil seven years later still in 188!), we made tlie grant, §62,000, not including the special grant of S'iO,000 to the Hospital for Sick Children, the amount in all is $82,001) I mention these figures, Mr. Chairman, ladies and gentlemen, that you may grant something of your charitable opinion to a body which leceives but little. Again I must thank you fdr the honour you have done me here to-ilay. The work of this Hospital is an old wovk — it ap()eals to every mother wlio has eve^ nursed a sick child, to every man who can remember a mother's hand smoothing his piliow, and soothing his sickness with gentle administratioijs of love.' " ' I cannot tnake an address as valuable as that which the chairman has made,' said Rev. D. J. Macdonnell, who ^poke next, ' ))ut as one who has worked witli the charitable men and women by whose tutlcavours this Iniilding is being built, I may be allowed to say a few words.' One or two thoughts on suffering and Cliristiaii charity were presented by the pastor of St. Anduw"s, thoughtfully and earnestly. The Rev. T. W. J effery fol- lowed, and the chair .nan called for Hon. S. H. Blake, Q. C. , who said : — " ' I regi et that the ladies, who may almost regard this Hospital as tlie work of their hands, Mr. lUake began, ' have not spoken >,his afternoon. For my part 1 want to say how glad 1 am tiiat the name of the Hospital is rightly linked witii tlie lutme of our Sov- ereign as woman and mother. Toronto did herself great honour in 1S87, on the 50th anniversary of Queen N'iciorias accession, by voting a grant to this Hospital. I am sure that many blots on the record of the City Council, and many entries of mi.sdeeds, will be wiped out l>y a tear from the recording angel as his hand writes down their grant towards this building. I am glad that the building is situated just wheie it is — in !^t. John's ward, wliere so nui-ch of the city's wretchedness and squallor are gathered — but also on one side of this fine avenue fronting the costly residences of rich people. Let it be a symLol of how the heaits of the rich sliould go out to the poor, and the hearts of tlie poor beat back to the rich. The heart of the city is the best site for tnis Hospital. During all the summer heat tlie cUildrcii are not here, but out at The Lakeside Home for Little ( hildrcn, on the Island, which the kindly charity of one wno has done a great deal for the children has provided for them, lUiihliiigs and corner-stones may crumble, but such love cannot ever cruml)le. Friends, we shall never have anarchy so long as only this kindliness of man to man prevails. It has always wrung my thoughts to think of tiie sick beds of the children of the 'loor. If the rich man's child is ill he can at least go out to his daily occupation with what comfort tliere is in the knowledge that the little loved one has all that watching and careful attendance can do. But the poor man, whose child lies suffering in an ill-ventilate live, and why the natunvl thought of the heart is not tho best thought, either for them or the others, especially the others. The poetess describes three scenes in the life of a skilful and pain.staking [jhysician, in which he is the means of saving the life of a depraved old nian, of a dying babe born " without a name," and a little child injured in the street, and who, though partially restored to he.ilth, was crippled for life. In thinking .pver the three cases, he writes in his diary touching the first: " I have saved a hideous life." Of the second : " I have saved a needless lite. ' And of the third : *' I have saved a sorrowful life." And in closing his private book gives utterances to these sad words : " Three lives by me who best were dead." In the sequel, " Beyond the Hospital," the old physician is again brongiit before us, but now, at the close almost of his life's iourney, and as he still mourns over the saved lives the angels are sent to reveal to him that in the case of the hoary-headed wanderer : — " God liolds e'en for sinners some work In liis hand. For as red fla^js of danger warn off from the road Bo yon erring soul hath led many to God." And softly they whisper to the aged doctor as ho turns restlessly unonghis dying couc'.i— - m " How knowcst thou, but some lato day of grace LMay find e'en for him in high heaven a place I 52 The Hospital for Sick Children, Of the nameless babe the angels sing — ' "There Is nobler work given those puny hands, I ' ' . Than falls to the lot ot the angel bands ; < For that babe is the link, „ To draw her (the mother's) soul back from destruction's brink. The angelic message about the child restored, but deformed and crippled is — " Oh, pity him ! Love him ! but dare not to say, It were better to shorten his life by a day; For like flowers that spring but on sunless knolls, Some jrraces bloom only in tortured souls. And a hundred hearts, all for the sake of that one. Are learning the beauty of duties done— ^ re learning unselfishness, thoughtfulness, care. By the side of that which they may not share. And the sufferer— heaven deserteth such not— V God's arm is around him; envy his lot." The dying doctor is convinced that in saving the lives of his patients he has simply beenworking out (jrod's plans, and before his soul goes away with the angel bauds to the better land he cries out — I " Oh. blessed all lives, since for each God hath use. Despite of sin. sorrow and wrong and abuse, I thank Thee, I thank Thee, O God, that those three. Whose lives 1 deplored are yet living by me. ' IN THE HOSPITAL. Grimed with misery, w ant and sin, From a drunken brawl they brought him in, While tearless-eyed around his be H IS in the boiler-house, in one of the rear areas, the coal cellars, fresh air passages, heating chambers, elevator tankliuul a mass and a complication of machinerv and pipes, utterly be- wildering (o the common mind.j Into a small vaulted, brick chamber ^in this miderground. College Street, Toronto. Gl THE ROBERTSON MEMORIAL WINDOW. C2 "he Hospital for Sick Children, region a tlust and dirt chute opens. It has one outlet on each floor, and is lined with heavy galvanized iron. It extends beyond the highest ridge of the building so that any odour may be discharged without the buihling and not within it. \^ ithin the brick chamber is placed an air-tight stove for the combustion of all matter coming down the chute. There ai e also brick chambers for disiiifectinc; wearing apparel, oeddmg, etc. , by the use of steam at full pressure. The cavernous coal cellars are floored \ -.th concrete and paved with brick, the coal being shot in through a chute from the lane mi the rear. A small stairway runs to this lane from the boiler room. Otf the latter are the electric en- gine and dynamo looins. THE BOILKRS, The engraved plan will materially aid the reader in our walk through the building* On the ground Hoor, after passing from the porcli into the entrance hall we have to the right a waiting room. Directly north of this is a closet and to the right and left of the back of the entrance hall we have a corridor ten feet in width, which extends from the extreme west to the east sides of the building. On the right as one enters the corridor- there is the incoming patients' recei 'ing room, 13x14 feet in size,. with a bath attached, tiion a spa e room of *^^^ same dimensions- and in the angle of the north- west earner of the structure, a fine large room 21 feet square, which can be adapted for any purpose — as a play room, or spare room for the administration department of the Hospital. At this end of the corridor we have two entrances opening from Elizabeth street, the patients' entrance, to the dispensary and a private entrance for the service department of the Hospital. Near the west end ot this corridor a door opens into a suite of fi^e rooms. The first room of this suite, on the north, is tiie entrance waiting-room. It is 21x17 feet in size ami is reached by tlie doorway opening directly from Elizabeth street. The sick children who as outdoor patient? are brought to the Hospital for consultation and treatment will first be^ receiveii into this room. Then each one will be taken to one of two consultation rooms,. on the south. These rooms are 10 feet square and lie between the two large waiting rooms. After the child has been examined by the doctors it will bo passed into the second lart'e waiting room in this west wing. This room measures 21x1.') feet and has an exit door to Elizabeth street, while opening from this waiting room is a disprnsary depart- ment where patients who have been seen will have prescriptions filled vhi!. waiting., Leading out of the Hrst waiting-room is a minor operation room, 12x1*2, «ith lavatory conveniences. Thi.^ room also opens into '.lie main corridor, so that communication may be had with the principal lavatory and bathroom on tins floor. Retracing our steps along the corridor we find opposite the entrance from College atreet, on the left of the corridor, a door opening into a passage which leads to the boilec College Street, Toronto. 6$ rooms and the basement. From this passage two small rooms are reached which are for the use of the men-servants ; they have in connection a bathroom and lavatory for general It Cft.i tdily be seen from this description tliat tlie arrangements for receiving, hand' ling and J iacbarging patients are thorough. T i^ whole transaction taites place in the Elizabeth street wing, and there is uo interferes a whatever with the other reg'dar Hos- pital routine. e4 The Hoapitat for Sick Children, ' Groing east along the corridor we pass the main elevator and find ourselves in the Mission avenue wing of the build'^^.g. To the left of the main entrance and on the north- ern side of the corridor is a door leading to the storage cellar, then one to a large linen and sewing room, 27 x 14 feet. At the north-east angle on this floor is the nurses' dining loom, 21 feet o^^aare, and from it there opens a lavatory. Opposite this is the servants' dinmg room, .5 feet square, also connected with a lavatory. Conunuiucatiug with this is the culinary department extending to the south end of the eaht^rn wing College Street, Toronto. 65 f WIM^ "*"'* A VI KW ON illS.'ilON AVKXi: 66 The Hospital for Sick Children, The kitchen is 21 x 25 feet ami has in it .in improved range ritt'^d with every requisitt necessary for the wants of the entire household. Above the range is a large hood, made of Russia iron, which collects all the steam, vapor and etHuvia of the cooking, and carries them into a flue whence they are discharged into the air. This contrivance gives the kitchen thorough ventilation and will protect the Hospital from those peculiar and gener- ally offensive odours characteristic of public institutions. At the south end of the kitchen is a bread pantry, TOxTA feet, sh.dved on both sides. The bread will be received into this through a v.indow directly from the delivery waggon. The design of the management is to have only what doors are absolutely necessary in the rear of the building as a safeguard agninst aiiy possible disappearance of provisions. Next the bread pantry is the cook's pantry, lOxlo feet, fitted with locksrs, shelving and all other appliances for the conver.ience of the mistress of the culinary department. To the west of the kitchen and opening from it is the scullery, a model of convenience, measuring 12x20 feet. An immense table i.3 placed here, free of the wall at the ))ack, and in it are two large Yorkshire earthenware sinks. Each of these has an improved grease trap that is ventilated into the flue of the kitchen ciiimney. IJack of the table, and as a protection, is an Italian marble slab four feet high ; under it is a slate safe. The scullery is fitted with cupboards and shelving and every imaginable facility is at hand for the work to be done there. South of thesculieryistheiccroom,12 feet square, in which are two large refrigerators with openings on the lane in the rear, for the rbception of the ice. West of the scullery is the steward's receiving room, opening into the driveway in the rear of the building. Coming back through the east or nurses' wiiig to thj corridor and going a little further west the next object of interest is an arcli opening to the service staircase running to the top of the building. ^V'ithin ihis staircase is a hydtaulic elevator with a floor 3 feet 6 in. X 4 feet 10 in. By means of these direct communication is established fi'om the cellar to the attic and with every intermediate floor. Tiiey are to be ut^ed by the servants and nurses in the performance cf their duties. The next door on the south of the corridor opens into the room to be used for sorting soiled linen. A chute runs from the top floor to this iloor v ith openings on each floor. Into these openintjs is put the linen whence it travels to the sorting room, whicii is 12 x 14 feet. It is then taken through a passage to tiie laundry, a fine room running back in the cenlre of the building from the basement floor. The Hospital being in the form of the letter E, the laundry is located in tliesnr.ill central arnt of the letter The laundry is practically a detached building, there being only one door of communi- catioii. and that of the ordinary size, between it and the main bnilding. It is a large room 32 X 36 feet, lighted by seven windows high on three sides, and is a model of perfection. It has been furnished with all the latest improved arran<;ements for rapid and thorough work by the Troy Laundry Manufacturing Company. The excellence of the machinery made antl set up by this company is a guarantee that this Hospital is fitted with perfect laumlry machinery. There are two large washers, beautifully mounted, one large manole, a wringer, made of iron and steel, with a fan to drive out the steam, three great tubs, a clothes tray set on i-ollers and a copper starching kettle. Fii-st-class English belting is used and all the machinery will be run by an electric motor. The drying room is composed of twelve sections running on rollers. It is tin lined and has a double layer of pipes on the floor and sides with a window back of it giving it abundant light. \^'hile visiting other cities in search of the latest and best methods of liospital con- struction and hospital work, Mr. S. G. Curry, one of tlie architects, found a new ar- ranj;enient in Detroit, which he has improved and nitroduced into this laundry. It is a circular iron disinfecting chamber, about four feet high and two and a half in circumference. Within it aie brass trays into which are put clotliing and linen, that may be permeated with germs of disease. High pressure steam is turned upon these trays, the top of the chamber having been tightly clamped down ; it completely kills every germ, the vapour escapes through a small ventilating shaft and the clothing is then removed and washed. The contrivance is a simple and an economical one. The reader having traversed the basement and cellar through all their ramifications will again fancy himself within the arched entrance on College street. Back of the en- trance to the vestibule already described is the staircase the steps and landing of which are made of Credit Valley stone with the bands and carved corbels of Portage entry stone. On the second landing he will face the Robertson Memorial Window. Going thence up a single flight he 'aches the main landing on wiiicli are three doors ; the double doors in the front op; into the main corridor. The one on the right opens into the Koard room, measuring 30x14 feet, with an L on College street 10x7 feet. The room College Street, Toronto. 67 63 The Ho8intal for Sick Children, ij panelled to a height of eight feet in huttenmh, a;ul lias a vaulted and ;;roined ceiling, and at tho west wall is an elaborate hooded mintel ; the lower portion is of slcne, the hood being supported on columns. On the ert of the landing is a door leading into the business office, which ia 13xH feet. The Hospital has a complete telephone system of which the office is tlie centie. There are two telephones on each floor at tlie extreme ends of the corridors, one on tlie attic, one in the boiler room, one in the matron's room and one in the doi;tor's room. By this system there is immediate communication betwesn all parts of the building, the con- venience and benefit of which are at once apparent. College Street, Toronto. 69 stepping through the douhle doors we are now witliin the corridor of the principal floor. 1 liming to the left we pass tlio office door and enter a private ward, 13 x 14 feet facing Collece street. Next to this, and in the north-east angle or tower of the building' is a hne large ward, 21 teet square. In the north-west angle is a ward exactly like it These two rooms are bright and cheerful ones anil have an admirable and unique feature, suggested to Mr. E. K Osier by what he saw in an Hospital at Birmingham, i' upland. The winuows in the side are set so as to aftord a tine view of Coilet'e street. Upon" the wall opposite these windows large clear plate glass mirrors are set, thus duplicating the street sights. No matter in what part of the wa-d a cot may be placed the little suffcier will he able to see all that takes place on the street so that lie can not only be entertained but wdl have Ins attention drawn as much as r.iav be from his isuflering and pain. MAIN FIRST I'l.OOR. At the eastern and western ends of these corridors there are service pantries, conrain- ing Yorkshire earthenware sinks, hot and C(jld water, gas stoves, drawers and cupboards^. On each side of the entrances arc eu])boards for storing linen, glassware, etc. It is a characteristic of the building throuixliout that all tlie space within the walls shall bo utilized ; every ccjrridor, passage and room shows tliis utilization. Kunning south in the eastern and western wings "f the building on Mission avenue and Klizabeth street, are two large wards, each ■21xr)4 !■ it, lighted by four windows on one side and three on the other. At the southern end is a scries of tliree rooms, betw eon which and the wards is a cut-off passage. The first room is a w'ater closet, the second a housemaid's closet, and the tiiird is the bathroom. They are lined with marble and the bathroom contains a porcelain enamelled Roman bath. Thcsinks are of Yorkshire earthenware, the supply pipes of galvanized wrought iron pipe, and the waste of extra heavy cast iron. The Undine washout closet with overiiead cistern is used. All exposed pipes, trimmings, etc., are nickel plated. The floor is of slate, the marble partitions run only half way up and do not rest directly upon the floor, but upon standards, so as to insure perfect ventilation and cleanliness. 70 [The Hospital for Sick Children, It may'be'stated here tliat the plumbing work throughout the entire building is of tlic oame high character. The material used is of tlie best qiuvlity and the worli is urtistically enamelled and plated so that it is ornamental as well as durable. The specifications with reference to all pipes from tlie lowest cellar to the attic, demand that wlienever jxissible, the pipes shall be exposed so tliatany leakage or imperfection may readily be detected. The water supplies have been arranged so that in case of any accident to any fixture it will not be necessary to cut off any but the damaged one. Tlie bathrooms have been built one over the otlier so that one solid pipe line may serve as many fixtures as posbible without any great length of horizontal branches. All pipes leading to the air are carried through the roof independently, thus affording the best ventilation. All soil pipes are carried down within the rooms through which they pass and not in chases in the walls; reaching the sub-basement they run along the walls until connected into one pipe which is trapjjcd against the street sewer. Tins trap is enclosed within a round space en- closed with brick within which all the traps upon tlie varioiis drains are placed so that in case of stoppage in any one of the traps, it can be removed without trouble. A W.ARD SEKVICK PANTKY. All the fixtures are of simple and suLstantiiil character, of mat and ornamental design Aithout any waste of money upon mere embellisliment. It has 1 eun deemed witer to ex- pend money upon a perfect system of plumbing, ventilating and heating than upon costiy elaboration of less important parts of ti.e building. A peculiarity in the wards, and a philosophiial one, peculiar in the sense that it is exceptional, is what may lie called a mtchanicopsychological feature. All sharp angles and edges are avoided ; the wood work is all rounded, the ceiling is coved, and there are no sharp points and lines to weary the eye of tlie little sufferers. The seven-eighth floor is matched throughout and laid upon strips five-eighth inches thick, the space thus made College Street, Toronto. 71 being uackecl 'with miiKMiil wool as a protection acainat Hie imd to deaden souiul Gas and electricity aie used to light tha building, l'\ addition to the ventilating and heat- ing arrangements, hereafter fuUv C t^t M — ■n' fl ^M- -» -♦ lO -i "^ 1 - ~1 2 f 1 (Q CI ttf «» to • Cl ^ C-l ^ 5 1 1— eC ^ OS GO «o ?o I* ! Tl 00 ft 1 ^ 13 I'- — Ci CO fM •- 00 »C «C «0 CTi fM « -f 2: ,»l w CI t-H r-i ^M (M -M -* M M M I feU ^i-0 — O t^ to r-t C ; Ci -ti M re 30 -^ * ■; ^ '^. *"; *■ ""cf cf cc -I" ^fi^fi !:d CO X* »- r O -M "^ O a: 't^ Xj 'Tl «0 M -^ !■- 'O (^ CO (?! OC 'M w X) 'M -''^i — ' CO ^ X) <— < y) !-• r, ^ pj ^ -; ^ ^, .^ : * to "M 5; t-» 00 1- fj-l ,-, C^ *j ^ I-, tC t- 'M CO C^-l^i—^QOOi c-f CI -^ '>» c-r^^' '^' •'^ »o o'co 00 odco 1-^ I t» • t£^^5-^|?ll-|^^-l"c5^0•>^•^5M ■ -M -i- O 1 - C a "^ '5 f; S! '" s '." — • 3d to I- ro t - ^ ?'- O -h •« 'O t* C: I- . ^ S> ~: -i (T. ?^ CO 3D I- oc i-co '-_ -H : ^^c-I— ^oi CO* -r *ico M >o ^kS ^ o' o o .05^ ■•SfSSSSSS :8SS IS ■c-i.-«5co^32 2oo -as.?? I ■» :» : I'* ?5frl 'O O 00 'OCT, ~ I 'ri ^* O t' OC I- O ^ X •O to CO . . ■ .rti-iop. -l-l-OSl-CO— _ C0 i . . . • ■ . . . ■ - '(J^ ,A 1^ 00 crs o r-" oi c5 " ' 'Q <^ I" ''* S5 O- c H O V O H X h r ^ ert u rn u •/p ■d "* 41 IS. en -3 n f* S-^ ^ » d o.o_ 5g'■ l^*: ^'zS'^Z.^iS'^^S'Ck'--^ o o o c :; -J a -s f, r*. r, r-. r% <, <\ r-, <, r-, r-, /. '^ '/"< /, /. Y. 'A 'A O C s o .7; s c o 13 S3 O "o - o 60 O c8 i m * ^ .S O • 5 = ~ O ■/ ^ M-^ ^ a-J^^^ it's = u, C ^ 3 c fi.t: c 'i c MO iw_i— 1-^ >':;.'i.': " oo.S s o = a ^ £ gSaiSc C o --'2 5 s 2 -o « r a ;OwO-,20 . a <^° 2 e ^- M a : a a ?- ^ * f^'c.grt 3 w-2 2 = , i: (-•5 t:,a! a t-.^ g-^ li o ;:u=iJ p-i jj a a u; oar;X't.icso.atsoc^a!c; --.— ^ cs s o - ^ a! a >. vJO^ w S a" a it .3 a - 00 Miss Carthow (Brighton, Eng.) IIG 00 Interest on depos i 24 32 Hon. John Macdonald l.OOo 00 Mrs. Rati inson (Preston) 10 00 "A Friend, " ix'i- .Mrs. Me ritt 10 05 Miss Helen Lesslie (I)undas) 50 (JO "Busy Hees" of Orillia 22 00 189>. Collected by Daisy RevoU 2 25 From Orillia 10 00 Mr. E. B. Osier 1,0(KJ 00 "An Unknown Friend" 10 00, Mrs. Walter S. hue 10 00 1 Toronto Itetail Grocers' Association .. 20 00: Mr. A. M. Smith 500 On t Misi: Robertson, Scotland 5 ()(» ' M. B 10 00 "Conscience from a servant man," per 1\I r. Hooper ,50 (X) ! Miss Harris, per Miss Jar vis 4 00 I From <^""''^ 5 00 I iV*-^'*", of Cushion 150 Proceeds Union S. S '. lo (XJ Mr. L. H. Clarke, per Mrs. Mcrritt .... 25 00 Mr. W. S. Lee 5 00 Mr. and Mrs. James George 25 00 " A Client ot John Stark & Co 100 00 Mr. George A. Ct c 1,000 00 "A Erie d of Little Children" 20 00 Miss L. Harris 5 (W From Orillia 10 00 111 memory of Mr. R. Dunbar 25 00 Miss Clarke 5 00 :Vliss F. L. Clarke 5 (K) Bequest of T. M. Thom.son, Esq 500 00 Mrs. McCuUoiigh, per Mrs. Leo 1 (M) Mr. John Taylor, per .Mrs. Lee 50 00 Half be(iii(!st of W. Gooderliam I,(KH) 00 " The Little ReaixTs" 15 00 Class of little girls. ICnox Church S. S. 2 (K) Mrs. J. Mossman 2 00 Mr. . Mossman 2 00 "A Christmas (jiift" 5 00 Miss Price (Deer Park) 10 (X) 1891. Mrs. Cassie (Port Hope) 10 00 Mrs. T. (}. Blackstock . . 10 (X) Mr. and Mrs. James George 25 00 Immanui'l Baptist S. .S 25 00 Mrs. McLaren (Hamilton) 5 00 Miss .1. B. Robertson (Scotland) 3 50 Mr. F. Brigden -JO 00 Miss Harris, per Miss Jarvis 5 00 Miss L. Harris, per Miss Jarvis 5 00 Mrs. T. Stewart (Belleville) 5 00 Last btMniosl of lit tie Jessie H. (Giiclph) i '.)0 J. .M. B. (XortliB y) 4 00 Mrs. W. S. Leo 20 00 Sale of work by Misses Matthews 45 00 Toronto Toboggan Club . . . . 159 72 Mr. W. S. Lee 5 00 Mrs. J. A. Boyd 5 00 Mr. T. Stewart (Belleville) 5 00 Per Miss A. M. Fearon (Allansville). . . 11 (il Total subscriptions, 1886-91 $27,400 12 The profit on sale of the Roscdalc pro- perty app led to building fund $1,054 24 $28,454 3G Slillto bj r.ceivcd. Mrs. Eagle's be(iuc^t 3fX) 00 Miss Sopliia lioss' becpiest 500 00 Half of ^Ir. Wm. (Jooderham's bequest l.OOO 00 Mr. John 1 lallam's subscription 1,000 00 % 31,254 36 Cost of building 115,000 00 , , „ $83,745 64 1 ho Tucker bequest 20,000 00 Balance due $63,745 64 In addition lo his subscription of $1.(XJ0 and $400 for rent of Jarvis street building, INIr. E. B. Osier discharged the mortgage he held against the H.S.C., Willi interest, which amount- ed to another donation o*' ^1,350 25. E. B. Osier, total contributi 2,750 00 2 he Lalo-sidc Home 'or Little Children. 1883 -The original bui) ' ng and sundry expenses 3.000 OO 1885— The enlarged ouildiiig and sun- dry cxpei.Bcs 2,;')00 00 1890— The completed building 15,500 00 J. Ross Robertson, total couf.ributiou. 8L'1,'X)0 00 College Street, Toronto. 83 84 The Hospital for Sick Children, o 73 W5- ?l — . •!-< . w^ „ • ^^ -TM ;- -r- ci ^' «» i 55 IM ■ - !0 -• ,'-' — ■ <-i4 "T — " ' - .-0 -3 ^'r iM . rt eq -H rt (M rt -. 06 ab -^Tfi-.-H^;*"-'-^ e. — MO «IM • i a w^ ; : ^ t t • - - • rt ; -:-!-■— • — : i LJ 03 •-4 e-1 wf-( . --- • fH ; ; : ; - s HI 6" fM - " — ~" »H ' ^" • 'fH i-H«^ . rt (M 1 = - - _ •9MW^ — -■ . w ^ M -= ■-" . 1-1 <3 •Q m~^ - - - — : 1 ^H t3 »H — - r' I- fH F-4 - «H ■ - ^ ^'^~ — "•(5 -^ "" X Q "6b" — •H - fH - -- " e-t -: Q i-H ; ; ■-" - - ^ < 1-* - — — - - - f-H . - »MX^ • ^N ft - -^ «•> --. : ; i^ 1^ ; ; • *f^ —^ -^= ::- M pH FH • 1 Q n"' _-^ ^ " , • 1-H «4 ' -^ — ^ "»H & M OS' - - - - — -- -■ - - -- - • 1-H ■ — Tco" : i*^ ^ - - - -. - — -- — -:-- o •<* • vt • 1-1 ~~ IN fH Q 5-1^ 1-4 ^^ ~ ; '. -■H— 1-t -4— "■ — —. ^ tB ^-t D 1-H :" • oi : M '(5 - fH - - - »i :« - - - O (>) -1-H f-4 • — I— pH Q'" ^ O'lrl" ~ "^ — "" • • f-4 '" ~ "" ; : I> ' r ^ '<5 - - fH • • • f-t ^H e^ »H . .c<5 ~.^~ H— :- - - — - - O ^t< '^ m 2 1-4 a -- - _ ^_^ -; :- -^ O M a C<3 •'O :" - 7 :"' .-:- - - n - "" a' m ---- -■-■- . r= -^ - fH 1^ ^- — -- — - — r- - - - — r- : di - f^ :^ 1(3 • -PH . . - - •r fH - —.- ;•* r-H- - — -: " »-t ■ F-^ PH f-4 38 3 - - -.- ; : »H • — - : K . - -r- - »-< M To ' - -.-7- - - ■1-H ~ - ^ ei — : < t3 -;- — — - - — - - - — — — -:- - - ~ , y Q (M - • ■ -^ • ■ I-H - - :'^ — :'- fH , ; o "'" e>5»i -^'.'r -- -_ — — -^ - ^- ^ -- "^7" pH • -- - — ;- ;- - - : : 'i ft! :- .- — - — ;- — -:— b ^ h-l rH •^ fH — — -< . O • - V '. ."5 ' ■ > '■ '• z III •z 'i c I— 5 t X l > X 1 us. .2; t 3: • 'Z i. i ;X E ■ « rcSt 'So-; ■ • c :c • - r • -x : '.i ■ :r : £.> r 1 X . £ . a. ■ t ■ a 'S c 'c '1 "5 c c tr a: Z c 'c c I a *- ^ y c 'c c «. E c 2 c V ■c '. } • t Cxx ■i ,- X i 1 £ •■*- c 1 c <*- c .2 r/ C c £ X c rf '5 E II c X -/ • -1. ■ t. ; <= X tr 'x*3 ££ t X «■ cC C 1 1 1 Colle(/e Street, Toronto. 85 •2i.2 2 S £ = !■£§ - S c « ft >•._ - ^ .2 3.2^ s^'Ec-- 86 The Hospital for Sick Children. CHAPTER XI. THE IIOSl'ITAL FOR SIOK CIHM1RK>f — ITS ACT OF INCORPORATION — TIIK TRrSTEKH- THB nYI.AWS AM) RKdULATIONS FOR ITS (JOVF.RNMENT. Wlitreas certain poisons, viz. : Edmund 15. Osier, (ieorj,'e A. Cox, A. M. Smith, Samuel Ro;;ers and J. Ross Robertson, have formed a socle y for the purpose of conduct- ing an Hospital for Sick Children in the City of Toronto, and The Lakeside Home for Little CHiildren, the convalescent branch, on Toronto Island, in continuation of the pre- s>eut work of the present Hospital for Sick Children : And whereas, for the purpose of ac((uiring and holding lands and tenements for the use of the Si- id corporation and otherwise facilitating its operation, it is desiied to in- corporate the persons above named under the provisions of chapter 167 of the Revised Statutes of Ontaiio : 1. It is hereby declared that the corporate name of the society shall be "The Hospital For Sick Chihlren." 2. That the purposes of the corporation are to provide for the medical treatment of the children of the poor, suffering from non-infectious diseases or accident, and to pro- vide a dispensary and to furnish advice and medicine to those who cannot be received into the Hospital. ■3. To promote the advancement of medical science with reference to the disea-ies of children, anil provide for the efticieut instructions of students in this department of medical knowledge. 4. To diffuse among all classes of the community, and ciiiefly among the poor, a, better acquaintance of the management of children during illness. The five persons above named shall be trustees for acquiring and holding lands and tenements for the use of the corporation, and shall have the management of the Hospital, shall appoint all officers for conducting its affairs, shall regulate the discipline and manaiiement of the corporation, make by-laws, rules and regulations for the effective government and management of the affairs of the corporation or of any branches thereof, and may from time to time make such by-laws and regulations for the internal government of the said Hospital as shall seem to thein meet and expedient. 6 Should any vacancy occur on the Trust Board it shall be filled up at a regular meeting by a majority of the remaining trustees, the name of the proposed trustee being sent to each' member of the Board one week prior to sucli meeting. I. BY-LAWS AND REGULATIONS L All by-laws and regulations hereinmeutioned and provided shall take effect when adopted at a meeting of the trustees called specially for this purpose. II. THE TRUSTEES. 1. They shall annually elect by a majority vote at their first meeting a chairman, who shall preside at till meetings, sign on behalf of the corporation all rleeds, cheques contracts, receipts and instninients, which the trustees or the corporation may author- ize to be executed or be bound to execute. 2. The regular meetings of the Trust shall be held on the last Saturday of each month at three o'clock p.m. to inspect the atTairs and general management of the Hospital, examine and pass accounts for the month and discharge all duties appertaining to the Trust, and of all meetings a record shall be kept. Meetings may be held subject to the call of the chairman or at the recjuest of any two trustees, at which all business, wif.h or without special notice, shall be transacted, .save and except any alteration or amend- ment to these by-laws and regulations, and, in this case, one week's notice of the pro- posed change must be made in writing to each trustee by the chairman of the Trust. 3. The trustees shall visit the Hospital at least once each week in monthly rotation, and the visiting trustee may enter in a book kept for the purpose any observations he may desire to make, relative to the internal management of the Hospital, and report the same to the trustees and lady superintendent. College Street, Toronto. iS7 4. Tli<;y shall order to be deposited all m>>neY3 ruoeivcd on account of the Hottpittil ill one of the rhivrtjrcd luuiks of tliu I'roviiioo, to the credit of the " Trustees of the Hospital for Sick Children, Toronto, " and j^hiill not allow any money to be taken ♦niin Hueli account but by a checpio drawn on the l)ank, sijjtied by the cliairinan, by the authority of the trustees, or. in Ids alisence, by the cliairniiui prolfui., and count ersij^ned by the treasurer of the ladies' comniittee. Fiiey siiall also invest in safe and sullicient securities all moneys which tliey may receive for tic use and support of the llospilid, not ri!(|uired for inunediatc expeiuliture, ami shall endeavour to pay off the morlga^'c ivnd other debts as soon as possil)le, and preserve the Hospital free from tlelit, see to the punctual payment t)f the interest on the mortgage debt, aiul to the auditing and prompt payment of all aci'ounts when vouched for ami certilied to be correct. 5. They shall once a year, or when e(|uired to ^^* <^' 88 The Hospital for Sick Children, 4. Tlie coinmittee alxiU appoint (v secretary, a corresponding secretary antl a treas- urer, who shall perform the dnties assigned llieni nnder their respective oifices. 5. The comsnittee sl-.all avail themselves of the assistap.ce of ladies who may he dis- posed to aid in the work of the Hospital i)y reading and singing with tliu patients, or in any other way contributing towards their inst'-uction of amuso!'i<)it. IV. THK SK(1KETAKY. 1. The Secretary shall attsnd all meetings of the committee, record minutes of the pro eeedings of each meeting, act as the medium of communication between the trustees and the public, unless otherwise ordered, communicate to the trustees all recommtnda- tions of the committee, keep a stock book, vith a list in detail of all furniture, bedding linen, utensils, and all other cliattels oi the Hospital. 2. The secretary shall enter in a book or register the names of ai . tieiits admitted into the Hospital, I'lmes of their parent", guardians or relatives; ug^ , country, reli- gion, complaint, th'.ir time of admission, by whom admitted, \^ hether free or paying patients, an account of moneys due or paid by the parents, guardians or friends of pay patients, and if paying, by whom guaranteed, the time of their discharge, and whether cured, relieved or dead, and shall notify friends or relatives of such death, and if body is not claimed, direct its burial. 3. The secretary shall put up in the hall of tiie Hospital on College street, the names of the visiting trustees and visiting ladiea for the niontii, and the visiting medical officer for the week, and shall notify each of tlie parties of the time of their respective visit the Saturday before the commencement of said ttrm. V. THK CORnESPONDING SECRKTARV. 1. The Corresponding Secretary shall have charge of any correspondence and generally assist thd secretary, and, as much as possible, be the medium of communication with the friends of the Hospital, who resitle outside of Toronto, and the Sunday schools, churches and other organizations, who aid by contributions the work of the Hospital. VII. THE TREASURER. 1. TlieTreasurer shall receive and bank all funds to the credit of the trustees as provid- ed, keep an accurate account of the income and expenditure of the institution, counter- sign all chcMjues, deeds, leases and contracts relating to the Hospital, collect rents, inter- est, moneys ilue by pay patients or other income of the society ; maintain all insurances, pay all salaries and wages and all claims, take receipts for same and for ali moneys, and keej) in a safe place, provided for the purpose, all deeds, lenses, contracts, ac- counts, bo(jks, reports, etc., relating to the Trust, and t.■ a.m. and retire at 10 p.m. Niglii nurses .shall rise at (i p.m. and retire at 7 a.m. All nurses must lie in their rooms at 10 p.m. unless they have special permission from llie Lady Supei'intcndent. Each nurse before leaving her room shall make her bed, dust and arrange her room, leaving it in good order to be inspected by the Lady Superintendent. 3. The hours for meals are — iJreakfast at 7:30 a. ni. ; ilinner at 12 o'clock, tea at six o'clock p m. Nursas must not linger in the dining-room after maals. No Uieals shall be provided at other than tlie regular hour for any nurse, e>:coj)t when ordered by the housskeeper at th-j re<(ue3t of the Liiy Suparintoiulent. Nurses are not to go into the kitchen, nor give orders, nor in any way to int^rtere wirh the duties of the cook. No visitor.-^ are to b3 invited to ni.;als or rem lin in the idospital after closing hour, 10 p.m. 4. The nurses are under the control of the Lady Superintendent. When nuroes are off duty through sickness, they nuist report to the Lady Supei'intenuent, who will sehct a physician t(j attend tlie nur.ses in sickness. No other physician shall be consulted by the nurses, nor shall any medicine be obtained from the dispensary w'thout the written order of the Laily Superintendent. Nurses shall be allowed off one half day in each week and one half day on Sunday, as rhe work of the Hospital may permit. Nurses may see friends mi the nurses' jivrlour daily, when not on duty, at such hour as may be designated by the Lady Superintendent. Nurses are not permitted to receive either their friends or other nurses in the wards of the Hospital. 5. The privileges of the laundry shall be extended to the nurses in so far that all clothing not exceedinu twenty-five piece.- per week shall be washed The underwear of all nurses which is tlieir personal propertv, shall be plainly marked and shall be sent to the laundry, accompanied by a washing list signed by the owner of the clotiiing. (i. All post letters for the nurses will be delivered at noon and no nurse shall take the letters of another. 7. It is to be hoped that nurses will exemplify i^tieir character as Christian nurses, and be impressed with the importance of the charge they have undertaken, and at all times exercise that self-denial, forbearance and good temper so essential in attendance on little sick ones who canriot help themselves. Experience has shown that under the care of good nurses the lives of sick children are brightened atul, that, as a general rule, women being conscientious in the discharge of their duties, can meet, not only the wants of their little charges, but inculcate better moral principles, and instil good m inners and that gentleness which perhaps were not afforded in the homo teach- ing of the patients before entering the Hospital. 8. Nurses shall always keep themselves clean and properly clothed, and, while on duty wear the regulation dress of the Hospital ; take their meals at the hours and in the places appointed ; conduct their work at all times in a quiet, orderly and kindly manner ; attend punctually to the wants of their patients and do what they can to en- liven the lives of the little ones under their charge. . •J. They shall inform the Lady Superintendent at once of any complaint, illness or symptom that they may have aflecting tlieir health, of any fear they may entertain that they have taken or may be likely to take any illness ; in order that they may be im- mediately attended tj and properly treated, and, if necessary, relieved from duty. 10. They shall inform the medical officer at al! times when he visits his patients of all matters and circumstances relating to the patients, which may enable him to judge more fully and accurately of their state or malady, and shall also inform the Lady Superintendent promptly of any alarming symptoms with which a patient may be s^eized. 11. They shall see that patients take food or medicine prescribed, change patients' linen, clothing, bed linen and bedding when necessary ; that no medicine from the dis- pensary is received unless plainly and properly labelled and directed to whom and at what time and how to be used or administered ; that no visitor interferej with the patients or gives them food or medicine not duly ordered ; and that any violation of the rules of the Host ital is reported at once to the Lady Superintendent. 12 They shall report every death which occurs in their respective wards to the Resi- dent Medical Officer and the L:idy Superintendent, and they shall assist in placing the body in the mortuary. 13. fhey shall cban their respective wards at an hour which may be appointed for tl;e pui'pose every day in the year. College Street, Toronto. Si3 14. They shall see that the plates, knives, forks, spoons, cups, mugs, and oilier vessels used for .my purpose in tlie wards or in the taking of food, drink or medicine, aie kept clean and that care is exercised that they ai'c not broken nor injured. 15. They shall not leave their wards when on duty, nor" shall they leave tlie Hos- pital at any time witiiout the cou.sent of the Lady Supeiintendent. 'k XII. TIIK EXfilNEER, 1. The engineer will have tii'i care of all boilers, furnaces, grates, steam and water pipes, elevators and other apparntus I elonging to the heatnig of any of the buildings ; all machinery used in tlu; laundry or elsewhere, fire plugs, fire iiose, hydrants and appurtenances connected witli the water and gas services in or eonnected with the building ; all gas meters, pipes and connections, electric wires, dynamos ; all baths, closets, water tanks, hot « ater fixtures and appliances; and is to see that they are kept in good order, doing himself all ordinary repairs and reporting to the Lady Superin- tendent all extraordinary work re(i'iirett in his department; and lor this purpose he is to regularly inspect and txamino the premises. 2. His duty is to maintain a temperature oi at least 65° throughout the wards both day and night during cold weather. 3. He is to receive and certify to the correctness of all invoices of coal delivered ; and is to see as far as possible that it is used economically. 4. He sliall he responsible for the cleanliness and order of all parts and rooms under his care 5. He shall allow no person, except the regular assistants, into tlie boiler or engine rooms or to loiter about in any part of the basement. The engineer is to enforce this rule as far as he can, and is to report any breach of it, or any other irregularitj' to the Lady Superintendent. 6. All articles required for the department are to be obtained by requisition on the secretary XIII. IN PATIENTS, 1. Children who are not suffering from small-pox or oth.er infectious diseases shall be received as iu-patients frcm two to fourteen years of age and shall not be admitted unless brought by some grown person. 2. The loUowing classes of cb'Mien oi.;i'] ^" "scriburs of one hundred dollars for the jjui'pose of maintaining a cot shall be entitled to i ave the cot named as loiu' r.s tlie annual subscription is continued, and to recommend one patient yearly. T'. > subsciiption may be paid monthly in payments of ^S o'J jier montli, which shall include the expense of inscrip ion on the cot. This subscription will maintain a cot at The Lakeside Home for Little Cnildren as well as one in the Mother Hosj)ital. 4. The representatives of any church, Sibbatn school, public work, lodge, society or benefit organization shall be entitled tothe same privileges as an indisidual subscriber of the same amount. 5. As many enquiries are made as to the terms on which persons may leave money by will to the Hospit'al for Sick Cliildren, it has been thought well to publish the conditions. 6. riic Hospi .;1 can legally receive any amount of money which may be given or bequeathe L 7. The Hospital can also take by gift, devise, or bequest, any lands or tenements, or any interest therein, the annual value of whicli does not exceed $5,000, provided tl c gift, devise or bequest is made at least six monthi- before the death of the person making the same. The clause in the will may be in the following form : — " I give, devise and betiueath to the Hospital for Sick Children at Toronto, the sum of dollars ; and also (describing lands or real property intended to be devised)." In cages where death is apprehended within six months, and when therefore the devise of lanils would probal)ly fail, it will be advisable to put the bequest in this form : — "I give aiui 1. equeath to the Hospital for Sick Children at Toronto, the sum of $ -, to be raised and raid out of my money and personal effects." If the bounty is intended for the branch of the hospital called The Lakeside Home for Little Children, or for any especial purpose, as for endowijii; a cot, the purpose should be specified. In such cases the form may be to the following effect :— 'I give and bequeath to the Hospital for Sick Children at Toronto, for the use of The Lakeside Home for Little Children, (or for maintenance of a cot to be called cot) the sum of etc. " The foregoing by-laws have been adopted by the Board of Trustees of tlie Hospital for Sick Children and are hereby declared to be the by-laws and regulations for the purpose aforesaid to take effect on and from the tjth day of July, 1891. J. ROSS ROBERTSON, Chairman. EDMUND E. OSLER. GEORGE A. COX. A. M. SMITH. SAMUEL ROGERS.