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Photographicj

Sciences
Corporation

23 WEST MAIN STREET

WEBSTER, N.Y. 14580

(716) 872-4503

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THE

m m mi cbildmi,

COLLEGE STREET, TORONTO.

THE LAKESIDE HOME

FOR LITTLE CHILDREN,

niE CO.WALESCHXT lU^ANCH OF THl^: HOSPITAL

ox OIHRALTAIt POINT, TOROXTO ISLAXl).

HISTORY OF THESE INSTITUTIONS.

TORONTO. CANADA.
1891.

TO THE PUBLIC.

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

^ML

THE HOSPITAI. FOR SICK CHILDREN.

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 an<l sisters of tlie waifs and strays whose lines had not fallen in pleasant places ?
Another sent ^, " as a thank - offering for the recovery of sick children." With "vhat
joy nius: the parents of these little ones liave seen the glow of health return to the
pale cheek and brightness to the eye of the pets of the household, those without whom^
life would be a blank — a dismal wilderness I Then another sent §5 " as a thank-offering
for bavins' passed successfully a law examination." May his clients be many, and his
lieart always tender for those who ask his aid and counsel. Then
"A sick child, Toronto" sent "three nicely dressed dolls, with §3 05." This was the first
gift of the kind. On the first of \larcli six iron cots were sent in. a hall stove was pro-
mised, towels, woollen socks, night gowns and innumerable articles of clothing were given
to the managers. These donations show the kind and liberal way in which the work was
aided in its early days and give the comforting assurance that no matter how feeble the
planting, the Lord giveth the increase.

On the first day of March, 1875, the house No. 31 Avenue street, was rented. Little
did the friends think that within fifteen years in sight of this humble home would stand a
palatial structure, the most perfectly e(j nipped children's hospital in the world, the great
motlier hospital of the Dominion, erected to fill the mission and take care of those who en-
deared themselves to the Master, who as He talked to the multitude had kindly thoughts-
for little children, when He said, "Take heed that ye despise not one of tliese little ones ;
for I say unto you that in Heaven the angels do always beliold the face of my Father
which is in Heaven. "

This, the first Hospital, was an unpretentious, two-storey, red brick house containing
eleven rooms. It had a mansard roof and a basement and was rented at §,320 per annum.
It was simply furnislied with suitable comforts for sick children, and a matron, a nurse
and servant were engaged. Two stoves and the pix little iron cots were put up, the cots
liaving sliding trays so tliat the child could have his books or toys witliin easy reach, and
thus enliven a life that was not overflowing with pleasure. Tliis house was dedicated tO'
its purpose on the 23rd day of March, and the work inaugurated.

Strangely enough, though the house was ready no patients came, altiiough families
were visited and parents entreated to send their suffering children. The firsc patient was
little Maggie, aged three years, who had fallen backward into a tub of hot water and was
badly scalded. She had been left in the care of an elder sister wiiile the mother was
earning bread for the family. This case seemed an answer to tlie oft put question, "Are
not the mothers the best ones to care for their children when sick 't" Our hearts would
say "yes" but experience too often says "no. " They have neither the skill nor time to
nurse the little ones, and hence the latter often suffer from severe accidents or grow up
cripples, and a great number of them perish before they are able to take care of them-
selves. A party of nine young ladies who had been working during the winter for the
benefit of the Hospital, immediately claimed Maggie as their specie.! charge, anl agreed to
keep her cot, by a payment of one hundred dollars a year.

The next day brouglit Albert, a little German boy, four years old, a sad, sick little
fellow. He was followed by Alice, a poor girl, frightfully burned by the explosion of a
coal oil lamp. She was brought in on a stretcher, utterly helpless and suffering agonies.

B The Hospital for Sick Children,

After a month's care, night and ilay, Alice recovered completely and left the Hospital to
take a situation as under nurse. Then came Willie and Jo from the Toronto General
hospital, both cases of iiip disease. Willie was sent home very much relieved and Jo is
yet an inmate, a most useful one, for she is now so active that she can play on the melodeon
the accompaniment lor the Sabbath school lessons, answer the door and make her-
self " generally useful " Then another patient was " Tom," who so won the
hearts of the young ladies of RoUeston House (Mrs. Neville's school, Toronto) that they
decided *' to keep a cot," choosing Tom as their first patient. Then another came, little
Emily, with hip disease. It was found necessary to perform an operation, and,
asthedoctors stood around the table,she said,as she raised her beautiful eyes to heaven, "Lord
Jesus, help me to bear it." The operation was successful and the child has recovered.
Then others came until 44 were admitted to the Hospital and 67 received dispensary treat-
ment. In the 8ummer,tho3e wlio were well enough were taken to the Queen's Park, two by
twojin the perambulator, the seasonable gift of a kind lady, wiiere they drank in the fresh
air, gaining healtii in the life-giving sunshine. One day a lady living near the Queen's Park
invited the children to lunch in her lovely grounds — a truly novel garden party. Pleasant
it was to look on their delighted faces, their pain forgotten as they basked in the sunshine,
God's free gift to all His creatures — a change indeed from wretched homes and perhaps
from hardened parents, who through poverty and neglect had made the lives of the little
ones miserable.

The donations in cash contributed to the Hospital from March 1st, 1875, to July Ist,
1876, amounted to §2.279 20, and 44 patients were under treatment, .37 from the city and
7 from the country, while 67 extern patients received medical advice and treatment.
The receipts ju^t covered tlie expenses.

CHAPTER II.

THE INTERKST DEEPE.S'S AND THE WORK INCREASES — THE SECOND IIGSI'ITAL ON SEATON
STREET AND THE THIKD ON ELIZABETH STREET — THE MANNER IN WHICH THE 'VORK
WAS CARRIED OUT.

The interest deepened and the work increased. Tiie future looked bright and beamed
with promise. The hearts of the workcs were full of hope and their wishes in all regards
seemed to be realized. As the months passed by it was evident tliat the humble building
— the birthplace of this cause in Toronto — was too restricted in space and defective in many
respects and therefore new and more commodious quarters were desired. Many spots were
viewed, and one was chosen, and on the opening day of June in 1876, the Hospital was re-
moved to Seaton street.

This building will be recognized as the Haven, for tiie engraving was not made until
after the Hospital had move I into its third home. It was then known as No. 206 Seaton
street. Tiie house was built of roughcast, detached, with a bit of ground about it and a
verandah, where the children enjoyed theair andsunshine. It was agreat improvement on
the Avenue street building and afforded much larger facilities for carrying on the work.
At first it was the intention to purchase the Seaton street property, which was valued at
§6,000, butthis idea was abandoned. Although detachedandposaessiugthe luxury of a larger
and pleasantly shaded playground it was unsuitable for hospital purposes, being wholly desti-
tute of those conveniences necessary for the medical attendance and careful nursing of sick
children.

Meanwhile the work went on, under a regular committee of sixteen ladies, who super-
vised the management and visited the Hospital in rotation. In addition to this committee
were several young ladies who had taken a kindly interest in the Hospital since its first
establishment, spending useful and happy hours in reading and singing to the little patients,
in some cases teaching those who were well enough to stand easy tuition, or playing with
the youngsters confined to their iron cots, the sliding trays of which were frequently
covered with toys and gifts, in many cases from anonymous friends, wlio, surrounded in
their happy homes with blooming, healthy children, remembered the pale thin faces,
deformed limbs and diseased bodies of the helpless little mortals in the Seaton street
Hospital.

" Two years and ten months," as the yearly report si.id, " have now passed by since
the establishment of an Hospital for Sick Children in Toronto, opened as it was on the Ist
March, 1875. j |It has been continued and maintained from that time until the present,

CuU'jge Street, Toronto.

Dec. Slst, 1877, entirely upon the principle on which it was foiuuleil. That principle,
. already tried and proved in much more extensive establishinent.s in Knuland and the
United States, is one of simple and diiect faitii in the promises of (»od — promises of bless-
ing, assistance and guidance to all who believingly call upon Him in prayer."

THE SECOND HOSPITAL ON SEATON STREET.

The receipts from July 1st, 1876 to 31bt Dec, 1877, were 82,141 82, the expenses
$2,100 75, while 74 patients were received, 63 from the city and 11 from the country, 119
tjxtern patients being attended to. Oay after day and week after week subscriptions found
their way into the coffers of the Hospital. Up to this date the large sum of §4,421 02,
was voluntarily contributed. One lady of Toronto sent !?25, being the firstijuarterly pay-
ment for " a cot in memory of four little children, whom God had taken to Himself";
another of $2, from a little boy, " proceeds of getting up head in his class, one cent a
time" ; and many others, with reasons for making the gifts. The report for 1877 closed
with this extract :

*' VVlien we remember in how many homes of this country, the labourer is all day long
absent at his work, while the mother ailing and weakly, perhaps, has not only the tiisk of
helping to earn the daily bread, but also the care of a large family, it must be acknow-
ledged that to such people an Hospital, in which, by paying a very small sum. they can
have their sick children medically treated, well nursed and cared f t, must be a great
boon indeed. In all cases, however, when the parents or friends are unable to contribute
anything fir the support of their children, the Hospital is entirely free, and by far the
larger number of patients in this institution are and have hitherto been of this class."

The donation record in the report gave the list of different articles (.ontributed in
kind and in cash, and while, in the former every article for household use was embraced,
in the latter moneys from twenty cents upwards were acknowledged.

Early in the year it liecame apparent to the managers that another move would have
to be made. The Seaton street house was but a makeshift for an hospital and although
it served its purpose well, the want of proper and ample accommodation, with requisite
facilities for work, continually presented itself.

After serious consideration and a thorough view of the surroundings it was determined
to make a move, wherever <lesirablo premises could be obtained.

Many days had not elapsed before an opportunity for a building offered, in the vacated
house of what was known as the Protestant Sisterhood, on Elizabeth street, near College.
It seemed a likely place— a house with pleasant rooms in a desirable locality, near the

The Ho8j?ital for Sick Cfdldren,

Queen's Park atul in a part of the city whore many cases for treatment would come from—
in fact, it was located as a prominent physician said. " nt Ar the source of supply."

In April 1878, the prcnises were acquired and occupied by the Hospital, and after
alterations and additions had been made, the children were moved into the building in the
lust week in May.

THE THIRD HOSPITAL ON ELISABETH STREET.

The premisi consisted of land riuuiing from Elizabeth street to Emma street, a depthi
of 150 feet, with . outage on each street of JO feet, the Hospital being Nc. 245 Elizabeth
street. Tlie land iged to Mr. P]dmund J. Osier and Mr. James Lamond Smith, who

had erected the builui.igupon it, and liad mortgaged the land so as to provide for the erection
of the Iniildiiig. These gentlemen, who had designed the premises for a charitable purpose,
proposed to convey them to the Hospital, sui)ject to the payment of the mortgajf .! money
yet due, and a sum of about $.300 owed for work done upon the building. The committee
accepted this very generous offer, and at their retiuest five gentlemen — the Hon. Mr. Jus-
tice Patterson, Henry O'iSrien, William (jooderham, Edmund B. Osier, and the Hon.
Chancellor Hoyd — consented to act as trustees to form a corporate body, in which the
property could be vested. They were accordingly incorporated under the provisions of the
Ontario statute in that behalf, under the name of •' The Hospital for Sick Children," and
received a conveyance of the property. There were two mortgages, the principal and
interest being payable togethei." on what is known as the Building Society system. Ore
was made on the 16th May, 1876, for .^.S,024 ; the other on loth .lanuary, 1877, for $186.
When tlie property was assumed in April, the monthly instalments to fall due amounted
upon the first mortgage to $2,520, and on the second to .fl.SQ 50, being in all .$2,659 50,
representing a principal sum of about $1,800. Besides this, however, there were
instalments in arrear of something over $140 and the $300 debt, making the whole amount
assumed, apart from interest, about $2,240. The alterations and additions necessary to
adapt the building to the purposes of the Hospital involved an outlay of about $600 ; and
heating apparatus had to be provided at a further expense of $250 ; thus bringing up the
total cost of the premises to the Hospital to about $.S, 100. The immediate exigencies up
to this time had been met by money contributed by friends of the Hospital to the Building
Fund ; the amount so contributed, including a grant of $250 from the city, has been $950.
The monthly instalments upon the mortgages, which were $28 30, were paid as par' of
the ordinary expenses of the Hospital, and did not much exceed a moderate rental for the
premises. At the end of 1878, the instalments due upon the mortgages amounted to
$2,433 10, the amount required in ctsh to pay this off being about $1,800. The receipts
for 1878 were $1,938 24, and the expenditures $1,934 34.

The alterations were pushed forward vigorously, and the removal of the little patients
was successfully, and thanks to kind friends, even comfortobly, accomplished. On Thursday,
6th June, a dedicatory service was held at the Hospital, a large number being present.
The " wards" looked bright and beautiful and the children happy. The chair was taken by

Culleye Street, Toronto.

-3

(iCI

12 The Hospital for Sick Children,

the Hon. Vice-Chancellor Blake, who referred to the suffering of parents on account of the
sicknoss of their chihlren. and *o the increase of this suffering, where, as in niany cases the
pareiit has to view the child wasting away without the means of alleviating the disease.
He said that in the Hospital for Sick Children the best medical attendance, the most care-
ful nursing, as well as the comforts of home, were afforded to the poorest child, and not
only was the bodj- tended, but, at a time when the mind was peculiarly susceptible to good
impressions, Jesus, the ;irreat physician of souls, was presented to the little ones. The
very existence of the h capital proved conclusively, that (>od 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|

College Street, Toronto.

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.

"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 opini<m that eventually the child will be restored to
health. Mary '3 a pretty picture ns with folded hands and large iusti.ms eyea closed, she
repeats the ent.ro hymn 'S» eking to ."^ave' or with considerable animation tells the story of
her bird— how a kind lady g>vvc 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.

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
»

^^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<idie's Cot'' was also endowed
as "In Memoiiani. One fact wa^ pleasant to the management in that the skill of the
medical attendants was appreciated not only by parents P'ul friends, but by the children
themselves, who, returning home after a sojourn in the tlospital, had naught but kindly
words for tiiosc who had so tenderly looked after them in their days of illness.

It is apijropi'iate to this history to give a sketch of a visit to the Hospital by Mrs, John
Harvic, one of the ladies of the management, It is a pie .sant and enjoyable pen picture.

A VISIT TO THK TOKONTCJ HOSIMTAL FOB SICK CHILDREN.

" In a central and populous district of tl e city of Toronto is located the Hospital for
Sick Children. Having a leisure hour, a few days ago, we determined to vis,it this praise-
woi'thy iii.'ititutiou and satisfy ourselves, as far as this could be done by personal inspec-
tion and in(iuiry, as to the nature of the work undertaken. Accordingly, we repaired to
'i^l Elizabeth street, and were received by a pleasant-face 1 young woman, a nurse in the
lower wards, and conducted to two wards, one opening into the other on the ground floor,
devoted to the use of the boys. Upon stepping into the ward appropriated > 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 cf<nfess to a feeling of sad-
ness, mingled with the joy, tiiat every symjiathetic Christian woman must feel at the
thought, that IheHC, though they had evidently not escaped physical suffering, had at
least, escaped neglect, want and privation. Hut wo are moralizing, and forgetting the
'cots,' the 'mattresses,' and the ' shake-downs,' which were literally strewn in every
direction, thougli in somewhat orderly confusion, tiie apparent object being the greatest
amount of sun for the largest possible number of children. Old shawls were doing duty as
screens, and extended umbrellas afforded sheltered nooks ami corners for tiny ones more
delicate than others. Altogether the etl'ect was novel, and short conversations m itli several
of the patients fully convinced us that the children were perfectly happy and contented.

" One dark-eyed boy of six sunnners lay stretched upon his back, peerimx up into the
blue canopy overhead, one slu'unken, deformed limb was bandayecl and fastened to a
weight, ami In the expressive face was visible such a comical admixture of impatience and
graceful resignation that we could not forbear putting to him a test question, and in a
lugubrious tone iiujuired, ' How are you to-day, my little man. Are you comfortable ? '
The reply, ' Why, I'm Jirsl-rafn,' completely extinguished us for the moment, while we
solilo(juized upon the nature of tiie talismanic charm which had evidently been brought to
bear upon these attenuated, shrivelled, crippled little figures. This charm, whatever its
nature, hadfwithout doubt, power to soften tho long-used pillow, and extract the thorns
of iiioi'otony and discontent from a sick bed. We concluded it must be Christian love and
kindness, and passed on. ;

College Street, Toronto.

From siicli places us Uii» arc many of the little ones stolen nway to briifht rooms, clean
beds, imtl wholesome food. In the lioy leaning on the crutcli in the problem cf life being
•debated. He is L'fvzing out of the shattered window across the suniilid yard over the nn-
lovely roofs at tlie ever lovely skies byyond, and the little man the nwikiug f)f a great
man if lie only got u chance— is tiiinking thinking, thinking. The little girl on the nn-
attractive bed has no doll, and no nd>l)'?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<led another ijuery — ' What is " being food," or what is it that makes any-
body " g.)od ' V ' The answer," Having Joans always with us, ' wa8 fresh, and more satisfy-
ing than a tlicological treatise, or a wliole bo<ly of Divinity. Continuing the conversation,
wo queried, — ' (/'an Jesus see us alwiiys?' ' ()h ! yes,' canio rapidly ; ' He can see right
down into this hospital.' 'And is there not,' wo asked, 'another place, a ciirioi
little dark corner, into which Jesus can see tOo ?' The ])alo lad with the crutch looked u;
intelligi"<tly, and with a pleasunt smile and kindling eye, said, ' \\ hy, yes, Ho ci\n " .
down deep into onr hearts.' Our minds were thoroughly at rest upon the matter in q leB*
tion, and we walked up-Ktairs to the girls' wards.

"The ' soutli verandah,' np-stairs, presented a scene of joyous nierrinient. 'Dressed
dolls,' ' tea-thing.-),' loaded trays, and vai ions plates of sliced pear, sponge cake, and
other sigiiilicaiit arraiigemenls, suggested ' playing lady,' tea-drinking and visiting, etc.,
which iiad occupied a jirominent place in our own juvenile festivities. While wo tarried a
moment, in the shadow of the door, f)iie small woman cried out, ' Now, I'm going to be

Mrs. ,'and a second caught uj) the words witli emphasis, ami ' I irill bo Airs. ,'

both of which ladies, v/o were aware, belonged to the Board of Management connected with
the Hospital. Instinctivel your minds reverteitto the powei" of influence. Here were two
children of tender years, doiiroiis, nay intnnsely anxious, to copy the expression, the
actions, tlie words, and, as far as possible, the appearance of certain women into whose
society they were necessarily thrown more or less."

The total receipts up to Slst Dec. 1879, were .^'2,962, the expenses $2,937 26. There
were (i ) patients, of whom 54 were from the city and ti from the country, and 413 e.vtern
patients were treated in the dibpeusary.

CHAPTER IV.

THE KIKTIl YKAK OF THE WORK- A KEVIEW Ol' TIIK I'AST — A WISH FOB KXTKNDKD I'RKMISES

A .SKtTCH IIY A NtWSI-ArKK MAN— WII.\T A BKPOKTKU SAID WHKX HK .SAW " HOW
LITIXE CHILUREX ARE CARED FOR."

The fifth year was one full of interest. The hearts of the management were gladdened
by the sympathy and contributions of friends and the earnest endeavour of all was to
gather in and give the comforts and benefits of the chaiity to as many as could bo accom-
modated witliin its walls.

Experience is a good, perhaps the best, teacher, and a survey of the failures, the mis-
haps or the progress of one period, prepares the M-ay foi- Riiccess in another. A person
travelling through an unknown region can hardly do better than sit down at the close of
the day and review his jv^urneying'' noting carefully for future use, the causes which have
facilitated or impeded nis advance ; the unnecessary steps taken, the stumbUng-stones
over which he has netdksx/i/ tripped and fallen ; the tleep atreiun which he was so long in
fording (when the ri;//it way led over a bridge just p'.ove), and the many or few eminences
he has been able to climb. And thus would we look uack upon the last five years of the
life of tiie Hospital for Sick C'hildren, and from a little eminence gained, pause to con-
sider all ine way in which we have been led and what after all has been accoi -rlished.

Since the establishment of tlie Hospital, 228 intern patients have been treated, 127
discharged cured, and 7 improved ; 9 have been removed by death, and the remainder are
still under treatment or have been returned to frieisds with improved health, and in many
instances with splints and other costly apparatus, necessary for the favourable progression
of surgical diseases. During this period, 1,399 extern patients have been treated and
visited at their own homes when necessary, anil within the last two years, 2,057 prescrip-
tions have been dispensed. Is this not a wonderful record ; > i tr

Cullegc Strcft, Toronto

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^u<l to UHe ntonuy specially laid uiiidc for the payment of u mortgage on the home."

The lurgeHC unpaid account was in connection witli the extern or dispensary depart-
ment, nnd tnis, coupled with tiic fact that the intern work was steadily on the increase,
seemed to bo a clear indication that the relief of outpatients must for a time be
abandoned, that is, us fur us the dispensing of medicine was concerned, but that parent?,
might, if they desired, still pi'cscnt tiieir ciiildren for exuminution, when aili'lce would bo
given free. This course, while regrettul>le, 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 18<il were 83,31.3 25 and the expenses 83, .341 89, with G2
patients, 41 from the city and 21 from the country, while 286 extern patients were treated.

What a happy group we have in the picture. The central ligure seated in the chair
is profoundly following the deeply interesting history of Mary's famous lamb. The young
lady on the crutches has aiiuouiiced from her corner that slie knows it all off by heart,
and is advancing with iuiioceiit and maidenly pride to recite the same. The young gentle-
man in the cot to the right watches thi.i literary giant with the dec]KSt awe and admira-
tion, and on the fourth face res s a look of pleased expectancy. Thns will a simple pic-
ture book open for these little ones a new ami hitherto unknown realm of sweetness and
light.

In January, 1881, in an article headed '• Sketches of the City," The Ereniiig Te cijram
told tlie public " How little sick chil.tren are cared for" as follows : —

" Reader, arv; you fond of little children ? If you are not, then there is no occasion for
you to read this sketch, for it is all almut little men and wome.i, but if you are, then
accompany a Ttlfiiravi reporter for about an hour while he shows y ui a sight, painful
enough in some particulars, but on tlie whole as bright a picture as any that can be seen in
Toronto. You need have no fear that he is going to take you into the midst of dirt and
squalid wretchedness The place you are asked to visit is as clean as clean can be, and
tlie little folk who inhabit it are as well looked after and taken care of as your own. You
will see nothing to offend or disgust your sense ol sight, of smeU, or of hearing, but it is
to be hoped you will see much to touch your heart, and send you out of the place a better
man than when you entered it.

" At the top of Elizabeth street there stands about the ugliest looking building to be
found in Toronto. Whether the place ever had an architect, or whether it 'growedso,'
the writer cannot say, but it certainly looks as if some enterprising builder had run up
about a mile of liouse and had cut o'.i chunks and squatted them down just as the demand
for them occurred. This very ugly looking builaing i^ the Hospital for Sick Children,

I??-

CoU^ge Street, Toronto.

ami the one vou are asked to enter. Passinj? within the niaiu entrance one soon forgets
f.'d about tlie outside ugliness of the ph»ce in the interest wliich is created by whiit is to be
seen in the inside. There isn't a speck of dirt anywhere, but that of course yon knew
before, for if there is one tiling (^hi istian huiies liave an antipatiiy to, it is dirt. The writer
Imsn't asked you to accompany him merely to show you the clean interior of a house.
Vour own ilwelliiig is tvi'ry thing it ouirlit to be, and \ou don't want to take pattern by

AN IXTKRKSTED (IROOP.

any one in that respect, but it is to be hop .>d 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-

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

<d the Hospital six months ago he walked on his knees. At present he is constantly in bed
with a heavy weight attached t • his foot. Close to Hymie's bed is a little tlirec- year-old
Scotch boy caded Willie. This little fellow is the singer of the house, for incapable of
'walking as he is, doomed to lie for months and months yet upon his bed, never to get up
•during the whole time, the little man's spirit ia as brave and bright as yours, good reader.
Asked if he would- sing something, Willie lisps out, 'yeth,' and he starts ofif with a
hymn commencing.

I am Jesu"?' little lamb,

Happy all the time I am.

" At the first attempt Willie failed, but encouraged, he tried it again, and with such
success that he seemed to forget there were any listeners present.

" Upstairs is devoted to the sick girls, and their cases are as interesting as the boys.
There is little Mabel, whose father was lost in the Waubuno ; Minnie, who only came in
■ix few days ago, a motlierless orphan ai:d with a club foot ; Addio, who was paralyzed by
the bursting of a boiler on a steamboat ; Christina, who was all skin and bone and whom
no one thought could live when siie first entered, but wlio is r.)lling in fat now, and is
only two years and seven months old: aad little Mary, three years in bed and doomed to
be there much longer.

Here is eloquent evidence of Christianity. What evidence more conclunive arid con-
vincing could you bring than this ? A lame boy, friendless and poor, with no future before
him but companionship with the halt and suffering, the down-trodden and the sore dis-
tressed — lo ! suddenly lifted from midnight into noon, from the shadow into the bright
light They hi ve put him into a little cot all his own, and in his innocent way he says
that the clothes "smell sweet." This doubtless is the most astonishing tiuiig about it to
him. He has wonderful books and amazing ])ictures, sweet lips touch his forehead, soft
fingers stroke his face. He has only been in the Hospital a week, so that accounts for the
look of astonishment.

" One of the pleasantest sights in the Hospital is to witness the afTection on the part
•of the sick little ones for their nurses There is no mistaking what their satisfied
looks mean, as one or other of the visiting ladies pass from cot to cot, and bending over
each little sufferer in turn, kindly pats a cheek, smoothes a brow or kisses a pair of lips.
It is G noble work that is being carried on in that ugly-looking house, and a most un-
ostentatious one as well. What would have become of those twenty-seven little people
if there had been no such institution, is a question a visitor finds iiimself ponderino over
more than once as he makes his rounds. It must be a hard lieart indeed that is not touch-
ed at witnessing so much patient suffering, so much self-abnegation and denial, and sure-
ly it is well and proper that the reality of such a state of affairs should be widely known
throughout the city. "

CHAPTER V.

THE NEEDS OF THE " LILLIPUTIAN LODOERS " — THE DESIRE FOR A CONVALESCENT HOME
FOR THE LITTLE ONES ON THE ISLAND — THE DAHA' ROUTINE OK HOSl'ITAL LIFE —
A VISIT FROM THE DAUOHTEH OF THE QUEEN,

The year 1882 opened auspiciously. The sympathies of the people of Toronto had
heen thoroughly awakened to the needs and reciuirements of " The Lilliputian Lodgers,"
?3 Hood quaintly called the inmates of a similar hospital in London. The lives the little
mortals lead, their plays, tlieir sad days and their bright ones, their entire living in the
present, actually " taking no thought for the morrow," and by this simple rule laid down
by the Friend of little children long, long ago, living happily amidst wlu'c would other-
wise be very sad circumstances — all go to make up a picture ofbles: ^ sunshine, gleaming
forth among the clouds and tears of childliood, which will convey some measure of the
gladness to those who so willingly sent of their means to aid in this work. Verily would
not he who walks through a children's hospital and sees tliose who suffer, realize the truth
of the mysterious dispensation that the effects of sin, both in a physical and moral sense,
ire hereditary ; or as Holy Writ has it, " The fathers have eaten a sour grape and the
children's teeth are set on edge "

The report of the year said : —

" We take them into our warm airy rooms and clean beds, nurse and care for them
.during their illness ; but there our work ends ; we cannot keep them or changf; their

The Hospital for Sick Children,

circumstances ; and (oo often tliey have to be sent home weeks sooner than we could wish
to mal(e room for others more iil than they. Often our hearts are sad as we send some of
them back to their homes of wretchedness and sin. It is our intention during the sum-
mer, God willing, to establish a temporary convalescent hospital on the Island opposite

the city ; not only for these poor little mortals who have passed through their period of
sickness with us and are on the road to recovery, but for the children of any wlio have
not the opportunity of taking their ailing ones away for change of ai'- This we hope to

College Street, Toronto. . j^l^

have under our peryonal supervision, and we expect that a sufBcient number of volunteer
nurseii can be had among the lady friends of tiie sick children to care for them a while.
All patients will have to be passed by our physicians, and a letter from them will bo
Rutiicient to admit thera> 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<l it and
keep out the sight, but not the sound, of their little romping conipauioiis. Until the last
two years we had a friend in Barrie,who allowed us to send to her one child after another
to bring back the roses to ts cheeks but she has returned to her English home, and no
one else has yet offered to fill her place."

In the engraving we have another day of Hospital life. That little fellow in the
corner undergoing his toilet is crying " Ouch-oo-oo !" as plainly as if he were in
the room with us. Down below him, in the left hand corner, young Oliver Twist
is actually asking for more. For more ! But there is no Mr. Bumble to turn round in
righteous indignation and denounce him as an ungrateful young villain. On the contrary,
the fact that his young appetite is on the mend fills his nurse's heart with joy, and she
hastens to fill his bowl to the very brim with nourishing soup und breaks a cracker in it
and watches him eat it with downright complacency. Pretty little " wide awake" won't
go to sleep. He is as chirk as a nightingale, and sleep, sleep, balmy sleep, will not weigh
his soft eye down. He loves his nurse, and hia bright eyes follow her as she glides noise-
lessly about. He does not know whether he loves her or the doctor best, but he is con-
cluding that she is f ir the n cest after alL The poor mother has brought baby and Jack
to see their little suffering brother. Jack rather admires his brother lying there in the
beautiful cot, and poor crippled Billy goes up seventy-five per cent in his estimation.

Thia year a bequest of $500 was left the Hospital by the late Mr. Samuel Smith, of
Richmond St. V\ est, an old and respected Torontonian, and also a legacy of $20,000 most
generously bequeathed by the late Mr. John Tucker, also an old resident. This legaey
does not become the property of the Hospital until the death of Mrs. Tucker, a kindly
lady, who enjoys the interest as an annuity. Long may she live to enjoy it in lifsalth and
happiness is the heartfelt prayer of every friend of the HospitiiL

The writer of the annual report for 1882 tells the manner in which the little ones pass,
their time. It reads :

"In the mornings after breakfast (which they take on the slitling trays placed on their
bee i) and after prayers, each little maiden, capable of doing something, is expected to
knit or sew, as playing all day long would make play tiresemie. Many of us possess
most gorgeously coloured garters, which have been shown to us day by day as wo visited
the ward, and which, after our admiration of their brilliancy, and a little encouragement
by a dozen or so of rows, knit by our more deft fingers, were at last presented to and
received by us with a great deal of pleasure, carried home and laid away beside many
other loving gifts from little hands now still forever. About 10 a.m., when the ward
maid has the beds in order, and while one little one after another is tenderly caiTied
by our nurse to the bath-room to have their wounds dressetl, the toys are distributed,
and play begins in earnest. The dolls are put to bed, one child assumes the role
of 'nurse,' one that of ' doctor,' and several play 'lady visitors.' The 'doctor^ calls
on 'dolly,' examines her legs, tells the miniature nui-se to 'bandage it' or put on 'a
aplint,' as the fancy of the tiny physician dictates. This is at once ilone, and it is
astonishing how cleverly that leg will be bandaged, a weight (often a toy cup or tiny flat
iron) added, and ' dolly ' is a fully equipped patient. One doll will have whooping £ough.

The Hospital for Sick Children,

one hip disease, another club foot, ami almost invariably one ' put to bed 'cause she's
naughty.' Jn the meantime, visits will bo exchanged by the otlicr little folks, each
answerini; the name and often assuming the manner of those ladies who visit frequently.

" At noon, toys are ' tidied up,' and
bibs donned ; for already nurse has been
summoned to her dinner, a sure indication
that at her re-appt-anince their dinners
will also appear. All who are up and
dressed dine at the ward tables, and busy
work indeed it is to serve twenty-five or
thirty children while all is hot, for most
of them require their food cut up, and
some have to be fed.

"In the afternoon visitors are expected,
and keenly those little ones pounce upon
their favourites, and beg a story to be
read or told. Some of these ladies who
visit regularly teach them out of God's
Word, as well as to read and write when
they are well enough for work. The bell
at 5 p.m. bids all visitors to say ' (Jood-
bye,' and at half past "sdla nurse to tea,
and then bibs are once more donned, the
little convalescents handing hem to those
in bed, and all await the first 'glimpse of
nurse's cap, and then clamber up as best
they can, with their plaster of Paris jack-
ets and steel splints, into place. Handd
are folded and eyes closed, while they
sinp :

Be present at our table. Lord,
Be hero and everywhere adored ;
These mercies bless and Krant that we
May feast in Paradise with Thee— Amen.

" I said all eyes are closed, but of course
you must know that every few moments*
some tiny little eye- opeira,. jiist to-; see if
any other of the <pil» are neglecting; tfv
keep theirs shut. After tea, bibs are
folded up and put away in each maiden's own little cuoboard, a little more time allowed
for quiet play, and nurse begins to get tliose who are the greatest sufferers composed for the
night ; and in turn one after another of those ' Lilliput lodgers ' are lifted into their cots,
where they kneel and repeat the little prayer, learned perhaps at thoir mother's knee, or
more oftener taught by our gentle nurse after entering the Hospital wards .

"This is a sketch of the Girls' ^^ ard ; the same routine is observed in the Boys"
Ward, only as they have not the gift of sewing or knitting, their play is more with
soldiers and Noah's arks, etc. . but they, too, have duties assigned them. One lad who
has been in the Hospital nearly three years, rolls all the bandages ; one distributes the
bibs, another does all the errands for those imprisored in beds. A not infrequent com-
mission on entering the Boys' Ward is, ' Please, ma'am, will you bring me that box of
blocks from DavidV bed ?' or, ' Edward says I may have that book he's got, will youi
please bring it to me ?'

" But tor all that I have described the ward routine and tlie play of the children, our
friends must pot fancy that all is pleasure in the work, and that we have no hard days-
when every wheel seems to run off the track.

" I will show you this, loo. One day, on entering the Girls' Ward, we were greeted^
by a little plaster-jacketed maiden with a very unhappy face, saying : ' Ma'am, Saken's
(Satan) got into Milly,' and sure enough it seemed as if ' Saken ' had taken possession of
this apparently gentle, lovely child, for she had reivclied out of her cot and scratched one
of the other children till the blood flowed, and was now in a tearing passion because she
had to s".bmit to the punishment of wearing ' the mittens,' This is a terriblo punishment
to tho little ones, and consists in having the hands' encased in a pair of long kid mittens
tied firmly on, the strings bein»< fastened behind the back, and to be obliged to wear them.

•

College Street, Toronto. ;* ;

wlien ' the ladies come in ' is overwlielmiimly sad and shameful. On such occasions no
little arms will be held out to us, lest we see the ' awfui thing,' and sliould we notice them
our own face must wear a sad and disappointed look, for they well know that, as we love
them, 30 their naughtiness makes us unliappy. This same little ' Milly ' comes from very
wretched parents. Her mother and father are separated by the wide ocean and also a
gulf of sin, and her sister, a sweetly pre ty girl of about 17, is the inmate of a house of ill
fame in this city. Many such sad stories we mi^rht tell of the children who come to our
■ «are.

CAhl PHU'TO.ENC BU.

Ha, ha, ha ! Ho, ho, ho !

Over the ice and ever the snow,

The children are watcliinji; for me I know.]

I will not fuil, because
For hundreds of years I've kept my word,]
By snow or ice I'm undeterred ;
Boys and girls, have you ever heardj

Of good old Santa Claus ? ^ _, , , * :

•r'- \

The Hospital Jor Side Children.

My pack is stocked with ,i|un8 and drums,
A creeping doll that wags her thumhs.
With hooks and slates for doing sums,

A dog with woolly p.iW8,
A horse, a nag, a sword, a horn,
A haughty soldier full of scorn,
And candy, too, as sute's you're born,

Good fellow, Santa Clans.

When slumbers sweet their senses steep,
And when the children fall asleep
Adown this chimney flue I'll creep,

And make their stockings bulge ;

A doll for little pale Bo-Peep,
A drum for Tom with music sweet ;
I'm Santa Claus — my secret keep —
Do not my name divulge.

College Street, Toronto.

This chimney has a narrow flue —
, I think it'.s pretty tough, don't you?

Bui still I'll keep my promise true

And nia)^<! their stockingH bulj{o

With soldier men and iittlc sheep,
With candy sweet for pale Bo-Peep ;
1 wish that you my secret keep —
Do not my name divulge.

" Tiiere's poor little Tim also, so unlike the 'Tiny Tim' of the famous 'Christmas
story'; a child, but five years f)ld, that was brought in drun < by liis drunken mother,
Avho liad to 1)0 assisted to stand upright while she handed Iht child to our care. ' Tim '
had l)t-'ou burnt by falling into the fire while under the influence of liquor, and his parents
were too drunk to pull him out. Tim Was ' a Turk ' indeed. After roaring lustily for
his iiiotlier, while we cropped his hair and stripped him of his ragged shirt, and still more
ragged panta, held up by a bit of a string over one shoulder, he was bathed, his sores were
dresseil, and Tim was put to bed to sleep ofT tlie effects of tlie vile stuff,giventohimuniler
the plea tliat it was to keep him warm, as they had no fire. His tir!»t re(|uest on waking
WM, 'give us ii, chaw ' ; this was unintelligible to us until he made it plainer, ' I want
some bar'Cii. ' On being told that he could not have tobacco, oath after oath came from his
baby lips like foul water from a well. To say ' he swore ' would give but a faint idea of
Tiir's language ; he bubbled up with the vilest "jaths and the rudest expressions ; he tore
every bandage ivo n his burnt arms and hands; he tore his night shirt to ribl)ous, strip fi'oni
strip, commencing at the bottom ; finisiiiug that, he began on the sheets and treated tiiem
in a like manner, lie was reasoned with, coaxed ami threatened, and finally at the
doctor's orders tied down .ifh sheets, but he slipped through his bonds like an eel and set
to Work to reduce the blankets to a like condition as he had left the slieets. His father
came to see him the following Sunday (the mother being in jail) and when he left, lo I Tim
wa8 in possession of his coveicd 'chaw of bacca,' but whicli was of course taken, ihougli
not without a scene, from the mouth of thi.s five-year-old. When asked if he knew who
Jesus was, he ))roinptly answered, ' Yes, when father licks inotiior he says, by Jesus, I'll
give it to you 1" — think of that answer from a child of such tender years in the City of
Churclies ! Tim's burns rapidly healed in spite of the bandages being systematically torn
oflf again and again. We applied to the Mayor to have hi'U taken care of, somewhere,
someliow, but in anywise not to be allowed to return to th.-.se parents. He, good man,
with sorrow in''ormed us he was powerless as we were, he.caun". he had committed no crime.
We a{)])oaled to several of our city ministers, many of whom had seen Tim at our annual
meeting ; but while they were able to send missionaries out to far countries to the heathen,
thia poor little worse than I'agan orphan, could not be helped ; and so Tim, when re-
covered, was returned to his j)arents not to lis home, for iiome they had none ; and as
they clianged tneir name, as well as the place of their abode, he was soon lost sight of amid
the multitude in our citv.

"'~" ■/7/7 :rf//i//<^/c(/ire ^/c

AMBULANCE "A ANSWKHS A CALL.

The Ilusintal for Sick Chilv.ren,

" Yet Tim was not tvU bailiiess. Daring tlie six weeks he reiniiinetl in the Hospital lie
never hit iv child noi' hurt one in imy wiiy, tliou>,'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'

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
placc<l in front, tins nurses holding the others as hest they c(>ul(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.

Collrfje Street, Toronto.

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 <nicIi little one, hcinj; Rpecially tender to those who were
MufTerinK' After she left, she was plea.sod to express the pleaiture the visit had given hor
and to remark that ' the little ouch looked Huprenioly h«i>;»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

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

-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.

The Hospital for Sick Children,

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.

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^

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 corri<lor on the first floor.

In the rear, or administration building, we Have a large kitchen, fitted up with the
latest iuiprovementsi for cooking, witli a commodious pantry and its attendant closets and
lockers. On the roof of this rear building are large tanks capable of holding 7,000
gallons of water w hicli are supplied by means of a large windmill on the lake shore ; six
double bed-rooms for servants, with a central hall for a sitting-room and bathroom or
lavatory. This wing has only connnunication with the nmin l)uilding by the passage way
in the rear centre. The attic or third floor has twenty bed-rooms for the nurses and
assistants, with trunk rooms, bathrooms, lavatory, linen and clothes closets and other con-
veniences.

And now you have been through the building.

CHAPTER VII.

ITIIE FIRST DECADK IX TJIK WORK — THE REMOVAL TO A LARdER BUILDINfi OX JARVIS
STRF.ET — THE PRO.SVKCTS OF D()IN<J STILL (iHi:ATER (UtOD — THE OI7TL00K FOR A NEW
lllILDIXli —THE CHOICE OF A SITE AND ITS FINAL SELEC^TION,

The year 1884 brings us to the tenth j'ear of the work for sick chil^'-en. During
ten years the large sum of $41,482 71 had been received, anil the value of Hospital pro-
perty amounted to about .i?1.6,<i00. At this time it was considered advisable to look foi
ward to the time when a special ward in the Hospital could be secureil for cliildren imbe -
cile and idiotic, too young to be sent to the Governtnent institution at Oiillia — a ward
where all the sorely afflicted ones, the odds and ends of tiny humanity, could be looked
after by special nurses. The matter was, however, left in abeyance, many feeling that
much as such a ward was re<juire(l, it wa" beyond the ken of an Hospital for Sick Chil-
dren, and would enlarge the work, to a limit, which, at any rate, at thac time could not be
[even considered.

Tiie receipts for 1884 were $5,2.33 15, while the expenses were $5,403 79, and
'78 patients were treated, 53 from the city and 25 from tiie country ; 34 extern patients
being given advice.

In 1885, as in th« past, by the kindly favour of the Master all went well. The funds
[^of the institution increased and the growing usefulness of the Hospital became more than
lever apparent. The second or north "ving of Tlie Lakeside Home, before referred to, was
Icompleted and not before it was reipiired ; indeed a week after being opened every avail-
lable spot was occupied. The " coming man" or " coming woman " is ofttimes discovereil
lin the newspapers, but, with the management, the workers antl frien is, it was "the
[coming hospital," and how every one di<l look forward to the plans which were being
imade in Scotkud, and tlie report stated : —

40 The lloqntal for ISicL Lh'dditu,

" Those who understand about such matters know it costs more to build, equip and
maintain an Hospit .1 than any ' Home.' I'lie appointments and appliances must be of the
best, in order to do the work at all. We must not only employ skilled labour but must
care for it. Our nurses must be as carefully looked after as the patients. C jmfortable
rooms and beds, (juite away from their work, art a uecesslt;/. They must not be allowed to
be over-tired, lest they become irritable and so unfit for duty among the little surenng
children."

Mr. J. Ross Robertson filled up part of the time of his annual pleasure tour to Europe
visiting hospitals for adults and for children. Tliose at Glas.ow, Edinburgh, London,
Paris, Vienna, Dresden, Berlin, Munich, were all nispected. Lady superintendents, re-
sident medical officers, matrons, nurses, all were interviewed, so as to gain l)y the experi-
ence of the long established institutions. It is truly said that every great truth is filtered
through a human experience, and this in another way was applicable to the work in hand.
The experience of tliose who had giownupwith tliework inCJreat Britain and tlie Continent
was most useful, for by their kindly advice a recurrence of their mistakes w.as avoided. It
was so pleasing to meet so many eager to point out tlie dangers they had either fallen into «
escaped— determined that others should be warned, and tiiii.s saved trouble, worry and ex-
pense. Not only were hospital authorities consulted, Init leading European architects in-
terviewed, many of whom had made hospital architecture a sj)ecial feature of their busi-
ness. The trustees thought the l)uilding should be on the College street site, but nothing
definite transpired, and the selection of a site was left until the funds were in such a con-
dition that would assure the erection of the new building.

The endoweil cots in the Hospital were now fourteen, and the coi-tributions towards
the general support of the work came in rapidly, and it need scarcely be said, were most
gratefully received. This year special reference wan made to the endowment of " The
Canadian Children's Cot " by sj)ecial contributions from children.

The receipts for 1885 amounted to j?G,3(i9 03, and the expenses §6,780 18, with 181
patients, lof) being from the city and 26 from the country, while 40 extern patients re-
ceived advice.

The eleventh annual record of tlie Hospital, issued in 1886, only covered nine
months' work, as it was deemed expedient to make the Hospital year correspond with
the time specified for the rendering of the olticial returns to the (lovernment.

During the year Mr. William Ciooderham ottered to place at tlie disposal of the
trustees a site for the new Hospital on W< d's Hill. The management visited the spot
and all agreed that while in many respects it /as a most desirable location, for many rea-
sons it was not convenient. The wan f)t water, gas, street ear service
would be felt. Again it was not easy of access for nurses, physicians, stu-
dents, parents and others, and it was too far from the business centres for the speedy re-
lief of accident ease8--for wlien the new Hospital was built these cases would be especially
looked after. All points were considered and the trust es, tlie physicians and many pro-
minent friends advised buildiui; on the Elizabeth and * oUege street site

The autumn of this year saw the Mother Hospital ready for another flitting. The chil-
dren had been unable to return fioni the Island to the Hospital until the liith October,owing
to the fact that for a considerable time tiie old building on Elizabetli street had been in a
very tumble-down condition, the Inspector having months before pronounced it unsafe.
Strong beams and supports were introduced and it was hoped that the Hospital might
continue in it until the proposed new building was ready for use. But in the month of
August the walls began to break away and crumble to pieces, and immediate removal was
found necessary. It was rather a trying position. The children must very soon leave The
Lakeside Bnd there M-ns absolutely no shelter for them in the city. A house that would
suit the temporary reiiuiriiments was souglit for. One on (iloucester street was offered but
it was foil d too small and finally the Notre I)amo building on the corner of Jarvis and
Lombard streets was rented for !*400 per year. The sum of ?>7r)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.

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. , .

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^^

-9

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-

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 watchB<l with them the joy of those little
itoyless children in this rich city. ,

(iOI\(J TO THE ENTERTAINMENT.

New Year's Day was almost as happy. Another special dinner was provided by
•an order over the telephone : " Let the children have an extra treat for New Year's and
sendthebilltome." Twicea week, while the sleighing lasted, on the invitation of Mr. J. Roas
Robertson the little ones who were well enough were taken out for a ride, and their delight
was indescribable as they dro>e 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.

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 <ui
behalf of the Hospital, and also of Mr. William Macdonald, the well-known l«irrister of I'o-
ronto, who kindly transacted without remuneration all the business coniiOL'ted with the
purchase from Mr. Davies, and the sale to .Mr. White, as well as ivll other business pertaining
to the legal atlaiis of the Hospital. Early in .September, nine months from the date of pur-
chase of the " Uavies' property," the arrangements with Mr. White had bten satisfactorily
completfid, the mortgiige for §18, 000 had been assumed by him and the balance in cash,
§14,500 was in tlie hands of the treasurer. The loan of $12,000 was refunded, so that when
the expenses of both purchase and sale, including interest, taxes and commission were paid,
there was a clear balance of §1,04.'^ 49 for the new building Mr. E. H. Osier, who had always
given the benefits of his business experience to the management in order to help tiie work and
clear the site of all encumbrances, generously discharged a mortgage of §1,100, which
he held upon the land on College street. The total of this timely gift amounted to
§1,350 25, which included the interest on the mortgage for three years and nine montiis.
In the meantime another committee to taUe charge of the new building was formed, and
consisted of Mr. J. Ross Robertson, the ciiairman, Mr. John J. Uithrow, Mr. Samuel
Rogers and Dr. Machell. Meetings without number were held. The committee debated
and discussed every di^tail and not a point was left in doubt. Messrs. Darling & Curry had
perfected the plans. The specitications were carefully prepared and tenders were adver-
tised for, and inside of thi'ty days were accepted by the Building Committee.

CHAPTER Vlll.

TURNING T'JE FIEST SOD FOR THE NKW HOSPITAL— PLEASANT PROCEEDINliS ON A RKAL
JUNE DAY — HOW YOtNO ACHILLES HANDLED THE SPADE —LAVINti THE KOirNDATION
STONE — OE^fEROlJS CONTRIBUTIONS AND ENTERTAI.MNfi ADDRESSES — HOSPITAL LIKE.

.\11 works have a beginning, and certainly none could have a better augury of sv.Coess
than when the first spadeful was taken out of mother earth from the selected site

The Hospital for Sick Children,

or tho new Hospital for Sick CliiMron
4lay for ull tiiiio to comu in tliv lieiirtH oi
cliildrcn.

The 10th Junfi, 1889, was an<i will bo a golclen
all wlio love to niiniHter to the wants of sick

On the '2.")th of May, the contractH were ready for
Kignature, and on Moinlay, Jnne 10th, tho excavation
for the new building on College avenue waa begun, tho
(irst sod being turned by little Irv'ng Earle Robertson,
Mon of tlie chairnuui of the Building Connnittec. After
\lr. Robertson hiid outlined the work of the committoo
ind briefly spoken of the plauH f(tr the future, tho little
fellow came U)rward, dexterouMJy broke the ground with
liis miniature spade, and successfuUv " turned the .'irst
Hod."

The Toronto World, of llt!i June, says : —
" On the first fine June afternoon this year there
gathered in tl >'■ 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)

. J'hunoing and heating, W. J. McOuire A; Co. . . , 2(),'24l (M(

Adamant plastering, SV. J. Hynes (),(MK,> (M»

Klevators, John Fensom . . r),r)<M> (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 an<l read the documents to be de-
posited in the cavity in the corner stone. Among them, inscribed on the parchment, was
a record of the founding of the Hospital and the history of its progress. These papers
were laid in the civity, and then Mrs. John Harvie, who is acting President of the Manag-
ing Committee in the absence of Mrs. McMaster, made a presentation of the silver trowel,
duly inscribed and resting in a plush case, to Mayor Clarke.

48 The Hospital for Sick Children,

" St(iiulin«, hat i>i 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-<lay, when we see the walls of this new structure to be erected at
a cost of !?1'2(J,0()0, rising about us, the Council has always dealt geneiously with the insti-
tution. In 187i>, 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<l, comfortless room, how
can he go to his work and not be tortured by thinking of the care his litt'p one lacks ?
Mr. Macdonnell has spoken this afternt on of the inystery of human surtoring. It is a per-
plexity which has alw ays been in the world. Rut if sickness and suffering walk up and
down our land, (iod has given it to us to walk up and down too with the alabaster box of
pymp{.thy and the alabaster box of love. I wish, for my own part, to thank the ladies

College Street, Toronto. 49

for what fney have done. We have heard many prayers and good wishes this afternoon
tor the undertaking. My prayer is that when this edifice is built its wards may not be
tilled with the cots of sick children, but ratlier that its wards be empty,'

" Mr. J. J. VVithrow followed in a short address.and after prayer by Rev. Mr. Brook-
man the gathering dispersed. "

During the service Mr. Macdonald announced that Mr. E. B. Osier desired to con-
tribute an additional 81,000 to the building fund, and before the close of the meeting Mr.
A. M. Smith promised $1,000. These amounts, with the sum of §1,000 each promis d
some time ago by Mr. Jc' Macdonald and Mr. Hallam, and a partial promise of §500
from another friend, with i amounts already contributed to the Building Fund, made the
total amount in sight for this purpose .^6,387 45.

The estiii-.i.ted ost of the buildins; is .$! 15,000, of which $.32,825 has been received in
<ash — $20,000 b»;lng represented by i,he city grant and sums of $2,000 from the late \Vm.
(Jooderham, $1,000 from the late John Macdonald, $1,000 eath from Messrs. E. B. Osier,
<;eorge A. Cox and A. M. Smith, and a promise of $1,000 from Mr. John Hallam, leaving
S82.275 to be provided for. Towards this amount there is, when it falls due, the Tucker
bequest of $20,000, which reduces the debt to $72,275.

In March last Mrs. S. F. Mc Master informed the management that she had decided,
after mature consideration, to enter the Illinois Training School for Nurses, which was
connected with the Cook County and the Presbyterian Hospitals of Chicago, with the in-
tention of taking a two years' course of training. Her object was to qualify herself more
fully for the duties of superintending the Hospital work. Mrs. Harvie was requested to
act, and has acceptably filled the office of president during her absence, and on Feb. 23rd,
with the blessing and a God-speed from all, Mrs. McMaster left for the scene of her two
years' work.

During the year two of the trustees, Hon. Cliancellor Boyd and Hon. Mr. Justice
l*atterson. felt it necessary to resign. Justice Patterson had been for years a kind and un-
failing friend of the hospital, and only his removal from Toronto to Ottawa led him to
sever his connection with our committee. The Hon. Chancellor Boyd by his wise counsel
aiul direction in business affairs had materially aided the work of the management. Mr.
Henry O'Brien, owing to business engagements, also resigned. Mr. A. M. Smith, Mr. G.
A. Cox and Mr. J. Ross Robertson were elected to n^I the vacant places. Another valued
friend and fellow-worker, Miss Martha Rogers, had been appointed missionary to
India by the tJaptisc Women's Board of Missions, and her resignation also had to be ac-
cepted.

■^^.There were now 28 cots in the Hospital kept up by special contributions ; 18 of these
were in the Mother Hospital and ten in The Lakeside Home .

COTS IN THE MOTIIKR HOSl'ITAL.

The "Orillia Cot," supported by the people of Orillia.

The "Violet Cot." supported by JudRC Ardajrh, Harrie.

The 'Our Cot," supported by the Qiieen st. Methodist Sunday School.

The "RoUeston Cot." supported bv the pupils of Mrs. Neville's School,

Tne "Oddfellows' Cot," supported by I. O. O. F. of Toronto.

The "Freddie's flot," supported by Mr. Power, Harrio. Not kept after December. 1889.

The "St. Paul's S.S. Cot, supported by St Paul's Sunday School.

The "Ernest Cot," supported by Mr. W. B. Kvans, Montreal,

The ".Vlary Helen Cot," supported by Mrs. J. I. Davidson.

The "Isabello Cot," supported by Mrs. W. G. P. Cassels. , ^

The "Ministering Children's Leafrue Cot," supported by The Ministering Children s League.

The "Carrie Cot, ' supported bv Mrs. Ros-, Mrs. McDonald and Mrs. Kby.

The "All Saints' Alpha Cot," supported by All i^aints' Sundaj- School.

The "Hirdic Cot," supported bv Miss H. L. Magce. Mcrrickville.

The "Tommio Cot," supported by Mrs. T. G. Hlackstock.

The "St. Paul's Bible Classes Cot," supported by St. Paul s Bible C lasses.

The "Cooke's Church S. S. Cot," supported by Cook's Church Sunday .School.

The "Consolidated Cot, ' supported by the ladles of the H.S.C. Coiunuttee.

COTS IN THE LAKE8IDK HOME FOR LITTLE CHILDREN,

"Ashburn S.S Cot." maintained by Ashburn Sunday School.

"Little Ida's Cot." maintained by the late Mrs. Homer Dixen.

"Foresters' Cot,"miiintainiid by the Foresters' of Toronto.

" Klizaboth Cot," maintained by A. E.H. , ^ , i,, ,r i

"Allan Norman Cot," maintained and endowed by Mr. G. A. McKcnzio.

"Bethcsda Cot," maintained by Y. M. Bible Class, Queen St. M.S. s.

"Bond street Congregational Bible Class Cot." maintained by the Congregational Bible Class
of Bond street Church. . . ,,

" St. John's Cot," maintained by St. John's Lodge of Masons.

"Wylie Cot," maintained bv St. John's Ii<idge of Masons. , „ , , .,», m i «

The "Ministering Children's Lea«ue," the "Isabello." the "Tommlc," and the "Mary Helen
cols, h«vo been fmnlshed by the frl<fnds supporting them.

The Hospital for iticJc Children,

At the beginning of the season Mr. J. Ross Robercson arranged that the convalescent
little patients who were abl<; to sit up and be dressed, should liave a sleigli ride every
week, while the snow lasted. The day for the ride v. as the important day of the
week ; generally three, or, at least two, large double sleighs were drawn up at the door,
and it was amusing to watch the "getting ready" and the starting of the funny procession.

WEIGHING THE BABY,

College Street, Toronto. 61

The Oddfellows' visit was a rare treat for the little ones. These kind friends do not
send gifts— they bring them, expressing, by a gift, with the name attached, their personal
mterest in every cliild.

The ladies of the Flower Mission, W.C.T.U, sent flowers, fruits and jellies every
Friday during the season, and gave instruction, after the Kindergarten method, to those
who were able to receive it. A novel contribution this year was a small barrel containing
§12 47, worubytheSt. Bernard dog, "riinlinn.ion,"attheImlustrial Exhibition. This beautiful
dog, with the barrel attached by a pretty collar to his neck, with the words " For the
Hospital for Sick Children" inscribed upon it, attracted much attention and the gift he
sent was a welcome one. From various churches in Toronto and others in Ontario were
received many gifts of flowers, which brightened up the wards wonderfully.

The receipts for 1889 were $8,881 87, while the expenses were §7,989 00. There were
244 patients, 210 being from the city and 34 from the country, 88 out of the 244 being
treated at The Lakeside Home.

Although children under two years of age are not received into the Hospital, still
under exceptional circumstances, where a poor, starved little waif or stray is found, it is
nourished and taken care of till it can be provided for elsewhere, l^etermining the rela-
tive weight of youngsters is noc therefore every day ro'itine^bnt the picture gives one
scene. They are weighing Tootsey Wootsey to see if she has added any weight to her
little dimpled body during the past ten days. She is as much interested in the per-
formance as any of them, and is holding up her little fist tlneateningly as much as to say
" Fair play or there'll be a row. " The other baby is protesting in the most eloquent baby talk
that he weighs two ounces more than the little giri, and lie will soon proceed to prove it.
This is one of the most important and < elightful of the duties that devolve on the nurses.
A daily increase in the weight of each 'Candidate is a source of perennial pride and joy to
them and they never weary of it.

The Hftee!ith year (1890) opened with greater hopes than any of its predecessors. The
workers were ever faithful. The prospects of a new home gladdened tlie hearts of
all. The long-looked-for emancipation from a small building, where tlie work was
"cribbed, cabined and confined," was the day dream of those who, in sunshine
and shadow, had with iibounding faith in the Master, earnestly and de-
votedly given their eff'orts to the building up on a sure toundalion this great charity. A
sick and suffering child appeals to the hardest heart. It is not necessary to plead for sick
children — they plead for themselves. In walking through any children's hospital and
looking at the emaciated bodies, the distorted limbs, the wan faces lined with pain and
prematurely old, the visitor is naturally inclined, from sheer pity, to say. " Why, by the
practice of medical skill and loving care, keep the little suflerers here ? Let them go
where there is no more sickness."

Grace Denio Litchfielil, in her ([uaint poem in two pares, " In the Hospital," and
" Beyond the Hospital," beautifully explains and illustrates the fact why it is better for
the sick and incurable ones tt> 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

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<l,
They whispered coldly : He is dead,
And looked askance as they went past,
And said : Best so. He has sinned his last.
But the doctor came and declaved : Not so.
A fragment of life yet liea a^low.
And day and night, beside the bed,
He bent his skilful, earnest head ;
By night, by day, with toil, with pam.
Coaxed back the worthless life again ;
Coaxed back the life so nearly told.
And the man returned to his ways of old, —
Returned unchanged to his old sad ways.
And sinned and sinned to the end of his days
And the doctor wrote in his private book :
Sin, Sorrow, Wrong, where'er I look.
I have saved a hideous life. And wliy ?
That a man curse God again, and die.

II.

The mother smiled through her wretchedness.
For the new-born babe lay motionless.
And the nurses 'ooked at her ringless hand.
Best dead, they said. We understand.
But the doctor came and declared : Not so.
A fi agment of life yet lies aglow.
And wrestling close and long with death.
He brought again the faltering bieath.
And gave the poor uuMelcome life
Back to the mother who was not wife.

And she took it with loathing, and bore off

in shame
The babe for wiiom Earth had no place when

it came.
And the doctor wrote in his private book :
Sin, Sorrow, Wrong, where'er I look.
I have saved a needless life. And why ?
That a babe risk Heaven ere it die.

III.

With i-itying hands and gentle feet,

They bore in a child struck down on the

street.
Mangled and bruised in every limb.
With brow snow-coid and blue eyes dim.
And they kissed the silk hair on his golden

head.
And sobbed : Thank God, the sweet child is

dead*
But the doctor came and declared : Not so.
A fragment of life yet lies aglow.
An . day and night, beside the bed
He bent his skilful, earnest head.
With patience, care, and tireless pain,
Won back the broken life again ;
Won it back from the brink of Death's calm
i river,

j To struggle, and sicken, and suffer forever ;
Won it back from the merciful shores of the

dead.
To lie through slow years on a terrible bed.
And the doctor wrote in ins private book ;
Sin, Sorrow, Wrong, where'er J look.
I have saved a sorrowful life. And why ?
That a child teste of Hell ere men let him die.
And the doctor cijsed his book, and said :
Three live by me who bust were dead.

College Street, Toronto.

BBYOND THB HOSPITAL.

The doctor's work was done. He lay

Upon his deat'i-bed, old and gray,

With the look on his face as of one who has

wept,
And has laboured and watched while his

fellows hare slept.
And he folded liis hands on his weaiy breast
And murmured: Come, Death. I am reatly

for rest.
God judge of n»e lightly. I did -.vhat I could,
And yet have vnrought evil iu striving for

good.
And swiftly, kx, all space was riven
To where the Angels stood in Heaven.
And he lieard 'one say : A wise man dies.
Is it time I went down and closed his eyes ?
Not yet, they said. 'T is iu his book :
Sin, Sorrow, Wrong, where'er 1 look.
Is he ready for Heaven who needs to learn

first,
God's hand brings a blessing e'en o;it of life's

worst .?
Not yet, said they. This wise man said :
Three live bv me who best were deac'.
Is he ready for death, knowing not what

life meaait,
That no beiuu lives but to some good intent ?
And the Angels stood beside his bed.
Unlearn Earth's falsehoods, friend, they said.
And the doctor uplifted his questioning gaze.
And saw through the world and its inner-
most WAys,
Where grovelled a mortal, close wrapped in

his sm,
Degraded witho'Ut and degraded within.
God forgive ! groaiuid the doctor. I am the

cause
Yon creature yet liveth to transgress Thy

laws.
Speak soft, said tlae Angels. How mayest

thou tell
What moment of sinning condemns him to

Hell?
Or how knowest thou but some late day of

grace
May find, e'en for hiiu, in high Heaven a

place ?
Leave God to adjudge liim. Thou seest in

part ;
Thou look'st at the life ; God looks at the

heart.
Ob, pity him, help him ! but dare not to say
It were better to shorten his life by a day ;
For as red flags of danger warn oft" from the

road,
So yon erring soul hath led many to God.
The doctor smiled softly : I understand.
(Jod holds, e'en for sinners, some work in

His hand.
And he turned his wondering eyes away
To where a cradled infant lay,
W liilc the mother hung o'er it with love and

with i(hame,

For she gave it a life, but could give it no

name.
God forgive ! cried the doctor. The babe

but for me,
Had been spared all knowledge of Earth's

infamy.
Speak soft, said the Angels. That babe is

the link
To draw her soul back from destruction's

brink.
There is nobler work given those puny hands, ,
Than falls to the lot of the Angel bands.
Oh, pity it, shield it ! but dare not to say
It were better to short, its life by a day :
For sweeter is rest won through danger and

toil ;
And purer is purity treasured through soil.
The doctor smiled softly : The longer our

strife,
The nobler is winning the heavenly life.
And he turned his tear dim eyes away
To where a child complaining lay,
Struggling and spent with incurable pain.
While Death stood aloof, and science was

vain.
<!jod forgive ! moaned the doctor. The child,

but for me.
Had never awakened to life's cruelty.
Speak soft, said the Angels. How mayest

thou know
What beautiful growth comes to Farth of

his woe ?
Oh, pity him, love him ! but dare not to say
It were bettsr to shorten his life bv a day :
For like flowers that spring but on sunless

knells,
Some graces bloom only in tortured souls,
i^nd a hundred hearts, all for the sak« of

that one.
Are learning the beauty of duties done ;
Are learning unselfishness, thoughtfulness,

care.
By the side of that pain which they may not

share.
And the sufferer — Heaven deserteth such

not ;
(iod'8 arm is around him ; envy his lot.
Ameu ! said the doctor. God stoops to the

weak.
'T is they who are strongest have farthest to

seek.
Oh, blessed all lives, since for each God hath

use.
Despite of sin, sorrow, aiul wrong and abuse !
I thank Thee, I thank Thee, O God, that

those three
Whose lives I deplored are yet living by me.
Then low spoke the Angels : Now tell it in

Heaven
A glad soul the more to our fair Realm is

given.
And the sunlight fell soft as God's kiss on

his head.
And men stooped o'er him weeping, and

said : He is dead.

The Hospital for Sick Children,

She is telling the old, old story— 8o old yet ever so sweetly new —the story of the
little babe born in a lnan^er at Bethlehem. She is tellinj? how He grew to be a good child,
obedient to His parents, working' in Joseph's shop with hammer and i)lai e and saw. She

TKbLINO THK OLD, OLD STORY.

is telling how He became the noblest of all men, going about everywhere doing good ; how
He made the blind to see, the dumb to speak, and tlie lame to walk. She is telling th ;in
how He healed the sick, yea even if they did but touch the hem of His garment, and how He

College atreet, Toronto.

restored to the bereaved and weeping widow her lost and only son. And she is tellinir
them how He ever loved little children, that He was ever thouj^'htful of them, and that it
was His beautifnl example men have songht to follow ever since— the example of Him
who said: "Suffer little children to come unto Me, and forbid them not." And when
she comes to the place where she tells how men crucified this loyal lover of children and
how He thought only of others in His dying liour, their infant face.*" are wet with tears

AN ACCIDKNT CASE.

"The Lord tempers the wind to the shorn lamb."' What greater misfortune than to
be bruised and broken in the street could come on this ])oor lad. Yet the door of the
Hospital may be the gate through which )ie will pass to a field ot better opportunities and
ambitions. This picture beautifully illustrates bate and love. Hate is ever cold and dark,
and it woundeth and striketh down. Love is warm and briglit and welcoming. Outside
in the dark and cold the poor iail hath been injured ; inside amid the warmth and light
gentle hands will soothe his pain und wipe his tears away.

A book could be filled with incidents of Hospital life not only in the Hospital for
iSick Children but in other similar charities. In one of the reports of that excellent institu-
tion, the Hospital for Sick Children, in (tlasgow, a story is told of one of their little
])atients that siiow-s how varied are the expressions of parents for their offspring. The
story reads : —

Teddy, a boy about eight years old, one of our early patients, was brought to the
Hospital ill an advanced stage of consumption, and his (ireadfully naked state showed how
neglected ttie boy had been. The doctor fought against hope, and every care was bestow-
ed upon the little sufferer. He wa.s an iiuelligent but restless child, and often .sat up in
bed to ease his sufferings. The melancholy expression of his large lustrous black eyes
touched the hearts of the nurses, and he became a great favoi'.rite. .Sometimes the night
nurse would take him in iier arms, and sitting by the fireside would converse with the
dyinu' child. On one of these oecasious he said to her " I ken I'll no' get better, but I'm
no' feer'd tae dee." It was not purmitte i that he should die amongst his kind friends.
His motlier, a dissolute creature, apjieared in a drunken state at the Hospital, provided
with a piece of old blanket and a bit of carpet and demanded her cliild. She
was told tliat if taken out he would die in a few days, and her demand
was refused. In a few days she returned, with the same rags,
but now accompanied by her husband. The nurse dresssed Teddy
in some old clothes and they took him av.ay. One redeeming point in the character of
this dissolute couple was their affection for their child, and he was pleased to "gang
iiame " with them. The nurse sought it out— a little room witliout an article of furniture,
and on the floor, in a corner, covered by a few filthy rags, on a bed of straw and shavings,

56 The Hospital for Sick Children,

lay the poor dying Teddy. In aix days after hia removal from the Hospital he ceased from
troubling and was at rest.

Then another is told of a two-yeivr old child in another ward in the same Hospital.
Had the little follow continued under its mother's care, starvation and neglect would
have done their work. For some time its state was critical, l<ut it recovered. It was a
bright, lively infant, and *' baby " as it was called, became the pet of tiie ward. It was
much in the arms of the sister, who was tliua addressed by tiie mother one visi ang day.
" Ye seem to be very fond o' my bit wean." This was acknowledg -d, and the mother
continued : "If ye like tae keep it a' tliegither I'll gie't tae ye, and nee'r speer after't ony
mair. I hae nine o' them." Tne father was a shipwright, earning good wages, but dissi-
pation kept the family in misery. In marked contrast to this heartless mother was a poor
woman who took away her child after it had been only two days in the Hospital. The
sister remonstrated with her on her folly, as the cliild had already sliown symptoms of im-
provement ; the reply was that of a fond but foolish motlier, "It may be silly o' me tae
tak' it awa,' I hae been ca'd silly afore, but I canna want my bairn."

It is the duty, although it is not considered a duty but a privilege, of members of the
committee, superintendents and nurses, to talk and pray m ith tlie children, and endeavour,
through the incidents and circumstances of their daily lives, i s well as by direct teaching,
to help them to understand the simple truliis of the Gospel. On Sundays the children
of each ward are arranged into a Sunday school class, and by a simple style of question-
ing, the use of illustration and anecdote, impressed the mindi of the children, encouraged
them to think for themselves and imparted to them a wonderful amount of Bible trutli
and knowledge.

A word of explanation may be given with regard to the amount received in " pay-
ments." Though a large majority of the children come from the homes of the very poor,
the parents of a tew are in a position to pay something for the maintenance of their chil-
dren. In one instance the fatlier nuiy be earning fair wages, but cannot care properly for
his sick child, because the mother is dead or is obliged to assist him in the sup-
port of a large family. In another, the father is dead, and tiie mother and older children
are obliged to be out every day toiling for the dailv wants of the family, and cannot,,
therefore, take proper care of the sick child, but tliey can pay a little.

The trustees of the Hospital are Messrs. E. B. Osier, George A. Cox. Samuel Rogers,
A. M. Smith and J. Ross Robertson. Mr. Wm. Macdonald is the solicitor. The ladies'
comniiitee up to July, 1891, consisted of Mesdanies W. G. P. Cassels, John Harvie, VV.
H. Rowland, H. Hough, V\ . S. I.ee, W. M. Merritt, with Mrs. Harvie acting as presi-
dent, in the absence of Mrs. S. F McMaster the president, Miss Maria Buchan, treasurer,
and Mrs. R. Donald, Jr., secretary.

The receipts up to Sept. .30, 1890, amounted to 87,979 76. The expenses of the manage-
ment for this year were .•j!8,038 33. There were 270 patients, 231 being from the city, and
39 from the country, while 107 out of the 270 were treated at The Lakeside Home.

College Street, Toronto.

CHAPTER IX.

THE NEW BtriLDISfS— AN ORNAMENT TO THE QUEEN CITY— A DEHCRIl'TION OF THE BUII.DINa
— A MEMORtAI- WINDOW BY A NOTED ENIiLISH ARTIST— A WALK FROM " DOWN IN THE-
DEITIIS" TO A POINT OF VANTAGE IN THE CUPOI^A.

F all the years the present
one will be long rememher-
ed, for its opening saw the
work we'l in hand for the
new Hospital. The first sod
had been turned but a few
weeks when the carts and
shovellers of the contractors,
were at work and the work,
of excavation had been done,
and the foundation stone
laid as already described.
The new year of 1891 saw
the great four storey pile iu
the air, with its handsome
red brick front, its peaked
towers, its terra cotta orna-
ments, its quaint tiled roof,
its massive arched entrance
and grand stone carvings,
rounded corners, its minia-
ture toweis. A great mas-
sive structure that appealed ,
as one might say, to every
passer-by for sympathy as
A VIEW EAST ON COLLEGE STREET. being the new home of the

little ones who suffer — those pets of the household, many of whom owe pinched faces and
tottering steps to the neglect and poverty of tnose who brought them into the world.
And so we stand on this summer day of 1891 in front of the new Hospital, the great Mother
Hospital of this vast Dominion, that will do so much in the future to alleviate disease and
pain.

Messrs. Darling & Curry, the architects, have completed a building of excellent design,,
well constructed and one of tlie architectural monuments of the city as well as one of its
architectural ornaments, and Mr. Robortson, as chairman of the liuilding ('ommittee, has
not only been indefatigable in his efiforts to give Canada the best institution of the kind,
but he has, in conjunction with the architects, made it a model of convenience and com-
pleteness that can successfully challenge the closest criticism. The Hospital has the proud
distinction of being the finestjand best hospital for sick children on the American continent,
and it is questionable if there be a better one in the world.

The subjoined detailed description will show that the construction of the building in its
adaptation to hospital purposes, its systems of heating, ventilation, lighting and sanita-
tion make it an hospital par excellence.

It is situated on the south side of College street, between Elizabeth and Mission
avenue, with a froi;tage of 150 feet and a wing on each of the other streets running back
105 feet. The general plan of the building is an E with the arms or wings running south
enclosing an area protected from all winds and open to the south. Verandahs are placed
on all sides of this area so that cots may be carried out upon them.

From the front the building may be said to consist of five parts : the centre pavilion,
two flanking towers and two intermediate sections. From the bottom of the lowest foot-
ing to the highest point the distance is 116 feet, from the street to the ridge 72 feet, and
to the top of the cupola i\% me centre 103 feet. It is somewhat difficult to name the gen-
eric style of architecture; specifically it has the Romanesque appearance with a suggestioa

:S8

Tfie Uospital for Sick Children,

of the French chateau. It is not only well proportioned but the harmony of It is on-

The building has been put upon a foundation of Credit Valley stone. Generally the
walls are of very dark, hard-burned, red brick laid in mortar stained with Cabot's mortar
stain. The brick work is relieved with a large quant .y of cut stone tiimmings of Portage
entry stone, i\ie centre pavilion being of random coursed stone work to the level of the
first floor. The centre pavilion and the two towers at the angles are roofed with Spanish
tile, the other roofs being covered with slate. Tlie ventilating cupola in the centre has a
• copper covering.

A VIEW DOWN ELIZ\BETU STREET, LOOKING SOUTH.

The main entrance abuts on the sidewalk ; it is round-arched, of large cut stone and is
■17'feet wide and 18 feet high. Above it is an ornamented stone tablet with carved figures
•ofjjcherubim on either side of the inscription " Victoria Hospital for Sick Children." The
entrance proper is behind the arch. The general effect is imposing, stately and sub-
:8tantial. The combination of the ditlerent styles of arcliitecture gives these different im-
prcissions without destroying a sense of the symmetry of the structure. The colour being
generally a dull red, warm in tone, crnveys an impression of rest and comfort so that
the dead material structure seems to harmonize with the benevolent purpose for which it
has been erected. Let us enter the building.

Fronting and passing under the arched entrance the visitor is confronted with two heavy
oaken doors, 8 ft. 6 in. by 5 ft. 6 in., the upper panels filled with plate glass. Tliese open into
a tile-paved vestibule 18 ft. long, 13 ft. 6 in. in width, lined with pressed brick and ceiled
with heavy open timber work. On the right of the vestibule is the porter's room, 10 x 15
feet in area (.4). On the left is a stone staircase to the ground or principal floor. The
door to the main entrance through which we have entered is on the basement level and
from this floor an elevator runs to the top of the building. It is intended for passenger
service and has a floor space of 4^ x 7 feet tlius givini' room for a stretcher.

To the left of the arched entrance and at the foot of the main staircase is a large stain-
ed glass window seven feet wide and fifteen feet high. It is one erected as a memorial
of the late Mrs. J. Ross Robertson, who died August 28th, 1886, and her daughter,
Helen Goldwin Robertson, who died in 1881, and is presented to the Ho.spitalby Mr. J.
Rojs Robertson and his two sons, John Sinclair Robertson and Irving Earle Robertson.
The window was made by Henry Halliday, of London, England, especially for this pur-

College Street, Toronto.

pose. Mr. Halliday in perhaps* the ((reatest living artist in stained ghiss work, and hia re-
putation ia well snstuined in IIiIh heautiful and ivi'tJHtiu window. Tlio aubject is Christ
healing a sick child, and ao well iathe scene delineated tliat the cold, lifeless ulass conveys
tlie moral beauty and value of the kindly dteil of Him w!io9e great human lieart beat so
tenderly for the little ones whom He lo ed and blessed. The cincoplion of the artist is
most appropriate for the purpose, and as a memorial the window has an added si^;-
niflcance, because Mrs. Robertson herself was a lover of little children, and is now kind-
ly and tenderly remembered for her personal interest in their sickness and suffering. The
beauty of the building is enhanced by this window and llie gift of it is another tribute to
themunificent liberality of one who has so materially aided the work in the erection of The
Lakeside Home for Little Children nml throu;^li wliosu exertions thu nuw building wo are
mow in owes in part its erection.

•!ir ill l!.iii inn.

Before we take a turn through the building let us look into the depths of the cellar
and boiler-rooms. There are two ways of getting into this part "^'hebmlding either by
.a narrow staircase, that leads from the ground floor, near the main elevator, or from.the

The Hospital for Sick Children.

entronco roadway, that opens into Klizabetli stroct and Mission avenue. Lee U8
for the moment that wo have gone down the smad stairway,
leads from the centre of the Rround tiooi to the celhir. Here wo find oursolves

suppone
which

H
>

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.

THE ROBERTSON MEMORIAL WINDOW.

"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.

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.

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.

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.

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.

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.

[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.

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 <leHcril»ed, each ward has an open fire-place.

Till'; .MAIN Kl.KVATOR.

A BATHROOM.

The Hoa2ntal for Sick Children,

CHAPTER X.

OTHKR POINTS OF INTKRKST OS TIIK I'RINCII'AIi FLOOR^ — THE SECOND FLOOR AND ITS
FEAT17RKS — A I'LAYOROINP ON THE U(tOF — HOW THE UOSI'ITAl. IS HEATED — A WINii
FOK INFECTIOrS DISEASES.

ONNECTED witli each of the two large wards
now spoken of is a dresser's room, the sink and
basin mounted with plated fittings. These sur-
gical dressing rooms are marble lined, fitted
with cupboards, a water-proof floor and a drain
trap, besides other accessories.

On tiie side of each ward facing the courtyard
are windows opening to tiie floor and beyond
them a verandah, 11 x 25 feet, sheltered on every
side from the wind but open to the sun. On
pleasant days the cots of the children will be car-
ried to these verandahs where the little patients
can get a sun bath and enjoy the vivifying in-
fluences of the fresh air.

The reader will remember that he is still upon
the principal floor, and tiiat the wards just
described are those in the western and eastern
wings of the budding, corresponding with the
two long arms of the E, the general outline of
the building. Hack of the main staircase hall a
flight of steps leads to a broad landing, from
wliich there is entrance into tiie short or
middle arm of tiie E. Tliis is divided into
two doctors' rooms, 10 x 8 ft., with passage
24x,% ft., the use of whicli has not been finally deter-
the corridor, next to the service stair-case, is it passage
lighted by a window on the south, beneath which is a stationary hand-basin. From this
passage there is a doorway to the baths set apart for private or pay wards, while next is a
dispensary — all conveniently arranged and elegantly furnislied.

Again, standing at the main staircase on tliis corridor, the matron's sitting and bed-

ooms are seen on the right. Across the corridor is her bathroom, and then, on the east,

a verandah 12 x U5 feet, to be used for airing bed clothing, •itc. Having traversed the

principal floor, tiie visitor comes back to the staircase in the centre of the building, goes

up one Higiit and finds himself on the second floor.

Over the Hoard room and the entrance is a large ward 22x41 feet in size. Next thia
are sitting and bedrooms for the use of the resident physician. The wings on this fluor,
the pantries, the angle ward and their general ari-angemcnt correspond with those of the
floor just described. On the College street front are two balconies 5x28 feet, with hand-
some wrought iron railing. The one on the east opens from two private wards, each IS.ix
14 feet, and the one on the west from the large ward. There is also on this fioor a pantry
for the private wards and a cut-off passage with stationary basin in it and a bathroom open-
ing from it. The windows in the angle or tower wai ds are oriole windows, fitted with
inner and outer sashes, cpeniiig upon hinges and afl'ording a commanding view up and
down College street. The windows on the three exposed sides of ttie building are fitted
with winter sash, hinged on the inside, so that they may be opened at any time to allow
of the windows being fully opened.

From this floor in the centre, looking south, is a flight of steps leading to a landing on
which are three jib-head plate glass windows. Tliose open into a conservatory 11x21 feet
in size. Although called a conservatory it will be put to the more practical use of placing
cots there, so that the sick children may have the benefit of the sunshine.

It will be decorated with plants and flowers only to such an extent as to make the
place refreshing and pleasant. From this conservatory there is an opening upon the flat

between, leading to a room
mined. On the south side of

College Street, Toronto.

roof of the laundry, which is floored and well protected with a high, suh.-itantiul wooden
railing'. It has an area of 'i'ix.'}? feet, and will Imve an awning, and bo uaed in Jino
weather aa a play ground for the convalescents.

C
K

as on

Ascending to the third floor, and going east, we find the same general arranccement
\ the lower floor, except tliat a portion of the^ space is devoted to nurses' rooms,

The Hospital for Sick Children,

with a rjitoff passage leading to liioir hatii iviul lavatories. Tiie southeast angle in the
wing of tiiis floor, on Mission avenue, is - large wartl with iiigh coved ceiling. In the
northeast angle, on College street, i« a room, 21 fuet s.juare, wliich will ho divided into
cubicles for the ajcommodation of the nurses. West of this, on the same street, are ft

linen storage room p.ud additional dormitories for the nurses. Above the entrance and
opening into the stair case hall is a fine large ward measuring 41x22 feet, finished in the
same style as those below, and with siuiilar conveniences.

College Street, Toronto.

J TlIK IIO.VKl) lUlO.M.

THE J. BOSS ROBEBTSOX WAKD.

The Hosintal for Sick GhUdrcn,

A VLW (iKOrXD OX THK KOOF.

A WARD ON TIlL THIRD FLOOR.

CMege Street, Toronto.

THK WAKD KOR INFECTIOUS DISEASES.

The entire west wing of the tliiid floor, from College street alon?; Elizabeth street to
the lane in the rear, is devoted to the infectious cases. There i? no comnumication what-
ever with the main building except by two doors, one on each sivie .■' *ho opening. These
' iora are not only locked, but fastened with screws, and can only be opened by the aid of

two vrp axes »vhich hang on each side ready for use in cp.sc of fire. Tl
wards in this department. The one in the north-west angle is 21 feet

There are three

up.trtmont. ine one m mc iiumi-wcsi/ uingic m &• itet square, witli

windows on boti. "treuts ; the others are I'i.vU feet, 9.\14 feet and IO.kU fee^ i effectively.

The Hospital for Sick Children,

College Street, Toronto. 7&

Then there is a nurses' room. 10x14 feet, ami a kitclien 14x15 feet, with a pantry 6x10
feet. On the inner side of the buihling a passage nearly six feet wiiie extends from one
end to the other.

0\er the dresser's room of the wards below is a cut-oflf passage beyond which are
water-closets, slop sink and a bath, all furnished precisely as those on the lower floors.
The kitchen is floored witli slate and has a marble-back sink, standing clear of the wall.
Uoth it and the pantry are furnished with cupboards, closets, shelves and all appendage*
necessary for the work to be done tiiere. A good range is there, with hood to carry off
tlie steam and vapor of the cjoking. Tlie ward for infectious diseases has a bath on
wheels which can be flUed in the batln-oom and run to the side of any cot in the ward.
The water in the bath is discliarged into a draining trap, set in the floor of the bathioom.
The entrance and exit of this ward are tlie same, viz : an iron staircase and an
elevator at tlie south-east corner leading directly to the yard. The department is thus as
thoroughly isolated as if it were in a building entirely detached. The safety of its inmates
from Hre is assured Vjy the presence of a fireplug furnished with hose sufiicient to reach to
every part of the floor. This ward is a complete hospital in iiself.

THE ATTIC FLOOR.

The attic floor is sot apart for the use of the servants. It contains two dormitories,
each 21 feet -quare, three rooms, 11x18 feet each, four 9x12 feet, one Pixl.j feet,
three 10 feet S((uare and a trunk room of the same size. Lavatories and bathrooms are
attached, and the same care and attention to tne mechanical, characteristic of this build-
ing tSroii^hout, are observable on the attic floor.

Auove this are the ventilating passages and chambers, with steam coils in same, and
all other appliances needed to n^ake the ventilation of the premises complete. The
building is amply protected against fire by means oi eleven 2h inch nozzles with 50 feet of
hose atta^ihed. At the ends of each corridor a swinging hose rack is placed. They are so
disposed that every part of the Hospital can be instantly reached with a stieam of water.

The lane in the rear, running from Mission averue to Elizabeth sitreet, and the enclos-
ed spaces between the arms of the building are graded and asphalted, and two large, orna-
mental iron gates open at either end.

Another commendable feature is the location of the Hospital. The ground being high
a gcxl view of vhe lower city and of Toronto l)ay is afforded. The view from the upper
floors is especially fine. Notwithstanding the detailed description here given, eld typo
can hardly put before tiie mind of the reader the excellence of the building
both as to its design and structure. Tlie architects have spared no effort to make it a
model of perfection for the treatment of sick children. Money and time liave been
freely given so that the city of Toronto may rejoice in the possession of an hosjiital second
to none in the world. It remains to show the reader how it is heated and ventilatejl. This
having been done, he will have before Ids miud"s eye a pen picture of the new Hospital
for Sick Children.

HEATIXti TI'E IRSl'ITAL.

The heating is by steam on the indirect principle. There are two multitubular boilers,
12 feet long, 54 inches in diameter, set in brickwork with the "Jnrvis " setting. These
boilers will supply steam for heating ilie building, for the 40-horse pawer engine and the
elevator pump. The plant is so arranged that the heating may be done on the gravity
principle or with exliaust or live steam. If the elevator pump and engine are working the
exhaist steam from them will be passed into the heating main after having gone through
an apparatus for extracting the oil. Siiould there not be a suflieient quantity of exhaust
then live steam will be allowed to pass into the heating mains through a reducing valve
set at such pressure as the engineer may deem advisable. The boilers are so connected
that both or either may be wotked. The steam mains pass entirely around the building
without any dead ends, and supply steam to the indirect lieaters placed in passages in the
Bub-basement. Tliere is one indirect i\eater to every 9x18 in. flue, and one such lieater
to every two or three 9x9 in. flues. These heaters are boxed in on the sides and top,
leaving the bottom open to allow a free supply of air to pass through them.

At the top of the heater is an opening to the flue leading to the room to be heated,
with a damper so arranged tiiat when it closes the opening from the top of the heater it
opens a flue which passes down to within three feet of the basement floor. No matter in

.vhat position the damper is placed it cannot cut oft' one inch of fresh air to the room above.
The changing of the position of the damper alters the temperature of the mcoming air by

allowing more or less to pass through the heater.

80 Tlie Hospital for Sick Children,

But before the air is allowed to pass to these heaters it has been made to pass througli
two large pipe coils placed within brick chambers at the bottom of the fresh air towers.
Steam at higii pressure can be used in these coils at any time, bo than even on the coldest
day a full supply of fresh air can be taken into the buildim? without danger of freezing
any part of the plant. There are two fresh air intakes and two large heating chambers,
one for each half of the building. By this arrangement an even temperature can Le kept
throughout the building as it will not be possible for a hich wind to force the warm air to
one end of the building. The fresh air towers are placed in the court. It wos judged
that better air could be obtained from the courts than from any
of the street points, as it would be free from dust, etc. The air
is taken down these towers to a passage which conducts it to the heatiiH.' chambers,
where it is passed through the pipe coils into the corridors in which tlie small, indirect
heaters are placed . It then either passes through these heaters to the flues or enters
them below the heater and then into the rooms throughout the building. The tempera-
ture of the air is regulated entirely from the rooms alone.

VENTILATING THE BUILDING.

From every room in the building flues are caiTied to large vent ducts in the roof.
Each flue has a register at the floor and at the ceiling. The register at the floor is with-
out valves ; the one a*- the ceiling is provided with valves so that it may be kept closed
except when the roo; i may become too warm and it is desired to cool the room rapidly, or
when special occasiont demand a speedy change of air at the top of the room. There are
three large outlets on the roof, one on each of the wings and on < he centre flank. It is
thus impossible on the part of any one to check the circulation of fresh air
through the building. The plant has been arranged so that

when funds are available two large blowers, capable of forcing 500,000 cubic
feet of air each per hour, can be placed in position, one to each intake.
These blowers would be worked only when the natural circulation of air is not sutticient.
It is also proposed to place in the outlets exhaust fans to withdraw the air from the build-
ing. Every available provision has been made to keep the air within the building fresh
and pure at all times.

The building is finished by Mr. W. J. Hynes with adamant wall plastering, a new
'inaniifacture, indispensable in hospitals and public buildinga, and one which will practi-
cally supersede ordinary plastering in the better class of houses. It is as hard as a rock,
perfectly impervious to dirt and insects, and can be rubbed down and washed, and will
stand twice as much wear and tear as ordinary plastering.

The reader has now before him the history of the work of taking care of sick children
in this city, from the foundation of the humble Hospital on Avenue street to the comple-
tion of the palatial stiucture on College street. God has blessed the work in the past —
may it still continue to find favour in His eyes — and may the efforts of the Trustees, the
Ladies' Committee, the friends and sympathizers in this humane cause have not only the
personal sympathy but the material aid of the people of this great city and this fair
province .

Colkfjc Street, Toronto.

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The Hospital fur Sick Children,

SUDSCIllPTIONS TO THK HUILDING FIJNI) OF THE NEW HOSPITAL AND LAKESIDE
HOME FltOM JAN., 188(!, TO MARCH 20, 1H91.

1886.

Mrs. O'Brien $ 15 00

Mr. iiml Mrs. LiiUKhlin (Siciiry ) 12 00

Miss Uobert.-on 2 00

8. H 2 ;iO

Mrs. W. (rBrien 15 00

Halo of .jo wcllory. per Mrs. O'B 12 00

Mrs. Gowan (Barrio) 10(H)

Intaiir cla.ss of Mclh. S. S. (Thoriiburj) 2 02

Anonynions 1 00

Miss Elii3 Dallas' school 2 .M)

Miss Clarke 5 00

Mrs. Joseph, per Mrs. Harvic 15 00

Mrs. Osier ( York Mills) 2 (lO

Interest on deposit I 42

Refund W. C. L. S. Co 8 14

1887.

Mrs. McLaren (Hamilton) 10 00

Infant class Meth. S. S. (Th'mbury). . . 1 00

Queen st . Meth. .S. S 100 00

FronUh'illia !H)0

" From a Friend," per Mrs. Totten 3 00

Mrs. Hawkins 1 00

Ml. Walter S. Lee 100 00

Mr. Walter D. Ueardniore 100 00

From Orillia 15 00

Miss Dallas' school 2 30

Anonymous 5 Oft

Mr. R. .S. Frith 1 00

Miss F. L. Clarke 5 00

Mrs. Henry Totten . 3 00

Interest on deposit 12 62

1888.

Anonymous ,i OO

Mr. LauKhliii (Sieurv ) lo 00

Miss Helen Lusslie (Dundns) 50 i

Mr. Ewiiig Cameron (Owen Sound) 5 00

Bazaar by SIX lit tie Kirls 10 00

Infant class Meth. ^. S. (Thornbury) .. 4 25

TbrouKh Mr. Henry O'Brien 12 !)3

Mrs. Walter S. Lee 100 00

1889.

Intcre -t on deposit 19 90

Ilov. Wui. Brooknian 5 (JO

From Orillia 13 00

From Orillia 19 03

Mr. Joseph Cawthra 1(K) (XI

Miss F L Clarke 5 00

City Jubilee grant 20,(K)0 00

Mr. A. M. Smith 500 00

Miss Robertson (KdinlucKli) ;"> 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.

The Hospital for Sick Children,

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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 <lo so by the Lieutenant-Governor of the
Province in Couticil, nreparo a statement ot their affairs and render an account in detail
of all moneys received by them from all sources, tlu, maimer in which the same has
been invested and expemled, and any other information necessary to show the state of
the finances of the Hospital, or in the interests of tlu Hospital.

(}. They shall appoint all otlicera and other employes necessary for the purposes of the
Hospital, remove or di8char;.'e them, fix the salaries or wages, and regulate or vary from
time to time the number, position and duties of all employes, see that they properly con-
duct themselves and perform their respective duties.

7. They shall make all arrangements for the purchase, by public tender when pos-
sible, of stores, medicine, food, clotliing, fuel and otlu r necessaries required for the use of
the Hosfjital, its employes and patients.

8. They shall decide upon the number of free and pay patients and the terms upon
which the latter shall be received, give orders as to the diet roll of the patients and
the general distribution and allowance of such stores, fuod, clothing, fuel and other
articles to the employes and patients as tliey may deem expedient.

9. They shall have general charge and care of the property of the Hospital, and provide
for the faithful and economical management of the Hospital and all property belonging
to it; that it is properly preserve I and repaired, and they si, all sell or lease such por-
tions of the Hospital property as ihcy may think advantageous upon such terms and
conditions as they may consider benehcial to the Hospital, subject to the provisions of the
Act of Incorporation.

10. They shall admit under reasonable conditions the parents, relatives and other
persons to see the patients and communicate with them.

15. In case, through death, resignation or any other reason, a vacancy should occur
on the Board of Trust-;es, the saiil vacancy shall be filled up by a person to be selected
by a majority vote of the I'oard, at the meeting following such event.

III. THK ladies' COMMITTKK.

1. A committee of twenty-five ladies, who may be disposed to assist in the work oi the
Hospital and aid in its management by advising vvitli the Lady Superintendent, shall be
apnointed by the trustees.

2. This committee shall consist of the above num' er of ladies and of no others.
Vacancies occasioned by death, absence or resignation shall l)e filled iiji by the tiustees
at any regular or special meeting, after consultation with the Ladies' C(-minittee, due
notice of such intention being sent to each member of the lioard a week previous to the
meeting.

;{. The duty of the committee shall be to appoint one of their number as president at
their first meeting by a majority vote, and meet at the Hospital at noon on Friday in
each week, d'seuss all matters desirable in the interest of tlie Ho.spital. make sugges-
tions and consult and advise with the Lady Superintendent in connectiim with the in-
ternal economy of the institution, and report whatever recominendatinus involving a
money expenditure and any other suggestions that may be decided upon, to the trus-
tees for approval ; it being understood that no del)ts of any kind are to be contr-\cted
vdthout the consent of t e said trustees. The committee shall also visit theHo^pital
in rotation as visitor for tiie weel;, two of the number being ai)pointed for tliat pur-
pose. Seven menil)ers present at any meeting shall i jii-ititute a (luorum. .\ny mem-
ber failing to attend regular meetings for threo consecutive months shall cease to be a
member, but illness or absence from Toronto shall not create a vacancy until the end of
six months, ami every vacancv caused by absence, resignation or death shall be noted
in the minutes of the next regular meeting, or if by inadvertence omitted, shall j
in the minutes of some otlur regular meeting.

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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<ike charge of etl'ects or any
money of patients dying iu the Hospital, which may not bo ckimed by friends or re-
latives.

, VII. VISITING MKDU'AI, OKb'ICEUS.

1. The medical staff shall l)e appointed annually by the trustees and shall consist of
the consulting physicians and surgeons and attending or active physicians and surgeons,
such as the reijuiremcnts of the Hospital may from time to time demand, and hold their
positions at the p'easi're of the trustees, but to termina! e on the 30th day of June in
each year, any member of the stafTto be eligible for re-appoi.itment.

2. The medical officers of thj Hospital are expected to visit the Hospital daily, should
the state of their patients recjuire it, and they shall daily, in rotation, receive the pa-
tients re(|uiring admission. Each medical otHcer may retain any special case under his care.

3. At each visit, the medical officer shall write such prescriptions for each and
give such directions as he ;nay deem necessary to the Resident Medical Officer and
others as he may think proper, with respect to the patients.

4. Each medical olhcer shall keej) a case book in wnlch shall be entered an account of
each patient admitted by him into the Hospital, the name and age of each
patient, the history and probable cause of tlie disease, the daily change and such
other circumstances as may tend to throw a light on the nature of the case, with pre-
scriptions.

r». They may provide for the delivery of medical and surgical lectures in the Hospital
by such per.sons and at such times and on such terms and conditions as they may think
proper, and for the admission thereto of such persons as they may direct.

ip«M

College Street, Toronto. 89

6 The trustees also shall appoint one or tnore pathologists, whose duty it shall be to
make pos*^ mortem examinations of patients %vlio die in the Hospital, wiicnever in the
opinion of the physician or surgeon, who attended such patient or of the resident medi-
cal officer, it shall be desirable to do so.

7. The trustees shall appoint one or more medical and surgical registraia, whose duty
it shall be to keep correct records of all cases under treatment in the Hospital.

8. They shall see that the Hospital is kept clean, that patients who have contagi-
ous complaints are kept in the wards provided for such patients, that the s{)ecial
rules regarding this ward are strictly enforced ; and otherwise classify and treat patients
as they may find to be expedient.

9. The visiting hour shall be at two p.m. daily throughout the year, and if any medi-
cal officer be unable to attend he shall procure some other medical officer of the stall
to visit in his stead. In cases of pi-olonged absence, notice must be promptly given, so
that arrangements can l<e made for the treatment of cases under the care of the officer so
absent.

10. No major operation sl'.dl be performed, except in cases where delay might
be dangei'ous, without giving notice thereof to all the medical officers belonging to th°
Hospital, nor without the concurrence of the majority of those present ; and the nature
and position of the operation to be performed sliall also be determined in the same manner.

11. The visiting medical officer shall, if he have cause of complaint against any em-
ploye, report the same, with the cause of such complaint to the Resident Medical
Officer or the Lady Superintendent, or report, if necessary, to ths trustees.

12. In cases of complaint against employes, the Lady Superintendent may, if
necessary, suspend them from duty and shall forthwith report the matter to the
trustees, and shall reciuire them to attend a meeting as soon after the meeting of twenty-
foiu' hours as may he convenient, notifying those concerned to attend. The trustees,
on hearing the matter, shall determine wliat course shall be taken on the complaint with
respect to such person.

13. They shall not admit any insane or idiotic children into the Hospital, there be-
ing other and proper places in the province provided for the care of such children.

VI. THK .ST'"VENTS.

1. Any student of medicine on paying §6 shall receive a ticket entitling bin. or her
to attend the clinics of the Hospital for the period of six months ; for twelve months
$IG, and S\5 for a perpetual ticket ; or such other sum or sums as the trustees may fix
from time to time.

2. The students shall enter the operating room by the rear entrance from Elizabeth
street or Mission avenue. All operations, lectures and clinical instruction will be
given in this room aiul no student shall go to any part of the Hospital except by the
special permission of the resident medical officer ; and all students shall leave the Hospi-
tal when the operation or lejture is ooucluded

3. They shall ha^ a access, through the registrar, to the case books of the Hospital
for the purpose of transcribing the cases of patients every day, Sunday excepted, after
the visiting hours, but they shall not on any account remove the books from the Hospital.

4. They shall beliave with decorum in the Hospital, and any violation of the rules shall
render them liable to either suspension from privileges, or expulsion, at the discretion of
the trustees.

VII. THE EMPLOYES.

1. The officers, employes and servants of the Hospital shall bo as follows : — A lady
superintendent, a resident medical officer whose duty will also be to take charge of
the dispensary and prepare all medicines ordered ; a housekeeper, an engineer
and a competent staff" of nurses, and such other assistants and servants
as may be necessary, subject, however, to be reduced or increased and their duties to
be varied or changed as may be found expedient from time to time They shall
all reside within the Hospital building.

2. They shall hold office, employment or service on a monthly term only, be paid their
wages at tlie end of each calendar month, and be subject to removal at the end of two
weeks' notice, or two weeks' payment of salary or wages, which two weeks shall be com-
puted from the day of such removal or notice made or given, although the same is made
or given during tlie currency of a month's service.

3; Tliey shall faithfullv obey the rules and regulations, shall not allow themselves or
any person to injure any part of the Hospital, its floors, walls or furniture, and be

■*

so The Hospital for Sick Children,

diligent in performing their duties, and whe.i requested by any person having
authority, give an account of all matters which shall come to their possession or
knowledge in the course of their duty, and which it may be proper for them j answer
or explain. Any employe may be summarily dismissed for neglect of duty or breach af
rules by the Lady Superii.tendeut, with the concurrence of the chairman of the Board,
and any employe so discharged shall receive wages up to the date of dismissal only,

VIII. — THE MKDICAL UESIDENT OFFICKR.

1. The Medical Resident OtHcer shall be a medical practitioner, licensed and qualified
accorditig to the laws of the province.

2. I fe shall have the general charge and management of the medical branch of the
Hospital, the uispensary and all matteia other than the domestic economy, and shall
reside in the building in the ro. ms adotted for that purpose.

3. He shall visit all the wards daily, report when necessary the state of patients to
the visiting medical otHcer, see that the directions of the medical otfi^fiv are attended
to, and that medicines are carefully administered.

4. No operation shall be performed by the resident medicp.l officer without the
special direction of the visiting medical officer, and in any case of a dangerous
nature a report shall be pr-omptly made to the proper medical officer, and if he cannot
be found to any of the other medical officers of the Hospital.

5. He shall not admit any patient except under the regulations so provided, nor shall
he discharge any patient unless with the approval of the visiting medical officer.

6. He shall not be absent during the regular visiting hours of the medical officer, nor
sleep out of the building without tiie permission of the chairman of the Hoard of
Trustees, and when he has occasion to leave the Hospital he shall inform the Lady Super-
hitendent where he may be found.

7. He shall compound and make up all medicines for both indoor and outdoor
patients, under the direction of the visiting medical officer, have charge of the dispen
sary and medicines, bottles, instruments or other goods in stock, with the quantities,
and report the stojK in hand to the trustees at the end of each month. He siiall make
up all medicines and affix labels to every bottle, box or powder, with the name of
patients, and full directions regarding dose and administration, taking special care that
no medicine leaves the dispensary without a label, and in order to guard against mis-
takes blue labels be used for medicines such as lotions and liniments wliich are used ex-
ternally, and yellow labels for medicines to be taken by the mouth only. He shall send
all medicines to the wards by the nurses, deliver nonenot ordered, permit none to betaken
out of the dispensary except by out-patients send a written requisition to the secretary
for all goods and drugs required, keep the dispensary clean and in proper order, and
observe such economy and the utmost prudsnce and care in every way relating to his de-
partment.

8. He shall have charge of all the surgical instruments, medicines and materials belong-
ing to the Hospital, and shall be responsible for the same, and for their good order, and
he shall not suffer them to be lent or taken out of the Hospital, without the permission
of the visiting trustee.

9. He shall insert in a book of register an account of all operations performed in
the Hospital, by whom, and the result ; and he shall keep a daily record of the
names of out-patients, entering their ages, residences and treatment, the name and
hour of visit each day of the visiting medical officer, and shall also enter in a book

rovided for the purpose any observations or reports the medical officers desire to lay
efore the trustees.

IX. — THK LADY SUPERINTENDENT.

1. The Lady Superintendent shall have the immediate and gencial charge and super-
vision of the domestic economy and management of the Hospital — not including any
part of the medical department — and assign all duties connected with the nurses, ser-
vants and other employes under her care.

2. She shall visit the respecti»'e wards every morning, and other parts of the build-
ing at all times when she may think it necessary, and shall not admit any patient
except in accordance with the rules mude and provided in that behalf.

3. She shall reside in the i)uilding, in the room provided for the purpose, and shall not
absent herself from the Hospital unless on business of the Hospital, or on her own
reasonable and necessary affairs, and in case of ai)sence the housekeeper shall take charge
of her work.

College Street, Toronto. 91

4. She sliall report to the Ladies' Committee the names of any employes who may be
absent without leave, and shall see that the nurses and servants are all cleanly in their
persons, are dressed in a proper manner according to their place and duties, and a-e
attentive to tlieir duties ; and she shall repori. to the Ladies' Committee and, if
necessary, to the trustees, any misconduct of the employes or irregularity or any other
matter which should be broutrht to tlieir notice.

5. She shall report the death of every patient which takes place, to the secretary
of the committcj.

6. She shall see that visitors are allowed to see such patients as they desire, at proper
hours, but subject to regulations.

8. She shall inform the secretary of all articles that may bo required froi» time to"
time for use in the Hospital and shall not incur nor allow to be incurred by any
employe, any indebtedness or liability on account of the Hospital.

9. She sliall make repeated visits to the wards, kitchen, laundry and other parts of
the Hospital and to the wards occasionally at night to see that nurses and servants are
properly attending to their duties.

X. — THK IIOrSEKEEPER.

L The housekeeper shall be under the immediate supervision of die Lady S perin-
teudent and shall be directly responsible for the care of stores of ever\ kind except medi-
cines and fuel in boiler-room. She shall superintend the kitcheii department and see
that the quantities of food required from the store-rcom are checked when given out ;
that tho diet of patients or employes is properly cooked and punctually supplied,
whether as meals or as medical treatment, and that there is no improper or unnecessary
waste.

2. She shall have the care of all the furniture, beds, bedding, linen, dresses, utensils
of every description, and see that the Hospital premises in all part ^ are k'ij^t in a clean
condition, and that the beds anil bedding are in good order and repair.

3. She shall not incur nor allow to be incurred by any employe of the Hospital, shop
or trade debts, and for all articles required for the use of the Hospital, she must make a
requisition on the secretary, after having first obtained the approval of the Lady
Superintendent, who will arrange for the purchase of supplies as provided for.

4. She shall render all accounts that she is required to keep to the secretary monthly
in time to have the same entered and prepared for audit by the secretary and sent to the
trustees.

5. She shall give one week's notice to the secretary when any of the stores are nearly
exhausted and require to be replenished.

6. She shall see that the employes under her care rise from bed in the morning, and
that they retire to bed in the evening at the hour or hours which may be assigned to them.

7. She shall see that the gas or electric lights are properly used, and that such of
them as may not be lequired are extinguished as may be ordered.

8. She shall see that nothing in the way of food is taken into any of the wards, but
that which has been prescribed for use.

9.' She shall keep an account of the nurses and servants' time and wages, and trive all
directions as to the diet in the service department of the Hospital.

10. Slie shall have the supervision of the laundry and see that the laundress performs
her duty, and that all soiled clothes and linen arc washed, ironed and returned to the
linen room or ward, and shall be responsible for the cleanliness and neatness of the de-
partment, except the engine, boiler, machinery and coal room, and shall see that soap,
starch and all stores for the laundry are economica ly ua';d.

11. She shall order the clothing of the patients admitted to be fumigated, and in case
of such necessity to be burnt.

12. She shall keep all wine, spirits and liquors under lock and key under her per-
sonal charge, and shall deliver the same for use when she may think necessary or on the
written order of the Resident or Visiting Medical Officer.

13. She shall have charge of the keys of all the outer doors and gates, and see that, all
entran es except the main entrance, are locked by nine o'clock p.m, and opened at 7
o'clock a. m. every day during the year, unless otherwise ordered by the commiltee or
in case of necessity. The main entrance shall bo closed at 10 o'clock p.m. and all
employes wiien out by permission after the regular hours must enter the Hospital by the
main entrance on College street.

92 Tlie Hospital for Sick Children.

XI. THK NURSES,

1. The nurses shall he uiulcr the general order and direction of the Lady Superinten-
dent.

2. The liours of duty for d;iy nurses sliiiU be 1:'M) ii.ni, until 7:30 p.m., and for night
nurses from 7 p. ni. until 7 a.m. Day nurses shall rise at >.■ 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'] ^" "<h'\\ttc.(\ to and treated at the Hospital ;
sick children, destitute and friendless or whose parents through poverty are unable to
take care of them, and who from various circumsti. uces cannot receive care and atten-
tion at home, and who have friends who are willing to contribute towards the expense of
maintenance. So that pauperism maj' not be fostere I, the rule that remuneration to
some extent shall be paid, is strictly enforced whenever the relatives or applicants are in a
positioM to afford it.

3 Accident and urgent eases are admitted at any hour during the day or night.

4. Parents and otliers fiom whom children are received into the Hospital, shall be le-
({uired to sign an application for admission, which sliall state the terms on whicli tiie
patient is received and contain an agreement on the part of the applicant to be bound
thereby.

5. Presents of toys or otliei things to any patient shall belong to the child only while
in the Hospital, and for its use and amusement there ; and shall not, unless when given by
its parents or guardians, be given away or taken from the I ' ospital without the consent of
the committee ; when such consent is not given, they shall bo left as the property of the
Hospital.

XIV. OUT-PATIENTS.

1. Children shall be received as outpatients from birth until fourteen years of
age, who arc free from small-pox or other infectious diseases, and who are brought to
the Hospital by one of their parents or by a grown person. Those patients wlio are not
received into the Hospital v, ill daily receive advice and medicine free, and have any
ordinary operation performed at tlie dispensary by the visitine' medical officer at the
hour appointed. All out-patients must provide their own phials or vessels for medicine
and these must be kept clean.

2. Parents or others who bring patients shall attend promptly at the dispensary de-
partment on Elizabeth street at the hours appointed, and when advised and treated
shall leave the Hospital premises and if they wilfully disobey directions given, or violate
the rules of the Hospital, they shall not be permitted again to enter the Hospital.

94 The Hospital for Sick Children.

3. Tlie attendants shall strictly enforce these regulation, which are intended to pro-
mote the general welfare. It is hoped that ilic friends of patients will feel it to be their
duty to conform to these ru'es, and to be have with propriety to the attendants.

XV. VISITORS.

1. Visitors may be admitted to the Hospital daily between the hours of 2 and 5 p.m.
All visitors must enter at the main entrance on College street, and nmat see the nurse in
charge V<ofore entering a ward.

2. Lidies and olliers who desire to visit and entertain the cliildren Ly reading and
singing, laay do so after having obtained permission from the Lady Superintendent.

3. Visitors arc strictly forbidden from giving any article of food, fruit or luxuries
to any of tiie children. Any luxuries intended for particular children can be left with the
nurse of tlio w^ird, who will distribute tliem uiuler the direction of tiieLady Superintendent.

XVI.— PKIVILEOES OK StTHSORIBKIiS.

1. Kach donor of five thousand dollars shall be entitled to name a wai'd, and to
rci jumiend ten patients yearly.

2. Eacli donor of two thousand dollars to endow a cut shall be entitled to have it per-
manently ii<scribed in I'egulation form, and to recommend five patients yearly.

o. Annual sul>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.