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THE WESTERN
PENNSYLVANIA
H O S P IT A L
P I T T S B U R G H , P.,
R E PORT
OF THE
DIRECTORS
For 1913-1914

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THE WESTERN PENNSYLVANIA HOSPITAL
TABLE OF CONTENTS
Frontispiece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Officers of the Corporation & Committees. . . . . . . . . . . . . . . . . . . . . . . 3
Life Members and Life Managers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Former Officers of the Corporation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Medical Department . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Executive Department . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ‘. . . . . . . 14
Resident Staff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
IPresident’s Report • * * * * * * * * * * * e e e s e o 4 s a e º e º ſº e o e e s a c e e s a s s a e º e 16
Report of Hospital Treasurer, Geo. D. Edwards. . . . . . . . . . . . . . . . . . 19
Report of Medical Activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Report of Superintendent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Donations . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . tº e s e e s s e e 87
Report of Directress of Training School. . . . . . . . . . . . . . . . . . . . . . . . . 90
Cot Club Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Report of Social Service Department. . . . . . . . . . . . . . . . . . . . . . . . . . 95
Report of Secretary of the Board of Directors. . . . . . . . . . . . . . . . . . 101
THE WESTERN PENNSYLVANIA HOSPITAL 3
OFFICERS, COMMITTEES AND MEDICAL STAFF
Of
THE WESTERN PENNSYLVANIA HOSPITAL
1913–1914
OFFICERS AND DIRECTORS OF THE CORPORATION
1914-1915
President
MR. JAMES R. MELLON
First Vice-President
GENERAL ALBERT J. LOGAN
Second Vice-President
MR. W. S. ARBUTHNOT
Secretary
J. W. MACFARLANE, M. D.
Treasurer
MR. GEORGE D. EDWARDS
Solicitor
HENRY G. WASSON, ESQ.
Custodian
FIDELITY TITLE & TRUST COMPANY
Directors
Term Expires June, 1915
Geo. E. Shaw, Esq. Mr. James H. Lockhart
Mr. S. J. Wainwright Mr. H. J. Heinz
Mr. J. J. Mathews Mr. John Woodwell
Major Lee S. Smith
Term Expires June, 1916 Term Expires June, 1917
Hon. William Flinn Mr. D. L. Gillespie
Jas. W. Macfarlane, M. D. Mr. W. L. Jones
Mr. W. S. Arbuthnot Mr. E. R. Marvin
Gen. A. J. Logan Mr. Jos. F. Guffey
Emil Swensson, C. E. Mr. Geo. D. Edwards
Mr. James D. Hailman Mr. Chas. D. Armstrong
Mr. J. R. Mellon Mr. W. A. Roberts
COMMITTEES OF THE BOARD OF DIRECTORS
Executive Committee
Gen. Albert J. Logan, Chairman
Mr. James R. Mellon J. W. Macfarlane, M. D.
Mr. James D. Hailman Emil Swensson, C. E
Mr. W. S. Arbuthnot Hon. William Flinn
Mr. Earle R. Marvin Mr. W. A. Roberts
Mr. Chas. D. Armstrong Mr. Geo. D. Edwards
4 THE WESTERN PENNSYLVANIA HOSPITAL
New Buildings
Hon. William Flinn, Chairman
Mr. James D. Hailman Mr. W. S. Arbuthnot
Gen. Albert J. Logan J. W. Macfarlane, M. D.
Emil Swensson, C. E.
STANDING COMMITTEES
Finance and Accounts
Hon. William Flinn, Chairman
Mr. James D. Hailman Mr. W. A. Roberts
Gen. Albert J. Logan Mr. W. S. Arbuthnot
Grounds and Buildings
Emil Swensson, C. E., Chairman
Mr. W. S. Arbuthnot Mr. James D. Hailman
Food
Mr. Earle R. Marvin, Chairman
Mr. Chas. D. Armstrong Mr. John Woodwell
Furnishings
Mr. W. A. Roberts, Chairman
Mr. Joseph F. Guffey Mr. J. J. Mathews
Staff and Training School
Mr. James D. Hailman, Chairman
Mr. Chas. D. Armstrong J. W. Macfarlane, M. D.
Hospital Social Service
Mr. Chas. D. Armstrong, Chairman
Mr. George D. Edwards Major Lee S. Smith
THE WESTERN PENNSYLVANIA HOSPITAL
LIFE MEMBERS
Harmar Denny John Moorhead
David Shields Joseph Albree
William Croghan Charles W. Batchelor
John H. Schoenberger Gilbert L. B. Fetterman
Edward W. H. Schenley Benjamin F. Jones
James Anderson Robert C. Loomis
Charles Knapp, Jr. Reuben Miller, Jr.
Archibald Stewart Wilson Miller
Thomas Bakewell Joseph S. Morrison
John Graham William McCreery
John Harper Ormsby Phillips
Isaac Jones Jacob B. Sweitzer
John Bissell William P. Weyman
James McCandless William W. Young
George W. Jackson Benjamin P. Bakewell
Joseph Pennock Frank S. Bissell
William S. Haven William Morrison
William Phillips Abraham Garrison
Maxwell K. Moorhead Andrew Carnegie
Thomas Fawcett Joseph Dilworth
William Holmes Cornelius E. Rumsey
John Holmes Jacob J. Vandergrift
James K. Moorhead Charles Arbuthnot, Sr.
Alexander Nimick Jane Holmes !
Christopher Zug. John A. Harper
Charles H. Spang Henry Phipps, Jr.
Felix R. Brunot Levi Herdman Harris, M. D.
John W. Chalfant Joseph Horne
John B. Jackson James P. Hanna
6 THE westERN PENNSYLVANIA, HOSPITAL
Life Members—Continued
Charles Lockhart
Samuel McKee
Mrs. Rebecca T. McCullough
Thomas M. Armstrong
Henry C. Frick
Frederick Gwinner, Sr.
Samuel Hamilton
Sylvester S. Marvin
James R. Mellon
Andrew W. Mellon
Thomas A. Mellon, Sr.
Richard B. Mellon
James H. Park
David E. Park
James H. Reed
JMrs. Thomas Mellon
Mrs. Samuel McKee
Matthew K. McMullin
Julia Nelson
Margaret Nelson
Lawrence C. Phipps
William L. Curry
William Flinn
Mathilda Denny
George B. Edwards
Dallas C. Byers
Wilson S. Arbuthnot
Mrs. Eugene M. O’Neill
Julian Kennedy
William W. Lawrence
Albert J. Logan
Mrs. J. Franklin Robinson
J. Marshall Lockhart
Mrs. H. Lee Mason
Mrs. John R. McCune
James H. Lockhart
Lewis T. Brown
Henry J. Heinz
Harris E. Wainwright, Jr.
J. Rodgers McCreery
Wallace H. Rowe
Mrs. Martha J. Armstrong
Daniel M. Clemson
Mary L. Jackson
George W. Crawford
Robert G. Gillespie
Henry A. Laughlin
Edward P. Mellon
William Larimer Jones
George Lauder
Elmer Speck
Mrs. Elmer Speck
Lawrence C. Phipps, Jr.
Joseph C. Trees
Michael L. Benedum
Harry S. Grayson
W. Harry Brown
John Murphy
--- - ------
LIFE MANAGERS AND LIFE MEMBERS
THE WESTERN PENNSYLVANIA HOSPITAL
SINCE IT'S FOUNDATION IN 1848
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THE WESTERN PENNSYLVANIA HOSPITAL 7
FORMER OFFICERS OF THE CORPORATION
Presidents
Thomas Bakewell . . . . . . . . 1848 John A. Harper . . . . . . . . . 1891
John Harper . . . . . . . . . . . . 1866 Robert Pitcairn . . . . . . . . . 1898
James R. Mellon. . . . . . . . . 1904
Vice Presidents
George Breed . . . . . . . . . . 1848 R. C. Loomis. . . . . . . . . . . . . 1878
James Anderson . . . . . . . . 1853 F. R. Brunot. . . . . . . . . . . . 1885
John Graham . . . . . . . . . . . 1854 Wm. A. Herron . . . . . . . . . 1890
Wm. F. Johnston. . . . . . . . . 1861 Wm. M. Kennedy. . . . . . . . . 1898
Isaac Jones . . . . . . . . . . . . . 1866 James R. Mellon . . . . . . . . . 1899
John Holmes . . . . . . . . . . . 1869 F. T. F. Lovejoy. . . . . . . . . 1904
Reuben Miller, Jr. . . . . . . . 1876 Albert J. Logan. . . . . . . . . 1905
John H. Shoenberger. . . . . 1877 W. S. Arbuthnot. . . . . . . . . 1907
Secretaries
John Harper . . . . . . . . . . . 1848 Major A. F. Denniston. ... 1889
John A. Harper . . . . . . . . . 1860 Dr. L. H. Harris . . . . . . . . 1897
Mr. Weyman . . . . . . . . . . 1872 W. H. Seif. . . . . . . . . . . . . . 1900
Gen. J. B. Sweitzer. . . . . . . 1877 R. D. M'Gonnigle . . . . . . . . 1902
Dr. J. W. Macfarlane. . . . 1902
Treasurers
John Harper . . . . . . . . . . ... 1848 Wm. Roseburg . . . . . . . . . . 1898
John A. Harper . . . . . . . . . 1865 John A. Bell . . . . . . . . . . . . 1904
M. W. McMillan . . . . . . . . 1891 Geo. D. Edwards. . . . . . . . . 1905
1854 to 1856
A. Stewart (Indiana).
1851
Thos. Bakewell,
Isaac Jones.
1858
John Graham,
John Harper.
1859
John Bissell,
James McCandless.
1860
Geo. W. Jackson.
1861
Jos. Pennock.
1866
W. S. Haven.
1868
Wm. Phillips,
Max K. Moorhead,
Thos. Fawcett.
1869
Wm. Holmes,
J. K. Moorhead,
Alex. Nimick,
Christopher Zug,
B. P. Bakewell.
1870
Chas. H. Spang.
Life Managers
1871
F. R. Brunot,
Jno. W. Chalfant,
Jno. B. Jackson,
John Moorhead.
1848
Harmer Denny,
David Shields.
1850
Wm. Crogan,
J. H. Shoenberger,
B. W. H. Schenley,
James Anderson,
Chas. Knap, Jr.
1872
Jos. Albree,”
C. W. Batchelor,”
C. L. B. Fetterman,”
B. F. Jones,”
R. C. Loomis,*
Reuben Miller, Jr.,”
Wilson Miller,”
Jos. S. Morrison,”
Wm. McCreery,”
Ormsby Phillips,”
J. B. Sweitzer,”
W. P. Weyman,”
W. W. Young,”
*Admitted pursuant to arrangement with “Soldiers Home,” 1872.
8 THE WESTERN PENNSYLVANIA HOSPITAL
Life Managers—Continued
1877
Wm. Morrison,
Abraham Garrison.
1882
Andrew Carnegie,
Jos. Dilworth.
1883
Jane Holmes,
C. E. Ramsey,
J. J. Vandergrift.
1886
Henry Phipps.
1887
Chas. Arbuthnot,
L. H. Harris.
1891
Jos. Home,”
James P. Hanna,
Chas. Lockhart.
1895
Samuel McKee.
1898
Thos. Armstrong,
H. C. Frick,
Frederick Gwinner, Sr.
Samuel Hamilton,
S. S. Marvin,
James R. Mellon,
A. W. Mellon,
Thos. A. Mellon,
R. B. Mellon,
Mrs. Thos. Mellon.
1899
M. K. Mullin,
Jas. H. Park.
1900
Mrs. Samuel McKee,
D. E. Park,
Margaret Nelson,
Jas. H. Reed.
1901
Julia Nelson,
L. C. Phipps.
1904
Stephen W. Tener.
905
Mathilda Denny,
Eliza Thaw Edwards,
Elizabeth J. Duncan.
Managers Elected by Contributors
1848
M. Allen,
Thos. Bakewell,
Jno. Bissell,
Geo. Breed,
J. Carothers,
Wm. Ebbs,
John Graham,
Geo. Hogg,
Wm. Holmes,
Jno. Irwin,
Geo. W. Jackson,
Frederick Lorenz,
S. Lathrop,
O. Metcalf,
J. K. Moorhead,
Jacob Painter,
J. H. Shoenberger,
Chas. F. Spang,
Wm. J. Totten,
Wm. Wilkins,
W. A. Wallace.
1851
Alex Laughlin,
Thos. Scott,
Wm. Larimer, Jr.,
Thos. Hanna,
Richard Edwards,
Jas. Ross,
Jos. Pennock,
Thos. M. Howe,
Robert Beer,
John T. Logan.
1854
Christopher Zug,
James Marshall,
W. H. Lowrie,
Archibald Stewart.
1856
J. T. Kincaid,
Jno. B. McFadden,
Wm. F. Johnston,
Wm. Wade,
Lewis Hutchinson,
*Admitted pursuant to arrangement with “Soldiers Home,” 1872.
THE WESTERN PENNSYLVANIA HOSPITAL 9
Managers Elected by Contributors—Continued
1858
Jno. P. Pears,
Jas. F. Kirkhead,
Wm. H. Sample,
W. S. Haven,
F. R. Brunot,
Jno. Herron,
Wm. Darlington.
1860
T. J. Brereton.
1861
Jno. Holmes,
F. H. Eaton,
1862
Reuben Miller, Jr.
1863
Calvin Adams,
B. F. Bakewell,
J. I. Bennett.
1864
James Park,
Geo. A. Berry,
J. M. Pennock.
1865
Wm. A. Herron,
R. C. Loomis.
1866
F. H. Collier,
P. H. Miller,
Jos. M. Knap,
H. W. Williams.
1868
Alex. Speer.
1870
Richard Breed,
Jas. M. Cooper.
1872 -
J. A. Harper.
1873
Wm. M. Lyon.
1876
Wm. P. Townsend,
Abraham Garrison.
1877
Wm. Roseburg,
Jno. H. Ricketson,
Jas. Park, Jr.,
W. J. Sawyer.
1879
Wm. McKnight.
1880
B. L. Fahnestock,
Andrew Carnegie,
Chas. L. Caldwell.
1881
Thos. M. Carnegie,
Samuel Hamilton,
Chas. Hays.
1883
Jos. Horne,
Wm. Clark,
J. W. Porter,
Jas. B. Scott,
Jos. F. Denniston,
Wm. Thaw, Jr.,
R. M. Tindle, M. D.,
Robt. McKnight.
1886
August Ammon.
1887
Chas. S. Harper.
1888
A. S. M. Morgan.
1889
Henry H. King,
David McCargo,
Rufus H. Herron.*
1891
Chas. E. Townsend.
1892
Ogden M. Edwards.
1893
J. Painter, Jr.
1894
Jas. Andrews,
Wm. M. Kennedy,
Jas. R. Mellon,
M. A. Woodward.
1895
Frederick Gwinner, Sr.,
C. B. King, M. D.,”
H. D. Sellers,
Jos. Buffington,
J. H. McKelvey.
1896
Jas. H. Park,
Thos. M. Armstrong.
*Admitted pursuant to arrangement with “Soldiers Home,” 1872.
10 THE WESTERN PENNSYLVANIA HOSPITAL
Managers Elected by Contributors—Continued
1897 W. S. Arbuthnot,
H. C. Fry, Jno. A. Bell,
Wm. R. Thompson, W. L. Jones,
S. S. Marvin, F. T. F. Lovejoy,
Jas. W. Macfarlane, M. D., Geo. E. Shaw.
Jno. P. Ober, 1905
J. O. Flower, M. D., L. P. Harbison,
Rev. T. N. Boyle, H. P. Bope,
Wm. Flinn, James H. Lockhart.
D. L. Gillespie, 1906
H. J. Heinz, y W. A. Roberts,
W. H. Seif, E. R. Marvin,
W. Harry Brown, J. J. Mathews.
C. B. McLean, 1907
S. J. Wainwright, J. F. Guffey.
R. D. McGonnigle, 1908
H. C. McEldowney, C. D. Armstrong.
J. C. Kohne, 1911
Jas. H. Willock, Maj. Lee S. Smith,
J. B. Finley, r John R. Woodwell.
Managers Appointed by the Governor of Commonwealth
1856
1860
1861
1864
1876
1883
1887
1891
1897
1904
Samuel A. Purviance, Butler Co.,
R. R. Reed, Washington Co.,
John Curwen, Dauphin Co.
Henry O. Foster, Westmoreland Co.,
William F. Hopkins, Washington Co.
Dr. James Carothers, Allegheny Co.,
Dr. Hugh Campbell, Fayette Co.,
Dr. David Minis, Beaver Co.
Hon. David Agnew, Beaver Co,,
B. L. Fahnestock, Allegheny Co.,
Dr. Thos. McKennan, Washington Co.
Hon. John Scott, Allegheny Co.,
Gen. D. B. McCreery, Erie Co.,
C. M. Boyle, Fayette Co.
E. A. Woods, Allegheny Co.,
W. S. Brown, Erie Co.
N. P. Reed, Allegheny Co.,
Robert D. McGonnigle, Allegheny Co.,
J. R. McAfee, Westmoreland Co.
Hay Walker, Jr., Allegheny Co.
Robert Pitcairn, Allegheny Co.
A. L. McKibben, Allegheny Co.
Gen. Albert J. Logan, Pittsburgh, Pa.
THE WESTERN PENNSYLVANIA HOSPITAL 11
Medical Department
OFFICERS OF MEDICAL BOARD
President and Chief of Staff
J. W. Macfarlane, M. D.
Vice-Presidents and Chiefs of Division
Division of Medicine. . . . . . . . . . . . . . . . . . . . . . . . M. C. Cameron, M. D.
Division of Surgery. . . . . . . . . . . . . . . . . . . . . . . . . J. H. Anderson, M. D.
Division of the Laboratories. . . . . . . . . . . . . . . . . . . . . K. I. Sanes, M. D.
Secretary
James R. Freeland, M. D.
Emeritus Staff
C. Emmerling, M. D.
Consulting Staff
A. Koenig, M. D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Medicine
W. S. Foster, M. D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Medicine
Chevalier Jackson, M. D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Laryngology
G. E. Curry, M. D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Opthalmology
DIVISION OF MEDICINE
General Medicine
Chiefs Assistants
M. C. Cameron, M. D. W. A. Wycoff, M. D.
J. W. Boyce, M. D. Joseph Ferner, M. D.
B. A. Booth, M. D. Wm. H. Wesley, M. D.
Neurology
W. K. Walker, M. D. C. C. Wholey, M. D.
Gastro-Enterology
E. Zugsmith, M. D. M. B. Katzenstein, M. D.
Pediatrics
H. T. Price, M. D. H. C. Flood, M. D.
Dermatology
Wm. B. Ewing, M. D. H. G. Wertheimer, M. D.
12 THE WESTERN PENNSYLVANIA HOSPITAL
Medical Department
DIVISION OF SURGERY
General Surgery
Chiefs Assistants
C. O. And M. D.
J. W. Macfarlane, M. D. Chas i. i."; D
tº º, º o 2 *** * ~ *
C. H. Ingram, M. D.
E. B. Haworth, M. D. L. L. Thompson, M. D.
J. H. Anderson, M. D. H. R. Decker, M. D.
ſ J. R. Brown, M. D.
L. W. Swope, M. D. l D. W. Cameron, M. D.
Otology, Laryngology and Rhinology
C. C. Sandels, M. D. E. Slifer Walls, M.
Bonchoscopy and Laryngoscopy
Chevalier Jackson, M. D. J. H. McCready, M.
Opthalmology
H. Eastman, M. D. C. F. Bernatz, M.
Gynecology
K. I. Sanes, M. D. J. N. Stanton, M.
C. S. Foster, M. D. Geo. Cunningham, M.
- Obstetrics
J. R. Freeland, M. D. Paul Titus, M.
Genito-Urology
C. B. Schildecker, M. D. A. I. Murphy, M.
W. T. Dodds, M.
Dentistry
A. G. Reinhart, D. D. S.
Anaesthetics
Director: John R. McCurdy, M. D.
É.
º
THE WESTERN PENNSYLVANIA HOSPITAL 13
Medical Department
DIVISION OF THE LABORATORIES
Pathology and Research
Director: J. Bronfenbrenner, Ph. D.
Bacteriology. . . . . . . . . . . . . . . . . . . . . . . . . . . . J. Bronfenbrenner, Ph. D.
Pathology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V. L. Andrews, M. D.
Bio-Chemistry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J. Rosenbloom, M. D.
Roentgenology
Director: G. W. Grier, M. D.
Radiography. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G. W. Grier, M. D.
Fluoroscopy. . . . . . . . . . . . . . . . . . . . . . . . . . C. C. Mechling, M. D., Asst.
J. F. McCullough, M. D., Asst.
Hydrotherapy
Director: W. H. Cameron, M. D.
Electrotherapy
Director:
Clinical Photographer
H. H. Fisher, M. D.
14 THE WESTERN PENNSYLVANIA HOSPITAL
Executive Department
Superintendent
JAMES H. BIGGER
Clerk
M. H. EICHENLAUB
Chief Bookkeeper
J. R. MENEELY
Chief Engineer
J. G. STROCK
Steward
P. K. COLLINS
Directress School of Nurses
MISS JESSIE J. TURNBULL
Assistant Directresses School of Nurses
MISS JOSEPHINE A. DENBY
MISS FLORENCE SMITH
Night Directresses
MISS ANNA MORELOCK
MISS CLARA ANDERSON
Operating Rooms’ Head Nurse
MISS RUTH BOWER
Social Service
MISS GRACE PRESTON
Dietitian
MISS MINNIE HARRIS
Apothecary
A. A. MUNSCH
Laundry
MRS. T. K FEBRY
THE WESTERN PENNSYLVANIA HOSPITAL 15
Resident Staff
gººsesºsºsºsº
July 1913-July 1914
Dr. Frank R. Bailey
University of Pennsylvania
Dr. Wm. E. Gardner
University of Pittsburgh
Dr. Wm. E. Grove”
Jefferson Medical College
Dr. E. M. Hamaker*
Medico Chirurgical College
Dr. J. R. Johnson
University of Pennsylvania
Dr. Thomas Klein.”
Medico Chirurgical College
Dr. Wm. Leiser
University of Pittsburgh
Dr. A. H. McCreery*
University of Pittsburgh
Dr. Edw. McIlwain.”
Medico Chirurgical College
Dr. Scott A. Norris.”
University of Pennsylvania
Dr. J. A. Robinson
University of Pittsburgh
Dr. I. E. Rowland”
Medico Chirurgical College
Dr. T. H. Snow white”
University of Pittsburgh
Dr. J. W. Thompson
Jefferson Medical College
Dr. Paul H. Walter*
Jefferson Medical College
Dr. Meade Wiant
University of Pennsylvania
*Did not serve allotted time.
16 THE WESTERN PENNSYLVANIA HOSPITAL
REPORT OF THE DIRECTORS OF
THE WESTERN PENNSYLVANIA HOSPITAL,
PITTSBURGH, PENNA.
To the State Board of Charities and Contributors of the
Western Pennsylvania Hospital:
Gentlemen:—
It is a source of great pleasure to the Board of Di-
rectors to note the continued upward trend of the Hospital,
as evidenced by the technical medical report, herewith sub-
mitted, and the growing popularity of the institution, as
manifested by the increased number of patients and the
general appreciation of the public.
It was predicted that the change of location to the
present delightful surroundings would so alter the char-
acter of our clientele, as to practically subvert the wishes
of the founders of this institution. Such, however, has
not been the case, we are most happy to say. While it is
true that a class of patients is now attracted to the Hos-
pital that we could not have dreamed of securing at
Twenty-Eighth Street, the directors have remained true
to the traditions and the pledges made by the incorpora-
tors, namely, “not to forget the needy”—for we continue to
do fifty per cent of charity work without in any way
marring the privacy and comfort of the well-to-do, yet,
at the same time, affording the indigent a beautiful park
outlook, with every possible comfort that hygienic, dietetic
and scientific treatment can devise.
Hospital management is frequently criticized for
wasteful expenditure of money, and that, by business peo-
ple, who, if they would but take the time to investigate.
would, instead of being carpers, become fast friends of our
public institutions. The Western Pennsylvania Hospital is
THE WESTERN PENNSYLVANIA, HOSPITAL 17
not a corporation for profit. The directors and their of-
ficers receive no salary, and it is therefore difficult to Se-
cure able business men to join the directorate, as in addi-
tion to the foregoing, a director is forbidden by law to
furnish supplies to the hospital, through which he might
derive profit.
When one considers that in a dull summer month, or
about Christmas time, that we average an employee per
patient, not counting the medical staff and a host of medi-
cal assistants, whose services are not a charge upon the
Hospital, it is a little short of marvelous that the cost of
maintenance per patient should only amount to from One
Dollar and a Half to Two Dollars per day—less than the
cost of an ordinary hotel room.
The State now considers and treats hospitals as post
graduate schools for young medical men and prescribes
certain requirements and standards. There is in this in-
stitution, as in all educational and progressive institutions
of any kind, a constant need for improvement and the
raising of standards, that cannot be done without pecuniary
assistance from the State and philanthropic citizens of
Pittsburgh.
Water, that heretofore was free, is now, by civic en-
actment, taxed to the amount of Six Thousand Dollars per
year, in spite of its economic use by meter.
The foundations of the dormitory still lie bare, await-
ing a superstructure. A good dormitory is an essential
feature to all hospitals, as attractive surroundings invite
better educated and more refined young women, and they
in turn give a greater equivalent than could be expected
from those not so well endowed. A nurse must have talent
and aptitude, but training, as in every other calling, is an
essential requisite to a finished education. We sincerely
hope that this great need of the hospital will be met this
year by the State Legislature and the friends and sup-
porters of the institution in this community. The direc-
tors in the past have been more than willing to fulfill their
duties in this direction and will not evade them in the fu-
18 THE WESTERN PENNSYLVANIA HOSPITAL
ture, but feel that this is a burden that should be borne
by broader shoulders.
Beautiful bronze tablets have been placed through-
out the hospital, to keep green the memory of those who
have made bequests to the institution, while living con-
tributors can see recorded upon our walls in enduring
form, their names, in evidence of the fact that the direc-
tors are ever mindful of the help and generosity of all who
have or have had the interests of the Hospital at heart.
The Board felicitates itself on the cordial relations
existing between the officers of the various departments of
the Hospital and on the fidelity that has characterized the
work of the employees. The Medical and Surgical Staff,
through their skill and devotion to duty, continue to merit
the respect and confidence of the Board of Directors in the
highest degree.
Respectfully submitted,
JAMES R. MELLON,
President.
THE WESTERN PENNSYLVANIA HOSPITAL 19
STATEMENT OF
GEORGE D. EDWARDS, TREASURER,
YEAR ENDING MAY 31ST, 1914.
RECEIPTS
1913
May 31.
Balance on hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,208. 13
Appropriation of Commonwealth to May 31st, 1914 79,375.00
Hospital Receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191,690.09
Colonial Trust Company, Interest on Daily Balances 116.29
Patients’ Fund Receipts . . . . . . . . . . . . . . . . . . . . . . . . 487.62
Accounts Payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29,215.55
Morton Fund
West Penn Railways Co. Bonds:
18 Mos. Int. on $2,000. to 4-1-14. . 150.00
Citizens Traction Co. Bonds:
18 Mos. Int. on $6,000. to 4-1-14. . 450.00 600.00
Cot Club Fund
Kensington Water Company Bonds:
18 Mos. Int. on $3,000. to 3-1-14. . 225.00
Duncan Fund
Annex Hotel Company Mortgage:
1 Year’s Int, on $1,000. to 11-7-13 60.00
Edwards Fund
Valley Consolidated Water Co. Bonds:
1 Year's Int, on $5,000. to 1-1-14 250.00
McKee Fund
Youngstown & Sharon R. & D. Co. Bonds:
1 Year's Int. on $5,000. to 1-1-14. . 250.00
20
THE WESTERN PENNSYLVANIA HOSPITAL
Nelson Fund
J. W. Garland Mortgage:
Interest on $75.00 to 2-7-14. . . . . . $ 5.64
Jas. Wilson Mortgage:
Interest on $3,000. to 3-14-14. . . . 270.00
A. D. Pryor Mortgage:
Interest on $1,000. to 11–30–13. . . . 60.00
Pittsburgh, Bessemer & Lake Erie Bonds:
Interest on $1,000. to 1-1-14. . . . 50.00 385. 64
Howe Fund
Aspinwall-Delafield Mortgage:
Interest on $1,800. to 2-11-14. . . . $ 102.00
Vilsack Land Company Mortgage:
Interest on $2,000. to 4-1-14. . . . 63. 61
H. W. Oliver Mortgage:
Interest on $625. to 1-24-14. . . . 31.25
Federal St. & Pleasant Vy. Ry. Bonds:
1 Year’s Int. on $2,000. to 1-1-14. . 100.00
Clairton Steel Company Bonds:
Interest on $2,000. to 7-1-13. . . . . . 50.00
Fidelity Title & Trust Company:
Interest on Funds uninvested. . . . 13.75 360.61
Curry Fund
Latrobe Water Company Bonds:
Interest on $20,000. to 4-1-14. . . . $ 1,500.00
Union Steel Company Bonds:
Interest on $4,000. to 12-1-13. . . . 200.00
H. W. Oliver Mortgage:
Interest on $450. to 1-24-14. . . . . . 22.50 1,722.50
Mazer Fund
West Penn Railways Company Bonds:
Interest on $3,000. to 4-1-14. . . . . . 225.00
H. W. Oliver Mortgage:
Interest on $425. to 1-24-14. . . . . . 21.24 246.24
THE WESTERN PENNSYLVANIA HOSPITAL
21
Katherine McKee Fund
1519 Shady Avenue, Pittsburgh:
Rent to 5-31-14 . . . . . . . . . . . . . . . . . $ 1,883
Exoneration of Water Rent. . . . . . 33
Soldiers’ Sanitary Home Fund
Monongahela River C. C. & C. Co. Bonds:
Interest on $31,000. to 4-1-14. . . . $ 2,673.
Pittsburgh Traction Company Bonds:
Interest on $6,000. to 4-1-14. . . . 450.
Pennsylvania Water Company Bonds:
Interest on $93,000. to 4-15-14. . . . 6,975.
West Braddock Bridge Company Bonds:
Interest on $25,000. to 5-1-14. . . . 1,875
Bank of Pittsburgh, N. S.:
Dividends on 145 shares to 5-2-14 1,087.
Youngstown & Sharon Ry.& Light Bonds:
Interest on $10,000. to 1-1-14. . . . . 500.
Clairton Steel Company Bonds:
Interest on $1,000. to 7-1-13. . . . . . 25.
Birmingham Water Company:
Interest on $10,000. to 2-1-14. . . . 500.
New Brighton St. Improvement Bonds:
Interest on $5,000. to 4-1-14. . . . . . 264.
A. & S. Wilson Mortgage:
Interest on $875. to 3-1-14. . . . . . 26.
F. C. Sauer Mortgage:
Interest on $75.00 to 3-1-13. . . . . . 2.
G. H. Rewbridge Mortgage:
Interest on $2,000. to 5-15-13. . . . 60.
Union Labor Temple Mortgage:
Interest on $1,175. to 3-1-13. . . . 21.
Crutchfield & Wolfolk Mortgage:
Interest on $50. to 3-1-13. . . . . . . .
C. Smith Mortgage:
Interest on $1,200. to 3-25-14. . . . 108.
Annex Hotel Company Mortgage:
Interest on $1,000. to 11-17-13. . . . 41.
Masonic Hall Association Mortgage:
Interest on $1,275. to 2-24-14. . . . 68.
J. W. Garland Mortgage:
Interest on $1,075. to 2-7-14. . . . . . 44.
.29
.31
72
00
00
.00
50
00
00
00
46
06
13
00
35
.44
00
00
96
67
1,916.60
22
THE WESTERN PENNSYLVANIA HOSPITAL
Soldiers’ Sanitary Home Fund—Continued.
Vilsack Land Company Mortgage:
Interest on $1,000. to 4-1-14. . . . . . 31.81
J. W. Piatt Mortgage:
Interest on $2,000. to 4-11-14. . . . 91. 67
Fidelity Title & Trust Company:
Interest on Funds uninvested. . . . 4.42
Jane Smith Endowment Fund
F. W. McCann Mortgage:
Interest on $5,000. to 2-23–14. . . . $ 102.50
F. C. Fulton Mortgage:
Interest on $5,000. to 4-18-14. . . . 150.00
Fidelity Title & Trust Co.:
Interest on Funds uninvested. . . . 35.83
14,851.19
288.33
Less amount of payments made by
Fidelity Title & Trust Company
on account of Income for March,
April and May, 1913, entered on
last Annual Statement in lump
SUlſſ! . . . . . . . . . . . . . . . . . . . . . . . . . .
$328,248.79
$ 3,266.65
$324,982.14
THE WESTERN PENNSYLVANIA HOSPITAL 23
$324,982.
EXPENDITURES
Fidelity Title & Trust Company, Commissions on Income:
Morton Fund . . . . . . . . . . . . . $ 600.00 $ 12.00
Cot Club Fund . . . . . . . . . . . 225.00 4.50
Duncan Fund . . . . . . . . . . . . . 60.00 1.20
Edwards Fund . . . . . . . . . . . 250.00 5.00
McKee Fund . . . . . . . . . . . . . 250.00 5.00
Nelson Fund . . . . . . . . . . . . . 385. 64 7.71
Howe Fund . . . . . . . . . . . . . . 360.61 7.21
Curry Fund . . . . . . . . . . . . . 1,722.50 34.45
Mazer Fund . . . . . . . . . . . . . 246.24 4.92
Jane Smith Fund . . . . . . . . . 288.33 5.77
Soldiers’ Home Fund . . . . . 14,851. 19 297.02
Katharine McKee Fund. . . . 95.04 $479.82
Taxes, repairs, etc on 1519 Shady Ave. $1,663.97
Colonial Trust Co., Int, on loan to 6-1-14 2,354.59
City Deposit Bank, Int, on loan to 6-1-14 2,322.92
Commonwealth Trust Co., Int. on loan
to 6-1-14 . . . . . . . . . . . . . . . . . . . . . . . 209.44
Henry Shenk Company, Int. on loan to
2-6-14 . . . . . . . . . . . . . . . . . . . . . . . . . 1,439.29
Bond Interest to 6-1-14. . . . . . . . . . . . . . 12,500.00
Income Tax witheld . . . . . . . . . . . . . . . . . 43.75
Patients’ Fund—Refunds . . . . . . . . . . . . . 76.00
Salaries and Wages . . . . . . . . . . . . . . . . . 108,242.60
Maintenance and Repairs. . . . . . . . . . . . . $186,414.35
Less Satisfaction of Mortgage in
€II’OT . . . . . . . . . . . . . . . . . . . • * * * * .50 186,413.85
Petty Cash Fund, Increase. . . . . . . . . . . . 250.00
Balance due from Fidelity Title & Trust
Company, account of Income. . . . . . 1,082.54
1914
May 31.
Balance on hand . . . . . . . . . . . . . . . . . . . . 7,903.37
14
24 THE WESTERN PENNSYLVANIA HOSPITAL
NEW BUILDING EQUIPMENT FUND
RECEIPTS
1913
May 31.
Balance on hand . . . . . . . . . . . . . . . . . . . . . $8,573.03
—Private Rooms 4-D–
(Except Nos. 9-11-15 and 17)
Descendants of Judge and Mrs. Thos.
Mellon . . . . . . . . . . . . . . . . . . . . . . . . . 2,000.00
Kitchens
S. S. Marvin . . . . . . . . . . . . . . . . . . . . . . . . 1,000.00
General Fund
L. W. Swope . . . . . . . . . . . . . $100.00
Hospital Saturday and Sun- ſº
day Association . . . . . . . 1,404.00
Estate of Cass Sunstein. . 100.00
West Penn Hospital Cot
Club . . . . . . . . . . . . . . . . . . 750.00
A. Friend . . . . . . . . . . . . . . . $1,000.00
3,750.00
300.00 5,050.00
W. H. Brown . . . . . . . . . . . 1,000.00
Geo. A. Kelly Company. . . . 25.00
H. J. Heinz Company. . . . . . 50.00
First Presbyterian Church. 115. 52
Sarah E. Gamson. . . . . . . . . . 25.00
John Murphy . . . . . . . . . . . . 400.00
East Liberty Presbyterian
Church . . . . . . . . . . . . . . . . 15.00
C. N. Hanna. . . . . . . . . . . . . 100.00
Monthly Record Pub. Co.,
Sale of Safe . . . . . . . . . . . 25.00 9,159.52
City of Pittsburgh, a/c sale
of 28th Street property. . $2,153.71
1,381.05 3,534.76
Commonwealth Trust Co., Interest on
Daily Balance to 12-31-13. . . . . . . . . . . 324. 53
Commonwealth Trust Company, Loan 13,000.00
$37,591.84
THE WESTERN PENNSYLVANIA HOSPITAL 25
1914
May
EXPENDITURES
Joseph Horne Company . . . . . . . . . . . . . $2,159.76
Duquesne Marble Company . . . . . . . . . . . 242.00
Painter & Andrews . . . . . . . . . . . . . . . . . . 2,093.40
Chas. Lentz & Sons. . . . . . . . . . . . . . . . . . 2,560.00
B. K. Elliott Company. . . . . . . . . . . . . . . . 330.50
Jas. H. Matthews Company. . . . . . . . . . . 2,058.00
Stinson-Kennedy Company . . . . . . . . . . . 191.00
Pathological Laboratory Fund . . . . . . . .
Henry Shenk Company, Loan. . . . . . . . . .
31
Balance on hand . . . . . . . . . . . . . . . . . . . .
9,634.66
1,669.68
25,000.00
1,287.50
$37,591.84
26
THE WESTERN PENNSYLVANIA HOSPITAL
RECEIPTS
Donations:—
J. C. Trees . . . . . . . . . . . . . . . . . . . . . . . . . . $5,000.00
H. S. Grayson . . . . . . . . . . . . . . . . . . . . . . . 5,000.00
H. L. Benedum . . . . . . . . . . . . . . . . . . . . . . 5,000.00 15,000.00
Commonwealth Trust Co., Daily Bal-
ance, Interest to 2-24-14. . . . . . . . . . . . 67.72
From New Building Fund (Equipment) 1,669.68
J. H. Bigger, Supt., Special Fund. . . . . . 480.00
$17,217.40
EXPENDITURES
Stinson-Kennedy Company . . . . . . . . . . . $3,569.68
J. L. Beatty . . . . . . . . . . . . . . . . . . . . . . . . . 537.00
Henry Shenk Co. . . . . . . . . . . . . . . . . . . . . 5,000.00
Max Meyer . . . . . . . . . . . . . . . . . . . . . . . . . 128.60
L. H. Nielson Co. . . . . . . . . . . . . . . . . . . . . . 639. 03
McGinness Co. . . . . . . . . . . . . . . . . . . . . . . . 133. 39
Bernard Gloekler Co. . . . . . . . . . . . . . . . . . 315.00
J. Knoell . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297.00
Lea & Febiger . . . . . . . . . . . . . . . . . . . . . 25.00
Ernst Leitz . . . . . . . . . . . . . . . . . . . . . . . . . 1,707.33
Eimer & Amend . . . . . . . . . . . . . . . . . . . . . 1,696.92
Kny-Scheerer Co. . . . . . . . . . . . . . . . . . . . 210.91
G. E. Stechert Co. . . . . . . . . . . . . . . . . . . . 307.47
Scientific Materials Co. . . . . . . . . . . . . . . 1,224.74
A. W. McCloy Co. . . . . . . . . . . . . . . . . . . . . 246.65
Lee S. Smith & Son . . . . . . . . . . . . . . . . . 7.50
Scobie & Parker . . . . . . . . . . . . . . . . . . . . . 14.00
University of Kansas . . . . . . . . . . . . . . . . 30.00
Rausch & Lomb . . . . . . . . . . . . . . . . . . . . . 19.09
Doubleday-Hill . . . . . . . . . . . . . . . . . . . . . . 14.75
E. Greiner Co. . . . . . . . . . . . . . . . . . . . . . . 26.00
F. S. Betz Co. . . . . . . . . . . . ... • . . . . . . . . . . 9.00
Rasner & Dinger . . . . . . . . . . . . . . . . . . . . 436.22
Rockefeller Institute . . . . . . . . . . . . . . . . . 5.00 16,600.28
1914
May 31
Balance on hand . . . . . . . . . . . . . . . . . . . . 617. 12
PATHOLOGICAL LABORATORY FUND
$17,217.40
THE WESTERN PENNSYLVANIA HOSPITAL 27
BALANCE SHEET
WESTERN PENNSYLVANIA HOSPITAL
GEO. D. EDWARDS, TREASURER
MAY 31ST, 1914
ASSETS
Real Estate, 28th St. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $32,250.00
Real Estate, Friendship Avenue . . . . . . . . . . . . . . . . . . . . . 115,078.35
Buildings, Friendship Avenue . . . . . . . . . . . . . . . . . . . . . . . 850,521.69
Morton Fund, Principal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,000.00
Cot Club Fund, “. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,000.00
Duncan Fund, “ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,000.00
Edwards Fund, “ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,000.00
McKee Fund, “ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,000.00
Nelson Fund, “. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,082.50
Howe Fund, “. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,448.18
Curry Fund, “. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23,955.00
Mazer Fund, “ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,428.52
Soldiers’ Home, “ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198,386.21
Katherine McKee Fund, Principal. . . . . . . . . . . . . . . . . . . . 20,000.00
Jane M. Smith Fund, Principal. . . . . . . . . . . . . . . . . . . . . . . 10,000.00
Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,903.37
J. H. Bigger, Petty Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . 350.00
Cash, Pathological Laboratory Fund . . . . . . . . . . . . . . . . . 617. 12
Pathological Laboratories . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,600.28
Cash, New Building Equipment Fund. . . . . . . . . . . . . . . . 1,287.50
New Building, Equipment . . . . . . . . . . . . . . . . . . . . . . . . . 79,336.20
Due from Fidelity Title & Trust Co., Account Income 1,082.54
Excess and Deficit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,291.76
$1,414,619.22
LIABILITIES
West Penn Hospital Capital . . . . . . . . . . . . . . . . . . . . . . . . $1,084,985.71
Bills Payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73,000.00
Accounts Payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29,215.55
Patients Fund Account . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411.62
Bonds outstanding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175,000.00
Pathological Laboratories Fund . . . . . . . . . . . . . . . . . . . . . 17,217.40
New Building Equipment Fund . . . . . . . . . . . . . . . . . . . . . 34,788.94
$1,414,619
.22
28 THE WESTERN PENNSYLVANIA HOSPITAL
ADJUSTMENT OF 28TH STREET PROPERTY
Real Estate valuation . . . . . . . . . . . . . . . . . . . . $110,595.33
Buildings, valuation . . . . . . . . . . . . . . . . . . . . . 90,000.00 200,595.33
Received from City of Pittsburgh. . . . . . . . . . $90,000.00
Real Estate, valuation of portion held. . . . . . 32,250.00
Depreciation charged to Capital . . . . . . . . . . . 78,345.33 200,595.33
ADJUSTMENT OF PROCEEDS OF SALE
Amount received from City of Pittsburgh... $90,000.00
Mortgage paid . . . . . . . . . . . . . . . . . . . . . . . . . . 86,464.74
Cash to New Building Equipment Fund. ... 3,534.76
Satisfaction of Mortgage . . . . . . . . . . . . . . . . . .50 90,000.00
GEORGE D. EDWARDS,
Treasurer.
THE WESTERN PENNSYLVANIA HOSPITAL 29
Pittsburgh, Penna.,
July 9th, 1914.
The Board Of Directors of
The Western Pennsylvania Hospital,
Pittsburgh, Penna.
Gentlemen:—
I have examined the books of Mr. Geo. D. Edwards,
Treasurer, known as the general books; also the office books
of the West Penn Hospital, together with the securities
held by Fidelity Title & Trust Company, as Trustee.
The attached schedules show the condition of the
Western Pennsylvania Hospital as of June 30, 1914, the
only changes in investments being three (3) Clairton Steel
Company bonds, called in 1913, and mortgage of Vilsack
Land Company, for Two Thousand ($2,000.00) Dollars.
taken in place of same.
I take the opportunity to thank the officials of the
Hospital for the courtesies extended.
Yours truly,
WM. H. NORMECUTT,
Auditor.
30 THE WESTERN PENNSYLVANIA HOSPITAL
THE WESTERN PENNSYLVANIA HOSPITAL
GENERAL OR TREASURER'S BOOKS
ASSETS
Real Estate, 28th St. . . . . . . . . . . . . . . . . . . . . $32,250.00
Real Estate, Friendship Ave. . . . . . . . . . . . . 115,078.35
Buildings, Friendship Ave. . . . . . . . . . . . . . . 850,521.69
Morton Fund, Principal. . . . . . . . . . . . . . . . . . 8,000.00
Cot Club Fund, “ . . . . . . . . . . . . . . . . . . 2,000.00
Duncan Fund, ... “ . . . . . . . . . . . . . . . . . . 1,000.00
Edwards Fund, “ . . . . . . . . . . . . . . . . . . 5,000.00
McKee Fund, “ . . . . . . . . . . . . . . . . . . 5,000.00
Nelson Fund, “. . . . . . . . . . . . . . . . . . . 5,082.50
Howe Fund, “ . . . . . . . . . . . . . . . . . . 6,448.18
Curry Fund, “ . . . . . . . . . . . . . . . . . . 23,955.00
Mazer Fund, “ . . . . . . . . . . . . . . . . . . 3,428.52
Soldiers’ Home, “ . . . . . . . . . . . . . . . . . . 198,386.21
Katherine McKee Fund, Principal. . . . . . . . 20,000.00
Jane M. Smith Fund, Principal . . . . . . . . . . . 10,000.00
Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,903.37
Petty Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . 350.00
Cash, Pathological Laboratory Fund. . . . . . 617. 12
Pathological Laboratory . . . . . . . . . . . . . . . 16,600.28
Cash, New Building Equipment . . . . . . . . . - 1,287.50
New Building Equipment . . . . . . . . . . . . . . . 79,336.20
Due from Fidelity Title & Trust Co. aſc
Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,082.54
Excess & Deficit . . . . . . . . . . . . . . . . . . . . . . . 20,291.76
$1,414,619.22
LIABILITIES
West Penn Hospital (capital) . . . . . . . . . . $1,084,985.71
Bills payable . . . . . . . . . . . . . . . . . . . . . . . . . . 73,000.00
Accounts Payable . . . . . . . . . . . . . . . . . . . . . . 29,215.55
Patients Fund Account . . . . . . . . . . . . . . . . . 411.62
Bonds Outstanding . . . . . . . . . . . . . . . . . . . . . 175,000.00
Pathological Laboratory Fund . . . . . . . . . 17,217.40
New Building Equipment . . . . . . . . . . . . . . 34,788.94
$1,414,619.22
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THE WESTERN PENNSYLVANIA HOSPITAL 31
HOSPITAL OFFICE BOOKS
Geo. D. Edwards, Treas. . . . . . . . . . . . . . . . . . $7,903.37
Cash . . . . . . . . : - - - - - - - & e º e º & e o s tº º º e s tº gº e e 350.00
Excess & Deficit . . . . . . . . . . . . . . . . . . . . . . . 22,319.99 $30,573.36
Accounts Payable . . . . . . . . . . . . . . . . . . . . . . $29,215.55
Senior Nurses’ Fund . . . . . . . . . . . . . . . . . . 946. 19
Patients’ Fund . . . . . . . . . . . . . . . . . . . . . . . . 411.62 $30,573.33
32 THE WESTERN PENNSYLVANIA HOSPITAL
REPORT OF MEDICAL DIVISION
The Medical Division can report a year of satisfactory
progress. We have gone forward as far, perhaps, as dur-
ing any year in our history. Yet if we attempted to appor-
tion credit, our report would consist not of a story of the
work of the clinicians, but would rather be a recital of the
extent to which we have been helped by other departments.
The great extension to practical medicine of highly Scien-
tific advanced laboratory work has revolutionized the for-
mer subject. It is only recently that the West Penn Hos-
pital has taken its place in the front rank, so far as this
subject is concerned. No one has benefited more than the
patients of the medical men.
The improved equipment and increased efficiency of
the Roentgenological department lead us every day to
greater use of this agency. In this way we attain results
in diagnosis, otherwise quite impossible.
So we might go on paying our debt of acknowledge-
ment; to the nursing staff, the business management of the
hospital and to the social service workers. The fact is,
however, that the conditions under which we now work are
so satisfactory as to favor the development of that self-
sufficiency which leads inevitably to dry rot. It is advis-
able, therefore, that an annual review should be devoted to
the consideration of our shortcomings rather than of our
advances. Our principal deficiencies in the medical wards
are delay in elementary, routine laboratory work, limited
porch space, and the lack of a few simple appliances for
hydro-therapy, electro-therapy and photo-therapy. Possibly
the most serious deficiency of all is that autopsies are rare
and exceptional occurrences rather than the rule in fatal
cases. This is the more to be regretted in that the patho-
logical laboratory is so well equipped to perform complete
THE WESTERN PENNSYLVANIA HOSPITAL 33
and accurate examinations and to preserve in accessible and
permanent preparation, all specimens which may be of
value for future scientific study.
The MacKenzie Polygraph purchased last year has
been in frequent use, with interesting results. The devel-
opment of its usefulness, however, will require the assign-
ment of a staff physician to make routine tracings in every
cardiac case. The necessity for giving each embryo as-
sistant a thorough grounding in laboratory work has so
far prevented such an arrangement. The medical staff
will, doubtless, be able to effect it in the course of the com-
ing year.
The Record Department has reached that state of ef-
ficiency in which it is possible, with a minimum amount of
delay, to secure the medical history of past inmates of the
Hospital. We take pleasure in tendering our thanks to
Dr. H. R. Decker of the Assistant Staff and the resident
physicians, as without the co-operation of the latter, ac-
curate records would be impossible.
Respectfully submitted,
JOHN W. BOYCE, M. D.
34 THE WESTERN PENNSYLVANIA HOSPITAL
REPORT OF THE MEDICAL STAFF
Intestines:
Liver:
Biliary Tract:
Pancreas:
Peritoneum:
Pharynx:
Rectum:
For the Year
June 1st, 1913 to May 31st, 1914.
Diseases and Injuries Treated
ALIMENTARY SYSTEM
Colitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Constipation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Enteritis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Enteritis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Fermentation Intestinal . . . . . . . . . . . . . . . . . . . . . 2
Ileocolitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Obstruction Intestinal Acute. . . . . . . . . . . . . . . . . . 5
Splanchnoptosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Ulcer of Duodenum . . . . . . . . . . . . . . . . . . . . . . . . . 3
Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Atrophy of Liver . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Cirrhosis of Liver . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Cholecystitis Chronic . . . . . . . . . . . . . . . . . . . . . . . 15
Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Jaundice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Pancreatitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . 2
Peritonitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . 1
Hypertrophy of Tonsils . . . . . . . . . . . . . . . . . . . . . 3
Tonsillitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Tonsillitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Prolapse . . . . . . . . . . . . . . . . . . . . . 4 & 2 & e º e º 'º e º e º e 1
THE WESTERN PENNSYLVANIA HOSPITAL 35
ALIMENTARY SYSTEM (Continued.)
Stomach:
Gastritis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Gastritis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Gastroptosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Hyperchlorhydria . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Neurosis of Stomach . . . . . . . . . . . . . . . . . . . . . . . . 5
Stenosis of Pylorus . . . . . . . . . . . . . . . . . . . . . . . . . 4
Ulcer of Stomach . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Vermiform Appendix:
Appendicitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . 22
Appendicitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . 22
DISEASES OF EYE
Conjunctivitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Myopia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Strabismus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Ulcer of Cornea . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
DISEASES OF EAR
Otitis Media Acute . . . . . . . . . . . . . . . . . . . . . . . . . 4
DEFORMITIES
Pes Planus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Genu Valgus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CARDIO-WASCULAR SYSTEM
Blood:
Anaemia Simple . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Anaemia Pernicious . . . . . . . . . . . . . . . . . . . . . . . . 1
Anaemia Secondary . . . . . . . . . . . . . . . . . . . . . . . . 4
Leukaemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Diseases of
Circulatory
System:
Aneurism of Aorta . . . . . . . . . . . . . . . . . . . . . . . . 2
Arterio Sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Phlebitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Stenosis of Aorta . . . . . . . . . . . . . . . . . . . . . . . . . . 1
36 THE WESTERN PENNSYLVANIA HOSPITAL
Heart:
Spleen:
Thyroid Gland:
Angina Pectoris . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Endocarditis Acute . . . . . . . . . . . . . . . . . . . . . . . . 11
Endocarditis Chronic . . . . . . . . . . . . . . . . . . . . . . . 23
Dilatation of Heart . . . . . . . . . . . . . . . . . . . . . . . 3
Myocarditis Chronic . . . . . . . . . . . . . . . . . . . . . . . . 13
Pericarditis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Pericarditis Chronic . . . . . . . . . . . . . . . . . . . . . . . . 1
Tachycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
DUCTLESS GLANDS
Splenomegalia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Exopthalmic Goitre . . . . . . . . . . . . . . . . . . . . . . . . 16
INFECTIOUS DISEASEs
Diphtheria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Erysipelas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Gonococcus Urethritis . . . . . . . . . . . . . . . . . . . . . . . 6
Gonococcus Vaginitis . . . . . . . . . . . . . . . . . . . . . . . 5
Malaria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Measles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Parotitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Rheumatic Fever . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Scarlet Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Septicaemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Syphilis Acquired . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Syphilis Congenital . . . . . . . . . . . . . . . . . . . . . . . . 4
Typhoid Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Tuberculosis of Cerebral Meninges . . . . . . . . ... 2
& 4 “ Lungs . . . . . . . . . . . . . . . . . . . . . . 71
& 4 “ Peritoneum . . . . . . . . . . . . . . . . . 6
& & “ Pleura . . . . . . . . . . . . . . . . . . . . . . 3
& 4 “Spine . . . . . . . . . . . . . . . . . . . . . . . 5
Whooping Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
INJURIES
Burn Hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Contusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Fracture Skull . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Fracture Femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Sprain Ankle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
THE WESTERN PENNSYLVANIA HOSPITAL 37
INTOXICATIONS
Alcohol Poisoning Acute . . . . . . . . . . . . . . . . . . . 57
Alcohol Poisoning Chronic . . . . . . . . . . . . . . . . . . 27
Food Poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Gasoline Poisoning . . . . . . . . . . . . . . . . . . . . . . . . . 2
Heat Exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Lead Poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Mercury Bichloride Poisoning . . . . . . . . . . . . . . . 6
Methyl Alcohol Poisoning . . . . . . . . . . . . . . . . . . . 2
Morphinism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Phenol Poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
LYMPHATIC SYSTEM
Lymphadenitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Chylothorax . . . . . . . . . . . . . . . . . . ............. 1.
DISEASES OF METABOLISM
Diabetes Insipidus . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Diabetes Mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . 11
MUSCULAR SYSTEM
Myositis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Myalgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Rheumatism Muscular . . . . . . . . . . . . . . . . . . . . . . 2
NERWOUS SYSTEM
Brain and
Cerebral Meninges:
Endarteritis Cerebral . . . . . . . . . . . . . . . . . . . . . . . 3
Hemiplegia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Hemorrhage Cerebral . . . . . . . . . . . . . . . . . . . . . . 10
Hydrocephalus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Meningitis Cerebrospinal . . . . . . . . . . . . . . . . . . . . 10
Syncope . . . . . . . . . . . . . . . . . . . . . . . . . . . . & © tº º e º e 1.
Diseases of Mind:
Dementia Praecox . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Paresis General . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Psychasthenia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Psychosis Toxic . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
38 THE WESTERN PENNSYLVANIA HOSPITAL y
Functional Nervous
Diseases:
Nerves:
Spinal Cord and
Spinal Meninges:
Bone and
Cartilages:
Joints:
Ovary:
Obstetrical:
Chorea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Epilepsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Hysteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Neurasthenia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Neurosis Traumatic . . . . . . . . . . . . . . . . . . . . . . . . 4
Paralysis Agitans . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Neuralgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Neuritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Myelitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Paraplegia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Poliomyelitis Anterior . . . . . . . . . . . . . . . . . . . . . . 5
Tabes Dorsalis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
OSSEOUS SYSTEM
Caries of Tooth . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Necrosis of Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Osteomyelitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Rickets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Arthritis Acute . . . . . . . . . . . . . . . . . . . . . . . . . ... 6
Arthritis Chronic . . . . . . . . . . . . . . . . . . e º 'º e º e º 'º 10
REPRODUCTIVE SYSTEM
Cyst of Ovary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Abortion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Parturition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
THE WESTERN PENNSYLVANIA HOSPITAL
39
REPRODUCTIVE SYSTEM-(Continued)
Uterus:
Dysmenorrhoea . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Endometritis Chronic . . . . . . . . . . . . . . . . . . . . . . 1.
Laceration of Cervix . . . . . . . . . . . . . . . . . . . . . . 1
Prostate Hypertrophy . . . . . . . . . . . . . . . . . . . . . . 1
Retroversion of Uterus . . . . . . . . . . . . . . . . . . . . . . 1
Stenosis of Cervix . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Varicocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
RESPIRATORY SYSTEM
Bronchi and
Trachea:
Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Bronchitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Bronchitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . 24
Bronchiectasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Lungs:
Congestion of Lungs . . . . . . . . . . . . . . . . . . . . . . . . 1.
Oedema of Lungs . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Pneumonia Broncho . . . . . . . . . . . . . . . . . . . . . . . . 24
Pneumonia Lobar . . . . . . . . . . . . . . . . . . . . . . . . 170
Pleura:
Pleurisy Acute Fibrinous . . . . . . . . . . . . . . . . . . . 38
é & Serofibrinous . . . . . . . . . . . . . . . . . . . . . 16
6& Chronic . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
66 Suppurative . . . . . . . . . . . . . . . . . . . . . . 3
Nasal Cavity
and Accessory
Sinuses:
Epistaxis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Hay fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Rhinitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Rhinitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
DISEASES OF SKIN AND SUBCUTANEOUS TISSUE
Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Alopecia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cellulitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
40 THE WESTERN PENNSYLVANIA HOSPITAL
DISEASES OF SKIN AND SUBCUTANEOUS
Carcinoma:
TISSUE-(Continued)
Dermatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Eczema . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Furunculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Herpes Zoster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Herpes Hydrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Impetigo Contagiosa . . . . . . . . . . . . . . . . . . . . . . . 1
Ingrowing Toe Nail . . . . . . . . . . . . . . . . . . . . . . . . 1.
Ichthyosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Paronychia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Pediculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Psoriasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Purpura Hemorrhagiea. . . . . . . . . . . . . . . . . . . . . . . 2
Sychosis Vulgaris . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Urticaria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Ulcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
NEOPLASMS
Breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Face . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Tongue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Tonsil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Uterus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Epithelioma of Lip. . . . . . . . . . . . . . . . . . . . . . . . . . 3
Glioma of Brain . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Sarcoma of Breast . . . . . . . . . . . . . . . . . . . . . . . . . 1.
MISCELLANEOUS
Malnutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Marasmus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Senility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,995
THE WESTERN PENNSYLVANIA HOSPITAL 41
To the Board of Directors of
The Western Pennsylvania Hospital.
Gentlemen:—
The Surgical Department reports a year of expansion
and attainment in the field of Surgery and Research. We
continue to receive a large number of industrial accident
cases, as well as an increasing number of pathological pa-
tients. The year's statistics show sixty-five per cent of
those admitted to be surgical cases.”
Hospital statistics based upon ungrouped diseases, or
dissimilar diseases, are unreliable. In certain complications
of disease the rate of mortality is one hundred per cent,
while in others it is a negligible quantity.
A “Follow-up System” was inaugurated August 1st,
1914, which will give reliable data as to ultimate end re-
sults in all cases.
Certain sections of the department deserve special no-
tice, on account of their close connection with the Surgi-
cal Department. Efficient ambulance and admittance
services are demanded by patients and public alike; to that
end two resident physicians devote their time to this serv-
ice, insuring immediate attention.
The Department of Anaesthesia has been placed in
charge of an expert, Dr. J. R. McCurdy, in accordance with
the new law, in addition to the professional anaesthetist
that we have had for years.
The establishing of facilities for making and examin-
ing frozen sections on the operating rooms' floor, when the
question of a tumor's malignancy is to be decided, not only
facilitates Pathologist Andrew’s work, but is a great fac-
tor as to time, both of which are of the utmost moment to
a patient undergoing an operation under anaesthesia.
The surgical pathology emanating from the Labora-
*Wiz, 4,236 surgical patients, who required 4,790 operations.
42 THE WESTERN PENNSYLVANIA HOSPITAL
tory under Director Brenner is of a high order, as evi-
denced by his report and the recent exhibit of the Hospital
at the Carnegie Institute during the State Medical Socie-
ties’ meeting here.
The operating room section (comprising in all, six
operating rooms with proper anaesthetizing facilities), re-
quires some consideration. Efforts are being made to
minimize the shock that is incidental to all operations, by
keeping the operating room floor as quiet as possible, and
freed from any display of the elaborate modern arma-
mentarium essential to present surgical technique.
We take great pleasure in commending the admirable
work of Miss Turnbull and Miss Bower, in carrying out the
details of the operating room technique, without which the
surgeon’s work would be of no avail.
The Surgical Department of the Staff cannot allow this
opportunity to pass without giving its meed of praise to
all medical assistants for the devotion that they have
shown to duty during the past year.
(Signed) J. HARTLEY ANDERSON, M. D.
THE WESTERN PENNSYLVANIA HOSPITAL
43
REPORT OF THE SURGICAL STAFF
For the Year
June 1st, 1913 to May 31st, 1914.
Diseases and Injuries Treated.
ALIMENTARY SYSTEM
Intestines:
Hernia:
Constipation . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Colitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . .
Colitis Mucous . . . . . . . . . . . . . . . . . . . . . . . . . .
Coloptosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Duodenitis Acute . . . . . . . . . . . . . . . . . . . . . . .
Diverticulitis Acute—Meckel’s . . . . . . . . . . . .
Enterocolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fermentation, Intestinal . . . . . . . . . . . . . . . .
Faecal Fistula . . . . . . . . . . . . . . . . . . . . . . . . . .
Obstruction Intestinal Acute . . . . . . . . . . . . .
Obstruction Intestinal Chronic . . . . . . . . . . . .
Ptosis of Caecum . . . . . . . . . ... • - - - - - - - - - - - -
Pericolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Splanchnoptosis . . . . . . . . . . . . . . . . . . . . . . . . .
Ulcer of Duodenum . . . . . . . . . . . . . . . . . . . . .
Ulcer of Duodenum Perforated. . . . . . . . . . . .
Femoral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Inguinal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ventral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Umbilical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Liver and
Biliary Tract:
Cirrhosis of liver . . . . . . . . . . . . . . . . . . . . . . .
Cholecystitis Acute . . . . . . . . . . . . . . . . . . . . .
Cholecystitis Chronic . . . . . . . . . . . . . . . . . . . .
Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . .
Empyema of Gall Bladder . . . . . . . . . . . . . . .
Fistula Biliary . . . . . . . . . . . . . . . . . . . . . . . . .
Rupture of Gall Bladder Inflammatory. . . . .
... 60
44 THE WESTERN PENNSYLVANIA, HOSPITAL
Mouth:
Oesophagus:
Omentum:
Pancreas:
Peritoneum:
Pharynx:
Rectum and Anus:
Salivary Glands:
Alveolar Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Ludwig's Angina . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Stricture of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Omentitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Adhesions of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Abscess of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Adhesions of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Lane's Kink . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Ascites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Acute Diffuse Peritonitis . . . . . . . . . . . . . . . . . . . 7
Abscess:
Pelvic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Retroperitoneal . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Retrocaecal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Subdiaphragmatic . . . . . . . . . . . . . . . . . . . . . . . 2
Adenoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Pharyngitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Tonsils:
Abscess Peritonsillar . . . . . . . . . . . . . . . . . . . . 3
Hypertrophy of . . . . . . . . . . . . . . . . . . . . . . . . . 160
Tonsillitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Tonsillitis Chronic . . . . . . . . . . . . . . . . . . . . . . . 43
Ischio-rectal Abscess . . . . . . . . . . . . . . . . . . . . . . . 8
Fissure in Ano . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Fistula in Ano . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Prolapse of Rectum . . . . . . . . . . . . . . . . . . . . . . . . 1
Stricture of Rectum . . . . . . . . . . . . . . . . . . . . . . . 1
Ulcer of Rectum . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Parotitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . .
THE WESTERN PENNSYLVANIA HOSPITAL 45
Stomach:
Dilatation Chronic . . . . . . . . . . . . . . . . . . . . . . . . . 1
Gastroptosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Gastritis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Gastritis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Hyperchlorhydria . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Neurosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Pylorospasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Stenosis of Pylorus . . . . . . . . . . . . . . . . . . . . . . . . 1
Vermiform Appendix:
Appendicitis Acute, including Abscess . . . . . . . . . 187
Appendicitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . 404
CARDIOWASCULAR SYSTEM
Blood:
Anemia Pernicious . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Anemia Simple . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Leukaemia Lymphatic . . . . . . . . . . . . . . . . . . . . . . 1
Arteries:
Aneurism of Aorta . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Aneurism of Aorta Circumflex Scapulae. . . . . . . 1
Arterio-Sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Weins:
Phlebitis-Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Thrombo-phlebitis-Leg . . . . . . . . . . . . . . . . . . . . . . . 2
Thrombo Septic Pelvic . . . . . . . . . . . . . . . . . . . . . . 8
Varicose Veins of Leg . . . . . . . . . . . . . . . . . . . . . . . 16
Injuries:
Laceration Middle Meningeal Artery . . . . . . . . . 1.
Heart:
Myocarditis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Valvular Disease Chronic . . . . . . . . . . . . . . . . . . . . 8
CONNECTIVE TISSUE
Abscess:
Head and Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Upper Extremities . . . . . . . . . . s = e o e e s e e o e o e s e 18
Lower Extremities . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Abdominal Wall . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Thoracic Wall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Perineum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
46 THE WESTERN PENNSYLVANIA HOSPITAL
Cellulitis:
Congenital:
Acquired:
Head and Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Upper* Extremity . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Lower Extremity . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
DEFORMITIES
Branchial Cyst . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Fistula Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Cleft Palate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Hare Lip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Meningocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Spina Bifida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Talipes Equino-Varus . . . . . . . . . . . . . . . . . . . . . . . 6
Testicle Undescended . . . . . . . . . . . . . . . . . . . . . . . 2
Testicle Undescended in Woman . . . . . . . . . . . . . 1
Urethra, Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Uterus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Cicatricial Deformity of Neck . . . . . . . . . . . . . . . 2
Cicatricial Deformity of Leg . . . . . . . . . . . . . . . . 1
Hammer Toe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Hullux Valgus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Pes Planus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Talipes Equino-Varus . . . . . . . . . . . . . . . . . . . . . . . 1
DUCTLESS GLANDS
Simple Goitre . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Cystic Goitre . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Exopthalmic Goitre . . . . . . . . . . . . . . . . . . . . . . . . . 15
DISEASES OF EAR
Mastoiditis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Mastoiditis Chronic . . . . . . . . . . . . . . . . . . . . . . . 7
Otitis Media Acute . . . . . . . . . . . . . . . . . . . . . . . . . . 4
DISEASES OF THE EYE
Myopia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
THE WESTERN PENNSYLVANIA HOSPITAL 47
DISEASES OF THE EYE-(Continued.)
Ciliary Muscle:
Conjunctiva:
Cornea:
Eyelids:
Iris:
Lachrymal Sac:
Lens:
Muscles:
Orbit:
Optic Nerve:
Retina:
Cyclitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Dacryocyclitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Cyclitis Rheumatic . . . . . . . . . . . . . . . . . . . . . . . . 1
Irido Cyclitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Conjunctivitis Acute . . . . . . . . . . . . . . . . . . . . . . . . 4
Conjunctivitis Gonorrheal . . . . . . . . . . . . . . . . . . . 4
Abscess of Cornea . . . . . . . . . . . . . . . . . . . . . . . . . 1
Keratitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Ulcer of Cornea . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Tuberculosis of Cornea . . . . . . . . . . . . . . . . . . . . . 1.
Cyst of Eyelids . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Ectropion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Ptosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Trachoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Glaucoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Iritis simple . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Iritis chronic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Abscess of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Cataract congenital . . . . . . . . . . . . . . . . . . . . . . . . . 3
Cataract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Cataract traumatic . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Strabismus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Cellulitis of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Panopthalmitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Optic Atrophy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Neuro-Retinitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Syphilis of Retina . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
48 THE WESTERN PENNSYLVANIA HOSPITAL
DISEASES OF THE EYE-(Continued)
Vitreous Humor:
Vision
(Errors of:)
Tuberculosis:
Hemorrhage into . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Blindness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Myopia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
INFECTIVE DISEASES
Erysipelas Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Gonococcus Infection of tº
Urethra Male . . . . . . . . . . . . . . . . . . . 38
Urethra Female . . . . . . . . . . . . . . . . . 2
Vagina . . . . . . . . . . . . . . . . . . . . . . . . 2
Joints . . . . . . . . . . . . . . . ... • - - - - - - - - - 3
Influenza . . . . . . . . . . . . . ... • * * * * * * * * * * * * * * * * * * * * * 8
Malaria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Measles—German . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Rheumatic Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Scarlet Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Septicaemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
& 4 Puerperal . . . . . . . . . . . . . . . . . . . . . . 7
46 Due to Baetogenes Capsulatus . . . 1
Syphilis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Tetanus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Joints:
Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Wrist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Knee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Ankle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Bone:
Carpus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Metacarpus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Ribs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Spine (Vertebrae) . . . . . . . . . . . . . . . . . . . . . . . . 1
Tarsus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Tibia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Peritoneum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
THE WESTERN PENNSYLVANIA HOSPITAL 49
INFECTIVE DISEASES-(Continued.)
Lymph Nodes:
Amputation Traumatic:
Burns:
Burns:
Eye Injuries:
Cervical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Axillary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Inguinal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Mesenteric . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Digestive System:
Small intestines . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Genito-Urinary System:
Bladder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Fallopian Tubes . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Kidney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Ovary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Prostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Testicle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Lungs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Pleura . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
INJURIES
Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Toe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Head and Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Trunk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Upper Extremity . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Lower Extremity . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Carbolic Acid of Arm . . . . . . . . . . . . . . . . . . . . . . . . 2
Hydrochloric of Arm . . . . . . . . . . . . . . . . . . . . . . . . 1
Electricity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Burn of eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Contusion of eye . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Foreign body in eye . . . . . . . . . . . . . . . . . . . . . . . . . 22
Wounds: -
Gunshot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Penetrating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Laceration of Eye and Eyelids . . . . . . . . . . . . . . 45
50 THE WESTERN PENNSYLVANIA HOSPITAL
Frost Bite:
Foreign Body:
Contusions:
Dislocations:
Fractures:
Toes . . .
INJURIES-(Continued.)
e e º e º tº e º e o e º t e º a c e º 'º e º 'º e º e º º 0 & 0 & 0 & 9
e e s e º e o 'º e e º 'º e a s tº e e s e º e º 'º e º O & © &
Throat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
tº tº e º e º 'º e º e º e º e º ºs e s tº e º 'º e º a tº ſº e º 'º tº
Oesophagus . . . . . . . . . . . . . . . . . . . . . . . . º e º 'o e
Stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Leg . . . . . . . . . . . . . . .... • * * * * * * * * * * * * * * * * * * * *
& Q & a e e º 'º - e e g º e º e º e º 'º e º 'º e º e º & & © tº º
e e e s e e s e º e o e º e º e º s e º e e º e g c e e s e
Face . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thorax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thoraco-lumbar Region . . . . . . . . . . . . . . . . . . . . .
Abdominal Wall . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Upper extremity . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lower extremity . . . . . . . . . . . . . . . . . . . . . . . . . .
Penis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Spinal cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporo-Maxillary . . . . . . . . . . . . . . . . . . . . . . . . .
Shoulder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Elbow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Wrist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Knee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ankle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o
Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sacro-iliac . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Coccyx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Head:
Skull-Vault . . . . . . . . . . . . . . . . . . . . . . . . . . . . . © tº
Maxilla Base . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mandible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Spine:
Thoracic Vertebra . . . . . . . . . . . . . . . . . . . . . . .
{{
Coccyx • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
THE WESTERN PENNSYLVANIA HOSPITAL 51
INJURIES-(Continued.)
Ribs and Cartilages . . . . . . . . . . . . . . . . . . . . . . . . . 12
Upper Extremity:
Hand and Carpus . . . . . . . . . . . . . . . . . . . . . . . . . 2
Metacarpus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Phalanges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Radius . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Ulna . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Radius & Ulna . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
About Elbow Joint . . . . . . . . . . . . . . . . . . . . . . . . 4
Humerus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Clavicle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Lower Extremity: *
Metatarsus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Talus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
About Ankle Joint . . . . . . . . . . . . . . . . . . . . . . . . 1
Tibia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Fibula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Tibia and Fibula . . . . . . . . . . . . . . . . . . . . . . . . 21
Patella . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Joints-Diseases:
Ankylosis of Wrist . . . . . . . . . . . . . . . . . . . . . . . 1
Arthritis Acute Knee . . . . . . . . . . . . . . . . . . . . . . 4
Chronic “ . . . . . . . . . . . . . . . . . . . . . . . 4
Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Wrist . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Sacro-iliac . . . . . . . . . . . . . . . . . . . . . 1.
Arthritis Deformans . . . . . . . . . . . . . . . . . . . . . . 1
Foreign body in joint . . . . . . . . . . . . . . . . . . . . . . . . 1
Synovitis—Acute Ankle . . . . . . . . . . . . . . . . . . . . 1
Acute Knee . . . . . . . . . . . . . . . . . . . . . 1
Gangrene:
Hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Finger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - - 4
Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Rectum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Haematoma Scrotum . . . . . . . . . . . . . . . . . . . . . . . 1
Hemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Rupture of:
Bladder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Gall Bladder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Kidney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Liver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Urethra . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
52 THE WESTERN PENNSYLVANIA HOSPITAL
Sprain:
Adenoma:
Angioma:
Carcinoma:
INJURIES-(Continued)
Spine-Cervical . . . . . . . . . . . . . . . . . . .
Spine-Thoracic . . . . . . . . . . . . . . . . . . .
Sacro-iliac . . . . . . . . . . . . . . . . . . . . . .
Lymphadenitis Acute:
Axillary . . . . . . . . . . . . . . . . . . . . . .
Cervical . . . . . . . . . . . . . . . . . . . . . .
Inguinal . . . . . . . . . . . . . . . . . . . . . .
Lymphangitis:
Peg . . . . . . . . . . . . . . . . . . . . . . . . . . .
MUSCLES
Contracture-Thumb . . . . . . . . . . . . .
Diastosis Recti Abdominis Muscles .
Myositis Acute . . . . . . . . . . . . . . . . . .
Myalgia . . . . . . . . . . . . . . . . . . . . . . . . .
Torticollis . . . . . . . . . . . . . . . . . . . . . .
Face . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thyroid . . . . . . . . . . . . . . . . . . . . . . . . .
Breast . . . . . . . . . . . . . . . . . . . . . . . . . .
Uterus . . . . . . . . . . . . . . . . . . . . . . . . .
Carcinomatosis . . . . . . . . . . . . . . . . . .
Carcinoma:
tº 6 & © tº º G & © tº
* @ 9 & 0 & e º e c
s & e g º e e º 'º º
tº ºp tº e o - e º 'º -
tº e º 'º e º 'º e s tº
DISEASES OF LYMPHATIC SYSTEM
& 6 º ºs e º ſº e º º
* * * g g g c e º a
• * * tº º ºs e g º ºr
& © º G & © e º ºs e
tº º tº e º e g g º º
* @ 9 & 0 & © e º e
* e º o e º e s e e
© 6 & e º e º e º e
* * * c e e s e e s
THE WESTERN PENNSYLVANIA HOSPITAL
53
Epithelioma:
Chondroma:
Cystoma:
Cystoma:
Dermoid Cyst:
NEOPLASMS-(Continued.)
Maxilla . .
Neck . .
Larynx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tongue . .
Tonsils . .
Lung . .
Oesophagus .
Stomach . .
Gall Bladder .
'Liver .
Pancreas . .
Peritoneum . .
Colon . .
Rectum . .
Breast . .
Uterus . . .
Vagina . .
Ovary . .
Lymph Glands . .
Penis . .
Prostrate .
Pleura . .
• * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ... •
e e º sº e o e e º e s is e e s e º a e s e º e º e º ºs e e º ºs º o
tº º e º 'º e º e e º ſº e º ſº º e º 'º e º e º 'º º ſº º e º 'º º º
tº e º e º e e º e e s is a e º 'º & e º e o 'º e º 'º e º O & © tº
e ‘º e º e g g º e º e s is e º ſº º ºs e º e º & © e º ºs º ºs e º & ©
e e is e e e e º is is e º ſº e º 'º e º e º e º 'º e º 'º
e e s p → c e º e e º 'º e º e º e º & © e º e º e º e º 'º -
• e º 'º is e º 'º e º ºs e e º 'º e º e º 'º e º 'º e º 'o
• * * * g e º e º e s a tº º e s s e e s s e º e e s is a e s a e
e e e º 'º e e s e e º e º 'º e º & e º 'º e e º e e s e º e s
e - © 2 tº e º e º 'º - tº e º ſº e - e - © e º ºs e º 'º -
e e º 'º e s ºr e º ºs e e s sº e º e s tº e º e º 'º e º e º e º e -
sº e º 'º e º e º e º º 'º º tº º ºs e º 'º º º º e º 'º e e º e º o
• * * * * * * * * * * * * * * * * * * * * * * * * * g º e º e
º e º 'º e º e º ºs e º e º 'º e º º ºs º º ſº e º e º e º ºs e º e
* * * * * * * * * * * * * * * * * * * g º º is ſº a º e º ºs e º º
e G & © e º & e º 'º e º is e º 'º e e s ∈ e º e e
e e º e º e s e º a w e s º e º 'º a s e e º e s e e s e º e e º e
& e º 'º e º e º ºs e º e º º e º e º 'º e º e º gº e º e º e
* e º 'º e - tº e º & © e º G & © tº e º ºs º & e º e º e º e º e e
Anus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Leg . .
* * * * * * * * * * * * * * * * * * * * * * * * * e º e º e º 'º e s tº e
Breast . .
Face . .
Ear . .
Epididymis . .
Ovary . .
Uterus . .
• * * * * * * > 0 & 0 & e e s e s e e s as tº e e s e e a e e s e e a e
* @ Q & © e s tº e º t e º e s e o e e º e e g º e º e º a
* * * * * * * * * * * * * * * e e º e º e o e s tº e s e e º e º e e
* * * * * * * * * * * * * * * * * * * * * * * * e o e e s e s a e
* * * * * * * * * * * * * * * * * * * * * * * * * e s e s e e s e e
• * * * * * * * * * * * * * * * e s s e s e a e
* * * * * * * * * * * * * * * * * * * * * * * e o e º e s e s e e s e
* * * * * * * * * * * * * * * * * * * * c e s e e e s e e s e e s a e
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
54 THE WESTERN PENNSYLVANIA HOSPITAL
Fibroma:
Hypernephroma:
Lipoma:
Myoma:
Neuroma:
Osteoma:
Papilloma:
Sarcoma:
NEOPLASMS-(Continued)
Abdominal Wall . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Back . .
Breast . .
Rectum . .
Thigh . .
Tongue . . .
Uterus . .
Ridney . .
Back . .
Breast . .
Uterus . .
is a c e º ºs e e
Os Calcis . .
Sacrum . . .
Larynx . .
Uterus . . . .
Bladder . .
Maxilla . . .
Mandible . .
Parotid . .
Breast . .
Femur . .
Leg . .
tº e º e º e º 'º e º 'º e º e º e a e s e e º e º e o e º ºs e o e º e º o
* * * * * * * * > * > t e º e o e º 'º e º a ſº e º 'º e º ºs e º e s tº
* * * * * * * * * * * * * * * a s a e e e s e e º e e º e º e º e
• * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
* * * * * * * * * * * * * * * * * * * * * e o e o s e e o e o e
* * * * * * * * * * * * * * * e o e s e º e o e e s e º e a e s s
• * e e s e e º e º e e º e e a s e º e s e e º 'º e º º e º 'º e &
e e s a c e s tº e o e º 'º e e º e e s e e e º 'º e o e º e º 0 tº e º e º
e tº a tº e º e º 'º e º e º e º º e e º e s & e º 'º e g g º O e º 'º º
• e s e o e o e o e s a •, e - e s - e. e. e. e. e. e. e. e s • * * * * *
© gº tº º e º e º 'º e º e º is e e º G tº e º & © tº ſº º O ſº º ſº º
e e º ºs e º 'º e º 'º e º 'º e º e o 'º e º e º 'º e º º e º e º tº
e e º e º e º e º e e º e º sº e º 'º e º e º e º 'º e s tº e º 'º e
e - © e º O & G s e s - G - e e s - e º ſº e º O & © º & © 2 & tº
e e º e º e º e º e e g º e s e e g c e o e º e º e º 'º e º e º º 0.
as e e o e e º e º dº e º e g º a tº e º 'º e g º ºs e e º O & © tº 0 C &
Rectum . .
Peritoneum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Testicle .
e e º e º e s tº e º ſº tº e e º e º e º & © e º 'º e e Q & © e º e
Teratoma Ovary . . . . . . . . . . . . . . . . . . . . . . . . . . .
NERWOUS SYSTEM
Brain and Cerebral
Meninges:
Cerebral Concussion . . . . . . . . . . . . . . . . . . . . . . .
Cerebral Hemorrhage . . . . . . . . . . . . . . . . . . . . . .
Meningitis Acute . . . . . . . . . . . . . . . . . . . . . . © tº C tº
THE WESTERN PENNSYLVANIA HOSPITAL 55
NERWOUS SYSTEM-(Continued)
Mind and Functional
Diseases:
Epilepsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Dementia Praecox . . . . . . . . . . . . . . . . . . . . . . . . . 4
Predementia Praecox . . . . . . . . . . . . . . . . . . . . . . 1
Hysteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Mania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Mania—Post-operative . . . . . . . . . . . . . . . . . . . . . 7
Neurasthenia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Paresis General . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Nerves:
Neuralgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Neuritis:
Sciatic nerve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Trigeminal nerve . . . . . . . . . . . . . . . . . . . . . . . . 3
Multiple . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Paralysis:
Facial nerve . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Spinal Cord and
Spinal Meninges:
Anterior Polio myelitis . . . . . . . . . . . . . . . . . . . . 4
Lateral Sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Multiple Sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Myelitis Transverse . . . . . . . . . . . . . . . . . . . . . . . 1
Tabes Dorsalis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
OSSEOUS SYSTEM
Bones & Cartilages
Diseases:
Caries Tooth . . . . . . . . . . . . . . . . • * * * * * * * * * * * * * 3
Epiphysitis Acute Humerus . . . . . . . . . . . . . . . . 1
Necrosis:
Coccyx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Mandible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Metatarsus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Phalanges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Rib . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Talus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Vertebra . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Osteomyelitis—Acute . . . . . . . . . . . . . . . . . . . . . 3
Osteomyelitis—Chronic . . . . . . . . . . . . . . . . . . . . . 28
Periostitis—Acute . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Periostitis—Chronic . . . . . . . . . . . . . . . . . . . . . . . 2
56 THE WESTERN PENNSYLVANIA HOSPITAL
Female Genital
Organs:
Ovary:
Fallopian
Tubes:
Uterus and
Ligaments:
Ligaments:
REPRODUCTIVE SYSTEM
Female Urethra:
Caruncle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Urethritis Chronic . . . . . . . . . . . . . . . . . . . . . . . 1
Cystic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Oophoritis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . 6
Oophoritis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Salpingo-oophoritis Acute . . . . . . . . . . . . . . . . . . 3
Salpingo-oophoritis Chronic . . . . . . . . . . . . . . . . . 47
Salpingitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Salpingitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . 72
Hydro-Salpinx . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Pyosalpinx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Tubo-ovarian Abscess . . . . . . . . . . . . . . . . . . . . . 2
Diseases of Menstruation:
Dysmenorrhoea . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Menorrhagia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Menopause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Displacements of Uterus:
Anteflexion of Fundus . . . . . . . . . . . . . . . . . . . 7
Anteflexion of Cervix . . . . . . . . . . . . . . . . . . . . 4
Retroflexion of Uterus . . . . . . . . . . . . . . . . . . . . 4
Retroversion of Uterus . . . . . . . . . . . . . . . . . . 80
Atresia of Uterus . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Cervicitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Cervicitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Erosion of Cervix . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Endometritis–Acute . . . . . . . . . . . . . . . . . . . . . . . 2
Endometritis—Chronic . . . . . . . . . . . . . . . . . . . . . . 78
Metritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Laceration of Cervix . . . . . . . . . . . . . . . . . . s • e s • * 14
Parametritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Stenosis of Cervix . . . . . . . . . . . . . . . . . . . . . . . . . 8
Cyst of Broad Ligament . . . . . . . . . . . . . . . . . . ... 1
Hydrocele of Round Ligament. . . . . . . . . . . . . . . . 2
Varicose Veins of Broad Ligament. . . . . . . . . . . . 2
THE WESTERN PENNSYLVANIA HOSPITAL 57
REPRODUCTIVE SYSTEM-(Continued.)
Pregnancy and
Associated
Conditions:
Wagina &
Pelvic Floor:
Vulva:
Abortion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Abortion Incomplete . . . . . . . . . . . . . . . . . . . . . . . . 48
Extra-uterine Pregnancy—Unruptured . . . . . . . 14
Extra-uterine Pregnancy—Ruptured . . . . . . . . . . 6
Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Parturition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Vomiting of Pregnancy . . . . . . . . . . . . . . . . . . . . 2
Abscess Recto-vaginal Septum. . . . . . . . . . . . . . . . 1
Atresia of Vagina . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Cystocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Fistula Vesico—Vaginal Wall . . . . . . . . . . . . . . 1
Laceration of Perineum Wall. . . . . . . . . . . . . . . . 79
Rectocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Vaginitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Vaginitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . 3
Pruritis Vulvae . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Abscess Bartholin's Gland . . . . . . . . . . . . . . . . . . 2
Imperforate Hymen . . . . . . . . . . . . . . . . . . . . . . . 1
Male Genital Organs:
Urethra:
Penis:
Prostate:
Abscess Peri-urethral . . . . . . . . . . . . . . . . . . . . . . 4
Fistula of Urethra . . . . . . . . . . . . . . . . . . . . . . . . . 3
Stricture of Urethra . . . . . . . . . . . . . . . . . . . . . . . 20
Urethritis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Urethritis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Chancroid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Hypospadias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Rhimosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Paraphimosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Redundant Prepuce . . . . . . . . . . . . . . . . . . . . . . . . 14
Abscess of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Hypertrophy of . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Prostatitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Prostatitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . . 2
58 THE WESTERN PENNSYLVANIA HOSPITAL
REPRODUCTIVE SYSTEM-(Continued.)
Testicle:
Orchitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Epididymis:
Epididymitis Acute . . . . . . . . . . . . . . . . . . . . . . . . .
Epididymitis Chronic . . . . . . . . . . . . . . . . . . . . . . .
Seminal Vesicles:
Abscess of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Vesciculitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Spermatic Cord:
Hydrocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Varicocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Tunica Waginalis:
Hydrocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
RESPIRATORY SYSTEM
Bronchi:
Bronchitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . .
Larynx:
Oedema of Glottis . . . . . . . . . . . . . . . . . . . . . . . . .
Lungs:
Oedema of Lung . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pneumonia Lobar . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Pneumonia Broncho . . . . . . . . . . . . . . . . . . . . . . . . .
Pleura:
Pleurisy Serofibrinous . . . . . . . . . . . . . . . . . . . . . .
Pleurisy Suppurative . . . . . . . . . . . . . . . . . . . . . . . . 30
Nasal Cavity and
Accessory Sinuses:
Epistaxis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deviated Septum . . . . . . . . . . . . . . . . . . . . . . . . . . .
Polypus Nasal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sinusitis—Frontal . . . . . . . . . . . . . . . . . . e e s e e º e
Turbinates—Hypertrophy of . . . . . . . . . . . . . . . .
THE WESTERN PENNSYLVANIA HOSPITAL 59
Bladder:
Kidney:
Ureter:
DISEASES OF SKIN
Carbuncle—Back . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Carbuncle—Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Dermatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Eczema Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Eczema Chronic . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Furunculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Nail Ingrowing–Toe . . . . . . . . . . . . . . . . . . . . . . . . 6
Ulcer—Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Ulcer–Toe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Varicose Ulcer—Leg . . . . . . . . . . . . . . . . . . . . . . . 23
URINARY SYSTEM
Calculus in Bladder . . . . . . . . . . . . . . . . . . . . . . . . . 4
Cystitis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Cystitis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Fistula of Bladder . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Retention of urine . . . . . . . . . . . . . . . . . . . . . . . . . 1
Ulcer of Bladder . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Abscess Perinephritic . . . . . . . . . . . . . . . . . . . . . . . 3
Hematogenous Infection of Kidney . . . . . . . . . . . 10
Hydronephrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Nephritis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Nephritis Chronic . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Nephrolithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Nephroptosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Pyelo-Nephritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Pyonephrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Calculus in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Fistula Ureterovescical . . . . . . . . . . . . . . . . . . . . . . 1
Stricture of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Ureteritis Acute . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
MISCELLANEOUS
Alcoholism Acute . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Alcoholism Chronic . . . . . . . . . . . . . . . . . . . . . . . . 3
Alcoholic Delirium . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Ascaris Lumbracoides . .
60. THE WESTERN PENNSYLVANIA HOSPITAL
MISCELLANEOUS—(Continued)
Diabetes Mellitus . . . . . . . . . . . . . . . . . . . e e º º e º e 4
Heat Exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Mercury Poisoning . . . . . . . . . . . . . . . . . . . . . . . . . 1
Morphine Poisoning . . . . . . . . . . . . . . . . . . . . . . . . 1
Senility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Sinus Cheek . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Sinus Knee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Skin Donor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,438
SUMMARY
Total No. Surgical Staff Patients discharged 6-1-13 to 6-1-14. .4,236
Total No. Medical Staff Patients discharged 6-1-13 to 6-1-14.1,242
Total No. Patients of Outside Physicians and Surgeons dis-
charged . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 988
Total No. Patients discharged . . . . . . . . . . . . . . . . . . . . 6,466
"W00*H ĐNILyſſºa O NIVIN

THE WESTERN PENNSYLVANIA HOSPITAL 61
OPERATIONS
June 1st, 1913 to May 31st, 1914
HEAD AND NECK
Cauterization:
Angioma Cheek . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Tumor Face . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
46 Maxilla . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
“ Lip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
&&. Tongue . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Curettement:
Hard Palate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Cervical Lymph Nodes . . . . . . . . . . . . . . . . . . . 2
Mandible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Excision:
Cyst Cheek . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
“ Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
“ Scalp . . . . . . . . . . . . . . . . . . . . . . . . . ..... 3
Carcinoma Face . . . . . . . . . . . . . . . . . . . . . . . . . 3
Epithelioma Ear . . . . . . . . . . . . . . . . . . . . . . . . . 1
Lymph Nodes Cervical . . . . . . . . . . . . . . . . . . . . 5
Lymph Nodes Submaxilary . . . . . . . . . . . . . . . 2
Maxilla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Meningocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Scar Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Sinus Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Excision Partial:
Hard Palate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Extraction of:
Teeth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Incision of:
Abscess of Jaw . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Abscess of Neck . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Abscess of Parotid Gland . . . . . . . . . . . . . . . . . 3
Abscess of Scalp . . . . . . . . . . . . . . . . . . . . . . . . 2
Carbuncle of Neck with cauterization. . . . . . . 1
Lymph Nodes Cervical . . . . . . . . . . . . . . . . . . . . 9
Lymph Nodes Submaxillary . . . . . . . . . . . . . . 1.
Sinus Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
62 THE WESTERN PENNSYLVANIA HOSPITAL
HEAD AND NECK–(Continued.)
Injection of:
Trigeminal Nerve . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Ligation of:
Internal Carotid Artery . . . . . . . . . . . . . . . . . . . . . 1
Plastic:
On Face . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
For Hare Lip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Cleft Palate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
On Lip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Probing for Bullet in Head . . . . . . . . . . . . . . . . . . 1.
Reduction Dislocation Mandible . . . . . . . . . . . . . 1
Fracture nasal bones . . . . . . . . . . . . . 1
Removal Wire from Mandible . . . . . . 1
Skin Graft Neck . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Suturing:
Laceration Scalp . . . . . . . . . . . . . . . . . . . . . . . . 6
Thyroidectomy—Partial . . . . . . . . . . . . . . . . . . . . 34
Trephining Skull . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Trephining Skull with elevation of Depressed
Fracture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Wiring Fracture Maxilla . . . . . . . . . . . . . . . . . . . .
EYE
Dilatation of Lachrymal Duct . . . . . . . . . . . . . . . 1
Discission of Cataract . . . . . . . . . . . . . . . . . . . . . . 5
Enucleation of Eye Ball . . . . . . . . . . . . . . . . . . . 21
Excision of Cyst of Eye . . . . . . . . . . . . . . . . . .
Excision Tumor of Orbit . . . . . . . . . . . . . . . . . . . 1
Excision Supra-orbital Cyst . . . . . . . . . . . . . . . . . 1
Extraction of Cataract . . . . . . . . . . . . . . . . . . . . . 9
Freeing of Synechia . . . . . . . . . . . . . . . . . . . . . . . . 1.
For Glaucoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Incision of Tumor of Orbit . . . . . . . . . . . . . . . . . . 1
Removal Steel from Eye . . . . . . . . . . . . . . . . . . . . 7
Removal Choroidal Tissue and Vitreous. . . . . . . 3
Replacement Prolapsed Iris . . . . . . . . . . . . . . . . . 3
Ptosis of Lid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Suturing Eye Lid . . . . . . . . . . . . . . . . . . . . . . . . . 4
Suturing Cornea . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Trephining Cornea . . . . . . . . . . . . . . . . . . . . . . . ... 1
THE WESTERN PENNSYLVANIA HOSPITAL 63
EAR, NOSE AND THROAT
Adenoidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
Dilatation Stricture of Oesophagus . . . . . . . . . . 2
Excision Deviated Septum . . . . . . . . . . . . . . . . . . 6
Excision Papilloma of Larynx. . . . . . . . . . . . . . . 2
Direct Laryngoscopy . . . . . . . . . . . . . . . . . . . . . . 49
Mastoid Operation—Simple . . . . . . . . . . . . . . . . . 12
Mastoid Operation—Radical . . . . . . . . . . . . . . . . . 3
Oesophagoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Removal foreign body from Larynx. . . . . . . . . . . 3
Removal foreign body from Lung . . . . . . . . . . . . 2
Removal foreign body from Oesophagus . . . . . . 1
Thymopexy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Tonsilectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207
Tracheotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Turbinectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
UPPER EXTREMITY
Amputation of Fingers . . . . . . . . . . . . . . . . . . . . 18
Amputation of Forearm . . . . . . . . . . . . . . . . . . . . 1
Boneplating of Humerus . . . . . . . . . . . . . . . . . . . . 1
Boneplating of Radius . . . . . . . . . . . . . . . . . . . . . 5
Boneplating of Ulna . . . . . . . . . . . . . . . . . . . . . . . 2
Curettement of Shoulder Joint . . . . . . . . . . . . . . 1.
Curettement of Clavicle . . . . . . . . . . . . . . . . . . . . 1.
Curettement of Finger Joint . . . . . . . . . . . . . . . . 1
Curettement of Radius & Ulna . . . . . . . . . . . . . 1.
Dissection of Nerve in Axilla . . . . . . . . . . . . . . . 1.
Dissection of Cutaneous Nerve . . . . . . . . . . . . . . 1.
Excision of Aneurism—Circumflex Scapula
Artery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Excision of Axillary Lymph Nodes . . . . . . . . . . . 1.
& 4 “ Bone from Hand . . . . . . . . . . . . . . . 5
& 4 “ Elbow Joint . . . . . . . . . . . . . . . . . . . 1.
4 & “ Bone from Humerus . . . . . . . . . . . . 1
4 & “ Gangrenous Tissue from Hand. ... 2
{{ “ Tumor Arm . . . . . . . . . . . . . . . . . . . 1
Incision of Abscess of Hand . . . . . . . . . . . . . . . . 5
& 6 “Abscess of Axilla . . . . . . . . . . . . . . . 3
4 & “ Bursa of Elbow . . . . . . . . . . . . . . . . . . 1.
& 4 “ Infected Elbow . . . . . . . . . . . . . . . . . . 2
{{ “ Infected Hand . . . . . . . . . . . . . . . . . . 4
{{ “ Tendon Sheath . . . . . . . . . . . . . . . . . 1.
64
THE WESTERN PENNSYLVANIA HOSPITAL
UPPER EXTREMITY-(Continued)
Injection of Formalin and Glycerine into
Elbow Joint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Injection of Oil into Shoulder Joint . . . . . . . . . . 1
& 4 “ Formalin and Glycerine into Wrist
Joint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Ligation of Vessels of Arm . . . . . . . . . . . . . . . . 1
Probing for Bullet in Shoulder . . . . . . . . . . . . . . . 1.
Reduction Dislocation of Elbow . . . . . . . . . . . . . . 1
Reduction Dislocation of Shoulder . . . . . . . . . . . . 2.
Reduction Dislocation of Wrist . . . . . . . . . . . . . . 1.
Reduction Fracture about Elbow Joint . . . . . . . . 1
Reduction Fracture of Humerous . . . . . . . . . . . . . 6
Reduction Fracture of Ulna & Radius . . . . . . . . 10
Reduction Fracture of Metacarpal Bones . . . . . 2
Removal Foreign Body from Arm . . . . . . . . . . . 3
Removal Foreign Body from Hand . . . . . . . . . . 6
Suturing Capsule of Shoulder . . . . . . . . . . . . . . . 1
& 4 Laceration of Arm . . . . . . . . . . . . . . . . 1.
44 Laceration of Hand . . . . . . . . . . . . . . . . 4
& 4 Tendon of Finger . . . . . . . . . . . . . . . . . 3
Wiring Bones of Elbow Joint . . . . . . . . . . . . . . . . 2
Wiring Fracture of Ulna . . . . . . . . . . . . . . . . . . . . 1
THORAX AND BACK
Amputation of Mammary Glands . . . . . . . . . . . . 28
Aspiration of Chest . . . . . . . . . . . . . . . . . . . . . . . . 6
Cauterization of Carcinoma of Breast . . . . . . . 1
Curettement of Tumor of Back . . . . . . . . . . . . . . 1
Excision of Coccyx . . . . . . . . . . . . . . . . . . . . . . . . 1
& 4 “ Dermoid Cyst of Back . . . . . . . . . . 1
4 & “ Ensiform Cartilege . . . . . . . . . . . . 1.
4 & “ Lipoma of Back . . . . . . . . . . . . . . . 1.
{{ “ Lipoma of Thoracic Wall . . . . . . . . 1
46 “ Tissue for Pathological Examina-
tion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Excision of Tumor of Mammary Gland . . . . 14
44 “ Tumor of Coccyx . . . . . . . . . . . . . . . 1
Exploratory Puncture of Pleural Cavity. . . . . . 1.
THE WESTERN PENNSYLVANIA HOSPITAL 65
THORAX AND BACK–(Continued)
Incision of Abscess of Back . . . . . . . . . . . . . . . . . 2
& 4 “Abscess of Psoas . . . . . . . . . . . . . . . 2
4& “Abscess of Mammary Gland . . . . . . 4
46 “Carbuncle of Back . . . . . . . . . . . . . 1.
& 4 “ Cellulitis Thoracic Wall . . . . . . . . . 4
46 “ Haematoma of Back . . . . . . . . . . . . 4
Laminectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Plastic for Spine Bifida . . . . . . . . . . . . . . . . . . . . . 3
Swift Ellis Treatment . . . . . . . . . . . . . . . . . . . . 14
Thoraco Plastic . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Thoracotomy with Partial Ostectomy of Ribs... 25
ABDOMEN AND PELVIS
Abdominal Wall:
Cauterization Fistula . . . . . . . . . . . . . . . . . . . . . . 1
Curettement Inguinal Lymph Nodes. . . . . . . . . . . 2
Excision Sebaceok 3 Cyst . . . . . . . . . . . . . . . . . . . 5
6& Fibroma . . . . . . . . . . . . . . . . . . . . . . . . 1
& 4 Lipoma . . . . . . . . . . . . . . . . . . . . . . . . . 1.
& 4 Scar . . . . . . . . . . . . . . . . . . . . . . . . . . 1
& £ Umbilicus . . . . . . . . . . . . . . . . . . . . . . . 1.
& 4 Inguinal Livmph Nodes . . . . . . . . . . . 9
&é Retroperitor-eal Lymph Nodes . . . . . . 1
Suturing Diastasis Recti Muscles . . . . . . . . . . . . 2
(Webster Operation)
Herniotomy:
Femoral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Inguinal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189
Inguinal Bilateral . . . . . . . . . . . . . . . . . . . . . . . . . 26
Ventral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Umbilical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Incision Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Incision Haematoma . . . . . . . . . . . . . . . . . . . . . . . . 1
Re-Suturing Operation Wound . . . . . . . . . . . . . . 5
ALIMENTARY SYSTEM
Intestines:
Anastomosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Cecopexy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Colopexy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
66 THE WESTERN PENNSYLVANIA HOSPITAL
ALIMENTARY SYSTEM (Continued.)
Liver &
Biliary Tract:
Pancreas:
Peritoneum:
Closure Fecal Fistula . . . . . . . . . . . . . . . . . . . . . . . 1.
Duodenopexy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Enterorrhaphy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Enterectomy or Colectomy . . . . . . . . . . . . . . . . . . 7
Excision of Meckel’s Diverticulum . . . . . . . . . . . 1.
Reduction of Intussusception . . . . . . . . . . . . . . . . 1.
Reduction of Volvulus . . . . . . . . . . . . . . . . . . . . . . 2
Reduction of Lane's Kink . . . . . . . . . . . . . . . . . . . . 37
Sigmoidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Cholecystectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Cholecystotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Drainage. Cyst of Liver . . . . . . . . . . . . . . . . . . . . . 1.
Drainage of Abscess . . . . . . . . . . . . . . . . . . . . . . . 1
Linear Cauterization for Enteroptosis . . . . . . . . 1
Exploratory Laparotomy . . . . . . . . . . . . . . . . . . . . 38
Exploratory Laporotomy with drainage . . . . . . 5
Drainage Retrohepatic region . . . . . . . . . . . . . . . 1.
Removal of Jackson's Weil . . . . . . . . . . . . . . . . . . . 5
Plastic on Mesentery . . . . . . . . . . . . . . . . . . . . . . . 3
Plastic on Meso-Appendix . . . . . . . . . . . . . . . . . 1
Rectum, Anus and
Peri-rectal Tissue:
Cauterization of Rectum . . . . . . . . . . . . . . . . . . . 2
Curettement of Fistula in Ano . . . . . . . . . . . . . . 2
Dilatation of Sphincter Ani . . . . . . . . . . . . . . . . 2
Division of Sphincter Ani . . . . . . . . . . . . . . . . . . 1
Excision of Crypts of Rectum . . . . . . . . . . . . . . . . 42
Excision of Cyst of Rectum . . . . . . . . . . . . . . . . . . 2
Excision of Polyps of Rectum . . . . . . . . . . . . . . . 4
Hemorrhoidectomy . . . . . . . . . . . . . . . . . . . . . . . . . 73
By Excision or Clamp and Cautery Abscess,
Ischio-rectal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Incision of Peri-rectal . . . . . . . . . . . . . . . . . . . . . . 1
Incision of Recto-Vaginal . . . . . . . . . . . . . . . . . . . 3
THE WESTERN PENNSYLVANIA HOSPITAL 67
ABDOMEN AND PELVIS-(Continued.)
Fistula in Ano . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Fissure in Ano . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Injection Formalin and Glycerine into Fistula
in Ano . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Plastic on Imperforate Anus . . . . . . . . . . . . . . . . 1.
Plastic on Sphincter Ani . . . . . . . . . . . . . . . . . . . . 1
Proctectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Sacral Proctectomy . . . . . . . . . . . . . . . . . . . . . . . . 2
Stomach:
Gastrectomy Partial . . . . . . . . . . . . . . . . . . . . . . . . 2
Gastro-enterostomy . . . . . . . . . . . . . . . . . . . . . . . . 7
Gastrorrhaphy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Gastropexy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Gastrotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Vermiform Appendix:
Appendectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 626
Drainage of Appendicular Abscess . . . . . . . . . . . 25
Drainage of Appendicular Wound . . . . . . . . . . . . 1
REPRODUCTIVE ORGANS-FEMALE
Female Urethra:
Excision Urethral Caruncle . . . . . . . . . . . . . . . . . 5
Ovaries:
Excision of Cyst of Ovary . . . . . . . . . . . . . . . . . . . 32
& & “Cyst of Corpus Luteum . . . . . . . . . . 1
44 “ Hematoma . . . . . . . . . . . . . . . . . . . . . . 1
46 “ Tubo-Ovarian Cyst . . . . . . . . . . . . . . 1
Oophorectomy Complete . . . . . . . . . . . . . . . . . . . . 25
Oophorectomy Bilateral . . . . . . . . . . . . . . . . . . . . . 3
Oophorectomy Partial . . . . . . . . . . . . . . . . . . . . . . 25
Plastic on Ovary & Tube . . . . . . . . . . . . . . . . . . . 1
Transplantation of Ovary . . . . . . . . . . . . . . . . . . . 1
Fallopian Tubes:
Excision of Cystic Fimbriae . . . . . . . . . . . . . . . . 1
Ligation of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Salpingectomy:
Complete . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Partial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Bilateral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Salpingo oophorectomy . . . . . . . . . . . . . . . . . . . . . 117
Salpingo oophorectomy Bilateral . . . . . . . . . . . . . 32
68 THE WESTERN PENNSYLVANIA HOSPITAL
REPRODUCTIVE ORGANS-FEMALE–(Continued.)
Uterus and
Uterine Ligaments:
Wagina and
Pelvic Floor:
Cauterization of Cervix . . . . . . . . . . . . . . . . . . . . . 18
Cauterization of Fundus . . . . . . . . . . . . . . . . . . . . 5
Curettage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 362
Dilatation of Cervix . . . . . . . . . . . . . . . . . . . . . . . . . 4
Excision of Cornu of Uterus . . . . . . . . . . . . . . . . . 1.
4 & “Intraligamentous Cyst . . . . . . . . . . . 1.
& 4 “ Meibomian Cyst . . . . . . . . . . . . . . . . 1.
& 4 “ Tumor of Broad Ligament . . . . . . 1
& 4 “ Cystic Tumor of Cervix . . . . . . . . . . 3
& 4 “Polypus . . . . . . . . . . . . . . . . . . . . . . . . 33
Evacuation of Cyst of Broad Ligament . . . . . . . 2
Hysterectomy—Supravaginal . . . . . . . . . . . . . . . . 52
Hysterectomy—Complete Abdominal . . . . . . . . . 6
Hysterectomy—Complete Vaginal . . . . . . . . . . . 25
Hysterorrhaphy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Hysterotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Hysteropexy:
Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Suspension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Intra--Abdominal Shortening Round Ligaments...105
Incision Abscess Broad Ligament . . . . . . . . . . . 1
Incision Cervix—Bilateral . . . . . . . . . . . . . . . . . . 3
Implantation, Vaginal, of Uterus . . . . . . . . . . . . 1.
Insertion of Pessary . . . . . . . . . . . . . . . . . . . . . . . 26
Ligation of Varicose Veins of Broad Ligament... 2
Myomectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Replacement of Retroverted Uterus . . . . . . . . . . 1.
Trachelectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Trachelorrhaphy . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Trachelopexy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Cauterization of Vagina . . . . . . . . . . . . . . . . . . . . 8
Colpoceliotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Colporrhaphy Anterior . . . . . . . . . . . . . . . . . . . . . . 30
Colporrhaphy Posterior . . . . . . . . . . . . . . . . © e º is tº º 11
Colpotomy Anterior . . . . . . . . . . . . . . . . . . . . . . . . . 4
Colpotomy Posterior . . . . . . . . . . . . . . . . . . . . . . . . . 46
Excision of Nerves of Vagina . . . . . . . . . . . . . . . ... 1
Perineorrhaphy . . . . . . . . . . . . . . . © tº e o e g tº e C tº Q ... 144
THE WESTERN PENNSYLVANIA HOSPITAL 69
REPRODUCTIVE ORGANS-FEMALE–(Continued.)
Vulva :
Plastic Repair:
For Artificial Vagina . . . . . . . . . . . . . . . . . . . . . 1.
“ Atresia of Vagina . . . . . . . . . . . . . . . . . . . . 3
“ Hymen Urethrocele . . . . . . . . . . . . . . . . . . . 2
“ Vesico-Vaginal Fistula . . . . . . . . . . . . . . . . 1.
Excision of Labia . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Excision of Tumor of Labia with cauterization... 1
Incision of Abscess of Vulva . . . . . . . . . . . . . . . . 1.
REPRODUCTIVE SYSTEM-MALE
Male Urethra:
Penis:
Perineum:
Prostate:
Cauterization of Urethra Dilitation Stricture. . . 17
Incision Abscess of Posterior Urethra . . . . . . . . 1
Removal of Calculus from Urethra . . . . . . . . . . . 1
Urethotomy Posterior . . . . . . . . . . . . . . . . . . . . . . 2
Circumcision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Dorsal Incision of Prepuce . . . . . . . . . . . . . . . . . . . 2
Plastic for Epispadias . . . . . . . . . . . . . . . . . . . . . . 1.
Plastic for Hypospadias . . . . . . . . . . . . . . . . . . . . . 2
Curettement of Perineal Fistula. . . . . . . . . . . . . .
Incision of Abscess . . . . . . . . . . . . . . . . . . . . . . . . . 2
Drainage Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Prostatectomy Perineal . . . . . . . . . . . . . . . . . . . . . . 5
Prostatectomy Suprapubic . . . . . . . . . . . . . . . . . . 6
Prostatectomy Partial . . . . . . . . . . . . . . . . . . . . . . 2
Prostatotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Seminal Vescicles:
Seminal Vesciculotomy . . . . . . . . . . . . . . . . . . . . . 1
Spermatic Cord of
Tunica Waginalis:
For Hydrocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
“ Varicocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
“ Vasectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
“ Vasotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
“ Injection of Vas Deferens . . . . . . . . . . . . . . . 2
“ Incision Hematoma of Cord . . . . . . . . . . . . 1
* Incision Scrotum . . . . . . . . . . . . . . . . . . . . . . 1
70 THE WESTERN PENNSYLVANIA HOSPITAL
REPRODUCTIVE SYSTEM-MALE–(Continued)
Testicles:
Epididymectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Excision Cyst of Epididymis . . . . . . . . . . . . . . . . 1.
Orchidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Orchidopexy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
URINARY SYSTEM
Kidney & Ureters:
Drainage Perinephritic Abscess . . . . . . . . . . . . . . 1
Decapsulation of Kidney . . . . . . . . . . . . . . . . . . . 3
Excision of Cyst of Kidney . . . . . . . . . . . . . . . . . . 1
Nephrectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Nephropexy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Nephropexy Bilateral . . . . . . . . . . . . . . . . . . . . . . . 4
Nephrorrhaphy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Nephrotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Nephrolithotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Catheterization of Ureter . . . . . . . . . . . . . . . . . . . . 4
Cauterization of Ureter . . . . . . . . . . . . . . . . . . . . 1
Cystoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Urinary Bladder:
Suprapubic Cystotomy . . . . . . . . . . . . . . . . . . . . . . 9
Fulguration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Supra-pubic Lithotomy . . . . . . . . . . . . & © e o e c e e º 0. 1.
Excision Tumor of Bladder . . . . . . . . . . . . . . . . . . 1
LOWER EXTREMITY
Amputation of:
Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Thigh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Toes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Aspiration of:
Ankle . . . . . . . . . . . . . . . . . . . . . . . . . . . . e tº e º e a e ... 1
Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 3
Knee Joint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 2
Boneplating of:
Femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 8
Fibula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Tibia . . . . . . . . . . . . . . . e e o e º e e s e º O & ſº Q & © e º 0 e º º 11
THE WESTERN PENNSYLVANIA HOSPITAL 71
LOWER EXTREMITY-(Continued.)
Cauterization of:
Curettement of:
Division of:
Excision of:
Incision of:
Injection of:
Mobilization of:
Tumor of Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ankle Bones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Fibula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Sinus Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Sinus Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Tibia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Thigh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Plantar Fascia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Astragolus Partial . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Exostoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Gangrenous Tissue Foot . . . . . . . . . . . . . . . . . . . 3
Head Femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Ingrowing Toe-nail . . . . . . . . . . . . . . . . . . . . . . . . . 12
Knee Joint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Necrotic Tissue Foot . . . . . . . . . . . . . . . . . . . . . . 1.
Thrombosis Saphenous Vein . . . . . . . . . . . . . . . . . . 1.
Tumor Groin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Tumor Thigh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Varicose Veins—Leg . . . . . . . . . . . . . . . . . . . . . . . 17
Varicose Ulcer—Leg . . . . . . . . . . . . . . . . . . . . . . . 3
Abscess of Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
64 “Hip Joint . . . . . . . . . . . . . . . . . . . . . . . 7
£& “ Knee Joint . . . . . . . . . . . . . . . . . . . . . . 5
€6 “Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
66 “Thigh . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Hematoma Thigh . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Hip Joint-Exploratory . . . . . . . . . . . . . . . . . . . . . . 1
Infection—Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Knee Joint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Tumor Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Hip Joint with Formalin and Glycerine . . . . . . . . 11
Knee Joint with Formalin and Glycerine . . . . . . . 14
Knee Joint with Oil . . . . . . . . . . . . . . . . . . . . . . . . . 1
Knee Joint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
72 THE WESTERN PENNSYLVANIA HOSPITAL
LOWER EXTREMITY-(Continued.)
Reduction of:
Packing:
Skin Grafting:
Suturing:
Wiring:
Dislocation Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Fracture Femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
& 4 Metatarsus . . . . . . . . . . . . . . . . . . . . . . . 1
& 4 Tibia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
46 Tibia and Fibula . . . . . . . . . . . . . . . . . . 1
Refracturing Tibia . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Removal Bone Plate . . . . . . . . . . . . . . . . . . . . . . . . 3
Bullet from Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Bullet from Knee . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Bullet from Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Needle from Foot . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Needle from Knee . . . . . . . . . . . . . . . . . . . . . . . . . 1
Knee Joint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Thigh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Amputation Wound—Thigh . . . . . . . . . . . . . . . . . . 1.
Capsule of Patella . . . . . . . . . . . . . . . . . . . . . . . . . 1
Laceration of Foot . . . . . . . . . . . . . . . . . . . . . . . . 3
Laceration of Leg . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Laceration of Thigh . . . . . . . . . . . . . . . . . . . . . . . . 1
Stretching Sciatic Nerve . . . . . . . . . . . . . . . . . . . . 1
Tenotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Fracture Metatarsus . . . . . . . . . . . . . . . . . . . . . . . . 1
Fracture Patella . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Total operations . . . . . . . . . . . . . . . . . . . . . 4,422
Total Number of Operations . . . . . . . . . . . . . . . 4,422
Total Number of Patients Operated upon:
Under Anaesthetic . . . . . . . . . . . . . . . 2,858
Without Anaesthetic . . . . . . . . . . . . . . 511 3,369
THE WESTERN PENNSYLVANIA HOSPITAL
73
The Board of Directors,
Western Pennsylvania Hospital.
Gentlemen:—
I take pleasure in presenting the report of the Ob-
stetrical Department of the Hospital.
J. R. FREELAND, M. D.
REPORT OF OBSTETRICAL SERVICE
Admissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197
Deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Abortions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Miscarriages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Parturition:
Operative:
Breech . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Caesarian Section . . . . . . . . . . . . . . . . . . . . . . . . 6
Craniotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Induction Labor . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Podalic Version . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Braxton-Hicks Version . . . . . . . . . . . . . . . . . . . 3
Spontaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Pregnancy:
(Left Hospital before Delivery). . . . . . . . . . . . . . . 23
Puerperium:
(Admitted to Hospital after Delivery) un-
complicated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Abscess Mammary Gland . . . . . . . . . . . . . . . . . . . 1.
Anxiety Psychosis . . . . . . . . . . . . . . . . . . . . . . . . . 1
Septicaemia Puerperal . . . . . . . . . . . . . . . . . . . . . 2
Abortion:
Complete . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Incomplete . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Therapeutic for Toxaemia . . . . . . . . . . . . . . . . . . . 1
Vomiting of Pregnancy . . . . . . . . . . . . . . . . . . . . 1
74 THE WESTERN PENNSYLVANIA HOSPITAL
Cellulitis:
Pelvic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Cystocele and Rectocele . . . . . . . . . . . . . . . . . . . . . 3
Endometritis:
Post partum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Gastritis Acute:
& B & © 2 & © tº e º e º e º e º e º ſº tº e º ſº º e º ºs e º 'º a sº e º 'º e º sº tº º ºs e º 'º wº 1.
Miscarriages:
© e º E tº tº tº e º 'º º tº e º e º 'º e º 'º - © tº e º te e º e º e º 'º e º 'º e º & & tº e º 'º - 2
Complications
of Pregnancy:
Cholecystitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Condylomata . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Cystitis & Pyelitis . . . . . . . . . . . . . . . . . . . . . . . . . 1
Eclampsia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Epilepsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Hemiplegia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Insanity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Threatened Miscarriage . . . . . . . . . . . . . . . . . . . . 1.
Nephritis Chronic Parenchymatous . . . . . . . . . . . 1.
Prolonged Pregnancy . . . . . . . . . . . . . . . . . . . . . . . 1.
Syphilis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Pulmonary Tuberculosis . . . . . . . . . . . . . . . . . . . . 1
Toxaemia of Pregnancy . . . . . . . . . . . . . . . . . . . . . 7
Tuberculosis of Cervical Lymph Nodes . . . ... 1
Vaginitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Complications of
Parturition:
Breech . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Contracted Pelvis (Requiring Caesarian Sec-
tion) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Cord 5 times around Neck . . . . . . . . . . . . . . . . . 1.
Craniotomy on dead fetus . . . . . . . . . . . . . . . . . . . 1
Delayed labor requiring forceps . . . . . . . . . . . . . 7
Fetal distress requiring forceps. . . . . . . . . . . . . 3
Chronic valvular heart disease . . . . . . . . . . . . . 1.
Laceration of Perineum . . . . . . . . . . . . . . . . . . . . 49
Myomas of Uterus . . . . . . . . . . . . . . . . . . . . . . . . 2
Placenta Praevia Centralis . . . . . . . . . e e o a c e a 2
Placenta Praevia Marginalis . . . . . . . . . tº e º e s o e 2
Posterior Parietal Presentation . . . . . . . . . . . . . 1
Posterior Occipital Presentation (Requiring
forceps) . . . . . . . . . . . . . . . . . . . . . . © e s tº 0 tº e º 'º o 1
Premature Separation of Placenta . . . . . . . . . . 1
Primary Uterine Inertia . . . . . . . . . . . . . . . . . ... 2
Transverse Presentation and Prolapse of Cord... 1
THE WESTERN PENNSYLVANIA HOSPITAL 75
Of Puerperium:
Afebrile Thrombophlebitis . . . . . . . . . . . . . . . . . . 1
“Anxiety Psychosis” . . . . . . . . . . . . . . . . . . . . . . . 1
Endometritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Follicular Tonsilitis Thrombo—Phlebitis . . . . . 1
Gonorrheal Sepsis . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Mania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Mastitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Septicaemia Post Partum . . . . . . . . . . . . . . . . . . 2
Indications for
Operative Deliveries:
Caesarian Section (Classical) . . . . . . . . . . . . . . . 3
Generally Contracted Pelvis . . . . . . . . . . . . . . . . 1
Rhachitic Flat Pelvis and Placenta praevia. ... 1
Flat Pelvis and Fibromyoma . . . . . . . . . . . . . . . . 1
Caesarian Section (3 extra-peritoneal):
Rhachitic-flat Pelvis and Infection . . . . . . . . 2
Flat Pelvis and Neglected Labor . . . . . . . . . . 1
Craniotomy:
Dead Child, Contracted Pelvis . . . . . . . . . . . . . 1
Forceps Application:
Delayed Labor . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Eclampsia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Fetal distress . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Primary Uterine Inertia . . . . . . . . . . . . . . . . . 1
Forceps Application (Continued):
Posterior Parietal Presentation . . . . . . . . . . . . . . 1
Posterior Occipital Presentation . . . . . . . . . . . . 1
Twins, Delayed Second Stage . . . . . . . . . . . . . . 1
Valvular Disease Chronic Cardiac . . . . . . . . . . 1
Induction of Labor:
Prolonged Pregnancy (Syphilis 2). . . . . . . . . . . . . 1
Internal Podalic Version:
Transverse Presentation and Prolapse of Cord... 1
Braxton-Hicks Version:
Placenta Praevia . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
76 THE WESTERN PENNSYLVANIA HOSPITAL
Births . . . . . . .
Complications with Recovery:
|
Complications with Death:
Still Births . .
BABIES
• 6 & © º e e º 'º e º e º ſº tº e o e º e º 'º tº e º e º 'º e º 'º e º 'º º º c e º 'º e s e º e º 'º 129
Cerebral Hemorrhage . . . . . . . . . . . . . . . . . . . . . . . 3
Conjunctivitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Conjunctivitis due to gonococcus . . . . . . . . . . . . 2
Infection Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Malaena Neonatorum . . . . . . . . . . . . . . . . . . . . . . . 1
Inanition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Intracranial Hemorrhage . . . . . . . . . . . . . . . . . . 2
Prematurity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Stenosis of Larynx . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Stenosis of Small Intestines . . . . . . . . . . . . . . . . 1
• e e s e s e s e e s e e s a e e s e e e s a e s e º e s e = * * * * * * * * * * * * * * * * 11
Caesarian Section Extra-peritoneal . . . . . . . . . . 1.
Craniotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Eclampsia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Maceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Premature Separation of Placenta . . . . . . . . . . 1
Version Braxton-Hicks . . . . . . . . . . . . . . . . . . . . . . 3
Normal Infants admitted to Hospital Post
Partum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Gastro-enteritis . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
THE WESTERN PENNSYLVANIA HOSPITAL 77
REPORT OF ANAESTHETIC DEPARTMENT
Number of Anaesthetics Administered From June 1st,
1913 to May 31st, 1914.
A-General:
Ether . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,272
Nitrous-Oxide-Oxygen . . . . . . . . . . . . . . 230
Nitrous-Oxide-Oxygen-Ether . . . . . . . . 37
Ethyl-chloride . . . . . . . . . . . . . . . . . . . . . 47
Chloroform . . . . . . . . . . . . . . . . . . . . . . . 11
Chloroform-Ether . . . . . . . . . . . . . . . . . . 2
Stovaine . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Stovaine-Nitrous-Oxide-Oxygen . . . . . 3
Scopolamin-Morphine . . . . . . . . . . . . . . 1 2,623
B-Local:
Novocaine . . . . . . . . . . . . . . . . . . . . . . . . 109
Cocaine . . . . . . . . . . . . . . . . . . . . . . . . . . . 126 235
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,858
J. R. McCURDY, M. D.,
Anaesthetist.
78 THE WESTERN PENNSYLVANIA HOSPITAL
To the Board of Managers of the
Western Pennsylvania Hospital.
Gentlemen:—
I have the pleasure to submit the following report of
the work done by the various departments of the Labora-
tories Division during the last year.
PATHOLOGICAL AND RESEARCH DEPARTMENT
DR. J. BRONFENBRENNER, Director.
1. Bacteriological Section.
Dr. J. Bronfenbrenner, Chief.
1912-13 1913-14
Sputum examinations . . . . . . . . . . . . . . . . . . . . . . . . . . 330 238
Bacteriological examinations (Surgical) . . . . . . . . . . . 1,413 2,124
Blood cultures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 43
Wasserman on blood and spinal fluid . . . . . . . . . . . . 445 1,382
Widals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 274
Pasteur treatment for Rabies . . . . . . . . . . . . . . . . . . . 7
Tuberculosis Complement Deviation Test (Brenner)
(Besredka Antigen) . . . . . . . . . . . . . . . . . . . . . . . . . . 1,073
Animal inoculation for T. B. . . . . . . . . . . . . . . . . . . . 6
Autogenous Vaccines . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Tuberculosis Serum-skin test (Brenner) . . . . . . . . . . 72
Landau reactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
Bacteriological examination of milk . . . . . . . . . . . . . . 65
Bacteriological examination of water . . . . . . . . . . . . 27
Luetin (prepared in this laboratory) . . . . . . . . . . . . 129
Bactericidal Efficiency tests . . . . . . . . . . . . . . . . . . . . 6
THE WESTERN PENNSYLVANIA HOSPITAL 79
2. Pathological Section
Dr. V. L. Andrews, Chief.
1912-13 1913-14
, Blood counts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,317 3,460
Surgical Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . 533 1,315
Spinal cell count . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 155
Globulin tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Autopsies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 43
Swift's treatments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
3. Biochemical Section
Dr. J. Rosenbloom, Chief.
1912–13 1913-14
Urine Routine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,110 4,733
Feces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161 154
Gastric contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239 158
Quantitative Urine estimations . . . . . . . . . . . . . . . . . . 12
Quantitative Urine, Feces and food analyses. . . . . . 1,050
Metabolic studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Quantitative Indican estimation . . . . . . . . . . . . . . . . . . 1.
Nitrogen partition for Cancer . . . . . . . . . . . . . . . . . . 3
Nitrogen partition (Complete) . . . . . . . . . . . . . . . . . 2
Nitrogen, Ammonia & Urea . . . . . . . . . . . . . . . . . . . . 15
Sulphur partition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Phenolsulphophthalein test . . . . . . . . . . . . . . . . . . . . 7 87
Toxicological examinations . . . . . . . . . . . . . . . . . . . . . 12
Chemical examination of milk . . . . . . . . . . . . . . . . . . 24
Chemical examination for preservatives in milk. . . 2
Chemical examination of breast milk . . . . . . . . . . . 6
Pregnancy tests of urine . . . . . . . . . . . . . . . . . . . . . . 19
Pregnancy tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Analysis of gall stones . . . . . . . . . . . . . . . . . . . . . . . . 42
Analysis of renal stones . . . . . . . . . . . . . . . . . . . . . . . .
Analysis of appendix concretion . . . . . . . . . . . . . . . . 1.
Mullers test for tuberculous fluid . . . . . . . . . . . . . . . . . 1
Chemical examination of fistula fluid . . . . . . . . . . . . . 1.
Chemical examination of peritoneal fluid . . . . . . . . . 4
Blood for residual nitrogen . . . . . . . . . . . . . . . . . . . . 2
Coagulation of blood studies . . . . . . . . . . . . . . . . . . . 2
Assay of drug . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Examination of meat . . . . . . . . . . . . . . . . . . . . . . . . . . 2
80 THE WESTERN PENNSYLVANIA HOSPITAL
The Pathological and Research Department was re-
organized June 1st, 1913. This report, therefore, covers
the period which marks the transition from the old
laboratory system to the present. It was divided into three
sections; Bacteriological, Pathological and Biochemical, in
charge of Dr. J. Bronfer-Brenner, Dr. V. L. Andrews and
Dr. J. Rosenbloom respectively. There was also organized a
routine section which was put in charge of the Interne
Staff under the direct supervision of the Chiefs of Section.
Dr. Brenner was appointed director of this department.
The pavilion of the Pathological and Research De-
partment was remodeled and its laboratories were equipped
with all the modern appliances, thanks to the generosity
of Messrs. J. C. Trees, M. L. Benedum and H. S. Grayson.
Under these changed conditions great progress was made
in all the sections of the department. Not only has the
number of laboratory examinations increased, but the work
itself was put on a more modern and scientific basis. New
fields of laboratory work, such as metabolic studies and
antirabic treatments, were opened and, wherever it was
possible, new and improved methods of laboratory investi-
gations were introduced.
Our Laboratories were among the first to use Luetin
test for syphilis and is the only one, outside of Nogouchi’s
Laboratory, to prepare its Luetin. Dr. Bronfenbrenner in-
troduced his new test for tuberculosis and utilized Besred-
kas' Antigen in another test for the same disease. Wasser-
man test became part of the routine laboratory work and
Swifts-Ellis treatments quite a common practice. Improve-
ments in recording and filing laboratory findings were in-
troduced; a new system of collection of specimens and dis-
tribution of reports was developed and facilities for re-
search work were established.
A number of problems are at present engaging the
attention of our Laboratories and Medical Staff and a num-
THE WESTERN PENNSYLVANIA HOSPITAL 81
ber of important contributions have already appeared in
several publications.
Our Laboratories made wonderful progress during the
last year. There is one great difficulty however that the
Chiefs of the Laboratories find, i. e., insufficiency of space
with the resulting inconveniences.
J. BRONFENBRENNER, Ph. D.,
Director.
82 THE WESTERN PENNSYLVANIA HOSPITAL
ROENTGENOGICAL DEPARTMENT
Dr. Geo. W. Grier, Director.
Year Ending May 1st, 1914.
Head . . . . . . . . . . .
Upper extremities 200
Chest . . . . . . . . . . . 89
Gall Bladder . . . . 5
Genito-Urinary
tract . . . . . . . . . 124
Foreign bodies . . . 83
Spine and Pelvis. . 50
Gastro-Intestinal . . 133
Lues of extremities 8
Sarcoma and Carci-
noma of the bone 5
Osteo Arthritis . . . 57
Osteo Meyelitis ... 16
Osteo Periostitis . . 7
Necrosis of Bone . . 8
Talipes Equinis . . .
Genu Varum . . . . 5
Normal Bones . . . 155
Dislocations . . . . . 29
Tubercular Bones. .
Lower Extremity. , 369
Sinus filled with Bis-
muth . . . . . . . . . 5
Exostoses . . . . . . . 2
Total . . . . . . . . . . . . 1,389
19 cases
& 4
& 4
& &
26 plates
272
93
7
213
101
56
477
10
2,257
& 4
& 4
66
& 4
& 4
46
& &
& 4
44
& 6
& 4
6&
16 cases
163
62
1
38
26
35
41
9
4
30
14
4
10
1
119
13
17
64
643
Previous Year.
& 4
46
& 4
&&.
22 pl
252
64
2
69
33
49
131
15
7
50
21
5
15
1
154
17
19
473
1,375
ates
&é
46
44
&ć
In addition to the Radiograms about 250 fluoroscopic
examinations were made the year before and about 350
last year.
The purchase of the new up-to-date equipment and
the establishment of a nursing service in this department
greatly facilitated and advanced the Radiographic and
Fluoroscopic work of our Hospital.
The department needs cold water pipe connection for
THE WESTERN PENNSYLVANIA HOSPITAL 83
developing of plates. The water in this department is too
warm, and Dr. Grier is compelled during the summer
months to develop the Hospital plates at his office. His
suggestion of connecting the water pipes with the drink-
ing water system is worth considering.
PHARMACEUTICAL DEPARTMENT
Mr. A. A. Munsch, Apothecary.
Prescriptions last year. . . . . . . . . . . . . . . . . . . . 2,745
Prescriptions the year before. . . . . . . . . . . . . 3,100
This reduction in number of prescriptions is due to
the gradual improvement in the pavilion-drug supply en-
abling the nurse herself to fill “single dose” prescriptions,
Such an arrangement brings about a great saving in drugs
and eliminates a great deal of waste.
HYDROTHERAPEUTIC DEPARTMENT
Dr. W. H. Cameron, Director.
This department has not yet been organized. There
is, however, a great need for it, especially for a continuous
bath equipment.
In the Electrotherapeutic Department the Hospital
purchased during the year an electrical instrument pro-
ducing all the necessary current for therapeutic use, two
vibrating machines and an electrical leg baking machine.
Five to eight patients are being treated daily with these ma-
chines.
An addition of a continuous bath equipment and an
electric arm-baking outfit to the machines in use, will give
us a nucleus around which we can build a complete Me-
chanical and Physical Department, so badly in need in our
Hospital.
84 THE WESTERN PENNSYLVANIA HOSPITAL
CLINICAL PHOTOGRAPHY DEPARTMENT.
Dr. H. H. Fisher, Director.
This department reports 225 negatives taken during
the year.
Photographs of Specimens . . . . . . . . . . . . . . . . . 124
Photographs of patients . . . . . . . . . . . . . . . . . . . 101
Respectfully submitted,
R. I. SANES, M. D.
THE WESTERN PENNSYLVANIA HOSPITAL 85
To the President and Members,
Board of Directors,
The Western Pennsylvania Hospital:—
Gentlemen:—
I have the honor to submit the following report, show-
ing the number of patients received and the number
treated in the Hospital, from June 1st, 1913 to May 31st,
1914, inclusive:—
REPORT FOR 1913-1914
No. of Patients in Hospital June 1, 1913. . . . . . . . . . . 379
No. of Patients admitted during the year. . . . . . . . . 6,468
No. of Patients treated during the year. . . . . . . . . 6,847
No. of Out Patients treated during the year. . . . . . . 2,291
Total Number of in and out patients treated during yr. 9,138
No. of Patients died during the year. . . . . . . . . . . . . 400
(Of these 73 were in a moribund condition upon admission)
No. of Patients discharged during the year. . . . . . . 6,072
No. of Patients remaining in Hospital May 31, 1914 375
No. of Female Patients treated during the year. . . 3,095
No. of Male Patients treated during the year. . . . . 3,752
No. of Medical Patients during the year. . . . . . . . . . 1,987
No. of Surgical Patients during the year. . . . . . . . . 4,860
No. of Patients operated on during the year. . . . . . . 3,382
Highest No. of Patients during the year. . . . . . . . . . . 445
Lowest No. of Patients during the year. . . . . . . . . . . 351
Average No. of Patients during the year. . . . . . . . . . 396
No. of Patients brought to Hospital in ambulance
during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,307
No. of Pay and Part Pay days for the year. . . . . . . 76,714
No. of Free days during the year. . . . . . . . . . . . . . . . . 67,539
Total No. of hospital days for the year. . . . . . . . . . . . 144,253
Cost of Maintenance for the year. . . . . . . . . . . . . . . . . . . . . . . $291,255.13
Cost per Capita per diem”. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.00
Average length of stay in Hospital during the year. . . . . . . . 21 days
--------
*Less amount expended for nurses’ uniforms and amount due nurses
for special nursing.
86
THE WESTERN PENNSYLVANIA HOSPITAL
CLASSIFICATION OF THE AILMENTS OF THE PA-
TIENTS TREATED IN THE HOSPITAL
From June 1st, 1913 to May 31st, 1914.
O
5
% + g: p=ſ
1913 3 ºf ſº 3 $
e e * 2 : . . 2 # 3 – É
'º. 3 # # 3 g : ; 5 ; ; ; ;
Q) e
Month # # 5 # 3 ##, j ≥ 3 # # 5
June . . . 133 211 37 28 70 6 28 16 0 0 0 529
July . . . . 149 182 48 36 49 15 24 25 12 1 1 542
Aug. . . . 136 151 48 37 83 8 15 28 5 4 1 516
Sept. . . . 143 222 43 31 40 13 25 18 12 3 1 551
Oct. . . . . 136 243 46 16 38 18 25 10 16 2 1 551
Nov. . . . . 112 231 42 22 35 7 17 24 8 4 0 502
Dec. . . . . 128 218 37 27 31 9 26 29 9 3 2 519
1914
Jan. . . . . 159 232 52 31 51 8 27 27 13 13 3 616
Feb. . . . . 127 188 32 23 39 12 13 21 14 5 1 475
March 146 210 50 28 41 11 29 25 21 11 0 572
April 142 196 42 36 26 16 26 29 19 4 4 540
May . 127 226 40 30 47 14 19 23 20 8 1 555
1,638 2,510 517 345 550 137 274 275 149 58 15 6,468 6,468
Whatever measure of success has been ours during
the past year, has been due largely to the spirit of co-
Operation and loyalty that pervades the entire institution;
and to the encouragement and counsel given by the direc-
tors, who have been frequently at the hospital; the fidelity
of the visiting physicians and surgeons; the house staff,
heads of departments, the nurses and all the employees.
Respectfully submitted,
J. H. BIGGER,
Superintendent.
THE WESTERN PENNSYLVANIA HOSPITAL 87
The following donations have been received during
the year ending May 31st, 1914; and the most sincere
thanks of the management is extended to our friends who
have so kindly remembered the Hospital.
Sixth Presbyterian Church, S. S., Donora, Pa...:
8 dolls.
Miss Mary Flinn, Pittsburgh, Pa...:
4 boxes potted plants.
5 large boxes of flowers.
Mrs. William Flinn, Pittsburgh, Pa...:
2 large boxwood trees.
2 large boxes filled with plants.
3 bags of beans.
6 bushels of apples.
40 dozen eggs.
Geo. W. Burke, Pittsburgh, Pa.:
Potted plants for flower beds.
Hon. William Flinn, Pittsburgh, Pa...:
22 bags of apples.
10 “ “ beans.
6 “ “ potatoes.
4 “ “ corn.
19 baskets of beans.
29 & 4 “ cabbage.
152 & & “ tomatoes.
6 6 & “ lettuce.
3 & 4 “ spinach.
41 & 4 “ peaches.
2 & 6 “ plums.
1 & 6 “ eggs.
1 66 “ pears.
88 THE WESTERN PENNSYLVANIA HOSPITAL
Tree of Life Sunday School, Pittsburgh, Pa...:
Flowers for Pavilions.
Smithfield M. E. Church.
Flowers for Pavilions.
Doctor and Mrs. Sloan, Pittsburgh, Pa...:
2 large boxes cut flowers for Pavilions.
Mr. J. C. Trees, Pittsburgh, Pa...:
6 bushels of tomatoes.
Mr. Clarence N. Keins, Pittsburgh, Pa...:
1 box cut flowers for women’s wards.
Mrs. Frank B. Patton, Pittsburgh, Pa...:
1 large box cut flowers.
Needle Work Guild, Trinity Episcopal Church,
Pittsburgh, Pa...:
4 suits of rompers.
1 dozen pairs of men's socks.
22 suits of underwear.
4 night dresses.
29 pairs of stockings.
3 pairs of mittens.
5 capes.
20 bibs.
34 towels.
3 handkerchiefs.
5 blankets.
Mr. Frank B. Patton, Pittsburgh, Pa.:
1 large box cut flowers for Pavilions.
Mrs. C. E. Beeson, Pittsburgh, Pa...:
4 dozen books for Children’s Library.
Mrs. Jas. Neale, Pittsburgh, Pa.:
18 dozen magazines for Pavilions.
Mrs. Weinhouse, Pittsburgh, Pa...:
2 dozen magazines for Pavilions.
John W. Grove Company, Pittsburgh, Pa.;
Toys for children.
THE WESTERN PENNSYLVANIA HOSPITAL 89
Chas. F. McKallip, Leechburg, Pa...:
50 copies of Youth’s Companion for Pavilions.
Jas. D. Hailman, Pittsburgh, Pa...:
3 dozen magazines and
1 dozen books for Pavilions.
Mrs. Raymond, Pittsburgh, Pa...:
1 dozen magazines for Pavilions.
Mr. A. P. Moore, Pittsburgh, Pa...:
Dr. J. Rosenbloom, Pittsburgh, Pa...:
4 Vol. books for Nurses’ Library.
Mrs. C. W. Hutchinson, Pittsburgh, Pa...:
3 baskets of flowers.
Mrs. J. M. Hansen, Pittsburgh, Pa.:
12 Vol. Books for Library.
Fourth United Presbyterian Church, Pittsburgh, Pa...:
1 dozen magazines for Pavilions.
J. J. Flannery, Jr., Pittsburgh, Pa...:
5 baskets wild flowers for Pavilions.
Ladies' Aid Society, Christ M. E. Church,
Pittsburgh, Pa...:
Flowers for Pavilions.
Rev. C. A. Voss, Pittsburgh, Pa...:
Large box of flowers for Pavilions.
Miss Helen Rauh, Pittsburgh, Pa...:
250 potted plants for Pavilions.
Randolph & McClements, Pittsburgh, Pa.:
2 large boxes cut flowers for Pavilions.
A. W. Smith Company, Pittsburgh, Pa...:
4 large boxes cut flowers for Pavilions.
J. H. BIGGER,
Superintendent.
90 THE WESTERN PENNSYLVANIA HOSPITAL
To the Chairman and Members,
Training School Committee,
The Western Pennsylvania Hospital.
Gentlemen:—
I have the honor to submit the report of the Training
School for Nurses for the year ending May 31st, 1914.
The School was organized in the year Eighteen Hun-
dred and Ninety-two. Since its establishment, three hun-
dred and thirty-three nurses have been graduated. The
majority of this number are engaged in private duty,
though many may be found in responsible positions in
representative institutions.
The Annual Commencement Exercises were held in the
Conservatory of Music, on the evening of April 28th—
twenty nurses received diplomas. General Albert J. Logan
presided. Mr. James D. Hailman, chairman of the Staff
and Training School Committee, presented the diplomas
and Dr. James W. Macfarlane, President of the Medical
Board, presented the pins to the class. Dr. Maitland Alex-
ander delivered an inspiring address, that was most fe-
licitous and highly appreciated by both nurses and audience.
The Conservatory of Music was beautifully decorated for
the occasion, and through the kindness of the Training
School Committee, the officers of the school were recipients
of beautiful flowers.
The health of the nurses has been generally good
throughout the year. The number of cases of tonsillitis
has been less than in previous years. Three nurses Were
operated upon for appendicitis and another developed Ty-
phoid Fever. All made excellent recoveries.
Early in the year, the Cot Club presented the Hospital
with a projectoscope, which was placed in the Training
School Department and is used to great advantage by the
members of the faculty.
The members of the Staff continue to give regular
THE WESTERN PENNSYLVANIA HOSPITAL 91
courses of lectures and demonstrations in their various
specialties. This work requires a great deal of time and
thought, and we feel that the excellence of the curriculum
is in a large part due to their interest in the school. We
are deeply. indebted to Dr. M. C. Cameron, who gives so
generously of his time and advice to the care of the sick
Ill].TS6S.
The number of officers and nurses enrolled in the
School is as follows:—
Directress of Nurses. . . . . . . . . . . . . . . . . . . . . . . 1.
Assistant Directress of Nurses. . . . . . . . . . . . . 2
Night Supervisors of Nurses. . . . . . . . . . . . . . . . 2
Graduate Nurses in Operating Room. . . . . . . . . 2
Anaesthetist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Graduate Nurses in charge of Pavilions. . . . 9
Senior Nurses . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Intermediate Nurses . . . . . . . . . . . . . . . . . . . . . . 34
Junior Nurses . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Probationers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
JESSIE J. TURNBULL,
Directress of Nurses.
92 THE WESTERN PENNSYLVANIA HOSPITAL
NURSES GRADUATING FROM THE WESTERN PENN-
SYLVANIA HOSPITAL.
1913 and 1914.
1913
Misses Helen Stone, Frances Ryan, Della F. Critchlow,
Mary L. Ryan, Florence Lalla Clark, Mary E. Cunningham,
Helen E. Hillburg, Alda L. Stahl, Vira A. Doverspike, May
Hunt, Elizabeth Hunt, Minola B. Gruver, Florence N.
Stahl, Beatrice Hobson, Margaret Ginnan, Edna P. Hanna,
Margaret Hosack Koch, and May Maloney.
1914
Misses Florence Smith, Susan R. Husband, Myrtle
Claypoole, Elizabeth D. Bushong, Anna M. King, Mary Lou
Dom, Carolynn Hildebrand, Eleanor Orr, Clara F.
Sellinger, Margaret A. Rogers, Mary Johns, Mercedes
Gleason, Anna Berdyck, Jeannie Conn, Martha L. Beck,
Eleanor Eytel, Fannie B. Wilson, Mary Besselman, Hazel
W. Crowl and Sara I. Lockhart.
––
EE
*
an
- * | -
* M - V -
- - ||
- -
-
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ºn -
ºn an
ºn ºn ºn ºn
- ºn ºn ºn

THE WESTERN PENNSYLVANIA HOSPITAL 93
THE WESTERN PENNSYLVANIA HOSPITAL
COT CLUB
“The West Penn Cot Club”
This Club was organized in Eighteen Hundred Ninety-
four. The efforts of the Organization were at first tenta-
tive, but each succeeding year has added to the scope and
usefulness of the Association.
In the space allotted to us, we can only mention the
most salient features of our work. In addition to main-
taining a private room for some years back, we furnished
the Children’s Ward in the present Hospital and maintain
it entirely, besides paying for the services of the graduate
head nurse in charge of the children. In June of this
year, we presented to the Hospital the most scientific and
practical projectoscope that could be obtained, with the
view of facilitating the teaching faculty of the nurses.
In closing this brief report, we wish to thank all those
who, by their generosity, have made our work possible,
and trust they will not weary in well doing.
Respectfully,
MRS. W. H. NORMECUTT,
President.
CHARLOTTE C. JEFFERIS,
Secretary. ,
94 THE WESTERN PENNSYLVANIA HOSPITAL
Cot Club List of Membership.
Miss Ida M. Allerton
Miss Josephine Babst
Mrs. Clifton Close
Mrs. Roderick Chester
Mrs. James Dalby
Miss Katherine Ellis
Mrs. Alex Fritz
Mrs. Wm. W. Ford
Mrs. Lewis Fawcett
Miss Charlotte Jefferis
Mrs. Wilbur Jack
Mrs. Charles H. Johnson
Mrs. J. O. Hackenburg
Mrs. James B. Lantz
Miss Helen Neely
Mrs. W. H. Normecutt
Miss Helen Peabody
Mrs. George Rowlands
Mrs. Robert Spencer
Mrs. Walter Schleiter
THE WESTERN PENNSYLVANIA HOSPITAL 95
REPORT OF SOCIAL SERVICE DEPARTMENT.
Committees:
Mr. C. D. Armstrong, Chairman Social Service Committee.
Ladies' Auxiliary Committee
Mrs. John Woodwell, Chairman
Miss Margaret Scully, Vice Chairman
Mrs. Franklin C. Irish, Secretary
Miss Clarissa Macfarlane, Treasurer.
Mrs. Howard Heinz Mrs. W. W. Blackburn
Mrs. Grant McCargo Mrs. Jas. H. Lockhart
Mrs. J. D. Hailman Mrs. H. Wilfred Dupuy
Miss Edith Flinn Mrs. J. H. Hillman.
Mrs. W. Henry R. Hilliard Mrs. John C. Dilworth.
Staff
Miss Grace Preston, Social Worker in Charge.
Miss Emily Maybury, Assistant.
Volunteers
Miss Edna Schoyer Miss Louise Lawrence
Miss Rebecca Collingwood Mrs. Joseph Bennett
Miss Alice Reineman Miss Elizabeth Stephenson
Mrs. Raymond Kaufman Miss Dorothea Chess
Mrs. John J. Lawrence Miss Mary Chess
Miss Helen McCreery
Miss Ethel Bair, Volunteer Student from Penna. College for Women.
96 THE WESTERN PENNSYLVANIA HOSPITAL
It is hardly necessary to explain the need of a Social
Service Department in a large hospital or dispensary, as
it is now a generally recognized fact that out of the hun-
dreds of sick and suffering people who come to the hos-
pital for relief, a very large number owe their troubles to
bad housing, bad habits, ignorance, financial difficulties and
other non-medical, non-surgical causes, which the busy doc-
tor or nurse cannot investigate or remove. These patients
require social diagnosis and social treatment. Illness can
often be prevented by investigation and correction of the
conditions under which these people live and work. Our
department is charitable in a sense, yet we aim to keep al-
ways before us the ideal of medico-social service, which
should be, by a more intimate knowledge of the patient’s
social background “to assist in making diagnosis more com-
plete and medical treatment more effective.”
The second year of the Social Service Department
shows a marked increase in point of scope and effective-
ness. Every free patient is now interviewed the morning
following admission, regarding his or her home condition,
and a short social history is kept on file in the office of the
department. Through the Clearing House of Charitable In-
formation we then learn what other agencies in the city
are interested in the case, and with them we are in con-
stant co-operation to meet as adequately as possible the
needs of each patient.
The Auxiliary Committee was recently organized for
the purpose of supporting a graduate nurse, who visits the
patients in their homes after discharge from the hospital,
in order to see that the prescribed treatment is continued
or properly carried out. This Committee, having an inti-
mate knowledge of the work of the department, will also
act in an advisory capacity in cases presenting special dif-
ficulties.
We wish to thank the members of the Volunteer Com-
THE WESTERN PENNSYLVANIA, HOSPITAL 97
mittee for their assistance, and particularly Miss Edna
Schoyer, who comes to the Hospital Monday afternoons to
teach the ward patients basket making. Several of the doc-
tors have expressed their appreciation of the value of this
work for nervous patients, in giving them a pleasant in-
terest and occupation. This work will be continued.
Through the Volunteer Committee, plans are being
made to teach and to have kindergarten games for children
who will be prolonged hospital cases.
The outlook for the coming year is very encouraging,
and with the additional support of our Auxiliary Commit-
tee, we hope to continually increase our helpfulness to the
patients and our usefulness to the hospital.
Respectfully submitted,
GRACE F. PRESTON.
98 THE WESTERN PENNSYLVANIA HOSPITAL
Ward interviews to learn home conditions of patients........ 1,815
No. of visits to homes or in the interest of patients. . . . . . . . . . 420
Number of letters sent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 270
Convalescent patients accompanied to trains . . . . . . . . . . . . . . . . 14
Number of patients provided with clothing . . . . . . . . . . . . . . . . . 7
Co-operative agencies to which patients were referred:—
Associated Charities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Babies’ Dispensary—T. B. League . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Conference of Catholic Charities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
City Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
City Hospital for Insane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
City Department of Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Child Welfare Association . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Children's Temporary Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Convalescent Home for Women . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Christian Home for Women . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Churches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 3
Nurse for East End Visiting Nurses Association. . . . . . . . . . . . . . . 1
Nurse for National Tube Company . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Nurse for Kingsley Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Nurses for Carnegie Steel Company . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Nurse for Duquesne Steel Works . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Dispensary Children’s Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Other Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Individuals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Juvenile Court . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Legal Aid Society . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Lillian Fresh Air Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Men's Industrial Department of the Association for Improve-
ment of Poor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Relief Department of the Improvement of Poor. . . . . . . . . . . . . . . . 1
National Home for Soldiers, Erie, Pa.. . . . . . . . . . . . . . . . . . . . . . . . . 2
Providence Rescue Home . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . 1
Social Worker, McGee Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Social Worker, South Side Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . 2
State Institution for Feeble Minded, Polk, Pa.. . . . . . . . . . . . . . . . . . 1
St. Regis Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
St. Barnabas Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
United Hebrew Charities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
U. S. Immigration Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Young Women's Christian Association . . . . . . . . . . . . . . . . . . . . . . . 1.
Young Men's Christian Association, Carnegie, Penna... . . . . . . . . 1
THE WESTERN PENNSYLVANIA HOSPITAL 99
Out of Town
Associated Charities, New York City . . . . . . . . . . . . . . . . . . . . . . . . . 1
Associated Charities, Columbus, Ohio . . . . . . . . . . . . . . . . . . . . . . . . . 1
Associated Charities, Harrisburg, Pa.. . . . . . . . . . . . . . . . . . . . . . . . . . 1.
Associated Charities, Philadelphia, Pa. . . . . . . . . . . . . . . . . . . . . . . . . 1
Associated Charities, Steubenville, O. . . . . . . . . . . . . . . . . . . . . . . . . . 1
Armstrong County Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Washington County Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Disposition of Tuberculous Patients
City Camp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Mount Alto, or Cresson, through State Dispensary. . . . . . . . . . . . . . . . 17
100 THE WESTERN PENNSYLVANIA HOSPITAL
ACKNOWLEDGMENTS
The Committee wishes to gratefully acknowledge the
following donations to the department:—
Infants' clothing . . . . . . . . . . . . . . . . . . . . . . Council of Jewish Women
Plants and flowers for Jewish patients. . . . . . . . . . . . . . . . . . . . . .
e e º e º ºs e º 'º e s e e º º Hospital Visiting Committee of Jewish Women
Christmas toys and candy for Children's Ward. . . . . . . . . . . . . . . .
tº e º gº tº ſº e º ſº & tº º 'º e º 'º Girls of Invoice Dept. of Carnegie Steel Co.
Clothing—Use of Automobile. . . . . . . . . . . . . . . . . Mrs. John Woodwell
Clothing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Miss Gertrude Hoeveler
Magazines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mrs. Joseph Woodwell
Use of Automobile . . . . . . . . . . . . . . . . . . . . . . . . . . Mrs. J. K. Lanahan
Magazines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dr. Paul Titus
CONTRIBUTIONS.–FUND FOR PATIENTS
Mr. C. D. Armstrong . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50.00
Mrs. S. E. Ambrose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . w is e e o e 20.00
Associated Charities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.00
Dr. H. T. Price (for a friend) . . . . . . . . . . . . . . . . . . . . . . . . . . . 50.00
Miss Carpenter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26.00
Mrs. Samuel Gayley . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00
Mrs. H. A. Neib . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10.00
Mt. Aloysius Alumni . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10.00
A Friend (for Nellie Marchovak). . . . . . . . . . . . . . . . . . . . . . . . . . 10.00
Patient's relatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.75
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $187.75
GENERAL FUND.
Mr. C. D. Armstrong . . . . . . . . . . . . . . . . . . . . . . . . . . $150.00
Mrs. Martha Armstrong . . . . . . . . . . . . . . . . . . . . . . . 200.00
Armstrong Cork Co. . . . . . . . . . . . . . . . . . . . . . . . . . . 250.00
Mr. Thomas W. Fitch, Jr. . . . . . . . . . . . . . . . . . . . . . 50.00
Mrs. Templeton Briggs . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $655.00
THE WESTERN PENNSYLVANIA HOSPITAL 101
EXPENDITURES.
Surgical appliances, glasses, special medicine, etc. . . . . . . . . . . $ 68.00
Transportation and carfare to patients. . . . . . . . . . . . . . . . . . . 13.33
Murray Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10.00
Mauro Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.25
Clebe Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.50
For material for basket making. . . . . . . . . . . . . . . . . . . . . . . . . . 5.65
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $110.73
MISS GRACE PRESTON.
To Life Members, Contributors and the Public:—
It has been the aim of the Directors to give you a care-
ful and intelligent resume of the activities of the Hospital,
and where we have failed to do so, we beg to assure you
that we will gladly furnish any additional data that may
be necessary to make the report perfectly clear.
We take great pleasure in tendering our sincere thanks
to the Medical Department, Superintendent J. H. Bigger
and his stenographer for their valuable assistance in col-
laborating the foregoing report.
J. W. MACFARLANE, M. D.,
Secretary of the Board of Directors.
NICHOL8 ON PRINTING CO.
PITT8BURGH
UNIVERSITY İ
|
015,07650.9549

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