USA > Massachusetts > Norfolk County > Quincy > Inaugural address of the mayor, with the annual report of the officers of the city of Quincy for the year 1929 > Part 11
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CONSULTING STAFF
Physician EDWIN A. LOCKE, 'M.D.
Surgeon FRED B. LUND, M.D.
Gynecologist CHARLES H. HARE, M.D.
Neurologist JOHN T. THOMAS, M.D.
Diseases of the Ear, Nose and Throat GEORGE H. POWERS, JR., M.D.
Pathologist and Bacteriologist FRANK B. MALLORY, M.D.
4
Roentgenologist SAMUEL W. ELLSWORTH, M.D.
Orthopedist HENRY J. FITZSIMMONS, M.D.
Dermatologist RUDOLPH JACOBY, M.D.
Urologist ROGERS C. GRAVES
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CITY OF QUINCY
VISITING STAFF
Staff Consultant NATHANIEL S. HUNTING
.
Surgeons
WALTER L. SARGENT, M.D. DANIEL B. REARDON, M.D.
WILLIAM J. MCCAUSLAND, M.D. WILLIAM R. HURLEY, M.D. F. RAMON BURKE, M.D.
Associate Surgeons
JAMES H. COOK, M.D. RICHARD M. ASH, M.D.
J. EDWARD KNOWLTON, M.D. FRED A. BARTLETT, M.D. ROBERT L. COOK, M.D.
Junior Surgeons
GEORGE D. DALTON, M.D. ROSCOE S. K. HANIGAN, M.D.
JOHN M. MACLEOD, M.D. E. MURRAY BRITTON, M.D. DAVID H. MONTGOMERY, M.D.
Physicians CHARLES S. ADAMS, M.D., Consultant
WILLIAM G. CURTIS, M.D. EDWIN E. SMITH, M.D.
CORNELIUS J. LYNCH, M.D. JOHN H. ASH, M.D.
WILLIAM L. KRIEGER, M.D. T. VINCENT CORSINI, M.D.
Diseases of the Eye GEORGE H. RYDER, M.D.
Diseases of the Ear, Nose and Throat WILLIAM J. HARKINS, M.D. WILFRED G. FUNNELL, M.D. ROBERT O. GILMORE, M.D.
Anesthetist ALFRED P. THOMPSON, M.D.
Roentgenologist CHARLES WHELAN, M.D.
Physio-Therapy EDMUND B. BURKE, M.D.
Pathologist FRANCIS P. MCCARTHY, M.D.
Resident Physician WILLIAM M. MCPHEE, M.D.
House Officers DANIEL J. BAILEY NATHANIEL B. BERMAN
177
REPORT OF CITY HOSPITAL
OFFICERS OF HOSPITAL AND TRAINING SCHOOL
Superintendent of Hospital RUTH J. ADIE, R.N.
Asssistants
ESTELLE C. SVENSON, R.N.
Executive Assistant
EILEEN M. YOUNG, R.N.
Supt. of Training School
ELLEN P. YOUNG, R.N.
Practical Instructor
VIENO T. JOHNSON, R.N.
Theoretical Instructor
CONSTANCE LARKIN, R.N.
Night Supervisor
IDA GIOVANNANGELI, R.N.
Asst. Night Supervisor
GRACE HYSLOP, R.N.
Surgical Supervisor
DORIS S. THOMPSON, R.N.
X-Ray Technician
HELENE G. REED, R.N.
Asst. X-Ray Technician
MARJORIE HOBBS
Physiotherapy Technician
DORIS GOODMAN
Laboratory Technician
AMITY PERKINS, B.S.
Dietitian
REPORT OF BOARD OF MANAGERS
To His Honor the Mayor and the President and Members of the City Council:
GENTLEMEN :- On June 17, 1890, the City Hospital came into existence through the benevolence of the late William B. Rice and was sustained and carried on for nineteen years through the bene- factions and generosity of our citizens.
In 1919 private management ceased and the hospital became a municipal institution. The original building had accommodations for twenty-four beds and a medical staff of twelve physicians, and it is with pleasure that we record that one member of the original group, Dr. Nathaniel S. Hunting, is still on the staff. During the first year one hundred and two patients were treated, of whom twenty-four were brought into the hospital because of that never- to-be-forgotten train wreck that occurred just north of the Dim- mock street bridge.
At the present time we have one hundred and fifty beds and a visiting staff of twenty-six doctors and a consulting staff of nine doctors and during the past year four thousand two hundred and seventy-eight patients received treatment. By June 17th, next, we will have completed forty years of hospital work and will have a hospital of two hundred and thirty beds, more or less, one com- parable in size to the Carney, St. Elizabeth or the Faulkner Hos- pitals.
Of course we have grown in years and size from a city in 1890 two years old of about 15,000 souls to one of forty-two years and a population about 75,000.
With the completion of the new wing of three stories, the first floor to be a men's ward containing thirty-eight beds, the second, a women's ward of thirty-eight beds, and the third floor having twenty-seven private rooms, a total of one hundred and three beds, additional facilities and equipment will be immediately required
178
CITY OF QUINCY
and the two outstanding and major requirements are increased operating facilities and a morgue.
We are now terribly overcrowded in the operating room, and with the increase of fifty per cent or more in beds, proper medical treatment under existing conditions will become impossible.
We appreciate the needs of other departments of the city, that the schools and the streets require much-very much-money for construction and upkeep, but the City Fathers, and our citizens, too, for that matter, should keep in mind the needs of the sick and the injured and the attention they require. Being a small per- centage of the whole population, they do not have so many advo- cates for appropriations, but no appropriation can be made for better purpose or service than one to relieve and aid human ail- ments and suffering.
This is no reflection or criticism of the City Government. It has always responded, so far as it could, to our requirements and we believe the finest piece of legislation it passed last year was the order making possible the new wing now under construction and we hope, yea, confidently expect, that this year a sum large enough to meet our immediate requirements will be available at an early date.
There is on file, and has been for some time, a plan by Messrs. McLaughlin & Burr for additions and alterations to the operating room. Briefly, the plan contemplates a two-story building with basement, the basement to be used to accommodate the patholog- ical and clinical laboratories, autopsy room and morgue, general pharmacy and physio-therapy department. The first floor to be used for operating rooms, emergency case room, dressing rooms, etc., also an X-ray department. The arrangement of the second floor contemplates having to do with maternity cases. This addi- tional building should be started at once; the basement and first floor equipped; the second floor can wait for a period.
Your honor, in your inaugural, we were pleased to note, devoted no small part of it to hospital requirements and development of the grounds, but the Board cannot put it too strongly to you and the Council that our first and absolutely essential needs are additional operating facilities and a morgue. Next in order for consideration and requirement will be the housing of twenty-five or more addi- tional nurses, needed within a few months. We are now caring for twelve nurses in a house apart from the hospital grounds and also the same number of maids in another house not on the grounds but near by. For a while, at least, it seems as if we shall have to hire another house. The Board feels that an addition to the present nurses' home should be begun, if possible, this year.
In your inaugural, Your Honor also made mention of recreation facilities for the nurses and this suggestion the Board heartily ap- proves. There is, in addition to recreation, another consideration; that is, that at present there is no place where the student nurses may sit during the warm days in the summer excepting on the front steps of the home. We are advised by the architects that a three-story porch may be added to the Nurses' Home at the south end towards the east at an expense of approximately twenty-five hundred dollars and that this porch could be made to harmonize with the building. We believe this porch would add much to the comfort and enjoyment of the nurses when they are off duty. We recommend the building of such porch.
In summing up, we present for your consideration and that of the citizens of Quincy the reports of the Superintendent, Medical
179
REPORT OF CITY HOSPITAL
Staff, School of Nurses, X-Ray Department, Physical-Therapeutic Department, Pathological Department, that of the Hospital Libra- rian and the reports of the Hospital Aid Associations, all showing what has been accomplished and each report is worthy of careful reading.
We have a new and extremely interesting report for the first time this year-the Hospital Library Service, made possible through our Public Library, with the aid and assistance of Mr. Temple and in the immediate charge of Mrs. Connolly-a splendid service and one to be especially commended.
During the year Mr. Charles A. Price, who served as Chairman of the Board for nearly five years most faithfully and diligently, resigned to the regret of his associates.
We also report with regret the resignations of Dr. Charles S. Adams, past president of the Staff, who served on the Staff for many years and has been made Honorary Consulting Physician to the Staff; and that of Dr. Eugene D. Whitehouse, whose services were greatly appreciated and which we were most anxious to re- tain.
In conclusion, we gratefully acknowledge the active and helpful co-operation and sympathetic interest of the Hospital Aid Associ- ations, and to all other organizations-groups and individuals-for their contributions and kindly interest. We likewise express our sincere appreciation.
MAURICE P. SPILLANE, Chairman GEORGE TAYLOR, Secretary ERNEST B. NEAL JOSEPH H. DASHA FORREST I. NEAL.
180
CITY OF QUINCY
REPORT OF SUPERINTENDENT
To the Board of Managers, Quincy City Hospital:
GENTLEMEN :- I herewith submit to you a report of the work done at the Quincy City Hospital during the year ending Decem- ber 31, 1929.
Statistical Information
Patients in hospital January 1, 1929
115
Patients admitted during the year 4,278
Total
4,393
Male patients admitted.
1,709
Female patients admitted.
2,569
Total
4,278
Patients admitted to medical service. 431
Patients admitted to surgical service
2,607
Patients admitted to obstetrical service. 631
Number of babies born
609
Total
4,278
Private patients admitted.
888
Private ward patients admitted
2,572
Service patients admitted
818
Total
4,278
Paying patients admitted.
4,174
Part-paying patients admitted
35
Free patients admitted.
69
Total
4,278
Largest number in the hospital any one day
147
Smallest number in the hospital any one day.
84
Daily average number of patients.
117
Average number of patients admitted per day
12
Total number of days' treatment
42,552
Children admitted, 12 years and under.
837
Operations
2,215
Out-patients
2,662
Accidents
860
Male patients discharged.
1,711
Female patients discharged.
2,563
Total
4,274
Patients discharged, Medical Service.
430
Patients discharged, Surgical Service.
2,611
Patients discharged, Obstetrical Service
1,233
Total 4,274
181
REPORT OF CITY HOSPITAL
Patients discharged-well.
623
Patients discharged-relieved. 3,364
Patients discharged-unrelieved
86
Patients discharged-untreated.
4
Deaths within 48 hours of admission
60
Stillborn
19
Remaining deaths
118
Total
4,274
Number of patients remaining in hospital December 31, 1929
119
Total
4,393
BIRTHPLACES
Albania
1
Austria
3
Azores
1
Canada
242
China
2
Denmark
2
Egypt
1
England
77
Finland
72
France
4
Germany
6
Greece
5
Holland
1
Hungary
1
India
1
Ireland
73
Italy
154
Lithuania
2
Massachusetts
1,243
Newfoundland
14
Norway
3
New Zealand
1
Philippine Islands
1
Poland
1
Portugal
1
Quincy
1,572
Rumania
1
Russia
19
Scotland
86
South America
4
Spain
1
Sweden
61
Syria
13
Turkey
2
United States
510
Wales
6
West Indies
3
Unknown
88
Total
4,278
182
CITY OF QUINCY Financial Statement JANUARY 1 to DECEMBER 31, 1929
RECEIPTS
Private roonı
$36,830 78
Ward private
32,742 48
Regular service
8,434 35
Obstetric
31,190 90
Operating room
15,376 10
X-ray
16,374 00
Ambulance
1,605 00
Physiotherapy
3,637 00
Pathological laboratory
1,256 00
Medical and surgical supplies
317 31
Nurses' equipment
1,166 64
Board of special nurses.
6,172 50
Miscellaneous
544 77
Endowment funds income
5,502 13
$161,149 96
Refunded to patients.
523 54
Total receipts less refunds
$160,626 42
EXPENDITURES
Salaries and wages:
Administration officers and clerks.
$9,123 65
Telephone operators
1,775 57
Superintendent of nurses, instructors and charge nurses
26,356 23
Nurses
4,393 95
Orderlies
2,222 00
X-ray operators
9,274 96
Ambulance
2,020 32
Housekeeping and kitchen
31,750 81
Laundry
5,501 75
Maintenance, property and power
plant
8,550 48
Care of grounds
1,313 00
Physiotherapy
2,458 89
Total pay-roll
$104,741 61
Other expenses:
General administration
$4,314 90
Medical and surgical
24,342 07
X-ray
3,360 33
Ambulance
529 82
Nurses' equipment
1,493 71
Housekeeping and kitchen
11,160 10
Laundry
1,722 70
Groceries
15,864 19
Butter and eggs
7,327 33
Milk and cream
11,556 71
Fruits and vegetables
6,229 95
Meats, poultry and fish
20,186 59
183
REPORT OF CITY HOSPITAL
Coal and wood
8,092 75
Electricity and gas
6,439 85
Rent
1,100 00
Transportation and express
369 52
Repairs to building and plant.
5,040 48
Insurance
359 36
Petty expenses
425 00
Commission
323 90
130,239 26
Total expenditures
$234,980 87
SUMMARY
Balance on hand, January 1, 1929.
$1,009 33
Appropriation by city.
75,144 00
Receipts from patients
153,095 57
Miscellaneous
2,028 72
Endowment funds income
5,502 13
Expenditures
234,980 87
Balance on hand, December 31, 1929
$1,798 88
SPECIAL PATHOLOGICAL LABORATORY APPROPRIATION
Appropriation by city
$7,500 00
Expenditures :
Equipment and supplies
$2,601 41
Pay-roll
1,737 12
4,338 53
Balance on hand, December 31, 1929
$3,161 47
The close of 1929 finds us busier than ever after a busy and in- teresting year.
In the early part of the year the laboratory equipment was pur- chased. Dr. Francis McCarthy was chosen pathologist. He and his able assistant, Mrs. Doris Goodman, are doing splendid work. The statistics in the separate report will give some idea of the importance of such a department.
In July ground was broken for a new building. This building will be equipped to care for 103 patients. The wards will be segre- gated for medical and surgical work-one floor for men, another for women, and the top floor is made up of private rooms which will care for male and female patients, both medical and surgical. This new building will greatly relieve the congestion in the pres- ent wards, but will bring more work to the already overtaxed surgical service department. To insure cooperation and efficient work from the working staffs, more room must be provided imme- diately.
One new shadowless and heatless operating room light has been installed in one of the operating rooms-a new adjustable surgical table, three electric clocks, and many new instruments have been
$236,779 75
184
CITY OF QUINCY
added to the equipment in the surgical department. This all tends to better efficiency.
For another year the Quincy and Wollaston Hospital aids have given most generously of their time, and their support has been fully appreciated. We wish to thank the many private clubs and associations who have helped us with sewing throughout the year.
Christmas was made much happier for the patients by the gifts donated by individuals and clubs, also by the candy bags from the Wollaston Aid and the handkerchiefs, ties and toys by the Quincy Aid.
I wish to thank most sincerely the Board of Managers and those who have cooperated with me in the past year.
Respectfully submitted,
RUTH J, ADIE, R.N., Superintendent.
INFORMATION RELATIVE TO ADMISSION OF PATIENTS, RATES, ETC.
Application for the admission of patients to the hospital should be made to the superintendent. Patients desiring admission should be referred by a physician.
Accidents are admitted at any time.
The hospital maintains an ambulance for transportation of pa- tients within the city limits. The ambulance may be obtained for special service by application to the superintendent.
Single rooms, $4.50, $5. $6.00 and $8.00 per day.
Semi-private rooms, $5.00 per day.
Ward bed (private), $3.00 and $4.00 per day.
Ward bed (service), $3.00 and $4.00 per day.
Additional charges:
Operating room, $5.00 to $10.00.
Delivery room, $5.00.
Etherizing fee, $5.00.
Laboratory fee, $5.00.
Plaster casts or special dressings, $3.00 to $5.00.
Ambulance, $3.00.
Board of special nurse, $1.00 per day.
Proprietary drugs or unusual or expensive preparations, min- eral waters, liquors, etc., will also be charged extra.
Radiographs will be taken every day by appointment, with the exception of Sunday.
Appointment for radiograph of the gastro-intestinal tract should be made either Monday, Tuesday, Thursday or Friday.
185
REPORT OF CITY HOSPITAL
REPORT OF THE SCHOOL OF NURSING OF THE QUINCY CITY HOSPITAL
To His Honor the Mayor, the Board of Managers, the Staff and Miss Adie :
Another year has passed and I wish to submit the report of the School of Nursing for your attention.
Like the other parts of the institution, the nursing force of the hospital has felt the effect of the increased amount of work being done, and so it has been necessary to employ additional general duty nurses.
During the year a number of changes in the personnel have taken place. Miss Margaret Main, who had been instructor of nursing for several years, resigned to accept an executive position in a hospital near New York. Miss Ellen Young, a recent gradu- ate of the school, has taken over her work. Miss Ethel Clow, the instructor of theory, resigned in order to go to New York for fur- ther study. Miss Vieno Johnson has succeeded her. Miss Agnes Johnson, night supervisor, resigned because of ill health. Miss Constance Larkin, her assistant, replaced her. Miss Ida Giovan- nangeli, of the class of 1927, is now assistant night supervisor. Miss Verna Tibbetts, operating room supervisor, resigned to be married. Miss Grace Hyslop is now filling the position. There have been a few changes among the head nurses and among the general duty nurses.
I am pleased to report that there has been comparatively little illness among the students, only five per cent having lost time due to it, and that, an average of six and one-half days each. The most illnesses have been appendicitis and tonsillitis.
Graduation was held as usual in June. It was an important event, as we graduated twenty-four students, the largest number in our history. The total number of students entering in 1929 was twenty-three, of whom nineteen were accepted. We are en- deavoring to encourage those best fitted to remain. To the equip- ment for teaching we added another Chase doll, a black board, a microscope, and more reference books to our library, which is slowly increasing.
The usual student activities have taken place, including several dances, the seasonal parties at Hallowe'en and Christmas, also a bridge and whist party, all of which have been organized and man- aged chiefly by the pupils. A ukelele class, conducted by Mr. Dan Nolan, was held weekly for six weeks before Christmas. Twenty- five of the nurses, including some of the graduates, attended. They all seemed to enjoy it.
I wish to thank the Quincy and Wollaston Aid Associations for the delicious teas which they have given. I sincerely hope that they enjoyed coming to the Nurses' Home as much as we enjoyed having them. I appreciate very much also the willingness of our doctors to assist us by giving lectures and in taking care of the nurses who are ill, all of which takes time from their already crowded schedules. To all who have sent gifts to the nurses at Christmas and through the year sincere thanks is given. In clos.
186
CITY OF QUINCY
ing, may I express my thanks to our Superintendent for her sup- port and to all the nurses who have worked faithfully and loyally through a difficult year.
Respectfully submitted,
EILEEN M. YOUNG, R.N., Superintendent of Nurses.
REPORT OF THE MEDICAL STAFF OF THE QUINCY CITY HOSPITAL FOR THE YEAR 1929
The past year has seen a marked progress in the developments of the hospital from the staff's view point. In the 1928 report, attention was called to the fact that the increase in the number of hospital cases had resulted in an excessive amount of work being placed upon the staff as it was then organized. During the past year a reorganization took place that resulted in three sur- geons serving at a time instead of two, as had previously been done. This plan resulted in the patients receiving more efficient treatment, in that more time was available for individual study of the cases. With minor changes, this plan will be followed dur- ing the year 1930.
The new building, now in a process of construction, will be a tremendous asset to the hospital, and. will not only mean that we will be able to care for more patients, but that it will be to the advantage of the hospital in general, in that the facilities at our disposal will result in the more efficient handling of cases.
During the past year the Pathological and Bacteriological Lab- oratory was established under the direction of Dr. Francis P. Mc- Carthy. This is one of the most important forward steps that the hospital has made in many years, and places the hospital on a basis that will enable it to carry out work second to no hospital in the Commonwealth.
Continuing a custom started several years ago, the joint meeting of the Norfolk South District Medical Society of the staff was held at the hospital in February. Many interesting cases were presented, and Dr. F. B. Lund of Boston presented a paper on "Stomach Surgery."
It is essential that the future growth of the hospital keep pace with that of the city, and this will necessitate the erection from time to time of new buildings and the purchasing of additional equipment. The most pressing needs at the present time include the enlargement of the operating room space and equipment, in- creased laboratory, X-ray, and physiotherapy accommodations, and house officers' quarters. The time has come when the estab- lishment of an obstetric service is absolutely necessary, and this, together with the marked increase in the number of hospital pa- tients in the next few month, will require the services of several house officers. The present quarters are inadequate for our pres- ent needs, and different arrangements will have to be made if we are to obtain the desirable type of house officer.
WILLIAM R. HURLEY, M.D.,
President.
187
REPORT OF CITY HOSPITAL
REPORT OF X-RAY DEPARTMENT, QUINCY CITY HOSPITAL
To the Superintendent and Board of Managers, Quincy City Hos- pital, Quincy, Massachusetts :
The year 1929 showed a healthy growth in the work done by the X-ray department, the actual gain over the year 1928 being three hundred and fifty-six patients.
The efficiency of the department was disturbed for some time by the resignation of Miss Agnes M. Fraser, who was chief tech- nician in the laboratory, and later, by the resignation of Miss Ceceline Nash, who was Miss Fraser's assistant. However, after a short course of instruction, Miss Doris S. Thompson and Miss Helene A. Reid took charge of the laboratory, and both have shown a wonderful aptitude for this type of work, and have carried on the routine of the laboratory with commendable enthusiasm and accuracy.
We have been laboring under the handicap of inadequate space, and we are looking forward to the completion of the new building, which will contain the new X-ray Laboratory, the plans of which have been inspected and approved. With the new equipment which we expect will be provided in this addition to the hospital plant, we hope to be able to show a much greater increase in the number of patients X-rayed than has been shown in any previous year.
A healthy increase has been noted in the number of doctors who have sent patients to the laboratory, and every effort has been made to give them courteous and efficient service.
I wish to express my sincere appreciation to the administration and staff for their hearty cooperation during the past year.
Respectfully submitted,
CHARLES WHELAN, M.D.,
Roentgenologist.
X-Ray Statistics
House patients
913
Out-patients 1,986
Total
2,899
Gastro-intestinal tract
408
Genito-urinary tract
49
Gall bladder region
205
Upper extremities
500
Lower extremities
538
Skulls
150
Shoulders
164
Chests
245
Pelvis
128
Spines
111
Teeth
47
Barium enema
17
Ribs
78
Sinus
26
.
188
CITY OF QUINCY
Nasal bones
6
Thymus
33
Mastoid
56
Jaws
9
Sternum
1
Abdomen for foreign body
8
Abdomen for pregnancy
6
Reduction under fluoroscope.
5
Total
2,790
Treatments
Whooping cough
150
Carbuncles
7
Cancers
11
Parotid gland
3
Thymus
6
Total
177
Total X-ray patients and treatments.
2,967
REPORT OF THE PHYSICAL THERAPEUTIC DEPARTMENT OF THE QUINCY CITY HOSPITAL
To the Superintendent and Board of Managers, Quincy City Hos- pital, Quincy, Massachusetts :
Following is the year's report of Physical Therapy:
For the year 1929, 5,263 treatments have been given to medical and surgical house and out-patients.
The statistical report of treatments shows:
General ultra-violet (air cooled) 755
Local ultra-violet (water cooled) 681
Radiant heat
1,861
High frequency
741
Massage
1,042
Wave generator
228
Total
5,263
With our present apparatus we cannot effectively care for this volume of work; much loss of time occurs to patients awaiting identical treatment.
With completion of equipment, this department will render a far superior service to the hospital and city.
I wish to thank the administration and staff for their coopera- tion.
EDMUND B. BURKE, M.D.
189
REPORT OF CITY HOSPITAL
REPORT OF THE PATHOLOGICAL DEPARTMENT
To the Superintendent and Board of Managers, Quincy City Hos- pital, Quincy, Massachusetts :
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