Charing Cross Hospital

“ All the nurses are graduates, Miss Sarah M. Dick, of the Cook County Training School, being superintendent, so that the care offered patients is of the best; and to hold and attract the highest type of nurse, everything connected with their rooms is as dainty as the rest of the hospital. Charming pictures in sitting room and dining room add to the homelike appearance. All physicians of the community are urged to bring their patients, and there is no distinction of creed—everything is offered in the broad spirit of the Red Cross. ”

“ Thomas' Hospitals, now in process of construction at the Surrey Side of the Thames, in Lambeth, opposite the Houses of Parliament, will combine a number of hospitals for Special Diseases, and will accommodate about 2,000 patients, with as many beds, and will have an income of £50,000 a year, or more.
It is impossible to think of any disease, complaint, deformity, or injury to any member or organ of the body, which has not its special hospital or institution for relief or cure, in the English metropolis. ”

“ The current system of large hospitals is abandoned, as being equivalent to 'warehousing diseases on the largest possible scale;' while special hospitals are deemed unnecessary—'as if the different organs could walk out of the body and present themselves for separate treatment.' Each hospital has an ambulance ready to be sent out to bring any injured persons to the institution; the ambulance drives straight into the hospital, where a bed of the same height on silent wheels receives the patient, and conveys him or her to a ward. ”

“ On Saturday, May 15, this building was opened as a medical hospital with 50 patients, the most part cases of pneumonia, enteric fever, and dysentery. These patients, too, were under the general care and oversight of Mrs. Doughty-Wylie. In this building also were housed the four American first-aid bluejackets who came up from the cruiser North Carolina the following week; and here, too, was instituted another pharmacy to supply the needs of the hospitals under the care of the sailors who had had training in pharmaceutical work.
Work of Trained Nurses. ”

“ When the time for this change should come, it was desired that some permanent good might remain as a memorial of the relief work in Adana, and it was planned that the patients remaining from the American Red Cross Hospital, together with whatever hospital equipment might have been accumulated, should be left to the care of the American Mission in a large building belonging to them, which is now being altered for use as a hospital. There is no hospital in Adana, except one poorly equipped and totally inadequate charity institution, and the field of usefulness for a good hospital would be great. ”

“ That has been one of the complaints on the part of T.B. workers not only in government but in civil institutions as well.
We still find relapses occurring after the patient has been discharged from the sanitarium or T.B. hospital. Men go into training, and in a short time undergo another course of treatment, and so on. The reason for that is that they have not been given the necessary physical rehabilitation while still in the sanitarium, while under institutional protection and medical supervision. ”

“ She stated further that on the information side the Red Cross had been a great aid in bringing to the patients knowledge about various government regulations, but that now as more and more attempts are made by the various departments to get this information to the man the need for the Red Cross in this regard becomes less. Another important function of the social service worker is to find out the home conditions to which a man with tuberculosis is going when discharged from the hospital. ”

“ It is easily seen from such a description of a modern operation that no case can receive due care in one of our modern homes, even the best. The facilities do not exist, and hence surgeons are more and more declining to do operations, whether for accident or disease, in private houses, except in a case of absolute necessity, and a happy custom is growing more and more in favor with the community of having all operations and all accidents cared for in a well-equipped hospital. ”

“ Often, too, these diseases rose to the height of epidemic pestilences, so that patients, however extreme their need, dreaded the very name of hospital, and the most skilful surgeons distrusted their own craft. New hospitals or new wards were built, yet after a very short time the new became as pestiferous as the old; and even scrupulous care in ventilation and housemaids’ cleanliness failed to prevent the devastation. Surgery had enlarged its freedom, but only to find the weight of its new responsibilities more than it could bear. ”

“ For the great mass of the people, cases of severe illness or injury, or those requiring major surgical operations, can be treated more successfully in well-appointed hospitals than in private houses, and as this is becoming generally understood the old feeling against entering a hospital for treatment is rapidly disappearing. ”

“ An echo of the old difficulties can be noted in this document, as the royal licence states clearly that the said Priory is “outside our allegiance, and the licence is to continue so long as there is no war between us and the King of Navarre.”
The fortunes of the Hospital in the middle fifteenth century can only be judged by inference, but there can be little doubt that it continued to be useful, and that gradually its functions as a place for the cure of the needy sick became more developed. ”

“ Another problem is the question of creating, in connection with General hospitals, wards where patients of this sort may receive at the beginning of their treatment, their preliminary examination, where they may be evacuated home with compensation or without compensation, or evacuated to a prolonged treatment hospital for further care.
It has sometimes been difficult to get enough men, trained personnel, to man these wards. ”

“ The accommodations are excellent, the attention the best. Those who are able to pay are required to do so. At the water’s edge, on the eastern side of this hospital, are several wooden buildings designed for the treatment of patients suffering from typhus and ship fever. These will accommodate one hundred patients, though the number is often greater.
Immediately in the rear of the Small-pox Hospital, though far enough from it to be removed from danger, is the Charity Hospital, a magnificent structure of gray granite, said to be the largest hospital in America. ”

“ The Social Service Department of the hospital irrespective of the source of supply of the personnel must be considered as an integral part of the hospital, subject to the inspections, rules and regulations of the hospital.
The Red Cross at present provides the personnel for social service endeavors and I cannot conceive how any other agency could undertake to provide this service without providing the cobweb like organization spread out over the United States with thousands of Home Service sections as the Red Cross maintains, prepared to furnish information to the government officials. ”

“ Unfortunately, at present the governors are themselves untrained, and to finance the hospital and to make it a good institution is their sole object. Hospitals, however, are, after all, only a part of the general administration of charity, though as they are now managed they have seldom any systematic connexion with that administration. Nor is there any co-ordination between the several hospitals and dispensaries. If one rightly refuses further treatment to certain applicants, they have only to wander to some other hospital, there to be admitted with little or no scrutiny. ”

“ Such disadvantages might be entirely removed if parliament would decide to throw open every poor-law infirmary for clinical purposes, and to have connected with each such establishment a responsible visiting medical staff, consisting of the best qualified men to be found in the community which each hospital serves. The old prejudice against hospital treatment has disappeared, for the least intelligent members of the population now understand that, when a citizen is sick, there is no place so good as the wards of a well-administered hospital. ”

“ Nay, even at the least, the alleviation of suffering to those on whom death had already laid his hand has been no small thing; and when we know that of 240,000 out-patients who have received advice and medicines, and 10,400 in-patients whose cases have warranted their admission to the wards, a large number of actual cures have been effected since the establishment of this hospital, we are entitled to regard the institution as one of the most useful that we have ever visited together. ”

“ In overcoming this prejudice, a great deal depends upon the character of the institution itself. It is not enough to establish hospitals:—they must be attractive and comfortable to such a degree that they become highly desirable to prospective patients. They must be well run, well managed, the food must be good, and the patients well treated. To obtain segregation, we must have hospitals which offer great advantages over the home.
Home Care of the Advanced Case. If there are no hospital facilities, it then becomes the nurse’s duty to give nursing care to the bed-ridden patient. ”

“ Dedman took up the work of the Red Cross in taking care of relatives of patients who come to the hospital. Often these people spend all their money for railroad fare, and have none left when they reach the hospital, and the hospital has to take care of them. He said he had arranged that four or five rooms be fixed up for such people as this and believed some definite authority should be had from the Veterans’ Bureau to house these people and furnish their meals. He stated that some boys will ask for things and others will not. ”

“ One meets many men, women, and boys on the streets of South American cities selling lottery tickets, as he would see newsboys selling papers in North American cities. Not far from Charity Hospital is the British Hospital. It is a fine, substantial building, and worthy of the people who built it. It cost nearly forty thousand dollars, and can accommodate sixty patients. ”

“ It is planned that there shall be no choice of anything within the hospital. Every patient is on an equal footing with every other patient.
It is not at all certain whether hospitals as they are now managed exist for patients or for doctors. I am not unmindful of the large amount of time which a capable physician or surgeon gives to charity, but also I am not convinced that the fees of surgeons should be regulated according to the wealth of the patient, and I am entirely convinced that what is known as "professional etiquette" is a curse to mankind and to the development of medicine. ”

“ It is a curious reflection that whilst in the present war the base hospital has been given, if anything, an undue importance, in the other war it has been practically neglected. Our great hospitals are almost entirely field hospitals, planted right in the middle of the battle, and there we keep our patients till such time as they are to all intents and purposes cured. A very few convalescent homes will admit cases which still require treatment, but only a very few. ”

“ My Richmond friends never lost sight of me for one day during my service in that city. Nearly every day my little boy was sent for to play among happy children, far away from the impure atmosphere of the hospital, which was soon filled with patients suffering from almost every form of disease.
As the demand for more room became pressing, the three stories of the main building were successively utilized, as well as a large storage-room in the yard. The ground-floor contained the surgeons' and steward's offices, store-rooms, etc., while the second and third formed two immense sick-wards. ”

“ This institution at first met with great opposition; but in 1832 its value became widely recognised, owing to the fact that it alone, of all the London hospitals, received cholera patients. In 1843 the hospital was moved into Gray's Inn Road, to a site previously occupied by the light horse volunteers of the city of London, a site which was afterwards purchased by the beneficence of wealthy friends, and upon it was built the Royal Free Hospital, Dr. Marsden becoming its senior surgeon. ”

“ In such a hospital no patient can be overlooked, no wrong or imperfect diagnosis can long remain undiscovered and unrectified, and nowhere else have the patients so continuous a guarantee that the treatment they receive will be of the best, while the provision made for their comfort and welfare, owing to the unceasing and ever varying quality of the criticism to which the work of everybody, from the senior physician to the humblest official, is subjected in a clinical hospital, is unequalled anywhere else. ”

“ These principles, as civilization grew, education improved, and the tastes and requirements of the common people were developed, made men and women of many races realize that the treatment of disease in buildings set apart exclusively for the care of the sick was, in fact, a necessity in urban districts. The establishment of a hospital freed the streets of the abuses attendant upon beggars and other poor creatures, who made their ailments the chief ground of appeal for alms. ”

“ In April of 1919, the Doctor-in-Charge was informed that the hospital would be required until the autumn, and arrangements for staffing it for this further period had to be considered.
It was reluctantly decided to demobilise the greater number of the nursing orderlies. The presence of so many young people, however delightful, had always been a heavy responsibility, and the dread of serious illness occurring amongst them again was ever present. Many of them were tired; others were young and immature ”