CORNELL UNIVERSITY THE THIS BOOK IS THE GIFT OF Cornell University Library RC 309.W58 A brief dedicated to the International C 3 1924 000 353 221 ^^ '« Cornell University Library The original of this book is in the Cornell University Library. There are no known copyright restrictions in the United States on the use of the text. http://www.archive.org/details/cu31924000353221 ■m;%"r- '■'ff White Hi§^?ffiypr«[)|ii|3f . '■/■■■■ - 1^ •*' ■ ■'-.irtl>J.,i>.,'. "■?*:;■ A Biaiiiiii>iCi^ :^#^ SThe Interniflonal Congre||^*- -** DISTANT VIEW OF GREEN MOUNTAIN BIRD'S-EYE VIEW OF SANATORIUM THE White Haven Sanatorium. A BRIEF DEDICATED TO The International Congress on Tuberculosis WASHINGTON, D. C. SEPTEMBER 21— OCTOBER 10, 1908 DECREE OF INCORPORATION In the Court of Common Pleas No. 4, of the County of Phila- delphia. And now this Thirteenth day of December, A.D. 1897, the within Charter and Certificate of Incorporation having been presented to me, a Law Judge of said County, accompanied by due proof of publication of notice of this application, as required by Act of Assembly and the rule of this Court, in such case made and provided, I certify that I have examined and perused the same, and have found it to be in proper form and within the purposes named in the first class, specified in Section Second of the Act of the General Assembly of the Commonwealth of Pennsylvania, entitled " An Act to provide for the Incorporation and Regulation of Certain Corpora- tions," approved the Twenty-ninth day of April, A.D. 1874, and the supplements thereto, and the same appearing to be lawful and not injurious to the community, I do hereby, on motion of Theodore A. Tack, Esquire, on behalf of the peti- tioners, order and direct that the said Charter of The Free Hospital for Poor Consumptives aforesaid be, and the same is, hereby approved, and that upon the recording of the same and of this Order, the subscribers thereto, and their associates shall be a corporation by the name of The Free Hospital for Poor Consumptives, for the purpose and upon the terms therein stated. Michael Arnold (Seal), President Judge, C. P. No. 4. Recorded in the office for Recording of Deeds in and for the County of Philadelphia, on Charter Book No. 23, page 310. U)5^ WHITE HAVEN SANATORIUM CONGRESS VOLUME TABLE OF CONTENTS PAGE Tabulated statement of the Exhibit of the White Haven Sanatorium 5 Board of Directors (with Committees) 6 Medical Staff 8 Administrative Staff 10 History of the Development of White Haven Sanatorium, with source of income, etc 12 Plan for organization of the Supporting Society, The Free Hospital for Poor Consumptives and White Haven Sanatorium Association " 17 Report of the Treasurer for one year (1907) 18 Comparative financial statement of expenditures for one year (1907) 20 Maintenance of patients for one year (1907) 22 Nativity and occupation of patients 23 Table showing work done since the organization of the Supporting Society 25 Sources of income by testamentary bequests 26 Tabulated statement of results obtained from treatment at the Sanatorium since its organization in 1901 .... 27 Blank forms used for administrative purposes at White Haven Sanatorium 31 Blank forms used for administrative purposes at the Central Office, Philadelphia 57 Blank forms used for medical recording, office information and medical control 68 Dietary of Sanitorium 80 Photographs showing the development and surroundings of the White Haven Sanatorium BOARD OF DIRECTORS President, Lawrence F. Flick, M.D., 738 Pine Street, Philadelphia. Vice-Presidents, Louis Gerstley, 226 South Front Street, Philadelphia. M. S. Kemmeker, Mauch Chunk, Pa. Secretary, Chari:es W. Welsh, 400 Chestnut Street, Philadelphia. Treasurer, Edward A. Millar, 404 Walnut Street, Philadelphia. Managers, James M. Willcox, Esq., Philadelphia Saving Fund, Seventh and Walnut Streets, Philadelphia. Talcott Williams, LL.D., 916 Pine Street, Philadelphia. Charles J. Hatfield, M.D., 2008 Walnut Street, Philadelphia. D. J. McCarthy, M.D., 1329 Spruce Street, Philadelphia. Joseph Walsh, M.D., 732 Pine Street, Philadelphia. William B. Stanton, M.D., 732 Pine Street, Philadelphia. R. George Buchanan, 504 West End Trust Building, Philadelphia. Richard H. Haste, M.D., 1503 Spruce Street, Philadelphia. John F. Craig, 143 South Front Street, Philadelphia. Joseph M. Engel, 4707 Chester Avenue, Philadelphia. Solicitor, Theodore A. Tack, Esq., 718 Perry Building, S. E. Cor. i6th and Chestnut Sts., Philadelphia. Official Secretary, Miss Helen C. McDevitt, 204 South Seventh Street, Philadelphia. STANDING COMMITTEES. Executive, James M. Willcox, Esq., Chairman. Louis Gerstley, Charles W. Welsh. Audit, Supplies and Property, Charles W. Welsh, Chairman. TaLCOTT WiLLtAMS, LL.D., Joseph M. Engel, John F. Craig. Building, Charles J. Hatfield, M.D., Chairman. Richard H. Harte, M.D., James Spear, Jr., R. George Buchanan, Joseph M. Engel. Finance, Edward A. Millar, Chairman. Samuel Castner, Jr., M. S. Kemmerer, Benjamin Wolf, Theodore A. Tack, Esq. Medical Administration, Dr. Joseph Walsh, Chairman. Dr. Henry M. Fisher, Dr. D. J. McCarthy, Dr. W. B. Stanton. Dr. Frank A. Craig, Membership, Louis Gerstley, Chairman. J. K. Petty, Anthony A. Hirst, Esq., Richard H. Harte, M.D. Training School, Dr. W. B. Stanton, Chairman. Dr. C. J. Hatfield, Dr. H. R. M. Landis, Dr. Ward Brinton, Dr. F. a. Craig. MEDICAL STAFF. Consulting Physician to White Haven Sanatorium, DR. LAWRENCE F. FLICK, Philadelphia. Visiting Physicians to White Haven Sanatorium, DR. HENRY M. NEALE, Upper Lehigh, DR. WARD BRINTON, Philadelphia, DR. JOSEPH WALSH, Philadelphia, DR. WILLIAM B. STANTON, Philadelphia, DR. CHARLES J. HATFIELD, Philadelphia, DR. A. J. COHEN, Philadelphia, DR. J. CLINTON FOLTZ, Philadelphia, DR. H. R. M. LANDIS, Philadelphia, DR. W. W. CADBURY, Philadelphia, DR. FRANK A. CRAIG, Philadelphia, DR. ALBERT M. SHOEMAKER, White Haven, DR. CHARLES H. MINER, Wilkes-Barre, Laryngologist to White Haven Sanatorium, DR. GEORGE FETTEROLF, Philadelphia. Neurologist to White Haven Sanatorium, DR. D. J. McCarthy Philadelphia. Resident Physicians at White Haven Sanatorium, DR. E. T. REHRIG, DR. PAUL WALTERS, DR. JOSEPH M. FRUCHTER, DR. CHARLES C. CORSON. Philadelphia Examining Physicians, Dr. Howard S. Anders, 1836 Wallace St. Dr. Warren C. Goodwin, 3734 Powelton Dr. E. J. G. Beardsley, 2030 Chestnut St. Ave. Dr. E. C. Bender, 330 S. S2d St. Dr. Charles J. Hatfield, 2008 Walnut St. Dr. Albert Bernheim, 1431 N. i6th St. Dr. E. B. Holmes, 2030 Chestnut St. Dr. Thomas Betts, Old York Road below Dr. J. W. Irwin, 1923 Vine St. Oak Lane. Dr. Thomas E. Jones, 145 W. Susquehanna Dr. Herman H. Birney, 4016 Chestnut St. Avenue. Dr. J. Douglas Blackwood, 5346 Wayne Dr. Joseph V. Kelly, 4257 Main St., Mana- Ave. yunk. Dr. H. a. Bolan, 518 N. 40th St. Dr. H. R. M. Landis, ii S. 21st St. Dr. L. Napoleon Boston, 1531 S. Broad St. Dr. D. J. McCarthy, 1329 Spruce St. Dr. Ward Brinton, 1423 Spruce St. Dr. C. M. Montgomery, 256 S. isth St. Dr. J. W. Busch, 1634 S. Broad St. Dr. L. H. Mutchler, 2040 Tioga St. Dr. W. W. Cadbury, 423 S. isth St. Dr. George W. Norris, 1530 Locust St. Dr. Horace Carncross, 721 Pine St. Dr. R. L. Pitfield, 5211 Wayne Ave., Gtn. Dr. Radcliffe Cheston, Chestnut Avenue, Dr. Sidney J. Repplier, 328 S. i6th St. Chestnut Hill. Dr. Robert D. Rhein, 2016 Pine St. Dr. A. J. Cohen, 723 Pine St. Dr. Samuel Rhoads, 152 W. School House Dr. F. a. Craig, 732 Pine St. Lane, Germantown. Dr. John M. Cruice, 1815 Spruce St. Dr. J. Alison Scott, 1834 Pine St. Db. W. T. Cummins, 104 S. Sist St. Dr. Lewis S. Somers, 3554 N. Broad St. Dr. D. L. Edsall, 1432 Pine St. Dr. W. B. Stanton, 732 Pine St. Dr. W. G. Eisenhardt, 1926 N. sth St. Dr. Josephus T. Ullom, 24 Carpenter St., Dr. W. B. Fetterman, 7047 Germ't'n Ave. Germantown. Dr. Henry M. Fisher, 1027 Pine St. Dr. Frances C. Van Gasken, 115 S. 22d Dr. J. Clinton Foltz, Chestnut Hill. Street. Dr. Edw. H. Goodman, 2035 Chestnut St. Dr. Joseph Walsh, 732 Pine St. SLEEPING PAVILION WITH KITCHEN AND DINING ROOM Transformed Barn after Original Purchase FARM HOUSE (ORIGINAL PURCHASE) USED AT FIRST FOR DINING ROOM; NOW USED FOR HOUSING LABORERS Pennsylvania Examining Physicians, Ds. D. C. BoYCE, Allegheny. Dr. Dr. F. L. Todd, Allegheny. Dr. Dr. H. H. Herbst, Allentown. Dr. Dr. Joseph D. Findley, Altoona. Dr. Dr. W. F. Enfield, Bedford. Dr. Dr. Robert G. H. Hayes, Bellefonte. Dr. Dr. J. L. Seibert, Bellefonte. Dr. Dr. Edward C. Oestereicher, Bethlehem. Dr. Dr. J. F. Klingensmith, Blairsville. Dr. Dr. Charles F. Altmiller, Bloomsburg, Dr. Dr. Pierson C. Cope, Braddock. Dr. Dr. R. Kephart Russell, Bradford. Dr. Dr. Malcolm S. Councill, Bryn Mawr. Dr. Dr. J. V. Harsha, Canonsburg. Dr. Dr. Chas. B. Throckmorton, Canonsburg. Dr. Dr. J. A. Kelley, Carbondale. Dr. Dr. a. R. Allen, Carlisle. Dr. Dr. J. L. HoRNBECK, Catasauqua. Dr. Dr. R. S. Maison, Chester. Dr. Dr. Alexander R. Craig, Columbia. Dr. Dr. F. C. Gorham, Coudersport. Dr. Dr. G. a. Stock, Danville. Dr. Dr. Edgar M. Green, Easton. Dr. Dr. Wm. p. O. Thomason, Easton. Dr. Dr. F. C. Jones, Ebensburg. Dr. Dr. John Scheefly, Edwardsville. Dr. Dr. L. M. Shumaker, EUiottsburgh. Dr. Dr. E. O. Boardwell, Emporium. Dr. Dr. Francis Goeltz, Erie. Dr. Dr. George B. Kalb, Erie. Dr. Dr. George A. Reed, Erie. Dr. Dr. J. C. BiDDLE, Fountain Springs. Dr. Dr. a. C. Wentz, Hanover. Dr. Dr. Thomas L. Blair, Harrisburg. Dr. Dr. J. W. Ellenberger, Harrisburg. Dr. Dr. David S. Funk. Harrisburg. Dr. Dr. H. McGowan, Harrisburg. Dr. Dr. Harvey F. Smith, Harrisburg. Dr. Dr. W. C. Gayley, Hazleton. Dr. Dr. Louis B. Nielsen, Honesdale. Dr. Dr. J. M. St. Clair, Indiana. Dr. Dr. W. R. Palmer, Johnsonburg. Dr. Dr. F. Schill, Jr., Johnstown. Dr. Dr. Charles F. Spangler, Kane. Dr. Dr. Martin J. Sweeney, Kane. Dr. Dr. T. N. McKee, Kittanning. Dr. Dr. D. W. Sturdevant, Laceyville. Dr. Dr. Theodore B. Appel, Lancaster. Dr. Dr. D. B. Milliken, Landisburg. A. L. Darling, Lawrenceville. A. B. Gloninger, Lebanon. Seth a. Light, Lebanon. William Leiser, Jr., Lewisburg. A. S. Harshberger, Lewistown. F. P. Ball, Lock Haven. J. A. Horn, Mauch Chunk. Bruce Lichty, Meyersdale. C. Francis Linn, Monongahela. John B. Houston, Mt. Carmel. E. E. WiBLE, Munhall. H. H. Whitcomb, Norristown. Irvin E. Bennett, Narberth. G. Justice Ewing, North Wales. Julius T. Vissel, Perkasie. Charles E. McGirk, Phillipsburg. Samuel Carpenter, Phoenixville. Thomas Arbuthnot, Pittsburg. E. B. Borland, Pittsburg. J. M. Douthett, Pittsburg. T. Wray Grayson, Pittsburg. Henry Martyn Hall, Pittsburg. W. T. Aschenfelter, Pottstown. C. W. Bachman, Reading. Hiester Bucher, Reading. A. M. Bevier, Ridgway. H. V. Logan, Scranton. E. F. Bickel, Shamokin. J. C. Flemming, Shirleysburg. A. A. Watkins, St. Benedict. C. G. Wilson, St. Mary's. W. J. Middleton, Steelton. W. E. Gregory, Stroudsburg. Kate Freudenberger, Tamaqua. S. P. Hakes, Tioga. F. J. Bardwell, Tunkhannock. Henry M. Neale, Upper Lehigh. J. S. Hackney, Uniontown. W. M. Baker, Warren. C. W. ScHMEHL, Warren. William R. Thompson, Washington. J. B. Tweedle, Weatherly. Charles H. Miner, Wilkes-Barre. Walter Davis, Wilkes-Barre. R. L. Wadhams, Wilkes-Barre. George B. Klump, Williamsport. A. M. Shoemaker, White Haven. I. C. Gable, York. ADMINISTRATIVE STAFF. Superintendent, Alexander Armstrong. Resident Physicians, Dr. E. T. Rehrig, Dr. Paul Walters, Dr. Joseph M. Fruchter, Dr. Charles C. Corson. Engineers, Robert Dodson, Charles Wallen, Samuel Felter. Housekeeper Nettie Artley. Clerk, Clara Christoph. Chef, W. D. Albertson. Chef's Assistant, Milton Young. Second Cook, Mary Davis. Laundress Carrie Jillson. Assistant Laundress, Margaret Jones. Receiving Clerk, Charles Burchlaw. Store-room Keeper and Laundry Clerk, Samuel Sodofsky. Foreman of Laundry, August Elsesser. Laborers, Samuel Wiener, Thomas Manley Bleuitt, George Fitzgerald. 10 Waitresses, Catherine Kessack, Vie Greek, Lizzie Simms. Matron, Myra McClintock. Head Nurse, Mrs. M. Elizabeth Hoffman. Pupil Nurses, Elizabeth McDermott, Sasah Pollock, Mary McGrath, Ernest Stickel, Ethel Coen, Ella M. Padgett, Marie L. Craven, Laura J. Johns, Anna S. Kissling, Beulah Ewing, Mary Ehrstein, Mary E. Evans, Mary McCarron, Roland P. Papin, Charles Keesey. FARM AND POULTRY DEPARTMENTS. Superintendent, Stephen Acer. Assistants, John Davis, Hanna Shehadi, Howard Neff. Drivers, Henry Meintz, George Metzler. CONSTRUCTION AND REPAIR DEPARTMENT. Superintendent, William C. Panzer. Assistant Carpenter, Lacri Pauling. 11 HISTORY OF WHITE HAVEN SANATORIUM. The society which maintains White Haven Sanatorium had a very humble beginning in the noble heart and ardent zeal of a pious clergyman, who saw in the great sufferings of the poor, neglected consumptive, more and more trodden down and neglected with every step in the growth of knowledge about tuberculosis, an opportunity for human endeavor con- ducive to human happiness. He organized a parochial com- mittee to enable some of his parishioners to transmute their piety into works of mercy within his own parish. Both the committee and the works of mercy soon outgrew the parish and developed into an incorporated non-sectarian association, taking in the entire Commonwealth of Pennsylvania as its field of labor, and enrolling people of all shades of religious views as members. During the first six years of the society's existence, it paid out $30,702.88 for maintenance of tuberculous subjects in institutions over which it had no control. The entire amount was raised from public charity by the efforts of members of the association, with practically no expense to the association for raising the money. In 1901 the society felt strong enough to go into sanatorium work on its own account. Without any capital, it began the White Haven Sanatorium. An appeal was sent out for funds with which to purchase a site, $2500 being needed, and the amount was promptly subscribed. A few beds were placed upon the floor of the barn which stood on the grounds and the tumbled-down farmhouse was used as an administration building. The barn was gradually transformed into a pavil- ion, with a capacity of thirty-two beds, and the farmhouse was repaired and equipped with cooking and dining-room facilities for a fair-sized sanatorium. During this first year, 12 sixty-nine patients were cared for at the sanatorium. The results obtained were so good that people clamored for ad- mission from all parts of the State. In 1902 three brick cottages were erected, each with a capac- ity of sixteen beds, out of money appropriated by the State. These cottages cost a little over $10,000 apiece. The balance of the State's money was used for a sewage plant and a water plant so far as it would go. Of the resources of this year, $8,550 came from one individual, Mr. Henry Phipps. This was the year in which Mr. Henry Phipps visited the White Haven Sanatorium and took from it his grand, noble idea of establishing the Henry Phipps Institute, which he founded in Philadelphia in 1903. In 1903 the Legislature of Pennsylvania appropriated $115,- 000 to the society ($65,000 for buildings and equipment and $50,000 for maintenance for two years). With this a power house, two infirmaries, one-half the administration building, a superintendent's cottage and some tents were put up. The power house and the administration building were planned for an institution of 300 beds, the ultimate capacity of the sana- torium. Additional land had to be bought for a favorable location of the power house near the railroad. This operation involved the society in a debt of about $25,000. In 1904 the capacity of the sanatorium was 112 beds. By crowding the pavilion and helping out with tents the number of beds was really brought up to 120, and during the Summer even to 150. Fewer patients were maintained this year than the preceding and the cost of maintenance was somewhat higher. This was caused by interference with administration through building operations. In 1905 the Legislature appropriated to the society $60,000 for maintenance for two years and $10,000 for equipment and repairs. With the $10,000 shacks were put up, repairs were made on the existing buildings, roads were built and the 13 beginning of a chicken farm was established. The number of beds was brought up to 172. In April of this year, on account of the heavy debt which had been incurred, the society placed the sanatorium on a partial pay basis. One hundred beds were kept free and the balance were put on a sliding scale of $7 a week for the first four weeks, payable in advance; $5 a week after the first four weeks, when the patient was working from one to four hours a day; $3 a week when the patient was working from four to eight hours a day; and nothing after the patient worked eight hours a day, until he was discharged, usually a period of one month. Upon this sliding scale the pay beds brought in an average of $3.50 a week. The greater part of the debt which had been incurred during the previous year was wiped out during this year. In 1906 the society increased the capacity of the sanatorium mainly through shacks, donated by individuals, to one hundred and ninety-six beds. Department No. II was created for more-advanced cases, on a pay basis of $7 a week straight. The purpose of creating this department was to make pro- vision for cases which could not be admitted to the sanatorium proper without interference with discipline and adding ma- terially to the cost of maintenace. The rules and the management of the sanatorium proper were based upon the idea of work for the patient after the first four weeks. Patients were admitted through the in- firmaries and kept on rest and isolated until free from colds or acute infections of one kind or another. If free from secondary infections and strong enough, they were admitted into the sanatorium at the end of two weeks; if they were not well enough to go to the sanatorium at the end of four weeks they were sent home as improper cases. Often patients entered the sanatorium who had to remain on rest longer than four weeks, sometimes from four to six months, and relatives 14 and friends were willing to pay for them during this time. It was for such cases that Department No. II was created. During the year the grounds of the sanatorium were much improved and beautified, a hot-house for plants was built, roads were made, a chicken farm was established, a fire-proof incubator house was built, a piggery was opened and the work of the sanatorium was put upon a more methodical and a more exact basis. An engineering department, a farm depart- ment, a chicken department and a construction and repair department were created with competent men at the head of them. Many of these improvements were made possible through private donations. During the year 1907 the idea of Department No. II was more fully developed. The cost of admission to this depart- ment was raised to $9 a week and at the same time the cost of admission into pay beds of Department No. I was placed at $7 straight. One large infirmary shack was completed and another begun. Each of these has a capacity of twenty-one beds. A children's shack was also begun. One wing with a capacity of eight beds was put up. As now constituted, the White Haven Sanatorium consists of three brick buildings, with a capacity of sixteen beds each, a barn pavilion with a capacity of thirty-five beds, two infirm- aries with a capacity of sixteen beds each, eight small shacks with a capacity of eight beds each, two large infirmary shacks with a capacity of twenty-one beds, a children's shack with a capacity of eleven beds, making a total of two hundred and eleven beds; a superintendent's cottage, a farm house for employees, one-half of an administration building built upon plans for three hundred beds, a power house built upon plans for three hundred beds, a sewage plant with a capacity of one hundred and fifty beds, a water plant for three hundred beds, a chicken house of two thousand five hundred chickens, a fire-proof incubator house, a hot house, a piggery of fifty 15 pigs and a farm of two hundred and thirty acres. One of the first cottages has temporarily been taken for administration purposes, thus taking out sixteen beds. The entire cost of the plant so far is $188,027.65, which amounts to a little less than $900 per bed. To complete the sanatorium along the lines originally planned there remain to be built the balance of the Adminis- tration Building at a probable outlay of $20,000; three brick or stone cottages at a probable outlay of $30,000 ; an isolation cottage at a probable cost of $10,000; five small shacks at a probable cost of $3000; furnishing and equipment of eighty- five beds and the isolation building at a probable cost of $5000 ; the completion of the chicken farm at a probable outlay of $5000; a house for the farmer, and a house for the chicken farmer at a probable cost of $3000 each ; an extension of the sewage plant for 150 beds at a probable cost of $5000; an extension of the piggery at a probable cost of $1000; and a dairy at a probable cost of $25,000, making a total further outlay for buildings and equipment of a little more than $100,- 000. These figures are approximate and are based largely on the buildings and equipment already erected and installed. When completed the sanatorium will have cost for ground, buildings and equipment about $275,000, or approximately $900 a bed, and will be one of the most economically built and equipped institutions of the kind in the world. The cost of maintenance at the White Haven Sanatorium since the institution was opened, including office expenses of the society, cost of raising money, interest on investment, and repairs and replacements, has averaged about $7 a week per patient. The dietary has been liberal. The low cost of main- tenance is due largely to the system in vogue at the White Haven Sanatorium of making work by the patients part of the treatment. All patients, who are not on rest, are given useful occupation for exercise. This occupation is of a kind which ordinarily is paid for in other institutions. 16 Plan of Orgfantsation of The Supportingf Society "The Free Hospital for Poor Consumptives and White Haven Sanatorium Association." This Society is composed of the Board of Directors as outlined on page 6. This Board of Directors is elected by the Society. Membership in the Society is as follows : 1. Life Patron. This title designates members of the Society who have been of signal service in their financial and moral support. 2. Patron. Members who contribute one hundred dollars per year. 3. Life Members. Those who contribute one hundred dollars at one time. 4. Donors. Those who contribute twenty-five dollars per year. 5. Contributing Members. Those who pay five dollars per year. 6. Associate Members of Auxiliaries. Those contributing one dollar annually. In addition to the Central Society there are six Women's Auxiliary branch societies. Each Auxiliary society has its own officers, and elect the general officers for the central committee of the Women's Auxiliary. In addition to this there are three Junior Auxiliaries under the same management. Members of the Auxiliary branches may be contributing members or supporting members. The payment of five dollars entitles them to active membership in the parent society. Associate members of the Auxiliaries pay one dollar annually. In addition to the Auxiliaries there is a White Haven Alumni and Alumnae membership. This is composed of ex-patients of the Sanatorium who show their interest in the crusade against tuberculosis and the supporting society to the extent of paying one dollar annually. 17 TREASURER'S REPORT. RECEIPTS. Balance i March, 1907, as per last report $164.03 Donations $389.00 Donations (Chicken Farm Fund) 1000.00 Donations (Building Fund) 4787-25 $6176.25 Contribution boxes 2124.12 Women's Auxiliary Committees 610.50 Junior Auxiliary Committees 573-94 Solicitors' books 27.50 Dues: Membership $1225.00 Contributorship 820.00 Donorship 745-00 Friendship 250.00 Patronage 400.00 Alumni and Alumnae Membership 110.00 $3550.00 Bequests 190.00 Interest on Bonds 90.00 Interest on Deposits 83.00 Refund 42.64 Sales 994-19 Entertainments 75.00 Board of Patients 33.101.59 47,638.73 State Appropriation: Maintenance 30,787.17 Loans 22,550.00 Total $101,139.93 EXPENDITURES. White Haven Sanatorium (Maintenance) : Conveyance : Advertising $4.20 Carfare 78.69 Expressage 87.09 Freight and Cartage 1219.52 Postage 84.57 Telephone 72.00 Telegraph 12.44 $1558.51 Beds and Bedding 141.95 Dry Goods 324.99 Eggs 6821.56 Fruits and Vegetables 1420.92 Fuel 5471-86 18 EXPENDITURES— Continued. Furniture and Furnishings 685.07 Groceries 3158.95 Ice 136.48 Interest 14S04 Insurance 1620.00 Laundry 749-34 Lighting 89.96 Meat 5105.18 Milk 9103.65 Painting 328.17 Printing and Stationery 217.50 Plumbing 424.19 Provisions 3803.67 Supplies : Preventive Measures 793-96 Medical Equipment 649.65 Medicines 1216.82 Surgical 26.14 Salaries : Matrons, etc 1853.94 Superintendent, Clerks 1190.00 Resident Physicians 424.22 Wages 52I3-SS Farm Maintenance 3028.18 Poultry Department Maintenance 2304.13 Repairs Department Maintenance 3346.88 $61,354.46 Refund of Patients' Board 424.99 Buildings 10,302.45 Farm Buildings 623.15 Chicken Farm Buildings 2164.OI Beds and Bedding (New) $645.49 Furniture and Furnishings (New) 269.32 Laundry Supplies (New) 36.00 Medical Equipment (New) 57-62 1008.43 Philadelphia Executive Office: Conveyance : Advertising $5.29 Carfare 63.05 Expressage 2.35 Freight and Cartage 3.65 Postage 1142.37 Telephone 51.40 Telegraph .50 $1268.61 Printing and Stationery 1258.39 Painting .40 Rent 337-00 Salaries 1680-00 4544-40 Repayment of Loans 20,650.00 Balance deposited with Continental Title and Trust Company 68.04 Total i $101,139.93 19 COMPARATIVE FINANCIAL STATEMENT OF EXPENDITURES MONTH Year 1907 MARCH Total Per Patient per day APRIL Total Per Patient per day Per Patient per day JUNE Per Patient per day JULY Total Per Patient per day Beds and Bedding . . . . . Brooms and Brushes Conveyance Dry Goods Eggs Fruit and Vegetables . . . Fuel Furniture, etc. . . . . . Groceries Ice Interest . ... . . . Insurance . Laundry . Lighting Meat Milk Painting Printing, etc. , Plumbing Provisions Preventive Measures . . Repairs Supplies, Farm " Medical " Medical Equipment . " Surgical Salaries, Matron, etc " Superintendent, Clerks " Resident Physicians . Wages Poultry Department Total for Maintenance . . . . Average gain in weight . . , . Average No. Patients for Month Days of Maintenance Philadelphia Exec. Office : Conveyance . . . . . . Painting Printing and Stationery . . . Rent Salaries Total Recapitulation : White Haven Sanatorium Maintenance Philadelphia Office Expenses . Total Maintenance Capital Account New Furniture, etc Building Account .... Repayment of Loans Refund of Patients' Board . . Chicken Farm Account . . Farm Building Account .... Total Expenditures Value of Eggs from Chicken Farm ^20.50 iig.94 40.3s 380.55 IZ2.60 50S.12 315-91 .50 67.42 20.81 4.64 386.79 741.86 ia.75 46.30 295.46 84.30 339.67 196.69 X00.84 95.27 138.23 95-00 25.00 368.91 331-95 ^4*848.36 2.82 169 5270 to8.i7 17-95 29.00 X40.00 245-12 4,848.36 245.12 ^,093,48 1,174.56 95-14 140.70 65.39 $6,572.52 306.92 $0.0039 .0228 .0077 .0722 .0214 .0964 •0599 .0001 .0128 ,0040 .0009 .0734 .1408 .0020 .0087 .0561 .0x60 .0645 ■0373 .0191 .oxSx .0262 .0180 .0047 .07 .0630 I0.92 $0.01x0 .0034 .0055 .0266 .0465 .92 .0465 $0.9665 .2229 .ox8x .0267 .0x24 $X.2473 .0392 $128.78 6.40 301.92 132.40 551.62 66.70 302.37 17.03 4-24 425.05 704.86 2.00 60.80 279-54 89.80 257.62 212.08 87-95 7.50 132.50 95.00 50.00 364.42 z 14.08 $4,394.66 3-77 x68 S039 $472.14 .40 33.88 28.00 150.00 684.42 4,394.66 684.42 $5,079.08 45-00 X22.00 183.54 ^.0256 .00x3 •OS99 .0263 .1095 .0132 .06 .0034 .0008 .0843 .1399 .0004 .0121 •05s 5 .0178 .0511 .042Z .0175 .0015 ■0263 .0188 .0099 .0723 .0236 ^.8731 $0.0937 .0001 .0067 .0053 .029S ■1358 .8721 ■1358 J1.0079 .0089 .0343 $1.3471 .0363 $113.72 .36 371.70 109.0Z 292.05 18.45 205.84 5.00 73.70 414-33 693.49 7-47 33-14 z.oo 972.08 39-»4 189.59 416-53 71.88 68.52 145.00 95.00 50.00 399-"9 189.30 *4,373.58 3.24 156 4830 *S05-37 102.38 2S.00 150.00 785-75 4.373-58 785-75 *5.059.33 63S.08 7.500,00 69,00 191.90 10,45 $13,468.76 158.65 $0.0233 .0001 .0770 .0236 .0605 .0038 .0436 .0150 .0858 .1436 .0015 .0069 .0003 .0563 .0081 •0393 .0862 .0149 .0142 .03 .0197 .0104 .0826 .0392 $0.8848 $0.1046 .02X3 .0058 .03X1 .1627 .8848 .1637 $1.0475 .1321 1.5538 •0143 .0397 .0032 $3.7886 .0338 $136.88 276.7s 184-35 365.85 I3.8x 337.36 37664 567.08 36.50 14.44 237.61 83-05 132.30 241-44 77-06 11.03 145-00 95-00 50.00 371.19 111-47 $3,653.71 1.8 150 4483 $27.16 868.85 38.00 160.00 1,084.01 3.653-71 1,084.01 >4. 737.73 60.70 33-87 45-14 390.70 $5,168.13 164.04 $0.0383 .0617 .04XX ,0593 .0029 .0529 .0840 .1265 .008 X .0032 .0530 .01S5 .0395 .0538 .0x72 ,0037 .0323 .0212 ,01x1 $0.8150 $0.0060 .1938 .0063 .0357 .3418 .8x30 .3418 $1.0568 ■0135 .0076 .OlOX ,0648 I43-49 .54 451.14 301.49 280.91 10.47 338.00 397-88 622.25 9.30 301.55 31.60 5x3.39 19X.09 100.71 42.80 160.65 9S-00 50.00 478.43 187-03 $4,530.82 2.56 162 5039 $29.06 X00.52 28.00 160.00 317-58 4,530.82 317-58 $4,838.40 35.00 386.7a X04.00 965.01 $1,1538 $6,3X9.xt ,0366 98.49 $3.0084 .ooox .0895 .04 •05S7 ,002I .0672 .0790 .1235 .0019 -0598 ,0063 .1017 .0378 .OS .0085 .03x9 .0189 .0099 .0949 .0371 $0.8972 $0.0058 -0199 -0050 .0317 .0630 -8972 -0630 $0.9602 ,0050 .0569 .0307 ,1915 -48A -003 s 6.71 .0011 29.27 .0081 '3-38i .0023 Table IV. MAINTENANCE OF PATIENTS. I March, 1907, to 29 February, 1908. Items of Expense Total Per patient per week Total No. of patients Beds and Bedding . . Conveyance 1.558.51 ^-0156 -1709 Sanatorium . 80s Dry Goods (Replacements) Eggs 324.99 6,821.56 .0356 .7479 Total No. of weeks of maintenance in White Haven Sanatorium 9121 Fruits and Vegetables . Fuel . ... Furniture and Furnishings (Replacements) Groceries 1,420.92 5,471-86 685.07 3.158.9s .1553 ■5999 -0751 •3463 Average No.of weeks of maintenance in White Haven Sanatorium . . 11-33 Ice Insurance ... Interest Laundry . Lighting 136.48 1,620.00 145.04 749-34 89-96 -0150 .1776 -0159 -0822 .0099 Total cost of main- Meats 5,105-18 •5597 tenance ^65,898.86 Milk 9.103-65 .9981 Painting 328.17 .0360 Cost per week per Printing and Stationery . . 217.50 .0238 patient .,'... J7.2249 Plumbing 424.19 .0465 Provisions 3,803.67 .4170 Preventive Measures . 793-96 .0870 Supplies : Medical Equip. 649.65 .0712 Medicines 1,216.82 •1334 Surgical 26.14 .0029 Salaries ; Matrons . . . 1,853-94 .2033 Supt. Clerks . . . . 1,190.00 -1305 Resident Physicians . 424.22 .0465 Wages 5,213-55 3,028-18 -5716 .3320 Farm Maintenance . . . Chicken Farm Maintenance 2,304.13 .2526 Repairs Dept. Maintenance 3.346.88 .3669 Total Maintenance Patients in White Haven Sana- torium ^61,354.46 $6.7267 Philadelphia Executive Office Expenses 4.544-40 .4982 Total ^65,898. 86 $7.2249 22 Table V. NATIVITY OF PATIENTS. March, 1907 to February, 1908. Armenia i Austria 21 Bohemia i California 2 Canada 2 Connecticut i Cuba I Delaware 11 District of Columbia 3 England 18 France 3 Germany 19 Hawaii I Hungary 4 Illinois I Indiana i Iowa 2 Ireland 58 Italy 26 Kansas 2 Kentucky 2 Maryland 4 Massachusetts 2 Michigan I Minnesota i New Hampshire i New Jersey 36 New York 18 North Carolina 2 Ohio 3 Pennsylvania 280 Philadelphia 164 Poland 2 Roumania 7 Russia 73 Scotland 6 South Carolina 2 Sweden 6 Syria 2 Tennessee i Texas l Turkey 2 Virginia 7 Wales 4 80s Table VI. OCCUPATIONS OF PATIENTS. March, 1907, to February, 1908. Agent 2 Architect I Art Designer I Auditor I Baker 3 Barber 7 Bartender 7 Battery-maker I Bell-man I Blacksmith 3 Boiler-maker 3 Bookkeeper 16 Box-maker 2 Bootblack I Brakeman 2 Brass finisher 2 Breaker-boy 2 Butcher I Butler 3 Cabinet-maker 2 Candy-maker I Car-cleaner i Carpenter 7 Cashier 4 Chandelier maker 2 Cigar maker 7 Clergyman I Clerk 56 Clerk (drug) 4 Cloth examiner i Coachman 3 Collector 2 Compositor i 8 Cook I Copyist I Coremaker 2 Cutter I Decorator 2 Dishwasher Dressmaker Driver I 13 Druggist I 23 Dyer I Electrician 6 Embroiderer I Engineer 2 Engineer (Electrical) I Engraver I Errand boy 5 Farmer 6 Finisher (Hardwood) i Fireman S Fisherman I Florist I Foreman 4 Forewoman 2 Fur cutter i Gardener I Gas-worker i Glass-worker 3 Grocer 2 Groom I Harness maker I Hatter 4 Horse trainer i Housework 164 Inspector 2 Instrument maker i Ironworker 3 Janitor i Jeweler 2 Journalist i Knitter 2 Laborer 36 Laundry worker 3 Lawyer 2 Leather worker i Lineman (Electric) i Lithographer i Loom fixer i Machine Operator 3 Machinist 25 Manager i Manufacturer i Marble cutter i Mattress finisher i Merchant 2 Meat cutter i Metal worker i Milliner 3 Miner 17 Missionary i Money counter i Motorman 3 Moulder i Musician i Nurse 13 Office boy i Operator (Elevator) i Operator (Mill work) 39 Operator (Telephone) a Ordinance helper I Packer 4 Painter 8 Pantry girl i Paper cutter I Paper-hanger 2 Paper-sorter I Peddler 7 Photographer I Plumber S Porter I Potter 2 Presser 4 Reporter 3 Rigger I Riveter I Rug cleaner I Sailor a Salesman 16 Saleswoman 7 Saloon-keeper 4 Seamstress 6 Sexton I Ship-joiner a Shipper 2 Shirt-maker I Shoemaker 4 Slater a Starcher i Stenographer 9 Steward I Stone-cutter a Stone-mason 2 Storekeeper 2 Student 48 Suitcase maker 2 Superintendent 2 Suspender maker i Tailor 15 Tailoress 2 Teacher 5 Teamster i Telegrapher 3 Textile worker i Timekeeper 2 Tobacco stripper i Upholsterer i Usher I Waiter 4 Waitress 9 Warper i Watchman 3 Weaver 7 Weaver (carpet) 5 Wood-carver i 24 DOUBLE SHACK— (Curtains Raised) First Model oF Sleeping Shaeks BARN PAVILION AND KIOSK Table I. WORK DONE SINCE ORGANIZATION OF THE SOCIETY. Patients treated Average number of weeks of main- tenance Total number of weeks of main- tenance Amount expended for main- tenance Amount expended for office, buildings and equipment Total amount expended 1895 — In other hospitals and sanatoria 40 9.56 383. ^1,912.29 Jl,913 39 1896 — In other hospitals and sanatoria . 56 7.69 43°- 2>i53-48 2,153-48 1897 — In other hospitals and sanatoria . 76 8.80 668. 3.347.19 3,34719 1898 — In other hospitals and sanatoria . 8S 11.99 1019. 4,796.90 4,796.90 *i899 — In other hospitals and sanatoria . 124 9.87 1333.7 8,444-75 8,444-75 xgoo^In other hospitals and sanatoria , "37 7.37 1733.33 9,471.30 fc76-97 10,048.27 1901 — In other hospitals and sanatoria In White Haven Sanatorium 367 69 7-94 8.13 2119.39 560.57 11,966.58 3,933.53 306-13 4,950.6s 13,173.71 8,873.20 Z902 — In other hospitals and sanatoria In White Haven Sanatorium "70 29Z 7.07 11.03 1907.57 3488.00 11,52714 19,885.14 24.50 38,639.01 11,551-64 58,524-15 1903 — In other hospitals and sanatoria In White Haven Sanatorium 46 Si6 8.00 13.00 398.14 5502.86 1,991.31 31,700.37 3S,=43i4 1,991.31 66,943.41 1904 — In White Haven Sanatorium . 408 13.17 537300 34,867.01 69,462.42 104,329 43 1905 — In White Haven Sanatorium . . 54° 11.74 6341.14 42,097.58 12,965.56 55,063.14 X906 — In White Haven Sanatorium . . 751 11.79 8855.00 60,035.42 ii,86i.3o 71 ,896.62 X907 — In White Haven Sanatorium , . 80s 11.33 9131.00 65,898.86 14,098.04 79.996.90 Total 4,581 10.73 49112.59 1314,017.74 ^188,037.65 foo=,°45 39 * In year 1899 the beginning of the fiscal year was changed from January i, to March i, therefore the statistics for 1899 include 14 months, from January t, 1899, to February 28, 1900. After 1900 the years run from i March to 28 February. 25 TESTAMENTARY BEQUESTS MADE TO THE SOCIETY SINCE ITS ORGANIZATION. (Year ending 28 February, 1900.) Miss M. J. Burns *95 00 John Duffy, tlirougli Rev. John Crowley and James Flattery, Executors .. 1000 00 (Year ending 28 February, 1901.) Sarah S. Taylor $100 00 (Year ending 28 February, 1902.) Miss Catharine Foley $190 00 Miss Margaret Flanagan, through Rev. J. J. Scully, S.J 47 So Mrs. Jane McAnally 455 80 (Year ending 28 February, 1903.) Wilhelmina Gok, through Lawrence F. Flick, M.D $50 00 Mary Hyland, through Rev. J. J. Scully, S.J 270 80 Peter Muloy, through F. H. McCann 50 00 Mary Ryan 285 oo (Year ending 29 February, 1904.) Walter Barry, through Most Rev. P. J. Ryan, D.D., LL.D $237 50 Mary Drury, through William J. Power, Executor 95 00 Wilhelmina Gok, through Lawrence F. Flick, M.D 4 17 (Year ending 28 February, 1905.) Bernard Finnegan, through Theodore A. Tack, Esq $416 27 Isaac Rosskam, through Louis Gerstley 1000 00 Ellen Welsh, through James E. Gorman 102 40 (Year ending 28 February, 1906.) Robert P. de Silver $1007 00 (Year ending 28 February, 1907.) James Henry Askin Brooks ^jjp 00 Julia Byrnes, through Mrs. Catharine Finley, Executrix 420 37 Matthew Dittman, through Frederick J. Breitinger 95 00 (Year ending 29 February, 1908.) Mary Fry, through D. Horace Schall J, 90 00 26 REPORT OF WHITE HAVEN SANATORIUM. March, 1901 to February, 1902. In Sanatorium less than one week In Sanatorium one week and less than one month In Sanatorium one month and less than three months In Sanatorium over three months Total Patients admitted during present year 18 13 17 29 77 Diagnosis : Infiltration without softening . . . Infiltration with softening CaTities 9 8 I 6 7 8 9 8 18 3 31 4o.2S5( 4a 54-5ili Patients remaining at end of year . 6 27 33 Patients discharged during year . . 18 40.9^ 13 29-5?^ 11 25^ 2 4-54^ 44 100^ Result in discharged cases who remained longer than one week . Disease arrested Much improved Improved 13 XX 3 IX* 2 3 3 3 3 3 26 8j( 5 20^ 14 56^ 4 16^ Not improved , , Died Gain in weight of discharged cases remaining longer than one week . Total Gain, 73 lbs. Aver. " 5-6i " Total Gain, 95.5 lbs Aver. Gain. 10 patients, 9.55 " Total Gain, 35.5 lbs. Aver. " 17.7s " Total Gain, 204 lbs. Aver. " 8.16 " *One Case has no record of result. Readmission REPORT OF WHITE HAVEN SANATORIUM. March, 1902 to February, 1903. In Sanatorium less than one week In Sanatorium one week and less than one mouth In Sanatorium one month and less than three months In Sanatorium over three months Total Patients remaining from previous year 6 27 33 -j Patients admitted during present year . 37 3'* 55 135 258) Diagnosis : Infiltration without softening . . . Infiltration with softening Cavities x6 »9 2 17 12 I 29 25 7 48 102 X2 "0 37-93!' 158 54.49^ 22 7.58^ Patients remaining at end of year . . z 3 '7 7J 93 Patients discharged during year . . 36 x8.o8^ 28 1 14.07^ 44 22.i)( 91 46i< 199 100^ Result in discharged cases who remained longer than one week . . 27 '7 8 a 44 1 10 7 '9 5 X 91 33 "5 M 6 2 162 43 «6.98j< 32 20.12)( 60 37-73^ 19 11.91^ 5 3-20^ Much improved Died Gain in weight of discharged cases rcmainmg longer than one week . Total Gain, 1x3 lbs. Aver, ** 4.17 '• Total Gain, 479.23 lbs. Aver. " 11.4X " Total Gain, 1797.75 lbs. Aver. " X9.7S *' Total Gain, 2390 lbs. Aver. " 15 " *One Case— Not tuberculous. f One Case has no record of result. Readmission. $Two Cases have no record of result. ReadmUsions 27 REPORT OF WHITE HAVEN SANATORIUM. March, 1903 to February, 1904. In Sanatorium less than one week In Sanatorium one week and less than one month In Sanatorium one month and less than three months In Sanatorium more than three months Total Patients remaming from prerious year I 3 17 71 93 \ SI6 Patients admitted during present year 49 Sa 149 174 I 424 ' Diagnosis : Infiltration without softening . . . Infiltration with softening 14 33 3 14 3S 6 so MS II 7' IS9 15 149 28.87J( 333 64.35)« 35 6.78)( Patients remaining at end of present year . . - 13 88 100 Patients discharged during year . . 50 za.oi^ 55 n-^ "54 37-oi^ 157 37.76^ 416 100^ Result in discharged cases who remained longer than one week . . Disease arrested Much improved Improved Not improved . Died 55 33 az I 154 5 57 77 14 I 157 34 68 47 8 366 59 "-fiSX '35 34-13^ 157 43-09)' 43 "•7)< 3 .57* Gain in weight of discharged patients remaining longer than one week Total Gain, aoo.79 lbs. Aver. " 3.6s " Toul Gain, 1766.7s lbs. Aver. " 11.47 " Toul Gain, 3898.7s lbs. Aver. " 18.46 " Total Gain, 4866.29 lbs. Aver. " 13.39 " REPORT OF WHITE HAVEN SANATORIUM. March, 1904 to February, 1905. In Sanatorium less than one week In Sanatorium more than one week and less than one month In Sanatorium one month and less than three months In Sanatorium over three months Total Patients remaining from previous year , . . . _ 13 88 100 ■) 308 J Patients admitted during present year 14 39 70 195 Diagnosis : (z) Cases with infiltration of one lobe without softening (3) Cases with, infiltration of one or more lobes on one side with soften- ing or with infiltration of one lobe in each lung without softening . . (3) Cases with infiltration of one or more lobes with softening .... (4) Cases with cavity formation . . 3 9 10 6 4 17 33 19 13 57 101 105 20 8s ao.83)( 151 37-0O* 134 32.84* 38 9-31* Patients remaining at end of year . >9 95 114 Patients discharged during year . . 14 4.7«f« 39 9.86^ 63 3i.42J( 188 63.91* 294 100* Result in discharged cases who remained longer than one week , Disease arrested Much improved Improved Not improved Died •9 33 7 63 7 IS 33 8 1 188 zoo S3 »9 7 280 107 38.31* 67 23.92* 83 39.32* 32 7.85* .35* Gain in weight of discharged cases remaining longer than one week . Total Gain, zo8 lbs. Aver. " 3.73 lbs. Total Gain, 637.35 lbs. Aver, " 10.11 lbs. Total Gain. 3068.35 lbs. Aver. " 16.31 lbs. Total Gain, 3813.50 lbs. Aver. '• 13.61 lbs. 28 REPORT OF WHITE HAVEN SANATORIUM. March, 1905 to February, 1906. In Sanatorium less than one week. In Sanatorium more than one week and less than one month In Sanatorium one month and less than three months In Sanatorium over three months Total Patients remaining from previous yew 19 95 XX4 Patients admitted during present year ... ..... 16 55 116 339 > 540 426. Diagnosis : (x) Cases with infiltration of one lobe without softening (3) Cases with infiltration of one or more lobes on one side, with softening orinfiltrationof one lobe in each lung without softening . . (3) Cases with infiltration of one or more lobes with softening .... (4) Cases with cavity formation . . • 3 7 4 9 IX 23 33 36 40 36 70 98 XOI 65 107 X9.82^ 146 37.04^ 159 »9-44!< 128 23.705^ Patients remaining at end of year 5 as 106 136 Patients discharged during year . . 16 3.96S« 50 n.37i< no 27.23^ 228 56.43i< 404 100^ Result in discharged cases who remained longer than one week . . 50 3« 14 110 9 "4 68 9 338 '39 55 3' 3 X 388 X48 38.X4J< 79 ^36^ 13s 3476^ •S 6-44i« I .26!< Much improved Improved Not improved Died Gain in weight of discharged cases remaining longer than one week. Total Gain, 197.35 lbs. Aver. " 3.94 " Total Gain, X109.50 lbs. Aver. " J0.086 " Total Gain, 3994.7s lbs. Aver. " X7.50 " Total Gain, 5301.5 lbs. Aver. " 13.66 " REPORT OF WHITE HAVEN SANATORIUM. March, 1906 to February, 1907. In Sanatorium less than one week In Sanatorium one week and less Chan one month In Sanatorium one month and less than three months In Sanatorium over three months Total Patients remaining from previous year 5 as 106 136 1 Patients admitted during present 2Z 98 166 330 61s ) Diagnosis : (i) Cases with infiltration of one lobe without softening (z) Cases with infiltration of one or more lobes on one side with soften- ing or with infiltration of one lobe In each lung without softening , . (3) Cases with infiltration of one or more lobes of both lungs with z 8 5 7 IS 84 26 38 3« 43 54 6S 8a 130 X39 97 "6 i6.77)< 304 37.i7!< 2x4 38.49{< 207 "7-57!< (4) Cases with cavity formation . . Patients remaining at end of year . . 4 42 "7 X63 Patients discharged during year . . ar 3.57^ 99 '6-83^ 149 25.34S£ 319 54-=5i< 588 IOO)« Result in discharged cases who re- mained longer than one week . . 99 63 35 3 »49 7 3Z 96 20 5 319 xso 79 77 X3 X 567 X57 '7-6^ xoo I7.63!< =35 41-44^ 67 xx.8ij< 8 ,.41^ Died Gain in weight of discharged cases remaining longer than one week . Total Gain, 388.50 lbs. Aver. " 3.92 " Total Gain, 1347.35 lbs. Aver. " 9.04 " Total Gain, 5097 lbs. Aver. " X5.97 " Total Gain, 683:^ lbs. Aver. " xa.os '■ 29 REPORT OF WHITE HAVEN SANATORIUM. March, 1907 to February, 1908. In Sanatorium less than one week In Sanatorium more than one week and less than one month In Sanatorium more than one month and less than three months In Sanatorium over three months Total Patients remaining from previous year 7 33 69 54 163 1 V 802 *642j Patients admitted during present year . 31 104 S02 315 Diagnosis : (i) Cases with infiltration of one lobe without softening . . (2) Cases with infiltration of one or more lobes with softening or with infiltration of one lobe in each lung without softening . . . (3) Cases with infiltration of one or more lobes with softening .... {4) Cases with cavity formation . . 3 6 9 10 28 29 60 58 69 46 98 81 90 68 130 170 2I.I9)< 194 24.185* 140 17.45* 298 37.isj( Patients remaining at end of year II 47 53 83 199 Patients discharged during year 17 a.8i^ 87 i3.769( 217 35-9^ 283 46.76;^ 603 Result in discharged cases remain- ing longer than one week .... Disease arrested Much improved Improved Not improved Died 87 S4 30 3 217 4 27 .36 49 I 2S2 96 69 92 23 2 586 100 z7.o6j< 96 i6.38i< 282 48.66* 102 17.40* 6 1.02* Gain in weight of discharged cases remaining longer than one week . Total Gain, 291.45 lbs. Aver. " 3.35 " Total Gain, 2178.75 lbs. Aver. " 10.04 " Total Gain, 4371 lbs. Aver. " 15.50 " Total Gain, 6698.75 lbs. Aver. " 11.43 " ♦ Three Non-Tuberculous. 30 The Free Hospital for Poor Consumptives AND White Haven Sanatorium Association PATIENTS ADMITTED TO-DAY 190 Male Department General Sanatorium No. 2 Department GS - .2 _ To Occur r GS 1 No. VACANCIES Female DepBrtment General Sanatorium No. 2 Department GS — No. 2 — To Occur Free Bedi Occupied - • SUPT. Admit :-i From VISITOR'S CARD M Until Superintendent. 31 INVENTORY White: Havein Sanatorium Free Hospital for Poor Consumptives. MONTH OF- 190. Contents of Buildings. Altar, Barrels, Basins, Baskets, Barometers, Bath-robes, Beds, iron. Bed Rests, Bed Pans, china, " " agate. Bench, Blankets, red, " gray, blue, " white. Bolsters, Book Case, Buckets, galvanized, " wood. Brooms, Brushes, scrubbing, " dust, " toilet, " wall, " floor. Bureau, Butter Chips, Candles, Castors, Chambers, Chairs, straight, " steamer, " rocking, " dining. Chiffoniers, Christmas Tree Trimmings, Clothes Tree, Clothes Pins, Comfortable, Cradle, Cups, enameled, " china. Curtains, muslin. Dinner Carrier, Dipper, quart, Dish Pan, Dishes, side, " vegetable, Dressers, Dust Pan, Files, chart. Fountain Syringe, Forks, Germery, Glass Tumblers, REMARKS 32 COTTAGES WITH KIOSK Wi r / y- , ,.' -^r ^iifc-'^-' ' - --, ^fe/ ^»w^ ' >^i\ ;^._. . % a^ Wm^ " -'mSk MB ^d^ 1 i ^ 1,11,-^ ^1 i§ ^^^ TENTS AND SHACK AND PAVILION Hamper, Hammer, Hatchet, Hymnals, Ice Caps, Ice Bags, Ice Chest, Ice Pick, Ink, black, " red. Irons, Iron Handles, Ironing Board, Knives, Laundry Bag, Lifter, Lye, Machine, Hotchkiss, No. 2 Staple, Mats, rubber, " rope, " cocoa, " bath. Mattresses, Mirrors, Mop Handles, Organ, Pads, Pans, sauce, " tin. Pails, chamber. Pen Holders, Piano, Pictures, Pillows, feather, hair. Pillow Cases, Pitchers, agate, large, " " small, " china, large, small. Plates, soup, " dinner. Poker, large, " small, Quilt, Rubber Blanket, " Cushions, Saucers, Scales, Screen, Shawls, Shades, window. Shakers, salt, pepper. Sheets, Shovels, coal, large, " " small. Soap, Ivory, " Sand, " Bon-Ami, REMARKS ?3 Spreads, bed, Soap Dish, rubber. Spider, Sponge, Sputum Cup Frames, Sprayer, Springs, Sprinkling Cans, Steamer Hugs, Stool, Organ, " Piano, Stove, Sugar Bowl, Tables, dining, " fancy, " folding, side, Tablespoons, Teaspoons, Tea Kettle, Thermometers, Towels, dish, buck, " Turkish, large, " " small Toilet Set, Trays, agate, tin. Tray Stand, Vestments, Wash Board, Tub, " Stand, " Rags, JBoilers, "Water Bottle, hot. Window Pole, Wringers, mop. Drug Inventory — Cottage. Acetanilid Comp. Tablets, Adhesive Plaster, Alcohol, grain, " wood, " and Pishberries, Alk. Gentian Mixture, Ammonia, Antiphlogistine, Aromatic Spts. Ammonia, Bandages, Bandage Scissors, Bichloride Mercury Sol. Boric Acid, powdered. Bromide gr. xx to fl. dr. Bulb Syringe, Calomel, " and Soda, gr. ^, Cascara Sagrada Fl. Ex., Canthos Plaster, Caustic Potash, Sol. Carbolic Acid, pure. Cotton, Creosote, Creolin, Cupping Glasses, REMARKS 34 Dobell's Sol., Epsom Salts, Forceps, Formalin, Fowler's Sol., Gargle, Gauze, Glycerine, Glass Syringe, Tubes, " Douche Nozzles, Hoffman's Anodyne, Ichthyol Oint., Iodine and Glycerine, Lead, Water and Laudanum, Lime Water, Medicine Glasses, Droppers, Mustard Plasters, Nitro Glycerine Tab. gr. -^^, Oil, Olive, " Castor, " Burophen, " Iodized, Paregoric, Peroxide of Hydrogen, Regular Cough Mixture, Tonic, " " and Gleno, " " " Gentian, Soda Borax, Sod. Phosp., Strych., Sulph. gr. ^\, If it i< X Sweet Spirits of Nitre, Tr. Digitalis, Tr. Iodine, Tr. Nux Vomica, Thermometer Glasses, Turpentine, Vaseline, Witch Hazel, Zinc Oxide Oint, NUMBER REMARKS 86 INVENTORY White: Havbn Sanatorium OF' TH E Free Hospital for Poor Consumptives. MONTH OF-.. .1 SO.. Dishes. Bowls, gravy. Bread and Butter Plates, col.. Breakfast Plates, white, col., Cereal Dishes, col.. Coffee Pots, Indv., Cups, enameled, " tea, white, " col.. Dessert Dishes, white, col.. Egg Cups, Porks, hone handle, carving, bone handle, " silver. Knives, bone handle, " carving, " silver. Ladles, Pails, soup. Platters, individual, white, " large, white, " " col.. Plates, butter, white, individual, " dinner, white, " breakfast, white, dinner, col., " breakfast, col.. Pitchers, white, 1 qt., " li Pt., " " enameled, " " individual, " colored. Salt and Pepper Shakers, Saucers, white, " col.. Soup Plates, white, col.. Spoons, table, silver, " tea " Sugar Bowls, white, large, " " " individual, " " colored. Trays, agate, " galvanized, " tin, " wooden, for silverware. Vinegar Cruets, REMARKS Kitchen. Block Scraper, Brush, Meat, Boilers, coffee, " copper, double. Bread Cutter, Broiler, Brush, puree. Cake Tins, Can Openers, Chairs, Chinese Caps, Chopping Bowl, Cleaver, Closet, Coffee Pots, tin, " agate, Collander, Coal Scuttle, Dipper, Dredges, Dust Pans, Egg Beaters, Funnel, Forks, iron. Freezer, ice cream, Fryer, Garbage Can, Grater, Ice Picks, Knives, butter. paring, " chopping. Ladles, Muffin Tins, hook, cutter, Pans, sauce, copper, tin, " egg, frying, roasting, Parers, apple, " potato. Potato Masher, Pots, agate. Pot Cleaner, Rolling Pin, NUMBER REMARKS 87 Saw, meat. Sieve, " puree, Slaw Cutter, Spoons, iron, " wooden. Squeezer, lemon. Tables, Thermometer, Turner, cake. REMARKS 88 INVENTORY White Havein Sanatorium OF -THE Free Hospital for Poor Consumptives. MONTH OF-.. ...1 eo.. Drug Room. Acetanilid, Acetozone, " Inhalant, Acid, Boric, Adhesive Plaster, Alkaline Gent. Mixture, Alum, Ammonia Water, Ammonium Chloride, Antiphlogistlne, Aspirin, Alcohol, wood, " grain, lamp and stand, Bandages, Blank Nipples, Boxes, wooden. Bottles, 6 oz., " quart, Bichlor. Mercury, Bismuth Subnitrate, Boracetanel, Brandy, Breast Pump, Bunyon Plasters, Canthos Plaster, Calomel, Camphorated Oil, Carbolic Acid, Chloroform, Chromic Acid, Cotton, Corks, " Screw, Creolin, Creosote, Dobell's Sol., Elixir Calisaya, " Triple, Terpin Hydrate with heroin, Envelopes, Drug, Essence Pepsin, Europhen, Evaporating Dish, Pagusol, F. B. Cascara Sag., F. E. Ergot, F. E. Cocillana, Filter Paper, Formalin, Fountain Syringe, Fowler's Sol., REMARKS 39 Gauze, sterile, Gelatin, Glycerine, Glycerotannin, Glass Funnel, Goulard's Extract, Graduate, 4 oz., 16 oz., 60 m., Gualacol, Hoffman's Anodyne, Hot Water Bottles, Ice Caps, Infusion Digitalis, Iodine, crystals. Iodoform, " gauze. Labels, Lamp Black, Lanolin, Laudanum and Lead Water, Listerine, Magnesium Sulphate, Medicine Droppers, Glasses, Mortar and Pestle, large, small. Mustard Plasters, Nitrate Silver, Oiled Silk, Oil, Castor, " Europhen, " Arnicated, " Cottonseed, " Rubbing, " Olive, Ointment, Yellow Oxide Mercury, Zinc Oxide, Ichthyol 30%, Sulphur, Paraffin, Paste Brush, Petrolatum, Peptonizing Tubes, Peroxide Hydrogen, Pills, Cascara Sag., " A. B. & S., " Blaud, " Strych. Sulph., gr. yJ^, " " ■' 1 Quinine Sulph. gr. ^^, Pill Boxes, " Tile, Plaster Paris, Potas. Cyanide, " Bromide, " Permangan, NUMBER REMARKS 40 Laboratory. Acid, Acetic, " glacial, " " solution, " Carbolic, Sol. 5%, " Hydrochloric, " Nitric, " Sulphuric, Sol. 25%, Albuminometer, Alcohol, 95%, NUMBER REMARKS 40%. Wood, " Lamps, Aniline, Gentian Violet Sol., Oil, Aqua Ammonia, " Destillata, Baskets, Books, Abbott's Bacteriology, " LeSmann's Milk Analysis, " Mallory & Wright Path. Tech. " Russel "Dairy Bacteriology," " Simon "Clinical Diagnosis," Beaker, Bell Jars, Blood Counting Apparatus, Zeiss, Bucket, Canada Balsam, Carbol Fuchsin, Caustic Potash, Saturated Solution, Cedar Oil, " " Container, Centrifuge, " Tubes, Cover Glasses, No. 1, " " Forceps, Eosin, yellow. Ether, Fehlings Alkaline Sol., " Copper Sol., Filter Paper, coarse, " fine, Fuchsin, " saturated alcoholic solution, Funnels, glass. Glass Graduates, 250 c.c, 120 C.C., 60 c.c, 5 C.C., " Plates, Gentian Violet, sat. alcoholic sol.. Gram's Sol., Haematokrit, Haemoglobinometer, Hames' Sol., Heating Rack, Japanese Lena Paper, Knife, silver-plated. 41 Liquor Potassae, Litmus Paper, blue, " red, Medicine Droppers, Methyllne, blue, " " sat. aqueous sol., Microscope, Bausch & Lomb, with objectives f, I and j\, eye pieces. No. 1 and No. 2, Abbe condenser, smoked eye piece and cedar oil container, con- Queens, with objectives f, ^ and eye piece No. 1, Abbe denser. Normal Salt Sol., Petri Dishes, Picric Acid Solution, Pipettes, 50 c.c, 20 cc, 10 CO., " 5 c.c, 1 c.c. Platinum Loops, Potassium Ferro Cyanide 10% Sol. Reagent Bottles, Shelf, Scales, Apothecary's, with weights of 1 cm. to 10 gms. and i gr. to 2 drams. Shelves, white pine. Slide Forceps, Slides, glass, Soap Rack, Sodium, Nitrate Sol. 5%, Specimen Bottles, " Jars, Stain Bottles, Stethoscope, Stools, Sulphanilic Acid Sol., Teasing Needle, Test Tube, " " Cleaner, " Holder, " Rack, " Glass, Tumblers, glass, Urinometers, " with Centigrade Thermometer, Xylol, 400 cc, "Wash Bottles, Wright's, Blood Stain, REMARKS 42 Reg. Cough Mixture, " Gargle, " Pancreatln Mixture, " Spray, " Tonic with Gent., Rubber Cushion, Salol, Scales, Sodium Bicarb., " Borate, " Carbonate, " Bromide, " Phosphate, " Salicylate, " Sulphate, Sol. Cocaine, 2%, " Caustic Potash, " Bichlor. Mercury, Spirits Ammonia, Aromatic, " Camphor, Glonoin, " Nitre, " Peppermint, Spatula, Sulphuric Ether, Tablet, Calomel and Soda gr. ^^, S^- Ton Atropin Sulpb. gr. ^-J^, " Dover's Powder, gr. v., " Nitroglycerine, gr. yj^, " Hypoderm Codeine S. gr. i " Potass. Chlor. gr., Strych. Sulph. gr. ^^, It J 1 < < h a X 8) I ■*» 1— ( 111 69 ^ &; ^ u (E II i ^3 J. 'I 111 Os ^ I l« O H s its fk 111 > I— H O < ^ iL C Z > J < t K is. a 1 g 3 s (D s Z ^o rO q: Q. H I— I ^ ^ I 111 u c u I h o I § I •hi 8 •a n I H •a •s s •Q I O B O •« ««« I. « a. 1 •a o V « H a •a t o O B o "a T s §^ Si 52 LAWRKNCE F. FLICK* M. !>•, FRESIOENT T38 PINB STBBET. PHUiADBLPHIA. XIDWARD A. MILX.AR, TRBASURBII 404 "WAliNUT BTBBBT, PIIII.ADBI.PBIA AJLBXANDER ARMSTRONG, M. !>., SVPT. W^HXTB SAVBN SATf ATORIUM PHILADELPHIA. OFFICE a04 SOUTH 7th strbkt White Haven Sanatorium OF The Free Hospital for Poor Consumptives OiXOANlZBD 180S INCORFORA.TBD 169T W^HiTE Haven, Pa.,- -190 ML To WHITE HAVEN SANATORIUM, Dr. Make Check Payable to Alexander Armstrong, 1*1. D., Supt. LAWRENCE F. FLICK, M. D., PRESIDENT 738 Pine Street, Philadelphia EDWARD A. MILLAR, Treasurer ♦04 Walnut Street, Philadelphia ALEXANDER ARMSTRONG, M. D., SuPT. White Haven Sanatorium PHILADELPHIA OFFICE 204 South 7th Street White Haven Sanatorium The Free Hospital for Poor Consumptives ORGANIZED 1895 INCORPORATED 1897 WHITE HA VEN, PA ., WHITE HAVEN SANATORIUM, To DEPARTMENT OF CONSTRUCTION, Dr. 190 53 LAWRENCE F. FLICK, M. D., President 738 Pine Street, Philadelphia EDWARD A. MILLAR, Treasurer 404 Walnut Street, Philadelphia ALEXANDER ARMSTRONG, M. D., SuPT. White Haven Sanatorium PHILADELPHIA OFFICE 204 South 7th Street White Haven Sanatorium The Free hospital for poor consumptives ORGANIZED 1895 INCORPORATED 1897 WHITE HAVEN, PA., 190 WHITE HAVEN SANATORIUM, To FARM DEPARTMENT, Dr. LAWRENCE F. FLICK, M. D., PRESIDENT 788 Pine Street, Philadelphia EDWARD A. MILLAR, Treasurer 404 Walnut Street, Philadelphia ALEXANDER ARMSTRONQ, M. D., SuPT. White Haven Sanatorium PHILADELPHIA OFFICE 204 South 7th Street White Haven Sanatorium The Free hospital for Poor consumptives ORGANIZED 1895 INCORPORATED 1897 WHITE HA VEN, PA., 190 WHITE HAVEN SANATORIUM, To poultry department, Dr. 54 Voucher No Check No.. QI1|? 3vu l|fla$ittal for focr dnttfiumpltu^a nnh W\\xU i^mtn Sattatonum Aaaoriatwn. To IVhite Haven Sanatorium, PVhite Haven, Pennsylvania,. Philadelphia Office, No. 204 South Seventh Street. Dr. Mdse. as per bill attached, Examined and Verified, ..For Committee on Buildings. ..For Committee on Property. .. For Committee on Medical Admin. ..For Committee on Contribution Boxes. .For Committee on Solicitors' Books. ..For Committee on Finance. Approved for payment : igo.. Chairman of the Auditing Committee. I hereby certify that the above goods have been received. Superintendent. igo Secretary. /90 Haven Sanatorium Association, in full for the above account. $ Received of The Free Hospital for Poor Consumptives and Wliite DOLLARS, 55 Voucher No IN FAVOR OF Date... Paid.. .igo.. ..jgo.. charge: to Beds and Bedding . Conveyance .... Dry Goods .... Eggs Fruit and Vegetables Fixtures Fuel . Furniture, etc. Groceries . Ice .... Interest . . Insurance . Laundry . Lighting . Meat . . . Milk . . . Painting . Printing and Stationery , Plumbing . Provisions . Preventive Measures . . Refund of Patients' Board Rent Repayment of Loans . . Supplies — Educational . Medical . . . Medical Equipment Surgical . . . Salaries — Matron, etc. . . Superintendent, Clerks, Physicians Wages . ... Farm Maintenance . Poultry Department Maintenance Repairs Department Maintenance Buildings Farm Buildings .... Chicken Farm Buildings Capital Account .... New Furniture . . . New Fixtures . . . New Medical Equipment Total etc, 56 MO]?^THLY STATEMEJ^T Rkobipts and Expenditures from Departments OF White Haven Sanatorium Month farm: Receipts — Hauling. Vegetables. Fruit. Eggs. Pigs. Firewood. Waste. Shale. Stones. Hay. Oats. Straw. Miscellaneous. Total Receipts. Expenditures — Equipment. Horses. Pigs. Chickens. Wagons. Plows. Harness. Buildings. Utensils. Implements. Machinery. Maintenance. Repairs and Replacements. Feed. Seed. Fertilizer. Labor. Salaries. Insurance. Board. Total Expenditures^ SEPTEMBER POULTRY FARM: Receipts. Eggs. Pullets. Hens. Cockerels. Fertilizer. Total Receipts. Expenditures. Equipment. Buildings. Machinery. Hens. Cockerels. Fence. Land. Roads. Maintenance. Feed. Salaries. Wages. Miscellaneous. Total Expenditures. OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY CONSTRUCTION AND REPAIRS: Receipts. Value of Repairs. " " Construction. " " Materials. Total Receipts. Expenditures. Equipment. Tools. Workhouses. Maintenance. Material. Salaries. Wages. Total Expenditures. 57 The Free Hospital for Poor Consumptives. Organized 1895. Incorporated 1897. Comparative Statement of Cash Receipts for the... ..months ending , during the past four years. Bequests Contribution Boxes. Donations Entertainments Dues : Membership. Contributorship . Donorship Friendship Patronage Interest on Bonds Interest on Deposit Refund Sales State Appropriation (Buildings) State Appropriation (Maintenance) Loans Total Comparative Financial Statement of Expenditures of Free Hospital for Poor Consumptives MONTH SEPTEMBER OCTOBER NOVEMBER Total Per Patient Per Day Total Per Patient Per Day Total Per Patient Per Day Beds and Bedding. Brooms and Brushes. Conveyance. Dry Goods. Eggs. Fruit and Vegetables. Fixtures. Fuel. Furniture, etc. Groceries. Ice. Interest. Insurance. Laundry. Lighting. Meat Milk. Painting. Printing, etc. Plumbing. Provisions. Preventive Measures. Repairs. Supplies, Farm. Educational. " Medical. " Medical Equipment. " Surgical. Salaries, Matron, etc. " Superintendent. " Clerks, etc. " Physicians. Wages. Total for Maintenance. Average gain in weight. Average No. Patients for Month. Days of Maintenance. Philadelphia Executive Office. Conveyance. Dry Goods. Painting. Printing and Stationery. Furniture and Furnishings. Rent. Salaries. Total. Recapitulation : White Haven Sanatorium Mainte- nance. Philadelphia Office Expenses. Total Maintenance. Capital Accoimt New Furniture, Fixtures, etc. Building Account. Repayment of Loans. Refund of Patients' Board. Egg Fund (Advanced). Total Expenditures, 59 No. Philada. 19 Name Residence Nativity OyH-j. i Given to ^^'^^^ } Mailed to Admitted to White Haven Sanatorium Left or Discliarged 19 UooTilt Disease Very Much icesuil Arrested Improved Much Improved Improved Not Improved Remarks WHITE Case No. FREE Date V. P. Date Left or Discharged . Days of Treatment Weight on Admission Weight on Discharge Gain or Loss Stage Result Remarks BLUE BLUE PART PAY Case No. Date V. P. BED Case No. NO, ic Date V. P. Date Left or Discharged . Days of Treatment "Weight on Admission Weight on Discharge Gain or Loss Stage Result Remarks BED Date Left or Discharged . Days of Treatment ■Weight on Admission Weight on Discharge Gain or Less Stage Result Remarks Case No Notice OlKn . Departara 60 Subscription of M.. .190 Lawbhnob p. Flick, M. D., President, Miss Hblbs 0. MoDbvitt, Secretary, Edwabd A. Millae, Treasurer, 788 Pme Street, Philadelphia. 708 Witherspoon Building, Philadelphia. 404 Walnut Street, Philadelphia. Subscription to The Free Hospital for Poor Consumptives I, the under signed^ being in sympathy with the object of The Free Hospital for Poor Consumptives, do hereby agree to subscribe the sum of. Dollars. Finance Committee: Edwabd A. Millab, Chairman, Name 404 Walnut St., Phila. Sahubl Oastnek, Je. Bbsjamim Wolf M. S. Kkmmbebe Theodokk A. Taok AadreSS Received payment Date For The Free Sospital for Poor Consumptives. Make checks payable to The Free Hospital for Poor Consumptives or The Continental Title and Trust Company or Edward A. Millar, Treasurer. The Free Hospital for Poor Consumptives LAWRENCE F. FLICK, M. D., President, 738 Pine Street. MISS HELEN McDEVITT, Secretary, 708 Witherspoon Buildinq. EDWARD A. MILLAR, Treasurer, 404 Walnut Street. ORGANIZED 1895, Incorporated 1697. Philadelphia, 190 I beg to acknowledge the receipt of your contribution of sent to The Free Hospital for Poor Consumptives. I thank you in the name of our Corporation for your generous interest in the work for the consumptive poor. Very truly yours, THE FREE HOSPITAL FOR POOR CONSUMPTIVES AND WHITE HAVEN SANATORIUM ASSOCIATION. The monthly meeting of the Board of Managers of The Free Hospital for Poor Consumptives and White Haven Sanatorium Association will be held on Friday, at 3 P. M., at the office of the Corporation, 204- South Seventh Street, Philadelphia. Secretary. You have been present at. meetings this year. You have been absent from meetings this year. 61 LOANED BY JUNIOR AUXILIARY NO OF THE Free Hospital for Poor Consumptives and White Haven Sanatorium Association VI c c ftj ^ 190 The Ladies' e4uxilUry Committee halfe received an offering from M. - of - FOR THE BENEFIT OF THE White Haven Sanatorium OF THE Free Hospital for Poor Consumptives Of the CITY OF PHILADELPHIA Solicitor. _ To ^, of the Treasurer of Auxiliary JVo Free Hospital for Poor Consumptives. Please enroll me as ^ ^^PPorting ^ an Associate ber of Auxiliary Jfo Enclosed please find '^^^ DM(^^ ^^ payment of dues for one year. Date- 62 Junior Auxiliary No. 1 § of the < Free Hospital for Poor Consumptives (!) Z Name, J ^ Parent, _ Address, Q Treasurer 25c. "Redeem thou thy sins with alms, and thy iniquities with works ofmercy to the poor."— Danieliv, 34. 1900 M has made an Annual Offering of FOR THE SUPPORT OF THE Free Hospital for Poor Consumptives. Solicitor, "See what you possess and give alms. Make to yourselves ... a treasure in heaven, which faileth not" — Luke xii, 33. 63 SUBSCRIPTION CARD FOR MEMBERS' LIST-9S PER YEAR PHILA. SUBS. REC'D THROUGH SUBSCRIPTION CARD FOR CONTRIBUTORS' LIST— $10 PER YEAR PHILA. SUBS. REC'D THROUGH SUBSCRIPTION CARD FOR DONORS' LIST-$25 PER YEAR PHILA. ADDRESS SUBS. REC'D THROUGH 64 -•"■-toifes^^StivS -^' 1^ SHACK (LatestTModel) SHACK OF DEPARTMENT No. 2 FOR ADVANCED CASES SUBSCRIPTION CARD FOR FRIENDS' LIST-JSO PER YEAR PHILA. ADDRESS SUBS. REC'D THROUGH SUBSCRIPTION CARD FOR PATRONS* LIST-9100 PER YEAR PHILA. 19 NAME ADDRESS SUBS. REC'D THROUGH 65 Christmas Offering FOR THE White Haven Sanatorium OF THE FREE HOSPITAL FOR POOR CONSUMPTIVES EASTER OFFERING FOR THE While Haven Sanatorium OF THE FREE HOSPITAL FOR POOR CONSUMPTIVES PENNSYLVANIA R. R. RBPUSBS TO RBDEBM TICKETS PUT IN THESE BOXES. Pounded February 21, 1895. Incorporated December, 1897. Will You Help to Pay the Debt OF THE FREE HOSPITAL FOR POOR CONSUMPTIVES AND White Haven Sanatorium Association? Amounts Collected each Month Board of Managers LAWRENCE F. FLICK, M. D., 738 Pine St. LOUIS GERSTLEY, 226 South Front St. M. S. KEMMERER, Miuch Chunk, Pa. CHARLES W. WELSH. 400 Chestnut St. EDWARD A. MILLAR, 404 Walnut St. JAMES M. WILLCOX, Esq., Phlla. Saving Fund, 700 Walnut St. TALCOn WILLIAMS, LL. D., 916 Pine St. Dr. CHARLES J. HATFIELD, 2008 Walnut St. DR. 0. J. MCCARTHY, 1329 Spruce Street. DR. JOSEPH WALSH, 732 Pine Street. DR. W. 8. STANTON, 732 Pine Street. R. GEORGE BUCHANAN, 604 West End Trust Building. RICHARD H. HARTE, M. D., 1603 Spruce St. JOHN F. CRAIG, 143 South Front St. JOSEPH M. ENGEL, 4704 Chester Avenue. Official Secretary MISS HELEN C. McDEVITT, 204 South Seventh St., Philadelphia. MONTH AMOUNT 67 BLANK FORMS USED IN MEDICAL ADMINISTRATION 68 WHITE HAVEN SANATORIUM or The Free Hospital for Poor Consumptives Philadelphia, Dr. Please examine the hcztct M for admission to White Haven Sanatorium, and send report to this office for regfistration. All reports of examinations of patients wfaether suitable or unsuitable for admission must be sent to the Philadelphia office, 204 South Seventh Streets Philadelphia. Rules for Free Hospital for Poor Consumptives and White Haven Sanatorium Association 1. Patients from Philadelphia must take tickets for White Haven on the Lehigh Valley Railroad. The cost of these tickets is two dollars and thirty cents ($2.30). Patients must take the train leaving Reading Terminal Station, Twelfth and Market Streets, at 8.30 a.m. Patients living outside of Philadelphia are requested to notify the Superintendent at the Sanatorium of the hour or arrival of their train at White Haven, so that they may be met on their arrival there. Patients must always take an early morning train to White Haven. All admis- sions are subject to the approval of the visiting physician. 2. A patient will not be admitted to the Sanatorium unless return fare or ticket be deposited on admission. The Superintendent will not be responsible for money or other valuables which have not been deposited with him. 3. Before going to the Sanatorium, patients are advised to provide themselves with sufficient warm clothing and with overshoes, though trunks and unnecessary baggage should not be taken, since storage room is limited, and patients cannot be allowed access to them. 4. All patients traveling to and from the Sanatorium should provide themselves with a sputum cup and a private drinking cup. 5. A certificate of successful vaccination within five years, must be presented on admission to the Sanatorium. 6. Any patient leaving the institution without permission will be discharged, and cannot be re-admitted. 7. Visitors to patients are admitted on Wednesdays and Saturdays from i to 3 p.m., But while at the institution they must conform strictly to the restrictions as to length of stay, etc., imposed by the Superintendent. Each patient is permitted to have two visitors a week. 8. All packages sent to patients must first be inspected by the Superintendent. Patients are not permitted to receive eatables from the outside, excepting fresh fruit, nor to take drugs excepting those ordered by the visiting or resident physician. 9. Patients are not permitted to use tobacco in any form while at the institution, nor alcoholic stimulants. A breach of this rule will be considered sufficient ground for dismissal. 10. Patients must bathe to the waist every morning, and take a warm bath once a week, and must invariably wash hands and face before meals. 11. To prevent the spread of contagion all patients are required to exercise the greatest care with regard to expectoration (or spitting). They must spit into the cups provided for the purpose, which they must carry with them at all times. Paper napkins provided to be used as handkerchiefs must be put into paper bags given to the patients, which twice daily are collected and burned. For their own pro- tection patients are cautioned against swallowing their sputum. 12. Obscene or profane language will not be tolerated. Patients are forbidden to dis- cuss their own symptoms. Loud talking, arguments, etc., likewise are not allowed. , 13. Patients who are considered well enough will be permitted to go to church on Sundays, if they so desire, but they must return to the Sanatorium after church without delay. 14. Patients physically able to do work about the Sanatorium will have certain daily tasks assigned them. When not at work patients must be resting in their own easy chairs and must not stroll about the place. No exercise is to be taken unless ordered. Any one leaving the premises without permission will be dis- missed. 15. All are required to drink three quarts of milk and to take six raw eggs daily, to be out in the fresh air all day, and to sleep with the windows open all night. No one is allowed to close windows or doors except the orderly in charge. 16. Patients are required to give one week's notice before leaving the Sanatorium. 17. In addition to these rules all must conform to the dining- and bathing-room rules posted on the Bulletin Boards, and any new orders made from time to time. 18. As the arrest of consumption cannot be accomplished without discipline, patients are earnestly requested to comply strictly with all the rules and regulations. These have been made for their benefit and cannot be transgressed without injury. Be patient, cheerful and hopeful, and do not allow yourself to become depressed because you do not get well at once. By order of COMMITTEE ON MEDICAL ADMINISTRATION. 70 EXAMINATION BLANK Free Hospital for Poor Consumptives and White Haven Sanatorium Association Mo day, igo NAME AGE W. B. PRESENT OCCUPATION Occupation when dis. was contracted M. S. W. WHERE BORN ADDRESS Length of residence in Pennsylvania DIAGNOSIS SUITABLE FOR WHITE HAVEN SANATORIUM UNSUITABLE FOR WHITE HAVEN SANATORIUM Age. Living. Dead. F. M. B- S. Fam. Hist. If married — Health of Consort Prev. Dis. Pallor Cyanosis Emaciation Clubbed-fingers Duration of f "'=°''^- '° ='^'^'' °^ P*''^"* Pres. Illness I ^^^^j.^ ^^ j^j^^ ^^ ^^^^ ( accord, to patient First Symptom -I (, accord, to hist, and exam. First Haemoptysis How many Pain ( Temporary Hoarseness ■! (. Prolonged Cough, when most severe o . f Amount SP"""»{ Color _, f Noct. ^y=P°-l On Exertion T, . f No. of Movements daily Bowels ^ g„t,jggt to attacks of diarrhoea Sweats (Edema Organs and Tissues involved r Right > Lungs J Left , f Infiltration without softening » Stage of I ., ^itj. Disease ( Cavity formation „ ^ f Position of apex H«"'i Murmurs When Last Vaccinated Successfully ' Any association in home or 1 ■ s? i T. P. R. Height ft inch. Weight, Highest- Lowest Recent- Present Physical Signs work with consumptives ? Denote consolidation by shading; rales by large or small dots. Not working, how long ? When working, earnings per day If not working, whence support ? Detail family income FINANCIAL RESOURCES Savings, how much ? Sick benefits, how much ? How many to support ? Rent per month for self or family Impression of physician as to destitution Residence,.. Examining Physician. I Kindly note in writing amount of tissue involved * No tubercle bacilli in sputum. * If not successfully vaccinated within two years, must be vaccinated immediately after first examination. 71 Yoii are alternaie for next vsLcancy at White Haven Sanatorium. Kindly go at once to the office of Hours 9-10 a. m. for re-examinaiion. ^na ""' re-examination blank •which the physician tuill give you to this office on morning. If yoa are in suitable condition an order for admission tuill then be "1^^^- io you. Kindly notify me by return mail if you are not going, as ive have a long vtaiting-list and cannot keep 'bacancies unless tee hear from patients. 72 i n Tf«^I THE POWER HOUSE THE SCHOOL RE-EXAMINATION BLANK. Free Hospital for Poor Consumptives Ho Day. 190 Name Address.. What occupation since first examination ? How many hours work daily ? Present-symptoms Hoarseness Bowels CEdema Present weight? When last vaccinated ? T. P. R. Suitable For White Haven. Not Suitable Kesldence. Physical Signs Denote consolidation by shading ; rales by large or small dots. Examlnins Physician 73 Admission Card JVo. Philadelphia, 190- FREE HOSPITAL fOR POOR CONSUMPTIVES AND WHITE HAVEN SANATORIUM ASSOCIATION To White Haven Sanatorium, White Haven, Pa. Please adm,it bearer, M. of- — _ - Philadelphia, only on - - 204 S. Seventh Street. JVo... DlSCHflf^GE flOTICE. Mr.. was discharged 190-- from White Haven Sanatorium. For Sanatorium,. Please fill out, tear off at perforated line, and mall to Philadelphia Office. JVo. Rt>mSSIOfi ISiOTICE. Mr... was admitted to White Haven Sana- torium on 190-- For Sanatorium. Please fill out, tear off at perforated line, and mail to Philadelphia office. 74 No. Mblte Ibaven Sanatorium ot Zbc free "fcospttal for poot Consumptives. NjLMSi Addrbss HIJlQNOSXB Nativity Mo. Day, 190 Aam OOLOB VisiTiNO Physician iMTUBNSl Pbrsonai. .AirOKftTRAX. ROQ-NOSIS MABRinD Sbpabatss f FATORABZ.B1 < DOtJHTITOIi (.TJiirivoKii.t.11 HnFIlRRBlD BY KBSI7r,T Successive Occupations \ with Time of each / / Age Living Dead 1 p i\ M. Pi S. I B. \ S. If married, how loug Health of consort Tuberculosis in consort's family Children, how many living, Ages and Health, Children, how many dead, Ages and causes of death, Alcoholism in family, immediate or antecedent, Probable exposure to contagion. Prev. dis. and when Typhoid Malaria Pleurisy Pneumonia Influenza Tonsilitis Syphilis &>norrhea Rheumatism Small-pox Epilepsy Herpes Zoster Measles German Measles Chicken-pox Pertussis Scarlatina Diphtheria Mumps Rickets Marasmus Vaccination C accord, to patient Duration of pres. illness -j (.accord, to hist, and exam. First symptom {accord, to patient accord, to hist, and exam. First haemoptysis Pain Cough, when most severe How many Sputum ("Am. tcol. Dyspnoea . At night Lying down On exertion Hoarseness Temporary Prolonged Appetite Gastric disturb. Bowels ChUls f Night (. Slight exertion or emotion Edema Catamenia Leucorrhea Sweats 7b EXAMINATION Light ■ Cervical Height Complexion Dark .Red Glands ■{ Axillary t Inguinal Highest • f Bones Weight Ordinary I/Owest (recent) • When Disease -j ( Joints Present Other organs — a. Liver, palpation Tongue (outline on diagram Palate b. Spleen, palpable? Pharynx c. Thyroid Tonsils d. Kidneys ' Color e. Abdomen Eyes -{ P .5 npils .eflexes Sputum analysis Clubbed fingers Curved nails Fistula in Ano ; Ischiorectal abscess Spinal curvature Difference in depression above clavicles DiflFerence in atrophy of scapular muscles Urine analysis — React. Sp. gr. Alb. Sug. Diaz. Micro, exam. Accentuated J second sound 1^^,^^;^ Reduplication, f Functional Murmurs Organic ("Slight Arterio Sclerosis \ Moderate \ Marked HEART Apex beat Upper border Right " (Also ch&rt deep dulness ) Cardiac Rhythm. Thrills f Volume Pulse (.Tension Note any symptom or complication not previously noted as skin eruptions ; jaundice, phlebitis, tumors, gouty diathesis; indicate spinal curvature by black line on charts. 76 14 H u < ss o w CI t (3 o "3 o •s ct i ■4-i CO V «j Oi m o 77 DATE NOTES TREATMENT DIET 78 J{o Name. a I > 1 V u H u d H « u is < O m M § o O •s a o 4-1 03 to M iJ < O o r, w ■< III M 79 DIETARY OF THE SANATORIUM AS ARRANGED FOR ONE WEEK 80 'WHITE HAVEN SANATORIUM MENU rtATFl September 1, 1908 24 oz. Milk Maple Flake BKEAKFAST DINING KOOM Coffee 2 eggs Bread and butter 24 oz. Milk BREAKFAST INFIRMARIBS Coffee 2 eggs 24 oz. Milk 9 O'OriOOK LUNOH 1 egg Roast Beef Chow-Chow DINNER Split Pea Soup Bread and butter Boiled potatoes Stewed tomatoes Watermelon 4; O'OLOOK LiUNOH 24 oz. Milk 1 egg SUPPER DINING BOOM 24 OZ. Milk 2 eggs Bread and butter Sickel pears 24 OZ. Milk SUPPER INSTRKIABIZiS Crackers and Apple Sauce 2 eggs 81 WHITE HAVEN SANATORIUM MENU Tr>ATTg September 2, 1908 24 oz. Milk Oatmeal BREAKFAST DINING ROOM Coffee 2 eggs Bread and butter 24 oz. Milk BREAKFAST INFIRMABIBS Coffee 2 eggs 24 oz. Milk 9 O'CLOCK ltjnch: 1 egg Broiled Steak Corn on the Cob DINNER Split Pea Soup Tapioca Custard Boiled potatoes Bread and butter 24 oz. Milk 4 O'CLOCK LUNCH 1 egg 24 oz. Milk SUPPER SIITINQ ROOM Bread and butter 2 eggs Salmon 24 oz. Milk SUPPER INFIBMARimS Milk toast 2 eggs »? WHITE HAVEN SANATORIUM MENU •nATK September 3, 1908 24 oz. Milk Oatmeal BSmAJKFAST SINXNO- ROOM Coffee 2 eggs Bread and butter 24 oz. Milk BREAKFAST INnRMARIISS Coffee 2 eggs 24 oz. Milk 9 O'CLOCK tiXTNCH 1 egg Beef Stew Corn on the Cob DINNER Vegetable Soup Watermelon Boiled Sweet potatoes Bread and butter 4 O'CLOCK LUNCH I 24 oz. Milk 1 egg SUPPER DINING ROOM 24 oz. Milk Bread and butter 2 eggs Stewed prunes 24 oz. Milk SUPPER INFIKMARIES Cereal 2 eggs 83 W^HITE HAVEN SAIVATORIUM MENU BREAKFAST DINING ROOM 24 oz. Milk 2 eggs Coffee Bread and butter Oatmeal r»ATT<: September 4, 1908 24 oz. Milk BKKAKFAST INFIBMARIBS Coffee 2 eggs 24 oz. Milk 9 O'CLOCK tiTJNCH 1 egg Boiled sweet potatoes Bread and butter DINNER Oyster Stew Baked fish Sliced tomatoes Peaches 24 oz. Milk 4 O'CLOCK LUNCH 1 egg 24 oz. Milk SUPPER DINING ROOM Bread and butter 2 eggs Corn on the Cob 24 oz. Milk SUPPER INirlKMAKIISS Bread and butter Cheese and crackers 2 eggs 84 \^HITE HAVEN SANATORIUM MENU T>ATK September 5, 1908 24 oz. Milk Cream of Wheat BREAKFAST DINING ROOM Coffee 2 eggs Bread and butter 24 oz. Milk BREAKFAST INB-IRMARIES Coffee 2 eggs 24 oz. Milk 9 O'CLOCK LUNCH 1 egg DINNER Vegetable Soup Roast beef Pickled cabbage, D. R. Chow Chow, Inf. Bread and butter Boiled potatoes Corn on the Cob Bananas for patients Junket for employees 4 O'CLOCK? LUNCH 24 OZ. Milk 1 egg SUPPER DINING ROOM 24 OZ. Milk 2 eggs Bread and butter Apple Sauce SUPPER INFIRMARIES 24 OZ. Milk 2 eggs Hot Apple Sauce Maple Flake 85 W^HITE HAVEN SANATORIUM MENU T^ATTTC September 6, 1908 24 oz. Milk Oatmeal BREAKFAST DININ& KOOM Coffee 2 eggs Bread and butter 24 oz. Milk BREAKFAST INFIRMARIES Coffee 2 eggs 24 oz. Milk 9 O'CLOCK lirrNOH 1 egg DINNER Tomato Soup witli Rice Roast Lamb Sliced Tomatoes Bread and butter Sweet potatoes Corn on Cob Watermelon 24 oz. Milk 4 O'CLOCK LTJNCH 1 egg 24 oz. Milk Clieese StJFPKR DINING ROOM Bread and butter 2 eggs Apple Sauce 24 oz. Milk STJPPKR INFIKMA.BIBS Boiled Rice 2 eggs 86 M^HITE HAVEN SANATORIUM MENU HATK September 7, 1908 24 oz. Milk Oatmeal BREAKFAST DININQ ROOM Coffee 2 eggs Bread and Butter 24 oz. Milk BREAKFAST INI'IRUA.KIBS Coffee 2 eggs 24 oz. Milk 9 O'OIiOOK iliTTNOH 1 egg DINNER Mutton Broth with Spaghetti Lamb Stew with Sweet Potatoes (for Infirmaries) Beef Stew (D. R.) Boiled Potatoes Pepper Hash Lima Beans Bread and butter Bartlett Pears 4 O'CLOCK LUNCH 24 oz. Milk 1 egg SUPPER DININO ROOM 24 oz. Milk Bread and butter 2 eggs Baked Beans SUPPER INFIRSIiVRIIlS 24 oz. Milk Crackers 2 eggs Apple Sauce 87 ,0 a-: a O o, 0) (0 _i_ o . (0 o o I o (0 tb^ Ol \ \ \ i£ S LU s i-i Si A o ' "^ Vim A § 1 S 8 S o o O O A o o 8 § § T s 1 .^ B^ <^ 5' « ^ 5 ( 4 i ^ c 1 1 s 1 I 1 1 i t 1 > ■1 i? •ft. S •s 1 1 1 i 1 1 1 \ % 1 1 1, 1 1 1 1 t ■ 1 1 88 VIEW FROM LEHIGH RIVER WHITE HAVEN SANATORIUM of: the free hospital foIi poor, consumptives ^VEiaHT^CHART Name ^ -^.— ..= — ..._.^.^. Admitted. -190 formal Weigbt. Best Weight-— MONTH 1 Date 1 — 1 h — . — - — — t=^ 89 RECORD CHART WHITE HAVKN SANATORIUM C# 1 DATt TEMPERATURE MILK ECGS PULSE HOURS AT CURE WEIGHT BOWELS REMARKS A. M. P.M. . 90 RESIDENTS "REPORT Date, J90 NumDef patients visited in infirmaries Number patients examined in cottages and pavilion (bi-weekly), Number new cases examined with history - - — REMARKS: M.D. 91 RULES GOVERNING THE TABULATION OF CASES ON ADMISSION. 1. Cases with infiltration of one lobe without softening. 2. Cases with infiltration of one or more lobes on one side with softening. The presence of tubercle bacilli in sputum is evidence of softening. 3. Cases with infiltration of one or more lobes of both lungs with softening. 4. Cases with cavity formation. RULES GOVERNING THE TABULATION OF CASES ON DISCHARGE. 1. Patient has " disease arrested" when all symptoms of activity of disease have disappeared and the patient has worked eight hours a day for one month. 2. Patient is very much improved when symptoms of activity of disease have disappeared and patient has worked over four hours a day and less than eight hours a day. 3. Patient has improved when he has gained in weight and has worked one hour or more and less than four hours a day. 4. Patient has not improved when he has not worked one hour a day nor has gained weight. When patient is discharged with a result not in accord with the above, a special reason must be given by the attending physician. 92 White Haven Sanatorium of tlie Free Hospital for Poor Consumptives Daie Baildina 1 Number of Patienb Received Number of Patients Dischaised Number of Bed Patients Number of Patients G)nvalescent Number of Vacant Beds Total Number of Beds Number of Qts. of MUk consumed by Nurses Number of consumed by Nurses Number of Qu. of Milk consumed by Patients Number of consumed by Patients Number of Qu. of Milk consumed by Ejnployees Number of consumed by Employees Number of Qta. of Milk used in Kitchen Number of £888 used in Kitchen Number of Bad Egss Number of Visitors to Ward Nurse in Charge DIET WHITE HAVEN SLIP SANATORIUM IV > MIT. ■RWFIAKWASl'r T^PIRVf ATI-V TITNIWST' RT'^PPKR DATE- 190 RRSIDENT pnVSIClAN 93 WHITE HAVEN SANATORIUM Date. TABLE REPORT Table No. Report by.. Brealifast Dinner Supper Remarks D m o 5' 7 £. o M m TO s 1 ■o 3 n O n CO 5= TO CD cT a <» W o B •a D «" o ■5' 5' n ? 3 1 n TO TO CO Condition of Food Patient No. 1 " " 2 " " 3 " " 4 " " £ " " 6 " " 7 " " 8 « » 9 " " 10 « « 11 " " 12 No. Present iVOrfi— Nurse in charge of table notes the quantity of each type of food, or refusal of food and reasons therefor of each patient at her table.— Ed. 91 CLASSIFICATION OF THE WORK DONE BY THE PATIENTS AT WHITE HAVEN SANATORIUM. Class A. The variety of work coming under this division is Hght, and is supposed to be suitable for patients who are on from one to four hours work. It is of a variety that can be done by even the most delicate. Under this heading are included: Making pasteboard sputum cups. Mending linen, by hand. Preparing vegetables (Peeling potatoes, apples, shelling peas and beans). Polishing brass and silver. Picking up paper on lawn. Class B. Occupations coming under this division require a moderate degree of strength upon the part of the patient, and somewhat longer time is required. Occupations under this division are suitable for moderately strong patients who are able to do from four to six hours a day : Carrying dinners to cottages. Sweeping porches and kiosks. Clerical work in office. Keeping fire in cottages. Wiping off window sills, etc. Helping serve lunches, and wash- ing lunch dishes. Cleaning beds. Cleaning electric light globes. Attending to S u p e rintendent's cottage. Gathering fruit and vegetables. Making beds. Mending linen (machine work). Class C. The occupations included under this division are those that require a greater expenditure of strength as well as a longer period of time. These occupations are suitable for patients who are strong and who are able to stand considerable time in work. These occupations are the ones given to patients who are about to be discharged as disease arrested. Patients under this class are able to work from six to eight hours a day : Assisting driver on wagon. Assisting receiving clerk with milk and freight. Assisting on chicken farm. Mowing and raking lawn. Chopping kindling wood. Carrying blankets and dress suit cases from fumigating room to infirmary. Running steam pump. Carrying dinner to pavilion (« distance about loo feet). Cleaning windows. Mopping cottage rooms. 95 WHITE HAVMN SANATORIUM White Haven, Pa., xgo We are anxious to get a report on the condition of all former patients, and will therefore ask you to kindly £11 in the following and mail same to us. Yours truly, Alexander Armstrong, M. D Superintendent Date igo Name - - Address - - How much did yon weigh when yon left ?.. How much do you weigh now ? Are you working ? What kind of work ? How many hours daily ? Do you keep up the treatment? How much milk do you drink ? - How many eggs do you take? Do you cough ? Do you expectorate ? How much ? Died ? When ? Cause of death ? Remarks 96 THE WHITE HAVEN SANATORIUM OF THE FREE HOSPITAL FOR POOR CONSUMPTIVES. RULES GOVERNING THE RESIDENT PHYSICIAN. 1. Resident physicians must take complete histories of all patients on entrance. 2. They must visit all patients in the infirmaries, daily. 3. They must examine all patients in the Sanatorium once in two weeks, during the week when the patient is not examined by the visiting physician. 4. They must examine all patients to which attention is called by matron or attendant, promptly after such attention has been called. 5. They must examine the urine and sputum of all patients upon entrance and once a month thereafter. When sputum is negative upon entrance they must examine it every day until four examinations have been made, and if still negative, they must examine it again when acute symptoms have developed in the patient. 6. They must make their regular examinations of patients at times when such examination does not interfere with the regular routine work of the Institution. 7. They must be present when the visiting physician makes his regular examination of patients under their charge. RULES GOVERNING VISITING PHYSICIANS. 1. Visiting physicians must visit the Sanatorium once in two weeks and must have a regular fixed time for the visits. Visits must be made between 8 a.m. and 5 p.m. and not during dinner hour. 2. Visiting physicians decide when a patient is to be dis- charged, but no patient must be discharged from the Institution until he has been able to do eight hours' work a day for a month. No case can be discharged by the visiting physician other than " Disease arrested," but must be referred to the consulting physician. 3. Visiting physicians must make an examination of all patients under their care once in two weeks. 4. Visiting physicians must make complete examinations of patients assigned to them, within two weeks of ad- mission. 97 The Free Hospital for Poor Consumptives BOARD OP LAWRENCE P. FLICK, U. D., President, 788 Pine Street. LOinS GKRSTLKT, Vice-President, 326 South Front Street. M. S. KEMUERBB, Vice-President, Uaaoh Ghanlc, Pa. CHARLES W. WELSH, Secretary, 400 CheatDot Street. EDWARD A. MILLAR, Treasurer, *04 Walnut Street. JAMES M. WILLCOX, Esq., Phila. Saving Funil, 700 Walnot Street. TALCOTT WILLIAMS, LL. D., 916 Pine Street. DB. CHARLES J. HATFIELD 2008 Walnat Street managers: D. J. MoCABTHT. M. D. 1329 Spruce Street. JOSEPH WALSH, M. D. 733 Pine Street. WILLIAM B. STANTOX, M. D. 733 Pine Street. R. GEOROK BUCHANAN, 604 West Knd Tniat Building. RICHARD H. HABTE, M. D. 1603 Spruce Street. JOHN F. CRAIG, 143 South Front Street. JOSEPH M ENOEL, 4T07 Chester Avaaae. OFFICIAL secretary: MISS HELEN C. McDEVITT, 304 S. Seventh Street. OROANIZED -IseS IIMCORf=»ORAXED 1S©T Medical Administration Committee: DE. JOSEPH WALSH, Chairman, DR. D. J. McCABTHT, 732 Pine Street. DR. HENRY M FISHER, 1027 Pine Street DB. FRANK A. CRaIG, 1329 Spruce Street. DB. WILLIAM B. STANTON, 732 Pine Street. Dear Doctor: It is imperative that every examiner be fully aware of the resources at our disposal in the White Haven Sanatorium in order that his selection of cases may be good. With this end in view the Medical Administration Committee is sending this circular letter to all its examiners. The varying conditions found in tuberculosis necessitate classification of the cases in order that they can be handled effectually and economically. In general it may be said that acutely sick patients require hospital treatment with rest in bed and special nursing, while ambulant cases only can be treated in a sanatorium. Unsuitable cases are: (1) progress. (2) (3) (4) (5) Those with acute manifestations associated with fever and signs of Laryngeal tuberculosis as indicated by prolonged hoarseness. Intestinal tuberculosis with pain, diarrhea and loss of weight. Pulmonary tuberculosis with cavity formation. Pulmonary tuberculosis with involvement greater than one whole lobe, (6) Cases complicated with serious heart or kidney disease, particu- larly if there is swelling of the hands or feet. Cases suitable for sanatorium treatment are those in which distinct and radical improvement can be obtained in six months. Cases which are on the border line, but which justify a trial at the sanatorium are: (1) Those with a small cavity in the top of one lung, but with all other symptoms favorable, viz.: little or no loss in weight, no hoarseness, no diarrhea, nearly normal temperature, and not much lung involvement. (2) Cases with prolonged hoarseness, but with only slight loss in weight, normal pulse and temperature, and slight lung involvement. 98 Considerable care has been taken in making up the history blank and all the questions must be answered carefully in order that the statistics thus obtained can be utilized. The history should be made up as follows: ( AGE LIVING DEAD Fam. Hist. 1 ^' I M. 48 37 Well 10 years ago Consumption / ^" 17 3 years ago Consumption \ 3S. 12. I4> 15 Well Fam. Hist. F. M. 1 B. I B. 27 31 6 5 LIVING 4 years ago Delicate since marriage 1 year ago Well Small pox, had asthma Pneumonia W., B.— White, Black. M., S., W.— Married, Single, Widowed Duration of present illness. In response to this question the patient often gives a very short period, while questions bring to light the fact that definite symptoms of tuberculosis have been present, unrecognized, for years. For example, in response to the question, "How long have you been ill? " the patient will often say ''Three months,*' but the history shows that he had pleurisy, or hemoptysis, or a protracted cold three years pre- viously. In such a case ''Duration of present illness" according to examin- ation, • 'patient's statement'' would be three months; ''according to history and examination,*' three years. Hoarseness. The length of time the "temporary hoarseness" has existed should be stated, as: three months, six months, etc. We ight . This is very important and the examiner should, if possible, have scales of his own. If he has no scales he should direct the patient to weigh himself in a grocery store (not a penny in the slot machine), and communicate the weight to the examiner in person or by letter. Vaccination. Each case must be vaccinated before going to White Haven. The temperature, pulse and respiration should always be given. Financial Resources. These statistics are very important and should be filled out completely, thus : Not working, three months ; when working, $9.00 per week; supported by wife who takes in washing, $6.00 per week; one son (14), $2.00 per week; one daughter (16), $3.00 per week; sick benefits, $5.00 per week. How many to support, 7. Rent per month, $10.00. Impres- sion of physician as to destitution — destitute, not destitute. The Sanatorium is now in a position to take 100 free patients. These should be selected from the deserving poor who are unable to pay. Examiners are requested not to charge for the examination when the patient comes to the examiner as an applicant for White Haven. All examinations, whether the patient be suitable or unsuitable, should be mailed to the Philadelphia office in order that the reason for rejection may always be available. Should there be doubt at any time on the part of the examiner in regard to anything pertaining to the examinations or admis- sions, the hdedical Committee will be glad to supply any information in its power- Such inquiries should be addressed to THE CHAIRMAN OF THE MEDICAL ADMINISTRATION COMMITTEE. 99 F. McMANUS. JR. & CO. - PRINTERS - 21 NORTH SIXTH STREET PHILADELPHIA v.-^^^ 1SIH«9K%Xata£r!^1telMial<»«ila. Sa-iiliiTlllliBI'Si