Imatges de pàgina

and dietetic treatment of the patients, the unrestricted power of appointment and discharge of all persons engaged in their care, and should exercise a general supervision and direction of every department of the Institution.

V. The Assistant Physician, or Assistant Physicians, where more than one are required, should be graduates of medicine, of such character and qualifications as to be able to represent and to perform the ordinary duties of the Physician during his absence.

VI. The Steward, under the direction of the Superintending Physician, and by his order, should make all purchases for the institution, keep the accounts, make engagements with, pay and discharge those employed about the establishment j have a supervision of the farm, garden, and grounds, and perform such other duties as may be assigned him.

VII. The Matron, under the direction of the Superintendent, should have a general supervision of the domestic arrangements; of the House, and under the same direction, do what she can to promote the comfort and restoration of the patients.

VIII. In institutions containing more than 200 patients, a second Assistant Physician and an Apothecary should be employed, to the latter of whom, other duties, in the male wards, may be conveniently assigned.

IX. If a Chaplain is deemed desirable as a permanent officer, he should be selected by the Superintendent, and like all others engaged in the care of the patients, should be entirely under his direction.

X. In every Hospital for the Insane, there should be one Supervisor for each sex, exer- s cising a general oversight of all the attendsnd and patients, and forming a medium of communication between them and the officers. j

XI. In no institution should the number> of persons in immediate attendance on the < patients be in a lower ratio than one attend- i ant for every ten patients ; and a much larger j proportion of attendants will commonly be'. desirable. j

XII. The fullest authority should be given j to the Superintendent to take every precau ', tion that can guard against fire or accident \ within a"n institution, and to secure this an i efficient night-watch should always be pro- j vided. j

XIII. The situation and circumstances of j

different institutions may require a considerable number of persons to be employed in various other positions, but in every hospital, at least all those that have been referred to are deemed not only desirable.but absolutely necessary, to give all the advantages that may be hoped for from a liberal and enlightened treatment of the insane.

XIV. All persons employed in the care of the insane should be active, vigilant, cheerful, and in good health. They should be of a kind and benevolent disposition, be educated, and in all respects trustworthy, and theircompensation should be sufficiently liberal to secure the services of individuals of this description.


American Medical Association. Circular of Committee of Publication to the Members of the Association.—In conformity with a resolution of the American Medical Association, it becomes my duty to inform you of the decision of the Committee of Publication in regard to the price at which the forthcoming volume of Transactions will be furnished to the members of the Association and to othere.

The price of single copies has been fixed by the Association at five dollars.

Any individual desiring two copies, will be furnished with them upon his remitting to the Treasurer nine dollars.

Societies, associations, and institutions requiring six copies for the use of their members, will be supplied with them on remitting to the Treasurer twenty-five dollars, or they will be supplied with twemyfive copies on remitting seventy-five dollars.

Those who wish volumes 5 and 6, may obtain them by remitting eight dollars.

In consequence of the numerous illustrations, many of them highly-finished coloured lithograpbs, with which the forthcoming volume will be accompanied, its cost will considerably exceed that of either of those previously issued by the Association. To defray the cost of its publication, at least fifteen hundred dollars, in addition to the amount already received by the Treasurer, will be required.

Your attention is called to the following

resolution adopted at the last session of the


"Resolved, That the delegates from the several States be requested to appoint committees, who shall aid the Committee of Publication in procuring subscribers for

and in distributing the annual Transactions' or apoplexy.

sun's rays, on a tolerably clear day in summer, it is about 30 deg. warmer than in the shade, it should not surprise us that, to a considerable number so exposed, the extreme heat of the month proved suddenly fatal, by producing congestion of the brain

of the Association."

And Chair. Com. Pub. A. M. A.

AVr Hampshire State Medical Society.— \ At the annual meeting of this Society, held on the 31st day of May last, the following j resolutions, presented by Dr. Parrer, of Concord, were unanimously adopted :—

Rrsolved, That it is the decided opinion of the New Hampshire State Medical Society, that no delegate should be admitted to membership in the National Medical Association, who represents a medical society which numbers among its members any person or persons adopting as their system of practice any form of empiric

The average temperature of this month, for Philadelphia, is 71.41 deg. Three times in sixty years, viz., in 1822,1825, and 1838, the average has risen to 75; twice, viz., in 1793 and in 1853, to 76; and in 1828 and 1831, the average rose, according to Pierce, to the unequalled height of 77 degrees. Once, also, in the same lengthened,period, the average temperature of the month has fallen as low as 66 deg.; in 1833, it fell to 65; and in the summer of 1816, noted for its extreme coldness, the average temperature of the sixth month in Philadelphia is recorded at 64 degrees. Giving an extreme range for the month from 64 to 77, or 13 j degrees in sixty years.

By collating the monthly fall of rain, as

itfecorded at the Pennsylvania Hospital, from

"'n , , im. .a « r .t,-. o L*825 to the present time, it appears that the

Resolred, That the Secretary of this So- T . * . ' vv .

. ' c .l average lull for the sixth month is 3.85 one

ciety be instructed to transmit a copy of the \ , • . . . i . r „ ...

, , . , e r) hundredths inches; that the least tall there

preceding resolution to the Secretary off . .

, , . „ u .. , a .: J . recorded lor the same month, up to the preeach of the State Medical Societies, and to , „.' K .F

, „ , . „ .. Imj Ia sent year, was one and nfiy-five one-hun

the Secretary of the National Medical As , ' '- ... r ,, r

'. ... . _ dredtbs of an inch in 1832. The fall of

socianon previous to the next meeting.— • ... r . , ,

xr „ , . , t,r . T i Ioi, j ratn this year, tor the month under review, .vk Hampshire Journ. Med. July, 1853. i 'I ,.

r was one and hve one hundredthsof an inch

(only; or one-half inch less than for any

Weather in Philadslphia in June, 1853.— i June in the last twenty-nine years. This

Though the mean temperature of June j 1.20 inch of rain fell in seven showers,

has, according to Pierce's record, twice six of which were attended with thunder

within the last sixty-four years, been j and lightning. But though the fall of rain

greater than the month just passed, yet it is j has been so slight, and the heat so great,

believed that at no time within that period has there been such s continued succession of very wsrm days. During four days, embracing the summer solstice, the mercury rose to 90 deg.; on one day, to 92; one day, to 95; on three days, to 96; and the mid-day heat of one day, the 22d, was, in the shade, 97 deg., Fahrenheit's scale.

Our whole summer but seldom furnishes more than ten days in which the mercury rises to 90 deg.; and yet, the first summer month, this year, has furnished that quota.

The continued heat of the latter part of the month was rendered more oppressive by the almost total absence of refreshing thowers, scarcely less needful, in our climate, to the health of men than of plants.

When it is

the growing crops have suffered less in this vicinity than might have been anticipated, rain having been abundant during the spring montbs.

The range of the thermometer for the month was from 56, on the morning of the 1st, to 97, on the afternoon of the 22d, or 31 degrees.

Of the 30 days in the month, winds were

Westerly the whole or a part of 26 days.
Easterly " " 8"

Northerly " " 16"
Southerly " " 21"

The first three weeks in the month were more than usually healthy, the weekly mortality being 135 to 153; while the intense

mbered, also, that in the , heat of the fourth week suddenly swelled * This ohaervation was at 1 P. M., or the maximum; at 2 P. M. it had fallen 10 degrees.

[merged small][merged small][table]

Protecutions of Medical Men.—In our previous number, p. 110, we alluded to several suits brought against medical men upon the alleged plea of malpractice, but in which the real motive we suspect to have been to raise money, and ought to have subjected the plaintiffs to the penalty of "obtaining money under false pretences."

Another case, in addition to those already noticed, has occurred, which, if the following statement in regard to it, from the Vermont Chronicle, be correct, is well calculated to alarm medical men, and awaken them to the necessity of adopting some measures to protect themselves from being fleeced by an ungrateful patient or victimitized by an ignorant jury. The victim in the following case is Dr. Dixi Crosry, the Professor of Surgery at Darlmotuh College, and one of the ableat surgeons in his State.

We feel it difficult to find words sufficiently strong to express the iniquity of the verdict :— ,

"In April, 1845, Dr. Crosby was called upon to visit one Lorenzo Slack, of Norwich, Vt., who had been severely injured by the fall of a bank of eanh upon him; but declined going on account of sickness. A physician residing in Vermont, who was present at the time, volunteered to go and see the injured man, and did go. Another neighbouring physician was also called, and the two upon examination found the left thigh of Slack badly broken, high up, in two places. Regarding it as a severe case, they concluded to go to Hanover, and consult Dr. Crosby in regard to dressing the injury, and also procure splints for the purpose. They did go, and on examination of books there, decided to use a particular kind of splint, and ordered it to be made. At their earnest aolicitation, Dr. C. went to Norwich, and assisted in putting the patient into the splint, which had been previously prepared. Here ended all connection of Dr. C. professionally with the case. He only saw him once afterwards—about two weeks after the injury—and then called at the earnest request of the attending physician, and gave some general advice to the patient on the importance of remaining as quiet as possible, to facilitate the healing of his limh, expressly stating to him that he assumed and could take no professional responsibility in his case. Slack remained at the house where he was carried after receiving his injuries, a month or more, under tbe care of a respectable physician of Norwich, during which time the fracture healed remarkably well, and the leg was not more than a quarter of an inch shorter than the other at the time, when, against the remonstrance and protest of his physician, he insisted upon being carried to his home. He was thus carried—he recovered with a bad limh, and about six years afterwards commenced an action against Dr. C. for malpractice, which has resulted in a verdict by the jury in favour of the plaintiff."

Medical Graduates in 1853.

University of Pennsylvania . . 160

University of Maryland . . .60

Medical College of Georgia . . 50

Med. Dep. of St. Louis University . 33

Med. Dep. of Univ. of Missouri . 26

University of Nashville . . .36

Med. Dep. of Hampden Sidney Coll. 26

University of Louisville . . .87

Buffalo Medical College.—Dr. Austin has resigned the Professorship of Theory and Practice of Medicine in this school, and Dr. Tnomas F. Rocnester has been appointed in his place.

Hampden Sidney College. — The new chair of Physiology and Medical Jurisprudence recently created in this school, has been filled by the election of Dr. G. A.


Unieenity of Virginia.—Dr. Socrates Macfm has been elected Professor of Chemistry in this institution, to fill the vacancy caused by the resignation of Dr. Smitn.

Tribute to the Memory of Drs. Chapman and Horner.—Pursuant to a call made by several of the physicians of Mobile, quite a large meeting of the Graduates of the Medical Department of the University of Pennsylvania, was held at Dr. Lee Fearn's office on Monday morning, the 18th instant, to express their sense of the loss that the Profession of Medicine had sustained in the recent death of Professors Natnaniel Cnapman and Wm. E. Horner, and to devise some method of paying a lasting tribute to their memories.

Dr. S. Mordecai was called to the Chair, and Dr. Geo. A. Ketchum appointed Secretary.

On motion of Dr. John P. Barnes, a committee of four was appointed to draft resolutions and propose a plan of accomplishing the objects had in view.

The Chair appointed the following committee: Drs. John P. Barnes, R. Lee Fearn, E. P. Gaines, and Geo. A. Ketchum.

At a subsequent meeting, held on Tuesday, 19th instant, the'committee reported the following preamble and resolutions :—

Whereas, It hath pleased Divine Providence to remove from the sphere of thcir usefulness, our much respected and honoured instructors, Drs. Nathaniel Chapman and Wm. E. Horner; and whereas, in our opinion such services as they have rendered the cause of Medical Science and our "Alma Mater,'' deserve some especial and lasting tribute; and whereas, it was our peculiar privilege to receive instruction from their lips, and to have held up before us their bright examples of zeal and devotion to their profession, and high and honourable conduct in their private life—feelings of respect and esteem for them, and pride for the Science which they have so honoured, have prompted us to meet together to give form and expression to the sentiments that fill our hearts in view of the bereavement that their deatbs have occasioned. Be it therefore

Resolved, That in the death of Professors Nathaniel Chapman and Wm. E. Horner, our time-honoured Alma Mater has lost two of its most indefatigable teachers, the city of Philadelphia two of its most respected and esteemed citizens, and the Profession of Medicine two of the most zealous contributors to the facts upon which that science has erected an enduring foundation.

Resolved, That as former pupils of these distinguished Professors, we especially know how to appreciate the loss that our profession has sustained—and though we know that the rich treasures of knowledge that they have left as a legacy to Medical Science will perpetuate their names as long as the trutbs of that science last; still we, the Alumni of the school, with whose glory their names are so inseparably entwined, would do something more to place their services and their virtues as a shining mark by which to direct the steps of future aspirants for the honours and the fame which reward the zealous, the industrious, and the faithful in our noble science.

Resolved, That in furtherance of the above resolution, we do hereby call upon the Alumni of the Medical Department of the University of Pennsylvania throughout the world to contribute the sum of one dollar each, on or before the 25th of December next, to defray the expenses of erecting a suitable monument to their memories, in the University yard in Philadelphia; that such contribution be sent to the Dean, or any member of the present Faculty, to be used by them for that purpose so soon as, in their judgment, a sufficient sum shall have been received.

Resolved, That all medical journals and all papers which may approve this object, be requested to give the action of this meeting publicity, and to further the objects of these resolutions as much as may be in their power.

Resolved, That a copy of these proceedings be ,ont to the respective families of the deceased, and to the Faculty of the Medical Department of the University of Pennsylvania.

The above report of the Committee was accepted, and

On motion of Dr. F. A. Rosa, the city papers were requested to publiah the same.

Nothing farther being brought forward for consideration the meeting adjourned sine die.

S. MORDECAI, Chairman.
Geo. A. Ketcnom, Secretary.

Obituary Record.—It is with feelings of the deepest grief, that we record the death of Natnaniel Cnapman, M. D., which took place in this city on the evening of the 1st of July last, in the seventy-fourth year of his age. No physician in this country was more extensively known or more highly esteemed than was Dr. Chapman. For more

than thirty years, he filled the chair of Practical Medicine in the University of Pennsylvania, adding largely to the renown of that celebrated school, and attracting to it unprecedentedly large classes. His pupils almost idolized him, and they will learn with grief that the eloquent voice which instructed them is now silent. For nearly half a century, he was extensively engaged as a practitioner. His extraordinary professional tact, and the fertility of his remedial resources, drew to him patients from every quarter to seek his advice in difficult cases, who will lament that the skill which Ro often relieved, and the kindliness and sympathy which always soothed and comforted them, is no longer attainable. Generally regarded as the head of the profession in this country, that position was formally awarded to him on the formation of our great National Association, which unanimously elected him as their first President. Eminently distinguished as Dr. Chapman was for professional skill, he was not leas loved for his social qualities; and his absence will be lamented from the social circle, where the liveliness of his manner, bis sparkling wit, his fine literary taste, tbe cliarms of his conversation, the kindliness of his heart, and his generous feelings, made him always the centre of attraction. His friends can look for consolation only in the memory of his numerous virtues, and in the advantage of his illustrious example.

Died at Louisville, in the ninetieth

year of his age, Cnarles Caldwell, M. D., j for many years Professor of Institutes of j Medicine in Transylvania University, and in the Medical College of Louisville, Ky.


Toble Turning. — This absurdity has gained numerous adherents in England, and to such an extent has the popular delusion j been carried, that a medical journalist has not thought it beneath his dignity to enter into a serious investigation of the fiction, and even Professor Faraday has condescended to examine the subject and point out the source of error.

Our readers may desire to learn what has been said on the subject, and we therefore extract some remarks from sn editorial in the Medical Timet and Gazette, and an

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