CALCUTTA MEDICAL INSTITUTIONS.
23
There was a decrease both in the number of cases and in the mortality
during the year under review. Some of the patients were admitted in a hope-
- l e s s l y b a d c o n d i t i o n . I t h a s b e e n t r u l y s a i d t h a t e v e r y s u c h c a s e i s a s o u r c e
of great danger to others and deserves the anxious care and attention of the
medical officers of the institution. Cleanliness and strict regard for the sani--
tary surroundings of the patients are the points which demand special attention
of all persons concerned in their treatment. The construction of a segregating
shed for such cases which was sanctioned during the year has been lately com--
pleted. It will meet a real want.
40. Major operations numbered 392 against 337 in 1893. There were
26 deaths as compared with 31 in the previous
year. The usual table showing the important
operations is given in the margin. There
were four casualties among the forcep cases.
All the cases in which turning was performed
were successful. There was one fatal case in
which craniotomy was performed. One of
the four cases of cephalotripsy ended fatally.
Death followed in three cases of hysterectomy.
One case of embryotomy was performed with
success. The measure of success in the ovario-
tomy cases is very satisfactory. The return
contains many other important operations.
The year's record shows that the institution is really affording a large amount
of medical relief, and its usefulness and popularity are year by year growing.
41. No fewer than 2,747 minor operations were performed, and the
number would have been still more if all operations could be recorded from the
beginning of the year.
42. Food is as usual cooked at the Medical College Hospital kitchen.
It is no doubt a weak point of the institution. There should be no difficulty in
constructing a proper kitchen. The present one is very bad, dark, and full
of smoke. The Obstetric Physician complains that the water-tanks on the
roof are in a filthy condition, and suggests that they should be cleaned every
half year at least. This is a detail of hospital management which he should
see carried out himself.
43.
The outdoor department is doing good work. There were 3,990
patients against 3,535 in 1893, showing an increase of 455. The daily average
sick was 29.42 against 28.25 in the previous year. The out-patient department
is conducted on alternate days by the Resident Surgeon and by Mrs. Kadumbini
Ganguli. The latter was, under the orders of Government, No. 1397Med.,
dated the 15th March 1894, placed in charge of the outdoor ward, and the
female students of the Campbell Medical School receive practical training under
her
direction.
44.
The Ophthalmic Department .—There were treated 506 in-patients
against 502 in 1893. Out-patients show an
increase of 865 over the figures of last year,
the number being 11,944 against 11,079 in the
previous year. The usual table in the margin
shows the chief operations performed. Of the
325 cases of extraction of lens, including 39 re-
mained from the previous year, 244 were cured
and 27 relieved. Vision was restored in 75.07
per cent.; 8.30 per cent. were relieved. This institution continues to do excel-
lent work, and the advance in the number of patients treated in the year under
review is highly satisfactory.
45.
The Ezra Hospital.—Patients of the Jewish persuasion are only treated
here. The number of in-patients was 287 against 281 in 1893. Of the former
figure, 223 were cured, 42 relieved, 6 discharged otherwise, and 7 died. The
hospital has beds for 20 patients, but the number of patients who occupied them
daily was only 14.21. in 1893 the figure was 14.12. Out-patients numbered
1,674, or 264 less than in the previous year. There were 19 major and 102
minor operations against 14 and 77 respectively in 1893. Part of this hospital
left unoccupied by patients is utilised by the Dental Department. With the
exception of the pay of the menial establishment attached to this hospital,
E 2
1893. 1894.
Delivery by forceps
... 52
41
„
„ turning
... 11
14
,,
„ craniotomy ...
5
2
„
„ embryotomy
4
1
,,
,, cephalotripsy
4
4
Removal of placenta
...
7
8
Ovariotomy
...
8
8
Hysterectomy
...
3
3
Colotomy
...
3
...
Laparotomy
... 33
17
Recto-vaginal fistula
... ...
4
Vesico-vaginal fistula
...
6
8
Perineorraphy
... 14
17
Operations for cancer
... 15
1
Porro' s operation . . .
1
1893. 1894.
Extraction of the lens 316
286
Iridectomy
...
45
36
Extirpation of eye
...
9
19
Operation for ptery-
gium
...
22
14
Operation for fistula
lachrymalis
...
33
24
Operation for staphy-
loma
...
14
2