The Pacific commercial advertiser. [volume] (Honolulu, Hawaiian Islands) 1856-1888, 1863-04-23
PACIFIC
Commercial Advertiser.
Report OF Dr. HIIlebrand
On the Transactions of the Queens Hos
pitaI TO ApTiI Ist, 1868.

During the last three months, from Jan. lst t
April l-t, there have been entered on the book
443 new names. New patients who have beer
treated at an earlier period for other diseases, dc
not receive a new entry, but the particulars re
ferrIng 10 their last sickness. are recorded under
the previous ones. The daily average Of sick
applying for relief at the disIeusary. has been
about Is Sometimes their number has risen q
% and 80. - have been received in the house
as hospital patients. Of which number . have
died. 1872 Prescriptions were entered on the
books, during that period averaging about ID
per diem, bat this number does not include many
simple ones which were dispensed by verbal direc-
ton.
As it Is probable that | shall be absent from
this place at the time of the next general meet
ing, / beg leave u introduce here a few RETROSPECT
tive remarks on the transactions of the hospital,
from it, first beginning. viz: Aug. LIST, 1859 70
the present date. During that period, cOmpris-
ing 3 years and : months, there have applied for
attendance at the hospital GOj3 patients. Many
Of these have been treated for more than one
sickness at different times. 50 that il would not
be unfair, % estimate the number of cases TO
use a technical phruse) which have been under
medical attendance at 1900.
The number Of prescriptions written down
during the period, which amounts TO 1896,
may be safely considered - representing the num-
Der u applications for hospital relief, for, al
though many patients receive more than one pre-
s%criptiDn, on the other side, i great many are
merely subjected u surgical treatment, others
have tLIelT FORMER medicines repeated from UrrNl-
Gus Prescriptions, and others are dismissed with
simple dietetic advice, 50 that the plus on tine one
side Is more than cOunterbalanced by the minus
on the other. Taking therefore this number Of
lG,4J6 as . basis, we arrive at AN average Of l2i
daily applications for that time, including sun
day, on which only urgent cases have been at
tended to.
As hospital patients have been received Gl2. Of
which number 81 were foreigners. Of these So
have died but with regard to this ratio Of NOR
tally, it must be borne in mind. that Il large
proportion Of the fatal cases entered the hospital
with incurable diseases, as consumption, drOpsv,
paralysis. Most Of the II cases Of death which
occurred amongst foreigners fall under this cate
CORY, and Of the natives many were brought in
almost mOribund.
The following are the more prominent opera
tions performed during the period.
. AmputatiDns of the Arm.
20 ExIrticulatIOns and amputa:iOns Of fingers, |
toes, metacarpal and metltarsal bones.
l Ligature Of the Carotid Artery.
! HerniOtDmy.
l Partial removal of the Upper MaxilIa.
L Partial removal of the Lower Maxilla.
2 Operations for forming u new Mouth.
s Operations for Cataract.
= For Staphyloma Corn@.
6 For Prerygium.
3 For FistuIa Larymalis.
l For Os LepOrinum-hair lip.
. For Nasal Polypus.
Q For Club-foOt.
2 For Curvature of the Knee.
3 For Contracted Finger.
= ExtirpatiOns of the Testes.
8 Removals of ElephantIasis Tumors.
, ExtirpatiOns of large Tumors from the neck.
Is Removals of large Tumors from other parts
of the body, and of many other smaller Tumors
from various regions.
% Operations for Phimosis and Paraphimosis.
80 For Fistula in Ano.
l For Strictura in Urethra-Symes' method.
3 For Strictura Recti.
q For Hydroccle.
70 these must be added many others for set
ting broken limbs, removing diseased bones. for
hacmOrrhOidal swellings, fSsura ami, opening fS-
tulas and deep-seated assesses, amongst which
latter Were some of the most hazardous, but at
the same time most successful. In fact. there
passes a day that does not require surgi-
cal practice of some kind.
The foregoing data will enable you to form a
proper estimate Of the degree of success which
has attended this charitable institution. If the
results obtained are still far from being complete,
yet | think they will appear satisfactory to those
are acquainted with the poor natives char
Gcter and habits. Ignorant and superstitiOus.
accustomed by his ancient kahunas To view only
4 supernatural agency in disease and remedy, he
cannot easily reconcile himself t. the sober uu-
pretentiJUs working of u scientific method in
curing disease. Jealousy of the foreigner. who
has far diStanced him In the unequal competition
for wealth and influence, makes him diStrustful
Of the foreigners institutions. 1t has taken Il
time before the people could COM
prehend that the Hospital was i dispenser Of un-
charity they feared that. after having
received its benefits, they would be held To paw
in some shape or another for the aid received.
This prejudice has worn off bv this time. while
most Of those remaining are daily becoming less.
Their faith IN tie old klhunIs has not been de-
inOlished yet, but faith IN the foreign kahunas
10 have sensibly increased, and what the
final result will be, it Is not difficult to guess. |
have not seen a native yet, who, once having been
III inmate Of the Hospital. was not anxious To
avail himself Of its benefits again.
y more serious difficulty to the efficient work
of the Hospital arises from the Strengthened
circumstances of its finances. \ fine building
We possess. but the Internal fitting out and furni-
are most rUdimentary. Each beistead has
wash-stand, which serves for what It's name
IMPLIES for a dining table, for = wardrobe, and
= u repository for medicines, dressing vessels, etc.
Not even 4 chair l. at the command Of each
,atient. With regard To victuals We have prac-
iced for u long time Il too rigid economy. which
sc found ourselves obliged to abandon, because Z
{ brought the House under the reputation of
tIryInS IT. inmates. Our whole personnel con-
lists, besides the Physician, Of Mr.. Langhcrne.
Who Is ut once steward, apDthecary and nurse ?
{ a cook and two native boys who have never 4
erved in 4 foreign family. If YOU take into
consideration that we generally have from thirty
o fifty house-patients, and these mostly of a
which never has learnt habits Of regularity Y
nd cleanliness, it will strike you how inadequate I
a labor force Il for the service required. 1t q
impossible TO impose upon the native strict dis
iplIne, with u rigid observance of fixed rules. !
nd at the same time make him feel easy and at /
Ome- But unless we can do the latter, ne will !
lot enter the House. We are often OBLIGED If a I