Richmond dispatch. [volume] (Richmond, Va.) 1884-1903, 1895-10-20
HOSPITAL.
.xxr.L REPORT or THE sU-
,,>rrxpENT. DIR. MONCuRE.

y.ccixcd, Recovered. and
n.d-,ioriaIity-The Health
,tomshurg-Thc Questions of
c.-.rpor Mckinney.
,--,NsRURG. VA, October 49,
Az the meeting Of the Board
Eif,.'-'.'.... q the Eastern State Hospi-
G. A'', ..,.lov the annual report Of the
s. '..,rscrt. DIT. James ID. Moncure,
.....-ol. IL IS filled with useful
0.S cen On the treatment Of the In
'"''''' ~....s the oldest institution Of It's
u.s country. being now In its
80 FROM Dr. Moncure's report
'-' .,o following extracts:
"N. were present at the beginning
'.,l.- october /, 1894. i6j patients
o..'.s and "a females. One hundred
." '...-.,-s.x we're admitted during the
king the total number under
i''..,. ,.5. Fifty were discharged as
IT, -te.rty males ana twenty fe-
.. orc as improved, and two as not
-.-,i, Ta.rty-four patients diod du-
... .ra-. tWcnty-foUr OF "hom were
i'- ..1 t.u females. leaving In the
...r = in. end OF the year az males
t.. females Total, o.
49, ....s.e number Of patients pres
.. males and 80 females. Total
....-. 81 .,,...
THE MORTALITY.
...+,.t. was unusually small
--. fra increase Of nearly one
.-.l r.faats siacc the last meeting
.,. General Assembly, not a single
.... resulted from climatic causes
,.e,,.s mo ael.n 10 emphasize the
a.. n.t rs location is an unusually
... me wisdom Of the House
.. l..-.,...s ls ami indicated by sta
....s ., choosing ;t.s location for the
..... ..,...l - virginia on account OF
.-i.-. a.s $50 aITlcations for admis-
cid. ....-- t.c ytsr. nearly all OF whom
or, admitted to this INSTITUTION, the re-
...- ...rr enr" 10 other institutions
,... f.r could De sent for
-.. r....r states that he has ample
800. -aI females who are likely to
..... s.- admission during the next two
- I.t tr4t the accommodation IN
o. r..a apartment IS rot likely to be
e..,t as every bed is now occupied
20. Ha.rl las made n determined ef-
l-. 90 make better provision for the
,.s physical ailments Of the insane.
..,.., ,.- aside n sum to erect hospi-
.l ...ce for this purpose. The object
.s % s.,l'y % the acute sick better
-.-.a- .rI better accommodations than
.-r.a.- 'u the general wards. In the
~ hospital trained female nurses
r .f.r gsa the sick. and the SuDerin-
,....t hopes 70 he able to report the
.f.l operation Of this effort of the
t.. n ts next report by the reduction
" oh. mortality.
o.. CHRONIC AND MORE HARM
LESS.
go t-l1inC erected for the accommo-
..c 10 the chronic and more or less
.--tss insane has been furnished and
,- ly this class of patients. The
D.. rod - having this department con-
--r with the hospital proper Is daily
rated by the frequent necessity Of
sowing the so-called harmless 10 places
e. .r.ater security during periods Of
ury excitement, where their char
i-r develops tendencies to injuTe
.as,ives or others. DR. Moncure gives
., F..ws with regard 10 the two ques-
'-s recommended in the report OF ex-
nor Mckinney.
r-.t. the best method Of holding COM
rs upon persons suspected OF be-
..sue. and to protect the hospitals
'4rng persons Improperly sent TO
-. lri,als.
,orI. whether there are not some
t.la's IN the hospital that should not
confined therein; and. IL the homi-
,.al ana suicidal insane should be in
ne hospital AMI the chronic insane in
other two.
Insanity" says the Doctor. "is a physi-
-i disease. and. therefore, is simply "A
....t1n fJ- determination Of a physician
-I l treating diseased people. a
JOE should have on it persons IA
- vi'. The fact Of this disease. and
should boz some one on 1t legally
tsI % protect the rights Of each
r-lsL"
Tho Doctor recommends that, instead
r '- ~. 70 macistcrial system OF COM |
-..,- patients. more intelligent board |
BE- afI u'll. cons sting Of either county |
c- ration. or circuit judge. and two |
physicians, ono n whom should he the |
% ~ family physician. In this recon- /
E.-t ~ State hospitals concur. as /
o. q. TIE commissions appointed by /
'.i'f---nr =. ". Mckinney. The Su- |
q; further says that this recon- /
-a S. not made because Of /
r,fe.oH that in the past per- |
o., have been improperly sent TO the |
i as tae statistics during
i.'4 Gel. tw5.V-seven years show that |
. -i' admissions only seventeen |
'.'- ifotolnce1 not insane by the Board |
Directors. under the advice of super
.'.,.-l..
...- -e. as rule. inebriates who |
''' 20 lr-sr tae abuse Of alcohol had re-
..4 'a'n liable 10 the imputation Of |
s .s-r.
WHY ADVISED.
.'' Charge IS advised because the
f.ri' stt lv the magistrates are /
oxen f'-t.Ve, and useless in en-
t iae doctors 10 form an idea with
st. ;. t.e character of the disease to |
Nt-l and, further. the present |
,. if .cs deception upon the pa
.r f.. letting him know the steps
Tf 'tH % send him 70 a hospital. |
p. Hereby creating great difficulty for
20 obtain his confidence. and
sfe !I.y 20 ailay his apprehen-
o.. being Hnjusly confined.
3D. second question. the report
'.t te-e have been in some GUAR
ffireaeusions in this regard.
'.".t ~ insane hospitals IS not
,..f 20 s~fr.r+te the homiciGal or sui
... '"san" bat 10 restore 10 physical
mental health those who have sue
- tae fearful aflliction OF in
The history OF the insane
9" that o. annual admissions,
,.. l.ta - ger cent. recover: 50 per
AND the rest become chronic
%. needing dangerous. homicldal.
and. IN the course Of years.
"'.'il strength undergoes a gradual
al /