The San Francisco call., 1897-10-22
A CRY FROM
THE HOSPITAL
Young Doctors Claim They
Are Being Unjustly
Restricted.
Characterize the Superintend-
ent's Orders as an Open
Insult,
Conflicting Rules Shown by the Par
ticipants in the Row at the City
and County Hospital.

Although there are at present no out
war1 demonstrations of ill.feeIing be-
tween the internes and the new superin-
tending physician, DR.. Tuggles, at the
City and County Hospital, over the orders
recently sent out compelling them to Sc
cure permit before leaving The building.
the EN- bers are still smoldering and the
slightest breeze is likely to fan them into
a fame.
The young doctors or internes, as they
are called, are picked men from the grad.
uating classes of the State University and
Cooper Medical College, who are allowed
to practice for one year in the ospital
without salary.
1t has always been the GU tom when
one of these wished few hours off to
make arrangements either with his chief
or some fellow inferno for the care of such
patients as were entrusted TO him, but
DR.. Tuggles is of the opinion that This
liberty is likely to be abused at some time,
and in looking over the hospital regula-
tions he discovered one PASSED by the
Board of Health in April, 1888 reading as
follows:
1t shall be the duty of the superintendent
to discharge any person who shall be guilty
OF fighting, insubord ination, drunkenness or
other misconduct None OF the officers, en-
ployes or nurses shall absent themselves with
out his permission.
Although this law has teen in existenc ce
for the asst four years it has never been
enforced, as the former superin en- dents
have had confidence enough in the men to
know that none would leave the no spttal
when they were really need ed. DR.. Tug
giles. however, wishing to nose as q strict
disciplinaran, ordered this rule strictly
enforced-at least as iar as the unsalaried
nternes are concerned. The salaried en-
ployes can go as soon as their days work
IS finished. In speaking on the matter DR..
Tugg!es said:
There is nothing wrong or unjust in
the rule nor Is it new one. The only
thing Is, it has never been put in force
before. | have no objection to the men
leaving the buildings at certain hours,
but l want TO guard against the possibility
OF ten, eleven or twelve of the thirteen
men being out at the same time. Under
the old regime there were no restrictions
whatever, and if all the doctors wanted
TO go out at once all they had 10 do was
walk out"
Tae young men look on the matter as
an Insult, and nothing more, as they are
always registered both in the hallway and
at the gate, and the suDerintendent can
at any time, tell at q glance who is In or
out. 1t is said at one time when ali
wanted to go TO a football game, they
pulled straws to see who would 60 and
who remain.
Further than this, they also show Sec
ton 100 of the minor regulations and
superintendent's orders, which says:
Internes will not be required to procure q
pass TO leave the grounds, Dut will never b.
sent themselves from the hospital without
having first made arrange ments for the proper
performance OF their duties and notified the
clerk of the same.
This rule has always been strictly lived
up TO, and the young physicians think il
covers all the ground.