The Manning times. [volume] (Manning, Clarendon County, S.C.) 1884-current, 1914-03-04

have gotten that we return to the
patient. The nurse Immediately
makes out card. That card includes
a lot of information for the hospitals
benefit. We put down certain facts
or data, the ward, the physician, who
admitted her. the height, the weight,
the color of the eye, pulse, morning
and afternoon respiration and tenn
perature. Then we put down wheth-
er or not she has vermin, because
that is a great source Of trouble to
US, because we do not like to cut
their hair. It is troublesome, be-
cause so many do come with vermin.
Then we examine for bruises and
marks and scars and so on, because
we are frequently accused Of mis-
treating patients and that kind OF
thing by people who do not know,
and we take a record to show In eX-
actly what condition they come,
showing that they do come to US
bruised, because in their low vitality,
which they usually are, in their rest
lessness, they frequently brulse them
selves and their ecorts to help them
selves cause skin bruises. We put
down list of valuables, if there is
anything particularly valuable ac-
companying the patient. We take
the money and valuables. Then the
nurse sends specimen Of urine to
the laboratory. Then after that l
make the physical examination fol-
lowing a list of details that / have,
and it is quite an interrogative form
Of history taken. Anyway it Is a
book Of questions that we write out
that we have, and do any interroga-
tive form of history from that. /
simply get these questions and write
it out according to my own ideas. /
try to state facts without attaching
any mans opinion, because in medico
legal cases a lawyer is always dis
i agreeable because l haven't put down
the facts that he wants and another
| comes along and wants his view OF
the fact and put down everything as
| see it.
The physical and neurological ex-
aminations are made at single sit
ing, or with a single examination.
The mental examinations extend over
longer period of time. There are
| some. cases that we can diagnose
with a single examination. There
are others that take time. We have
those diseases that are, rather diff
cult of classification, that we mark
as inconclusive and watch for per-
:od of months before we are satisfied
but frequently we come to a conclu-
sion much more quickly. In other
| eases Of lowest inaction. or frequent
" for my own satisfaction, have d
blood examination made, filling out
blood chart that l had made up my
self.
We always, as I say, have the nur-
ses secure the urinary examination.
frequently the blood examination,
then every patient sees the dentist
IS soon as she come in. II she is
admitted today she goes to the den
tist the next day. I usually keep a
list ahead. Now, that is all systemat-
C. work that is gone through with ev-
cry case.
Double Vaccination.
Every case at the time Of her ad-
mission is vaccinated against small
pox, no matter whether she has been
raccinated previously or not. Every
case young enough, and usually not
over 40, is yaccinated against typhoid
| fever. / do whatever examination is
necessary, watching them from time
% time, and every case I jot down
little notes on the case, certainly
put down every change for better or
for worse, and every accident is noted
| and how it came about. This write
home to the family. I economize as
much as l can, and when l write out
these things I have the Office girl to
write out a statement Of her own
composition. She states the facts to
the family.
Every case as soon as it is admit
ted is given special care, because it is
terrible break from their home to
the hospital and it is the tendency OF
great hospital is to lose sight of the
individual: and the tendency is to in
dividualize as much a spossible and
make them feel welcome, because a
great many of them feel that they
are not. And we write the family the
next day, because that it the first
break from home and they are iso-
lated, with a certain amount of sad
ness, and we always write them a:
home how they are getting along and
we write them frequently until they
get accustomed to it. The patient is
frequently more happy than the fam
lily. We try to allay their anxiety
by writing as often as possible, and
I give them my address on little
card and tell them what they may ex-
pect, the treatment that they will
get, the ward on which they are plac-
ed. 1 encourage them all to let me
know Of any suggestion that they
wish carried out and I will do it if
can, and if 1 can not tell them
frankly why.
Q. Well, doctor, the members Of
the family at times come to visit the
patients? A. Oh. yes, encourage
them to come as much as they like,
because they frequently
@. You admit them to see the A.
Oh, yes, whenever they come.
Q. You have rules Of your own,
doctor, with reference to admitting
onyone IN certain days or at certain