Notes on hospitals

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Longman, Green, Longman, Roberts, and Green, 1863 - 187 pages
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Page ii - It may seem a strange principle to enunciate as the very first requirement in a Hospital that it should do the sick no harm.
Page 9 - ... supposed to have a particular affection, and to feathers, which of all articles it especially loves — so much so, that, according to quarantine laws, a live goose may be safely introduced from a plague country ; but if it happen to be eaten on the voyage, its feathers cannot be admitted without danger to the entire community. There is no end to the absurdities connected with this doctrine. Suffice it to say, that in the ordinary sense of the word, there is no proof, such as would be admitted...
Page 18 - Instances could be given almost endless, where in dark wards, or in wards with a northern aspect, even when thoroughly warmed, or in wards with borrowed light, even when thoroughly ventilated, the sick could not by any means be made speedily to recover.
Page 5 - If the functiou of a hospital were to kill the sick, statistical comparisons of this nature would be admissible. As, however, its proper function is to restore the sick to health as speedily as possible, the elements which really give information as to whether this is done or not, are those which show the proportion of sick restored to health, and the average time which has been required for this object ; a hospital which restored all its sick to health after an average of six months...
Page 6 - ... or the like, we ought to work till we discover the probable origin ; we should have the strongest feeling that these diseases are not spontaneous nor inevitable. In every case the hospital or the house or our own practice should be brought to trial, — to private trial if you will, yet a just trial, — a trial before our own conscience ; and if the hospital, the house or the practice be found guilty, let it be condemned and amended. Of all the remedies I have used, or seen in use, I can find...
Page 175 - I am fain to sum up with an urgent appeal for adopting this or some uniform system of publishing the statistical records of hospitals. There is a growing conviction that in all hospitals, even in those which are best conducted, there is a great and unnecessary waste of life...
Page 26 - If the recovery of the sick is to be the object of hospitals, they will not be built in towns. If medical schools are the object, surely it is more instructive for students to watch the recovery from, rather than the lingering in, sickness. Twice the number of cases would be brought under their notice in a hospital in which the sick recovered in half the time necessary in another. According to all analogy, the duration of cases, the chances against complete recovery, the rate of mortality, must be...
Page 76 - ... serious disease or injury, to undercook all the patients, day and night, during all the time they are in hospital, at one fixed temperature ? I believe not ; on the contrary, I am strongly of opinion — I would go further and say, I am certain — that the atmospheric hygiene of the sick-room ought not to be very different from the atmospheric hygiene of a healthy house.
Page 7 - ... hospitals, and to deficient ventilation and overcrowding accompanying such defects, is to be attributed a large proportion of the evil I have mentioned. The facts flow almost of necessity from ascertained sanitary experience. But it is not often, excepting perhaps in the case of intelligent house surgeons, that the whole process whereby the sick, who ought to have had rapid recoveries, are retained week after week, or perhaps month after month, in hospital, is continuously observed. I have known...
Page 19 - Among kindred effects of light I may mention, from experience, as quite perceptible in promoting recovery, the being able to see out of a window, instead of looking against a dead wall ; the bright colours of flowers ; the being able to read in bed by the light of a window close to the bed-head.

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