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Full text of "Annual report of the trustees of the Worcester Lunatic Hospital"



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A 



PUBLIC DOCUMENT .... .... No. 23. 



SIXTY- THIRD ANNUAL EEPORT 



THE TRUSTEES 



Worcester Lunatic Hospital, 



' EIGHTEENTH ANNUAL KEPORT OF THE TRUSTEES 



WOECESTER INSANE ASYLUM AT WORCESTER, 



Yeak ending September 30, 1895. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1896. 



OFFICEES OF THE HOSPITAL. 



TRUSTEES. 



FRANCIS C. LOWELL, 
SARAH E. WHITIN, 
FRANCES M. LINCOLN, 
A. GEORGE BULLOCK, 
THOMAS H. GAGE, . 
HENRY S. NOURSE, 
EOCKWOOD HOAR, . 



Boston. 

Whitinsville. 

Worcester. 

Worcester. 

Worcester. 

South Lancaster. 

Worcbstek. 



RESIDENT OFFICERS. 
HOSEA M. QUINBY, M D., . 
ALFRED L NOBLE, M.D., 
LAURE HULME, M.D., . 
APPLETON H. PIERCE, M.D., 
EDWIN D. BOYNTON, M D., . 
THOMAS T. SCHOULER, 
LILA J. GORDON, .... 
S. JOSEPHINE BRECK, . 
JOSEPH F. REYNOLDS, . 



Superintendent. 
Assistant Superintendent. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Steward. 
Ilatron. 
Clerk. 
Farmer. 



NON-RESIDENT OFFICERS. 

ALBERT WOOD, ........ Treasurer. 

FREDERICK H. BAKER, M.D., ..... Pathologist. 

GEORGE L. CLARK, ....... Auditor. 

ALVAN G. LAMB, ........ Engineer. 



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TRUSTEES' REPOET. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Lunatic Hospital respectfully 
submit their report for the year ending Sept. 30, 1895, being 
the sixty-third annual report of the institution. With it they 
submit the report of the superintendent, including full statis- 
tical tables. The treasurer's report, signed in his temporary 
absence by the superintendent, is also submitted. 

The new farm building has been opened for use. It will be 
occupied by about fifty men, and we believe that it will be an 
important agency in improving the health and increasing the 
comfort of many male inmates of the hospital. Proper classifi- 
cation has been long recognized as one of the first duties of 
hospital management, and by the use of the farm-house we 
shall be able to separate pati(jnts reasonably quiet and orderly, 
able to accomplish a certain amount of work on the farm, from 
the more excitable and from the feebler patients in the main 
building. To these insane farm laborers greater freedom can 
be given than if they were kept with the other patients, and 
a somewhat more liberal diet can be furnished them without 
causing discontent to others. In this way the ambition of 
patients may be stimulated to obtain like privileges, and the 
farm-house may thus become an important curative and remedial 
agency. We do not believe that the cost of caring for the 
inmates of the new building will be much greater than that of 
the same number of patients in the main building. 

Toward the close of the financial year the superintendent 
prepared and submitted to the trustees a plan for the regular 



6 WORCESTER LUNATIC HOSPITAL. [Oct. 

and permanent employment of a pathologist, and we refer to 
the matter here, though the plan will not be put into operation 
until the year 1895-96. The proposed measure we believe to 
be the most important undertaken in the hospital for many 
years. It has been a cause of reproach to the lunatic hospitals 
of Massachusetts, as well as to those of other States, that they 
are little more than enormous boarding-houses for the care of 
the insane, — well-managed boarding-houses, it is admitted, 
but accomplishing little for the advancement of medical and 
pathological science. The critics just mentioned have some- 
times overlooked the great practical difficulties involved in the 
proper care of hundreds of helpless people. Sound administra- 
tion is our first duty, and executive ability in the officers of 
the hospital is the one quality of daily necessity. At the same 
time, in common with our critics, we have regretted that the 
vast amount of valuable material for scientific observation 
afforded by lunatic hospitals has been wasted in great degree, 
owing to the incessant and pressing demands made by adminis- 
trative duties upon every member of the present hospital staff. 

In order to secure scientific study without interference with 
proper administration, the superintendent proposed, and the 
trustees heartily approved, the appointment of a pathologist, 
thoroughly educated, familiar with recent scientific investigation, 
who should devote his whole time to scientific work. The duty 
of this officer will be the study of the insane, and not primarily 
their care and treatment ; but we believe that his labors will be 
of the highest indirect value in promoting the well-being, the 
health and the cure of the inmates of the hospital. 

The advance of medical science must ordinarily precede the 
advance of curative treatment. The temper and habits of the 
successful student and teacher differ from those of the success- 
ful practitioner, and he can render to practitioner and patient the 
most effective service w^hen he is freed from the practitioner's 
cares and duties. For these reasons we believe that the addi- 
tional expense incurred by the appointment of a pathologist, 
who shall give his whole time to study, will be money well 
spent by the State in the care of its insane wards and in the 
general interest of humanity. 

During the year Dr. Maurice W. Pearson resigned his posi- 
tion, after a faithful service of four years. Drs. Edwin D, 



1895.] PUBLIC DOCUMENT — No. 23. 7 

Boynton and Appleton H. Pierce have been appointed to fill 
the vacancies caused by the resignation of Dr. Pearson and that 
of Dr. Jones which took effect Jan. 1, 1895. Mr. Melvin Lano-, 
the farmer, resigned his position June 1, on account of ill 
health. 

Dr. Quinby and his assistants have given to the affairs of the 
hospital the same care and devotion which they have always 
manifested in past years. 

FRANCIS C. LOWELL. 
SARAH E. WHITIN. 
FRANCES M. LINCOLN. 
A. GEORGE BULLOCK. 
THOMAS 9. GAGE. 
HENRY S. NOURSE. 

ROCKWOOD HOAR. 

"Worcester, Sept. 30, 1895. 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



VALUE OF PERSONAL ESTATE. 

Sept. 30, 1895. 



Live stock on the farm, .... 

Produce of the farm on hand, 

Carriages and agricultural implements, . 

Machinery and mechanical fixtures, . 

Beds and bedding in inmates' department, 

Other furniture in inmates'' department, . 

Personal property of State in superintendent's 

Ready-made clothing. 

Dry goods, .... 

Provisions and groceries, . 

Drugs and iiaedicine, . 

Fuel, 

Library, .... 
Other supplies undistributed. 
Pipes and radiators, . 

Total, .... 



department, 



19,679 00 


8,469 


80 


7,450 


00 


29,913 


80 


29,280 


32 


22,481 


82 


22,252 


19 


1,901 


62 


1,007 


92 


2,370 


72 


900 


00 


7,025 


00 


8,950 00 


4,505 


13 


87,000 00 


1188,187 


32 



1895.] 



PUBLIC DOCUMENT — No. 23. 



TEEASURER'S REPORT. 



To the Trustees of the Worcester Lunatic Hospital. 

I herewith submit my annual report on the finan 
Worcester Lunatic Hospital for the year ending 

1895: — 

Receipts. 

Cash on hand Sept. 30, 1894, ..... 

Received of the Commonwealth for support of patients 
of cities and towns for support of patients, 
of individuals for support of jDatients, 
for interest, sale of produce, etc., 
belonging to patients, .... 

from special appropriations, , 



ces of the 
Sept. 30, 



$33,620 72 
39,305 03 
92,829 20 
39,350 92 
7,073 01 
1,079 99 
19,833 94 

$233,092 81 



The expenditures for the year have been as follows : — 

Provisions : — 

Flour, ........ 

Meat of all kinds, ..... 

Fish, 

Meal for cooking, ..... 

Beans, potatoes and other vegetables, 

Sugar, ........ 

Molasses and syrup, ..... 

Tea, 

Coffee, ........ 

Butter, ........ 

Cheese, ....... 

Fresh fruit, . 

Eggs, salt and other groceries, . 
Salaries and wages, ...... 

Grain, ......... 

Meal for stock, 

Hay and pasturage, ...... 

Furniture, . 

Amount carried forward, .... 



. $3,169 45 


11,610 


77 


2,909 


87 


472 


09 


2,928 


55 


2,609 


90 


350 


71 


760 71 


2,111 


97 


6,101 


24 


609 


67 


556 


67 


5,532 


21 


. 55,588 


44 


376 


84 


6,498 


95 


120 


00 


271 


65 


$111,579 59 



10 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



Amount brought forward, 

Crockery and glass ware, 

Tin ware, . 

Bedding and beds, 

Straw, .... 

Furnishings, miscellaneous 

Tools, .... 

Lights, 

Water, 

Fuel, .... 

Soap, .... 

Medical supplies, 

Live stock, . 

Cari'iages, harness, etc., 

Blacksmithing, . 

Plants and seeds, 

Hardware, . 

Lumber, 

Paint, oils, etc , . 

Pipe and fittings. 

Lime, cement, etc., 

Repairs, ordinary. 

Fertilizers, . 

Stationery, . 

Postage, 

Transportation, . 

Travelling, . 

Trustees' expenses, 

Miscellaneous, 

Labor, .... 

Clothing and men's furnishings 

Dry goods, women. 

Dry goods, house. 

Boots and shoes, 

Total current expenses. 

Extraordinary expenses, 

Undertaker's charges. 

Money refunded, 

Cash refunded patients. 

From appropriation for farm building. 

From appropriation for additions. 



Cash on hand Sept. 30, 1895, 



$111,579 59 

$922 66 

510 85 

2,171 60 

281 08 

2,145 14 

199 40 

8,209 49 

2,482 21 

10,375 06 

1,120 24: 

920 18 

4,192 27 

510 94 

872 13 

269 47 

1,393 60 

2,419 46 

1,084 19 

1,287 92 

787 12 

9,232 66 

520 60 

402 40 

305 60 

251 45 

151 28 

40 03 

3,330 75 

509 11 

6,560 00 

1,656 30 

2,995 90 

1,660 60 



$164,801 18 



i 11,800 33 

273 00 

88 07 

876 30 

17,681 70 

1,763 72 



31,933 12 



196,734 30 
36,368 51 



$233,092 81 



1895.] PUBLIC DOCUMENT — No, 23. 11 



Resources. 

Cash on hand, $36,358 51 

Due from the Commonwealth for board, etc 10,670 15 

from cities and towns for boaixl, etc., .... 24,410 24 

from individuals for board, etc., 11,589 90 



$83,028 80 



Liabilities. 
Due for supplies and improvements, .... $9,900 88 

for salaries and wages, 4,586 10 

to patients, 2,387 98 

16,874 96 



Total surplus, ......... $66,153 84 

Respectfully submitted, 

H. M. QUINBY, 

Acting Treasurer, 
Oct. 1, 1895. 



HOSPITAL LIBRARY FUND. 



Lewis Fund. 
Cash on hand Sept. 30, 1894, 
Received interest on Springfield bond. 

Expended for books, . , . . . 
Deposit in savings bank, .... 
Cash on hand Sept. 30, 1895, 

Wheeler Fund, 
Cash on hand Sept. 30, 1894, 
Received dividends, 

Expended for books, ..... 
Cash on hand Sept. 30, 1895, 

Manson Fund. 
Worcester County Institution for Savings, 
Dividends added to principal, . , 



$26 


24 


70 


00 


$61 


24 


20 


00 


15 


00 


$0 94 


218 


96 


$132 56 


87 


34 


$1,105 63 


44 


20 



24 



$96 24 



$219 90 



1,149 73 



12 



WORCESTEE LUNATIC HOSPITAL. 



[Oct. 



Lewis Fund Ina'estment. 

Springfield bond, f 1,220 00 

Worcester County Institution for Savings, . . 63 54 
Cash on hand Sept. 30, 1895, . . . . . 15 00 

Wheeler Fund Intestment. 

Seven shares Central National Bank, . . . $980 00 



Six shares Worcester National Bank, 
Worcester County Institution for Savings, 
Worcester Five Cents Savings Bank, 
Cash on hand Sept. 30, 1895, 



840 00 

1,145 86 

1,719 49 

87 34 



1,298 54 



4,772 69 



Manson Fund Investment. 
Worcester County Institution for Savings, 



1,149 73 



^220 96 



1895.] PUBLIC DOCUMENT — No. 23. 13 



LAISTD ACCOUNT. 



Cash on hand Sept. 30, 1894, ....... $1,35633 

Keceived from sale of land, ....... 1,600 09 



Expenditures. 

Remitted to State treasurer, .... $2,800 00 
Cash on hand Sept. 30, 1895, .... 156 93 



f2,956 90 



$2,956 93 



Respectfully submitted, 



Oct. 1, 1895. 



H. M. QUINBY, 

AcLing Treasurer. 



"Worcester, Mass., Oct. 26, 1895. 
I hereby certify that I have this day carefully compared the treasurer's statement of 
disbursements for the year ending Oct. 1, 1895, with the vouchers on file at the Worces- 
ter Lunatic Hospital, and believe it to be correct. 1 have also inspected the securities 
representing the invested funds of the institution, and find that their market value is as 
stated. 

GEORGE L. CLARK, 
Auditor of Avcoimts. 



14 WORCESTER LUNATIC HOSPITAL. [Oct 



SUPERINTENDENT'S EEPORT. 



To the Trustees of the Worcester Lunatic Hospital. 

I herewith respectfully submit the following report of the 
hospital for the year ending Sept. 30, 1895, it being the sixty- 
third annual report. 

There remained at the hospital Oct. 1, 1894, 924 patients, 
— 429 men and 495 women. During the year 269 men and 
243 women were admitted, 184 men and 180 women were dis- 
charged and 59 men and 52 women died, leaving at the end 
of the official year 961 patients, — 455 men and 506 women. 
Of this number 269 were supported by the State, 545 by cities 
and towns and 147 by friends. Of the 364 discharged, 87, 
including 4 habitual drunkards (women), were reported re- 
covered; 83, including 1 habitual drunkard (woman), were 
much improved ; 65 improved ; and 129, including 1 habitual 
drunkard (woman), not improved. Nineteen men and 29 
women were removed by the overseers of the poor ; 41 men 
and 30 women were discharged to the care of the Board of 
Lunacy and Charity, to be removed from the State ; 2 men 
and 3 women were transferred to Tewksbury ; 20 men and 10 
women to the Worcester Insane Asylum ; 7 men and 3 women 
to the Boston Lunatic Hospital ; 6 men to the State Farm ; 
and 2 women were boarded out. Eight men escaped and were 
not returned to the hospital at the end of the official year. 

There were 69 less admissions than in the previous year, 
but, as the number of discharges and deaths was correspond- 
ingly less, as compared with the admissions, there remained at 
the close of the year a net gain of 37 persons. 

The daily average number was 922.34. The highest monthly 
average was 951.41, in July, and the lowest 893.5, in Feb- 
ruary. 



1895.] PUBLIC DOCUMENT — No. 23. 15 

The perceniage of recoveries calculated upon the average 
number of discharges and deaths was 18.31 ; calculated on the 
number of admissions, it was 21.28. 

The death rate was 12.03, calculated upon the average num- 
ber of patients, and 7.72 on the total number under treatment. 

No epidemic prevailed, and there has been but little sickness 
of an acute character. Among the causes of death 3 were 
from pneumonia and 1 each from acute mania, acute melan- 
cholia, bronchitis, dysentery and puerperal eclampsia. One 
man committed suicide by hanging. All other deaths were 
from incurable brain disease. The patient w^ho committed 
suicide was sent to the hospital from the House of Correction 
at South Boston, where he was under sentence for breaking 
and entering. He had been four months at the hospital, and 
had never shown suicidal tendencies. 

During the winter months the wards of the hospital were 
opened on Mondays, from 2 to 5 p.m., to the class in psychol- 
ogy of President Hall of Clark University. Some twenty 
gentlemen availed themselves of this opportunity for clinical 
instruction, and, by their constant attendance and the manifest 
interest with which they followed the various cases brought to 
their notice, showed their appreciation of this attempt on the 
part of the hospital to utilize the material at its disposal for 
the purposes of instruction and the advancement of the spe- 
cialty, — an attempt which we hope and believe is but the 
beginning of a more extended and systematic effort in the same 
direction, and one which will bring the two institutions into 
closer relations and result to their mutual advantage. 

In this connection it is proper to state that it has been de- 
cided to add to the medical staff of the hospital a pathologist 
and specialist in nervous diseases. With this end in view, we 
have for some time been in correspondence with some of the 
leading men in the specialty, and as a result have engaged Dr. 
Adolf Meyer to fill this position, and we hope that he will be 
able to enter upon his work here on the first of November. 
Dr. Meyer graduated at the University of Zurich, and after a 
year spent at Paris, Edinburgh and London in post-graduate 
work, he returned to Zurich and entered the laboratory of 
Prof. Aug. Forel, where he paid special attention to compara- 
tive anatomy of the nervous system and did much original and 



16 WOECESTER LUNATIC HOSPITAL. [Oct. 

valuable work. For the past three years he has been the 
resident pathologist at the insane hospital at Kankakee, 111., 
holding at the same time the position of docent in neurology 
at the University of Chicago. Dr. Meyer will make the neuro- 
logical examinations in all new admissions. He will see that 
full and proper records are made, and will follow in the wards 
any cases that may be of special interest. He will direct the 
pathological work, will give stated clinical instruction to the 
assistant physicians, and counsel and assist them in the more 
complete and exhaustive study of their cases, and suggest 
topics for original investigation. That he may have time for 
this and for his own special work, he will be relieved from all 
routine duties connected with the institution, and be free to 
devote his time and energies to the strictly scientific side of 
the specialty. 

It is our purpose to furnish at the Worcester Lunatic Hos- 
pital such facilities for the study of nervous diseases, both on 
the practical and scientific side, as to attract to the service of 
the hospital young medical men of advanced standing who may- 
wish to perfect themselves in the specialty, whether with the 
idea of making hospital service their life work, or of finally 
engaging in general practice. 

Our new farm-house, mention of which was made in my last 
report, was completed early in the spring, and is now occupied 
by patients. It is situated on the westerly side of Plantation 
Street, near our farm barns, and is conveniently and pleasantly 
located, having a southern and eastern exposure. It consists 
practically of two separate buildings : a house two stories and 
a half high, on the end facing Shrewsbury Street, for the 
farmer and his family and the necessary hired help ; and a 
ward two stories high, facing on Plantation Street, for such 
male patients, with their attendants, as are employed on the 
farm or about the grounds. The building presents a frontage 
of one hundred and twenty-two feet. The house proper con- 
tains eight rooms on the first floor ; a parlor and sitting-room 
for the farmer's family, a sitting-room and lavatory for the 
male help, a pantry, kitchen, serving-room, scullery, store and 
refrigerator room. On the second floor are chambers for the 
farmer's fiiraily, two double rooms for patients, bath-room, 
linen closet, storeroom, and one single room and a large 



1895.] PUBLIC DOCUMENT — No. 23. 17 

dormitory for female help. In the attic are three rooms, occu- 
pied by eight hired men, and a room for a night watchman. 
The sitting-room for the hired men has a separate entrance, 
and can be entirely cut off from the farmer's apartments and 
rom the ward ; and the same is true of the rooms occupied by 
the female help. The ward for patients faces Plantation Street 
and is surrounded by a piazza. On the first floor is the dining- 
room and attendants' room, a day room and a clothes room for 
patients. The bath-room, lavatory and water-closets are placed 
in the rear of the day room, and are entirely detached there- 
from. In the second story is a dormitory thirty-one by sixty 
feet, a room for two attendants, a night lavatory, "and two single 
rooms for such patients as may become excited during the 
night, or otherwise disturb the dormitory. This room is fin- 
ished to the roof, seventeen feet in the clear, and is open on 
two sides to sunlight and air. It is lighted by fourteen 
windows, and has six dormer-windows for the purpose of 
ventilation. The building is heated by a sixty horse-power 
boiler. Every room has steam heat and is properly ventilated ; 
the large dormitory and patients' day room having special 
provisions for ventilation. The windows on the first floor of 
the ward are not guarded, but those in the second story are 
protected by wire netting of a quality a little heavier than the 
usual mosquito netting. All the inmates of the house use the 
dining-room in common, but meals are served at separate 
hours for patients and help, and to facilitate this arrangement 
a steam table is provided in the serving room. 

The expense of caring for patients here will no doubt be 
somewhat greater than in the wards of the hospital, although 
this will be in a measure ofi'set by the longer working hours 
which this change will make possible. In any event, it seems 
only proper for the hospital thus, in a sense, to share with the 
patients the profits of their labor. 

The cost of the buildino;s is as follows : — 



To cash paid Vaudreuil & Fuller, as per contract,, 
Wire lathing substituted for wood, ... 

Piazza, . 

Draining cellar and grading, .... 

Amount carried forward, .... 



$27,058 55 


1,217 


25 


510 


00 


520 


78 


$29,306 


58 



18 



WOECESTER LUNATIC HOSPITAL. 



[Oct. 



Amount brought forward. 

Concreting, 

Sewer connection, . 

Water, 

Gas, .... 

Cementing cellar, 

Alterations in plans, 

Cost of building, 
Furnishings, 

Total cost, . 

From State appropriation. 
Balance paid by ho'spital, 



$25,000 00 
9,965 96 



$29,306 58 

164 10 
380 75 
367 10 
70 00 
180 95 
1,737 06 

$32,206 54 
2,759 42 

$34,965 96 



$31,965 96 



During the year we have painted and frescoed nine of the 
female wards and enlarged the dining-rooms on the four Phil- 
lips wards, to better accommodate our increased number of 
patients, many of whom had been obliged, heretofore, to eat 
upon the halls or in their rooms, — a condition of things that 
added greatly to the work of the attendants, and made it impos- 
sible to give the patients proper service and oversight during 
meals. 

In the building as originally constructed the w^ards are sepa- 
rated from each other by a iire-wall carried through the roof. 
No such cut-off was provided, however, between the adminis- 
tration building, chapel wing and central wards. Such a fire- 
wall has now been constructed, and in connection with this 
work four rooms, two on either side, have been finished in the 
connecting corridors, for reception rooms for friends of patients 
occupying the upper wards. 

We have also made several radical alterations and improve- 
ments in the chapel. Its ventilation, always unsatisfactory, 
was especially so during our evening entertainments, when the 
air soon became exceedingly offensive. The only remedy 
available was to open the ventilators in the roof or the win- 
dows ; but both of these methods created a disagreeable and 
dangerous draft, to the discomfort especially of those sitting 
on the stage or near the sides of the room. To obviate this 
difficulty two galvanized-iron flues have been carried from near 
the floor, under the stage, on either side, to a galvanized-iron 



1895.] PUBLIC DOCUMENT — ]S^o. 23. 19 

chamber in the roof, filled with steam coils and connected on 
the outside with a Van Noorden ventilator. The stairs, which 
formerly entered the gallery through a dark passage, have been 
changed, and the gallery enlarged and lighted by removing the 
flat arch which spanned the opening through the rear wall of 
the chapel and substituting therefor three light gothic arches, 
resting upon gothic pillars. The stage proscenium has been 
altered to conform in style of architecture with the rest of the 
room, and two windows cut through the roof behind the stage. 
This has been done to light Allston's painting, " The angel 
appearing to Peter in prison," much of the beauty of which has 
heretofore been lost on account of deficient lighting. 

We have been obliged to make several unusually expensive 
repairs upon the buildings during the year. Finding that the 
core of our kitchen chimney had become gas eaten and was 
likely to fall in, we were obliged to take down and rebuild 
sixty feet of it. This was for some time a source of no incon- 
sid'^rable annoyance in our culinary department, but the work 
has now been satisfactorily completed. We were obliged to 
replace the metal cap on our main chimney, as parts of the old 
one had become detached and seemed likely to fall at any time 
and endanger our boilers. We have also painted our farm 
barns, at an expense of $694.20. 

There have been several changes in the medical staff during 
the year. The vacancy occasioned by the resignation of Dr. 
Lyman Jones, mention of which was made in the last report, 
was filled by the appointment of Dr. Edwin D. Boynton. In 
May last, after a service of four years. Dr. Maurice W. Pearson 
resigned the position of assistant physician to take that of house 
officer at the city hospital in Springfield, Mass. He was a 
faithful and painstaking officer, and was ready at all times to 
devote his be.st energies to the welfare of the institution and 
the patients under his care. Dr. Appleton H. Pierce was 
chosen to fill the vacancy caused by the resignation of Dr. 
Pearson, and entered on his work here May 15, 1895. Both 
Dr. Boynton and Dr. Pierce came to us after the usual service 
at the Worcester City Hospital. 

The current expenses for the year, less the amount received 
for the articles sold, have been $158,549.06 ; dividing this by 
922.34, the daily average number of patients, gives $171.90 as 



20 WORCESTER LUNATIC HOSPITAL. [Oct. '95. 

the annual cost of support, which is equivalent to a weekly 
cost of $3.29. 

We are indebted to the publishers of the " Worcester Daily 
Spy," the "Worcester Evening Gazette," the " Fitchburg 
Sentinel," the "Essex County Mercury," the "Lynn Tran- 
script," the "Christian Register," " Zion's Herald" and 
" White Ribbon" for copies of their paper. 

I wish, in conclusion, to express my appreciation of the con- 
scientious service rendered by my medical assistants and by all 
in the service of the hospital. To them is due much of the 
success that has crowned the work of the past year. Their 
labors, always exacting and arduous, are often disagreeable, 
and they are to be commended for the fidelity, kindness and 
tact with which they have performed their various duties. 

I would also take this occasion to express my gratitude to 
your Board for their continued confidencco 

H. M. QUINBY, 

SuperinleyidenL 
Worcester Lvnatic Hospital, Sspt. 30, 1895. 



STATISTICAL TABLES. 



22 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



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s in the house Oc 
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number of cases 


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as recovered at 

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supported as St; 

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private patients 










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1895.] 



PUBLIC DOCUMENT — No. 23. 



23 



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(>5 G<) 


MONTHS. 


ei 


00 


1 

October, . 

Kovenibcr, 

December, 

1 

January, 

February, 

March, . 

April, 

May, 

June, 

July, . . 

August, , 

Septembei*, . 


Total of cases. 
Total of perso 
Daily average. 



24 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



3 — Received on First and Subs 


equent 


Admissions. 






Cases admitted. 


TlMKS PREVIOUSLY 
KECOVEEED. 


KUMBER OF THE ADMISSION. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, ..... 


236 


202 


438 


- 


- 


- 


Second, ..... 


27 


30 


57 


9 


4 


13 


Third, ..... 


3 


7 


10 


3 


5 


8 


Foiu-lh, ..... 


1 


2 


3 


- 


5 


5 


Fifth, ..... 


1 


1 


2 


- 


1 


1 


Sixth, ..... 


1 


- 


1 


5 


- 


5 


Eighth, ..... 


- 


1 


1 


- 


7 


7 


Total of cases. 


269 


243 


512 


17 


22 


39 


Total of persons, . 


264 


231 


495 


12 


13 


25 



4. — Relation to Hospital of Persons admitted. 





Males. 


Females, 


Totals. 


Never before in anj^ hospital for insane, . 


202 


183 


385 


Former inmates of this hospital only. 


26 


26 


52 


Former inmates of other hospitals only, . 


32 


19 


51 


Former inmates of this and other hospitals : — 








Danvers, ....... 


1 


1 


2 


Taunton, ....... 


2 


1 


3 


Westborough, ...... 


1 


1 


2 


Total of persons, 


264 


231 


495 



1895.] 



PUBLIC DOCUMENT — No. 23. 



25 



5. — Parentage of Persons 


admitted. 








Males. 


Females. 


i Totals. 


PliACES OF NATIVITY. 
















Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Massachusetts, .... 


4.3 


43 


22 


24 


65 


67 


Other States : — 














Maine, .... 


4 


4 


15 


12 


19 


16 


New Hampshire, 




10 


7 


6 


10 


16 


17 


Vermont, . 




3 


2 


5 


4 


8 


6 


Rhode Island, 




4 


6 


2 


2 


6 


7 


Connecticut, 




1 


_ 


1 


1 


2 


1 


New York, . 




1 


2 


2 


2 


8 


4 


New Jersey, 




1 


- 


- 


- 


1 


- 


Pennsylvania, . 




— 


— 


- 


- 


— 


— 


Virofinia, 




- 


— 


_ 


1 


_ 


1 


North Carolina, . 




1 


1 


- 


- 




1 


Louisiana, . 




— 


_ 


1 


_ 




— 


Indiana, 




1 


1 


- 


_ 




1 


Washington, D. C, 




1 


2 


_ 


_ 




2 


Colorado, . 




- 


- 


1 


1 




1 


Other countries : — 














Canada, .... 


16 


18 


12 


10 


28 


28 


Nova Scotia, 




2 


2 


3 


4 


5 


6 


Prince Edward Islant 


, 


- 


- 


1 


1 


1 


1 


New Brunswick, 




3 


3 


2 


2 


5 


5 


Newfoundland, . 




_ 


_ 


2 


2 


2 


2 


Scotland, . 




5 


6 


7 


4 


12 


10 


England, . 




14 


12 


8 


6 


22 


18 


Ireland, 




107 


108 


88 


93 


295 


201 


Wales, 




- 


- 


1 


- 


1 


_ 


Germany, . 




7 


6 


6 


5 


13 


11 


Sweden, 




5 


5 


6 


6 


11 


11 


Holland, . 




- 


— 


1 




1 


1 


Denmark, . 




_ 


_ 


1 




1 


1 


Finland, 




1 


1 


_ 


_ 


1 


1 


Poland, 




1 


1 


- 




1 


1 


Hungary, . 




1 


1 


- 




1 


1 


Russia, 




8 


3 


1 




4 


4 


Austria, 




1 


1 


1 




2 


2 


Italy, , 




1 


1 


- 




1 


1 


West Indies, 




1 


1 


- 




1 


1 


Cuba, . 




_ 


- 


1 




1 


1 


Western Isles, . 




- 


- 


1 




1 


1 


Unknown, . 




26 


28 


84 


35 


60 


63 


Total of persons. 


264 


264 


231 


231 


495 


495 



26 



WOECESTER LUNATIC HOSPITAL. 



[Oct. 



6. — Birthplace of Persons admitted. 



PLACES OF BIRTH. 


Males. 


Females. 


Totals. 


Massachusetts, ....... 


99 


94 


193 


Other States : — 








Maine,. 






7 


11 


18 


New Hampshire, 






8 


7 


15 


Vermont, . 








4 


4 


8 


Rhode Island, 








5 


- 


5 


Connecticut, 








2 


3 


5 


New York, . 








3 


4 


7 


New Jersey, 








1 


1 


2 


Pennsylvania, 








1 


- 


1 


Virginia, 








2 


1 


3 


North Carolina, 








1 


- 


1 


Georgia, 








1 


- 


1 


Louisiana, . 








- 


1 


1 


Kentucky, . 








2 


- 


2 


Oregon, 








1 


- 


1 


Other countries: — 








Canada, 




19 


9 


28 


Nova Scotia, 




1 


3 


4 


New" Brunswick, . 




5 


6 


11 


Prince Edward Island, 




3 


1 


4 


Newfoundland, . 




- 


3 


3 


England, 




10 


6 


16 


Ireland, 




63 


53 


116 


Scotland, 




2 


5 


7 



1895.] PUBLIC DOCUMENT — No. 23. 27 

6. — Birthplace of Persons admitted — Concluded. 



PLACES OF BIRTH. 


Males. 


Females. 


Totals. 


Othei' countries — concluded. 








Wales, 










1 


1 


2 


France, 












1 


1 


2 


Italy, . 












1 


- 


1 


Austria, 












2 


1 


3 


Germany, . 












5 


3 


8 


Sweden, 












4 


7 


11 


Prussia, 












1 


- 




Russia, 












1 


1 




Holland, . 












1 


- 




Denmark, . 












- 


1 




Poland, 












3 


- 




Hungary, . 












1 


- 




Finland, 












1 


- 




West Indies, 












- 


- 




Cuba, . 












- 


1 




Azores, 












1 


- 




Cape Breton, 












1 


- 




Western Isles, 












- 


1 




Barbary, 












- 


1 




Unknown, . 
Total, . 










264 


1 
231 


495 



28 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



7. — Residence of Persons admitted. 




PLACES. 


Males. 


Females. 


Totals. 


Massachusetts (by counties) : — 








Bristol 


- 


1 


1 


Hampden, 


1 


- 


1 


Middlesex, 


77 


74 


151 


Norfolk, 


3 


3 


6 


Pl3-mouth, 


- 


1 


1 


Suffolk, 


88 


80 


168 


Worcester, 


95 


72 


167 


Totals, . . . . 


264 


231 


495 


Cities or towns, 


206 


177 


383 


Country districts, ..... 


58 


55 


113 



1895.] 



PUBLIC DOCUMENT ^^ No. 23. 



29 







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30 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



9. — Occupations of Persons admitted. 



Book-keeper, 


1 


Operatives, .... 


16 


Copyist, 








1 


Seamstresses, 




2 


Cloak fitter, . 








1 


Student, 




1 


Domestics, 








42 


Servants, 






3 


Di'essraakers, 








3 


Tailoress, 






1 


Housewives, . 








78 


Teachers, 






2 


Housekeepers, 








15 


Table girl, 






1 


Hair dresser, 








1 


Waitress, 






1 


Lady's maid, . 








1 


Unknown, 






21 


Laundress, . 








1 
1 


No occupation. 




12 


Music teacher, 


Total, 




205 



WIFE OR DAUGHTER OF — 



Blacksmith, 








1 


Butcher, 
Broker, . 








1 
1 


Barbers, 








2 


Clerk, . 








1 


Contractor, 








1 


Carpenters, 








3 


Farmers, 








2 


Gardener, 








1 


Hostler, 








1 


Harness mak 


er. 






1 



Lawyer, 
Laborers, 
Merchant, 
Mechanic, 
Pattern maker, 
Sea captain. 
Tradesman, 
Weaver, 

Total, 

Total, 



Bakers, 


6 


Barbers, .... 


2 


Boiler maker, 


1 


Blacksmith, .... 


1 


Butcher, .... 


1 


Brick maker, 


1 


Bookbinder, .... 


1 


Clerks, 


8 


Boot and shoe manufacturers. 


2 


Clergymen, .... 


2 


Brass finisher. 


1 


Cigar maker, 


1 


Book-keeper, 


1 


Cabinet maker. 


1 


Book publisher, . 


1 


Curriers, .... 


2 



1895.] PUBLIC DOCUMENT — No. 23. 

9. — Occupations of Persons admitted — Concluded. 



31 



MALES — Concluded. 



Commercial traveller, . 




Moulder, .... 


1 


Cook, . 






Mason, . 




1 


Carpenters, . 






Merchant, 




1 


Contractors, . 






Marble cutter, 




1 


Chocolate maker, . 






Operatives, . 




26 


Confectioner, 






Peddler, 




1 


Conductor, . 






Proprietor of foundry. 




1 


Chair maker. 






Piano tuner, . 




1 


Car inspector, 






Provision dealers, 




2 


Coal dealer, . 






Plumbers, 




2 


Drivers, 






Paper hangers, 




2 


Expressman, 






Printer, . 




1 


Flour and grain broker 






Painters, 




2 


Farmers, 




13 


Phj'sician, 






Fireman, 






Quarry man, . 






Gardener, 






Reed woi-ker. 






Gunsmith, 






Seaman, 






Gas fitter, 






Students, 






Harness maker, . 






Ship carpenter. 




I 


Hostlers, 






Stone cutters. 






Hotel keepers, 






Surveyor, 






Hulled corn dealer, 






Screw polisher, . 






Hack driver, . 






Salesman, 






Horn worker, 






Shoemakers, . 




12 


Jeweller, 






Trader, . 






Janitors, 






Telegraph operator. 






Laborers, 




49 


Tailors, . 






Lithographer, 






Teacher, 






Lawyer, 






Tanner, 






Leather dresser, . 






Upholsterers, 






Mackintosh maker, 






Veterinary surgeon, 






Mechanics, . 






Wire workers. 






Music teacher. 






Watchman, . 






Marine painter, . 






Waiter, . 






Machinist, 






Unknown, 




3 


Mill superintendent. 






No occupation, 




80 


Manufacturer of extracts, . 




Total, . 




264 



32 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



'c 









6 



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05 








1. Physical : — 
Apoplexy, 
Epilepsy, 

Tubercular meningitis, 
Phthisis, 
Scarlet-fever, 
Typhoid fever. 
La grippe. 
Syphilis, 
Malaria,. 
Chorea, . 

Cancer of uterus, . 
Uterine, . 

Abdominal tumor, . 
Puerperal, 
Pregnancy, 
Menopause, . 
Puberty, 
Senility,. 
Ill health, . 
Masturbation, 
Dissipation, . 
Intemperance, 



1895.] 



PUBLIC DOCUMENT — No. 23. 



1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


»— 1 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


1—1 


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■* 


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-* 


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1 


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1—1 T-t 


CO 


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1—1 


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T-l l-IOjTjiCNT-l-H C30 


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ICO|i-iC^CNTt<t>. cOCOOI'^icOC^liOltM-* -i^ 
lO •— 1 1— 1 to 






Opium habit, .... 

Injury to head. 

Injury to arm. 

Injury to hand. 

Injury to leg. 

Sunstroke, .... 

Overwork, .... 

Unknown, .... 

2. Mental : — 

Heredity, .... 
Congenital mental deficiency. 

Worry, 

Fright, ..... 
Family trouble, 
Financial trouble, . 
Bereavement, 
Excessive mental labor. 
Disappointment in love, 
Confinement in pi-ison, . 
Religious excitement, . 


o 
H 



34 



WOECESTER LUNATIC HOSPITAL. 



[Oct. 



^ 



6 
't?^ 





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U 
O 


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Admitted, 

Discharged recovered, ...... 

much improved, 

improved, , 

not improved, 

Died, ......... 

Remaining Sept. 30, 1895, ..... 

Number likely to recover or improve, . 



1895.] 



PUBLIC DOCUMENT — No. 23. 



35 



12. — Ages of Insane at First Attack, Admission and Death. 




13. — Reported Duration of Disease before Last Admission. 



PREVIOUS DURATION 


First Admission 
TO Any Hospital 


All Other 
Admissions. 


Total. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 








2 


3 


5 


- 


- 


- 


2 


3 


5 


Under 1 month, 








55 


38 


93 


10 


8 


18 


65 


46 


111 


From 1 to 3 months, 








27 


22 


49 


6 


3 


9 


33 


25 


58 


3 to 6 months. 








40 


18 


58 


4 


3 


7 


44 


21 


65 


6 to 12 months, 








18 


16 


34 


- 


4 


4 


18 


20 


38 


1 to 2 years, 








21 


24 


45 


15 


3 


18 


36 


27 


63 


2 to 5 years, 








25 


21 


46 


10 


16 


26 


35 


37 


72 


5 to 10 years, 








12 


17 


29 


15 


15 


30 


27 


32 


59 


10 to 20 years, 








1 


3 


4 


5 


4 


9 


6 


7 


13 


Over 20 years, . 








1 


4 


5 


2 


7 


9 


3 


11 


14 


Unknown, . 








- 


13 


13 


- 


1 


1 


- 


14 


14 


Total cases, 


202 


179 


381 


67 


64 


131 


269 


243 


512 


Total persons, . 








202 


179 


381 


62 


52 


114 


264 


231 


492 


Average in years, 








1.35 


1.85 


1.60 


4.03 


7.5 


5.76 


1.98 


3.12 


2.55 



36 



WOECESTER LUNATIC HOSPITAL. 



[Oct. 






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primary, 
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1895.] 



PUBLIC DOCUMENT — No. 23. 



37 



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38 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



16. — Causes of Death. 



CAUSES. 


Males. 


Females. 


Totals. 


Nervous sjstein : — 








Exhaustion from roania, acute, . 


- 


1 


1 


chronic, 


1 


2 


3 


melancholia, acute, 


- 


2 


2 


chronic. 


1 


3 


4 


dementia, secondary, 


2 


3 


5 


senile, . 


8 


2 


10 


organic, . 


3 


- 


3 


Epileptic insanity, ..... 


3 


1 


4 


General paralysis, 


16 


7 


23 


Chronic- myelitis, 


- 


1 


1 


Tubercular meningitis, ; . . . 


1 


1 


2 


Leptomeningitis, 


- 


2 


2 


Chorea, .- 


- 


1 


1 


Respiratory system : — 








Bronchitis, 


- 


1 


1 


Pulmonary congestion, .... 


- 


1 


1 


Pneumonia, 


2 


1 


3 


Phthisis pulmonalis, 


6 


7 


13 


Circulatory system : — 








Cerebral hemorrhage, .... 


6 


5 


11 


Heart disease, 


3 


5 


8 



1895.] PUBLIC DOCUMENT — No. 23. 39 

16. — Causes of Death — Concluded. 



CAUSES. 


Males. 


Females. 


Totals. 


General : — 








Peritonitis, ....... 


_ 


1 


i 


Bright's disease, ...... 


2 


1 


3 


Cellulitis of arm, ..... 


1 


- 




Puei-perai eclampsia, ..... 


- 


1 




Cancer of face, ...... 


1 






Cancer of uterus, ..... 


- 


1 




Gangrene of leg (senile),. . • . 


1 


- 




Facial erysipelas, ..... 


- 


1 




General miliary tuberculosis. 


1 


- 




Dysentery, ...,,., 


- 


1 




Suicide by hanging, , 


1 


- 




Totals, ....... 


69 


52 


111 



40 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



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1895.] 



PUBLIC DOCUMENT — No. 23. 



41 



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42 



WORCESTER LUNATIC HOSPITAL. 



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Under 1 month, . 

From 1 to 3 months, 
3 to 6 months, 
6 to 12 months, 

1 to 2 years, 

2 to 5 years, 
■5 to 10 years, 

10 to 20 years, 
Over 20 years, 
Unknown, 



1895.] 



PUBLIC DOCUMENT — No. 23. 



43 



19. — How sujijiOTted. 





Patients admitted. 


Average of the 


Year. 


SUPPORTED AS— 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


State patients, . 
Town patients, 
Private patients, 


169 

74 
26 


123 

85 
35 


292 

159 

61 


138.60 

237.38 

59.41 

435.39 


103.69 

305.34 

77.91 

486.94 


242.29 

542.72 
137.33 


Totals, . 


269 


243 


512 


922.34 



20. — Number of Convicts admitted to the Hospital from its Opening^ 
Jan. 19, 1833, to Sept. 30, 1895. 





Males. 


Females. 


Totals. 


Number upon first admission, .... 

Kumber upon readmission, .... 

Tutals, 


545 

66 

611 


126 

9 

135 


671 

75 

746 



44 



WORCESTER LUNATIC HOSPITAL. 



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833, 
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849, 
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858, 
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1895.] PUBLIC DOCUMENT — No. 23. 47 



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1860 
1861 

1862 
1863 
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1865 
1866 
1867 
1868 
1869 
1870 
1871 
1872 
1873 
1874 
1875 
1876 
1877 
1878 
1879 
1880 
1881 
1882 
1883 
1884 
1885 
1886 
1887 
1888 
1889 
1890 
1891 
1892 
1893 
1894 
1895 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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1895.] 



PUBLIC DOCUMENT — No. 23. 



49 



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50 



WORCESTER LUNATIC HOSPITAL, 



[Oct. 



24. — Showing the Results of First Admissions. 





Males. Females. 


Totals. 


Males. 


Females. Totals. 


Number of persons on first ad- 














mission, .... 


- 


- 


- 


7,898 


6,918 


14,311 


Discharged i-ecovered, 


2,827 


2,125 


4,452 


- 


- 


- 


improved, 


1,866 1,987 


3,853 


- 


- 


- 


not improved, . 


1,528 


1,365 


2,893 


- 


- 


- 


not insane, 


10 


6 1 16 


— 


— 


— 


Escaped, .... 


4 


- 


4 


- 


- 


- 


Died 


1,297 


1,035 


2,832 


- 


- 


- 


Kemaining in the hospital Sept 














80, 1895, .... 


866 


395 


761 


1 7,398 

1 


6,913 


14,311 



Showing the Results of Readmissions, 



Number of readmissions, . 








2,095 


2,059 


4,144 


Discharged recovered. 


722 


788 


1,510 


_ 


_ 


- 


improved. 


565 


553 


1,118 


- 


- 


- 


not improved, . 


449 


384 


833 


- 


- 


- 


Escaped, 


1 


- 


1 


- 


_ 


- 


Died, 


269 


223 


492 


- 


— 


— 


Eemaining in the hospital Sept. 














30, 1895, 


89 


111 


200 


2,095 


2,059 


4,144 



Showing the Results of Second Admi 


3sions. 






Number of second admissions, . 








1,289 


1,291 


2,580 


Discharged recovered. 


397 


403 


800 


- 


- 


- 


improved. 


332 


865 


697 


_ 


_ 


_ 


not improved, . 


317 


280 


597 


- 


- 


- 


Died, 


185 


161 


846 


- 


- 


- 


Remaining in the hospital Sept. 














80, 1895, 


58 


82 


148 


1,289 


1,291 


2,580 



Showing the Results of Third 


Admis 


sions. 






Number of third admissions, 








395 


355 


750 


Discharged recovered. 


142 


150 


292 


- 


- 


- 


improved, 


109 


90 


199 


- 


_ 


- 


not improved,. 


78 


64 


142 


- 


- 


- 


Died, ...... 


49 


33 


82 


_ 


- 


- 


Remaining in the hospital Sept. 














30, 1895, ..... 


17 


18 


35 


395 


355 


750 



1895.] PUBLIC DOCUMENT — No. 23. 

Showing the Results of Fourth Admissions. 



51 





Males. 


Females. 


Totals. 


Males. 


Females 


Totals. 


Number of fourth admissions, . 








164 


150 


314 


Discharged recovered, 


68 


69 


137 


- 


- 


- 


improved, 


47 


44 


91 


- 


- 


■^ 


not improved, 


29 


22 


51. 


- 


- 


- 


Died, 


12 


10 


22 


- 


- 


=, 


Remaining in the hospital Sept. 














3U, lb95, 


8 


5 


13 


164 


150 


314 



Showing the Results of Fifth Admissions. 



Number of fifth admissions, 








79 


77 


156 


Discharged recovered, 


85 


41 


76 


- 


- 


- 


irajji-oved. 


16 


17 


33 


- 


_ 


_ 


not improved. 


12 


9 


21 


- 


- 


_ 


Escaped, 


1 


- 


1 


- 


- 


- 


Died, . 


12 


6 


18 


_ 


_ 


_ 


Remaining in the hospital Sept 














30, ls9o, . , . , . 


3 


4 


7 


79 


77 


156 



Showing the Results of Sixth Admissions. 






Number of sixth admissions, . 








47 


40 


87 


Discharged recovered. 


23 


22 


45 


- 


_ 


_ 


improved, 


13 


13 


26 


_ 


_ 


_ 


not improved. 


4 


2 


6 


- 


_ 


_ 


Died 


5 


3 


8 


_ 


_ 


_ 


Remaining in the hospital Sept. 














30, 1895, ..... 


2 


~ 


2 


47 


40 


87 



Showing the Results of Seventh Admissions. 



Number of seventh admissions, 








26 


29 


55 


Discharged recovered, 


14 


18 


32 


- 


_ 


_ 


improved. 


6 


7 


13 


- 


- 


_ 


not improved, 


3 


1 


4 


- 


- 


_ 


Died, 


3 


3 


6 


26 


29 


55 



52 WORCESTER LUXATIC HOSPITAL. [Oct, 

Shoioing the Results of Eighth Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Xnmbei' of eighth admissions, 








20 


20 


40 


Discharged recovered, 


10 


13 


23 


- 


_ 


- 


improved, 


9 


2 


11 


- 


- 


- 


not improved, . 


1 


3 


4 


- 


- 


- 


Died, ..... 


- 


1 


1 


- 


- 


- 


Kemaiiiing in the hospital Sept 














•60, IbUo, .... 


" 


1 


.1 


20 


20 


40 



Shoiuing the Results of Ninth Admissions, 



Number of ninth admissions, . 








16 


16 


32 


Discharged recovered. 


10 


11 


21 


- 


- 


- 


improved. 


4 


4 


8 


- 


~ 


- 


not improved, 


1 


1 


2 


- 




- 


Died, 


1 


~ 


1 


16 


16 


32 



Showing the Results of Tenth Admissions. 



Number of tenth admissions, . 








14 


16 


29 


Discharged recovered, 


6 


12 


18 


- 


- 


- 


improved. 


7 


2 


9 


- 


- 


- 


not improved,. 


1 


1 


2 


14 


1.5 


29 



Showing the Residts of Eleventh Admissions. 



Number of eleventh admissions, 

Discharged recovered, 
improved, 
not improved. 









12 


14 


3 


9 


12 


_ 


— 


6 


4 


10 


- 


_ 


2 


1 


3 


12 


14 



Showing the Results of Twelfth Admissions. 



Number of twelfth admissions,. 








9 


11 


20 


Discharged recovered. 


3 


9 


12 




- 


- 


improved. 


4 


1 


5 




- 


- 


not improved, . 


1 


- 


1 


- 


- 


- 


Died 


1 


1 


2 


i 9 


11 


20 



1895.] PUBLIC DOCUMENT— No. 23. 

Showing the Results of Thirteenth Admissions. 



53 





Males. 


FemalejS. 


Totals. 


Males. 


Females. 


Totals. 


Number of thirteenth admissions, 

Discharged recovered, 
improved, 
not improved, . 

Died, 


3 
3 

1 


8 
1 


11 

3 
1 
1 


7 
7 


9 
9 


16 
16 



Shotving the Results of Fourteenth Admissions. 



Kmnbcr of fourteenth admissions, 

Discharged recovered, 
improved, 
not improved, . 



- - - 5 8 

3 6 9 - - 

2 1 3 - - 

-115 8 



13 
13 



Showing the Results of Fifteenth Admissions, 



Kumbcr of tifteenth admissions, 

Discharged recovered, 
improved, 
not improved, . 



- - 4 6 

2 4 6 - - 

2 1 3 - - 

114 6 



10 
10 



Shoioing the Results of Sixteenth Adrrussiorcs. 



Number of sixteenth admissions 
Discharged recovered, 
improved, 
Kemaining in the hospital Sept 
30, 1895, .... 







J 


8 


4 


1 


3 


4 


_ 


_ 


1 


- 


1 


- 


- 


1 


- 


1 


3 


4 



54 WOECESTER LUNATIC HOSPITAL. [Oct. 

Showing the Results of Seventeenth Admissio7is. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of seventeenth admis- 
sions, ..... 
Discharged recovered, 

not improved,. 


2 


2 

1 


4 
1 


2 
2 


3 
3 


6 

6 



Showiyig the Results of Eighteenth Admissions. 



Number of eighteenth admis- 
sions, . . . . . 
Discharged recovered, 
improved, 
Di«d, 









2 


3 


1 


2 


3 


_ 


_ 


1 


- 


1 


_ 


- 


- 


1 


1 


2 


3 



Shoiving the Results of Nineteenth Admissions. 



Number of nineteenth admis- 
sions, 

Discharged recovered, 
improved, 









1 


2 


- 


2 


2 


_ 


_ 


1 


— 


1 


1 


2 



Showing the Residts of Twentieth Admissions. 



Number of twentieth admissions. 
Discharged recovered. 



- - - - 2 

-22-2 



Showing the Results of Twenty-first Admissions. 



Number of twenty-first admis- 
sions, 

Discharged recovered, 

Died, 



_ - _ _ 2 

I 1 _ _ 

II - 2 



1895.] PUBLIC DOCUMENT — No. 23. 55 

Showing the Hesults of Twenty -second Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of twenty-second ad- 
missions,. .... 
Discharged recovered, 


- 


1 


1 


- 


1 
1 


1 

1 



Shoiving the Results of Twenty-third Admissions. 



Number of twenty-third admis- 
sions, . . . ^ . 
Discharged recovered, 



- 1 1 - 1 



56 



WOECESTER LUNATIC HOSPITAL. 



[Oct. 






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1895.] PUBLIC DOCUMENT — No. 23. 



57 















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58 



WORCESTER LUNATIC HOSPITAL. [Oct. 



•g[B10X 



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-saietaa^ 



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cocccococococO':o-*-#-7p-r-Tt<-+^-t-T-fin>o.Oir:irj.r?inu0.ou5 

<»OOOOCOGCGOOOCO(X;aOOOQOC»CO(XCCCOOOQOCO(XiOOOOOOaDCCaOCO 



1895.] PUBLIC DOCUMENT — No. 23. 



59 



I I I ! I I I I 1 IrHI (i-ll li-ll ti-lf I l(Ni-l01MI>Or-(C0t-Cni 



tlllllllllllli-IIIIIIIIIIIIC^IIiH|IM^>OCO- 



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I I I I I I I I I I I 1 I I I I 1 I I M I >-• I I 1 I t I I I i-H CO lO q 1 



I I I I I I I I I ] I I I I Irli-HrHI I IfHI.Ir-i-ll |(NIMISinO!JJC<) 



I I I I I I I I I I I I I I I I I I I I I I I » r I I I I I I >a m a: o 



I I I < I I I I I I I I I I I I I I I I I I I I I t I I I I I Tt< C^l -4< 00 



I I I I I I I I I I I I I I I I I I I I I I > I I I I I I I i-i - 



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60 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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1895.] PUBLIC DOCUMENT — No. 23. 



61 



i-<rl^r-ICOTl*COCO'^'riiOCOCfl'Mt-tDi-(iOOOCOt-0000 0'0-;t^ 



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1895,] PUBLIC DOCUMENT — No. 23. 



63 



I I B 9 B D 9 ) 



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PUBLIC DOCUMENT — No. 23. 



65 



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WORCESTER LUNATIC HOSPITAL. [Oct. 



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1895.] PUBLIC DOCUMENT — No. 23. 67 

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68 WOECESTER LUNATIC HOSPITAL. [Oct. 



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1895.] PUBLIC DOCUMENT — No. 23. 69 

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70 WORCESTER LUNATIC HOSPITAL. [Oct. 



S 



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1895.] PUBLIC DOCUMENT — Xo. 23. 



71 



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72 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



Residence of Private Patients admitted to the Hospital from Oct. i, 
1894, to Sept. 30, 1895. 



TOWNS. 


No. 


TOWNS. 


No. 


Boston, 


16 


Lancaster, .... 


1 


Braintree, . „ . . 


1 


Maiden, .... 


3 


Cambridge, .... 


2 


Southbridge, . 


2 


Fall River, .... 




Somerville, .... 


11 


Framingham, 




South Framingham, 


1 


Grafton, .... 




Worcester, .... 


17 


Hudson, .... 




Webster, .... 
Total, .... 


1 


Leominster, .... 


61 


Lowell, 









Natives, . 
Foreigners, 
Total, 



47 
14 
61 



1895.] 



PUBLIC DOCUMENT — No. 23. 



73 



Residence of Town Patients admitted to the Hospital from Oct. I, 
1894, to Sept. 30, 1895. 



TOWNS. 


No. 


TOWNS. 


No. 


Ayer, 


1 


Natick, ..... 


1 


Billerica, .... 


1 


Tyngsborough, 


1 


Boston, ..... 


2 


Uxbridge, .... 


1 


Leominster, .... 


1 


VVatertown, .... 


1 


Lowell, 


5 
1 


Worcester, .... 
Total, .... 


7 


Millbury, .... 


23 


Northbridge, 


1 







State Patients admitted to the Hospitcd from Oct. 1, 1894, to Sept. 

30, 1895. 
State natives, 214 



State foreigners, . 
Total, . 



214 



428 



74 



WOECESTER LUNATIC HOSPITAL. 



[Oct. 



LIST OF PERSONS 



Employed in the Wokcester Lunatic Hospital Sept. 30, 1895, 



Superintendent and phj-sician, per year, 

Assistant superintendent and physician, per year, 

Assistant physician, '* " 

Assistant physician, " " 

Assistant jjhysician, " " 

Pathologist, 

Steward, " " 

Treasurer, " " 

Matron, " " 

Clerk, 

Clerk, per month. 

Supervisor (man), " 

Supervisor (woman), " 

Assistant supervisors (men, two), each, " 

Assistant supervisors (women, two), each, " 

Marker of clothing, " 

Seamstresses (two), each, " 

Attendants (men, thirt^'-f our) , $23.00 to |25.00 per month 

Attendants (women, forty-one), $14.00 to flS.OO per month. 

Night attendants (men, four), f 25.00 to $28.00 per month 

Kight attendants (women, five), p»er month, 

Baker, 

Assistant baker, " 

Steward's assistant, " 

Office girl, " 

Kitchen man, " 

Cooks (two), $22.00 and $25.00 per month. 

Laundry man, " " 

Laundress, " " 

Assistant laundry man, " " 



13,000 00 

1,500 00 

1,000 00 

800 00 

800 00 

100 00 

1,200 00 

500 00 

COO 00 

720 00 

30 00 

45 00 

30 00 

35 00 

25 00 

18 00 

18 00 



18 00 


60 00 


27 


00 


28 


00 


16 


00 


35 


00 


30 


00 


20 


00 


27 


00 



1895.] 



PUBLIC DOCUMENT — No. 23. 



75 



Laundry girls (seven), f 14.00 to $18.00 per month 

House girls (eight), per month, each, . 

Kitchen girls (three), $U.OO to |16.00 per month. 

Scullery man, per month, 

Scullery maid, per month, 

Carpenters (two), f 2..50 and f 3 00 per day. 

Painters (three), $2.50 and $2.75 per day. 

Mason, $3.00 per day. 

Plumber, per ye:vr, 

Engineer, per year, 

Firemen (two), per month, . 

Farmer, per year, . 

Housekeeper, per year. 

Farm laborers (ten), $23.00 to $45.00 per month 

Farm help (women, two), $14.00 and $18.00 per 

Farm "watchman, per month 

Gardener, " 

Florist, " 

Coachman, " 

Expressman, " 

Basement and yard man, " 



month. 



$14 00 

23 00 
16 00 



900 00 

1,000 00 

40 00 

600 00 

240 00 







40 


00 






50 


00 






45 


00 






27 


00 






25 


00 






25 


00 



76 WORCESTER LUNATIC HOSPITAL. [Oct. 



SUMMAEY OF FARM ACCOUNT. 



Dr. 

Bread, fl80 00 

Butter 263 86 

Blacksmithing, . . 217 75 

Current expenses, 114 79 

Fertilizers, 528 68 

Fuel and lights, 161 43 

Furnishings, 194 69 

Grain and meal, 5,503 70 

Groceries, . 401 05 

Hardware, 23 01 

Live stock, 2,363 27 

Meat, 669 94 

Pasturage, 120 00 

Repair's, 631 64 

Salt 10 37 

Seeds, 110 90 

Straw, 231 57 

Sugar, 100 00 

Tools, 155 66 

Wages 5,007 12 

Water, 69 39 

Net gain for year ending Sept. 30, 1895, 4,009 93 

$21,058 75 



1895.] 



PUBLIC DOCUMENT — No. 23. 



77 



Ce 



712 barrels apples, . 

2 bushels apples, crab, 

612 bunches asparagus, 

10 bushels beans, lima, 

45 bushels beans, shell, 

85 bushels beans, string, 

138 bushels beets, . 

1,716 pounds beef, . 

155 barrels cabbage, 

960 bunches celery, 

57 bushels cucumbers for pickles, 

53 dozen cucumbers, 

1,618 pounds cauliflower 

1,337 boxes currants, 

6 bushels chestnuts, 

187^ barrels corn, . 

106 pounds chicken, 

4,539 gallons cider, 

1 bushel dandelions, 

17 U dozen eggs, 

573 egg plants, 

31,700 pounds hay, . 

50 pounds horse-radish, 

317| dozen lettuce, . 

Live stock sold, 

285,373 quarts milk, 

50 watermelons, 

1,494 melons, . 

68 barrels onions, . 

176^ bushels peas, . 

149 bushels pears, . 

8 bushels peaches, . 

37| bushels peppers. 

Amount carried forward, 



. $1,183 05 


1 


00 


74 75 


7 


50 


67 


00 


91 


25 


62 


85 


137 


28 


220 


00 


111 


00 


54 


CO 


28 


00 


32 


36 


134 


35 


9 


60 


257 


50 


19 


60 


272 


34 


1 


00 


46 


07 


17 


18 


285 


00 


4 00 


219 88 


. 2,460 


39 


. 11,414 


92 


2 


50 


131 


20 


156 50 


353 


00 


166 


50 


12 


00 


24 


55 


. f 18,058 


12 



78 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



Amount brought forward, 

106 barrels parsnips, 
26,753 pounds pork, 
Plants, .... 
6,850 pounds rluibarb, . 
169 boxes raspberries, . 
3,120 bunches radish, 
3 bushels salsify, . 
228 dozen summer squash, 
757 boxes strawberries, . 
243 barrels squash, 
125 bushels spinach, 
831 J bushels turnips, 
232J bushels tomatoes, . 
41 cords wood. 



fl8,058 


12 


168 


25 


1,571 


20 


5 


55 


231 


65 


30 


42 


114 00 


4 50 


75 


15 


91 


29 


251 


50 


94 00 


158 


62 


183 00 


31 


50 



$21,058 75 



1895.] 



PUBLIC DOCUMENT — No, 23. 



79 



PRODUCTS OF THE FAEM 



On Hand Oct. 1, 1895, and not delivered at the Hospital, 



Apples, . 
Beans, lima, 
Beets, 
Cabbage, 
Celery, . 
Com, 

Corn, fodder, 
Corn, pop, 
Carrots, . 
Egg plants. 
Ensilage, 
Hay, 
Mangels, 
Melons, . 
Onions, . 
Oats, 
Parsley, . 
Peppers, . 
Parsnips, 
Peai'S, 
Ptye, 
Sage, 
Salsify, . 
Squash, . 
Straw, rye. 
Straw, oat. 
Turnips, . 
Tomatoes, 



209 barrels. 
12 bushels, 
200 bushels, 
7,000 heads. 
8,000 heads. 
900 bushels. 
60 tons. 
18 bushels. 
150 bushels. 
6 bushels, 
200 tons. 
221 tons. 
1,000 bushels, 
178 

320 bushels. 

90 bushels. 

4 bushels. 

2 bushels. 
200 bushels. 

62 bushels. 

87 bushels. 

6 bushels. 

25 bushels. 

34,500 pounds. 

8 tons. 

4| tons. 

2,500 bushels. 

3 bushels.