Richmond Palladium (Daily), Volume 37, Number 103, 5 March 1912 — Page 3

TnE BICHMOND PALLADIUM AND SUN-TELEGRAM, TUESDAY, MARCH 5, 1012.

PAGE THREE.

CI3SPITAL REPORT IS COMPLETE OIIE Council Is Presented with I Conditions Existing at the Institution.

The following was the report subknitted to the city council last evening by the special committee appointed to Investigate conditions at the Held Memorial hospital.' To the Mayor and Member of the Common Council: In submitting herewith a report of It findings, the committee appointed by you for the purpose of investigating the Held Memorial Hospital desires that It be understood that it appreciates the scope of Its authority. It la only In so far as this report is of Influence on your honorable body In considering requests for appropriations for the benelt of the hospital that anything may be gained as a result of the labors. It la not our intention to criticize without prescribing what we feel to be an adequate remedy, nor Is It our desire that there shall be any suppression of the facts, which, being made public, would serve to give to the Mayor and the Common Council as well aa the citizens Interested, a better Insight Into the affairs of the hospital. Your committee began its Inquiry on December 13th, 1111, meeting two evenings each week thereafter, making a total of twenty-one meetings. This is eiclusive of a visit to the hospital and a thorough Inspection thereof. A total of twenty-seven witnesses were summoned and gave testimony before this committee, which testimony the committee has in detail, and which becomes a permanent record for any detailed information that may be desired In connection with, this report, or otherwise. , Our efforts have been mainly directed towards ascertaining the facts as to the organisation of the Reid Memorial Hospital, Its finances, and general knanagement Keicmug, to the conception of the City Attorney aa to the relationship before the law existing between the City and the Reid 'Memorial Hospital, we quote from his signed statement under date of February 13, 1912, aa follows: J'.fCV ' ' In so far aa the property rights are concerned, I cannot see that the legal relationship existing between the hospital as4 the city aa a municipal con poratlom la any different from that existing between the city and any other voluntary aasoclatlon not for profit, excepting that the Articles of Incorporation recite the fact that ten thousand dollars (the Robert Morrison Fund) of the twenty-five thousand dollars donated for the support of the hospital (the ; permanent endowment) waa transferred by the City of Richmond to auck fund, etc., and to the end that the Cite cl Richmond may have aome represeL'-Uion in the hospital work and ovgnr!gb4 of. Us management, the health nl&cer of the city shall, by virtue of pie office, always be t member of the medical staff, and the mayor of aid city, by virtue of hla office, shall alwaya have and be accorded visltorlal powers In and to such hospital, and have at all timea free access thereto for the 'purpose of ascertaining any and all facts aa to the management and to make auch suggestions and rec ommends tlona to tbe Board of Trustees aa to him at any time may seem to be In the Interest of the public, and right and proper." In determining the question of the legality of the city appropriating funds for the benefit of the Reid Memorial Hospital, we would respectfully call attention to the Acts of 1907, Chapter 155, page 150, purporting to legalise appropriation that had been made and might In future be made by citizens for hospital purposes. We quote from the atatute: "Section 1. Bo it enacted by the general aaaembly of the Stste of Indiana, That whenever and wherever in any city In thla state, there shall have been eatabliahed therein, or within one mile thereof, a hospital at a cost of seventy-five thousand dollar or more, for the nursing and care of the sick, injured and disabled, and auch hospital ahall have been so established, conetructed and organised aa a gift for the benefit of the people of said city, and auch hospital ahall have been incorporated 'Under the laws of thla etate, not for profit but aa a benevolence and by Ita articles of Incorporation It la provided that ita incorporators shall be Us first board of trustees, which board shall be Its sole governing body, and auch board shall, at stated periods, elect Ita successors from reputable citizens of auch city and vicinity, who ahall be persons interested In the benevolent work of such hospital, and that they shall be chosen without any reference to any political or sectarian Influence, and that such trustees shall never receive any compensation for their services, and auch plan of organization Is declared to be Consumption Anyone Interested in the cur of ConSum rt Inn should l nn r h. wfcr Jea telling of recoveries by the use of Krkmans Alterative. foucha. Stubborn Colds and .Pneumonia wy he the beginning of more serious troubles Eckman's Alterative Is the effect tve remedy. Read Mr. Xansljr's statement: Saratoga. N. Y. Mentlement: For five or alK years I was troubled with rouvb and expectoration. I alm had a hih fever. My rase wae declared Consumption by my phyIrlan. I was given Cod XJver Oil C reasote and other medicines, all without benefit. "At Christmas time. 1906. I was -not expected to live. Calling Dr. R. H. McCarthy, he advised the use of Eckman's Alterative, which I took with excellent results and waa entlrelv cured. "During the past year 1 have gained li lbs. 1 go out In all weathers and bars had no cough or cold whatever. I frlve these facts to encourage others O ie Eckman's Alterative." lga4 Affidavit J AS. A. KANAL.Y. Kckeaan's Alterative i effective in BroneatUs, Aetbja. Bay Fever; Throat and Iwag Troubles, and In upbuilding the system. Does not contain poisons, opiates or habit forming drugs. For eats by A. O. Luken aad ether leading druggists., Aak for booklet of cured rases and write to Kckman laboratory.

hllad

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ineurea You for Mentha Against a tlek Headache, Biliousness. Constipation or a Bad Stomach. Put aside Just once the Salts, Cathartic Pills, Caster Oils or purgative watera which merely force a paasageway through the bowels, but do not thoroughly cleanse, freshen and purify these drainage or alimentary organs, and have no effect w hater er upon the liver and stomach. Keep your inside organs pure and fresh with Caacarets, which thoroughly cleanse the stomach, remove tbe undigested, sour and fermenting food and foul gases, take the excess bile from the liver and carry out of the system all the decomposed waste matter and poisons in the intestines and bowels. A Cascaret tonight will make you feel great by morning. They work while you sleep never gripe, sicken and coat only 10 cents a box from your druggist. Millions of men and women take -a Cascaret now and then and never have a Headache, Biliousness, coated tongue, Indegesetion, Sour Stomach or Constitpated bowels. Caacarets belong in every household, children just love to take them. for the purpose of keeping the government and management of such hospital always in tbe hands of citizens who are interested in Its work, and clear and free from any political or sectarian influence whatever; and when tbe entire revenues derived from the care of persons able to pay therefor and from all other sources is expended In the maintenance of such hospital, and the care of persons who are unable to pay, to the extent of its ability to do, and all such revenues are Insufficient to support and maintain such hospital and enable it to supply the need and demand for hocpital care and nursing in said city and community, and., where in or near such city auch hospital has been so located and established, such city has no city hospital, nor has provided means for furnishing its citizens hospital care' and nursing, it shall be lawful, and any such city in such case shall be and Is by thla act authorized and empowered to make appropriations of money to such hospital for the support and maintenance thereof, or to aid in the support thereof by tbe levy and collection of a special tax not exceeding, however, seven cents on each one hundred dollars valuation of the taxable property of such city; or to give much other aid and support in the maintenance thereof in such other mode or manner, and in all or in either such cases as the common council of such city shall or may from time to time deem proper and determined to do." In respect to the propriety of voting the public funds for the use and benefit of the hospital, therefore, we feel that responsibility must rest on each individual councilman's sense of duty. To comply with the letter of the law. in the Judgment of your committee, a full and complete financial report of the gross earnings. Income and expenditures of the hospital, is imperative, before the council may appropriate money for the benefit of the institution. It will be noted that the conditions stipulated in the statute are, that "when the entire revenues derived from the care of persons able to pay therefor and from all other sources is expended, in tbe maintenance of such hospital and the care of persons who are unable to pay, to the extent of its ability so to do, and all such revenue are insufficient to support and maintain auch hospital it ahall be lawful, and any auch city in such case shall be and is by this act authorised and empowered to make appropriations of money to such hospital, etc."y In the report of the Treasurer of the Board of Trustees, dated January 2. 1910, which is included In the printed statement of the hospital, is enumerated the following items under tbe head of "Hospital Endowment Fund:" Mortgage loans and funds at interest $15,244.87 Richmond City Water Works Bonds 10,000.00 Dickinson Trust Co.. stock (D. K. Zellor Fundi 500.00 Child's Cot Fund 1,436.21 Total invested and bearing Interest $27,181.08 St. Stephen's Hospital property, valued at 6,000.00 $33,181.08 (Since the publication of tbe above report, the St. Stephen's Hospital property has been converted Into cash, so Uat the total, over and above the amount of the permanent endowment fund of $25,000. should represent funds available to the trustees.) We have, as part of our record, the statement of the Treasurer of the Board that $2285.00 has been paid out from the endowment fund for current expenses, and that it was proposed by the Board that this deficit be made up from the money anticipated from the city. It is also a part of our record that, at times as much as $300.00 of the Child's Cot Fund has been used to pay current expenses and the amount repaid to this fund later out of the current expense fund. In contradiction to this testimony, we have the statement of the President of the Board, corroborated by tbe Treasurer himself, who corrected his previous testimony, that tbe amount of the permanent endowment fund is considered as but $25,000.00. as specified in the original articles of Incorporation, and that tbe balance amounting to some $8180.08, as above shown, really Is not a part of the permanent endowment fund, notwithstanding tbe printed statement, and can be, and has been, drawn upon to meet current expenses. The bitter statement being true, It would aeem to us, under the provisions of the Act of 1907. quoted above, that the city would not be legally authorised to make .an appropriation for the benelt of the hospital unUl the entire balance,' over and abovo . the amount of the permanent endowment fund of $25,000.00 has been used to

maintenance and Support of the hospital In the absence of a guarantee of assistance from tbe city we do not consider tbe Board of Trustee Justified In anticipating funds from that source. For the guidance of your honorable body, we feel that the annual report to the city rendered by tbe hospital board should show, in a classified form the exact amounts received, tbe total number of patients treated, how many of that total were full pay patients, the number of days treated and amount paid, those who pay partially snould be totaled, tbe number of days treatment accorded them, and the amount received from them set forth; thus showing to what extent the surplus of receipts over the actual cost is available to meet the deficiency created by the caring for charity patients. We can see no reason why the city should be called upon to make up a deficit, averaging 48c per patient per day, created as a result of patients being sent to the hospital by the Pennsylvania railroad, the C. & O. railroad and by other corporations, and by physicians from without the ci'y or state. It Is in evidence that the trustees have failed to make an effort to have these corporations pay the full cost of providing for patients they send to the hospital. The superintendent has declared that the hospital opens its operating room at an actual financial loss ranging from $2.00 to $5.00, which provides all supplies gratis to the physicians. As planned by laymen. Inexperienced in matters of this kind, it seems plain that the original hospital was inadequate. Changes have been found necessary, involving considerable expenditure, and, more recently, leading up to tbe necessity of an additional building for dormitory and laundry purposes. These additional expenditures, of course, add to tbe fixed charge of maintaining the institution. The inaccessibility of tbe hospital to certain sections of tbe community, which may have been more or less an impediment to its progress, we hope to see overcome within a reasonably short time by the construction of an electric railway or by a more economic system than at present in vogue. We believe tbe idea of a self-perpetuating Board of Trustees is detrimental to the best interests of rn institution such as the Reid Memorial Hospital, which depends wholly cr in part upon the public or municipal support, and to this feature, we think, in a large measure, is attributed many adverse criticisms of the institution. We are convinced that the hospital has been deprived of certain influences for good that might have been available to a lesa exclusive administration. The testimony of many witnesses discloses that there has not been sufficient cordiality extended by the hospital towards the majority of the physicians, who feel tbe lack of sympathy between the management of the Institution and themselves and as a consequence, their influence is not being used for the hospital in the matter of sending patients there; in fact, many physicians seem to prefer sending their patients out of the city, not expecting any better accommodations than are available here. A very few of the leading practitioners of the community have manifested any spirit of co-operation with the institution. In order that the hospital may live up to the fullest measure of its usefulness, and that the avenuee for the dissemination of its benefits be enlarged, there must be such modifications of the existing organisation end conditions as will tend to reach out and bring in a greater degree or popular interest, confidence and patronage. To this end, we respectfully submit the following recommendations: That such of the Board of Trustees which shall serve as authorized by the original articles of incorporation, shall number six, who shall consist of "reputable citizens of said city, who are interested in hospital work, and without any reference to any political or sectarian influence, and for the declared purpose of keeping the government and management of auch hospital always in the bands of citisens interested in its work and clear and free from any political or sectarian influence whatever and as in such articles of incorporation more fully set forth; that, in addition to these, the city be privileged to appoint two citizens to represent the city; and that the board be completed, making its total membership ten, (tbe same aa at present) by the addition of two members of the medical profession to be elected by and from the licensed physicians of said city, and of Wayne County. That the methods of continuing tbe organization of the first named six trustees be as per tbe plan outlined in the by-laws of the hospital asso

ciation; that the representatives of the city be appointed for a term of one and two years respectively; tnat the terms of service of the physicians be similarly limited. The necessity for such a chance is emphasized by facts developed during the investigation. Testimony has been presented to your committee tending to indicate EVEN IF VOU MAD A HECK AS LONG A THIS AND HAD S0QE TDD OAT OURS IT.

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1

TO

Tbe Derpicide Girl

Advisea Gentlemen. At Mrs. Blank's reception I met a gentleman who fulfilled my ideal of a man in all but one particular. He had a good bead, fine physique, perfect manners, waa a most interesting personality, and more himself with tbe distinguished air of a gentleman. His linen was immaculate and hla clothes faultless as to cut and material. But all the pleasant first impression was ruined when I discovered the collar and shoulders of his dresscoat covered with loose hair and flakes of dandruff. To me this was an indication of personal carelessness, not to say uncleanlines. I wanted to tell him to get a bottle of Newbro's Herpicide. This remarkable remedy would, in a short time remove every trace of dandruff from his head, stop his hair from falling and prevent him from becoming bald. I don't like baldheaded men; they look old whether they are or not. Dandruff is caused by a germ and Newbro's Herpicide kills that germ. The itching, which is so frightful with dandruff stops almost instantly. Herpicide is the Original Remedy, that destroys dandruff. There is nothing in the world just like it, nothing that is "just as good." One Dollar Size Bottles are guaranteed by all druggists to give satisfaction. Applications obtained at the good barber shops. . Send 10c in postage for a sample bottle and booklet to The Herpicide Co.. Dept. R., Detroit, Mich. A. O. Luken and Company, Special Agents. that the medical staff of the hoapitaI,as now constituted, is largely nominal, and, so tar aa having any voice In tbe actual management or administration of the hospital is concerned, is to be regarded as a nonentity. We believe the medical staff has a rightful place In relation to the institution; that it should constitute a useful agency for the increased efficiency and patronage of the hospital. Yet we have the sworn statement of all but the special hospital committee of the staff that their interest in the staff and knowledge of its scope and activity is practically a nullity. We believe that the staff should admit of recognition of the entire medical profession from which patronage of the institution might be afforded. To this end we recommend that the staff be modified, retaining its present total membership of twelve, altering annually so "that from the licensed physicians of the county every year there may be three new appointees. Notwithstanding the only interpretation to which the communication to council, relative to the appropriation asked be applied for laundry purposes it was within the knowledge of certain members of the Board of Trustees that Mr. D. G. Reid has already signified his willingness to supply funds for this purpose. This and other instances suggest that there has been at times a lack of confidence aa between the members- of the Board of Trustees themselves, andcrtainiy, in this instance at least as between the Board of Trustees and the Common Council. That the question of adequacy in equipment within the institution, as relates to the exercise of its function as a hospital, take precedence ?n the concern of the Board of Trustees over material economics. A serviceable X-Ray machine, and increased pathological facilities might heighten. tb j efficiency of the hospital in greater, measure than an equal expenditure on the realty. The'evidence shows that there la not the interest manifested in the management of the institution to be expected on the part of the members of the Board of Trustees. In so far a tbe records of their meetings during the year 1911 shows tbe average attendance was 5 1-12 for the entire year, and, we regret to add, the name of the city's representative on the Board of Trustees appears upon tbe reoord but four timea during the year. As a result, we feel justified in recommending the following addition to tbe bylaws: "If any member of the Board of Trustees should fall to attend three consecutive meetings without good reason, his office be declared vacant." The fact that the trustees have, individually or through business houses in which they have a financial interest, contracted with the hospital to furnish certain supplies is a practice which should be discontinued. That more complete report; be made Pilos! Pilos! Pilos! Williams Indian Pile Ointment will cur Blind. Bleeding- and Itching Piles. It absorbs the tumors, allays itching at once, acts as a poultice, gives instant relief. Williams Indian. Pile Ointment Is prepared for Piles and itching of the private parts. Dm insists, mail 50c and $1.00. MLUAJK UFO. CO.. Press.. CteveJaas. Osia For sale by T. F. McDonnell. Royal Welsh Cfcoir FlttST u. L ccuccn Thars March The Welsh Choir n magnificent, they ate splendid, and yon can say I said an. MZLOA

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of all operations taking place In the hospital, showing the death rate; also stating the condition of the "patients at the time they are brought to the hospital; that these reports be given such publicity aa will admit of inspection by any one having a legitimate interest. That the full cost of opening the operating room be charged to all patients able to pay. and that physicians be required to pay for such supplies in connection with operations as are now furnished by the hospital gratis, representing a convenience physicians ordinarily would be expected to furnish themselves. That greater courtesy be extended in receiving visitors to the hospital, to the end that tbe people may be made to feel a personal interest In its welfare, and no lack of cordiality in their own institution. That the city has a right to an interpretation of the franchise of tbe Richmond City Water Works, to the point of determining the liability of the hospital for its water accounts. We quote Section 4 of the amended ordinance, Water Works franchise: (See page 534 of the Statutes and Ordinances of the City of Richmond). "Sec. 4. That Section 24 of said ordinance be and that the same is hereby amended so as to read as follows: Section 24. Said water works shall maintain upon their present line of piping two hundred and twenty-five (225) hydrants as now located, or at such other points as shall be designated by the common council of said city; PROVIDED, that in case of the change of the location of any of said hydrants, the expense of such change shall be paid by the city. When ever the council shall deem it necessary, tor the better protection of the city, to establish additional hydrants on the present pipe lines, the water works company shall get the same at the points designated by tbe council, and shall charge the city only the price of the hydrant, cost of labor, and material furnished, and shall ever after Bupply said additional hydrants with water for fire protection free of cost to said city. Said water works shall furnish to the city, free of cost all water nesessary for the cleaning of the streets; supply all carts owned by the city for sprinkling the avenues of the parks, and for the sprinkling of streets under process of improvement by the city; supply all water required for sprinkling flowers in the parks; supply hose houses all the water necessary for their legitimate use, and all water necessary for the flushing of gutters and sewers of the city; supply two (2) fountains) one to be placed in Tenth Street Park and one in Glen Miller Park; the one for Tenth Street Park not to use more than 3,500 gallons per hour, aad the one for Glen Miller Park not to use more than 6,680 saltans per hour; and the above fountains are not so run more than six hours per day, and only during the months of May, June, July, August and September of each year, excepting that on legal holidays, and special occasions said fountains may be run such additional number of hours aa the mayor of amid city may designate; and one fountain at No. 3 hose, bouse; also supply all drinking places for man and beast erected by the city; providing the number does not exceed at any time one drinking fountain for each one thousand inhabitants of the city; and all drinking places erected on or after the passage of this ordinance shall have a storage capacity of not less than sixty (60) gallons; supply water for the city buildings, for CITY HOSPITALS, for the cleaning of the market houses, for the use of public school buildings; and to manufacturers for fire protection only, FREE OF COST.

It has occurred to us that the trustees have vested too much authority In the-superintendent. The multiplicity thus devolving upon this official has rendered it impossible for her to do justice to her primary re- ' CST AX3 CALTH T8 CSTfSt J3 CHUM. ' . WxhsloWs Sooth i!o Bvaur has bee Heed for over SIXTY YRARS by MILLIONS oi MOTHER 9 for their CHIL6RRN WHuS TKKTHINQ, with PKFECT 8CCCSS7 SOOTHES the CHILD. SOFTENS tbe GOats! ALLAYS all PAIN ; CUSKS WIND COLIC, aad tm w in iciutuj war vuujiUU, It IS SD mommy narmicaa. Wiaafew'a Snnthln armless. Be aura aad ask for " Mrs. i Soothing Syrup," aad tafce ao oUuf am-&y ccaUa. bottle. dad. Twenty-6v BICYCLES Just Received 1912 LINE of Bicycles and Tires, all new models, almost any style and make you desire, The best will be found here. Bring your old bicycle to the shop and let us give it a general overhauling for spring use. m:.m smith 426 Street

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sponslbility, that of directing the care of the sick, within the hospital. There should be an Improved system of buying supplies, for tbe institution. The trustees, representing aa they do, ample business capacity, should, we believe, arrange for the keeping of systematic records, to the extent of employing" a bookkeeper, to supervise the clerical work connected with the hospital. There should be an improvement In the method of checking the automobile receipts, and here

again a bookkeeper would be of serv-j Ice. AN ANNUAL, AUDIT OF THE HOSPITAL RECORDS AND ACCOUNTS SHOULD BE PROVIDED BY THE BOARD. We believe that printed rules and regulations bearing on the hospital , management and charges will supply information necessary to prevent misunderstandings and dissatisfaction. This is particularly true in reference to the charges for special nursing. Our inspection of the hospital building was " indeed a pleasant surprise, although tUere had never been any intimations of any ground for criticism in regard to its maintenance. We found the building absolutely sanitary, scrupulously clean, and the atmosphere one of optimistic cheerfulness, notwithstanding the fact that the institution was "under investigation." We found the nurses busily engaged with their work, the food ample, and the menu satisfactory. We are a unit in the expression that it is a splendid institution, deserving a larger measure of popular interest, and could the people of our city be brought into closer touch with its humane purposes, and the changes recommended herein be effected, we believe the source of the apathy towards the institution will have been removed and greater opportunity for its usefulness afforded. The criticisms embodied in this report are not prompted by any personal feeling on the part of any member of this committee and we realize fully the debt the people owe to the trustees for the sacrifice of time and effort necessary to the performance of their duties as trustees. If our labors will have contributed in any wise toward clarifying the atmosphere of mistaken conception of the hospital, its management, purpose and relation to the community, State of Ohio, city of Toledo, ) " ss. Lucas County, j" Frank J. Cheney makes oath that he is senior partner of the firm of F. J. Cheney & Co., doing business in the City of Toledo, County and State aforesaid, and that said firm will pay the sum of ONE HUNDRED DOLLARS for each and every case of Catarrh that cannot be cured by the use of HALL'S CATARRH CURE. PRANK J. CHENEY. Sworn to before me and subscribed in my presence, this 6th day of December, A. D., 1886. (Seal) A. W. GLEASON, Notary Public. Hall's Catarrh Cure is taken Internally and acts directly upon the blood and mucous surfaces of the system. Send for testimonials, free. F. J. CHENEY ft CO., Toledo, O. Sold by all Druggists, 75c. Take Hall's Family Pills for constlpa tion.

YOUR (CXHIPIPEI? probably need sharpening. Bring them tous and let us sharpen them for you. We have the only power disc machine in this section and positively guarantee all work done by it. ' What roller's Leafctr GccS Sir3 Fcr Ever since we started in business, we have enjoyed unlimited success in placing on the market "leather goods of quality." especially has this been true in our heavy harness trade because we make the harness to your wants and stand back of it ourselves, thus assuring you of a square deal. Coae in Monday with Your Clippers..

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we shall feel that the work shall not have been in vain. Alfred Bavis, Chainnau, E. P. Warfel, Secy., E. H. Harris. John Burdsall. Oscar Williams. Harry C. Kauffman. Arnold P. Hills, president of the great London shipbuilding firm which, haa built some of England great battleships, is an invalid, and-does all his work while lying on a couch. His, couch is carried in a motor-car to his office or wherever he wishes to go. r iHiu ei tm.ua kevbdet ntsa .nwrni WE'LL FILL YOUR PRESCRIPTION , fiace it on our records and are ready at any time to duplicate the prescription, thus saving you another examination if you happen to break your glasses, f For people who;move away or are out of town a good deal thla Prescription Record is Invaluable as we will mall glaasea to any point. MISS C. M.SWECTZCn OPTOMETRIST PHONt 1W 27a MAIN ST. readers of; the jPtCI

II " least

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any deficit that auy aria In the. tftMV tM j - gave Atra fesa.: