The London Fever Hospital is capable of receiving sixty-two patients: in
most seasons of the year its wards are full: often there are numerous
applications for admission which cannot be received for want of room:
there pass through the wards from six to seven hundred patients
annually. Two physicians are attached to the institution under whose
care the patients are placed alternately in the order in which they are
admitted: there is one assistant physician whose duty it is to perform
the office of the ordinary physicians when either of these may be
incapable of attending, and there is besides a medical officer resident
in the house. A history of each case, containing an account of the age,
occupation and residence of the patient, together with as full a
statement of the symptoms of the disease and of the order of their
succession as can be obtained is entered in the journal by the resident
medical officer. Each of the ordinary physicians attends daily and
enters in his journal a daily report of each of his own cases. The
resident medical officer goes round the wards twice a day, namely, early
in the morning and late in the evening, to observe if any change
requiring attention may have taken place in any patient; and if any such
change be observed by the nurses during the interval between these
visits they are reported to him by the head nurse without delay; all
such events with the modification of treatment they may have required
are entered in the journals. Every case that terminates fatally is
examined after death, and an account of the morbid appearances is
entered in a book kept for the purpose. In this manner, in the progress
of years a mass of facts accumulates relating to the statistics, the
types, the symptoms, the causes, the diagnosis, the pathology and the
treatment of the disease, whether successful or unsuccessful, which both
on account of the fullness and accuracy of the record and of the extent
of the period it embraces, cannot but be of great value.
Public-domain text, read in full here on John Shaqi.
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