The hospital also had a well-appointed department for the insane. This grew from very small dimensions to considerable size. In 1913, we had two hundred and fifty patients in this section of the hospital. When we first went to Panama, the insane of the Republic were very poorly cared for. In most parts they were confined in the jails, and cared for with the ordinary prisoners. Knowing that, as time went on, we would have a considerable number of insane from the people in the Zone for whom we had to make provision, we proposed to the Panaman Government that we should take care of their insane in our institution, at a per capita cost of seventy-five cents per day. This they readily agreed to, and at present, considerably more than half of these two hundred and fifty patients are sent in by the Panaman Government. The cost of caring for these Panaman patients was charged to the Department of Sanitation, but the seventy-five cents per day which was received by the Isthmian Canal Commission from the Panaman Government, was turned over to the construction of the Canal. A large and well-equipped laundry was attached to Ancon Hospital, furnished with all modern appliances. It was originally intended merely to do hospital work, but it was so difficult for employees to get washing done that the functions of the laundry were gradually extended and work was done for Canal employees other than those sick in hospitals. A reasonable charge was made for this outside work, and it finally came about that the income from this outside work went a considerable way in paying the expenses of the laundry. Under Colonel Mason, who succeeded Colonel Phillips in the management of the hospital, the waste fats and tallow from the kitchen were saved, and enough soap made not only to supply the laundry, but in good part to supply the hospital. The amount of surgical work in this hospital was very large, and the quantity of surgical dressings enormous. A considerable portion of these surgical dressings were not at all soiled, or very little so. Colonel Mason had these picked over, washed and sterilized, and found that he could thus make a large saving in his surgical dressings. In the early years of the hospital we bought such milk as we could get from the surrounding country at one dollar and twenty cents a gallon. Colonel Phillips brought cows from the United States and established a dairy on the hospital grounds, which accommodated about one hundred cows. After the dairy was well under way, he found that his milk cost him only from thirty to forty cents per gallon. I merely mention these items to show how much can be saved by care and attention to details in a large institution like Ancon Hospital. I could mention many other items, but these suffice to show that the hospital was very economically as well as efficiently run.