PEIPING UNION MEDICAL COLLEGE HOSPITAL

Transcription

1

2 PEIPING UNION MEDICAL COLLEGE HOSPITAL T\VENTY-SIXTH ANNUAL REPORT OF THE SUPERINTE~DENT JULY I, 9 TO Jl'N E, 9 P~ipingt Cltina

3

4 Twenty-sixth Annual Reprt, 9- CONTENTS PAGE BOARD OF TRUSTEES AND OFFICERS HOSPITAL STAFF... HOSPITAL ADMNISTRATIVE COMMITTEES GENERAL INFORMATION CONCERNING RATES AND REGULATIONS REPORTS HOSPITAL SUPERINTENDENT MEDICAL SERVICES SURGICAL SERVICES OBSTETRIC AND GYNECOLOGICAL SERVICES OPHTHALMOLOGICAL SERVICES RADIOLOGICAL SERVICES PATHOLOGICAL SERVICES BACTERIOLOGICAL AND IMMUNOLOGICAL SERVICES NURSING SERVICE. DIETARY SERVICE HOSPITAL SOCIAL SERVICE S9 9 TABLES CLASSIFICATION OF DISEASES CLASSIFICATION Oil' OPERATIONS MEMBERS OF THE RESIDENT HOUSE STAFF,

5 A cmplete bibligraphy f publicatins frm the labratries and clinics f the Peiping Unin Medical Cllege is published separately and will be sent by the Librarian n request. The Annual Annuncement f the Medical Cllege may be secured upn applicatin t the Registrar.

6 Twenty-sixth Annual Reprt, 9-5 BOARD OF TRUSTEES OFFICERS Chairmatl Y. T. TSUR Vice-Chairman SOHTSU G. KING Sec,.etary MARY E. FERGUSON EXECUTIVE COMMITTEE Y. T. TSUR, Chairman RUGER S. GREENE Hu SHIH SOHTSU G. KU\G V. K. TING MEMBERS T Serve until the Allnual Meeting j 96 Hu SHIH HSJN-KWEI Llt\ J. RENG LlU E. C. LOBENSTIKE SAO-KE ALFRED SZE T Str ve unlil tlu A,lIlfJal lljuling f 95 PO-LING CHANG ROGER S. GREENE F. H. HAWKINS G. E. HUBBARD ' Serve until/he Annual Mutillg j'9 SOHTSU G. KING Y T TSlTR V. K. TING J. HENG LlU, Diredr f the Peiping Ullil Mediad Cile,(e* ROGER S. GREENE, ria-directr VERGIL F. BRADFIELD, Treasurer' FLOYD P HARNED, Auist.mf Treasurer March 5, 9 "On leave f absellce

7 6 Peiping Unin Medical Cllege Hspital HOSPITAL STAFF July, 9 - June, 9 J. HENG LIU, B.S., M.D., II< Superintmdent SIH-TZE WANG, M. D., Auistant Superintendent and Acting Sujurintendent K'AI-CHIANG Hsu, M. D., Auistallt t the Superintendent MILDRED F. WALKER, Auistant t the Superintlndent frm Nvemher 6, 9 DI<:PARTMENT OF MEDICINE FRANCIS R. DIEUAIDE, A.B., M.D., Prfiur f Medicine and Head f the Department CHESTER NORTH FRAZIER, B. S., M.D., Prjemlr f Dermatlgy and 8.J'Phillg)! ROBERT ROGER HANNON, PH. C., B. S., M. D., Auciate Prfeur f Medicine RICHARD HO-P'ING SIA, B. S., M. D., Auciate Prfessr f Medicine ARTHUR P. BLACK, A. B., M. D., AJJciate Prjiusr j Pediatrics CLAUDE E FORKNER, A.M., M. D., Assciate Prfeur fmedidne RICHARD SHERMAN LYMAN, A.B., t\.. D., AJJdatl Prfusr f Neur'lgy and PsychiatfJ' CHUNG-UN LEE, M.B., CH.B., D.T.M. AND H., AJJistantPr!curj'Medicine GILES A.M. HALL, B.S., M.D.,* Assislant PrfeJJr j' Medicine and Cllege Ph)'sicia'l HSIAO-CH'IEN CHANG, M. D., AJJistant Prfessr fmedici,u SHIH-HAO LIU, M. D., Assistant Prjusr f M edidne YU-LIN WEI, M,D., Auciate in Neurlgy and P.I.J'clJialr.Jt CHEN-LANG TUNG, A.B., M.V., Audale in Medicine JUl-WU Mu, M. D., AJJcial in Dermatlgy and SJ'Philigy ARTHUR MARLOW, A.B., M.D., Audalein Medicine (Cl/ege Health Service) FU-T'ANG CHU, M.D., Auciate in Pediatrics ANNE G. KUTTNER, S.B., PH. D., M.D., AJJciale itl Medicine CH'UAN-KUEI H U, M. D., * Auislant in Dermatlg)' ald Syphillgy YU-LIN CH'ENG, r... t. D., Auislant in Neurlgy CHAO-JEN Wu, M.D.,* AJJislanl in Medicine TA-T'UNG WANG, M.D.,*i Auist'lll in Medicine and Surgery TSO-I.IANG CH'IN, M. D., Auistant;n Dermatlgy and Syphillgy HUEI-LAN CHUNG, M. D., Auistant in Medicine KUO-CHENG WANG, M.D., Auistant in Medicine (Cllege Heallh Ser'.)ice) SHU-HSIEN WANG, M. D., Auislanl ill Medicine "On leave 9H-H " On Inve f Sepll'mber. 9B

8 Twenty-sixth Annual Reprt, 9- DEPARTMENT OF MEDICINE (cncludej) LEWIS K. SWEET, A. B., M. D., AuiJtant in Pediatrics MAO-LIN CHANG, M. D., Auistant in Medicine (Cl/ege Health Ser~ice) HSIEN-I CHU, M. D., AJJiJtant afld Resident Phj'Jician SHIH-FAN CHUNG, M.., AJJistant in PediatriCJ CHARLES W AN-NIEN BIEN, M. D., AJJistant and First AJJistatlt Residml PIIJ'Jician WEN-LIEN HSIEH, B.A., M.D., AJJistant in Medicine CH'UAN FAN, M.D., AJJiJlafll and AuiJtallt ResidelJt Ph)'Jiciatl (Pediatrics) frm latmary, 9 CHIA-HSIANG WANG, M. D., AJJistallt Residellt Physician (Neut-lgy) SHIH-HSUN Hsu, M.D., AJJiIlalll Residmt Ph)'Jiciall (Pediatrics) TSU-FEI Su, M. U., Assis/ant Residmt Ph)'Jician KUO-CHEN eh'en, M.D., AJJistallt Resident PII)'Jiciall SHOU-K'AJ CHOU, M.D., AJJistanl Resident Ph)'SicilUl CH'ENG-FANG CH'U, M.D., Auistanl Resid lt PIIJ'm'ian CHIA TUNG TENG, M. D., AIJislallt RCJidml Phj'Jiciml lui-ping "'u, M. D., ASlistmll Resident PlJ'siciall HUNG-CHWNG LI, M.D., AJJistarrJ Residellt Ph)'siciml (Dermatlgy aud ~J'phillg)' ) K'EH-WEI HUANG, M. D., AJJiJllllI Resi.lmt PlJJician t Ma)' I, 9 SHAO-HSUN \V A~G, M. D., Assis/am Resident P/~rsicillll K'EH-HUNG LI, M. D., AJJislllnt Residelt Ph),siciafl CHm CHUNG \\'v, M.D., Assistallt Re. idm/ P/IJ'sictall t lu/.} /,9 OEPt\RT~ENT OF SURGERY HAROLD H. LOUCKS, A.B., M.D., PrfeJJr f SurgerJ' and Head / the Departm lt GEORGE Y. CHAR, B. S., M. J)., Prjeur lif' Urlgy CHESTER MONTAGUE VAN ALLEN, A.H., l\ld., Pr'tif(sJr lif' Surgrry J. HUA Lw, M.D., Prfeur f O//ar)'nglOK)' LEO J. MILTNER, B. S., M. D., * AJJciale Pr"fessr f Orthpedic SJugery JOHN W. SPIES, M. A., M. D., Auciatc Prlifessr j Surger)' SUNG-T'AO KWA~, B.S., M.D., Assistant Prlessr / SurgrrJ' MOf(fON D. \ ILLcuTrs, M.D., LT. COMDR. (M.e.), U.S.N., HOllrary Lulurer ill StlrgllJ' TZE KING, M. D., Assciate in OtlarynglK)' UNG-HAO TING, \. D., Asscialr in Otltlryng%gy MAO-LIEN Hu, M.D., Assciate in O//af)'Ig%KJ' PING-CH'I TUNG, \-.., As.wciate in Surger)' On leave brn March, 9H

9 8 Peiping Unin Medical Cllege Hspital DEPARTMENT OF SURGERY (ctleluded) JOHN JACOB \VOLFE, L.D.S., R.C.S., (ENG.), D.D.S., M.D., AJJciatl! in Dental Surgl!ry HENG-J CHEN, M. D., Auciate in Surgery TA-CHUN YANG, M.D., Assistant in Clinical Surgery Fu EN WAN, M.D., Assistant in Clinical Surgery HSI-EN SHIH, M.D.,* Auistant in Surgery HSIEN-LIN CHANG, M. D., Auistant in Surgery and Resident Surgen CHING-P'O YANG, M. D., Anistant in Surgery and First Assistant Resident Surgen ALEXANDER F. BARANOFF, D. D. S., Auistant in Dental Surgery YIN-CHONG HSI, D.D.S., Auistant in Dental Surgl!J' HYEN-TAIK KIMM, M. D., Auistant Resident Surgen t August, 9; AJJislant ill Surguy frm August, 9 CH'ING-SUNG CHANG, M.D.,.,fJJistant Resident Surgl!n CHIEN-LIANG Hsu, M. D., Assistant Resident Sm-gen YIN-KUANG YUAt\, M. D. Assistant Resident Surgen HSING-AN Hsu, M. D., Asristallt Resident Surgen YIN-HSIANG Hsu, M. D., Auistlmt Resid lt Surgl!n YING-K'UU K', M.D., Auistant Resident Surgen CHAN SZUTU, M.D., Auistallt Resident Surgen CHIA-SSU HUANG, M. D., ASlistanl Resident Surgel HSIEN-CHIH FANG, M.D., Assistant Residmt Surgen jrm M Q.J", 9 DEPARTMENT OF OBSTETRICS AND GYNECOLOGY J. PRESTON MAXWELL, M.D., B.S. (I.OND.), L.R.C.P., F.R.C.S., (ENG.), F.e.O.G. ** Prqfessr f OhItetrics and G)'neclgy and Head j the Department NICHOLSON J. EASTMAN, A. B., M. D., Prrifessr f Ohstetrics and Gyneclgy AMOS WONG, M.D., Assistatzt PrfeJJr f ObJtetrics and G)'neelgy MARION YANG, M.D., HQllrar..'! Udurer in Hygiene and PuMic Health alld in Ohstetrics and Gytuclgy STANLEY W MORIS, M.D., Assistant in Ob.ltetric.l and Gyneclg.'! t September, 9 KHA-T'I LIM, M. D., AS.li.ltallt in Obstetrics and Gyneclgy SUNG LIN, M. D., Auistant in Ob.stetric.s and Gyneclgy and Resident Obstetrician and Gyneclgist P'EI-WO WANG, M. D., Fir.lt A.I.si.stant Resident Ohstetrician a"d Gy,uclgist SU-HSIEN Lu, M. D., Assistant Resident Obst~t,.iciafl and G.v,u(lgist On leave 9B -On leave frm June. 9

10 Twenty-sixth Annual Reprt, 9-9 DEPARTMENT OF OBSTETRICS AND GYNECOLOGY (cndud~d) SHU-CHEN WEI, M. D., /luistallt Resident Obst~trician and Gynec%gist CHI PENG M. D., /luistmlt Resident ObsUtricifl (md G..vnu%gist PAO-HUA YANG,M.D., /luislant Resident Obs/elriciall and Gynec%gistt Apri/, 9 DEPARTMENT OF OPHTHALMOLOGY PETER C KRONFELD, M. D., Pr/eur fopht/za/lll%gy and Head f the DepartmeutJ"m Janllar.J' 5, 9 HUA-TEH PI, M.D., /ljjiji,wt Prjcur.(Ophlha/m%gy and Acting Head f/he Departlllen/t Janual]' 5, 9 PETER S. SOUDAKOFF, B. PH., M, D. AJJciate in Ophtha/m%g)' SHIH-PU CHANG, \,. D., AJJci.:lte i,l Ophtha/m%g.v SING-MEl KIANG, M. D., /luijjallj i,l p/jllta/m%g.y TSO-HSIt, P' AN, M.D., /luijtanj ; Ophtha/m%g)' JUN-TEH TANG, M.D., AJJiJtallt i,l Ophtllll/Il/gJ' Htll-HSI FENG, M. D., /luijlallt ReJi./ent OpIJlha/m%gisJ CHH:G-K'l'EI LIN, M. D., Auistant Resident p/llha/m%gijl TSUNG-HSIEN Lu, M. D., iluijlatt Ruidmt Ophtha/m%giJt DEPARTMENT OF RADIOI.OGY CHili-tWANG HSIEH, M. S., M.>., Auciate Pr(eJJ,- j Rmlgetl%gJ' and Head Of Ihe DeparJlIJetll MAR\'(~ I\.D. \VIl,LA\IS, R.S., Ph.D., Ph")'JiciJt CHING 'Ye, M.S., c\.d,, Aucitltr;I ROl'll(r;m%gJ' HO SHA/\: \\' ANG, B. S. AuiJtalll ;/ Rw/gen%g)' and Sllper'l!iJr '?I'the Phtgraphic B/(r'~ilt/ TU-SHAN JUNG, M. D., '* /luis/mil i Rmtgen%lU' CUU-PNG CHANG,.It S., M. D., IluiJlattl ill Rmtg llgj' and Aui.stan/ Re.sidmt Ra./i%gist HSI-Hsu HSIEH, M.D., Aui.stallt Re.sidmt R.,di%giJt HSIEN-MING HSlI, c\.d.,.ii;;ijifl Rnidmt Radi%gi;t t Aay,9 DEPARTl\H:NT OF PATHOLOGY REINHARD J. C. HOEPPLI, \'. >., D.Sc.,... PrfeJJr f PamJitigy and Actillg Head j the Depar tment f Palh%lP CHENG-HSIANG H, ttl. D., /lui.slant PrifeJJr f Palh%KJ' all.! Actitlg Head f the Depat lmelll.!; ll M aj'. 9 On l('al'e frm OctlJrr. 9B '/ (,lv" frm May. 9,.

11 Peiping Unin Medical Cllege Hspital DEPARTt,, RNT OF PATHOLOGY (cncluded) OO-KEK KHAW, M. B., Ch. B., D. P. H., D. T. M., Assistant PrfeJJr f Parasitlgy and Acting Head / tlu Di<visinfrm Ml{v, 9 HSI-JUNG K~ANG, M. D., AJJciate ;' Ptlth%gy SHIH KUANG NGAI, M. D., Assistant in Pa/h%K)' LAN-CHOU FENG, M. D., * Assistant in Parasitlgy KUANG-YU CH'IN, M. D., Auistant ill Pathlg). DEPARTMENT OF BACTERIOLOGY AND IMMUNOLOGY CHONG-EANG LIM, M.B., B.S., DR. P.H., D.T.M., P"fessl' f Bacterilgy alld Head j the Department TIMOTHY J KUROTCHKI!'>, M. D., Assistant Pr~ftJsr f Baderilgy alld m mull%gy DOROTHY HelE WONG, A. M., Assciate ill Bacterilgy SAMUEL H. ZlA, M. D., ** Assciate in Bacterilg) \VEN-KWEI eh'en, M.D., Assistant i, Bacterilgy FEI-CHING LIN, B.S., MD., ilssistant ill Baclerilgy CHUN-HUI YEN, R. S., M. D., AssiJtllnt in Bacteri%K)' On leave frm Scplember. 9H On leave 9JJ-H

12 Twenty-sixth Annual Reprt, 9- INTERNES Service Began July, 9 July, 9 July, 9 July, 9 July, 9 July, 9 July, 9 July, 9 July, 9 July, 9 August,9 July,9 July, 9 August, 9 July, 9 July, 9 July, 9 July I, 9 September, 9 July, 9 July, 9 jllly, 9 uly, 9 July, 9 julyj, 9 July, 9 July, 9 September 5, 9 July I, 9 In Medicine CH 'ANG-CHAO CHANG FA-CH'U CHANG MEl-PO CH'EN YU-HO CH'ENG CH' ANG-SUNG FAN K'AN FANG CHEN-HSIANG HUANG YlNG-K'UEI Hsu YUN-YU Ku UEH-CH'ING MA YU-CH'UAN SHEN TS'UN T'UNG CHI-WU \V ANG CHI-WEN Wu CHIEN-PANG Y ANr. HUAN-WEN Yu III Sur!!CTJ' SHU-YING CHAO I-eH 'ENG CHAO YU-TEH CHOU HAl-SHAN FAN JIH-HSIN FAN CHI-HO Hsu HUNG-JU LI SHU-PING M KAI-HSI WANG SHIH-DOH Wu Til Obstetrics and GyntWiOfl' SHU-LIEN CHAO TSOl-LAAN LEI VI-TUH LIEU Service Ended June, 9 June, 9 June, 9 June, 9 June, 9 June, 9 June, 9 June, 9H June, 9 June, 9 July, 9 Junt-, 9 June", 9- July, 9H June, 9 June, j 9 JUlie, 9 June, 9 August, 9 JUlie, 9 june, 9 June, 9H June, 9 June, 9 June, 9 June, 9 June, 9 June, 9 June, 9

13 Peiping Unin Medical Cllege Hsp.ita] NURSING SERVICE As f June, 9 GERTRUDE E. HODGMAN, R.N., M.A... D~tln f the Schl Df Nursing and Sllurinlenden/ j Nurses FAYE \VHITESIDE, R. N., PH. B. *... Auaall Superi,,/enden/ f Nurses ETHEL E. ROBINSON, R. N... ;... Acting Audate Sup~rin/end~nt f Nurses MARY S. LOUCKS, R. N... Assistant Su~erintend~/l/ f Nurses ELIZABETH HIRST, R. N... Auis/all Sllp~rintendent f Nursu LILA M. DALRYMPLE, R. N... Night Supervisr GLYDE M. LEACH, R.N... SuperviSDr f Gmeral Operatillg Rm RUTH H. KUNKEl., B.S., R.N.**... Silpervis,' flsla/ill Pavilin VI IISUEH, N.A. C. *... Actillg Silpervisr f Islatin Pavilin MARY A RITCHIE, B.S., R.N... Supervisr f M~dical Wards KATHERINE L. STH.ES, R. N... Supervisr f Ohsutric tllld GYlleclgiCllI "?ar'ds CORNELIA TENNENT, B. A., R.N... Supervisr f Pediatric JI'llrd RUTH I. El.LlS, R. N... SlIper visr f Pri'Vtlle Palimls' Pavi/rll MARGARET R. WYNE, R. S., R. N... Supervisr f Pllhiic Oll/pa/iellt Service DOROTHY D. H UI.L, B. S., R. N... Supervisr j Surgical Wards KHENG-ENG Yu, N. A. C., C. M. B. ****. Assistllnt Night Supervisr SU-YUN WANG, N. A. C... Assistant Night Supervisr "'EI-KANG LI. N. A.C... Head Nut'se, Adlllissill Ward JUNG HSUN Ku, N.A.C... Head Nurse, General Operating Rm SHU-YUAN Su, N.A.C... Head Nurse, G.',uclgical JI'ard YUEH-CH'IN LIAO, N. A. C... Head Nurse, Islatin Ward jr Adults LH-LOH WANG. N. A. C.... Head NurJI, blatin "' artl fr CIJildrm TEH-CHEN HSIA, B.A., R.N... Hlad Nurs~, Medical Ward/Dr Men CH'I CH'EN, N.A.C... Head Nurse, Metablism T/'ard HSING-KUO JEN, N.A.C... Helld Nurse, Mixed Ward lr Mm KUEI-YING SHAO, N.A.C... Head Nurse, Mixed "'ard/r H'mell DORIS BEAUMONT, R.N... Head Nurse, Obsutric Ward VUN-CHU SHEH, B.S., N.A.C... Head Nurse,ObstetriclmdG)'neclgical Clillic, Public OUlpatient Serv;(I Ou leave t July. 9 "'Ou leave Auntt. 9J -"N.A.C." dentef rer:illratin with lbe NurK" A.~alin,,( China - C.M.B." elmte. reri'lralin wilh we C"mral Mid... i"... Bard..."lIdll. tillliand

14 Twenty-sixth Annual Reprt, 9- AI-CHING PAO, N. A. C... Head Nurse, Pediatric Clinic, Puhlic Outpatient Serq;ice PAO-TI SUNG, N. A.C... Head NurJe, Pediatric Ward LIEN-YING SHAO, N.A.C... Head NurJe, Priq;atl Ward MARGARET L. CARRITHERS, R. N... Head Nurse, Priq;ate Ward YUN-HUA SIA, B S., N. A.C... Head NurJe, Public Outpatient Serq;ice YUAN-JU TSING, R.N... Head Nurse, Semi-priq;ate Ward YU-LlN., N.A. C... Head NurJe, Surgical Supply Rm YU-HUA KAO, N.A.C.*... Head NurJe, Surgical Ward fr Men YU-HSIANG CHANG, N.A.C..... Acting Head Nuru, Surgical Ward fr Men CHUNG HUANG, N.A.C... Head Nuru, Surgical Ward/r Men FU-CHING Yu, N.A.C... Health NurJe, NurJu" DrmitrieJ DIETARY DIVISION KATHERINE MITCHELL... Chief Vietitian t Octber, 9 ESTELl.E NESBITT... Chief Dietitian frm January', 9 GENEVIEVE GORMICAN... Auistant Dietitian DOROTHY WEN... Auistant Dietitian t Ju/.J', 9 SU-CH'IN LIAO, B.S... Auistallt Dietitiall t Ju/.J', 9 SOPHIE C. CHEN... /luislall/ Dietitian EMII.Y CUR RAS... AJJtJtant Dietitian frm Octber, 9 MARJORIE \\'ONG.... Aui.rtant Dietitian./rm Octber, 9 PHARMACY JOHN CAMEROS, F.C.S., PH.C., M.P.S. (LOND. )... Super vijr f the Pharmacy ARTHUR TYE... AJJistanl Pharmacist W AN-HE~(; Tuu.... SUOlld Auislant PharmaciJt "On duty al Pdpillf P"ychpalhic Huspltal. frm February, 9J "'. leave frm January. 9J

15 Peiping Unin Medical Cllege Hspital HOSPITAL SOCIAL SERVICE IDA PRUITT, B.A., B.S... Chilj f Hspital Scial Servia. JU-CHI Yu, B.A... Assistant KATHARINE R. LYMAN, B.A... Supervisr (Yluntar;y) ANNETTE COHEN RABINOWITZ, B. A., M. A.Supervisr U-CH'lU CHOU, B.A., M.S.... SupeMJiJr f Case Wrk JULlA LIN... Supercvisr f Case Wrk LING TAO, B.A., M.A... Supercvisr j Case Wrk CHEN-CHIU HUANG, B. A... Sllpervisr f Case Wrk SSU-MING SUNG. B. A... Supervisr / Case Wrk TZE-MING WANG SuperviJr f Casl Wrk CHUNG-TANG CHANG, B. A... Case Wrker WEI-ICUN CHEN, B.A., M.A... Case Wrker HSUAN-TSI CHU, B. A... Cau Wrker Vii-AI JAO, B.A... Case IPrker KUAN LI, B.A... Case HTrker SHAN-CHEN L.I, B. A Case H'rker PHEBE LIANG, B.A., M.A... Ca.!e Wrker LIANG CHAO LlU, B. A., M.A... Case Wrker TUAN PAJ, B. A Case "'rker YI-JONG SHAO, B. A... Case Wrker I-JUl-CHEN SHE, B. A Casi li'rker KUEI-LUAN TIEN, B.A... Case I'rker TSUNG TING, B. A Case H'rlter CHING WU TSAO, B.A... Case HTrlur TZE-AI YAO, B.A... CIIse Wrker OTHER OFFICERS SHAO-UEN Admitting Offiur JEN-HO l..lang... Auislallt Admilli"g Officer TSUNG-wu Yu... AJJisJa,, Admillillg Officer CHANG CHUNG-YIN LI.... O.P.D. COlllact De.!k HELEN M. HOLLAND, R.N... A'IIstllt'tist STEPHt::N WANG, B. A... Custdian f Recrds EDITH C. HUANG, PED.B., PH. B., R.N. Malrtl" TIRZAH E. BULUNGTON... Occupalitlnal Ther'apin MARY L. McMILLAN... Physitherapist ill Charge ANNA LOH, R. N... Ph)'sillzerapist HUNG-CHON CHANG... Oral/.J-gienisl, Department SUI'Kery FENG-CHUN CHANG Oral Hygienist, DeparJment j Surgery t March I. 9J.i

16 Twenty-sixth Annual Reprt, 9-5 HOSPITAL ADMINISTRATIVE COMMITTEES COMMITTEE ON THE HOSPITAL F R. DIELTAIDE, Chairman JOHN B. GRANT GERTRUDE E. HODGMAN P. C. KRONFELD J. HENG LIU* HAROLD H. LOUCKS J. PRESTON MAXWELL SIH-TZE WANG CLINICAL RECORDS COMMITTEE DR. C. U. LEE, Chairman DR. C. H. Hu DR. S. T. KWAN DR. H. T PI DR. AMOS WONG DR. I. C. YUAN MR. STEPHEN WANG, Secretary' COMMITTEE ON THE PUBLIC OUTPATIENT SERVICE DR. S. T WANG, Chairman DR. R. H. P. SIA DR. K. T LIM DR. C. M. MENG DR. H. T PI MISS J. C. Yu MISS tvlargaret WYNE, Secretary *On I~ve f ablenc..

17

18 GENERAL INFORMATION CONCERNING RATES AND REGULATIONS

19

20 Twenty-sixth Annual Reprt, 9-9 GENERAL INFORMATION CONCERNING RATES AND REGULATIONS The Peiping Unin Medical Cllege Hspital is designed fr [he diagnsis and treatment f acute and sub-acute diseases, maternity cases, accident cases, and a limited number f patients suffering frm cntag-ius diseases. Patients having incurable chrnic diseases, insanity, and delirium tremens will nt, as a rule, be admitted. The hspital makes every effrt t be prepared t care fr all emergency cases, but the limitatin impsed by the number f beds available n the varius services renders it necessary t make arrangements In advance fr the admissin f patients nt in an urgent cnditin. OFFICE HOURS AND HOLIDAYS General ffice hurs are frm 9 A.M. t : P.M. and P.M. t 5 P. M. daily, except Saturdays frm 9 A.M. t : P.M. There are n ffice hurs r clinics n Sundays r hlidays. The fllwing hlidays are regularly hserved in the hspital: January, March, March 9, May 5, Octher t, and Nvember. Due ntice is given f additinal hlidays. ADMISSION OF PATIENTS Patients are admitted t the hspital nly after examinatin and upn recmmendatin f the delegated members f the staff f the hspital. An applicatin fr admissin and treatment must be signed. If the patient is seriusly il r all peratin is cntemplated, this applicatin must be witnessed by a respnsible relative r friend, in accrdance with Article 8.( the "Regulatins Gverning Hspitals Prmuleated hy the Ministry f Health.' In general patients are admitted nly between the hurs f 9 A.M. and 5 P.M., after being seetl by a physician n duty in the apprpriate private patient r public utpatient clinic accrdine t the schedules the fllwine pages. EMERGENCY AND ACCIDENT CASES Patients sllffering frm serius illnesses r severe accidents are admitted thrueh the Emergency Service, at any hur f the day r nig-ht.

21 Peiping Unin Medical Clle~e Hspital If patients are t ill t cme t the hspital fr cnsultatin, arrangements may be made, as explained under' 'Emergency Service", fr a member f the staff t visit the patient and decide whether admissin t the hspital is necessary and pssible. OUT-Of-TOWN PATIENTS Applicatins by letter fr the admissin f patients shuld be addressed t the Superintendent, Peiping Unin Medical Cllege Hspital, Peiping. As the demand fr hspital accmmdatin is at mst times greater than the Ilumber f beds available, patients frm a distance shuld nt present themselves expecting immediate admissiun unless they have made arran~ements prir t their arrival. BASIS OF ADMISSION All patients are accepted fr trc.-atlllent in the hspital with the understanding that they will, within rc.~a"()n. be available fr teachine purpses. Patients mllst he willing t cpenlte in all examinhtills, since thru~h examinatin is essential t prper treatment. It is desirable in the interest f the public and f the imprvement f medical science that pst-mrtem examinatills he mhle all case's ending fatally in rder t make mre cmple[e the kllwlec.ll!t' f the cause f death. It is expected that relatives will cperate with the hspital in this matter and permissin fr autpsy will he solle-ht ill each instance. Fr every freign patient entering the hspital it is expectecl that a written undertaking will be ~i\'en by the liearest rejatin t Cusent t an auwpsy in case f fatal terminatin f the illut"ss In case tht' patient has n relatives wh are accessible this reqllircmt'h nl;l~' be waived at the discretin f the superintendent. FINANCIAL ARRANGEMENTS A depsit \'aryin~ in amunt ac"rding t the dass f!'t'/\'in' is required upn adm issin. Bills fr services rendered will be prest'nted weekly. It is expected that the amunt n depsit \\ ill be maintained at the amunt equivalent t ne week's charges nills include all charges made fr prfessinal st'rvict's relldt'red ill the hspital. Filli, settlement is expt'crcd as sn as treatment is cmpleted.

22 Twenty-sixth Annual Reprt, 9- GRATUITIES N persn emplyed in r cnnected with the hspital is permitted t receive gratuities frm any patient. Patients and their friends and relatives are requested t bserve the prvisin f this rule, as any persn accepting such gratuities is liable t immediate dismissal. REGULATIONS FOR INPATIENTS Visiting hurs vary with the class f service and are strictly limited t thse shwn belw. Relatives and friends f patients are expected t accmmdate themselves t these hurs, as much fr the gd f patients as fr any ther reasn. Exceptins will be made nly in cases f alarming illness, f which due ntice will always. if pssible, be given t the relatives r friends f patients when visitrs will nt be restricted t the regular hurs. Children under ten years f age are nt allwed t cme int the wards t visit except by special arrangement. Inpatients are nt permitted t receive fd r medicine f any kind frm their friends r ther surces except by special permissin f the physician in charge f the case. Relatives r friends f patients cannt be permitted t sleep III the hspital. N prvisin is made fr furnishing meals either t utpatients r friends r relatives f patients in the hspital. Valuables, fr which receipt will be given, shuld be left In the hspital accunts ffice fr safe-keeping ill the vault, r given t the nurse in charge f the ward. The hspiral disclaims respnsibility fr valuables retijined by patients. Patients' clthing and ther articles left unclaimed at the hspital mre than six mnths will be dnated t charities. PRIVATE CONSULTATION SERVICE OFFICE CONSULTATIONS AND VISITS OUTSIDE THE HOSPITAL The hspital maintains an Office Cnsultatin Service, accrding t the schedule fr cnsultatin hurs given belw, fr thse wh wish t he treated as private patients. This service is fr the mst

23 Peiping Unin Medical Cllege Hspital part desia-ned fr the serius study and treatment f difficult r bscure cases and f patients wh have n persnal physicians. It is cnducted chiefly by senir members f the staff, wh have varied duties, including attendance n wards, teachin~, and investigatin, and cannt, therefre, be subject t call at all times. This explains the hspital re~lllatins cncerning times fr cnsultatins, and appintments, which it is necessary t bserve except in serius emergencies. Cnsultatins and visits utside the hspital are made nly in emer~encies and by appintment (telephne private exchange, utside ffice hurs 5). The ~spital is unable t prvide unlimited cnsultatin service r t make repeated calls fr treatment utside the hspital. Thse wishing ffice cnsultatins are expected, whenever pssible, t make a previus appintment in persn, by telephne, r by mail. Ree-istratin f patients is made in the Private Patients' Office, F-IOI d (West Gate) ten minutes prir t the hur f appintment with the physician. Patients cming fr ffice cnsultatins are expected t pay cash. Fr service at ther times see' 'Emergency Service" n page 6 CONSULTATION HOURS BY APPOINTMENT ONLY N CONSULTATIONS ON SUNDAY MEDICAL CASES :- : A.U. Daily DERMATOLOGICAL (SKIS)... : A. M. ~I nday, Wednesday, and Friday NEUROLOGICAL.... : P. u. Daily except Saturday PEDIATRIC (CHILDREN UNDER :-: P.M. Mnday, Wednesday, and YEARS).... Friday SURGiCAL :-: P.M. Daily except Saturday (Saturdar : t : A.M.) DENTAL... :-: A.M. Daily UROLOGy... : A M. Daily except Thursday ORTHOPEDIC... : P.M. Thursday EAR, NOSE AND THROAT.... :- ; A.M. Tuesday, Thursday, and Saturday OBSTETRIC AND :- : A.M. Mnday, Wednesday, and GYNECOLOGICAL Friday OPHTHALMOLOOICAL (EYE)... :-: A.M. Tuesday, Thursday, and Saturday

24 't,.wenty-sixth Annual Reprt, 9- PRlVATE WARD SERVICE The charge fr private rms in the hspital ranges frm $ t $ a day accrding t the size and lcatin f the rm and the bath privileges. A few beds in tw-bed rms are available at $. a day with full private privileges. The charge fr the rm cvers bard, rdinary medicines and dressings, and the divided attentin f the regular nurses n duty. The services f the physicians and surgens are nt included in rm rates. The charge fr prfessinal services will necessarily vary accrdin~ t the amunt f attentin and time required in the diagnsis and treatment f a given case. Infrmatin regarding prfessinal fees may be btained frm the Admitting Officer. A depsit f $ SO is required n admissin and an additinal depsit is required if special nurses are necessary. When pstperative care f a patient after leaving the hspital is n~cessary beynd the time required in the care f a classical case f the kind, a charge will be made fr these visits in additin t the fee fr the peratin. The charge fr the use f the perating rm r the delivery rm is $. Charges will be made fr special labratry examinatins, bld transfusins, physithercipy and radium treatments, special drugs, sera, tilet articles, bttled beverages, and special appliances. The charge fr the use f the ambulance is SIS within the city limits f Peipillg, with an additinal charge f fifty cents a mile utside the city. The charge fr the exclusive services f a freign graduate nurse, either da~' r night, is $ fr each t\,,"eh'e hurs f duty r any part theref. The hspital charges in additin S. 5 a dar fr the nurse's bard. l'he charge fr the exclusive services f a Chinese graduate nurse, either day r night, is $5 fr each m'ch'e hurs f duty r any part theref. 'rhe hspital charges in additin $. a day fr the bard f a Chinese nurse. Nurses are all\yed t r l n duty fr twelve hurs nly, and are nt allwed t sleep ill rms with the patients. The char~e fr a special servant is $.5 a day. Payment

25 Peiping Unin Medical Cllege Hspital fr special nursing, special nurses' bard and ther special service must he made t the hspital. Patients may he visited daily (suhject t restrictin by rder f the dctr in attend,mce) frm : A.M. t nn, and frm P.M. t 8. P.M. SE\.I-PRIVATE WARD SERVICE There is a limited number f beds in semi-private rms fr which the charge is ". a day. There are als a few single rms with the same privileges at $. a day. Patients admitted t this service are expected t pay ill additin physicians' and surcens' fees which are in general lwer than thse charged t patients the Private Ward Service. A depsit f S is required n admis!.ill. The charge fr the use f the perating rm r the delivf'ry rm is $5. Other charges are the same as thse made fr the Private Ward Service. Patients may be visited daily (subjec't t restrictin by rder f the dctr in attendance) between P. M. and 6 P. M. Only tw visitrs at ne time are allwed. PUBLIC \ AR () SERVICE The Public "lard Sen'ice is maintained fr the bejlefit f the pr wh cannt affrd t pay the char~t"s fr pri\'ate r semi-private rms. It is impssible fr the indi\'idual desires f pitlients this service, ther than thse necessitated hy their medical cnditin, t recei\'e special attentin. Only Chinese fud is served. A nminal chare-e f $. a day is made t all wh can pay this amunt, but this is subject t revision accrding- t the financial circumstances f the patient. A depsit f $5 is required admissin. Extra charg-es will be made fr sera, special drugs, bld transfusins, physitherapy and radium treatments, x-rays and special

26 Twenty-sixth Annual Reprt, 9- S appliances, except when such charges wuld wrk a manifest hardship t the patient. The charge fr the use f the perating rm r the delivery rm is $.. The charge fr the use f the ambulance is $5. within the city limits f Peipin~ with an additinal charge f $.5 a mile utside the city. Visiting hurs are frm P.M. t P.M. n Tuesdays, Thursdays, Saturdays, and Sundays. Only tw visitrs (but ne at a time) are allwed a day. PUBLIC OUTPATIENT SERVICE The hspital maintains fr the pr a grup f clinics which are held accrding t the schedule given belw Patients are seen in turn, accrding t their arrival. It is nt pssible t give individuals special attentin ther than that necessitated by their medical cnditin. Thse wh wish special attentin and thse wh d nt wish t await their turn shuld use the Private Patient Cnsultatin Service. Limitatins in the number f physicians and in the quarters available make it liecessary t restrict the hurs f clinics and in certain cases the number f patients wh can be seen n ne day. Fr service at ther times, refer t "Emergency Service" n the fllwillg page. Reg-istratin is carried ut n the first flr f K Building (West Gate). Patients shuld apply accrding t the general nature f their illness within the times given belw fr the varius clinics. The fee fr registratin in this service is t\'\'enty cents big mney and fr return visits tc::n cents big mney t all wh can pay this amunt. Mderate charges are made fr certain expe nsive services and treatments such as x-ray films, plaster casts, physitherapy treatments, dental extractins, minr peratins, etc. These charges, hweyer, may be entirely remitted at the discretin f the Admitting Physician.

27 6 Peiping Unin Medical Cllege Hspital PUBLIC CLINIC REGISTRATION HOURS Medical Clinic.... Neurlgical Clinic.... Pediatric Cliuic... Servants' Physical Examinatins... (fr staff members nly) N CLINICS ON SUNDAY 8:- A.M. Daily :- P.M. Mnday, V\r~dnesday, and Friday 9:-: A.M. Daily 9:- A.M. Tuesday Skin Clinic... :- P.M. Mnday, Wednesday, and Friday Syphilis Clinic... 9:-: AM. Tuesday, Thursday, and Saturday Surgical Clinic... Dental Clinic... Ear, Nse and Thrat Clinic... J Urlgy ~liljic:..: :- P.M. Daily Orthpedu~ CIIIlIc... Obstetric & Gyneclgical Clinic Eye Clinic... Public Servia EMERGENCY SERVICE The hspital prvides by means f its resident staff a cnstant day and night service fr true emergency cases n the ~rulld flr f K Building (West Gate). This service is nt designed t give spt"cial attentin t private patients. Persns \\ h wish t avail themselves f this st'rvice shuld COffit" r be hrug-ht t tbis place. A chare-e f $ is made fr the treatment f such emerc-ency cases, when the parit'nt is nt admitted t the hspital. Extra charges are made fr sera, special dru!s, certain r'xpt'nsive services alld treatments cuch as x-ray films, plaster casts, erc. The!-.t: ch<l rges, hwever, mar he t'lltirejy remitted at the discretin f the Admittinl! Officer. In cast: f a true emt:rgency, in which the attendance lltside the hspital f a memhc. r f the staff is nt:cessary, thse cncern~d shuld telephne the request t the hspital (private exchange 5). Private Patients The hspital is unahle t prvide a COlJstant r lllllimitt'd service fr thse wh wish special attentin as pri,'ate patients in emergencies r utside the hurs f the Private Patients' Clinics (see Private

28 Twenty-sixth Annual Reprt, 9- Cnsultatin Service n paee ). In case it is desired t make applicatin fr emereency private patient service requiring the attendance f a member f the staff utside the hspital, the request may he made durin! ffice hurs t the Private Cnsultatin Office (private exchange ), utside ffice hurs telephne t the Admitting Office (private exchange 5). The hspital will send in respnse a member f the staff as sn as arrangements can be made. If special attentin as a private patient is desired and can be arranged fr, whether at the hspital r utside, the regular charges fr private patient cnsultatins will be made. The regulatins and charges stated in this bulletin are subject t change withut ntice.

29

30 REPORT OF THE SUPERINTENDENT OF THE HOSPITAL

31

32 Twenty-sixth Annual Reprt, 9- REPORT OF THE SUPERINTENDENT OF MR. ROGER S. GREENE,.. Sir: THE HOSPITAL Acting Direct r f tire Peiping Unin /VJ edical Cffegt I present herewith the Twenty-sixth Annual Reprt f the Peiping Unin Medical Cllege Hspital. During the year Dr. Sih-tze Wang cntinued as Acting Superintendent f the Hspital ill the absence f Dr. J. Heng Liu. Dr. K. C. Hsu, Assistant t the SuperintelJdent, acted as admitting physician ant! supervised the public utpatient service, but declined' reappintment and left at the end f the year t rgallize his wn hspital. M iss Mildred F Walker was appinted as Assistant t the Superilltellde-nt and spent the time frm the be~inning f her appintment in Nvember, 9, until the date f her departure fr Peiping in February, 9, in studying hspital management in the United States. The past year was the first in several that has nt brug-llt extrardinary demands upn the Hspital either because f military peratins smewhere in the cuntry, epidemics fllwing flds, r ther disasters f a similar nature. Ie has accrding-ly been pssible t give attentin t imprvement f physical facilities in the Hspital by rearrang-cmellt f space, and particularly the admissin ward in K-hasemenr. May, 9, K-basement was perated slely as an Bt"~inningemergency ward. Fur emerlrency beds, unassigned, fr the use f either men r wmen patients~ were retained there; fur mre f the eleven beds riginally there were remved, lle t each f fur public wards, and the remaining three beds were dne away with, the bed capacity f the Hspital being reduced by that number. The admitting ffice fr public ward patients was remved frm the first flr f F Building t a prtin f the space made available in K-basement, and the admissin and discharlre f public ward patients handled entirely there. The ld admitting ffice \vas di\'ided int Quarters fr the hspital accunts ffice and an admitting ffice

33 Peipin(! Unin Medical Cllege Hspital fr private ward patients, leaving fr the Cllege Health Service and additinal examining rms the entire suite in F Building frmerly shared by the private patients' ffice. The necessity has lng been felt fr mre nearly adequate prvisin fr the care f premature babies in the Hspital, and in April, 9, the installatin f nine bassinets fr that purpse in the rm n H-lII frmerly used fr private patients, was authrized. These rearrangements have resulted in chan(!in(! the bed capacity f the Hspital frm the frmer ttal f 6 t 5, assigned t the varius services as shwn in Table I flwing this reprt. The increase in the number f patients admitted t the Hspital last year was 8, the ttal number f admissins being 6, I O. This increase is smething- ver 5 per cent greater than the increase the previus year, 6. The number f children brn in the Hspital last year was 66, an increase f ver the ttal fr the previus year. The ttal number f days f treatment als shws an ijcrease ver the previus year,,85 as against a decrease in 9- f frm the ttal fr the year preceding. These ttals are shwn in Tables II, JIl, and IV The ttal number f pay treatment days fr the year was 5,, the ttal number f free days 8,66. This latter figure includes,5 free treatment days, r 9 per cent f the ttal number, given t staff and emplyees, and 5,6 treatment days, r 9.8 per cent f ttal free days, given t utside patients. The percentage f treatment days e:iven free in 9- was 5.5, a slightly lwer percental;!"e than the year befre, when 55. per cellt f the treatment days were I;!"iven free (Table V). The average number f beds in cmmissin durinl;!" the year was a little higher than the year befre, ; the average number in 9- was. The avera(!e number actualy ccupied was 8; the average the preceding year was, the percentage f average ccupancy in 9- being 85., cntrasted with 8 per cent in 9-. There were 85 hspital deaths during the year, 8. per cent f the ttal number f discharges. Of these deaths, r. per

34 Twenty-sixth Annual Reprt. 9 - cent, ccurred within hurs f admissin;,.9 per cent, were stillbrn illfants; and 8, r.6 per cent, ccurred after patients had been in the Hspital ver hurs (Table VI). The number f autpsies perfrmed after hspital deaths was 9, r per cent f the ttal number f deaths (Table VII). The percentag-e f autpsies perfrmed the year befre was 5, shwing a marked increase fr 9-. A certain part f this increase is due t the fact that new regulatins fr autpsy and dissectin were prmulgated by the Natinal Gvernment in June, 9, making it pssible t prceed with autpsy in sme cases ill which heretfre a legal permit culd nt have been secured. PUBLIC OUTPATIENT SERVICE A number f changes have been made in the public utpatient service during the year, in accrdance with plans fr a g-eneral rerganizatin f the system f admitting patients t the clinic~. A scial wrker has been statined at a desk in the r'nain lbhy f the puhlic utpatient department, knwll as the Cntact Desk, whse duty it is t keep rder, give infrmatin t patients, and take care f their special prblems with regard t rec-istratill. Additinal messengers have bee( prvided t direct traffic and t aid in transprting patients unable t walk. The urlgy clinic was mm'e t space in the basement f the wing erected a year befre fr the eylleclgical clinic, and was pened there n January, 9. The frmer quarters f the urll!y clinic in ] Building were assigned t use by the Department f Medicine in the mrning and the Department f Surgery in the afternn. The ttal number f \ isits t the public utpatient service in 9- was 8,86, r ] 8,98 mre than the year befre, a daily average f 59.6 visits, ae:ainst 58.9 in 9-. The greatest prtin f this increase was in visits t the sur~ical services, the increase in such visits being,89. Visits t the medical clinics shwed an increase f, 5 ver the year befre; t the bstetric and ~yneclgical clinics an increase f,668, and t the phthalmlgy clinics an increase f 96 (Table VIII) =::::: \:~brary li:he I ~ I YALE DlrH~ITY sen =-"=-,"-,!IL'-I"-----""-

35 Peiping Unin Medical Cllege Hspital The ttal number f free visits t the public utpatient service ill 9- was 8,59; f these,9 were new and 6, were return VISItS. The percentage f free visits was 5., a slightly higher percentage than in 9-. Emergency visits ttalled,6 III 9-;,56 f these patients were treated and sent hme, while 9 were admitted t the Hspital. The ttal number f emergency visits the previus year was smewhat higber,,6 (Table IX). PRIVATE CONSULTATION SERVICE The wrk f the Private Cnsultatin Service has cntinued as befre, with an increase f,5 visits ver the previus year. Existing facilities have been taxed t the limit and it ha~ been impssible t accmmdate all patients seeking cnsultatins. It is hped tbat the centralizatin f the registratin f private patients and the admissin f patients t tbe private and semi-private war~s, wil facilitate the wrk f this service. The ffice visits and hme calls attended by each service are shwn In Table X. COLLEGE HEALTH SERVICE The prfessinal activities f the Cllege Health Service have cntinued under the directin f the Department f Medicine, assisted by the ther departments in cnsultatin. Dr. G. A. M. Hall was n furlugh after September, 9. Dr. Arthur Marlw and Dr. K. C. Wang have been in charge f the staff and students and Dr. M. L. Chang has been in charge f the e~plyees' clinic. Dr. M. L. Chang resigned t becme directr f the Municipal Islatin Hspital at tbe end f the year. The statistics f the year, given in Table XI, are again prvided t shw the prphylactic distinct frm the curative functin f the service. There is an apparent decrease f 8,6 visits as cmpared with the previus year. If,8 visits fr the diagnsis and treatment f trachma made during the year are added, the decrease is,6. It has been custmary t include the visits fr trachma in previus reprts.

36 Twenty-sixth Annual Reprt, 9-5 The numbers f individuals fr whm certain imprtant rutine measures were carried ut are as fllws: Staff & Students Emplyees Ttal I>hysical examinatin 6,9,69 Smallpx immunizatin 58,6),8 Typhid immunizatin 5 9 Schick test Dick test Diphtheria immunizatill 8 Chlera immunizatin was perfrmed n a f("w ccasills, chiefly til instances in which individuals planned t travel in central and suthern parts f the Oriellt. PHARMACY Mr. Jhn Camerl! has cntinued in charge f the pharmacy. Mr. \V H. Ttl, secnd a!>sistant pharmacist. spent six mnths ill Lndn, England, during which time he was engaged in advanced pharmaceutical studies in the lahratries f the British Pharmaceutical Scidy in the University f Lndn. The efficiency f the system fr sllpplying the ward and public utpatient clinic needs fr drugs and ther gds frm the pharmacy has heen increased. The cmplete supplies fr the day are deli,'ered t the wards befre : a. m. Th is has permitted mrt' cncentrated attentin n the very busy public utpatient service frm : a. m. until 5: p. Ill. It has b~e:\ pssible durinlt the year t reduce the waitine rime fr utpatietlts at the pharmacy t a few minutes fr each prescriptin. Withut the liew dispensing rm, K- L U, it wuld ha\'e been a physical impssibility t take care f apprximately 5 utpatient prescript ins per day. This has been the busiest year s far ill the pharmacy; Issues t the wards have increased by mre than per cellt OVer I Q-. The ttal number f prescriptins dispensed was 6,, cmpared with, ~H~9 in 9-. The liumber f prescriptins issued free was 5,5, cmpctred with 5,5- in 9-.

37 6 Peipiug Unin Medical Cllege Hspital PHYSIOTHERAPY The wrk in physitherapy has cntinued under Miss Mary Mc~.jJan, Chief Physitherapist. Miss Anna Lh, Physitherapist, returned frm a year's study in the United States n August J, 9. During 9- there was a substantial increase in the number f patients wh received physitherapy treatments. A mre satisfactry fllw-up f patients was pssible because f regular interdepartmental exchange. II April a new departure in the frm f regular supervised sunlight therapy was cmmenced, fllwing the technique used in the RIlier Clinic in Leysin, Switzerland. i'he recrds shw that 6 sunlight therapy treatments have been given. III cnditins which necessitate a lng cnvalescence this phase f physitherapy shuld have an especial value. A new high pwer diathermy machine has been installed fr use iu treatment. Sme experimental wrk f inducing artificial fever by means f electr-hyperpyrexia halo been carried n in cperatin with members f the tumr dinic. Tables XU and XIII fllwing shw an increase in the number f phys!thertlpy treatments f,88 ver the ttal fr 9-, and an increase f, patients wh have received these treatments. OCCUPATIONAL THERAPY Miss Tirzah Bullingtn has cntinued in charge f ccupatinal therapy durinf.r the year. Atl!ether 8 patients, f whm were inpatients and utpatients, have been cared fr since July, 9. Wrk in ccupatinal therapy has als been carried n at the ~unicipal Ps}'chpathic Hspital by \J iss Chen Shan-tze under Miss Bullingtn's directin. Fur students have received training in the wrk during the year, aud a frmer student has been placed in charge f ccupatinal tberapy at the Hsiang Shan Sanatrium in the Western Hills. It became necessary early in the year t assign anther rm t the divisin t be used as an ffice, stck, and sales rm. Unless

38 Twenty-sixth Annual Reprt, 9- larg-er space fr the wrk rm is g-iven, it will nt be pssible t handle any cmiderbly greater number f patients there, as the prestnt quarters are ccasinally ver-crwded. Acknwledgment is made f the helpful cperatin f the members f the hspital staff, and gratitude expressed therefr. Detailed infrmatin regardillg the wrk f the varius departments and st"rvices f the Hspital is given in the fllwing- reprts frm the" department and divisin heads. S. TWANG Actin~ Hspital Superintendent

39 8 Peiping Unin Medical Cllege Hspital TABLE. DISTRIBUTION OF BEDS MEDICINE General J)ermatlgy... Islatin Pavilin Neurlgy... 9 Pediatrics Beds... Bassinets..., 9 SURGERY Gplleral Orthpedics Otlarynglgy Tumr Urlgy..... ~ OBSTETRICS AND GYNECOLOGY GVlleclgy Obstetrics Bassinets OPHTHALMOLOGY UNASSIGNED Emergency ward.... Private and semi-private wards Children's ward Ttal TABLE II. ADMISSIONS AND DISCHARGES CLASSIFICATION OF PATIENTS Patients remaining July, CHINESE FOREIGN Ttal Ttal Male I Female Male IFemale I I Patients admitted during the year... I,8l,69 5 6, 5,6 Ttal number treated,9, ,9 5,98 Patients discharged during the year...,8, ,985 5,669 Ttal 5 5,66 5,68 5,5 Patients remaining June,

40 --f Twenty-sixth Annual Reprt, 9-9 SERVICE TABLE III. DISCHARGES BY SERVICES (including 9 transfers) CHINESE I Ttal Male IFemalejI Male IFemale l FOREIGN I Ttal I TOlal General 68 9,,,9 w Dermatlgy Z Islatin U C Neurlg-y W : Pediatrics f--t Ttal, 6 ] 8 5,66,6, General Orthpedics ] >- :x: w j Otlarynglgy ~ :x: Urlgy ~ en ~ '--- I.. Tlal...,~ z (}yuecl~gy u; '---- i =,5 I 5, c'~'9~ ~ Obstetrics ~ Bahies brn * Ttal 6,98,66, "~ OI'HTHALM~LO~ TOTAL,, I 6 I 6, 6, 5,69 j *Incuding ten children admitted with mthers.

41 Peiping Unin Medical Cllee Hspital TABLE IV. DAYS OF TREATMENT AND AVERAGE HOSPITAL DAYS BY SERVICES Days f Average Hs- Average H spita! Days pita! Days Treatment 9-9- Hspital,65 By Services* Genera!,85 9 Dermatlgy,5 ~ z Islatin 5,6 9 g Neurlgy,98 6 ~ ~ Pediatrics,85! ] 8 Ttal, General 9,5 - > Orthpedics 8,5 =' t;;;) Otlarynglgy,8 ~ :J Urlgy,89 ] en Ttal 5,6 ] g Gyneclgy 6,Q Z > Obstetrics 8,66 II c:g Babies brn 5, en I::Q Ttal,9 OPHTHALMOLOGY I 5,98 *Based n dischargell by services which include a ttal f 9 inter-service transfers. I I

42 Twenty-sixth Annual Reprt, ] q- TABLE V. CLASSIFICATION OF PAY AND FREE TREATMENT DAYS Yrar Ending Year Ending Year Ending June, 9 June, 9 Jllne, 9 OUTSIDE PATIENTS Pay - Private 5,9 Sellli-pri,'ate 9, Puhlic 6,5 *Free Pllblic STAFF AND EMPLOYEES I I 5,6 I I I! Pay Pri\'ate! i, Semi-private I 6 Puhlic ],9 6;i Free Pri\'ate I 5 Serni-pri"ate 6 Public, I I Ttal pay treatment days 5, 5,9 -~~. : 65,88 Ttal free treatment days 8,66 5,98 >., I I Ttal trt'atment days,65 98,9 99,88 *This figure als includes babies the Obstetrical Sa"ice n the private and semi-pri"ate wards, wh are cunted as free patients. *"Of staff memhers llly thse wh receive maintenance m the h~pital r t'mplyees wh ('arn I('~s than $5. per mnth are admitted a~ free patients.

43 Peiping Unin Medical Clleg-e Hspital TABLE VI. DEATHS AND DEATHS PER DISCHARGES Death, per I Deaths per Discharges Deaths discharges discharges 9-9- Hspital 5, I---;~ By Services* Gener.u, 9..9 ~ Dermatlgy.98 Z "- Islatin , Neurlgy 85. S6.5 ~ Pediatrics. 5. I~ Ttal I,66 5 I.69.8 I >t I General I ='! Orthpedics ~ I Otlarynglgy (!) I U rl~y I ~I Ttal, Z Gyneclgy 5.. >t Obstetrics 5 I 8.. Babies brn l~ len I _~~O_l =,98 9!, Ttal OPHTHAL- \IOLOGY *Including a ttal f 9 inter-service transfers. I 8 I TABI.E VIT. DEATHS AND POST-I\'lORTE:\/ EXAMINATJONS 9- I I I 9-9- Deaths 85 6 Pst-mrtem examinatins 9 ~ 89 Percentage f autpsies 5 I 6

44 Twenty-sixth Annual Reprt, 9- TABLE VIII. PUBLIC OUTPATIENT SERVICE Pisits by Services SERVICE I OUTPATIENT OUTPATIENT OLD TOTAL TOTAL NEW Clinic New Clinic Old VISITS VISITS 9H- 9- Male I Female Male I Female I Male I Female MEDICINE General Dermatlgy Gastr-intestinal J Heart Neurlgy Pediatrics.86!\~ ) Syphilis 'l'uberculsis H Ttal SURGERY ====: I I 5. General, Oral Orthprdic , Otlarynglgy i.86 br I Tumr 6 s Urlg-y. HI 68 8.'i I Ttal 9.8 Z, I 9.HO = OBS. & GYN. I!-~I Antenatal Gyneclgy Ttal I.9 65; OPHTHAL- MOLOGY General.8 ~i Q Trachma Ttal.8 8n ,.ISZ GRAND S I TOTAL I

45 Peiping Unin Medical Cllege Hspital TABLE IX. EMERGENCY CASES SERVICE MEDICINE GenemJ Dermatlgy Islatin Neurlgy PediatriCs j Male Female Ttal Dispsitin New I Old New I Old Patients Hme I Admitted I ) 6 6 9S i 6 I " I:~I~ ~ 6_i_I ~~ ~ ~_I l_!_~_ Ttal I: 56 9 I,55 I 98 5 I-S-U-R-G-E-RY----i'--I--I General II 6 i 9 I 9 58 I 9 g:~:~.:~~lgy Ii i! i ; I- ;! I ~~ II i~ I ~! ljrlgy Ii 6 i i Ttal li:,~!_!~:~i~ 68 5!--] ', '---- II i 9 6 / 9 OBSTETRICS GYNECOLOGY ' ~ Ii I 6 98 Ttal 5 6 I-O-P-H-T-H-A--L-_--li MOLOGY II I!I GRAND TOTAL ,6,56 9 TOTAL 9-,6,65 9 TOTAL 9- II,5,8 6

46 TABLE X. PRIVATE CONSULTATION SERVICE I OFFICE CALLS HOME CALLS TOTALS SERVICE Chinese I Freign Chinese I Freig-n NEwl OLD I New I Old I Nt'w I Old New I Old I New I Old 9-9- MEDICINE General ~ ,9,6 Dermatlgy and Syphillg-y Neurlgy S 9 Pediatrics ~ ~- SURGERY Ttal , H 8,8,669,, ---- General Dental 65 S 9 US Orthpedics Otlaryng-lg-y 'Z Z Urlgy 't- Ttal ,69,6, OBSTIi:TRICS ANn -- GYNECOLOGY Ohstetrics i6 9 Gyne-clg-y ~ ~ Ttal ,,65, ---~ OPHTH ALMOLOGY 9 8 n ~ ,69,59, Ttal 9-,5,5,99,_, _ ~--- Ttal 9-,8, 5,,86 6,58 " "

47 'fa RLE XI. PROPHYLAXIS COLLEGE HEALTH SERVICE SERVICE Stnff and Emplyec!s Staff and Emplyees and Ttal Students and Families Stlldents Families I I C...,._--_:_-~.~~~-- Hme Office lime ~ II CONSU LTATION : :--- Ttal TOTAL VISITS 9-9- ~IEDICINE General Derm. & Syph. Neurlgy Pediatrics 86, SURGERY,55 69 General Delltal 9 9 OrtllOpedics Otlarynglgy Urlgy OBS. & GYN. Obstetrics Gyneclgy ,5 8,558,,69 9, I,9,9, J8 9, 9 OPHTHALMOLOGY 8 968, , Ttal 9-,9, 5,9 5,H 5,5 9,6 8, S,68,8,8,9,5 96,9 ],9, '\ I ,95 ],8 5 8 I 5 _L~~~ Ttal 9-,8,9,58 6,,99 9 9,, ,85

48 Twenty-sixth Annual Reprt, 9- TABLES XII. PHYSIOTHERAPY VISITS SERVICE MEDICINE Staff.t Students Inpatient. Outpatients Private Public Private Public Ttal Ttal I- Fint vi.its General Return visits 9.H.9 Dermatlgy First visits & syphilis Return visit. 8 Neurlgy Pediatrics SURGERY General Oral Orthpedics OtlarYllg-lg-y Tumr Urlgy OSS, & GYN Obstetrics First visits Return virits Fint,'iait. Z I Return visits First visitr S I 5 9 Return visits : I S ,- 9 ~ First viaits Return j'isits 5 5 Fi rst visit. 8 6 Return I'isil, First visiu H eturn I'isit. 66 Fint "isit. J B Return I'islts I First.. isit. 5 Return.-i.it I FirAt visitr I J Return visits Fint visits S Gyneclgy I 9 Return visits 8 9 H SS OPHTHAL- First I'i.its 5 J 5 MOLOGY Return vi,its m TOTAL )

49 8 Peiping Unin IVledical Cllege Hspital TABLE XIII. PHYSIOTHERAPY TR"~ATMENTS Dry heat Aut-cndensatin 6 Diathermv ,9 Electric baking , Infra-red rays , Sunlight Vaeuum electrdes Electric cabinet bath Exercise....,59 Faradic curr~nt Galvanic current Hydr thl"rapy Ma5sage ,6 Mist heat (ht packs) Muscle training Sinusidal current..... Ultra-vilet ray....., Ttal ,

50 Twenty-sixth Annual Reprt, 9-9 REPORT OF THE MEDICAL SERVICES INPATIENT SERVICI<:S The ttal number f patients treated remained essentially the same as in recent previus years, but the Pediatric Service shwed a cnsiderable increase, admitting a higher ttal than ever befre. The average length f stay per patient remained the same. The average bed ccupancy was 8.5 per cent, practically the same as in 9-. Tw develpments utside the hspital prper, but clsely related t ur wrk, may be nted. In the autumn f 9 an agreement was made with the Municipal authrities as a result f which the Municipal Psychpathic Hspital was rerganized and its management placed in the hands f members f ur Neurlgical and Psychiatric Service. The institutin cntinues t be an integral part f the Department f Public Health f the city, frm which it derives its chief supprt. By means f this agr~ement the City is prvided with a mre satisfactry institutin fr the care f the mentally abnrmal and the hspital receives valuable pprtunities fr the hservatin f such patients and fr the training f students and junir staff members in psychiatry. In the winter the l\/lunicipal Islatin Hspital was rerganized under the prfessinal supervisin f a member f the Cllege Health Sen'ice, wh at the end f the year resigned t assume full-time directin f that institutin. By th is chanj!e facilities fr the care f patients with cntagius diseases were greatly imprved and the burden f ur Islatin Pavilin lightened. Pressing needs cntinue t exist fr the care f tuberculus patients, sick children, and cnvalescents. Amng the cmmunicable diseases, diphtheria shwed a COIIsiderablt' increase \'(;'r the pre\'ius year (85 entries \yith X deaths against entries in 9-). On the ther hand scarlet ft',-er decreast'd (5 entries against 8) Typhid and typhus fevers, relapsing fever and dysentery were abut the same There were three islated cases f chlera f uncertain rigin In the past tw years there has been an increase in rheumatic fever ( cases this year, 9 in Q-, 5 in 9-~). There wert' tw further cases

51 5 Peiping Unin Medical Cllege Hspital f undulant fever. Of interest were three cases f Bacillm suipestifer septicemia and tw f Bacillus pycyaneus septicemia. Acute respiratry infectins are, f curse, very cmmn amllg ur patients. The chrnic results are difficult t treat. There were 5 entries f chrnic brnchitis, q f brnchiectasis, f lung absc~ss, f pulmnary gangrene, and 9 f empyema. There were 8 entries fr agranulcytsis, including several cases in patielhs with kala-azar. Disrders f the glands f internal secretin are nw arusing special interest. There were 5 entries fr disturbances f the pituitary gland, 5 fr the thyrid gland, fr the thymus, and ne case f Addisn s disease. Diabdes had entries. OUTPATIENT CLINICS 'rhe ttal number f visits t all sectills f the Medical Services was 6,95,'al increase f nearly, ver 9- (ttal fr that year 6,). The pediatric and syphilis clinics shw nthle increases in their attendance. The gastr-inrestillal clinic carried ut 6 si~midscpic examinatins. The restrictin f new patiellts t fixed numbers (except in emergencies), made necessary by limitatins ill staff ilnd quarters, has been helpful. It wuld, hwever, greatly facilitate the wrk if the clinics were entirely n an appintmellt basis (with prper prvisin fr the acutely and seriusly ill), s that the attendance f ld patients wuld be under cntrl. It is ntewrthy that the percentage f return visits is higher than it is in mally hspitals abrad. It is hped that sme increase in quarters may he available fof the genera] medical clinic, which still has nly the space assigned t it when the hspital was pened. If additinal rms can be btained a hia-hly desirable rerganizatin f the wrk f the clinic can be carried ut. LABORATORIES The annexed table shws the examinatills li.lde in the special labratries durin~ the year. The rdinary clinical examinatins made hy the h()lj~e staff and thse fr lltpatient~ ;ift" ft included.

52 Twenty-sixth Annual Reprt, 9- S It is the plicy t have all labratry wrk which des nt require cmplicated apparatus carried ut by the junir staff and nt ill special labratries. In additin the Neurlgical Service ill cperatin with the Pathlgical Service studied 5 brains in cnllectin with pst-mrtem examinatins, including specimens frm utside the hspital. The Dermatlgical Service gave the fllwing special treatments: quartz lamp 6, radium 58, superficial x-ray 8, electrlysis R, and carhll dixide SlW. PERSO~NEL Dr. S. N. Cheer, after many years f valuahle service, resigned t becme the Chief f the Medical Service in the Central Hspital, Nankin",". Dr. L K. Sweet left at the expiratin f his appintment. Drs. H. C. Chang, C. K. Hu, and C. J. WU were abrad n leave. Dr. A. G. Kuttner jined the staff fr wrk, especially in the field f infectius diseases. F R. DIEUAIDE Pr~frss,' f lljedicim and Hfad f the Department

53 5 Peiping Unin Medical Cllege Hspital CLINICAL LABORATORIES OF THE DEPARTMENT OF MEDICINE lui)', 9-ullt, 9 I LABORATORY SPECIMEM AN ) INumberl Ttal I Tml DETERMINATION ' ,----- Cardi<lc j Electrl'ardigrams I 98!! i Heart souilj rel'urus i: 9-5 ii, 5 J i, Chemical, (qllantitative) Bld Acetne Bilirubin Calcium Carbn dixide cmbiningl pwer Carbn mnxide Chlrides Chlesterl (:reatine (as ereatinine) II Creatinine Fat, ttal Idine number I Nitrgen, A mill add " NOll-prtein " f'r Urea (includilll!/ urea clearance test) Phsphrus, Inrganic i I 59 I i ,6 i 6 I liz Plasma prteins Ttal prteins J, Albumin 5 I Euglbulin 9 Fihringen ~ 5 'Glbulin 5! Ptassium 5 ~ ~_\_~_;_r_a_c_id I '~:~: S, 9- i...?-,_~ 5 _ C~,.~hr-J/>inal fluid Calcium I 6 Chlrides! N n-prtein nitrgen 5 Phsphrus, Inrganic Prteins, ttal Sugar 9 I 56 6 I!

54 Twenty-sixth Annual Reprt, 9-5 SPECIMEN AND Numberi Ttal I Ttal I_L_A_B_O_R_A T_O_R_Y_I D_E_T_E_R_M_I_N_A_T_J O_N 9 -_ 9-, 9- Plmral and ascitic fluids Chlesterl N n-prtein nitrgen Phsphrus, Lipid Prteins, ttal Albumin Euglbulin Glbulin I , Urine i Bence Jnes Prtein! Chlrides Creatin~ (as creatinin e ) Creatinine, prefrmed Nitrgen, ttal urea (including 66 6 fr urea clearance tt-st), Urea clearance test ~ Misullaneu; bt/..r jluid; Calciulll Chlesterl I Cpper Ptassium Prtein Sugar I I I I Dermatlgical Animal inclliatills 8 Culture (mlds) Darkfield exam. (Tr,-pllema! palli.lllm) 59 Hair, epidermis (mlds) 9 Skin (Acarus scahiei) 8 Smear (acid-fast hacilli) ] 9 8 I_M e_ta_b l_ic I. B_a_s_al_~,_fe_t_a_b li_c_r_a_te _5_6_ '56 '. I Parasitic Diseases Bld films Pus slllrars 6 Spleen, liver smears 68 Stls Sputum Urine Tuberculsis Pus Sputum, Stl 9 Urine 66 Miscellaneus 6,9, TOTAL EXAMINATIONS,9, I

55 S Peiping Unin Medical Cllege Hspital REPORT OF THE SURGICAL SERVICES INPATIENT SERVICE Fr the first time in many years the usual rutine f the department was nt interrupted by the necessity f prviding persnnel fr military r ther types f relief wrk. This freedm frm serius interruptin was manifest in terms f the wrk accmplished in clinic, ward and labratry. The cnduct f the inpatient service was further facilitated near the end f the year by certain rearrangements f space which allwed the beds assigned t the surgical specialties t be gruped n ward G-l and thse beds assigned t the general surgical service n ward G-. These changes made it pssible t assemble in ne blck all the ward beds fr adult patients cnrrjt"d by the department and helped t effect mre efficient management as well as imprvement in the care f the patients. There were,98 discharges (including transfers) in the varius services during the l'ear. The number f ward beds (88) available t the department was reduced by ne. The average residence f individual patients was 8 days, and the percentaee f ward hed utilizatin was 95, a figure at least per cellt hieher than that fr any ther department. The general mrtality was - per n ut and the perative mrtality. per cent. In cmputing the last figure any grup f prcedures carried ut at the same time was cnsidered as a single peratin, i. e, appendectmy, chlecystectmy; splenectmy, mentpexy, etc.; and prcedures such as bld transfusins, cystscpies, sigmidscpies, needle bipsies and ther purely diagnstic measures were nt cunted. The largest share f the mrtality fell t the divisin f general surgery, t which the serius brain, chest and abdminal cases came. The return t the hspital f Dr. P C. TUlle frm the cliuic f Dr. ViJray P Blair created a new interest in plastic surgery and many mre patients with lesins amenable t this type f treatment were handled than previusly. The develpment f the tumr clinic and the alltment t the tumr service f an increased Ilumber f beds similarly multiplied the number f patients with neplastic diseases treated in the hspital. Imprved rganizatill f the lcal physicians interested in tuberculsis and f the clinics and hspitals cntrlied by

56 Twenty-sixth Annual Reprt, 9-55 this grup, which allwed a better selectin f material, as well as increased facilities fr sanatrium care, made pssible the admissin fr surgical treatment f a larger number f patients suffering frm pulmnary tuberculsis. A study f the list f diagnses reveals that the number f patients suffering frm peptic ulcer admitted t the hspital remained high. The diagllsis f gastric ulcer was made 5 times and f dudenal ulcer times. In fur instances acute perfratin had ccurred. One patient died fllwing peratin. The diagnsis f acute and subacute appendicitis was made 99 times and f chrnic appendicitis 5 times. Appendectmy was carried ut in 6 instances with a single fatabty Hernial repair was perfrmed in instances. Chlecystitis (acute and chrnic) was diagnsed times and chlelithiasis times. Twenty-eight peratins were carried ut n the gall-bladder r the extrahepatic biliary tract. There Were tw fatalities. Subttal thr ridectmy was perfrmed times and prstatectmy nine times withut a pstperative death. The phrenic nerve was interrupted surgically in 5 instances. Five extrapleural thracplasties were perfrmed and cmplete excisin f ne lu ng was carried ut twice. The need f the surgical services fr additinal bed space remallls. Orthpedic patients, chest patients and tulllr patients frequently are f necessity hspitalized fr lng perids f time. This results in diminutin f the ttal number f admissins t a pint where it is scarcely pssible t prvide the rutine perative expt'nence necessary fr the prper training f members f the huse staff. OUTPATIENT SERVICE The attendance at the public utpatient clinics cntinues t increase, 9, visits being made during the year, a number which cnstitutes 9. per cent f the entire public utpatient department attendance. This increase cncerned chiefly the tumr, urlgy and rthpedics clinics and was due in part t the fact that bth the urlgy and the tumr clinics were hused in mre adequate quarters. In additin t the visits made t the public utpatient dinies 5,9 visits

57 56 Peiping Unin Medical Cllege Hspital were made by patients referred frm the Cllege Health Service and,6 visits were made t the private surgical clinics, makin' a ttal f 99, utpatient visits fr the year, an increase f.9 per cent. The new quarters fr the urlgy clinic in K-extensin basement were cmpleted abut the middle f the year and have prvided much better accmdatins, particularly fr the handling f femille patients. Better pprtunity a) s has been given fr the prper teachinc- f undergraduate students. The space in - vacated by the urlgy clinic was ccupied by the mens' suq~ical clinic. The tumr clinic was transferred t the suite f rms utilized by the medical clinic in the mrnings and has been cnducted n a daily basis. In this clinic the frequent emplyment f bipsy and rapid fixatin f tissues has enabled diagnses t be established in mst instances PTfvius t the admissin f patients t the hspital and has allwed much valuable time t be saved. A large grup f patients with tuherculus cervical adenitis was treated in this clinic by renrgen rays and ultravilet irradiatin. The plaster clinic has cntinued t functin n a hi-weekly basis and the hemrrhid and ulcer clinics 'have been cnducted weekly. Fur thusand six hundred eighty-six perative prcedures were carried ut in the cmbined clinics, an increase f.s per cent. The situatin f the dental clinic remains very unsatisfactry. It is highly desirable that the wrk f this clinic be centralized in lle place where bth public and private patients can be treated and where minr perative prcedures abut the teeth and jaws can be carried ut. Mrever, the space at present ccupied by this clinic is needed urgently by the ther clinics lcated n -, and the cntinued presence f waiting dental patients n - is very undesirable. It is hped that plans 5 can be frmulated t prvide adequate quarters fr this clinic in a cm'enient lcatin. The rthpedic shp was mm'ed frm the maill basement crridr t N buildine early in the year. Its persnnel \\'as increased by the additin f several apprentices and its equipment was augmellted cnsiderably. That imprved facilities fr wrk have been prvided is apparent in the fllwing table. Particular attelltin has been ~ven durinc- the past year t the manufacture f a lare-e number f artificial extremities prvided by the Chinese Red Crss Sciety fr sldiers wunded durinc- recent wars.

58 Twenty-sixth Annual Reprt, 9-5 ORTHOPEDIC SHOP Artificial limbs: 9- Artificial legs Artificial arms Plaster pylns Artificial ft... Braces and splints: Back braces.... Shrt leg braces.... Lng leg braces.... Knee 'cage splints.... Prnatin splints (frearm).... Ccked-up splints.... Special braces.... Walking caliper splints.... Platfrm splints.... Turnbuckle braces..... Ft braces.... Finger & wrist splints..... Jnes splints.... Belt, sacr-iliac..... Cllars, leather Anklets, leather.... Brdces & apparatus fr repair.... She wrk: She, special...,.... Crk insle.... Wden sle.... Wd mdel fr she.... Felt insles.... L~ather insles.... Duraluminum insles.... Metatarsal bars.... Alteratins f shes..... Callus and cm pads..... Steel she arches..... Steel arch plates.... Cellulid arch plates.... Cellulid insles..... Miscellaneus: Crutches... Plaster casting' fr a hu,t... Sarr-lumbar pad... 6 ] J] s

59 58 Peiping Unin Medical Clleg-e Hspital Miscellaneus (cntinlled) Br-ddfrd frames, fnll set..... Canvas hammck Accessries t plaster jacket Special leather wrk rders.... Miscc:llaut'us PLASTER CLINIC Casts: Special plaster cllars... Plaster bts... 8 Plaster mdels f extremities fr prstheses Figure-f-eight {:asts fr shulder... Lng arnl Shrt arm... 8 H Lng leg... U 99 Shrt leg... 5 Bilateral ]t'g.... Plaster knee cage Jackets: Plaster jackets Plaster beds... 8 Plaster hdy sheilf... 8 Repair f plaster jackets and casts.... Spicas: Shulder... 6 Shrt hip lang leg ]8 5 Duble hip... 6 Splints: A rm splints Cck.-up liplits... lang leg Knee

60 Twenty-sixth Annual Reprt, 9-59 PERSONNEL Dr. P C. Tung returned t the department after a year's study in the clinic f Dr. Vilray P Blair at Barnes Hspital, St. Luis. Dr. H. E. Shih was granted a year's leave f absence t wrk in the labratry f Dr. Thmas Addis, Stanfrd University, San Francisc. Dr. L. J. Miltner departed late in the year fr a shrt furlugh in Am~rica. Dr. H.. Chen resigned March 6, 9, t accept appintment t the surgical staff f the Central Hspital, Nanking. Dr. H. L. Chang succeeded Dr. H. E. Shih as resident surgen. H. H. LOUCKS Prfessr f Surgery and Head j the Department

61 6 Peiping- Unin l\edical Cllege Hspital REPORT OF THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY PERSONNEL The present }'ear has seen several imprtant changes in the department. Dr. N.J Eastman, previusly an Assciate in the department, hois returned t us as a full Prfessr. In June, 9, Dr Ams 'Vng left us t becme Prfessr and Head f the Department f Obstetrics and Gyneclgy in the Natinal Medical Schl f Shanghai. In June, 9, Dr. J. Prt"stn l\axwell left n a shrt furlu\rh t England. During part f the year we had the help f Dr. S. '" fvlris f Hsiichang, Hnan, and we have als had the help f sever<tl pstgraduate ~tudents wh have wrked with us during the year. These were: Dr. H. C...,, a Tsinan graduate', wh is nw wrking III the l\unicipal Hspital, Peiping. Dr. Helen Yh f Chen!!tu, Szechuall, wh went back t the hspital f the \Vest China University in Chengtu at the clse f the year. Dr. \V T \Vang, a graduate f Hackett rvledical Cllege, Cantn, wh returned after six mnths' study t tt'ach in thilt Cllege. Dr. H. W Ha, a graduate f Hackett Medical Cllege, Cantn, wh has spent six mnths in pstgraduate study in the surgical department, and is nw wrkin" in the Department f Obstetrics cllld Gynecler Dr. Mabel Ong, a ~racluate f Hackett Medical Cllege, Cantn, wh has charfe f a cuntry h~pital in Fukien. Dr. \. H. Chang, a medical practitiner f sme experience, wh has been wrking in Fchw and ges back thert' at tht" cse f the ~ ear.

62 Twenty-sixth Annual Reprt, 9-6 Dr. Sun Er J, a graduate f the Natinal Ullivf:'rsity Medical Schl, Peiping-, wh has just jined us fr at least six mnths' study. Unfrtunately, partiaiy wing- t a phenmenal g-rwth in serius emergency cases, and the strain cast n the staff thereby, the health f the huse staff during- the year has been far frm satisfactry and the majrity f the members have spent perids f time in the hspital as patients during the year. UNDERGRADUATE TEACHING This has g-ne n as usual, there being- little f change t nte, save that the year has seen an increased amunt f teaching n the wards. Three times a week the Prfessr takes a teaching ward rund. The third year students have been \\'ith us fr a trimester each, and the furth year students have lived in the Hspital and wrked n the wards fr a mnth each. Dr. Ams '\lng- has given special teachin~ in bstetric and gyneclgical pathlgy and has cnducted a special ward rund fr the third year students, NURSES' TEACHING As befre, a class in bstetrics and gyneclgy especially adapted t the needs f nurses, \,'as held during the fir!'t trimester f the year, the didactic ''''ark being cnducted by Dr. K. T Lim, and the \\'ard rund teaching by the Prfessqr. WORK FOR THE FIRST NATIONAL MATERNITY SCHOOL During the year a Ilumber f the students at this schl have been allwed t cme as bservers during a perid f a frtnight e<jch, and have had special training hy Dr. K. T Lim, \\,h has als del,\'t~red several lectures t the students at this schl. \VORK IN PATIENTS' IiO:\JES By arrangement with the Health Demnstratin Area, an assistant resident has been a]]tted mnthlr t cnduct cnfinemeljts in this area and take charge f antenatal clinics. \Vhenever pssible a student has gne with the assistant resident. In ne case we had serius truble. A patient wh had been warned t cme t the hspital bec;use the pregnancy \\'as nt perfectly nrmal, died shrtly after the

63 6 Peiping- Unin Medical Clleee Hspital birth f a living and healthy child. The mther-in-law seized bth dctr and nurse, against the wish f the husband f the patient, and tk them bth t the plice statin, where they were detained fr several hurs. Charges against them were finally withdrawn, but the whle prcedure was a grss injustice, fr the cnfinement had been perfectly cnducted. Dr. K. T Lim is in charge f this extt:rd midwifery ser"lce. LECTURES AND OUTSIDE SERVICE Besides the lectures delivert'd by Dr. K. T Lim in the rvlaternity Schl, Dr. \ laxwdl and Dr. Ams Wng attellded the r\anking Cnferen.:e f the Chinese \ edicai Assciatin. Ten f the thirreen papers presented at the Obstetric and Gyneclgical Sectin were the wrk f members f the department, and will be published in due time. The president f the sectin was Dr. ~:arin Yang, wh was frmerly n ur staff, and the secretary f the sectin was Dr. S. \V Lee, wh als was a member f ur staff. After this cnference Dr. rvlaxweji went n t Shanghai and delivered lectures n.dult and Fetal Richts and Ectpic Gestatin at the ~ atinal ~ledical Schl f Shallghai. On his way back he paid the annual visit t Cheel University Medical S.:hl, Tsinan, and delivered fur lectures there n Aduli and Fetal Richts, TIlt Placenta, and Ectpic Gestatin, and addressed the Students' Assciatin n Hw t Live. The latter address was translated int Chinese by Dr. Li T'a and published in the ' KUlE Pa. A list f all papers published by the members f tlit' department during the year will be fund in the bibligraphy f publicatins f the Peiping Unin Medical Cllege, which is published separately THE lvoo PRIZE This prize, pen annually fr cmpetitin,,"as awarded t Dr. S. Lin fr an essay n Tuberculsis f tire Cervix.

64 Twenty-sixth Annual Reprt, 9-6 POSTGRADUATE CLASS This class was held as usual frm Au~ust 6th, 9. 6th t September It was attended by fifteen dctrs and tw special students. Of the fifteen dctrs, fur were freigners, and the rest Chinese. The sessins were diligently attended, and the cases fr teaching were representative f a very wide number f bstetric and gyneclgical cnditins. CLINICAL WORK OF THE DEPARTMENT As has been already said, the year has been marked by a large incre~se in the number f in- and utpatients. A very large number f bstetrical emergencies, sme f them in grave cnditin, have been handled by the department. A grwing number f cases f carcinma f the uterus have cme t us, sme f them frm lng distances, and we have been able t increase the number f such cases that have been dealt with in their early stages, bth by peratin and by the use f radium. Besides a neplastic clinic, special clinics n sterility and birth cntrl have been held, the patients cming t the sterility clinic far utnumbering, at the present time, thse attending- the clinic n birth cntrl. As t the wards, they have ften been taxed t their full capacity, and it has been ccasinally necessary t shrten the time f stay f bstetric cases because f the pressure n the beds. The usual advanced clinical lectures have been given n Saturday mrning frm twelve t ne 'clck, and a number f medical and nursing visitrs ha\'e cme t them. The number f deliveries ccurring in the hspital during the rear was 68; the number f children brn was 66, this figure including cases f tn"ins and ne f triplets. In additin, 8 wmen were delivered in their hmes, s that the ttal number f deliveries cnducted was 896.

65 6 Peipine Unin Medical Cllege Hspital Fifty-tw lipidl tests t determine the patency f the Fallpian tubes have been carried ut. ]. PRESTON MAXWELL Prfessr f ObstttriCJ alld G.'mc!fj' tllld Htnd f tlu Dtpartmmt

66 Twenty-sixth Annual Reprt, 9-65 REPORT OF THE OPHTHALMOLOGICAL SERVICES WORK IN THE CLINIC AND THE HOSPITAL The fllwing tables indicate the chan~es in attendance t the clinics and in ccupancy f the hspital beds. On May the number f beds assi"ued t the Ophthalml~ical Service was reduced frm 9 t 8. OUTPATIENT CLINICS Ttal Visits t Ttal Visits t Ttal Visits t I i General Clinic Trachma Clinic Radium Clinic New Patients i I 9 6,6 6,8-6& I,6!! 9-*,5,66 6 j J,6l8! INPATIENT SERVICI<: Number f Patients N umber f Refers Oil Eye Service I and Cnsultatins , I I Average Numher f Days Spent in Hspital 9-9 8U ,-- I! 9- & I i OPERATIONS Majr Minr 9-5U 9 -"

67 66 Peipin ' Unin Medical Cllege Hspital TEACHING Durin!! the first and secnd trimester the under!raduate teachinewas dne by the Acting Head f the Department, Dr. H. T Pi. During- the third trime~ter Dr. Pi and Dr. Sudakff cnducted the curse tgether. The curse fr the secnd year students ("verill" the phthalml~ical methds f examinatin used in general physical examinatin was gi,'en hy the Head f the Department. Dr. S. P Chang eave the phthalmlgical part f the curse fr the nurses. The special psteraduate curse in phthalmll!y, which is usuall)' gi"en durine: January alld February, was mitted this year because the members f the department were t much hurdened with their regular duties. Durinl! the year 5 eraduate students received trainin~ in phthalmlgy. Tw dctrs attended the clinics in the capacity f bservers. Dr. H. H. Fen " assistant resident phthalml\!ist, de\'ted three half-days a week during the last thrt'"e mmh. f the year t,raduate wrk in pathl"}' under the directill f Dr. C. H. Hu. PERSONNEL During the first half f the year, Dr. Pi sen'ed as Acting- Head. On January 5, 9, Dr. P. C. KrnfeJd tk charge f the department. CHANGES IN THE LAYOUT OF THE CLINIC Because f repeated thefts, Dr. Pi recmmended a separatin f the refractin rm frm the rest f the department. This sllf!,esrin was fllwed, alld the necessary changes were made. At the same time the frmt"r large teachin~ labratry was divided int tw rms, ne f which nw serves as reference library, the ther as chemical labratry. With the kind permissilj f Dr. Heppli and Dr. C. H. Hu, the pathll!y labratry f the eye department was mved frm rm -] t -. The new rm is much larg-er than the ld ne. Thus better wrking and teachine- faciliti'es in e~'e pathliy and better cntact with clinical phthalmlgy are prvided.

68 Twenty-sixth Annual Reprt, 9-6 PUBLICATIONS Mst f this yearcs papers frm all the members f the Department f Ophthalmlg-y will be published in a special number f the Chinese Medical Jurnal which will cme ut in September, 9. SPECIAL ACTIVITIES Dr. H. T Pi served as delegate f the departmt"nt t the meeting f the Chinese Medical Assciatin in Nanking. At that me~tin~ abut 5 papers frm members f the department Were presented. Dr. Krllfeld has carried n his studies n culture f the tubercle bacillus frm the bld and tissues which he started in Prf. Lewenstein's labratry in Vienna. Dr. C. E. Lim has been kind enugh t supervise this wrk and t prvide space and wrking facilities in his department. The Department f Pathlgy and ther departments have ~reatly assisted Dr. Krnfeld in that wrk hy sendini him bld specimens. P C. KRONFELD Prfusr f Ophtha/m%R)' and Hend qf the DejJrtmen!

69 68 Peiping Unin Medical Cllege Hspital REPORT OF THE RADIOLOGICAL SERVICES Durin~ the year the department wrked under extreme difficulties. On ne hand, the activities in bth rentgen diagnsis and therapy were mre than in the preceding y~ars, as shwn by the statistics. On the ther hand, the persnnel f the department was reduced. The physical equipment and the quarters f tbe department were limited. Therefre, unless the persnnel is increased, the physical equipment brug-ht up t date r augmented and the flr space extended, sme methd t restrict the number f patients shuld be devised, s as t preserve the efficiency f the department. It is hped that ill the near future space may be fund t install a flurscpe in the utpatient department whereby flurscpic examinatin f the patients underj!ing treatment with artificial pneumthrax can be made in the pneumthrax clinic, in rder t relieve the department f the rutine wrk and t expedite the malla"emeut f the patients f the pneumthrax service. ROENTGEN DIAGNOSTIC SERVICE The number f patients examined during the year was,99, shwing an increase f, (.58 per cent) ver that f the previus year. Mst f the increase (I, patiellts) was cntributed by the public utpatient clinics fr the study f the chest. The number f patients examined and the types f examinatins are tabulated in the fllwing tahles. NUMBER OF PATIENTS EXA~JINED Y " t Staff and Private, Puhljc =--~ Stud==-- Outpatieuts I Outpatient. I T..! 9- I, ,8 I 99 88,6,99 I 6 I 5, I' 9, ~~I ~99 ---n---~_8 6,99 IO,SS8

70 Twenty-sixth Annual Reprt, 9-69 CLASSIFICATION OF X-RAY EXAMINATIONS I 9- I Chest (lung, heart, pneumthrax, etc.) BOlle and jint Skull (mastid, sinus, ventriclc.-s, etc.) Gastr-illtestillal traet Urinary tract Femal~ reprductive liystem Teeth,, ,85, ] Ttal,5,695 ROENTGEN THERAPEUTIC SERVICE The statistics ill the accmpanying table shw a tremendus grwth f the activities f the therapeutic service. The ttal number f patients treated was 5 ( with 6 t 8 kilvlts and 68 with t kilvlts), as against f the pre\'ius year, an increase f 5 patients r 6.85 per cent. The ttal number f visits f patients was increased accrdingly. The rapid gr<h\,th was cnsidered quite natural as rentgen therapy was llly ill the secnd year f its presellt frm f rgallizatin. But the department is nw faced with the difficulty that this service has already reached the limit f its capacity. while the demand fr rentgen threapy ullduhtedly will further increase in the cming years, as the tumr services f the surgical and gyneclgical departments d nt seem t han' yet cme t the full extent f their capacity and the varieties f lesins referred fr rentgen therapy are e\ler increasing. RADIO:\l AND RA DON SERVICE The use f radium was collsiderahly lwer than (har f the previus year, due primarily t the ahsence f ahut 65 milligrams f the milligrams f radium after Octber, 9, whell lle f the t\\"o tubes f 5 mi"i~rams f radium and all follr needles f milligrams f radium were sent a\yay fr re-distributin f the radium in smaller cntainers, This, ho\ye\,er, has nt caused much incnvenience t the clinicians, as r;idn has generally heell available t take the place f the radium. The radn plallt has fulktined elltirely satisfa<.:trily thrughut the year. The plant was perated a ttal f 5 times. The a\'(:~rage per cent f tht" theretical yield f radn which has heen cllected,

71 Peiping Unin Medical Cllege Hspital measured and available fr use during the year was 86.8 per cent (8.85 per cent fr the previus year). This resulted in a daily average f millicuries available fr use, r a ttal f,59, millicurie hurs available fr use fr the year (as against,, millicurie hurs the year befre). Of the,59, millicurie hurs f radn available fr use,,,96 millicurie hurs (. per cent) were used. Of the lised radn 8,65 millicurie hurs were used by the Department f Surgery fr experimental purpses. As cmpared with the amullt f radn used fr treatinl!" patients in the previus year there was a decrease f abut 66, millicurie hurs (6 per cent) during this year. The number f permanent implants ust'd fr treatmellts decreast'd by 9 ( per cent) t,5. but 96 implants were used fr experimelltal wrk. The number f cases treated with radn increased frm 98 t and the number f treatments frm t 9. The cmhilled use f the radium and radn fr the year was,5,9 milligram and millicurie hurs, which were.8 per cent f that available. Fr treatments f patients,8,58 milligram and millicurie hurs (5. per cent f the availahle amullt) were used, which is a decrease f 5, milliltram and millicurie hurs Cabut per cent) frm the prt'\'ius year. The ttal number f cases treated increased by t 8, but the ttal number f treatments decreased hy 5 t 59. The summary f the use f radium and radn is presented in the accmpanying statistical table. PERSONNEL Dr. T S. JUlig left t study abrad n a fe)jwship in Octber, 9. Mr. H. S. Wang in March, 9, was granted leave t study in Eurpe and America. Dr. C. Hsia, Dr. H. H. Hsieh and Dr. H. M. Hsu each finished tw years f training and resident duties at the end f the year and left t jin the departments f rentgenlgy at the Hunan-Yale Medical Cllege, Changsha, the West China Unin University, Chengtu, and the Central Hspital, Nankine-, respecti\ er. C. K. HSIEH Assciate Prfessr f Rmtrm%EY and Htd f tlte Deprtmmt

72 Twenty-sixth Annual Reprt, 9- DEEP AND SUPERFICIAL ROENTGEN THERAPY BY SERVICES DEEP ROFNT(ili:N THERAPY Number f I Numher f Nllmber f Service l'atic'litl> TreatmC'nts Prts -- Gyneclgy I 8,99 Suri-!ery 8,58 Neurlg-y I ~~I Otlaryng"lg-y I Urlgy I ) I Orthpedics Mediciue 6 = 5 =' Ttal --Wj--- --z:t~i~~ SUPER Fler AI. ROENT(iEN THERA PY SlIrgery I I 5 8 Orthpedic:> Otlary IIg lg"y I : ~==='=r=u=b=r~rc=u~l~s:i=s ~~==~:======_--_--_-_ \ _ Ophthalmlg-y i '----,------:.:.: ' Dermatlgy t I [\' edieille Gyneclgy Obstetrics ,:--~...:..:..:---, Islatin i i 9 I--~P-e-:-d-:-ia-tr-:-i-cs , 5, _ "-----'-' Radilgy Ttal _ I, -----~---- Ttal fr deep and superficial ~~t-h-rr-c~p~y~,--9--~-~, ~,_8 I- ~,9-t Ttal fr deep and superficial I '- therapy, 9-,,86 The actual number f patients trrated during- the year was 6, patielt~ having- he~n trrated n htla the derr and superficial therapy machilh's.

73 Radium Tubes.t Plaque Radium Tray Radium Ttals Radn Tub«Radn Tray Radn Needles Radn Gld s«d. Radn Lead Seed, Radn Ttals f-. Radium ajjd Radn Telal. 9-H Ttals Peiping Unin Medical Cllege Hspital THE USE OF RADIUM AND RADON Frm July, 9 t June, 9 ; r Medicine Surl!ery Gynec)fY i Ophthal- Xperl- ; mlfy mental CaBell Z() S 6 J Treatments 6 6 Mr. Mrs I.895. Cues - Treatments I I MI'. Hr& I Cues 6 6 Treatments 8 8 MI!. Mrs. Uled.86.9 ;.895. MI!. Mrs. I Available ; Cues 9 5 Treatments Me. Hrs :.5 i 5.5 Cases 8 Treatments I Me. Hrs..69 5,;6 i Cases I Treatments i Me. Hrs..96 I.8 ---~ c... ~ 9 : Trrarments 6 Z6 n, Me-Hn. in. rl I N. seeds '.",99 96, - Me. Hrfi. II I 6.J6S N. f : I 6! Seal...L Cases 5 In, _..-.+ Treatments ]6 _!!L,_.... _ :.ll - Me. Bn. Used SH EI-L _ 8.(riS Me. Mn. i i..mailablct :: _~ ~-'-.. c~l:~-== ::-::.::'::::-: New CalC. I 9 6 i - Ttal CaICl H 5 5 ) Treatment Ml!.tMc , I 8.65 Mrs UICd. M,...tMc.. Un. Amiable Cues 9 8 I 99 5 Treatment ~.tme. Un. Used !.65 65,.. Me..6. Un. Available. J._ S N. Au.ked. I J 6S8! 96 () r I I Ttals % "" ' 9 SSl 6.JM 6 ~!L, S9..:-:--:= _---.-m_ 8; 59.S.9 ---~ _ 55..

74 Twenty-sixth Annual Reprt, 9- REPORT OF THE PATHOLOGICAL SERVICE DIVISION OF PARASITOLOGY The fllwing tables summarize the wrk perfrmed by the Parasitlgical diagnstic labratry fr the Hspital during the year 9-. INCIL>ENCE OF INTESTINAL PROTOZOA AND OF HELMINTH INFECTIONS Ttal cases examined... 6,55 Ttal t'xaminatins made... 6,O~6 I Number Per Cellt I I Psiti\'!:: I Psitive Cases Cases PROTOZOA Entameba histlytica I 5. Entameba cli ~--.86 Endlimax lialla 5. ~6 Id:tmeba buetschlii 6 Giardia lamblia. Trichmnas holllillis 58 [.89 Chilmastix \lcsnili. ~ Emhadmnas sint"nl>is I : I. -- HELMINTHS Ascaris lumbricides I 8.59,8 Ancylstma r Necatr 5.i Trichcephalus trichillrlls 6. Enterbius vermiclliaris 9.9 Clnrchis sinensis 9.9 ~istsma japnicum I. Hymenlepis nana. Taenia spp. (intestinal). Fascilpsis hllski.5 Dicrcelium dendriticllm.5 Trichnstrntrrlus rient:llil\. *Frm a liativr- f Szechuan.

75 Peipinlr Unin Medical Cllege Hspital PARASITOLOGICAL EXAMINATIONS OF BLOOD Number f persns examined... 8 Number f examinatins made...,... Number Psitive Cases Per Ct"llt Psitive Cases Plasmdium "h,ax Plasmdium malariae Plasmdium falciparum I. On August, 9, a specimen f ral ulcer frm an utpatient (. P D. N. 5) was examined and fund psitive fr Vincent' 5 spirchaetes. EXAMINATION FOR LEISHMAN-DONOVAN BODIES Number f persns examined... q6 Number f psitive cases.... Tt~ Number Per Cent Number Psitive Psitive Examinatins Examinatins Examinatins Culture f splenic pulp.. Smear f splenic pulp S H.B Culture f liver material Smear f liver material Culture f bld Smear f bl, Culture f bne marrw, Smear f bne marrw Smear f nasal swah.. Smear f thrat swab Culture f placf'nta Smear f scraping frm perianal granulma

76 Twenty-sixth Annual Reprt, 9-5 DIVISION OF PATHOLOGY AUTOPSIES ON INPATIENTS AND O. P D. PATIENTS Deaths Autpsies Percentag'e SI RVICE be 5i: 5i: ~ ~ ~ ItJ u 'E ~.~.~ ~. I v t.. t-c t..! I i I I [) ~ u ~ - Inpatients : Medicine Dermatlgy I I Islatin 5 6 i g 9.8.UO 9.5 Neurlgy I Pediatrics ]8 Z ] t. {Adults} 9-9 I 6.9 ".9 and Gyn. (Infants) UO Surgery : Orthpedics I I Otlarynglgy 8 8 I.5.5 Urlgy O.P.D.: Medicine 'PediatriC's l. (. I 't TOTAL 9 I I Nt included in the abve table are bdies frm \'arius departments given t the Department f Anatmy, and bdies frm Department f Obstetrics and Gyneclgy upn which pst-mrtem examinatin was nt made wing t advanced decmpsitin. Bdies given t Department f Anatmy: Medicine Surgery Pediatrics Ostetrics Bdies t decmpsed fr autpsy: Obstetri('s

77 6 PeipinLt Unin Medical Cllel!'e Hspital Cmpared with the previus year the autpsy situatin f this year is much imprved. There is nt nly an increase in number f autpsies but als an imprvement in quality f the material, althugh almst tw-thirds f the 98 cases (inpatients and O. P. D. cases) were infants and yung children frm the departments f Obstetrics and Pediatrics. Of special interest may be mentined cases f varius frms f tuberculsis, 5 cases f typhid fever, cases f kala-azar, cases f bacillary dysentery, cases f c~lrcinma f liver ( f which ccurred in a child f 9 mnths), case f carcinma f the ampulla f Vater, I case f very extensive cysticercus infectin, im'lving the brain, muscles, subcutaneus tissue, heart, and lungs, case f acute hemrrhagic pancreatitis assciated with impactin f ampulla f Vater by an ascaris wrm, I case f stemalacia, case f fetal rickets, case f amebic dysentery and case f amebic abscess f li\"(:' r. Hspital calles Iupatieut&. P. D. patients Emergency cases Outside cases 9 S 9 Ttal Abut tw-thirds f the 98 autpsies were dne within tw days after death and abut twenty ( ases ten r mre days afte r death. As a result f the embalming f the crpses waiting t be called fr b}' the relatives, upn which permissin fr pst-mrtem examinatin is frequently eventually btaint"d, many f the cases are saved frm advanced decmpsitin and many thers are still 'd fr histlgical study. SURGICAL PATHOLOGY The number f surgical specimens received during this year is,6, r,59 mre than that f the pa.<t year, an increase greater than that f any previus year. This increase is due chidly t the larlier number f bipsies made in the departments f Surgery and Obstetrics and Gyneclgy. Specimens frm utside hspitals have als increased.

78 Twenty-sixth Annual Reprt, 9- Surgical specimens received during 9-: Medicine Dermatlgy Surgery Dentistry Otlarynglgy Obstetrics and Gyneclgy Outside easel> 9 8,5, 696 Ttal ~,6 In additin, the rgans f a few dgs and a hrse have been f'xamined. The fllwing table shws the number f specimens received during the past years: ~.9596I'99899I'9!O,9 999 ~Jcdicile 6 ]9 I Dermatlgy 6 IS 8 Nt"urll!Y Sllrg("ry ,H,5 Dentistrv 6 S Ot!arp;g)gy ~ sl ; ' 9 Ohst. & G"Il. I ,, 9,' Outside cases I 69! ] ' 696 I! TOTAL,9,!,669,! I, 958 ',,998, 55,(8;, ( () During tht> past tv; years a re"if'\\' f ver,6 tumrs frm the ld files has been made. Each case is recrded n a separate card filed accrding t its type and reginal distributin. In additin, abut grss specimens f tumrs havt> het>n munted and arranged in eleven cases placr-d in the crridr n the rd flr f "I" Building. Under this arrangement and with the mre abundant current surgical matt>rial, it is nw pssible t ffer c-rt>ater facility fr the study f surgical pathlgy than befre,

79 8 Peipiu' Unin Medical Clle'e Hspital ACTIVITIES IN THE "SECTION ROOM" During this year the amunt f wrk in the "Sectin Rm", where all the paraffin sectins are prepared, has greatly increased, and the rm IS ver-crwded. As a result, a separate surgical pathlgical labratry was established in "I". The ri~inal rm is nw devted nly t the making f slides frm autpsy and experimental materials. Number f paraffin blch Cllt during 9-] Number f paraffin blcks cut during 9-,6 8,<9 PATHOLOGICAL MUSEUM Sme imprvements have been made in the pathlgical museum. The specimens have been remved frm ld cntainers and munted in new museum jars. Many ld specimens have been remved, and new nes added. A better lighting system has been installed. The arrangement f these specimens is made accrdine t the rder in which the curse ill pathlgy is given t the secnd-year medical students. It is hped that this cllectin f specimens will materially help the students in their study f pathlgy. PERSONNEL With the return f Dr. H. J. K' ang frm abrad at the beginning f the year, the Divisin is mre satisfactrily staffed. He acts as the pathlgist t the tumr clinic. Dr. S K. Ngai resigned at the end f the year t accept an appintment at the Central Hspital, Nanking. C. H.Hu Fr R. J. C. HOEPPLI Prfessr f Parasitlgy and Actin/! Head f the Dtparlmmt

80 Twenty-sixth Annual Reprt, 9-9 REPORT OF THE BACTERIOLOGICAL AND IMMUNOLOGICAL SERVICES In presenting a general survey f the wrk fr the year under review we are able t recrd an actual decrease in the number f bacterilgical specimens received fr examinatin. This is indicated in the fllwing table, in which the number f tests fr the last tw years is given. This decrease is an index f the mre intelligent use f the labratry alld the eliminatin f unnecessary tests carried ut as a rutine prcedure. In the hacterilgical lahratry nly specimens calling fr studies by cultural serlgical, animal inculatin r ther special methds are received. Simpler tests requiring examinatin by the direct smear methd are handled by the huse staff in the ward labratries. Of the bacterilgical examinatins f special interest, a case shwing infectin with B. suipestifir and anther unusual case f a paratyphid "A" infectin fllwed by a B. tj'phsus infectin may be cited. The results f the trial f sy-bean media as reprted at the last cnference f the Chinese ':\'edical Assciatin held in Nallking have prven very satisfactry, s that this medium is nw used regularly in the culture f stl specimens. The investigatins with the Nursing Service f the efficacy f varius nursing techniques have cntinued this year, cvering mainly the questin f the maximum length f time unused sterilized packets may remain in the supply rm and still be cnsidered sterile. I n the serlgical lahratry the rutine wrk has cntinued t increase,,6 mre specimens having been examined this year than last, as shwn in the accmpanying table. III the examinatin f bld fr syphilis, three different tests are used. A cmparisn f the Kline, Wassermann and Kahn tests based upn the results f ver, specimens, in \yhich the reliability f the Kline micrscpical test under ur imprved technique was demnstrated, was published in the Chinese l'vledical Jurnal. ". rk is nw in prgress t prve the sensitiveness and specificity f the Kline antigen in relatin t a~e.

81 8 Peiping Unin Medical Cllege Hspital BACTERIOLOGICAL LABORATORY Bile... Bld--agglutinatin _... culture.... Bdy Fluids--ascitic.... pericardial... pleural... spinal... Sputunl... Stl... S\vabs--ear eye.... mastid... nse... pus.... thrat... Tissue... Urine... Water... 5,, , ,6, ,6 99,6,8,,88,US 8, I 986 I 9 66 I I Ttal specimens and tests i 6,66 I 5,9 SEROLOGICAL LABORATORY --I 9-9 I 9-9 SpecimenJ TeslJ SpuimenJ TeJI; Bld (Cmpatability test),8,5 Gruping...,,55 Matching Bld {Syphilitic test}...,85,6 Kahil..., I,56 I Kline...,8,55 Wasst'rmann...,595,6 Spinal fluid I Cllidal gld test. 8 5 Gum mastic: test Rss Jnes test \\' ass('rmann Other bdy fluid Ttal 5,98,6,6,S

82 Twenty-sixth Annual Reprt, 9-8 Antig-en fr the Kline test has been supplied t institutins in this cuntry, and favrable reprts n the test have been received frm a number f these institutins. ()n accunt f the simplicity f the Kline test, missin and ther hspitals are applyin~ t us fr the antigen and apparatus in increasing numbers. Five dctrs and ne technician have spent varius perids f time learning different techniques in which they were especially interested. One freign g-raduate student frm the University f Mntpellier has started a curse f 8 mnths in the diagnstic labratry Frm the nn-prfessinal staff ne technician was supplied t each f the fllwing institutins in Peiping: Secnd Public Health Area f Peiping, V C. Clinic f the Municipal Health Department, and Islatin Hspital. Demand fr ur trained technicians still cntinues t cme frm varius parts f the cuntry and s far ur men have been placed in desirable psitins in Shanghai, Nanking and Peiping. Dr. \V K. Chen left us in l\arch t jin the Natinal Health Administratin, where he wiji take charge f its new labratries in the Nrthwest Epidemic Preventin Bureau in Lanchw, Kansu. l\lrs. D. Huie Wng left us in June t becme assistant prfessr and acting head f the Department f Bacterilgy in the ~atinal l\-edical Cllege f Shanghai. C. E. LIM PrjtSJ' f Rac/fri%z.l' (JJd Hrd f Dt/l(/rtmrnt.

83 8 Peipin(r Unin Medical Cllege Hspital REPORT OF THE NURSING SERVICE GENERAL NURSINt; STAFF Durina- the past tw years there has been a slightly mre than adequate number f nurses applying t this hspital fr staff psitins. Fr this reasn it seemed desirable this year t take steps t decrease the number f nurses n the staff wh were recgnized as health risks, and t imprve the quality f the nursing service. This has resulted in an unusu;jily large turnver, a ttal f ninety-ne nurses, eight men and eighty-three,,'men, exclusive f head nurses and supervisrs, ha\'ing left the service thrughut the year. Thirty-five f these ninety-ne nurses had been in the service less than ne year Twenty-ne Were nt eligible fr regular appintments n accunt f sme health cnditin; nine Were rejected at (he first physical examinatin; ne refused medical treatment; and sixteen left because either wrk r beha\'iur was unsatisfactry The remaining frtyfur gave the fllwing reasns fr lea\'ing: Fr Inarriage.... Plitical situatin ill Peiping... Wrk t hard N ceded hy famil~ I ) Returned t psitins Fr study.... N reasn (did nt return after vacatin) Transferred t ther departments f hspital.... Died.... Ninety-six new staff nurses were appinted t replace thse wh resigned and t replace nurses wh \n~re appinted t headnurse psitins. Five additinal nurses "'ere added fr the Imprvement f the service in the utpatient department. The average number f staff nurses emplyed was ; f these 5 were men and 9 wmen. On this basis the turnver fr the year was a little mre than per cent. This cmpares with the turnver fr recent years as fllws: K

84 Twenty-sixth Annual Reprt, 9-8 STAFF TURNOVER 9-H Average % % 5% % Men i 5.. Wrnell I I In ther respects there have been n unusual demands upn the Nursing Service this year. Fr the first time in a number f years n emergency units have been sent ut. HEALTH Absence frm duty n accunt f illness amng the staff nurses has been less than fr the past three years. Hwever, in the head-nurse grup there... vas an unusually high rate due t tw cases f pulmnary tuberculsis wh were ff duty resting thrughut this entire perid. In additin, ne head nurse was ill \,ith rheumatic fever fr 6 days during this year. DAYS OF ILLNESS-STAFF 9- Mell.... Wmen.... Ttal 956 t,68 Days f tuherculsis ~,586 (Mel... (V.'mell ,9, ,,9 U f'll I b I' (i\len... ay~ I ness es5 tu en:u OSIS l'ases (\\'Ilen... 8 Average number f days f iess per staff nurse: I\lel Less tuberculsis cases.... WnIlJen.... Less tllberculsie; cases

85 8 Peipinf! Unin Medical CIef!c Hspital OUTPATIENT DEPARTMENT There has been a cnsiderable develpment f the nursing service in the utpatient department during- this year. Additinal nurses, graduates f the P. U.\. C. Schl, ha\'e been assigned t the bstetrical, pediatric and tuberculsis clinics fr fllw-up and educatinal wrk. Pre-natal nursing care has been rganized n a mre definite basis with the bject f increasing the number f pre-natal visits f the patients t the clinic, and f prviding fr them mre cmplete supen,isin and teachinl:?:. In a similar way, the wrk has been develped in the pediatric and tuberculsis clinics. Case cnferences between the dctrs, scial wrkers and nurses have been held at regular intervals t prevent verlapping in the \yrk, and t prvide a mre cmplete and scientific service t the patient. The large number f patients cming int these clinics and the limited persnnel make it necessary t de\'elp these prgrams with great care in regard t ecnmy f time and effrt. Hme visits are made sparingly and n]y ",hell abslutely necessary. t is expected that mst f the educatinal wrk can he carried n in the clinic with indi"idual patients r with grups ri!anized int classes. FnIJwing is a hrief summary (If the nursing activities, aside frm the usual assistance t dctr~ during clinic hurs, fr these three clinics: Obstetrical and G)'u{(J/ icl Clinic (h-mnths' perid - july, 9) New cases ill nurse's file {chidly ante-partum)... 9 Case discharges in nurse's file Hme visits.... Paticllts illterviewed... 6 Health ('Ia~~e~ Attt-ndance at health classes... 6& l.etters sent ,, \Vard fllw up... J january t P~ditric Clinic -mnths' perid - july, 9, t july, 9) Hme visit... 5

86 Twenty-sixth AnlJual Reprt, 9-85 Almst fifty per cent f these visits were t children with tuberculsis r cntacts with a psitive tuberculsis reactin. Abut thirty per cent represented nutritinal prblems. The remainder were t acutely ill children fr whm there were n hspital beds available. Visits t rphanage and the Hrne Finding Sciety.... Mthers' classes S Attendance at mthers' classes... 9 One pamphlet n child care has been published. at ten cents. Tuberculsis Clinic An additinal nurse mnths (March t July). made. Emplyus' Clinic These are sld was assigned t this clinic fr nly fur During this perid 58 hme \'isits were The nurse in this clinic wh was riginally under the supervisin f the Health Statin has been a member f the utpatient nursing staff since Octber, 9. Her wrk includes the health supervisin f apprximately,5uo emplyees and their immediate families, ttalling abut,5 persns, and the sanitary inspectin f all parts f the industrial area. During the past year,858 hme visits were made and health talks were given. An additinal nurse is greatly needed in this clinic. Studmts In additin t the usual assignment f students t the utpatient department fr a perid f apprximately eight weeks each, the secnd year students were assigned there fr tw mnths during the spring term as a part f their experience in public health nursmg, under the supen'isin f Miss Nieh Yu-chan. COOPERATION IN THE PEIPING PSYCHOPATHIC HOSPITAL At the time the new buildin!!s f the Peiping Psychpathic Hspital were heing prepared fr pening, i\lr. Ka Yu-hua, head nurse f the general surgical ward fr men (G-l). was as!'igned t that hspital as charge nurse fr the men's unit. In q.~, \h. Ka had been sent t America fr a year's experience in psychiatric nursing in preparatin fr this pprtunity, which finall~' came after ten years.

87 86 Peipin" Unin l\edical Cllege Hspital Later,!\Iiss \Vang Chien-chen, assistant instructr in the Nursing Schl, was assigned t take charge f the wmen's unit. Miss \Vang had fur mnths' experience in tw different mental hspitals in America during the year 9. l\iluch seems t ha\'e been accmplished thrul!h tht' effrts f these nurses fr the cleanliness and welfare f the patients and hspital. In [Hay, 9, a [[rup f twemy student attend'lilts under l\liss \\'ang and :\Ir. Ka were accepted fr a six-mnths' training in the custdial care f patients. During the cming year it is hped that the wrk will be sufficiently develped t assign secnd year students fr a shrt perid f experience in that hspital in cnnectin with their usual theretical curse in neurlgical and psychiatric nursing. SPECIAL DllTY The special nurses registry with ivirs. \\' en-cha King as registrar has cntinued t functin, ttlthugh under a new cmmittee. Frmerly the spedal nurses maintained an rganizatin f their wn. The registry was directed by the executi\'e cmmittee f this rganizatin. During the past year this rganizatin has agreed t becme a sectin f the Peiping hranch f the "' urses' Assciatin f China. A cmmittee chsen by the branch accrding t its cnstitutin is nw in charg-e f the registry. At present the number f nurses n the registry is limited t frty. fllws: The number f days f special mm;mg- In the hspital was as Days... r>.:ights..,89,.9 Of these 6 days and 8 nights were at hspital c. xpense Chinese wmen nurses, Chincse: men nurse", Freign wmen nurses, days,8 8 9 night!> " ", 6

88 Twenty-sixth Annual Reprt, 9J- 8 PERSONNEL In August, a cable frm America annunced the sudden death in San Francisc f Miss Zenaida Planska, night supervisr, wh was n leave t attend the meetings fthe Internatinal Cuncil f Nurses. Miss Planska had been a member f the service fr abut tw and a half years and had made a very real place fr herself in the respect and regard f all wh kne\-y her. Miss Lila M. Dalrymple was appinted t the psitin f night supervisr, arriving in Peiping in Nvember. As instructr in the Nursing Schl frm 9 t 98, \iss Dalrymple was welcmed gladly by many frmer students and assciates. During the interim hetween Miss Planska-s death and Miss Dalrymple's arri\'al, Miss Yu Kheng-eng acted as night supervisr. \ iss Hdgman returned frm leave n September 5th. Miss \aude Parsn, wh acted as superintendent f nurses during Miss Hdgman's absence, returned t America in ~ar n accunt f illness. \iss Ruth H. Kunkel, supervisr f the islatin pavilin, started n a s(o\'en mnths' leave n January first. l\iiss Hsueh Yi and Miss Pa Ai-ching returned abut September first frm a year's study in America and Eurpe..l\iss Pa has been in charge f the nursing f the pediatric clinic f the utpatient department since her return, and l\tliss Hsueh assisted in the instructin in practical nursing and later relieved IV iss Kunkel as supervisr f the islatin pavilin during her leave. Fr three mnths during the ",inter tvl iss Yu Kheng-eng was laned t take charge f the instructin in the First T\atinal l\iidwifery Schl here in Peiping. As a result f this experienc\', l\liss Yu fl>signed n JUIe' first t accept a psitin in the Central.Midwifery Schl in Nanking. IHiss Drthy D. Hull, supervisr f sufl.dcal nursing, after a prlnged illness in America which prevented her arriving in Peiping in September as expected, finally arri\'t~d in December..rvliss Ruth. Eli~ "'as ;,ppinted supervisr f the pri,-ate pntients' payilin frm

89 88 Peipinfl Unin Medical ClJel!e Hspital February first. i\-i iss Esther C. N ea] assisted in the n ursmg administrative ffice frm Fehruary llntil her departure fr America in :\lay Miss Faye \Vhiteside, assciate superintendent f nurses, after furteen mnths f study and travel, is expected t rerum t her psitin here the end f July, 9 GERTRlDE E. HODGl\I!\'\

90 -~~-- Twenty-sixth Annual Reprt, 9-89 REPORT OF DIETARY SERVICE PERSONNEL Miss Katherine Mitchel, Chief Dietitian, finished the wrk f her ne-year appintment in Octher and returned t Amt'rica. She was succeeded by Miss Estelle Nesbitt, wh arrived n January. The death f Miss Drthy Wen, Assistant Dietitian, ccurred in July; and Miss Lia Su-chin. als Assistant Dietitian, resi~ned as f July, 9; Miss Sphie Chen being then the nly remaining Chinese dietitian. Miss Marjrie Wng and Miss Emily Curran came int the department in July and August, respectively, as student dietitians. After intensive wrk as students they we're appinted as assistant dietitians Octhe'r, 9. FOOD SERVICE Fllwing is a reprt f the IJumber f meals sen ed d.uring the year, the ttal number including] 6,6 special diets sen cd. Chinese f\~als Freigll r\'l~als Public ward patients, I Private alld semi-pri"ate patients 6,BH I,5 Staff and emply~t"s,99 i Ttal 588,5 I :,:"5 As much time as is pssihle is spent by dietitians n the,,-ards supervising fd st"f\'ice, studying intakes, teaching student nurses, and giving sme dil'tary instructin t patients. This year particular attentin was l!in n t private patients, tumr cases, and the children. The staff f dietitians is still t small t d a finished pie'ce f,yrk in any f rhe'se lines f \'-ard,, (\rk. EDUCATIONAL Instructin ill dietetics, nrmal nutritin, and diet in disease i!'l ~iven studt"nt nurses hy the memhns f the Di('tar~' Sen ice. This

91 9 Peiping Unin IHedical Cllege Hspital includes thirty hurs f lectures, sixty hurs f labratry wrk, tw weeks' practice time fr each student in tht> diet kitchen, and pasnal instructin n the,yards f'ifreen lectures in hust'hld ecnmics are gh'en t pstgraduate nurses. One lecture is given in the Pediatrics curse. Five lectures are given t senir medical students. A curse in diet in disease was gi"en at Yenching University, ne purpse f the curse being t interest students f hme ecnmics in the field f hspital dietetics. There are many calls frm ther hspitals fr Chinese dietitians, and rarely is there a trained persn a, aijable. Tw students were accepted fr a six mnths' curse, heginning February, 9 It is planned t cntinue this phase f the wrk. ESTELLE l' F~"BITT Chi,!" Dietitian

92 Twenty-sixth Annual Reprt, 9-9 REPORT OF THE HOSPITAL SOCIAL SERVICE This divisin has interviewed 5, patients during the year. In each case their scial prblems were discussed and an effrt made t slve these prblems. T give a sratistical reprt f prblems md r services dne is exceedingly difficult, as many f ur services are amant! the intangibles. In many the effect~ are great and in.ictual effrt slight, while many cases ver which wrkers have labred lng shw n resulrs. The fllwing brief table will give in utline the services t the patiellts f which we have heen cnscius. Scial Service. Infrmatin secured and given t hspital fr rating: in admissins t the hspital; the utpatient department; fur X-ray~, dillgnstic and trt."atment; radium treatment; physith!."rapy; ther treatment; and fr mt"dicint", ~99 ('a~e~. Senices eolnected with admitting patients int the hspital such as ntifyillg patients f vacant beds, ~ecllnlg witllr-:;sr-s, pr-r ~lladillr intt"festing cases t stay, ete.,. Ser\'ict."s cnnc:ctt."d with returning patients t their hmes and finishing their treatment, such as persuading patients t cmplet!." hspitalizatin; arnlllgillg tramprtatin with relativl"!' r friends; seeill~ that plans fr after-care are cmpleted; sprcial Int."dieal fli\\" up (nt the stated surgical r cardiac); trail Sill itting reprts t cperating medical and scial institutins; arranging funerals fr patien ts; etc.,. Persnal services t patients r thdr fllmilic.-s such as arrang-illir meals fr \\'aiting utpatients, mailing mt."dicine t ut-f-twn patients, writing letters fr patients, huying things fr inpatients, sendillg messages t relative!', lending hk!' and arranging re('ft."alill, Scial Treatment s. Service!! whkh enahle the patient t cmplete ill the cmmunity the indicated treatlllt."tlt; such as referrinl?, t ther tllt."dind IlIslitutillS r scial agc'llcirs institutim r indi"ijllah.; illttfpretatill t dil'ease t patient r family; t!."tllprary carl" in hstel:; r elsewhere; securin apparatus; s('curillg dollle~tie help ill families f patients; placing ther Illt"mhers f p;ltiellb' falllilie~,,

93 9 Peilling Unin Medical Cllege Hspital 6. Fimmcial assi,tallce; such all r~arrangement f family budget, educatin in the use f mney, securing relief frm interested individuals, serving as agent fr patient '6 r dnated mney, lans arranged, plans fr the use f insurance r disability benefits, etc.,. S. Relief in cash, Reli~f in kind, clthing, bedding', milk, etc., 9. Changing envirnmental cnditins, such as rearrangement f living quarters, assistance in mving, rearrangement f fd, the finding f schls r spel ial instructin, 66. EmplYIl<"nt, wrk fund fr patients r memhas f their famili~s, re-educatin f handicapped, change f ccupatin, adjusting f patient n jb,. Special ("hild care; placing ("!Jildren tc-mprarily, finding hmes fr adptin, supplemental fd, wet liurses r amilhs secured, 6. Adjusting persnal relatins, such as quarrels ht'tween family mt-mbers, r emplyee and emplyer, Ttal listed numh~r f services, 9,6~ These services rang-e frm ne t twenty fr a patient. Every ward case is interviewed in rder t ~et data fr finding the patient ag-'.:i.in and that a satisfactry plan fr his after-care may be made. There is a scial wrker attached t each utpatient clinic whse duties vary with the nature f the medical prblems. In the general clinics the scial wrker takes cases referred fr special prblems. III the tumr clinic every patient is inren'iewed, as it is necessary that the patient shall be able t atlend the clinic ver a lng perid f time and therefre livinl! arrangements must ften be made by scial service. This is als mre r less true f the "hpedic service. A three-mnths' survey was made by Miss Tien Kuei-luan III several villages f the Ching H district t find the ilcidt::lce f tulllr. A study f (he ccupatins f patients was sta"e<i h~' Hui-chen. 5 5 tvllss She The emplyees' scial service s ably started last year b} Miss S. rvl. Ka was carried n this year by J'vliss C. C. Huang arid, the wrk prving heavy, in January. 9, Miss Y J. Sha was added t the staff.

94 Twenty-sixth Annual Reprt, ] 9~- 9 All new emplyees are interviewed in rder t knw if their living cnditins are such that they can maintain health and ecnmic independence. Thirty-tw new emplyees were given scial treatment. The fllwing shws the rutine wrk dne fr the emplyees: Sanatrium care arranged, Plans made fr the use f insurance, I\ estigatill fr advance lise f wag es, Lans arranged, Ocher case wrk is listed abve in the general services f the divisin and is similar t what is heing dne by the thers. The psychiatric scial wrk cnsisted f psychiatric trammg under Dr Lyman; psychiatric histry-takin\;!" in the Psychpathic Hspital; research wrk under Dr. Lyman's supervisin in Thurstne's Persnality Schedule and in Kretschmer's Psychbigram;.rutine scial case 'vvrk and fllw-up in the Peiping Unin l\.edical Cllege Hspital and the Psychpathic Hspital n specially referred cases. The term "fllw-up" has heen limited in this di\ isin t the getting f a patient back t the clinic. I n additin t the fllw-up inherent in the case handling f a patient's needs we try t get individual patients hack when asked t d s by indi\ idual dctrs. This is reprted abve. We have als carried, as in ther years, the stated fllw-up f all surgical ward patients. \Ve ba, e als fllwed 8 cardiac patients and 6 syphilis patients. In Au~ust, 9, the administratin tppinted :'d rs. Li Ch~JlC Chllll-ying as scial wrker at the new Cntact Desk ill the lbhy f the urpatient department. It was felt that a scittlly-millded prfessinal ranking persll was needed where the patients first cme int cntact with the institutin. In Jlllle the administratin appintrd Miss Ta Ling and Miss She Hui-chen f this divisin t be ajmitting fficers in the utpatient department. Qne f the chief emphases during the year has heen staff educatin, an effrt t imprve the quality f the wrk dne by each individual wrker. This has been made pssible by the fact that there ",as a strng grup f supervisrs. S8

95 9 Peipinl! U Ilin Medical Cllee-e Hspital While training the scial wrkers t be mre aware f their patients' prblems and t seek and utilize all existine- agencies bth natural and created by the cmmunity, there has als been a cnscius attempt t help the cmmunity create new agencies and t assist in the c-rdinatin f thse ehlts. In line with this plicy membt'rs f the st~ff have ~iven time t many utside agencies. Miss Pruitt and Mrs. Lyman are n the case wrk cmmittee f the Family ~elfare and the Freign Wmen's Aid. Miss Pruitt and Miss Yu are n the cmmittee f the Hme Finding Sciety and have super \'ised the case wrker. f\,iss Pruitt and M iss Ta were the cmmittee f the Peipill! Emplyment Bureau. Mrs. Lyman is n the- bard f the Pekin~ Exchallge. ivliss Yu is n the cmmittee f the fvlaternal Health, has supervised the case wrker, Miss Tien, and substituted fr her while she was ding research in Ching H. Miss Huang is n the cmmittee f the Peipillg Unin Medical Cllege nieht schl fr emplyees. An advance has als been made in the gruping f the prfeisinal activities fr the patient's welfare within the institutin. In tw dillies, the tumr.liid the tuberculsis, the scial wrker met with the dctrs at stated cnferences. III the bstetric, the pediatric, and the tuht'rculsis services there were: grup cnferences with the nurses. "rhe Scial Sen-ice Divisin is greatly indebted t Mrs. Lyman, wh has givell her service as h.. lf-time slipen'isr. There were many changes during the year ill the staff. In the rerganizatin f the M unicipal Psych()p~thic Hspital, Mr. Wang Tze-ming, scial wrker n the rthpedic service, was taken t serve as supervisr and Mr. Sung Ssu-ming was takell as case wrker. Ka Sui-mei, wh had s ably started the emplyees' scial service, and Miss Tsa Chillg-wu f the gyneclgic scial service resie-ned t be married. Li Kuan, wh was the staff ill the year 98 t 99 and had since been with the Y W C.A., rejined ur staff n the eye service. Miss Chen Wei-kulI, Miss Tiell Kuei-Iuan, Miss Ja Yu-ai, Miss Phebe Lian~, Miss Sha Yi-jung, and Miss Ting T sung jined the staff. I"J iss Chen, a graduate f Y enchillg Un i versity, had dne pst graduate wrk in America. M iss Liang gt a masters' degree at the University f Hnlulu. Miss Tien, a