patients began steadily
to
increase,
till the
present large
obtained. Sir H. Daly, then A.G. G., supported Dr. Beaumont most heartily in the work, and gave every assistance in the way of increasing the income
attendance
to
was
the
meet
succeeded in
ever
raising
increasing expenditure, it from Rs.
10,000
to Us.
and they 24,000 per
annum.
Gopal Kane, Dr. Beaumont's colleague, retired, and Dr. Beaumont had great difficulty in carrying on the work of the hospital by myself, in addition to his numerous duties as Residency Surgeon. He selected some of the most Dr. Woman
1871
In
valued assistant and
THE INDORE
CHARITABLE
HOSPITAL.
The Indore Charitable Hospital was first instituted iu February 18-18 at the suggestion of Dr. E. Impey, Resideucy Surgeou, supported by the recommendatiou of Sir Robert Hamilton, Bart., then Agent Governor-General, and was built with funds contributed by H. H. Maharajah Holkar, G. C. S. I. Through Sir R. Hamilton's influence Dr. Impey was able to induce the Rajahs of
support branch dispensaries at Ujjain, Rutlam, Dhar, Dewas, Sillana, and Shajapore, and also a branch dispensary for the treatment of ordinary cases iu the city of Indore. These latter surrounding
were
States to erect and
instituted in the year 1850, and in the
same
year
Impey brought several native doctors up from Bombay to carry on the work. Amongst these was a man named Woman Gopal Kane, who had been previously knowu to Dr. Impey, and whom he appointed to the charge of the charitable hospital. This man, iu addition
Dr.
possessing high professional attainments, had the knack of winning confidence from all with whom he came iu coutact. The prejudice held by the natives of Central India against taking European mediciues was then almost iusuperable. They believed that the fluid mediciues to
spirituous liquors, and that the solid medicines coutaiued bone dust, and other ingredients calculated to spoil their caste : and it is to Woman Gopal Kane's assiduous aud uuremittiug exertions, coupled with his power of inspiring confidence, that the accomplishment of overcoming these prejudices is due. He did not satisfy
coutained
himself with seeing patients at the hospital, but weut about the streets of the city, seeing patients wherever he could fiud them : and being, as mentioued before, a of high professional attainments, he soon succeeded iu making a name for himself, and gradually brought the people to believe in his system of treatment. He was iu sole charge of the hospital till Dr. Beaumout came as Residency Surgeon in 1864, and was his trusted colleague as Resident Medical Officer of the institution uutil 1871, when he retired. On taking up the Residency Surgeoncy, inau
Dr. Beaumont at
once
began
to work up the
Dispensary,
of the country soon begin to flock to it for treatment from all directions and from great distances. He introduced au improved system of dieting according to different scales, aud made mauy and great improvements in the hospital. His and with so much success that the
people
great skill and attention soon became known throughout the country, aud the numbers of both iu aud out-
of his medical pupils and sent them down one other to the Grant Medical College to be
intelligent after
By Assistant-Surgeon Gunput Singh.
the
trained,
and ha found
amongst
them a
worthy
successor
to Woman Gopal Kane in Woman Rao's favourite pupil Gunput Singh, who has been iu resident medical charge of the hospital ever since. Dr. Gun put Singh having
happily inherited his old master's faculty of ingratiating himself with the people who soaght relief at the hospital, Dr. Beaumont soon found iu him an invaluable assistant, and with his help he was able still further to extend the benefits conferred by the hospital on the surrounding
populace. Gradually the hospital buildings have grown yearly larger, more convenient operating and consulting rooms
have been added, and lately a school has been formed youths to take charge of dispensaries in the surrounding states. From all parts of Central India patients come to the hospital for treatment, Dr. to educate
Beaumont's fame as an operator having been carried far and wide by people whom he 80 successfully treated. The accompanying statement will show the operations performed since 1864. It is almost impossible to select cases to remark upon,
from such
a
long list of
operations, extending
over
so
many years.
Two lithotomy cases happen to occur to my memory,? in which the patieut had no symptoms which would lead to the presence of a stone being suspected. He complaiued merely of colicky pains in the epigastrium, aud it was only through the accidental discovery that his urine was bloody, that an examination of bis bladder was made and the presence of a very large stone
one,
disco vered. Tue secoud was the case of a man in the last stage o{ emaciation, from whom a calculus weighing 15| ounces was
removed
by
bilateral incision ; the
man
making
recovery. This must be one of the largest which has been removed beneath the pubes.
good
Another
case
worthy of remark
was
that of
a
a
stones woman
45, protrusion of the left eyeball with extremely congested conjunctiva, and with deep red, inflamed and codematous skin around the orbit.
aged
about
who had
but vision completely abolished. She intense and continued paiu, which all remedies alike failed to alleviate. Chloral in 40 grain doses combined with 40 minims of Liquor morphia
Cornea
clear,
suffered
and ^ grain morphia subcutaueously on several occasions, only a few hours' relief. She also had a reducible inguinal hernia on the left side. On the 14th day after gave
September 1,
THE INDORE CHARITABLE HOSPITAL.
1882.]
admission, lOfch January 1880, the hernia became strau gulated, and Dr. Gunput Singh, in Dr. Beaumout's ab sence, operated at night with antiseptic precautions. Nex morning it was fouud that the old pain about the orbit which she had forgotten in the agony caused by th
straugulation, had disappeared, and in the course of 8 o 10 days the protrusion of the eyeball subsided and al the tenderness and redness of the conjunctiva and sur rounding skin disappeared. Unfortunately no result o the examination of the fundus of the eye is recorded, a she ran away from hospital the day it was to have beei made.
She had recovered
no
243
Before 1873, when the list of major and minor operawere received, the record of operation was not very carefully kept, and only the more important operations were entered in the record. tions
The list shows that the number of operations performed showing that the natives of the country are appreciating the beuefits conferred by the has steadily increased,
and that they resort to it for relief in their time of trouble and sickness.
hospital,
vision in the eye.
CHARITABLE HOSPITAL, MEMO, OF MAJOR SURGICAL OPERATIONS PERFORMED IN THE INDORE FROM 1864 UP TO 1881, BOTH INCLUSIVE. 1873 1874 1875 1876 1877 1878 1879 1880 1881 1861 1865 1866 1867 1868 1869 1870 1871 1872
Nature ob Operations.
Operations
on
22 8 22 8 3
the Eye-ball,
Artificial
pupil Iridectomy Sclerotomy
4
Solution of the lens
Depression
of the lens
Extraction of do. by various methods ?
?
j>
,,
Opaque capsule Foreign bodies opaque capsule
14
tll
42
14
68
50
2 2
Laceration of Puncture of the globe
...
8 1 6
Staphyloma
Excision of the eyeball (total) Removal of tumors from near the eye
Operations
Ligature
on
Arteries
70
including Aneurism.
of arteries
Operations
on
the veins.
For obliteration
Operations
on
joints.
Reduction of dislocations Extension of stiff and deformed Excision of joints Incision of joints Tapping of joints
.
.
joints
Operations
on
bones.
Excision of bones (partial
or
totsl)
???
12
13
,,,
Amputations?
,
Amputation of thigh of
j>
? j? )> s?
sj ?> j> >> ? ?
>>
leg
Syme's
Pirogoffs Chopart's Hay's through knee of phalanges at
shoulder of arm elbow of forearm of phalanges, 1st and 2nd of penis at
Removal of tun*ors' All tumors that are larger than walnuts Removal of foreign bodies Substances located beneath the superficial etruc ture
14
13
10 3
THE INDIAN MEDICAL GAZETTE.
244
NAtURE OF Operations.
[September 1,
1882.
1864 i860 18661867 1868 186918701871 18721873 1874 1875 1876 1877 1878 1879 1880 1881
Removal of caculi vesica:.
Lithotomy Litbolapaxy
3 4..
Urethral calculi behind the scrotum
...
..
2
2
3
3
3
7
6
7
11
9
17
25
18
19
1
...
? ?
?
?
9 1
?
? ...
?
?
?
3 1 6
...
?
Separative operations, 2 1 1
Rhino.plastic operation
Cheilo-plastic operation
Vesico-vaginal fistula Recto-vesical ditto Cicatrix
1
Auroplastic operation
1
...
1
7
6
2
...
1 1
A
Laceration of perinoeum For
deformity,
Harelip Cleft palate
???
?
?
?
?
?
?
?
1
?
2
...
...
9
4
?
1 1
Obstetric operations.
Craniotomy
???
Decapitation Delivery by forceps (for inertia) Removal of adherent placenta
...
?
...
?
?
?
?
?
?
???
?
?
....
???
1
?
?
?
3
^ 1 ???
...
2
0 1
1
2
4
9
16
1 3
6
..
2 9
1 *"
!
1
Operations not classified.
"J
Paracentesis Abdominis Thoracis ,, ,, ,,
Cephalis Vesicse (suprapubic)
Removal of internal piles Prolapse of rectum Trephining for depressed fracture of the head Total
4
?
j*
11
8
4
1 2
)
?
???
2
?
3
?
3 1
4 "?
?
7
1
...
...
3
3
8
11
13
18
35
39
50
48
61 117 168 165 284 264 242 266 277 356
to
increase,
till the
present large
obtained. Sir H. Daly, then A.G. G., supported Dr. Beaumont most heartily in the work, and gave every assistance in the way of increasing the income
attendance
to
was
the
meet
succeeded in
ever
raising
increasing expenditure, it from Rs.
10,000
to Us.
and they 24,000 per
annum.
Gopal Kane, Dr. Beaumont's colleague, retired, and Dr. Beaumont had great difficulty in carrying on the work of the hospital by myself, in addition to his numerous duties as Residency Surgeon. He selected some of the most Dr. Woman
1871
In
valued assistant and
THE INDORE
CHARITABLE
HOSPITAL.
The Indore Charitable Hospital was first instituted iu February 18-18 at the suggestion of Dr. E. Impey, Resideucy Surgeou, supported by the recommendatiou of Sir Robert Hamilton, Bart., then Agent Governor-General, and was built with funds contributed by H. H. Maharajah Holkar, G. C. S. I. Through Sir R. Hamilton's influence Dr. Impey was able to induce the Rajahs of
support branch dispensaries at Ujjain, Rutlam, Dhar, Dewas, Sillana, and Shajapore, and also a branch dispensary for the treatment of ordinary cases iu the city of Indore. These latter surrounding
were
States to erect and
instituted in the year 1850, and in the
same
year
Impey brought several native doctors up from Bombay to carry on the work. Amongst these was a man named Woman Gopal Kane, who had been previously knowu to Dr. Impey, and whom he appointed to the charge of the charitable hospital. This man, iu addition
Dr.
possessing high professional attainments, had the knack of winning confidence from all with whom he came iu coutact. The prejudice held by the natives of Central India against taking European mediciues was then almost iusuperable. They believed that the fluid mediciues to
spirituous liquors, and that the solid medicines coutaiued bone dust, and other ingredients calculated to spoil their caste : and it is to Woman Gopal Kane's assiduous aud uuremittiug exertions, coupled with his power of inspiring confidence, that the accomplishment of overcoming these prejudices is due. He did not satisfy
coutained
himself with seeing patients at the hospital, but weut about the streets of the city, seeing patients wherever he could fiud them : and being, as mentioued before, a of high professional attainments, he soon succeeded iu making a name for himself, and gradually brought the people to believe in his system of treatment. He was iu sole charge of the hospital till Dr. Beaumout came as Residency Surgeon in 1864, and was his trusted colleague as Resident Medical Officer of the institution uutil 1871, when he retired. On taking up the Residency Surgeoncy, inau
Dr. Beaumont at
once
began
to work up the
Dispensary,
of the country soon begin to flock to it for treatment from all directions and from great distances. He introduced au improved system of dieting according to different scales, aud made mauy and great improvements in the hospital. His and with so much success that the
people
great skill and attention soon became known throughout the country, aud the numbers of both iu aud out-
of his medical pupils and sent them down one other to the Grant Medical College to be
intelligent after
By Assistant-Surgeon Gunput Singh.
the
trained,
and ha found
amongst
them a
worthy
successor
to Woman Gopal Kane in Woman Rao's favourite pupil Gunput Singh, who has been iu resident medical charge of the hospital ever since. Dr. Gun put Singh having
happily inherited his old master's faculty of ingratiating himself with the people who soaght relief at the hospital, Dr. Beaumont soon found iu him an invaluable assistant, and with his help he was able still further to extend the benefits conferred by the hospital on the surrounding
populace. Gradually the hospital buildings have grown yearly larger, more convenient operating and consulting rooms
have been added, and lately a school has been formed youths to take charge of dispensaries in the surrounding states. From all parts of Central India patients come to the hospital for treatment, Dr. to educate
Beaumont's fame as an operator having been carried far and wide by people whom he 80 successfully treated. The accompanying statement will show the operations performed since 1864. It is almost impossible to select cases to remark upon,
from such
a
long list of
operations, extending
over
so
many years.
Two lithotomy cases happen to occur to my memory,? in which the patieut had no symptoms which would lead to the presence of a stone being suspected. He complaiued merely of colicky pains in the epigastrium, aud it was only through the accidental discovery that his urine was bloody, that an examination of bis bladder was made and the presence of a very large stone
one,
disco vered. Tue secoud was the case of a man in the last stage o{ emaciation, from whom a calculus weighing 15| ounces was
removed
by
bilateral incision ; the
man
making
recovery. This must be one of the largest which has been removed beneath the pubes.
good
Another
case
worthy of remark
was
that of
a
a
stones woman
45, protrusion of the left eyeball with extremely congested conjunctiva, and with deep red, inflamed and codematous skin around the orbit.
aged
about
who had
but vision completely abolished. She intense and continued paiu, which all remedies alike failed to alleviate. Chloral in 40 grain doses combined with 40 minims of Liquor morphia
Cornea
clear,
suffered
and ^ grain morphia subcutaueously on several occasions, only a few hours' relief. She also had a reducible inguinal hernia on the left side. On the 14th day after gave
September 1,
THE INDORE CHARITABLE HOSPITAL.
1882.]
admission, lOfch January 1880, the hernia became strau gulated, and Dr. Gunput Singh, in Dr. Beaumout's ab sence, operated at night with antiseptic precautions. Nex morning it was fouud that the old pain about the orbit which she had forgotten in the agony caused by th
straugulation, had disappeared, and in the course of 8 o 10 days the protrusion of the eyeball subsided and al the tenderness and redness of the conjunctiva and sur rounding skin disappeared. Unfortunately no result o the examination of the fundus of the eye is recorded, a she ran away from hospital the day it was to have beei made.
She had recovered
no
243
Before 1873, when the list of major and minor operawere received, the record of operation was not very carefully kept, and only the more important operations were entered in the record. tions
The list shows that the number of operations performed showing that the natives of the country are appreciating the beuefits conferred by the has steadily increased,
and that they resort to it for relief in their time of trouble and sickness.
hospital,
vision in the eye.
CHARITABLE HOSPITAL, MEMO, OF MAJOR SURGICAL OPERATIONS PERFORMED IN THE INDORE FROM 1864 UP TO 1881, BOTH INCLUSIVE. 1873 1874 1875 1876 1877 1878 1879 1880 1881 1861 1865 1866 1867 1868 1869 1870 1871 1872
Nature ob Operations.
Operations
on
22 8 22 8 3
the Eye-ball,
Artificial
pupil Iridectomy Sclerotomy
4
Solution of the lens
Depression
of the lens
Extraction of do. by various methods ?
?
j>
,,
Opaque capsule Foreign bodies opaque capsule
14
tll
42
14
68
50
2 2
Laceration of Puncture of the globe
...
8 1 6
Staphyloma
Excision of the eyeball (total) Removal of tumors from near the eye
Operations
Ligature
on
Arteries
70
including Aneurism.
of arteries
Operations
on
the veins.
For obliteration
Operations
on
joints.
Reduction of dislocations Extension of stiff and deformed Excision of joints Incision of joints Tapping of joints
.
.
joints
Operations
on
bones.
Excision of bones (partial
or
totsl)
???
12
13
,,,
Amputations?
,
Amputation of thigh of
j>
? j? )> s?
sj ?> j> >> ? ?
>>
leg
Syme's
Pirogoffs Chopart's Hay's through knee of phalanges at
shoulder of arm elbow of forearm of phalanges, 1st and 2nd of penis at
Removal of tun*ors' All tumors that are larger than walnuts Removal of foreign bodies Substances located beneath the superficial etruc ture
14
13
10 3
THE INDIAN MEDICAL GAZETTE.
244
NAtURE OF Operations.
[September 1,
1882.
1864 i860 18661867 1868 186918701871 18721873 1874 1875 1876 1877 1878 1879 1880 1881
Removal of caculi vesica:.
Lithotomy Litbolapaxy
3 4..
Urethral calculi behind the scrotum
...
..
2
2
3
3
3
7
6
7
11
9
17
25
18
19
1
...
? ?
?
?
9 1
?
? ...
?
?
?
3 1 6
...
?
Separative operations, 2 1 1
Rhino.plastic operation
Cheilo-plastic operation
Vesico-vaginal fistula Recto-vesical ditto Cicatrix
1
Auroplastic operation
1
...
1
7
6
2
...
1 1
A
Laceration of perinoeum For
deformity,
Harelip Cleft palate
???
?
?
?
?
?
?
?
1
?
2
...
...
9
4
?
1 1
Obstetric operations.
Craniotomy
???
Decapitation Delivery by forceps (for inertia) Removal of adherent placenta
...
?
...
?
?
?
?
?
?
???
?
?
....
???
1
?
?
?
3
^ 1 ???
...
2
0 1
1
2
4
9
16
1 3
6
..
2 9
1 *"
!
1
Operations not classified.
"J
Paracentesis Abdominis Thoracis ,, ,, ,,
Cephalis Vesicse (suprapubic)
Removal of internal piles Prolapse of rectum Trephining for depressed fracture of the head Total
4
?
j*
11
8
4
1 2
)
?
???
2
?
3
?
3 1
4 "?
?
7
1
...
...
3
3
8
11
13
18
35
39
50
48
61 117 168 165 284 264 242 266 277 356
