THB HOSPITAL IN QUIET

Star (Christchurch), Issue 5294, 26 June 1895, Page 2

THB HOSPITAL IN QUIET

TuESDAr, June 25. j Afternoon Sitting. { Dr Murray-Aynsley : Saw Mrs Eiliston 1 outside, in her house, and adjusted an j instrument, but Bhe was unable to keep it j in place, and the honse was a. liiiserab.e I one. So he recommended her to come into • the hospital. She did so, and witness \ thought an operation wonld be necessary, ■ and ordered her to be fed up for it. Dr j Lomax-Smith must have seen her, for be talked to witneßß about her case. She j went ont because ahe wished to, as aha j said that her husband, who wa. now in ' the asylum, was breaking up her home. A > syringe was not used in the hospital, as J she was iv bed all the time, and sbe never • asked for it to be used. Had she a.ked, ' witness wonld have explained to her why I it was not necessary. Witnesa did not • hear any complaint about her not having i sufficient, food, until after she had gone ■ out, when he inquired into it. He thought ! it must be wrong that she had got nothing j from the time she went in about four • in the afternoon until half-past seven \ next morning. The meal-times wero i not good, there was too long a space { between the evening meal and that of the I next morning, but until the Nurses' Home • bad been bnilt the matron and witness had i not seen their way to make any alteration. ; Now, however, they thought tbey oould. . He might hare told Mrs Eiliston that he j could not guarantee a cure. He could not j say whether her complaint, ac to want of i food were correct, but he had looked at her i card and had been told that Bhe had had \ all that was ordered. She was on milk and ■ fish diet, and he thought he had Bug- ( gested meat, but- she said she was not '_ strong enough for meat. The only reason l for her leaving was that she was anxious \ about her home. He knew of no reason '• why Bhe should be np at five iv the morn- ' ing. He heard she had made some com- ; plaint, and ib was at his suggestion that • tho matron went to see her. Primarily he [ would not interfere with those matters j which were under the matron. Mrs I Ellißton was in No. 2 Ward. In regard to the case of Burt, Dr Rus_eli was not fully qualified, and witness could not ! make out Mr Frostick'e telephone mese^ge . very well— whether it was acute paralysis, j or what it was— and witneaa suggosted to ] him that he had better get a medical j man to see if the case was a lit one for , the hospital. Dr Mickle was called, and . wocld givi- evidence on the matter. Mr ' Frbstick could not tell whether the case was acute or chronic, and said something about affording a doctor, and witness said : "Ifyou can't afford a doctor, go to the Charitable Aid." There must have been a good deal of misunderstanding on both sides. Witnesß could not bay . said the hospital was not for acute cases. Burt was admitted directly ho came with Dr ! Mickle's certificate— perhaps about four days after — and was in for some months. Mra Pankhurat's was a simple case of erysipelas of tho face, and Dr Campbell attended her while witness was away on his holiday. When witnesa came back he was going round to Bee who could be discharged and found ont that she had a good home, that the erysipelas was nearly well, that it could be treated at home, and she was sent out with a bottle of lotion. She told witness that; she had not got a home to go to, but he ascertained from the nurse that she had got a home, and a good home too. She went to her mother's or mother-in-law's, he could not quite remember which. He did not remember having spoken roughly to her. No. 3 was a fever-ward, but as they rarely had any fever, chronio casta were sometimes put there, on the understanding that they were to • olear out at & moment's notice when it was wanted for fever. When the patient Tibbs was going out he Baid something about his having hart himself while carrying beda to the feverward, but witnesß could not make ont exaotly what the matter was. When be went ont he was quite well of everything but a chronic eye diseaee. He did not remember the conversation with Mrs Grimeey, wbo had said that he had spoken to her very roughly. She might have had to wait if she came, on a Monday, as witness was very likely absent at the Magistrate's Court. Women cut-patients were supposed td come when possible, on Thurßcl»'*o-8. and men on Moud*ivs, so he might have told her to come Oil *h _< right day, and have said that people ooming on the wrong day Caused a deal of trouble. As to the complaint about Green's case, wl.ihesa was going to call Dr Irving. The ihan was anxious to go home the day he came in. There was a wound iv front of the tibia, and no sign of a fracture. Witness Baid " Tou . had better Bend for yonr medical man." He had said he was a club patient of Dr Irving. The fracture was diecovered about four incheß below the Beat of the injury. Ao to Rye's case, witness had told him before that he could only patch him up, but could not cure him. He seemed quite able to take care of himself when he went out, and said he had a good home to go to. He died a week after his discharge. Cerebral efl!cision mnst have come on, but there were no indications of it when he was discharged. Witness could not find anything about the oase of Eobertson mentioned in the charges. Mr Caygill said that no evidence had been offered abont that eaee. Witness continued : Stones were littered about the back way while the Nurßes' Home was being built, but the atones could be avoided with care. The matron sometimes administered anaesthetics because there waß no qualified medical assistant. The Commissioner said that thia seemed to complete the specifio charges as far aa the dootor waa concerned. He presumed the proper course would be for the counsel on the same side to put any questions they thought necessary. The inquiry, at 4.5 p.m., was adjourned to 10.30 a.m. next day. -_____-__ * THIS DAT. The inquiry into the administration of the Ohriatohurch Hospital wbb resumed at 10.30 a.m. to-day. Dr Murray-Aynsley continued his evidence. In reply to the Commissioner, he Btated that Mies Graham had been admitted for removal of the eye, and had chronic heart disease. After the operation she did well for a time, and then began to go downhill. She seemed depressed by the hospital air, and was very anxious to go home. As he understood she had a good home in the country, and frienda in town, he allowed her to go. The Commissioner said that he had received a letter from Dr Gossett, in which he said that he had Baid in his evidence that Miss Graham was not fit to go out on Nov. 1, bnt that he had not been aware that she had been away two days before that. Witness stated that he did not know whether Dr Manning saw Misß Graham before she went out. Witness frequently had to exercise his own judgment in regard to discharging patients, but alwaya consulted the medical staff when he could. In respect to the charge of hia having been drunk on the night when the patient ; Bowley waa admitted, as alleged by the witness O'Neill, he would call Dr Meares, who had operated then. The amputation took plaoe late in the evening, and after Bowley had been carried into the ward his respiration failed. Witnesa had to do artificial respiration, and was there until about eleven at night. Sister M'Robbie and Dr Meares were also thore. Witness had been nnder the impression that Nurse Hiatt had been in oharge that night; and it was not till after he had examined her that he had found it had been Sister M'Eobbie. When O'Neil said that witness stumbled over the bed he probably referred to his loaning over the bed doing artificial respiration. Witness absolutely denied that he had : been nnder the influence of liquor. He i aiao denied that he had been under the influence of liquor at any time on the day I of the laying of the foundation stone of j the Nurses' Home, and would call two ' more witnesses who had Been him on that i day. He also denied that he had not been sober, as stated by Nurse Henry, when a j Mrs Hepworth was in the hospital. He j had put in Mrß Htepworth's affidavit con- •• J. _l- .. . _ •_=_ 1. _ s

Witness stated that he did not know whether Dr Manning saw Misß Graham before she went out. Witness frequently had to exercise his own judgment in regard to discharging patients, but alwaya consulted the medical staff when he could. In respect to the charge of his having been drunk on the night when the patient Bowley was admitted, as alleged by the witness O'Neill, he would call Dr Meares, who had operated then. The amputation took plaoe late in the evening, and after Bowley had been carried into the ward hie respiration failed. Witness had to do artificial respiration, and was there until about eleven at night. Sister M'Bobbie and Dr Meares were also there. Witness had been nnder the impression that Nurse Hiatt had been in oharge that night; and it was not till after he had examined her that he had ! found it had been Sister M'Bobbie. When O'Neil said that witness stumbled over the bed he probably referred to his loaning over the bed doing artificial respiration. Witness absolutely denied that he had been nnder the influence of liquor. He j aiao denied that he had been under the influence of liquor at any time on the day | of the laying of the foundation stone of j the Nurses' Home, and would call two ' more witnesses who had Been him on that ! day. He also denied that he had not been sober, as stated by Nurse Henry, when a j Mrs Hepworth was in the hospital. He j bad put in Mrß Hepwor th's affidavit con- : tradicting that. He had seen her very

The inquiry into the administration of the Ohriatohurch Hospital was resumed at 10.30 a.m. to-day.

Dr Murray-Aynsley continued hia evidence. In reply to the Commissioner, he Btated that Mies Graham had been admitted for removal of the eye, and had chronic heart disease. After the operation she did well for a time, and then began to go downhill. She seemed depressed by the hospital air, and was very anxious to go home. As he understood she had a good home in the country, and frienda in town, he allowed her to go. The Commissioner said that he had received a letter from Dr Gossett, in which he said that he had Baid in his evidence that Miss Graham was not fit to go out on Nov. 1, bnt that he had not been aware that she had been away two days before that.

often during the night, and had been called up to her five nights running, so that if there had been anything wrong with him she must have seen it. Sister M'Robbie, in cross-examination by Mr Caygill, had Said that on one occasion witnesa had oome to the ward kitchen, seeming excited. Witness remembered the occasion. He waß not nnder the influence of liquour, but had been irritated and excited by a conversation he had just had with Dr Murdoch about sending charitable aid chronic cases to the hospital. Theße cases were filling np the beds. Witness also denied generally that he had ever been under the influence of liquor in tbe wards. As to the charge of squirting water in children's faces, he had been told by the matron of the Belgrave Hospital for children where he had been hou bo Burgeon, that for the purpose of examining children who .creamed almost if they were touched their ssreaming would be stopped by squirting a little warm water in tbeir faces. Ho might have suggested it to the nurses, but ho had no recollection of having done it, as stated by Nurse Henry. In the case cf the Bcalded child, he believed that he had suggested it, and that some water had been brought for the purpose, but had not been ÜBed. He wished, he thought, to examine the child's chest, as he feared pneumonia. He had not a clear recollection of the case, howevor, and had quite forgotten it until he Eaw the atatementa about squirting water. Dr A. F. J. Mickle, called by Dr Murray-Ayneley, deposed tha* about Jan. 9 he had been asked by Mr Frostick to ccc Albert Burt. Mr Frostick said that there waß some difficulty about getting him into the hospital. Witness found Burt suffering from an attack of acute paralyse, very ill, and witness thought that it would be better for him to remain where he was ; that removal at that time wonld lessen his chance of reoovery. Ho waß in very comfortable, lodgings, and his landlady was willing to nurse him. Witness therefore advised that he should not be removed just then. Next day Dr Stewart saw him in consultation with witness. A few days later it became evident that the case would be a protracted one, the people in chorge of him were worn out, and witness gave a certificate for his admission, and he was admitted at once. Witness had never had any difficulty in getting patients into the hospital. He had been oa the hospital medical staff when Dr Murray-Aynsley was appointed, and for a year afterwards. He had been to the hospital at all hours, and had never seen Dr Murray- Ay nsley the worse for liquor. To the Commissioner . : Witness had been on the staff during the year preceding Dr Murray- Aynsley's appointment and also before. The condition of the hospital now seemed to be much the same as then, except that there wae a larger staff of probationers. The conditions now were very different than ten years ago, as there waß now a much larger staff of nurses.

To Mr Loughrey : It was necessary for persons in training to be nurses to attend operations. To Mr Caygill: There were, however, cortain operations which none bnt senior .nurses should attend. He had been House Surgeon at the hospital, and bad he received a telephonic request to take in a patient, he would probably have told the people epeaking to him to see a medical man. Had he understood that the removal to the hospital had been recommended by a practitioner, not on tbe rrgißter, ho would not have accepted tho recommendation, but would not have allowed the patient to suffer. He thought, however, that there woiild be no difficulty in getting a recommendation from a qualified medical man. He thought that the medio*! staff Bhould be elected for at least three yeare, aud that more attention should be paid to the qualification of the candidates rather than to personal favouritism. He believed tbat at present canvassing went on, and that was very undesirable. It would be very deßirable to have medical representatives on the Board. He thought that an assistant-surgeon Bhould be appointed. He considered Mr Brown a very efficient man, whom it would be impossible to replace. Brown was not like a trainod doctor, but was* exceedingly useful and good. Dr Murray-Aynsley (to Mr Maude): Wi.o ??§ fo Viae., the preach, matron very attentive to het duties. She reported to him in referenoe to the condition of the patients. She reported in regard to the condition of the girl Kennelly. Tho matron saw applicants as probationers in the first instanoe. Witness also saw them, and questioned tbem . s to their qualifications. He had not known of any applicant having been refused on account of religion ; bnt did remember one being refused on account of her hoalth. Probationer Mulcock came after Probationer Webster. He did not know of any cruelty on the part of tbe matron towards patients, on the oontrary, she was too soft-hearted. He had had a oomplaint from her abont tho fish and milk in the north-west weather, but he had had no complaints from patientß. He remembered having had a conversation with her abont men loafing about and smoking in the corridor during service, and something being said about ita being desirable to stop it. He considered her very efficient in administering anesthetics, and he had put her through a long course of training in it. Probationers were appointed by the committee; the matron recommended and he endorsed the recommendation. A probationer, not a member of the Chnrch of England, had been appointed by the committee on the matron's strong recommendation before another, Probationer Mulcock, whom witness would have preferred, but who was the daughter of a member of the Board. To Mr Stringer : When he took charge he found it difficult to manage tho nursing staff, as there were three parties in it — one favoured by the then matron, one by the former Houbo Surgeon, and a third composed of t hose who had snpported the doctor, but for certain reasons had left that party. Witness found the matron favouring her party in the matter of passes, and he stopped this. He found that there was a sort of triangular duel between the house steward, the matron and the doctor, and he told the house steward that though they might have to differ they would do so in a friendly Bpirit, and that he wonld not have any underhand dealings. Witneßß fonnd that some of the old nurses were not up to modern requirements. He found that the class which made the beßt nurses were school teachers, who were quicker to learn and to practioe. When he went into the hospital Nurses Medlam and Cameron were day and night nurses in No. 6, which was not as well kept as it might have been. It was untidy ; the bedclothes were not attended to as they should be, and there were other ways in whioh it was not as smart as it should be. He spoke to them about it, and for a time was unwilling to do anything decisive, because he was afraid he would not be backed up. The complaint about Nurse Cameron was first made in a letter from a member of the Board. Witness investigated affairs, examined every nurse in the hospital, suspended her, and laid the matter before the Board. Mr Brown, Sister b Medlam and Ewart, and Nurses Enight and Henry seemed to form a party to baok her up. This interfered with tbe working of the hospital, inasmuch as the probationers, especially in No. 6, were made very miserable. He could plainly see this. In order to stop the bullying of the probationers, witness put all the old nurses into No 6. He did not think that Nurses Medlam aud Cameron were sufficiently acquainted with antiseptic precautions. Antiseptics had recently ; become very varied. The Board asked Dr Macgregor to inquire into the hospital, and as he could aot come, Mrs Neill came down and mado an investigation generally. Nurse Cameron'B .ffair was postponed till that investigation, [n witness's opinion, it was a proper thing ;o get rid of the persons recommended for liamissal by Dr Macgregor. Brown and STursea Medlam, Henry, Cameron and Inight should be got rid of, because ho ound that every word of his and everything he did was carried outside and misonstrued. Ho first noticed that moat of he things which happened in No. 6 got ut, then that these complaints were irought up in the Board by Mr C. M.

Gray, and that Nurse Henry had been seen going into Mr Gray's shop. Witneaa had mentioned the belladonna caae to Nurse Henry, and it had got onteide. He had mentioned about Green's case only to Brown, and yet Dr Btewarthad afterwards rang np Dr Irving, and showed that he knew the particulara. Other matters had been carried outside, and very muoh misconstrued. Witness was perfectly oertain that there was a system of espionage on him. One night Mr Moor, the Chairman of tho Board, had stopped to dinner with witness because the night waß wot and he was unwell, and wished to attend the meeting that night, and afterwards Mt Moor told bim that Mr Gray had wanted to know what he had been doing dining with the doctor. Brown used to be constantly talking to Dr De Renzi, and witness had b. en told that the old nurses were often at Dr Stewart's house. Witness bad worked well with Dr Stewart, but might have offended bim by Bpoakinii out hia mind once or twice. On one occasion he had told Dr Stewart that ho (Dr MurrayAynsley) thought he had better not interfere in regard to the Charitable Aid question, about which a Royal Commis- , Bion was then cortain to be appointed, as " Dr Stewart had not been re-appointed medical officer to that Board. Witneßß thought itimpoa_ib'.e to carry onthe work of the hospital satisfactorily if thoso persons who had been reoommended for dismissal were retained. Nurse Medlam was, he believed, loyal, but ehe had b«.ea led _ away by others. She would do admirably for the matron of an infirmary, bub waa nob physically capable for the active work of auch a ward as No. 6. Brown was a very oapable man as a dresser, but knew nothing of medicine. He had sent a oase of ecarle.. fever- into No. 4 watd, but he was thoroughly capable for the duties properly appertaining to hie office. Witness believed that he waß loyal, but thought that Dr De Renzi had Borne hold over him. Considering the rough life he had led, Brown had more refinement of manner than might have beon expected, but latterly ho seemed to have deteriorated. Witness had sometimes see a him apeak to a probationer in a way which, he could tell from the girl'a looks, was offensive, though he oould not hear the words. Witness had recommended that Sister Medium should bo appointed matron at au infirmary to bo established at Addington Gaol, that her salary would be raised to £50 a year, and that Brown should bs put there at his present salary* £100 a year. Brown had once, in a respectful manner, expressed hie opinion thut probationers should not attend certain operations on maleß, and witness had told him that he might have his opinion, but witness wonld have his way.

To the Commissioner: Mrs Neill' a recommendation that male war dstoeu should be abolished, and tbat tbere should bo only a night and a day porter, would beall right if there were an assistant medical officer. To Mr Caygill: The members of th©« medical staff Bhould be elected for at least xhree years, or perhaps five yoars, one m»n retiring each year. It would be better if the medioal staff were represented' ou the Board. When Green was brought in his leg was, if witness remembered' right, in splints. He was told it had beeu. seen and attended to by a doctor at Sumner. The man Luddy, whom witness refused to admit because his was a. chronio oaae, had, he believed, come tram the Lake, and bad been working in waterWitness had not stripped him to examine him. He d.d not remember very much about the nurse reporting complaints from Mies Graham, nor sho complaining herself. She probably might Have told bim o_ pains in her leg., and he might have made light of thciu to keep her -Bpirits up. He had pulled through a oaae of Bepticcemia in No. 3 by making light of it. He did not remember getting an order from Dr Manning for Miss Graham's discharge. He could not particularly remember examining her before she went ont. Hancock bad been reported for striking a patient. Witness inquired into it, and. could find Ott mark on the p. .ie .it' c face; Shortly before an insane patient had very nearly killed Hancock b.v strangling him, and in the oaae complained of Hancock might have put out his band rather suddenly. Hancock waa cautioned, but waß not made* porter in consequence. He waa afterwards pnt partly on day duty, in order to assis];. in bathing patients, as Mrs Neill had. objected to patients b i thing othor patients, Hancock had not been reported to witness 1 for anything elsp. One eve Ding he wae coining home and v. it ness thought he smelt beer on him, and sent Brown to ascertain if he was fit for work. Witness had performed 85 operations in 1893 and 07 ia 1894. Tbe witness was cross-examined at length as to the question of o£iw_: tione. From January 1 _9 MataV _M,. 1895, 69 operations had botn performed inthe hospital. A girl died in tho hospital* nnder chloroform on March 7 last, and' witness administered the chloroform. The matron did not administer an_e.thet.Cß from May 7to Juno 6. Witness did nofc do an operation during that time. The matron did not administer unless witness operated, and unless he had not a qualified" assistant. If witness were direoted by thestaff to perform a major operation, he wonld enter the fact in the operation book. The matron's administering chloroform had been objected to by Dr Lomax-Stnith, but by no one else. Dr Stewart had told her to do it when she did not want to. She administered the anesthetic in operations performed by the staff. She did not administer between May 7 and June 5 simply beoause there was someone else there, and because witness was away. He could not remember any of the patientsobjecting to the administration of chloroform by the matron. In oertain oases ifc was very oommon for otber than medical men to administer anaesthetics in private praotice— in midwifery cases the nurse very ' often gavo the anaesthetic Generally, however, a medioal man did it, except where such a one was not available. Aftjebnoon Sitting. Dr jMurray-Aynsley (to Mr Caygill) : Of the ninety-one operations performed by witness for the year ending Maroh 31, 1895, sis had been performed after Jan. 22, because before that Dr Stewart frequently did not turn np, and often told witness to do the operations himself, whereas Dr Nedwill was most attentive, and performed all the operations under his care. Dr Meares aleo made a point of taking certain operations. Witneßß appointed a tpecial theatre nurse fco look after the operation room, and she would always be present at delioate operations. Another alteration made since he took charge was that the nurses and probationers were taken in rotation from different wards, instead of from one only. He could not say whether or not it was the custom for the younger nurses to attend such operations when he oame ; it was the custom now. He used to ask patients if tbey had homeß to go to, not with the view of getting rid of them, bnt in order to see whether they could be treated as out-patients, or whether they would have to be kept becauee they had no place to go to. People who were to have teeth drawn were kept in the hospital for a oouple of days where it was neceseary to administer ether. Witness had not written to the Board oomplaining of the feod, bnt had spoken to thechairman abont the cooking range being out of order. He had complained of the quality onoe, after he first came on, and he had reoommended a cool larder. Witness had not selected the n arses for dismissal. Mr C. M. Gray was not the ouly member of the Board who had brought np complaints. Mr E. H. Wood bad brought np one— he eamo to witness about Mrs Eiliston. Witnesß had reason to believe that Mr Wood had b. ought up _o__plain_B about Nurse Cameron anct ibout Nurso Henry's behaviour in the gardens. Witness ascertained that he did io about Nurse Cameron from Miss Maude, tie thought. Witness was present at the Souse Committee's meeting when the comslaint about Nurso Henry was made. He -hen pointed out to the Board that they lad a very foolish by-law, by whioh a mroe conld do as Bhe liked ontside the lcspital. He had not reported on the natter, and was not aware that it had been imply laughed out by the committee. The ' ligaffcction to which he had alluded hnd tot been going on from the time he took

charge, but there bad alwaye been more 01 less dissension. Some of, those he hae hamed had, he fancied, alwayß been at tht bottom of the mischief. Complaints had been made on the part of the probationers about the behaviour of the nurses to them. About a year ago he spoke to Nurse Henry, whom he conaidered had been, through the former matron and House Surgeon, driven into a sort of sullen existence. He thought Bhe had been unfairly treated, and spoke to her about her future conduct. She seemed to be disliked by the others. As to Nurae Knight, he had no doubt that Bhe wan concerned in the matter, but it was difficult to prove specific instances. He had not Bpoken to these nurses themselves about it, nnd would admit that it was moral cowardice on his part. He had a v.ry bigh opinion of Nuree Knight MU he discovered that she was associated with this crew, and was carrying tales out of the hoßptal. Up to that she wbb leal enough. This was before Dr Macgregor'a report, but after Nurse Cameron's affair. Witness had endeavoured to get : Her a rise of salary and had eigned a i recommendation for her to the hospital at Greymouth. He also Binned a letter for Nurse Henry to Greymouth— he thought on- account of the amount of work she had done. He wanted lo get rid of her, and thought they mieht as w_ll have her. On the day of the laying of the foundation stone he heard that a little party remained behind, hut he wns not one of them. He just went in and drank Dr Stewart's health and left. He beard they had rather a toqrry ' time. In investigating Nurse Cameron's case he cal lea every nuree, and asked what people hud complaints. In oonsequenoe of i-ome.hiug he had heard from the stuff he communicated with the patient Jackaon. When ehe came back witneaa saw her, and she expressed herself in Buch termß about thotse who had given evidence that he judged it beet she ahould not live an the hospital. Hia inquiry waß juat to see if there was a prima facie case, and sho did not have an opportunity of calling witneesss. He had not been nnder the influence of liquor while a patient named Wild was in the in -Citation. Mrs Hepworth was not conscious ail the time she waa in, but when eiie was not her husband was there. Whan witneßi went his rounds at night ho wuuld, perhaps, go all round a ward every mght tor a month, then for a while he might onJy;look mat the door. The lights were turned up only when he had anything to do to a p_fcioat. To the .Commissioner : Witnesß did not remember tearing up a patient's pass because he had not attended church, but he might have dono so. Nurse Cameron had been dismissed by' the Board, and he thought they fixed a day for her to attend, and that it was postponed till the report Of Mrs Neill. As to the order for nurses to stand in the doctor's or matron's presence, they were supposed to be on duty, in the corridor, wards or pantries. To Mr Caygill ; He did not know that his dog had been bathed in a bath naed for the patientß. it had been bathed in a tub

To Mr Hunt * Wifcnees had initialled the signatures of the membera of the staff in the record book, bacause he found that they had been entering up their names for daya when they were not there. Dr Lomas Smith objected, and witne.B had oeased doing so. Mre Neill had not given him a copy of the evidence she had taken. He had told her tbat if she wanted to hear what was said against bim she should fro to Drs Stewart or De Renzi, or MrC. M. Gray. "Wfhen out-patients came he aaked j them, when he thought it necessary, if I they had any medical adviser of their OTfU. He had told the nurses and Brown not to 45811 pn Dr De Renzi, because the Chairman of the Board or Mr R, D. Thomaß had told him that this was the wish ofthe Board. He had not ordered them not to go. He might have torn, np orders for the admission of patientß given by Dr De Renzi, aa he had those from other men — and had refused to admit the patient.. He found tbat Brown was expected td Ull a situation he could not— that of assistant medical officer. He was a £OQd dressd!. &" $ 59. !_ _ .? ..<" . _? assistant •medical offlo&r. He had one* a eot a tnan into No. 6 ward as suffering from an injured shoulder, when the man was really Buffering from prt.ah__.aia, but attributed it> as people frequently will, to a fall he had had tome tltiae before. Brown was Very *ftttot.toi_t__y in regard to accident "cease. Ptyitoeßß had not looked at Munro'fl totit. Wttness had sometimes altered the $_$_£__ptionß and the diet ordered by the Visiting staff.