44 
can only be of corresponding value. In addition to this, it is of the great- 
est importance to have a full report of the heredity, early education, train- 
ing and environment of each case in order to understand and appreciate 
the character and nature of the disturbances that may be manifested. 
And, finally, there is requisite a full report of the results of a complete 
examination of the patient’s condition at the time of admission, or as soon 
thereafter as possible, both mental and physical, together with a record 
of the case while in the institution. Without these data it is impossible 
to place the pathological work in its proper relationship to the clinical 
aspect, or to place the latter upon a definite pathological basis.” 
Since the above was written the work has been carried on practically 
along the same lines, with a constant endeavor to improve the methods and 
perfect the details. 
This year we have undertaken the re-examination of every patient in 
the hospital in accordance with an approved schedule with regard to 
the mental and physical condition. 
This procedure will be followed in all new cases admitted. 
When this work is completed we will have a systematized record of 
each patient that will be of the greatest practical value. 
The Marion County Medical Society has held a number of meetings in 
this department. These occasions were largely attended and marked by 
an awakening of professional spirit that was extremely gratifying. It 
has been the policy of the hospital to have each of these meetings ad- 
dressed by an eminent medical man. 
The first was addressed by Prof. L. Hektoen, of Chicago, upon “The 
Contributions of Anatomy and Pathology to the Nervous System.” 
The second by Jos. G. Rogers, M. D., of Logansport, upon “The First 
Aid to the Insane.” 
The third by C. B. Burr, M. D., of Flint, Mich., upon “The Care of the 
Recent Case.” 
The fourth by Lewellyn F. Barker, M. D., of Chicago, on ‘The Im- 
portance of Pathological and Bacteriological Laboratories in Connection 
with Hospitals for the Insane.” 
The fifth by Stewart Paton, M. D., of Baltimore, upon “The Recent 
Advances in Psychiatry and Their Relation to Internal Medicine.” 
The sixth was for the purpose of dedicating the new hospital. The 
attendance at this meeting was the largest of any, there being present up- 
ward of three hundred prominent persons. 
