100 THE POPULAR SCIENCE MONTHLY. 



templated from the first, and which will shortly be accomplished, 

 which can be enlarged to any extent on the isolated pavilion plan, it 

 is hoped and expected that the institution will soon devote much of 

 its energies to cancer in all its forms and phases. The comparatively 

 small number of persons with skin-diseases requiring treatment in bed 

 mav soon be greatly outnumbered by the cancer cases, but the institu- 

 tion will still remain a skin and cancer hospital, if the foregoing prin- 

 ciples are correct, and if it is sought to do the greatest amount of good 

 to the largest number of sufferers. 



It being determined for these cogent reasons to adopt the plan of 

 combining skin-diseases and cancerous affections in the same hospital, 

 the problem arose as to the best method of carrying out the project, 

 and for this purpose it was decided to establish a branch of the insti- 

 tution in the country adjacent to the city of New York. In his late 

 address at the first annual meeting of the officers and friends of the 

 hospital, Dr. L. Duncan Bulkley, the first of the medical officers, briefly 

 reviews what has been done, and gives a very clear statement of the 

 reasons that have induced the authorities to organize a country branch 

 of the establishment. We give the main portions of his address : 



" At this our first annual meeting, we find that the accommodations 

 thus far secured are totally inadequate for the needs of the service ; 

 during the last few months our building has been quite as full as is 

 desirable for health, while cases have been turned away which were 

 unsuitable for our contracted quarters, and many male patients have 

 been unable to gain admittance, all the beds devoted to this class 

 being kept continually full. . . . 



" The object of our thought this evening is, therefore, the means 

 of extending the capacity and efficiency of our hospital, that it may 

 approach somewhat to the size and requirements demanded by the 

 large numbers of sufferers who call for our sympathy and aid. How 

 can these ends be best attained ? In which direction shall we enlarge, 

 and how can we secure the greatest benefits to those who put their 

 lives and their health in our hands? 



*' The tendency has been in all cities to build large and expensive 

 structures, into which the greatest number possible of patients should 

 be crowded, with the imjpression that thereby the best medical and 

 surgical aid was afforded to the largest number of individuals. 



" But the matter of bringing many patients together for treatment 

 in one room and under a single roof has been studied from statistics 

 by a number of competent and conscientious persons, and the results 

 obtained are not a little startling when the mortality of such institu- 

 tions is compared with that found among patients in private houses, 

 and in cottage hospitals made to conform as nearly as possible to the 

 conditions found in private houses. 



" While the present magnificent building of the New York Hospital 

 was being erected in Fifteenth Street, a committee of the governors of 



