Excerpt from The Cleveland Medical Journal, 1912, Vol. 11
The spirit of the country doctor plus modern conditions produce the medical charities to meet the modern problems of disease. The medical charities of Cleveland are unusually well organized to meet those problems and I doubt if any other city is more promising in their prospective development. By a process Of evolution and with the modern tendency to division of labor and service there have developed three kinds of medical char ities: that administered in the home, in the dispensary, and in the hospital.
The importance of the hospital is growing and with the divi sion of labor it must further grow but, when all is said and done, the great volume of medical charity must be extended to people living in their homes. Far and away the big feature of that work must be extended by calling at the home rather than by the patient going to the dispensary.
A doctor in my neighborhood was called to the home of a Polish cobbler who thought himself dying of gall stones. The doctor being satisfied as to the real fact advised him to enter a hospital for an Operation. As the doctor expected, there were no gall stones; however, there was an ulcerated stomach. The Operation was completely successful and now the man is restored to the community and to his business; his wife and little children are saved from a household wreck. This illustrates the economic side of the profession and equally illustrates the social Side as affecting the family and the community. From start to finish this was a medical charity because the patient can never make much payment, nothing at all commensurate with the service rendered.
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