Clinical lectures on neurasthenia / by Thomas Dixon Savill.

  • Savill, Thomas Dixon, 1856-1910.
Date:
1908
Catalogue details

Licence: In copyright

Credit: Clinical lectures on neurasthenia / by Thomas Dixon Savill. Source: Wellcome Collection.

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    First let me pay a tribute to the enlightenment of the Board of Guardians of this parish, who recognised the value of this procedure, not only for the sake of the patients whose cases we shall study, and whose cure and alleviation are thereby rendered more speedy and cer- tain, but also for that of the ratepayers, who provide the means for the maintenance of these institutions; because it may be taken as certain that whatever, without undue expense, shortens the stay of a patient in the infirmary, is the truest economy to the parish. But these are not the only advantages likely to be derived from the course of instruction which it is pro- posed to carry on within these walls. Where is there to be found such a vast clinical storehouse as exists in the Poor-Law Infirmaries of the Metropohs ? Both in point of number and variety of the cases I venture to think they are, when taken collectively, unequalled in the history of the world. The Infirmaries contain an aggregate of 13,332 beds—not counting the sick-wards nor the infirm persons who still remain in some work- houses—as against only 10,883 3-U the Special and General Hospitals of London. Where, I would ask, is there to be found such a wealth and variety of material as here exists ? In this, the Paddington workhouse and infirmary, there are close upon 600 beds available for the reception of every kind of mental and bodily the Amending Act (1869) of the Metropolitan Asylums Act (1867) forbidding clinical instruction, applied to Workhouses, but I was enabled, after a lengthy correspondence with the Local Government Board, to establish the fact that the Metropolitan Poor-Law Infirmaries had been erected under the Workhouse Extension Act of 1845, and consequently the other Act forbidding clinical teaching did not apply. It was under the auspices of the London Post-graduate Association and with the sanction of the Board of Guardians of the parish of Paddington that this Post-graduation Clinique was initiated,