H ISTORY tells us of men who, through the impetus of the mighty, worked harder and longer than the other fellow, thereby through a margin of minutes or hours, attained the achievement of being "better." And so it is with "AMERICAN" Sterilizers and Disinfectors-for over a quarter century every ounce of endeavor has been used to make of these apparatus embodying every essential for safety, efficiency and economy, until today the "AMERICAN" has attained a standard by which others are judged. The supreme satisfaction which "AMERICAN" Sterilizers and Disinfectors are giving others can just as truly be had by you. tamination after sterilization and be certain that every dressing and article used as sterile has been through the sterilizing process. "4. Contamination of an unopened package after sterilization is possible only through insufficient covering and exposure to dust before drying. Care must be used to insure against thin wrappers or wrappers with small holes-two thicknesses of cloth outside of the dressings are much better than one. Unless the vacuum of the sterilizer is in good working order dressings will come from steam sterilization too wet for immediate handling. This can be corrected by shutting the steam from the inner chamber completely at the end of sterilization and leaving the dressing inside the sterilizer with the door open and the steam pressure on the outer jacket until dry. "5. In the preparation and handling of packages for sterilization there are many possibilities of a package not sterilized becoming mixed in with sterile packages. It is possible to determine whether a package has been actually through the sterilizing process or not when it is opened at the operating table in the following way: Place inside each package a slip of paper on which the date on which the package was prepared for sterilization has been written or stamped in any indelible, silver ink which writes red (obtainable everywhere.) These inks will remain red wrapped in a package of linen almost indefinitely, if not sterilized. The heat from sterilization turns the color to black and the moisture causes the ink to run in the paper enough so that a slip blackened by a steam sterilization can readily be distinguished from a slip blackened from dry heat or from long light exposure. This method is quite inexpensive, but satisfactory. The following story was obtained from a hospital using these slips and where it was first supposed that it was impossible for non-sterile packages of linen to get mixed with the sterile: Non-sterile packages, as shown by red slips, are being opened in the operating room about one a month and it can never be explained how they got mixed in. "At one time a whole load of non-sterile packages was put in the cupboards with the sterile linen and detected and sorted out, as opened, by the slips. While this may to some seem surprising it should be said that the nurses and operating room attendants of this particular hospital clearly rank among the very best of this country. Therefore, it is likely that slips in the handling of packages are occuring in many hospitals. This can and should be detected before damage is done by the use of these silver inked slips, or perhaps by some other devices. However, no devices other than sterilizer controls first mentioned and these paper slips with the silver ink have come to our attention." Four General Army Hospitals Four general army hospitals and one tuberculosis hospital were discontinued by the army during October, according to army officials, leaving only four general hospitals in operation, Army and Navy General, Hot Springs. Ark.; Fitzsimmons General, Denver; Walter Reed General, Washington, and Letterman General, San Francisco. During the month of April, 1919, there were 66,640 soldier patients undergoing treatment in the large army general hospitals, and of this number 28,500, or 43 per cent, were receiving the benefits of the army reconstruction service. By December this number had fallen to 17,950, of whom 11,875, or 66 per cent, were undergoing reconstruction. In July, 1920, 6,751 remained, and of these 4,808, or 71 per cent, were undergoing reconstruction. According to the latest figures obtainable, there are only 3,029 enlisted men, and 457 officers remaining under treatment in the army general hospitals. Quality■** You pay a price for "White Line" Hospital Furniture and Sterilizing Apparatus consistent with the proven merit of "White Line" Equipment—a price carefully computed from actual manufacturing and administrative costs. You cannot purchase a cheap piece of "White The value received in purchasing "White Line" Equipment is the greatest possible value that can be given. Each piece of the equipment is so built and finished as to insure long years of highly satisfactory service. SCANLAN-MORRIS COMPANY MANUFACTURERS OF THE "White Line," Madison, Wisconsin, U. S. A. READ THREE-SPEED MIXER A Prominent Chef Says: that Hospitals should give more attention to the installation of equipment in their Kitchen Departments, especially so when dependable mechanical help can be so easily secured, such as the Read Three-Speed Mixer This machine has been installed in practically every large Hospital of recent construction and it is the modern Hospital with the modern idea that takes advantage of every opportunity to increase the efficiency of the Kitchen Department. The Read Three-Speed Mixer gives years of honest service at a low cost of operation. This mixer is used for innumerable purposes: mixing bread, roll and pie doughs, cake batches. mashing potatoes and vegetables, whipping cream, mixing and sieving soups, purees and jellies. The auxiliary drive operates a Coffee Grinder. Meat Grinder, Vegetable Slicer and many other attachments. There is a model to meet the requirements of Hospitals either large or small. All Inquiries Given Prompt and Courteous Attention Read Machinery Company YORK, PA. MANUFACTURERS Kitchen Machines and Bakery Outfits Santo Tomas Hospital (Continued from Page 51) "The furniture and apparatus necessary for the original equipment shall be purchased by the purchasing agent of the Isthmian Canal Commission and paid for by the funds of the commission." This extract shows clearly the joint management of the Santo Tomas Hospital, which was accomplished and made effective by decree No. 71, October 17, 1905, and signed by Dr. Manuel Amador Guerrero, first president of the Republic of Panama. Since that date the management of the institution has continued along practically the same lines, subject to only minor alterations from time to time that have been made necessary by changing conditions. With the hospital remodeled and re-equipped and with the addition of new personnel, consisting of graduate nurses and a trained superintendent, conditions began to improve rapidly and steady progress has been noted until the present time. With the greater efficiency of the hospital the number of admissions has increased yearly until at present it maintains constantly around 500 patients of the class usually handled by any general city hospital. The staff of the institution consists of 16 physicians, of whom 12 are full-time men, while 4 are visiting physicians. All of these doctors are graduates of American schools and have served internships in the United States before employment here. With the exception of six physicians who are Americans, the entire staff is composed of Panamanian gentlemen, all speaking English fluently and practically all being conversant with the French language in addition to their own. Most of them have been abroad for post-graduate study and on the whole are extremely capable professional men. Four interns are secured each June from different medical schools and given one year's rotating service. The professional work of the hospital is divided into six services-surgical and X-ray, medical, gynecological, maternity and pediatrics, genito-urinary and laboratory. Each of these sections is in charge of a chief with a suitable number of assistants. Complete standard case histories are taken on all admissions and full records and statistics are fully compiled into valuable data. An up-to-date X-Ray laboratory is maintained in the institution in which are prepared radiographs and flouroscopic views of any conditions needing such examinations which arise in the hospital. Treatments are also given in this department and a small quantity of radium is being purchased at an early date to add to the equipment for this line of work. All routine laboratory work for the institution is done in the hospital laboratory. This department in addition performs an autopsy upon the cadaver of each patient that dies. as well as performing a Wasserman test on practically every admission to the institution. Microscopical pathology and serological work are also done to a large extent. The administration of the institution is carried on by the superintendent and office force and the chief nurse and her assistants. An efficient system of accounting and bookkeeping is maintained together with an accurate property account of all supplies and equipment used by the institution. The nursing staff of the institution is composed of twelve graduate American nurses, twelve graduate Panamanian nurses and thirty-five under-graduate pupil nurses. On December 14, 1908, the president of the republic issued a decree authorizing the establishment of a training school for thirty native pupil nurses and upon this basis the modern training school of the hospital is maintained today. A free dispensary and pharmacy also is maintained in which are treated approximately 2,000 patients each month. Hospital Floor-Covering that is Built for Comfort— OLD-SEAL Battleship Linoleum combines with its toughness and durability the comfort of resilience. Comfort not only for the sick, with its restful brown tone and sound-deadening quality, but for the busy nurses and doctors who spend the greater part of the day on their feet. The officials of St. Elizabeth's Hospital of Boston are using this floor-covering not only in the lobby for its restful dignity, but also in the wards for its durability, quietness and sanitary advantages. The rigid U. S. Navy standards which GoldSeal Battleship Linoleum overtops, and the broad, reliable guarantee are meeting with the approval of many hospital executives the country over. Every yard is sold on the basis of "Satisfaction Guaranteed or Your Money Back." Gold-Seal Cork Carpet Gold-Seal Cork Carpet is especially made for those places where absolute silence is desired. It is springy, as noiseless and comfortable underfoot as the pile of a heavy woven rug. Obtainable in restful shades of green, brown and terra cotta-with polished or unpolished surface-10 shades in all. Of course it, too, is guaranteed. Write our nearest office for further information and samples of these quality floor-coverings. Congoleum Company PHILADELPHIA GOLD SEAL (THE FAMOUS FARR & BAILEY BRAND) Made According to U.S.Navy Standard KANSAS CITY NEW YORK CLEVELAND ATLANTA IT is a remarkable line of trucks that Colson ARE your trucks quiet? Then why not other comfort? An additional feature of the hospital is the venereal clinic An average of approximately 20,000 patients are treated THE NEW SANTO TOMAS HOSPITAL The present hospital is located at Sixteenth and B streets, For many years it has been the hope ond dream of the The layout of the institution will cover approximately |