Pennsylvania Hospital

Within four months of his marriage and two months of his admission into the National Academy, Carothers collapsed. Instead of returning to Dr. Hohman in Baltimore, Carothers checked into what he called an especially elegant, large, and elaborate semi-bug house. The Institute of the Pennsylvania Hospital in Philadelphia had hotellike rooms, tennis courts, bowling, badminton, occupational therapy, roof gardens, and a pool for water therapy. 

Frances R. Packard. Some Account of the Pennsylvania Hospital from Its First Rise to the Beginning of the Year 1938. Philadelphia Engle, 1938. Source for description of the hospital. 

Table 9-1 lists design features of the exposure chambers in the United States that have air-cleaning equipment. The facility at the University of Maryland Hospital, Baltimore, has a chamber with activated-charcoal and high-efficiency particle filters and controlled temperature and humidity. St. Vincent s Hospital and New York University, New York City, each have a clean-room facility. The University of Pennsylvania Hospital, Philadelphia, has a self-contained, reinforced-concrete... 

The above samples were sent to the University of Pennsylvania Hospital for in vitro testing of the antithrombogenic character of the covalently bound heparin and the ionically bound heparin on polystyrene. 

Doctors in Europe in 1936 had excellent results using the new dmg to treat childbed fever and meningitis. Tests in the USA in 1936, initially at Johns Hopkins Hospital in Baltimore and Western Pennsylvania Hospital in Pittsburgh, showed that it was also effective against various streptococci infections and pneumonia. Prontosil won wide publicity in the USA in 1936 when it was used to treat President Franklin D. Roosevelt s son, Franklin, Jr., who was severely ill from a streptococcal infection. 

One of Rush s favorite remedies was terror, which, he believed, acts powerfully upon the body, through the medium of the mind, and should be employed in the cure of madness. To terrorize the patient properly, it was necessary to remove him from his home and incarcerate him in a madhouse. This Rush considered therapeutic The effect of thus depriving a madman of his liberty has sometimes been of the most salutary nature. . In Rush s day, such incarceration was easily accomplished. Until the middle of the nineteenth century, the American physician had uncontested power to compel the medical detention of any individual whom he considered in need of care for mental disease. To arrange for the admission of a patient, all Rush had to do was to write, on a chance scrap of paper, as Deutsch tells it, that James Sproul is a proper patient for the Pennsylvania Hospital, and append his signature. ... 

On January 8, 1811, Rush writes to Jefferson My son is better. He has become attentive to his dress, now and then opens a book. . . He is now in a cell in the Pennsylvania Hospital, where there is too much reason to believe he will end his days. This prognosis, Binger dryly comments, was an accurate one. ... 

But, surely, this does not do justice to what happened. Rush did not simply prognosticate that his son would be confined for life he actually initiated the confining. Binger makes no comment about the fact that Rush was in charge of the Pennsylvania Hospital and was, therefore, not only John s father but also his doctor, psychiatrist, and jailer. In Rush s day, no less than in ours, it was customary for physicians not to treat members of their own families. 

The Pennsylvania Hospital in Philadelphia, the first institution in America to receive mental patients, is opened. State care, in the sense of mental patients as wards of the body politic, has been an accepted principle in the United States since the middle 1700 s. ... 

Dr. Thomas S. Kirkbride, superintendent of the Pennsylvania Hospital for the Insane, writes The general proposition that truly recent cases of insanity are commonly very curable. .. may be considered as fully established. Comments Albert Deutsch The belief. . . that insanity was easily curable if treated early enough rapidly impressed itself on the public and professional mind and soon reached the plane of established, immutable dogma. But what of the psychiatric profession as a whole Did it raise any objections to the spread of this fallacy On the contrary except for a very few instances, it not only subscribed wholeheartedly to the current misconceptions, but stimulated and strengthened them as best it could. ... 

Gilbert N. Ling Department of Molecular Biology, Pennsylvania Hospital, Eighth and Spruce Streets, Philadelphia, Pennsylvania 19107. 

Department of Neurology, Hospital of the University of Pennsylvania, 3 West Gates, 3400 Spruce Street, Philadelphia, PA, USA... 

Department of Pharmacy and Therapeutics University of Pittsburgh School of Pharmacy Clinical Specialist Antibiotic Management Program University of Pittsburgh Medical Center Presbyterian University Hospital Pittsburgh, Pennsylvania Chapter 76 Urinary Tract Infection... 

W.T. Grant Professor of Pediatrics, University of Pennsylvania School of Medicine Chief, Division of Child Development, Rehabilitation Medicine and Metabolic Disease Children s Hospital of Philadelphia 3605 Civic Center Blvd. 

A major portion of the effort of preparing this manuscript was performed while I was on sabbatical leave from Queens College at the Rohm and Haas Company in Spring House, Pennsylvania. I wish to thank Queens College for the time and Rohm and Haas Company for their hospitality, both of which were important for this work. In addition, I would dedicate this work to my children, Cheryl and Erik. 

RONALD F. COBURN, University of Pennsylvania School of Medicine, Philadelphia T. TIMOTHY CROCKER, University of California College of Medicine, Irvine CLEMENT A. FINCH, University of Washington, Seattle SHELDON K. FRIEDLANDER, California Institute of Technolc, Pasadena ROBERT I. HENKIN, Georgetown University Hospital, Washington, D.C. 

Richard Aplenc, MD, MSCE Children s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA... 

Clinical Pharmacist, Emergency Medicine Thomas Jefferson University Hospital Philadelphia, Pennsylvania... 

Each state has a professional pharmacy organization, some of which are affiliated with the American Pharmaceutical Association, Similarly, state organizations of hospital pharmacists exist in affiliation with the ASHP, Likewise, local or county associations exist in most instances. Each national association publishes a journal as do most state organizations, The FederalRegister reports proposed and enacted federal regulatory occurrences several times a week. Each stale has a similar publication to report its legislation and regulatory developments, e.g The Pennsylvania Bulletin. 

The circumstances and events that led to my series of LSD experiences started in 1954. At this time, Dr. Griffith Mc-Kerracher asked me to prepare architectural studies putting into effect the recommendations of a report by Dr. Paul Haun of Pennsylvania on the existing Saskatchewan Hospital at... 

Department of Medicinal Chemistry, Merck Research Laboratories, West Point, Pennsylvania 19486 and fUniversity of California, San Francisco and Positive Health Program, San Francisco General Hospital, San Francisco, California 94110... 

Dr. Peterson is a member of several pharmacy organizations, including the American Society of Health-System Pharmacists, Academy of Managed Care Pharmacy, American College of Clinical Pharmacy, and the Pennsylvania Society of Hospital Pharmacists. 

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