TABLE VII.

Assigned Causes of Mental Defect in the Patients Admitted during the Biennial Period ending June 30, 1908.

Forms of Defect in Patients Admitted during the Biennial Period

TABLE IX.

Showing Autopsies made from July 1, 1906, to June 30, 1908. 25. July 6, 1906-I. G. K., f. Large cavity at apex of right lung; many tuberculous areas through middle and upper lobes; cavity contained very fetid pus. Left lung normal. Kidneys shrunken. Spleen shows many tuberculous areas, miliary in character. Stomach much dilated. Many ulcers in duodenum, probably extending through entire tract. Mesenteric glands much enlarged.

.

Cause of death: Tuberculosis.

26. July 12, 1906-H. R., m. Both lungs adherent to chest wall; large pericardial effusion. Tubercles, caseous areas and many cavities scattered through both lungs, but particularly on the right side. Lungs adherent to stomach, pancreas, diaphragm and liver. Entire thoracic viscera matted together. Cause of death: Tuberculosis.

27. August 25, 1906-F. H. J., m.

Volvulus of intestines.

Cause of death: Acute intestinal obstruction.

28. September 29, 1906-G. A. L., f. Apex of each lung infiltrated with tubercular deposit. Pneumonic patch in upper right lobe. Spleen thoroughly infiltrated with large tubercles.

Cause of death: Miliary tuberculosis.

29. October 13, 1906-H. T., m.

red, cortex atrophied.

Heart small. Old perihepatitis. Kidneys deep

Cause of death: Chronic diffuse nephritis.

30. November 12, 1906-L. C. W., f. Pericardium adherent over whole anterior surface and about two thirds the posterior surface. Walls of right ventricle thickened. Cyst in right kidney. Liver large and pale; found fatty by

microscope.

Cause of death: Pericarditis and fatty liver.

31. November 12, 1906-M. J., m. One pint turbid pleuritic effusion on left side. Also a pericardial effusion. Left lung covered with plastic lymph; in lower lobe a large gangrenous area amounting to two thirds the lung.

Cause of death: Gangrene of lung, with pleurisy.

32. November 26, 1906-J. S., m. Adhesions with some fresh bands of lymph exist between pericardium and surface of the heart from the base halfway to the apex. Very large fibrinous clots present in both auricles and both ventricles. Traces of old endocarditis.

Cause of death: Septic pericarditis, with compound fracture of maxilla.

33. January 17, 1907-E. M. F., f. Pericardium full of blood-stained serum. Mitral valve thickened and bound down, puckered and misshapen. Gall-bladder much hypertrophied and packed with gall-stones (455).

Cause of death: Mitral stenosis.

34. February 25, 1907-H. U., m. A dilated sac, 11 inches long and 6 inches in diameter, represents the descending colon and rectum fused into one mass.

In the jejunum was a small intussusception.

Cause of death: Acute obstruction of bowels.

35. March 5, 1907-A. W., f. Ovaries cystic. Heart small.

Cause of death: Status epilepticus.

36. July 23, 1907-M. L., m. Leptomeningitis old and recent. Scar of old cerebral hemorrhage hardly discernible on left side. Atrophy of mucosa of stomach and intestines.

Cause of death: Marasmus due to spinal disease.

37. August 22, 1907-M. D. B., f. Right pleural cavity two thirds full of bloody Large, ragged, gangrenous cavity in upper

fluid highly offensive in smell.

lobe of right lung.

Cause of death: Gangrene of lung.

38. December 22, 1907-F. L. P., f. Right ventricle occupied by an organized clot. Dropsy of brain present. Porencephalic sacs present, representing the right half of the cerebrum and the left half of the cerebellum.

Cause of death: Thrombosis of heart.

39. December 24, 1907-H. M. T., f. Right kidney cortex extremely thin; malpighian bodies and papillæ congested with ill-defined boundaries. Left kidney entirely replaced by a large and a small cyst. Antemortem clot in right auricle.

Cause of death: Chronic diffuse nephritis.

40. February 23, 1908-L. M. A., f.

Heart small. tuberculosis at apex over considerable area. Cause of death: Tuberculosis.

Right lung clear. Left lung

41. April 8, 1908-V. G., m. Ulcerative endocarditis and lepto-meningitis.

Cause of death: Acute rheumatism, with ulcerative endocarditis and leptomeningitis.

LICENSED PRIVATE ASYLUM SYSTEM.

CLARK'S SANITARIUM-STOCKTON.

ASA CLARK, M.D., PHYSICIAN IN CHARGE.

Located at the corner of South and Center streets. Distance from Southern Pacific Railroad, about one mile; from Santa Fe Railroad, one half mile. Cars of Central Traction Company pass the Sanitarium. Number of patients September 1, 1906, 40. Number of patients limited to 75. Minimum rate for care and treatment, $60 per month.

The buildings are two stories in height, and the sanitary conditions. are perfect. The corridors are wide, airy, and light, affording such patients as can not be trusted on the grounds, and all others during stormy weather, ample room for exercise.

The Sanitarium is located on a tract comprising forty-five acres, the greater part of which is devoted to dairy purposes. The milk, butter, chickens, and eggs are products of the place and are supplied in abundance.

The requirements for admission are justification by consent of patient or patient's natural or legal guardian.

Post office box, 297. Telephone, Green 351.

LIVERMORE SANITARIUM-LIVERMORE.

JOHN W. ROBERTSON, M.D., PHYSICIAN IN CHARGE.

Located a quarter of a mile from Southern Pacific Railroad depot. Number of patients September 1, 1906, 54. Number of patients limited to 60. Minimum rate for care and treatment, $100 per month. Mental department contains eight segregated cottages for proper isolation and segregation. All cottages one story, containing from six to ten patients in separate rooms or suites. No inclosures or barred windows. Hydrotherapy basis of treatment. No legal steps necessary, but must have statement from friends and physician.

Post office address, Drawer S. Telephone, Main 71.