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Bethlem Hospital.
pable of Cure; or if not, yet are likely to do mischief to themselves or others;
and are
Poor, and cannot be otherwise provided for. But for those that are only
Melancholick,
or Ideots, and judged not capable of Cure, these the Governors think the House
ought
not to be burthened with.
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As to the Care and Cure of the Patients, here is undoubtedly the greatest
Provision
made for them of any publick Charity in the World; each having a convenient Room
and
Apartment to themselves where they are locked up a Nights; and in it a Place for
a Bed;
or, if they are so sensless as not fit to make use of one, they are every Day
provided
with fresh and clean Straw. Those that are fit for it, at convenient Hours,
have liberty
to walk in the long Galleries, which are large and noble. In the Summer time,
to air
themselves, there is two large Grass Plats, one for the Men, and another for the
Women. And in the Winter a Stove for each apart, where a good Fire is kept to
warm
them. In the Heat of the Weather, a very convenient Bathing Place to cool and
wash
them, and is of great Service in airing their Lunacy; and it is easily made a
hot Bath for
restoring their Limbs when numbed, or cleaning and preserving them from Scurvey,
or
other cutaneous Distempers. Their Diet is extraordinary good and proper for
them,
which every Week is viewed by a Committee of the Governors.
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The Care and Cure of the Lunaticks.
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And though the Friends that put in the Patients are obliged to provide Cloaths,
yet it
being observed, that for want of a timely Supply they have often suffered, there
is a
Wardrobe erected, from whence they are furnished. For though when raving and
furious they do not suffer much from the Weather, yet in the Intervals they are
liable to
it, and often contract other Distempers, care of which is likewise taken as well
as of
their Lunacy.
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A Wardrobe for the Lunaticks.
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Several that have come into the Hospital with Loss of Limbs, and not able to go,
have
recovered them, and been sent out perfectly well. Others that have been, to the
greatest
Extremity, over-run with the Scurvey, with Ulcers in their Mouths, with
Hydropical
Swellings in their Limbs, with Mortifications of their Toes, with Herpes exedens
in
large Blotches over great Parts of the Body, and Variety of other Distempers:
have been
(thanks be to God) recovered and set well, as likewise such as have been taken
with the
Small Pox.
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Other Distempers of the Lunaticks.
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So that by God's Blessing for Twenty Years past, ending 1703, there have been
above
two Patients in three cured, as the Physician hath told me. Which Number of
Patients
recovered is the more considerable, because many, or most that come there, have
been
under Cure before; and being thought incurable are thrust into the Hospital to
avoid
their Charges of keeping elsewhere. Many of which Patients, by finding a
greater
Kindness, and better Usage here than in their other Quarters, with a great deal
of
Acknowledgment, have confessed their Sense of it. And many, though restored to
Health, have rather desired to continue there than to be turned out; the
Kindness of the
Hospital being greater to them than of their Friends and Relations; for there is
nothing
of Violence suffered to be offered to any of the Patients, but they are treated
with all the
Care and Tenderness imaginable. If raving and furious, they are confined from
doing
themselves or others Mischief. And it is to the Credit and Reputation of the
Hospital,
that in so great a Number of Lunaticks that are constantly kept there, it is
very rare, and
in many Years, that any one Patient makes away with himself.
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Gentle Usage practised towards them.
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And not only Provision is made, and Care taken for these Patients, whilst in the
Hospital,
but likewise when cured and discharged, there is an Obligation in the Bond
given,
when they are admitted, whereby they are required to take them out in order to
provide
for them. But where they are destitute of Friends, and unprovided with common
Necessaries, a Charity was given by a Person unknown, at the Physician's
Discretion,
to give what he shall think convenient for their present Subsistence, or to
provide them
with Cloaths for the present till they shall fall into Business: And likewise
Provision is
made to furnish any Patient that hath been in the Hospital with Medicines
gratis, for the
preventing of any Relapse; which hath been of great use to these poor Creatures,
and so
necessary a Charity and useful, that 'tis hoped both will be supplyed when the
Sums
given are expended.
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How discharged when Cured.
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When a Patient is cured and to be discharged, he is called before the Committee
of the
Governors and Physician; who examine him, and being found fit to be discharged,
the
Physician gives a Certificate of the same; and then the Steward of the House
takes care
to see him delivered to his Friends.
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The Number of Patients, since the Charge of 5s. per Week was taken off, and that
they
have been taken in, and maintained free of Charges, was seldom less than 136,
namely,
as many as there were Rooms and Conveniences for them, so that the Hospital was
always crowded and full: And usually the Names of a great many were taken
before-
hand, to be admitted as soon as Room should be made by the Discharge of any
Cured,
or by their Death.
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Number of Patients.
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But now it must not be omitted to be mentioned, that as the House will contain
150
Patients, so there are lately finished certain Chambers sufficient to make up
the
Number. And so many Patients they now have.
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150 Patients now in Bethlem.
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The Time of Cure is uncertain: Some have been cured in a Month, Two or Three:
Some
continue distracted many Years.
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How long in Cure.
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To the Question, Whether there be more Men or Women Lunatick kept here, the
Answer was, there have been no Inequality of Number observed as to the Sexes.
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And to all this let me subjoin the Weekly Food and Diet provided for these
Lunaticks.
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Sunday. Boiled Beef and Broth, and Bread for Dinner. And a Mess of hot Broth
and
Bread for Supper.
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Their Weekly Diet.
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Monday. Bread, Cheese, and Butter for Dinner. Milk Pottage, and other Pottage,
with
Bread for Supper.
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Tuesday. Boiled Mutton or Veal, and Broth for Dinner. And hot Broth for
Supper.
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Wednesay. Bread and Cheese, or Butter for Dinner. And a Mess of Milk Pottage,
or
other Pottage for Supper.
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Thursday. Boiled Beef, Broth and Bread for Dinner. And a Mess of hot Broth and
Bread for Supper.
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Friday. Bread and Cheese and Butter for Dinner. Milk Pottage or other Pottage
for
Supper.
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Saturday. Pease Pottage, Rice Milk, and Furmity. Or other Pottage and Bread
for
Dinner. And Bread and Cheese and Butter for Supper.
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And such Fruit is given them as is most seasonable.
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© hriOnline, 2007
The Stuart London Project, Humanities Research Institute, The University of Sheffield,
34 Gell Street, Sheffield, S3 7QY
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