THE ROYAL INFIRMARY. 299 h6rmary Street]
students to witness surgical operations. The Infirmary
has separate wards for male and female
patients, and a ward which is used as a Lock
hospital ; but even in ordinary periods the building
had become utterly incompetent for the service
of Edinburgh, and during the prevalence of an epidemic
afforded but a mere fraction of the required
accommodation, and hence the erection of its magnificent
successor, to which we shall refer elsewhere.
The Earl of Hopetoun, in 1742, and for the last
twenty-five years of his life, generously contributed
A400 per annum to the institution when it was
young and struggling. In 1750 Dr. Archibald Kerr
of Jamaica bequeathed to it an estate worth
E218 11s. 5d. yearly; and five years afterwards
the Treasury made it a gift of jG8,ooo j yet it has
never met with the support from Government. that
it ought to have done, and which similar institutions
in London receive.
But the institution owed most of its brilliant
success to Lord Provost Drummond. Among his
associates in this good work he had the honoured
members of the Colleges of Physicians and Surgeons
in Edinburgh, ever first in all works of goodness and
charity; and the first Dr. Munro, Professor of
Anatomy, was singularly sanguine of the complete
success of the undertaking.
That portion of the house which was founded by
the Earl of Cromarty was opened for the reception
of patients in December, 1741. The theatre described
was made to serve the purposes also of a
chapel, and twelve cells on the ground floor, for cases
of delirium fremens, being found unnecessary, were
converted into kitchens and larders, &c. The
grounds around the house, consisting of two acres,
and long bounded on- the south by the city wall,
were laid out into grass walks for the convalescents,
and ultimately the house was amply supplied with
water from the city reservoir.
In the years 1743-4 the sick soldiers of the
regiments quartered in the Castle were accommodated
in the Infirmary; and in the stormy
period of the '45 it was of necessity converted into
a great military hospital for the sick and wounded
troops of both armies engaged at Prestonpans and
elsewhere ; and in I 748 the surgeon-apothecaries,
who since 1729 had given all manner of medical
aid gratis, were feed for the first time. Wounded
from our armies in Flanders have been sent there
for treatment.
In 1748, after paying for the site, building,
furniture, &c., the stock of the institution amounted
to &5,00o; and sick patients not wishing to be resident
were invited to apply for advice on Mondays
and Fridays, and were in cases of necessity
admitted as supernumeraries at the rate of 6d. per
day. About this time there was handed over an
Invalid Grant made by Government to the city,
on consideration of sixty beds being retained for
the use of all soldiers who paid 4d. per diem for
accommodation, This sum, &3, 2 70, was fully made
over to the managers, who, for some time afteqfound
themselves called upon to entertain so many military
patients, that a guard had to be mounted on
the house to enforce order; and liberty was obtained
to deposit all dead patients in Lady Yester's
churchyard, on the opposite side of the street.
Hitherto the physicians had, with exemplary
fidelity, attended the patients in rotation j but in
January, 1751, the managers on being empowered
by the general court of contributors, selected Dr.
David Clerk and Dr, Colin Drummond, physicians
in ordinary, paying them the small honorarium of
;E30 annually.
The University made offer to continue its
services, together with those of the ordinary physicians,
which offer was gladly accepted; and
though the practice fell into disuse, they were long
continued in monthly rotation. To the option of
the two ordinary physicians was left the visiting
of the patients conjointly, or by each taking his
own department. "It was their duty to sign the
tickets of admission and dismission. In case of any
unforeseen occurrences or dangerous distemper, the
matron or clerks were permitted to use this authe
rity ; the physicians en their amval, however, were
expected to append their signatures to the tickets.
The good and economy of the house from the first,
induced the managers to appoint two of their
number to visit the institution once every month,
who were enjoined to inquire how far the patients
were contented with their treatment, and to note
what they found inconsistent with the ordinary
regulations : their remarks to be entered in a book
of reports, to come under review at the first meeting
of managers." (" Journal of Antiq.," VoL 11.)
In 1754 some abuses prevailed in the mode of
dispensing medicines to the out-door patients,
detrimental to the finances ; an order was given for
a more judicious and sparing distribution. In the
following pear application was made to the Town
Council, as well as to the Presbytery of the Church,
to raise money at their several churches to provide
a ward for sick servants-which had been found
one of the most useful in the house. From its
first institution the ministers of the city had, in
monthly rotation, conducted the religious services ;
but in the middle of 1756 the managers appointed
aregular chaplain, whose duty it was to preach
every Monday in the theatre for surgical operations.