The Upper Floor Is Used For Class-Rooms, And The Lower Accommodates 100 Patients, Besides A Number Of Resident Students. Ten Is The Largest Number Treated In Any One Room, And Severe Cases Are Treated In Separate Rooms.

Gangrene has prevailed, and the Chief Physician, who is at this time remodelling the hospital, has closed some of the wards in consequence.

There is a Lock Hospital under the same roof. About fifty important operations are annually performed under chloroform, but the people of Akita ken are very conservative, and object to part with their limbs and to foreign drugs. This conservatism diminishes the number of patients.

The odour of carbolic acid pervaded the whole hospital, and there were spray producers enough to satisfy Mr. Lister! At the request of Dr. K. I saw the dressing of some very severe wounds carefully performed with carbolised gauze, under spray of carbolic acid, the fingers of the surgeon and the instruments used being all carefully bathed in the disinfectant. Dr. K. said it was difficult to teach the students the extreme carefulness with regard to minor details which is required in the antiseptic treatment, which he regards as one of the greatest discoveries of this century. I was very much impressed with the fortitude shown by the surgical patients, who went through very severe pain without a wince or a moan. Eye cases are unfortunately very numerous. Dr. K. attributes their extreme prevalence to overcrowding, defective ventilation, poor living, and bad light.

After our round we returned to the management room to find a meal laid out in English style - coffee in cups with handles and saucers, and plates with spoons. After this pipes were again produced, and the Director and medical staff escorted me to the entrance, where we all bowed profoundly. I was delighted to see that Dr. Kayabashi, a man under thirty, and fresh from Tokiyo, and all the staff and students were in the national dress, with the hakama of rich silk. It is a beautiful dress, and assists dignity as much as the ill-fitting European costume detracts from it. This was a very interesting visit, in spite of the difficulty of communication through an interpreter.

The public buildings, with their fine gardens, and the broad road near which they stand, with its stone-faced embankments, are very striking in such a far-off ken. Among the finest of the buildings is the Normal School, where I shortly afterwards presented myself, but I was not admitted till I had shown my passport and explained my objects in travelling. These preliminaries being settled, Mr. Tomatsu Aoki, the Chief Director, and Mr. Shude Kane Nigishi, the principal teacher, both looking more like monkeys than men in their European clothes, lionised me.

The first was most trying, for he persisted in attempting to speak English, of which he knows about as much as I know of Japanese, but the last, after some grotesque attempts, accepted Ito's services. The school is a commodious Europeanised building, three stories high, and from its upper balcony the view of the city, with its gray roofs and abundant greenery, and surrounding mountains and valleys, is very fine.

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