When this hospital was first opened, in January of the present year, the people could not possibly conceive but that somebody paid for the services rendered there; and were disposed to claim them as a right, and to find fault if out of temper. They soon came to understand the case better, and have much increased in gratitude. The mothers of the patients avail themselves very freely of the visiting rules; the fathers often on Sundays. There is an unreasonable (but still, I think, touching and intelligible) tendency in the parents to take a child away to its wretched home, if on the point of death. One boy who had been thus carried off on a rainy night, when in a violent state of inflammation, and who had been afterwards brought back, had been recovered with exceeding difficulty; but he was a jolly boy, with a specially strong interest in his dinner, when I saw him.

Insufficient food and unwholesome living are the main causes of disease among these small patients. So nourishment, cleanliness, and ventilation are the main remedies. Discharged patients are looked after, and invited to come and dine now and then; so are certain famishing creatures who were never patients. Both the lady and the gentleman are well acquainted, not only with the histories of the patients and their families, but with the characters and circumstances of great numbers of their neighbours: of these they keep a register. It is their common experience, that people, sinking down by inches into deeper and deeper poverty, will conceal it, even from them, if possible, unto the very last extremity.