Collection M
231: |
© 2007 by Fort Lewis College Foundation, Center of Southwest Studies account
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Historical note | Patient data |
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| Mercy digital photos gallery |
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The Mercy Hospital records collection at the Center of Southwest Studies at Fort Lewis College includes a number of ledger volumes of details regarding patients from 1896 through 1934 and from September 30, 1942 through November 15, 1977, pertaining to Mercy Hospital, Mercy Medical Center, and the former Community Hospital of Durango. Access to the records that are less than 100 years old is restricted. This website presents details regarding Mercy Hospital patients through 1906, and statistical analysis of hospital patient records from the years through 1913. The data entry (4,903 records) and data analysis are the work of Dr. Bruce Howard, a retired dermatologist, who entered data from the early patient ledgers and analyzed that data. Part of Dr. Howard's work was to organize the diagnoses and operations from 1896 to 1913 in accordance with the ICD-9 classification of diagnoses and procedures which is used in hospitals currently, removing the redundancies in the original entries (which are still listed in the Center's database, though).
Patient data from the patient ledgers, 1896-1913:
The Center of Southwest Studies' database of early patient records from Mercy Hospital of Durango contains 4,903 records, drawn from the following three patient admission ledger volumes. Click here to view a 51-page list of names of patients and their admission dates, for the years 1896 through 1906. (Due to privacy considerations, more recent patient data is restricted.)
In Box 1, Folder 1: 1896 March - 1901 December. 1 volume (192 pages). Title on the front flyleaf: "Record of Mercy Hospital. Medical and Surgical Staff organized April 1896. Dr. A. W. Morton, Dr. W. R. Wycoff, Dr. J. Haggart, Dr. H. C. McLean, and Dr. H. S. Williams." Note written by Sister B- on October 2, 1972 on page 187 of this volume: "Drs. Haggart and Bellinger were real `medical-men pioneers' of this area. Dr. Bellinger is written up in Vol. II of Pioneers of the San Juans. Dr. Winters also -- who was instrumental in having [the] first two units of [the Mercy] hospital built -- 1884 and 1893."
In Box 2 (oversize flat lidded box) Folder 2: 1900 September - 1907 December (includes one initial entry dated July 20, 1896, and just two entries from 1900). 1 volume (301 pages, of which pages 225-301 are blank).
In Box 2 (oversize flat lidded box) Folder 3: 1908 January - 1913. 1 volume (250 double-pages, i.e. 500 sides of pages; the volume numbered each two-page spread with one page number). A note written inside the front cover states that "Some handwriting is that of Sister M. Vincent Rowland." The Center's data entry was for patient data on pages 1-104. Pages 105- contain data (not linked to patient's names) regarding X-rays and lab work for the period 1928 through 1950. Page 118 is blank, as is page 134; pages 119-133 are missing from this book. Pages 135-138 contain a summary of charity assistance given each year from 1928 through 1945. Page 144 has brief info about bed capacity in 1935, etc. Page 145-172 is a summary of various categories of patient data by month from 1934 through 172 (this was not part of Bruce Howard's data entry or of his analysis of patient data). Pages 173 through 240 are blank. Pages 241 and 242 contain patient details of cancers in the years 1948-1950 (this was not part of Bruce Howard's data entry or of his analysis of patient data, and access to this data is restricted). Pages 249 and [250] list the numbers of patients admitted by each doctor in 1947 through 1949, as follows (for a total of 4,651 admissions during those 3 years, counting # patients and # O.B. cases -- it is not clear whether they were included in the # patients or not):
| Doctor | # patients admitted in 1947 |
# patients admitted in 1948 |
# O.B. cases in 1948 |
# patients admitted in 1949 |
# O.B. cases in 1949 |
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| Lloyd | 1,252 | 1,276 | 91 | 1,117 | 96 | ||
| Rensch | 909 | 715 | 40 | 786 | 39 | ||
| Mason | 864 | 822 | 83 | 803 | 84 | ||
| Pingrey | 835 | 705 | 46 | 508 | 40 | ||
| Burnett | 355 | 370 | 12 | 275 | 11 | ||
| McKinley | 371 | 384 | 68 | 357 | 63 | ||
| Rason | 295 | 72 | 13 | 0 | 0 | ||
| J. Koplomitz | 242 | 145 | 0 | 109 | 0 | ||
| Darling | 151 | 96 | 13 | 58 | 7 | ||
| Callaway | 40 | 90 | 15 | 127 | 20 | ||
| Clark | 20 | 81 | 8 | 76 | 3 | ||
| Downing | 15 | 17 | 4 | 5 | 1 | ||
| Elliott | 10 | 8 | 0 | 4 | 0 | ||
| Gardner | 7 | 17 | 2 | 0 | 0 | ||
| Button | 6 | 8 | 3 | 44 | 5 | ||
| Maxwell | 2 | 0 | 0 | 0 | 0 | ||
| Clinic (cancer, 1947-1948; cancer or TB, 1949) |
15 | 43 | 0 | 12 | 0 | ||
| No doctor | 0 | 2 | 0 | 1 | 0 | ||
| Total: | 5,389 | 4,851 | 398 | 4,282 | 269 |
All of the data from patients who were admitted and discharged prior to February of 1907 is HUGE (797 pages; 2,766 records) -- too large to present online.
All of the data EXCEPT the patients' names is available at the Delaney Library -- another huge file of 2,113 records of patients who were admitted between 1907 and 1913. There is but one admission dated after 8/25/1913; it is dated 12/14/1913.
Analysis of the early patient ledgers, 1896-1913
| Nationalities | Occupations | ICD-9 codes | Diagnoses comments | Operations comments | Deaths |
Mercy Hospital patient nationalities, 1896-1913:
The patient records were identified by the nationality or nativity of the patient. The vast majority of the patients were identified as “American”. Those who were not are listed below, grouped by geographical region of origin.
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North America |
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Mexican |
110 |
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Colored (sic) |
24 |
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Canadian |
15 |
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Indian |
7 |
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Ute Indian |
5 |
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Navajo Indian |
4 |
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Hebrew/Jewish (sic) |
3 |
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French-Canadian |
2 |
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British Isles |
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Irish |
289 |
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English |
67 |
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Scottish |
43 |
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Welsh |
19 |
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Scandinavia |
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Swedish |
111 |
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Finnish |
19 |
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Norwegian |
7 |
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Danish |
2 |
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Scandinavian (sic) |
1 |
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Western and Central Europe |
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German |
190 |
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Austrian |
78 |
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French |
39 |
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Bohemian |
2 |
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Belgian |
1 |
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Mediterranean Europe |
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Italian |
215 |
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Greek |
19 |
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Portuguese |
1 |
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Eastern Europe |
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Russian |
4 |
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Polish |
4 |
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Hungarian |
2 |
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Asia |
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Japanese |
36 |
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Chinaman (sic) |
6 |
Occupations of patients admitted to Mercy Hospital, 1896-1913
The occupations are classified in accordance with the United Nations classification of “activity”.
Agriculture and forestry
Crop and animal production: There were 160 admissions for the farmers (65) and ranchers (76) and their associates, such as the sheep raisers (7) cattle dealers. The “squire” was placed in this category, the term signifying a large landowner.
Forestry and logging: There were 83 admissions for sawmill employees (65) and loggers. There were 3 employees of the national forest service, established in 1905.
Mining and quarrying: The hard rock miners constituted 317 of the patients admitted, the ore being processed by the smelter employees, who constituted 223 of the admissions.
The smelter was fueled by coal, produced by coal miners, who made up 24 of the admissions.
The quarry at Rockwood supplied 3 patients.
Manufacturing: blacksmiths (15 admissions), tinsmiths (2 admissions) and machinists (5 admissions) were in this category.
Wearing apparel was manufactured by tailors, milliners and seamstresses, and shoes were fashioned by cobblers, the group making up 15 admissions.
Electricity: There were 6 admissions related to the electrification of Durango.
Construction: The construction industry accounted for 204 admissions, the largest categories being laborers (117) and graders (54) of the railroad track
Wholesale and retail trade
Repair of vehicles: The only admission falling into this category was a bicycle repairman.
Retail trade accounted for 54 admissions.
Transportation: The railroads were major employers in the area served by Mercy Hospital, and their employees constituted almost 8% of the admissions (388), the Denver & Rio Grande Railroad (321) and the Rio Grande Southern (58) being the principal lines.
There were 25 admissions which fell into the “horse & buggy” era, 20 of them being teamsters.
Accommodation and food service
Accommodations (principally hotels) provided 13 patients for admission.
Food and Beverage Service: The largest categories of patients in food services were cooks (47) and waitresses (24).
The beverages services were provided by bartenders (27) and saloon keepers (29).
Financial and insurance: 8 bank cashiers and one capitalist (sic) fell into this category of patients, as did 4 insurance agents, 1 real estate agent, and 7 surveyors.
Professional, scientific and technical activities
Legal and accounting: The legal industry was represented by 8 lawyers and 1 law student who were admitted.
The courts provided judges (3), marshals (3), and a clerk for admission.
Accounting was represented by 10 bookkeepers and an auditor.
Public administration and defense: Law enforcement was represented by 4 policemen, one from the Indian reservation, and a justice of the peace.
Education: The teaching profession provided 21 patients, 3 of them instructors of music.
Human health and social work
Human health activities: 22 nurses, 7 physicians, 2 druggists and a dentist had to be admitted to the hospital.
Social work activities: The clergy provided 12 admissions — of note were 2 admissions for a Franciscan missionary and 1 for the smelter clergyman.
Arts, entertainment and recreation
Creative, arts and entertainment: Durangoans were entertained by the following patients — 11 musicians (one of whom was a drummer), a “show man”, and an actress.
Gambling and betting: There were five professional gamblers who required hospital admission.
Other personal service activities: Personal services were provided by the following patients — 5 barbers, 5 laundresses, 2 laundrymen, and a hairdresser.
Activities of households as employers, service-producing
Domestic personnel: Housekeepers and domestics accounted for 27 admissions.
Undifferentiated goods and services-producing activities of private households: The housewife constituted this category, contributing 384 admissions.
Patients who did not fit into the above categories included a tourist and a “cripple” (sic), a scavenger (junkman?), and four with “none” occupation (unemployed?)
ICD-9 codes of Mercy Hospital patient diagnoses and operations, 1896-1913
Note: this list is not comprehensive, but represents diagnoses and operations that were listed in the early patient ledger books that could be matched with modern-day codes used by the medical community.
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DIAGNOSES |
Code # | Qty. |
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Infections and parasitic diseases (code #s 001-139) |
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Cholera morbus (cholera) |
001.9 |
1 |
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Bilious fever / relapsed typhoid fever / typhoid pneumonia (typhoid fever) |
002.0 |
295 |
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Erysipelas |
035 |
38 |
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Blood poison / blood poisoning (Septicemia) |
038 |
8 |
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Vemerea; warts / genital warts |
078.19 |
1 |
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Intestinal derangement (ill-defined intestinal infections) |
009 |
1 |
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Cholera infantum / dysentery (infectious diarrhea) |
009.3 |
8 |
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Locomotor ataxia (tabes dorsalis) |
094.0 |
1 |
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General paralysis (general paresis) |
094.1 |
1 |
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Syphilis |
097.9 |
13 |
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Acute gonorrhea / gonorrheal balanitis |
098.0 |
2 |
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Acute tuberculosis / consumption / pulmonary tuberculosis / tubercular enteritis / tubercular peritonitis / tubercular pneumonia / tuberculosis of bone / tuberculosis of the bowel / tuberculosis of hip / kidney / leg, testicle / tibia |
011.9 |
114 |
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Tubercular abscess (tuberculous pleurisy) |
012.0 |
1 |
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Tuberculosis of brain |
013.2 |
1 |
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Lupus (lupus vulgaris) |
017.0 |
1 |
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Whooping cough (Bordetella pertussis) |
033.0 |
3 |
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Scarlet fever |
034.1 |
7 |
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Lockjaw (tetanus) |
037 |
1 |
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Septicemia |
038 |
4 |
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Measles |
055.9 |
12 |
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German measles (rubella) |
056 |
5 |
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Hydrophobia (rabies) |
071 |
1 |
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Mumps |
072 |
17 |
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Conjunctivitis / eye infection / poisoned eye / rose eyes |
077.0 |
4 |
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Spotted fever (Rocky Mountain spotted fever) |
082.0 |
1 |
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Multiple hydatids of the liver (echinococcosis) |
122 |
1 |
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Neoplasms (code #s 140-239) |
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Gastric cancer / stomach cancer (malignant neoplasm of stomach) |
151 |
2 |
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Rectal cancer / rectum cancer / malignant neoplasm of rectrum |
154 |
3 |
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Liver cancer (malignant neoplasm of liver) |
155 |
2 |
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Malignant neoplasm of the peritoneum |
158 |
1 |
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Tumor on neck (neoplasm of skin of neck) |
173.4 |
1 |
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Cancer of breast (malignant neoplasm of female breast) |
174 |
3 |
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Tumor under breast (neoplasm of skin of trunk) |
173.5 |
1 |
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Carcinoma of shoulder (malignant neoplasm of bone, connective tissue) |
176 |
1 |
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Uterus / uterine cancer |
182 |
4 |
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Carcinoma of testis (malignant neoplasm of testis) |
186 |
1 |
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Cancer of eye (malignant neoplasm of eye) |
190 |
1 |
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Sarcoma of thyroid (malignant neoplasm of thyroid gland |
193 |
1 |
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Cancer / cancer of head (Malignant neoplasm) |
195 |
30 |
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Tumor in eyelid (benign neoplasm of eyelid) |
216.1 |
1 |
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Fibroid tumor / myomata / uterine fibroid (uterine leiomyoma) |
218 |
1 |
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Endocrine, nutritional, and metabolic diseases, and immunity disorders (code #s 240-279) |
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Hyperthyroidism (thyrotoxicosis) |
242.9 |
1 |
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Cyst of parotid gland |
252.8 |
1 |
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Scurvy / scurvy condition of the stomach |
267 |
2 |
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Diseases of the blood and blood-forming organs (code #s 280-289) |
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Anemia, unspecified (anaemia) |
285.9 |
1 |
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Mental disorders (code #s 290-319) |
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Senile dementia |
290.0 |
1 |
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Delirium tremens (alcohol withdrawal) |
291.0 |
4 |
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Dementia / insanity / temporary insanity |
294.11 |
15 |
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Melancholia (major depressive disorder) |
296.2 |
1 |
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Hysteria |
300.10 |
2 |
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Nervous prostration / neurasthenia |
300.5 |
16 |
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Neurosis |
301 |
1 |
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Acute alcoholism / alcoholism / chronic alcoholism |
303.9 |
2 |
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Diseases of the nervous system and sense organs (code #s 310-389) |
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Meningitis / spinal meningitis |
322 |
11 |
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Iritis |
364 |
1 |
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Brain abscess |
324.0 |
2 |
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Paralysis / paralyzed |
344.9 |
30 |
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Epilepsy |
345 |
5 |
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Glaucoma |
365 |
1 |
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Cataract |
366 |
8 |
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Blindness (unspecified visual loss) / failing sight |
369.9 |
12 |
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Snow blindness (photokeratitis) |
370.24 |
1 |
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Corneal ulcer / ulcer of eye |
370.00 |
5 |
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Sore eyes / pain in or around the eye |
379.91 |
1 |
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Wax in ears (impacted cerumen) |
380.4 |
1 |
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Unspecified otitis media / acute oritis media |
382.9 |
2 |
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Mastoid abscess (acute mastoiditis) |
383.0 |
8 |
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Mastoiditis (unspecified) |
383.9 |
1 |
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Sore ear (otalgia) |
388.7 |
2 |
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Diseases of the circulatory system (code #s 390-459) |
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Mitral regurgitation / mitral stenosis with insufficency |
394.2 |
2 |
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Pleuropericarditis (acute pericarditis) |
420 |
1 |
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Acute endocarditis / endocarditis, unspecified |
42l.9 |
2 |
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Aortic stenosus of unspecified cause |
424.1 |
1 |
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Heart disease, unspecified / organic heart trouble, heart failure unspecified |
429.9 |
24 |
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Pericarditis |
420.99 |
1 |
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Apoplexy and cerebral hemorrhage / intracerebral hemorrhage |
431 |
2 |
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Apoplexy |
436 |
3 |
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Arteriosclerosis / cerebral (Cerebral arteriosclerosis) |
437.0 |
1 |
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Arteriosclerosis (atherosclerosis) |
440 |
1 |
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Aneurysm |
442 |
1 |
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Raynaud’s disease (Raynaud’s syndrome) |
443.0 |
1 |
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Hemorrhoids |
455.6 |
31 |
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Lymhangitis |
457.2 |
2 |
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Hemorrhage / ruptured blood vessels |
459.0 |
2 |
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Diseases of the respiratory system (code #s 460-519) |
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Pharyngitis / acute pharyngitis / ulcerated sore throat |
462 |
2 |
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Acute tonsillitis / .follicular tonsillitis / purulent tonsillitis |
463 |
73 |
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Laryngitis (acute laryingitis) |
464.0 |
3 |
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Cold / severe cold / bad cold / catarrh (acute upper respiratory infection) |
465 |
46 |
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Acute bronchitis |
466.0 |
1 |
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Enlarged tonsils (hypertrophy of tonsils and adenoids) |
474.1 |
1 |
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Bronchopneumonia |
485 |
3 |
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Pneumonia / relapsed pneumonia / senile pneumonia |
486 |
172 |
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Influenza / La Grippe / catarrh |
487.1 |
96 |
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Bronchitis.inflammatory bronchitis |
490 |
39 |
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Chronic bronchitis |
491 |
1 |
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Emphysema |
492.8 |
1 |
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Acute asthma / asthma |
493.9 |
30 |
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Miner’s asthma / miner’s consumptions (pneumoconiosis due to silica or silicates) |
502 |
11 |
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Empyema |
510 |
1 |
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Pleurisy |
511 |
29 |
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Pleural effucsion |
511.9 |
2 |
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Obstruction of trachea / stenosis of trachea |
519.1 |
1 |
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Diseases of the digestive system (code #s 520-579) |
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Gingivitis |
523.0 |
1 |
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Abscess of jaw |
526.4 |
5 |
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Fistula |
527.4 |
2 |
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Swollen tongue |
529.8 |
1 |
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Gastric ulcer / stomach ulcer |
531 |
5 |
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Gastritis |
535.5 |
12 |
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Biliousness / stomach / stomach disease (disorder of function of stomach) |
536 |
7 |
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Acute indigestion / indigestion (dyspepsia) |
536.8 |
9 |
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Acute appendicitis / gangrenous appendicitis |
540.0 |
9 |
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Abcess appendicitis / appendiceal abscess (appendicitis with generalized peritonitis) |
540.0 |
2 |
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Appendicitis / attack of appendicitis / purulent appendicitis / suppurative appendicitis (appendicitis, unqualified) |
541 |
145 |
|
Chronic appendicitis |
542 |
1 |
|
Postoperative hernia (recurrent hernia) |
550 |
1 |
|
Hernia, strangulated / strangulated hernia) (inguinal hernia, with obstruction) |
550.1 |
7 |
|
Double hernia (inguinal hernia, bilateral) |
550.2 |
1 |
|
Inguinal hernia / right inguinal hernia |
550.9 |
5 |
|
Umbilical hernia |
533.1 |
1 |
|
Ventral hernia |
533.2 |
1 |
|
Hernia |
553.8 |
27 |
|
Bowel obstruction / obstruction of bowel (intestinal obstruction) |
560 |
6 |
|
Ileocecal intussusception |
560.0 |
1 |
|
Obstinate constipation / constipation |
564.09 |
3 |
|
Rectal abscess (abscess of anal and rectal regions) |
566 |
3 |
|
Old adhesions of the descending sigmoid colon (peritoneal adhesions) |
568.0 |
1 |
|
Inflammation of the liver (chronic hepatitis) |
571.4 |
1 |
|
Autointoxication of bowel / bowel trouble / intestinal autointoxication (other functional disorders of intestine) |
564.8 |
4 |
|
Anal fistula |
565.1 |
1 |
|
Ischio-rectal abscess |
566 |
1 |
|
General peritonisitis / localized peritonitis / peritonisis |
567.89 |
14 |
|
Internal abscess (abscess of intestine) |
569.5 |
1 |
|
Cirrhosis / cirrhosis of the liver) |
571.5 |
2 |
|
Liver abscess (abscess of liver) |
572.0 |
2 |
|
Congested liver / hepatitic congestion (chronic passive congestion of liver) |
573.0 |
2 |
|
Gall bladder rupture (perforation of gallbladder) |
575.4 |
1 |
|
Gallstones (calculus of gallbladder) |
574.2 |
4 |
|
Cholecystitis |
576.10 |
1 |
|
Pancreatitis (acute pancreatitis) |
577.0 |
1 |
|
Diseases of the genitourinary system (code #s 580-629) |
||
|
Acute tubular nephritis |
580.9 |
1 |
|
Chronic nephritis |
582.9 |
1 |
|
Chronic glomerulonephritis, Bright’s disease (nephritis and nephropathy) |
583.81 |
7 |
|
Nephritis |
583.89 |
3 |
|
Uremia / uremia poisoning (renal failure, unspecified) |
586 |
3 |
|
Floating kidney (nephroptosis) |
593.0 |
4 |
|
Kidney complaint / kidney trouble (unspecified disorder of kidney and ureter) |
593.9 |
5 |
|
Stone in bladder / vesical calculus (calculus in bladder) |
594.1 |
3 |
|
Cystitis / inflammation of the bladder |
595.9 |
13 |
|
Bladder trouble (other functional disorders of bladder) |
596.5 |
1 |
|
Stricture (urethral stricture) |
598 |
1 |
|
Hematinuria (hematuria) |
599.7 |
2 |
|
Hydrocele |
603 |
3 |
|
Orchitis |
604.9 |
1 |
|
Pelvic abscess / pelvic inflammation |
614.4 |
9 |
|
Inflammation of ovary / ovaritis / ovarian trouble / salphintitis (oophoritis) |
614.2 |
4 |
|
Pelvic peritonitis |
614.7 |
1 |
|
Endometritis |
615.9 |
8 |
|
Cystocele (unspecified prolapse of vaginal walls) |
618.00 |
1 |
|
Cystic ovary / cystic tumor (ovarian cyst) |
620.2 |
4 |
|
Retrodisplacement of uterus / retroflexion ofuterus / retroversion of uterus (malposition of uterus) |
621.6 |
6 |
|
Complications of pregnancy, childbirth, and the puerperium (code #s 630-677) |
||
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Ectopic pregnancy / extrauterine pregnancy |
633 |
3 |
|
Incomplete abortion / miscarriage |
634 |
20 |
|
Abortion |
637 |
3 |
|
Diabetes / diabetes mellitus |
648.0 |
2 |
|
Perineal laceration (trauma to perineum and vulva) |
664.9 |
9 |
|
Puerperal infection / puerperal sepsis / puerperal septicemia |
670 |
3 |
|
Varicose veins / varicocel / varicose veins of legs |
671.0 |
4 |
|
Diseases of the skin and subcutaneous tissue (code #s 680-709) |
||
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Carbuncle |
680 |
1 |
|
Felon / felon on finger |
681.01 |
2 |
|
Cellulitis / blood poisoning of finger, hand, feet, arm |
682 |
4 |
|
Suppurating gland (acute lymphadenitis) |
683 |
1 |
|
Abscess of arm / / underarm / back / face / hand / leg / neck / right side / axilla bad sores / infected arm / infected finger / foot / hand / heel / leg / stump.thumb / toe / poisoned hands / septic finger / sore face / foot / hand / knee / leg / limb / toe (local infection of skin and subcutaneous tissue) |
686.9 |
76 |
|
Eczema |
692 |
7 |
|
Callus of umbilicus (callosities) |
700 |
1 |
|
Keloid (keloid scar) |
701.4 |
1 |
|
Ingrowing toenail |
703.8 |
1 |
|
Hives (urticaria) |
708.8 |
1 |
|
Diseases of the musculoskeletal system and connective tissue (code #s 710-739) |
||
|
Septic knee (pyogenic arthritis) |
711.0 |
1 |
|
Infected toe joint (infective arthritis) |
711.9 |
1 |
|
Hip disease (arthropathy of pelvic region |
716.5 |
1 |
|
Lumbago |
724.2 |
6 |
|
Synovitis |
727.00 |
2 |
|
Infected bunion |
727.1 |
1 |
|
Synovitis of knee (bursitis of knee) |
727.2 |
1 |
|
Inflammatory rheumatism / muscular rheumatism (rheumatism) |
729.0 |
193 |
|
Neuralgia / neuritis / sciatica |
729.2 |
6 |
|
Swollen instep (swelling of limb) |
729.81 |
1 |
|
Periostitis of femur |
730.3 |
1 |
|
Inflammation of bone in leg (osteomyelitis of lower leg) |
730.6 |
1 |
|
Injured tibia (stress fracture of tibia) |
733.93 |
1 |
|
Congenital anomalies (code #s 740-759) |
||
|
Undescended testicles |
752.51 |
1 |
|
Double equinovarus (talipes equinovarus) |
754.51 |
1 |
|
Webbed fingers (syndactyly) |
755.1 |
1 |
|
Certain conditions originating in the perineatal period (code #s 760-769) |
||
|
Premature birth (preterm infant) |
765.1 |
1 |
|
Symptoms, signs, and ill-defined conditions (code #s 780-799) |
||
|
Bursitis of knee (bursitis) |
727.3 |
1 |
|
Necrosis of jaw bone / osteomyelitis |
730.2 |
2 |
|
Suppurative periostitis of the chin bone / periostitis |
730.3 |
1 |
|
Aphonia |
734.41 |
1 |
|
Valvular heart lesion / unspecified anomaly of heart |
746.9 |
1 |
|
Cut head (injury to scalp) |
767.1 |
1 |
|
Dead born / stillbirth |
779.9 |
1 |
|
Unconscioius (coma) |
780.01 |
1 |
|
Chills and fever (fever) |
780.6 |
1 |
|
Asthenia (malaise and fatigue) |
780.79 |
1 |
|
Dropsy (edema) |
782.3 |
31 |
|
Throat trouble / throat pain |
784.1 |
1 |
|
Gangrene / gangrene,\ lower extremity / leg |
785.4 |
2 |
|
Enlarged glands (enlargement of lymph nodes) |
785.6 |
1 |
|
Pulmonary hemorrhage (hemoptysis) |
786.3 |
1 |
|
Liver enlarged (hepatomegaly) |
789.1 |
1 |
|
Old age / senile debility (senility) |
797 |
2 |
|
Nervous / nervous codition / (nervousness) |
799.2 |
21 |
|
General debility |
799.3 |
21 |
|
Injury and poisoning (code #s 800-999) |
||
|
Broken jaw |
802.2 |
4 |
|
Depression of skull (skull fracture) |
803 |
11 |
|
Broken back / broken spine (fracture of vertebral column) |
805 |
8 |
|
Broken coccyx (fracture of vertebral column, sacrum & coccyx) |
805.6 |
2 |
|
Broken ribs (fracture of rib(s) |
07 |
14 |
|
Broken limb(s) |
|
2 |
|
Broken hip (fracture of pelvis) |
808 |
2 |
|
Broken shoulder (ill-defined fractures of trunk) |
809 |
1 |
|
Broken clavicle (fracture of clavicle) |
810 |
12 |
|
Broken ulna (fracture of radius and ulna) |
813 |
1 |
|
Broken wrist (fracture of carpal bone) |
814 |
5 |
|
Broken finger (fracture of phalanx of hand) |
816 |
3 |
|
Broken arm (fracture of upper limb) |
818 |
4 |
|
Broken femur (fracture of femur) |
821 |
1 |
|
Broken knee cap (fracture of patella) |
822 |
2 |
|
Broken leg (fracture of tibia and / or fibula) |
823 |
60 |
|
Broken tibia / compound fracture of tibia (fracture of tibia) |
823.0 |
2 |
|
Broken fibula (fracture of fibula) |
823.1 |
1 |
|
Broken ankle (fracture of ankle) |
824 |
3 |
|
Pott’s fracture (close fracture, bilmalleolar) |
824.4. |
1 |
|
Broken foot (fracture of tarsal & metatarsal bones) |
825 |
1 |
|
Broken toe (fracture of phalanx of foot) |
825 |
1 |
|
Compound fracture of leg (multiple fractures of lower limb) |
827 |
3 |
|
Fractures |
829 |
2 |
|
Dislocation of shoulder |
831 |
1 |
|
Dislocation of hip |
835 |
1 |
|
Dislocation of knee / injured knee |
836 |
2 |
|
Dislocation of foot |
838 |
1 |
|
Dislocation of spine |
839 |
1 |
|
Sprained arm / sore arm |
840 |
2 |
|
Sprained wrist |
842 |
2 |
|
Bruised knee (sprains and strains of knee) |
844 |
3 |
|
Sprained ankle / foot / ankle sprain / sore ankle |
845 |
14 |
|
Sprained back |
847 |
4 |
|
Brain concussion (concussion) |
850 |
5 |
|
Cut foot / laceration / laceration of shoulder / laceration of varicose veins / laceration of wrist (laceration) |
861.22 |
5 |
|
Injured liver / traumatic rupture of liver |
864 |
2 |
|
Fracture of nose |
873.2 |
1 |
|
Head wound |
873.8 |
1 |
|
Injury of scalp / scalp wound (superficial injury of scalp) |
910.9 |
2 |
|
Back injury / bruised back / bruised body / bruised chest / injured spine (superficial injury of trunk) |
911 |
22 |
|
Bruised shoulder / superficial injury to shoulder) |
912.9 |
2 |
|
Injured forearm / superficial injury of forearm) |
913 |
1 |
|
Bruised hand / crushed hand (superficial injury of hand) |
914 |
28 |
|
Injured finger / thumb / mashed thumb (superficial injury of finger) |
915 |
8 |
|
Crushed finger (superficial injury of finger) |
915.9 |
1 |
|
Bruised ankle / hip (superificial injury of ankle / / hip) |
916 |
4 |
|
Bruised foot / contused foot / foot injury / mashed foot / stepped on rusty nail (superficial injury of foot) |
917.9 |
31 |
|
Bruised lip (contusion of lip |
920 |
1 |
|
Eye injury / contusion of eye and adnexa |
921 |
32 |
|
Injury of hip / rib |
922 |
3 |
|
Injured arm / wrist (contusion of upper limb) |
923 |
2 |
|
Bruised leg / injury of leg / injury of toe / injured toe (contusion of lower limb) |
924 |
3 |
|
Burned face (burn of face) |
941 |
1 |
|
Burn of leg (burn of lower limb) |
945.0 |
2 |
|
Burn of hand |
955.0 |
1 |
|
Burn of foot |
945.2 |
5 |
|
Burn (s) / scalded |
949 |
25 |
|
Slight injuries |
959 |
1 |
|
Injured face |
959.09 |
7 |
|
Head injury / injured head |
959.01 |
6 |
|
Injury of abdomen |
959.12 |
2 |
|
Heat prostration (heat exhaustion) |
992.5 |
1 |
|
Stitch abscess (postoperative infection) |
998.59 |
1 |
|
Frozen hands (frostbite of hand) |
999.1 |
1 |
|
Frozen feet (frostbite of foot) |
991.2 |
6 |
|
Frozen extremities (frostbite) |
991.3 |
2 |
|
Supplementary classification of factors influencing health status and contact with health services |
||
|
Confinement / pregnancy (normal pregnancy) |
V22 |
95 |
|
Birth (liveborn infant) |
V30 |
38 |
|
Tumor / tumor of arm / lower jaw / breast, (other neoplasm) |
V76.8 |
11 |
|
Mslnutrition |
V77.2 |
1 |
|
Supplementary classification of external causes of injury and poisoning (code #s E800-E888) |
||
|
Carbonic acid poisoning (corrosive aroamatics) |
E864.0 |
1 |
|
Lead poisoning (lead and its compounds and fumes) |
E866.0 |
11 |
|
Snake bite, infected (venous snakes) |
E905.0 |
2 |
|
Knife wound / stabbed / stabbed in lung (knives, swords and daggers) |
E920.3 |
3 |
|
Electrical burn |
E925 |
1 |
|
Suicide |
E950 |
2 |
|
Bullet wound / gunshot wound / shot (bullet) |
E991.2 |
38 |
|
|
|
|
|
PROCEDURES / OPERATIONS |
||
|
Procedures and interventions, not elsewhere classified (00) |
||
|
Operations on the nervous system (code #s 01-05) |
||
|
Trephining of skull |
02 |
1 |
|
Crushed skull operation (elevation of skull fracture fragments) |
02.02 |
1 |
|
Operations on the endocrine system (code #s 06-07) |
||
|
Operations on the eye code #s (08-20) |
||
|
Cataract extraction |
13.69 |
11 |
|
Enucleation of eye (eyeball) / eye removed / removal of eye |
16.4 |
11 |
|
Operations of the ear (code #s 18-20) |
|
|
|
Mastoidectomy / mastoid operation |
20.4 |
9 |
|
Operations on the nose, mouth and pharynx (code #s 21-29) |
||
|
Extraction of teeth |
23.19 |
1 |
|
Dentistry |
24 |
1 |
|
Removal of tumor form face |
27 |
1 |
|
Uvulectomy |
27.72 |
1 |
|
Tonsillectomy / tonsillectomy and adenoidectomy / tonsillotomy |
28.2 |
27 |
|
Operations on the respiratory system (code #s 30-34) |
||
|
Tracheostomy |
31.2 |
1 |
|
Operations on the cardiovascular system (code #s 35-39) |
||
|
Repair and ligation of varicose veins / resection of vein |
38.5 |
1 |
|
Operations on the hemic and lymphatic system (code #s 40-41) |
||
|
Tubercular gland removed / lymphadectomy |
40.29 |
1 |
|
Operations on the digestive system (code #s 42-54) |
||
|
Colectomy |
45.8 |
1 |
|
Gastroenterostomy |
44.39 |
1 |
|
Appendectomy |
47.0 |
86 |
|
Hemorrhoidectomy (excision of hemorrhoids) |
49.6 |
2 |
|
Hernitomy (hernia repair) |
53.9 |
31 |
|
Exploratory surgery / laparatomy |
54.11 |
16 |
|
Abdominal paracentesis.paracentesis (percutaneous abdominal drainage) |
54.91 |
2 |
|
Operations on the urinary system (code #s 55-59) |
||
|
Kidney removed (complete nephrectomy) |
55.5 |
4 |
|
Anchoring of kidney (other repair of kidney) |
55.69 |
1 |
|
Operation on stricture (release of urethral stricture |
58.5 |
1 |
|
Operations on the male genital organs (code #s 60-64) |
||
|
Prostatectomy.prostate surgery |
60.6 |
2 |
|
Perineal prostatectomy (prostatectomy) |
60.62 |
1 |
|
Amputation of scrotum (excision of tissue of scrotum |
61.3 |
1 |
|
Extirpation of testicle / orchidectomy (unilateral orchiectomy) |
62.3 |
3 |
|
Circumcision |
64.0 |
17 |
|
Operations on the female genital organs (code #s 65-71) |
||
|
Alexander surgery (uterine myomectomy) |
68.29 |
14 |
|
Trachelorraphy (repair of uterus) |
69.49 |
2 |
|
Hystero-oopherectomy |
68.9 |
1 |
|
Curettage / curettement (dilaton and curettage of uterus) |
69.0 |
80 |
|
Oophorectomy / ovariectomy |
65.3 |
2 |
|
Vaginal surgery |
70.39 |
1 |
|
Ventral suspension of uterus |
75.93 |
1 |
|
Obstetrical procedures (code #s 72-75) |
||
|
Perineolasty / perineorrhapy (repair of obstetric laceration) |
75.69 |
11 |
|
Operations on the musculoskeletal system (code #s 76-84) |
||
|
Removal of necrosed bone / amputation of coccyx(operations on bones) |
78 |
3 |
|
Setting of fracture / reduction of fracture |
79 |
1 |
|
Suturing of tendon of forearm (suture of flexor tendon of hand) |
82.44 |
1 |
|
Tenotomy |
83.13 |
1 |
|
Amputation of hand (amputation through hand) |
84.03 |
5 |
|
Amputation of arm / excision of forearm (upper limb amputation) |
84.00 |
13 |
|
Amputation of finger / index finger |
84.01 |
15 |
|
Amputation of leg (lower limb amputation) |
84.10 |
9 |
|
Amputation of great toe / toe metatarsal joint / removal of metatarsal bones (toe) |
84.11 |
18 |
|
Amputation of foot (through foot) |
84.12 |
9 |
|
Removal of breast tumors (local excision of lesion of breast) |
85.21 |
1 |
|
Removal of ingrown nail / nail |
85.23 |
2 |
|
Amputation of breast (mastectomy) |
85.4 |
1 |
|
Operations in the integumentary system (code #s 85-86) |
||
|
Incision (incision and drainage of skin and subcutaneous tissue) |
86.04 |
1 |
|
Miscellaneous diagnostic and therapeutic procedures (code #s 87-99) |
||
|
Examination |
89.7 |
1 |
|
Removal of toothipick |
98.20 |
2 |
|
Cast put on limb |
93.53 |
1 |
|
Wiring of jaw |
93.55 |
1 |
|
Wound dressing |
93.57 |
1 |
|
Iodoform injection into the hip joint, injection of 606 |
99.29 |
2 |
|
|
|
|
|
“CONDITIONS” NOTED IN THE DIAGNOSIS SECTION OF THE PATIENT LEDGERS THAT FALL OUTSIDE OF ICD-9 CODES: |
||
|
Accompanied son |
|
1 |
|
Companion |
|
16 |
|
Married |
|
1 |
|
Mother of baby |
|
1 |
Comments on diagnoses of patients admitted to Mercy Hospital (1896-1913):
There were 4,087 admissions.
Infections resulted in many admissions, including tuberculosis, with 113 admissions. Extrapulmonary organs affected by tuberculosis were the intestines, the bones, the kidneys, testicles, brain and skin (lupus vulgaris).
Typhoid fever was the leading infection resulting in admission, with 273.
Of the common childhood contagious diseases, there were 4 admissions for diphtheria, 3 for whooping cough, 7 for scarlet fever, 12 for measles, 5 for German measles, and 17 for mumps.
Erysipelas, which today is defined as a streptococcal or staphylococcal infection of the face, resulted in 42 admissions.
Other skin infections, such as carbuncles, felons, cellulites, abscesses, “blood poisoning” were responsible for 67 admissions.
13 patients were admitted with sepsis, and twelve with meningitis.
There were 15 admissions for syphilis, 2 of which were tertiary forms of the disease (general paresis and locomotor ataxis, which is also known as tabes dorsalis).
There were 2 admissions for gonorrhea, and 2 admissions for urethral stricture, likely to be a complication of gonorrhea.
Notable cancer admissions were for the stomach (6), rectum (3), liver (2), and breast (3).
There were only 2 admissions for diabetes, which is strikingly different from modern hospital practice.
There were 159 admissions for mental disease, the leading cause for hospital entry being alcoholism, with 97.
Diseases of the nervous system responsible for admissions included paralysis (30), which I would interpret as “strokes” with modern terminology. In addition, six patients were admitted with apoplexy and cerebral hemorrhage, which also fall into the category of strokes category.
Eye disease was a cause of numerous hospital admissions. 43 patients were admitted for eye infection, 8 patients were admitted with cataracts, 12 because of blindness, and 5 with corneal ulcers. There were 29 admissions for eye injuries.
Mastoid abscess was the leading cause of ear admissions, numbering 8.
30 patients were admitted for various heart diseases, and 31-one with “dropsy”, which would be called congestive heart failure today.
Upper respiratory infections were responsible for numerous admissions, such as sore throats and tonsillitis (96), “colds” (97).
Lower respiratory infection admissions were labeled pneumonia, with 175 admissions.
“La Grippe” was the term applied to influenza admissions, and numbered 48. The diagnosis “bronchitis” was used for 71 admissions.
42 asthmatics required hospital admission.
Miners' consumption and miner’s asthma were the terms used for pneumoconiosis, which resulted in 11 admissions.
Pleurisy was another common admission diagnosis, numbering 45.
The abdomen…
Indigestion, labeled as well as “gastritis”, “biliousness”, “stomach trouble” was responsible for 49 admissions.
Appendicitis was a common emergency admission diagnosis — 157 in all.
Hernia was another relatively common surgical admission diagnosis — 39. Six of the hernia admissions were for strangulated hernia.
Hemorrhoids were relatively common, accounting for 31 admissions.
Another surgical emergency was bowel obstruction — there were 7 admissions.
The GU tract…
There were 4 admissions for “floating kidney”, a diagnosis that would be unlikely to be rendered in the 21st century.
Cystitis (also called “bladder trouble” was responsible for 15 admissions.
Particular to females…
Pelvic inflammatory disease was common, accounting for 18 admissions.
There were 6 admissions for correction of retroflexion of the uterus.
99 women were admitted for delivery
Of the complications of pregnancy, notable were admissions for miscarriages (26), and perineal lacerations (8). There was one stillbirth.
The most common admission diagnosis for skin disease was eczema, with 7.
By far the most common diagnosis for admission with musculoskeletal disease was rheumatism, with 191 admissions.
Old age, senile debility and general debility were the admission diagnoses for 38 patients.
Injuries were a large category of admission diagnoses, with 425. 34 of these admissions were for burns.
There were 6 admissions for frostbite and 1 admission for heat prostration.
Lead poisoning was an occupational hazard of smelter employees, with 11 admissions.
Violence during Durango’s early history is represented by 42 admissions for gunshot wounds.
Comments on operations performed at Mercy Hospital, 1896-1913:
The nature of the surgery was not specified in 207 cases.
86 appendectomies were performed.
Amputations were frequently performed following admissions for injuries to the extremities (70 procedures).
Curettage of the uterus was performed on 67 patients.
31 hernia repairs were carried out.
Tonsillectomy was carried out on 27 patients.
18 circumcisions were performed.
15 patients underwent exploratory laparotomy of the abdomen.
A frequent gynecological procedure was Alexander surgery for retroflexion of the uterus (13 cases).
10 patients underwent cataract extraction.
Mastoid operations were required by 9 patients.
9 eyes were enucleated.
Comments on Mercy Hospital deaths, 1896-1913:
There were 419 deaths among the 4078 admissions, giving a mortality rate of 10% for patients admitted to the hospital.
Infections were responsible for 77 deaths.
Tuberculosis (also called consumption) and typhoid fever were the biggest killers a century ago among the infectious diseases. Tuberculosis was responsible for 35 deaths, three involving extrapulmonary systems (gut and CNS)
Typhoid fever accounted for 18 deaths, five being described as “typhoid pneumonia”, the definition of which is unclear to me.
The common childhood contagious disease which caused death was scarlet fever, which killed three patients. Meningitis was responsible for seven deaths.
There were single deaths from rabies and tetanus.
There were two deaths from tertiary syphilis (paresis).
There were four deaths from what was described as septicemia (blood poisoning)
Cancer deaths numbered 25 — the organs that were identified were brain, stomach, liver, rectum and uterus.
There were eleven deaths involving the nervous system, the most common cause being paralysis, with five deaths.
Death was associated with mental disorders in 13 patients, the most common cause being alcoholism, which accounted for eight.
Diseases of the heart were responsible for 25 deaths, the most common diagnosis being dropsy, which I interpret as congestive heart failure.
The most common disease of the respiratory system causing death was pneumonia, as would be expected, with 35 of the 43 deaths. Of interest was a death from “miner’s consumption”, which I believe would be called pneumoconiosis today, resulting from the inhalation of dust caused by the drills used to pulverize rock.
Appendicitis was the most common disease of the digestive system to cause death, being responsible for 15 of the 36 deaths.
The most common causes of death among diseases of the genitourinary system were nephritis, described as Bright’s disease, accounting for four fatalities, and uremia (renal failure), also causing four deaths.
Injuries were a major cause of death a century ago, being listed as the cause of death in 38 cases. Skull fractures and spinal injuries were especially deadly, causing six and four deaths, respectively. Bullet wounds caused nine deaths.
Surgery was related to many deaths, 73 occurring postoperatively.
The causes of death were unstated or were vague in many cases, with diagnoses such as general debility, old age, and “indisposed”.
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