Excerpts From Annual Reports of the Illinois Department of Public Welfare Manteno State Hospital - July 1, 1941 - June 30, 1942 Population of patients at close of year, June 30th....1941-5,731 and 1942 - 5,995 An active program of Shock Therapy continues; insulin, metrazol and malaria is in progress, and during the past year electric shock therapy has been used. The following work has been performed during the past fiscal year: Male Intensive Therapy Insulin - 87 Electric - 140 Fever Cabinet - 14 Metrazol - 10 Malaria - 31 Female Intensive Therapy Insulin - 58 Electric - 55 Fever Cabinet - 10 Metrazol - 12 Malaria - 50 Sick employees in the Hospital Male - 120 and Female - 188 Surgery Report Hysterectomy - 61 Oopherectomy (removal of ovaries) - 2 Hydrocele (a collection of watery fluid around the testicle) - 1 1st Stage of Colostomy (surgical creation of an opening in the abdomen for waste expulsion) - 2 2nd Stage of Colostomy - 1 3rd Stage of Colostomy - 1 *Lobotomy - 13 Cholecystectomy (removal of the gall bladder) - 20 Drainage of Eye - 1 Ileostomy (creation an internal pouch to hold stool) - 1 Cecostomy (catheter that is inserted into the cecum) - 1 Thyroidectomy (Removal of the thyroid gland) - 1 Exploratory Laps (Abdominal exploration is a type of surgery where the abdomen is opened (laparotomy ) and explored) - 7 Herniotomy (operation for the repair of hernia) - 9 Transurethral Resection (surgical procedure that is most often done to treat benign prostatic hyperplasia) - 9 Removal of Testicle - 1 D & C Sturmdorf & Rectocele (conization, (cone biopsy) and surgical repair of rectocele)- 34 Gastrostomy (passing food directly into the stomach via the tube) - 1 Hemorrhoidectomy (surgical removal of hemorrhoids) - 33 Bilateral Vasectomy (both vas deferens severed) - 3 Cystostomy (surgical formation of an opening into the urinary bladder) - 4 Left Salpingectomy (Surgical removal of the left fallopian tube) - 1 Phimosis (An abnormal constriction of the foreskin that prevents it from being drawn back to uncover the glans penis.) - 1 Teeth Extraction - 1 Re-suturing of Abdominal Wound - 1 Biopsy - 7 Open Reduction (Open reduction internal fixation of bone fracture) - 5 Bowel Obstruction - 1 Fistulectomy (fistula, is an abnormal passage leading from one internal cavity to another)- 6 Appendectomy (removal of the appendix)- 6 Surgical Operations from July 1, 1941 to June 30, 1942 = 235 Patients Employment Program Approximately 4,600 patients are assigned regular duty in the upkeep of the hopsital. The assignment of the work is under the direction of Miss Jane Klingel, who keeps an accurate record of the employment record of each patient. The following is a report of the patients employment program of the past fiscal year. Industrial Therapy: Total 4,660-Yearly and 388 on monthly average. Patents Off Records: Discharges - 1451/yr. - 121/mo. Escaped - 198/yr. - 16/mo. Paroled - 851/yr. - 71/mo. Deceased - 462/yr. - 39/mo. Transferred Out - 131/yr. - 11/mo. Patients Admitted: New - 2,239/yr. - 187/mo. Returns - 348/yr. - 29/mo. Nursing Department The Nursing Staff has been depleted considerably by the demands of War conditions. At the present time we have 27 graduate nurses on our staff, including the administrative, supervisory, and general duty nurses, which is 18 less than at the same time a year ago. Because of the rapid turnover in attendant employees the system of grading personnel as planned has been discontinued for the time being. The attendants' in-service training program continues, but because of the lack of a sufficient number of employees and because of the large number of new employees, it has been necessary to alter the course outline to meet practical needs of the Institution. The present course covers approximately twenty-four hours and is given to the employee before he is put on duty. This is followed up by supervision from the instructor on the ward. The emphasis is definitely being put on ward teaching rather than class room teaching. Dietary Department The patients in Freud cottage were transfered to Zeller, and Zeller dining room was used for the first time. Freud cottage was to be remodeled to a typhoid ward. The dining room on White Cottage was closed when Prince was vacated. Since this was an old basement room where it was difficult to secure proper ventilation and cleanliness, it was an excellent step. A number of the dining rooms were moved so that the patients would get exercise and fresh air walking to and from meals. Cullen, Drake, Willis, Adler, and Wiliams dining rooms were closed. Cullen patients ate at James dining room after the James patients were finished, Willis patients are at Todd cottage, Adler at Morgan and Drake patients at Dix cottage. The architect's office was moved from the north dining room in Dix cottage to make more room for the Drake patients. Williams patients were fed as third groups on James and Todd. As soon as vacancies occurred in other cottages the patients were transferred and these third groups were eliminated.*NOTE: Lobotomy took America and some other countries by storm. They were performed in a wide scale in the 40s, because the mental asylums were brimming over with cases after the Second World War. Between 1939 and 1951, more than 18,000 lobotomies were performed in the United States.