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The Charity Hospital (New Orleans, La.) Lunatic Asylum admission book contains admittance records compiled from July 1841-December 1848. The patients, who included men, women, and children from multiple states and countries, were admitted for mental health issues and contagious diseases.

The Charity Hospital (New Orleans, La.) "Admission Book" contains around 208 pages of admittance records for the New Orleans Charity Hospital's lunatic asylum, compiled from July 31, 1841-December 16, 1848. Each entry spans 2 pages and contains the patient's name, place of nativity and most recent residence, length of residence in New Orleans, age, and marital status, as well as information about their illness and the date of their death, discharge, or abscondence; some patients were transferred from the Lunatic Asylum to the Charity Hospital. Many patients originated from other countries, often in Europe, and some are identified as slaves. Frequent ailments included delirium tremens, general insanity, and epilepsy. Some records contain a proposed cause of the patient's disease, such as "liquor." In 1847, the hospital admitted a large number of children with infectious diseases; some of the children's mothers occupied the hospital's numbered wards. Clerks recorded monthly and yearly reports regarding the numbers of patients the hospital had admitted, the number who had been discharged, and the number who had died.

William Quitman Wilkins kept this daily diary from January 1, 1869, through April 27, 1869, largely while attending medical school at the University of Louisiana and receiving clinical training at the Charity Hospital of New Orleans. He reported on case studies, operations, recommended treatments, pharmaceuticals, post mortem examinations, tests, and other aspects of his education. Wilkins also reported on his evening and weekend social activities, including attendance at concerts, operas, "varieties," Mardi Gras, and other events.

William Quitman Wilkins' kept this daily diary from January 1, 1869, through April 27, 1869, largely while attending medical school at the University of Louisiana (now Tulane University) and receiving clinical training at the Charity Hospital of New Orleans. He reported on case studies, operations, recommended treatments, pharmaceuticals, post mortem examinations, tests, and other aspects of his education. Wilkins kept his diary in a pre-printed "Patent Self Closing Diary for 1869."

The physicians he studied under included Drs. Frank Hawthorn, J. D. or S. M. Bemiss, Stanford E. Chaille, Warren Stone, and others. Examples of conditions represented in Wilkins' notes include dysentery "from alcoholic poison," pneumonia, typhoid, gangrene of the penis, delirium tremens from the use of opium, malaria, syphilis, constipation, chorea (in a ten year old), opium poisoning, suffocation from hemorrhage, and other ailments. He also wrote of smallpox vaccination and amputations. In one instance, he witnessed an African American woman's operation for "skirrus" (i.e. scirrhous) cancer of the breast (February 27).

In the evenings and on weekends, he attended concerts, "varieties," operas, and plays. He met Tom Thumb and visited Henry Clay's monument on Canal Street (January 9), watched James Robinson & Son (January 18), attended a performance of Fire Fly (January 21), assisted in the wedding of his aunt Sallie and uncle John (January 28), reported on Mardi Gras (February 9), and witnessed the Fireman's Festival and Parade (March 4).

W. Q. Wilkins had apparently received a gunshot wound in his leg/hip and toward the end of the term he underwent surgery to remove bone fragments (March 12). He left New Orleans on March 18, and arrived home in Oxford, Mississippi, the next day. After his arrival, he suffered for weeks with chills, a fever, and leg abscesses. During this time, he briefly mentioned family visitors, reading, taking invoices of drugs, and much bedrest. On April 3, Dr. Isom (possibly Dr. Thomas Dudley Isom [1816-1902]) removed two more bone fragments from his leg. By April 27, his health had improved and he began to study his textbooks once again.

The final 24 pages of the diary contain notes for one of Dr. Chaille's tests, lists of medicines, Medical Association of Lafayette County's fees for various medical treatments, names and addresses, and other notes.