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Pauper Patient Scandal.) .

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Pauper Patient Scandal.) aftA VE CHARGE AGAINST A DOCTOR. Government Inquiry at Carmarthen. Mr F. T. Biroham, Local Government Board inspector, held an inquiry at the Carmarthen Workhouse on Wednesday morning relative to the complaint againstDr. John Ellis Edwards,medical officer for the Conwil district, for his alleged neglect in attending Maria Evans, a deceased pauper patient, of Bankbach. The Carmarthen Board of Guardians had called upon Dr. Edwards for an explanation of the allegations—that he bad neglected to attend the old woman, who was 80 years of age, and that he instructed a girl servant to five a certificate of death without seeing the patIent-and the members expressed their dis- approval of his conduct), and this investigation was the outcome of the correspondence on the subject being placed in the bands of the Govern- ment Department. Benj. Lewis (16), mason's apprentice. Heolcwm, laid his mother sent him to Dr. Edwards on Friday, February 1st, in order that he might go to see witness's grandmother at Bankbach. He saw the doctor at eight o'clock that morning at hia bouse at Conwil. He told him his grand- mother was very ill, would he go to see her. The doctor said be was going to Carmarthen, but he would attend the deceased woman that night. The doctor gave him noinatructions, butgave him a powder to give to his grandmother. The medical officer asked him to let him know if she died before that night's visit. Witness took the pow- der to his mother, but be did not see her give it to his grandmother. His mother, however, went to his grandmother's. His house was distant about 1*4 mile from Bankbach. There his mother stayed until after the interment. He did not remember whether the snow was falling on February 1st. To Mr D. E. Stephens, solicitor, and a guar- dian He did not know whether the doctor asked how far Bankbach was, but he asked the way thitber. He told the doctor he had been to Tynewydd, and that Bankbacb was on the top of the common. The house was a little way to the left over there. Dr. Edwards: Did I not tell you to put the powder on her tongue ?—No; you only told me to give it to her. Did I ask you whether she could swallow ?—I do not remember. I asked who was with your grandmother, and you Htid," my mother." Did I Doll tell you to tell your mother to bathe your grandmother's head with vinegar and water, and apply a mustard poultice at the back of her neck ?—No; gon did not. Mr Bircham: Was anyone with you and the joctor at that time ?—No. To Mr Stephens: The doctor spoke to him in Welsh. Dr. Edwards: Where did I ask you to come to let me know if your grandmother died before that jlight?—At Pencaerau ma wr, beyond Blaenycoed. Howell Lewis (19), carpenter, Blaenffos, Pany- bond, said be was the son of Mrs Elizabeth Lewis, Heolcwm. He said his mother sent him to Dr. Edwards on Saturday, February 2nd, for a certificate of death for the burial of his grand- mother. Near the preacher's house, Oonwil- where he had been making arrangements for the lnterment-be met the doctor and told him that his grandmother was dead and that he wanted a certificate. The doctor asked, When did she 1ie!" He replied, "Five o'clock this morning." The doctor told him to go up to his house and >sk the servant girl to write out a paper, and take that to the relieving officer. The doctor ibid him jo tell the servant that thedeceased woman's name was" Maria Evans, aged84." Witness accordingly went to the surgery, saw the servant girl, and told her that the doctor bad told him to let! her to write a paper to take to the reliev- ing officer, so that he could get a certificate to bury his grandmother. Hav. ing delivered to her the particulars of the death—such as had been told to him by the doctor—the girl began to write the paper, when the doctor's two sons went into the room, and me of them finished writing the paper. The doctor's son and witness then took the paper to the relieving officer, who lived at Conwil. He was not then at home, so the doctor's son took the paper back to his father's surgery, and wit- ness returned home. On the following Monday night he went to the pay station of Mr Griffiths (relieving officer), Penybonft, to get the certificate. This witness obtained, but did not notice what was on III. He took it home, and gave it to bis mother. He was at Bankbach when his grand- mother died. He could not swear that snow was falling that evening. It was about the width of a field from the turning of the road to the top of the common. Dr. Edwards When you stopped me and said, My grandmother is dead," didn't I say, Thank you it will save me a journey from going to see her. I am very much obliged to you for coming down-now, "-No. Did I not ask you whether you were present at the death, and whether you were a relative of the deceased ?—No. Dr. Edwards It is no use asking him any more questions, because he gives a distinct denial to them. Those are the only questions I will put to him. Hannah Jeremy (13), servant girl of Dr. Edwards, remembered the previous witness going to her for a paper on the Saturday in question. Mr Bircham What did he say he had come for ?—He didn't say anything to me. Did he bring any paper to you ?—He did not. Did he a.sk you for a paper ?—No, sir. Did be say anything about his grandmother being dead ?—No. Did he ask you to write a paper for him ?—No, tir. Did you write any paper for him ?—No, sir. Or begin to write one ?—No, sir. What did he come for ?—I don't know, sir. Were your master's sons in tbat'day?—Yes, sir. Did he go to them ?—Yes. What are their names ?—Evan and Wm. Edwards. The previous witness went to them, and she saw what was done. Are you certain that HoweU Lewis never asked you to make 'out papers for his grandmother's death 1—Yes. Can you swear to that ?—-Yes. Did you know anything more ?—No, sir. Dr. Edwards Was it Master Willie or Master Evan that Lewis saw ?—Master Willie. Where was Evan ? —He was out somewhere. Mr Bircham She has said My master's two sons, Evan and William, were there." Is that so ?—Witness Yes. You must be careful what you say. But were they in the house ?— Only William. Was Evan: outside ?—Yee. William went) to the relieving officer's house. Did this b<,y knock at the door, or go straight into my houso ?—He walked in without knocking. Wm. Edwards, son of Dr. Edwards, said be was in the ki 'chen when Howell Lewis went to the doctor's house. The servant girl was there. What did h go there for ?—To ask me to show him the relieving officer's house. Did he ask /or anything else 1—No. He went with Lewis to the relieving officer's house, and the son, who i»rae to the door, said be was at Carmarthen. Witness therefore told Lewis he had better cal again. Did Evan ask you to make a certificate out ?— No neither d J be ask me to make out a paper of certificate of his grandmother's death. Did you wrb3 anything on the paper 1—No. You swear t( it ?—Yes. And you swear that he never asked you 1—Yes. Was your brother Evan there at the time?—No. Where was he ?—I don't know. To the Clerk—He (Lewis) did not say that his grandmother was dead. To Mr Bircham: Nor that he wanted the relieving offioer He only wanted witness to show him the hous*. Dr. Edwards Jid you ever write a certificate out either for her or for anybody else ?—No. Is it customary fo. you to ask me when I go out Where are you goicg ?" And did you do so on this particular morning ?—Yes. Witness was told that his father w., going the other side of Blaenycoed that day.nd that he was going that morning to catch the 11 train for Carmarthen. Ebenezer Griffiths (13), son of the relieving offioer, spoke of the visit of the boy Lewis with young Edwards. Dr. John Ellis Edwards, sworn, said I am medical officer for the Conwil District. I remember the first witness calling at my house about 8 o'clock on a Friday. He asked me to go and see his grandmother, Maria Evans. At the time I did not know whether she was a pauper or not, beoause she had removed from her old address. He said she was very ill, could not speak a word, and, in reply to my question, he said she could nob swallow a drop of water. I gave him a powder (calomel, 10 grains) for her, and told him to ten whoever was attending this woman to put it on her tongue, and if she could swallow a little to give her some water to wash it down, otherwise to leave iii there. I also told him to tell them to apply a mustard poultice to the nape of her neck and to bathe her forehead with vinegar and water. From the symptoms he gave me she was suffering from a paralytic stroke. The boy told me she was 84. I told him I would come later on in the evening, and if she should die 10 the meantime would he kindly let me know by meeeage all a half-way place-at Pencaerau—to save me going farther. Mr Bircham Why could you notgo before ?— Because I had an important miscarriage case at Carmarthen. Witness, continuing, said: I started from Conwil at 9 o'clock on this Friday morning to see my case at¡ Carmarthen. I returned by the 3 o'clock tram from Carmarthen. I went horns and started for Blaenycoed between 5 and 6 o'clock p.m. My object in starting so late was because I had an old servant man, Dd. Da vies, living there, who was in the h\¡,blt of going with me after 6 o'clock to show me any difficult routes. When I got to Blaenycoed, however, he was not there, but he was expected by his wife every minnte, so I waited there. After waiting some time I tried to get somebody else at a public-bouse to ahow me the way. Five persons came in from time to time. I could not get either of them. One said he would not take hali-a-sovereign to show me the way, and another said be would not go at any price. I failed to get a guide, and so I returned ghome. It "was snowing in rushes— regular blizzards. When it did snow you could not see your way at all. Mr Bircham How far was Bankbach from Blaenycoed 1-1 could not tell exactly some say three miles, and some three and a half miles. Is it close to where this old woman used to reside (Coinant) 1—I don't know the place at all. Dr. Edwards (continuing) said: I cannot remember having seen her at Bankbach, I had seen her at Coinant. I knew her, and knew her case well. I considered she had been breaking up for soma time. The last time I saw her was three or four months ^previous to her removing to the place where she died. She made no application for my services "S|for» whilst she lived at Bankbach, On the particular Saturday morning I intended going to sea her, when I met her grandson, who told me that she was dead, I thanked him for having saved me a journey. I asked him if he was pre- sent at the death, and I think, but I am not certain, that he said No." I cold him to go to Mr Griffiths, the registrar, to register the death, and be asked me where he lived. If you call at my house my boy will show you the way," and I pointed out where my house was. That is the fast I heard of it until I heard of this complaint. Mr Bircham: You never gave a certificate then !—I did not. I do not give any certificate unless I have seen the patient two or three days previous to the death. To Mr D. E. Stephens I did not, when the lad came to me about her, know whether she was a private or pauper patient. He gave me her name and address as Maria Euans, Bankbach. The blue book shows a pauper of that name living at Coinant. Mr Bircham I take it that you knew perfeotly well ?—I did not know people could not make out who Maria Evans, Bankbach, was. A Guardian Didn't you go to the relieving officer and ask whether she was a pauper or not ? —What was the use of doing that when I knew he was not at home ? Mr Bircham I take it for granted that you knew she was a pauper. If you did not, then you ought to have made inquiries. Mr D. E. Stephens How did you return to Conwil on that particular Friday ?—On horse- back. You said at the Board meeting that you re- turned by trap, as you had lost the three o'clook train.—Oh, yes I think you are quite right; it is such a long time ago. Mr Bircham But you have sworn that you went by the three o'clock train ?—I usually go back by the three o'clock train that is how I made the mistake to day. Whose carriage did you hire 1-1 had a lift. Who was the owner of the carriage ?—I don't know his name, because I very frequently get lifts. I think, however, that it was a person of the name of Daniel Davies, Llangeler. I very frequently get lifts from strangers who know me but whom I don't know. Mr Bircham (to Mr Rowland Browne, clerk to the Guardians): Did you supply the medical officer with a list of paupers he has to visit ?— No it is on the blue book. Mr Bircham It is only published every year. He then read rules showing that the medical officer had to be furnished every six months with a list.—" Yes," said the clerk, by the returning officer." James Griffiths, registrar of births and deaths, said Howell Lewis called on him on Monday, February 2nd, to register his grandmother's death. Witness asked him if he had a medical certificate, and he said he had not.He registered the death in the usual way. No complaint had been made to him about the case, and no applica- tion was made to him for a medical order. David Jones, Blaenycoed public-house, was called by Dr. Edwards. The latter got to that inn between six and seven o'clock on the evening of the particular Friday. This place was about two miles from Conwil. The doctor waa told by somebody there that nobody lived at Bankbach. The doctor said there was, but he did not say who was living there. The doctor asked witness to accompany him I and show him the way, but he would not go because it was too stormy. Bankbach was three miles from Blaenycoed. The doctor said he would not go alone. He left the inn about eight o'clock. The doctor was at the public-house about one hour and a half. He was trying to get somebody during that time to go with him. Mr Stephens: Whom did the doctor send with a message to Pencaerau ?—I never heard about that. He said he would not go for half a sovereign. The doctor asked for his old servant, David Davies. Joseph Jones, Henffordd, who was in the public-house on the evening in question, corrobo- rated the previous witness as to the request made by the doctor. William Jon es, Clawddcoch David Bowen, Closygraig; and Richard Phillips, Conwil, cor- roborated. Dr. Edwards then brought forward evidence to prove that he was attending a more important case at Carmarthen for six hours on this par. ticular Friday. The inquiry then closed. The matter will be duly reported to the Local Government Board, and the result sent by that body to the Car- marthen Board of Guardians.

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