Dr. James Butler Norris Cane
now browsing by tag
Death Comes in Three: 1868 Inquests
In our previous blog of 29 August 2021 we highlighted three Glenmore inquests that took place in 1866. Today, we are going to feature three inquests that were held in 1868 involving the deaths of three men under entirely different circumstances. One died from pneumonia, another from asphyxia, and the third drowned in a well.
John Forrestal (c. 1813-1868) of Carrickcloney, Glenmore
On 18 November 1868 an inquest was held at Carrickcloney on the body of John Forrestal, aged 55. It was reported that the deceased was formerly a farmer who retired from the management of the farm in favour of his younger brother, Thomas Forrestal. Evidence was produced that the deceased had complained of having a pain since the previous week. “No doctor attended him as he said he did not want one. He had had tea and whey, but no medicine. His sister-in-law, Mrs. Thomas Forristal, deposed that she had used some of both the tea and the whey herself, and had not received any bad consequence from it. He took to his bed, in the barn, in which he remained till his death, which took place on Sunday morning. It was given in evidence that the deceased and family lived on good terms. Neither clergyman nor Doctor had seen the man, and he was discovered dead in bed about 10 o’clock, on Monday. A man slept in the barn, and had not been aware of his death.”
Dr. Cane examined the body and testified that the deceased’s death was caused by pneumonia, and that the valves of the heart were also diseased. Dr. Cane went on to explain that “pneumonia is a disease of the lungs, and the death took place from natural causes…there was nothing to indicate poison.” The jury accordingly found a verdict of ” Death from natural causes” (Kilkenny Moderator, Sat. 21 November 1868, p. 3).
For further information concerning the dispensary doctor, James Butler Norris Cane (c. 1840-1906), who was the doctor covering Mullinavat and Glenmore for decades, see our previous blog of 29 April 2020.
Patrick Darmody of Smithstown
On 31 October 1868 the body of Patrick Darmody, a schoolteacher, from Smithstown, was found by a farmer named Walsh dying in a field at Ballynooney half way between Mullinavat and Glanmore (sic). Earlier in the week the deceased had stopped at the farmer’s house. At said time the deceased stated that he was suffering from a sore throat, and had great difficulty in swallowing. He obtained some medicines from a “quack doctor” named Doolan, at Mullinavat. The medicine comprised an internal wash for the throat, and a bottle for external application. Both of the bottles were properly labelled, and the external medicine had a caution on the bottle that it was poison. “The chief object of the inquiry was to ascertain if the man had received injury from the use of either of these prescriptions, or if he could have accidentally used internally that intended for external application. It appeared, however, from testimony adduced, that the deceased had been most careful and cautious in the use of the bottles.”
Dr. James Cane, Mullinavat, examined the body as well as the bottles and testified that the death was due to asphyxia. The deceased had a large abscess on his right parotid gland that pressed on his trachea. He observed that there was no injury on the body caused by the medicines applied or otherwise. On this evidence the jury—of which Mr. William Costello, of Mullinavat was Foreman — arrived at a verdict ‘Death from natural causes’” (Kilkenny Moderator, Wed., 4 Nov. 1868, p. 3).
John Walsh (c. 1833-1868) of Forristalstown, Glenmore
An inquest was held on 12 September 1868 at Forristaltown, near Glanmore (sic) on the body of John Walsh, a farmer’s son, who had been discovered dead in a well adjoining the farm yard, on the previous morning. The coroner’s jury heard that the deceased was going to take a cow to the fair of Ross early the morning in question. When the family got up at the usual time, about six o’clock, the cow was discovered in the field, although John Walsh was not in his room. A search was then made for the deceased, whose body was discovered at the bottom of a well 30 feet deep, head downwards, and even the feet nearly covered with water. “It appeared his sister, Ellen, discovered his coat in his room, and knowing that it had been his habit to go to the well in the morning to raise a bucket of water to wash his person, she went there, and, looking down, saw his feet above the surface. She promptly let herself down by a rope, and shortly, assisted by her cousin, named Edward Doherty, got up the body. The windlass over the well was found out of order, the iron handle, at one end, being out of its place; and it was conjectured that the deceased had lost his balance in consequence of the sudden disarrangement of the machinery and fallen into the well, head foremost. The skull was injured, and it was conjectured it came into contact with the bucket in the fall. The deceased was 35 years old and unmarried.”
Dr. Mullin, of Ross, was summoned by the constable to determine if the injury to the deceased’s head had been inflicted maliciously before death. After examining the deceased’s body Dr. Mullin concluded the head injury was accidental. The jury arrived at a finding that the deceased came to his death by having accidentally fallen into the well (Kilkenny Moderator, Wed. 16 Sept. 1868, p. 3).
Thus, the juries in all three of the 1868 inquests above found that the deaths were accidental although it is understandable, under the circumstances, how each of the deaths needed to be investigated. Each of the inquests gives fascinating insight into the ordinary lives of local people from the man who would not see a doctor, a teacher who relied on a “quack doctor,” to a tragic accident on a fair day and his extraordinary sister finding and retrieving the corpse by climbing down into the well.
The drawing of the well above is older than the wells of the 1860’s and it does not have a windlass. Robert, Hubert (1733-1808). Woman drawing water from a stone well. 1763 – 1764. Retrieved from the Digital Public Library of America, http://digitalcollections.nypl.org/items/90b4e4a4-4c99-1240-e040-e00a180601fd. (Accessed October 21, 2021.)
Dr. Kathleen Moore Walsh
Dr. James Butler Norris Cane (c. 1840-1906)
In 1867, Dr. James Butler Norris Cane (c.1840-1906) became the Kilmakevogue Dispensary doctor. From 1867 until his retirement in 1900, Dr. James Cane attended to the poor of the very large Kilmakevogue Dispensary area which included most of the parish of Glenmore and also treated private patients in the area. Dispensary doctors are said to have had a difficult and thankless job and an examination of his early paternal influence may provide an understanding of his dedication to his professional duties often in the face of extreme interference by Poor Law Guardians.
Dr. James Cane was the son of Alderman Robert Cane, M.D. (1807-1858) and his Protestant wife. Dr. James Cane was born and raised in Kilkenny City, and he had at least four brothers. Richard and Francis became doctors, and Robert Jr. became an army officer. His father, Alderman Robert Cane, was a doctor with a thriving private practice that included the Butler family of Kilkenny Caste, but he was also the Medical Officer for the Kilkenny Poor Union (Waterford Chronicle, 27 June 1906).
In addition to medicine, Dr. Robert Cane, was involved in politics and became a leading figure in the Young Ireland Movement. In July 1848 the Tablet newspaper of London printed that Dr. Robert Cane, of Kilkenny, handed in a list of 1,700 men, including the mayor of the city and three magistrates, stating that English Parliament offered sufficient proof of the “utter hopelessness of looking to it for either justice or good government.” Dr. Robert Cane was a magistrate and was stripped of his office. On the 31st of July, Dr. Robert Cane was arrested in the middle of the night under the Habeas Corpus Act (Cork Examiner, 2 Aug. 1848). During his imprisonment in the Kilkenny gaol his third son Edward became ill. The authorities refused to allow him to see or treat his child, and Edward died on 2 November 1848 (Freeman’s Journal, 4 Nov. 1848). The citizens of Kilkenny were outraged.
Ultimately Dr. Robert Cane was released after several months, without any charges having been made against him. He was elected Alderman a post which he held until his death. He was also elected Mayor. Due to his popularity, for a week prior to his death the newspapers carried updates on his illness. He died on 17 August 1858 (Cork Examiner, 23 Aug. 1858). One newspaper reported that he died of kidney disease (Waterford Mail, 19 Aug. 1858, yet it has also been stated that he died from consumption. Dr. Robert Cane is buried in St. John’s Cemetery on Maudlin Street, Kilkenny. In 1874 a large memorial was placed on his grave (Kilkenny Moderator, 12 Dec. 1874). Among other achievements, Dr. Robert Cane was the editor of the Celt and wrote The History of the Williamite and Jacobite Wars in Ireland: From Their Origin to the Capture of Athlone. This book was published shortly after his death.
At the time of Dr. Robert Cane’s death he had not made sufficient financial provision for his young family and a subscription appeal was published as well as an auction was held to sell off various personal property including his horse and car and silver household items (Kilkenny Journal & Leinster Commercial & Literary Advertiser, 15 Sept. 1858 & 6 Oct. 1858). The eldest son, Dr. Richard Cane applied in September 1858 to his father’s post as medical officer for the Kilkenny Union, but he was not successful. It was noted by the Poor Law Guardians of Kilkenny that he obtained his diploma from the Edinburgh Medical School on 8 May 1858 (Kilkenny Journal & Leinster Commercial & Literary Advertiser, 4 Sept. 1858).
In the 19th century work of a doctor was difficult. Doctors were called to the sick at all times of the day and night and in rural districts a doctor could be required to travel miles to a patient. Often dispensary doctors caught the illnesses and diseases in the district. An ill dispensary doctor was required to pay for his replacement, however by 1875 it was reported that a dispensary doctor was entitled to up to a month if ill, but thereafter would be required to pay for his replacement (Waterford Standard, 16 Oct. 1875). In February 1862, Dr. B. C. Fitzpatrick, the relieving medical officer in Mullinavat wrote to the Guardians outlining the “malignant fever epidemic” that killed the district’s medical officer, the Catholic Curate and nearly killed himself (Waterford News, 7 Feb. 1862). In 1865, Dr. MacCabe, the Medical Officer in Mullinavat contracted typhus and no replacement doctor could be found (Kilkenny Moderator, 11 Feb. 1865). One of Dr. Cane’s first reports contains reference to treating 14 typhoid cases in the district in 1868 (Kilkenny Moderator, 17 Feb. 1869).
Shortly after Dr. James Cane took up his post he married Mary Carroll on 10 August 1869 at St. John’s in Waterford. His bride was the daughter of Thomas Carroll, a deceased merchant. At the time of her marriage, Mary Carroll, was the Matron of the Waterford Leper Hospital, which was located on John’s Hill (Waterford Chronicle, 27 June 1906.)
In that same year Dr. Cane encountered interference concerning the treatment of a patient from one of the Guardians. Dr. Cane wrote to the Board stating that he did not think that he was required to follow the directions of any Guardian with respect to a patient (Waterford Standard, 9 Oct. 1869). This appears to have been the beginning of a power struggle between some of the Guardians and Dr. Cane. Dr. Cane openly defied some Guardians who expected the doctor to drop everything when they issued a red ticket. A few of the Guardians began to report alleged complaints made by patients concerning Dr. Cane. Commencing in 1872 complaints regarding Dr. Cane’s attendance at the dispensaries as well as the language he used were reported. Although the Guardians found that the matters raised were trivial at least three of the Guardians were vocal and accusatory. Even the Glenmore parish priest at the time, Rev. James Aylward wrote to the Guardians complaining that Dr. Cane had failed to attend the Glenmore dispensary on the 21st of January 1873 as well as having not addressed housing and other sanitary issues. An exasperated Dr. Cane, wrote to the Guardians noting that he was not the sanitation officer and explained that he was ill on the 21st. He asked the Guardians to split the large Kilmackevogue district into thirds and give Rev. Aylward to one of the new hired doctors. (Waterford Chronicle, 8 Feb. 1873). The district was not split.
For a couple of years Dr. Cane on almost a monthly basis replied to one alleged complaint after another. He sought a sworn inquiry to face the accusations. The complaints became more outrageous. At one point Dr. Cane was accused of telling a man he would castrate him. When Dr. Cane requested the dates of the alleged conduct the accusing Guardian refused to provide it. In August 1875, the Secretary of the Local Government Board advised the Kilmakevogue Dispensary committee that after considering the many charges brought against Dr. Cane it declined to grant any sworn inquiry (Waterford Standard, 11 August 1875).
Eventually Dr. Cane sued William Raftis, a Guardian from Mullinavat, for slander. The case was heard by the Queen’s Bench in Dublin in December 1875. It was alleged that the defendant, William Raftis was a large farmer who subjected Dr. Cane to relentless persecution in an effort to destroy his reputation. Raftis denied he uttered the words alleged and if he did utter the words they were true in substance or he was protected by privilege as he was elected. During a two day trial, one witness after another stated that Raftis had been abusive, and had set out to ruin Dr. Cane. One woman who had allegedly told Raftis that Dr. Cane verbally abused her testified that Dr. Cane had never used abusive language in her hearing. The Court rendered a verdict finding Raftis liable. Damages were awarded of £500.
Thereafter very little is reported in the newspapers except from time to time temporary replacements were appointed for Dr. Cane due to illnesses or accidents he suffered. He was granted leave in 1888 (Waterford Standard, 29 Sept. 1889) and in late June 1895 local newspapers reported that Dr. JBN Cane was better. He had suffered an “excessive attack of bronchitis” (Waterford Mirror and Tramore Visitor, 4 July 1895). In 1899, Dr. Cane suffered injuries with a horse and car. He was off work for four months and applied for two more months (Waterford Standard, 2 Dec. 1899). Dr. Cane retired in 1900 after, it was stated, 38 years of service. It was agreed that a sum between £7O and £8O a year superannuation to Dr. Cane be recommended for approval to the Local Government Board (Irish Independent, 1 Feb. 1900). Dr. Cane was awarded the largest pension from the Board of Guardians which the regulation permitted. (Waterford Chronicle, 27 June 1906). Only one candidate sought Dr. Cane’s position at his retirement. Dr. W. White was hired at the rate of £120 per year plus £2O for vaccination fees.
After his retirement Dr. Cane and his family moved to Dublin. The 1901 Census indicates that Dr. Cane was living in Dublin with his wife, Mary Joseph and daughter Catherine Frances, age 26. Dr. Cane lists himself as a medical professional of the Royal College of Surgeons. Also residing in the home is a boarder, Henry Burke, who was 21 years of age, was born in County Mayo, and was a medical student. When his son, Dr. Richard James Cane, obtained the medical officer post for the Swinford Union in County Mayo in 1902, Dr. Cane and his family moved to County Mayo. Dr. Cane died there on 22 June 1906, aged 66.
On 20 May 1910, Dr. Cane’s youngest brother, Dr. Frank Cane, a Division Surgeon of the London Metropolitan police, died at Edmonton, London. The last surviving brother was listed as Lieut. Colonel Robert Cane, R.H.A. (Royal Horse Artillery), Blackheath, London. The 1911 Census of Kilmore, Urlur, Mayo provides that Dr. Cane’s widow, son and daughter were still living in Mayo. In late 1912, Dr. Richard James Cane resigned his position as medical officer of the Swinford Union (Kilkenny Moderator, 30 Nov. 1912). Dr. Cane’s widow, Mary Joseph Cane, died at Rathmines, South Dublin on 12 February 1916 at the Harold’s Cross Hospice. Her death cert provides that she was the widow of a doctor, and died of cancer of the liver. An address is recorded as 156 Old Ford Road, London. In the index of Wills of the National Archive of Ireland, William F. Delaney is listed as her primary heir.
An obituary for Dr. Cane appeared in the Waterford Chronicle of 27 June 1906 and provides a fitting conclusion
“As a professional man he was clever, and he possessed a kindly heart for the poor. He has been known at dead of night, in slush and rain, to travel miles on foot to the relief of a suffering patient, and to find himself abused next morning for not coming in time, an accusation which he bore with the most perfect equanimity. The late Dr Cane was a careful student of national history, a lover of birds and animals, and an expert in their habits. He was first to, herald in the local newspapers the coming of the pioneer swallow, and the first primrose by the river’s brim. He was a book lover as well, and his fondness of archaeological works was such that he accumulated a valuable collection of old books and records, which we hope have not been carelessly dissipated.”
Dr. Kathleen Moore Walsh
The Glenmore Dispensary
Prior to the Poor Law Act of 1838, a dispensary doctor could be employed for the giving of medicine and advice free to the poor. However, to pay for the service local donations were collected and the grand jury, which today would be similar to a County Council, was required to match the donations with local taxes. In general, there were few dispensaries and they were unevenly spread across pre-famine Ireland. The Poor Law Act of 1838 divided Ireland into 130 administrative units called Poor Law Unions. This Act is often cited as the first real effort to put in place a public health system. Each Union had its own workhouse governed by the Poor Law Guardians who were elected by the rate payers. The existing dispensaries were now run by the Guardians and new dispensaries were established.
The dispensary system generated a substantial amount of criticism. Although the Guardians were elected they were all men and came from the upper classes. As highlighted in our last post, the Guardians “elected” the medical staff to treat the poor within their districts. The newspapers are full of reports of conflicts between Guardians over these “elections.” Other controversies arose around decisions regarding the award of contracts as well as to who was eligible for free services, and the nature of the free services.
In general, for medical treatment a ticket system was utilised. The Guardians were each issued with a ticket book. The Guardian would scrutinise the request for services and issue a ticket if he deemed it appropriate. In many cases the persons seeking medical services had to ask their landlord for a ticket. A black ticket entitled the recipient to see the doctor in the dispensary, and a red ticket entitled the recipient to have the doctor call to the recipient’s home. The red ticket was meant to convey urgency, and the doctor would be required to attend the patient as soon as able.
There are numerous complaints of favourtism and graft surrounding the dispensary ticket system. Around the turn of the 20th Century due to the ongoing abuse of the system auditors were appointed by the Government. Any Poor Law Guardian wrongfully providing “outdoor relief” or dispensary tickets to a person not eligible was made to bear the cost of the support wrongly provided. Outdoor relief was support provided without requiring the person to enter the workhouse. Due to the stigma attached to entering the workhouse outdoor relief was preferred by the poor and discouraged by the authorities. The workhouse and Poor Law Union system were not abolished until after Irish Independence in 1922. The dispensary system, for the provision of medical services, continued until 1972 when the medical card was introduced. Today, Danny Dowling related that when he was about 13 (around 1940) he was asked to take a ticket to Rosbercon to get Dr. Fitzgerald for an elderly neighbour. The Greens, of Jamestown, were in charge of the tickets, and Danny rode his bicycle to Rosbercon.
In terms of the parish of Glenmore during the Poor Law Union it was in the Kilmakevogue Dispensary District which fell under the control of the Waterford Poor Law Union. The workhouses of the Waterford Union were all located in Waterford. A description of the vastness of the Kilmakevogue Dispensary District was articulated by the Glenmore Parish Priest, Rev. Robert Phelan, in 1912 when he was seeking a fairer proportion of medical services for the poor of Slieverue and Glenmore.
“It is 18 Irish miles long, extending from a point near Harristown; five miles north of Mullinavat village to the Barrow; 13 Irish miles south of Mullinavat, and varies in breadth from Lukeswell to Kilmacow village, from the bounds of New Ross to Slieverue village and from Ballyverneen Pill to Ballinlaw Ferry. It includes the greater part of the parish of Glenmore, a part of Slieverue and Kilmacow parishes, and all Mullinavat parish, and is intersected by the Bishop’s Mountain, which forms a natural barrier dividing Glenmore parish from Mullinavat parish, thus cutting off all traffic between the parishes. The extent and general hilly formation of the district make it impossible for one doctor to work it without very great hardship to his patients and himself and at a cost for car hire almost equal to his salary. The roads are soft and bad, and after heavy rain almost dangerous to traffic…” (New Ross Standard—Friday, 13 Dec. 1912).
Today, Danny stated that he believes that there was no dispensary in Glenmore until the 1840’s. A newspaper article in 1846 supports this observation as a Glenmore district was formed when the Guardians agreed to appoint Dr. Boyd to the Kilcolum, Kilbride and Rathpatrick electoral divisions within the Kilmakevogue Dispensary district (Waterford Chronicle, 27 May 1846). On 14 October 1853, an advertisement appeared in the Waterford News seeking a medical officer for the Kilmackevogue Dispensary District. The salary was £80 a year and the area to be covered was 30,000 acres, with a population of 8,000. The election for the post was to take place at Glenmore on the 1st of November 1853. Candidates were instructed to send their qualifications to Robert Grant, Honorary Secretary, of Haggard, Glenmore.
Danny believes that the first dispensary was located in attached premises adjoining the Gaffney shop and currently the end of Danny’s house in the Village. However, Danny stated that an old man years ago told him that the dispensary was once located in an outbuilding near where the current Glenmore Pub is located. The Waterford News of 18 September 1857 provides an account of the report of Dr. Purcell, the medical inspector. When Dr. Purcell went to visit the Glenmore dispensary he found that it had been converted into a public house, by the owner and caretaker. Unfortunately, the owner is not identified. The room where the committee held their meetings was converted to a whiskey shop and the patients’ room was a drinking room. This conversion had been done with the “approbation of the managing committee.” The Guardians were requested to immediately provide other and more suitable premises for a Glenmore dispensary.
Whether the Gaffney dispensary was the first or second dispensary is not known, however, by 1874 Gaffney was reported in the newspapers as being the caretaker of the Glenmore dispensary. Mr. Duggan, the Guardian, proposed that the salary of Nicholas Gaffney, the caretaker of the Glenmore dispensary, be raised from 9d a month to 16d per month. Dr. Mackesy, of Waterford, seconded the motion and it passed with one dissenting vote.
Eventually, due to the fact that the Kilmakevogue Dispensary district was so large dispensary buildings were established at Mullinavat, Slieverue and Glenmore. The doctor established hours at the various dispensaries and did his best to respond to the needs of the poor in the district. The dispensary doctor was required to provide and pay for his own horse and car. Danny does not believe that a dispensary doctor ever lived in Glenmore. The doctors were generally based in Mullinavat, and over the years much has been written about the poor quality of the house provided to the dispensary doctor in Mullinavat. The work of the dispensary doctor has been described as a hopeless and thankless job (John Dorney, A Hopeless and Thankless Job: The Dispensary Doctor in Ireland (2017) available at https://www.theirishstory.com/2019/12/13/a-hopeless-and-thankless-job-the-dispensary-doctor-in-ireland/#.XqQyCGhKhPY. ) The next post will highlight the trials and tribulations of Dr. James Butler Norris Cane who for 38 years was the dispensary doctor of Glenmore.
In 1906 P.N. O’Gorman & Co., of New Ross, purchased the premises of Nicholas Gaffney and was prepared to take over the Glenmore dispensary and caretaking on the same terms. This was accepted by the Guardians. (Waterford Standard, 31 March 1906). In June 1908 the medical inspector issued a report concerning the poor condition of the Slieverue and Glenmore dispensaries. Repairs were immediately commenced in both dispensaries and it was reported that the Glenmore dispensary was temporarily moved to allow for the repairs.
By August there was an open and very public dispute with the newspaper labelling the meeting of the Guardians as heated. The dispute centred on whether the dispensary should remain where it had been or move. It was agreed to put in place a Glenmore Committee to review and make recommendations. Only after the committee was agreed was a letter from Robert Fluskey provided to the Guardians. Fluskey offered a detached house with sanitary accommodation and stabling for the doctor’s horse at the rent of £3, 17s., 6d.. P.N. O’Gorman was getting £13. Various Guardians expressed outrage that the letter was withheld and the arguments erupted again. (Waterford Standard, 22 August 1908). Eventually the Glenmore committee met and more battles took place until it was agreed to recommend to the Guardians that the dispensary stay in the P.N. O’Gorman building with extensive repairs and improvements being carried out at the landlord’s expense. (Waterford Standard, 19 September 1908). This dispensary was later incorporated into the end of Danny’s house.
Danny believes that the last dispensary that was built on the hill (just above the barracks) in the late 1940’s. Prior to it being built a temporary dispensary was on that spot until the new one was built. After 1974 the last dispensary was used infrequently by the public health nurse until it was eventually sold around 2000 and became a house.
The featured photo is a Google Earth view of Glenmore Village.
Further reading: Brian Donnelly, “The Historical Development of Irish Hospitals and the Importance of their Records,” in National Archives, Survey of Hospital Archives in Ireland (2016) p. 5-10 available at https://www.nationalarchives.ie/wp-content/uploads/2019/03/PRF_106780_SURVEY_OF_HOSPITAL_BOOK_V7.pdf
Dr. Kathleen Moore Walsh