Florida East Coast Railway Hospital
St. Augustine Florida
East Coast Hospital
Railway employees first went to the Alicia Hospital but space reserved was so inadequate and the
attention so poor that during a latter part of the year none of the employees needing attention could be
prevailed upon to enter the hospital   Next they rented a house (at least for the whites - blacks were
treated in a barn). 50 cents per month was assessed from each employee for their health care.

The original building was occupied in 1891. The hospital was originally for the treatment of the ill and
injured among the employees and their families of the
F. E. C. Railway throughout the state. In the
1894 Chief Surgeon Annual report $361.50 was paid to surgeons, 136 people were treated at the
cost of $2.65 per patient. Dr. Shine was the chief surgeon that year.

The original building of the Florida East Coast Railway Hospital burned on November 27, 1901. At
the time of the 1901 fire all the patients were removed and sent to the barracks hospital. The x-ray
machine was also saved.

Dr. S. G. Worley helped establish the hospital. He had been in Kissimmee for seven years when he
was called to St. Augustine to organize the railroad hospital and establish a training school for nurses in
connection with his duties as chief Surgeon. He was chief surgeon by at least 1896. He was born in
Tennessee, attended Tulane University and was graduated from the Atlanta Medical College. Before
Florida, he practiced in Louisiana, Georgia, and Texas.

In 1914 he resigned as surgeon to open a private hospital across the street on the site of today's
Broudy's Liquor.

Dr. Murray W. Seagears  was the chief surgeon in 1916.  He published a book of rules and
regulations for the East Coast Hospital Association that may have been the rules before 1916. The
Chief Surgeon appointed the doctors, nurses, etc. for the hospital subject to the consent of the
Executive Committee.

The booklet stated that the hospital was open to the treatment of sick and disabled persons of any
creed, nationality or color.  This does not mean that the hospital wasn't segregated into wards based
on color , but it did treat African-American patients. There were some exclusions for payment of
treatment rendered: All persons suffering from venereal disease or injuries resulting from vicious
practices such as fighting, wrestling, etc. are not entitled for treatment for such ailments not to be paid
for by the association. While persons were entitled to free vaccinations the hospital could not care for
smallpox and yellow fever.
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