▁miles ▁distant ▁from ▁the ▁miss ions . ▁But ▁it ▁was ▁impossible ▁to ▁deal ▁with ▁serious ▁surg ical ▁cases ▁at ▁such ▁a ▁distance . ▁Hospital ▁buildings , ▁with ▁w ards ▁for ▁in pat ients ▁near ▁at ▁hand , ▁became ▁a ▁necessity . ▁Ar med ▁with ▁an ▁official ▁im prim atur , ▁and ▁encourag ed ▁by ▁promise ▁of ▁help ▁from ▁the ▁Vic ero y ▁if ▁need ful , ▁a ▁subscription ▁list ▁was ▁opened , ▁and , ▁as ▁the ▁result , ▁the ▁London ▁Mission ary ▁Society ▁built ▁a ▁well - equ ipped ▁hospital , ▁the ▁T ient sin ▁Mission ▁Hospital ▁and ▁Dis p ens ary , ▁( under ▁the ▁care ▁of ▁Dr . ▁Mack en zie , ▁and ▁brought ▁to ▁regional ▁prom in ence ▁by ▁his ▁successor ▁Dr . ▁Fred ▁C . ▁Roberts ), ▁with ▁w ards ▁for ▁about ▁ 4 0 ▁in - pat ients , ▁and ▁a ▁medical ▁school ▁attached , ▁the ▁money ▁value ▁of ▁which ▁is ▁about ▁ 5 , 0 0 0 ▁ta els ▁( £ 1 , 5 0 0 ), ▁besides ▁an ▁already ▁considerable ▁end ow ment ▁fund — the ▁whole ▁of ▁which ▁has ▁come ▁from ▁native ▁sources . ▁But ▁this ▁course ▁was ▁not ▁open ▁to ▁Americans . ▁It ▁was ▁hardly ▁feas ible ▁to ▁have ▁two ▁such ▁subscription ▁lists ▁going ▁at ▁once . ▁Besides ▁local ▁public ▁opinion ▁would ▁hardly ▁favor ▁a ▁hospital ▁for ▁women . ▁Just ▁at ▁this ▁time , ▁an ▁American ▁( the ▁Rev . ▁John ▁G ouch er ▁of ▁Baltimore ), ▁having ▁money ▁which ▁he ▁wished ▁to ▁use