Abstract
To show the beginning of the General Hospital of Madrid, its localization, economical problems and medical protagonists, mainly the first medical director: Dr. Perez de Herrera. Also, to show its scientific and health-care contributions to the people of Madrid and other cities, coming in the search for training or health-care. We reviewed writings and books from well-known doctors, experts on history of medicine, and documents about the old and new Madrid and its monuments. The history of this hospital, medical school and temple, is engaged with the history of Madrid's provincial Charity. Economical difficulties were great to subside. At the end of the 19th century one of the eldest urology departments in Spain was consolidated.
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