xt7cc24qkx1h https://exploreuk.uky.edu/dips/xt7cc24qkx1h/data/mets.xml The Frontier Nursing Service, Inc. 1953 bulletins  English The Frontier Nursing Service, Inc. Contact the Special Collections Research Center for information regarding rights and use of this collection. Frontier Nursing Service Quarterly Bulletins The Quarterly Bulletin of The Frontier Nursing Service, Inc., Vol. 29, No. 1, Summer 1953 text The Quarterly Bulletin of The Frontier Nursing Service, Inc., Vol. 29, No. 1, Summer 1953 1953 2014 true xt7cc24qkx1h section xt7cc24qkx1h The Quarterly Bulleiin
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Frontier Nursing Service, Inc.
TWENTY-EIGHTH ANNUAL REPORT
V vcmmz 29 summa 1953 NUMBER 1
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COURIERS—Left to Right "
SALLY FOREMAN, KITTY BIDDLE, LILA CANER
The drawing on the Bulletin cover is by Kitty Biddle
THE QUARTERLY BULLETIN of FRONTIER NURSING SERVICE. Im. ,'
Published Quarterly by the Frontier Nursing Service, Lexington, Ky. L V
Subscription Price $1.00 Per Year `
VOLUME 29 SUMMER, 1953 NUMBER 1 i ‘
"Entered as second class matter June 30, 1926, at the Post Office at Lexington, Ky., J
under Act of March 3, 1879." A
Copyright, 1953, Frontier Nursing Service, Inc.  
{I
I
I 

 ii
 
E coNTENTs
· ARTICLE _ AUTHOR R PAGE
, Annual Report 2
  Beyond the Mountains 56
  Charities Have No Business National Information Bureau 43
  Field Notes 58
  ` Impressions of a Retreat at Wendover “C'hela” 19
  Kaneez Has a Baby Joan Court 22
I   Me and Marvin Lee Hatheway 25
  Old Courier News 27
  Old Staff News 45
  Operation Paint Brush (Illus.) Paula Grainger 39
.   Reflections on Tenacity Joanna Noble 41
il The Vocation of Nursing M. B. 53
  Wendover Barn (Photograph) Inside Back Cover
1
Q
g ` BRIEF BITS
` Commodore Perry UBS 57
Ai Courier for 1970 (Photograph) 63
  Muncy’s Ford (Drawing) 18
  On the Way to the Pasture (Cartoon) Sophie Lewis 24
il; Our Letter Bag 42
l Our Letter Bag 51
(  Thanksgiving Day Reunion Nora K. Kelly 44
 ?` Village Woman The Oomitrymaiz 26
  White Elephant 52
  Zelia’s First District Delivery
(Photograph) 38
E
1 .

 2 THE QUARTERLY BULLETIN  
HIFNER, FORTUNE AND POTTER  
CERTIFIED PUBLIC ACCOUNTANTS `_
145 EAST HIGH  
LEXINGTON, KY.  
To the Oiiicers and Directors,  
Frontier Nursing Service, Incorporated, ;
Lexington, Kentucky j
Ladies and Gentlemen :— 1-
B
We have made a detailed examination of your records and \
accounts for the Hscal year ended April 30, 1953, with the results
as disclosed by the annexed Exhibits and supporting schedules.
In our opinion all recorded receipts have been duly accounted
for. {
During the year you received new endowment and reserve ,
funds amounting to $56,816.37, and these funds now total in  
excess of $604,000.00. §
Due to deaths, and depreciation, the investment in live stock  
and equipment was decreased by $5,175.00 during the year.  
From the date of your organization to April 30, 1953, you %
received: —  
Contributions and Income ............ $3,595,999.26  
Endowment and Reserves ......_..... 604,854.34  
Total ........................................ $4,200,853.60  
These figures would be impressive for any business, but for  
an organization such as yours, they are truly astounding.  
Your books have been closed under our direction and are {
in accord with this report. I
Respectfully submitted,   J1
HIFNER, FORTUNE AND POTTER { I
Certified Public Accountants. 2
Lexington, Kentucky  
May 20, 1953 “

 I  Faomwmn Nuasmc saavicm s I
  TWENTY-EIGHTH ANNUAL REPORT
Yi of the
to FRONTIER NURSING SERVICE, Inc.
  for the Fiscal Year
  May 1, 1952 to April 30, 1953
lx
i PREFACE
_ As has been our custom since we were one year old, we pre-
  sent our annual report of the fiscal affairs and of the field of
{ operations of the Frontier Nursing Service, to its trustees, mem-
  bers, and subscribers.
E We have, as in previous years, divided our report into two `
;, sections. One section is about money, and one section about
  work.
 
  1.
Q FISCAL REPORT
l Our annual audit is so detailed, and therefore so voluminous,
I that we do not print it in full. The figures that follow are taken
A from the Exhibits and Schedules of the last audit. We have
F divided these figures into four categories, each one covering one
i page, to make easier reading. The auditors’ own Summary is
g the first category. The second is their list of Endowments and
  Reserves. The third category covers all Revenue Receipts. The •
  fourth category we have put into two columns—to the left the
  expenditures of the last fiscal year taken from the audit, and to
(J the right the Budget accepted by our trustees for the current
, D fiscal year, based on last year’s expenditures.
if Under a fifth category, called Inventory, we account for all
{ our properties. All five categories are given in sequence on the
. following pages.

 4 THE QUARTERLY BULLETIN _ `
SUMMARY OF ANNUAL REPORT  
From Ofiicial Audit for Fiscal Year T
‘ May 1, 1952 to April 30, 1953 E
Receipts (not inclusive of new endowments) for the  
fiscal year, of which $124,612.11 were donations  
(the balance of the receipts was from endow- . Q
ment income, benefits, fees, and so forth) ............ $ 210,323.67 ’._
Expenditures (For Running Expenses—including  
repairs, replacements, and upkeep) .,.................... 199,842.@  
Cash Surplus for Year .........,...,.................,...... 10,481.08
Less Charge-offs, Depreciation, etc ................. 8,231.%  
Net Surplus for Year .......................,................ 4_ 2,249.16  
New Endowment received in the past fiscal year ...... 56,816.347  
New Land, Building, Livestock, and
Equipment in the past fiscal i
_ year __._.__...,............................................. $3,056.92 _
Less—Charge-offs (deaths, deprecia— I
tion, etc.) ................................................ 8,231.92- I  
New Decrease _.__..._..,.._...,.......................................... 5,175.00 f
Value of total Land, Building, Livestock, and I
Equipment of Frontier Nursing Service ................ $ 357,509.86 {
Total Endowments of the Frontier Nursing Service  4
to date (This is the value at dates of gifts. Pres- ~  ¤§
¤ ent value would probably exceed this amount- 3; 
including Reserve Fund) ........................................ $ 604,854.34  {
Total Contributions and Income (exclusive of En-  
dowment) from Organization to April 30, 1953..$3,595,999.26 3 
Less :—  
Total Expenses (exclusive of Land, Building and {
. Equipment) from Organization to April 30, }
1953 ............ . ............................................................. $$,247,05128 i
Remainder, in Cash and Cash Items .... $ 16,128.95 { ‘=
In Land, Building, and Equipment 357,509.86 wi:
Temporary Loans ............................ 2,565.82  
Total ____...,.................................... $376,204.63  
Less Indebtedness ............................ 27,256.65  .
Total .................................................................... $ 348,947.98  

 ` ENDOWMENT
ie The total endowment funds of the Service at the close of the
l fiscal year are taken from Exhibit D of the audit and are as
* follows:
,1 Joan Glancy Memorial Baby Crib ____........_,,..,....__......____ $ 5,000.00
Mary Ballard Morton Memorial .................,................ 85,250.83
i Jessie Preston Draper Memorial Fund No. 1 .............. 15,000.00
  Jessie Preston Draper Memorial Fund No. 2 .............. 50,000.00
  Belle Barrett Hughitt Memorial ........................._.......... 16,000.00
,1 Isabella George Jeffcott Memorial ..............._......_......... 2,500.00
;¥ Bettie Starks Rodes Memorial Baby Crib .................. 5,000.00
it John Price Starks Memorial Baby Crib ...................... 5,000.00
  Eliza Thackara Fund .............................._....................... 1,686.79*
Children’s Christmas Fund in Memory of Barbara
  Brown ........................................................................ 1,000.00
 _, Marion E. Taylor Memorial .......................................... 10,000.00
  Fanny Norris Fund ........................................................ 10,000.00
 E Marie L. Willard Legacy ................................................ 3,127.36
 f, William Nelson Fant, Jr., Memorial ............................ 78,349.52
 ’ Mrs. Charles H. Moorman Bonds .................................. 1,100.00
_ Lillian F. Eisaman Legacy ............................................ 5,000.00
· . Donald R. McLennan Memorial Bed ............................ 12,750.00
. Lt. John M. Atherton Memorial .................................... 1,000.00
 I Mrs. Morris B. Belknap Fund ........................................ 25,375.00
= Elisabeth Ireland Fund .................................................. 17,257.50
  Louie A. Hall Legacy in Memory of Sophronia
Brooks for a Center and its Endowment .............. 46,456.96*
I Margaret A. Pettet Legacy .......................................... 1,953.70
 g Elizabeth Agnes Alexander Legacy ............................ 5,000.00
 ' Richard D. McMahon Legacy ........................................ 943.23
 __ Anonymous General Endowments ................................ 102,400.00
 ‘¢ Mrs. W. Rodes Shackelford’s Fund in Memory of
 ¤ her two children ........................................................ 10,000.00
1 Cassius Clay Shackelford (a boy)
  Rodes Clay Shackelford (a girl)
  Hattie M. Strong Memorial ............................................ 10,000.00
 2 Norah Oliver Shoemaker Baby Crib ....... · ..................... 1 ,000.00
g Beulah Bruce Brennan Memorial .................................. 2,000.00
§ Anna Rosina Gooch Memorial ...................................... 10,000.00
, Jeannie B. Trull Legacy .................................................. 29,703.45
{ . _
f i Total Endowment ...................................................... $569,854.34
{  RESERVE ACCOUNT:
Q5 Mrs. Louise D. Crane ............................ $ 4,000.00
E Mrs. Frederic Moseley Sackett ............ 10,000.00
  Mrs. Eliza A. Browne ............................ 16,000.00
 _ M. T. M. Hanrahan Fund .................... 5,000.00 35,000.00
,  Total ....____.................................................................. $604,854.34
 . * Income added to principal. _ _
3 All others at original amount ot gift.

 i
ii
REVENUE RECEIPTS ,  Q
Statement of Donations and Subscriptions Paid  Q
’ May 1, 1952 to April 30, 1953  
Benefits and i
SUMMARY Contributions Bargain Box Totals 4
Alpha Omicron Pi Social Service  ;
Fund .....................,................ $ 3,804.50 $ 3,804.50 Y
Baltimore Committee ._..........._.... 1,079.00 1,079,00 I
Boston Committee ................_._.,... 7,523,32 7,523,32 ’
, Charlottesville Committee .......... 65.20 65.20  .
Chicago Committee ...................... 7,142.87 7,142,87  _
Cincinnati Committee .................. 5,027.86 5,027,86  ·;
Cleveland Committee .......... . ....... 8,305.66 8,305,66 J
Detroit Committee ........................ 6,734.50 6,734,50  ·i
Hartford Committee .................... 792.50 792,50 ‘
Kentuckyzf _  
Blue Grass Committee .......... 12,302.50 12,302.50
Louisville Committee ............ 11,004.00 11,004,00
Miscellaneous Kentucky ...... 4,193.00 4,193.00
Minneapolis Committee ................ 2,314.00 2,314,00 g
New York Committee .................. 20,074.89 $ 7,448.00 27,522,89  
Philadelphia Committee .............. 5,911.55 552,00 6,463,55 fi
Pittsburgh Committee .................. 9,726.00 9,726,00
Princeton Committee .................... 1,034.00 1,034,00
Providence Committee .................. 1,186.06 1,186,06
Riverdale Committee .................... 1,416.00 1,416,00 .
Rochester Committee .................. 3,598.47 , 3,598,47
Washington, D. C. Committee .... 4,750.88 3,246.84** 7,997.72
Miscellaneous ................................ 5,448.85 5,448.85
Totals .................................... $123,435.61%* $11,246.84 $134,682.45
  Total for Kentucky $27,499.50. Y
** 1952 and 1953. Also includes $1,176.50 which should have been donations from 54 donors, but list
was received too late to be itemized. ;
===** This includes the $1,546.50 given by the National Society of the Daughters of Colonial Wars for ’
the Frontier Graduate School of Midwifery.
OTHER REVENUE RECEIPTS , ,
  Fees for Frontier Graduate School _ .
  of Midwifery .......................... $ 7,850.00
Payments from Patients: 1
Income from Nursing °
Centers .......................... $ 8,649.46
Medical and Surgical Fees- 7,692.50
Hyden Hospital Fees ............ 11,734.15 ,
Hyden Hospital Clinic f
Supplies ........................ 10,737.47 38,813.58 ‘
Royalties through 12-30-52 on i  
Book Wide Neighborhoods., 2,713.84 -,
Local Sale of Book Wide  
Neighborhoods .................... 451.20
Wendover Post Office .................... 3,134.88 '
Investment Income ........................ 21,833.07 3,.
Sales of Books and Post Cards. 51.73 ¤ 
Transferred from Eliza A.  
Browne Legacy ...................... 792.92 75,641,22 ?
Total All Revenue Receipts. $210,323.67  ;
S
l

 I
  LAST YEAR’S EXPENDITURES AND THIS YEAR’S BUIIGET
  I. FIELD EXPENSE:
  (Hyden Hospital, Frontier Graduate School
g; of Midwifery, Wendover, and Six Nursing
I; Centers) 1952-1953 1953-1954
.i 1. Salaries and Wages .......,,.__.___.......,________........ $ 59,283.76 $ 62,000.00
 ‘ 2. Medical Director and Vacation Relief
_ (Note 1) ..................__....,.___._...___._.........._.... 6,852.27 6,000.00
 ; 3. Dispensary Supplies (Note 2) __......_...._.._..... 17,691.66 18,000.00
 ·; 4. Running Costs (food, minus board of resi-
  dents; cows, fuel, electricity, laundry,
 l freight, haulage, et cetera) ...................... 36,307.07 37,000.00
5. Feed and Care of 22 Horses, 5 Mules
  (Note 3) ................__.._................_,........._..... 9,491.41 9,500.00
6. Jeeps (14), Truck, Station Wagon Ambu-
` lance ............_..........._____.,.,.._________...,____..__.___ 4,555.79 4,500.00
Q Total Field Expense .......................... $134,181.96 $137,000.00 A
  II. ADMINISTRATIVE EXPENSE:
I 1. Salaries, accounting, auditing, office sup-
I plies, postage, printing, telephone, tele-
graph, et cetera ............___........................... $ 25,119.66 $ 25,000.00
’ III. SCCIAL SERVICE _________________________.______.__._.______________ $ 8,363.89 $ 8,000.00
IV. GENERAL EXPENSE:
1. Social Security Tax ........___.__..........__.._........... $ 1,106.79 $ 1,200.00
2. Insurance (Fire—$288,800.00 coverage,
f Employer’s Liability, full coverage on
. truck, 14 jeeps, and station wagon) ........ 5,193.67 5,200.00
‘ 3. Interest ____.____......._________________________________________... 270.00 270.00
4. Quarterly Bulletins (covered by subscrip-
~ tions) .___..____.._.______.____._________.____________.__....... 4,868.92 4,000.00
· 5. Statistics ........ ; ...............___............................. 2,095.00 2,000.00
. 6. Miscellaneous Projects such as: Doctors
and Nurses for study and observation,
; professional books and magazines .......... 487.90 500.00
7. Miscellaneous Promotional Expenses be-
. yond the mountains .................................... 162.00 300.00
  Total General Expense ...................... $ 14,184.28 $ 13,470.00
  V. MAINTENANCE OF PROPERTIES ......_..................... $ 17,992.80 $ 20,000.00
E Total Expense .................................... $199,842.59 $203,470.00
· VI. LAND AND BUILDINGS, MoToR VEHICLES,
  EQUIPMENT AND LIVESTOCK ................................ $ 3,056.92 $ 4,530.00
  GRAND TOTAL ,.........__._.................. $202,899.51 $208,000.00
  Note 1: Approximately 1/4 of his time spent on districts. A
 , Note 2: Approximately 1/3 of supplies relayed to districts.
Q.  Note 3: Eight animals belong to FNS employees, who must ride to wo1·k.
 I

 l
a THE QUARTERLY BULLETIN  
LAND, BUILDINGS, LIVESTOCK AND EQUIPMENT l
(From Exhibit C of the Audit) i
C INVENTORY  {
Our auditors set a value of $357,509.86 on these holdings, ’-
after adjustments. Among the major holdings are the following:  V
Hyden -
A stone Hospital, one wing of which is the Mary Ballard  
Morton Memorial, one wing the Mary Parker Gill Memorial, g·»
and the frame Annex, a Memorial to "Jackie" Rousmaniere; Joy  
House, home of the Medical Director, a gift of Mrs. Henry B. Joy; ij
Aunt Hattie’s Oak Barn, gift of Mrs. Henry Alvah Strong;  
Mardi Cottage, the Quarters for the Frontier Graduate School   »
of Midwifery; The Margaret Voorhies Haggin Quarters for
Nurses; three water tanks; two employees’ cottages; and out- _
buildings such as garages, work shop, pig house, forge, pump 2
house, {ire hose house, and the Wee Stone House.  
Wendover ‘  
Three log houses, as follows: the Big House ("in memory of A
Breckie and Polly") ; the Old Cabin and the Ruth Draper Cabin; 1
the Garden House; the Upper and the Lower Shelf; the Cour-  
iers’ Log Barn and Aunt .Iane’s Barn; numerous smaller build- Ii
ings such as the cow barn, horse hospital barn, mule barn, tool ii
house, chicken houses, forge, apple house, smoke house, pump `
house, jeep shed, fire hose houses, water tanks, and the Pebble g
Work Shop.  
Georgia Wright Clearing ‘  
A caretaker’s cottage and barns; extensive pasture land  
for horses and cows; a bull’s barn and stockade; two wells.  
Jessie Preston Draper Memorial Nursing Center  
(Beech Fork; Post Office, Asher, Leslie County) V
Frame building and oak barn; employee’s cottage; deep  3
well, pump house and water tank; fenced acreage for pasture ;
and gardens.  .
_  E

  
3
  FRoN•1·1ER NURSING SERVICE __:g
Q
  Frances Bolton Nursing Center
; (Possum Bend; Post Office, Confluence, Leslie County)
Y’ Frame building and oak barn; deep well, pump house and
g water tank; fenced acreage for pasture and gardens.
  Clara Ford Nursing Center
Q (Red Bird River; Post Office, Peabody, Clay County)
 lg Log building and oak barn; fire hose house; walled-in spring;
 ` deep well, pump house and water tank; fenced acreage for
Q pasture and gardens. "
( Caroline Butler Atwood Memorial Nursing Center
  ¤ (Flat Creek; Post Office, Creekville, Clay County)
Frame building and oak barn; fire hose house; walled-in
lj spring; water tank; fenced acreage for pasture and gardens.
  Belle Barrett Hughitt Memorial Nursing Center
  · (Bullskin Creek; Post Office, Brutus, Clay County)
, Frame building and oak barn; iire hose house; walled-in
  spring; water tank; fenced acreage for pasture and gardens.
  Margaret Durbin Harper Memorial Nursing Center
· (Post Office, Bowlingtown, Perry County)
  Frame building and oak barn; fire hose house; walled-in
, spring; deep well, pump house and water tank; fenced acreage
  for pasture and gardens. V
i Subsidiary Clinics
{_ Five small clinic buildings on the following streams: Bull
  Creek, Stinnett (Mary B. Willeford Memorial), Grassy Branch,
  Hell-for-Certain Creek, and the Nancy O’Driscoll Memorial on
  Cutshin Creek.
l Livestock
  Eighteen horses; one mule; one registered Brown Swiss Bull;
g fourteen cows; one heifer; one calf; registered Duroc brood
  sow, and four piglets; over two hundred chickens.
  Equipment
  Equipment includes: fourteen jeeps; one Ford station
  wagon-ambulance; one half-ton truck; tanks; engines; pumps;
, farm implements; plumbers’ tools; sixty—two pairs of saddlebags;
. saddles; bridles; halters; hospital and dispensary supplies and
  hospital and household furnishings in twenty-two dwellings
 ‘ variously located in a seven-hundred-square-mile area.
{ l
I.
 `

 it
10 THE QUARTERLY BULLETIN  
· II  
REPORT OF OPERATIONS * 
T The data in this section are supplied by the statistical depart-  
i ment of the Frontier Nursing Service; by records kept in this i
department on guests and volunteer workers; and by the social .
service secretary maintained by the Alpha Omicron Pi Fund.  
1. {
MEDICAL AND SURGICAL ,
During the whole of the past fiscal year our Medical Director  
was Dr. F. William den Dulk, who is a surgeon as well as a (
physician. Since this was his second year in the Frontier Nursing _
Service, and since thousands of people liked and respected him, -  
we had a busy year. It was not until the summer of the current  
fiscal year that Dr. den Dulk left us for private practice in the T
State of Washington, and Dr. Frances L. Zoeckler took over the  T
duties of Medical Director of the Frontier Nursing Service. In  ,
October and in April Dr. Francis Massie, with his excellent staff,  1
came up from Lexington for general surgical clinics.  .
Our gratitude is extended anew each year toward the phy-  
sicians and surgeons in Hazard, Louisville and Lexington who  
have given courtesy care to patients and members of our staff T
sent to them; to Dr. Harold G. Reineke of Cincinnati for reading,  
without charge, the X-ray pictures mailed to him by our Medical {
Director; to the Children’s Hospital in Cincinnati and the Chil-  Q
dren’s Hospital in Louisville which have continued to give free  {
care to the children we have taken to them; to the Kentucky .
Crippled Children’s Commission, which has taken care of all the
children we referred to them; to the Kentucky State Board of  
Health for the kindness and cooperation of its Commissioner Y
and the Directors of its Divisions, particularly that of Maternal l
and Child Health. 1]
A
2. `~
HYDEN HOSPITAL
Hyden Hospital—with 25 beds and 12 bassinets—was oc- ·
cupied 7,199 days last year by 1,166 patients with a daily average  
l
 E
I
 l

  
 i
  Fnonrma Nunsme smuvicm 11
1 of 19.7 patients at a cost per patient day of $9.56. Of the 1,166
  patients cared for at the Hospital during the iiscal year, 216 were
  sick adults, 430 were obstetrical patients, 251 were children, and
I 269 were newborn. There were 9 deaths in the Hospital, of which
i 9 were newborn. There were no maternal deaths. There were
j_ 197 operations performed. At the Medical Directors’ clinics in
  the outpatient department of the Hospital, there was a total of
  10,593 visits received during the past fiscal year.
{ 3•
I D1sTR1cT NURSING
In the 12 districts operated by the Service from the Hospital,
, Wendover, and six outpost centers, we attended 9,609 people in
‘   2,137 families. Of these 4,756 were children including 2,396
  babies and toddlers. The district nurses paid 19,854 visits and
 _ received 22,642 visits at their nursing centers and at their special
— clinics. Bedside nursing care was given in their homes to 1,015
 1 sick people of whom 6 died. At the request of the State Board
4 of Health, the Frontier Nursing Service gave 4,379 inoculations
 s and vaccines against typhoid, diphtheria, smallpox, whooping
  cough, et cetera, and sent 3,323 sp_ecimens for analysis.
{ This part of our report has reference to general district
 T nursing only and does not include midwifery carried day and
 Q night by the nurse-midwives along with their district nursing.
[ The iigures for midwifery are covered under the following
 ` section. _
V 4.
 I MIDWIFERY
2 Registered Cases
p The nurse-midwives and the midwifery students of the Fron-
 1 tier Graduate School of Midwifery (under supervision of their
_·\ instructors) attended 459 women in childbirth, and gave them
'g . full prenatal and postpartum care. Of these 459 women, 16 were
delivered by our Medical Director and our consultants. There
= were 455 live births and 4 stillbirths; 7 deliveries of twins; 359
new cases admitted; 448 closed after postpartum care; 7 mis-
F carriages. There were no maternal deaths.
l .
  >
I
l

 w
12 THE QUARTERLY BULLETIN g
Emergency Cases--Unregistered  ·
In addition to these regular registered maternity cases, the  _`
Medical Director and the nurse-midwives were called in for 55 2
emergency deliveries, where the mother had not been registered  `,
or given prenatal care, which resulted in 9 live births, 3 still-  A
births, and 42 emergency miscarriages (25 early and 17 late).  
Postpartum care was given to 4 other unregistered mothers. I 
There was no maternal death.  
Outside-Area Cases { _
There were 191 women from outside our area who were  
carried for prenatal care. Of these, 31 were closed before ·
delivery. Most of our outside-area patients move into our dis- i
trict or our Hospital for delivery. In that case they are trans-
ferred to our regular midwifery service. However, the nurse- .
midwives did go outside our area to deliver 7 such patients of
7 live babies, in their own homes, with no maternal deaths. .
7 5.
FRONTIER GRADUATE SCHOOL OF MIDWIFERY
The Frontier Graduate School of Midwifery has two classes
annually, each of six months’ duration, which start on October ·
15th and April 15th. During the past year 12 registered nurses
were graduated from the School. The twenty-sixth class since
the School opened in 1939 is now in attendance. When its work
is completed on October 15th the School will have sent 127
nurses, qualified as midwives and in our frontier technique, to
render service all over the world. Graduates of the School are in
a number of our states, and Alaska, the Philippines, and in ~
various parts of Africa, Japan, India, Thailand, and South T
America. I
. _\
I 6. i
GUESTS  
The Frontier Nursing Service entertained at Wendover 81  ?
overnight guests who stayed 854 days. In addition Wendover i

 1
1
ii FRoN·1*1ER Nunsmc. SERVICE 13
 = ` entertained for meals 196 guests for 250 meals. Included among
 3 these guests are both outside and mountain friends.
 at The Service entertained at the Hyden Hospital overnight
- guests for a total of 78 days, and day guests for 355 meals.
 * Guests of the Service during the past year have included not
g only Americans, but persons from the following lands: England,
 · Germany, South Africa, India, Ethiopia, Egypt, Thailand,
i Holland. ‘
_ 7.
  VOLUNTEER WORKERS
; Sixteen couriers and nine other volunteers worked for the
' Service a total of 1,150 days. During the time the volunteers
were with the Service they lived at Wendover, Hyden, and the
outpost Centers.
· 8.
i SOCIAL SERVICE DEPARTMENT
j (Alpha Omicrou Pi Fund)
During the past fiscal year the Social Service Department of
the Frontier Nursing Service has given financial aid to 135
families or individuals, as follows:
- Provided monthly allowance to one person
Provided monthly pension to one person
Administered an Idiot’s Claim for 2 persons
Gave grocery orders to 18 families—a total of 30 orders
· Gave garden seed to 3 families »
Aided 8 burned-out families
Purchased 4 bus tickets to Lexington for patients
g Purchased medicine for 6 patients
Y Purchased shoes and clothing for 5 persons
Purchased cow for one family
\ Paid school bills for 3 children
i Made loans to 2 persons
, Purchased glasses for 38 patients
4 Paid dental bills for 6 patients
  Paid Lexington hospital bills for 5 patients
  Paid Red Bird hospital bill for one patient

 14 ` THE QUARTERLY BULLETIN  
Paid Hazard hospital bills for 2 patients ‘ .1
Paid Hyden hospital bills for 23 patients _
Paid fees at outside clinics for 2 patients
Paid for coal for one family Y
Paid for room and board in boarding home for one -
° mother and baby and one child. 1
Many patients have been transported to and from the Fron- 1
tier Nursing Service Hospital and outpost centers. In addition  
there were:  
18 trips to Hazard with 59 patients—49 children and adults  
for eye examinations, 9 patients to the dentist, 1 patient
to Hazard hospital. ,
1 trip to Houston Mission School, Houston, Kentucky with ·
1 child. 1
1 trip to a Kentucky Crippled Children’s clinic in Man- 1
chester with 18 patients.
12 trips to Lexington with 15 patients—3 children for eye
examinations prior to surgery, 4 patients to Lexington 1
hospitals, 8 patients to the Kentucky Crippled Chilg
dren’s Commission.
13 trips to Cincinnati Children’s Hospital with 8 patients. _
General services and aid have been given other families and
individuals, such as: I
Distributed hundreds of articles of clothing, shoes, books,
1 etc. to needy families. »
Obtained 4 bus passes for indigent patients.
Gave special assistance to one family with a young deaf
child.
Supervised college student doing field work in the Social
Service Department.
Assisted with the distribution of toys and clothing for i
Christmas and helped with the Christmas parties. j
Helped with the Annual Wendover Easter Egg Hunt.  
Services and time given in a number of other cases of a Y
miscellaneous nature, and in cooperation with the G
County Welfare and Health Departments, the local  Y
Red Cross Chapter, the county judges, the county  
child welfare and vocational rehabilitation repre-  

  Il ( 1¤'RON·1·111:R NURSING smzvrcn is
l   sentatives, and the Frontier Nursing Service medi-
@ cal Director, district nurses, and hospital staff.
i . 9.
, CHRISTMAS
{ The Frontier Nursing Service gave toys and candy to more
  than 5,000 children at Christmas, and clothing to those that
  needed it. The Service also held Christmas parties at many
  different places for these children, with Santa Claus, Christmas
’  trees, and Christmas carols. All of this was made possible by
.$ the generous response of hundreds of people to our annual
. request card for the children’s Christmas.
A IH.
p TWENTY —EIGHT YEAR TOTAL
  It will be of interest to our members to read a few totals
. covering the whole twenty-eight-year period of our work.
. Patients registered from the beginning ...................................... 41,111
Babies and toddlers ..................................................... 16,335
* School children .............................................................. 7,840
Total Children ...................................................... 24,175
. Adults ............................................................................ 16,936
Midwifery cases (reg.) delivered .................................................. 9,476
‘ (Maternal deaths, 11)
p Inoculations ...................................................................................... 184,185
` Patients admitted into the Hyden Hospital* ............................ 13,846
Number of days of occupation in Hyden Hospital* ................ 124,640
; * For 23 years and 6 months. The FNS Hospital at Hyden was opened in the iiscal
year 1928-1929 and operated only six months in that year.
Z coNoLUs1oN
  From an administrative point of view, this past fiscal year
  has been one of our hardest. Only those of the second World
M War were more diflicult. Our executive secretary, Agnes Lewis,
3 was away until Christmas. This meant that upon less accusg
• tomed shoulders fell the brunt of such repair and upkeep on
‘  our vast properties as could not be deferred. The whole Hyden
3; Hospital water system-—from the 200-foot well with its deep well
1 pump, its booster pump, its two motors, its controls, on up to the

 I
. I
1
16 Tm: QUARTERLY Buruzmm  
reserve tanks on the side of the mountain, and then on down to  
the septic tanks and drainage 1ields—-this whole system started  
, the year on the blink. We coped for months with various parts  Q
p of it—in turn—under the direction of our indefatigable trustee, A
Mr. Chris Queen, the Ford Motor Company engineer on Red .
h Bird River.  
In October came the forest fires, with weeks of terrible i
tension. Early in November our assistant director, Ann Mac- .
Kinnon, the superintendent of Hyden Hospital, suffered the  [
devasting heart attack from which she died in early February.
Another assistant director, Betty Lester, who was field super- ,
visor, took over as Hyden Hospital superintendent, but that left _ ·
the field with only such supervision as the administrative as- _  
sistant director, Helen E. Browne, could give it and continue  
with her own work. There isn’t space to tell how we have met  Q
these shortages of key people. But we do want to pay special §
tribute to our outpost center nurse-midwives, who carried their g
hea