xt7fbg2h8808 https://exploreuk.uky.edu/dips/xt7fbg2h8808/data/mets.xml The Frontier Nursing Service, Inc. 1933 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. IX, No. 2, Autumn 1933 text The Quarterly Bulletin of The Frontier Nursing Service, Inc., Vol. IX, No. 2, Autumn 1933 1933 2014 true xt7fbg2h8808 section xt7fbg2h8808 I0 Quan ter 3 u ct1n 0f
Tl ( · l * B ll ’
Tl F · ° · N · ° ' Q °
I0 I()]`ItI€I ulslng »  €I°V1C€, Inc.
VOL. IX AUTUMN, 103:: NO. 2
I
V I
B
U ” _. M ''`‘ ` ··_ M   
` A V `I A. IF'.! ."` - ` " f '• "f>T •¢  
` @-2 Tw " ‘· _  '__   ~'   ___f  
  V ' " `   _ (J ‘~  ` \\A?   ya     V   . s· 4 a` I y' i
i       » :»             
 .._   V ~ ` _ f ` {   `  k X`-    V V5 W J *; `
°; ~    ¤¤~»w•¤M¤iV 3  ` » A A .' `$"" ~—· _ ` " · ,        
  `   » A ,  
‘{ vi,. - '     ` !••¤· »  .   M
3 .   ` . . `   “ ' ,$»i‘ _ V I Q i
· 4   U; ._ J  · Mg  M was
·  { __` —’ .»  ‘% ` *2, Q
  ,3 , » .,.·       5 __ \»  
`     » V -`~ , ` "~ . fw · · 6;  Q§§ , *' X ’ ;_  j ,,5: ,.  ·=~ _ —
· · .. » \   , · ,., · »
l             1   \ Q-   x ".P¤—s> ··   ` ”`
,   _ tk ,.   =     fi i   . j;gg,;;    7 _A if
' -     ;   ' <   —`*i‘ · i `
1   ~       »·;~·~ ' 5
" ‘: `¤··‘ ` L `     Y   if ` Q T i |,..:
° ~ * ‘*: i Q     , >·   g, ._     ‘ 3
» ,,-Q   x  “ ··‘ »     ·~»   *
‘  Q       ··;~ _   ,     _;<·;,¥,¢ -·~      1 ·‘ ~  
} gi   ‘  —~   ' » *~—`?`· #        T
‘   `   .   ,   ·    . ». =\  »  4  2%*;   = ;   
{ ` W1     `¤ W ' 0 > . · x            
` ___", _ H , ·  _ V} _,,~` ` ‘*: ` ' `   ‘ »’   \ V      ”, L ;;:r_   $§`   L5,} ji
% » ~ ¤,V      ~5_\_¢ —‘ ·_    - _ __   _    {_  ·        
· MQ- av .. .   . S`  . . wi r · ~ —<-‘»·i»;`;:»°.» »·<: -   ·~;i§·r;?    u·§;}!

 1
1
1
3.
1
1
i
1
¥  
1
1
1
1
1
1
1
1
1
E
THE QUARTERLY BULLETIN OF I
THE FRONTIER NURSING SERVICE, Inc.
Published quarterly by the Frontier Nursing Service, Lexington, Ky.
susscmpwxow Pmcn $1.00 PER YEAR
VOLUME IX AUTUMN, 1933 NUMBER 2 ; I
“Entered as second class matter June 30, 1926, at the Post Office at  
Lexington, Ky., under the Act of March 3, lS’79." _. 
Copyright 1933 Frontier Nursing Service, Inc. · 
 ‘ 

 1
  ivaoxrnzn mmsixe sisnviciz 1
  A CHRISTMAS CAROLL:
  Sung to the King in the Presence at \\'hite-Hall
i ("lwr. What sweeter musick can we bring
y A Then a carroll for to sing {
{ ° The Birth of this our heavenly King`? 1
“ J Awake the voice! Awake the string!
I From the flourish they came to the Song.
4
  1 Dark and dull night, {lie hence away,
i And give the honour t0 this day,
§ That sees December turn’d to May.
il 2 If we may ask the reason, say
i The why and wherefore all things here
* Seem like the spring-time of the yeere!
1 . . .
  3 Why do’s the chilling winters morne
Smile like a field beset with corne?
i Or smell like to a meade new-shorne,
1 Thus on the sudden? 4. Come and see
I The cause, why things thus fragrant be.
’Tis He is borne, whose quickning birth
l Gives life and luster, publike mirth,
l To heaven and the under-earth.
l Clwr. We see him come, and know him ours,
Q Who with his sun-shine and his showers,
’ Turnes all the patient ground to flowers.
» 1 The Darling of the world is come,
And fit it is we finde a roome
To welcome him. 2. The nobler part
‘ Of all the house here is the heart:
i Choi'. Which we will give him, and bequeath
~ This hollie and this ivie wreath
Z  To do him honour, wh0’s our King,
i-  And Lord of all this revelling.
—Robert Herrick (1591-1674).
l I

 z THE QUARTERLY BULLETIN
SANTA CLAUS TO THE MOUNTAINS
_ As this Bulletin goes to press, from tive to fifteen boxes and y
barrels and packages are arriving every day at Hyden for the
Christmas celebrations over our seven hundred square miles. "
The attic of the Hospital is again as gay as a toy shop. Scores
of trumpets, balls, knives, hundreds of dolls and small garments,
buckets of hard candy, strings of beads for older girls, things
. mounting up to the thousands, bright and useful and so very,
very welcome.
When we first begin unpacking the parcels and cases we _ _
have a feeling of vast wealth and readiness, but as the time
draws nearer and we begin to re-pack the things into the various
wagons to be distributed over the territory, we always realize
that we will run short. When Christmas must be found for over
five thousand children, even thousands of things can run short
by a few hundred. So it is with us each year. Therefore, we
thank everyone of you with deepest gratitude for making Christ-
mas possible for everyone of the five thousand children. Some
have sent toys and some have sent money with which to buy
toys. Because of your generosity not a single child will be for-
gotten.
Sayings of the Children
Little girl (exhausted by her first experience of school ron-
tine) on being asked what she did during holidays at home: "I
just had peace and satisfaction?
Little boy, at settlement school, refusing to exchange his _  y T
overalls for a suit of Sunday clothes: "I don’t aim to rise above r
J my raisin’." ·*»
l . . .
A Lad, after accepting the hospitality of an apple pie and a
glass of milk: "Thank you for the nourishment?

 Fnorrrinp. NURSING smwrcm 3
THE FIRST CHRISTMAS ON RED BIRD RIVER
(1928)
. !
_ A hollow off a fork of Big Double Creek. A log cabin of two  
rooms, the logs hewn with a broadaxe. Outside the cabin—a T
dark night, zero weather, frozen creeks. I had been two hours
riding the five and a half miles. Inside the cabin—an open log
fire lit up the walls, covered with newspapers for warmth and
cleanliness. There was no light but the fire, except for the lan-
. . tern I brought with me.
t The baby came safely, soon after I arrived, a lusty Decem-
ber baby. The mother had been made comfortable, and now the
four older children clustered around me to watch baby’s bath.
We got as close to the fire as we could. So much wind whistled
through the chinking that my nail brush actually froze solid in
the little pan in which I had scrubbed up. On each side of the
fireplace stood glass jars of canned fruit, close enough to keep
from freezing. The family had killed a pig a few days before
and it was in process of salting. From "tother house," namely,
the other room, came the odor of fried ham, which the father
was cooking for our breakfast.
The mother lay quietly resting on her bed. She had been
a good provider. There was the canned fruit, there were the
strings and strings of dried beans, the pig, the cow. The wind
of the rude winter might steal through the chinks of the cabin,
but hunger wouldn’t overtake her little flock. Nor would cold.
The four children were all dressed in linsey woolsey, woven by
her patient hands from the wool of their own sheep. As I
"dressed" the new baby I drew the children into conversation.
Soon Christmas would be here. What did Christmas mean to —
· r I them? Only a name. Had anyone ever received a toy at
* Christmas? No one ever had. None had ever had a store toy
` of any kind at any time. Not one of them had ever even been
to a store. The nearest cross-roads store was miles away from
them—over two steep mountains. The mail order catalogues
were a sort of dream, never realized, just pictures. . 1 `

 1
4 , THE QUARTERLY BULLETIN _
i The children clustered closer about me while I explained U
i to them that people gave gifts at Christmas, and why they gave }
*' them. Then I described at length the Christmas tree in all its l
glory, and said that we would have one at the Clara Ford `
· nursing center down on Red Bird, and that they were invited. `
Their bright eyes showed ever brighter as they listened to
what I know now must have sounded like a fairy tale to them.
After all, they didn’t see the tree. With the mother in bed g
and the father doing the cooking and child-caring, and with j
no mule, they could not be brought to the party. But I carried 5
their gifts to them myself on Christmas Eve, and what won- ;
derful gifts! When I had asked them what I should bring, they {
chorused, all of them, "A bag of peanuts." Imagination could V
reach no further. They knew about peanuts and how they l
wanted them! i
On Christmas Eve my horse and I got over the two snowy
mountains, and the saddlebags we carried were full. Of
course, they had the peanuts, and candy and sweet cookies.
Then both boys got pocket knives of their very own, and each I
of the two little girls got a doll. Never shall I forget their
looks of wonder. It was the first time either of them had ever
seen a doll, and these dolls went to sleep. It was nothing short
of miraculous. And these dolls belonged to them. Truly, the !
C Christmas spirit blossomed like a Christmas rose in that snowy
hollow.
That was five years ago. The December baby, now grown
to a run-about child, has always known Christmas. He knows
why we keep the day, and he knows why gifts come to him.
During all the {ive years his little sisters have played with their
dolls, so carefully and so lovingly that they are still unbroken
. treasures. To more than one Christmas party, with its tree at
the nursing center, has their father brought them since that ll 
first December. Every year the beauty of the season and its ·
} meaning and its gifts awaken afresh the eager response of these  
E young hearts. And for such was the Day created.
. EDITH MATTHAMS, R. N.

 1
_ Fnonrmn Nunsmc smzvicm 5
N THE CIVILIAN CONSERVATION CORPS
I TO THE RESCUE
——— l
Q
J Hyden, Kentucky, y
  November 18, 1933
, Dear Mrs. Breckinridge, _
’ After a quiet few weeks we always seem to get one or two
i abnormal midwifery cases. Since the thirty-eight-year-old primi-
l para whom Doctor Kooser delivered of an eight and one-half
pound breech with extended legs, all the cases have been normal.
Then last week we had two of the worst cases I have known.
I was called out at eight o’clock Wednesday morning with
. the Bull Creek nurse to a perfectly normal eighteen-year-old
wife expecting her iirst baby. She delivered satisfactorily at
nine-thirty that night and then, for no apparent reason, had a
terrific hemorrhage. We sent for Doctor Kooser, and started
treatment immediately getting the bleeding under control—but
l for a while the girl was pulseless. Doctor Kooser came very
quickly even though he had a five-mile trip across Thousand-
sticks Mountain. About one o’clock we were able to leave the
patient in her nurse’s hands, and start back for the Hospital.
We arrived at Hyden at two-thirty in the morning and
went to our rooms to sleep, as we thought, for the rest of the
night. In less than thirty minutes the night nurse came to my
room with a note from "John" Matthams at Red Bird saying
she was with a patient in labor who had made no progress for
ll  more than an hour. That meant a twenty-two mile trip to the
, mouth of Sugar Creek——four miles above the Clara Ford Center.
Q To my surprise two boys from the Civilian Conservation Camp
on Red Bird River had driven over for us in their truck. You
know they are using trucks iu there until "navigation" closes
for the winter months. It was an uncomfortable ride over rocks

 6 THE QUARTERLY Bunnmm
* and through creek beds but our C. C. C. boy drove so carefully *
L that I hit the roof just once or twice.
A We arrived at daybreak, having driven the twenty-two  
_ miles in an hour and a half. As you know, Willeford was on ,
Red Bird making Rounds, and had already gone to "John" _
Matthams’ assistance. The nurses told us the baby had been
born an hour before—an eleven and one-quarter pound boy-— A
but the mother’s condition was very poor as she had hemor- »
rhaged badly. They now had the hemorrhage under control. C
After giving treatment, Doctor Kooser decided the one thing I
for the patient was a blood transfusion, which could only be I
given at the nursing center. A
' Here again the C. C. C. came to our assistance manfully.
They lent a truck and a driver who went 0H to the Center with  
"John" to collect a cot, pillows, blankets, hot-water bottles, etc. ,
At the same time another truck was dispatched to Hyden Q
Hospital with a list from Doctor of his requirements.  
When the first truck came we fixed the patient up as com- {
fortably as possible on the cot. “John," Doctor, and the C. C. C. '
boys with their Commandant rode with her in the back. I sat
by the driver in front with the baby. How carefully the boy
drove over the rocks you can guess when we were more than
_ an hour driving the four miles from Sugar Creek to the Center.
With the river so low we negotiated the three "fords" without
difficulty. I
Three of the woman’s brothers were on hand to give their  
blood, and as soon as the equipment came Doctor got busy J
matching blood while the rest of us prepared for the trans- ‘
fusion. Imagine giving a blood transfusion under such condi- I
tions! Bringing supplies eighteen miles from a hospital over
roads which are just trails through mountains, carrying the ,
patient on a cot in the back of a C. C. C. truck, using a kitchen if ·
stove on which to boil bowls and instruments, ordinary tables ·
l for the set-up, and all of us in a small clinic room with scarcely i
¥ sufficient space to move around the patient and the "donor."
We managed successfully and the patient’s condition im-
proved rapidly. Doctor and I had to get back to the Hospital,

 V so once more the truck took us in the darkness over the rocks
1 and through the creeks and across Buffalo Mountain to Hyden.
i Our grateful thanks are due to the members of the C. C. C. ·.
. who gave us such willing service without which we should have I
been terribly handicapped. i
_ Both mothers and their babies are doing well now—and
, for a few days things are fairly quiet.
P
  Signed: BETTY LESTER
i (Midwifery Supervisor, F. N. S.)
I ..;;_._.T
i
l
n . . . . .
[ C1v1l Works Administration
Friends and patients and stretcher-bearers who have toiled
up in the winter through the sea of mud to the Hyden Hospital
will be gratified to learn that the CWA have taken the roadway
I up to the Hospital as one of their projects and are going to make
i it a good one.
! Among the projects presented in the Leslie County part of
l our area, and accepted by the CWA, is one to put solid wooden
» bridges over about 60 of the creeks to enable the children to
cross the creeks without getting wet on their way to and from
, school. The school houses are also included, and we hope to get
ll - considerable improvement.
l The County Board administering CWA in Leslie is com-
V posed of an exceptionally outstanding group of citizens. The
Administrator will be Ray Roberts, one of the trustees of the
Frontier Nursing Service, and a man of unusual ability and
integrity of character.

 I
l
I 8 THE QUARTERLY BULLETIN I
  MATERNAL MORTALITY  
- 1
NOTE: The following editorial from the New York Times, of ‘
Monday, November 20th, should be read by every American. In _
reprinting it for the readers of the Bulletin, the Frontier Nurs-
ing Service wishes to remind its friends that the F. N. S. has A
now delivered nearly 1800 women in childbirth and has viieveir  
had an obstetricat death. Two women died from heart condi- A
tions, one eighteen days after delivery. Every supporter of the  
F. N. S. is entitled to a glorious thrill in a maternity record 1
rarely equalled anywhere in the world, and excelled nowhere.
Everyone who contributes to the Frontier Nursing Service is (
doing his part, in the name of the mother who bore him, to speed  
the day when all American women are given the clean, safe care ?
in childbirth which is their due. Every contributor to this Serv-  
ice is also helping to wipe out the darkest blot on the honor of I
America—her high maternal mortality.
MATERNAL MORTALITY _
In a diary kept by the mother of William Cullen Bryant I
. this entry is made for Nov. 3, 1794:
November 3, stormy; wind northeast; churned. * * * »
` 7 at night son bo1·n. l
On the following day she "got up" and on the second day  
` "sat up all day; made Cullen a coat and went into the kitchen."  
This record of a childbirth in a farming village in the Hamp- §
shire hills of Western Massachusetts nearly a century and a j
half ago is doubtless fairly typical of that period. The Chicago e
Medical Society last week demanded disciplinary action against `
the editor of The American Medical Association Journal because ,; 
of the publication of an article written by him in which it was · I ‘
_ pointed out that "in the days of midwives and buggy doctors I
l mothers got on fairly well and in some instances better than  4
g present-day mothers." _
, A committee of the New York Medical Academy has just  
made a report of nearly 300 pages, as the result of a three years’
study of "maternal mortality" in this city. It states that 60

 1
l
i Fnoivrma Nunsnvc smnvrcs 9
· { per cent of all deaths which could have been avoided "have been
  brought about by some incapacity in the attendant." To be more
i specific: of the 2,041 "maternal deaths" in this three-year
l period, 1,343 were adjudged by the committee as preventable,
and of that number 61.1 per cent were charged to the medical
· group, 36.7 per cent to the patients and 2.2 per cent to the mid-
‘ wife. As to the first, the shocking statement is made that "most
are plainly the result of incompetence." It is also the opinion
‘ of the committee that the use of anesthesia is a problem of
"most pressing importance," its easy accessibility leading to the
  too frequent use of instrumentation——with a steady increase in
; the proportion ofoperative deliveries.
5 The most surprising part of the report is that the relative
Q death rate per thousand live births is 4.5 per thousand in the
‘ hospital and 1.9 per thousand in the home. But it is not for-
gotten that only deliveries unassociated with abnormalities are
l usually undertaken in the home. Serious cases are likely to be
I referred or transferred to the hospital. But what is most dis-
{ turbing is that the great increase in hospitalization even in
, normal cases has failed to bring the hoped-for reduction in
l puerperal morbidity or mortality. Of special interest is the rec-
1 ommendation that effort should be made to induce women who
cannot obtain adequate medical or hospital care "to avail them-
selves of the services of qualified midwives under the super-
2 vision of physicians." For the hospitals specific suggestions are
made which cannot be ignored without blameworthiness.
y The death rate from causes associated with child-bearing
is higher in the United States than in most other countries with
which comparison may reasonably be made and is only slightly
¤ lower in New York than in the country as a whole. It is higher
I than can be justified in view of the development of modern `
E knowledge.
l
[  
F Miss Bland Morrow, Social Service Director of the Frontier
Nursing Service, in charge of the Social Service Department
i' I · supported by the Alpha Omicron Pi Sorority, has been appointed
Q a member of the Executive Committee of the Kentucky Confer-
 ’ ence of Social Work. It is gratifying to realize that Miss Mor-
; row’s training and experience, and her outstanding work in the
l mountains have obtained recognition by so important a body as
the Kentucky State Conference of Social Work.

   10 THE QUARTERLY BULLETIN
  OVERSEAS
The many friends of Lady Leslie MacKenzie in Kentucky t
and elsewhere in the United States will join in congratulating { I
’ her on her recent honors at Buckingham Palace. Lady Leslie l
MacKenzie has received the Order of the British Empire from
the King for her life-long services to Scottish women and
children.
We have read with pride and joy that our sister organiza-
tions and warm friends, the Queen’s Institute of District Nurs-
ing and the Midwives Institute, both of Great Britain, have
moved into joint new quarters at 57 Lower Belgrave Street,
London, S. W. 1. This beautiful new building, the generous gift
of the National Birthday Trust Fund, was officially opened
October 25th by Mr. H. G. Shakespeare, Parliamentary Secre-
tary to the Minister of Health. Sir Julian Cahn, Chairman of
the National Birthday Trust Fund, presided. Lord Cromer, a
trustee of the Fund, moved a vote of thanks to Mr. Shakespeare,
and Lady Congleton seconded it. Among those taking part in
I the ceremonies were Mrs. Stanley Baldwin, Sir William Hale-
White (Vice—Chairman of the Council of the Queen’s Institute
of District Nursing), and Miss Pye (President of the Midwives
Institute). The person whose presence, however, is most moving
to the Frontier Nursing Service is our warm friend, Miss
Rosalind Paget, the first Queen’s nurse and senior member of
the Midwives Institute, as well as its Honorary Treasurer.
There is hardly a nurse in our Service who does not owe an
undying debt of gratitude to Miss Paget’s generous kindness,
and there are several of us who have been so fortunate as to \
win her friendship. The long history of the climb of district
A nursing and midwifery for the women and children of the less
; fortunate classes of England is symbolized in Miss Rosalind ’
Paget, whose whole life has been dedicated to their welfare.
The Frontier Nursing Service reads of the dedication of
this new headquarters with the keenest interest. All of us are

 Faonrrna Nunsmo smnvicm 11
. members of the Midwives Institute and some of us have been o
Queen’s nurses. We look forward to the day when our early
struggles will have created for us in America as wide a sphere
of usefulness as these two splendid British organizations who
1 have given us such loyal cooperation.
I In this connection, it is well to bear in mind that the most
practical steps in the way of international understanding and
peace and good will are taken, not directly in the name of peace,
but through mutual cooperation for the common interests of
mankind. The Rhodes Scholarships, the Nobel Prizes, some of
the Foundations, and the Frontier Nursing Service are among
the most constructively peace-making agencies in the world.
Books for Christmas Gifts
Clever Country (second edition), by Caroline Gardner
Illustrated; with map.
Nurses on Horseback, by Ernest Poole
Illustrated.
Income and Health in Remote Rural Areas, by Mary B. Willeford
Any one of these three books will be sent to any address by
the Frontier Nursing Service, with card enclosed, at the price of
$1.50 each, postpaid.
FROM CINCINNATI
"You are certainly doing a magnificent piece of work. The
sort of thing that you are doing shows the real spirit of the medi-
\ cal profession."—Pm·ke G. Smith, M. D.
3 FROM LOUISVILLE
' "The cooperation from the nurses at the clinic was the very
best. I certainly could not have asked for better service in any
hospital in the country and you can tell them for me that I look
forward to another clinic."—F. W. Urton, M. D.

 2 12 THE QUARTERLY BULLETIN
l
lz ·
  COMMITTEE NEWS
The Frontier Nursing Service welcomes into its heart a new
committee, which has just been formed in the mining town of ;
Hazard—the nearest city neighbor to the field of operations of
the Service. A group of distinguished local citizens, men and
women, has been formed, with Mr. Lewis Judy as Chairman and
Miss Mary Hoosan as Secretary, and many of our old friends are
among the members. With characteristic energy this committee
has gone into action at once, in time to help us with the Christ-
mas toys for our more than five thousand children.
The Director of the Frontier Nursing Service met 23 en-
gagements in 13 cities in Kentucky, Ohio, Illinois, Nebraska,
Iowa, Michigan and- Minnesota, in October. A good many of these
engagements were expenses paid and with fees for the Frontier
Nursing Service. The subject of the talks, which we called, "One
Step Ahead," was the general social trend of history in relation
to our own times. As these fees helped the diminished budget of
the Frontier Nursing Service we will welcome additional en-
» gagements for a program during the winter and spring months.
We have to announce with sadness and deep sympathy the
death of Mrs. Harlan Cleveland of Glendale, Ohio. Mrs. Cleve-
land established at Brutus the Florence Williams Memorial Li-
brary, which remains as a living memorial to her ardent interest
in the mental, as well as physical, well-being of her fellow men.
  \

 Fizoiwran NURSING sianvicm is
FIELD NOTES
, The names of the charming young ladies shown, with the
` mule, on our cover, are Deba and Floice.
>l< * >l<
The Frontier Nursing Service has a very useful little Ford
car, given it several years ago by the late Mr. Harry French
Knight and his committee in St. Louis. In it we get patients in
and out of the new graded road, to the train at Hazard, and occa-
sionally down to Lexington, 165 miles away. Although only
about six miles of graded road are included as yet in our seven-
hundred-square—mile region, those six miles connect us with the
outside world.
Through the generosity of our trustee, Mr. 'Walter Hoskins,
the garage for this car stands on a lot of his in Hyden, just off
the graded road. We have recently had further generous assist-
ance from Mr. George Sizemore of Hyden who, at his own ex-
pense, has made a roadway into the garage, hauling all of the
gravel and making the culvert.
>l= =|< *
Everybody who has been to Wendover over a period of years
will remember our Wendover nurse, Miss Isabel Dougall. She
left us for a year’s furlough to take graduate work in England.
We now have to announce her marriage on October 21st to Mr.
Fernando Marraine in London. We cannot let the thought of
her happiness be clouded by the regret that we shall not have
her back again. All who knew her will wish her a long and
I happy life.
xl * * =l<
Another marriage of great interest to the Frontier Nursing
Service is that of one of our ablest couriers, Miss Jane Norton
of Louisville, to Mr. Walter Haldeman, which took place in
Louisville on November 1. The warmest congratulations of the

   14 THE QUARTERLY BULLETIN
  I Frontier Nursing Service go to Mr. Haldeman and the best of all
T  possible good wishes to his wife.
` * * *
During the vacation of our Medical Director, Dr. John H. I l
Kooser, we were so fortunate as to have Dr. Alfons Bacon of |{
Chicago for his relief. Dr. Bacon gave an entire month of his
time on a voluntary basis to the Service. His keen interest in
our country and people, as well as his indefatigable energy and
_ open kindliness made a place for him in the lives of all he met.
We were also honored by a visit from Mrs. Bacon during this
time.
* * *
Dr. John H. Kooser was called home in late Septemberlby
the sudden death of his father. The deepest sympathy on the
part of everyone went with him. During his absence of about a
week we had several desperately ill patients at the Hospital and
we wish to express our appreciation to the Health Officer, Dr.
Carl Bogardus, and to our neighbor from Wooton-way, Dr. Rus-
sell Kinsey, for their voluntary services daily at the Hospital in
Dr. Kooser’s absence. -
>l= * *
Three of our senior nurses, Miss Bessie Waller, Miss Doris
Dunstan and Miss Ada Worcester, are back at their homes in
England for greatly needed vacations, and Miss Dunstan is tak-
ing a year’s furlough.
* =l< *
The Service was thrilled to have Dr. Charles E. Kiely, of
Cincinnati, back again, with Dr. John Caldwell and Dr. Parke ‘ , _ `
Smith, for a series of clinics on Red Bird River, on Bullskin, and `
, at Bowlingtown, as well as at Hyden. Dr. Kooser took the three
visiting doctors on horseback across country to five of the cen—
ters. At Hyden the four doctors saw about 70 patients, several
of whom were badly in need of expert diagnosis. At the three

 Faomrma NURSING smnvxcm 15
clinics held in the outlying centers over 80 people were seen.
Some were found to have unusual medical and surgical condi-
tions, and for these arrangements were made for them to go to
outside hospitals for further diagnosis and treatment. All three
. l Cincinnati doctors were superb at the hard riding and had
energy for hours of clinic work following from 12 to 18 miles
li daily in the saddle. During the week they traveled over 70 miles
on horseback and examined over 150 patients—Bless them.
* =k =l=
We were so fortunate as to have Dr. F. W. Urton, of Louis-
ville, on September 25th and 26th, at the Hyden Hospital, for a
large tonsil clinic. He said he had never seen worse tonsils than
some of ours, and the relief it is to have them out before the
winter months passes human belief. We are deeply appreciative
to Dr. Urton’s generous donation of his service and his time.
* * *
Readers of the Spring Bulletin will remember how anxious
we were for every nursing center to get a cow before the winter
months. Through the generosity of friends who read the Bulle-
tin we have been given the cows. No nurse will be without milk
and butter this winter.
* * *
Miss Nora K. Kelly is back with the Frontier Nursing Serv-
ice after a year’s furlough, during which she has been taking
graduate work in England.
"I can’t tell you how much I enjoyed coming back. When
Lucile met me with Pam (her horse) I was really thrilled. It
was such a still night. No moon, lots of stars, and all the air full
. _ . of crickets and katydids, or whatever it is that makes so much
l  ° · noise at this time of the year. Pam knew me and was most affec-
tionate .... Everyone around Confluence has given me such a
welcome home. Mrs. M. B. proudly showed me two snaps of
myself, both exactly alike, that ·N. H. had taken for my passport
before I left. She told me she paid 10 cents each for them and

  
§
g .
is THE QUARTERLY BULLETIN
` had them hanging on both sides of her mantel. Mrs. E. C.
brought a leg of mutton and said she had asked Ed to kill it so V
  that she could bring some to me at once. Hers was a case I had
  delivered in a"‘tide" and it seems they had never forgotten it.
; Her boys sent a bag of apples and big sweet potatoes, and three- -'
year-old Susie sent me walnuts ‘to crack for the babies.’ When I . 
began going about on the district some of the old women threw if
their arms around my neck."
— . Land
Occasionally a friend speaks to us about wanting to give us
a new nursing center. We are, of course, not yet covering the
full thousand square miles needed to complete our demonstration
area. On the other hand, we are not able to support at its maxi-
mum the seven hundred square miles already covered by our
eight nursing stations or to keep open the ninth station we
undertook in cooperation with Dr. Heim. Such being the case,
it would not be possible for us to accept the gift of a nursing sta-
tion until we are again receiving the income of three years ago. V
However, there is a gift which would add to our resources
and not increase our expenditures, available for any friend who
has a $10,000 fund to use as a memorial to someone at the pres-
ent time. We can obtain approximately 30 acres of additional
land on both sides of the hospital at Hyden, with two good
houses, which we badly need for the use of our staff. With some
of this land would go water rights to springs which would enable
us to reduce the gasoline expenses of pumping water to the hos-
pital. Some of the land is available for badly needed pasture for
I both horses and cows. The gift of a sum of money which would `
build and equip a center would buy all of this land and the houses
I on it and erect a much-needed new, large horse and cow barn, as , 
well as seed some of the acres in grass and put up fences. We  gt? `
cannot imagine a more satisfactory memorial gift than one of `
this character, which would increase tl1e facilities of the hospital,
and help, not only the patients in the hospital, but those served _l
by the districts from the hospital. H

 FRONTIER NURSING SERVICE 17
THE FRONTIER NURSING SERVICE, Inc.
. Executive Committee
Chairman
Mrs. S. Thruston Ballard, Louisville, Ky.
Vice-Chairmen
Mrs. S. C. Henning, Louisville, Ky.
', Mr. E. S. Jouett, Louisville, Ky. Mrs. Charles S. Shoemaker, Pittsburgh, Pa.
. Treasurer
i  Mr. C. N. Manning, Security Trust Co., Lexington, Ky.
Q Recording Secretary
Mrs. W. H. Coffman, Georgetown, Ky.
Corresponding Secretary
Mrs. Joseph Carter, Versailles, Ky.
Mrs. A. J. A. Alexander, Spring Station, Mrs. Archibald Douglas, New York, N. Y.
Ky. Mrs. George Hunt, Lexington, Ky.
Mr. M. C. Begley, Hyden,   Dr. Josephine Hunt, Lexington, Ky.
Mr. Percy N. Booth, Louisvi le, Ky. Miss Mattie Norton, Louisville, Ky.
Dr. Scott Breckinridge, Lexington, Ky. Mr. Bethel B. Veech, Louisville, Ky.
NATIONAL BOARD OF TRUSTEES
Mrs. Peter Lee Atherton, Louisville, Ky. Mr. William J. Hu