xt7r222r6d0x https://exploreuk.uky.edu/dips/xt7r222r6d0x/data/mets.xml The Frontier Nursing Service, Inc. 2008 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 Frontier Nursing Service, Vol. 83, No. 4, June 2008 text Frontier Nursing Service, Vol. 83, No. 4, June 2008 2008 2014 true xt7r222r6d0x section xt7r222r6d0x Ii I   FRONTIER NURSING SERVICE
Volume 83 Number 4 June 2008
 
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 FRONTIER NURSING SERVICE
US ISSN 00l6-2116 I
TABLE OF CONTENTS
Introduction to FNS 1
The Joumey — Nathan Lee 2
Frontier School of Midwifery
& Family Nursing - Dr Susan Slone 4
Field Notes - Barb Gibson 7
Beyond the Mountains - Barb Gibson 13
Footprints — Excerpts from I/Wde Neighborhoods 16
Old Staff& Courier News 18
Legacies — Excerpts from 1925 Meeting Minutes 19
In Memoriam 21
Urgent Needs 28
Cover Photo — ‘The Road Home" — Wendover
Frontier Nursing Service Quarterly Bulletin is published at the end of
each quarter. Subscription Price $5.00 a year for Donors/$15.00 for In- '
stitutions. Periodicals postage paid at Wendover, Kentucky 41775 and
at additional mailing offices. POSTMASTER: Send address changes
to FNS, Inc. 132 FNS Drive, Wendover, Kentucky. Copyright FNS/Inc. I
All Rights Reserved. The Frontier Nursing Service does not share
its donor mailing list.
1

 QUARTERLY BULLETIN
Introduction to Frontier Nursing Service (FNS)
Mary Breckinridge spent her early years in many parts of the
world - Russia, France, Switzerland and the British Isles. After
the deaths of her two children, she abandoned the homebound life
expected of women of her class to devote herself to the service
of others, particularly mothers and children.
Mrs. Breckinridge established the FNS in Leslie County, Ken-
tucky, in 1925, as a private charitable organization serving an
area of 700 square miles. It was the first organization in America
to use nurses trained as midwives under the direction of a single
medical doctor/obstetrician, based at their small hospital in Hyden.
Originally the staff was composed of nurse-midwives trained in
England. They traveled on horseback and on foot to provide qual-
ity prenatal and childbirth care in the client’s own home.
Today, Mrs. Breckinridge’s legacy extends far beyond Eastem
Kentucky. FNS, Inc. is the parent holding company for Mary
Breckinridge Healthcare, Inc., Frontier Nursing Healthcare, Inc.,
which includes five rural healthcare clinics; Mary Breckinridge
Home Health Agency and the Frontier School of Midwifery and
Family Nursing which offers a Master of Science in Nursing de-
gree with tracks as a Nurse-Midwife, Family Nurse Practitioner
and Women’s Healthcare Nurse Practitioner.
Mary Breckinridge’s home, The Big House, located at Wendo-
ver, is a licensed Bed & Breakfast Inn. For more information or
,· reservations, call 606-672-2317 or e—mail: information@frontier-
nursing.org. You can also access our website:
j Frontier Nursing Service — www.frontiemursingorg
I] 1

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FRONTIER NURSING SERVICE I
 
The Journey l  
by Nathan Lee, President & CEO  
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As this issue of the Quarterly Bulletin reaches your mailboxes, l
the month of June will be upon us bringing summer, relaxation i
and vacations near to, or far from home. For my family and me,
summer generally means a trip or two to the beach, more often
than not on the low country coast of South Carolina. It means I
fellowship with friends, family, and loved ones. It means feeling I
at home, even away from home.  
l’ve come to expect that same feeling during my travels for  
the Service all throughout the year. Just last week, I had the A
opportunity to meet with the New York Committee ofthe FNS .·
over a delightful lunch in Manhattan. We conversed over a
marvelous meal at the Cosmopolitan Club; the same club where
Mrs. Breckinridge stayed during her own visits to New York to °l
meet with the same committee. A club founded to give women an  
opportunity to meet and exchange ideas. lt proved a homecoming, I
indeed, for an organization like the FNS, whose roots are in l
serving mothers and children. The atmosphere was no less warm K
2

 QUARTERLY BULLETIN
y at the home of Beth Hadley, former member ofthe FNS Board of
· Governors, who invited the Washington, DC Committee into her
home for lunch last summer. Folks, many of whom had never
met but shared the common bond of the FNS, chatted like old
friends at the Boston Committee meeting last fall. And plans to
I once again reunite our family both in Lexington and Louisville
are already underway as the Bluegrass and Louisville Committees
_ plan their annual events this coming autumn.
The work of the Frontier Nursing Service finds its base in the
mountains of Leslie County, Kentucky. This is our history . . .
our heritage . . . and the plan of Mrs. Breckinridge herself But
our home has a much larger footprint. Indeed, the home of the
FNS is in the heart of each Courier . . . each alumnus . . . each
foundation . . . and each friend and supporter who believes in the
value of our work, both in the mountains and beyond.
The Journey continues, and it brings great comfort to understand
that no matter where the work of the FNS leads me, I am always
greeted with a warm smile, and a "welcome home."
**7%**7'€*7’€7'<7lf*7lf9€7'f7’<*******1%*********7%******
If solid happiness we prize, within our breast this jewel lies.
And they are fools who roam; the world has nothing to bestow.
From our own selves our bliss must flow. And that dear hut — our
,· home. —Na1‘/mniel C0tt0n
9:*7%*>E**9<9<**}::'<:':·}¢9<>'¢>’<>’¢`}¢=’%>%>’<*}<**7%**9:*****%**
Family life is the source of the greatest human happiness.
I -R0ber1‘ J. Havig/zurst
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 FRONTIER NURSING SERVICE
Frontier School of Midwifery & Family Nursing l
(FSMFN) Update c
by Dr Susan Stone, President & Dean
Invitational Gathering - North American
Indigenous Birthing and Midwfery I
On May 5-8, Suzan Ulrich, FSMFN Chair of Midwifery and _,
Women’s Health, and I traveled to Rockville, Maryland, to at-
tend an Invitational Gathering on North American Indigenous
Birthing and Midwifery.
The meeting was planned as the result of a unique collaboration
between Canada and the United States that is underway to work
together on indigenous Maternal and Child Health issues with a
current emphasis on birthing and midwifery. Participants from ap-
proximately 60 programs across North America working directly
and indirectly to advance indigenous practices related to birthing
and midwifery convened to share information. The objectives of
the meeting were:
l) To distinguish training, accreditation, scope of practice, and
licensure of North American midwives serving indigenous
populations.
2) To understand the influence of traditional knowledge and i
unique and promising practices on birthing and prenatal care. I
3) To begin to formulate opportunities for Canadian and US r
collaboration to strengthen indigenous midwifery in North
America.
A lot of time was spent listening to short presentations from the I
different groups attending and sharing ideas about collaboration.
Suzan and my contributions were focused on how we could  
educate more Native American and Alaskan Indian midwives  
4

 QUARTERLY BULLETIN
using our distance education model. We also discussed how our
I model might be developed in the remote regions to assist in the
education of indigenous midwives. We learned a great deal about
Native American birthing culture.
I We learned about models of care that include both indigenous
midwives and midwives educated through fonnal higher educa-
. tion and how they were partnering together to provide a higher
level of care than would be possible with either one providing
care separately.
We leamed of the Canadian model of educating midwives in an
undergraduate program with a four year Bachelor’s Degree as
the exit.
We learned of the pain of communities in remote Alaska and
Canada who are transporting all women to large cities hundreds
of miles from home late in pregnancy to await their births because
there is no care available in their own small, sparsely populated
communities.
We also learned of indigenous midwives opening birthing centers
in remote northem provinces of Canada so that women can choose
to stay in their cornrnunities and give birth.
i There were many wise women and men attending the conference.
l It was a wonderful opportunity for a group of likerninded people
to come together and problem solve some very difficult issues.
v' I believe many good partnerships will spring forward from this
effort. We were proud and happy to see several of our graduates
r as well as preceptors attending the meeting. These included:
I Lisa Alee, CNM, a graduate of CNEP Class Four, who now
works for the Indian Health Service at Northem Navajo Medi-
; cal Center in Shiprock, New Mexico; Roberta Ward, a graduate
3 of both CNEP and CFNP; Peachy Dougherty, CNEP Class 9 (a
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 J
FRONTIER NURSING SERVICE  
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proud member ofthe Cherokee Nation) who lrves and works at the i
Chinle Midwifery Service in Oklahoma; Gina Cole, CNM (Kiowa `  
and Comanche) a devoted preceptor who works with Peachy in p
Tahlequah, OK; Geraldine Simkins, CNEP graduate Class I4, p
who is the current President of MANA and Lisa Weston, CNM »f
of Anchorage, Alaska, who will be precepting her first CNEP .
student in the near future.  
R
Overall, the meeting was a wonderful experience designed for g
participants to leam and collaborate. We extend our appreciation to  
the Indian Health Service for their innovative methods of bringing i
people together to work towards solving difficult problems. Q
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Front row: Suzan Ulrich, Lisa Aleen Gera Simkin. Back row:
Peachy Dougherty, Gina Cole, Lisa Weston, Bert Ward, Du
Susan Stone
6

 QUARTERLY BULLETIN
Field Notes
On Page I1 0fF ield Notes in the last Quarterly Bulletin under ‘“Tele-
medicine Funding", M1: Kenneth Slones last name was not printed.
· Also, 0n Page ll of Field Notes in the last Quarterlv Bulletin, Anne
Cundle was called FNS Nurse. Miss C undle was in y?1ct a Nu1se—Midwy’e
and we apologize/br this oversight.
A >l<>l=>l<>l<>l<>l<>l=>l<>l<>l<>l<>l<>l<>l<>k>l<=l<*>l<>l<>l<>k>l<>l<>l<>l<>k>l<>l<>k
Mary Breckinridge Hospital (MBH) held its 5th Annual Easter
Egg Hunt Friday, March 2lst in City Park. Over 300 people at-
tended the event.
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Five MBH employees were recognized during Hyden—Leslie
County Chamber of Commerce Annual Civic Night April 10th:
The Hospital received an award for "Excellence in Service"; Lida
l\/lclntosh, Administrative Assistant, received an award for "Leslie
County Citizen ofthe Year"; Nathan Lee, President & CEO, Mal-
lie Noble, MBH Administrator, and Ben Peak, Director of Rural
Healthcare Clinics, received awards from C.O.L.L.Y (County of
Leslie Lifting Youth) for their support ofthe school—located clinic
at Stinnett Elementary School.
**M*»r=***********************>r=
The MBH Medical Surgical Unit and Physical Therapy Depart-
ment renovations have been completed.
¢ **************»r<********»r=******
Total weight loss to date at MBH is 2,584.6 lbs. The Employee
f Wellness Program will now include utilization ofthe newly reno-
y vated Physical Therapy Department.
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 FRONTIER NURSING SERVICE `
>i==i=*=1==i=*>i==i=>t<>•<>i<**>i<>1=>i<>i==i==i<>i==i<=i==i==1=>i<=r<>|<>i=>i<>t< ·
On April 19th, the Board of Govemors, Alumni of the Frontier
School of Midwifery & Family Nursing (FSMFN), faculty, staff
and community members gathered at the Mary Breckinridge
Hospital to dedicate the "For Mother and Child" Sculpture. The  
dedication was part of a very special celebration of the Pioneer
Alumni Weekend in Leslie County, Kentucky. 5
The sculpture serves to memorialize through art the history of
FSMF N students that established and sustained the extraordinary
demonstration of nursing and midwifery practice at the FNS.
Throughout 2007 Kitty Ernst, Mary Breckinridge Chair of Mid-
wifery, led the Alumni Association in a campaign to purchase,
transport and mount the sculpture at Mary Brecknridge Hospital.
We want to extend our thanks to all the Alumni that contributed
to the sculpture!
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8

 QUARTERLY BULLETIN
Dr. Susan Stone, President & Dean of FSMFN, welcomed every-
‘ one to this joyous occasion. Miss Jane Leigh Powell, Chairman
of Board of Govemors, commented that 80 years ago Sir Leslie
McKenzie of Scotland spoke at the dedication of the Hyden
Hospital and how history has been repeated with the arrival of
i the sculpture and its artist Helen Chown, both from the United
Kingdom. Kitty Ernst read a congratulatory letter from the office
§ of Queen Elizabeth.
Alumni attending the dedication were Kitty Ernst (‘5l), Betty
Bradbury (‘53), Alice Herman (‘58), Edie Anderson (‘68), Joyce
Wiechmann (‘68), Linda Bell (‘76) and Darlene Ledwon (‘87).
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Lef t0 right: Kittv Ernst, Dn Susan Stone, Jacquie Chapman,
¢ Linda Bell, Darlene Ledwon, Alice Herman, Edie Anderson,
Joyce Wiechmann
I As part of Pioneer Alumni weekend, Alumni were able to see elk
T during an adventurous Saturday morning tour. Also, tours of the
9 FSMFN, old Beech Fork Nursing Center and Wendover sparked
I many memories. The weekend concluded with a wonderful din-
  ner at Wendover.
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 FRONTIER NURSING SERVICE
**M*#6*********************»i<** _
During March, students from three different Medical Schools came
to Wendover for an exciting encounter with the FNS. They all had
the opportunity to shadow providers at the Mary Breckinridge I
Hospital and rural healthcare clinics. They also helped out with {
community projects. I
Former Courier, Laura Carr (‘O6) brought two of her fellow medi- il
cal students from The University of Virginia Medical School. The ‘
students gave lessons about muscles and the heart to students at
the Stinnett Elementary School.
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/l/Iedical Studcntsfmm the University 0f Wrginia
First Year Medical Student Joanna Lopez of Dartmouth Medical i
School brought several fellow students to Wendover March 10-14.
Besides shadowing, these students volunteered with local orga— ·—
nizations including The Leslie County Food Pantiy, C.O.L.L.Y j
(County of Leslie Lifting Youth) and the Adult Day Care Center.
The Students also assisted Wendover staff with a Frontier Bound I
Dinner at The Big House. See photo on next page. I

 QUARTERLY BULLETIN
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Medical Students from Dartmouth University
Second Year Medical Student Melissa Wiser from the University
of Maryland brought several medical and nursing students to
Wendover March 17th-20th. These students taught healthy habits
in the Leslie County Public Schools and assisted with tasks at
Wendover.
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Students from the University ofMar_yland
11

 FRONTIER NURSING SERVICE
********************>t<=i<***>¤=>a<>i=** 1
The Annual Relay for Life was held Friday, May 16th at the Les- l
lie County High/Middle School Football Field in Hyden. Staff
at Mary Breckinridge Hospital participated in events and raised
approximately $1,500.00. V,
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Mclntosh, Brenda Morgan - Relay for Ly?
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From March lst — June lst, Wendover hosted a total of 1,256
guests. This number includes ovemight guests, guests for 1unch/
dinner, meeting and special occasions.
`l
l2

 QUARTERLY BULLETIN
Beyond the Mountains
New York City Committee Luncheon - May 7, 2008
Many years ago, Mrs. Breckinridge visited friends of the FNS in
·` New York City and in other surrounding cities in New York. In
1927, Mrs. Breckinridge formed the New York Committee which
) has not been very active for several years. During May, Nathan
Lee, FNS, Inc. CEO, Denise Barrett, Frontier School of Midwifery
& Family Nursing (F SMF N) Director of Development and Alumni
Relations and Barb Gibson, External Communications Coordina-
tor, traveled to New York to re-connect with friends in the area
who continue their interest and support of the FNS.
Tuesday, May 6th, Barb had dinner with former Couriers Sarah
Bacon and LouAnne Roberts to discuss their involvement in
the New York Committee. Wednesday, May 7th, The New York
Committee Luncheon was held in the Private Dining Room of
the Cosmopolitan Club where Mrs. Breckinridge held luncheons
and meetings many years ago. The following friends attended the
Luncheon and made comments about their time at FNS.
LouAnne Roberts, FNR (Courier 2001) - LouAnne obtained her
Nursing and Family Nursing Practitioner training from Columbia
University. During 2006 LouAnne performed her clinicals with
Heidi Froemke, FNP, at Mary Breckinridge Hospital.
Noel Fernandez (Social Worker Secretary 1950) shared her memo-
1 ries of driving FNS jeeps to visit clients. Noel recently published
a collection of poetry about Appalachia, entitled The We/I String
published by Motes Books, P. O. Box 6034, Louisville, KY 40206
h www.M0tesBooks.com.
Sarah Bacon (Courier 1993) remembered that several years ago
Barb Gibson introduced her to LouAnne Roberts and they have
since shared great memories of Kentucky.
13

 FRONTIER NURSING SERVICE
l Olivia Hatch Farr (Courier 1974) commented that at the age of A
17 she found herself disenchanted with school. With the blessing i
of the school’s administration, she "escaped” to FNS in 1974!
Oliva remembered transporting a family to the hospital in a vehicle
called "The Thing" which had the iloor rusted out.
Janet Brown Jussel (Courier 1971) commented that while in
school she saw the F oigotten Frontier lilm and decided she wanted _
to come to the FNS. While at Wendover she lived in the Cabin
which has since been tom down. Janet commented that she is most
excited that the growth of the FNS continues to make the world
a better place for women and children.
Selby Brown Ehrlich (Courier 1951 & Trustee 1983) commented
that the last time she saw Mrs. Breckinridge she was standing in
front of the elevator next to the Private Dining Room where the
Luncheon was held. Mrs. Ehrlich met Mrs. Breckinridge at the
age of twelve and wrote to Agnes Lewis at that time saying she
wanted to come to FNS as a Courier.
Cynthia Branch Moss (Courier 1970’s) remembers attending the
delivery of a baby at FNS. She fondly remembers FNS during
Christmas when gifts were delivered to the children from the
“hollers".
Heidi McKinley (Alumni 1989) came to FNS during Autumn 1990
and said it has been "terrifrc".
Susan Rice has been with the Margaret Voorhies Haggin Trust for
two years. The Trust has supported FNS since the early l930’s. ln
1938, the Haggin Dormitory at the Frontier School of Midwifery
& Family Nursing was built in Mrs. Haggin’s memory. '
Michelle Handelman (Alumni 1989) was a student in the last
F SMFN class before the distance leaming program started. She
loves Kentucky.
I4

 QUARTERLY BULLETIN
Nora Brombard with the Hany & Roberta Salter Foundation,
` commented that her grandmother had a great love for the FNS
and she carries on that love.
Lee Freeman Fox (Courier 1975) commented that she also remem-
bered "The Thing". She became a public health nurse and credits a
big piece of her life to her three—month experience as a Courier.
Angela King, faculty at Columbia University, performed her
clinicals at FNS and later became one of LouAnne Roberts’
instructors.
We extend special thanks to Ruth Lubic, member of the Cosmo-
politan Club, for hosting the Luncheon. Mrs. Lubic is the Founder
and President Emerita of the Developing Families Center and is
Founder and Chair Emerita of the Family Health Birth Center,
both in Washington, DC.
Hosting the Luncheon at the Cosmopolitan Club where Mrs.
Breckinridge held meetings years ago, made this day even more
special. It was truly amazing to sit in the same room where Mrs.
Breckinridge had sat years earlier, carrying on the tradition of
telling the FNS story to supportive friends.
***9:***9:****1:****vE*9:*9:**%*4:***9:%**9:****
FSMFN Receives Health Resources and Services
Administration (HRSA) Grant
February 25-27, Dr. Trish McQuillin Voss, FSMFN Director ofthe
Associate Degree in Nursing (ADN) to Masters of Science Nursing
I (MSN) Bridge Program and Denise Barrett, FSMFN Director of
Development and Alumni Relations, attended a HRSA meeting
where the FSMFN was granted $700,000 for expansion of enroll-
ment in the Bridge Program, introduction of retention programs
for at-risk students, increase of diversity of the student body and
the upgrading of technologies used by the School.
15

 FRONTIER NURSING SERVICE
Footprints
Excerpts/i·om Whole Neighborhoods `
by Mmjv Breckinridge, F ozmder I
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When our work in the Kentucky mountains had gotten off to a
start, my friends and relations began sending in checks just as I I
knew they would, bless them. Mrs. Henning opened her Louis- ,
ville house in Cherokee Park for an autumn meeting. Afterward,  
many ofthe Kentuckians sent in their subscriptions, as did a scat-
tering of friends from beyond Kentucky. Two of these, from the
old C.A.R.D. (short for the American Committee for Devastated
France) days, my chief, Miss Anne Morgan, and Miss Elizabeth
Perkins, wrote me to come to New York right after New Year’s ‘
Day, and have meetings at their houses. This I did. lt was the
hrst ofthe tours to which I have given from six to twelve weeks
nearly every year since then. Although I have lived and worked V.
in the mountains for more than a quarter—century, I have gone
out periodically to report to our supporters in other parts of the
United States — wherever some of them wanted me enough to ar-
I`2`tllg€ l"Ol` llI€CIll’lgS.
16

 QUARTERLY BULLETIN
In New York we had wonderful meetings that January, not only p
V at Anne Morgan’s large house and at Perky’s smaller one but at
the Colony Club, through the courtesy of Isabella Breckinridge.
We also held a meeting at Riverdale, sponsored by Mrs. Cleve-
land H. Dodge, Mrs. Archibald Douglas, Mrs. Francis Boardman
. and others. Riverdale formed a committee to back our work and
started the first sewing circle to make layettes for our babies. This
committee, small in number but great in loyalty, has maintained
its own nurse in the Frontier Nursing Service from that day to
this, sometimes meeting her support and that of her horse as
well, sometimes falling below the full support but never failing
to put out its own appeals and glean all it could from its own
neighborhood.
While I was in New York, Mrs. Robert Lovett, wife ofthe dis-
tinguished surgeon, and another rnernber of our old C.A.R. D.,
invited me to Boston for a meeting in her house. She got the
meeting together, collected subscriptions afterward, took the first
chairmanship of our Boston Committee, and enlisted the interest
of Mrs. Draper Ayer, a cousin ofmine through the Prestons, who
gave us the money for our first outpost nursing center, the Jes-
sie Preston Draper Memorial. Boston, New York and Riverdale
provided our hrst three committees outside Kentucky. At the
insistance of my cousin Anne (Mrs. Waring Wilson), we had our
I first meetings in Philadelphia but they were on the Main Line at
Bryn Mawr and Rosemont.
In addition to my main engagements, I spoke to various clubs,
_ churches, nurses, and other groups of people as I have done ever
since. Among these, I recall particularly that I made my first talk to
the Kentucky Women’s Club of New York early in 1926. At none
of these engagements did I ask anybody for money. I didn’t even
hint. This seemed to me then, as it does yet, the right approach. I
was to sure my plan for remotely rural babies, children, and their
mothers was practical that I backed it with all I had. The people
to whom I spoke caught my enthusiasm by a sort of contagion.
17

 FRONTIER NURSING SERVICE
‘ Old Staff and Courier News ‘
Vanessa Guy Etheridge, Sumter, South Carolina, wrote during
February and said she plans on investigating the Fron