xt7r7s7hrt4m https://exploreuk.uky.edu/dips/xt7r7s7hrt4m/data/mets.xml The Frontier Nursing Service, Inc. 1971 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 Quarterly Bulletin, Vol. 46, No. 3, Winter 1971 text Frontier Nursing Service Quarterly Bulletin, Vol. 46, No. 3, Winter 1971 1971 2014 true xt7r7s7hrt4m section xt7r7s7hrt4m Jfmntizr jiiurzing §zrhicz
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FRONTIER NURSING SERVICE QUARTERLY BULLETIN
Published at the end of each Quarter by the Frontier Nursing Service, Inv. V
Lexington, Ky.
Subscription Price $1.00 a Year °
l·1dit01·'s Office: \Vend0ver, Kentucky
 
VOLUME 46 VVINTER, 1971 NUMBER 3
 
Second class postage paid at Lexington. Ky. 40507  ‘
Send Form 3579 to Frontier Nursing Service, Wendover, Ky. 41775
Copyright, 1971, Frontier Nursing Service, Inc.

 si
fj" CONTENTS
j   ARTICLE AUTHOR PAGE
é ` A Focal Point (illus.) Joan Fenton 18
i Q Becoming a Family Nurse Practitioner Irene Swartzentruber 2
    Beyond the Mountains 29
    Disaster 9
  { Family Nurse Practitioner Program:
} Progress Report Gertrude Isaacs 3
` Field Notes (illus.) 35
Hell—fer—Sartin Creek A Photograph Inside Back Cover
Mary Breckinridge Hospital and
Development Fund: Progress Report 8
I . Old Courier News 15
Q Old Staff News 21
g Why Mountain Men Go Down
  Into Mines Joe Creason 12
I
i BRIEF BITS
_   Asked Where . . . The Countryman 39
. Q Fund Raising: The Franklin Method The Colonial Crier 13
i Planning Together Joan Fenton 14
l i Right’s Right The Countryman 17
 v Sentiment . . . From a Singer The Colonial Crier 7
·- The Third Grade . . . Modern Maturity 33
. White Elephant 34

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2 FRONTIER NURSING SERVICE _ 1
E
BECOMING Q
A I
FAMILY NURSE PRACTITIONER »"—
by T
IRENE SWARTZENTRUBER, R.N., B.S. {
Happiness is:
Learning To see our paTienTs as persons.
EnrichmenT is:
Taking Time To chaT wiTh our paTienTs in Their homes.
Discovery is:
Finding in medicaI TexTbooks whaT we see in reaI IiTe.
Learning is:
AbsorpTion oT IecTures and TexTbook maTeriaI and The appIicaTion oT
This knowIedge in The pracTicaI experience oT diagnosis and TreaTmenT “
oT our paTienTs.
SaTisTacTion is:
Discovering breasT Iumps during a physicaI examinaTion in Teaching V
CIinic in a paTienT who came in wiTh a diTTerenT compIainT.
FrusTraTion is: A
Doing a Thorough hisTory and physicaI examinaTion in Teaching CIinic. I
onIy To have The paTienT disappear whiIe making arrangemenTs Tor ad-
mission To The hospiTaI.
HearTbreak is: I
VisiTing a TamiIy and discovering ThaT The moTher oT Tour chiIdren has  
no way To obTain Tood aT The presenT Time. x I
AdvenTure is: I
Making an urgenT home visiT Tor a sick chiId over rugged roads, only To 'I'
discover ThaT The child has a simpIe case oT measles. {
HiIariTy is: I
Going To KnoxviIIe Tor The aTTernoon. and spending all nighT on The '._
reTurn Trip aT 5—I5 MPH due To car TroubIe. ‘
`I-ogeTherness is: _
Six nurses becoming FamiIy Nurse PracTiTioners and sharing in The above  ·
experiences. _
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  FAMILY NURSE PRACTIONERS PROGRAM
r Progress Report
1 by
GERTRUDE ISAACS, D.N.sc.
It is now a year and a half since Dr. Beasley and I returned
to the Frontier Nursing Service to develop training in Family
Nursing. As we look back, we can only be amazed at what has
been accomplished during this period, particularly when we think
of all the obstacles. that had to be overcome.
First, we were unable to get government funding for devel-
opment of the program until we had a contract with a university
to develop a master’s program in the area of Family Nursing.
Fortunately, Vanderbilt University, when approached, was as
keen and excited as we were about the potentials of the nurse
for taking on new responsibilities in the provision of primary
health care. They acquired an excellent director for their pro-
gram in Dr. Beverly Bowns, a nurse with a doctorate in public
» health and special interests in mental health and maternal and
child health. University Administration and the School of Medi-
V cine have been supportive. Last fall Vanderbilt admitted two
student-consultants who, by taking selected courses, are helping
1 in the development of the curriculum for the program. In early
{ February Dr. Beasley and I spent two days at Nashville to ex-
, plore the curriculum as developed and to begin to plan for field
` p experience at Frontier Nursing Service.
?   Vanderbilt University has accepted ten students for enroll-
F ment next fall in the master’s program and, should any drop out
0 at the last moment, they have a few stand-bys. There is no lack
, of student interest. The two student-consultants are progressing
very favorably in this program according to the faculty and the
¤   students themselves, and the program content is exciting, though
. intensive. Graduates of this program should be most helpful in
the promotion and development of new programs in both service
and education.
 an Second, we had difficulty in persuading health planners of
 , our need for a service-training facility, but, as our readers know,
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4 Fnonrimn Nunsmc smnvicn g r
this has been accomplished and the building program will soon i,
be under way. 4
Third, the development of a certificate program in Family gw
Nursing for diploma graduates and baccalaureate students who lé
are interested in a service-learning oriented program was viewed I
with dismay by many educators. However, because of our own
experience in this area, and the encouragement of a few, we con- H
tinued with what we considered a very vital part of the total
endeavor. We began by developing a four-month course in Q
Diagnosis and Management of Common Health Problems in the
Family as a prerequisite to Midwifery. We have admitted our
third group of students to this course and are very pleased with
the progress they are making. Both students and faculty are P
highly motivated and, yesterday, Dr. Vincent deLeo, who is on _
loan to us from the United States Public Health Service, asked ·
how long these students, who have just completed their first i
month, had been in the program. He commented on their ability
to make clinical judgments, their enthusiasm, and the fact that E
when he was called in the middle of the night, he could be certain ‘
that he was needed. We find comments of this nature very satis-
fying and reassuring. V
Our students spend eleven and a half hours each week in the
classroom where they have seven and a half hours of medical F
lectures and clinical presentations., which focus on diagnosis and
management of common health problems. A University of Ken- ‘
tucky medical lecturer comes to Hyden for three of these hours  
each week. These presentations are attended by the nursing
instructor who participates in them to help coordinate clinical H
nursing and medicine, In addition, the students have four—hour jj,
nursing seminars which focus on assessment of family health A
problems and health care planning based on family and commu- 1
nity resources with a heavy emphasis on preventive health and , ;
social and cultural aspects of health. Each student receives the  
equivalent of four hours a week in teaching clinic where they  
have individual tutoring, and one hour a week in the laboratory. T
They spend a minimum of thirty hours a week in the clinical set- l
ting, where they are in close proximity to the teaching trailer.  .
Here they can replay any of the lectures they have received to it
date or read up in greater detail on problems encountered. Stu-  i
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' QUARTERLY BULLETIN 5
§ dents have weekly clinical experience in the hospital, the out-
` patient clinic and on the district, which gives the opportunity to
»· follow a patient in all areas of service and to provide continuity
i Q of care.
‘ Midwifery has been extended to eight months, with four
months in basic midwifery, which focuses on prenatal and post-
: partal care, emergency deliveries, family planning, and care of
the well child. The aim is to prepare the nurse for that aspect of
‘ midwifery care which she will be expected to manage when she is
` at one of the outposts. Advanced Midwifery focuses on intra-
partal care (the management of labor and delivery) and the
management of those prenatal and postpartal conditions which
~ require hospitalization. The student may elect to take a four-
month course in Community Nursing instead of Advanced Mid-
i wifery. If she chooses Community Nursing, she will be taught
. district management which includes the establishment of priori-
ties, identification of those factors in the community which are
a inimical to family health, and planning for and participating in
. activities which will help to ameliorate these conditions. Gradu-
ates of this program should function well in service programs.
The introduction of a new program where there is a long
' tradition of a well-established program also presents difliculties.
» The introduction of anything new is sometimes. viewed with con-
siderable suspicion. But this suspicion, too, has died down, as
. the staff has begun to realize that what we are doing is not so
V much new or different as superior in that they are being offered
r better preparation to do that which they have practiced for all
T these many years.
. Students are now beginning to bring the same confidence
  and skill to general practice that they have in the past brought
dt to nurse-midwifery. The relationship between the physicians and
, nurses is beautiful to behold as they work together toward the
5   improvement of over—all health services. Fear that the nurse will
  take on responsibilities beyond the realm of her competency is
 N vanishing and she is beginning to be much more comfortable with
l her new responsibilities-. The physicians, too, find that they have
 _ much more time to devote to those matters which require their
* skill.
 . To say that all problems are resolved would be very much
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6 Fnomrmn Nuasmc smavicm {
of an over-statement. We were able to extend the development ~'
grant to March 30, 1971. But beyond that we have no assurance "
of funds, even though applications for funding have been sub- 1
mitted. A site visit was received from the National Institute of  
Mental Health, who expressed keen interest in our approach to "?
rural health, but this does not assure us of funding. We are still
looking. A
The National Research Council has also approached us to
investigate what we are doing and has assured us that there is
increasing interest at the Federal level in the preparation of the `
diploma graduate for assuming increased responsibility in the
provision of health care. This will in no way impede continuing Q
and advanced preparation of the nurse in an academic program
of studies but it will, hopefully, broaden nursing responsibilities »
and open the way for nursing to take on a much more meaningful A
role in the provision of health services. Too much of a nurse’s
energy is currently devoted to hiding her light under a bushel—
not letting anyone know what she knows—for fear she will be
accused of making diagnoses, or playing doctor. A very signifi- ‘
cant aspect of the Family Nurse program is geared toward help- l
ing the nurse develop confidence in her own ability, and helping `
her to put the knowledge she already has to use.
The repercussions we hear from professional organizations N
vary. However, very few of those who have visited and observed
us, and these are many, have voiced anything but support. Many li
have expressed apprehension regarding the acceptance of this ,
worker in the country at large, because it presupposes a major
change in the system for delivery of health services, the relation- ~
ship between medicine and nursing, and their respective roles. ,
Fear that this might lessen the csuality of health care available . l
to the people is minimal. The majority see this as an avenue for Q
improving care. Nursing management is perhaps most reluctant 5 V
at this time to take on additional responsibilities. Youth is eager. Q
Medicine varies——between caution and enthusiasm. Only time 4
will determine the degree to which the Family Nurse will help F
resolve the current dilemma in health services. ;
In our estimation, the program is well on its way. The H
reality of the day-to-day problems that confront us have, how- ;
ever, not been diminished. Money does not grow on trees. Fac- K

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{ QUARTERLY BULLETIN 7
  ulty and core staff are difficult to recruit and retain in rural areas,
S" but this is essential if the work is to progress. Constant turnover
1 creates many problems. The correlation of education and service,
Y so that neither suffers, is a day-to-day challenge which requires
Y`; considerable maneuverability and planning. Demands for service
rise and fall with amazing rapidity. Last month it was a coal
R mine disaster, last week, a major car accident, this week, a rash
of deliveries with the hospital filled to overflowing. But it is out
» of such things as these that the fabric of quality service is woven
and the students learn a sense of commitment that cannot be
taught in the classroom.
R SENTIMENT . . . FROM A SINGER
R Who now remembers Madame Schumann-Heink, the
* Austrian-born singer who captivated opera goers and owners of
early "Victrolas" for so many years? She died at 75 in 1936,
` long before electronics took over the recording business so her
. records that still exist have that faraway sound of the long ago
. past.
it She was a sentimentalist and, like many who travel a great
i, deal, thought often about home. We are indebted to the National
' Family Album for this quotation from her writings about what
i home meant to her. It’s very sentimental but somehow it seems
appropriate to us in this frenetic age:
J "A roof to keep out the rain. Four walls to keep out the
_ l cold. Yes, but home is more than that. It is the laugh of a baby,
Q the song of a mother, the strength of a father. Warmth of lov-
l A ing hearts, light from happy eyes, comradeship.
E "Home is the first school, and the first church for young
2 ones, where they learn what is right, what is good, and what is
i kind. Where they go for comfort when they are hurt or sick.
. Where joy is shared and sorrow eased. Where fathers and moth-
 t ers are respected and loved. Where children are wanted. Where
_ the simplest food is good enough for kings because it is earned."
‘ —The Colonial Crier, J an.-Feb., 1971

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s FRONTIER Nuasme smavicn 1
MARY BRECKINRIDGE HOSPITAL P
AND DEVELOPMENT FUND ,
e A
Progress Report p
The working drawings for the Mary Breckinridge Hospital W
are well underway, and our architects, Watkins, Burrows, and 2
Associates, are in constant communication concerning details. _?
Last August it was discovered that we needed additional space "
for classrooms for our new Family Nurse Practitioner Program
and for offices for our physicians. Also, with Mental Health be-
coming a more integral part of our teaching program, space
should be provided for consulting staff on Mental Health. Our
local dentist often needs room for oral surgery and this, too,
should be part of our Clinical Training facility. All in all this
meant the addition of a partial third floor over one of the sides A
of the proposed building. Needless to say, these additions have
given extra work to our architects. _,
The subject of what type of heating has been discussed over
and over again. Although we live in the midst of coal mining,
coal is out of the question because of its high price and main-
tenance. There are no gas lines into Leslie County, so the debate
has been between oil and electric heat. In January our local I
power company, Kentucky Power Company, presented the FNS ,
with a new delivery of power at a lower rate. After seeking
advice from other electrically heated hospitals in the Appalachian
area, asking advice of friends in heating businesses, and consult-
ing with our local Advisory Committee, Helen Browne, Kate Ire- i
land, and Eddie J. Moore had a meeting with representatives
from the Kentucky Power Company and Mr. Edward Burrows VIA
and his mechanical engineers. The decision is to have electric , I
heat. I
The U. S. Public Health Service has approved two phases l
of our working drawings. We only have to have one more inspec-  
tion of these plans. So——it won’t be long until we report that we .
have let out the contracts for bids! I ! {
K. I.  `
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 V QUARTERLY BULLETIN 9
c· DISASTER
l We’ve read about it—in fact and in fiction. We’ve seen pic-
'ii tures—in the newspapers, on television, even in motion pictures.
. But we had never thought that one day we would find ourselves
’ standing on a desolate strip of mountainside waiting with our
-, friends and neighbors to learn the fate of thirty-eight of their
i husbands, sons, brothers, uncles, cousins. On the afternoon of
G Wednesday, December 30, the second worst disaster in Kentucky
mining history occurred on Hurricane Creek, less than two miles
from Wendover. Oddly enough, one of our staff, driving from
Lexington to Wendover, heard the news on the car radio almost
two hours before we learned of the explosion at Hyden Hospital
and Wendover. After that, we did what we could but it was
precious little. There wasn’t much anyone could do except get
S medical personnel and supplies into the area. The Mine Safety
people and the rescue teams were already on hand, waiting for
some of the explosive gases to disperse before going into the
” mine. In spite of the danger of another explosion, these coura-
geous men waited quietly in a cluster as near as possible to the
driftmouth of the mine.
It was a bleak scene. The dirt road up Hurricane Creek was
‘ narrow and steep and deeply rutted from the loaded coal trucks
p that had been travelling it for several months. One drove down
A an incline off the "main" road and then up a steep slope to the
bench levelled off around the hill alongside the two entrances
to the mine. The whole area was deep in mud—mud that had
A turned black with the coal dust that had come from the drift-
mouth with the explosion. Effects of the explosion were visible
= up on the main road, a good two hundred yards across from the
I ° driftmouth. A few ambulances were at the scene and there were
. small knots of men standing around—waiting. Both ends of the
` three-mile-long Hurricane Road were blocked by the State Police
' who had to keep it open for emergency vehicles so it was the
 , edge of dark before the women and children began to arrive,
i mostly on foot.
 ` As the early winter darkness fell, a few scattered lights,
 ; some from the caps of the miners, cast an eerie glow over the
, scene and a few people lit boniires in an attempt to keep warm.
2

 10 Fnonrrmn Nuasmc smwicn
The slimy mud chilled our feet and the cold seemed to rise from _
the ground until everyone was shivering all over. '
One remembers the courteous State Police who were in .
charge of the crowd. One remembers the man who had two sons, ..
two nephews and an uncle underground when the explosion came.
One remembers the quiet, controlled crowd which grew as the A
evening advanced. Occasionally, one heard the prayerful cry "O _
Lord, save my baby b0y" and one remembers the tears running
down the blackened faces of the rescue team which brought out i
the first bodies. One remembers the nurses who went quietly
through the crowd, helping the families wherever they could,
and the young couriers who trudged miles and miles with their l
cans of hot coffee. One remembers the gratitude felt by those I
involved in the tragedy when Governor Louie B. Nunn and Con-
gressman Tim Lee Carter arrived from Frankfort and Washing-
ton to express their concern.
For many of us, this was a first experience with a major
disaster which attracted the press in droves. We know that edi-
tors are clamoring for news; we know the public wants to know t
what is going on—after all, we, too, read the newspapers and
watch and listen to television and radio news reports. But we A
could not help resenting it when glaring lights and whirring
cameras were turned on grief—stricken relatives, and we could
not find too much sympathy for the reporters who were upset ‘
because they had to walk to the mine, or because telephone com-
munications were inadequate, or because they felt that Hyden .
was lacking in facilities for their comfort.
During the night of the 30th, and the days that followed the
disaster, the Clay and Leslie County communities turned their
efforts to the care of the families of the miners. The need was i
evident and the need was met—with a minimum of confusion, a A °
minimum of duplication. .
A merchant near the mine opened his store to send food up
to the mine for the rescue workers and relatives. A Red Cross
canteen came up from Lexington late that night. Concerned
women in the community went with other donations of food to
open up the kitchen at the Presbyterian Church in Hyden for -
the waiting families. A severe snowstorm, which began late
Wednesday night, made communication and transportation diffi-

 QUARTERLY BULLETIN 11
cult but food and clothing soon began to arrive from beyond the
'° mountains—b‘y the truck load. Distribution was handled quickly
I and efhciently by the Women’s Club of Manchester and by a com-
V; mittee composed of personnel from the various health and wel-
i fare agencies in Hyden, and others who just wanted to help,
under the chairmanship of Mrs. Martha Cornett of the Leslie
‘ County Health Department. At the request of interested citizens
` in Hazard and Hyden, the FNS agreed to be the sponsoring
» agency for the Miners’ Relief Fund. The eventual distribution
V of this fund will be in the hands of a committee of Clay and Les-
lie Countians but at this time donations continue to be received
_ at the Hyden Citizens Bank from all over the country, and other
* efforts are being made to raise money for the Fund.
The Hurricane Creek disaster has received extensive cover-
age by the newspapers, radio and television and will continue to
be "news", we suspect, for some time to come. We do not feel,
therefore, that it is appropriate for us to comment further on
the aftermath of the December 30 explosion, except to say that
. a disaster of this magnitude, on this small, close-knit rural com-
munity, will leave scars that will be visible for a generation or
1 more. We can only hope that the great outpouring of horror
and sympathy can be translated into positive action to prevent
other husbands and fathers and sons from dying in other mines.
. P. E.

 12 Fnomuna Nunsmo. smnvxcm
WHY MOUNTAIN MEN GO DOWN INTO MINES ¥•
by J
JOE CREASON ,
By now so much has been written and spoken about the
recent terrible coal mine disaster in Leslie County that took
thirty—eight lives that it would seem little remains to be added.
And yet perhaps more should be said because snatches of
conversation I’ve heard since the tragedy indicates a sad lack of
understanding by people who aren’t familiar with certain ironic
realities that are peculiar to coal country.
The most common comment I’ve heard goes something like
this: "They knew it was dangerous to work in that mine. So
why didn’t the men go somewhere else and work at a different i
job ?"
Go where and work at what'?
Most of the men who died in the explosion were the victims
of the one—dimension economy of the area where they were born
and always have live_d. Coal provides the only mass employment
in Eastern Kentucky and the mining of it is the only work the
dead men, and hundreds like them, were trained to do or ever
had done.
What could these men, with no training outside mining, have
done if they had left the hills? Could they possibly have found
work in competition with skilled hands in such industrial—and »
job-short—centers as Dayton and Detroit and Cleveland that
would have paid them $25 to $30 a day, the going rate at the
disaster mine?
Until Eastern Kentucky develops a diversified economy and l
until the laborious process of retraining adults with families to ’ ‘
do other work, men will continue to go into coal mines, many of , p
which are dangerous. ‘
All of which explains, surely, the fatalistic attitude miners i
and their families develop. They live with danger and they steel
themselves to expect the worst. ‘
I came eyeball to eyeball with this fatalism the first time I
went into a mine more than 20 years ago. At noon, the men broke
out their lunch boxes and the man I was with, a miner for 35 ,

 QUARTERLY BUL1.m·1·1N is
, years, spread two or three thick sandwiches, a raw onion and a
'° piece of pie on his lap. When he ate his piece of pie first, I won-
* dered why.
1 " ’cause," he said simply but eloquently, "the roof might
T fall!"
From Joe C'v·ea,son’s Kentucky
The Courier-Journal
January 11, 1971
FUND RAISING: THE FRANKLIN METHOD
F Ben Franklin is credited with helping to establish the first
hospital in Philadelphia in 1751, although Franklin himself says
A it was a Dr. Thomas Bond who conceived the idea. Dr. Bond
A was having no luck raising money until he came to Franklin.
Franklin first wrote a series of articles in the newspapers,
publicizing the project and mentioning that he had subscribed
to it. This brought some more money in, but the group still lacked
the 2000 pounds wanted. The Assembly, sounded out by Frank-
lin, felt that the hospital was for citizens only; thus the citizens
should pay.
Then Franklin came up with the idea that if the citizens
could raise the 2000 pounds, the Assembly would match it with
an equal sum. This would give the Assembly credit for a gener-
ous and charitable act without having to take initial respon-
” sibility.
The private subscriptions were gained. The Assembly came
through with its donation, and the total sum was about double
the original amount contemplated. Franklin was able to write:
i "I do not remember any of my political maneuvers the success
A ‘ of which at the time gave me more pleasure, or wherein, after
. , thinking of it, I more easily excused myself for having made
` some use of cunning."
1 Hospital administrators know all about such fund raising
procedures now and are as expert as Franklin. When we have a
‘ campaign that works, however, we ought to remember Ben and
realize that he had the same idea way back in 1751!
· ——The Colonial Crier, Nov.-Dec., 1970
Colonial Hospital Supply Company
. Chicago, Illinois

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i
14 Fnomrmn NURSING snavrcn  
PLANNING TOGETHER DOES WORK! I
February 26, 1971 j
Dr. R. Edward Dodge  
Leslie County Health Officer
Hyden, Kentucky
Dear Doctor Dodge:
The following is a report on the school screening and immu-
nization program carried out in the two consolidated schools and .
the four one-room schools in the Beech Fork nursing area during
1970.
The programs were a joint effort of the Leslie County Health V
Department, the Leslie County Health Project, the Red Bird Mis- ,
sion and Frontier Nursing Service.
In the spring a total of 643 hearing tests were done. Mr. C
John Canady from the Barbourville Hearing Center re-checked ;
many children and numerous referrals were made. Two severely
deaf children obtained hearing aids through the Barbourville
Hearing Center and Commission for Handicapped Children.
In the fall, 494 eye and hearing tests were done. The num-
ber of children needing further evaluations for hearing loss had »
sharply decreased and we were able to obtain glasses for approxi-
mately 30 children through the Leslie County Health Project. At
the same time, 181 immunizations were given, including polio,
measles, and D and T boosters.
I would like to thank the Red Bird Mission for all the hard I
work done by Mrs. Graves, the Leslie County Health Project for » Y
Adeline Lewis and Loretta Begley’s technical and clerical assist-
ance and the Leslie County Health Department for supplying us _;
with the testing equipment and necessary vaccines. L_
Sincerely yours,  ‘
/s/ JOAN FENTON at
Joan Fenton, R.N., C.M. .
FNS nurse-midwife at I
Beech Fork Center ’ l
 J

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5
· QUARTERLY RuLLm·n~: is
, OLD COURIER NEWS
1 Edited by
j JUANETTA MORGAN
*I From Anne Harris Crump, Newport Beach, California
—Christmas, 1970
Our family becomes more exciting and more beautiful.
Henry, age 22, has been a member of our family since his mother
died several years ago. He is now in the Master’s Program at
Stanford and a teaching intern. Sarah and Liz are both in high
L school and enjoying themselves. Sarah has had a job after school
as a companion to a retarded girl. Liz continues to develop as a
good artist. Tehd, age 12, took a bus trip to Denver this summer.
. Alex, at 10%, is a budding athlete and is enjoying his new experi-
  mental farm school. Samuel is just six and is a bright little penny
and knows just what he wants.
I am full time Directress of Volunteers at Santa Ana Com-
, munity Hospital and love the work. David is finishing his five-
' year contract here at St. James Parrish. He is opening a coun-
A selling oilice and for the past year has been on the staff of the
‘ Long Beach Memorial Hospital, working one day a week as
A counsellor.
From Heidi Mehring, Augusta, Michiga11—Christmas, 1970
» I am now working in Michigan with a new center providing
riding for the handicapped. It is the first purposely built center
of its type in the U. S. and is certainly a different application for
physical therapy.
1 { ....
From Theresa Nantz Walton, Paducah, Kentucky
— = c —Christmas, 1970
· I’m teaching again this year and also working on my mas-
 ‘ ter’s degree. Halley is now in the fourth grade and is involved
  with scouting which she loves. Bailey is in the second grade and
_ is also taking piano lessons. Our vacation was spent in Ohio
H with my parents. Dan golfed, I visited the flea markets and the
~ kids had a ball on the farm.
4

 16 Fnoiwmn Nunsme snnvicm
From Amy Stevens Putnam, Wayland, Massachusetts
—Christmas, 1970 J
The house remodeling and enlarging bug seems to have gone j
on and on. Following the work which ended last year about this x
time, we started again in May and are just now beginning to `
enjoy the fruits of our labor. Our summer at Sunapee was full
of tennis, swimming and sailing. Early in September the whole _
family joined a business trip of Bruce’s to Montreal to see the f
Family of Man exhibit. _
From Jeanne Black, Cedar Rapids, Iowa—Christmas, 1970  1
I am attending Kirkwood College and am taking occupational  i
therapy which is a lot of work but fun. We have just started Q
our second quarter and in May we will begin on-the-job training  Y
until August. I look forward to beginning work in September.  
From Sarah Brooks, Philadelphia, Pemisylvania  r
—January 1, 1971
All is going well with me and I am really enjoying nursing  V
school now that I have gotten into the clinical part of the course.  
I had a good summer working in Colorado again and I saw Leslie  _
Welles and Hilary Walker. Right now I a