xt7rfj29b812 https://exploreuk.uky.edu/dips/xt7rfj29b812/data/mets.xml The Frontier Nursing Service, Inc. 2001 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. 77, No. 2, Fall/December 2001 text Frontier Nursing Service, Vol. 77, No. 2, Fall/December 2001 2001 2014 true xt7rfj29b812 section xt7rfj29b812 FRONTIER NURSING SERVICE
Volume 77 Number2 Fall/December 2001
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In Memory of Dr. Anne Wasson

US ISSN 0016-2116
TABLE OF CONTENTS
Introduction to FNS - Deanna Severance 1
Beyond the Moimtains - Deanna Severance 2
In Memory of Dr. Anne Wasson 9
Wendover News - Christine Collins 10
FSMFN News - Dr Susan Stone and Dr Julie Marfell 16
Website Infomation 17
Courier Program News - Barb Gibson 18
Sheila Kitzinger’s Letter from Europe 21
Mary Breckinridge Healthcare News — Malle Noble 27
In Memoriam 29
Cover: Dr, Anne Wasson
Frontier Nursing Service Quarterly Bulletin
Published at the end of each quarter by the Frontier Nursing Service
Subscription Price $5.00 a year for Donors/$15.00 for Institutions
Volume 77 Number 2 Fall/December 2001 f
Periodicals postage paid at Wendover, Kentucky 41775 and at addi-
tional mailing oflices. POSTMASTER: Send address changes to FNS, ·
Inc. 132 FNS Drive, Wendover, Kentucky. Copyright FNS/Inc. 2000
All Rights Reserved.

QUARTERLY BULLETIN l
Frontier Nursing Service
H you have never been introduced t0 the Frontier Nurs-
ing Service we would like to take this opportunity to brid you on
the history and the on-going work of the Service. Please share
this information with ajriend.
Bom in 1881 into a prominent American family, Mary
Breckinridge spent her early years in many parts of the world -
Russia, France, Switzerland and the British Isles. After the death
of her two children, she abandoned the homebound life expected
of women of her class to devote herself to the service of others,
particularly children.
Mrs. Breckinridge established the Frontier Nursing Ser-
vice (FNS) in Leslie County, Kentucky in 1925, then one of the
poorest and most inaccessible areas in the United States. Mrs.
Breckinridge introduced the first nurse-midwives in this country.
Riding their horses up mountains and across streams in blizzard,
fog or flood, the FNS nurses brought modem healthcare to fami-
lies throughout an area of 700 square miles.
Until her death in 1965, Mary Breckinridge was the driv-
ing force behind the work of the Service whose influence today
extends far beyond eastern Kentucky. Through the Frontier School
of Midwifery and Family Nursing, hundreds of nurses have been
trained and this important concept of family healthcare has been
carried throughout the world.
Today, the FNS is organized as a parent holding company
for Mary Breckinridge Healthcare, Inc., (home health agency, two
out-post clinics, one primary care clinic in the hospital, Kate Ire-
land Women’s Healthcare Clinic) and for the Frontier School of
Midwifery and Family Nursing - the largest midwifery program in
r the United States.
Remarkably, the purpose and philosophy of the FNS has
remained constant since 1925. -Deanna Severance, CEO

l
I
2 FRONTIER NURSING SERVICE }
Beyond the Mountains
by Deanna Severance, CEO/President ‘
" Whenever you are j$·ustratea' because everything seems t0 be so 4
behind 0r slow; remember that many ills and agonizings are cured I
by a tincture of time " Dr. Anne Amelia Wasson
Howl miss your earthly presence .
sweet seraph. What you taught me re- I ,`
mains with me, and I thank you for all the * ¤"
love and wisdom you unselfishly shared _ ·T· I ·` ·? I
with me. `“ ~
Dr. Anne wrote her obituary that l i I
was printed in the newspapers and is re- I v _ I
printed in this Bulletin. It is very straight _p_pi —. A ~ · lA
forward, no maudlin or floral verbiage. I »“i‘‘ I if *
used to tease her about being so "New England". Then she and my
husband with his New England Severance roots would rise up and I
lecture me about the frugality of never throwing anything away.
"So what is a pack rat?" I would inquire. Dr. Anne would fondly I
request boiled dinners. Could I prepare some shrimp with cay-
enne? Occasionally, Dr. Anne would call me Anna Mae, referring p
to Miss January. We would laugh, and I considered this a great
compliment.
Memories 0fDn Anne
When I arrived at FNS in the summer of 1989, Dr. Amie l
had been retired since 198]. I first met her at a Board of Gover- l
nors meeting. Slowly I learned she had performed almost every
job at FNS from medical doctor to dean of the school to interim
FNS director. Dr. Anne had begun her healthcare career as a labo- [
ratory technician. In 1989, there were many service issues at the yy
hospital. I began telephoning her in New Hampshire and asking
her to come to Wendover for a month "or so" to help me evaluate °
the lab, the home health agency, the phamtacy, etc. She came and
came and came. One day she said to me, “Deanna, I can’t afford to
keep flying down here like this!" "Just move back,." I said. "How

1
QUARTERLY BULLETIN 3
could I do that?" she asked. "I will rent you an apartment in Lex-
* ington. You can drive back and forth with me. I will arrange a
place for you to stay at Wendover. It will be great fun, and I need
p you!" The next phone call I received Dr. Anne had decided which
' linmiture to bring and what size of a trailer would be needed to
move the fiirniture. She engaged a young man to drive it down
hitched to her car. I rented her an apartment she did not see until
she arrived. She pulled in on a cold November day in 1993, and
the rest is a history of fun with and love for each other.
This is the first Thanksgiving Dr. Anne has not spent with
our family. Every New Year’s Eve we played "Tile Rummy" until
the new year rang in. Dr. Anne did not like to lose! Neither does
my daughter Sarah, and we would play on and on, laughing and
disagreeing over game rules.
There are more memories than I can recount in the Bulle-
tin. But Noel Fernandez and Dr. Anne wrote her memoirs before
her death. We hope to have those published in the spring. I will
y simply close with goodbye my soul sister, my buddy, my friend.
_ Thank you for all you gave to so many. I love you.
l Planning for the Future ofthe Frontier School
The Frontier School of Midwifery and Family Nursing,
I Inc., with the authorization ofthe Board has submitted an accredi-
y tation application to the Southern Association of Colleges and
Schools (SACS). The first "Master’s” class was admitted in Au-
E gust. Part ofthe accreditation process is that a class must be gradu-
ated. Concurrently, most students continue to enroll in the Frances
I Payne Bolton College of Nursing Program at Case Western Re-
l serve University.
Planning for the Future of Mary Breckinridge Healthcare
·¢ As part of strategic planning, the Board is exploring a
y I ` relationship with Manchester Memorial Hospital. In 2001,
l Manchester Memorial was named one of the top 100 best finan-
cially managed hospitals by Modern Healthcare magazine.
In July of this year we received a shock from the Office of
the Inspector General for Medicaid Services who wrote and told

l
· i
4 FRONTIER NURSING SERVICE A
us that the Kate Ireland Women’s Clinic and the Hyden Clinic
could not be housed in the same facility. The Cabinet for Health 1
Services passed a regulation in April of 2001 making this so. There-
fore, we would have to move or close the clinic. Working with the ;
administrators at Manchester Memorial, Demiis Myers and Tim
Martin, it was determined that a move to Clay County would be
feasible. I
At the same time this was occurring, Mary Breckinridge
Hospital was struck with a severe nursing shortage. We lost al-
most every RN on our matemity unit. Additionally, the births in
Leslie County had dropped to approximately 100 per year and had
remained stable at this figure for several years.
After meeting with Manchester Obstetrician Dr. Faye ~
Whiting, the decision was made to move the primary Kate Ireland .
Clinic to Clay County, and to move the midwifery service to i
Manchester Memorial. This will regionalize our midwifery ser-
vice. This move was made November I, and has been very suc-
cessful. We have had very positive comments from the women and
families we serve.
While we are exploring the management relationship for l
the hospital, we are investigating expanding the FNS clinic opera-
tions in eastem Kentucky. We engaged the firm of Tichenor and
Associates to help us with data collection to determine if there is a 1
need for care based on healthcare indicators. This data clearly
indicates there is a need. In December we have engaged V J.
Krishma to hold focus groups in Leslie and tive surrounding coun-
ties to determine if there is a perceived need by the folks that live
there for nurse-practitioner care. We will keep you posted.
Planning for the Future 0f Wendover
As has been previously written, "The Big House" is now l
a bed and breakfast. The reports published show the numbers of 11
people who are visiting. We have begun the development of walk- *
ing trails at Wendover, and hope by the spring to have lovely trails, A
some gentle and some for the aggressive hiker. Our historic land-
mark is truly a jewel in our crown. Much preservation work has .
been completed as reported earlier. We are now in the process of

l
l QUARTERLY BULLETIN 5
replacing the roof. Every season is beautiful. Now with the Christ-
., mas lights ablaze, and fire in the huge fireplace, it is particularly
picturesque. Many thanks to Christine Collins and staff for the
marvelous job they perform.
September 11, 2001
My parents remember where they were when the bombing y
l of Pearl Harbor occurred. I remember exactly where I was when I l
leamed of the assassination of John Kennedy. My daughter, son,
husband and I will always remember where we were when the
WTC towers went down, when the Pentagon was blown up by an
airline converted to a human bomb, and when brave Americans
crashed an airliner to avoid the destruction of our White House.
A I was in mediation in Manchester when the secretary said
I planes had flown into the twin towers. I felt as if a steel band had
I curled around and was squeezing the life’s blood from my heart.
Yet we carried on business as usual. Using my cell phone, I tried to
l reach my daughter, Sarah, who lives in Manhattan. All the lines
g were busy. She called me at 2:00 pm while I was eating at the BP
l in London. She was not on the early train to City University in
l Brooklyn, and she was safe. September I6, I left for New York
City and spent several days with my daughter and her friends.
l This is such a difficult time. I pray for the safety of my child and
l all our children, for the protection of our nation’s leaders and for
l wisdom to shine on them. And, I pray for victory.
l Bluegrass Committee Luncheon
Our annual Bluegrass Committee Luncheon was held Sep-
tember 26 at the Louisville Boat Club in Louisville with 32 in
attendance. Many thanks to Marjorie Vogt, Chairman ofthe Blue-
grass Committee and my assistant, Barb Gibson, for the great job
l they always do coordinating this event. Special thanks to Fifth
lll Third Bank and our dear friend, Bill Hall, Vice-President of Fifth
l Third’s Trust Department, for sponsoring this luncheon. They have
sponsored this event for several years. Thanks to Marjorie Vogt
if and former Bluegrass Committee Chairman Francis (Poni) Luckett
for providing the beautiful pumpkin center pieces which were given

F 6 FRONTIER NURSING SERVICE
away as door prizes. We were pleased to see how well Mrs. Luckett I
is progressing from illness and wish her full recovery. l‘
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The Bluegrass Luncheon }
Boston Committee Luncheon l
The annual Boston Committee Luncheon co-chaired by
Mrs. John C. Bloom (Ro) and Mrs. Burgess P. Standley (Caroline) _
met at the Wellesley Club November 7. FNS Chairman Jane Leigh
Powell sent her regrets. She planned to attend but had fractured
small bones in her foot the previous week.
lt was great to have Miss Kate Ireland present. Kate told V
of her meeting with the Boston Committee and regaled us with her
youthful fears of meeting with this august group. She spoke of her
days as a Courier at the FNS and what the Service has meant to so
many. We had a wonderful luncheon and a good time. ,0
The Mardi Perry Scholarship Fund has continued to grow. `
As soon as the market picks back up the fimd will be well over
$ I 00,000.00. This fund means so much to our New England stu- ·
dents. This year ’s recipients are Daisy Goodman and Judith Maines. J
Daisy Goodman was present and spoke of her appreciation for the W

· QUARTERLY BULLETIN 7
scholarship and of her work to come. She plans midwifery work in
· the upper region of Maine. Faculty member Milree Keeling was
present and spoke on behalf of Judith Maines who was unable to
attend.
l It was decided not to meet next year. However, former
“ Couriers mother and daughter Patsy Lawrence and Fran Aikman
I will host the next committee meeting. Frances Converse donated a I
‘ first edition of Wide Neighborhoods to the FNS. I have been look-
t ing for a first edition for our library and was thrilled to receive this
I copy. Thank you!
Others attending were: Framiie Aikman, Carlyle Carter,
[ Lois Cheston, Frances Converse, Liz Dawson, Mary Dewaele,
l Patsy Lawrence, Brooks Lobkowicz, Muffm O’Brien, Mardi Perry,
Susan Perry, Mary Ann Sanders, Vera Whistler, Sally Willis, and
Nicolette Vallandigham.
New York Courier ls Meeting
Mrs. Peter R. Ehrlich (Selby Brown), 1951 FNS Courier,
; hosted a meeting of Couriers in the New York area at the Bedford
; Golf and Tennis Club on November 8. There was much reminisc-
{ ing by Miss Kate Ireland and others. Mrs. Ehrlich and Mrs. Chanler
{ brought picture albums. They have generously lent these to me for
{ scarming into our archives. I spoke of today’s exciting times as the
I. Board engages in strategic plarming. This was the first meeting of
this group. Plans are being made to meet again and to expand the
group. There are so many memories and stories. The Couriers
V continue today as a vital program of the FNS. Other attendees
were: Cynthia (Branch) Mas (‘74); Olivia (Hatch) Farr (‘55);
Janet (Brown) J ussel (‘71); Anne Dexter Smith (‘5 1); Evelyn
R (Rogers) Chanler (‘50); Dorothy (Trefts) McEvoy (‘7 1) and
n Comelia Hamilton (‘67).
,
li Babies
Heather East and her husband, James, are the proud par-
' ents of baby Chloe. Heather is the Multimedia Development and
Team Coordinator for the Frontier School of`Midwifery & Family

I
8 FRONTIER NURSING SERVICE
Nursing (FSMFN). Her other children are Hannah, age 7, and
Jake, age 9. `
Jennifer Mercer and her husband, Bill, are the proud par-
ents of baby Arma Grace. Jennifer is a Certified Public Accoun— y
tant and the Assistant Controller for FNS, Inc. Anna Grace is their `
first child.
Updates
We have received a permanent endowment for Wendover p
from the Stone Foundation, Inc. Many thanks to Mary Stone Payson
and the trustees who have granted this endowment. And, many E
thanks to Wcky Riley, my assistant, who did such a marvelousjob
of working with Ms. Payson. The principal of this endowment will l
remain intact and will grow. A spending policy will be established l
and the fund will forever promise the maintenance and beauty of I
our beloved Wendover. Contributions to expand the fund are wel- I
come. i
Other l
It is with great sadness that l accept the resignation of
Chief Financial Ollicer Brian Lane. I am very happy for the op-
portunity that has been presented to him. He and his wife, Suzanna,
will be moving to the Washington, D.C. area where Brian will be
working with an intemational contracting company.
il

I
QUARTERLY BULLETIN 9
i In Memory of Dr. Anne Wasson
Dr. Amie Amelia Wasson, MD, was born August 12,
1920 in Buffalo, New York, and died at Mary Breckinridge
‘ Hospital, Hyden, Kentucky, October 25, 2001.
I In 1938, Dr. Wasson attended college at Alfred Univer-
V sity in Alfred, New York. From 1940-1942, she attended school
1 at the Boston Dispensary training as a laboratory technician. In 1
l 1942-1944, Dr. Wasson began work in the lab at the Rutland
1 Hospital, Rutland, Vermont. She retumed to the University of
I Buffalo in 1944 for more undergraduate studies to become cer-
: tified as a lab technician.
I After graduating as a lab technician in 1946, Dr. Wasson
, was accepted into medical school at the University of Buffalo.
She did her intemship at the Eastem Maine General Hospital in
Bangor, Maine and then began a private practice in Bradford,
New Hampshire in 1951. She practiced in Bradford and New
· London, New Hampshire for a total of 19 years. Dr. Wasson
l was a Board Certified Family Practice Physician and served as
{ a member of the New England Obstetrical Society.
; Dr. Wasson came to the Frontier Nursing Service in Ken-
1 tucky, in 1969 as a volunteer and moved here in 1970. She be-
1 came Chief of Clinical Services at that time. In 1971 , she worked
with Dr. Gertrude Isaacs and Dr. Rogers Beasley in the devel-
opment of the Frontier School of Midwifery and Family Nurs-
ing Family Nurse-Practitioner Program. She served as Interim
Director of FNS from 1981-1982, and became a member ofthe
FNS Board of Govemors in 1983. In 1983, Dr. Wasson retired
and retumed to her home in East Sutton, New Hampshire. There
I she ran a craft shop until 1993 when she sold her home and
1 moved back to Kentucky, directing the Frontier School of Mid-
gl wifery and Family Nursing Alumni Association and overseeing
the beautiful gardens at Wendover, until the time of her death.

I
10 FRONTIER NURSING SERVICE
Wendover News
by Christine Collins Tl
Wendover had a very colorful X
fall and we all enjoyed its beauty.
We suffered a huge loss with
the passing of Dr. Anne Wasson who f
was a dear friend to each and every V
one of us at Wendover. Dr. Amie died
October 25 after a long illness. Our
memories of her will never die. We
extend a special thank you to Ida Brock, Leroy Couch, Beckie
Hacker, Wckie Hacker, Debbie Morgan, Ruth Morgan, Lee Ann
Wells, Sharon Koser, Dr. Roy Varghese and MBHC staff for the
special loving care they gave to Dr. Anne. §
We held our annual Thanksgiving luncheon November I5 1
with staff from the Lexington office, FSMF N Hyden oiiice, MBHC {
staff and J.G. and Juanetta Morgan in attendance. Several staff
members decided to try out our new Bed & Breakfast hiking trail
which begins at the cemetary below the Wendover Post Office and {
continues up into the mountain.
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FNS stay members - the new hiking trail ?

QUARTERLY BULLETIN ll
Wendover employees wish a speedy recovery to Jerry
3; Santini, Cincinnati, Ohio, who is ill. Jerry is a big supporter and
friend of the FNS.
_ Wendover maintenance has been busy painting the build-
1* ings and putting on new roofs. Wendover is looking more beauti-
ful than ever!
Please consider visiting us and spending the night in our l
Big House Bed and Breakfast lnn.
Below is a list of ovemight guests, special functions and
tours since the last report:
Aug. 27 Community Wsions luncheon (10).
, Noel Femandez, Pomona, New York. Worked
, with Dr. Anne on her book.
Sept. 7 Lucas McDonald, Willets, Califomia. Came to
visit Dr. Anne.
Sept. l7-26 Christine Larson, her baby, and her mother,
J Duluth, Mimiesota. Ms. Larson was here for
y CNEP Level lll classes.
Sept. 20 Luncheon for Sue Holiday and three friends,
Lexington, Kentucky.
Sandra Curd and Brenda Lawson, Corbin,
Kentucky, held a leadership meeting at the Big
I House.
l
l Sept. 2l Dinner for Leadership Tri County, Corbin, Ken-
{ _ tucky (35).
¥ ll
l Lawrence and Bridgette Gill and their children,
I , Sheridan, Wyoming. Mrs. Gill is a CNEP stu-
dent and was here for Level lll classes.

_ 12 FRONTIER NURSING SERVICE Q
Sept. 24 CNEP/FNP Level III dinner (l 5).
Sept. 26 Rebecca and Wmiy Puthusseril, Chicago,
Illinois.
Oct. 2 Rosemary Radcliffe and Muriel Joslin, England.
Former FNS staff
Dinner for the Mary Breckinridge Festival
Committee (16). L
Tea for the Mary Breckinridge Festival Beauty
Pageant (17). L
Oct. 6 Bob and Mildred Joyce, Louisville, Kentucky.
Oct. 19 Board of Govemors meeting held at Wendover. l
Ovemight guests were Jane Leigh Powell, Bill
Hall, John Foley, Ken Tuggle and Brian Lane. J
Deanna and Carl Severance were also here.
Board of Govemors dinner with FSMFN faculty
and MBHC providers in attendance.
Oct. 2l Jackie Morrill and Nuke Doualwe, Glenside,
Pennsylvania. Attended CNEP graduation.
Oct. 22 Eastem Kentucky University, Richmond, Ken- I
tucky. Six students/faculty. i
Nov. 2 Deborah and Herman Verdonch, Junction City,
Kansas. Mrs. Verdonch interviewed for an FNP Y,
position. §
Nov. 4-I6 Dr. Walter Zukof, Louisville, Kentucky, stayed
at Wendover while working at MBHC. E

I
1 QUARTERLY BULLETIN 13
Nov. 9 Charlene Quinn, Cleveland, Ohio. Stayed at
it Wendover while attending Midwifery Bound.
Midwifery and FNP Bound dinner. 42 in attend-
ance.
V
I Nov. 15 Annual employee Thanksgiving luncheon. In-
f eluded staff from Hyden and Lexington
I FSMFN offices and MBHC. Former Wendover
staff Juanetta and J.G. Morgan also attended.
Dec. 6 Annual employee awards dinner.
Dec. 9 Fem Wooton, Hyden, Kentucky, and Pearlene
Howard, Indianapolis, Indiana.
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I Vrsitors Fern Wooton and Pearlene Howard
I. Dec. l0 CNEP and FNP Level III dirmer.

i
C I4 FRONTIER NURSING SERVICE
'I`0urs _
August 3l Indiana Weslyan University, Indiana-
polis, Indiana. Two students. ,
October 4 Hyden Elementary, Hyden, Kentucky. I
27 students/faculty. ~
October 9 Rockcastle Practical Nursing, Rock- —
castle, Kentucky. 17 students/faculty. ‘
October 20 75 CNEP graduates and families visited
i during CNEP graduation.
October 22 Eastern Kentucky University, Richmond, l
Kentucky. Seven students/faculty. r
October 25 Lee County Area Tech., Beattyville,
Kentucky. I3 students/faculty. I
October 29 Leslie County Area Tech., I-Iyden, ,
Kentucky and Wayne County Tech., 1
Monticello, Kentucky. 22 students! I
faculty. Q
October 30 University of Tennessee, Knoxville,
Tennessee. I2 students/faculty.
l
Nov. 14 OB/GYN physicians Natalia Rebrova,
Yevgeniya Zinchuk, Lydia Serikova and E
Tatiana Gynyatulina, from the Khab- l
arovsk Territory in Russia came for a I
tour.
The physicians from Russia visited FNS through the In-
temational University of Kentucky’s (UK) Khabarovak, Russia

QUARTERLY BULLETIN 15
Community Health Partnership directed by University of
· Kentucky’s Assistant Professor, Elizabeth D. Schulman.
' ltu; a » s L
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f M _ _ r_.. { .. __
if t all l l l l
Heidi F roemke, FNP/CNM/District Clinic Manager (back row
E - lejt); Elena D0mat0r; Project C00rdinat0r (second row - lej?)
and Dr; Elizabeth Schulman, Pr0fess0r (front row - right) with
T physicians from Russia
l
The partnership site between UK and Russia is in a rural
area of Russia and will be focused on women’s health issues. Dr.
i Elizabeth Schulman and Ms. Elena Domator, Project Coordinator
for the UK College of Allied Health Professions, were in the group.
We gave the group a tour of Wendover, Kate lreland
Women’s Center and Community Health Center. Heidi Froemke,
l FNP, CNM, Coordinator of FNPs, explained to them the practice
[ of FNPs in FNS clinics.

l
l

I6 FRONTIER NURSING SERVICE
Frontier School of Midwifery and Family Nursing
CNEP/CFNP News V}
Dr Susan Stone, FSMFN Dean and President and
Dr: Julie Markll, CFNP Educational Director ,;
{ · . itl; g
Dr; Susan Stone Dr: Julie Marfell 1
The School has been busy as always this time of year. We
admitted a total of 56 new CNEP students and 15 new CFNP `
students at the two Frontier Bounds held in August and Novem-
ber. Our current enrollment is 185 students. Graduation on Octo- I
ber 19, 2001 brought students and faculty together from all over
the United States. It was a wonderful celebration held at the newly
renovated community college building in the center of Hyden. A
total of 65 students received certificates as Certified Nurse-Mid-
wives. We are expecting the first CFNP students to graduate early
in 2002. The annual fall faculty meeting held concurrently with
graduation, brought 33 faculty members together for fixture plan- I
ning. This was a time of excitement and camaraderie. q
During the past 18 months we have been working to rede-
velop the FSMFN Faculty Practice. All Family Nurse-Practitio-
ners (FNPs) and Certified Nurse-Midwives (CNMs) who work at I
the Frontier Nursing Service were moved organizationally under
the School umbrella. We now have three FNPs (Heidi Froemke,
Service Director; Billye Moff`att and Beverly May) providing ser- T
vices at the Beech Fork Clinic, Community Health Center and
Hyden Clinic. The clinics are very busy providing family-centered, . h
primary care to the families of Leslie County. We are hoping to
reach out to the other surrounding counties in the near future. We I
are currently in the process of doing a community assessment p
1

QUARTERLY BULLETIN 17
including focus groups to determine the needs. Preliminary plans
N} include possible outreach primary care clinics and school-based
clinics.
The CNMs (Debbie Karsn itz, Service Director and Patricia
5 Caudle) continue to provide all outpatient services at the Kate Ire-
land Women’s Center in Hyden. As of November l, 200l, the
births are being attended at Manchester Memorial Hospital in
Manchester, Kentucky. This change occurred alter many months
of struggling to keep the obstetrical unit at Mary Breckinridge
Hospital viable. Rising costs and a lack of qualified nurses finally
made it no longer possible to operate the unit. Our solution has
been to continue to provide outpatient care at the Kate Ireland
Center and to attend the births at the obstetrical unit in Manches-
I ter. The obstetrical unit in Manchester is bright and cheerful and
I fully staffed with nurses. The staff has been very accommodating
and has welcomed our patients with open arms. The women who
have given birth there have been very pleased with their experi-
ence. We are currently seeking a building to house the Kate Ire-
land Clinic in Manchester. When that building is located, we will
operate the clinic in Manchester as well as the clinic in Hyden. As
with the FNP practice, we are hoping to eventually bring prenatal
care and primary care to the women in the surrounding counties.
The future plans are very exciting. We are currently re-
cruiting for both FNPs and CNMs to help us bring more care to
the families in Southeastem Kentucky. If you know of any practi-
tioners who might be interested in providing care to the families in
this region, have them either call or e-mail Susan Stone as
sstone@midwives.org or 859-253-3637.
$ WEBSITES
I Frontier Nursing Service - www.frontiemursing.org
Y Community-Based Nurse-Midwifery Education Program (CNEP)
- wvvvv.midwives.org
Y A Community-Based Nurse-Practitioner Program
y (CFNP) — www.frontierfi1p.org
I

` 18 FRONTIER NURSING SERVICE
Courier Program News
-Barb Gibson
Our summer group of Couriers 5 ». — r·» * ~
left during September and we haven’t V
had any couriers during the fall. We S ‘
are in the process of restructuring the _ . J
Program so that Couriers have more . F _ _
opportunities to be of assistance in our ` " ° '
out—post clinics and to possibly shadow = V
family nurse—practitioners. . E ‘· Q' , 1
We are looking forward to our next Couriers and plan for
them to have a better experience than ever!
Former Courier News
Danielle (Olds) Godinez (‘99), Tarentum, Permsylvania,
wrote that she is married to Lucas J. Godinez, Pediatrician.
Betsy (Carter) Walsh (‘95), Jamaica Plain, Massachu-
setts, wrote that on September I6, 2000, she married Christopher
Walsh. Betsy is working as a research coordinator for cardiology
clinical trials for the TIMI study group at Brigham Women’s Hos-
pital in Boston.
Nancy Rinehart (‘98), joined the Peace Corps and leit
June 3, 2001 for Armenia. She will be in Jermuk, an old resort
town, teaching health education and gender development to teens.
The photograph on the following page shows Nancy sitting in an
old church graveyard near Martooni Village. #

QUARTERLY BULLETIN 19
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