xt7x3f4knf9m https://exploreuk.uky.edu/dips/xt7x3f4knf9m/data/mets.xml The Frontier Nursing Service, Inc. 1952 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. 28, No. 1, Summer 1952 text The Quarterly Bulletin of The Frontier Nursing Service, Inc., Vol. 28, No. 1, Summer 1952 1952 2014 true xt7x3f4knf9m section xt7x3f4knf9m Ir 7 H V rrr- VA
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F r0nt1er Nursmg SG ICG, Inc.
TWENTY-SEVENTH ANNUAL REPORT
VOLUME 28 SUMMER, 1952 NUMBER 1
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TWO OF OUR BABIES n Q
i
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The front cover photograph and the inside back cover photograph  
were both taken by Mr. Earl Palmer. The aerial view of the Hyden Q
Hospital plant was made possible through the courtesy of Mr. Jewell _ E
Galloway who piloted Mr. Palmer above Hyden. · ~
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  {
THE QUARTERLY BULLETIN uf FRONTIER NURSING SERVICE, Inc. * A _
Published Quarterly by the Frontier Nursing Service, Lexington, Ky. _
Subscription Price $1.00 Per Year .
  1
VOLUME 28 SUMMER, 1952 NUMBER 1  
"Entered as second class matter June 30, 1926, at the Post Office at Lexington, Ky., I
under Act of March 3, 1879." I
Copyright, 1952, Frontier Nursing Service, Inc.
1

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  K
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. w
é. l INDEX
Ee
  ` Amicus Aumoa more
. Aerial View Hyden Hospital
. { (Photograph) Inside Back Cover
.=A  Annual Report 2
gi  Beyond the Mountains ` 57
  ·y Bowlingtown Inspection Trip Jnanetta Moore 61
  T Field Notes 64
l yl , From a Guest A. Dervasagayan 46
   / In Memoriam 47
. ~ Monsters ? Lila Caner and Sally Foreman 23
  J Old Courier News 25
  Old Staff News ’ 35
g l Operation-Louise Betty Lester
.. : Illustrated by Kitty Biddle 17
  Oxmoor Steeplechase Mrs. Lowry Watkins 22
  Rosa Clark’s Baby Party The Independent,
{   Anderson, S. C. 34
  Where Hyden Got Its Name Carl R. Bogardus, M .D. 53
    Wide N eighborhoods—A Report Mary Breckinridge 31
i ` Your Fifth Visitor from Thailand Mrs. Sa-ing Nijthavara 41
  E
  l BRIEF BITS
K l
IT   American Portrait Dallas News, Texas 60
  Announcement (Illustrated) 30
Q ·  Billy and Emma Jean (Photograph) 52
Q 2 Cincinnati in Scotland Murdo Morrison 60
    Coal This and That from Washington 24
    Epitaph on an Agnostic (Verse) The Spectator 59
i+ { In Moments Controversial (Verse) Contributed 34
i Jean Laurie (Photograph) 55
E Just Jokes—Assorted 33
  1 Little Things (Verse) Grace Haines 71
[ 3 Movie Sound Projector 45
i g Oddments 55 V
!‘ ; Party Feuds Cincinnati Enquirer 44
E   Prayer Home Prayers 63
I She Can Milk Two Gentlemen of Verona 16
. ‘ The Unending Journey Elizabeth Wallace 46
  · True Tales 62
» P Twin Hippo Calves in Zululand Oryx 21
  White Elephant 56
. l Will a Billy Goat ? The Countryman 45
l J
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i

 2 THE QUARTERLY BULLETIN  
HIFNER, FORTUNE AND POTTER g A
CERTIFIED PUBLIC ACCOUNTANTS gg
145 EAST HIGH · Q
LEXINGTON, KY. .
To the Officers and Directors “
Frontier Nursing Service, Incorporated ‘
Lexington, Kentucky
Ladies and Gentlemen :—  
We have made a detailed examination of your records and P
accounts for the fiscal year ended April 30, 1952, with the results
as disclosed by the annexed Exhibits and supporting schedules.
In our opinion all recorded receipts have been duly accounted _
for. ,
A summary of your operations for the year is briefly as ,  
follows:  
Total Revenue Receipts ..........._........ $202,286.20 , ’
Total Expenses Paid ....,,..,........_........ 200,069.46 ~ I
Excess of Income .............................. 2,216.74  
. Invested in Buildings and Y
Equipment .................. $5,811.72 l
Temporary Loans .......... 600.00 6,411.72 A I
Decrease in Cash Balance ................ $ 4,194.98    
During the year the endowment and reserve funds were    
increased in the total amount of $17,360.87 and now are in excess   1
of $548,000.00. C  
Your books have been closed under our direction and are
now in accord with this report. l
Respectfully submitted   _1
Q
HIFNER, FORTUNE AND POTTER    
Certified Public Accountants  
Lexington, Kentucky  
May Twenty-Two ”·
Nineteen Fifty-Two E

 Q
é 1=·noN·1·1ER minsiue smnvrom a
  TVVENTY-SEVENT H ANNUAL REPORT ·
l · of the
Q FRONTIER NURSING SERVICE, Inc.
for the Fiscal Year
May 1, 1951 to April 30, 1952
V · PREFACE
As has been our custom since we were one year old, we pre-
sent our annual report of the fiscal affairs and of the field of
operations of the Frontier Nursing Service, to its trustees, mem-
j bers, and subscribers.
j We have, as in previous years, divided our report into two
1 sections. One section is about money, and one section about
· A work.
I.
  FISCAL REPORT
A Our annual audit is so detailed, and therefore so voluminous,
i E that we do not print it in full. The figures that follow are taken
, { from the Exhibits and Schedules of the last audit. We have
    divided these figures into four categories, each one covering one
  ; page, to make easier reading. The auditors’ own Summary is
  l the first category. The second is their list of Endowments and
i   Reserves. The third category covers all Revenue Receipts. The
I fourth category we have put into two columns—to the left the
» expenditures of the last fiscal year taken from the audit, and to
.   the right the Budget accepted by our trustees for the current
k   fiscal year, based on last year’s expenditures.
*_   Under a fifth category, called Inventory, we account for all
  our properties. All five categories are given in sequence on the
A   following pages.
. l
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a? {

  
4 THE QUARTERLY BULLETIN  
SUMMARY OF ANNUAL REPORT  
From Oflicial Audit for Fiscal Year g
May 1, 1951 to April 30, 1952 E
RECEIPTS (not including new endowments) :  
Donations .._...i............._..................... $131,801.55  
Income from endowments, bene-  
fits, fees, et cetera ...................... 70,484.65 $ 202,286.20 _."
EXPENDITURES—for operating expenses includ- A?
ing repairs, replacements and upkeep .................... 200,069.46 ’Y
Excess of Receipts over Expenditures ........................ $ 2,216.74  
New Endowments and Reserve received .................... E 17i2y6_(L§ 2 {
New Land, Buildings, Livestock and Equipment ...... $ 5,811.72  e
Less—Charge—offs for deaths of animals, deprecia- F 
tion, et cetera .............. 1 .................._.......................... 6,521.38  iq
Net decrease in physical property .............................. $ 709.66 * 
GENERAL DATA AS OF APRIL 30, 1952  
Value of Land, Buildings, Livestock, and Equipment. .$ 362,684.86 ;· 
Total Endowment and Reserve (This is the value of  
the gifts at the dates they were received. Pres-  _.
ent values would probably exceed this amount.) -.$ 548,037.97  A
Total Contributions and Income (exclusive of En-  
dowment) from Organization to April 30, 1952..$3,375,906.76  ._
Total Expenses (exclusive of Land, Buildings and  
Equipment) from Organization to April 30,1952.. 3,029,207.94 _  1
Excess of Total Income over Total Expenses ............ $ 346,698.82  .. 
This excess is represented by . ‘ 
Cash, and Cash items ...................... $ 10,599.76 ii
Land, Buildings, and Equipment .... 362,684.86  
Temporary Loans .............................. 600.00  
Total ............................................ $373,884.62  
Less-Indebtedness ........................ 27,185.80 $ 346,698.82   E
 §

 Q5 FRoN·1·1ER miasme smnvicis s
{ ENDOWMENT
l» The total endowment funds of the Service at the close of the
{ iiscal year are taken from Exhibit D of the audit and are as
  follows: .
gi Joan Glancy Memorial Baby Crib ___,__.___________________________ $ 5,000,00
  Mary Ballard Morton Memorial .....................,........,..... 85,250.83
  Jessie Preston Draper Memorial Fund No. 1 .............. 15,000.00
.. Jessie Preston Draper Memorial Fund No. 2 .............. 50,000.00
Q Belle Barrett Hughitt Memorial .............................._..... 16,000.00
¥‘ Isabella George Jeffcott Memorial .._............................. 2,500.00
’ I Bettie Starks Rodes Memorial Baby Crib .................... 5,000.00
Y” John Price Starks Memorial Baby Crib ........................ 5,000.00
T Eliza Thackara Fund ...................................................... 1,634.16*
. Children’s Christmas Fund in Memory of Barbara
‘ 4 Brown ........................................................................ 1,000.00
pi} Marion E. Taylor Memorial _....____................_.................. 10,000.00
E.? Fanny Norris Fund .......................................................... 10,000.00
 tr Marie L. Willard Legacy ................................................ 3,127.36
E;  William Nelson Fant, Jr., Memorial ............................ 78,349.52
 . Mrs. Charles H. Moorman Bonds .................................. 1,100.00
 Y Lillian F. Eisaman Legacy ....................._...................... 5,000.00
  Donald R. McLennan Memorial Bed .............................. 12,750.00
.1  Lt. John M. Atherton Memorial .................................... 1,000.00
 ` Mrs. Morris B. Belknap Fund ........................................ 25,375.00
’ Elisabeth Ireland Fund .................................................. 17,257.50
Q Louie A. Hall Legacy in Memory of Sophronia
li Brooks for a Center and its Endowment .............. 44,396.67*
_ Margaret A. Pettet Legacy ............................................ 1,953.70
  Elizabeth Agnes Alexander Legacy .............................. 5,000.00
‘`4"  Richard D. McMahon Legacy ........................................ 943.23
 ., Anonymous General Endowments ................................ 102,400.00 ·
 fj Mrs. W. Rodes Shackelford’s Fund in Memory of her
3  two children ................................................................ 9,000.00
 ., Cassius Clay Shackelford (a boy)
  Rodes Clay Shackelford (a girl)
"  Hattie M. Strong Memorial .......................................... 10,000.00
`  J Total Endowment; ..................................................... $524,037.97
 l RESERVE ACCOUNT:
 Q Mrs. Louise D. Crane .......................... $ 4,000.00
. Mrs. Frederic Moseley Sackett .......... 10,000.00
  Mrs. Eliza A. Browne .................r........ 10,000.00 24,000.00
.·,l ..1.. ..;;
Q? Total __._...................................................................... $548,037.97
  ‘ * Income added to principal. _
 it All others at original amount of gift.
1·~ 
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REVENUE RECEIPTS  
Statement of Donations and Subscriptions Paid  
May 1, 1951 to April 30, 1952  
Benefits and -<»
SUMMARY Contributions Bargain Box Totals Q
Alpha Omicron Pi Social Service  
Fund ......»......».............._....._........... $ 3,856.85 $ 3,856.85  
Baltimore Committee .o..___,...,.___.________,__ 2,203.50 2,203.50  
Boston Committee ............._...,.......,...... 7,620.10 $ 762.42 8,382.52 ‘l
Chicago Committee .___...,.,_.__..___,________._ 8,533.94 8,533.94  
Cincinnati Committee .._..._,_._._...__...____. 7,385.18 7,385.18 `
Cleveland Committee .__.________________________ 8,528.38 8,528.38 f
Detroit Committee .......__............._..._._... 10,453.43 10,453.43 ji
Hartford Committee ...__.._._.._._.____...__.__ 1,601,50 1,601.50  
Kentuckyzt ‘
Blue Grass Committee .................. 13,074.88 13,074.88 . '
Hazard Committee ........__........_.__.. 147.00 147.00 .
Louisville Committee .__._._____.___.__._ 4,204,50 4,204.50 .
Miscellaneous Kentucky .............. 2,665.14 2,665.14 ,2
Minneapolis Committee ........................ 1,649.00 1,649.00 ,1
New York Committee .......................... 21,069.67 6,360.15 27,429.82  
Philadelphia Committee ........_............... 8,316.81 1,276.00 9,592.81  
Pittsburgh Committee .......................... 12,484.00 ’ 12,484.00  
Princeton Committee ............................ 1,189.00 1,189.00 i
Providence Committee .......................... 1,182.63 1,182.63 `
Riverdale Committee ............................ 1,021.00 1,021.00 Z
Rochester Committee ............................ 2,628.41 2,628.41
St. Paul Committee .............................. 452.50 452.50  
Washington, D. C. Committee ............ 5,336.99 1,500.00 6,836.99 Q
Miscellaneous ._..._.................................. 6,197.14 6,197.14 ,
Totals ............................................ $131,801.55 $ 9,898.57 $141,700.12 `·
* Total for Kentucky $20.091.52. K,
-OTHER REVENUE RECEIPTS _.
Fees for Frontier Graduate School ,
of Midwifery .................................. $ 6,455.06 '
Payments from Patients: P;
Income from Nursing Centers .... $ 8,562.14 ,
Medical and Surgical Fees ............ 5,675.45  
Hyden Hospital Fees .................... 5,523.40 fi
Hyden Hospital Clinic Supplies-- 8,094.02 27,855.01  
Citizens Hospital Fund ........................ 135.00  
Wendover Post Oilice ............................ 3,105.96 {
Investment Income ................................ 21,816.39
Sales of Post Cards .............................. 22.00 ` ,
Coal Royalties on Hyden Property .... 1,196.66 60,586.08  
Total All Revenue Receipts .......... $202,286.20  

 l 
  LAST YEAR’S EXPENDITURES AND THIS YEAR’S BUDGET
  I. FIELD EXPENSE;
*53 (Hyden Hospital, Frontier Graduate School
  of Midwifery, Wendover and Six Nursing
  Cgntgys) 195].-1952 1952-].953
  1. Salaries and Wages ........................................ $ 60,347.76 $ 62,000.00
  1 2. Medical Director and Vacation Relief
ii (Note 1) .......................................................... 6,106.46 7,200.00
ll 3. Dispensary Supplies (Note 2) .....................r 20,320.46 22,000.00
§ 4. Running Costs (food, minus board of resi-
* dents; cows, fuel, electricity, laundry,
é freight, haulage, et cetera) ...................... 34,398.48 36,000.00
  5. Feed and Care of Twenty Horses ................ 8,688.19 8,500.00
I 6. Jeeps (12), Truck, Station Wagon Ambu-
‘ lance ............................................................ 4,482.78 4,500.00
L Total Field Expense .......................... $134,344.13 $140,200.00
  _ II. ADMINISTRATIVE EXPENSE:
i j 1. Salaries, accounting, auditing, oiiice sup-
Ei plies, postage, printing, telephone, tele-
  graph, et cetera .......................................... $ 24,105.51 $ 25,000.00
gl _. ..— ;.._ .
  III. SoCIAL SERVICE .................................................... $ 6,695.06 $ 6,000.00
  IV. GENERAL EXPENSE:
. 1. Social Security Tax ........................................ $ 1,093.72 $ 1,200.00
4  2. Insurance (Fire—$287,000.00 coverage,
} Employer’s Liability, full coverage on
 . truck, twelve jeeps, and station wagon)1 5,113.03 5,100.00
  3. Interest ............................................................ 270.00 270.00
  4. Quarterly Bulletins (covered by subscrip-
 ’ tions, with small surplus) ........................ 3,549.31 3,500.00
 . 5. Statistics and Research .................................. 3,507.42 2,000.00
 I 6. Miscellaneous Projects such as: Doctors
  and Nurses for study and observation,
·A  professional books and magazines .......... 293.07 300.00
’ 7. Miscellaneous Promotional Expenses be-
 ? yond the mountains .................................... 604.50 700,00
  Total General Expense ...................... $ 14,431,05 $ 13,070,00
  V, MAINTENANCE or PROPERTIES ............................ $ 20,493.71 $ 20,500.00
  Total Expense .................................... $200,069.46 $204,770.00
 Fl VI. LAND AND BUILDINGS, MOTOR VEHICLES,
 3 EQUIPMENT AND LIVESTOCK ................................ $ 5,811.72 $ 3,230.00
  GRAND TOTAL ................................ $205,881.18 $208,000.00
_ Note 1: Approximately 1/4 of his time spent on districts.
 { Note 2: Approximately 1/3 of supplies relayed to districts.
I 
 B

 l i
8 THE QUARTERLY BULLETIN  
LAND, BUILDINGS, LIVESTOCK AND EQUIPMENT  
(From Exhibit C of the Audit) Qi
INVENTORY
Our auditors set a value of $362,684.86 on these holdings,  
after adjustments. Among the major holdings are the following:
Hyden K
A stone Hospital, one wing of which is the Mary Ballard Vi;
Morton Memorial, one wing the Mary Parker Gill Memorial,  
and the frame Annex, a Memorial to "Jackie" Rousmaniere; Joy I g
House, home of the Medical Director, gift of Mrs. Henry B. Joy;  
Aunt Hattie’s Oak Barn, gift of Mrs. Henry Alvah Strong; ,§
Mardi Cottage, the Quarters for the Frontier Graduate School  
of Midwifery; The Margaret Voorhies Haggin Quarters for i
Nurses; three water tanks; two employees’ cottages; and out- K,
buildings such as garages, work shop, pig house, forge, pump I
house, fire hose house, and the Wee Stone House. U
Wendover [6
Three log houses, as follows: the Big House ("in memory of T
Breckie and Polly") ; the Old Cabin and the Ruth Draper Cabin; ‘
the Garden House; the Upper and the Lower Shelf; the Cour- ;
iers’ Log Barn and Aunt Jane’s Barn; numerous smaller build- _
ings such as the cow barn, horse hospital barn, mule barn, tool
house, chicken houses, forge, apple house, smoke house, pump
house, jeep shed, fire hose houses, water tanks, and the Pebble
Work Shop. i
Georgia Wright Clearing V
A caretaker’s cottage and barns; extensive pasture land if
for horses and cows; a bull’s barn and stockade; two wells. ~
Jessie Preston Draper Memorial Nursing Center  
(Beech Fork; Post Office, Asher, Leslie County)
Frame building and oak barn; employee’s cottage; deep _.
well, pump house and water tank; fenced acreage for pasture
and gardens.  

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1: FRoN*1·1ER NURSING smzvrcn 9
; Frances Bolton Nursing Center
(Possum Bend; Post Oflice, Confluence, Leslie County)
  Frame building and oak barn; deep well, pump house and
. water tank; fenced acreage for pasture and gardens.
  Clara Ford Nursing Center
‘ V (Red Bird River; Post Office, Peabody, Clay County)
. Log building and oak barn; iire hose house; walled-in
i* spring; deep well, pump house and water tank; fenced acreage
I). for pasture and gardens.
  Caroline Butler Atwood Memorial Nursing Center
_ (Flat Creek; Post Oiiice, Creekville, Clay County)
ll Frame building and oak barn; iire hose house; walled-in
  spring; water tank; fenced acreage for pasture and gardens.
g.   Belle Barrett Hughitt Memorial Nursing Center
; 1 (Bullskin Creek; Post Oiiice, Brutus, Clay County)
  Frame building and oak barn; fire hose house; walled-in
Q; spring; water tank; fenced acreage for pasture and gardens.
` Margaret Durbin Harper Memorial Nursing Center
· (Post Office, Bowlington, Perry County)
_ Frame building and oak barn; fire hose house; walled-in
it spring; deep well, pump house and water tank; fenced acreage
{ for pasture and gardens.
p Subsidiary Clinics
` Five small clinic buildings on the following streams: Bull
’ Creek, Stinnett (Mary B. Willeford Memorial), Grassy Branch,
Hell-for-Certain Creek, and the Nancy O’Driscoll Memorial on
Cutshin Creek.
. Livestock
Twenty horses; one mule; one registered Brown Swiss bull;
4 thirteen cows; one heifer; four calves; registered Duroc brood
° sow, four hogs, and seven piglets; over two hundred chickens.
L' Equipment
Equipment includes: fourteen jeeps; one Ford station
nl wagon-ambulance; one half-ton truck; tanks; engines; pumps;
farm implements; plumbers’ tools; sixty-two pairs of saddlebags;
g saddles; bridles; halters; hospital and dispensary supplies and
hospital and household furnishings in twenty—two dwellings
  variously located in a seven-hundred-square-mile area.

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*4
10 THE QUARTERLY BULLETIN i _____ _ _  
II '·
REPORT OF OPERATIONS .
The data in this section are supplied by the statistical ;
department of the Frontier Nursing Service; by records kept in A Q.
this department on guests and volunteer workers; and by the 'l
social service secretary maintained by the Alpha Omicron Pi l
Fund. Y
1. { `
MEDICAL AND SURGICAL  
Since July, 1951, we have had the rare good fortune of a  
permanent Medical Director in Dr. F. William den Dulk. Since  
he is a surgeon as well as a physician, we have had more than Fi;
three times the number of operations performed at Hyden  
Hospital than during the preceding fiscal year. All of our surgical j
emergencies are promptly met. In May of 1951, just after the  ]
close of our last fiscal year, Dr. F. W. Urton of Louisville came  `
back to us for one of his tonsil clinics which he has so gener-  
ously given us over the years. In October and in April Dr.  Q
Francis Massie, with his excellent staff, came up from Lexington  ~,
for general surgical clinics.  i
We are profoundly gratefully to the physicians in Hazard,  ~
Louisville and Lexington who have given courtesy care to I;
patients and members of our staff sent to them; to Dr. Harold G. ‘  f
Reineke of Cincinnati for reading, without charge, the X-ray Y
pictures mailed to him from time to time; to the Children’s 3
Hospital in Cincinnati and the Children’s Hospital in Louisville  
which have continued to give free care to the children we have l—
taken to them; to the Kentucky Crippled Children’s Commission,
which has taken care of all of the children We referred to them; 1
to the Kentucky State Board of Health for the kindness and p
cooperation of its Commissioner and the Directors of its Divi-  
sions, particularly that of Maternal and Child Health. i
2. h
HYDEN HOSPITAL  . 
Hyden Hospital was occupied 6,801 days last year by 1,011  »
patients with a daily average of 18.7 patients at a cost per  

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*1
E Fnonrrmn mmsme snavrcm u
` patient day of $9.20. Of the 1,011 patients cared for at the Hos-
` pital during the fiscal year, 187 were sick adults, 356 were obstet- .
I rical patients, 226 were children, and 242 were newborn. There
  were 9 deaths in the Hospital, of which 6 were newborn. There
5, was one maternal death. There were 184 operations performed.
i At the Medical Directors’ clinics in the outpatient department
J ‘ of the Hospital, there was a total of 9,973 visits received during
§ the past fiscal year.
  3.
  DISTRICT NURSING
  In the 12 districts operated by the Service from the Hos-
¥;i4 pital, Wendover, and six outpost centers, we attended 9,894 peo-
E ple in 2,232 families. Of these 4,848 were children including
Y 2,382 babies and toddlers. The district nurses paid 18,651 visits
 ] and received 20,104 visits at their nursing centers and at their
 ‘ special clinics. Bedside nursing care was given in their homes to
  690 sick people of whom 6 died. At the request of the State
 Q Board of Health, the Frontier Nursing Service gave 2,591 inocu-
 ·, lations and vaccines against typhoid, diphtheria, smallpox,
 f whooping cough, et cetera, and sent 2,373 specimens for analysis.
 ~ This part of our report has reference to general district
Q nursing only and does not include the midwifery carried day and
·  . night by the nurse-midwives along with their district nursing.
Y The figures for midwifery are covered under the following
g section.
· 4.
_ MIDWIFERY
‘ Registered Cases
l The nurse-midwives and the midwifery students of the Fron-
 i tier Graduate School of Midwifery (under supervision of their
  instructors) attended 421 women in childbirth, and gave them
‘ · full prenatal and postpartum care. Of these 421 women, 15 were
  delivered by our Medical Director and our consultants. There
  were 416 live births and 8 stillbirths; 7 deliveries of twins; 337
 “ new cases admitted; 433 closed after postpartum care; 4 miscar-
 jp riages. There were no maternal deaths on the districts.

 I
A
12 THE QUARTERLY BULLETIN  E
Emergency Cases-Unregistered  A
In addition to these regular registered maternity cases, the  .
Medical Director and the nurse-midwives were called in for 47  _`
emergency deliveries, where the mother had not been registered  
or given prenatal care, which resulted in 16 live births, 1 still- *"
birth, and 31 emergency miscarriages (25 early and 6 late). `
· There was one delivery of twins and 1 miscarriage of twins. .
Postpartum care was given to 7 other unregistered mothers.
There was no maternal death. Q
( ln
Outside-Area Cases
There were 218 women from outside our area who were car- p A
ried for prenatal care. Of these, 45 were closed before delivery.  
Most of our outside-area patients move into our districts or our {F
Hospital for delivery. In that case they are transferred to our {*3
regular midwifery service. However, the nurse—midwives did go  
outside our area to deliver 10 such patients of 11 live babies,  
including 1 set of twins, in their own homes, with no maternal »
deaths. »
5.  
FRONTIER GRADUATE SCHOOL OF MIDWIFERY .
The Frontier Graduate School of Midwifery has two classes T
annually, each of six mon1;hs’ duration, which start on October »
15th and April 15th. During the past year 13 registered nurses ,_
were graduated from the School. The twenty-fourth class since E
the School opened in 1939 is now in attendance. When its work _
is completed on October 15th. the School will have sent 116 I
nurses, qualified as midwives and in our frontier technique, to J
render service all over the world. Graduates of the School are l
in a number of our states, and Alaska, the Philippines, and in
various parts of Africa, Japan, India, Thailand, and South
America.
6. ‘ I l.
_ ‘ GUESTS , ·)
A The Frontier Nursing Service entertained at Wendover 149 . 
overnight guests who stayed 298 days. In addition Wendover i

 »
I
 E FRoN*1·1ER mmsiue snnvrcm is
 A entertained for meals 230 guests for 309 meals. Included among
 . these guests are both outside and mountain friends.
 ‘ The Service entertained at the Hyden Hospital overnight
 A guests for a total of 92 days, and day guests for 345 meals.
v·· Guests of the Service during the past year have included not
‘ only Americans, but persons from the following lands: England,
O Austria, Finland, France, Sweden, Ceylon, China, Egypt, India,
Okinawa, the Philippines.
( ·‘ 7.
VOLUNTEER WORKERS
, S Eleven couriers and eleven other volunteers worked for the
  Service a total of 1,153 days. During the time the volunteers
ij? were with the Service they lived at Wendover, Hyden, and the
  outpost Centers.
 
  8.
A SOCIAL SERVICE DEPARTMENT
’ (Alpha Omicron Pi Blind)
g During the past fiscal year the Social Service Department of
  the Frontier Nursing Service has given financial aid to 104
Q families or individuals, as follows:
T Provided monthly allowance to one person
_ Provided monthly pension to one person
Administered an Idiot’s Claim for 2 persons
  Gave grocery orders to 15 families—a total of 27 orders
Gave garden seeds to 12 families
Q Aided 5 burned-out families
2 Purchased 7 bus tickets to Lexington for patients
l Purchased medicines for 4 patients ·
Purchased shoes and clothing for 6 persons
Purchased cow for one family
Paid school bills for 3 children . "
r Made loans to 10 persons 3
`_ Purchased glasses for 33 patients . Q
Paid dental bills for 2 patients V T " ‘ ‘
3 `) Paid Lexington hospital bills for 8 patients
=  Paid Hazard hospital bills for 2 patients ‘
i Paid Hyden hospital bills for 5 patients . `

 L
i 
14 r THE QUARTERLY BULLETIN E
Many patients have been transported to and from the Fron- T
tier Nursing Service Hospital and outpost centers. In addition S
there were:  
19 trips to Hazard with 93 patients—68 children and TQ,
adults for eye examinations, 6 patients to the den- gi
_ tist, 1 patient to the Hazard hospital, 18 children
L and attendants to a Kentucky Crippled Children i',
clinic.  
14 trips to Lexington with 15 patients—3 children for —  
eye examinations prior to surgery, 8 patients to *
Lexington hospitals, 4 children to the Kentucky .
Crippled Children Commission. i
11 trips to Cincinnati Children’s Hospital with 8  
patients R E
4 trips to Louisville Children’s Hospital with 2 patients 5;
General services and aid have been given a number of other V ti`
families and individuals, such as: j ·
Distributed hundreds of articles of clothing, shoes, books, T if
etc., to needy families °
Obtained 3 bus passes, 2 train passes for indigent {
patients ”
Supervised child in adoptive home and completed the Q
adoption procedures E
Gave special assistance to one family with a young deaf  
child j
Supported local handicraft program p
Supervised college student doing field work in the Social ‘
Service Department E
Assisted with the distribution of toys and clothing for Z
Christmas and helped with the Christmas parties.  
Services and time given in a number of other cases of a ,
miscellaneous nature, and in cooperation with the l
County Welfare and Health Departments, the local
Red Cross Chapter, the county judges, the county ‘
child welfare and vocational rehabilitation repre- ,
sentatives, and the Frontier Nursing Service medi-  
cal director, district nurses, and hospital staff.  }
.  l

  
F
$5
  Fnonrrmn minsme SERVICE 15
  9.
  oHR1s·rMAs
  The Frontier Nursing Service gave toys and candy to more V
zi than 5,000 children at Christmas, and clothing to those that
V needed it. The Service also held Christmas parties at many
different places for these children, with Santa Claus, Christmas
‘ trees, and Christmas carols. All of this was made possible by
l the generous response of hundreds of people to our annual
A request card for the children’s Christmas.
T HI.
  TWENTY-SEVEN YEAR TOTALS
gf.
4- It will be of interest to our members to read a few totals
J covering the whole tw