xt7ftt4fpb5w https://nyx.uky.edu/dips/xt7ftt4fpb5w/data/mets.xml The Frontier Nursing Service, Inc. 1948 bulletins  English The Frontier Nursing Service, Inc. Copyright 1925-2010. FNS, Inc. Use and reproduction of this work are permitted for the purposes of research and scholarship if non-commercial. All other rights are reserved to the copyright owner. Federal copyright law prohibits the reproduction, distribution, or public display of copyrighted materials without the express and written permission of the copyright owner, unless fair use or another exemption under copyright law applies. Frontier Nursing Service Quarterly Bulletins The Quarterly Bulletin of The Frontier Nursing Service, Inc., Vol. 24, No. 1, Summer 1948 text The Quarterly Bulletin of The Frontier Nursing Service, Inc., Vol. 24, No. 1, Summer 1948 1948 2014 true xt7ftt4fpb5w section xt7ftt4fpb5w The Qu rtexl Bulletin
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THE GRANDMOTHER ,
Mrs. Sallie Lewis of Hurricane Creek {
and her grandchildren I
Photograph taken by Margaret McCracken, R.N., C.l\1I. 1
Printed by kind permission of Mrs. Lewis  
1
Cover photograph was taken by Earl Palmer  
‘i
g, it
   
THE QUARTERLY BULLETIN of THE FRONTIER NURSING SERVICE. Inc. I
Published Quarterly by the Frontier Nursing Service, Lexington, Ky.
Subscription Price $1.00 Per Year
 
VOLUME 24 SUMMER, 1948 NUMBER 1
"Entered as second-class matter June 30, 1926, at the Post Oiiice at Lexington, Ky,,
under Act of March 3, l879."
Copyright, 1948, Frontier Nursing Service, Inc.
I

 ` F
P
l
1
J INDEX
A ARTICLE AUTHOR PAGE ‘
  An Idyll of Mother Love (Cartoons) Phyllis Benson 40
U Annual Report 2 ·
Beyond the Mountains 55
Field Notes 61
Frisky and Us Anna May January 21 4
In Memoriam 37 I
Making Friends (Photograph) Inside Back Cover
{ Mississippi in Kentucky Edna Owens 23
Notes from a Clinic Nurse Caroline Stillman 18
Old Courier News 30
Old Staff News 47
Organdie andrMull
(Review of a novelette) 20
` Our Nurses (Verse) Mrs. Snowden Huff 27
\Yendover Picnic “Luokey" 43
BRIEF BITS
A Letter from Paraguay L. Gonzales 29
An American Naturalist Punch 19
Announcement for F.N.S. Nurses
in Great Britain 17
Crime Against Nature The Countryman 26
Did You Know- l Georgiafs Health 28
Just Jokes, Men and Women 35
Just Jokes, Reasons Given 60
· No Windmills The Countryman 22
._   Our -Waiting Horses 60
_ Southern Spoon Bread (A Recipe) 46
True Tales 75
\Vas It an Angel? Light, London 36
'White Elephant 42
\Yildlife Nature Magazine 45
E

 2 THE QUARTERLY BULLETIN  i
Vi
HIFNER AND FORTUNE A
l
CERTIFIED PUBLIC ACCOUNTANTS Qi
LEXINGTON, KENTUCKY *
To the Officers and Directors, ·
Frontier Nursing Service,
Lexington, Kentucky.
Ladies and Gentlemen:
We have made a detailed examination of your records and
accounts for the fiscal year ended April 30, 1948, with the results p
as disclosed by the annexed Exhibits and supporting schedules.  
Your operations for the year resulted in a net gain of
$1,638.00 of free surplus and an increase of $12,585.62 in endow-
_ ment. This makes total endowment in excess of one-half million
do1lars—a goal for which the Director has been striving for L
many years. .  
In our opinion all monies have been duly and properly  
accounted for.  
Respectfully submitted, ·  
(Signed) HIFNER AND FORTUNE  
Certified Public Accountants.  
Lexington, Kentucky,  
May Nineteenth, ‘  
Nineteen Forty-eight. I
 ké
 I

  1 Faonmima NURSING smwiom s
xl
il TWENTY»THIRD ANNUAL REPORT
é of the i l
il FRONTIER NURSING SERVICE, Inc. I
» Tl for the Fiscal Year `
May 1, 1947 to April 30, 1948
PREFACE
Each year at this time we give our subscribers an annual
report of the fiscal affairs and of the field of operations of the
Frontier Nursing Service. Not only is it our duty to tell our
widely scattered members about the money we have received,
and what we have done with it, but it is a source of satisfaction
to us to make an annual accounting of everything.
We have, as in previous years, divided our report into two
sections. One section is about money, and one section about work.
` I.
FISCAL REPORT
Our annual audit covers many pages, too many to print in
full. All of the figures given under their respective headings are
taken from the exhibits and schedules of the last audit. We
Ei I have divided them into four categories, each blocked off into one
  full page. The first category is the auditors’ own Summary. The
Q? second is their list of Endowments. The third, taken from the
  audit, covers all Revenue Receipts. The fourth category is in
  two columns. To the left are the Expenditures of the past fiscal
‘   year, taken from the audit, and to the right is our Budget for
ii, the coming fiscal year, based on last year’s expenditures.
fl It will be noted that our Budget for the current fiscal year
Q is lower than our Expenditures were during the past fiscal year,
  a difference that lies chiefly in the figures for Maintenance of
  Properties and Replacement of Equipment and Livestock. Since
  we cannot count on enough income to cover these costs for our
ii- vast and widely scattered properties, we list particular items
, annually in our Spring Bulletin as "Urgent Needs." After read-
,-,2. ing this list, friends from all over the United States send us
·=- thousands of dollars to meet the most urgent of these needs.
{ These thousands of dollars represent the difference between the
,. i meagre sum we budget for Maintenance and Replacement and
T -; the far larger sum needed.
  It will be noted that there is a fifth category called Inven-
 _ tory. Our auditors value our properties at $269,38557. The
  y Inventory is given to explain that figure in detail. All five cate-
 _ gories are given, in sequence, on the following pages,
il
`\
s,

  nl
4 p THE QUARTERLY BULLETIN  
1. gl
SUMMARY OF ANNUAL REPORT  
From Oflicial Audit for Fiscal Year in
May 1, 1947 to April 30, 1948 3]
RECEIPTS (not including new endowments) :
Donations ..._...._...._..._..._....._.......___.._. $109,195.39
Income from endowment, benefits,
fees, et cetera ..._..............__......._.. 48,111.78 $ 157,307.17
EXPENDITURES—for operating ex-
penses including repairs, replace-
ments, and upkeep ._..................._______ 155,669.17
Excess of Receipts over Expenditures $ 1,638.00
New Endowments received .................. $ 12,585.62
New Land, Buildings, Livestock, and
Equipment ......._..........__.._...__......__.__. $ 4,009.40 1
Less Charge-Offs for deaths of ani-  
mals, depreciation, et cetera .......... 3,337.29  
Net increase in physical property ........ $ 672.11  
GENERAL DATA AS OF APRIL 30, 1948  
Value of Land, Buildings, Livestock,  
and Equipment ................................ $ 269,385.57  
 ._i i.
Total Endowment (This is the value  
of the gifts at the dates they were  
received. Present values would  
probably exceed this amount.) ...... $ 503,628.01 Q?
Total Contributions and Income (ex-  
elusive of Endowment) from Or- i,
ganization to April 30, 1948 ............ $2,524,413.92  
Total Expenses (exclusive of Land,  
Buildings, and Equipment) from
Organization to April 30, 1948 ...... 2,262,387.52  
Excess of Total Income over Total  
Expenses .......................................... $ 262,026.40  
This excess is represented by  
Cash .................................................. $ 4,102.03 ’ .
Land, Buildings, and Equipment .... 269,385.57 { _
_ 273,487.60 gi 
Less Indebtedness .......................... 11,461.20 $ 262,026,40 g 
.-al .

 ll
fl Fnomumn Nunsmc; smzvxcm 6
Rl 2.
Q ENDowMEN·r i
  The total endowment funds of the Service at the close of
the Hscal year are taken from Exhibit D of the audit and are
as follows:
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
Belle Barrett Hughitt Memorial .................................... 15,000.00
Isabella George Jeffcott Memorial ................................ 2,500.00
Bettie Starks Rodes Memorial Baby Crib .................... 5,000.00
John·Price Starks Memorial Baby Crib ........................ 5,000.00
. Eliza Thackara Fund ........................................................ 1,118.87
g, Children’s Christmas Fund in Memory of Barbara
  Brown ........................................................................ 1,000.00
{ Marion E. Taylor Memorial .............................................. 10,000.00
l Fanny Norris Fund .......................................................... 10,000.00
  Marie L. Willard Legacy .................................................. 3,127.36
  William Nelson Fant, Jr. Memorial ................................ 78,349.52
  Mrs. Charles H. Moorman Bonds .................................. 1,100.00
  Lillian F. Eisaman Legacy .............................................. 5,000.00
  Donald R. McLennan Memorial Bed .............................. 12,750.00
  Lt. John M. Atherton Memorial Fund ........................__.. 1,000.00
  Mrs. Morris B. Belknap Fund ...................._..............__..... 10,000.00
 ‘ Elisabeth Ireland Fund .................................................... 12,120.00
  Louie A. Hall Legacy in Memory of Sophronia Brooks
  for a Center and Its Endowment ............................ 39,014.50
gi Margaret A. Pettet Legacy .............................................. 1,953.70
`Q Elisabeth Agnes Alexander Legacy ................................ 5,000.00
Richard D. McMahon Legacy ........................................ 17,943.23
_ Fil Anonymous General Endowments ................................ 102,400.00
W Mrs. W. Rodes Shackelford’s Fund in Memory of
  her two children ........................................................ 5,000.00
fi Cassius Clay Shackelford (a boy)
  Rodes Clay Shackelford (a girl)
A! ‘ General Endowment Reserve (Mrs. Louise D. Crane) 4,000.00
 g Total ............................................................................ $503,628.01
{ 
gl .

 Q
` A 
  » 3.  
REVENUE RECEIPTS 3
Statement of Donations and Subscriptions Paid  =
May 1, 1947 to April 30, 1948 ,  
_ Benefits and  
SUMMARY Contributions Bargain Box Tnmis 5
Alpha Omicron Pi Social Service ·~
· Fund ____________.__r..._________.r_____.________._ $ 5,261.72 $ $ 5,261.72
Baltimore Committee .,..,.......,...._.....__. 1,175.00 1,175.00
Boston Committee .................._............. 5,894.50 5,894.50
Chicago Committee .............................. 5,810.18 ·· 5,810.18
Cincinnati Committee ...........i.............. 6,490.15 6,490.15
Cleveland Committee .......................... 3,140.00 3,140.00
Detroit Committee .............................. 6,833.13 6,833.13
Hartford Committee ............................ 1,034.00 1,034.00
Kentucky:*"
Blue Grass Committee .................. 14,284.50 14,284.50
Louisville Committee .................. 4,568.00 705.00 5,273.00
Miscellaneous Kentucky .............. 1,973.50 1,973.50
Minneapolis Committee ...................... 1,145.00 1,145.00
New York Committee .......................... 16,827.76 5,000.00 21,827.76
Philadelphia Committee ...................... 4,767.55 1,752.85 6,520.40
Pittsburgh Committee ........................ 8,708.50 8,708.50
Princeton Committee .......................... 990.00 990.00
Providence Committee ........................ 1,165.00 1,165.00
Riverdale Committee .......................... 1,592.00 1,592.00 ii,
Rochester Committee .......................... 2,259.17 2,259.17  
St. Paul Committee .............................. 478.50 478.50  
Washington, D. C., Committee ............ 9,253.23 1,618.94 10,872.17 fr,
Miscellaneous ........................................ 5,544.00 5,544.00   {
Totals .............................................. $109,195.39 $ 9,076.79 $118,272.18  
* Total for Kentucky $21,531.00.   _
OTHER REVENUE RECEIPTS  
Fees for Frontier Graduate  
School of Midwifery ...................... $ $ 3,893.34 $ 2,q
Payments from Patients:  
Income from Nursing Centers .... 6,078.56 `
Medical Fees ................................ 2,266.00
Hyden Hospital Fees .................... 2,824.00 , '
Hyden Hospital Clinic Supplies- 1,991.20 13,159.76  
Wendover Post Office ............................ 1,393.90  
Investment Income .............................. 17,567.99  1
Miscellaneous ........................................ 20.00 36,03@  ,
Total All Revenue Receipts- $154,307.17  
Transfer from General Endowment  
Reserve to Payment on Bor-  
rowed Money ................................ 3,000.00  ·
Total All Receipts .................. $157,307.17  
. ? 

 Q
d 
‘ LAST YEAR’S EXPENDITURES AND THIS YEAR’S BUDGET
e. HYDEN HOSPITAL and FRONTIER GRADUATE Expenditures Budget
  SCHOOL OF MIDWIFERY: 1947-1948 1948-1949
fc 1. Salaries and Wages ..........,..................................... $ 22,606.71 $ 23,000.00 W
Q 2. Running Costs (food, cows, electricity, fuel,
». laundry, freight, haulage, et cetera) ............ 10,884.57 10,500.00
3. Dispensary Supplies (Note 1) ............................ 9,602.84 9,500.00
4. Medical Director (Note 2) .___.._..._......................... -1%   
Total ....................................,..................... $ 45,861.81 $ 46,000.00
DISTRICTS (Wendover and Six Nursing Centers) : I
1. Salaries and Wages ................................................ $ 30,128.24 $ 30,000.00
2. Feed and Care of Horses (Hospital, Graduate
School, Wendover, and 12 districts) .............. 10,203.01 10,000.00
3. Jeeps, Truck, Station-Wagon-Ambulance
(Ditto) ................................................................ 2,291.65 2,500.00
4. Running Costs (food, minus board of resi-
dents; cows, fuel, kerosene, candles, laundry,
freight, haulage) .............................................. 12,141.08 12,000.00
Total .......................................................... $ 54,763.98 $ 54,500.00
ADMINISTRATIVE EXPENES:
ttl Salaries, accounting, auditing, oflice supplies,
it printing, telephone, telegraph, postage, et
  cetera .................................................................. $ 18,389.20 $ 18,000.00
fi GENERAL EXPENSES:
  1. Social Service ........................................................ $ 5,114.50 $ 3,500.00
it 2. Insurance (Fire—$209,000.00 coverage, Em-
gi ‘ ployer’s Liability, full coverage on station
 , wagon, truck and jeeps) ............................_..... $ 3,723.67 $ 3,700.00
ti 3. Quarterly Bulletin (covered by subscriptions,
  with small surplus) ............................................ $ 3,335.86 $ 3,300.00
  4. Statistics and Research ........................................ $ 3,240.00 $ 3,300.00
lj 5. Miscellaneous Projects such as: Doctors,
nurses, for study and observation .................. $ 1,124.57 $ 1,000.00
6. Uniforms ................................................................ $ 2,881.88 $ 500.00
f 7. Miscellaneous Promotional Expenses Beyond
Q, the Mountains .................................................... $ 199.85 $ 200.00
  MAINTENANCE OF PROPERTIES AND REPLACEMENT
(  of
 Q Equipment and Livestock (Auditor’s Valua-
i tion: $269.38557, after adjustments) ............ $ 14,368.67 $ 6,000.00
  Totals ........................................................ $153,003.99 $140,000.00
 i Note 1: Approximately 1/3 of supplies relayed to districts.
i Note 2: Approximately 1/4 of his time spent on districts.

 s THE QUARTERLY BULLETIN ‘ l
5.  
LAND, BUILDING, LIVESTOCK AND EQUIPMENT Q 
(From Exhibit C of the Audit)  
INVENTORY
Our auditors set a value of $269,385.57 on these holdings,
after adjustments. Among the major holdings are the following:
Hyden
A stone Hospital, one wing of which is the Mary Ballard
Morton Memorial, one wing the Mary Parker Gill Memorial,
and the frame Annex, a Memorial to "Jackie" Rousmaniere; Joy
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; two water tanks; two tenant cottages; and out-
buildings such as garages, work shop, pig house, forge, engine
house, fire hose house, and the Wee Stone House.
A Wendover  
Three log houses, as follows: the Old House ("in memory of I
Breckie and Polly") ; the Old Cabin and the Ruth Draper Cabin; E
the Garden House; the Upper and the Lower Shelf; the Cour- ,
iers’ Log Barn and Aunt Jane’s Barn; numerous smaller build- li
ings such as the heifer barn, horse hospital barn, tool house,  
chicken houses, forge, apple house, smoke house, engine house,  
{ire hose houses, water tanks, and the Pebble Work Shop.  
Georgia Wright Clearing  
A caretaker’s cottage and barns; extensive pasture land  
for horses and cows; a bull’s barn and stockade. {
Jessie Preston Draper Memorial Nursing Center jk
(Beech Fork; Post Office, Asher, Leslie County) »·
Frame building and oak barn; water tank and engine house; "
fenced acreage for pasture and gardens; deep well. _ ·

 4 l
é .
 
l FRoN*r1ER NURSINC sERv1cE 9
  Frances Bolton Nursing Center
E  (Possum Bend; Post Office, Confluence, Leslie County)
l
. Frame building and oak barn; pump and tank; fenced acre- ‘
Q age for pasture and gardens; deep well.
Clara Ford Nursing Center
(Red Bird River; Post Office, Peabody, Clay County)
Log building and oak barn with electricity; engine house
and iire hose house; deep well; tank; fenced acreage for pasture _
and gardens.
Caroline Butler Atwood Memorial Nursing Center
(Flat Creek; Post Oiiice, Creekville, Clay County)
Frame building and oak barn; tank and fire hose house;
walled-in spring; fenced acreage for pasture and gardens.
Belle Barrett Hughitt Memorial Nursing Center
(Bullskin Creek; Post Office, Brutus, Clay County)
Frame building and oak barn; tank; fire hose house; walled-
in spring; fenced acreage for pasture and gardens.
i` Margaret Durbin Harper Memorial Nursing Center
`_ (Post Office, Bowlingtown, Perry County)
  Frame building and oak barn; tank; fire hose house; walled-
E é in spring; fenced acreage for pasture and gardens.
  Subsidiary Clinics
F- . . . . . .
  Five small clinic buildings on the following streams: Bull
  Creek, Stinnett (Mary B. Willeford Memorial), Grassy Branch,
il Hell-for-Certain Creek, and the Nancy O’Driscoll Memorial on
  ‘ Cutshin Creek.
  Livestock
  Twenty-two horses; one mule; fourteen cows; six heifers;
( one bull; over three hundred chickens; pigs.
  Equipment
'A Equipment includes: seven jeeps; one Ford station-wagon-
{ ` ambulance; one half-ton truck; tanks; engines; pumps; farm
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10 THE QUARTERLY BULLETIN
implements; plumbers’ tools; sixty-two pairs of saddlebags; sad- ‘ p
dles; bridles; halters; hospital and dispensary supplies and hos- `o
pital and household furnishing in twenty buildings variously W
located in a seven-hundred-square-mile area. · Q
II.  
REPORT OF OPERATIONS A
The data in this section are supplied by the statistical _
department of the Frontier Nursing Service; by records kept in
the bookkeeping department on guests and volunteer workers;
and by the social service secretary maintained by the Alpha
Omicron Pi Fund. The volume of work carried has been im-
mense. We hope that you will take the time to read it in detail. ‘ 1
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MEDICAL AND SURGICAL  
Throughout the whole of the past fiscal year, Dr. Maurice  
O. Barney has been Medical Director of the Frontier Nursing  
Service. We are glad to be able to write that he will remain with  
us throughout the fiscal year upon which we embarked May lst.  
He is not only an able physician but a kind and considerate §·.
man as well. ‘ l 3
Since Dr. Barney does not practice major surgery, we have  
continued to depend on the Hazard surgeons for our major  
emergency surgery. Dr. R. L. Collins has met this need without ’ ,
cost to us, and with only moderate fees to those patients who S n
could afford to pay, for more than twenty years. Other distin—  
guished Hazard physicians who come with him, or take the calls  
for him, are Dr. J. E. Hagan, Dr. N. F. O’Donnell, Dr. Cooley L.  
Combs, and Dr. M. Palmer. What we and our patients owe to =·
these men we could never put into words. {Q
Dr. Francis Massie and Dr. Eugene Todd have given two A
of their free surgical clinics, one in October and one in April
during the past year. Dr. F. W. Urton of Louisville, with Dr.  
D. M. Dollar as anesthetist, came for a free tonsillectomy clinic 4 
for our children in December. They returned for a second clinic  
in May, just after the close of the fiscal year. It means every-  
thing to our patients and to us to have these distinguished  
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Faomumiz Nunsmc smwicn 11
‘ p Lexington and Louisville men each year give time out of their
i crowded days to serve people who cannot afford to pay hospital
costs outside of the mountains.
  We want to thank the Sisters of Mount Mary’s Hospital at
y Hazard for their unvarying kindness in taking those accident
  and gunshot cases that we have relayed to them, after emer-
· gency treatment. Where these patients were able to pay only
a part of the costs of hospitalization, the Sisters have reduced
. their bills accordingly. They have charged nothing for patients .
we have sent them who could pay nothing.
We are, as always, more grateful than we can express to
the Children’s Hospital in Cincinnati for giving free care to the
children we have transferred to them, care sometimes extending
1 over periods of months. Our gratitude goes out to Dr. Harold
( G. Reineke of Cincinnati for his continued courtesy in reporting,
  without charge, on the X-rays our Medical Director sends him.
  The Kentucky Crippled Children’s Commission continues
  to give its prompt, free, and completely eiiicient care to our
1 { crippled children.
  The Louisville and Nashville Railroad continues to give
  passes to indigent cases and their attendants.
  A number of physicians and surgeons in Louisville and
3 ` Lexington have attended, without charge, patients and members
  of our staff sent down to them. Since we could not possibly
Y carry the costs of such services, our gratitude to those who
. { render them comes from the depths of our hearts.
  2.
  HYDEN HOSPITAL
  The Hospital at Hyden was occupied 6,541 days last year by
E 789 patients with a daily average of 18.0 patients. This was not
  as high a daily average as we had during the preceding year,
  but high enough to mean overcrowding at peak periods of occu-
pancy. Our Hospital has only 18 ward beds and one isolation
  bed (in the Wee Stone House) and 8 bassinets for the new-born.
4;  Of the 789 patients cared for during the fiscal year, 119
  were sick adults, 309 were obstetrical patients, 158 were chil-
  dren, and 203 were newborn. There were 13 deaths in the Hos-
  pital during the fiscal year, of which eight were newborn, and
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one was obstetrical. Eighty-eight operations were performed. ;
At the Medical Director’s clinics in the outpatient department of ‘
the Hospital, there was a total of 6,127 visits received during  
the past fiscal year.
The obstetrical death which took place in our Hospital in k
December, 1947, was the Hrst such death the Service had suf-  
fered in six years and seven months. Although we know that  
one cannot save every mother, it is an unspeakable grief to lose  
one. The patient who died was one of our regular registered 5
cases. She was carried in to our Hospital in labor and was E
attended both by our Medical Director and by Dr. R. L. Collins V
of Hazard. She died Hve days after the delivery of a stillborn {
infant.  
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D1sTR1cT NURSING  
In the 12 districts operated by the Service from the Hos—  
pital, Wendover, and six outpost centers, we attended 9,302  
people in 2,309 families. Of these, 4,787 were children including  
2,382 babies and toddlers. The district nurses paid 16,703 visits  
and received 22,529 visits at their nursing centers and at their  
special clinics. Bedside nursing care was given in their homes §_·
to 420 sick people of whom 13 died. At the request of the State   5
Board of Health, the Frontier Nursing Service gave 9,008 inocu- ,  
lations and vaccines against typhoid, diphtheria, smallpox, p   _
whooping cough, et cetera, and sent 2,676 specimens for analysis. ; {
This part of our report has reference to general district N
nursing only and does not include the midwifery carried day  
and night by the nurse-midwives along with their district nurs- qi
ing. The figures for midwifery are covered under the following  
section.  
4. .
MIDWIFERY .
Registered Cases  
The nurse-midwives and the midwifery students of the  
Frontier Graduate School of Midwifery (under supervision of  `I
their instructors) attended 457 women in childbirth, and gave  
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ivnoiwmiz NURSING snnvicm is
. them full prenatal and postpartum care. Of these 457 women,
E eight were delivered by our Medical Director and our consultants. [
_ There were 444 live births and 13 stillbirths; three deliveries of
twins; 399 new cases admitted; 461 closed after postpartum
In care; three miscarriages; and there was one maternal death,——
  the one reported in the previous section under HYDEN
  HOSPITAL.
  Emergency Ca-ses—Unregistered l
? In addition to these regular registered maternity cases, the
_ Medical Director and the nurse—midwives were called in for 25
emergency deliveries, where the mother had not been registered
. or given prenatal care, which resulted in 11 live births, one
,, stillbirth, and 14 emergency miscarriages (eight early and six
El late). They also gave postpartum care to —six other mothers.
  There was one delivery of twins. There were no maternal deaths.
  Outside—Area Cases
  There were 204 women from outside our area who were
  carried for prenatal care. Of these 44 were closed before deliv-
  ery. Most of our outside-area patients move into our districts
{ or our Hospital for delivery. In that case they are transferred
i I to our regular midwifery service. However, the nurse-midwives
  did go outside our area to deliver seven such patients of seven
`   live babies in their own homes. i
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I   FRONTIER GRADUATE SCHOOL OF MIDWIFERY
lj, The Frontier Graduate School of Midwifery has two classes
-f annually, each of six months’ duration, which start on October
‘ 15th and April 15th., During the past yeartwelve registered
nurses were graduated from the School. The sixteenth class
` since the School opened in 1939 is now in attendance. When
» its work is completed on October,15th the School will have sent
;  71 nurses, qualified as midwives and in our frontier technique,
 . to serve quite literally all over the world. Graduates of the
 1 School are in a number of our states, in Puerto Rico and Alaska,
 I and in various parts of Africa, China, India, Siam, and South
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America. A catalogue of the School will be sent to anyone  
interested in receiving further information.  
6.* E
GUESTS 3
The Frontier Nursing Service entertained at Wendover 124
overnight guests who stayed 391 days. In addition Wendover
entertained for meals 129 guests for 291 meals. Included among
these guests are both outside and mountain friends.
The Service entertained at the Hyden Hospital overnight »
guests for a total of 130 days, and day guests for 661 meals.
Meals served to patients totaled 16,956. I f
Guests of the Service during the past year have included  
not only Americans but persons from the following lands:-—  
Canada, China, Finland, France, Great Britain, Greece, Holland, §
India, Nicaragua, South Africa. Yi
7. {
VOLUNTEER WORKERS ,
Fourteen couriers and eleven other volunteers worked for  
the Service a total of 1,305 days. Of these days, 35 were spent  
as nurse’s aides in the Hospital at Hyden and 71 with the dis- *
trict nurses.
Six volunteer nurses gave a total of 102 days’ work in the
Hospital and four days on the district. .
During the time the volunteers were with the Service they
lived at Wendover, Hyden, and the Outpost Centers. §
8. ,
SOCIAL SERVICE DEPARTMENT  
(Alpha. Omicron Pi Fund) ··
Services and aid have been given in connection with the l.
following numbers and types of cases: i
Aid and care to two dependent children who are placed _
G in private homes.  I
Aid and care to 13 families of widows and men unable  
to work. -·;
Acted as Committee for family receiving Idiot’s Claim.  
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% Garden seed assistance to eight families.