xt7kpr7mqt6h https://exploreuk.uky.edu/dips/xt7kpr7mqt6h/data/mets.xml The Frontier Nursing Service, Inc. 1984 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. 59, No. 4, Spring 1984 text Frontier Nursing Service Quarterly Bulletin, Vol. 59, No. 4, Spring 1984 1984 2014 true xt7kpr7mqt6h section xt7kpr7mqt6h ,,:~5®\__
FRONTIER NURSING SERVICE   ’ I  TR x  
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US ISSN 0016-2116 i
CONTENTS _
And the Floods Came — and So Did the Baby 1
Frontier School Graduates 94th Class as "Kitty" Ernst ·n
Describes the Promise of Midwifery 6 ·
Kate Ireland Honored 11 i
Beyond the Mountains 13 i
by Ron Hallman
Molly Lee Ends Long Career at FNS 16 I
Pine Mountain — A Clinic with a History 19
Memorial Gifts 31
In Memoriam 32
In Brief 33
Notes from the School 34
Field Notes 34
Courier News 36
Alumni News 37
Urgent Needs Inside Back Cover
Cover Photo: The Pine Mountain Clinic carries on the FNS tradition of
bringing modern health care to rural areas.
Cover photo and photos on pages 4, 5 (top), 16, and 25 by Gabrielle
Beasley.
Comments and questions regarding the editorial content of the  
FNS Quarterly Bulletin may be addressed to its Managing Editor, l
Robert Beeman, at the Frontier Nursing Service, Hyden, Kentucky   '
41749. i
l·`RON'l`ll·]R NURSING Sl·]RVICl·Z QUAR'l`lCRLY BUlil1l·I'l`lN  
US ISSN 0016-2116 ,
Published ut the end of each quarter by the Frontier Nursing Service, lnc,
Wenduver, Kentucky 41775 »
Subscription l’rice $5.00 il Your
E¢litor`s Office, Wendover, Kentucky 41775 _
  uw seams, 1984 NUMEIQ  
Secontl-class postage puid at Wendover, Ky. 41775 and at additional mailing offices
Send Form 3579 to Frontier Nursing Service, Wendover, Ky. 41775
Copyright 1984, Frontier Nursing Service, Inc.

 E
il QUARTERLY BULL1·:T1N 1
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i Dr. Alice Lindsey rides the flood
l
  AND THE FLOODS CAME—AND SO DID THE BABY
  The weather was not fit, as they say, "for man nor beast." That
Q would have excluded horses, if there had been any. But it wasn’t
i enough to keep FNS doctors and nurse-midwives from going to
  the aid of a young mother who was about to have a baby but
l couldn’t get across a flooded river to the Mary Breckinridge
: Hospital.
l Still, even in the days of "nurses on horseback," horses were
` never the only means of transportation. Many an FNS nurse and
 V many a doctor, has used a boat to cross the Middle Fork of the
- ’ Kentucky when it got rambunctious. But in recent years, in these
days of flood control and steel bridges, boats haven’t figured very
much in medical care at FNS. Not so in May of 1984, however,
V when spring rains gave Hyden, and many other parts of Appala-
chia, a merciless drenching that its rivers could not contain.
. As the downpour continued, the water rose rapidly to flood
  level. On Monday morning, May 7th, it was over the road on the
blue steel bridge that carries State Route 80 to Wooton. US Route
i 421, which normally leads to Harlan and points south, was
blocked where it passes the Leslie County High School. A car on
the Wendover road near the post office was roof deep in swirling

 2 Fnomimn Nunsmo smzvios
water. There was water on the gymnasium floor at the local I
recreation center, and upstream a trailer broke loose, floated :
down the river, and disintegrated near the Route 80 bridge. T
Hyden’s City Hall, which is actually a trailer, escaped the ?‘_
flood by being towed to higher ground as the water rose. Passers-  
by had not quite gotten used, a week later, to walking up the hill  
toward the Leslie County Court House and finding City Hall l
parked at the curb.  
Clearly, this was not the ideal time to have a baby. But Mother  
Nature was not much concerned with what the jet stream and  
various cold fronts might be doing to Leslie County. She decided ,
that it was time for Darlene Caldwell to have her baby, no matter f
what the Kentucky River might be up to.  
Kathy Morgan, a secretary at Wendover, had gone down to the an
bridge to see how much the river was rising, and she gave this  
account: "We were there only a few minutes when Fred Davidson, ~
State Police, asked ifI could stay for a while, that a lady was E
coming to cross the river and was going to have a baby. He said  
she was in labor and maybe I could help her in some way.
"Darlene, mother to be, was there in about 10 minutes. Her .
contractions were 20 minutes apart; she was restless and trying to
get some relief from the pains she was having. I went to her then
and sat down with her in her car and made her as comfortable as I
could. I told her that walking around would only make things `
come quicker. She was very good, and a shy girl. My heart went l
out for her.  
"Peggy Bowling, a nurse from the hospital, was there to see
the river, too. She and I talked to Darlene about crossing the river l `
in the boat. I told Fred Davidson that the boat was not safe {
enough to get Darlene across, and suggested he get the doctor ,`,
over to Darlene."   A
Dr. Alice Lindsey, at Mary Breckinridge Hospital, learned of  _
the emergency when someone called the hospital to say that the 1·
police were coming to get help for a woman in labor across the  I
river. Dr. Lindsey quickly gathered essential supplies and equip-  .
ment. Nurse-midwife Deirdre Poe was alerted, and soon both 7 
women were in a police car, which took them to the water’s edge. A. 
Arriving at the river, they realized that the small boat at hand  I
was not equal to the forces of the flood, and they waited until a yl
larger and more powerful craft could be obtained. ; 

 i QUARTERLY BULLETIN 3
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l Old-timers can tell of times when the Middle Fork of the Kentucky
Q River went wild in the "hol|ers" of Leslie County. In recent years,
  flood control measures have kept the water in its place. But this
l May’s extraordinary rains were more than the system could handle.
Here the flooding river blocks the Route B0 bridge to Wooton,
making it necessary for FNS medical staff to go to the aid of a
mother-to-be who could not get to the Mary Breckinridge Hospital.
Normally, the river passes 25 feet beneath the bridge.
  Although the river is not wide at this point, the current was
I swift and threatening. Dr. Lindsey crossed first, and found the
_ mother—to-be in the back of a car. She realized at once that it would
{ not be a good idea to risk taking Darlene across the river in either
I ` her or the river’s condition. Fortunately, among those gathered at
< _ the scene was Ruth Bowling, who lived nearby. As it became clear
T that Darlene would not make it to the hospital to have her baby,
1 Mrs. Bowling offered her home, and Darlene was moved there at
 . once.
_ The boat was then sent for Deirdre, who put aside her
; memories of nearly drowning in Greasy Creek a few years earlier,
I and quickly climbed aboard. "I did make sure I had a life
 I preserver," she said, and added, "After a quick, but exciting, ride
` across the current, I hopped into Fred Davidson’s car and rode up
T Hurt’s Creek to Ruth Bowling’s. Fred said he had never delivered
l a bab et and he wanted to kee his record clean."
P

 4 Fizowrma Nunsmo smnvics  
There had been no indication that the birth would not be Q
routine. However, with mother-to-be and FNS medical staff l
safely housed at Ruth Bowling’s, Dr. Lindsey made a more  
detailed examination, and this revealed cause for concern and a ` p
need for extra planning—it was to be a breech delivery. Dr. l`
Lindsey asked Deirdre to alert the hospital and to request that Dr. T
Peter Morris come to the scene without delay, bringing oxygen. Q
Meanwhile, a newly-created team of former strangers got V,
things ready for a not-quite-at-home delivery. Sheets were washed  
and then pressed with a hot iron to make them as sterile as i
possible. The women organized to support the young mother and
to help the FNS staff with the delivery. Later, when it was all
over, Alice Lindsey spoke warmly of how "three very nice .
strangers," none of whom knew each other, had so freely and }
generously come together to offer a house and their help. It turned g
out that Ruth Bowling recalled Darlene as one of her former first  
grade students, but none of the other women had known her.  
Labor progressed rapidly, and about an hour later, Darlene l
had a 6—pound 10-ounce baby boy, whom she promptly named Y
Gregory Silas Caldwell—the "Silas" in honor of Silas Bowling, 1
Ruth Bow1ing’s late husband, in whose house he was born. Dr.
Morris, who had had his own boating adventure, arrived mean- v
while with oxygen in time to give the infant a needed "pick-up." l
So all went well.  
High water did not last long, for flood control officials were l
able to release the worst of it by opening a flood gate. By early  
afternoon, it was possible for vehicles to use the Route 80 bridge l l
again, and an ambulance was brought over to take Darlene and  
her baby to the Mary Breckinridge Hospital. Two weeks later, as Y,
the Quarterly Bulletin was going to press, mother and child were l
doing fine. The river looked normal. City Hall was back in its
usual place. And except for some exciting memories, there was  _
nothing to suggest that anything unusual had happened.  L
Reflecting on the experience later, Deirdre Poe said, "From ‘
beginning to end of this adventure, I thought it would be just the  _
cup of tea for Molly Lee*, who had delivered Darlene’s first baby.  `
Not only were we fighting the natural elements and doing a home i
delivery, but the baby was breech, Molly’s specialty. Too bad she
wasn’t there—she’d have loved it." ;
*Senior Nurse-midwife Molly Lee has just retired from FNS-—-see page 16

 V
[ QUARTERLY BULLETIN 5
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l the Leslie County Court House in Hyden
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L During the recent floods in Appalachia, Congressman Hal Rogers,
V helicoptered to Hyden to assess the damage. Here he chats with FNS
i Director David Hatfield and FNS Medical Director Dr. Peter Morris.

 6 FRONTIER NURSING SERVICE `
    II    .
— ' = ‘ rr.    .F°‘    Zi.   *§€?* _ .
   
         `:`·   >     L
  ss C { _,,_    _     "Kitty" Ernst delights and l i
      W  . » `   inspires the graduates V
·;T _; 1317 ,;· _     wrth her keynote address "
  a     , ta    tt 
  t s ¥  A   ~   r
Y`*'~*%`i i TS',   °   'A  _    .
 .  »!   .  ,.s,»·   r
FRONTIER SCHOOL GRADUATES 94TH CLASS i
AS "KITTY" ERNST DESCRIBES ~
THE PROMISE OF MIDWIFERY >
Eleven nurse-midwives and one family nurse practitioner grad-  
uated from the Frontier School of Midwifery and Family Nursing ?  
on April 28, in ceremonies held at Wendover. It was the 94th class `
to graduate from the school, which was established in 1939 and is
the oldest school of midwifery in continuous operation in the w
United States. Three of the nurse-midwives joined the program I
with advanced standing last September. The other nine members ;
of the class entered in January 1983. All were registered nurses
and had had several years of working experience before beginning .
the FNS program. R `
Julie Rice, one of the graduates, presided over the ceremonies, Q
which began with an invocation by Judy Hoath (also graduating)  
and remarks by Ellen Hartung, formerly of the FNS nurse- I `
midwifery staff. Class members then received their diplomas
from Mrs. Ruth Coates Beeman, dean and director of the school.
Following the presentations, Mrs. Eunice K. ("Kitty") Ernst g
spoke to the audience about the history of nurse-midwifery and its  ~
needs and prospects for the future. She began by pointing out that  
in 1912, one of the leading professors of obstetrics at Johns  g
Hopkins Hospital suggested that midwifery be abolished, even  I
though his survey of obstetrical practitioners around the country T
had reported that midwives had "better outcomes" than physi- E
1
E

 QUARTERLY BULLETIN 7
cians in the care of mothers and babies with respect to infection,
complications, and other common problems.
She noted how maternal and infant mortality and morbidity
had been reduced after Mary Breckinridge began, in 1925, to
: argue for a program that "emphasized prevention, combined with
 ` public health nursing and midwifery, working in close collabora-
tion with medical consultation," followed by the practical im-
, plementation of that program at FNS and the Maternity Center
" Association in New York.
{ It took a long struggle to establish nurse-midwifery in this
country, she said. "The United States and Canada are the only
5 two developed countries in the world," she pointed out, "where
midwifery was not developed along with the medical and nursing
· professions, and we paid a high price for the oversight. Our infant
. mortality still lags behind countries where midwifery is the
_ mainstay of maternity care."
j But in the late 60’s, a few physicians began to question
whether current hospital practices were in fact the best that could
p be achieved for mothers and babies. There was a turn to more
  "natural" practices. The term "bonding" came into use, and
interest arose in what came to be known as birthing rooms.
Central to this trend was a recognition that childbirth practices
had to deal with the needs of women, and, in fact, a main force
L behind the new trend was the concern of educated women.
` Parents (she stressed the word) began to organize.
Just the week before, Mrs. Ernst had met with leaders of
I women’s organizations in the Philadelphia area. "They asked me
` how they could help to establish nurse-midwifery firmly in the
_ health delivery system," she said. "Why were they interested?
l ‘Because,’ they replied, ‘it has become increasingly apparent to us
, ` that nurse-midwifery is the medium through which most of the
I beneficial alternatives to maternity care have been developed} "
v_ She then spoke of her concerns for the future: "I am concerned
~ about our potential for myopic vision, failing to recognize that
  parents — the childbearing public — [are] bringing nurse-
  midwifery to bloom, and they can clip it just as quickly. I am
_: concerned about societal changes that we cannot control, like
{  health care for profit, birth as a production, and nurse-midwives
Q as a commodity to improve that production. I am concerned, most
 Y of all, that there are not enough of us." (Continued on page 10)

 Frontier School of Midwifery and V
  V. .VVVV 1 MARLAINE (LAINIE) r
  V_ ·__.   '`’’»   EPSTEIN, Charlottesville,  .  _... · _,VVV\_  
  _» Va., ADN, Santa Fe Com- ·*   ·   V
V   if munity College, 1976. __ Qj 
  V »   I ._   l.al¤l€ plans to return to »  V.  —`V`  ° -   ,V
      VQ   Florida, where she is `   ¥‘ ji j
  · -t s’ =  Q,  W . investigating several ` _   A.  `
     {   nurse-midwifery posi-   l l`‘‘ I l _V       l
V     V VV  V   tions. ll . V   __ ‘ Vi
    ` `"i?f§’*B`  \·» .
l ANDREA (TAFFY)       tWILLIAM(BlLL) ATKIN-
ALDROVANDI, cmu-    ei tiis·s   sow, originally from
met, Mass.,MSN, Boston   f V:    Louisville, now from San
Col|ege,1982; BSN, Bos-    _.; »--‘ "   Francisco; ADN, Santa
ton College, 1975. Will       Rosa1uniorCo|lege,1977; _
be returning to the Bos- ,-5*     MBA, San jose State Uni-
ton/Cape Cod area, °   versity,1974; BA, Golden
wheresheworked previ-       Gate University, 1971.
ously, to make her career    `·" # Y  Now an FNP in the FNS
in nurse—midwifery. Hyden Clinic,
1 ERICA GOODMAN,     l JUDY HOATH, Zillah,
Hyden,Ky., MSN plus FNP     li`? Wash.,ADN,KelloggCom-
certification, Pace Grad-  .       ·’ munity College,1975. Will
uate School of Nursing.       VVV be returning to Sierra
1978; BS(Marine Biology),       V    Leone,WestAfrica,where
State University, Stony V i     ., _     she worked foranumber
Brook, 1974. Rejoining   Q      ofyears previously,plan-
FNS, where she had      ~» ·     ningto makegood useof `—
worked as an FNP, on the   ‘»   her nurse-midwifery educa- l
nurse-midwifery staff. ` M ion. (
L,. ..·—·V   ·.·»·t· ·~       E K
V T DEBRA BUCHANAN   ..._·  
cf V { GOLDSTEIN,CrowAgen-   H V l
)VV_V V 5 I cy,Mont.,BSN,University .  V
      V of Oregon,1976; BS (An-    
      , a     thropology), Portland     V V VVV  7 VV VV VV  
    State University, 1975.         V .
   Y  llllll   With l’lU$b3T`ld, Alan (also  fl 
xr .    . V -r=/{   ‘ __ V_ aprofessiona|nurse),will     .... “  t·VVi   ‘
  ‘‘`‘ ‘ . Q V V workin Arizonain nurse-   , `     V  
  midwifery in the Chinle ‘"‘’`   V
  Indian Health Service.   ’ `

 V Family Nursing — the 94th Class
i L ’  4»·· =¢  ’ _l_‘ ‘   1ELlZABETH(BETH)NEW- — ~ * . 4* 
  S A " W TON,Huntington,W.Va., ‘     ‘ {  
A  A BSN, Case Western Re- _ ‘ '
  serve University,1974; BS A AAA_  g l _ 
. i A  ‘- A (Biology), Wheaton Col-  . ''llr V  
YI f°‘Z·'f»    . t-·...;  lege,1972.Hasworkedin     `'l‘   I
A T , ""f` *  ’   Haiti, and now plans to > ‘.. ,_`     ¤
{   if  .A  work with Haitian refu-    
h   %A. &AAA » AAA A._,., *  g•_3g5 35 an FNP on the ;  
  ki       Delmarva Peninsula. "*  . .V   . A
.   ,—   »ArA.A      
.  C         L      
t LINDA IACOBSEN,   TKATHRYNJACQUETTE,
Olympia, Wash., BSN, .   A-  V . 4* Covesville, Va., MSN,
Universityofwashington, _  _ ` A    University of Virginia,
School of Nursing, 1977.     M      if  1976; FNP, Cornell Uni-
A Will be returning to the  .~  _A_ AA  A .  fy i;  versity, 1973; BSN, Duke
Olympia area, expecting   ` ·,       University,1972. Return-
to work first in health  “ A-AA:.)-»     ingtoCharIottesville,Va.,
care and then in nurse-   N   · `  ‘ - for midwifery work in
midwifery in the north-   l women’s health clinics.
west.  »  M . 
l]UDlTH YANCEY,work-
ing for BSN through N.Y.
l]ULlERICE,Cat|ettsburg, State Regents External
Ky.,ADN,MoreheadState ii" [  Degree Pr0gram;studies
University, 1978. Will be ·~ "  ‘`‘ “ ‘ l _ __A A A at Emory and Lincoln Me-
goingto Baylor University ·   ‘   morial Universities, and
foraninternshipin nurse-   ’ elsewhere. Returning in
midwifery; planstoreturn V- A   August to Tennessee
'. to Huntington,W.Va.to     ~—.    Health Department;
l enter private practice   V ‘     hopes eventually to ini-
i with a physician.  _ .     _A    tiate a birthing center.
~   . V »   ...   A I ’*~l.,l:¤·i `/     ... -   ....,, .;  j·
     1       ‘’’‘    
A·     AAAVA   TDEBR/\PLUlM,Waupun, A ,._ N, ,_
AAAA. A   2 wis.,DipIomain Nursing,    * i W   
.     .Q_AAAgg_»· S Mercy Medical Center, A  ‘  A CY,.  .,
      ·/.·- ' School of Nursing, 1977.   I_ ij 5
V ;gjY%"*',,i‘ _ , AA. Goingto Su Clinica Fami-     ¤
   _ zA A   _. liar, Harlingen,Texas,for    
‘   ` t an internship in nurse-   ,, ,-R
    midwifery. ~—=

 10   E
GRADUATION (Continued from page 7) L
She added, "I am concerned that today the education of nurse-  
midwives is predominantly in the acute care setting, where birth i
is a medical event, where birth is a disease, in an institution that i
is the doctor’s place of business. And that’s nothing against the -
doctor, because his business is extremely important. It’s just not
the place for the normal business of childbirth."
Mrs. Ernst recalled her early midwifery experiences after `
graduating from FNS and drew from them a moral: Describing a »
young woman from the Kentucky mountains, she said, "She, and
the thousands of women with whom I have shared the birth
experience since, taught me about normal birth. It is important to
remember that women will teach you about normal birth, if you
have the eyes to see and the ears to hear."
The speaker concluded her remarks with this charge to the _
graduates: "Care for your mothers, not just physically, but ‘
spiritually and emotionally. Advocate for them. Educate them.
Build their confidence to be the parents that they desire to be
—parenting takes a lot of confidence, so the more you can build
that confidence during pregnancy and birth, the better their
chances of being good parents. Concern yourself about the
environment that families are living in today, and the economic
and political factors that will have impact upon their lives. If you
will do this, parents will take care of their babies, and they will
take care of you."
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