xt7p5h7bt791 https://exploreuk.uky.edu/dips/xt7p5h7bt791/data/mets.xml The Frontier Nursing Service, Inc. 1957 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. 33, No. 1, Summer 1957 text Frontier Nursing Service Quarterly Bulletin, Vol. 33, No. 1, Summer 1957 1957 2014 true xt7p5h7bt791 section xt7p5h7bt791 FRONTIER NURSING SERVICE
QUARTERLY BULLETIN
VOLUME 33 SUMMER, 1957 NUMBER 1
THIRTY-SECOND ANNUAL REPORT
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MISS JEAN BECKER, R.N., of the Frontier Nursing Service, and  
PHILCO SUPER MARKETER REFRIGERATOR-FREEZER, ,
Model No. 1678 `
This most welcome and greatly needed gift came to Hyden Hospital L {
through the courtesy of the Philco Corporation of Pittsburgh, Pennsylvania, i ’
and the Sterling Hardware Company of Hazard, Kentucky. { 1
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The cover picture of Raleigh Smith, printed with the ·
permission of his parents, was taken hy Earl P;¤lm¤·r.
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FRONTIER NURSING SERVICE QUARTERLY BULL1;T1N g
Published Quarterly by the Frontier Nursing Service, Inc., Lexington, Ky. Q
Subscription Price $1.00 A Year N
Edit0r’s Office: Wendover, Kentucky rj
VOLUME 33 SUMMER, 1957 NUMBER 1 .  
"Entered as second class matter June 30, 1926, at the Post Office at Lexington, Ky.,   ·•
under Act of March 3, 1879." i l
Copyright, 1957, Frontier Nursing Service, Inc.   {
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 1  
1 1
2
  CONTENTS
1 ARTICLE AUTHOR PAGE
Q1 Annual Report 2
 T1 Beyond the Mountains 41
Catching Babies Olive Bunce 19
1 Editor’s Own Page 18
1*1 Elvira Montilla of the Philippines A Photograph Inside back cover
‘ Enoch—A Drawing Mcm‘gm·et M. Gage 28
1 Field Notes 45
1 Old Courier News 23
1 Old Staff News 33
» Origin of "Making Ends Meet" Allen M. Trout 21
U Rising Demand for Services The Lexington Leader 39
U The Song of Enoch Margaret M. Gage 29
  VV hen I Was a Floater Anne Cundle 31
  BRIEF BITS
E Just Jokes 51
Our Mail Bag 17
1 Overheard in a Hotel Lounge 18
Y I Stop and Think 18
  1 Thanksgiving Day Reunion in England 32
1 The Artichoke The Thonsandsticks 30
<· 1 The National Park Idea Oryx 40
To Our Old Staff in the United States Marry Breckinridge 20
i I VVealth Buddyis Restaurant 22
  Wendover (Verse) Eileen Minton 38
V   VVhite Elephant 44
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2 FRONTIER NURSING SERVICE _  
I
HIFNER AND POTTER  
CERTIFIED PUBLIC ACCOUNTANTS  
145 EAST HIGH f
LEXINGTON, KENTUCKY  
W. A. Hifner, Jr., C.P.A.  
Rex B. Potter, C.P.A.  
Telephone 2-1975 k
,1
To the Officers and Trustees t
Frontier Nursing Service, Incorporated ;
Lexington, Kentucky ri I
Ladies and Gentlemen:  
 
We have made a detailed examination of your records and  
accounts for the fiscal year ended April 30, 1957, with the results {
as disclosed by the annexed Exhibits and supporting Schedules. {  
In our opinion all recorded receipts have been duly ac- [
counted for. _
Your books have been closed under our direction and are
in accord with this report.
Respectfully submitted,  _
(Signed) HIFNER AND POTTER  
Certified Public Accountants i  
i E
I I
Lexington, Kentucky g  
May Twenty-two 5  
Nineteen Fifty-seven   `
y.

 i
l QUARTERLY BULLETIN s
I
i
I THIRTY-SECOND ANNUAL REPORT
l of the
l‘ FRONTIER NURSING SERVICE, Inc.
  for the Fiscal Year
{ May 1, 1956 to April 30, 1957
, PREFACE
  I 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-
i bers, and subscribers.
  We have, as in previous years, divided our report into two
l sections. One section is about money, and one section about
l work.
l
I I.
A FISCAL REPORT
Our annual audit is so detailed, and therefore so voluminous,
Y . 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 covering one
l page, to make easier reading. The auditors’ own Summary is
_, the first category. The second is their list of Endowments and
‘ l Reserves. The third category covers all Revenue Receipts. The
  fourth category we have put into two columns——to the left the
¥, i expenditures of the last fiscal year taken from the audit, and to
Q , the right the Budget accepted by our trustees for the current
" A fiscal year, based on last year’s expenditures.
y, Under a fifth category, called Inventory, we account for all
A E our properties. All five categories are given in sequence on the
. I following pages.
  Under the heading of Conclusion, we tell something of what
    the year has meant to us.
f.

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BALANCE SHEET  
As at April 30, 1957  
ASSETS   L
` Cash on Hand—Petty Funds .......................................................... $ 615.00  
Cash on Hand——for Deposit .........A.......................................,.......... 158.49 Y
Cash in Banks:—  
Security Trust Co.—General Account .............................. 1,828.59  
Security Trust Co.——Ford Foundation Account ................ 5,164.32 1
Security Trust Co.—Alpha Omicron Pi Account .............. 3,519.69 Q
Security Trust C0.——Social Service Special .
Savings Account ,....._..,..,..._............_................................ 7,386.00
Peoples Bank, Hazard»Organization Account .................. 3,549.13 E
Total Cash ........................`..........................................,........................ . ....... $ 22,221.22 p  
Temporary Loans Account ....................................................................................... . 919.50  
Realty, Equipment and Live Stock .._...........................,........................................   374,542-63 ,
Endowment, Memorial and Reserve Fund Investments at Y
Original Costs, in the hands of E. S. Dabney J
Treasurer ..r...................................,................................,.. $ 15,900.00 E
Security Trust Company, Lexington, Kentucky ................ 607,514.22 k
United States Ti·ust Co., Louisville, Kentucky .................. 85,250.83 `
Guaranty Trust Company, New York .................................. 185,000.00 ·
Bankers Trust Company, New York .................................... 86,500.00
Total Investments—Original Costs .......................................................... S 980,165.05 F
Total Assets ____.___,...,______.._.,...._,__...,,,,,.....__...................,,............................ $1,377,848.40   I
LIABILITIES  
Accrued Payroll Taxes Withheld ..........................................,....... $ 1,088.97  
Money Borrowed ............................................................,................. 26,000.00
Endowment, Memorial and Reserve Funds .........................,........ 980,165.05 V ,
Total Liabilities ..........................................,..............................,.....,....__.... $1,007,254.0:Z  
Free Surplus ................................................................................................................ S 370,594.38 _  
Represented by _    
Contributions and Income from Organization to j s
April 30, 1957 ..................,...........................................,..... $4,555,3%.13  
Less: » l
Expenses Paid from Organization to April 30, 1957 ,....... 4,184,801.75  
Net Income—Organization to April 30, 1957 ....,...,........,..................................,... 3 370,594.38  
Total Revenue Receipts ................................................,................. $4,555,3%.13 t  
Total Endowment Receipts ............................................................ 980,165.05  
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Total Monies Collected ..............................,..................... $5,535,561.18   I
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§ STATEMENT OF ENDOWMENT AND RESERVE FUNDS
  April 30, 1956 and 1957
; _ AT0ti3»l§0 Agditjgns Alictixilgo
l Designated Funds—Income Restricted: p{g56 gang ]]§5·;
Joan Glancy Memorial Baby’s Crib .................... $ 5,000.00 $ 5,000.00
  Mary Ballard Morton Memorial .......................... 85,250.83 85,250.83
Jessie Preston Draper Memorial (1) .................. 15,000.00 15,000.00
  Jessie Preston Draper Memorial (2) .................. 185,000.00 185,000.00
i` Belle Barrett Hughitt Memorial ........................ 16,000.00 16,000.00
  sabella George Jeffcott Memorial ................,,.... 2,500.00 2,500.00
' Bettie Starks Rodes Memorial Baby’s Crib ...... 5,000.00 5,000.00
7 d John Price Starks Memorial Baby’s Crib .......... 5,000.00 5,000.00
l Nora Oliver Shoemaker Memorial Baby’s Crib 5,000.00 5,000.00
{ Eliza Thackara Memorial .................................... 1,828.88 $ 51.30 1,880.18*
Children’s Christmas Fund in memory of
Barbara Brown .............................................. 1,000.00 1,000.00
l Donald R. McLennan Memorial Bed ................,. 12,750.00 12,750.00
_ , Louie A. Hall Legacy in memory of Sophronia
, Q Brooks for a Center and its endowment.. 51,944.63 2,084.33 54,028.96*
V Margaret A. Pettet Legacy .................................. 1,953.70 1,953.70
* Hattie M. Strong Memorial .................................. 10,000.00 10,000.00
j Jane Short Atwood Legacy .................................. 7,500.00 7,500.00
t Sub-Totals ........................................................ $410,728.04 $ 2,135.63 $412,863.67
E Designated Funds—Inc0me Unrestricted:
Marion E, Taylor Memorial .................................. $ 10,000.00 $ 10,000.00
Fanny Norris Fund. ............................................... 10,000.00 10,000.00
, Marie L. Willard Legacy ...................................... 3,127.36 3,127.36
Wm. Nelson Fant, Jr. Memorial .......................... 78,349.52 78,349.52
Mrs. Charles H. Moorman Fund .......................... 1,100.00 1,100.00
Lillian F. Eisaman Legacy .................................. 5,000.00 5,000.00
Lt. John M, Atherton Memorial .......................... 1,000.00 1,000.00
, j Mrs. Morris B. Belknap Fund .............................. 26,375.00 26,375.00
4 Elisabeth Ireland Fund .......................................... 17,257.50 17,257.50
E Elizabeth Agnes Alexander Legacy ,................. 5,000.00 5,000.00
‘ Richard D. McMahon Legac .............................. 943.23 943.23
Y
_ Anonym0us—General Endowment .................... 102,400.00 102,400.00
Z Mrs. W. Rodes Shackelford in memory of
T her two children .............................................. 10,000.00 10,000.00
Beulah Bruce Brennan Memorial ........................ 2,000.00 2,000,00
Anna Rosina Gooch Memorial ............................ 10,000.00 6,625.00 16,625.00
, 1 Jeannie B. Trull Legacy ........................................ 32,883.24 370.09 33,253.33
’ Elizabeth B. Perkins Legacy ................................ 152,970.44 152,970.44
, Frances Kendall Ross Legacy ............................ 17,100.00 17,100.00
I Elizabeth Sherman Lindsay Memorial .............. 5,000.00 5,000.00
5 f Helen N. and Beatrice A. Wilson Fund .............. 2,000.00 2,000.00
fg Sophia Cogswell Stiger Memorial ...................... 3,280.00 3,000.00
‘j Mrs. John W. Price, Jr. Fund .............................. 1 , 0.00 10,800.00
` g Charles, N. Kavanaugh, M. D. Memorial ............ ——0—— 1,000.00 1,000.00
H g Margaret C. Breckinridge Legacy ...................... ——0— 3,000.00 3,000.00
. 1 **7 m’—— m%m·
  ] Sub-Totals ......._.............................................. $917,034.33 $13,130.72 $930,165.05
  Q Reserve Acconmt:
lj Mrs, Louise D, Crane ............................................ $ 4,000.00 $ 4,000.00
  , Mrs, Frederick Mosley Sackett ............................ 10,000.00 10,000.00
¤ Mrs, Eliza A, Browne ............................................ 16,000.00 16,000.00
E Wmnem Baird Fund .............................................. 20,000.00 20,000.00
{ il Totals ___________,_______,_,__.._.____,.,.,.......,.......... . ...... $967,034.33 $13,130.72 $980,165.05
g I *Income added to principal.

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REVENUE RECEIPTS I-
Statement of Donations and Subscriptions Paid fp
May 1, 1956 to April 30, 1957 p
smv¤vrARY= S.‘2EI‘£; %§¥§¥}l.i ii'?}. Totals .
Alpha Omicron Pi ......................................_...................... $ 4,563.60 $ 4,563.60 _'
Baltimore Committee ............................_......._._................ 1,058.00 1,058.00 j
Boston Committee ........................................................,_.. 5,776.00 $ 606.90 6,382.90
Chicago Committee .......................................,................._ 6,798.09 6,798.09
Cincinnati Committee .........................,.,.......................... 7,338.92 7,338.92 · i
Cleveland Committee ....................._,,....,..,....,........._,....._. 6,681.33 6,681.33 i r
Daughters of Colonial Wars ........................................... 2,745.15 2,745.15
Detroit Committee ............................................................ 10,254.00 10,254.00 1
Hartford Committee ..............................._..........,............. . 2,103.50 2,103.50
Kentucky* {
Blue Grass Committee ............................................. 9,363.50 9,363.50 q
Louisville Committee ............................................... 6,726.70 6,726.70 `
Miscellaneous Kentucky .......................................... 1,180.09 1,180.09 1
Minneapolis Committee ........,.......................................... 2,373.59 2,373.59 .
New York Committee ...................................................... 18,219.74 2,781.00 21,000.74 I
Philadelphia Committee .................................................. 4,676.00 1,219.00 5,895.00 _
Pittsburgh Committee ..................................................... 13,065.50 13,065.50 ·
Princeton Committee ....................................................... 677.59 677.59 p
Providence Committee ..................................................... 1,256.00 1,256.00 '
Riverdale Committee. ...................................................... 1,351.00 1,351.00
Rochester Committee ....................................................... 2,217.08 2,217.08 Q
Washington** .
Washington, D. C. Committee ................................ 4,732.40 4,732.40
Washington Benefit:
Contributions through Benefit ....................... 1,122.38 1,122.38 ·
Proceeds of Benent ........................................... 1,463.45 1,463.45
Miscellaneous ..................................................................... 10,787.68 10,787.68  
Totals ,___,.._...._.._.....,.........................................,.......... $123,945.46 $ 7,192.73 $131,138.19
* Total for Kentucky $17,270.29 ·
"‘* Total for Washington $7,318.23
OTHER REVENUE RECEIPTS: l
Contributions and Gifts——Ford Foundation ................ $10,000.00 V
Fees for Frontier Graduate School of Midwifery ...... 7,510.00
Payments from Patients:
Income from Nursing Centers ................................ $ 10,715.67 ,
Medical and Surgical Fees .................................... 7,112.20 ‘
Hyden Hospital Fees ................................................ 15,479.36 .g
Hyden Hospital Clinical Supplies ........................ 7,020.58 40,327.81 I A
Wendover Post Oflice ...................................................... 3,678.86 `
Investment Income ........................................................ 47 ,549.01 g
Miscellaneous .................................................................... 70.94 $109,136,62 ja
TO’I‘AL—-ALL REVENUE RECEIPTS ...... $240,274.81 i

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, LAST YEAR’S EXPENDITURES AND THIS YEAR’S BUDGET
X, I. FIELD EXPENSES: 1956-1957 1957-1958
(Hyden Hospital, Frontier Graduate School of Midwifery,
  Wendover, and Six Nursing Centers)
O j 1. Salaries and Wages .................................................................. $ 77,616.61 $ 76,000.00
0 `· 2. Medical Director ........................................................................ 8,516.64 8,500.00
0 3. Dispensary Supplies (See Note 1) ........................................ 31,081.41 30,000.00
9
2 4. Running Costs: Fo0d——minus board of residents; cows,
3 . » fuel, electricity, laundry, freight and hauling, et cetera .... 39,039.30 38,000.00
r \
5 5. Feed and care of 21 horses and mules (See Note 2) .......... 6,108.57 6,000.00
0 I 6. Jeeps (17), Truck, Station Wagon Ambulance .................. 6,307.85 6,500.00
0
_ 7. Maintenance of Properties ...................................................... 24,001.91 23,430.00
[ -;-1 ————
3   Total Field Expenses ........................................................ $192,672.29 $188,430.00 ’
9
T9 Q ‘
4 · II. ADMINISTRATIVE EXPENSE: ·
,0 V 1. Salaries, Accounting and Auditing, Oiiice Supplies, Post-
IO f age, Telephone and Telegraph, Printing, etc ....................... $ 27,738,37 $ 26,000,00
*9
’0 ` LII. SOCIAL SECURITY TAX ............................................................ $ 2,742.21 $ 2,800.00
a0 »
h8 .
, IV. SOCIAL SERVICE ........................................................................ $ 10,270.37 $ 9,000.00
:0 `
,8 . V. GENERAL EXPENSE:
L5 1. Insurance (Fire—$296,000.00 coverage; Employer‘s Lia-
;8 · bility, full coverage on truck, 17 jeeps, and station
_ -’ Wagon) ........................................................................................ $ 5,379.61 $ 6,000.00
Q » 2. Interest ...................................................................................... 270.00 270.00
’ 3. Quarterly Bulletins (covered by subscriptions) .................. 4,307.55 4,000.00
· 4. Statistics .................................................................................... 1,825.00 1,800.00
l 5. Miscellaneous Projects such as: Doctors and Nurses for
study and observation, professional books and magazines 735.58 700.00
6. Miscellaneous Promotional Expenses beyond the ____
l mountains .................................................................................. 1,204.47 1,000,00
’ Total General Expense .................................................... $ 13,722.21 $ 13,770,00
{ TOTAL EXPENSE .......................................................... $247,145.45 $240,000,00
.1    
` Note 1: Approximately 1/3 of supplies relayed to Districts.
  Note 2: Four animals belong to FNS employees, who must ride to work.
62 .
.- !‘ NEW LAND AND BUILDINGS, MOTOR VEHICLES,
31 T EQUIPMENT, AND LIVESTOCK ............................................ $12,123,72

 2 FRoN·r1ER Nunsmo smnvicm j
i LAND, BUILDINGS, LIVESTOCK AND EQUIPMENT P
(From Exhibit C of the Audit)  
INVENTORY  
Our auditors set a value of $374,542.63 on these holdings,  
after adjustments. Among the major holdings are the following: ,
Hyden ‘  
A stone Hospital, one wing of which is the Mary Ballard J
Morton Memorial, one wing the Mary Parker Gill Memorial, and 1
the frame Annex, a Memorial to "Jackie" Rousmaniere; Joy  
House, home of the Medical Director, a gift of Mrs. Henry B.  
Joy; Aunt Hattie’s Oak Barn, gift of Mrs. Henry Alvah Strong; f
Mardi Cottage, the Quarters for the Frontier Graduate School of .
Midwifery; The Margaret Voorhies Haggin Quarters for Nurses;  
two water tanks; two employees’ cottages; and outbuildings ,
such as garages, work shop, pig house, forge, pump house, two Q
iire hose houses and the Wee Stone House. {
Wendover »
Three log houses, as follows: the Big House ("in memory of
Breckie and Polly") ; the Old Cabin and the Ruth Draper Cabin; J
the Garden House; the Upper and the Lower Shelf; the Couriers’
Log Barn and Aunt Jane’s Barn; numerous smaller buildings ]
such as the cow barn, cow hospital barn, mule barn, tool house, I.
chicken houses, forge, apple house, pump house, jeep shed, two “
fire hose houses, two water tanks, and the Pebble Work Shop. lj
Georgia Wright Clearing A
A caretaker’s cottage and barn, extensive pasture land for ·
horses and cows; a bull’s barn and stockade; two wells. A
Jessie Preston Draper Memorial Nursing Center
(Beech Fork; Post Office, Asher, Leslie County)
Frame building and oak barn; deep well, pump house and A
water tank; fenced acreage for pasture and gardens. p-J
Frances Bolton Nursing Center · l
(Possum Bend; Post Office, Confluence, Leslie County) T ,
Frame building and oak barn; deep well, pump house and  
water tank; fenced acreage for pasture and gardens. I

   QUARTERLY BULLETIN 9
Clara Ford Nursing Center
  (Red Bird River; Post Oiiice, Peabody, Clay County)
I Log building and oak barn; fire hose house; walled-in spring;
  deep well, pump house and water tank; fenced acreage for pas-
_ ture and gardens.
Caroline Butler Atwood Memorial Nursing Center
— 3 (Flat Creek; Post Oiiice, Creekville, Clay County)
E Frame building and oak barn; fire hose house; walled-in
1 spring; deep well, pump house and water tank; fenced acreage
V , for pasture and gardens.
 
  Belle Barrett Hughitt Memorial Nursing Center
» (Bullskin Creek; Post Ofice, Brutus, Clay County)
-§ Frame building and oak barn; jeep shed; fire hose house;
i· walled-in spring; water tank; fenced acreage for pasture and
$  gardens.
  Margaret Durbin Harper Memorial Nursing Center
~i (Post Oiiice, Bowlingtown, Perry County)
B Frame building and oak barn; fire hose house; walled-in
_ spring; deep well, pump house and water tank; fenced acreage
( for pasture and gardens.
V, Subsidiary Clinics
T Six small clinic buildings on the following streams: Bull
it Creek, Stinnet (Mary B. Willeford Memorial), Grassy Branch,
JY Hell-for-Certain Creek, the Nancy O’Driscoll Memorial on Cut-
. shin Creek, and Sizerock on Upper Bullskin.
‘ Livestock
. Fifteen horses; two mules; one registered Brown Swiss bull;
· eleven cows; two heifers; registered Hampshire brood sow, and
five pigs; over two hundred chickens.
_ Equipment
  Equipment includes: seventeen jeeps; one Ford station
gl wagon-ambulance; one three-quarter ton truck; tanks; engines;
  pumps; farm implements; plumbers’ tools; sixty-two pairs of
{ saddlebags; saddles; bridles; halters; hospital equipment and
l furnishings; dispensary supplies; and household furnishings and
l

 1
10 FRoN*I·ImR NURSING SERVICE  
, equipment at Hyden, Wendover, and the six outpost centers, I
variously located in a seven-hundred-square-mile area.  
II.  
REPORT OF OPERATIONS  
The data in this section are supplied by the statistical I
department of the Frontier Nursing Service; by records kept on ,
guests and volunteer workers; and by the social service secretary A H
maintained by the Alpha Omicron Pi Fund. 4
MEDICAL AND SURGICAL  `
This past fiscal year has been gladdened for us by the pres-  
ence, since July 1, 1956, of Dr. W. B. Rogers Beasley, as {ine a `
medical director as he is a man. Our gratitude to him is exceeded, Q_ 
if possible, by that of his thousands of patients. Our work has ,
been greatly increased as will be shown in detailed reports. 1
We want to extend yet again our profound thanks to the  ‘
Children’s Hospital in Cincinnati. They have taken without ‘
charge the children referred to them by our medical director for j
expert pediatric care, as has been their custom for many years. A
These children have the benefit of as fine a staff of pediatric  ·
physicians and surgeons as there is in the world. We are grateful  I
all over again to Dr. Francis Massie for coming up to Hyden A
Hospital from Lexington in the fall and in the spring for his A
surgical clinics. We welcomed with him in the fall Dr. J. B.  Q
Holloway, Miss Louise Griggs, and Miss Betty Wilson and in ’
the spring, Dr. Hans J. Koek. ;
Our gratitude is given anew this year to other physicians  j
and surgeons in Lexington, in Hazard, in Louisville, in Cincinnati, W
who gave courtesy care to patients and members of our staff. i
Dr. H. C. Reineke of Cincinnati read, without charge, the x-ray S
pictures we mailed to him. We are grateful to the Kentucky `
Crippled Children’s Commission and to the Kentucky Cancer  .
Clinic for the free care given the patients we referred to them. ,$
For all these courtesies we extend heartfelt thanks. Our ;l
special thanks go out to the Kentucky State Department of  
Health for the kindness and cooperation of its Commissioner, Dr. Q
Russell E. Teague, and of the Directors of its Divisions. Y
l

 C QUARTERLY BULLETIN 11
_ 2.
2 HYDEN HOSPITAL
  Hyden Hospital—with 25 beds and 12 bassinets—was occu-
G pied 7,314 days last year by 1,363 patients with a daily average
  of 20 patients at a cost per patient day of $11.18. Of the 1,363
[ patients cared for at the Hospital during the fiscal year, 259
were sick adults, 533 were obstetrical patients, 256 were children,
1 and 315 were new born. There were 17 deaths in the Hospital, of
. which 7 were new born. There was no maternal death. There
4 were 111 operations performed. The outpatient department, with
 f, the Medical Director’s clinics, received a total of 9,797 visits.
 ` 3.
, DISTRICT NURSING
L In the 12 districts operated by the Service from the Hos-
‘ pital, Wendover, and six outpost centers, we attended 10,876
  people in 2,378 families. Of these, 5,221 were children, including
1 2,517 babies and toddlers. The district nurses paid 26,792 visits
 · and received 14,360 visits at their nursing centers and at their
» special clinics. Bedside nursing care was given in their homes
· to 1,502 sick people of whom 14 died. At the request of the
V, State Board of Health, the Frontier Nursing Service gave 6,197
“  inoculations and vaccines against typhoid, diphtheria, smallpox,
 , whooping cough, et cetera, and sent 2,560 specimens for analysis.
° This part of our report has reference to general district
f nursing only and does not include midwifery carried day and
 ; night by the nurse-midwives along with their district nursing.
1 The figures for midwifery are covered under the following
. section.
 F 4.
" IVHDWIFERY
E Registered Cases
H The nurse-midwives and the midwifery students of the
‘ Frontier Graduate School of Midwifery (under supervision of
 , their instructors) attended 447 women in childbirth and gave
,l them full prenatal and postpartum care. Of these 447 women,
;\ 13 were delivered by the Medical Director. There were 441 live
  births and 9 stillbirths; 7 deliveries of twins; 325 new cases
9 admitted; 448 closed after postpartum care; 4 miscarriages.
1 A There was no maternal death.
l

 12 FRONTIER NURSING SERVICE V
A Emergency Cases——Unregistered
In addition to these regular registered maternity cases, the
I Medical Director and the nurse—midwives were called in for 61
emergency deliveries, where the mother had not been registered Q
or given prenatal care, which resulted in 25 live births, no still- H
births; and 31 emergency miscarriages (20 early, 11 late). Post-
partum care was given to 5 other unregistered mothers. There {,
was no maternal death.
Outside-Area Cases {
There were 235 women from outside our area who were  
carried for prenatal care. Of these, 41 were closed before deliv-  
ery. Most of our outside-area patients move into one of our dis-  
tricts or our Hospital for delivery. In that case they are trans-
ferred to our regular midwifery service. However, the nurse-  
midwives did go outside our area to deliver 20 such patients of  _
20 live babies, in their homes, with no maternal death. i
_ 5.  l
FRONTIER GRADUATE SCHOOL OF MIDWIFERY  
The Frontier Graduate School of Midwifery has two classes A
annually, each of six months’ duration, which start on October ,
15th and April 15th. During the past year 12 registered nurses  ¥
were graduated from the School. The thirty-fourth class since  
the School opened in 1939 is now in attendance. When its work  _
is completed on October 15th, the School will have sent 176  
nurses, qualified as midwives and in our frontier technique, to  
render service all over the world. Graduates of the School are  Z
in a number of our states, and Alaska, the Philippines, India,  j
Thailand, South Korea, Canada, France, the Middle East, and  Z
in parts of Africa and South America. Q 
6.  ;
SOCIAL SERVICE DEPARTMENT  
(Alpha. Omicron Pi Fund and Other Grants) Y
During the past fiscal year the Social Service Department  
of the Frontier Nursing Service has given financial aid to 275  
families or individuals as follows: ,  
1
i

 QUARTERLY BULLETIN is
Provided monthly allowance to one person.
I Provided monthly pension to one person.
l Administered an Idiots Claim for two persons.
, Gave grocery orders to 20 families—a total of 80 orders.
Provided Starlac to 4 families.
, Provided garden seeds to 24 families.
Y * Aided 6 burned out families.
Provided 3 bus tickets to patients.
Purchased shoes and clothing for 3 families.
p Paid school fees for 12 children.
  Made loans to 3 families.
{ Purchased glasses for 23 children. (New Eyes For The
` Needy Fund)
I Paid dental bills for 2 patients.
I Paid total Lexington hospital bills for 11 patients.
  Paid part of Lexington hospital bills for 3 patients.
; Paid Oneida hospital bills for 3 patients.
` Bought cow for 1 family.
= Bought elastic hose for 1 patient.
é Purchased wheelchair for 1 patient.
I Bought coal for 1 family.
A Paid ambulance bill for 12 patients.
  Paid clinic bills for a large number of patients. (Later reim-
 e bursed for these bills for those able to pay)
  Many patients have been transported to and from the Fron-
 2 tier Nursing Service Hospital and outpost centers. In addition
  there were:
 -. 6 trips to Hazard with 32 patients for eye examinations,
l 1 to Hazard Clinic.
 ° 7 trips to Harlan with 8 patients to the dentist, 2 for eye
a examinations.
2  3 trips to Manchester with 8 patients to the Kentucky
 A Crippled Children Commission clinic, 1 patient to the
 j Public Assistance Department.
Y 1 trip to Frankfort with 1 patient to the Kentucky Train-
i ing Home.
4 5 trips to London with 9 patients to the Tuberculosis
_ ° Sanatorium clinic.
I

 14 FRONTIER NURSING SERVICE
. 40 trips to Lexington with 61 patients—23 children to the
Kentucky Crippled Children Commission, 13 adults to the _
Lexington Clinic, 15 patients to Lexington hospitals, 10 5
patients to doctors.
9 trips to the Cincinnati Children’s Hospital with 7 pa- A
tients. ‘
2 trips to the Houston Mission School with 2 students. . ,
3 trips to Danvil1e——2 patients to the Boyle County Men- "`
tal Health Clinic, 1 patient to Danville State Hospital. h
1 trip to Lakeland with 1 patient to Central State Hospital.  
General services and aid have been given to other families .
and individuals as follows: _‘
Distributed hundreds of articles of clothing, shoes, books,  
etc. to needy families and local schools. j 
Supervised 2 college students doing field work in the Social  `
Service Department.
Aided the Christmas Secretary in distributing clothing and
toys, and in arranging Christmas parties.  ·
Services and time given in a number of other cases of a mis- .
cellaneous nature, and in cooperation with the County
Welfare and Health Departments, the local Red Cross ,
chapters, the county judges, the county child welfare and  ·
vocational representatives, The Kentucky Crippled Chil-
dren Commission, Berea College, and the Frontier Nurs- ,
ing Service medical director, district nurse-midwives, and
hospital staff. ;
We cannot conclude this report without expressing our pro-
found gratitude for hospitality given our patients and their fami-
lies by The Salvation Army in Louisville and Lexington and by “
its Cincinnati Home for Mothers and Children in Cincinnati.  .
7. .
VOLUNTEER WORKERS _
Seventeen couriers and ten other volunteers worked for the  `
Service a total of 1,360 days.  Q
(v
8.
GUESTS FOR OBSERVATION AND STUDY ,
As in other years the Service entertained guests, for obser-

 QUARTERLY BULLETIN is
vation and study of its work, from all over the world. Guests of
p the Service during the past year have included not only Ameri-
, cans, but people from England, Belgium, Malaya, Panama, the
Philippines, Peru, the Belgian Congo, Greece, Iran, Thailand,
I Scotland, Australia, C