xt7tb27pqc6n https://exploreuk.uky.edu/dips/xt7tb27pqc6n/data/mets.xml The Frontier Nursing Service, Inc. 1961 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. 37, No. 1, Summer 1961 text Frontier Nursing Service Quarterly Bulletin, Vol. 37, No. 1, Summer 1961 1961 2014 true xt7tb27pqc6n section xt7tb27pqc6n VOLUME 37 SUMMER, 1961 NUMBER 1
gx THIRTY-SIXTH ANNUAL REPORT
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_ KIP, A RED JEEP, ON WOLF CREEK

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The cover phofograph of Kip on Wolf Creelz is printed with the kind permission of the
photographer Warren Klosterman, and of The Courier—Journal and Louisville Times. This
jeep is named for a very young lady and is a gi·F+ from her mother, one of our trustees.
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FRONTIER NURSING SERVICE QUARTERLY BULLETIN _
Published Quarterly by the Frontier Nursing Service, Inc., Lexington, Ky. `
Subscription Price $1.00 a. Year  
Edit0r’s Office: Wendover, Kentucky _
  2
VOLUME 37 SUMMER, 1961 NUMBER 1 ¤»
 
"Entered as second class matter June 30, 1926, at the Post Office at Lexington, Ky., ·
under Act of March 3, 1879."
Copyright, 1961, Frontier Nursing Service, Inc. —
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CONTENTS
ARTICLE AUTHOR PAGE
A Little Lamb and the Collie Alison Bray 54
l American Association of
[ Nurse-Midwives 34
D Annual Report 2
f Before We Step Into the Wings Mary Breckinridge 20
l Beyond the Mountains 51
\. Dear Kentucky Elaine Douglas 35
  Early FNS Trachoma Clinics Robert Sory, M .D. 53
, Field Notes 57
  Impressions of a Nurse Visitor Emily B. Campbell 46
  Lady Hermione Blackwood (Illus.) 50
  Old Courier News 27
  Old Staff News 41
  Our Brother the Bottle-Nosed Dolphin
  (Illus.) Margaret M. Gage 21
A Our Mail Bag 25
Song of the Little Birds (Verse) F. B. Meyer 19
_ The Fearsome Depth Hope Muncy 37
  Thief Outwitted The Countryman 24
  Wendover Big House A Photograph Inside Back Cover
  BRIEF BITS
  A Prayer Used at St. Christopher‘s
  Chapel at Hyden Hospital 18
  _ A Tribute to Our Horse Post Card 36
  At the Wendover Swimming Hole V. B. 26
Born Free A Book Review 40
._ Do You Remember This ? 26
;  Growing Older Contributed 56
  He Thought He Saw an Elephant Lewis Carroll 39
  Planetary Pomposity ` Contributed 49
  Thg Good American—
 lj r. Thomas A. Dooley Frances P. Bolton 63
  There Once Was a Man Anonymous 26
  'White Elephant 55

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2 FRONTIER NURSING SERVICE  
REX R. POTTER  
Certihed Public Accountant ,4
145 East High  
Lexington, Ky. ; `
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To the Officers and Trustees
Frontier Nursing Service, Incorporated j
Lexington, Kentucky y
Ladies and Gentlemen:  
Pi
We have examined the balance sheet of the Frontier Nurs- i  
ing Service, Incorporated, as of April 30, 1961, and the statement l
of revenue and expense for the fiscal year then ended. Our  
examination was made in accordance with generally accepted ’-Q
auditing standards, and accordingly included such tests of the  
accounting records and such other auditing procedures as we  
considered necessary in the circumstances.   i
In our opinion, the accompanying balance sheet and state-    
ment of revenue and expense present fairly the financial position l  
of the Frontier Nursing Service, Incorporated, at April 30, 1961, i `
and the results of its operations for the fiscal year then ended,   1
and were prepared in conformity with generally accepted L Q
accounting principles applied on a basis consistent with that of ,
the preceding year. =
l
Respectfully submitted, M
REX B. POTTER  
Certified Public Accountant V,
Lexington, Kentucky Q.
May Twenty-fifth
Nineteen Sixty-one  
3

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  QUARTERLY Bunnmiu s
  THIRTY-SIXTH ANNUAL REPORT
  ofthe
  FRONTIER NURSING SERVICE, Inc.
i' for the Fiscal Year
  May 1, 1960 to April 30, 1961
  PREFACE
  As has been our custom since we were one year old, we
  present our annual report of the fiscal affairs and of the field of
  operations of the Frontier Nursing Service to its trustees, mem-
; , bers, and subscribers.
1
_   We have, as in previous years, divided our report into two
  sections. One section is about money, and one section about
ll; work.
  l Under the heading of Conclusion, we tell something of what
  i the year has meant to us.
    1.
    FISCAL REPORT
    Our annual audit is so detailed, and therefore so voluminous,
* that we do not print it in full. The figures that follow are taken
I from the Exhibits and Schedules of the last audit. We have
‘ divided these figures into four categories. The auditor’s own
  Balance Sheet is the first category. The second is his list of
if Endowments and Reserves. The third category covers all
, Revenue Receipts. The fourth category we have put into two
A 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 fiscal year, based on last year’s
i` expenditures.
{ Under a fifth category, called Inventory, we account for all
our properties. All five categories are given in sequence on the
I following pages.

  
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4 FRONTIER NURSING SERVICE
BALANCE SHEET '
As at April 30, 1961 ’
ASSETS ,
Cash on Hand——Petty Funds .......................................................... $ 505.00  
Cash in Banks: _  _Q
Security Trust Company-General Account .........i............ 24,037.09 .’
Security Trust Company—Social Service and Alpha .
Omicron Pi Account ............ 2,401.11  
Security Trust Company—Staff Payroll Account ............ 1,939.76
Security Trust Company——Frances Bolton `·
Building Fund ...................... 815.36 l
Peoples Bank, Hazard·—Organization Account ................ 10,801.22
Total Cash .................................................................................................... $ 40,499.54 I
Temporary Loans Account ........................................................................................ 722.30
U. S. Treasury Bonds (Frances Bolton Building Fund) .................................... 21,844.72
Realty, Buildings, Equipment and Livestock ........................................................ 415,544.26
Endowment, Memorial and Reserve Fund Investments at .
Original Costs, in hands of: ‘
Security Trust Company, Lexington, Kentucky ........ 1,108,178.42 —
Liberty National Bank & Trust Co., Louisville, Ky... 85,250.83
Guaranty Trust Company, New York City ................ 185,000.00
Bankers Trust Company, New York City .................. 137,496,50
Total Investments-Original Costs ............................................__.... 1,515,925),75 `
Total Assets ........................................................................................ 1,994,536,57  
LIABILITIES A
Accrued Payroll Taxes Withheld .................................................. 1,851.97
I
Endowment, Memorial and Reserve Funds ................................ 1,515,925.75 ~
Total Liabilities ..................................................................,.,...,_.._.,___ 1,517,777,72  
Net Worth .................................................................................................................... 476,758.85 A
Net Worth represented by-  
Contributions and Income from Organization {_
to April 30, 1961 ................................................................ 5,846,748.30  
Less:
Expenses paid from Organization to April 30, 1961 ........ 5,369,989.45  ·
Net Income—Organization to April 30, 1961 ......................................................_, 476,758,85 L
Total Revenue Receipts .................................................................. 5,846,748.30 ’ 
Total Endowment Receipts ............................................................ 1,515,925.75  
Total Monies Collected ................................................................................ $7,362,67:;,05  

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, QUARTERLY BULLETIN 5
¥ STATEMENT OF ENDOWMENT AND RESERVE FUNDS
r April 30, 1960 and 1961
Additions
 `; D6Sigll3,tBd FHHdS—IHCOm€   Aligggago   AI?3%].30
 T Joan Glancy Memorial Baby’s Crib ........................ $ 5,000.00 $ 5,000.00
  Mary Ballard Morton Memorial ...... Q ..................... 85,250.83 85,250.83
, Jessie Preston Draper Memorial No. 1 .................. 15,000.00 15,000.00
  Jessie Preston Draper Memorial No. 2 .................. 185,000.00 185,000.00
·· Belle Barrett Hughitt Memorial ............................ 16,000.00 16,000.00
I Isabella George Jeffcott Memorial ........................ 2,500.00 2,500.00
Bettie Starks Rodes Memorial Baby’s Crib ........ 5,000.00 5,000.00
.‘ John Price Starks Memorial Baby’s Crib ............ 5,000.00 5,000.00
Norah Oliver Shoemaker Memorial Baby’s Crib 5,000.00 5,000.00
Eliza Thackara Memorial ........................................ 2,268.91 $ 124.60* 2,393.51
Children’s Christmas Fund in Memory of
Barbara Brown ................................................ 1,000.00 1,000.00
V Donald R. McLennan Memorial Bed .................... 12,750.00 12,750.00
I Louie A. Hall Legacy in Memory of Sophronia
Brooks for a Center and its Endowment ...... 60,967.92 2,587.99* 63,555.91
Margaret A. Pettet Legacy .................................... 1,953.70 1,953.70
Jane Short Atwood Legacy .................................... 7,500.00 7,500.00
Mrs. John W. Price, Jr., Fund ................................ 10,800.00 10,800.00
- Sub-totals ..................................................... . ....... $ 420,991.36 $ 2,712.59 $ 423,703.95
» Designated Funds—Inc0me Unrestricted
Marion E. Taylor Memorial .................................... 10,000.00 10,000.00
, Fannie Norris Fund .................................................. 10,000.00 10,000.00
Marie L, Willard Legacy ........................................ 3,127.36 3,127.36
  William Nelson Fant, Jr., Memorial ...................... 78,349.52 78,349.52
1 Mrs. Charles H. Moorman Fund ............................ 1,100.00 1,100.00
  Lillian F. Eisaman Legacy ...................................... 5,000.00 5,000.00
M Lt, John M. Atherton Memorial ............................ 1,000.00 1,000,00
  V Mrs. Morris B. Belknap Fund ................................ 26,375.00 26,375,00
‘ Elisabeth Ireland Fund ............................................ 22,457.50 22,457,50
` Elizabeth Agnes Alexander Legacy ...................... 5,000.00 5,000_()0
  Richard D. McMahon Legacy ................................ 943.23 943,23
 . Anonymous—General Endowment ...................... 137,496.50 137,496.50
  Mrs. W. Rodes Shackelford in Memory of
  her two children ................................................ 10,000.00 10,00000
  * Income added to principal.
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6 FRONTIER NURSING SERVICE ,
STATEMENT OF ENDOWMENT AND RESERVE FUNDS
April 30, 1960 and 1961 `
(Continued)
Additions 1
April 30 During April 30
1960 Year 1961
Hattie M. Strong Memorial .................................... 10,000.00 10,000.00  
Beulah Bruce Brennan Memorial .......................... 2,000.00 2,000.00 1
Anna Rosina Gooch Memorial ................................ 16,625.00 16,625.00  
Jeannie B, Trull Legacy .......................................... 33,253.33 33,253.33  
Elizabeth B. Perkins Legacy .................................. 152,970.44 152,970.44
Frances Kendall Ross Legacy ................................ 17,100.00 17,100.00 ·
Elizabeth Sherman Lindsay Memorial ................ 5,000.00 5,000.00
Helen N. and Beatrice A. Wilson Fund ................ 5,000.00 5,000.00 `
Sophie Cogswell Stiger Memorial .......................... 23,401.42 23,401.42 A
Charles N, Kavanaugh, M. D., Memorial .............. 1,000.00 1,000.00
Margaret C. Breckinridge Legacy ........................ 3,000.00 3,000.00
Mary Hallock Armstrong Legacy .......................... 2,000.00 2,000.00 ·
Winifred Irene Leckie Memorial ............................ 1,000.00 1,000.00 `
Lena G. Anderson Legacy ...................................... 7,078.50 7,078.50
Eliza Davitt Hartley Legacy .................................. 150,000.00 150,000.00
Cordie M. Williams Legacy .................................... 250,000.00 250,000.00
Lisette Hast Legacy .................................................. 10,944.00 10,944,00
Edward S. Jouett Legacy ........................................ 1,000.00 1,000.00 j
Henry Bowmar Fund ................................................ 1,000.00 1,000,00 i
Mrs. Henry James Legacy ...................................... 5,000.00 5,000.00 4 
Sub-totals ............................................................. $1,161,269.16 $270,656.59 $1,431,925,75 7
Reserve Accounts:  .
Mrs. Louise D. Crane ........................................ 4,000.00 4,000,00 "
Mrs. Frederic Moseley Sackett ...................... 10,000.00 10,000,00  
Mrs. Eliza A. Browne ...................................... 16,000.00 16,000,00
Winfield Baird Fund .......................................... 24,000,00 (6,000,00) 18,000,00 _ 3
Lillie McGinness Legacy ............................,..... 2,500.00 2,500,00 T
Harriet H. Grier Legacy .....,,........................... 5,000,00 5,000,00 `
Maurice S. Miller Legacy ............,..,......,,......,. 5,000.00 5,000,00 ,
Leila A. Morgan Legacy .....................,............ 5,000.00 5,000,00  `
Eliza Davids Legacy ........,,,...,.,,,,,,,,,,,,,,,....,,.,.,, 6,000,00 5,000,00  
Bertha G. Wood Legacy .................................. 12,500,00 12,500,00  
TOTALS ....................................................... $1,2;*.2,769.16 $283,156.59 $1,515,92:),75  

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V QUARTERLY BULLETIN 7
REVENUE RECEIPTS
Statement of Donations and Subscriptions Paid
May 1, 1960 to April 30, 1961
, SUMMARY: Contributions llgggggfri gg; Totals
' Alpha Omicron Pi ............................................................... $ 4,344.94 $ 4,344.94 ·
Baltimore Committee ....,.........,......................................... 910.00 910.00
§ Boston Committee .............................................................. 5,546.50 7,000.00 12,546.50
1 Chicago Committee ............................................................ 6,439.00 6,439.00
  Cincinnati Committee ........................................................· 10,862.03 10,862.03
  Cleveland Committee ......................................................... 10,040.97 10,040.97
‘ Daughters of Colonial Wars ............................................. 3,618.50 3,618.50
Detroit Committee ............................................................. 6,904.00 6,904.00
` Hartford Committee .......................................................... 2,232.50 2,232.50
Kentucky:*
` Blue Grass Committee ....... . ....................................... 4,430.00 4,430.00
‘ Louisville Committee ................................................. 15,423.10 15,423.10
Miscellaneous State ................................................... 5,281.93 5,281.93
Minneapolis Committee ..................................................... 1,756.50 1,756.50
New York Committee ........................................................ 17,565.09 5,132.35 22,697.44
` Philadelphia Committee .................................................... 11,593.70 1,867.65 13,461.35
` Pittsburgh Committee ...................................................... . 12,866.68 12,866.68
Princeton Committee ......................................................... 655.00 655.00
Providence Committee ...................................................... 1,017.50 1,017.50
Riverdale Committee .... . .................................................... 6,135.00 6,135.00
Rochester Committee ........................................................ 1,741.76 1,741.76
Washington, D. C. Committee** ..................................... 6,157.48 388.50 6,545.98
f Miscellaneous ...................................................................... 9,637.33 9,637.33
f  Totals .......................................................................... $145,159.51 $14,388.50 $159,548.01
_ * Total for Kentucky $25,135.03
, ** Contributions through Benefit $1,211.50
 — OTHER REVENUE RECEIPTS:
" Fees for Graduate School of Midwifery ...................... 10,020.00
  Payments from Patients:
Income from Nursing Centers .............................. 14,708.08
3 Medical and Surgical Fees ...................................... 9,326.17
f Hyden Hospital Fees ................................................ 14,223.34
, Hospital Clinic Funds and Supplies .................... 16,775.31 55,032.90
Wendover Post Office ...................................................... 4,271.54
. Income from Investments .............................................. 98,075.73
 · "Wide Neighborho0ds"—Royalties and Local Sales.. 451.38
  Livestock Sales ................................................................ 759.06
 _ A. C. Pr0gram—U. S. Treasurer .................................. 338.72
  Miscellaneous ...................................................................... 272.75 169,222.08
_}  TOTAL——ALL REVENUE RECEIPTS .............. $328,770.09

  
8 FRONTIER NURSING SERVICE .
LAST YEAR’S EXPENDITURES AND THIS YEAR’S BUDGET 1
1960-1961 _ 1961-1962  
I. FIELD EXPENSE: 1
(Hyden Hospital, Frontier Graduate School of I
Midwifery, Wendover, and {ive nursing centers) -
1. Salaries and Wages ........_......................................................... $106.742.10 $107,000.00
2. Medical Director and Relief .............................,...................... 9,999.96 15,000.00 ;
3. Dispensary Supplies (See Note 1) ........................................ 33,447.74 33,000.00  
4. Running costs; Food—minus board of residents; cows, _’
fuel, electricity, laundry, freight and hauling, et cetera .... 37,972.63 38,500.00  
5. Feed and care of 15 horses and mules (See Note 2) .......... 5,048.90 5,000.00 ‘
6. Jeeps (20), Truck, Station Wagon Ambulance .................. 10,256.23 12,000.00 ’
7. Maintenance of Properties ...................................................... 14,126.54* 14,500.00 ·
TOTAL FIELD EXPENSE .................................................... $217,594.10 $225,000.00
II. ADMINISTRATIVE EXPENSE: ,
1. Salaries, Accounting and Auditing, Office Supplies, Post- ~
age, Telephone and Telegraph, Printing, etc ....................... $ 35,488.85 $ 35,500.00
HI. SOCIAL SECURITY TAX: .......................................................... $ 4,424.37 $ 4,500.00  I
1`V. SOCIAL SERVICE: ................................._. . .................................... $ 14,561.01 $ 14,000.00 { 
V. GENERAL EXPENSE:  
1. Insurance (Fire—$309,500.00 coverage), Employer‘s Lia-  ·
bility, full coverage on truck, 20 jeeps, and station  
wagon ....................................................... . .................................... $ 6,022.96 $ 6,000.00
2. Quarterly Bulletins (covered by subscriptions) .................. 5,038.27 5,000.00
3. Record Department .................................................................. 2,980.00 3,000.00 1
4. Miscellaneous Projects such as: Doctors and Nurses for  j
study and observation, professional books and magazines 893.58 800.00 " 
5. Miscellaneous Promotional Expenses beyond the moun-
tains ............................................................................................... 1,477.92 1,200.00  
$ 16,412.73 $ 16,000.00  
TOTAL RUNNING EXPENSES ................................................ $288,481.06 $295,000.00 __
NEW LAND AND BUILDINGS, EQUIPMENT AND J
LIVESTOCK ADDITIONS .................................................... $ 20,577.27 E
TOTAL .................................................................. . .................................... $309,058.33 ;j 
* Wages for maintenance charged to Wages Category. g
Note 1: Approximately 1/3 of supplies relayed to Districts.  _
Note 2: Five animals belong to FNS employees, who must ride to work.  7

 , QUARTERLY BULLETIN 9
; LAND, BUILDINGS, LIVESTOCK AND EQUIPMENT
‘ (From Exhibit C of the Audit)
 , INVENTORY
· Our auditors set a value of $415,544.26 on these holdings,
after adjustments. Among the major holdings are the following:
l 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
A House, home of the Medical Director, a gift of Mrs. Henry B.
A 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 Nurses;
f St. Christopher’s Chapel; two water tanks; two employees’ cot-
tages; and outbuildings such as garages, work shop, pighouses,
 _ forge, pump house, and two iire hose houses.
  Wendover
I  Three log houses, as follows: the Big House ("in memory of
  Breckie and Polly"), the Old Cabin and the Ruth Draper Cabin;
I  the Garden House; the Upper and 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,
  chicken houses, forge, apple house, pump house, jeep shed, two
’ fire hose houses, two water tanks, and the Pebble Work Shop.
 , Georgia Wright Clearing
 _ A caretaker’s cottage and barn, extensive pasture land for
A horses and cows; a bull’s barn and stockade; two wells.
  Jessie Preston Draper Memorial Nursing Center
,- (Beech Fork; Post Oiiice, Asher, Leslie County)
{ Frame building and oak barn; deep well, pump house and
 ’ water tank; fenced acreage for pasture and gardens.
  Frances Bolton Nursing Center
f  (Possum Bend; Post Ofiice, Confluence, Leslie County)
  Evacuated April 1, 1960, by orders of the Government of the
; United States in behalf of the Buckhorn Dam Reservoir. Relo-
 . cation site not decided on as yet.

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10 FRONTIER NURSING smavrcn »
Clara Ford Nursing Center
(Red Bird River; Post Office, Peabody, Clay County)  
Log building and oak barn; fire hose house; walled-in spring; ;
deep well, pump house and water tank; fenced acreage for pas- p
ture and gardens. Y
Caroline Butler Atwood Memorial Nursing Center
(Flat Creek; Post Office, Creekville, Clay County) . 
Frame building and oak barn; fire hose house; walled-in  
spring; deep well, pump house and water tank; fenced acreage  
for pasture and gardens.  
Belle Barrett Hughitt Memorial Nursing Center 1
(Bullskin Creek; Post Office, Brutus, Clay County) (
Frame building and oak barn; jeep shed; fire hose house;  
walled-in spring; water tank; fenced acreage for pasture and
gardens. ~ J
Margaret Durbin Harper Memorial Nursing Center ,
(Wolf Creek; Post Oilice, Big Fork, Leslie County) E
Frame building and oak barn; two-jeep garage; deep well i
and pump; fenced acreage for pasture and gardens. _
Subsidiary Clinics  
. Six small clinic buildings on the following streams: Bull *
Creek, Stinnett (Mary B. Wilieford Memorial), Coon Creek (Coy “
Maggard Memorial) , Mudlick, and Leatherwood.
Livestock ;
Ten horses; one mule; one registered Guernsey bull; eight p
cows; four heifers; registered Hampshire brood sow, and four- i
teen pigs; over two hundred chickens.  
Equipment — 
Equipment includes: twenty jeeps; one Ford station wagon-  ’
ambulance; one three-quarter ton truck; tanks; engines; pumps;  ,
farm implements; plumbers’ tools; sixty-two pairs of saddle-  
bags; saddles; bridles; halters; hospital equipment and furnish- (
ings; dispensary supplies; and household furnishings and equip- P 
ment at Hyden, Wendover, and the {ive outpost centers, variously  ‘‘  
located in a seven-hundred-square mile area.  ’-

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j QUARTERLY BULLETIN 11
, II.
  REPORT OF OPERATIONS
, The data in this section are supplied by the record depart-
Y ment of the Frontier Nursing Service; by records kept on guests
` and volunteer workers; and by the social service department.
r 
1 1.
F MEDICAL AND SURGICAL
el To our deep satisfaction we had in Dr. W. B. Rogers Beasley
K a Medical Director for the whole of the fiscal year that ended
1 April 30, 1961. We gave him up with unbounded regret for his
l return to Africa under the auspices of the International Coop-
  eration Administration in Liberia. We had to give up his wife
, and children with him. They are so much a part of the FNS
and the community where they lived that everyone misses them.
You will all be glad to know that our new Medical Director,
K Dr. Francis Brewer, will be -with us before you, our readers, see
  this Bulletin. He comes, with Mrs. Brewer, sometime in August.
" He is a former medical missionary with wide experience in ob-gyn
‘· and surgery, and almost everything else, in the days when we
if had medical missionaries in China. Both Dr. and Mrs. Brewer
  are delightful people who will be welcomed wholeheartedly by
·. the FNS staff and all of the thousands of patients we serve.
They will add greatly to the community life of Hyden. `
< We are grateful in fullest measure to the staff of the Chil-
; dren’s Hospital in Cincinnati for the wonderful pediatric clinics
they held in our territory in the fall of 1960 and the spring of
J 1961 under their chief residents; and the Children’s Hospital for
t free care given our children during the year. We are grateful
  to Dr. J. B. Holloway and his team for the wonderful surgical
—  clinic at Hyden Hospital this spring.
 ° We extend our warm thanks to the Kentucky Commission
 . for Handicapped Children and the Kentucky Cancer Clinic for
  free care given the patients we refer to them.
 A Our thanks go too, as they do each year, to Dr. H. G. Reineke
 i, of Cincinnati who reads Frontier Nursing Service x-rays for us
 ll . as a courtesy. A number of our needy patients have received
 E courtesy care from physicians in Louisville, Lexington, and Haz-

 12 FRoN·r1ER NURSING smevicn
ard. We want to extend our deep gratitude to Dr. Herman A. ·
Ziel, Jr., of the Mi.ners’ Hospital in Hazard and to Dr. E. W. .
Schaeffer of the Red Bird Hospital at Beverly for unending j
courtesy and kindness to the midwifery patients our nurse- ,
midwives have referred to them. To Dr. Ziel we extend special
thanks for taking over the lectures to the Frontier Graduate
School of Midwifery in the absence at any time of our Medical 1
Director. Dr. Ziel gives his services for these lectures and holds  
them on his free afternoon. I  
Our very special thanks go to the Kentucky State Depart- `
ment of Health for the kindness of its Commissioners, Dr. Rus-  {
sell E. Teague, and the directors of its divisions. Dr. Helen B.  ·
Fraser, Director of the Bureau of Maternal and Child Health,  r
has been especially helpful to us. Our gratitude goes out in i
fullest measure to the Kentucky Board of Nursing Education
and Nurse Registration and its Executive Secretary, Mrs. Mar- ·
jorie C. Tyler, for the consideration they have shown our Fron-  ·
tier Nurses. V Y 
2.  A
HYDEN HOSPITAL  _
Hyden Hospital—with 27 beds and 12 bassinets, 2 incuba- .
tors—was occupied 7,191 days last year by 1,311 patients with  V
a daily average of 19.7 patients at a cost per patient day of  
$13.61. Of the 1,311 patients cared for at the Hospital during  ’
the fiscal year, 317 were sick adults, 520 were obstetrical patients,  
159 were children, and 315 were new born. There were 14 deaths  
in the Hospital, of which 6 were new born. There was no maternal
death. There were 92 operations performed. The out-patient _
department, with the Medical Director’s clinics, received a total
of 14,596 visits.  
3. i
DISTRICT NURSING ,
V In the 12 districts operated by the Service from the Hos-  
pital, Wendover, and tive outpost centers, we attended 10,298  
people in 2,277 families. Of these, 4,811 were children, including i
—· 2,219 babies and toddlers. The district nurses paid 21,294 visits  ‘
and received 27,373 visits at their nursing centers and at their 1 
special clinics. Bedside nursing care was given in their homes  .

 J
_ QUARTERLY BULLETIN 13
— to 1,402 sick people of whom 9 died. At the request of the State
_ Board of Health, the Frontier Nursing Service gave 3,860
1 inoculations and vaccines against typhoid, diphtheria, smallpox,
whooping cough, polio, et cetera, and sent 2,496 specimens for
analysis.
A This part of our report has reference to general district
 lr nursing only and does not include midwifery carried day and
  night by the nurse-midwives along with their district nursing.
l The figures for midwifery are covered under the following
 g section.
l 4.
: MIDWIFERY
  Registered Cases
, The nurse-midwives and the midwifery students of the Fron-
  tier Graduate School of Midwifery (under the supervision of
L their instructors) attended 411 women in childbirth and gave
  themfull prenatal and postpartum care. Of these 411 women,
i 15 were delivered by the Medical Director. There were 403 live
 ‘ births and 6 stillbirths; 4 deliveries of twins; 286 new cases
 ' admitted; 441 closed after postpartum care; 2 miscarriages.
 . There was no maternal death.
  Emergency Ca.ses—Unregistered
 / In addition to these regular registered maternity cases, the
. Medical Director and the nurse-midwives were called in for 49
" emergency deliveries, where the mother had not been registered
. or given prenatal care, which resulted in 10 live births, 1 still-
- birth, and 38 emergency miscarriages (28 early, 10 late). Post-
partum care was given to 6 other unregistered mothers. There
  was no maternal death.
Outside-Area Cases
 . There were 151 women from outside our area who were
 { carried for prenatal care. Of these, 31 were closed before
{ delivery. Most of our outside-area patients move into one of our
  districts or our Hospital for delivery. In that case they are
 Q transferred to our regular midwifery service. However, the
j  nurse-midwives did go outside our area to deliver 23 such
 I patients of 23 live babies, with no maternal death.

 14 FRONTIER Nunsiwc smavicm __ _
5. .
FRONTIER GRADUATE SCHOOL OF MIDWIFERY
The School admits two classes annually on June 1 and  ‘
December 1. Seven registered nurses are taken in each class V
of six months duration. The forty-second class which opened
June 1, 1961, is now in attendance. When its work is completed `
on December 1, the School will have sent 229 nurses, qualified A
as midwives and in our frontier technique, to render service all
over the world. Graduates of the School are in a number of our _
states, including Alaska; the Philippines, India, Thailand, South *
Korea, Canada, France, the Middle East, and in parts of Africa
and South America. As
6. _
SOCIAL SERVICE DEPARTMENT `_
(Alpha Omicron Pi Fund and Other Grants) e
During the past fiscal year the Social Service Department  '
of the Frontier Nursing Service has given iinancial aid to 265 ; 
families or individuals as follows: » 
Provided medicines for 7 patients é
Paid for diagnostic X-rays for 14 people
Bought glasses for 16 patients (NEW EYES FOR THE I
NEEDY FUND) i
Paid dental bills for 3 patients ·
Provided orthopedic brace for 2 patients A
Provided bus fare for 4 school students  .
Paid all or part of city hospital bills for 18 patients
Paid doctors’ bills for 10 patients  i
Bought coal for 1 destitute family ` "
Gave groceries to 28 families-—a total of 106 orders  
Provided school clothes and shoes for 12 children `I .
Provided monthly allowance for 3 high school students V
Provided seed potatoes and garden seeds for 27 families
Provided school lunches (hot) for 14 children U
Paid board ing school expenses for 3 children  
Paid college fees for 1 student  .
Paid tuition fees and travel expenses for