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BULLETIN

MEMBER AMERICAN HOSPITAL ASSOCIATION

Chicago, 111.

January, 1939

Vol. 31, No. 1

ANOTHER YEAR IS ADDED

TO LONG RECORD

OF SERVICE

Care for 11,497 Patients

Reports to be presented at the 5 6th annual meeting of the Presbyterian Hos- pital Society on Jan. 18, will show that 11,497 patients were admitted to the hos- pital in 1938. Of this number 6,090 were able to pay only a part of the cost of the care they received, while 2,225 were cared for entirely free. The total cost of free care for the year was $171,592.39. Patients cared for represented 40 differ- ent nationalities.

Of the 11,497 patients 1,836 were children under 14 years old. Only 160 of these children were full-pay patients, all of the others having been either free or part-pay. In most instances the amount received for the care of part-pay child patients represented only a fraction of the cost of care given to the child.

In 1938, 883 babies were born in our hospital. These included 1 1 pairs of twins. Babies delivered in homes by the Out-Patient Obstetrical department num- bered 440, including three pairs of twins.

Examining Rooms Busy

Visits of non-hospital patients in the first floor examining rooms totalled 36,- 502, an increase of 736 over the previous year. This figure includes 23,288 visits of private patients of medical staff mem- bers; 5,787 visits of obstetrical patients (including 4,738 visits in the pre-natal clinic); 1,159 visits of patients referred by Central Free Dispensary; 3,134 visits of house patients; and 2,893 visits of em- ployees and student nurses. The number of Dispensary patients admitted to the hospital through the examining rooms was 683.

The Hospital Society will meet for luncheon at 12:15 P.M. on Wednesday, Jan. 18, following which reports will be presented and officers elected.

In the above picture taken in our hospital library. Miss Selma Linclem, librarian for the last nine and one-half years, is shown at the left. With her is Mrs. Virginia Bonnici, who is to serve as librarian while Miss Linclem takes a six-months leave of absence which will be spent in New York City setting up a new central library plan for hospitals under sponsorship of the Junior League. (Story on page 3)

During 1938, books and magazines circulated by the hospital library totalled 20,791. An average of 300 patients were served each month, mainly through bedside visits of the librarian and her volunteer assistants, including Mrs. A. L. Cummings, Mrs. Philip F. W. Peck, Mrs. Harry McNair and Mrs. Walter A. Graff. A well-stocked bookwagon serves as a miniature library which can be wheeled to the bedside.

The library is sponsored by the Woman's Board and there is no charge to patients for this service. The hospital's collection of 7,000 volumes is supplemented by books from the public library, for which our library is a deposit station. Current issues of more than 50 magazines are also available. During 1938 bargain sales of donated books which the library could not use netted $306 for the purchase of new books and other supplies. Mrs. Wilber E. Post is chairman of the library committee.

HOLD FRACTURE CLINIC

Dr. Kellogg Speed and other members of our surgical staff presented a clinic program in the operating rooms, Dec. 16, before the members of the Chicago Regional Fracture Committee and the Illinois State Fracture Committee. Luncheon was served by the hos- pital to thirty visitors and staff members.

Selhie-Brown

Miss Ronnie Seline and Dr. Paul H. Brown were married in December at North Shore Presbyterian Church by the Rev. Mr. O'Hair. They have gone to Honolulu, Hawaii where they will be associated with Queen's Hospital, and plan to do missionary work in the Belgian Congo of Africa eventually. Mrs. Brown is a 1938 graduate of our School of Nursing.

Four Generations Have Part in Accomplishments of Presbyterian Hospital in Fifty-six Years

Four generations of men and women have had an active part in the accomplish- ments of Presbyterian Hospital, since the Hospital Society was incorporated in July 1883 and the Ladies Aid Society was formed in the spring of 1884 to assist in the work. Service as members of the Board of Managers or of the Woman's Board (sue cessor to the Ladies Aid Society) has become a tradition in a number of families, sons and daughters succeeding fathers and mothers, unto the third and fourth generations. Among the women active as founders

of the Hospital Ladies Aid Society in 1884, were Mrs. David W. Graham, only surviving founder, and the late Mrs. John

B. Drake, Sr. Mr. Drake was one of the incorporators of the hospital and a mem- ber of the Board of Managers, 1883-93. Dr. Graham actively assisted Dr. J. P. Ross in the founding of the hospital and was a member of the first Medical Staff. Mrs. Drake was active in the work of the Ladies Aid Society for many years. She was succeeded by her daughter, Miss Helen V. Drake, now an honorary mem- ber of the board and honorary chairman of the School of Nursing committee of which she was the efficient chairman for a number of years. John B. Drake, Jr. has been a manager since 1907. His daughter, Mrs. George W. Harvey, is a third generation member of the Woman's Board, as is also Mrs. Kent Hamilton Parker, granddaughter of Dr. and Mrs. Graham.

Descendants of D. A. Jones

Funds for the erection of the Jones Memorial in 1888 were provided by be- quest of Daniel A. Jones and additional gifts from his heirs. Mrs. Daniel A. Jones was an officer of the Ladies Aid Society for many years and established a fund to assist needy patients during con- valescence, long before the term social service was coined. Mrs. O. S. Newell, daughter of Daniel A. Jones, and Mrs.

C. Frederick Childs of Lake Forest, granddaughter, each served as president of the Woman's Board for several years. Mrs. Childs is now on the board's adviso- ry council and active on several commit- tees. Mrs. Lawrence Dunlap Smith and Mrs. William A. P. Pullman, great- granddaughters, are active members of the present board. Mrs. Smith has been recording secretary for several years. The Jones wing still stands as a part of the present Presbyterian Hospital building.

Others of Third Generation

Mrs. Scott Bromwcll, a member of the exei utive committee of the Woman's Board, and Mrs. ( George Ghappell, Jr., who was added this year to the Lake Forest "roup of active members, are grand daughters of Byron L. Smith, manager, 1906-14, and daughters of Solomon A. Smith, hospital treasurer.

Mrs. Barrett Scudder, another new member from Lake Forest, is the former

Joan Stuart, granddaughter of the late Robert Stuart, manager, 1916-26, and Mrs. Stuart, who was long active on the Woman's Board and is now an honorary member. The second generation of Stuarts is represented by Mr. and Mrs. R. Douglas Stuart on the two boards. Mrs. Stuart is chairman of the board members fund committee.

Mrs. Perkins B. Bass, Jr. is another third generation member. She is a daugh- ter-in-law of Mrs. Perkins Bass, presi- dent, 1920-28, now on the advisory coun- cil and active in committee work. Mrs. Perkins B. Bass, Sr. is a daughter of Mrs. A. S. Maltman, who became a member of the Ladies Aid Society in 1887. Another daughter, Miss Elisabeth Maltman, is chairman of the membership committee.

Hamills and McCormicks

Dr. Robert C. Hamill was one of the incorporators of the Presbyterian Hospi- tal Society in 1883, a member of the first Medical Staff and of the first Board of Managers. He was vice-president of the board for two years. His death in 1886 was a great loss to the hospital. The Hamill Wing was built in his memory in 1887 largely through gifts from Dr. J. P. Ross and Cyrus H. McCormick, Jr. Mr. McCormick was one of the incor- porators and served on the Board of Man- agers for many years. His mother, Mrs. C. H. McCormick, Sr. was a charter member of the Ladies Aid Society, a vice-president from 1883 to 1911, and honorary president of the Woman's Board, 1911-2 3. Other members of the McCormick family have been identified with the work of the hospital at different times.

Ernest A. Hamill, son of Dr. Robert Hamill was an active member of the Board of Managers from 1890 until his death in 1926, when he was succeeded by his son Alfred E. Hamill who is now on the board. Mrs. Charles D. Hamill, daughter-in-law of Dr. Robert Hamill joined the Ladies Aid Society in 1887, and was its third president, serving from 1897 to 1909. Her son, Charles H. Hamill has been on the Board of Man- agers since 1914. Mrs. Ernest A. Hamill has long been a liberal supporter of the Woman's Board and other hospital activities, in recognition of which she was made an honorary member some years ago.

Ross and Douglass Families

In addition to those mentioned, a large group of Woman's Board members re- present the second generation of families that have been active in the interest of Presbyterian Hospital. Notable among these are Mrs. Robert Metz,, Mrs. Fred- erick T. Haskell, and Mrs. Robert E. Ross, daughters and daughter-in-law of Dr. Joseph Presley Ross, founder of the hospital, and Mrs. Ross, charter member of the Ladies Aid Society. Mrs. Haskell is a past president and a member of the advisory council. Mrs. Mets, who now lives in Lenox, Mass., is an honorary member. Mr. and Mrs. John B. Lord, parents of Mrs. Robert Ross, also were identified with the two boards for many years. Mrs. Ross, long an active worker, is now on the advisory council.

Mrs. Clyde E. Shorey, past president and member of the advisory council, and Mrs. Kingman Douglass, vice-chairman of the board members fund committee, are the daughter and daughter-in-law, respec- tively, of the late William A. Douglass, who was secretary of the first Board of Managers and continued in that office until his death in 1935. Kingman Doug- lass succeeded his father as secretary. Mrs. William A. Douglass is chairman of the child's free bed and babies' alumni fund committee.

Others of Second Generation

The late John C. Welling was a member of the Board of Managers, 1891-1906, and trea- surer for several years. Mrs. Welling joined the Ladies Aid Society in 1887 and was an active worker for 43 years, serving as vice- president for several terms, as a member of the executive committee, and in other capaci- ties. Their son, John P. Welling, has been on the Board of Managers since 1929.

Mrs. Theodore A. Shaw, Sr. was a charter member of the Ladies Aid Society and con- tinued active work for 26 years, filling various offices. Her son, Theodore Shaw, Jr. has been a member of the Board of Managers since 1924.

Mrs. LaFayctte McWilliams, charter mem- ber of the Ladies Aid and chairman of the furnishings committee for many years, was succeeded on the Woman's Board by her daughter-in-law, Mrs. Donald McWilliams. Mrs. C. K. Pomeroy, active member and offi- cer in the Ladies Aid and its successor, the Woman's Board, from 1895 to 1929, was succeeded by her daughter, Mrs. John Edgar Freeman, now an active board member.

The late Albert B. Dick was a member of the Board of Managers, 1905-10. Mrs. Dick has long been active on the Woman's Board and now is a member of the advisory council. Their son, Albert B. Dick, Jr., has been on the Board of Managers since 1930. Others who represent the second generation of serv- ice on the Board of Managers include the following members of the present borad : Ed- ward D. McDougal, Jr., son of Robert Me- Dougal (1928-1933); James B. Forgan, Jr., son of James B. Forgan (1901-1924); Horace W. Armstrong, son of Frank H. Armstrong (1909-1919); Edward F. Wilson, son of Thomas E. Wilson (1914-1934). Mrs. Horace W. Armstrong is a member of the executive (Continued on Page 3, Column 3)

WOMAN'S BOARD HOLDS 55th ANNUAL MEETING

Elects Officers and Hears

Reports — Mr. Shaw is

Guest Speaker

"While raising money is commonly thought to be the primary object of women's hospital auxiliaries, and is of great importance, it is secondary to the task of creating a proper public under- standing of the function and value of the hospital," Mr. Leonard Shaw, guest speaker, said in his address at the 55th annual meeting of the Woman's Board of Presbyterian Hospital, held in the chapel, Jan. 9. Mr. Shaw recently came here from Canada to accept the position of assistant secretary of the American Hospital Association. As an adminis- trator in several hospitals and editor of the journal of the Canadian Hospital Council, Mr. Shaw came in close contact with the splendid work done by the women's hospital auxiliaries in that coun- try. He credited women's auxiliaries of Canada and the United States with hav- ing done much to bring about a better public understanding of the purpose of the hospital.

Miss McMillan Is Honored

Mrs. David W. Graham was re-elected honorary president and Mrs. Ernest E. Irons was re-elected president of the board. Miss M. Helena McMillan, founder of the School of Nursing and its director for more than 35 years, was made an honorary member, a distinction accorded only to those who have been of unusual service to the board and are no longer in active work. Miss McMillan retired in October and is now director emeritus of the school. There are ten other honorary members now living, Mrs. F. W. Crosby having passed away in 1938.

Other Officers Elected

Mrs. Gordon B. Wheeler, of Hinsdale, was elected treasurer, to succeed Mrs. Edward L. Beatie, of Evanston, who had held the office for nearly ten years, and was made a life member in recognition of this service. Other new officers are: Mrs. G. H. Bristol, assistant treasurer, and Mrs. Ovid R. Sellers, assistant recording secretary. Officers were re-elected as follows: Mrs. Lawrence Dunlap Smith, record- ing secretary; Miss Lucibel Dunham, corres- ponding secretary; Mrs. Lincoln M. Coy, Mrs. John P. Mentzer, Mrs. Charles S. Reed and Mrs. William R. Tucker, vice-presidents.

Mrs. Edward L. Beatie and Mrs. H. C. Patterson are new members of the Advisory Council, re-elected members of which are: Mrs. Perkins B. Bass, Mrs. C. Frederick Childs, Mrs. Albert B. Dick, Mrs. William A. Douglass, Mrs. Henry C. Hackney, Mrs. Fred- erick T. Haskell, Mrs. Alva A. Knight, Mrs. George R. Nichols, Mrs. Robert E. Ross and Mrs. Clyde E. Shorey.

Members of the executive committee for the term expiring Dec. 31, 1941 were named as follows: Mrs. Alfred Carton, Mrs. L. C.

M. Helena McMillan

Resolutions by Board of Managers

Upon the retirement of M. Helena Mc- Millan as active Director of the School of Nursing and Superintendent of Nurses, the Board of Managers of The Presbyterian Hos- pital of The City of Chicago here express their appreciation of her services.

A pioneer in nursing education, she was appointed in 1903 to organize our School. A leader of constant and undiminishing ideals and vision, she ever sought, in the School and in the Hospital, the improve- ment of nursing service by raising intellec- tual standards for students and graduates alike without belittling the more humble functions of her profession in caring for the sick however necessitous they might be. More than fifteen hundred young women have graduated from the School during her long term of office. They carry on her work. Her influence has also been far reach- ing in nursing associations, local, state and national. Whatever reputation the School may have for excellence of instruction, or the Hospital may have for worth of nursing service in the cause of nursing," has reflected endeavors. National recognition, culminating in the award to her in 1936 of the Walter Burns Saunders Medal "for distinguished service in the cause of nursing", has reflected glory upon both School and Hospital. She has been responsive to technical changes in medical care, and considerate of our re- sponsibilities as trustees.

Accordingly, BE IT RESOLVED, That, in recognition of services of inestimable value to this society and to the public, M. Helena McMillan be appointed Director Emeritus of our School of Nursing, that this brief tribute be spread upon our minutes, and that she receive a copy thereof. ATTEST:

John McKinlay, President Kingman Douglass, Secretary Dec. 21, 1938.

Gatewood, Mrs. Burton W. Hales, Mrs. Hal- ford H. Kittleman, Mrs. B. M. Linnell, and Mrs. Woodruff J. Parker. Three vacancies in the group whose term expires in 1940 were filled by naming Mrs. Henry W. Bernhardt, Mrs. Edwin P. Dewes and Mrs. Frank S. Smith.

In presenting the unified report of the year's accomplishments of the board's 23 standing committees, Mrs. Edward H. Smith added a clever touch by the use of appropriate book titles as captions for each report. The high- lights from the reports will be published in a later issue of the Bulletin.

In accordance with a custom of long stand- ing, Mr. John McKinlay, president of the Board of Managers, presided. Before relinquish- ing the gavel, Mr. McKinlay congratulated the Woman's Board on the year's accomplishments, stating that it would be difficult to picture Presbyterian Hospital as existing without the work of women and the progressive spirit which they foster.

HOBBY SHOW REVEALS VARIED

INTERESTS OF STUDENT NURSES

Seventy-nine student nurses, comprising the preliminary class admitted in the fall, held a hobby show in the auditorium of Sprague Home Dec. 28. The exhibit showed a wide variety of worth while interests and consider- able talent in numerous fields.

NEW YORK TIMES TELLS OF WORK MISS LINDEM WILL DO IN THAT CITY

The following paragraphs from a column article which appeared in the New York Times tell of the work which Miss Selma Lindem, our hospital librarian, will do in New York City during a six-months leave of absence which began Jan. 1 :

"Fourteen of the city's hospitals — public and private — will be serviced in the new year by a central council of hospital libraries, the first organisation of its kind to be staffed almost completely by volunteer workers. The set-up is the work of the Junior League of New York in cooperation with the hospitals, which will benefit by the services of 60 trained young women who combine a knowledge of routine of book circulation with the more highly technical grasp of bibliotherapy.

"The Central Council for Hospital Libra- ries is modeled on the Paris system and housed in the Junior League clubhouse at 221 East 7 1st Street. Miss Selma Lindem, librarian of the Presbyterian Hospital in Chicago, will be installed as director. The volunteers who have, so far, completed one training course in which physicians, nurses and librarians have cooperated are prepared to catalog books, re- view them in the light of their suitability for convalescent reading, aid in their distribution via ward book carts and to bind them sturdily when repair is required.

"Not only does the League contemplate furnishing volunteers for book collecting through its motor corps but the assembling of a model hospital library is being made possible through the sale of unsuitable books which are donated."

Four Generations Have Part

(Continued from Page 2, Column 3) committee of the Woman's Board. This board also has a number of other second generation members and in several instances, other than those mentioned, a mother and daughter or daughter-in-law are both active on the board.

Many Others Also Serve

While Presbyterian Hospital owes much to the loyalty of these families so ably repre- sented by succeeding generations, the institu- tion also is greatly indebted to scores of others who have been or are at present the only representatives of their families identified with the work as members of the Board of Manag- ers or the Woman's Board.

Throughout the years, also, members of the Medical Staff have worked in close coopera- tion with the Board of Managers, while wives of staff members have been active on the Woman's Board, frequently serving as officers or committee chairmen. Some of the most effective of these women workers belong to the non-Presbyterian general membership group as do a number of other valued mem- bers of the Woman's Board.

MRS. NICHOLS' RECORD

Ranking next to Mrs. D. W. Graham in number of years of work in the inter- est of the hospital, is Mrs. George R. Nichols, who joined the Ladies Aid Society in 1SS6 and has held various offi- ces and committee chairmanships through the years. Mrs. Nichols still is active as a member of the advisory council of the Woman's Board.

3n fHrmortam

Golder Lewis McWhorter 1888-1938

On October 16, 1938, Chicago lost one of her outstanding surgeons, Golder L. McWhorter. His quiet, unassuming man- ner, his sincerity and integrity of purpose made him a true friend of his patients and his associates. His courage and devo- tion to his chosen profession evoked the admiration of all who knew him. His in- terest in his work was attested by the fact that he wrote and passed the Cook Coun- ty Hospital examination last year, only a few weeks after he had been operated upon for what he knew was probably a hopeless malignant condition. He is sur- vived by his wife and four children. In 1915, he married Mary Louise Etten of Chicago. By this union there were two sons, John Tyler, a senior in the school of commerce at the University of Chica- go, Henry Etten, now in the medical school at the University of Chicago, and one daughter, Dorothy, who is still m grade school. Following the death of his wife, in 1932, he married Isabel Chaplin, also of Chicago, in 1934. They have one child, Bobby, who is three years old.

Golder L. McWhorter was born on a farm near Algona, Iowa, Sept. 23, 1888. He graduated from Austin high school and following two years work at Coe College he received his B. S. degree from the University of Chicago in 1911, and his medical degree from Rush Medical College in 1913. He interned at Chil- dren's Memorial and Presbyterian Hospi- tals, after which he studied three years at the University of Minnesota Graduate School of Medicine and Mayo Founda- tion. He received the first Ph.D. in sur- gery ever granted by that institution. He served as instructor and ward surgeon at Camp Greenleaf and Camp Joseph E. Johnson during the World War. After the war he became associated with Rush Medical College, where he held the rank of associate clinical professor of surgery.

Doctor McWhorter was a prodigious worker. He published more than seventy articles in leading surgical journals, many of which were based on experimental work and clinical research. His experi- mental work included some important work on the bile passages. In addition to these, he wrote many short articles and book reviews for various medical journals. He was an assistant attending surgeon at Presbyterian Hospital besides serving on the staffs of several other hospitals. Out- standing organisations of which he was a member or fellow included the American College of Surgeons, Chicago Surgical Society, Western Surgical Society, Insti- tute of Medicine of Chicago and other local and national medical societies.

— Gatewood

HOSPITAL IS HOST TO THE CHICAGO SURGICAL SOCIETY

Members of our Medical and Surgical Staff presented a clinical program in our operating rooms before the members of the Chicago Surgical Society, Jan. 6 from 9:00 A.M. to 12:30 P.M. Visitors and staff members were guests of the hospital at luncheon.

At the scientific meeting of the same society that evening in the University Club, papers were presented by Dr. Edwin M. Miller, Dr. E. H. Fell, Dr. Kellogg Speed and Dr. D. B. Phemister.

MEDICAL STAFF NEWS

Dr. Clifford Grulee addressed the Carroll-Jo Daviess County Medical Societies, Dec. 7 on "Infant Feeding."

* * *

Dr. Harry Oberhelman was the speaker at a meeting of the Scott County, Iowa Medical Society at Davenport, Dec. 6. His topic was "Some Surgical Problems."

Dr. Clayton J. Lundy gave a talk on Treatment of Arterio-sclerotic Heart Disease" before the Medical Society of Will-Grundy Counties, Dec. 7.

At the meeting of the Western Surgical Association in Omaha, Dec. 2 and 3, Dr. Gatewood discussed three papers; one on gastric motolity, one on hypospadias, and one on anesthesia.

Dr. Herman L. Kretschmer gave a paper on "Elusive Ulcer" before the Southeastern branch of the American Urological Association at Louisville, Ky., Dec. 2.

At the December meeting of the Chicago Ophthalmological Society, Dr. W. F. Mon- creiff presented a preliminary report on "Corneal Transplantation: New Technic."

Two residents reported in the December issue as leaving on Jan. 1, will continue their services as follows: Dr. Henry H. Halley, Jr., pathology; and Dr. N. J. Lilleberg, obstetrics and gynecology.

* * *

Dr. Daniel B. Hayden was one of the speakers at the January meeting of the Chica- go Laryngolocial and Otological Society, be- fore which he presented an illustrated address on "Evaluation of the Methods of Tinnitus Aurium."

ALUMNAE ELECTS OFFICERS

At the annual meeting held in December, Miss Charlotte F. Landt was elected president of the Alumnae Association of the School of Nursing. Miss Landt is assistant director of the School of Nursing of Cook County Hos- pital and night superintendent of nurses in lh.it hospital. Miss Alma Foerster, public health nursing instructor in our School of Nursing, was named second vice-president. Mrs. Dorothy Van Gorp was re-elected trea- surer and Misses Ethel Holbrook and Esther Sanderson were elected directors. Other offi- cers hold over another year.

Miss Dora Corneilson, field representative of the American Journal of Nursing, spoke at the Alumnae meeting, Jan. 3. She also ad- dressed the members of the senior class of the school.

CHRISTMAS AND NEW YEAR BABIES

Two boys were born in our hospital on Christmas day and two girls arrived on New Year day.

Our first Christmas baby was born at 4:11 A.M. His parents are Mr. and Mrs. Casimir Strzalka, 2253 W. Iowa Street, and his name is Richard Christ.

Mr. and Mrs. Edward H. Haan, 826 Mich- igan Ave., Evanston, are the parents of our other Christmas baby, who was named Edward Davies.

The first 1939 baby was Eileen Phyllis Lambertz, daughter of Mr. and Mrs. Paul N. Lambertz, 5020 S. Tripp Avenue, born at 2:55 A.M.

Our second 1939 baby was born to Mr. and Mrs. Franklin M. Watkins of 7110 Cornell Ave. Her name, Manlin Jean is a combina- tion of the given names of her parents.

THE PRESBYTERIAN HOSPITAL

OF THE CITY OF CHICAGO

1753 W. CONGRESS STREET CHICAGO, ILLINOIS Telephone: Seeley 7171

OFFICERS and MANAGERS

JOHN McKINLAY President

HORACE W. ARMSTRONG Vice-President

CHARLES B. GOODSPEED Vice-President

SOLOMON A. SMITH Treasurer

KINGMAN DOUGLASS Secretary

FRED S. BOOTH Asst. Secretary

A. J. WILSON Asst. Secretary

Arthur G. Cable Edw. D. McDougal, Jr.

Alfred T. Carton Fred A. Poor

Albert B. Dick, Jr. Theodore A. Shaw

John B. Drake Rev. John Timothy James B. Forgan, Jr. Stone, D.D.

Albert D. Farwell R. Douglas Stuart

Alfred E. Hamill J. Hall Taylor

Charles H. Hamill John P. Welling Edward F. Wilson

CLERICAL MANAGERS

Rev. Harrison Ray Anderson, D.D. Rev. Harold L. Bowman, D.D. Rev. Alvyn R. Hickman, D.D. Rev. W. Clyde Howard, D.D.

MEDICAL BOARD

VERNON C. DAVID, M.D President

WOMAN'S BOARD MRS. ERNEST E. IRONS President

ADMINISTRATION

ASA S. BACON Superintendent

HERMAN HENSEL Asst. Superintendent

SCHOOL OF NURSING

M. HELENA McMILLAN Director Emeritus

MAY L. RUSSELL Dean and Acting Director

THE PRESBYTERIAN HOSPITAL BULLETIN Florence Slown Hyde, Editor

The Presbyterian Hospital of the City of Chicago is an Illinois not-for-profit corpora- tion, organized July 21. 1883, for the purpose of affording surgical and medical aid, and nursing, to sick and disabled persons of every creed, nationality, and color. Its medical staff is appointed from the faculty of Rush Medical College of the University of Chicago.

The Board of Managers call attention to the need of gifts and bequests for endowment and for the general purposes of the hospital.

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BULLETBN

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MEMBER AMERICAN HOSPITAL ASSOCIATION

Chicago, 111.

February, 1939

Vol. 31. No. 2

MISS ROGERS IS NAMED

NEW HEAD OF SCHOOL

OF NURSING

Begins Duties in September

Appointment of Miss Dorothy Rogers to the position of director of the School of Nursing and nursing service of Pres- byterian Hospital has been announced by the Board of Managers of the hospital. Miss Rogers will fill the vacancy created by the retirement last October of Miss M. Helena McMillan, founder of the school, and its director for 35 years. Miss Rogers now holds the position of assistant professor of nursing education at the University of Chicago and will not take over her new duties in the school and hospital until September 1. In the meantime, Miss May L. Russell, dean, will continue as acting director of the school and Miss Harriet E. Forrest will continue as director of the hospital nurs- ing service.

Is Alumna of School

Miss Rogers is not a stranger to the school and hospital. She was graduated from the former in 1921 and has been a member of the graduate committee of consultants in recent years. She brings to her task broad educational preparation and wide administrative experience in other institutions. After graduating from Oak Park High School in 1913 she re- ceived the BA. degree in 1918 from Wellsley College, Wellsley, Mass.; a diploma from the School of Nursing of Presbyterian Hospital in 1921; and in 1926 received a Master of Arts degree in administration of nursing schools from Teachers' College, Columbia University, New York City.

Administrative and professional posi- tions held by Miss Rogers have been as follows : assistant superintendent of nurses at Washington Boulevard Hospital, Chi- cago, 1922-25; assistant director of the School of Nursing of Washington Uni-

NEW DIRECTOR

MISS DOROTHY ROGERS

versity and superintendent of nurses in Barnes Hospital, St. Louis, Mo., 1926-30; professor of nursing and director of the John Sealy College of Nursing of the University of Texas, Galveston, 1931-35; assistant professor of nursing education, University of Chicago, since 1935.

Miss Rogers is a member of the Illinois State Nurses1 Association and since 1936 has been president of the Illinois League of Nursing Education. This organization is made up of a professional group con- cerned with the problems of nursing schools and nursing education in the state.

17,000th BABY IS DUE

SOON IN MATERNITY

DEPARTMENT

To Receive #100 Baby Bond

Sometime within a few weeks Pres- byterian Hospital will celebrate the ar- rival of the 17,000th baby horn in the institution since it was first opened in August 1884. No one knows the day or the hour when this historic event will take place. Births numbered 16,914 up to February 1 and range from 50 to 100 per month. The average for the 1938 total of 883 births was 76 per month.

Who Will Be Lucky Baby?

Being born in Presbyterian Hospital is a lucky break for almost any baby, but it's going to be extra lucky for our 17,000th baby. Here's why — just to let the world know how proud we are to have had 17,000 babies first see the light of day under our roof, the Board of Man- agers is going to present the 17,000th baby with (of all things) a $100 U. S. Baby Bond. The usual birth certificate signed by the hospital superintendent also will bear a special notation stating that the baby is the 17,000th infant born in Presbyterian Hospital.

Hospital Births Increase

Maternity departments in general hos- pitals are rapidly becoming the birthplace of the nation, recent statistics showing that nearly one-half of all births in the United States each year occur in hospitals and that 94 per cent of the hospital births take place in general hospitals.

When the Presbyterian Hospital was opened to patients in 1884 and for many years thereafter only unusual circum- stances sent a woman to a hospital to have her baby. Of the 16,914 births in the hospital prior to February 1, 1939, only 776 occurred during the first 20 years of its existence — fewer than now occur here each year.

PRENATAL AND HOSPITAL CARE AFFORDED THROUGH HOUSE SERVICE OB. PLAN

Through the cooperation of the obstet- rical department of Rush Medical Col- lege, a prenatal and postnatal clinic for hospital house service obstetrical regis- trants has been maintained in the hospital examining rooms since 1920. These pa- tients pay a flat rate which is within the means of persons of small incomes, and which covers prenatal and postnatal care and ten days hospitalisation at the time of delivery. The clinic staff consists of an attending obstetrician, the hospital resident obstetrician, interns, dentist, pediatrician, graduate nurse, student nurses, and medical social worker. Con- sultation with other medical specialists is available when needed. Registrations are received by the hospital Social Service de- partment and expectant mothers are urged to register early in pregnancy.

Last year 637 house service patients were admitted for hospitalisation in our maternity department. Clinic visits num- bered 4,738.

Service for Private Patients

Private patients of obstetrical staff members receive prenatal care at the offices of their physicians, coming to the hospital for special examinations and con- sultation with other physicians when this is deemed necessary. Among the babies born to private patients here last year were a granddaughter of a late member of the President's Cabinet, a grand- nephew of the late Czar Nicholas of Russia, and a considerable number who bear names well known in business and social circles of Chicagoland. The choice of Presbyterian Hospital by these discern- ing people as the birthplace of their babies is highly gratifying to the hospital management and the obstetrical medical and nursing staffs. However, every mother and every baby cared for in our maternity department receives the best that present-day obstetrical knowledge can provide, regardless of their economic or social status.

Each newborn baby is placed under the care of a pediatrician with the result that the new- born death rate in the hospital has been mate- rially reduced within the last ten years through scientific feeding, prompt medical measures, early correction of defects, and the provision of incubator care for all premature and other under-developed and weak babies. A detailed article on the care oi the newborn in our hos- pital appeared in the May 1938 issue of our Bulletin.

Patients from Wide Area

Checking over the home addresses ol pa« tients whose babies were born in the hospital last year we find that these mothers came from every section of Chicago, 30 different sub-

urb; mmunities, and several more distant

points.

Keeping Mothers Alive

That adequate prenatal care and sound obstetrical procedures can elimi- nate nearly all deaths of mothers due to childbirth causes is proven by recent records of both the maternity depart- ment of Presbyterian Hospital and the Out-Patient Obstetrical service. In the last 3,398 births in the hospital, only three maternal deaths occurred, while the out-patient record was two deaths in the last 2,453 births. The three maternal deaths in the hospital were due to causes unrelated to childbirth and two of these deaths might have been prevented if an obstetrician had been consulted early in pregnancy.

Our combined hospital and out- patient record of one maternal death for each 1,170 live births in recent years is much lower than the national rate of 5.8 maternal deaths per 1,000 live births and is less than half as high as the all-Chicago rate of 2.7 maternal deaths per 1,000 live births in 1938.

How Presbyterian Hospital, Central Free Dispensary and Rush Medical College cooperate to provide adequate prenatal, obstetrical, and postnatal care to hundreds of mothers each year is described in several articles in this Bulletin.

DR. HERRICK HONORED BY UNIVERSITY OF CHICAGO AT WINTER CONVOCATION

Dr. James B. Hernck, a member of our Medical Staff since 1891, was awarded the honorary degree of Doctor of Science at the Winter Convocation of the Uni- versity of Chicago, Dec. 20. He was pre- sented by Dr. Emmet B. Bay, dean of Rush Medical College, who was a stu- dent and associate of Dr. Hernck. The citation states "Scholarly teacher and de- voted physician whose character and at- tainments have adorned this University and whose contributions to knowledge have enriched the annals of medical science."

The following comment is from the Alumni l\[ews of the university:

Known among medical men as the "dean of internists," Dr. Herrick is internationally famous for his work on coronary thrombosis, and only to a slightly lesser degree, for his study of "sickle cell' anemia. Born in Oak Park in 1861, Dr. Herrick graduated from the University of Michigan and received his M.D. degree from Rush in 1888. He was a member of the Rush faculty from 1890 to 1927. Founder and first president of the Chicago Society of Internal Medicine, he has held the presidency of the Institute of Medicine of Chicago, the American Heart Association, the Association of American Physicians, and the Congress of American Physicians and Sur- geons. Dr. Herrick received in 19 30 the Kobcr Medal of the Association of American Physicians and Michigan conferred the hon- orary degree of Doctor oi Laws upon him in 1932.

OUT-PATIENT OB. SERVICE HAS ATTENDED MORE THAN 20,000 BIRTHS IN HOMES

Proud as we are about the nearly 17,000 babies born in Presbyterian Hos- pital we are equally proud of the part that the hospital has had in providing free medical care at 20,206 births in homes under the auspices of the Out-Patient Obstetrical department which has been maintained since 1904 by the hospital, Rush Medical College and Central Free Dispensary. To have assisted 37,120 babies into the world is something of a record!

Have Prenatal Care

Most of the obstetrical patients cared for by members of the Out-Patient Ob- stetrical staff are registered in advance by the prenatal clinic at Central Free Dis- pensary, where information as to their circumstances is obtained, in order that the services of the department may be given only to those unable to pay a pri- vate physician or obtain private medical care through a relief agency. Prenatal care is given through visits to the clinic, and last-minute registrations are accepted only in unusual emergencies. Students in our School of Nursing assist in the prenatal clinic at the dispensary and make many home visits. Visits of doctors and nurses in homes totaled 2,160 in 1938.

440 Births in Homes

Prenatal and postnatal clinic visits of 651 mothers numbered 2,542. Many of these mothers were referred to other clinics in the dispensary for diagnosis and treatment of pathological conditions. Free medical attendance was provided at 440 births m homes. Newborn babies are visited by a hospital pediatrician within a few hours after the birth is reported and if deemed necessary are seen in their homes by an attending pediatrician.

Provide Hospital Care

When the condition of a mother or newborn baby is such as to demand it, free hospitalisation is provided in our hospital or arrangements made for prompt admission to Cook County Hos- pital. In 1938, 4 mothers and 15 new- born babies were admitted to our hospi- tal through the Out-Patient Obstetrical department.

MISS EKELUND RECOVERS

The many friends of Miss Ellen Ekelund 192 3 graduate of the School of Nursing, will be pleased to learn that she has fully re- covered from her recent long illness and has taken a position as field nurse with the Desert Mission, a Presbyterian tuberculosis sanitarium near Phoenix, Anz. Miss Ekelund formerly was the nurse in charge of the Baby Clinic at the dispensary.

NEARLY 30,000 PERSONS

TREATED IN 1938

AT DISPENSARY

Visits Totaled 185,655

Nearly 30,000 different individuals re- ceived medical care in the clinics of Cen- tral Free Dispensary in 1938, Dr. George W. Duvall, superintendent, reported at the 71st annual meeting of that institu- tion on January 31. Dr. Robert H. Herbst, president, and other officers and board members were reelected.

Though under separate management the dispensary serves as the out-patient department of Presbyterian Hospital and the out-patient clinical teaching center of i Rush Medical College. The hospital ad- mits dispensary-referred patients to the extent that its facilities and funds permit, and also cooperates with the dispensary in numerous other ways. Dispensary clinics are staffed by members of the college faculty, whose services are donated. The dispensary has its own pharmacy which provides medicines needed by patients.

Patients, who are able, pay nominal fees but last year such fees were collected for only 20 percent of the 185,65? visits. The re- mainder of the dispensary's budget of $117,000 was obtained in the form of contri- butions from the state relief administration, Community Fund and interested individuals. In addition to other employed personnel, the dispensary has a well organized Social Service department whose ten medical social workers and an assisting clerical staff investigate appli- cations for dispensary care which is restricted to those found unable to pay for private medi- cal service. If each of the 185,655 visits to dispensary clinics last year was paid for at rates charged by physicians for ordinary office calls, the free service given by members of Rush faculty would cost at least half a million dollars. This sum would not include extra charges for laboratory and other tests, X-ray films and fluoroscopic examinations, minor sur- gery, and special treatments provided by the dispensary and the hospital.

Last year Presbyterian Hospital admitted 1,810 dispensary-referred patients for hospi- talization, provided on either a free or part- free basis. Of these patients, 1,136 were children.

HEALTH OF BABIES IS GUARDED HERE

PIONEER SYPHILIS CLINIC

Central Free Dispensary was the pioneer in- stitution in Chicago in which adequate, scien- tific treatment of syphilis was made available to the poor. Dr. Oliver S. Ormsby, head of the departments of dermatology in Rush Medi- cal College and Presbyterian Hospital, started this work at the dispensary in 1916, during which year, 2,711 Wassermann tests were given and 467 patients were under treatment. Thousands of Wassermanns have been given each year since and treatments in the 22 years total more than 400,000. Patients under treat- ment in 1938 paid 27,625 visits to this clinic.

This department does much to promote the welfare of mothers, babies and children. Was- sermanns are taken on expectant mothers early in pregnancy so that those giving positive re- dactions may receive adequate treatment which in most instances prevents the birth of syphili- tic babies. Wassermanns also are taken on children whose mothers are found to have this

Health of 918 babies and young children was guarded through 4,832 visits in the Baby Clinic at Central Free Dispensary in 1938. Weight and other conditions are checked and conferences with mothers held on Monday, Wednesday and Thursday afternoons from 1:00 to 2:00. In 1938 attendance averaged 32.4 infants per conference.

The little fellow in the picture isn't quite sure he knows what it's all about, but his young mother (left) seems very happy about having the help of the clinic to keep her baby well. Miss Margarette Schwan, student from the School of Nursing of Presbyterian Hospital, is getting the scales set to record the baby's weight.

HOSPITAL, DISPENSARY AND RUSH COLLEGE COOPERATE IN CHILD HEALTH WORK

Health of babies, pre-school and school chil- dren is guarded through conferences with mothers held in the baby and pediatric clinics at Central Free Dispensary, with the coopera- tion of Rush Medical College and Presbyterian Hospital.

The baby clinic was established seven years ago to take over the work of the infant wel- fare station which had been maintained up to that time by the Infant Welfare Society of Chicago. A pediatrician and graduate nurse are assisted by medical students and student nurses. Volunteer workers are provided by the hospital Woman's Board which also do- nates clothing for needy babies and children. Sick babies who require hospital care are refer- red to Presbyterian Hospital as free or part- pay patients if parents are unable to pay for hospitalization. However, most of the babies are kept free from illness through regular check-ups and advice given to mothers.

The pediatric clinic at the dispensary regis- tered 3,050 children who made a total of 6,927 visits in 1938. Children referred for hospital care numbered 169, most of whom were admitted as free patients. In addition to those referred by the pediatric clinic, 967 children were referred by the dispensary nose and throat department for overnight hospitali- zation following tonsillectomies performed in that department. Most of these were admitted as free patients.

disease and at the present time 175 such chil- dren are under treatment in this clinic.

Practically every department of the dispen- sary does notable work in the interest of maternal and child health, providing medical treatment which would not be obtained other- wise.

RELIGIOUS BOOK CLUB LISTS

BOOK BY HOSPITAL CHAPLAIN

"And Te Visited Me," a recently published book by Rev. Russell L. Dicks, chaplain in our hospital, was listed as one of the books offered in January by the Religious Book Club. The book is described as a "source book for ministers in work with the sick." It contains 247 pages and is published by Harper Brothers. Rev. Dicks is the author of three other books.

In recognition of his "contributions to con- temporary literature," Rev. Dicks recently was elected an honorary member of the Eugene Field Society, a national organization with headquarters in St. Louis.

MEDICAL STAFF NEWS

Dr. Edward Allen and Dr. Fred Priest were on the program at the scientific meeting of the Chicago Gynecological Society, Jan. 20.

Dr. Vernon C. David was one of the speak- ers at the Chicago Medical Society meeting on Feb. 1, when the general topic was "Mortality of Appendicitis." Dr. David presented a paper on "The Surgical Treatment of Appendicitis."

At the pediatric staff clinical conference in Cook County Children's Hospital, Jan. 24, Dr. Noel G. Shaw spoke on "Recent Develop- ments in the Study of Childhood Pneumonia."

Dr. Earle B. Fowler is the new president of the Chicago Ophthalmology Society and Dr. Vernon M. Leech was elected secretary of the same society.

Dr. Herman L. Ketschmer gave two ad- dresses before the Post-Graduate Medical School in Atlanta, Ga. on Jan. 17. He was in New York City Jan. 13-15 conducting ex- aminations given by the American Board of Urology of which he is president.

PHILIP R. CLARKE NEW

MEMBER OF BOARD

OF MANAGERS

Officers Are Reelected

At the 56th annual meeting of Pres- byterian Hospital held on January 18, Mr. John McKinlay, president, and all other officers and board members were reelected. Mr. Philip R. Clarke, presi- dent of the City National Bank, is a new member of the board, elected to fill the vacancy caused by the death of Mr. Robert Stevenson, Jr. Mr. Clarke's fa- ther, who died many years ago, organized the Presbyterian church in Hinsdale and was an early-day supporter of the hos- pital. Following his death, Mrs. Clarke married T. R. Swezy. Mrs. Swesy was an active member of the Woman's Board for several years. Mrs. W. B. McKeand of Hinsdale, daughter of Mrs. Swez;y and sister of Philip R. Clarke, has long been an active member of the hospital Wo- man's Board and since 1929 has served as chairman of the Thanksgiving offering committee. Mrs. McKeand's daughter, Mrs. Gordon B. Wheeler of Hinsdale was elected treasurer of the Woman's Board at its recent annual meeting, after having served as assistant treasurer since 1934.'

More Charity in 1938

In his report, Mr. McKinlay, president of the Board of Managers, pointed out that 25.7 per cent of patient days m 1938 was charity as compared to 21.6 per cent in 1937. He stated that in order to meet increasing demands for charity work, buy needed equipment, and make essen- tial improvements, the hospital must ob- tain more donations to its general fund and additional endowments. Expenditures for repairs and renewals in 1938 totaled $37,1 18. These included additional X-ray and operating room equipment, new en- trance canopy, new furnishings of vari- ous kinds and a newly equipped ward for premature infants to be opened soon.

Highlights from the report of the superintendent, Mr. Asa S. Bacon, were published in the January Bulletin, and a more detailed report will appear in the yearbook as will also the reports of the president and treasurer.

IS YOUNGEST JUDGE

Judge Elmer Medlin of Carbondale recently I i. ided in Circuit Court in Chicago and was said to he the youngest judge who had ever sat in th.it court, being only 25 years old. Be- fore he hecame a lawyer, Judge Medlin worked as an orderly in Presbyterian Hospital.

To live in hearts we leave behind, h not to die.

—Thomas Campbell

WASHINGTON

By G. B. Smith

His spirit lives in every noble deed In love of country and of fellowmen;

In reverence for our own and others' creed. In great words uttered or sent forth by pen.

His life calls forth the good in every soul, The longing that war in all lands shall cease.

His high ideals shall ever he our goal;

He lives in brotherhood, in love, in peace.

Sayings of Washington

I shall never attempt to palliate my own foibles by exposing the error of another.

A good moral character is the first essential in man. It is therefore highly important to endeavor to not only be learned but to be virtuous.

3n fHrmnriam

Robert Stevenson 1878-1938

At the meeting of Board of Managers of Presbyterian Hospital on January 18, 1939, the following resolutions were adopted on the death of Robert Stevenson :

The Board of the Presbyterian Hospi- tal of the City of Chicago desire to rec- ord the loss of their friend and fellow- manager, Robert Stevenson, and to ex- press their appreciation of his services to the hospital.

Born at Chicago, June 25, 1878, he was graduated from Yale University with the class of 1900 and commenced his career with the family firm, Robert Stevenson &? Co., wholesale druggists, but soon entered the investment banking field where he continued for the rest of his life. During the World War he served as deputy food administrator for Illinois. A resident of Winnetka, he was active in civic matters and .it one time President of the Village Trustees. He was a member of our Board and of the Committee on House and Buildings for some fifteen years.

Robert Stevenson had a genius for friendship. He loved his fellow man. We shall always remember him with affec- tion, and the Hospital will continue to reflect his hum, in interest and benevo-

Wc direct that this brief tribute be spread upon our records, and th.it a copy be sent to his wife and children. ATTEST:

Kingman Douglass, Secretary John McKinlay, President

BLOOD TRANSFUSION FUND

Following the death of Dr. Edwin R.| LeCount of our Medical Staff, in 1935, Mrs. LeCount gave $1,000 to establish a blood transfusion fund. To this amount Miss Gracia M. F. Barnhart of Hinsdale added $400 in memory of her father and mother. A few small donations were received from others. On learning, a few days ago, that the entire fund had been exhausted, Miss Barnhart contributed $100 more. The fund is used to pay donors for blood transfusions given pa- tients who are unable to obtain a volun- teer donor with the right type of blood and who lack means to pay an outside donor. Additional contributions to this fund are needed greatly.

THE PRESBYTERIAN HOSPITAL

OF THE CITY OF CHICAGO

1753 W. CONGRESS STREET CHICAGO, ILLINOIS

Telephone: Seeley 7171

OFFICERS and MANAGERS

JOHN McKINLAY President

HORACE W. ARMSTRONG Vice-President

CHARLES B. GOODSPEED Vice-President]

SOLOMON A. SMITH Treasurer

KINGMAN DOUGLASS Secretary

FRED S. BOOTH Asst. Secretary

A. J. WILSON Asst. Secretary

Arthur G. Cable Edw. D. McDougal, Jr.

Alfred T. Carton Fred A. Poor

Philip R. Clarke Theodore A. Shaw

Albert B. Dick, Jr. Rev. John Timothy John B. Drake Stone. D.D.

James B. Forqan, Jr. R. Douglas Stuart

Albeit D. Farwell J. Hall Taylor

Alfred E. Hamill John P. Welling

Charles H. Hamill Edward F. Wilson

CLERICAL MANAGERS

Rev. Harrison Ray Anderson, D.D.

Rev. Harold L. Bowman, D.D.

Rev. Alvyn R. Hickman, D.D.

Rev. W. Clyde Howard, D.D.

MEDICAL BOARD VERNON C. DAVID, M.D President

ADMINISTRATION

ASA S. BACON Superintendent

HERMAN HENSEL Asst. Superintendent

CHAPLAIN REV. RUSSELL L. DICKS, D.D.

WOMAN'S BOARD

MRS. ERNEST E. IRONS President

SCHOOL OF NURSING

M. HELENA McMILLAN Director Emeritus

MAY L. RUSSELL Dean and Acting Director

THE PRESBYTERIAN HOSPITAL BULLETIN Florence Slown Hyde, Editor

The Presbyterian Hospital of the City of Chicago is an Illinois not-for-profit corpora- tion, organized July 21, 1883, for the purpose of affording surgical and medical aid, and nursing, to sick and disabled persons of every creed, nationality, and color. Its medical staff is appointed from the faculty of Rush Medical College of the University of Chicago.

The Board of Managers call attention to the need of gifts and bequests for endowment and for the general purposes of the hospital. physici<ns, Recobd c '

he Ptesi

rM- Hospital

v trie Gity ay Sk Lea gey

BULLETDN

MEMBER AMERICAN HOSPITAL ASSOCIATION

Chicago, 111.

March, 1939

Vol. 31, No. 3

MORE FREE CARE GIVEN NEEDY PATIENTS IN 1938

Average of Six Free and 16

Part-Pay Patients

Admitted Daily

Although contributions from churches and individuals, and income from hospital endowments amounted to less in 1938 than for the preceding year, Presbyterian Hospital was called upon to provide more free care for needy sick persons in 1938 than in 1937. Obviously such a program cannot be continued indefinitely and for this reason the hospital's annual appeal to the churches this Easter season carries an urgency which it is hoped will bring a liberal response.

"I was sic\ and ye visited me not" is an indictment which none of us want to hear from the Master when we meet Him face to face. Visualise an army of more than 8,000 men, women, and children, many of them desperately ill, some seri- ously injured, all in need of care which only the hospital can provide. Here they come, an average of 22 for every day in the year. Six of the 22 are entirely with- out means to pay for hospitalization — the other 16 can pay only a part of the cost, some only a fraction of it. Which of these would YOU turn away?

Back of each of these 22 patients who constituted Presbyterian Hospital's DAILY average of free and part-pay pa- tients admitted in 1938 was a well- authenticated story of physical need and lack of means to meet the expense in- volved. Our hospital met this challenge of sick and suffering humanity at a total cost of $171,680. In addition, members of our Medical Staff gave generously of their services to these needy patients.

And on the morrow, he too\ out two shillings, and gave them to the host and said, "Ta\e care of him; and whatsoever thou spendest more, I, when I come bac\

again will repay thee." And

Jesus said, "Go thou, and do li\ewise." Luke 10:35, 37.

The little girl at the right was burned badly en her legs, when she went too close to a bonfire. That's why she has a "cradle" over her bed which keeps the covers from touching the burns while they heal. Below, three convalescent youngsters are smil- ing happily because the nurse has just arrived with ice cream for dessert. Being in the hos- pital means for many of our small patients better and more nourishing food than they get at any other time.

Cheer Up beds endowed by the Easter and other offerings of Presbyterian Sunday Schools made it possible for the hospital to provide free care for 779 sick children last year. In addition, parents of 888 child patients paid only a part of the cost of care given, this being in many instances but a fraction of the total. The ninth Cheer Up bed endowment has been completed and this year's Easter offering will apply on the fund for Cheer Up Bed No. 10.

FORTY-TWO CHURCHES

REPRESENTED ON

WOMAN'S BOARD

Assist Work of Hospital

Forty-two churches of the Chicago Presbytery sent representatives to serve on the Woman's Board of Presbyterian Hospital the past year. The board had a total enrollment of 250, including pas- tors1 wives, honorary and non-resident members. Thirty-three new members were accepted and 15 members resigned during the year. Three churches were added to the list of those represented on the board — Albany Park, Clarendon Hills, and Clement Churches.

Associate members were enrolled from 22 churches. Miss Lucibel Dunham, who has been the efficient chairman of the associate membership committee for ten years, has been succeeded by Mrs. Ed- ward H. Smith for the coming year. Any woman who belongs to a Presbyterian Church may become an associate member on payment of dues of $1.00 or more per year.

Death Takes Four Members

The Woman's Board lost four valued members by death last year: Mrs. Fred- erick W. Crosby, honorary member, Lake Forest; Mrs. W. B. MacPherson, Rogers Park; Mrs. L. Hamilton McCor- mick, Fourth Church; and Mrs. Ethan Taylor, LaGrange.

In addition to the Cheer Up bed fund and children's department described in separate articles, activities participated in by a large number of" church women in the interest of the hospital include: Tag Day in October, jelly and other delicacies donated for patients, sewing and knitting for the hospital and for needy patients, Thanksgiving offering, hospital Library and Social Service de- partment.

35 Churches Provide Taggers

Thirty-five churches provided 314 volunteer taggers for Children's Benefit Tag Day, in October, according to the report of Mrs. W. R. Tucker, chairman. Total receipts were $1,446.86, from which was paid expenses of $55.00, leaving net receipts of $1,391.76 to help support a social worker in our children's department. This worker does much to pro- mote the welfare of child patients who receive free care in our Cheer Up beds. One of her principal tasks is to investigate the home situ- ation and assist parents in working out their problems so that the greatest possible benefit will result from the hospital care given the child. Steps are taken to improve unsatisfac- tory home conditions, see that suitable food and clothing arc provided and other needed adjustments made.

Social Service Work

The Social Service department is one of the principal projects of the Woman's Board and

AN EASTER MEDITATION

A Man upon a cross

Above an ancient city,

And two others close beside Him :

Three men upon their crosses long ago,

Their shadows fall across our paths;

Two thieves, and One: a God.

How came they there? But even more,

How came they here?

Other men have died as hard a death,

But none have been as restless in their tombs —

But, then, perhaps, that's what happens

When you hang your God upon a tree!

A cross, and death, and tombs,

Mean nothing to a God.

These two thousand years He moves about. When we are tired, or sore afraid, When we are lonely. bro\en hearted And hard pressed, it's here we find Him; 7<{ot upon an ancient cross — But here beside us!

— Russell L. Dicks

its staff of medical social workers give much valuable service to both adult and child pa- tients. The total number of patients known to this department last year was 2,040. Home calls numbered 328 and office calls of patients totaled 6,688. Articles donated by church women and other friends for the use of needy patients totaled 2,239. Mrs. Mark Oliver is chairman of the Social Service committee. Volunteer workers gave a total of 716 hours of service in the department.

Sew 17,666 Articles

Church groups sewed and knitted a total of 17,666 articles in 1938 for the use of the hos- pital and for distribution to needy patients. Two churches, Drexel Park and Trinity, re- turned work every month of the year. Three churches turned in over 1,000 articles each, Rogers Park leading with 1,828 pieces of sewing. Mrs. Anna St. Jean of Drexel Park Church returned more than 80 garments made by her own hands. Many donated garments are made over, and these, as well as new garments, are distributed by the Social Service department, the children's department of the hospital and the Baby Clinic at Central Free Dispensary. Mrs. John W. Bingham is chair- man and Mrs. William B. Neal is vice-chair- man of this committee.

Thanksgiving Offering

Mrs. W. B. McKeand, chairman of the Thanksgiving offering committee, reported that receipts from this year's offering totalled $668.00, which was somewhat less than in 1937. Five church groups sponsored teas at which silver offerings were received.

Offerings also were received from several groups that did not hold teas and from many individuals. Mrs. Kellogg Speed, vice-chairman of the committee, assisted in arranging the teas, which were in charge of the various church chairmen.

Collect 23,000 Soap Wrappers

As has been the custom for many years, board members saved American Family soap wrappers, which were exchanged for silver for use in the first floor dining rooms of the hos- pital. Coupons from Gold Medal Products were collected last year also. Mrs. Cameron Barber, chairman of the silver committee, re- ports that 23,000 soap wrappers and 3,000 coupons have been exchanged for: 16 dozen tea spoons: 5 dozen dessert spoons, 2'/2 dozen finks; and 2 dozen knives.

STORY OF JOAN TYPICAL OF MANY WHO ARE CARED FOR IN CHEER UP BEDS

One of the many children cared for in. our Cheer Up beds the past year wasj Joan, a little girl four and a half years old, who came to us in a very serious* condition as a result of scarlet fever fol- lowed by pneumonia and an infection in i both ears.

She had been cared for in the muni- cipal hospital for contagious diseases and I later in another hospital. After hert return home she continued to lose weight, did not care to eat, and could not rest properly because of fever and cough. She was admitted to Presbyterian Hos- pital in February (1938) and remained here until August. Investigation by our' Social Service department revealed that she had been living in one dark room with her mother, older sister, and baby brother. The mother was not well and arrangements were made for her to at' tend a clinic where it was found she had ulcers of the stomach. Diet management was started and arrangements made to provide the mother with a more bright and cheerful home.

When Joan was ready to leave the hos' pital in August, her own mother still was ill and arrangements were made to have Joan go to the home of a boarding mother who was skilled in the care of convalescent children. Here she continued to improve and learned to do things for herself. Late in September she came back to hospital to have her tonsils removed. By this time her mother was well enough to take care of Joan and she was returned to her own home, a happy and changed little girl. The mother also had become an entirely different person. Joan entered kindergarten in February of this year, a normal happy youngster. But for the Cheer Up beds endowed by Presbyterian Sunday School children, Joan could not have been given the weeks and months of hospital care which saved her life and brought back her health.

Not all of our Cheer Up bed patients require the prolonged care that was needed by Joan, but many of them must remain with us for a number of weeks. Often these children come to us not only suffering from some acute illness but in art under-nourished condition which can be overcome only by weeks of good food and loving care.

Mrs. John P. Mcntzer, chairman of the delicacies committee, reports donations of: 11 jars of jam; 11 quarts of grape juice; 119 cans of fruit: $242.00 for fresh fruit; and 5,660 glasses of jelly. This was a smaller amount than was given the previous year and it is hoped that donations will be increased during the present year.

;,; rp-m--

e Ptebyl|iryiB: fcpifa

©jv tke Gityo-y ©kicagcy

BULLETIN

MEMBER AMERICAN HOSPITAL ASSOCIATION

Chicago, 111.

April, 1939

Vol. 31, No. 4

JUNE 12 IS DATE SET

FOR 1939 REUNION

OF EXTNTERNS

Rush Banquet Is on June 13

Another reunion of former Presbyteri- an interns and residents is to be held this year on June 12 in connection with the annual two-day clinic program for Rush

! Medical College Alumni. Presbyterian Hospital Alumni members will be guests of the hospital at luncheon on Monday, June 12, and a reunion dinner will be held that evening at a downtown hotel

i to be announced later. The Rush Alumni dinner will take place on Tuesday night.

Of especial interest is the announce- ment that four graduates of Rush Medi- cal College who have won distinction m their respective fields are coming from a distance to take part in the clinic pro- gram. Three of these served internships in Presbyterian Hospital as follows :

Dr. Russell Wilder, now professor of medicine in the University of Minnesota Post'Graduate School at the Mayo Clinic, Rochester; completed internship here in 1912 and was resident physician for three years following.

Dr. Fred M. Smith, professor and head of the department of theory and practice of medicine, University of Iowa, Iowa City; intern 1914-16.

Dr. George M. Curtis, head of the de- partment of research surgery, Ohio State University; intern 1921 '22.

The fourth distinguished out-of-town i Rush graduate on the clinic program did not intern in Presbyterian Hospital but will be a welcome visitor at the reunion. jl He is Dr. Waltman Walter, professor of surgery in the University of Minnesota I Post-Graduate School at the Mayo Clinic.

Many other well-known former interns

are expected from a distance. Dr. George

I H. Coleman is president of the Alumni

Association formed a year ago, and Dr.

Gatewood Gatewood is president-elect.

HOSPITAL'S 17,000th BABY ARRIVES

Mrs. William f. Dickson and son, Donald T elf er Dick- son, who was the 17,000th baby born in Presbyterian Hospital. This his- toric event took place at 8:00 P.M. on March 18, 1939. As had been an- nounced previously, the baby was pre- sented with a $100 U. S. baby bond, the gift of hospital officials.

17,000 th Baby Is Grandson of Missionary ]

Donald Telfer Dickson, 17,000th baby born in Presbyterian Hospital, is the first son and third child of Mr. and Mrs. Dickson, who have two daughters — Barbara, age 5, and Deborah, two and a half. The Dicksons reside in Oak Park. Mr. Dickson is head of the employee relations department at the Western Electric Company.

On the maternal side, he is a grandson of the late Rev. Frank W. Bible, Presby- terian missionary in China for 18 years and a secretary of the Board of Foreign Mis- sions in this country from 1923 until his death in 1937. Mrs. Bible makes her home in Oak Park. Mrs. Dickson was born in China. In addition to the 17,000 babies who

had begun life under the hospital roof up to March 19, 1939, 20,261 had been born in homes under the auspices of the Out -Patient Department maintained jointly by the hospital, Central Free Dis- pensary and Rush Medical College — a grand total of 37,261 babies assisted into the world by Presbyterian Hospital!

That life begins safely in the hospital

and in homes served by the out-obstetrical staff is proven by the fact that in the last 6,071 live births prior to March 19 in both hospital and homes, only five maternal deaths occurred — a rate of less than one per 1,000 live births as com- pared to the Chicago rate of 2.7 per 1,000 in 193S and the national rate of J.8 per 1,000 in 1935 (the latest national statistics available).

QUAD GROUP, 35 SISTER

TWOSOMES RECEIVE

TRAINING HERE

Mothers and Daughters, Too

In connection with the report of recent capping exercises of the School of Nurs- ing at which four preliminary students received their nurses' caps from sisters who are graduates or upper classmen m the school, it is interesting to note that 3? sister twosomes and one group of four sisters are among the alumnae and present student body.

The "Quads" were "Quints" for a short time hut romance lured Alice Melges (1940) away to become a bride recently. Helen Melges, now Mrs. Doehr- ing, graduated in 1926; Esther Melges and Grace Melges Scott graduated in 1929, and Lois Melges expects to gradu- ate in 1940.

Dr. O. W. Tulisalo, father of La.la who is shown in the picture with her mother, is on the resident staff of the hospital for special study at present after having successfully practiced general medicine in Rockford, 111. for a number of years. He completed an internship here in 1918.

Other Mothers and Daughters

Helen Dunlap, daughter of the late Clemence Lucken Dunlap (1916) is in the new class that entered this month. Maude Langston Metcalf (1907) has given two daughters to the school and the nursing profession — Sarah Metcalf

(1932) and Mary Ann Metcalf Ham- merstrom (1935). Jean Mackenzie

(1935) now Mrs. Nason, is a daughter of Rachel Blanchard Mackenzie, member of the first class graduated by the school in 1906.

Two of the new students entering this month are sisters of alumnae — Mary Jane Dcuth, sister of Marjorie Deuth Stewart

(1933) and Ruth Hassinen, sister of Dorothy Hassinen (1933). Alice Mc Kelvey who received her cap at recent exercises is a sister of Evelyn McKelvey (1931). In addition to these and those shown in the picture on page 3, the fol- lowing sister twosomes are listed as alumnae:

Edith Bronson Jones (1907) and Flora Bran- son Ferguson (1919) Blanch Titus Phelps (1910) and Ha*e] Titus

Ghoreyeb (191 T) Minnie Chisholm Briggs and Nell Chisholm

McCreery (both 1916) Edna Braun (1916) and Ruth Braun Franz

(1921) Sarah Hibbert Kirman (1911)* and Ruth

Hibbert Knoble (1917 Edith Ferris DcBarry (1909) and Gcraldinc

Ferris Fulton (1918) Winnifred Gasteyer Creevy (1918) and Rett.,

Gastcycr (1922)

ACCEPTS NEW POSITION

Miss Frances Seegmiller, graduate of the School of Nursing and a member of the faculty for several years, resigned early this year to accept a position at Iowa Methodist Hospital in Des Moines. The April issue of the Iowa Methodist Hospitals News contains a picture of Miss Seegmiller together with the follow- ing announcement:

"Miss Frances Seegmiller, graduate of the School of Nursing of Presbyterian Hospital of Chicago, joined us on February 1 as assistant superintendent of nurses. Miss Seegmiller's home is in Grand Rapids, Michigan. She came to us direct from Presbyterian Hospital where she was medical floor supervisor. Iowa Methodist Hospital feels itself fortunate to secure the services of one of such valuable experience and from an institution of such high standing in the hospital world."

Mrs. Madelon Reeves was appointed to

fill the vacancy at Presbyterian.

3n iflpmortaut

Twelve different states are represented in the spring class of 40 students which entered the School of Nursing this month. Registrations are now being received for the September class. The spring clas:. brings the school enrollment up to 172.

Jessie and Mum Levanger (both 1918) Mary Dalrymplc Huffmgton (1918) and

Henrietta Dalrymple Wood (1919) Mable Render Sutherland (1919) and Idella

Render Christy (1921)* Carmen fernquist Molenkopf (1920) and

Norma Jcrnquist Anderson (1923) Edna Burgess (1914) and Dorothy Burgess

(1921) Ruth Gasmann (1921) and Ella Gasmann

Curry (1922) Fcnna Van Vcssem Ten Have (1922) and

Gertrude Van Vessem (1932) Colette Zoller Patterson (1922) and Frances

Zoller (1927) Ha;el and Margaret Altman (both 192?) Florence Carlson Holmquist (1918) and

Frances Carlson Sproul (192?) Dorothea Ellikcr (1924) and Erna Ellikcr

Edwards ( 192?) Freda Damerow Axtcll (1926) and Edna

Damerow (1927) Ida M. Gifford Windaw and Nella M. Gilford

Perman (both 1929) Ellen Louise McCumbcr (1931) and Anna- bet h McCumber Brooks (1932) Ruth and Violet Wilson (both 1932) Vortex Walker Bouma (1925) and Esther

Walker (1933) Bertha Gaecklc (1928) and Edith Gaecklc

(1932) Doris Helbing (1931) and Margaret Hclbing

Joy (1932 Ethel Owen Castrodalc and Lois Owen Lee- son (both 1933) Ruth Tombaugh Kuhn (1933) and Hazel

Tombaugh Wallace (1934) Ethlecn Goodbrake and Vivian Goodhrake

Rushton (both 1934) ^Deceased

lid. Hole ■ If any sister twosomes have been omitted, it was unintentional and the editor should be notified.

Edward Tyler Blair 1857-1939

Edward Tyler Blair, a pioneer resident of Chicago, and former member of the Board of Managers of Presbyterian Hos- pital, died January 18, 1939 at his home, 1516 Lake Shore Drive. He was 81 years old. Mr. Blair was the son of William Blair, one of the incorporators of the Presbyterian Hospital and a member of the Board of Managers from 1883 to 1899. The Blair home in which Edward T. Blair was born m 1857 was located I on the site now occupied by the Congress Hotel.

Mr. Blair spent his entire life in Chicago. He was graduated from Yale Univensty in 1879, returning here to become a member of William Blair & Co., a hardware company established by his father in 1842. The compa- ny was sold in 1888, both father and son retiring from business. In later years Mr. Blair became known as an authority on history, publishing a number of books, including sev- eral brochures on Chicago.

In 188 2 Mr. Blair married Miss Ruby Mc- Cormick, daughter of William Sanderson Mc Cormick and Mary Ann Grigsby McCormick. Mrs. Blair was an active member of the Woman's Board of Presbyterian Hospital for a number of years and founder of the Contri- butors' Fund. She died some years ago.

Edward T. Blair was a member of the hos- pital Board of Managers from 1897 to 1906. In 1898 he and his father presented the hospi- tal with its first "X-ray outfit," as it was then called. This gift made it possible for Presby- terian Hospital to offer to its patients the benefits of X-ray within three years after Roentgen's discovery. Ours was the second hospital in Chicago to be provided with X-ray equipment. Mr. Blair and his mother later endowed a room in memory of his father, William Blair.

Surviving Mr. Blair arc two daughters, Miss Edith Blair of Paris, and Mrs. Howard Linn of Chicago: two sons, William McCormick Blair and Seymour Blair of Chicago: and three grandsons, Edward McCormick Blair, William McCormick Blair, Jr., and Bowen Blair, all sons of William McCormick Blair.

Mrs. H. B. Stehman

Friends in Chicago have received word of the recent death in Pasadena, Calif, of Mrs. H. B. Stehman, widow of Dr. Henry B. Stehman, superintendent of Presbyte- rian Hospital from 1885 to 1900. It was under the wise direction of Dr. Stehman that the Hospital which had been opened to patients in 1884, became firmly estab- lished and the building greatly enlarged.

ENTERTAIN PATIENTS

Mr. George McHardy, tenor, and Miss Betty Lund, reader, gave an entertaining program in the hospital chapel on Saturday afternoon, Mar. 2 5. The program was one of a series for convalescent patients and visitors, arranged by Mrs. Clement L. Pollock, chairman of thc entertainmenl committee of the Woman's Board.

Sisters Cap Sisters at School of ^lSursing Exercises

, f , .

| A- ;

SECOND DIVISION OF '41

CLASS CAPPED ON MAR. 24

Mrs. Ernest E. Irons, president of the Woman's Board of the hospital, and former member of School of Nursing faculty, was the speaker at the capping exercises held on Mar. 24. Miss Mary Pierce sang the "Capping Song." Miss Lois Geerds (1938) was at the piano for the processional and recessional songs. Miss May L. Russell, acting director of the school, accepted the preliminary class and conducted the ceremonies in which paps were presented and candles lighted by upper classmen.

In her address, Mrs. Irons pointed out the strides that have been made in nursing educa- tion and nursing technique since she gradu- ated from Lakeside Hospital School of Cleve- land (now the Frances Payne Bolton School of Western Research University) and shortly afterward, in 1904, became a head nurse in Presbyterian hospital and instructor in the school.

Received Nurses' Caps

Students who received caps at this service were :

Catherine Adams, Chicago, 111. Mary Allfree, Wilmette, 111. Rosemary Andresen, Hixton, Wis. Bertha Beetham, Lancaster, Wis. Shirley Borchardt, Chicago, 111. Emily Corboy, Hoopeston, 111. Arline Creeger. Luverne, Minn. Lillian Goldie Decker, Hoopeston, 111 Beth Dexheimer, Spencer, S. Dak. Isabelle Ditton, Earl Park, Ind. Heggie Erickson, Woodhull, 111.

Included in the 1941 class of 77 students who were "capped" at recent exercises of the School of Nursing were four students who received their nurses' caps from older sisters who are either recent graduates or upper classmen. In the picture with the group of sister twosomes is a mother graduate present to see her daughter capped although she did not do the honors herself in the exercises.

Front row, left to right — Jane Schmidt, Eleanor W uerding, Laila Tulisalo, Bonnie Jean Cruickshank, and Eva Marie Simolin (all in class of 1941).

Back row, left to right — Dixie Schmidt (1937), Georgia Wuerding (1940), Mrs. O. W. Tulisalo (Doris Patterson, 1917), Bar- bara Cruickshank (1939), and Vianna Simolin (1938).

Dorothea Ernest, Hammond, Ind. Daphne Gretzinger, Kend'allville, Ind. Lucile George, Monticello, la. Marian Helming, Waukon, la. Jean Hoge, Fond du Lac, Wis. Elizabeth Holmgren, Ames, la. Natalie Iddings, Kendallvillc, Ind. Pearl Jamison, Seymour, la. Jayn Kassner, Winnetka, 111. Mildred Legveld, Northfield, Minn. Eleanor Miller, Kokomo, Ind. Kathleen Phillips, Northfield, Minn. Helen Quick, Williamsfield, 111. Eleanor Rust, Chicago, 111. Thflma Rozean, La Porte, Ind. Eva Simolin, Eveleth, Minn. Jean Smith, Rockford, 111. Delmara Sollis, Chariton, la. Genevieve Staskey, Chicago, 111 Laila Tulisalo, Chicago, 111. Maribel Weckerly, Delphi, Ind Ruth Wylder, Morrison, 111. Tane Schmidt, Cissna Park, 111. Eleanor Weurding, Morrison, 111 Gwendolyn Killelea, Highland Park, 111. Kathryn Meyer, Lake Linden, Mich.

NURSES' INSTITUTE HEARS ADDRESSES BY STAFF MEN; TEA HELD AT SPRAGUE HOME

Members of the Presbyterian Hospital Medical Staff and School of Nursing faculty and nursing staff who took part m the program of the recent institute for nurses held m West Side Medical Center institutions included: Dr. Edwin M. Miller, Dr. Adnen Verbrugghen, Dr. J. M. Dorsey, Dr. Carl Apfelbach, Dr. Evans Pernokis, Dr. R. L. Kesler, Miss May L. Russell, Miss Astrid Lund and Miss Louise Morley. The two-day insti- tute which had an aggregate attendance of 1,800 nurses was sponsored by the pri- vate duty section of the First District Illinois State Nurses' Association.

Three hundred institute visitors were guests of private duty nurses of Presbyterian Hospi- tal at a delightful tea held in Sprague Home auditorium Friday afternoon, Mar. 31.

HOUSE STAFF CHANGES

Interns who have completed their serv- ices since January 1 are: Dr. Josephine Chapin, Dr. Carl W. Olander, Dr. Fred Jensen and Dr. E. S. Burge. Dr. Alfred G. Schult; has completed his period of service as resident in ophthal mology.

New interns arc: Dr. Harriette Hunter, Dr. Richard P. Morns, Dr. John Henry Rosenow, Dr. Yerv.mt Kasabach and Dr, J. T. Armstrong.

Alumnae Play at Chicago Woman's Club Theatre on May 1 and 2 Is Benefit for Mary Byrne Fund

Seven nurses and five interns will take part in a benefit play to he given at the Chicago Woman's Club theatre, May 1 and 2 at 8:15 P.M. under the auspices of the Alumnae Association of the School of Nursing. Proceeds will be added to the Mary Byrne Fund, which is the Alumnae plan to provide hospital care for members who join the Fund. Thus far the income from the endowment and the fees paid by members have not been sufficient to meet the cost of care provided, hence, it is neces- sary to raise additional funds for this purpose.

The play selected is a three-act farce "Wedding Spells" and Mr. Tom Hargis, an experienced director, is coaching the cast,

made up as follows:

Billie, a mysterious girl, Hila Richards

Reeves, a gentleman's gentleman. Dr. G. Kaufmann

Steve Alien, an adventurer, Dr. Ralph Hibbs

Charlie Cooney, his occasional friend. Dr. E. L. Smith

Mrs. Julia Pettingill, a widow, Esther Bach-

lan

ica Wayne, a charming gi

He

Ange Stidd

Frances Brown, another charming girl, Jane Clark (Virginia Davis, second performance)

Niki Murphy, another one, Mrs. Margaret Kesler

Ruth Auburn, another one, Mildred Schlekau

Blake, a cop, Dr. Michael O'Heeron

Sigsbee Sullivan, from Alabama, Dr. C. B. Davis, Jr.

Mrs. Gay, a fretful mother, Kathryn Froscher

Dr. Frank W. VanKirk, Jr. is stage man- ager and Mrs. Marcella Kurtz is chairman of the committee in charge of arrangements, other members being: Gertrude McCord, Maxine McCormick, Esther Bachman, Kathryn Troscher, Alma May Stewart, May Dunlap and Florence Ames Coon.

Tickets at 75c each may be obtained from any member of the committee or at the nurses' office on the first floor of the hospital. Plays given in the past by the Alumnae Association have met with the approval of large audiences and this year's production promises to outdo past performances.

MEDICAL STAFF NEWS

Dr. Frank V. Theis addressed the March meeting of the Du Page County Medical Society at Hinsdale on the topic, "Differential Diagnosis and Treatment of Peripheral Dis- ease of the Extremities."

Dr. W. O. Thompson presented a paper before the Toledo (Ohio) Academy of Medi- cine, March 10, on "Recent Therapeutic Advances in Endocrinology."

At the meeting of the Chicago Ophthal- mological Society, Mar. 20, Dr. Bertha Klicn gave a paper on "Concerning the Dictyoma

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At the meeting of the Will-Grundv County Medical Society in Jolict, Mar. 24, Di I C Gatewood spoke on "Jaundice- Its Causation and Clinical Study." '

PAPER BY DR. R. F. HEDIN WINS 1939 ANNUAL AWARD OF CHICAGO SURG. SOCIETY

The Committee on Awardment of the Annual Prise of the Chicago Surgical Society has announced this year's prise winner is Dr. Raymond F. Hedm of the Presbyterian Hospital resident staff, who submitted a paper on "Polypoid Disease of the Colon — Two Proposed Surgical Procedures, including the Description of a Colonoscope." The committee was composed of Dr. Charles E. Kalke, Dr. Lester R. Dragstreet and Dr. Kellogg Speed. Seven papers were submitted. Judgment was based on originality, clini- cal and surgical value of the thesis, throughness of investigation, arrangement of the paper as a whole, perspective, and balance shown by the author in his ana- lysis and deductions. The judges did not know the names of the authors until after their decision was announced. Their com- ment concerning Paper No. 5 (by Dr. Hedm) was as follows:

"This paper is well written and pre- sents an excellent survey of literature. In addition, a new instrument has been devised for examining the reaches of the colon and for the fulguration of polyps in the entire colon. It presents an original contribution of what seems to be of definite clinical value. The author has not allowed his enthusiasm over his theme to blind him to the potential dangers incident to use of his colonoscope."

Dr. Robert Herbst was the guest speaker on urology at the annual spring meeting of the Dallas Southern Clinical Society, in Dallas, Texas, Mar. 13-17.

Dr. Gatewood aldressed the boys of t Highland Park high school in February on " Surgeon Looks at His Ancestors."

On Mar. 30, Dr. Gatewood spoke < "Lesions of the Small Intestine Exclusive Carcinoma." before the Central District Mc< cal Association at Rock Island, 111.

Dr. Willard L. Wood spoke from WJJD, Mar. 7, on "Rheumatism." Dr. E. W. Hagens gave a talk on WAAF, Mar. 31, on "Severe Deafness in Childhood."

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Both talks were gi\

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the Educational Committee of the Illinois State Medical Society.

ANNUAL BENEFIT BRIDGE PARTY WILL BE HELD AT SPRAGUE HOME ON MAY 1

On May 1 from 2 :00 to 5 :00 P.M. in Sprague Home auditorium will take place the annual benefit bridge party sponsored by the School of Nursing committee of the Woman's Board. Proceeds will be used to provide scholarships, library books and a music director for the school. Music will be furnished by the student chorus and tea will be served at four o'clock. Mrs. Alva A. Knight is chair- man and Mrs. Edwin M. Miller, vice- chairman of the committee.

THE PRESBYTERIAN HOSPITAL

OF THE CITY OF CHICAGO

1753 W. CONGRESS STREET CHICAGO, ILLINOIS Telephone: Seeley 7171

OFFICERS and MANAGERS

JOHN McKINLAY President

HORACE W. ARMSTRONG Vice-President

CHARLES B. GOODSPEED Vice-President

SOLOMON A. SMITH Treasurer

KINGMAN DOUGLASS Secretary

FRED S. BOOTH Asst. Secretary

A. J. WILSON Asst. Secretary

Arthur G. Cable Edw. D. McDougal, Jr.

Alfred T. Carton Fred A. Poor

Philip R. Clarke Theodore A. Shaw

Albert B. Dick, Jr. Rev. John Timothy John B. Drake Stone. D.D.

James B. Forgan, Jr. R. Douglas Stuart

Albert D. Farwell J. Hall Taylor

Alfred E. Hamill John P. Welling

Charles H. Hamill Edward F. Wilson

CLERICAL MANAGERS

Rev. Harrison Ray Anderson, D.D. Rev. Harold L. Bowman, D.D. Rev. Alvyn R. Hickman, D.D. Rev. W. Clyde Howard, D.D.

MEDICAL BOARD VERNON C. DAVID, M.D. President

ADMINISTRATION

ASA S. BACON Superintendent

HERMAN HENSEL Asst. Superintendent

CHAPLAIN REV. RUSSELL L. DICKS, B.D.

WOMAN'S BOARD MRS. ERNEST E. IRONS President

SCHOOL OF NURSING

M. HELENA McMILLAN Director Emeritus

MAY L. RUSSELL Dean and Acting Director

THE PRESBYTERIAN HOSPITAL BULLETIN Florence Slown Hyde, Editor

The Presbyterian Hospital of the City of Chicago is an Illinois not-for-profit corpora- tion, organized July 21, 1883, for the purpose of affording surgical and medical aid, and nursing, to sick and disabled persons of every creed, nationality, and color. Its medical staff is appointed from the faculty of Rush Medical College of the University of Chicago.

The Board of Managers call attention to the need of gifts and bequests for endowment and for the general purposes of the hospital.

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BULLETIN

MEMBER AMERICAN HOSPITAL ASSOCIATION

l Chicago, 111.

May, 1939

Vol. 31, No. 5

FALLS AND AUTOS LEAD AS CAUSES OF INJURIES

Hospital Emergency Department

Always Ready to Treat

Accident Victims

When a person who has been injured in any way comes or is brought to the emergency department of Presbyterian Hospital, he or she is seen promptly by

j a resident surgeon, who makes a prelimi- nary examination and administers such

: first aid as may be needed. Many of these injured persons do not require hos- pitalization because of the minor nature of their injuries. In all cases of serious

: injury every facility of the hospital is available without delay and regardless of

: financial considerations. Attending sur- geons are on call whenever needed, day or night.

Injuries resulting from falls brought

imore persons to Presbyterian Hospital for emergency treatment last year than

^any other one type of accident. Auto- mobile accidents were a close second.

'■ Twenty-nine percent of the accident cases treated in the hospital emergency room were the result of falls, while 23.2

•were the result of automobile accidents. Fractures were the most frequent type of injury caused by both falls and traffic accidents, with cuts, bruises, sprains and shock among the other injuries resulting from these accidents. In many instances the same patient was suffering from two or more different kinds of injuries. This often is true in cases of persons injured in automobile accidents.

The miracle accident of the year was that in which a two-year old child fell out of a fourth-story window onto a paved areaway. The child was hurried to the hospital, where it was found that no bones had been broken and no injury sustained aside from shock. After being <kept under observation in the hospital until all possibility of concussion was past, the youngster was discharged (Continued on Page 2, Col. 1)

Splints of Every Kind Available Here

In the above picture are shown only a few of the 106 different kinds of splints kept on hand in the Presbyterian Hospital splint room. At the left and back of the table on which the splints are displayed, some of the frames and other accessories for fracture beds are pictured. Splints kept on hand include 49 types for upper extremities, 46 for lower extremi- ties, and 11 splints and other apparatus for fractures of the vertebrae. There are 76 different accessories for fracture beds. Mr. Didace AuCoin, shown at the right, has had charge of our splint room for six years, and has invented many devices which facilitate the convenience and usefulness of fracture apparatus. Mr. AuCoin also is responsible for keeping all anesthetic gas equipment in the hospital in good order. He has been employed in the hospital 19 years.

Interest Mounts in 1939 Reunion of Ex-Interns

Interest in the 1939 reunion of former Presbyterian Hospital interns and resident doctors is mounting higher each day. Present indications are that on June 12, the hospital will be the scene of a foregathering of medical men and women from all parts of the country.

The reunion is part of a two-day program which includes Rush Alumni clinics on both days, interns' reunion luncheon in the hospital Monday, June 12, at 1:00, reunion dinner with an hilarious program at the Knickerbocker Hotel at 6:30, Monday night; and the Rush Alumni banquet at the Palmer House at 6:30, Tuesday night.

Four distinguished graduates of Rush Medical College are to take part m the clinic program. Of these, three are former Presbyterian interns — Dr. Russell Wilder of the Mayo Foundation; Dr. Fred M. Smith, Iowa State University College of Medicine; and Dr. George M. Curtis, Ohio State University College of Medicine. Dr. Waltman Walters of the Mayo Foundation is the other out-of-town Rush grad- uate on the clinic program.

CAUSES OF INJURIES

(Continued from Page 1, Col. 1) practically as good as new. Another two- year-old managed to escape with only a cut on the forehead when he fell down- stairs. But a 20-month-old baby frac- tured an elbow in a fall from a chair to the floor, and a four-year-old suffered a skull fracture in a fall down cement steps.

Burns and scalds take much toll among young children. One small patient stepped into a pan of boiling water and burned a foot and ankle badly. Another upset a stew- pan of hot tomatoes, sustaining severe burns, and one little girl was in the hospital many weeks because she got too close to a bonfire. One adult patient was burned badly in a water heater explosion, and two were burned while lighting gas ovens. Several patients were cut while opening bottles or using knives for ordinary purposes. One patient stepped on a nail and another ran a nail through his hand. One man cut his hand while putting glass in a door.

Many Things Cause Falls

All sorts of things cause people to fall. It's a good idea to keep your shoe laces tied, especially if you want to do some sprinting. If you don't believe it, ask the man who tripped on a shoe lace while running across the street, fell and sprained an arm. A cat was another patient's Waterloo. He fell over the animal and broke his arm.

"Watch your step" is more than a trite admonition which "L" guards and street car conductors repeat routinely. It is a rule which all of us ought to observe everywhere at all times, if accident records of hospitals are any criterion. Tripping over articles on floors and stairs, slipping on ice, on highly polished floors, or on loose rugs are frequent causes of falls. Hurry and carelessness in go- ing up and down stairs result in many dis- abling injuries. People also fall from chairs and boxes used as substitutes for stepladders, and a fall from a rickety stepladder is not unusual.

Pedestrians Are -Careless

Pedestrians struck by automobiles while crossing the street are brought into our emer- gency room frequently. Sometimes the in- juries are slight; often they are extensive and serious. Each such accident is a warning to the rest of us to be more careful when cross- ing the street, even if we have to lose several minutes waiting until the way is clear. Recent studies of the National Safety Council in 28 states showed that at least two-thirds of the pedestrians involved in fatal motor vehicle accidents were committing a traffic violation or engaged in some obviously unsafe act.

Hopping rides on automobiles and trucks, and automobile-bicycle collisions were among the other causes of injuries which brought patients to our hospital emergency room.

Must Report to Police

Hospitals arc required to furnish to the Police Department, within twelve hours after admission, reports concerning every patient suffering from severe injury of any kind. II an injured person dies as the result ol an accident, a report must be sent to the coroner promptly. Aside from the brief data required in such reports, no information is given out by the hospital except as authorized by the patient or members of the family. Repre- sentatives ol insurance companies are not permitted to examine the hospital records without the written permission of the patient hi In- ,ii i i edited representative and the attend- ing doctor.

AUTO ACCIDENTS CAUSE

LARGE NUMBER OF

HEAD INJURIES

Careful Treatment is Essential

An accident victim, who has been un- conscious or dazed for even a short time should be suspected of having a brain injury or concussion, according to Dr. Adrien Verbrugghen, neuro-surgeon on the Presbyterian Hospital Medical Staff. Transportation should be delayed, no stimulants given, and the injured person kept as warm and comfortable as possi- ble while lying m a horizontal position until the arrival of the doctor or ambu- lance.

Head injuries are greatly on the in- crease, largely due to automobile acci- dents, but in recent years advances in neuro-surgery have reduced considerably the mortality rate from such injuries. Careful observation of the patient from the time he is injured and conservative management as regards operative proce- dures are credited with helping to lessen the mortality rate.

A fractured skull does not always involve a brain injury and, on the other hand, serious damage may be done to the brain without fracturing the skull. Cases in which the skull is depressed into the brain usually have to be operated at once.

Even in the most trivial cases of head in- jury, the patient must be carefully observed from hour to hour, as his condition changes rapidly, and the significance of each change must be carefully weighed. Because after- effects of head injuries sometimes prove serious it is now felt that patients having even minor degrees of such injuries should be kept in bed for three weeks or longer.

1938 ACCIDENT TOLL IN U. S. WAS 95,000 LIVES

AND 9,200,000 INJURED

Preliminary statistics compiled by the ! National Safety Council indicate that j 95,000 persons were killed and 9,200,000 persons were injured in accidents during 1938. The total economic loss is estimated at $3,200,000,000. Huge as was the 1938 accident toll, it was the lowest recorded since 193 3 and a 10 percent improve- ment over 1937.

Of the 95,000 accidental deaths, 32,000 were caused by motor vehicles, which also were responsible for injuries to 1,100,000 per- sons. On the basis of studies made in several 1 cities it is estimated that 19 percent, or 209,- 000 of those injured by motor vehicles re- quired hospitalization, charges for which amounted to at least $20,000,000. Studies ■! also have revealed that hospitals average col- lecting only 50 percent of charges incurred by auto accident patients. In addition, hospitals gave free first aid care to many thousands whose injuries did not require hospitalization. Medical service given to both out- and in- patients, who failed to pay the fees of attend- ing physicians and surgeons, probably equalled or exceeded the total amount of unpaid hos- pital bills.

To the millions of dollars of unpaid charges for care of auto accident patients, doctors and hospitals of the United States were called upon to take care of thousands of persons injured in other types of accidents, many of whom lacked means to pay the charges. Much of this burden is carried by voluntary hospitals which must look to public generosity to help take care of resultant oper- ating deficits.

AMBULANCE SERVICE

Presbyterian Hospital provides ambulance service when desired to transport injured and other patients to the hospital or to their homes from the hospital. Ambulance trips numbered 214 last year. However, many of the acci- dent patients are brought to the hospital in private cars, taxis, or police ambulances.

ONE OF MANY TYPES OF FRACTURE BED

/^-

MANY ADVANCES MADE IN CARE OF FRACTURES

Use Varied Procedures and

Apparatus — First Aid

Splinting Urged

The study of the bony structure of the body is one of the oldest and most familiar branches of anatomical research and yet there is no branch of modern surgery in which greater strides have been made in recent years than that hav- ing to do with the correction of ortho- pedic defects and the reduction and treatment of fractures.

It isn't any more fun to have a broken leg, a dislocated hip, or a crushed ankle than it ever was but the chances of be- ing made as goodas new are far better than in the past, even in the case of a person of advanced years. There is less risk now that the broken leg will be shorter than its fellow when the healing process has been completed, that the broken wrist will be stiff, or that other fractured members will be deformed in some way. Provided, the fracture receives the prompt attention of a capable surgeon and that no additional injury has been inflicted in the process of transportation.

"Splint 'Em Where They Lie"

In any case of severe fracture it is better to rush a doctor to the patient than to rush the patient to the doctor or hospital. The Fracure Exhibit Committee of the American Medical Association states in its Primer on Fractures :

"Early splinting and application of traction will lessen deformity, decrease shock, and make complete reduction of fragments easier. The main fault of emergency treatment is that it is not applied soon enough. The in- jured person is picked up and transported to home or hospital without regard to the frac- ture. Many patients arrive, unsplinted, at the hospital with one or more inches of shorten- ing and an angulated thigh from overriding fragments. That these deformities are unneces- sary is proved by the few patients who arrive with the extremity immobilised in a Thomas splint."

Continuing, the Primer recommends that all physicians carry emergency fracture equip- ment in their automobiles and that all ambu- lances be so equipped. "Splint 'em where they lie," is the basic rule laid down by fracture specialists.

Dr. Kellogg Speed of the Presbyterian Hos- pital Surgical Staff is chairman of the Ameri- can Medical Association committee which pre- pared the "Primer on Fractures." Dr. Speed also assisted in preparing the text for the American Red Cross First Aid Textbook, which sounds the following warning:

"Do not be hurried into moving an injured person. Very few cases require breakneck speed. Necessary first aid should always be given and any tight clothing loosened before the patient is moved. Except when his face is red and body hot, he should be covered with a blanket or otherwise to keep him warm during transportation.

"Usually when an accident happens along a street or highway, the victim is literally

Demonstrate First Aid Splinting

In the above posed picture, Dr. E. W. Fox, house surgeon, and Dr. W. C. Mumler, intern, are shown with a young man who is acting the role of an accident victim on whose fractured leg a Thomas splint has been placed as a first aid measure at the scene of the accidnt. Similar splints are used for arm fractures. The American Medical Association urges that all doctors carry such equipment in their cars and that ambulances be so equipped. In cases of severe fracture it is better to defer transportation of the patient until a doctor or ambulance arrives to "splint 'em where they lie," as moving such a patient who has not had first aid splinting may cause irreparable damage.

thrown into the nearest automobile and driven at wild speed to a hospital. This is a very serious mistake, and many deaths have resulted from this rough kind of handling, when proper transportation would have saved the person."

First Aid Knowledge Valuable

The Red Cross Textbook contains illustrated directions for giving first aid in all kinds of injuries, and tells how to improvise splints and traction when fracture is suspected, how to improvise stretchers and carry out safe procedures in moving an injured person. It would be an excellent plan if every motorist carried a copy of this book in his car, to- gether with a small first aid kit. It would be even better if more people had practical train- ing in first aid which is provided in classes conducted for the laity by the Red Cross in Chicago and other communities having local chapters. Comprehensive training in all phases of first aid is included in the course of instruc- tion in the School of Nursing of Presbyterian Hospital.

In all cases of apparent or suspected frac- ture brought to the Presbyterian Hospital, X-ray films and fluoroscopy are utilized promptly to confirm or rule out the prelimi- nary diagnosis. If there is a fracture, X-ray guides the surgeon in the work of fitting to- gether the fragments of the broken bone or bones. Local or general anesthesia often is used while this is being done.

"Suspension Traction"

"Suspension traction" is now recognized as the best method for accomplishing satisfactory reduction and healing of fractures of the ex- tremities. This can be carried out efficiently in the hospital with what is known as frac- ture bed equipment. The specially constructed frame over the bed makes it possible to attach the pulleys and weights needed to suspend the fractured leg in suitable position and pro- vide sufficient traction to accomplish the desired results. (See picture on page 2)

Plaster now applied in the form of a plaster bandaging, makes a solid incasement just as did the old-style plaster, but is much easier to apply both for the patient and the doctor.

Fracture of the neck of the femur (hip bone), fracture of the upper end of the humerus (upper arm), and compression frac- ture of the spine are among the types of fractures which may require a portion of the body to be incased in immobilization plaster. A few years ago a "broken back" or "broken neck" usually resulted either in death within a few hours or complete helplessness during the remainder of one's life. Unless the spinal cord itself is severed or severely injured this dire result now can be prevented in many cases. The fracture specialist of today knows how to reduce a fracture of the spine and incase the patient's trunk in a cast applied to provide the necessary hypertension. In cases of injury to the spinal cord, the neuro-surgeon often is able to work with the bone surgeon in bringing about complete recovery.

When it appears that a person has sustained a spinal injury great care must be observed in handling him. No attempt should be made to get the patient to stand up or sit up. A blanket should be spread on the ground and the patient rolled on it face downward and carried or transported to the hospital in this position.

In all cases of fracture. X-ray is used not only for the initial diagnosis but as a means of checking the healing process. In some instances it is necessary to make this X-ray check daily in the early stages of treatment, while in other cases it is done less often.

Recovering from a fracture of any kind is a tedious process involving more or less inconvenience and suffering. Even a broken phalanx in a finger requires immobilization for three or more weeks and little use of the member for a considerable time. Patience and a willingness to accept the judgment of the attending surgeon are necessary if one wants to avoid deformity and future trouble in the case of any fracture.

HOLD CLINICAL MEETINGS

Presbyterian Hospital was host to two clinical meetings in April. On Apr. 27, an operative and demonstration program was presented for the members of the Chicago Urological Society. The gyneco- logical and obstetrical staff held an oper- ative and demonstration clinic on Apr. 2 1 for members of the Chicago Gyneco- logical Society. Visitors were guests of the hospital at luncheon on both days.

MEDICAL STAFF NEWS

At the meeting of the Chicago Pediatric Society, Apr. 11, Dr. Bert I. Beverly, gave a talk on "Habit Formation."

Dr. E. W. Pernokis addressed the Bureau County Medical Society, Apr. 11, on "Ab- normal Varieties of White Corpuscles and Their Clinical Significance."

On Apr. 4, Dr. Gatewood addressed the Medical Staff of Highland Park Hospital on "Lesions of the Small Intestine, exclusive of carcinoma."

Dr. Ernest E. Irons and Dr. Peter Bassoe gave lectures at the School of Tropical Medi- cine at San Juan, Puerto Rico, in February.

Dr. James W. Merricks was one of the speakers at the evening scientific meeting of the Chicago Urological Society, Apr. 27, his topic being "Urologic Compilations of Regional Enteritis."

Dr. Heyworth N. Sanford gave two ad- dresses before the spring clinics of the St. Joseph Clinical Society, St. Joseph, Mo., Mar. 28 and 29. His topics were "Jaundice of the Newborn" and "Some Observations on Dis- turbances of Blood Coagulation."

MORE SISTER TWOSOMES

The editor's attention has been called to several sister twosomes who are grad- uates of our School of Nursing and whose names were inadvertently omitted from the list published in the April Bulletin. Please accept our apologies and if any others were omitted the editor will appreciate receiving this information.

Those who have been reported thus far are: Gwynaeth Porter (1922) and Mildred Porter

Dingle (1925) Bertha Bennett and Ella Bennett Lande

both 1919) Eunice A. Fenimore (1923) and Janet Feni-

more Korngold (1924) Delia M. Lampe (1924) and Ellen Lampe

Woodruff (1929) Mary Agnes High Boudry (1926) and Jane

High Barton (19 24) Dorothy Ellis Van Gorp (1924) and Eleanor

Ellis (1929)

Elizabeth Smith (1928) and Ruth Smith (1935)

Grace Hubbard (1930) and Jeanette Hub- bard (1933)

These additions make a total of 43 sister twosomes who are graduates or now are students in the School of Nursing.

CONVENTION SPEAKER

Miss Charlotte F. Landt, president of the Alumnae Association of the School of Nurs- ing of Presbyterian Hospital, and assistant to the director of Cook County Hospital School of Nursing, addressed one of the general ses- sions at the convention of the National League of Nursing Education, held in New Orleans, Apr. 22-25. Her topic was "Prob- lems of the Postgraduate Course in Nursing as Related to the Hospital School." Thirteen Alumnae of the Presbyterian school met for breakfast during the convention.

THRILLING MOMENT TO BE REPEATED

Scenes like this, which was photo- graphed at the 1938 reunion, will be re- peated on June 12, when another big re- union of former in- terns and residents will be held. Our chef promises to "do his stuff" even more generously at this year's reunion lunch- eon, when visitors and staff members will be guests of the hospital. In the pic- ture, left to right are: Dr. Harvey A. Tyler (1889-90), Dr. W.C. F. Witte (1896-98), and Dr. Rudolph Holmes (1894-95).

ALUMNAE PLAY IS SUCCESS

With large audiences and outstanding per formance on the part of every member of the cast, the benefit play presented by nurses and interns on May 1 and 2 at the Chicago I Woman's Club theatre was a great success. Delightful music was furnished both evenings by a trio made up of Miss Lucile George, pianist; Miss Miriam Fairbanks, cello; andi Miss Diantha Warfel, violin.

On behalf of the Alumnae Association of School of Nursing, Miss Charlotte F. Landt, president, has asked the Bulletin to extend sincere thanks to all who helped to make the play a success. Proceeds of over $300 will be added to the Mary Byrne Fund, which provides hospital care for nurses who be- come ill.

THE PRESBYTERIAN HOSPITAL

OF THE CITY OF CHICAGO

1753 W. CONGRESS STREET CHICAGO, ILLINOIS |

Telephone: Seeley 7171

OFFICERS and MANAGERS

JOHN McKINLAY

HORACE W. ARMSTRONG CHARLES B. GOODSPEED

SOLOMON A. SMITH

KINGMAN DOUGLASS

FRED S. BOOTH

A. J. WILSON

President

...Vice-President • ...Vice-President

Treasurer

Secretary

.Asst. Secretary ..Asst. Secretary

Arthur G. Cable Alfred T. Carton Philip R. Clarke Albert B. Dick, Jr. John B. Drake James B. Forgan, J Albert D. Farwell Alfred E. Hamill Charles H. Hamill

Edw. D. McDougal, Jr Fred A. Poor Theodore A. Shaw Rev. John Timothy

Stone. D.D. R. Douglas Stuart J. Hall Taylor John P. Welling Edward F. Wilson

CLERICAL MANAGERS

Rev. Harrison Ray Anderson, D.D. Rev. Harold L. Bowman, D.D. Rev. Alvyn R. Hickman, D.D. Rev. W. Clyde Howard, D.D.

MEDICAL BOARD VERNON C. DAVID, M.D

ADMINISTRATION

ASA S. BACON Superintendent

HERMAN HENSEL Asst. Superintendent

CHAPLAIN REV. RUSSELL L. DICKS, B.D.

WOMAN'S BOARD MRS. ERNEST E. IRONS President

SCHOOL OF NURSING

M. HELENA McMILLAN Director Emeritus

MAY L. RUSSELL Dean and Acting Director

THE PRESBYTERIAN HOSPITAL BULLETIN Florence Slown Hyde, Editor

The Presbyterian Hospital of the City of Chicago is an Illinois not-for-profit corpora- tion, organized July 21, 1883, for the purpose of affording surgical and medical aid, and nursing, to sick and disabled persons of every creed, nationality, and color. Its medical staff is appointed from the faculty of Rush Medical College of the University of Chicago.

The Board of Managers call attention to the need of gifts and bequests for endowment and for the general purposes of the hospital.

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BULLETIN

MEMBER AMERICAN HOSPITAL ASSOCIATION

Chicago, 111.

June, 1939

Vol. 31, No. 6

DR. HERRICK RECEIVES

1939 DISTINGUISHED

SERVICE AWARD

Honored at A. M. A. Meeting

Dr. James B. Herrick, a member of the Presbyterian Hospital Medical Staff since 1891, received the American Medical Association Distinguished Service Award

i for outstanding work in the field of medi- cine, at the association's recent conven- tion in St. Louis. Because of the system

I of selection this award is recognized as one of the most important within the gift of the association. After nomina-

I tions are made through the Distinguished

I Service Award Committee, five names are submitted to the Board of Trustees, who select three to be voted on by the House of Delegates. The other nominees this year were Dr. Chevalier Jackson of Philadelphia and Dr. Edward Jackson of Denver.

Born in Oak Park in 1861, Dr. Herrick received his A.B. Degree from the Uni- versity of Michigan in 1882, and his M.D. Degree from Rush Medical College in 1888. He was an active member of Rush faculty from 1890 to 1927 and is now professor emeritus in the department of medicine. He was an attending physi- cian on hospital staff from 1895 to 1919, since which time he has been a consult- ing physician.

Is Heart Specialist

Dr. Herrick is regarded as one of the foremost heart specialists of the country. His research on coronary thrombosis and his many published articles are credited with having done more to force clinical recognition of the condition and stimu- late clinical and experimental study than all other writings on that subject.*

Many important professional offices have been held by Dr. Herrick. He was the founder and first president of the Chicago Society of Internal Medicine, has been president of the American Asso- ciation of Physicians, and of the Institute

HONORED

DR. JAMES B. HERRICK

of Medicine of Chicago; and a member of the Judicial Council of the American Medical Association. He is a member of the New York Academy of Medicine and has received honorary degrees from the University of Michigan and University of Chicago. In 1930 he received the Kober medal of the American Associa- tion of Physicians for Research and Scientific Medicine.

It was through Dr. Herrick's efforts that Chicago's first electrocardiograph was installed in Presbyterian Hospital in 1913, the gift of the late Mrs. Cyrus McCormick, Sr. Mrs. McCormick also presented the hospital with an improved model in 1915 and provided a substantial sum for research in heart disease. It was with the aid of these instruments that Dr. Herrick made his first notable dis- coveries about coronary thrombosis and started on the trail which has brought fame to himself and immeasurable benefit to humanity.

ELEVEN MEDICAL STAFF

MEMBERS ON A. M. A.

PROGRAM

At Other Conventions Also

* A. M. A. Jov

Eleven members of the Presbyterian Hospital Medical Staff were on the pro- gram of the recent American Medical Association convention in St. Louis. The staff also was well represented on pro- grams of other national professional groups, and at the convention of the Illi- nois State Medical Society at Rockford early in May.

At the A.M. A. convention, Dr. Ernest E. Irons was moderator of a panel discus- sion on pneumonia. Dr. Kellogg Speed was chairman of the fracture exhibit and Dr. Clayton J. Lundy, chairman of one of the exhibits on heart disease. Those who presented papers before the various sections were:

Section on Laryngology, Otology and Rhi- nology — Dr. George E. Shambaugh, Jr.

Section on Pharmacology and Therapeutics — Dr. Willard O. Thompson and Dr. Norris J. Heckel.

Section on Urology — Dr. H. L. Kretschmer and Dr. R. C. Brown.

Section on Orthopedic Surgery — Dr. Elven J. Berkheiser.

Section on Pediatrics — Dr. Heyworth N. Sanford. Discussion opened by Dr. Clifford G. Grulee.

Staff members who lead discussions in- cluded: Dr. Edward D. Allen, Section on Obstetrics and Gynecology; Dr. James H. Mitchell, Section on Dermatology and Syphilology.

Well-known former Presbyterian in- terns on the convention program in- cluded: Dr. Franklin Farman of Los Angeles; Dr. Evarts A. Graham of St. Louis; Dr. E. C. Rosenow and Dr. Hamilton Mongomery, Mayo Clinic.

Dr. Herman L. Kretschmer was re- elected treasurer of the association. (Continued on page 4, col. 2)

3ti

pmnrtam

Dr. Gatewood 1887-1939

On May 22, 1939, without warning, Dr. Gatewood died suddenly from heart disease at his home in Highland Park, Illinois. He was only 5 1 years of age and in the height of his surgical career carry- ing easily the many responsibilities of practitioner, teacher, and investigator in a way that gained him the respect and admiration of all who came in contact with him. One of the greatest tributes that comes to a busy man is the confi- dence and affection of his young asso- ciates. Dr. Gatewood gave of himself freely to young men, many of whom idealized him. He was also highly es- teemed by his contemporaries who found him always ready and willing to help in the matters of hospital organization, col- lege teaching, and special interests m the institutions in which he worked.

Dr. Gatewood had a high degree of scien- tific honesty with the consequence that his publications were regarded as sound and worthwhile by the discerning. Gatewood's devotion to the indigent sick at the Cook County Hospital and Central Free Dispensary was never perfunctory. As attending man at these institutions he developed a large per- sona! following of those who though devoid of worldly goods recognized him as a sur- geon who did great deeds. His work on hypo- spadias and undescended testicle and trans- plantation of the ureters in extrophy of the bladder, while working in the Children's Wards of the County Hospital, not only gained him many grateful patients but set a high degre.e of efficiency in these difficult fields.

Dr. Gatewood did not rest his interests in medicine alone but for many years was active in the civic affairs of his community, serving as a member of the School Board in Highland Park and as a member of the Board of Visitors of Ohio State University, his alma mater.

These many tributes to Gatewood's char- acter may seem gratuitous and fullsome, and indeed they do not picture the man himself whose kindly disposition and evidence of latent resources instantly impressed one with the soundness of his character. He will be sadly missed by those of us who knew him well and who had great faith in him.

Dr. Gatewood was born in Stockport, Ohio, October 11, 1887, the son of Dr. Wesley Emmett and Annie L. Pierrot Gatewood. His preliminary education was received in the schools of Nashville, Tenn. He received his A.B. degree in 1907 and M.A. degree in 1910 from Ohio State University and graduated from Rush Medical College in 1911. After ,in internship in the Presbyterian Hospital he became the associate of Dr. Arthur Dean Bevan with whom he worked as assistant and associate until Dr. Bevan retired, when he succeeded to his service and was made Pre fessor of Surgery at Rush Medical College of the University of Chicago and Attending Surgeon at the Presbyterian Hospital. During these twenty-live years Dr. Gatewood was an excellent and active teacher and contributor to surgical literature, his major interest being in surgery oi the stomach. In addition to his mi mbership in the American Medical Asso- ciation and affiliated societies, he was an offi-

DR. GATEWOOD

cer and member of the Council of the Chicago Surgical Society, the Institute of Medicine, a fellow of the American College of Surgeons and a member of the Board of Governors, a member of the American Surgical Association, the Western Surgical Association, and a mem- ber of the Founders Group of the American Board of Surgery.

Without doubt, Gatewood's greatest joy was in his family where with Mrs. Gatewood he enjoyed the companionship of two daugh- ters and a son.

Dr. Gatewood's life was contained and able and he will be long remembered as a real man, a friend, and a first class surgeon.

Vernon C. David, M.D.

HOLD MEMORIAL SERVICE

Medical Staff members and former interns, here for the annual reunion, paid tribute to the late Dr. Gatewood at a memorial service in the hospital chapel, June 13. The service was opened by Dr. Emmet B. Bay, dean of Rush Medical College, who spoke appropri- ately after which short talks were made by Dr. Arthur Dean Bevan, Dr. Ernest E. Irons, Dr. Vernon C. David and Dr. Erhard W. Fox.

FORMER INTERNS

Deceased in 1938-39 Both Dr. Slaymaker and Dr. Gatewood were former Presbyterian interns. Other for- mer interns whose deaths have been reported recently are:

1938 Granville T. Twining (1910), Mobridge,

S. D. Golder L. McWhorter (1913), Chicago Eilef A. Smedal (1916), LaCrossc, Wis. Arthur Teninga (1918), Chicago Samuel M. Crcsswcll (1926), Tacoma, Wash. Ralph E. LeMaster (1931), Marion, Ind.

1939

Harvey S. Thatcher (1918), Little Rock, Ark.

Dr. Slaymaker 1864-1939

Samuel Robert Slaymaker died on May 3, 1939, following an exploratory operation for inoperable tumor of the pancreas, at the age of seventy-five years. He graduated from Beloit College in 1888 and from Rush Medical College in 1892, and then served a year of intern- ship m the Presbyterian Hospital (1892- 93). He became instructor in physiology in Rush in 1896, and shortly afterward1 instructor in medicine. From 1919 on,^ he was clinical professor of medicine.

He was a member of the Associate Medical Staff of the Presbyterian Hospital, and a member and president of the Medical Staff of j Washington Boulevard Hospital. For twenty i years he served on the Attending Staff of the Cook County Hospital where his service was among those most eagerly sought by the in- terns. He served with distinction in the medi- cal department of the Army during the World War.

Dr. Slaymaker's contribution to medical education was as a teacher rather than as a writer. His clinics at the County Hospital and at Rush were popular with the students, chiefly by reason of his ability to explain, and ! to make information stick. In recent years he devoted most of his teaching effort to the stu- dents and interns at Washington Boulevard Hospital and to the heart clinic in Central Free Dispensary.

He was an excellent diagnostician, judicial I in temperament, and greatly beloved by his patients. He was extremely modest, kindly, and always careful to avoid causing pain or embarrassment to anyone. No one, however, , had stronger principles of right and honesty. His judgment of men whom he regarded as having violated those principles was severe, though masked by his ever present kindliness.

He was somewhat of a stoic, and one rarely heard him refer to his own troubles. On one occasion several years ago, when he fell from a horse in the Southwest, he refused exami- nation, though evidently in some pain, and it was only on our return to Chicago that an X-ray disclosed five fractured ribs. This per- sonal reticence may in part explain the ap- parent suddenness of onset of his last illness.

We shall always remember Dr. Slaymaker as an able and conscientious physician, an inspiring teacher, and a beloved and faithful fnend.

Ernest E. Irons, M.D.

Not in Vain

If I can stop one heart from breaking,

I shall not live in vain;

If I can ease one life the aching,

Or cool one pain,

Or help one feUowman,

Until he's well again

I .shall not live m vain.

— Adapted from a poem by Emily Dickinson

EX-INTERNS REUNION

ATTRACTS 150 FROM

TWELVE STATES

1884 Intern Attends Luncheon

It was December, 1884. L. H. Prince, first and at that time the only intern in Presbyterian Hospital, found his task rather strenuous when combined with his studies at Rush Medical College, from which he had not yet graduated. Adam E. Kauffman, another Rush student, was invited by hospital authorities to take over some of the intern work. He was called an "extern" because he did not live in the hospital.

On June 12, 1939, Dr. Adam E. Kauffman of Leesburg, Fla. was present at the reunion luncheon in the hospital dining rooms, attended by 150 doctors from a dozen different states, who had served internships or residencies m spe- cial branches of medicine in the hospital. Dr. Kauffman, who is 83, was on a Car- ribean cruise a few weeks ago, when an illness caused by stomach ulcer led him to fly to Chicago to enter Presbyterian Hospital for treatment. He was dis- charged from the hospital on June 2, but decided to remain in the city and attend the reunion. Being on a milk diet, he could not enjoy the sumptuous array of food prepared by our chef and served buffet style, and did not feel up to at- tending the reunion dinner at the Knickerbocker.

Dr. Prince Sends Regrets

Dr. Prince, now living in retirement at Kiln, Miss., sent a message expressing regret at his inability to be present because of ill - health. Dr. Joseph F. Smith of Wausau, Wis., who was in charge of the first X-ray machine installed in 1898, had planned to come but illness in his family prevented. Dr. John Calene, Aberdeen, Wash., came the greatest distance.

More than 200 former and present interns, resident doctors, and Medical Staff members attended the reunion dinner at the Knicker- bocker Hotel. Dr. George H. Coleman, presi- dent of the Presbyterian Hospital Alumni Association, composed of about 700 former interns and residents, was toastmaster. Those called on for brief responses included Dr. N. S. Heaney, Dr. R. C. Brown, Dr. Carl Davis, Dr. Wilber Post, Dr. Peter Bassoe, Dr. Kel- logg Speed, Dr. J. H. Mitchell, and Dr. L. W. Avery of the Medical Staff; Dr. Harry W. Horn, Wichita, Kans.; Dr. George Curtis, Columbus, O.: Dr. Russell Wilder and Dr. Waltman Walters, Rochester, Minn.: Dr. Robert L. Kerrigan, Michigan City, Ind.: Dr. A. C. Ivy, Northwestern University Medical School; and Dr. Linn F. McBride, Washing- ton Boulevard Hospital. An amusing program of skits was presented by members of the present intern and resident staff.

Officers were elected as follows: president,

Electrocardiograph — Then and Now

A bore, Chicago's first electrocardiograph which was presented to Presbyterian Hos- pital in 1913 by Mrs. Cyrus McCormick, Sr. It was imported from Berlin. Despite its crude appearance and the fact that it was operated by storage batteries, Dr. James B. Herrick made some of his first important discoveries with the aid of this instrument and its successor, which was imported from England in 1915. The second instrument also was a gift from Mrs. McCormick. Dr. Linn F. McBride, 1913 intern on Dr. Her- rick's service, is shown in picture.

In striking contrast to the cumbersome in- strument installed in 1913 is our present electrocardiograph shown at the right.

Miss Mildred Mancl is now the technician in this department having succeeded the worker shown in the picture. Dr. Charles M. Bacon is in charge of the department.

MAKES HEART WRITE

The electrocardiograph makes the heart write. In other words it makes photographic tracings of the action of the heart by ampli- fying the very weak current generated by the heart action, and magnifying the moving shadow caused by the up and down move- ment of a galvanometer string, which is connected to electrodes placed in proper posi- tion on the patient's body. The finished pic- ture is called an electrocardiogram.

Dr. Linn F. McBride; president-elect, Dr. Carl A. Dragstedt, Northwestern University Medi- cal School; secretary-treasurer, Dr. John M. Dorsey.

Dure It - Fox

Dr. Erhard W. Fox, resident surgeon in the hospital, and Miss Ellen Durch were married on May 18 at the home of the former's parents. Mrs. Fox is a graduate of Ancker Hospital School of Nursing in St. Paul. Minn, and was on our nursing staff for a year and a half.

DeYoung - Roesch

Miss Lucy DeYoung and Mr. Marvin Roesch were married at Huron, S. Dak. on May 6. Miss DeYoung, who graduated from our School of Nursing in the fall of 1937, had been the efficient supervisor in charge of the maternity nursery since December 1937. The couple will live in South Dakota.

WOMAN'S BOARD HEARS ADDRESS ON WORK OF WESTMINISTER CENTER

An interesting account of the work of Westminister Center was given by Dr. A. R. Hickman at the Woman's Board meeting on May 1. The Center, which is maintained at the Third Presbyterian Church, provides recreational, social, and religious activities for students in this area. Weekly play night, drama, speech, forum and other clubs, and city tours are among the projects sponsored by the Center. Leaders in activities at the Center include several students from the Presbyterian Hospital School of Nursing.

Begins 40th Year

Mr. Asa S. Bacon, superintendent, spoke at the meeting of the Woman's Board on June 5, and stated that just 40 years ago he had attended a meeting of the Ladies Aid Society, his first after be- coming a member of the hospital execu- tive staff on June 1, 1900. The organiza- tion changed its name to Woman's Board about 30 years ago. Present at the meet- ing on June 5 were three members who had attended the meeting 40 years pre- vious— Mrs. David W. Graham, Mrs. George R. Nichols and Mrs. Lincoln M. Coy.

Mr. Bacon said that the Ladies Aid Society had 132 active members in 1900. Its present membership is 2 50, including representatives from 41 churches.

Pointing out that the declining birth rate emphasizes the importance of saving the lives of babies and children Mr. Bacon urged the need of additional endowments for the mater- nity and children's departments of the hos- pital. The former has no endowments. The Babies Alumni Fund now being accumulated by the Woman's Board is to be used for the support of a free bed in the maternity ward but this enterprise is still in its infancy.

Jelly Donations

Mrs. J. P. Mentzer, chairman of the Delica- cies committee, urged board members to enlist the interest of church women and other friends in making jelly for the hospital this summer. Empty glasses may be obtained from the hospital housekeeper.

Miss Lindem to Return

Mrs. Wilber E. Post, chairman of the Library committee, announced that Miss Selma Lindem, hospital librarian, will return to her duties here on July 1, after spending six months in New York City organizing a hospital library project under the auspices of the Junior League. The board gave a vote of thanks to Mrs, Virginia Bonnici for her effi- cient service as librarian during Miss Lindcm's absence.

The next meeting of the board will be in October.

GOLDEN ANNIVERSARY

The Rev. E. N. Ware, former hospital chaplain, and Mrs. Ware observed their 50th wedding anniversary on May 21 at their home, 1430 Howard Street. Dr. Ware retired a year ago after serving as chaplain here for 26 years.

STAFF ELECTS OFFICERS

At a recent meeting of the Medical Staff )fficers were elected as follows: President— Dr. Wilber E. Post First Vice-Pres.— Dr. Arthur H. Parmelee Second Vice-Pres. — Dr. Edward D. Allen Secretary-Treasurer — Dr. William G. Hibbs

AT THE CONVENTIONS

(Continued from page 1, col. 3) At the annual meeting of the American Association for Traumatic Surgery, in Hot Springs, Va., Dr. Kellogg Speed gave the presidential address and Dr. Albert H. Montgomery led the discussion of a paper on "Fat Embolism." Dr. Vernon C. David, a fellow of the asso- ciation attended the meeting.

Association of Military Surgeons

Dr. Frank V. Theis represented the Illinois National Guard at the Association of Military Surgeons of the United States, in Washing- ton, D. C, May 7-14. The International Association of Military Surgeons which met concurrently was attended by surgeons from 32 different countries. Delegates visited the Army Medical School' at Carlisle, Pa. and saw demonstrations of new equipment including a complete mobile operating room and X-ray

At the American Pediatric Society meeting held at Skytop, Pa., recently, Dr. Clifford G. Grulee delivered the presidential address on "Problems of the Newborn." Dr. H. N. San- ford, who is editor and recorder of the Society, also participated in the meeting.

An exhibit on the care of premature infants was arranged by our pediatric department at the Illinois State Medical Association conven- tion in Rockford. Miss Louise Morley, chil- dren's floor supervisor, was in charge of the exhibit, which included an incubator cubicle identical with those designed by and recently installed in Presbyterian Hospital. Several staff members were on the program at this convention.

At the annual meeting of the American Board of Urology held at White Sulphur Springs, May 27, 28, Dr. H. L. Kretschmcr was re-elected president of the board.

In addition to the American Medical Asso- ciation convention, recent meetings at which Dr. W. O. Thompson presented papers in- cluded the Marshall County Medical Society. Marshalltown. la.; Champaign County Medi- cal Society, Champaign, 111.; American Asso- ciation for the Study of Goiter, Cincinnati, O.; and Ontario Medical Association, Hamil- ton, Ont. Dr. Thompson and Dr. N. J. Heckel presented a paper before the Ameri- can Association for the Study of Internal Secretions, May 12, at St. Louis.

Dr. Ncckel was one of the speakers at the annual meeting of the American Association of Genito-Urinary Surgeons, May 24-29, at Williamsburg, Va. and attended the meeting of the American Urological Association at White Sulphur Springs, W. Va.

Dr. J. H. Mitchell was the guest speaker at a meeting of the Bureau County Medical Society on May 9.

Dr. L. C. Gatewood addressed the Kan- kakee County Medical Society meeting on May 11.

PRESBYTERY MEETING

The June meeting of the Chicago Presbytery was held in the auditorium of j the Sprague Home for Nurses, Monday, j June 13. Rev. H. W. Johnstone, moder- ator presided. Mr. John McKinlay, presi- dent of the Board of Managers; Mr. Bacon, superintendent, and the Rev. i Russell L. Dicks, chaplain, greeted the Presbytery members on behalf of the hos- pital. At the conclusion of the meeting the visitors were guests of the hospital at luncheon.

THE PRESBYTERIAN HOSPITAL

OF THE CITY OF CHICAGO

1753 W. CONGRESS STREET CHICAGO, ILLINOIS! Telephone: Seeley 7171

OFFICERS and MANAGERS

JOHN McKINLAY President

HORACE W. ARMSTRONG Vice-President

CHARLES B. GOODSPEED Vice-President

SOLOMON A. SMITH Treasurer

KINGMAN DOUGLASS _ Secretary

FRED S. BOOTH Asst. Secretary

A. J. WILSON Asst. Secretary

Arthur G. Cable Edw. D. McDougal, Jr.

Alfred T. Carton Fred A. Poor

Philip R. Clarke Theodore A. Shaw

Albert B. Dick, Jr. Rev. John Timothy John B. Drake Stone. D.D.

James B. Forgan, Jr. R. Douglas Stuart

Albert D. Farwell J. Hall Taylor

Alfred E. Hamill John P. Welling

Charles H. Hamill Edward F. Wilson

CLERICAL MANAGERS

Rev. Harrison Ray Anderson, D.D. Rev. Harold L. Bowman, D.D. Rev. Alvyn R. Hickman, D.D. Rev. W. Clyde Howard, D.D.

MEDICAL BOARD VERNON C. DAVID, M.D President

ADMINISTRATION

ASA S. BACON Superintendent

HERMAN HENSEL Asst. Superintendent

CHAPLAIN

REV. RUSSELL L. DICKS, B.D.

WOMAN'S BOARD MRS. ERNEST E. IRONS President

SCHOOL OF NURSING

M. HELENA McMILLAN Director Emeritus

MAY L. RUSSELL Dean and Acting Director

THE PRESBYTERIAN HOSPITAL BULLETIN Florence Slown Hyde, Editor

The Presbyterian Hospital of the City of Chicago is an Illinois not-for-profit corpora- tion, organized July 21, 1883, for the purpose of affording surgical and medical aid, and nursing, to sick and disabled persons of every creed, nationality, and color. Its medical staff is appointed from the faculty of Rush Medical College of the University of Chicago.

The Board of Managers call attention to the need of gifts and bequests for endowment and for the general purposes of the hospital.

The Presbytia! Hospita

0"v tks Glty ay Skicagc^

f BULLETIN

MEMBER AMERICAN HOSPITAL ASSOCIATION

Chicago, 111.

July -August, 1939

Vol. 31, No. 7

STERILE SUPPLIES ARE

ESSENTIAL IN CARE

OF PATIENTS

Prepared by Trained Staff

Eight women work full time and six student nurses work two hours daily (as part of their training) to take care of the sterile supply needs of Presbyterian Hospital patients. Dressings of various kinds and numerous other articles are prepared in this department. Those used on the nursing floors are sent to the large sterilizing room, returned to the sterile supply room and dispatched to the dif- ferent floors each morning on requisitions made out by head nurse and O.KLd by the nurses' office. Supplies used in the operating rooms are sterilized in that de- partment after being prepared in the • sterile supply room.

Fifty 100 -yard bolts of gauze are cut up each week to make bandages and dressings of various sizes and for various purposes. Cutting is done on an electric machine which cuts through three bolts of gauze at one time. Bandages include the "Bevan" rollers which are one yard wide and five yards long, thus named be- cause for Dr. Arthur Dean Bevan originated their use many years ago. Three-ply four-inch rollers in three and five yard lengths, 18x1 8-inch Lewis dres- sings, and 9x1 0-inch plain dressings are among the other dresings prepared in the sterile supply room. Lewis dressings are so called because they are folded in a special way designed by Dr. Dean Lewis.

"Hypo" sponges are made of a small piece of gauze, folded in a special way. These are dipped in alcohol and used to wipe off the skin area into which a hypo needle is to be plunged for injections of any kind, also when blood is to be drawn for tests, and for other sterile purposes. These tiny gauze sponges are packed in small bags, 100 to 200 in each bag, for sterilizing, and remain in the bags until taken out to be used by nurses or interns. An average of eight bags is required

THIRTEEN BAGS FULL DAILY

It's thirteen rather than three bags full, and the contents aren't wool but dressings and other sterile supplies used in the care of patients every day in Presbyterian Hospital. Scenes like the above may be witnessed each morning when workers assemble supplies in accordance with requisitions from the nursing department, checking the requisition sheets as items are placed in bags. Workers shown are, left to right: Mrs. Cynthia Franklin, Mrs. Isabelle Mc- Guire, and Mrs. Anna W. Lake, head of the department.

daily. "Clysis" sets, consisting of towels and gauze squares are assembled, wrapped, and sterilized for use at blood transfusions.

Folded gauze dressings, 4x4 inches, are wrapped in brown paper and then placed in bags to be sterilized. The average daily supply is 200. Rubber gloves are wrapped in gauze and sterilized, the gauze wrapping remaining on them until the doctors and nurses are ready to put them on in the operating and examining rooms or when attending patients at the bedside.

Pads of various sizes for outside dressings and tor various other uses are made of layers of cotton covered with gauze. Applicators in three sizes are made by winding cotton on one end of hardwood toothpicks and larger sticks bought for the purpose. Five different kinds of binders, slings of different sizes and kinds, eye shields to hold bandages in place, and "stoop wringers," in which nurses wring boiled dressings for eyes, are among the articles made in our sewing room and folded, wrapped and otherwise prepared in the sterile supply room before being sent to the sterilizer.

Ice Coils are Made

Among the most novel articles made here are the ice coils used in treating certain heart conditions. These are made by fastening coiled rubber tubing to a square of rubber sheeting, with several feet of loose tubing at each end of the coil. One end of this tubing is attached to an elevated pail containing ice water, and the other end is placed in a pail on the floor. The ice water from the elevated p.ul runs slowly through the coil and out into the lower pail, keeping the coil ice cold at all times. The coil is very light in weight and for this reason is preferable to an ordinary ice bag in some cases.

Towels for use in the milk laboratory and for numerous other sterile uses arc sent to the sterile supply room from the laundry, folded, wrapped, placed in bags, and sent to the sterilizers. Covers for hot water bags, ice bags and eelctric hot pads, celluwipe paper tissues, and adhesive supplies of different kinds arc other articles distributed from the sterile supply room.

FINDS LIFE WORTHWHILE

DESPITE PHYSICAL

HANDICAP

Valued as Hospital Employe

Running an elevator from 1 1 o'clock at night until seven o'clock m the morn- ing might prove monotonous to some people after doing it for 25 years hut to Charles W. Thompson it's an oppor- tunity to earn a livelihood despite physi- cal handicap and be a part of an institu- tion in which he received treatment thirty years ago, which rescued him from remaining a hopeless cripple. For five years before he was assigned to his present job, Mr. Thompson was day operator on the front elevator and during the World War, he worked a good many double shifts on the hospital elevators because of the frequent turnover of elevator em- ployes resulting from enlistments of young men in Army and Navy, some of whom joined Unit 13 of the Overseas Medical Corps which was recruited en- tirely from Presbyterian Hospital's med- ical staff, nursing and other personnel.

Caring for the sick was the chosen career of Charles W. Thompson when he joined the U. S. Army hospital corps as a young man. After three years of service in an army hos- pital, he did nursing in civilian institutions. It was while working in a hospital in Duluth that he contracted from a patient a virulent type of streptococci infection. Doctors in that institution succeeded m saving his life hut were unable to prevent his becoming badly crippled. He was advised to come to Chicago to consult Dr. Arthur Dean Bevan and subsequently entered Presbyterian Hos- pital as a patient. After a series of opera- tions and many months in plaster casts he emerged minus one leg and with a stiff knee- joint in the other leg, but otherwise as good as new. His fortitude, iridominatable will, and other character assets became known to hospital authorities during his long period of hospitalization, and when a vacancy occurred on the hospital elevator operators'' staff short- ly after his discharge as a patient, Mr. Thompson was offered the position. That was thirty years ago this fall.

Makes Plaster Bandages

Something more than fifteen years ago, the hospital undertook to have plaster bandages made here instead of buying the more ex- pensive ready-made bandaging. But surgeons didn't like the home-made ones and the project was about to be abandoned when someone asked Mr. Thompson if he would like to put in a few extra hours each week for extra pay, and try his hand as a plaster- bandage maker. He made good from the start and for fifteen years all of the plaster bandages used in Presbyterian Hospital have been made hy Mr. Thompson, to whom this task partakes of the nature of service to his fcllowmcn by one who never forgets the part that plaster played in mending his own crip- pled condition thirty years ago.

In his dual job as elevator operator and plaster-bandage maker, Mr. Thompson is a striking example of how one may rise above physical handicaps and by looking out and beyond himsell live a useful and satisfying life. His efficient service and his loyal interest in the hospital as an institution through nearly

FIRST RADIO

Charles W . Thompson, hospital employe for nearly 30 years, demonstrates "tuning in" on the first radio used in Presbyterian Hospital. It is a Federal Crystal set and was bought in 1921 by Ben Camp, switch- board operator. The first station heard was the Zenith Radio Corporation in the Drake Hotel, the only radio station in Chicago at that time.

After using it for a few months, Mr. Camp sold it to Sam Knudsen, hospital purchasing agent, who in turn sold it to Mr. Thompson in 1923. Mr. Thompson used it until 1932, when he bought an up-to-date radio receiv- ing set. The old crystal set still works but as always requires much concentrated effort to keep it "tuned in." The last important broadcast heard by Mr. Thompson oyer this set was the 1932 Democratic convention in the Chicago stadium.

Anent the first radio used here, readers may be interested in learning that the hospi- tal offers a radio rental service to patients on a very reasonable basis. The radio depart- ment is in charge of Austin Howland, who also serves patients as the hospital newspaper and magazine agent.

FIVE DOCTORS SIGNERS

OF DECLARATION OF

INDEPENDANCE

Dr. Benjamin Rush In Group

Dr. Benjamin Rush of Philadelphia, for whom Rush Medical College was named, was one of five physicians who signed the Declaration of Independence.

Dr. Rush was one of the best known American physicians of his day. He wrote the first American text on chemist- ry, published in 1770 and, when ap- pointed professor of chemistry in the Col- lege of Philadelphia in 1769, filled the first such chair established in any college in the colonies. He was a lecturer at the University of the State of Pennsyl- vania in 1780 and, when the two schools were merged in 1792, he became profes- sor of the institute of medicine and clini- cal practice.

A pioneer worker in the field of experi- mental physiology Dr. Rush wrote the first paper in America on cholera infantum, and was the first physician to recognize focal in- fection of the teeth. He also did outstand- ing research in psychiatry. He was greatly concerned about the condition of the poor, had a large charity practice, and in 1786 established the first free dispensary in this country. Following his participation the Con- tinental Congress, Dr. Rush was a member of the Pennsylvania convention which ratified the Constitution, and was treasurer of the U. S. mint from 1797 to 1813. He joined with Benjamin Franklin and others in the movement for free schools, was a founder and first trustee of Dickinson College, and a leader in the first anti-slavery and temperance societies.

Dr. Daniel Brainard, founder of Rush Med- ical College in 1837, came from Philadelphia, hence it is not surprising that he should name the school for the distinguished Philadelphia physician and patriot.

three decades have won appreciation from the management and the regard of fellow em- ployes.

Ton of Plaster in 1938

Owing to the great increase in the number of fracture cases cared for in the hospital, and the more extensive use of plaster casts in the treatment of fractures and in the correction of orthopedic defects and deformities, the quantity of plaster bandages used in the hos- pital has increased from year to year. Last year it took a ton of plaster to make 5,000 yards of plaster bandaging, utilized by hospi- tal surgeons — twice the quantity used five years ago.

Plaster bandages arc made by pressing dry plaster of paris into the mesh of white crino- line. Bandages arc five yards long and ol varying widths — eight, six, five, four, and three inches. The crinoline comes in rolls of 100 yards. The bandages are rolled hy hand .is the material is drawn through a device which contains a quantity of dry plaster. This process presses the plaster into the mesh ol the crinoline and there is a real art to tin- task, as the amount which clings to the crino- line must he fairly uniform. After each five- yard length ol plaster-covered crinoline is

rolled and cut off, it is wrapped in oiled paper and the bandages are stored in a moisture proof cupboard until needed in the operating room to replenish the daily supply.

How Bandaging Is Applied

When a plaster cast is to be applied, the bandage rolls are removed from the oiled paper wrapping and dipped one at a time in water by the nurse, who presses some of the water out before handing the bandage to the surgeon, who applies it layer on layer, using as many rolls of bandage as are needed for the particular type of cast. The plaster sets in 12 to 1 1 minutes, so everyone must work quickly. Should the bandages contain more plaster in some spots than others the resulting cast might prove wholly unsatisfactory from a surgical standpoint. Having these bandages properly made in the hospital effects a saving of several hundred dollars annually, thereby enabling the hospital to do more charity work of this kind than would he possible if ready- made plaster bandages had to he purchased.

To facilitate the constantly enlarging task of making plaster bandages, a new room is being fitted up to be used exclusively for this purpose. Up to now Mr. Thompson has done his work in one end of the sterilizing room,

As Others See Us

Presbyterian Hospital received some interesting publicity in June because of maternity department events involving the families of special writers on two Chicago dailies. Mrs. Robert Faherty, who as Adeline Fitzgerald is society editor of the Chicago Evening American, wrote her "Monday Memos" for June 19 from her hospital room on the seventh floor after having a given birth to a love- ly baby daughter here a few days pre- vious. It was a hospital nursery gossip column that day not only because the writer was a maternity patient but be- cause her neighbors in that department just then included several well-known socialites — Mrs. Bayne O'Brien, daughter- in-law of Howard Vincent O'Brien of the Daily News "All Things Consid- ered" column; Mrs. Bentley G. McCloud, Jr. of Glencoe, and Mrs. Alexander Gray Frost of Hinsdale.

In one paragraph the American column said: "All news is baby news here on the seventh floor, and every baby is news, as exciting as if he hadn't been preceded by more than 17,000 others pretty much like him (to the casual eye). In the fifty-six years of its existence, Presbyterian Hospital has assisted 37,261 babies into the world, in- cluding those cared for by the Out-patient service. More than 27,000 were born under this roof."

Another paragraph discussed what "they" are wearing in the "Stork Club," describing the latest styles in bed jackets.

Mrs. Faherty's new baby girl is her second daughter, the first having been born in this hospital in 193 5.

"All Things Considered"

Howard Vincent O'Brien left it to the society editors to announce the birth here of his twin grandaughters, but devoted his "All Things Considered" column in the News of June 23, to an "advertisement" about the hospital and its staff. Among other things he wrote:

"This is an advertisement, and a rather strange one; for nobody will want the bill of goods it pushes.

It's an advertisement for a hospital — the Presbyterian, to be precise. The outside of this establishment leaves something to be de- sired in the way of charm; and even the inside is lacking in the sort of scenery I would pick for a vacation. But there is something about the place, not to be expressed in terms of brick or hardware — an atmosphere: and I don't mean that rich and fruity flavor of ether, disinfectant and aging flowers that greets the nostrils of one who visits a hospital.

"What I am trying to say is that this insti- tution has a soul. It must be the lengthened shadow of some man: and I wonder who he is."

STERILE SUPPLY ROOM STAFF

Mrs. Anna Lake, head of this department has been employed here for 1 5 years. Her assistants are: Mrs. Essie Sargent, Miss Agnes Fitzgerald, Mrs. Isabelle McGuire, Miss Clara Lloyd, Miss Bessie Krall, Mrs. Cynthia Frank- lin and Miss Mary Cawley.

PREPARING DRESSINGS FOR PATIENTS

HERE'S WHAT IT TAKES!

Fifty 100-yard bolts of new gauze made into bandages, dresings, etc. each week in the sterile supply room total 2,600 bolts or 260,000 yards annually. Articles made daily include: 1,000 hypo sponges 400 Lewis dressings (18x18 in.) 200 small dressings (4x4 in. when

folded) 200 yards of gauze made up into various other dressings and bandage rolls.

Adhesive supplies used annually in- clude:

3 5 5 cartons of adhesive, assorted widths from '/j in. to 3 in., each carton containing the equivalent of 10 yards of 12- m. adhesive — a total of 3,550 yards in the 3 55 cartons 62 5 yards of waterproof adhesive, 12 inches wide Celluwipe tissues come in boxes of 136 each. In 1938, 26,600 boxes were purchased.

The laws of humanity make it a duty for nations, as well as individuals, to succor those whom accident and distress have throw upon them. — Thomas Jefferson

In the top picture, student nurses are shown "picking" washed gauze under the di- rection of Mrs. Essie Sargent, right. After the gauze is stretched by hand, it is placed on stretchers, one of which is shown at the right. Students are, left to right: Clarice Banke, Mary Jane Deuth, Esther Mont- gomery, and Annabeth Thomas.

At the left, Miss Agnes Fitzgerald is shown preparing 4x4-in. folded dressings of nen gauze. These are wrapped in brown paper, sterilized and kept wrapped until used for patients.

RECLAIMED GAUZE USED FOR VARIOUS PURPOSES

Another interesting activity is the prepar- ing of washed gauze in a room set aside for that purpose. This reclaimed gauze is prefer- able to new gauze for certain purposes be- cause it is much softer, and its use also effects a considerable saving to the hospital. Gauze dressings that are not badly soiled are washed antiseptically in the laundry and sent to the washed gauze room. Four employed workers assisted by student nurses "pick" the clean gauze, pulling and smoothing it out by hand, after which it is placed on stretchers. The stretched squares of gauze are placed in small bags and sent to the sterilizer, 3 5 to 60 bags containing 50 pieces each, being repared daily. By this process the reclaimed gauze is as sterile as new gauze and is especially useful for warm wet dressings.

Salvage Worn Linens

Squares of cloth salvaged from worn sheets, pillow slips, night gowns and other worn linens are used to wrap most of the articles prepared for sterilizing, pieces of suitable size being torn or cut from the worn articles. This salvaging is done in the sterile supply room. Narrow and ragged pieces that are left-over are sent to the engine room to be used for cleaning, as are also the narrow strips cut from the double edges of new gauze in making dressings.

Life is not so short but there is always room for courtesy. — Emerson

House Staff Changes

Residents who completed their service July 1, 1939 were:

Dr. Erhard R. W. Fox, Surgery

Dr. Ray F. Cochrane, Obstetrics and

Gynecology Dr. Raymond Hedin, Urology Dr. Wesley H. Anderson, Pediatrics Dr. David E. Brown, Otolaryngology.

Those who completed internships on July 1, were:

Dr. Richard H. Owens Dr. Ralph E. Hibbs Dr. Walter F. Schamber Dr. Albert Reaven Dr. Charles E. Muhleman

New members of the resident staff are :

Dr. Francis M. Lyle, Surgery

Dr. Richard Hausmann, Obstetrics

Gynecology Dr. Gustav S. Link, Urology Dr. John T. Mason, Pediatrics Dr. O. S. Blum, Otolaryngology Dr. Wendell B. Butner, Ophthalmology

New interns ■ on the house staff are : Dr. Jacob F. Lutz, Dr. John R. Ong, Jr. Dr. Frederick W. Preston Dr. Frederick M. Kriete Dr. Eugene A. Stack

nd

Hospital Librarian Returns

Miss Selma M. Lindem resumed her duties as librarian in Presbyterian Hos- pital, Monday, July 3, after a six-month leave of absence during which she organ- ized a central library project for hospi- tals in New York City, sponsored by the Junior League. In addition to the central library accummulated and catalogued under her direction, Miss Lindem devel- oped plans for volunteer service in a number of hospitals under Junior League auspices, assisted in organising or re- organizing library service in ten hospitals and made a survey of library service in 29 hospitals in cooperation with the United Hospital Fund of New York. Volunteers received training at an inten- sive course conducted under Miss Lin- dem's direction and through experience in assisting at the central library and do- ing work in various hospitals.

While in New York, Miss Lindem was called upon to address the Columbia Uni- versity Library School, New Jersey Col- lege for Women, the Greater New York Hospital Association, the women's activi- ties division of the United Hospital Fund and various other groups.

During Miss Lindem's absence, Mrs. Virginia Bonnici served efficiently as librarian here and left Chicago July 2, for Alexandria, Egypt, where her husband will practice medicine.

Dr. and Mrs. Peter Bassoc will attend the Inli i national Neurological Congress in Copen- hagen, Denmark, in August.

3n mpmoriam

William W. Meloy 1873-1939

Dr. William W. Meloy, Chicago physician, died June 24, 1939 at the Washington Blvd. Hospital following a long illness. Son of the Rev. William T. Meloy, DD., he was born in Cadiz, O., June 28, 1873, coming here with his parents in 1875. His father was pastor of the First United Presbyterian Church more than forty years.

Dr. Meloy was graduated from Washington and Jefferson College in 1894, and from Rush Medical College in 1897. After serv- ing an internship in Presbyterian Hospital, he studied in Vienna and London. He opened offices at 31 N. State St. as an ear, nose and throat specialist, remaining at the same ad- dress until his retirement in 193 5.

Mrs. Clara Burnham Woodyatt 1850-1939

Mrs. Clara Burnham. Woodyatt, mother of Dr. Rollin T. Woodyatt of the Presbyterian Hospital Medical Staff, died at the home of her son in Evanston, July 24, aged 89 years. She was a sister of D. H. Burnham, Sr., noted architect and originator of the Chicago Plan. Mr. Burnham died in 1912.

Clara Burnham was born in Henderson, N. Y. in 1850 and came to Chicago with her parents long before the fire of 1871. She was a leader in music activities, and originated the Thomas concert classes in cooperation with the late Theodore Thomas, orchestra con- ductor, enabling thousands of music lovers to become better acquainted with the classics.

Surviving are her son, Dr. Woodyatt, and a sister, Mrs. John Goddard of Newtonvillc, Mass.

Exhibit Dionne Incubator

Through the courtesy of Sharp & Smith, Presbyterian Hospital was the first Chicago institution to exhibit the incubator which is credited with having saved the lives of three, if not all, of the Dionne quints. Set up in the main entrance lobby on July 21, the incubator remained on exhibit here until August 1, proving of great interest to hund- reds of visitors, patients and hospital per- sonnel.

There was no electricity in Callander, Ont. when the astonished Dr. Allan Dafoe assisted the five tiny mites of humanity into the world. So when Sharp 6? Smith, surgical supply dealers in Chicago, found in their warehouse an incubator which could be heated by filling a tank with hot water at intervals, the Chicago American agreed to rush it to the Dionne home in Callander where it was used during the first critical days and weeks before more modern equipment was made available in the Dafoe nursery, erected by the Canadian government.

While larger than most box-type incubators, the Sharp ii Smith model afforded space for only three of the quints, hut all of them used it through a system of rotation based on the needs of each. The tank in the bottom of the incubator holds three quarts of water and is equipped with a faucet for running the water Off when a new supply ol hot water is needed. A wet sponge near the top in one end provides humidity. A small opening near the bottom admits fresh air, while a ventilator in the top provides an exit for used air.

MEDICAL STAFF NEWS

Dr. W. O. Thompson was the speaker at a meeting of the Berrien County Medical So- ciety at Benton Harbor, Mich., July 13. His topic was "Treatment with Male Sex Hor- mones."

In an article on "Breast Feeding fori Babies" in the June issue of Readers' Dig< Dr. Alexis Carrell, noted scientist and physi- ologist, quotes figures from a study made in Chicago by Dr. Clifford G, Grulee, head of our pediatric staff. In this study of 20,000 children, Dr. Grulee found that mortality of those who had been artificially fed babies was ten times greater than among those who had been breast-fed. Sixty-four percent of the artificially-fed babies were affected with dis- eases of the lungs, throat, and stomach dur- ing the first year, while only 37 percent of the breast-fed babies were so affected, Dr. Grulee found.

THE PRESBYTERIAN HOSPITAL

OF THE CITY OF CHICAGO 1753 W. CONGRESS STREET CHICAGO, ILLINOIS

Telephone: Seeley 7171

OFFICERS and MANAGERS

JOHN McKINLAY President

HORACE W. ARMSTRONG Vice-President

CHARLES B. GOODSPEED Vice-Preside

SOLOMON A. SM ITH Treasurer

KINGMAN DOUGLASS Secretary

FRED S. BOOTH Asst. Secretary

A. J. WILSON Asst. Secretary

Arthur G. Cable Edw. D. McDougal, Jr.

Alfred T. Carton Fred A. Poor

Philip R. Clarke Theodore A. Shaw

Albert B. Dick, Jr. Rev. John Timothy John B. Drake Stone. D.D.

James B. Forgan, Jr. R. Douglas Stuart

Albert D. Farwell J. Hall Taylor

Alfred E. Hamill John P. Welling

Charles H. Hamill Edward F. Wilson

CLERICAL MANAGERS

Rev. Harrison Ray Anderson, D.D.

Rev. Harold L. Bowman, D.D.

Rev. Alvyn R. Hickman, D.D.

Rev. W. Clyde Howard, D.D.

MEDICAL BOARD

VERNON C. DAVID, M.D President

ADMINISTRATION

ASA S. BACON Superintendent

HERMAN HENSEL Asst. Superintendent

CHAPLAIN REV. RUSSELL L. DICKS, B.D.

WOMAN'S BOARD MRS. ERNEST E. IRONS President

SCHOOL OF NURSING

M. HELENA McMILLAN Director Emeritus

MAY L. RUSSELL Dean and Acting Director

THE PRESBYTERIAN HOSPITAL BULLETIN Florence Slown Hyde, Editor

The Presbyterian Hospital of the City of Chicago is an Illinois not-for-profit corpora- tion, organized July 21, 1883, for the purpose of affording surgical and medical aid, and nursing, to sick and disabled persons of every creed, nationality, and color. Its medical staff is appointed from the faculty of Rush Medical College of the University of Chicago.

The Board of Managers call attention to the need of gifts and bequests for endowment and for the general purposes of the hospital.

pbinteo by Physicians- Record Co.. Chicago

>>'£!.»,

Ftie Presiydeiraaffi If ©spite

tke Gity cyy Qkicago'

BULLETDN

MEMBER AMERICAN HOSPITAL ASSOCIATION

Chicago, 111.

September, 1939

Vol. 31, No. 8

TRANSFUSIONS SAVE LIVES

AND RESTORE MANY

TO HEALTH

Funds Needed for This Work

During the last six months a total of 274 blood transfusions were given to pa tients in Presbyterian Hospital, an aver age of one blood transfusion every 15.8 hours. The giving of these 274 transfu sions required the typing and cross matching of more than 1,500 blood samples. It often is necessary to type and cross-match the blood of several prospec- tive volunteer donors in order to find one donor whose blood is suitable.

Professional Donors Available

Just a pint or two of good blood trans- fused into the veins of a person some- times means the difference between life and death. Often one or more blood transfusions bring quicker recovery from an operation or an illness. Frequently pa- tients are unable to obtain a volunteer donor. This is particularly true in emer- gency cases in which the transfusion must be given without delay. For this reason the hospital laboratory keeps on file a list of at least 145 donors whose blood has been typed and who have otherwise quali- fied as prospective blood donors. A majority of these are students in nearby professional schools. All types of blood are represented in this group and donors are available on short notice. However, these professional donors must be paid when called upon to provide blood trans- fusions, and frequently the patient whose life must be safeguarded by this proce- dure lacks the necessary funds.

Fund Aids Needy Patients

Through the Blood Transfusion Fund, started by Mrs. E. R. LeCount in 1935 by a gift of $1,000 in memory of her husband, Dr. LeCount, many free blood transfusions have been provided for needy patients. Miss Gracia M. F. Barn- hart contributed $500 to this Fund in memory of her parents and small dona-

PROSPECTIVE BLOOD DONOR

The young man in the picture is offering to give, not his life, but some of his life's blood for another, whose life literally may be saved by a blood transfusion. The labo- ratory technician has just drawn a small sample of blood for typing and cross- matching with that of the prospective reci- pient.

tions have been received from others. At the present time the Fund is exhausted and donations in any amount will be gratefully received. Transfusions pro- vided by this Fund have saved the lives of several patients and have been the means of restoring these and other pa- tients to health and usefulness.

Results Are Gratifying

One elderly man who had been a patient in the hospital for seven different periods and who had been able to pay a consid- erable portion of the charges for this care lacked the means to pay a professional donor when his critical condition made a blood transfusion imperative. The trans- fusion was provided and the patient was later discharged from the hospital much improved in health.

Another beneficiary of the Fund was a young man from a nearby suburb, who with the assistance of his parents paid the ward rate for hospital care in a long and serious illness but was unable to pay for the services of a professional blood donor when a sudden hemorrhage made a trans- fusion necessary. He was later discharged in improved health.

The Fund has been drawn upon to provide transfusions for several emer- gency patients admitted to the obstetrical department, some of these being brought in through the Out-Patient Obstetrical Department. The Fund also was drawn upon to provide transfusions for several patients referred by the Community Fund and the Chicago Relief Administration. The special rate paid by these agencies does not cover extras such as laboratory work and blood transfusions by profes- sional donors.

Many Free Typings Done

In addition to providing professional donors, the hospital is called upon to furnish a large amount of free laboratory work for needy patients who are thereby enabled to obtain volunteer donors. One young woman, referred as a free emer- gency patient by the Out-Patient Ob- stetrical Department, had the blood of nineteen prospective donors typed m order to obtain seven volunteer donors for a series of blood transfusions which were imperative following the birth of a still- born infant. The young woman now is in good health.

(Continued on Page 3, Col. 3)

TRANSFUSIONS GIVEN BY

DIRECT AND INDIRECT

METHODS HERE

Rigid Asepsis is Essential

The giving of blood transfusions re- quires skilful surgical technique and rigid aseptic procedures similar to those fol- lowed in other types of surgical work. Both the direct and indirect methods of transfusing are used in Presbyterian Hos- pital.

Direct transfusions are done in the operating room and require a team com- posed of a surgeon, three interns, and two nurses. The "multiple syringe" method is used. This method utilizes a number of syringes successively. The donor lies near the patient and the blood is drawn from a vein in his arm into a syringe which holds about 100 cubic centimeters. The syringe is disconnected from the donor before the blood is transfused into the vein of the patient, while a second syringe is being filled with blood drawn from the donor's vein. The procedure is continued until the desired amount of blood is given to the patient — usually 500 cubic centi- meters or approximately one pint for adults and smaller amounts for children.

Indirect Transfusions

The indirect method is used when it is desired to give transfusions at the bed- side. It also is used in cases where blood from a donor is to be given later to a recipient. The efficiency of this method has been greatly improved recently by the use of new apparatus. The blood is drawn from the donor into a vacuum flask in which the manufacturer has sealed a small amount of citrate solution to prevent the coagulation which would otherwise occur. The blood is usually given to the patient within a few minutes after being drawn but can be preserved in a cool place for approximately ten days, if desired.

When giving the blood to the patient a "Y" shaped tube is used, to the stem of which is attached a hollow needle. One arm ol the "Y" is attached to a flask of clear fluid ap- proximating the osmotic pressure of human blood. The other arm of the "Y" is attached to the flask of blood to be given the patient. A clamp on the arm of the "Y" connecting the clear fluid is opened, allowing this fluid to fill the tubing and expelling all air therefrom. The needle is then inserted into the vein, fixed firmly in place with adhesive tape, and the clear fluid is allowed to run in. When the operator is certain that the clear fluid is going into the vein and not under the skin, and that there is no air in the tubing, the clamp controlling the clear fluid is closed, while the Clamp controlling the blood is opened, allow- ing blood to enter the patient's vein.

May Give Other Fluids

When all the blood has been given to the patient, the remainder of the clear fluid may be allowed to enter the patient's vein in order to (lush any remaining blood out of the tub ing and at the same time compensate for any

A Thought

Here, on this hilltop Rippling with green, Here I will rest myself Here, reign supreme. Go hac\ to your cities, Tour buildings of stone; ]ust give me God's heaven, A soft breeze — 'tis home. Arid here I'm contented — Just leave me alone. -Shirley Borchardt. Student Nurse

EXISTENCE OF FOUR BLOOD

TYPES WAS DISCOVERED

WITHIN LAST 40 YEARS

Although blood transfusions were attempted as early as four centuries ago, their effective use has been possible only since the discovery, less than forty years ago, that four distinct "isoagglutinin" groups or types of blood arc found in human beings and that one type cannot be mixed with another successfully. It also was found that blood of the same type from two different persons does not always prove compatible. With this knowledge, the development of laboratory procedures for the accurate typing and cross-matching of blood, and improvement in apparatus and methods for giving transfusions, severe reactions now occur rarely. Medical science has thus acquired an extremely valuable weapon with which to combat disease and safeguard human life.

NEW SECRETARY

Miss Bernice Breede is the new secretary in the superintendent's office, filling the vacan- cy created by the resignation of Mrs. Alice Wiborg Becker, who has held the position since July, 1938. Prior to that date Mrs. Becker was secretary in the pathology labo- ratory for nine years. Her husband, Dr. Harold Becker, graduated from Loyola University School of Medicine recently and will serve an internship in Denver General Hospital, Denver, Colo.

deficiency in fluid that the patient may have. Additional fluids containing various amounts of sugar, salt, and minerals necessary for the body economy may be attached to the same apparatus and given the patient. The vacuum flask which contained the blood is destroyed.

For indirect transfusions the blood usually is drawn from the donor in an operating room or other room affording aseptic surroundings. A graduate nurse assists the doctor both m drawing blood from the donor and in giving the transfusion.

Use Sterile Supplies

Following a transfusion the apparatus is washed well in cold water, then in soap and water. It is rinsed in tap water, then in distilled water, dried, wrapped and sterilised. It is kept wrapped until taken out for use in the operating room or at the bedside. Imme- diately before use, the prepared apparatus is rinsed in sterile normal salt solution, then in a sterile 2.5 percent citrate solution. Sterile towels, gauze and other .supplies arc used.

Giving blood lor a transfusion is in no way detrimental to a healthy donor. He should nst for an hour or so afterward and have some light nourishment, such as a glass of milk, lie can then go about his usual duties but should avoid strenuous exercise for a day or two. A donor usually is advised not to give blood for a transfusion oftener than once in three months.

NEW DIRECTOR BEGINS

WORK IN SCHOOL AND

NURSING DEPARTMENT

Miss Dorothy Rogers began her duties on l] Sept. f as director of the Presbyterian Hospi- tal School of Nursing and nursing service. She succeeds Miss M. Helena McMillan who retired last fall, and takes over the responsi- j bilities carried since that time by Miss Mary L. Russell and Miss Harriet Forrest.

The new director is a graduate of Welles- ley College and Presbyterian School of Nurs- ing. She obtained her Master's degree in nurs- ing school administration at Teachers College, Columbia University, and has filled a number of administrative and teaching positions in other institutions. Since 193 5 she has been assistant professor of nursing education at the University of Chicago.

Miss Rogers has announced that the new fall class will enter on Oct. 1, and the 1939 graduation exercises will be held in October, the definite date not having been decided as yet.

HOUSE STAFF CHANGES

Dr. R. Lincoln Kesler will complete two years service as resident physician, Sept. 1?, and will begin private practice in Oak Park where he will be associated with Dr. H. M. Sheaff. Dr. Kesler also served his internship here after graduating from Rush Medical Col- lege in 1936. Dr. William C. Mumler will be the new resident physician.

Dr. Ralph L. High completed his intern- ship on Sept. 1, and began service as a resi- dent in pathology, taking the place of Dr. Henry Halley, Jr.

New interns starting Sept. 1 are Dr. Rene Hardre and Dr. Victor Kiarsis.

STUDIES 500 TRANSFUSIONS

Dr. E. H. Fell, formerly resident surgeon and now a member of the Surgical Staff of Presbyterian Hospital, made a study of 500 blood transfusions given to 288 different pa- tients in this hospital. His report was pre- sented before several professional gatherings and published in Surgery, August 1938.

This study revealed that 342 of the 500 transfusions were given to patients suffering from secondary anemia, the latter condition resulting from various causes. Sixty-six trans- fusions were given directly after prolonged operations, 36 for shock, 30 for primary enemias and 26 in cases of jaundice. Of the 500 transfusions given, 116 were given before operations and 193 were post-operative.

BLOOD TRANSFIXION FUND

(Continued from Page 1. Col. 3) Many other cases could be cited in which free typings have been done on several relatives or friends in order to find a suitable donor tor one transfusion needed by a free or part-pay patient.

The Blood Transfusion Fund is drawn upon only when a volunteer donor is not available and the patient lacks means to pay a professional donor. This Fund affords an opportunity to help the less fortunate in a specific way and it is hoped that more donations for this pur- pose will be forthocming.

Antics of Blood Cells Reveal Type and Compatibility

Antics of blood cells as viewed through the microscope reveal type and compatibility to the trained eye of the laboratory techr

BLOOD TYPES VARY IN

FAMILIES BUT ARE

INHERITED

Nos. II and IV Predominate

While scientists have found that blood types occur according to the Mendelian lines of inheritance, children may not have the same type as that of either parent and all four types may be found among the members of one family.

Extensive studies indicate that about 45 percent of White Americans have Type IV blood, 42 percent have Type II, and the rest have either Type I or III. These percentages vary among other na- tionalities and races hut there is no "agglutination" difference between blood of the same type from persons of different nationalities or races. For example, a Type IV Negro could receive compatible blood from a Type IV White person, or vice versa, without any racial effects in the recipient's blood. However, it is customary to observe racial lines in selec- tion of either volunteer or professional donors.

How Typing Is Done

To determine the type of a blood sample, two or three drops are first placed in a glass tube containing one cubic centimeter of sodium citrate solution. This is shaken until mixed thoroughly. One drop of this mixture, which is called "cell suspension", is added to one drop each of known Type If and Type III blood serum placed separately on a micro- scopic slide. When viewed through the micro- scope any one of the four types to which the sample blood belongs can be determined by the manner in which the cells mix with samples of the known Type II and Type III scrums.

When a donor is found who has the same type of blood as the patient, samples of blood from each are then "cross-matched" for com-

The centrifuge machine, pictured above, is used to separate the cells from the serum, in order to carry through compatibility and other tests which must be made before blood transfusions can be given. The technician is shown placing in the machine two centrifuge cups, in which have been set glass tubes con- taining blood samples from donors and pa- tients. Cups must weigh exactly the same in order to balance each other perfectly so that they will not upset during the "spinning" at the rate of 1,200 revolutions per minute. Weight is tested on the scales, shown on a shelf above the machine. As few as two or as many as eight cups can be placed in the machine at one time. It requires from two to five minutes of spinning to separate the cells and serum.

patibility. Recipients are typed and cross- matched before each transfusion when addi- tional transfusions are necessary.

Other Tests Are Made

After the blood of a donor has been found to be the same type as that of the patient and compatible with the patient's blood, Kahn and Wassermann tests for syphilis are done. I! these tests are positive the donor's blood can- not be used. Anyone who has had malaria also is ruled out as a donor. The malarial parasite may remain in the blood stream inde- finitely and, like the syphilis organism, can be transmitted in a transfusion.

In making the Kahn test the serum, after being separated from the blood cells, is in- activated (heated) in a water bath, and then added to Kahn antigen which has been placed in varying dilutions in three test tubes. These tubes are set in a rack which is placed on the "shaking" machine to mix thoroughly and aid in the reaction between the antigen and the scrum. The contents of the tubes are further diluted with salt solution and then compared with known positive and known negative samples of serum. If a fine granular clumping is revealed in the serum that is being tested, the reaction is positive which means that the person has syphilis. The Wassermann test

After the red cells have been separated from the serum some of the patient's cells are mixed with donor's serum and vice versa on separate sections of a microscopic slide, which is then placed in a covered container lined with moist paper. After 20 to 30 minutes the result is viewed through the microscope. If the cells have arranged themselves in an orderly manner in the serum, compatibility is indicated but if they clump together the blood is not compatible. However, if the donor's cells are not clumped in the patient's serum this is regarded as satisfactory even though the patient's cells are clumped in the donor's serum.

Graduated glass pipettes are used in mea- suring and preparing the blood, its constitu- ents, and various solutions for typing, cross- matching and other laboratory tests. In the above picture, the technician is using a twelve- inch pipette to draw from a test tube the correct amount of blood serum for a Kahn test. Additional tubes of serum to be used in this test are shown in the rack directly in front of the technician. The white square is a record card.

Miss Dorothy Terdina is the technician shown at work in these laboratory pictures.

involves different and more complicated proce- dures and is given as a check on the results of the Kahn test.

Blood donors should be in good general health and if a volunteer donor is suspected of being under par a blood count is done.

Will Patient Choose His Own Doctor and

Hospital in the World of Tomorrow Setup?

Scientists of many countries have made notable contributions to the advancement of medical knowledge, and governments throughout the world are becomming increas- ingly concerned about the health of their citizens. These are two of the outstanding impressions one gains from the numerous medical and health exhibits at the New York World's Fair.

In the Medicine and Public Health Build- ing one obtains a birdseye view of the vast knowledge upon which man now may draw to conserve his health, prevent many diseases, and put to rout disease which may attack him. In many of the foreign buildings scientific and health exhibits call attention to valuable contributions to medical knowledge by scien- tists and institutions of those countries.

Recognition of health as a popular topic is seen m the exhibits sponsored by manufactur- ers of food, household utilities, and many other articles. One whole section in the Gen- eral Electric building is devoted to X-ray and cancer therapy. Here also one may view a motion picture which illustrates electrocardio- graphy, fever therapy, inductothermy and electrosurgery. People stand in line at Gen- eral Motors Building to see the "Futurama," winch depicts the world of the future and here also one finds the "Casino of Science," which is well worth seeing. A refrigerator company has an exhibit which with the aid of microscopes "tells all" about bacteria whi'cJb cause food spoilage. Numerous other com- mercial exhibits take cognizance of man's in- terest in his health and offer much of educa- tional value along this line.

The increasingly broad participation of gov- ernment in health work is revealed in the exhibit "Your Health Department Protects Your Family," sponsored by the American Public Health Association in the Medicine and Public Health Building; and in dioramas, charts, murals, and sculptures in the United States Federal Building and in buildings of several states. This theme also dominates the

social welfare exhibits featured by many of the foreign nations. Desirable as is govern- mental participation in many of its aspects, one cannot fail to note the world-wide trend toward regimentation of medical service and the fact of its present existence in the health activities of several foreign nations.

The world of today, which man has created through technological and scientific discovery and invention, is a world in which much is being done and much more could be done to safeguard health and rout disease. The world of today contains a vast array of un- used knowledge about man and his health. Research is constantly adding to this know- ledge, which should be put to work for the benefit of everyone in the World of To- morrow.

The American way to do it, however, is not the old-world way of regimentation. The American wants medical and hospital care in- surance in his World of Tomorrow but he also wants to be able to choose his doctor and his hospital in time of illness or accident. This is the American way, for in America indi- vidual liberty is prized above all other posses- sions. We expect government to curtail this liberty when it means sanitation for all and protection against contagion and infection. We want government to promote health educa- tion, sponsor research, and care for the mental- ly ill and the indigent in so far as this may be necessary. But we do not want to pay taxes or compulsory insurance fees on any basis that will not permit us to choose our own doctors and hospitals.

SCIENCE, THE HEALER

The expressive mural by Hildreth Meier e, pictured above, decorates one of the nails of the Medicine and Public Health Building at the New York World's Fair, facing Constitution Hall, just east of the Theme Plaza.

WOULD YOU LIKE COPIES?

Patients or others who are interested in learning more about the various departments of the hospital may obtain back numbers of the Bulletin containing detailed descriptions of the following departments: maternity and out-obstetrical services, prenatal clinic, care of newborn in the hospital, how patients' medi- cal records are kept and their value; house- keeping department, surgical department, pa- tients' library, School of Nursing, anesthesia, X-ray, pharmacy, electrocardiograph, ophthal- mology (care of eyes and eye surgery), physi- cal and occupational therapy, and children's department. State subject or subjects you are interested in and address requests to: Editor Bulletin, Presbyterian Hospital, 1753 W. Congress Street. Back numbers of the Bulletin also may be called for at the office of the superintendent.

THE PRESBYTERIAN HOSPITAL

OF THE CITY OF CHICAGO

1753 W. CONGRESS STREET CHICAGO, ILLINOIS Telephone: Seeley 7171

OFFICERS and MANAGERS

JOHN McKINLAY President

HORACE W. ARMSTRONG Vice-President

CHARLES B. GOODSPEED Vice-President

SOLOMON A. SMITH Treasurer

KINGMAN DOUGLASS Secretary

FRED S. BOOTH Asst. Secretary

A. J. WILSON Asst. Secretary

Arthur G. Cable Edw. D. McDougal, Jr.

Alfred T. Carton Fred A. Poor

Philip R. Clarke Theodore A. Shaw

Albert B. Dick, Jr. Rev. John Timothy John B. Drake Stone. D.D.

James B. Forgan R. Douglas Stuart

Albert D. Farwell J. Hall Taylor

Alfred E. Hamill John P. Welling

Charles H. Hamill Edward F. Wilson

CLERICAL MANAGERS

Rev. Harrison Ray Anderson, D.D.

Rev. Harold L. Bowman, D.D.

Rev. Alvyn R. Hickman, D.D.

Rev. W. Clyde Howard, D.D.

MEDICAL BOARD

WILBER E. POST, M.D President

ADMINISTRATION

ASA S. BACON Superintendent

HERMAN HENSEL Asst. Superintendent

CHAPLAIN REV. RUSSELL L. DICKS, B.D.

WOMAN'S BOARD MRS. ERNEST E. IRONS President

M. HELENA McMILLAN DOROTHY ROGERS

SCHOOL OF NURSING

... Director Emerih Directc

THE PRESBYTERIAN HOSPITAL BULLETIN Florence Slown Hyde, Editor

The Presbyterian Hospital of the City of J Chicago is an Illinois not-for-profit corpora- tion, organized July 21, 1883, for the purpose of affording surgical and medical aid, and nursing, to sick and disabled persons of every creed, nationality, and color. Its medical staff is appointed from the faculty of Rush Medical College of the University of Chicago.

The Board of Managers call attention to the need of gifts and bequests for endowment and for the general purposes of the hospital.

Hie Pres Wertaffi ftospifa

©^

v tke Bity cyy Skicagc^

BULLETDN

MEMBER AMERICAN HOSPITAL ASSOCIATION

Chicago, 111.

October, 1939

Vol. 31, No. 9

SICK CHILDREN BENEFITED BY TAG DAY RECEIPTS

Hospital Will Share in City

Wide Charity Effort

on October 2

Tag Day for the benefit of charitable work done for children by 50 Chicago agencies will be observed on Monday, Oct. 2. Presbyterian Hospital has been assigned 126 collection boxes to be used on eight locations. In order to keep these boxes busy, at least 400 taggers are needed and it is hoped that 500 workers can be enlisted.

Tag Day receipts are used to help sup- port the work of our hospital children's department, where last year 779 sick children were cared for entirely free. In addition, 888 part-free child patients received care for which but a fraction of the cost was paid. The goal set for this year by our committee is $2,000.

All Taggers Are Volunteers

Tag Day begins at 6:00 A.M. and continues through the greater part of the day. For this reason taggers work in relays, relieving each other at intervals. The main requirements for a Tag Day worker are a pleasant smile, earnestness and perseverance. Each charitable agen- cy participating in Tag Day has some good and some less productive locations, assignments being made on as fair a basis as possible by the Children's Benefit League committee.

Tag Day affords an opportunity for thousands to contribute who would not otherwise be reached by the participating agencies, and all contributions go direct- ly to the support of charitable work for children as all taggers are volunteer workers.

Taggers for Presbyterian Hospital were pro- vided last year by 3 5 churches and it is hoped that more churches will be represented this year in this project which means so much to the "least of these." Those willing to serve

The five-month old baby in the above pic- ture is one of hundreds who have received free care in the three Tag Day Beds on our infants' floor. This baby was seriously ill for several weeks and was about to be discharged as recovered when the picture was taken.

In earlier years Tag Day receipts were put into an endowment fund, the income from which is used to support our Tag Day Beds. In recent years the money collected on Tag Day has been expended currently for the support of free work in our children's de- partment.

as taggers for a few hours are urged to report immediately to their church chairman or to one of the following members of the Tag Day committee:

Loop— Mrs. Perkins Bass, Jr. (Evanston), Davis 213 5 Mrs. H. C. Patterson, Hyde Park 0849 Mrs. James McCulloch, Prospect 5425 South Side— Mrs. Henry W. Bernhardt,

South Shore 4440 West Side- -Mrs. William H. Biker (Oak Park), Euclid 234 Mrs. George H. Bristol (Oak Park), Euclid 7157 North Side— Mrs. Burton VV. Hales, Winnctka 3 333

GRADUATION WEEK EVENTS

ANNOUNCED BY SCHOOL OF NURSING AND ALUMNAE

Twenty-nine young women will re- ceive diplomas at graduation exercises of the School of Nursing, Oct. 10 at 3:00 P.M., in the auditorium at Sprague Home. The commencement speaker will be the Rev. J. W. G. Ward, pastor of the First Presbyterian Church of Oak Park. A reception for parents and friends of graduates will follow the exercises.

Baccalaureate services will be held at the Third Presbyterian Church, Ashland and Ogden avenues, Sunday, Oct. 8 at 7:45 P.M. The Rev. Alvyn R. Hick- man, pastor of the church, will be the speaker.

Alumna; events began with a farewell party on Tuesday night, Sept. 26, in honor of Miss May L. Russell, who is leaving the school Oct. 1. Miss Russell has been a member of the staff since the school was founded in 1903 and for the past year has been acting director.

The Alumnae Association's open meet- ing for seniors will be held at Sprague Home on Tuesday evening, Oct. 3. The Alumnae luncheon on Friday, Oct. 6 m the Wedgewood Room at Marshall Field's, will serve as an occasion for ex- tending ,i formal welcome to Miss Dorothy Rogers (1921), new director of the School of Nursing. Miss Charlotte F. Landt, president of the Alumnae Asso- ciation, will preside. Program arrange- ments were incomplete when this Bulle- tin went to press.

Lake Forest Mrs. Philip F. W. Peck, Lake Forest 1060 Mrs. Edwin M. Miller will be in charge of the two boxes at the hospital. Mrs. William R. Tucker of Evanston is general chairman and Mrs. Earl G. Fowler of River Forest is vice-chairman of the Tag Day committee.

AMERICAN HOSPITAL ASSN.

HOLDS 41ST MEETING

IN TORONTO, CAN.

World Congress is Cancelled

More than 4,000 hospital leaders and workers from all parts of the United States and Canada gathered at Toronto, Can., Sept. 25-29 for the 41st annual convention of the American Hospital Association. The International Hospital Association convention was to have been held in the same city, Sept. 19-2 3, hut was called off because of the war in Europe. Thirty-four countries were to have been represented at this great con- gress, the sixth biennial gathering of its kind. Dr. Malcolm T. MacEachern of Chicago, associate director of the Ameri- can College of Surgeons, is president of the International Hospital Association.

Dr. G. Harvey Agnew of Toronto completed a year of outstanding leader- ship as president of the American Hos- pital Association and was succeeded by Dr. Fred G. Carter, superintendent of Christ Hospital, Cleveland, Ohio, who will serve during the coming year.

The American College of Hospital Admin- istrators convened on Sept. 22, and th - American Protestant Hospital Association held its 19th annual convention, Sept. 22-24, at Toronto.

From Our Hospital

Mr. Asa S. Bacon, superintendent of Presbyterian Hospital, participated in these conventions. He is a trustee, treasurer, and chairman of the membership committee of the American Hospital Association; trustee of the American Protestant Hospital Association, and a fellow of the American College of Hospital Administrators.

Mrs. Ernest E. Irons, president, and Mrs. Clyde E. Shorey, past president oi the Woman's Board attended the A. H. A. con- vention, where Mrs. Shorey was one of the speakers in a panel discussion on "How the Woman's Auxiliary Can Help the Hospital." Miss Bculah Hunzicker, director of dietetics, was one cf the speakers before the dietetics section, her topic being "The Value of Cen- tralized Dishwashing."

NEW DIETITIANS

Vacancies on the dietary staff have been filled by Miss Dorothy Baker and Miss An- nette Wilkens, Miss Baker was graduated from Iowa State College at Ames and served her dietetics internship at University Hospital, Oklahoma City. Miss Wilkens served an in- ternship at University Hospital. Ann Arbor, Mich, following graduation from the Univer- sity of Minnesota.

AT PHARMACEUTICAL MEETING

Mr. William Cray, hospital pharmacist, attended the annual convention of the Ameri- can Pharmaceutical convention in Atlanta, (!a., Aug. 2 1-26. He represented the Chicago branch in the house of delegates and met with tin recipe committee of which he is ,i member

SOME SUGGESTIONS FOR FRIENDS OF PATIENTS

Recently friends of several patients in our hospital have discovered some new and highly practical ways of expressing regard and sympathy in time of illness. Instead of overwhelming the patient with an oversupply of expensive flowers, cmdy which he cannot eat, and other less practical gifts, these thoughtful friends have pooled their funds and paid the patient's hospital bill for one or more days. In these instances, the cashier's office sends to the patient a receipt for the amount paid, stating that he is to be a guest of so-and-so for such-and-such day or days. Recipients of this type of gift accept it with appreciation and in many instances it relieves a patient's un- expressed anxiety as to ways and means to meet the expense of hospitalisation. The hospital gladly cooperates with those who choose this pleasant way of bring- ing cheer to relatives or friends who are ill.

Another pleasant way in which friends of patients may express their sympathy in time of illness is to make a donation to the general charity work of the hos- pital or to some special fund in the name of the sick friend, who would enjoy such a benefaction more than expensive flowers or other gifts. In such instances the hos- pital is pleased to notify the patient con- cerning the donation made in his honor.

A donation of $3.00 will pay for 24 hours' free care for a sick child in one of our children's wards, or $4.00 will provide one day's care for a needy pa- tient in an adult ward. As announced in our last Bulletin, donations are greatly needed at this time also for the Blood Transfusion Fund which provides blood donors for needy patients, who are un- able to obtain a volunteer donor and are without means to pay a professional donor.

Haringa-Renzema

Miss Tena H. Havinga, formerly charge nurse on our infants' floor, was married recently at the home of her parents in Hol- land, Mich, to Theodore S. Rensema, instruc- tor in physics at Purdue University, LaFaycttc, Ind. Mrs. Rcnzema was graduated from Presby- terian School of Nursing in 1937.

Price-High

Miss Jeanne Price and Dr. Ralph L. High were united in manage, Sept. 1, at the resid- ence of Dr. Evan Barton, 1018 N. State Stieet. The ceremony was performed by the Rev. Russell L. Dicks, hospital chaplain. Mrs. High is personnel manager for Weiboldt's South Side store, Dr. High recently completed an internship here and is now resident pathologist.

Dr. Cassie Bell Rose, former head of ( X-ray department and now located in Den\ Colo, was a recent visitor here.

TUMOR CLINIC OPENED FOR

CONSULTATION, STUDY

AND TREATMENT

Through the Tumor Clinic established about a month ago in the hospital, mem- bers of the Medical Staff hope to pro- vide a more effective service in the study and treatment of these cases. A special room has been fitted up on the 7th floor of the Murdoch Building, where patients will be seen by members of the Staff Tumor Committee each Wednesday at 12 o'clock noon. Any member of our Medical Staff or the Central Free Dis- pensary Staff may bring patients to the clinic for consultation and discussion as to the type of therapy indicated in each case.

Under this plan patients will have the ad- vantage of meeting in one place an internist, a pathologist, a surgeon, and a radiologist, whose combined viewpoint will be carried out in the treatment prescribed. Another and less tangible but possibly more important advan- tage will be the collection by one organization of all data concerning the treatment of tumor in the hospital. This will afford a more definite evaluation of types of treatment used, and new advances in treatment can be insti- tuted and evaluated more readily.

In the short time since the clinic was started, an average of four new patients have been referred each week, some coming from a distance. Surgical treatment has been advised in some cases, while in others radiation ther- apy has been indicated and in still others surgical and medical treatment and radiation have been combined.

The committee in charge is composed of Dr. F. H. Straus, Dr. Clayton J. Lundy, Dr. Evan Barton, Dr. Carl Apfelbach, and Dr. F. H. Squire.

TAG DAY LOCATIONS

Hospital personnel, visitors, and patients are invited to make their Tag Day donations to workers who will be stationed at the hospital.

Others who desire to have their Tag Day contributions help the hospital children's de- partment are invited to make donations at any of the following locations on which Woman's Board taggers will be stationed:

Lake Forest — All locations.

Loop — S. side of Adams St. to N. side of Quincy St. from W. side of LaSallc St. to E. side of Wells St.

Randolph I. C. station (4 boxes).

N. side of Lake St. to S. side Wacker Dr. from W. side of Clark St. to E. side LaSalle St., and Lower Level.

North Side — N. side of Lawrence Ave. to S. side of Foster from E. side of Broadway to E. side of Winthrop; including Argylc "L" station.

West Side— S. side of Van Buren to N. side of Taylor St. from W. side of Ashland Ave. to E. side of Western Ave., including Marshfield, Ogden, Hoyne, Western Ave. and Garfield Park "L" stations: also Polk St. Douglas Park "L" station.

South Side S. side of 67th St. to N. side of 73rd St. from E. side of Cottage Grove Ave., to E. side of Kimbark Ave., including 70th and 72nd Sts. I. C. stations.

S. side of 89th St., to N. side of 91st St., from E. side of Yates Ave.. East to Lake Michigan, including South Chicago station at 91st St. and Brandon Ave.

It's Not Such a Cold World Nowadays for Too-Soon Babies

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The charming sixteen-month-old baby pictured (center) began life in Presbyterian Hospital is a tiny premature. Also shown are exterior (left) and interior views of one of the even air-conditioned incubator cubicles in our new nursery for premature babies. The nurse s shown feeding a baby by dropper. Each cubicle is completely enclosed and equipped with ill facilities for the complete care of the infant, who need never leave his little house until he is ready to go home. The master air-conditioner brings to each cubicle air from the wtside, which is filtered, heated to proper temperature, and humidified by a system of lutomatic controls. Piped oxygen connections are another feature. These cubicles, designed iy our hospital superintendent in collaboration with the pediatric department, are the first if the kind installed in Chicago.

Some Famous Men Began Life as Prematures

According to an article by Rose A. Laughlin in a recent issue of Hygeia, published :>y the American Medical Association, not a few of the world's most famous scientists, tuthors, statesmen, and military leaders began life as prematurely born or otherwise weak and immature babies. Among those cited are Sir Isaac Newton, who discovered gravity; Charles Robert Darwin, scientist and author; George Curvier, French scientist md educator, Voltaire, Rosseau, Napoleon, and Victor Hugo. Unusual care provided ?y the mothers and other relatives of these famous men enabled them to survive baby- hood, just as the modern baby incubator, modern pediatrics, and expert hospital care iow save the lives of hundreds of premature infants each year m this country.

Quoting from the article in Hygeia:

"One wonders how many thousands of pre- natures might have lived to attain fame, had ;hey received modern care. Until comparative- y recent times, it was a matter of chance that i baby born too soon escaped immediate death. But so rapid has been the progress of modern sediatrics that nowadays it is probable that :he premature infant receiving immediate hos- pital care not only can be saved but can grow jp to be healthy and normal.

"In a study on physical and mental develop- ment of premature infants, it was found that boys "catch up" in weight with full-term boys 3y the fourth or fifth year. Premature girls always weigh slightly less than full-term girls. There was no difference in mentality, the school rating being equally as good."

Pediatricians now regard any baby who weighs less than five pounds, eight ounces as immature, whether born prematurely or at term. Among the many premature babies cared for in Presbyterian Hospital in recent years were a number whose birth weights ranged from forty ounces to three and one-half pounds, and who now arc normal, healthy youngsters, as are also many others who were not so small at birth.

In addition to those born in the hospital, prematures are brought in frequently horn homes of the district by the Out-Patient Ob- stetrical Department, usually in our portable incubator. Free care is given to many pre- mature babies, whose parents are unable to meet the expense involved, particularly if hos- pitalization must be prolonged.

In striking contrast to our new incubator cubicles is the water-heated, box-type incu- bator which helped to save the lives of the Dionne Quints. It was found in the Chicago warehouse of Sharp & Smith and rushed to Callander, Ont. by the Chicago American. It aroused much interest when exhibited in our hospital lobby this summer. A tank in the bottom of the box is filled with hot water through the small tank on the outside (right), and emptied through the faucet at the bottom.

INSTITUTE FOR HOSPITAL

EXECUTIVES DRAWS

LARGE GROUP

Two Sessions Are Held Here

Two of the demonstrations sessions of the Seventh Annual Institute for Hos- pital Administrators were held in our hospital. The Institute held Sept. 5-16 was sponsored by the American Hospital Association in cooperation with the Uni- versity of Chicago, the American Col- lege of Surgeons, the American Medical Association, the American College of Hospital Administrators, the Chicago Hospital Council and 21 hospitals in the Chicago metropolitan area.

One of the early advocates of estab- lishing institutes for hospital administra- tors was Mr. Asa S. Bacon, superinten- dent of Presbyterian Hospital, who first proposed the plan at the American Hos- pital Association convention in 1907. In an article m the August number of Hospitals, Mr. Bacon traces the story of the movement which resulted in the establishing of training courses in several universities but did not culminate in the short practical institute course until 1933 when the first institute of this kind was held in Chicago, with 163 hospital execu- tives from all parts of the country m attendance.

Institute Fills Need

While heartily approving the offering of university courses to would-be hospital ad- ministrators, Mr. Bacon and other active hos- pital leaders felt that the short practical insti- tute course was needed as part of an initial training program and also as a refresher course in hospital administration