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BULLETIN 

MEMBER    AMERICAN     HOSPITAL    ASSOCIATION 


Chicago,  111. 


January,    1937 


No.  94 


HOSPITAL  ADMITS  11,503  PATIENTS  IN  YEAR  OF  1936 

Definite   Procedures   Apply 

to  All  But  Emergency 

Admissions 

During  1936,  patients  admitted  to  the 
Presbyterian  Hospital  numbered  11,503. 
This  was  an  increase  of  582  over  193  5 
admissions.  Of  these  11,503  patients, 
5,5  54  were  able  to  pay  only  a  part  of 
cost  of  the  care  received  while  2,437  were 
admitted  as  free  patients.  Of  those  ad- 
mitted for  free  care  in  our  hospital  beds, 
880  were  children  under   14  years. 

Many  persons  seeking  admission  to  the 
hospital  are  not  aware  that,  with  the  ex- 
ception of  emergency  patients  requiring 
immediate  attention,  certain  definite  pro- 
cedures must  be  gone  through  prior  to 
admission.  These  procedures  vary  ac- 
cording to  the  classification  to  which  the 
prospective  patient  belongs. 

Private  patients  of  doctors  on  our 
medical  staff  are  admitted  as  private  hos- 
pital patients  and  are  expected  to  pay 
the  regular  hospital  fees  for  the  kind  of 
room  or  ward  bed  that  they  are  to  occu' 
py.  Reservations  usually  are  made  in  ad- 
vance of  arrival  by  either  the  doctor,  the 
patient  or  a  member  of  the  patients1 
family.  General  nursing  care  is  covered 
by  the  room  or  ward  fee,  but  patients 
pay  specified  amounts  for  special  nurses. 
Extra  charges  are  made,  also,  for  X-ray 
and  laboratory  diagnosis,  unusual  medi- 
cines, use  of  operating  rooms,  and  special 
treatments  in  the  X-ray,  fever,  vascular 
and  physical  therapy  departments.  None 
of  the  hospital  charges  cover  payment  for 
care  received  by  private  patients  from 
attending  physicians  or  surgeons,  nor  the 
fees  charged  by  anesthetists.  Private  pa- 
tients unable  to  meet  the  weekly  advance 
payments  required  for  general  care  and 
current  extra  charges  are  referred  to  the 
Special  Service  department. 

(Continued  on  page  3,  col.  3) 


SCENE    IN   EXAMINING    ROOM    CORRIDOR 

Non-hospital  patients  paid  a  total  of  31,879  visits  to  our  first  floor  examining  rooms  in  1936,  an 
increase  of  3,019  over  1935.  In  the  picture,  Miss  Violet  Getty,  charge  nurse,  is  shown  seated  at 
the  desk.  At  the  right,  Dr.  Sidney  H.  Heersma,  resident  pediatrician,  is  standing  by  a  mother 
who  has  just  brought  her  baby  in  for  an  examination.  Miss  Nettie  Hawkinson  of  the  examining 
room  nursing  staff  is  using  the  telephone.  Dr.  E.  R.  W.  Fox,  resident  surgeon,  and  Dr.  Paul  S. 
Woodall,  resident  obstetrician,  are  standing  next  to  her.  Miss  Florence  McConnell,  nurse,  is 
shown  at  the  left,  having  just  come  from  the  supply  room  with  an  emergency  basket.  An  intern 
is  shown  seated  by  a  patient,  back  of  Miss  McConnell.  A  detailed  account  of  the  work  of  this 
department  appears  on  page  3. 


OUR   FIRST    1937   BABY 

It  was  exactly  1 1  minutes  after  mid- 
night when  the  first  1937  baby  born  in 
our  hospital  arrived.  His  mother  is  Mrs. 
Rose  Wilhelm  of  7209  Washington 
Boulevard,  Forest  Park.  His  father  was 
killed  in  an  automobile  accident  a  month 
previous.  There  are  two  other  children 
in  the  family. 


MORE    BABIES;    FEWER   TWINS 

Babies  born  in  our  hospital  in  1936 
numbered  850,  an  increase  of  63  over 
the  number  born  here  in  1935.  Nine 
mothers  gave  birth  to  twins  last  year, 
while  the  1935  record  was  10  pairs  of 
twins. 


STAFF    RESOLUTIONS 

Resolutions  in  memory  of  Dr.  Hugh 
Polkey  and  Dr.  William  Buhrman  were 
adopted  by  our  hospital  medical  staff  at 
its  regular  meeting  on  Dec.  18.  Dr. 
Polkey,  who  died  in  November  was  an 
assistant  surgeon  on  our  urological  staff. 
Dr.  Buhrman  was  an  assistant  pediatri- 
cian. His  death  occurred  during  the 
summer. 


HIS    37th    CHRISTMAS    HERE 

Mr.  Asa  S.  Bacon,  superintendent  of 
our  hospital,  never  goes  away  on  Christ- 
mas day.  Consequently,  on  Dec.  2  5, 
1936,  he  spent  his  37th  successive  Christ- 
mas day  here. 


WOMAN'S    BOARD    REPORTS    INCREASED    ACTIVITY 


Annual  Meeting  Reveals  How 

Women  Help  Hospital 

in  Many  Ways 


Reports  presented  at  the  5  3rd  annual 
meeting  of  the  Presbyterian  Hospital 
Woman's  Board  held  in  the  hospital 
chapel,  Monday,  Jan.  4,  revealed  in- 
creases in  funds  raised  for  various  pur- 
poses and  much  other  activity  m  the  in- 
terest of  our  hospital  during  1936.  Mr. 
Alfred  Carton,  president  of  the  Board  of 
Managers  of  the  hospital,  presided.  Mrs. 
John  P.  Mentzer  presented  the  sum- 
marised reports  of  the  board's  20  stand- 
ing committees.  Dr.  George  W.  Duvall, 
superintendent  of  Central  Free  Dispen- 
sary, told  of  the  work  of  that  institution 
and  its  relationship  to  our  hospital.  Mrs. 
David  W.  Graham,  only  surviving  char- 
ter member  of  the  Ladies  Aid  Society  or- 
ganised to  aid  the  hospital,  5  3  years  ago 
this  spring,  continues  as  honorary  presi- 
dent. Mrs.  Clyde  E.  Shorey  was  re- 
elected president  for  a  second  term. 
Other  officers  were  re-elected  as  follows : 

Vice  Presidents — Mrs.  Ernest  E.  Irons,  Mrs. 
Lincoln  M.  Coy,  Mrs.  Charles  S.  Reed  and 
Mrs.  William  R.  Tucker. 

Recording  Secretary — Mrs.  Lawrence  Dun- 
lap  Smith. 

Assistant  Recording  Secretary — Mrs.  Earle 
B.  Fowler. 

Corespondmg  Secretary  —  Miss  Lucibel 
Dunham. 

Treasurer — Mrs.  Edward  L.  Beatie. 

Asst.  Treasurer — Mrs.  Gordon  B.  Wheeler. 

Advisory  Council — Mrs.  Perkins  B.  Bass, 
Mrs.  C.  Frederick  Childs,  Mrs.  Albert  B.  Dick, 
Mrs.  Henry  C.  Hackney,  Mrs.  Frederick  T. 
Haskell,  Mrs.  Alva  A.  Knight,  Mrs.  L.  Hamil- 
ton McCormick,  Mrs.  J.  P."  Mentzer  and  Mrs. 
George  R.  Nichols. 

Executive  Committee 

Four  new  members  elected  to  the  executive 
committee  for  the  term  expiring  Dec.  31,  1939, 
are:  Mrs.  Philip  F.  W.  Peck,  Mrs.  Edward  H. 
Smith,  Mrs.  Edwin  Stansbury  and  Mrs. 
George  L.  Swift.  Those  re-elected  for  the 
same  term  are  Mrs.  Kingman  Douglass  and 
Mrs.  William  B.  Neal.    Holdover  members  are: 

Term  Expiring,  December  31,  1937 — Mrs. 
Frank  R.  Elliott,  Mrs.  L.  C.  Gatcwood,  Mrs. 
Wilber  E.  Post,  Mrs.  J.  Hall  Taylor,  Mrs. 
Robert  E.  Ross  and  Mrs.  Frank  M.  Smith. 

Term  Expiring  December,  1938  —  Mrs. 
Peter  Bassoe,  Mrs.  H.  H.  Kittleman,  Mrs.  B. 
M.  Linnell,  Mrs.  W.  J.  Parker,  Miss  Sarah  B. 
Simpson  and  Mrs.   R.  Douglass  Stuart. 

The  active  membership  of  our  Wom- 
an's Board  is  made  up  of  delegates  from 
churches  of  the  Chicago  Presbytery,  geiv 
oral  members  and  wives  of  physicians  on 
the  hospital  staff.  Dues  arc  $2.50  per 
year,  and  many  board  members  make  ad' 
ditional  contributions  to  the  general  fund 
or  for  specified  objects.  Associate  mem- 
bership is  composed  of  church  women 
who  pay  annual  dues  of  $1.  During 
1936,  the  associate  membership  commit- 
tee, Miss  Lucibel  Dunham,  chairman,  en- 
rolled   924    members    from    19   churches. 


SOCIAL   SERVICE  STAFF 
DOES  INTENSIVE  WORK 
FOR    1,301    PATIENTS 


Many  of  the  adults  and  all  children 
admitted  to  our  hospital  as  free  patients 
are  known  to  our  Social  Service  depart- 
ment, which  contacted  1,890  patients  last 
year  and  did  intensive  work  for  the  bene- 
fit of  1,301  patients.  Investigative  and 
follow-up  work  required  a  total  of  1,187 
home  calls,  while  office  interviews  num- 
bered 10,228. 

Our  hospital  Social  Service  department 
works  in  close  cooperation  with  the  So- 
cial Service  department  of  Central  Free 
Dispensary,  and  other  agencies  and  insti- 
tutions through  which  patients  are  refer- 
red to  our  hospital  or  which  may  be  of 
service  to  patients.  One  of  the  principal 
objects  of  our  Social  Service  department 
is  to  aid  patients  in  various  ways  and 
help  them  work  out  their  problems  so 
that  the  greatest  possible  benefit  will  re- 
sult from  the  hospital  care  received. 
Steps  are  taken  to  improve  unsatisfactory 
home  conditions,  see  that  suitable  food 
and  clothing  are  provided  for  the  patient 
following  his  return  home  and  bring 
about  needed  social  adjustments.  In 
many  instances  the  entire  family  is  em- 
braced in  the  program  of  social  treatment 
with  gratifying  results.  Often  the  co- 
operation of  other  agencies  and  institu- 
tions is  enlisted. 

During  1936,  articles  of  wearing  ap- 
parel numbering  1,928  were  donated  to 
this  department  for  distribution  in  car- 
rying out  its  program  of  helpfulness  to 
the  less  fortunate.  This  included  new 
and  used  clothing  and  accessories  given 
by  churches  and  individuals,  the  Wom- 
an's Board,  Chicago  Needlework  Guild 
and  Baby's  Valet  service. 

Supported  by  Woman's  Board 

Miss  Karla  Jorgenson  is  in  charge  of 
the  department.  Mrs.  Katharine  MeCam- 
mon  devotes  all  of  her  time  to  work  for 
children,  while  Miss  Cecilia  Mahoney 
gives  her  time  to  the  pre-natal  clinic  and 
other  work  for  maternity  and  gyneco- 
logical patients.  A  fourth  worker  was 
employed  most  of  last  year  to  assist  Miss 
Jorgenson  in  being  of  service  to  other 
adult  patients.  Beginning  Jan.  15,  this 
year,  Mrs.  Helen  B.  Rutledge  joined  the 
Social  Service  staff  and  will  work  with 
adult  patients.  These  four  workers  have 
had  special  training  and  experience  m 
medical  social  service  work.  Salaries  of 
workers  and  most  of  the  other  expenses 
of  the  department  are  paid  by  the  Wom- 
an's Board  which  was  instrumental  in  es- 
tablishing the  work  in  1909,  ours  being 
the  first  hospital  in  Chicago  to  organize 


MANY  PATIENTS  SERVED 
BY   HOSPITAL   LIBRARY 
AT  NO  COST  TO  THEM 

Our  hospital  library,  which  is  sup- 
ported entirely  by  the  Woman's  Board, 
has  a  splendid  record  of  service  to  pa- 
tients for  the  year  just  closed.  More  than 
300  patients  were  library  borrowers  each 
month,  involving  between  30  and  60 
visits  per  day  by  the  librarian,  Miss 
Selma  Lmdem.  The  total  number  of 
books  and  magazines  circulated  to  pa- 
tients was  17,064.  Of  this  number  8,865 
were  borrowed  by  private  room  patients, 
and  8,199  by  ward  patients.  Staff  and 
employees  borrowed  3,893  books  and 
magazines  bringing  the  total  circulation 
for  the  year  to  21,957. 

Books  given  to  the  library  numbered 
432,  while  76  books  were  purchased. 
Through  the  sale  of  books  which  the  li- 
brary could  not  use  for  one  reason  or  an- 
other, $273  was  realized  and  was  ex- 
pended for  new  books,  bookcase,  rebind- 
mg  of  books  and  for  library  supplies. 
Four  volunteer  workers  assisted  the  li- 
brarian during  the  year.  A  former  pa- 
tient provides  regular  subscriptions  to  34 
magazines,  and  books  in  the  library  num- 
ber 5,500.  There  is  no  charge  for  library 
service  and  the  librarian  makes  a  special 
effort  to  supply  to  patients  the  type  of 
books  that  each  finds  most  interesting. 
Our  library  is  a  deposit  station  for  the 
Chicago  Public  Library,  thus  enabling  us 
to  obtain  books  therefrom  to  supplement 
our  own  collection. 

Mrs.  Wilber  E.  Post  is  chairman  of 
the  Woman's  Board  library  committee 
and  Mrs.  Carey  Culbertson  is  vice-chair- 
man. Other  members  are:  Mrs.  Leonard 
A.  Barrett,  Mrs.  Peter  Bassoe,  Mrs. 
Robert  H.  Herbst,  Mrs.  Alvyn  R.  Hick- 
man, Mrs.  George  W.  Hust,  Mrs.  Ken- 
neth C.  King,  Mrs.  William  B.  Neal, 
Mrs.  Philip  F.  W.  Peck,  Mrs.  William 
H.  Riker,  Mrs.  Charles  H.  Slocum,  Mrs. 
J.  W.  G.  Ward,  and  Mrs.  W.  D. 
Williams. 

a  Social  Service  Department.  Miss  Alyce 
Pierce  is  stenographer  and  clerical  assist- 
ant in  the  department. 

Mrs.  Mark  Oliver  is  chairman  of  the 
Social  Service  committee  of  the  Wom- 
an's Board  and  Mrs.  Frederick  R.  Baird 
is  vice-chairman.  Other  members  are: 
Mrs.  Perkins  B.  Bass,  Mrs.  James  Boyd, 
Mrs.  C.  Frederick  Childs,  Mrs.  Carey 
Culbertson,  Mrs.  Kingman  Douglass, 
Mrs.  David  W.  Graham,  Mrs.  Ernest  E. 
Irons,  Mrs.  George  A.  McDonald  and 
Mrs.  Wilber  E.  Post. 


NON-HOSPITAL  PATIENTS 
PAY     31,879     VISITS     TO 
OUR  EXAMINING  ROOMS 


Examining  rooms  on  the  first  floor  of 
our  hospital  serve  a  variety  of  purposes. 
Of  the  31,879  visits  of  patients  taken 
care  of  in  this  department  in  1936, 
17,184  were  visits  of  non-hospital  pa- 
tients of  members  of  the  medical  staff, 
while  pre-natal  clinic  patients  made  a 
total  of  5,55  5  visits.  Accident  and  other 
emergency  patients  are  first  referred  to 
this  department,  which  is  equipped  to 
render  emergency  first  aid  and  for  minor 
surgery.  Patients  referred  to  the  medical 
staff  by  the  Special  Service  department 
are  examined  here  as  are  also  hospital  em- 
ployees in  need  of  medical  care. 

All  children  admitted  as  hospital  pa- 
tients, whether  private,  house,  special 
service  or  free  patients,  must  first  he  ex- 
amined here  by  a  staff  pediatrician  as  a 
safeguard  against  spreading  infection  or 
contagion.  Private  patients  are  those 
who  have  their  own  doctor,  while  house 
patients  are  those  who  have  no  doctor 
and  ask  the  hospital  to  assign  them  to 
one.  Although  most  of  the  adult  patients 
referred  by  Central  Free  Dispensary  for 
hospital  care  are  admitted  directly,  it  is 
found  desirable  in  many  instances  to 
have  such  patients  go  through  our  ex- 
amining rooms  just  prior  to  their  admis- 
sion. Many  patients  who  receive  hospi- 
tal care  as  either  private  or  house  pa- 
tients, pay  return  visits  to  our  examining 
rooms,  following  their  discharge  from 
the  hospital,  for  follow-up  examinations, 
surgical  dressings  or  medical  treatment. 

Diagnostic  Equipment 

To  facilitate  diagnostic  work  of  minor 
scope,  the  department  has  a  small  labo- 
ratory, microscope  and  other  useful 
equipment.  It  also  serves  as  a  central 
supply  room  for  special  equipment  and 
supplies  not  ordinarily  kept  on  the  differ- 
ent floors  of  the  hospital.  This  equip- 
ment includes  a  cart  containing  supplies 
for  making  splints  and  plaster  casts.  An 
autoclave  steam  sterilizer  for  sterilizing 
instruments,  dressings  and  other  supplies 
used  in  the  five  examining  rooms  also  is 
near  at  hand. 

When  more  complete  diagnosis  is 
needed,  patients  are  referred  to  the  larger 
diagnostic  facilities  of  our  hospital,  in- 
cluding our  completely  equipped  labora- 
tories, X-ray,  metabolism  and  electrocar- 
diograph departments.  Non-hospital  pa- 
tients also  are  referred  by  the  examining 
room  for  treatments  in  our  X-ray,  fever 
therapy,  vascular  therapy  and  physio- 
therapy departments.  Members  of  our 
nedical  staff  are  finding  it  increasingly 
desirable  to  utilize  for  their  non-hospital 
J  Datients  these  facilities.  Hence,  our  ex- 
imining  rooms  fill  an  important  role  in 


PRE-NATAL    CLINIC    STAFF 


An  important  phase  of  activities  in  our  ex- 
amining rooms  is  the  pre-natal  clinic  con- 
ducted with  the  cooperation  of  Rush  Medical 
College.  A  total  of  5,555  visits  of  patients 
were  taken  care  of  in  1936.  Miss  Cecilia 
Mahoney,  left,  is  the  pre-natal  nurse  in  the 
Social  Service  department.  Miss  Jessa  Mooney, 
center,  is  the  nurse  in  charge  of  the  clinic  ex- 
amining room.  Dr.  Paul  Woodall,  right,  is 
our  resident  obstetrician  and  gynecologist. 


OUR  CHRISTMAS   BABIES 

Three  babies  were  born  in  our  hospital 
maternity  department  on  Christmas  day. 
Mrs.  Joseph  Goldman  of  Batavia  gave 
birth  to  a  daughter  at  3  : OS  A.M.  A  son 
was  born  to  Mrs.  Philip  Brownstein  of 
45  15l/2  Central  Park  Ave.  at  4:45  P.M. 
Our  third  Christmas  baby  arrived  at 
10:10  P.M.  his  parents  being  Dr.  and 
Mrs.  Edward  Vacheresse,  1850  West 
Jackson  Boulevard. 


this  connection.  To  the  convenience  of 
diagnostic  and  treatment  facilities  are 
added  opportunities  for  consultation  with 
other  staff  men  who  are  near  at  hand. 

Four  graduate  nurses  manage  the 
visits  of  patients,  registering  them  and 
keeping  the  necessary  records  in  a  ready- 
reference  card  index.  A  student  nurse 
assists  in  the  pre-natal  clinic.  Miss  Violet 
Getty  recently  became  charge  nurse  in 
this  department,  succeeding  Miss  Flor- 
ence Cooper  who  resigned  to  take  an 
industrial  nurse  position  with  the  Inter- 
national Harvester  Company. 


ADMISSION    PROCEDURES 

(Continued  from  page  1) 
House  service  patients  include  those 
who  come  to  the  hospital  seeking  medical 
attention  and  who  are  assigned  to  a  mem- 
ber of  the  medical  staff;  and  those  regis- 
tered for  pre-natal  and  maternity  care 
through  our  pre-natal  clinic  conducted 
in  cooperation  with  Rush  Medical  Col- 
lege. Pre-natal  clinic  registrants  pay  a 
stated  fee  for  routine  pre-natal  and  hos- 
pital care  but  this  fee  does  not  include 
doctor's  care  at  time  of  delivery. 

Special  Service  Department 

Our  Special  Service  department  in 
charge  of  Miss  Ruth  Smith  handles  all 
matters  involving  the  inability  of  patients 
to  pay  m  full  for  the  care  received.  The 
Presbyterian  Hospital  is  enabled,  through 
endowment  and  gifts  of  generous  friends, 
to  care  for  a  large  number  of  free  and 
part-pay  patients  in  the  course  of  a  year, 
but  in  order  that  this  service  may  bene- 
fit those  in  greatest  need,  applicants  un- 
able to  pay  the  established  fees  are  asked 
to  go  through  certain  procedures  before 
being  admitted  unless  their  condition  is 
such  as  to  demand  immediate  emergency 
treatment. 

Unless  an  emergency  or  other  special 
circumstances  exist,  applicants  for  free 
care  are  referred  to  Central  Free  Dis- 
pensary, where  clinics  afford  complete  ex- 
amination by  members  of  the  faculty  of 
Rush  Medical  College  and  a  Social  Serv- 
ice Department  investigates  the  circum- 
stances of  the  applicant.  In  due  time 
when  one  of  our  free  beds  is  available, 
such  a  patient,  if  found  to  be  in  need  of 
hospital  care  and  actually  unable  to  pay 
for  it,  is  admitted.  The  Presbyterian  Hos- 
pital also  admits  through  Central  Free 
Dispensary  and  other  established  agen- 
cies patients  qualifying  for  care  in  beds 
supported  m  part  by  the  Community 
fund  and  the  Emergency  Relief  organi- 
zation. Churches  also  refer  patients  for 
free  care,  which  is  provided  as  beds  are 
available.  Emergency  cases  are  admit- 
ted without  delay  regardless  of  whether 
they  have  money  or  not. 

A  few  churches  have  endowed  beds. 
Other  beds  are  endowed  to  care  for  spe- 
cified types  of  patients  and  still  others 
are  supported  as  clinic  beds  for  patients 
selected  by  the  medical  staff  for  teaching 
purposes.  While  all  patients  who  do  not 
pay  in  full  for  their  hospital  care  are 
designated  variously  as  community  fund, 
relief,  dispensary,  clinic  or  special  service 
patients,  all  are  known  to  the  Special 
Service  department  which  serves  as  the 
connecting  link  between  the  hospital  and 
affiliated  or  cooperating  agencies.  Mem- 
bers of  our  medical  staff  generously  give 
their  services  to  all  of  these  patients.  Pa- 
tients, unable  to  pay,  receive  the  same 
care  as  those  who  pay.  In  fact,  it  is  not 
known  on  a  floor  who  pays  or  who  does 
not  pay. 


CHRISTMAS  ACTIVITIES 
SPREAD  CHEER  AMONG 
PATIENTS  AND  OTHERS 

Through  the  generosity  of  many 
friends  and  the  cooperation  of  hospital 
personnel,  activities  within  and  radiating 
from  our  hospital  made  the  Christmas 
season  happier  for  a  large  number  of  pa- 
tients and  other  persons. 

Well  filled  stockings  on  each  little 
bed,  gaily  decorated  Christmas  trees  in 
each  ward  and  an  intriguing  toy  Santa 
Claus  brought  smiles  to  the  faces  of  child 
patients  and  filled  little  hearts  with  joy. 
Special  Christmas  dinners  were  served  to 
all  hospital  patients,  resident  doctors,  in- 
terns, nurses  and  hospital  employees  who 
were  kept  on  duty.  On  Christmas  eve 
our  chef  provided  for  each  patient's 
tray  a  jolly  gingerbread  Santa  Claus, 
while  Christmas  dinner  trays  bore  at- 
tractive favors  arranged  by  the  dietitian. 
Ward  patients  known  to  the  Social  Serv- 
ice department  received  appropriate  gifts. 
The  Social  Service  department  also  pro- 
vided trees  for  some  of  the  wards  and 
gave  special  attention  to  making  Christ- 
mas happy  for  a  number  of  teen-age  pa- 
tients. Student  nurses  sang  Christmas 
carols  in  the  hospital  corridors  early 
Christmas  morning.  First  floor  Christ- 
mas decorations  were  arranged  by  the  Oc- 
cupational Therapy  department,  which 
also  provided  Christmas  candles  for 
nurses'  desks  in  the  different  corridors 
and  all  other  desks  and  departments 
throughout  the  hospital.  Candleholders 
were  made  in  the  carpenter  shop  and  by 
patients  in  the  Occupational  Therapy  de- 
partment. 

150  at  Christmas  Party 

Children  numbering  150  entertained 
at  the  annual  Christmas  party  at  Sprague 
Home  on  Wednesday  evening,  Dec.  23 
included  children  of  employees  and  those 
invited  by  the  Social  Service  department. 
Expenses  of  the  party  were  met  through 
contributions  from  the  Alumna;  and 
members  of  the  Woman's  Board.  Toys 
and  games  were  donated  by  the  Francis 
Parker  school. 

Fifteen  Christmas  baskets  were  dis- 
tributed by  the  Chicago  Rotary  club  to 
families  whose  names  were  supplied  by 
our  Social  Service  department.  Twelve 
baskets  provided  by  hospital  employees 
were  distributed  to  needy  families.  In 
addition  to  Christmas  dinner  supplies, 
families  having  children  received  candy 
and  toys.  These  children  and  others  who 
received  toys  through  our  Social  Service 
department  numbered  119.  A  total  of 
518  toys  was  distributed,  404  of  which 
were  contributed  by  the  Francis  Parker 
school.  Others  were  donated  by  Crerar 
Sunday  school,  board  members  and  em- 
ployees. Seventeen  children  and  older 
boys  and  girls  received  gifts  of  new  cloth- 
ing. 


MOST   PATIENTS   ADMITTED 
VIA    ROOM    CLERK'S    OFFICE 

With  the  exception  of  emergency  or 
other  patients  admitted  between  10:00 
P.M.  and  7:00  A.M.,  all  patients  enter 
our  hospital  via  the  room  clerk's  office. 
Reservations  previously  made  are  on  file 
in  this  office  and  with  information  sup- 
plied by  the  patient,  admission  forms  are 
filled  in  and  a  bell  boy  is  called  to  escort 
the  patient  to  his  or  her  room  or  ward. 

David  Quirk  has  been  a  room  clerk 
here  for  19  years,  during  which  time  he 
has  admitted  thousands  of  patients  repre- 
senting every  walk  and  condition  of  life 
running  the  gamut  from  the  penniless  to 
the  multi-millionaire.  In  this  capacity  he 
has  met  face  to  face  more  hospital  pa- 
tients than  any  other  member  of  our  per- 
sonnel. Miss  Stephanie  Cole  has  been  a 
room  clerk  for  ten  years.  Mrs.  Pauline 
Campbell  has  been  in  this  office  for  three 
years.  All  three  clerks  held  other  posi- 
tions in  our  hospital  prior  to  becoming 
room  clerks.  Shifts  are  arranged  so  that 
one  or  two  clerks  are  on  duty  constantly 
from  7:00  A.M.  to  10:00  P.M. 

WHEN    THE    NIGHT    BELL    RINGS 

Accident  victims,  persons  who  have 
suddenly  become  seriously  ill  and  mater- 
nity patients  comprise  the  bulk  of  the 
patients  admitted  between  10:00  P.M. 
and  7:00  A.M.  Our  night  watchman, 
Charles  Lake,  answers  the  night  bell  and 
the  night  superintendent,  Miss  Mary  E. 
Probert,  takes  the  patient  in  charge  call- 
ing doctors  and  nurses,  making  room  as- 
signment and  attending  to  other  details 
of  admission.  If  surgery  is  needed,  the 
surgeon  called  has  at  command  an  oper- 
ating room  with  a  complete  set-up  of 
sterile  and  aseptically  packed  instruments 
and  other  materials  from  which  the  night 
surgical  nurse  can  assemble  what  is 
needed  by  the  time  the  patient  is  pre- 
pared and  the  surgeon  is  ready  to 
proceed. 


ABOUT   OUR   STAFF   MEN 

Dr.  Harry  A.  Oberhleman  gave  an 
address  on  "Cancer"  at  the  Mid  City 
Workers  Center,  Jan.  9. 

Chicago  Surgical  Society,  Jan.  8 — Dr. 
Hillier  L.  Baker  read  a  paper  on  "Lipodal 
Visualization  of  Bile  Tracts  and  Lesions 
with  Jaundice."  The  discussion  was  by 
Dr.  Charles  M.  Bacon. 

Dr.  Thomas  D.  Allen,  chairman  ol 
the  Legislative  and  Economics  Relations 
committee  of  the  Chicago  Ophthalmo- 
logical  Society  was  one  of  the  speakers 
at  a  special  open  meeting  of  the  society 
on  Jan.  11,  at  which  time  the  subject 
was,  "Educational  School  and  Industrial 
Phases  of  Ophthalmology." 

Dr.  Elias  Selinger  addressed  the  same 
society  on  Dec.  21,  his  topic  being  "An 
Injection  Into  the  Anterior  Chamber 
After  Cataract  Extraction." 


HOUSE    STAFF    CHANGES 

The  following  house  doctors  completed 
their  services  in  our  hospital  at  the  end 
of  the  year: 

Residents: 

Dr.  Charles  McMillin 
Dr.  Sol.  Rome 

Interns: 

Dr.  Joseph  R.  Bennett 
Dr.  Franklin  K.  Gowdy 
Dr.  John  T.  Hauch 
Dr.  Harry  O.  Veach 
Dr.  M.  J.  Holdsworth 

Those  appointed  to  fill  the  vacancies 
and  who  began  their  services  on  January 
1,  are: 

Residents: 

Dr.  Clarence  Darnell 
Dr.  Otto  L.  Siewert 

Interns: 

Dr.  Philip  M.  Howard 
Dr.  Nathan  C.  Plimpton,  Jr. 
Dr.  Ray  F.  Cochrane 
Dr.  Michael  K.  O'Heeron 
Dr.  Roland  L.  Kesler 


54th  ANNUAL  MEETING 
The  54th  annual  meeting  of  the  Pres- 
byterian Hospital  Society  will  be  held  in 
the  hospital  chapel,  Wednesday,  Jan.  20. 
The  business  session  will  follow  luncheon 
which  will  be  served  at  12:15  P.M. 

THE    PRESBYTERIAN    HOSPITAL 

OF    THE    CITY    OF    CHICAGO 

1753  W.   CONGRESS  STREET         CHICAGO,   ILLINOIS 

Telephone:    Seeley   7171 

OFFICERS  and    MANAGERS 

ALFRED    T.    CARTON 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  John    McKinlay 

Albert   B.  Dick,  Jr.  Fred  A.   Poor 

John    B.    Drake  Rev.  John  Timothy 

James  B.  Forgan,  Jr.  Stone,   D.D. 

Albert  D.   Farwell  R.   Douglas  Stuart 

Alfred    E.   Hamill  Robert   Stevenson 

Charles   H.   Hamill  J.    Hall   Taylor 

Edw.  D.  McDougal,   Jr.  John   P.  Welling 

Edward    F.   Wilson 

CLERICAL  MANAGERS 

Rev.  Harrison    Ray   Anderson,    D.D. 

Rev.  Harold    L.    Bowman,    D.D. 

Rev.  Henry    S.    Brown,    D.D. 

Rev.  W.    Clyde    Howard,    D.D. 

MEDICAL    BOARD 

VERNON    C.    DAVID,    M.D President 

WOMAN'S    BOARD 
MRS.    CLYDE    E.    SHOREY President 

ADMINISTRATION 

ASA     S.     BACON Superintendent 

HERMAN    HENSEL    Asst.   Superintendent 

M.    HELENA   McMILLAN     Director,   School   of  Nursing 

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. 


oty  trie  Glty  cy  ©klcacjo' 

BULLETIN 

MEMBER    AMERICAN     HOSPITAL    ASSOCIATION 


Chicago,  111. 


February,    193/ 


No.   95 


ELECTROCARDIOGRAPH 

AIDS  DIAGNOSIS  OF 

HEART   ACTION 

Makes  Photographic  Records 

Doctors  are  coming  more  and  more  to 
use  the  electrocardiograph  as  an  aid  in 
diagnosis  of  heart  conditions.  In  our  hos- 
pital more  than  twice  as  many  electro- 
cardiograms  were  taken  in  1936  as  in 
1933."" 

The  cardiograph  in  its  present  form 
dates  hack  to  1903  when  Einthoven  in- 
vented and  perfected  what  was  known  as 
a  "string  galvanometer".  Twenty  years 
ago,  Dr.  James  B.  Herrick  was  instru- 
mental in  having  the  Presbyterian  Hospi- 
tal install  a  cardiograph,  the  first  of  its 
kind  in  Chicago.  At  present  our  hospital 
has  a  modern  elctrocardiograph. 

How   Records  Are    Made 

What  is  an  electrocardiograph?  It  is 
an  instrument  of  precision  which  graphic- 
ally records  the  action  currents  of  the 
heart.  The  patient  is  connected  to  the  in- 
strument by  means  of  electrodes  placed 
on  different  parts  of  the  body.  This  very 
weak  current  produced  by  the  heart  ac- 
tion passes  through  the  body  into  the 
electrodes  and  registers  a  continuous  up 
and  down  movement  of  the  galvanometer 
string.  This  current  is  amplified  and  the 
string  magnified  and  focussed  by  a  system 
of  lenses,  resulting  in  a  moving  shadow 
sufficiently  large  to  be  photographed  on 
a  strip  of  hromide  paper  much  in  the 
same  manner  as  a  moving  picture  is 
taken. 

The  photographic  recordings  or  elec- 
trocardiograms are  developed  in  a  dark 
room  and  later  mounted  on  a  card  made 
for  this  purpose.  These  tracings  are  read 
and  the  findings  recorded  by  Dr.  Charles 
M.  Bacon  who  is  in  charge  of  this  depart- 
ment. The  report  is  sent  to  the  patient's 
attending  physician. 

The  taking  of  electrocardiograms  re- 
quires training  and  experience.  Mrs. 
Marie  C.  Barker,  our  technician,  has  held 
this  position  for  14  years. 


HEART    BEATS 


Mrs.  Marie  C.  Barker,  technician,  is  shown 
operating  the  electrocardiograph,  which  makes 
photographic  tracings  of  the  heart  action. 
Bands,  fastened  around  each  arm  and  the  left 
leg  of  the  patient  hold  in  position  small 
electrodes  to  which  are  attached  wires  which 
carry  the  impulse  of  the  heart  heats  to  the 
electrocardiograph.  For  one  cardiogram  the 
patient  sits  in  a  chair  with  one  electrode  at 
the  base  of  the  shoulder  blade  and  one  on 
the  chest  over  the   heart. 


WHYS   AND   WHEREFORES 

Articles  in  this  issue  of  our  Bulletin 
describe  some  of  the  ways  in  which  our 
laboratories  and  other  diagnostic  facili- 
ties are  utilised  by  our  medical  staff  for 
the  benefit  of  their  patients,  both  hospi- 
tal and  non-hospital.  Our  X-ray  depart- 
ment was  described  in  a  previous  issue. 
The  interesting  diagnostic  and  research 
work  done  in  Dr.  Rollm  T.  WoodyatLs 
laboratory  will  be  described  in  ,i  future 
issue. 


HOSPITAL  CARE  BRINGS 

BENEFITS  TO  KLEMAN 

FUND  PATIENTS 

Results   Prove  Gratifying 

Through  a  grant  from  the  Minnie 
Frances  Kleman  Fund,  the  Presbyterian 
Hospital  in  cooperation  with  Central  Free 
Dispensary  has  been  enabled  to  provide 
free  hospitalisation  for  a  considerable 
number  of  sufferers  from  epilepsy  whom 
it  is  believed  will  be  benefited  by  scientific 
observation,  medical  treatment  or  sur- 
gery. The  results  of  this  work  to  date 
are  quite  gratifying  not  only  from  the 
standpoint  of  the  benefits  derived  by  the 
individual  patients  but  also  because  of 
opportunities  afforded  for  the  study  of 
epilepsy  in  its  various  forms  and  the  de- 
velopment of  more  effective  therapeutic 
measures  which  will  ev-ntually  benefit 
other  sufferers. 

300  Attend  Clinics 

To  nearly  300  seizure  sufferers  each 
year,  Central  Free  Dispensary  gives  in- 
tensive medical  supervision  through  spe- 
cial epilepsy  clinics  organized  in  the  de- 
partment of  neurology  and  psychology 
and  made  possible  by  assistance  from  the 
Kleman  Fund  for  the  help  of  poor  per- 
sons suffering  from  epilepsy.  All  of  these 
men,  women  and  children  have  distress- 
ing recurring  attacks  of  convulsions  or 
unconsciousness.  Frequently  they  have 
severe  physical  suffering.  In  addition, 
their  emotional  and  mental  condition 
often  becomes  shattered  and  unstable. 
In  many  instances  they  are  extremely  un- 
happy. Their  whole  outlook  becomes 
warped   and  their  general  living  greatly 

Many    Patients    Relieved 

Much  can  be  done  to  help  these  pa- 
tients. Carefully  adjusted  phenobarbital 
medication  is  usually  highly  serviceable. 
Often  this  is  supplemented  by  other  drug 
therapy.  A  diet  high  in  fat  has  been 
found  to  have  protective  value.  The 
(Continued  on  Page  2,  Col.'  3) 


HOSPITAL   SOCIETY    HOLDS    54th    ANNUAL   MEETING 


Mr.     John     McKinlay     Elected 

President    of    Board 

of    Managers 


Reports  presented  at  the  54th  annual 
meeting  of  our  Hospital  Society,  held 
in  the  hospital  chapel  on  January  20, 
showed  that  the  total  cost  of  free  care 
given  during  1936  was  $183,299.50. 
This  included  care  given  to  5,5  54  pa- 
tients who  paid  only  a  part  of  the  cost 
of  care  received,  and  2,437  persons  ad- 
mitted as  free  patients.  Of  11,503  pa- 
tients cared  for,  only  3,412  paid  in  full 
for  the  care  received.  The  total  number 
of  days1  treatment  given  to  all  patients 
was  111,838. 

Lists  Endowment  Gifts 

In  his  report,  Mr.  Alfred  Carton, 
president  of  the  hoard  of  managers, 
stated  that  gifts  to  the  hospital  endow- 
ment and  for  special  funds  in  1936 
totalled  $58,398.85.  These  included 
$22,500  from  Mrs.  Thomas  W.  Swan 
and  Mr.  Albert  B.  Dick,  Jr.  to  complete 
the  $50,000  general  endowment  in  mem- 
ory of  Mr.  Albert  B.  Dick,  Sr.;  $10,000 
from  the  estate  of  Mr.  William  A. 
Douglass;  $9,931.35  transferred  from  the 
Miss  Annie  M.  Brown  annuity,  follow- 
ing her  death;  $9,000  for  the  John  Went- 
worth  memorial  room,  by  Roxana  At- 
water  Wentworth;  $5,000  for  fever 
therapy  in  memory  of  Dr.  Donald  B. 
Abbott,  by  Mrs.  Abbott;  $3,750  from 
the  estate  of  Caroline  Reynolds; 
$2,458.31  from  the  Minnie  Frances 
Kleman  fund  for  epileptics;  $1,787  from 
the  Illinois  Training  School  Alumnae 
and  $300  from  the  estate  of  Evelyn 
Wood  for  the  Helen  Marquis  memorial 
room;  $218.20  from  J.  Hazjett  and 
$842.20  from  the  Presbyterian  School  of 
Nursing  Alumnae  for  the  Mary  Byrne 
room,  and  $1,367.22  from  the  Woman's 
Board  for  the  child's  free  bed  fund. 

Tell    of   Rush    Plans 

Dr.  Emmet  B.  Bay,  the  new  full  time 
dean  of  Rush  Medical  College  who  be- 
gan his  duties  last  summer,  was  intro- 
duced and  spoke  briefly,  saying  that  he 
had  been  impressed  with  the  essential 
unity  between  the  Presbyterian  Hospital, 
Rush  College  and  Central  Free  Dis- 
pensary. Dr.  E.  E.  Irons,  of  our  medical 
staff  and  former  dean  u(  Rush,  told  of 
the  negotiations  which  had  brought  about 
the  decision  of  the  University  of  Chicago 
to  continue  medical  teaching  on  the  West 
Side  with  the  relationship  between  our 
hospital  and  Rush  Medical  College  on 
the  same  basis  as  provided  for  in  the 
original  contract,  54  years  ago. 


ENDOWED    NURSES    CARE 
FOR      1,206      PATIENTS 

Four  endowed  nurses  and  two  nurses 
maintained  by  special  funds  gave  a 
total  of  1,540  days  care  to  1,206 
different  patients  in  our  hospital  dur- 
ing 1936.  All  of  these  were  ward  pa- 
tients who  required  special  nursing  care 
and  who  were  unable  to  pay  for  it.  A 
donation  of  $35,000  endows  a  grad- 
uate nurse  in  perpetuity,  while  a  do- 
nation of  $1,500  maintains  a  graduate 
nurse  for  one  year.  Donations  in  any 
amount  may  be  made  toward  the 
Gladys  Foster  nurse  endowment  or  to- 
ward the  support  of  a  maintained 
nurse. 


12,542    OPERATIONS 

With  a  total  of  12,542  operations  m 
our  hospital  in  1936,  the  daily  average, 
excluding  Sundays,  was  41  plus.  Only 
emergency  operating  is  done  on  Sundays. 
Of  the  total,  10,812  were  minor  opera- 
tions, while  1,730  were  major  operations. 
The  number  of  graduate  and  student 
nurses  on  duty  in  operating  rooms  aver- 
aged  22. 

NURSING    STAFF    ITEMS 

Miss  Helen  Johns  has  resigned  as  head 
nurse  on  the  third  lower  floor  and  began 
work  in  January  as  an  industrial  nurse 
with  the  R.  R.  Donnelly  Company. 

The  Alumnae  Association  has  engaged 
Mrs.  Gertrude  Leiber  to  conduct  a 
course  in  parliamentary  law  for  senior 
student  nurses  and  graduates  who  wish 
to  attend.  The  course  began  Monday, 
Feb.  1,  and  will  continue  for  ten  succes- 
sive Mondays  from  4:00  to  5:00  P.M. 

Miss  Alice  Spellman,  1928,  recently 
resigned  her  position  at  the  Children's 
Memorial  Hospital  of  Chicago  to  accept 
a  responsible  position  at  Albany  Hospi- 
tal, Albany,  N.  Y. 


Charles  B.  Goodspeed,  Fred  A.  Poor, 
Theodore  A.  Shaw,  John  P.  Welling  and 
Kingman  Douglass,  class  of  1936  man- 
agers, were  re-elected  for  another  four 
year  term.  Following  the  meeting  of  the 
Hospital  Society,  the  managers  met  to 
elect  officers  and  name  committees.  Mr. 
Alfred  T.  Carton  who  had  served  as 
president  tor  seven  years  asked  to  he  re- 
lieved and  Mr.  John  McKinlay  was 
elected  to  that  office.  Mr.  Carton  con- 
tinues as  a  member  of  the  board  of  man 
agers.  Other  officers  were  re-elected  as 
listed  on  page  4.  On  motion  of  Mr.  R. 
Douglas  Stuart,  a  committee  was  named 
to  draw  up  resolutions  of  appreciation 
for  the  competent  leadership  and  devoted 
service  given  by  Mr.  Carton  during  his 
seven   years  as  president  of  the  board. 


KLEMAN   FUND   PATIENTS 

(Continued  from  Page  1,  Col.  3) 
dietitians'  services  are  called  upon  quite 
regularly  and  a  systematic  educational 
program  is  undertaken  in  this  respect. 
The  Social  Service  department  assists  pa- 
tients in  working  out  their  home  and 
economic  problems  and  in  planning  a 
well-balanced  program  of  activity  and 
rest,  occupation  and  recreation.  Often 
the  cooperation  of  other  agencies  is  en- 
listed to  these  ends. 

From  among  Dispensary  and  other  pa- 
tients, those  who  are  most  likely  to  be 
benefited  by  hospitalisation  are  selected 
for  admission  to  the  Presbyterian  Hospi- 
tal as  Kleman  Fund  patients.  Members 
of  our  medical  and  surgical  staff  give 
their  services  generously  to  these  patients, 
while  hospital  laboratory,  X-ray  and 
other  facilities  are  used  extensively  in 
diagnosis  and  treatment. 

Surgery  Often  Helps 

Surgery  often  proves  beneficial,  par- 
ticularly to  patients  whose  epilepsy  is  the 
result  of  injuries.  During  the  past  year 
our  department  of  neurosurgery  has 
operated  on  seven  such  patients.  One  of 
these  was  a  young  man  of  ability,  recent- 
ly married,  who  a  few  months  previously 
had  been  struck  on  the  forehead  by  a 
golf  ball  while  working  on  the  links. 
Three  months  after  this  accident  occur- 
red, he  began  to  have  frequent  convulsive 
seizures  and  his  condition  was  truly 
lamentable.  It  was  found  that  a  small 
blood  clot,  situated  in  a  loealizable  and 
important  area  of  his  brain  was  the  cause 
of  his  trouble.  An  operation  was  done  in 
September  and  two  weeks  later  he  re- 
turned to  his  home.  This  young  man  re- 
ported to  the  surgeon  a  few  days  ago  and 
so  far  has  been  completely  freed  from 
the  seizures.  Another  young  man  who 
had  an  operation  for  an  injury  of  the 
brain,  is  greatly  improved  and  is  able  to 
assist  in  his  father's  shop  though  he  had 
had  seizures  since  early  childhood  and 
his  condition  had  reached  a  serious  stage 
under  other  treatment. 

Many  Await  Hospitalization 

Many  patients  arc  being  helped  with- 
out hospitalisation,  but  many  others 
await  the  opportunity  for  either  medical 
or  surgical  treatment  which  can  be  given 
only  under  hospitalisation,  limited  by  the 
funds  available  for  this  purpose.  There 
arc  no  greater  opportunities  for  the  gen- 
erosity of  the  more  fortunate  than  to  pro- 
vide help  for  these  patients,  to  replace) 
despair  by  hope,  and  to  lessen  the  physi- 
cal handicaps  which  make  these  sufferers 
a  burden  to  themselves  and  in  many  in- 
stances .i  burden  upon  the  community. 


LABORATORY   IS    KEY 
THAT  UNLOCKS  MANY 
DOORS   IN   DIAGNOSIS 

The  hospital  laboratory  is  the  key 
whieh  unlocks  many  of  the  doors  leading 
to  the  correct  diagnosis  of  disease.  In 
our  hospital,  the  laboratory  in  charge  of 
Dr.  Carl  W.  Apfelbach,  makes  a  great 
variety  of  examinations  and  tests.  Here 
an  average  of  2  50  urine  specimens  are 
examined  each  day,  while  examinations 
of  stools  average  200  and  blood  counts 
average  100  daily.  Examinations  of  ma- 
terial removed  from  the  stomach  by 
means  of  a  stomach  pump  average  30  per 
day.  Wasserman  tests  on  blood  and 
spinal  fluid  number  around  60  each  week. 

Bacteriological  examinations  of  mate- 
rial that  is  removed  at  operations,  of 
various  excretions  of  the  body,  and  of 
the  blood  constitutes  another  important 
branch  of  laboratory  work.  Microscopic 
examinations  of  diseased  tissue  reveal 
whether  a  tumorous  growth  is  malignant 
or  benign.  This  guides  the  doctor  in  pre- 
scribing treatment  and  operative  proce- 
dure, often  setting  at  rest  needless  fears 
on  the  part  of  patients. 

Chemical   Tests   Increase 

Chemical  examinations  have  increased 
greatly  m  number  with  the  advance  of 
medical  science.  In  192  5  the  total  num- 
ber of  such  examinations  in  our  hospital 
laboratory  was  7,452,  while  ten  years 
later  the  record  was  10,605.  Examina- 
tions in  1936  numbered  10,693. 

Serological  tests  are  done  on  the  blood 
to  determine  the  presence  of  infectious 
diseases  other  than  syphilis,  such  as 
typhoid  fever,  Malta  fever  and  bacilli 
dysentery. 

The  laboratory  safeguards  the  hospital 
milk  supply  by  making  frequent  cultures 
in  order  to  control  its  freedom  from  ex- 
cessive numbers  of  bacteria.  In  the  De- 
cember number  of  our  Bulletin,  readers 
were  informed  concerning  the  extensive 
use  of  sterilizing  equipment  in  different 
departments.  The  laboratory  checks  up 
frequently  on  the  efficiency  of  our  steril- 
izers by  culturing  materials  that  have 
gone  through  the  sterilizing  process  to 
determine  if  these  have  actually  been 
made  sterile. 

Laboratory  Staff 

Different  branches  of  the  laboratory 
work  directed  by  Dr.  Carl  W.  Apfel- 
bach, pathologist,  are  in  charge  of  trained 
assistants  as  follows:  Miss  G.  Bermcc 
Rhodes,  bacteriologist;  Dr.  Milnor  Free- 
land,  chemist;  Dr.  George  Rukstinat, 
assistant  pathologist;  Dr.  Oscar  O.  Chris- 
tianson,  resident  pathologist;  Dr.  Gurth 
Carpenter  and  Dr.  John  Tysell,  assistant 
resident  pathologists.  Ten  other  tech- 
nicians engaged  in  important  routine 
work    are:      S.    D.    Holmgren,    Thomas 


EXHALED    BREATH    IS 
ANALYZED    IN    BASAL 

METABOLISM    TESTS 

An  important  branch  of  laboratory 
work  is  that  done  in  the  metabolism  de- 
partment. During  1936,  a  total  of  1,681 
basal  metabolic  tests  were  taken,  of  which 
694  were  on  non-hospital  patients.  These 
tests  are  taken  to  determine  the  rate  at 
which  the  process  of  building  up  and 
tearing  down  body  cells  is  being  carried 
on.  This  rate  is  revealed  by  testing  in  a 
special  analyzing  machine,  samples  of  the 
exhaled  breath  of  the  patient.  The  rela- 
tive amounts  of  oxygen  and  carbon 
dioxide  found  in  the  exhaled  breath  are 
the  basis  for  scientific  calculation  which 
shows  whether  a  patient  is  consuming 
more  or  less  than  the  normal  amount  of 
oxygen  that  should  be  consumed  by  a 
person  of  the  same  age  and  sex.  Basal 
metabolic  tests  prove  useful  in  confirming 
or  ruling  out  the  existence  of  various  con- 
ditions which  may  be  suspected  as  the 
cause  of  the  patient's  ill  health.  They  are 
especially  useful  in  determining  the  func- 
tioning of  the  ductless  glands  which  in- 
clude the  thyroid  and  pituitary  glands. 

Is  Simple  for  Patient 

The  metabolic  test  is  a  simple  one  for 
the  patient.  All  that  is  required  is  that 
he  lie  quietly  on  a  bed  and  breathe 
naturally  with  a  mask  placed  over  his 
nose  and  mouth.  To  one  side  of  this 
mask  is  attached  a  tube  through  which 
outside  air  is  inhaled,  while  a  tube  at- 
tached to  the  opposite  side  carries  the  ex- 
haled breath  to  a  storage  tank.  Valves 
which  open  and  close  automatically  en- 
able the  patient  to  inhale  fresh  air  and 
in  turn  route  the  exhaled  breath  to  the 
tank.  It  requires  eight  to  ten  minutes  to 
obtain  the  amount  of  expired  air  needed 
for  an  adequate  analysis.  Because  food 
and  exercise  tend  to  speed  up  body 
metabolism,  the  test  is  made  following  a 
night's  rest  and  before  food  has  been 
eaten.  Every  effort  is  made  to  induce  the 
patient  to  feel  calm  as  nervousness  may 
cause  rapid  breathing  and  result  m  an 
inaccurate  test. 


LEE  -  KESLER 

Announcement  has  been  made  of  the 
marriage  on  Thanksgiving  day  of  Miss 
Margaret  Lee,  1933  graduate  of  our 
School  of  Nursing,  and  Dr.  Roland  Lin- 
coln Kesler,  an  intern  in  our  hospital  and 
graduate  of  Rush  Medical  College. 

Craig,  Lynn  Smith,  Helen  Ellis,  Susan 
Plummer,  Louise  Muenning,  Margaret 
Haugen,  Muriel  B.  Groff,  Ruth  Loug- 
heacf,  Helen  S.  Smith,  with  Alice  Wiborg 
and  Virginia  Miller  doing  the  steno- 
graphic and  report  work. 


GRADUATE  AND  STUDENT 
NURSES     KEPT     BUSY     AT 
VARIED    DUTIES    IN     1936 

An  average  of  117  graduate  nurses 
and  78  advanced  student  nurses  were  on 
duty  in  different  departments  of  the 
Presbyterian  Hospital  in  1936,  according 
to  the  report  presented  at  the  annual 
meeting  of  the  Hospital  Society,  by  Miss 
M.  Helena  McMillan,  director  of  the 
School  of  Nursing  and  superintendent  of 
nursing  in  the  hospital.  In  addition,  5  5 
graduate  nurses  gave  a  total  of  19,874 
days  special  duty  to  hospital  patients. 
Of  the  117  graduate  nurses  on  regular 
duty,  five  were  engaged  in  general  day 
and  night  supervisory  work.  The  aver- 
age distribution  of  both  graduates  and 
advanced  students  in  the  different  depart- 
ments was  as  follows:  private  pavilion, 
49;  surgical  floors  of  Jones  and  Murdoch 
building,  46;  medical  floors,  20;  chil- 
dren's department,  20;  maternity  depart- 
ment, 22;  operating  roms,  22;  examining 
rooms,  4;  diet  kitchen  and  milk  labora- 
tory, 7. 

The  total  nursing  enrollment  was  287, 
of  which  137  were  graduate  nurses;  107, 
advanced  students  and  43,  preliminary 
students. 

Assist  at  Dispensary 

Of  those  students  not  on  duty  in  the 
Presbyterian  hospital  or  off  duty  on  ac- 
count of  illness  or  vacation,  an  average 
of  10  daily  gave  service  and  obtained  ex- 
perience in  affiliated  work.  Thirty-nine 
students  gave  1,400  days  assisting  in  clin- 
ics at  Central  Free  Dispensary.  Others 
assisted  in  the  Rush  Medical  College  In- 
fant Welfare  clinic  and  the  Out-Patient 
Obstetrical  department  conducted  by  our 
hospital,  Rush  Medical  College  and  Cen- 
tral Free  Dispensary.  Still  others  gained 
experience  at  the  Chicago  Municipal 
Disease  Hospital,  Chicago  Visiting  Nurse 
Association,  and  Cook  County  hospital 
neurological  and  psychiatrical  depart- 
ments. 

Our  School  of  Nursing  is  one  of  those 
selected  to  collaborate  with  a  national 
committee  that  is  making  a  study  of  pro- 
posed changes  in  the  approved  curri- 
culum fin-  schools  of  nursing. 

MEMORIAL    GIFT 

Mrs.  Ellen  Wagoner  and  Miss  Eliza- 
beth Wagoner  recently  contributed  $50 
to  the  School  of  Nursing  endowment 
fund  as  a  memorial  to  their  daughter  and 
sister,  Miss  Josephine  Wagoner,  student 
nurse,  who  died  in  November  after  a 
short  illness.  The  two  sisters,  who  were 
born  in  India  of  missionary  parents,  en- 
tered our  school  in  September,  1935. 
Miss   Elizabeth   is  continuing  her  course 

;     here   and    has    the    sympathy   of  all    who 

[    knew  and  loved  her  sister. 


One  Million  Phone  Calls  Are  Cleared  Yearly  By  Our 

Switchboard  —  Annunciating  System  Is  Handled  Also 

How  did  hospitals  manage  to  function  before  Alexander  Graham  Bell  invented  the 
telephone?  Today  the  telephone  is  an  indispensable  part  of  hospital  equipment.  The 
switchboard  may  well  be  called  the  "heart"  of  the  hospital  and  the  telephone  lines  its 
"arteries".  The  telephone  operator  must  be  quick,  accurate  and  on  the  alert  at  all 
times.  In  our  hospital,  the  telephone  switchboard  handles  on  its  2 1  outside  trunk  lines 
and  its  284  house  terminals  around  one  million  calls  per  year,  with  a  daily  load  of 
2,600  to  2,800  calls.  But  that  is  only  part  of  the  work  done  by  our  telephone  operators. 
They  take  messages  for  staff  doctors,  keep  a  register  which  shows  at  any  given  moment 
who  of  the  staff  are  in  the  hospital  and  who  has  been  m  and  left  and  where  he  went. 
Here,  also,  for  ready  reference  is  a  register  of  patients  having  telephones  at  the  bedside. 
If  the  patient  is  not  receiving  telephone  calls,  colored  plugs  indicate  this  and  the  call  is 
given  to  the  floor  nun 

GENITO-URINARY    SURGEONS 
GUESTS    OF    OUR    HOSPITAL 

The  Clinical  Society  of  Genito- 
urinary Surgeons  held  its  13th  annual 
meeting  in  Chicago,  Jan.  22  and  2  3.  On 
Friday  morning  members  of  society  at- 
tended a  clinic  in  our  hospital  conducted 
by  Dr.  Herman  L.  Kretschmer,  and  were 
guests  of  the  hospital  at  luncheon.  On 
Saturday  morning,  they  attended  a  clinic 
conducted  by  Dr.  Kretschmer  at  Chil- 
dren's Memorial  Hospital.  Membership 
in  the  society  is  limited  to  2  5  and  con- 
sists of  men  outstanding  in  this  field  of 
surgery  in  the  United  States  and  Canada. 
Dr.  Kretschmer  was  elected  president  for 
the  coming  year. 


Our  telephone  operators  also  have 
ready-reference  lists  of  clinics  held  in  the 
hospital  and  at  Central  Free  Dispensary, 
schedule  of  operations  for  the  day,  tele- 
phone numbers  of  private  offices  of  staff 
doctors  and  office  hours;  also  residence 
telephone  numbers.  Private  lines  connect 
our  hospital  with  Rush  Medical  College, 
Central  Free  Dispensary,  our  Nurses' 
Home  and  the  Professional  Schools 
Y.  M.  C.  A. 

Do   Annunciating  Also 

Staff  doctors  and  interns  don't  stay  put 
very  long,  it  seems,  because  they  are  go- 
ing from  patient  to  patient,  checking  up 
on  laboratory  or  X-ray  findings  and  what 
not.  Hence,  a  part  of  our  telephone  serv- 
ice is  the  annunciator  system,  over  which 
telephone  operators  announce  names  of 
staff  members  who  are  wanted  on  the 
house  telephone  or  for  whom  a  call  has 
come  from  outside.  During  the  busiest 
hours  of  the  day  from  125  to  150  names 
are  called  per  hour  on  the  annunciators, 
which  are  located  on  every  floor  and  in 
corridors  adjacent  to  operating  rooms. 

During  the  busiest  hours,  from  10 
A.M.  to  2  P.M.,  three  operators  handle 
all  of  this  work.  Two  are  on  duty  from 
7-30  to  10:00  A.M.  and  from  2:00  PM 
to  9:30  P.M.  One  operator  takes  care  of 
the  work  from  9:30  P.M.  to  7:30  A.M. 
Mrs.  Helen  Losand  is  our  chief  operator. 
Other  young  women  operators  are  Cathe- 
rine Burns,  Mary  Sheridan,  Bessie  Mac- 
Pherson  and  Anne  Feitl.  Paul  Rupp  is 
the  night  operator.  All  of  these  opera- 
tors are  specially  trained  for  the  exacting 
work  required. 


VISITORS    FROM    AUSTRALIA 

Two  visitors  from  Melbourne,  Austra- 
lia, visited  our  hospital  on  Jan.  20  and 
were  guests  at  the  annual  meeting  of  our 
Hospital  Society.  They  were  Lieut. 
Colonel  R.  E.  Fanning,  superintendent 
of  a  hospital  now  under  construction 
which  is  affiliated  with  the  University  of 
Melbourne,  and  Mr.  D.  K.  Turner, 
architect  of  the  new  hospital. 


MEDICAL    STAFF    NEWS 

Chicago  Society  of  Allergy,  Jan.  18- 
Dr.    Francis    L.    Foran   spoke   on,    "The 
Treatment  of  Hay  Fever  with  a  Modified 
Pollen  Solution." 

Southern  Cook  County  Branch,  Chi- 
cago Medical  Society,  Jan.  19  at  Chicago 
Heights — Dr.  Carey  Culbertson  gave  an 
address  on  "Endocrine  Glands  in  Gyne- 
cology," and  Dr.  W.  O.  Thompson  spoke 
on  "Dietary  Problems  in  Diabetes,  Obesi- 
ty and  Other  Diseases." 

Dr.  Nora  Brandenburg  returned  re- 
cently from  a  six  months  stay  in  Europe 
during  which  she  studied  otolaryngology 
with  Professor  Paun~  at  the  Royal  Hun- 
garian University  in  Budapest  and  also 
spent  some  time  studying  in  Vienna. 

Dr.  Isabella  C.  Herb  has  resumed  her 
work  as  chief  anesthetist  in  our  hospital, 
following  an  absence  of  several  months 
on  account  of  illness.  Dr.  Eva  Line  as- 
sisted m  this  department  during  Dr. 
Herb's  absence. 

The  Chicago  Gynecological  Society 
held  a  clinic  in  our  hospital,  Jan.  1?,  and 
were  guests  of  the  hospital  and  our  oh 
stetrical  and  gynecological  staff  .it  lunch. 
Operative  clinics  were  held  both  morning 
and  afternoon.  The  large  group  m  at 
tendance  included  visitors  from  Milwau- 
kee, Grand  Rapids,  Jol'ct  and  other  near 
by  cities. 


FLOOD    SERVICE 

Misses  Beatrice  Williams,  Gladys 
Heikens,  Retta  Gasteyer  and  Ruth  Han- 
sen, graduates  of  our  School  of  Nursing, 
were  among  the  50  nurses  sent  from  Chi- 
cago by  the  Red  Cross  to  care  for  flood 
victims  at  Louisville,  Ky. 

Contributions  from  nurses  and  hospi- 
tal employees  toward  the  Red  Cross 
flood  relief  fund  are  still  being  received 
as  this  Bulletin  goes  to  press. 


30,000    TONGUE    DEPRESSORS 

Lives  there  a  man  with  health  so  good. 

That  never  to  him   has  been  said 

By  an  inquiring  doctor  confessor. 

As  he  deftly  wielded  a  tongue  depressor, 

"J\ow  open  wide  and  say  ah-h-h." 

This  happened  no  less  than  30,000 
times  last  year  in  our  hospital,  that  be- 
ing the  number  of  tongue  depressors  our 
purchasing  department  was  called  upon 
to  supply.  Knowing  the  penchant  that 
all  good  doctors  have  for  making  use  of 
these  annoying  but  necessary  little  medi- 
cal accessories,  we  are  assuming  that 
none  of  the  30,000  failed  to  perform  its 
mission  before  beint;  discarded. 


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 
Alfred   T.   Carton 
Albert   B.  Dick,  Jr. 
John   B.    Drake 
James  B.  Forgan,  Ji 
Albert  D.   Farwell 
Alfred   E.    Hamill 
Charles  H.    Hamill 


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

Stone,   D.D. 
R.   Douglas  Stuart 
Robert   Stevenson 
J.    Hall   Taylor 
John   P.  Welling 


Edward    F.   Wilson 

CLERICAL  MANAGERS 

Rev.  Harrison    Ray   Anderson,    D.D. 

Rev.  Harold    L.    Bowman,    D.D. 

Rev.  Henry    S.    Brown,    D.D. 

Rev.  W.    Clyde    Howard,    D.D. 

MEDICAL    BOARD 

VERNON    C.    DAVID,    M.D President 

WOMAN'S    BOARD 
MRS.    CLYDE    E.    SHOREY  President 

ADMINISTRATION 

ASA     S.     BACON  Superintendent 

HERMAN    HENSEL        .  Asst.    Superintendent 

M.    HELENA   McMILLAN     Director,   School   of  Nursing 

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 
ot  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. 


kt  ftesbyCCTtaii  Hospital 

o"y  trie  Glty  &y  Skicago 

BULLETDN 

MEMBER    AMERICAN     HOSPITAL    ASSOCIATION 


Chicago,  111. 


March,    1937 


No.   95 


CHURCHES  AND  SUNDAY  SCHOOLS  AID  NEEDY  SICK 


Offerings    are   Received   from 

Presbyterian  Friends  on 

Easter  Sunday 


When  Dr.  Joseph  Presley  Ross  enlisted 
a  group  of  Presbyterian  laymen  in  char- 
tering and  completing,  54  years  ago,  the 
hospital  project  that  had  been  started  by 
the  faculty  of  Rush  Medical  College, 
they  gave  to  the  city  of  Chicago  its  sec- 
ond Protestant  hospital  and  to  the  West 
Side  its  first  general  hospital  other  than 
the  Cook  County  institution.  And  they 
gave  to  Presbyterians  and  other  Christian 
friends  of  Chicago  and  the  Northwest 
the  opportunity  to  share  in  building  an 
institution  which  has  honored  the  name 
of  Christ,  the  Great  Physician,  not  only 
through  its  service  to  the  "least  of  these" 
but  for  its  contributions  to  the  advance- 
ment of  medical  science  through  affilia- 
tion with  Rush  Medical  College  of  the 
University  of  Chicago. 

Dedicated  in  its  charter  to  care  for  sick 
and  disabled  persons  of  every  nationality, 
creed  and  color,  the  Presbyterian  Hospi- 
tal of  the  City  of  Chicago  has  had  the 

upport  of  generous  persons  of  all  reli- 
gious faiths.  On  Easter  Sunday  each  year 
members  of  our  Presbyterian  churches 
are  given  an  opportunity  to  contribute  to 
a  special  offering  for  the  charity  work  of 
the  hospital.  The  offerings  of  the  Sunday 
School  children  help  to  swell  an  endow- 
ment fund  which  now  amounts  to 
$42,794.11  and  supports  eight  "Cheer- 
lap"  beds  in  our  children's  wards.  Con- 
tributions made  at  church  services  are 
used  to  help  support  free  work  for  adult 
patients,  particularly  ministers,  missiona- 
ries and  needy  persons  referred  by  the 
rhurches.    These  numbered  99  last  year. 

n  addition,  76  church  patients  were 
pared  for  without  charge  in  our  examin- 

ng  rooms.  Ten  patients  occupied  our  en- 
lowed  room  for  ministers  and  missiona- 
ries.  Others  cared  for  included  43  minis- 
( Continued  on  Page  2,  Col.   3) 


oo 


"We're  better  now  thank  you" 
is  the  message  that  these  and 
hundreds  of  other  child  patients 
send  this  Easter  season  to 
Presbyterian  Sunday  Schools 
and  other  friends  whose  gifts 
hare  endowed  nine  Cheer-up 
and  Sunshine  beds.  In  1936 
these  free  beds  were  occupied 
by  711  different  children,  who 
would  not  have  received  hospital 
care,  otherwise. 


CO 


AN  EVER  EXPANDING  MINISTRY  OF  MERCY 

The  Presbyterian  Hospital  admitted  582  more  patients  in  1936  than  in  1935  .  .  . 
Our  1935  admissions  exceeded  those  of  1934  by  354  .  .  .  Increases  represented 
more  pay  patients,  more  part  pay  and  more  free  patients  ...  It  cost  $846,571.52 
to  take  care  of  11,503  patients  admitted  to  the  hospital  and  31,879  non-hospital 
patient  visits  to  our  examining  rooms  last  year  .  .  .  An  additional  sum  of  $96,129.53 
was  expended  to  maintain  our  School  of  Nursing  and  Nurses'  Home  .  .  .  The  cost 
of  free  care  given  to  5,554  part  pay  and  2,437  free  patients  was  $183,299.50  .  .  . 
This  figure  does  not  include  free  services  given  to  these  patients  by  members  of 
our  medical  staff  of  100  men  and  women  appointed  from  the  faculty  of  Rush 
Medical  College  of  the  University  of  Chicago  ...  It  is  only  through  rigid  economy, 
the  devoted  service  of  our  medical  staff,  nurses  and  hospital  personnel,  and  the 
generosity  of  many  friends  that  our  hospital  has  been  enabled  to  carry  forward 
this  expanding  program  of  service  to  the  sick  and  injured  .  .  .  And  it  is  only 
through  the  continued  and  enlarged  support  of  many  generous  friends  that  we 
shall  be  able  to  continue  this  expanding  ministry  to  the  less  fortunate  and  at  the 
same  time  meet  increased  maintenance  costs  and  demands  for  new  facilities  to 
keep  pace  with  advances  in  medical  science. 


"CHILDREN'S  HOUR"  KEEPS  YOUNG  PATIENTS  HAPPY 


Story  and  Play  Ladies  Spread 

Sunshine  on  Hospital 

Children's  Floor 

How  the  daily  "Children's  Hour"  con- 
ducted by  the  Story  Lady  and  the  Play 
Lady  helps  to  brighten  the  days  and 
create  new  interests  for  our  child  patients 
was  brought  out  in  a  talk  given  at  the 
March  meeting  of  our  Woman's  Board 
by  Miss  Winifred  Brainerd,  who  has 
charge  of  our  hospital  Occupational 
Therapy  Department.  Miss  Brainerd 
quoted  from  Longfellow's  familiar  poem 
and  went  on  to  say  that  those  who  take 
part  m  the  hospital  "Children's  Hour" 
do  not  creep  down  stairways  and  raid 
citadels  of  affection  but  hold  their  own 
citadels,  each  citadel  a  white  bed. 

Throughout  the  day,  the  nurses  on  our 
children's  floor  plan  and  supervise  such 
diversion  as  each  little  patient  is  permit- 
ted to  have  within  the  limits  of  his  or 
her  physical  welfare.  Each  of  the  wards 
for  children  over  18  months  old  has  a 
dollhouse,  radio,  and  cupboards  filled 
with  toys,  games  and  books.  Low  tables 
and  chairs  are  used  for  games  and  eating 
by  children  who  are  well  enough  to  leave 
their  beds  for  short  periods.  A  part  of 
the  course  given  to  our  student  nurses  in 
the  Occupational  Therapy  department 
embraces  games,  storytelling  and  other 
diversions  especially  suited  to  ill  and  con- 
valescent children. 

New  Things  to   Do 

Thus  every  waking  hour  in  the  child 
patient's  day  is  made  as  pleasant  as  pos- 
sible but,  just  as  the  child  in  the  home 
likes  to  have  visitors  and  new  things  to 
do,  so  our  child  patients  look  forward 
eagerly  to  the  daily  visits  of  the  Story 
Lady  and  the  Play  Lady  from  the  Occu- 
pational Therapy  department.  Miss 
Brainerd  explained  that  these  titles  are 
used  interchangeably  for  Miss  Tully  and 
Miss  Stoner,  and  that  each  can  supply 
whatever  need  arises. 

Stories  of  two  little  patients  told  by 
Miss  Brainerd  are  typical  of  many  of  the 
children  cared  for  in  our  Cheer-up  beds, 
endowed  by  Presbyterian  Sunday  School 
children,  although  the  names  given  here 
are  not  the  correct  names  of  the  children 
described.  Little  Margaret  had  been 
severely  burned  and  had  to  lie  on  her 
face  under  a  canopy  for  many  days.  At 
first  she  could  hardly  move.  Through  the 
Story  Lady,  a  doll  named  Sunny  Sue 
came  to  live  under  the  canopy  and  re- 
ceived all  of  Margaret's  confidences.  As 
her  condition  improved,  some  beautiful 
colored  blocks  were  pi, iced  under  the 
canopy  and  she  learned  to  build  houses, 
gardens  and  castles  with  these.  The  Story 
Lady  filled  a  big  void  in  Margaret's  life 


A   Song  for  Doubters 

I  see  God  today  in  all  these  things: 

A  pearl-gray  dawn,  a  tiny  bird  that  sings 
Each  morning  on  my  window  .sill; 

An  April  shower,  a  tree  that  is  tall  and  still, 
A  yellow  morning  sun,  full-red  at  noon; 

White   lillies,  silver   in  the   silver  moon, 
And  drin\ing  in  this  beauty,  I  most  humbly  say 

"God,     how    did    1    dare    to    doubt    you — 
yesterday7" 

— Helen  Stidd,  Student  Nurse 


FAREWELL   FOR   MRS.    WOLFE 

Mrs.  Martha  E.  Wolfe  relinquished 
her  duties  as  matron  of  our  hospital, 
March  1,  after  2?  years  of  service  in  the 
housekeeping  department,  during  13  of 
which  she  held  the  position  of  matron. 
On  Thursday  afternoon,  Feb.  25,  a  fare- 
well tea  was  given  at  Sprague  Home  in 
honor  of  Mrs.  Wolfe.  Guests  included 
members  of  the  Woman's  Board,  nurses 
and  other  friends.  Mrs.  Clyde  E.  Shorey, 
president  of  the  Woman's  Board,  pre- 
sented to  Mrs.  Wolfe  on  behalf  of  board 
members  and  others,  a  pocketbook  con' 
taining  a  sum  of  money,  stating  that  this 
gift  expressed  in  a  small  way  the  deep 
appreciation  of  the  donors  for  the  fine 
cooperation  and  assistance  given  to  the 
board  in  numerous  ways  through  the 
years  by  Mrs.  Wolfe. 

Miss  Bernice  Stein,  is  now  in  charge 
of  the  housekeeping  department.  Miss 
Stein  is  a  graduate  of  Rockford  College, 
where  she  majored  in  home  economics. 

VALENTINE    GREETINGS 

As  Valentine  Day  greetings,  our  chef, 
Mr.  Erich  Bode,  provided  dainty  little 
heart-shaped,  appropriately  decorated 
cakes,  which  were  served  on  patients' 
supper  trays,  Sunday  evening,  Feb.  14. 

and  she   heard  about  Black   Sambo  and 
Peter  Rabbit.    When  she  was  able  to  go 

home,  well  and  happy,  she  said  to  Miss 
Stoner,  "Ain't  I  the  lucky  stiff?" 

Finds  a   New  Interest 

Doris,  age  11,  has  been  ill  for  a  long 
time  and  must  keep  very  quiet.  When 
she  first  came  to  us,  her  only  diversion 
was  reading,  but  when  the  doctor  wanted 
the  reading  time  cut  down,  she  learned 
about  the  toy  elephants  that  are  made 
from  plaid  ginghams  and  decided  to 
make  one  for  her  new  baby  sister.  She 
chose  material  with  great  care  and  is 
learning  to  sew  and  use  her  mind  in  plan- 
ning what  to  do  next.  A  certain  assign- 
ment is  set  for  each-  day  and  the  Play 
Lady  always  finds  the  task  accomplished 
when  she  returns  for  the  next  visit.  Thus 
Doris  has  found  a  new  interest  to  cut 
down  the  excessive  amount  of  reading 
and  broaden  her  mental  outlook,  thus 
helping  her  to  regain  her  health  in  one 
of  our  Cheer-up  beds. 


EASTER  OFFERING 

(Continued  from  Page   1,  Col.   1) 
ters  and  members  of  their  families.   Beds 
maintained  by   churches   were   occupied 
by  46  different  patients  a  total  of  466 
days. 

The  following  are  extracts  from  a  few 
of  many  letters  of  appreciation  received 
from  those  to  whom  our  hospital  was  a 
haven  of  mercy  when  illness  found  them 
lacking  sufficient  funds  to  meet  the  cost 
of  care  that  was  imperative: 

"Both  wife  and  I  are  profoundly  grate- 
ful to  you  for  the  very  great  kindness 
you  have  shown  us  in  doing  so  much  for 
her  in  body  and  soul.  You  have  increased 
her  life  and  strength  and  lengthened  her 
days  and  mine  and  you  have  helped  us  so 
much  that  we  shall  be  able  to  give  good 
service  in  our  Presbyterian  church  and  in 
the  kingdom  for  several  years  to  come." 

"Please  accept  my  appreciation  of  the 
splendid  services  given  me  while  a  patient 
in  your  hospital.  Being  sick  is  hard  but 
when  without  money  the  burden  is 
doubled,  and  I  shall  feel  eternally  grate- 
ful  to  you  for  making  hospitalization  pos- 
sible during  these  trying  times." 

"I  again  want  to  express  our  sincere 
appreciation  for  the  wonderful  care 
given  my  mother,  and  your  courtesy  in 
adjusting  financial  matters.  I  hope  some 
day  that  when  my  ship  comes  in  I'll  be 
able  to  show  my  appreciation  in  a  more 
substantial  way.  My  name  on  an  en- 
dowed room  is  a  very  pleasant  thought 
and  I  hope  to  be  able  to  carry  it  out 
some  day." 


Jn  iHrmnrtam 


Dr.  Thor   Rothstein 

Dr.  Thor  Rothstein  died  in  our  hospi- 
tal February  19,  1937,  following  a  short 
illness.  He  was  born  in  Sweden,  October 
20,  1865;  was  graduated  from  the  Royal 
Medical-Surgical  Institute  of  Stockholm 
and  became  a  fellow  of  the  American 
Medical  Society.  He  also  was  a  member 
of  the  Chicago  Neurological  Society  and 
the  University  Club. 

Dr.  Rothstein  joined  the  staff  of  the 
Rush  Medical  College  in  1893.  He  won 
acclaim  for  his  research  work  and  his 
contributions  to  medical  publications.  In 
June,  1930,  King  Gustav  of  Sweden  con- 
ferred upon  him  the  Royal  Order  of  the 
North  Star,  with  the  rank  of  knight.  He 
had  been  an  attending  neurologist  on  our 
hospital  staff  for  many  years.  Dr.  Roth- 
stein is  survived  by  his  widow  and  a  son, 
Christian  Donald. 


CHURCH  WOMEN,  OTHERS 
AID  WOMAN'S  BOARD  IN 
NUMEROUS    ACTIVITIES 

Following  is  a  summary  of  work  done 
by  various  committees  of  our  Woman's 
iBoard  during  1936  and  not  previously 
reported  in  our  Bulletin : 

Board  members  and  other  church 
women  contributed  $2,653.50  through 
the  pledge  fund  committee  of  which  Mrs. 
R.  Douglas  Stuart  is  chairman  and  Mrs. 
Kingman  Douglass,  vice-chairman.  Pub- 
lic-spirited women  other  than  Presby- 
terians gave  $1,982  through  the  efforts 
iof  the  contributors  fund  committee,  Mrs. 
Charles  S.  Reed,  chairman,  and  Mrs.  H. 
H.  Kittleman,  vice-chairman. 

For  Sick  Children 

Two  committees  raised  funds  especial- 
ly to  aid  the  hospital  in  its  free  work  for 
children.  Mrs.  William  R.  Tucker  is 
chairman  and  Mrs.  H.  C.  Patterson,  vice- 
chairman  of  the  tag  day  committee, 
which  with  the  help  of  scores  of  taggers, 
collected  $1,486  on  Children's  Benefit 
League  tag  day.  Receipts  from  43  Sun- 
day Schools  and  many  individuals  added 
$1,367.22  to  the  child's  free  bed  fund. 
Mrs.  William  A.  Douglass  is  chairman 
and  Mrs.  Wm.  B.  Neal,  vice-chairman 
of  this  committee. 

Babies'  alumni  fund  receipts  were 
$115.00. 

The  furnishings  committee,  Mrs. 
Perkins  B.  Bass,  chairman,  beautified  the 
large  maternity  ward  and  some  of  the 
semi-private  rooms  in  that  department. 
The  Occupational  Therapy  committee  of 
which  Mrs.  L.  Hamilton  McCormick  is 
chairman  and  Mrs.  J.  Hall  Taylor,  vice- 
chairman,  assisted  the  work  of  that  de- 
partment in  numerous  ways  and  pro- 
vided dishes  for  parties,  a  new  radio, 
electric  sewing  machine,  two  electric 
clocks,  studio  couch,  photographic  and 
gardening  equipment. 

Sew  17,693  Articles 
Mrs.  John  W.  Bingham,  chairman  of 
the  sewing  committee,  reported  that 
17,963  articles  were  received  from  43 
church  sewing  committees.  Mrs.  William 
B.  Neal  and  Mrs.  Cameron  Barber  are 
vice-chairmen.  The  latter  reported  that 
15,000  soap  wrappers  were  collected  and 
exchanged  for  14  dozen  teaspoons  and  2 
dozen  dessert  spoons. 

The  School  of  Nursing  committee 
raised  $382  at  a  benefit  bridge  party, 
thus  enabling  the  board  to  provide  serv- 
ices of  a  musical  director  and  current 
events  lectures  for  the  school.  Lay  work- 
ers were  furnished  for  the  Rush  Medical 
College  infant  welfare  clinic.  One  mis- 
sionary scholarship  and  eight  student 
loans   were   maintained.     Mrs.   Alva   A. 


Smallpox  Goddess  Deaf  in  India;  Missionary 

Nurses  Help  Combat  Superstition  and  Despair 

Chicago  with  only  12  cases  of  smallpox  in  1936  among  its  population  of  3,5  58,000 
affords  a  striking  contrast  to  the  story  told  m  a  leaflet  inclosed  m  a  letter  received 
recently  from  Miss  Evelyn  M.  McKelvey,  1931  graduate  of  our  School  of  Nursing, 
now  stationed  at  Londur  Community  Hospital,  Londur,  United  Provinces,  India.  The 
story  relates  how  poverty-stricken  low-caste  women  plunged  themselves  into  lifelong 
debt  that  they  might  make  offerings  to  the  Smallpox  Goddess,  Sitla  Dewi,  to  placate 
her  so  that  mayhap  some  dear  one,  ill  in  some  little  dark  room  might  not  have  to  face 
the  fearful  unknown.  But  the  Smallpox  Goddess  was  deaf  and  hundreds  died  despite 
the  sacrifices  and  frantic  appeals  of  the  women. 
That  human  beings  anywhere  are  with 


out  the  knowledge  and  benefit  of  vaccina- 
tion 139  years  after  its  discovery  by  Jen- 
ner;  that  millions  continue  to  find  in  re- 
pulsive superstition  their  only  weapon 
against  disease  of  all  kinds  seems  incredi- 
ble. Missionary  doctors  and  nurses  are 
helping  to  overcome  this  superstition  and 
ignorance  on  a  thousand  far-flung  fron- 
tiers. Fifteen  graduates  of  our  Presby- 
terian Hospital  School  of  Nursing  are 
now  sharing  in  this  work  in  different 
parts  of  the  world.  Our  Woman's  Board 
provides  scholarships  and  a  loan  fund  to 
assist  students  in  our  School  of  Nursing 
who  wish  to  prepare  for  missionary  serv- 
ice. Student  Volunteer  and  Y.W.C.A. 
groups  organised  in  our  school  stimulate 
interest  in  world  friendship  and  mis- 
sionary work. 

Fills  Responsible  Position 

Miss  Margaret  Burkwall  (1931)  served 
as  superintendent  of  nurses  at  Hoihow 
Hospital,  Hainan  Island,  South  China,  in 
1935  during  the  absence  on  furlough  of 
Miss  Caroline  McCreery.  Hoihow  is  the 
largest  Presbyterian  Hospital  in  China. 
Miss  Burkwall  also  had  charge  of  the 
School  of  Nursing,  graduating  the  first 
class  and  starting  a  new  class  during 
Miss  McCreery's  absence.  She  is  now 
head  nurse  at  Kachek  Hospital,  Island  of 
Hainan. 

Knight  is  chairman  and  Mrs.  Edwin  M. 
Miller,  vice-chairman. 

Eighteen  churches  contributed  $773.3  3 
as  a  Thanksgiving  offering.  Mrs.  W.  B. 
McKeand  is  chairman  and  Mrs.  Kellogg 
Speed,  vice-chairman.  Five  teas  were 
given  in  the  interest  of  this  fund. 

Mrs.  Clement  Pollock  and  her  enter- 
tainment committee  arranged  three  de- 
lightful programs  which  were  given  in 
the  chapel  for  patients  able  to  attend. 
Thirteen  talks  about  the  work  of  the  hos- 
pital were  given  by  members  of  the  pub- 
licity committee  of  which  Mrs.  Ernest 
E.  Irons  is  chairman.  The  delicacies  com- 
mittee reported  contributions  as  follows: 
6,591  glasses  of  jelly,  139  pints  grape 
juice,  83  cans  fruit  and  $320.35  con- 
tributed for  fresh  fruit  for  ward  patients. 
Mrs.  J.  P.  Mentzer  is  chairman  and  Mrs. 
G.  G.  Olmsted,  vice-chairman. 


When  Ethiopia  was  m  the  grip  of 
war,  the  former  Madeline  Vanden  Ak- 
ker  (1934)  remained  in  Addis  Ababa 
with  her  husband,  Dr.  John  Alfred 
Cremer,  head  of  the  United  Presbyterian 
Hospital  in  that  city,  who  planned  and 
directed  hospitalization  for  the  care  of 
the  wounded.  The  Cremers  arc  still  at 
Addis  Ababa. 

Other  Missionary  Nurses 

Other  graduates  of  our  school  known 
to  be  serving  as  missionary  nurses  are  as 
follows: 

Miss  Gwyneth  Porter,  Toxila,  Punjab, 
India. 

Mrs.  Anna  Rauch  Mackenzie,  American 
Board  Mission  in  South  Africa,  Mount 
Sclinda,,  S.R.,  Melsetta  S.  Rhodesa. 

Mrs.  Esther  Ruhl  Kleffel,  Shanghai,  China. 

Miss  Ida  Marie  Seymour,  American  Pres- 
byterian Mission  North,  Tsining,  Shantung 
China. 

Miss  Hazel  Taylor,  Margaret  Williamson 
Hospital,  Shanghai,  China. 

Miss  Leila  Clark,  Fera;epur,  Punjab,  India. 

Miss  Helen  Marie  Christensen,  Maternity 
Hospital,   Santiago,  Chile,  South  America. 

Miss  Esther  Mae  Dodd,  Shanghai  Inland 
Mission,  Shanghai,  China. 

Mrs.  Winona  Hayenga  Thome,  Elat,  Ebo- 
lowa,  Cameroun,  West  Africa. 

Mrs.  Helen  McCuish  Oltman,  Amody, 
China. 

Miss  Bertha  Warner,  Hwacyuan,  Anhives, 
China. 

Mrs.  Lillian  Young  Otto,  Untenjambili, 
Natal,  South  Africa. 

Dr.  Ann  Huizinga,  who  began  as  an 
intern  on  our  pediatrics  service  March  1, 
was  born  in  China  of  missionary  parents 
and  plans  to  return  as  a  medical  mis- 
sionary after  completing  her  year's  in- 
ternship. She  will  receive  her  M.D.  de- 
gree from  Rush  College  in   June. 


MONTE    CARLO    ARTISTS   HEARD 

IN     SPRAGUE     HOME     CONCERT 

Artists  of  the  Monte  Carlo  Opera 
Company  gave  a  concert  at  Sprague 
Home  on  Thursday  evening,  March  4. 
Walter  Merhoff,  baritone;  Ruby  Spencer 
Lyon,  coloratura:  Giuseppi  Lazzarani, 
tenor,  and  Gudrun  Thorson,  contralto 
and  accompanist,  gave  their  usual  excel- 
lent performance  of  opera  music.  They 
were  assisted  by  Murrel  Grey,  ballet 
soloist  of  the  Chicago  City  Opera  Co. 


and  during  his  25  years  as  our  chaplain, 
Dr.  Ware  has  read  the  marriage  service 
many  times,  sometimes  in  the  chapel, 
more  often  at  the  bedside.  But  this  was 
the  first  time  that  a  couple  has  come  to 
the  hospital  for  the  sole  purpose  of  be- 
ing wedded. 

We  are  pleased  because  the  Yellow 
Cab  driver  took  it  for  granted  that  a 
minister  would  be  found  in  our  hospital. 
But  we  find  much  greater  satisfaction  in 
the  fact  that  we  have  a  chaplain  who  is 
available  at  any  hour  of  the  day  or  night 
to  give  spiritual  counsel  and  comfort  to 
our  patients  and  be  of  service  in  such 
other  ways  as  may  be  desired. 

Responds  to   Many  Calls 

Among  the  11,000  patients  admitted 
annually  to  our  hospital  are  persons  of 
many  different  creeds  and  some  who  have 
no  creed.  Many  patients  receive  con- 
solation and  spiritual  help  from  visits  of 
their  pastors,  rabbis  or  priests.  Often 
pastors  or  friends  send  requests  to  the 
chaplain  to  visit  patients.  Patients  them- 
selves learn  that  we  have  a  chaplain  and 
send  word  for  him  to  call.  Thus  in  the 
course  of  a  year  our  chaplain  is  called 
upon  to  minister  to  hundreds  of  patients. 

On  Sunday  mornings  each  patient's 
tray  bears  a  slip  announcing  the  regular 
service  in  the  chapel  and  containing  a 
comforting  message  for  those  unable  to 
attend  —  a  passage  of  scripture,  a  hymn 
or  a  poem.  Assisted  by  volunteer  work- 
ers and  nurses  who  take  time  from  other 
duties,  patients  come  in  wheel  chairs,  on 
crutches  and  on  foot,  garbed  mostly  in 
bathrobes  or  blankets.  Flowers,  fur- 
nished by  a  fund  established  years  ago 
by  Miss  Helen  V.  Drake  in  memory  of 
her  mother,  Mrs.  John  B.  Drake,  Sr.,  add 

ENTERTAIN    PATIENTS 

An  entertainment  was  given  in  the 
chapel  on  Saturday,  Feb.  27,  under  the 
direction  of  Mrs.  Pollock,  chairman  of 
the  entertainment  committee.  Three 
members  of  the  Women's  Club  of 
Musicians  —  Miss  Lilyan  Sacks,  soprano; 
Miss  Margaret  Conrad,  violinist;  and 
Miss  Marion  Lychenheim,  pianist,  gave 
a  very  fine  performance  which  the  audi 
ence  of  patients  in  wheel  chairs  enjoyed 
greatly. 


Hospital  Chaplain  Spreads  Cheer  and  Comfort 
Among  Patients — Rev.  E.  N.  Ware  Here  25  Years 

One  afternoon  not  long  ago,  a  young  couple  emerged  from  the  Cook  County 
clerk's  office  and  climbing  into  a  Yellow  Cab  told  the  driver  they  wanted  to  be  taken 
to  a  Protestant  minister  to  be  married.  They  were  strangers  in  Chicago  but  had 
promised  their  parents  that  they  would  be  married  by  a  minister.  Apparently  the 
Yellow  Cab  driver  did  not  have  a  wide  acquaintance  among  the  clergy  but  he  did 
know  of  a  hospital  that  bore  the  name  of  a  well  known  denomination  and  assumed 
that  a  minister  could  be  found  there.  Thus  it  happened  that  at  2  :00  P.M.  on  Feb.  6, 
1937,  our  hospital  chaplain,  Rev.  E.  N.  Ware,  united  in  marriage  in  our  attractive 
East  waiting  room,  Miss  Lois  Sowers  and  Mr.  David  McGoon  of  Freeport,  111. 
Hospital  weddings  are  not  uncommon 

beauty  to  the  service.  Often  volunteer 
musicians  come  to  take  part  but  they,  like 
the  chaplain  who  has  been  doing  it  for 
25  years,  give  their  best  willingly  to  the 
few  or  many  who,  at  considerable  effort, 
come  together  to  worship  God  and 
replenish  their  spiritual  resources.  Occa- 
sionally a  baby  or  an  adult  is  baptized  in 
the  chapel.  Sometimes  baptism  or  com- 
munion is  administered  at  the  bedside. 

Yes,  many  thousands  of  men,  women 
and  children  who  have  been  patients  in 
our  hospital  not  only  know  that  we  have 
a  minister  here  but  also  know  of  the  un- 
obtrusive, untiring,  kindly  ministrations 
of  our  chaplain,  Rev.  E.  N.  Ware,  D.D. 
What  fullness  of  joy,  in  the  rounds  of  the  day 

To  live  the  gospel  plan; 
To   offer  a  prayer   when   the  shadows   lower, 
"And  be  a  friend  to  man." 


ELECTROCARDIOGRAPH 

The  Electrocardiograph  department  is 
now  open  all  day  instead  of  forenoons  as 
heretofore.  Miss  Mildred  Mancl,  a 
graduate  of  University  of  Chicago,  is  the 
technician  in  charge,  succeeding  Mrs. 
Marie  Barker  who  had  held  the  part  time 
position  for  14  years. 


ENDOWMENTS  and  MEMORIALS 

$50,000  entitles  the  donor  to  name  a 
twelve-bed  ward,  which  shall  remain  as 
a  perpetual  memorial  to  the  donor,  or 
any  other  individual  he  wishes. 

$20,000  carries  the  same  privilege  for 
a  four  or  six-bed  ward. 

$10,000  entitles  the  donor  to  designate 
a  room  in  the  Private  Pavilion  which 
shall  be  named  as  desired  by  the  donor 
and  remain  as  a  perpetual  memorial. 

$35,000  endows  a  graduate  nurse  in 
perpetuity  to  care  for  seriously  ill  pa- 
tients in  the  wards. 

$7,500  designates  a  bed  in  perpetuity. 

$5,000  designates  a  bed  during  one 
life. 

$5,000  designates  a  bed  m  the  Chil- 
dren's Ward  in  perpetuity. 

$300  annually  designates  a  bed  in  the 
general  wards. 

$100  or  more  constitutes  the  donor  a 
life  member  of  the  institution. 

A  yearly  donation  of  $10  constitutes 
an  annual  member. 


RUSH  CENTENNIAL 

One  hundred  years  ago  on  March  2. 
1837,  the  governor  of  Illinois  affixed  his 
signature  to  the  charter  incorporating 
Rush  Medical  College.  Dr.  Robert 
Herbst  is  chairman  of  the  centennial 
committee  named  by  the  Alumni  Associ- 
ation to  arrange  a  suitable  observance 
which,  according  to  present  plans,  is  to 
take  place  during  the  autumn  quarter. 
Dr.  Daniel  Brainard  was  the  founder  of 
the  college  and  its  first  president. 


MEDICAL   STAFF   ADDITIONS 

Additions  to  the  Staff  for  1937,  re- 
ported by  Rush  Medical  College  and  ap- 
proved by  the  Board  of  Managers  are : 

Attending  Neurologist 

Dr.  John  Favill 
Assistant  Attending  Neurologist 

Dr.  William  H.  Haines 
Assistant  Attending  Physician 

Dr.  George  W.  Stuppy 
Assistant  Attending  Surgeon 

Dr.  A.  Louis  Rosi 
Assistant  Attending  Surgeon 

Dr.  John'M.  Dorsey 
Assistant  Attending  Ophthalmologist 

Dr.  Max  Jacobson 


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.  Rev.  John  Timothy 

John   B.    Drake  Stone,   D.D. 

James  B.  Forgan,  Jr.  R.   Douglas  Stuart 

Albert  D.    Farwell  Robert   Stevenson 

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.  Henrv    S.    Brown     D.D. 

Rev.  W.    Clyde    Howard,    D.D. 

MEDICAL    BOARD 

VERNON    C.    DAVID,    M.D President 

WOMAN'S    BOARD 
MRS.    CLYDE    E.    SHOREY President 

ADMINISTRATION 

ASA     S.     BACON   Superintendent 

HERMAN    HENSEL Asst.   Superintendent 

M.    HELENA   McMILLAN... Director,   School   of  Nursing 

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. 


Fhe  PresIbyCeian  Hosplfa 

trie  City  cry  Q\\icac]& 

BULLETBN 

MEMBER    AMERICAN     HOSPITAL    ASSOCIATION 


Chicago,  111. 


April,    1937 


No.  97 


POOR  CIRCULATION  IS  IMPROVED  WITH  PAVAEX 


Recently  Invented  Apparatus 

Used  Successfully  in 

Our  Hospital 


One  of  the  most  interesting  reeent  ad- 
vanees  m  medical  science  was  the  de- 
velopment in  1932  and  193  3  of  appa- 
ratus for  the  successful  treatment  of  poor 
circulation  in  the  arms  and  legs  due  to 
diseased  blood  vessels.  Working  inde- 
pendently of  each  other.  Dr.  Louis  Herr- 
mann of  the  University  of  Cincinnati 
and  Dr.  Eugene  Landis  of  the  Univer- 
sity of  Pennsylvania  found  that  appa- 
ratus which  applied  pressure  and  suction 
alternately  to  affected  extremities  proved 
beneficial  in  cases  of  arteriosclerosis 
(hardening  of  the  arteries)  due  to  ad- 
vanced age  or  diabetes,  and  that  gan- 
grene resulting  from  circulatory  disease 
could  be  delayed  or  retarded. 

Machine    Is   Perfected 

As  a  result  of  Dr.  Herrmann's  work 
the  Pavaex  machine  was  perfected  and 
made  available  to  the  medical  profession 
in  1934.  Within  a  few  months  there- 
after, the  Presbyterian  Hospital  installed 
a  Pavaex  machine  and  equipped  a 
Vascular  Therapy  Department  on  the 
seventh  floor  of  the  Murdoch  building. 
This  department  is  under  the  direction  of 
Dr.  Frank  V.  Theis,  a  member  of  our 
surgical  staff  and  of  Rush  Medical  Col- 
lege faculty.  During  two  and  one-half 
years  since  the  organisation  of  this  de- 
partment, 221  patients  have  received 
treatment  with  gratifying  results  m  a 
majority  of  cases.  These  patients  in- 
cluded both  men  and  women,  whose  ages 
ranged  from  23  to  89  years.  Almost 
10,000  hours  of  treatment  have  been 
administered. 

In  the  early  days  of  his  experiments 
with  alternate  pressure  and  suction  treat- 
ment, Dr.  Herrmann  rigged  up  crude  ap- 
paratus which  he  operated  laboriously  by 
means  of  an  ordinary  bicycle  pump  fitted 
(Continued   on  Page  2,  Col.   2) 


HOW     PAVAEX 


TREATMENT 

in  H( 


IS    ADMINISTERED 


This  picture,  taken  in  the  Presbyterian  Hospital  Vascular  Therapy  department,  shows  a  patient 
receiving  Pavaex  treatment  in  both  arms  and  both  legs.  Boot-like  casings  fit  over  the  legs  and 
cone-shaped  casings  over  the  arms.  Rubber  cuffs  hold  the  casings  in  pace  while  gradual  expansion 
and  contraction  occur  as  ordinary  room  temperature  is  alternately  forced  into  and  drawn  out  of 
casings.  Hose-like  rubber  tubes  connect  the  casings  to  the  machine  which  is  operated  by  a  trained 
technician.  Glass  casings  are  used  because  they  are  easily  sterilized  and  their  transparency  makes 
it  possible  to  observe  the  effect  of  the  treatment. 


MAGAZINE    CONTRIBUTOR 

Dr.  Clifford  G.  Grulee,  head  of  the 
pediatrics  staff  of  our  hospital  and  chair- 
man of  the  pediatrics  department  ot 
Rush  Medical  College  of  the  University 
of  Chicago,  is  the  author  of  an  article  m 
the  April  number  of  the  Woman's  Home 
Companion  on  the  topic,  "A  Child  and 
His  Food." 


LENTEN    SERVICES 

Three  Lenten  services  were  held  at 
Sprague  Home  under  the  auspices  of  the 
School  of  Nursing  branch  of  the  Na- 
tional Y.  W.  C.  A.  Speakers  were  Dr. 
Walter  A.  Morgan  of  the  First  Con- 
gregational Church  on  March  8,  Dr. 
Alvyn  R.  Hickman  of  Third  Presbyterian 
on  March  15,  and  Rev.  Alexander 
Allison,  assistant  at  Fourth  Presbyterian, 
on  March  22. 


FEVER   MACHINE   USED 
IN  TREATMENT  OF 

MANY  DISEASES 


Has   Therapeutic    Value 

Since  the  beginning  of  medicine,  heat 
in  various  forms  has  been  used  as  a 
therapeutic  agent  in  assisting  the  repair 
of  diseased  structures  and  in  the  relief  of 
pain.  In  the  past  this  has  been  used  in 
the  form  of  hot  blankets,  hot  water  bot- 
tles, electric  pads,  and  so  forth.  More 
recently,  electric  apparatus  has  been  so 
arranged  that  it  is  possible  to  induce  heat 
into  the  body  without  markedly  elevat- 
ing the  skin  temperature  or  causing  dis- 
comfort. 

In   Memory  of  Dr.   Abbott 

This  form  of  Fever  Therapy  was  insti- 
tuted in  the  Presbyterian  Hospital  in 
1935,  and  in  1936,  in  memory  of  Dr. 
Donald  Abbott,  Mrs.  Abbott  provided  a 
sum  of  money  for  remodeling  and  equip- 
ping a  Fever  Therapy  department.  This 
department  is  located  on  the  seventh 
floor  in  the  Murdoch  building  in  quarters 
now  arranged  with  adequate  space  and 
facilities  for  carrying  out  both  prolonged 
Fever  Therapy  and  local  heat  treatments. 

Temperature    Is    Raised 

Fever  treatments  consist  in  raising  the 
patient's  temperature  to  between  104  and 
106  degrees  and  maintaining  this  temper- 
ature for  several  hours.  This  form  of 
treatment  is  used  in  many  systemic  and 
generalized  diseases  in  which  it  is  desir- 
able that  heat  be  produced  in  all  the  or- 
gans of  the  body.  About  325  treatments 
of  this  type  have  been  given  in  the  de- 
partment without  accident  and  with 
satisfactory  results.  Local  treatments  con- 
sist in  elevating  the  temperature  of  a 
small  portion  of  the  body,  thereby  in- 
creasing the  blood  supply  and  giving  a 
symptomatic  relief  of  pain.  About  2,000 
of  these  local  treatments  have  been  given 
by  the  department.  Many  of  these  fever 
treatments  are  given  in  patients1  rooms 
throughout  the  hospital  in  cases  where  it 
is  inadvisable  to  move  the  patient  to  the 
Fever  Therapy  department.  For  this  pur- 
pose portable  apparatus  is  used. 

Although  this  form  of  treatment  is 
comparatively  new,  it  has  established  it- 
self in  our  hospital  as  a  definite  thera- 
peutic measure,  due  to  the  good  results 
obtained.  Mrs.  Ruth  Behringer  and  Miss 
Anita  Foss  are  the  graduate  nurse  tech- 
nicians in  charge  of  the  routine  work  in 
the  Fever  Therapy  department,  which  is 
under  the  supervision  (if  the  medically 
trained  members  of  our  X-ray  staff. 


PAVAEX    TREATMENT 

(Continued  from  Page  1) 
with  a  two-way  valve.  The  Pavaex 
machine  as  now  perfected  is  operated  by 
electricity  and  fitted  with  various  gad- 
gets which  guide  the  operator  in  admin- 
istering treatment  with  precision. 

The  name  of  the  machine  is  derived 
from  the  first  two  letters  of  the  three 
words  "PAssive  VAscular  EXercise". 
Vascular  means  blood  vessels  and  exercis- 
ing the  blood  vessels  is  exactly  what  the 
Pavaex  treatment  does.  This  exercise 
stimulates  circulation  in  tiny  collateral 
arteries,  thus  opening  up  a  sort  of  detour 
which  permits  the  blood  to  travel  around 
the  disease  clogged  portion  of  the  main 
artery  and  into  areas  in  which  the  cir- 
culation had  been  stopped.  Thus  aided 
on  its  way,  nature's  life-giving  Wood 
stream  separates  dead  tissue  that  is  gan- 
grenous, relieves  the  pain  and  limits  the 
gangrene  to  the  tissue  that  is  already 
affected.  In  cases  of  arteriosclerosis,  the 
affected  extremities  first  have  an  ivory 
white  appearance  due  to  stoppage  of  cir- 
culation. This  portends  the  death  of 
tissue  and  imminence  of  gangrene. 
When  Pavaex  treatment  is  given  in  such 
cases,  the  extremities  frequently  take  on 
a  faint  pinkish  tinge  before  the  first  treat- 
ment comes  to  an  end  and  with  succeed- 
ing treatments  legs  that  were  practically 
dead  take  on  new  life. 

Gangrene   Is   Treated 

Some  advanced  cases  of  gangrene  have 
been  treated  with  marked  results;  among 
these  were  a  number  in  which  amputa- 
tion had  appeared  to  offer  the  only  hope 
of  relief  from  the  terrible  suffering  due 
to  dead  tissue  or  onen  sores.  Patients, 
whose  condition  appeared  hopeless,  have 
improved  sufficiently  to  resume  their 
usual  occupations  and  other  activities. 
Less  advanced  cases  of  poor  circulation 
resulting  from  diabetes  or  arteriosclerosis 
have  responded  readily  to  the  Pavaex 
treatment.  Acute  conditions  resulting 
from  the  closure  of  circulation  by  a  clot 
forming  in  a  blood  vessel  of  an  extremi- 
ty or  in  other  parts  of  the  body  and  car- 
ried to  the  extremity  have  been  cleared 
up  so  that  no  further  treatment  was 
necessary.  Hands  and  feet  that  have 
been  frozen  respond  with  remarkable 
success  to  this  treatment.  In  chronic 
types  of  blood  vessel  disease,  the  treat 
ment  is  lessened  as  the  patient's  condi- 
tion improves  but  some  treatment  may 
be  necessary  at  intervals  to  keep  the  con 
dition  under  control. 

Effects  Are  Studied 

The  amount  of  suction  and  pressure 
and  the  number  of  cycles  of  changes  in 
pressure  per  minute  are  varied  according 
to  the  requirements  of  each  patient 
treated.  The  average  length  of  treatment 
is  one  hour,  but  this  is  varied  according 
to  the  patient's  needs.   The  treatment  in- 


volves neither  pain  nor  discomfort  to  the 
patient.  Both  legs  or  both  arms  are 
treated  because  both  usually  are  involvec 
to  some  extent.  In  some  cases  all  foui 
extremities  are  treated.  Skin  tempera- 
tures are  taken  by  means  of  a  delicate 
apparatus  to  determine  the  effectiveness 
of  the  treatments  in  improving  the  blooc 
flow.  Oscillometer  readings  show  the  ex- 
tent of  pulsation  in  the  larger  blood  ves^ 
sels  of  the  extremity.  These  are  accurate- 
ly measured  in  units.  These  readings  are 
taken  from  time  to  time  to  ascertain  the 
effectiveness  of  the  treatments. 

Blood  chemistry  tests  also  are  utilise 
in  the  study  of  some  cases  as  treatment 
progresses.  Other  therapeutic  measure; 
such  as  contrast  baths  and  postural  ex 
ercises  are  occasionally  prescribed  to  sup 
plement  the  suction  and  pressure  treat 
ments. 

Early  Diagnosis  Essential 

Early  diagnosis  of  circulatory  disease 
offers  the  best  hope  of  benefits  from  thi; 
new  method  of  treatment.  Experiment! 
indicate  that  certain  types  of  arterial  dis 
ease  other  than  those  mentioned  will  re 
spond  to  this  treatment.  Through  the 
cooperation  of  our  hospital  laboratory 
extended  research  by  our  physiologica 
chemist,  Dr.  M.  H.  Freeland,  in  collabo 
ration  with  Dr.  Theis,  is  throwing  nev 
light  on  the  subject  of  certain  circulator) 
diseases,  their  causes  and  treatment.  De 
tailed  reports  of  the  work  done  in  oui 
hospital  have  been  contributed  to  the 
Journal  of  the  American  Medical  Associ 
ation,  the  Illinois  Medical  Journal,  Sur^ 
gery,  and  Archives  of  Surgery  and  pre 
sented  in  addresses  before  professional 
groups.  Additional  reports  are  now  ir 
preparation  by  Dr.  Theis  and  Dr.  Free 
land. 

Facilities    and    Personnel 

In  order  to  get  the  best  results,  exten- 
sive facilities  and  experienced  personnel 
are  necessary  in  Vascular  Therapy  work 
Miss  Helen  Higgms  is  the  specially 
trained  graduate  nurse  in  charge  of  the 
routine  work  in  the  department.  Othci 
assistants  arc  Arthur  Nielsen  and  Fred 
Brown.  To  accommodate  patients  whe 
cannot  come  for  treatments  during  th€ 
day,  the  department  is  kept  open  until 
9:00  P.M.  Our  equipment  is  sufficient 
to  treat  five  patients  at  one  time. 

Patients  are  referred  to  the  depart- 
ment by  their  own  physician  and  through 
Central  Free  Dispensary  and  Rush  Med- 
ical College.  Each  case  is  diagnose! 
thoroughly  before  treatment  is  prescribed 
and  only  those  whom  it  is  believed  will 
be  benefited  arc  treated. 


Dr.  N.  Sproat  Hcaney  was  one  of  the 
speakers  at  a  joint  meeting  of  the  St. 
Louis  and  Chicago  Gynecological  Sc 
cieties  held  in  St.  Louis,  Feb.  13.  His 
subject  was  "Operative  Indications  in 
Gynecology." 


BULLETIN  OF  MEDICAL 
SOCIETY  TELLS  OF  DR. 
J.    A.    ROBISON'S    WORK 


ON  OUR  FIRST  STAFF 


Dr.  John  A.  Robison  of  our  hospital 
medical  staff  is  the  subject  of  an  article 
in  the  March  20  issue  of  the  Chicago 
Medical  Society  Bulletin.  The  article  by 
Dr.  Thomas  P.  Foley,  president  of  the 
Society,  is  one  of  a  series  of  articles  sum- 
marising the  careers  of  past  presidents  of 
the  Society.    The  articles  follows: 

John  Albert  Robison,  A.M.,  M.D., 
President  of  the  Chicago  Medical  Society 
in  1909-10,  was  born  in  Richland,  Ind., 
July  26,  1S55.  He  graduated  from  Mon- 
mouth College  in  1877  with  degree  of 
Bachelor  of  Arts  and  from  Rush  Medical 
College  in  1880,  as  secretary  of  the  class. 
Becoming  associated  with  Joseph  Presley 
Ross,  M.D.,  Professor  of  Clinical  Medi- 
cine, Rush  Medical  College,  in  1880,  he 
assisted  him  in  organising  the  Presby- 
terian Hospital.  He  was  an  attending 
physician  and  secretary  of  the  medical 
staff  for  sixteen  years.  He  is  now  a  con- 
sulting physician,  and  the  only  living 
member  of  the  original  staff.  He  was  a 
member  of  Cook  County  Hospital  staff 
1884  to  1892. 

Dr.  Robison  was  elected  Chairman  of 
the  Committee  on  Publication  of  the 
Chicago  Medical  Society  in  1886,  and 
was  a  founder  of  the  Chicago  Medical 
Recorder  which  published  the  society 
proceedings  for  several  years. 

In  1901,  he  organised  the  Chicago  So- 
ciety of  Internal  Medicine,  which  had 
William  Osier  as  the  guest  speaker  at  a 
joint  meeting  with  the  Chicago  Medical 
Society  on  May   16,   1901. 

In  the  same  year  Dr.  Robison  had  a 
bill  introduced  in  the  legislature  to  es- 
tablish a  State  Sanitarium  for  the  cure  of 
tuberculosis.  This  bill  was  the  forerun- 
ner of  the  Glackin  bill  which  provides 
for  the  establishing  of  county  sanitaria 
for  tuberculosis. 

Dr.  Robison  served  as  President  of 
the  Illinois  State  Board  of  Health  and 
Chairman    of    the    Registration    Bureau 

|  from  1913  to  1920.  He  introduced  the 
practical  bedside  examination,  in  the 
Cook  County  Hospital,  of  candidates  for 
state  licensure.  He  served  as  Major  of 
the  Medical  Reserve  Corps  sixteen 
months  during  the  World  War.  He  is  a 
member  of  the  A.  M.  A.,   Illinois  State 

I  Medical  Society,  and  a  veteran  member 
of  the  Chicago  Athletic  Association.  Dr. 
Robison    has    been    retired    from    active 

J  practice  since  1920. 

The  Chicago  Medical  Society  extends 
I  congratulations  to  Dr.  Robison  on  bis 
I  long  and  distinguished  career. 


DR.    JOHN    ALBERT    ROBISON 

Dr.  Robison  is  the  only  living  member  of  the 
first  medical  staff  of  the  Presbyterian  Hospi- 
tal, appointed  when  the  hospital  was  opened 
in  September,   1884. 


WOMAN'S  BOARD  HEARS 
REPORTS  ON  RESEARCH 
and  CONTROL  of  CANCER 

More  than  100  members  of  the  Wom- 
an's Board  attended  the  April  meeting 
in  the  hospital  chapel,  April  5.  Mrs. 
James  B.  Hernck  presented  an  interest- 
ing report  of  the  work  done  by  the  Can- 
cer Research  committee  of  the  Chicago 
Woman's  Club.  Dr.  Cassie  Bell  Rose, 
of  our  X-ray  department,  told  of  the  re- 
sults accomplished  in  the  treatment  of 
cancer  by  X-ray  and  radium  therapy. 
Miss  Mary  Watson,  charge  nurse  in  our 
hospital  maternity  department,  gave  a 
short  talk  on  the  work  of  that  depart- 
ment, reporting  that  up  to  April  1,  this 
year,  224  babies  had  been  born  in  our 
hospital,  an  increase  of  24  over  the  same 
period  in  1936. 


HOUSE    STAFF    CHANGES 

Interns  who  completed  their  services 
in  our  hospital  March  1,  were  Dr.  Robert 
Ranquist  and  Dr.  Bert  G.   Nelson.    Dr. 

0.  O.  Christianson,  resident  pathologist, 
also  completed  his  work  here  on  March 

1.  Dr.  Charles  Armand  Barnes,  Dr. 
Francis  M.  Phillips  and  Dr.  Ann  Huisin- 
ga  began  service  as  interns  on  March  1. 
Dr.  Robert  Rutherford  began  service 
March  1,  as  assistant  resident  pathologist. 

Dr.  Leo  Campbell  addressed  the 
Woman's  Auxiliary  of  the  Jackson  Park 
Branch,  Chicago  Medical  Society,  on 
Mar.  17. 


STAFF  MEN  HEARD  ON 
RADIO  PROGRAMS  IN 
EDUCATIONAL  SERIES 

Members  of  our  medical  and  surgical 
staff  gave  two  of  a  recent  series  of  radio 
talks  on  "Cancer",  sponsored  by  the 
Education  committee  of  the  Illinois  State 
Medical  Society.  Dr.  Harry  A.  Ober- 
helman  spoke  on  WJJD,  March  18,  and 
Dr.  Arthur  Diggs  was  heard  on  WAAF, 
March  19. 

Dr.  Lawrence  McLellan  gave  a  talk 
on  WGN,  March  2,  under  the  auspices 
of  the  Chicago  Tuberculosis  Institute. 
His  subject  was,  "Silicosis  and  Tubercu- 
losis". 

Dr.  Edward  A.  Oliver  gave  a  radio 
talk  on  WGN  Feb.  23,  under  the 
auspices  of  the  Education  Committee  of 
the  Illinois  State  Medical  Society.  His 
topic  was  "Dermatitis  and  Ecsema."  Dr. 
J.  Frank  Waugh  spoke  on  the  same  date 
on  WJJD,  his  subject  being  "Cosmetics." 

At  Professional  Meetings 

Chicago  Medical  Society,  Mar.  3 — 
Dr.  Gatewood  spoke  on  "Treatment  of 
Burns."  Dr.  Edwin  M.  Miller  led  the 
discussion. 

Chicago  Council  of  Medical  Women, 
Mar.  5 — Dr.  Nora  Brandenburg  re- 
ported on  her  recent  observations  in 
Austria  and  Hungary  of  "Mastoiditis  in 
Children  Complicating  Dysentery."  Dr. 
Eleanor  Leslie  led  the  discussion. 

Chicago  Surgical  Society,  Mar.  5 — 
Dr.  A.  Louis  Rosi  was  one  of  the  speak- 
ers, his  subject  being,  "Experimental  Stu- 
dies on  Peritoneal  Immunisation." 

*  *     * 

Chicago  Pathological  Society,  Mar.  8 
— "Allergic  Lesions  Produced  by  Injec- 
tion of  Protein,"  report  by  Dr.  Louisa 
Hemken  and  Dr.  G.  J.  Rukstinat. 

Chicago  Ophthalmological  Society, 
Mar.  15 — Dr.  Bertha  Klien  spoke  on 
"Clinical  and  Pathological  Study  of  Eyes 
Removed  for  Suspected  Tumors." 

Chicago  Pediatric  Society,  Mar.  16— 
Dr.  H.  N.  Stanford  was  one  of  the 
speakers,  his  topic  being,  "Care  of  Skin 
of  the  Newborn." 

*  *     * 

Chicago  Tuberculosis  Society,  Mar.  18 
— Dr.  W.  O.  Thompson  presented  a 
paper  on  "An  Extract  of  Adrenal  Cor- 
tex Effective  in  Addison's  Disease,"  with 
demonstration  of  cases. 

*  *     * 

Chicago  Society  of  Internal  Medicine, 
Mar.  22 — "Management  of  Heart  Dis- 
ease in  Pregnant  Women."  report  by  Dr. 
Clavton  I.'  Lundy,  Dr.  Carl  1'.  Bauer, 
Dr.  Edward  D.  Allen,  Dr.  |.  |.  Holloway 
and  Dr.  Fred  O.  Priest. 


"Information"  In  Main  Entrance  Lobby  is  Busy 
Center  of  Activity;  Varied  Duties  are  Performed 

One  of  the  busiest  centers  of  activity  in  our  hospital  is  the  Information  desk, 
located  in  the  main  entrance  lobby.  It  not  only  is  the  reception  desk  serving  most  of 
the  patients  and  visitors  entering  the  hospital,  but  those  in  charge  also  take  care  of 
in-coming  and  out-going  mail  and  telegrams,  keep  track  of  the  comings  and  goings  of 
attending  doctors  and  take  care  of  the  card  index  file  which  is  an  up-to-the-minute 
record  of  name  and  room  number  or  ward  location  of  every  patient  in  the  hospital. 
All  packages  or  parcels  addressed  to  pa- 


tients are  delivered  here  and  later  dis- 
patched by  bell  boys  to  the  different 
floors.  Messengers  with  flowers  are  di- 
rected to  the  proper  floor  where  delivery 
is  made  to  the  nurse  in  charge  of  the 
floor  desk. 

Issue  Visitors'  Passes 

Passes  are  issued  here  to  visitors  call- 
ing on  ward  patients  and  a  check  kept 
on  the  number  of  passes  issued  for  each 
patient.  Not  more  than  two  visitors  are 
permitted  to  see  a  ward  patient  at  one 
time,  the  rules  as  established  by  the 
health  department  being  carefully  fol- 
lowed. Recently  visitors  on  week  day 
afternoons  have  numbered  from  2  50  to 
300,  on  Sundays  from  400  to  600,  and 
during  evening  visiting  hours  around  200 
each  evening. 

Theodore  Primis,  familiarly  known  as 
"Teddy,"  has  been  on  duty  at  Informa- 
tion for  13  years,  while  Walter  Schacht 
has  been  with  us  for  10  vears.  They 
work  alternate  shifts  and  with  the  help 
of  one  assistant  during  "rush"  hours, 
take  care  of  the  desk  from  7:30  A.M. 
until  9:30  P.M.  Raymond  Ray,  captain 
of  the  bell  boys,  acts  as  relief  and  assist- 
ant information  clerk.  Raymond  Ray, 
Donald  Hart,  Clifford  Friedle,  and 
Robert  Rupp  are  the"  four  courteous 
young  men  on  whom  falls  the  task  of 
escorting  incoming  patients  to  their 
rooms  or  wards.  They  also  perform  vari- 
ous other  duties  between  7:30  A.M.  and 
9:30  P.M.  Our  inside  night  watchman, 
Charles  Lake,  takes  care  of  information 
and  related  work  between  9:30  P.M. 
and   7:30  A.M. 


TRI-STATE    ASSEMBLY 

The  Tri-State  Hospital  Assembly  for 
Illinois,  Indiana  and  Wisconsin  will  be 
held  at  the  Hotel  Sherman  in  Chicago, 
May  5,  6  and  7.  Business  sessions  of  the 
three  state  associations  will  take  place  on 
Wednesday  afternoon  and  there  will  be 
a  session  for  hospital  trustees  and  mem- 
bers of  managing  boards  that  evening. 
Ceneral  sessions  will  be  held  each  morn- 
ing and  on  Thursday  and  Friday  after- 
noons numerous  group  and  round  table 
conferences  arc  scheduled. 

Mrs.  Clyde  E.  Shorey,  president  of 
the  Woman's  Board  of  our  hospital,  is 
chairman  of  the  round  table  conference 
to  be  held  Thursday  afternoon  from  2  to 
4  o'clock  for  members  of  women's  boards 
and  auxiliaries  of  hospitals. 


"EAST  INFORMATION"   DESK 
SERVES   PAVILION   VISITORS 

Miss  Olivett  M.  Walker  is  the  plesant 
person  who  greets  patients  and  visitors 
at  the  East  Information  desk,  near  the 
Private  Pavilion  entrance  to  the  hospital. 
In  addition  to  directing  visitors  and  pa- 
tients who  enter  by  Pavilion  door,  Miss 
Walker  takes  care  of  a  large  amount  of 
statistical  work.  Among  other  things  she 
compiles  a  daily  report  of  patients  ad- 
mitted and  discharged,  covering  classifi- 
cation of  patients,  health  department  re- 
ports and  other  data.  At  the  end  of  each 
month  she  assembles  a  monthly  summary 
of  these  reports.  Miss  Walker  is  com- 
pleting her  17th  year  in  this  position. 
From  1892  to  1900  she  served  as  a  volun- 
teer hospital  visitor  spreading  cheer 
among  the  patients  and  doing  some  of 
the  things  now  done  by  the  librarian  and 
the  Social  Service  department. 

STRING      ARTISTS     ASSIST 
ON  CONCERT  PROGRAM  OF 
STUDENT  NURSES'  CHORUS 

Dr.  Adrien  Verbruggen  and  three  co- 
artists  from  the  Chicago  Symphony 
orchestra,  made  a  generous  contribution 
to  the  program  of  the  annual  concert 
given  by  the  Florence  Nightingale  chorus 
at  Sprague  Home  on  March  30.  They 
played  '"String  Quartette  in  D  Major" 
by  Borodine  and  responded  to  nine  en- 
cores. Miss  Marion  Carlson,  physical 
education  instructor  in  the  School  of 
Nursing,  proved  herself  an  artist  in  her 
dance  number  and  the  chorus  numbers 
were  especially  well  done.  Receipts 
amounting  to  $26  have  been  used  to 
start  a  fund  to  purchase  much  desired 
additional  equipment  for  the  school 
laboratory. 


MISS    WILSON    RESIGNS 

Miss  Mary  M.  Wilson  has  resigned  as 
charge  nurse  on  seventh  maternity  floor 
and  gone  to  her  home  in  Tracr,  la.  to 
care  for  her  invalid  mother.  Miss  Wilson 
had  filled  this  position  in  a  highly  effi- 
cient manner  since  Oct.  1,  ll^34,  prior 
to  which  time  she  had  been  night  super- 
intendent of  nursing.  Miss  Mary  Wat- 
son, who  has  had  charge  of  the  delivery 
room,  is  now  charge  nurse  on  seventh 
maternity,  while  Miss  Helen  I.  Beck  is 
charge  nurse  in  the  delivery  room. 


CAPPING     SERVICE     HELD 

FOR    58    JUNIOR    NURSES 

Monday,  March  29,  was  a  red  letter 
day  in  the  lives  of  58  young  women,i 
who  had  completed  their  preliminary 
training  in  our  School  of  Nursing  and 
who  participated  in  an  impressive  cap- 
ping service  held  at  Sprague  Home.  Miss 
M.  Helena  McMillan,  director  of  the 
school,  was  in  charge  as  usual,  but  an 
innovation  was  made  this  year  by  having 
a  guest  speaker  address  the  class.  Mrs. 
Ada  Reitz  Crocker,  executive  director  of 
the  Illinois  State  Nurses'  Association, 
was  the  speaker.  Each  junior  student  re- 
ceived her  cap  from  an  upper  class  stu- 
dent. In  the  beautiful  candlelighting  ser- 
vice, candles  carried  by  the  58  participat- 
ing students  received  light  from  one 
candle  in  the  hands  of  Miss  McMillan. 
An  audience  composed  of  parents, 
friends,  hospital  staff  members  and  stu- 
dents filled  the  school  auditorium. 


ADDITIONS    TO    STAFF 

Dr.  C.  Jack  Harrison  and  Dr.  Walter 
J.  Siemsen  have  been  added  to  the  medi- 
cal staff  of  our  hospital  as  assistant  at- 
tending pediatricians. 


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  Fred   A.   Poor 

Alfred  T.  Carton  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  Robert   Stevenson 

Alfred   E.    Hamill  J.    Hall   Taylor 

Charles  H.    Hamill  John   P.   Welling 

Edw.  D.  McDougal,   Jr.  Edward    F.   Wilson 

CLERICAL  MANAGERS 

Rev.  Harrison    Ray    Anderson,    D.D. 

Rev.  Harold    L.    Bowman,    D.D. 

Rev.  Henry    S.    Brown,    D.D. 

Rev.  W.    Clyde    Howard,    D.D. 

MEDICAL    BOARD 

VERNON    C.    DAVID,    M.D President 

WOMAN'S    BOARD 

MRS.    CLYDE    E.    SHOREY President 

ADMINISTRATION 

ASA     S.     BACON Superintendent 

HERMAN    HENSEL  Asst.   Superintendent 

M.    HELENA   McMILLAN.  Director,    School   of  Nursing 

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. 


A 


tmmum  rospia 

tke  Gity  cry  ©hue  a  gey 

BULLETIN 

MEMBER    AMERICAN     HOSPITAL    ASSOCIATION 
Chicago,  111. May.    1937 No.   98 

EXACTNESS  IS  THE  RULE  IN  HOSPITAL  PHARMACY 


Teamwork    of    Pharmacist    With 

Doctor  is  Backbone   of 

Modern  Medicine 

Its  a  far  call  from  the  Medicine  Man 
of  the  savage  to  the  modern  Doctor  of 
Medicine  with  his  knowledge  of  drugs, 
chemicals   and    other   scientific    prepara- 
tions, and  their  uses  for  the  alleviation  of 
human  suffering  and  the  overcoming  of 
disease.    The  Medicine  Man,  still  found 
I  in  some  parts  of  the  world,  hrews  and 
I  mixes  his  own  concoctions  and  adminis- 
ters them  to  the  accompaniment  of  weird 
and  fantastic  ceremonies,  usually  to  the 
j  detriment  of  the   patient.    The   modern 
Doctor   of   Medicine    does   his   medicine 
mixing  only  on  paper  when  he  writes  a 
prescription    for   the   pharmacist   to    fill, 
|  relying  on  the  latter  to  do  the  measuring, 
|  weighing    and    mixing    with    exactness. 
I  This  teamwork  on    the   part   of   doctor 
and  pharmacist  is  the  backbone  of  medi- 
cal practice  in  the  civilised  world  today. 

Pharmacy  Serves  Patients 

While  the  pharmacist  in  the  average 
retail  drug  store  is  expected  in  these  days 
to  lend  a  hand  with  a  good  many  other 
tasks  —  m  the  lunch  department,  at  the 
soda  fountain  and  liquor  counter  and  in 

j  miscellaneous  sales  work  —  the  duties  of 
the  hospital  pharmacist  consist  wholly  of 

I  taking  care  of  the  medicinal  and  other 
pharmaceutical  needs  of  the  patients.  In 
the  Presbyterian  Hospital,  the  pharmacy 
requires  the  full  time  services  of  two 
pharmacists  and  one  graduate  nurse, 
supplemented  by  the  service  which  stu- 
dent nurses  perform  as  part  of  their 
course  in  elementary  materia  medica,  de- 
scribed in  a  separate  article. 

Our  hospital  pharmacy  serves  in  some 
measure  every  patient  admitted  to  the 
hospital  as  well  as  most  of  the  non-hospi- 
tal patients  who  visit  our  first  floor  ex- 
amining rooms.  Whether  it's  only  the 
antiseptic  solution  from  which  the  nurse 
(Continued  on  Page  2,  Col.  2) 


SCENE  IN  PRESBYTERIAN  HOSPITAL  PHARMACY 

In  this  picture,  members  of  the  pharmacy  staff  are  shown  supervising  a  group  of  student  nurses, 
who  are  engaged  in  weighing  medicines  for  capsules  and  powders.  They  are,  left  to  right: 
Mary  Pierce,  Charlotte  Warren,  Mr.  Malcolm  Hutton,  assistant  registered  pharmacist;  Grace 
Koonts,  Mr.  William  Gray,  head  pharmacist;  Helen  Stidd  and  Miss  Nelle  Crout,  graduate  nurse 
assistant.    A  small  section   of  the  pharmacy   is  shown. 

NATIONAL    HOSPITAL    DAY    IS    MAY    12 

May  12,  the  birthday  anniversary  of  Florence  Nightingale,  is  set  aside  by  the 
American  Hospital  Association  as  National  Hospital  Day.  On  this  day  the  people 
of  the  nation  are  asked  to  pause  and  consider  the  immeasurable  service  given  to 
the  sick  and  injured  by  our  hospitals. 

That  hospitals  constitute  a  major  enterprise  in  our  country  is  revealed  by  the 
fact  that  an  average  of  one  person  in  15  was  a  hospital  bed  patient  in  1936, 
while  total  admissions  were  8,646,885,  according  to  statistics  compiled  by  the 
American   Medical  Association. 

Hospitals  registered  by  the  association  number  6,189,  of  which  1,724  are 
governmental  hospitals  (federal,  state,  county  and  city),  1,754  are  hospitals 
incorporated  for  profit  and  2,711  are  non-profit  hospitals.  The  Presbyterian 
Hospital  belongs  to  the  non-profit  group,  which  cared  for  5,258,772  patients  in 
1936  or  about  two-thirds  of  the  total  number  admitted  to  all  hospitals. 

President  Roosevelt  issued  a  statement  commending  the  hospitals  for  "con- 
tinually waging  war  against  sickness  and  injury."  Governor  Henry  Horner  issued 
a  proclamation  urging  the  citizens  of  Illinois  to  observe  the  day  and  terming 
hospitals  "community  health  centers  that  stand  out  as  beacon  lights  of  social 
improvement,  representing  the  spirit  of  charity,  the  spirit  of  justice  and  the  will 
to  minister  to  human  needs." 


Jn  Mtmarmm 


Frederick   H.   Rawson 

The  welfare  of  the  people  of  our 
country  and  of  Chicago  m  particular  has 
depended  to  a  large  degree  upon  the 
churches,  colleges,  hospitals  and  charita- 
ble institutions  founded  and  maintained 
by  the  generosity,  wisdom  and  individual 
labors  of  our  great  citizens.  As  the  years 
pass,  friends  of  these  institutions  pass 
away.  A  sense  of  genuine  loss  to  the 
Presbyterian  Hospital  and  Rush  Medical 
College  came  to  us  when  we  learned  of 
the  death  of  Frederick  H.  Rawson  on 
Feb.   5,   1937. 

Mr.  Rawson  was  64  years  of  age.  He 
is  survived  by  his  widow,  Mrs.  Edith 
Rawson  and  by  two  sons,  Frederick  and 
Kennett.  Mr.  Rawson  was  an  eminent 
citizen  of  Chicago,  known  for  his  relia- 
bility, his  soundness  of  judgment,  and 
his  personal  and  financial  support  of  the 
best  interests  of  the  community.  In  the 
business  field  he  was  probably  best 
known  as  the  president  and  later  chair- 
man of  the  board  of  the  Union  Trust 
Company,  founded  by  his  father  Stephen 
W.  Rawson.  He  served  this  institution 
from  the  time  of  his  graduation  from 
Yale  in  1895  until  its  consolidation  with 
the  First  National  bank  in  1929.  In  this 
bank  he  was  co-chairman  of  the  board 
and  then  chairman  until  his  retirement 
in  1933.  Mr.  Rawson  was  a  director  of 
the  Baltimore  and  Ohio  and  the  C.  B.  6? 
Q.  railroads  and  the  Miehle  Printing 
Press  and  Manufacturing  Company. 

Mr.  Rawson's  charitable  and  philan- 
thropic activities  were  many.  He  was  a 
benefactor  of  the  Field  Museum  of 
Natural  History,  a  trustee  of  and  a  con- 
tributor to  the  Chicago  Home  for  In- 
curables, a  trustee  of  the  John  Crerar 
Library  and  the  Illinois  Society  for 
Mental  Hygiene.  He  was  a  member  of 
the  Board  of  Managers  of  the  Presby- 
terian Hospital  for  many  years  and  en- 
dowed a  room  in  this  hospital,  later  add- 
ing to  the  endowment.  He  also  endowed 
rooms  in  the  Children's  Memorial  Hos- 
pital and  contributed  liberally  to  other 
hospitals. 

One  of  Mr.  Rawson's  largest  philan- 
thropies was  the  gift  of  the  Rawson 
Laboratory  of  the  Rush  Postgraduate 
Medical  School  of  the  University  of  Chi- 
cago. This  was  an  expression  of  Mr. 
Rawson's  great  interest  in  medical  edu- 
cation and  his  firm  belief  in  the  advance- 
ment of  medical  knowledge  through  an 
enlarged  program  for  an  institution  rich 
in  its  traditions  of  the  host  in  medical 
teaching  and  study.  Thus  at  Rush  and 
at  Presbyterian  Hospital  we  hold  in 
grateful  memory  the  man  who  added 
much  to  our  opportunities  to  serve  the 
cause  ol   human  welfare. 


HOSPITAL    PHARMACY 

(Continued  from  Page  1) 
removes  a  clinical  thermometer  to  take 
your  temperature,  the  solution  in  which 
the  doctor  dips  a  piece  of  gauze  to  steril- 
ise your  ear  lobe  when  a  sample  of  blood 
is  desired  for  a  blood  count,  the  barium 
sulphate  you  drink  prior  to  having  your 
internal  organs  photographed  by  X-ray 
or  viewed  by  X-ray  fluoroscopy,  or  some 
solution  which  the  doctor  injects  into 
your  vein  for  one  purpose  or  another — 
all  of  these  supplies  come  from  the  phar- 
macy. Even  the  alcohol  used  for  the  ever 
welcome  back-rubs  and  for  many  other 
purposes  is  diluted  and  denatured  in  our 
pharmacy  m  accordance  with  govern- 
ment rules  for  converting  tax-free  pure 
alcohol  for  hospital  use. 

Doctor  Writes  Medicine  Order 

Whether  it's  a  simple  dose  of  soda 
bicarbonate  for  your  stomach's  sake,  a 
mild  sedative  to  help  you  go  to  sleep,  or 
a  dose  of  some  rare  drug  your  doctor 
wants  you  to  have,  it  is  supplied  by  the 
pharmacy.  But,  you  can't  get  so  much 
as  a  dose  of  soda  without  a  written  order 
from  your  doctor.  However,  if  the  doc- 
tor thinks  you  need  a  dose  of  soda  or  al- 
most any  other  medicine  ordinarily  pre- 
scribed, it  isn't  necessary  to  send  all  the 
way  down  to  the  pharmacy  in  the  base- 
ment for  it,  because  the  steel  medicine 
cabinet  on  each  floor  is  at  all  times  sup- 
plied with  ordinary  medicines,  put  up  in 
single  doses  of  every  conceivable  size  that 
may  be  needed. 

Nurse  Fills  Order 

Suppose  your  doctor  wants  you  to 
have  at  stated  intervals  a  dosage  consist- 
ing of  5  grains  of  one  medicine,  3  grains 
of  another  and  J4  grain  of  another.  He 
knows  that  when  he  hands  his  written 
order  to  the  nurse  she  can  go  to  the 
medicine  cabinet  on  the  floor  and  find, 
in  plainly  labelled  containers,  single  doses 
of  each  drug  put  up  in  the  sizes  pre- 
scribed. The  5 -grain  dose  may  he  m  a 
capsule,  the  3 -grain  dose  in  a  powder 
paper  and  the  J4'grain  dose  m  a  com- 
pressed tablet  but,  m  whatever  way  the 
prescribed  amount  of  each  medicine  or- 
dered is  put  up,  the  mixing  is  accom- 
plished by  giving  the  patient  the  three 
separate  items  at  one  time.  Nurses  are 
not  allowed  to  multiply  or  divide  doses. 
For  example,  if,  as  infrequently  happens, 
the  nurse  does  not  find  in  the  medicine 
cabinet  the  J-grain  dose  ordered,  but 
does  find  a  supply  of  2^2'grain  doses  of 
the  same  medicine,  she  cannot  use  two  of 
the  latter  until  she  has  obtained  a  new- 
order  from  the  doctor.  Or,  if  she  finds 
10'grain  doses,  she  cannot  divide  these 
and  use  half  of  the  dose.  Another  way 
in  which  the  patient  is  safeguarded 
against  the  possibility  of  human  error  is 
that   the   largest  prepared  single  dose  of 


HERE'S    WHAT    IT    TAKES! 

Last  year  doctors  in  the  Presbyterian 
Hospital  used  700  of  our  regulation 
prescription  pads,  each  containing  100 
duplicate  sheets  (all  medicine  orders 
are  written  in  duplicate).  This  means 
that  approximately  70,000  medicine  or- 
ders were  written   for  patients. 

Medicine  glasses  get  broken  and,  to 
replenish  the  supply  required  for  our 
patients,  5,472  new  medicine  glasses 
were  bought  in   1936. 

Single  doses  of  numerous  medicines 
are  put  up  in  capsules  or  powder 
papers.  Empty  capsules  in  different 
sizes  are  contracted  for  in  lots  of  one- 
quarter  million,  which  is  about  a  year's 
supply  in  our  pharmacy.  About  400,000 
powder  papers  are  used  annually.  The 
medicine  is  weighed  out  individually 
for  each  capsule  or  powder.  As  little 
as  1/150  grain  constitutes  a  single 
dose  of  some  drugs,  while  the  maximum 
dose  of  many  medicines  is  less  than  one 
grain. 


any  one  medicine  is  not  above  the  maxi- 
mum dosage  which  may  be  taken  safely. 
Other  safeguards  which  nurses  are  re- 
quired to  observe,  including  methods  of 
measuring  liquid  medicines,  are  ex- 
plained in  a  separate  article.  Verbal  or- 
ders for  medicines  are  accepted  from 
doctors  only  in  emergencies. 

Is  Economical  System 

Our  system  of  keeping  a  large  supply 
of  medicines  on  the  floors  provides 
prompt  service  for  the  patient  and  saves 
much  time  on  the  part  of  both  nursing 
and  pharmacy  staff.  Under  this  plan  of 
dispensing  medicine,  patients  are  sup- 
plied with  all  ordinary  medicines  with- 
out extra  charge.  Special  medicines,  in- 
cluding approved  proprietary  prepara- 
tions, intravenous  solutions,  vaccines, 
serums  and  others,  are  supplied  to  pa- 
tients directly  from  the  pharmacy  as 
ordered.  Some  of  these  are  made  up  only 
as  needed,  while  a  small  supply  of  others 
are  kept  in  readiness  in  the  large  refriger- 
ator in  the  pharmacy.  Essential  oils, 
fixed  oils  such  as  coconut,  cod  liver  and 
almond  and  the  various  sweet  oils  are 
stored  in  the  refrigerator,  also. 

Other   Pharmaceutical    Supplies 

Various  solutions  and  ointments  are 
prepared  in  the  pharmacy.  Those  used 
hi  the  eyes  and  for  hypodermic,  intra- 
venous, intramuscular  or  intraspinal  use 
.ire  supplied  in  sterile  condition.  Many 
of  the  testing  solutions  used  in  the  labo- 
ratory arc  prepared  in  the  pharmacy  as 
arc  also  antiseptic  solutions  used  in  sur- 
gery and  obstetrics.  Mercuric  chloride 
tablets  are  supplied  to  operating  rooms 
for  making  antiseptic  solutions  used  at 
operations.  Local  anesthetics  arc  pre- 
pared in  the  pharmacy,  which  also  sup' 
plies  ether,  ethylene  and  nitrous  oxide 
gases  and  oxygen. 


PHARMACY  COURSE  FOR 

NURSES  STRESSES 

EXACTNESS 


Safe  Procedures  Are   Taught 


Our  hospital  School  of  Nursing  was 
among  the  first  in  the  entire  country  to 
offer  a  special  course  of  pharmaceutical 
instruction,  Mr.  Gray  having  inaugurated 
the  course  at  the  request  of  Miss  M. 
Helena  McMillan,  director  of  the  school, 
soon  after  he  joined  our  staff  as  pharma- 
cist, 3 1  years  ago.  Termed  elementary 
materia  medica,  this  course  embracing  25 
hours  instruction  in  the  pharmacy,  is 
given  during  the  first  term  of  the  first 
year.  Its  object  is  to  familiarize  the  stu- 
dent with  the  various  preparations  of 
drugs,  their  classifications  and  adminis- 
tration; methods  of  weighing  and  mea- 
suring, and  the  preparation  of  solutions, 
ointments  and  suppositories. 

Exactness  Is  Stressed 

Percentage  and  fractions,  ratio  and 
proportion,  and  tables  of  weights  and 
measures  which  the  students  learned 
long  ago  are  brought  into  practical  use 
in  the  weighing,  mixing  and  dividing  of 
drugs  to  be  put  up  in  capsules  or  powder 
papers,  the  preparation  of  solutions  and 
the  measuring  of  liquid  medicines.  They 
learn  that  a  drop  is  not  always  a  minim 
but  varies  according  to  the  kind  of  drop- 
per and  the  viscoscity  (fluidity)  of  the 
liquid.  Likewise  they  learn  that  a  tea- 
spoonful  is  not  always  a  dram  and  that 
the  accurate  way  to  measure  liquid  medi- 
cines is  in  a  medicine  glass  or  graduate 
rather  than  in  a  teaspoon  or  tablespoon, 
while  the  small  glass  on  which  minims 
are  designated  is  best  for  measuring  the 
dosage  that  is  less  than  a  dram.  The 
student  acquires  much  practical  training 
and  a  realization  of  the  importance  of 
exactness  and  care  in  handling  medicines. 

Safe   Procedures   Taught 

Safe  procedures  taught  in  our  phar- 
macy may  well  be  observed  by  every  one 
in  the  handling  of  drugs  in  view  of  the 
fact  that  many  lives  are  lost  each  year 
in  home  accidents  due  to  errors  in  taking 
or  giving  medicines.  Our  nurses  are 
taught : 

//  interrupted  while  reaching  for  a  bottle 
of  medicine,  stop  at  once,  for  the  hand  that 
is  arrested  in  its  search  will  almost  invariably 
take  the  wrong  bottle.  Reach  again  when  the 
interruption  is  over  and  give  undivided  atten- 
tion to  the  task  of  selection. 

Never  depend  on  the  appearance  of  the 
container  or  its  contents,  but  always  read  the 
label,  not  merely  once,  but  TWICE  —  once 
before  taking  out  the  dose  and  once  before 
replacing  the  container  on  the  shelf.  Form 
the  habit  of  keeping  hold  of  the  bottle  when 
replacing  it  until  you  have  again  read  the 
label. 


IT'S  MEDICINE  TIME 


V  -*\     i  !,*■-# 

Hoi          l»^ 

1 

I 

Must  of  the  medicines  ordinarily  prescribed 
for  patients  are  dispensed  at  uniform  intervals 
from  special  trays  fitted  with  circular  openings 
into  which  individual  glasses  are  set.  A  guide 
sheet  placed  at  one  side  of  the  tray  shows  the 
position  on  the  tray  of  the  medicine  for  each 
patient,  designated  by  room  or  bed  number. 
This  guide  sheet  is  marked  off  in  spaces  cor- 
responding to  those  on  the  tray  and  the  nurse 
fills  in  each  space  as  she  assembles  each  medi- 
cine order  in  turn,  thus  avoiding  possibility 
of  error.  Miss  Viola  Evans,  senior  student 
nurse,  is  shown  in  the  picture  holding  a  medi- 
cine tray.  She  is  standing  beside  a  medicine 
cabinet  such  as  is  located  on  each  floor. 


NURSING    STAFF    NOTES 

Sandwich  sales  are  being  held  occa- 
sionally by  the  Y.W.C.A.  of  our  School 
of  Nursing  to  raise  money  to  send  a 
delegate  to  the  national  student  confer- 
ence at  Lake  Geneva  in  June. 

The  School  of  Nursing  committee  of 
the  Woman's  Board  have  had  new  in- 
direct lighting  fixtures  installed  in  the 
library  at  Sprague  Home  at  a  cost  of  $50. 

The  annual  senior  class  dance  was 
given  at  the  West  Side  Woman's  Club 
on  the  evening  of  Apr.  30. 

The  quilt  made  by  night  nurses  on 
private  duty  was  the  means  of  raising 
$150  for  the  fund  to  provide  private 
nurses  to  care  for  nurses  who  become 
seriously  ill.  The  quilt  was  awarded  to 
Mrs.  Marion  H.  Swanson  of  DuBois,  Pa. 


WM.  GRAY  HEAD  OF  OUR 

PHARMACY  31  YEARS 

NOTES   CHANGES 

Many   New    Medicines    Used 


Mr.  William  Gray,  head  of  our  phar- 
macy department,  has  held  this  position 
for  31  years.  Mr.  Malcolm  Hutton,  reg- 
istered pharmacist,  has  been  Mr.  Gray's 
assistant  for  22  years.  Miss  Nelle  Crout, 
graduate  of  our  School  of  Nursing 
(1928)  is  the  other  full  time  member  of 
the  pharmacy  staff. 

That  Mr.  Gray  is  recognised  profes- 
sionally as  one  of  the  leading  pharmacists 
of  the  country  is  revealed  by  his  frequent 
contributions  to  medical,  hospital  and 
pharmaceutical  journals  and  the  papers 
he  has  presented  at  professional  meet- 
ings. He  is  an  active  member  of  the 
American  Pharmaceutical  Association 
and  since  1915  has  been  one  of  21  mem- 
bers of  the  recipe  book  of  that  associa- 
tion. He  was  an  official  delegate  member 
of  the  United  States  Pharmacopoeial 
Convention  in  1930  and  previously.  He 
is  a  member  of  the  Society  for  the  His- 
tory of  Pharmacy  in  both  Germany  and 
France. 

Many  New   Medicines 

Among  the  outstanding  additions  to 
the  list  of  medicines  during  Mr.  Gray's 
3 1  years  of  service  in  our  hospital  are  the 
vitamin  preparations,  liver  extract  pre- 
parations, various  diagnostic  reagents 
and  the  many  new  biological  products 
such  as  vaccines  and  serums  for  the  pre- 
vention and  treatment  of  disease.  Nota- 
ble discoveries  include  insulin  for  dia- 
betes, adrenal  cortex  used  in  Addison's 
disease  and  different  kinds  of  hormones. 

The  present  extensive  use  by  the 
medical  profession  of  proprietary  medi- 
cines (preparations  with  copyrighted 
names)  is  an  important  change  which 
has  lessened  the  amount  of  mixing  and 
measuring  done  by  the  hospital  pharma- 
cist. However,  Mr.  Gray  says  that  he 
has  seen  innumerable  preparations  come 
and  go  in  his  day  and  many  of  these  as 
well  as  some  of  the  present  day  ready- 
made  articles  have  not  found  a  market 
in  the  Presbyterian  Hospital,  because 
identical  and  oftimes  superior  prepara- 
tions could  be  made  in  our  own  phar- 
macy from  raw  materials  purchased  at 
far  less  cost.  Only  those  proprietary 
products  approved  by  the  Council  on 
Pharmacy  and  Chemistry  of  the  Ameri- 
can Medical  Association  are  used  in  our 
hospital.  All  of  our  pharmaceutical  sup- 
plies are  purchased  in  large  quantities 
at   wholesale   prices   direct   from   manu- 


Iowa  School  of  Medicine  and,  just  prior 
to  joining  our  staff,  he  completed  a 
three-year  fellowship  in  radiology  at  the 
Mayo  clinic  in  Rochester.  Dr.  Rex 
Wilson,  who  holds  the  fellowship  in 
radiology  established  last  year  in  our 
hospital,  will  be  the  medical  assistant. 


Dr.  C.  B.  Rose  Resigns  After  20  Years  In 

X-Ray    Department — Will  Locate  in   Denver 

Dr.  Cassie  Bell  Rose  completes  20  years  of  service  in  our  X-ray  department  on 
May  12,  and  will  leave  soon  thereafter  for  Denver,  Colo,  the  home  of  her  family. 
She  has  accepted  the  position  of  radiologist  to  the  Porter  Sanitarium  and  Hospital  in 
Denver  and  the  Boulder  Sanitarium  in  Boulder,  which  are  under  the  same  manage- 
ment. As  head  of  our  X-ray  department  for  the  last  15  years,  Dr.  Rose  has  brought 
the  department  to  a  high  state  of  efficiency,  her  professional  ability  and  enthusiasm 
having  been  important  factors  in  its 
growth  from  a  small  department  with 
limited  facilities  to  a  department  occu- 
pying a  total  of  13  rooms,  with  new 
equipment  for  biplane  fluoroscopy,  deep 
X-ray  therapy  and  fever  therapy  as  well 
as  enlarged  facilities  for  taking  X-ray 
films. 

The  number  of  patients  served  by  the 
department  has  grown  from  7,747  in 
1922  to  15,058  in  1936.  Fluoroscopic 
work  has  increased  greatly  and  in  many 
instances  has  lessened  the  number  of  films 
required,  thus  reducing  the  cost  to  the 
patient.  Notable  advances  have  been 
made  in  the  taking  of  films  of  the  gall 
bladder,  kidneys  and  other  internal  or- 
gans. Another  new  procedure  is  the  in- 
jection of  air  into  brain  cavities  or  spinal 
cord  in  order  to  take  X-ray  films  of 
these.  Since  1924  the  administration  of 
radium  therapy  has  been  in  charge  of 
the  X-ray  department. 

On    Rush  Faculty 

Dr.  Rose  also  has  been  at  the  head  of 
the  department  of  radiology  of  Rush 
Medical  College  of  the  University  of 
Chicago,  her  title  being  associate  clinical 
professor  of  surgery  (radiology).  She 
has  studied  X-ray  developments  in 
Europe,  taking  a  course  of  lectures  on 
this  subject  in  Vienna;  she  also  has  at- 
tended many  international  X-ray  con- 
ferences and  while  on  the  Continent 
visited  X-ray  laboratories  and  depart- 
ments in  hospitals.  In  1934,  Dr.  Rose 
became  a  diplomate  of  the  American 
Board  of  Radiology.  She  has  been  called 
upon  frequently  to  address  professional 
meetings  and  is  the  author  of  13  articles 
on  subjects  pertaining  to  X-ray,  pub- 
lished in  professional  journals. 

She  is  scheduled  to  present  a  paper 
before  the  International  Congress  of 
Radiology  in  Chicago  in  September.  Dr. 
Rose  is  a  member  of  the  Radiology 
Society  of  North  America,  American 
Roentgen  Society,  American  Medical 
Association,  Illinois  and  Chicago  Medi- 
cal Societies,  Chicago  Roentgen  Society 
and  Zonta  Club  of  Chicago.' 


BIRTHDAY    OBSERVANCE 

On  April  1,  the  34th  birthday  an- 
niversary of  the  Presbyterian  Hospital 
School  of  Nursing  was  observed  by  a 
birthday  dinner  at  Sprague  Home,  ar- 
ranged by  Miss  Emma  B.  Aylward, 
matron.  In  earlier  years  the  school's  birth- 
day was  celebrated  with  an  evening  frolic 
at  which  guests  wore  fancy  costumes  rep- 
resenting the  age  of  the  school,  but  now 
that  the  staid  thirties  have  been  reached 
the  observance  has  taken  the  form  of  a 
special  dinner  with  music  or  other  at- 
tractions to  make  the  day  different. 


Successor  Appointed 

Dr.  F.  H.  Squire,  who  has  been  medi 
:al  assistant  in  the  department  since 
1929,  will  take  Dr.  Rose's  place  as  head 
>f  the  department.  Dr.  Squire  received 
lis  M.D.  degree   from  the  University  of 


ATI  END    INSTITUTE 

Our  School  of  Nursing  and  hospital 
nursing  staff  were  well  represented  at 
the  nurses'  institute  held  at  St.  Luke's 
and  Michael  Reese  Hospitals,  April  1 
and  2,  under  the  auspices  of  the  private 
duty  section  of  the  First  District,  Illinois 
State  Nurses'  Association.  Medical  men 
outstanding  in  their  respective  fields  dis- 
cussed recent  advances  in  medical  science 
as  related  to  nursing  technique.  Miss 
Millie  Brown,  private  duty  nurse  in  our 
hospital,  was  on  the  committee  that  ar- 
ranged the  institute  which  was  attended 
by  several  hundred  nurses  from  Cook, 
Lake  and  DuPage  counties. 


DISTINGUISHED    VISITORS 

Mr.  Balcombe  Griffiths,  architect,  of 
Melbourne.  Australia,  was  a  recent 
visitor  at  cur  hospital. 

Dr.  Olaf  Lippmann,  of  the  Engineer- 
ing Technological  Institute  of  Copen- 
hagen, Denmark,  visited  our  hospital  re- 
cently to  study  the  equipment  and  en- 
gineering set-up  of  our  operating  rooms 
and  methods  of  inhalation  anesthesia. 

Dr.  Louis  McRae  completed  his  ser- 
vice as  intern  on  April  1,  and  Dr.  Paul 
Goodman  was  added  to  the  house  staff 
as  an  intern. 


MEDICAL   STAFF    NEWS 

Dr.  Clark  W.  Finnerud  is  director  of 
the  committee  on  the  scientific  exhibit  of 
the  Section  on  Dermatology  and  Syphil- 
ology  of  the  American  Medical  Associa- 
tion which  meets  in  Atlantic  City  in 
June.  Dr.  Peter  Bassoe  is  chairman  of 
the  exhibit  for  the  Section  on  Nervous 
and  Mental  Disease. 

Members  of  our  staff  gave  addresses 
at  professional  meetings  during  April  as 
follows:  Dr.  Loren  W.  Avery,  Chicago 
Neurological  Society;  Dr.  Adrien  Ver- 
brugghen,  West  Side  Branch  of  Chicago 
Medical  Society;  Dr.  W.  J.  Potts,  Chi- 
cago Pediatric  Society;  Dr.  Edwin  M. 
Miller,  Chicago  Surgical  Society;  Dr. 
Wilber  E.  Post,  South  Chicago  Branch 
of  Chicago  Medical  Society;  Dr.  C.  B. 
Rose,  Chicago  Roentgen  Society;  Dr.  C. 
W.  Finnerud,  Loyola  Pediatric  Society; 
Dr.  Harry  Boysen,  McLean  County 
Medical  Society. 

Dr.  W.  O.  Thompson  addressed  the 
Will-Grundy  County  Medical  Society 
on  Mar  31.  Dr.  Leo  K.  Campbell  was 
guest  speaker  at  a  meeting  of  the  Wom- 
an's Auxiliary  of  Rock  Island  County, 
Anr.  21. 


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  Fred   A.   Poor 

Alfred  T.  Carton  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  Robert  Stevenson 

Alfred   E.   Hamill  J.    Hall   Taylor 

Charles  H.   Hamill  John   P.  Welling 

Edw.  D.  McDougal,   Jr.  Edward   F.  Wilson 

CLERICAL  MANAGERS 

Rev  Harri«on    Ray    And»r<nn,    D.D. 

Rev.  Harold    L.    Bowman,    D.D. 

Rev.  Henry    S.    Brown,    D.D. 

Rev.  W.    Clyde    Howard,    D.D. 

MEDICAL    BOARD 

VERNON    C.    DAVID,    M.D President 

WOMAN'S    BOARD 
MRS.    CLYDE    E.    SHOREY President 

ADMINISTRATION 

ASA     S.     BACON    Superintendent 

HERMAN    HENSEL Asst.   Superintendent 

M.    HELENA   McMILLAN     Director,   School   of  Nursing 

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. 


;•'  v. 

r'-Tii-,-.- 


e  tebyirlai  Hospital 

ofv  tke  City  &y  Gkicag©j 

BULLETDN 

MEMBER    AMERICAN     HOSPITAL    ASSOCIATION 


Chicago.  111. 


June,    1937 


No.   99 


PHYSICAL  THERAPY   UTILIZES   MANY   NEW  DEVICES 

Facilities  Are  Now  Available 

as  Aids   to   Medicine 

and  Surgery 

By  Disraeli  W.  Kobak,  MD. 
The   old   concept  that   a  hospital   has 
the  principal  mission  of  caring   for  the 

|  acutely  ill  and  therefore  has  only  to  pro- 
vide medical  and  surgical  aid  has  under- 
gone a  radical  change.  One  reason  for 
this  is  that  a  general  hospital  managed 
on  modern  lines  must  extend  its  scope  to 
include  virtually  the  entire  field  of  medi- 
cine. With  the  possible  exception  of  con- 
tagious and  mental  diseases,  the  general 
hospital  today  is  obligated  to  afford  cure 
or  at  least  amelioration  to  patients  suffer- 
ing also  from  subacute  or  chronic  ail- 
ments, the  public  having  learned  to  ex- 
pect such  benefits  from  a  highly  trained 
medical  and  surgical  staff. 

One  need  only  think  of  the  frequency 

1  with  which  one  encounters  slowly  pro- 

I  gressing   but   crippling  processes   of  the 

j  human  body  to  realize  that  neither  medi- 

1  cines  nor  surgical  procedures  can  always 

[  be    expected    to    produce    the    necessary 

'  structural    changes,    and    that    in    very 

I  many   instances   resort   must   be   had   to 

j  mechanical  and  certain  natural  measures 
which  by  experience  have  proved  to  be 
effective  either  by  enhancing  the  results 
of  medical  or  surgical  treatment  or  by 
inherently  aiding  in  the  restoration  of 
certain  inflammatory  or  degenerative 
affections. 

The  truth  of  this  was  keenly  appre- 
ciated by  the  management  when  hydro- 
therapy was  introduced  as  a  facility  of 
the  Presbyterian  Hospital  at  the  time  of 
completion  of  the  Private  Pavilion  wing 
in  1908.  The  late  Dr.  Frank  Billings  was 
one  of  the  first  among  our  staff  men  to 
make  use  of  this  form  of  treatment. 
Since  then  agents  other  than  water  ap- 
plied for  medical  purposes  have  been 
added  gradually  to  what  today  is  a  spe- 
cial Physical  Therapy  department  with 
ample  equipment  for  all  possible  needs. 
(Continued  on  Page   3) 


PATIENTS    ENJOY    SUN    ROOF 

This  picture  .shows  two  patients  enjoying  the  sunshine  and  the  beauties  of  our  sun  roof  rock 
garden  and  fountain.  Small  evergreen  and  willow  trees  set  in  tubs,  rosebushes,  blooming  plants 
and  vines  make  the  roof  an  attractive  part  of  our  hospital.  A  separate  section  is  used  for  helio- 
therapy (exposure  to  sunlight)  under  the  direction  of  the  Physical  Therapy  department.  In  the 
above  picture,  Edward  Boyd  (left)  is  sandpapering  a  boat.  Mrs.  Shaba;;  (wheel  chair  at  right) 
is  happily  winding  yarn  while  Miss  Ibb  Tennant,  a  volunteer  worker,  holds  the  skein.  Miss 
Cooper  and  Miss  Provinc,  student  nurses  are  looking  at  an  Occupational  Therapy  notebook. 
Articles  about  the  Occupational  Therapy  department  appear  on  page  2. 


Chicago  Presbytery  Meets  as    Guests    of   the 

Hospital  on  June    14th — Will    Hear    Reports 

The  Chicago  Presbytery,  representing  112  Presbyterian  Churches,  will  hold  a 
stated  meeting  in  our  hospital  chapel  on  June  14,  beginning  at  10:00  A.M.  Ministers 
and  others  in  attendance  will  be  guests  of  the  hospital  at  lunch.  Principal  features  of 
the  program  will  be  the  presentation  oi  annual  reports  of  the  Presbyterian  Home  m 
Evanston  and  the  Presbyterian  Hospital  of  the  City  of  Chicago.  Dr.  Alvyn  R. 
Hickman,  D.D.,  pastor  of  the  Third  Presbyterian  Church,  Ashland  and  Ogden 
Avenues,  is  the  moderator.  Dr.  Andrew  Zenos,  D.D.,  is  stated  clerk.  Dr.  Robert  H. 
Elliott,  representative  of  the  Board  of  Christian  Education  m  the  Chicago  Presbytery, 
also  will  participate  in  the  meeting. 


OCCUPATIONAL    ACTIVITY 

PROVES   BENEFICIAL 

TO  PATIENTS 


By  Winifred  Brainerd 
As  far  as  is  known,  the  first  mention 
in  literature  of  the  value  of  aetivity  was 
made  by  Galen  when  he  said  that  em- 
ployment is  Nature's  best  physician  and 
is  essential  for  human  happiness.  The 
World  War  gave  a  great  impetus  to 
Occupational  Therapy  and  it  was  at  this 
time  that  the  term  was  coined.  A  pioneer 
in  the  field  of  Occupational  Therapy  was 
Miss  Susan  Tracy,  of  Boston,  and  it  was 
under  her  direction  and  with  the  finan- 
cial hacking  of  the  Woman's  Board  and 
particularly  of  Miss  Helen  V.  Drake  that 
our  Occupational  Therapy  department 
was  started  in  the  Presbyterian  Hospital 
m  1917.  Ours  was  the  second  hospital 
in  Chicago  to  inaugurate  this  work. 

Occupational  Therapy  differs  from  all 
other  forms  of  treatment  in  that  the  pa- 
tient is  the  doer  —  he  treats  himself,  so 
to  speak,  while  in  other  therapies  some- 
thing is  done  to  him.  This  form  of  thera- 
py is  prescribed  by  the  doctors  just  as  is 
any  medication  or  any  other  form  of 
treatment.  The  patient  does  not  do  some- 
thing because  he  thinks  it  would  be  plea- 
sant diversion  but  he  engages  in  a  pur- 
poseful activity  because  his  doctor  be- 
lieves that  it  would  contribute  to  his  re- 
covery. Sometimes  it  takes  days  and  even 
weeks  of  skillful  endeavor  to  get  a  pa- 
tient to  show  any  signs  of  interest  in  any- 
thing except  his  physical  condition,  but 
when  he  does  capitulate  he  wonders  why 
he  didn't  do  so  sooner."  In  many  cases 
the  work  done  contributes  to  muscle  re- 
education or  to  an  interest  that  becomes 
a  hobby  when  the  patient  leaves  the 
hospital. 

The  first  workshop  was  on  the  top 
floor  of  the  Murdoch  building  in  the 
space  now  occupied  by  Fever  Therapy. 
These  quarters  were  outgrown  and  the 
department  was  moved  to  the  eighth  floor 
of  the  Jones  building.  Here  a  sunny 
work  shop  with  many  windows  and  a 
large  open  roof  furnish  almost  ideal 
quarters.  The  patients  often  speak  about 
the  rcstfulness  of  the  place  and  its  friend- 
ly informality  which  is  a  happy  relief 
from  the  necessary  discipline  of  the  hos- 
pital  floors.  Every  few  weeks  through 
the  generosity  of  a  good  friend  a  party 
is  given  m  the  workshop.  It  might  seem 
Strange  to  the  uninitiated  to  drink  coffee 
and  eat  coffee-cake  at  ten-thirty  in  the 
morning,  hut  so  far  no  ill  results  have 
been  reported.  Our  player  piano,  radio, 
vietrola  and  motion  picture  protector 
provide  many  happy  interludes.  At  least 
two  of  the  older  patients  saw  their  first 
motion   pictures  in  our  work  shop. 


ARTIFICIAL  SUNLIGHT 


The  patient  in  tl 
benefit  of  artificial  sunlight  as  produced  by 
the  ultraviolet  generator.  Both  patient  and 
technician  wear  amber-colored  goggles  to  pro- 
tect their  eyes  against  the  brilliant  actinic  rays 
which  rival  Old  Sol  himself  in  his  best  mo- 
ments, either  as  a  means  of  generalised  toning 
up  or  as   a  form   of  localised  treatment. 


The  roof  garden  deserves  special  men- 
tion. Three  years  ago  Mr.  and  Mrs.  J. 
Hall  Taylor  gave  a  small  rock  garden  to 
the  department.  It  wasn't  a  case  of  the 
gift  without  the  giver,  for  they  built  the 
garden  with  their  own  hands.  In  the 
center  of  the  pool  sits  a  jolly  Pan  and 
the  music  of  the  water  as  it  falls  from 
his  hands  has  soothed  and  refreshed  more 
than  one  tired  soul.  Last  month  under 
the  supervision  of  Miss  Lillie  Kohler,  of 
Sheboygan,  Wis.,  the  roof  was  land- 
scaped in  a  modest  way  and  the  trans- 
formation wrought  by  Miss  Kohler  has 
hrought  warm  expressions  of  apprecia- 
tion from  all  who  have  seen  it.  A  porta- 
ble outdoor  fireplace  is  another  attrac- 
tion  found  on  our  sun  roof. 

The  crafts  used  in  Occupational  Ther- 
apy vary  with  the  seasons,  the  interests 
of  the  patients  and  the  styles  of  the  times. 
Knitting,  crocheting,  leather  work,  and 
elephants  and  seottics  made  from  plaid 
ginghams  arc  among  the  most  popular  at 
the  present  time.  Our  Occupational 
Therapy    shop    affords   equipment    for    a 


THREE  TRAINED  WORKERS 

IN    OCCUPATIONAL 

DEPARTMENT 

Our  Occupational  Therapy  depart- 
ment has  a  full  time  employed  staff  of 
three  persons,  especially  trained  for  this 
type  of  work.  Miss  Winifred  Brainerd, 
director  of  the  department  has  held  this 
position  since  August,  1918.  Assistants 
are  Miss  Carrie  Stoner  and  Miss  Mary 
Tully.  All  three  are  registered  Occupa- 
tional Therapists,  members  of  the  Ameri- 
can Occupational  Therapy  Association 
and  the  Illinois  Society  of  Occupational 
Therapists.  Miss  Stoner  and  Miss  Tully 
joined  our  hospital  personnel  two  years 
ago,  their  previous  experience  having 
been  obtained  in  the  Veterans"  Bureau 
Hospitals  at  Hines  and  at  Phoenix,  Aru. 

Mrs.  Philip  Hand  has  been  a  faithful 
volunteer  in  the  Occupational  Therapy 
department  for  the  past  two  years.  Miss 
Helen  McNair  is  chairman  of  a  volun- 
teer group  now  being  organized  to  serve 
in  the  fall. 


great  variety  of  crafts  and  activities. 
Here  are  saws,  sanding  machines,  buffer 
and  grinder,  forge,  woodworking  benches 
and  vises  for  making  various  articles; 
printing  press,  letter  presses,  pantograph, 
hektograph  and  typewriters;  portable 
electric  and  stationary  sewing  machines, 
four  looms  for  rug  weaving  and  miscel- 
laneous tools  for  various  crafts.  Photo- 
graphy is  of  absorbing  interest  to  many 
patients.  The  latest  piece  of  equipment 
is  a  compound  microscope.  The  frontiers 
of  science  have  not  been  advanced  by  the 
use  of  this  microscope,  but  the  discovery 
of  a  little  organism  paddling  about  in  a 
drop  of  hay  infusion  has  been  greeted 
more  than  once  with  all  the  excitement 
a  scientific  discovery  could  possibly  call 
forth. 

Activity  suited  to  the  physical  limita- 
tions of  bed  patients  includes  many  crafts 
and  often  special  equipment  is  devised  so 
that  patients  who  cannot  go  to  the  shop 
and  who  must  remain  in  a  certain  posi- 
tion  may  engage  in  a  desirable  activity. 

The  Occupational  Therapy  depart- 
ment which  was  sponsored  by  the  Wom- 
an's Board  in  its  inception  has  remained 
one  of  the  major  interests  of  the  board. 
Mrs.  L.  Hamilton  McCormick  is  chair' 
man  of  the  Occupational  Therapy  com' 
mittee,  Mrs.  J.  Hall  Taylor,  vice-chair' 
man;  and  Mrs.  Wilton  B.  Martin,  trea- 
surer. Other  members  of  the  committee 
are:  Mrs.  Elven  J.  Berkheiser,  Miss 
Lucibe!  Dunham,  Mrs.  Earle  B.  Fowler, 
Mrs.  David  W.  Graham,  Mrs.  Henry 
C.  Hackney,  Mrs.  Ernest  E.  Irons,  Mrs. 
B.  McPherson  Linnell,  Mrs.  George  R. 
Nichols,  Mrs.  Woodruff  ].  Parker  and 
Mrs.  William  B.  ReQua.  ' 


PHYSICAL   THERAPY 

(Continued  from  Page  1) 
In  reviewing  these  facilities  it  may  he 
of  interest  to  point  out  that  our  hospital 
is  in  a  position  to  afford  patients  the 
benefits  of  such  therapeutic  procedures 
as  artificial  heat  both  for  superficial  and 
depth  effects,  light  in  its  various  mani- 
festations, and  electrical  energies  for  the 
stimulation  of  nerves  and  muscles  and 
other  purposes.  The  department  affords 
manual  treatment  to  correct  weakened  or 
defective  functions  and  technically  im- 
proved hydnatic  (water)  procedures 
which  accomplish  much  good  m  cases 
where  these  are  desirable.  Under  the 
general  grouping  of  manual  treatment, 
we  include  a  scientifically  developed  sys- 
tem of  massage,  active  and  passive  ex- 
ercises especially  of  afflicted  extremities 
and,  last  but  not  least,  reconstructive 
methods  commonly  spoken  of  as  Occu- 
pational Therapy. 

Bedside  Treatment   Available 

While  the  above  mentioned  methods 
by  no  means  exhaust  the  actual  ones  in 
use,  sufficient  has  been  said  to  convey  a 
fair  idea  of  the  scope  and  usefulness  of 
our  Physical  Therapy  department,  which 
is  located  on  the  eighth  floor  of  the  hos- 
pital building  and  occupies  sufficient 
space  for  the  needs  of  all  patients  who 
can  go  or  be  transported  to  the  depart- 
ment. Attention  is  invited  to  the  fact 
that  the  department  is  equipped  and  pre- 
pared to  convey  most  of  its  facilities  to 
the  bedside,  so  that  patients  unable  for 
some  reason  or  other  to  leave  their  bed 
or  to  be  moved  about,  are  not  deprived 
of  the  benefits  of  physical  therapy.  Ac- 
cordingly, patients  who  are  convalescing 
from  disabling  diseases  or  injuries,  espe- 
cially fractures  and  the  like,  are  afforded 
such  physical  measures  as  are  known  to 
hasten  curative  processes  and  are  thereby 
enabled  more  rapidly  to  overcome  their 
handicaps. 

Electrical  Devices  Are  Efficient 

It  is  here  impossible  to  convey  an  ade- 
quate idea  of  the  benefits  of  Physical 
Therapy,  and  we  must  remain  content 
with  the  presentation  of  a  few  facts  of 
general  interest.  Taking  up  heat  as  a 
remedial  agent,  modern  devices  facilitate 
the  heating  of  part  or  even  of  the  entire 
body  not  only  by  influencing  its  surface 
but  by  penetrating  to  a  depth  heretofore 
unattainable  by  the  usual  appliances.  A 
great  advance  in  this  form  of  therapy 
has  been  made  through  the  introduction 
of  so-called  ultrahigh  frequencies,  popu- 
larly referred  to  as  short  wave  diathermy, 
because  with  this  agency  properly  ap- 
plied it  is  within  our  power  to  convey 
heat  within  physiologic  limits  to  any  part 
of  the  body,  the  interesting  feature  of  it 
being  that  even  bones  can  be  subjected 
to  the  influence  of  the  heat  wherever  this 
may  be  necessary.    Technically  this  type 


SHORT    WAVE    DIATHERMY    PRODUCES    HEAT 


It  looks  like  a  radio  and  is  operated  in  the  same  way  hut  it  produces  heat  rather  than  noise. 
The  patient  in  the  picture  is  receiving  for  sinus  infection  a  treatment  utilizing  6  meter  short 
waves  which  on  passing  into  the  body  are  transformed  into  heat.  This  in  turn  stimulates  the 
circulation  and  produces  beneficial  therapeutic  effects.  Different  attachments  are  used  for 
treating  different  parts  of  the  body.  Miss  Verona  Hardy,  our  Physical  Therapy  technician,  is 
shown  operating  the  machine.  Mrs.  Elsa  Anderson,  masseuse  and  hydrotherapist,  is  shown  at 
the  right. 


of  electrical  current  can  be  applied  by 
so-called  condenser  electrodes,  which  m 
contrast  to  the  galvanic  or  faradic  cur- 
rent are  held  at  some  distance  from  the 
body;  that  is  to  say,  immediate  contact 
with  the  skin  is  avoided  by  placing  some 
insulating  material  between  the  skin  and 
the  electrodes. 

Sunshine  Is  Generated 

It  is  hardly  necessary  at  the  present 
time  to  point  out  the  great  value  of 
natural  sunshine.  An  open  air  solarium 
has  been  established  on  the  roof  adjacent 
to  the  Physical  Therapy  indoor  quarters. 
There  are  many  conditions  in  which 
heliotherapy  (exposure  to  natural  sun- 
light) have  proved  of  immense  value. 
Our  sun  roof  affords  patients  an  oppor- 
tunity to  obtain  the  full  benefit  of  open 
air  and  sunshine.  Ultraviolet  generators 
provide  artificial  sunshine  when  natural 
sunlight  is  not  available.  These  gener- 
ators produce  the  well  known  tonic 
effects  of  the  actinic  rays  of  the  sun  to 
an  extent  as  close  as  human  ingenuity 
can  reach. 

The  department  is  fully  cognizant  of 
the  beneficial  effects  of  purposive  occupa- 
tional efforts  by  handicapped  individuals 
while  they  are  patients  in  the  hospital. 
It  should  be  understood  that  this  form 
of  therapy  is  more  than  a  means  of  whal- 
ing away  the  time  or  even  of  affording 


mental  diversion,  for  each  and  every 
form  of  active  effort  is  selected  to  suit 
an  existing  condition,  irrespective  of  the 
patient's  normal  occupation  or  profes- 
sion. The  patients  themselves  gladly  co- 
operate even  m  unaccustomed  efforts  be- 
cause they  soon  realise  the  effects  on 
their  particular  deformities  or  disabili- 
ties —  effects  that  eventually  bring  about 
both  structural  and  functional  improve- 
ment, often  followed  by  recovery. 

Values    Are    Recognized 

Physical  Therapy  is  by  no  means  a 
new  method  of  treatment.  In  past  times, 
many  of  its  procedures  were  employed 
through  dependence  on  trial  and  error 
methods.  However,  as  the  sciences  and 
industries  have  advanced,  suitable  me- 
chanical and  electrical  apparatus  has 
been  provided  which  permit  intelligently 
measurable  application.  Thus  Physical 
Therapy  has  generally  come  to  be  recog- 
nised as  a  valuable  adjunct  to  medicinal 
and  surgical  management  of  disease. 
This  is  shown  by  the  almost  universal 
resort  to  the  measures  we  have  discussed 
which  have  been  found  valuable  in  main- 
cases  of  intractable  arthritis,  myositis 
and  even  certain  types  of  chronic  infec- 
tion. Therefore,  a  modern  institution  for 
the  care  of  the  sick  must  have  an  ade- 
quately equipped  Physical  Therapy  de- 
partment. 


MEDICAL  SUPERVISION 
ESSENTIAL  IN  USING 
THERAPEUTIC  DEVICES 

With  the  placing  on  the  market  of 
numerous  devices  such  as  the  so-called 
sun  lamps,  diathermy  devices  and  other 
electrical  apparatus,  many  persons  un- 
dertake to  treat  themselves  without  medi- 
cal advice,  while  many  who  are  not 
qualified  by  medical  training  set  them- 
selves up  as  specialists  in  various  forms 
of  Physical  Therapy.  Much  harm  results 
from  the  ill  advised  use  of  apparatus  and 
m  many  instances  physical  exercises  and 
manipulation  cause  injury  rather  than 
benefit  if  undertaken  without  adequate 
clinical  diagnosis  and  medical  supervision. 

The  Physical  Therapy  department  in 
the  Presbyterian  Hospital  is  under  the 
direction  of  a  medically  trained  physical 
therapist,  to  whom  patients  are  referred 
by  their  attending  doctors.  Dr.  Disraeli 
W.  Kobak,  who  has  been  in  charge  of 
this  department  for  ten  years,  is  known 
internationally  as  a  physical  therapist. 
He  is  editor  of  The  Archives  of  Physical 
Therapy,  X-ray  and  Radium.  He  recent- 
ly received  the  decoration  of  a  Knight 
Commander  of  the  Royal  Order  of  St. 
George,  awarded  by  Belgium  for  his  re- 
search and  writings  in  Physical  Therapy. 
This  order  was  created  in  1390  as  royal 
order  of  merit  and  has  been  headed  by 
men  of  highest  European  nobility 
throughout  the  centuries.  Three  years 
ago  Dr.  Kobak  received  the  Officier 
d'Academie,  a  French  decoration.  Dr. 
Kobak  is  assistant  clinical  professor  of 
medicine  (physiotherapy)  on  the  faculty 
of  Rush  Medical  College  of  the  Univer- 
sity of  Chicago. 

Miss  Verona  Hardy,  who  administers 
the  electrotherapy  treatments  utilizing 
short  wave  diathermy,  ultraviolet  ray 
and  infrared  facilities,  is  a  physical  thera- 
py technician  graduate  of  the  University 
of  Wisconsin.  She  joined  our  staff  last 
November.  Mrs.  Elsa  Anderson  who 
gives  the  special  massage  and  hydro- 
therapy treatments  is  a  graduate  masseuse 
and  physical  therapy  technician,  who 
has  had  training  in  both  Sweden  and 
this  country.  She  has  been  on  the  staff 
of  the  department  for  two  years. 

In  addition  to  the  facilities  described 
elsewhere,  the  Physical  Therapy  depart- 
ment is  equipped  with  a  specially  con- 
structed walker  or  "rolling  crutch"  which 
helps  patients  regain  the  use  of  legs  that 
have  been  inactive  for  long  periods  be- 
cause of  fracture  or  disease;  knee  and 
leg  exerciser  similar  to  a  bicycle;  wooden 
wheel  apparatus  for  shoulder  and  arm 
motion;  a  rowing  machine  for  back  and 
abdominal  muscle  activity;  and  a  porta' 
ble  exerciser  for  use  by  bed  patients  to 
maintain  leg  and  foot  tone. 


MEDICAL   STAFF    NEWS 

Dr.  Bert  I.  Beverly  addressed  the  Scott 
County  Medical  Society  at  Davenport, 
la.,  May  6. 

Dr.  Thomas  D.  Allen  is  the  newly 
elected  president  of  the  Chicago 
Ophthalmological  Society. 

Dr.  Wilber  E.  Post  was  the  guest 
speaker  at  the  May  meeting  of  North- 
west Branch  of  the  Chicago  Medical  So- 
ciety. His  topic  was  "Nephrosis  and 
Nephrotic  Edema." 

Dr.  Robert  H.  Herbst  was  one  of  the 
speakers  at  the  annual  meeting  of  the 
Chicago  Urological  Society,  May  27. 

Dr.  Willard  O.  Thompson  and  Dr. 
Norris  J.  Heckel  presented  a  paper  at  the 
Illinois  State  Medical  Society  convention 
in  Peoria,  May  19,  on  "The  Treatment 
of  Hypo-genitalism  with  an  Anterior 
Pituitary-like  Hormone." 

As  this  number  of  our  Bulletin  goes 
to  press,  Dr.  Ralph  C.  Brown  is  in  At- 
lantic City,  attending  the  annual  con- 
vention of  the  American  Gastro-enro- 
logical  Society  in  session,  June  6-8.  Dr. 
Brown  is  vice-president  of  the  society. 
Professional  groups  recently  addressed  by 
Dr.  Brown  included  the  Academy  of 
Medicine  at  Milwaukee,  Knox  County 
Medical  Society  at  Galesburg  and  a 
branch  of  the  Iowa  Medical  Society  at 
Fort  Dodge. 


AT    A.    H.    A.    MEETINGS 

Mr.  Asa  Bacon,  superintendent  of  the 
Presbyterian  Hospital,  spent  several  days 
in  New  York  City  recently  attending 
meetings  of  the  American  Hospital  Asso- 
ciation Committee  on  Membership  Struc- 
ture and  Association  Relations,  and  the 
A.  H.  A.  Council  on  Community  Rela- 
tions and  Administrative  Practice. 


BENEFIT    CARD    PARTY 

Sprague  Home  was  the  scene  on  April 
6  of  the  annual  benefit  card  party  spon- 
sored by  the  School  of  Nursing  Commit- 
tee of  the  Woman's  Board  to  raise  funds 
for  musical  and  other  student  activities. 
Cards  were  played  from  2:00  to  4:00 
P.M.,  after  which  the  Florence  Nightin- 
gale chorus  sang  a  group  of  numbers 
under  the  direction  of  Mr.  Robert  Birch. 
Refreshments  and  awarding  of  a  fine  ar- 
ray of  prizes  concluded  the  program. 
Mrs.  Alva  A.  Knight  is  chairman  of  the 
School  of  Nursing  committee. 

The  party  was  the  most  successful  of 
the  three  thus  far  given  by  the  commit- 
tee, this  year's  proceeds  amounting  to 
$415. 


The  benefit  dance  given  in  April  by 
private  duty  nurses  added  $160  to  the 
fund  which  this  group  has  started  for  the 
purpose  of  providing  special  nurses  to 
cue  for  nurses  who  themselves  require 
such  care  in  time  of  serious  illness.  The 
fund  now  totals  $370. 


HOLD   OPERATIVE    CLINIC 

Members  of  the  Chicago  Surgical  So- 
ciety, of  which  Dr.  Albert  H.  Mont- 
gomery is  president,  were  guests  of  our 
surgical  staff  at  an  operative  clinic  held 
in  the  Presbyterian  Hospital,  Friday, 
May  7,  from  8:30  A.M.  to  12:15  P.M. 
At  the  dinner  meeting  of  the  society 
held  that  evening  at  the  University  Club, 
two  staff  men  were  speakers.  Dr.  Frank 
V.  Theis  discussed  "Popliteal  Aneurysm 
as  a  Cause  of  Peripheral  Circulatory 
Disease."  Dr.  John  M.  Dorsey  spoke  on 
the  topic,  "Bronchiectasis  with  Chronic 
Abscess  Treatment  by  Patrial  Cautery 
Lobectomy." 


TALKS    ON    RADIO 

Dr.  Frank  V.  Theis  gave  a  talk  on 
WAAF,  May  28,  under  the  auspices  of 
the  educational  committee  of  the  Illinois 
State  Medical  Society.  His  topic  was 
"Poor  Circulation."  Dr.  Theis  is  in 
charge  of  the  Vascular  Therapy  depart- 
ment in  our  hospital,  which  was  featured 
m  the  April  number  of  our  Bulletin. 


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  Fred   A.   Poor 

Alfred   T.   Carton  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  Robert  Stevenson 

Alfred   E.   Hamill  J.   Hall  Taylor 

Charles  H.   Hamill  John   P.  Welling 

Edw.  D.  McDougal,   Jr.  Edward    F.   Wilson 

CLERICAL  MANAGERS 

Rev.  Harrison    Ray   Anderson,    D.D. 

Rev.  Harold    L.    Bowman,    D.D. 

Rev.  Henry    S.    Brown,    D.D. 

Rev.  W.    Clyde    Howard,    D.D. 

MEDICAL    BOARD 

VERNON    C.    DAVID,    M.D President 

WOMAN'S    BOARD 

MRS.    CLYDE    E.    SHOREY President 

ADMINISTRATION 

ASA     S.     BACON Superintendent 

HERMAN    HENSEL Asst.   Superintendent 

M.    HELENA   McMILLAN     Director,   School   of  Nursing 

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. 


CO. 


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he  tebyrtaiii  lospte 

tke  Glty  &y  Gk  Lea  gey 

BULLETIN 

MEMBER    AMERICAN     HOSPITAL    ASSOCIATION 


Chi( 


July,    1937 


No.    100 


HOSPITAL   KEEPS    RECORDS 

OF  ALL  PATIENTS  IN 

PERMANENT  FILES 

Involves   Much   Detail   Work 


From  the  time  the  admission  slip  is 
filled  in  by  the  Room  Clerk  until  the 
discharge  slip  is  handed  in  at  the  cashier's 
window,  everything  that  happens  to  a 
patient  in  our  hospital  and  everything 
that  has  been  learned  concerning  his  past 
history  and  his  current  condition,  physi- 
cally and  medically,  is  recorded  in  detail. 
Following  his  discharge  this  record  is  sent 
to  the  Record  Room,  where  it  is  classi- 
fied, catalogued  and  placed  in  a  perma- 
nent file. 

While  the  patient  is  in  the  hospital  his 
records  as  compiled  on  individual  forms 
from  day  to  day  is  kept  in  a  loose  leaf 
binder  and  constitutes  what  is  known  as 
the  patient's  "chart,"  which  is  kept  in  a 
special  desk  on  the  floor  on  which  the  pa- 
tient's room  or  ward  is  located.  Follow- 
ing the  patient's  discharge  from  the  hos- 
pital the  chart  is  sent  to  the  Record 
Room.  Meanwhile,  the  Record  Room 
(Continued   on   Page    2,   Col.    1) 


From  No.   1  to  No.  331,032 

In  an  old  register  locked  away  in 
the  hospital  safe  is  found  the  meager 
history  of  the  eight-day  stay  of  Pa- 
tient No.  1  in  the  Presbyterian  Hos- 
pital, admitted  on  August  20,  1884. 
Admission  slips  for  June  30,  1937 
show  that  the  last  patient  admitted  on 
that  date  was  No.  331,032.  Beginning 
wih  the  brief  data  kept  in  that  trea- 
sured first  record  book,  continuing 
through  other  books  in  which  patients 
histories  gradually  enlarged  in  scope 
and  detail,  and  on  down  through  the 
comprehensive  records  kept  in  filing 
folders  since  1904,  our  hospital  has  on 
file  as  a  permanent  record  medical  and 
related  data  about  every  patient  ad- 
mitted from  No.    1   to  No.   331,032. 


RUSH  GRADUATES   NUMBER   173 

At  the  University  of  Chicago  convocation 
on  June  1  1,  Doctor  of  Medicine  degrees  were 
awarded  to  173  graduates  of  Rush  Medical 
College.  Of  these,  75  had  completed  their 
internship  of  one  year  or  more.  Beginning 
this  year  the  plan  of  awarding  M.  D.  degrees 
on  completion  of  the  four-year  medical  course 
was  inaugurated.  In  most  states  a  year's  in- 
ternship in  an  approved  hospital  is  required  in 
order  to  obtain  a  license  to  practice  medicine. 
The  pre-medical  course  is  three  years,  hence 
doctors  must  devote  at  least  eight  years  to 
study  before  they   can  practice  medicine. 


PATIENTS'    RECORDS    ARE 

INVALUABLE  TO  THEM 

IN   VARIOUS  WAYS 

Data   Held   Confidential 

Not  long  ago  the  Presbyterian  Hos- 
pital Record  Room  received  a  long  dis- 
tance telephone  call  from  the  county 
clerk  in  a  nearby  city,  who  stated  that  a 
young  man  who  was  applying  for  a  mar- 
riage license  had  referred  him  to  the  hos- 
pital for  proof  that  he  was  21  years  old. 
He  had  been  a  patient  in  the  hospital  a 
year  previously  and  the  county  clerk 
wanted  to  know  if  our  record  of  his  age 
at  that  time  substantiated  the  young 
man's  claims  as  to  his  present  age.  The 
information  was  quickly  looked  up  while 
the  county  clerk  held  the  wire,  the  young 
man's  age  was  verified  and  presumably 
the  license  was  issued  without  further 
delay. 

This  is  but  one  rather  interesting  ex- 
ample of  how  hospital  records  of  patient; 
often  prove  a  great  convenience  and  be- 
nefit to  them  in  one  way  or  another,  and 
also  shows  how  important  it  is  for  the 
(Continued   on  Page    3,    Col.    3) 


RECORD    ROOM   IS    BUSY    CENTER    OF    ACTIVITY       Classifying,  indexing,  cataloguing  and  filing  an  average  of 

1000  Patients  Records  per  month  requires  full  time 
services  of  five  trained  workers  and  part  time  service  of  a  sixth.  In  the  picture,  left  to  right:  Miss  Gertrude  Higgs,  who  assists  with 
filing;  Mrs.  Esther  Vonderheit,  who  catalogues  the  Disease  Index;  Miss  Marge  Clay,  pausing  to  answer  the  telephone  while  making 
entries  in  the  Patients'  Register;  Miss  Lois  Baker,  head  Record  Librarian;  Miss  Mary  Baker,  who  catalogues  the  Surgical  Index; 
Miss  Beatrice   King,   whose   time  is   devoted    mainly   to   filing. 


HOSPITAL  KEEPS  RECORDS 

(Continued  from  Page  1,  Col.  1) 
has  received  from  the  Room  Clerk  the 
patient's  admission  slip.  Each  morning 
all  admission  slips  for  the  preceding  day 
are  sent  to  the  Record  Room.  Admis- 
sions are  then  entered  in  three  different 
books,  after  which  the  admission  slips 
are  placed  in  a  temporary  file  where  they 
remain  during  the  patient's  stay  in  the 
hospital. 

The  Patients'  Register 

The  first  book  in  which  information 
from  an  admission  slip  is  recorded  is  a 
large  one,  known  as  the  "Register  of  Pa- 
dents." 

Information  written  in  this  book  con- 
sists of  name  of  patient,  date  and  hour  of 
admission,  age  and  sex,  whether  single, 
married  or  widowed,  name  of  attending 
physician,  number  of  room  or  ward,  and 
whether  house,  private  or  dispensary  pa- 
tient. After  patient  is  discharged,  date 
of  discharge  completes  the  record  kept  in 
this  book.  Admissions  are  entered  in 
numerical  order,  according  to  the  num- 
ber written  on  each  admission  slip.  This 
numbering  started  with  the  first  admis- 
sion to  our  hospital  on  August  20,  1884. 
Hence,  the  number  331,032  on  the  last 
admission  slip  for  June  30,  1937  means 
that  Patient  No.  331,032  was  admitted 
to  the  hospital  at  that  time.  Supplement- 
ing the  Register  of  Patients  is  the  ready- 
reference  Alphabetical  Index  book  m 
which  names  of  patients  are  entered  in 
alphabetical  order,  with  room  or  ward 
number  and  registration  number. 

Listed  Under  Doctor's  Name 

The  third  book  in  which  each  admis- 
sion is  recorded  is  the  Doctors'  Register. 
This  book  is  made  up  of  loose  leaf  sheets 
each  of  which  has  at  its  top  the  name  of 
a  member  of  the  medical  or  surgical  staff. 
These  sheets  are  arranged  in  the  book  in 
alphabetical  order  and  on  each  sheet  are 
recorded  the  names  of  those  admitted  as 
patients  of  the  doctor  whose  name  heads 
the  sheet,  together  with  patient's  room  or 
ward  number  and  registration  number. 
If  a  patient  is  transferred  to  the  care  of 
a  different  doctor,  a  slip  denoting  this  is 
sent  to  the  Record  Room  and  proper 
entries  are  made  in  the  Doctors'  Register. 
Such  transfers  also  are  recorded  in  the 
Patients'  Register.  Room  or  ward  trans- 
fers of  patients  also  are  reported  to  the 
Record  Room  and  are  entered  in  all  three 
books. 

If  the  admission  slip  shows  that  a  pa 
ticnt  has  been  in  the  hospital  previously, 
his  former  history  or  histories  are  taken 
from  the  permanent  files  and  sent  to  the 
floor  on  which  his  room  or  ward  is  situ- 
ated. These  are  kept  in  the  desk  of  the 
charge  nurse  for  the  duration  of  the  pa- 
tients' stay  and  are  available  to  the  at- 
tending doctor  when  desired.  Reference 
to  the  permanent  card  index  of  patients 


Our  First  Patient 

If  he  is  still  living  the  first  pa- 
tient admitted  to  the  Presbyterian 
Hospital  on  August  20,  1884,  is 
now  70  years  old.  He  was  Ulmer 
Parks,  age  17,  of  Florence,  Wis. 
The  2 -page  history  of  his  8 -day 
stay  m  the  hospital  reveals  that  he 
had  been  practically  blind  since 
birth  and  that  a  successful  opera- 
tion was  performed  by  Dr.  Edward 
L.  Holmes,  noted  pioneer  in  the 
field  of  eye  surgery.  The  patient's 
hospital  bill  for  the  eight  days  was 
$10.00. 


reveals  the  registration  number  of  the 
preceding  admission,  which  indicates 
where  the  former  history  is  to  be  found 
in  the  files.  If  a  previous  admission  has 
taken  place  within  the  preceding  three 
years,  the  patient's  history  will  be  found 
in  one  of  the  large  filing  drawers  which 
line  the  walls  on  three  sides  of  the 
Record  Room.  If  the  previous  admission 
dates  back  more  than  three  years,  the 
record  will  be  found  in  one  of  the  filing 
cases  which  occupy  two  good-sised  rooms 
and  other  space  in  the  basement.  Records 
are  filed  numerically  according  to  the 
registration  numbers  of  patients  and  all 
former  records  are  filed  together  under 
the  registration  number  of  the  latest  ad- 
mission. 

When  Chart  Reaches  Record  Room 

When  the  patient's  chart  reaches  the 
Record  Room  immediately  following  his 
discharge,  it  is  checked  over  and  if  diag- 
nosis or  other  data  is  incomplete  it  is  re- 
turned to  the  attending  doctor  or  his  in- 
tern for  completion.  When  completed  it 
comes  back  to  the  Record  Room,  where 
the  diagnosis  is  catalogued  in  the  Dis- 
ease Index  and,  if  there  was  an  opera- 
tion or  other  surgical  procedures,  in  the 
Surgical  Index.  How  these  indices  aid 
in  medical  research  and  study  is  de- 
scribed in  a  separate  article. 

If  a  person  has  been  a  patient  prior  to 
his  current  visit,  the  original  name  card 
is  removed  from  the  permanent  index  file 
and  a  brief  record  of  his  latest  visit  is 
entered  thereon.  If  the  patient  has  been 
in  the  hospital  several  times,  it  may  be 
necessary  to  add  a  new  card  to  the  origi- 
nal card  or  cards  already  filled  with  data 
after  which  the  cards  are  fastened  to- 
gether. An  original  card  is  made  for  all 
new  patients.  Information  written  on  the 
name  card  includes  dates  of  admission 
and  discharge,  name  of  doctor,  name  of 
disease  or  injury  for  which  patient  was 
treated,  name  of  operation,  il  any,  and 
results. 

Cards    Tell    Running   History 
In    many   instances  the  name   cards  in 
this  index  constitute  a  brief  running  his- 


HOSPITAL  BIRTH  RECORDS 
OF  GREAT  VALUE  TO  MANY 

Hospital  birth  records  and  those  kept 
by  the  Out-Patient  Obstetrical  Depart- 
ment often  are  utilised  as  a  proof  of  age 
or  nationality  in  cases  where  parents 
find  it  inconvenient  or  difficult  to  obtain 
the  desired  information  from  among  the 
records  of  hundreds  of  thousands  of 
births  on  file  at  the  city  hall. 

Recently,  a  young  man  came  from  an- 
other state  by  airplane  to  obtain  from  the 
Out-Patient  Obstetrical  Department  a 
statement  giving  the  date  of  his  birth  as 
shown  in  records  on  file  there,  because 
other  available  records  gave  an  incorrect 
date  and  the  U.  S.  Naval  Academy  for 
which  he  had  won  a  scholarship  was 
willing  to  accept  our  records  as  correct. 

BABY   FOOTPRINTS 

In  1917,  the  Presbyterian  Hospital  was 
the  first  in  the  entire  country  to  in- 
augurate the  taking  of  footprints  of  all 
babies  born  in  the  hospital.  Many  hos- 
pitals now  use  this  simple  method  of 
making  an  identifying  record  of  each  in- 
fant immediately  following  birth.  In  our 
hospital,  these  footprints  made  on  a  spe- 
cial kind  of  rubber  stamp,  are  transferred 
to  the  infant's  hospital  chart  as  a  perma- 
nent record  and  also  on  a  birth  certi- 
ficate which  is  presented  to  parents. 

tory  of  illnesses  and  operations  through 
which  an  individual  has  gone  over  a 
period  of  years.  Some  of  the  most  in- 
teresting of  these  histories,  told  briefly  in 
the  card  index,  are  those  of  persons  who 
were  born  in  our  hospital,  came  in  for  a 
tonsillectomy  or  other  minor  operation  in 
childhood;  were  medical  patients  for 
pneumonia  or  other  illness  later  on  and 
still  later  came  in  for  an  appendectomy 
or  other  major  operation.  In  not  a  few 
instances  a  maternity  patient  has  been 
admitted,  who  was  herself  born  in  our 
hospital.  Family  names  appear  repeated- 
ly in  our  permanent  card  file,  often  re- 
vealing that  our  hospital  has  cared  for 
members  of  the  same  family  even  unto 
the  third  and  fourth  generations,  to  say 
nothing  of  brothers  and  sisters,  husband 
and  wife  and  persons  bearing  other  rela- 
tionships to  each  other. 

To  the  patient's  history  chart  as  com- 
piled on  the  floor  during  his  stay  in  the 
hospital  and  completed  by  doctor  or  in- 
tern following  the  patient's  discharge,  are 
attached  the  admission  slip  and  the  ledger 
sheet  from  the  cashier's  office.  The  final 
procedure  consists  of  inclosing  the  history 
in  a  filing  folder  on  which  is  written  the 
patient's  registration  number,  after  which 
this  folder  is  placed  in  proper  numerical 
sequence  in  the  files.  Former  histories,  if 
any,  are  filed  in  the  same  folder,  previ' 
ous  registration  number  being  catalogued 
on  the  folder. 


PATIENTS'  CHART  IS  A  USEFUL  DETAILED   RECORD 


Doctors,     Interns,     Nurses    and 

Others    Have    Part    in 

Compiling    Data 


Doctors,  interns,  nurses  and  personnel 
in  different  departments  have  a  part  in 
supplying  and  recording  the  data  that 
makes  up  the  record  that  is  commonly 
referred  to  as  the  patient's  "history 
chart."  This  chart  is  a  loose-leaf  binder 
in  which  may  be  placed  as  many  record 
sheets  and  forms  of  various  kinds  as  may 
be  required  for  recording  everything  that 
is  learned  about  the  patient's  past  and 
current  physical,  medical  and  surgical 
history;  the  diagnosis  of  his  present 
condition;  the  medical,  surgical  and  nurs- 
ing procedures  carried  out  and  the  results 
obtained.  No  person  is  allowed  to  see  the 
chart  other  than  the  nurses,  interns  and 
attending  physicians  or  surgeons.  No  in- 
formation contained  in  the  chart  is  given 
out  to  the  patient,  a  member  of  his 
family  or  any  other  person  except  by  the 
attending  doctor  or  on  his  authorization. 

Starting    the    Chart 

The  first  loose-leaf  sheet  which  starts 
the  patient's  chart  is  headed  "Nurse's 
Record."  At  its  top  is  written  the  pa- 
tient's name,  date  and  hour  of  admission, 
room  number  or  ward  and  bed  number, 
names  of  attending  doctor,  intern,  ad- 
mitting nurse  and  special  nurse  (if  any). 
The  rest  of  the  space  on  this  sheet  is  used 
to  record  information  about  the  care  and 
condition  of  the  patient  throughout  the 
ensuing  days  and  nights,  additional  sheets 
being  used  as  needed.  On  a  separate 
sheet  the  patient's  record  of  temperature, 
pulse  and  respiration  is  started  immedi- 
ately. If  patient  is  in  a  ward  a  sheet 
headed  "Clothes  List"  is  filled  in  as  a 
record  of  articles  placed  in  lockers  out- 
side the  ward.  This  sheet  also  has  a  re- 
ceipt form  for  listing  valuables,  including 
jewelry  or  money  sent  to  the  cashier's  of- 
fice to  be  kept  in  the  safety  vault.  The 
sheet  headed  "Standing  Orders"  is  also 
among  the  first  to  be  included  in  the 
chart.  Other  sheets  added  in  more  or 
less  rapid  sequence  are  the  patient's  past 
medical  and  surgical  history  and  report 
of  general  physical  examination  supplied 
by  the  attending  doctor  or  his  intern; 
doctor's  special  orders  as  to  diet,  medicine 
and  other  procedures  deemed  necessary 
for  the  patient's  welfare  and  comfort. 

Many    Forms   Are  Used 

Other  record  forms  which  may  be 
added  are  those  containing  laboratory  re- 
ports, such  as  urinalysis,  blood  count, 
stool  analysis  and  any  other  analyses  that 
the  doctor  deems  essential  as  aids  in  diag- 
nosis. If  there  is  a  metabolism  test,  an 
electrocardiogram  of  heart  action,  X-ray 


AT  CHARTING  DESK 


Miss  Helen  Mahr,  graduate  nurse,  is  shown 
at  "Charting"  desk  recording  data  in  a  pa- 
tient's chart.  Dr.  William  Fleming  is  looking 
over  a  chart. 


films  or  fluoroscopy,  or  special  tests  or 
examinations  of  any  kind,  a  report  of  the 
findings  becomes  a  part  of  the  patient's 
chart.  If  there  is  an  operation,  separate 
reports  of  surgeon  and  anesthetist  arc- 
added  to  the  patient's  chart.  If  special 
treatments  are  prescribed  by  the  attend- 
ing doctor  and  given  by  the  physical 
therapy,  X-ray,  radium  or  fever  therapy 
departments  detailed  reports  of  these 
treatments,  supplied  by  the  head  of  the 
department,  become  a  part  of  the  chart. 
If  occupational  therapy  is  prescribed  a 
report  of  activities  in  that  department  is 
supplied. 

Minute   Details   Recorded 

Much  of  the  work  of  keeping  the 
day-to-day  records  of  patients  is  done  by 
members  of  the  nursing  staff,  who  not 
only  write  the  detailed  record  of  the 
hour-by-hour  care  and  condition  of  the 
patient,  but  also  copy  in  the  chart  the 
doctor's  orders  for  medicine,  special  diet, 
and  specified  nursing  procedures,  such 
orders  being  written  originally  on  sepa- 
rate prescription  blanks  or  other  forms. 
Few  patients  realize  the  minute  details 
that  are  recorded  by  the  nurses  in  charge, 
and  how  this  detailed  record  helps  the 
doctor  to  understand  the  patient's  condi- 
tion more  fully  and  proceed  more  wisely 
in  determining  medical,  surgical  or  other 
procedures  for  the  benefit  of  the  patient. 


RECORDS  ARE  INVALUABLE 

(Continued  from  Page  1,  Col.  3) 
patient  to  give  accurate  information. 
However,  had  the  information  sought 
been  of  a  medical  or  other  confidential 
nature  it  would  not  have  been  released 
thus  easily.  Such  information  is  given 
out  only  when  a  written  authorization  is 
signed  by  the  patient,  the  doctor  who 
attended  him  during  his  stay  in  the  hos- 
pital, and  the  hospital  superintendent. 
The  only  exceptions  to  this  rule  are  made 
in  cases  of  unusual  emergency  or  when  a 
record  is  ordered  into  a  court  of  law  by 
subpoena.  The  latter  procedure  is  the 
only  process  by  which  an  insurance  com- 
pany or  other  interested  party  can  ob- 
tain access  to  a  record  without  the 
written  consent  of  the  patient  or  that  of 
his  accredited  representative.  It  also  is 
the  only  circumstance  under  which  the 
the  original  record  of  a  patient  is  per- 
mitted to  be  taken  out  of  the  hospital 
and  then  it  is  earned  to  court  by  our 
record  librarian  or  one  of  her  assistants, 
who  remains  there  with  it  unless  ordered 
by  the  Court  to  surrender  it.  In  the 
latter  event,  she  is  given  a  receipt  signed 
by  the  lawyer  who  is  using  it  and  is  re- 
sponsible for  its  return  intact. 

Many  Requests  Received 

Propertly  authorized  requests  for  in- 
formation are  numerous  and  include 
those  from  other  hospitals,  sometimes  in 
distant  cities,  to  which  former  patients  of 
our  hospital  are  admitted.  In  an  emer- 
gency which  prevents  such  a  patient  from 
signing  an  authorization  in  his  own  be- 
half, the  desired  information  is  sent  to 
accredited  hospital  authorities  on  author- 
ization of  the  superintendent  of  our  hos- 
pital and  the  doctor.  Other  ways  m 
which  information  transcribed  from  our 
hospital  records  often  proves  of  value  to 
patients  is  in  the  collection  of  health  or 
accident  insurance  or  of  damages  for  in- 
juries; in  obtaining  health  or  life  insur- 
ance and  positions  which  require  in- 
formation as  to  medical  history  of  ap- 
plicant; and  in  obtaining  old  age  pensions 
through  substantiating  claims  as  to  age, 
residence,  physical  condition,  etc.  In- 
formation from  patients'  records  often 
is  sought  by  social  service  agencies,  pub- 
lic welfare  and  government  officials  and 
school  authorities,  but  these  requests,  like 
all  others,  are  subject  to  proper  authoriza- 
tion as  outlined  above. 

Use  of  standard  disease  Nomenclature 
(names  and  terms)  in  diagnoses  and  other 
recorded  medical  information  concerning 
patients  provides  a  record  which  any 
doctor  anywhere  can  interpret  if  familiar 
with  this  Nomenclature,  as  are  most 
doctors. 


RECORD   ROOM   IS   SOURCE 

OF  MUCH  DATA  USED 

IN  RESEARCH 


In  addition  to  the  values  accruing  to 
the  individual  patient  from  his  own 
adequately  compiled  and  permanently 
filed  hospital  record  (or  "history,"  as  it 
is  termed  m  medical  circles),  he  and 
other  patients  in  our  hospital  and  else- 
where are  actual  or  potential  beneficiaries 
of  medical  study  and  research  which 
centers  around  our  Record  Department, 
due  to  the  fact  that  ours  is  a  teaching 
hospital  affiliated  closely  with  Rush  Med- 
ical College  of  the  University  of  Chicago, 
and  approved  by  the  American  Medical 
Association  for  training  of  interns  and 
resident  doctors. 

Indices    Facilitate   Study 

To  facilitate  medical  study  and  re- 
search by  our  own  staff  who  are  mem- 
bers of  the  faculty  of  Rush  Medical  Col- 
lege, our  Record  Room  has  a  Medical 
Disease  Index  and  an  Index  of  Surgical 
Procedures  in  which  are  catalogued,  un- 
der a  standard  classification  code,  key  in- 
formation from  patients'  records.  Refer- 
ence to  these  indices  enables  a  person 
familiar  with  the  code  system  to  select 
the  cards  on  which  are  recorded  the  dates 
and  patients'  registration  numbers  for  all 
cases  of  any  given  disease  or  injury  tlv.t 
have  been  treated  in  the  hospital,  or  a 
given  kind  of  surgical  procedure,  with 
diagnoses  and  results  for  each  case.  A 
definite  procedure  is  followed  in  loaning 
patients'  histories  for  study  purposes  and 
careful  checking  insures  prompt  return. 

An  interesting  phase  of  the  medical  re- 
search which  centers  in -our  Record  de- 
partment are  studies  pursued  by  mem- 
bers of  the  intern  and  resident  staffs  in 
a  room  set  aside  for  this  purpose  on  the 
first  floor  of  the  hospital  not  far  from 
the  Record  Room. 

Involves    Much    Cataloging 

One  worker  devotes  full  time  to  cata- 
loguing and  recording  information  in  the 
Medical  Disease  Index,  the  removal  and 
subsequent  refiling  of  patients'  histories 
that  are  loaned  for  study  and  research, 
and  other  detail  work  involved.  An  aver- 
age of  1,000  histories  per  month  are  cat- 
alogued. Each  history  averages  3  to  4 
diagnoses,  which  means  3,000  to  4,000 
diagnoses,  the  cataloguing  of  which  un- 
der main  and  related  classifications  in- 
volves the  writing  of  from  9,000  to 
16,000  terms  each  month.  Each  term 
recorded  conforms  with  the  standard  m 
ternational  Nomenclature  of  diseases. 
Another  worker  devotes  a  part  of  her 
time  to  the  work  of  cataloguing  inform, i 
lion  in  the  Surgical  Index.  Surgic.il 
procedures  recorded  in  our  hospital  last 
year  numbered  12,542,  including  major 
and  minor  surgical  operations,  reducing 


HOSPITAL  STAFF  MEN 
ADDRESS  CONVENTIONS 
OF  MEDICAL  SOCIETIES 


Several  members  of  our  Medical  Staff 
were  on  the  program  at  the  annual  con- 
vention of  the  American  Medical  Asso- 
ciation in  Atlantic  City  in  June.  Dr. 
Herman  L.  Kretschmer  was  re-elected 
treasurer  of  the  association,  an  office 
which  he  has  held  for  several  years.  Dr. 
Kretschmer  and  Dr.  A.  E.  Kanter  pre- 
sented a  paper  before  the  section  on  uro- 
logy, their  topic  being  "Effect  of  Certain 
Gynecological  Lesions  on  the  Upper 
Urinary  Tract." 

Dr.  Kellogg  Speed  was  chairman  of  the 
special  fracture  exhibit.  Dr.  Dean  L.  Rider 
demonstrated  "Compression  Fracture  of  the 
Spine"  as  one  of  the  features  of  the  exhibit. 

Dr.  Clarence  J.  Lundy  presented  an  exhibit 
of  charts  and  motion  pictures  depicting 
"Mechanism  and  Electrocardiographic  Regis- 
tration of  the  Heart  in  Health  and  Disease." 

Dr.  Wilber  E.  Post  and  Dr.  Willard  1. 
Wood  opened  the  discussion  on  a  paper  pre- 
sented by  Dr.  E.  C.  Rosenow  and  Dr.  F.  R. 
Heilman  of  Rochester,  Minn.  The  topic  was 
"Newer  Methods  of  Diagnosis  and  Specific 
Treatment  of  Systemic  Streptococcus  Infec- 
tions." 

Dr.  N.  Sproat  Heaney  gave  a  motion  pic- 
ture demonstration  in  connection  with  the 
scientific  exhibit  on  obstetrics. 

Other  staff  men  who  attended  the  A.  M.  A. 
convention  included  Dr.  John  M.  Dorsey,  Dr. 
Albert  H.  Montgomery  and  Dr.  Frank  V. 
Theis.  Dr.  Theis  and  Dr.  Dorsey  also  at- 
tended the  convention  of  the  American  Asso- 
ciation of  Thoracic  Surgeons  at  Saranac  Lake, 
N.  Y.  Dr.  Montgomery,  Dr.  Speed,  Dr. 
Theis  and  Dr.  Dorsey  attended  the  conven- 
tion of  the  American  Surgical  Association  in 
New   York   City. 

*  *      * 

Dr.  Norris  J.  Heckel  and  Dr.  W.  O. 
Thompson  presented  a  paper  at  the  recent 
convention  of  the  American  Urological  Asso- 
ciation in  Minneapolis.  Dr.  Robert  H.  Herbst, 
who  is  a  past  president  of  this  association, 
attended  the  convention.  Dr.  Heckel  read  a 
paper  before  the  Society  for  the  Study  of 
Internal  Secretions,  at  a  meeting  in  Atlantic 
City,  June   7. 

*  *      * 

Dr.  William  H.  Haines  was  elected  a  mem- 
ber of  the  American  Psychiatric  Association 
at  its  meeting  held  in  Pittsburgh  in  May. 

Dr.  Carl  W.  Apfelbacb.  gave  an  address 
at  Green  Bay,  Wis.,  June  9,  under  the  auspices 
of   the    Wisconsin   State   Board   of  Health. 

Dr.  Herman  L.  Kretschmer  and  Mr.  Wil- 
liam   Gray,    head    pharmacist    in    our   hospital, 

/ere  speakers  at  the  annual  convention  ot  the 
Ththolic  Hospital  Association  of  North  Amcr- 

■  ■   and   Canada   held   in    Chicago   in   June. 


of  fractures,  dressing  of  injuries  and  ex- 
aminations and  treatments  of  various 
kinds  involving  the  use  of  operating  room 
equipment.  Both  workers  had  three  years 
training  under  the  head  librarian  in  our 
Record  Room  in  order  to  qualify  for  the 
highly  technical  work  of  cataloguing  in 
these  indices. 


CHICAGO  PRESBYTERY  HEARS 
REPORTS  OF  HOSPITAL  WORK 

Ninety  ministers  and  others  attended 
a  meeting  of  the  Chicago  Presbytery  in 
our  chapel,  June  14,  and  were  guests 
of  the  hospital  at  luncheon.  Those  who 
told  of  the  work  of  the  hospital  were: 
Mr.  Asa  S.  Bacon,  superintendent;  Mr. 
Johcn  McKinlay,  president  of  the  Board 
of  Managers;  Dr.  E.  E.  Irons  and  Dr. 
Carl  Apfelbach  of  the  Medical  Staff; 
and  Mrs.  Clyde  E.  Shorey,  president  of 
the  Woman's  Board.  Dr.  E.  N.  Ware, 
D.D.,  hospital  chaplain,  also  participated 
in  the  meeting.  The  report  of  the  Pres- 
byterian Home  was  presented  by  Dr. 
Douglas  H.  Cornell,  D.  D.,  of  Glencoe, 
president  of  the  board,  and  Mr.  and  Mrs. 
Morgan,  who  are  in  charge  of  the  home. 


ADDRESSES   WOMAN'S   BOARD 

Dr.  Ernest  E.  Irons,  attending  physician  on 
our  Medical  Staff,  was  the  speaker  at  the 
meeting  of  the  Woman's  Board  in  the  hos- 
pital chapel,  June  7.  Dr.  Irons  described  how 
cooperation  between  different  departments  and 
services  in  our  hospital  proves  of  benefit  to 
patients.  The  Woman's  Board  will  hold  its 
next  meeting   on   October   4. 


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.    SM ITH Treasurer 

KINGMAN     DOUGLASS Secretary 

FRED    S.    BOOTH Asst.  Secretary 

A.    J.    WILSON Asst.  Secretary 

Arthur  G.  Cable  Fred   A.   Poor 

Alfred  T.  Carton  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  Robert  Stevenson 

Alfred   E.   Hamill  J.    Hall  Taylor 

Charles  H.   Hamill  John   P.   Welling 

Edw.  D.  McDougal,  Jr.          Edward   F.  Wilson 

CLERICAL  MANAGERS 

Rev.  Harrison    Ray    Anderson,    D.D. 

Rev.  Harold    L.    Bowman,    D.D. 

Rev.  Henry    S.    Brown,    D.D. 

Rev.  W.    Clyde    Howard,    D.D. 

MEDICAL    BOARD 

VERNON    C.    DAVID,    M.D President 

WOMAN'S    BOARD 

MRS.    CLYDE    E.    SHOREY President 

ADMINISTRATION 

ASA     S.     BACON        Superintendent 

HERMAN    HENSEL     Asst.   Superintendent 

M.    HELENA   McMILLAN.  Director,   School   of  Nursing 

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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MEMBER    AMERICAN     HOSPITAL    ASSOCIATION 


Chicago.  111. 


August-September,    1937 


Vol.  29,  No.  8. 


PATIENTS'   ACCOUNTS  ARE 

KEPT  BY  CASHIER'S 

OFFICE  STAFF 


Much   Bookkeeping   Required 


Most  patients  or  members  of  then- 
families  come  in  personal  contact  with 
the  Cashier's  office  in  our  hospital,  be- 
cause it  is  here  that  patients'  ledger  ac- 
counts are  kept  and  all  payments  on  pa- 
tients' accounts  received.  The  varied 
tasks  performed  in  this  office  require  the 
services  of  four  full-time  workers,  while 
a  fifth  worker  divides  her  time  between 
the  Cashier's  office  and  the  Accounting 
department.  Shifts  are  arranged  so  that 
one  cashier  and  one  bookkeeper  are  on 
duty  during  the  busier  hours  of  the  day, 
one  or  two  during  the  less  busy  hours, 
and  one  during  the  night. 

The  initial  record  on  each  patient's 
ledger  sheet  is  made  by  the  Room  Clerk 
at  the  time  of  admission.  This  record 
consists  of  all  necessary  information 
about  the  patient  and  the  person  who  is 
responsible  for  payment  of  the  bill.  The 
(Continued    on   Page    J,   Col.   2) 


A   Million   Dollar   Business 

In  1936,  the  Presbyterian  Hospital 
expended  #942,701.05  to  carry  on  its 
services  to  the  sick  and  injured,  and 
maintain  its  School  of  Nursing.  In- 
come and  outgo  so  far  this  year 
indicate  that  the  total  for  1937  will 
reach  even  closer  to  the  million  dollar 
figure.  Many  small  banks  do  not 
handle  a  greater  sum  in  the  course  of 
a  year,  and  an  industry  that  does  a 
million  dollars'  worth  of  business  in  a 
year  is  regarded  as  sizable  though  not 
quite  in  the  big  business  class. 
Handling  this  amount  of  money  in  the 
maintenance  of  a  hospital  caring  for 
nearly  12,000  different  bed  patients 
and  nearly  32,000  visits  of  ambulatory 
patients  involves  a  vast  amount  of 
intricate  detail  work  and  the  observ- 
ance of  definite  procedures  as  to 
charges,  collections,  purchases  and 
other  expenditures.  How  this  work  is 
carried  on  in  the  departments  re- 
sponsible for  various  phases  of  it  is 
described  in  this  issue  of  our  Bulletin. 


HOSPITAL   EXECUTIVES    OF 

U.  S.  AND  CANADA 

HOLD  INSTITUTE 


SEVEN  TONS  OF  ICE! 

On  many  of  the  hot  days  this  past  sum- 
mer, our  hospital  used  no  less  than  seven 
tons  of  ice  in  24  hours  in  our  water  cooling 
system,  in  the  new  portable  room  coolers 
recently  installed  in  operating  rooms  and 
elsewhere  in  the  hospital,  and  in  the  form  ol 
crushed   ice  used   for  various  purposes. 


Attend   Demonstrations   Here 

Eighty-three  hospital  superintendents 
and  other  executives  from  different  parts 
of  the  United  States  and  Canada  attend- 
ed the  Fifth  Annual  Institute  for  Hos- 
pital Administrators  held  in  Chicago, 
Aug.  30  -  Sept.  10,  under  the  auspices 
of  the  American  Hospital  Association  in 
cooperation  with  the  University  of 
Chicago,  American  Medical  Association, 
American  College  of  Surgeons  and 
Chicago  Hospital  Association. 

Dr.  Malcolm  T.  MacEachern,  asso- 
ciate director  of  the  American  College 
of  Surgeons,  Dr.  G.  Harvey  Agnew  of 
the  Canadian  Medical  Association,  Mr. 
Asa  S.  Bacon,  superintendent  of  the 
Presbyterian  Hospital  of  Chicago,  and 
others  conducted  seminars  and  panel 
discussions. 

Demonstrations  were  held  in  several 
departments  of  our  hospital  and  at  other 
Chicago  hospitals. 


CASHIERS    AND    BOOKKEEPERS    ARE    KEPT    BUSY       These    pictures    taken    in    the    Accounting    and    Cashier's 

offices  show  seven  persons  at  work.  1  hey  are,  left  to 
right:  Miss  Marjorie  Rathjen,  secretary  and  assistant  bookkeeper  in  the  Accounting  Department;  Miss  Rose  Schapiro,  who  has  charge 
of  the  payroll  and  the  vouchering  and  payment  of  invoices  divisions;  Miss  Eleanor  Stege,  whose  work  as  daily  auditor  includes  use  of 
the  adding  machine;  Miss  Alma  Stein,  cashier  and  bookkeeper  on  the  late  afternoon  and  evening  shift;  Miss  Lillian  Halpin,  head 
cashier,  who  is  writing  a  receipt  for  the  man  on  the  other  side  of  the  window;  Miss  Ruth  Atkinson,  shown  at  patients'  ledger  file, 
devotes  most  of  her  time  to  posting  charges  and  credits;  Willard  Martin,  night  cashier  and  bookkeeper,  operating  the  bookkeeping 
machine    above   which    charge    slips    accumulated    during    the    day    are   shown   filed  in  pigeon  holes. 


ACCOUNTING  TAKES  FINANCIAL  PULSE  OF  HOSPITAL 


Careful   Detail   Work   Reveals 

Costs   and   Safeguards 

Expenditures 


ACCOUNTANT 


Efficient  accounting  enables  a  hospital 
to  ascertain  accurately  the  cost  of  each 
service  rendered  in  its  various  depart- 
ments and  reveals  at  all  times  the  status 
of  its  income  and  expenses  and  the  limits 
that  must  he  observed  in  the  amount  of 
charity  work  and  doubtful  accounts  in 
order  to  pay  its  bills  and  avoid  going 
into  debt.  In  other  words  the  Account- 
ing department  registers  the  financial 
pulse  of  the  hospital.  Efficient  account- 
ing also  discovers  the  leaks  which  may 
be  plugged  up  to  reduce  expenses  and 
through  the  observance  of  definite  rules, 
keeps  a  careful  check  on  every  cent  ex- 
pended by  the  institution. 

As  explained  m  a  separate  article,  the 
Cashier's  office  in  our  hospital  takes  care 
of  patients1  accounts  and  all  cash  received 
from  patients,  reporting  totals  to  the 
Accounting  department  where  cash  col- 
lected is  entered  in  the  Cash  Receipts 
hook,  while  charges  are  entered  in  the 
Daily  Journal.  Receipts  from  all  other 
sources  are  handled  by  the  Accounting 
department.  These  include  income  from 
endowment  funds,  donations  from 
churches  and  individuals,  funds  con- 
tributed for  special  purposes,  etc.  Much 
of  this  income  is  received  in  the  form  of 
checks  and  all  of  it,  as  in  the  case  of 
currency  and  checks  received  by  the 
Cashier's  office,  is  deposited  in  the  bank 
promptly. 

Many   Departmental   Accounts 

Other  bookkeeping  done  in  the  Ac- 
counting department  includes  the  credit- 
ing of  income  from  patients  to  the 
various  departments,  the  handling  of  all 
expenditures  and  charging  these  to  the 
proper  departments.  All  bills  are  paid 
by  Voucher  Checks,  signed  by  the 
Superintendent  of  the  hospital,  the  Ac- 
countant and  a  representative  at  the 
bank.  The  Voucher  Register,  in  which 
checks  are  first  recorded,  has  columns 
for  31  different  departments  and  four 
undesignated  columns  for  use  as  needed. 
Each  department  has  separate  income 
and  expense  accounts  in  the  ( reneral 
Ledger  to  which  postings  are  made  in 
due  time.  For  example,  charges  made 
to  patients  lor  X-ray  pictures  are  credited 
to  tin-  X-ray  income  account,  while 
expenditures  lor  films,  equipment,  etc. 
are  charged  to  the  department, il  expense 
account. 

Expenditures  lor  administration,  gen- 
eral  maintenance,  heat,  light  and  other 

general   expenses   are   distributed    to   the 


V 


Mr.  Frank  C.  Gabriel,  who  is  in  charge  of 
our  hospital  Accounting  department,  has  been 
a  member  of  our  administrative  staff  for  eight 
years.  Other  administrative  divisions  under 
his  supervision  are:  patients'  accounts  office, 
admission  office,  collections  of  accounts  and 
financial  arrangements  with  patients,  statis- 
tical division,  telephone  switchboard,  informa- 
tion   department    and    medical    records. 


different  departments  annually  on  an 
equitable  basis.  Hence  when  a  patient 
pays  for  an  X-ray  picture,  he  pays  his 
share  of  every  item  of  expense  incurred 
in  the  upkeep  of  the  X-ray  department, 
including  films,  salaries  of  radiologist, 
technicians  and  other  assistants,  office 
supplies,  etc.  as  well  as  a  share  of  that 
department's  quota  of  general  hospital 
expense. 

Charges    Based    on    Costs 

The  Presbyterian  Hospital  is  a  non- 
profit institution  which  bases  its  charges 
as  nearly  as  possible  on  actual  costs. 
Whenever  there  is  an  increase  in  a 
charge  for  any  hospital  service,  such  in- 
crease is  found  necessary  because  of 
increased  costs  as  shown  by  detailed  rec- 
ords in  the  Accounting  department.  Be- 
cause costs  continue  to  increase  there  is 
less  margin  between  income  from  pa- 
tients and  actual  cost  of  services  render- 
ed than  formerly  existed,  while  income 
from  endowments  and  contributions  de- 
creased during  the  depression  years. 

The  books  and  accounts  of  our  hos- 
pital are  audited  annually  by  Arthur 
Young  and  Company,  nationally  known 
certified  public  accountants. 

A  financial  statement  is  rendered  in 
summary  each  month  to  Board  of  Man 
agers  of  the  hospital  and  in  detail  to 
the    officers   of    the    hoard    and    the    hos 

pital  Superintendent. 


Checks  Are  Used  to  Meet  Our 

Semi-Monthly  Payroll 

Totaling  #26,000. 


Taking  care  of  a  payroll  for  over  5  50 
employes  who  receive  a  total  of  $26,000 
twice  each  month  involves  a  great 
amount  of  bookkeeping  in  the  Account- 
ing department.  However,  this  large 
payroll  need  not  encourage  a  bandit  to 
stage  a  hold-up  on  pay  day,  because  all 
employes  are  paid  by  check  while  the 
payroll  deposit  remains  safely  ensconced 
in  the  coffers  of  the  Northern  Trust 
Company.  Nor  does  the  sum  of  $52,000 
paid  to  our  employes  each  month  in  the 
form  of  checks  represent  the  total 
amount  of  remuneration,  as  many  also 
receive  full  maintenance  provided  by  the 
hospital,  while  practically  every  employe 
receives  some  maintenance  in  the  form 
of  meals,  etc. 

Each  department  head  keeps  on  a  spe- 
cial payroll  sheet  a  record  of  the  time 
of  each  employe  in  his  or  her  depart- 
ment. At  the  end  of  each  pay  period 
this  sheet  is  signed  and  sent  to  the 
accounting  department,  where  salary  or 
wages  due  is  computed  on  the  basis  of 
the  rate  of  each  individual's  pay  as  shown 
on  his  employe's  record  card.  All  payroll 
checks  are  signed  by  the  Superintendent 
or,  in  his  absence,  by  the  Assistant 
Superintendent. 

Protected    By   Insurance 

Another  phase  of  hospital  accounting 
and  expense  having  to  do  with  employes 
is  our  employer's  accident  insurance  as 
required  by  the  Illinois  workmen's  com- 
pensation law,  and  group  insurance  to- 
ward which  both  the  hospital  and  em- 
ployes contribute.  Under  our  employes' 
group  insurance  plan,  compensation  start- 
ing on  the  eighth  day  of  disability  is  paid 
in  case  of  illness  and  for  injuries 
sustained  while  not  on  duty.  Compensa- 
tion for  injuries  while  on  duty  is  covered 
by  employer's  accident  insurance  carried 
by  the  hospital.  Compensation  under  our 
group  insurance  plan  ranges  from  $7.50 
to  $15  per  week  according  to  the  salary 
class  of  the  employe.  Life  insurance  also 
is  provided  ranging  from  $500  to  $2,000 
depending  on  the  salary  classification. 
For  this  protection,  payments  ranging 
from  SO  cents  to  $2  per  month  are 
deducted  from  salaries,  the  amount  be- 
ing determined  by  the  size  of  each  em- 
ploye's salary.  Since  this  plan  was  in- 
augurated in  1932,  employes  have  re- 
ceived a  total  of  $15,500  covering  400 
separate  disability  claims,  while  life  in- 
surance benefits  totalling  $7,500  have 
been  paid  to  beneficiaries  of  13  employes 
who  have  died. 


STRICT   ECONOMY    RESULT 

OF  PURCHASING  AND 

STORES  SYSTEM 

Keep  Over  3,000  Items  on  Hand 


Strict  economy  in  both  the  purchase 
and  use  of  all  supplies  and  equipment 
required  by  our  hospital  is  effected 
through  our  Purchasing  and  Stores  de- 
partment which  observes  definite  proce- 
dures in  the  purchase  and  issuance  of 
supplies.  Purchase  requisitions  made  out 
and  signed  by  department  heads  must 
receive  the  approval  signature  of  the 
Superintendent  or  the  Assistant  Super- 
intendent before  Purchase  orders  are 
made  out  by  the  Purchasing  Agent. 
These  orders  are  made  in  triplicate,  the 
original  being  sent  to  the  vendor  from 
whom  the  purchase  is  to  be  made,  the 
second  copy  kept  in  the  files  of  the 
Purchasing  Agent  and  the  third  copy 
sent  to  the  department  which  requisi- 
tioned the  articles. 

Deliveries  Are  Checked 

When  the  supplies  are  delivered  by 
the  vendor,  the  department  head  checks 
his  copy  of  the  Purchase  order  with  the 
articles  received  and  indicates  on  the 
order  when  all  items  have  been  delivered. 
This  checked  copy  of  the  order  is  then 
sent  to  the  Purchasing  department  which 
checks  it  against  the  vendor's  invoice. 
When  an  invoice  has  been  approved  by 
the  Purchasing  Agent,  it  is  sent  to  the 
Accounting  department,  which  attends 
to  payment  of  bills  by  Voucher  check  as 
explained  in  the  article  about  that  de- 
partment. All  bills  on  which  there  is  a  dis- 
count for  cash  are  paid  promptly  and 
others  are  accumulated  under  the 
vendor's  name  and  compared  with  the 
statement  received  from  him  the  first  of 
the  month. 

All  supplies  used  regularly  in  the  hos- 
pital are  purchased  in  large  quantities 
from  those  manufacturers  or  jobbers 
whose  quotations  are  lowest  for  the 
quality  of  goods  required.  Special  sup- 
plies and  equipment  also  are  purchased 
from  the  lowest  bidder  without  sacrific- 
ing quality. 

More  Than   3,000  Items 

Our  Storeroom  carries  on  hand  regular- 
ly a  supply  of  more  than  3,000  different 
items,  which  the  various  departments 
obtain  as  needed  by  making  out  Stores 
Requisitions.  These  3,000  items  do  not 
include  drugs  and  other  supplies  used 
by  the  Pharmacy  or  food  supplies  for 
the  Dietary  department.  The  Chef 
makes  out  daily  requisitions  for  food 
supplies,  many  of  which  are  contracted 
for  in  large  quantities  to  be  delivered  as 
needed. 


STOREROOM  STAFF 


In  this  picture,  taken  in  our  hospital  Store- 
room, Mr.  Nels  S.  Knutson,  head  of  the 
Purchasing  and  Stores  department,  is  seated 
at  his  desk.  He  has  been  a  member  of  our 
staff  for  22  years.  Others  shown  are,  left  to 
right:  Mr.  Didace  Aucoin,  who  divides  his 
time  between  duties  in  the  Storeroom  and  the 
Splint  room;  Mr.  Kenneth  Hickman,  who  was 
employed  as  Record  Clerk  during  the  vacation 
absence  of  Mr.  William  Nottleman,  regular 
Record  Clerk;  Mr.  John  Debogovich,  Store- 
keeper. Both  Mr.  Nottleman  and  the  assistant 
Storekeeper,  Mr.  Michael  Rohacek,  were 
absent    when    the    picture    was   taken. 


PATIENTS'  ACCOUNTS 

(Continued  from  Page   1,  Col.    1) 

ledger  sheet  is  sent  to  the  cashier's  office 
where  it  is  placed  in  the  patients'  ledger 
file,  all  sheets  being  filed  in  ward  or 
room  numerical  order.  Charges  for  room 
or  ward  and  for  special  services  are 
posted  to  the  patient's  ledger  daily. 
Special  services  include  those  rendered 
by  different  departments  including 
X-ray,  laboratory,  electrocardiograph; 
fever,  vascular  and  physical  therapy; 
special  nurses'  board,  telephone,  special 
medicines,   ambulance   and  so  forth. 

21,000  Postings  Per  Month 

When  a  department  renders  a  service 
to  a  patient,  a  charge  slip  is  made  out 
and  sent  promptly  to  the  Cashier's  Of- 
fice. The  number  of  charges  posted  to 
patients'  ledgers  has  averaged  12,000  per 
month  so  far  this  year.  This  docs  not 
include  the  daily  ward  and  mom 
charges,  which  have  averaged  over  9,000 
postings   per   month.     Postings   of   pay- 


ments on  accounts  are  fewer  m  number 
as  payments  usually  cover  all  charges  for 
a  week  or,  in  the  case  of  a  patient  whose 
stay  here  is  shorter,  charges  for  the 
period  of  hospitalization.  Receipts  for 
payments  on  account  are  written  in 
duplicate,  the  original  being  given  to  the 
payer  and  the  carbon  copy  kept  as  a 
permanent  record  from  which  postings 
are  made  to  patients'  ledgers,  while  the 
totals  for  each  day  are  entered  in  the 
cash  receipts  book. 

Bookkeeping  Machine  Saves  Time 

The  vast  amount  of  bookkeeping  in- 
volved in  taking  care  of  patients'  accounts 
would  require  a  much  larger  staff  with- 
out the  aid  of  our  bookkeeping  machine 
which  is  used  for  all  postings.  This 
machine  not  only  records  the  name  of 
department  or  service,  amount  of  charge 
or  payment,  and  room  or  ward  number, 
but  also  adds  and  subtracts,  compiling 
totals,  deducting  credits  and  recording 
the  amount  of  balance  due.  It  also 
makes  a  duplicate  copy  of  the  patient's 
ledger  record,  this  duplicate  being  used 
as  an  itemized  statement,  rendered  week- 
ly or  available  to  hand  to  the  patient 
whenever  desired.  This  useful  machine 
also  compiles  totals  of  all  charges  and 
cash  receipts  for  the  day.  These  figures 
are  the  basis  of  the  daily  summary  com- 
piled by  the  night  bookkeeper.  This 
summary  shows  total  charges  for  ser- 
vices rendered  in  each  department  that 
day,  total  cash  receipts  and  total  amount 
of  charity  allowances  for  the  day. 
Charge  slips  are  made  out  for  special 
services  rendered  to  all  patients,  as  de- 
partment heads  or  others  outside  the 
cashier's  office  do  not  know  who  are  free 
and  who  are  pay  patients  and  this 
provides  the  hospital  management  with 
a  complete  record  of  free  work,  the  cost 
of  which  is  paid  by  income  from  en- 
dowment and  through  other  special 
funds.  This  amounted  to  $183,299.50 
last  year. 

As  a  further  check  on  the  figures  com- 
piled by  the  bookkeeping  machine,  adding 
machine  tapes  are  run  from  charge  slips 
and  from  the  duplicates  of  receipts  issued 
for  payments  received  from  patients. 
The  daily  summary  of  transactions  with 
patients,  after  being  proved  in  this 
manner,  is  sent  to  the  Accounting  de- 
partment. 

When  a  patient's  account  has  been 
paid  in  full  or  provided  for  as  a  chanty 
allowance,  the  ledger  sheet  is  sent  to  tin- 
Record  Room  where  it  is  filed  as  a  part 
of  the  patient's  hospital  record.  Accounts 
on  which  there  is  an  unpaid  balance  are 
retained  in  tiles  in  the  Cashier's  office 
until   payment  is  received. 


GUARDIANS  OF  OUR  HOSPITAL 


Patients,    nurses,   hospital    cash    and    valuable 

our   24-hour  special  police  service.     During  the     night 

building,    while    a    second    officer    patrols    the    area  ar 

In   the   picture,   left   to   right,   are:     Andy  Tranchita, 

Rupp. 


afeguarded  against  bandits  and  prowlers  by 
me  policeman  is  on  duty  inside  the 
nd  the  hospital  and  the  Nurses'  Home. 
11    Tranchita,    Dan    Yucella    and    Paul 


CASH  AND  VALUABLES  ARE 

SAFEGUARDED  AGAINST 

BURGLARY  DANGER 

Special   Precautions   Taken 


FORTY   WILL  RECEIVE 

NURSE   DIPLOMAS  OCT.   5 


Despite  the  fact  that  a  considerable 
amount  of  money  is  handled  daily  in 
our  Cashier's  office,  possibility  of  hold- 
up or  burglary  is  remote  because  of  pre- 
cautions taken   as  follows: 

Cashier's  office  fully  equipped  with 
burglar  alarm  wiring;  Cashier's  window 
fitted  with  bullet-proof  glass;  other  win- 
dows barred  on  outside  and  equipped  on 
inside  with  bullet-proof  mesh;  only 
entrance  has  two  doors,  each  fitted  with 
bars  and  bullet-proof  glass,  and  never 
opened  without  a  policeman  in  attend- 
ance. 

Burglar-proof  hospital  safe  in  which 
most  of  the  cash  on  hand  at  any  given 
time  is  kept,  is  located  within  a  vault. 
Roth  vault  and  safe  are  equipped  with 
combination  locks,  the  combinations  be- 
ing known  to  only  a  few  persons.  In 
addition  to  hospital  funds,  money  and 
valuables  belonging  to  patients  are  kept 
in  the  burglar-proof  safe  within  tin- 
vault. 

Deposits  are  made  in  the  bank 
promptly  and  when  a  deposit  is  to  be 
made,  the  money  is  transported  from  the 
hospital  safe  to  the  bank,  in  charge  of 
armed  guards  in  an  armored  car,  by 
the  Brinks  Express  Company. 


September  2  5  and  26  will  mark  the 
beginning  of  the  34th  year  of  instruction 
in  the  Presbyterian  Hospital  School  of 
Nursing.  Graduation  exercises  for  the 
class  of  1937  will  be  held  in  the  audito- 
rium at  Sprague  Home  on  Oct.  5,  at 
3:00  P.M.  The  class  numbers  40  young 
women.  The  address  will  be  by  Rev.  W. 
Oliver  Brackett,  Ph.D.,  of  Lake  Forest. 
Baccalaureate  services  will  he  held  in  the 
hospital  chapel  on  Sunday,  Oct.  3,  at 
8:00  P.M.  with  Dr.  John  Timothy  Stone, 
president  of  the  Presbyterian  Theological 
Seminary,  as  speaker.  Mr.  Asa  S.  Bacon, 
superintendent  of  the  hospital  will 
preside. 


GO    TO    LONDON    MEETING 

Miss  Florence  Coon,  assistant  night  super- 
intendent of  our  hospital  and  supervisor  of 
nursing,  attended  the  International  Council 
of  Nursing  in  London,  July  19-26,  as  the 
official  delegate  from  the  Alumnae  Associa- 
tion of  our  School  of  Nursing.  She  sailed 
from  New  York,  |uly  10,  accompanied  by  Miss 
Francis  Zoller,  class  of  1927.  Following  the 
convention  thev  visited  Norway  and  Sweden. 
Mis-.  Harriet  L.  Forrest,  assistant  superin- 
tendent of  nurses  and  supervisor  of  nursing, 
and  Miss  Ella  M.  Van  Horn  of  the  School 
of  Nursing  faculty,  also  attended  the  London 
meeting   while  on    a    vacation    trip  to    Europe. 

Delegates  from  all  parts  of  the  world  mini- 
bered  3,500,  ol  whom  362  were  from  the 
I  lulled  States.  Ol  13  from  Illinois,  nine  were 
from  Chicago  and  four  of  these  were  from 
the    Presbyterian    Hospital 


SPECIAL  POLICE,  BURGLAR 
ALARM  WIRING  PROTECT  OUR 
HOSPITAL,  NURSES'  HOME 

Adequate  protection  for  patients, 
nurses  and  other  personnel,  cash  and 
valuables  is  provided  by  special  police- 
men, sworn  in  and  given  full  authority 
by  the  Chicago  Police  Department,  but 
whose  salaries  are  paid  by  our  hospital. 
Shifts  are  arranged  so  that  one  police- 
man is  on  duty  during  day  time  hours 
and  two  on  duty  throughout  the  night. 
Supplementing  this  protection  provided 
at  the  expense  of  the  hospital,  fullest  co- 
operation is  available  at  all  times  from 
the  Warren  Avenue  station  of  the 
Chicago  Police  Department  only  a  few 
blocks  away. 

As  a  further  protection  to  residents 
of  our  Nurses'  Home,  fire  escapes  are 
equipped  with  burglar-alarm  wiring  and 
exits  are  constructed  so  that  they  can  be 
opened  only  from  the  inside. 


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.    SM ITH Treasurer 

KINGMAN     DOUGLASS Secretary 

FRED    S.    BOOTH Asst.  Secretary 

A.    J.    WILSON Asst.  Secretary 

Arthur  G.  Cable  Fred  A.   Poor 

Alfred  T.   Carton  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  Robert   Stevenson 

Alfred   E.    Hamill  J.    Hall   Taylor 

Charles  H.   Hamill  John   P.   Welling 

Edw.  D.  McDougal,  Jr.          Edward   F.   Wilson 

CLERICAL  MANAGERS 

Rev.    Harrison    Ray   Anderson,    D.D. 
Rev.    Harold    L.    Bowman,    D.D. 
Rev.    Henry    S.    Brown,    D.D. 
Rev.   W.    Clyde    Howard,    D.D. 

MEDICAL    BOARD 

VERNON    C.    DAVID,    M.D President 

WOMAN'S    BOARD 

MRS.    CLYDE    E.    SHOREY President 

ADMINISTRATION 

ASA     S.     BACON Superintendent 

HERMAN    HENSEL Asst.   Superintendent 

M.    HELENA   McMILLAN...  Director,    School   of  Nursing 

THE   PRESBYTERIAN    HOSPITAL    BULLETIN 
Florence  Slown   Hyde,    Editor 

The  Presbyterian  Hospital  of  the  City  ot 
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. 


tie  Prestti^MM  Utopia 

tke  City  ay  Gkicagcy 

BULLETIN 

MEMBER    AMERICAN     HOSPITAL    ASSOCIATION 


Chicago,  111. 


October,    1937 


Vol.   29,   No.   9 


Class  of  1937  of  the  Presbyterian  Hospital  School  of  Nursing 


by  &  4i     •     \m4  4  M1  O  Y=>  V*  ^ 


a^  ipi  ^(f  ^ 


H^jf 


>• 


M     ..|| .|t 


41    #j 


Ten  states  and  one  foreign  country  were  represented  in  the  1937  class  graduated  by  our  School  of  Nursing,  October  5. 

In  the  picture: 

First  row,  left  to  right  —  Barbara  Brown,  LaGrange,  Ind.;  Alida  G.  Spawn,  Chester,  S.  Dak.;  A.  Virginia  Orr,  Calumet 
City,  111.;  Sarah  Child,  Toledo,  la.;  Jane  Warner,  Deerfield,  111.;  Irmgard  E.  Mahler  (secretary-treasurer  of  class),  LaPorte, 
Ind.;  Harriet  E.  Boot  (president  of  class),  Amoy,  China;  Julia  A.  DenHerder,  Zeeland,  Mich.;  Tena  H.  Havinga,  Holland, 
Mich.;  Dorothy  Morris  Larson,  Logan,  la.;  Sallie  Scott,  Thorntown,  Ind. 

Second  row,  left  to  right  —  Miriam  M.  Fairbanks,  Monticello,  la.;  Helenglen  Kennedy,  Culver,  Ind.;  Grace  E.  Koontz, 
Streator,  111.;  Harriet  Woods,  Council  Bluffs,  la.;  Dorothy  E.  Winans,  Toulon,  111.;  Helen  Hendrickson,  Waukegan,  111.; 
Helen  E.  Schwede,  Chicago;  Augusta  Heneveld,  Holland,  Mich.;  Erma  A.  Peterson,  Alden,  la.;  Sylvia  Thompson,  Linton, 
N.  Dak.;  Irene  Wilhelmena  Schermerhorn,  Ridge  Farm,  111.;  Lucy  J.  DeYoung,  Central  Lake,  Mich.;  Laura  Elizabeth  Yendt, 
Serena,  111. 

Third  row,  left  to  right  —  L.  Naidiene  Kinney,  Lancaster,  Wis.;  Evelyn  Woeckener,  Berwyn,  111.;  Dorothy  E.  Yates, 
Savanna,  111.;  Mildred  L.  Schlekau,  Mcintosh,  S.  Dak.;  Palma  M.  Juel,  Canton,  S.  Dak.;  June  Carol  Winegar,  Oak  Park,  111.; 
Naomi  R.  Hoff,  Hastings,  Neb.;  Viola  N.  Evans,  Monte  Vista,  Colo.;  Florence  Schneider,  Kentland,  Ind.;  Virginia  S.  Davis, 
Evanston,  111.;  Dixie  Ruth  Schmidt,  Cissna  Park,  111.;  Maxine  E.  McCormick,  Chicago;  Lois  L.  Stoddard,  Chicago;  Norene 
f  Kruger,  Gratiot,  Wis.  Two  members  of  the  class,  Rosemary  Thompson  of  Waxahachie,  lex.,  and  Dorothy  I.  Dickey  of 
Frederick,  S.  Dak.,  were  not  present  when  the  picture  was  taken. 


Confer  Diplomas   on   1937  Class  of  Forty 

Graduates  of  Hospital  School  of  Nursing 

Exercises  for  the  1937  graduating  class  of  the  Presbyterian  Hospital  School  of 
Nursing  were  held  in  the  auditorium  at  Sprague  Home  for  Nurses,  Monday  after- 
noon, October  5,  at  3  o'clock.  Mr.  Horace  W.  Armstrong,  vice-president  of  the 
Board  of  Managers  of  the  hospital,  presided  and  conferred  the  diplomas.  An  inspir- 
ing address  was  delivered  by  the  Rev.  W.  Oliver  Brackett,  Ph.D.,  of  Lake  Forest. 
The  invocation  was  by  the  Rev.  Alvyn  R.  Hickman,  D.D.,  pastor  of  the  Third 
Presbyterian  Church,  and  Moderator  of 
the  Chicago  Presbytery.  Madame  Mane 
S.  Zendt,  guest  soloist,  sang  beautifully 
two  numbers:  "To  One  Who  Passed 
Whistling"  by  Gibbs,  and  "The  Joy  of 
Living"  by  Ware.  The  graduating  class 
was  presented  by  Miss  M.  Helena 
McMillan,  director  of  the  school.  Mrs. 
Clyde  E.  Shorey,  president  of  the  Wom- 
an's Board,  presented  school  pins  to  the 
graduates.  The  auditorium  was  filled 
with  an  audience  of  friends  and  rela- 
tives, many  of  whom  came  from  a  dis- 
tance. At  the  conclusion  of  the  pro- 
gram, guests  and  class  adjourned  to  the 
school  dining  room  for  a  social  hour, 
during  which  they  enjoyed  coffee,  sand- 
wiches and  other  refreshments. 

Baccalaureate  Service 

Dr.  John  Timothy  Stone,  D.D.,  presi- 
dent of  the  Presbyterian  Theological 
Seminary,  was  the  speaker  at  the  bac- 
calaureate service  for  the  class  of  1937, 
held  in  the  hospital  chapel,  Sunday  eve- 
ning, October  3.  Mr.  Asa  S.  Bacon, 
superintendent  of  the  hospital,  presided. 
Special  musical  numbers  were  a  piano 
prelude  "Traumerie"  by  Schumann,  fur- 
nished by  Miss  Lois  C.  Geerds,  a  mem- 
ber of  the  junior  class,  and  a  vocal  num- 
ber by  a  sextette  composed  of  student 
nurses,  "My  Task"  by-  Ashford.  Rev. 
Wilson  E.  Donaldson,  chaplain  of  Cook 
County  Hospital  gave  the  invocation 
and  benediction. 

Entertain   Graduates 

Members  of  the  1937  class  were  guests 
at  an  open  meeting  of  the  Alumnae 
Association  on  Tuesday  evening,  Sept. 
28,  on  which  occasion  a  buffet  supper 
was  served  in  the  assembly  room  of 
Sprague  Home. 

The  annual  luncheon  at  which  gradu- 
ates were  entertained  by  the  Alumnae 
took  place  in  the  Wedgwood  room  at 
Field's,  Friday,  Oct.  1. 

The  annual  Alumnae  Association  din 
ner-dance  took  place  in  the  Continental 
room  at  the  Stevens  hotel,  Wednesday 
evening,  Oct.  6.  Mrs.  Marcella  Kurtz, 
social  chairman  was  in  charge  of  ar- 
rangements for  these  events. 

Officers  of  (he  Alumnae  Association 
for  this  year  are:  Mane  Harden,  presi- 
dent; Esther  Salzman,  1st  vice-president; 
Lelith  Davis,  2nd  vice-president;  Mar- 
jorie  Keil,  recording  secretary;  Evelyn 
Seegmiller,  corresponding  secretary;  Mrs. 
Dorothy    Ellis   VanGorp,    treasurer. 


GRADUATES   TOTAL    1442 

Including  the  class  of  1937,  to  whom 
this  issue  of  our  Bulletin  is  dedicated, 
our  School  of  Nursing  has  graduated  a 
total  of  1442  nurses.  Of  these  graduates, 
24?  are  known  to  be  employed  in  insti- 
tutional work;  207  are  listed  as  private 
duty  nurses;  109  m  public  health  nurs- 
ing; 31  as  industrial  nurses;  18  as  mis- 
sionary nurses  m  the  foreign  field;  3  are 
practicing  physicians;  17  in  various  fields 
as  X-ray,  physiotherapy,  secretarial,  edi- 
torial and  other  specialties.  Among  those 
engaged  in  institutional  work  are  a  num- 
ber who  hold  important  posts  m  the  field 
of  nursing  education  and  in  nursing  de- 
partments of  large  hospitals. 

RECENT  VISITORS 

Mrs.  John  Pixley  (Phoebe  Rice,  1927)  who 
returned  from  Nicaragua,  Central  America, 
recently,  and  gave  birth  to  a  son  in  the  Pres- 
byterian Hospital,  has  gone  back  to  Nicaragua 
to  join  her  husband  who  is  engaged  in  mis- 
sionary work  at  Manaqua.  Mary  Mieth 
(1931),  who  returned  with  Mrs.  Pixley,  has 
staff  of 


ing 


accepted    a   position    on 
our  hospital. 

Ruth  Sperling  (1929),  who  is  with  the 
U.  S.  Indian  Service  at  a  hospital  in  Tacoma, 
Washington,  was  among  those  in  attendance 
at  the  Alumnae  luncheon,  Oct.   1. 

Ella  M.  Ottery  (1916).  who  is  associated 
with  Dr.  Henry  J.  Ullmann,  Santa  Barbara, 
Cal.,  as  X-ray  technician,  visited  our  hospital 
and  school  while  in  Chicago  for  the  Inter- 
national Congress  of  Radiology  in  September. 

Among  graduation  day  visitors  was  Mrs. 
Carl  N.  H.  Otte  (Lillian  Young,  1928),  who 
with  her  three  children,  has  just  returned  on 
furlough  from  Untunjambili,  Natal,  South 
Africa,  where  she  and  her  husband  have  been 
engaged  in  missionary  work. 

Mrs.  Corydon  Benton  (Margaret  Petric, 
!926)  recently  returned  from  eight  years' 
residence  in  Hawaii,  where  she  held  an  ad- 
ministrative position  in  Queen's  Hospital, 
Honolulu. 

ANNUAL  HOMECOMING 
Alumnae  and  other  friends  of  the  Presby- 
terian Hospital  School  of  Nursing  are  invited 
to  visit  Sprague  Home  on  Nov.  11,  when  the 
annual  Homecoming  will  be  observed.  There 
will  be  a  buffet  luncheon  at  noon,  an  informal 
reception  from  3:00  to  6:00  P.M.  and  dinncr 
at  6:30. 

Lelin  Townscnd  (1919)  is  Director  of 
Nursing  at  the  Neurological  Hospital,  Colum- 
bia  University   Medical   Center,   New  York. 

Mrs.  Erick  A.  Frey  (Emma  Hcllcckson, 
1928)  who  has  been  doing  missionary  nurs- 
ing in  Ketchikan.  Alaska,  has  taken  a  fur- 
lough and  entered  the  University  of  Minne- 
sota for  the  coming  year. 


ALUMNAE   FILL  POSITIONS 

IN   VARIETY   OF    FIELDS 

Among  Alumnae  of  our  School  of 
Nursing  who  hold  executive  positions  or 
offices  in  nursing  organizations  are  the 
following : 

Helen  W.  Munson  (1922),  Associate  Edi- 
tor, American  Journal  of  Nursing,  New  York. 

Mrs.  Alma  Ham  Scott  (1907),  Headquar- 
ters Director,  American  Nurses'  Association, 
New  York. 

Mabel  M.  Dunlap  (1912),  Treasurer,  Illi- 
nois State  Nurses'  Association. 

Dorothy  Rogers  (1921),  Professor  of  Nurs- 
ing Education,  University  of  Chicago;  Presi- 
dent,  Illinois   League  of  Nursing   Education. 

Ruth  Hansen  (1922),  Ethel  Holbrook 
(1922),  and  Ruth  Horn  (1921),  Board  of 
Directors,  First  District,  Illinois  State  Nurses' 
Association. 

Air  Stewardess 

Transportation  companies  are  now  employ- 
ing graduate  nurses  as  train  and  air  steward- 
esses. Ethleen  Goodbrake  (1934)  holds  such 
a  position  with  the  Transcontinental  and 
Western  Air  Line,  out  of  Kansas  City. 

Industrial  Nursing 

Alumnae  who  recently  have  taken  positions 
in  Chicago  as  industrial  nurses  include: 

Mildred  Ross  (1934),  Chicago  and  North- 
western Railroad. 

Jennie  Shank  (1932),  Federal  Electric 
Company. 

Mary  Maughan  (193  2),  Greenebaum,  Lan- 
ning  Company. 

lone  Williams  (193  3),  and  Florence 
Cooper    (1927),    International    Harvester    Co. 

Helen  Johns  (1932),  R.  R.  Donnelly  Sons 
Company. 

Nursing  Education 

A  number  of  our  graduates  hold  important 
positions  in  the  field  of  nursing  education. 
Among  those  who  have  accepted  new  posi- 
tions recently  are: 

Eula  Butzenn  (1914),  Associate  Professor 
of  Nursing  Education,  University  of  Chicago, 
in  charge  of  developing  courses  in  Public 
Health  Nursing.  She  had  been  in  charge  of 
a  similar  department  at  the  University  of 
Minnesota  for  some  years. 

Alice  Spellman  (1928),  Medical  Nursing 
Supervisor  in  Communicable  Diseases,  Russell 
Sage  College  School  of  Nursing,  Albany,  N.  Y. 

Public  Health   Nursing 

Among  Alumnae  who  have  accepted  public 
health  nursing  positions  in  recent  months  are: 

Carolyn  Davis  (1921).  Assistant  Supervisor 
of  Physical  Therapy  Nurses,  Visiting  Nurse 
Association  of  Chicago. 

Margaret  Handlin  (1914),  and  Irene  Eby 
(1926),  Division  of  Dental  Health  Education, 
Illinois  State  Department  of  Health. 

Vera  Roswell  (1924),  Dental  Health  Nurse, 
State  Board  of  Health  of  Wisconsin. 

Dorothea  A.  Jackson  (1923),  County 
Nurse,  Socarro,  N.  M. 

Emma  M.  Mattill  (1921),  School  Nurse, 
Oklahoma  City,  Okla. 

Guinevere  Hubbard  (1931),  Boone  County 
Nurse,  Belvidere,  111. 

Gladys  Hcikens  (1930).  Red  Cross  Nurse, 
Henderson,  Ky. 

Other   Alumnae   News 
Gladys  Baldwin    1923)   is  head  of  the  new- 
ly   organized    Health    Service    at   Albany  Hos- 
pital, Albany.  N.  Y. 

Ruth  E.  Church  (1929)  received  an  M.D. 
degree   from    the   University  of  Wisconsin  last 

Lois  Morrow  (1929)  is  Director  of  Nurs- 
ing at  the  University  of  Pennsylvania  Gradu- 
ate Hospital. 


BROAD  COURSE  OFFERED  BY  SCHOOL  OF  NURSING 


Many   Subjects   Are   Required   to 

Prepare    Student   for 

Profession 


In  its  many  departments,  the  Presby- 
terian Hospital  affords  to  student  nurses 
wide  experience  in  the  nursing  care  of 
medical,  surgical  and  obstetrical  patients. 
Hand-nvhand  with  this  practice  nursing, 
the  student  acquires  fundamental  knowl- 
edge embracing  a  variety  of  pertinent 
subjects,  through  individual  study,  clasj 
recitations,  lectures,  and  laboratory  work. 

First  Year  Course 

The  first  year's  course  of  lectures, 
class  recitations,  laboratory  and  clinical 
instruction  embraces  the  following  re- 
quired subjects:  anatomy,  chemistry, 
ethics,  elementary  materia  medica,  per- 
sonal hygiene,  physical  education,  hand- 
aging  and  charting,  occupational  thera- 
py, physiology,  dietetics,  diet  in  disease, 
bacteriology,  pathology,  public  hygiene, 
medical  nursing,  surgical  nursing,  gyne- 
cology, psychology,  history  of  nursing, 
hospital  housekeeping,  ethics,  and  mas- 
sage. 

Second  and  Third  Years 

Required  subjects  covered  during  the 
second  year  are:  medical  nursing  in  com- 
municable diseases,  dermatology,  sociol- 
ogy, urinalysis,  toxicology,  pediatric 
nursing,  orthopedics,  obstetrical  nursing, 
anesthesia  and  operating  room  technique. 
During  the  third  and  final  year  of  the 
course  the  required  subjects  are:  psychi- 
atric and  neurological  nursing,  surgical 
nursing  (including  eye,  ear,  nose  and 
throat),  advanced  dietetics,  first  aid, 
nursing  problems  and  survey  of  nursing 
field. 

Gain   Knowledge   Firsthand 

Student  nurses  acquire  much  knowl- 
edge firsthand,  as  well  as  valuable  prac- 
tical experience,  through  duty  assign- 
ments in  the  pharmacy,  diet  kitchens, 
operating  rooms,  out-patient  obstetrical 
department,  prenatal  clinic,  children's 
department,  and  the  various  diagnostic 
and  therapy  departments  of  the  Presby- 
terian Hospital.  They  also  gain  knowl- 
edge and  experience  through  service  in 
the  clinics  of  Central  Free  Dispensary 
and  Rush  Medical  College. 

The  Cook  County  Hospital  School  of 
Nursing  grants  our  students  an  oppor- 
tunity to  gain  experience  in  the  psych  i 
atric  and  neurological  departments  of 
that  hospital.  Similar  privileges  are 
granted  by  the  Chicago  Municipal  Dis- 
ease Hospital,  the  Chicago  Visiting 
Nurse  Association,  the  Infant  Welfare 
Society  of  Chicago  and  the  Rural  Nurs- 
ing of  Cook  County. 


Contributions   to   School 
Endowment   Are  Invited 

In  order  that  the  student  nurse  may 
be  prepared  to  meet  the  demands 
placed  upon  her  by  advancing  medi- 
cal knowledge,  many  subjects  must  be 
studied  under  competent  tutelage.  She 
must  spend  much  of  her  time  in  the 
classroom,  the  lecture  room,  and  the 
laboratory.  Her  varied  nursing  duty 
assignments  must  be  carried  out  un- 
der the  direct  supervision  of  well- 
qualified  graduate  nurses.  That  the 
Presbyterian  Hospital  School  of  Nurs- 
ing maintains  high  standards  of  in- 
struction and  promulgates  high  ideals 
of  service,  is  indicated  by  the  accom- 
plishments of  our  graduates,  who  are 
filling  positions  of  great  usefulness  in 
all   parts  of  the   world. 

Nursing  education,  in  common  with 
ether  branches  of  higher  education, 
needs  and  merits  the  support  of  the 
philanthropically  inclined.  The  small 
endowment  possessed  by  our  School 
of  Nursing  has  been  a  factor  in  its 
past  accomplishments.  Those  who 
wish  to  aid  education  in  a  field  of  far- 
reaching  importance  to  human  wel- 
fare, are  invited  to  contribute  to  this 
endowment,  in  order  that  our  School 
of  Nursing  may  continue  to  keep  pace 
with  advancing  standards  and  enlarg- 
ing opportunities. 


GO   TO    FOREIGN    FIELD 

Miss  Johanna  DeVries,  193  3  graduate  of 
our  School  of  Nursing,  and  a  member  of  the 
school  faculty  since  193  5,  has  gone  to  Madna- 
palle,  Chittoor  District,  South  India,  where 
she  will  work  in  a  mission  hospital  and  teach 
in  school  for  nurses.  Miss  Margaret  Morgan 
(1929)  and  a  graduate  of  the  University  of 
Kansas  will  succeed  Miss  DeVnes  on  the 
school  faculty  here.  Miss  Morgan  has  held 
teaching  positions  in  hospitals  in  Topeka, 
Columbus  and  Chicago  and  has  travelled 
extensively. 

Miss  Isla  Knight  (1923)  has  resigned  as  a 
member  of  our  endowed  nurse  staff  and 
sails  soon  for  Bareilly,  Indian,  where  she 
will  work  in  a  mission  orphanage. 

Miss  Ethel  R.  Groce  (1934)  plans  to 
leave  soon  for  Canton,  China.  She  will  work 
under  the  China  Boat  Mission,  and  also  in 
the  leper  colony. 


EDUCATIONAL  REQUIREMENTS 

From  1903  to  1936,  the  educational  require- 
ment for  entrance  to  our  School  of  Nursing 
was  a  high  school  course.  Beginning  with 
the  class  entering  in  the  fall  of  1936,  the  re- 
quirement was  raised  to  include  two  years  of 
college  work  beyond  high  school.  It  is  be- 
lieved that  this  requirement  will  bring  to  the 
school  young  women  who  are  better  equip- 
ped, both  as  to  education  and  maturity,  to 
carry  the  broad  course  which  will  fit  them  to 
meet  efficiently  the  demands  that  advances  in 
medical  science  are  making  upon  the  nursing 
profession. 

In  this  connection  it  is  interesting  to  note- 
that  three  of  the  ten  members  of  our  Inst 
graduating  class  in  1906  had  college  degrees 
when  they  entered  our  school,  while  three 
other  members  of  that  class  had  had  some 
college  work  prior  to  entrance.  Throughout 
the  years,  many  of  our  students  have  conic  to 
us  with  college  degrees  and  many  others  have 
had  some  work  in  college. 


Competent    Group    Administers 

Affairs — Able  Instructors 

Are    Provided 


The  affairs  of  our  School  of  Nursing 
are  administered  by  a  school  committee 
headed  by  Mr.  John  P.  Welling  and 
composed  of  representatives  of  the  hos- 
pital Board  of  Managers,  the  Woman's 
Board,  and  the  administrative  and  medi- 
cal staffs.  Consultants  include  three  mem- 
bers of  Rush  Medical  College  Faculty 
and  three  School  of  Nursing  Alumnae, 
who  hold  nursing  education  positions  in 
universities. 

Officers  of  administration  and  instruc- 
tion m  the  nursing  department  of  the 
hospital  and  the  School  of  Nursing  are 
as  follows: 

M.  Helena  McMillan,  B.A.,  R.N.    Director 
School    of    Nursing    and    Superintendent    of 
Nurses. 
May  L.  Russell.  R.N.    Assistant  to  Director 
of   the    School    and    Dean    of   Students.     In- 
structor of  Nursing  and  of  Ethics. 
Harriet  L.   Forrest,   R.N.    Assistant  Super- 
intendent    of    Nurses     and     Supervisor     of 
Nursing. 
Emma    B.     Aylward,     House     Matron     and 

Dietitian,  Sprague  Home. 
Frances    E.    Seegmiller,    R.N.     Instructor 
Case  Study,   Charting,  Teaching   Supervisor 
Medical  Nursing. 
Ella  May  Van  Horn,   M.S.,   R.N.    Instruc- 
tor   Public    Hygiene,    History    of    Nursing, 
Health     Advisor     and     Nurse,     School     of 
Nursing. 
Carrie   B.  McNeill,   B.A.    Instructor  Drugs 
and  Solutions,  Bandaging,  Teaching  Super- 
visor. 
Esther  I.   Salzman,   B.S.    Assistant  Instruc- 
tor      Chemistry,      Bacteriology,       Teaching 
Supervisor. 
Margaret   M.    Morgan,   B.A.    Assistant  In- 
structor Anatomy,    Physiology,   Psychology, 
Pathology. 
Julia    D.    Neville,    B.A.     Assistant   Instruc- 
tor   Nursing    Technique,    Teaching    Super- 
visor. 
Eleanor    Smith,    R.N.      Assistant    Superin- 
tendent Nurses  and  Supervisor  of  Nursing. 
Elphia    Flugum,    R.N.     Assistant    Superin- 
tendent Nurses  and  Supervisor  of  Nursing. 
Mary  E.  Probert.  R.N.    Night  Superintend- 
ent  and   Supervisor  of  Nursing. 
FLORENCE    Coon,    R.N.     Assistant  Night   Su- 
perintendent   and    Supervisor    of   Nursing. 
Members    of    the     faculty     of    Rush 
Medical    College    of   the    University    of 
Chicago,    and    of    the    medical    staff    of 
Presbyterian   Hospital  also  give  instruc- 
tion   to    students    in    the    classroom,    at 
clinics  and  at  the  bedside.    Science  courses 
are  taught  by  members  of  the  faculty  of 
the  University  of  Chicago  and  by  gradu- 
ate nurse  instructors. 


Have  Eight-Hour  Day 

The  student  nurse's  eight-hour  day 
and  48'hour  week  embraces  both  the 
time  given  to  class  instruction  and  that 
given  to  practice  nursing  or  other  duty 
assignments. 


THANKSGIVING   OFFERING 

TEAS  PLANNED  BY  THE 

CHURCH  GROUPS 

Mrs.  W.  B.  McKeand,  chairman;  Mrs. 
Kellogg  Speed,  vice-chairman,  and  mem- 
bers of  the  Thanksgiving  offering  com- 
mittee of  the  Presbyterian  Hospital 
Woman's  Board  are  arranging  for  a 
number  of  teas  to  be  given  during  No- 
vember by  various  church  groups  to 
raise  funds  for  hospital  linen  and  other 
purposes.  Miss  Frances  Whedon  will  be 
hostess  at  her  new  home,  3  Banks  St.  for 
the  tea  sponsored  by  the  Fourth  Presby- 
terian Church  group,  Mrs.  Charles  S. 
Reed  and  Mrs.  Edwin  W.  Sims  will 
assist. 

Mrs.  Charles  B.  Ford  of  Oak  Park 
First  Presbyterian  Church  plans  to  give 
a  tea  at  her  home,  1043  Lathrop  Ave., 
River  Forest,  as  do  also  Mrs.  Kellogg 
Speed,  5  30  S.  Sheridan  Rd.,  Highland 
Park,  and  Mrs.  Nelson  W.  Willard,  171 
Northwood  Rd.,  Riverside.  Dates  for 
these  have  not  been  announced.  Mrs. 
George  L.  Swift  of  Hvde  Park  United 
Church  is  arranging  a  tea  for  which 
place  and  date  are  not  yet  definitely 
settled.  It  is  expected  that  teas  will  be 
arranged  by  several  other  groups. 

ATTEND  CONVENTIONS 

More  than  4,000  men  and  women  repre- 
senting hospitals  of  the  United  States  and 
Canada  attended  the  39th  annual  convention 
of  the  American  Hospital  Association  in 
Atlantic  City,  Sept.  13-17.  Mr.  Asa  S.  Bacon, 
superintendent  of  the  Presbyterian  Hospital, 
attended  this  convention  and  also  the  con- 
vention of  the  American  Protestant  Hospital 
Association  in  the  same  city,  Sept.  10-12  and 
the  meetings  of  the  American  College  of 
Hospital  Administrators,  Sept.  11-13.  Mr. 
Bacon  was  re-elected  treasurer  of  the  Ameri- 
can Hospital  Association,  "an  office  which  he 
has  held  since  1906,  with  the  exception  of 
one  year  (1923)  when  he  filled  the  office  of 
president  of  the  association.  He  is  a  trustee 
of  the  American  Protestant  Hospital  Associa- 
tion and  a  fellow  of  the  American  College  of 
Hospital  Administrators. 

Miss  Winifred  Brainerd,  head  of  our  hos- 
pital Occupational  Therapy  department,  at- 
tended the  annual  meeting  of  the  American 
Occupational  Therapy  Association,  Sept.  13- 
16,  in  Atlantic  City. 

LIBRARY  REPORT 

Miss  Sclma  Lindem,  our  hospital  librarian, 
reported  at  the  October  meeting  of  the  Wom- 
an's Board  that  6,961  books  and  magazines 
had  been  circulated  among  patients  during 
the  summer  months.  Donations  and  receipts 
from  sales  of  books  amounted  to  $208.10 
which  will  he  used  for  library  purposes.  The 
library  receives  40  different  magazines  regu- 
larly through  subscriptions  and  copies  of  63 
other  magazines  have  been  donated  by  friends 
from  time  to  time. 


AMERICAN  HOSPITAL  IN  TURKEY 
Mr.  Luther  R,  Fowle,  treasurer  of  Anicri- 
can  Missions  in  the  Near  East,  gave  an  inter- 
esting talk  .it  the  October  meeting  of  the 
Woman's  Board,  about  the  American  Hospi- 
tal .iiul  School  of  Nursing  in  Istanbul, 
'lui  key.  This  hospital  is  supported  by  the 
American  community  and  its  school  has  107 
graduates  to  date. 


"Private  Duty" 

From  Alaska  to  South  Africa,  in 
India,  China,  South  America,  and 
other  countries  around  the  world, 
graduates  of  our  School  of  Nursing 
are  serving  as  missionary  nurses.  In 
large  cities,  in  small  towns,  and  in 
rural  areas,  others  are  doing  public 
health  nursing.  In  public  and  volun- 
tary hospitals,  many  of  our  graduates 
are  filling  administrative  or  super- 
visory positions  and  other  graduates 
are  caring  for  the  sick  as  ward  and 
floor  nurses.  Still  others  are  teaching 
in  universities  and  schools  for  nurses. 
Then,  there  is  that  large  group  desig- 
nated as  "Private  Duty"  nurses,  than 
which  no  title  is  more  to  be  honored 
or  fraught  with  greater  meaning  in 
terms  of  human  lives  saved  and  human 
suffering  lessened.  These  are  they 
who  do  thir  work  quietly  in  private 
homes,  in  private  rooms  of  hospitals, 
and  at  the  bedside  of  seriously  ill 
ward  patients.  Through  the  long 
watches  of  the  night  and  the  drag- 
ging hours  of  the  day,  the  "Private 
Duty"  nurse  stands  guard  over  human 
life,  faithfully  carrying  out  the  in- 
structions of  the  doctor,  competently 
meet:ng  emergencies  that  arise  in  his 
absence,  and  ministering  to  human 
welfare  and  comfort  by  means  of 
every  resource  at  her  command.  Only 
these  who  have  had  the  benefit  of 
such  ministration,  through  dark  hours 
of  pain  and  fear,  can  fully  appreciate 
the  inestimable  service  of  the  com- 
petent   "Private    Duty"    nurse. 


SEPTEMBER   1937  CLASS 
Twelve    states    are    represented   in    the   class 

of    students   entering    our    School    of   Nursing 

this  fall,  as  follows: 

Winifred  Gray  Allen,  Chicago 

Martha     Jane     Brobcck,     Steamboat     Springs, 
Colo. 

Marie  Emily  Carlson,  Chicago 

Mildred  Mane  Cook,  Flora,  Ind. 

Betty  Flanders,  Oconto,  Wis. 

Ruth    Margaret   Fostner,   Appleton,    Wis. 

Vrginia    Clayland    Frederick,    Glen    Ellyn,    111. 

Emily   Kathryn  Gould,  Marion,   Ind. 

Eugenie  C.  Grauer,  Shawano,  Wis. 

Mary  Belle  Hagland,  Sterling,  111. 

lulia  Norris  Harrison.  Tampa,  Fla. 

Grace  E.  Hobble,  Plymouth,  111. 

Margaret  Elizabeth   Jalkanen.    Evelcth,   Minn. 

Charlotte  R.  King,  Riverside,  111. 

Susan  Mary  Lederer,  Norfolk,  Neb. 

Ruth  Louise  Malcolm,  Three  Rivers,  Mich. 

Florence  E.  Morse,  Racine,  Wis. 

Catherine  H.  Ollis,  Ord,  Neb. 

Mydella  E.  Rawson,  Woodstock,  111. 

Agnes  Bell  Rogers,  Oak  Park,  111. 

Joan   Roth,  Lafayette,   Ind. 

[eanne  Lucille  Roush,  Wyoming,  la. 

Margaret    Anne    Schwan,    Mishawaka,    Ind. 

Helen  Clay  Shannon,   Parkville,  Mo. 

Carol  Lee  Smith,  Streator,  111. 

Greta  Ingeborg  Thorstenberg,  Lindsborg,  Kan. 

Lcla  Webb,  Burning   Springs,  Ky. 

Georgia   Ruth   Wcurding,  Mc 


Y.  W.  C.  A.  Branch 

Our  School  of  Nursing  has  an  active 
student  branch  of  the  National  Y.  W. 
C.  A.  Officers  this  year  are:  Elizabeth 
Wagner,  president;  Barbara  Cruick- 
sh.ink,  secretary;  Virginia  James,  treas- 
urer. 


COLLEGE  OF  SURGEONS 

The  27th  Clinical  Congress  of  th 
American  College  of  Surgeons  will  b 
held  in  Chicago,  Oct.  25-29.  Each  da; 
during  the  congress,  clinics  will  be  con 
ducted  by  staff  men  in  the  operating 
rooms  of  the  Presbyterian  Hospital.  Dr 
Albert  H.  Montgomery  is  in  charge  o 
arrangements  for  these  clinics.  Dr 
Vernon  C.  David,  president  of  ou: 
Medical  Staff,  is  chairman  of  the  Chi 
icago  committee  on  arrangements  anc 
will  deliver  the  address  of  welcome  ai 
the  opening  session  of  the  Congress  ir 
the  ballroom  of  the  Stevens  hotel,  Mon 
day  evening,  Oct.  2  5. 


DR.  ROSE  AT  CONGRESS 

Dr.  Cassie  Bell  Rose,  formerly  head  of  ou 
X-ray  department,  was  one  of  the  speakers  a 
the  International  Congress  of  Radiology  heh 
in  Chicago  in  September.  Dr.  Rose  is  nov 
radiologist  to  two  hospitals  in  Colorado,  on. 
in  Denver  and  the  other  in  Boulder. 


THE    PRESBYTERIAN    HOSPITAl 

OF   THE    CITY    OF    CHICAGO 

1753  W.   CONGRESS  STREET         CHICAGO,    ILLINOI 

Telephone:    Seeley   7171 

OFFICERS  and    MANAGERS 


JOHN      McKINLAY 

HORACE    W.     ARMSTRONG Vice-Preside 

CHARLES    B.    GOODSPEED 

Vice-Preside 

SOLOMON    A.    SMITH 

KINGMAN     DOUGLASS 

FRED   S.   BOOTH 

A.    J.    WILSON 

Arthur  G.  Cable 

Fred   A.   Poor 

Alfred  T.  Carton 

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 

Robert   Stevenson 

Alfred   E.   Hamill 

J.    Hall   Taylor 

Charles  H.   Hamill 

John   P.   Welling 

Edw.  D.  McDougal,   Jr. 

Edward   F.  Wilson 

CLERICAL  MANAGERS 

Rev.  Harrison    Ray   Anderson,    D.D. 

Rev.  Harold    L.    Bowman,    D.D. 

Rev.  Henry    S.    Brown,    D.D. 

Rev.  W.    Clyde    Howard,    D.D. 

MEDICAL    BOARD 

VERNON    C.    DAVID,    M.D. Preside. 

WOMAN'S    BOARD 

MRS.    CLYDE    E.    SHOREY Preside. 

ADMINISTRATION 

ASA     S.     BACON  Superintender 

HERMAN    HENSEL  Asst.   Superintender 

M.    HELENA   McMILLAN     Director,   School   of  Nursin 

THE   PRESBYTERIAN    HOSPITAL    BULLETIN 
Florence   Slown   Hyde,    Editor 

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

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


'V-3.W. 


fie  Pres  Werlai  Hospital 


ojv  tke  City  o 

BULL' 


y  ©ki.cacjo' 

ETDN 


MEMBER    AMERICAN     HOSPITAL    ASSOCIATION 


Chicago,  111. 


November,    1937 


Vol.  29,   No.    10 


STALL  FOUR  NEW  X-RAY  UNITS  IN  THE  HOSPITAL 


Improvements  Increase  Scientific 

Usefulness  of  Radiology 

Department 

New  equipment  involving  an  expendi- 
ture of  several  thousand  dollars  was 
recently  installed  in  the  X-ray  (radi- 
ology) department  of  the  Presbyterian 
Hospital,  placing  that  department  on  a 
highly  efficient  basis  of  scientific  useful- 
ness. The  completely  modernized  ma- 
chinery installed  improves  the  technique 
for  making  X-ray  pictures  and  is  de- 
signed to  include  all  shockproof  and 
other  safety  devices  required  to  eliminate 
high  voltage  hazards  of  powerful  X-ray 
tubes. 

Complete  new  units  have  replaced  old 
equipment  in  four  of  the  six  rooms  used 
for  making  X-ray  pictures  and  for  X-ray 
fluoroscopic  work.  These  include  two 
units  for  general  radiographic  work,  new 
model  dental  unit  and  new  equipment  in 
the  emergency  room.  One  of  the  general 
radiographic  units  is  equipped  with  the 
comparatively  new  type  of  double-focus 
rotating  "anode"  tube,  designed  to  give 
infinite  detail  in  X-ray  pictures  of  the 
chest,  spine,  gall  bladder  and  other  parts 
of  the  body.  This  tube  is  a  great  im- 
provement over  those  previously  avail- 
able. 

Motor  Driven  Tilt  Table 

The  other  new  radiographic  unit  for 
general  X-ray  work  has,  in  addition  to 
a  double-focus,  shockproof  X-ray  tube,  a 
motor  driven  tilt  table  which  is  especially 
convenient  when  it  is  desired  that  pic- 
tures be  taken  while  the  patient  is  in 
prone  and  upright  positions,  successively. 
The  new  unit  installed  in  the  emergency 
room  consists  of  a  double-focus  tube  and 
stand,  which  can  be  adjusted  for  both 
fluoroscopic  examination  and  the  making 
of  pictures  without  moving  the  patient 
(Continued  on  Page  3,  Col.  2) 


NEW  ROTATING  ANODE  TUBE  UNIT 

In  the  picture  at  the  right,  Miss  Mabel  Walsh,  X-ray  technician,  is  shown  placing  a  film  in 
position  beneath  the  patient,  preparatory  to  taking  a  gall  bladder  picture,  with  our  new  rotating 
anode  tude.  The  tube  is  shown  above  the  patient  in  readiness  for  the  exposure,  which  is  made 
by  operating  control  equipment  shown  at  the  left.  A  feature  of  the  latter  is  an  electrically 
operated  impulse  timer  capable  of  reproducing  precise  pictures  from  exposures  as  short  as  1/120 
of   a  second. 

THOUGHTS  FOR   THANKSGIVING 


In  gratitude   we  come  to  thee 
For  mercies  that  are  ever  new, 
We   dare   to  trust  the  yet-to-be 
That   by   our  faith   we   \now   is   true. 

— Epworth   Herald 


Give  than\s  for  raiment,  and  a  loaf  of  bread; 

And  for  a  good  thatched  roof  above  your 

head; 

But  most  of  all  give  than\s  if  you  can  say, 

"Lord,    I    have   courage   on   my   pilgrim's 

way!"  — Charles  Hanson   Towne 


For  all  good  things  to  do 

And    see   upon   the    earth. 

For   all    things    old    and    new 

That    Jill    the   days    with    worth. 

For  joys   that    leaven 

The  busy  lives  we  live. 

For   friends    and    home   and    heaven, 

Our  thanks   to    God   we  give. 

— Claude  Wcimcr  in  Normal   Instructor 


STAFF  MEN   PARTICIPATE  IN    CLINICAL   PROGRAMS, 


American     College     of    Surgeons 

Holds   Annual   Congress 

in   Chicago 

Addresses  by  distinguished  surgeons  of 
the  United  States,  Canada  and  several 
foreign  countries  at  general  sessions  in 
the  Stevens  Hotel,  and  numerous  clinics 
conducted  in  approved  hospitals  of 
Chicago  and  adjacent  suburbs  were  fea- 
tures of  the  27th  Annual  Congress  of 
the  American  College  of  Surgeons  held 
in  Chicago,  Oct.  25    -29. 

Dr.  Dean  Lewis,  former  member  of 
our  surgical  staff,  now  professor  of  surge- 
ry at  Johns  Hopkins  University  Medical 
School,  addressed  one  of  evening  sessions. 
Dr.  Vernon  C.  David,  president  of  our 
Medical  Board,  was  chairman  of  the 
committee  on  arrangements  for  the  Con- 
gress and  delivered  the  address  of  wel- 
come at  the  opening  session.  Mrs. 
Kellogg  Speed,  the  wife  of  Dr.  Speed, 
member  of  our  staff,  was  chairman  of 
the  women's  entertainment  committee. 
Dr.  A.  H.  Montgomery  had  charge  of 
arrangements  for  the  clinics  held  in  our 
hospital  and  at  Rush  Medical  College. 

60  Staff  Men  Participate 

Sixty  different  members  of  our  med- 
ical and  surgical  staff  participated  in  the 
clinical  programs  presented  for  visiting 
surgeons,  and  in  a  number  of  instances 
the  same  staff  men  performed  operations 
at  two  or  more  clinics  held  on  different 
days.  Staff  surgeons  conducted  22  oper- 
ative clinics  in  our  hospital  operating 
rooms  and  performed  operations  at  nine 
clinics  held  in  other  hospitals  as  part  of 
the  Congress  program.  Medical  men  and 
surgeons  on  our  staff  presented  reports 
of  studies,  and  demonstrations  at  12 
"dry"  clinics  held  at  Rush  Medical  Col- 
lege, and  participated  in  17  "dry"  clinic 
programs  in  other  hospitals. 

Operations  performed  by  our  surgical 
staff  at  clinics  attended  by  Congress 
visitors  included  those  in  the  field  of  gen- 
eral surgery  and  the  following  surgical 
specialties:  gynecology  and  obstetrics, 
orthopedic  surgery,  fractures  and  trau- 
matic surgery,  genito-urinary  surgery, 
thoracic  (chest)  surgery,  neurosurgery 
(brain,  spine,  nervous  system),  and  oral, 
facial  and  plastic  surgery.  Demonstra- 
tion and  diagnostic  clinic  programs  pre- 
sented by  members  of  our  medical  and 
surgical  staff  in  Rush  amphitheatre  or 
in  which  they  participated  elsewhere 
covered  topics  in  all  of  the  above  men- 
tioned fields  and  also  ophthalmology 
(diseases  of  the  eye),  otolaryngology 
(ear,  nose  and  throat),  and  physical 
therapy  in  relation  to  surgical  conditions. 


NEW  DENTAL  UNIT 


Mr.  Harry  X.  Smith,  X-ray  technician,  is 
shown  operating  our  new  model  dental  unit, 
set  in  proper  position  for  making  an  X-ray 
exposure  of  a  lower  tooth  on  the  film  which 
the  patient  is  holding  in  place. 


CHICAGO  SURGICAL  SOCIETY 

Fifty  Surgeons  of  Chicago,  other  Illi- 
nois cities;  Green  Bay,  Milwaukee  and 
Appleton,  Wis.  were  guests  of  our 
surgical  staff,  Friday  Nov.  5,  when  the 
annual  clinical  meeting  of  the  Chicago 
Surgical  Society  was  held  in  our  hos- 
pital. Dr.  Gatewood  of  our  staff  was  in 
charge  of  the  program  which  included 
operations  performed  by  members  of  the 
st. iff.  The  visiting  surgeons  were  gue:ts 
of  our  hospital  at  luncheon. 


PEDIATRICS  MEETING 

The  entire  morning  session  of  Oct.  14,  of 
the  regional  meeting  of  the  American  Acad- 
emy of  Pediatrics  was  devoted  to  case 
presentations  and  papers  given  in  the  audito- 
rium at  the  nurses'  home  of  the  Presbyterian 
Hospital.  The  most  noteworthy  presentations 
were  given  hy  prominent  members  of  our 
hospital  staff— Dr.  C.  G.  Grulec,  Dr.  A.  H. 
Parmclee,  Dr.  G  K.  Stulik,  Or.  B.  I.  Beverly, 
Dr.  Eleanor  Leslie,  and  Dr.  H.  J.  Noyes, 
members  of  our  pediatrics  stall':  Dr.  E.  M. 
Miller  and  Dr.  A.  Verbrugghen  oi  oui 
surgical  stall",  and  Dr.  C.  W.  Finnerud  of 
our   dei  matological   staff. 


TWENTY  MEMBERS  OF  OUR 

SURGICAL  STAFF  ARE 

A.  C.  S.  FELLOWS 

The  American  College  of  Surgeons  is 
an  organization  founded  in  1913  to  im- 
prove the  practice  of  surgery  and  place 
it  on  a  higher  and  more  ethical  plane. 
It  is  concerned  fundamentally  with 
matters  of  character  and  training  of  the 
surgeon,  with  the  betterment  of  hospitals 
and  of  teaching  facilities  in  medical 
practice,  and  with  an  unselfish  protec- 
tion of  the  public  from  incompetent  med- 
ical service.  It  embraces  in  its  member- 
ship 12,000  qualified  surgeons  of  North 
and  South  America. 

Fellowship  in  the  College  is  restricted 
to  surgeons  of  worthy  character  who 
qualify,  through  broad  education  and  ex- 
perience, as  specialists  in  general  surge- 
ry or  m  one  of  the  surgical  specialties. 
All  candidates  for  Fellowship  must  sign 
a  declaration  or  an  oath  against  un- 
worthy financial  practices  such  as  the 
splitting  of  fees.  Qualifications,  includ- 
ing the  candidate's  case  reports  of  50 
major  operations  which  he  has  per- 
formed and  50  other  major  operations 
in  which  he  has  assisted  or  which  he  has 
performed  under  supervision,  are  re- 
viewed by  committees  of  distinguished 
surgeons,  which  report  to  the  Board  of 
Regents.  Twenty  members  of  the 
surgical  staff  of  the  Presbyterian  Hos- 
pital are  Fellows  of  the  College. 


HONORED  BY  ILLINOIS  NURSES 

Mrs.  Ernest  E.  Irons,  one  of  the  vice- 
presidents  of  the  Presbyterian  Hospital  Wo- 
man's Board,  was  made  an  honorary  member 
of  the  Illinois  State  Nurses'  Association  at  the 
recent  convention  held  in  Springfield.  This 
honor,  the  first  of  its  kind  to  be  conferred 
on  any  one  by  the  Association  was  accorded 
to  Mrs.  Irons  in  recognition  of  her  work  as 
chairman  of  the  Central  Council  of  Nursing 
Education  and  other  activities  in  the  interest 
of  the  nursing  profession.  Mrs.  Irons  is  a 
graduate  of  Lakeside  Hospital  School  of 
Nursing,  Cleveland,  and  prior  to  her  marriage 
to  Dr.  Irons  was  a  member  of  our  School  of 
Nursing  faculty.  Miss  Dorothy  Rogers  (1921) 
professor  of  nursing  education  at  the  Univer- 
sity of  Chicago,  was  chairman  of  the  pro- 
gram committee,  and  presided  at  the  sessions 
of  Illinois  State  League  of  Nursing  Educa- 
tion of  which  she  is  president.  Miss  M. 
Helena  McMillan,  director  of  our  School  of 
Nursing,  and  many  graduates  from  Chicago 
and  other  parts  of  the  state  attended  the 
convention. 


FOREIGN  VISITORS 

Mr.  Kingston  K.  Scdgficld,  architect,  of 
Melbourne,  Australia,  and  Mr.  Luis  A.  Suarez 
of  Caracas,  Venezuela,  visited  our  hospital  on 
Nov.  4  for  the  purpose  of  inspecting  our 
central   food   service   set-up. 

Mr.  J.  P.  Lockhart-Mummery,  M.B.,  B.Ch., 
F.R.C.S.,  of  London,  England,  who  delivered 
the  annual  oration  on  surgery  at  the  Congress 
of  the  American  College  of  Surgeons,  Oct.  25, 
visited  our  hospital  on  Oct.  21. 


PATIENTS  IN  OUR  X-RAY 

DEPARTMENT  IN  1936 

NUMBERED  15,058 

Units  of  Work  Total  28,610 


Patients  cared  for  by  our  X-ray  de- 
partment in  1936  numbered  15,058,  an 
increase  of  499  over  the  preceding  year. 
The  largest  number  cared  for  in  one 
day  was  85  and  the  smallest  number 
in  any  day  was  16.  The  daily  average 
(excluding  Sundays  and  holidays  on 
which  only  emergency  work  is  done)  was 
49.91.  Of  those" patients  served,  11,382 
were  bed  patients  m  the  hospital  and 
3,676  were  non-hospital  private  patients 
referred  by  members  of  our  medical  staff. 

The  total  number  of  units  of  X-ray 
work  done,  counting  films,  fluoroscopies 
and  treatments  was  28,610.  Gastro- 
intestinal fluoroscopies  numbered  3,563. 
A  chest  fluoroscopy  is  routinely  done  on 
each  of  these  patients.  X-ray  therapy 
treatments  given  to  hospital  and  dis- 
pensary patients  during  the  year  totalled 
3,676,  while  71  patients  received  radium 
treatment  totaling  72,779  milligram 
hours. 


DR.  F.  H.  SQUIRE  HEADS 
HOSPITAL  AND  COLLEGE 
RADIOLOGY    DEPARTMENTS 


Dr.  F.  H.  Squire  has  been  head  of  the 
Presbyterian  Hospital  X-ray  department 
since  November,  1936,  prior  to  which 
time  he  had  been  medical  assistant  in  the 
department  for  nearly  eight  years.  Dr. 
Squire  received  his  M.  D.  degree  from 
the  University  of  Iowa  School  of  Medi- 
cine and  completed  a  three-year  fellow- 
ship in  radiology  at  the  Mayo  Clinic  in 
Rochester,  Minn.  Since  joining  our  staff 
in  June  1929,  he  has  been  a  member  of 
the  faculty  of  Rush  Medical  College  of 
the  University  of  Chicago,  his  present 
title  being  associate  clinical  professor  of 
surgery  (radiology).  Dr.  Squire  also 
has  charge  of  our  fever  therapy  depart- 
ment. 

Dr.  J.  E.  Tysell  is  our  resident  roent- 
genologist and  Dr.  F.  J.  Phillips  is  the 
intern.  Other  members  of  the  X-ray  staff 
are:  Miss  Mabel  Walsh,  Miss  Gretchen 
White,  and  Harry  X.  Smith,  tech- 
nicians; Miss  Jessie  MacLean,  record 
secretary;  Mrs.  Helen  Lyon,  reception 
secretary;  Olaf  Foss,  dark  room  tech- 
nician; Harry  Bergman,  orderly  and  film 
file  clerk.  Mr.  Bergman  has  been  em- 
ployed in  our  hospital  for  18  years.  His 
work  as  orderly  consists  of  transporting 
patients  on  carts  or  in  wheel  chairs  to 
and  from  the  X-ray  department,  which 
the  does  in  a  kindly,  efficient  manner  ap- 
preciated bv  those  who  require  this  ser- 
vice. Mr.  Smith  has  been  with  us  for 
15  years  and  Miss  MacLean,  14  years. 


TWO-WAY  FLUOROSCOPIC  VIEW  GUIDES  SURGEON 


Our  biplane  fluoroscope,  the  gift  of  Mrs.  James  A.  Patten  in  1930,  was  the  first  to  be  installed 
in  Chicago.  It  affords  views  through  the  body  in  two  directions  at  the  same  time  and  is  of  great 
value  m  guiding  the  surgeon  when  reducing  fractures  or  removing  foreign  objects  from  the 
throat,  lungs,  and  other  parts  of  the  body.  In  this  posed  picture,  Dr.  F.  H.  Squire  (center), 
head  of  our  X-ray  department,  is  looking  at  the  horizontally  placed  fluoroscopic  screen,  with 
one  hand  on  the  control.  Dr.  J.  E.  Tysell  (right),  resident  roentgenologist,  is  viewing  the 
upright  screen  while  operating  control  equipment.  Dr.  F.  J.  Phillips,  intern,  is  shown  at  the  left. 
The  two  fluoroscopic  screens  can  be  adjusted  at  any  angles  desired  to  afford  a  two-way  view 
through  any  part  of  the  body,  true  images  being  projected  on  the  screens.  Our  biplane  room 
is  especially  equipped  with  operating  table,  special  lighting  and  ventilating  system,  and  safety 
switches  and  cables  so  that  anesthesia  may  be  safely  administered  in  the  presence  of  X-ray 
without   danger  of  explosion.    This   unit  also  is  equipped   for  making  X-ray  pictures. 


NEW  X-RAY  EQUIPMENT 

(Continued  from  Page   1,  Col.   1) 
from  the  cart  on   which  he  is  wheeled 
into  the  room. 

The  waiting  room  adjacent  to  the 
reception  office  has  been  refitted  with 
attractive  new  furnishings. 

X-ray  equipment  which  does  not  re- 
quire replacing  at  this  time  includes  our 
portable  unit  which  is  used  for  making 
pictures  at  the  bedside  and  in  operating 
rooms,  our  biplane  fluoroscope  installed 
in  1930,  and  our  X-ray  therapy  unit 
newly  equipped  m   193  5. 

Advances  In  Fluoroscopy 

Our  biplane  fluoroscope,  the  first  to  be 
installed  in  Chicago,  was  the  gift  of  Mrs. 
James  A.  Patten.  It  differs  from  ordinary 
fluoroscopic  equipment  in  that  it  affords 
views  through  the  body  in  two  directions 
at  the  same  time,  the  silhouette  of  the 
organ  or  bone  being  projected  on  two 
special  screens  placed  in  different  posi- 
tions, whereas  ordinary  fluoroscopy  af- 
fords a  view  only  on  one  plane.  Al- 
though the  X-ray  has  been  utilized  for 
one-plane  fluoroscopy  from  the  time  of 
Roentgen's  discovery  of  this  wonderful 
ray,  42  years  ago,  new  tubes  and  ma- 
chinery developed  in  recent  years  have 


greatly  enhanced  the  diagnostic  values  of 
this  type  of  fluoroscopy,  while  the  advent 
of  the  biplane  fluoroscope  has  written  an 
entirely  new  chapter  on  previously  un- 
dreamed-of surgical  achievement. 

Radiation   Therapy 

Among  the  outstanding  developments 
m  the  use  of  X-ray  in  recent  years  is  in 
the  treatment  of  disease,  termed  X-ray 
therapy.  Our  X-ray  therapy  department 
was  installed  in  new  quarters  on  the 
seventh  floor  of  the  Murdoch  building, 
two  years  ago,  and  equipped  with  a  new 
200,000  volt,  constant  potential  X-ray 
therapy  machine.  Radium  therapy  also 
is  administered  in  this  department,  which 
has  charge  of  205  milligrams  of  radio 
owned  by  our  hospital  and  valued  at 
$15,000. 

Now  Technically  Efficient 

While  the  new  equipment  just  install- 
ed, together  with  the  improvements  made 
in  recent  years,  provide  our  hospital 
with  a  modernized,  technically  efficient 
X-ray  department,  the  increasing  number 
of  patients  cared  lor  m  the  department 
and  the  rapid  advances  that  arc  being 
made  in  the  science  of  radiology  indicate 
that  considerably  enlarged  quarters  and 
additional  equipment  will  be  needed 
within  the  next  few  years. 


OUR  HOSPITAL  RETAINS 

APPROVAL  OF  AMERICAN 
COLLEGE    OF    SURGEONS 


At  the  recent  Clinical  Congress  at  the 
American  College  of  Surgeons  held  in 
Chicago,  it  was  announced  that  2,328 
hospitals  were  fully  approved  for  the 
current  year,  while  those  provisionally 
approved  numbered  293.  The  Presbyte- 
rian Hospital  retained  its  place  on  the 
fully  approved  list  as  a  Class  A  hos' 
pital.  Of  362  hospitals  of  all  kinds  in  the 
state  of  Illinois,  119  received  full  ap- 
proval and  an  additional  16  were 
provisionally  approved. 

One  of  the  major  activities  of  the 
American  College  of  Surgeons  is  the 
Hospital  Standardisation  program,  which 
was  inaugurated  in  1918  and  has  done 
much  to  establish  and  maintain  the  hos 
pital  environment  which  will  enable  the 
physicians  and  surgeons,  their  associates, 
co-workers  and  aids  to  give  the  most 
scientific  service  to  the  patient.  The  hos- 
pital department  of  the  College,  under 
the  direction  of  Dr.  Malcolm  T.  Mac- 
Eachern,  makes  annual  surveys  of  hos- 
pitals throughout  the  United  States  and 
Canada,  and  extends  full  approval  to 
those  meeting  the  hospital  standardiza- 
tion requirements.  Hospitals  that  have 
accepted  the  requirements  and  are 
endeavoring  to  put  them  into  effect  but 
have  not  carried  them  out  in  detail,  are 
provisionally  approved.  Each  hospital  is 
considered  for  rating  annually,  which 
means  that  high  standards  must  be 
maintained  continuously  in  order  to 
retain  approval. 

TAG  DAY  ADDS  £1,750  TO 

CHILD'S  FREE  BED  FUND 

Mrs.  William  R.  Tucker,  chairman  of 
the  Children's  Benefit  League  Commit- 
tee of  our  Woman's  Board,  reported  at 
the  board  meeting  on  Nov.  1  that  tag 
day  receipts  amounted  to  $1,750.85. 
This  included  donations  collected  m  115 
boxes  by  volunteer  taggers  and  a  gift  of 
$100  from  Mrs.  A.  B.  Dick  which  was 
credited  to  the  Lake  Forest  group.  This 
money  will  be  used  toward  an  endow- 
ment of  $5,000  for  the  support  of  a 
fourth  tag  day  bed  in  our  children's  de- 
partment. These  beds  are  used  to  care 
for  sick  children  whose  parents  arc  un- 
able to  pay. 

LECTURES  ON  CANCER 

Dr.  Gatewood,  attending  surgeon  on 
our  staff  and  clinical  professor  of  surgery 
at  Rush  Medical  College  of  the  Univer- 
sity of  Chicago,  was  the  speaker  on  Nov. 
4  at  one  of  the  series  of  public  lectures 
on  cancer  presented  under  the  auspices 
of  the  Chicago  Woman's  Club  in  the 
club  lectures  hall.  His  topic  was  "Cancer 
"I  the  Digestive  Tract  with  Special 
Reference  to  the  Stomach  and  Rectum." 


PAYS  TRIBUTE  TO  JANE 

DELANO  IN  RADIO  TALK 

Miss  Alma  Foerster,  who  recently 
joined  the  faculty  of  our  School  of  Nurs- 
ing as  instructor  in  public  health  nursing, 
took  part  in  the  Armistice  day  broadcast 
of  the  Sunbrite  Junior  Nurse  Corps, 
voicing  the  tribute  of  the  nursing  profes- 
sion to  Miss  Jane  Delano,  director  of 
American  nurses  who  served  under  the 
Red  Cross  in  the  World  war.  Miss 
Foerster,  who  was  closely  associated  with 
Miss  Delano,  was  awarded  the  Florence 
Nightingale  medal  for  her  services  in 
Russia  and  other  parts  of  Europe  dur- 
ing the  World  war.  The  broadcast  was 
over  the  NBC  blue  network  from 
WENR  station  in  Chicago.  Miss  Foers- 
ter was  graduated  from  our  School  of 
Nursing  in  1910. 


AT  WASHINGTON  CONFERENCE 

Dr.  Ernest  E.  Irons,  attending  physi- 
cian on  our  hospital  staff  and  chairman 
of  the  department  of  medicine  in  Rush 
Medical  College  of  the  University  of 
Chicago,  was  invited  by  Surgeon  Gen- 
eral Thomas  W.  Parran  of  the  United 
States  Public  Health  Service  to  par- 
ticipate in  a  conference  in  Washington, 
D.  C,  Nov.  12  on  the  prevention  and 
control  of  pneumonia.  The  conference 
outlined  a  program  which  is  to  be  an- 
nounced later. 


MEDICAL   STAFF   NEWS 

At  a  regular  meeting  held  at  the  Uni- 
versity Club,  Oct.  8,  the  Medical  Staff 
of  the  Presbyterian  Hospital  elected  offi- 
cers as  follows:  President,  Dr.  Vernon 
C.  David;  vice-presidents:  Dr.  N.  S. 
Heaney,  Dr.  Edward  Allen,  and  Dr.  W. 
A.  Thomas;  secretary-treasurer,  Dr. 
William  G.  Hibbs. 

An  article  by  Dr.  Charles  M.  Bacon  and 
Dr.  H.  I.  Baker  appeared  in  the  August  num- 
ber of  Surgery,  Gynecology  and  Obstetrics  on 
the  topic,  "Lipidol  Visualization  of  the  Bile 
Tracts  in   Lesions  with  Jaundice." 

*  *        * 

Dr.  George  J.  Rukstinat  was  one  of  the 
speakers  at  the  October  meeting  of  the  Chi- 
cago Pathological  Society.  On  Oct.  12  he 
addressed  the  McLean  County  Medical  Society 
on  the  topic,  "Causes  of  Death  in  Stillborn 
Infants." 

*  *        # 

Dr.  William  Moncrciff  was  one  of  the 
speakers  at  the  October  meeting  of  the 
Chicago  Ophthalmological  Society,  his  topic 
being  "Contact  Lenses.  A  New  Technic  for 
Making  Impressions  of  the  Anterior  Seg- 
ment." Dr.  Thomas  D.  Allen  is  president  and 
Dr.  Earle  B.  Fowler  is  secretary  oi  this 
society. 

*  *        * 

Dr.  Herman  L.  Krctschmcr  gave  two  ad- 
dresses and  participated  in  a  round  table  dis- 
cussions at  a  meeting  of  the  Kansas  City- 
Southwest  Clinical  Society  in  Kansas  City, 
Mo.  on  Oct.  6.  Dr.  Krctschmcr  also  addressed 
the  Inter-State  Postgraduate  Assembly  in  St. 
Louis.  Oct.  21.,  his  topic  being  "Tumors  of 
the  Kidney." 


NINETIETH  ANNIVERSARY 
OBSERVED  IN  OCTOBER  BY 
THE  CHICAGO  PRESBYTERY 


Observance  of  the  90th  anniversary  of 
the  founding  of  the  Chicago  Presbytery 
took  place  on  Oct.  4  in  the  Du  Page 
Presbyterian  church  which  was  founded 
in  183  3  and  in  which  church  the 
Presbytery  was  organized  on  Oct.  1 3  and 
14,  1847.  Up  to  that  time  churches  of 
the  Chicago  area  had  belonged  to  the 
Ottawa  Presbytery.  Rev.  Alvyn  R.  Hick- 
man, D.D.,  moderator  of  the  Chicago 
Presbytery,  was  in  charge  of  the  anni- 
versary meeting  at  which  addresses  were 
given  by  Rev.  Andrew  Zenos,  D.D.,  Rev. 
Harold  L.  Bowman,  D.D.,  Rev.  Harrison 
Ray  Anderson,  D.D.,  and  Rev.  Douglas 
Horton,  D.D.  A  sumptuous  chicken 
dinner  was  served  by  the  ladies  of  the 
DuPage  church.  Rev.  Henry  J.  Weigand 
is  pastor  of  this  church  which  has  aided 
the  charity  work  of  the  Presbyterian 
hospital  for  many  years.  It  is  the  second 
oldest  Protestant  church  in  the  Chicago 
area. 


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  Fred  A.   Poor 

Alfred  T.  Carton  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  Robert   Stevenson 

Alfred   E.   Hamill  J.    Hall   Taylor 

Charles  H.    Hamill  John   P.  Welling 

Edw.  D.  McDougal,  Jr.          Edward   F.  Wilson 

CLERICAL  MANAGERS 

Rev.  Harrison    Ray    Anderson,    D.D. 

Rev.  Harold    L.    Bowman,    D.D. 

Rev.  Henry    S.    Brown,    D.D. 

Rev.  W.    Clyde    Howard,    D.D. 

MEDICAL    BOARD 

VERNON    C.    DAVID,    M.D President 

WOMAN'S    BOARD 

MRS.    CLYDE    E.    SHOREY President 

ADMINISTRATION 

ASA     S.     BACON Superintendent 

HERMAN    HENSEL Asst.   Superintendent 

M.    HELENA   McMILLAN.  Director,   School   of  Nursing 

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. 

PRINTED     BY     PHYSICIANS'     RECORD    CO..     CHICAOO 


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BULLETIN 

MEMBER    AMERICAN     HOSPITAL   ASSOCIATION 


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111. 


December,   1937 


Vol.   29,   No.    11 


CHRISTMAS  IS  SEASON  FOR 

SPREADING    CHEER 

AND  GOODWILL 

AS  CHRISTMAS  day  approaches 
\/\  much  thought  is  being  given  to 
plans  and  arrangements  to  spread 
cheer  and  goodwill  among  patients  who 
will  be  with  us  during  this  season  and 
also  among  the  less  fortunate  of  the 
;  community  with  whom  our  hospital  has 
come  in  touch  during  the  past  year. 

The  usual  Christmas  service  m  the 
chapel  on  the  Sunday  preceding  Christ- 
mas, carol  singing  by  groups  of  student 
nurses  m  the  hospital  corridors  early 
Christmas  morning,  Christmas  dinner 
trays  made  attractive  by  chef  and 
dietitians,  and  Christmas  decorations 
throughout  the  hospital  will  help  to 
make  Christmas  in  the  hospital  an  occa- 
sion for  expressing  the  kindliness  and 
goodwill  which  management  and  person- 
nel feel  toward  each  and  every  patient. 

Santa    Visits    Child    Patients 

Members  of  the  Hospital  Woman's 
Board  and  other  generous  friends  have 
made  provision  for  Santa  Claus  to  visit 
our  children's  wards  on  Christmas  eve 
and  see  that  the  stockings  hung  on  each 
little  bed  are  filled  to  overflowing.  Chris- 
mas  trees  decorated  by  the  Occupational 
Therapy  department  will  be  set  up  in 
the  children's  wards,  while  Christmas 
stories  and  songs  will  brighten  the  days 
for  small  patients  who  must  remain  in 
the  hospital  during  the  holiday  season. 

Through  donations  from  generous 
friends  the  Social  Service  department 
J  will  provide  suitable  gifts  for  those 
among  our  former  and  present  patients 
who  are  especially  in  need  of  such  re- 
membrances. Christmas  baskets  pro- 
vided by  the  Chicago  Rotary  Club,  by 
hospital  employes  and  other  friends  will 
(Continued  on  Page  2,  Col.   2) 


*px&te 


~r  HIS  smiling  little 
^H  boy  and  the  huge 
stocking  into  which 
he  has  climbed  symbol- 
ize the  happy  manner 
in  which  Christinas  is 
observed  in  the  chil- 
dren's wards  of  the 
Presbyterian  Hospital, 
where  each  child  finds 
a  well-filled  stocking 
when  he  awakens  on 
Christ  m  a  s  morning, 
while  shining  eyes  and 
childish  laughter  tell  the 
story  of  hearts  over- 
flowing with  joy. 
This  picture  was  taken 
in  our  hospital  on  a 
recent   Christmas  day. 


aicttrf* 


What  Christmas  Means  to  Me! 


To  some  people  Christmas  means  holh 
And   evergreen   everywhere; 
But  to  me  it  means  shining  angels, 
And  the  shepherds  adoring  prayer. 
To  some  it  means  giving  and  getting 
Rich   things  of  silver  and   gold; 
But  is  there  no  way    we  can  bring 

our  gifts 
To  Christ  li\e  the   wise   men   of  old? 


Oh,  yes!    He  told  us  long  ago, 

Himself,   in  Galilee, 

^Whatsoever  you  do  to  a  little  child, 

That  thing  you  have  done  unto  Me. 

So,  whenever  at  Christmas,  or  any  tunc 

The  whole  year  around, 

We  see  an  ill  or  lonely  child; 

There  is   the   "Christ  Child"   found. 

— Dorothy   Sheldon 


Nurses'  Homecoming  Brings  Alumnae  from 

Seven   States   and  Two   Foreign   Countries 


WOMAN'S  BOARD  STARTED 
BULLETIN  IN  1909— NEW 
PLAN  ADOPTED  IN  1936 


Seven  states  and  two  foreign  countries  were  represented  among  the  several 
hundred  Alumnae  who  attended  the  annual  homecoming  of  the  Presbyterian  Hospital 
School  of  Nursing,  held  at  Sprague  Home,  Nov.  11.  Mrs.  Wilber  E.  Post  of  Chicago, 
member  of  the  first  class  graduated  in  1906,  and  two  members  of  the  class  of  1907 
were  present.  The  latter  were  Mrs.  Eleanor  Zuppman  Waldman  of  Albany,  N.  Y. 
and  Mrs.  Cora  Johnson  Anderson  of  Rockford,  111.  Nearly  every  class  graduating 
since  was  well  represented. 


The  class  of  1912  held  a  reunion  and 
appeared  in  brown,  ankle  length  uni- 
forms identical  with  those  which  they 
had  worn  as  preliminary  students.  They 
presented  to  the  school  a  gift  of  $25,  one 
dollar  for  each  year  since  graduation. 
The  gift  has  been  used  to  start  a  fund 
to  buy  a  new  rug  for  the  reception  room 
in  Sprague  Home.  Seven  members  of 
the  class  of  1917  celebrated  the  20th 
anniversary  of  their  graduation,  and  the 
class  of  1929  also  held  a  reunion  attend- 
ed by  a  large  representation  from  their 
number. 

Gift  from  Alumnae 

The  Alumnae  Association  presented 
the  school  with  a  silver  tray,  sugar  and 
creamer,  bonbon  and  relish  dishes,  which 
are  a  useful  addition  to  the  silver  ser- 
vice presented  at  the  time  of  the  25th 
anniversary  of  the  school.  Miss  Emma 
Aylward,  matron  of  Sprague  Home,  pro- 
vided luncheon  for  230  visitors,  after- 
noon reception  refreshments  for  160 
and  evening  dinner  for  50. 

Among  those  from  a  distance  were: 
Astrid  Save,  who  was  returning  to  Stock- 
holm, Sweden,  where  she  has  a  public 
health  nursing  position ;  Jsla  Knight,  who 
sailed  from  New  York  Nov.  17  for 
India  where  she  will  work  at  a  mission 
station;  Martha  Osewaarde,  supervisor 
(if    nursing    in    the     Baptist     Hospital, 


Louisville,  Ky.;  Mary  Davidson  Moody 
and  Nettie  Wattles  Nagel,  Omaha, 
Neb.;  Sarah  Megchelsen  Cole,  Detroit, 
Mich.;  Lois  Hammersburg  Mueller,  La 
Cross,  Wis.;  Edwina  MacDougal,  direc- 
tor of  nurses  at  Northwestern  Hospital, 
Minneapolis;  Adeline  Hendricks,  direc- 
tor of  nursing,  Columbia  Hospital,  Mil- 
waukee; and  Myrtle  Glenn  Wall,  Elk- 
hart, Ind. 

Many  Visit  Hospital 

Many  of  the  homecoming  visitors  took 
advantage  of  the  opportunity  to  go 
through  the  hospital  and  note  changes 
and  improvements  that  have  been  made 
in  recent  years. 

Among  those  who  sent  greetings  by 
mail  or  telegraph  were  Miss  Mary  Wil- 
son, formerly  supervisor  of  nursing  in 
the  maternity  department  of  our  hos- 
pital, who  is  now  caring  for  her  mother 
at  their  home  in  New  Traer,  la.;  Vesta 
Knight  Wrenne,  who  has  a  position  as 
hospital  hostess  in  Piedmont  Hospital, 
Atlanta,  Ga.;  Evelyn  Dennison  Webb, 
who  is  a  school  nurse  in  Saginaw,  Mich.; 
and  Helen  I.  Denne,  professor  of  nursing 
at  the  University  of  Wisconsin,  who  sent 
an  announcement  of  her  marriage  to 
Walter  B.  Schulte  in  Madison  on  Nov. 
10th. 


ACCEPTS  NEW  POSITION 

Miss  Mary  Mnir  recently  resigned  the  posi- 
tion of  secretary  to  Mr.  Asa  S.  Bacon,  super- 
intendent, and  Mr.  Herman  Hensel,  assis- 
tant superintendent,  to  accept  a  position  with 
the  American  Hospital  Association.  She  will 
be  secretary  to  Dr.  Bert  Caldwell,  executive 
secretary  of  the  association  and  editor  of 
Hospitals,  the  journal  of  the  association.  Miss 
Muir  had  been  a  valued  employe  of  our  hos- 
pital for  ten  years.  Miss  Marjoric  Rathjen, 
who  had  been  employed  in  the  accounting 
department  was  transferred  to  the  superin- 
tendent's  office   to    fill   the   vacancy. 


SALE  NETS  #58 

The  sale  of  doughnuts,  cookies,  coffee  and 
other  good  things  held  in  the  hospital  lobby, 
Monday,  Dec.  6,  by  Miss  Emma  Aylward 
and  her  assistants  from  Sprague  Home, 
netted  $58  which  was  added  to  the  school 
endowment    fund. 


CHRISTMAS  IN  HOSPITAL 

(Continued  from  page  1,  Col.  1) 
be  distributed  to  a  large  number  of 
needy  families  known  to  the  Social  Ser- 
vice department.  The  annual  Christmas 
party  for  children  of  hospital  employes 
and  children  of  the  neighborhood  will 
be  given  by  the  nurses  at  Sprague  Home 
on  Thursday  evening,  Dec.  2  3.  Mrs. 
Ernest  A.  Hamill  has  sent  her  usual  gift 
of  $225  toward  the  expense  of  Christ- 
mas activities  at   Sprague  Home. 

Mr.  Asa  S.  Bacon,  superintendent,  is 
planning  to  spend  his  38th  Christmas  in 
the  hospital.  An  adequate  staff  of 
nurses,  interns,  resident  doctors,  tech- 
nicians and  other  hospital  personnel  will 
be  on  duty  as  usual  to  look  after  needs 
of  patients  and  take  care  oi  emergency 
admissions.  Office  and  other  employes 
whose  work  docs  not  have  to  do  with 
the  c.i re  of  patients  will  have  a  holiday. 


Beginning  with  the  first  number  issued, 
by  the  Woman's  Board  in  October,  1909, 
and  continuing  through  July  of  this 
year,  the  Presbyterian  Hospital  Bulletin 
had  been  numbered  consecutively  with- 
out volume  indication.  The  July  issue 
was  No.  100.  Of  these  100  numbers,  83 
were  sponsored  by  the  Woman's  Board, 
the  editorial  work  and  publication  de- 
tails having  been  handled  by  a  commit- 
tee, whose  chairman  served  as  editor.  Six 
board  members  served  in  this  capacity 
in  turn  as  follows:  Mrs.  Henry  H.  Bel- 
field,  Mrs.  James  W.  Janney,  Mrs.  James 
B.  Herrick,  Mrs.  Alan  B.  Adamson 
(Irma  Fowler),  Mrs.  Ernest  E.  Irons  and 
Miss  Harriet  F.   Gilchrist. 

During  the  first  few  years,  The  Bul- 
letin was  issued  quarterly  but  in  later 
years  publication  was  restricted  to  two  or 
three  numbers  per  year.  It  was  an  attrac- 
tive booklet-style  publication  which  did 
credit  to  its  editors  and  disseminated  a 
vast  amount  of  information. 

Beginning  with  January,  1936,  The 
Bulletin  in  its  present  form  has  been 
published  under  the  supervision  of  Mr. 
Asa  S.  Bacon,  superintendent  of  the  hos- 
pital, with  Mrs.  Florence  Slown  Hyde, 
a  former  newspaper  writer,  as  editor. 
Having  published  No.  100  in  July,  it 
was  decided  to  change  to  the  volume- 
number  designation.  Hence,  the  August- 
September  issue  was  No.  8  of  Volume  29, 
this  being  the  29th  year  of  publication 
and  that  number  the  8th  issued  this  year. 


FACULTY-STUDENT  RECEPTION 

More  than  200  faculty  members,  med- 
ical students,  student  nurses  and  other 
guests  attended  the  annual  faculty- 
student  reception  at  Rush  Medical  Cob 
lege,  Friday,  Dec.  10.  Refreshments  and 
dancing  in  Rawson  Library  followed  an 
appropriate  talk  by  Dr.  Gatewood,  sur- 
geon on  the  Presbyterian  Hospital  staff, 
and  clinical  professor  of  surgery  in 
Rush  Medical  College.  Members  of 
both  west  and  south  side  faculties  of  the 
University  of  Chicago  Medical  Schools 
were  among  the  guests.  George  Wallace, 
president  of  the  Rush  class  of  1938,  and 
Robert  Dangermond,  senior  class  social 
chairman,  were  in  charge  of  arrange- 
ments. 


1937  CLASS  GIFT 

Four  comfortable  chairs  upholstered  in 
white  leather  and  an  attractive  table  now 
grace  the  lobby  in  Sprague  Home.  They  are 
the   gift   of   the    1937   graduating  class. 


SAFEGUARD  BABIES,  CHILDREN  AGAINST  INFECTIONS 


Glass   Partitions   in   Wards 

and   Aseptic   Measures 

Protect   Patients 


Babies  cared  for  in  the  infant  wards 
and  little  patients  in  the  children's  wards 
of  the  Presbyterian  Hospital  are  now 
separated  from  each  other  by  glass  par- 
titions, which  are  a  great  improvement 
over  the  screens  formerly  used  for  isola- 
tion purposes.  Each  little  bed  is  placed 
in  a  glass  protected  cubicle  of  its  own. 
The  glass  enables  the  children  to  see 
each  other  and  the  nurses  to  see  all  of 
the  children  from  any  part  of  the  ward 
and  from  the  corridor.  At  the  same  time 
the  children  are  protected  against  possi- 
bility of  an  infection  spreading  from  one 
to  another. 

Other  Measures  Observed 

Many  other  measures  have  long  been 
observed  on  our  children's  floor  as  safe- 
guards against  spreading  any  infection 
that  might  be  brought  in  from  the  out- 
side and  develop  following  admission  to 
the  ward.  All  food  for  infants  is  pre- 
pared in  our  modern  milk  laboratory, 
presented  to  the  hospital  two  years  ago 
by  Mrs.  James  Simpson  m  memory  of 
her  grandson,  John  Simpson,  Jr.  Feed- 
ing also  is  done  by  milk  laboratory 
nurses.  Nurses  caring  for  other  needs 
of  infants  wash  their  hands  in  sterile 
solution  and  change  their  gowns  when 
going  from  one  cubicle  to  another.  The 
gown  donned  by  the  nurse  is  as  much  a 
part  of  each  baby's  paraphenalia  as  are 
the  baby's  own  garments,  individual 
wash  basin  and  other  articles.  Strict 
rules  with  reference  to  visitors  in  the 
children's  and  infants'  wards  are  ob- 
served as  set  forth  by  the  Chicago  Board 
of  Health. 


Hi 


Incubator  Ward 


There  are  three  six-bed  wards  for 
babies  on  the  children's  floor.  A  smaller 
ward  is  provided  for  newborn  babies 
whose  condition  or  that  of  their  mothers 
necessitates  removal  from  the  nursery  on 
the  maternity  floor  and  special  medical 
care.  Premature  and  other  immature 
infants  who  require  incubator  care  are 
kept  in  a  special  ward  set  aside  for  this 
purpose.  Advances  in  medical  knowledge 
and  in  the  scientific  care  of  premature 
babies  now  make  possible  the  saving  of 
many  little  lives  and  the  bringing  about 
of  normal  development.  Expensive  equip- 
ment and  special  nursing  care  is  neces- 
sary to  accomplish  this  and  it  is  hoped 
that  this  work  can  be  developed  on  a 
larger  scale  in  our  hospital  through  addi- 
tional facilities  and  personnel.   Our  med- 


GLASS  CUBICLES  SAFEGUARD  SICK  BABIES 

This  view  of  one  of  the  wards  for  infants  on  our  children's  floor  shows  the  recently 
installed  glass  partitions  which  form  a  cubicle  for  each  bed  and  prevent  spread  of  infections. 
Miss  Tena  Havinga,  one  of  the  graduate  nurses  on  the  pediatrics  staff  is  shown  with  a  five- 
months-old  baby  who  was  recovering  from  a  serious  illness  and  has  since  been  discharged. 
Note  the  mask  and  gown  worn  by  the  nurse. 


ical  staff  includes  pediatricians  widely 
known  for  their  research  and  achieve- 
ments in  the  care  of  the  newborn  as  well 
as  the  health  problems  of  children  from 
infancy  to  adolescence. 

Graduate  Nurses  in  Charge 

The  nursing  care  of  all  patients  on 
our  children's  floor  is  supervised  at  all 
times  by  graduate  nurses  who  have  had 
special  training  in  pediatrics  nursing. 
All  child  patients,  whether  private,  part 
pay  or  free,  are  seen  individually  each 
day  by  the  attending  pediatricians,  who 
prescribe  medicine,  treatment,  diet,  etc. 
The  resident  pediatrician  supervises  the 
intern  staff  in  the  medical  care  of  pa- 
tients between  visits  of  the  attending 
pediatricians. 

Toys,  picture  and  storybooks,  and  a 
radio  help  to  brighten  the  clays  of  child 
patients,  as  do  also  the  daily  visits  of 
the  Play  Ladies  from  the  Occupational 
Therapy  department  who  are  especially 
concerned  with  helping  small  patients 
engage  in  activities  which  have  a  definite 
therapeutic  value  as  directed  by  the 
attending  pediatrician. 


LOVE,  TACT,  FIRMNESS 

ESSENTIAL  IN  CARING 

FOR  CHILD  PATIENTS 


The    earth    has    grown    old    with    its    burden 
of  care. 
But   at   Christmas    it    always    is    young. 
The  heart  of  the  jewel  burns  lustrous  and  fair. 
And    Us    soul    full    of    music    hrea\s   forth 
on    the    air. 
When   the   song   of  the  angels  is  sung. 

—Phillips    Brooks. 


That  babies  and  young  children  can- 
not thrive  and  develop  properly  without 
individual  love  and  care  is  now  general- 
ly acknowledged  by  psychologists.  This 
is  doubly  true  in  the  case  of  sick  chil- 
dren. At  the  same  time,  Miss  Mary 
Louise  Morley,  supervising  nurse  in 
charge  of  our  hospital  pediatrics  depart- 
ment, says  that  there  must  be  under- 
standing and  firmness  along  with  love 
and  kindness  if  the  sick  child  is  to  eat 
and  sleep  and  otherwise  follow  the 
routine  that  is  necessary  to  make  him 
well  and  strong. 

All  infant  patients  in  the  department 
arc  taken  up  and  held  in  the  arms  of 
the  nurse  during  each  feeding,  and  bath 
time  is  set  aside  as  individual  playtime 
for  each  baby  who  is  not  too  ill  fur  such 
diversion.  In  carrying  out  the  program 
that  is  essential  for  the  welfare  of  chil- 
dren past  the  infant  stage,  the  nurse 
must  employ  both  tact  and  a  sense  of 
human  along  with  firmness.  The  child 
patient  does  not  differ  from  any  other 
child  in  that  he  soon  learns  what  those 
on  whom  he  must  depend  for  the  things 
he  wants  will  or  will  not  permit  him  to 
have  or  do. 


GROUP  HOSPITALIZATION 
LEADER  WILL  ADDRESS 
WOMAN'S  BOARD  JAN.  3 


Dr.  C.  Rufus  Rorem,  Ph.D.,  Director, 

Committee  on  Hospital  Service,  Amer- 
ican Hospital  Association,  will  be  the 
speaker  at  the  annual  meeting  of  the 
Woman's  Board  in  the  hospital  chapel, 
Monday,  Jan.  3.  His  topic  will  be  "Hos- 
pital  Care  Insurance."  Mr.  John  Mc- 
Kinlay,  president  of  the  Board  of  Man- 
agers of  the  hospital,  will  preside.  The 
unified  report  of  the  year's  accomplish- 
ments of  the  various  committees  will  be 
presented  by  Mrs.  Lincoln  M.  Coy. 
Officers  for  1938  will  be  elected.  Mrs. 
Edwin  M.  Miller  will  present  the  re- 
port of  the  nominating  committee. 

Following  an  announcement  at  the  De- 
cember board  meeting  that  funds  were 
needed  to  meet  the  obligations  assumed 
by  the  Woman's  Board  for  the  current 
year  and  to  provide  a  balance  with 
which  to  begin  the  new  year's  work, 
members  present  and  others  who  had 
learned  of  the  need  promptly  subscribed 
a  total  of  $5,400  in  amounts  ranging 
from  $1,000  to  $1.  Others  will  be 
solicited  with  a  view  to  raising  a  total 
of  $6,000  at  this  time.  This  is  an  out- 
standing example  of  the  interest  of  the 
women  of  the  board  in  the  work  of  the 
hospital.  Among  the  hospital  activities 
supported  by  the  Woman's  Board  are 
the  Social  Service  department,  Prenatal 
Clinic,  and  Patients'  Library.  The  Wo- 
man's Board  also  contributes  toward  the 
support  of  the  Occupational  Therapy 
department,  the  child's  free  bed  fund, 
and  other  work  of  the  hospital  and  the 
School  of  Nursing. 


PREPARE  NUTRITION  TRAYS 

Food  items  comprising  the  nutrition 
exhibit  of  the  National  Livestock  Meat 
Board  at  the  recent  International  Live- 
stock Show  were  prepared  in  the 
kitchens  of  the  Presbyterian  Hospital 
under  the  supervision  of  Miss  Beulah 
Hunzicker,  head  dietitian,  and  Mr.  Eric 
Bode,  executive  chef.  The  menus,  which 
varied  from  day  to  day  were  planned 
by  Miss  Anne  E.  Boiler,  dietitian  at 
Central  Free  Dispensary,  instructor  in 
dietetics  at  Rush  Medical  College,  and 
director  of  the  department  of  nutrition 
of  the  Livestock  Meat  Board.  The  ex- 
hibit included  suitable  diets  for  the  pre- 
school, school,  and  adolescent  child. 
Many  favorable  comments  were  received 
concerning  the  attractive  arrangement  of 
the  trays  exhibited  each  day. 


Mi\s  Florence  E.  Olson,  1930  graduate  of 
-hi  School  of  Nursing,  was  .i  recent  visitor. 
Mis>,  Olson  is  dietitian  at  the  Welborn- 
Walker  hospital    in    Evansvillc.   Ind. 


ABOUT  OUR   STAFF   MEN 

Dr.  James  B.  Herrick,  a  member  of 
the  Presbyterian  Hospital  medical  staff 
since  1891  and  professor  of  medicine  in 
Rush  Medical  College  for  many  years, 
delivered  a  public  lecture  in  Thorne 
Hall,  Nov.  19,  under  the  auspices  of  the 
Institute  of  Medicine  of  Chicago.  His 
topic  was  "How  Knowledge  of  the  Heart 
and  Its  Diseases  Has  Developed." 

Three  members  of  our  surgical  staff 
and  a  former  intern  were  on  the  program 
of  the  47th  annual  meeting  of  the 
Western  Surgical  Association  in  Indi- 
anapolis, Ind.,  Dee.  3  and  4.  Dr.  A.  H. 
Montgomery  was  re-elected  secretary  of 
the  association.  Dr.  Kellogg  Speed  pre- 
sented a  paper  on  "Spondylothesis"  and 
Dr.  Herman  L.  Kretschmer  spoke  on 
"Retroperitoneal  Pararenal  Osteoma." 
Dr.  Gatewood  discussed  the  paper  pre- 
sented by  Dr.  Angus  L.  Cameron  of 
Mmot,  N.  D.  on  "Primary  Malignancy 
of  the  Jejunum  and  Ileum."  Dr. 
Cameron  served  an  internship  in  our 
hospital  in  1916. 


Dr.  Edwin  M.  Miller  was  one  of  the 
speakers  at  a  meeting  of  the  American  Acad- 
emy ol  Medicine  in  San  Diego,  Calif., 
Nov.   30. 

Dr.  Willard  O.  Thompson  addressed  the 
Stock  Yards  branch  of  the  Chicago  Medical 
Society,  Nov.  11,  on  the  topic  "Recent  Ther- 
apeutic Advances  in   Endocrinology." 


Dr.  Disraeli  Kobak,  head  of  our  Physical 
Therapy  department,  gave  an  address  on 
"Physical  Therapy  in  Arthritis  and  Allied 
Conditions"  before  the  Douglas  Park  branch 
of   the   Chicago   Medical   Society,   Nov.    16. 

"Some  Untoward  Results  in  the  Treatment 
of  Fractures"  was  the  subject  of  an  address 
by  Dr.  Kellogg  Speed  before  the  North- 
west branch  of  the  Chicago  Medical  Society 
on   Nov.    19. 


Dr.  A.  E.  Dlcus  gave  a  radio  talk  from 
station  WJJD,  Nov.  18,  on  "Gall  Bladder 
Disease,"  under  the  auspices  of  the  Educa- 
tional Committee  of  the  Illinois  State  Medical 
Society. 

At  the  autumn  meeting  of  the  Ninth 
Councilor  District  Medical  Society  at  Marsh- 
field,  Wis.  Nov.  3.  Dr.  Carl  Apfelbach 
read  a  paper  on  "The  Importance  of  Patho- 
logical   Examinations." 


Dr.  Aoriln  V-ERBRUGGHEN  gave  an  illus- 
trated lecture  on  "Treatment  of  Peripheral 
Nerve  Injuries"  on  the  evening  scientific  pro- 
gram of  the  midwinter  clinical  meeting  of 
the  Central  States  Society  of  Industrial  Medi- 
cine and  Surgery,  held   in   Chicago,  Dec.    3. 


Dr.  Edward  Allen  was  in  Toronto,  Can. 
Dec.  6  and  7,  attending  a  meeting  of  the 
Gynecological  and  Obstetrical  Junior  Travel 
Club.  He  read  ,i  paper  before  the  DuPagc 
County  Medical  Society  meeting  at  Elmhurst, 
Dec.    15. 


ENTERTAIN  PATIENTS 

Patients  who  were  able  to  go  to  the 
chapel  on  the  afternoon  of  Dec.  4  were 
delightfully  entertained  by  a  program 
arranged  by  Mrs.  C.  L.  Pollock,  enter- 
tainment chairman  of  the  Woman's 
Board.  The  program  included  vocal; 
numbers  by  Miss  Gladys  Renie,  accordion 
music  by  Miss  Edith  Rarity,  and  danc- 
ing by  Miss  Violet  Allen  and  Miss 
Heather  Bell  McPherson.  In  response  to 
an  urgent  request  from  a  group  of  young . 
men  patients  who  were  unable  to  leave  ■, 
their  beds,  the  entertainers  presented  a 
second  performance  in  Ward  4-A  which 
was  greatly  appreciated. 


KOONTZ-LYLE 

Miss  Grace  Koontz,,  graduate  of  our 
School  of  Nursing  (1937)  and  Dr. 
Francis  M.  Lyle,  193?  graduate  of  Rush 
Medical  College  of  the  University  of 
Chicago,  were  married  Thanksgiving 
evening  at  the  Drexel  Park  Presbyterian 
Church  by  the  Rev.  Clinton  C.  Cox, 
pastor  of  the  church.  Dr.  Lyle  is  a  mem- 
ber of  our  intern  staff,  and  Mrs.  Lyle  is 
doing  private  duty  nursing. 


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  Fred   A.    Poor 

Alfred   T.   Carton  Theadore  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  Robert   Stevenson 

Alfred   E.   Hamill  J.    Hall   Taylor 

Charles   H.   Hamill  John   P.  Welling 

Edw.   D.   McDougal,   Jr.  Edward    F.   Wilson 

CLERICAL  MANAGERS 

Rev.  Harrison    Ray   Anderson,    D.D. 

Rev.  Harold    L    Bowman,    ?.D. 

Rev.  Henry    S.    Brown,    D.D. 

Rev.  W.    Clyde    Howard,    D.D. 

MEDICAL    BOARD 

VERNON    C.    DAVID,    M.D President 

WOMAN'S    BOARD 
MRS.    CLYDE    E.    SHOREY       President 

ADMINISTRATION 

ASA     S.     BACON Superintendent 

HERMAN    HENSEL  Asst.   Superintendent 

M.    HELENA   McMILLAN  ...Director,   School   of  Nursing 

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. 

PRINTED    BY     PHYSICIANS'     RECORD    CO..     CHICABO