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Full text of "Bulletin"

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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 patients 1 
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 days 1 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 — 
yesterday 7 " 

— 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 patients 1 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, l l ^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. 



-SML 



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 patients 1 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 • \ m 4 4 M 1 O Y=> V* ^ 






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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 t he general purposes of the hospital. 

PRINTED BY PHYSICIANS' RECORD CO.. CHICAOO 




resWMaffi Hospital 



t We 6 It y & 



BULLETIN 

MEMBER AMERICAN HOSPITAL ASSOCIATION 



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icagcy 



Chi 



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