USA > Massachusetts > Norfolk County > Quincy > Inaugural address of the mayor, with the annual report of the officers of the city of Quincy for the year 1938 > Part 12
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On the last day of the year, there were forty enrolled students in the school, fourteen of whom from the senior and intermediate classes were away at affiliation. There were ten preliminary stu- dents who gave approximately two hours of service to the ward each day.
Broader Clinical Experience
In April, we began a three months' affiliation in Psychiatric Nursing with the Butler Hospital in Providence, Rhode Island. We hope in the near future that we may be able to increase the ap- pointments from four students each year to eight. In May, we sent the first senior student to the Massachusetts Eye and Ear Infirmary for a two months' affiliation in the nursing care of pa- tients with diseases of the eye, ear, nose and throat. Heretofore, our students have had no planned clinical experience in Psychiatric Nursing and but limited experience in eye, ear, nose and throat
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CITY OF QUINCY
nursing. We are pleased to report the progress we have been able to make in broadening the clinical experience offered to senior students, believing that these young women will be better fitted for their graduate work.
Resignations and Appointments
There have been several changes among the faculty during the year. Miss Marion McManus, instructor of science, resigned in July to be married. Miss McManus made a valuable contribution to the school during the three years she was with us. In Septem- ber, Miss Rita Kelleher, a graduate from Teachers' College, Colum- bia University, was appointed to the position of science instructor. Miss Kelleher comes to us well qualified through experience and education for this important position.
Miss Ann Holmes, after twelve years of efficient service as Head Nurse in Ward M&S-1, resigned in September to engage in private duty in Florida. Miss Martha DeCoster, a graduate of the school, was transferred from the position of Assistant Head Nurse, Private Ward, to Head Nurse in M&S-1.
Graduation
Graduation exercises were held on June 15, 1938. In the un- avoidable absence of the speaker, Reverend Victor Sawyer, we were fortunate to have with us the Reverend Stuart C. Haskins. The enduring satisfactions which come to the nurse who is privileged to give skilled service to the sick was a fitting theme for the oc- casion. Dr. Charles S. Adams, a member of the Advisory Com- mittee of the School, presented diplomas to the eleven members of the graduating class. The school pins were presented by Mrs. Carle Hayward. A gift from the graduating class to the school was a silver screen to be used for showing films for classroom teaching. Another gift this year has been a new microscope. This was greatly needed to supplement the inadequate number on hand and was, therefore, doubly appreciated.
New Member on Advisory Committee
The appointment of an Alumna to the Advisory Committee of the School of Nursing has set a new precedent, which should be conducive to a growing interest and a closer affiliation between the school and its graduates. We were pleased to welcome Miss Minnie Harron, the Alumnae Representative, at the November meeting.
The Alumnae continues to show its kindly interest in the school by giving a tea each month for the graduate personnel and students.
It seems fitting each year to make note of the co-operative spirit of the medical staff, and many of the internes, who give generously of their time to assist with the teaching program and with the care of sick nurses.
Progress within a department depends upon group loyalty and teamwork, and credit is due my immediate staff and co-workers who have in large measure made possible the accomplishments of the year.
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REPORT OF CITY HOSPITAL
The year ends with the following census in the nursing depart- ment on December 31, 1938:
Enrolled Students 40
Preliminary Students 10
Enrolled Students at Affiliation. 14
Total Enrolled Students on Duty 26
Graduate Staff
Superintendent of Nurses
1
Assistant Superintendent of Nurses. 1
Ward Instructor and Supervisors 3
Anesthetist
1
Night Supervisor and Assistant. 2
Head Nurses and Assistants (Day)
13
Head Nurse (Night)
1
Graduate Staff Duty Nurses
76
Respectfully submitted,
HELEN O. POTTER, R.N. Superintendent of Nurses.
.
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CITY OF QUINCY
REPORT OF THE SOCIAL SERVICE DEPARTMENT To the Board of Managers of the Quincy City Hospital: GENTLEMEN ยท
The Social Service Department regrets to announce the resigna- tion, on July 20, 1938, of Mrs. Hilda M. LaRocca, director of the department in the six years since its inception. Mrs. LaRocca worked tirelessly to organize and increase the efficiency and scope of the department, and her guiding hand will be greatly missed.
Miss Ruth Darr, assistant social worker, has been acting as director of the department, and Miss Muriel Brady, a recent gradu- ate of the Simmons School of Social Work is assisting her.
We are deeply grateful for the aid given us by Mrs. Richmond Gordon, who has volunteered her services two days a week, and has faithfully carried out the assignments given her, and to Mrs. Parker Starratt who has also given generously of her time in doing occupational therapy work in the home with some of our out- patients and discharged house patients.
Increase in Case Load
In common with the other departments in the hospital, we find that the increase in the average census has caused a corresponding increase in our work. 2,086 service cases were referred to us for investigation and study, as well as 160 accident cases. 1,456 home visits were made by members of the staff, including Mrs. Gordon; 52 patients were placed in convalescent homes; 82 patients were transferred to other hospitals for special care; 22 patients were furnished with orthopedic appliances. During the year a worker has driven an average of 5 to 9 patients, two and three times weekly, to the hospital for physiotherapy treatments. There have been 339 outside settled cases referred to the Department of Pub- lic Welfare for reimbursement.
Prenatal Clinic
172 new patients were admitted by the Social Service Depart- ment to the Prenatal Clinic during 1938.
Starting in November, 1938, Miss Helen Perry, nutrition con- sultant, sponsored by the Junior Welfare League of Quincy, has been present bi-monthly at clinic, exhibiting foods and their re- lation to health, and answering the patients' questions concerning their diets.
Cooperation of Other Agencies
The department wishes to take this occasion to thank publicly those agencies which have been most helpful and cooperative throughout the year.
Outstanding among them is the Department of Public Welfare, without whose help we would be greatly handicapped. Our grateful thanks are extended at this time to Commissioner Anthony Venna and his able staff.
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REPORT OF CITY HOSPITAL
Miss Effie Waddell and other members of the Quincy Family Welfare Society have always cooperated to the fullest with this department, and we wish to thank them again for the services rendered during 1938.
There were almost 50 cases referred to the Visiting Nurse Association for follow-up care after discharge from the hospital, as well as all our Prenatal Clinic patients, who are visited reg- ularly by the nurses. We repeat our thanks to Mrs. Grace Lee and her efficient assistants for their intensive follow-up and their clear-cut reports.
The Kiwanis Club has paid for 51 tonsilectomies this year, and also contributed towards the Children's Christmas party.
The members of the staff belong to and attend meetings of the Quincy Council of Social Agencies, as well as the Massachusetts Conference of Social Work. We were present at the state-wide conference in Boston in November, and the District Conference held at the hospital in October.
Rounds
For the past six months, we have been making rounds with the Medical Service, and find we have a better insight into the prob- lems of our patients, thus enabling us to help them more.
The doctors have been most patient and thoughtful, taking care to explain the various phases of each individual's illness. May we now take the opportunity to thank the members of the Staff, and the house officers as well, for their splendid attitude of coopera- tion.
Social Service Committee
The Social Service Committee for 1938 included :
Mrs. Malcolm Sargent, Chairman,
Miss Carolyn Walker
Miss Helen Gavin
Miss Marjorie Welch
Mrs. Everett Robbie
Mrs. Earle Baker
Mrs. William Martin
Mrs. Alfred Brown
Mr. Guy Hart Dr. Joseph P. Leone
Mrs. Hilda LaRocca, Secretary.
When Mrs. LaRocca resigned, Miss Darr automatically became secretary of the committee. Mrs. Martin also resigned in the summer of 1938, to the deep regret of the committee, and Mrs. F. Ramon Burke was elected to fill her place. Other new members, who were elected in November. 1938, are Mrs. Harry Dupee, Jr., Miss Gertrude Callahan, and Mrs. Paul Karcher.
On April 29, 1938, the second Annual Charity Ball, sponsored by the Committee, was held at the Neighborhood Club. Mr. Robert Faxon was chairman of the Ball Committee, and we are indeed happy to report that it was a financial and social success. The
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CITY OF QUINCY
Social Service Fund was greatly swelled, enabling us to increase our aid to needy patients in the form of nursing care and blood transfusions, especially.
The committee meets regularly and is already laying plans for the next dance.
The department is the proud possessor of a 1937 Ford, four- door sedan, purchased for us in September. For this, as well as for their cooperation and understanding throughout the year, the members of the Social Service Department wish to extend to the Mayor, the Board of Managers, and the Superintendent, Dr. Joseph P. Leone, our sincere appreciation.
Respectfully submitted,
RUTH DARR, Acting Director.
REPORT OF THE PRESIDENT OF THE STAFF To the Board of Managers of the Quincy City Hospital :
GENTLEMEN :
The medical program of the Staff, initiated in 1937, was con- tinued during 1938 and was well patronized. The plan consists of having two meetings a month instead of one, and for convenience one was a day meeting and the other was held at 8:30 P. M. A most varied program embracing medical, surgical and kindred subjects was presented by well trained specialists and much knowledge accrued by those attending meetings.
To add to our enjoyment, splendid lunches followed so that the sociability among the members was enhanced. The latter was climaxed by a spirited golf contest at the South Shore Country Club during June. From all reports of the wives present, the skill shown at the meeting proved that as golfers the men were really very good doctors.
I believe this set-up should be continued. On our staff, young men predominate. They are well trained, ambitious and deserve worth-while programs. These should be well presented by high- class specialists. In this way incentive to members to improve their general medical status will result. Thus both the hospital and the community will be better served.
The present staff harmony and the cordial and cooperative in- terrelations of the staff, administration and Board of Managers should be fostered and jealously guarded. We should strive to pre- serve this all-time peak for it emphasizes service for its own sake. As no worthier goal can exist, let us make it our ambition to re- tain it.
During the year the Staff accepted with regrets the resignations from active service duties of Dr. John M. Macleod and Dr. Elmon R. Johnson. Both gave long and valued service and their loss is partially made up by their continued services as staff consultants.
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REPORT OF CITY HOSPITAL
The recent official visit of the American College of Surgeons inspector elicited much praise for the improvement in the staff functions and general hospital management. Our recent adoption of new rules and by-laws was especially commended.
Naturally, a brief report cannot evaluate all the detail progress of the past year. However, the Staff submits this summary and hopes for similar progress in the coming year.
Respectfully submitted, CORNELIUS J. LYNCH, M.D., Staff President.
REPORT OF THE INTERNES COMMITTEE
To the President of the Staff of the Quincy City Hospital: DEAR SIR:
During the year 1938, the Internes Committee met on four different occasions.
Two of these meetings were devoted to the subject of "In- struction for House Officers", following which the suggestions made by the committee have been carried out through the aid of our Resident Physician and superintendent's office.
Candidates for interneship and Resident Physician were elected and recommended to the Board of Managers for appointment.
Upon a motion duly made and passed at the November meeting of the Staff, each member of the Active and Courtesy staffs was requested to contribute two dollars yearly to the Internes' Fund. To the Internes Committee was relegated the authority to make such collections for the purpose of presenting each graduate in- terne with a gift upon the completion of his interneship at this hospital.
On June 30, 1938, Dr. Michael M. Ross completed a one year interneship and Dr. George W. Davis completed one year as Resi- dent Physician. Dr. Henry Rosen served as Resident from July 1 to December 31, 1938.
On December 31, 1938, the following house officers completed an eighteen months' rotating interneship: Dr. Vincent D'Elia, Dr. Sylvio B. Remy, and Dr. Appleton Woodward.
Respectfully submitted, WILLIAM R. HURLEY, M.D., Chairman, CHARLES S. ADAMS. M.D. RICHARD M. ASH, M.D. WILLIAM J. MCCAUSLAND, M.D. F. RAMON BURKE, M.D. JOSEPH P. LEONE, M.D., Secretary.
216
CITY OF QUINCY
REPORT OF THE RECORD COMMITTEE
To the President of the Staff of the Quincy City Hospital: DEAR SIR :
The Record Committee has had several meetings with the super- intendent of the hospital and the superintendent of nurses in an attempt to improve the material in bedside notes and to have the ward records kept in a systematic form. This has met with univer- sal approval.
The records as a whole are somewhat improved but presumably there will always be opportunity for further improvement.
The Standard Classified Nomenclature of Disease, which is on each ward, should be used by each man in signing the diagnoses for his patients in conformity with the suggestions from the American College of Surgeons.
The committee believes that the Record Committee in future years will find that many helpful suggestions with reference to the quality of records come from the head nurses on the various wards. These people are obliged to answer many questions which arise with reference to patients that would never be brought to the attention of the doctor, otherwise.
Respectfully submitted,
FRED A. BARTLETT, M.D., Chairman, FRED N. MANLEY, M.D. HENRY H. A. BLYTH, M.D.
REPORT OF THE STAFF PROGRAM COMMITTEE
To the President of the Staff of the Quincy City Hospital: DEAR SIR:
In general, the staff meetings were better attended during the year 1938 than at any previous year. A large portion of the meet- ings were addressed by prominent members of the profession out of Quincy.
The Clinical-Pathological meetings were carried on as in the previous year, the cases presented and the general program hav- ing been somewhat extended, a broader and more complete dis- cussion followed their presentation.
Respectfully submitted, J. EDWARD KNOWLTON, M.D., Chairman, ROBERT O. GILMORE, M.D. WILLIAM L. KRIEGER, M.D.
217
REPORT OF CITY HOSPITAL
REPORT OF THE AURAL SERVICE
To the President of the Staff of the Quincy City Hospital: DEAR SIR :
In the year 1938 there were 426 aural cases admitted, 379 of which were tonsil cases. Six mastoid operations were performed, one antrum operation, one resection of nasal septum, one incision and drainage of peritonsillar abscess, two operations for nasal polyps, one bronchoscopy, and two operations suturing conjunctival flaps and one surturing tonsillar fossae. Including private cases there were 1099 aural cases discharged, two of which were deaths. There were 59 consultations on aural cases.
In the year, as in previous years, the members of the Aural Service enjoyed excellent cooperation, and I feel that their work was very conscientious.
At this time I would like to announce the appointment for 1939 of Dr. Walter McClintock to the Aural Service, who will fill the vacancy occurred by Dr. Elmon Johnson's resignation.
Respectfully submitted,
WILLIAM J. HARKINS, M.D., Chief of Service.
REPORT OF THE OBSTETRIC SERVICE
To the President of the Staff of the Quincy City Hospital: DEAR SIR :
The following is a report of the Obstetrical Service for the year 1938 :
Number of Service Deliveries
Caesarian section
3
Normal deliveries
154
High forceps
1
Mid forceps 2
Low forceps
13
Internal Podalic versions
5
Breech extractions
3
Total number of deliveries 181
Twins, 2 sets (1 breech, 1 normal)
2
Total number of babies born
183
Respectfully submitted,
RICHARD M. ASH, M.D., Chief of Service.
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CITY OF QUINCY
REPORT OF THE PEDIATRIC SERVICE
To the President of the Staff of the Quincy City Hospital: DEAR SIR:
In reviewing the work of the past year it becomes increasingly apparent that the City of Quincy is sufficiently supplied with beds for sick babies and children. The census of the Quincy School De- partment shows that the registration has begun to decrease as a result of a diminishing birth rate. Therefore, it seems reasonable to assume that the present Children's Ward will be adequate for some time to come. Add to this the fact that the morbidity rate in children has, in common with the rest of the country, dropped to an even lower point than that of 1937.
The Pediatric Service would still like to see a Convalescent Home for Children attached to this hospital. Some children are sent to the Wellesley Convalescent Home.
The statistics for the Pediatric Service are as follows:
Discharges 177
Deaths
22
Autopsies 13 Consultations 80
Respectfully submitted,
EDMUND B. FITZ GERALD, M.D., Chief of Service.
REPORT OF X-RAY DEPARTMENT
To the Board of Managers of the Quincy City Hospital:
GENTLEMEN :
I herewith submit a report of the work done in the X-ray De- partment during the year 1938.
Approximately 10% Increase For Year
A comparison of the number of patients radiographed during 1938 with the number radiographed in 1937 shows an increase of approximately 10%. The bulk of the X-ray examinations were done for the members of the hospital staff, as very few cases are referred to the laboratory by outside physicians. The fluoroscope was used more this year than at any previous time, in localizing foreign bodies and in the reduction of fractures.
One Volunteer Worker
Mr. John Beauregard of the Yale Medical School, returned for further instruction in X-ray diagnosis and therapy, and spent July and August in the laboratory. By his enthusiastic and pains- taking application, he not only increased his own knowledge but
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REPORT OF CITY HOSPITAL
lightened the work of the regular technicians, Rebecca Philbrick and Constance Larkin. The technical work done by these young women has shown continued improvement. They made every effort to give the best possible service to both doctors and patients, and one or the other is available for emergency work during the twen- ty-four hour period.
Clerical Work
Evelyn Hartford, who for two years has done most of the clerical work, resigned in July, and her place was taken by Phyllis Acebo, who has shown praiseworthy enthusiasm for her work and is already able to take medical dictation with commend- able accuracy.
New Equipment
The only new equipment purchased during the year was a hand fluoroscope to be used in conjunction with the shockproof portable outfit, and used primarily for the fluoroscopic work in other parts of the hospital other than the X-ray laboratory.
New Equipment Recommended
I recommend the purchase of a high voltage X-ray therapy machine, having the flexibility to enable us to approach a deep seated tumor from any useful angle. The specifications for this machine have already been given to Dr. Joseph Leone and mem- bers of the staff committee. This machine, if purchased, will pro- vide an up-to-date and much needed therapy unit.
The following is a statistical report of the work done in the laboratory from January 1, 1938 to December 31, 1938:
Examinations
Gastro-intestinal tract
198
Barium enema
54
Gall bladder
143
Kidneys, ureters and bladder
210
Pyelogram
91
Chest
833
Spine
385
Teeth
97
Ankle
200
Knee
111
Leg
324
Ribs
91
Shoulder
345
Pregnancy
48
Wrist
166
Elbow
133
Arm
190
Feet
101
Hands
195
Skull
239
Nose
29
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CITY OF QUINCY
Sinus 46
Jaw 43
Mastoid 47
Total Examinations 4,319
Treatments
Including both high and low voltage 112
We wish to express to the Administration and the Staff our appreciation for their continued cooperation.
Respectfully submitted,
CHARLES WHELAN, M.D. Radiologist.
REPORT OF LABORATORY DEPARTMENT
To the Board of Managers of the Quincy City Hospital:
GENTLEMEN :
The following is the report of the Clinical and Pathological Laboratory for the year 1938.
23.000 tests performed during the year represents an increase of 3,000 tests over the previous year and includes a very wide range of examinations.
The Laboratory, serving as a Pneumococcus Typing Station for Quincy and the South Shore district, has shown a still further increase in the service. 155 sputum specimens were typed during the year.
There has been a steady increase in the number of specimens examined from outside sources justifying the Laboratory's place in the community as an important diagnostic laboratory center.
We are pleased to state that the post-mortem percentage is the highest since the establishment of the Laboratory ten years ago. This reflects the scientific interest of the Staff and the splendid cooperation of the people of Quincy in granting permission for these examinations.
The technical staff, Miss Frances K. Morris, Miss Elinor D. Rich and Miss Ruth H. Kuhns have continued to work as a cohe- sive team of trained technical experts and their work is appre- ciated by the department head and the hospital staff.
The following is a detailed report of the examinations made by the Clinical and Pathological Laboratory of the Quincy City Hos- pital for the year 1938:
State Laboratory Reports
Wassermann, Blood 23
Wassermann, Spinal Fluid 43
Hinton 1,081
221
Widal 41
G. C. Complement Fixation
48
G. C. Smears 3
Sputa, T. B.
10
Sputum, Pneumoccus Typing
1
Spinal Fluid, Gold Sol.
27
Spinal Fluid, Total Protein
4
Spinal Fluid, Culture
2
Spinal Fluid, Precipitin Test
1
Typhoid Culture, Feces
50
Typhoid Culture, Urine
22
Typhoid Culture, Blood
20
Feces Culture
2
Agglutination Test for Undulant Fever
11
Culture for K. L.
3
Total Protein, Blood
1
Quincy City Hospital Laboratory Reports
Urinalysis (Prenatal 816)
7,239
P-S-P
111
Mosenthal 13
Urine Concentration
3
Urobilinogen
1
White Blood Count
2,309
Red Blood Count
1,914
Hemoglobin
1,912
Color Index
1,896
Differential
1,660
Reticulocyte Count
21
Platelet Count
3
Sedimentation Rate
98
Bleeding Time
154
Clotting Time
170
Glucose Tolerance Test
3
Blood Sodium Chloride
3
Blood Sugar
517
Blood N-P-N
527
Blood Typing
702
Blood Matching
471
Blood Culture
85
Miscellaneous Culture
323
Throat Culture
402
Smears
436
Icteric Index
64
Van den Bergh
20
Sputa, T. B.
142
Sputa, Pneumococcus Typing
155
Fragility Test
5
Gastric Analysis
28
Feces
100
Spinal Fluid
97
Spinal Fluid Pneumococcus Typing
1
Ventricular Fluid
4
Liver Function, Brom Sulphalein
1
Liver Function, Galactose Tolerance
1
Skin Test
30
Autogenous Vaccine
5
REPORT OF CITY HOSPITAL
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CITY OF QUINCY
Vomitus
3
Transudate
9
Ascheim-Zondek
223
Animal Inoculation 28
Electro-cardiogram
197
Basal Metabolism Tests
227
Autopsies
87
Surgical Specimens
950
Total
23,350
Respectfully submitted, FRANCIS P. MCCARTHY, M.D., Pathologist.
REPORT OF PHYSICAL THERAPY DEPARTMENT
To the Board of Managers of the Quincy City Hospital:
GENTLEMEN :
During the year 1938 the Physical Therapy Department functioned smoothly and a great deal of work was done. The addition to existing equipment of a short wave diathermy machine was a great help in taking care of an increasing amount of work. This addition was a much needed step in the necessary equipment. to meet the changes that have taken place in the development of modern physical therapy apparatus. There were no changes in personnel during the year.
The following schedule indicates in terms of figures what has been done for our patients during 1938.
Examinations and Treatments in 1938
Consultations
1
Short wave diathermy
73
Examinations
119
Auto-condensation 54
Diathermy
1,561
Electric saturation
163
Fulguration
14
Galvanism
45
Hyperprexia
4
Sinusoidal electrotherapy
369
Static electrotherapy
6
Vibration
19
Infra-red
239
Radiant light
2,748
Ultra violet, air cooled
1,464
Ultra violet, water cooled
518
Cabinet bath
8
Colonic irrigation
31
Scotch douche
7
Sitz bath
3
Shower
8
L
223
REPORT OF CITY HOSPITAL
1
Whirlpool bath
375
Exercises
89
Manipulation
296
Massage
296
Total number of treatments 9,563
Patient visits
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