BARNES Barnes Medical Center, St. Louis, Mo.

hospiTAl—■ March, 1969 BullEik Plans Are Finalized for East Pavilion Monkey Shines . . . Since plans for the 14-level East Pavilion were The fourteenth level will be a mechanical floor first announced, a number of revisions and re- for air conditioning and other equipment in- finements have been made in the schematic stallations. Additional features of the building drawings. The final preliminary plans are now include a 130-seat auditorium, an archives room, complete and were displayed at an open house visitors' lounge, and a classroom on each patient for the medical staff and hospital employes on floor to facilitate teaching. Friday, January 31 in Classroom 1200. Ground- The East Pavilion will replace all patient care breaking ceremonies are anticipated for this facilities (excluding clinics) in the Maternity and summer and the project is expected to take two McMillan buildings. The medical patients now years to complete. cared for in Barnes (1418 and 2418) will be The East Pavilion will represent a unique ap- moved to Wohl Hospital and the neuromedical proach to hospital ownership. Specific levels of and neurosurgical patients now treated there the structure will be owned by the Trustees of will be moved to the East Pavilion. The vacated Barnes Hospital, while others will belong to the area in Barnes will be used for expansion of the Trustees of Washington University, further Barnes central diagnostic laboratories. The Mc- strengthening the ties between the two organiza- Millan and Maternity buildings, owned by the tions. As far as can be determined, this will be University, will be converted into teaching and the first "condominium" ownership of a hospital research facilities. in the United States. Plans for the East Pavilion, and the overall con- Through extensive planning with many members cept of a long-range plan for a West Pavilion with of the medical, nursing and administrative staffs, 19 stories and seven more stories to be added it was possible to incorporate the most efficient to the East Pavilion, were made public in April, and up-to-date methods for delivery of hospital 1968. Since that time, a fund-raising drive has care in the final design. Each service will have been underway under the chairmanship of Ray- treatment rooms and an intensive care area that will allow close supervision and isolation of the most seriously ill. All rooms will have piped oxy- Eight floors with 25 semi-private gen and suction outlets, as well as private bath and 8 private rooms are planned facilities. for the initial building. A ground level will have boiler rooms and me- chanical facilities. Shafts will be installed so that The rhesus monkey shown above is a member of mond E. Rowland, Barnes trustee, and former an automated materials handling system to dis- one of the most valuable species of research Ralston Purina Company president, board chair- animals known to man. It was in the animal's blood tribute linens, food, pharmacy supplies, etc., that the Rh factor (named for the monkey) was may be added later. man and chief executive officer. As of March 1, isolated—a discovery that has led to saving the $5,653,586.18 has been pledged to the fund. lives of countless newborns whose blood is incom- The main lobby, admitting office, central supply patible with their mothers. In a master study on This includes nearly $100,000 pledged by the alcoholism, the monkey is one of the subjects un- area, housekeeping storage, and other support- hospital employes. Additional funds for the proj- der observation to determine alcoholic tolerance ing services will be at ground level. General ect will come from Washington University for and subsequent effects on behavior. The jet near business offices will be on the third level. the animal's mouth is his source of water supply. its share of the facilities. (See story page 3). Twenty-one operating rooms, five delivery rooms, and eight labor rooms will be located on the fourth and fifth levels. The fourth level operat-

The East Pavilion will represent a condominium approach to hospital ownership.

ing rooms will be used for eye, ear, nose, throat, and neurosurgical patients. The fifth floor will accommodate maternity and gynecological patients. The fourth and fifth level operating and delivery rooms have been designed for closed circuit television which can be monitored in the audi- torium and classrooms for teaching purposes. Eight patient floors, each with 25 semi-private and 8 private rooms, are planned. Obstetrical and gynecological patients will occupy the sixth, seventh, and eighth levels; ear, nose and throat patients will use the ninth level and eye patients OB-GYN clinical facilities will be relocated in the will be on the tenth and eleventh levels. Neuro- Dr. Ralph B. Woolf, (left) associate obstetrician and gynecologist, discusses the details of one of the new building and Maternity will be turned back to medical patients will use the twelfth level, neuro- OB-GYN floors to be located in the new East Pavil- Washington University for research purposes, as surgical patients the thirteenth. ion with assistant director, Tom Winston. The entire will the building now used by maternity. Contributions to Barnes Tribute Fund November 1-February 15

Following is a list of honorees (names in bold- Mr. Eldon DeCosted Mr. and Mrs. James G. Alfring face) and contributors (listed below name of honoree) to the Barnes Hospital Tribute Fund Mr. and Mrs. Robert Brooks Mr. Francis O'Brien from November 1, 1968 through February 15, Dr. Truman Drake Mr. Roger Signor 1969. Contributions to the tribute fund are used Board of Trustees, Barnes Hospital Mr. Edgar M. Queeny for improvements in patient care, teaching, and research throughout the medical center. Dona- Dr. and Mrs. Henry B. Schwartz Mr. Harold Boeschenstein tions may be made by sending checks, payable Mrs. Janet Duncan (Boeschenstein Foundation) to the Barnes Hospital Tribute Fund, to: Tribute Mr. Samuel Allen Rieg Fund, Barnes Hospital Plaza, St. Louis, Mo. Captain and Mrs. Michael Rumelt 63110. Mr. Shiel Dunsker Eleanor, Roger, Louis, Chris Rieg Mrs. Shiel Dunsker Mrs. Joel Rogers Mrs. Irene Eyermann Mr. and Mrs. Henry Lowenhaupt Dr. W. B. Larkin Mrs. Guy Stoughton Mr. Lucien Fouke Mr. and Mrs. Robert Cochran " Ute Mr. and Mrs. Robert Cochran Mr. Walter E. Williams Mr. William Henry Harris Miss Helen Schwartz Mr. and Mrs. Lee Roy Harris Mr. and Mrs. Edwin Schwartz Chaplain and Mrs. George A. Bowles Mrs. John Fuchs Dr. and Mrs. G. Robert Bowles Mr. and Mrs. James F. Wiggins Mr. Harry W. Herron Mr. John Brakebill and family Mr. George T. Higgins ■1 ift Mr. and Mrs. Darwin Portman 1^. ^^^ ^^^-^^B 1 ft Mr. Carl Hohengarten ^^^fc^^ 9tf^^^ I 1 ft Mr. F. G. Nicolay W^^^^^Bfc* ^MB^^^^I \ 1 Mr. Charles M. McAbee, Jr. ^^^^^^^^^ ^^^^^^^^S \ 1 Dr. Harry E. Raybuck S^^^^^V ^BH^^^ ■■H Mr. and Mrs. Fred S. Heywood Mr. Morris Honigberg m IN MEMORY OF Mr. and Mrs. Darwin Portman fcg^? ^ Zin Mrs. George Applebaum Eleanor May Isaacs Jayne and Nick Carter Mr. and Mrs. Richard Levis, Jr. Mr. David Biederman Mr. Arthur Jones i^fc ^^r %uK^ ^^A Mr. and Mrs. Leonard Hornbein Mr. and Mrs. Leonard Hornbein ^ °Km. \^ft ^ Mrs. Albert G. Blanke Mr. Robert Leiken fcfo. JM ■ ■ ■Mtor^^^i Mr. and Mrs. John H. Hayward Mr. and Mrs. John Friedman Mr. Archie Bregman Mrs. Carl E. Lischer IN HONOR OF Mr. and Mrs. Joseph Fox Dr. and Mrs. William D. Perry Mr. Edwin R. Culver, Jr. Dr. and Mrs. Henry G. Schwartz Barnes Hospital Volunteers Mr. John C. Baine Mrs. Irene Litzsinger Women's Auxiliary Mr. and Mrs. Robert Cochran Mr. Gene Theiss Missouri Baptist Hospital Mr. William Benton McMillan Mrs. Bessie Lowenhaupt Dr. Harold Cutlet Miss Joyce A. Mackey Dr. and Mrs. Joseph J. Gitt Mrs. Carolyn B. Goldman Mr. Vance W. Lichtenberg Dr. and Mrs. Richard Prager Mr. Joseph Glaser, Jr. Mr. and Mrs. Edwin J. Barutio Mr. and Mrs. Abraham Uchitelle Mr. and Mrs. Edward G. Platt Corporate Offices—UMC Mr. J. A. McDonald Mr. Leonard Hornbein Mr. and Mrs. Frank L. Tupper Mrs. A. H. Wallace Mrs. Fred Z. Salomon Board of Trustees, Barnes Hospital Mr. Cuyler McGinley Mr. and Mrs. Harry Loeb Universal Metal Products Mrs. Earl M. Johnston Mrs. Sophie 1. Bernstein Mr. and Mrs. Robert W. Otto Mr. John B. Mitchell Mrs. Ira Wittelshofer

at a particular bakery is picked up for the dietary Association. Renard patients are taken on out- Motor Service Provides department. Items are transported to and from ings to historical areas of the city, parks, opera, Hospital Transportation the warehouse storage area for housekeeping. baseball games, etc., as a change from the daily Two buses, a station wagon, motor scooter, and Blood requested from other hospitals in the hospital routine. a truck comprise the inventory of the little known area is taken from the blood bank and delivered by a security driver. Specimens from other hos- From 10 p.m. to 12:30 a.m., a driver trans- division of safety and security called motor ports nurses getting off the 3 p.m. to 11 shift service.Initiated six years ago in the dispatch de- pitals sent here for analysis are returned by Barnes motor service. to their homes and picks up those on the 11 to partment to transport nurses on the night shift to 7 a.m. shift. Handled through the nursing of- and from work, the service has since expanded Service to groups is handled by the two buses fice, registered nurses who do not have access to include almost every area of the hospital on or station wagon. Student nurses are regularly to public transportation or have poor connections occasion. Three licensed watchmen serve as transported to training areas, such as the Mis- with bus or cab service are picked up and de- drivers for the five vehicles averaging a total souri School for the Blind and the Visiting Nurse livered by the armed driver. of 700 miles per week. Emergency runs for supplies and equipment parts are a major function of the courtesy cars. Other needs are handled, too. Gluten bread made

Barnes Hospital Bulletin Published By Public Relations Department Barnes Hospital, St. Louis, Mo. Vol. XXII, No. 3

Constance C. Barton, Director BARNES Lucy Z. Martin, Associate Editor A three-wheeled police-type vehicle has been pur- meter of the Barnes complex. Security guard Yewell BUIIET'IN chased by safety and security to patrol the peri- Robinson is one of the three drivers. Effects of Liquor Studied in 5-Year Alcoholism Program; Experiments Disprove Popular Drinking Theories

In large aquariums in Renard drunken goldfish and healthy young adult men under carefully glide on their backs, nose dive to the bottom of controlled conditions produce the same general the tanks, and wobble from side to side in one results. It appears that man, as well as fish, may experiment of a five-year research program set perform better under the influence of small up to study the psychological, sociological and amounts of alcohol than when sober (although re- chemical effects of alcoholism. sults differ widely based on an individual's alco- hol absorption rate). These experiments may dis- Goldfish, monkeys, and adult humans currently prove the notion that alcohol is totally a depres- are undergoing a series of diversified clinical sant. tests from which psychiatrists hope to pinpoint some of the reasons behind excessive drinking. In both fish and man a learning experience

Financed by a $li/2 million grant from the Na- taught when sober is more easily remembered in tional Institutes of Mental Health, the project is a sober state. However, if a learning pattern is under the direction of Dr. Samuel B. Guze taught when alcohol is in the bloodstream the assisted by doctors Donald Goodwin, George information is recalled more easily when again Winokur, Vernon Perez, George Murphy, Law- drunk and may not be recalled at all when sober. rence Sharpe, and others. This may occur in heavy drinkers who are prone to blackouts and who, when sober, remember In the alcohol-permeated water goldfish initially nothing of their actions when drunk. exhibit definite drunken patterns (loss of equilib- rium, confusion, etc.) but after an hour's time Ifi experiments with the list a they become acclimated to the environment and modest consumption of alcohol im- resume their normal behavior. Once the fish improved motor performance. establish a tolerance to the alcohol, psychiatrists can measure the chemical changes in the fish's One of the problems in alcoholism studies is brain that appear to correlate with the tolerance. controlling the amount of alcohol absorbed into the subject's bloodstream, since the absorption rate of alcohol differs greatly from subject to subject. However, fish are able to maintain a constant blood level of alcohol which can be In an important study to make alcohol unappeal- easily regulated by altering the concentration of ing to heavy drinkers, animal subjects are being alcohol in the tank water. given small amounts of alcohol so their actions can be carefully recorded. Unlike the driver who has had one for the road, the monkey is restrained Studies are being conducted to compare the by a specially-made chair so he can injure neither chemical components of various kinds of alco- himself or others. Normally, the animals are kept holic beverages. In a mixed drink taste, smell, in cages with care comparable to most zoo resi- dents. lightness, etc., come from chemicals in the bev- erage known as congeners. Congeners are apart found to be alcoholics, though there was little from the alcoholic content of the drink and vary considerably from beverage to beverage. For ex- incidence of psychoses. ample, aged bourbon has many more congeners In the 1968 follow-up study fifty percent of the than vodka. men were again found to be alcoholics, although In sufficient quantities congeners are harmful many were defined as cases of "alcoholism in as they include toxic substances, such as wood remission," past alcoholics who now drink alcohol. However, it is not known if the congen- moderately or not at all. The alcoholic criminal ers in alcoholic beverages are present in suffici- is one element in society psychiatrists hope to Experiments with goldfish have shown that learn- help through the results of their experiments. ing patterns taught when alcohol is in their tank ent quantity to cause longterm ill effects from water (and thus in the fish's bloodstream) are more drinking. Whether it is more harmful to drink An interesting sidelight to the two sets of inter- easily recalled when the fish are again placed in one type of alcoholic beverage or another is one alcohol-permeated tanks than when placed in fresh views with the criminals showed that the trauma water. Results of these experiments may disprove of the areas currently under study. Because of imprisonment and the social stigma of being the notion that alcohol is totally a depressant, ac- some persons complain of more pronounced an ex-convict did not increase the incidence of cording to Dr. Donald W. Goodwin, investigator in hangover symptoms after drinking an excessive the five-year master study on alcoholism. psychoses, such as manic-depressive illness or amount of wine than bourbon, for example, an schizophrenia, among the men tested. If a similar alcoholic tolerance can be established understanding of congeners may prove very It is reported that an alcoholic goes through in a human, it may then be possible to chemically helpful in aiding the studies on alcoholism. endless punishment for liquor. He continues to reverse the process that brought on the tolerance take one drink after another, even though it so that an alcoholic would have the same re- In a random sampling of criminals, makes him sick, in an effort to rid himself of the action to alcohol as would an inexperienced 50% were found to be alcoholics. depression brought on by the alcohol. By study- drinker, i.e. nausea, headache, speech and motor ing the effects of alcohol in the brain, the psy- problems, etc. Another aspect in the alcoholism study involved locating and interviewing 223 male ex-convicts. chiatric team hopes to find a chemical way to In studies with the fish it has been found that The men chosen were originally studied nine reverse the depression brought on by the alco- modest consumption of alcohol produces no neg- years ago in another study to determine the hol, and abort the alcoholic's desire to take a ative change in the fish's behavior. In fact, motor prevalence and types of psychiatric illness pres- drink in the first place. Among the mentally ill performance actually improves in many cases. ent among a random sampling of criminals. In alcoholism is the second greatest cause of Similar tests conducted on rhesus monkeys the 1960 study, about one half of the men were suicide.

Doctors Will Have Their Day March 31 A red carnation has long been a means of easy Barnes Auxiliary traditionally honors the doctors, identification, as in the standard late 40's movie according to Mrs. Gerald Canatsey, chairman of situation when the leading lady knew she would the March 31 activities. In addition to giving out recognize her dashing and handsome blind date flowers, doughnuts will be served in the doctors' by the red carnation he'd be wearing in his wide lounge, courtesy of the volunteers. Arrangements lapel. also have been made to place "Doctors' Day" notices supplied by the St. Louis Medical So- Today carnations are still used for identification ciety on patient trays, and the March 31 news as will be evidenced March 31, when doctors in capsule will describe the day's events. the medical center will be presented red bouton- nieres in honor of Doctors' Day, a day set aside Individual celebrations are being planned on to show appreciation to the medical staff. "Doc- some of the nursing divisions and in Queeny tors' Day" is actually March 30, but since it falls Tower doctors' offices. Some women are taking RNES on a Sunday, the event will be celebrated their bosses to lunch, others are planning to i IETJN Monday. send cards, write testimonial prose or poetry. Mrs. Gerald Canatsey Miss Margaret Corcoran Dr. James O'Leary n Support of Shillelaghs, Sinn Fein and Celli Dano

It's that time of year again. And all the Ramseys, ed by statues and monuments throughout the 19. (However, a Polish couple beat both families Nielsons, Cantonis, Marshalls and other non- country was hanged by the English while defend- with 20 offspring.) Irish types are patiently suffering through mid- ing his homeland. In carrying on the tradition of By February 24 Mabel Mary Agnes Kelty Kelly, March while the McGeehans, Kellys, and O'Briens Irish names Bob McAuliffe's children are called head nurse on the fifth floor of Wohl Clinic, al- pay annual tribute to their patron saint, Patrick Megan, Emett, Nelly and Michael sounding like ready had a shamrock pinned to her white uni- of Ireland. an assemblage of leprechauns at the shamrock form. She'd also finished decorating the floor ball. (An example of Irish persistence might be An informal survey conducted at Barnes uncov- divider with greenery, cardboard leprechauns and mentioned here, as Mrs. McAuliffe is German, ered quite a few descendents of the Emerald three-dimensional top hats and was in the midst but there's not a Wolfgang or Helga in the entire Isles. Although there are some Sullivans and of planning a corned beef and cabbage dinner crew.) Kennedys who insist they've never uttered "Erin for the members of her department. When asked The parents of urology resident Dr. Robert go bragh!", names like Robert Emett Martin if there were a number of Paddies in the medicine Duggan named two of their children "Pat and McAuliffe and Mabel Mary Agnes Kelty Kelly clinic, she declared: "EVERYONE'S an Irishman Mike" but the Duggans ran out of Irish names leave little doubt as to their ancestry. on St. Pat's Day!" long before the baptism of their 17th and final Robert Emett was an Irish patriot after whom offspring. Dr. Duggan reported that large fam- Some Irish definitions that won't be found in Barnes' controller was named. The story goes ilies were not unusual in his area of Buffalo, your Funk & Wagnell's were provided by Mar- that the courageous fighter who is commemorat- N. Y., and another Irish brood reached a total of garet ("Corky") Corcoran, secretary to Dr. Justin John Courtney ■ntiillM Finan MeDermott

^

Don McGeehan Robert McAuliffe rs

Cordonnier. "Lace Curtain Irish keep fruit on the school Donna McHugh, a technician in inhalation Irishmen are traditionally fun-loving folk whose table when no one's sick in the house and Shanty therapy, used to dye her hair green as a sign of favorite toast is: "I hope to be in heaven an Irish let pigs run wild in the parlor," according her parentage, but she now confines her loyalty hour before the devil knows I'm dead." to the descendent of County Cavenne. And an to wearing a green blouse or scarf. Volunteer director, Dorothy Kelly, whose husband "Orangeman" or "Left-Hander" is an Irishman Finan MeDermott in the optical shop collects claims the Irish background in the family, ad- who isn't Catholic, said Miss Corcoran speaking Irish records. Not the Americanized "When Irish mits she doesn't know a donnybrook from a with a bit of a brogue. Eyes Are Smiling" variety, but "Slattery's babbling brook but was treated royally during Mounted Rut," "Cottage by the Lea," "Let Erin Apart from his stature, Dr. James O'Leary, neu- her visit to Ireland last summer. "The name Remember," and "Irish Jaunting Car." (The rologist-in-chief, looks like a leprechaun with his helped a wee bit," she added. mounted flut, by the way, were a brigade of twinkling eyes and ebullient spirit. Pure Irish on Irish renegade soldiers who proved to be more Just as in every Patrick O'Brien movie, there's both sides of his family, Dr. O'Leary has been cautious than brave.) "Mac" is an undisputed always an Irish cop. And we have one too. John to Ireland several times and has considered a Irishman—both his grandparents and his Powell Courtney of safety and security has spent permanent visit, but his people have been here mother emigrated to America from County Cork. 19 years in the business. Named after a 1903 since before the Civil War. Mary Patricia Ann Reilly, assistant purchasing St. Louis Brown's Irish ballplayer, Courtney says Expressions of loyalty to St. Pat seem to change agent, invites over 100 wearers of the green to there are only two kinds of people in the world: with the age of the celebrant. While in high an annual St. Patrick's Day party. She says the Irish and those who wish they were.

* 3 Dietitians Complete Year of Internship

■ Carl V. Moore, physician-in-chief, spoke to the Buffalo, New York, Academy of Medicine last month on "Immunologic Mechanisms in Dis- orders of the Blood."

■ John E. Hobbs, associate obstetrician and gynecologist, and Alan Robson, assistant pedia- trician, were recently inducted into Alpha Omega Alpha on the faculty level.

■ John D. Vavra, assistant physician, spoke March 5 on "The Encounter with Peter" in spe- cial Lenten services held in the First Congre- gational Church of Webster Groves.

■ A seminar on Neighborhood Health Centers was presented February 25 at the St. Louis Medical Society Auditorium. Herbert Domke, John Grant, Parker Word, William Stoneman III, Fred Sargent, and Kenneth Bopp comprised the panel.

■ Stanford Wessler, associate physician and physician-in-chief at Jewish, and John Collins, Three recent alumnae of Barnes graduate program ship. From left are: Phyllis Lawrence, Marcia Stamp assistant surgeon, spoke on "Shock in Pulmonary in dietetics taste test canned fruits in a routine and Mrs. Barbara Lanning, who graduated January rating and checking of specifications procedure 30 at a ceremony held in Clopton Auditorium fol- Embolism" and "Hypovolemic Shock" respec- prior to the completion of their one-year intern- lowed by a tea for family and friends. tively at the February 22 Symposium on Shock at the St. Louis Medical Society Auditorium. Registration Requirement ■ "Management of the Urinary Tract Following Barnes Baby Boom- Pelvic Surgery" was the title of a talk by Instituted for Dietitians Richard F. Mattingly, chairman of the OB/GYN In a giant step to further professionalize the All in One Family Department of Marquette School of Medicine vocation of dietitians, the Dietetic Internship After eight childless years of marriage, Canary sponsored by the St. Louis Gynecological Society. Council voted to set up a program of dietary and George Dickerson adopted a baby boy. Three registration. The action was taken at a recent ■ Robert Karsh, assistant physician, spoke to years later, to their great delight, Mrs. Dickerson meeting of the Council in Chicago attended by the Business and Professional Women's Club of became pregnant. The following year Mrs. Dick- four representatives from Barnes. St. Louis recently on the "Effluence of Afflu- erson again became pregnant, and the following ence." According to the new ruling, all current members year, and the following ... On February 20, of the American Dietetic Association will be auto- 1969, Mr. Dickerson drove the now-familiar matically registered, but they will be required route to Barnes to pick up his wife and their to participate in future educational programs to tenth child, Kelvin. maintain their registration. The purpose of the All of the children have been born in Maternity ruling is to upgrade the dietary profession by and all except the last under the care of Mrs. making it mandatory for practicing registered Velma Jones, now a head nurse consultant. dietitians to stay up-to-date in their field. Beginning in January, 1970, newly graduated When Mr. Dickerson was asked if he planned on dietitians will be required to pass an examina- an even twelve offspring, he chuckled and shook tion given under the auspices of the ADA to be- his head from side to side: "They AREN'T cheap- come registered. However, membership in the er by the dozen," replied the U. S. postal service ADA will still be open to all dietitians who either employe. have master's degrees or have completed their dietary internships, regardless of whether Major David H. Wood of the United States Air they are registered. Force has received the Bronze Star in recogni- Barnes dietitians who attended the Chicago tion of his exemplary leadership, personal en- meeting of the Dietetic Internship Council are: deavor and devotion to duty in Vietnam. A Mrs. Doris Canada, dietary director; Mrs. Helen veterinarian, Major Wood was also cited for Starch, educational director; Miss Joyce Hoover, setting up a sentry dog referral service and up- and Mrs. Jane Sullivan, therapeutic dietitians. grading the sanitary standards in food service The D.I.C. is composed of faculty members of facilities at the Cam Ranh Bay Air Base. Major the nearly 70 institutions in the country with Wood is the son of Mrs. Elizabeth Wood, dietetic internship programs. The council pro- secretary of the anesthesia department. vides continuing education programs for its Miss Mary Nichols, administrative dietitian in members and works to improve the educational charge of the tray assembly unit, recently at- standards of dietetic interns. tended a seminar in Detroit, Michigan, on "Man- aging for Improved Morale and Productivity." Four Graduate in Cytology Miss Beverly Nelson has been selected dispatch Four medical center students graduated February messenger of the month for March. An 18-year 28 from the school of cytology conducted by old escort messenger, Miss Nelson has been Washington University on the second floor of with the department since July of 1968. Barnes. The graduates must now complete a six- month internship program before they will be The nursing department now has a conference eligible to take a test for registration as cyto- Getting a look at their new brother, the nine Dick- room available for nursing personnel on the technologists. erson children gather around their mother in the fourth floor of the student residence that will The graduates are: Mrs. Irma Watson, Mrs. lobby of Maternity. Joyce, 13; Gwendolyn, 12; Fred, 11; Stanford, 9; Arstine, 8; Paulette, 6; Sandra, 5; accommodate up to 12 persons for meetings, Marva Harvey, Mrs. Joanne Suthoff and Miss George, 4, and Brenda, 2, were all born in Barnes. BARNES discussion groups, etc. Arrangements for use of Joanne Johnston. With the exception of Mrs. The George Dickersons have another son, Arnold, the room should be made through Miss Vose's Harvey, the class members will take their intern- 17, who was adopted after they had been married BUIIENN eight years and were childless. The family lives secretary. ship in the cytology lab here. 512 Hinsdale Court in Rock Hill. • 'More Can Be Done for the Cleft Palate Child' Says Surgeon Who Started Interdisciplinary Clinic for Total Care

Visiting a local elementary school, a social work- It was pointed out that children with cleft palates surgery, and by the age of fifteen are complete- er spotted Susan Knight standing apart from are more susceptible than the average child to ly deaf, toothless, and unable to talk intelligibly," the other children on the playground. In talking chronic ear infections which can result in deaf- Dr. Hoopes reported. to the second grader, the social worker noticed ness if left untreated. Inflamation of the tonsils, At monthly sessions held in the basement of Susan cocked her head to one side as if she had adenoids and upper respiratory tract are more Children's Hospital, eight to ten private and clinic trouble hearing; and, when she spoke, said common. Excessive tooth decay requiring exten- patients are seen individually by a plastic sur- "thix" for "six" and "one" for "run." A puffy sive attention, oral surgery and orthodontia is geon, pediatrician, dentist, hearing consultant, lip scar indicating childhood surgery was notice- nearly always found in cleft palate patients. ear nose and throat specialist and a social work- able and Susan's school health record showed Secondary surgery to the scar tissue of the lip er. "The myriad problems that may be associated she had undergone both cleft lip and palate and palate, plus work on other areas of the face operations before she was two years old. The such as the nose, are also required as the child One child in every 850 is born with record also gave evidence of rampant tooth de- grows. a cleft lip or palate. cay and the dentist had scrawled "little hope of Speech impediments that could have been cor- saving many of her teeth" across the page of with a cleft palate case are too complex to be rected with therapy beginning in the early years Susan's chart. treated by one physician," said Dr. Hoopes. are allowed to develop into permanent patterns "Specialists in each field are mandatory for "Susan is typical of nearly all the post-cleft pal- of expression. "Seventy percent of the cleft pal- complete care." ate children of her age that are brought to the ate cases can be successfully treated with a com- clinic for their first follow up treatment since Consulting specialists in the clinic include: L. bination of primary surgery and speech therapy," Woodrow O'Brien, director of the Lasky Center surgery in infancy," said Dr. John E. Hoopes, Dr. Hoopes stated. "Of the remaining 30 per- for Oral Cancer and Cleft Palate at the Washing- plastic surgeon-in-chief and initiator of the inter- cent, secondary surgery will result in acceptable disciplinary cleft palate clinic in operation since ton University Dental School; Frank Kleffner, speech for 70 percent of that group, leaving only last July. director of the Speech Clinic at the Central Insti- 10 percent of the total who will never have ade- tute for the Deaf; Dorothy Jones, pediatrician quate speech." "There's a distinct lack of aware- at Barnes and Children's Hospital; Lindsay Pratt, ness of the residual dangers to the One child in every 850 is born with a cleft palate Barnes otolaryngologist; and Dr. Hoopes. Special- cleft palate patient." or lip. During formation of the embryo a fissure ists from other fields such as neurology and develops in the mouth opening a passageway genetics may be called in for consultation. It is "Susan's condition today isn't the result of between the mouth and nasal cavities. Depend- hoped that in the future a psychiatrist will join neglectful parents or of incompetent surgery," ing on the severity of the .cleft it may range the clinic team and group therapy sessions can Dr. Hoopes explained. "In fact, she had excellent from a deep furrow to a gaping hole and extend be initiated. treatment—"her lip was repaired at three months from the teeth all the way back to the throat. To Following the morning clinic visits, an afternoon of age and her primary palate operation took a degree, cleft palates are hereditary but the conference is held to discuss each patient and place at 18 months, the ideal schedule for a con- presence of a cleft in a parent doesn't indicate it his treatment. Every specialist reports his find- genital palate case." "However," he stated, will be present in any of the children. In fact, "after the primary palate surgery, Susan's par- ings to the group and a rehabilitative program is it probably won't be — the hereditary rela- ents and even her pediatrician assumed every- outlined according to the most immediate needs tionship isn't usually that direct. More often, the thing that could be done for the child had been of the child. parents of a cleft palate child can't remember completed." any incidence of cleft palates in either of their Cost to the patient for the long term concentra- "This is the problem," the soft-spoken surgeon families. tion of specialized medical treatment is very ex- said. "There is a distinct lack of awareness of pensive; however, through Children's Hospital, the residual dangers to the cleft palate patient "There are numerous examples of cleft palate the Missouri Crippled Children's Service has pro- that necessitates constant follow-up treatment children in the Ozarks who have had no medical vided extensive financial aid to medically indigent until adulthood." attention of any kind since their primary palate families.

A plastic surgeon . . . pediatrician . . . Thompson who has had primary sur- Woodrow O'Brien examines another speech therapy is a necessary part of dentist . . . and speech pathologist gery on his palate and soon is due for young patient, Carolyn Mack, for the cleft palate program so bad speech are among the team of professionals a secondary operation to minimize the dental caries and improper tooth for- habits can be corrected before they be- involved in the interdisciplinary clinic scar tissue. Next, pediatrician, Dr. Dor- mation, frequent problems in the cleft come ingrained speech patterns when set up to treat the complex residual othy Jones, checks the child's overall palate patient. Speech pathologist Dr. the child learns to talk in sentences. problems that occur with cleft palate health record paying particular atten- Frank Kleffner mouths words for Other specialists, for ear, nose and cases. Left to right, Dr. John Hoopes, tion to nutritional deficiencies and Duane to imitate as he feels the throat, hearing and family problems, plastic surgeon-in-chief, checks Duane bone development. Dentist Dr. L. sounds against the doctor's lips. Early also see each cleft palate patient.

Patient Accounts, Controller's Office Moved Evans Returns to Pharmacy

In the first phase of a plan to centralize all professional as those in which they are admitted Mr. Gordon Evans has returned business offices of the hospital, the controller's and cared for during their hospital stay," he to his position as assistant chief office and the patient accounts department emphasized. | pharmacist at Barnes. He pre- moved into new quarters off the Barnes lobby viously held the position in Janu- Future plans for the consolidation of business the last week in February. ary of 1967 before he left St. operations within the hospital call for moving Louis for a two-year tour of duty "The most important improvement in the new the McMillan patient accounts and cashiers with the Army. A 1963 graduate arrangement," controller Robert E. McAuliffe section and the accounts payable and payroll said, "is the installation of six interview booths of the St. Louis College of Phar- departments into the space now occupied by the where patients may discuss their financial prob- Gordon Evans macy, Mr. Evans has been em- Wishing Well and part of the present lobby. These lems and arrangements in private and confi- ployed at Barnes since his graduation. He is BARNES dential surroundings. Our patients can now be changes are scheduled to occur simultaneously 27 years old and married. SlETiN discharged in an atmosphere as attractive and with the completion of the East Pavilion. Students Speak Out on Patients, Profession and Procedure

Students—of all kinds—are being heard in Q. How do your friends view the nursing field? Q. How would you advise potential future student nurses? many ways these days. Because March 16-22 is CHRISTINE RICHTER, FRESHMAN: "I don't CHARLA: "You can't go Student Nurse Week, the BULLETIN initiated an think some of the kids understand that nursing into nursing just be- interview with five Barnes' student nurses, to is a profession and we're proud of what we're do- cause mommy or daddy find out what they think about their profession ing. They think all we do is carry bedpans." thought you should be today. SUSAN: "Most of my friends think nursing a nurse. You have to like Q. Are you given enough responsibility as a stu- would be a lot harder than their college courses it yourself." dent? and say they couldn't take it and that you have KAREN: "There's too BOBBI GRACE, SENIOR: 'We have three months to have brains to get through." much emotional stress." of ward management Q. Why did you enter the nursing field? during which time we're SUSAN: "It's the only BOBBI: "I enjoy being with people. Truthfully, I responsible for half a profession you have to derive satisfaction from nursing." floor—from 12 to 16 like or you couldn't SUSAN: "Like every kid I wanted to be a nurse, stay in it." patients under the su- Christine Richter but after two years of college I decided I CHRIS: "The dropout pervision of a head wanted to do it through a three-year program nurse." rate is terrific—only 70 out of 108 seniors are rather than a college program." left; only 50 out of 89 juniors. You have to really KAREN DENNISON, CHRIS: "It's the only SENIOR: "We even make want to be a nurse. Some kids leave to go to thing I wanted to be. smaller, easier schools." assignments to the I'm happy helping others R.N.'s and they report Q. What about social life for a nurse? Is it com- and there's nothing else off to us. We have to parable to a campus situation? that really interests me. make reports on what Bobbi Grace KAREN: "There's more of a cultural emphasis I don't think I could they do." here." stand being a teacher BOBBIE: "So many of the students are engaged Q. How do the patients react to students helping and I have no secretarial them? skills." or married! Out of 70 senior students, we have SUSAN PILCHER, JUNIOR: "They like it. Nine KAREN: "I had a very 10-12 who are married." out of ten patients can't tell a student from a idealistic attitude when 1 CHRIS: "We only have two who are married but nurse. Anyway, patients are delighted to have first came. I thought all quite a few are engaged out of the 100 girls in someone young that's going to spend time with Karen Dennison nurses were like 'super- the freshman class." them." nurse' but soon learned differently. I've learned BOBBI: "But you have to take into account that CHARLA FOUNTAIN, SENIOR: "And we have to accept people and also to accept myself." most of the girls are from small towns. In my more time to spend than the R.N.'s." Q. What don't you like about your nursing pro- class only five girls are from cities the size of St. BOBBI: "So many times the patients ask: gram? Louis." 'When are the students coming back?' " CHRIS: "Nursing care plans! They're very frus- Q. What about your uniforms? How do you like Q. Was it hard to learn to trating to a freshman because you have to list a them? maintain a professional involvement toward a 'need' and a 'problem' for each patient even if ~ SUSAN: "Putting them patient? you only see them for a few minutes and you together's a pain in the SUSAN: "I think we're have so little time to write it all up." neck—everything has steered away from the BOBBI: "You stay up all night!" to be buttoned on." word 'professional' in- CHARLA: "Problem solving is ingrained in you KAREN: "I like the volvement because it from the very beginning and the nursing care starched look." seems so cold and is plans really do help you learn why you're BOBBI: "Some universi- such a hands off word." doing things." ties have white shirt- KAREN: "The first day BOBBI: "Right. And that's why we're profession- waist-type dresses but I we're here we learn the als. We're not just doing it; we know why we're like ours better. Now difference between sym- doing it. That's what makes us different." that I know what I can Susan Pilcher pathy and empathy. Our SUSAN: "At first it's hard to think of even one or do I don't care what I Charla Fountain instructors talk to us individually about particular two problems for a patient; later you can think have on, but when I was patients and always seem to be there and avail- of lots. You just need the time to write them all a freshman and junior I felt more secure in my able when our first patient dies." down. It's easy—it just takes about five hours!" bib and apron."

heavy, bulky, and made patient care difficult, but and in a much more scientific and accurate Iron Lung Becomes it was the most effective treatment device for manner," Mr. Giordano stated. the polio patient whose lungs were affected. Use for the respirator has expanded greatly Museum Piece The respirators now in use are much more within the last ten to fifteen years. A respirator An iron lung donated to Barnes in 1948 by the sophisticated and sleek than the older models. is used following open heart surgery as standard Daughters of America is now an artifact in the St. They don't enclose the whole body and the pa- operating procedure. It is also used in cases of Louis Medical Society Historical Museum. "The tient can be easily reached during treatment. severe trauma when there are chest injuries; in fact that the iron lung is now a museum piece," "With the new equipment we can do a much a number of neurological cases; and for some said chief inhalation therapist Sam Giordano, better job of controlling the respiratory pattern medical disorders, such as emphysema. "can be considered a commentary on the rate of growth of medical progress in the past 20 years." The lung was a veteran life-saver of the BARNES HOSPITAL Non Profit Org. 1940's and 50's before the development of the Barnes Hospital Plaza U. S. Postage St. Louis, Mo. 63110 Salk vaccine which wiped out polio here. PAID St. Louis, Mo. Permit Mo. 935

BARNES BULLETIN is published monthly for and about personnel and friends at Barnes Hospital and units operated by Barnes, which include Barnard Hospital and the following operated for Washington University School of Medicine: Maternity, McMillan, Renard and Wohl Hospitals and Wohl Clinics. Edited by Public Relations Office, Barnes Hospital, Barnes The iron lung was an early respirator. The patient Hospital Plaza, St. Louis, was placed entirely inside the mechanism and Mo. 63110. Telephone F0. BARNES nurses attended to his needs through portholes 7-6400, Ext. 3515. BUIIETJN on the side of the machine. The iron lung was •