Barnes

Bulletin Barnes Hospital, St. Louis, Missouri, May, 1979, Volume XXXIII, Number 5 Raymond E. Rowland retires as chairman

Raymond E. Rowland, chairman of the Barnes Hospital board of directors since 1969, retired at the April 25 meeting of the board. He was named chairman-emeritus. Mr. Rowland, a member of the board of directors since 1962, is former president and chairman of the board of Ralston-Purina Company, and a member of the board of directors of the Wash- ington University Medical Center. Under his leadership, Barnes Hospital has con- tinued a building program, to be culminated with completion of the West Pavilion next year, which has resulted in the hospital having facilities un- matched by any major teaching hospital in the nation. Mr. Rowland became chairman of the board April Edie Curtis pins carnation on Dr. Ajit Varki as Dr. Dean Burgess watches 23, 1969, succeeding Robert W. Otto who had filled the unexpired term of Edgar M. Queeny The idea of Doctors' Day was introduced to after his death in 1968. Prior to being named Doctors' Day celebrated the Woman's Auxiliary to the Southern Medical chairman, Mr. Rowland had served as general by Barnes Auxiliary Association at its twenty-ninth meeting held in chairman of a $12 million Capital Fund Drive for St. Louis November 19-22, 1935, by the president the hospital. The Barnes Hospital Auxiliary honored the 1,200 of the auxiliary, Mrs. J. Bonar White, when she presented the idea in her presidential report. Born on a farm in Illinois, Mr. Rowland attended members of the hospital's attending medical staff the University of Illinois and was graduated from and house staff with red carnations, coffee and "On Doctors' Day we try to express our apprecia- the University of Wisconsin. After a brief time as doughnuts at the annual Doctors' Day Friday, a faculty member at State Teachers College in March 30. Auxiliary members greeted doctors at tion to the men and women of our medical staff who have dedicated their lives to the care of the Conway, Ark., Mr. Rowland joined Ralston the Queeny Tower, Renard and Wohl entrances Purina Company as a junior salesman in 1926. In and in the doctors' lounge. sick and injured," said Mrs. MacDonald, pro- gram and hospitality chairman of the Barnes 1929 he was made district sales manager and in Auxiliary. 1934 became a division assistant sales manager. After serving as manager of the Circleville, Ohio, Doctors' Day, a 20-year tradition at the hospital, plant, he became an assistant vice-president in has been observed since the Auxiliary was Skywalk construction 1940 and vice-president of the company in 1943. founded in 1958. Traditionally, the doctors are He was elected president in 1956 and was named presented with red carnations, whose analogy is to get underway in May chairman of the board in 1963, retiring in 1968. closely woven in medical science. This year's During the years he led Ralston Purina, the com- participants included Marilyn MacDonald, Edie Construction is scheduled to begin this month on pany grew tremendously in total sales. Curtis, Doris Smith, Carol Minor, Mary Baren- a 56-foot long skywalk linking the Queeny Tower restaurant and coffee shop to the sixteenth floor kamp, Robin Snyder and volunteer director Robert E. Frank, president of Barnes, said, "It has of the West Pavilion. The project, which will be Debbie Lord. been my good fortune to serve Barnes Hospital completed in four to six months, will alleviate during the decade of leadership provided by some of the congestion on the Queeny Tower Mr. Rowland. His guidance has enabled Barnes The history of Doctors' Day dates back to 1933. elevators and will give easy access to the East to strengthen its role in the health care delivery Eudora Brown Almond was reared in the small and West Pavilions. Georgia village of Fort Lamar and from early system and has made Barnes one of the most childhood was greatly impressed with the selfless The skywalk will consist of two steel beams, each respected hospitals in the world." devotion of the medical profession's humanitari- weighing approximately four tons, that hang an service to mankind. She always carried in her from a concrete beam on the roof of Queeny Dr. Ogura receives heart fond memories of the gentle kindness of her Tower to the sixteenth floor of the West Pavilion. family physician whose skill and understanding The structural steel skywalk, which will be lined DeRoaldes Gold Medal endeared him to his patients. In 1920 she married with windows, will hang from these beams. Two Dr. Joseph H. Ogura, Barnes otolaryngologist-in- Dr. Charles B. Almond and moved to Winder, smaller beams will support the floors. chief, was honored on April 1 by the American Ga. Her respect for medicine and the people who The first step on the project, according to Gary Laryngological Association, which awarded him practiced it inspired her to present to her local its coveted DeRoaldes Gold Medal, the highest auxiliary the idea of having a day on which to Frossard, McCarthy Brothers project manager for the Barnes construction, will be to build tem- recognition the association can extend. The honor the doctors. The suggestion met with ap- porary partitions in the Queeny Tower restaurant medal is awarded for distinguished career proval and the auxiliary observed the first Doc- achievement and total contribution to the pro- tors' Day March 30, 1933. and to remove the windows and the exterior stone. The concrete piers on the roof have al- fession. ready been poured. When suggesting that physicians be honored, Dr. Ogura thus became only the third doctor in Mrs. Almond originally had in mind only the After the initial demolition work, which should the history of the association to receive laryn- Winder and Barrow County doctors. Little did take about four weeks, the large beams will be gology's "triple crown" —the Casselberry Award, she realize, when her dream became a reality, hoisted by a derrick to the top of the West Pa- the James Newcomb Award and the DeRoaldes that it would include doctors in all parts of this vilion and put in place with a crane. "The critical Gold Medal. He was given the Newcomb Award country and the world. point will be when the beams are in the air," Mr. in 1967 for his research in nasopulmonary me- Frossard said. Once they are in place the iron- chanics and the Casselberry Award in 1968 for workers will connect the steel and install the distinguished accomplishments in laryngeal re- Front cover: Formal portrait of Raymond E. Rowland, metal docking for the floor. "Once the steel search. The only others to receive all three honors who retired as chairman of Barnes board of directors beams are in place, it's basically normal construc- are Dr. Paul H. Holinger and Dr. Francis E. on April 25. (See story on this page and centerspread.) tion," he said. Lejeune. role consumers can play in helping hold down ^ Immunotherapy vaccine health care costs. helps fight cancer ^ Barnes Hospital has joined 6,400 hospitals across An immunotherapy vaccine offered through the country as well as insurers, suppliers, busi- Barnes surgical oncology clinic is now available nessmen and consumers, all working to reduce Suf the costs of health care. to patients of Jewish and City Hospitals as well Mtt. as Barnes. It uses the body's own defense system to fight cancer, according to Dr. Marc Wallack, Hospitals, including Barnes, are trying to educate head of surgical oncology at Barnes and devel- the public to help keep costs down by having oper of the technique. them ask their doctors how they can keep hospi- tal stays as brief as possible, by seeking alterna- A five-year program began at Barnes in January tives to hospital stays like pre-admission testing 1978 (see July 1978 Barnes Bulletin) and recently and one-day surgery and by taking non-emer- i '/ gency problems to personal physicians instead of was expanded to include patients from Jewish and City Hospitals. The types of cancer include to an emergency room. colon carcinoma, melanoma and renal carcinoma, and a joint clinical trial is underway here and at As part of National Hospital Week and National the Leon-Berard Cancer Centre in Lyons, France. Elian Bryan, RN from Children's Hospital neonatal Hypertension Month, employes and visitors at nursery, rocks a baby in the Barnes premie nursery as Barnes will have an opportunity to have their The early trials for the use of the vaccine were part of the nurse-exchange program of the two hos- blood pressures taken to detect hypertension. conducted by Dr. Wallack in 1974 at the Hospital pitals. Barnes Auxiliary members, volunteers and edu- of the University of Pennsylvania under the di- cation and training personnel have joined forces nurses from each hospital got together to talk it rection of Dr. Hilary Koprowski, director of The to designate May 9 as "Hypertension Day," offer- over and the directors of nursing and presidents Wistar Institute. ing free blood pressure checks from 9 a.m. to of all three hospitals signed an agreement for the 4 p.m. on the ground floor of the East Pavilion. nurse-exchange program. "We are concentrating our efforts toward those Information about hypertension will also be types of cancers that are particularly difficult to available. "It has really improved our relationship with fully arrest surgically," Dr. Wallack explained to Children's," said LaFrances Cockrell, associate a news conference April 18, where he reported High blood pressure can lead to strokes and heart director of the nursing service. She said that the on the new technique. "The major portion of attacks, yet it can be easily controlled by medica- nurses from each area get to know each other solid tumors is surgically removed and then tion if one is aware of the problem. better, which makes for better cooperation. we attempt to kill the residual malignant cells by stimulating the body's immune mechanisms to Pat Granger, clinical nurse in the premie nursery, attack them." said that the exchange program provides lecture Two long-term employes material on procedures which aren't normally To do this, Dr. Wallack and his team infect a bit retire from Barnes done at Barnes as well as on-the-job training in of the excised cancerous tissue with cowpox virus the neonatal unit for the Barnes nurses. "It gives (the same viral vaccine used to immunize hu- Two long-time employes of Barnes Hospital re- us some idea of what happens to our babies when mans against smallpox). The virus combines with tired in late March. They are Roe Champlain, a they go over there," she said. "It also provides a the tumor cell surface and produces a more plant engineering employe for almost 33 years, better exchange of information with nurses from potent antigen. "This virus-augmented antigen is and John Wilton, a lab employe for 20 years. Both both areas." made into a vaccine and injected into the patient received Certificates of Appreciation from hospi- to^stimulate the immune system. The body's im- tal president Robert E. Frank. The neonatal unit at Children's Hospital provides mune cells then better recognize the cancer as care for seriously ill premature infants, including foreign matter and migrate to kill the residual babies that need respirators and oxygen. Barnes tumor cells." nurses spend their time at Children's in observa- tion, in laboratories and in the neonatal nursery Patients referred to this program are given the itself. Nurses from Children's spend several days vaccine as an intradermal injection in both upper in labor and delivery, they follow one patient arms and both upper legs each week for 13 from labor and delivery through the birth pro- weeks, then bimonthly for a year. Dr. Wallack cess, and they attend classes on topics like feed- reports that side-effects of the immunotherapy ing the newborn baby. "It's a learning experience have been minimal except for pain and inflamma- for both sides," Mrs. Granger said. tion at the injection sites. Many of the oncologists at Barnes and Jewish Hospitals have expressed Aggie Johnson, head nurse in the Barnes nurs- interest in these trials and participate in the Roe Champlain John Wilton eries, said "we like the exchange program be- administration of the therapy. cause it gives our nurses a chance to give more Mr. Champlain plans to spend most of his time intensive care for acute babies." She said that fishing and gardening during his retirement. "I about 12 nurses have participated in the program think I have done my part in fixing things around so far. "Some of our nurses have brought back Barnes," he said. "Now I'm going to catch up on Barnes nurses participate some good ideas, some little things and some relaxing." in exchange program major procedures, which we have implemented here." Born on a farm south of Jefferson City, Mr. Premature babies, both "normal" and those with Champlain said that when he was on the farm complications, are benefiting from a cooperative Karen Bales, RN in the premie nursery and a par- things that broke had to be fixed there. "We nurse-exchange program among Barnes, Jewish ticipant in the exchange program, said that "the couldn't be running off to town whenever some- and Children's Hospitals. RNs in Barnes and program is extremely beneficial for Barnes thing broke." He practiced the same philosophy Jewish nurseries rotate with their counterparts at nurses. We understand the disease processes at Barnes. "When something is broken, then I the neonatal nursery at Children's so that all have here much better after going over there. They try to fix it, and most of the time I do get it fixed." a fuller understanding of caring for premature in- showed us things that are not normally seen here fants. and their clinical lectures went into a lot of Mr. Wilton came to the United States from Ger- depth." many in 1951. He worked for a dental laboratory "We're in a unique situation because we have the in St. Louis prior to joining the Barnes staff in hospitals so close to each other," said Maureen Hospital week theme 1959. He, too, plans to spend more time fishing Byrnes, vice-president and director of the nursing during his retirement as well as traveling in his service at Barnes. "Our nurses have an oppor- is voluntary effort motorhome. tunity to experience care of acutely ill babies so that they are more cognizant of babies in distress "The Voluntary Effort—It's Working for You" is When asked what he will most remember about when they're back in our nurseries." this year's National Hospital Week theme, em- Barnes, he said, "I saw a lot of buildings going phasizing the health industry's national volun- up and coming down here." Dr. Leonard Jarett, According to Miss Byrnes, the program, which is tary program to contain health care costs while director of labs, said the hospital is losing a valu- in its second year, originated when nurses at maintaining high quality care. The week will be able employe. "Whenever John was here, we Children's expressed interest in learning about observed May 6 through 12 with special events to knew he had the situation under control," Dr. care for "normal" premature babies. Nursery bring attention to the voluntary effort and the Jarett said. Head tables: Robert E. Frank, Jennie French, Angela Barbour, Chaplain David Wyatt, Betty Collins, John Tighe, Ella Daniels, Sally Buck, Robert McAuliffe. and Georgia Leaks.

Mr. Frank poses with long-time employes who were honored: Sally Buck, Betty Collins, Georgia Leaks, Angela Bill Davis and Mildred Halliburton. Barbour, Ella Daniels and Jennie French.

Employes honored at service award dinner

Sarah Buck, pharmacy, and Jennie French, Barnes OR, were honored for 30 years service to Barnes Hospital at the semi-annual employe ser- vice awards dinner held at the Chase-Park Plaza Tiara Room March 30.

The festivities were in honor of those employes who observed their 10, 15, 20, 25, and 30-year anniversaries between January 1 and June 30, 1979. A party later this year will recognize em- ployes with special anniversaries in the second half of 1979.

Six employes, Angela Barbour, Betty Collins, Ella Daniels, Esther Granger, Georgia Leaks and Carmen Wright, received their 25-year pins. Six- teen received 20-year pins: Mildred Halliburton, Mildred Ireland, Hippolyte Johnson, Mildred Jones, Daisey McAlister, Nelia Meeks, Applias Moore, Mary Petty, Thelma Ray, Marie Rhodes, Bettye Robinson, Rose Stephens, Thelma Stock- ing, Margie Sykes, Julia Taylor and Katie Walker.

Fifteen-year pins went to Mary Anderson, Ruth Azerolo, Edna Bell, Frankie Bogan, Rebecca Helen Russel, Wandy Simmons, Marian Holloway and Charles Hugger. Brinkley, Rhoda Brownell, Edna Coad, Winifred Cummins, Betty Dickey, Norma Foster, Alvis Employes honored for ten years service included Fowler, Nothala Goosby, Cleo Gray, Costella Barbara Allen, Juanita Allen, Walter Baker, Helen Pamela Lehnhoff, Patricia McKevitt, Donald Grey, Glenwood Harvey, Carol Hauser, Nita Barnhart, Emily Baxter, Kathryn Benkert, Mario, Armadell Mason, Roselee Parks, Bulah Hilderbrand, Charlotte Holler, Marcella Hudson, Gertrude Black, Daziree Brown, Fannie Cherry, Payne, Bertha Pickens, Mary Prentiss, Charlotte Charles Hugger, Nelda James, Bernice Johnson, Walter Clay, Mary Cohen, Minerva Cook, Luella Redding, Beatrice Reymer, Norma Robinson, Nancy Jones, Aisy McGaughy, Betty Mamelian, Diggs, Anna Douglas, Rosella Farmer, Ester Ankica Rollins, Joyce Rounds, Joan Rueweler, Nell Mann, Anna Michel, Myrtle Northcutt, Fields, Annie Garner, Dorothy Giden, Celestine Loubertha Shaw, Doris Skillman, Laurelyn Helen Ogle, Katie Payne, Vivian Randolph, Gude, Melonee Harris, Jilaine Henderson, Steffen, Bobby Steward, Wilo Stout, Ethel Esther Scheer, Thelma Smith, Grade Stevenson, Marion Holloway, Margie Huelskamp, Leonard Thompson, Sandra Thompson, Joanne Tonn, Catherine Taylor, Karen Turner, Pine Vann, Jarett, Lorine Johnson, Mary Johnson, Robert Sandra Waldon, Diane Way, Ann Wilder, La- Allean Wells, Dorothy Willis, Ada Woody and Johnson, Jr., Ruby Johnson, Nola Kenner, Verne Will, Juanita Williams, Veronica Williams, Thomas Zinser. Pamela Kolath, Davey Lang, Mardie Lee. Ruth Wilson, Barbara Woods and Janet Worley. •

A Decade of Leadership

Raymond E. Rowland's retirement from Ralston Purina in 1967 resulted in redirection of his ener- gies and abilities to guide Barnes Hospital through the dramatic changes in health care evolving during the 1970s.

Ralston Purina's loss was Barnes Hospital's gain, one ultimately benefiting Barnes patients who come from the St. Louis Metropolitan area, a £\ wide portion of the Midwest and the world. ™/

When Mr. Rowland was elected chairman of the board in 1969, the hospital had just begun a building program designed to modernize the hospital so that rapidly changing and improving patient care could be provided in the best facili- ties available. In 1969, many of the buildings had been standing since the hospital was opened in Under sunny skies at dedication of tennis courts and sub- 1914. Queeny Tower had been opened in 1965, surface garage constructed by Barnes for the people of the first step in a facility improvement and con- City of St. Louis. struction program which is still continuing.

Under Mr. Rowland's leadership, the East Pavil- ion was completed, a multi-level parking garage was constructed at the corner of Kingshighway and Audubon (subsequently sold to Children's Hospital), the subsurface parking garage south of Barnes was completed, the Peters Building was conceived and built, major renovations were carried out in all areas of the hospital and con- struction begun on the West Pavilion which is scheduled for completion next year.

When the West Pavilion is opened, all patients will be housed in rooms which are new or which With Dr. William Danforth, then WU vice-chancellor Enjoying himself at Barnes Hospital Society meeting, for medical affairs, prior to beginning of construction have been renovated since 1965. Few, if any, of East Pavilion. major medical centers in the nation can match these facilities which have come about largely because of Mr. Rowland's leadership of the hos- pital as chairman of the board of directors.

But not all of his efforts resulted in such recog- nizable things as buildings or equipment. He continued the emphasis on Barnes Hospital being effectively and efficiently managed and assisted in the development of an outstanding medical staff. He actively supported the hospital's change to self-insurance when malpractice insurance premiums escalated dramatically.

Mr. Rowland has served as a member of the Washington University Medical Center board of directors and, in that capacity, has fostered the excellent relationship between Barnes and other members of the medical center.

Mr. Rowland has had, during his decade of lead- ership, a deep concern for the increasing cost of health care in the United States. As a result of that concern, Barnes has constantly held its cost increases under the national average and during the last two years the rates of increase have been less than the proposed target of increase sug- gested by President Carter. •> At the same time, Barnes Hospital has enhanced its reputation as one of the leading medical cen- Breaking ground for West Pavilion in July 1977, accompanied by hospital administrators and McCarthy Brothers and ters in the world and today stands committed Wischmeyer executives. to meet the challenges of the next decade. Speaking at ceremonies officially dedicating the East Pavilion.

7, - I

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* Designating Barnes as part of the Illinois Trauma System in 1973. Missouri Governor Chris- Telling a funny story at a meeting of the Barnes Hospital Auxiliary. topher Bond and Illinois state officials took part in the ceremonies, which received extensive media coverage.

Saluting Barnes doctors who have served 25 years or more on the active staff. most suppliers and because of that they tend to Islets of Langerhans Barnes nurse set to give us the best possible rates to get our busi- sail the Atlantic ness," said Walter Schatz, Barnes purchasing transplanted in rats agent. Anthem, defined as a song of praise or gladness. Although trials in humans are several years off, To kidney room's Marilyn Moss, 29, it's the Mr. Schatz pointed out that there are easily research now being done by Dr. Paul Lacy, christened name of a single-masted, 34-foot fiber- 20,000 petroleum-based plastic items used in the Barnes pathologist-in-chief, and Dr. Joseph glass sailboat which "symbolizes the song of hospital, ranging from disposable syringes to Davie, head of microbiology and immunology at gladness for the freedom and sense of well-being knives, forks and spoons used in the cafeteria. WUMS, may ultimately eliminate the complica- in my life. I am actually doing what I've dared Items which carry oil manufacturers' names, such tions of diabetes and perhaps also overcome the only dream about for five years — discarding my as trash bags and styrofoam cups, are already rejection of organ transplants. predictable, scheduled life for a chance to travel, getting expensive as oil by-products normally perhaps even to sail the Atlantic Ocean." used to produce them are in short supply and Dr. Lacy has perfected a technique of transplant- are also used for other purposes. "It is still too ing the insulin-producing cells of the pancreas, A Barnes employe for more than nine years, soon to predict how much the oil price hike will the islets of Langerhans, into diabetic rats, thus Marilyn and engineer boyfriend Cleve Lee set sail eventually affect some items," Mr. Schatz said. relieving the symptoms of diabetes. In previous Easter weekend for Bermuda, via the Gulf of experiments, the rats' immunologic defenses Mexico and Miami, Florida. The success of the A hospital supply representative pointed out that recognized the transplanted cells as foreign and 900-mile trip from Florida to Bermuda will deter- as OPEC raises the cost of crude oil, it produces a rejected them. mine whether or not the couple sets sail July 1 for ripple effect, with the final customer paying the the two- to four-week trip to Ireland, crossing the higher cost. "The end user always pays," he said. The new technique includes incubating the donor Atlantic before August's winter storm season. "No business can absorb the rising costs and stay islets of Langerhans at room temperature for a in business without passing them on." week, rendering impotent the white cells re- "We're out to have a good time—no definite sponsible for rejection, although Dr. Lacy says plans, no adhering to strict schedules," said Not only will the cost for the base price of the the mechanism for this is not known. The cells Marilyn. "If our $32,000 maritime investment plastics be higher, but the cost for the electricity may then be transplanted into a diabetic rat with- proves to be incapable of Atlantic travel, we'll to produce the item will also increase, according out rejection. change our ideas about crossing the ocean and to the supplier. In addition, waxed products plot new courses." which could take the place of some plastic prod- There is a possibility that the knowledge learned ucts, such as cold drink cups and waxed paper, from these experiments may someday be useful A former resident of Alton, 111., Marilyn has been will go up as well as many cleaning materials that in controlling rejection when kidneys, hearts and sailing for seven years on St. Louis area rivers have a petroleum base. other organs are transplanted. Rejection is the and lakes. "But I wanted boating to be more than critical problem in transplant procedures today a weekend hobby; I wanted it to become an inte- Robert Briggs of the Hospital Association of and patients must take large doses of immuno- gral part of my life." In early February, after Metropolitan St. Louis said, "In general, plastic suppressive drugs that then render them suscep- Marilyn and Cleve had been working on their 10- items are used so much in hospitals that the in- tible to everyday infections that their normal year-old sloop for more than a year (and had in- creased cost of oil is a major problem. Costs are defenses can no longer fight off. vested more than $3,000 to make it seaworthy), steadily going up and these raises are linked to Marilyn's apartment lease expired. She sold or the rising cost of petroleum." Dr. Lacy said that transplantation of the islets of stored all of her possessions and docked Anthem Langerhans should not be considered a potential at Venetian Harbor, midway between Portage This year the cost of plastic knives and glasses "cure" for diabetes but it could eliminate the Des Sioux and West Alton, where she lived on- has already risen 30 to 40 percent. A plastic stom- wide fluctuations in blood sugar levels and thus board until their April departure down the Mis- ach tube, which is inserted through the nose to prevent complications such as blindness, kidney sissippi River. the stomach when food cannot be tolerated, has disease, heart attacks, stroke and gangrene. "We increased 13.4 percent during the past year. still are looking for a cure," he emphasized, "and "You really have to want to live on a boat to sur- that will come only after doctors can determine vive the winters. I moved onto the vessel when Unfortunately, the situation can only get worse what causes the malfunction of the pancreas that temperatures were dipping to 10 and 20 degrees as the price of crude oil goes up. The 9.05 percent results in diabetes. Then perhaps it can be pre- below zero," said Marilyn. "My electric blanket increase in April raised the price for Arabian vented." became my most valuable possession." But cold crude oil from $13.34 to $14.55 for a 42-gallon weather isn't the only inconvenience on the barrel. At that time Iran, which lost more than Dr. Lacy reported his work in the April 20 issue of waterfront. There is no running water on-board two months of export revenue because of its rev- Science and held a news conference April 13. He (therefore, no showers), no refrigeration and the olution, urged an immediate 29 percent increase. has been working on transplanting islet cells living space during cool temperatures measures This would raise the basic price of Arabian light since 1968. 9 by 12 feet. When temperatures soar upwards, crude to $17.45 per barrel. sailors move bag and baggage to the deck, where they spend their days and nights. Sick leave benefits Marilyn went on to say, "Some have described extended to pregnancy boat dwellers as rare. That's not true. There are Transportation many people like us out there; even entire fami- lies that spend their whole lives on the water." Information Center Barnes Hospital is extending sick leave benefits to cover disabilities due to pregnancy, childbirth Is it reasonable to ask why now? "I was afraid;" established or related medical conditions, effective as of concluded Marilyn, "afraid that if I didn't set sail April 29. at this point in my life, I never would." A centralized Transportation Information Center for employes who want to share transportation to Permanent full-time employes accrue sick leave and from work has been established at Barnes. on the basis of 12 days per year, with the maxi- The idea was first used in 1974 during the gaso- mum amount accumulated over the years limited OPEC price hikes line shortage then and is being reinstated in view to 60 days. Although an employe begins to build of the expected increase in prices this year. sick leave entitlement from the first day of em- increase cost of plastics ployment, six months of continuous permanent The Center includes maps of the metropolitan employment is necessary before an employe is OPEC's April price hike of 9.05 percent on top of area showing zip codes. Color cards in three eligible to use it. a 5 percent increase on January 1 of this year will colors are provided for indicating that the em- significantly affect the cost of plastic disposable ploye wishes to either join a car pool, obtain Under the new program, all absences after April hospital products, making cost containment ever riders, or get a ride with someone else. They can 29 resulting from pregnancy-related temporary more challenging, according to the Barnes pur- be filled out and put in a pocket in the appro- disabilities are covered under the sick leave pol- chasing department and the Hospital Association priate zip code area, making it convenient for icy. At the time that an employe's accrued sick of Metropolitan St. Louis. persons living near one another to make trans- leave, if any, should run out, she can request a ^^ portation arrangements. formal leave of absence, if necessary, in accor- ^B Because Barnes is in the enviable position of pur- dance with the provisions of the Barnes leave of chasing many plastic items in large volume and Bill Davis, personnel, who is coordinating the absence policy. on a relatively long-term contract basis, the full project, said this is a way the hospital can help impact of the increase will not be felt on all items conserve energy while helping employes save Further information on the new coverage will be immediately. "We are a prestigious account for money. available from the Barnes personnel office. Mbute Fund Mabel DeVardo Irving H. Rogers Annual Charitable Fund Jack Fenton Vernon H. Rowe The following is a list of honorees (names in boldface) Clifton Frederich Ann L. Ruhr Richard J. Gittemeier Estelle H. Frank and contributors to the Barnes Hospital Tribute Fund Margaret & William Sallie Russell Ken Martin Cora Rawson from March 17 to April 17, 1979. Freivogel Alden V. Sawyer William B. Wind M/M Robert J. Scherrer Marion Greenfield Lucille E. Elsberg Edith E. Ray IN MEMORY OF: M/M J. Joseph Horan Janet K. Hunnius Nabie & Mary Farreh Thomas D. Winston M/M Dillon J. Ross Palmer Jennings William T. Fitzgerald, M/M John Barton Edith Taryle Christine Jones M.D. Planned Gift Fund M/M John C. Emig Rose Schechter Arethia King Reginald Flach Philip K. Marblestone Dept. of Social Work M/M G. William Weier Vernon Lewis Pam Francone Anonymous Mrs. Ernest Murr Thomas B. Ferguson, Al Buhl & Associates J. McCarty Ethel Gerstenberg H. F. Brandt Paul O'Brien M.D. M/M Richard Rich Mary E. McCoy Estellenn Goetz Opal Glandt Eleanor H. Harford Ruth Slenczynska Friends in Area 11 at Elaine & Ron Prasse Bernice Meals Clara Hardbeck H. C. Soldner Goldsmith's Oak Court Henry A. Mezyk Herschel Harmon Marcella M. Kennedy Harry Kolker Rose Tullman Store Roy C. Andrews Alex Mitchell T. Ben Harris M/M Francis Vilimek M/M Charles Wright & Barnes Hospital Victor Muehlenbachs Norean P. Hartwig Sons Laboratories Oliver Sawyer Raymond J. Hauser Staff Anesthetists & Katie Beyer Beulah Dee Short Marie Hawkins Students Alice Sontag Marion D. Haywood M/M Don Telthorst Irving Gold Edgar F. Stahlhuth Laurence F. Herrin Fred Miller Mrs. Terrye Balin Irene Stamulis Harold C. Heseman Hospital notes M/M Thomas L. Sain Dennis W. Sullivan George W. Heslar M/M Donald A. Seager Julius H. Drucker Maggie M. Sutherland Melba F. Hines The St. Louis Metropolitan Medical Society has Walter Schatz Mrs. J. H. Drucker Richard Teffertiller Morton Holbrook named Dr. Donald Sessions, Barnes otolaryn- Norma Foster Rose Sheffler Luella Terrell David F. Holt gologist, chairman of a committee on CPR. The Minnie Thomas Mrs. Alton E. Horton Lona Burress group plans to develop CPR as part of the health Earline M. Travis John E. Hose Beverly H. Price Mr. H. W. Neuwoehner education program in secondary schools. 'Mrs. Frank J. Donato Mrs. Milton Kahle Thelma J. Tumolowski Clarence T. House M/M R. C. Cunningham Lois E. Volz Robert W. Howard, Jr. Lawrence N. Howe Drs. Edward Etheredge and Charles Anderson M/M Chalres M. Dr. Robert W. Bartlett Cecil Wadlow were hosts, at the State Department's request, McHenry M/M RoUa W. Streett Callie L. Webb Georgia Humphrey recently to Dr. Hassan Kamel, dean of the faculty W. R. Orthwein, Jr. Dorothea M. Weisbrod Minnie B. Allen George W. Anderson Florence Hickok Lillian L. Rouse Clyde & Margaret of medicine at Riyadh University in Saudi Arabia. Patsy Auerbacher Dr. & Mrs. Thomas M/M Creighton B. Calfee Westmoreland Dr. Kamel visited several areas of the medical Joseph W. Ax Ferguson Dr. Thomas Ferguson James C. York center and met with Drs. David Kipnis, Paul M/M Robert Cochran Ruth R. Kurlander Steve Bartok Lacy, Philip Dodge, Joseph Davie and John Kathryn Irish Marianne Bloksche John G. Burton Halverson. Ray Boatright M/M Thomas B. Singleton Orval Brenningmeyer Curtis D. Jones Elizabeth Jones Elizabeth Y. Bonner M/M W. T. Terry Relatives & Friends Dr. Geoffrey Herzig, head of Barnes bone mar- Robert A. Kiser Niel Bower Marie McBride Grace Brendel row transplant service, discussed the use of gran- John Hayward Edward C. Simmons, II Elizabeth Bruninga ulocytes in the cancer patient at a colloquium on Charles E. Claggett Charles E. Claggett Enid & Ellen McCormack Joseph Buettner blood transfusion and the cancer patient spon- Raymond L. McDaniel James E. Cahill sored jointly by the Red Cross and St. Louis Mrs. Louis T. Byars IN HONOR OF: James McDonald Irene Caron Mrs. Charles W. Mary Hildreth's Service to University School of Medicine on March 21. Lillie McKain Karen Causer Middleton Barnes Hospital Mrs. Charles McKeon Frank Chervitz Dr. & Mrs. Robert M. Jill Feldman, RN, Barnes nurse-specialist, is James Mollo Alberta Cruse George E. Heifers, Jr. Feibel author of an article on "Maximal Expiratory Ishwar P. Murarka John J. Culver M/M Richard Wegner Flows After Postural Drainage" in the American Barbara Myrick Nancy Dally U.S. Attorney's Office, Fire Prevention & Fire Review of Respiratory Disease, volume 119, 1979. Fern Ormerth Louise A. Dalkert Eastern District of Safety Clyde Osborne Alma & John Daughty Missouri Group of Individuals Mary E. Overby Joseph Daukontos Dr. Joseph H. Ogura, Barnes otolaryngologist-in- Mrs. Harvey B. Cox, Sr. Dorothy Paperner Arneta Davis chief, was guest of honor for the Francis E. Paine, Webber, Jackson & Cancer Research Willie D. Perkins Vernell Deaton Lejeune Memorial Lectureship at the annual Curtis, Inc. Mrs. Edmund Burgard John Piechocinski Stella Doepke meeting of the Mississippi Ophthalmological and Mrs. Roberts P. Elam George W. Pike George P. Drumm Dr. & Mrs. Robert Rubin Barnes Hospital Otolaryngological Society in Biloxi, Miss., on & Suzanne Mrs. Marilyn Mehta April 20. He spoke on "Orbital Decompression for Thyroid Exophthalmos" and "Supraglottic IN MEMORY OF: Laryngectomy—The Present Status." Roy Andrews Myrtle Bendetto Patient Care Fund Purchasing Department— Betty Collins Barnes Hospital Roberta Carter M/M William Mueller Virgie Lee Carter Don H. Telthorst Donna Gross Dr. Bartlett dies; David J. Sholeen Richard A. Catlett Marion Warack Judith A. Herron Sarah E. Smith Joyce J. Cross Thomas C. Winston Louise Husher Barnes surgeon-emeritus James L. Sommers Howard K. Cummins Don Braeutigam Medical Records employes David H. Spritz John A. Davis E. F. Bridgeforth David J. Ray Dr. Robert Wilson Bartlett, 74, a Barnes surgeon- Mary R. Stewart Lorraine M. DeMoulin Rose Dunn Mary Shea emeritus, died April 4 at his home in Vero Beach, Rosetta Tucker Ramon H. DeMoulin Robert E. Frank Dick & Pat Spencer Fla. He and his wife, Louise McGehee Bartlett, Bobbie Lee moved to Florida after his retirement from Barnes Mae Martin active staff in 1974 following 44 years of service Helen Ogle to Barnes patients. Evelyn Bonander Frank A. Knox Dr. Bartlett was noted for medical research on the M/M J. R. Ward May, 1979 diagnosis and treatment of cancer and goiter. He Bill Burkett Joseph T. Greco was a graduate of the University of Michigan Medical School and during World War II, served Published monthly for employes, doctors, volun- as a lieutenant colonel in the Army Medical teers, Auxilians, donors, former and retired em- Memorial Endowment Fund Corps. ployes, patients and other friends of Barnes Hos- pital. Available at no charge by contacting the Lewis & Ruth Engler Public Relations Office, Barnes Hospital, Barnes Walter Farner Barnes doctors honored Hospital Plaza, St. Louis, Mo. 63110(314)454-3515 Harvey Jones Two Barnes doctors were among nineteen St. IN MEMORY OF: kDaisy Kramer, Editor Louis area physicians honored for 50 years in Milton Flechsig Thomas Winston (father medicine at the annual meeting of the Missouri Gail Johnston, Writer Clara & Bert Tremayne of Tom Winston) State Medical Association in St. Louis Saturday, Charlene Bancroft, Writer Judith & Walter Hanses Edna Hailstone April 21. Those honored were Drs. Guerdan Jim Hubbard, Director William & Sheryln Hardy, assistant otolaryngologist, and Robert E. Copyright 1979 by Barnes Hospital Hailstone Votaw, assistant otolaryngologist-emeritus. O>50 ^5- Crocheted caps are new items in premie nursery

It's not because they look cute . . . and it's not because they're off to the slopes for a little skiing. ^May/l979 The babies in Barnes Hospital premie nursery are Banrfes Hospital, St. Louis, Mo. now wearing colorful crocheted caps for a medi- cal reason.

"Wearing the caps helps them to utilize calories from milk for growth instead of using it for heat maintenance," said Jane Clausen, assistant head nurse. A prime concern with premies is that they retain their body heat. Because there is such a large surface area of skin on the head which isn't normally covered as compared to the size of a baby's body, much of the heat loss is through the head.

The idea for the stocking caps came from a news- paper article which Ms. Clausen's mother had sent to her about the same thing being done in to a crib. When they reach five pounds, they are an out-of-state hospital. Staff nurse Karen Bales normally allowed to go home. The length of their told her retired aunt, Helen Peters, about the idea stay in the premie nursery usually depends on and she crocheted several samples in various how little they were when they were born. Ms. colors to determine the correct size. Clausen pointed out that it is very important to keep them warm because cold stress is really "The mothers are really excited about it," Ms. hard on them and can worsen their condition. Clausen said. "If they don't have them on their "Any premie has a hard time keeping his temper- babies, they want them." Presently, there are 10 ature up," she said. "They have less fat to burn." babies wearing caps; they are especially used on the little ones who need more help to maintain When the stocking caps first came to the nursery, their body temperature. they were gas autoclaved to make them sterile and then were allowed to air before being placed Premature babies are first placed in an incubator. on the babies. When a baby goes home the cap When they reach the weight of four pounds and that he was wearing is sterilized again for the seven ounces, they graduate from the incubator next baby to use. Barnes Bulletin Barnes Hospital Barnes Hospital Plaza St. Louis, Mo. 63110

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