174 FIFTEENTH BIENNIAL REPORT

30-SUP-ENM

Hospital for Crippled Children, St. Paul

174 FIFTEENTH BIENNIAL REPORT

Carl C. Chatterton, M. D. - - - - Surgeon-in-ChiefW allace H. Cole, M. D. - Assistant Surgeon-in-ChiefElizabeth McGregor SuperintendentGrace Jones, D. D. S. - - - - DentistV. E. Heinecke . . . . . . . Steward

Institution opened in 1911Capacity o f institution______________________________________ 250Area o f grounds, acres_______________________________________ 23Value of lands and buildings------------------------------------------------$ 582,337.00Value o f personal property__________________________________ 50,511.00

Expenditures for year ended June 30, 1930:Current expense_______________________________________ $ 179,591.51Repairs and replacements---------------------------------------------- 12,391.93Permanent im provem ents---------------------------------------------- 9,321.11M iscellaneous__________________________________________ 10,961.72Gross per capita cost, current expense---------------------------- 791.15N et per capita cost, current expense------------------------------ 790.92

Number of officers and employes-------------------------------------------- 159

To the State Board of Control:T h e amount of w ork at the Gillette State Hospital for Crippled Chil

dren is yearly increasing and, because o f advances in the art o f caring for the individual w ho is suffering from disease or injury producing deformity, the individual is leaving the institution better equipped to compete with normal individuals and more able to become self-supporting than ever before.

T he institution has become so large, the character o f the w ork so specialized, that it is impossible for any one individual to care successfully and to the best advantage for all the types o f deformities and diseases that come. This is done, however, by various physicians and surgeons especially interested in certain fields o f medicine and surgery, and to the staff as a whole the credit o f such a report o f work done is due.

I wish to thank the many physicians o f the staff for their willingness and cooperation, who, without thought o f remuneration and with financial loss to themselves, have made such a record and report possible.

Year by year the practice o f medicine and surgery becomes more socialized, more specialized and more difficult. It is now less easy to interest the average specialist in a charitable service in any institution without some financial return.

STATE BOARD OF CONTROL 175

I strongly recommend that your H onorable Board investigate similar institutions and ask the next legislature for some financial return to those who in the past years and in the future w ill give so freely of their time, knowledge and skill to the hospital.

Cooperation o f the physicians and surgeons in the community in which the deformed child lives has always been commendable. I wish to thank them for their accuracy in filling out the application blank, which at times is the only history o f the case available when the patient is admitted to the institution.

H ouse Sta ff

O ur experience in the last tw o years, having a paid resident, has been very satisfactory. Rotation of internes from institutions in the T w in Cities has proved only relatively satisfactory, and inasmuch as it is impossible to secure internes or resident without a salary, the present arrangement should continue.

R esident D en tist Service of the resident part-time dentist, who has taken care of not only

hospital patients, but many in the Out-patient Department, has proved entirely satisfactory, as the inclosed report shows. I certainly recommend the continuation o f a part-time paid resident dentist.

P h ysio th e r a py an d M e c h a n io t h e r a py D epartm en ts A m ong the aids in treatment, physiotherapy and mechaniotherapy have

played the most important part in the past few years. T h e present staff have been most helpful in their care and suggestion in treatment, and I can but thank them for their devotion to the institution and patients.

Sch ool I n stru ctio n School instruction to patients is o f great value, not only because of men

tal training but many long hours, otherwise wasted, are saved by such training, and the joy of learning and occupation are most beneficial. M any children leave the institution, even though they have been bed patients for months, with no loss of credit as far as their school work is concerned.

Social Service D e par tm e n t T h e need of a complete social service department is extremely felt, as

recommended tw o years ago. Further investigation o f the financial condition, as before admission, is necessary in conjunction with the present investigation made by the Board of Control. Supervision upon leaving the institution is still a necessity. W hile we feel that the patients coming to the G il


lette State Hospital are practically, in every instance, indigent, further investigation, I believe, is necessary if we expect to avoid abuse of the institution by patients able to pay.

O u t -P a t ie n t D e par tm e n t T h e Out-patient Department has been very active during the past two

years and more children come for inspection and treatment than in the past, leaving beds in the hospital for those who are unable to come and go, or those that require hospital care.

N eeds of t h e I n stitu tio n T h e needs o f the institution have been very carefully enumerated by

Miss M cG regor, Superintendent.

C on clu sio n

For the entire staff I wish to thank the Board of Control for their special interest, guidance and thought in helping the progress of the Gillette State Hospital and the care of the indigent crippled of our state.

Respectfully submitted,C arl C . C h a tter to n ,

Chief o f Staff.

R E P O R T O F T H E S U P E R IN T E N D E N T

To the State Board of Control:T h e follow ing report is respectfully submitted for the biennial period

ended June 30, 1930:

Po pu latio n

There has been a slight increase in the daily average during this period. T h e time in the hospital has averaged seven-plus months. T h e waiting list on this date is 248.

Ed u c a tio n a l W ork A nine months’ term with three months’ summer school continues to be

our yearly school program. T h e floating population, resultant from weekly admittances and discharges, keeps the school staff awake to the fact that every minute o f the time the -children spend in school must be counted most importantly. T h e children may turn to their school work daily after all hospital departments are through with them. W ith this handicap o f time, due to rest hours, medications, dressings, sun treatments, physiotherapy, dentist, x-rays, operations and postoperative care, the school department looks with gratitude and pride upon all successful accomplishments o f the children.


T h e June, 1930, report o f the State Board o f Examinations credits the school with 69 junior and senior high school subjects passed successfully. Credits earned honestly mean much thought, study and happiness to hospital patients.

Solomon’s Tem ple, o f last year’s work, has seemed to be one o f our outstanding projects. It shows true, friendly cooperation o f five departments: occupational therapy, library, English, mathematics and Sunday School. Soap, wood, clay, cement, plaster and brass all mingled to construct the T em ple. T h e project has received much admiration. From the w ork done in soap carving two students won scholarship in the A rt School. Another very worth while project has been the large puppet stage. A disappearing orchestra pit, the electric wiring, the framework, stage drops and decorative work have been done entirely by the students. A coffee project by the intermediate grade children w ill show coffee from the plantation to its finished product. This will include much geographical history before the work is completed.

Summer school shows variations of work from year to year. Nature study classes of last year made intensive studies of all trees, shrubs and plants found on the school grounds. This summer tap dancing finds children eager for lessons. Social dancing follows second. Cooking classes have more applicants daily. Piano lessons and the A rt of W histling keep other students busy. T im e must always be found for the old favorite games of baseball, tennis and volley ball. O utdoor dramatization through library channels will be featured this summer. Occupational therapy and shop work, without which the children would feel unsatisfied, complete the program.

T h e Trade Dressmaking course has been given each year over the biennial period. Eight students have been enrolled.

A weekly newspaper, edited by the primary children, kept the school in touch with the latest news o f our own w orld.

A n afternoon tea gathering o f about 20 girls w ho had been patients formed the nucleus o f the first alumni meeting. T h e gracious feeling o f appreciation and thought for the hospital by these former patients can not but help to form a splendid alumni.

T r a in in g Sch o o l for N urses

T h e responsibility o f this School o f Nursing is, first, the care of the patients and, second, the instruction o f the students who come to us— for two, three or four months, depending upon the school needs— from accredited schools affiliated in Minnesota and other states.

Yearly the interest and demand for graduate nurses who have been instructed in this field grows, and we are happy to contribute toward its further advancement.


T h e increasing success o f this school is maintained through the unfailing interest and cooperation o f the entire orthopedic and pediatric staff who give freely o f their time for lectures, demonstrations and bedside clinics throughout each year, including the summer months; o f the dentist who through her lectures on oral hygiene and her time spent in giving personal instructions to our students, not only on the care of the child’s mouth and teeth, but also on the care o f their o w n ; o f the dietitian for her painstaking preparation and supervision of the work of our students in this department; the physiotherapists through their lectures, demonstrations and their instructions in swimming; to the hospital and children’s librarians for their interest and for the instruction o f the students in the value of books and book selection in the children’s hospitals and in the home. N ot the least o f our success is due to the direct example and close supervision o f the graduate nurse of each ward in which the student is placed who, consciously or unconsciously, acts as a model after which the student patterns her work and her attitude of approach to her work. Bearing this in mind, we endeavor to secure and maintain only nurses of a very high caliber of fitness' for undertaking this type o f child nursing. O nly women whose example the student both on and off duty may strive to fo llow are retained.

I m provem ents

A new x-ray vault has been built, which is large enough to store safely the ex-rays for the hospital for many years to come.

N ew electric outlets have been put into wards as required for safety.T h e machinery in the bakery has been overhauled and obsolete machin

ery replaced.A new dishwashing machine was purchased during this period.T h e sterilizer for mattresses has been moved from the basement of

W ard 8 to the boiler room as a safety measure.T h e patients' mattresses and beds throughout the hospital have been

renovated and enameled.Eighteen cubicles have been added to the wards.T h e brace shop has been completed, and we are now making all the

braces and appliances. This will reduce the days in the hospital as the braces w ill be gotten out more promptly than when we had to send them out to be made.

Painting walls and ceilings, refinishing floors, repairing plaster and screens, is routine work and takes the full time o f one man.

There was an appropriation for special work on the grounds for the years 1929-30, and the west end of the property was graded and planted. T h e result o f this work has been very satisfactory. However, there Was rio


appropriation for the care o f the grounds for 1930-31, and any improvements and care for this year must be made from our support fund.

N eeds of t h e I n stitu tio n

Appropriations are requested as fo llow s : Curbing and sewers, $900; paving, $1 ,000 ; improving grounds, $4 ,000 ; nurses’ home, $91 ,800 ; completion east wing, $10,000; sun room, $6 ,000 ; cement platform, $1 ,500; poultry house, etc., $1 ,600 ; addition to greenhouse, $1 ,000 ; cubicles, $1,500; generator, $17,200; ice machine, $3 ,000 ; steel doors and frames, $500; water softener, $4 ,000 ; heat control and humidifier, $3 ,000 ; power plant repairs, $1 ,000 ; laundry equipment, $500 ; repairs D ow ling H all, $2 ,000 ; repairs and betterments, $8 ,000 ; electric clocks, $ 7 5 0 ; furniture and equipment, $8 ,000 ; equipment nurses’ home, $7 ,500 ; equipment east wing, $3 ,000 ; laboratory and operating equipment, $4 ,000 ; brace-making shop, $18,000; instruction and amusement, $4 ,000 ; library, $ 500 ; social service work, $12,000; and current expense, $360,000.

G ifts, B equests a n d D o n ation s

T h e estate left by E. J. Seitz has been settled and the amount left to this hospital has been turned over to the state. T h e property, valued at about $42,000.00, will be available for permanent improvement in the near future.

H enry H ovey Dickey left $2,000.00, which, with the legacy from H erman Benz o f $2,500.00, w ill be used for additional treatment rooms.

T h e Saint Paul Daily News collected and gave to the hospital $1,869.- 18 in 1928 and $2,003.00 in 1929.

T h e income from the State Editors Association and the State Bankers Association endowment was used in 1928 and 1929 for tuition for Harold Langmo, a senior in the Department o f Journalism at the University of Minnesota, and in 1929 and 1930 for supplies for the students attending the A rt School in St. Paul.

T h e State Fair Board gave tickets o f admission each year to all children able to attend the State Fair.

T h e State Capitol employes gave their annual Christmas parties, with gifts to all the children o f the hospital.

T h e M asonic W om en continue to mend and sew for the children, subscribe for new magazines and furnish entertainment.

T h e Ramsey County M edical Auxiliary mends, sews, does book-binding, furnishes entertainment through story-telling, assists in teaching and has given new and used garments for the use of the children.

T h e St. Paul Junior League makes new garments and assists in the Out-patient Department.


T h e patrons o f the C hildren ’s Symphony in St. Paul furnish tickets to the C hildren ’s Symphony, w ith transportation.

T h e Schubert Club furnishes musical entertainment at intervals throughout the year.

P . W . H erzog continues to send his car at regular intervals to take the children riding.

Theaters, bands, churches and individuals give so generously that all available time for entertainment is taken weeks in advance.

T h e D om e C lub sews and mends and furnishes many useful garments.These and many other organizations and individuals give o f their ef

forts and show their desire to help in countless ways.

C o n c l u s io n

I wish to express gratitude to all those w ho help to bring happiness and encouragement to the children o f this hospital; to the staff and employes for their continued loyalty and efficient service; to the medical and surgical staff whose untiring efforts and continued interest make the hospital possible; and to the Board o f C ontrol whose interest, support and vision for future progress are a constant incentive for all to put forth their best efforts and to give the best service possible in every department.

Respectfully submitted,E l iz a b e t h M cG regor,

Superintendent.


III. STATISTICS OF INSTITUTIONSA ge, M arita l Condition, N ativity and Parentage o f Persons

Adm itted to State Institutions

Year Ended Year EndedClassification June 30, 1930------------------ - <--------- June 30, 1929------ --

Male Female Total Male Female Total

AGE GROUPUnder 10 years__________________________ 26310 to 14 years___________________________ 20515 to 19 years------------------------------------------ 40820 to 24 years_______ - ________ __________ 40425 to 29 years____________________________ 26530 to 34 years___________________________ 20635 to 89 years___________________________ 18340 to 4 4 years___________________________ 16746 to 49 years___________________________ 12650 to 54 years___________________________ 11955 to 59 years___________________________ 9360 to 64 years___________________________ 9165 to 69 years___________________________ 6570 to 74 years_________- _________________ 6675 to 79 years___________________________ 4280 years and over_______________________ 39Age unknown____________________________ 10

Total admissions_________________ 2,752

M A R IT A L CO N DITIO NSingle ____________________________________ 1,800M a r r ie d __________________________________ 673W idowed ________________________________ 130Separated ________________________________ 57Divorced _________________________________ 73Unascertained __________________________ 19

Total admissions_________________ 2,752

N ATIV ITYUnited S ta te s___________________________ 2,279Asia (not otherwise specified)__________ 9Australia _______ - _____________________ _____Austria __________________________________ 24Belgium _________________________________ 2Bohemia _________________________________ _____Canada (includes Newfoundland.)______ 37China ____ ______________ ______ __________ 1Cuba _____________________________________ _____Czechoslovakia __________________________ 2D enm ark__- ______________ _______________ 17England _________________________________ 12Europe (not otherwise specified)_______ 6F in la n d __________ ________________________ 39France - __________________________________ 3Germany - _______________________________ 38G reece__________________ _________________ 1Hawaii _______________ .__________________ _____Holland __________ - _____________________ _____Hungary ___________________________ _____ 3Ireland __________________________________ 8Italy _____________________________________ 8Japan ____________________________________ _____Lithuania - __________ ___________________ 1Mexico ___ ______________________________ 12N o rw a y__________________________________ 71Philippine Is la n d s ______________________ 2Poland — — ____________________________ 15R oum an ia_______ _______________________ 1R u s s ia ____________________________________ 19Scotland ______ ~_________________________S p a in --------------------------------------------------------- 1

168 431 235 148 383114 319 195 111 306197 605 402 211 613123 527 335 107 442

91 356 247 119 366109 315 205 113 318113 296 200 124 324

90 257 196 96 29271 197 164 74 23860 179 115 60 17549 142 88 55 14337 128 58 31 8938 103 75 30 10518 84 54 27 8117 59 47 16 6321 60 30 26 56

4 14 7 5 12

1,320 4,072 2,653 1,353 4,006

746420101

1731

5

2 ,5461,093

23174

10424

1,742676108

278713

757409125

1741

4

2,4991,085

23344

12817

1,320 4,072 2,653 1,353 4,006— ~ = ==== =

1,114 3,393 2,172 1,124 3,296----- 9 --- - -----1 1

3 27 20 9 29__ 2 __ 2 22 2 3 4 7

17 54 39 17 50—-- 1 1 1----- __ 1 —--— 12 4 6 6 125 22 10 6 162 14 10 4 14___ 6 1 1

11 50 34 ~~17 511 4 3 2 5

33 71 52 37 89- 1

15 ----- 5

3 3 1 42 5 4 4 84 12 12 3 151 9 8 2 10----- ----- 5 __ 5

1__ 12 2 1 340 111 78 36 114__ 2 1 __ 110 25 25 8 33

2 3 3 _ 35 24 14 " 7 212 2 8 2 10----- 1 ———— __ ___

208 FIFTEEN TH BIEN N IAL REPO RT

Sanatorium for Consumptives— Concluded

Year Ended Year EndedClassification .--------June 30, 1930--------> /--------June 30, 1929-------

Male Female Total Male Female Total

O CCU PATIO N (Concluded)M iscellaneous:

Accountants, bookkeepers and cashiers -------Clerks (not salespeople) -------------------Stenographers and ty p is ts ------------------ -------Students _______________ _______________ 16Laborers (not specified) — ___________ 22Others in this c la s s ----------- .--------------- 7

U nclassifiable ------- ---------------------------------- 1

Total adm ission s------------------------------ 142

C O N DITIO N ON D IS C H A R G EAdmitted as incipient:

Apparently a rre s te d ---------------------------- 25Quiescent - ------------------- ---------------------- 14Im proved _____________________________ _____U nim proved __________________________ 3D ie d ___________________________________ -------

Admitted as moderately advanced:Apparently a r r e s te d ---------------------------- 6Quiescent - ___________________________ 35Im proved _____________________________ 1Unimproved ---------------------------------------- 7D ied __________________________________ 5

Admitted as fa r advanced:Apparently a rre s te d __________________ _____Quiescent -------------------------------------------- 20Im proved _____________________________ 2Unimproved __________________________ 8D ied __________________________________ 11

Non-tuberculous -------------------------------------- -------

Total discharged and d i e d ________ 137

O CCURRENCE OP H E M O R R H A G E IN P A T IE N T S D IS C H A R G E D

Had hemorrhage prior to admission butnot during re s id e n ce _________________ 37

H ad hemorrhage during re s id e n ce ------- 10No history o f hemorrhage at any time__ 80N o in fo rm a tio n ______________ ____________ 1

Total discharged and d i e d _________ 137

SPU TUM E X A M IN A TIO N OP P A T IE N T S D ISC H A R G E D

Bacilli prior to admission but notduring r e s id e n ce ______________________ 17

Bacilli during res id en ce_________________ 70N o bacilli at any t im e _______ ..__________ 44No examination or no sp u tu m __________ 6

Total discharged and d i e d _________ 137

Bacilli on d is ch a rg e _____________________ 43No bacilli on d isch a rg e__________________ 94No inform ation - _________________________ ____

Total discharged and died . _______ 137

3 2 2 1 324 6 7 13

4 4 1 7 826 42 13 26 39__ 22 16 __ 16

1 8 __ __ --------- 1 2 ----- 2

115 257 137 128 285

22 47 33 41 7416 30 14 14 28_ _ 1 1 2

5 7 101

171

3 9 8 4 1221 56 24 13 37

9 10 3 4 711 18 18 17 353 8 4 ----- 4

10 3 018 1

19

3 11 9 1 410 21 6 15 21

---- ----- 1 2 3

114 251 137 128 265

26 63 33 25 5814 33 16 9 2574 154 88 93 181---- 1 ----- 1 1

114 251 137 128 265

106335

6

27133

7912

187049

66656

24136105

114 251 137 128 265134 77 49 53 10280 174 88 71

4159

4

114 251 137 128 265


G illette State Hospital for Crippled ChildrenClassification

Year Ended June 30, 1930-—------■Male Female Total

Year Ended-------- June 30, 1929--------- .

Male Female Total

P O P U L A T IO NIn institution at beginning o f y e a r ------- 110 131

Admitted ---------------------------------------------- 125 127Transferred from out-patient depart-

ment ------------------------------------------------ 82 91

Total under c a r e __________________ 317 349

Discharged - _____________________________ 1 3Died _____________________________________ 5 2Transferred to out-patient department— 196 215In institution June 30 - _________________ 115 120

Average popu lation ---------------------------------- 110 117Admitted as ou t-pa tien ts_______________ 27 23

A G E G R O U P — -U nder 1 y e a r ------------------------------------------ 12 51 year -------------------------------------------------— 9 102 y e a r s ----------------------------------------------------- 13 93 y e a r s ------------------------- _________________ 15 124 y e a r s -------------------------------------- -------------- 4 85 to 7 y e a r s -------------------------------------------- * 21 238 to 10 y e a rs --------------------------------------------- 29 2711 to 13 years 19 2014 to 16 y e a rs ---------------------------------------— 17 1817 to 20 y e a r s ___________________________ 10 1321 years and o v e r ________________________ 3 5

Total adm issions------------------------------ 152 150

N A T IV IT YUnited S ta te s ------------------------------------------ 143 143Austria .---------------------------------------------------- -------- -------Canada (Includes N ew foundland )— — 1 ________Finland ------------------------------------- -------------- ------- --------G e rm a n y --------------------------------------------------- 1 3I t a l y --- ------------------------------------------------- -- 1 ________M exico ------------------- - ----- ------------------- . . . . 3P o la n d ___ - — ---------------------------- -------------- 1 ________Roum ania ------------------------------------------------- --------Russia - __________________________________ 2 ________Yugoslavia -----------------„ ------------ -— --------- -------- 4

Total a dm ission s------------------------------ 152 150

P A R E N T A G EN ative parentage 113 107Mixed p a ren ta g e------------------------- ------------- 14 14Foreign p a re n ta g e -------------------- ------------- 25 29

Total a dm ission s__________ .________ 152 150

CO N D ITIO N ON TR A N S F E R TO O U T -P A TIE N T D E P A R T M E N T

C u r e d --- -------------------------------------- -------- — 10 12Im proved — — _________________ ________ 175 199Unimproved _________________________ 3 2Untreated ----------------— ---------------- 9 5D ied _____________________________________ 5 2

Total ------------------------------------------------- 202 220

D U R A TIO N OF ST A Y OF PA TIEN TSLess than 3 months - _______________ . . . 89 613 to 5 months — --------------------------------- — 50 556 to 12 months______________ _____________ 35 601 year but less than 2 _________________ 16 292 years but less than 3 __________________ 7 88 years and o v e r ____________- ______ 5 7

Total ------------------------------------------------ 202 220

241252

173

666

422

150105

95451512

422

12091

47

411244

22750

17192227124456393523

8

286

305

24

189110

11329

878 7 6

23201911101

120

1152

302

2202854

302

22374

514

7

9169

744

193

66356224

24

13072

286

32150131

12510

428

10121414

7

82

79

7138

442

155

3938522015

250163

178

591

56

339241

23839

161012

914333233 25 171

202

1942

120 82 202

76 51 12722 13 3522 18 40

120 82 202

1630711

86

348

10578

11444

39

155 348


G illette State Hospital for Crippled Children— ContinuedYear Ended Year Ended

Classification .--------June 30, 1930-------- .,-------- June 30, 1929-------Male Female Total Male Female Total

O PE R A T IO N S FROM JU L Y 1, 1928, TO JU NE 30, 1930

a d e n o m e cto m y _______________________ 4Amputation __________________________ 7Appendectomy - _________________ ___ 4A rth rod es is___________________________ 114A rth ro tom y ___________________________ 3Arthroplasty _________________________ 2Biopsy _______________________________ 4B lood transfusion ___________________ 5Bone b l o c k ___________________________ 22C apsn lotom y__________________________ 8Circumcision _________________________ 11Cleft palate repair_____________________ 7Cleft p a la te ___________________________ 13Contracture b u r n _______ __________ _ 1Contracture s c a r _____________________ 1Correction for subluxation___________ 3Cystoscopy ___________________________ 3Dissection o f forearm for Volkm an’s

ischaemic p a r a ly s is_______________ 2Division o f sternocleido mastoid______ 1Division o f ulnar n e r v e ______________ IDrainage o f abscess__________________ 14Excision— scar t is s u e _______________ 8Exploratory o p e ra t io n _______________ 5Extraction of teeth___________________ 149f a c s io t o m y ___________________________ 4Fracture for correction o f anterior

bow ing _____________________________ 1Fusion o f hip__________________________ 6Fusion of spine________________________ 20H erniotom y __________________________ 1Incision and drainage_________________ 18Insertion o f Steinman pin___________ 9Laminectomy -------------------------------------- 2Laparotomy e x p lo ra to ry _____________ 1Lengthening of hand strings_________ 3Lengthening o f heel cords___________ 3Lengthening o f tendo A ch il lis _______ 8Manipulations _______________________ 60Mastoidectomy _______________________ 4Modified A lb e e __________ _.____________ 1M y o to m y ---------------------------------------------- 3

Needling eye for cataract_____________ 2Neurectomy __________________________ 11Open lengthening o f leg______________ 2Osteoclasia — - ______________ - ______ 9O steotom y___ _____________________..____ 50Osteomyelitis radical operation______ 5P a ra cen tes is__________________________ 8Plastic r e p a ir _________________________ 7Reduction of fracture_________________ 8Reduction o f hip— closed____________ 5Reduction o f hip— open______________ 9Reduction o f ra d iu s __________________ 1Removal o f foreign body______________ 3Removal o f opaque lens capsu le-— — 2 Removal of osteochondromata from

ulna ___________________________ ____ 1Removal o f sequestrae_______________ 28Removal o f spina b i f id a ______________ 1Removal o f Steinman pins___________ 2Removal o f supernumerary toes______ 1resection of knee____________________ 4Resection o f obturator n erve ; division

of adductor longes and lengtheningtendo A c h il l is ______________________ 1

Resection o f submucous nasal septum 1Shelving operation hip (A lbee) 13Skin g r a f t _____________________________ 4Soutter fasciotomy and tendon trans

ference ___________ ______ _______ — 19Spinal g r a f t _________________________ 11Straightening hammer toes___________ 4Stripping o f oscalces__________________ 4Sympathectomy p e r ia r te r ia l_________ 2Tendon tra n s fe re n ce _________________ 21Tenodesis _____________________________ 2Tenotomy ________________________ .___ 30Thyroidectomy _______________________ 2T on sille ctom y ________________________ 29Tonsillectomy and adenoidectomy___ 104Torticollis c o r re c te d __________________ 5Transfer of biceps to the patella------- 1

B R AC ES A N D A P P L IA N C E S FR O M JU L Y 1, 1928, TO JUNE 30, 1930

Spencer corsets ______________________ 18Spencer corsets repaired and adjusted 12Thomas sp lin ts_______________________ 5Special s h o e s _________________________ 58Shoes repaired and adjusted------------- 1,140New ja c k e t s __________________________ 107Jackets repaired and adjusted_______ 112New b r a c e s ___________________________ 619

Braces repaired and adjusted_________ 615New special ap p aratu s_______________ 34Artificial l im b s ------------------------------------ 12Artificial limbs repaired and adjusted 20Artificial eyes fu r n is h e d _____________ 8Glasses fu rn ish e d _____________________ 124Glasses r e p a ire d ---------------------------------- 128

D E N TA L W O R K FR OM JU L Y 1, 1928, TO JU NE 30, 1930

Number of patients treated---------------- 1,063Number o f p rop h y la x is______________ 1,903Number o f fillings:

Amalgam __________________________ 1,004C e m e n t_____________________________ 260Synthetic p o r c e la in _______________ 361

Number o f pyorrhea treatments______ 66

N umber of extractions:Deciduous t e e t h ___________________ 294Permanent t e e t h __________________ 71

Number o f orthodontia cases.— . __- 5Number o f orthodontia visits_________ 00Number o f crow ns_______ ______ — 2Number o f partial plates_____________ 1


Gillette State Hospital for Crippled Children— ConcludedX -R A Y AND L A B O R A T O R Y W O R K FROM JU L Y 1, 1928, TO JUNE 30, 1930

U rin a ly s is -------------------------------------------- 8,720Blood Exam inations:

Hemoglobin ------------------------------------ 1,531Red blood count___________________ 1,258White blood count__________________ 1,410D ifferen tia l_________________________ 617Coagulation t im e __________________ 920Blood m a tc h in g ______ _____________ 6Bleeding t im e ______________________ 216Blood g r o u p in g ___________________ 57P. S. P . te s ts ______________________ 2Platelet count _____________________ 3Pus examinations _________________ 11

W a sserm a n s__________________________ 857W idal _________________________________ 15Blood cultures:

Blood ch em istry___________________ 20Blood tolerance - - ___ __ __________ 1Blood c a lc iu m s ___________________ 9Blood s u g a r ------------------------------------ 2

T issues:Gross ---------------------------------------------- 115M icroscopic ------------------------------------ 62

Spinal fluids:Cell c o u n ts _________________________ 14Colloidal g o l d ---------------------------------- 14Cultures ------------------------------------------ 14Globulins ---------------------------------------- 14W asscrm a n _________________________ 14

Guinea pig inoculations______________ 48Gastric a n a ly s is ---------------------------------- 9Stool exam inations___________________ 6S m e a r s ----------- — ---------------- ---------------- 397S p u tu rn s------------------------- ----------------- 114

V a ccin es :Comb. sc. fever and diphtheria___ 784Triple t y p h o id _____________________ 19Typhoid ____________________________ 24Smallpox __________________________ 411Diphtheria _________________________ 43Scarlet f e v e r ________________________ 23 7Pertussin _______________ __________ 460Antitetanus _______________________ 2

A n titoxins:Toxin a n tito x in -------------------------------- 31Antitoxin __________________________ 56Scarlet t o x i n ______________________ 662Tetanus antitoxin _________________ 3Diphtheria toxin. __________________ 94Comb. sc. fever and diphtheria___ 468

Foreign protein v a c c in e s _____________ 44Foreign protein antitoxins___________ 40Sinus c u ltu re s ___________ - __________ 9E xudates:

Nose and throat c u ltu re s__________ 3,154Basal m etabolism _____________________ 4A u to p s ie s __________ .._________________ 12X-ray departm ent:

Number of x-rays taken___________ 4,323Radiographic con su lta tion s_______ 63X-ray therapy _____________________ 18Fluoroscopic ex a m in a tion s_______ 55Cystoscopic examinations___________ 0

Photographs taken __________________ 1,778Tests:

Sedimentation and fibrinogen____ 100Tularemia _________________________ 3Malta f e v e r _________________________ 3Von P ir q u e t _______________________ 777M a n te a u ___________________________ 18D ick _______________________________ 1,281S c h ic k ______________________________ 1,247

P H Y S IO T H E R A P Y FR O M JU L Y 1, 1928, TO JUNE 30, 1930

H ouse patients:Muscle t e s t s _______________________ 311Suspensions ------------------------------------ 4 ,270T rea tm en ts -------------------------------------- 24,086Diathermy -------------------------------------- 114Swimming pool treatm en ts_______ 4,324Swimming pool lessons_____________ 5,686

H eliotherapy:D irect sun trea tm en t_____________14,807Alpine la m p ------------------------------------18,157Burdick la m p ----------------------------------11,278Carbon a r c -------------------------------------- 80Kromayer la m p ___________________ 2,014Q u a rtz lite ---------------------------------------- 9,126

Out-patient department:Muscle t e s t s _______________________ 42T re a tm e n ts_________________________ 967Suspensions _______________________ 56

H eliotherapy:K rom ayer l a m p ------------------------------ 90Alpine la m p _______________________ 12B urdick lamp _____________________ 47Diathermy _________________________ 62

PL A ST E R D R ESSIN G S FROM JU L Y 1, 1928, TO JUNE 30, 1930

Plaster d re ss in g s______ ---------------------- 5,634 Plaster m o d e ls ____ _ ______________ 604

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174 FIFTEENTH BIENNIAL REPORT