0 9 - S U P - A B A

300 FIFTH BIEN N IAL REPORT STATE BOARD OF CON TROL

TA B L E NO. 2.O C C U P A TIO N O F P A T IE N T S A D M IT T E D .

Occupation. Male.Attorney . ............................... 1Barker .................. .................. 3Bartender .............................. .. 3Brakeman .............................. 2Butcher ................................... 2Carpenter ............................... 8Chemist ................................. 1Chaufeur .......... ..................... 2Cigarm aker ........................... 4City fire departm ent........... 1Civil engineer........................ 1Clergyman ............................. 3Clerk and bookkeeper........ 28Cook ......................................... 1D om estic .........................................Electrician ........................... 2Engineer, lo c o m o tiv e ........ 1F actory operative ........ 1Farm er ................................... 36H om e work : ...................................H ousewife .......................................Laborer ................................... 4

F e­male.

11

*30

1643

F e-Ocoupation. Male. male.

M achinist ............................... 3M illiner ........................... .. . . . 5M iner ....................................... 1Miscellaneous outdoor w ork 15 . . . .Painter .................................... IPrinter ........ ..................... . 6 1Pullman p o r t e r .................... 1Salespeople ............................ 16 6Seamstress ..................................... 10Steamfitter ............................ 3Stenographer .................. ............... 6Student ................................. 13 17Tailor ....................................... 4Teacher .................................. 3 4team ster ............................ 7Telephone and telegraph

operator .............................. 2 1Trained nurse .......... ..................... 1Traveling salesman . . . . . . . 5W atchm aker ......................... 1

T otals .................. ................. 185 T i l

TA B L E NO. 3.CASES T R E A T E D IN S A N A TO R IU M A T T H E E X P E N S E O F C O U N TIE S , FROM

T H E O P EN IN G O F T H E S A N A TO R IU M T O A U G U S T 1, 1910.

County.A itkin ........Anoka ........Benton ........Blue EarthBrown ........Clearwater . Crow W ing Douglas Hennepin .. Hubbard . . . Itasca . . . . . .Lyon ............Marshall . . . Mille Lacs . Morrison . . .

Num ­ber.

111

112

20

County.N icollet ................Norm an ..............Pine ......................R am sey ..............Renville ..............Roseau ..................St. Louis ............Stearns ................W adena ..............W ashington . . . .W right ................Yellow Medicine

N um ­ber.

121

84 1 1 3 1 1 1 1 1

T ota l.................................................. . 144

The above table shows that 30.9 per cent of all patients treated in the sanatorium, to date, have been supported, wholly or in part, by counties.

C RIPPLED AND DEFORM ED CHILDREN. 301

State Hospital for Crippled and

Deformed Children

December 31,1909.The Honorable State Board of Control.

Dear Sirs: Herewith Is respectfully submitted the report of the State Hospital for Crippled and Deformed Children for the twelve months ending December 31, 1909. On the following pages will be found a carefully pre­pared exhibit of the professional concerns of the hospital, together with other tabulated statistics necessary for your information.

I again beg to call your attention to the recommendation made in last year’s report, that some action be taken by your honorable board to secure an appropriation for the erection of a new hospital building on the property presented by this city and county to the state, for that purpose, some two years ago.

It seems unnecessary for me to tell you that the present structure occu­pied by these little patients is entirely inadequate in every particular for the purposes for which it is used.

The property to the east of the hospital included in the donation would make a splendid hospital site, considered from every point of view, especially for an institution caring for this class of patients. If the state should con­clude to build on it, I think, it would be found on comparison, that few hos­pitals of any kind have been fortunate enough to secure a site having so many advantages.

In the operation of this department the state is maintaining one of its greatest and most practical charities, one from which the beneficiary of its philanthropy and munificence receives the most substantial and material aid. It is not an uncommon occurrence for children to be brought to this hospital lor treatment, who, because of their diseases or deformities, would remain ,helpless and hopeless dependents, to leave the institution after a course of treatment cured of their maladies and with their deformities corrected; physically and mentally prepaid to take on the burdens and responsibilities of life, an undertaking sufficiently important to warrant the state in provid­ing means, to meet all reasonable demands, and we are of the opinion that a demand for a new building is a most reasonable one.

I desire to call your attention to the urgent necessity for a wire screened cottage to provide for the outdoor care and treatment of our tuberculous children. The old structure which we used for that purpose was last year condemned by your visiting committee, and has been removed from the grounds. There is ample space in front of the state building for the cottage and in order that we may get the benefit of it during all of the season, its erection should be begun at once.

302 FIF T H BIEN N IAL R EPO RT STATE BOARD OF CONTROL

Our grateful acknowledgments are due Dr. Arthur J. Gillette and his as­sistants for their unswerving and faithful service, also to the other officers and employes of this department for their faithful co-operation in advancing its interest.

We are indebted to many friends for numerous gifts of fruit, flowers, periodicals and toys, as well as several musical entertainments that have in no small measure contributed to the comfort and welfare of our patients.

Assuring you of my appreciation of the courteous consideration, which I have received at your hands, I am,

Very truly yours,ARTHUR B. ANCKER, M. D.,

Superintendent State Hospital for Crippled and Deformed Children.

S TA TIS TIC A L TAB LES.

N U M B ER O F P A T IE N T S R E C E IV E D IN T O H O S P ITA L FO R T R E A T M E N T SIN C E P A T E O F F IR S T ADM ISSIO N, O C TO B E R 27, 1897,

T O D E C EM B E R 31, 1909.

Male. Female. Total.Y ear 1897 ................................................. ......................................... 1 2 3Year 1898 ......................................................................................... 1 5 14 29Y ear 1899 ......................................................................................... 18 11 29Y ear 1900 ...................................................................................................17 13 30Y ear 1901 ......................................................................................... 23 21 44Year 1902 ••...... .................................................................................. 23 8 31Y ear 1903 .......................................................................................... 19 22 41Y ear 1904 .......................................................................................... 25 20 46Y ear 1905 .......................................................................................... 28 26 53Y ear 1906 .......................................................................................... 30 20 60Y ear 1907 .......................................................................................... 35 21 66Y ear 1908 .......................................................................................... 31 19 60Y ear 1909 ........................................................... ............................... 28 25 68

T otals............................. ,............................................................... 293 221 514

AGE A T TIM E OF ADMISSION.

Under 1 year ........ ................................Over 1 year and under 2 years. Over 2 years and under 3 years. Over 3 years and under 4 years. Over 4 years and under 5 years. Over 5 years and under 6 years. Over 6 years and under 7 years. Over 7 years and under 8 years. Over 8 years and under 9 years. Over 9 years and under 10 years. Over 10 years and under 11 years. Over 11 years and under 12 years. Over 12 years and under 13 years. Over 13 years and under 14 years. O ver 14 years and under 15 years. Over 15 years and under 16 years., Over 16 years and under 17 years., Over 17 years and under 18 years.. Over 18 years and under 19 years.. Over 20 years......................................... .

Male. Female. Total.6 6 1212 11 2325 17 4227 25 5218 18 3619 11 3013 13 2621 13 3419 7 2625 17 4214 10 2116 11 2728 18 4612 12 2414 13 2716 13 287 4 11

3 1 41 4. . 11 1 2

293 221 514NUMBER OF PA TIEN TS DISCHARGED FROM OCTOBER 27, 1897, TO DECEM­

BER 31, 1909.

Males ............................................... ................................................................................................. 235Fem ales .............................................. ............................................................................................ 176

T otal ...................... ................................................................................................................... 410

N U M B ER O F D E A T H S D U RIN G T H E SAM E PERIOD.M ales ................................................................................................................................................. 25Fem ales ................................................................. ......................................................................... 16

Total ....................................................... ..................................................... ......................... 40

N U M B ER R EM A IN IN G U N D E R T R E A T M E N T A T P R E S E N T T IM E .M ales ................................................ ................ ............................................................................ 32Fem ales ............................................................................ ................. ............... ............................. 32

Total ......................................................................................................................................... 64

T O T A L N U M B ER W H O H A V E B EE N U N D E R T R E A T M E N T .

Males ..................................................... ............................... .......................................... „ ............. 293Fem ales .................. ........................................................................................................................ 221

T otal ..................................................................................... .................................................. 514

R E S U LTS ,Discharged cured ................................................................................ ........................................ 238Discharged improved ................................................................................................................. 162D ischarged unim proved ........................................................... ................................................ 20D ied ..................................................... ........................................ .................................................... 40Rem aining under treatment D ecem ber 31, 1909................................................... ............. 64

Total .............................................................................................................. ......................... 614(The term “ improved” does not convey to any but those actually in con tact with

the work, the benefit accom plished; fo r instance, a case m ay be relieved o f all pain and every evidence o f active disease and the patient able to w alk but because o f slight physical defect it is discharged “ improved.” )

O f those discharged “ unim proved" the m ajority were taken aw ay b y parents under protest and in som e cases, w ithout undergoing any operation.

A verage number o f days in -hospital o f patients discharged and died, 382 days.

C A U SES O F D E A TH S .

CRIPPLED AND DEFORMED CHILDREN. 303

Tubercular meningitis ........................................................................................Tubercular m eningitis and com plications ...................................................General tu b ercu los is .................... . ......................................................................Tuberculosis and multiple abscesses......................................................... ..Tubercular a d e n it is ..................................... .......................................................Tubercular aclem itis ..........................................................................................P ott's d is e a s e ...................................................................... i .................................P ott ’ s disease and com plications ...................................................................P ott 's disease o f spine, amyloid kidneys and general tuberculosis.P n e u m o n ia ................................................................................................................Pneum onia and com plications .........................................................................D iphtheria , ........................................................................................ ....................Scarlet fever and com plications .....................................................................M eningitis ...............................................................................................................Gastro-duodenitis ..................................................................................................Cerebral embolus ......................................................................................Shock follow ing operation .................................................................................Sepsis follow ing o p e ra tio n ............................,.....................................................Fracture o f skull from fall ..............................................................................A cute intestinal o b stru ction .............. ................................................................ .A bscess rupturing in lung .............................................................................. .Am yloid degeneration (urem ia )........................................................................Paralysis and multiple abscesses.......... .............................................. .............Congenital lues tum or o f h ip ............................................................................Inanition .......................................................................................................... .........

Total

304 FIF T H BIEN N IAL REPO RT STATE BOARD OF CONTROL

REPORT OF SURGEON IN CHARGE.

December 31, 1909.State Board of Control, State Capitol, St. Paul, Minn.

Gentlemen: Herewith find a report in detail of the work done at the Minnesota State Hospital for Indigent, Crippled and Deformed Children, and the results. Table No. 1, in full to December. 31, 1909. Tables No. 3 and No. 4 give the details of the work of the last year. We feel that the year just past has been the most successful and encouraging of any period during our existence.

Should we make an attempt to give the names- of all the doctors and nurses who have given their valuable time and attention to the children the list would be too long for the space allotted. We have had the services of prominent specialists in nervous diseases, eye and ear, nose and throat and children’s diseases, for the mere asking.

The physicians throughout the state who have referred cases to us have been most painstaking and kind in giving us preliminary reports of their patients, and have aided in every way possible in getting them to our institution. Many of the physicians throughout the state accompany their patients to the hospital, and I presume if the truth were known, in many, in­stances we would find that they pay for the transportation of their patients out of their own pockets.

Dr. Ancker, your superintendent, aside from his own personal super­vision, has supplied us with a special house surgeon who devotes his entire time to the children and we must certainly mention the valuable services of Dr. N. G. Mortensen, our house surgeon.

The St. Paul Board of Control, aside from supplying the usual attendant nurses has provided a supervising nurse, Miss Anna Franklin, who devotes all of her time to the state ward. This has added greatly to the comfort and well being of the little ones. Notwithstanding all of this, Mrs. Campbell, the superintendent of nurses, continues her interest in the work, and Miss Edwards, the matron, does all in her power to make the children well and happy by planning recreations, such as Christmas and other festivities, rides in the fresh air, theater and picnic parties, etc. The outings have been made possible through the kindness of St. Paul people who own automobiles and who give the children long rides in the country, the house doctor and nurses acting as attendants on these excursions.

We appreciate the services rendered by Dr. W. A. Dennis, who acts as visiting surgeon; Dr. W. R. Ramsey, whom we consult for the various acute children’s diseases; Dr. A. C. Heath, who attends to their nose and throat diseases; Dr. Thomas McDavitt, who treats their eye and ear affections; Dr. C. E. Riggs and Dr. A. W. Dunning, whom, we frequently consult for the nervous diseases of the children; Dr. J. M. Armstrong, who advises us as to their skin diseases, and Dr. James Gilflllan in medical cases.

Many of the children are very much in need of the industrial school, and we feel very anxious to have the country home and industrial school opened as soon as possible. Then, as soon as a patient no longer requires hospital aid he can be transferred to the country sanitarium for further

CRIPPLED A N D DEFORM ED CHILDREN. 305

building up of his general health and, most important of all, for an industrial education to fit him for an, occupation in after life.

There are a great many indigent children in the state who are receiving no benefit, whatever, from our institution, or any other Institution in the state, as they are suffering from deformities which cannot be helped by any treatment, but who are bright, have some use of their limbs, and should be taught some trade adapted to their disability in an industrial school.

You will notice by consulting our detailed report that considering the number of children we have and the diseases from which they are suffering, mostly tuberculous diseases, and deformities resulting from infantile par­alysis, the percentage of the death rate is very low. Many times cases come to the hospital whose condition is so serious that there is small chance of recovery, yet if we feel that the child can be relieved of its suffering and made more comfortable during his short life we admit it. For instance, a child was brought to the hospital a short time ago suffering from sepsis of the right ankle, the right shoulder, the left shoulder, the back, and the bones of the head. In a case of such extensive lesions it is impossible to save the child. However, the patient was admitted because the home surroundings were such that she could not be made comfortable, and the State Hospital for Indigent, Crippled and Deformed Children could at least relieve her ex­treme suffering during her life. therefore, while we feel that our report is quite flattering, yet no idea of the good accomplished can be appreciated ex­cept by actually seeing each case when admitted and again when, discharged.

Respectfully submitted,ARTHUR J. GILLETTE,

Surgeon in Charge.

306 f i f t h b i e n n i a l r e p o r t s t a t e b o a r d o f c o n t r o l

TABLE No. 1REPORT OF CASES TREATED IN THE STATE HOSPITAL FOR CRIPPLED AND DE­

FORMED CHILDREN TO DECEMBER 31, 1909

Dis

char

ged

Cure

dD

isch

arge

dIm

prov

edD

isch

arge

dU

nim

prov

ed

Not

Trea

ted

Die

d

the

H

ospi

tal

|Dec

. 31

, 19

09

39 20 2 7 14ft 1 I 2

‘?A 17 2 10 103 A 1 2 2

17 ft ] 1 ftJ 111

111 1 1

124 251

11

11

11

11

1ii

i3 1

12 1 14 1

12 1

11l

14 3

1 11

22 1

11

11

1

CASES TREATED IN HOSPITAL

Tuberculosis, single, disease of hip joint..............................Tuberculosis, double, disease of hip joint.............................Tuberculosis, disease of vertebrae.........................................Tuberculosis, disease of vertebrae with paralysis................Tuberculosis, disease of knee joint.........................................Tuberculosis, disease of sacro iliac joint...............................Tuberculosis, disease of shoulder joint.................................Tuberculosis, disease of hip joint and foot...............................Tuberculosis, disease of hip joint; of elbow joint and frontal

bone...................................................................................Tuberculosis, disease of vertebrae and hand........................Tuberculosis, disease of the foot............................................Tuberculosis, disease of vertebrae and of knee....................Tuberculosis, disease of elbow joint......................................Tuberculosis, disease of spine and hip joint.........................tuberculosis, disease of ankle joint......................... v...........Tuberculosis, disease of vertebrae, wrist and elbow..........Tuberculosis, disease of shoulder, wrist, knee and leg........Tuberculosis, disease and deformity of legs, thighs and arm Tuberculosis, disease of both hips, ankle joint and of tibia-..Tuberculosis, disease of spine and of foot and a hernia.........Septic disease of hip joints and of knee.................................Tuberculosis, disease of vertebrae with paralysis and of ankle

joint.........................................................................................Hip joint disease osteomyelitis and paralysis of lower extremity

due to acute infection.....................................................Septic shoulder.........................................................................Hip disease, osteomylitis and septic foot.............................Osteomyelitis of shoulder, humerus and of elbow..............Osteomyelitis of femur and anterior curvature of femur...Osteomyelitis of tibia and fracture of tibia .......................Osteomyelitis of right and left thighs and dislocated hip..Osteomyelitis of right tibia with talipes equinus......................Septic disease and pathologic dislocation of hip and osteomye­

litis of ulna............ .............................................................Specific gummata on elbow, popliteal joint and maxilla with

suppurating sinuses...........................................................Deformity of knee due to osteomyelitis.....................................Multiple suppurative epiphysitis of knee, ankle, hip and femuSuppurative epiphysitis of femur at the knee joint..................Multiple suppurative arthritis.....................................................Multiple haemophillc joints..........................................................Syphilitic disease of foot................................................... ...........Deformity of hand due to syphilitic contraction........................Congenital syphilis and tumor of hip..........................................Enlarged epiphyses due to congenital syphilis......................Syphilitic osteomyelitis of cranial bones, sacrum, tibia, dumer-

us clavicle and os calces.......................................................Inflammation of hip joint following typhoid fever...................Tumor of leg due to syphilis and causing club foot and flexed

knee.....................................................................................Multiple deformities due to arthritis deformans...................Lateral curvature of spine.......................................................Lateral and posterior curvature of spine due to rickets..............Lateral curvature of spine and congenital shortening of femur

and tibia.................................................................................Posterior curvature of spine; both forearms curved, both thighs

curved and both legs deformed due to rickets.....................Pigeon breast, anterior curvature of thighs and flat foot due to

rickets...........................................................................Anterior curvature of spine and flat foot.................................Lateral and posterior curvature of spine, pigeon chest, double

knock knee and anterior curvature of tibia due to rickets.. Marked curvature of long bones of upper and lower extremities

with enlarged epiphyses due to rickets.............................Anterior and lateral curvature of both tibia due to rickets........Anterior curvature of thighs, bow legs and enlarged epiphyses

due to rickets.....................................................................

82

CRIPPLED A N D DEFORM ED CHILDREN 307

TABLE No. 1—Continued

REPORT OF CASES TREATED IN THE STATE HOSPITAL FOR CRIPPLED AND DE­FORMED CHILDREN TO DECEMBER 31, 1909

CASES TREATED IN HOSPITAL

___ 15 2 13 1 1 1

1 2 1 2

1__12

122 6 1

1__9

22 2 22 6 2

4 11

11

17 20 2 24 1 11

__ 6 1 1 1

9

11

1 6J21

11

13 1 1 11

13 2 12 11

1 11

11

11

112 1 1

Marked bowleg due to rickets.....................................................Posterior curvature of spine, anterior curvature of femora and

bowlegs due to rickets............................................................Anterior curvature of femora, double knock knee and coxa vara

due to rickets...................................................................Deformity of hands and feet due to rickets (tetany).........Acute rickets............................... ..........................................Rickets, cretinism and myocarditis.......................................Anterior curvature of both femora and tibia with double knock

knee and flat foot...................................................................Rachitic pseudo-paralysis.............................................................Funnel chest ana depressed sternum due to adenoids and en­

larged tonsils...........................................................................Double congenital club-foot.........................................................Double congenital club-foot, congenital shortening of humeri

and absence of patella...........................................................Double congenital club-foot, club hands and flexed knees.........Single club-foot, congenital..........................................................Double congenital dislocation of hips............... .........................Single congenital dislocation of hip.............................................Congenital wry-neck.....................................................................Wry-neck ana lateral curvature of spine...................................Congenital dislocation of knee.....................................................Congenital club-hand, deformity and shortening of legs and

thighs and absence of patella...............................................Paralytic club-foot............................. ............. .............................Club-foot and flexed knee due to infantile paralysis...................Double club-foot, paralysis of lower limbs and anterior curva­

ture of spine due to infantile paralysis...............................Deformity of lower limbs and spine due to infantile paralysis. . Paralysis and deformity of lower limbs due to infantile paraly­

sis......................................................................................... .Double club-foot, flexed knee and thigh due to infantile paraly

sis.................................. ...........................................................Double club-foot due to spastic paralysis...................................Spastic club-foot and club hand.................................................Double club-foot and double knock knee due to spastic paraly­

sis........................................................................................Spastic hemiplegia...................................................................Club-feet, flexed knees and thighs, crossed legs and club hands

due to cerebral palsy.............................................................Paralysis lower and upper extremities and of back due to in­

fantile paralysis.....................................................................Spastic paralysis, cerebral palsy and epilepsy...........................Single club-foot due to cerebral palsy.........................................Knock knee.....................................................................................Knock knee and ankylosis o f knee joint....................................Double flat foot.............................................................................Traumatic club-foot and acquired flat foot................................Bow legs..........................................................................................Pronated flat foot.....................................................................Pathologic dislocation of hip and club-foot due to tuberculous

disease of hip................................................................Coxa vara...................................................................................Coxa vara due to mal-union of fracture femur.....................Fracture femur with marked deformity.................................Delayed union of fractured femur............................... ........Deformity and paralysis of hand due to fractured elbow.......Deformity of ankle due to mal-union of tibia.......................Flexed knee due to removal of patella...................................Flexed knee due to trauma............ .........................................Flexed thighs due to iliac aneurism........................................Deformity due to intra-capsular fracture..............................Deformity following burns.. . . : ..............................................

308 FIFTH BIEN N IAL R EPO RT STATE BOARD OF CONTROL

TABLE No. I— ContinuedREPORT OF CASES TREATED IN THE STATE HOSPITAL FOR CRIPPLED AND DE­

FORMED CHILDREN TO DECEMBER 31, 1009 '

CASES TREATED IN HOSPITAL

No.

of Ca

ses

Dis

char

ged

Cure

dD

isch

arge

dIm

prov

edD

isch

arge

dU

nim

prov

ed Not

treated Die

d

In the

H

ospi

tal

Dec.

31,

1909

Deformities due to Friedrich's ataxia 1

weal spinespina bifidawebbed fingers of both mindscleft palate 1 1hare lip 1hare lip and cleft palate 6 2idiocy 1other deformities

238 152 16 40 64totals

TABLE No. 2

RECORDS OF DEATHS AT STATE HOSPITAL FOR CRIPPLED AND DEFORMED CHIL­DREN

Cause of Admission Cause of Death

Tuberculous disease of hip joint..................Tuberculous disease of hip joint..........................Tuberculous disease of hip joint..........................Tuberculous disease of hip joint..........................Tuberculous disease of both hip joints.Tuberculous disease of both hip joints...............Tuberculous disease of vertebrae.........................Tuberculous disease of vertebrae........... .............Tuberculous disease of vertebrae.........................Tuberculous disease of vertebrae.........................tuberculous. disease of vertebrae.........................Tuberculous disease of vertebrae.........................tuberculous disease of vertebrae.........................Tuberculous disease of vertebrae.........................tuberculous disease of vertebrae with paralysis. Tuberculous disease of vertebrae with paralysis

and tuberculous disease of ankle......................Tuberculous disease of vertebrae and of knee joint Tuberculous disease of sacro iliac joint................Congenital syphilis and tumor on the hip............Syphilitic disease of foot.........................................Hip disease, osteomyelitis and septic foot.............Rickets......................................................................Curvature of all long bones and enlarged epiphy­

ses due to rickets.................................................Rickets, cretinism and myocarditis.......................Paralytic club-foot............. .....................................Paralytic club-foot...................................................Double club-foot and congenital absence of patella Double knock knee and anterior curve of femur...Knock knee.. ...........................................................Iliac aneurism...........................................................Cleft palate............................................. .................Deformity following infantile paralysis................Deformity from bums.............................................Suppurative epiphysitis knee joint and disease ,of

upper end of femur......................................... .

General tuberculosis. measles.Tuberculous meningitis.Tuberculous meningitis and general

tuberculosis.Tuberculous meningitis.Shock following operation.Meningitis.Acute intestinal obstruction.Diphtheria.Abscess ruptured into lung.Amyloid kidney and general tuberculosis Amyloid degeneration and uremia. Paralysis with multiple abscesses,Pott’s disease and complications. General tuberculosis.Tuberculous meningitis.General tuberculosis.Tubercular disease of sacro iliac joint

and multiple abscesses.Congenital syphilis and tumor on hip. Gumma of brain.Shock following operation.Inanition and broncho pneumonia.Broncho pneumonia.Diphtheria and myocarditis.Diphtheria.Scarlet fever.Broncho pneumonia.Broncho pneumonia.Scarlet- fever.Cerebral embolus.Sepsis following operation.Fracture of skull from fall.Gastro duodenitis.Diphtheria.

CRIPPLED A N D DEFORM ED CHILDREN. 309

T A B L E N O . 3.

O P E R A TIO N S "PERFORM ED IN S T A T E H O S P ITA L FOR C R IP P LE D A N D D E ­FO R M E D C H IL D R E N D U R IN G Y E A R E N D IN G D E C E M B E R 31, 1909.

Correction o f single club-foot ...................................................................................... 11C orrection o f double clu b -foot ......................................................................... 1Correction o f knock-kneed ..................................................................................... 1Correction o f flexed and ankyloses knee................................................................ 1“ L oren z" operation on single congenital dislocation o f h ip ......................... 2"L orenz” operation on double congenital dislocation o f h ip ........................... 1Deform ity o f t i b i a ................................... ........... .................................................................. 4Deform ity in tubercular disease o f hip ................................................................ 2Deform ity in tubercular disease o f a n k le .................................................................. 1Lum bar p u n ctu re .................................................................................... .................................. 2Inguinal hernia ........................................................................................................................... 1Reduction o f deform ity o f fe m u r ....................................................................................2R eduction o f deform ity o f t i b i a .............................................................................................. 2Division o f adductor muscles and correction o f thighs and knees in cerebral

palsy ....................................................................................................................................... 1Other operations for d e fo rm itie s ............................................................................... ............. 17

Total ........................................................................................................................................ 49

T A B L E NO. 4.

MINOR OPERATIONS A N D DRESSING® PERFORM ED IN H OSPITAL DURING YE A R ENDING DECEM BER 31, 1909.

Plaster o f Paris Casts Applied.(a ) B ody casts ...................................................................... ............................. ....................... 41(b) H ip spica casts (s in gle )..................................... ............................................................. 48(c ) f lip spica casts (double).................................................................................................. 2(d ) Full length leg casts (d ou b le )....................... ................................................................ 23(e) Full length leg casts (s in gle)........................................................................................ 56(f) Ankle and foot casts (double)........................................................................................ 31(g) Ankle and foot casts (s in gle ).............. ......................................................................... 69

Total .................................................................................................. ........................................ 270

Injections Into Abscess Sinuses.(a ) W ith bismuth paste ............................................................................. ; ......................... 32(b) W ith silver nitrate solution............................................................................................ 29(c ) W ith balsam Peru ............................................................................................................. 13

Total ............................................... ................ ........................................................................ 74

Buck's Extensions Applied to Lower Limbs.(a) Double ..................................................................................................................................... 15(b) Single ........................................................................ ............................................................ 12

T o t a l ......................................................................................................... ......... ....................... 27

Braces Applied.

(a ) B ack braces ......................................................................................................... .............. 4(b ) L eg and fo o t braces.............. ............................................................ , .............................. 8

T o t a l ............ ..................................................................................... ....................................... 12X -r a y photographs taken ..................................................................... .................................. 45Dressings—Dry, m oist and m edicated..................................................................................5,020

Respectfully submitted,ARTHUR J. GILLETTE,

Surgeon in Charge.

310 FIFTH BIENNIAL, R EPO RT STATE BOARD OF CONTROL

ED U CATIO N AL REPORT OF T H E YEA R 1909— S TA TE WARD FOR CRIPPLED AND DEFORMED CHILDREN.

To the Honorable State Board of Control:

During the year 1909, to the forty-two pupils attending our school, thirty- four have been added and thirty-eight discharged, leaving a present enroll­ment of thirty-eight up patients, who show an average daily attendance of thirty in the school room and eight bed patients who receive instructions in their rooms.

Our school is graded (including kindergarten, two primer, eight grades and sometimes high school work), is generously equipped by the state of Minnesota and is assembled in a particularly well lighted, airy room.

Our pupils receive individual attention, for upon entering few are normal. Some are abnormally keen, others backward (not feeble-minded, however), all are extremely sensitive, many apathetic, and almost every one undisciplined and irresponsible. These handicaps along with diversity of language, custom, disease, age and previous instruction must be coped with in the school room.

Industrial work has done much to meet these difficulties by banishing apathy and exchanging interest for sensitiveness, until many of the pupils have become expert workers with the needle; brass, raffia and beads.

We try to develop our boys and girls mentally and morally as well as physically, so that when they leave us they take with them not only a sounder body, but a quickened mentality and a larger appreciation of their responsi­bility towards that society which is no longer closed to them, but is awaiting their achievements along the lines which they have found to be within their reach.

Respectfully submitted,LILIAN BIRD GARROW.

Preceptress.

C O N TR IB U TIO N S , E N T E R T A IN M E N T S , E TC ., 1909.

Mr. R oss .................................................................................... Seven (7) books for libraryMrs. Swanson ..................................................................Cut flowers throughout the yearMrs. L ouis Goodkind.......................................................................Fruit, dolls and flowers------ Krueger ................................................................................................................................. GamesMiss Ellis ..............................................................................................................................ValentinesMiss Garrow ............................................................................ One b ox o f oranges (Easter)Eisenm enger Meat C o..............................................................................One case Easter , eggsMiss Ellis. Sunshine Society...................................................................Candy Easter eggsMiss Bertha Saur ........................................... Flowers, flags and beautiful E aster eggsPark Congregational Sundlay School...............................................................................FlowersDayton Ave. Presbyterian Church......................E aster eggs, books, flowers and candyMrs. Charles Kueger and Schubert Club..........................................Concert fo r childrenMiss Kate Little, Preston, S. D .............................................................. ................. Scrap booksMrs. H arper ................................................................................................................................... DollsSt. Elizabeth Guild, St. Clement’s Church.......... Dinner fo r th irty-flve (36) childrenMrs. F. E. Ford, fo r A uto C lu b ....A u to s to Snelling, Minnehaha and Como ParkMr. John W atson .............. ................................................................... Handsome music boxMrs. W althers, with Schubert Club................................T w o (2-) concerts fo r childrenGus. Edwards and his Com pany......................Gave entertainment for all the childrenMrs. Anna W arner French. Buns several times during the year, also entertaining

letters from abroad to the children.Miss Sleppy—Flowers fo r all the patients and m any kindnesses throughout the year Am ie Gulterm an...C elebrated her birthday with a beautiful party fo r the childrenNational Candy Co..........................................................................................................Easter eggsMcFadden Candy C o...................................................................................................... Easter eggsFirst Baptist Church, S. S. Dorcas g ills ............ ..............................................................EggsMrs. James H ill................................................................... ..S e a shells, je lly and magazines

CRIPPLED A N D DEFORM ED CHILDREN. 311

Mr. Laidlaw, Great N orthern..................................................................................... MagazinesMr. Dray. St. Clement’s Church....................F ifty (50) bound books for gen e ra l libraryYoung Ladies' St. Elizabeth Guild......................Care o f libraries throughout the yearH olm & O lson...........................................................................................................................FlowersMr. Pierong ....................................... Entertained at Orpheum thirty-five (35) children

CH RISTM AS FUND FOR TH E CRIPPLED AND DEFORMED CHILDREN.Mr. John Mitchell ............................................................................................................... $25 00Airs. B. B r a c k ....................................................................................................................... 1.00Mr. John Osgood ..................................................... ........................................... ............... 5.00

$31.00

CHRISTM AS CONTRIBUTIONS.Mrs. B. B rack ................................................................................ .. ..G a m es , dolls and booksN o name .................................................................................. ...................................Pail o f candyNational Candy C o ...................................................................100 telephone boxes o f candyMrs. B igelow ............................................................................................................................. BooksMrs. M. F . Patterson ........................................................................................ One box orangesMrs. B. L . W hitney............................................. Pictures, dolls, stationery, scrap booksMrs. James Quinlan.........................................................................One bolt o f hair ribbonMr. Nolan, books, stationery, drums, dolls, knives, sweaters, gloves, dishes and toysMannheimer Bros................... ...............................Twenty-five (25) pounds French candyMrs. H enry C. A llen ...................................................................... Seventeen (17) dressed dollsMrs. Jessie Dayxnunde....................................... Seventeen (17) dolls' hats and bonnetsMrs. A nna W arner F rench ........ . ................................................................................. B ox toolsArthur Mander ......................................................................................................S ix (6) SwingsDorcas Society, F irst Baptist Church.......... Candy, stockings, scrap books and dollsJudce M ahoney ......................................................................................................Basket o f fruitJuniors, St. John’s Church..................................... Books, dolls, candy, games and toysM iss A da Sampson ............................................... ..................... .................................Scrap booksMrs. W m . Langford. Tree, tree trimmings, toys fo r twenty children, one wagon,

building blocks, large box to hold toys.Miss Clara Harrington, Britton, S. D., fo r “ Busy B ees’ ’ ........Dolls, candy and booksMrs. A lfred C om stock .. .O ne pail candy, one box oranges, cakes and tree trimmingsMrs. W m. M cC urdy.................................... ......... ........................................... One barrel applesGeorge Sam ec...............................................................................One pail candy, one pail nutsMr. H erschler.................................................................................Sixty pound boxes o f candyMrs. M cK ib b ln .j........................................................................................................... . . . . . . .G a m e sD osie D ietz............................................................................................................... Dolls and scrapsMrs. Lillygreen, fo r Ladies’ N orden Club................................... B ox apples and candySt. E lizabeth’s G u i l d . . . . . ....................................... Christmas trees for seven (7) wardsMr. Moore, M en's Business C lub................................................... Horses, wagons and dolls

R e sp e c t fu lly su bm itted ,M A R Y A . E D W A R D S ,

M atron .

control board reports m360 76 U.S.119 C 3 7 B