Biennial report of the Western North Carolina Sanatorium, Black Mountain, and the North Carolina Sanatorium, Sanatorium

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BIENNIAL REPORT
OF THE
North Carolina Sanatorium
SANATORIUM
AND THE
Western North Carolina Sanatorium
BLACK MOUNTAIN
FOR THE TWO YEARS ENDED JUNE 30, 1940
2 Biennial Report for 1938-39—1939-40
BOARD OF DIRECTORS
Mr. L. L. Gravely, Chairman Rocky Mount
Mr. E. a. Rasberry, Vice-Chah-man Snow Hill
Mr. R. L. Harris, Secretary Roxboro
Mr. R. E. Finch Black Mountain
Mr. Robert M. Hanes Winston-Salem
Dr. Thurman D. Kitchin Wake Forest
Mr. Laurie McEachern Raeford
Dr. J. W. McGehee Reidsville
Mrs. Max T. Payne - ._ Greensboro
Dr. Carl V. Reynolds Raleigh
*Dr. M. L. Stevens -^ Asheville
Dr. T. W. M. Long Roanoke Rapids
Dr. Lester P. Martin , Mocksville
PERSONNEL
NORTH CAROLINA SANATORIUM
P. P. McCain, M.D, Superintendent and Medical Director
C. D. Thomas, M.D. Associate Superintendent and Medical Director
F. T. Harper, M.D. Resident Physician
C. L. Gray, M.D. Resident Physician
Isaac Horowitz, M.D. Resident Physician
Leopold Marks, M.D. Resident Physician, Negro Division
G. M. WiLKiNS, M.D. Assistant Physician, Negro Division
Martha C. Newman, R.N. (1938-39) Superintendent of Nurses
Eula Rackley, R.N. (1939-1940) Superintendent of Nurses
R. G. Wharton, D.D.S. Dentist
H. L. Satterwhite Laboratory and X-ray Technician
F. L. Eubanks Purchasing Officer
C. C. Moss Cashier
Mrs. C. W. Covington Secretary to Superintendent
Miss Carrie Toomer Dietitian
J. L. Beall. Farm Superintendent
R. S. Perry Chief Engineer
Carrie Broadfoot, R.N. Superintendent of Nurses, Negro Division
EXTENSION DEPARTMENT OF THE NORTH CAROLINA
SANATORIUM FOR THE TREATMENT OF TUBERCULOSIS
P. P. McCain, M.D. Director
H. F. Easom, M.D. Chief Clinic Physician
John S. Denholm, M.D. (1938-1939) Clinic Physician
G. C. Godwin, M.D. Clinic Physician
R. T. Jenkins, M.D. (1938-1939) Clinic Physician
L. B. Skeen, M.D. Clinic Physician
W. H. Roper, M.D. Clinic Physician
*Deceased.
Western N. C. Sanatorium and N. C. Sanatorium 3
CONSULTING STAFF NORTH CAROLINA SANATORIUM
Dr. C. R. Monroe, thoracic and general surgery _.__ Pinehurst
Dr. V. K. Hart, bronchoscopy and laryngology Charlotte
Dr. James M. Lilly, eye, ear, nose and throat . Fayetteville
Dr. W. p. McKay, eye, ear, nose and throat Fayetteville
Dr. O. L. Miller, orthopedic surgery i Charlotte
Dr. David T. Smith, bacteriology and internal medicine Durham
Dr. J. D. HiGHSMiTH, surgery Fayetteville
Dr. Deryl Hart, surgery Durham
Dr. James B. Bullitt, pathology , Chapel Hill
Dr. Wm. deB. MacNider, pharmacology ^..___ Chapel Hill
PERSONNEL
WESTERN NORTH CAROLINA SANATORIUM
P. P. McCain, M.D. Superintendent
S. M. BiTTiNGER, M.D. Associate Supt. and Medical Director
A. L. Ormond, M.D. Resident Physician
H. E. Wood, M.D. Assistant Physician
J. C. BuRGE, M.D. Assistant Physician
Creolya Snodgrass, R.N. Superintendent of Nurses
R. G. Wharton, D.D.S. Dentist
Irvin Page Laboratory and X-ray Technician
W. N. Banks Purchasing Officer
Mrs. Lawrence Barnhill Secretary to Medical Director
S. J. Stutts Chief Engineer
CONSULTING STAFF
Dr. Julian A. Moore, thoracic surgery Asheville
Dr. F. Webb Griffith, general surgery Asheville
Dr. John T. Saunders, orthopedic surgery Asheville
Dr. Thomas R. Huffines, genito-urinary surgery Asheville
Dr. Arthur Ambler, anesthesia Asheville
Dr. Joseph T. Greene, ear, nose and throat Asheville
Dr. G. S. Tennant, diseases of the eye Asheville
Dr. Curtis Crump, pathology . Asheville
Dr. a. B. Craddock, internal medicine Asheville
Dr. Lewis Beall, psychiatry Black Mountain
Dr. Charles H. Cocke, diseases of the chest . Asheville
Dr. Paul H. Ringer, diseases of the chest Asheville
'^Dr. M. L. Stevens, diseases of the chest Asheville
Dr. C. C. Orr, diseases of the chest L Asheville
Dr. C. D. W. Colby, diseases of the chest Asheville
Dr. Edward W. Schoenheit, diseases of the chest Asheville
Dr. J. W. Huston, diseases of the chest Asheville
Dr. Wilson Pendleton, diseases of the chest _. Asheville
Dr. I. J. Archer, diseases of the chest Black Mountain
Dr. Karl Schaffle, diseases of the chest Asheville
^Deceased.
4 Biennial Report for 1938-39—1939-40
LETTER OF TRANSMITTAL
His Excellency
Gov. Clyde R. Hoey
Raleigh, N. C.
Sir:
I have the honor to transmit herewith the report of the
Superintendent of Operations of the North Carolina Sanatorium
and Western North Carolina Sanatorium for the Treatment of
Tuberculosis for the biennium ending June 30, 1940, together
with report on the status of the proposed Eastern Carolina San-atorium
to be located at Wilson, N. C.
We are happy to call attention to a decrease in the death
rate from tuberculosis in the State during the past year but
desire to again emphasize the need for adequate facilities for
the prevention and cure of this scourge. The work of early
diagnosis has been expanded and we are indebted to the private
physicians, the health and welfare officers, and the school
authorities for their splendid cooperation. The facilities for
the care and treatment of patients have been enlarged through
the completion of units at both institutions.
We have not been able to successfully work out an arrange-ment
for Federal participation to the required extent of forty-five
per cent for the construction of the Sanatorium at Wilson
and we respectfully urge that the coming General Assembly
make immediately available an additional sum adequate to
construct an Eastern North Carolina Sanatorium to meet the
great need of this section of the State.
On behalf of the Board I desire to express to the Superin-tendent
and his staff at both institutions our thanks for and
appreciation of the splendid manner in which they have per-formed
their respective duties.
The members of the Board have been diligent and interested
in the fulfillment of their responsibilities and I desire to express
to them my profound appreciation of their interest in and
attention to the work in which we are all engaged.
Respectfully submitted,
L. Lee Gravely,
Chairman, Board of Directors.
Western N. C. Sanatorium and N. C. Sanatorium 5
REPORT OF THE SUPERINTENDENT
The Board of Directors of the North Carolina Sanatorium
and of the Western North Carolina Sanatorium,
Mr. L. L. Gravely, Chairman.
Gentlemen
:
Herewith is submitted the report of the North Carolina
Sanatorium and of the Western North Carolina Sanatorium
for the biennium ending June 30, 1940.
Separate statistical and financial reports are made of the
North Carolina Sanatorium with its white, children, Negro and
prison divisions and its extension department, and of the West-ern
North Carolina Sanatorium, which is under the capable
direction of the associate superintendent and medical director,
Dr. S. M. Bittinger.
There has been a still further reduction in the tuberculosis
mortality rate during the biennium. In 1937 the mortality rate
from tuberculosis in North Carolina was 54.8 per 100,000, and
in 1939 it was 51. Although North Carolina is a tuberculosis
resort state and although the state has a 30%. Negro popula-tion,
in which the death rate is more than three times that of
the white, the tuberculosis mortality rate for North Carolina was
only 4.4 per 100,000 higher than the average for the United
State.
Experience has shown that the control of tuberculosis
depends first on early diagnosis and second on isolation and
treatment of the active cases.
EARLY DIAGNOSIS
At both the North Carolina Sanatorium and the Western
North Carolina Sanatorium diagnostic clinics are conducted
daily except Sunday, and the extension department of the
North Carolina Sanatorium keeps three clinic physicians in
the field who work in cooperation with private physicians and
with county, health, school and welfare authorities. Since school
children under twelve years of age rarely have active tubercu-losis,
we have been limiting our school clinics to pupils twelve
years of age and over and to those under twelve who have
suspicious symptoms and to those who have been exposed to
6 Biennial Report for 1938-39—1939-40
known cases of active tuberculosis. The study of school and
college students is made by giving the tuberculin test and by
making X-ray films of the positive reactors. In recent years we
have been able to get a number of the county health officers
to give the tuberculin test themselves. Of the 121,911 school
children and teachers studied during the biennium health offi-cers
gave the tuberculin tests to 87,145. We send our X-ray
technicians from the North Carolina Sanatorium to make the
X-ray films. They are brought back to the sanatorium for
development and are read by our clinic physicians.
We use portable fluoroscopes in our adult clinics, and we
find that practically all cases of tuberculosis, even those in the
early, curable and non-contagious stage, can be detected by
means of the fluoroscope. It is necessary to have only the
suspicious and positive cases X-rayed, usually not more than
one out of every ten or twelve examined. We are greatly
pleased, too, that the State Board of Health has recently pro-vided
a number of the county health departments with modern
stationary fluoroscopes for use both in connection with their
chest and syphilitic clinics. We hope that arrangements can
be made whenever these fluoroscopes are provided for a weekly
tuberculosis clinic to be conducted by a local physician or by
the county health officer. We have offered to train physicians
in the use of the fluoroscope whenever it is not possible to
secure the services of an experienced fluoroscopist locally and
several have taken advantage of our offer.
The Rosenwald Fund, of which Dr. M. O. Bousfield is
medical director, has also offered to pay the salary of local
Negro physicians to conduct tuberculosis clinics twice a week
wherever a fluoroscope is available and provided the county
health department will sponsor the clinic. Durham county has
already arranged for such a clinic at Lincoln hospital to be
held one afternoon and one evening each week.
We have found the private physicians of the state, the county
health officers and the school and welfare authorities most
cooperative. The county health officers make the preliminary
arrangements for our field clinics and they do the follow-up
work. Private physicians have shown a readiness to avail them-selves
of the service which we provide for the interpretation
of chest X-ray films. During the biennium at the two institu-tions
physicians sent in 7,733 chest films for interpretation.
Western N. C. Sanatorium and N. C. Sanatorium 7
This has proven one of our most useful means of discovering
early cases of tuberculosis.
Recently equipment has been brought forward for making
miniature X-ray films of the chest. Both 4x5 inch and 35-
millimeter size films are being used. The procedure consists in
making a photograph of the fluoroscopic image of the chest,
and the films are called fluorographs. When the equipment is
improved and is produced in quantity it will mark a forward
step in tuberculosis control, for with one machine a thousand
or more X-ray films can be made a day at a small fraction of
the present cost per film. At present, however, the equipment
is too expensive and imperfectly developed to justify its purchase.
ADDITIONAL SANATORIUM BEDS FOR ISOLATION AND
TREATMENT
During the biennium there has been encouraging progress
in providing additional beds for the isolation and treatment of
active cases both by the state and the counties. During March
1939 the Gravely wing for patients and the nurses home at
the Western North Carolina Sanatorium, which were built with
PWA help, were dedicated with appropriate ceremonies and
with addresses by Mr. L. L. Gravely and by the Secretary of
State, Mr. Thad Eure. The Gravely wing is a duplicate of the
Rasberry wing and brings the total capacity of the Western
North Carolina Sanatorium to 330. The new wing at the Negro
division of the North Carolina Sanatorium for 100 beds, also
built with PWA help, was opened last fall. During the biennium
eight of the counties in the state have either built new county
sanatoria or have added materially to their plants. A total of
226 beds have been added by counties during this two-year
period, 172 of which were for Negroes.
Since it is impossible for patients with advanced tubercu-losis
in a crowded home to keep from infecting the other mem-bers
of the family, it is very needful for all counties to have
institutions of their own to which they can send their tubercu-lous
patients who are not suitable for admission to the state
sanatoria, or for their suitable patients while they are waiting
for admission to the state institutions. Several of the other
counties are seriously considering building county sanatoria
in the near future.
8 Biennial Report for 1938-39—19:39-40
The three State Hospitals for the Insane have also improved
their facilities for caring for their tuberculous patients recently.
They now have a combined capacity of 300 beds for tubercu-lous
patients. With the 200 beds in private sanatoria North
Carolina now has altogether 2,346 beds for tuberculosis. This
is less than one and one-third beds per death. The National
Tuberculosis Association and the United States Public Health
Service have found that it is necessary to have at least two
beds per death in order to control tuberculosis in a given
community.
THE EASTERN NORTH CAROLINA SANATORIUM
During the 1939 session of the General Assembly, Senator
C. W. Spruill and Senator T. W. M. Long introduced a bill for
the establishment of the Eastern North Carolina Sanatorium
with immediate provision for 175 patients and an eventual
capacity of 350. With the valuable assistance of Hon. J. Melville
Broughton, Mr. L. L. Gravely, Mr. R. E. Finch, Mr. E. A.
Rasberry, Dr. Ralph McDonald and other loyal supporters the
bill passed both in the Senate and in the House with hardly
a dissenting vote. A provision was added, however, making the
$250,000 appropriation conditional on securing 45% of the con-struction
cost from the federal government. It was planned
to get help from the PWA, but shortly after the passage of
the bill PWA was discontinued. We then applied to the WPA
authorities to secure their assistance. Provision of a $52,000
limitation on the amount contributed by the federal government
for any one WPA project further complicated matters. The
state WPA authorities have been most cooperative, however.
They assisted us in arranging for five separate projects,
approved the temporary plans and authorized detailed plans
and specifications to be prepared. Mr. Walter W. Hook, our
architect, now has these ready for submission to the WPA
authorities. We trust that they will be approved and that work
on the new institution can be begun in the near future.
The bill also provided for the appointment of a site com-mittee
consisting of three members, all of whom should reside
in western North Carolina. Governor Hoey appointed Senator
Joe L. Blythe, of Charlotte, as chairman, Mr. Odus M. Mull,
of Shelby, as secretary, and Mr. L. L. Burgin, of Henderson-ville,
as the third member of the committee. It was gratifying
Western N. C. Sanatorium and N. C. Sanatorium 9
that almost every county in eastern North Carolina was anxious
to have the institution and offered one or more sites to the
committee. After visiting all sites offered, 100 or more alto-gether,
and after making return visits with the superintendent
of the sanatorium and the engineer of the Budget Bureau to
several of the more favorable sites, the committee selected the
site of 100 acres offered by Wilson. The site is located on a
beautiful slope on the road to Rocky Mount and bordering on
the city limits of Wilson. Public spirited citizens of Wilson
contributed $20,000 in cash for the purchase of the property
and we now have a title to the property. The board of directors
also secured an option on 24.8 additional acres adjoining the
eastern border of the property at the very reasonable price of
$150.00 per acre. This option expires December 31, 1941.
After the Eastern North Carolina Sanatorium is built with
its full quota of 350 beds, it is thought that it will probably not
be necessary to ask the state to provide any additional beds.
We will need, however, to continue to urge all counties either
to provide a sanatorium of their own, or to join with one or
more neighboring counties to provide an institution for their
patients who are not suitable for treatment in state sanatoria
until there are at least two beds per death.
TRAINING SCHOOL FOR NURSES
Our training schools for both white and Negro nurses supply
a real need. There is a scarcity of nurses well-trained in
tuberculosis work, and our graduates are always in great
demand. Our training school for Negro nurses is one of only
three such schools in the United States. The arrangement which
we have had for some years for our white nurses to take their
third year of training at the Moore County Hospital at Pine-hurst
and our Negro nurses to take their third year at Lincoln
Hospital, Durham, continues to be quite satisfactory, and we
greatly appreciate the cooperation of the authorities at these
two hospitals. Miss Martha C. Newman, who had been our
capable superintendent of nurses for our white training school
for nine years, to our regret resigned last fall to go into private
nursing, but we were fortunate to secure in her place Miss
Eula Rackley, who has been serving most acceptably in her
stead. We are greatly pleased over the fine recovery which
Mrs. Carrie Broadfoot, our capable and long-time superin-
10 Biennial Report for 1938-39—1939-40
tendent of nurses at our Negro division, made from her serious
accident last summer.
Our institution and the anti-tuberculosis cause in the state
and nation sustained a great loss in the passing on last Janu-ary
20th of Dr. M. L. Stevens, who had been a most active and
valuable member of our board since 1935. He was a member
of the building committee and chairman of the landscape com-mittee
of the Western North Carolina Sanatorium, and devoted
much time and thought to promoting the interests of both
sanatoria. He was a member of several of the more important
state and national medical societies, he was greatly interested
also in civic and religious affairs and was greatly beloved by
all who knew him.
DONATIONS
We are grateful to the many friends of both institutions
who have made generous donations of books, magazines, cloth-ing,
Christmas packages, and many other gifts. A list of these
will be found in the body of the report of each institution. We
are especially grateful to the Rosenwald Fund for paying the
salary of one of our Negro resident physicians at North Caro-lina
Sanatorium and to the Woman's Auxiliary of the Medical
Society of the State of North Carolina for providing a free
bed at the Western North Carolina Sanatorium in addition to
the bed which they have been paying for at the North Carolina
Sanatorium for many years. We wish also to make special
mention of the generosity of Mrs. F. S. Terry, of Black Moun-tain,
in providing a large amount of shrubbery and many valu-able
trees for the beautification of the grounds at our Western
North Carolina Sanatorium.
I wish to express to each member of the board my sincere
appreciation for your loyal and hearty support.
The various employees of both institutions have rendered
faithful and loyal service. I am grateful to them all and
especially to Dr. S. M. Bittinger, associate superintendent and
medical director at the Western North Carolina Sanatorium,
and to Dr. C. D. Thomas, assistant superintendent and associate
medical director at North Carolina Sanatorium.
Respectfully submitted,
P. P. McCain, Superintendent,
N. C. Saymtorium and Western N. C. Sanatorium
and Director, Exteyision Department.
Western N. C. Sanatorium and N. C. Sanatorium 11
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12 Biennial Report for 1938-39—1939-40
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Western N. C. Sanatorium and N. C. Sanatorium 13
NORTH CAROLINA SANATORIUM
SUMMARY OF TWO YEARS' WORK
July 1. 1938-June30. 1940
1938-1939 1939-1940
Letters and postals received
Individual letters written .
Mimeographed letters mailed _
Mimeographed forms prepared _
Number of copies mimeographed
Articles written (approximate number words )
Press 15,750 8,300
Sanatorium Sun 197,500 107,000
Copies Sanatorium Sun mailed
Articles copied (approximate number words)
Patients' histories written
Envelopes addressed
Enclosures sent out.
Literature sent out
Sputum cups distributed
Tuberculin sent physicians
X-ray films sent in for interpretation
Operations
Phrenic operations
Thoracoplasty
Pneumonolysis
Major operations
Minor operations
Blood transfusions
Bronchoscopy _
Pneumothorax threatments
Pneumo-peritoneum_
Oleothorax
18,987
17,852
1,183
119
36,899
213,250
34,200
99,880
643
25,619
13,827
28,316
185,400
17,084
3,264
181
49
12
5
33
46
S3
12,822
307
22
18,605
17,694
1,169
100
13,163
205,300
34,200
2,780
769
25,866
12,898
25,169
149,300
18,491
3,072
224
57
7
7
25
46
17
10,566
1,801
150
REPORT OF P. P. McCAIN M. D.
1938-1939 1939-1940
Days out of office. 42
30
4,530
40
Addresses delivered... 31
Number in audience . 3,340
14 Biennial Report for 1938-39—1939-40
NORTH CAROLINA SANATORIUM
REPORT OF FIELD ADULT TUBERCULOSIS CLINICS
1938-1939 1939-1940 TOTAL
13
45,280
13,b49
13,649
9
20,160
13,230
13,230
22
56,440
1938-1939 1939-1940
1,132
1.151
Kil
103
11,102
795
1,310
214
97
10,814
Previously diagnosed positive
Probable
Doubtful _-
Number of white examinations
Number of colored examinations
10,097
3,429
123
0,156
3,970
104
26,879
26,879
REPORT OF SCHOOL TUBERCULOSIS CLINICS
Summary of Results of School Children's Tuberculosis Clinics Conducted by the Extension Department
of the North Carolina Sanatorium in Co-operation with Local Health and School
Authorities During School Sessions 1926-1940
RESULTS OF TUBERCULIN TEST
(0.1 cc. 1:1000 dilution 0. T. intracutaneously)
White Colored Indian Total
Number given tuberculin test-
Number positive reactors
368,521
58,321 (13.1%)
98,652
20,837 (21.1%)
921
284 (30.8%)
468,094
79,442 (16.9%)
RESULTS OF THE STUDY OF 84,470 POSITIVE TUBERCULIN REACTORS HAVING X-RAYS
Number of reactors havmg X-rays of chest
Number reactors diagnosed as having tuberculosis
White
Colored
Indian
Primary tuberculosis
Reinfection tuberculosis
Primary and reinfection tuberculosis
Extra-pulmonary
Extra-pulmonary and reinfection
Extra-pulmonary and primary
Miliary tuberculosis
Number of reactors classified as suspicious
Number of reactors classified as having no demonstrable tuberculosis-
5,533
2,390
40
7,246
501
173
33
6
3
1
7,963
4,641
51,866
64,470
Western N. C. Sanatorium and N. C. Sanatorium 15
REPORT OF SCHOOL TUBERCULOSIS CLINICS
Summary of Results of School Tuberculosis Clinics Conducted by the Extension Department of the
North Carolina Sanatorium in Co-operation with Local Health and School Authorities
During School Sessions 1938-1939 and 1939-1940
RESULTS OF TUBERCULIN TEST
(0.1 cc. of 1:1000 dilution of 0. T. intracutaneously)
White Colored Total
Number given tuberculin test. _ __ __ 89,396
14,476 (16%)
32,515
7,043 (22%)
*121 911
Number positive reactors.. 21,519 (18%)
*87,145 of these were given tuberculin tests by local health officers, the X-rays and their interpretations were
made by staff of Extension Department of North Carolina Sanatorium.
RESULTS OF THE STUDY OF 14,660 REACTORS HAVING X-RAYS
RACE Number Having
X-rays
POSITIVE SUSPICIOUS NEGATIVE
Number % Number % Number %
White 9,073
5,587
1,003
651
10.1
11.6
316
192
3.4
3.4
7,754
4.744
85 4
Negro 84.9
Total.-.. 14,660 1,654 11.2 508 3.5 12,498 83 8
Primary type lesions 1 , 521
Remfection type lesions 116
Primary and reinfection type lesions 17
Total 1,654
NORTH CAROLINA SANATORIUM
WHITE DIVISION
MEDICAL REPORT
July 1938-July 1940
Statistical
1938-1939 1939-1940 TOTAL
Number of patients to be reported on (discharged) 376
10
286
338
18
285
714
28
Number of patients Ml Sanatorium July l... ... .. . . 571
Total numbiT (if patients treated _ _ . .. .. _. ..
Hospital days
672
101,689
641
103,439
1,313
205,128
16 Biennial Report for 1938-39—1939-40
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18 Biennial Report for 1938-39—1939-40
NORTH CAROLINA SANATORIUM
HISTORY OF HEMORRHAGE
1938-39 1939-40
Negative
(Previous
Previous and during residence.
During residence only
260 260
107 02
7 11
2 5
RESULT OF SPUTUM EXAMINATIONS
Negative or no sputum
fOn admission
Positive <1 During residence.
I On discharge
172 147
193 177
132 141
07 70
SEX, AGE AND CIVIL CONDITION
1938-1939
SEX
AGE CIVIL CONDtTION
n-19 20-29 30-39 40-49 50-59 80-72 Single
Mar-ried
Wid-owed
Di-vorced
Male
Female
171
205 36 127 i05 58 30 14 108 245 12 11
TotaL_ _ 376
1939-1940
Male
Female . _
.
Total.
155
183
338
Western N. C. Sanatorium and N. C. Sanatorium 19
NORTH CAROLINA SANATORIUM
TUBERCULOUS COMPLICATIONS
1938-1940
Adenitis (cervical) 6
Adenitis (tracheobronchial) 7
Anal fistula. 15
Cystitis 1
Empyema 20
Enteritis 48
Epididymitis 3
Hydro-pneumothorax (on admission) 6
Laryngitis 59
Meningitis "... __ 2
Miliary tuberculosis 1
Nephritis _ 6
Osteitis 2
Otitis media... 7
Peritonitis 3
Pharyngitis- 1
Pleural fistula 1
Pleurisy with effusion. _ 30
Pott's disease 2
Pyo-pneumothorax 2
Spontaneous pneumothorax 6
Tracheobronchitis 10
NON-TUBERCULOUS COMPLICATIONS
Adenoma thyroid 1
Amputation (arm) 1
Anemia (secondary) 11
Ankylosis 2
Appendicitis 2
Arteriosclerosis __. 12
Arthritis 14
Asthma (bronchial) 4
Atrophy of testicle 2
Auricular fibrillation 2
Blindness (partial) 3
Bronchitis 2
Carious teeth 135
Carcinoma _ 1
Cataract 3
Cirrhosis of liver 1
Cholecystitis 2
Colitis 1
Congenital deformity (hands and feet) 1
Conjunctivitis 1
Cystitis 2
Cystocele 1
Deafness (partial) 5
Diabetes mellitus 5
Diseased tonsils 88
Dysmenorrhea 2
Eczema _ 2
Emphysema 1
Epilepsy 2
Erosion of cervix 1
Fracture of coccyx 1
Goitre 3
Hemorrhoids 23
Hernia 12
Hookworm 15
Hydrocele 1
Hypertension 23
Hypertrophied prostate 4
Icthyosis 2
Ischio-rectal abscess 1
Lipoma 1
Lues __ 9
Mitral regurgitation 1
Mitral stenosis 1
Myocarditis 3
Nasal polyp 1
Nephritis 8
Neurasthenia 3
Obesity 1
Otitis media 8
Paralysis (partial) 2
Pediculosis pubis 2
Pellagra 1
Pes planus^-. 1
Pharyngitis. - 3
Phlebitis 1
Pregnancy 1
Prostatitis 1
Pilonidal sinus 1
Psychosis 1
Pulmonary embolus 1
Pyorrhea 64
Rectocele 1
Retroversion of uterus 1
Rhinitis 19
Sclerosis (spinal cord) 1
Scoliosis 2
Silicosis 1
Sinus (abdominal) 1
Sinusitis 5
Stomatitis , 2
Strabismus 3
Subdeltoid bursitis... 1
Tapeworm infection 1
Tumor (benign) 1
Varicocele 4
Varicose veins 2
20 Biennial Report for 1938-39—1939-40
NORTH CAROLINA SANATORIUM
OCCUPATIONS
Baker
Barber
Boarding house keeper
Bookkeeper- _
Brick mason
Bus driver --.
Butcher,
Cafe operator
Cannery operator
Carpenter
Civil engineer
Clerk 30
Contractor 2
Cotton mill operator _ 85
Deputy collector
Deputy sheriff
Dietitian
Druggist- -.
Electrician
Engineer
Express messenger-. -
Farmer 118
Federal employee .-
Filling station operator-
Factory (tobacco) operator
Florist -.-
(Graduate nurse 33
Granite quarry 3
Housework 236
Insurance salesman 2
Laborer 17
Laundryman 1
Lawyer 1
Librarian 1
Linotype operator.- 1
Machinist fi
Mail clerk-- 1
Mechanic 4
Merchant _ 1
Metal smith .- -. 3
Minister - 3
Painter 4
Physician 2
Plumber 3
Postal clerk 3
Postmaster 1
Printer 3
Radio 1
Railway mail clerk 3
Railroad shop operator 3
Register of deeds 2
Salesman 8
Seamstress 6
Steam fitter-
Stenographer 1
Students 3
Teacher
Telephone manager
Telephone operator
Theatre operator -
Tobacco warehouseman
Truck driver
Upholsterer -
Waitress - -- 2
Western N. C. Sanatorium and N. C. Sanatorium 21
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? il
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>
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9
397
2,268 1,498
441
2,107 1,406 4,044
CO '^ CO
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" " "
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3 S S •^
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211
1,331 1,254
1^-
263
1,394 1,207 2,864
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- Z ''^'
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Positive
diagnosis
Negative
diagnosis
_
22 Biennial Report for 1938-39—1939-40
NORTH CAROLINA SANATORIUM
SUMMARY OF MEDICAL REPORT
(White Division)
July 1. 1938-July 1, 1940
Patients admitted
Minimal
Moderately advanced
Far advanced _
Extra-pulmonary
Primary tuberculosis.
Not tuberculous
Total
Patients discharged
Apparently arrested _
Quiescent
Improved
Unimproved _ _
Died
Total
1938-1939
53
162
391
25
52
251
31
17
1939-1940
48
143
154
1
355
23
52
210
25
28
Total
101
305
321
1
2
16
746
48
104
461
56
45
NORTH CAROLINA SANATORIUM
REPORT OF X-RAY LABORATORY
(All Divisions)
July 1,1938-June30, 1940
White Colored Prison Total
1,034
252
81
269
4,364
1.768
1,748
161
6,379
632
561
35
41
163
2,345
627
296
398
3,111
136
76
170
21
33
1,671
Stereoroentgenograms of chest Sanatorium clinic patients
Double Roentgenograms of chest Sanatorium patients-.
287
122
432
6,709
2,565
2,065
Single Roentgenograms of chest children's clinics
Single Roentgenograms of chest adult clinics .
559
9,490
Miscellaneous X-ravs. 801
Total 16,688
61
7,713
129
300
8
24 , 70
1
X-ray treatments 198
Western N. C. Sanatorium and N. C. Sanatorium 23
NORTH CAROLINA SANATORIUM
LABORATORY REPORT
(All Divisions)
July 1, 1938-June 30, 1940
White Colored Prison Total
Sputanalyses
Micro .
Chem ... ... .
7,314
1,708
3,858
827
648
97
11,820
2 632
Total .. 9,022
1,698
3,402
4,685
770
766
745
123
123
14 452
Urinalyses
Micro.. 2,591
Chem . 4,291
Total 5,100
1,119
1,078
1,081
953
1,067
988
33
52
1
26
49
25
84
2
3
16
2
4
1
I
6
1,536
621
651
645
606
609
889
45
4
30
32
1
5
1
1
1
246
117
113
113
113
117
119
7
2
1
6 882
Blood
W. B. C
R.B. C
1,857
1 842
Hemoglobin .. 1 83')
C. I...- 1 67'
Differential 1 793
Kline . . . 1 996
Wassermann 85
58
1
56
82
26
Sugar .
.
89
Undulant fever . . ... . 9
Blood chemistry ... .. . 3
Culture. .
.
17
Widal.. 2
Laughlen _
.
N.P.N
5
Platelet.... I
Agglutination 6
Total
Feces .. .. ... . ..
6,591
1,038
2
25
369
16
180
69
2
8
1
14
8
80
1
4,141
573
4
6
86
5
372
38
46
5
4
2
7
3
702
107
1
12
14
3
3
3
2
11,434
1 718
Phthalein. 6
32
Pleural fluid 476
B. M. R 21
566
Vital capacity . .. . 110
Abdominal fluid.. 2
57
6
Guinea pig autopsy 18
Spinal fluid 13
89
Friedmann's test ._ 1
3
Total 1,813 1,151 145 3,109
22
Total examinations and tests.. 35,899
24 Biennial Report for 1938-39—1939-40
NORTH CAROLINA SANATORIUM
PERSONS FROM WHOM DONATIONS WERE RECEIVED
Books and Magazines
:
Mrs. N. S. Hurd, Pinehurst
Junioi- Chamber of Commerce, Southern Pines
Pinehurst Incorporated, Pinehurst
Mr. C. C. Cranford, Asheboro
Mrs. Alline Jeffords, Pikeville
Mrs. R. B. Lawson, Chapel Hill
Carey Newton Sunday School Class, First Baptist Church, Goldsboro
American Bible Society, Richmond, Va.
Mrs. Coy Collins, Raleigh
Flower's
:
Ladies' Auxiliary, Hillsboro Presbyteiian Church, Hillsboro
Mr. C. A. Ballentine, Varina
Mr. and Mrs. E. M. Harris, Aberdeen
Miscellaneous :
Pinehurst School Junior Red Cross, Pinehurst
Mrs. J. A. Bizzell, Chapel Hill
Mr. J. M. Gibson, Montgomery, Ala.
Mrs. Franklin, New York
Mr. Alexander Weinstein, Raleigh
Cash Donations :
Mr. S. Donald Sherrerd, Pinehurst
Miss Mingle, State Board of Health, Raleigh
Western N. C. Sanatorium and N. C. Sanatorium 25
NORTH CAROLINA SANATORIUM
CHILDREN'S DIVISION
MEDICAL REPORT
Statistical
Number of patients to be reported on (discharged;
Number not tuberculous •_
Number of patients in Sanatorium July 1
Total number of patients treated
1938-1939 1939-1940 Total
SUMMARY MEDICAL REPORT
1938-1939 1939-1940 Total
Patients admitted
Reinfection type tuberculosis
Minimal
Moderately advanced
Far advanced
1938-1939 1939-1940
9 10
V T 1
10
41
11,
30
1
27
71
1
Total . 57
44
2
2
4j-
30
7
5
98
Patients discharged
74
9
7
Total... . 48 42 90
S'i
26 Biennial Report for 1938-39—1939-40
SEX AND AGE
1938-1939 1939-1940 Total
Sex
Male.. 25
23
17
25
42
48
Total 48
15
33
42
16
26
90
Age
22 months to 9 years .. 31
10 to 18 years . 59
Total . 48 42 90
Adenitis ( tracheobronchial) 14
Osteitis of tibia. 1
TUBERCULOUS COMPLICATIONS
Pleunsv with effusion.
NON-TUBERCULOUS COMPLICATIONS
Bronchitis (chronic) 1
Carious teeth 12
Diseased tonsils 20
Dwarf tapeworm 1
Heart disease 1
Hookworm disease 5
Lues 1
Otitis media 2
1
2
2
1
Scabies 2
Secondary anemia 1
Round worm infection - 1
Paralysis (facial).
Pediculosis
Phimosis
Pneumonitis
NORTH CAROLINA SANATORIUM
NEGRO DIVISION
MEDICAL REPORT
Statistical
Number of patients to be reported on (discharged)
Number not tuberculous
Number of patients in Sanatorium July 1
Total number of patients treated . _
Hospital days
1938-1939
202
14
171
387
64,591
1939-1940
233
15
273
521
77,476
Total
435
29
444
908
142,067
Western N. C. Sanatorium and N. C. Sanatorium 27
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28 Biennial Report for 1938-39—1939-40
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Western N. C. Sanatorium and N. C. Sanatorium 29
NORTH CAROLINA SANATORIUM
HISTORY OF HEMORRHAGE
1938-1939 1939-1940
Negative. . _
I
I'revious only
Positive
-J
Previous and during residence.
I During residence only
I4:i
:i4
II)
lfi9
5(1
3
RESULT OF SPUTUM EXAMINATIONS
Negative or no sputum
[On admission
Positive <. During residence.
I On discharge
78 83
111) 146
85 120
Gl 77
SEX, AGE AND CIVIL CONDITION
1938-1939
SEX Total
AGE CIVIL CONDITION
2-9 10-19 20-29 30-39 40-49 50-65 Single
Mar-ried
Wid-owed
Di-vorced
Male-. 92
Female 110 19 50 79 37 13 4 104 83 11 4
Total... 202
1939-1940
Male
Female _
120
113 13 55 79 45 22 19 116 103 11 3
Total 233
30 Biennial Report for 1938-39—1939-40
NORTH CAROLINA SANATORIUM
OCCUPATIONS
1938-1940
Barber 2
Bookkeeper 1
Butler 1
Carpenter _ 2
Chauffeur 5
Clerk 2
Cook... . 14
Dry cleaner 3
Farmer... 110
Filling station 4
Furniture factory 2
Granite quarry 2
Hotel boy 2
Housework 85
Janitor--. -.. 3
Laborer. _ - 45
Laundress --- __ 3
Maids - _ - 4
Mechanic 2
Mill work 3
Minister 1
Musician 1
Nurse 2
Orderly 2
Painter 1
Porter 1
Seamstress 1
Secretary --- ._ 1
Shoe shme 1
Student 106
Student nurse : 2
Teacher 5
Tobacco factory 9
Truck driver 3
Undertaker 1
Waiter 3
NORTH CAROLINA SANATORIUM
TUBERCULOUS COMPLICATIONS
1938-1940
Adenitis (cervical) 10
Adenitis ( tracheobronchial) - _ 24
Empyema 7
Enteritis - 39
Epididymitis .- 1
Ischio-rectal abscess 16
Keratitis 1
Laryngitis _ 54
Meningitis 1
Osteitis 5
Otitis media 6
Peritonitis 9
Pleurisy with effusion 28
Pott's disease 2
Scrofula _ . _ .- 4
Tuberculoma of the brain I
NON-TUBERCULOUS COMPLICATIONS
Abdominal sinus " 1
Alopecia 1
Amputation (leg).. 1
Anemia (secondary) 4
Anemia sickle cell 1
Arthritis 1
Arteriosclerosis 2
Asthma 1
Carious teeth 144
Cystocele 2
Deafness (partial) 5
Decubitus ulcer 3
Diseased tonsils 93
Endocarditis ^ 8
Epilepsy 1
Erosion of cervix. _ 3
Goitre 12
Harelip 1
Hemorrhoids 18
Hernia 7
Hookworm 3
Hypertension 5
Inguinal adenitis 1
Iritis.-- -
Kyphosis (dorsal)--
Laceration of cervix
Measles
Mastoiditis
Myocarditis -
Nasal polyp
Nephritis. -
Osteoma femur
Otitis media
Peptic ulcer
Pharyngitis
Phimosis
Phlebitis
Pregnancy
Psychosis
Pulmonary embolus --
Pyodermia
Pyorrhea -
7'
Syphilis 42
Tenia saginata 2
Varicose veins..- 1
Western N. C. Sanatorium and N. C. Sanatorium 31
NORTH CAROLINA SANATORIUM
SUMMARY MEDICAL REPORT
(Negro Division)
1938-1939 1939-1940 Total
Patients admitted
Minimal
Moderately advanced
Far advanced
Extra-pulmonary
Primary tuberculosis.
Not tuberculous
Total
Patients discharged
Apparently arrested _
Quiescent
Improved..
Unimproved
Died
Total
53
162
167
1
26
56
221
32
14
123
3
1!)
16
72
202
7'J
218
388
1
34
21
108
47
117
PERSONS FROM WHOM DONATIONS WERE RECEIVED
Mrs. W. C. Fownes, Jr., Pinehurst
Mrs. Robert C. Dye, Fayetteville
Iredell County School Teachers, Statesville
Lend-A-Hand Book Mission, Boston, Mass.
Mrs. Mary C. Holliday, Statesville
Miss Mary Phillips, Aberdeen
Mr. S. B. Chapin, Myrtle Beach, S. C.
Mrs. F. L. Terry, Black Mountain
Mrs. W. C. Andrews, Southern Pines
Moore County Ladies' Auxilir.ry, Southern Pines
Mr. P. T. Kelsey, Southern Pines
Miss Bair, Southern Pines
Mrs. Frankie Cameron, Southern Pines
Miss Gladys Hussey, Southern Pines
Miss Barbara Backer, Southern Pines
Mrs. P. L. Kirk, Southern Pines
32 Biennial Report for 1938-39—1939-40
NORTH CAROLINA SANATORIUM
PRISON DIVISION
MEDICAL REPORT
Number of patients to be reported on (discharged)
Numbor not tuberculous
Number of patients in Sanatorium July 1
Total number of patients treated
Hospital days
1938-1939
77
13,705
1939-1940
111
14,8'il
Total
103
12
73
188
28,566
SUMMARY MEDICAL REPORT
Patients admitted
Minimal
Moderately advanced
Far advanced
ICxtra-pulmonary
Primary type tuberculosis
Not tuberculous
Total
Patients discharged
Apparently arrested
Quiescent- _
Improved
Unimproved
Died
Total
42
1939-1940 Total
35
58
1
1
11
114
36
8
18
31
10
103
V
^ w
V
Western N. C. Sanatorium and N. C. Sanatorium 33
THE NORTH CAROLINA SANATORIUM
Revenue and Expenditures
EXTENSION FUND
For the Two Years Ended June 30, 1939-40
Revenue
Appropriation
Institutional receipts
Total revenue
Expenditures
Salaries and wages _.
Supplies and materials
Postage, telephone and telegraph
Travel expense
Printing and binding
Equipment ^
Unexpended balance
Fiscal Year
1938-1939
24,769.00
49.75
24,845.75
16,051.26
551.59
845.80
4,675.61
1,557.43
600.95
$ 2-1,282.64
Fiscal Year
1939-1940
$ 25,370.00
56.00
$ 25,426.00
14,.542. 92
602.36
893.32
4,947.41
1,187.56
1,782.13
? 23,955.70
S 1,470.39
THE NORTH CAROLINA SANATORIUM
Revenue and Expenditures
MAINTENANCE FUND
Revenue
.Appropriation
Institutional receipts
Fire loss
Transfer
Total revenue
Expenditures
Admmistration
Professional care
Custodial care.-
Operation of plant
Maintenance of plant
Agriculture
Additions and betterments
Unexpended balance
Fiscal Year
1938-1939
211,431.00
101,384.86
14,396.87
1,800.00
$ 329,012.73
13,125.13
57,735.12
145,019.45
25,867.06
19,901.94
35,837.91
12,684.64
$ 310,271.25
18,741.48
Fiscal Year
1939-1940
$ 201,917.00
110,928.31
$ 312,845.31
040.32
478.12
710.78
732.98
351.15
362.89
457.20
$ 307,133.44
5,711.87
34 Biennial Report for 1938-39—1939-40
THE NORTH CAROLINA SANATORIUM
AVERAGE POPULATION AND MAINTENANCE PER CAPITA COST
For the Two Years Ended June 30, 1939-1940
Administration
Professional care and treatment
Custodial care
Operation of plant
Maintenance of plant
Agriculture
Additions and betterments
Totals..
From appropriation
From own receipts
Average number of patients
Fiscal Year
1938-1939
533
Fiscal Year
1939-1940
$ 24.63 $ 22.29
108.31 103.39
272.08 255.90
48.72 49.12
37.34 27.95
67.24 63.87
23.80 2.48
$ 582.12 $ 525.00
1 361.52 $ 335.38
220.60 189.62
585
WESTERN NORTH CAROLINA SANATORIUM
POPULATION MOVEMENT
1938-1939
WHITE ADULTS
Total Men Women Total
1. Patients in hospital at beginning of year
Admissions during year
126
367
2
11
64
164
6
62
203
2
5
126
367
Readmissions 2
11
380
53
83
33
12
4
23
170
2
22
39
18
10
3
13
210
5
31
44
15
2
1
10
380
Separations during year
7
53
83
33
Died. 12
4
23
Total separations 215
291
107
127
108
164
215
291
184
300*
•—Capacity 300 at end of June 1939 after opening of New Wmg in February, 1939.
Western N. C. Sanatorium and N. C. Sanatorium 35
WESTERN NORTH CAROLINA SANATORIUM
POPULATION MOVEMENT
1939-1940
Patients in hospital at beginning of year-
Admissions during year
New admissions
Readmissions
Transfers from Eastern Sanatorium..
Total admissions
-
Separations during year
Apparently arrested..
Quiescent
Improved
Unimproved
Died
Not classified
Not tuberculous
Total separations
-
Patients in hospital at end of year.
Average daily population. .
Normal capacity
Total
313
13
18
9
102
143
28
21
30
333
302
WHITE ADULTS
Men
136
129
8
6
135
130
Women
184
5
12
Total
198
lti6
313
13
18
344
102
143
28
21
30
302
297
300
36 Biennial Report for 1938-39—1939-40
WESTERN NORTH CAROLINA SANATORIUM
SUMMARY OF TWO YEARS' WORK
July 1.1938-June 30. 1940
Letters and postals received
Indi\'idual letters written
Articles copied (approximate number of words)
Patients' histories written
Approximate number of words in patients' histories
Envelopes addressed
Enclosures sent out
Literature sent out
Sputum cups distributed-
Tuberculin sent to physicians. ._
X-ray films sent for interpretation
Operations
Report of phrenic operations
Report of pneumolyses
Report of thoracoplasties
Report of thoracotomies
I^obectomy
Pneumonectomy
Rib resection and drainage _,.
Appendectomy
Bronchoscopy _
Major
Minor
Blood transfus ons
1938-1939 1939-1940
7,217 8,313
8,9% 10,844
4,950 15,250
310 279
473,000 418,500
10,295 11,637
1,960 850
499 376
9,900 15,350
4,440 2,010
597 800
143 168
3 8
66 88
1
1
1
2 1
2 8
36 78
15 11
5 53
REPORT OF DR. S. M. BITTINGER, M. D.
1938-1333 1933-1940
Days out of office 31
4
480
35
Addresses delivered.-- . ._ 3
Number in audience 200
Western N. C. Sanatorium and N. C. Sanatorium 37
WESTERN NORTH CAROLINA SANATORIUM
REPORT OF TUBERCULOSIS CLINICS—X-RAY
Childhood type positive
Childhood type (suspicious)
Adult and childhood type (healed)
Adult type positive
Adult type (suspicious)
tive
Total
1938-1939
White
173
Colored Total
37
15
4
1
192
249
1939-1940
126
33
1
1
528
Colored Total
126
3 36
1
1
4 4
31 559
727
MEDICAL REPORT
Statistical
1938-1933 1939-1940 Total
Number of patients to be reported on (discharged) 2!5
4
23
291
333
30
302
548
Number not classified. 4
Number not tuberculous
Number of patients in Sanatorium July 1st „ _ _ ....
53
593
Total number of patients treated. 533
67,032
665
108,779
1 198
175 811
WESTERN NORTH CAROLINA SANATORIUM
HISTORY OF HEMORRHAGE
1938-39 1933-40 Total
Negative . . _ 129
76
9
1
189
137
318
(Previous ._ _. _ ... 213
Positive • Previous and during residence
During residence only..
16
1
RESULT OF SPUTUM EXAMINATIONS
Negative or no sputum.
Positive
On admission
During residence
On discharge
On admission and during residence
During residence and on discharge
On admission, during residence and on discharge
Total
77
17
4
86
9
161
38 Biennial Report for 1938-39—1939-40
WESTERN NORTH CAROLINA SANATORIUM
SEX, AGE AND CIVIL CONDITION
1938-39
SEX
AGE-1938-39 CIVIL CONDITION
12-19 20-29 30-39 40-49 50-59 60-65 Single Married Widowed Divorced
Male-___ ..107
..108
..215
Female
Total 16 76 77 24 15 7 54 153 6 2
1939-40
SEX
AGE—1939-40 CIVIL CONDITION
13-19 20-29 30-39 40-49 50-59 60-67 Single Married Widowed Divorced
Male ... ..133
.-200
.333
Female
Total 29 112 110 53 23 6 87 229 15 2
WESTERN NORTH CAROLINA SANATORIUM
SUMMARY OF MEDICAL REPORT
July 1, 1938 to June 30. 1940
1938-39 1933-40 Total
Patients admitted
9
114
230
1
10
16
16
106
189
1
1
7
24
25
Moderately advanced. 220
Far advanced . 419
Childhood tuberculosis . . . .
Extra-puimonary . 1
17
40
Total 380
53
83
33
12
23
4
344
9
102
143
28
21
30
724
Patients discharged
Apparently arrested 16
155
226
61
Died . 33
53
Not classified . 4
Total . 215 333 548
Western N. C. Sanatorium and N. C. Sanatorium 39
WESTERN NORTH CAROLINA SANATORIUM
CLASSIFICATION OF VARIOUS TYPES OF NON-TUBERCULOUS
CASES—1938-1940
1. Arteriovenous aneurism (femoral artery and vein) — 1
2. Bronchiectasis - 16
3. Bronchopnuemonia 1
4. Empyema (chronic) 1
5. Lung abscess 4
6. Pleurisy with effusion 1
7. Pneumonitis - 10
8. Pneumonitis (suppurative) 1
9. Pulmonary fibrosis (chronic) 2
10. Pulmonary malignancy (metastatic sarcoma, probable) 1
11. Silicosis 4
12. Spontaneous pneumothorax (non-tuberculous) 1
13. Tracheobronchial tuberculosis (healed) 3
14. No pulmonary disease of any kind 7
TOTAL 53
40 Biennial Report for 1938-39—1939-40
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Western N. C. SANATorauM and N. C. Sanatorium 41
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1938-39
--= ::S= ="Sg5
-j:mo <e3U -^tojo
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zo
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Q<zozo
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Minimal
3
•{
Moderately
advanced
124
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Far
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.220
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42 Biennial Report for 1938-39—1939-40
WESTERN NORTH CAROLINA SANATORIUM
REPORT OF X-RAY LABORATORY
July 1,1938 to June 30, 1940
Stereoroentgenograms of chest Sanatorium patients
Stereoroentgenograms of chest Sanatorium clinic patients..
Stereoroentgenograms of chest children's clinics
Double Roentgenograms of chest Sanatorium patients
Double Roentgenograms of chest Sanatorium clinic patients
Double Roentgenograms of chest children's clinics
Single Roentgenograms of chest Sanatorium patients
Single Roentgenograms of chest Sanatorium clinic patients .
Single Roentgenograms of chest children's clinics
Single Roentgenograms of chest adult clinics
Miscellaneous X-rays
X-ray reprints :..
Total
Treatments -
White
714
58
5
5
18
t)48
1,865
1,157
442
463
262
26
5,663
111
3
2!)
4
714
58
5
5
22
648
1,865
1,268
445
492
266
26
5,814
Western N. C. Sanatorium and N. C. Sanatorium 43
WESTERN NORTH CAROLINA SANATORIUM
LABORATORY REPORT
July 1.1939 to June 30, 1940
White Colored Total
Sputanalyses
5,103
1,139
5,103
Chem 1,139
Total.. . 6,242
1,826
3,551
6,242
Urinalyses
1,826
Chem. 3,551
Total 5,377
1,326
1,207
1,181
1,154
1,291
1,104
127
17
3
332
6
1,857
2
15
I
312
77
5,377
Blood
W. B. C
R. B. C
1,326
1,207
1,181
1,154
1,291
Kline 1,181
N. P. N.-.. . . . . 127
17
3
332
6
1.857
2
15
1
312
Total
Feces .
Phthalein . .
i;,935
1,012
91
7
152
10
33
357
4
3
511
14
10,012
1. 012
91
Gastric . _ ." 7
Pleural fluid- _ . ... ... 152
10
B. M. R 33
357
Gram stain.
_
4
Autogenous vaccines. . . 3
511
14
Total.. . . 2,194 2,194
23,825
44 Biennial Report for 1938-39—1939-40
WESTERN NORTH CAROLINA SANATORIUM
PATIENTS EXAMINED IN SANATORIUM CLINIC FOR DIAGNOSIS AND CONSULTATION
July 1. 1939 to June 30. 1940
July
August
September
October. -
.
November.
December.
January.-
-
February..
March
April
May
June
Total.
CHILDREN
1938-39 1939-40
:i8
37
40
25
59
32
8
31
34
41
WHITE
1938-39
107
104
111
124
98
89
138
150
130
149
171
237
1939-40
203
23 (i
218
127
19ti
123
90
159
185
218
295
134
2,184
COLORED
1938-39
108
1938-39
126
120
13(i
153
111
112
167
174
199
189
218
284
1,989
1939-40
244
277
270
173
266
157
100
202
234
268
367
163
CLASSIFICATION
Positive diagnosis.
Negative diagnosis
Re-examinations .
.
Total
25 11 153 130 13 191
247 353 987 1,353 43 57 1,277
42 05 474 695 5 29 521
314 429 1,614 2,184 61 108 1,9%
109
1 , 703
789
2,721
Western N. C. Sanatorium and N. C. Sanatorium 45
WESTERN NORTH CAROLINA SANATORIUM
OCCUPATIONS—1938-1940
Auditor 1
Baker 1
Barber 4
Beautician .^ 1
Bookkeeper 1
Carpenter 4
Cashier 1
Clerk 10
Conductor 1
Contractor 1
Construction work 2
Cook 1
Dentist 1
Dry cleaner — 2
Dye plant worker 1
Electrician 6
Farmer 67
First-aid attendant 1
Gift shop 1
Grocer 1
Housework 174
Laborer 10
Lather 1
Laundryman 1
Lawyer 2
Machinist 4
Mechanic ___ 6
Merchant 2
Miner 6
Nurse 10
Office work 1
Painter 1
Plumber 1
Postal clerk 1
Produce grader 1
Prison guard 1
Refiiiisher 1
Real estate dealer 1
Reporter ._, 2
Salesman 14
Saw mill worker 1
Seamstress 1
Service station work 3
Stenographer 5
Stone worker 2
Student 21
Tanner 1
Taxidermist 1
Teacher 9
Telephone operator 1
Textile 84
Truck driver _-. 5
Upholsterer 1
Waiter 5
W. P. A. 3
TUBERCULOUS COMPLICATIONS
Adenitis (cervical) _ 4
Anal fistula 16
Ankylosis 1
Bronchial fistula 2
Cold abscess 2
Draining sinus 1
Empyema 4
Enteritis 23
Hydropneumothorax 14
Hydrothorax (obliterative) . _ 3
Interstitial keratitis 1
Ischiorectal abscess
(with fistula) 2
Laryngitis 44
Meningitis 2
Miliary tuberculosis of
throat 1
Nephritis 6
Obliterative pleuritis — ..l 1
Oleothorax 1
Otitis media (chronic) ., 6
Peri-anal fistula 1
Peritonitis 2
Pharyngitis 4
Pleurisy with eff"usion 22
Pleurisy (fibrinous) 1
Pott's disease 1
Pyopneumothoi'ax 7
Spontaneous pneumothorax 11
Tracheobronchial tuberculosis __ 11
Tuberculous pneumonia 1
46 Biennial Report for 1938-39—1939-40
NON-TUBERCULOUS COMPLICATIONS
Acne 12
AcutB appendicitis 4
Adenoma _— 5
Adentia 13
Anal Fissure — 1
Anemia (secondary) 27
Ankylosis 1
Antiflexion of uterus 1
Arcus Senilis 2
Arthritis 10
Arteriosclerosis 1
Artificial eye 1
Blepharitis — 6
Blindness (traumatic) 1
Bronchiectasis 7
Cardiac hypertrophy 1
Carious teeth 181
Chloasma 1
Clubbed fingers 1
Conjunctivitis 2
Colitis (ulcerative) 1
Cyst (scalp) 1
Cystitis 2
Cystocele - - 18
Deafness (partial) 12
Defective speech 1
Defective vision 6
Diabetes Mellitus 5
Dermatitis .. ^ 3
Diseased tonsils 42
Endcervicitis 29
Endometritis (hypertrophic) 1
Epididymitis 2
Epithelioma (squamous cell) 4
Empyema 2
Erythematosis 1
Funnel breast . 3
Glossitis 1
Hemorrhoids 48
Hepatitis 1
Herpes Zoster 1
Hookworm 9
Hypertension 13
Hyperthyroidism 4
Infantile vagina and uterus .. 1
Inguinal hernia . 5
K^eratitis 1
Kyphosis -— 4
Laceration of perineum 25
Lipoma 1
Lupus 1
Lues 18
Malnutrition ._ 7
Mitral regurgitation 2
Myocarditis __. 4
Nephritis 2
Nostalgia 1
Obesity 3
Otitis Media 16
Paralysis of left arm (partial) 1
Paresis 1
Paresis of left eye lid 1
Pellagra 1
Pelvic Cellulitis (chronic) 1
Perforation of nasal septum
(postoperative) 2
Phlebitis -. -- 1
Photophobia 1
Pneumoconiosis 3
Pneumonitis 3
Postoperative abscess of
chest wall 1
Pregnancy ii
Procidentia (partial) 2
Prostatitis (chronic) ^ 2
Psoriasis ^
Psycho-neurosis —
-
1
Pyelitis ..- - 2
Rectocele 15
Rhinitis 18
Ring worm (eczematoid) 1
Round worm infestation __ -— 4
Salpingitis 1
Scoliosis 9
Sebaceous cyst on back 1
Sinusitis (chronic) 8
Strabismus : 2
Stricture of anus — 1
Trichomonas vaginalis T)
Ulcer of nasal septum 4
Ulnar paralysis 1
Varicocele 1
Varicose veins 1
Wound infection 5
Western N. C. Sanatorium and N. C. Sanatorium 47
WESTERN NORTH CAROLINA SANATORIUM
PERSONS FROM WHOM DONATIONS WERE RECEIVED
Books and Magazines:
Mr. and Mrs. E. C. Applegate, Asheville, N. C.
Mr. Eugene Byrd, Black Mountain, N. C.
Farm School Library, Swannanoa, N. C.
American Legion, Oteen, N. C.
Mrs. Max T. Payne, Greensboro, N. C.
Mrs. I. M. Gordon, Pilot Mountain, N. C.
Mrs. O. N. Swanson, Pilot Mountain, N. C.
Rev. Guy Marlowe, Black Mountain, N. C.
Mrs. Lee Gravely, Rocky Mount, N. C.
Miss Laura M. Fleming, Black Mountain, N. C.
Mrs. J. B. Nichols, Swannanoa, N. C.
Mr. Hubert P. Lane, Cramerton, N. C.
Mrs. Francis Griffith, Ridgecrest, N. C.
Mr. C. C. Crawford, Asheboro, N. C.
Mr. W. H. Kirkendall, Black Mountain, N. C.
Miss Frances Whittemore, Reidsville, N. C.
Mrs. M. L. Stevens, Asheville, N. C.
Rev. W. Greenwood, Black Mountain, N. C.
Mr. A. C. Thompson, Address not given
Miss Ina Jean Church, Wilkesboro, N. C.
Miss lola Hamlet, Blanche, N. C.
Mrs. Mae Jones, Asheville, N. C.
Mrs. Mae Jones, Asheville, N. C.
Miss Grace Brizendine, Rocky Mount, N. C.
Mrs. W. B. Hart, Hickory, N. C.
Mrs. Lucy O'Neal Mawyer, Danville, Va.
Mrs. J. O. Rodgers, Asheville, N. C.
Mrs. James I. Story, Marshall, N. C.
Mr. Tom Dornin, Durham, N. C.
Mr. W. H. Sherrill, Thomasville, N. C.
Miss Tazzie Coble, Burlington, N. C.
Miss Irma Quigg, Asheville, N. C.
Miss Fannie Pearl Felmet, Waynesville, N. C.
Mrs. E. W. Abee, Morganton, N. C.
Dr. Margaret Burns, Asheville, N. C.
Mr. A. F. White, Asheville, N. C.
Dr. A. D. Cooper, Durham, N. C.
Mr. Fred Gaither, Harmony, N. C.
Miss Elvern Pennington, Asheville, N. C.
Mr. L. Glasser, Asheville, N. C.
Mr. O. N. Swanson, Pilot Mountain, N. C.
Tea & Topic Club, Black Mountain, N. C.
American Legion, Oteen N. C.
Mrs. J. W. Gorham, Asheville, N. C.
Biltmore Chapter of Eastern Star, Biltmore, N. C.
Mrs. G. R. Royal, Asheville, N. C.
48 Biennial Report for 1938-39—1939-40
Mr. W. C. Honeycutt, Black Mountain, N. C.
Mr. John Leeman, Swannanoa, N. C.
Mrs. Minnie C. Pickens, Asheville, N. C.
Mrs. Upshaw, Black Mountain, N. C.
Mr. Ronald Finch, Black Mountain, N. C.
Mr. Carter Uzzell, Black Mountain, N. C.
Mrs. Alfred Tyson, Black Mountain, N. C.
Mr. Fred Magnant, Swannanoa, N. C.
Mr. and Mrs. Whiting, Oteen, N. C.
Mr. and Mrs. C. Muchette, Oteen, N. C.
Mr. R. L. Woodward, Black Mountain, N. C.
Mrs. Lyons Lee, Asheville, N. C.
Black Mountain Baptist Church
Black Mountain Methodist Church
Episcopal Church, Black Mountain, N. C.
Swannanoa Presbyterian Church
Dr. and Mrs. M. L. Stevens, Asheville, N. C.
Rev. Bell, Pastor of Presbyterian Church, Black Mountain, N. C.
Flowers, Shrubs, and Bulbs:
Mrs. F. S. Terry, Black Mountain, N. C.
Mrs. George Troutman, Hazelwood, N. C.
Mountain Orphanage, Black Mountain, N. C.
Plant, Flower & Fruit Guild, Asheville, N. C.
State Test Farm, Swannanoa, N. C.
Mrs. D. B. Alexander, Swannanoa, N. C.
Putman Dahlia Farm, Black Mountain, N. C.
Nettle's Nursery, Asheville, N. C.
Middlemount Gardens, Inc., Asheville, N. C.
Nightingale Club, Montreat College
Mrs. W. H. Arthur, Asheville, N. C.
Mrs. T. J. Hunter, Swannanoa, N. C.
Mrs. Fred Magnant, Swannanoa, N. C.
Swannanoa School
Mrs. S. M. Wolfe, Swannanoa, N. C.
Mrs. Perry Alexander, Swannanoa, N. C.
Mr. J. B. Nichols, Swannanoa, N. C.
Mrs. D. T. Alexander, Swannanoa, N. C.
Miscellaneous
:
Chums Cove Missionary Society, Asheville, N. C.
Mrs. William R. Owens, Asheville, N. C.
Mrs. Fred Magnant, Swannanoa, N. C.
Junior Circle Presbyterian Church, Swannanoa, N. C.
Mr. Lawrence G. Barnhill, Black Mountain, N. C.
Mr. L. T. Brewer, Address not given.
Man's Store, Asheville, N. C.
Bon Marche, Asheville, N. C.
Western N. C. Sanatorium and N. C. Sanatorium 49
Mrs. H. T. Warren, Durham, N. C.
Miss Leona Harrison, Asheville, N. C.
Mr. Eugene Byrd, Black Mountain, N. C.
Young Woman's Auxiliary, Calvary Baptist Church, Asheville, N. C.
Mrs. Mary Hedrick, Mountain Orphanage, Black Mountain, N. C.
Plant, Flower & Fruit Guild, Asheville, N. C.
Episcopal Church, Black Mountain, N. C.
Swannanoa Presbyterian Church
Nightingale Club, Montreat, N. C.
The hospital is deeply indebted to a number of individuals who con-tributed
cash for a Christmas fund. Also, there were numbers of articles
donated for benefit parties, the proceeds of which were placed in the
Christmas fund, this fund being used for indigent patients in the hospital.
50 Biennial Report for 1938-39—1939-40
WESTERN NORTH CAROLINA SANATORIUM
Revenues and Expenditures
MAINTENANCE FUND
For the Two Years Ended June 30, 1939 and 1940
Revenues
Appropriation
Institutional receipts
Expenditures
Administration.
Professional care and treatment
Custodial care
Operation of plant
Maintenance of plant.
Agriculture _
Additions and betterments
Fiscal Year
1938-39
I 122,8'.»O.O0
37,126.21
S 160.016.21
15,049.04
35,414.34
78,845.68
13,372.32
4,125.20
—2.95
2,340.25
$ 149,143.
Fiscal Year
1939-40
$ 133,775.00
59,545.99
$ 193,320.99
$ 15,885.60
42,565.43
90,731.17
15,051.95
4,461.15
2,149.89
S 170,845.19
AVERAGE POPULATION AND MAINTENANCE PER CAPITA COST
For the Two Years Ended June 30. 1939 and 1940
Fiscal Year Fiscal Year
1938-39 1939-40
$ 81.79 $ 53.49
192.47 143.31
428.51 305.49
22.42 15.02
—.02
12.72 7.24
72.67 50.68
.Administration
Professional care and treatment
Custodial care
Maintenance of plant
Agriculture
Additions and betterments
Operation of plant
Average number patients
575.23
297
STATE LIBRARY OF NORTH CAROLINA
3 3091 00747 2699