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PLAINTIFF'S EXHIBIT r*** QUACTEOy BULLETIN Vol. 9, No. 2 f*" METROPOLITAN NURJEJ May 1945 LEGION OF MERIT AWARD GOES TO DR (COLONEL) LANZA Dr. Anthony J. Lanza, whom many of you know, returned to the Company on January 1st of this year, after three years of service with the War Department. Dr. Lanza's work as head of the Division of Occupational Health in the Preven tive Medicine Service of th e Surgeon General's Office was of such value that he has been award ed the prized Legion of Merit! Surgeon General Kirk made the presentation in Washington, D. C. on April 2nd, with the following citation! Colonel Anthony J. Lanza, 0439418, Medical Corps, Army of the United States. For excep tionally meritorious conduct in the performance of outstanding services from March 1942 to De cember 1944. Colonel- Lanza contributed in a high degree to the development of the Army's present industrial health program for civilian workers in Army owned and operated industrial plants. He organized for the Surgeon General a special health service which protects the health of almost a million civilian work ers in Army industrial plants, thus contributing to the uninterrupted flow of muni tions. To this task he brought a rich background of special knowledge and exper ience which was applied with energy, intelligence and wisdom. Largely due to hie ef forts, the present effective and well organized program or industrial medicine has been developed and he thus*contributed in a high degree to the success of the Army's program of Preventive Medicine.* Since many of you have at some time met and worked with Dr. Lanza, 1 am sure you will be much interested to learn of the award which he has received as result of his accomplishing a tremendously important Job. Certainly some of you will again have an opportunity of working with him in the future. He will of course again head the Industrial Health Service and carry <jp much important work in cooperation with the Medical, Group, and Statistical Divisions, at the same time giving the Nursing and other Welfare Bureaus the benefit of his invaluable experience. I need hardly say that we are most happy to welcome Dr.. Lanza home once more. ! Second Vice-President NURJ1N C BUREAU WELFARE DIVI/ION METROPOLITAN LIFE INJTJRANCE COMPANY Tht Quarterly Bui It tin paft two SALUTE TO TEE STAFF ON THE HOME FRONT Ruth H. King, Editorial Assistant, Nursing Bureau To many Metropolitan Nurses here at hone the article in the January number of the Quarterly Bulletin, "A Salute to the Metropolitan Nurses in the Armed Forces," gave a thrilling sense of sharing, if only indirectly, in the rich and unl'orgetable experi ences of Metropolitan members of the Army and Navy. But - "Peace has its victories no less than war," so in this number we' salute the Metropolitan Nursing Staff which is meeting the grave challenges of the time on the home front. Metropolitan Nurses who are deep in military life at present'want to know what changes the war, as well as time and tide, is making in the work of the Nursing Ser vice. To them and to the Metropolitan staff we want to say, we are in a fight toe, here at home, to maintain and improve the health and strength of our oountry by main taining and improving that part of it which i6 our special province, that of our poli cyholders and their families. If it is sometimes hard to realize the importance of this work as compared with that in a field hospital in Belgium, for instance, it is partly because, as yet, we have had no spectacular epidemic to fight. The preserva tion of health is always less dramatic but requires constant vigilance. Once a year the Nursing Bureau takes stock of the Metropolitan Nursing Service. J) This is dons in two ways - by the annual statistics and by the annual narrative re ports. The statistics are the bare bones of the year's experience; the narrative re- ports give them life. The narrative reports come to Miss Haupt's desk early in Janu ary, for the end of the year brings more than Christmas to Metropolitan Head Nurses and Supervisors! Nor does a Nursing Bureau position in the Home Office confer immuni ty; every member of that staff prepares an annual report too. The Director's report to Dr. Armstrong contains the final crystalization of the experiences of many indivi dual Nurses and Supervisors, of their reactions and conclusions, and of their activi ties as members of their communities in this time of war. The annual reports bring into focus the problems that are country-wide and other problems thut are local. They point to places wheii growth has halted or where it is taking some new direction. Trends or the tlme6 become evident, and so do the disloca tions caused by war. Without these reports, an understanding of the Nursing Service in itself and in relation to the whole public health nursing field could hardly be made at all. To quote from Miss Haupt's report for 1944* "We are in a unique position, through our Local and Territorial Supervisors and our administrative service in the Home and Head Offices, to keep in aotive touch with the total field of public health nursing, from the local v grass roots, through State organizations to tne national level, both govern mental and voluntary." The reading of one report right after another makes' a real impact upon the rea der. The problems of the Field come home with full force. So, too, do the loyalty, flexibility, and stamina of Metropolitan Nurses and Supervisors. Tht Quarttrly Bui It tin png* tkrtt the nurse shortage was one of the year's big difficulties. A Local Supervisor re ported: "Our current problems have included limited staff aue to resignations and ill ness with long delay in replacements - that combined irith a heavy maternity case load. In May we averaged 11 visits per day........... little time for teaching ..... but we have met all eslls for nursing service promptly." Several Staff Nurses willingly accepted temporary transfer from one State to another for weeks or months at a time to nelp out in sucn situations or for vacation or leave-of-absence relief. Ab to the positive side of the nurse shortage: "Members of families are better able to give care to ill patients at home as a result of courses in home nursing,first aid, and nutrition. Nurses aides are a definite asset .... Patients axe willing to do with less if they believe our soldiers are getting more skilled care." There is no silver Uning to the fact that "our automobiles are a year older," as one Supervisor cogently observes. Several reports mention the time 6pent to get tires inspected for recaps or replacements and to have repairs made. The nurse short age and the gasoline shortage even tie in with the average number of visits per day, on occasion. "Each Nurse has a greater area to cover. That not only means more tra vel time; it means completing papers for supplemental gas rations. It means time out to go to the Ration Board." The case load in general continues to decrease both in tne salaried services and with associations. One Local Supervisor summarized the reasons for the decrease in .her center thus: "Hospitalization benefits. Red Cross home nursing classes, abundant JJobs; therefore, better economic conditions and a more hopeful, healthy outlook on life." Another notes, "More people in hospitals and convalescent homes because they cannot get household help." Others mention, "Hospitalization as a result of the short age of doctors." "The decrease in the civilian population due to military service," seems to be a factor, as stressed in one center. "Publicity about the nurse shortage"; "curtailment of non-essential care"; "absence of serious epidemics except for polio myelitis1'; and "the new weapons against disease" - all these are factors in the 1944 case load. Many of th e annual reports speak of the alertness of the Staff Nurse to detect rheumatic fever, tuberculosis, venereal disease, end " previously unknown diseases brought to our attention by returning soldiers." Several mention increased attention, cn the part of Nurses, to accident hazards in the homes of policyholders. Others men tion the Nurse's awareness of the importance of nutrition "especially in relation to children and to war workers." Others are conscious of a gradual shift in the need for nursing care from the acute field to the chronic. "I had more elderly patients than in former years, and since reading several books on problems of the aged, I have been interested in them and for the first time have enjoyed caring for them," a Supervisor quotes from a book review written by a Staff Nurse. Metropolitan Nurses think increasingly of their total responsibilities in public health nursing - for health guidance as well as for bedsida care - a realization which the war has accslerated. On the other hand many local health departments are taking an interest in providing bedside care in addition to instructive services. So we are not surprised to find ne w evidences of a feeling of solidarity in the public health \nursing group in many communities. Local Supervisors report joint staff meetings of -'''all public health workers in a community. The range of subjects covered by speakers - The Quarterly Bulletin part Jour eome of them of national reputation -- in some of our larger centers majcee one conscious of an upsurge in the desire of public health workers everywhere to be adequate in their responsibilities. The war has 6haken many of us out of our sense of isolation and self-6atisfaction in our jobs. The observance of Public Health Nursing Day on January 26, initiated by the Na tional Organisation for Public Health Nursing, publicised in a Company advertisement, and celebrated in about 1,000 communities in the United States, increased this feeling of solidarity. This is evident in many letters received from our staff. An Indiana Nurse reported that when the Metropolitan, health department, county and school nurses got together early in December to discuss possible ways to celebrate the day,they dis covered that they did not know much about eacn others work. Immediately they began to refer cases and to work togetherjnore intelligently.. The importance of Just that was made clear in Miss Haupt's letter sent to the staff on January 3rd. "A better understanding of public health nursing generally, in each commun ity, is especially Important in these war times when there is a scarcity of nurses for the Armed Forces, and when the appropriate use of public health nurses may make it possible to release some private duty, hospital, office and industrial nurses for the military.* Some of our staff started the ball rolling in their centers by telephoning other public health nurses to ask "What shall we do about observing Public Health Nursing Day?" Others accepted difficult assignments and carried them through successfully. In one southern city the Local Supervisor became State Publicity Chairman for the "Day," got the cooperation of the governor, the mayor, the state and local organizations and the newspapers so that the observance of the day got wide and intelligent publicity. Several Metropolitan Nurses took part in radio broadcasts in which they, and the other public health nurses, were Interviewed about their work. ^ J The experience in the Pacific Coast territory may be considered typical: "Judg ing by tne publicity given 'our day', it was a big success. Newspaper pictures and articles, window displays, radio addresses and public meetings were tne various means of telling the world what a public health nurse is and what ehe does." Jean Heberts, Pacific Coast Nursing Supervisor, gave an effective radio about "our day." Metropolitan Nurses are finding many ways to contribute directly or indirectly to the war effort. In many of the 1944 reports we find items such as these: "Encouraged young applicants to go into the military' service"; "The Q. S. Cadet Nurse Corps has taken considerable time and is my contribution to the war effort"; (A modest statement Indeed as this Head Nurse's successful work for the Cadet Corps has been highly com mended by the National Nursing Council for War Service.) "Chairman, War Nursing Coun cil"; "Member, Nursing Committee of Procurement and Assignment Service;1 "This was the staff's fifth blood donation to the A.R.C.;" "Staff members continued to assist st A.R.C. blood donors' center;" "Ulss ________ spoke in behalf of Cadet recruitment at the State Teacher's Convention;" "Misscontinued to teach nurses aide classes,1" "Miesorganised a group or women to sew and knit for the boys at Valley forge Hospital;" "Salary allotment for War Bonds increased in 1944." All of our nurses are permitted to participate in the Emergency Maternity Infant Care program of the Children'a Bureau for care to the wives and infants of service men r* Quarttrly BulUtin pagt /v and axe responding whenever called upon by the State health departments. Many also, on their own time, are giving supplementary service to local hospitals and health agencies. More as to war bond purchases in 19441 Of course we know that all that we can do is very little in comparison with the deeds of our Hurses in the armed forces, but we believe they will be especially pleased to know that with 49 groups of competitors, the Welfare Division won second place in the Home Office war bond competition for the President's Trophy for 1944. In other words the Home Office members of the Welfare Division invested an average of 15.48 percent of their total earnings in war bonds. In her annual report to Dr. Armstrong, Miss Haupt accounts for our success thusi "I think one reason that the Welfare Division has been so successful 'in the war bond effort is that we have so many personnel in the armed forces. Our Home Office staff constantly sea tae poignant lettars we receive ryom Hurses and others from all parts of the world and I feel sure these contacts stimu lated additional efrort on the part of the Home Office staff to try to match that of their coworkers." In 1944 most of the members of our field Staff continued to invest in war bonds by salary allotment, for Nurses with home responsibilities,tnia takes close figuring. In Bpite of this fact, many Nurses in the Field sent additional pledges to the Home Office during the fifth and sixth War Loan Drives. So this la the way it is at home in the Metropolitan Nursing Service. In spite of serious shortages we are making every effort to maintain reasonable standards o f quality of service. We have our transportation troubles and may take to bicycles; Eng lish public health nurses have always used them. "An increased capacity for coopera tive thinking in meeting common problems," as one Supervisor puts it, se ema to be characteristic of the whole staff; that, and "increased alertness," mentioned by se veral Supervisors. Soma sixty Metropolitan Salaried Nurses have been released for mi litary duty in the United States and Canada. Those who remain &t home are finding ways to contribute to the war efzort in their own communities. To Bum it all up, the morale of the starr is Excellent. A salute to the Metropolitan Nurses on the home frontl TITLE CHANGES FOR WELFARE OFFICERS On February 20, 1945, the Board of Directors announced two changes which pleased everyone in the Welfare Division. We quote from the Home Office Bulletin: "Anthony J. L&nsa, U, D., formerly Assistant Medical Director, to be Asso ciate Medical Director. x"George H. Wheatley, M* D., formerly Assistant Medical Director,to be Assis tant Vice-President, Welfare." Among the Canadian appointments recently made by the Board of Directors is that of Norman L. Burnette, D. Sc.S., the Welfare Division's chief in the Canadian Head Of fice, to Assistant Vice-President (formerly Assistant Secretary). f* Quarttrly Bullttin pag* *i* WAR NURSING SERVICE y From January 3rd to 19th, 1945, Miss Haupt was on loan to the National Nursing Council ror War Service as a special consultant in Washington, D. C. She did the ini tial exploration of the question of drafting nurses and recommended the establishment of a Washington office of tne Council. Uiss Haupt conferred with Dr. Dublin (now on loan to the American Red Cross) and with Miss Virginia Dunbar, Director of the Red Cross Nursing Service, about the organ ising of a "coordinating committee* of the various agencies concerned with the re cruitment of nurses for the armed forces. .In addition, she recommended a work simpli fication study of all application procedures for wnich Ur. H. 4. Finley of the Uetropolitan was borrowed. Metropolitan Nurses are urged to watch the press and the professional magazines for information about the draft of nurses. 1 WARNING NOTE The habit of using mineral oil may have such serious nutritional consequences that it seems desirable to have an authoritative statement regarding its use from the medical profession. The following article by Dr. Norman Jolllffe, well-known to all who are interested in nutrition, points out the dangers Inherent in the continuous use of this product. Dr. Jolllffe is Associate Professor of Medicine, New York University School of Medicine, and Lecturer in Public Health Practice, College of Physicians and Surgeons, Columbia University. ) Misusing Mineral Oil* by Norman Jolllffe, U. D. Mineral oil is one of tne most commonly used laxatives, although warnings have been given frequently about the harmful effect that it has on the utilization of caro tene, the pro-vltamln A, a very important nutritional factor. . Most, if not all, of tne carotene in green and yellow vegetables and fruits, which the body normally con verts into vitamin A, may be absorbed by the mineral oil and eliminated unused with the oil. Since most people get a large part of their vitamin A requirement in the form of carotene, users of mineral oil may therefore be deprived of the many benefits of this vitamin. When mineral oil is used over a long period of time, real harm may result. This absorption of the vitamins by the mineral oil may taka place even whm the vegetables or fruit are eaten at dinner and the mineral oil taken at bedtime. jlecent experiments show that mineral oil interferes also with the utilization of other essential food factors, especially vitamin D and the minerals calcium and phos phorus, which are necessary for building good bone and tooth structure, and vitamin K which helps to assure proper coagulation of the blood, especially after childbirth. Since these are factors that are very important in tne diet during pregnancy to insure health protection for the mother and the beat growth of the coming baby, it aeema in appropriate that mineral oil should be used so commonly by pregnant women. a The Quarterly Bulletin page seven In reducing diets, where calories must be kept low, mineral oil is sometimes sug gested as an ingredient for salad dressing or mayonnaise 6ince tne mineral oil provides no food value, whereas salad oil dressings add considerably to the calorie con tent of the diet. A mineral oil dressing, however, deprives the body of the carotene of the various kinds of vegetables which are used in salads. The wartime shortage of oil, lard and other fats has led some food manufacturers to use mineral oil in salad dressings and for frying salted nuts, potato chips, and doughnuts for sale to consumers. Such practices may have serious nutritional conse quences, and housewives should read the labels on the containers of 6uch products to assure themselves that mineral oil has not been UBed. Because mineral oil is so widely used, it seems apparent that many people have not realised these harmful effects it may have. The harm may far outweigh its advan tages. Certainly it shoxild never be taken except on the specific recommendation of a physician. * Reprinted by permission of "Nutrition Notes," December 1944, The Nutrition Bureau, Community Service Society, New fork. TERRITORIAL STANDINGS. NURSING BUREAU SATE DRIVING CONTEST 1944 Standing Territory Chargeable Accidents Number of Authorised Automobiles as Accidents 9S-1Z&tik Per Hundred Cars First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Thirteenth Metropolitan Central Southeastern Atlantic Coast Midwestern Southwestern New England . Eastern Pacific Coast South Central Canada Great Lake Penn State Total 0 1 4 3 3 2 2 7 9 8 8 7 8 62 11 .OC 24 4.17 60 6.67 38 7.89 24 12.50 15 13.33 13 15.38 36 19.44 44 10.45 37 21.62 33 24.24 28 25.0 -21 $$t8; 394 Average 15*73 Dr. Armstrong is writing to each member of the Metropolitan and Central Territo* ries congratulating them upon their ourstanding record during the year. It is gratify^ ing to note the interest wnicb our entire staff is taking in the matter o f safe driv'ing. We urge your contined cooperation Is this matter particularly at this time when older cars on the highway Increase the problems confronting the driver. The Quarterly Bulletin FOBOTLA TO DETERMIKK SCHOLARSHIP AWAPPS EFFECTIVE January 1. 1945 page eight '? The length of the leave-of-absence has heretofore determined the amount of money granted fora Metropolitan scholarship for postgraduate study in public health cursing. Nov we hare devised a new basis* The amount or an individual scholarship is variable, as based on the following formula* A. The amount of the scholarship award shall include the follow ing expenses in the college the recipient attends: - Two thirds of minimum cost of room and board If travel expenses to and from the college exceed $50, two thirds of the amount ove r $50 up to a of $50 is made up to the Nurse. B. The maximum amount is limited as follows* A summer session to $200. A quarter to $400. A full semester to $500. The formula in "A" above is to be applied in each scholarship award. The maximum figure will operate only if the formula exceeds the maximums as herein established. LEAVES OF ABSENCE FOR STUDI Mary Bost Gastonia, N. C. Dorothy Xoung Lents % Bess MacCullocn Territorial Supervisor Cumberland, Ud. Ora B. Moss Mobile, Ala Awarded Metropolitan Scholarship * Awarded Federal Scholarship University of North Carolina Teachers College, Columbia Teachers College, Columbia George Feabody College a> fA Quarfrly Bullttin fage nine DISAST BELIEF A folder In the Nursing Bureau files marked Disasters contains letters and news paper clippings from Metropolitan Nurses about floods, rlree,explosions, train wrecks, tornadoes, and hurricanes. Some of the entries make grim reading. They all make us realize how quick our Nurses are to answer the call for help when disaster strikes. Here is the 1944 honor roll for disaster relief in the Eastern Office Territories. Mqj&a May, June July July August October Disaster Two floods Tornado Mine explosion Explosion, Octane Gas Plant Hurricane Nursing Center Ottumwa, Iowa Charleroi, Pa. Bellaire, Ohio Oil City, Pa. Miami, Fla. Metropolitan Nurse Anna B. White Julia \Taros Lula McMahon Philomena Prince Willena Gatewood Bernice Knowlton October Mine fire Bellaire, Ohio Lula McMahon J) Spring floods have come early this year) there may be more. ffe received a vivid letter rrom Mrs. Helen Glockner, appointed to the Portsmouth, Ohio Metropolitan Nurs ing Service in February, about the recent battle of Portsmouth against the Ohio River. A Metropolitan Nurse sometimes asks what the Nursing Bureau would consider her first responsibility should a local disaster occur. Of course the answer depends upon the seriousness of the emergency. We count upon Metropolitan Nurses to keep tbalr heads and to use their best judgment. In general we advise: 1. Report by telephone or in person to the local Red Cross Chapter in the area where the disaster has occurred. At the point of disaster report at the Red Cross headquarters designated by the Red Cross flag. 2. Do not take part in disaster work until you have reported to the Red Cross person in charge or to whatever agency is temporarily in charge. Upon leaving, report again to the Red Cross or other agency in charge. 3. Decide in your own mind whether the emergency or your case load should taks precedence and act accordingly. This will depend upon the extent and seriousness of the disaster and the need for your help, as against the need of your patients for your care. 4> Send an account of what you did to the Home Office and tell us approx imately the number of hours you spent in disaster work. ' We know that we can depend upon the Metropolitan Staff to respond to calls for service. We are proud of the standing that you have in your community. The Quarterly Bulletin page ten 'PVBLtC HgALTN >3 PURCHASABLE* Eoucationai Camaaicni ***o moktautt anono metaoaoutan Industrial PolictmQlcca* 1909 - Wtirot DtvtUOx MCASuACS Of PAOCACSI-1944 c.utt or dcath 1. fVCJl'CftAJ. OUCAS** OLD INtUttS > TuaCHOJLOItS 9 typhoid reve* 4 eOMMUKtCAtlC OfICAjCJ Of CMilOMOOO* * OlAAftHCA AND cntcaitis 4 DlAHTHCAiA MOW ACCENT , CAMPAIGNS T AAACNOJOTlS 4 WQTOA VEHICLE ACCIOCNTt 4 HOME ACCIDENTS e AnCUUONIA+4 OCATM 4ATC Aft (00.400 AT 4TA4T TO DATE 1*11 * It 4 1*44 - 4. 1 <11 - U l 1*44 - in i*n - it* 1*44 -4.1 i*ii ** 1*11 - IT * l**4 - 14 1*44 4.T Iff** 10 4 lU- U f l*J4- Iff 1*94- 14* HU* 4*4 1*44 - O T 1*44 - * 4 1*44 - |* * 1*44- tO.D 1*44 1)4 IMAAOYtUfNT COMMENT T% it % N% 44% 41% 11% % n% FIRST SUSINCSS Of THE mjmSiHG JCRviCt in 1444 "WAN ON CONSUMPTION" OUA FIRST AAWANJtT IN (404 SANITATION'J CACATUT CONQUEST COMAANV DUSINES1 FROM THE ICOINNINO THE CHB.0* - OUR AlOMCCA EDUCATION m THIS FICLD OUR FIRST majoa health FILM INTENSIVE ACTIVITY * FlCLO STAFF AND WCtACAL EfAMINE*! GREATEST FILM ATTCNOAHCC ACC 040 n% ti% aaotcctinc the kmc front COOACAaTiON IN AIONEEA NEW TOR* STATE XmONSTRATION f jCUMCHT ii. if $Y ANIL'S DIAWTC* 1*40- It D 1*40- < 1444 t.l 1*44 - T.4 tt% 7% COmAamt COntaiDuTmO AOVCK* TISEMtMTS. wrrEAATuAC, ETC A OOwnwaRO TuAn IN This MCAJC CUM DATTttS 19 M i occupational accidents AhCUWATIC fcvca AND AtCUMATIC KCAJTT outA9C r*4f- T.i IMS* 1*44 *.4 ruTUM p 11% * A WARTIME TAlUMAH The ncxt ATTACK - A RHRTIMC HAZAAO * UCAftkXS, SCAAlET teven, WM004M4 COUDH, 0A*THtAIA 4 4 <9.4 1M l*4f - 4 99 % DCCUNC 4 4 4 4 UINIHUW ESTIMATE The "Public Health Is Purchaseable" tabulation abort ia an up-to-date presenta tion of practically the whole story of the welfare work of the Company, measured in demonstrated terms of outstanding accomplishment in which the Nursing Service has par ticipated all along the line. This Company picture of the conquest of disease epito mizes the Nation's great progress in this field* RHEUMATIC FEVER An Zhglish writer says of rheumatic ferery 'It licks the joints but bites the heayt. * This striking characterization of the first cause of death* among children in the early teens may be put to good use by John Hancock Nurses.* We read that in the January 1, 1945 number of The Field Nurses' Bulletin of the John Hancock Mutual Life Insurance Company's Visiting Nurss Service. We think it is so vivid that we are pass ing it on to Metropolitan Nurses. Thanks, John Hancock. * From disease The Quarttrly Bulletin page eleven JOINED UPi Elizabeth A. Boyd Malden, Mass. March 27, 1945 2nd Lt., Army Nurse Corps Camp Devons, Mass. Rebecca A. Comings Harvey, 111. February 15, 1945 2nd Lt., Army Nurse Corps Camp McCoy, Sparta, Wis. Mary A. Doyle Oak Park, 111. February 21, 1945 2nd Lt., Army Nurse Corps Regional Hospital Fort Knox, Ky. Willena Gatewood Miami, Fla. March 1, 1945 2nd Lt., Army Nurse Corps Fourth Service Command Camp Rucker, Ala. Anna B. Millard* Towson, Ud. February 14, 1945 Private, WAC Co. 2 -- 20th Regt., Fort Oglethorpe, Ga. Eugenia U. Murphy North Adams, Mass. Nursing Office Clerk January 3, 1945 Ensign, Navy Nurse Corps U. S. Naval Hospital Chelsea, Mass. CITATION "Captain Mamie 1. Twiford, N-725365, Army Nurse Corps, United States Army. For meritorious service in connection with military operations against an enemy of the United States from 24 June 1944 to 21 December 1944* During combat operations in France, Captain Twiford, serving as Principal Chief Nurse, 35th Evacuation Hospital, rendered distinguished service in her outstanding performance of duty. This officer organized and instituted the nursing service of tne hospital,and under her skillful supervision, the highest professional medical standards were achieved and maintained. The unremitting efforts and loyal devotion to duty of Captain Twiford reflect great credit upon herself and the Military Forces of the United States." We salute Capt. Twiford for all that her citation indicates and express for all the Metropolitan family our pride in her achievements. WELCOME HOME Lt. Katharyn Ports (Metropolitan Nurse, Oak Park, HI.) returned to the U.S.A. in March by way of Charleston, S. C. where she was a patient at Stark General Hospital before transfer to Winter General Hospital, Topeka, Kan. After a three weeks' furlough to visit her family, Lt. Porta will return to Winter Hospital for treatment and for what we hope will be her speedy and complete recovery. Her many friends in the Metropolitan welcome her home after 28 months of meri torious service in the 'Army Nurse Corps in North Africa and Italy. Margaret Metzger, our Nurse in Topeka, Kan., did the honors for all of us by visiting Miss Portz at the hospital. FI|Ft.n TBTP Miss Haupt's field trip In February with Marjorie Adams, Territorial Super visor, gave her an opportunity to observe nursing on both the civilian and the mill- Tht Quurttrlj Bui It tin paft tutlvt tary fronts. The fine work of Metropolitan Nurses, Novella Dantzler and Dorothy Vogel, in Charleston, and Augusta Siaril and Dorotnjr Car re 11, in Jacksonville, Fla., gave first hand testimony of what our service means to war communities, whicn include so many Industrial war workers and the lamilies of service men as well as normal local residents. Contact with the military was made through a visit to the Naval Air Station in Jacksonville with Lt. (JG) Joan Collette (Hammond, Ind.) an d Ensign Esther Deming (Plainfield, Conn.), Metropolitan Nurses; on military leave. In Charleston, MIbs Haupt learned through ,the local newspaper that Capt. Ruth B. Anderson (Nashville, Tenn.) had just arrived on the Chateau Thierry Hospital Ship, of which she is Chief Nurse. Her description of eight crossings to England is so revealing or what nursing in this war means that we hope she will soon share some of her experiences with the readers of the Quarterly Bulletin. v ANNIVERSARIES AND MEDALS 20 Tears Service Estelle Fitzgerald. Hyattsville, Xd. Hersie Greer . . . .Athens, Ga. Mary Earrigan . . . Home Office Ethel Jones ..... .Atlanta, Ga. Nora M. McCrory . . . .Pompton Lakes, N.J. Helen Ware ...... Los Angeles, Calif. IS, ItvS Thelma Borum ... .Portsmouth, Va. Simonne Dumontier . Quebec City, Que. Dora Lemmer .... Appleton, Wis. Mary Llneberger ... .Burlingtor, N. C. Ora B. Moss ..... .Mobile, Aia. Charlotte Von Briesen .Towson, Md. IQ Tears Service Grace Constable . . Los Angeles, Calif. Ruby De Vrieee .... Mt. Clemens, Mich. Marie C. Price S I/O (I)*, WAVES S Tears Service Myrtle Coltharp . . Salt Lake City, Utah Grace Prince................. Salt Lake City, Utah Betty Roy Johnston .Waukegan, 111. M. Evelyn Turner . . . Atlanta, Ga. Lt. Pegeen Nugent . Army Nuree Corps Sara C. Warner .... Hudson County, N. J. ^ * Nursing Office Clerk y WRTVTVn TV e