ae

. May*6, 1974

awte we a4yv ELC eL NYVUD , /
Surgeon-in-chief Mesa Spee /

The Children's Hospital of Philadelphia _ ’ wy)

‘WHEN: THE FIRST CHILDREN'S HOSPITAL IN. THE ENGLISH
SPEAKING WORLD WAS IN THE PLANNING STAGE, THE INSTITUTION
WHICH WE REFER TO WITH GREAT FAMILIARITY AS G.0.S. OR
GREAT ORMOND STREET, BAD THE REMARKABLE GOOD PORTUNE TO
HAVE A POPULAR AUTHOR CF THE DAY AS A FUND RAISER - CHARLES
DICKENS,

THE CHILDHOOD OF CHARLES DICKENS HAD MANY PITIFUL EPI-
‘SODES. HIS WHOLE FAMILY WAS.AT ONE TIME \IMPRISONED my
NARSHALSEA FOR DEBT AND DICKENS, THE BOY, BECAME HEAD OF
THE FAMILY.’ HIS BOOK, "DAVID COPPERFIELD" TELLS US OF SOME
EPISODES WHICH WERE INDEED AUTOBIOGRAPHICAL OF THESE DREADFUL
DAYS. OF HIMSELF AT THAT PaKrICoLAR TIME, DICKENS WRITES THIS
y KNOW.I DO NOT EXAGGERATE UNCONSCIOUSLY OR’ UNINTENTIONALLY |
‘THE SCANTINESS OF My RESOURCES AND THE DIFFICULTIES OF MY
LIFE. I KNOW THAT I WORKED FROM MORNING UNTIL NIGHT WITH
COMMEN MEN AND BOYS, A SHABBY CHILD. I KNOW CHAT I TRIED,
BUT INEFFECTUALLY, NOT TO ANTICIPATE MY MONEY AND TO MAKE 17

-LAST THROUGH THE WEEK BY PUTTING IT AWAY IN A DRAWER I HAD
AS AN ACCOUNTING HOUSE, WRAPPED IN SIX LITTLE PARCELS, EACH
CONTAINING THE SAME AMOUNT AND LABELLED WITH A DIFFERENT pay.
I KNOW THAT I-LOUNGED ABOUT THE STREEYS INSUFFICIENTLY AND
UNSATISFACTORILY FED. I KNOW THAT, BUT FOR THE MERCY OF
GOD, I MIGHT BASTLY HAVE BEEN FOR ANY CARE “THAT WAS TAKEN
OF ME, A LITTLE ROBBER OR A LITTLE VAGABOND. 1 AM SOLEMNLY
eavancer THAT NEVER FOR ONE HOUR WAS I RECONCILED TO IT, OR
WAS OTHERWISE THAN NISERABLY UNHAPPY."
Is IT ANY WONDER THAT DICKENS, THE BOY, GREW INTO DICKENS,

THE MAN, TO CHAMPION THE RIGHTS OF CHILDREN? |

- COINCIDENT wrTH MARITAL TROUBLES, CHARLES DICKENS ASSUMED
THE ROLE OF A READER. IN ONE Two YEAR PERIOD, READING TO
“LARGE AUDIENCES 125 TIMES HE COLLECTED IN EXCESS OF 500
-_pouNDs A WEEK FOR HIS EFFORTS - A STAGGERING SUM FOR THE
1850's. HE EVENTUALLY CAME TO AMERICA WHERE 34 PUBLIC APPEAR-
ANCES NETTED HIM 10,000 POUNDS, Tprenene WROTE IN A LETTER TO

FRIENDS AT HOME: "MY MANAGER TS ALWAYS GOING ABOUT WITH AN
-3-
IMMENSE BUNDLE THAT LOOKS LIKE A SOFA CUSHION, BUT WHICH Is
IN REALITY PAPER MONEY; AND IT HAD RISEN TO THE -PROPORTIONS
OF A SOFA WITH THE MONEY THAT HE HAD WHEN BE LEFT FOR
PHILADELPHIA, "—

I LIKE TO THINK ‘HAT SOME PHILADELPHIA MONEY FOUND ITS
WAY TO THE DEVELOPMENT OF THE HOSPITAL FOR SICK CHILDREN
_ IN. GREAT ORMOND STREET, LONDON.

IN A VERY SEAL MA THE OPENING LINES OF CHARLES DICKENS'
“TALE OF Two CrPzES" IS APROPOS AS WE COME. To THE RELIZATION
OF b tone DREAM IN THE OPENING OF THE CHIDDREN'S HOSPITAL
AND cHIED GUIDANCE CENTER : "IT WAS THE BEST OF TIMES, Tr”
WAS THE WORST OF TIMES, IT WAS THE AGE OF WISDOM, If WAS THE
AGE OF FOOLISHNESS, IT WAS THE EPIC OF BELIEF, IT WAS THE
EPIC OF INCONGRUITY, i WAS THE SEASON OF LIGHT, IT WAS THE
SEASON OF DARKNESS, a WAS THE SPRING OF HOPE, IT. WAS THE
WINTER OF DESPAIR, WE HAD EVERYTHING BEFORE US,- WE HAD NOTHING

BEFORE US, WE WERE ALL GOING DIRECT TO HEAVEN, WE. WERE ALL
GOING DIRECT THE OTNIER way," AND SO -ON.

DICKENS WAS WRITING oF THE STATE OF THE FRENCH AND ENGLISH
WORLD IN 1775. BUT THESE WORDS APPLY TO THE NEAR’ AND DISTANT
ENVIRONMENT, BOTH SOCIAL AND ECONOMIC, IN WHICH THIS GRFaT
INSTITUTION BEGINS A NEW ERA.

IT Ig THE BEST OF TINES BECAUSE WE ARE TECHNOLOGICALLY
' FURTHER ADVANCED PHAN any PREDECESSOR COULD CLAIM. WE HAVE. A
PHYSICAL PLANT SECOND TO NONE. WE HAVE THE ENGINEERING SKILLS
AND ‘THE PHYSTOLOGICAL AND PHARMACOLOGICAL EXPERTISE TO UNDER-_
STAND, INVESTIAGE, AND SIGNIFICANLY ALTER’THE DISEASE PROCESSES
AND ANOMALOUS SITUATIONS THAT ARE BROUGHT TO’ OUR ATTENTION.

IT is THE BES? OF TrMEs BECAUSE THE PRESSURES ‘OF GOVERW-
MENT; PEDIATRIC socreries, AND A CONCERNED PUBLIC ARE. SUG-
GESTING THAT THE TYPE OF CARE AN INSTITUTION LIKE THIS CAN
PROVIDE SO WELL BE CONCENTRATED HERE TO THE GREAT BENEFIT OF

CHILDREN AND THE LOWERING OF THE COST OF MEDICAL CARE ACROSS

THE BROAD BASE OF THE COMMUNITY.
IT IS THE BEST OF TIMES BECAUSE THE PROXIMITY OF THIS
CENTER TO THE SCHOOL OF MEDICINE, TO THE LABORATORIES OF
OUR COLLEAGUES IN RESEARCH, TO THE SURROUNDING HOSPITALS
-WHICH PROVIDE ADULT CARE, AND TO THE ALLIED HEALTH SCHOOLS OF
THE UNIVERSITY OF PENNSYLVANIA AND TO THE SCIENCE CENTER OF
“UNIVERSITY CITY, Aue PHESE Wout PROVIDE AN EASY INTERCHANGE
OF IDEAS AND PLACE THE PRACTICAL TRIAL OF CLINICAL MEDICINE
CLOSE TO THE CRUCIBLE OF RESEARCH.

Ir is THE BEST OF TIMES BECAUSE ALL THAT I HAVE SAID
THUS FAR CAN BE INTEGRATED TO PRODUCE AN UNPARALLELED
OPPORTUNITY FOR TEACHING AT EVERY LEVEL IN THE HEALTH FIELD
FROM MEDICAL STUDENT ro RESIDENT, FROM THE ‘SPECIALIST'S
“SPECIALIST TO PARA-MEDICAL ASSISTANTS.

IT IS THE BEST OF -TIMES BECAUSE THERE IS’ AN. ENTHUSIASM .
BORN OF EXPECTANCY BUT NURTURED BY THE KNOWLEDGE OF PROVEN
EXPERIENCE THAT A COMPETENT MEDICAL, SURGICAL AND PSYCHIATRIC

STAFF CAN WORK IN CONCERT WITH AN EFFICIENT ADMINISTRATION AND
A PRACTICAL YET VISIONARY BOARD OF MANAGERS TO THE END OF
IMPROVING CHILD HEALTH.

BUT IT IS ALSO THE WORST OF TIMES. IT IS THE WORST OF
TIMES BECAUSE THIS BUILDING WAS A VICTIM OF ECONOMIC INFLATIONARY
TRENDS UNPRECEDENTED IN HISTORY AS REFLECTED IN. THE EXORBITANT
cost OF LABOR AND MATERIALS. THE STRIKES WITH WHICH WE WERE
PLAGUED WERE PARE OF THE ECONOMIC UNCERTAINTIES AND FEARS -
OF THE TIMES.

“te IS THE WORST OF TIMES BECAUSE IN THE SHORT SPAN FROM

THE PLANNING STAGE FOR THE CENTER TO THE BEGINNING OF CON-

i

STRUCTION A NUMBER OF THINGS CHANGED IN THE MIX. OF THE PATIENTS _
WE SAR, AND IN THE: METHODS AVATLABLE FOR THEIR TREATMENT, AS
WELL AS IN THE INTRODUCTION OF NEW TECHNIQUES FOR DIAGNOSIS,
MONITORING, AND THERAPY. THE NECESSARY CHANGES IN ARCRITRCTORE
AND ENGINEERING TO KEEP PACE WITH A HEALTH CARE SYSTEM THAT
DEMANDED OF US AN INCREASING ROLE IN INTENSIVE CARE, ADOLESCEN?

MEDICINE, AND NEONATOLOGY WERE COSTLY INDEED - NOT ONLY IN
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MONEY BUT IN TIME NECESSARY FOR COMPLETION. _

IT IS THE WORST OF TIMES, TOO, BECAUSE THERE ARE NOT
NEARLY THE SAME NUMBER OF CHILDREN REQUIRING CARE OR GUIDANCE
AS ‘THERE WERE WHEN WE BEGAN, AND AN EVEN, WIDER DISPARITY EXISTS
BETWEEN THE THEN PREDICTED POPULATION GROWTH AND THE REALITY
OF THE BIRTH RATE TODAY. EASY CONTRACEPTION EMBODIED IN
“THE PILL" WAS SUDDENLY FELT IN THE FORM OF A DECLINING BIRTH
RATE. THE SUPREME COURT DECISION IN FAVOR OF ABORTION ON
DEMAND ADDED ANOTHER ACCELERATION AND THE RESULT IS A BIRTH
RATE’ OF ABOUT ONE HALF OF THAT OF FIVE YEARS AGO.

IT Is THE WORST OF TIMES, THEREFORE, AS WE FACE’ THE
ECONOMIC PROBLEMS OF aaveaneme A PATIENT CENSUS. SUFFICIENTLY
HIGH TO MEET OPERATING EXPENSES Ler ALONE THE, DEVELOPMENT OF
NECESSARY NEW SERVICES, THE REPLACEMENT OF OBSOLETE EQUIPMENT, |
AND ‘THE, PURCHASE OF NEW MATERIAL AND “ROUIPMENT AS TECHNOLOGY
MAKES THEM AVAILAFLE.

IT. IS THE WORST OF TIMES BECAUSE THE GENEROUS FUNDING OF

RESEARCH BY THE FEDERAL GOVERNMENT HAS BEEN REPLACED BY
SHORTSIGHTED PENNY PINCHING: THAT WILL BE REFLECTED FOR YEARS
NOT ONLY IN THE LACK OF ADVANCES MADE THROUGH RESEARCH BUT
ALSO IN A PAUCITY OF TRAINEES. TO FILL THE SHOES OF THE EXPERTS
WHO DISAPPEAR WITH THE ATTRITION OF DEATH AND RETIREMENT.

THE RESEARCH PROBLEM IS COMPOUNDED BY THE FACT THAT THE
GENEROSITY OF PRIVATE DONORS ‘Is CURTAILED BY INFLATION,
ECONOMIC RECESSION, AND UNCERTAINTY CONCERNING THE FUTURE.

NOW LEST YOU THINK THAT TAM RETREATING TO THE POSITION
OF A PROPHET OF GLOOM AND DOOM, LET ME SAY THAT THESE ARE
ALSO TIMES HAT PROVIDE OPPORTUNITIES FOR GREATNESS.

THERE IS AN OPPORTUNITY FOR GREATNESS FOR THE. CHILDREN'S
HOSPITAL CHILD GUIDANCE CENTER. IT rs A FACT THAT LARGE,
COMPETENT, PRESTIGIOUS INSTITUTIONS SUCH AS THIS DEVELOP A
CREDIBILITY GAP -IN THE PROFESSIONAL CoMMUNTTY. I SAY TO THE
PROFESSIONAL COMMUNITY OF PHILADELPHIA, AND OF DELAWARE VALLEY

THAT IT IS THE EXFRESSED GOAL OF THE CHILDREN'S HOSPITAL CHILD

GUIDANCE CENTER TC SERVE IN. AN EXPANDED ROLE. WE NEED YOUR
HELP. WE NEED YOUR HELP nor ONLY TO.PERFORM, BUT WE NEED YOUR
HELP IN SHOWING US WHEN GAPS EXIST BETWEEN THE GOAL AND THE
REALITY. WE WANT TO DEMONSTRATE TO YOU OUR UNSELFISH DESIRE
‘TO PROVIDE CARE FOR YOUR PATIENTS AND TO PROVIDE AN ENVIRON-
MENT PLEASING IN EVERY WAY WHERE YOU CAN’ PRACTICE YOUR ART
a SCIENCE. WE WANT TO DEMONSTRATE TO THE conMonay HOSPITAL
AN ABILITY TO HELP WITH THE PEDIATRIC PROBLEMS ‘THEY CARE FOR,
AN ABILITY TO PROVIDE THE TERTIARY CARE FOR PATIENTS THEY
REFER; AND A DESTRE TO TEACH AT ANY LEVEL FROM BASICS FOR THE
‘HOUSE OFFICER TO CONTINUING EDUCATION .FOR STAFF, NOW A
NECESSITY FOR RECERTIFICATION. AND CONTINUING LICENSURE.

THIS CENTER HAS FURTHER OPPORTUNITIES FOR GREATNESS IN
“LOCAL AND REGIONAL PROGRAMATIC PLANNING. WE ‘SHOULD NOT SEEK
TO DUPLICATE PROGRAMS ALREADY FUNCTIONING ADEQUATELY BUT
RATHER SHOULD SEEK TO COOPERATE WITH HOSPITALS, CLINICS, AND-
HEALTH MAINTENANCE ORGANIZATIONS TO BOLSTER THEIR EFFORTS TO

THE END THAT TOTAL CARE IS AVAILABLE TO THE PATIENT BY THIS
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COOPERATIVE ENDEAVOR. . THESE COOPERATIVE OPPORTUNITIES EXIST
NOT ONLY IN PATIENT CARE, BUT ESPECIALLY IN TEACHING AS WELL
AS RESEARCH.

THIS CENTER COULD BE TO THE CHILDREN OF THE COMMUNITY IN
UNDERSTANDING HEALTH AND DISEASE WHAT THE FRANKLIN INSTITUTE
IS TO THEN IN SCIENCE OR THE MUSEUM OF NATURAL HISTORY IS IN
ITS FIELD OF KNOWLEDGE.

THERE Is AN OPPORTUNITY FOR GREATNESS ON THE PART OF THE
UNIVERSITY OF PENNSYLVANIA. . PROBABLY NO WHERE ELSE IN THE
WORLD DOES A UNIVERSITY HAVE IN SO CONFINED ‘AN’ AREA A SCHOOL, -
OF MEDICINE, A SCHOOL OF DENTISTRY, A SCHOOL OF VETERINARY
MEDICINE, A SCHOOL OF ALLIED HEALTH PROFESSIONS, NOT TO MENTION
‘DHE CLINICAL HOSPITAL FACILITIES OF THE HOSPITAL OF THE
UNIVERSITY OF PENNSYLVANIA, OF THE HUGE CITY HOSPITAL WITH
ITS SPECIAL MIX OF CHRONIC DISEASE AND SOCIAL PROBLEMS, A
VETERANS HOSPITAL AND A CHILDREN'S HOSPITAL CHILD a

CENTER. ASSOCIATED FIELDS: OF ARCHITECTURE, FORENSIC MEDICINE
-1lli-

AND THE LIKE LEND THEMSELVES TO REMARKABLE COOPERATIVE
OPPORTUNITIES.

THE UNIVERSITY MUST CEASE TO THINK OF ITS ROLE IN MEDI-
CINE PERTAINING TO CHILDREN AS THE NARROW FIELD OF MEDICAL
PEDIATRICS. HALF OF CHILDREN'S DIAGNOSES FALL IN SURGICAL |
DISCIPLINES. INDEED THE THREE MATOR KILLERS OF CHILDREN, -
TRAUMA, CANCER AND CONGENITAL HEAR? DISEASE ARE, IN REFERENCE
0 THERAPY AT THE MOMENT, IN THE SURGEON'S PROVINCE. THIS
UNIVERSITY HAS -THE OPPORTUNITY TO SEE CHEED HEALTH AS THE

ot

PARENT DISCIPLINE WITH MEDICAL PEDIATRICS AND ITS SUB~SPECIALTIES,

SURGERY AND ITS SUB-SPECIALTIES, AND PSYCHIATRY AS WELL AS ALL.
OF THE ASSOCIATED AFOREMENTIONED FIELDS CONTRIBUTING NOT ONLY
| TO THE TREATMENT OF CHILDREN, BUT TO THE MAINTENANCE OF HEALTH
AND PREVENTION OF DISEASE.

THE CITY OF PHILADELPHIA HAS AN OPPORTUNITY FOR GREATNESS.
TTS DEPARTMENT OF PUBLIC HEALTH CAN SERVE AS GUIDE AND COUNSELLOR

IN THE TRANSITION TO COOPERATIVE CARE. WHO BETTER CAN EMPHASIZE

NOT ONLY THE EXPENSIVE LUXURY OF A SMALL PEDIATRIC UNIT IN THE
Se L2-

COMMUNITY HOSPITAL BUT ITS INCAPABILITY TO PROVIDE THE
ULTIMATE CARE BECAUSE OF LACK OF EXPERT PERSONNEL AND/OR
EQUIPMENT.

A SECOND OPPORTUNITY FOR GREATNESS LIES IN A REALISTIC
ASSESSMENT OF THE RELATIONSHIP OF THIS NEW CENTER TO THE
PHILADELPHIA GENBRAL HOSPITAL. AT A RECENT MEETING AT THE
HIGHEST ECHELON OF BOARD , ADMINISTRATION, AND STAFF OF THESE
TWO GREAT INSTITUTIONS IT WAS AGREED THAT WITH THE PASSAGE
OF TIME THE CENTER WOULD, BE TREATING THOSE PATIENTS OF PEDIATRIC

*

AGE NOW CARED FOR AS IN-PATIENTS.OR AMBULATORY PATIENTS AT
PHILADELPHIA GENERAL HOSPITAL. THE VERY SPECIAL PROBLEMS.

THAT GRAVITATE TO A. GREAT CITY INSTITUTION LIKE PGH - SUCH.

AS CHILD ABUSE, TRAUMA WITH SOCIAL AND SEXUAL CONNOTATIONS,
INFANTS BORN TO DRUG ADDICTED MOTHERS MUST REMAIN THE FINANCIAL
CONCERN AND OBLIGATION OF THE CITY, NO MATTER IN WHAT FACILITY

THESE PATIENTS ARE CARED FOR.

THERE IS AN OPPORTUNITY FOR GREATNESS FOR THE CITIZENS
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OF THIS COMMUNITY AND INDEED FOR THOSE WHO LOVE AND
APPRECIATE CHILDREN ANYWHERE. THE GIFTS, LARGE AND SMALL,
THAT HAVE BEEN GIVEN TO THE CONSTRUCTION OF THIS MAGNIFICENT
‘BUILDING WILL NEVER PAY DIVIDENDS IN CASH BUT WILL DO SO IN
THE BENEFITS TO CHILDREN, THE ONLY ASSET WE CAN COUNT ON FOR
TOMORROW. ° NOW, EVERYONE PROTECTS HIS INVESTMENT WHEN HE CAN,
AND 1 CALL UPON YOU AS INDIVIDUALS, AS FRIENDS -OF THIS inert
TUTION, AND AS MEMBERS OF THE 10 AUXILIARIES, LEAGUES, |
SOCIETIES AND CLUBS THAT SUPPORT THE CHILDREN'S HOSPITAL WITH

YOUR FUND RAISING EFFORTS TO MAINTAIN. YOUR ENTHUSIASM. LET

wy
“4

NOT YOUR PACE SLACKEN; WE NEED YOU MORE THAN EVER BEFORE.
YOUR REWARDS WILL Nor’ BE MATERIAL BUT WILL BE FOUND IN THE
"RESTORED LIVES OF COUNTLESS CHILDREN YOU WILL NEVER KNOW BUT
‘WHOSE PARENTS" GRATITUDE WILL BE IMMEASURABLE.

1 HAVE TOLD YOU SOME OF rue REAGONS WHY THESE ARE THE
BEST OF TIMES FOR US TO BE WHERE WE ARE. I HAVE ALSO TEMPERED

THESE REMARKS WITH THE FRANK APPRAISAL OF WHY WE COULD ALSO
(CALL THESE THE WORST OF TIMES. IN RECOUNTING THE OPPORTUNITIES
THAT EXIST FOR GREATNESS, I HAVE REALLY TRIED TO CHALLENGE
THE HOSPITAL, THE UNIVERSITY OF PENNSYLVANIA, THE CITY OF
PHILADELHIA, AND you FOLKS AS INDIVIDUALS TO MAKE THESE
CONCERNS YOUR OWN. AS 1 HAVE SPOKEN OF ALLIANCES, OF KNOWLEDGE,
OF TEACHING, AND OF RESEARCH, I HOPE YOU HAVE. NoT FORGOTTEN
THE WHOLE FOCUS OF THIS DAY IS ON CHILDREN. yaTHoUr THEM TO
CARE FOR, EVERYTHING 1 HAVE SAID WOULD BE UNNECESSARY AS WELL
AS INAPPROPRIATE. CHILDREN ARE THIS NATION'S ONLY PRICELESS
POSSESSION AND’ WE SEEK TO MAKE CHILDREN INtO WHOLE MEN AND
WOMEN NOT ONLY BY TREATING THEIR ACUTE PROBLEMS BUT, THROUGH
RESEARCH AND TEACHING, TO ELIMINATE. THEIR PROBLEMS IN PUruRE
‘GENERATIONS.

IN A SENSE THE GOAL OF THIS INSTITUTION IS TO WORK ITSELF
OUT OF A JOB. IF WE COULD DO ALL WE SEEK T0 DO WITH 100 PERCENT

EFFICIENTY, IT WOULD BE ONLY A MATTER OF TIME BEFORE WE COULD

RETREAT TO MUCH SMALLER QUARTERS.’ ALTHOUGH THAT DAY MAY.
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NEVER COME, GREAT STRIDES HAVE BEEN MADE IN THAT DIRECTION

AS ONE CONTEMPLATES THE EVER CHANGING COUNTENANCE OF BED te
WHEN I WENT TO MEDICAL SCHOOL THERE WAS NOT EVEN A

SULFA DRUG TO COMBAT INFECTION AND, 2 WAS A RESIDENT IN SURGERY

WHEN PENICILLIN BECAME AVAILABLE. MY EARLIEST CONTACTS WITH

sIcK CHILDREN WERE IN HUGE WARDS POPULATED WITH CHRONICALLY

ILL YOUNGSTERS SUFFERING FROM INFECTIONS SUCH AS MASTOIDITIS,
NECK ABSCESSES, AND OSTEOMYELITIS. “OnHER WARDS HOUSED PATIENTS
wre TUBERCULOSIS, WITH THE APTERMATH OF CRIPPLING POLIO-
MYELITIS, OR THE COMPLICATIONS OF CHILDHOOD BXANTHEMATAS: SUCH
AS MEASLES AND SCARLET FEVER AND DIPHTMERZA,”

‘AT THIS TIME THE MOST COMMON SURGICAL PROBLEM I SEE IN
NEWBORN BABIES IS A DISEASE PROCESS KNOWN AS ENTEROCOLITIS.
WE NEVER USED TO SEE THIS PROBLEM BECAUSE NEWBORNS DID NOT
SURVIVE LONG ENOUGH TO BE TREATED BY THE SOPHISTICATED METHODS
NOW AVAILABLE - WHICH SURVIVAL AND WHICH TREATMENT ENABLES

THEM TO UNDERGO THE STRESSFUL SITUATIONS. THAT PRODUCE OR
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PERMIT ENTEROCOLITIS, ~ A STILL POORLY UNDERSTOOD ENTITY.

WHEN YOUR SPEAKER ON THE LOTH ANNIVERSARY OF THIS DAY
-REMINISCES HE MAY BE INVOLVED WITH A NEW SYNDROME AND ENTERO-
COLITIS MAY HAVE TAKEN ITS PLACE WITH DIPHTHERIA.

WE ARE GATHERED TOGETHER TODAY TO DEDICATE THE CHILDREN'S
HOSPITAL CHILD GUIDANCE CENTER. THE FIRST DEFINITION OF THE
WORD DEDICATE IN MOST DICTIONARIES SAYS SOMETHING, LIKE THIS:
"TO SET APART AND CONSECRATE TO A SACRED PURPOSE." THERE IS
NO DOUBT IN THE MINDS OF THOSE OF US WHO HAVE BEEN PART OF
‘THE YEARS OF PLANNING’. THAT WE, DO DEDICATE THIS BUILDING TO
THE SACRED PURPOSE OF THE CARE OF CHILDREN.

-THE WORD " DEDICATE" ALSO CAN MEAN: "70 DEVOTE WHOLELY
AND" EARNESTLY AS TO SOME PERSON OR PURPOSE. WERE IT No? FOR
THE DEDICATION OF A NUMBER.OF GROUPS QF PEOPLE AND A. NUMBER
OF. INDIVIDUALS, IT WOULD BE IMPOSSIBLE THIS DAY TO CELEBRATE

IN A LARGER SENSE THE DEDICATION OF THIS BUILDING TO THE

SACRED TRUST OF CARING FOR CHILDREN. I WOULD BE REMISS
-17-_

INDEED IF I DID NOT TAKE A FEW MINUTES ON THIS OCCASION TO
ACKNOWLEDGE THE FORESIGHT, THE ENTHUSIASM, THE DEREERVERANCE,
AND THE GENEROSITY OF THE BOARD OF MANAGERS IN BRINGING
THESE PLANS TO FRUITION. TO THE WOMENS COMMITTEE , ALL THE
OTHER COMMITTEES , AUXILIARIES, LEAGUES, OLD AND NEW, LARGE
“AND SMALL, I..WOULD ALSO EXPRESS APPRECTION FOR THEIR DEDICATION
- TO THE NEEDS OF CHILDREN.

MANY PARENTS GAVE AS THEY WERE ABLE TO THE BUILDING OF
ruts EDIFICE AND WE ARE NATURALLY GRATEFUL TO THEM. BUT
THERE IS ONE UNIQUE GROUP OF PARENTS TO viHOM SPECIAL KIND
OF THANKS MUST GO. THESE ARE PARENTS WHO BROUGHT US THEIR
CHILDREN AND IN SPITE OF OUR VERY BEST EFFORTS WE LOST ‘THOSE |
"CHILDREN TO THE RAVAGES OF THEIR DISEASES. “70 THESE SPECIAL
‘PARENTS WHO SUFFERED PERSONAL LOSS AND .YET HAVE DEDICATED |
THEMSELVES TO THE BUILDING OF A FACILITY WHERE TRAGEDY MIGHT
BE TURNED TO TRIUMPH, OUR VERY SPECIAL RECOGNITION.

A SCHOOL TEACHER IN MILWAUKEE SEVERAL, YEARS AGO ASSIGNED
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HER FOURTH OR FIFTH GRADE CLASS THE PROJECT OF WRITING AN’
ESSAY APROPOS THE CELBRATION OF FATHER'S DAY. - ONE BRIGHT
: YOUNG LADY EXTOLLED THE VIRTUES OF FATHERS FROM TIME IMMEMORIAL
AND THE LIST OF THEIR ‘GRACES AND TALENTS WAS AS IMAGINATIVE -
AS IT WAS LONG. HER FINAL SENTENCE WAS A. CLASSIC: ” IF IT
WERE NOT FOR FATHERS, ,THERE WOULD BE PRACTICALLY NO CHILDREN
“IN, MILWAUKEE. "

WERE IT NOT FOR CHILDREN, THERE WOULD BE PRACTICALLY NO
CHILDREN'S HOSPITALS AND WERE IT NOT FOR CHILDREN'S HOSPITALS,
THERE WOULD BE PRACTICALLY NO NEED FOR THIS LONG AWAITED AND
MOST HAPPY OCCASION. MAY WE ALL LOOK FORWARD ‘70 THE. DAY

WHEN CHILDREN WILL HAVE PRACTICALLY NO NEED FOR US AT ALL.