Srequipa Sanatorium (Botkin Convalescent Home Inc. Foundation) For the Treatment of Early Cases of Tuberculosis in Wage Earning Women Fairfax, Marin County, California Birst Annual Report 1 Sept.. 1912 The Sanatorium. Pottery and Two Cottages ^requipa Sanatorium (Botkin Convalescent Home Inc. Foundation) For the Treatment of Early Cases of Tuberculosis in Wage Earning Women Fairfax, Marin County, California Rirst /Annual. Report 1 Sept., 1912 TRUSTEES Mrs. Frank Anderson Miss Elizabeth Ashe Mr. Thos. C. Berry Mrs. Henry E. Bothin Mr. Henry E. Bothin Mr. John F. Boyd Dr. Philip King Brown Mrs. Francis J. Carolan Miss Alice S. Griffith Mr. William Kent Mrs. John G. Kittle Mr. S. L. G. Knox Mr. Frank D. Madison Mr. C. O. G. Mill-er BOARD OF MANAGERS Miss Elizabeth Ashe Mrs. Luther J. Holton Mrs. Benjamin H. Dibblee Mrs. J. C. Jordan Mrs. Samuel Wormser TREASURER Mr. Millen Griffith, 310 California St. VISITING AND ADVISORY MEDICAL BOARD Dr. Adelaide Brown Dr. Louis P. Howe Dr. Albert J. Houston Dr. Lewis S. Mace Dr. Harry M. Sherman Dr. Harry P. Wiel Dr. Ray Lyman Wilbur Dr. Emma K. Willetts MEDICAL DIRECTOR Dr. Philip King Brown RESIDENT PHYSICIAN Dr. Hattie Bedortha Dr. Anna K. Davenport RADIOGRAPHER SUPERINTENDENT Miss L. Nora Harnden MEDICAL DIRECTOR'S REPORT 31 AUGUST, 1912 The Sanatorium was planned with the hope that it might some day accomplish four things: (1) Provide the best type of institution care to first stage cases of tuberculosis at a dollar a day, and make this sum pay running expenses. (2) Establish some work that the women might do without injury to their health, and with possible finan- cial profit. (3) Secure co-operation in the support of early cases at the Sanatorium from employers of female la- bor, and from social and labor organizations. (4) Carry on educational work among the 40,000 working girls in San Francisco, among whom the death rate from consumption is twice as high as among men. How it has succeeded in these things is simply told. The demand for treatment from advanced cases was so great during the early months that over ten such cases were refused to every early case admitted. This entailed so large an amount of work that the Medical Director admitted some cases without his personal ex- amination. In this way a number of undesirable pa- tients hopeless advanced, entered the Sanatorium. It became necessary to employ an additional nursing force and on that account it was decided that all pa- tients who were obliged to remain continuously in bed should be charged $1.50 a day. A number of third stage cases were admitted by the Director for purely humanitarian reasons, but even these cases should not have been kept for more than the probation period of one or two months. There are advanced cases that 3 justify the continuance of the treatment beyond the probation period, but hereafter only in exceptional in- stances will any but early cases be taken. All of the additions and construction expenses of the year were excluded from the current accounts and of course in this first year the replacements were not a large item, but the dollar a day rate, plus the extra fifty cents for the few bed cases, has come within $300.00 of paying the running expenses for the first -year. All medical serv- ices of course have been given without cost. The position of the Sanatorium facilitates the pur- chase of many of the provisions-notably milk, butter and eggs-without the intervention of the middleman. The fact that supervision, nursing and excellent food can be provided at this small cost should be of help to the state and municipalities in estimating the cost of providing properly for dependent consumptives, and in setting a standard for the care of these cases. On a larger scale with a farm as part of the equipment the cost ought to be even less. To give the girls occupation and possible remunera- tion for their work the Pottery was established. It has been supported by private individuals and has not come under the expense of maintenance of the Sanatorium in any way. Through the technical skill and wonderful gift as teachers of Mr. F. H. Rhead and his wife, the accomplishment of the Pottery has far exceeded the hopes of the founders. Our experi- ment has been an expensive one. The returns have justified it many times over, for the sale of the product of the Pottery bids fair to pay back in time all of the money invested in it. In the meantime several thousand dollars have been paid to the girls in wages. During the early months the girls were instructed in all of the depart- ments of pottery work without any reference to the making of commercial pottery, Mr. Rhead in the mean- 4 time carrying on an enormous number of experiments with California clays. Early in April (scarcely five months after the Pottery started, and long before any sales whatever had been made) the foundation seemed so well laid that the girls were put upon a system of pay for piece work. At present there are at least twelve who are on the pay roll and many of them earn enough to pay their way very comfortably. As much as $3.00 a day has been earned by some of the girls, which is interesting in connection with the fact that the working day does not exceed 5 hours for the physically ablest of the patients. They are not allowed to work on Saturdays or Sundays and those who work longest have at least 2 hours rest at noon. It is quite possible for a first stage case with a favorable outlook to earn enough in the Pottery to pay all of her expenses after she has been there 3 months. Not every girl is suf- ficiently interested in the work, or has the ability or strength to do this. It has been a matter of record however, that some of the more serious cases have not begun to improve until they began to do some work. The work period is under the supervision of a gradu- ate nurse, herself a patient, and in no case as yet have we felt that anything but good has resulted from the work done by the patients. It is carried on practically outdoors and the Pottery is kept as free from dust as possible. It is interesting that there are two cases that have been discharged as "apparently cured" who now live at Hill Farm and continue their work at the Pot- tery. A number are ready to be discharged and are desirous of continuing this work under the same con- ditions. This is a most gratifying and satisfactory proof of the interest in the work and its remunerative possibilities as compared to the work the girls were doing when taken sick. We cannot definitely employ the discharged girls in the present Pottery, although it has been twice enlarged. If the success of the work 5 continues, it is quite possible that a factory in the neighborhood may have to be established. Should that be the case, it is hoped that the work at the Sanatorium will be greatly simplified, and that it will return not only an adequate remuneration for the girls, but will leave some profit which may be used in the establish- ment of an endowment for the running expenses of the institution. As yet not much time has been spent upon the effort to enlist the co-operation of employers in sending to us such cases of early tuberculosis as may be found among employees. No definite precedent has been absolutely established with certain of these employers who have co-operated with us, although exceedingly generous support has been given by the White House and Messrs. Rosenberg Bros, to cases that we have cared for, aris- ing among their employees. Satisfactory and gratify- ing as this is, the precedent established by the Em- porium and the Pacific States Telephone Company marks a most important epoch in the problem. These concerns have each sent us a number of girls. Both of them have well organized Welfare Departments so that it is possible to get at the girls in the early stages. The Telephone Company has continued the salary of one of its employees, not only for the 3 months which we asked for her, but quite indefinitely. The value of its Welfare Department has been repeatedly illustrated through their having sent to us a number of girls with well marked tuberculosis who might easily have been employed but for the watchful eye of their examining physician. The Emporium through the organization of its em- ployees has established the precedent of supporting its girls with incipient tuberculosis while they are at the Sanatorium. We have cared for three of them in our first year. The educational work has been carried on very vig- 6 Pottery Studio Patients at Work in the Pottery orously from the start, not only through the continu- ance of the work by the visiting nurse of the San Francisco Polyclinic, but also through the active co- operation of Mrs. Hannah Nolan, Factory Inspectress of the Board of Health. Through these people 19 labor and social organizations of women have co- operated with us in carrying on among their members active educational work on the subject of tuberculosis. Five of these organizations have provided sick benefits for patients at Arequipa. Every effort is being made to make these women understand that the ordinary signs of consumption which they wait for,-hemor- rhages, profuse expectoration, loss of weight and night sweats,-are generally indicative of too advanced a state to permit of a satisfactory recovery. We are trying to persuade them to pay more attention to the cough of more than 3 weeks' duration, pallor, ease of fatigue, stomach disorders, and various slight changes in bodily function. We have published for distribution among them the following list of the various medical clinics of San Francisco where they can be examined gra- tuitously, believing that the greatest benefit in all this work can only come when the cases are recognized early. LIST OF FREE CLINICS AT WHICH PEOPLE MAY HAVE THEIR LUNGS EXAMINED Tuberculosis Society Clinics, 1545 Jackson St. Daily 8:30 a. m., and Monday evening, 7-9. San Francisco Polyclinic, 443 Fillmore St., daily 9 a. m. University of California Medical Clinic, 2nd and Par- nassus Ave. Daily, 8:30-10 a. m. Stanford University Medical Clinic, Webster and Sacramento Sts. Daily, 9 a. m., Cooper College. Telegraph Hill Neighborhood Ass'n., Medical Clinic, 1734 Stockton St. Monday, Wednesday, Friday, 4 p. m. 7 The Sanatorium has closed its first year free from debt and with some money in the bank. It has a waiting list of patients, and the knowledge that it can pay its expenses with the 22 patients which it accom- modates now. Its many problems have been met with the help of its loyal supporters. The Associated Charities in San Francisco have given help to a number of girls whose finances were insufficient. The Relief and Red Cross Funds furnished us $1500.00 for similar purposes. Miss Ashe and her Convalescent Home for Children at Hill Farm half a mile away have been our constant help in emergencies and specially in the struggling days in the beginning when we were frequently in sore need. The promise of co-operation with Hill Farm which was one of the attractions in our early plan has been fulfilled most gratifyingly to us, not only in the care of our apparently cured cases during the probation period, but in the care of the children of some of our patients. This co-operation is most interesting and seems likely to grow and to include the care of patients applying to us who need rest and supervision, but who are not to be found to be tuberculous, as well as the care of children of our consumptive mothers. Finally, no one can appreciate the patience, thought- fulness and painstaking care of our funds in Mr. Berry's hands but those who have struggled along with accounts only to have to take them to him in the end to be straightened out. All through the building period, which has lasted more than a year, he has car- ried a heavy responsibility and done much work, for which we are very grateful. 8 MEDICAL SUMMARY FOR YEAR ENDING 31 AUGUST, 1912 Patients received during the year Sept. 1, 1911, to August 31, 1912: Single 34 Married 32 Of the married ones 17 had children and 15 were with- out them. Patients remaining in the Sanatorium at the begin- ning of the second year 22 Of the 44 discharged during the year: 26 first stage cases 6 second stage cases 12 third stage cases Of the first stage cases 13 were discharged as apparently cured. 8 left on account of family claims. 5 needed other medical treatment or operation. All of these were improved or arrested. Of the 6 second stage cases 3 left on account of faimly claims. 1 needed other treatment. 1 because she was too far advanced. 1 because she would not obey rules. Of the 12 third stage cases 1 left on account of her children. 1 needed other treatment. 9 were discharged as too far advanced. 1 was dissatisfied and went to a quack in Oak- land. 66 9 Of the 44 patients discharged 13 were apparently cured. 2 were arrested. 9 improved. 17 unchanged. 3 worse. Included in these 17 unchanged were many that re- mained only a few days, or not longer than the proba- tion period, and during that time gave no evidence of sufficient improvement to justify our keeping them there. Of the 22 remaining in the Sanatorium at the be- ginning of the second year 9 were first stage cases. 6 were second stage cases. 7 were third stage cases. Of the first stage cases 4 are about to be discharged as apparently cured, and 5 of the second stage have reached the arrested stage. Five of the third stage cases have improved decidedly, 1 is worse and 1 ap- parently cured. Every patient who has entered the Sanatorium has had an instantaneous X-ray plate made of her chest by Dr. Anna K. Davenport, who has contributed this very valuable service to the cause. In this way we have been able to check up the clinical findings, be- sides having the plate records for study and com- parison. Major surgical operations have been necessary in 5 cases, in order to remove conditions interfering with the progress of patients. These services were given by Drs. Adelaide Brown, A. J. Lartigau and Tracy Russell. Dr. Louis D. Mead has made visits to Arequipa to meet several emergencies that have arisen. During the year 1912-13 one-half of the medical vis- iting will be assumed by Dr. Lewis Sayre Mace. 10 We have found from our first year's experience that a surprising number of our patients are badly handi- capped by conditions needing surgical care and fre- quently the handicap is sufficient to prevent improve- ment in the lung condition. Any surgery with its ac- companying anaesthetic is itself a serious matter in lung cases, so that one must frequently study a case some time before deciding whether surgery is the lesser of two evils. During the earlier months patients were frequently admitted without throat examination where no sus- picion of throat involvement was entertained from his- tory.or examination of the patient. Dr. A. J. Houston has made most of the throat examinations since then and has examined the throats of all the patients at the Sanatorium on the occasion of visits there. Here again we have been brought to recognize the fact that early throat involvement is vastly more frequent than one would suppose, and it is gratifying to note from the records how many of these cases have improved. Application blanks will be furnished to any one ap- plying to the medical staff, board of managers, or su- perintendent. When properly filled out they should be returned to the Sanatorium at once, where they will be placed on file in the order in which they are re- ceived. In every case they must be filled out by a phy- sician. This service will be rendered gratuitously at the San Francisco Polyclinic, 443 Fillmore St., daily (except Sundays), at 9 a. m.; at the Clinics of the San Francisco Society for the Study and Prevention of Tuberculosis, 1543 Jackson St., daily at 8:30 a. m., and Monday evening at 7 p. m. As vacancies occur patients will be notified about the final examination before admission, including the X-ray and throat examination. Any physical disability, es- pecially of the teeth, must be attended to before appli- cants will be admitted to the Sanatorium, for it is not possible to permit visits to town. 11 SECRETARY'S ANNUAL REPORT 31 AUGUST. 1912 As this is our first annual report, a few words con- cerning the inception of our institution may not be inapt. It was Doctor Philip King Brown who long since conceived the idea of establishing a sanatorium to work out in a small way, an economical solution of the problem of the cure of early cases of tuberculosis in working women. Just a little more than a year ago his idea was made possible of realization through the deep interest of a number of people in our community, Mr. Henry E. Bothin's generous gift through Miss Ashe of a beautiful and well protected tract of land in Marin County, a few miles beyond Fairfax, adjoining Hill Farm (and made part of the Bothin Convalescent Home) ; the donation of the building plan, fully and excellently worked out, by Mr. John Bakewell; and $10,000 given by three persons. Work was begun in April, 1911, and by the time the building was ready for occupancy another $5000 had been given and two most generously interested people had agreed to meet any deficit which might possibly occur during the first year of the Sanatorium's exist- ence. The experience from the beginning indicated the need of an extraordinarily large number of additions to the plant in order that it might be made to run more economically and in the course of the year there have been provided additional accommodation and bath- rooms for the domestics; a storage closet in the cellar; a concrete tunnel for a cool closet in the side hill; a woodshed; a stable and equipment; an extra cesspool; 12 a cottage for the boys who work in the garden and in the pottery; a fully equipped steam and electric laun- dry and a large cottage, which is at present occupied by the Superintendent of the pottery and his wife. The driveway has been covered with rock and several thousand dollars have been expended in improving the water supply, providing better fire protection and for drainage of the road. In August, 1911, four months after the first ground was turned at Arequipa, the main building was opened with five patients; the number steadily increased until within a few months the full capacity of twenty-three beds was reached and a waiting list now emphasizes the need of a second wing. The patients have come to Arequipa through the fol- lowing sources: S. F. Polyclinic Tuberculosis Class 8 S. F. Tuberculosis Society 3 Alameda County Tuberculosis Society 3 Associated Charities 3 Welfare Workers 4 Private sources (physicians) 25 Private sources (laymen) 20 66 Efforts have been made, and will continue diligently to be made, to reach the many through co-operation with other individuals ahd associations interested in tuberculosis work. These efforts take the form of educational work among the social, mutual benefit and labor organizations of the wage earning women them- selves and of appeals to large department stores, cor- porations, lodges, fraternal organizations and labor unions. As a result of this latter form of effort, the Emporium, the Pacific States Telephone and Telegraph Company, Messrs. Raphael Weill and Company, the 13 Rosenberg Brothers Company and numerous private in- dividuals have supported employees during their stay at Arequipa, in most cases by allowing their salaries to continue during absence. Besides this, sick benefits have been paid to patients by the Foresters, California Young Ladies' Institute No. 1, Printers' Union, and Seneca Council No. 44, thus making it possible for the four cases concerned to be kept in the Sanatorium until apparently cured. Quite as valuable help has been rendered by several benevolent societies-the Doctors' Daughters, the Re- lief and Red Cross Society, the Hebrew Board of Re- lief and the Associated Charities. Three private indi- viduals have supported cases and no patient has ever been dismissed for lack of money. The whole problem of the finances of the patients has been one of the largest we have had to meet. It seems important to us to avoid as far as possible hav- ing patients given financial assistance of a distinctly charitable nature and yet we appreciate that in the case of tuberculosis, the necessarily long continuance of treat- ment overtaxes the resources of most families of work- ing people, in spite of the low rate of charge Arequipa has been able to make. The work offered to patients in the pottery has resulted in easing up this financial strain somewhat, for it has been proven in a number of cases that a few hours' work a day, the pay for which is sufficient to meet all their expenses, is not incompatible with a rapid gain in health. However, it is our constant aim and effort to increase those sources of assistance upon which employees should be able to count as a natural result of their own and their em- ployers' far-sightedness. It is obviously to the advan- tage of the employer to spend $90 to restore to full working capacity an employee of known ability rather than to pay $90 to break in one whose final ability is an unknown quantity. To this statement the objections 14 may be raised that the estimate of expense of breaking in the new worker is high, and that $90 will not neces- sarily restore a tuberculous patient to health. To the first objection we answer, on the authority of the Main- tenance of Efficiency Department of two of the largest employers of labor in San Francisco, that the cost of breaking in an operative of ordinary ability is $90. The second objection, that $90 may not restore the pa- tient to health, reveals the real weakness of the whole situation, that awful side of it, that Arequipa has striven to show some way of meeting. There are many con- sumptives who are able to go on with their regular occupation and get well merely by changing their mode of living; many gain enough by a few months of va- cation or of medical care at home to turn the tide and recover; but others need changes and conditions which cannot be had at home and they must cease work and go away in order to have any chance to re- cover. It is this class of patients, whose earn- ing capacity, in the usual way, must stop, that we want to reach, and to reach at that time when the expenditure of $90 for a three months' stay at the Sanatorium will partly restore the patient to health and to some earning capacity. The vital point is to reach the case early, so early that $90 may mean the difference between cure and no cure. At Arequipa an early case, should she so desire, can learn enough of pottery work during three months stay, to make her able to earn sufficient in the pottery to pay for a con- tinuance of treatment at the Sanatorium should it prove advisable. The charge at Arequipa is one dollar a day or one dollar and a half when the patient is confined to bed and needs additional care. The food is simple but nourishing, only the best that the market affords being bought, and milk and eggs are furnished in abundance. This charge covers also laundry and all medicine given 15 for the treatment of tuberculosis. Medical care from a resident physician and the attending staff is gra- tuitous. The Superintendent's report gives data of days' care, monthly income and expense and shows that the first year closed with a small deficit, due to the proportion- ately heavy expense of the early months; the second half of the year shows an actual profit, although some bills from the first half remained to be paid. As the first two superintendents, who served respect- ively four and two months, were unfamiliar with local conditions and markets, the purchasing was most eco- nomically and judiciously done by Miss Elizabeth Ashe, one of the Board of Managers. Since the advent of Miss Nora Harnden, the present Superintendent (Feb- ruary 1, 1912), the purchasing has been added to the duties of superintendent, and Miss Harnden's capable continuation of the economical management has re- sulted in a steady simplification of, and saving in the household department. Milk, eggs, butter and chickens are bought in the neighborhood. Some vegetables are already raised on the place. Mrs. B. H. Dibblee and Miss Sarah Coffin have undertaken to have laid out a complete vegetable and flower garden, so that we expect in another year not only a large saving in vegetables, but much added beauty to the grounds of Arequipa. Many of our neighbors have been thoughtful and gen- erous in their gifts of flowers, fruit, vegetables and books. Religious services were held for the pa- tients, at various times, by the Rev. Lynn T. White, of San Rafael; the Rev. H. C. Carroll, of Ross, assisted by his choir boys; and the Rev. F. A. Doane of the San Anselmo Orphanage, assisted by some of the chil- dren from the orphanage. Mr. Herman Schussler has visited the institution twice to study the problem of the water supply and has been ready at all times to advise us regarding its further development. To Mr. Bruce 16 Porter we are indebted for constant advice on matters pertaining to the landscape gardening; to Mr. Henry Atkins for helpful suggestions in the pottery work and to Mrs. I. M. de Reygadas for teaching the patients to make willow and reed baskets before the pottery was opened. I cannot conclude this report fairly without stating that not only did Doctor Philip King Brown conceive of and establish Arequipa Sanatorium, but that to his well worked out plans, his untiring efforts, his steadfast al- truism, is due all that it has already become as well as all that it promises for the future. Blanche W. Wormser, Secretary. 17 FINANCIAL REPORT OF SUPERINTENDENT FOR YEAR ENDING 31 AUG., 1912 RECEIPTS. Board Patients $6,323.48 Board R. and R. C. F 1,504.20 Hauling 102.75 Lunches 37.25 Farm 34.90 Drugs 98.37 Extras 37.35 $8,273.32 EXPENDITURES. Provisions $3,620.82 Furnishings, phone 621.21 Wages 3,023.65 Laundry 478.88 Garden and Farm 231.90 Drugs 125.68 Extras 128.25 Patients' Exp 60.15 $8,626.54 Deficit $ 353.22 First half year. Second half year. Possible days care... 4004 4048 Days care given ...„ 2869 3531 L. Nora Harnden. 18 TREASURER'S REPORT January 12, 1911, to October 31, 1912. RECEIPTS. Subscriptions $27,646.92 Interest on deposit 1.30 Trustees of the Relief and Red Cross Funds for care of patients.. 1,500.00 $29,148.22 Buildings and equipment of laun- dry* 18,513.12 Water system and fire protection and land improvements 2,225.58 Furniture and house supplies 3,048.58 Amount expended from Relief and Red Cross Fund for care of pa- tients 1,500.00 Incidentals 52.04 Fire insurance 447.35 Horse, wagon and harness 174.25 Hay 66.00 Printing and stationery 260.15 Drugs and medical supplies 153.30 Salaries and wages (Supt. 2 months, carpenter 1 yr., etc.) 840.65 $27,085.97 EXPENDITURES. Cash balance October 25, 1912 $ 2,062.25 *Main building 2 stories and basement. Nurses' cottage, 5 rooms and bath. Extra cottage, 2 rooms and bath. Laundry. Cottage for boys. Pottery, 3 buildings. Stable. T. C. Berry, Treasurer. 19 NEEDS Endowed beds, each $ 7,500.00 New wing for 16 beds, with assembly room and private quarters for very sick patients 10,000.00 Further improvement of water supply 1,500.00 Piano 300.00 Small surgery 500.00 Laboratory and equipment 500.00 FOUNDERS CONTRIBUTORS OF S25O-S5.OOO Mr. and Mrs. H. E. Bothin Philip King Brown, M. D. Mrs. Frances J. Carolan Mrs. Wm. H. Crocker Mrs. J. P. Chamberlain "A Friend" Mrs. E. A. Drexler Mrs. Luther J. Holton Mr. Luther J. Holton Mrs. James C. Jordan Mrs. James Moffitt Mr. Bruce Porter Mrs. George Todd Perkins Mrs. C. B. Raymond M. F. P. Rev. Joseph Worcester Mrs. S. I. Wormser Relief and Red Cross Fund "A Friend" to Furnishing Fund SUPPORTING CONTRIBUTORS Mr. and Mrs. John F. Boyd Mr. P. E. Bowles Mrs. Gordon Blanding Mrs. Wakefield Baker Mrs. Charles R. Blyth Mrs. Henry Babcock Mr. Wm. B. Bosley Mr. J. Blumlien Mr. Alfred J. Brandenstein Mr. L. B. Behrens Mrs. James Coffin Mr. John C. Coleman Mr. E. A. Cutter Mr. Warren D. Clark Mrs. Donald Campbell Mr. H. S. Deming Mr. Will Darsie Mr. Horace Davis Miss Marie L. Esberg Mrs. A. J. Esberg A Friend 20 Mrs. M. A. Gunst Mr. James Gillen Mrs. W. K. Guthrie Mrs. A. L. Greenewald Miss L. S. Garber Mrs. Jas. Hosborough, Jr. Mr. F. C. Havens Mrs. Wm. Haas Mrs. Mary Hind Mrs. George H. Hind Mrs. R. C. Harrison Dr. George Howells Mrs. J. G. Kittle Mr. S. L. G. Knox Mrs. Sarah Kohl Mrs. Benj. Lichtenstein Mr. George L. Lyon Mrs. Fannie Levi Messrs. Miller & Lux Mr. W. D. McCann Mr. Louis Metzgar Mr. Frank D. Madison Mr. H. M. A. Miller Mr. C. 0. G. Miller Mr. Albert Meyer Mr. Daniel Meyer Mr. L. H. Pierson Mr. G. L. Planz Picture Exhibit Proceeds (Through Mr. Curtis) Mr. Max Rosenberg Mr. Gaston E. Roussy Hattie Simon Mrs. Rudolph Samson Mr. Clarence M. Smith Mrs. Hilda A. Samson Mrs. Mary B. Spaulding Mr. C. A. Smith Mrs. Emilie Sussman Mrs. Jos. Sloss Mr. S. A. Seward Mr. Wm. H. Taylor Mrs. Louise Wormser E. K. Wood Lumber Co. SUBSCRIBERS MONTHLY Mr. and Mrs. A. W. Bul- lard Mrs. John L. Howard ANNUAL Dr. Adelaide Brown Mrs. S. H. Boardman Mrs. Hannah Gerstle Mrs. Helen Hecht Judge Wm. P. Lawler Mrs. R. Lauxen Mrs. Sophie Lilienthal Mrs. John F. Merrill Mr. J. R. Pringle Mrs. E. Schmiedell Mr. James B. Smith Mr. Stuart F. Smith Mrs. Emilie Sussman Mrs. H. Weinstock 21 DONATIONS San Rafael Branch of Needle Work Guild-2 night- gowns, 1 chest protector, 1 pair bed slippers, 2 bath towels, 6 face towels, 12 pillow slips. Mrs. A. E. Kent-Apples and quinces. Miss Alice S. Griffith-Photographs. Mrs. Hoover-Ice cream. Mrs. S. Marks-2 garbage cans. Miss Lucy Bancroft-Sack of prunes. Robert Wormser-Mantel clock. Mrs. L. Wormser-Bed jacket and warm head cover- ings. Mrs. A. E. Wilson-Dishes. Mr. L. T. Snow-Olives and crackers. Mrs. H. Lyons and Mrs. Wm. Hochstadter-$7.50 (for Xmas). Mr. Richard McLaren-Radiopticon (for Xmas). Sherman & Clay-Loan of portable organ for Christ- mas music. Mrs. J. G. Kittle-Linen for bed stand covers. Mrs. George Curtis-Magazines and papers. Mrs. D. Simpson-Magazines and papers. Mrs. A. Dutton (for Sewing Club)-Baby clothes. Mrs. W. C. Edes-Phonograph records. Associated Charities of San Rafael-4 night gowns. Mr. Herman Schussler-Services in surveying water situation and suggestions for its improvement. Mrs. George Todd Perkins-Donation for helping out water supply and garden. Mr. Philip Westcott-Books. Mrs. A. A. Adler-Dishes. Mrs. C. B. Raymond-Laundry machinery, denim cushions for window seat in boys' cottage. 22 Miss Oppenheimer and Mrs. M. F. Gabbs-Vegetables. San Rafael Library-Magazines. Mrs. M. Liebmann-Books. Mr. A. R. Wooster-Flowers. United States Products Co. (through Mrs. A. T. de- Forest-5000 feet of wire, 600 feet of fencing. Mrs. James Coffin-Flowers and vines. E. H. Rollins & Sons-Labor and expense incurred in sending out 3500 circular letters (through B. H. Dibblee.) Mrs. D. Duncan-Phonograph records. Mrs. Kent-Tomatoes and Quinces. Mrs. L. Sloss and Mrs. E. Lilienthal-Fruit, books and magazines. Mrs. Max Sloss-Books and magazines. Mrs. L. Gerstle and Mrs. S. Lilienthal-Books and magazines. Mr. G. W. Hendry-Fruit, flowers, vegetables. Mrs. Thos. Wintringham-Magazines. Mr. Max Rosenberg-Magazines. Mrs. W. F. Jones-Horse, phaeton, 2 harnesses and surrey. Mr. B. B. Wilcox-Books. Mrs. Symon-Magazines. Mr. Prentice Gray-Direction of well digging. Baker & Hamilton (through Mr. Alfred Holmes) - Plow, cultivator, spade and rake. Dr. Dubois-Magazines. Cutter Laboratory-All tuberculin for tests and thera- peutic use. 23 FORM OF BEQUEST I hereby give and bequeath the sum of $. to the BOTHIN CONVALESCENT HOME, of Ma- rin County, California, the same to be set aside and used by said Home exclusively for the benefit of the A REQU IP A SANATORIUM."