C. Everett Koop Papers Separation Sheet (2 copies - 1 to `Removed From' folder, 1 to `Transferred To' folder) Item Title: Children's Hospital of Philadelphia Dedication Speech (includes 2003 remarks by Dr. Koop) Description /Notes: Removed From: Date: 4 Sep 2003 Processed By: MIA Series: Speeches Series: metadata entry and scanning Subseries: Subseries: Folder: Children's Hospital of Philadelphia Dedication Speech [includes 2003 remarks by Dr. Koop], 1974 May 6 Folder: Box # Box# 113a Folder # 2 Folder # Transferred To: Date: 4 Sep 2003 Processed By: MIA Additional Processing Activity (Date - Action - Processed By) NL,M&IMD/DMP - 8/l 8/99 etf -A. "r &jYL&LLL rwup k 2~urgeonfin-chief The Chil/dren's Hospital of t' ~;&y*6, 2974 Philadelphi 7 - - WHEN.TIIE 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.O.S. OR '-GREAT OPcMOND STREET, HAD THE FEMARKABLE GOoD FORTUNE TO . . HAVE A POPULAR AUTHOR CF THE DAY AS'A FUND RAISER - CHARLES DICKENS. THE'CHILDHOOD OF CHARLES DICKENE HAD ,MANY:PITIFUL EPI- SODES,. . HIS WHOLE FAMILY WAS.AT ONE TIME\$MPRISONED IN MARSHALSEA FOR DEBT AND DICKENS,'THE BOY, BkCAME HEAD OF THE FAMILY.' HIS BOOK, "DAVID COPPERFIELD" TELLS US OF.SOME EPISODES WHICH WERE INDEED AUTGBIOGRAPHICAL OF THESE DREADFUL DAYS. 'OF'HIMSELP AT'THAT PAtiTIGULAR TIME, #DICKENS WRITES THIS . . . 'l'I tiOk.1 DO NOT EXAGGERATE UNCONSCIOUSLY OR'UNINTENTIONALLY 3. 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 &HAT I TRIED, BUT INEFFECTUALLY, NOT TO ANTICIPATE MY MONEY AND TO MAKE IT .LAST THROUGH THE WEEK BY PUTTING IT AWAY IN ,A DRAWER I HAD -2- AS AN ACCOUNTING HOUSE, WRAPPED IN SIX LITTLE PARCELS, EACH CONTAINING THE SAME A!+lOUNT AND LABELLED WITH A DIFFERENT DAY. I KNOW THAT I.LOUNGED ABOUT THE STREETS INSUFFICIENTLY AND UNSATISFACTORILY FED. I'KNOW THAT, BUT FOR THE MERCY OF GOD, I MIGHTEASILY HAVE BEEN FOR ANY CA,PE:':TI~AT wAs TAKEN OF ME, A LITTLE ROBBER OR A LITTLE VAGABOND. I AM SOLEMNLY CONVINCED THAT NEVER FOR ONE HOUR WAS I &CONCILED TO IT, OR WAS OTHERWISE THAN MISERiBLY UNHAPPY." IS IT ANY WONDER THAT DICKENS, THE BOY, GREW INTO DICKENS, . THE MAN, TO CHAMPION :. THE RIGHTS 6F CHILDREN? COINCIDENT WITH MARITAL TROUBLES; CHARiES.DICKENS ASSUMED . - . THE ROLE OF A READER. IN ONE TWO YEAR PERIOD, READING TO .LARGE AUDIENCES 125 TIMES HB COLLECTED IN EXCESS OF 5.00 . . . .POUNDS A WEEi FOR HIS EFFORTS - A. STAGGERING SUM.FOR THE . , . 1850's. HE EVENTUALLY CAME TO AMERICA WHERE 34 .PUBLIC APPEAR- ANCES NETTED HIM 10,00.0 POUNDS, DICKENS WROTE iN A LETTER TO FRIENDS AT HOME: "MY MANAGER IS ALWAYS .GOING ABOUT WITH AN -3- IMMENSE BUNDLE THAT LOOKS LIKE A SOFA CUSHION, BUT WHICH 1s IN REALITY PAPER MONEY; AND IT HAD RISEN TO THE*PROPORTIONS OF A SOFA WITH THE MONEY THAT HE HAD WHEN HE LEFT. FOR PHILADELPHIA." I LIKE'TO THINK 'I'I-mT SOME PHILADELPHIA MONEY FOUND ITS .WAY TO THE DEVELOPMEPIT OF THE HOSPITAL FOR SICK CHILDREN IN. GREAT ORMOND STREET, LONDON. IN A VERY REAL WAY THE OPENING LINES 'OF CHARLES DICKENS' '. "TALE 'OF -TWO CITIES" IS APROPOS AS WE COME.TO THE RELIZATION . OF A LONG DREAM IN THE OPENING OF THE CHILDREN'S HOSPITAL AND CHILD GUIDANCE CENTER.: Wr .whs THE BEST 0F TIMES,IT . WAS THE WORST OF TIMES; IT WAS THE AGE OF WISDOM:; IT WAS-THE . . AGE OF FOOLISHNESS, IT WAS THE EPIC OF BELIEF, IT WAS THE . 'EPIC OF INCONGRUITY, IT WAS THE SEASON OF LIGHT, IT'WAS THE SEASON OF DARKNESS, IT 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 DI,RECT TO HEAVEN; WE.'WERE ALL -4- GOING DIRECT THE OTJIER NAY," 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 `GRFST' IT IS THE BEST OF TIMES BECAUSE WE ARE ' FURTHER ADVANCED THAN ANY PREDECESSOR COULD PHYSICAL,PLANT SE,COND TO NONE. WE HAVE THE AND .THE PHYSIOLOGICAL AND PHAhACOLOGICAL EXPERTISE TO UNDER- INSTITUTION EEGINS A NEW ERA. TECHNOLOGICALLY CLA.IM. WE HAVE.A ENGINEERING SKILLS STAND, INVESTIAGE; AND SIGNIFICANLY ALTER*THE DISEASE PROCESSES . . AND ANOiiALOUS SITUATIONS THAT ARE' BROUGHT. Td'OtiR,ATTENTION. IT IS THE, BEST OF TIMES BECAUSE THE PRESSURES'OF ,GOVERN- ,. MENT; PEDIATRIC SOCIETIES, ZiND '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 COMMtiNITY. -5- 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 TH'E SCIENCE CENTER OF 'UNIVERSITY CITY, ALL`THESE WILL PROVIDE AN'EASY INTERCHANGE OF IDEAS AND PLACE THE PRACTICAL TRI,JU OF CLINZCAL MEDICINE CLOSE TO THE CRUCZBLE OF RESEARCH. IT 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 TO RESIDENT, FROM THE 'SPECIALIST'S %'PECfAkST TO P&A-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 PRRCTICAL 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 b55TERIALS. THE STRIKES WITH WHICH WE WERE PLAGUED WERE PART OF THE ECONOMIC UNCERTAINTIES AND FEARS. . OF THE TIMES. IT IS THE WORST OF TIMES BEC&JSE IN THE- SH.ORT SPAN.FROM . . . THE 'PLANNING STAGE FOR THE CENTER TO THE BkGINNING OF CON- . STRUCTION A NUMBER OF THINGS CHANGED WE .SAW,'AND IN THE- METHODS AVAILABLE . . . . . . ..!` IN THE MIX.OF THE PATIENTS . . . FOR THEIR TREATMENT, AS , WELL AS IN THE INTRODUCTION OF NEW TECHNIQUES FOR 'DIAGNOSIS, .MONITORING, AND THERAPY. THE NEc&SARY CHANGES IN ARCHITECTURE AND ENGINEERING TO KEEP PACE WITH'A HEALTH CARE SYSTEM THAT :p' DEMANDED OF US AN INCREASING ROLE IN INTENSIVE CARE, ADOLESCENT '.. MEDICINE, &D NEONATOLOGY'WZERE COSTLY INDEED - NOT ONLY IN MONEY BUT 'IN T'IME NECESSARY -7-. 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 FtiRE 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 ANOT,HER ACCELERATION AND THE RESULT IS A BIRTH RATE'OF ABOUT ONE-HALF OF THAT OF FIVE YEARS AGO. . . 9 IT.IS THE WORST OF 'TIMES, THEREFORE, AS WE F-ACE'THE . . ECONOMIC PROBLEMS OF MAINTAINING A PATIENT CENSUS SUFFICIENTLY HIGH TO MEET OPERF_TING EXPENSES LET ALONE THE..DEVELOPMENT OF , . NECESSARY NEW SERVICES, THE REPLACEMENT OF OBSOLETE EQUIPMENT,, 9. . AND THEPURCHASE OF NEW MATERIAL AND:EQUIPMENT AS TECHNOLOGY MAKES THEM AVAILAELE. IT.IS THE WOF.ST OF TIMES BECAUSE THE GENEROUS FUNDING OF RESEARCH BY THE FEDERAL GOVERNMENT HAS BEEN REPLACED BY -a-. SHORTSIGHTED PENNY PINCHINGTHAT WILL BE REFLECTED FOR YEARS . . NOT ONLY I'N THE LACK 'OF ADVANCES MADE THROUGH RESEARCH BUT ALSO IN A PAUCITY OF TRAINEES. To FILL THE SHOES OF THE EXPERT: WHO DISAPPEAR WITH THE ATTRITION' OF DEATH AND RETIREMENT. THE RESEARCH PROBLEM IS COMPOUNDED BY THE GENEROSITY OF PRIVATE DOK'ORS'IS CURTAILED . FACT THAT THE Bir INFLATION, ECONOMIC RBCESSION, AND UNCERTAINTY CONCERNING THE FUTURE. NOW LEST you THINK THAT 1.,m4 RETREATING ~0 THE POSITION : . .OF A PROPHET OF GLOOM AND DOOM, `LET ME SAY THAT. THESE ARE ALSO TIfi'ZES THAT' PROVIDE OPPORTUNI*IES FOR GREATNESS. THERE IS AN OPPORTUNITY FOR GREATNESS FOR THE.CHILDREN'S HOSPITAL CHILD GUIDANCE'CENTER. IT IS A FACT THAT LARGE, ._ - . . COKPBTENT, PRESTIGIOUS INSTITUTIONS..SUCH.AS THIS DEVELOP A CREDIBILITY GAP .IK THE PROFESSIONALCOmUNITY. o I SAY TO THE I . PROFESSIONAL CCMMJNITY OF PHILADELPHIA, AND OF DELAWARE VALLEY THAT IT IS THE EXPRESSED GOAL OF 'THE CHILDREN'S HOSPITAL CHILD GUIDANCE CE.NTER TC SERVE IN, AN EXPANDED ROLE. WE NEED'YOUR HELP. WE.NEED YOUR HELP NOT ONLY TO.PERFORM, BUT WE NEED YouR HELP IN SHOWING Us WHEN GAPS EXIST BETWEEN THE GOAL AND THE REALITY. ?JE 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 AND SCIENCE. AN ABILITY TO AN AB,ILITY TO . . WE WANT ~0 DEMONSTRATE TO THE COMMUNITY HOSPITAL . HELP WITH THE PEDIATRIC PROBLEMSTHEY CARE FOR, PROVIDE THE TERTIARY,?ARE FOR PATIENTS THEY 'REFER; ,AND A DESIRE TO TEACH AT ANY LEVZL FROM BASICS FOR THE . . . HOUSE OFFICkR TO CONTINUING EDUCATION .FOR STA&', NOW A NECESSITY FOR RECERTIFICATION.AND CONTINUING LICENSURE.' :.. . . THIS'CENTER HAS FURTHER OPPORTUNITIES 'FOR GREATNESS IN ._ . . . . 'LOCk AND REGIONAL PROGRAMATIC PLANNING. WE'SHOULD, NOT SEEK . TO DUPLICATE PROGRAMS ALREADY FUNCTIONING ADEQUATELY BUT : RATHER SHOULD SEEK To COOPERATE MITH HOSPITALS, CLINICS, AND. HEALTH MAINTENANCE ORGANIZATIONS TO BOLSTER THEIR EFFORTS TO . . THE END THAT TOTAL CARE IS AVAILABLE TO THE PATIENT BY THIS -lo- 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 INST.ITUTE IS Td.THEM IN SCIENCE OR THE ITS FIELD OF KNOWLEDGE. .THERE . . 'UNIVERSITY WORLD DOES IS AN OPPORTUNITY OF PENNSYLVANIA.- . . A UNIVERSITY, HAVE `. . MUSEUM OF NATURAL HISTORY IS IN FOR GREATNESS ON THE PART ,OF THE a': PROBABLY NC WHERE .ELSE IN THE .: _ IN ,SO CONFINED .AN' AREA A &HO,,", OF MEDICINE, A SCHOOL OF DENTISTRY, A SCHOOL OF VETERINARti . . MEDICINE,,'A SCHOOL. OF ALLIED HEALTH PROFESSIONS, NCT TO MENTION . . - i THE CLINICAL BOSPITAL FACILITIES OF THE HOSPITAL CF 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 GUIDANCE . . . CENTER. ASSOCIATED FIELDS,OF ARCHITECTURE., FORENSIC MEDICINE -11- 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 MAJOR KILLERS OF CHILDREN, - . TRAUMA, CANCER AND CON~~ENITAL HEART DISEASE ARE, IN REFERENCE . . AT THE MOMENT, IN.THE SURGEON'S PROVINCE. THIS . TO THERAPY UNIVERSITY : HAS ,THE OPPORTUNITY TO SEE Cg&LD HEALTH AS THE ;-AT, 3 :I. ,:' . PARENT DISCIPLINE WITH MEDICAL PEDIATRICS AND ITS SUB-SPECIALTIES, . . . , . . . * SURGERY AND ITS SUB-SPECIALTIES,,AND' PSYCHIATRY AS'.WELL AS ALL. . i . . OF THE ASSOCIATED AFOREMENTIO&D FIELDS CONTRIBUTING NOT ONLY . TO THE TREATMENT OF CHILDREN, BUT TO THE MAINTENANCE OF HEALTH' . : - ' AND PRbENTION OF DISEASE. THE CITY OF PHILADELPHIA HAS AN ;OPPORTUNITY'FOR GREATNESS. ITS DEPA'ITMENT 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 . 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 . * . 'y 'PHILADELPHIA GENERAL HOSPITAL; AT A RECENT MEETING AT THE . . . . . .' HIGHEST ECHELON OF BOARD, ADMINISTRATION, AND STAFF 0F THESE TWO,GREAT INSTITUTIONS IT WAS AGREED THAT WITH THE PASSAGE . OF TIME THE CENTER w~ULD.BE':TREATING THOSE PATIENTS OF PEDIATRIC * `* AGE NOW CARED FOR AS IN-PATIENTS.OR AMBULATORY PATIENTS AT I . . '. PHILADELPHIA GENERAL HOSPITAL:' THE VERY SPECIAL PROBLEMS THAT GRAVITATE TO .+REAT CITY' INSTITUTION,LIXE PGH - SUCH , * . I AS CHILD ABUSE, TRAUMA WITH SOCIAL AND SEXUAL CONNOTATION& . . INFANT&BORN TO DRUG ADDICTED MOTHERS MUST REMAIN THE FIN,ANCIAL CONCERN XND OBLIGATION OF THE CITY, NO MATTER IN WHAT FACILITY THESE PATIENTS ARE CARED FOR. . THEREIS AN OPPORTUNITY FOR GREATNESS,FOR THB CITIZENS -13-' UF THIS COm4UNITY 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 I CALL UPON YOU AS INDIVIDUALS, AS FRIENDS:OF THIS INSTI- . TUTION, AND AS MEMBERS OF THE.10 AUXILIARIES, LEAGUES, . . . AND CLUBS THAT SUPPORT THE CHILDREN~.HOS~ITAL WITH SOCIETIES . . * YOUR FUND . R&ING .EFFORTS .TO MAINTAIN.YOUR ENTHUSIASM.. LET . . .._ .`..I NOT YOUR PACE SLACKEN; WE NEED.YOU MORE THAN EVER'BEFORE. . YOUR REWARDS WILL NOT'.BE MATERIAL BUT WILL'BE FOUND IN THE . +. _ 'RESTORED LIVES dF COUNTLESS CHILDREN YOU WILL. NEVE'R KNOW BUT . . .wHOSE PARENTS' GRATITUDE WILL BE IMMEASURABLE: . - I HAVE TOLD YOU SOP5 OF THE REASONS WHY THESE ARE THE BEST OF TIMES FOR US TO BE WHERE WE ARE. 'I HAVE ALSO TEMPERED . . . THESE REVARKS WITH THE FRANK APPRAISAL OE' WHY WE COULD ALSO :CALL THESE TI-IE WORST OF TIMES. IN RECO.UNTING THE OPPORTUNITIES THAT EXIST FOR GREATNESS, I HAVE REALLY TRIED TO CHALLENGE THE HOSPITAL, TIIE UNIVERSITY OF PENNSYLVANIA, THE CITY OF PHILADELHIA, AND YOU FOLKS AS INDIVIDUALS To MAKE THESE . CONCERNS YOUR OWN. AS I 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. 'WITHOUT THEM.TO . CARE FOR, . EVERYTHING I HAVE SAID WOULD BE UNNECESSARY AS 'WELL AS INAPPROPRIATE. CHILDREN.ARE THIS NATION'S ONLY PRICELESS' . . POSSESSION AND' WE SEEK TO I%%KE CHILDREN INTO WHOLE MEN AND . : WOMEN NOT 0NLy BY TREATING THEIR ACUTE'PROBLEMS BUT, THROUGH :. RESEARCH AND TEACHING,.,TO ELIMINA.TE..THEIR P'ROBLEMS IN FUTURE 'GENEkATIONS. IN A SENSE THE GOAL OF THIS' INSTITUTION Is ~0 WORK ITSELF' 'OUT OF A JOB. IF WE COULD DO ALL WE SEEK TO DO WITH 100 PERCENT EFFICIENTY, IT WOULD BE ONLY A MATTER OF TIME'BEFORE WE COULD RETREAT TO PiUCH SMLLER. QUARTERS.' ALTHOUGH THAT DAY MAY -15- NEVER COME, GREAT STRIDES HAVE BEEN MADE IN THP.T DIRECTION AS ONE CONTEMPLATES THE EVER CHANGING COUNTENANCE OF MEDICINE. . WHEN I WENT TO MEDICAL SCHOOL THERE WAS NOT EVEN A SULFA DRUG TO COMBAT INFECTION AND. I WAS A RESIDENT IN SURGERY WHEN PENICILLIN BECAME AVAILABLE. MY EARL&ST CONTACTS WITH . . I . . SICK CHILDREN WERE IN HUGE WARDS POPULATED WITH CHRONICALLY ILL YOUNGSTERS SUFFERING FROM INFECTIONS SUCH AS MASTOIDITI~, NECK ABSCESSES, AND.OSTEOMYELITIS. OTHER WARDS HOUSED PATIENTS WITH TUBERCULOSIS, WITH THE AFTERMATH OF CRIPPLING POLIO- ._ MYELITIS, OR.THE COMPLICATIONS OF CHILDHOO;;EXANTH&ATAS SUCH . AS MEASLES AND SCARLET FEVER AND'DIPHTHERIA.' AT THIS TIME .THE MOST COMMON SURGICAL PROBLEM.1 SEE,IN NEWB0RN BABIES IS A DISEASE'PR0CESS KNOWN AS ENTEROCOLITIS. . .WE NEVER USED TO SEE THIS PROBLEM BECAUSE NEWBORNS DID NOT' . SURVIVE LONG ENOUGH TO BE TPSATED BY THE SOPHISTICATED METHODS NOW AVAILABLE - WHICH'SURVIVAL AND WHICH TREATMiNT ENABLES . . . - THEM TO UNDERGO THE STRESSFUL SITUATIONSTHAT PRODUCE OR -16' PERMIT ENTEROCOLITIS, - A STILL POORLY UNDERSTOOD ENTITY. . WHEN YOUR SPEAKER ON THE 1OTH ANNIVERSARY OF THIS DAY REMINISCES HE idAY BE INVOLVED WITH A NEW SYNDROME AND ENTERO- COLITIS MAY HAVE TAKEN IT'S 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 CONSECPJlTE TO A SACRED PURPOSE." THERE IS ~0 DOUBT IN THE MINDS OF TH&E OF us WHO HAVE BEEN PART OF . . . THE YEARS OF PLANNING'.THAT WED6 DEDICATE'THIS BUILDING TO THE SACRED P&POSE OF THE CARE OF CHILDREN. .THE WORD "DEDICATE" ALSO- CAN MEAN: ' "TO DEVOTE WHOLELY . ANDEARNESTLY AS TO SOME PERSON OR PURP.OSE.'? WERE IT NOT FOR . THE DEDICATION OF' A NUMBER.OF GR0UPS'Q.F 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 0F CARING FOR CI-IILDREN: I WOULD BE REMISS -17- INDEED IF I DID NOT TAKE A FEW.MINUTES ON 'THIS 0cCASION TO ACKNOWLEDGE THE FORESIGHT, THE ENTHUSIASM, 'THE PERSERVEP~CE, . AND THE GENEROSITY OF THE BOARD OF MANAGERS IN BRINGING THESE PLANS To FRUITION: To THE P?OEIENs COMMITTEE, ALL THE OTHER COMMITTEES, AUXILIARIES, LEAGUES, OLD, AND NEW, LARGE 'AND SMALL, IJJOULD ALSO EXPRESS APPRECTION.FOR THEIR DEDICATION TO THE NEEDS OF CHILDREN. MANY PARENTS GAVE AS THEY WERE ABLE TO THE BUILDING OF THIS EDIFICE AND WE ARE NATURALLY GRATEFUL TO THEM. BUT THERE IS ONE UNIQUE GROUP OF PARENTS TO FiHOM A SPECIAL KIND OF THANKS MUST GO. THESE ARE PARENTS WHO BROUGHT . CHILDREN AND IN SPITE OF OUR VERY BEST EFFORTS WE , <. US THEIR . LOSTTHOSE' CHILDREN TO THE RAVAGES OF THEIR DISEASES. ..TO THESE SPECIAL . PARENTS WHO SUFFErRED PERSONAL LOSS AND.YET HAVE DEDICATED. THEMSELVES TO THE BdILDING,OF A FACILITY WHERE TRAGEDY MIGHT BE TURNED TO TRIUMPH, OUR VERY SPECIAL RECOGNITION. . A SCHOOL TEACHER IN MILWAUKEE SEVER&L, YEARS AGO ASSIGNED' -1G HER FOURTB 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 FRO3 TIME IM.blEt4ORIAL AND THE LIST OF THEIR'GRACES AND TALENTS WAS AS IMAGINATIVE . AS IT WAS LONG. HER FINAL SENTENCE.WAS A. CLASSIC: ' IF IT "WERE NCT FOR FATHERS , ,THERE WOULD B&i PRACTICALLY NO CHILDREN IN. MILWAUKEE. ' WERE IT NOT FOR.CHILDREN, THERE WdULD 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:TO THE DAY WI-USN CHILDREN WILL HAVE PRACTICALLY NO NEED FOR US AT ALL;