Transcript
  • nswering the call to care formore than100years.A

    T H E H O S P I T A L O F S A I N T R A P H A E L

  • Hospital ofSaint RaphaelA member of the Saint Raphael Healthcare System

    SPONSORED BY:

    WWW.SRHS.ORG

  • Answering thecall to care

    i

    100 years of hope and healing at

    the hospital of saint raphael

    Hospital ofSaint RaphaelA member of the Saint Raphael Healthcare System

  • ii

    MISSION OF THE SAINT RAPHAELHEALTHCARE SYSTEM

    The mission of the Saint Raphael Healthcare System, sponsored by

    the Sisters of Charity of Saint Elizabeth, is to care for and improve

    the health of our patients, with compassion and with a special

    concern for the underserved, poor and elderly.

    MISSION OF THE HOSPITAL OF SAINT RAPHAEL

    The Hospital is a community teaching hospital and health care

    resource sponsored and guided by the values of the Sisters of Charity

    of Saint Elizabeth and of the Roman Catholic Church. Our mission is

    to witness, share in and promote excellence in the healing ministry of

    Jesus Christ. We are committed to preserving the dignity and well-

    being of each individual, and to assuring that every person is treated

    according to the principles of charity and justice. We accept the

    Gospel challenge that prompted our founders of the sponsoring

    congregation, Saint Vincent DePaul, Saint Elizabeth Ann Seton and

    Mother Mary Xavier Mehegan, by pledging every loving service in our

    power to reach out to those in need of our services.

    THE MISSION VALUES ON WHICH WERE FOUNDED AND THAT GUIDE ALL DECISIONS AND ACTIONS

    Charity Justice Service StewardshipDignity Excellence Integrity

    Our Mission

  • iii

    edicated to past and present Sisters of Charity of Saint Elizabeth, employees, physicians, trustees,

    volunteers and Auxilians. Each of our first 100 years of excellence is because of you, and we commit to

    carrying on your legacy.

    This book is based on information and recollections from many sources. These include wonderful old

    scrapbooks, memorabilia, reports and other materials from Saint Raphaels archives, materials and

    photographs from the archives of the Sisters of Charity of Saint Elizabeth, taped oral histories of persons

    now deceased, and countless interviews. Every effort has been made to validate dates and other facts,

    some of which vary by source.

    EDITORS NOTE

    Working on this book has had special significance. I joined Saint

    Raphaels in late 1981 to help plan its 75th birthday observance, never

    thinking I would celebrate the 100th as well! But my roots are deeper

    than that. While working on the 75th, I organized years of accumulated

    materials into what evolved as Saint Raphaels archives. In the

    process, I learned that the New Haven archi tectural firm of Brown &

    von Beren, led by my great-grandfather and then grandfather, designed

    the hospitals first new construction, the Saint Marys Building. It is an

    honor and privilege to be part of this organization, to have learned

    from the Sisters of Charity of Saint Elizabeth, and to have worked side

    by side with extraordinary colleagues.

    Published 2008

    Editor: Cindy von Beren, vice president/Corporate Affairs

    A special thanks to the many individuals who were part of the

    research, writing, editing, fact-checking and production of this

    history, with particular gratitude to:

    Patricia Mich, art director

    Jennifer Duarte, graphic designer

    Michael Dabbraccio, staff photographer

    Christine Mora, director, Public Relations & Marketing

    Pat Wales, director, Health Sciences Library

    And to contributing writer Alix Boyle and contributing writer/editor

    Cynthia Wolfe Boynton.

    D

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    INTRODUCTION

    CHAPTER 1 Beginningsa hospital is born

    CHAPTER 2 William Francis Verdi, M.D.

    CHAPTER 3 The first 30 years

    CHAPTER 4 Saint Raphael School of Nursing

    CHAPTER 5 World War II

    CHAPTER 6 The 1940s and 1950s

    CHAPTER 7 Sister Louise Anthony Geronemo

    CHAPTER 8 Saint Raphael Auxiliary and volunteers

    CHAPTER 9 1960s and 1970s

    CHAPTER 10 1980s and 1990s

    CHAPTER 11 Sister Anne Virginie Grimes

    CHAPTER 12 Advancing the science and art of medicine

    CHAPTER 13 Entering the new millennium

    CHAPTER 14 2007: A milestone anniversary to remember

    CHAPTER 15 The Sisters of Charity of Saint Elizabeth

    Contentsanswering the Call to Care

  • 1If Saint Raphael s future is anything like its history, great things are ahead for all of us.

    Saint RaphaelHealthcare SystemPresident and CEO David W. Benfer, FACHE

    Sisters of Charity of Saint Elizabeth General Superior SisterMaureen Shaughnessy,chairperson of the Saint RaphaelHealthcare System Board of Trustees.

  • 2Introduction100 years of Caring

    W hen the Sisters of Charity of Saint Elizabeth and Catholic HospitalAssociation agreed on January 30, 1907, to join forces and found

    Saint Raphaels, their goal was to create a hospital that all members

    of the community could call their own. It was to be a place where

    every patientregardless of race, religion, ethnicity or income

    levelreceived the best care, with the most compassionate touch.

    A century later, this caring mission still guides Saint Raphaels, and

    is what our physicians, nurses and other professionals strive to give

    patients every day. Our long history of medical excellence, and the

    roots weve established in Greater New Haven, made us proud and

    excited to celebrate Saint Raphaels 100th birthday in 2007.

    Thank you for opening this book and celebrating this milestone

    with us. Within these pages, youll find great old photo graphs, facts

    and memories about both the hospital and its place in the Greater

    New Haven community. Its a community that has embraced and

    supported Saint Raphaels for each of these 100 years. And for this,

    we are most grateful.

    Youll see in Chapter 1 that at the same time the Hospital of Saint

    Raphael opened its doors, both the community and the field of

    medicine were changing. Most people at the start of the 20th century

    received medical care in their homes from family doctors. Family

    members were expected to take care of loved ones. Hospitals at that

    time were said to be for the poor and the friendless.

    Yet as medicine advanced in the early 1900sthe beginnings of

    modern surgery; the development of vaccines; an understanding of

    how germs spread and the need for safe public health practices

    people came to realize that hospitals were the best and safest places for

    the delivery of increasingly sophisticated medical care.

    Ready to meet that new demand for hospital care in New Haven

    was Saint Raphaels. A 1913 New Haven Union newspaper article

    praised Saint Raphaels for offering the best scientific medical

    treatment available, calling the hospital a pioneer.

    One hundred-plus years later, these phrases still describe

    Saint Raphaels.

    As you go through this book, youll see stories and photo graphs

    showing how Saint Raphaels has grown to match advances in

    medicine; how Saint Raphael physicians were among the first to

    perform many breakthrough procedures; how compassion, dignity

    and respect for patients have always made the Saint Raphael

    difference; and how Saint Raphaels has formed an enduring

    partnership with the community.

    We wish it had been possible to include the names of every

    person, department, treatment and procedure thats made a

    difference over our first century. For that, however, wed need a

    book this size for each of the hospitals 100 years. Instead, weve

    done our best to cull stories, memories and photographs that best

  • 3The invitation to thecorner-stone placementfor the Saint MarysBuilding, and relatednews coverage.

  • 4represent the spirit and achieve ments of

    both our hospital and health providers.

    Please read on and enjoy.

    Caring for the sick is a divine trust, said

    the Sisters who started and continue to

    sponsor Saint Raphaels. As a faith-based

    organization and one of four Catholic-

    sponsored acute care hospitals in Connect i -

    cut, Saint Raphaels holds firm to this belief,

    which will un doubtedly con tinue for the

    next 100 yearsand beyond.

    Thank you for your belief, support and

    trust in us.

    If Saint Raphaels future is anything like

    its history, great things are ahead for all of us.

    Early patient ward.

  • On behalf of theCatholic HospitalAssociation, urologistFrancis H. Reilly, M.D.,wrote to the Sisters of Charity of SaintElizabeth, requestingtheir help.

    The silver trowel used to lay the cornerstone for the Saint MarysBuilding (below).

    In Hebrew, Raphe means heal and El means God . Thus together, Rapha-el means God heals.

  • 6Chapter 1ll over the United States, the early 1900s was a time of new

    beginnings. New Haven was no different, as Italian, Irish and other

    immigrants came to work for local factories and start new lives.

    Downtown New Haven was bustling with tradesmen, trolleys and

    tenements, and on every street corner were new accents, voices

    and dreams.

    Not everyone, however, embraced this changing, more colorful

    community. Institutions begun by white, Protestant menthose who

    founded the citywerent always eager to welcome those with

    different faiths, faces and cultures. Doctors of Irish, Catholic, Jewish

    and Italian descent quickly discovered that because of their faith or

    nationality, they werent welcomed to practice at New Havens two

    existing hospitals, Grace and New Haven (today Yale-New Haven).

    Many of New Havens new, diverse residents found the same

    unwelcoming attitude for themselves and loved ones when

    professional medical care was needed.

    BOTH GROUPS NEEDED A HOSPITAL TO CALL THEIR OWN

    This need prompted William Francis Verdi, M.D., and 13 other

    physicians to form the Catholic Hospital Association. Not all 14 men

    in the group were Catholic. But they all had a vision to create a faith-

    based hospital where any doctor could offer careand any person

    be cared forregardless of race, religion, culture or financial status.

    Knowing they could not take on such an enormous task alone, the

    doctors approached the Sisters of Charity of Saint Elizabeth. At the

    time, the Sisters were already running Saint John the Evangelist

    School in New Haven. Renowned for their charitable work in both

    education and health care, their home base was in Convent Station,

    N.J., and they operated schools, hos pitals and orphanages in New

    York, New Jersey and Massachusetts. That the Sisters took on

    helping build a new hospital despite many other commitments is

    testament to the intrepid faith and far-reaching vision of 81-year-old

    Reverend Mother Mary Xavier Mehegan.

    Not only did Mother Xavier agree to manage and help staff the

    hospital, but she mortgaged the Sisters of Charity Motherhouse in

    New Jersey for much-needed funds.

    The Catholic Hospital Association had already purchased the Barnes

    residence, a stately home at 1442 Chapel St., with $23,000 in donations

    raised from local individuals, organizations and clergy. But more was

    needed to convert the home into a hospital, plus build a new structure

    on adjoining property. Initial estimates indicated it would cost $125,000

    to $135,000 to construct the new building.

    ABEGINNINGS

  • 7It was a huge sum for the time, but small

    compared to the grandness of what they

    hoped to accomplish. Mother Xavier

    believed that if the Sisters held the deed to

    the property and were in a position of

    financial control, they would never be

    forced to compromise their mission. This

    mission, the Sisters and doctors agreed,

    would be to receive and care for all

    patients without regard to race, creed or

    color; to extend charity to the sick, the poor

    and the needy, as required; and to open to all

    members of the medical profession an

    institution in which they could administer to

    their own patients.

    To make this happen, four Sisters arrived in

    New Haven on Feb. 2, 1907. Sisters Mary

    Irmina McDonough, Mary Eustelle Kivlehan,

    Rose Ulrica Farley and Alice Veronica Flynn

    were charged with taking the first steps to

    create the new hospital, which the

    Corporation of the Sisters of Charity of Saint

    Elizabeth had already decided would be

    named Saint Raphaels.

    Its not documented exactly why the

    Sisters chose this name. But its speculated

    that Saint Raphael refers to the Archangel

    Raphael, who is the Catholic patron saint of

    healing. Theres also meaning within the

    word Raphael. In Hebrew, Raphe means

    heal, and El means God. Thus together,

    Raphael means God heals. By giving this

    name to the new hospital, the Sisters

    acknow ledged their belief that God heals

    through medicine, and that caring for the

    sick is a divine trust.

    WORK BEGINS IN EARNEST

    With faith and funds in hand, work to get the

    Hospital of Saint Raphael up and running

    began almost immediately upon the Sisters

    arrival, and took two paths.

    On July 28, 2007, ground was broken for

    the five-story Saint Marys Building, which

    would not be ready for two years. So to

    accommodate patients in the meantime, the

    Sisters focused on the Barnes residence.

    Bedrooms in the Barnes home were

    turned into nursing wards, and the front

    parlor converted to a chapel. The kitchen

    and other parts of the building were left to

    perform their regular functions, and in less

    than a year the 12-bed hospital was ready

    to open.

    Mrs. Winifred Dugan, 70, was admitted as

    Saint Raphaels first patient on Jan. 10, 1908. In

    large, elegant script, the hospitals first ledger

    lists patients names, ages, countries of origin,

    occupations, diagnoses, physicians and out -

    comes. Mrs. Dugan, from Ireland, was ad -

    mitted for apoplexy, cared for by James Flynn,

    M.D., and died in the hospital on May 28. The Saint Marys Building.

  • Barnes residence(foreground) with the Saint Marys Building in the background.

  • However, according to the

    ledger, she had the facility to

    herself for more than a month.

    This was probably because

    during the 19th and early 20th

    centuries, most doctors made

    house calls, and ill family

    members were generally cared

    for at home. Hospitals were

    reserved for the indigent,

    seriously ill, or those who did not have

    loved ones to care for them. However, when a fire broke out on Feb.

    28, 1908, at nearby Grace Hospital, 39 patients were carried from the

    flaming structure to Saint Raphaels.

    Newspaper reports called the fire a providential happen ing, with

    Saint Raphaels response helping win community acceptance and

    dispelling any prejudices against a Catholic-sponsored facility. The

    people of New Haven were blessed and fortunate to have a new

    hospital open in its hour of need. If not for Saint Raphaels, surely

    more patients would have died, newspaper reports claimed.

    At the same time renovations were going on at the Barnes

    residence, ground was being broken on land next door for a larger,

    more suitable building.

    A 1913 tribute to Saint Raphaels published in The New Haven

    Union looked back at the time:

    Prior to 1906, the hospitals of New Haven maintained a

    position bordering on a closed corporation. For once a

    patient entered a hospital here, the relatives whose presence

    and sympathy would have aided in their recovery were

    debarred from visiting. These detriments were realized

    and often protested against, but without avail until 1907

    Though the Sisters of Charity assigned

    to start Saint Raphaels exemplified

    the noble ideals of self-denial and

    charity, they were down-to-earth

    and pragmatic when it came to

    accomplishing their goals.

    Before Saint Raphaels ever opened

    its doors, the Sisters sought financial aid

    from the State of Connecticut. They

    must have made a compelling argument

    on the need for the hospital, because

    the Connecticut General Assembly

    appropriated $2,500 to Saint Raphaels.

    The provisions were that the hospital

    have a competent staff of physicians

    and surgeons and be in operation

    for at least three months. It was the

    first of many significant state grants

    over the years that would help Saint

    Raphaels grow.

    At left, a newspaperclipping about earlyfundraising activities.

  • SaINt RaphaEl fIRStS

    First buildingBarnes residence at 1442 Chapel St. It consisted of 12 beds, a pharmacy, laboratoryand an operating room and was staffed by16 employees.

    First patient70-year-old Winifred Dugan admitted forapoplexy on Jan. 10, 1908. She stayedhospitalized until she died of the conditionon May 28.

    First surgeryCesarean sectiona difficult and dangerousoperation, a newspaper reportedperformed by William Verdi, M.D., on Mrs. JohnLadino of Palmer Street. Mother and child didsplendidly, the newspaper announced.

    First ambulancesThere were twoone horse-drawn, one electric.

    First administratorSister Mary Irmina McDonough

    Among the donations listed in the first annual report (1910) A total of $1,050 donated by1,050 people. Each gave $1.

    Ten turkeys Crate of oranges Three cases of lemon soda A Bermuda lily Ten gallons of ice cream

    when Saint Raphaels became the pioneer in that new

    curative methodcombining the best scientific medical

    treatment, while allowing each patient to have his or her

    own physician. Confidence in the minds of those they know

    helps the invalids. Clergymen of their own faith and the

    frequent presence of friends is always a consolation to the

    sick. Then why deprive them of it? So a new era in the

    management of hospitals born of a humanitarian regard for

    the feelings of patients, as well as for the professional

    treatment of their bodies, was established in this city when

    Saint Raphaels hospital was built.

    Perhaps the writer of this piece had been allowed to look at Saint

    Raphaels patient ledger, and had seen the multiethnic, multicultural

    population turning to the new hospital for care. Almost one-third of

    the patients admitted to Saint Raphaels by 1910 were foreign-born

    immigrants, with Sweden, England, Ireland, Germany and Italy some

    of the many native countries listed. Patient occupations included

    laundress, stenographer, baseball player, blacksmith, butler,

    tinsmith, farmer, box maker, school boy and housewife, with

    conditions as equally variedhernia, cesarean section, tongue

    cancer, alcoholism, appendicitis, gunshot wound, breast cancer,

    apoplexy, chronic diarrhea and goiter among them.

    By many standards, it was a humble clientele. Yet the founding

    Sisters and physicians were determined to make Saint Raphaels

    anything but ordinary. The new Saint Marys Building, opened on

    Feb. 22, 1909, was hailed in newspaper reports as a splendid

    structure, and one of the most complete in New England. This

    state-of-the-art facility boasted such new and modern features as an

    electric elevator, electric lighting and a telephone on each floor. And

    its latest sanitary appointments included one that attracted national

    attention: All walls and ceilings have rounded corners to make them

    perfectly sanitary in every respect.

    The brick building set a standard for medical excellence that

    would continue throughout all of Saint Raphaels first 100 years.

    Even at this early date, Saint Raphaels patient rooms and technology

    were designed to not just offer the most advanced care, but the

    safest and most comfortable care, too.

    The Saint Marys building boasted between 125 and 135 beds

    (accounts vary) in nursing wards and a handful of private rooms.

    Staying in the public wards cost $7 per week. Private rooms included

    the first nurse call buttons which, when pushed, would cause a small

    red flag to rise outside the patients door. Each floor also had two

    toilet rooms with large bath apartments, a large kitchen connected

    to a dumb waiter, and a linen room.

  • 11

    Saint Raphaels two-room operating

    department was termed one of the most

    up-to-date and modern of its kind in the

    country and the most perfect in every

    detail in this country or abroad. The main

    operating room was well-lighted with a

    large glass roof, tile walls and marble

    floors. There was also a room where

    patients were etherized, a room for

    instrumental sterilization, and two padded

    cells for delirious patients.

    Also revolutionary was that the entire

    building was fireproof with concrete floors,

    iron stairs and well-planned and arranged

    fire escapes, newspapers wrote. The

    basement contained a small, brick-lined

    morgue, a boiler room, laundry and cooking

    department, plus nurses and doctors

    dining rooms.

    Yet more than physical growth was

    taking place. To assure the best-trained

    nurses were caring for Saint Raphael

    patients, the hospital organized and opened

    The 14 Catholic and non-Catholic physicians who on May 3, 1906, founded the Catholic Hospital Association and with the Sisters of Charity of

    Saint Elizabeth eventually founded Saint Raphaels were:

    Leonard Bacon, M.D.

    William Butler, M.D.

    Jeremiah Cohane, M.D.

    James Flynn, M.D.

    Norton Hotchkiss, M.D.

    John Luby, M.D.

    Stephen Maher, M.D.

    Edward McCabe, M.D.

    Matthew OConnor, M.D.

    Francis Reilly, M.D.

    William Sheehan, M.D.

    John Sullivan, M.D.

    William Verdi, M.D.

    Frank Whittemore, M.D.

  • 12

    the Training School for Nurses (Read about the Saint Raphael School

    of Nursing in Chapter 4.). To support the hospitals many endeavors,

    a Ladies Auxiliary also formed. (Turn to Chapter 8 for more on

    the Auxiliary.)

    Presiding over these many dramatic changes was Sister Mary

    Irminaone of the four original sistersserving as hospital

    superintendent. The motto she and the founding physicians adapted

    was ad majorem dei gloriamLatin for the greater glory of God. They

    had the saying carved into Saint Marys cornerstone to guide them. And

    its obvious how all believed in the motto, and clearly saw the need for

    the hospital and its caring mission.

    What they didnt see, however, was how quickly Saint Raphaels

    would grow beyond any of their visions.

  • 13

    Like the way Mozartlooked at a piano andknew how to play, (Verdi) looked at the humanbody and knew his wayaround it. There is greathonor and nobility in being a physician. To heal and to serve is a real calling. William Verdi had that calling.

  • 14

    Chapter 2WILLIAM FRANCIS VERDI, M.D.

    f the Sisters of Charity of Saint Elizabeth provided the greatest group

    influence on the early hospital, the greatest individual influence was

    William Francis Verdi, M.D.

    Verdi was an internationally renowned surgeon whose patients

    ranged from the president of Yale University to his gardeners wife.

    For more than half a century, Verdi provided superb medical care to

    all who needed him, regardless of their ability to pay. He combined a

    dexterous pair of hands with an intuitive gift for knowing what was

    wrong, and how to best fix it.

    The surgeon is concernedintensely concernedwith the

    recovery of the patient, Verdi once wrote. He is interested in

    pulling the patient through. And he suffers as the family suffers. A

    tragedy is never taken more at heart than by the surgeon. It could not

    be otherwise for a good doctor.

    Described as a regal and impeccably dressed man, he is

    listed as being 5-foot-7, and 165 pounds on a 1917 hunting license. At

    the time he was in his 40s, and despite his very public stature within

    the community, he was a very private man. He so disliked publicity

    that he refused to be interviewed for a 1926 newspaper article about

    his surgical accomplishments. He instead referred the reporter to his

    brother-in-law, then-Connecticut Secretary of State Francis A.

    Pallotti, who provided all the information.

    He was most comfortable at work. Old surgical logs show him

    performing as many as 10 operations a dayan amazing number by

    todays standards. He preferred an operating room with natural light

    and demanded silence while he worked. He was also, in every sense

    of the term, a general surgeon, operating on just about every part of

    the body during his almost 60 pioneering years in the fieldvery

    often under extreme or unusually challenging circumstances.

    Those who worked with Verdi also remember him being a great

    admirer of Saint Raphael nurses for the skill they obtained at the

    Saint Raphael School of Nursing and then showed in the operating

    room. There, he furthered most of their medical educations, teaching

    various nuances about the human body and how it could be healed.

    This ability to mentor, coupled with Verdis great skill as a surgeon,

    spurred the Yale University School of Medicine to ask Verdi to help

    train students at his alma mater.

    Eventually, he became involved in almost every aspect of

    life in New Haven, from city planning to serving on its school board.

    He was also a big supporter of the artsmusic especially. He was

    known for the musical parties he and his sister Loretta hosted at

    their home. One soiree, held for American Surgical Association

    fellows who came to New Haven for a conference, was reported to

    include a performance by three renowned operatic voices from the

    Metropolitan Opera House and Philadelphia Opera Company.

    I

  • According to a newspaper society page, Mayo Clinic founder Charles

    Mayo, M.D., and his wife were among Verdis houseguests.

    His great-niece Victoria DiSesa, a New Haven attorney and former

    Saint Raphael trustee, remembers hearing family stories about Verdis

    parties. Her sister Susan owns the piano from the music room. He

    served lavish dinners and lived an elegant life, DiSesa recalled.

    Above all, however, he was a surgeon, said medical historian

    Sherwin Nuland, M.D.: How good was he? He was so gifted that

    patients came from everywhere to have him operate on them. Verdi

    had more talent than anyone at that time.

    EARLY YEARS

    William Francis Verdi was born Guglielmo

    Francesco Verdi on Nov. 27, 1872, in

    Montechiaro Vico Equense, Naples, Italy,

    the son of Domenic and Rose Ruggiero

    Verdi. Domenic was a sailor in the Italian

    navy, and when Verdi was 18 months old,

    Domenic decided to bring his family to the

    United States. They settled in New Haven, with

    Domenic taking a job as a foreman in a rubber

    factory. Verdis brother Antonie also made the ocean

    trip, with their sisters Rose, Mary and Loretta born in

    New Haven in quick succession.

    Although Verdi liked school and was a good student, he quit

    Hillhouse High School to take a job in a barber shop to help support

    his family. It was a move that alarmed school officials, who must

    have seen Verdis potential.

    Determined to get Verdi to return to high school, the Hillhouse

    principal went to Verdis house and refused to leave until Verdi agreed.

    It may be said that the world owes the surgical ability and genius of

    Verdi to the insistence of Principal James D. Whitmore, wrote the

    New Haven Journal-Courier.

    In 1891, Verdi became the first native Italian to graduate from

    Hillhouse. Fascinated with medicineand because in those days

    students did not need to attend college before medical schoolVerdi

    went right from Hillhouse to Yale Medical School (todays Yale

    University School of Medicine). He paid his tuition by working as an

    Italian inter preter in the New Haven Courthouse and teaching English

    to immigrants. Records show that when he graduated Yale in 1894, he

    considered becoming a priest or a lawyer.

    Verdi (far left) at the age of 18 in the barbershop.

    15

  • Instead, he enrolled in a surgical intern -

    ship, and worked to earn enough money to

    travel to Germany and Austria. Physicians

    there were performing ad vanced surgical

    procedures only talked about in New Haven.

    Thus began a series of routine summer visits

    to Europe, furthering know ledge of his field.

    Yet New Haven was his home and where

    he wanted to be. He opened his first

    practice at 172 John Street. Quickly, his

    reputation as both a skilled and caring

    physician began to grow.

    Like other physicians of the day, he made

    house calls by horse and buggy and

    performed surgery atop kitchen tables, or

    on his own portable one. Instruments were

    sterilized on wood-burning kit chen stoves.

    Old receipts show Verdi charged $100 for

    an appendectomy. And soon, he was able

    to hire a chauffeur. Egisto Cinquini

    (known as Gisto), whose drivers license

    lists him as 20 in 1910, would work for

    Verdi for many years.

    The story we were always told

    growing up is that Egisto would drive

    Verdi to a home in the middle of the

    night and then remove one of the head

    lamps from the car and hold it up while

    Verdi operated, remembered Verdis

    great-niece Susan DiSesa Sheeline.

    When Verdi was finished, he would say

    to Egisto, You can put the lamp down now. And Egisto would reply,

    I cant; my arm is stuck.

    Despite Verdis John Street office, receipts for both horse shoeing

    and automobile parts suggest Verdi must have been constantly on the

    road and at work. Indeed, historian Nuland believed part of Verdis

    reason for starting a hospital was weariness of traveling: He wanted

    easy access to a hospital of his own.

    THE RIGHT TIME FOR A MOVE

    At the same time, the idea of hospitals being a more appropriate

    setting for medical care was increasingly accepted.

    Unfortunately, as an Italian-American and a Catholic, Verdi was

    not accepted at New Havens existing hospitals, particularly New

    Haven Hospital. Anti-Catholic discrimination was not just common,

    but rabid at the time.

    16

  • Verdi in the operatingroom, late 1930s.

  • As a founding physician, Verdi was a driving force in not just creating the Hospital

    of Saint Raphaels physical structure, but in helping create its constitution and bylaws. He

    donated $500 of his own money to the new hospital, and was chairman of the group that

    raised money to fund the initial construction. Apparently, he was an effective fundraiser. An

    old newspaper article noted Verdi was able to convince an anonymous donor to give $4,500

    toward building a modern operating room. The donation was a fortune at the time.

    In his day-to-day work at Saint Raphaels, Verdi was

    surgeon-in-chief. People marveled at his hands, and their

    almost mystical ability to diagnose and heal. He had the

    lightest touch, says Mary Sexton, a long-time Saint Raphael

    nurse who cared for many of Verdis patients. When he

    examined you, you could scarcely feel it.

    The late Mario Garofalo, M.D., Saint Raphaels chief of

    anesthesia from 1940 to 1972, was also in awe of Verdis

    talent. He was the most versatile surgeon I had ever

    known, Garofalo wrote in tribute to Verdi. He did

    neurosurgery, chest surgery, abdominal surgery, gynecology,

    orthopedics, gastrointestinal surgery, plastic surgery. He

    also extracted teeth when it was necessary. He couldnt

    understand why (dentists) used so many instruments, while

    he got along with one. The only procedure I had never seen

    him do was tonsillectomy.

    This quirky fact is almost legendary at Saint Raphaels

    a bit of did-he-or-didnt-he trivia. Nulands take was it

    might have been the only operation Verdi didnt perform.

    The reason: At the time, tonsillectomies could lead to

    uncontrollableand often fatalbleeding.

    In speeches and newspaper articles, Verdi himself attributed

    his hands and surgical abilities to his mother, Rose. My mother

    gave me a pair of dexterous hands, he was quoted as saying.

    That inheritance has been the most valuable possession of

    Three of Verdis many honors for medical

    achievements came from Italys King

    Emmanuele in recognition of his high

    standing in the medical profession and

    services to Italian soldiers in the interest

    of humanity. In 1914, Verdi received the

    title of Chevalier of the Order of the

    Crown of Italy, and was later raised to the

    rank of Commeneatore. In 1929, he was

    named Grande Officiale of the Order of

    the Crown.

    Writings and drawingsfrom Verdis notebooks.

    18

  • 19

    my life. She could knit, crochet, sewin

    fact, do anything with her hands. She gave

    me some of her skill.

    Verdi honored his mother in 1927 by

    donating $10,000 in her name to the Yale

    Endowment Fund for a New Haven student

    to attend Yale Medical School. He also

    donated $10,000 in her name for an organ at

    St. Michaels Church. Its still in use today.

    Generally, however, it was Verdi being

    honored. Connecticut Gov. Simeon Baldwin

    named him state sur geon general; he was

    consulting surgeon for Choate School in

    Wallingford; and, in 1913, he was elected

    president of the New Haven Medical Associ -

    ation. In 1916, he was admitted to the

    prestigious New England Surgical Society

    a group exclusive to the 100 best surgeons

    in the region.

    Verdi was as great as his reputation and

    more so. He even operated with Carmalt,

    said historian Nuland, referring to former

    Yale University School of Medicine Dean

    William H. Carmalt. Carmalt was an

    excellent leader. But he was not as great a

    surgeon as Verdi. They operated together

    on Saturday after noons at New Haven

    Hospital, even though Verdi didnt have staff

    privileges there. They were doing big stuff:

    remov ing the stomach or a kidney. Today

    these things are fairly routine. But back

    then, it was compli cated. The fact that he

    was invited into the New England Surgical

    Society shows he was held in huge esteem.

    He was enormously talented, and his results

    were excellent for that time.

    As wonderful as these years were,

    however, they werent without down times.

    For reasons that arent clearly documented

    but appear to be over use of the operating

    room, Verdi resigned from Saint Raphaels in

    July 1910, citing the many disturbances

    between the hospital management and the

    Medical Board. Thankfully, whatever those

    disturbances were, they cleared fairly

    quickly. Two years later, Verdi rejoined the

    Saint Raphael staff, resumed his old

    position as chief surgeon and accepted a

    seat on the hospital Board of Trustees. After

    this, only service in France from July 1918

    Verdi making rounds with his nephew, Orlando Pelliccia, M.D.,and Sister Columba.Circa 1949.

  • A LONG, DISTINGUISHED CAREERVerdis dedication to medicine, New Haven and helping people live better, longer lives continued throughout his career. He was

    recognized for it many times, in many forums. But his receipt of the Advertising Club of New Havens Sixth Gold Medal Award

    in 1940 for outstanding service to humanity is worth noting. More than 600 people attended the dinner to see Connecticut

    Gov. Raymond E. Baldwin honor Verdi. But its not these facts that make the event interesting. What makes it stand out is that it

    was one of the very few times Verdi spokein typically self-effacing fashionabout his career. The speech was printed in the

    New Haven Journal-Courier. An excerpt:

    As I thoughtfully review my career, I am impressed by the realization that I have responded to an environment created here in New

    Haven many decades ago. It is true that I may have been endowed through inheritance with certain faculties. I constantly recall that my

    mother was blessed with extraordinary deftness. Her hands did what her mind willed quickly and without apparent effort. That gift

    probably was passed on, and I am grateful for that blessing. However, it has occurred to me frequently that if I had been brought to

    On June 20, 1945,medical staff membersgathered outside thehospital after a surpriseparty to honor Verdi. He gave copies of this photograph to all who attended thecelebration, which Verdi called one of the happiest surprisesof my life. Verdi is the 16th man from the left, standing. Hes holding his handsbehind his back.

  • 21

    another community, it is quite possible that I might have become a stone mason, a

    street car motorman or a bricklayer.

    These are all honorable occupations. I mean no disparagement of them. I wish

    only to convey my conviction that it was the environment of this community which

    inspired me almost forced me into a profession which is continuously

    conspicuous for services to others.

    Even as a young boy living in a humble home with Old World parents, I was aware

    of the tremendous prestige and influence of one of the worlds greatest

    universities. I became aware at an early age of the opportunity which a community

    like this affords. But as the sense of opportunity came to me, I was also conscious of

    the obligations which accompany such opportunity.

    In accepting this honor, I wish to express the ardent hope that the same spirit

    of friendliness, the same urge toward improve ment, the same understanding of our

    natural interdependence which have characterized this city throughout its history

    may continue and be an example among other communities of the best way in

    which to live

  • to January 1919 during World War I would take him away from Saint

    Raphaels. He was there to stay.

    VERDIS TRULY GRAND ROUNDS

    Back at the job and hospital he loved, Verdi worked seven days a week; rarely

    took a vacation; and became famousif not somewhat infamousfor the way

    he conducted patient rounds. Garofalo recorded a detailed account of these

    truly grand rounds. Wrote Garofalo:

    The performance would start at about 9 a.m. Gisto, his chauffeur, would

    drive him to the entrance of H.S.R. In walked this tall, very handsome,

    well-built man who was impeccably dressed and distin guished looking. As

    he walked along, there was an aura of greatness about him.

    Sister Columba would meet him at the entrance and put a flower in his

    lapel. Then she escorted him, arm in arm, up to (the top floor of the hospital)

    Private 6.

    In the meantime, Dr. Allen, his ever-faithful and long-time assistant, prepared the

    way and made sure that every detail was taken care of. The procession started, and

    there followed floor nurses, central supply nurses, interns, residents, referring

    physicians, etc. It was quite a spectacle. The entourage moved from one patients room

    to another. Then they would descend to the next floor, until all the patients were seen.

    Judging by the profound respect and affection Verdis coworkers appeared to have for him,

    no one seemed to be put off by these regal displays. Perhaps this is because Verdi was as hard

    working as he was gifted.

    When emergency surgeries were needed at night, Verdi was often the first to respond. In

    his mind, the patient came firstalways. If you didnt treat that patient well, hed go wild,

    recalled the late surgeon Mario G. Conte, M.D., during a 1990 interview. If (you didnt follow

    his rules) in the operating room, you got hell.

    No wonder nurses and staff would shake in their bootsas many accounts recalled

    when they saw Verdi coming.

    At the outbreak of World War I, 46-year-old

    Verdi volunteered his surgical skills to the U.S.

    Army and was commissioned a Medical Corps

    major. He served units near the front lines as

    chief of the Chateau Thierry operating team

    and later played an important part in caring

    for men wounded uring the Battle of Meuse-

    Argonne. While overseas, he helped pioneer

    a new lung-chest operation that led to

    countless saved lives on the battlefield. For

    this and other accomplishments, he was

    awarded a Distinguished Service Medal.

    22

    From left, JeremiahB. Sullivan, M.D.,Verdi, NurseMcKenna and JosephD. Russo, M.D.

  • 23

    Nurse Sexton, who in the 40s took care

    of many of Verdis patients, remem bers

    Verdi as being immaculate: Whatever he

    was doing, he always did it perfectly,

    whether it was surgery or his appearance.

    He was a perfectionist and would scold

    people if they didnt do the right thing.

    He also deeply cared for people. Sexton

    remembers one time when Verdi thought

    she was too skinny and poured her a glass of

    milk. When an emergency required surgery

    in the middle of the night, Verdi would have

    Gisto bring the staff rolls, bread, coffee and

    pastries. Dr. Verdi was so good to the

    nurses, Sexton said. Surgery and work

    were his whole life. It gave him such

    pleasure to see patients get well. He

    instinctively knew what to do.

    Former New Haven City Engineer

    William Bolton shared with the New Haven

    Evening Register a tale about Verdis

    kindness. Bolton recalled how when he was

    a former band leader, one of his musicians

    needed an operation, but had no money

    to pay for it. Verdi successfully operated

    on the impoverished musiciana Yale

    student named Rudy Valleeand refused

    any payment.

    Verdi performingsurgery. Circa 1942.

  • 24

    After Vallee became a famous crooner, he tried several times to pay for the operation, but Verdi continually

    refused. Determined to pay in some way, Vallee appeared at Saint Raphaels one day and gave a private concert

    for Verdis patients.

    I am in love with my work, Verdi once remarked. If I had my life to live over again, Id follow the same

    path. Friends ask me why I dont retire. Why, I couldnt retire! I love my work so much I want to be at it every

    waking moment.

    Nine years after that speech, in 1949, Verdi collapsed in the operating room. Many believe he suffered a

    stroke. Sadly, he was unable to work again. In the last few years of his life, he allegedly suffered dementia.

    Verdi died on Easter Sunday, April 21, 1957, at the age of 84. Yet it seems that for all of those last years,

    Saint Raphaels was rarely out of his thoughts. Doctors, friends, family and community leaders made up a

    steady stream of visitors. And the nurse who once cared for his patients, Mary Sexton, became his private

    nurse at home.

    In a bittersweet memory, Sexton recalled seeing Verdi sitting at the breakfast table during those last

    years. He would pick up a butter knife, fork or fountain pen and go through the motions of cutting, suturing

    and performing surgery. His hands remembered what his mind did not.

    Verdi was absolutely intuitive, said his great-niece Susan DiSesa Sheeline. Like the way Mozart

    looked at a piano and knew how to play, my great uncle looked at the human body and knew his way

    around it. There is great honor and nobility in being a physician. To heal and to serve is a real calling.

    William Verdi had that calling.

    Verdi groomed his nephew, Orlando Pelliccia, Jr., M.D., to succeed him as Saint Raphaels surgery chief. Pelliccia took over this job in 1953, after being one

    of the first Italian-Americans to attend the prestigious Choate School in Wallingford and then graduate from Yale University and Johns Hopkins Medical

    School. Pelliccia was the son of Verdis sister Rose, Verdi Pelliccia, who worked as a bandage washer and surgical assistant during Verdis early years.

    Relatives believe Pellicciawho fondly referred to Verdi as Uncle Nineyhad the same inherent gift for medicine as his uncle. And Verdi was

    determined to make sure his nephew was a success. Medicine was in his blood, said Mary Pelliccia, M.D., of Madison, Dr. Pelliccias second wife.

    (Verdi) adored Orlando, but was harder on him than the other doctors, because he recognized Orlandos potential. He wouldnt let Orlando get away

    with anything, and Orlando never stopped being afraid of him.

  • the tiny seed sown in 1907 has flourished by God s grace

  • 26

    Chapter 3the first thirty years

    ith doctors like William Verdi and a state-of-the-art medical facility,

    Saint Raphaels quickly became the hospital of choice for many New

    Haven residents. But success brought its own share of problems.

    Just five years after opening its doors, the Hospital of Saint Raphael

    was already bursting at the seams.

    The Saint Marys Building could no longer accommodate the ever-

    increasing number of patients turning to Saint Raphaels for care.

    The School of Nursing dorm was at capacity with 40 students,

    forcing staff to turn away qualified applicants. And the Saint Raphael

    chapelessential to the institutionhad become too small to

    accommodate the Sisters for daily Mass, let alone physicians, staff

    and patients.

    DAILY LIFE HAD BECOME A DAILY LOGJAM

    The hospitals 1912 annual report shows Saint Raphaels caring for an

    amazing 2,136 patients1,386 Catholics, 83 Hebrews, 653

    Protestants and 14 of unknown religion. Following the caring

    mission the Sisters of Charity established (and Saint Raphaels

    continues today), much of this care was delivered free; 5,250 days

    of free board and treatment, the report states.

    Saint Raphaels was winning the heart of the community, as a

    newspaper editorial from the time proves:

    Although this hospital is the youngest institution of its

    kind in the city, the amount of relief it has afforded those

    sick and suffering, and its success from a medical

    standpoint, cannot be over-estimated. The amount of free

    treatment furnished to those unable to pay reflects

    unbounded credit on Saint Raphaels staff and on the

    humanitarian spirit of (its) management

    No doubt many of the good feelings about the hospital came from

    staff members themselves. It was an exciting time; a happy time,

    with employees feeling like members of one big family. In the early

    1900s, healthcare workers didnt have highly specialized roles as

    they do today. There was a formal atmosphere and a rigid chain of

    command. But like a family, everyone pitched in as necessary. In

    crises, the cooks helped roll bandages. The bookkeeper chipped in

    to help move patients. And when high tides and heavy rains made the

    sewer system back up, everyone grabbed a mop. Employees worked

    long and hard with little vacation and meager compensation. But the

    Sisters living and working at the hospital inspired staff members to

    give as selflessly as they did.

    Although Saint Raphaels founding Sisters left no written account

    of these early days, some history has been preserved, passed down

    by word of mouth. Former Saint Raphael Administrator Sister Louise

    Anthony shared some of these stories before she died in 1997. (Read

    W

  • more about Sister Louise in Chapter 7.) On

    a cassette recorded for the Saint Raphael

    archives, Sister Louise talked about the

    original Sisters first few years.

    The Sisters lived in a makeshift apart -

    ment in the Barnes mansion attic and had

    nothing, Sister Louise explained. They sat

    on orange crates. They didnt even have a

    spoon. If they wanted a cup of coffee, they

    had to stir it with a nail.

    There was also no time for rest or

    relaxation. During the day, the Sisters cared

    for patients, plus cleaned and ran the

    hospital. At night, they did all the hospital

    laundryby hand. They strug gled and

    they worked very hard, Sister Louise said.

    World events also conspired to com -

    pound the challenges Saint Raphaels was

    facing. World War I raged from 1914-18, and

    many physicians, interns and nurses

    enlisted and served for several years. Saint

    Raphael nurse Irene Flynn, School of

    Nursing Class of 1916, was among the

    Americans who died nursing the wounded

    in France. In 1918, a virulent influenza

    epidemic caused sick and dying patients to

    crowd hospitals around the world,

    including Saint Raphaels. The hospital

    treated 196 cases in three months with 48

    patients and two student nurses dying.

    Yet with the same faith and gumption

    that helped found Saint Raphaels, the hos -

    pital continued to grow.Construction began

    on a new four-story wing named the Saint

    Ritas Pavilion in 1919. It opened in 1921,

    increasing hospital capa city to 200

    (accounts vary slightly). One of the first

    facilities to devote entire floors (the second

    and third) to private rooms, it also housed

    the X-ray department, laboratory, labor

    rooms and, from the mid-40s to mid-60s, the

    convent. After the convent was relocated,

    these rooms were transformed to deluxe

    patient rooms with bathrooms, carpeting

    and meals served on fine chinamore like a

    hotel than a hospital.

    For many patients, the Saint Rita rooms

    felt like home. Not only was the dcor

    home-like, but some people at this time

    stayed hospitalized for several weeks,

    months or even years. A newspaper account

    in the late 1920s on the death of Charles P.

    Bohan, who suffered from paralysis, said he

    had been a patient at Saint Raphaels for 17

    years! Records show it wasnt uncommon

    for homeless residents, or those without

    family, to stay for two to three years.

  • 29

    Perhaps the most cherished feature of

    Saint Ritas, however, was the spacious

    chapel with intricate stained glass win dows.

    Everything important happened in the

    chapel, remembered Dorothy Scott, a

    member of the Saint Raphael School of

    Nursing Class of 1948. It was the core of all

    our spiritual training. The chaplain gave

    classes in religion, the nuns played the organ.

    On feast days, the student body would sing.

    Some of my classmates got married in the

    chapel, they loved it so much.

    Looking back at this era, Saint Raphaels

    in 1928 published a review of its first 20

    years. In 1908, 256 patients were treated at

    the hospital. By 1927, that number increased

    18-fold to 4,668. These patients reported a

    diversity of occupations, ranging from a

    candy maker, corsetiere, corset cutter and

    pugilist, to gate keepers, hatters, fire men,

    physicians, stenographers and teachers.

    Their ailments varied, but one report

    noted a striking variety of surgical

    pathology cases, including an unusual series

    of rare tumors of the mouth. One case

    apparently showed a secondary tumor of

    the ankle, representing the only instance

    on record in American liter a ture. Another

    very remarkable opera tive specimen

    was a resected portion of the esophagus due

    to cancer.

    The number of physicians more than

    doubled in the first two decades, with a

    total of 33 on the medical staff. There were

    also now four medical school residents;

    10 special department tech ni cians;

    80 student nurses; and 50 assistants and

    hired helpers.

    Saint Ritas Chapel circa 1944.

    The central portions of the windows were saved and are now displayed in thehospital. (left)

  • 30

    Overseeing these caregivers, other staff

    and patients were 12 Sisters of Charity who

    lived on-site at the hospital. The score of

    years (past) since the founding of Saint

    Raphaels has brought its share of trials and

    adversities incident to such undertakings,

    the 1928 report stated. But the tiny seed

    sown in 1907 has flourished by Gods grace,

    and its laborers look forward to the

    progress that lies ahead, confident that

    Divine Guidance will not fail them and that

    the blessings they invoke on the friends and

    bene factors of the institution will be given

    to the hundredfold.

    TIME OF TRANSITION

    With the stock market crash of 1929, New

    Haven and the rest of the nation sank into

    the Great Depression. Although there was

    an overall economic downturn across the

    nation and the world, New Haven was not

    hit as hard as many cities. Still, times were

    hard, and its not surprising that Saint

    Raphaels launched no headline-grabbing

    construction during the 30s, erecting only a

    laundry facility and small pediatric pavilion.

    During this period, the Sisters of

    Charity worked tirelessly to meet the

    increasing needs of many people in

    the community. In September 1933, a clinic

    offering pre-natal and post-natal care to

    deserving mothers moved to Saint

    Raphaels from Saint Anthonys Infant

    Home at Prince and Gold streets. Along

    with clinic care, patients received six

    weeks of home infant care instruc tions,

    supported by the Catholic Charity League.

    But it was a difficult decade as well,

    because many of those so instrumental in the

    hospitals founding died or retired. Sister

    Immaculatas 22-yearadministration came to

    an end with her resignation in 1932; she died

    four years later. In a tribute, the hospital

    administration recognized her unique place in

    Saint Raphaels history:

    Sister M. Immaculata came to

    New Haven to take charge of the

    Hospital of Saint Raphael Sister

    strong and undismayed by virtue of

    her obediencemet and overcame

    almost insuperable ob stacles. Her

    quiet forcefulness inspired her co-

    workers with confi dence, and soon

    their energy, and hers was felt in

    every department. Her prayer -

    fulness, gentleness and strength of

    character created an atmosphere of

    spirituality, affa bility, and loyalty.

    THE WAY IT WAS

    Its fairly easy to document, and show the

    scope, of Saint Raphaels physical growth in

    these early decades. Increases in buildings,

    beds, funds, patients and staff can be seen in

    black and white. What isnt so easy to

    capture is the camaraderie, color and feel of

    daily hospital life. But because these years

    created the founda tion for what Saint

    Raphaels is today, its important to try.

    For help, we turn to the recollections of

    surgeon Mario Conte, M.D., who came to

    Saint Raphaels as an intern in 1935.

    Everything was for the patients comfort,

    said Conte, who studied medicine in Naples,

    Italy. At the time, the hospital was divided

    into private rooms, where patients were

    attended by their own private physicians,

    and wards, where patients were treated by

    residents and interns who were supervised

    School of Nursing class of 1912. The firstclass in 1911 only had one graduate.

  • by the attending physicians. The average cost of staying on the

    public ward was $7 a week.

    Everybody got wonderful attention from the attendings, said Conte

    of the ward patients, as good as if they were private patients.

    He and the other interns lived at Saint Raphaels during

    their training and worked a grueling schedule. Like todays interns,

    each was assigned to different areas of the hospital on a rotating

    basis. Unlike todays interns, who by law cant work more than 80

    hours a week, Conte and his colleagues sometimes worked around

    the clockeven, when needed, going out on ambulance duty.

    If you were in the surgery department, you got up early in the

    morning, collected the patients blood and analyzed it. We did all the

    lab work and had a couple of nights off a week. But when you

    were off at 5 p.m., you had to be back on by 7 a.m. We were also on

    call every night.

    For this, each intern earned $10 a month plus room, board and

    uniforms. When Conte became a resident, his salary was raised to $35 a

    month. And after some complaining, we got $50, Conte chuckled.

    Because there were no recovery rooms or intensive care units,

    interns, residents and nurses had to closely care for surgery patients

    32

    Working closely with the Sisters, the medical staff guided Saint Raphaels growth by:

    1910 Opening a fully equipped pharmacy

    1911 Opening of a modern laboratory (beyond the one first established in the Barnes residence)

    1919 Establishing a dedicated urology department.

    1926 Opening St. Vincents Pediatric Pavilion

    1928 Hiring two women for key positions: Helen M. Scoville, M.D., as a part-time pathologist, and Marguerite A. Eichstaedt, R.N., as the hospitals first full-time nurse anesthetist.

    1932Hiring Robert Nesbit, M.D., as the first full-time pathologist. He further developed Saint Raphaels clinical laboratories and formed the Pathology Department.

    1933 Opening a dental clinic under the direction of Drs. George Fahy, Donald Johnson, and William Flynn.

  • 33

    First three decades of Saint Raphael administrators

    19071909: Sister Mary Irmina McDonoughone of the four

    founding sisters

    19091910: Sister Rose Vincent

    19101932: Sister Immaculata

    19321937: Sister Catherine Regina

    19371939: Sister Elenita

    In February 1918, the cost of care at Saint Raphaels was

    $1.50 a night for a bed in a multi-person ward

    $2 to $5 a night for a private room

    $2 for an ambulance call within city limits

    $3 to $10 for each X-ray plate

    By 1928, the cost of care rose to $17.50 per week in a general ward; $19

    per week in a semi-private room (including medical and surgical attendance,

    medications, nursing and laundry); and $30-$60 per week in a private room

    and monitor conditions. Conte recalled how

    Saint Raphael nurses were trained to

    demonstrate a type of discipline almost

    militaristic by todays standards. In their crisp

    white uniforms and caps, nurses were

    expected to stop what they were doing and

    stand at attention whenever a doctor came

    into the roomand they did.

    Doctors of the time were rarely sued,

    though they still carried malpractice

    insurance. A physicians and surgeons

    liability policy found in the Saint Raphael

    archive for Israel Kleiner, M.D., Frank

    McGuire, M.D., and others cost $12.50 a year.

    The policy covered up to $10,000 for one

    patient, with a $25,000 maximum for multiple

    claims in a one-year period.

    As simple as the healthcare system was

    in the 20s and 30s, many look back on it

    with fondness. Everybody cared for every -

    body, said former nurse Edna Ribikoff, who

    was interviewed in the mid-1990s for the

    hospitals 90th anniversary. And although

    those in authority de manded respect, they

    also showed great kind ness to employees

    and patients. One such figure was the head

    nurse in obste trics, whom Ribikoff and

    many others remember as Ma Ryan.

    Her real name was Margaret Connolly

    Ryan, and she had emigrated from Ireland as

    a young woman. When her husband died in

    1923 and left her with a 14-year- old son to

    support, she entered Saint Raphaels School

    of Nursing, where she picked up the

    nickname that would distinguish her in Saint

    Raphaels history.

    Her son Jimmy Ryan, who served as an

    altar boy in the hospitals main chapel for

    many years, explained how she got the

    nickname: Historically, student nurses

    were kids right out of high school. When a

    student nurse has a 14-year-old son, theres

    a bit of a difference there, and thats where

    Ma Ryan came into play.

    Ma Ryans career got off to a fast start

    when, three days before she graduated as an

    R.N. in 1927, an Italian diplomat was shot in

    his office and became a patient of Dr. Verdis.

    They wanted a mature, good nurse,

    Ryan explained, and they allowed my

    mother out of training early. Ma Ryan

    proved herself eminently capable and soon

    became maternity supervisor.

  • We had to tow the line, Ribikoff remembered. There was no

    hanky panky with her. It had to be done and done the right way.

    At the same time, she was friendly, fun to work with and devoted

    to her patients. She used to see when the mashed potatoes came up

    from the kitchen downstairs that they had extra butter and extra

    cream. She really and truly took care of her patients. Remember,

    they used to spend 14 days in the hospital after having a baby.

    Like soldiers, nurses and other employees learned to take

    a certain amount of sternness from their superiors in stride

    and even to expect it. As Ribikoff put it, We were ruled and

    ruled properly.

    ON PEOPLE AND PERSONALITIES

    Like Ma Ryan, there are countless people who made an everlasting

    mark on Saint Raphaels. In some cases, entire familieslike the

    Flynn familyplayed an important role.

    The community was very generous in its support, a commitment that continues today. Among the donations recorded in 1928

    2 dozen pairs of window curtains

    6 dozen articles of clothing from the Needle Work Guild

    of America

    Jelly, preserves, vegetables, condiments, ice cream, eggs, andat

    Thanksgiving and Christmas12 prime turkeys and 2 geese

    30 volumes of fiction for the library from graduate nurses

    Down mattress, hair mattress, feather pillows, and linens

    Hand-painted china tea set and bon bon dishes

    Paschal candle, embroidered chapel linens, sanctuary carpet and chimes

    James H. Flynn, M.D., was one of the hospitals founding

    physicians and patriarch of a New Haven medical dynasty that

    served both Saint Raphaels and the community. His nephew,

    Charles T. Flynn, M.D., served as a Saint Raphael attending ear, nose

    and throat surgeon for more than 50 years. Always active in civic

    affairs, he was a presidential elector for President Franklin D.

    Roosevelt and Vice President John N. Garner in 1936. He was also a

    licensed pharmacist.

    During his years of practice, Charles Flynn saw many unusual

    cases. One involved a 3-year old boy who had swallowed a whistle that

    became lodged in his vocal chords. Every time the boy breathed out,

    he whistled uncontrollably. Fortunately, the doctor was able to

    retrieve the whistle with a long pair of forceps.

    No photos exist of thehospitals first x-raymachine, installed in 1912. But heres how the technology looked in 1937.

  • Another case was that of Albina Gejea, whose experience of

    inhaling a tack made local headlines. She was admitted to Saint

    Raphaels, where Charles Flynn performed a 20-minute procedure

    using a bronchoscope to dislodge the tack from the mass of tissue that

    had formed around it.

    Yet the Flynn saga doesnt end with Charles. His younger brother,

    William Henry Flynn, became the dentist who started Saint Raphaels

    first dental clinic in 1933. In addition, two of Charles Flynns children

    became doctors and two became dentists, some of whom practiced

    at Saint Raphaels.

    There are notable patients, as well. Today, patient confidentiality

    is paramount. But back in the early 20th century, injuries, surgery

    and illness were routinely covered in local newspapers, including the

    New Haven Register.

    Back Broken, Dennis Boyle Will Recover was one such Register

    headline in May 1911, after the man fell from a building on Crown

    Street. Later that month, there was a follow-up story: Lives with

    Broken Back, Case of Dennis Boyle Regarded as Wonderful. First in

    History of St. Raphaels. His Many Friends Hope Ultimate Recovery.

    The article claimed Boyle was living with a completely severed spinal

    column and resting on an air bed.

    In June 1911, Operation on Womans Skull Restores Mind was

    the title of a story about Mrs. M.M. Bard of Cleveland, Ohio, who was

    prone to severe nervous attacks and decided to have surgery at

    Saint Raphaels while visiting her sister in New Haven. Morris D.

    Slattery, M.D., removed a section of Mrs. Bards skull and brain.

    Before the operation, Mrs. Bard had a perfect craze for piano

    playing, feared water, feared being at the top of any elevation and

    35

  • was subject to shocking nervous attacks, a New Haven newspaper

    reported. The operation has effected a complete and marvelous

    cure and Mrs. Bard is now a perfectly normal woman.

    Around the same time, Frank Steele of Old Saybrook got caught

    in a motorized washtub that tore off his clothes and mangled his left

    arm. Thankfully, he was successfully treated by a Dr. Crowe (first

    name unknown) at Saint Raphaels.

    MOVING AHEAD

    As these stories colorfully illustrate, life at the young institution was

    seldom dull. It also, apparently, was never empty. By the end of the

    1930s, overcrowding was again an issue. With insurance and pre-

    payment plans making hospitalization more accessible to more

    people, the demand for Saint Raphael services (as well as semi-

    private and private rooms) was growing. Even with 220 beds, 40

    bassinets plus 57 extra beds crowded in, many patients were being

    turned away in 1938 for lack of room.

    To get needed space, the Sisters negotiated the purchase

    of the Arnold College property abutting the hospital. The

    $110,000 dealfor land and buildings at what is today the corner of

    Chapel Street and Sherman Avenuewould provide the space

    needed to expand.

    36

    The buildings of Arnold College (right),acquired by SaintRaphaels in 1939. Thebuildings were razed tomake way for the newconstruction (below).

  • The morality of society depends upon the woman. She is the mother, the teacher and the nurse

  • 38

    Chapter 4SAINT RAPHAEL SCHOOL OF NURSING

    hen the School of Nursing graduated 11 students in 1912,

    the Right Rev. John Joseph Nilan, archbishop of Hartford, addressed

    the graduates. Whether modern readers chuckle or wince at his

    sexist humor, the heart of his message was that nursing is a God-

    given and noble profession. And perhaps nowhere has that belief

    been more closely held than at Saint Raphaels.

    There are some things that a woman is unfit for. She cant

    throw a stone at a chicken without working harm to

    everyone but the chicken. Its possible she has a right to the

    ballot, but its probable shell never get it. I wouldnt trust her

    with a knife, but if a question of endurance or patience is

    concerned, she is preeminently in her place. In doing

    everything about the sick room, in soothing the fevered brow,

    in bandaging wounds, in lifting the aching limb, excuse me,

    doctors, she is your superior.

    Nursing, as a profession (requires you to) recognize you are not

    dealing with logs or machines, but with the noblest work of God, the

    human body. In it is the immortal soul, and you must reverence

    that body as the temple of the Holy Ghost. Be faithful to your

    physicians and patients, but above all be loyal to the

    commandments of God. The morality of society depends upon the

    woman. She is the mother, the teacher and the nurse, and she must

    not forego any of her womanly prerogatives Nilan said.

    From the first nursing student who entered in 1908 to the last class

    that graduated in 1977, the Saint Raphael School of Nursing

    produced not just some of the most compassionate and dedicated

    nurses, but some of the most skilled. The founding physicians and

    Sisters of Charity demanded that early nurses meet the highest

    standards of professional ability and decorum, and thats what the

    School of Nursing produced for all of its 69 years.

    HOW IT STARTED

    With the Sisters of Charitys expertise as both educators and

    caregivers, opening a school of nursing seemed natural. It also

    assured a steady stream of superbly trained nurses to staff the new

    hospital.

    First called the Training School for Nurses, the school opened

    with the arrival of its first student, Mary Agnes Smith, in 1908. Like

    all future students, she lived on the hospital campus, which provided

    total immersion in the field and almost round-the-clock training. She

    was also the lone graduate in 1911.

    More students quickly followed, and in 1912 the first formal

    graduation ceremony was held. Eleven students received diplomas.

    The following year, the name was changed to the Saint Raphael

    School of Nursing, with more students applying than room allowed.

    W

  • The class had grown to 40 members,

    with the school being praised for the quality

    of nurses being produced. Most credited the

    mix of practical and class room training for

    students success. And apparently, this good

    work paid off in many ways.

    Saint Raphaels received many com pli -

    ments for the great care nurses provided. In

    1924, however, it also received a much-

    needed financial one. In thanks for the

    loving care his wife received at Saint

    Raphaels, Waterbury resident Truman S.

    Lewis donated the funds to build and

    furnish a dedicated School of Nursing

    building. With this new building, the school

    was able to more than triple enrollment.

    For the next 50 years, as many as 150

    students could beand wereenrolled at

    any given time.

    Another milestone in the develop ment of

    the schools physical plant came with the

    1939 purchase of the Arnold College

    gymnasium on the corner of Sherman

    Avenue and Chapel Street. The multi-story

    brick building was subse quently moved to a

    new location on George Street. The sight of

    the massive structure inching along on

    railroad ties is one that few of the spectators

    would forget.

    It was a tremendous undertaking and not

    one single brick was out of place. It was a

    masterpiece, said Mary Crocco, a member of

    the School of Nursing class of 1942.

    They told us it was the first brick

    building that had ever been moved in

    Connecticut, Sister Louise Anthony

    recalled in an oral history taped years ago.

    It was moved manually, not with horses.

    Even the piano was still in there.

    In its new location, the gym was re named

    the Education Building. Al though it did house

    classrooms, it also retained some of its

    original function. The gym nasium on the

    upper floor was retained and used by

    nursing students for basketball, roller

    skating, archery and other activities. But the

    odds-on favorite was basketball.

    When I was there, they had basketball

    teams, and they had good games, said

    former instructor Sister Jean Vincent, who

    taught at Saint Raphaels from 1953 to 1960.

    One thing I remember was a girl whose

    name was Phyllis Fitzgerald. At the same

    time we had a doctor who was great at

    A $100,000 donation from retired Waterbury

    manufacturer Truman S. Lewis created a modern,

    four-story brick building for nursing students to

    learn and live in. Named after Lewis late wife Selina

    M. Lewis in honor of the loving care she received

    here, the building still stands today on the George

    Street side of the Saint Raphael campus, next to the

    Father Michael J. McGivney Center for Cancer Care

    parking lot.

    When construction was completed in December

    1925, newspapers described the building, including a

    nursing school office; lecture and demonstration

    rooms; 62 private and 27 double bedrooms; basement

    laundry and ironing rooms; and an electric elevator

    for easy access.

    This memorial is no bleak, lifeless monument in

    stone, but a spacious, handsome house of dwelling ...

    (fit) for those caring for the sick and the injured, the

    newspaper extolled.

    Today the Selina Lewis building houses

    the Saint Raphael Foundation and various

    administrative offices.

    1927 class ring

    39

  • cheerleading, and hed be up in

    the balcony and hed say, Go

    FitzgeraldDeadeye Fitzgerald!

    Sister Louise recalled that on

    some nights, she would listen to

    the sounds of roller skates and

    laughter emanating from the

    Education Building as she tried to

    fall asleep.

    We Sisters were still young

    enough to wish that we were over

    there, she said.A sing-a-long in theEducation Building.

    The Sisters wereknown to join instudent basketballgames.

    School of Nursingbasketball team.

  • 41

    A DAY IN THE LIFE

    Judging from many former students recollections, the Saint Raphael

    School of Nursing may have been more aptly named Saint Raphaels

    Boot Camp for Nurses. Once students completed six months of

    classroom training, they were expected to begin supervised, hands-

    on training with hospital patients. Many of these young nurses were

    no more than 18 years old.

    Students followed this schedule for three full years with just two

    weeks vacation each year. When not in class or on a nursing floor,

    students were expected to study in their rooms.

    Class of 1944 member Emily Frances Cavallaro Granata recalls

    one of her first hands-on learning experiences at the hospital when

    she encountered a young, scared woman who said it was time to

    deliver her babyright now. I responded Dont do it now!

    Granata wrote in a memoir about the time. Then, she said, doctors

    gave her scissors and shoestring. Saint Raphaels had a way of

    teaching you so you never forgot.

    For all students, curfew was 10 p.m. But on special occasions,

    they were given a late night when they could stay out until 11. They

    were allowed to go home every other weekend from noon Saturday

    to Sunday evening, plus had a half-day off each week.

    Additional, specialized training was offered on a rotating basis at:

    Connecticut State Hospital in Middletown, psychiatric care

    Laurel Heights Sanatorium in Shelton, tuberculosis nursing

    McCook Memorial Hospital in Hartford, communicable diseases

    Most of our teachers were nuns, so we obeyed them out of

    admiration, recalled Mary Sexton, a 1941 graduate. Girls

    sometimes sneaked out to meet boys, but you had to take the

    consequences if you were caught. They could send you home. We

    always lived a little bit in fear, but it made us some of the greatest

    nurses ever.

    Sexton went on to become a Hospital of Saint Raphael head

    nurse, supervisor and School of Nursing teacher. Nurses I

    taught who then worked here at the hospital would tell me I was

    strict. It was very rewardingseeing those girls progress and

    get promoted.

    In 1951, the school was among the first in the U.S. to be

    accredited by the National League of Nursing.

    While students were challenged by the rigors of a boot camp,

    they also enjoyed the social bonding of a sorority house. Rita

    HERE WAS A TYPICAL DAY

    6 a.m. or earlier

    Breakfast in the basement

    coffee and a hard roll.

    6:30 a.m.

    Mass.

    7 a.m.

    Serve breakfast trays to patients;

    give baths, treatments and

    medications.

    9 a.m. to 3 p.m.

    Classesanatomy and physiology,

    medical nursing, pharmacology,

    ethics and religion.

    3 to 11 p.m. or 11 p.m. to 7 a.m.

    Staff medical floors under guidance of registered nurse.

    7:30 to 9:30 p.m.

    Tuesdays and Thursdays: Participate in athletic program.

  • Callahan Hutchinson remembers being indoctrinated into a strict

    sisterhood of rules and regulations.

    The hem of your uniform had to measure 18 inches from the floor,

    Hutchinson said with a laugh. If your shoes were dirty or you didnt

    have a hairnet, you got campusedgrounded, so to speak. But we had

    such closeness, formed lifelong friendships and had a lot of fun.

    Maybeth Creagan Edwards recalled bursting into tears when she

    learned nursing students had to work on Christmas Day. I had no

    idea, Edwards said. I thought we got holidays off, like any other

    school or job.

    Edwards must have decided to accept the holiday commit ment,

    because she went on to work at Saint Raphaels for 42 years,

    eventually become an evening nursing supervisor.

    The nurses trained at Saint Raphaels were

    industrious and respectful, and they bent over

    backward to please, said Paul Goldstein, M.D.,

    a pediatrician who served as Saint Raphaels

    Ambulatory Services chairman from 1975 to

    1995. They were meticulous in patient care,

    and in pediatrics very loving of children.

    Student nurses were allowed to wear

    traditional white, pointed nursing caps

    after a six-month pre-clinical probationary

    period. The caps marked the students

    ability to step away from the classroom

    and further their educations with hands-on, bedside

    training. This was a privilege and honornow we felt like

    responsible, dedicated nurses, wrote Class of 1924 graduate Ruth

    Anderson McNamara Durkin.

    WHEN NURSES WERE PLENTIFUL!

    Despite todays national nursing shortage, there were times

    when there were more nurses than opportunities. While student

    nurses worked in all hospital areas in the mid-1940s, there

    were often no hospital jobs for them after graduation. Many went on

    to become visiting nurses, including Gertrude (Luft) Russell whose

    comment about being a New Haven visiting nurse in 1932 is included

    in Saint Raphaels archives. It says a lot of about the compassion of

    Saint Raphael nurses, and the Sisters who worked with them:

    I went to a home on Congress Avenue. It was a high rise and

    this woman lived on the third floor, and when I got in to her,

    all crippled up and in bed, oh, it was awfulno heat. It was

    the dead of winter. I got back and met with one of the Sisters

    and told her about the woman. She had me give her the name

    42

    According to a recruitment brochure, the Saint

    Raphael School of Nursing would help students:

    Cultivate character based on religious principles

    Teach the art of expert bedside nursing

    Develop a sense of personal responsibility

    Teach social graces

    Learn health maintenance and disease prevention

    Above all, it was a place to reinforce the values that Saint

    Raphaels founders lived by: Discipline. Team Spirit.

    Selflessness. Charity. The Sisters were intent on passing on

    not just the mechanics of health care, but the spirit.

    As the catalog states: the hospital and the School of Nursing

    function under the Catholic ideal of nursing, namely that to

    serve suffering humanity is to serve

    Christ himself

  • and street number and she called right then and there and

    had coal delivered to that house.

    RESPECTED FOR SKILL AND DIVERSITY

    Elaine Hardy and the late Doris Jackson were the schools first African-

    American students. Both graduated in 1949, with Hardy recalling a

    superb education and very few run-ins regarding her skin color, despite

    racial tensions of the day. After graduation, she moved to New York City

    to seek advanced training as a nurse anes thetist and earned a bachelors

    degree from New York University.

    My old-fashioned, three-year training at Saint Raphaels served

    me in good stead, Hardy said. They saturated us with knowledge,

    so that it was in you forever.

    Class yearbooks give clues to the close, spirited relationships

    among students. In 1950, the senior class song, entitled The

    Smoker, referred to the basement room in the Selina Lewis building

    where smoking was permitted. Long before hospitals like Saint

    Raphaels became smoke-free, this hazy hideaway was a hub of the

    schools social life. Sung to the tune of Ive Been Working on the

    Railroad, the songs lyrics are:

    Weve been sitting in the smoker

    All the livelong day

    Were the high and mighty Seniors

    Just to pass the time away

    How about a little bridge game?

    What dya sayYou have to go to class?

    Ah, sit down and have a Camel

    Thats the way to pass.

    Taking a break in theSelina Lewis basement.

    At work in theclassroom. Class of1959.

  • In the evening, there were often sing-a-longs at the piano, and on

    special occasions, the school held dances in the former Arnold Gym.

    Sometimes, the students could even squeeze in a few hours for

    courting, according to Sister Jean Vincent.

    Many of the students would have men flocking at the door

    to take them out, she said. The young woman would walk down the

    steps into the lobby like a queen, and the young man would

    be standing there and would say, Give me your coat. And he would

    hold it, and she would slip her arm in. And he would run and open

    the door.

    GONE, BUT NOT FORGOTTEN

    Despite the dedication of students and alumniand Saint Raphaels

    devotion to themthe School of Nursing closed in 1977. On April 3,

    1974, the seemingly inevitable news was released: The Hospital of

    Saint Raphael today announced its board of trustees has voted to

    close the hospitals schools of nursing and medical technology

    Two factors contributed to the decision. First was a national

    trend toward replacing three-year, hospital-based diploma nursing

    schools with four-year, college-based degree programs. It was a

    change promoted in 1966 by the American Nurses Association,

    which the Sisters felt compelled to follow, recalled former Saint

    Raphael President Sister Anne Virginie. Saint Raphaels and many

    U.S. diploma schools of nursing3,000 at their peak in 1926

    closed, with only 311 remaining by 1980.

    It was a very traumatic timevery traumatic, Sister Anne said.

    The Sisters kept a detailed ledger about nursing students, with

    handwritten notes next to each name. Most of these notes are

    short and succinct. But they convey a sense of the times and hint

    at dramatic stories long forgotten, offering

    a personal side of the profession. For example, reasons for nursing

    students leaving Saint Raphaels included:

    Too delicate for the work.

    Very easily discouraged.

    Home sick.

    Failed exams, became discouraged.

    Weak heart, related aches.

    Died Oct. 13, 1918 of Spanish influenza.

    A good, willing subject, but of too nervous temperament for

    nursing.

    Sent by the government during war; resigned when hostilities

    ceased.

    Unable to do class work required.

    Married secretly while in training.

    (Students were required to be single.)

    Sister Louise Anthonywith two nurses. Date unknown.

  • 45

    In the Selina Lewisbuilding parlor, 1942.

    The second factor was increasing pressure from the federal

    government for hospitals to reevaluate and cut back on costly

    educational efforts, recalled Sister Louise Anthony. And there was no

    doubt the school was costly. Even though students were charged

    annual tuition, the school was not self-sustaining. Saint Raphaels

    absorbed many thousands of dollars of expenses each year.

    The School of Nursings incoming freshman class that graduated

    in 1977 was its last. At the time of the announcement, 146 students

    were enrolled. Sister Louise, herself an alumna, said the following in

    a hospital news release: The Hospital of Saint Raphael School of

    Nursing has enjoyed a long and proud tradition. I am personally

    saddened that the school must close, but the long-range interests of

  • School of Nursingoverflow dormitoryon Orchard Street.

    Class of 63 alumnae worked across the hall

    in the operating room, Dolores Guarino and

    Arlene DeLuca Granata.

    What makes Saint Raphaels so special

    that the five would stay on for so long?

    Saint Raphaels was always like a

    family, Wnek said. When I got married in

    1966, Sister Columba, who was on Private 3

    with me, gave me a beautiful hand-carved

    statue of the Blessed Virgin Mary that I still

    have to this day. It was that kind of warm,

    caring place.

    Mary Kennedy has worked at Saint

    Raphaels since graduating in 1977, mostly

    in the Emergency Department (ED) and

    mostly nights.

    I love working in the ED because you

    learn so much, Kennedy said. You see

    certain traumas at night that you wouldnt

    see on the day shift. We once delivered a

    baby in a car just after it pulled into the

    driveway of the hospital. Thats a good night

    in the ED, when a baby is born.

    Kennedy said shes proud to be a Saint

    Raphael School of Nursing graduate. The

    hands-on training made her immediately

    ready after graduation to go to work on a

    floor: When the school closed, it was the

    end of an era.

    both the hospital and nursing education are

    best served by this decision.

    Today, the spirit of the school is kept

    alive in the more than 400 active alumni,

    said Alumni Association President Theresa

    (Terry) Santore Swan. Many graduates live

    in the area and continue to meet regularly.

    Its a tradition the groups held since its

    founding in 1914.

    Joan Kulack Wnek, a member of the Class

    of 1963, entered the nursing school when she

    was 17 and in 2007 celebrated working at

    Saint Raphaels for 44 years. Before retiring,

    she worked in Short-Term Surgery with two

    of her classmates, Kathy McKiernan Magel

    and Karen Zeender McCarthy. Two other

    46


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