Mary Ann Fulcher – School Headmistress

There were many individuals that contributed to the successful running of Stannington Sanatorium and helped to make it the thriving institution that it was.  This week we will have a look at the role of one of these individuals, Mary Ann Fulcher, headmistress of the Sanatorium School.

 

Mary Ann Fulcher served as the headmistress of Stannington Sanatorium School for over 32 years from 1st February 1921 up to her retirement on 18th December 1953.  During her time as headmistress she presided over the school’s transition to state control and away from the management of the Poor Children’s Holiday Association following the passing of the National Health Act as well as witnessing the effects of WWII with the bombing of the sanatorium and its temporary relocation to Hexham.

 

In the annual report of 1938 Miss Fulcher details the work of the sanatorium school and the effect of illness upon the children:

‘Every other Friday a fresh group of children enters the Sanatorium School.  behind each lies a little tragedy; weeks of ill-health followed by a visit to a doctor, then another consultation, and finally a parting from the old, familiar, well-loved things to enter a strange new world, and in the midst of the newness and strangeness they meet with a school and they all know something about schools, even if it is not quite the same as those they have known.  About the school they are critical for they have a standard by which to judge.  This big fellow says firmly, “I have left school,” and infers that he has put away with such childish things.  The secondary school girl, until her health gave way, had had dreams of examination successes and is a little superior in her manner.  Ill-health seems to her such an unfair handicap, and she half resentfully wonders what this school has to offer her … 

Different in all, save that they are infected with tuberculosis, they come into the melting pot of school and it is the aim of the school, not so much to teach this fact or that, as it is to help all to face life with courage and to demonstrate that in spite of an early introduction to ill-health and suffering, the world is full of beauty and joy. …

The Sanatorium does not only attend to the children’s physical ills but adjusts their mental outlook … From time to time we hear of their achievements in the great outside world and are content.’ [HOSP/STAN/1/3/5]

 

Open Air School.  Class II Writing Lesson. [HOSP/STAN/11/1/27]
Open Air School. Class II Writing Lesson. [HOSP/STAN/11/1/27]
As a school attached to a hospital the challenges met by Fulcher were much more varied than those faced by many other head teachers.  Looking through the school log books for the period (CES/243/2/1-2) we see that certain restrictions were placed on the children’s activities by the medical staff including insisting on outdoor teaching in good weather, strict periods of rest and the facilitating of summer sun treatment.  In addition children could be absent from school for long periods owing to illness and having to be confined to the sanatorium, although in later years teaching was also conducted on the wards.

 

Miss Fulcher’s work was recognised in the 1951 New Year’s Honours List when she was awarded an MBE for her service to the school.  In the same year the school inspector’s report, recorded in the log book, gives a glowing report of her work and reads as such:

‘The Head Mistress, who has almost completed her thirtieth year of devoted service to the school, has never allowed the isolation of the premises or the specialised character of her work to cut her off from the main stream of educational interests.  She shows close acquaintance with modern school practices & recent literature.  She is a capable organiser in a complex field, maintains a good sense of proportion, leads her staff well, & imbues them with her inflexible regard for good standards of work.  Her relations with the children are good, & she has equal regard for the needs of the youngest & the oldest.  Her personal integrity, courage & humanity are pillars of support to the school.’

NRO 10321-3 [MAG P4]
NRO 10321-3 – 14 year old boy’s account of schooling in the sanatorium, 1931

Genitourinary TB – Part 2

Having looked at a case of genitourinary TB in a young male in our first post from 01/05/2015, part 2 will focus on a case of genitourinary TB in a young female.

 

Patient 83/1952 was 14 when she was admitted to Stannington from Newcastle General Hospital in May 1952 diagnosed with abdominal TB.  She had first presented with serious illness in November of 1951 with lassitude, loss of weight, loss of energy, and a chest x-ray showing a probable primary in the right lower zone and enlargement of the hilar glands.  Following three months bed rest an additional chest x-ray showed an improvement in the hilar glands and the disappearance of the primary focus and she was able to return to school.  However, it was only a month later that she began to complain of abdominal pains and her abdomen began to swell and loss of weight and appetite recurred.

 

On admission to Newcastle General Hospital the quantity of fluid in the abdomen began to increase rapidly and her temperature was often raised so treatment with streptomycin and PAS was begun.  She continued to receive the drug therapies when she was transferred to Stannington.  An examination of the abdomen on admission to Stannington read as such:

‘Abdomen distended and taut.  Ascites present.  No enlargement of liver.  Spleen not palpable.  No masses palpable (probably due in part to tautness).  Circumference = 32.5 inches.’

 

A continuation of the drug therapies throughout her stay at Stannington led to a marked improvement of her condition and she was eventually discharged as quiescent in March 1953.  At no point in her case notes do the medical staff suggest that there might be any signs of genitourinary TB and continue to describe her condition as abdominal TB.  However, the case was followed up by Doctors Miller and Taylor in the following years and published in a book of 1963, in which they describe the case:

“On examination she had pelvic masses clinically characteristic of bilateral tuberculous salpingitis (inflammation of the fallopian tubes).  Despite chemotherapy (streptomycin and PAS) and bed rest the pelvic swellings, especially on the left side, became larger.  A month after chemotherapy began they slowly regressed and in six months had disappeared.” [F.J.W. Miller, R.M.E. Seal, & M.D. Taylor, Case No. 114]

 

Later correspondence in her file from the Newcastle General Hospital dated from February 1963 indicates the lasting effect that this form of TB had on the patient.  The patient is by this point 25 and married and attending an Infertility Clinic at NGH.  The doctors there are requesting her medical history from Stannington in the hope that something within it might help to explain her current infertility.

 

Sources:

MILLER, F. J. W, SEAL, R. M. E, and TAYLOR, M. D. (1963) Tuberculosis in Children, J & A Churchill Ltd. p.558

Matron’s Medical Report Book-Part 5: WWI

Like people up and down the country soon after the outbreak of WWI the staff and patients of Stannington Sanatorium began to see its effect.  Reports made by the matron over the war years give some indication of the kind of changes that were felt by the sanatorium.

 

August 1914

“During the month of August 29 cases were admitted and 29 discharged.  We have now 110 cases under treatment.  Last month we had 4 cases of chicken pox & 2 cases of scarlet fever.

On August 6th the sister was called up to join the territorial nursing force.  I have not managed to get anyone to fill her place.  Have I the authority to tell sister that her post will be kept for her?  Tho’ the time she will be kept is uncertain.”

 

Nurses and children on one of the wards, 1918. HOSP/STAN/11/1/41
Nurses and children on one of the wards, 1918.
HOSP/STAN/11/1/41

 

January 1916

“We had on Thursday evening a visit from the policeman.

We have for some considerable time now had all our lights shaded & I have been very careful that no bright lights should be seen form here.

I think Dr Allison will agree with me when I say it has been most difficult to find our way about in the sanatorium the lights have been so subdued.

However, the policeman informed me that having the lights shaded was not sufficient now & after Monday the place would have to be in absolute darkness, not even a candle light seen, & that the windows would have to be curtained, so that I have had to go to some little expense this week to get material for curtains in.”

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HOSP-STAN-2-1-1 zeppelins
HOSP/STAN/2/1/1
Matron’s comments on the zeppelins

 

April 1916

“Nothing of any consequence has happened during the month except, I might say, on Sunday night last we had a bit of a scare with the zeppelins.  They were certainly very near us.  We could hear the engines overhead quite distinctly.

The staff were all up, & several of the soldiers from the Farm Colony very kindly came and offered their help in the case of any bombs being dropped near us.

A good many of the children heard them, but they were as good as gold & behaved splendidly.  There was no panic whatever, but everyone was in readiness to do their best should the worst have occurred.

I had several of the children visiting here next day enquiring if we were alright.”

 

See an earlier post by the World War One Project for more about airships in Northumberland.

Images relating to the zeppelin raids over Northumberland can also be seen on our Flickr stream https://www.flickr.com/photos/99322319@N07/sets/72157642003621114/