in memory of
W.H. Bates, M.D.
1860-1931

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STORIES FROM THE CLINIC

CHAPTER 1
EXPERIENCES WITH SCHOOL CHILDREN


THE PARTY

I am anxious to tell about fifteen school girls, all from one class of Public School No. 90, New York City, Their ages ranged from nine to fourteen years. On January 5th, 1922, they first appeared. That day Dr. Bates and I had to plead for admission into our own room.

In addition to these school girls, about thirty adults, also were waiting for treatment, and all of them made a rush for us when we arrived. I found that the teacher of the girls, who was very near-sighted, was being treated by Dr. Bates at his office. The progress she was making encouraged her to send to the clinic those of her class who were wearing glasses. When I asked who came first all hands went up at once.

I could see from the start that I should have my hands full. The girls' faces wore a strained expression and, because of their actions and their manner my heart went out, not only to them, but to their poor near-sighted teacher.

Three out of the fifteen girls had squint, and two of the three were sisters. These sisters, Helen, aged 10, and Agnes, aged 12, both had squint of the left eye. Helen read 15/20 with both eyes, with glasses on. With glasses off she read 15/40. After palming and resting her eyes, the right improved to 15/20, and the squinting left eye Improved to 15/30 without glasses. On January 17th, she read 15/15 with each eye separately. Agnes, whose squint was worse than Helen's, had 15/70 in the left eye on January 5th, and on January 17th improved to 15/20. The right eye improved from 15/40 to 15/15 from January 5th to January 17th.

Frieda, who also had squint of the left eye, improved from 15/40 to 15/15 in the same length of time. Her right eye had normal sight. All the rest of the fifteen, I discovered, were near-sighted.

Mary the youngest and best behaved was nine years old. On the first day she came she was suffering from terrible pain in her eyes and head. After she had closed her eyes and rested them for a short time the pain went away and her sight Improved from 15/40 to 15/20. Mary, however, failed to practice at home as she was told; nevertheless, the pain did not return even though her sight had not further improved.

Muriel and another' Mary had progressive myopia. Muriel became so frightened the first day she came that she ran out of the clinic as fast as she could. She feared that the doctor would apply drops or hurt her in some way. Next day at school, Mary told her what she had missed by running away. Later, after three visits to the clinic, Muriel became more enthusiastic, and even made better progress than Mary. Muriel's sight improved from 15/70 to 10/10. Palming, resting her eyes, did this for her. She practiced faithfully at home.

Mary's vision was 15/15 with glasses. Without them 15/30. Twelve days later her sight had become as good without glasses, as it had been previously with them. She also practiced faithfully, and her father became interested and helped Mary at home with her chart. The remainder of the fifteen had about the same degree of myopia, and all were eager to be cured. It was encouraging to see them Improve after they had rested their eyes for just a few minutes.

When I had finished with these cases, Dr. Bates called •my attention to a girl from the same school, who had opacity of the cornea of the left eye. She was twelve years old, and had had this trouble since she was a year old. She had no perception of light at all In that eye when she came. On her second visit to the clinic, she could see light in the left eye for the first time. -- On January 17th, twelve days later, she began to see the letters of the test card. Six weeks later her vision became normal, with the disappearance of the corneal opacity. Dr. Bates was astounded, for he never saw such a case recover before. It was the long swing that helped her most.

Is it a crime to help the sight of these poor children? Should they be forced to keep on wearing glasses to benefit the man who sells them? I am willing, and want to devote the rest of my We to this wonderful work, but we need help instead of criticism. Some mothers are helping the children in their homes. Teachers who are being cured of imperfect sight without glasses, have a very beneficial influence upon the children. But the prejudice of some of the authorities, based on ignorance of the truth, is a stumbling block. If they would only investigate the facts, we would all be better satisfied.

The second visit of these children to the clinic Is one to be remembered. On January 7th, Dr. Bates and I arrived somewhat late to be greeted by an excited nurse. I knew that something unusual had happened, because this particular nurse had an even disposition. How my heart ached to hear her say, that, never in all her life, had she come in contact with such bad girls) One of them had invaded a doctor's room and placed herself hi the operating chair. A team of horses could not move her. Others yelled so loud that the doctors could not hear themselves talk. Well, I cannot explain in writing just how I felt. I treated each one with tears In my eyes and a lump In my throat. I had planned to share between them some test cards to practice with at home, but I sent them home without them that day.

On January 14th, they informed me that the- school doctor said they must put on their glasses again, regardless of the fact that the sight of all of them bad improved. The mothers felt quite differently about it, however, and they declared that their children should not put on their glasses again, no matter what the school nurse or doctor ordered. After that, my girls became willing assistants, and were more determined than ever to be cured. I will confess that I had no easy time of it, but when they saw that I meant real business, rapid progress was made, which interested Dr. Bates very much. I promised them a real party at our office, with ice-cream 'n everything, just as soon as they all could read 20/20 on the test card, whereupon one of them yelled, "Oh, boy, me for normal sight!"

They asked for test cards, which I was glad to give to them for practice at home. Instead of playing on the streets after school they went to each other's homes to practice for an hour or more. Then I was taken ill and was absent from my precious clinic for two months. My pain was bad enough, but my heartache for this group of girls, who might lose interest in being cured without glasses while I was away, was a greater pain.

During my illness I stayed at one of the large hotels in New York City. One afternoon while I was convalescing, my nurse answered the telephone in my room. She turned toward me and with a frightened look, she said: "The operator says there are a lot of wild Indians in the lobby asking for permission to visit Mrs. Lierman."

Well, I had no more pain, no more heartache, for I knew they must be my rascals from the clinic. I answered: "Please have them come up."

When they filed in, one would have thought they were angels, and that they always had been angels. How glad I was to see them, and oh, how glad they were to see me!

Yes, they had good news, -- they practiced faithfully, and if I would only get well soon and come back, they would show me that nearly all of my precious jewels had normal sight.

I did return to them at the clinic very soon after that, with the aid of crutches, and was mighty glad to get back. The fifteen girls were all there, and each one in turn stood twenty feet away from the test card, and read the twenty line for me. When my strength returned, we arranged for the party which was to be some time in April.

We spent an hour at the clinic before the party, and when we arrived, a surprise was awaiting us. Thirteen kiddles were all arrayed In their Sunday best, and two of them presented us with bouquets of roses and carnations. These flowers came from grateful mothers, and I am certain that it meant a sacrifice to them. The coming event must have had a good effect upon their sight, for twelve of them read 20/20 that day with each eye separately on strange cards.

Two were not there. One of them stayed away because she had put her glasses on again. The teacher informed me that she did not do so well in her studies, nor with her reading on the blackboard, after she had put on her glasses. Later, when the girl took off her glasses again, she was immediately benefited by the treatment, and soon obtained normal sight. She became more accurate in all her studies.. I was told that previously, while wearing glasses, she read figures incorrectly, and usually made serious mistakes. This particular girl was one of the most nervous and unruly of any girl patient I have had. She worried her school teacher, because she found it hard to be truthful. During her treatment, Dr. Bates and I noticed, that, as her vision Improved, she became less nervous and her teacher said there was a marked improvement in her conduct in school.

After clinic was over, two taxicabs drove the kiddies with the doctor and myself, through the East Drive of Central Park. The flowers were budding here and there, and it was like a moving picture show to watch the kiddies. One of them asked me if skunk cabbages grew in the park, and who fed the squirrels in the winter time. Another, though born in New York City, had never been to Central Park nor to the country. The party was a decided success.

Right In the midst of our fun two persons called from Washington, D.C., for an interview with Dr. Bates. There he was, a boy all over again, playing parlor-games, and laughing heartily with the kiddles, as though he had not a care in the world. I allowed the visitors, who came such a long distance to see him, to have only five minutes of his time; otherwise it would have been a great disappointment to him to be denied the company of the children. A game of forfeits was played, and when Dr. Bates was called upon to forfeit something, he gave his retinoscope. It was held over the head of the kneeling child, who was the arbiter of the fate of the owner.

"What should the owner do to redeem it?" was asked, and the answer was: "The owner must go to the next room and read the Snellen test card at ten feet, from top to bottom without a mistake." The doctor promptly obeyed; while two of the children went with him, to see that it was read correctly.

I could go on telling more of the funny things that happened on that wonderful occasion, but I would like to add what the chUdren said, as they filed out of the room: "Thank you for the party, hut thank you most of all. Dr. Bates, for joining us in the fun."

I should like to say also that I have discovered that Dr. Bates is very fond of ice-cream. I can prove it because he did not refuse the third helping.




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