History

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St. Luke's Hospital

A Short Sketch of the Early History of St. Luke's
by Dr. Nils Tronnes (edited)

In order to fully appreciate the early history of St. Luke's Hospital and Fargo Clinic, it would be of considerable help to get a little view of the conditions affecting medical practice and doctors in Fargo and neighboring parts of the state of North Dakota in those days.

The writer came to Fargo in February 1904, as an assistant to Dr. T. Thames who had a little hospital (St. Olaf's) located in a remodeled private residence near the corner of 4th Street and 8th Avenue South. He was a very capable "minor surgeon" with a very good aseptic technique. The hospital accommodated about 10 patients. Two graduate nurses and three students made up the nursing staff.

St. John's Hospital's main central building had recently been erected only two or three blocks from St. Olaf's Hospital. In Moorhead, Dr. D.C. Darrow had a little hospital, competently run but only slightly larger than St. Olaf's.

After about a year, Dr. Thames and I dissolved our partnership, and he later on started a little hospital in Maddock, N.D. I continued practicing in Fargo, and the next year, Dr. Olaf Sand and I set up a partnership. (He had previously practiced in Pelican Rapids, Minn.) We rented offices over the old Christianson Drugstore at No. 10 Broadway.

The hygienic conditions in town were bad; the water mains throughout the city carried dirty river water. Consequently, typhoid fever was endemic. Epidemics were frequent, with dozens of cases around town and no hospital facilities for transients and poor people.

Out in Oak Grove, an old, abandoned shack was sometimes used for these unfortunates, with a couple or three rooms with old dirty beds and mattresses. Many windows were broken, and old rags were stuffed in the holes. Conditions were awful, especially in wintertime. Patients with fevers had to get up and start fires in an old dilapidated stove to keep from freezing to death. There was no nursing or attention except from a woman who was supposed to "tidy up" the mess off and on, but I never saw her. When we doctors came calling, we brought milk and bread along for the patients. Many times, I saw two or three faces at the windows waiting for food!

Smallpox was also endemic, and the same shack was used for them.

Things, however, came to a climax when a young man—a transient—was very sick and consulted me. His throat, tonsils and pillars were covered with diphtheritic membranes. I referred him to Dr. Mallarian who was health officer, and he devised and executed a plan for which he really deserves a little niche in our local medical "Hall of Fame." He gave him some money for food and instructed him to go to an old dilapidated hotel on lower Front Street called Merchants' Hotel, get a room and pluck down $1.00 (the ordinary charge) in advance, go to bed and then send for him (Dr. Mallarian). Everything went according to plan, and Dr. Mallarian ordered the hotel quarantined as it was a "bad case," and there were no places in town for cases like this. He could not be evicted as he had paid in advance. This caused quite a commotion around town and was the real cause of the building of a "detention hospital" (called the "Pest-house").

Dr. Sand's and my practice was growing, and around 1906 we started, with Dr. Christian Kachelmacher, discussing the possibility of getting a new hospital in town. Dr. Kachelmacher was a very forceful character. He and Dr. Sand were really the main figures in the triumvirate. We got several persons interested, and we started having meetings, discussing ways and means.

A committee was elected to find a suitable location for the hospital. At first, we were inclined to buy the grounds where Oak Grove Seminary now stands, but as the roads there at times were hardly passable because of the sticky muck, we decided to recommend the place where the institution is now located—easily accessible in all kinds of weather. This was part of the old baseball park, where I had watched many exciting games in the old Northern League days.

On the opening day, we attracted a large crowd, and the Rev. Kildahl of Minneapolis was the main speaker. Just as the program had started, the first patient was rushed in as an emergency. She was a young girl, Miss Minnie Stoa of Buxton, N.D., and she had a perforated appendix. No sooner was she disposed of than patient number two arrived—another perforated appendix. She was Miss Quanbeck from Pekin, N.D. Incidentally, they both got well. Needless to say, Dr. Sand and I did not attend the opening services.