The journals and letters of the Pi Beta Phi settlement school's staff are a valuable source of information regarding daily life in Gatlinburg in the early 1900s. Phyllis Higinbotham, a nurse from Toronto who worked at the school for six years, wrote of the mountain peoples' confusion over the role of a nurse, their penchant for calling on her over minute issues, and her difficulties with Appalachian customs:
I soon found that people weren't used to hurrying, and that it takes a long time of patient waiting and general conversation to find out what they have really come for, or to get a history of the cases when making a visit. I have had to get used to getting most of a woman's symptoms from her husband, and not having heart failure when a messenger comes with the news that so and so is "bad off", "about to die", or "got the fever."
Higinbotham complained that there was an unhealthy "lack of variety" in the mountain peoples' diet and that they weren't open to new suggestions. Food was often "too starchy," "not well cooked", and supplemented with certain excesses:
One of the doctors was called to several cases of honey poisoning. The men had robbed some bee gums, eaten a pound or two of each and been knocked unconscious where they stood.
Evelyn Bishop, a Pi Phi who arrived at the school in 1913, reported that the mountain peoples' relative isolation from American society allowed them to retain a folklore that reflected their English and Scots-Irish ancestries, such as Elizabethan Era ballads:
Many times it is the ballad that the child learns first, no Mother Goose melodies are as familiar, and it is strange indeed to listen to a little tot
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