Texas Osteopathic Physicians Journal Volume 21, Number 1
Transcription
Texas Osteopathic Physicians Journal Volume 21, Number 1
University of North Texas Health Science Center UNTHSC Scholarly Repository Texas Osteopathic Physicians Journal Special Collections 5-1-1964 Texas Osteopathic Physicians Journal Volume 21, Number 1 Texas Osteopathic Medical Association Follow this and additional works at: http://digitalcommons.hsc.unt.edu/topjournal Part of the Osteopathic Medicine and Osteopathy Commons Recommended Citation Texas Osteopathic Medical Association, "Texas Osteopathic Physicians Journal Volume 21, Number 1" (1964). Texas Osteopathic Physicians Journal. Paper 257. http://digitalcommons.hsc.unt.edu/topjournal/257 This Article is brought to you for free and open access by the Special Collections at UNTHSC Scholarly Repository. It has been accepted for inclusion in Texas Osteopathic Physicians Journal by an authorized administrator of UNTHSC Scholarly Repository. For more information, please contact Tom.Lyons@unthsc.edu. TEOPATHIC PHYSICIANS VOLU ME XXI FORT WORTH , TEXAS, MAY, 1964 Numb er I ht I f?J~r issuePage Our New Pres id ent New Offi ce rs and Board of Trust ees 2&3 Retiring Preside nt' s Address 4 Presid ent' s Acce pt nee Speec h 8 Brok en Leg Almost Proves Fat al I0 The Fire in th e Furnace 12 Audio -Visual Aids Ava ila ble 14 Hospital of th e Month 16 Intra medull ary Pinning of Fractures 18 Simplified Procedure for Perman ent Drain age of a Salivary Gland Cyst 20 W ashington News Letter 23 Auxili ary News 25 News of th e Districts 27 Plzlfsicians' }ourna/ TEXAS OFFICIAL P u B LICATION OF THE OF OSTEOPATHIC PHYSICIANS ASSOCIATION AND SURGEO P UBLICATI O~ O FFI CE: 51 2 B A I LE Y AvE .. f ORT \\ "oRTH . T EX.-\, S '76107 - - - - - - - -- ---- -- - - - - E DITOR PH I L R . RUSSE LL. D.O. A SSOCI A TE E DITOR MRS. R I TA E . N EA L ADVERTIS I NG RATES U PON REQUEST . ALL ADVERT I SING CUTS TO BE SENT W I TH C O PY S U BSCRIPT ION RATE S2 . 50 PER YEAR V OLUME FoRT W ORTH , T.E x.<~. s, XXI M:w. 1964 OFFICERS BOA RD OF TRl'STE.E J \Van•·n \ frCorklt· D.O , Pt<•,jd,·nl ..\1 anc·ula, Tt•.\:a' J., r,· n R Ruhr D 0 .. l mnwdia1e Pa,t P n·<idrnt ll uuqtm . 1 t·,a ~ J o hn II f~unwtt D .O . Pt~·,idt•nt-Ei t •Ct ( .l,·nn R . Scnlt . D.O \ marillo. Tna A Rnl.>nd Youm: D 0 Dall.•'· r~'"' Chari<-< l l. fir:>~\! D U ll ur•t. T,-u, Clifinrd £. Dickn. D 0 , Fort \\'or 1h. 1 ,. ·" ! loran· ,\ . Em o•r, D 0. l. nbht>('k. I'''"' J.tck P L•.•ch. D.O. Hnu,ltln 1 "'"' F1t·d £ . Lu1.t.an, D.<>. Curpu" ('hn,ll. Tf',,l, Cftrd(ln 5. B,Tk" ith. 0 .() . Rid1ard L R ube rt R . Ualfa, , Tt·'a' L. G. Ballard . D .O. Vict··Pn·,id,·nt Rol.H·r t Robe~! fort \\ nrth. Te\.a ... G. ~ ;_an \ ntunltl, T t•'\.\' !:>tr;~ttnn. L 111~. D 0. Cunt• . lna . D .O .. l ;:tlr n.t P.trk. '!',.,,,, ll amatl D.() . . l nin'-!. Tt·'·" H . :\ ubft-, D 0 , D,·nlnn , Tn.h HOUSE OF DELEGATES \\ d o·y 13. R ou n tn•t•. D.O .. Speu k<· r San \ nl{clo , T,.,a, j o h n H . Rnyd. D .O .. \" i,.,· ~ ll<-'~1'1 Luui:-.e. Tt.·\. ~\" COMMITrEES DEPARTMENT OF PROFESSIONAL AFFAIRS I.-" .d E. I. P rnfc, sHHli.\ 1 Education and 2. £thi<' ~1 C t' t ings Lo~a n D .O. Chairman j ac k P. L ~a!'h J ohn II . Bovd D 0 .. Chuutu,\11 D 0 . Ch,oirm.•n .f. R. Ah·"""''' ' . D.O R. II . J',·ler.on ll 0 . P ro~ram J. Afl n u;.tl ). b dt·c l t\ t· Se1 , -icc S r..Hb t ic ... a nd Loca t iOns 8 'L Cuoqitutiun , 1$)- L._,,\., and Chnrh''' Edi t•H ia l Polit-y and Journal Puhli<"cttiun .. Ed"ard .1 . Yu rkun , D 0 ., Ch,lillu.lfl T . Robert "harp D 0 , Gh.linu.w-U~cl ~l r RolH' rt B. !'ric•· . Ch.•ir111.1 11 Clifford F Di, ~'-"• l).( l. £!met c. !hum. n l) ( h.UI lllitll !I ll R ulwa I 13 I' riel'. ( hai1111.1n D,utit·l D . linn , ll .O Rnb,•rt ( '· ILtOliUI , D .D .. Ch<titnt.lll 1.. c . lbll ... d , 1> n. C'liffnrd r: l> trl..n D .O . \ Jr . R it.t 1: .'-'r.tl R•dr.ud 1.. !:> lr.<ttnn , D 0. ( l. G . l!.tlbtd , Il l) . ('h3illn. n .\I ,. Rub.. r t II . l'nc•· .~I ts . l(ju 1:. ;--..,. I T. Rvhc-tt . hat D. [) tl """"'·•H DEPARTMENT OF PUBLIC AFFAIRS Elntt·t (' , lltllltt , U .O ., ( hai11n~ll :\I. 1 •• ll nl• o mb l l t> . ( ,uu.lu11 ~ . 1\t"fl '"tth I> () , 1. 1\ Mit' II \J , Cu rld r. U ll , l .. 1; 11nllard . IU ' · l'ubltr 1 lt·.tl t h Rnh,·fl II r~ u p a. Jh i l 1_,111~ 11 ' J () -1 \ 'ctn .alh \ltu ir "1 It o 11i ta l und t n fund lll anu "' l:\rll' ll \I t) <•n ll .ll . l1 irm .. n (. U 0-:th tr , D () Hul.b ! ~r nr "nu lh , )I I l lbu 13n ll . 1. \\'r u: lr1 ll ( (It trm n ;-.. ;,bi n, lJ ( l ~" · Rof~Bd Yutu,,.: . 1) t) I , . II • I omp n ll (.1 1 . !r un II. . • ( Cha urnan C bam:u u n it , J) , ( 1 \ . Ro l. nd Y un!C II (1 , ( (;fiord f I 1 lF , I> 0 B,d,hy ' '"" " '>amth ll 1 I C '"'" n t:lrnrr I. K rho )l 0 K rnnc- lb Jl I n r I> 0 II. L>i>rrl tl oblr fl 0 OUR NEW PRESIDENT 'he 1 a J. WARREN McCORKLE, D.O. Mineola, Texas President, Texas Association of Osteopathic Phyisicans and Surgeons Pa e 1 l r NEW OFFICERS 1964-65 lORE •• R. ROHR. D.O. lmmtJt.lft P.Jf/ PrntJtnt lluu~ton. Texas JOH .• H lWR. "ETT. 0.0 nl l;/cct DJIIJs, TexJ< Pr~Jidr \\ ILLY B. ROL 1'-. TREE. D 0. !it><.,;., 11 .. ,, ' n.·t,·x.•l .. , """ t\n~:tlrl, Te>cas )OH'- H. 1"\0YD, D.O. I r/, II It r' .\p,;~ktr ot l.nUJ'IC.: n.·lt~.lltJ TC"X:J.~ BOARD OF TR usiEES____ l J I' • 1 ! BOARD OF TRUSTE~S CMARLES H. BRAGG. D.O. Hurst. Texas (Term expires 1965) HORACE A. EMERY. D.O. Lubbock. Texas (Term expires 1966) JACK P. LE.i\CH, D.O. Houston, Texas (Term Expires 1966) / FRED E. LOGAN. D.O. Corpus Christi. Texas (Term expires 1966) GORDON S. BECKWITN. D.O. San Antonio. Texas (Term expires 1966) ROBERT R. LING. D.O. Galena Park. Texas (Term expires 1967) ROBERT G. HAMAN, D.O. Irving , Texas (Term expires 1967) RICHARD L. STRATTON, Cuero, Texas (Term expi res 1967) d.o. ROBERT H. NOBLES , D.O . Denton, Texas (Term expires 1967) Retiring President's Address State Convention 1964 WHAT IS OURS TO GIVE LOREN R. RoHR, D.O., Houston, Texas Within minutes my tenure of office as president of this Association will have been completed, and I will have passed on the mantle of this high office to another. In these fading seconds mixed emotions well up in my chest. On the one hand it has been a real joy and privilege to serve my profession in this capacity; but on the other hand, I look forward to once again being able to divert more of my energies into other fields. I need to give more of my time to my family, my practice and to my church. Certain ly this office has brought me many fond memories. I have traveled over this state from south to north and from east to west. I have met the profession intimately as only the president cou ld. It has been an exciting experience to be entertained in the doctors' homes, to observe them in their offices, to go on ward walk with them in their hospitals, and to converse with them in their di stri ct meetings. This experience has been too enlighteni ng and joyous to keep to myself. I hope, in the first part of my speech tonight, to share with you some of the hig hlig hts of my visits. Unhappily, r pos ess neither the eloquence of a great speaker nor the imagination and hrilli.1nce of an author, but I will try t paint <l fair and as realistic a picture of our profes ion at work a is within rny .1bi lity . E.ul one morning, while being e cortcd through ne of our ho p1t.1l in \Vl~l Tex.1s, the owner asked me 1f I \'- t're .lCCJU.lJOted \\ 1th Dr. Lav. renee J l.lllf I .lnswt:red th.1t 1 kne\\ of h1m hut h.1d ne\er met h1m . My cort flit P .t~;c ·I my trip could not be complete without meeting Dr. Lauf and without going through his hospital. What a fortunate suggestion-to meet and to talk with this doctor who has delivered more babies than any other physician in America was a real unique experience. Last year this osteopathic physician in Lubbock delivered 1,405 babies. During the last ten years he has delivered in excess of one thousand babies each year. It sounds almost impossible. Just what kind of a fellow is this super man? I met him in his two-story frame office-hospital combination. He nt., was very personable and well informed . · He seemed to have all the time in the ( nt world and took us through his set-up \q,ucl and answered all the multitude of questions that I had to ask. He is an unassuming gentleman in his late fifties who is making a tremendous contribution to the hea.lth care of this west Texas city. He has a dedication to his profession unequaled. He is a bachelor who lives in an apa rtment behind his ho pita] above a drug store. A catwalk joins his apartment and the hospital. On three minutes ' notice he can come from his living quarters to the delivery room . As we looked through the nursery window, twelve crib were occupied by new babies. At the time another expectant mother wa in labor. From our observation it was obvious that thi doctor was giving g od bstetrical c.uc to these women . I wa proud th:1t Dr. L:luf v. l .1n o -teoplthic phy ici.1n and 1 h.1d to conclude that he w:l! d01ng J trcmendou JOb. On another d,l , e.Hl) one morninF, ra~ . 1964 1 a as the airplane was pulling up to be docked, I saw through the window a familiar face. I had looked forward to this day with this physician and I knew that I wouldn't be disappointed. We loaded into his car and started on a tour of our profession in this oil rich area. We went through some beautiful offices that gave evidence of success on every hand-beautiful furniture, modern equipment, clean surroundings, efficient staffs and crowded waiting rooms. This was more evidence that our physicians are doing well in every part of this state that I visited. About noon we arrived at a modern county hospital, run by three osteopathic physicians. This is the hospital in this county. In the hospital are the wellequipped offices of these three excellent physicians. Certainly, Martin County has felt the impact of osteopathic care and every evidence radiated that the people are happy with this care. Most of my trip was by air. I arrived in a new city by the first airplane in the morning and was met by one of our physicians, who acted as my guide and host. In this same manner I arrived one beautiful morning in a far west Texas district. We traveled in luxury, ate in luxury and slept in luxury this day. I visited every clinic in the area and went through three small hospitals, all doing a great job. In many ways this was an ideal district because of the fine spirit of cooperation. Every man was such a tremendous success professionally and financially that he didn 't have time to indulge in the pastimes of some of our larger districts. In this district I stayed in the home of my guide and it was beyond description. The house was beautiful, the furniture exquisite and the layout of every room most functional. My room was so plush it was hard to mess it up with the necessities of living. I say this only to reveal to you the success of many of our men. Certainly this man has worked hard and deserves everything he has obtained. We have been training interns in Community Hospital for the past several years. A numb€r of these wonderful young doctors, upon graduation, have gone to different areas of this state to practice. On my pr€sidential trip I was hoping to visit them and to see how they were getting along. It was amazing to see their success. Modern offices with waiting rooms full; carrying responsibilities in their district societies ; buying new homes; raising nice families ; active in service organizations and church; and even flying airplanes. How could a man ask for more? I could go on for hours relating my experience as president of our association but will conclude this part of my speech with one more experience. I was traveling by automobile, running rather fast in the rain to make an appointment PROFESSIONAL LIABILITY INSURANCE Serving tlte Profession Nation-Wide Since 1925 E.XCLUSIVELY ENDORSED BY THE A.O.A. SINCE 1934 Experienced claims handling protects the doctor's professional reputation; broad policy provisions backed by millions in assets protect his financial position-present and future. THE NEnLESHIP COMPANY 12 I0 West Fourth Street .May, 1964 . Los Angeles, Calif. 900 I7 Page5 in northeast Texas. I hadn 't figured the distance was so far. I arrived with a feeling of being pressed and with a need for rest, but this wasn't to be my lot. A tour of another hospital was ahead. The tour turned out to be one of the high points of my presidential trip. This hospital was an oasis in a medical desert. It was the most modern, well equipped small hospital that I have ever seen. The terrazzo floors were polished to a shine; the hospital was immacu lately clean; the surgical suite had the best lights, table and anesthetic machine avai lable; the laboratory had a flame photometer ; each room had oxygen and suction piped in; and the kitchen was completely modern. I don't have words to adequately describe my feelings. This hospital was a great expression of one physician's courage, belief in his profession and will to work. Certainly it takes an unusual fellow to launch out this way, but it is another evidence of the vitality of our profession. In order to get his thinking right a man must sometimes be shocked by the facts of reality. This happened to me as president. I was traveling about seeing evidence of material prosperity, social attainment, professional excellence and had momentarily forgotten life's deeper meanings and values. There was one physician in our profession that I had seen frequently from afar off, but had never really known him. I admired him without better acquaintance because he looked professional, he acted professional, he was handsome and all that I heard about him was good. While visiting in an adjacent city, I was told that he had had a heart attack and had died. The news was a shock as it seemed impossible that a man in his early fifties, at the height of his career, should die. He was too young to die and had much yet to contribute. As President I felt it my duty to attend the funeral and to pay the respects of his profession. On Monday afternoon, at the set time, I entered one of the most beautiful churches in the city of Lubbock, signed the guest book and took my seat as the organ played Christian hymns. Before us was a wall of flowers which surrounded a metal casket holding the remains of our beloved fellow physician. I have to admit that tears came and my mind changed gears as I took a very serious look at life. For a few minutes I looked at myself and at my profession from a different angle. Certainly this physician had lived nobly and his family could be assured that his relationship with his fellowman and with his Maker was right. But was there a lesson here for you and me; 1 was impressed by the brevity of life and by the things of life that are really important at a time such as this. I remembered a statement made by the late President Kennedy one cold January day when he assumed the responsibilities of President of the United States. "Ask not what your country can do for you but what you can do for your country. " This experience and the re- FOR LEASE Brick office building, 2615 Walborn Street, Dallas, Texas. Central heat and air conditioning; mahogany paneled; arranged for 3 or 4 doctors. Ample off-street parking. Mrs. Roy C. Ledbetter, LA 8-1361, 3516 University, Dallas 5, Texas. May, 1964 membered statement of our fallen president seemed to speak for a change of philosophy in our day. As a youth I was impressed over and over by my parents that I had a mission to fulfill in life. I was told that I didn't come to be a parasite, but I came to help make this world a better place in which to live. In my high school days, after having chosen medicine as a career, and in my college days, I had many noble dreams of the kind of physician I would be. I am sure that every physician here has had somewhat the same experience. Are our present practices a realization of those dreams or have we succumbed to the forces of our society and fallen below our ideals? As physicians we enjoy many privileges and hold a position of distinction in our society. Why~ Because the majority of physicians have taken seriously their mission and have served humanity ,n:,) unselfishly. Today there is a strong l,.e temptation to emphasize material sue. a cess and to forget that material posses1 sions are not always an indication of excellence. More than ever America needs integrity, dedication and compassion in its medical profession. Certainly, I am not proposing that a man isn't entitled to material reward for unusual performance, but I am challenging the view that materialism is an end in itself. Where is Osteopathic Medicine headed? The answer is simple. We will determine our own destiny. Many shall be the threats to our existence. We possess the strength necessary to win and our past performances will attest to this . We need to be busy producing the best family physicians and specialists that modern medicine can turn out. We need an excellence in practice unmatched, using the best of the past and accepting the proven in modern medicine. We must remember that we shall continue to enjoy certain privileges just so long as we honor our trust. Tonight I step down , but I leave the mantle of the presidency in good hands. Dr. McCorkle will bring dignity, loyalty and vision to this high office; and we can look forward to a great year ahead. I want to thank Phil, heads of departments, committee members and the Board of Trustees for their able assistance during my tenure of office. It has been a thrill to captai n this team. As I step down as your president, continue to count me as an active participant of the team. May God continue to bless and to lead this great profession. Take Advantage of Your Membership in Your State Association by Enrolling in one or all of these Special Plans • • • Up to $1,000 Monthly Indemnity Disability Income Plan Lifetime Accident-90 months Sickness Life Insurance at low, low premiums $100,000 Accident Policy- Death-Dismemberment-Total Disablement Each Plan Approved by the Texas Association of Osteopathic Physicians and Surgeons for its members. SID MURRAY "Pays In A Hurry" Corpus Christi, Texas 1733 Brownlee Blvd. FOR MUTUAL LIFE OF NEW YORK 'JMay, 1964 Page 7 c 0 President's Acceptance Speech Con,·ention 1964 J. WARREN McCoRKLE, D.O., Mineola, Texas After reviewing the accomplishrnents of our p~0fessiol'l, I fed like Ghandi did on oro.e occasion while observimg a marching throng of his people. He said, 'There go my ,pcwple, I must mn to catch up with them because I am theiF leader. I appreciate the membership giving me the opportunity to serve Oblr profession this year. We will have pwblems this year, but I am confident we can meet them. W.e will not solve all the problems of th€ associatiol'l this y€ar, but W€ will uLtimateLy solve them by working together. We have been fortunate in having rn€m. who have served our profession well. Dr. Phil Russell has served. as our Executiv.e Secr€taFy for the past fifteen years and was appoin~ed by th€ Governm to fhe White House Committee on AgiBg. Dr. G. W. Tompson has been chain:naw of our insmance committee for sev€ral yeaFs and has helped build a good imag€ of our profession in the area of third party medicine. Dr. Elmer Baum has se>ved as chairman of our Public Health Committee and is a member of the State Board o£ Healtn. He has given uro.selfishly of his time to our profession. Dr. L. G. Ballard was appointed to the governor's commission on physi-cal fitness. An organization has two kinds of problems: We might designat€ ours as pwblems of growtn and pmblems of sucmss. In 1949 we had twenty-three Osteopathic Hospita~s in Texas. At the present, we have S·ixty-four hospitals, of which forty-eight are register€d a;nd approved . by Blue Cross. The total number of hospital beds has increased from four hundred to over two thousand. Total hospital admissioas are seven times that of 1949. Page !l We would expect the cnt!Clsms that have come, b€cause when you afe sucGessful, your eaem.i•es oecome v:oca.l im their opposition. But do not expect too much enthusiasm from your friends either. Remember this, yom fl:iends usNally lik€ to see you do well-b11t not too well. Le.t us pttt our cri<tics down a.s people who sincerdy appreciate om superiOFity. Let us give them credit for eM. at. All that is past is prologue. The objective of the State 0Fganizatiom is to fw.nction in real service in tfi~ fl!ltur€ to make wo11thwhile the acceH!nplish~ men.ts of the past. If W€ are to reach this objective, we must move om t0 t : _. greater service to 01ar patie!i1ts. This re- ~ sponsibility is dearly si'ated in our wn- I a., stitutiom in the words, "The objec;:ts of ~ this association shaU !De to promotre the p11blic fuealth, to etlcourag€ scit5li1tific r€search, an.d to maintain and imp11ove high staaclaFds of m€dical education in osteopathic coll€ges.'' We rejoice in the successes of tine past, but if we are to reach our objectives, we mlilst cor.toonue to bllild our pmfession from w~tfuin. 1"o illustrate trois need, we are not presently ready for an osteopathic medical schoo.l in. Texas, but im tea years we will be if we contiroue our i.ntemad buildiag. This is not a matter of money, but of men. W@ must assemble a group of decli·cated men to form a facuhy for this school. We can never affo11d to rest on past accom;plishments. William Wrigley, the ch€wing gum magaate was riding in the dub car of am exp11ess train whtm one of his assistants opened the Saturday Evenin.g :Post to a two-color, twopage spread on Wrigley's chewing gum. The assistant figured out how many May, 1964 "le a packages of gum Wrigley had to sell to pay for one ad, and the total was astounding. Showing these figures to the boss, the assistant asked, "Why do you keep on making such enormous outlays for telling people about Wrigley's chewing gum? You've got everybody chewing gum now. Things are going along fine . Why don't we ease upon this effort?" Wrigley said, "How fast is this train going, boys?" One of the men answered, "Seventy-five miles an hour.' ' Wrigley said, "It's sure going along fine, isn't it? Why don't they take the engine off?" There is never a time for us to take the engine off. The basic facts of our profession must be told over and over and over again. For many years we, for political reasons and to gain recognition, had to prove that we were " as good as " , but this will no longer suffice. We must get a dear image of our identity as a profession and keep always before ourselves the distinctive contribution we make to the health needs of our nation. Our hope of success is confirmed by Doctor Korr when he says, "The Osteopathic Profession is still, in my opinion, the logical instrument for catalyzing the transition to the next higher stage of medicine. " We are moving out of the philosophica l era of " father image" . Let us estab1ish a clear image of ourselves as modern representatives of " Ecological Medicine" . Let us note that we have the only chools that are emphasizing the training of family physicians. We stand on the threshold of being tested as to the validity of our policy to remain sepa· rate and distinct as a profession. We, as D.O.'s must adequately demonstrate openly to the public our sincere belief and grasp of the osteopathic concept, which has been so ably presented by Dr. Pearson. It is more urgent than ever that this concept be demonstrated , not only in office practice, but also in our hospitals. At no time in our history has this profession been held in such high esteem by the officials of foundations, federal and state health agencies. Thi s respect and stature has been obtained through the sincere and honest projection of our image, of our endeavors to promote public welfare, of our insistence upon remaining a separate and distinct profession. We must be careful not to make the mistake made by others in confusing scientific and political medicine. If we confuse these two, it can only be to the detriment of both. Let us simply say we have been striving for recognition ; we now have it. It would be a sobering question to ask, " Do we want recognition merely for recognition's sake or because we have something to give I" In working for success in the past, the attacks of our critics have not hurt or hindered us. They cannot in the future either. The only people that can hurt our profession are the good D.O.'s who believe in all the right things but never do anything about them. I would ask each of you to give us your support this year that we may move successfully toward our objectives. X-Ray Equipm e nt & Su pplie s X-RAY SALES & SERVICE CO. 2800 THANNISCH ST. C. A. McGEE M ay. 1964 FORT WORTH, TEXAS Page 9 LOCAL ANESTHETIC IS ANSWER Broken Leg Almost Proves Fatal to Woman Patient, 84 By BROOKS KELLER Fro m the FoRT WORTH-TELEGRAM , April 2, 1964 Mrs. Annie Sanders, 84, almost died of a broken leg. Mrs. Sanders, of Vian, Okla., suffered a cardiac arrest as she was being given anesthesia for surgery on her broken right leg in a Fort Smith, Ark., hospital on March 14. In cardiac arrest, the heart either stops or quivers ineffectively. The doctors quickly gave Mrs. Sanders external cardiac massage and revived heart action within a few minutes, thus preventing brain damage or loss of life. Her surgery for that day was canceled. Because general anesthesia tends to depress heart action, a question arose as to the use of a local anesthetic during Mrs. Sanders' operation to come. Her son-in-law, an osteopathic physician of El Paso, had learned the facts of the injury and was on the scene when Mrs. Sanders was put back to bed. He telephoned one of the staff of bone specialists at Fort Worth Osteopathic Hospital to inquire if they could operate on the leg using a local anesthetic instead of a general. Yes, he was told, this is common practice with people in this age group. Mrs. Sanders was brought to Fort W o rth Osteopathic Hospital in an ambulance arriving late on the evening of March 15 . After pre-operative care by internal med icine specialists at the hospital here, ~ h e was taken to surgery on M arch 18 . Because of her age and the experience Page 10 in Fort Smith on the operating table, she was kept under the closest watch by the anesthetist. The surgery was uneventful. Because of the local anesthetic, the patient was able to talk freely with the bone surgeon as the operation progressed. He said later that this was a factor in building confidence and assurance. The doctor inserted a bone nail with five screws for immobilization. The incision required was seven inches at the side of the hip joint and upper part of the femur-the big bone that runs from hip joint to knee joint. X-rays were taken to assure proper length and position of the nail, and proper reduction of fracture . The incision was then closed and the patient put in the recovery room. Two hours later she was moved to her own room in the hospital. This technique reg u i res no cast, leaving the patient free to move her leg. The physical therapist or nurse can carry the leg through a normal range of motion without pain. This permits the patient to be in a wheel chair and to carry on most normal activities except full weight bearing. Bone specialists here estimate that she will be able to bear full weight in three to four months . She was dismissed from Fort Worth Osteopathic on M arch 25 and took a plane the same day to El Paso. She will recuperate there under care of her sonin-law and his staff . May, 1964 ts IJL ,gp' release for hostilit~? Overeating is often an outlet for feelings of hostility. Many people take out their anger by overindulgence at or between meals. As a result they become overweight. 'Eskatrol' Spansule capsules both control appetite and relieve the emotional stress that causes overeating. That's why so many patients are losing more pounds with 'Eskatrol'. ESKATROL ®Trademark Each capsule contains Dexedrine® (brand of dextroamphetamine sulfate), 15 mg., and Compazine® (brand of prochlorperazine), 7.5 mg., as the maleate. SPANSVL.E® brand of sustained release capsules because emotions play an important role in overweight Brief Summary of Principal Side Effects and Cautions ( Side effects (chiefly nervousness and insomnia) are infrequent, and usually mild and transitory. Cautions: 'Eskatrol' Span sule capsules should be used with caution in the presence of severe hypertension, advanced cardiovascular disease, or extreme excitability. There is a possibility, though little likelihood, of blood or liver toxicity or neuromuscular reactions (extrapyramidal symptoms) from the phenothiazine component in 'Eskatrol' Spansule capsules. For complete prescribing information, please see PDR or available literature. Supplied: Bottles of 50 capsules. Smith Kline & French Laboratories ~ The Fire in the Furnace by GEORGE W. NORTHUP, D .O . The story is told of a little boy who, with the imagination of the young, said to his father, "Daddy, I wish you would make more reg isters all over the house so that it would be warmer. '' Daddy smiled . " I think that what we need, son, is more fire in the furnace." As each of us pursues the responsibilities of professional life, we often wish for more people to share in the work to be done. In this respect, divisional societies are no different than individual members. Organized osteopathy frequently bemoans the fact that it has too few workers in the field. The charge is just. Yet, another charge that can be made is equally just. Too many of us who are working need " more fire in the furnace." The challenges and opportunities for service through organized osteopathi c medicine were never greater. To be sure, many more people should be offering their services. Yet we cannot escape the fact that our progress would also be accelerated if those of us who are committed to organizational responsibility and leadership were to increase our fire. A parallel problem exists. Too often those of us who are serving dissipate our heat in criticism and complaint. The truth is that the osteopathic physician has less to complain about tod ay than he has had at any time in the profession's history. This is not to deny our· problems and discords. Rather, it is to affirm our increased need for positi ve action, motivated by positive philosophy. Patience and time are our greatest aids in the solution of our problems. But neither patience nor time will be sufficient unless those of us who have accepted organizational responsibility stop complaining about the activities or Page 12 inactivities of others and make sure that our own serv ices are as positive and constructive as our ab ilities permit. There are no Iimits to the future of osteopathic medicine except those that we ourselves place upon it. May our fires burn brightly in public service and devotion to the advancement of osteopath ic medicine around the world. May we have more fire in the furnaces of osteopathic organization. DO Sole Clinician on HR-12 Advisory Unit WASHINGTON, D. C.-The only clinician among 12 professional representatives named to the new National Advisory Council on Education for Health Professions (under HR-12) is the osteopathic member, according to Washington Report on the M edical Sciences. He is Dr. C. Robert Starks, Denver, orthopedic surgeon. As a past president of AOA and the Colorado Osteopathic Association, with service as chairman of the AOA Committee on Educational Standards, OPF chairman, and trustee of Kirksville College of Osteopathy & Surgery, he is well equipped. The Council will advise the Surgeon General on preparing regulations, policy, and review of application grants for new teaching facilities or replacement or rehabilitation of existing facilities in schools of osteopathy and other health professions under provisions of the Health Professions Education Assistance Act (HR-12) signed September 24. It provides $175 million in construction grants over three years and $30.7 million for new student loans up to June 30, 1966, plus funds to renew current stud<mt loans. May, 1964 is n Serving the Needs of the Medical Profession: BUILDING -:- FINANCING -:- LEASING CLINICAL DEVELOPMENT P. D. Box 561 -·- Co. BU 3-2881 FORT WORTH, TEXAS 76101 Dear Doctor: Would you do At the tial tax you like to own your clinic on a tax sheltered basis? We can help just that by the proven business principle of purchase-leaseback. end of the lease period the clinic can be yours and with substansavings. Some advantages for doctor's to lease: I. The capital freed by a lease arrangement can be used for more profitable investments. The freeing of working capital can enable a doctor to pay off existing debts. \e £ d 2. Leasing makes available modern property and equipment that might not be feasible to obtain or maintain otherwise. 3. You have possession of real estate without any capital investment. (Why own a cow when milk is so cheap. All you really need is the milk, not the cow.) 4. Leasing offers I 00 percent financing. 5. Leasing offers a tax advantage not available with ownership. Your annual rental as an expense is totally deductible when computing net income for tax purposes. You can charge off your land, building and equipment as a regular operating expense. We are in the business of building, financing and leasing clinics, pharmacies, and rest homes, for the medical profession. We can assist you with plans and all other services necessary and at a savings to you in time and money. For a personalized program tailored to fit your needs please write or phone us stating your most convenient time for our representative to call upon you. Sincerely Yours , :J. c:ll. dfou;/zton Executive Vice President May, 1964 Page 13 Audio· Visual Aids Available Through TAOP &S State Office FILM DOCTOR TO THE TONE AGE - A 16 mm motton piCture· 28 minutes. Black and "hite, sound. This is the story of a primitiYe people and the year-round medical mi sions flov. n by physician-pilots of DOCARE (Doctor of Osteopathy Care). The film hows how osteopathic physicians are aidi_ng the Ca\c-dwelling Tarahumaras \vho lne in the mountain of northern ~fexico. The start I ing existence of these Indians, their superstitions and customs are memorably documented by the camera. Filmed at the Jnd1an settlement of Sisoguichi 1n hihUJhua, Mexico. Presented by the American Osteopathic Association in recognition of the humane sen·ices performed by its member physicians. CHALLE GE - A 28 minutes. Color and sound. This film, made in support of and with the cooperation ?f the President's ouncil on Physical Fitness, stresses that the chief aim of adult fitness is de,eloping increased heart and lung capacity through proper diet. cxernse and physical recreation. Musclebuilding is not the goal. The film abo points out the need for a physiLi.tn's a_d'ice before undertaking any kind of htnco;s program "The Fitness hJI!engc" IS :1 challenge to hetter phpical he.1lth .uHl mental :dertneo;s, It opens "1th rern.trk~ hy President John F Kenncd} .tnd close' with commcnts hy Cl.lrt:me "Bud" \'X'dk1nson. hc.td football tlUCh .It ni\C:f';lt\' of Okl.thom.t .tnd . rcci.d Cnn,ult.tnt to tht Prc,idcnt' ( oun(ll THE FITNES 16 mm. motion picture - PliY~'I IAN A ·n, R 10 pi.J.nation of the letters "hi.:h follcm the: doctor' namL .md the signiilc. nee of the degree D.O The tilm ~0\ c' .·wiftly into a~' tsu.lhz.uion of the edUl:ttion oi an osteopathic phpician. be,!!inning with his pre-osteopathic college tr.1inin~ .10d following throu_gh until gr.ldu.ttion. intern hip, .1nd pradi(C in th<. wmmunity. is ~e "Physici.1n and urgeon. D 0 signed particul.lrly for YOL.tt!On.ll ~tud ance in schools or college. for HX'.ltll10.1l programs of en ice d~l:>~ .1nd i or other pccial group·. AMERICAN DO TOR 16 rnrn motion picture- 281 2 minutes. olor and sound. This film tells the ston of the birth, growth. and future go.1b of osteopathic medicine. It t races the growth of medicine through the t<.:nturie and estahli-;hes osteopathic medicine a a p.1rt of the continuing de' elof · ment of the healing .trts. Fl.t,h-b.tck depict the contributions of such gre.1t men a Hippocr.ttcs, Andre.ts Vcs.tlius and Thoma ydenlum. Befon: t.tking up the profession as it is today, "AmcriC.ln Doctor" utd1zcs the li\(~ action screenplay technigue to tdl the 'tor· of Dr. till' bo} hood, h1s studr of medicine under h1, fathcr and the foundint: of the fif';t ostcop.tthtc college. Thi' i' considered one of the hcst puhlic rcl.ttion tools urrently ;\\ .lil.tble to tell the story of o'teop.tthy 'to the gcner.tlpublit·. lOR A BET1 ER T t RRO\\ 1, [) 0 A I <• mm m1'ttllll p1tturt I I minute,, ol1)r .10d ~ounll. 1 hi, film, r nmmc:nde I for u c.: b · 't.ltc l 'tl · 1 .ttbi .t, { 'ati(>n . be~in' '' ith 1n e~Pa II M ) , 19 trate that the training of a physician is the longest, costliest, and most complex educational program in America. "For a Better Tomorrow" is an excellent presentation on the training, requirements and opportunities for the osteopathic physician. It is recommended for showings before lay groups, career-day programs, and pre-osteopathic students. SYMPTOMS OF OUR TIME-A series of six 16 mm. films. Black and white, sound. Each 14Y2 minutes: (1) DRUG ADDICT- Teenagers "hooked by the habit" and their effect on society. (2) ACCIDENT PLAGUE - Examples with impact. See accidents which happen at home, play, and work - which could have been prevented. (3) MEDICAL EMERGENCY A girl - appendicitis - an operation - shows why no one need fear surgery. ( 4) ARTHRITIS - Aptly termed the "king of misery," this is the story of a man afflicted with the oldest disease known. (5) ALCOHOLISM-A man "takes to drink" to escape pressures of today' s living and finds alcohol cannot be used as a crutch. ( 6) THE DEMOCRATIC COLDHumorous "do's and don'ts" of home remedies for colds America's most common ailment. Produced as a Public Service by the American Osteopathic Association, these films are utilized mostly for teaching of health programs in the high schools. They are highly in demand. RADIO TAPES EMPHASIS ON HEALTH - Produced by the American Osteopathic Association in cooperation with the U.S. Public Health Service. Two tapes I PS Speed 7Y2 minutes each: Tape #1 - Programs #1-#7 ( 1) Heart Disease ( 2) Cancer ( 3) Accidents ( 4) Pneumonia ( 5) Diabetes ( 6) Common Cold (7) Old Age. Tape #2- Programs #g_#13 (8) Cirrhosis of the Liver (9) Arthritis ( 10) Tuberculosis ( 11) Ulcer (12) Overweight (13) Childhood Diseases. PAMPHLETS THE OSTEOPATHIC PHYSICIAN AND SURGEON TODAY- Outlines how he is trained and how he serves the people. Excellent public relations material for use in the physician's office, hospital waiting room, and for distribution at vocational guidance programs, career days, etc. Available at a cost of 1Y2 ¢ each, plus postage. DR. L. G. MANCUSO, 3 703 Hatcher Street, Dallas, Texas, has been appointed an Aviation Medical Examiner by the Federal Aviation Agency. MaHern X-Ray Equipment and X-Ray Supplies Diathermy and Galvanic Machines-Ultra Violet and Infra Red Lamps Beck-Lee Cardio Graphic and Cardio-Mite Machines SOUTHWEST & JOHNSON X-RAY CO. 1903 Anson Road P. 0. 35064 Dallas, Texas Phones: ME 1-5164 and Night LA 8-6834 May, 1964 Page 15 Hospital of the Month The Tex,ts Osteopath it Ph) sic tam Journal •~ proud to salute lT PLEA · ANl HO, PITAL &. CLINK, INC .ts the Hosp1t.1l of the Month The fount Ple.tsant Cl1nic and Ho. pit:.t.l, Inc completed a l.u~e cxp.1n ion program during 1963 with the con'tructl()n of new linic facilities, wait· ing nxun .tnd ph.umacy on the front o( the C'mtlng ~tructure . The hospit.tl '' .1s e,t,tbl1shcd 10 Mount Pka~.tnt 1n 19 16 hy Dr R L Lut1n e'cral yc.trs later he ~old ln · tcrcsh 1n the f.t~tlltiCS to Dr John Ken ned) .tnJ Dr f L (I me .1nd 1r1 11)., ~. Dr G.try \Y! T.t) lor bought .tn intcrt·,t tn tht hosp1t.ll. ftcr the: rttirement of Dr \lartin. the thret: d<Xtor' ~c~.1n complc.tc: oper· .1tiun of the dtn1r tnd hosp1t.tl, '' hidl emplup .1 tnt.tl of 32 peoplt Full · .q pn)\ eJ h\ the: t.ltt: tnJ , .1 t i, n.d o,tt"\lp.uhi\ . Org.1n1z tt1nn tht: 'Cfltr.tl ho,pit.tl ,ltLtlffiffitXI.Itc\ .til t,l\t:\ nt gmu.tl ht 'flt;ll ore W1th 2 J, a' iiJIIt:. The dinu:, whi h i' , p.tr.ttt· i r. m the h ' 1t. I, oifa, t m11t·te n I up·t · l te 1litr , Fa dittes ( th h 'P'I •• -ra let p 1, HlO pat1cnh yc:.trly .mJ 12 ~ new horn' H o s p 1 t .1 I .tJmini,tr.tt\H j, I D \\' utherly, '' ho join~.:,! th~.: ,t,ttf ·n Odober of 1.1 t nar. • lr . t 'm. I bell " d1rector oi nur'e' .tnd Tillm. n lithride 1s phJrm.l 1't The hospit.tl 1s pl.mnins:: .1 7 ,000 expansion pn) •rtm to begin th1' c.tr. Alumni Group Elects Officers At tht· .tnnu.tl mt:et111 • t tht• Tt: a' Alumni ''<KI.Itlon ot tht Kirk ,,Jic Colle_gc of Q,tc:of.lthf Jr J 11r ~:r~. held f..t\ I , 196 i in the Ht ·tl -\ Jphu, D.dl.h, To..t,, the f,lllowin~ 1 fti cr wert elected : f>r ' . , Dr. th rm ( rltt n, Fort \\ mth Dr J\ulltnt II m- J hn I. \\1 m, THIS PATIENT HAS A NUTRITION-AL PROBLEM SHE ALSO HAS AN ELIMINATION PROBLEM ~ BOTH CAN BE SOLVED (AT THE SA·ME TIME!) WITH A SINGLE TABLET DAILY WHETHER THE DUAL PROBLEM STARTS WITH ELIMINATION ... OR NUTRITION ONt: NEW FORMULA HELPS YOU SOLVE BOTH ... ECONOMICALLY, GE-NTLY... CGJ ~WJ R~TITiffi GERIATRIC VITAMIN MINERAL SUF"PLSMENT Gc:VRITE ADD S> the non-purgative stool softening action of DSS (dioctyl sodium sulfosuccinate) to a balal'1ced vitamin-mineral formul a, especially designed for patients over 45 years of age. SAVES $-this formula spares the co st of the second product frequently needed to resol ve the additional problem . DIETING PATIENTS-GEVRITC: helps those who have become irregula r becau se of reduced bulk or limited fluid intake. Available : In decorative " remiFJder" jars of 60 tablets . Dosage : Usually just one tablet daily. Each tabl et contains: Vitam i n A Palm itate . . . 5,000 U.S. P. Units V itamin Bt (as T hiamine Mon onitrate) 1.3 mg. Vitam in B, (Ri bofla vi n) . . . . . . 1.8 mg. Vitamin B. (Pyridoxine Hydrochloride) 0.5 mg. Vitamin C (Asco r bic Acid ) . .. .. . . 75 mg. - Niacinamide . . . . . . . . . . . .. .. . 18 Calcium (from Ca lcium Carbonate) . 230 Elemental Iron (as Ferrous Fumarate). 10 Ali:R OSOL" OT Surfactant Dioctyl Sodiu m Sulfosuccinate NF . . 100 mg. mg. mg. mg. [§] • LEDERLE LABORATORIES, A Division of AMERICAN CYANAMIQ COMPANY, Pearl River, New York 7 9 44 - 4 May, 1964 Pa e 17 Intramedullary Pinning of Fractures With Rush Intramedullary Pin by]. W. AxTELL, D .O., Porter Clinic-Hospital, Lubbock, Texas** Ropes, pulleys, p 1 a s t e r of Paris, gadgets-you. name it. These nuisances, and a multitude of others, have plagued the orthopedist and tortured his patients since the beginning of time. The relative suffers a traumatic shock as well, when he first catches a glimps€ of the object of his affections trussed and swathed fo the point of the grotesque. The physician is a trifle apologetic, and may be on the defensive as he hastens to reassure the ever-anxious relative that everything is fine and that the patient will emerge as beautiful as ever. In 1948, Leslie V. Rush changed the above picture when he advanced his technique which is known as " the Rush intramedullary pin technique. " Invalidism, which had always been a very real problem, as well as the possibility of residual deformity and loss of function were reduced to a minimum. Although nailing has been a fairly common practice for some time, the Rush technique -utilizing the dynamic force of muscle pull-is a unique procedure. It should be made clear that there is a marked difference between intramedullary nailing and intramedullary pinning. Nailing, per se, entails the use of a straight rod, either square or three-sided, that is driven down the intramedullary canal. This procedure might prove satisfactory in the middle section of the bone where the inside of the bone is small and tight, but in the fractures of the proximal or distal ends of the bone, fixation becomes poor. In the latter type of fracture, the use of the nail might be likened to driving a ramrod down an old Blunder· buss that is small in the middle and gradually grows larger on each end. As it becomes increasingly evident that improvements needed to be made in the handling of fractures, new methods were devised for which credit should be giveD.. An early surgeon by the name of Kuentscher was higly responsible for the development of intramedullary nailing in Europe. Drs. Hanson and Street can be credited with the Hanson-Street nail, and they became the pioneers of this work in America. There are no doubt others that should be mentioned, but this writer has no definite knowledge of them . It is very important, in this work, ...~ to know the anatomy of the muscula ts_ ture attached to the involved bone. Each fracture presents its own intrinsic forces of muscle pull to produce overlap and angulation. By learning the forces exerted by muscle pull, the surgeon can learn to use the resiliency of the intramedullary pin to counteract these forces. The application of these principles offers a great deal of satisfaction to the operator in the results obtained. The greater the surgeon's experience, the broader the application in this field. There are several types of cases where the use of the Rush pin is desirable, and in many instances it is a life-saving measure. It is used almost routinely in aged patients and results in a minimum of trauma and shock. This method is used more and more in fractures of children since it avoids the use of troublesome casts and prevents the traversing of the epiphysic. In fresh compound fractures, the writer uses the Rush pin as an immediate procedure; * *The author wis hes to give ample credit for the ideas expressed in this pa per to Leslie V. Rush, M.D . and h is fi ne publication on the subject, ATLA S O F RUS H PIN TECH N IQUES. Page 18 May, 1964 the pin also works well in the presence of infection. Pinning is delayed only when the condition of the patient does not warrant immediate intervention. The writer has been able to achieve stable fixation in comminuted, long oblique, and spiral fractures by the use of circular wires which are placed outside the periosteum by special carrier instrument and a semi-open technique of intramedullary nailing. In delayed union, healing can be encouraged by overcoming the muscle pull and allowing fragments to telescope freely, thus causing compression of the bone ends. In bone grafting, stable fixation of the graft can be obtained, thus permitting active function immediately. With experience, one can learn to use the dynamic force of muscle pull to advantage. This procedure is similar to the utilization of the superior weight and strength of an opponent in ju j itsu. On the other hand, the use of a heavy rod (as in nailing techniques) to fill a medullary canal can defeat one because of the dynamic force of muscle pull. The Rush pin was developed after a long period of experimentation, in order to obtain o p t i m u m temper, strength, proper resiliency, and limited malleability. It is possible to use the straight pin in a curved bone, or a curved pin in a straight bone. It is important to learn to produce three-point pressure. By this is ~eant that there is one force at the pomt of entrance, in one direction, and there is another, opposite force against the inner side of the cortex, and an oppostte force at the distal end of the pin against the inner cortex. When it is possible to learn to produce these opposing forces, stable fixation can be obtamed; th1s fixation will resist rotation, angulation, muscle pull, and good compression ~f fragment ends will be obtained. Thus tt is concluded that the general surgeon, general practitioner may ve:y possibly find the Rush pinning techmques to be the answer to many of his fracture ~ problems. e May, 1964 Texas Academy Holds Meeting The Texas Academy of Applied Osteopathy held its annual meeting at the Adolphus Hotel, Dallas, Texas on May 2nd. Officers were elected as follows: President: Dr. Catherine Carlton, Fort Worth, Texas Vice President: Dr. J. W. Money, Schulenburg, Texas Sec.-Treas.: Dr. Laura Lowell, Dallas, Texas Dr. Paul Kimberly demonstrated specific techniques at each level. He reviewed basic principles for all lesion correction as taught by the Graduate Instruction Committee. With blackboard illustrations he showed the importance of "Fryettes Law" for accurate diagnosis of the lesion and the need of particular positioning of the joint prior to correction. Emerson ORRO DROPS FOR THE EAR For softening and facilitating removal of ear wax, and to relieve minor irritation due to wax accumulation. Page 19 ASimplified Procedure for Permanent Drainage of a Salivary Gland Cyst by G. LEROY H owE, D .O. The patient, Z . F. who is the subject of this paper was in volved in a one-car automob ile crash on N ovember 23, 1963. H is car overturned at high speed and caught fire. Fire extinguished itself before reaching the patient. However, the head of the patient was lodged partly in and partly through the broken windshield . Lacerations were sustained to a severe degree. The patient was in shock, and the wound s were packed in sponges conti nuously wetted with aqueous Zephiran until the follow ing day when the repai r was done. The Injuries Were: 1. Fracture of Right M astoid Pro- cess of Temporal Bone, wi th Overlying Laceration. 2. Lacerations (three) right ear, extending from Pinna to External Auditory Meatus. 3. Laceration of right cheek with: a. Complete severance of right Parotid Gland. b. Complete laceration of right Masseter muscle. c. Laceration of cheek entirely through inner mucous membrane. d. Extension to area of face below center of lower lip, with complete laceration of Orbicularis Muscle. 4. Laceration over bridge of nose through the right Superior Eyelid, with laceration of Orbicularis Oculi Muscle. 5. Laceration mferwr to lower border of nght side of Mandible, w1th complete laceratiOn of right ubmaxillary Gland. 6 everal mmor laceration of sktn ~cattered OYer the face. The origmal repair healed well. The P>~.o.:e 20 patient was dismissed two days postoperatively. Sutures were removed on the fif th postoperative day. Three days later, the patient returned for a recheck. H e had a large, extremely tender swelling ove r th e angle of the right mandible. T hinking this was an abcess, the skin over it was locally anesthetized and drained. O nly clear fluid exuded. Immed iately, the pressure symptoms and the unusual swelling were gone. T hree days later, the same swelling and pain were reported. It was reopened with complete relief. Again the drainage was clear. The patient reported that the pain was worse when he began to eat or drink. He also reported a dryness on the right side of his mouth. These findings made the diagnosis of Parotid G land Cyst. Pathology: In repairing the Submaxillary and Parotid Glands, very careful attention was given to replacing the fragments of the glands. Then, the capsules were approximated with 000 plain catgut suture-interrupted. Apparently, the Submaxillary Gland healed well, but the fragments of the Parotid Glands were not in a good enough replacement to allow the ducts to establish adequate drainage from the isolated section. The saliva produced in this segment caused a dilation and cyst formatiOn. As we all know, the presence of food in the mouth or the knowledge of imminent food causes the salivary gland to produce or secrete. This added secretion caused distension of the cyst and pain. Rationale: In effect, thts procedure IS a marsupializatiOn. ince there is a function..tl portion of gland w1thout a duct, the May, 1964 t:-; symptoms arise as the gland produces saliva following th€l stimulation of food. The most obvious sign is dilation of the cyst by the added fluid. The most outstanding symptom is pain, due to the distension of the cyst, again after shrnulation by food. To p.re¥ent distension and pain, a permanent fistmla must be created and maintained. This is a method of marsupialization. Procedure: The approach is through the oral cavity, the point of incision must be chosen carefully in order to preserve impmtant stmctures. A knife is thrust into toe cyst from a point superior to the body @[ the mandible and immediately anterior to the ramus of the mandible. This tract is then enl.arged by the use of a large hemostat, while the knife tip is still in situ in the cyst to prevent k>ss of the tract creat€d. Then, two rubber drains are placed into the cyst, in case a single drain might be expelled. These are left in place for two weelts. Results.: Following Femovd ·of the drains, the fistula or t:lew dhlct has drained. The cheek has retained its normal contours. The mouth dryness has disappeared. There is no pain at any time. The patient has becm followed for a month following this s€cond surgery, and a probe can be passed into the cyst until the tip of the probe can be palpated beneath the skin. Complete epithelialization of the new duct is obvious, and no evidence of stricture is noted. The continuous drainage of fluid through the duct is exp€e:~ed to keep the new duct patent permanently. Summary: This has been the report ·of the formation of a salivary cyst and a new, simplified procedure for the permanent marsupialization of this or any similar cyst. May, 1964 New Administrator at Corpus Christi Osteopathic Hospital Colonel A. J. Moore, who .remntly from the U.S. A£my, assumed the position of Administrator of th.e Corpus Christi Osteopathic Hospital on April 1st. He succeeds Mr. Da¥e Gassiot who has moved to a similar position in Port Arthur, Texas. During his 30 years in the Army Medical Administrative Corps, Col. Moore served in hospitals in the United States, Germany, and the South Pacific area. Prior to retirement he was stationed at Bmoks Army Medical Center, Fort Sam Houston, Texas where his wife, Ann, and son, Jack, will reside until the completion of this school year. Both Col. Moore and ris wife are native Texans, he being raised in east Texas and she being raised in San Antonio. n~tir€d ,, ~I PORTER CLINIC HOSPITAL LUBBOCK, TEXAS • G . G. PORTER, D.O. L. J . LAUF. D.O. J . W . AXTELL, D.O. HARLAN 0. L. WRIGHT, D.O . F. 0. HARROlD, D.O. A ILFRED A . REDWINE, D.O . • COMPLETE HOSPITAL AND CLINICAL SERVICE An Osteopathic Institution Page 2i Osteopath Scalps Patient Old fashioned manipulative osteopathy is still practiced, and with a flourish , in Texas-at least in District III. Witness the folksey news item in a recent edition of the Tyler Courier-Times. The incident took place at Tyler's swank Willowbrook Country Club. A large bridge party was being held at a local club. While waiting for the players to change tables, there was a brief wait. An osteopath was in the crowd and a slightly weary player asked him to give her neck a few rubs. The osteopath obliged and, as he lifted his hands his fingers caught the edge of her blonde wig, which went rolling out into the center of the room. The short-cropped brunette appeared somewhat startled and, as she retrieved her blonde tresses from the floor, uttered, " I don 't know why they can 't put some kind of a fastener on these darn things. "-MARGUERITE HERCULES. Not Fully Accepted As MD's Ex-DO's Get Bitter Harvest SAN FRANCISCO-The standing of .the little md degree issued by the California College of Medicine has been called into question by an action of Concord (California) Community Hospital. Dr. John S. Martino, former DO who took the M.D. degree, was informed he would not be accepted on the hospital staff until he passed an examination on' medicine and surgery, according to the San Francisco News-Call Bulletin. He has refused to do this since it is not required of other MD's. Another who had given up his DO for an md wrote this letter published without personal name in M edical Economics December 2, 1963: "We DO's P age 22 in California made too hasty a merger in an effort to get MD after our names. Specialists suffered the major setback. Medical specialty boards don 't recogmze our DO specialty training, so we're now confined to general practice." Calendar of Events June 4-July 8-WESTERN STATES OsTEOPATHIC SociETY OF PROCTOLOGY, ANNUAL CoNVENTION, EuRoPEAN TOUR OF HOSPITALS AND CLINICS. Secretary, Marcus S. Gerlach, D.O., 2015 State St., Santa Barbara, Calif. June 22-24-AMERICAN OsTEOPATHIC ACADEMY OF SCLEROTHERAPY, ANNUAL MEETING, Commodore Hotel, New York City. Program Chairman, D.D. Olsen, D.O., 308 Iowa Theatre Bldg., Cedar Rapids, Iowa. July 18-19- TEXAS SoCIETY OF O sTEOPATHIC PHYSICIANS' ASSISTANTS, ANNUAL MEETING, Hotel Adolphus, Dallas, Texas. August 3-6- MEMORJAL CARDIOVASCULAR FouNDATION, Eighth Annual Convention and Post Graduate Seminar, French Lick Sheraton Hotel, French Lick, Indiana. Convention Chairman, G. F. Pease, D.O., 1001 Montgomery Street, Fort Worth, Texas 76107. October 5-8-AcADEMY OF APPLIED OsTEOPATHY, Annual Meeting, Las Vegas Convention Center, Las Vegas, Nev. Secretary, Dr. Margaret W . Barnes, P. 0 . Bin 1050, Carmel, California. October 5-8-AMERICAN CoLLEGE OF GENERAL PRACTITIONERS IN OSTEOPATHIC MEDICINE AND SURGE RY, Annual Meeting, Las Vegas Convention Center, Las Vegas, Nev. Executive Secretary, Mr. Jack Hank, 13942 S. Clark St., Riverdale, Ill. May, 1964 American Osteopathic Association Office of CARL E. MORRISON, D.O. Chairman : Cottncil on Federal Health Programs 1757 K. Street, N.W. Washington, D.C. March 31, 1964 Washington News Letters When DHEW Secretary Celebrezze appeared before tht'l House Commerce Committee on March 9 in support of the bill revising and extending the HillBurton Act, H . R. 10041, he noted the fact that the bill authorizes a requirement that Hill-Burton hospitals "will be made available to all persons residing in the territorial area of the applicant" . The Secretary felt that the words "without discrimination on account of rae€!, creed or color" ought to f_e be added, and upon questioning said , se~ that unless the discrimination ban is .o expressly limited to grounds of race, creed, or color, the question of discrimination against osteopaths might be raised. The Chairman of the Committee said the recent refusal of the U.S. Supreme Court to review the case of Simkins v. Cone Memorial Hospital (WNL Mar. 3) makes unnecessary any mention of discrimination. Congressman Schenck (Ohio) thought the question of discrimination against osteopaths might be explored anyway. It is certain the committee intends to avoid express anti-discrimination language. Furthermore, unlike the decision in the Simkins v. Con€! case, the U.S. Supreme Court in the case of Hayman v. City of Galveston, in 1927, ruled that it was not a violation of the Constitution for a municipal hospital to exclude osteopathic physicians. Whether the Federal Government should withhold Federal funds from hospitals whose staffs are not open to practitioners of all recognized schools of .-l:J May, 1964 medicine rais·es the question of just how far it is desirable that the Federal Government go in the assumption of control of public and private nonprofit hospitals. The reference to courtesy privileges contained in our statement to the Committee applicable to our hospitals €!vidences a voluntary attitude of clean hands on our part. April 21, 1964 Ocettpational Otttlook for Osteopathic Physiciam. The Burea:u of Labor Statistics of the U.S. Department of Labor has regularly included the occupation of osteopathic physicians in editions of the Occupational Outlook Handbook simce 1951. Enclosed is Government lieprint from th€! latest edition, 1963-64. It is widely used in vocational guidance in high schools and colleges, State employment service offices, the Veterans Administration, and other agenci€!s that provide counseling services. Office of Civil Defeme. St<mart L. Pittman, Assistant Secretary of Defense (Office of Civil Defense), resigned as of April 1st, and OCD was transferred to the Office of the Secretary of the Army with William P. Durkee, former Deputy to Pittman, as Director of Civil Defense. OCD was transferred as an entity and will function under civil control and direction. Col. Louis T. Hackett, Jr. , who spoke at the AOA Convention in New Orleans continues as medical advisor. HEW. On April 14th, the House passed without amendment a bill, H . R. Page 23 PLAUDITS GO TO STAFF PHYS10809, appropriating more than $6 billion for the Department of Health, Ed- ICIANS who are contributing tremenucation and Welfare for the fiscal year dous financial support toward building ending June 30, 1965, of which more and expansion of their hospitals. Staff than $1 billion goes to the National of Lakeside Hospital, Kansas City, Mo., Institutes of Health . The bill contains raised $500,000 for completion of the no funds for the Hill-Burton program, new $1.8 million hospital, built withbecause the program is due to expire out any tax money or public funds . It June 30, 1964, unless extended in the was scheduled to open this month. Staff meantime. It is expected that the House Commerce Committee will act on the of Amarillo Osteopathic Hospital have Hill-Burton extension bill, H. R. 10041, pledged $65,000 for the building fund this week and that the House will ap- of a new 52-bed hospital. Fifty staff prove it at an early date, in which case members of Allentown Osteopathic it would then go to the Senate and Hospital were saluted in an editorial funds could be included by the Senate of the Allentown ( Pa.) Call which Appropriations Committee to be avail- said, "In keeping with their established able on final enactment of the exten- pattern, the osteopathic physicians and sion bill. The Appropriations Bill consurgeons who serve their patients in this tains $85,782,000 for the grant and loan program under the Health Pro- hospital are paying more than half the fessions Educational Assistance Act (H. cost of the $1.2 million wing. They R. 12, P. L. 88-129) . Dr. C. R. Starks have pledged something like $5 30,000 of Denver, osteopathic member of the of the $896,000 already promised ... ct_ National Advisory Council on Edu- and probably will be called upon for ts cation for Health Professions met in more. Less than two years ago, subWashington with the Council on April stantially the same 50 members assumed oe , 9-10 to consider policies and regulations. the responsibility for paying more than All osteopathic colleges have filed letters $500,000 of the $600,000 needed to reof intention to participate in the pro- habilitate and reopen the Northampton gram and some are expected to complete Hospital. .. To assume a major portion their applications by the first cut-off of the building costs and pay for them date of May 15th. in direct proportion to the patients they Youth Conference. Translating new serve in the hospital is both unusual concepts was the theme of the Joint and highly commendable." Conference on Children and Youth held in Washington April 5-8. Dr. Harold A. Blood was AOA delegate. He THE FILM LEADER TO PRECEDE also attended the second biennial meetTHE opening remarks of the late Presiing of the Council of National Organident Kennedy, in "The Fitness Chalzations for Children and Youth, which lenge" film has been completed. was held in conjunction with the Joint It says: Conference. The National Committee rrThe American Osteopathic Associfor Children and Youth, coordinator ation dedicates this film to the for the Joint Conference has secured a memory of our late PreJident, John grant of $100,000 from the Office of Fitzgerald Kennedy, whose perManpower, Automation and Training, sonal interest in physical fitness U.S. Department of Labor, for project for ell! Americans made this film serving youths rejected for Army enpossible." listment. Page 24 May, 1964 New Officers -1964 · '65 MRS. H. F. (WILLIE MAE) ELLIOT MRS. GEORGE G. (DOROTHEA) CLARK Presidenr Rockport, Texas I mmediate Pail PreJident H ouston, Texas MRS. M. P. (OCIE) OLLOM MRS. A. L. (JEWEL) GARR ISON PreJident-Eiect New Braunfels, Texas Vice-PreJident Port Arthur. Texas MRS. LELAND C. (GLENDA I LONG :1\fRS. HUGO ]. (LEE) RANELLE Secrelar) Port13nd , Texas TreaJurer Fort Worth . Texas May, 1964 Page 25 S.O.P.A. News STATE A state nominating committee has been appointed by the President. Members of the committee are-Lena Huddleston, Mary Huseman (Chairman), and La Rita Zgabar. (Harris County) We held our monthly meeting April 2, 1964, at the McClimans Clinic on Berry Road. The meeting was well attended and everyone was most interested in the program for the evening. The speaker was an instructor for Dale Carnegie and his topic was "Meeting and Speaking with the Public Daily". Our Educational Chairman, Earlyne Funderburk, is doing a wonderful job in having such good programs. This is quite evident in our attendance. Oletta Warren and La Rita Zgarba were elected to represent our District, as delegates, at the convention in July. We are currently having a Scholarship Fund raising drive. Our drug stores have been most generous in donating lovely gifts for this drive and all the girls are really working to make it a huge success. SADIE LITTLE, Reporter (Tarrant County- District 2) Our April meeting was most enjoyable and educational. Roche Laboratories provided us with an informative film entitled "Psychopharmacology In Action." We were also honored by having Mr. James Peabody as narrator, which was very aptly done by him and allowed us a better understanding of the film. Mr. Peabody held a question and answer session which was very enlightening to all members and visitors in attendance. Our society felt quite complimented by being given the privilege to sponsor a booth at the Cook Children's Hospital Annual Carnival. We selected the fortune telling booth and we feel that OsPage 26 teopathic Physicians will be happy to learn that "MADAM OSTEO" predicted bright futures for many children. (Anyone needing his fortune told may contact Mary Ann W ahoff or Eddie Linville. Kay Vance is the collector of fees.) Besides the enjoyment we received from participating in this ca.rnival, we realize that our profits from the booth will bring happiness to many sick children who could not be with us . In some way, we felt we were really a bigger part of the Osteopathic Profession than ever before and so proud of it. Our booth was very colorfully decorated in the usual Gypsy tradition, and "Mesdames Osteo" were dressed in Gypsy style. The May meeting was very interesting. Mrs. Dahlgren and Mrs. Harter, counselors for a new cosmetics company in Texas gave a very interesting display. A facial was given with the Fashion Two-Twenty cosmetics. Our aX members were taught correct usage of t make-up which is very important to all pe women, particularly when they work d in public, more so in a doctor's office. Mae Stinnett, assistant to Dr. C. R. Packer joined our society. We are very happy to have her as a member. Kay Starr and Jean Horton, assistants at the Seminary Clinic were visitors. We are looking forward to having them as new members. WHAT IS A LITTLE m.d . degree worth? Not enough to qualify for some hospital staffs in California apparently. A news item from the San Francisco News-Call Bulletin January 17 said Dr. John S. Martino, a former DO "who was transformed into a full-fledged doctor of medicine is trying to get on to the staff of Concord Community Hospital. The hospital won't let him on the staff unless he takes and passes an examination in medicine and surgery." It adds that he refuses to do this, because it is not required of other MD's on the staff. May, 1964 ~ ~------~~~--~ ) !NEWS OF THE DISTRICTS 1 District No. One Our happy and congenial group has grown by one since the last journal. Dr. John L. and Helen Witt have become the proud grand-parents of a baby daughter born to Mr. and Mrs. Dan Witt at Kirksville, Missouri-Congratulations. Congratulations go forth to Dr. Richard Earl and Sigrid Wetzel on the birth of their second son, Christopher E., born on March 13, 1964. Lours N . PITTMAN, JR., D .O. Rep01'ter -------- District No. Three Dan Hale is new business manager at Coats-Brown Hospital. A graduate of University of Oklahoma, in Business 1 81 Y ) Administration, Dan was East Texas area c~ ' representative for Bristol-Myers before sept coming with the Coats Brown group. * * * Dr. Bob Slye took the family to visit his parents in Ottumwa, Iowa, during the Easter holidays. They plowed into that big Easter snowstorm, but plowed right out again. * * * We ran into the Burr Laceys at a Tyler A.A. meeting the other day. They say they are still working with those Se.eing Eye dogs . Now don't worry about them. They are helping rehabilitate a patient-friend who needs A.A. (Incidentally, so were we) . * * * We beg to offer a correction to the item in last month's District III news. We said the article about President Rohr's address was not published. However it was published after the Journal deadl ine. Thank you, Tyler Courier Times. H. G. GRAINGER, D.O. , F.A.A.O . Correspondent May, 1964 District No. Eight Col. A. J. Moore, U.S. Army (Ret) is th€ new Administrator of Corpus Christi Osteopathic Hospital. During his thirty years served in the Army Medical Administration Corps, Moore served in hospitals in the States, G€rmany and the South Pacific Area. B€fore retiring he was stationed at the Brooke Army Medical Center, Fort Sam Houston, San Antonio, Texas. Col. Moore is married and has one son, Jack. Moore was raised in East Texas, and his wife, Ann·e, in San Antonio. A reception for the Moores was held at the home of Dr. and Mrs. Dwight Hause, April 4, 1964. District VIII held a joint meeting April 5, 1964, with the Auxiliary, and were very proud to have as visitors, Dr. and Mrs. Loren R. Rohr, and Dr. and Mrs. George Clark from Houston. Dr. Rohr spoke to the members of the District and the Auxiliary jointly. The address was most inspiring and certainly enjoyed by all. Mrs. Dorothea Clark later met with the Auxiliary and the meeting was a great success. Officers of District VIII were installed and they are as follows: Pres. -Dr. Glenn Kumm, Aransas Pass V. Pres. - Dr. Richard Pullum, Corpus Christi, Texas Secretary and T re a s tt r e r - Dr. Dwight H. Hause, Corpus Christi, Texas. Word is out that Dr. Richard Pullum is working on his multi engine flying license and has been looking over some Boeing 707's-what's next for Dick? DAVID l. BRUCE, D .O. Reporter District VIII Page 27 TRANQUiLIZER ADDICTION is becoming serious and common enough that it m1ght call for another government report and warning to all citizens, a Kentucky researcher suggests. Several popular tranquilizers can be habit-forming and intoxicating when taken to excess, says Dr. Peter Knoefel, chairman, Department of Pharmacology, University of Louisville, as reported in Health Bulletin. In particular he cited over-use of barbiturate sleeping pills. A STEADILY INCREASING PORTION OF AMERICANS' INCOME is going for medical care, the Health Insurance Institute reported in confirmation. In 1962, latest year for which figures are available, the proportion had risen to 5.7 % of income (or 6.2% of all spending) as compared with 4.1 % in 1948. Preliminary estimates for 1963 indicate there was another rise. +..-..~..._.~..-.....-....._...._.. _ _ _ _ ..._...._....._...._....._...._..-..._...._....._.-..._..._.+ ' l I by I Pro/essiona/ Printers l appointment cards record forms stationery ff l ~ F. L. ff ~OT:::H:ERA.L CO. ?~~ I "' "'"'" "'" +..._.._...._....._.~.-...-....-...-.._. ...... I PROr;ESSIONAL GEORGE E. MILLER, D.O. WILLIAM S. WALTERS, D.O. Pathologists 1717 North Gar-rett-:- TA4-0445 DALLAS, TEXAS Page 28 I ED 5 -14 81 "" woor•. ""' ..._..~----..._....-... CARD ..... _ _ l I ..._.~+ DIRECTORY BIG SAVIN6S ON "RETURNEDTO-NEW" and surplus equipment. Reconditioned, refinished, guaranteed, X-RAY, examining tables, autoclaves, ultrasonics, diathermies, OR tables, OR lights, and more. Largest stock in the Southwest. W A N T E D , USED EQUIPMENT. TeX-RAY Co., 3305 Bryan, Dallas. (Open to the profession Wednesdays, Thursdays, 9-5. Other hours by arrangement.) May, 1964 ax ts be Officers ef the District Associations of the TEXAS ASSOCIATION OP: OSHOPATHIC PHYSICIANS AND SURGEONS, INC. Dr. D F. Dr . Dr. Dr. Dr. j)r. Dr . Dr . Dr . Dr. Dr . Dr . ......... l'Fe&iclen t ...................... Pcesident -Eleet ...... Vice Presiden t ----------- --- S ecretar-y - Tt•ea sure r DISTRICT 2 Ern es ~ J. Sachse, Fort Worth James R. Leacli, For t Worth . . ................... . Charles A. Kl-i ne, Fort Worth .......................... . Lawr ence A. Wills, Fort Worth Bobby GeM Smith, Arlington IHS'FRICT 3 John S. T tlrner, Can t<m . B. K . Fleming , T Y:ler ............................ . Robert Hamil•~on, Mahlank .................... .. K . E . Ross , Tyler Dr . J . M. Sl\y, Sta nton ... D r . J . D. Bone, Midland l;lr . Dr. Dr . Dr. Ji>IS'fRICT i Ben W. Rodarnar , AmariJ.lo Rohler t E . Clayton , Groom ... J. Pau l Price, Dumas ...... . Richaxd E. Wetzel, Ama rillo DISTRICT 4 ... .... ................................. -------·- --- --- ----·-··-<·-· ............. P Fesiden t .. Fresid e n~-El e0~ Vice ~resi<lent .. ....... Secre tary .. .. T reasurer ......... P Fesiden t .. ................ ... .. President-Elect ................ Vice PFesident . Se<>reta.r y-T reasure r .. ........................... Preside-nt . ........ ...... ... ........ . S ecretary -Tx;easu r.e r DISTRICT 5 ~ ug e ne T. Zachary, Richan lson ......................... .. .......... Presiclen•t Frank J . Bradley, Palla,s ......... .... ....... ....... .. ..... President-E!eGt David B. Greene , Dallas .... ............................. .. ... Seer.etary Ronald H . O wen-s, H u tGhins .......................... ............................................................ Treasu cer Dr . G ora on A. McClimans, Houston Jo s~b E . Wolpmanl) , Houston Dr . J. E. Beny, Houston ........ D.r. L esteF I. Tavel, H ous ton ....... .. Dr . John R. H oFan, Hol!lston. ......... .. DISTRICT 6 ..................... Pr esident ............. P r esident-EleGt ...... Vice President . ........... Seaetary Dr. .. Trea s ur~ r DISTRICT 7 Dr. Richard !]: . Tamez, San Ant0nio .. DF. Baxter D . D. Greer, San Antonio Dr. W. D. Schader , San Antonio ..................... .. ............ .. ):'r es ident .. ..................Vice President DISTRICT 8 Dr. M. Glen Kumm, Aransa s Pass ............... .. .... .. D r . Richa r d W . Pullum , Corpus Christi Dr . D wight H . Hause, Corpus Chris ti ................... ~res id ent ... ,....... V.ice President Dr. Dr. Dr . Dr . Dr. Daniel Leong , El Paso Dr. HarVey :D. Smith , El Paso Dr. R. C. Valdivia , El Paso ... ........... £ecre tar:-v~ T.re asuFe r DISTRICT 9 C. Duane T isdale, Moulton ..... J phn C. F Federick , Schulenburg H. F. Elli0t, Rockport .. ...... .. .......... ...... John H . Boyd, L ouise ........................... ......... . Dr. Max M . Stettner , Lubbock Dr. William G. Castle, Lubbock Dr. Richard M . Mayer , Lubbock . Secretary -Treasu rer ................. Presiden t .. ......... Preside n ~-El ect .. ........ ...... Vice President . S ecre tar-y -T Jreasurer DISTRICT 10 P vesident ....... Presiilen t-Eiect ___ .Secretary-Treasurer DISTRICT ll DISTRICT 12 D r . Auldine C . Hammond, Beaumon t Dr. Lynn F. Fite, Nederland .................... . Dr . Paul D. Siefkes, Groves ............ P r es·i de not .... ........ Vice President ..Sec retary-Treasu.r ex: ................... P vesident .. ........... President-Elect .. ... S ecre tia r.y-T r.e asure r I;>ISTRICT 13 B<~.nham ..... ....... ........... .. ........ President Dr . K enneth G. White , C<>mmerce ...................... .. ....................... Vice President D r. Roy G. Math-ews , Wolfe City ------------- --- -----------.--------- ------------ Seere tary Dr. Patrick Mar tin , Commerce .............. .. --- -- ------- ------.... .....Treasurer D>o. Jack R . Vinson , DISTRI'CT 14 Dr. Mabel F. Martin , Weslaco ..... .............. .. ....... President Dr. Ralph H. Moore , McAllen . ...... ......... ............ . ....... Vice Pres ident Dr. Joe Suderman , Pharr .......... .................. ........................... .. ............... Secretary--Treasurer RO BERT HAWTH ORNE GEORGE WALTERS shake hands with Blue Cross-Blue Shield HENRY DENNING TOM STARKE These men are the professional HAROLD WARREN B lue Cross-Blue Shield has processed relations division of Blue Cross-Blue millions of claims for billions of dollars Shield. They work with hospital and -an experience unmatched anywhere. doctor, to prevent problems, and to iron One of them can be at your desk, them out when they occur. They accu- tomorrow. It's easy to shake hands with mulate a vast amount of hospital Blue Cross-Blue Shield. knowledge, which they are happy to share with you. And they are backed by a total experience, in Blue Cross-Blue Shield, which staggers the imagination. For