The Pierce County Medical Society Bulletin 1965

PIERCE COUNTY MEDICAL SOCIETY BULLETIN VOL. XXXVI—No. 1 TACOMA, WASH. JANUARY - 1965

PIERCE COUNTY MEDICAL SOCIETY REGULAR MEETING JANUARY 12 BULLETIN of the Pierce County M edical Society Pierce County Medical Society 1965 OFFICERS P re sid e n t ...... —-...... Frederick J. Schwind President-Elect ...... Glenn G. McBride Vice-President ...... -...... - ...... Lester S. Baskin Secretary-Treasurer ...... Arnold J. Herrmann Executive Secretary ...... Judy Gordon TRUSTEES Richard F. Barronian Robert C. Johnson Lester S. Baskin James D. Lambing Myron A. Bass Glenn G. McBride J. W. Bowen, Jr. Clinton A. Piper January Birthdays Robert R. Burt Frank J. Rigos Arnold J. Herrmann Frederick J. Schwind 1 George G. R. Kunz D E L E G A T E S Douglas P. Buttorff Frederick J. S ch w in d 2 Stevens Dimant Robert M. Ferguson Stanley W. TueU Robert W. Florence Wayne W. Zimmerman Hillis F. Griffin Glenn G. McBride ALTERNATE DELEGATES 3 B urton A. Brown Richard F. Barronian Herman S. Judd Charles J. Galbraith Robert W. Osborne Ralph H. Huff Philip Grenley Charles C. Reberger Kenneth E. Gross 4 Edmund A. Kanar COMMITTEES E th ics 5 Norman E. Magnussen Murray L. Johnson, Chairman Samuel E. Adams Frank R. Maddison Bernard N. Ootkin G riev a n c e Frank J. Rigos, Chairman Paul B. Sm ith, Sr. G. M. Whitacre Stanley W. Tuell Program 7 Robert M. Ferguson Robert C. Johnson, Chairman Clinton A. Piper Robert M. Ferguson George H. Hess P u b lic R elations James D. Lambing, Chairman George A. Race John F. Comfort Robert M. Ferguson Kenneth E. Gross G. Marshall Whitacre 9 Carlisle Dietrich L ib ra ry Don G. Willard, Chairman 10 William Burrows Robert M. Freeman William E. Avery P u b lic H ealth D. A. M arlatt Lawrence N. Brigham, Chairman Cecil R. Farther Robert C. Johnson Orvis A. Harrelson David L. Sparling 12 William H. Todd House and Attendance John R. Alger, Chairman 16 Robert H. Gibson Robert Klein William W. Mattson, Jr. Civil Disaster Leo F. Sulkosky Edward R. Anderson, Chairman Leo Annest Charles E. Kemp 18 R. A. N orton Robert R. Burt Richard B. Link Kenneth D. Graham Robert D. McGreal James F. Ward T. R. Haley Leo F. Sulkosky David T. Hellyer Arthur P. Wickstrom 19 Theodore Apa D iab etes Robert A. O’Connell, Chairman Don Cummings Robert A. Kallsen Roy 11. Virak Entertainment William L. Rohner Walter L. Sobba 20 R alph A. Johnson Geriatrics S. Robert Lantiere, Chairman Ronald T. Spangler Herbert C. Kennedy Harold F. Kahler Legislative 24 Rene Gay-Balmaz J. Hugh Kalkus, Chairman Homer W. Humiston Herman S. Judd 26 Raymond C. Ellis B. D. Harrington John M. Shaw Wayne W. Zimmerman Medical Education 27 John M. H avlina Edmund A. Kanar, Chairman Glenn G. McBride Bernard R. Rowen 30 William L. Spaulding James Mason (Ex-officio) Operation Hometown 31 Virginia L. Larsen Douglas P. Buttorff, Chairman Schools Robert B. Truckey George C. Gilman, Chairman Cecil R. Fargher Dudley W. Houtz Orvis A. Harrelson Everett P. Nelson Mental Health Hugo Van Dooren, Chairman James M. Blankenship Jerman W. Rose Poison Control Claris Allison, Chairman Cover Photo . . . Bulletin Staff E d ito r ...... Stanley W. TueLI Courtesy of T o m U p p e r Business Manager ...... Judy Gordon Auxiliary News Editor...... Mrs. Alva E. Miller

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MONDAY TUESDAY WEDNESDAY THURSDAYFRIDAYSATURDAY

1 2

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P i e r c e C o u n t y M e d i c a l S o c i e t y P.C.M.B. Board C.P.C. of 8:15 p .m . OB-CYN Conf. 8:15 p.m. TGH-M VGH T.G.H. (MVGH Classrm.) C.P.C. of Mary 8-9 a.m. S a.m. Bridge—S a.m.

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25 26 27 26 29 30 Tacoma Acad, of Pierce County Internal Medicine Path. Cancer C.P.C. of Academy of 6 p.m. Conf.—T.G.H. TGH-M VGH General Practice S - '- i a.m. (MVGH Classrm.) 6:30 p.m . C.P.C. of Mary S a.m. Bridge—S a.m.

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penalty when good intentions aren't brought to life by a W ill. Lack of a Will based on sound tax plan ning may expose assets to double, even triple taxation—each cutting more dollars from the funds that a grandchild finally receives. Find out how much an up-to-date Will might save for younger members of your fam ily! Get together soon with your attorney and with us. Thoughtful Wills and experienced Trustee ship have preserved the funds for many a college education. C e r s h o m C . R o w l a n d Senior Vice President and Trust Officer TRUST DEPARTMENT

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PIERCE COUNTY MEDICAL SOCIETY MEETING

Tuesday, January 12

Medical Arts Building Auditorium

PROGRAM - - - 8:15 P.M.

"STEELHEADING CLINIC" Samuel E. Adams, M.D. Walter L. Sobba, M.D.

* * * *

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At the beginning of the new year it is traditional to look back on the achievements and statistics of the previous year. The most important public health problem which attracts our attention is the increase in traffic fatalities in 1964. Automobiles and their drivers killed more people last year than in any time in the history of the State of Washington, surpassing the previous record of 661 traffic deaths set in 1941. We can expect the national traffic death toll to exceed 40,000 again in 1964. In this era of colossal statistics, small figures lost their significance unless we have a suitable “yardstick” for comparison. The 1964 national traffic death figure (roughly 40,000) is just a little less than the total military personnel and their dependents at both Fort Lewis and McChord Field (42,000). Our Washington State traffic fatality figure for 1964 is somewhat more than 600-odd men of the fabled “Lost Battalion” of World War I. A decade ago, the governor of our State instituted a vigorous cam paign to try to reduce the number of accidents and deaths on our streets and highways. While the campaign lost momentum near the end, there was a significant drop in the state traffic death toll for the year. The governor is in a particularly good position to spearhead a drive to reduce traffic deaths because of his political stature and his liaison with various departments of State government and the legislature. In his “blueprint for progress”, let us hope that our new governor will immediately launch a very active program aimed at reducing traffic accidents and deaths during the next few years. This may necessitate an increase in the size of our State Patrol, as our highway system has ex panded greatly and vehicle registration has increased by about a half million in the past decade. The “Lost Battalion” of our streets and highways in 1964 included a shockingly high percentage of young adults, some never having had a chance to contribute to the wealth of our great State or enjoy the benefits thereof. Let’s hope that 1965 will bring some improvement in our major public health problem in Washington State.

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Medical Arts Building Building Office: 110 Medical Arts Bldg. MArket 7-6441 METROPOLITAN BUILDING CORP., MGRS. 10 B U L L E T IN of the Pierce County M edical Society

Editorially Speaking

Is it time for you to . . .

Renew your driver’s license? Get your annual physical? Oil your furnace?

If you’re not sure, perhaps a glance at page 2 in every issue of the Bulletin is just the reminder you need. While it may be just a bit far-fetched to imply that any doctor would actually need to be reminded of his birthdate, it happens that the monthly birthday column in this publication is the result of official action taken by the Society several years ago. In their eagerness to get themselves to take some of their own medicine, members voted to publish a “birthday column” in hopes it would serve as a reminder to each physician that it was time for him to strip down, say “Ah”, breathe through his mouth and tolerate the probing finger of one of his unsympathetic colleagues.

In response to a recent criticism that labelled the birthday list as a childish Sunday-school-paper gimmick, were proud to announce that an informal poll of several members revealed that a majority actually did glance at the column in question with at least some degree of interest.

Even if you don’t have anything to be reminded about on your birth day, you'd better look at the column regularly or you might miss such useful facts as the following: George Washington shares his birthdate with Charlie Galbraith; George Kunz is the only doctor born on New Year’s Day; groundhogs celebrate with Art W ickstrom; October is the most popular month for birthdays (37); February the most exclusive (16)- September 11 produced the most doctors (5); and all doctors who com plained about having a birthday column in the Bulletin were born on December 13.

Happy Birthday! —S.W.T. 11 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

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Providing “PROFESSIONAL COUNSEL FOR THE PROFESSIONAL” Life 8c Health Insurance Professional Partnerships Annuities Estate Creation Planning Pension Plans (including H.R. 10) Estate Conservation Planning As Brokers we are YOUR agent, NOT an Insurer’s Agent. Offices at Suite 306, Security Building Tacoma,Washington MA 7-8181 12 B U L L E T I N of the Pierce County M edical Society Schwind Installed (Don't Contact Me, As New President; Call Up Health Rigos Honored D ept. Editor) The following statement has been issued by Dr. C. R. Fargher, Tacoma- Pierce County Health Director, for pub lication in the Bulletin: “It has been called to my attention that some members of the Medical So ciety are not familiar with the Regu lations of the State Board of Health per taining to health statements regarding Venereal Disease. The regulations are as follows: ‘No laboratory, physician, or other person shall issue to any indi vidual a certificate, statement, or re port which states or implies that the individual is free from venereal disease and which may be used for the purpose of soliciting sexual contacts. “This matter is being called to your attention because some medical state ments have been secured lately to aid in making sexual contacts.” Apparently Dr. Fargher would be will ing to answer any questions in regard to this problem, for he closes his letter to the Society’s executive secretary with, Dr. Fred Schwind, the new President “If you or the editor have any questions of the Pierce County Medical Society, about this please contact me.” is shown on the right above as he accepts the congratulations of the out going President, Frank Rigos. Dr. Schwind is giving Dr. Rigos a copy of PATRONIZE YOUR ADVERTISERS the resolution passed by the Board of Trustees expressing the Society’s appre ciation of Dr. Rigos’ year of service to the organization and to the community. DAMME I E R New Society officers elected by the mail ballot in December are as follows: Printing Co. President-elect, Glenn McBride; Vice- 811 Pacific Ave. Tacoma President, Lester Baskin; Secretary- BRoadway 2-8303 Treasurer, Arnold Herrmann; Trustees, Myron Bass, Robert Johnson and Clin ton Piper. HAVE YOU PAID YOUR AMPAC DUES? BULLETIN of the Pierce County M edical Society 13 mation and, therefore, parents will de Oral Polio Vaccine pend upon the advice of their private physician. In order that this program, Routine Defined; sponsored by our Society, be successful, it needs the whole-hearted support and Cooperation Urged enthusiasm of the membership. In the last issue of the Bulletin, Dr. It will be suggested to parents that Rigos reported on the formation of an they may receive the oral polio vaccine Oral Polio Vaccine Committee. This in the office of their private physician committee, following the recommenda if they so desire. tion of the Washington State Health Department, has embarked on a pro La w r e n c e N. B r ig h a m , M.D. gram of immunization of children be tween the ages of three months and eighteen years. We will use Lederle’s Steel head Experts trivalent oral vaccine in two doses with an eight week interval between feed ings. Children will be charged one dol Adams and Sobba lar for immunization. Those unable to pay will be immunized free. All chil To Reveal Secrets dren, whether or not they have received When doctors get to telling fish stor adequate protection with Salk vaccine, ies, there always seems to be one thing should take the oral vaccine. Because that makes Sam Adams and Walt Sobba of the age groups involved, it was de different from the others—they catch cided to administer the vaccine through fish. At least this seems to be true in ths city and county schools if this was the fine art of catching the steelhead agreeable to the school administrations. in Washington rivers. Strangely enough, A meeting was held recently with our these two experts apparently have two vaccine committee, health department different approaches to the problem, personnel and school administrators. All and though it won’t be in the form of a groups were quite enthusiastic about the debate, both will air the “secrets” of program and the Public Health Depart their success at the January 12 meeting ment and school administration have of the Pierce County Medical Society. If lent personnel for use in implementing you've been an unsuccessful steelheader this program. Children from three in the past, here's your chance to pick months to five years of age will receive out the best features of both methods by the vaccine in the Junior High Schools. these two experts. And if you’re not a fisherman, you at least will have a We expect to give the first feeding chance to get better acquainted with of the vaccine during the week of Feb this important phase of Washington ruary 22nd and the second feeding State fishing lore. eight weeks later and m akeups as neces sary. Parents will be given consent forms along with information about the vaccine program.

We intend to publicize this program extensively. The private physician plays HAVE YOU PAID YOUR AMPAC DUES? a very important role in such a m ass immunization. We have always been the ultimate source of medical infor 14 BULLETIN of the Pierce County M edical Society Pierce County M.D. from the larger town of Kasulu, some 700 miles inland from the east coast of To Spend 5 Years Africa. Thirty-mile wide Lake Tangan yika separates that area from the Con go. The Sturdevants seem undaunted In Tanganyika by the recent unrest in the latter coun try. Heri is not far from the equator, but because of the elevation, the tem perature ranges a mild 60 to 90 de grees. Dr. Sturdevant isn’t interested in hunting, but will take along a new movie camera hoping to get some shots of the wild game that is so abundant in the area. The Sturdevant’s new home mailing address will be: Heri Hospital, Kasulu, Tanganyika.

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After nearly three decades of prac • Pleasant working conditions tice in Puyallup, Dr. Kenneth Sturde vant will close his office this month and • More leisure time leave for a five-year tour of duty at a • New facilities 70-bed hospital in Tanganyika, in Cen tral Africa. Dr. Sturdevant, shown • Laboratory, x-ray, physical therapy perusing a map of Africa, will leave with his wife, Evelyn, in mid-January We need — General Practitioners, and visit their children in California. They head for Hawaii on January 24, Internists and make stops in Japan, Hong Kong, and other points of interest during a trip that will take two months before they arrive at their destination. An im CALL WESTERN CLINIC portant stop on the way will be in Sai MA 7-9151 gon, where they will visit their son who is a medical officer there. 6th Avenue at South K As part of the 7th Day Adventist Tacoma medical missionary program, Dr. Stur devant will share duties with one other doctor at the hospital, which is located in the little village of Heri, too small to be on the map, but located not far HAVE YOU PAID YOUR AMPAC DUES? BULLETIN o f the Pierce County M edical Society 15

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President ...... Mrs. Sherman S. Pinto end of this street where the fire station President-Elect ...... Mrs. Merrill J. Wicks 1st Vice-President...... Mrs. Theodore Smith will be at your left; turn right and go 2nd Vice-President ...... Mrs. James E. Hazelriec 3rd Vice-President ...... Mrs. Sidney Kase a few blocks to the chapel; turn right •1th Vice-President ...... Mrs. Harold D. Lueken Recording Secretary ...... Mrs. John Liewerin front of chapel—on the left is a ten Corresponding Secretary Mrs. Francis W. Hennings Treasurer ...... Mrs. Thomas H. Skrinor nis court and parking lot with the club Dues Secretary ...... Mrs. C.lenn H. Brokaw AMAERF ...... Mrs. Russell Colley at the far end of the parking lot. National Bulletin ...... Mrs. Robert Kallsen Civil Defense and Safety...... Mrs. Herbert Kennedy Historian and By-Laws...... Mrs. Herman S. Judd Hope we see you there. Legislative______Mrs. Robert W. Osborne Mr.s. Jack ]. Erickson M em bership______Mrs. M. Edward Lawrence Paramedical...... Mrs. Frederick J. Schwind World Health Needs Help Procram ...... Mrs. George C. Gilman Publicity ...... Mrs. Richard T. Davis B ulletin...... Mrs. Alva E. Miller Anyone wanting to help World Social Mrs. Kenneth D. Graham Speakers Bureau ...... Mrs. John Colen Health may do so. In Tacom a, “Medical Telephone ...... Mrs. Kenneth Gross Minute Women ______Mrs. Dale Doherty Supplies for Missions” needs several Mrs. Robert M. Fersuson Community Service and Council Mrs. G. M. Whitacre volunteers to sort or pack surplus drugs H e a rt...... Mrs. W. W. Mattson, Jr. C ancer...... Mrs. J. Robert Brookeand medicines on Thursdays. F in an ce ...... Mrs. Haskel L. Maier D a n c e ...... Mrs. Robert P. Crabill Mrs. Arthur P. Wickstrom Our Medical Auxiliary Board has Fashion Show ...... Mrs. Dudley W. Houtz , ,, Mrs. Robert W. Florence voted to cooperate with “Medical Sup Mental Health ...... Mrs. Charles P. Larson Todays Health _...... Mrs. Homer W. Humiston plies for Missions”, a First Presbyterian Cook Book ...... Mrs. Thomas B. Murphy International H ealth ...... Mrs. Charles McGill Church-sponsored service organization Parliamentarian...... Mrs. William H. Goering sending supplies to foreign hospitals. Besides medicines (sample) they send surgical instruments, office equipment, January Meeting hospital coats, medical journals not Please don’t forget that the Madigan more than two years old. For collection General Hospital Officers Wives Club of these items call BR 2-3286. and General Stegar are entertaining our To help on Thursdays, contact Car Medical Auxiliary on Friday, January ole Hazelrigg, WA 7-9924, Ruth Mur 15th at 10 a.m. at the M adigan Officers phy, Marion Doherty or Edith McGill. Club. It will be a coffee and tour of the hospital. This is the first time they have entertained us and we would like to have a good attendance. Fund Started For There will be car pools from the Bon Dr. Carlson's Family Marche at the right of the main en trance, and at Lakewood Villa Plaza The Los Angeles County Medical As in front of V.I.P. The telephone com sociation sends word that it is accept mittee will be calling to see if you de ing contributions to the Physician's Aid- sire to use the car pool and how m any Carlson Fund, all donations to be used will attend. for the benefit of the family of Dr. Paul E. Carlson who was killed Novem Directions to the club are: Freeway ber 24 by rebel forces in the Congo. 99 south to the Madigan turnoff; go Checks should be made out to Physi left over the overpass and follow signs cian’s Aid-Carlson Fund and mailed to to the T”; go left and follow around 1234 North Vermont, Los Angeles 29, right to stop light; turn left; go to the California. 18 B U L L E T I N of the Fierce County M edical Society

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4100 Steilacoom Boulevard JUniper 4-0252 BULLETIN o f the Pierce County M edical Society 19 does promote “the most efficient use of AMPAC for 1965 available health facilities and services?” The New Year has begun and these Will you patient be angry when he dis very first days in January will surely covers that his records are open to portend what is to follow in 1965. Fol many bureaucrats? Etc., etc., etc., etc.) lowing the inauguration of our Presi There is a means available of doing dent, his actual strength in the House something about this besides just and Senate will be assessed in order to wringing your hands and HOPING for indicate the probability of passage of the best. We would appreciate seeing a special legislation. Certainly, one of the new surge of interest in our program. main programs under close scrutiny is We have received dues from only 20% the Medicare legislation and if the of our membership here in Pierce strength is there, a bill will pass through County so far. We are sincerely grate ths Congress both swiftly and surely. ful to these 20% who feel AMPAC is a If, however, the apparent strength is sound investment in a more secure not actually there, we will still stand a future. chance to fight further on in our battle for freedom in medicine. We sometimes wonder if we are not missing the boat in trying to reach the AMPAC was formed and sanctioned remaining 802. Perhaps they just don't by the AMA as its arm to fight social understand AMPAC or maybe we are ized medicine with "hard” dollars. The not explaining our position adequately. AMA itself may lobby in Washington Maybe we should have this in the form and can attempt to educate doctors and of a question and answer column. We patients but AMPAC is the AMA’s would certainly welcome any inquiries means of actually putting “hard” dol or suggestions in or outside of this lars or non-deductible cash at the dis column. We are trying to do a job for posal of the candidates whose views co all of you but we just simply need your incide with those of the AMA concern dollars to do a more adequate job. ing Medicare legislation. Since the Please think about AMPAC and give battle is a continuous one, we must start serious thought to your future and see now to build up our treasury so that if you don’t agree that AMPAC is a we are able to help our friends in Con necessary part of that future. A brief gress who are also fighting to preserve glance around will quickly indicate that freedom in the practice of medicine. politics has entered every phase of our And what does this mean to you per life, be it medicine, religion, education, sonally? Well, you may not be looking etc. Since this is so, we cannot turn our forward to bureaucratic interference backs on politics and ignore it. We must with your care of patients over 65 years understand, participate and try to im of age. (Is the necessary drug on an prove it. Politics at present is quite sick approved list? Will the patient be and surely we have the intelligence, and angry with you, his doctor, instead of diligence to provide the proper therapy. the Secretary of HEW if the average Join AMPAC for ’65! per diem rate for inpatient hospital T h o m a s H. Sk r in a r , M.D. services is inadequate? Will the hos pital to which your patient wishes to go 6th Congressional District and of which you are a staff member AMPAC Chairman be on the approved list? Will the hos pital utilization review committee de cide that your diagnosis and treatment PATRONIZE YOUR ADVERTISERS 2 0 BULLETIN of the Pierce County M edical Society

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FREE PRESCRIPTION DELIVERY BULLETIN of the P ie r c e C o u n t y M e d ic a l So c ie t y 23 HOSPITALS Saint Joseph s The X-ray and Medical Record stu Tacoma General dents sang at the annual employees’ Christmas Party on the 17th of Decem One of the highlights of the Christ ber. A trio of LPN’s also entertained us mas Season at Tacoma General Hos with Christmas carols, and the Junior pital was the annual Christmas party Choir from St. Leo's performed too. The for employees held on December 12, at X-ray and Medical Record students Fellowship Hall, which was gaily decor caroled throughout the hospital on the ated for the occasion. Hospital em 21st of December. There was abundant ployees presented a talent show which food for all, and everyone had a wonder was followed by a delightful buffet sup ful time. per. The evening’s activities ended with greeting friends and dancing. About There will be an Operating Room 550 employees and guests attended. For Nurses’ Conference on Saturday, Jan the employees who had to be on duty at uary 16, 1965, at Jackson Hall, Tacoma the hospital a continuous buffet supper General Hospital School of Nursing. was served in the hospital dining room. Co-chairmen are Mrs. Donna Neilsen, R.N. and Mrs. Ellen Lessor, R.N. The morning session is cardio-vascu- lar surgery.

CHARACTER PLUS CHARM $47,500 Moderator: Mrs. Donna Neilsen, R.N. North 5th and Tacoma, 7 Bedrooms, 6 Baths. Solid Brick and Stone, not veneer, Clay Tiled Roof. Double Entry to large hall, Panelists: Dr. David Goodson, Dr. Open Staircase, Huge Living Room, Den, Clinton Piper, and Miss Gale Banquet-size Dining Room, Tiled Pow der Room off main hall. Tomes, R.N. The afternoon session is orthopedic New Birch Kitchen, Built-in Range, Dish washer, Disposal. Large private, land surgery. scaped yard, Fenced patio area, 4 Gar ages. A most distinguished home, shown Moderator: Mrs. Ann Lee, R.N. by appointment anytime. Call Harry Hotchkiss, SK 2-5601. (HE 7-89) Panelists: Dr. Edward Eylander, Dr. R. E. ANDERSON & CO., INC. Robert Florence, and Mrs. Marian 752 Broadway BR 2-8475 Wetsch, R.N. Member Multiple Listing Service In addition, Cardiac Arrest will be discussed by Dr. Gordon Dean. Mrs. Florence Reidinger represented the school at the College Night Program held by the Holy Names Academy in Seattle.

The Junior Class is celebrating their recent victory in the Christmas card sale competition. They are also raffling tickets for a dinner for two at a top Tacoma restaurant of your choice. This money will be used to send representa tives to the National Student Nurses’ 24 B U L L E T I N o f the Pierce County M edical Society Convention in San Francisco this M arch. Lakewood General The Freshman class is busy planning Three Year Accreditation the annual Winter Prom which will be Word has been received from the in the Crystal Ballroom on the 9th of Board of Commissioners of the Joint January. Commission on Accreditation of Hos New officers in the Freshman class, pitals that the hospital has been ac recently elected to fill vacancies are: credited for a period of three years. The Social Chairman, Mary Ann Basista, hospital, which has been in operation and Court Representative, Judy Budgett. for three and one-half years, was sur veyed October 29, 1964, by Robert F. Newly-elected officers of the Medical Brown, M.D., field representative of the Staff for 1965 are; President, Dr. Row- Commission. cn; President-elect, Dr. O’Connell; Vice President, Dr. Comfort; Secretary, Dr. Christmas Party Piper; Chairman of Credentials Com mittee, Dr. Dean; Member at large of A party that all of the hospital em the Executive Committee, Dr. Thomas. ployees, medical and dental staff of Lakewood General Hospital look for MRL Contributions to the Bulletin; ward to each year is the Christmas She tood before the pearly gate, party and dance. It was again held at Her face was drawn and sad. the Tiki Restaurant on December 19th She stood before the man of fate, and jolly old Santa (really Dr. Albert Who screened the good from. bad. Ehrlich) was right on time for the ' What have you done?" Saint Peter grand opening, bringing in a huge said, Christmas cake. When what to every "To gain admission here?" one's wondering eyes did appear but 'Tve been a Mecliccd Records head Miss "Merry Christmas” (Margaret For many, many a year.” Murphy) popping up — right out of The pearly gates swung open wide the cake — to spread Christmas joy Saint Peter rang the bell. and cheer to all those attending the "Come in and choose your harp, party. my friend, Highlights of the evening included You’ve had your share of hell.” dancing to a five piece dance band, a St. Joseph Hospital extends wishes of buffet dinner and the program with Dr. a very Happy New Year to the Medical John Harbottle acting as Master of Society members and their families. Ceremonies.

A hilarious feature of the program was the "belly-button" ballet staged by Doctors Kenneth Gross, Ralph Stagner and Kermit Mead.

Four charming chorus girls, Margaret Murphy, Arlyn Hodgert, Beverly Mc- Ilrath and Bernice Miller demonstrated the grace of “Island” dancing to the tunes of “Keep Your Eyes on the Hands” and “Christmas in Hawaii. They also led a “Sing Along” accom- ______BULLETIN of the P ie r c e C o u n t y M e d ic a l S o c ie t y ______panied by Bernice Miller on the piano. County Societies . . . The beautiful decorations were fur nished by the Hospital employee com IN THE NEWS mittee and the good will exuberated by all who attended is assurance that the Genesee County Medical Society. Mi party was a grand success. chigan, physicians participated in a re cent Civil Defense Exercise held in New Equipment Batavia, New York. Called Operation Lakewood General has purchased an Radac, the disaster was based on a pre American Optical Cardioverter and supposed wreck of a crowded, conven- Cardiometer for the hospital. tion-bound passenger train and a freight train carrying radioactive materials. The Auxiliary recently presented the 230 of the "victims" were rushed from hospital with medicine carts, a wheel the disaster site to emergency areas set chair, thermometer shakers, thermom up in three participating hospitals. The eter holders and an air mattress. prim ary purpose of the exercise w'as to This busy group under the guidance test the co-ordination and operational of Mrs. Kenneth Ritter, President, has function of the Civil Defense communi sponsored many money raising projects cation; fire, auxiliary police, medical, throughout the year including a style welfare-, transportation, engineer-public show and the gift bar they keep open works and radiological services under several days a week on the m ain floor emergency situations. of the hospital. The Auxiliary donated a Christmas Toledo Medical Society, Ohio, physi tree and decorated the hospital for the cians are cooperating in running the Christmas season. city's first Amputee Clinic. The clinic, sponsored by the Northwestern Ohio Many thanks also go to the employee Chapter of the National Rehabilitation committee for the tree they contributed Association, provides service to all am and to Mr. Hull for the beautiful white putees in the Toledo area upon a physi flo:ked tree for the front lobby. cian’s referral. The clinic staff will see the patients individually and will pro Returns From Europe vide the necessary medical recommend Dr. Michael Irvin recently returned ations; a gait analysis; make prosthetic from a tour of the European countries adjustments and fittings; give financial and is ready to go again! He stated that assistance if indicated; job evaluation three weeks is really not long enough and vocational counseling and physical to see everything and he would like to therapy instructions and home exercise go again in the near future and take his programs. family this time for a more extended trip. Cleveland Academy of Medicine, Ohio, is co-sponsoring a series of semin ars in health and related sciences en titled, "Continuing Education in Health and Fitness.” The purpose of the sem inars is to present teachers of health the latest developments, information and research on selected health topics. HAVE YOU PAID YOUR AMPAC DUES? Some topics are; "Family Life Educa- 2 6 BULLETIN of the Pierce County M edical Society tion,” "School Community Meeting on Venereal Disease” and “Mental and Emotional Health.” Participants in the seminars include health teachers, physi cal education teachers, science teachers, school nurses and administrators.

Luzerne County Medical Society, Pennsylvania, is distributing health cards to the public as an important step toward safeguard the public health. On these cards, the family doctor may note any special allergies to serums, antibi otics or note whether the patient is a diabetic, epileptic, etc. The Medical So ciety feels that this program is very important, especially where minutes may count in saving lives. The Society has had numerous requests for the cards and the idea is being well re ceived by the public.

Lycoming County, Pennsylvania, has been selected as a county for the Com munity Vaccination Project. This proj ect is a pilot program that will be a step in making sure all new infants are given the required vaccinations as soon as possible. The project will be handled by the Division of Vital Statistics and Data Processing. Parents of newly-born children will be mailed recommenda tions concerning early immunization when the child is two months old. A follow-up will be sent at six months and further follow-up measures will be taken as necessary.

Quote of Note . . . “Yes, we did pro duce a near perfect Republic. But will they keep it, or will they, in the enjoy ment of plenty, lose the memory of freedom. Material abundance without character is the surest way to destruction”

—T h o m a s J e f f e r s o n

PATRONIZE YOUR ADVERTISERS! BULLETIN of the Pierce County M edical Society 27

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“WHEN DID YOU FIRST START THINKING OF YOURSELF AS A STALACTITE?’

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"OH, THERE'S NOTHING UNUSUAL YO UR DISEASE IN ITSELF — IT JUST HAPPENS TO RF tw f fipqt TIME THAT IT’S EVER BEEN CONTRACTED BY A HUMAN BEING!”

Courtesy Medical Society Magazine Group 30______BULLETIN of the Pierce County M edical Society BULLETIN o f the Pierce County M edical Society 31 Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Monday of each month— 8:00 p.m. at 424 South K Street TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 8:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August— 6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and August— 6:00 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. ______------PIERCE COUNTY MEDICAL SOCIETY

PIERCE COUNTY MEDICAL SOCIETY REGULAR MEETING FEBRUARY 9 2 BULLETIN of the Pierce County M edical Society Pierce County Medical Society c 1965 OFFICERS P resid en t ______— Frederick J. Schwind President-Elect ______... Glenn G. McBride Vice-President ...... Lester S. Baskin Secretary-Treasurer ...... A rn o ld J . H e rrm a n n H ap-py birth - day to you, Executive Secretary ...... — —. ~ Ju d y G o rd o n TRUSTEES Richard F. Barronian Robert C. Johnson Lester S. Baskin James D. Lambing Myron A. P-ass Glenn G. McBride J. W. Bowen, Jr. Clinton A. Piper February Birthdays Robert R. Burt Frank J. Rigos Arnold J. Herrmann Frederick J. Schwind DELEGATES i C harles B. Arnold Douglas P. Buttorff Frederick J. Schwind Robert M. Ferguson Stanley W. Tuell Robert W. Florence Wayne W. Zimmerman 2 Arthur P. Wickstrom Glenn G. McBride ALTERNATE DELEGATES Richard F. Barronian Herman S. Judd 3 William P. Hauser Charles J. Galbraith Robert W. Osbome Philip Grenley Charles C. Reberger Kenneth E. Gross 6 H erbert C. K ennedy COMMITTEES A lfred L. Schultz E thics Murray L. Johnson, Chairman Don G. W illard Samuel E. Adams Frank R. Maddison G riev a n c e Frank J. Rigos, Chairman 7 D onald A. G raham G. M. Whitacre Stanley W. Tuell Program Robert C. Johnson, Chairman 15 Paul E. Bondo Clinton A. Piper Robert M. Ferguson Public Relations Thomas R. West James D. Lambing, Chairman John F. Comfort Robert M. Ferguson Kenneth E. Gross G. Marshall Whitacre 16 Scott S. Jones Library Don G. Willard, Chairman Robert M. Freeman William E. Avery 20 George A. Delaney P ub lic H e a lth Lawrence N. Brigham, Chairman Cecil R. Fargher Robert C. Johnson 22 Charles J. Galbraith Orvis A. Harrelson David L. Sparling House and Attendance John R. Alger, Chairman 23 Philip C. Kyle Robert Klein William W. Mattson, Jr. Civil Disaster Frank J. Rigos Edward R. Anderson, Chairman Leo Annest Charles E. Kemp Robert R. Burt Richard B. Link 24 James E. Hazelrigg Kenneth D. Graham Robert D. McGreal T. R. Haley Leo F. Sulkosky David T. Hellyer Arthur P. Wickstrom 25 Axel Lindstrom D ia b e te s R o b ert A. O’Connell, Chairman Robert A. Kallsen Roy H. Virak Entertainment William L. Rohner Walter L. Sobba G eriatrics S. Robert Lantiere, Chairman Herbert C. Kennedy Harold F. Kahler Legislative J. Hugh Kalkus, Chairman Homer W. Humiston Herman S. Judd B. D. Harrington John M. Shaw Wayne W. Zimmerman Medical Education Edmund A. Kanar, Chairman Glenn G. McBride Bernard R. Rowen James Mason (Ex-officio) Operation Hometown Douglas P. Buttorff, Chairman Schools George C. Gilman, Chairman Cecil R. Fargher Dudley W. Houtz C o v e r P h o t o by Tom Upper. . . . The Orvis A. Harrelson Everett P. Nelson Mental Health Hugo Van Dooren, Chairman Shay locomotive at Camp Six, the new James M. Blankenship Jerman W. Rose Poison Control Claris Allison, Chairman Lumber Museum at Point Defiance Bulletin Staff E d ito r ...... Stanley W. Tuell Park. (See story on page 25.) Business M anager...... Judy Gordon Auxiliary News Editor ...... Mrs. Alva E. Miller

PATRONIZE YOUR ADVERTISERS HAVE YOU PAID YOUR AMPAC DUES? BULLETIN of the Fierce County M edical Society 3

TOP: Hank Everson. Chuck McCallum, Dick Milton, Jim Gribbon. BOTTOM; Rea! Heston, Ken Platzer, Hal Gullett. Seven dyed-in-the-wool optimists

If you do business anywhere in the Tacoma trading area, you should meet these men and know them well. They are the business loan officers at the Puget Sound National Bank. They know it takes money to make money. And they are willing to do everything they can to put a practical idea into motion. By trying harder, they help make the best of sound ventures. And to a man, they believe business in Tacoma is good and getting better. If this is the way you like to do business, come on in for a talk. We won’t pull the wool over your eyes.

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MONDAY TUESDAY WEDNESDAY THURSDAYFRIDAY SATURDAY

1 2 3 4 5 6 Tacoma Acad, of Psych. & Neurol. C.P.C. of Mary Surgery Grand Pierce County C.P.C. of 8 p.m. Bridge— 8 a.m. Round—T.G.H. Pediatric Society TGH-M VGH 8-9 a.m. 6:00 p.m. (MVGH Classrm.) Tacoma 8 a.m. Orthopedic Society 8 p.m. 10 8 9 11 12 13 Pierce County M edical Society C.P.C. of St. C.P.C. of 8:15 p .m . OB-GYN Conf. Joseph's—9 a.m. TGH-M VGH T.G.H. (MVGH Classrm.) C.P.C. of Mary 8-9 a.m. 8 a.m. Bridge— 8 a.m.

15 16 17 18 19 20 Tacoma Surgical Club— 6:30 p.m. Medicine Grand P.C.M.B. Board C.P.C. of Rounds—T.G.H. 8:15 p.m. TGH-M VGH C.P.C. of Mary (MVGH Classrm.) Bridge— 8 a.m. 8 a.m.

22 23 24 25 26 27 Staff of Mt. View Tacoma Acad, of General Hospital Internal Medicine Path. Cancer C.P.C. of 6 p.m. Conf.—T.G.H. C.P.C. of St. TGH-M VGH Pierce County 8-9 a.m. Joseph’s— 9 a.m. (MVGH Classrm.) Academy of C.P.C. of Mary 8 a.m. General Practice Bridge—8 a.m. 6:30 p.m.

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review your Will

An addition to your family—the sale or purchase of property—a relocation from one State to another—these and many other personal and legal changes make a Will review essential. Consult your attorney and our Trust Department. For your family’s sake— don’t put it off!

G e r s h o m C. R o w l a n d Senior Vice President and Trust Officer TRUST DEPARTMENT

MEMBER FEDERAL DEPOSIT INSURANCE CORPORATION BULLETIN of the Pierce County M edical Society 7

PIERCE COUNTY MEDICAL SOCIETY MEETING Tuesday, February 9

Medical Arts Building Auditorium

PROGRAM - - - 8:15 P.M.

"THE JUVENILE DELINQUENT and the ROLE OF CASCADIA DIAGNOSTIC CENTER"

THEODORE STERLING, PhD., Chief Psychologist

* * * *

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Dinner: 6:45 Honan's Restaurant

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Many communities throughout the United States have found, to their disappointment, that hospitals can not be built in any haphazard fashion in urban and sub urban areas; or in the same manner as gasoline service stations or grocery stores. There are many towns and cities, particularly in California and the southwest, where civic leaders and public-spirited citizens have worked hard and made financial sacrifices to obtain a commun ity hospital only to have it turn into a financial failure. Hospitals are not meant to be profit-making corporations, but in order to fulfill their community function, they must remain at least solvent. By their very nature, hospitals are prone to be unprofitable institutions. Every general hospital has certain departments which constantly operate at a deficit, and every hospital experiences seasonal fluctuations in the “per centage occupancy” of its beds. Shifting populations trends, improvement in transportation and roads, and the general economic “climate” of an area can alter the utilization of certain hospitals.

The concept of “area-wide hospital planning” has come into being in the past decade. The State of Washington has had its first experience in this field during the past year. A group in Seattle, using a federal re search grant in Public Health, has been studying the problems of the co ordinating of health facilities in the Puget Sound area. Dr. Quin DeMarsh gave a fine talk at one of the fall meetings of our Society last year. He cited several instances where the group was instrumental in hospital planning and stated that the committee will continue to function as a permanent group and will eventually get its necesasry financial backing from local sources.

The subject of area-wide hospital planning was discussed at several meetings of our Board of Trustees last year. There was lively discussion and many opinions and suggestions were brought forth. It was the opin ion of our Board of Trustees at that time that we would favor area-wide hospital planning as long as it was voluntary and on a local level. How ever, Dr. James Hazelrigg was appointed as a committee of one to study further developments at a State level. He spent much time and energy attending meetings of the Seattle group and corresponding with agencies of the A.M.A. and other groups and individuals. Dr. Hazelrigg will con- (Continued on Page 10) BULLETIN of the Fierce County M edical Society 9 r>X ■Far r ells PRESCRIPTIONS, INC.

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Medical Arts Building Building Office: 110 Medical Arts Bldg. MArket 7-6441 METROPOLITAN BUILDING CORP., MORS. 10 BULLETIN of the Pierce County M edical Society

( Continued from Page 8)

tinue on in the same capacity during the coming year and will keep the Society and Board of Trustees informed of new developments.

The Washington State Medical Association is planning a Health Facilities Co-ordinating Conference to be held in Seattle on Saturday, May 22, 1965. The principle subject at the conference will be the con struction of hospitals and hospital beds—the need, where and how many— and how these factors can be determined on a co-operative basis. This is a very timely subject as President Johnson in his “recommendations for health care”, proposes the establishment of a national network of centers for clinical investigation, teaching and patient care to bring the highest medical skills in heart disease, cancer and stroke within the reach of every citizen. Such Federal planning may not be as co-operative, voluntary or co-ordinated as many of us would wish it to be.

F r e d e r ic k J. S c h w i n d , M.D.

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Editorially Speaking

I call it ‘The Osteopathic Paradox”, and it goes like this:

If you favor diagnosis and treatment based on osteo pathic theory and wish to perpetuate, such a group of practitioners, you should have voted “No” when certain osteopaths applied for admission to your hospital staff recently.

If you are opposed to such narrow-minded methods of patient care and wish to see osteopathy die out in the State of Washington, you should have voted “Yes” on admission of quali fied osteopaths.

Some of our most respected colleagues who are just as anxious as you and I to preserve the high quality of medical care, have concluded that certain osteopaths have been through a curriculum of study and training that enables them to practice medicine utilizing the same prin ciples that are taught in our medical schools. They are capable of a high quality of medical care and are members of the Washington State Medical Association. They have, in effect, divorced themselves from the “old line” osteopaths and do not limit their methods by the restrictive rationale of osteopathy. If top-notch osteopathic schools can henceforth produce M.D.’s, and if present high-quality osteopaths can join us conscientiously and effectively in our one main goal—good medical care—the osteopathic sect may be eliminated from our State within another decade or two. I am aware of the potential, legal, technical and political problems involved, but I am confident these will be solved. If you are opposed to limiting patient care to osteopathic theory, as I am, you should vote favor ably on admission of qualified osteopaths to our hospital staffs. —S.W.T. BULLETIN o f the Pierce County M edical Society 13

Amytal takes the edge off daytime anxiety

During World War II he served as a Major in the Army Medical Corps. I can well remember when he took off IN MEMORlAM to join General Patton’s outfit for a grueling desert training in the blister ing heat of the California desert. After this he was in the thick of the war in the European Theater.

After the war he returned to San Francisco to take special work in hand surgery and this was his great love. He became so proficient in this field that he was a recognized authority. I can personally testify to his skill in giving me back a workable hand after a home work-shop accident.

He was a past-president of the North Pacific Surgical Association and the Washington State Chapter of the American College of Surgeons. In 1954 he served as president of our own Pierce County Medical Society. He was very active in the medical affairs of the State. In 1953 he was elected speaker of the House of Delegates of the Wash J e s s W. R e a d , M.D. ington State Medical Association, a po sition his highly-esteemed father had Jess W. Read died on January 18, held before him. It was a signal honor 1965 from carcinoma of the lung after when the medical association of the an illness of only three months. We are State elected him as one of our three so stunned over his passing that as yet delegates to the American Medical As we are unable to realize the impact of sociation and this position he has con our great loss. He was only fifty-nine, tinued to hold over the past nine years. yet I am sure he lived and accomplished Through his work with the AMA he was far more in that span of years than most appointed to various important com of us can ever accomplish with a much missions including the Commission on greater span. Medical Costs and the Council on Medi cal Service. When the Washington Jess was a native son of Tacoma, State Legislature authorized the crea born October 9, 1905, an illustrious son tion of the Washington State Disciplin of an illustrious father. He received his ary Board, he served as its first secretary education at Stanford University, com and the following term he was appoint pleting his undergraduate work in 1925 ed chairman. He served three terms as and his medical degree in 1930. He president of the Board of Directors of served a two-year internship at San Doctors Hospital and before his death, Francisco General Hospital before com he was made Honorary President of the ing home to Tacoma for practice in Board. He had served on the boards of 1933. directors of all the Tacoma hospitals BULLETIN o f the Pierce County M edical Society 15 and had been assigned so many other special tasks that they are all too num Jess Read Memorial erous to mention. Fund Established “He lives well who serves well” epit omizes Jess’s character and being. He For Hospital Project was unselfish in his devotion to the As a permanent expression of this service of others, not only for his pa community’s gratitude for the unselfish tients, but for his fellow physicians and services of Dr. Jess Read, a memorial this we could well emulate. He was a fund has been established in his name man of great warmth and understand at the Doctors Hospital. The fund will ing; he fit like an old shoe, yet there was be used in connection with the planned much of the meticulous about him, not new hospital building, a project in only in his deportment but particularly which Dr. Read played an important in his surgery where his colleagues role. He was on the Board of Directors found him of the highest calibre. of that hospital for many years and was He had that certain humility char lifetime honorary President of that acteristic of the true Christian, yet he group. His interest in the new building commanded the respect of all men. He plans was so great that Mrs. Read felt would have made as great a success as contributions in his memory should a Supreme Court Justice as he did in most appropriately go to this cause. his chosen profession. He knew people Contributions should be sent to the only as one who loves his fellow m an. Jess Read Memorial Fund, Doctors Hos He was honest in everything he did and pital, Tacoma. if he had any enemies I knew not whom they might be. He will greatly missed not only by the local physicians and a host of “ Glasses as your eye friends, but by a great many physicians physician prescribes them” of the State and nation. It was a great Contact Lenses — Artificial Eyes privilege for us to have known such a true and fine gentleman. It will be a Columbian Optical Co. long time before another such m an shall pass our way. Ground Floor, Medical Arts Bldg. Medical Center We extend our heartfelt love and Western Clinic Bldg. sympathy to his mother, his wife, Dotty, Lakewood and the family.

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JOHN T. STEWARD, INC. Realtors JU 4-1112 9842 Gravelly Lake Dr. S.W. John T. Steward L. O. Larsen BULLETIN o f the Piebce County M edical Society 17 consulting editor to Mind. Dr. Berb Internists1 Meeting linger will also present a paper during March 6; Barronian the afternoon program concerning the application of psychotherapeutic prin Announces Program ciples in medical practice. Two well-known psychiatrists from The other guest from San Francisco San Francisco and another from Seattle will be Dr. Carroll M. Brodsky, Assistant will be guest speakers at the 15th an Professor in Psychiatry at the University nual meeting of the Tacoma Academy of California School of Medicine, where of Internal Medicine on Saturday, he previously received his medical de March 6, at Jackson Hall, according to gree. Dr. Brodsky also has a Ph.D. de Dr. Richard Barronian, Academy Presi gree in anthropology. He is currently in dent and chairman for the annual pro charge of Research Training, at the Uni gram. The topic for the day will be versity of California. He will start the "Psychiatry in Office Practice” and vari ous functional ailments and their re spective diagnoses and treatments will be discussed. The evening session of the all-day meeting will be at a banquet in the Crystal Ballroom of the Winthrop Hotel and will feature an address on “The Functional Symptom in Psychiatric Per spective” by Klaus W. Berblinger, M.D., Associate Professor of Psychiatry at the University of California in San Fran cisco. Dr. Berblinger obtained his medi cal degree from the University of Mun ich and the University of Bern and had post-graduate training Switzerland. He is associate editor of Psychomatics and

Dr. Brodsky afternoon session with his paper on “Tranquilizers and Energizers in Office Practice.” Dr. Neal E. Ely is a practicing psy chiatrist in Seattle and is Clinical In structor in Psychiatry at the University of Washington School of Medicine, where he received his degree and post graduate training. Dr. Ely is especially interested in problems of alcoholism and his afternoon paper will be entitled “Alcoholism in Office Practice, Diagno sis and Management.” All three guest speakers will enter in Dr. Berblinger (Continued on Page 19) MOUNTAIN VIEW FUNERAL HOME

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(Continued from Page 17) A f t e r n o o n Se s s io n free discussion of the six cases to be Moderator: Ernest Creelman, M.D. presented during the morning session 2:00 p.m.—Tranquilizers and Ener by local internists who are members of gizers in Office Practice the Academy. Dr. Harold B. Johnston Carroll M. Brodsky, M.D. will moderate the m orning session and Dr. Ernest Creelman the afternoon ses 2:50 p.m.—The Application of Psyco- sion. Dr. Barronian will preside at the therapeutic Principles in Medical evening meeting. Practice Klaus W. Berblinger, M.D. All physicians are invited to attend. Registration will start at 9 a.m. in Jack 3:55 p.m.—Alcoholism in Office Prac son Hall across from Tacoma General tice, Diagnosis and Management Hospital. The registration fee of $7.50 Neal E. Ely, M.D. will include the evening banquet. Any one wishing further information about E v e n in g Se ssio n the meeting may call Dr. Barronian at Winthrop Hotel FU 3-1271. 6:30 p.m.—Social Hour The entire program is as follows: 7:30 p.m.—Banquet ANNUAL MEETING Tacoma Academy of Internal Medicine Moderator: Richard F. Barronian, M.D. Jackson Hall Address: The Functional Symptom in Tacoma General Hospital Psychiatric Perspective M o rnin g Sessio n Klaus W. Berblinger, M.D. 9:00 a.m.—Registration Fee: $7.50 (includes banquet) Morning coffee SURPLUS EQUIPMENT such as treatment Presentations for discussion by cabinets, scales, desks, dental unit, waste receptacles, etc., sec at Western the guest speakers. Clinic February 9, 10, 11. Moderator: Harold B. Johnston, M.D. 9:30 a.m.—Functional Gastrointes tinal Syndrome RETIRING MARCH 31st. Office furniture Horace A. Anderson, M.D. and equipment for sale April 1 to 15. A. B. Heaton, M.D. 10:00 a.m.—Anorexia Nervosa with 611 Jones Building Diabetes Robert A. O’Connell, M.D. 10:30 a.m.—Ulcerative Colitis AVAILABLE FOR RENT—Tacoma Medi Max Thomas, M.D. cal Center. Approximately 1000 square feet. W/W carpet and drapes. Will 11:00 a.m.—Functional Cough sell part or all furniture. Reasonable Bernard R. Rowen, M.D. rent. Call BR 2-7573. 11:30 a.m.—Case of Alcoholism Robert Kallsen, M.D. PATRONIZE YOUR ADVERTISERS 12:00 noon—Mixed Psychosomatic Symptomatology Theodore J. Smith, M.D. HAVE YOU PAID YOUR AMPAC DUES? 2 0 BULLETIN o f th e Pierce County M edical Society

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Doctors Hospital Building BULLETIN of the Pierce County M edical Society 21 wet rainy state, because she couldn’t HOSPITALS stand the dry weather. A new addition has been made to each chart room on 3rd. There is a beau Saint Joseph's tiful walnut transistor clock hanging on Students and faculty enjoyed the an the wall in memory of Myrtle Halver nual winter prom, "Winter Fantasia” son, R.N., for her devoted service on sponsored by the freshman class on the Medical Floor. We thank all who January 9th. The court for the dance, have made this possible and invite which was held in the Crystal Ballroom everyone to come and look. of the Winthrop Hotel, were Sue Beck- Mrs. Walter Bromley, L.P.N., a for ner, Queen; and Barbara Antush and mer employee or? 3-11 is celebrating her Kathy Chittenden, princesses. 50th wedding anniversary with her hus As a class project, the Junior class band, daughters, son and their families. has been sponsoring a foreign child There will be 12 grandchildren, and 5 from India. She is a fifteen-year-old girl great-grandchildren. named Julia who is a member of a At the January meeting of the Pierce large family. Each class member do County Catholic Nurses, held at St. nates fifty-cents per month toward this Joseph’s Hospital, the program consist project. Julia has responded by writing ed of a panel of three clergymen of the to the group about her family, home and major faith who discussed the “Nurse’s country. Responsibility in Caring for a Patient A new group of student nurses are Whose Condition Presents Serious Risk, just starting their rotation through the to or Destruction, of Life.” E.R. Mr. Guthnecht, Miss Hoesley, and Benediction was celebrated first at Miss Vannase are among the first. 8 p.m. by Rev. Thomas Pitsch, chapter Welcome. spiritual director and pastor of St. Pat rick’s Parish. Two new girls on our E.R. Staff are Miss Dolores Beyler, a new RN, and The short business meeting featured Mrs. Jean Engels, a former annex em the panel composed of Father Pitsch, ployee. It’s nice to have them with us. Rev. John Soltman, pastor of Mason Methodist Church, and Rabbi Richard The E.R. and Admitting group can Rosenthal of Temple Beth El Syna settle back to normal after all the hustle gogue. and bustle for the Disaster Drill held The meeting was open to all regis on the 27th. tered and licensed practical nurses, said Mrs. Georgia Nupen, one of our Mary A. Collins, program chairman. Head Nurses, was chosen as one of the The X-ray students have been haunt judges for the Student Nurse of the Year ing the library and consulting the text Contest, held in Seattle, November 20. books. All of this activity has been in The contest was sponsored by the preparation for the upcoming Annual SWAN’s, under the capable direction of State Convention of X-ray Technologists Miss Manniseur. The winner chosen which will be held at the Winthrop was a student from Cabrini Hospital in Hotel on April 30-May 1. Student X-ray Seattle. technicians from the state will be sub We welcome Mrs. Mary Simon a new mitting manuscripts which will be judg R.N. working a 3-11 shift. Also, wel ed by an essay awards committee; four come back to Mrs. Carlson, a L.P.N., papers will be selected as winners and who has moved back from Utah, to our (Continued on Page 23) 2 2 BULLETIN of the Fierce County M edical Society

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FREE PRESCRIPTION DELI VERY BULLETIN o f the Fierce County M edical Society 2 3 (Continued from Page 21) those authors will present their papers before the assembled convention. The winning essay will be presented an award donated by the Dupont film RANKOS representative. Competition will be keen and the papers will cover a wide range of subject matter pertaining to PHARMACY X-ray technology. The X-ray staff has been busily encouraging the students and we wish them well in their 101 North Tacoma Avenue endeavor. We wish to extend our sincere sym pathy to Len Renner, our night techni cian, on the death of his dear wife Jeanne. We know how inadequate words Prescription are at a time like this, but we promise a prayerful remembrance to Len and family, as well as Jeanne. Druggists

PSNB To Explain New Billing Service At Society Meeting ★ An interesting part of the program for the February Medical Society meeting will be the presentation of a new serv We Carry a Complete Line of ice that is already being used by several physicians in the Tacoma area. The Biologicals and Pharmaceuticals service is Puget Sound National Bank’s Electronic Billing and Financial Record Service. The Bank and its representatives will host a social hour from 6 to 7 p.m. and ★ following dinner, will conduct a short program about the service. The service is said to help a doctor “ When Moments Count” cut clerical costs, speed collections, tighten income control and allow him and his staff to devote more productive time to his practice. A brochure sup plied by Puget Sound National Bank FUlton 3-2411 states that they will put their electronic data processing equipment to work for the doctor to bill patients, keep track of PROMPT . . . FREE DELIVERY aging receivables and deposit receipts, rhey can even credit payments directly to the doctor’s checking account. 2 4 B U L L E T I N of th e Pierce County M edical Society WOMAN'S AUXILIARY . . . To The Pierce County Medical Society AUXILIARY OFFICERS— 1964-1965

P re sid e n t _____ - _____ Mrs. Sherman S. Pinto case of any large disaster. The tour of President-Elect ______Mrs. Merrill J. Wicks 1st Vice-President______Mrs. Theodore Smith the hospital was fabulous. Our legs 2nd Vice-President______Mrs. James E. Hazdrigg 3rd Vice-President______-...... Mrs. Sidney Kase ached and we all wanted to carry our 4th Vice-President ______Mrs. Harold D. Lucken Recording Secretary ...... —...... Mrs. John Liewer feet towards the end of the tour, but no Corresponding Secretary Mrs. Francis W. Hennings T re asu re r ______Mrs. Thomas H. Skrinar one gave up—it was all too interesting. Dues Stcretary ___ Mrs. Glenn H. Brokaw AMAERF ..______Mrs. RusseU Colley Our many thanks to our host, General National Bulletin ...... Mrs. Robert Kallsen Civil Defense and Safety ...... Mrs. Herbert Kennedy Steger, and the Madigan officers’ wives Historian and By-Laws...... Mrs. Herman S. Judd Legislative ...... Mrs. Robert W. Osbome club. Mrs. Jack J. Erickson M em b ersh ip ...... M rs, M . E d w a rd L a w re n c e Paramedical...... Mrs. Frederick J. Schwind P ro g ram ...... Mrs. George C. Gilman P u b licity ...... M rs. R ic h a rd T . D avis B ulletin ...... Mrs. Alva E. Miller PLEASE PAY YOU DUES Social - ...... Mrs. Kenneth D. Graham Speakers Bureau - ...... — Mrs. John Colen T e le p h o n e ...... Mrs. Kenneth Gross Minute W omen ______Mrs. Dale Doherty Mrs. Robert M. Ferguson Save April 24th as a special date. It’s Community Service and Council Mrs. G. M. Whitacre H e a r t ...... Mrs. W. W. Mattson, Jr. the date for our annual dance. C an cer ...... Mrs. J. Robert Brooke F i n a n c e ...... Mrs. Haskel L. Maier D a n c e ___ Mrs. Robert P. Crabill Mrs. Arthur P. Wickstrom Legislative Day Fashion Show ______Mrs. Dudley W. Houtz Mrs. Robert W. Florence Mental H ealth ...... Mrs. Charles P. Larson An invitation has been extended to Today’s Health . Mrs. Homer W. Humiston Cook Book ...... Mrs. Thomas B. Murphy our members by the Thurston-Mason International Health ...... Mrs. Charles McGill Parliamentarian ______Mrs. William H. Goering Medical Auxiliary to attend the tradi tional "Legislative Day” in Olympia on February Meeting Wednesday, February 17. The February meeting will be at the Those attending will meet in the home of Mrs. Charles Larson, 3219 cafeteria of the Legislative building at North 32nd Street. It will be a lunch 10 a.m. and the day will begin with a eon. Friday, February 19th is the date. conducted tour of the House and Sen Mrs. Chris Reynolds is the chairman for ate. A no-host luncheon will follow at the day. Our State president, Mrs. F. M. noon at the Tyee restaurant with a Lyle, will be our guest. Please do try choice of steak sandwich or crab to attend. salad. From 2 to 4 a tea will be held in the Madigan Tour home of Mrs. T. R. Ingham in honor of Those of you who missed the coffee the wives of legislators and the Su at Madigan really missed an enjoyable preme Court Judges. Transportation and enlightening day. We had 45 of will be provided to all events. the Women’s Auxiliary members pres Reservations are necessary and re ent and the Madigan club matched us plies should be made to Mrs. Robert almost to the number. The coffee hour Osborne or Mrs. Jack Erickson. was delightful and, as always, General Steger was the perfect host along with his charming wife. He gave a most en lightening review of Madigan opera tions and position in this area both from a military view and the civilian one in PATRONIZE YOUR ADVERTISERS B U L L E T I N of the Pierce County M edical Society 25 In the case of Camp Six, the new Rx For Logging Lumber Museum in Point Defiance Park, the original plan and much of the Slicker In The Woods . . . impetus for its realization were pre scribed by medical men and medical Picture your writer, better recognized wives. in party clothes, away out in the woods at Camp Six, ankle deep in the mud, in Since Tacoma’s history is more close the wind and the rain, directing a crane ly aligned with logging than any other crew in a bright yellow slicker. town its size, and the huge stand of natural forest in Point Defiance Park is Hardly the public image of a physi the only such preserve in any city park cian's little darling in that slicker, one in the nation, the eventual establish rainy day your writer went out to Camp ment of a Lumber Museum here seemed Six to inspect the carpenters’ job on the inevitible. But from the efforts by many bunkhouse buildings. Only one man groups to establish such a museum here was at work, the roofer. Since there in the past, it seemed impossible. were only two of us in the midst of this big clearing in the woods, polite con The problems involved in creating a versation seemed called for. But he Lumber Museum are so much more merely waved from up on top of the complex and huge in scale than setting bunkhouse and didn’t say anything. up the usual cowboy-and-Indian, or old fort, or old mining town historical ex After quite a few conversation-open- hibit. A logging camp of the old days ers which didn’t interrupt his silence was big, big, big. The lumber industry, or his work, he climbed down his ladder, aware of the potential of such a mu signaled indicating he was a deaf-mute, seum and interested in its establish picked up a shingle and wrote, “W hat ment, recognized the requirements, and can I do for you?” Your lady logger concluded it couldn’t be done in picked up a shingle and pencilled, “I Tacoma. just came out to see how the job is going.” He wrote, “Who are you?” Which was probably one of the most Fools Rush In . . . revealing questions ever asked. As writ The chain of events leading up to the ing on a rough cedar shingle isn’t easy, actual construction of the Camp Six it had to be short, and in a short answer, Museum began with Adele Durkin's who are we anyway? throwing the idea into the hopper of the Junior League of Tacoma. Through the marvelously organized processes of Good Medicine For Parks . . . this group, and under the fixed scru tiny of Nadine Kennedy, the idea The Medical family of Tacoma has searched out its sponsors . . . viz., any traditionally been active in community one who was interested in the idea who affairs. Tacoma medical m en and their was also idiot enough to believe it was wives give a great deal of their tim e possible to do. and efforts, as well as their earnings, to support those causes which would bene This included several frustrated for fit the community in the fields of art, esters from the Medical Society, several music, education, and m ost noticeably Chamber of Commerce promoters and these days in the area of parks and a half-dozen lumbermen and historians, recreation. providing the planning group for per 2 6 BULLETIN o f the Pierce County M edical Society haps the most ambitious community- Museum . . . as babes in the woods, inspired project ever attempted here. blessed by phenomenal good luck all the way.

Case Histroy of A Plan . . . Tacoma General Goes Logging . . . Doctor Sam Adams, one of the early advisors to this scheme, doubled th3 It was our good luck that General first estimates of how much area of the Hutchin, Commander of Fort Lewis, is forest in Point Defiance Park would be an outdoorsman, a forester by inclina needed ft>r an old-time logging exhibit, tion, an accomplished historian, and a insisting on ten acres to properly dis golfing partner of Big John’s. play a rigged high lead. General Hutchin came to the rescue with the difficult job of clearing and Doctor Bud Banfield, conservative grading the first half of the Camp Six member of the Park Board, assured the site last summer. The 557th Company planners that the Commissioners could of Engineers from Fort Lewis, 130 men, be interested in the development of such bivouacced four days in the Park on a park facility. The planners then forg the hill near the riding academy, ed ahead. brought in six Michigan loaders, twelve When the time arrived to approach trucks, two graders and four bulldozers, the Park Board requesting use of this and with a great deal of youthful enthu forested land in their park, Big John siasm, speed and noise, accomplished Anderson, wise in the ways of politics the job as an Army exercise in engi and business, advised, “If you need ten neered clearing. acres, ask for twenty, you might get The Railroads donated the materials five.” When the Park Board allowed for the first thousand feet of rail line, the whole twenty, he moaned, “Oh for dedicated in September as the Point De gosh sakes, now we’ve really got a job fiance, Quinault and Klickitat Railroad, on our hands.” and the City provided crews to lay the track. Early in October the steam loco The lumbermen were overjoyed with motive was donated by Saint Regis and the twenty acres, with the opportunity dead-headed to Tacoma from Klickitat to construct a whole logging situation as a donation by Northern Pacific. Saint . . . camp, logging show and logging Regis also donated the five Camp build railroad complete. Such an exhibit could ings installed at the site in October. not be duplicated anywhere else in the nation. They assigned on loan their best logging engineer, Marc Titlow, a man Hello, Dolly! . . . of great capabilities and a real interest in history, to draw up engineered plans Bringing in those Camp buildings for a real camp from the old-time steam from up in the woods was also a dona logging days. tion, and one of the most complicated cooperative enterprises imagineable. Camp Six at this point became a go Four logging companies provided the ing concern. Attracting sympathy and five trucks and drivers, a logging crew cooperation from all quarters, as far of Saint Regis’ loaded the buildings at afield as San Francisco and Washing the mountain and Sunnan Crane do ton, D.C., the planners were able to pro nated the unloading at the site. Since ceed on the actual construction of the the buildings, measuring 14’ x 40’, were BULLETIN o f the Pierce County M edical Society 2 7 too high, too long and too heavy to our best performance, receiving the travel anything but first class, all per convoy. It was so good that, the next mits had to be waived, and the convoy day being the opening of hunting sea was accompanied by the State Patrol, son, all the big boys left us in charge of County Sheriff’s Patrol and Patrol offi unloading the bunkhouses too. cers of the municipalities passed through. Telephone Company crews The Chart On Camp Six . . . went ahead of the convoy to remove low lines, and five City firemen rode Camp Six is a reconstructed old-time down on the bunkhouses as required by logging camp from the bygone era of law. steam logging, and as such, will be the only Museum of its kind in the world. The convoy snaked down the moun The logging camp buildings now at the tain, through outlying towns and site are real ones from an old camp at through the city at a pretty good clip, Kapowsin, and not reproductions of like some kind of dragon hum ping logging camp buildings. Everything in along and swinging its tail. Afterwards, the firemen agreed they’d never seen the exhibit will be authentic, and dis played just as it was used a half-century anything driven like those loggers drove or more ago. the trucks. Radio-phone contact was maintained The steam locomotive now at Camp with the convoy all the way down, so Six, the Shay No. 7, is the most famous that the Park officials, the Press and the logging locomotive in the world, and Camp Six Committee would be there to quite representative of the historic greet it at the site. As it happened, the highball days of logging in the Pacific convoy moved through town about twice Northwest. The 300-ton Lidgerwood as fast as estimated, and arrived at the skidder now being installed at the site Park twenty minutes before the digni is the only remaining one of its kind, a taries. The Park entry was then blocked relic steam logging monster that was off, about fifty cars already in the Park the most powerful force ever applied to jammed the road back of the Camp Six logging. site, and the convoy, moving precari In the coming months an authentic ously in by the exit road, blocked it. So old rail-mounted car camp will come in, nobody could get into the Park. and at least one other type of steam So it was, that there was nobody of logging locomotive. The rigging of the importance at the Camp Six site to meet high lead will be the day when Camp the convoy on this historic occasion. Six is really logging, when the 110-foot Your writer just happened to be there, spar tree is raised just as in an old- however, cheery in that yellow slicker, time logging operation, complete with and on the verge of breaking down with steam donkey engines. the giggles. We look upon that as being Later, a loop of railroad track circl ing throug another ten acres adjacent to the present clearing will be installed. DAMME I E R On this, an assortment of ancient speeders will make their run through Printing Co. the woods and over a log trestle. 811 Pacific Ave. Tacoma Essential to the purpose of the Camp B Roadway 2-8303 Six Museum is the planned Museum- Continued on Page 29 2 8 BULLETIN o f the Pierce County M edical Society

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PHYSICIANS' AND HOSPITAL SUPPLIES BULLETIN of the Pierce County M edical Society 29

C o n tin u e d from Page 27 Some Ladies A-Logging . . . This past year the Camp Six Com within-the-Museum. Without in any mittee has been operating on the basis way altering the authentic appearance of donated goods and services, and has of the Camp, the whole history of log hustled over a hundred thousand dol ging and films on forestry and conserva lars worth of donated equipment and tion will be shown by m eans of elec jobs. During this time Committee mem tronically operated sound films in the bers’ friends have often filled in on jobs Camp buildings. The production of which seemed unlikely to their this is by itself probably as gigantic as situations. any task in assembling the Camp Six Some of the Medical Auxiliary’s fan Museum, and is under the capable di ciest hostesses served lunch to the crew rection of Billie Murphy. who laid the railroad track at Camp Six last summer, making it possible to ob tain this tremendous job as a donation . . . Bev Harrelson, Nadine Kennedy, Shay There . . . Adele Durkin, Wibby Bischoff and Billie From an embryonic idea a year ago, Murphy . . . their appreciative guests approximately one-fourth of Camp Six at this series of luncheons all being in is today a fact in Point Defiance Park. mates of the City Jail. One of the men It arrived there in a manner somewhat was moved to write a poem about it all. unorthodox, sometimes unpredictable, sometimes comic, and sometimes with A Professional Touch . . . out applause from the gallery. For those of us who have been in volved in the creation of Camp Six, it’s The day the Shay locomotive was been more of an interesting adventure trucked in, at least as complicated a maneuver as the transfer of the bunk- than the usual community service. As General Hutchin put it, we are delight houses, there were visiting dignitaries ed to be a part of the history. . . . at the site from out of town, looking But, for whatever reasons we enjoy the around for whoever was in charge. One prospect of Camp Six in our Park, it re was a professor of forestry and intro mains a community need, a public duced another explaining that he was facility of great importance for our public relations boss for a big timber company. Big John Anderson shook town and the whole Pacific Northwest area as well. hands with the two and said he was a The Camp Six Committee will soon carpenter, and introduced your writer, saying, “She cooks for a doctor here in launch its soft-sell in the community, to town.” The visitors were still looking attempt to enlist the support required to around for whoever was in charge. The carry through this ambitious plan, and trucks hauling the Shay rumbled in just for what ingenuity and resourcefulness as Big John had to be downtown for a can’t accomplish, to raise the cash. meeting. “Stick around doll,” he waved, Since the Medical family has tradi And make sure that engine’s going in tionally had a good understanding of the right direction.” community needs and has always played a large role in the advancement The next week it was noted in a West of educational recreational facilities for Coast lumber journal that this unique the community, we look within our own logging exhibit was apparently being ranks for a solid support of this plan. produced by non-professionals. M a v is K a l l s e n 3 0 ______B U L L E T I N o f the Pierce County M edical Society

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Contraindications'. Hyperexcitability and hyperthyroidism. Precautions: ‘Eskatrol’ S p a n s u l e capsules should be used with caution in the presence of severe hyper tension, 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 ‘Eskatrol5 S p a n s u l e capsules. Side effects (chiefly nervousness and insomnia) arc infrequent, and usually mild and transitory. Before prescribing, see SK&F product Prescribing Information. S u p p l i e d : Bottles of 50 capsules.

Smith Kline & French Laboratories 31 BULLETIN of the P ie r c e C o u n t y M e d ic a l S o c ie t y Hospital Staff Officers NORTHERN PACIFIC HOSPITAL P resident______Albert A. Sames 1965 Vice-President Charles C. Reberger Secretary______C. I. Stevens ST. JOSEPH’S HOSPITAL

President of LAKEWOOD GENERAL HOSPITAL Professional Staff- Bernard R. Rowen President-elect Robert A. O’Connell President______Robert R. Burt Vice-President______John F. Comfort President-elect ___John P. Liewer Secretary-Treasurer__Clinton A. Piper Secretary.. ______Ralph A. Johnson Chairman of Credentials Committeemen______James F. Early Committee ______Gordon Dean Michael Z. Irvin Members-at-Large Ralph V. Stagner Daniel J. Thomas MEDICAL ARTS HOSPITAL

DOCTORS HOSPITAL P resident______Charles C. Reberger Vice-President___ Kenneth D. Graham President______Chris C. Reynolds Secretary ______Marion M. Larson President-elect______Robert A. Kallsen Secretary Charles C. Reberger

TACOMA GENERAL HOSPITAL President______G. M arshall W hitacre G.P.'s Schedule President-elect_____ Warren F. Smith Vice-President..... James E. Hazelrigg Yakima Meeting Secretary-Treasurer Myron A. Bass Dates have been announced for the Members-at-Large L. Stanley Durkin annual meeting of the Washington Robert E. Lane State Academy of General Practice meeting to be held in Yakima this year MARY BRIDGE CHILDREN’S HOSPITAL at the Hotel Chinook. It will be a two- day meeting on Friday and Saturday, President______Bernard A. Bader May 14 and 15. A business m eeting will Vice-President______David L. Sparling be held on the Thursday preceding the Secretary------George C. Gilman clinical meeting. Executive Committeeman. John S. May Thus far, the following three guests are scheduled to speak at the meeting: GOOD SAMARITAN HOSPITAL Dr. Lawrence D. Longo, Department of President------Thomas H. Clark Physiology, University of Pennsylvania; Vice-President_____ Paul E. Gerstmann Dr. Herman A. Dickel, Professor of Psy Secretary- chiatry, University of Oregon; and Dr. Treasurer------Graham M. W atkins Ernest Ager, Chief Epidemiologist, Washington State Dept, of Health.

MOUNTAIN VIEW GENERAL HOSPITAL Dr. Elmer Wahlberg of Tacoma is President-Elect of the group. President------Dale D. Doherty Vice-President_____ George A. Tanbara Secretary------Claris Allison PATRONIZE YOUR ADVERTISERS! Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Monday of each month— 8:00 p.m. at 424 South K Street TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 8:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August— 6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and Auqust— 6:00 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. PIERCE COUNTY MEDICAL SOCIETY

VOL. XXXVI—No. 3 TACOMA, WASH. MARCH - 1965 2______BULLETIN of the F i e r c e C o u n t y M e d ic a l S o c ie t y Pierce County Medical Society 1965 OFFICERS President . -______— Frederick J. Schwind President-Elect ...... - G len n G . M cB ride Vice-President ...... Lester S. Baskin Secretary-Treasurer ------Arnold J. Herrmann to you, Executive Secretary ...... — .. - Judy Gordon TRUSTEES Richard F. Barronian Robert C. Johnson Lester S. Babkin James D. Lambing Myron A. Bass Glenn G. McBride J. W. Bowen, Jr. Clinton A. Piper March Birthdays Robert R. Burt Frank J. Rigos Arnold J. Herrmann Frederick J. Schwind DELEGATES 2 Ernest L. Randolph Douglas P. Buttorff Frederick J. Schwind Robert M. Ferguson Stanley W. Tuell Robert W. Florence Wayne W. Zimmerman 4 Louis M. Rosenbladt Glenn G. McBride ALTERNATE DELEGATES Richard F. Barronian Herman S. Judd Govnor Teats Charles J. Galbraith Robert W. Osborne Philip Grenley Charles C. Reberger Kenneth E. Gross 5 W. Howard Pratt COMMITTEES E thics Murray L. Johnson, Chairman 6 Edward F. McCabe Samuel E. Adams Frank R. Maddison G riev a n c e Frank J. Rigos, Chairman 9 Ross E. McPhail G. M. Whitacre Stanley W. Tuell P ro g ra m Robert C. Johnson, Chairman Phillip B. Smith Clinton A. Piper Robert M. Ferguson Public Relations Douglas A. Tait James D. Lambing, Chairman John F. Comfort Robert M. Ferguson Kenneth E. Gross G. Marshall Whitacre 11 J. Edmund Dem ing L ib ra ry Don G. Willard, Chairman Robert M. Freeman William E. Avery Public Health 13 D. Theodore Baer Lawrence N. Brigham, Chairman Cecil R. Fargher Robert C. Johnson Orvis A. Harrelson David L. Sparling 15 Bryce Betteridge , House and Attendance John R. Alger, Chairman Robert Klein William W. Mattson, Jr. 17 Russell Q. Colley Civil Disaster Edward R. Anderson, Chairman Leo Annest Charles E. Kemp Robert R. Burt Richard B. Link 18 Robert A. O’Connell Kenneth D. Graham Robert D. McGreal T. R. Haley Leo F. Sulkosky David T. Hellyer Arthur P. Wickstxom 20 Franz P. Hoskins D ia b e te s Robert A. O’Connell, Chairman Robert A. Kallsen Roy H. Virak Albert A. Sames Entertainment William L. Rohner Walter L. Sobba G eriatrics S. Robert Lantiere, Chairman 22 Robert Klein Herbert C. Kennedy Harold F. Kahler Legislative John P. Liewer J. Hugh Kalkus, Chairman Homer W. Humiston Herman S. Judd B. D. Harrington John M. Shaw Charles E. Marshall Wayne W. Zimmerman Medical Education Edmund A. Kanar, Chairman 24 Robert P. Crabill Glenn G. McBride Bernard R. Rowen James Mason (Ex-officio) Operation Hometown 25 Robert R. Burt Douglas P. Buttorff, Chairman Schools George C. Gilman, Chairman Gerald C. Kohl Cecil R. Fargher Dudley W. Houtz Orvis A. Harrelson Everett P. Nelson Mental Health 26 Ross D. Wright Hugo Van Dooren, Chairman James M. Blankenship Jerman W. Rose Poison Control 31 Frederic O. Paine Claris Allison, Chairman

Bulletin Staff E d ito r ...... Stanley W. Tuell Business M anager ...... Judy Gordon Cover photo courtesy of Bill Dugovich. Auxiliary News Editor ...... Mrs. Alva E. Miller

PATRONIZE YOUR ADVERTISERS HAVE YOU PAID YOUR AMPAC DUES? BULLETIN of the Pierce County M edical Society 3 “But there’s so little

Sometimes the things a man doesn’t do are cost liest to his wife and family. An old Will never revised. A business never arranged to withstand estate taxes. An incomplete life insurance pro gram. No matter how good a provider you are, your family’s future will one day depend on your planning. Don’t leave the future in doubt. In collabo ration with your attorney and your life insurance adviser, we stand ready to help you plan wisely —now.

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MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

Tacoma Acad, of Staff of Annual Meeting Psych. & Neurol. Tacoma General Surgery Grand Pierce County Tacom«\ Acad, of i p.m. 6:30 p.m. Round—T.G.H. Pediatric Society Internal Medicine 8-9 a.m. 6:00 p.m. Tacoma C.P.C. of Mary C.P.C. of Orthopedic Society Bridge—8 a.m. TGH-MVGH 8 p.m. (MVGH Classrm.) 8 a.m. 8 10 11 12 13 Staff of Doctors Pierce County Hospital Medical Society C.P.C. of St. 7:30 p.m. 8 :1 5 p.m. OB-GYN Conf. Joseph’s— 9 a.m C.P.C. of T.G.H. TGH-MVGH Staff of Good C.P.C. of Mary 8-9 a.m. (MVGH Classrm.) Samaritan Bridge— 8 a.m. 8 a.m. 6:30 p.m. 15 16 17 18 19 20 Tacoma Surgical Staff of Lakewood Staff of Medical Club— 6:30 p.m. General Arts Hospital C.P.C. of Staff of 7:30 p.m. 7:15 a.m. TGH-M VGH St. Joseph’s C.P.C. of Mary (MVGH Classrm.) 0:15 p.m. Bridge— 8 a.m. Medicine Grand P.C.M.B. Board Rounds—T.G.H. 8:15 p.m.

22 23 24 25 26 27 Tacoma Acad, of Staff of Pierce County Internal Medicine Path. Cancer Mary Bridge C.P.C. of Academy of 6 p.m. Conf.—T.G.H. 12:15 p.m. TGH-MVGH General Practice 8-9 a.m. (MVGH Classrm.) 6:30 p.m. C.P.C. of Mary Staff of St. Joseph’s 8 a.m. Bridge—8 a.m. 6:15 p.m.

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PIERCE COUNTY MEDICAL SOCIETY MEETING Tuesday, March 9

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In the past month our Society suffered the loss of one of its oldest members, Dr. Ben Robertson. His long span of years in dedicated medical pratcice in Tacoma permitted him to witness all of the important discoveries and advances in medical science and public health in this century. A few years ago, Dr. Robertson gave me a very vivid description of the “diphtheria era” of the early part of this century. This dread disease was a constant threat to the lives of children. The intubation set and the tra cheotomy were essential pieces of equipment for all physicians. Then came the “miracle” of diphtheria antitoxin and later, prophylactic toxoid immun ization. Today diphtheria is no longer a major threat to our children. We are now witnessing the closing phases of a dramatic triumph over another infectious disease, poliomyelitis. In 1954 there were approxi mately 38,000 cases of polio in the United States. A decade later, in 1964, there were fewer than 150 cases. The development of an effective immun izing technique against polio is probably the outstanding medical achieve ment of the past decade. As in the case of the diphtheria antitoxins and toxoids, there have been improvements and refinements of techniques and matrials used in polio immunization. The trivalent Sabin vaccine is the most effective vaccine available to protect children against polio and at the same time eventually reduce the reservoir of potential carriers. We owe a great debt of thanks to our Public Health committee headed by Dr. Brigham, and all the members who worked long hours preparing and carrying out the Oral Polio Vaccine program. Dr. Fargher of the Health Department and Dr. Harrelson, Director of School Health, were instrumental in planning and coordinating the program. The local organi zation of pharmacists and pharmaceutical detail men were invaluable in procuring the materials and giving specific data for administering the vaccine. Our thanks also go the teachers, school nurses and the multitude of volunteer mothers who were directly responsible for seeing that the vaccine was properly introduced into the gullets of the thousands of youngsters who participated in the oral polio vaccine program. As usual, we had the wonderful assistance of our local newspaper and radio and TV stations. The physicians of Pierce County also deserve praise for their support in answering the thousands of telephone inquiries. The intubation set is now a memento of the diphtheria era. Perhaps with the continuing efforts to obtain more complete immunizations of our school population, the iron lung, the Kenny hot pack and the orthopedic brace will be mementos of the polio era of this country.

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Editorially Speaking

“Everybody’s gonna help row!”

So said WSMA Past-president Bob Hunter in a brief but stirring message to the House of Delegates at its emergency meeting in Seattle on Sunday, February 21. Dr. Hunter compared physicians to a group of men in a lifeboat struggling to save their lives. As far as he was concerned, when he finds himself in such a situation, “Everybody’s gonna help row!” The present situation is comparable in that Medicare under Social Security repre sents the force that is about to “sink” the free practice of high quality private medicine as we now know it. The general assessment to the mem bership was an effort to have everybody help row, and I feel it was justified.

While there may be a few who sincerely feel that things will be better off if the old ship does sink, I can’t feel too sympathetic toward those who grumble because they think the situation is too hopeless to struggle with. There may be some legitimate excuses for non-rowers, but that’s not one of them.

So grab an oar and start rowing. —S.W.T. BULLETIN of the Pierce County M edical Society 11

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X 12 BULLETIN o f th e Pierce County M edical Society from the medical school in 1906. His dream of becoming a medical IN MEMORIAM missionary in the Philippines was never realized, for he married immediately on graduation from medical school, and his wife feared she was too frail for life in that debilitating tropical climate. And so it was he came to Tacoma, a town with mud streets except for Paci fic Avenue with its wooden blocks, and had his office with Dr. George Kunz, Sr., at 15th and Pacific Avenue. As a boy, I recall the Robertson’s little red home on South 12th and Lawrence, from which he made calls on his bi cycle. In 1913 he acquired a Ford run about. In the 1940’s I can recall how we drove to meetings in Seattle, and he Dr. John Benjamin Robertson could really drive. Dr. John Benjamin Robertson died Dr. Robertson was interested in keep February 14, 1965 at the age of 89. A ing up with advances in medicine, and graduate of the University of Indiana never missed a local medical society Medical School, he began practice in meeting. He was a charter member of Tacoma in 1906, and only last year, be the Pierce County Medical Society. cause of ill health, retired after 58 years “No matter how remote the home or of private practice. Along with some of how insolvent the family, my father the rest of us he had lived through an always went whenever anyone asked for era when many died of tuberculosis, as help. To sit idle was a sin of darkest well as pneumonia, diphtheria, scarlet hue. He kept going under the burden of fever, and innumerable infectious very grave infirmities almost to the very conditions. end of his life.” A wonderful tribute Thirty-one years ago I delivered a from his daughter. granddaughter to the Robertson family For forty years he was chairman of and so it is that the daughter, Ruth the board of the Volunteers of America, Fischer, at this time reminded me of and for much longer than that a mem the fact and gave me some interesting ber of the First Christian Church. His details of his early life. beloved wife passed away ten years ago, Dr. Robertson was born of pioneer but his son, Benjamin H. Robertson, stock in southern Indiana, but because and his daughters, Mrs. Reba Rickman of polio affliction did not walk until of San Francisco and Mrs. Ruth Fischer three years of age. For 89 years he of Quincy, California, and four grand walked with a limp and staunchly drag children and four great grandchildren ged his crippled body about the world survive him. never asking sympathy for his infirmity. It is indeed appropriate to remind After graduating from liberal arts col ourselves that this man meant a great lege in 1900 he went to the Philippines deal to his many patients, to his family, as a government teacher. While there, and in fact to all of us who try to serve he realized the pressing need for medi hum anity. cal knowledge in that country and so —D a v id H. Jo h n s o n , M.D. he returned to Indiana and graduated BULLETIN o f the Pierce County M edical Society 13

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Amytal is a moderately long-acting barbiturate may produce excitement. WARNING—May be that takes the edge off daytime anxiety and habit-forming. tension without significant change in mood and Dosage: Doses should be individualized for each attitude. Since Amytal is metabolized in the patient. The usual adult sedative dosage ranges liver within twenty-eight hours, overlapping of from 30 mg. (1/2 grain) to 50 mg. (3/4 grain) effect is minimized, and renal damage does not two or three times daily. constitute an absolute contraindication. Additional information available upon request. Eli Lilly and Side-Effects: Idiosyncrasy or allergic reactions Company, Indianapolis 6, Indiana. to the barbiturates may occur. Precautions and Contraindications: Amytal should be used with caution in patients with decreased liver function, since a prolongation of effect may occur. Ad AMYTAL" ministration in the presence of uncontrolled pain AMOBARBITAL 400IQ4 14 B U L L E T I N o f th e Pierce County M edical Society ICDA Winning Battle The Plot Thickens Unfortunately, things get more com Over SNDO; Doctors plicated. Arthritis of the ankle is 249- 100. But acute arthritis of the calcaneo Confused Bystanders cuboid joint due to non-hemolytic “W e like ‘Icda’.” staphylococcus producing ankylosis “We’re still for ‘Snow-doe’.” comes out with the fancy title of 24931- 1051.4. If a doctor wants to write a This isn’t beatnik talk. It’s Medical paper on all cases of 24931-1051.4, Record Librarian lingo concerning their there is a chance of error in pulling the current controversy on the two major charts, for a little difference in phrase methods of classifications of diseases. ology or interpretation of the doctor’s MRL’s (Medical Record Librarians) writing (you call that writing!) might learn all sorts of scientific jargon about result in a change in one digit of the diseases and operations, which prob code number and some important ably helps them develop tolerance and charts might be missed. Some felt that patience toward their arch-enemies a simpler system was needed, so that (not really) whom they keep badgering less highly trained personnel could ac to finish up charts. Likewise, a brief curately pull a large group of charts, primer for doctors on MRL jargon might even if this meant that the doctor would help doctors develop a better under have to spend more time sorting out standing and appreciation of the prob the specific ones he needed. (After all, lems and efforts of the Medical record if he’s getting his name on the paper, personnel, who aren’t such a bad lot he should do some of the work.) after all—if your charts are completed. Lesson No. 1 ICDA Is Born This lesson is entitled “Snow-doe vs. Thus ICDA was born. An immediate Icda.” These names represent two differ obvious advantage of ICDA was that it ent methods of disease classification, w as easier to pronounce th an SNDO. each with its own system of code num The letters stand for “International bers. Snow-doe is the older method, and Classification of Diseases, Adapted.” In perhaps more familiar to the doctors. this method, all diseases and operations The title “Snow-doe” is a phonetic spell are classified arbitrarily under three and ing for the word Medical Record people four-digit numbers. The precise mean use because they couldn’t figure out how ing that is attached to each digit in to pronounce SNDO. The latter means SNDO is lacking in ICDA. The above- “Standard Nomenclature of Diseases mentioned calcaneo-cuboid arthritis and Operations.” This system began in would be classified as 720 under ICDA 1932, but was modified in 1942 to in (o r possibly 720.7). However, if you clude names of operations. Basically, it ask for all charts in this classification, includes three or more numbers which it will include acute arthritis of all the indicate the organ involved, followed by other joints in the body as well, which three more numbers, or more, to indi means you will thumb through several cate the type of affliction. For example, h u n d red ch arts to find the few you all numbers in the 600’s represent the w ant. digestive tract, the appendix being ICDA was dreamed up by the World number 661. All numbers in the 100’s Health Organization, modified by the represent some type of inflammation. AMA, then approved by the American So the code for appendicitis comes out Hospital Association and the American 661-100. Association of Medical Record Librar- BULLETIN of the Pierce County M edical Society 15 ians. Despite this, it is by no means uni to a less logical and less accurate versally accepted by experienced MRL’s method. as being an adequate substitute for Virtually all of Tacoma’s MRL’s feel SNDO. that SNDO is really the better method. Locally, Tacoma General Hospital Despite this, most hospitals here are has used SNDO for many years, but changing to ICDA, following a general converted entirely to ICDA on January trend. Medical Arts Hospital has used 1, 1964. Mrs. Cobbe, Medical Record the new system since April 1, 1964, Librarian there, feels the greater sim Mary Bridge changed over on October plicity of ICDA contributes to greater 1, 1964, and Lakewood Hospital is accuracy and that the official approval planning on coding all 1965 charts in by the parent organizations is good evi ICDA, as is Doctors Hospital. At Good dence of its worth. Sister Mary Emman Samaritan, the move to the new wing uel at St. Joseph’s Hospital reluctantly has delayed a change, but ICDA will probably be put in effect in a few months. Only Mrs. Rokahr at Northern Pacific Hospital and Mrs deMille at Mountain View are steadfastly clinging to SNDO as the method of choice.

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4100 Steilacoom Boulevard JUniper 4-0252 B U L L E T I N o f the Pierce County M edical Society 19 HOSPITALS Saint Joseph's The X-Ray department reports “the Tacoma General case of the week” continues to intrigue even the most astute. For those unac Health Careers Day quainted with this year old project the Schools as far distant as Olympia and X-Ray department has been exhibiting Aberdeen to the south and Renton and a series of x-ray film with interesting Kent to the north, as well as all the local diagnostic features. Films are selected and nearby high schools, sent students by the radiologist and placed on ex to participate in Tacoma General’s third hibit in a prominent place so that doc Health Careers Day, February 22. tors frequenting the department can Health Careers Day is an opportunity demonstrate their prowess for film in for high school students to investigate terpretation by placing their “educated all types of health careers in depth, and guesses’ ’in a nearby locked box. At the find out from practicing professionals end of the week the Radiologists find the prerequisites and educational back ings, supported by other proven clinical ground necessary. Professional people evidences are revealed. Entries which from the following specialties took part coincide with the facts of the case are in this event: dietetics, physical ther recorded in the log of “Thinkers of the apy, occupational therapy, pharm acy, Week.” At the end of the year a most nursing, x-ray, medical technology, fastidious tally is made of the frequency medical records, practical nursing, ex with which individual physicians have ecutive housekeepers, physicians and acquired the coveted weekly title of dentists. Doctor Richard E. Huish spoke “Thinker of the Week.” The one achiev to many students about medicine, and ing the highest number is presented the Doctor Leif Overby, dentist, represented annual trophy of the “THINKER” at his profession. the Staff Banquet. In 1964, in an atmos Conferences, booths, demonstrations phere of utmost ceremonial solemnity and tours to the special departments of Dr. Rohner, Assistant Radiologist, pre the hospital were set up by all the spe sented this trophy to Dr. Roger Dille. cialties to bring together this large pool On February 18th, the Senior and of vocational guidance information for Junior student nurses welcomed the the student, his family and the school pre-clinical class into the white capped guidance officers. ranks of “legitimate” student nurses. The quiet solemn event took place in DONT BURDEN THE WORKING the School’s lovely red lounge with Sis MAN WITH THE FALSE ter Martha Joseph placing the white PROMISE OF MEDICARE cap on each of the thirty students and Miss Karen Vicklund, A.S.B. President, “ Glasses as your eye assisting her. physician prescribes them” But of course the two male members were not forgotten and were also wel Contact Lenses — Artificial Eyes comed as members of the freshman class when they received the school em Columbian Optical Co. blem in the form of badges for their Ground Floor, Medical Arts Bldg. uniform s. Medical Center The students, faculty and personnel Western Clinic Bldg. of St. Joseph’s Hospital extend their Lakewood (Continued on Page 21) 2 0 BULLETIN of the Pierce County M edical Society

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Doctors Hospital Building BULLETIN of the Pierce County M edical Society 2 1 (Continued from Page 19) of Refreshments; and Joan Piper, chair man of Entertainment. sincerest congratulations and wish them success in a rewarding career. A heart graced the front doorway of the ward giving the whole floor the fes The telephone day sponsored by the tive air of the day. A pinate was broken Pacific Telephone Company was very by the patients and goodies were gath well received by the entire staff. We are ered up eagerly by them. After movies very grateful to Mrs. Laurie of the and games, everyone ate themselves Northwest Bell Company for her time into oblivion. and effort in bringing to light many of the faults we have all been guilty of at Beginning January 1, 1965, a test times. We hope that with all this worth for PKU is available in the Nursery for while information our telephone con distribution on the order of the attend tacts will become improved, and that ing physician. The story of PhenylKe- our public will have a much better im tonUria (PKU) began in the early pression of all of us through this me 1930's when the condition was first dium of communication. identified in Norway. When Ferric Chloride was added to urine of PKU As chairman of the disaster commit babies, a green color resulted. Further tee, I want to express m y sincere grati studies identified the substance respon tude for your outstanding cooperation sible for the abnormal color change. and participation in the disaster activi ties. We have had many fine compli Great interest was aroused by this ments on the exercise and this would condition and it has been studied in not have been possible without your many countries. Now it is known that help. PKU results from the inability of cer tain babies to utilize phenylalanine, a As you probably know, St. Joseph’s basic foodstuff found in milk and other Hospital is the first hospital in the area foods. Routine testing of all babies is to actually have a disaster run. From done in an increasing number of places this run we have seen m uch interest de in the United States. There are two velop in the community. types of tests—blood and urine, the Our committee will continue to have latter is the one in common use. its monthly meetings and each year Effective treatment of Phenylketon there will be one or two sim ulated prac uria began in 1953 when patients were tice drills. Personnel on the three to fed diets low in phenylalanine. Early eleven; and eleven to seven shifts; will detection and treatment can prevent be involved in the next practice. the tragedy which otherwise would re The film on our disaster exercise is sult. If dietary treatment is started in here at the hospital and was shown in early infancy, mental development is the conference room on the 17th and usually normal. How long a child will 18th for those who were interested. have to remain on such a diet is not definitely known at present, but there is Report from Sister Mary Alacoque, R.N. some evidence that the need for the A Valentine party sounded loudly special diet may decrease when the through the wards at Pediatrics last child is of school age. month. The Senior Students sponsored New to our staff, is Swan Johnson, the party with Judy Shumate, chairman Registered Physical Therapist. Swan of decorations; Nancy Robbins, chair man of Games; Peg Zurfluh, chairman (Continued on Page 23) 2 2 B U L L E T I N o f th e Pierce County M edical Society

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FREE PRESCRIPTION DELIVERY BULLETIN of the Fierce County M edical Society 23 (Continued from Page 21) was born in Butte, Montana; attended Butte Public High School and the Uni versity of Montana. After receiving his degree in the East, Swan began his RANKOS career teaching in Chicago. Later he esrved for four years with the U.S.N. as a Physical Therapist, and eventually PHARMACY came to Tacoma in 1945. Swan belongs to the Elks, Shriners, and is on the Board of Directors of the Boys’ Club. 101 North Tacoma Avenue Annex Supervisor, Sister James Hel ene, was recently appointed a board member of the Tacoma-Pierce County Mental Health Association, and is add ing their monthly meetings to her busy schedule. Prescription Our building has a new look! The lounge and bedrooms are all receiving Druggists a fresh coat of paint in cheery colors, including greens, beiges, apricot, yel low and turquoise. What an enjoyable atmosphere. We would like to welcome Mrs. Cobb, L.P.N. and Miss Frost, S.P.N., to our ★ staff. It is nice to have such enthusiastic and able workers. On February 22, Sister James Helene We Carry a Complete Line of and Mrs. HTen Stewart attended the Religion and Mental Health Meeting, sponsored by the W ashington State De Biologicals and Pharmaceuticals partment of Institutes and the Mental Health Association at the Hilton Inn. This was an all day session with several interesting speakers, including as main auditor, Reverend Bruder from St. Eli ★ zabeth’s Hospital, W ashington, D.C.

Do Doctors Favor Medical “ When Moments Count” Care For The Old Folks? Compare These Benefits: FUlton 3-2411 Elder- Medi care care Physician’s ca re______YES NO Surgical costs______YES NO PROMPT . . . FREE DELIVERY AU drugs ------YES NO Hospital and nursing home YES YES 2 4 BULLETIN o f th e Pierce County M edical Society WOMAN'S AUXILIARY . . . To The Pierce County Medical Society AUXILIARY OFFICERS— 1964-1965 ------

P re sid e n t ...... Mrs. Sherman S. Pinto March Meeting Presidcnt-Elect ...... Mrs. Merrill J. Wicks 1st Vice-President ...... Mrs. Theodore Smith The March meeting will be a coffes 2nd Vice-President ...... Mrs. James E. Hazelrigg 3rd Vice-President ...... Mrs. Sidney Kase on Friday, March 19th at the home of 4th Vice-President ______- Mrs. Harold D. Lueken Recording Secretary ...... — Mrs. John Liewer Mrs. Vernon Larson, 1889 No. Haw Corresponding Secretary ...... Mrs. Francis W. Hennings T re asu re r ______... Mrs. Thomas H. Skrinar thorne. After the meeting, we have been Dues Secretary ______Mrs. Glenn H. Brokaw A M A E R F ...... Mrs. Russell Colley asked that those who are interested in National Bulletin ...... - ...... - Mrs. Robert Kallsen Civil Defense and Safety ...... _...Mrs. Herbert Kennedy seeing where and how the medicine, Historian and By-Laws ...... Mrs. Herman S. Judd Legislative ...... _.Mrs. Robert W. Osbome etc., for international health is pack Mrs. Jack J. Erickson Membership ...... Mrs. M. Edward Lawrence aged and made ready for overseas ship Paramedical ...... Mrs. Frederick J. Schwind P ro g ram ______Mrs. George C. Gilman ment may visit at 2410 6th Ave. P u b licity ...... Mrs. Richard T. Davis B u l l e t i n ______- Mrs. Alva E. Miller Social .... Mrs. Kenneth D. GrahamThere is still a need for more help on Speakers Bureau ------.. Mrs. John Colen T e lep h o n e ______Mrs. KennethTuesday Gross and Thursdays to package and Minute Women ______Mrs. Dale Doherty Mrs. Robert M. Ferguson mark medicines for missions. Please call Community Service and Council___ Mrs. G. M. Whitacre H e a r t ...... Mrs. W. W. Mattson, Jr. Mrs. Hazelrigg if you are interested. C an cer ...... Mrs. J. Robert Brooke F in a n ce ...... M rs. H ask el L . M aier D a n c e ...... Mrs. Robert P. Crabill Mrs. Arthur P. Wickstrom IVIid-year Conference Fashion Show ...... Mrs. Dudley W. Houtz Mrs. Robert W. Florence The Spokane Auxiliary extends a cor Mental Health ______... Mrs. Charles P. Larson Today’s H ealth ______Mrs. Homer W. Humiston dial invitation to all members to attend Cook Book ... Mrs. Thomas B. Murphy International Health...... Mrs. Charles McGill the mid-year conference at the Ridpath Parliamentarian ...... Mrs. William H. Goering Hotel on March 11 and 12, 1965. Those of you who did not attend the To The Board February meeting at Margaret Larson’s missed a wonderful luncheon and an The Board will be the guests of Ellen interesting visit with our state president, Pinto at 10 a.m. Friday, March 5 at Mrs. Francis Lyle, our president-elect, Johnny’s Dock. Mrs. William Blackstone, and Mrs. John Vaughn, the S.W. Washington district Legislative Day a Success membership gal. They all had real good Everyone who attended a “Day at the news and ideas to bring to us. We were Legislature” in Olympia said it was de happy to have them with us. lightful. The Thurston-Mason County I’ll bet you didn’t know that the chair Medical Auxiliary were hostesses. There man for the luncheon that day, Gerri was a lovely luncheon at the Tyee at Reynolds, broke her leg? No one would which time we heard from our legisla know if it meant any slighting of plans tors and in the afternoon a tea was at for the day. Let’s give real credit where tended by wives of legislators, Supreme it is surely due. Gerri went ahead and Court judges, and ourselves. It was a made all the plans (even to the meas day well spent and enjoyed. urements for the food) as if nothing had gone wrong—like a leg! Then Ruth Dinner Dance Brooke, Dorothy Meier, Elvina Brokaw, April 24th and the Top of the Ocean Beth Hennings, Elsie Schwind and are the time and place for the annual Jeanne Judd came to the rescue and Medical Auxiliary dinner dance. Tickets pitched in to make the luncheon a suc will be $15.00 per couple and will be cess. It truly was too! available at the March meeting or from B U L L E T I N of the Pierce County M edical Society Betty Johnson or Bev H arrelson for Eldercare Publicity those not able to attend the meeting. This is the one annual social event of Action Moved Fast the medical community. Come and re new old acquaintances and meet new In Mid-February members. Things happened fast at all levels of organized medicine during the month Nominations of February. On February 6 and 7, a At the February meeting, Marje special session of the AMA House of Wicks announced the panel of officers Delegates was held in Chicago, at which proposed for the coming year. We will time plans were laid for backing the vote at a later date. new Eldercare bill. In quick succession, the following developments occurred The following were selected by the locally: nominating committee: president-elect, Feb. 12: The Board of Trustees of Donna Gilman; 1st vice president and the King County Medical Society ap program chairman, Mavis Kallsen; 2nd proved a recommendation that the State vice president and social chairman, Association ask its membership for con Dee Wickstrom; 3rd vice president and tributions of $25.00 or more to support Valley representative, Deva Vaught; the publicity program for Eldercare. 4th vice president and m em bership chairman, Gloria Virak; recording sec Feb. 13: The Board of Trustees of the retary, Nancy Spangler; treasurer, Washington State Medical Association Kathleen Skrinar; dues, Elvina Brokaw. held a Special Meeting with several county society presidents in attendance, We do have a kit available for Pre including Dr. Fred Schwind of Pierce cinct Action Study if anyone desires to County. The Board voted to start the use it. Call Evelyn Osborne, SK 2-3312. publicity campaign with reserve funds already in the treasury. Feb. 17: Dr. Schwind called a Spe Smoking Reports on cial Meeting of the Board of Trustees and all delegates of the Pierce Count} Local Doctors Medical Society, with similar action ap proving assessment of the State Asso Coming Next Month ciation members. Feb. 21: The House of Delegates of Watch for next month’s issue with a WSMA met in Seattle with a full quota report on the informal poll taken of of Pierce County delegates, and the pub the smoking habits of Pierce County physicians. licity program was outlined and over whelmingly approved on a motion by Dr. J. W. Bowen of Pierce County. In subsequent action, an assessment of $30.00 per member was made to finance ELDERCARE IS BETTER the publicity program. THAN MEDICARE ______DON'T BURDEN THE WORKING MAN WITH THE FALSE PATRONIZE YOUR ADVERTISERS PROMISE OF MEDICARE 2 6 BULLETIN o f the Pierce County M edical Society the administration concedes that the AMPAC for '65 Social Security wage base will have to Each of us recently received a news be updated each year. In practical terms letter from our State Society concerning this means that the taxable wage base the program adopted by the AMA out would have to be increased at least lining our alternative to the federal $150.00 each year. The Social Security Medicare program. Therefore we now tax base can only go to 10% by law and have a clearly stated program with a at this rate of increase it would be positive approach which we can active reached rather promptly. Then the sys ly support. We need an instrument like tem would go bankrupt without further this because this year will be a difficult taxation being legislated. Soon the tail one for all of us who wish to continue would be wagging the dog with Medi medical care for the aged unencum care being the tail and the social secur bered by federal governmental control. ity pension being the dog. The Medicare bill has been judged so There are approximately 197,000 important that it is Senate Bill Number AMA member doctors. This means by One (S-l). Undoubtedly the Adminis population we are about one to a thou tration has determined that it has the sand. Each one of us must reach as necessary backing to get this legisla many as we can. AMPAC is still in tion passed through committee and also there fighting and we need your help. on the Senate floor. Join us now for ’65 by being a paid-up As we know, the federal government member. We must present a united and at present has about one-fourth of the organized program to guard freedom in nation under a federally controlled the practice of medicine in our nation. medical program through its armed T h o m a s H. S k r i n a r , M.D. forces and VA hospitals. This program 6th Congressional District alone is expanding as the number of AMPAC Chairman veterans rapidly increases. This facet of federal medical care is totally subsidized IN MEMORIAM through our taxes. The present Medicare bill which pro Dr. Frank C. Willson, retired mem vides for a socialized program of hospi ber of the Pierce County Medical Soci talization for the aged is but another ety, who practiced in Buckley and Ta facet of federal medical care. However, coma for many years, died in San Ber- one essential difference in these two nadino, California, January 4, 1965. programs lies in the fact that members of the armed forces and others covered in the first program are employees of HAVE YOU PAID YOUR AMPAC DUES? the federal government while the aged population covered in the second pro gram are not. Another important fact to remember: DAMME I E R Medicare is a compulsory program. Although you do not have to accept the Printing Co. benefits under a Medicare program, you Printers and Offset Lithographers certainly must pay money into the Social Security system. Another objec BRoadway 2-8303 tionable point is the funding of the Medicare through the Social Security 811 Pacific Ave. Tacoma system. Rep. Wilbur Mills states that BULLETIN o f the Pierce County M edical Society 27 sistant administrator John Ettner was M.D. Office Slaves general coordinator and master of cere monies for the occasion. Responses on a Get Red Carpet questionnaire which was distributed in dicated that the affair was both educa At T. G. Dinner tional and enjoyable for the hard-working office girls. It was also free. The “Interrelationship Dinner” was something new, it was a surprise, and it was a success. So say the 167 office AMERICAN HEART ASSOCIATION personnel' from local doctors’ offices SCIENTIFIC SESSIONS who attended the two evenings of food, The American Heart Association an facts and friendship supplied by Ta nounces the following dates for its coma General Hospital and January 28 1965 Annual Scientific Sessions which and February 4. The purpose of the two will be conducted in Bal Harbour, dinners was to better acquaint nurses, F lorida: receptionists and other personnel in Scientific Sessions for the doctors’ offices with the various pro N urses ______Oct. 13, 14 cedures in the hospital and to enhance Council on Arteriosclerosis Oct. 13, 14 smooth relationships in the contacts— Annual Scientific usually by phone—between the doctor’s Sessions ______Oct. 15, 16, 17 office and the hospital. Helpful facts provided for the doc ELDERCARE IS BETTER tors’ helpmates included inform ation on the general structure of the hospital THAN MEDICARE medical staff, what number to call to find out what date a patient was dis charged, how the new recovery room Tacoma Brace functions, the information needed for admitting patients and scheduling sur & Limb Co. gery, and the fact that boss-man is sup posed to kick in five bucks every year Lenart C. Ceder, owner to the Medical Staff Library Fund. ☆ Each evening started with a tour of the hospital departm ents, with 30 rep Expertly fitted— resentatives of the various departments serving as hosts and guides. This was Artificial Limbs followed by a baked ham dinner. A Orthopedic Appliances name tag on each guest not only indi Surgical Belts cated her name, but also the nam e of Arch Supports the doctor she worked for. Trusses Following dinner, a general meeting in Jackson Hall featured a series of 10- ☆ minute talks by departmental heads or representatives. An information book let was distributed to all guests. FUiton 3-4439

Walter Huber, hospital administrator, 723 South K Street officially welcomed the guests, and as 28 BULLETIN o f the Pierce County M edical Society

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PHYSICIANS' AND HOSPITAL SUPPLIES BULLETIN of the Pierce County M edical Society 2 9 shed; if you will not fight when your Letter To The Editor victory will be sure and not too costly; To the Editor: you may come to the moment when you will have to fight with all the odds One of the most extraordinary and against you and only a precarious most gifted men of our times died on chance of survival. There may even be January 24th, 1965. Here are a few of a worse case. You may have to fight the many winged words of Winston when there is no hope of victory, be Churchill that should be read slowly cause it is better to perish than live as and deliberately. slaves. . . . From an address to the people of the —F r a n k J. R ig o s , M.D. United States Oct. 16, 1938, reprinted in “Blood, Sweat and Tears” (P u tn a m ): Cookies and Milk No one must underrate the power and efficiency of a totalitarian state. W here Good Relaxants the whole population of a great country, Says Cascadia Head amiable, good-hearted, peace-loving people, are gripped by the neck and by If Miltown or Librium fail, try the hair by a Communist or a Nazi cookies and milk. At least the latter pre tyranny—for they are the same things scription seems to be effective in relax spelled in different ways— the rulers for ing emotionally disturbed young people the time being can exercise a power for when they have their first interviews at the purposes of war and external dom the “Cascadia Diagnostic Center." ination before which the ordinary free Theodore Sterling, PhD., Chief Psychol parliamentary societies axe at a griev ogist at the Center, described this and ous practical disadvantage. other methods of handling delinquents in his presentation to the Pierce County * * * Medical Society at its February meeting. From a speech in the Parliamentary Dr. Sterling expects over 1,500 chil election of 1951, cited by Ray Vicker in dren between the ages of 8 and 18 to be “How an Election Was Won” (Reg- routed through the Center this year. nery): The Center is housed in the buildings The Socialist planners have miscal which were formerly the Cushman culated and m ismanaged everything Indian Hospital. According to Dr. Sterl they have touched. They have tried to ing, the typical boy has had two or more substitute government control and dis arrests and the typical girl is admitted cretion for individual enterprise and for some form of sexual offense. Most skill. By their restrictions they make of them are emotionally disturbed scarcity; and when scarcity comes they young people and a high percentage call for more restrictions to cure it . . . come from family backgrounds which 700,000 officials . . . have settled down play a large part in their poor social upon us to adm inister 25,000 regula adjustment. tions never enforced before in time of Cascadia is mainly a diagnostic, eval peace. uation and screening center, and does * * * not undertake any specific treatment From “The Gathering Storm”: other than trying to develop some form of motivation in the young people. Each If you will not fight for the right child stays only about five or six weeks, when you can easily win without blood and then is routed out to other schools, 3 0 B U L L E T I N o f th e Pierce County M edical Society special homes, etc. Dr. Sterling closed Professionals in the field of mental the program with an interesting ques health will provide services, mostly in tion and answer period. their own offices, on a low fee contrac tual basis. These professionals form a Early in the program, the Puget “Panel of Therapists” of the clinic and Sound National Bank presented an ex are carefully selected by the Advisory planation of its rather complex billing Council of the Clinic. plan for physicians, and earlier had been the hosts for the social hour. Fresno County, California, recent Sa- bin vaccination campaigns paid double The Tuesday, March 9, program will dividends to the people of the county. feature a discussion by three local In addition to the vaccine, the people pharmacists, Donald Hebert, Donald also made it possible, because of a Herrema and Kermit Read; the subject “profit” made during the campaign, to will be “ASK YOUR DOCTOR — Not send local students to nursing, medical Your Pharmacist.” and dental colleges. The Medical Soci ety invested the “profit” to provide schol arships to worthy students. Grants total County Societies . . . ing $2,000. will be awarded annually to promising dental, medical, pharmacy IN TH E NEWS and nursing students for many years to Tulsa County, Oklahoma, physicians come. have made sure that their Society-spon- Members of the T arrant County Med sored Scout Explorer Post is kept busy ical Society, Texas, have presented an through the year. Following are some Advanced First Aid Course for ambu of the activities that the 27 members lance attendants, firemen and police of of the post engaged in during 1964: ficers. All the topics were taught by met each week to hear physicians lec physicians and some were: ‘The Man ture in various fields of specialization; agement of Emergency Childbirth”; completed a course in first aid taught “Modern Shock Management”; “Care by the Tulsa Fire Department; collected and Transport of Fractures”; “Closed funds for the Multiple Sclerosis Drive; Chest Cardiac Massage”; “Care of manned first aid stations at the Boy Severe Burns” and “Suggestions on the Scouts Camperalls; toured the Red Handling of Psychiatric Emergencies.” Cross Blood Center; took a field trip to inspect the University of Oklahoma Q u o t e o f N o t e : “W e are going to Medical Center and related facilities; try to take all of the money that we and did on-the-job training in part- think is unnecessarily being spent and time employment at two local medical take it from the ‘haves’ and give it to centers. the ‘have nots’ that need it so much. —President Lyndon Johnson, White Physicians in Pierce County, Wash H ouse Speech, January 15, 1964. ington, are cooperating with, and are sure to benefit from, a Community Deleware County Medical Society, Mental Health Clinic which recently Pennsylvania, has established a Public began limited operations in Tacoma. Health Fund from the excess money The Clinic is community staffed and received d u rin g th eir Sabin Oral Polio sponsored and offers low cost and low Vaccine Program. The purpose of the fee service to those citizens of Pierce Fund is to provide some financial as County who need, but cannot afford, sistance to various groups and agencies private counselling and psychotherapy. concerned in public health which would BULLETIN o f the Piebce County M edical Society 31 otherwise not be available. It is antici Q u o t e o f N o t e : “A good doctor can pated that the interest will be four to get ahead under any system of medi five thousand dollars per year and this cine; by his competency he makes or would bs available for distribution. In arranges his own security. The poor case of emergencies, or a large-scale doctor is better off under government community project, the principal of the medicine because his livelihood is as Fund would be made available but only sured him, and his working conditions on the approval of the Board of Direc are improved. When a socialized doc tors of the Fund. The following grants tor puts in his 40-hour week, he is will be awarded in 1965: $1,125. each through, he can spend the weekend to the Community Nursing Services of with his family without giving a thought Chester and Delaware Counties for to patients. . . . Because it is impos Measles Vaccine; $1,135. to the Frank sible to socialize doctors without simul lin Fire Company to equip and insure a taneously socializing patients, doctors new ambulance. know that it is the patients who get the worst of the “bargain” in socialized Physicians and their wives in Berks m edicine.” County, Pennsylvania, are practicing —Gordon B. Leitch, M.D., in what they preach about physical fit The Freeman. ness. Last year, Society m em bers and their wives organized a year-round pro gram of physical exercise designed to Magazine Features promote physical fitness and fellowship. Local Child Center They have been getting together regu An article on the State of Washing larly for an informal program of recre ton Child Study and Treatment Center ation including such activities as bowl at Western State Hospital is featured ing, tennis, swimming and dancing, in the January-February issue of the with many of the activities taking place Psychiatric Reporter, a national publi at society headquarters. These sports cation by one of the pharmaceutical not only afford relaxation from routine houses. The article is based on an inter and a chance to utilize little-used m us view with Dr. Jerman Rose, director of cles, but offer time to socialize with the Center. The Reporter is sent bi busy friends in the profession. monthly to some 30 thousand psychi atrists and other professional people in Suffolk County, New York, Medical the field of mental health. Society members are sure to benefit from a recent forum for medical secre taries held by the Suffolk Bureau of TELL YOUR PATIENTS Medical Economics. Some topics dis cussed were: “Billing — W here and ABOUT ELDERCARE When”, “Telephone Tips for Medical Personnel”, “Tips on Collections” and ‘Public Welfare Patients”. There was DON'T BURDEN THE WORKING also a display of billing equipment and systems by Visirecord, N ational Cash MAN WITH THE FALSE Register and Therm ofax Corporation. PROMISE OF MEDICARE The Forum was well attended and the ladies present expressed a desire for more such programs. PATRONIZE YOUR ADVERTISERS Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Monday of each month— 8:00 p.m. at 424 South K Street TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 8:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August — 8 :15 p.m . STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August— 6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and August— 6 :0 0 p .m . STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. ______/ I s I PIERCE COUNTY MEDICAL SOCIETY BULLETIN VOL. XXXVI— No. 5 TACOMA, WASH. MAY - 1965

REGULAR MEETING PIERCE COUNTY MEDICAL SOCIETY . . « „ MAY 11 2 ______BULLETIN o f the F ie r c e C o u n t y M e d ic a l S o c ie t y Pierce County Medical Society 1965 OFFICERS President . ______Frederick J. Schwind President-Elect ...... -...... Glenn G. McBride Vice-President ...... Lester S. Baskin Secretary-Treasurer ...... Arnold J. Herrmann Hap* py Executive Secretary .... Judy Gordon TRUSTEES Richard F. Barronian Robert C. Johnson Lester S. Baskin Janies D. Lambing Myron A. Pass Glenn G. McBride J. W. Bowen, Jr. Clinton A. Piper May Birthdays Robert R. Burt Frank J. Rigos Arnold J. Herrmann Frederick J. Schwind D E L E G A T E S 3 B ernard A. Bader Douglas P. Buttorff Frederick J. Schwind Robert M. Ferguson Stanley W. Tuell H erm an S. Judd Robert W. Florence Wayne W. Zimmerman Glenn G. McBride W endell G. Peterson ALTERNATE DELEGATES Richard F. Barronian Herman S. Judd Charles J. Galbraith Robert W. Osborne 4 Charles R. Vaught Philip Grenley Charles C. Reberger K enneth E. Gross Antone Walloch COMMITTEES E th ics Murray L. Johnson, Chairman 6 Albert Ehrlich Samuel E. Adams Frank R. Maddison G riev a n c e M. R. Stuen Frank J. Rigos, Chairman G. M. Whitiicre Stanley W. Tuell P ro g ra m 7 Richard F. Barronian Robert C. Johnson, Chairman Clinton A. Piper Robert M. Ferguson E dw ard M. Wood Public Relations James D. Lambing, Chairman John F. Comfort Robert M. Ferguson 8 Orvis A. H arrelson Kenneth E. Gross G. Marshall Whitacre L ib ra ry Don G. Willard, Chairman 9. S. F. H errm an n Robert M. Freeman William E. Avery Public Health Joseph O. Lasby Lawrence N. Brigham, Chairman Cecil R. Farther Robert C. Johnson Roy A. Virak Orvis A. Harrelson David L. Sparling House and Attendance John R. Alger, Chairman 11 L eland J. Bland Robert Klein William W. Mattson, Jr. Civil Disaster Edward R. Anderson, Chairman 12 C. R. F argher Leo Annest Charles E. Kemp Robert R. Burt Richard B. Link Kenneth D. Graham Robert D. McGreal 19 Douglas P. Buttorff T. R. Haley Leo F. Sulkoskv David T. Hellyer Arthur P. Wickstrom D ia b e te s 20 Robert M. Chambers Robert A. O'Connell, Chairman Robert A. Kallsen Roy II. Virak Kenneth D. Graham Entertainment William L. Rohner Walter L. Sobba Geriatrics 22 M. J. Wicks S. Robert Lantiere, Chairman Herbert C. Kennedy Harold F. Kahler Legislative 28 George C. G ilm an J. Hugh Kalkus, Chairman Homer W. Ilumiston Herman S. Judd B. D. Harrington John M. Shaw 31 Bryan M. Archer W’ay n e W . Z im m erm an Medical Education Edmund A. Kanar, Chairman Hugh A. Larkin Glenn G. McBride Bernard R. Rowcn James Mason (Ex-oIHcio) Joseph D. Martin Operation Hometown Douglas P. Buttorff, Chairman Schools George C. Gilman, Chairman Cecil R. Fargher Dudley W. Hontz Orvis A. Harrelson Everett P. Nelson Cover photo courtesy of Bill Dugovich. Mental Health Hugo Van Dooren, Chairman James M. Blankenship Jerman W. Rose Poison Control Claris Allison, Chairman

Bulletin Staff E d i t o r ...... Stanley W. Tuell HAVE YOU PAID YOUR AMPAC DUES? Business M anager ...... Judy Gordon Auxiliary News Editor Mrs. Alva E. Miller

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MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY 1 Annual Meeting Pierce County Tacoma Surgical Pediatric Society Club 6:00 p.m. C.P.C. of TGH-M VGH (MVGH Classrm.) 8 a.m. 3 8 Tacoma Acad, of Psych. & Neurol. C.P.C. of Mary’ 8 p.m. Bridge— S a.m. Surgery Grand C.P.C. of Hound—T.G.ff. TGH-M VGH Tacoma 8-9 a.m. (MVGH Classrm.) Orthopedic Society 8 a.m. 8 p.m._____ 10 11 12 13 14 15 Pierce County Medical Society OB-GYN Conf. C.P.C. of St. C.P.C. of Madigan Officers T.G.H. Joseph’s— 9 a.m. TGH-M VGH Club—6:30 p.m. 8-9 a.m. (MVGH Classrm.) 8 a.m. C.P.C. of Mary Bridge—8 a.m.

17 18 19 20 21 22 Tacoma Surgical Club—6:30 p.m. Medicine Grand P.C.M.B. Board C.P.C. of Rounds—T.G.H. 8:15 p.m. TGH-M VGH C.P.C. of Mary (MVGH Classrm.) Bridge— 8 a.m. 8 a.m.

24 25 26 27 28 29 Pierce County Tacoma Acad, of Academy of Internal Medicine Path. Cancer C.P.C. of St. General Practice 6 p.m. Conf.—T.G.H. Joseph’s—9 a.m. 6.-30 p.m. 8-9 a.m. C.P.C. of Mary Bridge— 8 a.m.

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B U L L E T I N o f the Pierce County M edical Society

PIERCE COUNTY MEDICAL SOCIETY MEETING Tuesday, May 11

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Physicians have recognized for many years that the religious belief of a patient affects his treatment and cure. Clergymen also have known that in time of illness, a man’s faith affects his treatment and even his ultimate recovery. This mutual knowledge and concern on the part of both professions has drawn them together in discussion and study. Medical science and the church are moving in the direction of cooperation for the bene fit of all patients. The American Medical Association, feeling the need for closer dialogue between physician and clergy in understanding each others’ problems, established (in 1961) the Department of Medicine and Reli gion. The Washington State Medical Association has had a committee on Medicine and Religion for several years. However, the County Medical Societies have been the ideal groups to bring togther the physicians and clergymen of all faiths for the study and discussion of their problems and common concern for the total welfare of the patient. It is here that the two professions practice and come into direct contact in the treatment of patients. Several county medical societies in Washington state have already had very successful meetings with the clergy during the past year. A meet ing of the Pierce County Medical Society and the clergy in the Tacoma area is planned for the near future. If sufficient interest is aroused, by this initial meeting, a Committee on Medicine and Religion will be ap proved by the Board of Trustees and members of the Medical Society will be appointed to serve on this committee and carry on a program for the future.

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Editorially Speaking

Medicare is imminent. So now what? As the battle of principles continues in the next several years, there are numerous “little” things that each doctor can do—such as: (1 ) Let the patient be aivare of your personal in terest in his welfare. For many people there is an inverse proportion between their receptiveness to socialized medi cine and their own personal satisfaction with their own doctors. Every patient who dislikes his doctor is a ready recruit for the proponents of socialized medicine. (2) At every opportunity, explain to patients the disadvantages of government regulation of medical care and the advantages of private care. (3 ) Don't gripe about the pile of insurance blanks on your desk— they represent our staunchest bulwark against government-financed medi cine. If the patient has good coverage, let him know he bought a bargain with his premium. But if you convince him the insurance company is out to bilk him, he’ll soon be interested in getting help instead from his benevolent old Uncle. (4 ) Discuss ivith your groiving children the dangers of socialism. They’re exposed to plenty of opinions with the liberal viewpoint—at least my teen-agers are. If no one takes the time to tell them something about the satisfaction and rewards of shouldering individual responsibility, don’t be surprised if they start laughing at your old-fashioned conservatism. Most doctors are proud of having achieved their present status, forgetting that the whole concept of free enterprise was really earned by our forefathers and handed to us on a platter. Until the current medicare fracas, many of us hadn’t really lifted a hand to preserve this valuable gift. More of usishould recall Goethe’s admonition: “What you have in herited from your fathers, earn over again for yourselves, or it will not be yours." There is still time. —S.W.T. BULLETIN of the P ie r c e C o u n t y M e d ic a l S o c ie t y 11

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As Brokers we are YOUR agent, NOT an Insurer's Agent. Offices at Suite 306, Security Building T acom a,W ashington MA 7-8181 12 BULLETIN of the Pierce County M edical Society Doctors Guests at "Family Physician Madigan Hospital Residencies" Urged For May 11 Meeting By Dean Hog ness It’ll be strictly red carpet treatment The University of Washington has for all members of the Pierce County graduated 15 classes from its School of Medical Society on Tuesday evening, Medicine since it was organized, Dean May 11, when the medical staff at John R. Hogness told the members of Madigan General Hospital plays host to the Pierce County Medical Society at the Society at the time of its regular their April meeting. Of these graduates, May meeting. Several scientific papers 32 per cent have become general prac will be presented by staff doctors at titioners, 15 per cent internists, then Madigan. Host for the evening will be smaller groups of 8 per cent or less in Brig. Gen. Byron L. Steger. A map on other specialties. Fifteen per cent of page 24 of this Bulletin shows how to the doctors practicing in this State are get to the Madigan Officers Club where graduates of the University’s School of the social hour will start at 6:30 p.m., M edicine. dinner at 7:30, and the scientific meet Dr. Hogness announced that in the ing at 8:30. Members of the Thurston near future appointments will be made County Medical Society will be guests of heads of the departments of Oph the same evening. thalmology and Otolaryngology. He Colonel William C. Dunnington will spoke with considerable enthusiasm of moderate the program and the papers the recent appointment of Dr. Jack will be as follows: Lien as the new head of continuing ed The Proper Use of the Therapeutic ucation. Dr. Lien is a former obstetri Trial in the Assessment of Anemia, cian from Spokane. Dr. Hogness recog Captain David L. Rosenbaum; The Car nized the need for family physicians in pal Tunnel Syndrome, Major Meridith various communities in Washington, Hale; The Surgical Treatment of the Idaho, western Montana and Alaska, Carpal Tunnel Syndrome, Captain Wal and indicated that the University feels ter B. Blackett; The Obstetrician's Role it has a responsible role in filling this in the Iso-Immunized Pregnancy, Ma need. At the present time, the Univer jor Jack W. Pearson. sity is actively organizing 2-year family physician training programs at numer ous private hospitals throughout the State. Dr. Hogness expressed the desire of the University to cooperate in the BEALL’S formation of such programs, but not to dominate the programs. The size of the medical school class is expected to ex The Prescription Store pand from 75 to 125 about 4 or 5 years from now. 124 Meridian South In answer to questions, the Dean PUYALLUP acknowledged that the School was still short of patients as clinical material, Phone Puyallup 5-8444 particularly in the fields of gynecology and internal medicine.

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PFIZER LABORATORIES Division, Chas. Pfizer & Co., Inc. New York, New York 10017 BULLETIN o f th e Pierce County M edical Society 15 adjusting to new mealtimes, their shifts Nurses' Hours, Meal are all one hour later. The time-honored Schedules Juggled 7 to 3, 3 to 11, and 11 to 7 shifts have been discarded. Now the day girls can At N.P. Hospital sleep an hour later, get to work at 8:00 Eating 5 meals a day may sound like a.m., but then work until 4:00 p.m. a way to gain weight—but it’s not Some say this doesn’t leave them time necessarily so at Northern Pacific Hos for shopping after they leave the hos pital, where a whole new set of sched pital. The evening shift is from 4:00 to ules has been in effect since February midnight. The night nurses find they 16. Actually only 2 main meals are can have a little better evening out, served — one at 10:00 a.m. and the since they don't have to get to work other at 4:00 p.m. The day's eating until midnight instead of 11:00. Most schedule starts with a light breakfast agreed that now that the new sched at 7:00 a.m. The first main meal ules have been in effect for a couple of comes around at 10. then a light snack months, they’re working out well. at 1:00 p.m., the second main meal at 4:00 p.m.. and an evening snack at 8:00 p.m. All-Star Cast The patients seem to thrive on the new schedule — what better way to Highlights April while away the hospital-hours than eat ing a few extra meals! Some patients Society Program who are accustomed to a hearty break Three “main-eventers” were crowded fast on arising are a little disappointed on one "card” at the April meeting of in the 7:00 a.m. snack, but the rest of the Pierce County Medical Society on the day’s menu seems to make up for Tuesday, April 13, and a fourth sat in this. the audience and listened. Each of the Some initial confusions have been four was more accustomed to being ironed out, such as what to do with main speaker on any program, but had orders like "t. i. d., p. c.”. The nurses to share the honors before the 90 who couldn’t tell which 3 meals were meant attended the meeting. Leading off was by such an order. Dr. Dr. John R. Hogness. Dean of the University of Washington School of Instead of adding a lot of work on the kitchen crew, as one might expect Medicine. He was followed by Dr. Ro with 5 meals to prepare, the reverse has land D. Pinkham. President of the Washington State Medical Association, been true. The kitchen has to only pre pare 2 main meals. The other 3 meals and then by Dr. Homer Humiston. former State Association President. Vir are pre-prepared meals—pre-packaged and pre-cooked items that are simply tually crowded off the program for lack brought around to the rooms and the of time was the Association's executive patient can take his pick and prepara secretary, Dick Gorman. Questions were tion is done on the spot. Less help is fired at all three speakers and the ses sion wasn't adjourned by President Fred required in the kitchen, rather than more. Schwind until the unusually late hour of 10 p.m. An informal poll of some of the nurses reveals mixed feelings. Some say Highlights of the comments of each it’s “for the birds”. The nurses have a speaker are presented elsewhere in this double change of schedule. As well as month's Bulletin. 16 BULLETIN of the Pierce County M edical Society

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(Warning: Codeine may be habit-forming.) Indications: 'Soma' Compound and ‘Soma’ Compound with Codeine are useful for relief of pain and stiffness in traumatic, rheumatic and other conditions affecting muscles and joints. Contraindications: Allergic or idiosyncratic reactions to carisoprodol, phenacetin, or codeine phosphate. Precautions: P h e n a ce tin — With long-term use, give cautiously to patients with anemia and cardiac, pulmonary, renal or hepatic disease. May damage the kidneys when used in large amounts or for long periods. Caffeine — Not recommended for persons extremely sensitive to its CNS stimulating ac tion. C odeine p h o s p h a te — Use with caution in addiction-prone individuals. Carisoprodol — Carisoprodol, like other central nervous system depressants, should be used with caution in patients with known pro- pensity for taking excessive quantities of drugs and in patients with known sensitivity to compounds of similar chemical structure, e.g. meprobamate. Side effects: Drowsiness, lightheadedness, dizziness, and gastric complaints have been reported infrequently for either or both of these preparations. P h e n a ce tin — Side effects are extremely rare with short-term use of recommended doses. Prolonged Ingestion of over doses may produce dyspnea, cyanosis, hemolytic anemia, skin rash, anorexia, subnormal temperature, in somnia, headache, mental disturbances, and tolerance. Caffeine — Side effects are almost always the result of overdosage. Average doses may rarely cause nausea, nervousness, insomnia, and diuresis. Excessive dos age may produce, in addition, restlessness, nervousness, tolerance, tinnitus, tremors, scintillating scotomata, tachycardia, and cardiac arrhythmias. Codeine phosphate-Possible side effects are nausea, vomiting, constipation, and miosis. C a riso pro do l — The only side effect reported with any frequency is sleepiness, usually on higher than recommended doses. An occasional patient may not tolerate carisoprodol because of an individual reaction, such as a sensation of weakness. Other rarely observed reactions have included dizziness, ataxia, tremor, agitation, irritability, headache, increase in eosinophil count, flushing of face, and gastrointestinal symptoms. One instance each of pancytopenia and leukopenia, occurring when carisoprodol was administered with other drugs, has been reported, as has an instance of fixed drug eruption with carisoprodol and subsequent cross-reaction to meprobamate. Rare allergic reactions, usually mild, have in cluded one case each of anaphylactoid reaction with mild shock and angioneurotic edema with respiratory difficulty, both reversed with appropriate therapy. In cases of allergic or hypersensitivity .reaction, car isoprodol should be discontinued and appropriate therapy initiated. Suicidal attempts may produce coma and/or mild shock and respiratory depression. Dosage: Usual adult dosage of ‘Soma’ Compound or ‘Soma’ Compound with Codeine is one or two tablets three times daily and at bedtime. Supplied: ‘Soma’ Compound, orange tablets, each containing carisoprodol 200 mg., phenacetin 160 mg., and caffeine 32 mg. ‘Soma’ Compound with Codeine, white capsule-shaped tablets, each containing carisoprodol 200 mg., phenacetin 160 mg., caffeine 32 mg., and codeine phosphate 16 mg. Narcotic order form required. Before prescribing, consult package circular. tn . WALLACE LABORATORIES w . Cranbury, N. J. 18 BULLETIN o f the Pierce County M edical Society

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4100 Steilacoom Boulevard JUniper 4-0252 BULLETIN o f th e Pierce County M edical Society 1 9 tion with the touch of a button. Espe HOSPITALS cially useful for patients with broken bones or burns, the circle bed can turn a patient completely over without dis Saint Joseph's comfort to his injuries. The foam rub In its Occupational Therapy Room, ber mattress is comfortable and a num the Annex has a very special depart ber of extra devices are available for ment, dedicated to helping healthy different uses of the bed. minds through busy hands. Mrs. Chuck Friday, May 7th, a panel which will Pierce starts her day at 9 a.m. when have for its theme “National Hospital she receives a report from the R.N. on Week" will take place at a luncheon duty. Kathy, a graduate of Colorado meeting on Town Topics over Radio State University, interned at Palo Alto KTNT at 12:30 p.m. Mr. David Hass V.A. Hospital, Casa Rehabilitation Cen will act as moderator and personnel ter, Pomona, Long Beach V.A. Hospital from Tacoma General, Mountain View and National Jewish Hospital, Denver, and St. Joseph’s Hospitals will partici and has been with us since October, pate in the discussion. 1963. Sister Philomene Marie who has been After morning baths, patients come active in planning for events for this individually or in groups to the O.T. week will represent St. Joseph’s Hospi room. They are shown what is available tal on the panel. This is only one of the and are made to feel comfortable. If a many events planned to bring before patient seems reticent about starting the public the importance of the hospi anything on his own, the therapist tal to the life of the community which might ask him to help her make an it serves. item and thus gain his interest and con The Pediatric Playhouse will present fidence. If he asks to make something a skit entitled “Johnnie Comes to the obviously beyond his capabilities, he is Hospital" on Monday, May 10th at 1 guided to try a simpler project, but is p.m. All patients, parents, employees never refused, if this attempt is not and visitors are cordially invited to wit successful. ness this tremendous display of action Sister Alacoque and Sister Patricia talent of your staff. We will be portray Francis attended an Institute sponsored ing the optimum preparation a child by the Catholic Hospital Association on should receive before and at the time of “Personnel M anagem ent” on April 8, 9, admission to the hospital and explain and 10 in Los Angeles, California. They ing the importance of this preparation. left by “Jet” on Wednesday, April 7 and Mrs. Carol Elkins of the Pediatric returned home Saturday, April 10, and staff is the writer and director of this wouldn’t you know it, it rained the short bu informative program. whole time they were there! The refresher classes will start for It is most appropriate during the 1965 all LPN’s on Wednesday, April 21st. Hospital Week, with its theme “PEOPLE There will be three class sessions. THE HEART OF THE HOSPITAL” that 7:30 a.m. for Night Shift; the X-ray Department pay tribute to our 2:30 p.m. for 3-11 Shift; Night Technician, Mr. Len Renner, R.T. 3:30 p.m. for 7-3 Shift. On April 30th Miss I. Barstow, R.N., This will be a brush-up session on Head Nurse from Delivery Room, re the not too routine procedures. tired after working at St. Joseph's for 14 years. She began working here on Second floor now has two circle beds. These beds can change a patient’s posi (Continued on Page 21) 2 0 B U L L E T I N o f the Pierce County M edical Society

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Doctors Hospital Building BULLETIN o f th e Pierce County M edical Society 21 (Continued from Page 19) Thursday, May 13: August 1, 1951, coming to us from Dinner for Hospital Auxiliary mem Yorkshire, England. bers . . . 6 p.m. She and Miss Barrass, R.N., plan to Medical Record Department holding return to the northern part of England an Open House . . . 2 to 4 p.m. near Yorkshire where they will purchase All employees of the Hospital are a home. invited. A farewell dinner is being planned News stories have been released to for May 6th at the Shakespearean Inn. all local news media. Spot announce Also there will be an Open House at the ments have been sent to all local Radio home of Mrs. Irene Brich on May 19th stations for release throughout the from 12:00 noon until 6:00 p.m. week. We are going to miss her, as she has Every department throughout the hos become more than just a friend to many pital has scheduled events in their par of us. We wish her and Miss Barrass ticular areas to honor the people who years of happiness and relaxation. are a part of the team responsible for Schedule of Hospital Week Events — the operation of their specific units. ‘PEOPLE — HEART OF THE HOSPI Plans for other events to take place TAL”. National Hospital Week begins during the week were not ocmpleted as Sunday, May 9th and extends through the Bulletin went to press. May 15th. National Hospital Day was celebrated from 1921 to 1952 on May 12th, the birthday of Florence Nightingale, the HAVE YOU PAID YOUR AMPAC DUES? famous nurse crusader of the Crimean War. Since 1953 the celebration of hos pital activities has been extended to a HAVE YOU EVER THOUGHT OF week. Many scheduled events will take WORKING WITH A GROUP? place here at St. Joseph’s Hospital dur ing this designated week. Following are • Pleasant working conditions some of the major activities and sched uled dates: • More leisure time Sunday, May 9: • New facilities Tea in the Maternity Department for • Laboratory, x-ray, physical therapy patients and invited guests . . . . 2 to 4 p.m. Monday, May 10: We need — General Practitioners, Skit in Pediatrics, “Johnnie Comes to Internists the Hospital” . . . 1 p.m. Cast of characters: employees of the department. Tuesday, May 11: CALL WESTERN CLINIC Open House and Tea in Recovery M A 7-9151 Room . . . 2 to 4 p.m. For interested staff and public 6th Avenue at South K Wednesday, May 12: Tacoma Tea for all employees of the hospital ■ • • 2 to 4 p.m. 2 2 B U L L E T I N o f the Pierce County M edical Society

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FREE PRESCRIPTION DELIVERY BULLETIN o f th e Fierce County M edical Society 23 High Risk Factors Sym posium A half-day symposium on High Risk Factors in Cardiovascular Disease will be sponsored Thursday, May 6, by the RANKOS Washington State Heart Association and the Washington State Department of Health in the University of Washing PHARMACY ton Health Sciences Auditorium in Seattle. 101 North Tacoma Avenue The symposium is open to physicians throughout the state free of charge. Featured speaker is Jeremiah Stam- ler. M.D., Director of Adult Health and Aging, Chicago Board of Health and co author of the book "Your Heart Has Prescription Nine Lives.” The symposium is the day before the Heart Association’s Annual Druggists Meeting at which Stamler will also speak. Also participating will be Thom as R. Dawber, M.D., Medical Director of the Heart Disease Epidemiology Study which the Public Health Service is con ★ ducting in Framingham, Mass. The Framingham Study is a long term pop ulation study of 5,000 adult residents of the Massachusetts community. Be We Carry a Complete Line of gun in 1949, the study involved a physi cal examination of subjects every ten Biologicals and Pharmaceuticals years, plus a compilation of information on subjects diet, smoking and other habits. Edwin Bierman, M.D.. Chief of Me tabolic Disease Service, Veterans’ Hos ★ pital, Seattle, will be the third speaker. Registration forms will be mailed to all physicians in Pierce County. “ When Moments Count”

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The development of chlorothiazide and pro For example, the Renal Research Program benecid were events of major importance, put fifteen years into this search before but perhaps even more important for the chlorothiazide became available. But be future was the Renal Research Program by cause these years had first led to a greater which they were developed. When Merck understanding of basic problems, the de Sharp & Dohme organized this program in sired criteria for chlorothiazide existed be 1943, it was expressing in action some of its fore the drug was developed. basic beliefs about research: Along with other research teams at Merck • Many problems connected with renal struc Sharp & Dohme, the Renal Research Pro ture and function were still undefined or un gram continues to add new understanding solved. The Renal Research Program would of basic problems — understanding which begin its basic research in some of these will lead to important new therapeutic problem areas. agents. • From knowledge thus acquired might come clues to the development of new therapeutic © M ERCK SHARP & DOHME o . * r„„,. agents of significant value to the physician. where today's theory is tomorrow's therapy 2 6 BULLETIN o f the Pierce County M edical Society WOMAN'S AUXILIARY . . . To The Pierce County Medical Society AUXILIARY OFFICERS— 1964-1965 President ...... Mrs. Sherman S. Pinto President-Elect ______-Mrs. Merrill J. Wicks speaker, Mr. Glen Collins, on narcotic 1st Vice-President ...... —. Mrs. Theodore Smith addiction, made Percodan and perdition 2nd Vice-President ______Mrs. James E. Iiazelrigg 3rd Vice-President ...... —-______Mrs. Sidney Kase seem synonymous. 4th Vice-President ... - ...... —Mrs. Harold D. Lueken Recording Secretary ------Mrs. John Liewer Corresponding Secretary . Mrs. Francis W. ^Hennings T re asu re r Mrs. Thomas II. Skrinar May Meeting Dues Stcretary ...... ~~ Mrs. Glenn II. Brokaw A M A E H F ...... - Mrs. Russell Colley Item: The May meeting has been National Bulletin ...... Mrs. Robert Kallsen Civil Defense and Safety... Mrs. Herbert Kennedy changed from Lakewood Terrace to Historian and By-Laws...... Mrs. Herman S. Judd Legislative ...... Mrs. Hubert W. Osborne F ife’s Holiday Inn. Reservations should Mrs. Jack J. Erickson M e m b e rsh ip ...... M rs. M. E d w a rd L a w re n c e be made at least three days in advance. Paramedical...... Mrs. Frederick J. Schwind P ro g ram ...... —...... Mrs. George C. Gilman It will be a luncheon meeting welcom P u b licity ...... M rs. Richard T. Davis B ulletin ______Mrs. Alva E. Miller ing Marge Wicks as President, and her Social ... Mrs. Kenneth D. Graham Speakers Bureau ...... Mrs. John Colen new slate of officers. Dorothy Maier will Telephone ...... Mrs. Kenneth Gross Minute Women ...... Mrs. Dale Doherty present next year’s budget for adoption. Mrs. Robert M. Ferguson Community Service and Council Mrs. G. M. Whitacre If you have any ideas for inclusion in H e a rt ______..Mrs. W. W. Mattson, Jr. C an cer ______Mrs. J. Robert Brooke the budget call Dorothy now. A review F in a n ce ...... Mrs. Haskel L. Maier D a n ce ...... Mrs. Robert P. Crabill of our past y ear’s accom plishm ents will Mrs. Arthur P. Wjckstrom Fashion Show ...... Mrs. Dudley W.be Houtz given by Ellen Pinto, and we might Mrs. Robert W. Florence Mental H ealth ...... Mrs. Charles P. Larson even have a program if the chairman T o d a y ’s H e a lth ...... Mrs. Ilomer W. Humiston Cook B ook ...... Mrs. Thomas B. Murphy gets on the ball. International Health . . Mrs. Charles McGill Parliamentarian ______... Mrs. William H. Goering Ellen and Board want to wish the new officers well in the coming year Mabelle is in Alaska visiting her and “thank you all, it has been a pleas daughter—just getting away from the ure to serve.” heat. —D o n a G il m a n The Auxiliary dance was thoroughly enjoyed by all. Special thanks to Dee Wickstrom and Patsy Crabill and com mittee for their planning and decora DAMMEIER tions. And thanks due, too, to Shaw Printing Co. Supply Co. for being our preprandial host. BRoadway 2-8303 We had a good meeting and lovely 811 Pacific Ave. Tacoma luncheon at Gonyea Klein’s. Our guest

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Depend on low-cost, low-dosage Prolixin—once-a-day Prolixin is a dependable tranquilizer that provides your patient with low cost therapy. No other tranquilizer costs less. Safe and convenient for office use—Prolixin in a single daily dose provides prolonged and sustained action. Markedly low in tox icity and virtually free from usual sedative effects-Prolixin is indicated for patients who must be alert. Clinical experience indicates fluphenazine hydrochloride is especially effective in controlling the symptoms of anxiety and tension complicating somatic disorders such as premenstrual tension, menopause, or hypertension—also useful for anxiety and tension due to environmental or emotional stress. When you prescribe Prolixin you offer your patient effective tranquilization that is low in cost, low in dosage and low in sedative activity. ~

Side Effects, Precautions, Contraindications: As used for anxiety and tension, side effects are un likely. Reversible extrapyramidai reactions may develop occasionally. In higher doses for psychotic disorders, patients may experience excessive drowsiness, visual blurring, dizziness, insomnia (rare), allergic skin reactions, nausea, anorexia, salivation, edema, perspiration, dry mouth, polyuria, hypo tension. Jaundice has been exceedingly rare. Photosensitivity has not been reported. Blood dyscra- sias occur with phenothiazines; routine blood counts are recommended. If symptoms of upper respiratory infection occur, discontinue the drug and institute appropriate treatment. Do not use epinephrine for hypotension which may appear in patients on large doses undergoing surgery. Effects of atropine may be potentiated. Do not use with high doses of hypnotics or in patients with subcortical brain damage. Use cautiously in convulsive disorders. Available: 1 mg. tablets. Bottles of 50 and 500. For full information, see your Squibb Product Reference or Product Brief.

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PHYSICIANS' AND HOSPITAL SUPPLIES BULLETIN o f th e Pierce County M edical Society 2 9 cluded in the coverage—the radiologist, Scientific Seminar anesthesiologists, pathologists and psy Margaret Rivard, M.T. (ASCP) from chiatrists in the hospitals, and a volun the Tacoma General Hospital Chemistry tary health insurance plan has been department attended a two day seminar written into the bill. on INSTRUMENTATION. This meeting After lauding the legislative efforts was co-sponsored by the American So of Dr. Homer Humiston on behalf of ciety of Medical Technologists and the medicine. Dr. Pinkham concluded with American Society of Clinical Patholo a blast at the DeBakey Report, which gists. Over 100 Medical Technologists brought several questions from the and Pathologists attended. floor. The meeting was held at the Port land Hilton, Portland, Oregon, on April 2 and 3. Re-Districting Mess Other personnel in the laboratory will Not Bad After All... benefit through this seminar for an ex cellent amnual was given to each Says Humiston registrant. After being lauded by State Medical Association President Roland Pinkham for his work in Olympia, Representative "Roof Fell In, Let's Homer Humiston became the third Stick Together," — main-eventer on the April program of the medical society. Dr. Humiston laid State President some blunt political truths right on the "Although the roof has partially line in explaining to members how fallen in on us, were all in this together, some of the surprising results of last and it’s still up to us to do all possible November’s election were dove-tailed to salvage what we can for our patients, with campaign promises which entered for our families, and for society.” So into the recent Medicare battle. He said a rather grim-faced Dr. Roland spoke in defense of the much-criticized Pinkham as he stood before the Pierce 47-day hassle over the re-districting County Medical Society in April and re measure, pointing out that at least it viewed the bleak medical-political situa was well-publicized and openly discuss tion. The likable, serious President of ed, in contrast to the virtually secret the Washington State Medical Associa manner in which Medicare was scooted tion told the physicians that we m ust through the House in Washington, D.C., accept the changes of the times and without the benefit of public hearings. suggested that with Medicare virtually With a sort of reverse type of reason upon us, our best course will be to strive ing, Dr. Humiston declared that doc for private-plan maangement of the tors can thank Governor Evans for new voluntary government plan for cov their escape from a sales tax on doc erage of doctors fees. He took a dim tors’ services. It figures like this: Evans view of such approaches as non-partici- is Republican—the legislature is Demo pation and actual strikes. cratic—so the legislature automatically Dr. Pinkham declared that organized opposes what Evans supports—Evans medicine’s Eldercare efforts had not suggested a sales tax on doctors' serv been in vain. Had the doctors made no ices—so the contrary lawmakers vote it effort, we m ight have had the whole down as a “tax on misery.” (Thank you, original Medicare plan. As it is, the plan Mr. Evans.) has been modified to eliminate the sig nificant group of doctors previously in PATRONIZE YOUR ADVERTISERS

B U L L E T I N o f th e Pierce County M edical Society .31 us for life and though we have suffered vate medical programs. Foreign physi a defeat it is not a complete one. Many cians have much to learn from Ameri other bills affecting Medicare will con can medicine, and at the same time tinue to crop up which will need and there is much that American doctors demand our sincere dedication in order can learn from the many fine profes to preserve our freedom. Join AMP AC sional men in medical science in other to make these efforts work for society’s lands,” he said. freedom. The New York World’s Fair has been T h o m a s H. S k r i n a r , M.D. widely publicized throughout the United States and in the rest of the world. Many physicians, both from this nation International Flavor and other lands, look to the June con At AMA Convention vention of the AMA as an opportunity The 114th Annual Convention of the to combine a visit to the World’s Fair American Medical Association June 20- and intensive postgraduate study by 24 in New York City will have an inter means of the scientific lectures, films, national theme throughout the scien color television and exhibits. Dr. Bargen tific programs. said. “In keeping with the New York The six general scientific meetings of World’s Fair, already drawing many the convention will offer the latest re thousands of foreign tourists to the city, search developments in adverse drug the AMA has scheduled eminent for reactions; organ transplantation; hear eign physicians to deliver lectures at ing; non-narcotic drug addiction; me the scientific meetings to be held dur tabolism in growth development and ing the convention,” said J. Arnold Bar- aging, and diagnostic cytology. gen, M.D., chairm an of the AMA’s Council on Postgraduate Program s. The Council directs planning of the scien Tacoma Brace tific programs for the convention. In addition to program participants, & Limb Co. large delegations of physicians from many foreign nations will attend the Lenart C. Ceder, owner convention and participate in the scien tific sessions. Large groups from Japan, ☆ Mexico and many other nations already have indicated that they will attend. Expertly fitted— “American physicians will have an Artificial Limbs opportunity at the New York conven tion to meet and mingle with other Orthopedic Appliances physicians from throughout the world, Surgical Belts and to learn of current medical knowl Arch Supports edge in other lands,” said Dr. Bargen. Trusses “We are proud of the fact that the United States now leads the world in medical science. Thousands of foreign ☆ doctors come to our shores every year for graduate study and training. More FUlton 3-4439 than 2,000 American physicians are 723 South K Street serving in foreign lands as representa tives for various governmental and pri Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 9S402 PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6-.15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Monday of each month— 8:00 p.m. at 424 South K Street TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 8:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August — 8 :1 5 p .m . STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August— 6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and August— 6 :0 0 p .m . STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. PIERCE COUNTY MEDICAL SOCIETY

NO MEETING COUNTY MEDICAL SOCIETY 2______BULLETIN of the F i e r c e C o u n t y M e d ic a l S o c ie t y Pierce County Medical Society 1965 OFFICERS President ... Frederick J. Schwind President-Elect ...... Glenn G. McBride ■■ J M r Vice-President ...... Lester S. Baskin * Secretary-Treasurer ...... Arnold J. Herrmann Hap-py birth - day to you, Executive Secretary ...... Judy Gordon TRUSTEES Bichard F. Barronian Robert C. Johnson Lester S. Baskin James D. Lambing Myron A. I'ass Glenn G. McBride J, W. Bowen, Jr. Clinton A. Piper June Birthdays Robert R. Burt Frank J. Rigos Arnold J. Herrmann Frederick J. S ch w in d DELEGATES 2 Treacy H. Duerfeldt Douglas P. Buttorff Frederick J. Schwind Robert M. Ferguson Stanley W. Tuell William L. Rohner Robert W. Florence Wayne W. Zimmerman Glenn G. McBride ALTERNATE DELEGATES 5 Hossein Naini Richard F. Barronian Herman S. J u d d Charles J. Galbraith Robert W. Osborne Jam es L. V adheim Philip Grenley Charles C. Reberger Kenneth E. Gross 7 Joseph B. H arris COMMITTEES E th ics Murray L. Johnson, Chairman 8 Jack J. Erickson Samuel E. Adams Frank R. Maddison G riev a n c e Frank J. Rigos, Chairman 10 Harold D. Lueken G. M. Whitacre Stanley W. Tuell Program Robert C. Johnson, Chairman 11 Jack W. Mandeville Clinton A. Piper Robert M. Ferguson Public Relations 13 Erna Guilfoil James D. Lambing, Chairman John F. Comfort Robert M. Ferguson Kenneth E. Gross G. Marshall Whitacre 14 Thomas O. Murphy Library Don G. W7iJlard, Chairman Jo h n K. Stutterheim Robert M. Freeman William E. Avery Public Health Lawrence N. Brigham, Chairman 15 Miles Parrott Cecil R. Fargher Robert C. Johnson Orvxs A. Harrelson David L. Sparling George A. T anbara House and Attendance John R. Alger, Chairman Robert Klein William W. Mattson, Jr. 16 Juan Cordova C ivil D isa ste r Edward R. Anderson, Chairman Leo Annest Charles E. Kemp 20 George Batey Robert R. Burt Richard B. Link Kenneth D. Graham Robert D. McGreal Robert Voynow T. R. Haley Leo F. Sulkosky David T. Hellyer Arthur P. Wickstrom D iab etes 21 Leo Annest Robert A. O’Connell, Chairman Robert A. Kallsen Roy H. Virak Jack W. Lee Entertainment William L. Rohner Walter L. Sobba G eriatrics 22 Marcel Malden S. Robert Lantiere, Chairman Herbert C. Kennedy Harold F. Kahler Legislative 25 James F. Early J. Hugh Kalkus, Chairman Homer W. Humiston Herman S. Judd B. L). H a rrin g to n John M . S haw 28 L. Stanley Durkin Wayne W. Zimmerman Medical Education Mills E. Lawrence Edmund A. Kanar, Chairman Glenn G. McBride Bernard R. R ow en H. Herbert Meier James Mason (Ex-officio) Operation Hometown Douglas P. Buttorff, Chairman Schools George C. Gilman, Chairman Cecil R. Fargher Dudley W. Houtz Orvis A. Harrelson Everett P. Nelson The Medical Society Mental Health Hugo Van Dooren, Chairman James M. Blankenship Jermon W . Rose Poison Control Office Will Be Closed Claris Allison, Chairman

Bulletin Staff From June 18 Through E d ito r ...... Stanley W. Tuell Business M anager ...... Judy Gordon July 1 Auxiliary News Editor _____ Mrs. Alva E. Miller

PATRONIZE YOUR ADVERTISERS Cover photo courtesy of Bill Dugovich. BULLETIN o f th e Pierce County M edical Society 3

TOP: Hank Everson. Chuck McCallum, Dick Milton, Jim Gribbon. BOTTOM : Neal Heston, Ken Platzer, Hal Gullett. Seven dyed-in-the-wool optimists

If you do business anywhere in the Tacoma trading area, you should meet these men and know them well. They are the business loan officers at the Puget Sound National Bank. They know it takes money to make money. And they ate willing to do everything they can to put a practical idea into motion. By trying harder, they help make the best of sound ventures. And to a man, they believe business in Tacoma is good and getting better. If this is the way you like to do business, come on in for a talk. We won’t pull the wool over your eyes. 4 BULLETIN o f th e Pierce County M edical Society

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Before prescribing, see SK&F product Prescribing Information. Smith Kline & French Laboratories BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y 7 Fishing, Golfing Whitacre, Race Win Event Set For Stowe!I Awards In Friday, June 11 Magnusson Bowlerama The silvers and humpies are biting Marsh Whitacre and George Race at Point Defiance and the blackmouths took top honors in the annual Doctors’ are busy at Minter Creek and even a Bowlerama held at the Tower Lanes dogfish might win a prize at the fishing on Monday, May 17, under the direction derby on Friday morning, June 11, the of Chairman Norm Magnussen. They day of sports events for Doctors and carried home trophies donated again Lawyers. Bill Rohner is in charge of the this year by Stowell’s Pharmacy. Under a ffair and he announces that fishing a new rule this year that limited the will start at dawn and fish m ust be number of trophies per contestant, turned in at the Point Defiance boat Whitacre had to make a choice of which house by 11 a.m. to be eligible for a he wanted, as he was the individual prize. Sam Adams and Walt Sobba are scratch champion with a series of 522 handling the fishing derby. The after and had the highest single game handi noon golf tournament, which will start cap score of 217. George Race won a at 12:00 p.m. at Fircrest Golf and trophy for the highest handicap series Country Club, is organized by Walt with 603. Whitacre was second in that Sobba and Bill Rohner. bracket with 588. Get your reservations in promptly for In handicap doubles series play, both events and top off the day with a George Race and Glenn McBride were social hour and dinner in the evening, champs with a combined score of 1162. where plenty of prizes will be passed Marsh Whitacre and Amie Herrmann out for the day’s best golfers and lucki trailed by just 11 points with 1151. est fishermen. Individual series scores with handi caps were as follows: EQUIPMENT FOR SALE Mayo Stand - Pedigo-ess. new...... $ 21.50 Race ______603 Dictaphone dictating unit 1958 model. W hitacre ______588 Reconditioned 1964 ______125.00 Refrigerator - Astral - white - 1964 under H errm ann ______563 counter - small freezer - top scratched 95.00 McBride ______559 Clinical Scales - used ______20.00 Treatment Table - walnut wood - drawers S u lliv an ___ 555 and cabinet storage - green nauga- W ahlberg ______545 hyde pad _____ 90.00 Arnold ______540 DAVID SPARLING - JU 8-1845 Wicks ______530 M agnussen ______526

NOW UNDER CONSTRUCTION Refreshments were served at the event and Peggy Race and Irma Wahl PROFESSIONAL berg formed a small but enthusiastic rooting section. Chairman Norm Mag CENTER nussen would have liked to have seen offering modern space for medical more wives out for the occasion as he suites in fast growing residential area. has his sights set on a combined doc tors and doctors’ wives Bowlerama Phone TE 3-1689 sometime in the future, if enough of AUBURN the wives show interest in the trund ling sport. 8 BULLETIN o f th e Fierce County M edical Society President's Page

We have all heard the expression, “The doctor has many faces.” As physicians we see each other most often in our professional role only. Most physicians are family men, church members, members of P.T.A. and members of a variety of other civic and service organiza tions. In addition, most of our medical society members find time for a great number of hobbies and avocations. We find a remarkable diversity of interest when we be come acquainted with the members of our group in the way they spend their leisure time. In general, the professional work of a physician consists of render ing service and is not creative as is the work of the architect or engineer. Hence, most of us choose hobbies which provide an outlet for creative talents. Many hobbies are chosen because they are particularly well adapted to family participation. The majority of physicians have found that an avocation or hobby is a very necessary part of their life. The scope of interest among our society membership varies from horticulture to horsemanship, from rug weaving to welding, from sailing to mountain climbing, from wood carving to watercolors, and from banjo playing to Gregorian chants. Dr. Tuell, our talented and hard-working editor, plans to begin a series of articles concerning the hobbies and avo cations of our members. We hope that such a “Hobby Lobby” will not only help us to know our colleagues better, but may help kindle new interest in those of our members who have not yet had an opportunity to use their leisure time properly. The “Great Society” now has H.R. 6675 in Senate Finance Com mittee hearings. If all provisions of this bill are passed and physicians are included in the Social Security program, we will all be able to retire at age 65 and spend all of our time gardening, painting, weaving baskets, etc. (Let’s hope we can do them all at home.)

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Loyalty is . . . a doctor’s wife with a broken leg attending the annual Auxiliary dance. Participation by its members is the keynote of success in any organi zation. Only a few of those who didn’t “participate’ ’at the annual Auxiliary dance had as good an excuse as “I had a broken leg, so I couldn’t come.” But here’s one gal who had that excuse, tore it up, and came anyway. Here’s my vote for more liaison, cooperation and fraternization between the Medical Society and the Auxiliary. These aren’t two unrelated organizations—obviously. Dictionary-wise, “auxiliary” means “one who assists”. This one does and has. Some time ago, we had a “first annual” joint meeting of Auxiliary and Society. Hear ye, Marge Wicks and Glenn McBride, how about a “second annual” such meeting next year. A tip of the visor to Helen Kittredge who had a dandy excuse for not coming to the dance—but did. (And brought George, too.) We need more members in both groups with a like willingness to participate. —S.W.T. BULLETIN of the P ie r c e C o u n t y M e d i c a l S o c i e t y 11

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As Brokers we are YOUR agen t, NOT an Insurer’s Agent. Offices at Suite 306, Security Building Tacoma,Washington MA 7-8181 12 BULLETIN o f th e Pierce County M edical Society necessary for the success of this cam Vaccine Program Big paign. Dr. Harrelson and the nurses of Success in Tacoma, the city schools, Mrs. Hermmghaus and the county school nurses, along with Brigham Reports Miss Brower and the county health de In December, 1964, a committee was partment nurses, did the major share of formed to administer Oral Polio Vac the work. Don Hebert with the Pierce cine to residents of Pierce County be County pharmacists successfully dis- tween the ages of three months and tribtued heat sensitive vaccine. Dr. eighteen years. This followed the recom Kenneth Graham and Judy Gordon mendations of many official medical handled our campaign publicity. groups. The Trivalent vaccine was used Boosters Needed because of its simplicity. In a large undertaking such as this The first feeding of vaccine was given the most simple method of vaccination during February and the second feed is frequently best. However, it now ing was in April. Parents were encour evolves upon the individual physician aged to contribute $1.00 for the vac to continue oral vaccination in his of cination of each child. However, vac fice. Infants should be immunized at cine was given to any child authorized two to three months. They should re by his parents to receive it. During this ceive three doses at 6 to 8 week inter program 144,000 doses of vaccine were vals. A booster may be given at 15 given. Vaccine was also furnished free months and upon entering school. Pre of charge to Remann Hall, several hos school children should also receive a pitals and Rainier State School. booster feeding at school age. There Shortly after undertaking this pro apparently is no incompatibility be gram, Thurston County and Longview tween smallpox vaccination and oral followed suit with similar programs. polio vaccine. Measles vaccination Upon completion of our project, we should not be given along with O.P.V. have a surplus of $10,800. It is the Illness other than enterovirus infection recommendation of our committee, con is not a contraindication to oral polio curred with by the executive committee immunization. Many physicians may of the medical society, that this money choose to use the monovalent vaccine. be used in the community. The freezer If so, a somewhat different schedule used to store the vaccine has been do must be used. nated to the Tacoma-Pierce County Again, I wish to thank all who gave Blood Bank; $5,500 has been given to of their time and encouragement to the Lindquist Clinic for the care of make this project of our society a children’s teeth; $3,000 has been given success. to the Community Mental Health Clinic. L a w r e n c e N. B r i g h a m , M.D. The balance of the money will be used C hairm an to buy vaccine for use by the Pierce Public Health Committee County Health department in its various clinics. To successfully complete such a pro gram we needed the cooperation of DAMME I E R many people. It is not possible to give Printing Co. recognition to all of them in this article. The whole-hearted support and cooper 311 Pacific Ave. Tacoma ation of both Dr. Giaudrone and Roger B Roadway 2-8303 Elder of the city and county schools was BULLETIN o f th e Pierce County M edical Society 15 1965 Auxiliary Government Requests Dance Success At Private Patients Top of the Ocean For X-Ray Study The annual Auxiliary dance was held The Tacoma-Pierce County Health on the upper deck at the Top of the Department announces receipt of three Ocean on Saturday, April 24, co-chair- letters with almost identical wording re manned by Patsy Crabill and Dee questing cooperation of physicians in Wickstrom. Patsy Crabill is shown be supplying patients for continuing study low on the right with Katharine Hum- of Ewing's sarcoma, Hodgkin’s disease, iston, Auxiliary Past-President, Ellen and metastatic lung cancer at the Radi Pinto, out-going President and Donna ation Branch of the National Cancer Ferguson. (See editorial page also.) Institute at the Clinical Center, Na tional Institutes of Health, Bethesda, Maryland. Physicians interested in hav ing their patients considered for admis sion and treatment may write or tele phone: Ralph E. Johnson, M.D.. Clini cal Center, Room B1B-41A, National Institutes of Health, Bethesda, Mary land 20014. Telephone: 656-4000, Ex tension 65457, Area Code 301.

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4100 Steilacoom Boulevard JUniper 4-0252 BULLETIN o f th e Fierce County M edical Society 19 'coma General Hospital. Special invita HOSPITALS tions went out to visitors, via the pa tients, to come as a special guest on this day. A tea table was set up in the main Tacoma General foyer for refreshments, and each guest Tacoma General Hospital highlighted was invited to a special film showing at Hospital Week with the following ob Jackson Hall. servances: On Tuesday, May 11, Ad Our new Recovery Room Head Nurse ministrators and Directors of Nursing is Mrs. Rose Hertz, R.N. Mrs. Hertz is Service were guests at a luncheon spon well-known to the medical staff, having sored by the Kiwanis Club. Hospital been a delivery room nurse and relief people there had the opportunity to tell Assistant Director of Nurses on 3-11. those in attendance about Hospital Mrs. Hertz is replacing Mrs. Marilyn Week and what their individual hospi Otto, R.N., who is leaving to move to tal was doing to center attention on Na California. tional Hospital Week. Forty students from the School of On Tuesday of Hospital Week, Ta Nursing attended the SWANS Conven coma General staged its most recent tion in San Francisco from April 29 to disaster drill. The “disaster” was a bus May 2. Mrs. Bess Piggott and Miss Fern accident and the “victims” were mem Gough of the faculty accompanied bers of an Explorer Scout troop made them. up to simulate many serious and super Capping exercises for the Freshman ficial injuries. Madigan General Hospi Class will take place June 12, at the tal medical technicians were in charge First Methodist Church. of the make-up. The victims arrived at Miss Charlene Cook, who will be a the Emergency Room by ambulance and member of the Class of 1968, received the testing of the triage areas and the a full scholarship and $500 stipend principal treatment areas was made. from Carnation Scholarship Fund. Everyone concerned learned a great The Tacoma General Hospital Alum deal, and the consensus of opinion is nae Association held their annual that the drill went very well. Homecoming Banquet at the Winthrop On Wednesday, our annual Person Hotel on May 15, 1965. The Class of nel Day Tea was held. Seventy-one em 1965 from the Tacoma General Hospital ployees were given awards for 5-, 10-, School of Nursing were honored guests. and 20-year service records. These The Alumnae also honored Mrs. Nellie awards raised to 328, the total number Mallett Newman, Seattle, who gradu of our employees who have been here ated from the old Fannie C. Paddock five years or more, representing 54% of Hospital in 1904. Mrs. Jessie Howell our personnel. Dr. G. M. W hitacre, Pres Snowden and Mrs. Bessie Wardendyke ident, Medical-Dental Staff, was our Murray, members of the Class of 1905, guest speaker. were present. Dr. and Mrs. Herman Wednesday, May 12, patients were Judd, Mr. and Mrs. Walter Huber, Mrs. reminded of hospital week by tray cov Bess Piggott, Director, School of Nurs ers and special favors com m em orating ing, and Mrs. Betty Haffman, Director, Florence Nightingale’s birthday. The Nursing Service, Mrs. Lucille McDon favors were fashioned by the Volun ald, R.N., Surgery Supervisor, were spe teers and featured a small nurse’s cap cial guests. Dinner was served to 290 complete with black band on the graduates from Tacoma General Hos corner. pital and guests. Thursday was Visitors Day at Ta- (Continued on Page 21) 20 BULLETIN o f th e Pierce County M edical Society

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Doctors Hospital Building BULLETIN o f th e Pierce County M edical Society (Continued from Page 19) ture because of three separate thermo stats. The patient cannot fool around Saint Joseph's with setting the temperature because Student News C.S.R. has to do it with a key. The month of May has been a busy Mrs. Florence Riedinger attended the one for several of our students. Berna 1965 NLN convention held May 3-7 in dette Berilla will receive her B.S. in San Francisco. Medical Technology from Gonzaga Uni Physical Therapy Department had versity on May 23rd and will also re their open house May 14, to acquaint ceive her training certificate from St. the Doctors, Patients, and hospital per Joseph’s. Added excitement for Bernie sonnel with the remodeling and the will be her marriage in August in new equipment which has been in Spokane. stalled. The guest book was signed by Aurora Reyes and Bonnie Campbell 350 people. are the other students who will receive The Medical Record Technician stu their training certificates from St. dents enjoyed a trip to Seattle, on Joseph’s this month. Bonnie is sporting Thursday, May 20. We visited three Se a new engagement ring from Richard attle Hospitals, Providence, King Coun Gill of Tacoma. Our special good wishes ty, and the University Hospital of which and thanks to these three students who we were given tours of the Medical are able and valuable assets to the lab. Record Department. Several representatives sponsored by In Providence Hospital besides the St. Joseph Hospital attended the Con Record Room we saw the Heart Center. ference in Seattle held at the University It was fascinating to us because it was of Washington, Health Science Building the first opportunity that we had to see on May 13 and 14 on the “Legalities in for ourselves the inside story of a Heart Nursing”. Those who attended were: Center. Sister Alacoque, R.N.; Sister Michael We were given a wonderful lunch in Catherine, R.N.; Mrs. Mary Joan Buck, their cafeteria with piped in music as R.N.; Miss Lucille Anderson, R.N.; Mrs. an added attraction. A most enjoyable Ellen Robbins ,R.N.; Sister Eugene time was had by all. Marie; Mrs. Violet Rowntree, R.N.; Mrs. The Medical Record Librarian Stu Ruth Mumpf, R.N.; Mrs. Juliette Siver- dents from Providence visited our Medi ly, R.N.; Mrs. Lovella Brewster, R.N. cal Record Department on Tuesday, Our in-service program has covered May 25, to see our Medical Department isolation technique. It was a three day filing system of middle digit, and the session set up just for this procedure, Psychiatric Department and Medical May 11th, 18th, and 25th. Mrs. Craton Library. and Mrs. Nupen were in charge of the ATTENTION ALL STAFF MEM excellent presentation. BERS: The June staff meeting will be Among the new equipment at C.S.R. held on June 21, at 7:30 p.m. we have three new air mattresses. Air X-Ray Department shifts from side to side so there will be Congratulations are in order for two no continuous pressure in one general X-Ray students, Sister Mary Martina, area. O.S.B., and Trudi McDonald (no rela Also in C.S.R. we have two Aqua- tion), who received awards for entries matic-K-Pads from Rupp Industries, at the Washington Society X-Ray Tech Inc. These heating pads are filled with nicians Convention held recently in running warm water that are guaran Tacoma. teed not to go above the set tempera (Continued on Page 23) 2 2 BULLETIN o f th e Fierce County M edical Society

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FREE PRESCRIPTION DELIVERY BULLETIN o f th e Pierce County M edical Society 23 (Continued from Page 21) Sister Mary Martina, first year stu dent, presented a paper which dealt with a new technique in X-raying the sternum. Evaluation of this paper in cluded, not only excellence of content, RANKOS but also style of presentation. Sister’s paper was selected from approximately ten such papers presented by both stu PHARMACY dents and registered technicians. The award, offered by Picker X-Ray Corp., 101 North Tacoma Avenue was A Complete Atlas of Roentgeno- graphic Positions by Merrill. Miss McDonald was the recipient of a cash award for the best exhibit by a student. Using both photography and radiography, her graphic display was Prescription entitled “Cervico-Dorsal Junction: Con ventional Versus Topographic Techni que”. This display received the distinc Druggists tion of later being exhibited at the May State Meeting of Radiologists, in Seattle and of receiving many complimentary comments. In addition to these there were also several highly commendable entries by other St. Joseph Hospital X-Ray stu dents, including entries by Karen Kuhn, Elaine Matz, and Millie Pancho. The We Carry a Complete Line of X-Ray department was justly proud of all these entries. Biologicals and Pharmaceuticals Jack McDonald, R.T. Mr. Fiorino Attends State Meeting Frank Fiorino, chief technologist, was a delegate from Tacom a to the Washington State meeting of the Amreican Society of Medical Technolo gists. The meeting was held in W enat chee, April 23-25. Interesting workshops “ When Moments Count" were conducted in Blood Banking and Hemostasis. Mr. Fiorino was recently elected Treasurer of the Tacoma Chap ter of ASMT. FUlton 3-2411 Wedding Bells Mr. and Mrs. Jerry Simurdak, have just returned from their wedding trip through British Columbia and Alberta. PROMPT . . . FREE DELIVERY Jerry, a technologist in our lab, was married to Miss Bernadette Baker on May 1st in Holy Rosary Church. 2 4 BULLETIN o f the Pierce County M edical Society Colorful Display Zoo Society Asset At St. Joseph's To City; Doctors' For Hospital Week Role Significant One of the active civic organizations in Pierce County is the Tacoma Zoolog ical Society (TZS). It is composed of persons from all walks of life and of all ages; its prime purpose is to foster a first rate zoological garden for this area. As with any such group, there is no accident in its being, nor has it grown by sitting back and allowing progress to spontaneously develop. Within the TZS organization is a hard core of dedicated persons, and within this central group Doctors of Medicine "People, the Heart of the Hospital” are conspicuous for their number and was the theme for National Hospital enthusiasm. Week, May 9 to 15. The public rela In 1948 the Tacoma Zoological So tions committee of St. Joseph's Hospi ciety was born. A small number of bi tal was given the responsibility of de ologists and just plain citizens acted veloping a display to depict to the pub as midwives, with several physicians as lic the multitude of personnel connect consulting accoucheurs. No one quite ed either directly or indirectly with the knew what to do with the little infant daily routine care of any one person. Society, though fortunately the consti A six-foot heart was constructed and tution and by-laws were patterned after dolls, authentically dressed to represent the famous San Diego Zoological So personnel, were placed on the heart ra ciety (which incidentally was primarily diating out from the central figure, the nurtured by physicians). After the big “p atien t”. push to build a new lion house TZS This graphic display depicts to some passed through a phase of unremark degree the magnitude and diversity of able childhood. the staff employed in patient care. Three years ago, with maturity ap

— F . R e i d i n g e r , R .N . proaching and with a background of experience and contemplation, a phe nomenal increase in interest of the So ciety occurred. It became obvious that an unusual potential existed in the TZS because of the environment of the BEALL’S Pacific Northwest and beautiful Point Defiance Park, and in the heritage ex The Prescription Store pressed by the interest of the people in volved. Education of the Society was 124 Meridian South necessary; plans for the future to real PUYALLUP ize potential were imperative. This has proceeded apace. Phone Puyallup 5-8444 The Metropolitan Park Board is re sponsible for all Park operations, in BULLETIN o f th e Pierce County M edical Society 25 eluding the zoological garden. It (with cal subjects. Physicians and their wives one of the five members a physician) is have been generous in their support of part of the increased interest in the the growing library, “Operation Aard- zoo. It has evidenced this by the build vark” and the TZS sponsored “Soup and ing of our fine new aquarium, by the Fish Ball,” the brightest social event of appointment of a professional zoo many years. director, and by allowing increased par A word of the future of the TZS and ticipation by TZS in the affairs of the the Point Defiance Zoo is in order. The zoo, culminating most recently by al Society is necessary to accomplish the lotting 52 acres of Point Defiance Park potential of the area. A well balanced for development of zoological gardens. zoological garden which specializes in The TZS has a number of active our Pacific Northwest fauna is envi working committees. Most of these have sioned. It will be a place of beauty by physicians as members; several chair proper design and landscaping, associ men are M.D.s. Half of the Board of ating closely with other civic groups Directors of the Society are Doctors of such as the garden clubs. It will be a Medicine. The general m em bership list place of enjoyment and education by includes much of the roster of the utilizing the imagination and ideas of Pierce County Medical Society. our University and school personnel. Financially it will provide its own main All-in-all this is evidence of splendid tenance and more, will add a unique support of a civic effort by the medical tourist attraction as a year around activ profession, and it shows again the basic ity in our mild climate. interest that physicians have in biologi To conclude our metaphorical note, TZS is becoming well educated in the humanities, in science, in business and HAVE YOU EVER THOUGHT OF economics and public relations and is embarking upon a public life of great WORKING WITH A GROUP? promise. Every member of the Pierce County Medical Society should be part • Pleasant working conditions of this. • More leisure time M urray L. Johnson, M.D. President, TZS • New facilities • Laboratory, x-ray, physical therapy PATRONIZE YOUR ADVERTISERS We need — General Practitioners, Internists DAMMEIER Printing Co. CALL WESTERN CLINIC Printers and Offset Lithographers MA 7-9151 6th Avenue at South K BRoadway 2-8303 Tacoma 811 Pacific Ave. Tacoma 2 6 BULLETIN o f the Pierce County M edical Society One Stage Urged tion of the bowel for elective colon sur gery since 1955. They routinely use an For Diverticulitis oral cathartic and soda-bicarbonate en emas for cleaning of the lumen before Kanar Gets Award surgery. Another routine practice is to In his afternoon address at the an do a transverse colostomy at the time of nual clinical meeting of The Tacoma the resection in every instance where it Surgical Club, Dr. John L. Madden is necessary to mobilize the rectum urged that surgeons utilize primary re from the hollow of the sacrum in doing section of the involved colon in patients the resection. with acute perforations of the sigmoid At the evening banquet, Dr. Madden colon from diverticulitis. He reviewed indicated the group’s practice of split the series of cases treated in this fash ting the rectus muscle in gallbladder ion at New York Medical College where surgery and the use of a catheter in he is Clinical Professor of Surgery, in stead of the conventional T-tube follow dicating that the mortality rate for this ing choledochotomy. He uses a drain in procedure in his hands was 8.5 per cent. every instance of cholecystectomy. He compared this to a mortality rate of Also at the evening session, Dr. Rich 21.9 per cent in those patients in whom ard D iefendorf, President of the Club, a preliminary colostomy was done and presented certificates of membership to then followed later by resection. Com 3 new m em bers: Doctors Ralph Stag- plications occurred in 52 per cent of the ner, Ralph Johnson and Dale Hadfield. patients with primary resection, as com Dr. Ed Kanar received the certificate of pared to 85.5 per cent of those who had award for having performed and pre staged procedures. sented the best dissection at the morn In another departure from usual prac ing session. This was the second time tice, Dr. Madden’s group has used no he had received this award. There were antibiotics in the pre-operative prepara 218 doctors registered in at the meeting.

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PHYSICIANS' AND HOSPITAL SUPPLIES BULLETIN o f th e Pierce County M edical Society 29 The Medical Society AMPAC 1965 Office Will Be Closed Sometimes it is good to present an From June 18 Through honest-to-goodness hard-sell program. Almost all of us have our County, State July 1 and National AMA dues paid. Uncle Sam has received our April assessment as well as any taxes we owed for 1964. Tacoma Art Museum Many major first-of-the-year bills are probably out of the way and so our Renta 1-Sales G allery next concern becomes “What to do and Have you ever decided that a blank where to go for our vacation?” wall in the office or in your home lack ed a touch of color ... a painting? Then This seems to be a good time to ask you decided to do something about it. you for a little money before it is all But once at the gallery, the decision invested in a glorious vacation. Twenty becomes confusing — landscape, ab ($20) dollars for AMPAC isn’t much to stract, non-objective, color, shape. After ask and shouldn’t cause any curtail looking at everything, it is difficult to ment of your summer plans. Yet this decide which would be most appropri ate, particularly if your selection is to $20.00 represents a serious part of your be permanent. future in the free practice of medicine. The Tacoma Art Museum, 7th and Medicare has passed the House of Pacific Avenue, has the solution. Rent Representatives but it has not yet the painting of your choice, try it and, passed the Senate and could conceiv if it fits, you may purcahse it; if not, ably be back in the House for final you may return it and try another. approval. On this bill alone we have a The Rental-Sales Gallery on the sec lot of serious work to do. You have all ond floor of the Allied Arts Building, is received a newsletter from WSMA ex operated as a non-profit service by the Museum and has been in operation for plaining the inclusion of the anesthe the last three months. During that time, siologist, pathologist, psychiatrist and nearly one hundred paintings have been radiologist in the Medicare Bill (HR rented or sold and the project has 6675) and the evils inherent in this brought the work of well-known artists plan. We must work to get this section into the gallery. removed and other areas reworded. So, if you are in the mood or in the market, stop by the Tacoma Art Mu Getting back to membership, your seum Rental Gallery. Hours are one to $20 investment in AMPAC should be a four, daily; Sunday, from two to five. must. Gathering membership is the Browsing is encouraged. most important project of any organi Stella D. Leis, Chairman, zation. This is the only way an organi Rental-Sales Gallery zation can be adequately financed. It is also basic that only by having sufficient funds can an organization properly ren PATRONIZE YOUR ADVERTISERS der necessary and desired services for 3 0 BULLETIN o f the Pierce County M edical Society which the organization was founded. It parents is according to ability to pay, is important to remember that when in but not more than $25.00. The person dividuals default they render no service nel will be furnished by the sponsoring to their community and nation. The agencies. same is true of an organization. Our An intensive statewide compaign for finances are raised from our members immnuization against measles has been and so our strength is directly propor approved by the Genesee County Medi tional. Our membership is on a volun cal Society and the Michigan State Med tary basis and this is rightly so because ical Society. The campaign will be an we want a voluntary organization. This all-out effort to inform parents of the is one of the fundamental principles dangers of measles and to encourage involved in AMP AC and it is one of the them to consult their physician regard great strengths of the organization. In ing vaccination for their children. In AMPAC, people do what they do be this public service campaign, attention cause they ivant to do it. We want an will be called to these facts: organization that will voluntarily do 1. Far from being harmless, measles that which is necessary to preserve free is dangerous to children. enterprise and constitutional govern 2. Practically every child is suscep ment. Membership is the life-blood of tible to measles by the time he is AMPAC and AMPAC is the life-line be nine months old. tween the practicing physician and his 3. One child in six who gets measles government. will develop a secondary infec It will only take a minute to send your tion. $20 check to me at 801 East Wright Avenue or to AMPAC, P.O. Box 829, 4. In one case in 1000, it triggers encepahlitis and, in some cases, Seattle. Take that minute now and you will surely be glad to have contributed even kills. to a group that is voluntarily working It will also be stressed that measles in politics for your rights and freedoms. can be virtually wiped out with the use Just as we are sincere in our efforts and of vaccines available to physicians. beliefs, so also do we challenge you to be sincere in your hope for the future. Multnomah County Medical Society, Thomas H. Skrinar, M.D. Oregon, is working with the “Welcome Chairman, Board of Directors, Wagon” in their area by supplying new AMPAC, State of Washington ly arrived persons with a wallet-sized Immunization Record Card. The card has adequate space for a short medical history, a physician’s name and phone County Societies . . . number, allergies of the patient and health insurance policy number. All IN THE NEWS these spaces appear on the front along Montgomery County Medical Society, with the exchange number for obtain Ohio, is co-sponsoring, with the County ing a doctor in an emergency. Inside Nutrition Council and the Dayton Divi the card are spaces for shot records for sion of Health, a summer camp for dia tetanus, adult and children diptheria betic children. Called Camp Ko-Man- shots, tuberculin tests, smallpox, polio, She, the camp is open to boys and girls typhoid and other immunizations. On from 6 through 16 years. Financing the back of the card is a list of recom can be by any private donor, or by club mended immunization and the desirable groups. The donation from the child’s ages when they should be given. BULLETIN o f th e Pierce County M edical Society 31

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MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Monday of each month— 8:00 p.m. at 424 South K Street TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 8:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August — 8 :1 5 p .m . STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August— 6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and August— 6 :0 0 p .m . STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 74e PIERCE COUNTY MEDICAL SOCIETY

VOL. XXXVI—No. 7 TACOMA, WASH. JULY - 1965

NO MEETING C°UNTY MED,CAl S0GETV JUNE - JULY - AUGUST BULLETIN of the P ie r c e C o u n t y M e d ic a l S o c ie t y Pierce County Medical Society 1965 OFFICERS P r e s i d e n t ...... -____ Frederick J. Schwind President-Elect ______Glenn G. McBride Vice-President ...... — L e ste r S. B«askin S e c re ta ry -T re asu re r ...... A rn o ld J. H e rrm a n n Executive Secretary ------Judy Gordon TRUSTEES Richard F. Barronian Robert C. Johnson Lester S. Baskin James D. Lambing Myron A. Bass Glenn G. McBride J. W. Bowen, Jr. Clinton A. Piper July Birthdays Robert R. Burt Frank J. Rigos Arnold J. Herrmann Frederick J. Schwind D E L E G A T E S 2 Phillip H. Backup Douglas P. Buttorff Frederick J. Schwind Robert M. Ferguson Stanley W. Tuell Robert W. Florence Wayne W. Zimmerman 8 Sidney Kase Glenn G. McBride ALTERNATE DELEGATES Jam es D. Lam bing Richard F. Barronian Herman S. Judd Charles J. Galbraith Robert W. Osborne Philip Grenley Charles C. Reberger 10 Claris Allison Kenneth E. Gross Homer T. Clay COMMITTEES E th ics John M. K anda Murray L. Johnson, Chairman Samuel E. Adams Frank R. Maddison G riev a n c e 11 H arry W. Cam p Frank J. Rigos, Chairman G. M. Whitacre Stanley W. Tuell Wallace P. Hoyt P ro g ra m Robert C. Johnson, Chairman Clinton A. Piper Robert M. Ferguson 12 Robert W. Florence Public Relations Robert C. Johnson James D. Lambing, Chairman John F. Comfort Robert M. Ferguson Kenneth E. Gross G. Marshall Whitacre 13 Michael Irvin L ib ra ry Don G. Willard, Chairman Frank R. Maddison Robert M. Freeman William E. Avery Public Health Lawrence N. Brigham, Chairman 17 W alter M. A rthur Cecil R. Fargher Robert C. Johnson Orvis A. Harrelson David L. Sparling Henry E. Maki House and Attendance John R. Alger, Chairman Robert Klein William W. Mattson, Jr. 19 P aul B. Sm ith, Jr. Civil Disaster Edward R. Anderson, Chairman Leo Annest Charles E. Kemp 21 George S. Kittredge Robert R. Burt Richard B. Link Kenneth D. Graham Robert D. McGreal T. R. Haley Leo F. Sulkosky 23 Charles H. Denzler David T. Hellyer Arthur P. Wickstrom D ia b e te s Robert A. O’Connell, Chairman 24 John A. Sheppard Robert A. Kallsen Roy H. Virak Entertainment William L. Rohner Walter L. Sobba 25 Chris C. Reynolds Geriatrics S. Robert Lantiere, Chairman Herbert C. Kennedy Harold F. Kahler 26 A. B. H eaton Legislative J. Hugh Kalkus, Chairman Robert D. McGreal Homer W. Humiston Herman S. Judd B. D. Harrington John M. Shaw Wayne W. Zimmerman 27 Frederick J. Schwind Medical Education Edmund A. Kanar, Chairman Glenn G. McBride Bernard R. Rowen 28 William H. Goering James Mason (Ex-officio) Operation Hometown Douglas P. Buttorff, Chairman 31 Martin C. Eltrich Schools George C. Gilman, Chairman Fay M. Nace Cecil R. Fargher Dudley W. Houtz Orvis A. Harrelson Everett P. Nelson Mental Health Hugo Van Dooren, Chairman James M. Blankenship Jerman W. Rose M EDICAL SUITES AVAILABLE. 38th near Pa Poison Control Claris Allison, Chairman cific. Unique, new, modem building — Air- conditioned, Adequate Parking, will finish to Bulletin Staff suit. See owners finished unit by appointment. E d ito r ------Stanley W. Tuell 115 South 38th. Dr. William H. Fisher, GR Business M anager ...... Judy Gordon 2-4421. Auxiliary News Editor ...... Mrs. Alva E. Miller

PATRONIZE YOUR ADVERTISERS Cover photo courtesy of Bill Dugovich. BULLETIN o f th e Pibbce County M edical Society 3

5 . We’ve also set up 16 branches. Many of them are built on land that was under water or used only for farming 75 years ago. 6. The old hitching posts in front of our first building are gone. Instead, we have convenient parking areas at all of our branches. In fact, at many of our branch es you can drive up to an outside teller’s window and take care of your business without even getting out of your car. 7. We got tired of talking to our cus tomers through iron bars on those old tellers’ cages. Now our bank is an invit ing place to do business. 8. We’ve made an interesting change in our bylaws, too. In 1890 one of them stated: “Savings deposits of any form not exceeding $500 may be taken at any time.” Now we’ll accept a deposit in any amount, and everv account is insured up to $10,000. 9. When we opened for business, our If you haven’t visited us assets amounted to $50,000. That was big money in those days. Now our assets in the past 75 years, total $136,000,000. 10. We’ve been adding right along to the you’ll be surprised at six employes we started with. We’ve had to. For example, we’re now handling over 100,000 varied accounts. This takes some of the changes good, well-qualified people and we have 369 of them on our stafl now. we’ve made 11. We no longer keep our books by hand. We were the first bank in the Pa 1. We’ve changed our name from the cific Northwest to install a computerized Puget Sound Savings Bank to the Puget electronic data processing center. Sound National Bank. 12. Remember how tough it used to be 2. Mr. Sutton is no longer president. to borrow money, even for a well-built He passed away in 1904. The president house? Nowadays we’re delighted to lend now is A. E. Saunders. He joined us in money on all kinds of things. Cars. 1945. M ost of our custom ers call him Al. Boats. Furniture. College educations. 3. Our chairman of the board is Reno Even vacations in Hawaii. Odlin, current president of the American 13. When we first opened our doors, we Bankers Association. He speaks in this offered just three basic services — sav capacity for the nation’s 14,000 commer ings, checking accounts and commercial cial banks. loans. The other day we counted all our 4. We’ve moved out of that little wood varied services. There were 36 of them. frame building next to M y Store on lower 14. There’s one thing, though, that hasn’t Pacific. Now we’re in our own newly re changed. And never will. That’s the modeled 16-story downtown building at friendly, person-to-person way we do 1119 Pacific. business.

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8 BULLETIN o f th e Pierce County M edical Society President's Page

Medical education has undergone far-reaching changes since the beginning of this century. Our chang ing sociologic concepts, as well as continued scientific advances in medicine, will result in even greater changes in the future. The Association of American Medical Col leges recently issued a report of a special committee headed by Dr. Lowell T. Coggeshall dealing with the future of medical education. The report stressed the “team approach” to health and also the problems of medi cal education that must be met within the institutional setting of the uni versity. The report also stressed the expanding role of government in the health field. It would be incorrect to say that medical educators in universities have lost “contact” with the “grass roots” practicing physicians. They never were in contact from the start. A high percentage of our medical educators have pursued the career of academic medicine in medical schools, hospitals or research laboratories all of their lives. Unfortunately, medical education is not completed solely by the university professor and in the environment of the teaching and research centers. Medical educa tion, for its completion, requires a partnership of university, practicing profession and hospital, each of which acknowledges only partial involvement. The practice of medicine is part science and part art. The scientific aspects (which are ever changing) are well handled in our universities and teaching hospitals. The art of medicine is cultivated or acquired in the company of the preceptor, at bedside in the general hospital, or in our own office after we have started practice. Every physician realizes early in his career that he must not only have a wealth of current scien tific medical knowledge, but that he must become an expert in the difficult art of human relations. The “team approach” in medical care will increase in significance in many phases of scientific medicine. (We have had a cardiac surgery team in Tacoma for a long time.) However, the great bulk of medical needs in our county will continue to be satisfied by solo practitioners using the art of interviewing, the art of observation and the process of reasoning. As long as we continue to treat human beings and not organs and organic systems the art of medicine will not become obsolete.

F r e d e r i c k J. S c h w i n d , M.D. BULLETIN o f th e Pierce County M edical Society 9

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Editorially Speaking

Should you buy scientific information on tape? Popular with many medical libraries and some doctors is the use of taped scientific articles and inter views, allegedly to “save time” for the busy doctor. Before you buy, consider— An average, untrained reader reads about 300 words per minute. Most doctors can do better, perhaps 400 or 500 wpm. A well-trained rapid reader can read 1,000 wpm. The average speaking rate (as on tape) is only about 130 wpm. So absorbing information from a tape takes 2 to 7 times longer than reading the same information. The tape publishers say they have condensed the material to present just the important facts you need. Many printed articles and publications are already doing the same thing. There are all sorts of abstracts and summaries available. Tape lacks another important advantage of the printed word. It pre cludes pre-reading. Pre-reading is called “skimming” by the rapid-reading enthusiasts. It’s the process of glancing through several pages in a minute or less to see if that particular article has the “meat” you’re interested in. It’s an essential technique for doctors, to enable us to sift the written mate rial available to us and pick out the items we want. Tapes can’t pre-sift material any better than written abstracts or reviews, and they prevent us from doing our own sifting. Imagine buying a publication and feeling obligated to read every word from cover to cover, out loud, whether you wanted each gem or not. “What a waste of time!” you’d say. Yet, time-wise, that’s what you do when you subscribe to a tape service. A possible advantage of the tape system is that you can listen to it as you drive your car to the hospital. This sounds all right, but considering the hazards of modern traffic, I doubt if it’s worth it. If you’re listening so attentively to your tape that you go through just one red light—POW! Sure, your life insurance was paid up and your car insurance was good, but I’ll bet you forgot to insure that smashed-up tape recorder. Oh well, your wife probably didn’t want the thing anyway. — S. W . T. BULLETIN of the F i e r c e C o u n t y M e d i c a l S o c i e t y 11

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Good Samaritan Hospital gical beds, pediatric beds, and a new post-anesthesia recovery room. The new rehabilitation center occupies the entire Dedication & Open House third floor. The center contains a new physical Well Attended therapy department including a large Over 1200 persons atterided the dedi gym, treatment areas and a complete cation and open house festivities on hydrotherapy unit. Occupational ther Sunday, May 23, 1965, for Good Samari apy includes several activity areas as tan Hospital’s modern, new 3-floor ad well as a workshop and training kit dition. The dedication address was given chen. Other facilities are treatment and by Mr. Herman E. Tenzler, president evaluation rooms for the psychiatrist, of the Tenzler Foundation of Tacoma. speech therapist, clinical psychologist, Dr. Thomas Clark, Chief of Staff, was social worker and nursing coordinator. master of ceremonies. A roof garden and glass solarium offer The 18,000 square foot addition pro a taste of outdoors and a panoramic vides the hospital with complete land view for convalescent patients. scaping, additional parking, a new en Financing of this addition was pro trance and lobby area, administrative vided with loans and grants from the and business offices, medical records, Tenzler Foundation, a Hill-Burton Fed chapel-family room and new clinical eral grant, the Louise P. Schrieber Es laboratories. tate and 300 individual contributions. The upper floors of the $590,000 ad Good Samaritan is now projecting a dition provide 36 additional beds, bring rehabilitation oriented 72 bed, long ing the hospital’s total bed capacity to term care unit addition for which it has approximately 100 beds. Also included been allocated $200,168 in Hill-Hams on the second floor are additional sur funds. BULLETIN o f th e Pierce County M edical Society ______13

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(Warning: Codeine may be habit-forming.) Indications: 'Soma' Compound and 'Soma' Compound with Codeine are useful for relief of pain and stiffness in traumatic, rheumatic and other conditions affecting muscles and joints. Contraindications: Allergic or idiosyncratic reactions to carisoprodol, phenacetin, or codeine phosphate. Precautions: Phenacetin — With long-term use, give cautiously to patients with anemia and cardiac, pulmonary, renal or hepatic disease. May damage the kidneys when used in large amounts or for long periods. Caffeine — Not recommended for persons extremely sensitive to its CNS stimulating ac tion. Codeine phosphate — Use with caution in addiction-prone individuals. Carisoprodol — Carisoprodol, like other central nervous system depressants, should be used with caution in patients with known pro* pensity for taking excessive quantities of drugs and in patients with known sensitivity to compounds of similar chemical structure, e.g. meprobamate. Side effects: Drowsiness, lightheadedness, dizziness, and gastric complaints have been reported infrequently for either or both of these preparations. Phenacetin — Side effects are extremely rare with short-term use of recommended doses. Prolonged Ingestion of over doses may produce dyspnea, cyanosis, hemolytic anemia, skin rash, anorexia, subnormal temperature, in somnia, headache, mental disturbances, and tolerance. Caffeine — Side effects are almost always the result of overdosage. Average doses may rarely cause nausea, nervousness, insomnia, and diuresis. Excessive dos age may produce, in addition, restlessness, nervousness, tolerance, tinnitus, tremors, scintillating scotomata, tachycardia, and cardiac arrhythmias. Codeine phosphate— Possible side effects are nausea, vomiting, constipation, and miosis. C a riso pro do l — The only side effect reported with any frequency is sleepiness, usually on higher than recommended doses. An occasional patient may not tolerate carisoprodol because of an individual reaction, such as a sensation of weakness. Other rarely observed reactions have included dizziness, ataxia, tremor, agitation, irritability, headache, increase in eosinophil count, flushing of face, and gastrointestinal symptoms. One instance each of pancytopenia and leukopenia, occurring when carisoprodol was administered with other drugs, has been reported, as has an instance of fixed drug eruption with carisoprodol and subsequent cross-reaction to meprobamate. Rare allergic reactions, usually mild, have in cluded one case each of anaphylactoid reaction with mild shock and angioneurotic edema with respiratory difficulty, both reversed with appropriate therapy. In cases of allergic or hypersensitivity .reaction, car isoprodol should be discontinued and appropriate therapy initiated. Suicidal attempts may produce coma and/or mild shock and respiratory depression. Dosage: Usual adult dosage of 'Soma' Compound or 'Soma' Compound with Codeine is one or two tablets three times daily and at bedtime. Supplied: ‘Soma’ Compound, orange tablets, each containing carisoprodol 200 mg., phenacetin 160 mg., and caffeine 32 mg. ‘Soma’ Compound with Codeine, white capsule-shaped tablets, each containing carisoprodol 200 mg., phenacetin 160 mg., caffeine 32 mg., and codeine phosphate 16 mg. Narcotic order form required. Before prescribing, consult package circular. WALLACE LABORATORIES w . Cranbury, N. J. IS B U L L E T I N o f th e Fierce County M edical Society

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the University of Oregon Medical HOSPITALS School in Portland, Oregon. Lynne Lyon of Newburg, Oregon, will Saint Joseph's be working in Eugene, Oregon, in the Sacred Heart Hospital. St. Joseph Hospital School of X-Ray Inga Isakson of Milton, Washington, Technology has recently graduated a is working at the University Hospital class of five technicians. All of them in Seattle. who took the registry examination pass ed it, and will be leaving the hospital Paula Gierkeof Tacoma, is working soon to take other jobs offered to them. part time at St. Joseph Hospital in Ta coma and attending the Tacoma Voca Mely Pancho will be working at King tional School. County Hospital in Seattle. She is a na tive of the Philippines, and attended the Marda Taylor of Redding, California, University of the East in Manila. and Gayle Grant of Vancouver, Wash ington, are undecided. Trudi McDonald, Gig Harbor, is plan ning to work for Drs. Rigos, Flynn, Sister Mary Emmanuel, Medical Rec Maki and Rohner, in one of their pri ord Librarian of St. Joseph Hospital in vate offices, here in Tacoma. Tacoma is now attending summer school at the Seattle University to re Karen Kuhn, Pomeroy, Washington, ceive her degree. We wish her the best will work at the University of W ash of luck. ington Hospital in Seattle. Carol Hauser, Tacoma and Naomi Hendricks, Fife, are undecided. The Medical Record Technician School of St. Joseph Hospital graduated six students this year. They will be taking their State Board Examination in Quote of Note . . . September. Q u o t e of N o t e : “A Democracy can Barbara Conley, of Montesano, Wash not exist as a permanent form of Gov ington, will be working at Multnomah ernment. It can only exist until the County Hospital which is combined with voters discover they can vote themselves largess out of the public treasury. From that moment on the majority always votes for the candidate promising the benefits from the public treasury with the result that Democracy always col BEALL’S lapses over a loose fiscal policy, always to be followed by a Dictatorship and The Prescription Store a Monarchy." Written by Professor Alexander Fra 124 Meridian South ser Tyler nearly two centuries ago. At PUYALLUP the time he was writing of the decline and fall of the Athenian Republic over Phone Puyallup 5-8444 2,000 years before. —The Enterprise Courier, Charleston, Mo. 2 0 BULLETIN o f the Pierce County M edical Society

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WOMAN'S AUXILIARY . . . To The Pierce County Medical Society

AUXILIARY OFFICERS—1965-1966 If you skipped the May Auxiliary President ...... — Mrs. Merrill J. Wicks meeting, you missed a lovely lunch President-Elect ...... --- Mrs. George C. Gilman 1st Vice-President and Program Mrs. Robert A. Kallscn eon at the Holiday Inn plus a chance to 2nd Vice-President and Social____ Mrs. Arthur Wickstrom win one of the three beautiful center 3rd Vice-President and Valley Rep. .... Mrs. Charles Vaught 4th Vice-President and Membership Mrs. Roy H. Virak pieces just by looking for a mark under Recording Secretary ...... Mrs. Leonard G. Morley your cup. Thirty-eight Auxiliary mem Corresponding Secretary ...... Mrs. Ronald T. Spangler Treasurer ...... Mrs. Thomas H. Skrinar bers braved the sunshine to attend, Dues Secretary ...... Mrs. Glenn H. Brokaw matching the May blossoms in cos AMAERF ...... Mrs. Francis W. Hennings Civil Defense and Safety ...... M rs. Jo h n S. M ay tumes of luscious pastels and flowery Historian and By-Laws ...... Mrs. Herman S. Judd chapeaus. Legislative ...... Mrs. Sherman S. Pinto Paramedical ...... Mrs. Frederick J. Schwind It was a most successful year. Out Publicity ______Mrs. Marcel Malden Bulletin ...... Mrs. Robert R. Burt going President, Ellen Pinto, observed Speakers Bureau ...... Mrs. John Colen Mrs. Richard F. Barronian that it was a “short time between cor Telephone ...... Mrs. Vernon O. Larson sages” and she was really “shook up” Mrs. George A. Tanbara Minute Women ______Mrs. Harold D. Lueken as she sat down to write her final report Mrs. Jack W. Mandeville Coordinator of for the year. It was the morning of the Community Services ...... „..Mrs. Robert W. Osborne big earthquake! Heart ...... Mrs. Robert C. Johnson Cancer ______Mrs. Jack J. Erickson Pierce County Medical Auxiliary this F in a n ce ...... Mrs. Haskel L. Maier Dance ...... Mrs. David F. Dye year contributed the folllowing: Mrs. Gordon Dean Fashion Show ______Mrs. Homer T. Clay Mrs. Dale D. Doherty AMAERF ______$1,077.00 Mental Health ...... Mrs. James E. Hazelrigg Remann Hall Clinic 100.00 Today’s H ealth ...... Mrs. Robert M. Ferguson Cook Book ...... Mrs. Stanley W. Tuell Children’s Home Society 500.00 International Health ...... Mrs, Charles McGill Nurses’ Scholarships 1,200.00 Mental Health Clinic 500.00 Thank you, Ellen, for your fine lead A friend called the other day with this ership this past year. information: In a short speech, our new President, “National Procrastination Week has Marge Wicks, said that she felt some- been postponed .Date will be announced later.” (Continued on Page 23) 2 2 B U L L E T I N o f th e Pierce County M edical Society

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FREE PRESCRIPTION DELIVERY BULLETIN o f th e Pierce County M edical Society 2 3 (Continued from Page 21) We want to know about YOU. Your achievements, participation in Com what like the man who plunged into the munity Services, honors that you or a water to rescue another from drowning. member of your family have received When he had pulled the other fellow and Medical conventions you are attend safely ashore, someone patted him on ing. Please call JU 4-1813. the back and commented on what a fine brave thing he had done. He responded, Condolences “All I want to know is—who pushed me!” Our sincere sympathy goes to Mrs. Ralph C. Schaeffer in the loss of her Marge, with her usual savoir-faire, husband, Dr. Ralph C. Schaeffer, a long exemplified the keynote of the new year, time Tacoma physician and surgeon “Friendliness.” “Our County Auxiliary is who retired from active practice in not so large or so far spread—we should 1953. Hazel was the first President of know everyone and we will endeavor the Pierce County Medical Auxiliary. to do so in the coming year.”

With Marge holding the members and Community Services Needed Mavis Kallsen wielding the hypodermic needle full of program surprises, we pre Two worthy causes have been called dict that Auxiliary will get a “shot in to our attention. First, the Y.M.- the arm” to break all attendance records Y.W.C.A. need donations in order to and prove that it is not effete! raise $1400.00 to send three young people from Tacoma to the National Y- Plaudits Teen Conference on “Youth’s Role in National Affairs” to be held in Washing Ellen Pinto has been re-elected to the ton, D.C., this summer. Contact the Board of the League of W om en Voters Y.W.C.A. if you wish to help. of Washington State. Keep up the good work, Ellen! Second, here’s a real opportunity for those just waiting for and wanting Phyllis Erickson, Chairman of the something “extra” to do for the com Franklin Pierce District School Board, munity’s oldsters. Public low-income recently return from a National School housing for those over 62 years of age Board Director’s Association m eeting in will be completed in March, 1966. The Boston. On the way she stopped off in Salvation Army needs help in planning Washington, D.C., to visit friends, Rep. sparetime needs of the tenents. They Floyd Hicks and his family. Phyllis re need a piano, stereo, records and craft ports that Rep. Hicks has been greatly supplies as well as someone to help with impressed with the letters he has re coffee hours, crafts, library, visiting, ceived from Pierce County Medical So transportation, etc. If you are interest ciety and Auxiliary members. ed, call Major W. L. Longden at the Neal Grenley, son of Dr. and Mrs. Salvation Army. Philip Grenley graduated with honors at the top of his class and gave the out Away From The Phone going address at his graduation from Sherry and Murray Johnson are in Charles Wright Academy.. In addition Winnipeg to attend an International to his studies, Neal was a feature writer Mammologist’s Convention. for the Suburban Tim e’s Youth Forum page during the past year. Neal plans to Jean Judd and Delores Havlina were enter Princeton next fall. in New York June 20 through the 24th 2 4 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y representing Washington State as dele gates to the 42nd Annual Convention of the Women’s Auxiliary to the A.M.A. If you are still wondering where to go for a summer vacation, why not pere RANKOS grinate Washington State first? There is something to suit everyone’s taste from the mountains to the ocean and PHARMACY family camping to the most luxurious lodge accommodations. Dona Gilman has prepared an extensive report on 101 North Tacoma Avenue where to go and what to do in this beau tiful state of ours and will be most happy to help you decide where to spend your vacation. Call Dona, SK 9-6885. Prescription Quips From The M.D. Family Druggists Did you hear about the doctor’s daugh ter, 3 years old who was asked where her Daddy was? She replied brightly, “Oh, h e’s out fixing people!”

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HAVE YOU PAID YOUR AMPAC DUES? B U L L E T I N o f the Piehce County M edical Society 25 Letter to The Editor Heart Association May 10, 1965 Now Accepting Editor, Bulletin of the Pierce County Research Applications Medical Society Medical Arts Building The American Heart Association is now accepting applications from re Tacoma, Washington. searchers for support of studies to be Dear Sir: conducted during the fiscal year be ginning July 1, 1966. Senator Henry M. Jackson recently de livered a speech, “Federal Legislation, Ten Washington researchers now hold Private Hospitals, Medical Practice,” to American Heart grants. the medical staff of Seattle’s Swedish Deadline for submitting applications Hospital. There was the usual tributes for established investigatorships and and compliments, and an impassioned advanced research fellowships is Sep plea at the end for support for the Ad tember 15, 1965. Applications for ministration’s policy in Viet Nam and grants-in-aid should be submitted by the Dominican Republic. The rest of the November 1, 1965. speech was simply a factual recitation of recent Federal grants and awards to Established investigatorships carry a the Swedish Hospital, the Pacific North stipend of $11,000 with increments of west Foundation, the Artificial Kidney $1,000 annually and are awarded for a Center, the University of Washington period of five years. An additional Medical School, and other local medical $1,000 goes to the investigator’s insti institutions. (If any other point was tution. Advanced research fellowships made in the speech, I missed it.) are awarded for one or two year periods to postdoctoral applicants with one year Recently a substantial Federal grant of research training. Base stipends be for a sewer project was made to a small gin at $6,500 plus dependence allow city adjoining Tacom a which could ances and yearly increments. An addi hardly ba described as a “poverty” area. tional $500 grant is made to the investi Our new Republican governor has gator’s department. The American asked that W ashington be declared a Heart Association no longer awards re “disaster” area because of earthquake search fellowships. Applications for sup damage estimated at ten million dollars port in this category should be directed to public and five million to private to the Washington Information and ap property. plication forms may be obtained from the American Heart Association, 44 Socialism and the welfare state aren’t East 23rd St., New York City. being forced upon us by the politicians. We are lying down and begging for them. Very truly yours,

M ic h a e l Ir v in , M.D.

HAVE YOU PAID YOUR AMPAC DUES?

PATRONIZE YOUR ADVERTISERS 2 6 BULLETIN o f the Pierce County M edical Society of “Modern Concepts of Cardiovascular Heart Assn/s Annual Disease,” monthly Heart Association Scientific Bulletin. “Modern Concepts” Scientific Sessions is available to all physicians free with Set for October 15-17 a $2.00 membership in the Heart Association. The American Heart Association’s An The American Heart Association’s nual Scientific Sessions are scheduled at Statement on Rheumatic Fever Preven the Hotel Americana, Bal Harbour, tion has been revised, expanded and Florida, October 15 to 17, 1965. Includ updated. The revisions were prepared ed are Clinical Sessions, presentation of by the Council on Rheumatic Fever and research papers, an all-day session on Congenital Heart Disease. Copies of the Stroke and cardiovascular conferences Statement may be obtained without on a broad range of subjects for small charge from the Pierce County Heart groups. Registration forms may be ob Association. tained from Pierce County Heart Asso ciation. A table-top self testing unit on Chest Pain Oiagnosis has been developed by Registered nurses and members of the American Heart Association. The allied health professions are invited to unit has been designed for use at medi a national clinical conference on Nurs cal meetings, as a teaching exercise for ing Care of the Cardiac Patient October medical students and house officers and 13 and 14 in Miami Beach co-sponsored as a basis for discussion at hospital by the American Heart Association and staff meetings. Inquiries about use of American Nurses Association. the unit may be directed to the Pierce Dr. Edward Orgain of Duke Univer County Heart Association. sity has been named to succeed Dr. E. Cowles Andrus of Baltimore as editor

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County Societies . . . ity Trusts, is an association for the administration of charitable trust funds, consisting of eight banks acting as trus IN THE NEWS tees, and a Central Distribution Com Broome County, New York, physi mittee. Gifts to the Foundation, from cians recently participated in a Work those in the San Mateo area mainly, will be distributed to worthy causes in shop for rescue squads. The Workshop, conducted by the Empire State First Aid the area, and are primarily for the and Rescue Association, was held on a benefit of the local residents. The Medi weekend and physicians lectured on cal Society contribution so far has “Mouth to Mouth Resuscitation in formed the mainstay of the Foundation Adults”, “Care of Bums and House but already $4500 in memorials has hold Poisons”, and “Proper and Improp been received. er First Aid as Seen By A Physician”. Mahoning County, Ohio launched a Last year, the Medical Society was cited cancer pap smear campaign last month by the State Association for its work in that will continue through the rest of improving cooperation between physi the year. The purpose of the campaign cians and rescue squads throughout is to have every woman in the county New York. visit her physician to arrange to have a Delaware County Medical Society, Papanicolaou cytology smear test made Pennsylvania, recently endorsed a pro once a year. This is the first all-out cam gram for cancer detection in women. paign by the medical society against a The State Cancer Control Division will specific disease since its highly suc conduct a Pelvic Cancer Detection Cen cessful oral polio vaccine drive in 1961- ter for the purpose of detecting pelvic 62. The Mahoning County Unit of the cancer in apparently healthy women. American Cancer Society is cooperat There will be no charge for this exam ing with the medical society by distrib ination. The Center will not undertake uting 90,000 pap smear cards. to treat the patients with cancer. Women with positive findings will have How can a county medical society of a letter sent to their physician. barely 150 members grant scholarship loans to 3 dozen young doctors-to-be? Excess funds from the K O Polio The Greene County Medical Society, Fund, in the amount of $35,000, have Springfield, Missouri, is doing precisely been given to the San M ateo Founda that — through the talents of its “Sing tion by the San Mateo County Medical ing Doctors.” The group’s three record Society, California. The community albums of “Medical Hit Parade” satire fund, patterned after other Commun have now grossed over $75,000, with all 30 BULLETIN o/ the Pierce County M edical Society

proceeds going to the Society’s schol arship foundation. This summer, addi tional medical students will be se lected to receive aid, and the Society’s long-range goal is to educate hundreds of deserving young men and women. All students helped to date are Ameri cans, with the exception of one Iranian youth.

The albums — available exclusively by mail from the Society’s headquar ters in the Professional Building, Spring field, at $3.25 each, postpaid—are the brain child of a 41 year old surgeon, James T. Brown, M.D., who composed the 60 parodies contained in the three volumes and organized five of his fellow physicians into the now widely known group. Among their “hit parade” selec tions are “Black and Blue Cross”, “Hem- orroids”, “I’ll Try to Say No” (the ‘house- calls’ song), “AFL-CIO-AMA”, “The Menopause”, “Medical School Memo ries”, “Halitosis Beats No Breath at All”, and songs dealing with each of the spe cialties.

The Singing Doctors have staged their one-hour musical show in person before 40 state and national medical meetings, according to Society President William H. Sneed, M.D., and they appeared last January on television’s popular “I’ve Got A Secret” program.

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Office secretary, on telephone: “He’s gone out to lunch now, but he won’t be gone long— nobody took him.” Pierce County Medical Society BU LK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Monday of each month— 8:00 p.m. at 424 South K Street TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 8:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August — 8 :1 5 p .m . STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August'— 6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and Auqust— 6 :0 0 p .m . STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. 7 6 c PIERCE COUNTY MEDICAL SOCIETY BULLETIN VOL. XXXVI—No. 8 TACOMA, WASH. AUGUST - 1965

NO MEETING PIERCE COUNTY MEDICAL SOCIETY JUNE - JULY - AUGUST BULLETIN o f the Fierce County M edical Society Pierce County Medical Society 1965 C OFFICERS President . ___ ...... Frederick J. Schwind President-Elect .... . -- - ...... Glenn G. McBride Vice-President __ — - Lester S. Baskin — i— Secretary-Treasurer ...... Arnold J. Herrmann H ap- py birth * day to you, E x ecu t i ve S ecreta ry ...... — Judy Gordon TRUSTEES Richard F. Barronian Robert C. Johnson Lester S. Baskin James D. Lambing M vron A. P-ass G len n G . M cB ride J. W. Bow en, Jr. Clinton A. Piper August Birthdays Robert R. Burt Frank J. Rigos Arnold J. Herrmann Frederick J. Schwind D E L E G A T E S 2 John F. Steele Douglas P. ButtorfF Frederick J. Schwind Robert M. Ferguson Stanley W. Tuell Robert W. Florence Wayne W. Zimmerman 5 G lenn G. McBride Glenn G. McBride ALTERNATE DELEGATES Anthony J. O’Keefe Richard F. Barronian Herman S. Judd Charles J. Galhraith Robert W. Osborne Philip Grenley Charles C. Reberger 6 George T. M ohler Kenneth E. Gross David L. Sparling COMMITTEES E th ics ^Murray L. Johnson, Chairman 8 Robert H. Bias Samuel E. Adams Frank R. Maddison G riev a n c e Frank J. Rigos, Chairman 10 Max Brachvogel G. M. W'hitacre Stanley \V. Tuell P ro g ra m Robert C. Johnson, Chairman 13 Richard T. Vimont Clinton A. Piper Robert M. Ferguson Public Relations 15 Charles P. Larson James D. Lambing, Chairman John F. Comfort Robert M. Ferguson Hugo Van Dooren Kenneth E. Gross G. Marshall Whitacre L ib ra ry Don G. Willard, Chairman 16 Jerman W. Rose Robert M. Freeman William E. AA’ery Public Health Lawrence N. Brigham, Chairman 18 Walter C. Cameron Cecil R. Fargher Robert C. Johnson Orvis A. Harrelson David L. Sparling H orace C. Thuline House and Attendance John R. Alger, Chairman Robert Klein > William W. Mattson, Jr. 19 W illiam S. Sullivan Civil Disaster Edward R. Anderson, Chairman Leo Annest Charles E. Kemp 20 Ernest E. Banfield Robert R. Burt Richard B. Link Kenneth D. Graham Robert D. McGrcal T. R. Hales- Leo F. Sulkosky 21 Karl S. Staatz David T. Hellyer Arthur P. Wickstrom D ia b e te s Elmer W. Wahlberg Robert A. O'Connell, Chairman Robert A. Kallsen Roy H. Virak Entertainment 22 Harold F. Kahler William L. Rohner Walter L. Sobba Geriatrics Leonard G. Morley S. Robert Lantiere, Chairman Herbert C. Kennedy ^ Harold F. Kahler Legislative 23 Gerhart A. Drucker J. Hugh Kalkus, Chairman Homer W. Huiniston Herman S. Judd Frederick M. Peters B. D. Harrington John M. Shaw Wayne W. Zimmerman Medical Education 26 Glenn H. Brokaw Edmund A. Kanar, Chairman Glenn G. McBride Bernard R. Rowen Stillman Hathaway James Mason (Ex-officio) Operation Hometown Douglas P. ButtorfF, Chairman 27 Sacide S. M orain Schools George C. Gilman, Chairman Cecil R. Fargher Dudley W. Houtz 28 Joseph B. Jarvis Orvis A. Harrelson Everett P. Nelson Mental Health Edwin C. Yoder Hugo Van Dooren, Chairman James M. Blankenship Jerman W. Rose Poison Control 29 Cletus I. Stevens Claris Allison, Chairman

Bulletin Staff 31 Samuel E. Light E d ito r ...... Stanley W. Tuell Harlan P. McNutt Business Manager ...... Judy Gordon Auxiliary N'ews Editor ...... Mrs. Rohcrt R. Burt

PATRONIZE YOUR ADVERTISERS Cover photo courtesy of Bill Dugovich. BULLETIN o f th e Pierce County M edical Society 3

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President's Page

It seems that most of us are endowed with a gen erous amount of hindsight. In discussing the Medicare bill there is a great diversity of opinion among members of the medical profession as to which course of political strategy should have been followed; who was responsible; what errors were made, etc. No amount of “Monday morning quarterbacking” is going to alter the fact that H. R. 6675 has negotiated all of the hurdles of both houses of Congress and has been signed into law by the President. In less than a year we will be faced with the task of helping to implement a law which most of us vigorously opposed and many of us feel is not a good law.

In his inaugural address in New York, Dr. James Appel, president of the A. M. A., called on the profession to “place respect for law and order above emotionalism, personal belief and personal desires and actively participate in the medicare program if it becomes law. We must,” Dr. Appel said, “do all we can to develop the good points of the law.” The majority of the profession will undoubtedly be in agreement with Dr. Appel’s views. However, there will be a few who will never accept the law. (In Great Britain there are about 600 physicians who do not participate in the National Health Service.)

At present it is necessary to shift emphasis from hindsight to fore sight. Our generation of physicians is only one link in a long chain which 8 BULLETIN o f th e Pierce County M edical Society

extends back several thousand years. There will be many generations following ours. It is our duty to continue to provide our patients with the very highest quality of medical care in spite of increasing governmental encroachment on the freedom of practice. It is our duty to maintain the prestige and high ethical and moral standards in spite of the efforts of “socializers” to make us public servants. It is our duty to encourage only the students of the highest intellectual and moral caliber to enter our profession in spite of the fact that we know there are more lucrative opportunities and an easier life in other vocations or professions.

We are forced to be realistic. To attempt to change the course of the present liberal Congress and administration is about equivalent to standing on the seashore and trying to hold back the incoming tide. But the tide will change eventually. Even a tidal wave will recede, leaving inestimable damage behind it.

F r e d e r ic k J. S c h w i n d , M.D. BULLETIN of ihe P i e r c e C o u n t y M e d i c a l S o c i e t y 9

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Editorially Speaking

Two and two don’t make five.

This I know. But my arithmetic has given me nothing but frustration ever since I signed up for the Medical Defense Fund several years ago. In the past few years, each Defense Fund member has paid $15.00 annual fee. Likewise, each member has received a $20.00 annual discount from his premium for his malpractice insurance. What a bargain!

But here’s where my arithmetic gets lost. The $15.00 fee has provided for 50% of the litigation expense in any suit, thus taking a little burden off the insurance company expenses. Whatever it's supposed to pay for, it’s hard to see how it can buy the same service that would cost $20.00 if paid through the insurance company. As a matter of fact, that’s impossible. That’s the reason that the financial aspects of the Medical Defense Fund should be—and will be—eliminated. There’s no reason why such monies should go through a committee of the State Association. Let the insurance companies manage this.

But — — the Medical Defense Committee has a far more important role than this arithmetically impossible financial gimmick. It provides liaison between the doctors and the insurance companies. It serves as a consulting and advisory body in helping the companies decide when a doctor is truly liable, when an out-of-court settlement might be advis able, which suits are based on poor medical reasoning, etc. By its total experience and records, the Committee can be of great real and moral support to the physician who finds himself confronted by a mal practice suit.

The Committee consists of eight doctors representing different areas of the State. Most doctors aren’t even aware of who represents their area. For several years, the representative from this area was Dr. Bill Goering. The present representative from the Tacoma area is me. — S. W. T. BULLETIN of the PrER C E C o u n t y M e d i c a l S o c i e t y 11

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St. Paul. Thus, he was able to see the 1908 World’s Fair in Seattle and secure the necessary practical training in a IN MEMORIAM busy hospital. Dr. Schaeffer opened his first office in the McKinley Hill district in 1910 and two years later moved to the Puget Sound Bank Building. In 1917, the partnership of Dr. Grant Hicks, Dr. Hiram Argue and Dr. Ralph Schaeffer was formed to take over the medical care of the employees of the Todd shipyard which built wooden ships during World War I. Dr. Schaeffer did all of the surgery and fracture work for the shipyard which had 14,000 workers at one time.

After World War I, Dr. Schaeffer took charge of American Smelting & Refining Co. employees. In 1931, when the Medical Arts building was opened, he moved into a large suite of offices in association with Dr. Edwin Janes and Dr. Frank Maddison where he remained until his retirement in 1953.

RALPH C. SCHAEFFER Dr. Schaeffer was active in the Pierce County Medical Society and was elected 1882-1965 president in 1931. He was active in the Tacoma Surgical Club and in many Ralph C. Schaeffer was born Janu other civic and fraternal organizations. ary 7, 1882 in Farmersville, Pennsyl In the years following retirement, he vania. He was the oldest of four child continued to lead an active life. He ren and at an early age he distinguished played golf and was a skilled wood himself as an outstanding student, worker and always had several “pro finishing the three-year high school jects” going on in his shop. course in two years and was valedictor ian of his class. He was the son of Dr. It was my pleasure to know Dr. Uriah R. Schaeffer who graduated from Schaeffer first during my internship in Jefferson Medical College and began 1943. I was impressed by his excellent the practice of medicine at the age of surgical skill and his dedicated and 20 years. efficient approach to medicine.

Dr. Schaeffer graduated from Leban We have suffered a great loss with on Valley College with a B.A. degree in the passing of Dr. Schaeffer and wish 1903 and entered the University of to extend our sympathy to his wife, Michigan Medical School in the fall of Hazel, and to his two daughters and son. 1904. After graduation in 1908, he ac cepted an internship at the Northern Frederick J. Schwind, M.D. Pacific Hospital in Tacoma. This intern ship included a railroad pass west of B U L L E T IN o f th e Pierce County M edical Socie

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Pierce County Medical Society in 1941- 42 and served faithfully at the various IN MEMORIAM hospitals. Survivors are his wife, Susan A., son, THOMAS K. BOWLES Joseph, and a daughter, Mrs. William Engler of Dash Point. 1888-1965 Philip C. Kyle, M.D. Dr. Bowles was one of seven children born in Lanes Prairie, Missouri. He was graduated from the Washington Uni versity of St. Louis, Missouri, interned University Place Medical - Dental at St. Luke's Hospital, St. Louis. Dr. Bldg., 2704 Sunset Drive West, Tacoma. Bowles served in the U. S. Army Medi Will have a modern suite available cal Corps during the First World War, about Sept. 15. Call SK 2-1780 for serving in France. further information.

Dr. Bowles started practice in Lud low. Illinois, before entering the army Very desirable location, 612 So. K and later practiced in Modesto, Calif St. 1750 sq. ft. available adjacent from ornia. In 1921, he started the practice of Western Clinic (sign on bldg.). Will medicine in Tacoma and continued until remodel. OfF-street parking. BR 2-5888. his retirement.

Dr. Bowles’ outstanding character PATRONIZE YOUR ADVERTISERS istics were that he was physically a big man, he was broadminded, cheerful, friendly and courteous. He was an honest working family doctor, living and Tacoma Brace practicing in a neighborhood where most of his patients came to him. He & Limb Co. was the type of doctor who made a Lenart C. Ceder, owner patient feel at ease and better because of his presence in the home or hospital ☆ room. Dr. Bowles was an exam ple to Expertly fitted— younger doctors, a friend and cohort Artificial Limbs of colleagues, and willing to give help and ask for consultations when indi Orthopedic Appliances cated. He spent his years doing a good Surgical Belts medical service and is missed in the Arch Supports community. Trusses Dr. Bowles was one of a medical family. His father was a doctor, his ☆ brother, John, was a doctor at the Ta coma Smelter for many years, and his FUlton 3-4439 son, Joseph, is a local dentist practicing not too far from the old fam ily home. 723 South K Street Dr. Bowles was President of the 16 BULLETIN o f the Fierce County M edical Society

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JOHN T. STEWARD, INC. Realtors JU 4-1112 9842 Gravelly Lake Dr. S.W. John T. Steward L. O. Larsen BULLETIN o f th e Pierce County M edical Society 17 in vo way be interpreted as a change AMA Ponders in Section 6 of the “Principles of Ethics” of the American Medical Association Nonparticiation; which plainly states: “A physician should not dispose of his services under Opposes De Bakey terms or conditions which tend to in terfere with or impair the free and Federal health care legislation, the complete exercise of his medical judg report of the President’s Commission on ment and skill or tend to cause a de Heart Disease, Cancer and Stroke, The terioration of the quality of medical Gundersen Committee report on organi care”; and that this House of Delegates zation of the House of Delegates and a reaffirm the principles of the Bauer plan for a new method of establishing amendment adopted in 1961. AMA scientific sections were among the major subjects acted upon by the House of Delegates at the American Medical Offer to President Johnson Association’s 114th Annual Convention In a related action, urging that gov held June 20-24 in New York City. ernment seek the advice of the medical Dr. Charles L. Hudson of Cleveland, profession on health legislation, the Ohio, a member of the AMA Board of House adopted a resolution which in Trustees since 1961, was named Presi- cluded the following statements: dent-Elect of the Association. He will “This House of Delegates restate its take office as the 121st AMA President offer to meet with the President of the in June, 1966, succeeding Dr. James Z. United States through our Legislative Appel of Lancaster, Pa., who was in Task Force to discuss proposed medical augurated at the Sunday opening ses care legislation with a view to safeguard sion of the House at the New York ing the continued provision of the high convention. est quality and availability of medical care to the people of the United States. Health Care Legislation “The House of Delegates of the Am Most controversial issue before the erican Medical Association instruct the House was that of nonparticipation Board of Trustees of the American Medi under any so-called “Medicare” law that cal Association to embark immediately might be passed by Congress. This sub on an active campaign to inform the ject came up in various ways in nine membership of the American Medical resolutions and in portions of Dr. Ap Association of the grave considerations pel’s inaugural address. in adhering to our principles of ethics posed by legislation now pending before The House recommended that “the Congress. members of the American Medical As sociation be reminded that it is each “The American Medical Association individual physician’s obligation to de strongly urge those branches of the cide for himself whether the conditions government interested in the formul of a case for which he is about to accept ation, the enactment, and the imple responsibility permit him to provide mentation of laws which deal with the his own highest quality of medical care.” provision of professional medical ser vices to the public to seek and utilize “In keeping with the testimony before the advice and assistance of the physi- your Committee, and the expressed policies of this House, this action should ( Continued on Page 19 ) 18 B U L L E T I N o f the Pierce County M edical Society

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4100 Steilacoom Boulevard JUniper 4-0252 BULLETIN o f the Pierce County M edical Society 19 (Continued from Page 17) ANNOUNCEMENT cians who will render such services. Such advice and assistance should be received through our chosen representa Clinical Center Study tives, the officers of the American Medi cal Association.” of Liver Disease of

The DeBakey Commission Report Uncertain Etiology In considering seven resolutions in The cooperation of physicians is re volving the report and recommenda quested in a clinical study of liver dis tions of the President’s Commission on ease of uncertain etiology being con Heart Disease, Cancer and Stroke, the ducted by the Metabolism Service of the House adopted a substitute statement National Cancer Institute at the Clinical which resolved that: Center, National Institutes of Health, Bethesda, Maryland. “The American Medical Association point with pride to the immense strides Of interest for this study are patients made in the approaches to the con with liver disease of uncertain etiology quest of heart disease, cancer, and who would require, in the opinion of the stroke under existing patterns of re referring physician, a liver biopsy as search and medical practice; strongly well as other studies to help establish favoring the use of available financial the specific diagnosis. Those patients support for extension of these patterns with long-standing hyperbilirubinemia rather than replacement by a complex or abnormal serum enzyme levels of medical control centers and satellites. (SCOT, etc.) would be of particular in terest. “The American Medical Association oppose those particular Commission Patients who are accepted for this recommendations which call for and study will be admitted to the Clinical have stimulated proposals for hastily Center for approximately two weeks contrived and unproven sweeping and should anticipate having a liver changes in the pattern of medical re biopsy performed. search, education, and patient care.” Physicians interested in having their patients considered for the study may write or telephone: M atthew M enken, M.D. HAVE YOU PAID YOUR AMPAC DUES? Clinical Center, Room 4-N-l 17 National Institutes of Health Bethesda, Maryland 20014 Telephone: 656-4000, Ext. BEALL’S 65955 (Area code 301)

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WHILE WAITING DINNER

AUXILIARY OFFICERS—1965-1966 ^ T , .. , ! “ ~ If you cant lick them, as the old I’n-suU-ni Mrs. Merrill j. wicks saving goes, why not join them and President-Elect ...... Mrs. George C. Gilman I • l, J U 1 1st Vice-President and Program ..... Mrs. Robert A. Kallscn r e l a x With 3. gOOd DOOK. 2nd Vice-President andSocial Mrs. Arthur Wickstrom 3rd Vice-Prcsident and Valley Rep Mrs. Charles Vaught J u S t o f f t h e p u b l i s h e r ’s p reS S e S th e 4th Vic,-President and Membership ... Mrs. RoyVirak ,. f mQnths arg three new books Kecordmu Secretary ____ Mrs. Leonard G. Money 1 Corresponding Secretary .... -..Mrs. Ronald T. Spangler W r itte n b y lo c a l a u t h o r s . Treasurer ...... -.. Mrs. Thomas Ii. Skrinar Dues Secretary Mrs. Glenn H. Brokaw O n e Of t h e ITlOSt d e l i g h t f u l a n d i e ~ AMAERF ...... Mrs. Francis W. Hennings r i • i i r> j • Civil Defense and Safety ______... Mrs. John s. May freshing books I ve read in many years Historian and By-Laws Mrs. Herman S. Judd jg “T il e H a p p y L a i ld ” b y E v e ly n H aW eS . Legislative Mrs. Sherman S. Pinto T, i ^ ^ i i ^ , n m Paramedical ______...... Mrs.Frederiek J. Schwind ^ d o e s n t t a k e lo n g tO r e a l i z e t h a t M rS . Publicity ...... Mrs. Marcel Maiden Hawes is an expert writer who takes a Bulletin ...... Mrs. Robert R. Burt j-rr- jj 11 Speakers Bureau ____ Mrs. John Coien very difficult style and does it superbly. Mrs. Richard F. Barronian n o y e J jg a b o U t PrOVOSt L a th lO p ielephone ...... Mrs. Vernon O. Larson x Mrs. George a . Tanbara growing up in a small Eastern Wash- Minute Women ...... Mrs. Harold D. Lueken . , ■ .1 1 1 nr\r\-> 1 1 Mrs. jack w. Mandeviiie ington town in the early 1920 s and her

C°Cotma,'nri ^ Services ______Mrs. Robert W . Osborne Search f°r “Eldorado” leads her intO Hrart ...... Mrs. Robert c. Johnson m a n y m i s a d v e n t u r e s t h a t u s u a l ly h a v e

finance l . ^ " a haPPY ending. This could be the story Dan« ...... Mrs. David f . Dye of the author herself who was born in Mrs. Gordon Dean ^ , n , r i Fashion show ...... Mrs. Homert .clay Colville, W ashington and attended the

Mental Health ______M “ jL ^ s’e ^ w i S University of W asihngton. Today's Health _____ Mrs. Robert M. Ferguson Cook Book ...... Mrs. Stanley w. Tueii If you are interested in local history International Health ...... Mrs. Charles McGill an(j an elucidation of the Indian l01C of ------o u r P u g e t S o u n d t r ib e s a s w e ll a s t h e coast Indians north of us, be sure to

What it takes to make a house look read “Totem Pole Ilia n s” by Joseph lived in is Summer with all the kids at C herry and ‘Leschi of the Nisquallies h o m e 1 ky Della Gould Emmons.

(Continued on Page 23) 2 2 B U L L E T I N o f th e Pierce County M edical Society

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FREE PRESCRIPTION DELIVERY BULLETIN o f th e Pierce County M edical Society 2 3 (Continued from Page 21) As someone has said, “Summer should be like an island—set aside to After many years of research, Mr. discover where you have been and Wherry, an experienced writer, has pro where you are going.” duced a complete history of the Totem Pole Indians from our Puget Sound Your board is hard at work to as area north along the coast to Alaska. It sure the desired direction of activity for the coming year. The course is being is beautifully illustrated with drawings and photographs taken by the author. charted, but we need all of you to pro vide the power. It is interesting to note that Joseph Wherry was born and raised in the Just a reminder to mark your calen State of Washington, graduated from dars regarding the following dates: Pacific Lutheran College in 1940 and September 13-15—State Medical As has been interested in the Totem mak sociation and Medical Auxiliary meet ing Indians since his childhood. ing in Seattle. Della Gould Emmons, well-known Friday, September 17 — Neighbor local author, spent seven years doing hood Coffee Hours honoring new mem research on the controversial Leschi, bers. Chief of the Nisqually Indians. Friday, October 8—First Auxiliary Leschi, highly intelligent as well as Luncheon meeting for the year. bold and adventurous, had lived with his tribe in peaceful association with Brit Thursday, October 21—Annual Fash ish traders at Fort Nisqually until the ion Show, “Manikins in Orbit” Lunch coming of the Boston settlers. With the eon, Top of the Ocean. Call Jan O’Con increasing land encroachment and cor nell for early reservations. ruption of his people, he realized some Christmas in July?—AMAERF Christ thing must be done to save them. The mas card project. Keep it in mind! More ensuing wars, Leschi’s tragic death by information later. hanging after a mockery of a trial in which many white friends, as well as Jeanne Judd and Dolores Havlina re the soldiers who cam e to fight him , de cently returned from the A.M.A. conven fended his innocence, epitomize the tion in New York, brimming over with struggle of the American Indian for information and enthusiasm. We are justice. urged to look for the unmet needs in our community and act upon them. Evelyn Leschi was hanged from an oak tree Osborne is coordinator of Community in the hollow on the prairie just across services and would welcome your sug from where Lakewood Ice Arena stands gestions. today. Happy Vacation! See you in Septem The two above books are well worth ber. adding to your private library. Marge Wicks.

A Letter From Our President Yachting With The Ladies As I sit on our sun-drenched deck Reviving a custom of the past, The overlooking beautiful Puget Sound, I Tacoma Surgical Club invited wives am filled with a delicious sense of well to a yachting party on Puget Sound, being. . . . w ondering how each of you Tuesday, June 15th. Embarking at 5:30 are spending your sum m er. p.m. from the Tacoma Yacht Club, the 2 4 BULLETIN o f th e Pierce County M edical Society group cruised to Wollochet Bay for a marvelous outdoor dinner — steaks grilled over hot coals by Chef Ken Ollar to just the right degree of “doneness” for each person; tossed green salad, rolls and ice cream. RANKOS It was a lovely evening, everyone in a relaxed “away from the telephone” PHARMACY mood (no one fell overboard, tho), and we all agreed it was a wonderful idea 101 North Tacoma Avenue the Haleys had and “let’s do it again” next year. Yacht-hopping to examine the beautiful interiors of the crafts used for the cruise was a popular pastime at the T.Y.C. float as members and their ladies awaited dinner. Prescription Hosts and Hostesses aboard ship were Margaret and Charlie Larson with their Druggists “Adelante” (going away from Port), Adele and Stan Durkin with “Nereus” (Old Man of the Sea—Greek Mytho logy), and Katharine and Homer Hum iston with “Aram”, and Becky and Bud ★ Banfield with the “Becky B.” These last two ambitious people designed and built all of the interior of “Becky B.” themselves and it is like stepping into We Carry a Complete Line of the pages of House Beautiful—all in shades of turquoise, including wall-to- wall carpeting and tiny fireplace! Even Biologicals and Pharmaceuticals Becky matched in a turquoise slack and sweater outfit. During the cruise, we learned that Becky has taken a course in navigation and, in addition to being ★ First Mate and crew, she also does the navigating for the “Becky B.” which has a number of 1st and 2nd place trophies to its credit in the Log races. “ When Moments Count”

Community Service The U.P.S.-Tacoma Symphony Wo FUlton 3-2411 men would like to extend to members of the Auxiliary an invitation to join their group and assist them in bringing fine artists and good music to the people PROMPT . . . FREE DELIVERY of our community. The U.P.S-Tacoma Symphony is now recognized as one of the finest organizations of its type BULLETIN o f th e Pierce County M edical Society 25 on the coast. This excellence in position has been made possible by the music AMPAC '65 ians who donate their time and skill, Last May I travelled to Washington, and also by the people of Tacoma who D.C. to our AMPAC National Work feel a need for this type of culture. shop. A large group of doctors repre Our own Donna Ferguson is a mem senting all the States attended. There ber of the Board of Directors of the were many doctors’ wives present who U.P.S.-Tacoma Symphony and would are also taking an active interest in welcome a call from any of you who are AMPAC and wanted to gain more politi interested in serving. cal acumen.

One of the more interesting programs Quips From The M.D. Family was entitled, “Working with the Party” “Mommy, why doesn’t Daddy bring and had three speakers. The speaker me one of those round things?” was Gaylord B. Parkinson. He practices OB-GYN in California and last year was “What round thing, dear?” Chairman of the Republican State Cen "Well, you know . . . Daddy always tral Committee. (About two weeks ago says he has to go make rounds.” he was appointed Western Regional Di rector for the National Republican Remember . . .just read a good book! Party.) Dr. Parkinson actively practices Lorna Burt his profession and yet is able to con centrate further energy on his hobby of politics. This hobby is one he knows, enjoys, and works diligently to perfect. His talk consisted primarily of a chal lenge to the audience to get going. He American Cancer stressed the importance of politics and that if something is important enough, Society Moves we can all find time for it. In fact, he not only challenged us to get into some The American Cancer Society, Pierce phase of politics, but pointed out most County Unit, has moved its offices to emphatically that this is our country 817 Division Avenue, across from and if we don’t enter into making poli Wright’s Park. tical decisions it will be our fault if we The unit’s 1965-1966 officers are as lost it. He was a dynamic speaker and follows: obviously showed his enthusiasm for politics and the willingness to work President, J. Robert Brooke, M.D. vigorously for what he felt was right. Vice-President for Medical Affairs, T. R. Haley, M.D. The second speaker was Dr. Ben J. Clayburgh, Chairman of the Republican Vice-President for Field Organization, Central Committee of North Dakota. Mrs. Tallmadge Hamilton. He is a busy orthopedic surgeon, yet at Secretary, Mrs. A. J. Benedetti. the tender age of 41 he has reached the top of the heap in party politics in his Treasurer, Peter K. Wallerich. state. (It is interesting to note that he and Dr. Parkinson were classmates in medical school.) Ben got into politics HAVE YOU PAID YOUR AMPAC DUES? simply because he was concerned about 2 6 B U L L E T I N of the Pierce County M edical Society the mess we are in. He soon found him up and knows it takes time and patience self as a Precinct Committeeman. From to achieve success in a political cam there, he gradually evolved through the paign, but she has learned to achieve. cycle of county vice-chairman, county Recently, Dr. Schwind mentioned on campaign chairman, county chairman, the President’s page that doctors have state vice-chairman, and thus to his many hobbies. Why don’t you consider present position. The thing that struck politics as your hobby? Homer Hum him most when he started was the com iston has and finds it worthwhile. Arnie plete lack of knowledge about practical Herrmann has and seems to enjoy it. politics even on the part of many of Why don’t you give it some thought! the people who were active in the party. He also found that physicians weren’t Thomas H. Skrinar, M.D. even considered in politics because they AMPAC Chairman, “obviously couldn’t spare time from their practices” and even the physicians State of Washington. themselves felt it was “unprofessional to mix themselves into dirty politics.” Dr. Clayburgh felt this was a citizenship Quote of Note . . . responsibility and that by being intelli gent with his political time he could "Ironically, the greatest danger to our concentrate on one particular aspect of economic system today lies not in a politics such as fund raising, handling direct attack on profits, but in a well- a precinct or a committee appointment meaning effort to insure everyone and still keep up with his medical against failure. To put it bluntly, this practice. means subsidizing inefficiency; it is the antithesis of the effective operation of The third speaker was Mrs. Amos the profit motive. Johnson, who has been Chairman of the Democratic Executive Committee in We are in danger of losing one of our Sampson County, North Carolina. (Her greatest freedoms: The freedom to fail. husband was recently President of the Profit and loss are two sides of the same American Academy of General Pract coin; take away one side and you take ice. ) She became active in politics away the whole coin. Our greatest eco through her father-in-law. He taught nomic asset is the right to invest private her the ins and outs of how to run a capital in the hope of making a profit, precinct. Once she waded in, she was but at the risk of losing your shirt.” in it for good. —George Cline Smith. She felt that as a doctor’s wife she was able to make easy inroads into politics due to her many contacts. Plus, NOW UNDER CONSTRUCTION she works in her husband’s office and actually carries on political forums PROFESSIONAL with the patients in the waiting rooms. She posts posters and has political liter CENTER ature available in the office. She has offering modern space for medical Found that the patients not only don’t suites in fast growing residential area. mind this, but the majority actually en joy it, Picpublicans as well as Demo Phone TE 3-1689 crats. She has done all the “little” jobs AUBURN involved with politics from the bottom BULLETIN o f th e Pierce County M edical Society 2 7 citizens, including two local M.D.s. Heart Association They have at their disposal the interest and principal to use as they see fit. All Receives New citizens will be able to add to the fund Equiment for specific or general purposes. Stanislaus County, California Wo A replacement battery pack for the mans’ Auxiliary have just completed a Medtronic implantable pacemaker unit very successful work project, a Health has been stocked by the Pierce County Careers Day. The success of this Careers Heart Association's spare parts bank. Day was due to a hard working com Because of the cost of such a unit it mittee of auixiliary members, doctors cannot be provided without charge to and other interested persons along with patients. The unit will be made avail fine cooperation from the local news able to any patient who needs it. The paper, the Modesto Bee. Each high patient will be billed for the unit and school in the area received a package another will be purchased to have on containing materials and information hand for immediate use in the next sent to the school’s office. Immediately emergency. thereafter, a member of the auxiliary called upon the school offering aid and The Heart Association said there are advice, and left posters and other visual now approximately 40 persons with aids to promote the Careers Day. The electronic pacemakers in the Tacoma turnout for the event was large and area and that one to two per month they received much information to help will have need of the battery replace them decide if the field of medicine was ment procedure. The Spare Parts Bank for them. battery pack enables the Tacoma area to have a sterile unit on han ‘ for im Maricopa County, Arizona physicians mediate use without the three to ten are very pleased with the recently estab days delay that has been experienced lished Community Adult Mental Health in the past. Clinic. The Clinic, the result of many years planning and work by the County County Societies . . . Mental Health Association, is run on a part-time basis by local physicians. It is supported entirely by private funds. The IN THE NEWS need for an out-patient clinic for psy Oakland County ( M ichigan) Medical chiatric counseling has long been Society recently established an Oakland known and this is the first step in County Community Trust Fund from establishing clinics for those persons excess funds of their polio immuniz who cannot afford private care and yet ation program. The trust fund was do not qualify for treatment in the established after many discussions as to mental institutions. Previously, these what should be done with the excess people went without any care. The funds. It was felt that this Fund would Clinic has had a full work-load from the prove most beneficial to the citizens of first day of operation and is now expand the community, particularly in those ing to meet the needs of the people who areas not covered by government or pro call for assistance. fessional charitable organizations. It will be administered outside of the county medical society by nine leading PATRONIZE YOUR ADVERTISERS 2 8 BULLETIN o f the Pierce Countv M edical Society

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MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Monday of each month— 8:00 p.m. at 424 South K Street TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 8:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August — 8 :1 5 p .m . STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August— 6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and Auqust— 6 :0 0 p .m . STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p .m . ______1 ~ - : ~ .. —**v , PIERCE COUNTY MEDICAL SOCIETY BULLETIN

VOL XXXVI— No. 9 TACOMA, WASH. SEPTEMBER - 1965

REGULAR MEETING PIERCE COUNTY MEDICAL SOCIETY WEDNESDAY SEPTEMBER 8, 1965 PROGRAM ON PAGE 31 BULLETIN o f the Fierce County M edical Society

help speed recovery

with Soma Compound carisoprodol 200 mg., phenacetin 160 mg., caffeine 32 mg. In most patients with strains and Also available with Vi gr. codeine as 'Soma' Compound with Codeine: cariso prodol 200 mg., phenacetin 160 mg., caffeine 32 mg., codeine phosphate sprains, ‘Soma’ Compound can 16 mg. (Warning: may be habit-forming.) Indications: 'Soma' Compound and ‘Soma’ Compound with Codeine are useful for relief reduce recovery time because of of pain and stiffness in traumatic, rheumatic and other conditions affecting muscles ana joints. Contraindications: Allergic or idiosyncratic reactions to carisoprodol, phena cetin, or codeine phosphate. Precautions: Phenacetin-V/iXh long-term use, give cautiously its ability both to relieve pain to patients with anemia and cardiac, pulmonary, renal or hepatic disease. May damage the kidneys when used in large amounts or for long periods. Caffeine— Not recommended and to relax muscle. In a con for persons extremely sensitive to its CNS stimulating action. Codeine phosphate-Use with caution in addiction-prone individuals. Carisoprodoi-Carisopro6o\. like other central nervous system depressants, should be used with caution in patients with known pro trolled study of patients in an pensity for taking excessive quantities of drugs and In patients with known sensitivity to compounds of similar chemical structure, e.g. meprobamate. Side effects: Drowsi industrial practice, R. G. Conant ness, lightheadedness, dizziness, and gastric complaints have been reported infrequently for either or both of these preparations. Phenaeetin-Side effects are extremely rare with short-term use of recommended doses. Prolonged ingestion of overdoses may produce reported that ‘Soma’ Compound dyspnea, cyanosis, hemolytic anemia, skin rash, anorexia, subnormal temperature, insomnia, headache, mental disturbances, and tolerance. Caffeine — Side effects are almost always the result of overdosage. Average doses may rarely cause nausea, nerv shortened recovery time an aver ousness, insomnia, and diuresis. Excessive dosage may produce, in addition, restless ness, nervousness, tolerance, tinnitus, tremors, scintillating scotomata, tachycardia, age of 25% as compared with and cardiac arrhythmias. Codeine phosphate- Possible side effects are nausea, vomiting, constipation, and miosis. Carisoprodol— The only side effect reported with any frequency aspirin.1 In addition, complete or is sleepiness, usually on higher than recommended doses. An occasional patient may not tolerate carisoprodol because of an individual reaction, such as a sensation or weakness. Other rarely observed reactions have Included dizziness, ataxia, tremor, marked relief was noted in 94% agitation, irritability, headache, increase in eosinophil count, flushing of face, and gastrointestinal symptoms. One instance each of pancytopenia and leukopenia, occur ring when carisoprodol was administered with other drugs, has been reported, as has of patients treated with ‘Soma’ an instance of fixed drug eruption with carisoprodol and subsequent cross-reaction to meprobamate. Rare allergic reactions, usually mild, have included one case eachi of Compound, as compared to 46% anaphylactoid reaction with mild shock and angioneurotic edema with respiratory dltH* culty, both reversed with appropriate therapy. In cases of allergic or hypersensitivity reaction, carisoprodol should be discontinued and appropriate therapy initiated. Suicidal of patients treated with aspirin. attempts may produce coma and/or mild shock and respiratory depression. Dosage: Usual adult dosage of ‘Soma’ Compound or ‘Soma’ Compound with Codeine is one or 1. Conant, R. G.: Reduction of industrial time-loss: two tablets three times daily and at bedtime. Supplied: 'Soma' Compound, orange tab treatment with carisoprodol compound in muscu lets, each containing carisoprodol 200 mg., phenacetin 160 mg., and caffeine 32 mg. ‘Soma' Compound with Codeine, white capsule-shaped tablets, each containing carlso* loskeletal disorders. Industr. Med. Surg. 3.5:25, prodol 200 mg., phenacetin 160 mg., caffeine 32 mg., and codeine phosphate 16 mg. Jan. 1964. Narcotic order form required. Before prescribing, consult package circular.

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MONDAY TUESDAY WEDNESDAY I THURSDAY FRIDAY SATURDAY

1 2 3 4

Pierce County Pediatric Society 6:00 p.m.

6 7 8 9 10 11 Staff of Tacoma C.P.C. of St. General Pierce County Joseph’s— 9 a.m. LABOR 6:30 p.m. M edical Society DAY 8:15 p .m . MEDICAL- C.P.C. of Mary DENTAL Bridge—S a.m. FIE L D DAY

13 14 15 16 17 18 W.S.M.A. Annual W.S.M.A. Annual Meeting—Seattle Meeting— Seattle W.S.M.A. Annual Stafl of Medical Staff of Doctors C.P.C. of Mary Meeting— Seattle Arts—7:15 a.m. Hospital Bridge—8 a.m. 7:30 p.m.

Staff of Good Samaritan 21 22 23 24 25 6:30 p.m. StafT of Mary 20 Tacoma Surgical Bridge Club—6:30 p.m. 12:15 p .m . Staff of St. Joseph’s C.P.C. of Mary C.P.C. of St. 6:15 p.m. Bridge—8 a.m. Joseph’s— 9 a.m.

27 28 23 30 Pierce County Tacoma Acad, of Academy of Internal Medicine General Practice 6 p.m. 6:30 p.m. C.P.C. of Mary Staff of Mt. View Bridge—8 a.m. General Hospital

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President's Page

With the end of a beautiful summer and children ready to go back to school, the Woman's Auxiliary to the Pierce County Medical Society will soon resume a busy schedule of atcivities. The Auxiliary finished a very successful year under the fine leadership of Mrs. Ellen Pinto. Mrs. Merrill J. Wicks is the current president of the Auxiliary and has a very capable group of offi cers and committee members for the work in the coming year. The role of the doctor’s wife has always been an important one. but there have been some changes in the last half century. Fifty years ago, the doctor’s wife concerned herself mainly with her family, church and social activities. She had no voice in politics whatsoever and her husband had little need for political "know-how” as far as his profes sional life was concerned. Today, the doctor’s wife not only votes in all elections, but actually holds public office and takes an active part in political action concerned with her husband’s profession. In the past year, our Auxiliary performed a great service in assist ing our members in the political activities centered around the "medical” controversy. We are very appreciative of their efforts. The Auxiliary has had a fine program of community services, financially supporting the Mental Health Clinic and other local organizations. They have initiated and financed a student nurses scholarship program. The monthly meet ings of the Auxiliary are well-planned and in the past have included many prominent speakers. We hope that all the members of our Society will aid and encourage their wives to take an active part in the work of the Auxiliary. Best Wishes to you, ladies!!!

—F r ed er ic k J. S c h w in d , M.D. 8 BULLETIN o f th e Pierce County M edical Society

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Editorially Speaking

Don’t all speak at once!

A 3,000-voice chorus would sound off if all mem bers who had a voice in formulating policies of the Washington State Medical Association spoke up at the sam e tim e.

The more utilized and more conventional mode of expression for each member is that common to all demo cratic organizations—the ballot. All members of the House of Delegates are elected by their colleagues in their respective counties. The delegates, in turn, elect the Association offiicers and vote on policy matters.

Less utilized—and hardly known to some members—is the chance for expression offered to the individual doctor at the reference committee hearings. Every issue to be brought before the House of Delegates must be reviewed in open session by a reference committee before the House takes final action. Each 3-man reference committee meets informally all day on Tuesday, September 14, to review each issue sentence by sentence.

Any member of the State Association may sound off at a reference committee hearing—a democratic privilege not always offered to mem bers in organizations of this size. Indeed, under most circumstances, non-member doctors, or even other interested parties, may be permitted to express opinions to the committee. Only after due consideration and modification by the reference committee—and any of the 3,000 voices which desire to be heard—are the issues brought before the House of Delegates for final action.

After speaking with your ballot in electing delegates, if you get the urge to vocalize even more, show up at a reference committee hearing where an issue of interest to you is being reviewed.

Your voice will be heard. —S.W.T. BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y 11

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As Brokers we are YOUR agent, NOT an Insurer’s Agent. Offices at Suite 306, Security Building Tacoma,Washington MA 7-8181 1 2 BULLETIN of th e Piebce County M edical Society pared for their roles as productive Shaw Enters School citizens. Board Race; First “I am running for Position No. 1 be cause I believe the strength of the Political Venture United States rests on the quality of its citizens and this quality is based on a strong educational program. To this program in our local area I hope to bring an intelligent, analytical and fresh approach. “It is essential that every citizen shall have the opportunity to develop his per sonal talents to the fullest extent. Therefore, we must offer a flexible cur riculum to meet these individual needs.

“The quality of education is based pri marily on the quality of the teachers. It is my belief that it is therefore neces sary to provide professional staffs of the highest character and ability. Latest physician entry in the political arena is Dr. John Shaw, a native Wash “I am opposed to a uniform nation ingtonian who has practiced dermatol wide educational system, directed and ogy in Tacoma for over ten years. Dr. financed through a federal agency. It is Shaw was born in Spokane, attended part of the school board’s responsibility public school in Seattle and attended to arouse the interest of the entire com Imedical school at the University of munity to meet the financial needs of M ichigan. the educational program and to see that every tax dollar is wisely spent. Dr. Shaw prepared the following statement for the Bulletin: “This is my first application for any public office. I have had no previous “One month ago I filed for Position experience as a school board member No. 1 on the Tacoma School Board. and look forward to the experience of This is a six year term. running for an elective position. The “Education has long been one of my studying I have done on educational major interests, sparked by my six chil problems during the last few months dren who this fall will be attending has opened my eyes to the tremendous Lowell Elementary School, Jason Lee difficulties facing all school board sys Junior High School and Stadium High tems. During the next six years the in School. By the time these six children crease in student population will require finish the Tacoma Public School Sys communities to furnish at least one- tem, they will have amassed a total of third more educational facilities. The seventy-two years of public school planning, financing and operating of instruction. these facilities is but one small facet of the many challenging problems to be “Far beyond this personal interest, faced. I would like to be able to take however, has been increasing concern part in this program.” with the over all educational patterns to which we entrust our youth to be pre — J. M. Sh a w BU L L ET IN o f the P ie r c e C o u n t y M e d ic a l S o c ie t y 13

V-Cillin K now costs approximately 21 percent Indications: V-Cillin K is an antibiotic useful in the less. This significant price decline constitutes a treatment o f streptococcus, pneumococcus, and gon substantial saving and still offers these important ococcus infections and infections caused by sensitive benefits over penicillin G : strains of staphylococci. Contraindications and Precautions: Although sensi The effectiveness of intramuscular penicillin. Just tiv ity reactions are much less common after oral three 250-mg. doses daily provide total twenty- than after parenteral administration, V-Cillin K four-hour penicillin blood levels equal to those should not be administered to patients with a history achieved by injection of 600,000 units of procaine of allergy to penicillin. As with any antibiotic, ob servation for overgrowth of nonsusceptible organisms penicillin G. A fourth dose increases daily pen- during treatment is im portant. icillemia to levels 35 percent above those achieved Usual Dosage Range: 125 mg. (200,000 units) three by injection. times a day to 250 mg. every four hours. Consistent dependability—even in the presence of Supplied: Tablets V-Cillin K, 125 or 250 mg., and food. Comparative pharmacologic data show that V -C iliin K , Pediatric, 125 mg. per 5-cc. teaspoonful, V-Cillin K. produces peak blood levels twice as in 40, 80, and 150-cc.-size packages. high as those of penicillin G, with h a lf the dose. New, thin coating . . . new size and shape. The V-Cillin K new coating eliminates the characteristically bitter Potassium Phenoxymethyl taste of oral penicillin and makes V.-Cillin K P e n ic illin tablets easy to swallow. The new shape makes Additional information available to phy them easy for physicians and pharmacists to sicians upon request. Eli Lilly and Com identify. pany, Indianapolis, Indiana. 1 4 B U L L E T IN o f th e P i e r c e C o u n t y M e d ic a l S o c ie t y

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new Measurin* the first 8-hour aspirin ! tor continuous relief of pain and stiffness in rheumatoid arthritis up to 8 hours with each dose

~ \ 1 6 ______B U L L E T IN o f th e Pierce County M edical Society

_ _ new M ea su r in (timed-release aspirin) the first 8-hour aspirin

MEASURIN provides the full analgesic benefits of pure aspirin both promptly and for up to 8 hours...with each oral dose. MEASURIN is the only long-lasting pure aspirin arthritic patients can take at bedtime for analgesia throughout the night...and prevailing relief of pain and stiffness upon arising. MEASURIN is the aspirin of choice for chronic, low-grade pain. BU L L ET IN o f the F ie r c e C o u n t y M e d ic a l S o c ie t y 17

The prolonged benefits of new Measurin Less nighttime discomfort, less morning stiffness, fewer nighttime awakenings, less pain upon arising with new Measurin compared to two bedtime dosages of regular aspirin—shown in double-blind, crossover study of 26 patients with rheu matoid arthritis and fibrositis*

M IA N STIFFNESS I DISCOMFORT INDEX MEAN PAIN INDEX

M orning I Over 30c,/o reduction in Sltilress I m e a n stiffness index

O v e r3 3 e/o r e d u c tio n in m e a n discomfort index

FIG 2 NO. OF TIMES AWAKE

O ver 47B/c few er a w a k e n in g s

On arising Morning

VI f\r. A spirin q. 4 h. 20 g r. A spirin q. 8 h. MEASURIN 20 gr. q. 8 h. (00 fe'r /d a y - (60 gr./day) (60 g r./d a y) no mtddle-nf-nighl r/o se )

Results clearly indicate the superiority of Measurin timecl-release aspirin to Ivvn bedtim e dus- ages of regular aspirin. Measurin patients had significantly less nighttime discomfort, significantly less morning stiffness (fig. 1), and significantly fewer nighttime awakenings (fig. 2). Measurin patients also displayed significantly less pain upon arising, lasting into the? morning (fig. 3). During the afternoon and evening, both 8-hour Measurin and regular q. 4 h. aspirin proved superior to 20 gr. regular aspirin q. 8 h .~ the difference reaching high statistical signifi cance in the evening. Objectively, the investigator considered Measurin superior to either dosage schedule of regular aspirin in 23 of the 26 patients. Only one patient preferred either of the other regimens to Measurin. - c / m ical reports on iilc, C ho^chrnu^h-^ !ni: . .W'.v Y> >rr.. V

The unique mechanism Unlike enteric coatings or capsules of delay-action of new Measurin ... p e lle ts , a Measurin tablet is composed oi over 6 .000 microscopic reservoirs ol aspirin. t g 3 One 20-grain dose

(2 Measurin tablets) Each reservoir is an individual aspirin granule enclosed releases 10 grains by an inert polymer, insoluble in body fluids. Upon in gestion, the tablet immediately breaks apart and the promptly, followed by reservoirs disperse. sustained release of the remainder... Gastric fluids (black) diffuse into reservoirs through semi- controlled by this new permeable walls; dissolved aspirin (gray) diffuses out at a controlled rale (governed by wall thickness) designed principleof action: to provide optimum 8-hour blood levels. 18 B U L L E T IN o f th e Pierce County M edical Society

Indications: Measurin is indicated for the relief of new low-grade pain amenable to relief with salicylates, such as in rheumatoid arthritis, osteoarthritis, M e a s u r i n spondylitis, bursitis and other forms of rheuma tism, as well as many common musculoskeletal (timed-release aspirin) disorders. It possesses the same advantages for other types of prolonged aches and pains, such as for continuous minor injuries, dental pain, and dysmenorrhea. Its sustained effectiveness should also make it relief of pain valuable as an analgesic in colds, grippe, flu and other similar conditions in which aspirin is indi and stiffness cated for symptomatic relief, either by itself or adjunctive to specific therapy. up to 8 hours Dosage: Two Measurin tablets q. 8 h, have been effective for most analgesic needs. This two-tablet with each dose (20-grain) dose releases the blood level equiva lent of 10 grains of aspirin promptly followed by sustained release of the remainder. The 10-grain (650 mg.) scored Measurin tablets permit admin istration of aspirin in multiples of 5 grains (325 mg.), allowing individualization of dosage to meet the specific needs of the patient. With regular aspirin dosage schedules, one 10 grain Measurin tablet may replace any 5-grain tablet, but with twice the duration of activity. Whenever possible, two tablets (20 grains) should be given before retiring lo assure relief through out the night —and prevailing pain relief upon arising. Measurin has been made in a special capsule shaped tablet to permit easy swallowing. How ever, for any patients who have difficulty, Measurin tablets may be crumbled without loss of sustained-release effect. Side Effects: Side effects encountered with regu lar aspirin may be encountered with Measurin. Tinnitus and dizziness at saturation dosage are the ones most frequently encountered. Contraindications and Precautions: Measurin is contraindicated in patients with marked aspirin hypersensitivity, and should be given with ex treme caution to any patient with a history of adverse reaction to salicylates. It may cautiously be tried in patients intolerant to aspirin because of gastric irritation, but the usual precautions for any form of aspirin should be observed in pa Chesebrough-Pond's Inc. tients with gastric ulcers, bleeding tendencies, or 485 Lexinglon Ave., New York, N. Y. 10017 hypoprothrombinemia. B U LLETIN o f the P ie r c e C o u n t y M e d ic a l S o c ie t y 19 Setzer, Summa Cum Laude, Judy Shu HOSPITALS mate, Helen Steer, Judie Tweiten, Karen Vicklund, Cum Laude, and Peggy St. Joseph's Zurfluh. The commencement address was de Medical Record News livered by Mr. William W. Hull, Execu tive Director, Tacoma-Pierce County On Sept. 1, 1965, eight students will Association for Mental Health. enroll in the school for Medical Record Technicians. Sister Emmanuel and her A surprise note came in the program employees of the Record Department when Sister Martha Joseph, Director of are anxiously awaiting their arrival. We the School of Nursing, was called to the wish them luck in the following nine stage to receive a gift from the graduat m onths. ing Seniors. The gift, a beautiful cut glass bowl was presented in memory of On July 15, 1965, was St. Joseph Hos Sister Mary Cecil who had taught the pital Picnic for all employees and their Sciences for many years. families. It was a wonderful day for the picnic and everyone enjoyed themselves The X-Ray Department welcomed very much. The Sisters, Doctors and all four new student X-Ray Technicians. wish to again thank Dr. James for the The students are Karen Koplien from wonderful picnic. Baker, Oregon; Starr Rowen, Renton, Washington; Gregg Bronson, Gig Har St. Leo’s Auditorium on Sunday, bor and Linda Hammon from Tacoma, August 22, 1965 at 2:00 p.m. was the Washington. We wish them good luck scene of a memorable occasion for fam in their chosen profession. ily, friends, and the 18 graduating sen iors of St. Joseph Hospital School of Nursing. University Place Medical-Dental Bldg., Dr. Bernard R. Rowen, President of 2704 Sunset Drive West, Tacoma. the Staff presented diplomas to the fol Will have a modern suite available lowing graduates: Joy Axelson, Alvin about Sept. 15. Call SK 2-1780 for Bagiev, Grant Cox, Joan English, Mary further information. Hale, Jeanne Martin, Mary Molchan, Mary Nord, Magna Cum Laude, Dianne Pettit, Joan Piper, Nancy Robbins Brown, Margaret Scheurich, Sharon DAMME I E R Printing Co. BEALL’S Printers and Offset Lithographers BRoadway 2-8303 The Prescription Store 811 Pacific Ave. Tacoma 124 Meridian South PUYALLUP Phone Puyallup 5-8444 PATRONIZE YOUR ADVERTISERS 2 0 B U L L E T IN o f th e Fierce County M edical Society

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WHILE WAITING DINNER

WOMAN'S AUXILIARY . . . To The Pierce County Medical Society

AUXILIARY OFFICERS—1965-1966 “The lintel low enough to keep out President ...... — ...... Mrs. Mon-ill J. Wicks pomp and pride; the threshold high President-Elect ...... Mrs. George C. Gilman 1st Vice-President and Program...... Mrs. Robert A. Kallsen enough to turn deceit aside; the door 2nd Vice-President and Social_____Mrs. Arthur Wickstrom band strong enough from robbers to •3rd Vice-President and Valley Rep___ Mrs. Charles Vaught 4th Vice-President and Membership___ Mrs. Roy H. Virak defend; this door will open at a touch Recording Secretary...... Mrs. Leonard G. Morley to welcome every friend.” Corresponding Secretary ...... Mrs. Ronald T. Spangler Treasurer ...... Mrs. Thomas H. Skrinar Dues Secretary ...... Mrs. Glenn H. Brokaw —V a n D k y e AMAERF ...... Mrs. Francis W. Hennings Civil Defense and Safety ______Mrs. John S. May A new year is beginning for Pierce Historian and By-Laws______Mrs. Herman S. Judd Legislative ______Mrs.Sherman S. PintoCounty Medical Auxiliary, an exciting Paramedical ...... Mrs. Frederick J. Schwind and memorable year that none of our Publicity ...... Mrs. Marcel Malden Bulletin ...... Mrs. Robert R. Burt old members or new will want to miss! Speakers Bureau ...... Mrs. John Colen A very different kind of program from Mrs. Richard F. Barronian Telephone _____ ...... Mrs. Vernon O. Larson the past is being planned with an em Mrs. George A. Tanbara Minute Women ...... _. Mrs. Harold D. Lueken phasis on friendliness, fun and good Mrs. Jack W. Mandeville fellowship. Coordinator of Community Services Mrs. Robert W. Osborne Heart ------Mrs.Robert C. Johnson Cancer ------Mrs. Jack J. EricksonMembership Coffee Finance ...... Mrs. Haskel L. Maier Dance ...... Mrs. David F. Dye The starting gun for all this fun is set Mrs. Gordon Dean Fashion Show _____...... Mrs. Homer T. Clay to fire Sept. 17 at 10:00 a.m. when the Mrs. Dale D. Doherty Board will honor all new and prospec Mental Health ______Mrs. James E. Hazelrigg Today's Health ...... Mrs. Robert M. Ferguson tive members at neighborhood coffee Cook Book ______Mrs. Stanley W. Tuell hours. Opening their homes in various International Health ...... Mrs. Charles McGill sections of Tacoma, Lakewood, and Puyallup for the coffee hour will be Borghild Morley, Elvina Brokaw, Ruth Houtz, Marcia Harrington, Lorna Burt, Edith Lawrence, Chris Kanar and Deva V aught.

( Continued on Page 23) 2 2 B U L L E T I N o f th e Fierce County M edical Society

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FREE PRESCRIPTION DELIVERY BU L L ET IN o f the Pierce County M edical Society ______23 (Continued from Page 21) the meeting in Seattle or even if only for one day! Prospective members we are looking forward to greeting are Mrs. James If your husband forgets to bring (Nancy) Billingsley, Mrs. DeMaurice home the information until the day (Grace) Moses, Mrs. Kenneth (Janice) before the meeting, the way to find out Pim, Mrs. Alan (Reta) Porter, Mrs. what is going on where is to ride along Sumiho (Yasuko) Wada, Mrs. Thomas with your doctor when he makes rounds. (Elena) Elder, Mrs. Donald Weber and The hospital bulletin boards maintain a Mrs. Lawrence Cutner. Mr. Albert veritable fount of ephemeral material (Ruth) Sames, although no stranger to among which you will find at present a the Auxiliary, is new to the Valley and list of the fascinating activities the will be honored at the coffee hour held W.S.M.A. is offering in addition to the there. business meetings. For instance, on Monday, Sept. 13, you have a choice of Busy planning all this before taking getting up at 4:00 a.m. with hubby to off on a family vacation trip this sum attend the Salmon Derby. (Yes, wives mer via trailer, Gloria Virak, member are included!) embarking from the ship chairman, assured us that all Yacht Club at Edmonds and returning members of the Auxiliary will be called at 11:30 a.m. for a buffet luncheon and to attend the Coffee nearest her home, prizes for the best catch. Or, if you are . so mark the calendar right now for Fri a golfer, you are invited to the Auxiliary day, Sept. 17 and we’ll get off to a jet Golf Tournament and Luncheon at the start on this year’s activities! Sand Point Golf and Country Club, 8333 55th N.E., starting at 8:30 a.m. with Telephone cocktails and luncheon served from 12:15 until 2:30 p.m. and prizes for While we are on the subject of calling, those who are eligible— that is, regis our two zealous telephone chairmen, trants of the State Auxiliary Convention. Kit Larson and K im i T anbara, w an t everyone to know: A Social Hour and Reception will be held for the National Auxiliary Presi If you are not being called dent, Mrs. Richard A. Sutter, Monday Or need transportation — evening from 5:00 to 6:00 p.m. in Give a little jingle . . . Room 2105 of the Washington Athletic Club. Tuesday evening there will be a Just pick up YOUR phone and reception for the new State Presidents, Call Kit or Kimi’s home — Mrs. William Blackstone and Carl Sch- You’ll be there in time to mingle! licke, M.D., preceding the annual din ner and dance.

More Marks on The Calendar Mrs. Pepys advises us to “spare a precious convention hour from old Sept. 12-15 don’t forget the Wash- ) ington State Medical Asosciation and friends to mingle with the newcomers . . . for the freshman green first timer Auxiliary meeting in Seattle at the Olympic Hotel and W ashington Athletic can give an old timer a pristine view point . . . and green is the color of \ Club. R egistration b eg in s on Sunday. growth and of sprouting leadership." What nicer way to relax after the hurry-scurry of getting children back to Friday, October 8, will be the first | school than to take a few days to attend Auxiliary luncheon of the year to be 2 4 B U L L E T I N o f th e Pierce County M edical Society

held in the lovely Stadium Way home of Away From The Phone Mrs. Thomas B. Murphy. Dr. and Mrs. Dale Doherty attended Highlight of the afternoon will be a the meeting of the Pacific Dermatology scintillating skit in which three new Association in Portland at the Hilton members of the Auxiliary, Mrs. Ben Hotel from July 25-29. It was most con Casey, Mrs. Rex Morgan (hope it was siderate of the Association to pick such June who finally hooked him ) and Mrs. a nice spot to convene during the sum Kildare, will be initiated into the in mer months and Marion thoroughly tricacies of Auxiliary membership by enjoyed it. three old members, Mesdames Mabel Lean, Claire Raul and Lana LinPlus. Quips From The M. D. Family Circle Oct. 8 on your calendar, call the sitter now and plan to be on hand for Did you hear about the little boy climbing on a chair in the doctor’s th e fu n ! waiting room? He took a nasty tumble Dr. Fred Schwind, Pierce County Medi cracking his head on the floor. Someone cal Society President, will be our guest. picked him up, brushed him off and said, "You're not going to cry, are you? Co-chairmen for the luncheon are You’re a big boy.” Bianca Mattson and Nadine Kennedy with their committee, Donna Ferguson, The child glowered at him and re Rosemary Dye, Peggy Haley and Bev torted, “No, but I’m going to sue!” Harrelson. Such an imaginative group of gals are sure to surprise us with some thing different and delicious. The cutest summer vacation story I’ve heard is the one about the M.D. Another October date to mark is family travelling to California where Thursday, October 21— Annual Fashion one mile of superhighway looks much Show, “Manikins in Orbit.” Social hour like another and the floor plan of a cer begins at 11:30 a.m. with luncheon at tain restaurant chain along that route is 12:00 on the top deck, Top of the Ocean identical. After having breakfast in one restaurant. Price is $3.00 and tickets restaurant, four year old Judy was thor are available from Jan O'Connell and oughly confused when they walked into Mary Rohner. the restaurant for dinner— some 500 miles from the one where they had Marion Doherty and Connie Clay, co- breakfasted— the tot exclaimed in be chairmen of the affair, are hard at work wilderment, “Daddy, we’ve been driving to make this one of the most dazzling all day, and here we are again!” fashion shows orbiting this season. All the models to be launched are mem See you in Seattle! bers of the Medical Auxiliary. Indica —L o r n a B u r t tions are that it will be a “sell out” again so get your tickets early. See you there! DAMMEIER Dues Are Due Printing Co. Dues are due and you know who! All of us, that’s who . . . so send your 311 Pacific Ave. Tacoma check for $10.00 now to Mrs. Glenn H. BRoadway 2-8303 Brokaw, 2919 North Alder, Tacoma. B U L L ET IN o f the F ie r c e C o u n t y M e d ic a l S o c ie t y 25 must have a specified number of signa Fun, Science Prizes tures of technical exhibitors. At WSMA Confab; Official business of the Association will be transacted by the House of Dele Auxiliary Meets Too gates at its two sessions, the first one Sunday, Sept. 12 at 1:30 p.m., in the Featuring 11 guest speakers from Georgian Room, and the second session other states and from British Columbia, at 1:30 p.m. Wednesday, Sept. 15, in the 76th annual meeting of the Wash the Olympic Bowl. Pierce County will ington State Medical Association will be have full representation by its dele held at the Olympic Hotel in Seattle, gation, according to Fred Schwind, So Sept. 12-15. There will be three days ciety President. The House will act on of scientific sessions, with many of the issues presented by the reports of offi specialty meetings running concurrent cers, three amendments to the consti ly with the general sessions. Besides the tution, the reports of some 33 commit commercial technical exhibits, there tees and seven proposed resolutions. will be 11 scientific exhibits by physi- Finer points of almost all issues will cian-members. be hammered out in detail in the refer To stimulate viewing of the technical ence committees which will meet all exhibits, three valuable prizes wall again day on Tuesday, Sept. 14. be awarded to physicians at drawings The State Medical Auxiliary will hold to be held daily at the registration desk. its annual meeting concurrently at the To qualify for the drawings, a physician Washington Athletic Club nearby. The wives are eligible for the salmon derby and will have their own golf tourna ment at the Sand Point Golf and Coun Tacoma Brace try Club. & L im b Co. Lenart C. Ceder, owner HAVE YOU PAID YOUR AMPAC DUES? ☆

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“For information, ask your Heart As sociation, For Medical Advice, ask your doctor.” RANKOS With this theme, the Pierce County Heart Association and the Professional PHARMACY Pharmacists of Pierce County opened a campaign August 29 to inform the pub 101 North Tacoma Avenue lic about cardiovascular disease and the Heart Association’s public information and community services. Druggists of Pierce County will offer Prescription publications on heart attack, stroke and smoking in their stores. The August 29 issue of Channel TV, television maga Druggists zine distributed by druggists, carries an introduction to the campaign from Don Thomsen, president of the Professional Pharmacists of Pierce County, and an ★ order form for 25 of the m ost frequently requested publications of the Heart As sociation. 200,000 copies of the maga zine will be distributed through drug We Carry a Complete Line of gists in Washington, Oregon and Idaho. Biologicals and Pharmaceuticals In later editions, the public will be informed about Heart publications available on their physician’s prescrip tions, such as the stroke rehabilitation ★ guides and diet guides.

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PHYSICIANS' AND HOSPITAL SUPPLIES B U LLETIN of the Pierce County M edical Society 2 9 wers. The movie will be repeated several AMPAC 1965 times each day. Come see the movie and see how your AMPAC has been active Summer vacation is over and it is in politics. Plan to ask any questions now time to start meetings and organi you may have concerning AMPAC and zational work again. While most organi give us a chance to learn from each zation have been temporarily closed other. down, AMPAC has been holding regular monthly sessions plus quite a bit of in- Our third project has been preparing between phone work. for our fall programs. We want to ex tend our membership from within our One of our jobs has been the gather own medical ranks because we have not ing of more personnel. Our active board as yet fully realized our potential here. consists of eight board directors ( a doc We must plan programs in order to bet tor representing each C ongressional d is ter reach our own medical society mem trict plus one doctor’s wife representing bers. We know there are still many doc the Auxiliary.) We also have an alter tors who do not fully understand per nate for each Congressional District spectives of socialism and how to com plus an Auxiliary representative for bat them through the election of Con each District. Our 6th District Auxiliary gressmen of honor and integrity. We Representative has been Mrs. Lawrence know w'e just can’t sit back and grumble Foster of Bremerton. Mrs. Foster has about changes occurring in our govern been Legislative Chairman for the last ment but must be active in fighting un few years for the State Auxiliary and wanted and unwarranted changes. This has now consented to be on our board must be done on a political level. For of directors as the Auxiliary representa this reason, we also need to encourage tive. We are proud of this since as legis membership in AMPAC from allied lative chairman she has kept herself medical fields. We want friends of medi informed, plus for a number of years cine to work with us for our common she has been quite active in local poli goal. tics. Her replacement for our 6th Dis trict Auxiliary R ep resentative is Mrs. With your State Convention at hand, Loy Cramer. She co m es to us h igh ly take time out from your busy practice recommended from the standpoint of and attend the convention. WSMA her genuine concern and interest in needs your support. You make up this good government. We of AMPAC are organization and therefore you should pleased to have her join us. want to be active in it. Listen to the lectures diligently prepared for you and Our second major job has been get see the exhibits set up for you with the ting ready for the WSMA State Con expansion of great effort in order to vention. We intend to be present big increase your medical knowledge. A ger and better than ever. We believe State Convention can be as good as we have a booth that will be of interest each one of you make it. AMPAC will to you where you can come to visit with be there and we hope to see you there! us and get acquainted. We will also have a room where we will show one of T h o m a s H. S k r i n a r , M.D. our movies, called “Political Wrap-up, State Chairman, AMPAC 1964.” This will last 15 minutes follow ed by 15 minutes of questions and ans 3 0 B U L L E T IN o f the Pierce County M edical Society bers of the detail men for each com "Doctors7 Phonebook" pany. All medical laboratories are like wise listed, as are registered physical Out; Will List therapists. Drug Store Hours Finally (fittingly), there is a listing of all Pierce County funeral directors.

A fresh, new copy of that much-used The booklet has been printed and “doctor directory” will soon be on your published for 19 years by the Dammeier desk, and this year it has a section that Printing Co. Advertisements by local makes it more valuable than ever. For firms help finance the directory, which that late evening phone prescription is furnished free to all doctors and dis that saves you a house call, you’ll be tributed free to nurses’ stations in all able to look in your faithful directory the hospitals. and find not only the phone number but also the opening and closing hours of Pierce County drug stores on weekdays, Sundays and holidays.

The sponsoring organization for this useful addition to the directory is “The Monday Set For P ro fessio n a l P h a rm a cists ol' P ierce County." Don Thomsen of University Fishing, Golfing Place Pharmacy is President of the or ganization, and Jim Carlson, Squibb At State Meeting detail man. was the instigator of the plan. The new listing will add several Monday, Sept. 13, will again be pages to the booklet which is already “sports day” at the annual meeting of packed with useful information which the Washington State Medical Associ makes it a "must” item in every doc ation in Seattle this month. Participants tor's office, by the home phone and at in the annual Salmon Derby should the nurses’ stations in every hospital. have registered by now, but anyone The listing of all Pierce County doc still desiring to enter the derby should tors will again be the main feature of promptly contact Dr. Wayne Chesledon the booklet, with each physician listed in Seattle to see if any more reserva in alphabetical order with his specialty, tions are available. The fishermen — day off, and home and office addresses wives are invited too — will leave by and phone numbers. There are several bus from the Olympic Hotel at 4:00 other useful sections in the directory. a.m., having breakfast together at the All Pierce County hospitals are listed, Edmonds Yacht Club at 5:00 a.m., and with their addresses and phone num try their luck at fishing from “sleek bers and names of the hospital officials. cruisers” from 5:30 to 11:00 a.m. Another section lists the addresses and Golfers will tee off starting at 9:00 phone numbers for several related a.m. at the Glendale Golf and Country medical organizations such as the blood Club in Bellevue. No pre-registration is bank, the American Cancer Society and needed for the golf tournament. Golfing the nurses’ professional registry. will continue through the afternoon and The names of the major pharmaceu the day will conclude with a “Sports tical houses are listed in the book, with men’s Stag Banquet” at the Glendale the names, addresses and phone num Golf and Country Club at 6:30 p.m. B U LLETIN of the P ie r c e C o u n t y M e d ic a l S o c ie t y 31 PIERCE COUNTY MEDICAL SOCIETY MEETING

Wednesday, September 8

Medical Arts Building Auditorium

PROGRAM - - - 8:15 P.M.

DISCUSSION BY W.S.M.A. DELEGATES OF RESOLUTIONS TO BE CONSIDERED AT THE STATE MEETING

Social Hour: 6:00 Dinner: 6:45 Honan's Restaurant

Shaw will present a paper as part of the Wahlberg, Shaw on session on “Survival in the Northwest." Dr. Shaw’s paper is entitled “The Haz Program For WSMA ards of Sun Exposure,” and will be read Three Tacoma area doctors are list at 2:25 p.m . ed on the program of the Washington As part of the Eye Scientific Session, State Medical Association meeting in Major Dean Rockey of Madigan Hos Seattle this month. Dr. Elmer Wahlberg, pital will present a paper Monday morn President of the Washington Academy ing entitled, “The A Syndrome with of General Practice, will moderate the Overacting Obliques.” “Symposium on New Antibiotics” as part of the General Practice Session, 9:00 a.m., Monday, Sept. 13, in the Spanish Ballroom. MEDICAL-DENTAL FIELD DAY

On Wednesday afternoon, Sept. 15, FRIDAY, SEPTEMBER 10 also in the Spanish Ballroom, Dr. John FISHING — GOLF — TENNIS Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. PERMIT No. 300

l>r. Frank J. Rigos Medical Arts Building Tacoma, Washington

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Monday of each month— 8:00 p.m. at 424 South K Street TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 8:00 p.m. PIERCE C O U N TY M EDICAL SOCIETY Second Tuesday of the month except June, July and August — 8:1 5 p.m . STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August— 6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and August-— 6 :0 0 p.m . STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, September, December— 7.15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. 7 6 PIERCE COUNTY MEDICAL SOCIETY BULLETIN VOL XXXVI—No. 10 TACOMA, WASH. OCTOBER - 1965

REGULAR MEETING PIERCE COUNTY MEDICAL SOCIETY OCTOBER 12, 1965 B U L L E T IN o f th e Pierce County M edical Society Pierce County Medical Society C 1965 OFFICERS President ...... _.. Frederick J. Schwind President-Elect ...... Glenn G. McBride r» Vice-President ...... Lester S. Baskin - 4 ^ = Secretary-Treasurer ...... Arnold J. Herrmann Hap* py birth - day to Executive Secretary ...... Judy Gordon TRUSTEES Richard F. Barronian Robert C. Johnson Lester S. Baskin James D. Lambing Myron A, Bass Glenn G. McBride J. W. Bowen, Jr. Clinton A. Piper October Birthdays Robert R. Burt Frank J. Rigos Arnold J. Herrmann Frederick J. Schwind 2 Dudley W. Houtz DELEGATES Douglas P. Buttorff Frederick J. Schwind Graham M. Watkins Robert M. Ferguson Stanley W. Tuell Robert W. Florence Wayne W. Zimmerman 3 Lester S. Baskin Glenn G. McBride M. R. Hosie ALTERNATE DELEGATES Richard F. Barronian Herman S. Judd 4 Edward R. Anderson Charles J. Galbraith Robert W. Osborne Philip Grenley Charles C. Reberger Arnold J. Herrmann Kenneth E. Gross Somers R. Sleep COMMITTEES 5 J. Robert Brooke Ethics Murray L. Johnson, Chairman David F. Dye Samuel E. Adams P'rank R. Maddison Grievance Kenneth E. Gross Frank J. Rigos, Chairman Thomas B. Lawley G. M. Whitacre Stanley W. Tuell Program 6 A. R. Islam Robert C. Johnson, Chairman Clinton A. Piper Robert M. Ferguson 7 Haskel L. Maier Public Relations James D. Lambing, Chairman Richard I. Rich John F. Comfort Robert M. Ferguson Kenneth E. Gross G. Marshall Whitacre 10 Donald M. Nevitt Library 11 Myron Kass Don G. Willard, Chairman Robert M. Freeman William E. Avery John W. Pelley Public Health Lawrence N. Brigham, Chairman 12 Robert A. Kallsen Cecil R. Fargher Robert C. Johnson Orvis A. Harrelson David L. Sparling 13 G. W. Bischoff House and Attendance John R. Alger, Chairman Sumiho Wada Robert Klein William W. Mattson, Jr. Civil Disaster 14 Robert G. Bond Edward R. Anderson, Chairman Leo Annest Charles E. Kemp Frank H. James Robert R. Burt Richard B. Link James E. McNerthney Kenneth D. Graham Robert D. McGreal T. R. Haley Leo F. Sulkosky 16 Murray L. Johnson David T. Hellyer Arthur P. Wickstrom Diabetes W illiam H. Ludwig Robert A. O’Connell, Chairman Robert A. Kallsen Roy H. Virak 17 C. B. Ritchie Entertainment William L. Rohner Walter L. Sobba 19 David T. Hellyer Geriatrics S. Robert Lantiere, Chairman Vincent M. Murphy Herbert C. Kennedy Harold F. Kahler Legislative 20 Dumont Staatz J. Hugh Kalkus, Chairman Homer W. Humiston Herman S. Judd 21 Buel L. Sever B. D. Harrington John M. Shaw Wayne W. Zimmerman 23 Horace A. Anderson Medical Education Edmund A. Kanar, Chairman 24 Giulio di Furia Glenn G. McBride Bernard R. Rowen James Mason (Ex-officio) 25 Donald F. Allison Operation Hometown Charles M. McGill Douglas P. Buttorff, Chairman Schools 31 John F. Kemman George C. Gilman, Chairman Cecil R. Fargher Dudley W. Houtz J o h n Srail Orvis A. Harrelson Everett P. Nelson Mental Health Hugo Van Dooien, Chairman James M. Blankenship Jerman W. Rose Poison Control Claris Allison, Chairman

Bulletin Staff O u r C o v e r . . . The cover photo was Editor ------_.------Stanley W. Tuell Business Manager ...... Judy Gordon taken by Dr. Gerhart Drucker, showing Auxiliary News Editor ...... Mrs. Robert R. Burt fellow-climbers on the ridge of Mt. Vic toria, 11,700 feet, overlooking Lake Louise in Canada. (See article, page PATRONIZE YOUR ADVERTISERS 2 9 .) O rv ille E . S h o e m a k e r, C .F . A ., Vice President and Trust Officer of National Bank of W ashington, has qualified as a Chartered Financial Analyst. Mr. S h o e maker (at right), head of the Investment, Analysis Section of Hie Trust Department at NBW, is shown being congratulated by Mr. (iershom C. Rowland, Senior Vice President and Trust Officer in the office of Mr. Goodwin Chase, President, of NBW.

C hartered Financial A nalyst— the first sm-ii title conferred on a bank executive in Washington State—was earned by Orville Shoemaker after many years of advanced study and in recognition of his ability as demonstrated in his recommendations of investment securities for th e Trust Department. •Shoemaker is charged with the investment research responsibility for the Trust Department, makes this information available to its Investment Committee, and serves that Commit tee as secretary. A W ashington banker since 1923, Orville Shoemaker exemplifies the degree of ex perience and professional ability in Trust service offered by National Bank of Washington. You can benefit from his knowledge and ability through a trust arrangement. We invite your inquiries.

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Pierce County M edical Society C.P.C. of 8:15 p .m . OB-GYN Conf. TGH-M VGH T.G.H. (MVGH Classrm.) C.P.C. of Mary 8-9 a.m. 8 a.m. Bridge—8 a.m.

18 19 20 21 22 23

Tacoma Surgical C.P.C. of Club— 6:30 p.m. Medicine Grand C.P.C. of St. TGH-M VGH Rounds—T.G.H. Joseph’s— 9 a.m. (MVGH Classrm.) C.P.C. of Mary 8 a.m. Bridge—8 a.m.

25 26 27 28 29 30 Tacoma Acad, of Pierce County Internal Medicine C.P.C. of Academy of 6 p.m. Path. Cancer TGH-M VGH General Practice Conf.—T.G.H. (MVGH Classrm.) 6:30 p.m. C.P.C. of Mary 8-9 a.m. 8 a.m. Bridge— 8 a.m.

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PIERCE COUNTY MEDICAL SOCIETY MEETING

Tuesday, October 12

Medical Arts Building Auditorium

PROGRAM - - - 8:15 P.M.

JOINT MEETING OF THE PHYSICIANS AND CLERGY OF PIERCE COUNTY Speaker from WSMA Committee on Medicine and Religion

Social Hour: 6:00 Dinner: 6:45 Honan's Restaurant

Resolutions which were rejected were: 5 Resolutions Flop; (1) A resolution urging the AMA to N.W. Medicine Rates make a list of reliable insurance com p an ies. Upped Two Bucks (2) A resolution setting up a physi cians’ “Bill of Rights” for quality medical It was a bad year for resolutions at care. After amendments, this resolution the State Medical Association in Seattle closely resembled principles already last month. Of the seven resolutions in stated by the AMA, and passage by the troduced, only two passed. The other State body seemed unnecessary and five were rejected by the House of Dele redundant. gates, in keeping with recommendations of the reference committee on resolu ( 3 ) A resolution urging an indemnity tions, of which Dr. Fred Schwind was a basis for all insurance pl'ans. member. (4) A resolution to pay $3,000 an The two resolutions that passed re nually to Washington State delegates to lated to an increase in the annual sub the AMA. scription rate of Northwest Medicine (5) A resolution to form a special from $3.00 to $5.00 and the establish committee to determine if any individ ment of a Section on Anesthesiology in ual osteopath is practicing “scientific the State Medical Association. m ed icin e.” 8 B U L L E T IN o f th e Pierce County M edical Society

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Medical Arts Building Building Office: 110 Medical Arts Bldg. MArket 7-6441 METROPOLITAN BUILDING CORP., MORS. 10 B U L L E T I N o f the Pierce County M edical Society

President's Page

The public has been made aware of the population explosion, but most physicians are more aware of the information explosion. Each day he watches the accumu lation of a disorderly heap of periodicals on his desk with each visit of the postman. These periodicals which range from the A.M.A. Journal to Clinical Clipping, are published for the purpose of keeping the physician up-to- date on all phases of medicine from research to politics.

Last week it was my frustrating duty to dispose of a two week accumulation of this current medical literature. To my amaze ment, there were 29 separate publications; five in newspaper form and 24 in magazine form of varying sizes. The entire pile contained 3586 pages, 1538 of which, by actual count, were advertisements for drugs, equip ment, books, etc. Many of the ads were cleverly designed and attractive and featured subjects ranging from the sleek “chick” who had been hyfrecated to a pathetic looking kitty-cat with a three-pronged electrode protruding from his skull who was supposed to help promote a new appe tite suppressant.

The “meat” of this bountiful medical smorgasbord consisted of 2048 pages which included many fine articles; some clear and concise for practicing clinicians, others much more detailed to satisfy the needs of the research-oriented physician. There were other articles which served the sole purpose of getting the author’s name in the literature. At any rate, if an average 300 word per minute reader (such as myself) read this stack of material (figuring 300 per words per page), it would require 34 hours to completely cover the readable part of the two-week accumu lation of periodicals.

This is a far cry from the neophyte physician of a century ago who “read” medicine with his preceptor from textbooks that we would now consider obsolete before they were off the press. Today, a physician can be as “well read” as the most astute professors in our medical meccas, providing he has 2 to 3 hours to read each day and a mailman with a back strong enough to carry in all the periodicals.

—F r e d e r ic k J. Sc h w in d , M .D . B U LLETIN of the P ie r c e C o u n t y M e d ic a l S o c ie t y 11

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Editorially Speaking

The worst is yet to come.

From Washington, D. C., there came bad news for physicians in 1965, but, Medicare-wise, worse news will come in future years. What can we do about it?

Even if we can’t stem the socialist tide, we can still delay it, shape it, modify it, always aware of our prime responsibility of providing the best medical care possible. It’s perfectly reasonable that if the task is bigger and the odds greater, the cost of the struggle will be greater.

Being mailed to every member of the Washington State Medical Association is an information sheet entitled “Looking Ahead.” A tentative increase in the State Association budget of $125,000 is no small sum, but study the list of new budget items carefully and then give careful thought to the alternatives. Perhaps an extra $40 or $50 per year is a small price to pay. —S.W.T.

The first taping session features dis 80,000 Viewers Set cussions of venereal disease and arth ritis, the subjects of the first two pro For "Ask Your Doctor" grams for the 39-week series. Del Lamb ing is again program chairman for the Again On KTNT-TV series and Arnie Herrmann will moder “Ask Your Doctor” time is here again. ate. All programs are taped in advance The popular TV program of the Pierce at bi-monthly sessions at the TV station County Medical Society will vie with on South 11th and Grant, two programs “Bonanza” for the favor of viewers every being taped each session. Sunday night at 9:30 p.m. The local Dr. Lambing lauded the fine coop program isn't doing too bad even against eration of the physicians in participat competition of that caliber according to ing in the programs and asks that any Max Bice, KTNT-TV manager. A survey members having ideas for future pro last year by the television station indi grams call him with their suggestions. cated that some 80,000 viewers were Current programs are the results of tuning in Arnie Herrmann and friends numerous suggestions taken from the instead of Hoss and Little Joe. many letters that came in from viewers last Spring. BU L L ET IN of the Pierce County M edical Society 13

V-Cillin K now costs approximately 21 percent Indications: V-Cillin K. is an antibiotic useful in the less. This significant price decline constitutes a treatment o f streptococcus, pneumococcus, and gon substantial saving and still offers these important ococcus infections and infections caused by sensitive benefits over penicillin G : strains of staphylococci. Contraindications and Precautions: A lthough sensi The effectiveness of intramuscular penicillin. Just tiv ity reactions are much less common after oral three 250-mg. doses daily provide total twenty- than after parenteral administration, V-Cillin K four-hour penicillin blood levels equal to those should not be administered to patients with a history achieved by injection of 600,000 units of procaine of allergy to penicillin. As with any antibiotic, ob penicillin G. A fourth dose increases daily pen- servation for overgrowth o f nonsusccptible organisms icillemia to levels 35 percent above those achieved during treatment is important. by injection. Usual Dosage Range: 125 mg. (200,000 units) three times a day to 250 mg. every four hours. Consistent dependability—even in the presence of Supplied: Tablets V-Cillin K, 125 or 250 mg., and food. Comparative pharmacologic data show that V -C illin K , Pediatric, 125 mg. per 5-cc. teaspoonfu!, V-Cillin K produces peak blood levels twice as in 40, 80, and 150-cc.-size packages. high as those of penicillin G, with h a lf the dose. New, thin coating . . . new size and shape. The Y-Cillin K new coating eliminates the characteristically bitter Potassium Phenoxymethyl taste of oral penicillin and makes V.-Cillin K P en icillin tablets easy to swallow. The new shape makes Additional information available to phy them easy for physicians and pharmacists to sicians upon request. Eli Lilly and Com identify. pany, Indianapolis, Indiana. 14 B U L L E T IN o f th e Pierce County M edical Society

Ohio, a native of Germany. Dr. Phon Tacoma General Sutton is from California, is married Dr. Roswell Brown will visit Tacoma and has one child. Dr. Angus McGowan General Hospital. came to us from Manitoba, Canada, a The 1965-1966 Program of Continu native of Scotland, is married and has ing Medical Education of the Tacoma three children. General Hospital will be inaugurated on Wednesday, October 6, 1965, at 8 a.m. School of Nursing This session will be held in Jackson Fifty-five freshmen enrolled in the Hall of the hospital’s School of Nursing. School of Nursing September 13. Many The Medical Community is invited to hospital personnel have remarked how attend this hour-long conference. Speak lovely they look. We know of some of ers will be Dr. W. W. Zimmerman of the talent and beauty. Miss April Painter Tacoma, and Dr. Roswell K. Brown of participated in the Junior Miss contest New York City. in her home state of California and Miss Dr. Zimmerman will present a case Sydell Lowell will be playing the violin involving the management of an exten with the symphony orchestra at the sive crush injury. University of Puget Sound. The Hospital and Tacoma is honored The Juniors gave valuable assistance by Dr. Brown’s visit. He is a former to the faculty in greeting the freshmen clinical professor of surgery at the Uni and helping them with the usual forms, versity of Buffalo School of Medicine finding their big sisters and getting and Assistant Dean of that institution, them settled in their rooms. and is presently the Assistant Director The Seniors are still vacationing. We of the Field Program in Trauma of the welcome half of the class on September American College of Surgeons, with of 27, the remainder will be welcomed at fice in New York City. In this latter capacity he has traveled throughout the Vancouver, B.C. U.S. in the interest of the College for its Miss Gail Hotchkiss from State Board program in Trauma which seeks ways will conduct a survey visit the week of to assist physicians and hospitals to pro October 4. This is in preparation for our vide improved care to the injured N.L.N. accreditation visit January 17, p atien t. 1 9 6 6 . Dr. Brown will speak specifically as Two of our 1965 graduates, Miss concerns these problems in the com Helen Kinney and Miss Karen Stoll are munity hospital. laboratory assistants for Dr. Glenn As in the previous year, the monthly Haws at the University of Puget Sound. Program of Continuing Medical Educa Dr. Haws teaches Anatomy and Physi tion at this hospital will appear in the ology classes for our freshmen students. Bulletin of hte P.C.M.S. Also, announce With Dr. Haws, Helen and Karen work ments of weekly programs will be mail ing with our girls, we feel they have ed in advance to the physician’s office. the very best. Department of Anesthesiology We have begun an extremely busy Dr. Hanif Anwar, a former resident school year. There is much to be done who is now practicing in Canada, re but with the enthusiasm, the coopera turned to Tacoma to claim Miss Patricia tive spirit of the faculty and students we Cochrane as his bride on August 7. Miss anticipate a very satisfying, productive Cochrane is a 1965 graduate of the Ta year. coma General Hospital School of Miss Lucille Larson, Chief technolo N u rsin g . gist in our Laboratories will be attend On September 5, 1965, Dr. Mullan ing a Laboratory Management Seminar Chinn and Miss Patricia Cox were mar in Los Angeles, California, September ried in Seattle. Dr. Chinn is also a 27-October 1. Hyland Laboratories is former resident and is now residing in sponsoring the program which will Seattle. The new Mrs. Chinn is a grad cover management, personnel selection, uate of Jackson Memorial Hospital communications, quality control, hu School of Nursing. man relations and practical laboratory New residents to the department are: management. This seminar is limited Dr. Klaus Siebold came from Toledo, to 20 chief technologists. B U L L ET IN o f the Pierce County Medical Society 15

new Measurin* the first 8-hour aspirin tor continuous relief of pain and stiffness in rheumatoid arthritis up to 8 hours with each dose 16 B U L L E T IN o f th e Pierce County M edical Society

_ _ new M ea su r in (11 m ed - re I cas c asp i ri n ) the first 8-hour aspirin

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MEASURIN is the aspirin of choice for chronic, low-grade pain. B U LLETIN o f the P ie r c e C o u n t y M e d ic a l S o c ie t y 17

The prolonged benefits of new Measurin Less nighttime discomfort, less morning stiffness, fewer nighttime awakenings, less pain upon arising with new Measurin compared to two bedtime dosages ol regular aspirin—shown in double-blind, crossover study ol 26 patients with rheu matoid arthritis and fibrositis*

MIAN STIFFNESS/DISCOMFORT IN DEV MEAN PAIN INDEX

M orning 1 O v e r JOVo reduction t Silliness mean stillness index

Ui l•/ J.W» reduction in miM/i disLomlort index

FIC 2 N O O f TIMES AWAKE

Average O ver 4."c/o fe w e r Number o» jv'.-j/vt'ri.'.'igi Times Awakened

Evening

nr -v'p.vi.-) t-nighi o'u '-e j

Results clearly indicate the superiority of Measurin timed-release aspmn to two hr-diimo dos ages of regular aspirin. Measurin patients had sigmlicantly less nighttime disc.omlort, sigmticantly less morning stiffness (fig. 1), and significantly fewer nighttime awakenings :tig. 2'. Measurin patients also displayed significantly less pain upon arising, lasting into lhr morning (fig. 3). During the afternoon and evening, both tt-hour Measuun and regular q -I h. aspirin proved superior to 20 gr. regular aspirin q. 8 h. — the difference reat-hing high station ,il signifi cance in ihe evening. Objectively, ihe investigator considered Measurin superior lo eillu-r dosage schedule of regular aspirin in 2'i ol the 26 palienis. Only one patient preferred either of the other legimens to MeaSU Tin. ,i! ri-porf - on uh• < 'n .•"an* • hit \ 'i

The unique mechanism Unlike enteric coalings or capsules ol rlcLiy-.irtinn of new Measurin... pellets, Measurin tablet is compost'd ol over <>.000 microscopic reservoirs ol aspirin. - ® L - - ' One 20-grain dose

(2 Measurin tablets) r . j r /) reservoir is an individual aspirin granule cm htsed releases 10 grains by .in inert polymer, insoluble in body Huids. Upon in gestion, I he tablet immediately breaks apar f a n d the promptly, followed by re s e rv o irs disperse. sustained release of the re m a in d e r... Gastric fluids (black)di(luso into reservoirs through semi- controlled by this new pcrmeable walls; dissolved aspirin (gray) dilluses out a t a controlled rate (governed by wall thickness) designed principleof action: to provide optim um 8-hour blood levels. 18 B U L L E T I N o f the Pierce County M edical Society

101 North Tacoma Avenue

Prescription

In a brief ceremony before the first session of the House of Delegates at Druggists the State Association meeting in Seattle on September 12, Dr. Homer Humiston of Tacoma is shown accepting the A. H. Robins “Community Service Award for 1965” from State President Roland D. Pinkham. A standing ovation by the ★ entire House of Delegates followed the presentation. Dr. Humiston is the first Pierce County physician to receive such an award. Besides receiving a handsome We Carry a Complete Line of plaque, he and his wife, Katharine, join the award winners from the 49 other states in a 5-day tour of east coast cities. Biologicals and Pharmaceuticals The award was initiated by the A. H. Robins Company in 1961, when the first recipient was Dr. A. O. Adams. Other previous winners of the award were Doc tors James A. McFadden in 1962, James ★ Haviland in 1963, and Shelby Jared in 1964. “When Moments Count” Swim Program Is there a physically limited young ster in your practice who would benefit from the exercise and fun offered by the FUlton 3-2411 Handicapped Swim Program held at the YMCA each Monday? If so, contact Mrs. Govnor Teats, SK 9-1121, or Mrs. Her man Judd, JU 8-2686, for the forms PROMPT . . . FREE DELIVERY necessary for application to the Pro gram. This is a voluntary Program and ther® is no charge to the youngsters participating. 2 0 B U L L E T IN o f th e Pierce County M edical Society

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WHILE WAITING DINNER

WOMAN'S AUXILIARY . . . To The Pierce County Medical Society

AUXILIARY OFFICERS—1965-1966 777 „ ! 7777T7 October M eeting and Style Show President------Mrs. Merrill j. wicks Friday, O ctober 8, com e and m eet our President-Elect ...... Mrs. Georce C. Gilman p i n t T/-i i Is, Vice-President and Program Mrs. Robert A. Kallsen fam OUS new m em b ers, M l'S. K lldaxe, 2nd Vice-President and Social— Mrs. Arthur Wickstrom M rs. R ex M organ an d M rs. B en C asey 3rd Vice-President and Valley Rep._____ .Mrs. Charles Vaught a t th e nO O n lu n c h e o n tO b e h e ld in th e 4th Vice-President and Membership Mrs. Roy H. Virak hom e of M rs JhO m aS B. M urphy, 803 Recording Secretary ...... Mrs. Leonard G. Money r~,A . -,TT T . , L J Corresponding Secretary ...... _.._Mrs, Ronald t . Spangler Stadium W ay. It prom ises to be a m eet- Treasurer ...... Mrs. Tht>mas PI. skrmar ing full of exciting new ideas and fun Dues secretary _____...... — ...... Mrs. Gienn h . Brokaw as well as a chance to see old friends 7 ------Mrs. Irancis W Hennings agajn ancJ m eet lieW OneS. Livil Defense and Safety ...... Mrs. John S. May ° /-1 . , , n , Historian and By-Laws ______Mrs. Hem,an s. judd Get your tickets now before they are Lecislative ------Mrs. Sherman S. Pinto sold out for the Auxiliary style show, Paramedical------Mrs. Frederick j. Schwind “M anikins in O rbit”, T hursday, O ctober ™ ,“ i , y — ------“ rs- 21 at the Top of the Ocean. A no-host B ulletin...... Mrs. Robert R. Burt i , -i i 1 , ^/-v i i Speakers Bureau ______Mrs. John Colen COCKt3ll nOUT clt 1 1 ! 3 0 3..1T1., luilCllCO Il 3.t Mrs. Richard f . Barronian 12:30 and Fashion Show at 1:30. Telephone ------• ^ :& nA °T^r; Tickets are $3.00. You m ay be the win- Minute Women ...... Mrs. Harold D. Lueken n ei' Of SL lOVely dOOl' pi'iZe Or tile gift cer- Coordmatorof Mrs. Jack W. Mandevrlle tjficate from Lou Johnson’s tO be Community Services ______Mrs. Robert W. Osborne raffled . Heart ...... Mrs. Robert C. Johnson DUES ARE DUE £ “” cer ------Mrs- J«* J' Erickson CQD QUITE A FEW Finance ------Mrs. Haskel L. Maier ‘"UK t A FEW D a n c e ...... Mrs. David F. Dye WE KNOW WHO Mrs. Gordon Dean AND SO DO YOU Fashion Show ______Mrs. Homer T. Clav M rs. D ale d . Doherty Rem em ber to send your dues of $10 Mental H ealth ...... Mrs. James E. Hazelrigg to M rs G lenn H. BrokaW , 2919 N orth lodays Health _____ Mrs. Robert M. Ferguson * u m Cook Book ...... Mrs. Stanley W. Tuell Alder, TaCOma. International Health ------Mrs. Charles McGill Christm as Card Project

------It’s that tim e of year— tim e to think about purchasing Christm as cards— so « A , , . , j . once again we are asking that you sup- A strong, well-organized m edical pQrt Q,fr AM AERF Christm as card proj- auxiliary attracts active participants.” ect as so m any of you did last year. The Mrs. Richard A. Sutter. Christmas cards earned a net total of N ational President of the W om en’s $877. Our total contribution to AMA-

Auxiliary to the A.M.A. (Continued on Page 23) 2 2 B U L L E T IN o f th e Pierce County M edical Society

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FREE PRESCRIPTION DELIVERY BU L L ET IN o f the Piebce County M edical Society 2 3 (Continued from Page 21) Schwind, Borghild Morley, Ellen Pinto, Lorna Burt and Stephanie Tuell. ERF for 1964-65 was $1,077. Last year’s We were especially proud when three project was handled by Julia Mueller members of Pierce County Medical and Jean Colley. Auxiliary were elected to the State Board For the benefit of those who were not two as officers. Jeanne Judd was elected contacted last year we will reprint the Regional Vice-President, Southwest Dis explanation of how the Christmas card project works. trict; Dorothy Maier, Treasurer; and Ellen Pinto, Legislative Chairman. Here is a TAX-DEDUCTIBLE way to As our immediate Past-President, El take care of the chore of sending out len gave the Annual Report of Pierce Christmas cards to fellow physicians in County Medical Auxiliary to the State Pierce County. One card is sent out by President. She stated that our emphasis the Auxiliary to each doctor in Pierce County. On the card are the names of the past year has been upon the rela those doctors who sent a check for the tionship between the doctor’s wife and amount he would have spent on Christ- the community in which we live, taking msa cards, postage, and time to the seriously the slogan, “Better Health in AMAERF Auxiliary chairman. She, in a Better World.” The number of hours turn, relieves them of this time-consum of volunteer work which is done by our ing job by sending one appropriate card Auxiliary members in connection with to each doctor’s residence in the County. schools, churches, U.G.N. and private This card explains the plan briefly and and public community services is lists the names of all contributors. staggering. The chairman of this project (who Ellen continued, “We combined socia keeps the amount of the individual con bility and fund raising through a style tribution strictly confidential) holds the show and a dinner dance. Both were checks only long enough to total them very successful events from every angle. before sending them on their way. We also added to our funds by the con Every cent of these TAX-DEDUCTIBLE tinued sale of our Medical Auxiliary DONATIONS goes to the medical Cook Books. Because of our success in schools (of one’s choice, if so stipu fund raising the past few years, this lated) for research and education. Oper has been a banner year in our ability to ating costs, which need not be great, are assist medically related services in our paid for by the Auxiliary. community.” November 15 is the deadline for send Coffees A Success ing in your contributions and having Marge Wicks, President, has already your name on the Christmas card. Make launched us on another banner year out the check to AMAERF AUXILIARY with the membership coffee hours on FUND (you may specify any School of September 17 which were so well- Medicine). If not, the money goes into attended and so much fun that many the general fund and is distributed of the members are asking if we might among the medical schools. Send your do this r^ore often! TAX-DEDUCTIBLE checks to: Cookbook Chatter Mrs. F. W. Hennings It was interesting to note at the 1534 North Jackson State meeting that King County is now Tacoma, Wash. 98406 working on a cookbook sale also. We wish them as much success with theirs State Convention as we have had with ours. Stephanie Did yawll know that we in Pierce Tuell, Cookbook Chairman, advises us County are from way down South? that our 2nd edition is about ready to go Well, we are! Southwest region that is to press and should be .available by • . . and many of our members found December in time for Christmas giving. their way up north to Seattle to attend Anyone who would still like to send in the meeting of the Washington State a recipe for consideration by the com Medical Association, September 12 to mittee should mail it to Stephanie by 15. Those attending as delegates or al October 15. Send to; Mrs. Stanley W. ternates were our President Marge Tuell, 3650 Brown’s Point Boulevard, Wicks, Mavis Kallsen, Dona Gilman, T acom a. Kathleen Skrinar, Gloria Virak, Elsie (Continued on Page 25 ) 24 B U L L E T I N nf the Pierce County M edical Society

at Merck Sharp & Dohme...

The development of chlorothiazide and pro For example, the Renal Research Program benecid were events of major importance, put fifteen years into this search before but perhaps even more important for the chlorothiazide became available. But be future was the Renal Research Program by cause these years had first led to a greater which they were developed. When Merck understanding of basic problems, the de Sharp & Dohme organized this program in sired criteria for chlorothiazide existed be 1943, it was expressing in action some of its fore the drug was developed. basic beliefs about research: Along with other research teams at Merck • Many problems connected with renal struc Sharp & Dohme, the Renal Research Pro ture and function were still undefined or un gram continues to add new understanding solved. The Renal Research Program would of basic problems - understanding which begin its basic research in some of these will lead to important new therapeutic problem areas. agents. • From knowledge thus acquired might come clues to the development of new therapeutic ® MERCK SHARP & DOHME a c, pa. agents of significant value to the physician. where today's theory is tomorrow's therapy B U L L ET IN of the Pierce County M edical Society 25 (Continued from Page 23) "Perforated Ulcer" Community Service Brought to our attention by Dona Subject of Strauss Gilman, is a meeting on Saturday, Lecture in Seattle November 6 at Christ Episcopal Church (9:30 a.m. to 3:00 p.m.) open to the public and sponsored by ten local organ izations called “A Look at Tacoma”— Unmet Needs. Four problems wall be discussed, the Economics of Tacoma, Health, Minority groups and Child Welfare. Mr. Robert Schluman will be the moderator. During the morning he will introduce speakers in each field and in the afternoon the group will break up into seminars for discussion and evaluation. Following this, the group will again assemble to bring together the results of their dis cussions and recommendations to be made. There will be sandwiches and coffee available at noon. “Management of Perforated Duodenal The Handicapped Swim Program is Ulcer” will be the title of the 16th an asking for volunteer helpers. Not only nual Strauss Lecture to be delivered are swimmers needed, but also helpers Friday, October 8, at 8:15 p.m. in the in the dressing room. Can you give two Health Sciences Building at the Univer hours twice a month on Mondays? If so, sity of Washington. phone JU 8-2686 for information. The lecture will be delivered by Dr. Clarence J. Berne. As Professor of Sur Quips From The M.D. Family gery and Head of the Department at Here is a rather gruesome little story the University of Southern California, for the H allow e’en m onth. Dr. Berne is the Nestor of active holders Two-year old Carolyn loved to take of Chairs of Surgery in the West. Only Daddy’s surgery books from the library Owen Wangensteen at the University of shelf and thumb through them. Minnesota and Warren Cole at the Uni One day, before Mother had a chance versity of Illinois— both former Strauss to take the book away and scold, “No, Lecturers—outrank him in the entire no”, Carolyn glanced up with her country in this regard. chubby forefinger on a bloody-red illus Dr. Berne is Senior Attending Surgeon tration and said, “Meat, Mommy, see the at the Los Angeles County Hospital, by meat?” the largest charity hospital in the West, Happy Hallowe’en! and has made numerous contributions —L o r n a B u r t to fundamental and technical surgery, especially in the fields of shock, pulmon ary physiology, cardiac arrest, abdom inal and gastrointestinal surgery. He is on the Editorial Boards of the American BEALL’S Journal of Surgery and the Review of Surgery and is a past President of the Pacific Coast Surgical Association. The Prescription Store The lectures are sponsored by the Department of Surgery of the University 124 Meridian South of Washington School of Medicine. PUYALLUP Dr. Thomas F. Hinrichs announces the closing of his office at 2711 Locust Phone Puyallup 5-8444 Avenue. Anyone interested in this office call SK 2-5252 before October 10. 2 6 B U L L E T IN o f the Pierce County M edical Society

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PHYSICIANS' AND HOSPITAL SUPPLIES BU L L ET IN of the Pierce County Medical. Society 2 9 Dr. Drucker Finds Thrills, Humor, Wife On Mountain Ledges (Editor’s note: The following article by Gerhart Drucker is the first of a series of articles about the hobbies of local doctors. It is in two parts, the sec ond part to be in next month’s Bulletin.)

MOUNTAINEERING by G e r h a r t A. D r u c k e r , M.D. “ARE YOU IN TROUBLE?” “NO! JUST STUCK FOR A MOMENT!” Here is Dr. Drucker in 1934, This exchange, shouted at the top of climbing the Austrian Alps. our voices, with a pause after each word for better understanding, echoed myself out of the chimney onto the ex from the surrounding cliffs. Acoustics posed face to its right. A few awkward are funny in the mountains. Over open steps and a pull-up brought me into the spaces the voice carries far, but any second chimney. This one, shorter and obstacle in the path of the sound waves tougher than the first, led up to a fine will render even a nearby shout faint platform, an excellent belay (securing) and distant. point for bringing up my two rope team Indeed, at this moment I was stuck. partners. I sat down on the platform, Leading the second of three rope teams, braced my back and my feet firmly one end of my 120 ft. nylon rope tied against the rock, put the rope around around my chest and one shoulder with by hips, and took in all the slack. a double bowline, I was struggling with “That’s all the rope!” Arthur shouted the most difficult pitch of the entire from below. climb. I had just clawed, stemmed, and “On belay! Climb!” I yelled back. twisted my way up a 30 ft. high vertical “Climbing!” replied Arthur. chimney (a cleft between rocks), which Held securely on my hip belay, the was blocked at its top by an overhang. middle of the rope tied around his waist, The middle man on my rope, Arthur, a Arthur climbed up in good style. Then husky, 18 year old English boy, was he, in turn, belayed up our end partner, standing in a safe spot near the foot a 20 year old Norwegian girl named Sol- of the chimney out of the fall line of any veig, who found the pitch very difficult loose rock that I might dislodge. He was and needed continuous, strong rope pull feeding out the rope to me, making sure assistance. Several more, quite difficult that it would not become snarled or pitches followed, until at last an easy caught. Right now Arthur could not see scramble took us to the summit, where me, but he could tell by the slow, hesi we were welcomed by the first rope tant advance of the rope that I had team. Twenty-five minutes later the encountered difficulties. Therefore, he third rope team joined us there. What a shouted up to find out how things were breathtaking panorama! At once we going. began to identify as many as possible I was not stuck for long. “If Dave, of the many near and far mountain leading the first rope, could manage this peaks all around us, and to compare pitch, I can do it too!” I said to myself. experiences of our just completed Sure enough, here was a hidden, excel ascen t. lent handhold for my left hand, here a “Dave, while climbing out of the first friction hold for my right foot, here a chimney, did you use that little crack?” small crack for my right fingertips. In “No, Gerhart, I found a much better good balance, aided by friction, I lifted handhold way over to the right, prob 3 0 B U L L E T I N of the Pierce County M edical Society ably out of your reach,” replied the tall, and frozen snow, we had reached the lanky Scotsman. base of the actual rock climb, where we We were all members of the Canad had rested, eaten, parked our ice axes, ian Alpine Club, attending its annual roped, three climbers to each rope. And summer camp. That year, 1956, the now, at last, after three hours of most Club camped in the Selkirks, a beautiful, enjoyable, moderately difficult rock heavily glaciated interior mountain climbing, we were standing on the sum range of British Columbia, located with mit of Mount Tupper, a 9600 ft. high, in the Big Bend of the Columbia River sharp black tower. Mighty pleased with and famous for its excellent, solid rock. ourselves, we rested for half an hour More than 150 persons from several before descending. Few things in life countries attended camp those two are as enjoyable as the summit rest weeks and climbed, hiked, sang, photo after a fine climb on a beautiful day! graphed, painted, and, most of all, This account of my 1956 climb of swatted innumerable bloodthirsty mos Mount Tupper illustrates rock climbing, quitoes. The nine of us had started out one phase of the great field of mountain from Main Camp the previous evening eering. Measured by the standards of and had hiked up a murderously steep the young, modern generation of highly three hours’ trail to High Camp, carry technical, hardware - pounding rock ing our sleeping bags, food, and climb climbers, who nail themselves up im ing gear. High Camp, the starting point possible faces, Mount Tupper was a very for our planned climb, consisted of three easy climb, although it was tough weather-beaten tents perched at the enough for me. In my native Austria, edge of the glacier. A glorious sunset mountaineering is a popular pastime, had rewarded our preceding evening’s practiced by young and old. The Aus effort. Then, after a few hours of fitful, trian Alps, though lower than those of uncomfortable sleep, we had started out Switzerland or France, offer an endless again at 5 a.m., cold and weary. After variety of ridges and valleys, of forbid two hours over heather, tallus, scree, ding, vertical precipices and majestic, glacier-hung peaks. Many excellent, well- stocked shelters, built high up in the Alps, serve as starting points for most summit climbs. When I was nine, my Tacoma Brace parents took me on my first climb up to one of these shelters, located at the & L im b Co. 10,000 foot level in the Silvretta Range, near the Swiss border. We arrived at Lenart C. Ceder, owner the shelter in dense fog. The next morn ing, there, all around us, the beautiful, ☆ glacier-covered Silvretta Range sparkl ed in the morning sun, its sharp peaks Expertly fitted— reaching toward the cloudless sky, an unforgettable sight! Artificial Limbs During my high school and university Orthopedic Appliances years, some fellow students and I climb ed many peaks in Austria and a few in Surgical Belts Switzerland, Italy and Yugoslavia. Dur Arch Supports ing Spring vacation we often went on Trusses ski tours in the Alps, either traversing a mountain range from shelter to shel ter, or making our headquarters in one ☆ shelter and climbing each day, on skis, a different peak or column. No chair lifts there, no rope tows! We climbed up FUlton 3-4439 for hours through the snow with seal skins strapped to our skis to prevent 723 South K Street back sliding. Arrived on top, we re moved the seal skins and reaped our reward, a long, thrilling downhill run! BU L L ET IN o f the Piebce County M edical Society 31 of the building. Holding on to the old- fashioned decorations along the build ing’s corner, he climbed down to the street, ran away, crossed the frontier at night, and escaped to Shanghai! After my arrival in the United States in October, 1936, I lived in the East for several years. How I longed to see truly alpine, glaciated mountains again! One day, in 1940, a picture of Mount Rain ier fell into my hands. “This is where I want to live!” I said to my bride of one week, and off we drove across the continent to the faraway Puget Sound. Mount Rainier proved to be even more grandiose than I had imagined it. Over the years, I have climbed many peaks in our magnificent Cascades and Olympics, but even more in the Canadian Rockies and Selkirks. In scenic beauty and grandeur, the Cana dian Rockies are unsurpassed. You need not be a climber to appreciate them. True, already in th ose days A ustria h ad Just drive once over the Banff-Jasper many famous ski resorts, places like highway and see for yourself! Look at Kitzbuehel, Lech, St. Anton, where the emerald green and azure blue lakes, cable cars carried the skiers up to great at the sheer rockfaces, at the endless, mountain heights, but I could never ever-changing vistas of peaks and gla afford to visit th ese places. ciers, lakes and green valleys, wild For two years m y clim b in g partner chasms and roaring waterfalls, and you was a small, bald-headed, wiry man will agree with me. named Rudolf, twenty years my senior, and a first-rate rock climber who, in his (For the hilarious account of what youth, had pioneered m a n y a difficult happens when Gerhart meets three lady- route through the vertical, several friends on a mountain trail after losing thousand feet high limestone walls of the seat of his pants, read the final in the Rax, Hochschwab and Enns Valley stallment in next month’s Bulletin. — Alps, a few hours by train from V ienna. E d .) Rudolf suffered from a jejunal ulcer fol lowing a gatsroenterostomy. Adamant ly refusing re-operation, he always car ried in his trousers pocket a small tin box filled with powdered chalk, his own remedy for ulcer pain. Often, in the NOW UNDER CONSTRUCTION midst of a difficult pitch, he would hold on to the rock with his left hand, fish the tin box from his pocket with his PROFESSIONAL right hand, hold it to h is m ou th , and swallow a mouthful of chalk powder CENTER directly from the box, sm earin g chalk offering modern space for medical all over his face and mustache. Later on Rudolf’s climbing skill saved his life in suites in fast growing residential area. a unique way. When the Nazis overran Phone TE 3-1689 Austria in 1 938, they arrested R udolf, who was a Jew, and locked him up in a AUBURN police jail on th e fou rth floor o f an old armory building in V ien n a. R u d olf m ad e a daring escape. He climbed through the toilet window out onto the outside wall PATRONIZE YOUR ADVERTISERS 1 Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. PERM IT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Monday of each month— 8:00 p.m. at 424 South K Street TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 8:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August — 8 :1 5 p .m . STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August— 6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and Auqust— 6 :0 0 p .m . STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. PiERCE COUNTY MEDICAL SOCIETY BULLETIN VOL. XXXVI—No. 11 TACOMA, WASH. NOVEMBER - 1965

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PIERCE COUNTY MEDICAL SOCIETY REGULAR MEETING NOVEMBER 9, 1965 ?______B U L L E T IN o f the P i e r c e C o u n t y M e d ic a l S o c ie t y Pierce County Medical Society 1965 _ . OFFICERS President ------Frederick J. Schwind President-Elect...... Glenn G. McBride Vice-President ...... Lester S. Baskin Secretary-Treasurer...... Arnold J. Herrmann Executive Secretary ___ Judy Gordon TRUSTEES Richard F. Barronian Robert C. Johnson Lester S. Baskin James D. Lambing Myron A. Bass Glenn G. McBride J. W. Bowen, Jr. Clinton A. Piper November Birthdays Robert R. Burt Frank J. Rigos Arnold J. Herrmann Frederick J. Schwind 1 Charles E. Kemp DELEGATES Douglas P. Buttorff Frederick J. Schwind Robert M. Ferguson Stanley W. Tuell 3 Carl O. Granquist Robert W. Florence Wayne W. Zimmerman Glenn G. McBride J. Hugh Kalkus ALTERNATE DELEGATES George A. Moosey Richard F. Barronian Herman S. Judd Charles J. Galbraith Robert W. Osborne Philip Grenley Charles C. Reberger 5 William C. Brown Kenneth E. Gross COMMITTEES 6 Sherman S. Pinto Ethics Murray L. Johnson, Chairman 8 Ray M. Lyle Samuel E. Adams Frank R. Maddison Grievance Wayne W. Zimmerman Frank J. Rigos, Chairman G. M. Whitacre Stanley W. Tuell 10 John H. Hirschberg Program Robert C. Johnson, Chairman Clinton A. Piper Robert M. Ferguson 13 Dale D. Doherty Public Relations Paul E. Gerstmann James D. Lambing, Chairman John F. Comfort Robert M. Ferguson Kenneth E. Gross G. Marshall Whitacre 14 Thomas H. Clark Library Kiyoaky Hori Don G. Willard, Chairman Robert M. Freeman William E. Avery Public Health 16 Kurt Brawand Lawrence N. Brigham, Chairman Cecil R. Farther Robert C. Johnson Orvis A. Harrelson David L. Sparling 17 T. R. Haley House and Attendance John R. Alger, Chairman 18 G. M. Whitacre Robert Klein ^ William W. Mattson, Jr. Civil Disaster Edward R. Anderson, Chairman 19 Calvin R. Lantz Leo Annest Charles E. Kemp Robert R. Burt Richard B. Link Kenneth D. Graham Robert D. McGreal 20 Joseph A. Benson T. R. Haley Leo F. Sulkosky David T. Heliyer Arthur P. Wickstrom 22 Edward S. Eylander Diabetes Robert A. O’Connell, Chairman Vernon O. Larson Robert A. Kallsen Roy H. Virak Entertainment John M. Shaw William L. Rohner Walter L. Sobba Geriatrics 23 Ralph V. Stagner S. Robert Lantiere, Chairman Herbert C. Kennedy Harold F. Kahler Legislative 24 John R. Alger J. Hugh Kalkus, Chairman Homer W. Humiston Herman S. Judd B. D. Harrington John M. Shaw 25 William McPhee Wayne W. Zimmerman Medical Education 26 Kenneth S. Kilbom Edmund A. Kanar, Chairman Glenn G. McBride Bernard R. Rowen Theodore J. Smith James Mason (Ex-officio) Operation Hometown Douglas P. Buttorff, Chairman 29 John Colen Schools W illiam Rademaker George C. Gilman, Chairman Cecil R. Fargher Dudley W. Houtz Orvis A. Harrelson Everett P. Nelson 30 Thomas A. Smeall Mental Health Hugo Van Dooren, Chairman James M. Blankenship Jerman W. Rose Poison Control Claris Allison, Chairman FOR SALE: Medical-Dental Clinic Building, 5901 Steilacoom Blvd., S.W. — JU 8-5258. Bulletin Staff Editor ...... Stanley W. Tuell Business Manager __ Judy Gordon Auxiliary News Editor ...... Mrs. Robert R. Burt Co v e r P h o t o : Gerhart Drucker climb ing Mt. Shuksan, 9,000 ft., in his famous red shorts (1948). PATRONIZE YOUR ADVERTISERS See article, page 29. B U LLETIN of the Pierce County M edical Society 3

What is your worth today? Why not complete the balance sheet below and find out? Chances are you'll be surprised how much your net worth has increased.

WE OWN WE OWE

AUTO MOB ILE(S) AUTOMOBILE(S) $____ (Estimated market value’ (Am ount still owing) HOUSE HOUSE (Estimated market value) (Am ount owing on OTHER REAL E S T A T E _____ mortgage or land contract (Current market value) HOUSE FURNISHINGS ____ OTHER REAL E S T A T E ______(Estimated market value (Am ount still owing> of furniture, appliances, yard equipment1 HOUSE FURNISHINGS ____ PERSONAL PROPERTY ______(Am ount still owing* (Estimated value of clothes, jewelry, boat. PERSONAL PROPERTY sports equipment) (Am ount still owing.

LIFE INSURANCE LIFE INSURANCE (Cash value) (Amount borrowed INVESTMENTS _____ against insurance) (Current market value of stocks, bonds, savings INVESTMENTS bonds, plus money Am ount still owing) loaned by us) CASH ____ OTHER LOANS (Am ount on hand, (Am ount to be paid in checking account. by us to banks. or savings account) individuals, etc.1

TOTAL OF WHAT WE OWN % TOTAL OF WHAT WE OWE $ Now figure the difference: Total of What We Own $ _ Less Total of What We Owe

This is our net worth $—

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PIERCE COUNTY MEDICAL SOCIETY MEETING

Tuesday, November 9

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then do his own billing for any work Dr. Skinner Leaving that he does. Anyone interested should contact Seeks Replacement Lawrence E. Skinner, M.D., 10011 Gravelly Lake Drive, S.W., Tacoma, For Lakewood Office Wash. His phone number is JU 8-4433. “A wonderful opportunity for a new physician” is offered in the Lakewood area according to Dr. Lawrence E. Skin Just A Reminder . . . ner, long-time Lakewood physician, who will be leaving his practice in Sept., If you are planning to make a con 1966 for a nine-month tour overseas. tribution to AMA-Education and Re Dr. Skinner exp ects to return to this search Fund and have your name on area after his trip, but will probably be the Christmas card, please do it soon. only in part-time practice. He has noti November 15 is the deadline. So far we fied the Bulletin that he is looking for a have 13 doctors contributing— a very replacement who could simply move small percentage of our large member into his office without any specific in ship. Make your check to “AMA-ERF vestment other than to start paying rent, Auxiliary Fund” and mail to: Mrs. F. W. with the privilege of inheriting the office Hennings, 1534 North Jackson, Tacoma equipment. The new physician would 9 8 4 0 6 . HULLKTJN o f the Piuhck County Mediiiai, Sdcihiy

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President's Page

For many years, the hospital administrators and practicing physicians of our county have been seeking solutions to the problems of operating the emergency rooms at our hospitals. Several weeks ago, Dr. Roswell K. Brown was guest speaker at the Tacoma General Hospital program of Continuing Medical Education. Dr. Brown, who is Associate Director of the Field Program on Trauma, American College of Surgeons, spoke on “Deficiencies in Emergency Services.” He presented many startling facts and statistics and left with us numerous helpful suggestions which could be applicable to our local hospitals. Engineering and scientific progress have changed our lives so that the infectious diseases which were a threat to young lives at the change of the century have been supplanted by traumatic problems. “Everytime you take a breath, there is a traffic accident somewhere in the United States,” says Dr. Brown. “And every 10 minutes there is a traffic fatality.” The National Safety Council estimates that the number of traffic fatalities for 1965 will exceed 50,000 in the United States. Our emergency rooms must have the best equipment available, and the department itself should be designed and placed so as to present optimum accessibility to laboratory and radiology facilities in the hospital and, at the same time, be isolated from the main streams of traffic both in the hospital and at the ambulance approach. The nursing personnel and aides must be of unusually high professional calibre and possess ver satility in being able to carry out a variety of different tasks. Dr. Brown suggested that there be better continuity of care between ambulance attendants and the emergency room staff. He cited examples of midwestem cities where “Community Ambulance and Emergency Coun cils” have been appointed by the mayor. These councils included repre sentatives of police and fire departments, Rescue Squad, traffic engineers, hospitals and medical profession, and were directed toward better and more effective pre-hospital treatment of trauma victims. Some provision must be made to prevent the great influx of non- emergent cases which come to the emergency room to get “after hours, bargain basement” medical care of ailments which should rightly be seen in the physician’s office. We can anticipate an ever-increasing number of trauma cases in our emergency rooms as long as the “go faster” trend continues in our various methods of transportation. Dr. James Mason, Director of Medical Education at Tacoma General Hospital, should be commended on the excellent choice of program and speakers. —F r e d e r ic k J. S c h w in d , M .D . B U LLETIN o f the Fierce County M edical Society 11

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Editorially Speaking

Why Johnny Can’t Speak! We’ve read lots about why Johnny can’t read, and now I’m ready to revolutionize traditional methods of teaching him to speak—at least insofar as it applies to two specific terms in the English language. The peren nial experts in this field—called “parents”—have com pletely neglected two basic terms, namely ‘"bowel move ment” and “urine”. It’s generally accepted that all chil dren come into contact with these entities at an early age, but for some reason, parents insist on using some strange language of their own at this point and many children reach high school without knowing what these basic terms mean. Example: You (the doctor) ask an ailing 10-year-old, “When was your last bowel movement?” Johnny (who else?) says, “What’s that?” You realize you’re suddenly speaking a different language, so you try, “When did you last go to the bathroom?” Within another 3 minutes, you’ve eliminated the trip to brush his teeth and narrowed it down to a recent trip for some specific excretory function. The question now is—which one? Still trying to look confident, knowledgeable and reasonably dignified in the eyes of a couple of observing student nurses, you plunge into the problem as follows, starting with the “number system.” “Number one or number two?” Blank stare from Johnny. “Water or solid?” Blanker. “Front or back?” Johnny’s wondering what kind of double-talk this is. “Frontwards or backwards?” For some reason this sometimes gets better results than the preceding. “Standing up or sitting down?” At this point, you smile pleasantly at the observing student nurses in a manner that’s supposed to convey to them that you realize this question only works on boys. They smile back weakly, each wondering why you haven’t used the pet term she was raised on. For the next phase of the inquiry, dignity is preserved best by send ing the students out after a stethoscope and a rubber glove. As soon as they’re out of earshot, you try . . . “Tinkle or uh-uh?” . . . I can’t go on with the example. Things only get worse. It’s best if a parent shows up about this time and sheepishly clarifies the whole thing. At which the boy looks at you as if to say, “Gee, why didn’t you just say ‘grunty-grunt’ to start with, instead of using all those strange, scientific words?” Unfortunately, this language problem will continue. It doesn’t lend itself well to a public education campaign. I only wish to bemoan die fact that sometimes an important clinical decision might be affected by this stumbling block in the English language. G.P.’s, pediatricians and others who administer to children should make every effort to introduce into every family’s vocabulary those two socially acceptable, non-confusing, dignity-preserving, nationally approved, un-sexy, unfilthy, simple, but adequately descriptive terms, “bowel movement” and “urine.” —S.W.T. B U L L ET IN of the P ie r c e C o u n t y M e d ic a l S o c ie t y 13

Speak/,mg

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gcfe jgS: - -y.vi to Of* . "••The j si;K! V-Cillin K now costs approximately 21 percent Indications: V-Cillin K. is an antibiotic useful in the less. This significant price decline constitutes a treatment o f streptococcus, pneumococcus, and gon :c m £ ® substantial saving and still offers these important ococcus infections and infections caused by sensitive benefits over penicillin G : strains of staphylococci. Contraindications and Precautions: Although sensi ..-w-TedtaM The effectiveness of intramuscular penicillin. Just tivity reactions are much less common after oral three 250-mg. doses daily provide total twenty- than after parenteral administration, V-Cillin K { £ * & * * * four-hour penicillin blood levels equal to those should not be administered to patients with a history achieved by injection of 600,000 units of procaine of allergy to penicillin. As with any antibiotic, ob servation for overgrowth of nonsusceptible organisms penicillin G. A fourth dose increases daily pen- during treatment is important. icillemia to levels 35 percent above those achieved -•r- oniT & wE'";! by injection. Usual Dosage Range: 125 mg. (200,000 units) three ^ J ij; times a day to 250 mg. every four hours. Consistent dependability—even in the presence of Supplied: Tablets V-Cillin K, 125 or 250 mg., and food. Comparative pharmacologic data show that V -C illin K, Pediatric, 125 mg. per 5-cc. teaspoonful, 3 * * * 5 in 40, 80, and 150-cc.-size packages. an those51 V-Cillin K produces peak blood levels twice as high as those of penicillin G, with half the dose. Id New, thin coating . . . new size and shape. The V-Cillin K It doesn new coating eliminates the characteristically bitter Potassium Phenoxymethyl ' i^rnoaD t taste of oral penicillin and makes V.-Cillin K. P enicillin ' - V ^iiil CD feJtT tablets easy to swallow. The new shape makes Additional information available to phy them easy for physicians and pharmacists to sicians upon request. Eli Lilly and Com identify. pany, Indianapolis, Indiana. " r.; g?>-fSssg % l f 'W r unnl^’ 14 B U L L E T I N of the Fierce County M edical Society at the Sherwood Inn on October 4. Sis St. Joseph's ter Martha Joseph presented the scholar Jan Bigelow and Joan Woodruff ship award to a Clover Park senior who (Pharmacy), have returned from their had written the best essay on “Why I motorbike trip through the Netherlands, W ant to Become a Nurse.” Sisters Ala- Germany, Belgium, Luxembourg, and coque and Mary Paul represented nurs Paris. If a trip such as this would inter ing service together with nearly twenty- est you, Jan and Joan could give you any five other R.N.’s from both the hospital information concerning the trip. and the school staffs. Helen Hanson, President of Washington State Nurses The September meeting of the Ta Association, and Orris Hamilton, Jus coma Association of Medical Record tice of the Washington State Supreme Librarians, which was held at Lakewood Court, addressed the group. Several of General Hospital, was attended by the the doctors and their wives enjoyed the students and members of our Record banquet as guests of the nurses. Department. Mrs. Vye Strait, pharma Sister James Helene was recently cist, lectured on the drugs affecting the elected to the planning board of the urinary system. Mrs. Myrna DeMille, Pierce County Mental Health and Men R.R.L. at M.V.G.H., was appointed tal Retardation Corporation. This event chairman of a committee to organize reinforces the feeling that the hospital our Tacoma group of Medical Record is an active part of the community and Librarians into a Local Association. Af as such is vitally interested in maintain ter the meeting there was a tour of the ing balanced mental health and pre Medical Record Department for those venting personality break downs. visiting for the first time. A new position of INSERVICE DI Tacoma General Hospital was the host RECTOR is being filled by Mrs. Mar of the October meeting. Reports of the garet Craton, R.N. Spokane Convention were given by Mrs. Cobbe and Jan Cowley, and the agenda As a part of our continuing efforts to for the year was discussed. It was de keep informed we are happy to send cided that the November meeting would Mr. Paul Hall, Mrs. Virginia Benjamin, be held at Western State Hospital. L.P.N., and Mrs. Ola Woolard, L.P.N., from 3rd floor to a Conference on Respi Several Sisters attended the Washing ratory Diseases held at Seattle Univer ton State Hospital Convention in Spo sity on October 22 and 23. Mrs. Mickle, kane September 30 and October 1. This L.P.N. and Mrs. Colbo, L.P.N. from Pe year Sister Emmanuel was a delegate diatrics attended the Saturday session. from the Washington State Association of M.R.L. to their Annual Meeting in Cleveland, Ohio in October. Forty-two new students registered at Research Institute the School of Nursing on Wednesday, September 21, 1965. These students are Holds Open House from Washington and Oregon. Seven of The Sixth Annual Open House of the these came from the Tacoma area. Mental Health Research Institute at The School of Nursing has many Fort Steilacoom will be held on Friday, new instructors with various back November 19, between 3:00 and 6:00 grounds and well qualified for the re p.m. The Director of the Institute, Dr. sponsibilities they have taken upon their John B. Marks, and Open House Chair shoulders. Among them are Mrs. Irene man Cameron R. Dightman extend an Creso, M.S. Science, Mrs. Margaret invitation to all members and friends of Coutu, M.Ed. Med-Surg., Mrs. Dian Wi- the Pierce County Medical Society to be watowski, B.S., Obstetrics, Mrs. June present for the occasion. This year’s Esche, B.S., Medical-Surgical, Mrs. Syl Open House will focus on “current de via Paulson, B.S., Pediatrics and Com partmental research studies of general munity Health, and Miss Thomasine applied interest with an eye to the areas Schwent, B.S., Nursing Fundamentals. of inquiry coming up in the near future.” The professional nurses of Saint Jo seph’s Hospital were well represented at the Professional Nurse Day Banquet PATRONIZE YOUR ADVERTISERS B U L L ET IN o f the Piebce County M edical Society 15

new Measurin the first 8-hour aspirin tor continuous relief of pain and stiffness in rheumatoid arthritis up to 8 hours with each dose 16 B U L L E T IN of the Pierce County M edical Society

_ _ new M ea s u r in (timed-release aspirin) the first 8-hour aspirin

MEASURIN provides the full analgesic benefits of pure aspirin both promptly and for up to 8 hours...with each oral dose.

MEASURIN is the only long-lasting pure aspirin arthritic patients can take at bedtime for analgesia throughout the night...and prevailing relief of pain and stiffness upon arising.

MEASURIN is the aspirin of choice for chronic, low-grade pain. BU L L ET IN o f the P ie r c e C o u n t y M e d ic a l S o c ie t y 17

MEAN STIFFNESS/ DISCOMFORT INDEX MEAN PAIN INDEX

Morning I O ver 30% /eduction i Stillness I mean shllncss index

1 Over reduction ir mean discomfort indv

FIC 2 NO. OF TIMES AWAKE

O ver 47 Vo /ew er , awakenmgs

7.5 2.0 On arising Morning Evening

'12 gr. A spirin q. 4 h. MEASURIN 20 gr. q. 8 h 20 gr. A spirin q. 8 b. (bU pr /d a y— (60 gr./day) (60 gr /day) no middlc-ol-nighi dose)

Results clearly indicate the superiority of Measurin timed-release aspirin to lw<> bedtime dos ages oi regular aspirin. Measurin patients had significantly less nighttim e discomfort, significantly less morning stiffness (fig. 1), and significantly fewer nighttim e awakenings (fig. 2i. Measurin patients also displayed significantly less pain upon arising, lasting into line morning (fig. 3). During the afternoon and evening, both 8-hour Measurin and regular (/ 4 h. aspirin proved superior to 20 gr. regular aspirin q. 8 h. — the difference reaching high statistical signifi cance in the evening. Objectively, the investigator considered Measurin superior to either dosage schedule of regular aspirin in 23 of the 26 patients. Only one patient preferred either of the other regimens to Measurin *C I mica! repnrc, on hlu, Chesebruui’Ji-Pond's Inc . New Vurk. N.Y.

The unique mechanism Unhkc enteric coatings or capsules of delav-oction of new Measurin ... pellets, a Measurin tablet is composed of over 6.000 microscopic reservoirs of aspirin. One 20-grain dose

(2 Measurin tablets) Each reservoir is an individual aspirin granule enclosed releases 10 grains by an inert polymer, insoluble in body fluids. Upon in gestion, the tablet immediately breaks apart and the promptly, followed by reservoirs disperse. sustained release of the remainder... Gastric fluids (black) diffuse into reservoirs through semi- permeable walls; dissolved aspirin (gray) diffuses out at controlled by this new a controlled rate (governed by wall thickness) designed principle of action: to provide optimum 8-hour blood levels. i r ® 18 B U L L E T IN o f the P i e r c e C o u n t y M e d ic a l S o c ie t y

Indications: Measurin is indicated for the relief of new low-grade pain amenable to relief with salicylates, such as in rheumatoid arthritis, osteoarthritis, M e a s u r i n spondylitis, bursitis and other forms of rheuma tism, as well as many common musculoskeletal (timed-release aspirin) disorders. It possesses the same advantages for other types of prolonged aches and pains, such as for continuous minor injuries, dental pain, and dysmenorrhea. Its sustained effectiveness should also make it relief of pain valuable as an analgesic in colds, grippe, flu and other similar conditions in which aspirin is indi and stiffness cated for symptomatic relief, either by itself or adjunctive to specific therapy. up to 8 hours D osage: Two Measurin tablets q. 8 h. have been effective for most analgesic needs. This two-tablet with each dose (20-grain) dose releases the blood level equiva lent of 10 grains of aspirin prom ptly followed by sustained release of the remainder. The 10-grain (650 mg.) scored Measurin tablets permit admin istration of aspirin in multiples of 5 grains (325 mg.), allowing individualization of dosage to meet the specific needs of the patient. W ith regular aspirin dosage schedules, one 10 grain Measurin tablet may replace any 5-grain tablet, but with twice the duration of activity. W henever possible, two tablets (20 grains) should be given before retiring to assure relief through out the night —and prevailing pain relief upon a rising. Measurin has been made in a special capsule shaped tablet to permit easy swallowing. How e ver, fo r any p a tie n ts w h o have d iffic u lty , M easurin tablets may be crumbled without loss of sustained-release effect. Side Effects: Side effects encountered with regu lar aspirin may be encountered with Measurin. Tinnitus and dizziness at saturation dosage are the ones most frequently encountered. Contraindications and Precautions: M e asu rin is contraindicated in patients with marked aspirin hypersensitivity, and should be given with ex treme caution to any patient with a history of adverse reaction to salicylates. It may cautiously be tried in patients intolerant to aspirin because of gastric irritation, but the usual precautions for any form of aspirin should be observed in pa Chesebrough-Pond's Inc. tients with gastric ulcers, bleeding tendencies, or 485 Lexington Ave., New York, N. Y. 10017 hypoprothrombinemia. B U L L ET IN o f the Pierce County M edical Society 19 denied this—stated he had established Doctors, Ministers such a feeling of camaraderie with his parishioners that they would feel it per Exchange Quips at fectly natural to have a friendly visit October Meeting from him at that moment. One minister decried the fact that 30 Ministers nearly outnumbered doc or 40% of patients had no personal con tors at the October 12 m eeting of the tact or relationship with a minister, Pierce County Medical Society when an while Lou Rosenbladt countered with overflow crowd cram m ed the auditor the more optimistic estimate that 99% ium at the Medical Arts Building to of his patients had “a church home.” exchange thoughts on “Medicine and Another minister told of his unhap Religion.” Purpose of the m eeting was piness at being assigned the task of get not to have doctors soak up more reli ting the family’s permission for an gion—a prospect that probably kept autopsy. some doctors away—but rather to es When Dr. George Gilman was asked tablish better rapport between the clergy if doctors ever called in their own min and physicians in their joint and over lapping responsibilities in care of the isters when they themselves were pa tients, he evaded the question by dis patient. It was an evening of construc qualifying himself with, “I don’t know. tive criticism, airing of minor resent I’ve never been sick.” ments, and considerable laughter as members of both professions displayed The popular Rev. Harold B. Long their senses of humor. brought the discussion to a close with a A “four-handkerchief movie” called generous commendation of all Pierce “The One Who Heals” started the pro County doctors for their cooperation gram. The movie was prepared by the with the clergy and their conscientious care of their patients. AMA Committee on Medicine and Re ligion and featured cases of death or near-death in which cooperation be tween doctor and clergy was stressed. Dr. S. Harvard Kaufman, chairman of Tacoma Brace the WSMA Committee on Medicine and Religion, discussed the movie, then & Limb Co. moderated 45 minutes of active discus sion from the floor. Lenart C. Ceder, owner Some doctors expressed concern over an implied obligation to give privileged information to the clergy concerning a ☆ seriously ill patient, but Dr. Walt Sobba offered the thought th at this was com Expertly fitted— parable to giving out clinical informa tion to any specialist th at one m ight call Artificial Limbs in to help give the patient proper care. Orthopedic Appliances President-Elect Glenn McBride told of many contacts with many ministers Surgical Belts with nary a sign of friction, with free Arch Supports exchange of information and full co Trusses operation. The guest speaker repeatedly epitomized Dr. McBride’s attitude—at least until McBride brought down the ☆ house with his casual admission, “Of course, I might get sued.” There was disagreement about the FUlton 3-4439 emotional impact on the patient of hav ing a minister arrive at the bedside just 723 South K Street before a trip to the operating room. Some felt this added to the patient’s ten sion, giving him the im pression of an impending one-way trip. One minister PATRONIZE YOUR ADVERTISERS 2 0 B U L L E T IN of the Piebce County M edical Society

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Doctors Hospital Building BU L L ET IN of the P ie r c e C o u n t y M e d ic a l S o c ie t y 2 1

WHILE WAITING DINNER

WOMAN'S AUXILIARY . . . To The Pierce County Medical Society AUXILIARY OFFICERS—1965-1966 hanced by our lovely President, Marje President .... ,_Mrs. Merriil J. Wicks President-Elect -Mrs. George C. Gilman Wicks, who presided at the luncheon 1st Vice-President and Program- Mrs. Robert A. Kallsen table as well as the business meeting. 2nd Vice-President and Social— Mrs. Arthur Wickstrom 3rd Vice-President and Valley Rep. Mrs. Charles Vaught The program skit was delightful and the 4th Vice-President and Membership____ Mrs. Roy H. Virak Recording Secretary ______Mrs. Leonard G. Morley meeting brief, adjourning before 2:00 Corresponding Secretary______Mrs. Ronald T. Spangler p.m. so members with small children Treasurer------Mrs. Thomas H. Skruiar Dues Secretary______Mrs. Glenn H. Brokaw coming home from school could be at AMAERF------Mrs. Francis W. Hennings Civil Defense and S afety ...... „M rs. John S. Mayhome in time to greet them. Historian and By-Laws ______Mrs. Herman S. Judd In fact, this conscious effort toward Legislative______Mrs. Sherman S. Pinto Paramedical______—Mrs. Frederick J. Schwind efficient brevity was the cause of one Publicity ______Mrs. Marcel Malden B ulletin . ______Mrs. Robert R. Burt most important item being overlooked Speakers Bureau . -Mrs. John Colen —that of thanking the hostesses! Marje Mrs. Richard F. Barronian Telephone _____ Mrs. Vernon O. Larson asks, even though belatedly, that you Mrs. George A. Tanbara Minute Women ______Mrs. Harold D. Lueken all — Ruth Murphy for offering your Mrs. Jack W. Mandeville home to us, Bianca Mattson, Chairman; Coordinator of Community Services Mrs. Robert W. Osbome Nadine Kennedy, co-chairman and com Heart______Mrs. Robert C. Johnson Cancer .______Mrs. Jack J. Erickson mittee, Donna Ferguson, Adele Durkin, Finance ______„ Mrs. Haskel L. Maier Peggy Haley, Bev. Harrelson, Rosemary Dance .______Mrs. David F. Dye Mrs. Gordon Dean Dye—stand up and take a great big bow Fashion Show Mrs. Homer T. Clay Mrs. Dale D. Doherty for your tremendous effort to help make Mental Health . Mrs. James E. Hazelrigg our first meeting such a memorable one. Today’s H ealth _____ Mrs. Robert M. Ferguson Cook B ook______Mrs. Stanley W. Tuell Thank you, girls! International Health Mrs. Charles McGill Thanks also should go to Mavis Kall sen who wrote and produced the skit, “Light is the task where many share “How Do You Like Your Medicine”, and the toil.” — H o m e r her talented cast, Dee Wickstrom, Na Cooperation is the key to the success dine Kennedy and Ruth Houtz as “old” of the Medical Auxiliary, according to members; Wibby Bischoff, Bianca Matt Dr. Frederick Schwind, President of the son and Jean Malden as the “new” Pierce County Medical Society and hon members. ored guest at our O ctober m eetin g , as h e Mark The Calendar lauded Auxiliary members for their as sistance to the Medical Society. Next meeting will be a noon lunch Even the weather (notably inclement eon, Friday, November 19, at the home this time of year) cooperated to make it of Mrs. Theodore Smith, 6214 Hewitt almost too warm for wool dresses and Road. Guest speaker will be Grace Fred suits. Luncheon was served promptly— ericks of the Washington State Histor- as delicious as it was attractive—en (Continued on Page 23) 2 2 B U L L E T I N of the Pierce County M edical Society

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FREE PRESCRIPTION DELIVERY BU L L ET IN of the Pierce County M edical Society 2 3 (Continued from Page 21) coma Chapter of the United Nations ical Society who will speak on “Our Liv Association and has been most busy the ing Heritage.” past month with preparations for United The following instructions may be of Nations Day which included booths set help in finding the Smith abode. If you up in the lounge area of the Winthrop take the Freeway south—turn off the Hotel. The Pierce County Medical Aux Freeway at 72nd to your right. Follow iliary sponsored the booth for the World 72nd until it becomes 74th and then fol Health Organization with Edith McGill, low 74th as far as it goes (you will cross International Health Chairman, spear old Highway 99). At the end of 74th, heading the arrangements for the dis turn left onto Custer Road. Cross play on B.C.G., a vaccine against tuber Bridgeport and continue to follow Cus culosis which has macrocosmic use. As ter to John Dower Road. Turn right on sisting were Dolores Havlina, Dona Gil John Dower and follow to end. Look for man, Merle Herrmann and Nadine a sign. Kennedy. Another Auxiliary member, Adele Durkin, helped with the Food and Agri culture booth. Condolences It is with sadness we note the de parture of one of the charter members of our Medical Auxiliary, Mrs. Ameson Johnson. Those who remember her best, recall that Mrs. Johnson was very active at one time in the Auxiliary. Merle Herr mann observed that Mrs. Johnson was a very “worthwhile” person who took an active interest also in the Y.W.C.A. and was so energetic that even when she was an octogenarian, she would drive Those coming to Lakewood from the by herself to California to visit her North End on Jackson, turn right at children! the Custer Road, go straight ahead, cross Community Service Bridgeport and watch for John Dower Road on the right. Help! There are 25,000 people in Ta coma who desperately need help with There Are Still A Few their problem—alcoholism. Up until the For Whom Dues Are Due present time, there has been no one Dues Secretary, Elvina Brokaw, is they could turn to, but now an anxious jubilant that over twice as many mem group of citizens have formed a com bers have paid their dues this year as mittee which meets the second and last year at this date and would like to fourth Thursdays of each month at make our membership 100% by De Honan’s for luncheon and to work on cember 31, 1965. Please mail your the problem. A 24-hour Fellowship check or money order for $10.00 to group has been established on Tacoma Mrs. Glenn Brokaw, 2919 North Alder, Avenue and a meeting place days and Tacoma, Wash. evenings at 6th and K Street. Need Transportation Some of the future aims are for an Don’t sit at home and fret. If you are Alcoholic Clinic, a Halfway House, not being called, or you need a ride to which was tried successfully some years the meetings, please call Kit Larson, ago by Alcoholics Anonymous and Pub SK 9-4655 or Kimi Tanbara, BR 2-5235. lic Education. Perhaps a good start on There is always someone from your this would be to encourage women’s neighborhood who would be happy to groups to drop the “social hour” before have your com pany on the way to luncheons, style shows, etc. which has meetings. come into vogue the past few years. Plaudits A meeting, open to the public, has Peggy Haley, one of our hard-working been set for Thursday, December 2nd members, is also President of the Ta ( Continued on Page 25 ) 24 B U L L E T IN o f th e Pierce County M edical Society

help speed recovery..; with Soma Compound carisoprodol 200 mg., phenacetin 160 mg., caffeine 32 mg.

In most patients with strains and Also available with V4 gr. codeine as 'Soma' Compound with Codeine: cariso prodol 200 mg., phenacetin 160 mg„ caffeine 32 mg., codeine phosphate sprains, ‘Soma’ Compound can 16 mg. (Warning: may be habit-forming.) Indications: 'Soma' Compound and 'Soma' Compound with Codeine are useful for relief reduce recovery time because of of pain and stiffness in traumatic, rheumatic and other conditions affecting muscles and joints. Contraindications: Allergic or idiosyncratic reactions to carisoprodol, phenacetin, or codeine phosphate. Precautions:Phenacetin—With long-term use, give cautiously its ability both to relieve pain to patients with anemia and cardiac, pulmonary, renal or hepatic disease. May damage the kidneys when used in large amounts or for long periods. Caffeine—Not recommended and to relax muscle. In a con for persons extremely sensitive to its CNS stimulating action. Codeine p h o s p h a te -Use with caution in addiction-prone individuals. Carisoprodol— Carisoprodol. like other central nervous system depressants, should be used witn caution in patients with known pro* trolled study of patients in an pensity for taking excessive quantities of drugs and in patients with known sensitivity to compounds of similar chemical structure, e.g. meprobamate. Side effects: Drowsi industrial practice, B. 6. Gonant ness, lightheadedness, dizziness, and gastric complaints have been reported infrequently for either or both of these preparations. Phenacetin—Side effects are extremely rare with short-term use of recommended doses. Prolonged ingestion of overdoses may produce reported that ‘Soma’ Compound dyspnea, cyanosis, hemolytic anemia, skin rash, anorexia, subnormal temoerature, insomnia, headache, mental disturbances, and tolerance. Caffeine — Side effe cts are shortened recovery time an aver almost always the result of overdosage. Average doses may rarely cause nausea, nervousness, insomnia, and diuresis. Excessive dosage may produce, in addition, restless ness, nervousness, tolerance, tinnitus, tremors, scintillating scotomata, tachycardia, age of 25% as compared with and cardiac arrhythmias. Codeine phosphate— Possible side effects are nausea, vomiting, constipation, and miosis. Carisoprodol-^le only side effect reported with any frequency aspirin.1 In addition, complete or is sleepiness, usually on higher than recommended doses. An occasional patient may not tolerate carisoprodol because of an individual reaction, such as a sensation of weakness. Other rarely observed reactions have included dizziness, ataxia, tremor, marked relief was noted in 94% agitation, irritability, headache, increase in eosinophil count, flushing of face, and gastrointestinal symptoms. One instance each of pancytopenia and leukopenia, occur* of patients treated with ‘Soma’ ring when carisoprodol was administered with other drugs, has been reported, as has an instance of fixed drug eruption with carisoprodol and subsequent cross-reaction to meprobamate. Rare allergic reactions, usually mild, have included one case each of Compound, as compared to 46% anaphylactoid reaction with mild shock and angioneurotic edema with respiratory diffi culty, both reversed with appropriate therapy. In cases of allergic or hypersensitivity reaction, carisoprodol should be discontinued and appropriate therapy initiated. Suicidal of patients treated with aspirin. attempts may produce coma and/or mild shock and respiratory depression. D o s a g e : Usual adult dosage of 'Soma' Compound or ‘Soma1 Compound with Codeine is one or 1. Conant, R. G.: Reduction of industrial time-loss: two tablets three times daily and at bedtime. Supplied: ‘Soma’ Compound, orange tab treatment with carisoprodol compound in m u s c u lets, each containing carisoprodol 200 mg., phenacetin 160 mg., and caffeine 32 mg. loskeletal disorders. Industr. Med. Surg. 3 3 :2 5 , ‘Soma* Compound with Codeine, white capsule-shaped tablets, each containing cariso prodol 200 mg., phenacetin 160 mg., caffeine 32 mg., and codeine phosphate 16 mg. Jan. 1964. Narcotic order form required. Before prescribing, consult package circular.

WALLACE LABORATORIES / Cranbury, N. J. cio-nu B U L L ET IN o f the Pierce County M edical Society 25 (Continued from Page 23) cars, but a special entrance-arm that opened only with special keys soon went in the Tacoma Public Library at 8:00 awry and the parking lot was soon filled p.m. The speaker is an M.D. and a form to overflow much of the time. In May er A.A. member from Portland, Oregon. of this year, 28 more parking spaces Anyone interested in working with were added south of the original lot and this committee m ay call Evelyn Os a huge spacious parking area for 89 cars borne, Community Services Chairm an, was opened facing on J Street, between at SK 2-3312. 19th and the water standpipe. Quips From The M.D. Family The original lot is now more success It wasn’t until Betty became a teen fully limited to doctors’ use during ager that she confessed: “Dad, you morning hours by a small sign at the know when I was a little girl and you entrance. City traffic engineers have were in your Residency in Surgery?” taken advantage of the situation by in “Yes . . .” stalling no parking signs along 19th “Well, when you always talked about Street so that more lanes are available ‘scrubbing in surgery’—I felt sorry for during the busy traffic hours. you as I pictured you down on your T.G. Adds More Lots hands and knees scrubbing the floor in In the past month, 47 new parking the Surgery!” spaces have been added at Tacoma Gen Happy Thanksgiving! eral Hospital, to bring their total to 148. —L o r n a B u e t This figure includes 10 stalls behind Jackson Hall used mainly by the faculty there. For many years, Tacoma General St. Joe's, Tacoma has maintained 2 lots across 4th St. on J St. with room for 70 cars. When the General Add New old building came down on the corner of 4th and K Streets, space became Parking Areas available there and this now has be It may not be much help to you when come formalized with a concrete retain you’re looking in vain for a parking ing wall and the area blacktopped and spot near the hospital, but the fact is marked off for 28 cars. This area just that Tacoma’s private hospitals have opened in the past month, along with a provided a total of 674 parking stalls 19-car lot north of the hospital, across for physicians, employees and visitors. 3rd St. The latter lot has been specified Though this is not enough, it’s an in mainly for use by the 3-to-ll nursing crease of 164 over the num ber available staff and employees. This should make less than a year ago. A breakdown of for better availability of space in the parking areas at all hospitals reveals area restricted for doctors. The latter that the newer the hospital, the better area was completed in September of the provision for parking in the original 1961 by utilizing lawn area at the south plans. The jum p of 164 spaces in the side of Jackson Hall. past year is largely due to the new lots Lakewood General Hospital has a bet added at the two largest hospitals in ter ratio than most hospitals with a total Tacoma, where the parking situation area allowing for 149 cars, not including had been becoming progressively more spaces for emergency vehicles. 65 of acute. these spaces are virtually at the hos St. Jo’s Lots Largest pital’s front door, for use by physicians St. Joseph’s Hospital now has space and visitors. Hospital personnel utilize for 163 cars. Just 5 years ago, the only the 80 parking stalls to the rear of the parking available at St. Joseph’s was hospital. A gravelled area leaves room curbside on-street parking, except for for expansion into 60 more parking a few spots between the buildings and spaces when it is needed. in the driveways. In December of 1960, Good Samaritan Hospital in Puyallup the hospital completed black-topping its has 145 parking stalls. This excellent first parking area, immediately across provision is handicapped somewhat by 19th St. from the emergency entrance. the fact that there is little on-street park A futile attempt was made to restrict ing near the hospital. these 46 parking spaces to physicians’ (Continued on Page 27) 2 6 B U L L E T I N o f the Pierce County M edical Society

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4100 Steilacoom Boulevard JUniper 4-0252 B U L L ET IN of the Pierce County M edical Society 27 (Continued from Page 25) Mary Bridge Children’s Hospital has 64 spaces. 18 of these are in the doc tors’ parking area adjacent to the hos pital. Another 7 spaces are secluded behind the building and 11 more are RANKOS "private” spaces. Many doctors are hardly aware of the 28 additional spaces provided by the hospital lot which lies across Division PHARMACY Ave. behind Frisko Freeze Restaurant. Doctors’ Hospital and Medical Arts Hospital must depend mainly on park 101 North Tacoma Avenue ing meter curbside parking for their visitors. Attending doctors can use the parking garage in Medical Arts, or the commercial parking lot adjacent to Doc tors’ Hospital, but the only special off- street parking provided is the 7 spaces restricted to doctors use at Doctors’ Hos Prescription pital. There are 12 other stalls in the same lot, but all are private for the use of individual physicians. Druggists Mountain View Hospital, not included in any of the above totals, has a large visitors parking area across 36th Street to the south with room for 102 cars, plus 41 doctor and employee parking spaces behind the hospital. ★

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PHYSICIANS' AND HOSPITAL SUPPLIES B U LLETIN of the Pierce County M edical Society 2 9 ly refused to try the pitch again. All my Famous Red Shorts pleading was in vain. Only 15 feet more to go, but there she stood and refused Star in Drucker's to budge. Above, the going would be Further Adventures easy. What should I do? Give up the climb because of these 15 feet? Heck, MOUNTAINEERING NO! My girl friend weighed barely 100 by G e r h a r t A. D r u c k e r , M.D. lbs. Bracing myself against the rock, I (Conclusion) grabbed the rope with all my might and hauled her bodily up to me, in spite of A visit to Europe in the summer of her screaming protests, and right 1962 gave me a chance to climb the through the middle of the waterfall! She Matterhorn, led by a professional guide. was wet to the skin and mad as can be, That famous rock spire, more than 300 but we completed the climb and reached feet higher than Mount Rainier, rem ains the Lake-of-the-Clouds Hut, where we to date my loftiest peak. had to use pliers and chisels to untie Spring skiing in the mountains has her rope knot. Believe it or not, this remained one of my favorite pastimes. same girl later consented to marry me! Sure, like all you fellow skiers, I love to Today, 27 years and five children later, ride up the chairlift at Crystal or White Nancy weighs a little more than 100 Pass and to come down in a swift, fine lbs. and I doubt that I could repeat this run, the more runs in one day, the bet feat today. Moreover, she still abhors an ter! But occasionally, my climbing skins ice cold shower! strapped to my skis, I will climb up to What happens when a man suddenly Camp Muir or to the summit of Mount comes down with violent diarrhea dur St. Helens, or to other high places where ing a hailstorm, in the middle of a gla there is no chairlift. St. Helens, a beau cier, with no shelter in sight? It happen tiful, 9671 feet high volcanic cone in ed to me twice, once on Austria’s Gross- Southwestern Washington, offers a par glockner in 1927 and once on Canada’s ticularly fine downhill run in good Mount Vaux in 1961. Each time, after spring snow. Six hours up, 30 m inutes a lengthy and painful “session”, I had down if you are in a hurry. (But beware to ladle a pound or two of hailstones of ice, for Mount St. Helens is steep! out of my trousers. One slip on ice and you may go down Glissading means sliding down a much faster than you had planned!) steep snowfield on one’s heels, using the Last April I joined a party of ten for ice axe as a brake. While still in high one week’s Spring skiing in British school, one hot summer day I traversed Columbia’s Bugaboo M ountains. It in Austria’s Dachstein in shorts, carrying volved carrying a 60 lb. pack up a steep my regular climbing pants in my ruck mountainside, on skis, through two feet sack. I slipped during a steep glissade of powder snow, and spending four and literally lost the seat of my short nights in a tent in the middle of the pants. We were 3 boys and did not meet glacier. It was lots of fun! another party all day long, therefore I Let me tell you a few funny events continued the climb in my “bottomless” that have happened on my climbs. shorts and did not bother to put on my Some, to be sure, were funny in retro climbing trousers, planning to do so in spect only. the evening, just before we would reach Years ago, during m y internship, I the town of Hallstatt. We were running took my girl friend on a rock climb down the last switchbacks toward that through the Huntington Ravine of New town, I still wearing nothing but my Hampshire’s Mount Washington. There torn shorts, when suddenly a feminine was only one tricky pitch in it, a series voice called my name. I looked up in of moist rock slabs near a little water horror and almost ran into a girl whom fall. I had reached a good belay point I knew from school, as she came hiking on top of these slabs and shouted down up the trail, followed by two huffing and to my girl to follow. This was her first puffing matrons. “Hello, Gerhart,” Julia rock climb. She slipped on the wet rock, said sweetly. “How nice to meet you! I and although I stopped her fall instant see you are coming from a climb. Oh, ly, she was badly shaken and adamant the Dachstein Traverse! How interest 3 0 B U L L E T IN of the Fierce County M edical Society ing! Come, meet my mother and my aunt. Tell us all about your climb!” Painfully conscious of the missing seat of my pants, I backed against the near est fir tree, not realizing that its trunk was crawling with ants! And thus, my backside pressed against the tree, I had to answer questions about my climb for ten long minutes and to endure at the same time numerous ant bites into a sensitive part of my anatomy. I felt like Saint Sebastian, whom many centuries earlier, his Roman torturers had tied to a tree and used as a target for their piercing arrows. You all have seen pictures of Mount Shuksan. They grace thousands of cal endars. This rugged, 9,000 ft. high peak in the Northern Cascades, near the Mount Baker Lodge, is certainly one of the most beautiful mountains in our State. The Fisher Chimney route up Mount Shuksan contains a long, steep snowfield, known as “Winnie’s Slide”, which was the scene of another glissad ing adventure of mine. Three of us had climbed Mount Shuksan and were on Gerhart, rapelling (roping off) Mount our way down, no longer roped, and Rainier National Park, Sept., 1965. again I was wearing nothing but a bright red pair of gym shorts, carrying my reg These red shorts, by the way, which ular climbing trousers in my pack. We I had bought for $1 in 1946, proved to reached the top of Winnie’s Slide, a be one of the world’s greatest bargains, famous glissade. “Wait a minute,” I said second only to Peter Minuit’s famous to my friends, “here I simply have to 1626 purchase of Manhattan Island put on my trousers.” And I took off my from the Indians for $24. I made many pack and fumbled in it for this garment. climbs and spring ski tours in these But Vic and Dave, eager for the glissade, shorts, always, of course, carrying ade would not wait. They took off and glis quate clothing in my pack. They shone saded down the long, steep slope in ex on the summits of Mt. Shuksan, Mt. cellent style, one next to the other. I Adams, Mt. St. Helens, they added yet saw them way down at the bottom of another color to the superb natural Winnie’s Slide, while I was still at its colors of the Canadian Rockies, they top, struggling with my pants. “To heck brightened up the inhospitable scenery with pants,” I said to myself, as I shoved of Mount Rainier’s Point Hazard and them back into my pack impatiently. I Camp Muir, they were my faithful com put the pack on my back, grabbed my panion for 10 years until, in 1956, the ice axe and jumped into the famous rough rock of Canada’s Mount Terminal glissade, rapidly gaining speed, and still spelled their doom. There was some talk wearing nothing but my bright red gym of giving their remains to the Smithson shorts! What happened? You guessed it! ian Institute. Halfway down I slipped, fell, and com During the descent from the summit pleted the glissade, quickly and pain of Mount Rainier via the Kautz Route in fully, on the seat of these red shorts, a 1946, a bottleneck developed at the bright red streak in the snow marking steep ice pitch of the upper Kautz Gla my route! This time the seat of my cier, because we had too many slow, inexperienced climbers in our party. shorts suffered no damage, but my own Leading the last rope, I had to wait 2 seat was less fortunate. Since that day hours above this pitch, with the result I have never again glissaded in shorts. that later on we narrowly escaped an BU LLETIN of the Pierce County Medicai. Society 31 avalanche of huge ice towers, which the districts, townships and counties within hot afternoon sun had melted off their your Congressional District. Often you base and which w ent roaring down a can get these maps already marked out snowfield that we had just crossed. for you from your Board of Elections in Since then I have climbed the Kautz the County-City Building. Next you route three more times. Descending should consider how the vote runs by from the summit via this route in 1953, compiling the election results by pre my friend Don Rogers (now a Seattle cinct during the last few elections. You pathologist) and I had just stopped near can then consider the ethnic groups the site of the 1946 avalanche, still safe within your community. By learning ly protected from possible falling ice by where they live, who their leaders are a rock spur, when suddenly an ominous and the levels of income in residential rumble filled the air. “Avalanche!” we areas, you will better understand why both shouted, terror-stricken, and duck people tend to vote as they do. ed hastily behind the rock spur. Within Then you should interest yourself in seconds, the rumble increased to an who runs the government, that is, who ear-splitting roar. Peeping cautiously are the party leaders in each party. The over the edge of the rock spur, we could distribution of political power is com see no sign of an avalanche; but we did plex, fascinating and in a constant state see a huge military jet plane that ap of flux. Dig beneath the surface—the peared suddenly from nowhere, swoosh answers are not usually as simple as ed around the mountain at a terrific you think. speed, so close to it as to make the rocks Learn the election laws; at least the tremble, and disappeared rapidly into high spots. Your Secretary of State can the blue horizon over Eastern Washing answer specific questions and he has a ton. Angrily, we shook our ice axes at wealth of readily available material. the vanishing plane. Both parties have their own regulations These are but a few of many memor and these are usually available just by able events, some funny, others not so asking at the County Republican and funny, that have occurred on my m any Democratic offices. climbs. Climbing is my hobby. As I am Finally, you should know local issues. writing this, I see in the distance, barely They frequently swing local elections fifty miles away, our own, incompar and sometimes Congressional races. able, magnificent Mount Rainier, one Keep up with local news. of the world’s truly great mountains, its Much information can be gained by vast glaciers glowing in the evening sun. reading the many pamphlets available, Ten days ago, on the eve of my 54th by asking questions of party workers, birthday, I climbed once more to the community leaders and office holders summit of this glorious m ountain. and by talking politics with your own colleagues, neighbors and friends. It should be pointed out that AMPAC has AMPAC 1965 many films and pamphlets available as well as a lending library. Political action is simply an extension There are two ways of learning poli of community action. It is impossible to tics. One is by methodical study and the understand state or national politics, or other is by working in politics. Both ap the application of political power, with proaches are essential. Approach your out knowing what the score is in your political self-education methodically, own community. In politics, power and remember that political sophistica flows from the bottom up—not from the tion develops most rapidly when you top down. Even the Presidential election work within a political party and apply is determined by totaling the votes cast what you know. in all the nation’s precincts—including yours. —T h o m a s H. S k r in a r , M.D. In terms of your community, there are certain things you need to know. First of all, you should consider the sub PATRONIZE YOUB ADVERTISERS! division of government. Start with a Wap or two and mark the boundaries of the precincts, wards, state legislative Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Monday of each month— 8:00 p.m. at 424 South K Street TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 8:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August— 6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, Julv and Auqust— 6:00 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December'— 7:30 p.m. Dinner— 6:30 p.m. PIERCE COUNTY MEDICAL SOCIETY BULLETIN VOL. XXXVI— No. 12 TACOMA, WASH. DECEMBER - 1965

REGULAR MEETING PIERCE COUNTY MEDICAL SOCILIY DECEMBER 14, 1965 B U L L E T IN o f the P i e r c e C o u n t y M e d ic a l S o c ie t y Pierce County Medical Society 1965 OFFICERS P resid en t...... Frederick J. Schwind President-Elect...... —...... Glenn G. McBride Vice-President ------Lester S. Baskin Secretary-Treasurer______A rnold J. H errm ann Executive Secretary______Judy Gordon TRUSTEES Richard F. Barronian Robert C. Johnson Lester S. Baskin James D. Lambing Myron A. Bass Glenn G. McBride J. W. Bowen, Jr. Clinton A. Piper December Birthdays Robert R. Burt Frank J. Rigos Arnold J. Herrmann Frederick J. Schwind DELEGATES 1 D avid S. H opkins Douglas P. Buttorff Frederick J. Schwind Robert M. Ferguson Stanley W. Tuell Charles C. Reberger Robert W. Florence Wayne W. Zimmerman Glenn G. McBride ALTERNATE DELEGATES 3 Bernard R. Rowen Richard F. Barronian Herman S. Judd Charles J. Galbraith Robert W. Osbome 5 S. Robert L antiere Philip Grenley Charles C. Reberger Kenneth E. Gross Frederick W. Maire COMMITTEES E thics 6 Homer W. Humiston Murray L. Johnson, Chairman Samuel E. Adams Frank R. Maddison Woodard A. Niethammer G rievance Frank J. Rigos, Chairman G. M. Whitacre Stanley W. Tuell 9 Stanley W. Tuell Program Robert C. Johnson, Chairman Clinton A. Piper Robert M. Ferguson 12 Arthur P. O’Leary Public Relations James D. Lambing, Chairman 14 Samuel A. Adams John F. Comfort Robert M. Ferguson Kenneth E. Gross G. Marshall Whitacre David H. Johnson L ibrary Don G. Willard, Chairman 15 Warren F. Smith Robert M. Freeman William E. Avery Public Health Lawrence N. Brigham, Chairman 16 Robert M. Freeman Cecil R. Fargher Robert C. Johnson Orv’is A. Harrelson David L. Sparling Kenneth J. Ritter House and Attendance John R. Alger, Chairman Maurice Yoachrm Robert Klein William W. Mattson, Jr. Civil Disaster Edward R. Anderson, Chairman 20 Loy E. Cramer Leo Annest Charles E. Kemp Robert R. Burt Richard B. Link Kenneth D. Graham Robert D. McGreal 21 Gerald Geissler T. R. Haley Leo F. Sulkosky Philip Grenley David T. Hellyer Arthur P. Wickstrom D ia b etes Robert A. O’Connell, Chairman 23 Carl J. Scheyer Robert A. Kallsen Roy H. Virak Entertainment William L. Rohner ^ Walter L. Sobba 24 John R. Flynn G eriatrics S. Robert Lantiere, Chairman Herbert C. Kennedy llarold F. Kahler 28 K enneth L. Pim Legislative J. Hugh Kalkus, Chairman Homer W. Humiston Herman S. Judd 29 K. R obert Lang B. D. Harrington John M. Shaw Wayne W. Zimmerman Medical Education 30 Gordon Dean Edmund A. Kanar, Chairman Glenn G, McBride Bernard R. Rowen 31 Lewis A. H opkins James Mason (Ex-officio) Operation Hometown Douglas P. Buttorff, Chairman Schools George C. Gilman, Chairman Cecil R. Fargher Dudley W. Houtz Orvis A. Harrelson Everett P. Nelson Mental Health Cover photo courtesy of . . . Hugo Van Dooien, Chairman James M. Blankenship .frrman W. Rose Poison Control D r . Gl e n n M c B r id e Claris Allison, Chairman

Bulletin Staff E d it o r ...... - - Stanley W. Tuell Business Manager_____ Judy Gordon Auxiliary News Editor Mrs. Robert R. Burt

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For the past three years in the late Fail, the Uni versity of Washington medical faculty has sponsored a medical conference at Pack Forest near Eatonville. The purpose of the meeting is to create better liaison and understanding between practicing physicians in the state and those engaged in part time or full time academic medicine. It is a very valuable meeting and allows us to get acquainted with our “counterparts” and discuss com mon problems in a relaxed manner and informal sur roundings. Dr. Elmer Wahlberg and I had the great privilege of attending the conference last month repre senting the State Academy of General Practice and your County Society respectively. About 100 physicians were in attendance. The discussion concerned the implications and implementation of Public Law 89-239 (The DeBakey Amendments). Dr. William Kissick, Special Assistant to the Secretary of H.E.W., gave a very comprehensive and well-presented report on Regional Medical Programs. Dr. Howard Doan, Director of Hospitals and Medical Facilities of the A.M.A., pointed out that the bill as passed was greatly modified through the efforts of the A.M.A. Advisory Committee. The original bill was an affront to the practicing physicians, implying the lack of optimum medical care, and threatened a breakdown of the traditional referral system. Dr. Doan believes that the bill as passed can be a definite help to the Community Hospital. The requirement of coordination has been replaced by coopera tion. At present, the bill will be implemented as a pilot program with the first appropriations being spent entirely on planning, feasibility studies and education of medical and para-medical personnel. In spite of the benign sounding language of the Public Law 89-239, most of us recog nize it as another federal “foot in the door”, and realize that as the annual appropriations increase (as written in the bill) over the next three-four years, the original purpose and intent of the bill will be accomplished. This year is rapidly drawing to a close and I want to thank the membership for giving me the privilege and honor of serving as their president. It has been a year marked by political changes which will have a profound effect on our professional and personal lives. I’d like to express my appreciation of the fine work carried out by all of the Committees of the Society, and for much-needed advice given to me by Mrs. Judy Gordon, Dr. Tuell, Dr. Rigos, Dr. Humiston, and numerous other fellow physicians. Again, thank you! —F r e d e r i c k J. S c h w i n d , M.D. B U LLETIN of the Pierce County M edical Society 11

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Guest Editorial

WHAT'S A MEDICAL EXPLORER POST?

It is our sincere hope that each of you will know the answer in the very near future. Tacoma General Hospital accepted the invitation of the Mount Rainier Council, Boy Scouts of America, to sponsor a Medical Explorer Post. This post will be limited to male high school junior and senior students with an interest in any field of health services—not medicine alone. It will be their organization with adults as advisors and consultants only. Unfortunately, the number will be limited to 40 to 50 so that publicity will be at Wilson High School only; however, any junior or senior in Pierce County (including especially your sons) if interested may contact Mr. Marion A. McRea at the Boy Scout office or Dr. James B. Mason at Tacoma General Hospital for further information. The first meeting will be in early December so this is short notice. Meetings wall be held twice a month in the evenings at Tacoma General Hospital who will also supply the administrative and clerical needs. A tentative program including all the fields of health services has been proposed and will be decided by the members of the Post. Health administrators, dentists, veterinarians, pharmacists, physical therapists, laboratory technicians, radiology technicians and others in the health field will be asked to make this a good program for these fellows. A benefit to them might be part time or summer jobs through their Post. This will be looked into further. In this era where there are many “glamorous” fields, the need to stress service to our fellow man needs to be re-emphasized. We think this program will attract competent young people of high ability and dedication to the field of health services. If a few of them become physicians we feel that we have accomplished our goal of offering a “positive” program. More manpower, more ideas and your cooperation is needed to make this program worthwhile to these fellows. Don’t hesitate to volunteer your services! We are counting on you to help us.

—G e o r g e A. T a n b a r a , M.D. (Members of the Medical Explorer Post Committee are: Drs. George Tanbara, Kenneth Graham, T. R. Haley, Richard Huish, James Mason; Mr. Walter Huber, Administrator, Tacoma General Hospital; Mr. Don Morgan, Radiology Technician, Advisor; Mr. Richard Driskell, Pharmacist, Associate Advisor.) B U LLETIN of the Pierce County M edical Society 13

V-Cillin K now costs approximately 21 percent Indications: V-Cillin K is an antibiotic useful in the less. This significant price decline constitutes a treatment o f streptococcus, pncumococcus, and gon* substantial saving and still offers these important ococcus infections and infections caused by sensitive benefits over penicillin G: strains of staphylococci. Contraindications and Precautions: Although sensi The effectiveness of intramuscular penicillin. Just tiv ity reactions are much less common after oral three 250-mg. doses daily provide total twenty- than after parenteral administration, V-Cillin K four-hour penicillin blood levels equal to those should not be administered to patients with a history achieved by injection of 600,000 units of procaine of allergy to penicillin. As with any antibiotic, ob servation for overgrowth of nonsusceptible organisms penicillin G. A fourth dose increases daily pen- during treatment is important. icillemia to ievels 35 percent above those achieved Usual Dosage Range: 125 mg. (200,000 units) three by injection. times a day to 250 mg. every four hours. Consistent dependability—even in the presence of Supplied: Tablets V -C illin K, 125 or 250 mg., and food. Comparative pharmacologic data show that V -C illin K, Pediatric, 125 mg. per 5-ce. teaspoonful, V-Cillin K produces peak blood levels t w i c e as in 40, 80, and J50-cc.-size packages. high as those of penicillin G, with h a l f the dose. New, thin coating . . . new size and shape. The V-Cillin K new coating eliminates the characteristically bitter Potassium Phenoxymethyl taste of oral penicillin and makes V.-Cillin K Penicillin tablets easy to swallow. The new shape makes Additional information available to phy them easy for physicians and pharmacists to sicians upon request. Eli Lilly and Com identify. pany, Indianapolis, Indiana. 14 B U L L E T IN of the Pierce County M edical Society

IN MEMORIAM modern health department, were shaped and molded skillfully to bring the best in health protection to his community. His department pioneered efforts in child guid ance clinics, clinics for the retard ed, rehabilitation programs for the alcoholic and the vocationally handicapped, and in raising health standards for the migrant worker. He had a great and justifiable pride in the department since he knew it could always meet the challenge. It is also noteworthy that his department was often Dr. Cecil Rhodes Fargher was chosen to pilot new public health born in The Dalles, Oregon. He programs in the state. died on November 7, 1965 in his Cecil Fargher was devoted to sixty-third year. his work but his greater devotion Dr. Fargher graduated from the was to his family. He met his wife University of Oregon School of Molly while at Harvard. They had Medicine in 1928. He interned at twin sons, Robert and Thomas. the Multnomah County Hospital, Cecil Fargher was a sincere, Portland and went into general modest and considerate man. His practice in Wenatchee, Washing reserved and quiet manner would ton. From 1933 to 1943 he was often belie the real keenness of the health officer in Wenatchee his mind. He had a fine sense of and Vancouver, Washington. In humor and as the occasion de 1939 he received a Master of Pub manded a delightful wit. He ac lic Health degree from Harvard. cepted his responsibilities eager He came to Tacoma in 1943 to ly and with no other thought than become the city health officer and to do the best he knew how. He in 1949 he became director of the was a man of the church as well combined Tacoma-Pierce County as a man of family. He was warm Health Departments. Under his and likeable and met others easily guidance the department received both professionally and socially. recognition as one of the finest in For himself he enjoyed most of the state. all his family but he liked on oc Cecil Fargher saw many casion to do a little fishing, to see changes in public health take a ballgame, to work in his garden place in his time. He took the best or to try his hand at cooking. of these and put them to use in Cecil Fargher was a good his health department. Communi friend and a good doctor. He loved cable disease control, public health his family and he served his com nursing and sanitation control munity well. He will be missed. programs, the foundation of the —T e d A p a , M .D . B U LLETIN of the Pierce County M edical .Society 15 Doctors Hospital Construction Soon; Bids Nearly Ready

Seventeen 2-story-high columns give room. Both clinical floors will have 35 a colonial touch to the front view of the beds in the north wing, with central otherwise modernistic straight lines of nurses’ desk, medicine, dictating room the new Doctors Hospital to be built and examining or treatment room on across the alley from the present struc each floor. There will be two 4-bed ture. Construction is expected to begin wards on each clinical floor .The rooms shortly after the first of the year, ac closest to each nursing station will have cording to Dr. Cyril B. Ritchie, Presi the necessary conduits and wiring built dent of the Board of Trustees of the hos into the walls so that they may be con pital, and James B. Feutz, hospital verted to intensive care units at any time administrator. in the future if indicated. Although four stories are involved, A small chapel will be close to the only two will project above the street waiting room on the main floor. An un level on the front entrance side of the usual feature of the surgical area will be hospital at 737 Fawcett Ave. The low the presence of a “common” lounge area est floor will be at alley level and will between the doctors’ and nurses’ have 61 parking stalls. A ramp will lead lounge areas. from the alley up to the next level and space for 36 more cars. Also on this level will be much of the service facili Sunday School Story ties, such as the kitchen, dining room, President Johnson was driving employee lockers and linen room . through a depressed area and he stop As well as the waiting room, recep ped to chat with a farmer plowing his tion desk and administrative offices, the field. The President urged that the portion of the building to the right of farmer seek federal help to replace his the main entrance on the main floor obsolete plow, re-build his farm build will house certain professional facili ings and construct a better fence. The ties such as the x-ray department, physi farmer refused each offer and gave the cal therapy equipment and the clinical annoyed President a Bible reference. laboratories. Directly above, on the sec Proverbs, Chapter 26, Verse 17, reads ond floor, will be the four operating as follows: “He that passeth by, and rooms, and an emergency room. The meddleth with strife not belonging him, two elevators will be in the central core is like one that taketh a dog by the of the building, one for visitors and the ears.” other mainly for patients and taking patients from the ambulance entrance to the clinical floors or to the emergency PATRONIZE YOUR ADVERTISERS 16 B U L L E T IN of the Pierce County M edical Society ing to take an accurate history of an African Report: obscure complaint when you are talk Taking History Uses ing through two interpreters in three languages. We end up treating the dis Three Interpreters eases which are obvious and ignoring the vaguer complaints. Our hospital of 132 beds is serving a population of possibly a hundred thou sand people. For the great majority of Africans there are not nearly enough physicians and hospitals. The Africans are taken care of by a number of small hospitals like ours. Some are Mission hospitals owned by the different Chris tian Churches; some are Government owned. They are all too small, under K e n n e t h H. S t u r d e v a n t , M.D. staffed. under-financed, under-equip (The following is quoted directly, ped, and with limited drugs and from a letter from Dr. Kenneth H. Stur supplies. devant, Puyallup physician who is serv In addition to the hospitals there are ing in a mission hospital in Kenya, East many dispensaries operated by both A frica.) classes of hospitals. We have eight, one Kendu Mission Hospital of which is ninety-two miles away. The Kendu Bay, Kenya dispensaries are manned by male grad East Africa uate nurses, known as Dressers. They October 22, 1965 are actually practicing physicians. They It has been seven months since do much good and we are sure that the Evelyn and I arrived in Kenya. We are good outweighs the mistakes, many, just beginning to get acquainted with many times. They treat malaria, worms, the country and its people. Thinking amebiasis, pneumonias, urethritis, min that some of the Society members might or injuries, etc. One of we two physi be interested in our work here I am cians visits each of our dispensaries sending this long letter. once each month to see patients and to Kenya has within its borders about check on the administrative work of seventy tribes. Each has a different the Dressers. It’s a two day trip for each language and different customs. Some of us by Land Rover. of the tribes live partly in Kenya and Our hospital is typical of most of the partly in one of the adjacent countries. others. The buildings are old. They are Some of them have been hereditary ene poorly lighted and that only part-time mies for many generations. The Kenya by our own generator. Much of the fur government has done an excellent job in niture and equipment is also old and dif erasing most of these enmities, stabiliz ficult to use. The autoclave in surgery ing the country and bringing it econom is operated by steam generated by a ic advancement. In the few months we wood fire. Sewage disposal is inade have been here we have seen some eco quate. Our water is pumped from a very nomic betterment. muddy river. We filter out most of the Most of our patients are from only dirt. For drinking we use boiled rain two tribes. However, at any one time water. Each house has a large masonry we may have eight or ten different tank to collect this water. In spite of the languages represented in our hospital inconveniences we manage to supply patients. The problems of interpretation fairly modern medical and surgical are often very large. Frequently we have service. to talk through two interpreters and oc We have a Training School for Nurses. casionally through three. Imagine try The course has been four years but the BU LLETIN of the Pierce County M edical Society 17 Kenya government has recently direct soma; these are very commonly, plus ed us to shorten it to three. The educa others not so commonly. Amebiasis is tion is somewhere between an Ameri very common. We do not cure it with can Practical Nurse and a Registered our present medicines, perhaps be Nurse. Everything is taught in the Eng cause they are reinfected so quickly. Fil- lish language which, of course, is diffi ariasis and Trypanasomiasis are rare cult for the Africans. In East Africa here. All the lakes, ponds, swamps, and they are taught English in school from streams in this area are contaminated the first grade, but it is still difficult for with shistoma. The contamination ex them. I have been surprised they do so tends clear down through the Nile to well. We also have a School for Mid Egypt. So far, there has been no method wifery. We have one of only two quali devised to clean up these waters. Since fied tutors of m idwifery in the entire the people drink and bathe in the water, country. We have a total of four Euro the disease is common. pean nurses. One is from California, We have the usual contagious dis two from Australia and one from West eases of childhood. The rashes look Germany. They are called “Sister” here much different on African skins than as in England. And white people, re at home. Smallpox has not been seen. gardless of nationality, are called Meningococcus meningitis is very com Europeans. mon. We nearly always have one or We see and treat most of the dis more cases of this. Acute hepatitis is eases of America, plus some you never with us frequently. There is much rheu see there. matic heart disease in children, but Everyone carries malaria parasites in very little in adults; they do not sur his blood and is frequently very ill from vive childhood. Scabies,, impetigo and it, especially the children. We test every other skin diseases are with us continu patient for it and it is only about once ally. The hospital is seldom without a in two months that malaria is not case of typhoid. Most of them survive. found. The symptoms of this disease We are practically never without at can mimic almost any other illness. least two cases of tetanus, including tet Only the few Europeans take prophylac anus neonatorum. The new-boms die; tic treatm ent, and even we have seiges most of the others survive. with it. Malaria takes the lives of many infants and children. If they survive We see little heart disease and hyper childhood they have a partial immun tension in adults. Diabetes is seen oc ity to it. Many small children are seen casionally. We give insluin and oral with hemoglobin readings (Sahli) of 5 hypoglycemics in the hospital, but then to 15%, due to this disease and to the they go home and have no treatment. accompanying malnutrition. The one How can you teach diabetic manage with 5% died; the others we keep alive ment to one who has absolutely no with blood transfusions. We have saved health education, cannot read Eng one with 8% . They are anemic so much lish and has nothing written on health of the time that their physiology in her tribal language? changes to accommodate for it. Chil dren with readings of 45 to 50% are very active physically. Cerebral malar (In his concluding installment next ia with stupor and coma are common month, Dr. Sturdevant tells of his man in children. We also have many chil agement of traumatic, urologic and ob dren with Sickle Cell anemia. They stetrical problems in the heart of eventually die, very few reaching adult Africa. —Ed.) hood. Enough do, however, to keep this congenital disease always present. Other parasites are: tapeworms, round worms, hook worms, schisto PATRONIZE YOUR ADVERTISERS! BULLETIN of the Pierce County M edical Society 18

WHILE WAITING DINNER

WOMAN'S AUXILIARY . . . To The Pierce County Medical Society

AUXILIARY O FFIC ER S— 1965-1966 way that each succeeding age of rea President ...... Mrs. Merrillsoning J. Wicks man has pointed to it as the President-Elect ...... — Mrs. George C. Gilman 1st Vice-President and Program Mrs. Robert A. Kallsen very essence of all that is wondrous in 2nd Vice-President and Social. Mrs. Arthur Wickstrom 3rd Vice-President and Valley Rep ...... Mrs. Charles Vaught the printed and spoken word.” 4th Vice-President and Membership Mrs. Roy H. Virak Recording Secretary ...... Mrs. Leonard G. Morley November Meeting Corresponding Secretary ...... Mrs. Ronald T. Spangler Treasurer ______—Mrs. Thomas H. Skrinar A lovely treasure awaited Auxiliary Dues Secretary ...... Mrs. Glenn H. Brokaw AM A ER F ______Mrs. Francis W. Henningsmembers who donned their pirate cos Civil Defense and Safety ------Mrs. John S. May Historian and By-Laws ______Mrs. Herman S. Judd tumes and, with map in hand, "follow L egislative ______Mrs. Sherm an S. Pinto Paramedical ______Mrs. Frederick J. Schwind ed the arrows” to the November meet P ublicity ______Mrs. Marcel Malden ing at the home of Mrs. Theodore Bulletin - — ______Mrs. Robert R. Burt Speakers Bureau ...... -.Mrs. John Colen Sm ith. Mrs. Richard F. Barronian T elephone ...... — Mrs. Vernon O. LarsonThe treasure? A jewel of a luncheon, Mrs. George A. Tanbara M inute W om en ______Mrs. H arold D . Lueken of course, with warm fellowship plus a Mrs. Jack W. Mandeville Coordinator of fascinating talk by Grace Fredericks of Community Services —...... Mrs. Robert W. Osborne H eart ...... _..Mrs. Robertthe C. W Johnson ashington State Historical Society. Cancer ______Mrs. Jack J. Many Erickson thanks to Jan O’Connell, Chair F inance ______... Mrs. Haskel L. Maier D an ce ...... - ______Mrs. David F. Dye man; Margaret Harris, Co-chairman; Mrs. Gordon Dean Fashion Show ...... Mrs. Homerand T. their Clay committee, Marion Doherty, Mr.s. D ale D . D oherty Mental Health ______Mrs. James E. Hazelrigg Jeanne Judd, Ruth Meier and Mary T od ay’s H e a lt h ______Mrs. Robert M. Ferguson Cook Book ______Mrs. Stanley W. Tuell R ohner. International Health ...... Mrs. Charles McGill No Meeting in December “And it came to pass that ivhilst they As in the past, there will be no meet were there she completed the days of ing in December, but if you need some her delivery and brought forth her first thing to put you in the mood for the born son.” holidays, just pick up the December —L u k e copy of “Today’s Health” in your hus The story of the nativity . . . and isn’t band’s office. An adorable brown-hair it wonderful indeed that this greatest ed, hazel-eyed “lil’ angel” all dressed in news story ever written was “commit red and white smiles at you from the ted to papyrus” for countless millions of cover with all the wonder and magic of human beings by a DOCTOR, not a Christmas expressed in her tiny face. writer, but a man who was primarily a And if this isn’t enough, just read the physician. In a few hundred golden articles, “The Greatest News Story” by words, he wrote the story in “such a Bob Considine, “A Little More Time,” “If B U LLETIN of the Pierce County M edical Society 19 I Were King”, and “Christmas Gifts the world and unite all mankind into Children Can Make.” one religious faith by the year 1999. A new book that is an inspiration to Away From The Phone read and would be a wonderful Christ Dr. and Mrs. Kenneth Gross recent mas gift is “The Gift of Prophecy” by ly returned from the International Con Ruth Montgomery. While in a book gress of Radiology in Rome, Italy, where store recently, I picked up a copy of Dr. Gross had been invited to give a this best seller and was so fascinated I paper. Keaty was especially impressed couldn’t put it down again. It is the story with the way in which this International of the phenomenal Jeane Dixon, a group was organized and represented all Washington, D.C. matron, who has the countries of the world. The doctors’ been predicting world shaking events wives were very graciously treated and with amazing accuracy. She foretold the taken on various tours of Rome. Dr. assassination of John F. Kennedy and and Mrs. Gross also attended the Recep tried to get a friend who was close to tion at the Mayor’s Palace. the Kennedys to warn him not to take Before returning to the United States, the trip south; she predicted the down they stopped in Israel where they had fall of Nikita Krushchev, the airplane an opportunity to view the Dead Sea crash that killed Dag Hammarskjold Scrolls and note the extensive building and the 1964 Alaska earthquakes. and progress of this country. Other stops A devout Catholic, Mrs. Dixon be were made in Greece and London, but lieves she has a God-given gift of pro- Keaty wishes there had been “more precy and her greatest prediction for time” to really visit. the future foretells the coming of a Quips From The M.D. Family new savior, bom of poor parents in the Some years ago little Jimmy said, Middle East shortly after 7:00 a.m. on “Mommy, you said I could do it some February 5, 1962. He will bring peace to day . . . when’s ‘someday’? Is that like Christmas?” How often we put our children off with “someday!” We are so busy. But our Tacoma Brace children, whether grown-up or small, are our most precious possessions and & Limb Co. the time we have them close to us is so short . . . why not make this Christmas Lenart C. Ceder, owner that “someday” and do all the crazy, de lightful things we’ve said we would do ☆ — SOMEDAY! Merry Christmas! Expertly fitted— —L o r n a B u r t Artificial Limbs Orthopedic Appliances Thank You, Doctors Surgical Belts Auxiliary Members Arch Supports As your AMAERF chairman, I wish Trusses to thank you for your support of our Christmas card project. Your enthusi astic response to our appeal for funds ☆ for research and education has put us past the $1,000 mark. Fifty-three doc tors have contributed $1,247 which has FUlton 3-4439 been sent in to national AMAERF from 723 South K Street Pierce County. Thank you, and Merry Christmas! —B e t h H e n n in g s 20 B U L L E T IN of the Pierce County M edical Society

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FREE PRESCRIPTION DELIVERY B U LLETIN of the Pierce County M edical Society 23 With Apologies Internists Invite To Gerhart . . . Others To Present Cases At Meeting “Medical Emergencies” will be the theme of the March, 1966, meeting of the Tacoma Academy of Internal Medi cine, according to Dr. George Race, pro gram chairman. In a departure from the usual custom, case presentations on the program will not be limited to cases of internist-members of the Academy. In view of the universal appeal of the subject, all physicians in the area are invited to write up interesting case his tories pertinent to the subject. All case write-ups should be turned in to Dr. Race at 512 Medical Arts Building, and the most appropriate The Bulletin’s Dr. Drucker cases will be selected for presentation at the March meeting. Further details of the program will be announced later.

Osborne Pays Fare, Cable Car De-railed; Princess Rides Free Scene on a steep San Francisco hill in November: Dr. Bob Osborne and Larry Evoy of the Pierce Country Medi cal Bureau peering under a derailed cable care trying to tell the conductor how to get the old-fashioned convey ance going again. The conductor re mained unruffled, however, pointing out that he had a swelled head, having just The Real Dr. Drucker given Princess Margaret a ride on the Gerhart Drucker, the mountain-climb same car just an hour before. ing doctor featured in the last two is Same scene, 2 m inutes later-. Henry sues of the Bulletin, is hardly the kind Kastner, legal advisor for the Washing of fellow to need a rope railing to guide ton State Medical Association, has ar him across a level surface, as implied rived on the scene and Bob Osborne is by the top picture above as printed probing him for advice on how to get in last month’s Bulletin. . . . Below his 15 cents fare back. After all, the is seen the picture as it should have Princess had a free ride, with no been printed—showing the real Dr. accidents. Drucker rapelling down a sheer, per Happy ending: All passengers trans pendicular rock cliff in Mount Rainier ferred to another car; no need for legal National Park. Our apologies to Dr. action for 15-cent refunds. Drucker and our thanks for his two fine contributions to the Bulletin. (Ed.) PATRONIZE YOUR ADVERTISERS 2 4 B U L L E T IN nf the Pierce County M edical Society

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In most patients with strains and Also available with Va gr. codeine as 'Soma’ Compound with Codeine: cariso prodol 200 mg., phenacetin 160 mg., caffeine 32 mg., codeine phosphate sprains, ‘Soma’ Compound can 16 mg. (Warning: may be habit-forming.) Indications: 'Soma' Compound and ‘Soma’ Compound with Codeine are useful for relief reduce recovery time because of of pain and stiffness in traumatic, rheumatic and other conditions affecting muscles and joints. Contraindications: Allergic or idiosyncratic reactions to carisoprodol, phena its ability both to relieve pain cetin, or codeine phosphate. Precautions: Phenacetin-With long-term use, give cautiously to patients with anemia and cardiac, pulmonary, renal or hepatic disease. May damage the kidneys when used in large amounts or for long periods. Caffeine—Hoi recommended and to relax muscle. In a con for persons extremely sensitive to its CNS stimulating action. Codeine p h o s p h a t e - ^ with caution in addiction-prone individuals. Carisoprodol— Carisoprodol, like other central trolled study of patients in an nervous system depressants, should be used witn caution in patients with known pro pensity for taking excessive quantities of drugs and in patients with known sensitivity to compounds of similar chemicai structure, e.g. meprobamate. Side effects: Drowsi industrial practice, B. 6. Conant ness, lightheadedness, dizziness, and gastric complaints have been reported infrequently for either or both of these preparations. Phenacetin-Side effects are extremely rare with short-term use of recommended doses. Prolonged ingestion of overdoses may produce reported that ‘Soma’ Compound dyspnea, cyanosis, hemolytic anemia, skin rash, anorexia, subnormal temperature, insomnia, headache, mental disturbances, and tolerance. Caffeine — Side effects are shortened recovery time an aver almost always the result of overdosage. Average doses may rarely cause nausea, nerv ousness, insomnia, and diuresis. Excessive dosage may produce, in addition, restless ness, nervousness, tolerance, tinnitus, tremors, scintillating scotomata, tachycardia, age of 25% as compared with and cardiac arrhythmias. Codeine phosphate-Poss\b\e side effects are nausea, vomiting, constipation, and miosis. Carisoprodol— The only side effect reported with any frequency aspirin.1 In addition, complete or is sleepiness, usually on higher than recommended doses. An occasional patient may not tolerate carisoprodol because of an individual reaction, such as a sensation of weakness. Other rarely observed reactions have included dizziness, ataxia, tremor, marked relief was noted in 94% agitation, irritability, headache, increase in eosinophil count, flushing of face, and gastrointestinal symptoms. One instance each of pancytopenia and leukopenia, occur of patients treated with ‘Soma’ ring when carisoprodol was administered with other drugs, has been reported, as has an Instance of fixed drug eruption with carisoprodol and subsequent cross-reaction to meprobamate. Rare allergic reactions, usually mild, have included one case each of Compound, as compared to 46% anaphylactoid reaction with mild shock and angioneurotic edema with respiratory diffi culty, both reversed with appropriate therapy. In cases of allergic or hypersensitivity of patients treated with aspirin. reaction, carisoprodol should be discontinued and appropriate therapy initiated. Suicidal attempts may produce coma and/or mild shock and respiratory depression. D o s a g e : Usual adult dosage of ‘Soma’ Compound or 'Soma' Compound with Codeine is one or 1. Conant, R. G.: Reduction of industrial time-loss: two tablets three times daily and at bedtime. S u p p lie d : 'S om a' Compound, orange tab* treatment with carisoprodol compound in muscu lets, each containing carisoprodol 200 mg., phenacetin 160 mg., and caffeine 32 mg. loskeletal disorders. Industr. Med. Surg. 3 3 : 2 5 , Soma' Compound with Codeine, white capsule-shaped tablets, each containing cariso* Jan. 1964. rodol 200 mg., phenacetin 160 mg., caffeine 32 mg., and codeine phosphate 16 mg. Rarcotic order form required. Before prescribing, consult package circular.

WALLACE LABORATORIES/Cranbury, N. J. cso-stij B U LLETIN o f the Pierce County M edical Society 25 Our new Intensive Care Unit is get Tacoma General ting nearer to being ready for occu The Department of Pathology and pancy. Equipment for the unit is still Laboratories has been a busy one this being evaluated and we’re still in the past month. Miss Lucille Larson attend process of lining up staff. The remod ed an Instrumentation-Product show eling of 323 is complete, and as usual and a seminar on Blood Gas Analysis. our carpenter and engineers have done Dr. Charles Larsen and Dr. M. J. a beautiful job. This unit will be the Wicks attended the ASCP-CAP meetings first Intensive Care Unit in Pierce Coun in Chicago, while Dr. C. C. Reberger ty, and we are proud of its progress to went to Washington, D. C., at the Asso date and are anxious for that time when ciation of Clinical Scientists meeting. we can admit our first patient. Drs. Merrick, Price and Sohn, resi dents in Pathology spent two weeks at “DO YOU KNOW" various seminars held in the state. From Your P.T. Department The Clinical Laboratory Staff and Stu That your P.T. Department is getting dents in Medical Technology held an national recognition by inquiries from Open House on November 18. Included various hospitals regarding carpeting in in the program was a tour of the the department? Zaboratories. That your P.T. Department is also known as your “Happy Department” because patients leaving feel better mentally and physically? Saint Joseph's That the relaxing music throughout News From Nursing Service the department is most helpful for the Nursing Service has been a busy patients? area this past month. Our fire and safe That “Virginia” is back after a short ty program is moving ahead. A film on illness with her happy smile and help “Fire in Your Hospital” was shown to a ing nature? majority of the staff which very graphi That “Swan” will be most happy to cally illustrated some of our needs. Mr. hear any comments or suggestions from Church from the Fire Department re the medical profession in order that viewed the type of fire extinguishers and their patients may receive the very best their use for the different kinds of fires. of attention, or have their patients re Sister Michael Catherine and Mrs. ferred to the P.T. Department? Craton attended a course in Hospital Third Floor News Management Improvement sponsored The special edition about hospitals by the Catholic Hospital Association published by the “Northwest Progress” and held at the Edmond Meany Hotel in on October 22, 1965, was a big hit with Seattle. The two spent a very busy week those on the third floor of St. Joseph’s learning a new teaching technique Hospital. The pictures of our hospital which they will soon be utilizing here. and some of the staff members were This course had much to offer in help excellent. We also made the front page ing supervisors fill their roles both as of the Tacoma News Tribune when Mr. leaders and as guides in self develop Tom Cross, husband of Ruth Cross, ment of their personnel. We will be R.N., announced his program for hearing much more about this course health, “Jogging for Fitness.” We are and we hope we will soon see the bene all on our way to our first 100 miles by fits of it for all our personnel. now; have you started yet? Sister James Helene and Mrs. Rogala We would like to welcome Mrs. Pa will be attending an institute on “The tricia Kuchesky from Albany to our Patient with a Psychiatric Diagnosis in staff. She is a graduate from Albany a Non-psychiatric Setting” to be held Memorial Hospital and her husband is at the University of Washington School of Nursing on December 9 and 10. ( Continued on Page 27) MOUNTAIN VIEW FUNERAL HOME

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4100 Steilacoom Boulevard JUniper 4-0252 BU LLETIN of the Pierce County M edical Society 27 (Continued from Page 25) a captain in the Army, and is stationed at Fort Lewis. We also welcome Mrs. Alice Rogala, R.N., and Mrs. King, L.P.N., back from their winter vaca tions. Mrs. Thelma Reed has recovered from her recent surgery and has re turned to work. Ann Steiger has recup erated from her illness and has re turned to work. Mrs. Ellen Roberts has recently undergone surgery on her feet; we wish her a speedy recovery. Third floor has been presented re cently with a new portable scale for weighing patients. It can be seen and tried for size on third south. Would you like to breathe the cool moist sea air of Hawaii or Palm Beach? Stop in and see the cold mistifiers in ac tion on third floor and dream a little. The new Intensive Care Unit is pro gressing by leaps and bounds. One of these days we will be announcing an open house. Everyone is looking for ward to it. Merry Christmas to all. Count your blessing, for they are many. Surgery News Among the new faces you will find in our surgery cvrew are those of Dorothy Kennell, R.N., Chris Pancho, R.N., Kathy Rettenmaier, R.N., Ellen Stone, Technician, and Serena Kratovil, Nurse’s Aide. Joyce Frederick and Colleen Kenyon have been elected by the A.O.R.N. Ever green to attend the 13th annual A.O. R.N. Congress in Chicago from Febru ary 20th to the 24th. The girls are selling candy bars to help finance their trip. They are deli cious chocolate bars with almonds and cost only 50 cents each. If you haven’t received yours, stop by surgery and the girls will gladly sell you one. Maternity An inservice meeting was held on November 4 in the Maternity Depart ment. A film was shown, the name be ing “Mr. and Mrs. Maternity.” Fiften at tended the film. The film was shown to prospective parents in the evening and 28 attended. 2 8 B U L L E T IN of the Pierce County M edical Society

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PHYSICIANS' AND HOSPITAL SUPPLIES B U LLETIN of the Pierce County M edical Society 29 called their doctor back and told him Society Supports about their financial difficulty. Lindquist Clinic Doctor X (that’s you) being a very smart doctor referred them to the school Here's Explanation nurse at Billy’s school for a referral to (Editor’s note: At the last County So the Carl E. Lindquist School Clinic. ciety meeting, President Fred Schwind Doctor X knew that the Lindquist School Indicated that the Society had con Clinic carries on a program of dental tributed $5,000 of monies left over and vision saving for children in the from the polio immunization drive, to Pierce County area. He knew that they the “Lindquist Clinic.” Dr. Orvis Harrel have two ophthalmologists who serve son here explains what this clinic is.) on the program to do refractions of Billy and his Mom had just been to children of marginal income families in the doctor and had a complete examin their own offices and then refer them, ation. They were talking about what a when they need glasses to the local op nice doctor Doctor X was (that’s you) ticians who make the glasses and sell and were saying to each other that he them to the Clinic at cost. had given a very thorough examina He also knew that there is a group of tion and had been a friendly fellow. dentists who volunteer their time to They were happy, too, that the doctor work in the Carl E. Lindquist School had told them that Billy was in good Dental Clinic which is located at the health, but they were concerned because Vocational-Technical Institute in con the doctor had said Billy had a lot of junction with the school’s dental assist cavities in his teeth and that his nurse, ant’s program. He knew further that when she screened Billy’s vision, had Billy would be able to get complete found that he was able only see the dental restoration care but not ortho 20/70 line with his right eye and the dontia or placement of dental prothesis. 20/50 line with his left eye. Although Doctor X (that’s you) is aware that Lindquist Clinic is avail Billy’s Mom was worried because as a able now for children of marginal in conscientious mother she wanted to come families who have dental and vis have Billy’s teeth and eyes check over ual needs, he did not know that this by a dentist and an ophthalmologist, Clinic has been in existence for thirty but she knew that with her husband’s years in Tacoma. It started out as a income it was going to be extremely dif function of the Junior Red Cross in the ficult for him to get this kind of help. schools and then when the Community The family had struggled and strained Chest was formed it became one of to stay off Welfare all these years and the original Chest members and has the father had held a steady job, but been part of the federated fund pro he had never been able to educate him gram every since. self or become skilled enough so that he could increase his income above a mar When the Clinic was incorporated it ginal level. was organized “to provide mental, den tal, surgical and/or hospital care for As Billy and his Mom talked and he the maintenance of sick or maimed chil said he didn’t want to go to the dentist dren from birth to age 21 years, and to or the eye doctor his mother said, well, provide for such other care for chil she wasn’t sure she could arrange it dren as may be found necessary to pro because of family finances. Billy had mote the health and well being of the made friends with the doctor and said children of Tacoma and Pierce County.” to his Mom, “Gee, maybe I could go Over the years, however, it has been talk to the doctor and maybe he will found that the main unfilled needs of know some place I could get this kind children of marginal income families of help.” His Mom agreed that this are dental and visual in nature. For this might be a good idea. The next day they reason the Board of Directors of the 3 0 B U L L E T IN of the Pierce County M edical Society Clinic has limited the services to those or at least a slow-down in the forward to the eyes and teeth. rush of government which not only The Clinic is primarily supported by tells us w h at is good for us, but also ,the United Good Neighbor Fund of appropriates our tax money to enforce Pierce County and serves children from its ideas. all of the schools within the United Medicare for the aged has become a Good Neighbor Fund giving area. The fact of life. How much this idea en present staff includes nine dentists and larges or grows is anybody’s guess. But two ophthalmologists on the profession the important thing to realize is that it al staff. There is a dental assistant and can be controlled if only we will make a dental hygienist who work with the the effort. There are approximately dentists. 200,000 precincts in the United States Administration is carried out by the with a potential of about 572 voters Director of Health Services of the Ta per precinct, or about 114,400,000 coma Public Schools and secretarial total voters. In the last presidential services are provided by the secretarial election only about 352 voters per pre staff of Health Services. Heat, light, and cinct voted for a total vote of about maintenance are carried out as part of 70,400,000. This leaves about 220 the dental assistant’s program of the voters p er precinct, or 44,000,000 who Tacoma Vocational-Technical Institute. did not vote. Because of these arrangements, a dollar It is everyone’s job to get out and given to the Lindquist Clinic is a dollar assert his citizenship by voting. And it used in service to children. is everyone’s job to encourage other —O r v is A. H a r r e l s o n , M.D. people to vote. It is not a matter just for the radio or TV commentator to give us AMPAC 1965 his view on an issue and tell us we In the November 4, 1965, Wall should be sure and vote, but it is a matter for the entire citizenry which Street Journal an editorial titled “Re certainly includes medical doctors. We volt of the Masses” reviewed the election of Mr. Lindsey and the exceptional have civic responsibilities which should showing of Mr. Buckley in the mayoral require us to be opinion makers. We election in New York. The editorial must study the issues and impart our stated, “We are naturally not looking thoughts to others. to a new conservative dominance in the There are numerous examples where nation’s political scales in any near the populace is not moved to get out future. Yet it would seem that the poli and vote. Earlier this year a school ticians in both parties will sooner or millage vote brought out only about later have to realize that literally masses 60% of the Tacoma voters. This is a of people are fed up with the surfeit of sad commentary on the apathy of the government at all levels, that they want public. But an even sadder commen to be treated as self-respecting human tary came in September when only beings instead of political Pavlovian about 10% of the voters came out to dogs. Thus, the conservative move vote for the school board officials who ment could come to constitute at least would be responsible for the spending a check—and a most necessary one in of that millage. our time— on officialdom’s unseem- This may not seem like the time to ingly urge to suffocate the individual.” be encouraging you to get out and It is encouraging to note this type vote now that the September and No of editorial. Government is getting big vember elections are over, but it seems ger and some type of check on it is that it is a never-ending job. We all let certainly necessary. AMPAC does not our voting rights slip by us at one advocate backing Mr. Lindsay or Mr. time or another for one reason or an Buckley, but we do back the idea that other. With past elections being re interested people can cause a revolt viewed at this time, we can see just how BU L L ET IN of the Pierce County M edical Society 31 important each vote is. Stop, doctor, A new patient coming into the clinic and think back on how many elections is first seen by Mr. Livengood, who de or millages you voted on this year, or termines the eligibility of the patient on even over the last four years. How the basis of income and the emergency good a citizen were you? nature of his crisis. His problem is fur —T h o m a s H. S k r in a r , M.D. ther evaluated by the rest of the staff State Chairman, AMP AC and then he is referred into the care of one of the psychiatrists, or a social worker, according to the individual’s 24-Hour Phone At need. Psychiatric care is given in the Mental Health Clinic private physician’s office, and care is limited to 15 hours of treatment. The May Prevent Suicides majority of patients thus far have A ‘Telephone Crisis Service” will needed only one to five hours of treat soon be available on a 24-hour basis ment. Patients are expected to pay a according to plans of the new Tacoma- limited fee, which varies with the in Pierce County Community Mental dividual’s ability to pay. Additional Health Clinic outlined by Dr. Hugo Van State and Federal monies are expected Dooren at the November meeting of to be available in the future to help the Pierce County Medical Society. Two continue the program. other members of the Clinic staff, Dr. Robert Quinn (PhD.) and Mr. Mark Livengood, a social worker now work Dept, of HEW Has ing full time for the clinic, also ap Social Security Info peared on the program and answered We were happy to make available, doctors’ questions about the project. Po in a separate mailing, to physicians in tential suicides and other persons in Pierce County a pamphlet on social se emotional crises are expected to utilize curity. Since this is your first year of the 24-hour phone service. coverage under the program we are The Mental Health Clinic idea began hopeful that the pamphlet will be of as early as 1958, was revived in 1962, value in answering some of the ques and the clinic was finally opened on tions you might have. November 2, 1964, at 109 North Ta We also wish to extend the services coma Ave. Finances were limited at of the Tacoma district office to you. We first and the large staff of psychiatrists will be very happy to answer any fur and social workers received an average ther questions you might have about social security. The address is 1016 So. of only $1.20 per hour for their work L St., telephone FUlton 3-2861, Ext. during the first 6 months of the clinic’s 301. existence. It is hoped to bring these Of particular importance at this time payments up to a maximum of $7.50 is the physician age 72 and over still per hour. active in the profession. Since there is The whole purpose of the clinic is to no retirement test at 72, if you are in provide emergency “crisis” care for this age bracket you would be entitled people who cannot afford regular pri to benefits as soon as you meet the work vate care. Especially with the aid of requirements on page 6 of the pamphlet. the 24-hour telephone service, it may Another area of immediate concern also serve an important routing func is the physician age 65 and over. You would be eligible for hospital insurance tion to help persons of better financial benefits regardless of prior coverage status who need urgent help to find a under social security. If you desired the way to get that help. hospital program and have not previ During the first year of service, 234 ously filed for social security benefits patients sought help at the clinic. 85% you should file a short form application of these had incomes of $3,000 or less, with our office so that an identification although the upper limit of income is card can be issued to you. $8,0000 under certain circumstances. —J a c k V. C h a s t a i n , District Manager Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Monday of each month— 8:00 p.m. at 424 South K Street TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 8:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August— 6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and August— 6:00 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December—