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(4] [ 5 J HOSPITAL AMBULANCE, KLOMJ\1\1 ll\ISTRUMEl\IT CO. OXYGEN AND EQUIPMENT OP THB GBORGB WASHINGTON 1822 Eye Street N.W. UNIVBRSITY MBDICAL CENTER CO., INC. PubRshed quarterly by the Women's Board of Ambulances - Oxygen Washington 6, D. C. The George Washington University Hospital, Washington Circle, Washington 7, D. C. Oxygen Tents Vol. 5 SEPTEMBER 1953 No. 3 Wheel Chairs • Walkers CONTENTS Hospital Beds Commodes HOSPITAL, PHYSICIANS AND SICK ROOM PAGE Hospital Emphasizes Safety...... 8 Bedside Tables and other invalid equipment SUPPLIES AND EQUIPMENT Better Health for Your Children . . . . . 10 JOHN P. McGOVERN, M.D. Rentals-Sales-Service All That Wheezes Is Not Asthma .... 12 • }AMES J. FEFFER, M.D• 24 Hour Service About Our Authors...... 17 MEtropolitan 8-3900 Grants ...... 19 Office and Showroom NAtional 8-6566 REpublic 7-4600 Cat Scratch Disease (Greece) ...... 20 1823 L St. N.W. DR. A. FLOROS Answers You Should Know...... 22 Our Doctors Say...... 25 Staff Reports on Research...... 29 TELEVISION In Memoriam ...... 31 COVER- The Hospital's first set of triplets pose for a first picture as they snuggle in arms of Nurse Jane F.M. RADIOS Smith. The babies are Debby, Wendy, and Harry Pressman. (See story, page 9. )

RENTAL Editorial Staff Editar ______Darothy Botts Marvin cocktails and dinner Associate Editor William Bagwell in the lounge Editorial Board of Review fro~ 5 to 9 for PATIENTS Dr. Cloyd H. Marvin, President of the University with delightful dinner music Dr. Walter A. Blaedom, Medical Director of the Hospital dancing from 7 p.m. • • • Mr. Victor F. Ludewig, Superintendent of the Hospital • to the music of i Dr. Winfred Overholser, Superintendent of St. Eliza· bath's Hospital your favorite Circulation and Advertising-Betsy Winter Padgett Call GIFT · SHOP orchestras Sustaining Subscriptions THE COURIER is being published by the Women's GEORGE WASHINGTON UNIVERSITY HOSPITAL, Ext. 531 Board af the Hospital to tell the story of Tho George Washington University Medical Center. Persons may assist this purpose as sustaining subscribers at $1.SO for one year and $2.75 for two years. Checks For Home Rentals-Llncoln 7-7600 should be mode ta THE COURIER and mailed ta tho treasurer of The Woman's Board, Mrs. W. D. Terrell, Jr., 5082 Lawall St. N.W., Washington 16, D. C. Entertainment tax after 7 p.m. [6] (7] Hospital Emphasizes Safety Gov't Leader Greets JN a hospital as large as The George Washington University Hospital the care Large Freshman Class of hundreds of sick and helpless patients makes the problem of safety a vitally The largest freshman class in the his­ important one. As a result, the University Hospital has studied carefully its working tory of the Medical School-102 students routine and has established new practices for the increased safety of patients, personnel -was welcomed to the School's BOth and visitors. session this month by University officials Two hospital committees meet regularly each month to carry forward this work. and Assistant Secretary of Defense One group, headed by the Director of Physical Medicine and Rehabilitation and in­ (Health and Medical) Melvin A. Cas­ cluding representatives from the nursing department and the chief resident physicians berg. of the various medical and surgical services, is responsible for developing safe prac­ Dr. Casberg, speaking to the freshmen tices for patients and hospital visitors. The other committee, headed by the Hospital's and to others of the Medical School's 350 Assistant Superintendent and including the heads of such service departments as students, stressed the need for reconsider­ laundry, dietary, engineering and housekeeping, is in charge of employee safety ing the "Art of Medicine." He pointed HONOR SCOUT-Sarah Jane Colglazier problems. serves meal to a patient during her round out that whereas 100 years ago the em­ of duties as a Girl Scout aide at the Hos­ phasis was almost entirely on the art of pital. Since she became an aide two years medical practice, today the scales have Patient Care Improved ago, the 16-year-old Wilson Senior High tipped until science is stressed as the chief School student has served 369 hours, the Recommendations from the first of these committees have already brought various top record among 72 Girl Scout aides in the factor in medicine. A balance between improvements, including better methods of administering medications-a big prob­ D. C. hospitals. the two is necessary if the medical pro­ lem in a hospital where thousands of dosages of medicine are administered weekly. fession is to continue to minister effec­ Other improvements include the addition of a permanent safety strap to every tively to the needs of the public, he em­ stretcher in the building to prevent any chance of a patient falling from one, the .find­ First Triplets Born phasized. ing of a better way to maintain waxed floors in safe walking condition, and the addi­ Other speakers at the opening assem­ tion of a new handrail at the main entrance for the convenience of all who enter there. At G. W. Hospital bly were University President Cloyd H. Patients have been asked to cooperate by obeying safety rules established for Wendy, Debby and Harry Pressman Marvin and Medical School Dean Walter their protection by never attempting to leave their beds until advised to do so by a arrived at the Hospital on Sept. 3, the A. Bloedorn. Medical leaders from the physician, by never reaching for anything not within convenient distance, and by first triplets to be born in the new build­ government, the armed services, and pri­ asking for bedside rails, which are always available, if there is any reason to feel a ing since its opening in early 1948. vate organizations were guests at the need for them. Parents of the two girls and one boy meeting. are Mr. and Mrs. Irving R. Pressman of Employee Problems Solved Arlington, Va. The Pressmans have two Heart Diseases Emphasized other children, Alan, 10 and Marlene, 7. In Postgraduate Course From the second committee's work many protective procedures for employees have According to national statistics, triple evolved. Wooden mop handles have been replaced by metal ones, thus eliminating births occur about once in every 8000 Heart disease-the nation's No. 1 fatal accidents from wooden slivers. Steel wool has given place to plastic scouring pads cases. At the Hospital, 15,750 babies illness-will be the subject of the Medical for pots and pans to avoid injury from steel slivers, and smaller garbage cans are now were born during the five and one-half School's postgraduate course for Wash­ used to prevent back strains or injuries. All employees are asked to use safe foot year period before the Pressman triplets ington area physicians this Fall and wear, the women, in particular, being requested to wear oxfords with rubber heels so arrived. Winter. as to decrease the danger of slipping and falling, and also to prevent fatigue. ------The part-time course will emphasize The development of a program of .fire protection is another important safety Intern Quarters Moved the recognition, diagnosis and treatment measure. Every month a .fire alarm test is made for all three shifts of the Hospital's To provide more room for bed pa­ of various heart diseases, said Dr. Thomas employees so that each person will know exactly what to do in case of .fire. The em­ tients, the Hospital's intern quarters have M. Peery, director of postgraduate in­ ployee health program also brings greater safety for employees and patients. Each been moved from the main building to a struction. It will begin Oct. 8, and end employee is given a comprehensive pre-employment physical examination and re­ nearby former apartment house. Jan. 28, the classes meeting each Thurs­ ceives chest X-rays at regular intervals of time. This prevents the spreading of disease In this transfer, which allows for the day evening, 8:30 to 10:30 o'clock, in the in the Hospital and helps to keep employees in the best physical health. care of 22 additional patients in the Hos­ University Hospital's Conference Room. At the George Washington University Hospital no problem concerned with safety pital, the interns and doctors in residence is too small or too large for consideration. Each problem is studied carefully so long have inherited a completely renovated Gift Buys Air Condition Unit as there is a remote possibility that hazards can be removed or conditions of safety white brick building, whose six apart­ A $575 gift from Oscar I. Dodek, improved. It is this constant endeavor that has built and will continue to maintain ments are furnished comfortably with Washington businessman, has made pos­ the Hospital's high safety records. maple furniture, easy chairs, telephones, sible the addition of an air conditioning -DOROTHY BETTS MARVIN. and matching curtains and bedspreads. unit to the Hospital's surgery department. [ 8 J [9] None of them had more than 60 percent chromatography, involves precipitating of the normal amount of hemoglobin. the various protein factors on a strip of Many had hemoglobin levels as low as paper and making them visible by the 20 percent of normal, a level ordinarily use of dyes. In this way, the protein por­ indicating need for a blood transfusion. tion, gamma globulin, can be determined Instead of transfusions, the children readily. This is the protein fraction were given special iron-containing com­ which has been used in lessening the pounds and within 48 to 72 hours their severity of measles, and in preventing red corpuscles and hemoglobin levels poliomyelitis. Dr. Frank Woidich, re­ had begun to rise. By the end of 12 search fellow in the division, is collabo­ weeks, with no treatment other than the rating with the author in this study. iron compounds, most of the children re­ Other research projects in the pediatric gained a normal balance between the red division include studies dealing with con­ and white corpuscles in their blood. vulsions caused by high and sudden fever, The author was assisted in this study the intolerance of certain infants to hu­ by George McMillan, a graduate student man or cow milk, and the effects of the who used results of the research for his new antibiotic, llloticin, on certain dis­ master's thesis in medical technology. eases of infancy and childhood. Polio Research Aided These studies will help to provide the basis for better health for many children. The protein material in one's blood is a necessary factor to good nutrition and VACCINES-Dr. McGovern examines refrigerated blood serum from a child who has the resistance to illnesses. Recently, a Studies Aid Doctors been immunized with a new type whooping cough vaccine. With the aid of Dr. Doris Merritt, tests will be performed on the serum to learn how much more effective the new method has been discovered whereby At the same time, the studies have an­ new vaccine is than earlier ones. this protein can be divided into compo­ other role equally important. They are nent parts. The method, called paper vital instruments in the teaching of pedi­ atrics to medical students, young doctors, and beginning researchers who will be Better Health for Your Children rhe future guardians of your children's By ]oHN P. McGOVERN, B.S., M.D. health. Assistant Professor of Pediatrics, School of Medicine; Associate in Pediatrics, University The young scientist studies medicine Hospital; Chief, George U7 ashington Pediatric Division, D. C. General Hospital at the bedside, in the laboratory, and in the classroom under direct supervision. HE George Washington University Hospital. This project, under the direc­ Here he learns the whys and wherefores T School of Medicine's pediatric pro­ tion of the author and Dr. Doris Honig of diseases. Beyond this, however, he is gram includes numerous projects de­ Merritt, teaching fellow in the depart­ led to realize that as a student of disease signed to learn more about childhood dis­ ment, is sponsored by funds from the Eli his education and quest for new knowl­ eases and their treatment. Lilly pharmaceutical company. edge never ends. For instance, each year several thou­ This is only one of several studies be­ sand children die from whooping cough If he is to be a successful practitioner ing carried on in the pediatric division, of the art and science of medicine, the despite advanced present day immuniza­ but it is typical of the research carried on tion programs. Approximately one-half here to learn causes and treatment of young physician must learn to gather ac­ these victims are babies less than 6 various diseases_which endanger the lives curately the necessary faces in a case, to months old. of small children. analyze them correctly and to arrive at a Another study with far-reaching ef­ conclusion beneficial to his patient. He New Vaccines Studied fects is one completed recently on infants must gather many facts, including symp­ In hopes that they may be able to and children suffering from anemia toms of the patient, history of develop­ stamp out completely the deadly effects of caused by lack of iron. Most of the ment of these symptoms, accurate physi­ this disease, researchers at the University children in this study were victims of cal findings, and laboratory data. With are using new and improved vaccines in poor nutrition, their diets having been critical judgment based on study and ex­ an effort to determine which are the most greatly lacking in iron containin~ foods. PROTEINS-Dr. Frank Woidich, research perience he must balance the probabilities effective. These vaccines are more potent When examined, it was found that all fellow in the pediatric division, checks the and arrive at the diagnosis. When his purity of water being distilled for use in than earlier ones used in the University's of the children had a shortage of red cor­ the study of blood proteins such as gamma fact gathering and reasoning have been pediatric division at the D. C. General puscles and hemoglobin in their blood. globulin. See Health, Page 33 [ 10 J [ 11 J All That Wheezes Is Not Asthma By ]AMES JOSEPH FEFFER, M.D. Assistant Clinical Professor of Medicine, University Medical School

ANY years ago Dr. Chevalier Jack­ This produces serious lung disorders M son made the statement that, "all which until recently defied attempts at that wheezes is not asthma." Today, ig­ prevention or treatment. norance of the knowledge that wheezing Chronic pulmonary emphysema results can be responsible for many serious dis­ from long standing bronchitis, bronchial eases often results in tragedies. asthma, or ocher unknown causes. The Recently a young lady whose father association of emphysema with chronic and mother had asthma reported to The bronchitis and asthma is so common that George Washington University Hospital. it cannot be regarded as accidental. It For six months she had been wheezing usually affects young adults and middle­ and short of breath. In addition, she aged persons, but it strikes children occa­ was losing weight and suffering with fa­ sionally. Hereditary and constitutional tigue and malaise. Because her symp­ backgrounds are predisposing factors in toms were similar to those of her parents that there is often a family history of this it was assumed she was also suffering with disability. asthma. After several months, a chest Bronchial asthma and chronic bron­ X-ray disclosed that she had extensive chitis must be clearly differentiated. Sym­ tuberculosis of the lungs. Unfortunately, toms of the two diseases are similar­ little could be done for her because of wheezing, coughing, and shortness of the advanced stage of the disease. The breath. In true bronchial asthma the at­ GRAPE CLUSTER-In contrast to a normal lung (left), that of an emphysema patient tacks are acute and severe but they last is likely to take on the appearance of a cluster of grapes or balloons because of the wheezing which this girl had been hear­ forced enlargement of its thousands of air cells brought on by obstructions or narrowing ing from her chest was due to the ob­ only a short time and the bronchial tubes in the bronchial tubes. struction of the bronchial passageways by return to normal between spells. Because tuberculous tissue. of the violence of the acute episodes, early stage. In chronic bronchitis simi­ pletely reversable. However, if the bron­ Wheezing refers to the whistling medical attention is usually sought at an lar symptoms are present, but they are so chial irritability is severe and if constant sounds heard in breathing when there is mild in early stages that the patient often obstruction to the outflow tract continues, narrowing or obstruction involving the NORMAL SPASTIC fails to seek medical attention until con­ the air cells ultimately lose their elas­ airways to the lungs. It may be due to siderable lung destruction has occurred. ticity. cancer when a tumor arising in a bron­ The acute type of asthma may cause the chial tube obstructs its opening, or to - Bronchial Obstructions Inspiration development of emphysema if the attacks heart failure when the fluid in the lungs . occur frequently and are not controlled. The obstruction in the smaller bronchi causes obstruction. It may also be due to . 0 However, it is usually through chronic is due to two factors in combination. anything which narrows an airway, in­ bronchitis that emphysema insidiously The first of these is a spasm of the wall of cluding such objects as marbles, chicken 0 works its disabling influences. Obviously the bronchus which diminishes the open­ bones, or safety pins which sometimes then it is important to differentiate be­ ing of the tube. The second is a con­ become lodge~ in the lungs of children. Mid-position tween bronchial asthma and chronic gestion of the bronchial mucous mem­ @ bronchitis. brane associated with the production of Cause of Wheezing 0 A hereditarily irritable bronchial tree, secretions. Each of these components A common cause of wheezing is pul­ if exposed to aggravating factors such as tends to obstruct partially or completely monary emphysema, a chronic, disabling, Expiration tobacco smoke, infection, or emotional the bronchial mbes. As a result, the in­ and progressive disease which, unfortu­ 0 0 tension will go into spasm. Any obstruc­ creased pressure within the air cells com­ nately, is seen today with increasing fre­ tion to the outflow of air through a presses the small capillaries or blood ves­ BRONCHIAL TUBES-Essential to breath­ sels in its walls and decreases the blood quency. Emphysema means "to be blown ing, the bronchial tubes act as airways to bronchus during exhalation increases the up or overdistended." Pulmonary em­ the lungs, expanding and contracting with pressure within the air cell (alveolus) flow in this area. This decreased blood physema is a condition in which areas of each breath. In emphysema their openings which receives its air from that bronchus. supply causes a wasting or atrophy of lung tissue are blown up or overdistended become narrowed (right) because of spasm This results in a stretching of the air sac. lung tissue. and conjection, thereby causing difficulty in with air. The air sacs in the lungs be­ breathing and damage to the air cells in As long as the alveolus retains its elas­ Normally, during inspiration the bron­ come distorted, thinned, and ruptured. the lungs. ticity, the process is transient and com- chi dilate, whereas during expiration they [12) [13] contract. Because of this, any obstruc­ usually meets with good results. These chial spasm and swelling of the mucous tion in the passageways would be exag­ measures have demonstrated that such membranes lining the bronchial tubes. gerated when the individual exhales. impaired functions can be reversed par­ Regardless of the cause of the chronic When such an obstruction exists it would tially if not completely. Agents such. as pulmonary disease, bronchospasm is an be easier to get air into the lungs than to industrial gases and tobacco smoke wh1~h important factor. The patient must be get it out. These three factors-narrow­ increase the irritability of the bronchial made completely wheeze-free, not only to ing of the bronchial tubes due to bron­ tree must be completely avoided; no his own ears, but also to the ears of the chial spasm, swelling of the mucous mem­ asthmatic or bronchitic patient should physician. Treatment consists first in a branes due to congestion, and contraction ever smoke. Dusty and irritating sur­ clear recognition of the disease and sec­ of the bronchi with expiration-make it roundings should be avoided, as should ond in a visualization of the abnormal­ impossible to expel all the inspired air exposure to cold, dampness, and sudden ities in the lungs. from the lungs. changes in temperature. Many different types of medication can When the distended inelastic lung is be inhaled through a nebulizer, an filled with air it can be deflated only by Climate No Panacea atomizer that produces a fine mist. For instance, with neosynephrine in a solu­ forcible compression. This requires an In the past, physicians have recom­ active expiratory effort on the part of tion similar to that used for nose drops, mended hot dry climates like that of one can cause a shrinkage of the con­ the individual, an unnatural situation southern Arizona for patients with bron­ since normally the expiratory phase of gested mucous membranes, increasing the BARREL CHEST-In contrast to a normal chospastic disease, and the resorts in the size of the bronchial tube openings. With respiration is passive and effortless. In chest (left) , that of an emphysema victim Southwest have beckoned to asthma suf­ emphysema all the accessory muscles of the nebulization of adrenalin-like drugs (right) becomes enlarged and barrel­ ferers through advertisements. Most asth­ one can cause relaxation of bronchial inspiration, including the neck muscles shaped due to the over-distention of the air matic migrants, however, would be better which become thickened and prominent, cells in the lungs. spasm. These inhaled medications cause off under competent management at a combination of mucous membrane have to be brought into action in order home. Climate alone is no panacea. The to compress the chest and force the air ing amounts of expectoration. At the shrinkage and bronchial dilatation which benefits of an arid climate are due largely increases the size of the airway passages. out of the lungs. In addition, a large time of acute respiratory infections there to freedom from respiratory infections, amount of work is required to fill an al­ may be large amounts of greenish-yellow Much of the original work with nebuliza­ the relative infrequency of infections tion therapy has been done at The George ready distended lung. This requires un­ (purulent) sputum. Between the acute often bringing substantial relief. For usual effort and, in itself, is responsible episodes, however, there is ordinarily Washington University Hospital. dust sufferers, however, the Southwest is A new technique has been developed for fatigue. only a scant amount of white mucoid hardly a haven. In many cases relief oc­ sputum. As a result of the increased size recently in the treatment of advanced Nature tends to compensate for the re­ curs primarily because of changed psycho­ emphysema when the individual's respi- sulting increase in carbon dioxide, as of each of the hundreds of thousands of somatic influences associated with change well as for the reduced amount of oxygen air cells in the lungs, the bony chest cage in residence. A young girl, suffering with in the blood stream, by producing in in­ must enlarge to compensate for the in­ severe bronchial asthma, was sent to Ari­ creasing numbers and size the hemo­ creased volume of the lungs, and the zona where she experienced such striking globin carriers or red blood cells. In ad­ chest becomes barrel-shaped. The short­ relief that her entire family packed their dition, the increased carbon dioxide level ness of breath, which is aggravated by household belongings and followed her. in the blood stimulates the respiratory acute attacks of bronchitis, may actually Her asthma returned as soon as the fam­ center in the brain to increased respira­ be associated with episodes simulating ily arrived, because there was an emo­ tory effort, which manifests itself to the bronchial asthma. tional conflict between the girl and her patient as shortness of breath. The symptoms in emphysema corre­ mother. spond roughly to those occurring in nor­ It must be remembered also that there Emphysema Detection mal individuals suffering with mountain are few opportunities to earn a living in or altitude sickness. There is headache, desert climates and that the economic The detection of emphysema in its giddiness, loss of appetite, nausea, and a burden resulting from this situation may early and reversible stages is not as sim­ bluish discoloration of the skin and in itself cause additional emotional dis­ ple as it might seem. Most instances of mucous membranes of the lips. In the turbances. In addition, one must reside even moderate emphysema are over­ early stages of emphysema, these symp­ in a new location for a considerable pe­ looked. In the typical case the onset can toms are present only during the winter riod of time in order to test the benefits be traced to a respiratory infection fol­ season. They develop gradually and in­ of climatotherapy. lowed by a slight chronic cough associated sidiously and become severe and disabling There is abundant evidence that much with slowly developing shortness of TREATMENT-Dr. Feller places breathing in the most productive years of life. of the disability in emphysema results, mask on face of emphysema patient in breath. Breathing difficulty appears first Treatment for bronchial spasm, lung not from an organic disease, but from preparation for positive pressure nebuliza­ after exercise, but later it comes even tion therapy, a techni.que for coating the infection, and impaired breathing me­ disturbed lung function due to obstruc­ with the slightest exertion. The asso­ chanics, as well as for the low concentra­ bronchial tubes with various drugs which tion of the airways as a result of bran- enlarge the airways. ciated bronchitis causes cough and vary- tion of oxygen in the blood stream, [ 15] [14) ratory movements are so limited that he One of the white blood cells known as is unable to pull the aerosol solution into as eosinophile is often present in the his lungs. With an intermittent positive blood stream in large numbers in certain pressure machine, nebulized solutions can "wheezing individuals." The number of About Our Authors ... be forced through the entire bronchial eosinophiles in the blood stream gives the tree, thereby producing dramatic relief physician an approximate idea of the al­ United States. This honor carries with it in advanced crippled patients. Anti­ lergic reaction present in the patient. If a 5-year scholarship of $6000 annually. biotics, as well as a number of detergents, the eosinophile count is high, dramatic Since joining the Medical School staff, may be used in vaporized form to loosen results are often obtained with the use of he has received several research grants to secretions. one of the new steroid hormones--corti­ study diseases in infants and children. By such therapy, many patients can be sone or ACTH. His studies have included whooping kept free of their symptoms, provided cough immunization and treatment, iron they continue to take regular treatments. Cortisone Treatments deficiency anemias, convulsive disorders, Not only does such treatment give relief, A six-year-old boy had been confined to and the effects of antibiotics on children's but more important, it prevents serious bed for four years with constant wheezing diseases. complications. Untreated emphysema is and shortness of breath. Within 12 Besides his teaching and research activ­ a progressive disease for which there is hours after cortisone treatment was be­ ities, Dr. McGovern is an associate in no cure, but it is a disease which can be gun, he was completely wheeze-free and pediatrics at the University Hospital and kept under control by constant neutral­ was able to run and play. Striking re­ chief of the George Washington pedi­ ization with nebulization therapy. Ap­ sults like this are often obtained with the atric division at D. C. General Hospital. plication of therapy requires only 15 to use of these hormone preparations. Oc­ PEDIATRICIAN - Dr. McGovern gives He is also an associate attending physi­ 30 minutes a day. casionally, undersirable side effects de­ vaccine injection to one of his young cian at Children's Hospital and associate velop, particularly when the drugs are patients, Dianne Anderson. Exercises Used editor of the Clinical Proceedings of the given in excessive dosage or for long Children's Hospital. Breathing exercises are used to in­ periods of time. Fortunately, all of the JOHN P. McGOVERN Dr. McGovern is vice president of the crease the volume of air expelled during side effects are reversable and disappear Walter Reed Society, national medical expiration. The patient is taught to when the drug is stopped. Cortisone is From a look at his record one might research organization. He is a member breathe with his abdominal muscles in­ the most potent weapon available for re­ conclude that one of Dr. John P. Mc­ of the American Academy of Pediatrics, stead of struggling with his chest. In lieving severe asthma since the discovery Govern's hobbies is collecting medical American Board of Pediatrics, American emphysema, as a result of the increased of adrenalin over fifty years ago. honors and grants. Society for Research in Nervous and volume of the lungs, the diaphragm is The objective in treating individuals Dr. McGovern, assistant professor of Mental Diseases, Sigma Xi (research so­ often pushed down into the abdominal with bronchospastic disease should be to pediatrics at the Medical School since ciety), and National Research Society. cavity. A procedure known as pneumop­ free them completely of wheezing. A 1950, received the first of his impressive He is also a member of the Smith-Reed­ eritoneum, which involves injecting air small amount of wheezing due to bron­ array of awards while a medical student Russell and William Beaumont Societies into the abdominal cavity to elevate the chial spasm is the trigger mechanism for at Duke University in 1945. It was the (honorary medical groups at the Medical diaphragm, is often helpful. This also larger amounts of wheezing. It is not $500 Borden Award, for meritorious re­ School). diminishes the volume of the lungs, re­ enough to merely control the acute asth­ search in whooping cough immunizations. Besides an array of honors, Dr. Mc­ duces the dead air, and allows for a bet­ matic episodes. Sufferers from chronic After completing his work at Duke, Govern has large collections of medical ter exchange of oxygen. An abdominal bronchitis and asthma should be warned he served an internship at Yale. Later he medallions and rare medical books. Parts support will produce a similar effect with of the dangers of- emphysema if they are was a resident in pediatrics at Duke and of his book collection, which includes old some patients. not kept free of bronchial obstruction. .. was chief resident in pediatrics at Chil­ works as well as first editions, have been The popular conception that wheezing Patients with chronic bronchospastic dren's Hospital in Washington. exhibited at two national medical meetings. is a manifestation of allergy is deep disease are prone to develop complica­ After two years as a captain in the Strictly aside from medical interests, rooted and of long standing. During re­ tions, one of the most serious being heart Army Medical Corps during World War the young doctor, who is unmarried, finds cent years, however, it has been learned failure known as cor pulmonale. Correct II, Dr. McGovern received a fellowship relaxation in a game of tennis at the that many patients with asthma and bron­ management during the early stages of to study pediatrics at Guy's Hospital in Army-Navy Country Club or in enter­ chitis have no identifiable allergies. Also, asthma is imperative if permanently dis­ London, under Dr. Phillip Evans. While taining friends at the Cosmos Club. A it has been well established that positive abling cardiorespiratory illness is to be abroad he also observed techniques and native of D. C., he is also a lover of classi­ skin reactions may have no immediate avoided. practices at the Hospital for Sick Children cal music and an ardent conversationalist. clinical significance. Not to be ignored, Emphysema, at least at the beginning, in London and at L'Hopital Des Enfants however, is the occasional dramatic re­ is reversible, but frequently too much Malade in Paris. lief obtained by desensitization in indi­ time is wasted between the first attack of In 1950, the doctor was named a John DR. JAMES J. FEFFER viduals who are suffering with a seasonal wheezing and the beginning of an in­ and Mary R. Markle Scholar in Medical type of asthma due to ragweed or other vestigation of the patient. Contrary to Science, an honor bestowed each year on Dr. James J. Feffer, to whom the Uni­ specific sensitivity. See Emphysema, Page 31 20 "outstanding young scientists" in the versity owes much credit for its widely [16) [17) known chest disease program, joined the Reed Appointed Chairman Medical School teaching staff in 1944. Since that time, as assistant clinical pro­ Of Diabetes Campaign fessor of medicine and chief of the pul­ Dr. John A. Reed, assistant clinical pro­ monary disease division of the Medical fessor of medicine, has been appointed School, Dr. Fe.ffer has introduced many chairman of the American Diabetes As­ improved methods for diagnosing and sociation's annual nationwide drive to treating such chest diseases as asthma, find undetected cases of diabetes. The bronchitis and emphysema. He was one drive, which will open during Diabetes of the first physicians in the D. C. area to Week-Nov. 15-21-will seek to find an use inhalation therapy, the most advanced estimated 1,000,000 undetected cases. method of treatment for bronchial dis­ Dr. Reed, who has been re-elected sec­ eases known at present. retary of the Association for the fifth He has been instrumental also in estab­ consecutive year, is also chairman of its lishing a chest disease clinic at the Hos­ committee on detection and education. pital, a project aided largely by funds from the D. C. Tuberculosis Association. A native of New York City, Dr. Feffer $10, 186 Given for Sugar Study decided early to become a physician in­ Funds totaling $10,186 have been stead of following the steps of his father, granted the University by the Public Dentist William Feffer. Dr. Feffer re­ Health Service for studying the part ceived his college and medical school played in cell activity by the sugars, training at Indiana University, where he fructose and pentose. was awarded the M.D. degree in 1938. Of the funds, $6,151 will enable Uni­ After that came an internship and grad­ versity scientists to study fructose, a nat­ uate work at King's County Hospital in ural sugar found in fruits, honey and as POLIO GRANT-A check for the first part of a $125,187.75 March of Dimes grant for New York. a component part of table sugar. Besides polio research is presented to Dean Walter A. Bloedorn of the Medical School by Chairman Elwood H. Seal of the D. C. chapter of the Foundation for Infantile Paralysis. Looking Dr. Feffer moved to Washington in its importance in most diets, fructose on are Mrs. Mary Duncan, victim of polio, and Dr. Charles S. Wise, professor of physical 1942, upon his appointment as medical may have significant therapeutic applica­ medicine and rehabilitation at the Medical School. officer at Glenn Dale Hospital, the D. C. tions, according to Dr. Joseph H. Roe, Tuberculosis center. From there he professor of biochemistry and director of joined the University Medical School this study. Polio Grant Totals $125,187 staff, where he is now assisted in the pul­ A $4,035 grant will enable Dr. Roe to A five-year March of Dimes grant for that its concepts and skills be thoroughly monary disease division by Dr. John W. continue, for the sixth year, his study of $125,187.75 will enable the University's incorporated in the training of medical Trenis, associate in medicine, Dr. Milton the five-carbon atom sugars in an attempt School of Medicine to develop its teaching students so that in their future practice Gusack and Dr. James P. Mann, clinical to learn how their metabolism is affected program in medical rehabilitation. The as physicians their patients may receive instructors in medicine. by cold weather and certain hormones. fund, of which $27,387.55 will be for the the full benefits of increasing knowledge Besides his teaching duties, he is a con­ first year, was granted the University by in this field, the Dean added. sultant in thoracic diseases at Children's losis Association, the American Trudeau the National Foundation for Infantile Hospital, St. Elizabeth's Hospital and Society and the Smith-Reed-Russell hon­ Paralysis. Ferraraccio Named Asst. Supt. Prince Georges General Hospital. He is orary medical society. Under the supervision of Dean Walter also an attending physician at Mt. Alto 1 Francisco Ferraraccio has been pro­ Aside from medical interests, Dr. Fef­ A. Bloedorn of the School of Medicine, moted to assistant superintendent of the Veterans Hospital, an examining physi­ fer is an expert bridge player. His most the program will be administered by a cian for Trudeau Sanitarium, and is in J Hospital, a newly created position set up active hobby, however, is that of being a committee from all the School's clinical because of the increase in administrative charge of the University Hospital's chest "home-putterer." In this capacity he has departments. Under this plan, medical service at the D. C. General Hospital. activities in the Hospital, particularly dur­ modernized his Hillandale, Md., home by students will be taught the basic concept ing the evening and afternoon hours. He has recently been named a con­ installing a modern kitchen, panelling the and techniques of total medical rehabili­ Temporarily, Mr. Ferraraccio will also sultant to the clinical center of the Na­ library and making a playroom for his tation. continue as head of the admissions office, tional Institutes of Health. two small daughters, Carol Louise and The value of rehabilitation has been a position he has held for two years. Mr. Dr. Feffer is certified by the American Barbara Joyce. amply demonstrated in the care of many Ferraraccio, a native of DuBois, Pa., re­ Board of Internal Medicine as a special­ His wife is the former Mary Theresa diseases and injuries, and particularly in ceived his B.S. degree from Allegheny ist in internal medicine and in pulmonary Carroll, a graduate nurse whom he met the care of polio patients, Dr. Bloedorn College. During World War II, he was diseases. His memberships include the at Mt. Sinai Hospital in New York. said. However, growing importance of a pilot with the 10th and 14th Air Forces Board of Directors of the D. C. Tubercu- -GRACE KEMPTON complete medical rehabilitation demands in China, Burma and India. ( 18] [ 19] nothing, and even laboratory examina­ co-workers deny any relation between the Medicine Abroad: Greece tions are usually negative. Petsetakis' "neurophil virus" and the Cat The duration of the disease varies, but Scratch Disease virus. Because of the it may last for months and be associated absolute resemblance of cases of this dis­ Cat Scratch Disease with general malaise. The lymph glands ease with that described by Petsetakis, By DR. A. FLOROS involved are usually those draining an and because the French scientists Mol­ arm, a leg, the neck, or the eye. From the laret, Reilly, Bastin and Tournier later Director, EvangheliJmos Hospital, Athens, Greece standpoint of differential diagnosis, the succeeded in transmitting the disease to This article was secured for use in THE disease may be confused with other a Cercopithecus monkey, there remains COURIER through the courtesy of the Royal glandular enlargements due to various in­ no doubt that the filtrable virus of the Greek Embassy Information Service in fections or tumors. new disease and that of Petsetakis Dis­ Washington, D. C., and Mrs. Morris Cafritz, Clinically, the diagnosis may prove ease must be the same. Also, it has been member of the Hospital Women's Board. Due to the scientific and technical nature difficult, the only certain diagnostic means proved that man is susceptible to this in- of the article, it was submitted, for editing being the skin reaction test. Whenever fection. . and review, to Dr. Frank G. MacMurray, a patient exhibits any obscure lymph Therapeutically, the newer antibotics an American authority on Cat Scratch Dis­ gland enlargement, Cat Scratch Disease have been tried, but among them only ease. Dr. MacMurray, clinical instructor in medicine at The George Washington should be considered and the skin test Aureomycin and Terramycin have been University School of Medicine, has studied given. The reaction is the same as that reported effective. Therapeutic results this disease since 1950, in association with observed with tuberculin. It develops with these drugs are noted only in cases Dr. Worth Daniels of Georgetown Univer­ after 24-48 hours and consists of a red­ sity, and Dr. Charles Armstrong of the of lymph gland enlargement without pus National Institutes of Health. Their find­ dened halo, usually with a central nodule. formation, cases which heal sponta­ ings have been published in leading medi· The degree of the reaction varies with neously. In instances where pus has cal journals, including the Archives of In­ each case. formed, the therapeutic results with these ternal Medicine, Annals of Internal Medi­ cine, and American Journal of Surgery. As for origin of the illness, several drugs are much less obvious. In such The next edition of Cecil's Textbook of SKIN TEST-A cat scratch disease test, scientists ( Petsetakis in Greece and cases, repeated needle aspirations of the Medicine will contain a chapter on their similar in reaction to that used for tubercu­ Debre and Mollaret in France) believe it glands are needed until the glands have findings.-EDITOR'S NOTE. losis, is performed by Dr. Frank MacMur­ ray on a young patient at The George is due to a filtrable virus which until now healed. Since the disease is usually be­ N the past two years more than 200 Washington University Hospital. has not been isolated. In the laboratory, nign, healing spontaneously, the estima­ I cases of a new lymph gland disease Mollaret and his co-workers were unable tion of results with the various drugs is have been reported in medical journals, at first to transmit the disease by any difficult and often subjective. chiefly in France, Switzerland, the United istence of a specific skin test which ap­ method to white mice, guinea pigs, rab­ The description of this disease by States and Belgium. The disease appears pears positive if the disease is present and bits, dogs, wild cats or to Cynocephalus Petsetakis has been most opportune, since to follow the bite or scratch of a cat, the negative if it is not present. This skin Babuin monkeys. Petsetakis, however, knowledge of it may contribute to correct puncture of an infected thorn, or other reaction may remain positive for four succeeded in transmitting it to various diagnosis, thus avoiding diagnostic errors undeterminable causes. years or longer, however, making possi­ laboratory animals and to one monkey. often made at the expense of the patient. After a study of the various reports, ble misleading diagnoses in some cases Petsetakis also found the "neurophil It may aid also in estimating the fre­ there seems little doubt that this new ail­ long after the disease has been cured. virus" of the disease in various tissues and quency of the disease in Greece, where it ment is the same as that described in 1935 Petsetakis', or Cat Scratch Disease, oc­ urines. For this reason, Mollaret and his was first described. by the Greek scientist, Dr. M. Petsetakis. • curs sporadically or in small family epi­ His discovery has thus brought honor to demics. It appears to be relatively preva­ American Research on Cat Scratch Disease Greek medical science, and justifies nam­ lent, but frequently undiagnosed, primar­ ing this illness "Petsetakis Disease." ily because most physicians are not famil­ In commenting on Dr. Floros' article, "Occasionally, we see a negative skin Since 1950 an exhaustive investigation iar with it. A major symptom of the dis­ Dr. Frank G. MacMurray of the Univer­ reaction in a clinically typical case, and of it has been conducted by scientists in ease is enlargement of one or more lymph sity Medical School faculty, who is an we suspect that there may be more than several countries, including Dr. Worth glands. This enlargement is associated authority on Cat Scratch Disease, says: one organism causing this disease. More­ Daniels and Dr. Frank MacMurray in with puncture of the skin or sometimes "It is of great interest to learn of Dr. over, one should keep an open mind to America.t All of them report the ex- the mucosa, by a cat scratch or a thorn. Petsetakis' contributions to this subject. the possibility that the organisms are not It is further proof of the world-wide oc­ Such a skin injury can usually be recog­ viruses. • Petsetakis described the disease as "sub­ nized, but occasionally, after the passage currence of the disease. We have sent "As to treatment, we would agree with acute multiple monoadenitis due to a filtrable of time, it disappears, leaving in its wake skin test material to doctors who have virus called the neurophil virus." Dr. Floros that estimation of results of the t Other scientists who have done extensive one or more swollen glands. This glandu­ discovered cases in the United States, work on this disease are Dr. Lee Foshay of Cin­ lar enlargement may end in pus forma­ Canada, South Africa, Hawaii, Chile and .various drugs is difficult. Because the cinnati, Drs. 117. E. R. Greer and C. F. Keefer tion, although usually it will proceed to the Philippine Islands. There are also cases are infrequent and often have been of Boston, Drs. R. Debre and P. Mollaret of numerous instances reported from north­ treated previously, no control studies of France, and Drs. F. Thelin, R. Martin-du-Pan, a spontaneous recovery. Physical exam­ and 0. Gsell of Switzerland. ination of the various system_s may reveal ern Europe. See Cat Scratch, Page 33 [ 20} ( 21} 10. What advances have been made Telford Appointed in obstetrical anesthesia? Answers You Should Know There have been great strides toward Anatomy Professor making the mother comfortable during Dr. Ira R. Telford, scientist, educator labor and delivery. Drugs which are not and church leader, has been named pro­ Anesthesia harmful to mother or baby have been fessor of anatomy and head of the anat­ developed and at present, the caudal and omy department at the Medical School. 1. How long have anesthetics been saddle nerve block techniques are in use, He replaces Dr. Clyde M. Fall who has used? as are inhalation methods and new in­ been acting head of the department since Anesthetics such as nitrous oxide and fant resusitative procedures and appa­ Dr. Warren Andrew resigned in 1952. ether have been in use over 100 years. ratus. Formerly on the GWU anatomy fac­ ulty, 1940-47, Dr. Telford has been head 2. What methods of anesthesia are 11. What recent advances have been used today? of the anatomy department at the Univer­ made in anesthesiology? sity of Texas School of Dentistry since All methods of anesthesia are in cur­ New drugs are being investigated and rent use-inhalation, intravenous, rectal, 1947. safer methods of giving anesthesia are A leader in the Church of Jesus Christ spinal, caudal, topical, and local nerve in­ being sought continually. At The George jection. The type used depends on the of the Latter Day Saints (Mormons), he Washington University Hospital, studies is a native of Idaho Falls, Idaho, and a patient's condition and the surgical re­ are being made on the effects of anti­ quirements. graduate of the University of Utah. He histamines in preventing allergic trans­ received the Ph.D. degree from The 3. What is the safest anesthetic? fusion reactions and lessening the shock George Washington University in 1942. The safety of an anesthetic depends on of surgery. As part of this research, an automatic device for recording the blood the circumstances in each case and the INSPECTION-Dr. Alpert checks an oxy­ capability of the person administering the gen face mask in preparation for using it pressure, pulse, and respiration is being Medical School Announces anesthetic. No one anestheic can be sin­ to aid the breathing of an anesthesia patient. used. Continuous electrocardiographic Other Faculty Members gled out as the safest, as all of those used tracings are also used during serious Three assistant professors have been today are safe when properly handled. he recovers from effects of the anesthesia surgical procedures. In this way, devia­ named to the School of Medicine's fac­ e.nd can be returned to his own room. tions from normal can be instaneously ulty. They are Dr. William Newman, 4. How many patients are anesthe­ detected, and corrective measure can be tized each year at The George Wash­ 7. What is a nerve block? assistant professor of pathology, Dr. Ger­ taken immediately. ald F. Hungerford, assistant professor of ington University Hospital? A local anesthetic, such as procaine 12. What requirements must a doc­ About 11,000. (Novacaine), is injected near a nerve to anatomy, and Dr. Robert A. Clayton, as­ tor meet to become an anesthesiol­ interrupt impulses passing through that sistant professor of biochemistry. 5. What can be done to alleviate the nerve. This is done for the relief of pain, ogist? Dr. Newman, who is also assistant di­ fear which some patients have of oper­ for relaxation of muscle, or for the inter­ The American Board of Anesthesiology rector of laboratories at the University ating rooms? ruption of excess nervous stimulation of requires two years of approved residency Hospital, received his medical training Such patients can be put to sleep in blood vessels which cause spasm and di­ training and three years practice, limited at the New York University College of to anesthesiology, after medical school their own rooms, usually by intravenous minish blood flow. Medicine. He also studied at the Bronx anesthetics, such as Pentothal, before be­ graduation and internship. At the end Veterans Administration Hospital and ing transported to the operating room. 8. What is inhalation therapy? of this time, written, practical, and oral the New York Memorial Hospital. This includes the administration of examinations are required for certifica­ Dr. Hungerford, who has a Ph.D. de­ 6. What does the anesthesiologist oxygen by nasal catheter, face mask, or tion. gree ( 1951) from the University of Cali­ do for each surgery patient? tent for the relief of anoxia (deficiency SEYMOUR ALPERT, M.D., fornia, taught at the University of South­ He reviews the patient's history, phys­ of oxygen). Helium, carbon dioxide, or A.rsociate Professor of Anesthesiology, ern California before coming to Wash­ ical, and laboratory findings, interviews ocher gases may be used in conjunction School of Medicine; Assistant Director ington. the patient before surgery, prescribes any with the oxygen. of Anesthesiology, University Hospital. Dr. Clayton was formerly an instruc­ sedatives necessary prior to the operation, tor at the University of Wisconsin, where and selects the anesthetic to be given to 9. How is anesthesia given for oper­ he received the A.B., M.S. and Ph.D. de­ the patient. He follows carefully the pa­ ations on the heart and lungs? Medical Group Honors Williams grees. tient's course through surgery, giving Anesthetic gases and oxygen are car­ Dr. Jonathan M. Williams, associate anesthesia, fluids, and drugs as needed. ried from the anesthesia machine to the in neurological surgery, was recently The anesthesiologist remains with the pa­ patient's lungs by means of an endo­ elected an honorary member of the Medi­ Bliven Heads Pharmacy Group tient until after the operation when the cracheal tube, a small rubber tube which cal Society of the Dominican Republic. Dean Charles W. Bliven, of the Univer­ patient is moved to the Post Anesthesia is inserted through the mouth into the He was presented a diploma of member­ sity's School of Pharmacy, was recently Room. The patient remains in this room, windpipe to insure an open airway for ship by Dr. Luis de Thomen, U. S. Am­ installed as president of the D. C. Pharma­ attended by specially trained nurses, until interchange of gases during surgery. bassador from the Dominican Republic. ceutical association. [ 22] [ 23] MARV SIMPSON Our Doctors Say • • • Inc. 1729 L at Connecticut Ave. Children's Nervous Diseases* The subdural effusion may appear to dry STerling 3-1638 up, leaving a tough and inelastic mem­ Any garment made to fit doctor's specifi· New diagnostic methods in pediatric brane which should be removed at once. THE SCHRIBER cations: neurologic problems have broadened the This membrane can cause constriction of Sacroiliac Maternity sphere of therapy with antibiotic agents the brain and may lead to mental re­ Abdominal Postnatal and improved surgical procedures. Early It Surgical Belts Postoperative tardation. may also send small blood diagnosis and prompt intervention may vessel roots into the brain, forming a scar. Complet11 lin11 of tu11ionall1 f11mous reduce the incidence of brain deteriora­ DECORATING mat11rnit1 bra.rsier11s ll1ld girJ/111 "This could be responsible for the later tion and developmental arrest in some development of convulsive seizures. It cases ofcen regarded as hopeless. is possible that here lies an explanation The diagnosis and treatment of men­ AMATEUR PROFESSIONAL for another group of heretofore inex­ COMPANY ingocele (sac-like growth on the spine plicable cases of convulsive disorders occasionally found in newborn babies), usually regarded as idiopathic epilepsy." curvature of the spine, tuberculosis of the -JANET WILLIAMS Jlullrr &: h. Albert, 3Jnr. spine, brain tumor, skull fracture, brain • PHOTOGRAPHIC SUPPLIES abscess and tuberculous meningitis em­ EQUIPMENT phasizes the possibilities for correction. Ors. Borden and Dickens Of particular interest is a newly de­ scribed disorder of childhood, subdural Honored by University CAMERA REPAIRING effusion (cysts overlying the brain) Dr. Daniel L. Borden, clinical professor 615 Third N.E. Llncoln 6-3700 which results from menigitis. Many chil­ of surgery, and Dr. Paul F. Dickens, clini­ EX. 3-8120 815 10th St. N.W. dren, suffering from meningitis due to cal professor of medicine, have been the influenza or pneumonia germ, have named professors emeritus by the Univer­ been aided by antibiotics. In some in­ sity. Dr. Borden, who will continue as stances, however, when the improvement director of health administration at the NATIONAL AMUSEMENT of a child has been arrested, examination University, joined the teaching staff in COMPANY has shown accumulations of fluid press­ 1912. Dr. Dickens, who has also been ing on his brain. For this reason, it is professor of medicine at the U. S. Naval • important to consider the possibility of Medical School, has been on the Univer­ Compliments of subdural effusion whenever a prompt and sity staff since 1929. Coin Operated Amusement satisfactory response to antibiotic treat­ Equipment ment is not achieved in meningitis cases. Cox Appointed to Eye Board Meningitis is not the only disease caus­ • ing subdural effusion. In a group of 26 Dr. Ronald A. Cox, professor of oph­ thalmology, has been named a member of Myron A. Loewinger RE. 7·8081 children from Children's Hospital and A. F. JORSS the D. C. General Hospital, it was found the American Board of Ophthalmology's IRON WORKS, Inc. that seven of them had subdural effusion, certification committee to examine candi­ but had never suffered meningitis. They dates seeking certification as specialists in were victims of chronic debilitating dis­ this field, which deals with the structure, T. B. Greenslreel & Son, Inc. eases such as severe malnutrition, low­ functions and diseases of the eye. He has 300 Tenth Street, South grade fever or lun~ infections. also been appointed ophthalmic consult­ One method of treatment for subdural ant to the National Institutes of Health. Brickwork effusion is by repeated tapping of the Arlington 2, Virginia cyst through the fontanel or "soft spot." Bloedorn Elected Gorgas Director This treatment is not always sufficient. 1120 Congress St. N.E. Dr. Walter A. Bloedorn, dean of the Medical School, was recently elected to LI. 3-7094 •From article by Dr. Jonathan M. Williams, associate in neurological surgery, and Dr. the Board of Directors of the Gorgas Me­ Harold Stevens on "Recog11;tion of Surgicalh morial Institute of Tropical and Preven­ Treatabl11 Neurological Disorders of Child­ hood." It was in the Journal of the American tive Medicine. He was also appointed Medical Associ.ition, Feb. 7, 1953. secretary. [ 24} I 25 J 61 Interns, Residents Drug Firm Aids Child Study Join Hospital Staff Two grants, totaling $10,250, have been given the University by the Eli Lilly A new group of 61 young doctors were drug company for research into the value appointed to the Hospital staff in July to and effectiveness of certain vaccines and receive advanced or special medical train­ drugs in combating infant and childhood ing. The group includes 22 interns and diseases. 39 doctors in residence. One grant, for $6,000, will make pos­ Fifteen of the young doctors are from sible the study of erythromycin, a new other countries, including Holland, Japan, antibiotic drug, in treating such diseases. Greece, Austria, Turkey, Lebanon, Israel, This project will be under direction of Australia, Latvia, Canada, Mexico and the Dr. John P. McGovern, assistant profes­ Honduras. There are also two young sor of pediatrics, and Drs. Josephine Kety women doctors in the group. and Leroy Hoeck, medical officers in pedi­ atrics at the D. C. General Hospital. A $4,250 grant will be used by Dr. Mc­ Parr At World Health Meeting Govern for studying the immunity to Dr. Leland W. Parr, professor of bac­ whooping cough which is developed in teriology, was the official representative infants by the use of new vaccines. of the Association of American Medical Colleges at the National Conference on Volunteer Hospital Workers GIFT- Hospital Superintendent Victor F. Ludewig receives $100 gift check from Mrs. World Health, which met in Washington Sought By Red Cross Drive Robert A. Campbell and Mrs. Martin T. Davis, president and vice-president of the Junior in April. The conference was sponsored Women's Board. The money is to be used as an emergency fund for needy patients in by the National Citizens Committee for The D. C. chapter of the American Red the Hospital's outpatient department. the World Health Organization. Cross recently launched a drive to find 1,000 women who would serve as volun­ 1 teer hospital workers. The most urgent Jr. Women s Board need is for daytime volunteers as nurses' Announces Bazaar LESSONS IN SUCCESSFUL LIVING aides, motor service drivers and arts and A bazaar, featuring Mexican jewelry, by skills workers, officials said. candies and baked goods, as well as for­ The George Washington University tune telling and beautiful senoritas, will ALBERT E. CLIFFE Hospital is one of the 19 civilian and be sponsored by the Junior Women's . . . for freedom from worry and the military hospitals in this area which bene­ Board at the Hospital on Dec. 2. ills of life, use this healing guide to fits from the Red Cross volunteer pro­ The affair, to be held at 8 p.m. in the gram, according to Hospital Superintend­ practical faith daily. Hospital Conference room, will be open ent Victor F. Ludewig. He pointed out $2.75 A FRIEND that four specific groups among the vol­ to the public as well as to ambulatory patients at the Hospital. Funds from the unteers assist the University Hospital. TWELVE STEPS AND They include nurses' aides who assist in bazaar will be used by the Junior Board TWELVE TRADITIONS the nursing department, staff aides who to aid needy patients in the outpatient A co-founder of Alcoholics Anony­ work at the information desk and Gray department. The Board, made up of mous tells how members recover and alumni representatives of the University's Ladies who aid in the nursing, outpatient how the Society functions. and medical records departments. The sororities, also prepares holiday favors for $2.75 sewing service of the Red Cross produc­ the patients' trays and assists in the opera­ EAGLE ELECTRIC tion and supply dviision makes hundreds tion of the Gift Shop at the Hospital. • of surgical towels, wrappers and binders Prompt Delivery - Mail Orders SUPPLY CO. for the Hospital each year. Beachley Made Honorary Colonel • Dr. Ralph G. Beachley, adjunct pro­ Since 1865 Briggs Named Pharmacy Secretary fessor of public health practice, and di­ • Dr. W. Paul Briggs, former dean of rector of public health in Arlington 940 New York Ave. N.W. the School of Pharmacy, has been elected County, Va., was recently made an honor­ NAtional 8-9280 secretary of the American Foundation for ary colonel by the State of South Carolina. 807 G Street, N.W. Pharmaceutical Education. Dr. Briggs Dr. Beachley was formerly a health officer District 7-1541 was dean of the school 1931-46. and leader in health activities in that state. [26] [27] City-Wide Trucking Co. Staff Reports on Research

60 Years Reliable Service 1025 Brentwood Rd. N.E. Articles "Gamma Globulin," what it is and what ADams 4-7722 SHEET METAL FABRICATORS it does, is the subject of an article by ---·--- Dr. Sam T. Gibson, associate in medi­ VENTILATING ENGINEERS cine1 in the June issue of The American ROOFING CONTRACTORS Regular removals of trash, ashes ]ottrnal of Nursing. 1900 KENDALL ST. N.E. and incinerator debris from offices, In the June issue of the Kansas City schools and business establishments. Medical Journal, Dr. Brian Blades, pro­ LA. 6-6600 fessor of surgery, discusses the reasons for the high mortality rate caused by lung cancer. CHAS. G. STOTT • CO., llC. Dr. Jeanne C. Bateman, clinical in­ ''THE UNIVERSITY PRINTER" structor in medicine, writes of the "Op­ portunities for Women in Medicine," in CORNELIUS Stationers - Office Outfitters - Paper the June issue of the Journal of American Merchants TIME SAVER - To insure quicker and Medical Women's Association. more accurate blood and urine tests, which PRINTING COMPANY The "Treatment of Gonorrhea with are necessary in diagnosing kidney and The House That Printing Built 1310 New York Ave. N.W. Erythromycin" is described by Dr. Mon­ other diseases, the Hospital has added to NAtional 8-4181 roe J. Romansky, associate professor of its laboratory equipment a new analyzing Telephone: JUniper 9-1916 - 9-1917 machine, the flame photometer. Dr. PAPER DEPT. medicine, in the July issue of the Ameri­ Thomas M. Peery, director of laboratories, can Journal of Syphilis, Gonorrhea and 912-918 Burlington Avenue 1935 5th Street N.B. shows how the $2500 machine, in less than Silver Spring, VD. five minutes, can make tests formerly re- DU. 7-4433 quiring four hours. Speeches Dr. Samuel M. Dodek, assistant clin­ For y o u r television, refrigerator, ical professor of obstetrics and gynecol­ ternational College of Surgeons in Phila­ PAPER washer, electrical houseware and ogy, was guest speaker at the Seventh In­ delphia recently. appliance needs • • • visit any of ternational Congress for the History of Dr. James J. Feffer, assistant clinical FINE PRINTING PAPERS professor of medicine, and Dr. William INDUSTRIAL AND UTILITY PAPERS Science which met in Jerusalem in Au­ gust. He spoke on "The Development of R. Merchant, clinical instructor in medi­ LACY'S Methods for Human Tocography During cine, participated in workshops on cardio­ STANFORD the Past Century." vascular, pulmonary and orthopedic dis­ abilities at the recent National Confer­ PAPER COMPANY Dr. Mary Louise Robbins, associate 8 St:ores professor of bacteriology, represented the ence on Placement of Severely Handi­ Telephone 3001 V Street, N.E. In Washington, Maryland D. C. area at the Society of American capped. The conference, sponsored by Llncoln 7-9500 Washington 18, D. C. the American Federation of the Physi­ and Virginia Bacteriologists' annual meeting in San Francisco. With her were three grad­ cally Handicapped, was held in Wash­ Main Store: uate students, A. J. Gar,:msko, Richard ington. • 8th and E Sts. N.W. Schmitt and Gertrude Sheva, each of REpublic 7-7915 REpublic 7-7916 whom presented research papers at the Branch Stores: meetin.l!. Painting Given to Hospital • 1207 H St. N.E. Dr. Elizabeth Potts Anderson, assist­ An oil painting of George Washington Grande Valley Products • Georgia & New Hampshire Avenues INCORPORATED ant research professor of pharmacology, was recently presented to the Hospital by • 1239 Good Hope Road S.E. told of her experiences as a medical re­ A. Burks Summers, D. C. business man • 3100 N. Washington Blvd., Claren­ searcher in Sweden at a recent meeting and civic leader. The picture, painted by don, Virginia EGGS - aunER - CHEESE of the Annapolis chapter of the American William Carl Brown, 19th Century art­ • 8511 Fenton St., Silver Spring, Md. Association of University Women. ist, is one of the best known copies of the • 7350 Balt.-Wash. Blvd., College 418 11th Street S.W. Park, Maryland Dr. Charles S. White, former profes­ famous Gilbert Stuart painting. It was • 306 South Washington St. sor of surgery at the University, sooke on given to the Hospital in memory of Mr. Falls Church, Va. "Silent Lesions of the Abdomen:' at the Summers' father, Dr. John W. Summers, Northeastern regional meeting of the In- former congressman and physician. [28] [ 29 J Say It With FLOWERS HOTEL RALEIGH ~u !lrmnrtam Washington, D. C. The following gifts have been made to the Hospital Memorial Fund: from In memory of Mrs. Hugh A. Thrift, ·by Mr. and Mrs. Robert G. • Trumbull. Qeo. e. s~, J'"'. In memory of Lt. (jg.) Robert Hughes Wade, U.S.N., by Mrs. Gus- 900 14th St. N.W. C. C. SCHIFFELER tav H. Emery. NA. 8-0106 Vice President & Managing Director In memory of Miss Jessie LaSalle, by Mrs. Gustav H. Emery. FLORISTS TO WASHINGTON SINCE 1900 In memory of Walter Grafton Dunlop, by Mrs. Gustav H. Emery. In memory of Robert Marshall Eaves, by Mrs. Gustav H. Emery. ENJOY The Hospital Memorial Fund permits honoring a loved one with a living memorial by increasing hospital services to the Washington Com­ ORANGE & BLACK FARMS munity. Gifts should be made to the Women's Board Hospital Fund. S. P. Mehring, Prop. They may be sent to the Women's Board, c/ o THE COURIER, 2018 Eye St., N. W., Washington 6, D. C. RICH SMOOTH • Laboratory Animals for Medical Research Emphysema Mrs. Clover Named • (Continued ft'om Page 16) Chief Housekeeper the pessimistic view frequently expressed Mrs. Anne Y. Clover, of Petersburg, The Hanover, Pa. Perfect Individual by the patient and his friends, consider­ Va., has been named executive house­ Phone 9147 keeper of the Hospital to fill the vacancy Ice Cream Service able benefit can be given to the very sick bronchospastic individual by the applica­ left by the resignation of Miss Edna tion of recently developed procedures. Bizzell. There is no justification for the present Mrs. Clover has held similar positions WOODWARD & NORRIS pessimistic and confused attitude of lay­ with the Petersburg (Va.) General Hos­ men and some members of the medical pital; St. Joseph's Hospital in Stockton, REALTORS profession concerning the diagnosis and Calif., and Harper Hospital in Detroit, treatment of emphysema. Emphysema is Mich. She is a native of Harrisburg, Pa., • SALES • LOANS a chronic and incurable condition, but and a graduate of Beaver College. • MANAGEMENT • INSURANCE much can be done to return the respira­ tory cripple to a useful and productive Gift Aids Premature Nursery Specializing In Downtown Cemmercial and Residential l'roperliH life. The Hospital has received a gift of Since 1892 $100 from Mrs. James MacGregor Byrne 723 20th St. N.W. REpublic 7-6585 of Chevy Chase, Md., to be used for Franzoni Heads Association equipment in the premature nursery. F. Royce Franzoni, graduate of the University's School of Pharmacy, became Wiring and Lighting president of the American Pharmaceuti­ ELECTRICAL cal association at its meeting in Salt Lake ll.orp11 SmiJJz tJWM FOR SCHOOLS • HOSPITALS • POWER City in August. A past president of the 18th St. & Pa. Ave. N.W. PLANTS • BANKS • OFFICE BLDGS. D. C. Pharmaceutical association, he is NAtional 8-2740 APARTMENTS, HOUSING• FACTORIES head of the Z. D. Gilman drug company. & OTHER TYPES OF CONSTRUCTION • WALTER TRULAND Wood Elected Dental Officer CAFE CAPRICE Dr. Karl Hayden Wood, director of and OAK LOUNGE C 0 R P 0 R A T I 0 N orai surgery at the Hospital, has been ELECTRICAL CONSTRUCTING ENGINEERS named president-elect of the D. C. Dental • Banquets • Lunches • Dinners Washington, D. C. JA. 8-4100 Arlington, Va. Society. He will take office as president of the organization next June. ( 30} ( 31} Health University Esso Service (Continued from Page 11) Courier to Liberia HAMPSHIRE 2100 Pa. Ave., N.W. clear and accurate his diagnosis fits the THE COURIER has added another Acoustics Flooring EX. 3-5745 disease as snugly as a glove of proper size land to its travels. Recently, on a mission to Liberia Metal Partition Plastering fits his hand. a government official visited the Roof Decks ROAD SIRV/Cl It is in this role of helping train the U. S. State Department's library in young scientist to gather facts accurately, the capital city of Monrovia. While * to carefully weigh and analyze them and browsing through the library's mag­ 4626 Annapolis Road G. W. Esso Service 2424 Virginia Ave. to arrive at correct and significant con­ azines, he came across a picture Bladensburg, Md. clusions that research projects are of in­ which appeared familiar. Upon ME. 8-0362 estimable value. By working with an ex­ reading the caption, he found that UNion 4-0300 J. S. Costello C. E. Duvall perienced researcher in clinical studies it showed members of The George the student develops his critical abilities Washington University Hospital's PROMPT SERVICE and attitudes with the result that each Women's Board, an organization in Dollar for Dollar RUBBER STAMPS case becomes a challenging research prob­ which his wife was an active mem­ you can't beat a Pontiac lem. ber. Then he looked at the cover INK PADS and INKS In adherence to this concept, we nave of the magazine. It was THE Address Stamps - Bank Deposit Stamps • attempted to stimulate and carry out nu­ COURIER! Daters - Linen Markers - Time Stamps merous small, yet interesting and val­ The official, Associate Director Alphabet Sets-Sign Markers-Autographs ARCADE PONTIAC uable research projects in the pediatric Lane C. Ash of the Education Mis­ Library Stamps - Anatomical Stamps COMPANY division at D. C. General Hospital. In sions Branch of the U. S. Office of Phone NAtional 9.9533 JACK BLANK, President this way many young doctors are learn­ Education, returned to his home­ ing a new approach which will aid them land, still wondering how a copy of Hay Rubber Stamp Co. 1437 Irving St. N.W. in the diagnosis and care of children's THE COURIER found its way to 832 13th St. N.W. Washington 5, D. C. AD. 4-8500 diseases. such a faraway place. Other lands to which the maga­ zine goes regularly are Canada, TERMITES RODENTS Cat Scratch Mexico, several countries in Cen­ MOTHS tral and South America, and West­ V!RMIN (Continued from Page 21) Conlldenf/a/ Altenllon lo Yo11r ,roblem1 ern Europe. drug therapy in humans have been pos­ sible. Conceivably, in the near future, WESTERN such studies may be performed on experi­ Ramsey Heads Medical Society Exterminating Company mental animals. Dr. Herbert P. Ramsey, Washington "Although Dr. Debre first published physician, and former chief resident at MEtropolitan 8-1520 his observations in 1950, both he, in the University Hospital, recently took of­ 1023 Twelfth St. N.W. Washington 5, D. C. Paris, and Dr. Foshay in Cincinnati, have fice as president of the D. C. Medical So­ OlllcH In ,rinclpa/ Ea.tern ClliH been aware of the disease since about ciety. Dr. Ramsey served as chief resi­ 1932." dent at the Hospital in 1922-23.

JOHNSTON, LEMON & Co. C H AS. H • T 0 MP K I N 5 C 0. Memben Builders of many notable structures including W ASBING'l'ON STOCS:. EXCHANGE PBILADELPBIA-BAL'1'1HORE STOCK EXCHANGE THE GEORGE WASHINGTON UNIVERSITY HOSPITAL INVESTMENT SECURITIES Washington, D. C. SOUTHERN BUILDING 11S NORTH ST. ASAPH ST. Wa1hlngton S, D. C. Alexandria, Va. ST. 3-3130 King 8-6600

[ 32] [ 33] The Gibson Company GRUVER MFG. CO. of Washington 1, D. C. CUSTOM BUILT WOODWORK PLYWOOD - HARDWOODS S. A. FREAS CO. Nine Seventeen G Street, N.W. SOFTWOODS - WALLBOARDS NAtional 8-2329 Lumber and Mill Work 1221 Maine Ave. S.W. DRUGS - SURGICAL INSTRUMENTS - HOSPITAL, INVALID AND SICK ROOM SUPPLIES - PHYSICAL THERAPY APPARATUS - 8001 Connecticut Ave. Chevy Chase, Md. TRUSSES - ELASTIC ROSIBRY -ABDOMINAL SUPPORTS Oliver 4.5525

28 Year• Serving Washington DISTRICT HOTEL METROPOLITAll POULTRY CO. Supply Co. 425 11th St. S.W. DI. 7-2044 Serving the finest foods to the nation's MALONEY Choice finest hotels and Institutions. WOODWORK CO., INC. Meats From the Nation'• Capital we ship anywhere by truck, express, or by air. Architectural Millwork EXecutive 3-2900 BUY THE FINEST PRODUCED UONURETE 500 12th St. S.W. Washington 4, D. C. FARMFRESD First & K Sts. S.E. Llncoln 3-1800

William H. Gilliam S. A. GATTI 8c SOR, IRC. WILLIAM F. NELSON 3125 V St. N.E. BRICK WORK WOodley 6-8501 INSTITUTIONAL GROCERS 2400 Wisconsin Avenue TELEPHONE 3817 14TH STREET, NORTHWEST LAwrence 6-8234 TUckerman 2-2290 WASHINGTON, D. C. Registered in D. C., Maryland & Virginia

Use Vestal Products Haughton Elevator Co. For Superior Floor Maintenance c.1.smith Ca.Inc. Distributors "THE FAMOUS FOUR" 2117 K Street, N.W. • VESTAL, Inc. PAINTER'S STORE ~ p.. ~ ~ RETAIL STORE REpublic 7-1213 2328 Champlain St. N.W. r~;;; j (~,; ( V:a(J(/"'-" ') rv:v~' 2437 18th St. N.W. St. Louis 10, Mo. " Built for the Mosler Painter" ~ ~ 0 !!(!:;J Washington 9, D. C. Phone HUdson 3-3300

[ 34 J [ 35 J All Profits of the things you need go to profit the needy!

The George Washington University Hospital Gift Shop is a non-profit, charitable organization. All funds and services are donated to provide incubators and modern equipment for research and for people in need.

For Gifts and for Yourself . . . Visit our Gift Shop for the latest in .. • JEWELRY • TOYS • HANDBAGS • HOSIERY • COSMETICS • STATIONERY ANGEL CHIMES . . $2.95 • Orders taken for flowers, beauty services, fruit baskets, television rentals and ambulance service. Call STerling 3-7800 . • THE WOMEN'S BOARD GIFT SHOP Lobby of G.W.U. Hospital