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Editor Policy Commstw-Edisoria Board MALCOLM S. M. WAITS, M.D. ALBERT G. MILLER, M.D., San Mateo . RALPH W. BURNETT, M.D., Bakersfield Associate Editor WILLIAM F. QUINN, M.D., Los Angeles California LLOYD H. SMITH, JR., M.D. JOSEPH F. BOYLE, M.D., Los Angeles Medicine . RICHARD S. WILBUR, M.D., Palo Alto Managing Editor HELEN B. WEYRAUCH, M.D., ROBERT F. EDWARDS San Francisco For information on preparaton of MALCOLM S. M. WATTS, M.D., manuscript. see advertising page 2 San Francisco -~~~~~~~~ * A Problem for the Intellect of society. Non-violence and its corollary, the strike, have accomplished much more, and still have the quality of being relatively non-destructive. THERE IS CONSIDERABLE EVIDENCE in both medi- But these are techniques of the intellect and are cine and society that things are moving at a much primarily of withdrawal. They are too passive to faster pace than our political and institutional satisfy those whose feelings of frustration and re- mechanisms were ever designed to handle. Situa- pression are great. These become the activists and tional changes in the human environment are rapid- sometimes frank revolutionaries. Thus we see what ly outstripping the capability of our research, edu- is now called the encounter or confrontation devel- cational, social, economic or political institutions to oping in various forms which sometimes lead to find answers to questions which must be answered change, subsequently the confrontation for con- or solutions to problems which must be solved. Our frontation's sake with its inevitable disruption of present institutions often behave like dinosaurs, any sort of progress, and finally the determination moving a little faster when the heat is on but slow- to destroy what exists. This is really a return to the ing down promptly when things cool off and exhib- primitive instinctual approach although it is more iting an unhappy tendency to get bogged down. often couched in terms of revolution and a fresh As the pace increases so do the frustrations of start. those who see the processes of orderly change in The tragedy is that the frustration which seeks our established institutions not only failing to meet thus to force change is doomed itself to frustration. the need but falling further and further behind. Human institutions, whether of government, educa- They therefore come to view the system, or the tion or of medicine, are necessary and will continue establishment and its institutions as oppressive, to exist in a complex technologic society. They will unduly rigid and restrictive, and finally as incapable not go away. They will arise from the ashes of of ever responding effectively to the problems of disruption and destruction and be as frustrating as the day. Having reached this frustrating conclu- ever until some intrinsic organizational means are sion, they seek the means to force a change. developed for their more rapid adaptation to en- The primitive instinctual approach is to destroy vironmental change, including a capability to the oppressive thing which stands in the way and anticipate and prepare for the future as well as to many a dinosaur was no doubt destroyed by the store and utilize knowledge and experience ac- activist human beings of earlier days. In more mod- quired in the past. The difficulties of doing this in em times dialogue and discussion, the forte of the democratic institutions which must be responsive intellectual liberals, was tried but failed of sufficient and responsible to their constituents (and this in- force. It is now undergoing rejection by the body cludes government, educational institutions and or- 516 JUNE 1969 * 10 * 6 September 25-27 - Initial Emergency Care. UCSF. urday. Contact: Office of the 45th Annual Meeting, Thursday-Saturday. 5410 Wilshire Blvd., Los Angeles 90036. (213) 931- October 1-29 - Pharmacy Evening Lecture Series. 1621. UCSF. Wednesdays. November 15-16-Sex and the Professional Man. Chris- October 2-A Course in Mental Retardation for Physi- tian Medical Society at Monte Corona Conference cians. UCSF. 21. Grounds, Lake Arrowhead. Saturday-Sunday. Contact: Thursdays through May Albert Holt, M.D., 4080 Hoking Way, Los Angeles October 11-12 - Health of the School Child. UCSF. 90027. Saturday-Sunday. November 15-16-Financial, Tax and Investment Plan- October 11-12-Kern Postgraduate Conference. Kern ning. UCLA. Saturday-Sunday. County General Hospital at Civic Auditorium, Bakers- field. Saturday-Sunday. Contact: George A. Paulsen, December 3-Postgraduate Assembly-St. Luke's Hos- M.D., Conference Committee Chairman, 2603 G St., pital of Pasadena. At the Huntington-Sheraton Hotel, Bakersfield 93301. Pasadena. Wednesday. Contact: W. K. Bullock, M.D., Chairman, 1969 Postgraduate Assembly, 2632 E. Wash- October 17-18-Western Industrial Medical Associa- ington Blvd., Pasadena 91107. tion. Jack Tar Hotel, San Francisco. Friday-Saturday. Contact: Mr. B. H. Bravinder, 2180 Milvia St., Berke- ley 94704. CONTINUOUSLY Basic Home Course in Electrocardiography. One year October 17-18-Thirteenth Annual Western Industrial postgraduate series, ECG interpretation by mail. Physi- Health Conference. Jack Tar Hotel, San Francisco. cians may register at any time. $100 (52 issues). Contact: Friday-Saturday. Contact: Mr. B. H. Bravinder, 2180 USC. Milvia St., Berkeley 94704. Audio-Digest Foundation. A non-profit subsidiary of October 24-25-Recreation in Rehabilitation. UCSF. CMA. Twice-a-month tape recorded summaries of lead- Friday-Saturday. ing national meetings and surveys of current literature. October 25-26 - How the Patient Affects the Doctor. Services by subscription in: General Practice, Surgery, UCSF at Fresno Community Hospital, Fresno. Satur- Internal Medicine, Ob/Gyn, Pediatrics, Anesthesiology, day-Sunday. Ophthalmology. Catalog of lectures and panel discus- sions in all areas of medical practice also available. Con- November 15-Mayo Alumni Association-45th An- tact: Mr. Claron L. Oakley, Editor, 619 S. Westlake Ave., nual Meeting. Century-Plaza Hotel, Los Angeles. Sat- Los Angeles 90057. WHERE IT'S AT "Did any of you ever wonder where all this teen-age intercourse is taking place? ... The findings of a study recently completed at St. Anne's Maternity Hospital in Los Angeles may come as a shock to you. The most likely place for a teen-ager to become pregnant is in the boy's home. Second most likely place is in her home. The third most likely place is in the private home of another person. Way down on the list are the drive-in and the motel. We forbid our daughters to go to the drive-in movies; and then leave them at home and spend a week-end in Las Vegas." -ROBERT A. SACK, M.D., Los Angeles Extracted from Audio-Digest Pediatrics, Vol. 14, No. 23, in the Audio-Digest Foundation's subscription series of tape-recorded programs. 534 JUNE 1969 * I 10 * 6 IND EX California I Medicine Volume 110 Ir January-June 1969 AUTHOR INDEX PAGE PPAGE A F Adler, Louis, Los Angeles ...................... 319 Finegold, Sydney M., Los Angeles............... 455 Alexander, Ralph W., San Francisco ............ 107 Fishman, Robert A., San Francisco.............. 346 Anderson, Carl E., Santa Rosa .................. 342 Fredrickson, J. M., Stanford ..................... 468 Araujo, Doris M., Anaheim ..................... 438 Friedlander, Saul, Sacramento.................. 367 Auerback, Alfred, San Francisco ................ 250 Friedman, David B., Los Angeles................ 207 Auerback, Marvin L., San Mateo ............ 120, 262 G B Gasber, Robert E., Sacramento................. 367 Gonda, Thomas A., Stanford.................... 74 Babb, Richard R., Palo Alto.................... 440 Goode, R. L., Stanford........................ 468 Basch, Christa M., San Francisco................ 1 Gorlin, Richard, Boston, Mass................... 263 Bellamy, William A., San Francisco.............. 180 Greenberg, Lowell H., Torrance................. 389 Berens, Stephen C., Los Angeles................. 477 Bessolo, Rodney J., San Francisco ................ 200 H Brown, Barton A., San Francisco................ 460 Hassard, Howard, San Francisco .......... 423, 512, 513 Brown, T. G., San Francisco.................... 322 Hattersley, Paul G., Sacramento................. 176 Brunstetter, Richard W., San Francisco........... 383 Havel, Richard J., San Francisco................. 519 Hays, Gerald C., Fullerton...................... 41 C Hebert, William M., Stockton................... 523 Carlsson, Erik, San Francisco .................. 228 Hertz, Roy, Bethesda......................... 256 Chan, Paul Y. M., Los Angeles .................. 375 Hibbard, Lester T., Los Angeles................. 305 Cline, Abe, Escondido ......................... 438 Hinshaw, David B., Loma Linda................. 514 Coleman, Arthur H., San Francisco .............. 253 Hodell, F. H., Long Beach...................... 130 Cohen, Robert A., Los Angeles .................. 477 Horwood, Carla, San Francisco.................. 28 Crowley, Lawrence G., Stanford .............. 43, 139 J Cunningham, George C., Berkeley .............. 11 Jacobson, Yorke G., Pittsburg .................. 83 D Jennings, E. R., Long Beach .................... 130 D'Alena, Peter, San Jose........................ 134 K DeBusk, Robert F., Stanford.................... 394 Kamin, Edward J., Washington, D. C ............. 17 Diamond, Louis K., San Francisco ........... 170, 352 Kemp, Harvey G., Boston, Mass ................. 263 Dibbern, H. H., Long Beach..................... 130 Kinyon, Gilbert E., San Diego .......... ......... 84 Doyle,
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