HIILLETIN-, PIERCE COUNTY MEDICAL SOCIETY

VOL. XXIX—No. 5 TACOMA, WASH. JANUARY - 1958 BULLETIN of the Pierce County M edical Society, Pierce County Medical Society

1 9 5 8 OFFICERS P resident...... Herman S. Judd President-Elect ...... J. W. Bowen, Jr. H ap - py b irth - day Vice-President...... Chris C. Reynolds Secretary-Treasurer...... Arnold J. Herrmann Executive Secretary ...... Judy Gordon TRU STEES Paul E. Bondo Herman S. Judd Happy Birthday J. W. Bowen, Jr. George S. Kittredge Douglas Buttorff Philip C. Kyle Robert W. Florence Robert E. Lane January Hillis F. Griffin Chris C. Reynolds Arnold J. Herrmann Wayne W. Zimmerman D ELEGATES 1 GEORGE KUNZ Douglas Buttorff Louis P. Hoyer, Jr, Philip Grenley Charles E. Kemp 2 HILLIS GRIFFIN Arnold J. Herrmann Frank Maddison 3 BURTON BROWN ALTERNATE DELEGATES Robert W. Florence Frederick J. Selnvind RALPH HUFF Murray L. Johnson Don G. Willard Wendell G. Peterson Wayne W. Zimmerman 4 EDMUND KANAR COMMITTEES 5 NORMAN MAGNUSSEN E thics BERNARD OOTKIN Robert E. Lane, Chairman M. R. Hosie Richard T. Davis PAUL SMITH G rievance Hillis F. Griffin, Chairman 7 ROBERT FERGUSON Gerald C. Kohl Miles Parrott House and Attendance - GEORGE HESS John S. May, Chairman James E. Hazelrigg Dudley W. Houtz GEORGE RACE L ib rary 9 CARLISLE DIETRICH I. A. Drues, Chairman John M. Havlina Hugh A. Larkin 10 WILLIAM BURROW S Bernard R. Rowen Stanley W. Tuell Program D. MARLATT T. R. Haley, Chairman William P. Hauser David F. Dye 12 WILLIAM TODD Herbert C. Kennedy Public Health 16 ROBERT GIBSON Bernard A. Bader, Chairman Theodore Apa W. Roland Olson LEO SULKOSKEY Public Relations 18 R. A. NORTON W. W. Mattson, Jr., Chairman John J. Bonica James D. Lambing JAMES W A RD Robert Johnson M. E. Lawrence Thomas O. M urphy 19 THEODORE APA CiviJ Defense Richard F. Barronian, Chairman DON CUMMINGS WilliainE. Avery Richard B. Link David F. Dye Wayne W. Zimmerman 26 RAYMOND ELLIS D iabetes Joseph B. Harris, Chairman 27 JOHN HAVLINA Entertainment T _ George A. Tanbara, Chairman I W. Bowen, Jr. F. W. Hennings Kenneth Gross L. M. Rosenbladt G. M. W hitacre Geriatrics M. E. Lawrence, Chairman Ulenn H. Brokaw John F. Steele Legislative Douglas P. ButtorfF, Chairman NOTICE Arnold J. Herrmann Gerald C. Kohl Wayne W. Zimmerman Medical Education Check back page of Bulletin for calendar Robert Kallsen, Chairman John Comfort John M ay of special m eetings Schools rjiv. i . A’ Norton, Chairman Theodore Apa George S. Kittredge Orvis Harrelson Jack W. Mandeville W illiam E. H ill George Tanbara Traffic and Safety Harold D. Lueken, Chairman Mental Health ^Harold B. Johnston, Chairman T. R. Haley , Myron Kass William H. Todd Front Page Picture Bulletin Stuff Courtesy Editor ...... ~ ------! r- Richards Studio Business y g S Auxiliary News"Ed7t(w"” !Z Z ^"'.Z JZ j5rar"^“dyRobert -°Kallsen rdun BULLETIN of the P ie h c b C o u n t y M e d ic a l S o c ie t y

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PIERCE COUNTY MEDICAL SOCIETY TUESDAY, JANUARY 14 8:15 P.M.

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EDITORIALLY SPEAKING

TISSUE COMMITTEES

Considerable misunderstanding still exists among local physicians as to the functions of the Tissue Committee.

Basically, the medical staff is responsible for estab­ lishing and maintaining professional standards. This is accomplished through five committees as required by the joint commission on accreditation of hospitals. The Tissue Committee is responsible for evaluating the need for surgery. This is its sole function; it takes no censor­ ing or disciplinary action. As a fact-finding body, it reports to the appropriate committee.

The need for surgery, quite obviously is a clinical decision and, as such, a complete history, physical examination and pertinent laboratory data are required to make the decision.

W. W. M attson, Jr., M.D. s BULLETIN of the Pierce County M edical Society

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754 St. Helens 7 5 9 Market MArket 7-8116 FUlton 3-5339 BULLETIN of the Pierce County M edical Society 11 WOMAN’S AUXILIARY Vo-VUe Pierce CwM&ty M edical Society 1957-58 dren in mind, but which will gracefully accom­ Woman’s Auxiliary modate the fourth, and more. On the afternoon of December 11th, the Pierce County Medical Society downstairs study at the Murphy home rivaled Officers and Chairmen Arctic's showroom, with an overwhelming array President...... - Mrs. T. B. Murphy of mink. The occasion was Ruth Murphy’s President-elect ...... Mrs. Robert Florence open house heralding the holiday season, when 1st Vice-President ______Mrs. Marshall Whitacre 2nd Vice-President ...... - Mrs. Herman Judd well over a hundred smartly dressed women 3rd Vice-President______.. Mrs. Robert Kraftstopped by for yuletide refreshments. The 4th Vice-President...... Mrs. Stillman Hathaway Recording Secretary ...... Mrs. Wm. Mattson, Jr. punch table, centered by a beautiful feathered Corresponding Secretary______Mrs. Robert P. Crabill T reasu rer______Mrs. Haskell Maier arrangement, was laden with traditional French Publicity, Newspaper ...... Mrs. Thomas Smeall and Scandinavian sweets of the season, provid­ Publicity, Bulletin ...... Mrs. Robert Kallsen American Medical Education Fund Mrs. Herman Judd ing a delightful interlude during that week of Bulletin (National) ...... -...... Mrs. George Tanbara Civil Defense______Mrs. Harold D. Lueken holiday preparations. H isto rian ______Mrs. John Bonica So cial______Mrs. Howard Pratt The party with the poorest prognosis proved Legislative - ..Mrs. Joseph Harris to be the best of all. It was the annual formal Membership ...... Mrs. Charles Anderson Nurse Recruitment...... _.Mrs. Orvis Harrelson dinner-dance for members of the Academy of P rogram ______Mrs. Robert Osborne Public Relations ...... Mrs. Robert Burt Internal Medicine and their wives December R evisions ...... Mrs. Treaty17th. Duerfeldt Plans didn’t get off the ground until too T eleph one______Mrs. James Mattson Today’s Health ____ _Mrs. M. Edward Lawrence late to arrange anything but a Tuesday evening Speakers Bureau ___ Mrs. Philip Grenley Minute Women ...... Mrs. Robert Ferguson for this traditionally gala affair, but when H e art- ______..Mrs. Kenneth Gross guests assembled at the home of Doctor and Cancer.- ..Mrs. Robert Brooke Tuberculosis ...... Mrs. H illis Griffin Mrs. Rodger Dille for cocktails, the potential Mental H ealth ...... Mrs. John Havlina Crippled Children and Adults______Mrs. Wendell Peterson gosling flowered into Cinderella’s Ball, thanks Infantile Paralysis...... Mrs. Douglas Buttorff to the ingenuity of a gracious and determined Safety ____ Mrs. Galen Hoover Rehabilitation Center______Mrs. Walter C. Cameron, hostess, and thanks too to dance chairman Mrs. Phillip Backup Public Health Nursing______Mrs. Charles Anderson Doctor Max Thomas. The tenderloin dinner Community Council...... Mrs. John F. Steele and danceable music in Wellman’s beautifully City Council______Mrs. William Goering Health Council______Mrs. Merrill Wicks decorated party room made this a party to re­ Fashion Show.„ . Mrs. Robert Florence member, and so did the memorable floor show, D an ce______Mrs. Horace Anderson Christmas Party______Mrs. Howard Pratt, which had to be seen to be believed. Dancing Mrs. Robert Osborne on into Wednesday, Internists and their wives felt assured once again that they were more fun than anybody. The January meeting will be a luncheon at Our favorite invitations were the cards sent the home of Mrs. W . A. Niethammer, on out by Doctor and Mrs. Ernest Banfield and Friday the 17th, at 12:30. Mr. Walter West Doctor and Mrs. Stanley Durkin for open house of the Better Business Bureau will speak to at their offices on December 20th. Santa mixing our group on business trends and prospects punch in the lab intrigued over six hundred of prosperity in Tacoma. who accepted the hospitality of this popular The Board will meet before the luncheon foursome. Their offices, an ideal setting for a at 11:00. party, gaily bore the festive touch of poinsettias Party Lines growing in flower beds in the waiting room. Some of us hadn’t seen this handsome garden Everyone who attended enjoyed the children’s room before, and one guest was so impressed Christmas Party at Jackson Hall on December she asked who was the artichoke who had de­ 14th, and the orphans at Saint Anne's gained a signed it. The beautiful plantings were planned new jungle gym for theit playground as a re­ and are cared for by Doctor Banfield himself. sult of this party. Our thanks go to Jean The size and circular plan of these offices ac­ Eylander, chairman of this event, and to Ev commodated the large party easily, and refresh­ Osborne, who planned the entertainment, for ments were generously dispensed in the surgery. an especially nice afternoon. Christmas day Doctor and Mrs. Clyde Gray Doctor and Mrs. Robert Ferguson enter­ entertained at a family party, which included tained on November 30th in their attractive such prominent guests as the Mayor of Zillah, new home on North Adams, which they de­ signed and built with a family of three chil­ (Continued on Page 13) Rrn.TP.TIN of the PIERCE COUNTY MEDICAL SOCIETY 12 newest antibiotic therapy for the eye ...spreadsin a wink

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LEDERLE LABORATORIES DIVISION. AMERICAN CYANAMIO COMPANY. PEARL RIVER. NEW YORK B U L L E T IN of the Pierce County M edical Society 13 (Continued from Page 11) M ore Yet their son Willard. On the 15 th of January, Don’t put his tux away yet . . . there’s one Clyde and Florence Gray will sail from San party to come, and you are the guests of honor. Francisco on the S.S. Matsonia, for a leisurely It's the Big Dance for all members of the two months in the Hawaiian Islands. They plan Medical Society and their wives, in other years to tour the outer islands, with plenty of fishing given by the Medical Society strictly for fun, on the Kona Coast, and will visit friends in but this year the Auxiliary w ill sponsor it, and Honolulu and Hilo. proceeds will benefit our worthy projects. The Her many friends in the Auxiliary are happy planners are planning a wonderful party, and to learn that Jeannie Schwind is feeling so much it being a charity affair will make the tickets better after her serious surgery in November deductible, which along about February will and her bout with the flu following that. seem to be a very good idea too. The date is Jeannie and Fred Schwind and their children Washington's Birthday, at the Top of were Christmas Day guests at the Robert Flor­ the Ocean. ence home, as were the Del Lambings from Gig Harbor. Apologies to Dr. Haskel Maier The day after Christmas Doctor and Mrs. Merrill Wicks took their children up the moun­ Haskel Maier authored the very interesting tain for their first experience in skiing, lodged article on the course in Aviation Medicine at Copper Creek for three days. The Durkins which appeared in the December Bulletin. Due and Haleys also took advantage of the holiday to an unfortunate oversight (or a blind proof­ to pack their children off to Packwood for reader), the credit line was omitted. We are skiing the remainder of the week. Doctor and sincerely grateful for contributions such as this Mrs. Frank Rigos and their family of skiiers —they not only help keep us informed, but also were at their cabin near the Rainier Park en­ make the Bulletin interesting. So, belatedly, trance several days during the holidays. and with apologies, we hereby give credit where credit is due. Midway between Christmas and New Years, —The Editor Doctor and Mrs. Horace Anderson and Doctor and Mrs. George Kunz entertained a large group at the Anderson’s home, when friends and neighbors gathered around the holiday punch bowl. I LUTHERAN Doctor and Mrs. James Vadheim satisfied the curiosity of their many friends who have been awaiting the outcome of that complicated re­ I MINOR HOSPITAL decorating, by hosting an egg nog party the evening of the 28th. Needless to say the out­ fi ☆ ☆ ☆ T come is a very beautiful home, reflecting Jeanne’s exquisite taste in every detail. | AN INSTITUTION Doctor and Mrs. Herman Judd held open j house on the 29th to compliment their many | AVAILABLE FOR THE I friends and to introduce Jeanne's parents, who are visiting here from Omaha. Jeanne used fi PROFESSIONAL CARE j pink candles and boughs of cedar and Oregon S and | grape for the very lovely decorations. Doctor and Mrs. John Bonica hosted a New jj REHABILITATION j Year’s Eve party that has become a tradition {j o f the J with one group of Doctors and their wives here. The Robert Florences, James Vadheims, CHRONICALLY ILL j Thomas Smealls, Howard Pratts, Horace Ander- sons, Fay Naces, Louis Hoyers, Fred Schwinds, * * ☆ i John Flynns, and George Kunzs met to ring in the New Year at the Bonica home, the party 407-14th Avenue S.E. f having been first held at the home of Doctor and Mrs. George Kunz six years ago. This year Phone 5-8833 f the midnight supper was an international Puyallup, Washington i smorgasbord, with each of the wives contrib­ uting her favorite foreign recipe for the board. 14 BULLETIN of the Pierce County M edical Society

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St. Joseph’s The Medical Record Department is happy to report that Mrs. Arness is doing well after The annual employees’ Christmas party was her operation Dec. 3rd, and has returned home. held December 19th in the cafeteria from 12:30 We are sorry to have Margie O’Connor leave p.m. until 5:30 p.m. us after her faithful service for many years in A beautifully trimmed tree stood at the end different departments, but we wish her much of the room and a piano which was installed luck and happiness. for the occasion provided music for the Christ­ Welcome back, Carol Friel one of our old mas carols which were sung by numerous employees. Old faithful, Ruth Delle is always groups during the afternoon. on the job. Carollers from Stadium High were making The Medical Library looks very nice since we their tour of the hospital about 2:30 p.m. and had a new paint job, chairs and tables refinished, entertained all present with their singing. and when the table is covered with a glass top it will really look fancy. Drawings for prizes took place at 3, 4 and 5 A pink and blue party was given for Mrs. p.m. First prize of $25.00 was won by Mary Pollard and Mrs. Majores last week. Both girls Bruce from the Dietary Department. Mrs. L. are infanticipating. Mrs. Pollard has a long wait Hagbo, R.N. at 2nd center won the turkey. Miss and can be seen in the department occasionally Anne Rutledge, student nurse won the fruit relieving. cake. A most enjoyable time was had by all while everyone partook of the delicious sand­ W e’re sorry to see our present group of Sen­ wiches, salads, fruit cake, coffee, etc., which ior nurses leave us. They will begin the new were supplied in abundance. quarter at American Lake Veteran’s Hospital. Good luck, girls on your new affiliation. Our sincere congratulations to Mrs. Miller, Our heartfelt thanks to all the Doctors who R.N., and Mrs. Pastrano, R.N., who were participated in any way in the lecture series in blessed with two pretty girls. The little ones Pediatrics this past quarter. The new quarter haven't decided whether or not they w ill follow will begin in December and we sincerely hope in their mother’s footsteps. to see each one of you again. Mrs. Spearman is organizing an international Birthdays were celebrated by Mrs. Leo and collection of automobiles. If you want to see the Mrs. Rehwinkel this month. W e are all sure display stop at 1300 Pacific Ave. Miss Patricia that Mrs. Rehwinkel was surprised since her Mitchell, niece of one of our faithful employees birthday really is in June and we missed it (Mary Mitchell) was queen of the recent auto when it occured. show at Fort Lewis. She looked beautiful in her We welcome back, Mrs. Dunn from her regal robes. week’s vacation—we surely did miss you. My Mrs. Barbara Patnode, R.N., one of our it is hard to keep people busy—and indeed a nurses of Delivery Room, is also a part-time full time job:. cement worker. Her new hobby cost her an­ Well anyhow we’re back again to: Needles other bout with her asthma and two days in flying, hammers tapping. Santa’s helpers, you the hospital. may ask? Habits mending, health returning while thoughts are on a new found task. Yes, We had a surprise birthday party for Primo more goes on in this department than meets Jeminez. It really was a surprise as Primo never the eye. Health’s improved quite on the sly. would tell us his birthday. He says he was very One of our new X-ray students left for the small when he was born so can’t remember. No deep south to take the final step on the 20th of one could be more deserving so in November December. Eileen Finn became Mrs. David we decided it was time to do something about Lee Zaichkin. it. Primo couldn't believe it was his party until Another absence from our department is Dr. we presented him with a lovely gift and a card Henry Maki. Dr. Maki will make his new home signed by the gang. in Milwaukee, Wis. We will miss him around Primo started to work for St. Joseph's Hos­ the X-ray Department. pital in 1924 and all may be justly proud of Best wishes to all for a very Happy and the excellent job he has done. His efficiency, Blessed New'Year from all the Sisters and em­ cooperation and dependability through the years ployees at St. Joseph Hospital. that has made all this possible. Hats off to Primo. (Continued on Page 17) 16 BULLETIN of the Pierce County M edical Society

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OFFICERS H. F. SYFORD, President ARTHUP? G. BROWN, Vice President (In Charge ol Properly Managemen!) D°N A L d M. MOORE. Vice President n harge of Casually Insurance and Bonds) E- J. POLE, Secretary (In Charge of Marine Insurance) BULLETIN of the Pierce County M edical Society 17 (Continued from Page 15) Their Christmas was the gayer since Sam is recovering satisfactorily from his recent auto­ Pierce County mobile accident. Marie Hill, second floor nurse, has been hos­ The halls of Pierce County Hospital took on pitalized at Northern Pacific Hospital for an a gala appearance in December. The Christmas indefinite time. tree centered the main entrance hall, swags and Irene Dawn, Dietary Department, is recover­ holly wreaths hung on the doors and windows ing at Tacoma General Hospital from recent while the bulletin boards of various depart­ surgery and is now able to see friends. ments were heavy with personal greeting cards. Doris Boyle, Physical Therapy, has returned Each department had its own small Christmas from a delightful vacation with her parents, tree and many of the departments had individ­ Mr. and Mrs. Cecil Boyle, of Sunnyvale, Cali­ ual festive celebrations. All however, looked fornia. Part of the time was spent at Santa Cruz, forward to the Hospital party held at the Sports­ Monterey, Carmel, and San Francisco. man’s Chateau on December 21, when dinner, Mrs. Nelle Satter, Head Housekeeper, at­ dancing and entertainment were enjoyed from tended the business meeting following by a 8 p.m. until 1 a.m. Christmas party held by the Puget Sound Chap­ Carol Karwoski, Chief Technologist, with ter of the National Hospital Housekeeper's husband, Frank and baby, Cindy, spent a Association on December 13 at the Eklind Hall, Merry Christmas in their attractive, new Swedish Hospital in Seattle. Each member rambler type home at Fircrest. brought a gift suitable for a young girl at the Donna and Hilbert Martens journeyed Florence Crittendon Home. to Greenwood, Wisconsin to spend Christmas Those on the housekeeping sick list this with their parents. Donna is a Pierce County month are Celestia Flam, Cecil Ballaris and Hospital Laboratory technologist. Hilbert is on Bessie Matern. It is hoped that they will be duty at Fort Lewis. recovered so that they may attend the House­ keeping Department’s annual Christmas party Social Service held a gay holiday dinner at and gift exchange to be held in the employee's Honan’s on December 14. Twelve members at­ dining room on December 17. tended, and, as is the usual custom of the de­ partment, there was an exchange of gifts fol­ lowing dinner. Numerous family Christmas dinners were given by members of the hospital person­ nel, among which are the following: Mr. and Mrs. Clayton Kasse ( Signe Kasse, Social Service) had dinner with the Lee Tylers of Edmonds and other members of the family. Irma Hough, Emergency Room nurse, was hostess to 16 members of her family at a Smorgasbord Dinner in her home at Auburn. Mary Wilson and Alexa Bury, Record Room, entertained a group of family and friends at Mary Wilson’s home on Christmas Day. Janice Turner Hopkins and husband had Christmas Eve dinner at their new home for their parents and several other relatives. Another noteworthy party was the dinner given by Mrs. W . E. Webster (3rd floor nurse) and her three sisters, Mrs. Gillam, Mrs. Gingi- rich, and Miss P. Johnson, at the home of their parents, both of whom are 94 years of age. The party included the husbands of the sisters and a nephew, Harold Gillam, who is on leave from his army duties in California. June Passafero, Central Supply, and her hus­ band, Sam, have moved into their new, attrac­ tive home at 2135 Tacoma Road, Puyallup. BULLETIN of the Pierce County Medical Society 18

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ELI LILLY AND COMPANY • INDIANAPOLIS 6, INDIANA, U.S.A. 662200 BULLETIN of the Pierce County M edical Society 19 Conference for County Society American Academy of Officers To Be Held Jan. 25 General Practice Sets March Featuring eminent guest speakers and sub­ Meeting Date In Dallas, Texas ject material of vital concern to the medical profession, the second biennial Conference for KANSAS CITY, MO. — The American County Medical Society Officers and Public Re­ Academy of General Practice Tenth Annual lations Chairmen will be held in Seattle, Sat­ Scientific Assembly will give more than 8,000 family doctors, residents, interns and guests urday, January 25, under sponsorship of the an opportunity to hear 35 medical experts dis­ Washington State Medical Association. cuss subjects ranging from teen-age problems President Milo T. Harris, of Spokane, an­ to old-age problems and from heart disease and nounced that principal speakers will be Ray­ ulcers to eye ailments, fractures and the hypno­ mond M. McKeown of Coos Bay, Oregon, a tized patient. The four-day Assembly opens March 24 in the new Dallas Memorial member of the American Medical Association Auditorium. Board of Trustees; Dr. Geo. M. Fister, Ogden, Utah, Chairman of the A.M.A. Committee on More than 90 scientific and 300 technical exhibits will supplement the scientific lecture Legislation and a member of A.M.A. Board of program. Trustees, and Mr. Warren Whyte of Chicago, executive secretary of the A.M.A. Committee Special activities are planned for the Acad­ on Legislation. emy’s tenth anniversary Assembly. Tuesday, March 25, will be Dallas Southern Clinical Dr. Fister and Mr. Whyte will discuss na­ Society Day. The DSCS meeting, held each tional legislation, with particular reference to March in Dallas, has this year been combined H.R. 9467, the Forand bill, which is now be­ with the AAGP Assembly. fore Congress and is one of the most dangerous pieces of medical legislation since the infamous The Academy’s policy-making Congress of Wagner-Murray-Dingell bills of 1941-51. The Delegates will convene at 2 p.m., Saturday, bill proposes that the federal government, by March 22. All sessions of the Congress and expanding the social security system, pay the many social functions will be held in the Statler cost of hospital, nursing home and surgical Hilton hotel. service for persons eligible for social security Wednesday evening, March 26, following in­ benefits. duction ceremonies for Academy President­ Dr. McKeown will be featured as luncheon elect Holland T. Jackson, Ft. Worth, Texas, speaker. His topic will be: "The Challenge to more than 3,000 guests will attend a president's Prepaid Medicine.” reception and dance honoring Dr. Malcolm E. Other subjects on the program will be state Phelps, El Reno, Okla., president of the legislation, press-radio-television relationships, Academy. and the Medical Defense Fund. Time will be provided for questions and discussion through­ out the program. In addition, a forum will be conducted for the discussion of problems re­ lating to county medical society activities and “PATRONIZE OUR ADVERTISERS” liaison with the State Medical Association. The conference, to be held in the Olympic Hotel, is for county medical society presidents, "Glasses as your eye presidents-elect, secretaries, public relations chairmen and executive secretaries. It is being physician prescribes them" planned by the W.S.M.A. Public Relations Committee, under the chairmanship of E. Har­ Contact Lenses — Artificial Eyes old Laws of Seattle. The first such conference was held in Jan­ Columbian Optical Co. uary, 1956, and those attending rated it highly successful in improving liaison between the Ground Floor, Medical Arts Bldg. county societies and the State Association, pro­ Medical Center moting better public relations and as a forum Western Clinic Bldg. for the exchange of ideas. B U L L E T IN of the PIERCE COUNTY MEDICAL SOCIETY 20

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BULLETIN of the P ie r c e County M edical Society ______21

National Polio Foundation Turns Dimes to Disciplines

For twenty years, the March of Dimes has fied personnel. As of September 30, 1957, nearly asked the American people for help, and for 7,000 such awards had been made. twenty years the dimes have been marching With the decline in paralytic polio through back to American communities through prog­ widespread use of Salk vaccine, the National ress in research, aid to professional education Foundation anticipates the opportunity to sup­ and service to patients. port the rehabilitation of many polio patients In launching the 1958 March of Dimes, the who, because of the lack of knowledge of polio National Foundation for Infantile Paralysis, treatment at the time of their illnesses or be­ for the first time, draws specific attention to the cause of the pressure of epidemics, were dis­ charged to family care at the earliest possible near $29,000,000 that has been authorized for aid to professional education since 1.938. This date in order to direct financial aid and services is in addition ro its research and patient care to new, more needful patients. programs. January is March of Dimes month and much remains to be done. Contributions will aid Every profession recognizes that the great­ further progress in research, aid to professional est single bottleneck in providing service to education and service to patients. patients — as well as extending research — is the lack of professional personnel to guide and direct the necessary activities. The National Foundation found early that any fight to control any disease would require a simultaneous pro­ gram to add greater numbers of the types of fighters required to handle the disease involved. In the case of poliomyelitis, the kinds of pro­ A COMPLETE LINE OF fessional personnel required were in constant SUPPLIES FOR THE demand by many kinds of patients: orthopedic, PHYSICIAN . . . HOSPITAL neurological, pediatric or other. AND Because benefits to poliomyelitis research may NURSING HOME be derived from unanticipated sources, and be­ cause poliomyelitis patients requiring rehabili­ tation may be found in any community, no recipient of a fellowship or scholarship has ever been required to limit his program or his Mail or Telephone Orders subsequent employment to the problems of Given Prompt Attention poliomyelitis alone. His very presence in the community is an asset and a safeguard. Since 1940, the National Foundation, in ad­ dition to supporting research, has provided grants to universities to assist the expansion of SHIPMAN teaching programs, and to agencies and asso­ ciations to encourage improvement of educa­ SURGICAL CO. tional standards and expansion of services. Con­ 741 St. Helens Ave. - BR. 2-6400 currently, funds have been appropriated for fel­ Tacoma 2 lowships and scholarships designed to add to the nation’s total pool of professionally quali­ 22 BULLETIN of the Pierce County M edical Society

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Doctors Hospital Building BULLETIN of the Pierce County M edical Society 23 Activity Recommended Now physicians know better. Following the As Fatigue Treatment surgeons’ practice of getting patients up soon after surgery, they now prescribe physical Rest is not "a universal panacea” for fatigue, activity. even among aging persons, a New York physi­ The pattern of American life is specifically cian said today. designed to avoid physical activity and stress— In many cases, activity is a better remedy, to the point where physical exertion is virtually especially when the fatigue results from "atro­ eliminated, the author said. Young people are phy of disuse,” Dr. Theodore G. Klumpp, presi­ able to keep in relatively good physical condi­ dent of Winthrop Laboratories, Inc., said. tion through sports and play, but, as they grow In the absence of specific disease as a cause older, they tend to give up these things. W ith of fatigue, it arises in older persons from the the help of "labor-saving devices, now includ­ normal physiological processes of aging which ing electric golfmobiles,” they begin to suffer reduce the body’s endurance; from the loss of rapidly and too early in life from atrophy of incentive, motivation, and interest; from a disuse. decline of glandular activity, and from "atrophy This brings with it a loss of muscular tone of disuse.” and functional reserve of all parts of the body, Fatigue is "a normal incident of normal liv­ so that the slightest added stress causes undue ing,” but when its pattern changes radically or fatigue. Maintaining an adequate physical re­ it interferes with ordinary activities, it becomes serve against stress is the best preventive for a serious problem and needs medical attention, such fatigue. Dr. Klumpp said in the (October 5) Jour­ Fortunately some degree of fitness can be nal of the American Medical Association. His regained through a program of graded exercise article is one of a series on aging. at any time, except where its loss is due to "For a long time, the approach to the problem advanced organic disease. The exercise should of fatigue was thought to be simple. A brief be fun for the patient and should not be drud­ history of the patient’s mode of life was ob­ gery. Along with the exercise, the aging patient tained with one objective in mind—to cut out also needs an adequate amount of sleep at night something. and if necessary a short nap at midday. "It made little difference how little the indi­ Undue fatigue occurs more commonly among vidual was doing—if the patient was tired, overweight persons. In addition to the obvious something had to go . . . if the patient did diet, the doctor should prescribe some type of nothing more than sit in a rocking chair all exercise, despite the traditional "hearsay to the day long, he was no doubt advised to stop rock­ contrary,” Dr. Klumpp said. Its greatest value ing and go lie down,” he said. lies in its stimulating effect on endocrine gland activity and in overcoming the tendency "to sleep and snooze too much — a common count­ erpart of obesity.” Dr. Klumpp also noted that much fatigue in BEALL’S aged persons occurs because they lose their incentive and interest in life. Then the doctor The Prescription Store must help the patient find a "new and absorb­ ing interest." 124 Meridian South —Mahoning Co. Med. Soc. PUYALLUP Phone Puyallup 5-8444 “PATRONIZE OUR ADVERTISERS” rn tJN T V M e d ic a l S o c ie t y tyt IT T THIN of the PiERCB 2 4 In the three to six months period of Pediat“ G New Drugs Piptal therapy no harmful effects w e r e noted. Soybean M ilk-T he Borden Co. Research S « of the 123 infants exhibited constipation aided by a grant from the Prescription Pro with tenesmus and in two instances flushing ucts Department of The Borden Company indi­ without fever developed. cates that soybean milk may be m o r e effective On all these occasions reduction of the dosage than milk itself in the treatment of certain eliminated these side effects and in no case was disorders of the upper gastro-mtestinal tract. it necessary to withdraw the drug. The research was carried out by Dr. Kent l.. ‘V-Cillin’ (Penicillin V, Lilly) A new and Osmon, Donald C. Balfour, Jr., and George K. easy way to give 'V-Cillin (P e^illm V, LiUy) Wharton, all of Los Angeles. to young patients is provided by V-Cil The three doctors tested milk, eggs, nsh, Drops, introduced October 18 by Eli Lilly and meat, chicken, Mull-Soy, a soybean milk pro­ Company. Concentrated for more convenient duced by the Borden Company, on seven male use with infants a full dose of the oral peni­ medical students. The group of students had cillin is administered in only one dropperiul. been screened to eliminate those with digestive The antibiotic effectiveness of 'V-Cillm is disorders. . unsurpassed for eradicating many common in­ They found that the soybean milk neutralized fections. Its bacterial action is particularly pre­ stomach acids for a longer period than any of ferred in pediatric patients. the other substances used in the experiment. 'V-Cillin' Drops promptly produce high peni­ Although they found that each of the sub- cillin blood levels (much higher than compar- stances had some gastric buffering or neu­ able oral doses of penicillin G). They can be tralizing capacity" in the stomach, the doctors given in place of injectable penicillin to treat reported that "the soybean preparation . . . was mild to moderately severe infections and be shown to be the most effective in controlling used to supplement inpectable penicillin in stomach acidity.” Titled "The Effect of Common Dietary Pro­ treating severe infections. teins on Gastric Secretion", the report is pub­ A safe plastic dropper which will not chip or lished in the October, 1957 issue of the "Amer­ break accompanies each bottle. Designed so that ican Journal of Gastroenterology.” the mother or nurse can easily measure the cor­ The anticholinergic Pediatric Piptal rect dose, the dropper is calibrated at the mark (Lakeside Laboratories) is a "safe, highly to deliver 125 mg. of V-Cillin (200,000 effective, and well tolerated medication for units). The small volume of the dose makes it the treatment of colic and related gastrointes­ easy for babies to swallow and prevents any tinal disorders in early infancy, it has been spilling from the dropper. reported by a group of Chicago pediatricians. 'V-Cillin’ Drops are supplied in bottles of Drs. Morton B. Andelman, Lester A. Nathan, 1.5 Gm., containing twelve doses (three days’ Lawrence Breslow, and Harold Gerber, writing therapy). The recommended dosage of 125 mg. in Clinical Medicine (4:85, 1957), drew these every six hours may be administered without conclusions after observing 123 private practice regard to mealtimes, and the product’s delicious cases in which Pediatric Piptal was ad­ cherry-raspberry flavor assures patient accept­ ministered. ance. All infants were given 0.5 cc of the medicine W igraine Rectal Suppositories— Organon. orally by dropper 15 minutes before each feed­ Organon Inc., of Orange, N.J., has just intro­ ing on a true demand-feeding schedule. In duced Wigraine® Rectal Suppositories, for the extreme cases the dosage was increased to com plete treatment of migraine and other vas­ 1.0 cc. cular headaches. Of the 94 children suffering from colic alone, Migraine causes more distress and debilita­ 85 (92.6%) showed good to excellent response tion than any other form of recurrent vascular under the medication. These infants needed headache. However, Wigraine Rectal Supposi­ fewer feedings, continued to gain weight, and tories, like Wigrain Tablets, now provide an obtained relief from painful paroxysms with effective means of treating the complete mi­ less crying. All other cases improved slightly. graine-vascular headache syndrome—head pain, In 29 cases in which "spitting” and vomiting, nausea and vomiting, and residual occipital or vomiting alone, was involved there was an muscle pain. Vasoconstriction of the dilated immediate cessation of these digestive disturb­ cerebral arteries is effected by ergotamine tar­ ances in 18 (62.1/1.) of the infants. Three trate (1.0 mg.) and caffeine (100 m g.), which cases improved while the remaining eight act synergistically to reduce head pain. The cases showed no response. Relief usually came levorotatory belladonna alkaloids (0.1 mg.— within 24 to 48 hours and in every case within 87.5® hyoscyamine and 12.5% atropine as sul­ four days. fates) rapidly return the gastrointestinal tract BULLETIN of the Pierce County M edical Society 25 to its normal tone, thus affording relief of ducted by Dr. Tom J. McBride and Dr. Arthur nausea and vomiting. The residual pain caused R. English revealed that the quinocyclines are by sustained contractions of the skeletal mus­ active against many bacteria in the class called culature of the occipital region is promptly alle­ gram positive, and are particularly deadly viated by acetophenetidin (130.0 mg.). against the tuberculosis germ, even those TB Wigraine Rectal Suppositories are indicated organisms resistant to streptomycin, isoniazid for the prompt relief of migraine and vascular and other drugs. It was found, however, that all headache, and are especially useful for the pa­ six antibiotics in the quinocycline complex are tient with severe nausea and vomiting. A dose limited in their action due to toxicity. of 1 Wigraine Rectal Suppository should be A number of chemical forms of the anti­ taken at the first indication of the migraine at­ biotic oleandomycin (Matromycin) were also tack, followed by one suppository every 20-30 described by Dr. Celmer and associates at the minutes until the attack is fully controlled. No meeting. Oleandomycin, which was made avail­ more than 6 Wigraine Rectal Suppositories able to physicians earlier this year, has a range should be taken per attack. Total dosage of W i­ of activity resembling that of penicillin, and graine Rectal Suppositories during a period of has proven especially useful against micro­ one week should not exceed 12 suppositories. organisms which have become resistant to older Wigraine Rectal Suppositories are packaged antibiotics. One of the new chemical forms, in boxes of 12. triacetyloeandomycin, appears to be especially Adenovirus Vaccine—Parke-Davis. Parke- promising, Dr. Celmer noted. In preliminary Davis recently announced it has been granted a clinical tests, triacetyloeandomycin appeared in U.S. government license to market a vaccine both the blood and the urine of test subjects in designed to immunize against certain virus in­ unusually high concentrations. High blood fections of the nose, throat, and eyes. levels of antibiotic are generally regarded as A company spokesman said the new Ade­ indexes to its usefulness in therapy. novirus Vaccine has been approved by the Na­ Three new antibiotics active against fungi tional Institute of Health in Washington, D.C. were described by Dr. B. K. Koe and associates, He said production will begin immediately and in another paper read at the meeting. The new that the vaccine will be available commercially anti-fungal agents, thus far known only as "very shortly.” PA 150, PA 153, PA 166, belong to a chemical The Parke-Davis Adenovirus Vaccine is de­ family known as polyenes. Most of the relatively signed to immunize against a number of virus- few anti-fungal antibiotics now available are caused illnesses which are among the common of this chemical type. The anti-fungal activity respiratory illnesses known to man. However, of the three new compounds was described in a the company spokesman said the new vaccine paper by Dr. Arthur R. English and Dr. Tom could not be termed "a preventive for the com­ J. McBride. mon cold.” Pathibamate. On the first of June, Lederle He said the vaccine is prepared from three Laboratories announced a new prescription types of adenoviruses (sero-types 3, 4, and 7 ) product called Pathibamate. Now, five months which "have been identified with certain acute later, its use in everyday practice confirms the respiratory and conjunctival infections." These results of our early investigations. I hope the viruses have also been known as adenoidal- following facts will serve to highlight the prod­ pharyngeal-conjunctival viruses. uct and its rationale. New families of antibiotics, announced Pathibamate tranquilizer-anticholinergic tab­ by Pfizer scientists. Two new families of anti­ lets combine 400 mg. of meprobamate and 25 biotics, plus new chemical forms of previously- mg. of tridihexethyl iodide. The product has discovered germ-killers, were reported recently been recommended for the certain treatment before the annual Antibiotics Symposium. of certain dysfunctions of the gastrointestinal The discoveries were made in the research tract, such as duodenal or gastric ulcer, intestinal laboratories of Chas. Pfizer & Co., Inc., world’s colic, spastic and irritable colon, ileitis, esopha­ largest producer of antibiotics. geal spasm, gastric hypermotility, and anxiety A closely related group of six new anti­ neurosis with G. I. symptoms. biotics, named the quinocycline complex, was Although there is some reservation among reported by Dr. W . D. Celmer and associates. members of the medical profession with regard All six were derived from the same fermenta­ to the use of drugs in combination, an examin­ tion source and were separated as distinct ation of the origin and perpetuation of G. I. crystalline compounds. A novel chemical inter­ disorders might point up the rationale behind relationship of the six antibiotics was explained the drug’s development. by the researchers. In addition to his organic complaint or ill- Extensive test-tube and animal studies con­ (Continued on Page 21) 26 BULLETIN of the Pierce County M edical Society

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MEDOSWEET KREAMILK MEDOSWEET DAIRIES, INC — TACOMA, WASH. / B U L L E T IN of the Pierce County M bdical Society 27 (Continued from Page 25) together with a remission of the exudative man­ ifestations themselves,” wrote Dr. Bruni. ness, the patient often shows a clinically signi­ "An over-all analysis of our case histories ficant emotional overlay of anxiety, tension, and would, it seems to us, indicate that the results mental stress. Quite frequently, these symptoms achieved can be definitely regarded as encour­ are regarded as causative agents of G. I. dis­ aging. These results are primarily due to the tress; or, conversely the presenting illness preparation's well-known ability to inhibit (the might be a causative agent of the anxiety syn­ spreading factor), its moderating action on drome. W hich ever the case, the emotional over­ capillary permeability and its inhibitory effect lay is often present, can markedly contribute to on postinflammatory vasal neoproliferation. the course of the illness, and should be con­ Neomycin was found to bring about local con­ trolled, if possible. It is here that rationale ditions more favorable to an early remission of treatment seems strongly to point to the use of the more prominent symptoms.” two chemotherapeutic agents in combination. Tetracycline, Novobiocin combined by In management of the mental factors, the Upjohn in new preparation for mixed tranquilizing effect and excellent toleration of infections. A new antibiotic preparation com­ meprobamate seem to be advantageous when bing the antibacterial activity of tetracycline compared to phenobarbital, which sometimes and novobiocin has been announced by The has certain undesirable side effects. Likewise, in Upjohn Company. The antibiotic combination the management of G. I. distress, the anti­ is effective in the treatment of pneumonia, cholinergic agent Pathilion, has been shown and in urinary, gastrointestinal and pus-forming to be a competent drug with a relatively low infections. order of toxicity. Known as Panalba, the new compound com­ If you would like additional information, bines Panmycin Phosphate (tetracycline phos­ Pathibamate literature is available on request. phate complex, Upjhon) and Albamycin (no­ “Meti-Derm” ointment used in infected vobiocin sodium, Upjohn). Panalba is pri­ dermatosis. "Meti-Derm," prednisolone-neo- marily indicated in mixed infections where the mycin ointment, is a valuable therapeutic invading organisms are more susceptible to the weapon in the treatment of primarily and sec­ combination than to either antibiotic alone. ondarily infected dermatosis, according to a Clinical studies have indicated that Panmy­ paper published in the Italian journal "Derma- cin Phosphate produces higher initial blood tologia.” (8:N o. 4, 1957). levels of tetracycline than does the hydrochlor­ The author, Dr. L. Bruni, reported on 32 ide form. Albamycin has proven particularly cases in which "Meti-Derm” was applied effective against organisms resistant to other topically. The preparation was applied once or commonly used antibiotics. It also exhibits twice a day, depending on the gravity and acute­ extremely rapid absorption and high serum ness of the form. No other therapy was used concentrations. during treatment with the ointment. Each capsule of Panalba contains tetracycline "A noteworthy result was the prompt remis­ phosphate complex equivalent to 250 mg. of sion observed, particularly with regard to the tetracycline hydrochloride and 125 mg. of subjective symptoms: the puritis in particular novobiocin sodium. was found to be rapidly alleviated after a single Recommended dosage of Panalba is 1 or 2 application, and the sensation of burning and capsules three or four times daily, depending tautness present in the cases of dermatitis on the type and severity of the infection. Pan­ marked by considerable exudation gradually alba is available in bottles of 16 and 100 began to disappear after only 2-3 applications, capsules.

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CAMBRIDGE ELECTROCARDIOGRAPHS W ILM OT CASTLE STERILIZERS A N D LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS BULLETIN of the Pierce County M edical Society 29 “Five Neii> York Doctors”

By J ohn W . W illiam s, M.D. (Everytime we hear the positive comments of these "Five New York Doctors" we wonder who they are. The M.D. from Oklahoma has AND ALL spelled it out.) DAIRY PRODUCTS What constitutes good advertising and what makes bad advertising is apparently a matter of opinion. I have in my possession a letter which causes me great concern. I believe it illustrates something that is detrimental to the best interests of the people. It is directly re­ lated to the Medical and its allied professions. ☆ It could be stopped too. All of us at one time or another have seen or heard "doctors" quoted in all advertising Careful Mothers use Pro­ media. The use of the "hawkers” in the white tected Milk. Pasteurized jacket with a stethoscope around his neck is a direct implication that he is a member of one and Homogenized Milk of the healing arts. And by this implication an indirect endorsement is given the product by from our own contented the Medical profession. cows can be delivered Statements False and Misleading to your home or your The use of the terms "miracle ingredient" and other similar words in association with grocer shop worn chemicals, which have been used by the medical profession for years, and more ☆ often than not discarded, is commonplace. The use of "Let me demonstrate” and other phrases is frequently false and misleading. Most of A Favorite Dairy for over these demonstrations were taken from a child’s chemistry set or something more simple. The 30 years. Recommended real true interpretation is carefully avoided. by doctors and dietitians. In order to illustrate this point, I wrote a letter to the Federal Communications Com­ mission and requested the names and profes­ ☆ sional degrees of the "Five New York Doctors who have proved that you can break the laxa­ tive habit.” CALL Surely, I thought, if this is on the level they would have no objection to giving me their names. For all we know these doctors may WAverly 2-8705 have been ministers or even English Professors. But on the other hand those white coats and other paraphernalia suggestive of Medical doc­ tors would have certainly convinced the most wary that these men were "healers” of some kind. Now I want to make it clear that I am not low rating this particular product. I am SanitaryJa merely questioning this as an ethical and com­ l\TAXT DAIRY pletely honest practice. I have a letter from Mr. F. W. Irish, Chief of the Division of Scientific Opinions of The Federal Trade Commission. According to this Direct from Our Farm to You letter his office has made no investigation as (Continued on Page 30)

BULLETIN of the Pierce County M edical Society 31 New Booklet Contains tion. The booklet contains text material, case citations and sample medicolegal forms to help Medicolegal Assistance physicians prevent unjust malpractice claims in their office and hospital practices. It is not What can a physician do to protect himself intended, however, to substitute for individual against a possible malpractice claim if a patient legal counsel. comes to him with what appears to be a frac­ The material and forms in the booklet deal tured limb, but refuses x-ray examination or with such subjects as consent to operations, otherwise disregards the doctor’s advice? the patient's right to privacy, confidential com­ Suggestions regarding such a medicolegal munications, artificial insemination, autopsy, problem and others are contained in a booklet and the physician-patient relationship. Physi­ which has been distributed to county medical cians and their attorneys may adapt the various societies by the Washington State Medical authorization and consent forms to their own Association. needs. Entitled "Medicolegal Forms with Legal Reference copies of the booklet are on file Analysis," the booklet was prepared by the Law in the library of the Pierce County Medical Department of the American Medical Associa­ Society.

Happy New Year )

Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS

STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—at 6:15 p.m. TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club SURGICAL SOCIETY Third Tuesday of each month—6:30 p.m. at Tacoma Club STAFF OF PIERCE COUNTY Last Monday of each month—6:15 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the Month—8:15 p.m. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept. and Dec.—7:15 a.m. at Scotty's Cafe PIERCE COUNTY PEDIATRIC SOCIETY First Friday of Sept., Nov., Jan., March and May BULLETIN PIERCE COUNTY MEDICAL SOCIETY 2______BULLETIN of the Pierce County M edical Society Pierce County Medical Society c

195 8 OFFICERS President...... HermanS .Judd President-Elect...... t w . Bowen, Jr. I Hap* py birth - day to you, Vice-President ...... Chris C. Reynolds 1 V 7 7 ' Secretary-Treasurer ...... Arnold J. Herrmann Executive Secretary ...... Judy Gordon TRUSTEES PaulE Bondo Herman S. Judd HaVVU Birthday J. W. Bowen, Jr. George S. Kittredge u Douglas Buttorff Philip C. Kyle Robert W. Florence Robert E. Lane „ , Hillis F. Griffin Chris C. Reynolds t e b fU a ry Arnold J. Herrmann Wayne W. Zimmerman DELEGATES Douglas Buttorff Louis P Hoyer Jr 1 C H A R L E S B. A R N O L D Philip Grenley Charles E. Kemp Arnold J. Herrmann Frank Maddison 2 W . R O L A N D O L S O N ALTERNATE DELEGATES Robert W. Florence Frederick J. Schwind 3 W I L L I A M P. H A U S E R Murray L. Johnson Don G. Willard Wendell G. Peterson Wayne W. Zimmerman ^ HERBERT C KENNEDY COMMITTEES „ , „ Ethics A L F R E D L. S C H U L T Z Robert E. Lane, Chairman ^ iev^ ^ R ,ch ard T. Davis D O N G . W I L L A R D

Gen,Id c. Koh!1,s F- t{^ ' r C lT,ireTp:,rrott 1 4 F R A N K L. W I L L I A M S House and Attendance r TT J?hn s - MaV. Chairman 1 5 P A U L F R O N D O James E. Hazelrigg Dudley W. Houtz C U W U U I. A. D^TShairman THOMAS R. WEST John M. Havlina Hugh A. Larkin Bernard R. Rowen Stanley W. Tuell 1 6 JO H N I. B O N I C A Program William P. Hauser Hal6y' F. Dye S C O T T S. JO N E S Herbert C. Kennedy Public Health 20 GEORGE A. DELANEY rp, , Bernard A. Bader, Chairman -’2 JOHN L. WHITAKER T , _ Mattson, Jr., Chairman & j& 23 PHILIP C. KYLE

Th°cTvaDe£enSThy F R A N K J. R I G O S

Dan°n,an^ | ' u „ k 2 4 J A M E S E. H A Z E L R I G G ye Wayne W. Zimmerman D iabetes Joseph B. Harris, Chairman Entertainment I W Rn Ge0rrge A■ Tanbara. Chairman ------

kZ^ Jr0Um,.^G. M . W hitacre ^ A G eriatrics Glenn H. Broka^ LaWre"Ce' ^ T s t e e l e N O T IC E Legislative Amoid j. Hermann ®uttorff- ciVa'iTc? Kohl Check back page of Bulletin for calendai „ of m eetings

Joh„ComfortR- rtK ^ " . ^ & . O s h 0r„e Schools Theodore A pf' A‘ Norton’ C hairm an ______Orvis HarrelsoD ------William E. Hill r W. Mandeville 1 George Tanbara „ Traffic and Safety Harold D. Lueken, Chairman Mental Health t? t . r . HaiCTarold B' Joiuislon. Chairman r r o n t P ag e P ic tu re William H. Todd™" KUSi Courtesy Bulletin staff Richards Studio E ditor ...... _ Associate Editor._.'"..„ W. Mattson, Jr. Business Manager ...... — L aw rence Auxiliary News Editor' ...... VV...... Gordon - ...... ----- Mrs. Robert Kallsen

4______B U LLETIN o f th e Pierce County Medical Society ------— .------_ ...... m u m>i n u ti m u ...... ® = Tacoma Brace I South Tacoma I & Limb Co. Lenart C. Ceder, owner Drug Co.

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of the Pierce County M edical Society

Mr. J. M. Gilbertson, Vice-President & Trust Officer Our Traveling Trust Officer visits the new West End Office for consultation Here is sound advice for everyone. Too There are many advantages to be gained many men do not think seriously about what by naming a bank as an executor. A bank’s will happen to their wives and families after Trust Department is a trained business they are gone. The American husband in manager for your estate, backed by years of seven cases out of ten, passes to his reward experience with financial responsibility. before his wife. Importantly, it goes on forever. The most important tiling for a husband and wife to realize is that there will be less Mr. Gilbertson makes many trips weekly money for a woman as a widow than she from our Main Office to our five branches for had as a wife. It is urgent that a husband consultation with trust clients and with those should make plans now. Every man .should interested in creating a trust. There is no have a Will. It leaves more for the wife obligation for either consultation. Merely and family. make an appointment with any Branch Regardless of how small your worldly Manager and he will be there to consult possessions, you and your wife should each with you. have a Will. See an attorney. It will cost Every man should have a Will. See an you less than you think. Don’t put it oil. attorney this week.

TRUST DEPARTMENT

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8 BULLETIN of the Pierce County M edical Society

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F O R P A IN the most prevalent symptom encountered in medical practice

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No. 1 No. 2 No. 3 No. 4

BURROUGHS WELLCOME & CO. (U.S.A.) INC., Tuckahoe, New York B U L L E T IN of the Pierce County M edical Society 9 Introducing

PHARMACY

Prescription Druggists Dr. M. R. Stuen Dr. M. R. Stuen is the newest member of the Medical Society, having transferred from Skagir County to become a staff physician at American Lake Veterans’ Hospital. Dr. Stuen, who was clinical director of Northern State Hospital before moving here, was raised in Parkland We Carry a Complete Stock of and is a graduate of P.L.C. After leaving Marquette University School of Biologicals and Pharmaceuticals Medicine at Milwaukee in 1946, he planned a career in internal medicine. He completed IS months of residency training at Ancker Hos­ pital, St. Paul, Minn, (where he interned) and the V.A. Hospital in Portland. Army service interrupted his plans from 1950 to 1952 during the Korean conflict; it was during this time that he was involuntarily as­ "When Moments Count" signed to psychiatric work at Fort Lawton, Seattle. He became so interested in that field that he later changed his specialty to psychi­ atry. In 1955 he did a residency in psychiatry at the Veterans’ Hospital in Seattle, and re­ FUlton 3-2411 ceived his board certificate in 1956. Dr. Stuen and his wife, also a P.L.C. gradu­ PROMPT . . . FREE DELIVERY ate, proudly claim a family of four—two boys and two girls—ranging from 2% months to 9 years. Skiing is the family sport and they have recently enjoyed a wonderful vacation at Sun Valley. C o ngratu lotions Stadium Hi District Congratulations to S. K. & F. and the A.M.A. for a most educational TV program (March 101 North Tacoma Avenue of Medicine) Thursday, Jan. 23. —The Editor Tacoma, Washington REMEMBER THE DANCE . . . FEB. 22 also DON’T FORGET TO VOTE — FEB. 11 10 BULLETIN of the Pierce County M edical Society

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...... — m i m >i — m m BULLETIN of the Pierce County M edical Society 11 WOMAN’S AUXILIARY V&Vbe Piesirn GauriLf, M ediccd^acietij, 1957-58 and voted to purchase a film for Mental Health Week in April. Mental Health chairman, W om an’s A uxiliary Delores Havlina, says the film will cost in the Pierce County M edical Society neighborhood of $125, and will be selected by Officers and Chairm en her committee; Florence Duerfeldt, Helen Kittredge, and Betty Mattson. After the initial President _____ - ...... Mrs. T. B. Murphy President-elect ...... Mrs. Robert Florence showing, the film will be added to the collection 1st V ice-P resident______Mrs. Marshall Whitacre 2nd Vice-President ...... -...... —...... Mrs. Herman Judd at the Public Library. 3rd Vice-President ...... Mrs. Robert Kraft Dorothy Grenley reported that seventy 4th Vice-President ...... Mrs. Stillman Hathaway Recording Secretary' . Mrs. Wm. Mattson, Jr. speakers have been listed with the Speakers’ Corresponding Secretary______Mrs. Robert P. Crabill Treasurer ...... Mrs. HaskellBureau Maier this year. This service has been used and Publicity, Newspaper ..... Mrs. Thomas Smeall is greatly appreciated by P-TA's and other or­ Publicity, Bulletin ______Mrs. Robert Kallsen American Medical Education Fund ....Mrs, Herman Judd ganizations all over the county. In spite of the Bulletin (National)______....Mrs. George Tanbara Civil Defense______Mrs. Harold D. Lueken large number of engagements registered with H istorian ...... Mrs. John Bonica the bureau, Dorothy reports that there are still S o cial...... Mrs. Howard Pratt Legislative ...... Mrs. Josephsome Harris physicians who do not register each time Membership ...... Mrs. Charles Anderson Nurse R ecruitm ent...... Mrs. Orvis Harrelsonthey appear before a group. Dorothy is doing Program ------Mrs. Robert Osborne an excellent job and would appreciate closer Public Relations ...... Mrs. Robert Burt Revisions...... Mrs. Treacy Duerfeldt cooperation on the part of the doctors. Telephone______Mrs. James Mattson Today’s Health _ ..Mrs. M. Edward Lawrence Front and Center for the Center Speakers Bureau ...... Mrs. Philip Grenley Minute Women______Mrs. Robert Ferguson One of the more advanced community serv­ Heart______...... Mrs. Kenneth Gross ices offered here, and one which is strictly a C ancer------...... Mrs. Robert Brooke Tuberculosis...... ______Mrs. H illis Griffin Tacoma product, is our Puget Sound Rehabili­ Mental Health . Mrs. John Havlina Crippled Children and Adults...... Mrs. Wendell Peterson tation Center. The Center has been functioning Infantile Paralysis ...... Mrs. Douglas Buttorff successfully for almost a year now', and through S afety______Mrs. Galen Hoover Rehabilitation Center...... Mrs. Walter C. Cameron, it eighty-nine persons have been restored to Mrs. Phillip Backup Public Health Nursing______Mrs. Charles Anderson active lives in the community. Community Council______... Mrs. John F. Steele Stellar roles were played by Edna Backup and City Council...... Mrs. William Goering Health Council ______Mrs. Merrill Wicks Marge Cameron on the morning of January Fashion Show______Mrs. Robert Florence Dance.._------Mrs. Horace Anderson 16th, when the production "The Team Ap­ Christmas Party______Mrs. Howard Pratt, proach to Rehabilitation" was performed before Mrs. Robert Osborne an audience of the President's Council. The show is a demonstration of methods, taking some real cases through the channels of rehabili­ The February meeting will be a tea on the tation just as is done at the Center. Edna 21st, at 1:30, at Jackson Hall, honoring the Backup, who is a licensed physician, played the sponsors of the Nurse Recruitment Clubs. part of consulting physician. Marge Cameron, Hostesses will be the Auxiliary Board mem­ who is finance chairman of the Center, intro­ bers, and Grace Hauser will be in charge of the duced the panel. arrangements. Bev Harrelson, Nurse Recruit­ Heart to Heart ment chairman, w ill explain the Future Nurses Club program and introduce the club spon­ Does your husband hold the romantic idea sors. Of special interest will be the introduction that, in case of his untimely demise, he will be of one of the recipients of our Nurses lost at sea? The odds against such a departure Scholarships. are roughly 300,000 to one. It's much more January meeting brought out a big crowd for likely that your husband will be a victim of the very nice luncheon at the home of Mrs. heart disease. For physicians, heart disease is Woodard Niethammer in Narrowmoor. Sun­ almost an occupational hazard. shine and a beautiful view were added attrac­ Your Heart Association is doing its organ­ tions to the sparkling pink and white buffet, ized best to eliminate this problem for you. and the food was wonderful. Thanks, Donna They're performing a veritable trackdown to Ferguson and committee; Lorna Burt, Helen find the causes of heart disease and to keep Kittredge, Jane Davis, Margaret Smith, Marion you informed of the results of current heart Doherty, and Kathy Kohler. research. They’re also providing needed services Meeting after creole rice and pineapple for heart patients all over the country. souffle, members were in a magnanimous mood (Continued on Page 13) 12 BULLETIN of 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

outstanding e ffica cy in skin disorders STEROSAN* Hydrocortisone Cream and Ointment (chlorquinaldol GEIGY with hydrocortisone)

The case illustrated below typifies the superior response pro­ duced by STEROSAN-Hydrocortisone. Combining potent antibac- terial-antifungal action with a reliable anti-inflammatory and antipruritic effect, STEROSAN-Hydrocortisone is valuable in a wider range of infective or allergic dermatoses.

A severe infectious eczeraatoid dermatitis on foot of 15-year-old boy. Patient used STEROSAN-Hydrocortisone preparation 3 times a day for 23 days with a dramatic improvement as shown.*

before treatment after treatment

*Case report and photographs through the courtesy of N. Orentreich, M.D., New York N Y.

GEIGY ARDSLEY, NEW YORK

ORALLY EFFECTIVE Bis BIOPARFORTE

Each Biopar Forte tablet contains Vitamin B,2 with Intrinsic Factor Concentrate (non-inhibitory), Vi U.S.P. Unit (Oral)* ... Vitamin B,2 (activity equivalent), 25 meg. *Unitage established prior to compounding. Usual dose: 2 tablets daily.

— also used as an appetite stimulant

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lift ii# i ft, ifri I-*1-, ih A B U L L E T IN of the PIERCE COUNTY MEDICAL SOCIETY 15 HOSPITALS. . . Tacoma General Saint Joseph’s Dr. Stanley W. Tuell is the new president The new year started with a boom and has of the Medical Staff. Serving with him in 1958 kept the Surgery crew bustling around at a will be Dr. Scott S. Jones, Immediate Past steady pace. Dr. Guilfoil spent two weeks be­ President; Dr. G. H. Brokaw, Secretary; Dr. fore Christmas in her home town, nothing less Robert M. Ferguson, Chairman of the Creden­ than New York for her. W e all enjoyed the tials Committee; Dr. Warren F. Smith, Vice- "taste” of New York that came to us in the President and Chairman of the Program Com­ form of a delicious box of candy. Thanks to mittee; Dr. Philip C. Kyle, Member of the Doctor Guilfoil. Dr. Pratt has returned from a Board of Trustees; and Dr. Gerald C. Kohl and brief trip to California. We want to welcome Dr. Dale Hadfield, Members-at-Large. Jerry Lake to surgery and we appreciate having Dr. Fausto Molina has completed his resi­ him. The Evergreen Association of Operating dency in the Department of Anesthesiology, Room Nurses will have a dinner meeting here and has returned to Buenos Aires to resume his on Tuesday, January 21. The speaker for the practice of this specialty. Dr. Molina was study­ evening will be Doctor Kanar. ing here on a Fellowship awarded to him by We’ve been very busy on third and have made the Argentinian Government and the Argen­ it a real problem for the Housekeeping De­ tinian Society of Anesthesiologists. partment to put an extra bed here or there. Beginning residencies in the Department of Mrs. J. Barrett and Mrs. L. Johnson have left Anesthesiology are Dr. Armando Fortuna, Dr. us for obvious reasons — to await the stork. Thomas Q. Zeigler, and Dr. Graham Ritchie. Mrs. Le Blanc (Bardokosky) a St. Joseph’s Dr. Ziegler has just completed a tour of duty graduate has joined our ranks — also Mrs. K. with the United States Army. Dr. Ritchie is an Moore who hails from New York. Mrs. Sparks exchange Fellow from McGill University, Mon­ (D aly) another St. Joseph’s graduate is on treal, where he is taking the Diploma course in 3-11. Miss Hildreth is another newcomer to the Anesthesiology. Dr. Fortuna is here on a Schol­ 3-11 staff. Welcome all. Our deepest sym­ arship in Anesthesiology from the United pathy to Maomi Johnson, L.P.N., who recently States Department of State, and his particular lost her mother. Mrs. Halvorson wishes to thank interests are the function of nerve block and all the personnel for their thoughtfulness to her the Pain Clinic. He comes from Brazil, where and the wonderful care given to her husband he was Chief Anesthesiologist at the Regional while a patient. Mrs. Linamen has taken time Hospital, Baurv, SP. off to visit her daughter in New Jersey. Mrs. In December, membership on the Medical Shreves is back with us after a leave of absence. The X-ray department now holds classes on Staff was approved for Dr. Richard E. Muzzall, Monday evening. It is a physics class taught by Dr. Ernest L. Randolph, Dr. Daniel J. Thomas, Mr. West Ross and Mr. Glen Scofield. W e are and Dr. Hugo van Dooren. very sorry to hear that Peggy Bloom, one of our Dr. C. P. Larson spent January 18 in Chi­ last year students is leaving us. We’ll surely cago attending a meeting of the AMA Para­ miss her. She is going to work for Dr. Jarvis in medical Study Committee. From there he went Puyallup. We are happy to welcome back Nancy to Washington, D.C., to meet with the Presi­ Connery who will be working 3-11 in X-ray. dents of all Pathology Societies in the United These familiar faces will still be seen roaming States for the purpose of developing an Inter­ the halls: Peggy James, Joan Fahey, Peggy national Committee on Pathology. All the So­ Mallany, Diane Schaff, and Jack McDonald. cieties of the world will be represented on this Here in our new-born nursery, a little world committee, whose specific purpose will be the within a world where competition is keen and carrying out of research projects assigned by ruthless, we will remember 1957 because of WHO. "Peanuts." You see, Peanuts made his debut one New Therapeutic Dietitian is Mrs. Amy September afternoon 2Vi months ahead of Thompson, a graduate of Ohio State University. scheduled time and weighed in at a little over Recently she has been a member of the staff of 2 pounds. Eager hands were ready to help, and Oklahoma A & M. warm hearts open to receive poor little Pea­ Mrs. Velma Sackman has joined the faculty nuts. Four brothers and three sisters had pre- as Instructor of the Diabetic School. She is a graduate of Pacific Lutheran College and the School of Nursing of Immanuel Hospital. (Continued on Page 1 7) o f the Pierce County M edical Society

McMILLAN BROTHERS, Inc.

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BULLETIN of the Pierce County M edical Society

AM ES EC provides continuous relief

Around-the-clock Amesec protection give him a symptom-free day and a permits the asthma patient to enjoy good night’s sleep. even the more vigorous forms of ac­ tivity. One pulvule three times a day Each pulvule or 'Enseal’ provides: Aminophylline...... 130 mg. and one 'Enseal’ (Timed Disintegrat­ Ephedrine Hydrochloride . . . 25 mg. ing Tablet, Lilly) at bedtime usually 'Amytal’ (Amobarbital, Lilly) . 25 mg.

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2 0 BULLETIN o f the Pierce County M edical Society PRESCRIPTION SPECIALISTS

HAROLD MEYER PHARMACY 1110 South 11th Harold Meyer, Owner FUlton 3-4494 Open 8:30 a.m. 'till Midnight — Free Delivery 'till 8 p.m.

NO FUNERAL PROCESSION

Burials at Mountain View are conducted entirely within the confines of the park. There is no long procession through the din and traffic of city streets, and no park­ ing problem for friends and relatives who attend the services.

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MOUNTAIN : SSSS,"" * CHAPEL V I E W M em ° rial • CREMATORY * Park • MAUSOLEUM 4100 Steilacoom Boulevard JUniper 8-2195 BULLETIN of the Pierce County M edical Society 21 (Continued from Page 19) World War. We viewed with interest and mixed emotions the monument erected and dedicated to this group. From Manila we experienced our longest MILK airplane ride—two full nights, and one day to Honolulu with two one-hour stops at both Guam and Wake. W e arrived in Honolulu in the morning of December 23 and remained at the airport to welcome Sally who flew over from school. Leona's sister, Anabel McLean, of Los Angeles, arrived that evening and all found it a perfect place to spend the Christmas and New Year holidays. We returned home Janu­ ary 3, and on the 5th, Sally was on her way ☆ back to Whitman College. I would like to close this account with a short resume of impressions gathered in the Orient. Careful Mothers use Pro­ 1. Peoples of Japan and the Orient are far tected Milk. Pasteurized more intelligent than we in America think they are. They want our "know how” and are and Homogenized Milk very friendly toward Americans almost universally. from our own contented 2. Our government has spent unbelievable cows can be delivered sums of money throughout these countries, as well as throughout the rest of the world, and it to your home or your is my belief twice as much could have been grocer accomplished with less than half the amount spent and wasted so far. 3- There is a ray of hope, from what one ☆ hears, that the young diplomats are far better fitted for their positions and have a much better reputation than the older or previous A Favorite Dairy for over ones. Better diplomacy and technical assistance is beginning to show up in some places—one 30 years. Recommended in particular is in, Saigon, Viet Nam (Indo by doctors and dietitians. China). 4. The Russian reds are out-maneuvering us m too many places without spending even ☆ token assistance, by using highly advanced skills in subversive techniques and propaganda. CALL REMEMBER THE DANCE . . . FEB. 22 also WAverly 2-8705 DON’T FORGET TO VOTE — FEB. 11

"Glasses as your eye physician prescribes them" S w iT A R V Contact Lenses — Artificial Eyes r-7JT|INFAXT DAIRY. Columbian Optical Co. Ground Floor, Medical Arts Bldg. Medical Center Direct from O ut Farm to You Western Clinic Bldg. 22 BULLETIN of the Pierce County M edical Society

STOWELL'S... Prescriptions

Our completely new and larger store will give you and your patients more efficient and reasonable service.

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ROGER B. MOLT Physicians and Hospital Supplies We are Agents for the following Manufacturers . . . W. D. Allison Co.—Wood Furniture A. C. M. I.—Cystoscopes, Accessories and Woven Catheters Burdick Physiotherapy Equipment Heidbrink Gas Machines Johnson & Johnson—Dressings and Sutures Scanlan Morris Equipment Stille Surgical Instruments Vitallium Bone Screws and Plates

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Current Concepts in Therapy: Sedative-Hypnotic Drugs. II. Chloral Hydrate. New England J. Med. 255:706 (Oct. 11) 1956. adults: 1 or 2 71/£ gr. capsules or 1 or 2 teaspoon­ fuls of Noctec Solution 15 to 30 minutes before bedtime. children: 1 or 2 3% gr. capsules or % to 1 tea­ spoonful of Noctec Solution 15 to 30 minutes be­ fore bedtime. 7y2 and 3% gr. capsules, bottles of 100. Solution, iy 2 gr. per 5 cc. tsp., bottles of 1 pint. S q j j i b b

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2 6 BULLETIN of 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

Prescription Optical Company

Dispensers for the Oculist

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Phone MArket 7-4151

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28 BULLETIN of the Pierce County M edical Society

Spacious, beautiful memorial chapel Choice of cemetery, mausoleum, cremation or columbarium

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; SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS

30 BULLETIN of the Pierce County M edical Society (Continued from Page 29) Diabetes Committee pictures. (Complete coverage was also given This is a report on the activity of the Dia­ all County papers.) betes Committee of the Pierce County Medical Asiatic Flu, 2 stories. Society for the year 1957. Poison Control Center, 3 stories, 1 picture. Diabetes Detection Week was observed No­ United National Festival, 1 picture. vember 17 through 23. During this period, the Diabetes Detection Week, 2 stories, 1 picture. public was offered free urine tests for sugar in 1957 Officers, 4 picture spread. doctor’s offices and at medical laboratories. Presentation of scroll to W. O. Jeffery, 1 Announcement was made to the physicians story, 1 picture. in the Bulletin and at the regular monthly Television meeting of the Society. Mrs. Gordon prepared Half-hour program (April 21) Race, Bader, announcements to the public which appeared in Lambing, Mrs. Sullivan. the newspaper, on radio and television. Interview—re Asiatic Flu (Bernard R. There was a modest response from the public. Rowen) G. M. W hitacre, M.D. Interview—re Polio Immunization (George Chairman Kittredge) R adio "Breakfast with McMurtrie” KTAC— 1. Medical Education Week 2. Polio Immunization REMEMBER THE DANCE . . . FEB. 22 Interview—KTAC re Polio Immunization— (T. J. Smith) also Interview KTNT re Polio Immunization— (George Kittredge) DON’T FORGET TO VOTE — FEB. 11 Spots carried on all stations during: Medical Education Week, Diabetes Detection Week and Polio Immunization (6 weeks). Spots re polio were also carried by KING and KOMO Radio and TV. A COMPLETE LINE OF Organizations Indoctrination Dinner—Seventeen new doc­ SUPPLIES FOR THE tors were given pointers on economic, book­ PHYSICIAN . . . HOSPITAL keeping and medicologic problems in starting a practice. AND NURSING HOME United Nations Festival S. F. Herrmann took charge of the Medical Society booth. Science Fair A judge, (Robert Freeman), was provided and $100 was contributed toward support of Mail or Telephone Orders this worthy program. The Medical Auxiliary was of great assistance Given Prompt Attention in the Medical Education Week program; and the Speakers' Bureau, headed by Mrs. Grenley, provided speakers to groups during the year. ’ It will be noted that the Medical Society had one half-hour TV show in 1957. We were negotiating for a regular weekly time for addi­ SHIPMAN tional programs, but re-organization of the Program Department at the station necessitated SURGICAL CO. delaying planning until this was completed. We hope that during the coming year ar­ 741 St. Helens Ave. - BR. 2-6400 rangements can be made for a program’fea­ Tacoma 2 turing Medical Society members and represen­ tatives of the various Health organizations. W . W . Mattson, Jr., M.D. Chairman “PATRONIZE OUR ADVERTISERS”

Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS

STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—at 6:15 p.m. TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club SURGICAL SOCIETY Third Tuesday of each month—6:30 p.m. at Tacoma Club STAFF OF PIERCE COUNTY Last Monday of each month—6:15 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the Month—8:15 p.m. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept. and Dec 7:15 a.m. at Scotty's Cafe PIERCE COUNTY PEDIATRIC SOCIETY First Friday of Sept., Nov., Jan., March and May “IUJLLETIN., PIERCE COUNTY MEDICAL SOCIETY

i

VOL. XXIX—No. 7 TACOMA, WASH. MARCH - 195S BULLETIN o f the PiBRCE County M edical Society Pierce County Medical Socieiy 1958 OFFICERS P resident- -H erm an S. Judd President-Elect ...... J. W. Bowen, Jr. Hap-py birth - Jr., Chairman i u i T?mca James D. Lambing 24 ROBERT CRABILL Robert Johnson M. E. Lawrence Thomas O. Murphy Civil Defense 25 ROBERT BURT Richard F. Barronian, Chairman W illiam E Avery Richard B. Link GERALD KOHL David F. Dye Wayne W. Zimmerman D iabetes Joseph B. Harris, Chairman 26 ROSS WRIGHT Entertainment T ... G«orge A. Tanbara, Chairman 31 FREDERIC PAINE k 3°£en’ Tr‘ F. W. Hennings Kenneth Gross L. M. RosenblSdt v». M. Whitacre Geriatrics r,, E. Lawrence, Chairman Glenn H. Brokaw John F. Steele Legislative A„„u r P. Buttorff, Chairman Arnold J. Hemnann Gerald C. Kohl Wayne W. Zimmerman Medical Education NOTICE t i n c Robert Kallson, Chairman Comfort Robert w osbome Schools Check back page of Bulletin for calendai rr-n , , A. Norton, Chairman of special meetings

as*„ Traffic and Safety s-ss* Harold D. Lueken, Chairman xi ., Men*“l Health T R Hoi Harold B- lohnston. Chairman 7 w„-William H. x! ^MyronTodd Kass

Bulletin Staff E ditor.^ ______Front Page Picture Associate Editor.-”""” ...... W. W. Mattson, Jr, Basinet Manager _ ...... M. E. Lawrence Courtesy Auxiliary News Editor ....._Judy Gordon Mrs. Robert Kallsen Richards Studio BULLETIN of the Pierce County M edical Society

• debilitated

• elderly

• diabetics

• infants, especially prematures

• those on corticoids

• those who developed moniliasis on previous broad-spectrum therapy

• those on prolonged and/or high antibiotic dosage

• women—especially if pregnant or diabetic

the best broad-spectrum antibiotic to use is MYSTECLIN-V Squibb Tetracycline Phosphate Complex (Sumycin) and Nystatin {Mycostatin) Sumycin plus Mycostatin for practical purposes, Mysteclin-V is sodium-free

for “built-in" safety, Mysteclin-V com bines: 1. Tetracycline phosphate complex (Sumycin) for superior initial tetracycline blood levels, assuring fast transport of adequate tetracycline to the infection site. 2 . Mycostatin—the first safe antifungal antibiotic—for its specific antimonilial activity. Mycostatin protects many patients (see above) who are particularly prone to monilial complications when on broad-spectrum therapy.

MYSTECLIN-V PREVENTS MONILIAL OVERGROWTH

C apsules (250 mg./250.000 u.). bottles o f 16 and 100. Half-Strength Capsules 25 PATIENTS ON 25 PATIENTS ON (125 m gr./l25,000 u.). bo ttle s o f 16 TETRACYCLINE PLUS MYCOSTATIN and 100. S u sp en sion (125 mi;./126.000 TETRACYCLINE ALONE u.). 2 oi. bottles. Pediatric Drops (100 After seven days After seven days m * ./100,000 i l ) . 10 cc. dropper bottles. Before therapy o f th e ra p y Before therapy o f th e ra p y

O '"j O C ■O O

O „ J - : © ® ® © C - j O O S q u ib b G ;• • • • • • - v . o o

• • • • • ■■ ' S O ' ...■ 1 .> Squibb Quality— G O ® • the Priceless Ingredient • m 0 • • • • • • • © © • • • ^ ® M onilial overgrowth (rectal swab) None ^ Scanty 0 Heavy • Childs, A. J.: British M. J. 1:660 1956. 4 BULLETIN of the Pierce County M edical Society

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MEETING

PIERCE COUNTY MEDICAL SOCIETY TUESDAY, MARCH 11 8:15 P.M.

MEDICAL ARTS BUILDING AUDITORIUM

PROGRAM

Speaker: MURRAY MORGAN, Author, News Commentator “WORK OF THE WORLD HEALTH ORGANIZATION”

* *

A no-host social hour and dinner will precede the meeting Social Horn-: 6:00 Dinner: 6:45 Place: Honan’s Restaurant ( across St. Helens Ave. from the Medical Arts Bldg.) Medrol the corticosteroid that hits the disease but spares the patient

>

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EDITORIALLY SPEAKING

INTERNISTS’ ANNUAL MEETING

The Tacoma Academy of Internal Medicine pre­ sents its Annual Meeting on Saturday, March 8.

The program includes papers by out-of-town leaders in their respective fields, as well as several which will be presented by local practicing physicians. The topics are concerned with current research and clinical problems encountered in every-day practice.

Let’s all attend and support this program and, in so doing, “keep up to date.’’

W. W. M a t t s o n , Jk. M.D. s BULLETIN of the Fierce County M edical Society

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PHARMACY

Prescription Druggists Dr. Robert Johnson W e are pleased to learn chat Dr. Johnson, a new member of our Medical Society, has re­ turned to his home town to practice. Born and raised in Tacoma, Bob graduated from C.P.S. and the University of Washington School of Medicine. After his internship at Tacoma Gen­ eral Hospital, he spent a year ( 1955 ) at the Detroit Public Health Service Hospital and a We Carry a Complete Stock of second year with out-patient Public Health Service in Cincinnati. He opened his office at Biologicals and Pharmaceuticals the Tacoma Medical Center in July, 1957. Bob and his wife, Betty, were married in 1953; they had known each other for years, having been raised in homes only three blocks apart. They enjoy Hi-fi record music and golf, when time permits, but anticipate even less time for recreation when the new addition to the family arrives in the near future. "When Moments Count" DON’T FORGET TO VOTE TUESDAY, MARCH 11 FUlton 3-2411 B efore going to the Meeting Meetings PROMPT . . . FREE DELIVERY Tacoma Academy of Internal Medicine, Ta­ coma, March 8, 195S. American College of Surgeons, Salt Lake City, Utah, March 17-19, 1958. Oregon Academy of Ophthalmology and Otolaryngology, Portland, Oregon, March 21-25, 1958. American Academy of General Practice, Stadium Hi District Dallas, Texas, March 24-27, 1958. Gill Memorial Eye, Ear and Throat Hospital 101 North Tacoma Avenue —31st Annual Spring Congress, Roanoke, Vir­ ginia, April 14-19, 1958. Tacoma, Washington Association of American Physicians and Sur­ geons, San Francisco, April 10-12. 1958. American Medical Association, San Francisco, June 23-27, 1958. 10 BULLETIN of the Pierce County M edical Society

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754 St. Helens 759 Market MArket 7-8116 FUlton 3-5339 BULLETIN of the Pierce County M edical Society 11 WOMAN’S AUXILIARY V&VU&Piesioe Co^wfaf M edical Society, 1957-58 The March meeting will be a luncheon at the home of Mrs. C. B. Arnold on March 21st Woman’s Auxiliary at 12:30. This is the occasion of the State Pierce County Medical Society President’s annual visit. Officers and Chairmen The Board will meet before the luncheon at 1 1 :0 0 . President...... - ...... Mrs. T. B. Morphy President-elect ...... Mrs. Robert Florence 1st V ice-P resident ...... Mrs. Marshall WhitacreDear Members: 2nd Vice-President ______Mrs. Herman Judd 3rd Vice-President ...... Mrs. Robert Kraft This is just a brief note to say "thank you" 4th Vice-President...... - ...... M rs. Stillm an H athaw ay again to everyone who so willingly helped us Recording Secretary ------Mrs. Wm. Mattson, Jr. Corresponding Secretary...... Mrs. Robert P. Crabill work on the recent Medical Society dance. Treasurer ...... Mrs. Haskell Maier I cannot give enough praise to Jean Gibson Publicity, N ewspaper. ------Mrs. Thomas Sm eall Publicity, Bulletin ...... Mrs. Robert Kallsen and her ambitious committee who made a American Medical Education Fund _____ Mrs. Herman Judd Bulletin (National) ______Mrs. George Tanbara record sale of 234 tickets. The same applies to Civil Defense ------Mrs. Harold D. LuekenRuth Brooke and the talented people who did Historian...... _.Mrs. John Bonica So cial______Mrs. Howard Pratt such a terrific job of decorating for the dance. Legislative ______—______Mrs. Joseph Harris Membership _ _.Mrs. Charles Anderson At this point, with a few small bills out­ Nurse R ecruitm ent...... Mrs. Orvis Harrelson standing, a conservative estimate of the net Program------Mrs. Robert Osborne Public Relations ...... — ...... Mrs. Robert Burt profit is in excess of $600. More accurate fig­ Revisions...... Mrs. Treacy Duenfeldt Telephone _____ Mrs. James Mattson ures will be furnished at the next Auxiliary Today’s Health ...... Mrs. M. Edward Lawrence meeting. Speakers Bureau ...... Mrs. Philip Grenley Minute Women______Mrs. Robert Ferguson Special thanks to Dr. Charles Bogue who did Heart...... ______Mrs. Kenneth Gross Cancer— ...... _Mrs. Robert Brooke a great job with the M.C. chores; to the girls' Tuberculosis______M rs. H illis Griffin sextet for their unusually clever entertainment; Mental Health . -Mrs. John Havlina Crippled Children and Adults Mrs. Wendell Peterson and to Drs. Judd, Schwind and A. Herrmann Infantile Paralysis ...... Mrs. Douglas Buttorff S afety ______-______Mrs. Galen Hoover for help and advice. Rehabilitation Center ...... Mrs. W alter C. Cam eron, We sincerely hope you all enjoyed yourselves Mrs. Phillip Backup Public Health Nursing...... Mrs. Charles Anderson and w ill be looking forward to more of the Community Council ______Mrs. John F. Steele City Council . Mrs. William Goering same next year. Health Council______Mrs. Merrill Wicks In the meantime, several SKyline numbers Fashion Show . Mrs. Robert Florence Dance------Mrs. Horace Anderson are due for a long rest. Christmas Party . Mrs. Howard Pratt, Mrs. Robert Osbome Sincerely, J o a n A n d e r s o n Auxiliary Met Here DON’T FORGET TO VOTE February meeting at Jackson Hall was some­ thing no one should have missed, but many TUESDAY, MARCH 11 members stayed at home, saving themselves for the dance the following night. Bev Harrelson, nurse recruitment chairman, introduced the Future Nurse Club sponsors, and a panel of three who discussed the three as­ pects of the clubs . . . one of our scholarship BEALL’S winners who is a past club member, the presi­ dent of one of the clubs, and an Auxiliary sponsor. Each explained her part in the club The Prescription Store program in a very interesting way, and outlined the activities of this worthwhile project. 124 Meridian South Those of us present for tea after the meeting were much impressed by the endless selection PUYALLUP of beautiful tea cookies supplied by the Board members. Some had let Henry do it, but most Phone Puyallup 5-8444 Board members brought pastries from their own kitchens. Too outstanding to escape mention were the delicate sugar twists by Beth Pratt. “PATRONIZE OUR ADVERTISERS” (Continued on Page 13) 12 BU LL E T IN of the Pierce County M edical Society

TASTY, FAST-ACTING ORAL FORM OF CITRATE-BUFFERED ; ACHROMYCIN V

TETRACYCLINE BUFFERED WITH SODIUM CITRATE SYRUP

• accelerated absorption in the gastro­ intestinal tract • early, high peaks of concentration in body tissue and fluid • quick control of a wide variety aqueous of infections • unsurpassed, true broad-spectrum ready-to-use action • minimal side effects freely miscible • well-tolerated by patients of ail ages

ACHROMYCIN V SYRUP: Orange Flavor. Each teaspoDnful (5 cc.) contains 125 mg. of tetracycline HCI equivalent, citrate-buffered Bottles of 2 and 16 fl. oz.

DOSAGE: 6-7 mg. per lb. of body weight per day.

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LEDERLE LABORATORIES DIVISION AMERICAN CYANAMID COMPANY PEARL RIVER, NEW YORK BULLETIN of the Pierce County M edical Society 13 (Continued from Page 11) Leave It To The Girls Just about everyone turned out for the Big Dance on Washington’s Birthday. Expert party- giver Joan Anderson went all-out to make sure that this event could be handled just as nicely by the frailer sex as it has been done by the Doctors in past years.

Left to right, Charles Bogue, Helen Flor­ ence, Herman Judd, Joan Anderson. Entertainment after dinner was provided by Chuck Bogue, master of ceremonies, who really broke up the ice, and by the Sensation Six . . . Hazel Whitacre, Muriel Nelson, Emma Bonica, Ev Osborne, Peg Haley, and Noreen Hoskins . . . vigorously performing two original paro­ dies written by Hazel for the occasion. The dancing music was wonderful. Result: one wonderful evening.

Ruth Brooke Ruth Brooke transformed the Top Deck of Top of the Ocean into a continental cafe for the evening, transplanting a bit of old Riviera to old town Tacoma. Striped canopies, posters, baskets of flowers, and candles in wine bottles created the continental atmosphere. Those very decorative murals were done by Beth Hennings. An equally important feature of the decor were the beautifully gowned Auxiliary mem­ bers . . . especially Gay Kass in sophisticated black lace, Muriel Nelson in lavender chiffon, Lorna Burt in ruffled white lace, Kay Herrmann Left to right, Hazel Whitacre, Emma Bon­ in smoke gray chiffon, Jeanne Vadheim in black ica, Peggy Haley, Muriel Nelson, Noreen lace over ecru silk, and Helen Kittredge in Hoskins, Evelyn Osborne. jeweled sheath and apricot blonde hairdo. In addition to the fun, it was a substantial sum made toward Auxiliary’s benefit fund. We thank you, Joan Anderson. "Glasses as your eye On The Road physician prescribes them" The versatile Stanley Durkins are in Mexico Contact Lenses — Artificial Eyes for two weeks of combined business and pleas­ ure. Doctor Durkin is presenting a paper at Columbian Optical Co. the Mexican Army medical school. From Mexico City they will scour the shops of Cuer­ Ground Floor, Medical Arts Bldg. navaca and Oaxaca for furniture, tiles, and fab­ Medical Center rics to embellish the new wing they’re adding Western Clinic Bldg. (Continued on Page 15) 14 BULLETIN of the Pierce County M edical Society

ORALLY EFFECTIVE B 1 2 BIOPAR'FORTE

Each Biopar Forte tablet contains

Vitamin B12 with Intrinsic Factor Concentrate (non-inhibitory), V2 U.S.P. Unit (Oral)* .. . Vitamin B,2 (activity equivalent), 25 meg. *U nitage established prior to com pounding. Usual dose: 2 tablets daily.

— also used as an appetite stimulant

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Free Prescription Delivery BU LLETIN of the Pierce County M edical Society 15 (Continued from Page 13) The Robert Crabill's were at Sun Valley ten days last month. Patsey is another first-time to their home here in Tacoma. Then they’ll skier, and took to the sport so well she was spend a week at Acapulco visiting an uncle skiing the river run on Baldy the last week and aunt of Stan’s, and attending to the import­ there. ant business of the trip . . . scuba diving. Veteran skiers Keaty and Ken Gross forsook Doctor and Mrs. Merrill Wicks and their the slopes one weekend last month to enter­ boys flew as far as Los Angeles on the same tain their friends at cocktails on Valentine’s plane as the Durkins. There they boarded a Day. helicopter for Disneyland. The first day of their visit Disneyland was closed, as torrential rains Monte Carlo in April had flooded the area early in the week, but Mrs. G. G. R. Kunz announces that an Eve­ sunny weather prevailed the remainder of their ning in Monte Carlo on April 12th at the Uni- time spent there. For the weekend they drove versity-Union Club will replace previously an­ up to Santa Barbara, where Doctor Wicks at­ nounced plans for a bridge tournament. Com­ tended a Blood Bank meeting. mittee chairmen for this event will be: Helen Doctor and Mrs. John Bonica are in Los An­ Kittredge, chairman of tickets; Peg Haley, in geles this first week of March. Doctor Bonica is charge of prizes; Charlotte Larkin and Hilda guest speaker at an Anesthesiology meeting Lantiere, co-chairmen of decorations. Tickets there. The week before, Doctor Bonica had will be $5.00 per person, and will include spoken before groups in Chicago and New dinner and games. York. They plan to stop at Palm Springs on their way home. Booklets Published for Patients Doctor and Mrs. Charles Larson left Febru­ ary 21st to attend Pathology meetings in Chi­ On Sodium Restricted Diets cago and Cleveland, and will return March 5th. Three new booklets prepared especially for Doctor and Mrs. Herman Judd fly south adult heart patients placed on sodium-restricted March 19th for the General Practice Sessions diets by their physicians have been published at Dallas. En route they’ll stop at Phoenix to by the American Heart Association. visit relatives, and again at El Paso to visit The booklets are available to physicians and friends stationed with the Air Force there. are also being made available to patients on a Doctor and Mrs. George Kunz, Jr., fly to the physician’s prescription. Copies may also be islands March 14th for two or three weeks at obtained by nurses, nutritionists, dietitians and Waikiki. They’ll stay at the Royal Hawaiian. hospital and nursing home staffs. Doctor and Mrs. Ralph Huff and their daugh­ The new booklets were prepared under the ters will fly to Palm Springs on March 20th for direction of a committee representing four ten days of tennis in the sun. agencies in addition to the American Heart Association. They are the U.S. Public Health On the Slopes Service, the American Dietitic Association, and Better known for their proficiency at the the Nutrition Foundation. indoor sports, the John Shaws have now taken Each booklet is designed to help patients up skiing with the same spirited enthusiasm. follow the physician’s presription for a differ­ A weekend at Timberline last month served to ent degree of sodium restriction: strict, 500 acquaint Jean with the sport, and as she re­ mg.; moderate, 1,000 mg.; and mild. Within turned much bruised, it was apparently not all each booklet, there is a choice to be indicated hot buttered coca cola in the lodge. This first by the physician, of three different calorie week of March finds them back at Timberline levels, 1,200 calories, 1,800 calories, and unre­ for more. stricted. Food lists enable the patient to vary his meals as he becomes familiar with his basic diet plan. Weight watching, meal planning and problems of the family cook are discussed DAMMEIER and practical suggestions on eating out and shopping for food are given. Single copies are Printing Co. available without charge by calling the Pierce County Branch of the Washington State Heart BRoadway 2-8303 Association, BR 2-7854, or writing to 1104 South L Street. 811 Pacific A ve. Tacoma DON’T FORGET TO VOTE TUESDAY, MARCH 11 “p a t r o n i z e o u r advertisers " Before going to the Meeting 16 BULLETIN of the Pierce County M edical Society

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Ask for Donald M. Moore, V.P. Stewart L. Simpson John L. McAloon Edward J. Pole Robert D. Sizer W. O. Jeffery Herbert F. Syford, Pres. BULLETIN of the Pierce County M edical Society 17 HOSPITALS. . .

Pierce County white and red frosted, heart-shaped cake, made by one of the laboratory force, Ida Rasor, cen­ With mingled feelings of pleasure and regret tered the table. Dr. Whitaker was presented the hospital personnel attended the farewell with a valentine from the group. party for Mrs. Hazel McMayburn on Friday, Mrs. Donna Stoker, who resigned her posi­ February 7, in the dining room. Her hospital tion in Social Service in October, 1957 to take friends are pleased that this efficient and be­ over full time duties as a housewife and mother loved hospital librarian, who has retired, will has been called back into service to fill the place be occupied now with study, travel and the left vacant by Mrs. Signe Kassa, who left the various other cherished interests which she department for Nursing Home management has had no time for during her arduous and business. helpful years of hospital work, but these same friends will miss the helpfulness and pleasant association which Mrs. McMayburn provided. Saint Joseph’s The coffee table was festive with spring blos­ soms and a large, beautifully decorated cake was The New Year has brought new plans for served. During the hour the honor guest was two of our girls. Marian Trapp from the clini­ presented with two gifts: one. a choice cameo cal laboratory left for another position, and brooch, the other a monetary gift to help with Janice Jones is attending the College of Puget her forthcoming travel expense. Sound. Dr. Claris Allison spoke appreciatively of W e all had a very' enjoyable Saturday evening Mrs. McMayburn’s long, helpful service, r eview­ in Seattle at the home of Mary Ann Hunt. ing some of its history since the medical library Mary Ann is a former student here. She has was headed at Pierce Count)' Hospital by Hazel since been married and has a new baby boy McMayburn in November, 1943. whom we saw for the first time. Mrs. McMayburn is a graduate of the Uni­ The Laboratory personnel are enjoying the versity of Wisconsin Library School and before new tile floor and the general face lifting which coming to Pierce County Hospital served as li­ the department received recently. If you have brarian at Iowa State Teachers College, at the not seen it, do drop in. library in Long Beach, California, the California Mrs. Geraldine Strege, R.N., Mrs. Patricia State Library and the County Free Library, Kennedy, R.N., and Mrs. Jewel Doering, R.N., Yreka, California. She has also served in the were all blessed with pretty little girls. Mrs. public library of Juneau, Alaska. She holds a life Geraldine Lasby, R.N., and Mrs. Johnson, our certificate as Librarian in Washington State, has physio therapist and Lillian Arndt, L.P.N., were been granted a Medical Librarian’s certificate by likewise blessed with bouncing boys. the Medical Library Society and is listed in Mrs. Lapointe, known best as Beverly Cam- Who’s Who in Medical Library work. panoli gave an excellent talk to the senior stu­ dents at St. Leo’s. The topic "Feminine Hygiene The night nursing force gave a most delight­ and Marriage.” The students enjoyed it ful party honoring Zoe Molnar, R.N., on Janu­ immensely. ary 28. The affair was given to extend this pop­ The sisters, faculty, and members of the ular nurse best wishes for a happy future home student body were guests at a Valentine Party in Troy, New York. She left for New York City in the Nurses Residence Wednesday, February with husband, Sergeant I. Molnar, son James, 13th. and daughter Marcia, by airplane on February The School of Nursing will be visited by 10. Before coming to Pierce County Hospital, Miss Gail Hotchkins, Executive Secretary of the Mrs. Molnar, an ex-army nurse, was employed State Board of Nurse Registration, on March at Zame, Japan with the 8168th General Hos­ 18, 19, and 20. pital. She is a graduate of St. Agnes Hospital To Sister Francis Joseph we wish a Happy Training School for Nurses in Philadelphia, First Anniversary as Supervisor of third floor Pennsylvania, and served in the Army Nurse —which happened to fall on St. Valentine’s Corps in England for two years during World Day (the anniversary that is.) War II. Many lovely gifts were presented to Congratulations to Sister Margaret Catherine Mrs. Molnar by her friends during the coffee and Sister Anthony Consilia for getting their hour. Masters Degree in Nursing from St. Louis U. Valentine’s Day was observed in the labora­ tory with a coffee and cake hour. A delicious (Continued on Page 19) 18 BULLETIN of the Pierce County M edical Society

key to oral penicillin effectiveness V-CILLIN K (Penicillin V Potassium, Lilly) stability plus solubility provides greater absorption

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B332I5 QlMUIr/MIUIICH/lNTtenirr BULLETIN of the Pierce County M edical Society 19 (Continued from Page 17) ploma with the class of J 923- Mrs. Nickelson Mrs. Pastrano, R.N., is back working part did private duty nursing for many years, be­ time and we are very sorry to hear of the sud­ fore becoming a staff nurse at St. Joseph’s Hos­ den passing of her mother in Puerto Rico in pital. Mrs. Nickelson joined the staff January January. 16, 1943, and has been one of the steady and We had a short visit with Robert Gould reliable nurses on the floor. (class of 1954) now 1st Lt. in the Army Nurse Miss Florence Olson, graduated from St. Corps and one of the first male nurses to be Joseph's Hospital School of Nursing with the commissioned. He is on leave at present and his class of 1930. Miss Olson did private nursing next assignment will be Europe—Good Luck. duty for several years before she became a staff Bob! nurse at the hospital March 6, 1942. Miss Olson Infanticipating Mrs. Barrett (Redal) was is in charge of the medicine room and she has surprised with a shower gift from those who been a very faithful and reliable nurse. worked with her on third. All of us at 2nd center are enjoying the new Jerry Johnson has been passing out cigars on elegant green swivel chairs we received during account that he is papa to a new baby boy the past few weeks. They are very comfortable (eight pounds). Jerry says: "Don’t forget to and we do appreciate them very much. mention the mother." Namely Leota Johnson Sister M. Evrard has been appointed to assist (Pierson). in the examination for accreditation of the Mrs. Peterson is making preparations for a Sacred Heart School of Nursing on March Golden Wedding Reception to be held Sunday, 3, 1958. February 16th at her home, 127 Contra Costa, Fircrest. For her mother and father, Mr. and Tacoma General Mrs. Edward Daskam of McKenna, Washing­ ton. She will be assisted by her four brothers The news that is making everybody happy at and their wives of this area. Tacoma General Hospital is that Mr. Babbit is Wednesday, February 12th, the Student rapidly recovering from his recent operation. Nurses were hostesses at a Valentine Part)' on Mrs. Babbit and he left for Hawaii on February the ward for the children. 25, and will stay there through March. April Favors consisting of motifs of the day dec­ should see him back at the office completely orated each child's room. As each tray was recuperated. taken to the bedside some special favor for the Dr. J. B. deVries from The Hague is the child was placed on it. newest member of the intern staff. He earned Mrs. Etta Majores, who until recently was a his degree in Medicine from the Utrecht State member of the staff on the 11 -7 shift is the University, Holland. He has had experience in proud mother of a baby girl. Congratulations! the Dutch Army, as a ship’s doctor, and in Mary Bricker was the only member of the private practice. staff who celebrated her birthday during the Miss Bernice Nelson, and Miss Jo Ann month of February. Downing from the School of Nursing will at­ Little Tommy Sobba was a patient in the tend a Nursing Curriculum conference in San department this month. Another victim of Francisco during the week of April 14, 1958. tonsillitis. On April 1, Mrs. Donna Terguson will be The tickets for the "Spring Fantasy" have the new Medical Instructor, replacing Mrs. been the main topic of staff discussion lately. Thomas Swayze, Jr. Mrs. Swayze has been Medi­ Our first returns have been excellent. Keep up cal Instructor for four years. the good work girls and our goal of 1002 will Mrs. Josephine Juberg, formerly administra­ be reached. tive assistant to the Director of Nursing Service, Miss Shirley Davis is the new clinical in­ has assumed her new duties as Personnel structor. Miss Davis joined the staff January 2, Director. 1958, and in this short time she has fitted into The Washington Chapter of the American her work, in such a way you would think she Association of Hospital Accountants held a had been here for years. Miss Davis graduated workshop at Swedish Hospital on February 19. from Seattle University in 1953, which is affili­ Those who attended from Tacoma General ated with Providence Hospital, Seattle. She was were Mrs. Bernice Hockett, Mrs. Ilene Mills, staff nurse for 3 months at Providence Hos­ and Mrs. Ethehvyn Miles. pital and she taught three years at Seattle U. On March 16, at the First Methodist Church, School of Nursing. She taught one year at capping exercises will be held for the students Columbus School of Nursing, Seattle, Wash. who entered in the Fall of 1957. The Rev. W . Mrs. Emma Nickelson, graduated from St. C. Woodhams will give the main address, and Joseph’s Hospital, Tacoma, received her di­ (Continued on Page 21) 20 BULLETIN of the Pierce County M edical Society

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(Continued from Page 19) the soloist will be the Rev. R. H. Redal. Miss Ruth Kynoch will present the class, and the capping will be by Mrs. Ardyce Connor and Miss Jo Ann Downing. AND ALL Mrs. Elfreda Alexander is going to retire DAIRY PRODUCTS March 1. Since 1935 she has worked the 11-7 shift in the business office, operating the switch­ board, admitting patients, and doing clerical work. Mrs. Alexander was left with two small children to raise when her husband was killed in a railroad accident. Both are now married, and the grandchildren are the joy of her life. Mrs. Alexander has developed hobbies too dur­ ☆ ing these busy years, and her retirement wdll mean that she will have more time for garden­ ing, ceramics, friends and family. She has been Careful Mothers use Pro­ feted with parties and gifts by her co-workers tected Milk. Pasteurized on the night shift and in the business offices. We all wish her health and happiness in her and Homogenized Milk leisure days. from our own contented Oregon Academy of Ophthalmology cows can be delivered and Otolaryngology to your home or your The members of the Oregon Academy of Ophthalmology and Otolaryngology remind you grocer of their invitation to relax and study with them in Portland, Oregon, during their Seventeenth ☆ Annual Spring PostGraduate Convention, March 21-25, 1958. Otolaryngology Sessions — March 21 and A Favorite Dairy for over 22. Speakers will be: Dr. Eugene L. Derlacki, Assistant Professor of Otolaryngology, North­ 30 years. Recommended western Medical School, Chicago and Dr. Alden H. Miller, Associate Clinical Professor of Oto­ by doctors and dietitians. laryngology, University of Southern California, Los Angeles. Members of the Department of ☆ Otolaryngology, University of Oregon Medical School, headed by Dr. Guy L. Boyden. Ophthalmology Sessions — March 24 and CALL 25. Speakers will be: Dr. W . Morton Grant, Associate Professor of Ophthalmology, Harvard Medical School, Boston and Dr. S. Rodman Ir­ W Averly 2-8705 vine, Clinical Professor of Ophthalmology, Uni­ versity of California at Los Angeles. Members of the Department of Ophthalmology, Univer­ sity of Oregon Medical School, headed by Dr. Kenneth C. Swan. There will be lectures and round tables dis­ cussions in both sessions. SanitaryI a A preliminary program will be sent about lin f a n t d a ir y . February 1. The completed program will be out about March 1. You may get additional infor­ mation from — Dr. Robert W . Zeller, 603 Mayer Bldg., Portland 5, Oregon.

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Doctors Hospital Building BULLETIN of the Pierce County M edical Society 23 MINIUM REPORTS

Annual Report of Committee 2. That the Society go on record and recom­ On Civil Defense mend to hospitals in the county that they or­ ganize their disaster planning in units, to handle The Committee convened on five (5 ) occa­ up to 50 casualties in local disasters. (The sions during 1957: principal of this program is to develop plans Three (3), were schedule meetings with on logistics for similar situations in order that City, County and State officials of Civil Defense the smaller hospitals may handle their share of organizations. the problem, either in local disasters or in Civil One (1), was unscheduled, the Committee Defense problems, on the same organized basis members being alerted and assembled within which will be utilized in the larger hospitals. the hour. At the same time, the latter may expand their Another, was with those individuals of State, facilities to two or three, or even more, of these County and interested organizations involved units.) with Civil Defense, at a day-long meeting at 3. That the Society accept the proposed plan Madigan General Hospital, at which time a for Disaster Plan for Washington Hospitals practical demonstration in the handling of 1,000 and recommend its adoption to the hospitals casualties was observed and discussed. of Pierce County. In addition, the chairman met with represen­ Respectfully, tatives of other county medical societies on two R. B. Link, M.D., (2) occasions in Olympia. He also met with Chairman the committee chairmen of the various commit­ tees for disaster control of the local American Red Cross. Report of Progress Entertainment Committee An attempt to correlate hospital disaster The following is a synopsis of the activities planning for the county to merge with a state­ of the Entertainment Committee for 1957. wide master plan has been initiated. Not all The Annual Dinner Dance was held Feb. 9, hospitals in the county have submitted their 1957 at the Tacoma Country and Golf Club. disaster plans, but it is contemplated that one The dinner dance was a success and was at­ member of this committee will work with the tended by 126 people. The entertainment was Disaster Planning Committee of each hospital provided by members of the Ladies’ Auxiliary in their efforts. and dancing followed the dinner. The interns Progress has been achieved in orienting the of various hospitals were taken as guests, and new Committee with the problems of Civil the committee is grateful to the generous con­ Disaster and Civil Defense as well as acquaint­ tribution of $93.00 toward the receipts which ing para-medical, and associated organizations were given by the various members of the with the projected planning. Medical Society who were unable to attend the Consideration was given to the proposed dance. plan for hospital organization for disaster plan­ The second social function was the Annual ning on a uniform basis throughout the Doctor-Lawyer Banquet which was held April county, to be considered on a state-wide basis. 26, 1957 at the University-Union Club. There were 153 members of the Legal and Medical Recommendations professions in attendance. Following a fine din­ 1. That the Committee of the Pierce Countyner the entertainment was provided by various Medical Society concerned with Civil Defense amateur story tellers from both professions and hereafter be known as the Civil Disaster Plan­ the feature entertainment of the evening was ning Committee. (This recommendation is provided by Mr. Stan Boreson of Seattle. made in the face of the antipathy exhibited by The final social function of the year was the many of the profession to the enormity of the Annual Doctor-Dentist Field Day which was casualty-load usually associated with nuclear held on July 12, 1957 at the Tacoma Country warfare. It is felt that a greater interest and and Golf Club. Approximately two dozen doc­ cooperation can be stimulated among members tors and dentists braved the elements on a beau­ of the Society if the picture is a smaller one, tiful summer day and fished in the lower re­ associated with a local disaster, calling upon gions of Puget Sound. While they made very the medical community for adequate advance little appreciable change in the salmon popula­ planning.) tion, everyone had a very enjoyable time and 24 BULLETIN of the Pierce County M edical Society we're all looking forward to next year’s Salmon two who are interested in golf so that arrange­ Derby. During the afternoon approximately 12 ments can be made more easily for these various to 15 members of the Society played in a Tennis activities. Tournament which was arranged by Dr. Glen The Entertainment Committee owes a debt Brokaw and Dr. Geo. Tanbara. This was the of thanks to our Executive Secretary, Judy first year for this activity and was enjoyed by Gordon, for the tremendous amount of work all participants. The Annual Doctor-Dentists she has done with the Committee with phone Golf Tournament in the afternoon was the high­ reservations, finances, etc. light of the day’s activity and both the Medical Respectfully submitted, and Dental professions were well-represented. F. J. Schwind, M.D. In the evening, following a cocktail hour, Chairman members were treated to an excellent dinner, followed by the presentation of trophies and awards to the winners of the various sports Report of School Health activities. We were happy this year to be able Committee to present a new Salmon Trophy which was The School Health Committee has met a donated by the Payless Drug Company and number of times during 1957 to discuss with which will be a perpetual trophy. Dr. Dayton, the school physician, various school The following is a synopsis of the Financial health problems, to wit, Report of the Entertainment Committee for 1. The chairman has attended the monthly the various social activities for the year. meetings of the Advisory Health Council. Annual Dinner Dance 2. The committee met with the school nurses Feb. 9, 1957 (Tacoma Country and Golf Club) in October, and talked over the difficulties, Attendance (26 guests) __ -...... -...... 126 which arise in arranging for correction of R eceipts...... $828.00 defects discovered by the school health person­ Expenses ...... 870.00 nel. There are an alarming number of children who have virtually no medical supervision, and Deficit ...... $ 42.00 facilities for care of indigent and marginal Doctor-Lawyer Annual Banquet families are woefully inadequate. April 26, 1957 (U-UClub) 3. Revision of examination forms is dis­ Attendance ...... 153 cussed annually. R eceipts...... $765.00 4. Other meetings at the request of Dr. Day­ Expenses ...... 722.00 ton were arranged. 5. Current problems include dental caries, Profit ...... $ 43.00 health education, school lunches and emotional Doctor-Dentist Annual Field Day disturbances. July 12, 1957 (T. C. & G. C.) The Committee will be enlarged next year Receipts ...... $528.50 and continue to serve in an advisory capacity. Expenses ...... -...... 587.78 Respectfully submitted, Deficit ...... $ 59.28 R. A. Norton, M. D., TOTAL EXPENDITURES ...... $101.28 Chairman TOTAL PROFIT ...... 43.00 DON’T FORGET TO VOTE 58.2S TUESDAY, MARCH 11 Budget for Entertainment Committee.^.$300.00 Before going to the Meeting These are some suggestions which shall be offered to the Entertainment Committee of 1958. Since the Annual Dinner Dance will be EVERY DROP PURE HEAT managed by the Women’s Auxiliary next year and the Lawyer-Doctor Banquet will be man­ STANDARD aged by the legal profession, the Doctor-Dentist Field Day is the only activity which the Society Heating Oils will have charge of and plans should be made early. I would suggest that the legal profession Call MA. 7-3171 be notified very early as to plans and publicity among their profession for the Annual Field Fuel Oil Service Co. Day. We would also suggest that the committee 816 A St., Tacoma be made up of two members who are interested Mark Dolliver Jack Galbraith in fishing, two who are interested in tennis and BULLETIN of the Pierce County M edical Society 25 Institutes Set at Western Reserve Schroeder Jr., director, Law-Medicine Center, Law-Medicine Center Western Reserve University, Cleveland 6, Ohio; phone CEdar 1-7700, extension 635. Western Reserve University’s Law-Medicine Center has scheduled the fourth in a series of institutes for April 25-26 on the University Retarded Children Present campus. The Game of the Year Entitled "The Mind: A Law Medicine Prob­ lem,” the two-day program will be held in the An opportunity to view the results of train­ courtroom of the University’s School of Law. ing and rehabilitation of mentally retarded Prominent medical specialists will lecture on youngsters will be possible by attending The such topics as "Personality Growth and De­ Game of the Year, March 29 at the C.P.S. velopment: Childhood, Adolescence, Adult;” Fieldhouse, 7:30 p.m. The Game of the Year, "Causes of Mental Diseases and Illness; Physi­ sponsored by the Tacoma Chapter, Washington cal and Emotional, Precipitating and Predis­ Association for Retarded Children, features a posing;” "Management of the Traumatically basketball game between the retarded young­ Disabled Mentally 111;” "Classification of Men­ sters of Rainier School and Lakeland Village. tal Diseases and Illnesses;” "Psychological Test­ There will also be exhibitions of dancing, sing­ ing and Interviewing;” "Law-Medicine Cases ing and band music. Involving Mental Diseases and Illnesses.” The objective of the event is educational The primary purpose of the institute will be rather than fund raising and is designed to to indicate the effects of trauma to the human inform the general public that mentally re­ body. tarded children can be helped. Cooperating with the Law School in present­ The needs of the retarded child are many. ing the program will be the Cuyahoga County The problem is extensive, striking all races, Coroners’ Office, cosponsor of the Law-Medicine creeds and economic groups. An estimated Center. 50,000 children and adults are mentally re­ Sessions will be held from 9 a.m. to 4:30 tarded to varying degrees in the State of Wash­ p.m. on Friday and from 9 a.m. to 3:30 p.m. on ington. In the Tacoma-Pierce County area Saturday. Tuition will be $25. there are an estimated 3 to 4 thousand mentally For further information contact Oliver C. retarded. a refresher for your patients GEVRABON on-the-rocks

Each fluid ounce (30 cc.) contains: Thiamine HCI (Bi) 5 mg. Chilling remarkably enhances the sherry flavor of Riboflavin (B?) 2.5 mg. g e v r a b o n . For some time physicians have been advan­ Vitamin Biu 1 mcgm. Niacinamide 50 mg. tageously prescribing g e v r a b o n with ice as an appetite- Pyridoxine HCI (Bo) 1 mg. Pantothenic Acid (as panthenol) 10 mg. stimulating tonic before mealtime—adding a refreshing Choline (as tricholine citrate) 100 mg. touch to regular dietary supplementation for their Inositol 100 mg. Calcium (as Ca glycerophosphate) 48 mg. senior patients. Phosphorus (as Ca glycerophosphate) 39 mg. Iodine (as KT) 1 mg. Specify g e v r a b o n on-the-rocks and assure your older Potassium 10 mg. patients a vigor-sustaining supplement of specific vita­ Magnesium (as MgCl^.SH^O) 2 mg. Zinc (as ZnCl^) 2 mg. mins and minerals in truly palatable form. M anganese (as MnCli>*4H;jO) 2 mg. Iron (as ferrous gluconate) 20 mg. GEVRABON* Geriatric Vitamin-Mineral Supplement LEDERLE Alcohol 18%

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MEDOSWEET DAIRIES, INC. — TACOMA, WASH. / BULLETIN of the Pierce County M edical Society 27 Some Important Red Cross work under the direction of the respective Medical and Nursing Policies supervisory staff of the institution or agency. In epidemics, the Red Cross may assist when Red Cross medical, nursing, and dental local hospital facilities, personnel, or funds are assistance is intended for those who are ill or insufficient to meet minimum needs. Such injured because of the disaster, or whose condi­ assistance is provided only on request by the tion is aggravated by the disaster, and who state or local health department or both, and would otherwise be unable to obtain medical, may consist of hospitalization, besides nursing nursing, and dental care. care and health supervision in the home, as­ Professional services of physicians are pro­ sistance in immunization clinics, or some other cured for Red Cross shelters and emergency service urgently needed. medical stations, and on a consultant basis when In polio outbreaks the Red Cross may recruit specialized services are required. Medical care nurses for hospitals when hospitals cannot ob­ on a mass basis may be necessary during the tain adequate staff through regular employ­ first few hours or days of the emergency, but ment channels. In such instances nurses are pre-disaster relationships between physicians recruited according to procedures jointly and their patients are reestablished at the earli­ adopted by the National Foundation for Infan­ est possible moment. tile Paralysis and the Red Cross. Assistance with the costs of medical care Income of Russian Doctors for disaster-connected illness or injury is given on an individual casework basis. Senator Thye (R., Minn.), quoting reports Payment for hospital care is made when the received by him from an engineering profes­ family lacks resources, insurance is lacking or sor who visited Russia, says in the Congres­ inadequate, and free care is not available. Regu­ sional Record that the medical doctor or attor­ lar per diem rates for the type of accommoda­ ney in that country can expect to earn the tions required or actual hospital costs, which­ equivalent of between $325 and $450 per ever are lower, are generally considered month, while a university professor will be reasonable. getting $1,500 to $2,750 plus such extra bene­ The furnishing of biologies is a primary fits as autos at no cost. Experienced engineers responsibility of local, state, and federal public are paid about what doctors are, high school health authorities. Except when necessary on an teachers $300 to $325, common labor about individual basis, provision of biologies by the $125. Ordinary living costs in Russia are re­ Red Cross must have prior approval of the flected in the price of shoes: ordinary, $25; area office, and commitments for or the pur­ good quality, $75 to $100. —A.M.A. News Letter chase of biologies w ill be made through the area office. Dr. Sparkman To Head American Authorizations by physicians to write pre­ scriptions chargeable to the Red Cross for dis­ Heart Assn. Rehab. Committee aster patients will be granted only on an indi­ Dr. Donal Sparkman, Seattle cardiologist and vidual basis. Druggists should be informed of leader in the Washington State Heart Associa­ this policy and instructed to fill prescriptions tion's activities in the employment of heart as a charge against Red Cross only when the patients, has been named chairman of the Amer­ prescription is accompanied by a Red Cross ican Heart Assn. Rehabilitation Committee. disbursing order or, in an emergency, when it The appointment was announced by Dr. John is written by a physician who is authorized by Feree, acting medical director o fthe American an official Red Cross respresentative. Physi­ Heart Association. The national Rehabilitation cians filling their own prescriptions must noti­ Committee includes nationally known physi­ fy the Red Cross of the nature and cost of each cians specializing in problems of the cardiac authorized prescription filled. Drugs will be worker, labor and industrial leaders and heads dispensed only on a physician's order. of government agencies concerned in the prob­ Red Cross nursing services are provided for lem. The new chairman will meet with the com­ shelters, first aid stations, home visiting (either mittee in New York, February 14. as a separate unit under Red Cross direction or Dr. Sparkman has been a member of the as a supplementary staff of health agencies), AHA Rehabilitation Committee since its or­ and for hospitals to augment the regular nurs­ ganization in 1954. He is chairman of the ing staffs. Washington State Heart Association’s Rehabili­ _ Nurses assigned to Red Cross first aid sta­ tation Committee and is also Medical Director tions and shelters work under Red Cross direc­ of the Association's Cardiac Work Evaluation tion. Nurses assigned to augment the regular Clinic, a service which assists in solving the nursing staff of hospitals or health agencies work problems of heart patients. 28 BULLETIN of the Pierce County M bdical Society

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HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AN D ELECTROSURGICAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS BURDICK PHYSIO-THERAPY EQUIPMENT CAMBRIDGE ELECTROCARDIOGRAPHS WILMOT CASTLE STERILIZERS AN D LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS BU LLETIN of the Pierce County M edical Society 29 Eighth Annual Meeting of Afternoon Session Jackson Hall—Tacoma General Hospital Tacoma Academy of Internal Med. Moderator: W illiam P. Hauser, M.D. Saturday, March 8,1958 1:30—Common Problems in Antibiotic Therapy. Treatment of Staphlococcic and PROGRAM Other Difficult Infections, Wm. M. M. Morning Session Kirby, M.D., Associate Professor of Medi­ Jackson Hall—Tacoma General Hospital cine, University of Washington, School of Medicine. 9:30—Registration and morning coffee 2:15—Recent Advances in the Diagnosis and Presentations for discussion by the guest Management of Viral Infections, Gordon speakers. Moderator: George A. Race, Meiklejohn, M.D., Professor of Medicine, M.D. University of Colorado, School of Medicine. 10:00—Chicken-pox Pneumonia, Robert E. 3:00—Fever of Unknown Origin, Wm. M. M. Lane, M.D. Kirby, M.D. 10:15—Lymphogranuloma Venereum, Charles 3:45—Coffee Break. Arnold, M.D. (by invitation). 4:00—Definition of Virus and Virus Infec­ 10:30—Subacute Bacterial Endocarditis, Ber­ tions, Karl F. Meyer, M.D., Director, nard Rowen, M.D. (by invitation). George William Hooper Foundation, Uni­ 10:45—Ornithosis, Rodger S. Dille, M.D. versity of California Medical Center, San 11:00—Reiter's Syndrome, Infectious Hepatitis, Francisco, California. Pancytopenia, Calvin R. Lantz, M.D. Evening Session 11:15—Tetanus, John L. Whitaker, M.D. Crystal Ballroom Winthrop Hotel 11:30—Staphlococcus Pneumonia, Theodore J. 6:30—Social Hour, Rodger S. Dille, M.D., H. Smith, M.D. Presiding. 11:45—Recurrent Infectious Mononucleosis, Address: Medical Research in theU.S.S.R. H. A. Anderson, M.D. Karl F. Meyer, M.D.

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© Squibb Quality—the Priceless Ingredient t‘otuLun«.® u*. squids thaoikajik. 30 BULLETIN of the Pierce County M edical Society Mail Order Medical Care worse (c) my age. "Punch," the English humor magazine re­ 5. I put everything down to (a ) the stuff cently had some suggestions for improving they put in the bread these days (b) draughts treatment under Britain’s socialized medical (c) experience (d) expenses (e) my visions. plan. Since it seems that most everyone in this 6. I don't see why I can’t have another (a) country now has some form of medical insur­ bottle of the (b) red (c) fizzy (d) usual ance and doctors are frequently visited, this medicine or (e) day off work (f) baby (g) plan for speeding out-patient treatment may doctor. have possibilities. 7. The medicine you gave me last week We’re all familiar with the rambling dis­ made me (a) better (b) worse (c) sick (d) course between doctor and patient that starts suspicious. all case histories, especially if the patient has 8. I am afraid that I shall soon be (a) fit for plunked himself into a large, cozy and comfort­ work (b) back to my old habits (c) dead. able leather chair. Yours truly, Patient "Punch” suggests that doctors can be freed Of course, the system could be speeded up to see twice as many patients if they will pro­ more if it were all handled by mail. Then the vide in their waiting rooms pencils and cards Doctor could send back a card saying Dear with spaces to be checked covering the follow­ Patient: ing circumstances which usually occur in at 1. This is to certify that in my opinion you least half the consultations. are unfit to (a) work (b) join the army (c) Dear Doctor: propagate your species. 1. I have got a (a) pain (b) cough (c) girl 2. All you need is a change of (a) air (b) into trouble. diet (c) underclothes. 2. I have not had a (a) wink of sleep (b) 3. I think you should take more (a) exercise drop to drink (c) complaint from the neigh­ (b) time over your meals (c) care of your bors (d) square meal for weeks, month, years. old woman (d) notice of what I tell you. 3. I am worried because I have been (a) in 4. I shall need (a) a radiograph (b) a sec­ contact with polio (b) on a blind in Paris (c) ond opinion (c) time to think. reading the Reader’s Digest. 5. Your case is quite (a) simple (b) inter­ 4. I am beginning to feel (a) better (b) esting (c) imaginary (d) hopeless. 6. Go to the (a) hospital (b) optician (c) dentist (d) Devil. Yours truly, Doctor —Bulletin of Luzerne Co. Med. Soc. Blood Bank Briefs Following is a summary of the Annual Re­ port of the Tacoma Pierce County Blood Bank as presented to the Board of Trustees by Dr. M. J. Wicks, Director. In 1957 there were 7,134 donors at the Blood Bank; of this number approximately 20% were obtained on the Bloodmobile. These figures have remained about the same for the last two years. There was a 33% increase in the use of wet plasma distributed by the Blood Bank. This has probably been due to recognition of Allen's work which shows this preparation to be essen­ tially free of the active virus of infectious hepatitis. Approximately one-third of the blood re- : placed is in the form of credit from the 193 reserve accounts, or "pools,” registered at-the Bank. Transactions with the Pacific District Blood Bank Clearing House totaled 800 indicating, an increasing awareness that blood may be given in any city for credit to patients in other sec^ tions of the country. BULLETIN of the Pierce Countv M edical Society 31 Invitation To Hawaii ately follow the A.M.A. Annual Meeting in Summer Medical Conference San Francisco June 23-27, 1958. Official travel arrangements to Hawaii to attend the Confer­ The recent announcement and invitation to ence are under the direction of Lee Kirkland Mainland doctors by the Hawaii Medical Asso­ Travel of Chicago and Kansas City (operators ciation to attend the Hawaii Summer Medical of Medical Tours). Aside from attendance at Conference in Honolulu July 1-3, 1958, has the scientific sessions, various other official caused a great deal of interest. social functions will be provided in the official The Conference is under the auspices of the trips, and a choice may be made of traveling Hawaii Medical Association, constituent so­ round-trip by air or combining air and steamer ciety of the A.M.A., and Dr. Samuel L. Yee, travel between the Mainland and Honolulu. President of the Hawaii Medical Association, For additional information, Conference has extended an open invitation to members of Registration Forms, or to place reservations, the medical profession to attend the Conference. contact Lee Kirkland Travel, c/ o Medical Included in the program are breakfast panels Tours, P. O. Box 3433, Chicago 54, Illinois. and a special afternoon clinic at a local Hos­ pital. Such outstanding speakers as Dr. Fred­ erick C. Robbins of Cleveland, Dr. Ernest Jawetz of San Francisco and others of equal Third Polio Shot stature, will present papers of particular note. The third round of polio shots will begin The Conference has been timed to immedi- March 31st, completing the adult polio immun­ ization program started last summer. The program will be essentially the same as before, and will be carried out through the com­ A COMPLETE LINE OF bined efforts of the Pierce County Medical So­ ciety, County Health Department, National SUPPLIES FOR THE Foundation for Infantile Paralysis and Pierce PHYSICIAN . . . HOSPITAL County Nurses' Association. AND Clinics will be held in fire stations through­ NURSING HOME out the county four days a week, Monday through Thursday, for three consecutive weeks; hours will be from 7 p.m. to 9 p.m. The vaccine will be purchased with funds contributed for this purpose by the UGN, Pierce County Chap­ Mail or Telephone Orders ter NFIP and voluntary contributions made by Given Prompt Attention the public at the clinics last summer. Once again, physicians will be asked to vol­ unteer their services to give the inoculations at the clinics. A letter giving more detailed information will be mailed out in the near SHIPMAN future. SURGICAL CO. 741 St. Helens A ve. - BR. 2-6400 Tacoma 2 DON’T FORGET TO VOTE TUESDAY, MARCH 11 Before going to the Meeting “PATRONIZE OUR ADVERTISERS" Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS

STAFF OF TACOM A GENERAL First Tuesday of March, June, Sept., Dec.—6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—at 6:15 p.m. TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club SURGICAL SOCIETY Third Tuesday of each month—6:30 p.m. at Tacoma Club STAFF OF PIERCE COUNTY Last Monday of each month—6:15 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the Month—8:15 p.m. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept. and Dec.—7:15 a.m. at Scotty's Cafe PIERCE COUNTY PEDIATRIC SOCIETY First Friday of Sept.. Nov., Jan., March and May IUILLETIN- PIERCE COUNTY MEDICAL SOCIETY

E ------:- VOL. XXIX—No. 8 TACOMA, WASH. APRIL - 1958 BULLETIN of the PlBKCB COUNTY MEDICAL SOCIETY Pierce County Medical Society

1 9 5 8 OFFICERS P re sid e n t...... Herman S. Judd President-Elect ...... T. W. Bowen, Jr. Hap-py birth - day Vice-President ...... Chris C. Reynolds S ecre tary-Treasurer_ ..Arnold J. Herrmann Executive Secretary... Judy Gordon T R U ST E E S Paul E. Bondo Herman S. Judd Happy Birthday J. W. Bowen, Jr. George S. Kittredge Douglas Buttorff Philip C. Kyle Robert W. Florence Robert E. Lane Hillis F. Griffin Chris C. Reynolds 1 LAWRENCE SKINNER Arnold J. Herrmann Wayne W. Zimmerman D ELEGATES Douglas Buttorff Louis P. Hoyer, Jr. 2 EDWIN FAIRBOURN Philip Grenley Charles E. Kemp Arnold J. Herrmami Frank Maddison WILLIAM MATTSON, JR. ALTERNATE DELEGATES Robert W, Florence Frederick J. Schwind 4 BERNARD HARRINGTON Murray L. Johnson Don G. Willard Wendell G. Peterson Wayne W. Zimmerman 7 EVERETT NELSON COMMITTEES E thics 11 LAWRENCE BRIGHAM Robert E. Lane, Chairman M. R. Hosie Richard T. Davis 12 CHARLES M AY G rievance Hillis F. Griffin, Chairman Gerald C. Kohl Miles Parrott 15 LEO HUNT House and Attendance John S. May, Chairman DOUGLAS MURRAY James E. Hazelrigg Dudley W. Houtz L ib ra ry I. A. Drues, Chairman 16 ROBERT OSBORNE John M. Havlina Hugh A. Larkin Bernard R. Rowen Stanley W, Tuell CHARLES TRIMBLE Program T. R. Haley, Chairman William P. Hauser David F. Dye 18 CLYDE GRAY Herbert C. Kennedy Public Health 20 JOHN COMFORT Bernard A. Bader, Chairman Theodore Apa W. Roland Olson 21 HAROLD JOHNSTON Public Relations W. W . Mattson, Jr., Chairman John J. Bonica James D. Lambing 22 WILLIAM AVERY Robert Johnson M. E. Lawrence Thom as O. M urphy RICHARD DAVIS Civil Defense Richard F. Barronian, Chairman William E. Avery Richard B. Link 24 EUGENE HANSON David F. Dye Wayne W. Zimmerman D iabetes 25 RODGER DILLE Joseph B. Harris, Chairman Entertainment George A. Tanbara, Chairman 27 JOHN GULLIKSON J. W. Bowen, Jr. F. W. Hennings Kenneth Gross L. M. Rosenbladt 28 LOUIS HOYER G. M. W h itacre Geriatrics M. E. Lawrence, Chairman RICHARD LINK Glenn H. Brokaw John F. Steele Legislative 29 A. W . HOWE Douglas P. Buttorff, Chairman Arnold J. Herrmann Gerald C. Kohl 30 DONALD McKAY Wayne W. Zimmerman Medical Education Robert Kallson, Chairman John Comfort' Robert W. Osborne Schools R. A. Norton, Chairman Theodore Apa George S. Kittredge NOTICE Orvis Harrelson Jack W. Mandeville William E. Hill George Tanbara Check back page of Bulletin for calendai Traffic and Safety Harold D. Lueken, Chairman of special m eetings Mental Health Harold B. Johnston, Chairman T. R. Haley Myron Kass William H. Todd Bulletin Staff Front Page Picture E ditor.— ...... _____...... w . W. Mattson, Jr. Associate Editor...... M. E. Lawrencc Courtesy Btuiness Manager ...... ___judy Gordon Auxiliary News Editor Mrs. Hobert Kallsen Richards Studio

4 BULLETIN of the Pierce County M edical Society

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ag es 1-B5 NO MEDICAL EXAMINATION! 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

MEETING

PIERCE COUNTY MEDICAL SOCIETY TUESDAY, APRIL 8 8:15 P.M.

MEDICAL ARTS BUILDING AUDITORIUM

PROGRAM

MALPRACTICE, and RECENT CHANGES IN ATTITUDES OF THE COURTS

Mr. Edward L. Rosling, Legal Counsel for WSMA Mr. Milton Warner, Attorney, Seattle Mr. Robert Young, Attorney, Tacoma Mr. Ralph Neill, Executive Secretary of WSMA

Panel discussion, followed by question and answer period.

A no-host social hour and dinner will precede the meeting Social Hour: 6:00 Dinner: 6:45 Place: Honan’s Restaurant ( across St. Helens Ave. from the Medical Arts Bldg.)

B U L L E T IN of the Pierce County M edical Society

GUEST EDITORIAL

Many of our colleagues are not clearly aware of the distinctions between the World Medical Association (WMA) and the World Health Organization (WHO).

There is also confusion as to the distinction between the United States Committee of WMA and the Citizens Committee for WHO.

Since WHO is to hold its “World Health Assembly” in the U.S.A. this Spring, it would be desirable for our colleagues to have a clear understanding of these two organizations before this meeting.

As you probably know, the A.M.A. is a member of WMA, and the A.M.A. House of Delegates last June strongly urged every member of the A.M.A. to join the U.S. Committee of WMA. Following, on page nine, is a list of the differences in the two organizations; we hope that publication of them may help us in our current effort to increase the membership of the U.S. Committee of WMA.

Louis H. B a u e r , M.D., Secretary-Treasurer, U.S. Committee, Inc., WMA.

BULLETIN of the Pierce County M edical Society 9 What is the Diffrence Between . . . T h e W o r l d M e d i c a l A s s o c ia t io n and T h e W o r l d H e a l t h O rganization ? The World Medical Association 1. W M A is an organization of national medical associations. The unit of membership is the most representative national medical asso­ ciation in each country. It is completely non­ PHARMACY governmental. It is not part of the U.N. It is a voluntary organization. 2. WMA represents the practicing medical profession. 3. WMA was organized in 1947 by AMA representatives and Western European medical Prescription leaders. Purpose was to exchange medical knowledge, to protect the freedom of medicine, Druggists and promote world peace. 4. Each member association sends two dele­ gates, two alternate delegates and observers to the General Assemblies—the supreme policy making body of WMA. 5- The executive body of WMA is the Coun­ cil. This meets twice a year and comprises 11 members elected from the Assembly and the President, President-Elect and Treasurer. We Carry a Complete Stock of 6. WMA is supported by members’ dues and contributions and the annual budget is Biologicals and Pharmaceuticals about $165,000. 7- American physicians and allied corpora­ tions interested in the work of WMA are organized as the United States Committee of ★ The World Medical Association.

The World Health Organization 1. WHO is an intergovernmental health "When Moments Count" agency. The members are the governments that accept the nine principles upon which WHO is founded. 2. WHO represents governments in their FUlton 3-2411 public health and medical activities. 3. WHO is the result of proposal of U.N. PROMPT . . . FREE DELIVERY in 1945 to create a specialized agency to deal with all matters related to health on a world­ wide scale. 4. Each member government sends three delegates, chosen preferably from the national health administration of the government, to the annual World Health Assembly. 5. The Executive Board of WHO is the Stadium Hi District executive body and consists of 18 members elected to represent 18 member governments. 101 North Tacoma Avenue 6. WHO is supported by dues allocated by Tacoma, Washington the U.N. scale and the budget for 1958 is 313,000,000. 7. American citizens interested in the work of WHO are organized as the Citizens’ Com­ mittee for the World Health Organization. 10 BUT T F.TIN o f the PIERCE COUNTY MEDICAL SOCIETY

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Phone MArket 7-7745 B U L L E T IN of the Pierce County M edical Society 11 WOMAN’S AUXILIARY ^ o ^ k e Pience GouriUf, M edical Society 1957-58 and State President-elect Marjorie Lyons of Spo­ kane were introduced, and spoke briefly on State W om an’s A uxiliary policies. Pierce County M edical Society Vice-President Hazel Whitacre, conducting the meeting in the absence of Ruth Murphy, Officers and C hairm en announced the slate of officers selected by the President ...... — -- —- •• Mrs. T. B. Murphy President-elect ...... M rs. Robert Florence nominating committee for election at the April 1st V ice-President...... Mrs. Marshall Whitacre 2nd Vice-President ______Mrs. Herm an Judd Meeting. Following are the nominees for the 3rd Vice-President______Mrs. Robert Kraft elective offices on our Auxiliary Board . . . 4th Vice-President...... Mrs. Stillman Hathaway Recording Secretary ______Mrs. Wm. Mattson, Jr. President...... Mrs. Robert Florence Corresponding Secretary ...... Mrs. Robert P. Crabill Treasurer . -...... Mrs. Haskell Maier President-elect...... Mrs. Joseph Harris Publicity, Newspaper...... Mrs. Thomas Smeall 1st Vice-President Mrs. Herman Judd Publicity, Bulletin ...... M rs. Robert Kallsen American Medical Education Fund Mrs. Herman Judd 2nd Vice-President --.Mrs. Robert Osborne Bulletin (National) Mrs. George Tanbara Civil Defense ...... Mrs. Harold D. Lueken 3rd Vice-President...... Mrs. Carl Scheyer Historian ______Mrs. John Bonica 4th Vice-President...... Mrs. Burke Lair So cial...... - Mrs. Howard Pratt Legislative ...... Mrs. Joseph Harris Treasurer...... Mrs. Haskel Maier Membership ______Mrs. Charles Anderson Nurse R ecruitm ent...... _. Mrs. Orvis Harrelson Recording Sec y Mrs. Charles Anderson Program ____ Mrs. Robert Osbome Corresponding Sec'y....Mrs. Kenneth Gross Public R elations...... —Mrs. Robert Burt Revisions ...... Mrs. Treacy Duerfeldt Telephone ...... Mrs. James Mattson Health Week Today’s H e a lth ...... — Mrs. M. Edward Lawrence Pierce County Health Week March 17-21, Speakers Bureau ...... Mrs. Philip Grenley Minute Women ...... Mrs. Robert Ferguson enlisted the efforts of many Auxiliary mem­ Heart...... Mrs. Kenneth Gross Cancer...... Mrs. Robert Brooke bers connected with the various health agen­ Tuberculosis...... M rs. H illis Griffin cies in town. Health Week is annually planned Mental H ealth ______Mrs. John Havlina Crippled Children and Adults Mrs. Wendell Peterson and sponsored by the Health Council, a group Infantile P aralysis ...... Mrs. Douglas Buttorff Safety______Mrs. Galen Hoover which acts as coordinator for the separate health Rehabilitation Center...... Mrs. Walter C. Cameron, agencies, and as liason between them and UGN. Mrs. Phillip Backup Public Health Nursing______Mrs. Charles Anderson Marge Wicks, Auxiliary's representative to Community C o u n cil ...... Mrs. John F. Steele Health Council, and 2nd vice-president of that City C ouncil...... Mrs. William Goering Health C ouncil ...... Mrs. Merrill Wicks organization, tells us the highlight of Health Fashion Show. ______Mrs. Robert Florence Dance ...... Mrs. Horace Anderson Week was the film festival at Jackson Hall on Christmas Party ______Mrs. Howard Pratt, the 19th, to which each health agency con­ Mrs. Robert Osbome tributed an interesting film for public viewing. April meeting will be a luncheon at the Auxiliary's part in the Health Week program home of Mrs. Franz Hoskins on April ISth at was the impressive window display at Stadium 12:30. Program topic and speaker w ill be on Toy and Craft that week. This project was ac­ civil defense and safety. The election of Auxil­ complished by Lorna Burt, Auxiliary's public iary’s officers for next year will take place at relations chairman, and her committee, Sally this meeting. Bond and Louise Bowen. The March meeting on the 21st at the home After seeing this window display, we were of Mrs. Charles Arnold provided a delightful curious to learn how this was done on a budget luncheon served by Chairman Ruth Zimmerman of $0.00. Lorna Burt explained that everything and her committee; Nancy O'Leary, Lorraine in the window was donated for the week by civic-minded businessmen. The mannequin il­ Adams, Martha Brigham, Keatie Gross, Flor­ lustrating a patient of the Rehab Center was ence Rigos, and Marilyn Mandeville. State loaned by Tacoma General, and besides being Auxiliary President Marjorie Lynch of Yakima, the focal point of the display, it proved the most complicated of the arrangements. Tiny Lorna Burt and petite Sally Bond had to roll DAMMEIER up their sleeves and transport this six-foot-plus lady to Tacoma Brace and Limb for the spe­ Printing Co. cially sized leg brace, (her skirt fell off during the rush hour on K Street), and then over to BRoadway 2-8303 Stadium Toy and Craft, (a leg fell off as the 811 Pacific Ave. Tacoma girls carried her past Scotty's). I Continued on Page 13) BULLETIN of the Pierce County M edical Society

At the last accounting,1 physicians throughout the country had administered at least one dose of poliomyelitis vaccine to 64 million Americans all three doses to an estimated 34 million. Undoubtedly, these inoculations have played a major part in the dramatic reduction of paralytic poliomyelitis in this country.

APR. MAY JUNE JULY AUG. SEPT. OCT. NOV. DEC. Incidence of polio in the United States, 1952-1957 (data compiled from U.S.P.H.S. reports) vaccine is plentiful for the job remaining

There are still more than 45 million Americans under forty who have received no vaccine at all and many more who have taken only one or two doses. As it was phrased in a public statement by the Department of Health, Education, and Welfare: “It will be a tragedy if, simply because of public apathy, vaccine which might prevent paralysis or even death lies on the shelf unused.”2 Eli Lilly and Company is prepared to assist you and your local medical society to reach those individuals who still lack full protection. For information see your Lilly representative.

1. J . A . M . A ., 165:27 (November 23), 1957. I 2. Department of Health, Education, and Welfare: News Release, October 10, 1957. BULLETIN of the Pierce County M edical Society 13 (Continued from Page 11) Best-Fed Committee in Town Another activity in which Auxiliary partici­ The planners for Monte Carlo were prob­ pated during Health W eek was the open house ably the most elegantly handled group at work at the Rehab Center on the evening of March last month. Mrs. Kunz entertained her commit­ 21st. Auxiliary members Edna Backup, Emma tee initially at a sumptuous breakfast, and for Bonica, Helen Florence, Betty Smeall, and El­ the second meeting took them to lunch at the vina Brokaw acted as hostesses at the open University-Union Club. A cocktail, a wonderful house, serving coffee and cookies to guests, and luncheon, violets for each, and a little bingo conducting guests through the Center. afterwards were the ideal arrangement to inspire Auxiliary also served luncheon at the Rehab ideas for the party and to enlist the whole­ Center to the medical advisory board on March hearted efforts of this group. 25th. This was done by Adele Durkin, assisted The Chain Gang by Pat Hoover and your writer. Philharmonic’s chain-luncheon idea, which Don’t Miss Monte Carlo has provided impetus for dozens of very nice Lucky at cards and/or lucky at love? In luncheon parties this season, was cleverly altered whichever field your talents lie, you’ll find plenty by Adele Durkin and Emma Bonica to meet all of opportunity to try your luck on Monte Carlo their Philharmonic obligations at one fell night, April 12th, at the University-Union Club. swoop, at one huge luncheon for Auxiliary Mrs. G. G. R. Kunz, Sr., chairman of the members on April 8th. Adele and Emma will affair, has planned a night of frolic for the dar­ co-hostess the party to be given at the Bonica ing and adventurous among Auxiliary members, home, which will benefit the Philharmonic, and husbands, and their special guests. "Fun Un­ which will then involve almost the entire Aux­ limited" is the slogan of this party set in the iliary in the chain-luncheon plan. atmosphere of indiscreet Monte Carlo. Newcomers Your $5.00 donation to the high-principled Donna and Bob Ferguson welcomed a new A.M.E.F. fund allows your admission to Monte girl to their family last month, and the Robert Carlo’s casino . . . where a lavish dinner of Johnsons launched their careers as parents with salmon, roast beef and Yorkshire pudding will a baby boy. be topped off by "A Kiss In The Clouds.” Pretty Chivalry Is Not Dead cigarette girls Bianca Mattson, Lorraine Kunz, Gentleman of the old school, Doctor Law­ Becky Banfield, and Noreen Hoskins will cir­ rence Brigham, was just being a gentleman culate in the cocktail salon, bestowing favors. when he offered to let one intellectually inert King of the gambling tables, Tom Murphy, will Auxiliary member drive his new sports car preside at dice, Horace Anderson w ill be head last month. A burned-out brake lining did not dealer at the card tables, and Edward Ander­ burn up this gallant sportsman. son will operate the roulette. There will be bingo for high stakes, bridge and canasta for Family Service of Tacoma, a UGN agency the more conservative. with offices at 220 Security Building, pro­ vides professional counseling service to Imaginative decorations by Hazel Whitacre people who have family and personal prob­ and Hilda Lantiere will belie the respectable lems. Staffed by professionally trained University-Union Club scene. Several women of family counselors — all of whom hold ill repute will be on hand to complete the Master's Degrees in Social Work and have years of experience in practice — the picture. agency's services are available on a sliding Reservations for this must be made in ad­ fee basis to anyone in the Tacoma-Pierce vance by calling ticket chairman Helen County area. Appointments are arranged by Kittredge. calling MArket 7-6105.

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E d i t o r 's N o t e : The following piece was re­ In Memoriam ceived recently from our "California corres­ pondent" Lewis Hopkins who, with his wife, is Dr. Edwin L. Carlsen expired in a local hos­ enjoying a winter in Santa Barbara. pital March 1 at the age of 78, after an illness It Did Happen Here of perhaps six weeks duration—according to Recently I walked with a doctor friend along him. the beach of a southern California resort town. Born in Albert Lea, Minnesota, the doctor Anchored about half a mile from shore was an attended the University of Minnesota and re­ unusually large and beautiful yacht concerning ceived his M.D. degree in 1906. W hile at M in­ which my colleague told this story. nesota he played in the University band and We had been classmates at a mid-western was a member of Nu Sigma Nu medical school and among our past common experi­ fraternity. ences had been service in the school’s out­ Dr. Carlsen interned in the N.P.B.A. Hospital patient medical department. in Tacoma and was licensed in 1907. He When, as was usually the case, the patient entered the general practice of medicine in could use a laxative to advantage, there was South Tacoma and remained in active practice always available a large stock solution of min­ until the day he entered the hospital, January eral oil and agar-agar which carried the appro­ 20, 1958. priate name of Helper and we agreed that Dr. Carlsen loved the Puget Sound country many gallons of this mixture were dispersed and took many trips around the Sound for each year in the clinic with uniformly good several days at a time. An ardent golfer, he results. would play until it was so dark he could hardly One of the students of our time graduated, see the ball—if he could find someone to play interned, came West and eventually found with; he had been a member of the Tacoma himself poor but ambitious starting a practice Country and Golf Club for many years and fre­ in southern California. Patients were few, and quently played fifty-four holes of golf a day. hoping to add to his slender income he gladly In past years, Dr. Carlsen loved the State accepted the duties as House Physician in one Medical Association meetings and always parti­ of the better hotels. cipated in the golf tournament, enjoying every One day he was called to see a gentleman minute of it. living in the hotel and during the course of his Dr. Carlsen will long be remembered as a treatment, the young doctor used some of the very pleasant and jovial individual who enjoyed reliable Helper which a local druggist had made getting out with his colleagues. He will be up for him. missed by his many loyal patients and friends. The treatment proved very satisfying and —John W. Gullikson, M.D. the grateful patient asked particularly regarding Helper. He was told where it had originated and that the simple remedy was not on the market but had been made up by a neighbor­ Blood Bank Briefs hood druggist. The patient insisted that such a The specter of virus hepatitis in plasma, valuable remedy should be manufactured and pooled in numbers of units sufficient to negate made generally available and he felt so strongly the necessity for cross-matching, has been dis­ this should be done that he offered to finance pelled by such work as that published by Allen a company with the help of the young doctor in 1953 and others since then. Clinical surveys and the neighborhood druggist. published by Hoxworth in J.A.M.A., March A company was promptly formed with the 15, 1958 indicate that "strong evidence exists former patient retaining 502 of the stock and that stored plasma can be used with reasonable the doctor and druggist each receiving 25%. safety.” That venture prospered mightily. The Tacoma-Pierce County Blood Bank has The young doctor soon gave up his hotel job, been supplying pooled wet plasma which meets but continued to practice until a few years ago Allen’s criteria. There is little reason for hesi­ when he sold his one-fourth interest in the com­ tancy in its use where proper clinical indications pany for $8,000,000. are present. The beautiful yacht I saw in the harbor Total cost is $18.50 by the BB plus admin­ belongs to him and now, in his seventies, he istration charges by the hospital. Part of the lives on board her when he is not abroad. Blood Bank bill ($10) can be cancelled by a That is the Petrolagar story from southern replacement of a unit of blood to the credit^ (California—that uniciue portion of the United of the patient. (States where "anything can happen.” — M . J. Wicks, M.D. | | —Lewis A. Hopkins, M.D. 16 BULLETIN of the Pierce County M edical Society

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Ask for Donald M. Moore, V.P. Stewart L. Simpson John L. McAloon Edward J. Pole Robert D. Sizer W. O. Jeffery Herbert F. Syford, Pres. BULLETIN of the Pierce County M edical Society 17 HOSPITALS. . .

Tacoma General Mrs. Sonerson, R.N., received a little girl to keep company with her other daughter. To our S.W.A.N.S. or State of Washington Associa­ department came five new student nurses. The tion for Nursing Students will have its annual birth of a baby, "a miracle all its own’’ is convention in Seattle on April 24, 25 and 26. the most dramatic occurrence they have ever Janet Gadbow, Tacoma General Hospital Sen­ witnessed. We hope to find amongst them some ior, is secretary of the organization. The Wash­ good O.B. nurses. Dr. Myrna Estruch is our ington State Nurses Association will be having new Intern and her brown eyes sparkle when its annual convention at the same time. the babies smile back at her. Surgical-Clinical Instructors, |o Ann Down­ Sisters Antonia, Patricia Francis, Barbara ing and Bernice Nelson, will attend a nursing Ann, and Francis Edwardine attended the mid­ curriculum conference in San Francisco from year convention of Washington State Hospital April 14 to April 16. This conference is spon­ Association which was held in Spokane. An sored by the National League of Nursing, Divi­ excellent talk was given by Mr. Harry Becker, sion on Nursing Education. Blue Cross representative on Rising Hospital Mrs. Donna Ferguson will be the new Clini­ Costs. Disaster Planning was the subject of a cal Instructor in the medical area when Mrs. talk by Don Cook of The V.A.H. in Spokane. Marliss McCann Swayze leaves on April 15. He presented a guide for all hospitals in the Mrs. Ferguson has just completed her graduate state to facilitate and coordinate their endeav­ work for a Master's degree from the University7 ors in drawing up workable Disaster Programs of Washington. She has had experience in staff in each hospital. The Catholic Hospital Asso­ nursing, Public Health nursing, and the teach­ ciation held its meeting Monday evening at ing of medical nursing. Sacred Heart Hospital. Legal Aspects was the The new secretary at the School of Nursing main subject discussed at the meeting. is Mrs. Margie McCracken. She has been an air­ lines stewardess and supervisor as well as having Mrs. Phyllis Harris our 11-7 nurse is at home had office experience. She has come to Tacoma recuperating after an emergency surgery. We from California with her husband, Wynn Mc­ are all happy to see her on her feet again and Cracken, announcer for radio KMO. hope it won’t be long before she is back w'ith us. Things in the department don’t seen quite Saint Joseph’s the same since Donny Hanson is gone. Donny was a severe "burn case" that was with us for St. Joseph's Hospital Auxiliary held its first 5 months. On our field trip to the Crippled meeting at 7:00 p.m. on March 20th. It was Children's School we saw Donny working well attended by an enthusiastic and interested away with the looms and using both hands. He group of women, and it seemed as if God sends his greetings to all his many friends at smiled down His approval in this very new St. Joseph's. enterprise. Everyone said goodnight and parted Our present group of students will be leaving with a feeling of satisfaction and appreciation. us for their Psychiatric Affiliation at American Permit me to add here that the purpose of Lake Veterans Hospital. We're sorry to see this auxiliary is to promote the welfare of the them leave. Good luck, girls, in your new Hospital and to foster better public relations. venture. The next meeting will be held on April 22nd It’s been a real pleasure to have the staff at 8 p.m. in the Cafeteria. Won't you please cooperate so well in the sale of tickets for our come — we would enjoy having you as a coming "Spring Fantasy." With such coopera­ member. tion I’m sure the affair could be made a real A party "the likes of which you’ve never success. seen," was held in our department on March Sister Theodore Joseph and her staff have 17th—everyone sported the little green em­ been busy as bees doing Spring house cleaning blem. Earlier in the month a birthday part was in the department. Some of our rooms have given to honor Molly Garrett and Marie new drapes which adds a great deal to the decor. Mitchell. They look as young and sweet as ever. Sister Evrard is back after having spent a March of 1958 w ill ever be remembered week assisting with a review for national ac­ by Mrs. Plunkett, R.N., for she became the creditation of a school in Eugene, Oregon. The mother of a nice big boy. spring quarter began on March 17th and new Mrs. Barrett, R.N., proud and attractive mother of a girl. (Continued on Page 19) 18 BULLETIN of the Pierce County M edical Society

outstanding efficacy in skin disorders STEROSAN Hydrocortisone Cream and Ointment (chlorquinaldol g eig y with hydrocortisone) The case illustrated below typifies the superior response pro­ duced by STEROSAN-Hydrocortisone. Combining potent antibac- terial-antifungal action with a reliable anti-inflammatory and antipruritic effect, STEROSAN-Hydrocortisone is valuable in a wider range of infective or allergic dermatoses.

A severe infectious eczematoid dermatitis on foot of 15-year-old boy. Patient used STEROSAN-Hydrocortisone preparation 3 times a day for 23 days’ with a dramatic impi'ovement as shown.*

before treatment after treatment

'Case report and photographs through the courtesy of N. Orentreich, M.D., New York, N.Y. BULLETIN of the Pierce County M edical Society 19 (Continued from Page 17) State Association of Medical Record Librarians, held February 13 in Doctors’ Hospital in Seattle. faces are seen on the wards chat have been ab­ sent for the last quarters and students leaving Kathy Pickett, record department, and hus­ for their affiliations. band, Jerry, of the U.S. Army, and stationed at Miss Hotchkins will be making her yearly Fort Lewis, are leaving on vacation to be spent visitation to our school March 18-20. with their families in Bloomington, Illinois. Miss Jan Barcott, an affiliate student, has The Housekeeping department honored a completed her course March 11th. She intends member, Larry Cook, with a baby shower. He to relax until after she takes the state board. became the proud father of a ten pound boy on The painter has almost finished his first coat February 25. The affair was held on the second of paint in the chapel. W e will have an entirely floor and a beautifully decorated cake centered new color scheme in the chapel when the job the table, otherwise adorned with spring flow­ is completed. All the pews are to be redone with ers and long-legged storks. Numerous appropri­ new pads on the kneeling benches. The present ate gifts were given to the guest of honor, who, plans are to have the major work finished before no doubt, will hand them on to the new son Easter. and heir. Puget Sound Chapter of the National Execu­ tive Housekeeping Association will meet at Pierce County Hospital on March 14, 1958, for Pierce County a gathering to entertain several prospective It is always regretful when esteemed per­ members and hear discussions on benefits, aims sonnel retire from the hospital. This month the and the purposes of the organization. Mr. How­ nursing staff lost a valued member when Ada ard Bond, district president of the Toastmasters' Johnson Webster retired. For the past 11 years Club, will talk on the Importance of Communi­ she has been on the Medical Nursing force of cation. Nelle Satter and Leitha Munce will be Pierce County Hospital which followed many hostesses for the occasion. years of private and other nursing work. She has announced that she is discontinuing the nursing profession entirely to give full time as “ p a t r o n iz e o u r advertisers ” a homemaker for her husband. She will be greatly missed by her associates who have always regarded her as a most efficient and reliable worker as well as a delightful compan­ ion. Friday, March 14, a hospital party was given for Mrs. Webster in the hospital dining room when, after the coffee hour, she was presented with a beautiful floor lamp ana sun­ dry other gifts which in a humorous manner were suggestive of her past nursing duties. Other valued workers to retire are Marie Witty, for 13 years employed on the Diet staff and Pauline Lohen, for 15 years in the Laundry department. Both women have endeared them­ selves through their pleasing personalities and efficiency, and their departures are regretted. Their associates entertained them on Wednes­ day, March 12, with a cake and coffee party when they presented Mrs. W itty with doorbell chimes for her home and gave Mrs. Lohen an attractive handbag. All hope that these three former employees will return often to visit old friends at the hospital. Mrs. Ann Ness is being missed these days while she is on leave of absence from her poition as head of the Emergency Room. Ann is taking a well deserved rest. Her position is being filled during her absence by Mrs. Irma Hough. Miss Alix Bury, head of the record depart­ ment, atended the meeting of the Washington 20 BULLETIN of 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 PRESCRIPTION SPECIALISTS

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• FUNERAL HOME MOUNTAIN • CEMETERY • CHAPEL Memorial • CREMATORY VIEW Park • MAUSOLEUM 4100 Steilacoom Boulevard JUniper 8-2195 BU LLETIN of the Pierce County M edical Society 21 Speakers Announced For W.S.M.A. Convention Gunnar Gundersen of LaCrosse, Wisconsin, president-elect of the American Medical Asso­ AND ALL ciation, will be featured speaker at the 1958 convention of the Washington State Medical M IRY PRODUCTS Association, according to an announcement by President Milo T. Harris. Dr. Harris also announced the selection of five outstanding guest speakers for the scientific program of the convention, which will be held September 14-17 in Spokane, with headquarters at the Davenport Hotel. Arrangement are being ☆ made also for a sixth guest scientific speaker, whose name will be announced in the near future. Careful Mothers use Pro­ Dr. Gundersen will deliver an inspiring mes­ tected Milk. Pasteurized sage based on his many years as a physician and long experience in organized medicine. He and Homogenized Milk was a member of the A.M.A. Board of Trustees from our own contented for nine years, the final two years as chairman, prior to being named president-elect last year. cows can be delivered He will assume the presidency in June. to your home or your The guest scientific lecturers will address general sessions in the afternoons of Tuesday grocer and Wednesday, September 16 and 17, and will also speak at the six refresher courses planned for the morning programs those days, accord­ ☆ ing to Clyde A. Stevenson of Spokane, chair­ man of the Scientific Program Committee. The speakers and their topics for the after­ A Favorite Dairy for over noon programs are as follows: 30 years. Recommended John Caffee, New York, professor of radiol­ ogy at Columbia University and radiologist to by doctors and dietitians. Babies Hospital, Presbyterian Hospital and Vanderbilt Clinic: "The Osteochondroses and Normal Variation in the Growing Skeleton," ☆ and "Radiographic Signs of Mongoloidism Dur­ ing Early Infancy.” CALL W alter A. Fansler, Minneapolis, clinical professor and director of the Division of Proc­ tology, University of Minnesota Medical School: WAverly 2-8705 "Polyps of the Colon," and "Hemorrhoids and Fissures.” W. S. Middleton, Washington, D.C., chief medical director, Department of Medicine and Surgery, Veterans Administration: "Aneurysm "I of the Aorta.” Robert D. Murray, head, Department of SanharyJ a Orthopedics, Scott and White Clinic, Temple, [INFANT DAIRY Texas: "Osteomyelitis," and "Fractures of the Elbow.” Lucian Smith, Rochester, Minnesota, assist­ ant professor of medicine, Mayo Foundation: "Abdominal Pain." Direct from Our Farm to You Schedules and subjects of the refresher courses to be given during the morning sessions will be announced in the near future. 22______BUT.T.F.TIN of the Pibrce County M edical Society

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1015 SOUTH TWELFTH STREET MArket 7-0118 TACOMA 3, WASH. BULLETIN of the Pierce County M edical Society 23 Poison Control Center Report Other Substances — Revlon nail polish, The physicians of Pierce County wish to pub­ Noreen Capsule Hair Dye, O-Cedar All-Pur­ licly thank the personnel of the Poison Control pose Polish, Harrison 10-Day Nail Magic Center for the tremendous effort they have put Cream, Pride Furniture Polish, Klean Clay, forth to institute and operate a very useful Enden Cream Shampoo, Purex, White Shoe Center. Polish (2), Witch Hazel, Listerine, Tannic Most of us are well aware of the difficulties Acid Jelly, LePage's Glue, Windex Spray, Tir- involved in organizing a preventive Center of polene, Rat Poison ( 2 ), Indelible Pencil, Moth this type and the staff is to be highly com­ Balls, Watkins Deodorant Cream, Florines Lo­ mended for so readily accepting the extra bur­ tion, Jergen's Stick Deodorant, Wildroot Cream den and responsibility placed upon them. Hair Oil, Fuller Moth Cleaner (2 ) Comet They have patiently dealt with frantic parents Cleanser, Toad Stools, Johnson Hard Gloss inquiring at the Center—as well as with others Glocoat, Clorox, Ronson Lighter Fliud, Nar­ who are impatient when information isn't cissus Bulbs, Army Heat Tablets. readily available because it just is not in the Summary of Advice reference books. And they have doggedly per­ Advised to go to Hospital...... 17 sisted when coping with certain manufacturers Advised to contact private M.D...... 1 who are reluctant to divulge the ingredients of Advised emetics and observe...... 14 their products. Treated in E.R. (P.C.H .)...... 15 The entire staff at the Poison Control Center Hospitalized at P.C.H...... 1 warrants much praise for a job well done. Information from clinical toxicology...... 12 Following is the PCC report for January, —B. A. Bader, M.D. 1958: Calls from parents or other lay persons ____42 Calls from physicians or hospitals...... 18 Civil Defense Total ...... 60 The concept of "Big Brother” is anathema to Age Distribution the members of this medical community. Yet, this appears to be precisely the attitude of Less than 12 m onths...... 2 many with respect to Civil Defense. Under the 1 to 3 years ...... 35 current law the intent is clear—local responsi­ 3 to 5 years...... 7 bility on the level of the State and its political 5 to 12 years...... 3 subdivisions with the Federal Civil Defense 12 to 21 years...... 4 Administration acting as an auxiliary to this. Over 21 years...... 3 This responsibility must be accepted and No age giv en ...... 6 fulfilled. Substances Taken In preparing for the possible destruction of a Medicinal — Aspirin (7), Bluetine, Cough nuclear attack, the civil must complement the syrup with codeine, Zonite, Isoprophyl alcohol, military. Although to many the task may ap­ Merthergene, Nicotinic Acid, Ex Lax (2 ), Oil pear Herculean, the implication of unprepared­ of Eucalyptus, Mercuric Chloride Spray, Pheno- ness is all too obvious. In the establishment of a barbital, Serpasil, Spirits of Camphor, Camphor­ modus operandi, there is ample assistance from ated Oil, Thyroid Tables grs. T (4), Trilofon the County, State and Federal levels. To date Equinol. there has been inadequate utilization of these services. With natural, industrial and aircraft disasters , I being as common as they are, the Civil Defense Program will serve the community at all times BEALL’S by its very existence Our professional group , has an obligation which can be met only by I >' planning and implementation of the plan. The Prescription Store : Let us stop talking down, or being indiffer­ ent to, this immense problem. Rather, let us j give it full support and cooperation. 124 Meridian South ' Richard F. Barroanian, M.D. i I Chairman, PUYALLUP Civil Defense Committee Phone Puyallup 5-8444 ...... “PATRONIZE OUR ADVERTISERS” 24 BULLETIN of the Pierce County M edical Society

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•lUHrem1 i» a iqiHat TNA0KN*"K BULLETIN of the Fierce County M edical Society 25 Medical Society To Participate More than 50 displays and demonstrations will be shown at the open house, including the In Medical Education Week artificial heart-lung machine, electric eels used The Pierce County Medical Society will coop­ in the study of body-cell electric potentials, erate with the Washington State Medical As­ demonstrations of patient care by nursing stu­ sociation and the University of Washington dents, the medical instrument shop and the 110- School of Medicine in the third annual observ­ chair main dental clinic. ance of Medical Education Week, April 20-26. A special feature will be the exhibit, "Life Dr. Arnold J. Herrmann of Tacoma is a mem­ Begins," loaned by the American Medical ber of the state-wide committee for the event. Association. A salute to medical school progress, the spe­ The state-wide committee for Medical Edu­ cial week has been set aside for informing the cation W eek has planned the use of various public of the important role played by the media to supplement the coverage arranged by medical schools and their graduates in the the local committee. Special news releases and health and well-being of the nation. It offers a feature materials will be sent to daily and special opportunity also to show the doctor as weekly newspapers to focus public attention an integral member of the community, and to on the ever-increasing contribution of medicine demonstrate the training necessary to produce a to American life and the basic significance of physician. medical education. A special, taped radio pro­ So that the public may see and appreciate gram will be made available to all radio stations what is being done in medical education in this in the state. state, the University of Washington School of Medicine will hold open house Thursday, April 24, from 2 to 10 p.m. The open house will Accreditation status of 223 hospitals took a include not only the medical school, but also turn for the worse during the last year, accord­ the school of dentistry, pharmacy and nursing. ing to the Joint Commission's March 1 report. This event last year attracted more than 4,000 Main reasons: ( 1 ) inadequate staff review of persons, a large proportion of whom were young clinical work; ( 2 ) incomplete medical records; people potentially interested in health and (3) improper functioning of tissue committee. science careers. —Medical Economics

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0 m m J C i t® MEDOSWEET KREAMI LK MEDOSWEET DAIRIES, INC. — TACOMA, WASH. BU LLETIN of the Pierce County M edical Society 27 Heart Assn. Scientific Sessions and Training Program, it will be under joint To Emphasize Use of Research Data sponsorship of the American Heart Associa­ tion and the National Heart Institute of the A program that will emphasize the practical U.S. Public Health Service. application by physicians of findings made Open to graduates holding M.D. or Ph.D. de­ through cardiovascular research is being planned grees or their equivalent, the program will be for the 31st Annual Scientific Sessions of the conducted under the direction of Dr. W. F. American Heart Association. The 1958 sessions, Hamilton, Professor of Physiology, and Dr. R. which mark the 10th anniversary of the Asso­ P. Ahlquist, Professor of Pharmacology. Train­ ciation as a national voluntary health agency, ees will be instructed and guided by senior will be held at the Civic Center, San Francisco, faculty members of the departments of Physiol­ from October 24 through October 26. ogy, Pharmacology, Thoracic Surgery and Applications for the presentation of papers Medicine. at the Scientific Sessions may be obtained from A stipend of $3800 plus $350 for each de­ Dr. F. J. Lewy, Assistant Medical Director, pendent and certain other expenses will be American Heart Association, 44 East 23rd provided to trainees. Appointment is for one Street, New York 10, N.Y. Abstracts must be year. Applications may be obtained from either submitted before June 13, 1958. Drs. Hamilton or Ahlquist at the Medical Col­ Scientific Sessions in Hawaii lege of Georgia. To Follow AHA Meeting Following the 31st Annual Scientific Ses­ sions of the American Heart Association in San New Jenkins-Keogh Plan Francisco, October 24-26, the Hawaii Heart Sponsored By Senate Association will conduct a post-meeting tour Small-Business Group which includes two days of cardiological sci­ The campaign for a law to permit the self- entific sessions in Honolulu on October 31 and employed to set aside tax-deferred dollars in November 1. Arrangements to participate may retirement plans has taken a new turn. Now be made through H. Douglas Chisholm, Asso­ awaiting action in the Senate Finance Commit­ ciate Director, American Heart Association, 44 tee is a small-business tax-relief bill sponsored East 23rd Street, New York 10, N.Y., or direct­ by a majority of the members of the Senate ly through the American Express Company, 65 Small Business Committee. Broadway, New York, N.Y. A section of one of the bills would permit Exhibit Space Available persons to deduct up to 10% of income or At AHA Scientific Sessions $1,000, whichever is less, for amounts deposited The 1958 Scientific Sessions of the American toward retirement. It would permit a five-year Heart Association in San Francisco. October 24- carry-over of the unused portion of the allow­ 26 will feature a section for scientific and com­ able deduction and also would permit an in­ mercial exhibits. Applications for space for creased deduction for taxpayers over 50 years of exhibits of a scientific or technical nature may age at the time the bill is passed; at age 60, they be obtained from Dr. F. J. Lewy, Assistant could set aside $2,000 a year. Medical Director, American Heart Association, The Small Business Committee measure 44 East 23rd Street, New York 10, N.Y. Appli­ would be applicable to all self-employed and cations must be submitted not later than June those employed who are not now members of a 13, 1958. pension, profit-sharing, or stock bonus plan of Applications for commercial exhibits may an employer. There are pending before the be obtained from Steven K. Herlitz, Inc., 280 House Ways and Means Committee bills by Madison Avenue, New York 16, N.Y. Floor Representatives Jenkins ( R., O hio) and plans for the commercial exhibits will be Keogh (D., N.Y.) which would allow larger mailed to industrial firms during the month amounts—up to $5,000—to be deducted for of May. Advance inquiries relating to com­ retirement. mercial displays will be welcomed by Steven K. Senator Thye ( R., M inn.) one of the co­ Herlitz, Inc. sponsors of the Senate version, said it would remove "the worst kind of discrimination from Cardiovascular Research Training Program the present Internal Revenue Code. . . . all At Medical College of Georgia taxpayers would be given the same opportunity A one-year course intended to provide tech­ to provide for their retirement.” nical training in basic research methods for The Senate committee has conducted exten­ cardiovascular studies will begin July 1 at the sive hearings around the United States, starting Medical College of Georgia, Augusta. Known last fall, and has received considerable testimony as the Postgraduate Cardioavscular Research in favor of the tax deferment idea. 28 B U LL E T IN of the Pierce County M edical Society

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HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AN D ELECTROSURGICAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS BURDICK PHYSIO-THERAPY EQUIPMENT CAMBRIDGE ELECTROCARDIOGRAPHS WILMOT CASTLE STERILIZERS AN D LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS BULLETIN of the Pierce County M edical Society 29 Forand Bill Discussed would compound the insolvency and irrespon sible financing of Social Security. You have heard and read a number of words The medical profession has a great stake in regarding the Forand Bill, HR-9467. . . . the Forand Bill. It offers a grave threat to the In a nutshell, it is a proposal by Representative private practice of medicine and to the reten­ Aime Forand (D., R.I.) to impose socialistic tion of quality medical care. Increasing the taxes government controlled medical care on the on almost the entire working population to pay American people by way of Social Security. for the hospital and medical care of about 13 The Bill would provide hospitalization and million people would not be palatable to those medical care for the present 13 million benefi­ taxed. They, too, would want to get their share ciaries of Social Security with the costs to be of the Social Security socialistic medical and paid out of the mythical Social Security "trust hospital doles. Since Congress has expanded fund.” The Rhode Island Senator would have Social Security in four straight election years, the Congress vote a large increase in Social they, the "working population,” would have an Security taxes by raising the taxable wage from excellent chance of getting their share of fed­ $4,200 to $6,000 and by increasing the rate of eral charity in the next election year. If this taxation by Vi per cent on both the employer should happen, it would be the end of private and employee. Since medical and hospital care practice and, eventually, the end of good medi­ costs are unpredictable, there is no way of know­ cal care for the American people. Realistically, ing whether or not Mr. Forand’s proposed tax the Forand Bill is a bigger threat than the increase would finance his scheme for socialized crackpot schemes for national compulsory medicine for a small part of the population. health insurance vigorously sought a number of Already, Social Security is paying out more years ago by Murray-Wagner-Dingell, because money than it is taking in by way of compul­ the "untouchable” vehicle of Social Security is sory taxation. The Social Security "trust fund” being used to fool the people by approaching is short in cash of more than $200 billion to them on the softside of their sympathetic toler- meet its committed doles to present and yearly qualifying beneficiaries. The Forand proposal (Continued on Page 30)

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VOL. XXIX—No. 9 TACOMA, WASH. MAY - 1958 2______BULLETIN of the PlBRCB C o u n t y M e d ic a l S o c ie t y Pierce County Medical Society

1 9 5 8 OFFICERS P re sid e n t...... Herman S. Judd President-Elect..-...... T. W. Bowen, Jr. Hap-py birth - day to you, Vice-President...... Chris C. Reynolds Secretaxy-Treasurer,__ ...... Arnold J. Herrmann Executive Secretary ...... Judy Gordon TRU STE E S Paul E. Bondo Herman S. Judd Happy Birthday J. W. Bowen, Jr. George S. Kittredge Douglas Buttorff Philip C. Kyle Robert W. Florence Robert E. Lane Hillis F. Griffin Chris C. Reynolds M ay Arnold J. Herrmann Wayne W. Zimmerman D ELEGATES Douglas Buttorff Louis P. Hoyer, Jr. 3 BERNARD BADER Philip Grenl'ey Charles E. Kemp Arnold J. Herrmann Frank Maddison HERMAN JUDD ALTERNATE DELEGATES Robeit W. Florence Frederick J. Schwind WENDELL PETERSON Murray L. Johnson Don G. Willard Wendell G. Peterson Wayne W. Zimmerman 4 CHARLES VAUGHT COMMITTEES E thics 6 ALBERT EHRLICH Robert E. Lane, Chairman M. R. Hosie Richard T. Davis MARCUS STUEN G rievance Hillis F. Griffin, Chairman Gerald C. Kohl Miles Parrott 7 RICHARD BARRONIAN House and Attendance _John S. May, Chairman STEVENS SANDERSON James E. Hazelrigg Dudley W. Houtz L ib ra ry I. A. Drues, Chairman 8 CHARLES ANDERSON, JR. John M. Havlina Hugh A. Larkin Bernard R. Rowen Stanley W. Tuell ORVIS HARRELSON Program T. R. Haley, Chairman William P. Hauser David F. Dye 9 S. F. HERRMANN Herbert C. Kennedy Public Health JOSEPH LASBY Bernard A. Bader, Chairman Theodore Apa W. Roland Olson 11 LELAND BLAND Public Relations W. W . Mattson, Jr., Chairman John J. Bonica James D. Lambing 12 CECIL FARCHER Robert Johnson M. E. Lawrence Thom as O. M urphy T. B. M URPHY Civil Defense R ich ard F. Barronian, Chairman William E. Avery Richard B. Link 18 EDWIN MUIR David F. Dye Wayne W. Zimmerman D iab etes JOHN ROBSON Joseph B. Harris, Chairman Entertainment t t. A. Tanbara, Chairman 19 DOUGLAS BUTTORFF J. W. Bowen, Jr. F. W. Hennings Kenneth Gross L, M. Rosenbladt 20 WILLIAM ROSENBLADT G. M . W h itacre Geriatrics M. E. Lawrence, Chairman 23 M. J. WICKS Glenn H. Brokaw John F. Steele Legislative 24 BURKE LAIR Douglas P. Buttorff, Chairman Arnold J. Herrmann Gerald C. Kohl 31 Wayne W. Zimmerman HUGH LARKIN Medical Education Robert Kallsen, Chairman John Comfort Robert W. Osborne Schools R- A. Norton, Chairman Theodore Apa George S. Kittredge NOTICE Orvis Harxebon * • Jack W. Mandevifte William E. Hill George Tanbara Check back page of Bulletin for calendai Traffic and Safety Harold D. Lueken, Chairman of special m eetings Mental Health Harold B. Johnston, Chairman T. R. Haley Myron Kass William H. Todd

Bulletin Staff Front Page Picture Courtesy 5SS& & !dit0r ; r ,Irs. S3g£ Richards Studio BULLETIN of the Pierce County M edical Society

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MEETING

PIERCE COUNTY MEDICAL SOCIETY TUESDAY, MAY 13 8:15 P.M.

MEDICAL ARTS BUILDING AUDITORIUM

PROGRAM

THE MEDICAL DEFENSE FUND

MILO T. HARRIS, M.D. President, Washington State Medical Association

DONALD T. HALL, M.D. Chairman, Medical Defense Committee, WSMA

RALPH W. NEILL Executive Secretary, WSMA

ft # a

A no-host social hour and dinner will precede the meeting Social Hour: 6:00 Dinner: 6:45 Place: Honan’s Restaurant ( across St. Helens Ave. from the Medical Arts Bldg.)

BULLETIN of the Pibrce County M edical Society 7

GUEST EDITORIAL

Approximately three years ago, a civic minded group convened with the idea in mind of establishing a complete center for the rehabilitation of the surgically, traumatically or medically disabled individual. This was to be patterned after the world famous Van­ couver Rehabilitation Center. One year ago this dream was brought to fruition in the old nurses’ home on the Pierce County Hospital grounds. The Center has now been functioning for a period of one year. It has provided the community with a much needed, well rounded and so-called team approach to the extremely important problem of rehabilitation. There has been no question about the need and the accomplish­ ments of the program available at the Puget Sound Rehabilitation Center. The Center has been overwhelmingly supported by lay people of the community and by lay members of the various boards interested in the rehabilitation problem. We feel that on the other hand, we of the medical profession of the community have been somewhat remiss in support of our Center. This is, undoubtedly, on the basis of oversight or the lack of realization that such a facility is available. We would hate to see this much needed facility “fold” because of such an oversight on our part. There is undoubtedly the patient load in the community necessary for its adequate support, if we in the medical profession would only remember its existence. We urge that the doctors of the area refer patients in need of such care, whether traumatic, orthopedic or cardiac, in order to main­ tain our Rehabilitation Center and have it develop into a Washington Counterpart of the Vancouver Center. We should be proud of the fact that it is the first center of its type in the State of Washington and we should continue to support it accordingly.

E. E. B a n f i e l d , M.D. BULLETIN of the Pierce County M edical Society

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SQUIBB W U r Squibb Quality-the Priceless Ingredient /oeiAtUTIH'® is K SQUIBB tbaoemaAS. BULLETIN of the Pierce County M edical Society 9 state and nation. He was concerned about the In Memoriam organization and functions of the State De­ partment of Labor and Industries, many years Members of the Pierce County Medical So­ ago, and was responsible for some changes in ciety again mourn the loss of an honored policy which permitted the injured workman member who served the Society actively and to select his ow'n doctor. well for many years. He was the first president of the Washington Dr. Wilmot D. Read died April 3. 1958 at Physicians’ Corporation and helped organize the age of 78 years. He was born in Iowa, but and was a trustee for the Washington State attended the public schools in Tacoma. After Medical Service Bureau. graduation from Cooper Medical College, Dr. Read promoted the organization of the (Stanford University), in 1903, he established House of Delegates, of the Washington State his practice in Tacoma and soon became a Medical Association and became the first leader in the affairs of the Pierce County Medi­ speaker, serving from 1939 through 1946. He cal Society and the Washington State Medical had an unusual facility as a presiding officer Association. This is evidenced by the follow­ of such deliberative meetings, with an easy ing items from the record. In 1909 he was grace and charm. elected a delegate from the County Society to Dr. Read took an active part in all local the State Association. In 1912 he served as community activities pertaining to health and president of the Pierce County Medical Society. welfare. He served on many hospital boards In 1917 he helped organize the Pierce County throughout the years. In the performance of all Industrial Medical Service Bureau, a prepaid these many duties, an outstanding character­ medical and surgical service operated by doc­ istic was his constant interest in the welfare tors of Pierce County, and he became the first of the patient. This interest was manifest also president of the organization. in his daily work, and many families whom he At that time the American Medical Asso­ attended looked to him for counsel about their ciation disapproved of prepaid group medical problems, in addition to his professional care. practice but the Bureau was maintained suc­ Dr. Read considered himself a general practi­ cessfully, and eventually it became the pattern tioner, and in 1950 he was chosen as the Gen­ for prepaid medical services throughout the eral Practitioner of the Year, by the State Association, but he was also a competent sur­ geon and carried a heavy schedule in surgery for many years. Direct Importers of He was a member of the U.S. Army Medical Corps and served overseas during World W ar I. Dr. Read was a man strong in his opinions PRECISION and in his adherence to what he considered right; he was a sociable, friendly man, loyal ro his friends. He was an active member in MICROSCOPES many social and fraternal organizations for many years. In later years, he maintained some of his professional work, but gradually he per­ mitted others to take over some of the numer­ ous duties and activities of former years. B & M — D. M. Dayton, M.D. DISTRIBUTING CO. In Memoriam W illiam E. Steele, M.D., brother of Dr. John 2216 East 11th Street F. Steele, died on April 17, 1958 at Virginia Mason Hospital. Cause of death was cerebral Tacoma, Washington embolus, Dr. Steele had worked in his office the day before the attack. An industrial physician, Dr. Steele had worked eight years with the Ford Motor Com­ ALSO TELESCOPES AND pany of Seattle, eight years with Bethlehem BINOCULARS Steel and served for eleven years as medical advisor for the Department of Labor and In­ dustries for the State of Washington. 10 BULLETIN of the Pierce County M edical Society

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754 St. Helens 759 M arket MArket 7-8116 FUlton 3-5339 BULLETIN of the Pierce County M edical Society 11 Report of the American College vention of complications, (a) rehabilitation and prevention of pulmonary complications, of Surgeons Meeting (b) prevent abdominal distention and para­ March 17 lytic ileus. He stated the cervical cord is rarely transected by trauma of the neck. The usual The beginning of the meeting was ushered indications for laminectomy are (1) extradural in by a movie by Dr. Robert Moore, Professor hematoma, (2 ) subarachnoid hematoma, (3 ) of Surgery at the University of Texas, entitled herniated disc, (4) incomplete or progressive Common Duct Stone, which presented the in­ neurological loss. dications for common duct surgery with the Dr. Franklin Ashley of Santa Monica, Calif., technique, which is standardly used. One com­ University of California, School of Medicine, ment that he made, was that a gall bladder con­ Dept, of Surgery discussed the surgical treat­ taining stones, 2mm or smaller, does not neces­ ment of decubitus ulcers and spinal cord in­ sarily call for a common duct exploration. juries. Decubitus ulcers were imminent if there These stones usually pass quite readily through was ischemia of any area for a period of 6 to the sphincter of Odi. 12 hours. The pathology usually consists of Following the movie, Dr. Hugh Stephenson, edema, thrombosis and calcification. Early from Columbia University, presented a paper treatment consists of (1) prevention by fre­ on Cardiac resuscitation. He stated two factors quent turning, (2) proper padding, (3) proper affect the oxygen requirement to the brain. diet and fluids and (4 ) moving of the mattress. (1) The position of the patient and (2) the Actual treatment consisted of (1) proper premedication given. In his experience he blood level of proteins, (2 ) successful closure found that in cases that had gone over 4 min­ of the ulcer, ( 3) cleansing with Dakin solution, utes in cardiac arrest, there was 6% success in enzymatic debridment and (4) protection of reviving; up to 4 minutes, 94%; and zero to the skin with aluminum paste. Operative treat­ 2 minutes was 70%. The greatest damage was ment involved three basic principles. (1) Com­ done in children of the first ten years of life. plete removal of the ulcer and underlying bursa, One-fourth of all the cases occurred during (2) removal of the bony prominence and (3) this period. Cardiac arrest occurred in cases closure of the defect without tension. Later a where vago-vagal reflexes were set up and medical motion picture was presented, with atropine will abolish most of these responses. personal narration by Dr. Comarr, regarding the The drug may be given in repeated doses dur­ actual surgical procedure. ing surgery. Dr. Louis Newman spoke on the role of Dr. Bedford Boylston of Houston, Assistant physical medicine, rehabilitation and post-trau­ Professor of Orthopedic Surgery, presented a matic paraplegia. He presented one case, who paper on The Recognition and Treatment of had no use of either arm or leg, who was Obscure and Acute Traumatic Lesions of the actively painting while lying flat on his back, Cervical Spine. He stated that many cervical using the brush in his mouth, between his lesions were missed on the routine cervical teeth. spine series but were picked up on flexion and In the afternoon a symposium on trauma extension oblique views of the spine. He pre­ was held. Dr. Sherman Coleman of Salt Lake sented several x-rays on cases demonstrating City, Chief Surgeon of the Crippled Children's this. Hospital, presented some interesting informa­ Next came a symposium on Care of Patients tion. He stated local and constitutional changes with Post-traumatic Paraplegia. Dr. Estin that occur during the first 36 hours, are usually Comarr of Long Beach, Calif., presented the circulatory and after 36 hours, are renal dis­ importance of getting the paraplegic patients function and metabolic changes. 500 to 3,500 cc on a catheter free tidal drainage status. He of blood are usually lost in the first 48 hours, stated, substitution bladders should not be used depending on the number of fractures. This is in neurogenic bladders except in cases with blood that is unseen, as interstitial hemorrhage bladder stricture which can be prevented by and blood loss. He stated that blood loss from subarachnoid block between L 4 and 5 or by fractures is as follows: fracture of the femur, rhizotomy. 1,000 cc; fracture of the tibia, 400 cc; of the Dr. Charles Scheibert of Memphis, Tenn., humerus, 400 cc.'. radius, 300 cc; pelvis, 350 spoke on the neurosurgical care of patient with cc; ala of the ilium, 750 cc. The blood loss for spinal cord injury. He stated that early care was multiple fractures are a summation of each in­ important, consisting of (1 ) a high protein dividual fracture. The treatment of a patient diet, 3,500 to 4,000cc of fluid daily, (2 ) the with one or more fractures, consists of (1 ) the prevention of decubitus ulcer, (3 ) bedside local splinting of the fractures, (2) control of physiotherapy, (4 ) care of bladder, (5 ) pre­ (Continued on Page 13) 12 BULLETIN of the Pierce County M edical Society

n

At the last accounting,1 physicians throughout the country had administered at least one dose of poliomyelitis vaccine to 64 million Americans all three doses to an estimated 34 million. Undoubtedly, these inoculations have played a major part in the dramatic reduction of paralytic poliomyelitis in this country.

Incidence of polio in the United States, 1952-1957 (data compiled from U.S.P.H.S. reports) vaccine is plentiful for the job remaining

There are still more than 45 million Americans under forty who have received no vaccine at all and many more who have taken only one or two doses. As it was phrased in a public statement by the Department of Health, Education, and Welfare: “It will be a tragedy if, simply because of public apathy, vaccine which might prevent paralysis or even death lies on the shelf unused.”* Eli Lilly and Company is prepared to assist you and your local medical society to reach those individuals who still lack full protection. For information see your Lilly representative.

1 .J. A. M. A., 165-.21 (November 23), 1957. 2. Department of Health , Education, and W elfare: News Release, October 10

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ELI LILLY AND COMPANY . INDIANAPOLIS 6, INDIANA, U. S. A. BULLETIN of the Pierce County M edical Society 13 (Continued from Page 11) March IS the hemorrhage, (3 ) proper dressings, (4 ) con­ A movie by Dr. Philpott of Montreal started trol of shock, (5 ) a tracheotomy for adequate the second day of the meeting. The film por­ air-way. When patient is in acceptable condi­ trayed the various lesions of the Fallopian tion, then x-rays should be taken. A tetanus tube and surgical procedures involved in these antitoxin or gas gangrene antitoxin should be lesions. given accordingly. The urinary output and The prevention and treatment of postgastrect­ function and maintenance of fluid and electro­ omy symptoms was the topic of Dr. McCorkle lyte balance are important. Usually multiple of San Francisco. He emphasized that good fractures are quite a psychological blow to any surgical technique was the important considera­ patient and rehabilitation is usually an im­ tion in preventing post-gastrectomy symptoms portant problem. and he seemed to be particularly impressed by Dr. Floyd Jergesen of San Francisco, Ortho­ the technique employed by Dr. McCorkle of pedic Dept, of the University of California San Francisco. Medical management should be School of Medicine, gave a nice picture of what employed until complications arise. When an Emergency Room should contain in regard gastric resection becomes necessary, he pre­ to facilities, personnel, etc. The one with which ferred the risk of a marginal or recurrent he is associated, has four active major operating ulcer to the risk involved in being too radical rooms with personnel sufficient to keep all with stomach removal. Post-gastrectomy ane­ rooms at full swing at all times, including a mia can be treated with vitamin B12 and iron. very adequate Recovery Room. He prefers an antecolic anastomosis so that if Dr. John Ivins, Orthopedic Surgeon, Mayo complications arise the second approach is Clinic, talked on the indications for amputa­ simplified. tions. Primary wound closure on amputations The problem of bleeding peptic ulcer was should not be done. Rather the two stage pro­ discussed by Dr. Weber of Beverly Hills. If cedure should be utilized to prevent ill-fitting bleeding is recurrent and continual, this be­ flaps, infections and hematomas. The secondary comes a surgical problem. Transfusions should closure should be done after 5 to 7 days. In be given with a rule of thumb that one unit hand surgery, everything possible should be of blood is to be administered for every gram saved and at no time sacrifice the thumb. of hemoglobin below the normal of 14. An upper gastrointestinal series to locate the site The next paper was given by Dr. Chester of bleeding is safe and accurate to 90% after Powell, Dept, of Neurosurgery, University of the bleeding has subsided. Utah, on head injury. Head injury with associ­ Several other interesting papers, including ated injuries does not take precedence over one on pelvic endometriosis by Dr. McPhail the other injuries. Shock is seldom of head of Great Falls, completed the morning session. injury origin. He talked on indications for The latter emphasized the diagnosing of endo­ exploratory burholes, stating unconsciousness metriosis. Conservative therapy of this condi­ alone is not an indication for surgery. The tion consisted of 2 mg. of Halotestin daily for usual indications are evidence of subdural, 100 days. Conservative surgical therapy in­ extradural and subarachnoid hemorrhage. A volved suspension of the ovaries and uterus spinal tap should not be withheld on head in­ and the removal of endometriomas followed by jury cases but it is not always revealing. androgen therapy. The afternoon session closed with a panel on The luncheon period was occupied by a dis­ ACTH and Cortisone in surgery, presented by cussion of the activities of the American Col­ three most confusing experts on the subject, lege of Surgeons by a distinguished panel. The in current usage of ACTH and Cortisone. Five writer was particularly impressed by the work broad categories were listed. (1 ) Collagenvas- of the committee on Trauma and the mission­ cular distorders, (2 ) Allergic conditions, (3 ) ary effort on behalf of automobile seat belts. Exhaustion states, (4 ) Following adrenal or One of the panel expressed the opinion that pituitary ablation, (5 ) Inhabition therapy. It fastening his automobile seat belt was no more was stated that ACTH is useful in hemorrhagic difficult or less automatic than the zipping up pancreatitis. of his trousers. He suggested that he prob­ There was a night session consisting of three ably would neglect his seat belt about the medical motion pictures on open heart sur­ same time he forgot to do the proper zipping. gery, covering (1 ) elective cardiac arrest by In one session of the meeting, a show of hands use of a solution, (2 ) Tetrology of Fallot, (3 ) indicated that a considerable majority of about intraventricular septal defect. These were very 300 men in the room had, and were regularly excellent movies. _ . —Leo Annest, M.D. (Continued on Page 15) 14 BULLETIN of the Pierce County M edical Society

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(Continued from Page 13) only by men with special training and experi­ ence with them. using, seat belts in their cars. —Arnold J. Herrmann, M.D. Problems in cancer treatment occupied the early afternoon of this day. It would appear M arch 19 that Tacoma is in need of radioactive cobalt 8:30 A.M. therapy, according to Dr. Christensen of Salt The morning session was opened with a film Lake City. Cobalt gives a minimum skin re­ on the repair of esophageal hiatal hernia us­ action with reduced bone absorption and in­ ing the abdominal approach. James H. Grow- creased depth. It can be administered with den of Little Rock favored the abdominal ap­ ease and, no doubt, will become a local thera­ proach in most cases, because of the ability peutic tool in the near future. Dr. Christensen to explore the viscera more adequately for also discussed the limitation of I 131 in the related pathology. The chief aim in repair— treatment of thyroid carcinoma. He suggested (1) Closure of the relaxed right crus poster­ that thyroid carcinoma is a surgical disease. iorly using one or two No. O silk sutures and The surgical management of thyroid carcinoma (2) repair of the phrenico esophageal ligament. was then broadened by Dr. McCorkle. In 25% 9:30 A.M. of cases, the carcinoma spreads across the Robert Harrison of Edmonton discussed the isthmus to the other lobe. In 5085 of cases there physiologic principles in gastric surgery. In is spread to the cervical lymph nodes. In the gastroenterostomy there is a marked increase in malignant adenoma, or small papillary carci­ HCL due to an increase in antral reaction with noma, he would do a unilateral lobectomy. In liberation of gastrin by the introduction of all others, he would do a total thyroidectomy duodenal contents through the stoma. Dr. plus a radical neck dissection on the same side Harrison felt that at the present time hemi- as the carcinoma. In cases in which there is gastrectomy with resection of 40 to 60% of the tumor below the clavicle, he adds a mediastonal stomach plus vagotomy are achieving good dissection. results. However, he felt that it was too early At the City of Hope Medical Center they to make any definite conclusions on this are testing several cancericidal drugs. Some of procedure. the work was reviewed by Dr. Howard Bier- The dynamic Alton Ochsner of New Orleans man. Since normal cells have similar metabo­ gave a very interesting discussion on cancer of lism to cancer cells, it becomes difficult to use the lung. This is the number one killer of drugs which will destroy cancer, but do no those dying of cancer, leading cancer of the harm to normal tissue. One compound was be­ breast, which formerly held that "distinction." ing tested which was effective in certain Dr. Ochsner convincingly showed that the tumors of children but destroyed bone mar­ heavy cigarette smoker will develop cancer six row. In order to give the patient an excessive to eight times more frequently than the non- amount of bone marrow, he was bled and smoker. He illustrated this with data seemingly the blood separated with the white cells and irrefutable. Following Dr. Ochsner's address platelets being withheld and the plasma and there was a noticeable decrease in M.D.'s red cells being returned to the patient. This smoking in the auditorium; in fact, many of gave a super-abundance of marrow so that a them left their cigarettes in the room following large enough chemo agent could be given and the lecture. the destruction of much of the marrow was Dr. Thomas Myers of Mayo Clinic gave an still compatible with life. In Ewing’s sarcoma interesting talk on varicose vein surgery, sug­ and Wilm's Tumors there were chemo agents gesting that ligation and stripping be done early introduced by way of a catheter in the right and that all veins be removed. In many of his heart. With compression of the aorta, jugulars cases 12 to 14 separate incisions were necessary and femoral vessels, a high dosage was to remove all of the vein segments. He advo­ achieved in the lungs. Some remarkable clear­ cated removing the veins in the feet, also. ing of lung fields of metastatic tumor was Kenneth Castelton of Salt Lake City showed shown. Unfortunately, the remission was tem­ that the incidence of appendectomies for acute porary but at least some progress is being made. appendicitis is showing a generalized decline A symposium on pediatric surgery com­ throughout the country and that the death rate pleted the afternoon. The surgical approach also, has shown a corresponding drop, from to congential malformations of the rectum and 10,000 deaths in 1941 to 2000 in 1953. anus and to congenital biliary atresia was dis­ 1:30 P.M . cussed. This discussion was interesting but im­ The afternoon session was opened with a pressed me with the high mortality rates and film on the subject "Doctor Defendant." Vari- the fact that these conditions should be treated (Continued on Page 17) 16 B U LLE T IN of the Pierce County M edical Society

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Herbert F. Syford, Pres. BULLETIN of the Pierce County M edical Society 17 (Continued from Page 15) opinion on the use of trans-lumbar sympath­ ous ways in which doctors lay themselves open ectomy in PPD. Dr. W ylie of San Francisco to law suits were enacted on the screen. The felt that it was practically never indicated. Dr. case of the unnecessary hysterectomy following Clark of Salt Lake City used it often, espe­ which a severed ureter occurred necessitating cially in post phlebitic leg in which he claimed a nephrectomy; the case where the disparaging good results. Dr. Myers felt that sympathectomy remarks of a colleague about treatment of a was of no value in post phlebitis leg except in particular fracture led to a subsequent law those cases with hyperhidrosis so that latex suit; delay in operating appendicitis with sub­ rubber could be used for support without in­ sequent rupture and death; x-ray burns follow­ curring maceration of the skin. Dr. W ylie, in a ing radiation therapy for cancer of the cervix. series of 130 cases of aortic bifurcation occlu­ In general, by keeping adequate records; by sions, has used only thrombo endoctereciomy notifying the patient in writing when some with good results. It was felt that homogenous likely complication factor w ill occur—for ex­ grafts should not be used as aortic replacement ample, in x-ray burns following treatment for since the greater per cent will ultimately break cancer of the cervix—and by not criticizing down. Ivalon was felt to be the graft material one’s colleagues; are steps one should take to of choice at this time. prevent malpractice suits. NOTE: To those contemplating a trip to Salt Lake City . . . (1) Bring your own 2:00 P.M. bottle. (2 ) Attend the organ recital in Temple A panel discussion of benign lesions of the Square, very impressive. ileum and colon was presented. In terminal —William E. Avery, M.D. ileitis it was felt that conservative treatment should be used unless obstruction or other com­ plications were present. In ulcerative colitis 95% could be diagnosed by Proctosigmoidoscopy. “PATRONIZE OUR ADVERTISERS” Surgical indications included (1 ) Acute ful­ minating case not responding to medical man­ agement, (2 ) Perforation, obstruction, hem­ orrhage, pseudopolyposis, rectal fistulae, etc; A COMPLETE LINE OF the best type of surgery was felt to be total colectomy and ileostomy as a one stage pro­ SUPPLIES FOR THE cedure. In diverticulitis of the colon indica­ PHYSICIAN . . . HOSPITAL tions for surgery were ( 1 ) Persistent bladder AND distress on the basis of diverticulitis, (2 ) Sub­ acute obstruction, (3 ) Fistulae, (4 ) Palpable NURSING HOME mass, (5) Abscess. Special emphasis was placed on the technique of using fine crushing clamps and the use of fine interrupted sutures in the anastomosis to prevent subsequent stenosis. Dr. Caleb Stone of Virginia Mason Clinic reiterated the warning that before rectal polyps Mail or Telephone Orders are removed a barium study of the bowel Given Prompt Attention should always be done to rule out presence of polyps beyond the reach of the sigmoidoscope. Polyps were malignant in his series in about 20% of the cases. Dr. Stone felt that if polyps occurred in all three areas of the colon a total colectomy should be done. SHIPMAN A discussion of "Eisenhower’s disease” fol­ lowed and it was the concensus of most of the SURGICAL CO. panel that the diseased bowel be removed rather than excluded. 741 St. Helens Ave. - BR. 2-6400 The afternoon session was concluded with a Tacoma 2 panel on peripheral vascular disease, Dr. Alton Ochsner moderating. There was divergence of L8 BULLETIN of the Pierce County M edical Society

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A severe infectious eczematoid dermatitis on foot of 15-year-old boy. Patient used STEROSAN-Hydrocortisone preparation 3 times a day for 23 days with a dramatic • improvement as shown.* . • " ^

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■ AR DSLEY, N E W Y O R K 69558 BULLETIN of the Pierce County M edical Society 19 WOMAN’S AUXILIARY V& ^Ue. P i& ic e M e d ic a l S o c ie ty 1957-58 Marian Vimont, and Dolores Havlina. For­ tunately or unfortunately, depending upon W om an’s A uxiliary whether one was guest or hostess, reservations Pierce County M edical Society had been made by just twice the number who attended. It was suggested that in the future Officers and Chairm en members should be encouraged to call in can­ President...... ------— Mrs. T. B. Murphy President-elect ...... - ...... Mrs. Robert Florence cellations if they have given their reservations 1st Vice-President______-Mrs. Marshall Whitacre to the telephone committee but are unable 2nd Vice-President...... Mrs. Herman Judcl 3rd Vice-President ...... Mrs. Robert Kraft to attend. 4th Vice-President ..... Mrs. Stillman Hathaway Recording Secretary ...... Mrs. Wm. Mattson, Jr. President Ruth Murphy, resembling a well- Corresponding Secretary— ...... Mrs. Robert P. Crabill dressed Polynesian, presided at the general Treasurer...... Mrs. Haskell Maier Publicity, Newspaper...... Mrs. Thomas Smeall meeting after luncheon. Just back from their Publicity, Bulletin ...... —Mrs. Robert Kallsen American Medical Education Fund ... Mrs. Herman Judd cruise, Ruth tells us the south sea islands are Bulletin (N atio n al)...... Mrs. George T anbara everything you'd expect and more, and ad­ Civil Defense ...... Mrs. Harold D. Lueken Historian ...... Mrs. John Bonica vises . . . diet before taking this trip. Social...... Mrs. Howard Pratt Legislative ...... Mrs. Joseph Harris At the general meeting, Mrs. G. G. R. Kunz, Membership ...... Mrs. Charles Anderson Sr., reported on the receipts of the Monte Carlo Nurse R ecruitm ent ...... Mrs. Orvis Harrelson Program ...... Mrs. Robert Osbomc party, and extended her personal thanks to her Public Relations______’...... —. . . M rs. Robert Burt R evisions...... Mrs. Treacy Duerfeldt committee and to everyone who worked toward Telephone ...... Airs. James Mattson the party’s success. Her special thanks went to Today’s Health ...... Mrs. M. Edward Lawrence Speakers Bureau ...... - Mrs. Philip Grenley Ruth Houtz, last-minute replacement as flower Minute Women______Mrs. Robert Ferguson Heart ...... - M rs. Kenneth Gross girl, who played her role very attractively, and Cancer ...... Mrs. Robert Brooke made an unexpected profit on the flowers too. Tuberculosis ...... Mrs. H illis Griffin Mental H e a lth ______Mrs. John Havlina Our thanks go to Mrs. Kunz for Auxiliary's Crippled Children and Adults ____ Mrs. Wendell Peterson most exciting party, which netted §275.08 for Infantile Paralysis______Mrs. Douglas Buttorff Safety ...... _ Mrs. Galen Hoover our benefit fund. Rehabilitation Center...... Mrs. Walter C. Cameron, Mrs. Phillip Backup It was announced that the film we purchased Public Health Nursing ...... Mrs. Charles Anderson on behalf of the Mental Health Association will Community Council______Mrs. John F. Steele City Council ...... Mrs. William Goering be premiered at a program sponsored by Health Council...... Mrs. Merrill Wicks Fashion Show_...... Mrs. Robert Florence Mental Health on May 8 at 8:00 o’clock at D ance...... Mrs. Horace Anderson Jackson Hall. This program is to feature guest Christmas Party ...... Mrs. Howard Pratt, Mrs. Robert Osborne speaker Dr. Masserman, professor of psychi­ atry at Northwestern University. The showing The May meeting, Auxiliary's last until next of our film will give P.T.A. presidents and pro­ fall, will be a luncheon at the Towers restau­ gram chairmen an opportunity to see it before rant on May 16th at 12:30. Installation of the making their own program plans for next year, new officers, and entertainment by our quar­ and in this way we hope to make it available tette is the program for this meeting. to P.T.A. groups all over the county. April meeting was a luncheon held at the Edith Lawrence, Today’s Health chairman, home of Mrs. Wm. Bowen. Illness in the fam­ announced that there are a number of school ily prevented Mrs. Franz Hoskins from open­ and library subscriptions to Today’s Health ing her home for this occasion as was pre­ due for renewal, and anyone wishing to donate viously planned. Luncheon, featuring a special a subscription for a particular school or library crab cassarole by Becky Banfield, was served branch should contact Edith this month. Sub­ by Becky and her committee; Hazel Whitacre, scriptions taken by Auxiliary for personal or Kay Lueken, Dorothy Lantz, Adele Durkin, philanthropic use this year are close to 200 at this date. Auxiliary's Brass Tacks DAMMEIER Preeminent business of April meeting was the list of recommendations made by the Printing Co. newly-formed finance committee (Ruth Mur­ BRoadway 2-8303 phy, Louise Bowen, Helen Florence, and Doro­ thy M aier) and in turn recommended by the 811 Pacific Ave. Tacoma Board for adoption by the membership. Major

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MOUNTAIN : S . ” • CHAPEL V I E W Memorlal • CREMATORY v | b WW Park • MAUSOLEUM 4100 Steilacoom Boulevard JUniper 8-2195 BULLETIN of the Pierce County M edical Society 21 (Continued from Page 19) Members of The Bored? recommendations receiving the approval of Retiring Auxiliary Board members may well general meeting were . . . look upon this year’s successes with feelings of Firstly, the Rehabilitation Center's rent bill personal accomplishment. Having inherited a for the coming year, $540.00, will be paid by sturdy organization from Past President Flor­ Auxiliary. ence Duerfeldt and her Board, and under the Secondly, our gift to A.M.E.F. will be in­ genial leadership of Ruth Murphy, this year's creased from last year's $300.00 to $400.00 for Board will go on record as one of the mosr this year. accomplished in Auxiliary’s history. Active The above gifts indicate in part the success participation on the part of each officer and of Auxiliary's fund raising projects this year. committee head, as well as many of the mem­ For a more complete picture of how we scored, bers at large, figured largely in the success of we include the following itemized funds raised Auxiliary’s projects this year, and made Auxili­ this year . . . ary’s activities interesting. In a word: this year, Fashion Show ...... $ 461.56 no one on the Board snored. Dance ...... 678.22 Apologies from Emma Monte Carlo ...... 275.08 Emma Bonica has asked us to convey apolo­ Tray Rental ...... 6.50 gies on her behalf and Adele Durkin’s to the Quartette Donations ...... 40.00 several Auxiliary members who missed the Philharmonic luncheon early last month because T otal...... S i,461.36 they were not contacted. It was the intention of ( Tray Rental being donations received from Adele and Emma to issue a blanket invitation the loan of our luncheon trays to other groups. to all Auxiliary members for this party. As it . . . Quartette Donations is money received happed, days of solid telephoning did not reach by our quartette for their appearance before each and every member, and this caused some other groups, and turned over to Auxiliary as embarrassment to the hostesses. When we con­ personal gifts of this foursome . . . Hazel sider such a telephoning task is the monthly Whitacre, Evelyn Osborne, Muriel Nelson, chore of a committee of twenty-three for Aux­ Gladys Hanson, and their accompanist Sandy iliary’s luncheons ( and the same committee does Rosenbladt.) not prepare the lunch too) we can only sur­ As for where it all goes . . . following is a mise that these two accomplished a gigantic breakdown of the allocations made by Aux­ task as it was. For those who missed this out­ iliary this year . . . standing luncheon . . . next time watch for Rehabilitation Center...... $ 540.00 flares. Mental Health Film ...... 1.45.00 A.M.E.F. Fund ...... 400.00 Nurses' Scholarships...... 400.00 Suggestion Box Nurses' Swim at Y ...... 50.00 Wouldn’t it be enlightening to add the cause of death to the Medical Society Bulletin obitu­ T otal...... __...... $1,535.00 aries? We, in the suburbs, don't know if death followed a long illness or came quickly. I sup­ The small discrepancy between income and pose it’s none of our business, but especially as outgo does not represent deficit spending in this doctors, I don’t know why it should be covered case, as the balance was available from our with secrecy. Auxiliary dues after Auxiliary's operating expenses were paid. —Joseph P. Kane, M.D. 329 Lincoln Ave. Palo Alto, California

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Saint Joseph’s Program was communication, written and oral. In connection with the workshop a dinner was The Spring-Tea sponsored by the Student held at Providence Hospital honoring Sister Body on April 13th was a lovely affair. Peter Olivaint who celebrated her twenty-fifth It’s always a pleasure to relax in the lounge anniversary in Medical Records. Sister is the and it was attractively decorated with spring director of the School for Medical Record Li­ flowers. The tea table centered with yellow brarians in Providence and has been foremost tulips was the center of attraction. The stu­ in the Northwest in trying to raise the stand­ dents in their pretty spring dresses welcomed ards of medical records through the years. Many the guests who came throughout the afternoon. of the graduates of the school were present for The Preclinical students sponsored a dance the occasion. in the Marian room at St. Leo’s on March 17th. In connection with the In Service Program a The hall was attractive with its pale green and very educational talk was given to the Nurses white streamers. The music was good and and other hospital employees on the legal everyone seemed to be having a good time, as responsibilities connected with patient care by the hour for departure came all too soon. The Mr. Vernon Pearson, legal counsel for the hos­ snack bar was the center of attraction during pital. Since the only and best defense a hospital the evening. has in case of litigation is the patient's medical Mrs. Johnson is the new Pediatric relief records, it is imperative that complete and nurse for the afternoon shift. It’s wonderful to accurate records be made. All thoroughly en­ have one of the students we trained back in a joyed the talk and felt they could do a better graduate capacity. job because of it. At the end of the talk there Our heartfelt thanks are extended to our was time for questions. doctors who have so faithfully cooperated in Sister Margaret Catherine and Sister Anthony the "Pediatric Lectures" for four consecutive Consilia represented St. Joseph Hospital at a quarters. We want you all to know that your three day Curriculum Conference held at the services are appreciated and we owe a great Bellevue Hotel in San Francisco. The Confer­ deal of thanks to you for any success we may ence was sponsored by the National League for have achieved. Nursing and concerned itself with current prob­ On May 17th the junior class of the School lems in Curriculum planning, revision, and of Nursing is presenting "Rhapsody in Blue," evaluation. Five members from the N.L.N. staff their annual junior-senior Prom, to be held at in New York served as resource people and the Winthrop Hotel in the Bayview Room were most willing and helpful in offering solu­ from 9:00 p.m. until 1:00 a.m. The well known tions to the common problems of the George Campbell orchestra from Seattle will be Conferees. playing. Tickets will be sold by the junior stu­ The Conference was the ninth of its kind dents. All are invited to attend! Proceeds go conducted across the United States since Janu­ towards scholarships for future student nurses. ary, 1958. It is contemplated that at similar The Lenten fast has ended and Mrs. Donovan conferences in the future the Nursing Educa­ provided the staff with a delicious cake. Many tion and Nursing Service groups will combine familiar faces are missing from the department their efforts to solve their mutual problems. —Mrs. Whitmire, Mrs. Hopper, Mrs. Brigonia, ( Continued on Page 25) and Mrs. Trine, all graduate nurses. They will later return with the stork. Mrs. Gordon, our night aide has taken a temporary leave due EVERY DROP PURE HEAT to the same feathered bird. W e have had an avalanche of babies, amongst them are: STANDARD Mrs. Retallich, a boy. Mrs. Smith, a girl. Heating Oils Mrs. Manley, a girl. Mrs. McDonald, a boy. Call MA. 7-3171 Mrs. Betzendorfor, a girl. Sister Mary Emmanuel attended the Institute Fuel Oil Service Co. for Medical Record Library Personnel which 816 A St., Tacoma was held in Seattle at the Benjamin Franklin Mark Dolliver Jack Galbraith Hotel April 14-16, 1958. The theme of the 24 BULLETIN of the Pierce County M edical Society

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LEDERLE LABORATORIES, a Division of AMERICAN CYANAMID COMPANY vReu. U> 3- Pat. Off. Pearl River, New York BULLETIN of the PIERCE C o u n t y M e d ic a l S o c ie t y 25 f Continued from Page 23) are not invited, cards and letters would be most welcome. The patient is the husband of Bea Pierce County Brown, one of the valued workers in the hos­ A gala event took place on Sunday, April 13, pital housekeeping department. when twenty-nine friends of Mary O’Neal, The regular meeting of the Puget Sound R.T., Chief X-ray Technician at Pierce County Chapter of National Executive Housekeepers Hospital, gathered at her "Hideout” on W hit­ met at Firland Sanitorium on April 11. Many man Lake for a picnic. The special occasion was from Pierce County Hospital attended the for the purpose of launching the "Mary Made,” interesting meeting, and learned of new hos­ a 12-foot, semi-V bottom boat, which Mary pital floor finishes, and saw the new type of has just finished constructing. According to flooring being installed in the Firland Kitchen her, the project took about three months of and the use of a new mildew proof paint which weekend work, done entirely by herself, except­ is proving must successful. Many prospective ing for some aid by her helpmate and cousin, members, from which a future Tacoma Chap­ Leona Roberts, Chief Hydro-therapist at West­ ter is hoped to be formed, were in attendance. ern State Hospital. The beautiful boat is painted Letha Munsee, Assistant Housekeeper, moved Kelly green, is fiber-glassed and has attractive into her new home on East Wilkinson Road gay plaid upholstery on the deck and seats. An recently. And from the housekeeping depart­ added touch of color is provided with the name ment comes word that Altha Maxium, Letha "Maty Made" written in bright yellow on either Munsee, Kristine Sanden and Celestia Flann, all side. Since the craft has been completed just in of whom have been on the sick list, are well time for the opening of the fishing season, Mary again and back to work. and Leona hope to bring home much finny loot Icy Mae Meek, diet kitchen, has resigned due from the adjacent blue waters. to ill health, and Nadine Berka of the same Margaret James, attractive daughter of Mrs. department, has also resigned. She will leave Ronald James, second floor nurse, became the soon with her husband, who has been trans­ bride of Robert Waltherr on Saturday, April ferred to the Los Alamitos Naval Air Station. 12, at a beautiful ceremony in Holy Rosary Church. The couple will make their home at Work Simplification Courses 54th and M Sts. in Tacoma. The groom is em­ Four sessions of work simplification for car­ ployed at Boeings and the bride is an x-ray diac housewives and other homemakers who technician at St. Joseph's Hospital. have been told to "take it easy” will be offered A new social worker in the Social Service this month, the local chapter of the Washing­ Department is Elizabeth McGruder. Other news ton State Heart Association announces. from this department is that Louise Burdick The course, which will be given free of and her husband are vacationing in California. charge, will be held at the Puget Sound Re­ Also, Mrs. Margaret Williamson and her sister, habilitation Center, 3555 So. D Street and will Mrs. Helen McKibbon spent a delightful week be conducted by Mrs. Marlene Baily, occupa­ end, April 11-13, at the charming Hood Canal tional therapist, and Robert Gallucci, physical place "Towandos," as the guests of Jessie and therapist. Classes will be held Wednesday, May Joe Haycock, the owners. 21; Friday, May 23; Monday, May 26, and Mrs. Irma Hough, who has been engaged as Wednesday, May 28; hours are 10 to 11:30 head nurse in the Emergency Department has a.m. Those wishing to register for the course been promoted to the position of Assistant are asked to call the Heart Association, Superintendent of Nurses to help the Superin­ BR 2-7854. tendent of Nurses, Miss Lillian Wilson. Mrs. R. V------Stephens, R.N., will take charge of the Emer­ I , gency Room. Mary Wilson and Alix Bury, Record De­ BEALL’S partment, had as weekend guests at their home, i1 Jean Snelgrove, R.N., the record librarian at the hospital in Kamloops, B.C., and Fern Trout, R.N., Director of Nurses, Penticton Hospital, The Prescription Store ! i1 ’( Penticton, B.C. i1 During Christmas week the hospital was de­ 124 Meridian South lightfully gay with many of the beautiful wreaths and other decorations made and sent PUYALLUP in by Mr. Charles Brown of Kirk’s Gift Box Shop in Puyallup, Washington. Mr. Brown is Phone Puyallup 5-8444 ; very ill in Doctors’ Hospital and while visitors 2 6 ______but t ftin of the Pierce County M edical Society

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MEDOSWEET KREAMILK MEDOSWEET DAIRIES, INC. — TACOMA, WASH. / BULLETIN of the Pierce County M edical Society 27 Twelve Scientific Exhibits Planned For W.S.M.A. Annual Meeting Twelve high quality scientific exhibits will be displayed at the 1958 Convention of the Wash­ ington State Medical Association in Spokane September 14-17, according to an announce­ \ AND A L L ment by L. S. Highsmith, chairman of the Sci­ entific Exhibits Committee. rMlRY PB0POCIS The scientific exhibits w ill be part of a com­ prehensive postgraduate education meeting which will feature six top-flight guest speakers in a two-day scientific program and one day of medical films. Names of five of the guest speakers have previously been announced. The sixth to be selected is Eugene F. Poutasse of the ☆ Cleveland Clinic, whose main subject will be: "Renal Artery Disease in Hypertension." Titles and sponsors of the scientific exhibits Careful Mothers use Pro­ announced to date are: tected Milk. Pasteurized "Advances in Vascular Surgery,” R. N. Kleaveland, Spokane. and Homogenized Milk "Extra Corporeal Circulation Techniques,” Ralph Berg and Henry T. Lang, Spokane. from our own contented "Virus Disease Research,” Ernest Stone, cows can be delivered D.V.M., Pullman, dean, School of Veterinary Medicine, Washington State College. to your home or your "Pitfalls in Office Radiology,” Patrick A. grocer Lynch, John E. Downing and Edward J. James, Yakima. "Emergency Care of Eye Injuries,” Robert J. ☆ Davis, Spokane. "Current Use of the Tuberculin Skin Test in Medical Practice,” Cedric Northrop, Seattle. A Favorite Dairy for over "Bleeding in the Third Trimester,” Ralph T. Harsh and David Groenig, Spokane. 30 years. Recommended Final arrangements have not yet been com­ by doctors and dietitians. pleted on the other exhibits to be displayed. Further details will be announced soon. ☆ 1958 Fishing Derby To Be Held At Priest Lake in No. Idaho CALL Scenic Priest Lake in Northern Idaho will be the site of the Doctors' Fishing Derby to be held September 15th as an event of the 1958 WAverly 2-8705 Convention of the Washington State Medical Association, according to O. Charles Olson of Spokane, fishing derby chairman. The fishing derby will be headquartered at Linger Longer Lodge at Priest Lake. Round-trip bus transportation will be provided from the Davenport Hotel in Spokane, where the con­ S anitary/1\ vention wiil be held September 14-17. Boats and out-of-state licenses will be pro­ IXFAYT M IRY, vided to participants in the derby, and break­ fast, luncheon and an evening banquet will be served. All of this, as well as the cost of trans­ portation, will be included in the price of the Direct from Our Farm to You ticket, which will be announced in the near future when application blanks are sent out. 2S BULLETIN of the Pierce County M edical Society

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S S S E S S B S 1 BULLETIN of the Pierce County M edical Society 29 Dr. Backup Medical Director Strong Rehabilitation Center in Vancouver, of Rehabilitation Center B.C., now in its tenth year, had 65 patients rheir opening year. Our center had 85 patients the first year. Many severely involved industrial accident cases have been sent to the Vancouver center from our state. It seems strange that our tax dollar should be spent out of the country. The answer is simple: until recently our state did not have the facilities. The report given at the first annual meeting on March 7, 1958 lists a total case load of eighty-five patients who came from the follow­ ing areas: Aberdeen Buckley Gig Harbor Monroe Madigan Army Hospital Portland, Oregon Puyallup Seattle Shelton Sumner Dr. Edna Backup Tacoma The Puget Sound Rehabilitation Center Number and Classification of wishes to announce the appointment of Dr. Disabilities Edna Backup as Medical Director. Dr. Backup Amputees ...... 16 has long been actively interested in the Center Arthritis ...... 9 as a member of the Medical Auxiliary. The Burns ______1 Puget Sound Rehabilitation Center Board and Cerebral Palsy ...... 4 Staff feel confident that she w ill now be able Cerebral Vascular Accident...... 12 to give active medical direction to this pro­ Fractures ...... 13 gram. She received her medical degree from Mental Retardation the University of Vermont and many doctors (an evaluation) ...... ] will remember her as an intern at Tacoma Multiple Sclerosis ...... 3 General Hospital. She has since been devoting Peripheral Nerve Injury ...... 5 her time to her family except for volunteer Polio ______5 work with various civic projects. Speech: The Puget Sound Rehabilitation Center is the Aphasic, Surgical, Stuttering...... 15 first and only community-sponsored rehabilita­ Sprains ...... 13 tion center in the State of Washington. Surgical Hemipligia ...... 1 We think you will be interested to know Traumatic Hemipligia ...... 1 that our case load for the first year compares favorably with the first year operations of well Total ...... 99 established centers. For example, the G. E. NOTE: Some patients have multiple problems. Britain’s chancellor of the exchequer an­ Referral of these patients was by nounced a few days ago that contributions to 51 doctors. the National Health Service by those using it and by employers would be boosted again in Vocational Referrals July- Vocational Referrals ...... 28 The chancellor told the House of Commons To the Div. of Voc. Rehab...... 15 that the whole structure of the social services From the Div. of Voc. Rehab...... 13 would be imperiled unless their cost to the treasury was kept in bounds. Total Number of Treatments The chancellor estimated the cost of the Total Number of Treatments ...... 1,917 health service during the coming fiscal year at Occupational Therapy ...... 930 $2,072,000,000. Physical Therapy ...... 1,131 —A.M.A. Secretary’s Letter Speech Therapy ...... 56 30 BULLETIN of the Pierce County M edical Society Trip on Aircraft Carrier Related On March 29 I, along with 38 other invited guests, boarded the carrier, USS Lexington, at Oak Bay for San Francisco. The weather was rough and the big ship rolled and tossed but I suffered no mal-de-mer and enjoyed every min­ ute of the trip. A small printed booklet was given each of us, and a well ordered schedule made it possible for us to go with officers to visit every nook and corner of the ship. The guests were divided PHARMACY into four groups and each group had the oppor­ tunity to dine with Captain Bailey—a wonder­ ful man. On arriving at San Francisco, Joe Allen, the Executive Secretary to the Mayor, took me in tow and had one of the Inspectors of Police take Prescription me on a three-hour tour of the city after which he presented me with a gold key to the city. Joe is a close friend and comes to Tacoma every Druggists summer to visit his wife's mother, Mrs. Oswald, and play a few games of golf. The trip on the Lexington was a wonderful experience, and each of us who was privileged to go has written Admiral Bledsoe, Com­ mandant of the 13th Naval District, expressing our appreciation. —John F. Steele, M.D. We Carry a Complete Stock of Biologicals and Pharmaceuticals Introducing Our new Society member to be introduced this month is Dr. John S. May, now in general practice in Tacoma. Dr. May, formerly of Kansas City, happened to visit the Puget Sound area during his naval service in 1945 and 1946. He enjoyed it so much here that he later decided on it for a "When Moments Count" permanent home. Starting at the University of Kansas in 1946, he spent two years in engineering, then trans­ ferred to pre-medical and graduated in 1952 FUlton 3-2411 with a degree in bacteriology. During his medi­ cal school years he gained considerable experi­ PROMPT . . . FREE DELIVERY ence by helping with rheumatic fever research for the American Heart Association; his intern­ ship was at Tacoma General Hospital in 1956-57. Dr. May has two daughters, aged 2 years and 5V2 years, and expects another addition (gen­ der uncertain) in the near future. He and his wife enjoy gardening, but are pleased when Stadium Hi District time allows for outdoor sports and, for him especially, the chance to concentrate on home 101 North Tacoma Avenue carpentry and woodworking. Tacoma, Washington

“PATRONIZE OUR ADVERTISERS” BULLETIN of the Pierce County M edical Society 31 Poison Control Center Report For March Total number of calls ...... 53 Calls from parents or other lay persons...... 47 Physicians or Hospitals ...... 6 Age Distribution MULTIPURPOSE Less than 12 month ...... 2 1 to 3 years ...... 27 3 to 5 years...... 16 ANTIHISTAMINE 5 to 12 years...... 3 Over 21 ...... 1 No age given ...... 4 Substances Taken Medicinal: Aspirin (7), Carter's Little Liver Pills, Pertussin Cough Syrup, Benedryl, Sulphuric Acid, Sodium Fluoride, Trilafan Tablets, Phenobarbital, Stilbesterol, Exlax (2 ), ‘PERAZIL Floroquin Suppositories. brand Chlorcycllzlne Hydrochloride Other Substances: Mouse Seed, Bonamine, TABLETS Paradichiorobenzine Cake (B. R. Deodorant), Nose Spray (no name given), Comet Cleanser (2), Purex, Noxema Ointment, Paladac, Cray­ two strengths ola, Dapline (Flower), Lighter Fluid, Cleaning Fluid, Lavoris Mouth Wash, P. W . Jaynes Ver­ 25 mg., sugar-coated mifuge, Old English Scratch Remover, Ludox 50 mg., scored, uncoated Furniture Cleaner, Rinse Away, Rit Dye, T.ova- lon Hair Rinse, Perfume (Chanel No. 5), Shaeffers Blue Ink, Stove Oil, I. D. Root Des­ all-round allergy relief troyer, Ty-D-Bal (Toilet Bowl Cleanser), Lye Water, Schoel Foot Powder, W hite King Liquid Detergent. patients appreciate the gratifying Number advised to go to Hospital ...... 1 relief from allergic reactions Number advised to contact private M.D...... 7 of virtually every type. Number advised emetics and observe...... 25 1 Number treated in E.R. (P.C.H.) ...... 6 fI* all * around the * clock ' Number hospitalized at P.C.H...... 3 - / i Information from Clinical Toxicology 12 —Mrs. Irma Hough, R.N. u p to 24 hours of activity with a Temporary Supervisor single dose (adults 50 to 100 mg.; children 25 mg.) Annual Dance of St. Joseph’s exceptionally low Nursing Guild To Be Held The annual semi-formal dance of the St. incidence Joseph’s Hospital Nursing Guild will be held of side effects Saturday, May 17th, in the Bayview Room of the Winthrop Hotel. A no-host social hour will begin at 8:30 p.m. and music for dancing will be provided by George Campbell and his fine band from Seattle. BURROUGHS WELLCOME & CO. (U.S.A.) INC. In addition to being the Junior-Senior prom Tuckahoe, New York for students, this is the sole money-making project of the organization which provides scholarships for student nurses. Your support will be appreciated. Reservations may be made by calling Kath­ leen Skrinar, GR 2-7775, or Eloise McNerth- ney, BR 2-4989. Convenient parking facilities have been donated at 714 Broadway. Pierce County Medical Society BULK RATE "l Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—at 6:15 p.m. TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club SURGICAL SOCIETY Third Tuesday of each month—6:30 p.m. at Tacoma Club STAFF OF PIERCE COUNTY Last Monday of each month—6:15 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the Month—8:15 p.m. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept. and Dec.—7:15 a.m. at Scotty's Cafe PIERCE COUNTY PEDIATRIC SOCIETY First Friday of Each Month, Except June, July and August. TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March. June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Building ■ BULLETIN PIERCE COUNTY MEDICAL SOCIETY

VOL. XXIX—No. 9 TACOMA, WASH. JUNE - 2______BULLETIN ot the P ie r c e C o u n t y M b d ic a l S o c ie t y Pierce County Medical Society

1 9 5 8 OFFICERS President ...... Herman S. Judd President-Elect...... J. W. Bowen, Jr. Hap- py birth - day to you, Vice-President ...... Chris C. Reynolds Secretaxy-Treasurer...... _.Amold J. Herrmann Executive Secretary ...... Judy Gordon TRUSTEES Paul E. Bondo Herman S. Judd Happy Birthday J. W. Bowen, Jr. George S. Kittredge Douglas Buttorff Philip C. Kyle Robert W. Florence Robert E. Lane Hillis F. Griffin Chris C. Reynolds Ju n e Arnold J. Herrmann Wayne W. Zimmerman DELEGATES Douglas Buttorff Louis P. Hoyer, Jr. 2 TREACY DUERFELDT Philip Grenley Charles E. Kemp Arnold J. Herrmann Frank Maddison 5 HOLLIS SMITH ALTERNATE DELEGATES Robert W. Florence Frederick J. Schwind JAMES VADHEIM Murray L. Johnson Don G. Willard Wendell G. Peterson Wayne W. Zimmerman 7 JOSEPH HARRIS COMMITTEES Ethics 8 JACK ERICKSON Robert E. Lane, Chairman M. R. Hosie Richard T. Davis 10 HAROLD LUEKEN Grievance Hillis F. Griffin, Chairman Gerald C. Kohl Miles Parrott 11 JACK MANDEVILLE House and Attendance John S. May, Chairman 13 ERNA GUILFOIL James E. Hazelrigg Dudley W. Houtz Library I. A. Drues, Chairman 14 THOMAS O. MURPHY John M. Havlina Hugh A. Larkin Bernard R. Rowen Stanley W. Tuell 15 MILES PARROTT Program T. R, Haley, Chairman William P. Hauser David F. Dye GEORGE TANBARA Herbert C. Kennedy Public Health 21 LEO ANNEST Bernard A. Bader, Chairman Theodore Apa W . Roland Olson JACK LEE Public Relations W. W. Mattson, Jr., Chairman John J. Bonica James D. Lambing 28 STANLEY DURKIN Robert Johnson M. E. Lawrence Thomas O. Murphy MILLS LAWRENCE Civil Defense Richard F. Barronian, Chairman William E. Avery Richard B. Link HERBERT MEIER David F. Dye Wayne W. Zimmerman Diabetes Joseph B. Harris, Chairman Entertainment George A. Tanbara, Chairman T. W. Bowen, Jr. F. W. Hennings Kenneth Gross L. M. Rosenbladt THE PIERCE COUNTY MEDICAL G. M. W hitacre Geriatrics M. E. Lawrence, Chairman SOCIETY DOES NOT MEET Glenn H. Brokaw John F. Steele Legislative DURING JUNE, JULY & AUGUST Douglas P. Buttorff, Chairman Arnold J. Herrmann Gerald C. Kohl Wayne W. Zimmerman Medical Education Robert Kallsen, Chairman John Comfort Robert W. Osborne Schools NOTICE R. A. Norton, Chairman Theodore Apa George S. Kittredge Check back page of Bulletin for calendai SjS? HaIf©Ison Jack W. Mondeville William E. Hill George Tanbara of special m eetings Traffic and Safety Harold D. Lueken, Chairman Mental Health Harold B. Johnston, Chairman T. R. Haley Myron Kass William H. Todd Front Page Picture Bulletin Staff Courtesy ...... - W. W. Mattson, Jr. AuoeUte Editor.------_.M . E. Lawrence Richards Studio ...... - ...... Judy Gordon A ufliuy N«ws Editor ...... — Mrs. Robert Kallsen BULLETIN of the P ib r c e C o u n t y M e d ic a l SOCIETY i

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Each new, improved Theragran capsule supplies; V ita m in A ...... 25,000 U.S.P. Units Vitamin D ... .. 1,000 U.S.P. Units Thiamine Mononitrate ...... 10 mg. Riboflavin ...... 10 mg. Niacinamide ...... 100 mg. Ascorbic Acid ...... 200 mg. Pyridoxine Hydrochloride ...... 5 mg. d-Calcium Pantothenate ...... 20 mg. Vitamin Bia activity concentrate ...... 5 meg,

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FISHING begins—whenever you get there. . . . Drs. Hennings and Lou Rosenbladt guarantee salmon for all . . . they will at least arrange cruises, if nothing else.

GOLF from one o’clock—Drs. Whitacre and Bowen guarantee 70 s. Ask them for adequate handicaps.

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A GOOD TIME IS GUARANTEED FOR ALL

Cocktails - 6:00 Dinner - 7:00

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Everyone eligible for prizes—participation being the main criteria; (skill might help some). 6 BULLETIN of the Pierce County M edical Society

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CONVENIENTLY LOCATED TACOMA AVE. AT SO. FIRST LARGE PARKING AREA BULLETIN of the Pierce County M edical Society 7 WOMAN’S AUXILIARY Pierce Cauritq, M edical ^ocieiif 1957-58 May meeting was a no-host luncheon at The Towers restaurant planned by luncheon Woman’s Auxiliary chairman Beth Pratt, assisted by Grace Hauser Pierce County Medical Society and Ruth Sames. Our Quartette entertained Officers and Chairmen with heart-rending performances of Bird in a Gilded Cage, A Man Was the Cause of It All, President ...... Mrs. T. B. Murphy President-elect ...... Mrs. Robert Florence and other happy songs. 1st Vice-President ______Mrs. Marshall Whitacre Meeting after luncheon featured a review of 2nd Vice-President______— Mrs. Herman Judd 3rd V ice-President ...... - Mrs. Robert KraftAuxiliary’s activities this year, presented in 4th Vice-President...... Mrs. Stillman Hathaway Recording Secretary ...... Mrs. Wm. Mattson, Jr. excerpts from her annual report by retiring Corresponding Secretary ...... —Mrs. Robert P. Crabill president Ruth Murphy, and presentation of Treasurer ______Mrs. Haskell Maier Publicity, Newspaper...... Mrs. Thomas Smeall the gavel from Ruth to next year’s president Publicity, B u lletin ...... Mrs. Robert Kallsen American Medical Education Fund Mrs. Herman Judd Helen Florence. The latter took place in a brief Bulletin (National) ...... Mrs. George Tanbara ceremony demonstrating the real affection Ruth Civil Defense ...... Mrs. Harold D. Lueken Historian ...... — Mrs. John Bonica feels for this group, and the warmth of the Social ...... Mrs. Howard Pratt Legislative ______Mrs. Joseph Harrispersonality that has represented us this year. Membership ...... Mrs. Charles Anderson In accepting the gavel, Helen Florence ex­ Nurse Recruitment.. ______Mrs. Orvis Harrelson Program------Mrs. Robert Osborne pressed an optimistic outlook for Auxiliary's Public Relations___ ...... Mrs. Robert Burt Revisions------...... Mrs. Treacy Duerfeldt coming year. Members share her optimism, Telephone...... Mrs. James Mattson knowing that Helen is well qualified for the Today’s H ealth...... _Mrs. M. Edward Lawrence Speakers Bureau.. _Mrs. Philip Grenley job, is just as patient as Ruth, will be as easy Minute W omen...... Mrs. Robert Ferguson Heart ...... Mrs. Kenneth Gross to work with, and will probably appear in as Cancer...... Mrs. Robert Brooke interesting a variety of hats. Tuberculosis______M rs. H illis Griffin Mental Health______Mrs. John Havlma Crippled Children and Adults Mrs. Wendell Peterson The Eyes Have It Infantile Paralysis______Mrs. Douglas Buttorff Safety...... Mrs. Galen Hoover Three of our quartette . . . Hazel Whitacre, Rehabilitation Center______Mrs. Walter C. Cameron, Mrs. Phillip Backup Gladys Hanson, and Ev Osborne, had also pro­ Public Health Nursing...... Mrs. Charles Anderson Community Council______Mrs. John F. Steele vided entertainment earlier last month at a City Council...... Mrs. William Goering luncheon for visiting convention wives. The Health Council______Mrs. Merrill Wicks Fashion Show...... Mrs. Robert Florence occasion was part of the two-day program for Dance...... Mrs. Horace Anderson Christmas Party..______Mrs. Howard Pratt, wives of the North Pacific Orthopaedic So­ Mrs. Robert Osborne ciety members meeting here for their annual convention. Doctor Wendell Peterson is presi­ dent of the Society. Marcy Peterson, Helen Florence, Marion Staatz, Ruth Zimmerman, Shirley Murray, and Clara Goering were hostesses at the luncheon held at Johnny's Dock. Songs by the costumed trio made a big hit with the out of town guetss, and as a result at least a dozen pairs of false eyelashes appeared at the convention’s dinner-dance that evening. The Woodbrook Show At the Washington State Horse Show at Woodbrook May 17th and ISth Doctor W il­ liam Hauser and two of the Hauser boys showed their horses in stock and Western events. Doctor and Mrs. Carlisle Dietrich entered their show horses . . . Doctor Die­ trich and his hunter won a ribbon. Conspicu­ ously absent from the program was Auxiliary’s star equestrienne, Billie Murphy, who fell from her horse the day before the show and broke a collarbone. Mrs. T. B. Murphy and Mrs. Robert Florence (Continued on Page 9) BULLETIN of the Pierce County M edical Society

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IRWIN, N EISLER & CO. d e c a t u r , i l u i n o i s BULLETIN o f th e PIEKCE COUNTY MEDICAL SOCIETY 9 (Continued from Page 7) at Rosedale, having achieved such elegance as What Price Togetherness? a ceiling in the house. Doctor and Mrs. Robert Bond will be at The Robert Florences and the Charles Lar­ home this summer at their newly-acquired sons are taking their children to the San Fran­ beach place between Buttorffs and Zimmermans, cisco festivities this month. Others going south on the historic site of the old Arietta dock. for the big convention, but sans children, are Also newly-beachers, Doctor and Mrs. M. R. the Herman Judds, Robert Gibsons, Howard Hosie plan to trailer it on their property Pratts, Thomas O. Murphys, George Kittredges, around the bend at Horsehead Bay. Doctor and and James Mattsons. Mrs. Gerald Geissler have just acquired prop­ Beachcombers Arise erty on Horsehead. The Harold Leukens are Doctors’ families moving across the bridge building their own on Henderson Bay, hope and out to the beach for summer become more to be under roof this summer. numerous, as every year more of these hard­ Other possible stops on a Sunday afternoon working people find the best things in life are tour are the Tom Smeall’s on Wollochet, the washed in by the tide. George Moosey’s all-year home on Wollochet, Confirmed beachers the Haskell Maiers, the Hugh Larkin's at Rosedale, the Rosenbladt’s jumped the gun and moved out early to their and the McBride's at Rosedale. summer home at Rosedale. Dorothy's sister and It's less convenient for a drop-in visit, but her two children from Akron, Ohio will be callers with groceries are always welcome on here for a summerlong visit. Vashon . . . at the Fred Schwind's, who have The Douglas Buttorffs, who just barely move expanded their guest bunkspace, at the Philip into town between beach seasons, have been Backup's after July first, and at the Robert out for almost a month at their place near Kalisen’s, where you writer will spend the Rosedale. Doctor Buttorff plowed and planted summer on a large log. crops this spring, may operate a fresh produce Summer in Skirts stand on the roadside this summer if com­ The Tennis Club will be headquarters this muting to town becomes too bothersome. summer for many Auxiliary members and their The Wayne Zimmermans will really enjoy families. The W illiam Mattsons have just joined this summer in The House That Wayne Built, the club, will always find four for poolside bridge among the John Bonicas, Stan Durkins, Kenneth Grosses, George Kunzs, Thomas Wests, James Vadheims, and Ralph Huffs. Joan Anderson, Auxiliary's biggest financial asset this year ,is bending both toward beach and town . . . will move out for July on Horsehead Bay, but will be in town to chair­ man the Tennis Club's summer epic, the twi­ light fashion show in August. Song of the Swan Just as the gavel was passed at May meeting, your writer now passes Roger's Thesaurus to Kay Herrmann Auxiliary's Bulletin editor for the coming year. No stranger to the pleasures and pratfalls of Bulletin reporting, Kay has handled the job very successfully twice before, returns in response to the clamor of news- starved readers. Our thanks go to everyone who read us this year, or said they did.

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CO. LYNN CO. BULLETIN o f the Pibrce County M edical Society 11 Medical Society Office Will Be Closed June 19 Thru 27 The Medical Society office w ill be closed June 19 through 26 while the executive secre­ MILK tary attends the Medical Society Executives Conference in San Francisco where she will devote full time to intensive work and study. Any Additions or Corrections? Have you moved? Has your phone number been changed? Are you now keeping the store open on Thursday instead of Wednesday? A new Directory of Physicians will be pub­ lished in July. By obvious, and some devious, ☆ methods we have compiled an extensive list of corrections, deletions and additions— (yes, the Medical Society phone number will be in­ Careful Mothers use Pro­ cluded). But there are undoubtedly numerous changes of which we are not aware. tected Milk. Pasteurized If you wish any revision whatsoever of your and Homogenized Milk listing in the Directory, please call the Medical Society office, MA 7-2020, at once. Speak from our own contented now, or prepare to hold your peace for another year. cows can be delivered to your home or your A recent survey in the Northwest brought out the amazing fact that 20 per cent of grocer physicians believe most other physicians are crooks. ☆

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At the last accounting,1 physicians throughout the country had administered at least one dose of poliomyelitis vaccine to 64 million Americans—all three doses to an estimated 34 million. Undoubtedly, these inoculations have played a major part in the dramatic reduction of paralytic poliomyelitis in this country.

. f Incidence of polio in the United States, 1952-1957 (data compiled from U.S.P.H.S. reports) vaccine is plentiful for the job remaining

There are still more than 45 million Americans under forty who have received no vaccine at all and many more who have taken only one or two doses. As it was phrased in a public statem ent by the Departm ent of H ealth, Education, and Welfare: “It will be a tragedy if, simply because of public apathy, vaccine which might prevent paralysis or even death lies on the shelf, unused .” 2 Eli Lilly and Company is prepared to assist you and your local medical society to reach those individuals who still lack full protection. For information see your Lilly representative.

1. J . ^ . M , A., 1 6 5 :21 (November 23), 1957. 2. Department of Health , Education, and W elfare: News Release, October 10, 1957.

ELI' LILLY AND COMPANY INDIANAPOLIS 6, INDIANA, U. S. A. 8 <10003 BULLETIN o f th e Pierce County M edical Society 13 HOSPITALS. . . Tacoma General interesting facts from the 1957 annual report: "1957 showed an increase over 1956 to the The Board of Trustees at its May meeting increased the number of members to 21. The extent of 277 surgeries, 657 babies, 1545 emer­ new members are Stanley W . Tuell, M.D., Mr. gencies, and 6156 patient days.” This interest­ L. Evert Landon, President of Nalley’s Inc., and ing publication is edited by Joan Stout, R.N., and contains news about the employees of the Mr. L. T. Murray, Jr., Executive Vice-President of West Fork Timber Company. Hospital and items of interest to them. Recently Dr. John Bonica travelled from Construction of an addition to the fourth coast to coast in a short time, speaking in floor has been started. The added space will be various cities as guest of their Medical Soci­ used temporarily for offices for the department eties. On March 6th, he spoke before the of Anesthesiology, and for work rooms for Chicago Society of Anesthesiologists. The next both surgery and anesthesia. day he presented a paper, "The Management of Interns who will report for duty on July 1 Pain by the General Practitioner" at the An­ are Dr. Rene Gay-Balmaz and Dr. Johan nual Clinical Conference of the Chicago Medi­ Weber, graduates of the University of Leiden cal Society. He also participated in a panel dis­ in Holland; Dr. Jose Martinez and Dr. Deme- cussion at this meeting. On March 8, Dr. trio Suguitan, Jr., from the University of Santo Bonica represented the Northwest District at Tomas, Philippine Islands; Dr. Endre Mihalyi, the meeting in New York of the Board of Di­ who was graduated from the University of rectors of the American Society of Anesthe­ Medical Science of Pecs, Hungary, and who has siologists. Following this he participated in been affiliated with St. Mary’s Hospital in San the semi-annual postgraduate program, pre­ Francisco since December, 1956; Dr. H. David senting two courses on Anesthesia. Sammann, a native of Alderwood Manor, Wash­ From New York, he flew to Los Angeles, and ington, and a graduate of the University of was guest speaker of the Section on Obstetrics Heidelberg, Germany. and Gynecology of the International College Miss Brigid Maloney, R.N., will be Acting of Surgeons. Here his paper was entitled Head Nurse on Ward A while Mrs. Helga Han­ "Trends in Obstetrical Anesthesia and Anal­ son has a three months’ leave of absence. Miss gesia,” and he was a member of a panel which Arlene Biehl, R.N., is now the Emergency discussed the same subject. Room Head Nurse, and Mrs. Regina Kirkpat­ rick is the Acting Assistant Director of Nursing Saint Joseph’s Service, 3-11 p.m. On Sunday, May 25 th, the students from Central Supply is now newly located in three approved schools of X-ray, Medical Tech­ attractive and efficiently arranged quarters in nology, and Medical Records had their gradu­ the Annex, which is the name by which the ation exercises in St. Joseph’s Hospital. former Nurses' Home is now designated. The Sister Marie Immaculee, Barbara Murray, and function of the department will be the same, Sharon Weinreich received a diploma for a but the work will be greatly facilitated by the nine month course of study in Medical Record increased space, the better arrangement of work­ Library Science. This is the first class of Medi­ ing and storage areas, and the new autoclave cal Record Technicians to graduate from St. 24x36x48 inches with automatic controls. Miss Joseph's Hospital. X-ray Technicians that grad­ Mary Walsh, R.N., continues as Head Nurse uated are: Peggy Mallany, Joan Fahey, and of the department. Eileen Zaichkin. The X-ray School has been Also in the Annex, on the second floor, is a open since 1953 with two students. Since new classroom. The large room has been built then thirteen students have graduated and all and decorated by Tacoma General Hospital, and have passed their national exam. will be maintained by us. The equipment has The day began with High Mass in the been supplied by the Tacoma Vocational School, Hospital chapel at 9:00. which will use the room for instruction of Parents, relatives, and friends of the gradu­ student Practical Nurses who are at Tacoma ates were invited. Dr. John R. Flynn, Hospital General for clinical training. The Tacoma Gen­ Radiologist addressed the graduates and pre­ eral Hospital Department of Staff Education sented their diplomas. will also use the room in its "in-service” All at St. Joseph's Hospital take this occasion program. to congratulate the new graduates on the suc- The May issue of "Hospitality" lists these f Continued on Page 15) !1 B U L L E T IN o f the Pierce County M edical Society

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(Continued f rom Page 13) The Pediatrics Department celebrated "May Day” with a tea and program for the patients. cessful completion of their courses and wish The students of Gault Junior High School pro­ them every success in the years ahead. vided the show and the children were very Breathes there a person during these beauti­ pleased with all the comic and gymnastics. The ful summer days who does not wish to linger students served tea to the guests performers. W e by the ocean or a shiny shimmering lake— have had a very active Diabetic teaching pro­ there in all its splendour one can, free of costs gram in the department this last month. Two and taxes, enjoy in abundance, God's warm sun­ new diabetics were taught how to take "shots” shine, invigorating air and if time permits, and their moms how to give them. impress the fish. A note of thanks to the hospital employees May 17th was Armed Forces Day, the day on who regularly buy the various articles made which tribute is paid to those who have fought in Occupational Therapy. There are always a and died and also to those who stand ready to few articles for sale in a small closet in St. protect our homes and liberties. One cannot Mary's. With each sale more supplies can be help correlating the medical and nursing pro­ bought and eventually some much needed fession with that of the men in uniform for we equipment. too are ever ready and eager to help, assist and The Senior class and outgoing officers of the protect those entrusted to our care. Student Association celebrated in honor of the Mrs. Pollard (King) is the happy mother new officers for the year 1958-1959 with a of a little boy. Mrs. Zajac (McDonald) at last, Smorgasbord Dinner at the "Top of the Ocean.” was blessed with a girl—she has five brothers On May 15th, the senior class embarked on the awaiting her arrival home. Mrs. La Palm Princess Marguerite for a cruise to Victoria, wanted and received a bouncing son on May B.C. It was a glorious day and the beautiful 11. weather added to the beauty of the day. Awaiting the arrival of the stork are the On Sunday, May 18th, our Preclinical Stu­ following R.N.'s on Maternity: Mrs. Helen dents received their caps. It was a very im­ Bronoshi, Mrs. Betty Trine, Mrs. Jo Whitmire, pressive ceremony and many parents and friends Mrs. Mary Winkler, Mrs. Helen Stolem. CContinued on Page 17)

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( Continued from. Page 15) Some of the speakers are: Dr. Ernest Fischer, Research Professor of Physiology, Medical Col­ were on hand to see the girls receive their lege of Virginia; Dr. Lawrence Knopp, In­ coveted caps. structor of Neurosurgery, University of Wash­ And don't forget the annual Doctors and ington; Dr. Karol Bobath, Senior assistant Nurses Picnic which will be held at Lake Psychiatrist, Surrey, England; Dr. Serburne Geneva, Thursday, June 26th. The festivities Heath, Director of Physical Medicine and Re­ will begin at noon and will continue through habilitation, Children’s Orthopedic Hospital, the evening. All doctors and their families are Seattle and Dr. John Bonica of Tacoma. The invited. theme of the conference will be "Let's Explore Facilitation.” Pierce County Mrs. Anita Preston, head physical therapist of Pierce County Hospital will attend the con­ Dr. John L. Whitaker spent the last week of ference. She has been appointed Chairman of April in Portland, Oregon taking a post-gradu­ the Barbeque festivities at which over 500 are ate course in Isotope Techniques given by the expected to convene. The Barbeque will be Department of Clinical Pathology, University of held at the Elks Lodge in Bellevue, June 19. Oregon Medical School. Mrs. Preston is also serving on the Finance Captain John Dunlop of the 4167th AF Committee. Hospital, Travis AFB, California, and formerly After 13 years of outstanding service in the an intern during 1955 at Pierce County Hos­ hospital, a farewell party was given for Mrs. pital, paid a call on the hospital personnel re­ Louise Golden. She was presented with a clock cently. Captain Dunlop will soon complete his radio at the coffee and cake hour held in her service with the Air Force and is contemplating honor on April 25. Mrs. Golden has moved entering practice in Western Washington. to Montesano, Washington, where she owns The American Physical Therapy Association and operates a hotel. will hold its 35 th annual conference at the Mrs. Emma Delin, who recently retired as Olympic Hotel, Seattle, June 15-20. Approxi­ attendant in Physical Therapy, has returned to mately 1,000 members and others from allied substitute for Miss Doris Boyle, who is vaca­ professions from the United States and Canada tioning with her parents in California. are excected to attend. This is the first time the conference has been held in the Northwest. (Continued on Page 19)

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Squibb SEbBX Squibb Quality—the Priceless Ingredient BULLETIN of the Pierce County M edical Society 19 (Continued from Page 17) its return, but, frightened, the parakeet dis­ appeared, and an all night search, seeking it From the Nursing Department comes word about the fields and woods around the country that the following members are on, are just home for days met with no success. The mourn­ returned, or are leaving for vacations: Clara ing was very real and eight days passed. Then Gratzer, 2nd floor Supervisor, and her husband, a neighbor called from several miles down the Fred, are driving to Mexico. Esther Landon, road to say that Poopsie was reposing in her 4th floor, and her children leave May 26 for an barn; that he was minus tail feathers, and was extended trip through Canada to visit her fam­ sadly conditions as if he had been pushed about ily. Later she will meet her husband and the by illiterate robins, sparrows, swallows, etc., family will then go to the east coast to visit who didn’t understand or appreciate his good Mr. Landon's family. English or diction. Nonetheless, he was chirp­ Lillian Wilson, Superintendent of Nurses, has ing a merry tune. Now he is safely back on his returned from a delightful visit with her sister own perch, and the first words he uttered upon in Sacramento, California. Margaret Dyhamel, landing there were "Poor Poopsie, Poor Poop­ surgery nurse, has also been visiting her sister sie. W hat a w orld!” in California. Other nurses vacationing in May Concern over the health of Margaret W il­ but not taking long trips, are Anna Bratton, liamson, head of Social Service, has abated Marguerite Van Horne, Kazu Quaranto, Lolo since she is back on duty following a bout of Leighton, and Ann Brezicha. illness which sent her to the hospital for several Marjorie Dickson, surgery nurse, is being days. welcomed back after her recent surgery. The hospital personnel were saddened by the Estella McKinnie and Florence Galda were death of Olga Curtis, long time assistant head delegates to the Washington State Nurses Con­ housekeeper at the hospital. She died May 9 in vention held April 21-24. this hospital where she served so faithfully and Drs. Claris and Donald Allison recently re­ where all enjoyed her delightful personality. turned from a week's vacation in California. During that time they visited with Dr. Donald Allison’s father and brothers in Los Angeles, and Symposia Topics Announced on their return trip they stopped at Oakland, California to visit Dr. Reschke and his wife. Dr. Topics for the Heart Association’s 1958-59 Reschke, a former Pierce County intern, is series of Symposia for county medical societies taking his Residency training at the Oakland have been announced by Dr. William E. Watts, Hospital. Chairman. Isla Southworth, M ain office, and her sister, Next year’s series includes three topics, Ruth Algeo, have recently returned from a "Atherosclerosis—Present Concepts, Prevention month's sojourn in Hawaii. They left in March and Treatment,’’ "Heart Surgery—Who is Eli­ for the Islands on board the Matsonia, and gible” and "Hypertension—Newer Drugs.” experienced the thrill of that storm tossed jour­ Medical societies may request one or all of the sessions. ney, but Isla reports that they enjoyed the excite­ ment and did not miss any of the good meals Medical societies may request teams of Heart enroute. They visited old friends, Mr. and Mrs. Association speakers for one or all of the ses­ Wm. McCall of Honolulu, but made their sions. Request should be directed to the Pierce headquarters at the Hawaiian Village. Tanned County Branch of the Washington State Heart from sea bathing, sunning on the beach at W ai­ Association at 1104 South L Street, Tacoma. kiki, they returned by plane on April 15. A sequel of interest to friends followed Isla's pleasant homecoming from Honolulu, and that story concerns her well known and highly prized parakeet, "Poopsie,” a most gayly colored, BEALL’S talkative, fine-feathered friend. The important little fellow had thrived under the care of Islas husband and son during her absence, but, The Prescription Store since Isla is strictly for that bird, he avoided letting her out of his sight after her return 124 Meridian South and constantly rode on her shoulder. One eve­ ning unbeknowst to Isla, Poopsie lit on her PUYALLUP shoulder just as she went into the back yard, and off ffsoared the fabulous creature into the Phone Puyallup 5-8444 highest tree. All members of the family sought 2 0 BULLETIN of the Pierce County M edical Society PRESCRIPTION SPECIALISTS

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FUNERAL HOME M O U NTAI N CEMETERY CHAPEL Memorial CREMATORY VIEW Park MAUSOLEUM 4100 Steilacoom Boulevard JUniper 8-2195 BULLETIN of the Pierce County M edical Society 21 Poliomyelitis Immunization In the Public Schools Through the cooperation of the Tacoma- Pierce County Health Department, the local office of the N.F.I.P., and the Pierce County Medical Society, and others, the Health Serv­ ices Department has recently completed the third polio "shots" in the Tacoma Public Schools. W e would like to express our gratitude to PHARMACY the following members of the Pierce County Medical Society who participated in the pro­ gram at the various schools: Drs. T. A. Smeall, Lawrence Brigham, Franz Hoskins, Bernard Rowen, Robert Johnson, Jack Lee, John Com­ fort, Somers Sleep, Gerhard Drucker, Arnold Prescription Herrmann, James Hazelrigg, Buel Sever, Cletus Stevens, Wm. Rademaker, John May, Wm. Druggists Sullivan, Frederic Paine, John Shaw, Don Cum­ mings, and Mills Lawrence. We are particularly indebted to Dr. Ted Apa and to Mrs. Schnuriger and others of the Tacoma-Pierce County Health Department for an indispensable service in procuring vaccine, syringes, needles and supplies and preparing them for the daily clinics. Perhaps a further word of comment is in We Carry a Complete Stock of order. We are sorry that our planned pro­ Biologicals and Pharmaceuticals cedures for these clinics resulted in so much burdensome work for many secretaries in doc­ tors' offices. The fact is in planning these clinics we had in mind those children who had re­ ceived the first and second shots in the schools last year, and we were amazed by the large number of parents who requested the third shot for children who had received the first and second shots from their family doctors. W e de­ "When Moments Count" layed this program for the third shots as late in the spring as possible. One reason for this delay was to permit children to have this treat­ ment from their family doctors. FUlton 3-2411 One thing is certain, the staff of school nurses who carried the burdens of this pro­ PROMPT . . . FREE DELIVERY gram will heartily welcome the time, if it ever comes, when all such personal health services for children are performed in the doctors’ offices. —D. M. Dayton, M. D., Director Health Services Department

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Phone MA 7-0H8 BULLETIN of the Pierce County M edical Society 23 Heart Assn. Issues I.D. Card For Convention Breakfast To Honor Patients on Anticoagidant Therapy Past Presidents of W.S.M.A. An "emergency” identification card for the With President Milo T. Harris as host, past protection of patients on long-term anticoagu­ presidents of the Washington State Medical lant therapy is now available to physicians from the Pierce County Branch of the Washington Association will be honored at a complimentary State Heart Association, 1104 South L Street. breakfast during the Association’s 1958 con­ The card, designed as a wallet insert, was vention, which will be held in Spokane Sep­ developed as a result of requests from physi­ tember 14-17. cians seeking to protect their patients on anti­ coagulants in case of accident, dental surgery Dr. Harris said all past presidents are in­ or other treatment that may induce bleeding. It vited to the breakfast, which will be held at points out that the bearer "is being treated 7:00 a.m. September 16 in the Davenport with anticoagulants which slow down clotting Hotel. Nineteen past presidents are known to of the blood.” In case of emergency—bleeding, injury or illness—the card advises that a doctor be living, the dean of them being Park Weed be called, since the patient may require an W illis of Seattle, who was president in 1901. antidote. Records for the years prior to 1925 are incom­ The card contains space for the name, plete, however, and anyone knowing of any address and phone number of the individual’s other living physician who was president be­ physician. There is also space to indicate the kind of anticoagulant prescribed and the pa­ fore that is urged to contact the Central Office tient’s blood type. The card was designed with at 1309 Seventh Avenue, Seattle. the approval of the Committee on Prothrombin Determinations of the American Heart Other convention events will include two Association. days of scientific meetings, one day of scientific In addition to making the anticoagulant movies, business sessions, sports program and a identification card available to physicians, the calendar of social functions. Six out-of-state Heart Association also is calling it to the guest speakers will be featured in the scientific attention of dentists, hospital emergency room personnel, nurses, police and others who most program, and will conduct post-graduate courses commonly handle emergencies. during the forenoons of September 16 and 17. Physicians may obtain samples of the identi­ Pre-registration information for the post grad­ fication card from the Pierce County Branch of uate courses will be announced in the near the W ashington State Heart Association, future. BR. 2-7854. Luncheon meetings announced to date for Free Mailing Privilege Revoked Tuesday, September 16, include the Washing­ "The Federal free mailing privilege for re­ ton Chapter, American College of Surgeons; porting communicable diseases will be with­ Washington Academy of General Practice; the drawn June 30, 1958. Remaining franked W.S.M.A. Section on Internal Medicine, and (free) report forms should be destroyed on the Washington Association of Local Health July 1. If these forms are used after June 30, officers. adequate postage will be required. "Physicians on the Tacoma telephone ex­ change are encouraged to report communic­ able diseases by telephone to the Health De­ EVERY DROP PURE HEAT partment, BRoadway 2-9341, Vital Statistics Section. STANDARD "Physicians in the outlying areas are requested to report through the mail. An effort is being Heating Oils made to secure pre-stamped envelopes for physi­ cians not on the Tacoma telephone exchange. Call MA. 7-3171 "New report forms and communicable dis­ ease information are being assembled for dis­ Fuel Oil Service Co. tribution to physicians.” 816 A St., Tacoma —C. R. Fargher, M.D. Mark Dolliver Jack Galbraith Director of Health. 24 BULLETIN of the PIERCE COUNTY MEDICAL SOCIETY

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PFIZER L aboratories, Division, Chas. Pfizer & Co., Inc., Brooklyn 6, N. Y. B U L L E T IN of the Pierce COUNTY M edical Society 25 Poison Control Center Report Advance Announcement For April You are invited to attend the Oregon-Okla­ Total number of calls...... 47 homa Postgraduate Combined Specialty Meeting Calls from parents or other lay persons...... 35 for Practicing Physicians on October 3-4, 1958. Physicians or Hospitals ...... 12 The program will be: Friday, October 3— Age Distribution 9:00 a.m.-5:00 p.m. Combined Scientific Ses­ Less than 172 months ...... 4 sion; 7:30 p.m.—Dinner for Registrants and 1 to 3 years...... 25 their Ladies (Faculty Club). 3 to 5 years...... 9 Saturday, October 4 — 8:30-10:30 a.m. — 5 to 12 years...... 1 Your choice of five pre-game Breakfast Round­ 12 to 21 years...... 2 table Conferences (Surgery, Medicine, Pedi­ Over 21 ...... 0 atrics, Obstetrics, Gynecology). No age given ...... 6 For information and final program write: Substances Taken Office of Postgraduate Education Medicinal Substances: Ferinsol, Mol Iron University of Oklahoma Medical Center Drops, Aspirin ( 7 ) , Pyribenzamine, Primidane, 801 N.E. 13th Street Exlax, Ferric Ammonium Sulfate, Potassium Oklahoma City 4, Oklahoma. Permanganate, Hydrogen Peroxide. Other Substances: Energine Cleaning For tickets to the Oregon-Oklahoma Football Fluid, Grub, Tulip and Daffodil Petals, Incense Game, October 4, 1958, write: Cologne, Cotillion Toilet Water, Lighter Fluid, University of Oklahoma Slug Bait, Ivory Soap, Vanilla, Tips of Book Athletic Ticket Office Matches, Lime Stone Powder, Avon Lipstick, Norman, Oklahoma. Avon Cuticle Softener, Harts Mountain Gold Fish Food, Clearol H air Dye, Germtrol, Chlor­ The New Mexico Medical Society, with a ine Gas, Pine Sol, Het Cleanser, Mimeograph membership of 509 physicians, has been in the Ink, Noreen Hair Rinse ( 2 ), Turpentine, M u­ middle of a complex and controversial political rine, Windex, Bruce Floor Cleaner, Allero (fur storm during the last few weeks over the hand­ cleaning spray), Sloans Liniment, Fuel Oil, ling of the state's welfare program. Sure Fire Lighter Fluid, Root Tone, Fireplace State President Samuel R. Ziegler reports that after long and heated debate and much Flame Colors. publicity, the welfare department accepted the Number advised to go to Hospital ...... 7 Society's offer to render free medical care to Number advised to contact private M.D...... 3 welfare patients rather than accept a further Number advised emetics and observe ______24 reduction in payments from the welfare fund. Numbere treated in E.R. (P.C.H.) . 4 The schedule originally accepted by physicians Number hospitalized at P.C.H...... 0 represented roughly one-fourth of a doctor's Information from Clinical Toxicology...... 9 usual fee. —B. A. Bader —A.M.A. Secretary’s Letter

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MEDOSWEET KREAMILK MEDOSWEET DAIRIES, INC — TACOMA, WASH. / 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 27 Blood Bank Briefs within thirty days. This insures an adequate supply of blood for the next patient who might The office staff of the Blood Bank is con­ need it—perhaps preventing a delay in doing tinually bombarded with questions from pa­ critical surgery due to lack of specified blood tients and their families as to why they were type. not informed that they had received blood. Fre­ quently, their first knowledge of the transfusion comes when they pay their hospital account. A social security study on the number of If the patient has been hospitalized for any beneficiaries was made public at a recent meet­ length of time, he is aghast when told that the ing sponsored by the Social Legislation Infor­ blood must be replaced within thirty days in mation Service. These are the figures: order to receive the additional $8.50 credit. An estimated 72 million people were fully Many donors are prone to wait until the last covered under the program at the start of 1957. day of this thirty day period to even attempt Nine of every 10 mothers and children in the to replace the blood. United States can count on monthly survivors' The Blood Bank would like to take this insurance if the head of the family dies. Face opportunity to urge each doctor to tell either value of this "life insurance” protection is 425 the patient, or his family, that blood has been to 450 billion dollars. used— as soon as possible after the actual trans­ —W ashington News From the fusion, and that replacements must be made W ash., D.C. Office, A.M.A.

THE PIERCE COUNTY MEDICAL SOCIETY DOES NOT MEET DURING JUNE, JULY & AUGUST

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MONTHLY MEETINGS STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—at 6:15 p.m. TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club SURGICAL SOCIETY Third Tuesday of each month—6:30 p.m. at Tacoma Club STAFF OF PIERCE COUNTY Last Monday of each month—6:15 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the Month—8:15 p.m. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept. and Dec.—7:15 a.m. at Scotty's Cafe PIERCE COUNTY PEDIATRIC SOCIETY First Friday of Each Month, Except June, July and August. TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Building PIERCE COUNTY MEDICAL SOCIETY

VOL. XXIX—No. 10 TACOMA, WASH. JULY - 1958

Pierce County Medical Society DOES NOT MEET During the months of June, July and August 2 BULLETIN o f the Pierce County Medical Society Pierce County Medical Society 1958 n OFFICERS ------1------E E ^ President______Herman S. Judd = 4 = President-Elect------J. W. Bowen, Jr. Hap- py bir th - day to Vice-President------Chris C. Reynolds you, Secretoxy-Treasurer... ..Arnold J. Herrmann Executive Secretary.. Judy Gordon TRUSTEES Paul E. Bondo Herman S. Judd J. W. Bowen, Jr. George S. Kittredge Happy Birthday Douglas Buttorff Philip C. Kyle Robert W. Florence Robert E. Lane Hillis F. Griffin Chris C. Reynolds July Arnold J. Herrmann Wayne W. Zimmerman DELE G A TES Douglas Buttorff Louis P. Hoyer, Jr. PHILLIP BACKUP Philip Grenley Charles E. Kemp Arnold J. Herrmann Frank Maddison JAMES LAMBING ALTERNATE DELEGATES 10 CLARIS ALLISON Robert W. Florence Frederick J. Schwind Murray L. Johnson Don G. Willard HOMER CLAY Wendell G. Peterson Wayne W. Zimmerman JOHN KANDA COMMITTEES 11 HARRY CAMP E thics Robert E. Lane, Chairman WALLACE HOYT M. R. Hosie Richard T. Davis G rievance 12 ROBERT FLORENCE Hillis F. Griffin, Chairman Gerald C. Kohl Miles Parrott ROBERT JOHNSON House and Attendance John S. May, Chairman 13 FRANK MADDISON James E. Hazelrigg Dudley W. Houtz 17 HENRY MAKI L ibrary I. A. Drues, Chairman 21 GEORGE KITTREDGE John M. Havlina Hugh A. Larkin Bernard R. Rowen Stanley W. Tuell 23 CHARLES DENZLER Program T. R. Haley, Chairman CHARLES McCOY William P. Hauser David F. Dye Herbert C. Kennedy 24 JOHN SHEPPARD Public Health Bernard A. Bader, Chairman 25 CHRIS REYNOLDS Theodore Apa W. Roland Olson 26 ARCHIBALD HEATON r Public Relations r W. W. Mattson, Jr., Chairman 27 FREDERICK SCHWIND John J. Bonica James D. Lambing Robert Johnson M. E. Lawrence 28 WILLIAM GOERING Thomas O. Murphy Civil Defense 31 MARTIN ELTRICH Richard F. Barronian, Chairman William E. Avery Richard B. Link FA Y NACE David F. Dye Wayne W. Zimmerman D iabetes Joseph B. Harris, Chairman Entertainment George A. Tanbara, Chairman J. W. Bowen, Jr. F. W. Hennings iCenneth Gross L. M. Rosenbladt THE PIERCE COUNTY MEDICAL G. M. Whitacre Geriatrics M. E. Lawrence, Chairman SOCIETY DOES NOT MEET Glenn H. Brokaw John F. Steele Legislative DURING JUNE, JULY & AUGUST Douglas P. Buttorff, Chairman Arnold J. Herrmann Gerald C. Koh) Wayne W. Zimmerman Medical Education Robert Kallsen, Chairman John Comfort Robert W. Osborne Schools NOTICE R. A. Norton, Chairman Theodore Apa George S. Kittredge Check back page of Bulletin for caleridai. Orvis Harrelson Jack W. Mandeville William E. Hill George Tanbara of special meetings Traffic and Safety Harold D. Lueken, Chairman Mental Health Harold B. Johnston, Chairman T. R. Haley Myron Kass William H. Todd Front Page Picture Bulletin Staff Courtesy E ditor...... W. W. Mattson, Jr. Associate Editor.-...... M, E. Lawrence Richards Studio Business Manager...... — ...... Judy Gordon Auxiliary News Editor______Mrs. Robert Kallsen B U L L E T IN of the PIERCE COUNTY MEDICAL SOCIETY

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Theragran-the original and most widely prescribed therapeutic vitamin preparation—is now expanded to provide additional nutritional support for your adult patients. In keeping with the proposals of in­ vestigators, such vitam ins as B,o, pyridoxine and d-calcium pantothenate have been added to the formula, and the ascorbic acid content has been in­ creased. These improvements in the Theragran for­ mula provide your patients with extra value at no additional cost.

Each new, improved Theragran capsule supplies: V ita m in A ...... 25,000 U.S.P. Units V ita m in D ...... 1,000 U.S.P, Units Thiamine Mononitrate ...... 10 m S- Riboflavin ...... 10 mg. Niacinamide 100 mg. Ascorbic Acid ...... 200 m g. Pyridoxine Hydrochloride . ... 5 mg. d-C alcrum P a n to t h e n a t e ...... 20 mg. Vitamin B n activity concentrate ...... 5 meg.

1 or more capsulcs daily as recommended by a physician. Family Pack of 180. Bottles of 30, 60, 100 and 1000.

ALSO AVAILABLE new! THERAGRAN JUNIOR formulated for vitamin therapy in children and adolescents as Theragran is formulated for adults. THERAGRAN LIQUID i, for patients who prefer liquid vitamin therapy S q u ib b \ THERAGRAN-M \ with extra vitamins and minerals

Squibb Quality- the Priceless 'THERAGRAN' IS A SQUIBS TRAOEMARK Ingredient 4 BULLETIN of the Pierce County M edical Society

Tacoma Brace | South Tacoma | & Limb Co. Lenart C. Ceder, owner Drug Co. ☆ [ Fred Ludwig [

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Fine iuneral service is an inflexible rule at C. C. MELLINGER'S.

Funerals purchased with Washington State Old Age Benefits receive the same careiul consideration to all details that marks the most expensive C. C. MEL1NGER tribute.

I. J. MELLINGER President CREDIT TERMS OUR FUNERAL BENEFIT IT INSURANCE PLAN SAVES YOU C.C. Mellinger DESIRED MONEY TOO Underwritten by o r n e Homesteader's Idle Co. of Dos Moines, Iowa. Lowest rates— AND MEMORIAL CHURCH W e in rite 6TH S. 1 ACG/ViA comparison.

ag es 1-85 BROADWAY 3268 NO MEDICAL EXAMINATION! BULLETIN of the Pierce County M edical Society 5

D on’t Forget!

Dentists! Doctors! F IE L D DAY

Friday, July 25

Tacoma Country and Golf Club

. . . where willingness is more important than skill!

CALENDAR OF EVENTS

FISHING begins—whenever you get there. . . . Drs. Hennings and Lou Rosenbladt guarantee salmon for all . . . they will at least arrange cruises, if nothing else.

GOLF from one o’clock—Drs. Whitacre and Bowen guarantee 70 s. Ask them for adequate handicaps.

TENNIS from noon on—Drs. Gross and Tanbara guarantee blisters for all players.

A GOOD TIME IS GUARANTEED FOR ALL

Cocktails - 6:00 Dinner - 7:00

PRIZES GALORE!

Everyone eligible for prizes—participation being the main criteria; (skill might help some). 6 BULLETIN of the Pierce County M edical Society

SHAW SUPPLY CO., Inc. Surgical and Hospital Supplies 755 Market Street Phone: BRoadway 2-1277

Dealers for—

HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AND ELECTROSURGICAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS BURDICK PHYSIO-THERAPY EQUIPMENT CAMBRIDGE ELECTROCARDIOGRAPHS WILMOT CASTLE STERILIZERS AND LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS

Spacious, beautiful memorial chapel Choice of cemetery, mausoleum, cremation or columbarium

Choice of type or manner of service

Budget Terms A va ila b le

B u c k l e y - k i n g

CONVENIENTLY LOCATED TACOMA AVE. AT SO. FIRST LARGE PARKING AREA BULLETIN of the Pierce County M edical Society 7 HOSPITALS. . .

Pierce County nosis Danger” portraying accident hazards in a typical hospital as seen through the eyes of a A large hospital party was given in the hos­ hospital administrator, hazards such as a loose pital dining room on May 19 honoring Janice step, slippery floors, poor electric connections, Turner, who, for the past five years, has been chipped china, drugs left accessible, improper the secretary in the Nursing Department. At gas storage. The second movie was "Easy Does husband Robert’s insistence, Janice decided to It” produced by the National Sanitary Supply. give up her work and tend entirely to home Other news from the Housekeeping Depart­ making in the Turner’s delightful new home. ment reveals that Vira Ryans is spending her Miss Lillian Wilson, superintendent of nurses, vacation with entertaining and other plans for gave a short talk commending Janice for her her daughter Mae’s wedding on June 14 when good service and then presented her with the she will marry Wm. Rhodes at St. Mark’s Luth­ gifts furnished by the hospital personnel. These eran Church. Anna Bradley will accompany her included a complete grill for the new outside two sons and their families of Clarkston, Wash., barbecue kitchen of the home, a chaise lounge for a trip through Yellowstone Park. Marian for the patio, and costume jewelry. Burelli and husband leave by plane June 29 for The hospital is welcoming back Ann Ness Anchorage, Alaska to visit their son and his to her duties in the Emergency Department. family. Ann has been on a three months’ leave of A beautiful wedding of interest to many of absence, during part of which time she and her her hospital friends was that of Pat Davis of husband travelled extensively. the Social Service Department to Jim Hill, cur­ Again, Pierce County Hospital says goodbye rently working for Carnation Company but also to another most efficient group of interns and majoring in Education at Pacific Lutheran Col­ residents to make room for the new doctors who lege. The wedding was held in the Temple arrive on July first. Those of the interns leaving Baptist Church, the evening of June 6th. The who will enter the Air Force service are: Dr. color scheme carried throughout the service Wayne White, Dr. William Lirette, Dr. Stan­ and later at the reception in the church base­ ley Irving; Dr. William Hamilton and Dr. ment was yellow and white. James Collins enter the Public Health Service in Hoopa, California. Dr. David Mills will take up a residency in medicine at the University of Tacoma General Tennessee, Dr. James Fergus, will be resident On July 1, Mr. Hugh R. Owens became in obstetrics and gynecology at the University Administrative Assistant at Tacoma General of Minnesota Hospital in Minneapolis, Dr. Hospital. In June Mr. Owens received his Robert Cole enters the Washington State Health Master’s Degree in Hospital Administration Service in Seattle, as will, Dr. Richard Heikes. from Northwestern University, having recently Dr. Delbert Erickson is entering private prac­ completed one year’s administrative residency tice with Dr. Norbut at Poulsbo, Washington. at Swedish Hospital in Seattle. Dr. Leonore Warden, resident during the past year, leaves with her family and husband, Dr. Dr. John J. Bonica was one of the principal guest speakers at the 1958 annual meeting of Warden for Dallas Texas. Dr. Leonore plans to rest and care for her three children while her the Kansas State Medical Society in Kansas City. He spoke before the General Assembly husband has a medical residency at Baylor Uni­ versity Hospital. Another resident who is leav­ on "Management of Pain in General Practice," ing is Dr. Eugene Johnson, who is entering and before the Section of Anesthesia and private practice at Spirit Lake, Iowa. Obstetrics on "Obstetric Analgesia and Anes­ thesia in the Presence of Maternal Complica­ Solicitations are being offered Marvel Reid tions." Also Dr. Bonica participated in two of the Diet Department upon the death of her panels which included Dr. George Crile, Dr. brother, Mr. Royal Joos, one of Tacoma’s out­ Arthur Grollman, and Dr. Bruce Wiseman. Dr. standing young business men. Wiseman, Professor of Medicine at Ohio State New faces in the Record Room are Sadie University College of Medicine is a brother Armstead and Diane Bremner. of our Dr. Claude Wiseman. Although the trip Nelle Satter and Letha Munsee, head and was a fast and gruelling one for Dr. Bonica, assistant head housekeepers, respectively, at­ he enjoyed the Kansas hospitality as well as the tended two instructive movies given at The Swedish Hospital in Seattle. One was “Diag­ (Continued on Page 9) BULLETIN of the Pierce County M edical Society

Radio Dispatched AMBULANCE SERVICE

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Oxygen Equipped Electric Cot Warmers Licensed Attendants Tacoma Yellow Cab Co. 1324 MARKET STREET

WHY SENSITIZE? USE polysporin::. Polymyxin B-Bacitracin Ointment when treating topical and ophthalmic infections A BROAD-SPECTRUM ANTIBIOTIC OINTMENT For topical use: Vt oz. and 1 oz. tubes. F o r o p h th a lm ic u s e : 14 oz. tubes. 2 5 BURROUGHS WELLCOME & CO. (U.S.A.) INC., Tuckahoe, New York BULLETIN of the Pierce County M edical Society 9

(Continued from Page 7) J. J. Griffits of the Dade County Blood Bank, Miami, Florida, was a featured speaker at this renewing of acquaintances with several Kansas meeting. Another important speaker at this physicians who had interned at Tacoma General meeting was Dr. C. W. Christensen of Detroit, Hospital. Michigan, who spoke on Bacteriology. In June, Dr. C. P. Larson had the privilege of attend­ Miss Larson attended the annual meeting of ing the graduation of his son Philip from Mc­ the American Society of Medical Technologists Gill University. Philip, who is now an M.D., in Milwaukee, Wisconsin. will intern at Los Angeles County Hospital. Miss Jean Schenk of the School of Nursing After two years of residency in Pathology Faculty, attended the convention of the Ameri­ at Tacoma General, Dr. Roy Patton will begin can Nurses Association at Atlantic City, and his third year at Massachusetts Memorial Hos­ then went on to Washington, D.C. for a ten pital in July. day research conference in nursing curriculum. Mr. T. Seto is back at his gardening tasks Miss Virginia Weeks and Miss Carol Sandeman, after three months in Japan. The seven chil­ student nurses, attended the convention in dren of Mr. and Mrs. Seto made a gift to them Atlantic City also. of this trip. The journey was made by air, Miss Jo Anne Downing, Clinical Surgical via Alaska going and via Honolulu returning. Instructor, was married to Richard Anderson In Honolulu, the Setos saw their first grand­ in Redding, California on June 21. Since Mr. child, when they visited their daughter. In Anderson is just beginning his fouth year at the Japan most of their time was spent in Kishiu, University of Washington Medical School, Mrs. viisting Mr. Seto's mother who is now 94 years Anderson will be here for another school year. of age, and whom he had not seen for 45 years. The addition to the fourth floor will soon be He found her mentally alert, and still getting up completed. This w ill provide office space for the at 5 'oclock in the morning to gather clover department of Anesthesiology, and additional for her chickens. The changes he noticed most storage space for the operating room, thus in his country were the electrification of rural temporarily alleviating the present crowded areas, motorized traffic, and the cultivation of condition on that floor. the mountain slopes. This has become a neces­ sity because of the smallness of the country. “PATRONIZE OUR ADVERTISERS” Dr. C. C. Reberger was an instructor at the first post graduate course in Radioisotope Tech­ nic at the University of Oregon in May. The j Direct Importers of I Pacific Northwest Pathology conference fol­ lowed, and was attended by Drs. Reberger, Larson, and Alexander. Dr. Larson w ill attend the AMA convention in San Francisco, and will PRECISION be accompanied by his family. One year's training in Histologic Technic MICROSCOPES was completed by Kay Kurz on June 10. Stan­ ley Sams, who graduated from the Tacoma Gen­ eral School of Medical Technology on June 9, I # * will work at Tacoma Medical Center Labora­ I tory and the Northern Pacific Hospital Laboratory. Dr. Jean Kohler, new resident in Pathology, > B & M is not an entire stranger to the department since she worked here as a laboratory techni­ DISTRIBUTING CO. cian in 1942-43. Her pre-medical work was completed at the universities of Utah, Chicago, f 2216 East 11th Street J Heidelburg, and George Washington Medical School. | Tacoma, Washington I Lucille Larson, in her official capacity as Gov­ ernor of the 14th District of Quota International has been doing much travelling the past year. The first week of June she visited the Quota J ALSO TELESCOPES AN D j Clubs of Juneau, Anchorage, and Fairbanks, f BINOCULARS J Alaska. As Head Technologist of the Tacoma General Laboratory, Lucille attended the Ore­ gon Medical Technologists meeting in May. Dr. 1 0 BULLETIN o f the Pierce County M edical Society

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Phone MArket 7-7745 BULLETIN of the Pierce County M edical Society 11 Heart Association To Sponsor “Heart Bulletin” The "Heart Bulletin," bi-monthly professional MILK journal on heart disease directed primarily to family physicians, will be sponsored by the American Heart Association in cooperation with the National Heart Institute of the U.S. Public Health Service and the American Academy of General Practice, Robert Wilkins, M.D., Heart Association President, announces. The Heart Bulletin has been issued as a public service since 1952 by the Medical Arts Publishing Foundation, a non-profit service ☆ organization affiliated with the University of Texas. The Foundation will continue to publish and distribute the journal. Careful Mothers use Pro­ The Bulletin is available to physicians on a state-wide basis through subscriptions pur­ tected Milk. Pasteurized chased from state medical societies or the Heart and Homogenized Milk Association, 1104 South L Street, BR 2-7854. Sponsorship of the Heart Bulletin brings to from our own contented four the number of Heart Association publica­ tions available to the medical profession. Others cows can be delivered are "Modern Concepts of Cardiovascular Dis­ to your home or your ease,” a monthly bulletin devoted to some single aspect of cardiovascular medicine; "Circulation," grocer a monthly journal publishing advances in clini­ cal and scientific fields of cardiac and circula­ tory diseases, and "Circulation Research" a bi­ ☆ monthly journal concerned with basic science studies in heart and circulation. A Favorite Dairy for over Work Load For Cardiac Farmer 30 years. Recommended Can Be Planned by doctors and dietitians. A guide to assist the doctor plan a safe work load for the cardiac farmer has been pub­ lished by the American Heart Association and ☆ its affiliates. Based on studies being conducted at the CALL Agricultural Experimental Station at Purdue University, the guide classifies many common jobs on the farm according to the amounts of WAverly 2-8705 energy they demand. It also contains a nine- point check list for guidance of the patient. Copies of the Guide "A Safe Work Load for Farmers With Heart Disease” are available by writing to the Heart Association, 1104 South L Street, Tacoma, or calling BR 2-7854. S a n it a r yI a DAMMEIER

V w w te r^ ,U| Jy Printing Co. BRoadway 2-8303 Direct from Our Farm to You 811 Pacific Ave. Tacoma BULLETIN of the Pierce County m edical Society

routine checks verify clinical accuracy Every lot of 'Tes-Tape’* is subjected to a panel of ten persons at the Lilly Research Laboratories who are unfamiliar with the use of 'Tes-Tape.’ Each panel member examines twenty-five urine specimens containing different concentrations of glucose. The average accuracy of the observations at the designated levels was as follows:

Glucose Concentration Accuracy A total of 5,500 different speci­ 2 percent 98.6 percent mens were assayed, with an over­ 0.5 percent 88.9 percent 0.25 pcrccnt 90.3 percent all accuracy of 98.6 percent. 0.1 pcrcent 95.6 percent 0 pcrcont 100 percent • ’Tes-Tape’ (Urine Sugar Analysis Paper, Lilly)

Available at all pharmacies in plastic dispensers of approximately 100 tests.

ILLY AND COMPANY • INDIANAPOLIS 6, INDIANA, U. S. A. 626019 - B U L L E T IN of the Pierce County M edical Society 13 Poison Control Center Report From A General Practitioner For May To A Consultant Total number of calls...... 50 Dear Doctor: Calls from parents or other lay persons...... 39 At the risk of rupturing a friendship of long Physicians or Hospitals...... 11 duration I feel I must say a few very serious words to you on the ethics of consultation Age Distribution practice. Less than 12 months...... 6 Let me first speak of diagnosis. When one 1 to 3 years—...... -...... 26 of the brethren requests consultation and tells 3 to 5 years...... 8 you his diagnosis, please be good enough to 5 to 12 years...... 2 read up on that specific disease, so that you can 12 to 21 years...... 1 find some reason why the poor fool backed Over 21 years...... 0 himself off in the corner with that diagnosis. No age given...... 4 For God's sake don’t come running out there Substances Taken with some high-faluting diagnosis of your own Medicinal Substances: Dactil, Thyroid that the poor boob doesn’t know anything Tablets, Dexedrine (2), Exiax (2), Aspirin about. After all he saw the patient first and (5), Thorazine, Acetone, Creolin, Flouride he most likely is awfully fond of that syndrome. Tablets. Now as to tact — if I send you a patient Other Substances: Aphid Insecticide Paste, with the diagnosis of leprosy and you know Rosin, Zerex, Kaiser Joint Compound, Stanley's the darned stuff is pityriasis rosea, for good­ Deodorant, Toadstools, Mala Thion, Tame ness sake treat him for leprosy. Not only will Shampoo, Chalk, Fluid Oil Color (Pittsburg you have the only known case of Hansen's Paint), Moth Ball (2), Sunshine Pipe Joint disease to recover in six weeks, but the patient Compound, Aqua Marine Lotion, Johnson’s and I will both be grateful. Baby Cream, Sani-Flush, Super Kemtone Color Now I can see that that young surgeon is Paste, Fireplug, Hollyberries, Kerosene, Bobby going a long way in surgery. Although he Home Permanent, Johnson’s Hard Gloss Glo backed you up by finding a darned ulcer and Coat, Garden Lime, Cheekers (D ye), Lionel even put most of the stomach in his hip pocket Train Lubricant, Iris Petals, Spoil can—Ger- to protect you, he still should have been able bers 'aBnana Pudding, Gasoline, Colgate’s Flor- to marsupialize a small cyst for me. After all, ient Spray, Purex, Simoniz Liquid Floor Wax, the attempt of the stomach to pass those pan- Liquid Vel, Dye from Crepe Paper, Paint creatin tablets through a normal pylorus was Thinner. most likely the causative factor in the ulcera­ Number advised to go to Hospital...... 3 tion and obstruction. Number advised to contact private M.D...... 0 So remember, boy, if you wish to keep Number advised emetics and observe...... 27 insulting my patients, let’s have down to earth Number treated in E.R. (P.C.H.)..._...... 7 diagnosis that I can understand. Don’t confuse Number hospitalized at P.C.H...... 2 me with facts, because my mind is already made Information from Clinical Toxicology...... 11 up. As you may recall, when I treat 'em for pneumonia, by gad, they die of it. 40 Sincerely, —B. A. Bader Jaw n Hanry P.S. I am reasonably well acquainted with piles, gonorrhea, cholera morbus, and Bang's dis­ ease. If you could confine your diagnosis to these, it would shore simplify my subsequent BEALL’S treatment. P.P.S. I’m a tad weak on syphilis. Addendum: Any attempt to take above or any The Prescription Store : part thereof seriously is indication of a guilty conscience and a reminder that you should see 124 Meridian South your nut-cracker for your annual mental health checkup. PUYALLUP — (from The Bui. of Fulton Co. Medical Society) Phone Puyallup 5-8444 “PATRONIZE OUR ADVERTISERS’ 1 4 BULLETIN o f the Pierce County M edical Society

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Q i n a x c i r STYRAMATE, ARMOUR 2-hydroxy 2-phenylethyl carbamate an entirely new chemical structure. . . unlike any other muscle relaxant currently available

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Indications: In any condition involving skeletal with muscle relaxants muscle spasm, pain and stiffness. Dosage: One or two tablets t.i.d. THAT ALMOST WORK Supplied: 200 mg. tablets, in bottles of 50. OR W O N T WORK

LONG ENOUGH THE ARMOUR LABORATORIES A DIVISION OF ARMOUR AND COMPANY. KANKAKEE, ILLINOIS "Most likely age: candidate for ORINASE" insulin: ^"0 — now more than 250,000 diabetics enjoy oral therapy In the presence of a functional pancreas.Orinase effects the production and utilization of native insulin via

Upjohn I ■''TBADEMAPK, HCG. U.S. PAT. OFF. — TOLOUTAHIOE. UPJOHN 16 BULLETIN of the Pierce County m edical Society

Time Tested Dependability Established 1889

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Pharmaceuticals & Biologicals. B U L L E T IN of the Pierce County M edical Society 17 Defense Officials Defend Medicare, ties, when the facilities had space and staff available. But Propose Limitations 2. Certain types of medical care to be dis­ The Medicare situation is approaching a de­ allowed in civilian facilities; it is understood cision. Last week the House passed the Defense that the department proposes to tighten up on appropriations bill, but with the Medicare elective surgery. appropriation cut about $12 million to $60 mil­ 3. If I and 2 are inadequate, the department lion and Defense Department under orders to would recommend legislation to require de­ spend no more than that on civilian care. At pendents to pay more toward the cost of medical the same time House leaders agreed to give care in civilian facilities (now first $25), "thus sympathetic consideration to any Senate influencing more of them to chose uniformed amendments that would remove dollar limita­ medical facilities." tions on Medicare. According to Defense offi­ cials, the bill's $60 million ceiling would re­ Deep In The Heart Of sult in "destruction" of the program. The deci­ sion now is up to the Senate Appropriations Two tall Texas oilmen were making a visit Committee. Testifying before the committee to a big city. They swaggered into a Cadillac this week were spokesmen for the Defense showroom. Department. "How much is that one in the window?" Defense Secretary McElroy told the defense one of them asked the salesman, pointing to a subcommittee that the entire civilian phase of very special job. Medicare was put in jeopardy by limitations in "Ten thousand dollars," was the reply. the House bill, and that the Department was "I'll take it," drawled the Texan as he prepared to restrict civilian medical care. Later, pulled out a roll of thousand-dollar bills. the subcommittee was informed that the follow­ At this point, the other Texan took hold of ing restrictions were under consideration: his arm and said, "Oh, no, I’ll get it. You bought the lunch." 1. Commanders to require dependents liv­ ing on reservations or in nearby government military housing to use military medical facili­ “PATRONIZE OUR ADVERTISERS”

Whenyou use apro gestational agent, consider what the Council on Drugs (formerly the Council on Pharmacy and Chemistry1) says about

DelalutinSquibb Hydroxyprogesterone Caproate potent... “appears to be more potent than an equivalent amount of progesterone” longev-dcting.. duration of its action is unquestionably longer” preferable... “preferable to the parent drug- in those conditions in which prolonged progestogen activity is desired” Safe..."in therapeutic doses, there are no definite contraindications to its use” 1. J.A.M .A. 163:366 (Feb. 2) 195?, Vials of 2 and 10 cc. Each cc. provides 125 mg. of hydroxyprogesterone caproate. ORDER NOW THROUGH YOUR PHARMACY

© Squibb Quality—the Priceless Ingredient BULLETIN of the Pierce County M edical Society

J. M. Gilbertson, Vice-President & Trust Officer

Our Traveling Trust Officer holds client conference at our Lakewood Branch

Mr. Gilbertson, our traveling trust offiecr, Do not carry your W ill in your mind. No makes many trips weekly from our Main man ever protected his family by intending Office to our five branches for consultation to write his W ill. See an attorney . . . not with trust clients and with those interested next month . . . but this week. He will draw in creating a trust. There is no obligation for up your W ill . . . the cost need not be great. either consultation. Merely make an appoint­ Discuss with your attorney the advan­ ment with any Branch Manager and lie will tage of naming a bank as your executor. It is be I here to consult with you. an important decision. A bank’s Trust De­ Everyone should have a Will . . . no partment is free from self interest, is always matter how large or small the estate. A available, has the integrity, experience, judg­ properly drawn Will protects the future of ment and financial responsibility to be of your family. Jt relieves your wife of many utmost benefit as your executor. complex and legal Im.sincs.s details in the Protect your family by making your Will. event of your demise. See an attorney now.

TRUST DEPARTMENT

UGET OUND NATIONAL BANK 6 Offices To Serve You • Free Customer Parkins M EM BER FDIC 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 19 outstanding efficacy in skin disorders STEROSAN* H ydrocortisone Cream and Ointment (chlorguinaldol GEIGY with hydrocortisone) The case illustrated below typifies the superior response pro­ duced by STEROSAN-Hydrocortisone. Combining potent antibac- terial-antifungal action with a reliable anti-inflammatory and antipruritic effect, STEROSAN-Hydrocortisone is valuable in a wider range of infective or allergic dermatoses.

A severe infectious eczematoid dermatitis on foot of j ■ 15-year-old boy. Patient used STEROSAN-Hydrocortisone -preparation 3 times a day for 23 days with a dramatic improvement as shown.*

, • before treatment after treatment

*Caae report and photographs through the courtesy of N. Orentreich, M.D., New York. N.Y.

STEROSAN®-Hydrocortisone (3% chlorquinaldol g e ig y with 1% hydrocorti­ sone) Cream and Ointment. Tubes of 5 Gm. Prescription only.

GEIGYm ardsley, new york 89593 2 0 BULLETIN of tbe Pierce County M edical Society

NO FUNERAL PROCESSION

Burials at Mountain View are conducted entirely within the confines of the park. There is no long procession through the din and traffic of city streets, and no park­ ing problem for friends and relatives who attend the services.

E v e ry th in g in one place

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HAROLD MEYER PHARMACY 1110 South 11th Harold Meyer, Owner FUlton 3-4494 Open 8:30 a.m. 'till Midnight — Free Delivery 'till 8 p.m. BULLETIN of the Pierce County M edical Society 21 Social Security Reserve To Drop;

System Called ‘In Balance’ Although in the next five years the social security system will pay out more in benefits than it takes in in taxes and interest, looked at long-range the system is "in approximate balance for all practical purposes." These are among the findings and conclusions in the annual report to Congress of the Old-Age and PHARMACY Survivors Insurance Trust Fund. However, the disability trust fund, estab­ lished as a separate account when the disability insurance law was passed in 1956, is expected to increase steadily until it reaches about $4 billion in 1962. Disability benefits are esti­ Prescription mated at $175 million for the current fiscal year, $247 next year and $317 the following year. Druggists Some of the points in the OASI report: 1. Because benefits are increasing more than expected, the OASI trust fund is due to decline from $22.6 billion to between $19 and $2 0 ★ billion by 1962. However, the report says the dip in reserves may be attributed to "temporary factors which have virtually no bearing on the financial condition of the social security system We Carry a Complete Stock of over the long-term future.” 2. The fund is expected to take an upward Biologicals and Pharmaceuticals trend after scheduled tax increases go into effect in 1965, and to "continue to grow for many years thereafter.” 3. In the opinion of the trustees, there is "ample time to make any adjustments which ★ might be needed," in the light of further experience or future estimates. The trustees are Secretaris Anderson (Treasury), Mitchell (Labor), and Folsom ( HEW). Social Security "When Moments Count" Commissioner Schottland is secretary of the board of trustees. During the current fiscal year, ending June 30, OASI benefits are expected to rise to S7.8 FUlton 3-2411 billion, resulting in a $428 million drop in the trust fund, the first year’s decline in the fund PROMPT . . . FREE DELIVERY since it was set up in 1940. The next year’s drop is estimated at $1.1 billion. Three reasons are cited for the unexpected OASI expenditures: First and most important, more benefit ★ claims than anticipated were filed by persons brought under coverage in the last four years. Second, more women than expected have Stadium Hi District elected to take a reduced benefit at age 62, rather than waiting until age 65 for the full 101 North Tacoma Avenue benefit. (In the long run this will average out Tacoma, Washington at no extra cost.) Third, during the recession some older workers find it more difficult to keep or find a job, so retire earlier than they had planned. The recession also reduces tax contributions. 2 2 BULLETIN of the Pierce County Medical Society

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1015 Southl2thStreet Tacoma 5 , Washingtpn| Phone MA 7-0118 BULLETIN of the Pierce County M edical Society 23 Reorganization Plan For Civil Defense at Issue A Senate Government Operations subcom­ mittee may decide Monday (June 16) on LOST AND FOUND whether to recommend to the full committee that the administration's reorganization plan LOST for Federal Civil Defense Administration and Office of Defense Mobilization be disapproved. If either House or Senate votes disapproval, ELECTROLYTES lost in diarrhea the proposed merger into the Office of Defense Sudden loss of electrolytes and water in the intestinal discharge during diarrhea must be and Civilian Mobilization would not come off. counteracted if dehydration, exhaustion and If sentiment of some subcommittee members prostration are to be avoided. Replacement is any criterion, the proposed merger may be of sodium, potassium, calcium, or chloride defeated. Senator Humphrey ( D., M in n.), ions is therefore an essential part of treatm ent. chairman of the subcommittee expressed con­ cern that civil defense would lose it identity. FOUND Senator Potter (R., Mich.), author of a dis­ approving resolution, said he had grave reserva­ ELECTROLYTES found in tion about placing a new operating agency palatable oral formulation directly under the President in the face of his present "tremendous responsibilities.” Senator POLYSAL® K-P Thurmond (D., S.C.), said he was disappointed Oral Electrolytes with because no economies in money or personnel Kaolin and Pectin were promised. Each 100 cc. contains: Administration witnesses defended the pro­ Sodium Chloride, XJ.S.P...... 0.83 Gm. posal as eliminating duplications and resulting Potassium Chloride, U.S.P ...... 0.56 G m . Calcium Pyrophosphate ...... 0.057 G m . in far greater effectiveness in dealing with the Magnesium Gluconate, 2H :0 ...... 0.13 G m . intertwined jobs of planning for civil defense Sodium Lactate, Anhydrous ...... 1.35 G m . and mobilization preparedness. FCA Adminis­ Kaolin, Colloidal, N .F ...... 19.44 G m . trator Hoegh, in testifying in favor of the re­ Pectin, N .F ...... 0.87 G m . organization, also called for Senate action on the Replaces lost electrolytes . Balances water bill, H.R. 7576, which passed the House last with electrolytes . Soothes and protects intes­ tinal mucosa • Provides demulcent, adsorbent session and which establishes civil defense as a and detoxifying action joint responsibility of federal, state and local governments. ODM Director Gordon Gray POLYSAL® ELIXIR commented: "In my opinion the federal gov­ oral electrolytes alone ernment cannot afford to continue to have two Each 100 cc. contains: sets of coordinating agencies concerned with Sodium Chloride, U.S.P ...... 3.33 G m . preparedness for nuclear attack. The current sit­ Potassium Chloride, U.S.P ...... 2.22 G m . uation has created confusion among the federal Calcium Lactate, N.F ...... 0.553 G m . Magnesium Gluconate, 2H ?0 ...... 0.50 G m . departments and agencies. If allowed to con­ Sodium Lactate, Anhydrous ...... 5.0 G m . tinue, it will create even greater confusion among the states and federal agencies . . ." REWARD

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EVERY DROP PURE HEAT ALWAYS USE ELECTROLYTES EARLY STANDARD Administer balanced oral electrolytes— Specify Polysal K P ...... 9 oz. Heating Oils Polysal Elixir ...... 6 oz.

Call MA. 7-3171 CUTTER LABORATORIES Berkeley, California Fuel Oil Service Co. 816 A St., Tacoma Mark Dolliver Jack Galbraith 2 4 BULLETIN of the Pierce County M edical Society

to prevent vertigo nausea vomiting as m motion sickness

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case of the other agents'^—and I . Report of Study by Army, Navy, AlrForce usually minor and transient Motion Sickness Team: J.A.M.A. 160:755, 1956. 2. Moyer, J . H.i M. C lin. North when encountered. America, March, 1957, p. 405. •Trademark

PFIZER LABORATORIES Division, Chas. Pfizer & Co., inc. Brooklyn 6. New York ( B U L L E T IN of the Pierce COUNTY M edical Society 25 Allergy titioner’s practice may consist of such condi­ tions. Treatment consists of one or more of the At the University of Washington last May following: adrenalin, aminophyllin, antihista­ 16 and 17 a very fine one and one-half day minics, steroids, penicillinase and shock therapy. post-graduate course in allergy was given. It —I. A. Drues, M.D. consisted of lectures and question periods. The speakers were mostly members of the Washing­ Open Letter ton State Society of Allergy. They were a very sincere, enthusiastic and dedicated group and Darrington, Washington made the course very interesting. June 9, 1958 One of the most important things they Pierce County Medical Society brought out was that skin tests for foods were Medical Arts Building very unreliable. They were still being used by Tacoma, Washington some of the men but only as a tentative clue. Gentlemen: Also vaccine therapy for foods was rarely of The town of Darrington is faced with a very any value. Instead a careful history, elimination serious situation. We are badly in need of a diets and avoidance of the involved foods was doctor. The doctor now serving our community the treatment of choice. is getting along in years and would like to have For pollen and other inhalant allergies, hypo­ a young doctor to lighten the load. sensitization by vaccines was considered the best Please pass on this information to anyone treatment. Antihistaminics had a place in treat­ interested. Thank you. ment, especially in allergic rhinitis and urticaria. Sincerely, The various steroid preparations were valuable Mrs. Sylvester Jones in temporary conditions and for local treatment. President They should never be substituted for careful Darrington Hospital Guild anti-allergic management. Aristocort may cause Darrington, Washington marked weakness in some patients. About five hundred drugs may cause aller­ THE PIERCE COUNTY MEDICAL gic reactions. Twenty per cent of the allergist's patients and two per cent of the general prac­ SOCIETY DOES NOT MEET DURING JUNE, JULY & AUGUST

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MEDOSWEET DAIRIES, INC. — TACOMA, WASH. / BULLETIN of the P ie r c e Co u n t y M e d ic a l So c ie t y 2 7 Daddy George IRS Ridings of Interest A Frenchman was traveling around the U. S. To The Profession on a goodwill tour. The first place he stopped was a small town in Virginia and in his bed­ The Internal Revenue Service has ruled that room was a sign saying "George Washington physicions on a full-time staff basis with hos­ Slept here.” He asked about the sign and was pitals do not have to include in their gross told that Washington is known as the father income those checks they receive from patients of our country. and which immediately endorsed over to the As he traveled across the country he found hospital. Comments IRS: "He is an agent for many more of the same signs. In fact, nearly the hospital, merely acting as a conduit for the every hotel he stayed in had a similar sign. fees collected." Doctors are expected, however, W hen he returned to W ashington, D.C., to to list when filing their returns, the sources of make his report, it included the candid com­ the fees, the amounts received and disposition ment: "I can certainly see why George Wash­ made. In another ruling, IRS holds that ex­ ington is known as the father of your country.” penses paid for special aids to assist in the education of a child progressively becoming blind are deductible as expenses paid for medi­ DOCTOR'S SUITE AVAILABLE cal care. Listed were such things as tape CENTRAL BANK BUILDING recorder, special typewriter, projection lamp 6th Avenue at Pine for enlargements and special lenses. Apply at Central Bank — MA 7-8191 “P a t r o n i z e o u r advertisers ”

THE PIERCE COUNTY MEDICAL SOCIETY DOES NOT MEET DURING JUNE, JULY & AUGUST

open | L the airway with new

‘FEDRAZIL’ TABLETS when colds or allergies congest the respiratory tract ■ decongest the entire respiratory tract mucosa 1 dilate the bronchi ■ provide potent anti-allergic action

D o s a g e : Adults and Children over 8 years— 1 or 2 tablets, three times daily. Children 2-B years — 1 tablet daily, or as required. Each tablet contains: ‘Sudafed’® brand Pseudoephcdrine Hydrochloride, 30 mg.; ‘Perazil’® brand Clilorcyclizine Hydrochloride, 25 mg. Bottles of 100, sugar-coated. BURROUGHS WELLCOME & CO. (U .S .A .) INC., Tuckahoe, New York Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

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MONTHLY MEETINGS STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— at 6:15 p.m. TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club SURGICAL SOCIETY Third Tuesday of each month—6:30 p.m. at Tacoma Club STAFF OF PIERCE COUNTY Last Monday of each month—6:15 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the Month—8:15 p.m. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept. and Dec.—7:15 a.m. at Scotty's Cafe PIERCE COUNTY PEDIATRIC SOCIETY First Friday of Each Month, Except June, July and August. TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Building 7 lUiLLETIN , PIERCE COUNTY MEDICAL SOCIETY

. J_-U „ :— VOL. XXIX—No. 11 TACOMA, WASH. AUGUST - 1958

Pierce County Medical Society DOES NOT MEET During the months of June, July and August 2 BULLETIN of th e Pierce County M edical Society Pierce County Medical Society 1958 OFFICERS President ______H erm an S. Judd President-Elect ______J. W. Bowen, Jr. Vice-President ...... Chris C. Reynolds Secretary-Treasurer...... Arnold J. Herrmann Executive Secretary ...... Judy Gordon TRU STEES Paul E. Bondo Herman S. Judd J. W. Bowen, Jr. George S. Kittredge Happy Birthday Douglas Buttorff Philip C. Kyle Robert W. Florence Robert E. Lane Hillis F. Griffin Chris C. Reynolds A ugust Arnold J. Herrmann Wayne W. Zimmerman D ELE G A TES Douglas Buttorff Louis P. Hoyer, Jr. 2 JOHN STEELE Philip Grenley Charles E. Kemp Arnold J. Herrmann Frank Maddison 5 GLENN McBRIDE ALTERNATE DELEGATES 12 ROBERT BROWN Robert W. Florence Frederick J. Schwind Murray L. Johnson Don G. Willard 13 RICHARD VIMONT Wendell G. Peterson Wayne W. Zimmerman 15 CHARLES LARSON COMMITTEES Ethics NATHAN THAL Robert E. Lane, Chairman M. R. Hosie Richard T. Davis HUGO VAN DOOREN G rievance 18 WALTER CAMERON Hillis F. Griffin, Chairman Gerald C. Kohl Miles Parrott WILLIAM SULLIVAN House and Attendance John S. May, Chairman HORACE THULINE James E. Hazelrigg Dudley W. Houtz L ibrary 20 ERNEST BANFIELD I. A. Drues, Chairman John M. Havlina Hugh A. Larkin 21 KARL STAATZ Bernard R. Rowen Stanley W. Tuell ELMER WAHLBERG Program T. R. Haley, Chairman 22 ISADORE DRUES William P. Hauser David F. Dye Herbert C. Kennedy HAROLD KAHLER Public Health Bernard A. Bader, Chairman LEONARD MORLEY Theodore Apa W. Roland Olson Public Relations 23 GERHART DRUCKER W. W. Mattson, Jr., Chairman John J. Bonica James D. Lambing FREDERICK PETERS Robert Johnson M. E. Lawrence 26 GLEN BROKAW Thomas O. Murphy Civil Defense STILLMAN HATHAWAY Richard F, Barronian, Chairman William E. Avery Richard B. Link 28 JOSEPH JARVIS David F. Dye Wayne W. Zimmerman D iabetes EDWIN YODER Joseph B. Harris, Chairman Entertainment 29 CLETUS STEVENS George A. Tanbara, Chairman J. W. Bowen, Jr. F. W. Hennings 31 SAMUEL LIGHT Kenneth Gross L. M. Rosenbladt HARLAN McNUTT G. M. Whitacre Geriatrics M. E. Lawrence, Chairman Glenn H. Brokaw John F. Steele Legislative Douglas P. Buttorff, Chairman Arnold J. Herrmann Gerald C. Kohl Wayne W. Zimmerman Medical Education Robert Kallsen, Chairman John Comfort Robert W. Osborne NOTICE Schools R. A. Norton, Chairman Check back page of Bulletin for calendar Theodore Apa George S. Kittredge Orvis Harrelson Jack W. Mandeville of special meetings William E. Hill George Tanbara Traffic and Safety Harold D. Lueken, Chairman Mental Health Harold B. Johnston, Chairman T. R. Haley Myron Kass William H, Todd Front Page Picture Bulletin Staff Courtesy E ditor ______W. W. Mattson, Jr. Associate Editor...... M. E. Lawrence Richards Studio Business Manager...... Judy Gordon Auxiliary News'Editor ...... Mrs. Robert Kallsen BULLETIN of the Pierce County M edical Society

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Theragran—the original and most widely prescribed therapeutic vitamin preparation—is now expanded to provide additional nutritional support for your adult patients. In keeping with the proposals of in­ vestigators, such vitamins as B^, pyridoxine and d-calcium pantothenate have been added to the formula, and the ascorbic acid content has been in­ creased. These improvements in the Theragran for­ mula provide your patients with extra value at no additional cost.

Each new, improved Theragran capsule supplies: V ita m in A ...... 25.D00 U.S.P. Units V ita m in D ...... 1,000 U.S.P. Units Thiamine Mononitrate ...... 10 mg. Riboflavin ...... 10 m g. Niacinamide ...... 100 m g. Ascorbic Acid ...... 200 m g. Pyridoxine Hydrochloride ...... 5 m g. d-Calcium Pantothenate ...... 20 m g. V ita m in B j2 activity concentrate ...... 5 meg.

1 or more capsules daily as recommended by a physician. Family Pack of 180. Bottles of 30, 60, 100 and 1000.

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Underwritten by H om esteader's Life Co. of Des Moines, Iowa. Lowest rates— W e invite comparison. ages 1-85 BROADWAY 3268 & NO MEDICAL EXAMINATION! BULLETIN ot the Pierce County M edical Society 5 Letter to the Editor

To the Editor: Thank you for suggesting a note for the Pierce County Medical Society Bulletin about my trip. I had three objectives to further on this trip MULTIPURPOSE and I believe I was successful in all. First of all, I wanted to contact Dr. Malden and get him over here to practice neurology with me; ANTIHISTAMINE I wanted to see a little British medicine that I missed two years ago, and, mainly, I wanted to concentrate on a visit to Dr. Olivecrona's a / e $ neuro-surgical setup in Stockholm, Sweden. Dr. Malden is here, so I begin with a 33-1/3% success story. I spent three weeks in London mainly at the British Postgraduate School at Hemmersmith ‘P E R A Z 1L Hospital, and was at once impressed with the brand Chlarcyclizine Hydrochloride excellent standards there and the distressing TABLETS situation in which the British doctors find themselves. The service to British people, how­ ever, is excellent and very popular with them. two strengths While in London I observed much and took part modestly in a clinical teaching program 25 mg., sugar-coated there, but I left before I originally intended 50 mg., scored, uncoated because inactivity began to pall somewhat. In Stockholm I found a very wonderful neu­ rosurgical setup and saw much of interest and all-round allergy relief of real clinical use to me. I was there 12 days and observed a large volume of neurosurgery. Dr. Olivecrona has every facility to give expres­ patients appreciate the gratifying sion to all of his interests and abilities which relief from allergic reactions are considerable. He and his staff were ex­ of virtually every type. tremely cordial and helpful to me, and I appre­ ciated all of the courtesies extended. He has ten assistant surgeons on his staff and his first all around the clock assistant has been with him for 19 years and, needless to say, things go very smoothly in the up to 24 hours of activity with a OR. The hospital itself is huge and has all of single dose (adults 50 to 100 mg.; the supporting and ancillary services of a first- children 25 mg.) class general hospital. The trip home was on the U.S.S. United States and I felt immediately at home in Amer­ exceptionally low ica when I came on board and my room stew­ incidence ard shook hands with me rather than bowing of side effects and ingratiating himself as is the European custom. I have said nothing about Swedish beer so far, but I think perhaps I had better pass this up because some things are too sacred for the BURROUGHS WELLCOME & CO. (U.S.A.) INC. printed page. Tuckahoe, New York —John T. Robson, M.D.

THE PIERCE COUNTY MEDICAL SOCIETY DOES NOT MEET DURING JUNE, JULY & AUGUST 6 BULLETIN of the PIERCE COUNTY MEDICAL SOCIETY

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CONVENIENTLY LOCATED • TACOMA AVE. AT SO. FIRST LARGE PARKING AREA BULLETIN of the Pierce COUNTY M edical SOCIETY 7 Doctors Hospital Elects B. It is well to remember that any method or system is appropriate, but being in Officers Washington with close proximity to Dr. Scribner, I feel that his method if prop­ erly applied will give as close a guess as one could make in balancing a patient. C. My purpose tonight is not to give a short summary of Pediatric Fluid and Electrolyte Balance but rather to stress the known fact that infants and children are not miniature adults so that a differ­ ent set of figures must be used in taking care of them. II. Figures to Remember: A. Usual adult allowances. 1. Urine Output, 1500 cc. Sodium, 50 meq. Potassium, 40 meq. 2. Insensible Loss: 1000 cc. B. Children: 1. 15 kg. or 33 lbs. approximately 50% of the adult. 2. 25 kg. or 55 lbs. approximately 75% Don G. Willard of the adult. 3. 45 kg. or 100 lbs. approximately 100% The Professional Staff of The Doctors Hos­ of the adult. pital of Tacoma met June 9, 1958, in the C. Infants— 15 kg. or 33 lbs. or less: Medical Arts Building Auditorium. The fol­ 1. Urine output: 50 cc. per kg. per day, lowing officers were elected for the year 1958- Sdoium, 3 meq. per kg. Potassium, 2 1959. Don G. W illard, M.D...... President meq. per kg. per day. 2. Insensible loss: 50 to 75 cc. per kg. Glenn G. McBride, M .D Vice President and President-elect per day. 3. Diarrhea: 100 to 200 cc. per day, Miles Parrott, M.D...... Secretary Sodium, 60 meq. per liter, Chloride, C. B. Ritchie, M.D Representative of 45 meq. per liter, Potassium, 30 meq. Active Staff Dr. Willard announced the following com­ per liter. III. The above figures will help in arriving at mittee appointments for the year July 1, 1958 a good guess as to the needs of the patient. to June 30, 1959. Certainly with this knowledge there can be Credentials Committee — Dr. S. W. Tuell, Chairman, Dr. B. L. Sever and Dr. W . C. application to every day practice. Cameron. A. The previous common practice of giving Medical Record Committee — Dr. Robert one teaspoon which equals approximately 4 grams of sodium chloride or approxi­ Kallsen, Chairman, Dr. H. C. Kennedy and Dr. F. J. Schwind. mately 70 meq. in each quart of water for vomiting and diarrhea could easily over­ Tissue Committee — Dr. C. C. Reberger, Chairman, Dr. W . E. Avery, Dr. P. E. Bondo, load the infant. Dr. S. S. Jones and Dr. M. L. Johnson. B. Caution should be exercised with infants in giving the electrolytes whether it be Surgical C om m ittee— Dr. S. E. Herrmann, orally or parenterally. The usual polysal Chairman, Dr. L. M. Rosenbladt, Dr. Philip Grenley, Dr. W . F. Smith and Dr. W . W . and other solutions should be used with Zimmerman. caution. C. The usual saline solution which contains The scientific portion of the program was presented by George A. Tanbara, M.D. on 155 meq. of sodium per liter or different Pediatric Fluid and Electrolyte Balance. Sum­ combination solutions usually have too mary of talk given is as follows: much sodium for an infant and is rarely Pediatric Fluid and Electrolye Balance used. I. Introduction: IV . A clyser should be used with caution in A. This is an appropriate subject to discuss infants. Intravenous solution can usually be because of the many advances that have given to even the smallest of infants especially been made in fluid and electrolyte balance with the newer needles which do not have as well as pediatric surgery. (Continued on Page 9) 8 B U L L E T IN o f the Pierce County M edical Society

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are but two reasons many physicians find Veratrite the antihypertensive of choice in treating geriatric patients, because it can be safely used in patients who cannot tolerate stronger drugs. Veratrite, a product of continuous Neisler research, now contains Cryptena- mine, a newly isolated alkaloid fraction—which lowers blood pressure safely . . . dependably . . . and without annoying side effects. Each Veratrite tabule contains: Cryptenamine (tannates) 40 C.S.R.t Units Sodium nitrite ...... 1 gr. Phenobarbital ...... Va gt. tCarotid Sinus Reflex TI p / a P p ? Irwin, Neisler & Co. • D ecatu r, Illinois BULLETIN oj the piekce County Medical Society 9

(Continued, from Page 7) glass adaptors attached to it. Scalp veins can usually be entered. Whenever there is doubt as to a need of intravenous administration and no other sites are available a cut down should be down promptly. More harm has been done by not doing cut downs in ill infants espe­ cially when blood needs to be given. Frequently a clysis is not absorbed even with isotonic solu­ tion and again not too much saline can be given anyway. PHARMACY V. When parenteral fluids are ordered it is encouraged to state the time that it is to go in and also to number the bottles. As a safeguard the physician may well ask the nurse to save the bottle so that he can check the ones that were already given. It might be well to order Prescription appropriate amount so that each shift of nurses will be responsible for a certain number. Druggists VI. Additive solutions are available so that nowadays it is much simpler to give electrolytes. VII. There are intravenous drip attachments available nowadays which will give the paren­ teral solutions at a slow enough rate. VIII. The trend is away from having an in­ fant or child "dry" before and after surgery. It is recommend that adequate fluids and salt be given all patients. During surgery it is important We Carry a Complete Stock of to note the amount of fluids given, the tempera­ ture of the child, perspiration, which is present. Biologicals and Pharmaceuticals IX. Vital signs in infants and children should be asked for. Only by having the physician re­ quest these things to be done will the nurses realize that they are important in infants and children as well as in adults. Blood pressures can be obtained in all infants and children by some means whether it be by auscultation or by the flush method. 'When Moments Count" X. Another plea is made for ultramicro tech­ niques in the laboratory. XI. An office B U N method is available which requires only one drop of serum. FUlton 3-2411

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Phone MArket 7-7745 BULLETIN of the Pierce County Medical Society l l Pierce County

Pierce County Hospital is welcoming a new groups of interns and residents. They are Drs. Robert Bias, Frank Kloster, Richard Kuehn, Jerome Weeber from the University of Iowa; AND ALL Drs. Elliott Boisen, James Collins, Jr., Richard DAIRY PRODUCTS Otteman, Leon Wanek from the University of Nebraska; Dr. Thomas Gates, Mehary Medical College; Dr. John Mulder, University of Minne­ sota; Dr. Robert Nelson, Northwestern Uni­ versity. The residents are Dr. James Blanken­ ship, University of Nebraska; Dr. Donald Mol- inero, University of Washington, both former ☆ interns here, and Dr. Rodney Laviolette, Uni­ versity of Washington, and lately on the staff of Mountain View Sanatorium. Careful Mothers use Pro­ Dr. John L. Whitaker is vacationing with his family at the summer home on Long Lake, tected Milk. Pasteurized near Bremerton. and Homogenized Milk The laboratory lost one of its valued workers when Gertrude Barry left the first of July to be from our own contented with her mother in the family home in Boston. cows can be delivered A new member has been added to the labora­ tory staff. He is John Stevens from the Univer­ to your home or your sity of Alabama. grocer Mrs. Sally Hill is a new member of the Record Department. Jeanette Howe and husband Len with baby ☆ Stephen are enjoying a vacation with friends and relatives in Montana. Jessie Anderson has returned from a delight­ A Favorite Dairy for over ful two weeks spent with friends in Berkeley and San Francisco, California. 30 years. Recommended by doctors and dietitians. “PATRONIZE OUR ADVERTISERS” ☆ Interim Meeting of CALL Ultrasonics Institute

The intermim meeting of the American WAverly 2-8705 Institute of Ultrasonics in Medicine will be held at the Bellevue-Stratford Hotel, Phila­ delphia, Pennsylvania, August 23, 1958. John H. Aides, M.D., Secretary, 4833 Fountain Ave­ nue, Los Angeles 29, California. S a n h a r y J a ^lYlINFAiYT M IRY DAMMEIER Printing Co. BRoadway 2-8303 Direct from Our Farm to You 811 Pacific Ave. Tacoma 12 BULLETIN of the Pierce County M edical Society

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'Co-Pyronil’ combines a long-acting Prescribe ‘Co-Pyronil’ in attrac­ and a short-acting antihistamine tive green-and-yellow pulvules for with a synergistic sympathomimetic. adults; in tiny red pediatric pulvules It usually begins to combat symp­ or tasty suspension for children. toms within fifteen to thirty min­ utes and eliminates them for as long Each Pulvule 'Co-Pyronir provides: as twelve hours. Thus you can give ‘PyroniP (Pyrrobutamine. Lilly) . 15 mg. your hay-fever patients and other ‘HistadyP allergy victims remarkably com­ (Thenylpyramine, Lilly) . . . 25 mg. 'Clopane Hydrochloride’ plete relief on a dosage of only 2 or (Cyclopentamine Hydro­ 3 pulvules daily. chloride, L illy)...... 12.5 mg.

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ELI LILLY AND COMPANY * INDIANAPOLIS 6, INDIANA, U.S.A. B58016^ - BULLETIN of the P xerce Co u n t y M ed ic a l So c iet y 13 Announcing . . . “For the Nation’s Health”

OREGON-OKLAHOMA The new film "For the Nation's Health” is COMBINED SPECIALTY printed in 16-mm. filmograph, color, sound and runs for 15 minutes. The audience should be MEETING personnel in the health, medical, and allied FOR PRACTICING professions, students, parents, teachers, counse­ lors, civic groups, and the general public. PHYSICIANS This Public Health Service orientation film presents a panoramic view of the activities of OCTOBER 3-4, 1958 the principal health agency of the Federal Gov­ ernment. Combining photographs and motion October 3 picture film, it shows the growth of the Public Friday Scientific Session Health Service from its inception in 1798, with limited care of sick and stranded merchant sea­ October 4 men, to its farflung programs today in hospital and medical care, in medical and biological Saturday Breakfast Conference research, and in public health. Arranged to Preceed Physicians, nurses, dentists, sanitary engi­ neers, pharmacists, veterinarians, and a host of Oregon-Oklahoma Football Game other skilled specialists are shown at work at home and abroad. For further information write . . . In Public Health Service hospitals and clinics, Office of Postgraduate Education in well-equipped laboratories, on Indian reser­ University of Oklahoma Medical Center vations and other field assignments, and on Coast Guard duty, the range and variety of the 801 Northeast 13th Street work of the Public Health Service rarely fails Oklahoma City 4, Oklahoma to arouse interest. Public Health Service personnel have been notified that the film is available to them, prin­ cipally for training and orientation purposes, through the Communicable Disease Center, Public Health Service, 50 7th Street N.E., At­ A COMPLETE LINE OF lanta 5, Ga. SUPPLIES FOR THE Others interested and Service personnel also may order the film on a short-term loan from PHYSICIAN . . . HOSPITAL the Surgeon General, Public Health Service AND (P ), Washington 25, D.C. The filmograph may NURSING HOME be purchased from Byron, Inc., 1226 Wisconsin Avenue, Washington 7, D.C. Cost of the print, S62.07, includes reel can, shipping case, and service charge.

Mail or Telephone Orders Heart Model Available Given Prompt Attention The Heart Association announces that it has available for loan a life size model of the normal heart in diastole, cost in latex and lucite, revealing the internal structures of the heart as well as the external configuration. The clear lucite anterior surface is a hinged door SHIPMAN which permits close examination of the valves, atria and ventricles. Important structural land­ SURGICAL CO. marks both internal and external are clearly indicated. 741 St. Helens Ave. - BR. 2-6400 Anyone may borrow the model for a reason­ Tacoma 2 able length of time by calling at the Heart Association office, 1104 South L Street, tele­ phone BRoadway 2-7854. 14 BULLETIN of the Pierce County M edical Society

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Ask for Donald M. Moore, V.P. Stewart L. Simpson John L. McAloon Edward I. Pole Robert D. Sizer W . O. Jeffery Herbert F. Syford, Pres. BULLETIN of the Pierce County Medical Society 17 Report on Actions of A.M.A. commendation and approval of the principal voluntary health agencies. House of Delegates at "2. That is is the firm belief of the American San Francisco Meet Medical Association that these agencies should As one of three Washington delegates, I took be free to conduct their own programs of re­ part in the proceedings of the House of Dele­ search, public and professional education and gates in San Francisco last month. Officers of fund raising in their particular spheres of the A.M.A., together with delegates, were interest. quartered at the Sheraton-Palace Hotel. Others "3. That the House of Delegates respectfully of the 13,000 physicians and 30,000 other regis­ requests that the American Medical Research trants overflowed hotel accommodations and Foundation take no action which would en­ danger the constructive activities of the national strained the facilities of San Francisco. North Beach night spots and popular restaurants were voluntary health agencies. "4. That the Board of Trustees continue crowded but enjoyable; pleasant weather and actively its studies of these perplexing problems bright sunshine, although a trifle humid for looking forward to their ultimate solution.” San Francisco, made the week a pleasant one. Veterans’ Medical Care: The House urged Conferences, meetings and reference com­ Congressional action to restrict hospitalization mittee work prevented my attendance at the of veterans at VA hospitals to those with serv­ scientific assembly. ice-connected disabilities. It also recommended The J.A.M.A. of July 19, 195S, covers the that the American Medical Association suggest meetings, but following is a brief summary of to the Dean's Committees that they restrict their the highlights. activities to VA hospitals admitting only pa­ United Mine Workers: Discussion of rela­ tients with service-connected disabilities. tions between medicine and UMW A Welfare The M edicare Program : In disapproving a and Retirement Fund centered on a reference resolution calling for repeal, modification or committee report which concurred in a Board amendment of Public Law 569, the House took of Trustees opinion that final action on two the position that desired changes in the Medi­ resolutions adopted in December, 1957, should care Program could be accomplished through be postponed until the final report of the Com­ modification of the present implementing direc­ mission on Medical Care Plans is received. tives without the necessity for new' legislation. One of those resolutions, No. 20, declared The House reaffirmed the action taken last that "a broad educational program be instituted year in New York recommending that the at once by the A.M.A. to inform the public, decision on type of contract and whether or not including beneficiaries of the Fund, concerning a fee schedule is included in future contract the benefits to be derived from preservation of negotiations should be left to individual state the right to freedom of choice of physicians determination. Also reaffirmed was the Asso­ and hospitals.” The other resolution, No. 24, ciation’s basic contention that the Dependent called for the appropriate A.M.A. committee or Medical Care Act as enacted by Congress does council to confer with third parties to develop not require fixed fee schedules; the establish­ general principles and policies which may be ment of such schedules would be more expen­ applied to their relationships with members of sive than permitting physicians to charge their the medical profession. normal fees, and fixed fee schedules would ulti­ Social Security Coverage: The House dis­ mately disrupt the economics of medical approved of six of seven resolutions dealing practice. with the inclusion of self-employed physicians Medical Aspects of Hypnosis: The report under the Social Security Act. The House on "Medical Use of Hypnosis” submitted by adopted a resolution pointing out that "Ameri­ the Council on Mental Health, was approved can physicians always have stood on the prin­ by the House which recommended that it be ciple of security through personal initiative," published in the J.A.M.A. In brief, the report and reaffirming unequivocal opposition to the stated that as a therapeutic adjunct, genera! compulsory inclusion of self-employed physi­ practitioners, medical specialists and dentists cians in the Society Security system. might find hypnosis valuable within the specific Voluntary Health Organizations: Dealing field of their professional competence. It with problems that have arisen in the raising stressed, however, that those who use hypnosis and distributing of funds since development must be aware of the complex nature of the of the concept of united community effort, the phenomena involved. The report emphasized House adopted the following statement offered that teaching related to hypnosis should be in the form of amendments from the floor: under responsible medical or dental direction 1. That the House of Delegates reiterate its (Continued on Page 19) 18 B U L L E T IN o f the Pierce County Medical Society

outstanding efficacy in skin disorders STEROSAN' Hydrocortisone Cream and Ointment (chlorquinaldol GEIGY with hydrocortisone)

The case illustrated below typifies the superior response pro­ duced by STEROSAN-Hydrocortisone. Combining potent antibac- terial-antifungal action with a reliable anti-inflammatory and antipruritic effect, STEROSAN-Hydrocortisone is valuable in a wider range of infective or allergic dermatoses.

A severe infectious eczeraatoid dermatitis on foot of 15-year-old boy. Patient used STEROSAN-Hydrocortisone * preparation 3 times a day for 23 days with a dramatic improvement as shown.*

before treatment after treatment

*Case report and photographs through the courtesy of N. Orentreich, M.D., New York, N.Y.

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ARDSLEY, NEW YORK BULLETIN of the Pierce County Medical Society 19

(Continued from Page 17) Dr. Ray McKeown of Coos Bay, Oregon, was re-elected trustee without opposition. Dr. Rob­ and should include the indications and limita­ bins of Arkansas was elected trustee on the first tions for its use., Hypnosis for entertainment ballot over Dr. Ozari of New York and Dr. purposes was vigorously condemned. Culpepper of Mississippi (apparently the re­ Over-the-Counter Medications: The House sult of active leg work by his supporters). endorsed recommendations that: Among the Tacoma doctors who were in The A.M.A. join with other interested groups San Francisco during the week were: Edmund in setting up an expanded voluntary program, Kanar, George Kittredge, T. O. Murphy, Rodger coordinated by the National Better Business Dille, Jack Erickson, J. B. Robertson, Homer Bureau, which will seek to eliminate objection­ Humiston, Jess Read, John Bonica, James Matt­ able advertising of over-the-counter medicines. son, Charles P. Larson, John Shaw, I. A. Drues, The A.M.A. counsel with the National Better Vincent Murphy and Robert Florence. Business Bureau in the selections of a physi­ So ended the 107th Annual Meeting of the cians’ advisory committee. A.M.A. in San Francisco. The established facilities of the A.M.A., the —Jess Read, M.D. Chemical Laboratory, the scientific councils and the Bureau of Investigation be made available, to aid in this program. The Public Relations Poison Control Center Report Department continue its liaison work with For June groups involved and assist in the development Total number of calls ...... 67 and operation of this program. Calls from parents or other lay persons 46 The A.M.A. became a sustaining member of the National BBB. Physicians or Hospitals ...... 21 Miscellaneous actions included: Age Distribution Recommended appointment of a Committee Less than 12 months...... — 3 on Atomic medicine and Ionizing Radiation; I to 3 years...... -...... -...... -...... 30 Approved in principle the admission of the 3 to 5 years ...... 8 Virgin Islands Medical Society as a constituent 5 to 12 years...... 3 society of the A.M.A.; 12 to 21 years...... 1 No age given...... 15 Directed the Board of Trustees to study prob­ Over 21 years ______-..... -...... 7 lems pertaining to licensure by reciprocity and Substances Taken to consult with the Federation of State Medical M edicinal Substances: Aspirin ,adult, (2 ), Boards in an attempt to find a satisfactory Aspirin, baby, (4 ) , Ting, medicated cream for solution; bites and athlete’s foot, Phenobarbital ( 3 ), Mer- Requested that any funds provided under curochrome, Flavi-Hist (patented for colds and the Public Assistance provisions of the Social allergies), Dexefrine, 4 way cold tablet. Gum Security Act for medical care of the indigent laxative, Sweet oil, Cyclezine, compares with be administered by a voluntary agency such as Dramamine and Merazine, Isurpruel, Cafergot, Blue Shield on a cost plus basis; Auralgan, Mysoline tablets. Recommended that general hospitals, where- Other Substances: Toadstool, Paint thinner, ever feasible, be encouraged to permit the hos­ Coleus plant, Nestles baby hair treatment, New pitalization of suitable psychiatric patients; Life worm capsule, Avon liquid coconut oil Expressed the opinion that some operating shampoo, Easy Off, Slug poison ( 4 ) , Millers room experience is valuable and necessary train­ plant spray, Testors dope thinner, Johnson's ing for all nurses. Pride ( 3 ), Castor bean, Hylex, Purex, ( 2 ), Ant X, Ortho Malthion spray, White wall tire cleaner, Mushrooms, Toluene dye, Perfume, EVERY DROP PURE HEAT Turpentine, Gas, Johnson’s Car Plate, Sateen hair oil, Powdered graphite, Daphne berries STANDARD (2), Avon toilet water, Lighter fluid ( 2 ) , Bar- Heating Oils dahl carburetor cleaner, Rotenone, Isopropy! alcohol (2), Red Elder berries, Parathion, Sea & Ski tanning cream, Cradol. Call MA. 7-3171 Number advised to go to Hospital...... 4 Number advised to contact private M .D...... 13 Fuel Oil Service Co. Number advised emetics and observe...... 27 816 A St., Tacoma Number treated in ER (P C H )...... 17 Mark Dolliver Jack Galbraith Number Hospitalized at PCH...... 3 Information from Clinical Toxicology ..... 27 20 BULLETIN of the Pierce County Medical Society

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HAROLD MEYER PHARMACY 1110 South 11th Harold Meyer, Owner FUlton 3-4494 Open 8:30 a.m. 'till Midnight — Free Delivery 'till 8 p.m. BULLETIN of the Pierce County Medical Society 21 Foreign Physicians Studying in Clinicians” on Friday, October 24. Designed especially for physicians in internal medicine, in U.S. on Increase pediatrics and in general practice, this session The number of women foreign physicians will consist of panels on complicated and con­ training in U.S. hospitals rose by 82% in 1957- troversial problems encountered in treating 58, the Institute of International Education re­ cardiovascular patients. It has been classified by ports in a new survey. the American Academy of General Practice as The great jump in the number of foreign acceptable for credit for Academy members. women doctors is part of a smaller but steady Of interest to the practicing physician will increase in the number of all foreign physicians be a session on hereditary factors and heart dis­ training here each year, according to the Insti­ ease. This is presented jointly by the AHA and tute. The figures appear in Open Doors 1958, the American Society for the Study of Arterio­ IIE’s annual statistical report on educational ex­ sclerosis, which for the first time is holding its change. The Institute, the largest and oldest Annua] Meeting to coincide with the Scientific exchange organization in the world, compiles Sessions. Two panels on the subject of arterio­ statistics on medical exchange with the coopera­ sclerosis also are scheduled in conjunction with tion of the American Medical Association. the Society. A total of 7,622 foreign physicians — a year’s Subjects to be discussed also include harden­ increase of 13% — was in residency or intern­ ing of the arteries and high blood pressure, ship in this country in 1957-58, according to rheumatic fever, congenital heart disease and Open Doors. One thousand six hundred forty- cardiovascular research will be presented by nine, or 22%, were women. leading scientists. A special program, "Rewards The area sending the largest number of both of Research,” designed to interpret scientific men and women doctors (3 4 2 ) was the Far investigations to laymen as well as physicians, East. Sixty per cent of the women physicians also is included. were from that part of the world with almost All physicians who register in advance will half of them from the Philippines, which leads receive complimentary programs containing all other countries in training medical personnel abstracts of the proceedings. in the United States. Registration and hotel accommodation forms General surgery was the most popular field of for physicians wishing to attend are obtainable specialization among foreign physicians, fol­ from the Washington State Heart Association, lowed by general medicine, obstetrics, gyne­ 3121 Arcade Building, Seattle, Washington. cology, pathology, psychiatry, pediatrics, anes­ thesiology and internal medicine. Twenty-five per cent of the foreign doctors were found in New York, with the remainder A.M.A. Secretary’s Letter distributed throughout 44 other states, the Dis­ The puzzling condition of traumatic neurosis trict of Columbia, Hawaii and Puerto Rico. was the subject of the third and newest film in Eight hospitals, led by Bellevue Hospital Center, the A.M.A.-American Bar Association medico­ New York, reported more than 50 foreign legal series produced by the William S. Merrell physicians on their staffs. Company. It was shown for the first time at the Sheraton-Palace Hotel, San Francisco, on June American Heart Assn. To Hold 25— the third day of the A.M.A. convention. Scientific Sessions in S.F. The film entitled "The Man Who Didn’t Walk," is especially interesting because trau­ With the American Heart Association's 31st matic neurosis is not universally accepted as a Annual Scientific Sessions scheduled for San clinical entity; yet the film is highly informa­ Francisco this year, physicians from Washing­ tive because the device of traumatic neurosis ton will have an unusual opportunity to learn is frequently used today by claims-seeking at first-hand about the newest scientific develop­ plaintiffs. ments that can lead to improved care of heart C. Joseph Stetler, director of the A.M.A. law patients, it was announced recently by Dean K. department, said the film focuses attention Crystal, M.D., President of the Washington on one of the most complicated legal problems State Heart Association. in medicine today. The theme points up the The Sessions will be held from Friday, Octo­ fact that it is the responsibility of physician and ber 24, through Sunday, October 26, at San attorney to conduct complete examinations, to Francisco s Civic Center. collaborate in pre-trial conferences, and to pre­ In making the announcement, Dr. Crystal sent testimony to help the jury decide this often po.nted out that of special significance to fam- baffling and puzzling problem of law and ly physicians would be an all-day "Session for medicine. 22 BULLETIN of the P ie r c b Co u n t y M e d ic a l So c ie t y

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Write for Sample PACIFIC PAPER PRODUCTS, INC. and Information 1015 SOUTH 12»h ST. • TACOMA 5, WASHINGTON • U.S.A. BU L LET IN of the Pierce County' Medical Society 23 Committee Acts Favorably on Jenkins-Keogh Bill Chairman W ilbur Mills announced that the House Ways and Means Committee had agreed LOST AND FOUND to favorably report a Jenkins-Keogh bill to per­ mit self-employed to defer income taxes on money placed in retirement funds. He said LOST formal committee action would come in a few days, and that he expects a "large majority” of ELECTROLYTES lost in diarrhea the committee to vote for the bill. Sudden loss of electrolytes and water in the This is the most encouraging action Con­ intestinal discharge during diarrhea must be gress has taken on this legislation, which has counteracted if dehydration, exhaustion and prostration are to be avoided. Replacement long been sought by the American Medical of sodium, potassium, calcium, or chloride Association and many other groups representing ions is therefore an essential part, of treatment. the self-employed. Their efforts have been con­ centrated in the American Thrift Assembly, FOUND formed for the purpose of working for passage of the bill. ELECTROLYTES found in While this action represents substantial palatable oral formulation progress, it must be remembered that there is no assurance the bill will pass the House and POLYSAL® K-P Senate in the time remaining before adjourn­ Oral Electrolytes with ment. There is a big backlog of bills that must Kaolin and Pectin be acted on and Congress hopes to adjourn by Each 100 cc. contains: August 15. Sodium Chloride, U .S.P ...... 0.83 Gm. The committee recently agreed to the follow­ Potassium Chloride, U.S.P ...... 0.56 Gm. ing provisions in the bill, and will report out Calcium Pyrophosphate...... 0.057 Gm. the measure for House action next week, ac­ Magnesium Gluconate, 2HjO ...... 0.13 Gm . Sodium Lactate, Anhydrous...... 1.35 Gm. cording to Mr. Mills: Kaolin, Colloidal, N .F ...... 19.44 Gm. 1. Self-employed persons will be the only Pectin, N .F ...... 0.87 Gm . group to benefit. Replaces lost electrolytes . Balances water 2. Set-aside can be up to 10% of earned in­ withelectrolyt.es • Soot hes and protects intes* come, but not to exceed $2,500 in any one year. tinal mucosa • Provides demulcent, adsorbent 3- Annuity plan to be limited to a 20-year and detoxifying action period, resulting in a maximum program of POLYSAL® ELIXIR 550,000. oral electrolytes alone 4. If the money is withdrawn before age 65, there would be a 110% tax penalty. Each 100 cc. contains: Sodium Chloride, U .S.P...... 3.33 Gm . Railroad employees, who had sought similar Potassium Chloride, U .S .P ...... 2.22 Gm . benefits, would be excluded from this bill, but Calcium Lactate, N .F ...... 0.553 Gm. Mr. Mills said their proposal will be handled Magnesium Gluconate, 2H ?0 ...... 0.50 Gm. separately. Sodium Lactate, Anhydrous...... 5.0 Gm . REWARD Army To Use New Polyvalent Flu Vaccine Quicker return to normal with replacement of During next October, all active duty Army electrolytes and improved retention of water. personnel will be vaccinated with a new poly­ ALWAYS USE ELECTROLYTES valent influenza vaccine that protects against Asian, swine, A, A-prime and B strains. Vac­ EARLY cine also will be administered to all Army Administer balanced oral electrolytes— personnel who go on active duty up to August Specify Polysal K P ...... 9 oz. Polysal Elixir ...... 6 oz. 1, 1959, including those in training for 30 days or more. Overseas, military dependents and civilian employees of the services and their CUTTER LABORATORIES dependents also will be treated. Dosages will be Berkeley, California % single cc injected subcutaneously for all over 13 years of age and two subcutaneous doses of a cc each at intervals of one week for those ix through 12. 24 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

an entirely new concept in broad-spectrum therapy

what is Cosa* identifies Pfizer preparations contain­ ing glucosamine, a basic substance older than man himself, found throughout the C O $A human body and in the whole spectrum of nature—lobster shells . . . mother’s milk . . . eggs . . . gastric mucin. . . . It achieved new importance when Pfizer scientists dis­ covered that this interesting compound pro­ vided: (1 ) higher, faster antibiotic blood levels;1 (2) more consistent high antibiotic blood levels;5 (3 ) effective, well-tolerated broad-spectrum therapy;'1,1'' (4 ) safe, physi­ ological potentiation with glucosamine, a nontoxic human metabolite.0'1'"

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COSA- t e t r a c y n * ( ghicosam ine-potcntiatcd tetracycline) C a p s u le s (black and white), 250 mg. and 125 mg.; orange-flavored Oral Suspension, 125 mg. per 5 cc. Also available: COSA-TETRASTATIN* (glucosamine-potentiated tetra­ cycline with nystatin) Capsules (pink and black), 250 mg.; orange-pineapple flavored Oral Suspension, 125 mg. per 5 cc.

COSA-SIGNEMYCIN* (triacetyloleandomycin glucosamine-potentiated tetracycline) Capsules (green and while), 250 mg. and 125 mg.

COSA - t e r r a m y c i n * ( oxy tetracycline with glucosam ine) C a p s u le s (yellow ), 250 mg. and 125 mg.; peach-flavored Oral Suspension, 125 mg. per 5 cc.

References: 1. Welch, H .; Wright, W. W., mid Staffa, A. W .: Antibiotic Mud. & Clin. T h e ra p y .5:52 (Jan.) 1058. 2. Carlnjjzi, M .: Ibid. 5:146 (Feb.) 1058. 3. Shalowitz, M.: Clin. Rrv. J-.25 (April) 1058. 4. Stone, M, L . ; Bamford, J., and Bradley, W .: Antibiotic Med. & Clin. Therapy 5:322 (May) 1958. 5. Cornblcct, T . ; Chcsrow, E., and Barsky, S .: Ibid. 5:328 (May) 1958. 6. West, R.. and Clarke. D. H .: J. Clin. Invest. 17:173 (March) 1938. 7. Jimencz-Diaz, C.; Ayuirre, M., and Arjnna, E .: Bull. Inst. M. Res. Madrid 6:137 (Oct.-Dec.) 1953. 8. Lcrman, S .; Pogell, B. M., aDd Lieb, W .: A.M.A. Arcb. Ophth. 57:354 (March) 1957. *rRM 5EMA«**

Pfizer Laboimtohies, Division, Chas. Pfizer & Co., Inc., B rooklyn 6, N. Y . SCIENCE FOR THE WORLD'S WELL-BEING BULLETIN of the Pierce County Medical Society 25 Health Information Foundation sonal character of the relationship between pa­ tient and family physician has not given way Studies Modern Family Doctor to impersonal arrangements for physician serv­ The average family doctor today is a well- ices. . . . Good medical care will always de­ established physician in his forties who treats pend on how early during illness a physician is about 26 patients a day and spends more than consulted and how readily his advice is accepted eight hours a day on home and office calls, by those who ask for it. The public has unerr­ acocrding to Health Information Foundation. ingly perceived these basic facts. Otherwise people would not ask, as they do, that a family In its monthly statistical bulletin. Progress physician be the first called to home or hospital in H ealth Services, the Foundation released in time of stress or whenever advice is needed preliminary findings from a survey made in for the maintenance of good health." cooperation with the University of Chicago's National Opinion Research Center. The study was intended primarily to find out what the American public thinks and does about A.M.A. Adopts Neiv Code for health and health facilities. Interviews were con­ ducted in the summer of 1955 with some 2,400 Doctors and Lawyers persons (representing a cross-section of the A new "National Interprofessional Code for country’s adult population) and with almost Physicians and Attorneys" was approved by the 500 physicians named by these persons as their A.M.A.’s House of Delegates at its Annual family doctors. Meeting in San Francisco. The Code will serve "The persons interviewed are representative as a suggested guide for physicians and attor­ of those to whom the U.S. public first turns for neys in their inter-related practice in the areas medical care or advice,” the Foundation said. covered by its provisions— subject to the princi­ About three-fourths of the family doctors ples of medical and legal ethics and the rules of surveyed by the N.O.R.C. were general practi­ law prescribed for their individual conduct. tioners, and almost all of them were in private The Code was formulated by a joint national practice. (By contrast less than half of the medicolegal liaison committee made up of rep­ total medical profession classifies itself as gen­ resentatives appointed by the American Bar eral practitioners, and about three-fourths of the Association and the American Medical Asso­ profession is in private practice.) ciation. The three medical representatives in­ These major survey findings were brought out clude Doctors David B. Allman, Hugh Hussey in the Foundation report: and George Fister. Besides drawing up this new Most of the physicians in the sample were Code, the joint committee has considered such relatively young men. The largest group (over things as the encouragement of state and local one-third) were in their forties, and doctors medicolegal meetings; medical professional lia­ under 40 constituted an additional quarter of bility problems, medicolegal forms and the pos­ the total. sibility of establishing medicolegal courses in The average doctor interviewed spent about law schools and medical schools. six hours a day on office calls and another two The Code has been prepared in general terms hours on house calls. Only one doctor in every to permit its adaptation in light of local con­ fourteen made no house calls, and four out of ditions. The same Code will be presented for five physicians were generally available for night approval to the Board of Governors and the and Sunday emergency calls. House of Delegates of the American Bar Asso­ About seven out of every eight family doc­ ciation at its meeting in August. tors were affiliated with one or more hospitals, In the preamble the Code states that it "will and more than half of all physicians performed some free work in hospitals. serve its purpose if it promotes the public wel­ fare, improves the practical working relation­ Commenting on the survey, George Bugbee, ships of the two professions, and facilitates the Foundation President, pointed out that four out administration of justice." Various sections of five persons interviewed by the N.O.R.C. cover such topics as medical reports; conferences said they had a family physician to whom they between the physician and the attorney; sub­ turned regularly when they were sick. Most poena for medical witness; arrangements for patients, furthermore, "reported a very good court appearances; physician called as witness; opinion of the abilities of their family physi­ fees for services of physician relative to liti­ cians, reflecting a confidence that is certainly gation; payment of medical fees; implementa­ related to success in patient care.” tion of the Code at state and local levels; con­ Clearly," Mr. Bugbee continued, "the per­ sideration and disposition of complaints. 26 BULLETIN of the PIERCE COUNTY MEDICAL SOCIETY

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MONTHLY MEETINGS STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— at 6:15 p.m. TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club SURGICAL SOCIETY Third Tuesday of each month— 6:30 p.m. at Tacoma Club STAFF OF PIERCE COUNTY Last Monday of each month— 6:15 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the Month— 8:15 p.m. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept. and Dec.—7:15 a.m. at Scotty's Cafe PIERCE COUNTY PEDIATRIC SOCIETY First Friday of Each Month, Except June, July and August. TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Building ^BULLETIN,* PIERCE COUNTY MEEICAl SOCIETY 2 BULLETIN of the Pierce County Medical Society Pierce County Medical Society 1958 OFFICERS President ...... Herman S. Judd President-Elect ...... J. W. Bowen, Jr. Vice-President ...... Chris C. Reynolds Secretary-Trcasurer...... Arnold J. Herrmann Executive Secretary...... Judy Gordon TR U STEES Paul E. Bondo Herman S. Judd J. W. Bowen, Jr. George S. Kittredge Happy Birthday Douglas Buttorff Philip C. Kyle Robort W. Florence Robert E, Lane Hillis F. Griffin Chris C. Reynolds September Arnold J. Herrmann Wayne W. Zimmerman DELEGA TES Douglas Buttorff Louis P. Hoyer, Jr. 6 JOHN MAY Philip Grenley Charles E. Kemp Arnold J. Herrmann Frank Maddison 8 JAMES DUFFY ALTERNATE DELEGATES Robert W. Florence Frederick J. Schwind 10 MAX THOMAS Murray L. Johnson Don G. Willard Wendell G. Peterson Wayne W. Zimmerman 11 CHARLES BOGUE COMMITTEES Ethics DANIEL THOMAS Robert E, Lane, Chairman M. R. Iiosie Richard T. Davis LEON THOMAS Grievance Hillis F. Griffin, Chairman Gerald C. Kohl Miles Parrott 12 M Y R O N BASS House and Attendance John S. May, Chairman 13 ELDON BLIZARD James E. HazelriRg Dudley W. Houtz Library I. A. Drues, Chairman 15 M ICHAEL GO O D SO N John M. Havlina Hugh A. Larkin Bernard R. Rowen Stanley W. Tuell 16 FRANCIS HENNINGS Program T. R. Haley, Chairman William P. Hauser David F. Dye 19 CYRIL LUNDVICK Herbert C. Kennedy Public Health 22 J. W. BOWEN, JR. Bernard A. Bader, Chairman Theodore Apa W. Roland Olson 23 THOMAS SKRINAR Public Relations W. W. Mattson, Jr., Chairman John J. Bonica James D. Lambing 24 WALTER SOBBA Robert Johnson M. E. Lawrence Thomas O. Murphy 25 MARGARET KENNARD Civil Defense Richard F. Barronian, Chairman William E. Avery Richard B. Link 27 ARNOLD JOHANSSON David F. Dye Wayne W. Zimmerman Diabetes 30 S. STEFAN THORDARSON Joseph B. Harris, Chairman Entertainment George A. Tanbara, Chairman J. W. Bowen, Jr. F. W. Hennings Kenneth Gross L. M. Rosenbladt G. M. Whitacre Geriatrics M. E . Lawrence, Chairman Glenn II, Brokaw John F. Steele Legislative NOTICE Douglas P. Buttorff, Chairman Arnold J. Herrmann Gerald C. Kohl Wayne W. Zimmerman Check back page of Bulletin for calendai Medical Education Robert Kallsen, Chairman of special meetings John Comfort Robert W. Osborne Schools R. A. Norton, Chairman Theodore Apa George S. Kittredge Orvis Harretson Jack W. Mandeville William E. Hill George Tanbara Traffic and Safety Harold D. Lueken, Chairman Mental Health Harold B. Johnston, Chairman Front Page Picture T. R. Haley Myron Kass William H. Todd Courtesy Bulletin Staff Richards Studio Editor...... W. W. Mattson, Jr. Associate Editor ...... M. E . Lawrence Business Manager...... Judy Gordon Auxiliary Nows Editor ...... Mrs. Robert KallseD when you treat hypertensive patients double>uble duty RAUDIXINI I 11H Squibb Standardized Whole Root Rauwolfia Serpentina is the solid base line for successful therapy

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MEETING

PIERCE COUNTY MEDICAL SOCIETY

Tuesday, September 9

MEDICAL ARTS BUILDING AUDITORIUM

PROGRAM

MOVIE . . . “Treatment of Thoracic Injuries” - 7:30 Discussion by: W. W. Mattson, Jr., M.D.

MEETING — 8:15 P.M.

W.S.M.A. Delegates will discuss problems and resolutions to be considered at the State Meeting.

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GUEST EDITORIAL

While it is not within the province of medical societies or medical society bulletins to engage in politics, I feel that this editorial is justified on a basis of past performance and in the interest of the public good. This is an expression of personal opinion which is based on seven years of working with the present Pierce County Coroner, Dr. Frank James.

Leaving individuals and personalities entirely out of the picture, the Pierce County Coroner’s Office has been well and ably administered during the two terms of office of the present incumbent. The present incumbent, Dr. James, has shown a devotion to duty and manifested a vital interest in the investigation of cases coming under his purview. The office of Coroner cannot adequately be administered by a layman. The judgment of a physician is required in the investigation of the cause of death of those dying suddenly and unexpectedly. In my own personal opinion, Dr. James has used good medical judgment in those investigations and has justified the faith and trust the public of Pierce County has placed in him in electing him to this office. Since the position of coroner is best filled by a physician, we owe our support to any physician aspiring to this office.

C h a r l e s P. L a r s o n , M.D. 8 B U L L E T IN of the Pierce County M edical Society

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BURROUGHS WELLCOME & CO. (U.S.A.) INC., Tuckahoe, N.Y. B U L L E T IN o f the lJihno: County Medical Society 9 Dentist-Doctor Field Day Team Match— Dentists ...... -...... 36 The turnout was very good this year for D octors...... 30 all events of the Field Day, July 25. The PCMS trophy is in the possession of The early risers, the fishermen, were led by Dr. Harrington. Marshall Whitacre, overcome Dr. Fred Schwind who, after serving as chair­ by shyness, failed to mention that he had the man of the Entertainment Committee for two longest drives on No. 9 and No. 14, but the years, had no tasks this year, so promptly caught fact is now published for all to see. Bob Fer­ two salmon including the big one ( ? ) . His guson reinstated himself as the high gross eight pounder (or thereabouts) was good for man. For some good reason, Dr. Harbottle did the fishing trophy and first prize— a Mitchell not show up for the dinner to receive his award spinning reel. Jim Hazelrigg caught the only for high net. In the team match the dentists other salmon for second prize— a lantern. Gor­ finally prevailed over the physicians. don Gross had the largest salmon on but lost it, still good for a Mohawk rod. George Ktt- Tennis was participated in on that hot day redge caught the largest dogfish— good for a by a hardy few. Prizes went to Gov Teats for sleeping bag. A mooching rod went to Bob the hardest serve; Jim Fairbourn, trickiest shots; Osborne for catching the largest codfish; and Gerhart Drucker, flashiest shorts; John Hav- for using the largest bait ( to no avail), Frank lina, most persistent retriever; Bud Bader, most Kraucunas was awarded a salmon net. persistent player; and Phil Backup— I've for­ gotten why he rated a prize. Between hecklings from "Laughing Boy" Dinner was delicious and filling with 86 and associates, Marshall Whitacre managed to attending and packing the dining room. dole out prizes to the following golfers: All the credit for this day of fun is due to Field— the committee members who put in a lot of Low Gross— Herman Dahl ...... ______73 time making the arrangements. Thanks go to Low Net— Robert Read ...... 76-9-67 Bill McGovern, John Hughes, Jack Gould and 1st Division— Lou Rosenbladt, Bill Hennings, Marsh Whit­ acre, Bill Bowen and Ken Gross. Low Gross— Gerald C. Kohl (0 -1 5 )...... 75 Next year should be even bigger and better. Low Net— B. D. Harrington 87-15-67 2nd Low Net— J. C. G ould...... 82-14-68 W ill look forward to seeing you then. 3rd Low Net— G. Murray ...... 81-7-72 —George Tanbara. M.D. G. M. Whitacre 78-6-7’ Col. T. D. McCarthy 86-14-72 City of Tacoma Medical Aid Claims 2nd Division— Low Gross— W . P. McGovern ...... 88 All State Medical Aid claims for Tacoma 1st Low Net— City employees, other than those employed by George Kittredge...... 111-40%-70% the Department of Public Utilities (Light, 2nd Low Net— C. R. Perkins 116-45-71 Water and Municipal Belt Line Railroad ) 3rd Low Net— C. A. Piper...... 91-19-72 should be forwarded in care of: City of Tacoma Personnel Department Long Drive No. 9— Room 403, City Hall 1st Division— G. M. Whitacre Tacoma, Washington 2nd Division— O. A. Harrelson Claims addressed to the department by which Long Drive No. 14— the injured workman is employed may pass 1st Division—G. M. Whitacre through many hands before reaching the Per­ 2nd Division— C. R. Lantz sonnel Department for investigation and for­ Closest to Pin No. 6— warding to the State of Washington Depart­ 1st Division— George K u n z...... 10 ft., 2 in. ment of Labor and Industries. Such needless 2nd Division— W . A. Todd...... 8 ft., 0 in. delay results in inconvenience to both the workman and his physician. Closest to Pin No. 11— Your cooperation is sought in reducing delay 1st Division— Wm. P. McGovern.. 11 ft., 1 in. in the processing of these claims for personal 2nd Division—Del Lambing ...... 7 ft., 6 in. injuries to City employees. Field— Very truly yours, High Gross— R. M. Ferguson...... 138 High Net— Pat D u ffy ...... 96-9-87 STANLEY BIXEL J. Harbottle ...... 90-3-87 Director of Personnel 10 BULLETIN of the Pierce County M edical Society

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i B U L LET IN of the Pierce County Medical Society 13 HOSPITALS. . .

Tacoma General Dr. Robert A. Kraft began his first year as resident in Pathology on July 1. Dr. Kraft is a On August 1, Mrs. Betty Hoffman assumed member of the Pierce County Medical Society the duties of Director of Nursing Service. Mrs. and has been in general practice in Puyallup Borghild Morley had held this position for for the last three years. ten years, and her resignation was accepted with Charles B. Arnold, the younger, a third year regret. The Board of Trustees expressed the medical student at McGill University, has spent appreciation and gratitude of the entire staff the summer observing technics in the Pathology of the Hospital to Mrs. Morley for her years Departments. of efficient service. The School of Nursing will welcome 55 new Other new appointments to the administra­ students on September 14. Mrs. Mary Burrows tive staff of the nursing service department are: will be the instructor in the Diabetic School Mrs. Dorothy Morous, Assistant Director of and Assistant in Nursing Arts. Mrs. Velma Nursing Service; Mrs. Gladys Bergum, Director Sackman will be Medical Instructor. Mrs. Mar- of Staff Education; Miss Brigid Moloney, Head liss Swayze will return to do some of the Admitting Nurse. Mrs. Joan Stout, formerly class room teaching in the clinical area. Director of Staff Education, has received a The School of Medical Technology has Traineeship at the University of Washington awarded diplomas to Stanley Sams and Karen School of Nursing, and will work for her Bradley. Stan has been doing summer relief Master’s Degree, majoring in Nursing Service work at two of the local laboratories, and will Administration. join the Tacoma General staff in September. Announcement has been made of the Karen has gone to Seattle. New students are: appointment of Dr. Leo Galdbaum as director Winnie Sandberg from Aberdeen, Barbara of the Research and Development Laboratory. Erickson from Bremerton, Mary Williamson This laboratory has been established under the from Washington, D.C., and Sandra Reynoldson joint sponsorship of Tacoma General Hospital, from Tacoma. the Tacoma-Pierce County Blood Bank, and In September Mary Kay Bellamy will be back three local pathologists. Dr. Goldbaum, his wife to work in the Clinical Laboratory. Fusako Annette, and their two children have come Uyedo will leave after 2% years here to marry from Washington, D.C., where he was Chief Bob Okomoto. They will make their home in Toxicologist for the Armed Forces Institute of Seattle. Pathology and the Walter Reed Medical Center. Once again the beauty of the annual beds Dr. Goldbaum is well known for his original bordering the driveway bring forth exclama­ investigation on blood barbiturates and his tions of delight and praise from all visitors. method for their identification and quantitation Harry Downton is the master designer. Admira­ has become a standard technic for toxicologists tion of his work is his greatest reward. in this country and abroad. More recently his work was in the investigation and prevention Pierce County of aircraft accidents. The laboratory which Dr. Goldbaum heads The big event for the hospital personnel was will be devoted to the development of new the annual picnic given for them and their laboratory methods, the setting up of a com­ families on July 24, 1958 at Little Spanaway plete toxicological service for legal and medical Park. A delicious supper was managed for the work, and the investigation of medical problems affair by Steve's Gay 90’s Restaurant. Games on a research basis. He is presently working and swimming were enjoyed by both children on an improved technic for drawing blood for and grown ups. A gift certificate, the door transfusion by means of ion exchange to elimin­ prize, was won by Margherite Ceccanti of the ate the need for citrate in bank blood. Nursing Office. Approximately 350 persons at­ Graduation exercises for thirty-four students tended the joyful outing. will be held on September 5, at the First Metho­ W e are pleased to learn that Doris Sigler dist Church at 8:00 p.m. Dr. Stanley Tuell, of the dietary department, who underwent seri­ President of the Professional Staff, will give ous heart surgery at St. Joseph’s Hospital on the address to the graduating class. Among the July 14, is recovering very satisfactorily. many social events preceding graduation have Dr. and Mrs. James Collins have as their “eeP 'fee Senior Banquet on August 20th, and a visitor Mrs. Collins’ sister, Miss Marilyn Weber, cruist ''In the Sound on August 27th. (Continued on Page 15) 14 BULLETIN of the Pierce County M edical Society

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(Continued from Page 13) partment. W e also want to welcome back Dr. Maki who just returned from the east. who has recently completed her work for a Latest books for the library are: Wilson's Master’s degree in Public Health Nursing at Neurology 3 volume set, Hernia by McVay, Johns Hopkins Hospital. Miss Weber is con­ The Doctor is a Witness by Tracy, William's sidering staying in the Northwest if she finds Obstetrics 11th edition by Eastman, Principles a suitable opening for her work. Dr. Collins is of Internal Medicine by Harrison 3rd edition, one of the new interns at Pierce County Skin Grafting by Broun, Office Gastroenterology Hospital. by Andresen, Intestinal Inturbation by Cantor, Alice Miller and Jessie Drake spent a de­ Pathology and Surgery of Thyroid Disease by lightful weekend in Victoria, B.C., the last of DeCourcy, The Diagnosis and Treatment of July. Infection by James. Mrs. Helen McKibbon, Social Service, enter­ Vacations are still the conversation of the day tained at her home the evening of August 11 and with the weather unchanged probably sec­ for Doris Dinsmore, a former employee in the onds are in order. same department. The guests included several "Early Bird” Dr. Brooke gets in lots of golf, who had worked or are working in the hospital also Dr. Moosey and hear Dr. Eltrich and Race Social Service. They were Mrs. Margaret W il­ are also taking up the sport. Dr. Marlatt has liamson, Mrs. Jessie Haycock, Miss Ethel Hitt, taken to flying and of course, Dr. Sobba sticks Mrs. Sue Jones, Mrs. Josephine Seaberg, but to his fishing. Dr. W est and family had a all had worked together at some previous time hilarious time in their new boat cruising the in the hospital. San Juans. It’s horseback riding for Dr. Hauser From the housekeeping department comes and those long narrow treks in the mountains. the following: Ida May Rasor has been enjoying It's good to see Dr. John Robson back in the a visit at her home with her nephew, William swing after his sojourn to England. Breyley and his daughter, Irene, from Sycamore, Mrs. Magnussen, R.N., is taking two months Ohio. off and part of it will be spent in Montana. The hospital extends deep sympathy to Her­ Mrs. Halvorson, R.N., is back after six weeks bert Ray on the sudden death of his mother, of sunning on the beach with Mrs. Gervais Mrs. Blanche Ray early in August. and her children had a pleasant trip around the Mrs. Bessie Matern has been called to the Loop and at the ocean. Sister Frances Joseph bedside of her critically ill twin brother in San spent a week in Chicago and was met by her Francisco. two sisters fro mthe east. They had a very Rose Wulfekuhle and Katerine Owens are pleasant visit. Mrs. LeBlanc, R.N., spent most new replacements in the department. of her vacation painting and remodeling her Letha Munsee is entertaining her daughter, house. Mrs. Boze, R.N., is working part time Noreen, and family from Idaho Falls, Idaho. and also Mrs. Carlson, R.N., and Mrs. Barrett— Beulah Dunbar is vacationing with her just to keep in the swing of nursing. A farewell mother in Northern Canada. gift was presented to Mrs. McLaren, R.N., who Hazel Gallucci, Laboratory, with husband, will soon be leaving for east of the mountains Alfred, and daughter, Cristine, have returned where her husband will enter college. from a gay vacation in Nevada and California. Maternity Department says this is what hap­ pened since we saw you last— Vacations were Saint Joseph’s immensely enjoyed by the entire staff— some Reminder to all St. Joe’s Hospital Staff— went to far flung Europe— some to the clean Since the annual meeting of the Washington swept beaches of California whilst others State Medical Association again conflicts with stayed home and leisurely watched the world our September Staff meeting, our meeting will go by. No matter where holiday time was be postponed to Monday, September 22nd spent, "beachcombing" or curio hunting, mem­ which is the fourth Monday of the month. ories of this exceptionally warm summer will There are some bright and shiny new faces linger and we gratefully whisper "Thanks to in the x-ray department and they are Frances God." Now that we have reached the late sunlit Anich and Suzanne Mickens. They are the new afternoons of August, their langour is suddenly students who started on June 23rd. Good luck disturbed by the sound of distant thunder, a to you both. Our head technician, Jack M c­ warning that winter is soon to follow. Donald, is in Wisconsin for his vacation and Heavenly bundles by way of little boys were will be back on September 8th. Have a nice sent to Mrs. Whitmore and Mrs. Trine (M ater­ vacation, Jack! W e all wish to welcome Dr. nity Staff). Little girls sweet and complete were Lynch to St. Joseph Hospital. Dr. Lynch is the pleasant surprises for Mrs. Bronski, Mrs. Smith, new radiologist that you see in the x-ray de­ (Continued on Page 17) 16 B U L L E T IN of the Pierce County Medical Society

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(Continued from Page 15) worked overtime, one realizes, to have spared her more serious injury. She is up and about Mrs. Brown and Mrs. Zderic. Birthday parties on crutches after suffering a severely bruised to commemorate their arrival into this world and lacerated leg. Clayton, the son of Dr. and were given to Noreen Owens and Mrs. Pool, Mrs. Coon, spent a week with us as a patient while picnics were given to the Maternity crew having developed Aseptic Menengitis while at by Mrs. Keeley and Mrs. Spearman at their camp. Two new Mist O’Gen tents have recently respective homes. New and most welcome mem­ been added to the department. W e have en­ bers to our Maternity Staff are Mrs. Magley, joyed their effectiveness and the hours of nurs­ R.N., Mrs. Higgenbottom, R.N., and Miss Bay- ing service they save. lon, G.N., from Spokane— we hope they enjoy On September 2nd a new class of Medical their stay and their work, for we need them. Record Technicians will start their course. W e Forever recorded in the annals of naval men are very happy to welcome the new students will be the successful voyage of the world's who are Sister Mary Perpetua, Dorothy Mc- first nuclear powered submarine "Nautilus." It Kennon, Jill E. Kilian, and CoJleen Cheshire. is the world’s first ship to make a voyage under The school is affiliated with the Junior Catholic the Arctic ice cap across the roof of the world. College in Tacoma. Last year’s graduates, Sharon Here too in our Maternity annals something Weinreich is employed at Good Samaritan Hos­ important is being recorded— the names of pital in Puyallup, Barbara Murray is staying at those generous staff Doctors who so willingly St. Joseph's and Sister Marie Immaculee is at and cheerfully gave towards the purchase of a St. Joseph Hospital in La Grande, Oregon. beautiful Air-Shields "Isolette." From the bot­ tom of our hearts, sincere thanks and deepest Doctor s Hospital gratitude in the name of all the little ones to whom it will mean help in taking the first The Executive Committee of the Board of step in life's highway. Trustees of The Doctor’s Hospital of Tacoma The Class of nineteen hundred fifty-eight will announce the appointment of Mrs. Florence C. have Graduation Exercises on Sunday, August Rokahr, R.R.L., Medical Record Librarian, as a 21st. Conferring of Diplomas will take place consultant in the Medical Record Department at 3:00 p.m. in the hospital. The School of of the hospital. Nursing will have registration of students on Mrs. Rokahr brings with her exceptional ex­ Monday, September 2nd. Classes will begin on perience and background in her chosen field. September 3rd. Sister Victorine and Sister Bar­ At present, she is completing a term as Presi­ bara Ann, members of the faculty of last year, dent of the Medical Record Library Association have been transferred and will not be with us Activities in the State. this year. The Medical Record room and the facilities for the handling of the medical records has been The students and faculty alike enjoyed the cruise August 5 th on the Harbor Queen. The completely remodeled in the past year. Rem­ food was a real topic of conversation. Everyone ington Rand open shelf filing is now being came home happy and very contented. used as well as other supplementary equipment furnished by Remington Rand. News from Pediatrics— Vacations are still The "spring house cleaning” chores of the the topic of the hour— many of us have only fond memories while others are still looking hospital, which extended well into the summer, forward to days of fun and relaxation. W e’ve all have now been completed and members of the staff are urged, at their leisure, to examine the enjoyed our glorious summer. Mrs. Margaret Johnson became a mother-in-law during her alterations in the Physio Therapy Department vacation this summer. Dennis, her oldest son, and expanded facilities under the direction of was married on August 16th in Everett, Wash­ Mr. William A. Santee, R.P.T. Mr. Santee would ington. Miss Ann Wagner, R.N., a former be very happy to check the new equipment, members of our staff, visited the department Whirlpool and Ultra-Sound with any members during her vacation. She is now on the staff of of the staff. The Radiology Department under the California Health Department. Mrs. Nancy Drs. Harrington and Sames recently completed Ching, R.N., former head nurse in the depart­ the installation of new lighting fixtures and ment, writes from Gainsville, Florida that she redecoration of the whole department. The has just been granted a graduate assistantship. alterations in the Surgical Department have She will be doing research work towards her been completed with the installation of vinyl Master’s degree this year at the University of tile conductive flooring to replace the conduc­ Florida. Mrs. Joseph Renggli former night tive flooring installed a number of years ago. nurse in the department is at home convalescing following an auto accident. Her guardian angel “PATRONIZE OUR ADVERTISERS’ M edrol the corticosteroid that hits the disease but spares the patient

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[. exhibits in that they are purely factual demon- demon- other factual the purely are of they some that in with exhibits compare not do[. tents j' jppEfgss^;-- | t*lat can be found in our country. The difference difference The country. our in found t*lat be can boastful | the without America in life strationsof ’ \ ^ement or without emphasizing only the best best the only emphasizing without or ^ement \ > . atn f h Blin og, h ata trans- actual the Congo, Belgian the !>,. of tatton ' lnain f bt f oln t te fair the to Holland of bit a of plantation from an architectural standpoint but the con- con- the but standpoint architectural an from Col­ American the by arranged tour European alone in standing guard in the health of the the of not health is the medicine in people.” Soviet guard Soviet standing for have in e that, alone W be. in will faith it full how is that decades. And seven back watch our set having after the late, in floating icebergs the numerous and were cap There ice polar the us below see could coun­ north the to trip This Surgeons. of lege f h get rges ht a be md and made been has that tells progress It great the longevity. of and health of behalf in made vacations their spend can workers the where really are science in They excel they that U.S.S.R. world the the to by provirg on rut play nothing seen had we If Fair. for Worlds the plane of another boarded immediately hours. 19 We of time flying total a made hours.This hours two about London in arrived e W water. Greenland. of e W sheets ice east. and the mountains barren in again rose it semi-darkness about set sun the see to route. interesting trans-polar most was the It flew e W sailing York. New Statendam from the on traveled entire surgeons the Our enjoyable. most be to proved tries h aeae g i or onr wti several within country our years in 100 age average the making at aiming are e says, "W then many being are are that efforts there a medical the purchased In to asclaims I impressive. which exhibit bulletin this make to spared resorts seaside beautiful the show Many exhibits inscriptions are rhere wall develop­ every scientific On latest ments. the of sputniks, all and machinery, planes, heavy have they that and dis­ inter­ boastful most mammoth, are the especially esting and exhibits All national worthwhile. various the been of have would trip the else something see to wanted we because Brussels of majority the although air, by made wastour and enjoy themselves. No expense has been been has expense No themselves. people. enjoy and the of benefit the for Every­ done done. be is to thing Russia is in what that decides and worker the bombs atomic of use the toopposed are they that peace, in believe theythat of hour an perhaps after then and p.m., 10:30 The American building is very beautiful beautiful very is building American The e ae ae avnae ne gi o a of again once advantage taken have We eot f uoen Tour European of Report ragd y A.C.S. by Arranged BULLETIN BULLETIN the f o erce Count cal ety ie c o S l a ic d e M ty n u o C e c r ie P

recommended. I have notes on so many excellent excellent many so on notes have I recommended. circulating nurse to serve two different surgical surgical different two serve to nurse circulating S3me time in the same room. This allows one one allows This room. same the in time S3me I good. very was Surgical hospitals superior. the and in wonderful equipment is Sweden teams. I am not sure that this system is to be be to is system this that sure not am I teams. the at rooms on carried operating were large operations some major in two in that surgery noticed all not that citing indicate am to I only above. the this from of pushed fingers who the surgeon touched below from worked the in bowel the of freeing a the make in­ to the excision; attempt wide no to was close There the bowel. divided volved of were of cancer Tissues performance for rectum. team resection two a abdomino-perineal saw also I the lesion. almost manipulated and palpated chief, two visited I tract. gastrointestinal the of gery ing with the fingers until finally the man who who man the finally tear­ until fingers blunt the by with entirely ing almost done was pelvis lesion the find not could an surgeon saw the I which danger. this for shown regard broad­ little be should message his where hospitals ie ad ial gv u wtot eetn the resecting without up different gave finally several and esophagus times the of length entire the including men in different three esophagus therefore and the of carcinoma for operation very was there that me to seemed it because cast sur­ in cells cancer of dissemination the contribu­ on talk outstanding Ameri­ made the days of five contributors Some for busy. can were on really we carried and were programs gical Stockholm more land. is much is there there than if Sweden as in looks water it air the From in, o te es o wih a Wre Cole’s Warren was which of least the not tions, sur­ Daily islands. fourteen on built is itself very the at held reception a piano was and there the banquet evening on the big In doctor concerto orchestra. a the a with with played who Orchestra soloist Symphony M.D. all conservative partial only and avoided be could euiu Ol Ct Hall. City Oslo beautiful at features unusual the of One amazing. truly kid­ one only had patients mortality. these no of been many had Since there said he rectomies e a te ie f ugr tee eut are results these surgery of time the at ney neph­ partial 276 In done. nephrectomy be could often operations very that kidney. out the pointed on surgery who He surgery, conservative of with department dealt the the of head Perhaps Semb, presented. were Norway in ence grounds and many other impressive sights but but sights impressive other many and grounds hs iemeig a a ie ocr ie b an by given concert fine a was meeting fine this Carl Dr. by report a was me, to striking, most experi­ the on based papers excellent Many way. ms gt o h sria eprecs f our of experiences surgical the to get must I trip. The beautiful city of Stockholm came next. next. came Stockholm of city beautiful The h frt cetfc eso ws n so Nor­ Oslo, in was session scientific first The (Continued on Page 21) Page on (Continued 19 2 0 B U L L E T IN o f th e Pierce County M edical Society PRESCRIPTION SPECIALISTS

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(Continued from Page 19) presentations that I cannot even begin to discuss them. Suffice it to say the meeting was worth attending and that it was more stimulating MILK than any meeting I have ever attended in the United States. The stop in Helsinki, Finland was most inter­ esting. There were no formal papers but we visited hospitals and also did a good deal of sight seeing. I saw some interesting surgical work but again came away with the feeling that perhaps we can do as well in Tacoma. A total gastrectomy done for carcinoma without hepatic involvement was done without remov­ ing the omentum. The tissues were ligated close to the involved stomach and I am sure that the entire operation was a waste of effort from the Careful Mothers use Pro­ standpoint of really doing adequate cancer removal. The Finns were very glad to see us tected Milk. Pasteurized and they are very proud of their facilities and of their city, as well they should be. New apart­ and Homogenized Milk ment houses are being built everywhere to take from our own contented care of the needs of their population. Paren­ thetically we noticed that 80 to 90% of the cows can be delivered people in Oslo, Stockholm, and Helsinki live to your home or your in apartments. One sees almost no nice, reason­ ably small, private homes. Only a few wealthy grocer individuals can afford homes of their own. After Helsinki came Copenhagen. This is a most wonderful city and if anyone wanted to ☆ spend a perfectly delightful vacation in one spot I would recommend Copenhagen. There is so much to be seen and so much to be done. A Favorite Dairy for over Not the least of the attractions here is the Tivoli Gardens. This is an amazingly beautiful 30 years. Recommended place where thousands of people enjoy the by doctors and dietitians. attractions every afternoon and every night. There are excellent ballet dancers, acrobats, symphony concerts, all sorts of play equipment ☆ for children, a wonderful roller coaster and many of the amusements that one usually finds at a street fair. Everything is perfectly orderly CALL and very clean. I visited the Copenhagen City Hospital where I saw Professor Mikkelson doing a gastric WAverly 2-8705 resection. He has some very interesting ideas about the prevention and correction of the dumping syndrome. The tendency seems to be to remove much less stomach than we have been doing. He does not do vagotomies very often, neither does he do Billroth I Resections. E He makes a Billroth II Anastomosis in such SanuaryJ a a way that he avoids regurgitation into the INFANT DAIRY afferent loop and also avoids rapid emptying of the residual stomach. At the University Clinic there was an afternon of excellent discussions of various surgical problems. One of the papers to ' vbe mentioned is the one on infections acquired Direct from Our Farm to You (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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(Continued from Page 21) no matter how skillful or how inexpert. Four of us surgeons hacked our way out of the in hospitals. It was pointed out that the general traps and through the terrain aided by four population carries the hemolytic staphylococcus ancient caddies, the youngest of whom was cer­ in about 20% of individuals tested, but student tainly no less than 65 years. It was lots of fun. nurses, after they have been in training one Just for relaxation and because Myrle wanted year, harbor it in 60% of cases. The recom­ to see the land of some of her ancestors we mendation was to put patients into the hospital now flew to Dublin, Ireland. W e drove from only for very valid reasons and have them stay Dublin to Cork and down to Killarney. If I as short a time as possible. It was also sug­ ever have a chance to go back I want to spend gested that new antibiotics should be used at least a week at Killarney. It is a quaint and with great circumspection lest resistant strains most restful place. W e enjoyed seeing the green develop. W e saw several interesting palaces and fields in Ireland, where the farmers still work castles and most wonderful museums and art with their hands using rakes and pitchforks exhibits, but the time came for hurrying on to and where a one horse or a one donkey cart is Edinborough and Glasgow. Nowhere did we the means of transportation. The highways were receive a more cordial welcome than in these full of these little carts taking the milk can to two cities. The scientific programs were put town to the creamery. Life moves at a slower on mainly by the young men who were doing pace in the Emerald Isle and the people seem research work. I was interested particularly in to be happily enjoying it. Although a city such a discussion of the maximum histamine test as Dublin offers many attractions we also saw used to estimate gastric secretion. Although I evidence of extreme poverty in some of the listened to many papers I was eager to meet people walking the streets. Dr. McWhirter in Edinborough because I have been interested in his approach to the problem The time came to fly to London in order to of cancer of the breast. It was very impressive catch our transpolar flight back home. W e to see this radiologist at work in his clinic. He were tired by this time and were glad that we has a very pleasing personality and is undoubt­ had only one day in this tremendous city where edly a competent man. His patients love him nine million people seem to be constantly in and he can do anything to them and make them motion. It was very good to get home again like it. Some of the women who had had this and when we sat on our patio eating breakfast very intensive radiation added to simple mast­ looking out upon Puget Sound, the harbor and ectomy for cancer of the breast, which consists the mountains, we asked ourselves whether of a minimum of 4000 R to four different ports, there could be any place in the world any more showed very marked skin reaction. The scarring attractive than this our own home city. was so pronounced that I believe that if I pro­ —S. F. Herrmann, M.D. duced surgical scars of equal extent 1 would never get another patient referred to me. How­ ever, many of these patients seem to be doing Pierce County Mental Health well and they do not complain at all of the marks they receive from their treatment. I am Conference Appoints Committees certainly not convinced that his treatment is Committees and Chairmen to plan the Pierce applicable in stage I cases nor even in stage II County Conference on Mental Health have been but I believe that the evidence of this great appointed by Wayne Gardner, President, of experiment in therapy will probably prove the Tacoma-Pierce County Association for that surgeons often do harm in subjecting stage Mental Health. III cases of carcinoma of the breast to surgical dissection. At Glasgow we were wonderfully The Committees and their Chairmen are as well entertained and instructed. It was thrilling foiolws: Exhibits, Mrs. Duane Dryden; Publi­ to spend time browsing around in Williams city, Sam Brown; Hospitality, Dr. William Hunter s Museum. He certainly was a man of Hauser; Registration, Mrs. Margery Duppen- very varied enthusiasms who managed to col­ thaler. lect many objects of great historic interest. General Conference Chairman is Captain Roy Baxter, Madigan Army Hospital. Dates for the A visit to Scotland would not have been County-wide Conference will be Thursday and complete for me without visiting St. Andrew's Friday, September 26th and 27th. The Confer­ Golf Course. I did this after the scientific meet­ ence will take place in Jackson Hall of the ings were over by taking a train for fifty miles Tacoma General Hospital. worn Edinborough across the Firth of Forth Bridge. The ancient golf course is not a thing or beauty and offers many hazards to any golfer, "PATRONIZE OUR ADVERTISERS” 24 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

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References: 1. Welch, H .; Wright, W. W.» and StafTa, A. W .: Antibiotic Med. & Clin. Therapy 5:52 (Jan.) 1958. 2. Carlozzi, M .: Ibid. 5:116 (Feb.) 1958. 3. Shalowiiz, M .: Clin. Rev. 7:25 (April) 1958. 4. Stone, M. L . ; Bamford, J., and Bradley, W .: Antibiotic Med. & Clin. Therapy 5:322 (May) 1958. 5. Cornbleet, T .; ChcBrow, E., and Baraky, S .: Ibid. 5:328 (May) 2958. 6. West, R., a n d Clarke, D. H .: J. Clin. Inve9t. 17:173 (Miirch) 1938. 7. Jimenez-Diuz, C.; Aguirre, M., and Aijona, E .: Bull. Insl. M. Res. Madrid 6:137 (Oct.-Dec.) 1953. 8. Lerman, S .; Pogcll, B. M., and Licb, W .: A.M.A. Arch. Oplitli. 57:354 (March) 1957. *rRAD£M*r»K

z e r ) Pfizer Laboratories, Division, Chas. Pfizer & Co., Inc., Brooklyn 6, N. Y. SCIENCE FOR THE WORLD'S WELL-BEING 25 BULLETIN o f the Pierce County medical Society Alaska Highway Rough good cup of coffee at Milepost 442 which we and Very Slow found to be correct although served without any conveniences in a spotless manner. Time, chat was such an important factor in The people along the way were most inter­ the construction of the Alaska Highway during esting, cheerful, and helpful. Those who live World War II, was certainly not important to along the highway have gas pumps, inns, or us with our three children jogging along the lodges. Some do mechanical repairs and many same route June, 1958. are professional guides during the hunting sea­ Blinding dust and sharp rocks, fresh oil, son. Anyone in difficulty-can be sure that the gumbo mud were constant reminders to keep a next car or truck along will offer help. W e snail's pace. Twice, a moving vehicle was talked to one couple changing a trailer tire. passed— both were tractors. However, we ar­ They had ten offers of help before they got the rived without leaving any of our tires beside tire off. the many others marking ventures into that A little hike down a trail to Liard Hot land that fascinates. Besides tires, oil cans, beer Springs was fun, because we had read that bottles, milepost markers, one sees panoramic during the construction of this highway the views of inspiration that were not spoiled by workers could bathe here in all kinds of roadside advertisement. weather. Preparations for this trip were routine with As we neared Lower Post and close to Yukon additional car protection such as the use of Territory, we had a real first class adventure. A thick rubber hose around all gas and brake forest fire jumped across the road just before lines, and thick rubber belting around the gas us and we were all compelled to wait for a tank. 1800 miles of gravel frequently buckled, safe moment to go through. The fire of 100,000 bent, or punctured unprotected surfaces. W e acres had become a crown fire and was now on covered the propane lines of the trailer but both sides of us. W e were all impressed by the should have covered the front windows with roar, the hot wind created by the fire itself, and plywood and the bottom should have been re­ the fact that they cannot fight it but can only inforced with metal. Rolling rocks, a bad save the communication lines. The fire warden bounce, a dull thud— then at the next stop— a did send us back to a river where we waited new bulge in the floor. The front end of the for six hours until a pilot car took us all trailer was literally sand blasted. Excess baggage through. Later, we read that this fire had burned proved to be the extra coil, condenser, points, over 800,000 acres. and fan belt, although the extra fuel pump saved It’s hard to tell you the highlights of such a us a couple of days delay. trip, because each stop meant something differ­ Perhaps the worst part of the trip was the ent. To see the "W ESTERN W ASHINGTON beginning jaunt over the Fraser River Canyon PUYALLUP FA IR" sign at the famous sign­ road which was very much in the throes of post corner at Watson Lake was just as inter­ rehabilitation. We were now becoming well esting as the Indian graves at Champagne with seasoned trailer travelers and took things in our the little houses on top for the spirit to come stride. Two inch freezer tape was put over every back to. conceivable opening and across all cupboards. Adeauate food and lodging were found to be Now, we no longer had to pick up scattered as variable as anywhere though often spaced groceries, comic books, insect repellents, and rather far apart. This did not bother us for we other supplies. slept and ate where we pleased in our trailer The Cariboo Trail and the John Hart High­ home. Long daylight hours found us often way led us tD Dawson Creek, a bustling British taking pictures at 10:30 p.m. Streams that Columbia frontier town— the actual start of the looked inviting would find us panning for gold, Alaska Highway. After we spent a day hopping fishing. or just collecting rocks. When we over large chuck holes filled with mud and reached Anchorage, we learned that all new water to sightsee and shop, we became anxious sold pans were oiled and that to keep the gold to go on so we left ahead of another rainstorm. or "color” from sliding out, our pans should This, fortunately, was our only rainy weather, have been "fired” first. but we crossed the Peace River on a one way Ice for practical purposes was scarce on the mighty high railroad trestle in an old fashioned highway. For three davs we had looked forward thunderstorm. to getting a supply at Watson Lake. They, At Milepost 47 (Fort St. John) we had however, had ways of acquiring more profit on plastic head light covers put on by some very ice Saturday nights than selling it in quantity efficient, attractive women attendants who also for trailers. Milk at thirty to fifty cents a small knew their business servicing and handling glass was not sold by the quart and was not diesel trucks. 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always available. There were several springs marked "good drinking water" along the right of way. Some of the lodges have good wells or springs— others pipe their water out of any LOST AND FOUND neighboring stream. W e always checked their water supply before filling our tanks. LOST Gas was high even for an Imperial gallon but was obtainable at reasonable intervals. Half ELECTROLYTES lost in diarrhea to three-fourths of a tank usually took you to Sudden loss of electrolytes and water in the the next pump even with higher consumption intestinal discharge during diarrhea must be pulling a nineteen foot trailer. Where gas was counteracted if dehydration, exhaustion and sold, rooms were often rented. One place had prostration are to be avoided. Replacement of sodium, potassium, calcium, or chloride over thirty. A sign outside instructed those ions is therefore an essential part of treatment. arriving after closing time "TU RN TO LEFT —TAKE ANY VACANT ROOM WITH FOUND DOOR OPEN—PAY IN A.M.—BATH AT END OF HALL." ELECTROLYTES found in Arrival at Fairbanks and then a flight of fun palatable oral formulation to Fort Yukon above the Arctic Circle and a stay at Circle Hot Springs Resort was com­ POLYSAL® K-P plete relaxation. Our first close view of glaciers Oral Electrolytes with was on the good road to Anchorage on the Kaolin and Pectin Richardson and Glenn Highways. This was the Each 100 cc. contains: climax of our vacation for we rolled into Sodium Chloride, U.S.P ...... 0.83 Gm . Anchorage just as the whistles blew and fire­ Potassium Chloride, U.S.P ...... 0 .56 Gm . crackers were popping. The Senate had just Calcium Pyrophosphate...... 0.057 Gm. passed the Alaska Statehood Bill. Needless to Magnesium Gluconate, 2H«0 ...... 0.13 Gm . Sodium Lactate, Anhydrous...... 1.35 G m . say, the children will never forget the celebra­ Kaolin, Colloidal, N .F ...... 19.44 Gm . tion they saw that day of June 30, 1958. After Pectin, N .F ...... 0.87 Gm . the sale of our trailer and car, an overnight Replaces lost electrolytes . Balances water stay at Juneau, the flight home was an anti­ with electrolytes • Soothes and protects intes­ climax although we passed over some marvelous tinal mucosa • Provides demulcent, adsorbent mountain, glacier, forest, and water sights. and detoxifying action The entire trip was a study in contrasts: POLYSAL® ELIXIR From the most beautiful scenery to the oral electrolytes alone dullest; Each 100 cc. contains: From excellent highways to the worst trails Sodium Chloride, U .S.P ...... 3 .33 Gm . —especially a detour on a detour; Potassium Chloride, U.S.P. . 2.22 Gm. Calcium Lactate, N .F ...... 0.553 Gm. From spotless accommodations to ones not so Magnesium Gluconate, 2H30 0 .50 Gm. good; Sodium Lactate, Anhydrous...... 5 .0 Gm . From most energetic individuals to masters at the art of loafing; REWARD From well dressed people to those who ap­ Quicker return to normal with replacement of peared like tramps; electrolytes and improved retention of water. From hot springs to glacial rivers; From stern wheelers to high powered out­ ALWAYS USE ELECTROLYTES boards; EARLY From dog teams to helicopters and jets. Administer balanced oral electrolytes__ Time and again we were reminded of the Sp ecify Polysal K P ...... 9 oz. poem— Polysal Elixir ...... g oz. "There was a little girl She had a little curl CUTTER LABORATORIES Right in the middle of her forehead Berkeley, California When she was good she was very very good And when she was bad she was horrid." —Sandy and Lou Rosenbladt 28 B U L L E T IN of the Pierce County M edical Society Report on Medical Arts Bldg. Herman Judd and Dr. John Shaw. Also acting Golf Tourney on Dr. McGovern’s committee were D.D.S.’s Dr. R. F. Robbins, Dr. John Fewell and Dr. A combined "pulling” effort won the day for Herman Dahl. the Dentists as they defeated the Doctors in the Master of Ceremonies Dr. R. F. Robbins, annual Medical Arts Building Golf Tournament, D.D.S., kept a lively and enjoyable banquet August 7th at the Tacoma Golf and Country alive and announced the winners list as follows: Club. Low Gross Field— Dr. H. C. Dahl...... 73 The tournament, a contest between the Doc­ Low Net Field— Dr. C. V .Lundvick....85-16-69 tors and Dentists located in the Medical Arts Building, was climaxed with a cocktail hour Closest to Pin No. 11— John Swan 7 ft., 2 in. and banquet. Closest to Pin No. 6— Dr. W illiam P. McGovern served as chair­ Dr. H. L. M aier...... 25 ft., 9 in. man of the tournament, ably assisted by com­ Long Drive No. 9— Dr. Don Robbins mitteemen M.D.'s Dr. Orvis Harrelson, Dr. Long Drive No. 14— Dr. W. C. McGovern Blind Bogey— Dr. G. A. Race High Gross— Dr. A. W. Howe...... 124 Prompt Delivery Service . . . Highest Number of Putts— MEDICAL OXYGEN Andy Jorgenson ...... 37 Worst Swing— Dr. Lyle Kelly REGULATORS - MASKS Door Prize— Dr. John Steele EQUIPMENT RENTALS Door Prize— Dr. Arthur Wickstrom Winner of Team Match— Call For Details The Dentists ...... 597 OXYGEN SALES & SERVICE The Doctors ...... 613 1934 Market St. M A. 7-8186 “PATRONIZE OUR ADVERTISERS”

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Stadium Hi District 101 North Tacoma Avenue SURGICAL CO. Tacoma, Washington 741 St. Helens Ave. - BR. 2-6400 Tacoma 2 B U L L E T IN o f the Pierce County Medical Society 31 man; "Clinical-Physiological Correlations on tor, The Texas Co., "Nurse-Physician Team­ Congestive Heart Failure” and "Cardiac Output work in American Industry.” and Congestive Heart Failure,” Dr. Lewis Dex­ 10:00 a.m.— Business Meeting of Northwest ter; "Treatment of Congestive Failure" and Association of Occupational Medicine. "The Natural History of Hypertensive Disease 10:30 a.m.— David E. Sullivan, M.D., Plastic in Man and Hypertension in the Giraffe,” Dr. Surgery, Spokane, Washington, "Close Your James V. Warren. Wounds.” Guest speakers at the Annual Symposium 11:00 a.m.— George Saslow, M.D., Professor Banquet Friday evening at the Washington Ath­ of Psychiatry, University of Oregon Medical letic Club will be both Dr. and Mrs. Warren. School, Portland, Oregon, "Psychiatry For All Gloria Warren is the author, with Evelyn Our People.” Stead, of one of the most widely known volumes 11:30 a.m.— James I. Roberts, M.D., Medical on low-fat cooking and an authority in the Director, New England Power Service Com­ field. pany, Boston, Mass., "Treatment of Grave Complete programs and advance registration Electric Injury.” cards will be mailed to the medical profession 12:00-1:3 0 p.m.— Recess. by the Heart Association in September. As in 1:30 p.m.— Jean Felton, M.D., Professor of previous years abstracts of papers to be pre­ Preventive Medicine (Occupational Health), sented will be available at the Symposium. University of Oklahoma, Oklahoma City, "Edu­ There is no registration fee. The Symposium cational Preparation for Industrial Health is approved for credit in Category I, American Service.” Academy of General Practice. 2:00 p.m.—The Honorable Robert D. Members of the Annual Symposium Planning Holmes, Governor of Oregon, "Oregon at Work Committee under chairmanship of Dr. Bruce — The Human Story." are: Drs. James M. Burnell, Fred E. Cleveland, 2:30 p.m.— Rev. James B. McGoldrick, S.J., Leonard Cobb, Harold T. Dodge, Warren G. Professor of Psychology, Seattle University, Guntheroth, Alvin Katsman, George Hugh Seattle Washington, "What's Eating on Him?" Lawrence, Gordon A. Logan, Duncan Robert­ 3:00 p.m.—R. G. Bell, M.D., Bell Clinic on son and Donal R. Sparkman, Seattle; Robert P. Alcoholism and Addiction, Toronto, Canada, Parker and Elizabeth Main Welty, Spokane; "Life in Tranquilized Industry.” Stuart Pritchard, Olympia; W . F. oHlmes, W alk 3 :30 p.m.— G. Victor Beard, Theoretical Walla and John McNamara, Soap Lake. Physicist, Chief of Health Protection Branch, Division of Biology and Medicine, Atomic Northwest Assn. of Occupational Energy Commission, Washington, D.C., Demon­ stration of Radioactive Energy Sources. Medicine Annual Meeting Program 4 :3 0 p.m.— Reception honoring Speakers— The annual meeting of the Northwest Asso­ all in attendance are invited. ciation of Occupational Medicine will be held at the Hotel Multnomah, Portland, Oregon, on Sunday, September 7, 1958. The Program will consist of: DOCTOR'S SUITE AVAILABLE 9:00 a.m.—Registration (No registration fee). CENTRAL BANK BUILDING 6th Avenue at Pine 9:30 a.m.— Guest Lecture for Industrial Apply at Central Bank — MA 7-8191 Nurses; Melvin Newquist, M.D., Medical Direc­

September 9 Primary Election Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

M O N T H LY MEETINGS STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— at 6:15 p.m. TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club SURGICAL SOCIETY Third Tuesday of each month— 6:30 p.m. at Tacoma Club STAFF OF PIERCE COUNTY Last Monday of each month— 6:15 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the Month— 8:15 p.m. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept. and Dec.—7:15 a.m. at Scotty's Cafe PIERCE COUNTY PEDIATRIC SOCIETY First Friday of Each Month, Except June, July and August. TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month— 8:30 p.m. Board Room of Pierce County Medical Society STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Building PIERCE COUNTY MEDICAL SOCIETY

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VOL. XXX—No. 1 TACOMA, WASH. OCTOBER - 1958

Pierce County Medical Society MEETING TUESDAY, OCTOBER 14 2 BULLETIN o f th e Pierce County M edical Society Pierce County Medical Society 1958 OFFICERS President...... Herman S. Judd President-Elect ...... ,J. W. Bowen, Jr. Vice-President______Chris C. Reynolds Secretary-Treasurer_ ..Arnold J. Herrmann Executive Secretary...... Judy Gordon TRU STEES Paul E. Bondo Herman S. Judd Happy Birthday J. W. Bowen, Jr. George S. Kittredge Douglas Buttorff Philip C. Kyle Robert W. Florence Robert E. Lane Hillis F. Griifin Chris C. Reynolds O ctober Arnold J. Herrmann Wayne W . Zimmerman DELEGA TES Douglas Buttorff Louis P.^Hoyer, Jr. DUDLEY HOUTZ ■: Philip Grenley Charles E . Kemp HELEN SMITH Arnold J. Herrmann Frank Maddison LESTER BASKIN - ALTERNATE DELEGATES Robert W. Florence Frederick J. Schwind E. R. ANDERSON Murray L. Johnson Don G. Willard ARNOLD HERRMANN Wendell G. Peterson Wayne W. Zimmerman MAHLON HOSIE COMMITTEES SOMERS SLEEP Ethics Robert E. Lane, Chairman ROBERT BROOKE M. R. Hosie Richard T. Davis D A V ID D Y E Grievance Hillis F . Griffin, Chairman KENNETH GROSS Gerald C. Kohl Miles Parrott THOMAS LAWLEY House and Attendance John S. May, Chairman 6 DARCY DAYTON James E. Hazelrigg Dudley W. Houtz 7 HASKEL MAIER Library I. A. Drues, Chairman RICHARD RICH John M. Havlina Hugh A. Larkin Bernard R. Rowen Stanley W. Tuell 9 JESS R EA D Program 10 DONALD NEVITT T. R. Haley, Chairman William P. Hauser David F. Dye 11 MYRON KASS Herbert C. Kennedy 12 ROBERT KALLSEN Public Health 1 4 ROBERT BOND Bernard A. Bader, Chairman Theodore Apa W. Roland Olson FRANK JAMES Public Relations W. W. Mattson, Jr., Chairman D. G. KOHLER John J. Bonica James D. Lambing JAMES McNERTHNEY Robert Johnson M. E. Lawrence Thomas O. Murphy 16 MURRAY JOHNSON Civil Defense WILLIAM LUDWIG Richard F. Barronian, Chairman William E. Avery Richard B. Link 17 C. B. R IT C H IE David F. Dye Wayne W. Zimmerman 19 DAVID HELLYER Diabetes Joseph B. Harris, Chairman VINCENT MURPHY Entertainment 20 DUMONT STAATZ George A. Tanbara, Chairman J. W. Bowen, Jr. F. W. Hennings 21 BUEL SEVER Kenneth Gross L. M. Rosenbladt 2 3 H. A. ANDERSON G. M. Whitacre Geriatrics 25 DONALD ALLISON M. E. Lawrence, Chairman CHARLES McGILL Glenn H. Brokaw John F. Steele Legislative 31 JOHN KEMMAN Douglas P. Buttorff, Chairman JO H N SRAIL Arnold J. Herrmann Gerald C. Kohl Wayne W. Zimmerman Medical Education Robert Kallsen, Chairman John Comfort Robert W. Osborne Schools R. A. Norton, Chairman NOTICE Theodore Apa George S. Kittredge Orvis Harrelson Jack W. Mandevifie Check back page of Bulletin for calen William E. Hill George Tanbara Traffic and Safety of special meetings Harold D. Lueken, Chairman Mental Health Harold B . Johnston, Chairman T. R. Haley Myron Kass William H. Todd

Bulletin Staff Front Page Picture Editor ...... W. W. Mattson, Jr. Associate Editor...... M. E. Lawrence Courtesy Business Manager..-...... Judy Gordon Auxiliary News Editor...... Mrs, Arnold Herrmann Richards Studio when you treat hypertensive patients

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*Fmnerty, F. A. Jr.: New Yofit Stals J. Med. 57:2957 (Sept. 15) 1957.

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MEETING

PIERCE COUNTY MEDICAL SOCIETY Tuesday, October 14

MEDICAL ARTS BUILDING AUDITORIUM

MOVIE . . . “THE DOCTOR DEFENDANT”—7:30 DISCUSSION: ROBERT M. YOUNG, ATTORNEY

PROGRAM—8:15 CONGRESSMAN THOR TOLLEFSON Report on the 85th Congress

TEAM APPROACH IN REHABILITATION Staff and Consultants of Puget Sound Rehabilitation Center Illustrated by case reports with presentation of patients from the Center.

A no-host social hour and dinner will precede the meeting

Social Hour: 6:00 Dinner: 6:45 Place: Honan’s Restaurant 739% St. Helens 6 BULLETIN o f th e PIERCE COUNTY MEDICAL SOCIETY

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GUEST EDITORIAL

In Medical Economics for August, we are told there were presented to the A.M.A. House of Delegates at San Francisco, formal resolutions from Connecticut and New York delegates to authorize a nationwide, state-by-state poll by doctors regarding their inclusion under Social Security. The request was overwhelmingly voted down and the delegates added this interesting statement of policy. “Members of the House of Delegates are sufficiently well-informed to represent adequately the views of the physi­ cians of America on this question of Social Security.” One wonders when the American doctors vested in our A.M.A. Trustees the right to make such a ruling. Isn’t their interpretation of medical ethics getting altogether too far over into the field of economics as it at present increasingly concerns the vast majority of our doctors? Most of the older doctors acquired the bulk of their savings prior to the years of high taxes and so, can enjoy security. Those in the younger age brackets are acutely aware of the present tax drain on their earnings which is posing an increasing obstacle for them to provide security for their families. Ex-President Hoover, in accepting a recently granted $25,000 yearly government pension, said he acquired his competence when there was no, or only a small, income tax. It should be of interest to the medical profession that a few years ago the delegates of the National Bar Association ruled against their members conning under Social Security nationwide. This was immediately so unpopular with the lawyers that the delegates were forced to reverse themselves and all lawyers are now under Social Security. At a regular meeting of the Pierce County Medical Society, September 11, 1956, a vote was taken regarding Social Security coverage. The results were: yes, 42; no, 22. The A.M.A. delegates appear to be delaying as long as possible doctor participation in this coverage now shared in by the employed population in America.

L e w i s A. H o p k i n s , M.D. 8 B U L L E T IN o f th e Pierce County M edical Society

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m BULLETIN o f the Pierce County Medical Society 11 HOSPITALS. . .

Doctors Hospital proximal end of the ruptured vessel. This vessel was an omphalomesenteric artery, which is a At the meeting of the Professional Staff of very rare phenomenon. This artery arises from The Doctors Hospital of Tacoma on Septem­ the superior mesenteric or one of its branches, ber 8, 1958, the following physicians were it passes to the navel and anastomosis with the appointed to the Active Staff of the hospital: Robert McClure Ferguson, M.D. inferior epigastric or with small arteries ac­ companying the round ligament of the liver. Walter Cameron, M.D. Z. Joseph Vozenilek, M.D. Both ends of the vessel were ligated and a small Arthur P. W ickstrom, M.D. section of the vessel was removed for a patho­ Richard E. Vimont, M.D., was appointed on logical study. The appendix was removed in the Courtesy Staff of the hospital. the usual manner, phenol and alcohol was The clinical portion of the program was applied to the stump which was not inverted. presented by Arnold J. Herrmann, M.D., on The Pathological Report of the removed arter­ the following: ial specimen indicated that this was a dis­ Acute Surgical Abdomen secting aneurism of an arterial sclerotic vessel. This case concerns a fifty-four year old long­ Continuous gastric suction by use of a levine shoreman, who was seen at home because of tube was employed for three days. Fluid intake acute abdominal discomfort with a feeling of was taken care of by intravenous fluids. The "gas". This was characterized by a feeling of patient did well until nine days postoperatively fullness in his abdomen. He was nauseated, but at which time there was obvious wound separ­ had not vomited. The symptoms had been ation. He was taken to surgery and under local present for one day. He had a distended silent anesthesia, the vertical incision was closed with abdomen with generalized tenderness which thru and thru figure eight wire sutures. Fol­ was more marked in the right lower quadrant lowing this he did well, but was in no hurry and associated with pronounced rebound to leave the sheltered existence in Doctor's tenderness. Hospital and was finally discharged on his The patient was admitted to Doctor’s Hos­ twenty-third hospital day. pital where a flat film of the abdomen was It was of interest to note that six months obtained, which was not unusual. Blood count after his hospital stay, he was explored because showed the presence of 86® hemoglobin with of intermittent claudication of the legs. It was hematocrit of 43. The white blood count was felt that he had an occlusion of the external 18,900 with 87% polys. Urinalysis showed num­ iliac artery. Arteryotomy revealed complete oc­ erous hyaline casts. The patient's temperature clusion of the femoral vessels and no vascular was 992, his pulse was 84 and the blood pres­ reconstitution was done because of the marked sure was 160/80. The preoperative impression degree and the extent of his arteriosclerosis. The was that this represented an acute appendicitis, ventral hernia which had developed as a result which had most likely ruptured. of his wound dehiscence was repaired at this The patient was taken to surgery where a time. right lower quadrant transverse incision was Intra abdominal apoplexy almost invariably made. Upon opening the abdomen, it became occurs in arteriosclerotic individuals who may readily apparent, that the source of the patient’s or may not have associated hypertension. difficulty was bleeding into the abdominal cav­ In retroperitoneal tissue such spontaneous ity. The peritoneal cavity was filled with bleeding comes usually from the superior approximately 1500 cc of both fresh and mesenteric artery and the branches of the celiac clotted blood. The small transverse incision did axis. In women, the bleeding most frequently not permit adequate exploration of the abdo­ originates from the utero-ovarian vessels and men and accordingly, a right medio lateral pregnancy increases the frequency of this bleed­ incision was made. The rectus muscle was re­ ing. The mortality is high in patients who have tracted laterally, and exploration of the entire abdominal apoplexy and the syndrome is not abdomen was made. The upper abdomen was usually considered in the differential diagnosis examined and nothing was detected there. On of the acute abdomen. searching further, it was seen that the bleeding One author advocates the use of the Trendel­ Originated from a vessel, which arose from the enburg position to bring blood to the dia­ ileocecal area and ran directly to the umbilicus. phragm. The sensory innervation of this por­ This vessel had ruptured and there was a mod- tion of the diaphragm is by way of the phrenic etate amount of active bleeding from the f Continued on Page 13) 1 2 B U L L E T IN o f the Pierce County M edical Society

provides dependable, fast, effective therapy

dependable action because all patients show therapeutic orally. Bactericidal concentrations are blood concentrations of penicillin with assured. Infections resolve rapidly. recommended dosages. Dosage: 125 or 250 mg. three times daily. quick deployment of the bacteria-destroying antibiotic. Supplied: Tablets, scored, of 125 and 250 Within five to fifteen minutes after ad­ mg. (200,000 and 400,000 units). ministration, therapeutic concentrations appear in the general circulation. New V-Cillin K, Pediatric: In bottles of 40 and 80 cc. Each 5-cc. teaspoonful higher blood levels provides 125 mg. V-Cillin K. than with any other penicillin given V-Cillin® K (penicillin V potassium , Lilly)

ELI LILLY AND COMPANY • INDIANAPOLIS 6, INDIANA, U.S.A. B332B3 BULLETIN o f the Pierce County M edical SOCIETY 13 (Continued from Page 11) News From School of Nursing nerve which is by way of the same spinal seg­ Sister Martha Joseph has assumed her posi­ ment as that of the cranial portion of the tion as Director of the School of Nursing. shoulder. He suggested that other abnormal Sister is not new at St. Joseph’s, having pre­ fluids in the abdominal cavity such as the urine, viously served as Medical Clinical Instructor purulent exudates and gastric juice may lend before leaving for further studies at St. Louis themselves to this phenomenon, but that his University. Sister has recently been granted her experience was limited to blood. M.S. in Nursing Education from that school. Several cases of intra abdominal apoplexy The new class of preclinical students entered have been reported due to avulsion of the gall­ the school on September 3. bladder from an edematous bed caused by nau­ sea and vomiting induced by an acute attack There are 32 students, one of whom is a male of cholecystitis. It was interesting to note that student. They hail from various cities in the in many of the reported cases the preoperative States of Washington, California, and Oregon. diagnosis of acute appendicitis was made. There Welcome "new students.” We hope your stay is a leukocytosis with a shift to the left of the here at St. Joseph’s will be profitable and pleas­ differential. The abdominal examination reveals ant for you. tenderness which is diffuse but fairly localized A smorgasbord in the form of a welcoming at McBurney’s point. A case of intra abdominal party was held on the evening of September 3. bleeding from a ruptured spleen was likewise The new students were escorted to the affair by diagnosed preoperatively as acute appendicitis. their "Big Sisters." The table was centered with The reason for the right lower quadrant locali­ a massive fruit centerpiece and laden with zation of tenderness is not clear. foods of many varieties. The evening was very Aneurysms of the hepatic artery have been pleasant and we know helped to "break the reported as fairly common causes of abdominal ice" for the newcomers. The senior nurses were apoplexy. The mortality in these cases is ob­ seen to linger over their meal and chat away. viously very high. For many it brought back memories of three This case is reported as bleeding from an years ago. The student body had a free day extremely rare vessel, to increase the aware­ Thursday, September 18, to attend the Western ness of abdominal apoplexy as the cause of an Washington Fair. It was a "free day” also for acute surgical abdomen. the busy instructors who have taught through­ out the year. Sister May Therese is the new Science In­ Saint Joseph’s structor replacing Sister Vicorine who pre­ viously held that position. The new senior class Pediatric News will return from their vacations on September New additions to the staff are Miss Roberta 28. The fall quarter will begin on September Zederic and Miss Ann Rutledge, recent gradu­ 29. The instructors will be attending the fol­ ates. W e feel very fortunate and happy to lowing institutes during September (a) Nurs­ welcome them to our staff. News from Gains- ing Care and (b) What to do in Case of Fire. ville, Florida from Mrs. Nancy Cheng, a former The Medical Record Department has again head nurse in the department, tells of her started to microfilm. When the ten year period teaching fellowship at the University of is finished all records up to 1950 will be on Florida. They have bought a home in Gains- microfilm. A number of books are missing ville and expect to spend the next three years from the library. If the whereabouts of any of at the University. Miss Roberta Zederic will these books is known please contact Mrs. Olga become Mrs. Rodney Hansen on Saturday, Mackie, the librarian. The books which are September 20. Many years of happiness for the missing include: couple is wished by every member of the staff. Practical Physiology Chemistry, Hawk; A Mrs. Marie Holcomb has been added to the Primer of Electrocardiography, Samson W right; department as a nurses aide. Miss Florence Applied Physiology, George Burch, Clinical of Rehivinkel has returned to the department after Hematology 4th Ed., W . M. M yer; Current a three month’s leave of absence. Miss Elizabeth Surgical Management, Mulholland; Principals Skube, one of our faithful practical nurses has and Practices of Obstetrics, Delee, Joseph, and accepted a civil service position at Madigan Greenhill; A Method of Anatomy, Grant; Color Army Hospital. Their gain is surely our loss. A Atlas of Oral Pathology, U.S.A. Medical School; pink and lavender theme was used at the bridal Peripheral Vascular Diseases 2nd Ed., Allen; shower held in the department for Miss Obstetrics 11th Ed., Eastman; and Biochemistry, Zederic. Cantarow. 14 BULLETIN o f th e Pierce County M edical Society

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1958-58 at an 11:00 o’clock brunch in the Crystal Ball­ Woman’s Auxiliary room of the Winthrop Hotel. Rhodes will pro­ vide the fashions and we will help provide the Pierce County Medical Society models—ladies’ and children’s fashions. Tickets Officers and Chairmen —§2.50 per—also parties of 6 or more may President.. ..Mrs. Robert W. Florence make reservations ahead of time. Door prizes President-Elect...... Mrs. Joseph Harris 1st Vice-President______Mrs. Herman Juddand Ruth Brooke decorations—what more could 2nd Vice-President _ Mrs. Robert Osborne you ask for—call for tickets now—SKyline 3rd Vice-President...... Mrs. Carl Scheyer 4th Vice-President...... —Mrs. Burke Lair 9-0700. Recording Secretary __ Mrs. Charles Anderson, Jr. Corresponding Secretary.-...... Mrs. Kenneth Gross Convention Comments Treasurer...... Mrs. Haskel L. Maier American Medical Education Fund Mrs. Robert Osborne Spokane sparkled with lots of Pierce County National Bulletin______Mrs. Robert P. Crabill Civil Defense ...... —Mrs. Robertfaces Burt at the annual State convention. The Historian—...... Mrs. Thomas Smeall Social...... Mrs. F. M. Nace Davenport and the Ridpath hotels were scenes Legislative...... Mrs, Robert Ferguson of much medical activity during the four-day Membership and Hospitality ------Mrs. Glenn Brokaw Mrs. Galen Hoover meeting. Not all was business, however, lots Nurse Recruitm ent...... Mrs. H erbert Kennedy of dining, dancing, and fun was had by all. Program ...... Mrs. T. O. Murphy Public Relations...... ______Mrs. Mills Lawrence Ruth Murphy is the new State Legislative Revisions- ...... Mrs. Elmer Wahlberg Rehabilitation...... Mrs. T. B. Murphy Chairman. At the American Medical Associa­ Telephone.. Mrs. Richard Link tion convention last June in San Francisco the Today’s Health-...... Mrs. George Tanbara Mrs. Stanley Tucll A.M.A. Auxiliary awarded the Puget Sound Speakers Bureau______Mrs. Philip Grenley Minute Women ..... Mrs. W. W. Zimmerman Rehabilitation Center the outstanding project Heart.._...... - ...... Mrs. Robert Kallsenof the year award—this is our very own Pierce Mental Health ...... Mrs. James Mattson Safety... -______Mrs. StanleyCounty Durkin project. Cancer...... Mrs. Robert Brooke Infantile Paralysis...... Mrs. Douglas Buttorff Summer Summaries Tuberculosis ______Mrs. Hillis Griffin Crippled Children and Adults...... Mrs. W . G. Peterson Europe seemed to attract quite a few of our Publicity—Bulletin _ Mrs. Arnold Herrmann Publicity—Newspaper _ Mrs. Howard Pratt members this past summer—among them were Fashion Show ...... Mrs. G. M. Whitacrc Dance______Mrs. RobertDr. and Gibson Mrs. S. F. Herrmann whose trip you Game N ight ...... Mrs. T.may B. Murphy have read about in the last Bulletin. Also Community Council—...... Mrs. John Steele City Council ...... Mrs. Wm.Dr. andGoering Mrs. Walter Cameron returned during the past week from the far shores of the Atlan­ Tea for you—at Ruth Murphy’s, 803 Sta­ tic. We understand that Helen Kyle took a dium Way, at 1:00 p.m., Friday, October 17. European jaunt recently. Our first meeting—and a large turn out of Dr. and Mrs. Lou Rosenbladt were lured to members would be greatly appreciated by all the chillier climates of Alaska. They took a of the gals who work so hard to make these trailer trip to the 49th state with the whole events something special for you, Billie Jean family. During their stay in Fairbanks, Alaska Murphy will introduce as guest artist for the was officially made a state of the union and afternoon, Mr. Carl W . Svedberg who w ill offer we understand pandemonium reigned . . . several piano selections. Mr. Svedberg who took supreme. his musical training at Eastman School of Oregon oceanside vacationers included the Music, teaches piano in Tacoma. Osbornes, the Whitacres, the Petersons, the Chairman for the membership tea will be Murphys, the Vadheims, the Kass’s and the Mrs. M. J. W icks. H er co-chairman, Mrs. D. P. Wickstroms. Buttorff. Also assisting are Mesdames Sam The Ericksons vacationed at their favorite Adams, B. A. Bader, J. W . Bowen, M. R. Hosie, resort on Orcas Island near the home of Bea and W . G. Peterson. Cook of "Til Fish Do Us Part” fame. Our new president, Helen Florence, is start­ One of the most interesting vacations we ing the year off not only with new faces, but heard about was taken by the Robert Burts. also new ideas. She and her executive board w ill Bob and Lorna with their two eldest, Betty, 12 entertain thirty or more new Auxiliary mem­ and Carolyn, 10, went with the Olympic Col­ bers at a coffee hour in her home before the lege Mountaineers on a 15 day pack trip into regular meeting. the Olympic Mountains. Food and equipment Hazel Whitacre wants all of you to remember were packed in by horses but they had to hike NOVEMBER—that is Nov. 21. That is the 75 miles over the "high divide" and carry their date of the Auxiliary’s Fashion Show—Friday f Continued on Page 19) 18______BULLETIN of the Pierce County M edical Society

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tfTRAOEMAUK BULLETIN ot the Pierce County Medical Society 19 (Continued from Page 17) own clothes and sleeping bags. Lorna reports that they had some very interesting compan­ ions—about 30 in all-—professors, scientists, and a writer from Look Magazine who gave lectures on the geology, astronomy, and plant and wildlife of the Olympic Mountains. Some of the group visited the I.G.Y. scientists up on the snow dome of Mt. Olympus. They also had the Vice-President of Smith, Kline, and French Drug Laboratories and his wife and family on the trip with them. As Lorna related—it was a trip they will long remember. Etc, Etc., and Etc. The Stan Tuells have moved into their new home at Brown’s Point. . . . The John Flynns entertained in their new Wollochet Bay home. . . . The John Mays welcomed a new son— John, Jr., July 8. John is the third for the Mays—he joined two little sisters. A really truly surprise shower was given for Mavis Kallsen last August at the Country Club. Professor Charles F. W. Illingworth Keaty Gross and Janny Eshelman were hostesses Professor Charles F. W. Illingworth will give to about 35 guests who honored the surprised the Ninth Annual Alfred A. Strauss lecture lady-in-waiting. At Bulletin press time Mavis sponsored by the Department of Surgery of the was still a lady-in-waiting. University of Washington School of Medicine on Wednesday, November 5, 1958. The lec­ ture will be held in the Auditorium of the “PATRONIZE OUR ADVERTISERS Health Sciences Building at 8:15 p.m.

P. E. in the Schools FIRST NATIONAL Most of us have been bothered from time to time with requests from parents to write ex­ cuses from Physical Education for their chil­ AUTO LEASE dren. Often-times this puts the doctor "on the spot." Many excuses are entirely justifiable for COMPANY limited periods but a blanket excuse for a whole semester or school year is not desirable. The Physical Education program being a re­ 624 Broadway quired course by state law is an integral part of the school curriculum and excuses from gym MArket 7-6171 are no more permissable than excuses from one of the academic courses. Accordingly, the Physical Education depart­ SPECIAL LOW RATES ON ment, in cooperation with the School Committee MAINTAINED BUSINESS CARS of the Medical Society, has developed a form for this purpose. With this form, a doctor may FOR PROFESSIONAL MEN recommend any limitations of physical activi­ ties which he deems advisable. 1 - 2 - 3 - Year Leases In the near future you will receive a letter from the schools to this effect, along with a sample of the form described above. It is our SEDANS - STATION WAGONS urgent request that you study this form care­ HARD TOPS - CONVERTIBLES fully and use it when any requests are made for physical training excuses. THUNDERBIRDS SCHOOL COMMITTEE R. A. Norton, M.D. C h airm an 20 BULLETIN o f the Pierce County M edical Society PRESCRIPTION SPECIALISTS

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Doctors Hospital Building B U L L E T IN of the Pierce County Medical Society 2i A.H.A. Scientific Sessions sitivity in Cardiovascular Disease;” and several To Be Held in October papers on general clinical interest. Afternoon: Panels on Arteriosclerosis to be total of 90 original scientific papers, A presented jointly with the American Society for selected from over 360 submitted, will be pre­ the Study of Arteriosclerosis. sented at the American Heart Association’s Sunday, October 26 31st Annual Scientific Sessions in San Fran­ M orning: Simultaneous Scientific Sessions to cisco’s Civic Center, Friday, October 24 through be conducted by the Councils on Clinical Card­ Sunday, October 26. In addition, there will be iology, High Blood Pressure Research, and approximately 30 papers read by invited Basic Science. speakers. Afternoon: A special program designed to Additional interest in the varied program to interest laymen as well as physicians, "Rewards be presented this year will be provided with an of Research,” arranged by the Council on Com­ all-day Scientific Session for Clinicians and munity Service and Education, followed by a joint participation in the Scientific Sessions by session on Rheumatic Fever Secondary Pre­ the American Society for the Study of Arterio­ vention Programs, sponsored jointly by the sclerosis and the Microcirculatory Conference. Councils on Rheumatic Fever and Congenital Session for Clinicians Heart Disease and Community Service and The Session for Clinicians, scheduled for Education, which will cover areas of general Friday, October 24, under sponsorship of the interest concerning the scientific basis of pro­ Council on Clinical Cardiology, will include phylaxis, the practical problems of applying this symposia on "Congential Heart Disease,” scientific knowledge, and areas still to be "Treatment of Intravascular Clotting,” and explored for further knowledge on this subject. "Peripheral Arterial Insufficiency." The Clini­ Evening: American Heart Association’s cians will also discuss such subjects as "Clinical Annual Dinner at the Fairmont Hotel. A medi­ Evaluation of Chlorothiazide," "Traumatic cal film program will be shown each day con­ Heart Disease,” and "The 'Tough Case' of current with the Scientific Sessions. As in pre­ Bacterial Endocarditis.” A panel discussion, vious years, a section of scientific and industrial "Whats’ New in Arrhythmias," will also be exhibits will be on view. held. These sessions have been classified by the Urge Early Registration American Academy of General Practice as Registration and hotel accommodation forms acceptable for credit for Academy members. are now available from the Association. As an Scientific Sessions Schedule inducement to early registration all physicians Following is a schedule of other highlights who register prior to the Scientific Sessions of the three-day Scientific Sessions: will receive an advance complimentary copy Friday, October 24 of the program booklet containing abstracts of Morning: Joint A.S.S.A.-A.H.A. sesion on the proceedings. These will be sold for $1.00 genetics; Scientific Sessions under sponsorship at the meeting. of the Heart Association’s Councils on Circula­ tion and Cardiovascular Surgery. Social Security Deficit Afternoon: Scientific Session sponsored by The Budget Bureau, in its annual midyear the Council on Rheumatic Fever and Congeni­ review of the federal budget, revives upward tal Heart Disease; Joint Session of the Associa­ from last January and the OASI and disability tion’s Council on Circulation and the Micro- payments being made. OASI receipts for the circulatory Conference, with symposia on "Vas­ last year are now estimated at $8.35 billion cular Thrombosis," "Cerebral Circulation," and compared with payments of $9.49 billion. One "Vascular Reactivity.” reason for the rise is a payment of over $300 Evening: Session on "Instrumental Study million to the railroad retirement account to of the Heart and Circulation.” help equalize the actuarial risk of the two sys­ Saturday, October 25 tems. Disability payments, on the other hand, Morning: General session of Applied Card­ continue below receipts—$418 million com­ iovascular Research; Lewis A. Conner Memorial pared with $957 million estimated to be taken Lecture by Dr. John H. Gibbon, Jr., Professor in this year. of Surgery, Jefferson Medical College, Phila­ The Bureau said that for the rest of this fiscal delphia, on "Maintenance of Cardio-Respira- year receipts and expenditures under social tory Functions by Extracorporeal Circulation;” security amendments voted this summer will George E. Brown Memorial Lecture by Dr. be about the same. With a further increase in Lewis Thomas, Professor and Chairman, De­ tax rates scheduled for January 1, I960, the partment of Medicine, New York University fund should again start accumulating receipts College of Medicine, on the "Role of Hypersen­ by the end of fiscal I960. 24 BULLETIN of the Pierce County M edical Society

AFTER ALL HAS BEEN SAID ABOUT CORTI- COIDS UNPRECEDENTED CORTICOID THERAPY ° r 3stf>nia for arthritis

► Rtaraxoidprednisolone-hydroxyzineprednlsolone-hydroxyzlne i & W * ' MULTIBENEFICIAL ACTIONS: ANTI-INFLAMMATORY, ANTI-RHEUMATIC, ANTI-ALLERGIC - p r o v i d i n g h ig h potency corticoid efficiency of pred­ nisolone. TENSION RELIEF — includes th e re m ark ­ ably safe, dependable action of hydroxyzine.i Eliminates anxiety- induced exacerbations.2 MUSCLE RELAXATION —hydroxyzine also relaxes muscle spasmS for added con­ trol of aggravating factors. Often permits lower corticoid dosages.2 ANTI-SECRETORY - h y d ro x y z in e a lso suppresses excessive gastric secre­ tion.4 With lower dosage, g.i. dis­ tress and other corticoid complica­ tions are further minimized. CONFIRMED by effectiveness in 95% of 1717 cases5 and a low incidence of side effects (mostly m ild/transient). ATARAXOID-5.0 mg. prednisolone and 10 mg. hydroxyzine HCI. ATARAXOID — 2.5 mg. prednisolone and 10 mg. hydroxy­ zine HCI. ATARAXOID — 1.0 mg. predniso­ lone and 10 mg. hydroxyzine HCI.

PFIZER_ _ LABORATORIES . - _ (P fizer) ^ Shftlowitz, M .: Geriatrics 11:312, 1356. 2. Division, Cnas Pfizer & Co., Inc. ------Warter. P. J .: J. M. Soc. New Jersey 54:7, 1957. Brooklyn b, .New York 3 Hutcheon, D. E., et al.: Paper presented at Am. Soc. Pharmacol. & Exper. Therap., Nov. 8-10, 1956, French Lick, Ind. 4. Strub, I. H .: To be published. 5. Individual Case Reports to Medical Dept.. Pfizer Laboratories. BULLETIN o f the Pierce County Medical Society 25

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ACHROMYCIN V dosage: Recommended basic oral dosage Is 6-7 mg. per lb. body weight per day. In acute, severe infections often encountered in infants and children, the dose should be 12 mg. per lb. body weight per day. Dosage in the average adult should be 1 Gm. divided into four 250 mg. doses.

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LEDERLE LABORATORIES, a Division of AMERICAN CYANAMID COMPANY R e g . u.s. pat. Off. Pearl River, New York BULLETIN o f the Pierce County Medical Society 27 Mine Worker Fund Claims Savings in Medical, Hospital Costs United Mine Workers Welfare and Retire­ ment Fund's annual report claims a 2.4% or $1,448,909 savings over the previous year in LOST AND FOUND total cost for hospital and medical care, "not­ withstanding the sharp increase in such costs LOST throughout the nation.” The report for the fiscal year ending last June 30 frankly states that the ELECTROLYTES lost in diarrhea savings are due to the elimination of the free- Sudden loss of electrolytes and water in the choice-of-physician arrangement and such other intestinal discharge during diarrhea must be procedures as cutting down on stay in hospitals. counteracted if dehydration, exhaustion and The report comments: prostration are to be avoided. Replacement of sodium, potassium, calcium, or chloride "The trust fund’s official files and records ions is therefore an essential part of treatment. . . . are replete with evidence showing that the primary quality and cost requirements of FOUND trust fund regulations were not being met under the previous free-choice-of-physician ar­ ELECTROLYTES found in rangements whereby the fund had permitted palatable oral formulation the beneficiary free choice of physician and had paid every physician so chosen for any POLYSAL® K-P service he billed the fund, and had allowed him Oral Electrolytes with to hospitalize any beneficiary at fund expense Kaolin and Pectin whenever and for as long as he desired." Other report highlights: (1) About 1 mil­ Each 100 cc. contains: Sodium Chloride, U.S.P ...... 0.83 Gm. lion miners and their dependents are covered Potassium Chloride, U.S.P ...... 0.56 Gm. by the hospital and medical services provided Calcium Pyrophosphate...... 0.057 Gm. by the fund, and during the past year 85,426 Magnesium Gluconate, 2H :0 ...... 0.13 Gm. beneficiaries received hospital and medical care Sodium Lactate, Anhydrous...... 1.35 Gm. Kaolin, Colloidal, N.F ...... 19.44 Gm. benefits, and (2 ) the fund paid out $58,135,684 Pectin, N.F ...... 0.87 Gm . for hospital and medical care which involved Replaces lost electrolytes . Balances water 1,458,385 days of hospitalization, 1,311,088 with electrolytes • Soothes and protects intes­ hospital visits by physicians and 969,801 office tinal mucosa • Provides demulcent, adsorbent and out-patient clinic consultations. and detoxifying action POLYSAL® ELIXIR Quarterly Legislative Review oral electrolytes alone The second session of the 85th Congress, Each 100 cc. contains: beset with space age and other problems and Sodium Chloride, U.S.P ...... 3.33 Gm . operating in the charged atmosphere of an Potassium Chloride, U.S.P ...... 2.22 Gm . election year, found time to take up an un­ Calcium Lactate, N.F ...... 0.553 Gm. Magnesium Gluconate, 2 H jO ...... 0.50 Gm. usual number of bills of interest to medicine. Sodium Lactate, Anhydrous...... 5.0 Gm. It passed more than a dozen. Just as notable were two bills that did not pass. While the REWARD Forand bill for a hospitalization program under social security failed to clear the House W ays Quicker return to normal with replacement of and Means Committee, the committee did order electrolytes and improved retention of water. the Department of Health, Education and Welfare to make a thorough study of the prob­ ALWAYS USE ELECTROLYTES lem of financing medical care of the aged, with EARLY emphasis on use of social security. Because the Administer balanced oral electrolytes— report is due by next February 1, the basic Specify Polysal K P ...... 9 oz. issue is almost certain to come to the front Polysal E lixir ...... 6 oz. again early in the new Congress. Another major issue left hanging was that of tax-defer- CUTTER LABORATORIES ment on annuities for the self-employed—the Berkeley, California Keogh bill. It went through the House by an overwhelming vote and won the support of 32 Senators, two factors that suggest it may be enacted next year. 28 BULLETIN of the Pierce County Medical Society

Doctor would like to share office with another physician Tuesday, Thursday A COMPLETE LINE OF and Saturday beginning October 1. SUPPLIES FOR THE Anyone interested call Dr. Charles G. Trimble at home, any time, SKyline PHYSICIAN . . . HOSPITAL 9-8184; or the office, SKyline 9-7783, AND Mon., Wed., or Fri. NURSING HOME Immunization Information The immunization service of the Tacoma- Pierce County Health Department is intended for those unable to pay a private physician and Mail or Telephone Orders is based upon a means test. At times physicians refer patients to the Given Prompt Attention Health Department for immunization due to the family’s inability to pay for the service. Some of these referrals have presented a prob­ lem because they have not been written. In referring patients to the Health Depart­ ment for immunization, we are requesting SHIPMAN physicians to send along a brief statement re­ questing a specific immunization on a prescrip­ SURGICAL CO. tion sheet or any other available paper. Tacoma-Pierce County Health Dept. 741 St. Helens Ave. - BR. 2-6400 2324 Pacific Avenue Tacoma 2 Tacoma 2, Washington

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are but two reasons many physicians find Veratrite the antihypertensive of choice in treating geriatric patients, because it can be safely used in patients who cannot tolerate stronger drugs. Veratrite, a product of continuous Neisler research, now contains Cryptena- mine, a newly isolated alkaloid fraction—which lowers blood pressure safely . . . dependably . . . and without annoying side effects. Each Veratrite tabule contains: Cryptenamine (tannates) 40 C.S.Rj Units Sodium nitrite ...... 1 gr. J r. Phenobarbital ...... lA gr. tCarotid Sinus Reflex

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AVERAGE DOSAGE j For Daytlmr Sedation-O 35 Gm^t ■ c! I me^ls} j 0.125 6m . tablets for ohJIdren over Sf elderly^patWnts others who require less than 0*25 6m, 1 ‘ 1 'J \ ij I * 4J , , * , , J » ■ Porlnsomnuj-OSSm \Lbodtlrm ^ - i* * - >*: ...... SUPIfLY: Tablets, 0.125 <3m, 0 ? 5 C r tndOaGm "1 M" | tlp i..v!g. .JrhfciL ^Mirmrnwiiifiifwi BULLETIN of the Pierce County M edical Society 31 Social Securty Changes and in the balance of the payments the Federal share will be 50% to 65% depending upon a At present the U.S. pays §24 of the first state’s per capita income. $30 monthly per recipient of old-age assistance, aid to the blind and aid to the permanently Some states will benefit financially only and totally disabled. It also pays half of the through the averaging feature, some will bene­ remainder up to an individual maximum of $60 fit from raising the Federal share of the second per month. part of the payment and some will benefit from both of these features. Under the new law, the U.S. will continue to pay $24 of the first $30 monthly, but will Changes in Method of Receiving and increase its contribution toward the remainder Spending Medical Care Funds (up to an overage maximum of $65) from a flat 50% to between 50% and 65%. All states At present, the U.S. offers states $3 per will be assured of U.S. help of at least 50% in month per adult public assistance case for this upper part of the payments, and the states medical care costs, providing the states match with relatively low per capita income will re­ this money 50-50, and $1.50 per month per ceive up to 65%. child, with the same matching requirement. This money, which is over and above the in­ At present, state receive from the U.S. $14 dividual maximums ($60 for adult categories of the first $17 per recipient for aid to de­ and $32-$32-$23 in aid to dependent children), pendent children, and half of the remainder up must be used for vendor payments, i.e., paid to individual maximums of $32 each for the directly to doctors, hospitals, pharmacists, first child and needy adult caretaker and $23 dentists, etc. In addition, the states can give for each additional child. the recipients money for their medical costs within the individual maximums. Under the new system, states will continue to receive $14 of the first $17, but the U.S. con­ A number of states have found that under tribution toward the remainder (up to average this arrangement they have not been able to maximums of $30) will be increased to be­ take advantage of all the Federal funds avail­ tween 50% and 65%, as in the above programs. able under both the vendor payments and the The exact percentage to which each state is money payment (to recipients) parts of the entided will be determined shortly by Secre­ Federal sharing formula. Furthermore, the re­ tary Flemming and published in the Federal cipient, not the state, was responsible for paying Register. (When available, we will carry these the medical bills. figures also. Under the new system, the concept of a separate accounting of medical care funds is “Average" Will Simplify Administration eliminated. The $65 and $30 per month will and Help Meet Unusual Needs be for medical care and all other expenses, such as housing and food, and the states may use The new law provides a different and simpler any part of these funds to pay doctor and hos­ system for calculating the total public assistance pital bills. Furthermore, states may pay the money to which states are entitled. Now to money directly to vendors of medical care, they determine the amount subject to Federal match­ may pay it to the recipients with the under­ ing, each monthly payment must be examined standing it is intended for the vendors, or they to determine the amount, if any, by which it may pool the funds, for broad, state-wide exceeds individual maximums. Now persons programs of medical care. with unusual needs and/or limited resources often get les sthan they need because of maxi- Explaining this change, the Social Security mums on individual payments. Administration declares:

Under the new plan the maximum amount "The new federal matching limitation of $65 subject to Federal matching w ill be deter­ on total average expenditures will cover both mined by multiplying $65 by the total number money payments to recipients and payments for of recipient in the adult categories and $30 by medical care on their behalf. Presently, pay­ the total nuinber of recipients of aid to de­ ments to physicians, hospitals and other sup­ pendent children (providing states match up pliers of medical care are financed separately to the maximum). Within these total amounts from money payments to recipients.” the Federal share will be 4/5 of the first $30 -per recipient in the adult categories and 14/17 of the first 1 17 in aid to dependent children; “PATRONIZE OUR ADVERTISERS' Sul • ' 3 2 B U L L E T IN o f th e Pierce County M edical Society

when your patients tell you: - _ “I can’t sleep,” your M ^ C ^ j r e l i a b l e , c o n s e r v a t i v e a n s w e r i s squ,bbchioraiHssi&^ i M L V , U L is

GENERAL PRACTICE "The general practitioner likes it... can be given to patients of all ages and physical status” CARDIOLOGY "patients with cardiac disease... no proof that it is deleterious to the heart” DERMATOLOGY "frequently the favorite of the dermatologist... skin reactions from it are uncommon” PSYCHIATRY “The psychiatrist often finds it the agent of choice...much less likely to produce mental excitement” Current Concepts in Therapy: Sedative-Hypnotic Drugs II. Chloral Hydrate. New England J. Med. 255: 706 (Oct. 11) 1955. A d u lts: 1 or 2 7Y2 gr. capsules or 1 or 2 teaspoonfuls of Noctec Solution 15 to 30 minutes before bedtime. C hildren: 1 or 2 3% gr. capsules or *4 to 1 teaspoonful of Noctec Solution 15 to 30 minutes before bedtime. Supply: 7Yz and 3% gr. capsules, bottles of 100. Solution, I 1/*, gr. per 5cc. teaspoonful, bottles of 1 pint.

UlOtt T3AOCI4ARR. S q u ib b Squibb Quality—tke Priceless J BULLETIN o f the Pierce County M edical Society A.C.P.M.R. News Notes Second Award—Silver Medal: Ihe Silver Medal was presented for the scientific exhibit, The American Congress of Physical Medi­ "The Sequence of Action of the Diaphragm and cine and Rehabilitation is pleased to announce the election of the following officers for Intercostal Muscles During Respiration, to 1958-59: Doctor George H. Koepke, Ann Arbor, Michi­ gan, on behalf of himself and his co-sponsors, Arthur C. Jones, M.D., Portland, Ore., President Doctors James W. Rae, Jr. and David G. Dickinson. Frederic J. Kottke, M.D., Minneapolis, President-Elect Third Award — Bronze Medal: Doctors Frank J. Schaffer and A. B. C. Knudson of Donald A. Covalt, M.D., New York, First Vice-President Washington, D.C. were awarded the Bronze Medal for the scientific exhibit, "Rehabilita­ Donald J. Erickson, M.D., Rochester, Minn., tion of the Quadriplegic Patient.” Second Vice-President Honorable Mention: Doctors Meyer A. Jerome S. Tobis, M.D., New York, Third Vice-President Perlstein, Harry Elam, and Marcos Turner, Chicago, received honorable mention for their Louis B. Newman, M.D., Chicago, Fourth scientific exhibit, "Control of Seizures and Vice-President Hypertonus.” Also, honorable mention was Charles D. Shields, M.D., Washington, D.C., awarded the scientific exhibit, "Strike Back at Fifth Vice-President Stroke: Early Mobilization ofthe Stroke Pa­ Frances Baker, M.D., San Mateo, Calif., tient,” sponsored by Paul Q. Peterson, M.D.; Secretary S. D. Pomrinse, M.D.; and Bernard D. Daitz, Frank H. Krusen, M.D., Rochester, Minn., Ph.D., W ashington, D.C. Treasurer Essay Award Walter J. Zeiter, M.D., Cleveland, Executive Director The American Congress of Physical Medi­ Dorothea C. Augustin, Chicago, Executive cine and Rehabilitation conducts an annual Secretary essay contest and also sponsors the Bernard M. At the annual session of the American Con­ Baruch Essay Award. These contests are open gress of Physical Medicine and Rehabilitation to medical students and students in the field of in Philadelphia, the following presentations physical medicine and rehabilitation. Awards were made: are presented to persons submitting essays on any subject in the field of physical medicine and Gold Key Award rehabilitation who have been selected by the Doctors Howard A. Rusk, Professor and Congress Committee on Essay Award as the Chairman at the Institute of Physical Medicine prize winners. and Rehabilitation, New York University- Bellevue Medical Center, New York City, and At its annual meeting in Philadelphia, the Arthur L. Watkins, Medical Director of the American Congress of Physical Medicine and Department of Physical Medicine at Massa­ Rehabilitation announced the presentation of chusetts General Hospital, Boston, were the award for the best essay in the field of awarded the Gold Key of the American Con­ gress of Physical Medicine and Rehabilitation physical medicine and rehabilitation by a grad­ for outstanding services in the field of physical uate medical student to Doctor Michael Kosiak, medicine and rehabilitation. who at present is an instructor at the University of Minnesota Medical School Department of Scientific Exhibit Awards Physical Medicine and Rehabilitation, Minne­ First Award-—Gold M edal: W illis C. Beas­ apolis. His contribution was entitled "The ley, Ph.D., Bethesda, Md., was presented the Pathology of Ischemic Ulcers.” Technical Gold Medal for his scientific exhibit, "Onto- assistance on this work was offered by W. G. genetics and Biomechanics of Ankle Plantae Kubicek, Ph.D.; Mildred Olson, B.S.; Jean •. Flexion Forces.’’ N. Danz, B.S., O.T.R.; and F. J. Kottke, M.D. 3 4 BULLETIN o f th e Pierce County M edical Society Special Professional Directory Prompt Delivery Service . . . The Tacoma Junior Women’s Club, in co­ operation with the Tacoma-Pierce County MEDICAL OXYGEN Association for Mental Health, will sponsor the REGULATORS - MASKS publication of a special professional directory on services to the emotionally disturbed as EQUIPMENT RENTALS their fall project. The special directory will be made available Call For Details to physicians, clergymen and attorneys in order that early referrals may be made to the OXYGEN SALES & SERVICE proper social agency, private practitioner or 1934 Market St. M A. 7-8186 other psychiatric service required by clients. It will list local resources in the Tacoma area. Appointed to act as chairman of this project by Mrs. Richard Johnson, president, was Mrs. Clement P. Gurko, Mental Health Chairman, a DAMMEIER sub-committee of the Civic Affairs Committee, under the chairmanship of Mrs. Orey Rush. Printing Co. The directory will be put out in mimeo­ BRoadway 2-8303 graphed form in the intial copy in order to allow for changes and additions to be incor­ 811 Pacific Ave. Tacoma porated in a future printed publication for professional use.

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N ext Meets no

Tuesday, October 1 4 B U L L E T IN o f the Piekce County Medical Society 35 Program Outlined For Joint sions on the following subjects will be in­ cluded: "Hypertension,” with Sir George A.S.A.-A.H.A. Sessions Pickering, Oxford, England, Dr. Caroline B. Thomas, Baltimore, and Dr. Bouglas R. Drury, A program which includes a symposium on Los Angeles participating; "Atherosclerosis, "Genetic Factors in Cardiovascular Disease,” with Dr. Arthur G. Steinberg, Cleveland, Dr. and panels on teh subject of arteriosclerosis will Frederick H. Epstein, Ann Arbor, Mich., and be presented jointly by the American Society Dr. Richard H. Osborne, New York; "Rheu­ for the Study of Arteriosclerosis and the Ameri­ matic Fever," with Dr. May G. Wilson, New can Heart Association at the A.H.A. Scientific York and Dr. Paul A. Lembcke, Los Angeles; Sessions in San Francisco, October 24-26. This and "Congenital Malformations,” with Dr. year for the first time the American Society for Catherine A. Neill, Baltimore and Dr. Mc­ the Study of Arteriosclerosis is hold its Annual Kusick. Discussion will be opened by Dr. An­ Meeting to coincide with the American Heart tonio Ciocco, Pittsburgh. Association’s Scientific Sessions. Panels will be held on Saturday afternoon, The joint A.S.S.A.-A.H.A. program opens October 25, on "Emotional Factors in Athero­ Friday morning, Otcober 24 with a symposium, sclerosis,” with Dr. Louis N. Katz, Chicago, "Genetic Factors in Cardiovascular Disease," Moderator; and "Hypertenison and Athero­ Dr. Victor A. McKusick, Baltimore, and Dr. sclerosis,” to be moderated by Dr. A. C. Cor­ David Adlersberg, New York, Chairmen. Ses­ coran, Cleveland.

• tranquilizer therapy rational adjunct to: steroid therapy antibiotic therapy surgery

The source of stress may vary, but not the rational basis for adjunctive vitamin support.

Each Capsule Contains: Thiamine Mononitrate (BO ...... 10 mg. Vitamin Bji-...... 4 mcgm. Riboflavin (B2) ...... 10 mg. Folic Acid ...... 1.5 mg. Niacinamide ...... 100 mg. Calcium Pantothenate ...... 20 mg. Ascorbic Acid (C) ...... 300 m g. Vitamin K (Menadione) ...... 2 mg. Pyridoxine HCI (Bo) ...... 2 mg. Average dose: 1-2 capsules daily.

LEDERLE LABORATORIES DIVISION, AMERICAN CYAN AM ID COMPANY, PEARL RIVER, NEW YORK *Roo, U.S. Pat. Off, Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—at 6:15 p.m. TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club SURGICAL SOCIETY Third Tuesday of each month—6:30 p.m. at Tacoma Club STAFF OF PIERCE COUNTY Last Monday of each month—6:15 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the Month—8:15 p.m. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept. and Dec 7:15 a.m. at Scotty's Cafe PIERCE COUNTY PEDIATRIC SOCIETY First Friday of Each Month, Except June, July and August. TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Building TACOMA ACADEMY OF GENERAL PRACTICE Fourth Wednesday of each month except June, July and August—6:30 p.m. at Honan's PIERCE COUNTY MEDICAL SOCIETY

VOL. XXX— No. 2 TACOMA, WASH. NOVEMBER ■ 1958

Pierce County Medical Society MEETING TUESDAY, NOVEMBER 11 2 BULLETIN o f th e Pibrcb County M edical Society Pierce County Medical Society 1958 OFFICERS P resident ...... H erm an S. Judd President-Elect...... J. W. Bowen, Jr. H ap - py birth - day to you, Vice-President ...... Chris C. Reynolds Secretary-Treasurer...... Arnold J. Hemnann Executive Secretary...... Judy Gordon TRU STEES Paul E. Bondo Herman S. Judd Happy Birthday J. W. Bowen, Jr. George S. Kittredge Douglas Buttorff Philip C. Kyle Robert W. Florence Robert E. Lane Hillis F. Griffin Chris C. Reynolds November Arnold J. Herrmann Wayne W. Zimmerman DELEGA TES Douglas Buttorff Louis P. Hoyer, Jr. 1 CHARLES E. KEMP Philip Grenley Charles E. Kemp Arnold J. Hemnann Frank Maddison 3 J. HUGH KALKUS ALTERNATE DELEGATES Robert W. Florence Frederick J, Schwind GEORGE MOOSEY Murray L. Johnson Don G. Willard Wendell G. Peterson Wayne W. Zimmerman 5 WILLIAM C. BROWN COMMITTEES 6 SHERMAN S. PINTO* E thics Robert E. Lane, Chairman 8 WAYNE ZIMMERMAN M. R. Hosie Richard T. Davis G rievance 9 BERNICE HAZEN Hillis F. Griffin, Chairman Gerald C. Kohl Miles Parrott 11 KENNETH STURDEVANT House and Attendance John S. May, Chairman James E. Hazelrigg Dudley W. Houtz 13 DALE DOHERTY L ibrary I. A. Drues, Chairman PAUL GERSTMANN John M. Havlina Hugh A. Larkin Bernard R. Rowen Stanley W. Tuell 14 THOMAS H. CLARK Program T. R. Haley, Chairman 16 GALEN HOOVER William P. Hauser David F. Dye Herbert C. Kennedy 17 T. R. HALEY Public Health Bernard A. Bader, Chairman 18 G. M. WHITACRE Theodore Apa W. Roland Olson Public Relations 19 CALVIN LANTZ W. W. Mattson, Jr., Chairman John J. Bonica Janies D. Lambing 20 JOSEPH A. BENSON Robert Johnson M. E. Lawrence Thomas O. Murphy 22 JOHN SHAW ' Civil Defense Richard F. Barronian, Chairman William E. Avery Richard B. Link 24 DALE HADFIELD David F. Dye Wayne W. Zimmerman D iabetes 25 WILLIAM McPHEE Joseph B. Harris, Chairman Entertainment 26 T. R. SMITH George A. Tanbara, Chairman J. W. Bowen, Jr. F. W. Hennings 28 EDWARD EYLANDER Kenneth Gross L. M. Roseabladt G. M. Whitacre 29 JOHN COLEN Geriatrics M. E. Lawrence, Chairman WILLIAM RADEMAKER Glenn H. Brokaw John F. Steele Legislative 30 THOMAS SMEALL Douglas P. Buttorff, Chairman Arnold J. Herrmann Gerald C. Kohl Wayne W. Zimmerman Medical Education Robert Kallsen, Chairman John Comfort Robert W. Osborne Schools R. A. Norton, Chairman NOTICE Theodore Apa George S. Kittredge Orvis Harrelson Jack W. Mandevilie Check back page of Bulletin for calendar William E. Hill George Tanbara Traffic and Safety of special meetings Harold D. Lueken, Chairman Mental Health Harold B. Johnston, Chairman T. R. Haley Myron Kass William H. Todd

Bulletin Staff Front Page Picture E ditor._...... _W. W . M nttson, Jr. Associate Editor...... M. E. Lawrence Courtesy Business Manager.-...... Judy Gordon Auxiliary News Editor...... Mrs. Arnold Hemnann Richards Studio BULLETIN o f the Pierce County M edical Society

new improved formida! THERAGRAN Squibb Vitamins for Therapy

expanded to include certain essential vitamins extra value... at no extra cost to your patients

Theragran—the original and most widely prescribed therapeutic vitamin preparation-is now expanded to provide additional nutritional support for your adult patients. In keeping with the proposals of in­ vestigators, such vitamins as B,-, pyridoxine and d-calcium pantothenate have been added to the formula, and the ascorbic acid content has been in­ creased. These improvements in the Theragran for­ mula provide your patients with extra value at no additional- cost.

Each new, improved Theragran capsule supplies: Vitamin A ...... 25.000 U.S.P. Units Vitamin D ...... 1,000 U.S.P. Units Thiamine Mononitrate ...... 10 mg. Riboflavin ...... Niacinamide ...... Ascorbic Acid ...... Pyridoxine Hydrochloride...... d-Caiclum Pantothenate ...... Vitamin B i 2 activity concentrate

1 or more capsules daily as recommended by a physician. Family Pack of 180. Bottles of 30, 60, 100 and 1000.

ALSO AVAILABLE new! THERAGRAN JUNIOR formulated for vitamin therapy in children and adolescents as Theragran is formulated for adults. THERAGRAN LIQUID for patients who prefer liquid vitamin therapy S q u ib b \ THERAGRAN-M \ with extra vitamins and minerals A B U L L E T IN o f the Pierce County M edical Society

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ag e 1-85 NO MEDICAL EXAMINATION! BULLETIN o f the Pierce County Medical Society 5

M E E T I N G

PIERCE COUNTY MEDICAL SOCIETY Tuesday, November 11

MEDICAL ARTS BUILDING AUDITORIUM

MOVIE . . . “RECOGNITION AND MANAGEMENT OF RESPIRATORY ACIDOSIS”—7:30

D is c u ss io n : RICHARD F . BARRONIAN, M.D.

PROGRAM—8:15 BELDING H. SCRIBNER, M.D. of the University of Washington School of Medicine Department of Medicine “MANAGEMENT OF ACUTE RENAL FAILURE”

A no-host social hour and dinner will precede the meeting

Social Hour: 6:00 Dinner: 6:30 Place: Honan’s Restaurant 7391/2 St. Helens 6 B U L L E T IN of the Pierce County M edical Society

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St. Joseph's cerely grateful to have been a part of this very worthwhile first endeavor of this On October 18, 1958 the Catholic Physi­ Catholic group. cians and associated professions of Pierce Sr. Martha Joseph and Sr. Anthony Con- County celebrated the feast of St. Luke our silia have just returned from Spokane patron saint at Sacred Heart Church. where they were delegates to the State This was the first annual “White Mass”. Convention of the League of Nursing of Father Kelley, our moderator, celebrated Washington State. The theme of the con­ the mass and preached the sermon. The stu­ vention was “Evaluation a Continuous dents of Sacred Heart sang during the mass. Process.” The students of St. Joseph’s Hospital assisted in the registration and attended Doctors mass in the body. At the registration — nurses, nurses aides, laboratory technicians, Your reporter would like to deviate from x-ray technicians, pharmacists, drug sales­ the usual pattern followed by the Doctors men, and all associated professions of medi­ Hospital in reporting news. Previously we cine registered. have attempted to report only those things Everyone that attended was pleased with which pertain to the clinical and profes­ the wonderful turnout and hope it will be sional aspects of the hospital. We are sure an annual event in the future. that occasionally the physicians of Pierce Mrs. Hanson and Miss Rutledge of our County' would be interested in some of Pediatric staff are among the group of those who serve in the non-professional young graduates who took state boards on areas of the organization. October 20 and 21 in Seattle. Our prayers Mrs. May Bates, Private Billing Super­ were with them during this very important visor; Mrs. Helen Bowman, Secretary to and trying time. the Administrator, and Mrs. Florence Ma- Miss Ann Rutledge w ill become Mrs. comber, Record Librarian, are attending Buchanan on Nov. 8. The staff in pedi­ the class on Medical Terminology spon­ atrics held a miscellaneous shower for her sored by the Tacoma Vocational School on Thursday, October 23. Many very useful and taught by Mrs. Ann March, Registered gifts for her new home were received. Record Librarian of Mary Bridge Children’s Our best wishes for a long and happy Hospital. This is the second year Mrs. wedded life are extended to the young March has conducted this class. Each suc­ couple. ceeding year the attendance has been Mrs. Mary Bricker has just m oved to her steadily improving which evidences a will­ new address on 1126 North Prospect. ingness of office personnel to improve their We welcome members of the Lincoln understanding of the work they are doing. High School Future Nurses Group who are Others in the office have availed them­ helping feed and amuse patients after selves of the workshop here in conjunction school hours as their project for this year. with the recent convention of the Wash­ Students from the School of Nursing ington State Hospital Association. Mrs. played an active part in the Catholic Hos­ Ruth Larkins, Group Billing and Mrs. May pital Association convention which was Bates, Private Billing, recently attended an held in the M.S. Clinic on October 14. all day workshop sponsored by the Blue Many served as ushers and on committees Cross Association of Washington, pertain­ for social aspect of the convention. ing to improvement of billing procedures Senior students had a taste of living out by Blue Cross. They also wall attend a con­ during the convention, it will not be many ference to be held next month at the Win- months before they will be on their own throp Hotel sponsored by Blue Cross to commuting to work daily. cover recent changes in the Medicare Members of the Student Body assisted at Program. the “White Mass” sponsored by the Catho­ The newest addition to the staff of the lic Doctors at Sacred Heart Church on Sat­ office is Miss Judy Martin, Switchboard urday, October 18. It was a beautiful mass Operator. Miss Martin replaces Mrs. Van and the sermon by Father Kelley was a real Pelt who left recently to return to her hus- inspiration to all who heard it. We are sin­ (Continued on Page 11) 8______BULLETIN o f the PIERCE COUNTY MEDICAL SOCIETY -

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Three members of our Trust Investment Committee: Mr. William Philip, Assistant Cashier, Mr. James G. Fowler, Executive Vice President, and Mr. J. M. Gilbertson, Vice President and Trust Officer

Up-to-Date Estate Management The above officers are three of the members week. See an attorney. He will give your of our six man team of the Trust Investment family the protection of a properly drawn Committee which provides expert, up-to-date and legally sound Will Consult him about management of funds in trust. The mere the many advantages in naming a bank as ownership of stocks, bonds and cash doesn’t your executor. Individuals as executors often always mean security. It requires experience do not have the experience, knowledge and and broad investment knowledge to provide judgment of a bank’s Trust Department for growth of Trust Funds, meanwhile pro­ winch goes on continuously in trained man­ tecting principal, and to produce worthwhile agement of your estate. Put your estate in income over die years. capable hands for long-time security and We believe we have an unusual Trust Invest­ good management. Our Trust Department ment Committee which is doing a real job in is a friendly, reliable place to know. our Trust Department. The record proves it. See an attorney this week . . . make your If you don't have a Will— make one this Will. *

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PAT. NO. 2,441,499 MADE IN U.S.A. BULLETIN o f the Pierce County M edical Society 11 (Continued from Page 7) Pierce County band’s home in North Carolina. Miss Mar­ Mrs. Margaret Williamson, head of Social tin is a local girl, having attended high Service, has returned from a most delightful school and college in Tacoma and comes to vacation with friends in the Canadian us highly recommended. Her desire to Rockies, and various other interesting serve in the hospital field and her sunn) places. The group motored through the disposition will be a valuable asset to our Coeur d’Alene country, vacationed four organization. days at Banff, visited Calgary, Glacier Park, Mr. Kenneth Trimble, Purchasing Agent Waterton, and Yellowstone National Park, of The Doctors Hospital of Tacoma, has to mention some of the more outstanding received additional honors in being made spots. To make these fabulous vacation Business and Circulation Manager of areas more wonderful was the great amount “Footnotes,” the magazine of the Square of fresh snow which enhanced the breath­ and Folk Dance Federation of Washington. taking beauty of the mountainous regions. Mr. Trimble is immediate past president of All in all the travellers visited seven Na­ the Rainier Council of the Federation hav­ tional Parks and crossed the Great Divide ing completed his term of office a few six times. months ago. A visitor at the hospital recently was Dr. John F. Kemman, a former intern at Tacoma General this hospital. Dr. Kemman has completed his military service and will join Dr. John The UGN drive at Tacoma General Kanda in practice at Sumner, Washington. Hospital concluded with final reports at Another always welcome visitor was Mrs. lunch time in the Cafeteria. Hugh Owens, Hazel MacMayburn, former librarian at chairman of the drive, was master of cere­ Pierce County Hospital for many years. monies with Jerry M iller supplying special Mrs. MacMayburn left October 14 on her accordion music. Sixteen departments re­ long anticipated journey to Mexico. En- ported 100% participation and the total route she will visit in Sacramento and amount collected was very gratifying. Stockton, California, Phoenix, Arizona. But Dr. Herman Ansingh arrived on October 1, to begin one year’s internship. Dr. An­ her destination is Guadalajara, Jalisco, singh comes from Leiden University in Mexico, where she plans to live with a na­ Holland. He is married and has two chil­ tive Mexican family and learn the real dren. He plans to become an American customs of our southern neighbors first citizen and live perm anently in the United hand. Hazel has become proficient in the States. Spanish language, and has been an ardent Word has been received that two gradu­ student of Mexican conditions for many ates of the Tacoma General Hospital years. She will stay at least six months in Mexico. School of Medical Technology have passed the certification examination of the Na­ Hospital friends of Beverley Hershey, tional Registry of Medical Technologists. daughter of Mr. Don Burdick (Louise Her­ They are Dagnij Keire and Joan Lane shey Burdick) of Social Service have read Miller. with interest the accounts which Beverley On October 14, Dr. John Bonica left for sends about her European jaunt. She flew Atlanta, Georgia, to present a paper before to London in September, and so far has the Georgia Academy of General Practice. visited in England, Holland, France and On October 16 and 17 he was in Toronto, Belgium. She will return in November with Ontario, where be spoke before the Acad­ reports of the other interesting spots she plans to see. emy of Anesthesiology at their annual meeting. After this, Dr. and Mrs. Bonica A most welcome newcomer is Shaun Cor­ had one week’s vacation in Barbados, nell Boisen, born on September 21, 1958 to B.W.I. Their next destination was Caracas, Dr. and Mrs. Elliott G. Boisen. At birth Venezuela, where Dr. Bonica held a post­ Shaun weighed 10 pounds, 12% ounces’ graduate course in anesthesiology at the and was 23 inches long, so he promises to University Hospital of Caracas from Octo­ be a fine figure of a man like his father ber 28 to November 6. who is one of this year’s interns. Congrat­ Rooms 219 and 220 have been opened for ulations also go to the grandparents, Mr. patients, adding five beds to the surgical John P. Boisen of Minden, Nebraska, and to floor. These rooms occupy the space where Mrs. Nora Claycomb of Sidney, Nebraska. Central Supply was formerly located. (Continued on Page 13) 12 BULLETIN o f th e PIERCE COUNTY MEDICAL SOCIETY

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(Continued from Page 11) first week in October. A busy session with “no time for fishing” was reported by Dr. Another beautiful baby boy, Daniel Gary W hitaker. Bias, son of Dr. and Mrs. Robert Bias, was A new member of the Laboratory depart­ born on September 24. He weighed 8 ment is Carol Singleton, a registered tech­ pounds even, and was 21 inches long. The nician from Waukegan, Illinois. She re­ proud parents report that he has been a ceived her B.S. degree from Hamline Uni­ little gentleman ever since he arrived. Shar­ versity, St. Paul, Minnesota, in June, 1957, ing the happiness of Daniel Gary’s arrival and served her internship at St. Theresa are the maternal grandparents, Mr. and Mrs. William Jeffries of Des Moines, Iowa Hospital School of Medical Technology in Waukegan, daring 1957 and 1958. In June, and a paternal grandparent, Mrs. Hazel 1957, Carol became the bride of Robert Bias of Powersite, Missouri. Dr. Bias is also one of this year’s interns. Singleton, who is presently a senior in A farewell party was given Mrs. Mar­ Education at Pacific Lutheran College. lene Nelson, valued secretary to Mr. Patter­ The entire personnel of Pierce Count)' son in the Purchasing department. At the Hospital extends deep sympathy to Dr. coffee hour in her honor she was presented Richard Otteman, one of the interns, on the with a beautiful sweater and a cash pres­ tragic death of his father early in October. ent. Marlene expects to devote her entire Mr. Otteman, while on a fishing trip, gave time to home making. Her position has been his life in a heroic effort to save his son-in- filled by Marian Daley. law, who was also drowned. Beverley Vergowe is a new member of One of the most thriving organizations is the Record Library Department, and Judith the Puget Sound Chapter of the National Ann Dilley, a former employee, has re­ Executive Housekeepers Association. The turned to her duties, also in that president of this chapter is Alice Cain, cur­ department. rently housekeeper at the Veterans’ Hos­ Dr. John Whitaker and Dr. C. R. Mc-Coll pital, American Lake, and for many years motored to Priest Lake, Idaho, to attend the housekeeper at Pierce County Hospital. The Pathologists’ Meeting held there during the treasurer is Nelle Sater, the present house­ keeper of Pierce County Hospital. Among interests noted concerning the Puget Sound Chapter are a large meeting October 9 at American Lake Hospital when Mr. Bor­ FIRST NATIONAL ders, chief of personnel, was guest speaker and a Bingo party announced for Novem­ AUTO LEASE ber 7, to be held at the New Washington Hotel in Seattle. Also it is reported that the COMPANY Hospital and Hotel Housekeeping Institute sponsored by the National Executive Asso­ ciation’s Puget Sound Chapter and the 624 Broadway School of Home Economics, University of Washington, will be held November 14 and MArket 7-6171 15 at the University of Washington. Of great interest is the word that four students have enrolled for the Executive Housekeep­ SPECIAL LOW RATES ON ing course at the University of Washington. MAINTAINED BUSINESS CARS Also from the Housekeeping department FOR PROFESSIONAL MEN comes the following: Bia Brown has just returned from Missoula, Montana, where she was called by the sudden death of her 1 - 2 - 3 - Year Leases mother. Paul Duncan is a new replace­ ment member of the housekeeping depart­ SEDANS - STATION WAGONS ment. Nelle Satter and Letha Munsee, housekeeper and assistant housekeeper, HARD TOPS - CONVERTIBLES respectively, attended the Emergency Pa­ THUNOERBIRDS tient Evacuation and Fire Control Institute sponsored by the Washington State Hos­ pital Association. This most instructive institute was held at Wellman’s in Tacoma

n B U L L E T IN o f the Pierce County M edical Society WOMAN’S AUXILIARY % VUe Pierce M edical £&cietif

1958-58 The hats will also be modeled by our mem­ bers along with running(?) commentary. Woman’s Auxiliary Helping Adele (Mr. John) Durkin with Pierce County Medical Society these cranial creations were—Helen Flor­ Officers and Chairmen ence, Donna Ferguson, Jeanne Judd, Beth President...... Mrs. Robert W. Florence Pratt, Ruth Murphy and Dorothy Maier. President-Elect ...... - ...... Mrs. Joseph Harris 1st Vice-President ...... Mrs. Herman Judd Chairman of the luncheon is Mrs. Dale 2nd Vice-President------Mrs. Robert Osborne Doherty with Mrs. Michael Irvin as her co- 3rd Vice-President— ...... _Mrs. Carl Scheyer 4th Vice-President------...... Mrs. Burke Lair chairman. Assisting will be Mesdames Recording Secretary ---- ..Mrs. Charles Anderson, Jr. Corresponding Secretary------...... Mrs. Kenneth Gross Robert Crabill, George Kittredge, Harold Treasurer .„...... Mrs. Haskel L. Maier Johnston, Leon Thomas, and Lawrence American Medical Education F und Mrs. Robert Osbome National Bulletin______Mrs. Robert P. Crabill Skinner. Civil Defense ...... — Mrs. Robert Burt Historian______Mrs. Thomas Smeall Social...... Mrs. F. M. Nace Thisa and Thata Legislative- ..Mrs. Robert Ferguson Membership and Hospitality...... —Mrs. Glenn Brokaw The national president of the Women’s Mrs. Galen Hoover Nuise Recruitment ...... Mrs. H erbert Kennedy Medical Auxiliary, Mrs. E. A. Underwood, Program______— Mrs. T ..O . Murphy has asked all Auxiliary members to keep a Public Relations Mrs. Mills Lawrence Revisions------Mrs. Elmer Wahlberg record of all the hours they spend on volun­ Rehabilitation__ Mrs. T. B. Murphy tary community service such as P.-T.A., Telephone ______Mrs. Richard Link Today’s Health__ Mrs. George Tanbara Girl Scouts, Cubs, Brownies, Cancer, Heart, Mrs. Stanley Tuell Speakers Bureau. -Mrs. Philip Grenley etc. You will give this information to the Minute Women.-...... Mrs. W. W. Zimmerman Heart...... - ...... Mrs. Robert KaUsen telephone committee when they call about Mental Health...... Mrs. James Mattsonthe Auxiliary meetings. No, you’re not Safety...... Mrs. Stanley Durkin Cancer...... __Mrs. Robert Brooke getting paid, just a survey! Infantile Paralysis ...... Mrs. Douglas Buttorff Tuberculosis______.Mrs. Hillis Griffin Information from the State Auxiliary has Crippled Children and Adults Mrs. W . G. Peterson just been made public on the State Future Publicity—Bulletin ...... Mrs. Arnold Herrmann Publicity—Newspaper______Mrs. Howard Pratt Nurses’ Clubs. There are now 25 of these Fashion Show______Mrs. G. M. W hitacre Dance------Mrs. Robert Gibsonclubs organize in Washington— NINE—9 Gawe N ig h t------Mrs. T. B. Murphy of which are in Pierce County. Community Council.™ ...... Mrs. John Steele City Councils ..Mrs. Wm. Goering Keep up with your sister Auxiliary mem­ bers all over the country—subscribe to the “Music hath charms . . — so wrote a National Bulletin—only $1.00. Call Pat fellow by the name of James Brameston. Crabill at JU 8-0558. James’ theory must be correct—for the pro­ Marjorie Nace, we understand, is look­ gram of music (or something) at the last ing around for some worthwhile project or Auxiliary meeting charmed about 85 mem­ institution to benefit from the Christmas bers to Ruth Murphy’s home for the yearly party money. It should be “childreny” to membership tea. W e understand that tea, quote Marjorie, if you have any ideas call cookies, program, etc., made for a very her. satisfying meeting. Ruth Brooke, Auxiliary chairman for the If the last meeting were "satisfying” the Washington Division of the American Can­ next meeting should, at the very least, be cer Association, recently attended a two intriguing. It will be a luncheon — 12:30 day meeting of the group in Seattle at the p.m. — Friday, November 14 at the home Olympic Hotel. She reports that Dr. Charles of the Max Thomas’, 11108 M eadow Road, Larson was elected president of the state S.W. The program, arranged for by Adele organization. It was stressed by experts |>urkin, has the “intriguing” title—“Your Bonnet With All the Hazards on It.” Adele attending these meetings that all women— especially doctor’s wives—have a Papani- IS-i?UL Safety Chairman, so naturally this will be a general safety program. This colou (Pap) smear. With this test they pre­ theme seems much more original for a dict a 100 per cent cure in cancer of the cervix. November meeting, especially this Novem­ ber, than say, “Ballots and Bullets.” It Ambassador Doris Kunz will travel to seems Adele, along with several other Aux­ Alaska in the very near future where she iliary members, has been designing appro­ will represent the Tacoma Women’s Clubs. priate hats to carry out the program theme. (Continued on Page 17)

B U L L E T IN o f the Pierce County M edical Society 17

(Continued from. Page 15) Report on Last Sessions Speaking of Alaska, the new state will be Legislation Now Available the theme for our up and coming fashion show, to be held Friday, November 21 at The Washington Office of the American the Winthrop Hotel. “A New Star In Fash­ Medical Association has prepared a 32-page ion” is the title and it is to commemorate SPECIAL REPORT giving the essential the admission of the 49th state. Hazel Whit- information on all medical legislation in­ acre, Ruth Brooke, et al are working like troduced in the last (85th) Congress. The mad to complete plans for this fabulous report contains a listing of the 19 major fashion show. The fashion show w ill be bills enacted, the bill numbers and the pub­ preceded by a brunch at 11:00 a.m. in the lic law numbers. It has a page index of Bay View Room, formerly the Wedgewood all the 704 bills followed by the Office, an Room. The show itself will take place in index by subjects, a description of each bill die newly, beautifully decorated Crystal and what action, if any, was taken on it by Ballroom. Our girls promise us all sorts of Congress. surprises and door prizes. Chances for the Because our last QUARTERLY LEGIS­ door prizes may be purchased for 35 cents LATIVE REVIEW was published after the each or 3 for $1.00. For the surprises— adjournment of Congress, and contained you’ll just have to be there in person. The final information on all m ajor bills, the de­ show will feature fashions for women, chil­ tailed report is not being sent to the mailing dren and dogs. Auxiliary members along list for the AMA WASHINGTON LET­ with Rhodes personnel w ill do the model­ TER. However, a copy will be mailed to ing. Didn’t know the Doctor’s dogs were anyone requesting it. Write to the AMA organized! Washington Office, ask for SPECIAL The score is now even at the Kallsen REPORT 85-14. residence—two and two. Two boys and two The SPECIAL REPORT notes that in the girls, Ronald born October 1, evened the past year the American Medical Association score and we’ll bet he’s glad. was fortunate in its legislative work. It sup­ Bones will be featured this month in ported most of the 19 major bills passed Portland when the Pacific Coast Ortho­ by Congress, and not a single major bill pedists meet. Attending from our county opposed by the Association became law. will be the Florences, Goerings, Murrays, and Dumont Staatz’s. Recent hospitalees were Jeanne Judd, Speakers Bureau Marge Cameron, Sandy Rosenbladt, and Jean Gibson. Hope all are back home by Speakers Bureau has provided 52 Doctor now and rapidly recovering. Speakers from August of 1957 until the present date. The majority of requests for speakers Second Work Simplification came from the Pre-school and P.-T.A. groups. The Washington Association for Course Completed Retarded Children, Licensed Practical Nurses Association, Stadium High, Calorie The second of three “Work Simplifica­ Counters Club, Men’s Club at churches, tion” courses sponsored by the Pierce Service Clubs, Woman’s Club, Alpha Phi County Branch of the Heart Association Alumnae Group, Woman’s Nursery Club, |as just been completed at the Puget Sound Plumbers and Steam Fitters Union, Ortho­ Rehabilitation Center, Mrs. Edna Backup, pedic groups, Pierce County Association for medical director, announced. Mental Health were among the organiza­ Seventeen local housewives were enrolled tions that requested and had Physician in the four morning sessions which were speakers. conducted by the Occupational and Physi­ The Bureau also worked closely with the cal Therapists at the Center. Heart Association and Cancer Society in A similar course will be scheduled short­ helping them find speakers for their ly after the first of the year, Mrs. Backup programs. said. The “Work Simplification” course is Pediatricians, general practitioners, sur­ open not only to the disabled, but to all geons, neurologists, psychiatrists, gynecolo­ Jjonsewives^ interested in learning methods gists and internists all offered their services ? e™inating unnecessary wear and tear willingly. |toni their daily household routines. —Dorothy Grenley

B U L L E T IN o f the Pierce County M edical Society 19

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BULLETIN o f the Pierce County M edical Society 23 Field Trip . . . Alaska wine wafted out so strongly I felt I could get a secondhand hangover. There were Everyone who takes a trip that is the quite a few Indians on the street. Four or least bit unusual writes a book. So here is five of the buildings were tall and/or ours. This being our second three week trip modern, but most were small and out­ to Alaska, we are now authorities. Our dated. trips usually have a purpose behind them. We attended the meeting for four days For Murray it was presenting a paper at and then headed north to Fort Yukon on the Ninth Alaska Science Conference which the Arctic Circle via a twin engined Beech- was held in the University of Alaska in craft. This was an interesting hour flight. Fairbanks. I might have been trying to Our baggage of approximately six or avoid the confusion of getting the children seven pieces, three of which were large hack to school. We left the day before the sized duffel bags, loomed as problems dur­ current school year. ing our entire journey. All of this gear was We flew Alaska Airlines from Sea-Tac necessary as Murray was collecting speci­ direct to Fairbanks. Fortunately the mens of small mammals and gathering weather was clear and visibility good even blood samples for a study of serum protein for passengers. Much of this interior por­ electrophoresis. Included in this parapher­ tion of Alaska when viewed from aloft is nalia were hip and hiking boots for each, a series of lakes with few roads or settle­ sleeping bags, air mattresses, rough and ments. At this season of the year the tree­ ready clothes, besides presentable clothing less mountains are a deep purplish red. for attending the meeting. Each change of This color, we later learned, was due to location necessitated handling of all this the abundance of blueberry bushes. Some gear and probably accounts for Murray’s of the higher peaks had already had their looking so fit now. first snowfall. Fort Yukon is located on the convergence In Fairbanks we were met by the Uni­ of the Yukon and Porcupine rivers in flat versity of Alaska Science Conference repre­ terrain. Three church groups have missions sentatives and driven to the University. In here, the Episcopalian being most active. the summer it is necessary to go through Their church has a clinic with resident doc­ the town of Fairbanks and cross the Chena tor and nurse, and religious education River on the bridge; but in winter there is classes are held in conjunction with the a natural ice bridge which is a more direct territorial school. way to get to the University from the The river is used as a highway in the airport. Rumor has it however, that this ice summer with flat bottomed outboard motor bridge is traversed beyond the safe period boats as transportation, and large river of thawing. Eventually a car goes through barges or tugs for heavy equipment. The me ice after which everyone will resume river freezes over in the winter; and the driving through the town. last barge of the season was being loaded The university is a small but growing during out visit. Dog teams and sleds are institution with a number of modern new used in the winter. There are a few cars buildings that would be the envy of many and trucks in the town for use on the university presidents. W e were billeted in roads that go nowhere. Airplanes are the McIntosh Hall, a new dorm for men. life line of this community both winter (school was not yet in session.) These and summer. The airport terminal is prac­ 'quarters were attractively and adequately tically non-existent. It consists of a private ir?1115 should be a pleasure for their residence beside the landing strip, the ,|00gers this fall. There was a large new front room of which has been converted ':-aorm for women completed, and what ap- to an office mainly by the installation of Peared to be apartments for married radio equipment. Air freight is piled high couples were being erected. Landscaping in a nearby shed and the overflow is was being done at the same time, and stacked outside. MBy of tiie buildings already had a pro­ We had room and board at one of the fusion of flowers. The climate dry and lawn two road houses in the town. The bunk pnnkhng a daily necessity. I saw more house was allotted to us because the lady .. y bearded men on the campus than I manager did not look kindly on bleeding nave ever seen. and skinning mice in the main lodge. Our J ^ a n k s is a frontier type town. The sturdy little iron cots were a nightly __ -Moons on the main street have swinging joke? The mattresses had a definite center is from which the odor of beer and (Continued on Page 25)

25 BULLETIN o f the Pierce County M edical Society

fContinued from Page 23) It is a little difficult to go into a strangers larder and start selecting food, especially from which it was impossible to escape. after you know how difficult it was for her One clear night during our stay we were to procure. Food is purchased either in able to see the Northern Lights. Murray Fairbanks or Anchorage, once a month, and used the centrifuge at the Clinic every day expressed in by railroad. and we dined there one evening. On Sun­ After acquiring the food, we were day we attended the family service at the motored to a cabin in the park at Igloo church and were surprised to find that even Creek, at 3000 foot elevation. On the drive our poor singing sounded strong and sure there we saw our first caribou. Our cabin in contrast to the Indian voices. It was dif­ had a spiked welcome. Iron spikes were ferent certainly to be told that it was sinful driven through the storm door and windows to knock one’s children around, or beat to repel bears when the cabin is not in­ one’s wife. The service seemed formal to us habited. One of the larger park cabins with for such simple people. several rooms had been entered by a bear We collected two types of mice, shrews one year who playfully walked through the and a weasel. We also saw ground squirrels. partitions wrecking everything in his way. We tried to get the school children to col­ This one room cabin was one of the cleanest lect these for Murray at fifty cents apiece, but only succeeded in being offered the cabins of that type we have encountered. most common type mouse. There were We cooked and heated with a wood stove, had running water in the creek, and white ducks and geese on the lake adjacent to the airport. They were hunted by the gas lamps for illumination. Indians and the military from the Wliite Our first evening we took a walk down Alice radar base. the road and into the woods, circling back While dining one evening, Mr. Gruening, to the road. Just as we returned to the the former governor and perennial Alaskan road, we heard a noise in the brush and politician came into the roadhouse with spied a beautiful bull moose calling. Mur­ some local politicos on a handshaking ray returned the call so the moose came expedition. He speedily lost interest in us trotting at a good clip toward us. When he when he discovered we had no Alaskan was close enough to tell that we were not vote. another moose, he sauntered away disin­ After six days at Fort Yukon, we returned terestedly. It was his mating season. We to Fairbanks and a hot bath, and bed with called him “Old Snorter” and learned that a real mattress. The next morning we took the park personnel had named him “Gen­ the train to Mount McKinley leaving in a eral Sherman” probably with Sherman drizzle of rain. This is the government- tanks in mind. owned Alaska Railway. Each day as we made trap rounds, I We were met at the Mt. McKinley sta­ would pick blueberries or wild cranberries. tion by the Chief Ranger. One of his first It is impossible to describe the lusciousness questions concerned our food supply. When of these berries. Every other day we had he found that this point had never been blueberry pancakes, and on the alternate discussed in our correspondence with the day blueberry coffee cake. The cranberries naturalist and that our supply was nil, I we used as a jam for the pancakes and thought he’d put us back on the train for found them excellent for candying sweet Anchorage. He and his wife generously let potatoes. With the help of the berries and us purchase some staples from their stock. a couple of fried ground squirrels, we didn’t miss a meal. I also discovered that leftover pancakes thoroughly crisped in an EVERY DROP PURE HEAT oven make good crackers with soup. In fact things were so good, we even had STANDARD Scotch and water with the ranger and his wife and another couple touring the park Heating Oils when they stopped by to visit. On Igloo mountain behind our cabin and Call MA. 7-3171 up from the creek were a band of eight to ten mountain sheep. These were very curi­ Fuel Oil Service Co. ous about us and their lookout kept a 816 A St., Tacoma vigilant eye on us the entire time that we Mark Dolliver Jack Galbraith were on the rock slide. Murray set traps on (Continued on Page 21) 26 BULLETIN o f th e Pierce County M edical Society

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f Continued from Page 25) we couldn’t have selected a nicer young couple with a better sense of humor. the slide for rock rabbits. They were too During the night it snowed about three smart for us, and we didn’t succeed in inches. In the morning the ranger drove trapping one. Perhaps, at this point I should us up the mountain road in a pick-up truck mention that Murray was allowed to col­ until the steep grades became too perilous lect small mammals in the park because he with their snow cover. We felt we were is a collaborator with the National Parks. fortunate indeed to have been in the park To secure this appointment he sent a photo, in time to see the beautiful fall colors finger prints, and government forms in changing rapidly day by day and finally a quadruplicate to the Department of In­ transition to winter beauty with the snow. terior, Washington, D.C. We returned to Park Headquarters for A couple of times we rode over part of the night which we spent as guests of the the park highway with the rangers. We chief ranger and his wife. The next morn­ seemed to have better luck seeing the ani­ ing, Sunday, we continued our trip on the mals right around our cabin. Murray Alaska Bailroad to Anchorage. Aside from opened the door one day about noon and the scenery, one of the interesting things we had a beautiful red fox sniffing around about this trip was the number of stops the our yard. He was no more timid than train made. Many times it was impossible many dogs we might find in our yard at to see who or what caused the stop, then home. Another morning after I had washed a hunter would board the train with his the breakfast dishes, I decided to walk up gun and gear slung over his shoulders. the road and meet Murray. As I came to Sometimes there were little stations or the bridge by our creek I saw a grizzly houses, but most often it was purely a stop bear in the bush. He crossed over the road in the tundra. It would be unfortunate not and down to the other side of the bridge to be seen, as the train did not run on and explored there for awhile. We hadn’t Monday, traveled the other direction on as yet seen a bear, and I knew Murray Tuesday, so that anyone bound for An­ would want a picture. I returned to the chorage would be marooned until Wednes­ cabin to get the camera and close the day. One man ran about one-half mile to spiked door. W hen I came back out the catch the train. There are also large size hear had disappeared from the spot I had mail boxes along the track with rural de­ last seen him. Looking around for him, I livery flags, so that the residents could have realized I had been out-maneuvered. He the train stop to collect their out-going was behind me and in front of our cabin. mail. Coffee was twenty-five cents per cup My presence had still been undetected, so on the train, and other food equally I tried to focus the camera. Then he expensive. looked up, spotted me and stared. Since I In Anchorage we were met at the depot couldn’t read his mind, and he continued by friends. We visited the Arctic Health to do nothing but stare, there was some­ Research Lab the next day. Two nights thing uncomfortable about the situation were spent in this, Alaska;s largest city. and I left on the double. Here, too, we purchased the inevitable Other animals seen were: three or four souveniors for the children, quite a few of more foxes, one named Herman, the head­ which were tagged “Made in Japan.” Costs quarters’ moocher; porcupines, and a pair of everything: food, lodging, transporta­ of hear cubs of the year. We saw one band tion, and souvenirs are one and a half to of mountain sheep with approximately twice as high as elsewhere in the states. seventy-five individuals in it, ewes and lambs, that we managed to approach within We had an uneventful flight back to the fifty feet to photograph. Birds seen included Sea-Tac airport We could identify Van­ couver Island, Victoria, and Port Angeles ptarmigans, grouse, Canada jays, Bohemian wax wings, golden eagle, Arctic wood­ on our flight homeward. It was good to be pecker, and sand hill cranes. met by a relative and our youngest child. It seemed as though wo d been away six ^ Our last night at Igloo, a ranger and weeks, not three, even though we thorough­ flis wife who had been forced to leave a ly enjoyed every minute of this, our 1958 cabin at a higher elevation because of Alaska expedition. snow, spent the night with us. They were —Sherry Johnson to be stationed at Igloo until again forced |° evacuate when the snow reached that flevel. Even had we a choice of companions, “PATRONIZE OUR ADVERTISERS”

BULLETIN o f the Pibrcb County M edical Society 29 Cost of Living Reaches 105% 6.3, and clothing 1.8 per cent. Hospital costs rose 33 per cent, hospitalization in­ Living costs have gone up an average surance the same, shoes 12.7, haircuts 23.1, 105 per cent in the 20 years since 1938, movies 25, and newspaper 20 per cent. years that included World War II and the But in the past five years there were sub­ Korean war. stantial price declines, too. Appliances, That means that on the average, you probably due to price discounts, declined must pay $2.05 today for something you 15 per cent, including TV sets 6 per cent, could have bought for a dollar back in radios 10 per cent, referigerators 33 per 1938, when Adolf Hitler was poised for his cent, and vacuum cleaners 23 per cent. blitz of Europe. A pair of women’s nylons now costs 13 A bit of analysis into what’s happened per cent less than five years ago, men’s seemed in order after the government re­ pajamas 1 per cent less, bedsheets 8.3 per leased its latest living cost index recently. It cent less, and used cars 12.6 per cent less. showed a rise from May to June of nearly one-tenth of one per cent. It was the 20th —Associated Press Dispatch to living cost record set in the last 22 months. The Chicago Daily Tribune Some Up Much More Russian Rehabilitation Efforts Government experts provided figures on request showing the story of those 20 years, Impress S. S. Adminstrator two decades, broken down into five year Social Security Administrator Charles I. periods. Schottland, back from a one-month tour of Their data shows that from 1938 to 1943 Russia, is impressed with the Soviet Union’s consumer costs rose 23 per cent; from 1943 progress in rehabilitation and care for old to 1948, 39 per cent; from 1948 to 1953, people. Based on his own observations and 11 per cent, and from 1953 to 1958, with data furnished him by the Russians, Mr. President Eisenhower in the White House, Schottland reports: 8 per cent. 1. Russian researchers have prepared While the over-all living cost level soared separate pamphlets on each disabling dis­ 105 per cent in those 20 years, some ease. Mr. Schottland is having these trans­ individual family budget items didn’t go lated for the information of the medical up that much and others advanced much advisory committee on disability. more. 2. About a third of old people in Rus­ For example, the cost of gas and elec­ sian institutions are working on a volun­ tricity rose a little over 11 per cent, while tary basis, but for pay. He thinks that per­ coal and fuel oil jumped 129 per cent. haps nursing homes and other institutions in this country can make more progress in Baby Shoes Cost Soars this direction. In the 1938-58 span the cost of a pair of baby shoes rose 171 per cent, a new car 3. Nurseries arid old peoples’ homes in 125 per cent, rent 60 per cent, and food— Russia are “excellently” staffed, with one the main drain on the family budget—a employee for about every three old persons whopping 151 per cent. and one for every two and one-half children. Hospital costs eclipsed almost everything else, rising nearly 300 per cent, doctor fees Mrs. Schottland says that about two- increased 84 per cent, men’s haircuts 206 thirds of the Russian population is covered per cent, gasoline 69 per cent, household by social security, paid for entirely by the appliances 33 per cent, newspapers 124 per employers (government runs all large cent, and movie admissions 120 per cent. enterprises). He made the point that a Oddly enough, costs of men’s clothes in comprehensive social security program is those two decades rose 110 per cent, but alfnost a necessity for the Russians, inas­ women’s clothes climbed only 78 per cent. much as under their socialistic state wages are about the only source of income and Hospital Costs Climb when wages stop the people can look only Now turn to the past five years under Mr. to social security. tisenhower, in which living costs have risen Also making the tour were Victor Christ- Pei ^ent. This again is a composite of gau, Robert J. Myers, Corinne H. Wolfe many different changes. and Arthur E. Hess, all social security offi­ For example, in the 1953-58 period food cials. A similar Russian group will tour the nas increased 7.8 per cent, housing 8.6, rents U.S. shortly. Y>i gas and electricity 9.7, coal and fuel oil —A.M.A. Washington News Letter

BULLETIN of the Pierce Co u n t y M ed ic a l S ociety 31 Sectional Meetings Outlined For Coming Year All members of the medical profession LOST AND FOUND iire invited to attend any of the 1959 Sec­ tional Meetings of the American College LOST of Surgeons. Cities and dates are: Charleston, South Carolina, |anuary 19, ELECTROLYTES lost in diarrhea 20 , 21 . Sudden loss of electrolytes and water in the intestinal discharge during diarrhea must be Houston, Texas, February 2, 3, 4. counteracted if dehydration, exhaustion and prostration are to be avoided. Replacement Vancouver, British Columbia, February of sodium, potassium, calcium, or chloride 26, 27, 28. ions is therefore an essential part of treatment. St. Louis, Missouri, March 9 through 12 FOUND (Four-day meeting; Joint Nurses Sessions). Montreal, Quebec, April 6 through 9 ELECTROLYTES found in (Four-day meeting; Joint Nurses Sessions). palatable oral'formulation Sectional Meetings are planned by local POLYSAL® K-P committees, and are designed to answer Oral Electrolytes with the needs and wishes of doctors within the Kaolin and Pectin meeting area. Panels, symposia, reports, Each 100 cc. contains: medical motion pictures, and question and Sodium Chloride, U.S.P ...... 0.83 Gm. answer sessions characterize the programs, Potassium Chloride, U.S.P ...... 0 .56 Gm. with surgeons of outstanding ability serv­ Calcium Pyrophosphate...... 0.057 Gm. ing as teachers and lecturers. Magnesium Gluconate, 2HsO...... 0.13 Gm. Sodium Lactate, Anhydrous...... 1.35 Gm. Kaolin, C olloidal, N .F ...... 19.44 Gm. Pectin, N.F...... 0.87 Gm. Replaces lost electrolytes • Balances water A COMPLETE LINE OF with electrolytes . Soothes and protects intes­ tinal mucosa . Provides demulcent, adsorbent SUPPLIES FOR THE and detoxifying action PHYSICIAN . . . HOSPITAL POLYSAL® ELIXIR AND oral electrolytes alone NURSING HOME Each 100 cc. contains: Sodium Chloride, U.S.P ...... 3.33 Gm. Potassium Chloride, U .S.P ...... 2.22 Gm. Calcium Lactate, N.F ...... 0.553 Gm. Magnesium Gluconate, 2H ,0 ...... 0.50 Gm. Sodium Lactate, Anhydrous...... 5.0 Gm. Mail or Telephone Orders REWARD Given Prompt Attention Quicker return to normal with replacement of electrolytes and improved retention of water. ALWAYS USE ELECTROLYTES EARLY Administer balanced oral electrolytes— Specify Polysal K P ...... 9 oz. SHIPMAN Polysal Elixir...... 6 oz. SURGICAL CO. CUTTER LABORATORIES 741 St. Helens Ave. - BR. 2-6400 Berkeley, California Tacoma 2

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BULLETIN o f th e Pierce County M edical Society 33 Appeals For Federal Disability Heart Association Plans Payments on Increase Sodium-Restricted Diet Classes The Social Security Administration re­ The Heart Association is planning a ports a sharp rise in volume of appeals series of Sodium-Restricted Diet Classes to from applicants denied social security bene­ be held during December. The series of fits, mostly under the disability section en­ four sessions will be open only to patients acted two years ago. Under this provision, referred by their physicians, to those pre­ a person determined permanently and paring food for patients on sodium-re­ totally disabled may start drawing at age stricted diets, and to profesional workers 50 the social security payments which he in the field of nutrition. The curriculum otherwise would be entitled at age 65. was planned by a Heart Association com­ To take care of the increased workload, mittee composed of physician and dieti­ the SSA staff of referees has been increased tian representatives. four-fold in two years. A still larger in­ The purpose of the classes is to assist crease in appeals is expected after next the patient in following his doctor’s pre­ January 1 because of a new law that makes scribed diet through an understanding of dependents of disabled workers eligible for basic nutrition, purchasing and preparing payments, which they were not under the foods low in sodium content; and to demon­ earlier law. An important cause of the strate that such diets can be both nutritious increased appeals, according to Acting and flavorful without undue strain on the Social Security Commissioner William rest of the family or the budget. Mitchell, is a misunderstanding of the law on the part of applicants. Many of them The course is based on a moderate re­ believe that if their impairments keep them striction of one gram sodium. All sessions from their usual jobs, they are entitled to are informal with discussion periods, taught benefits. Explains Mr. Mitchell: by a trained dietitian, and a physician will "The main test . . . is not w hat kind of be available to answer medical questions. work a disabled person can do but whether Any physician having patients whom he can do a substantial amount of work of they wish to refer to the class is asked to any kind. . . . Where a person’s disability give their names to the Heart Association is not sufficiently severe to m eet the expli­ office, BR 2-7854, 1104 South L Street. The cit requirements of the social security law, H eart office will then contact the patient the claim must be disallowed.” with further information. There is no fee, —A.M.A. W ashington News Letter and the classes are limited to twenty registrants.

IRS W ont Rule on Criteria DAMMEIER For Clinic Tax Status Internal Revenue Service has decided not Printing Co. to make a ruling that would define basic BRoadway 2-8303 criteria as a guide to group practice clinics in setting up retirement plans for their 811 Pacific Ave. Tacoma members. However, IRS announced that it would not discourage clinics from going ahead with plans for such retirement pro­ grams. IRS, as well as the AMA’s law department, advises clinics to obtain com­ Prompt Delivery Service . . . petent legal advice so as to avoid state MEDICAL OXYGEN and local as well as federal difficulties. The advantages of a retirement plan on a tax- REGULATORS - MASKS deferred basis—which individual physi­ EQUIPMENT RENTALS cians are not privileged to set up—must be weighed against the fact the clinics would be subject to federal corporation Call For Details taxes of 52% of profit. OXYGEN SALES & SERVICE —A.M.A. Washington News Letter 1934 Market St. m a . 7-8186 “PATRONIZE OUR ADVERTISERS”

BULLETIN o f th e Pierce County M edical Society 35

Get Out and Vote at the

General Election

Tuesday, November 4

•WttAT REALLY me I/p IQ THAT F ifisT I G-Avr Hl/VN A COMPLETE PHYSICAL CHE&Kl/pr C w rt#iy M*dical Saciily M agaiini Group Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma 2, Washington 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 PIERCE COUNTY Last Monday of each month—6:15 p.m. TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society STAFF OF TACOMA GENERAL Second Tuesday of each month except June, July, August—-8:15 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Third Wednesday of Nov. and Dec.—6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Friday of each month except June, July and August STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at Scotty's Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL ^ Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. BULLETIN. PIERCE COUNTY MEDICAL SOCIETY

VOL. XXX—No. 2 TACOMA, WASH. DECEMBER - 1958 2 BULLETIN o f th e Pierce County M edical Society Pierce Couniy Medical Society 1958 OFFICERS President ...... Herman S. Judd P resident-E lect..- ...... J . W . Bowen, Jr. Hap- py birth - day to you, Vice-President______.Chris C. Reynolds Secretaxy-Treasurer______A rnold J. Herrmann Executive Secretary...... Judy Gordon TRU STEES Paul E. Bondo Herman S. Judd W. Bowen, Jr. George S. Kittredge Happy Birthday ouglas Buttorff Philip C. Kyle tRobert W. Florence Robert E. Lane Hillis F. Griffin Chris C. Reynolds D ecem ber Arnold J. Herrmann Wayne W. Zimmerman DELEG A TES Douglas Buttorff Louis P. Hoyer, Jr. 1 CHARLES C. REBERGER Philip Grenley Charles E. Kemp Arnold J. Herrmann Frank Maddison .3 BERNARD R. ROWEN ALTERNATE DELEGATES Robert W. Florence Frederick J. Schwind 5 S. ROBERT LANTIERE Murray L. Johnson Don G. Willard Wendell G. Peterson Wayne W. Zimmerman 6 HOMER W. HUMISTON COMMITTEES W . A. N IETH A M M ER Etiucs Robert E. Lane, Chairman 9 STANLEY W. TUELL M. R. Hosie Richard T. Davis G rievance 12 ARTHUR P. O’LEARY Hillis F. Griffin, Chairman Gerald C. Kohl Miles Parrott 13 ROBERT E. LANE House and Attendance John S. May, Chairman James E. Hazelrigg Dudley W, Houtz 14 DAVID H. JOHNSON L ibrary I. A. Drues, Chairman SAMUEL E. ADAMS John M. Havlina Hugh A. Larkin Bernard R. Rowen Stanley W. Tuell 15 WARREN F. SMITH Program T. R. Haley, Chairman 16 ROBERT FREEMAN William P. Hauser David F. Dye Herbert C. Kennedy MAURICE YOACHIM Public Health Barnard A. Bader, Chairman 19 J. B. RO BERTSO N Theodore Apa W. Roland Olson Public Relations 20 W IL L IA M D. V OORHEES, JR. W, W. Mattson, Jr., Chairman John J. Bonica James D. Lambing Robert Johnson M. E. Lawrence 21 GERALD GEISSLER Thomas O. Murphy Civil D efense PHILIP GRENLEY Richard F. Barronian, Chairman William E. Avery Richard B. Link 23 CARL SCHEYER David F. Dye Wayne W. Zimmerman D iabetes 24 JOHN R. FLYNN Joseph B. Harris, Chairman Entertainment 26 FRANK E. SHOVLAIN George A. Tanbara, Chairman T. W. Bowen, Jr. F. W. Hennings 30 JAMES M. MATTSON Kenneth Gross L. M. Rosenbladt G. M. Whitacre 31 LEW IS A. H O PK IN S Geriatrics M. E. Lawrence, Chairman Glenn H. Brokaw John F. Steele Legislative Douglas P. Buttorff, Chairman Arnold J. Herrmann Gerald C. Kohl Wayne W. Zimmerman Medical Education NOTICE Robert Kallsen, Chairman John Comfort Robert W. Osborne Check back page of Bulletin for calendar Schools R. A. Norton, Chairman Theodore Apa George S. Kittredge of special meetings Qrvis Harrelson Jack W. Mandeville William E. Hill George Tanbara Traffic and Safety Harold D. Lueken, Chairman Mental Health H arold B. Johnston, Chairman T. R. Haley Myron Kass William H. Todd Front Page Picture

Bulletin Staff Courtesy Editor...... W . W . M attson, Jr, Associate Editor...... M. E, Lawrence Richards Studio Business Manager...... Judy Gordon Auxiliary News Editor ...... Mrs. Arnold Herrmann BULLETIN of the Pie r c e Co u n t y M ed ica l So ciety

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Theragran—the original and most widely prescribed therapeutic vitamin preparation—is now expanded to provide additional nutritional support for your adult patients. In keeping with the proposals of in­ vestigators, such vitamins as B]2, pyridoxine and d-calcium pantothenate have been added to the formula, and the ascorbic acid content has been in­ creased. These improvements in the Theragran for­ mula provide your patients with extra value at no additional cost.

Each new, improved Theragran capsufe supplies: Vitamin A 25.000 U.S.P. Units V ita m in D ...... 1.000 U.S.P. Units Thiamine Mononitrate 1 0 m g. Riboflavin ...... 10 m g . Niacinamide ...... 100 m g . Ascorbic Acid ...... 2 0 0 m g . Pyridoxine Hydrochloride 5 m g, d-Calcium Pantothenate ...... 20 m g .

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a g e 1-85 NO MEDICAL EXAMINATION! BULLETIN o f the Pierce County M edical Society 5

ANNUAL MEETING

PIERCE COUNTY MEDICAL SOCIETY Tuesday, December 9-8:15

MEDICAL ARTS BUILDING AUDITORIUM

ELECTION OF OFFICERS

* * *

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BULLETIN o f the Pierce County M bdical Society 11 Pierce County Medical Society Nominees—1959 Ballots received by mail November 25, 1958 are to be returned to the Medical Society office before 5 p.m., Tuesday, December 9, 1958. President-Elect (Vote for one) Woodard A. Niethammer, M.D. C. B. Ritchie, M.D. Vice-President (Vote for one) PHARMACY Burton A. Brown, M.D. Robert W. Florence, M.D. Secretary-Treasurer Arnold J. Herrmann, M.D. Trustees (Vote for three) Prescription William E. Avery, M.D. William Burrows, M.D. Theodore R. Haley, M.D. Druggists James D. Lambing, M.D. Charles M. McGill, M.D. W. Howard Pratt, M.D. Delegates (Vote for six) Douglas Buttorff, M.D. Louis P. Hoyer, Jr., M.D. Murray L. Johnson, M.D. Herman S. Judd, M.D. We Carry a Complete Stock of Charles E. Kemp, M.D. Frank R. Maddison, M.D. Biologicals and Pharmaceuticals Robert A. O’Connell, M.D. Chris C. Reynolds, M.D. Warren F. Smith, M.D. Stanley W. Tuell, M.D. Don G. Willard, M.D. Wayne W. Zimmerman, M.D. Alternate Delegates (Vote for six) Samuel E. Adams, M.D. "When Moments Count" Robert R. Burt, M.D. Robert M. Ferguson, M.D. Robert W. Florence, M.D. Robert H. Gibson, M.D. FUlton 3-2411 Arnold J. Herrmann, M.D. Glenn G. McBride, M.D. Fay M. Nace, M.D. PROMPT . . . FREE DELIVERY Wendell G. Peterson, M.D. Frederick J. Schwind Elmer W. Wahlberg G. M. Whitacre, M.D.

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B19034 B U L L E T IN o f the PIERCE C o u n t y MEDICAL SOCIETY 13 Thirty-First Scientific Session of tion from the limited amount of work which has been attempted to-date here. It The American Heart Association also is worth noting that most of the special By Kenneth E. Gross, M.D. facilities present were provided by Na­ Attendance at this meeting of the Ameri­ tional Agencies, Voluntary Health Organi­ can Heart Association was preceded by the zations and Private Foundations as well as opening of the Cardio-Vascular Research the taxpayers of California. The Staff is Institute of the University of California composed of prominent younger authori­ Medical Center at which time there was a ties on the specialized problems of such an scientific program presented in this most institution led by Dr. Julius H. Comore, magnificent physical plant, high atop one Jr. as the Director, formerly of the Univer­ of San Francisco’s nobs. It served to demon­ sity of Pennsylvania. strate that despite this ultra-modern plant, I also managed to augment the meeting some things remain common to all institu­ proper by a visit to the similar facilities at tions, for one of the principal speakers was Stanford University Medical School in San Sir George Pickering, professor of medicine Francisco, again primarily for angio-cardio- at Oxford, England. His entire presenta­ graphic information. Here the equipment tion was confused, and incidentally the at­ and Staff are the finest but the physical tending audience was amused, by the inver­ plant is much older. However, this is only sion, reversal and mis-ordered presentation in anticipation of moving Stanford Univer­ of his slides by the projectionist. This de­ sity Medical School proper to Palo Alto tracted in no way from a most excellent although it is rumored that the present presentation, but at least these simple Hospital will continue to function. tilings are still common to all medical insti­ The meeting at the Civic Auditorium of tutions. The Cardio-Vascular Research the Heart Association was unusually well- Institute possesses a most impressive accu­ attended as were the simultaneous scientific mulation of equipment but my personal sessions of the American Heart Association interest was largely confined to the diag­ and American Society for the Study of nostic radiographic aspects, and I believe Arteriosclerosis and the Council on Circu­ I gained a considerable amount of informa- lation and Microcirculatory disease. Be­ cause of personal interests and the inability to cover simultaneous sessions, my attend­ ance was largely at the portions of the pro­ gram connected with cardio-angiography FIRST NATIONAL and allied radiological aspects of heart dis­ ease. Thus, much of the information in AUTO LEASE regard to mechanical methods for deter­ mination of chemistry levels, much of the COMPANY dog research, and the still very popular interest in the saturated and unsaturated fatty acids were chiefly neglected. In es­ 624 Broadway sence the opinion appeared to be that the explanation for variances in coronary heart MArket 7-6171 disease death rates between Nations and Races are intakes of (1) saturated fat and (2) animal protein expressed as a propor- SPECIAL LOW RATES ON (Continued on Page 15) MAINTAINED BUSINESS CARS FOR PROFESSIONAL MEN "Glasses as your eye physician prescribes them" I - 2 - 3 - Year Leases Contact Lenses — Artificial Eyes SEDANS - STATION WAGONS HARD TOPS - CONVERTIBLES Columbian Optical Co. THUNDERBIRDS Ground Floor, Medical Arts Bldg. Medical Center Western Clinic Bldg.

BULLETIN o f the Pierce County M edical Society 15

(Continued from Page 13) tients with this congenital abnormality tion of total calories. Other radio-active fat where 20% who gave reliable histories of tolerance tests indicate that although the rheumatic disease and yet had an asso­ unsaturated fatty acids may lower serium ciated and dynamic inter-atrial vascular cholesterol levels they do not exert any shunt. Most of these patients were felt to apparent effect on fat tolerance. be still amenable to corrective cardiac sur­ Phonocardiography is one aspect which gery, further emphasizing the need for pre­ is somewhat remote from my personal in­ cise anatomical diagnosis. terests, but I was impressed by the number It is largely because of this need that of presentations on this subject and the increasing emphasis is being placed upon importance that certain groups attach to cine-cardio-angiography and it is obvious their findings. Especially in some of the that this modality has markedly improved more difficult aspects of specific diagnosis the demontsration of intra-cardiac anatomy that we are all facing; namely which pa­ by the selective injection of contrast media tients with a ‘systolic’ m urmur deserve fur­ into the right ventricle, pulmonary artery, ther cardiac study. Some groups feel that left atrium, left ventricle, or aorta in pa­ phonocardiograms are very reliable in dif­ tients with congenital and acquired heart ferentiating between atrial and ventricular disease. In one particular institution over septal defects and evaluating the size of 800 patients, ranging in age from 4 days such and degree of pulmonary hyper­ to 58 years, have been subjected to this tension. examination with one fatality in part attrib­ Of some persisting interest is the internal utable to the procedure. Several papers on mammary artery ligation procedure re­ left heart visualization by direct needle ported by groups from Seattle, Kansas City, puncture ventriculography by various ap­ and Philadelphia in which all emphasize proaches were presented, and one cannot that this operation if indicated should be help but be impressed by the relative lack done only for the relief of angina pectoris of morbidity to what would appear at first and it does not in any way alter the basic hand as a rather formidable and dangerous coronary disease present. Two of the groups procedure. suggest that the subjective benefits are I left this meeting with the general im­ predominantly psychotherapeutic. pression that many of the authorities feel The actual surgical aspects of intra­ that the acquired and congenital defects cardiac and vascular disease with the re­ within the heart are well on their way to ports of increasing numbers of successful being defeated, and many of the researchers cases, decreasing morbidity and mortality and clinical investigators are well on their and longer and longer periods of follow-up way to an attack on coronary artery visuali­ are all similar from the various centers such zation with attempts at using arteriographic as Philadelphia, Minneapolis, Chicago. It techniques for the study of coronary scler­ also becomes apparent that hypothermia is osis. Much has been accomplished also in now lacking in interest insofar as there was evaluating the effects of various drugs upon not a single paper presented on this sub­ the cardiac coronary circulation by this ject and there were innumerable ones pre­ technique in animals. The human applica­ sented as well as scientific exhibits on the tion is possibly best emphasized by the cardio-pulmonary bypass techniques. angio-cardiograph diagnosis of an aberrant Among the post-operative follow-up find­ left coronary artery from the pulmonary ings were those which indicate that the post artery because it is the one condition for mitral commissuratory syndrome is an early which there is hope of corrective surgery recognizable state, not accompanied by at the present time and this is the only specific serologic abnormalities and not fol­ method by which the accurate diagnosis lowed by any unusual tendency to re­ can be made. The various ingenious tech­ stenosis. Of particular interest also is the niques being developed are indeed prac­ emphasis upon the fact that repair of inter- tical and proving clinically applicable. afrial septal defects has become a definite One cannot help being impressed by the reality with negligible mortality accom­ fact that the diagnosis and surgical attack plishing complete elimination of this vas- upon cardiac disease is assuming the posi­ , cular shunt, emphasizing that it becomes tion of the attack upon pulmonary disease. «rnandatory to establish an exact diagnosis The rapid progress made by the individuals of this congenital lesion alone or in com­ involved in this type of work as indicated bination with rheumatic mitral-valvular by such a meeting merely serves to empha­ lsease. One paper presented ninety pa­ size the extreme rapidity of advancement. 16 B U L L E T IN of the Pierce . County M edical Society

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Saint Joseph’s that Marion Bell has resigned permanently. Pre-Christmas Sale is on. There are still Marion was injured one year ago. Her arm a few items left so do come early and have is still in a cast. a better choice of . . . copper tooling, Our Anesthesiologists, Drs. Yoachim and baskets, belts, key cases, jewelery, etc. . . . Pratt spent a weekend in Las Vegas. Dr. wooden toys, stuffed animals, aprons, and Guilfoil gave a bridal shower for Dorothy embroidery work. Martelli. All of the surgery nurses gave a Mrs. Dunn, former Occupational Thera­ baby shower for Mrs. Kenyon. pist, recently left the hospital staff. In the Helen Garitone, R.N., a 1953 graduate of very near future she will be having a baby. St. Joseph’s School of Nursing became the To fill her position is Mrs. Bonnie Kraut, a bridge of Bill LaBrie in St. Rita’s Church Canadian and graduate from McGill Uni­ November 22. The reception was held at versity in Montreal, Quebec. the New Yorker. A Happy Thanksgiving to all. Everyone is The Medical Record Technician Students making plans for the festive holiday. Marie had their first trip to the Court House, Rose is spending her Thanksgiving with her November 25. W ith the ever increasing son and daughter-in-law in San Francisco. rate in personal injury suits all medical She is seeing her twin grandchildren for record personnel must know the procedures the first time. to be followed when a medical record is Mrs. Mary Ellen Lewis is staying at subpoened into court. home being just a home body taking care The angels’ greeting of “Glory to God of her family. in the highest, and on earth peace to men Mrs. Cope and Mrs. Dixon, class of 1958, of good will” is the Christmas wish and graduated with 47 other students from the greeting to all our doctors and their fam­ Tacoma Vocational School November 20. ilies from the Sisters and all the hospital A strange coincidence that the graduation personnel. was held by candle light since the city Merry Christmas! God bless you all! lights were out. Mrs. McFarlane gave a very nice talk Tacoma General on Practical Nurses and their place in the Applications of the following doctors hospital. The class was very proud of the have been approved for Temporary Medi­ news that all had passed the state board cal Staff privileges: Dr. Marcel Malden, examination. Dr. Robert A. O’Connell, Dr. Sherman S. Mrs. Mae Lewis is back on three to Pinto, Dr. Maurice E. Snyder, Dr. Z. Joseph eleven shift after two weeks illness. Vozenilek, and Dr. Arthur P. Wickstrom. Mrs. Dickinson is leaving to go to Buck­ Pansies, petunias, zinnias—all the many ley Hospital. colorful flowers that fill the borders here at Once again we bid farewell to one of Tacoma General Hospital, bloomed more our co-workers, Corrine McCord. Her hus­ magnificently than ever before during the band, a navy man, has been transferred to past summer. With loving care Harry Long Beach, California. This is Corrine’s Downton coaxed the best from each. Often fifth resignation in ten years. he was at work with them before the sun Our Christmas card sale is still in prog­ came up. During the long Fall, this match­ ress. So far the sales have been good with less bloom continued. Finally the day came the help of Mary Cullen, a former em­ when the plants were lifted from the ployee. Mary sold forty boxes. Thank you, ground, and Mr. Downton himself then Mary. turned over the good black earth, and raked We have added to our staff, Lillian Kil- it into a pattern of perfection. As he got martin and Patricia Pathakis. into his car to drive home he remarked, “I We^ too have a “Mile of Pennies Piggy am a lucky' man, I have neither an ache nor Bank,” The trouble with our pig is that he a pain.” Before he reached his home, he isnt gaming any coin weight. He needs became ill, and that night he died. . "era. We are doing everything in our power This good man will be greatly missed ,to help find the “W anted H oarder Penny by his friends at Tacoma General Hospital, ••Pincher.” and by all those visitors and passersby who ■( Much to our regret word has reached us (Continued on Page 23)

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(Continued from Page 17) m atch with his own private bad luck sign paused a moment to thrill to the gorgeous Three in a Volkswagen! Dr. Larson did not pictures he painted with flowers. A mem­ attribute his bronchopneumonia to the 49 orial planting, given by the Students of hour Tacoma-to-Chicago Volkswagen run, the School of Nursing, will be a living nor to his many long hours of work as tribute to one who brought much beaut)' President of the CAP, and section leader in to many. Forensic Pathology for the ASCP. He stated Dr. John J. Bonica returned to Tacoma firmly, as he left the train, on his return on the 22nd of November after more than from Chicago, “I am still a small car a month of travel on two continents and advocate.” in numerous countries. After conducting a Dr. Alexander continued, “The scientific post-graduate course in Anesthesiology at session were varied and stimulating. The the University Hospital of Caracas, Vene­ residents in Pathology who accompanied zuela, Dr. and Mrs. Bonica enjoyed a few Dr. Larson were especially pleased to at­ leisurely days in Curacoa. After this they tend a national meeting. They too advo­ went to Mexico City, where Dr. Bonica cated small cars, big conventions, and the presented a paper before the Mexican Con­ private practice of Pathology. It’s a long gress of Anesthesiology at their annual walk from Chicago.” meeting. Their final stop was in Chicago for the annual meeting of the American Pierce County Society of Anesthesiologists and a meeting of the Board of Directors of the Society. Mrs. Anita Preston, head physical thera­ _ Dr. and Mrs. M. J. Wicks attended the pist, had as her house guest Captain Olive annual meeting of die American Associa­ F. G. Marsh, Washington, D.C., during the tion of Blood Banks which was held in weekend of November 8-9. Captain Marsh Cincinnati during the middle of November. is executive assistant to Major General Sny­ Dr. and Mrs. Charles P. Larson left im­ der, President Eisenhower’s personal physi­ mediately after Thanksgiving for Minneap­ cian. Captain Marsh and Mrs. Preston have olis to attend the annual clinical session been friends since their basic training days of the AMA, after which they attended a during World Warll. Mrs. Preston met hei CAP Board meeting in Chicago. friend at McChord Field when she arrived The Laboratory staff and students held with the President’s party on Columbine an introductory Open House for the Medi­ III. General Snyder and Captain Marsh cal Technology students who attend CPS were dinner guests at Mrs. Preston’s home and PLC. Dr. Larson discussed the student on Saturday night. Before the plane’s de­ training program, an educational film was parture for Seattle, Mrs. Preston was shown, and a tour through the laboratory privileged to be shown the Columbine III concluded the program. by Colonel Draper, the pilot. Pathology residents, Dr. Paul Alexander Jov Ann Vanverlow, therapeutic dieti­ Mid Dr. Robert Kraft accompanied Dr. tian, resigned November 5 to return home Charles Larson to Chicago to attend the to St. Louis, Missouri, with her husband, annual meeting of the CAP and ASCP. Dr. who was discharged from the Army. Mrs. Alexander reports: “Dr. Larson has re­ Lois Gerritsen of Bremerton will replace placed the old superstition of th ree on a Mrs. Venverlow on December 1. Carolyn De Muynek of Social Service is happily anticipating the return of her hus­ band, Ronald, from his year’s army service in Korea. On October 11 the Dietary Department BEALL’S entertained with a Smorgasbord party at Steve s in honor of Irene Dawn who was married to Edward Lindmark on October I The Prescription Store 25. Many beautiful gifts were presented to Irene with all well wishes from her co­ 124 Meridian South workers. Nelle Sather, housekeeper, reported a | PUYALLUP most interesting and instructive session of the Institute of Hospital Housekeeper, held || Phone Puyallup 5-8444 November 14-15 at the University of Wash- (Continued on Page 25)

BULLETIN o f the Pierce County M edical Society 25 (Continued f rom Page 23) Puget Sound Rehab Center ington. Executive housekeepers attended At the meeting of the National Women’s from Alaska, Canada and Oregon as well as Auxiliary to the A.M.A. held in San Fran­ a large number from this state. One of the cisco last June, the Washington State Medi­ most valuable topics presented was that of cal Auxiliary presented the Puget Sound Fire Safety Evacuation presented most ably Rehabilitation Center as the State project by Wilton Jepperson, Battalion Chief, State report. of Washington. This subject is highly re­ commended as a subject which other organ­ The Center which opened in February, izations may use free of charge. 1957, is the first and only community-spon­ Pete Peterson, long time employee, now sored Rehabilitation Center in the State retired, is suffering from a broken leg. If and was activated by the Pierce County his many friends at PCH wish to write him, Medical Society, Medical Auxiliary and sev­ his address is 1151 East 85th. eral other local organizations. On November 7 a Department party was The Staff consists of a Medical director given for Gwen Hall a member of the secre­ and physical, occupational and speech ther­ tarial force. Delicious cakes, home made apists who are assisted by vocational coun­ by Ruth Nagle, and coffee were served be­ selors, consultants from the Division of fore gifts of a bracelet and matching ear­ Vocational Rehabilitation and a secretary- rings were presented to Gwen, who on the receptionist. Each member of this team is evening of the 7th flew to Bloomington, devoted to the task of restoring physically California where she will marry Donald devastated persons to confident, competent Underwood on November 15. Her parents individuals who are able to care for them­ flew down later in the week for the wed­ selves and earn at least part of their own ding to be held in St. Charles Church of livelihood. Bloomington. Toni Hall will be bridesmaid for her sister. The ultimate goal of the Center is to provide a complete rehabilitation program for all forms of physical handicaps. Plans for the coming year include the addition A COMPLETE LINE OF to the staff of a part-time clinical psycholo­ gist and a social worker as well as forma­ SUPPLIES FOR THE tion of an amputee clinic where post-polio, PHYSICIAN . . . HOSPITAL cerebral vascular accident cases and other chronic disabilities may be examined. Also AND anticipated is an in-patient service and ex­ NURSING HOME pansion of speech services to include speech and hearing testing and classes for adult stutterers. A team from the Puget Sound Rehabilita­ tion Center recently returned from Los An­ geles where they attend a one week course Mail or Telephone Orders at U.C.L.A. on Functional Bracing of the Given Prompt Attention Upper Extremities. Those attending were: Dr. Edna Backup, medical director; Rob­ ert Gallucci, physical therapist; and Mr. Len Cedar of the Brace Shop. Although well on its way, it is evident that this humanity-inspired project has SHIPMAN much to look forward to. SURGICAL CO. This year, the Pierce County Medical Auxiliary contributed $540 which was ear­ 741 St. Helens Ave. - BR. 2-6400 marked to cover rent of the building occu­ pied by the Center. It is through coopera­ Tacoma 2 tion and financial support such as this that the Center will continue to grow so that more and more handicapped individuals may be returned to physical, social and PATRONIZE o r a ADVERTISERS” economic independence. ^ : . 26 BULLETIN o f the Pierce County Medical Society

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LEDERLE LABORATORIES, a Division of AMERICAN CYANAMID COMPANY "Rea. U. s. pat. Off. pear| R|vWj Now yw k BULLETIN o f the Pierce County M edical Society 27 WOMAN’S AUXILIARY VUe Pie/we G ourdy M edical M ocleiij, 1958-58 job in decorating for the affair. Alaska Woman’s Auxiliary should feel justly honored by the tribute paid her. Everything was most authentic Pierce County Medical Society including two pretty lady Eskimos—namely Officers and Chairmen Elvina Brokaw and Ruth Iioutz. It must

P r e s id e n t. ..Mrs. Robert W . Florence have gotten quite warm under those President-Elect 7 . " ...... -M rs. Joseph Harris 1 st V ic e - P r e s i d e n t ...... — ...... Mrs. Herman Judd Alaskan house dresses. For-get-me-not blue <3ud Vice-President ...... Mrs. Robert Osborne(the for-get-me-not is the state flower of 3rd Vice-President ...... - ...... - ...... Mrs. Carl Scheyer 4th Vice-President ...... — Mrs. Burke Lair Alaska) and the obi belt were featured Recording Secretaiy — Mrs. Charles Anderson, Jr. Corresponding Secretary—...... —Mrs. Kenneth Gross in the newest fashions purchased esjie- Treasurer ... ______.... ___. ______Mrs> H askel l_r> cially for this showing by Rhodes. Particu­ American Medical Education Fund Mrs. Robert Osborne National Bulletin ...... Mrs. Robert P. Crabilllarly appealing were the “Little Dipper” Civil Defense ______Mrs. Robert Burt fashions and models. Children of the Aux­ Historian ______M r s . Thomas Smeall Social I ”-." ...... — ------Mrs. F. M. Nace iliary members modeled the wee size to Legislative ...... Mrs. Robert Ferguson Membership and Hospitality'...... Mrs. Glenn Brokaw the teen age fashions. This was all complete Mrs. Galen Hoover with dogs and hula hoops. All in all a beau­ Nurse Recruitment— ______Mrs. Herbert Kennedy Program______.. ...Mrs. T. O. Murphytifully produced show. Helen Florence and Public Relations ------Mrs. Mills Lawrence R ev isions ...... Mrs. Elm er WahlberyHazel Whitacre wish to thank all of you Rehabilitation ______------Mrs. T. B. Murphyfor your very fine cooperation—especially T e le p h o n e ______Mrs. Richard Link Today’s Health ...... Mrs. George Tanbarathose of you who worked so tirelessly to Mrs. Stanley Tuell Speakers Bureau ______Mrs. Philip Grenley put the show on the road. Perhaps most of Minute Women _ ...... - ...... Mrs. W . W . Zimmerman you didn’t know that Hazel Whitacre was H eart______M rs . Robert Kallsen Mental Health ___ Mrs. James Mattson working under a great handicap — her Safety------Mrs. Stanley Durkin C a n c e r - Mrs. Robert Brooke lovely home was burned during the plan­ Infantile Paralysis... Mrs. Douglas Buttorff ning stages of the show and she with her Tuberculosis- ..M rs, Hillis Griffin Crippled Children and A dults ------Mrs. W . G. Peterson family has been living at the City Motel. Publicity— Bulletin ______Mrs. Arnold. Herrmann Publicity— Newspaper ...... Mrs. Howard Pratt We understand they will be there for at Fashion Show ______Mrs. G. M. W hitacreleast another several weeks. Hazel deserves D ance...... M r s . Robert Gibson Game Night ...... —Mrs. T. B. Murphy our deepest sympathy and an extra round Community Council______Mrs. John Steele* City Council.^ ...... Mrs. Wm. Goerinj'of applause for her outstanding work with the Auxiliary. A good slogan to adopt, following the Who was the lonley male we spied last meeting at Elizabeth Thomas’s, would Gazing intently, trying to decide be — “Safety is YOUR business — MIND Which of the pegnoirs would best adorn IT!” The clever hats made and modeled His fortunate wife on Christmas morn? by our members with appropriate com­ Christmas Party mentary by Adele Durkin, our Safety Chair­ Calling all good little boys and girls . . . man, were realistic reminders of the im­ the Auxiliary’s Christmas Party will be held portance of “safety first” in our daily Saturday, December 13 at the Jackson Hall routines. Recreation Room—beginning at 2:30 p.m. Fashion Stars Such a heavy schedule this year will pre­ If any of you have any doubts about the vent Santa Claus from putting in an appear­ headaches, heartaches, and just plain hard ance, but he will send some of his prettiest work involved in putting on a Fashion and most competent Sugar-plum Fairies. Show—just consult Hazel Whitacre, Mar­ Be sure and plan to keep this date for garet Harris, Ruth Brooke, Barbara Ander­ Lorna Burt, along with Mesdames John son, Doris Kunz, or any of the other gals May, Richard Vimont, Robert Crabill, and who worked so hard to make our current Jack Erickson, the chairman, are planning . A New Star in Fashion” a success. The all sorts of surprises for all of your young­ Bayview Room at the Winthrop glowed sters from two to twelve—older ones are . patriotically last Friday with the novel red, also welcomed. Also remember your chil­ , ?vhite, [anS blue whirling flags and bright dren may bring money—either in an en­ ’;.candles. From the Bayview Room the velope or gift wrapped—to put in the chim­ •lests moved down to the Crystal Ballroom ney for boys and girls who are less fortunate ,the piece de resistance. Ruth Brooke, than they. This year money received from Jiusband, and Rhodes did a magnificent ( Continued on Page 29)

BULLETIN of the Pierce County M edical Society 29 Brief Resume of Vancouver Trip patients changed for the better and many for worse on placebos alone. On Thursday night, November 7, Peggy It seems to be the concensus of opinion and George Race, Mary Steele and I started that Erythromycin did help in many cases for Vancouver, B.C. in my car. The trip of Pulmonary Emphysema. It helped the was uneventful, except that it rained most cough, made the sputum easier to expec­ of the way making driving rather difficult. torate ;cut down bacteria; helped the short­ The meeting started at the Willow Chest ness of breath and seemed good for the Centre on Friday morning, and a very heart condition of the Emphysema cases. good program was given. Our friend Dr. We were invited to the University of the Cedric Northrup was Chairman of the British Columbia Faculty Club for cocktails morning session on TUBERCULIN TEST­ and dinner that evening and this was a very ING IN BRITISH COLUMBIA, and enjoyable occasion. LONG TERM RESULTS OF CHEMO­ THERAPY TUBERCULOSIS. Dr. Murray Johnson came up Friday af­ ternoon with his good wife. We saw many He gave a very good five-year followup of our old friends from Vancouver such as study on the prognosis of the patients dis­ Drs. Kincaid, Trapp, Harrison, McKim and charged from the Sanatorium with Radio­ Whitelaw. Also Dr. John E. Tuhy of Port­ logical Evidence of Cavitary Disease. Some land. Dr. Speros could not be there for his very good slides made from X-rays were Friday morning session. We saw many of projected on the screen and it was readily the Seattle doctors. Several from Virginia seen that the Planogram studies brought Mason Clinic and several from the out small cavities that ordinary X-rays University. would not do. It was a very enjoyable day! We were much impressed by the Long Term Results of Chemotherapy for Tuber­ —John F. Steele, M.D. culosis, and a comparison was made be­ tween INAH and PAS given together and (Continued from Page 21 j Streptomycin and PAS, also INAH alone, together with some interesting tables your children will go to help brighten the were shown on the screen. Christmas of the Children’s Home on the Dr. Robert Lane was up there too and Hill. Several of our Auxiliary members are both he and George Race decided on sub­ on the board of this worthwhile institution jects to take notes on. The subject I chose and they along with the chairman and her was Prolonged Antibiotic Administration in committee would appreciate all of the co­ Chronic Pulmonary Emphysema, a double operation you can give them. blind controlled study by Dr. W. Y. Hallett, With all of our successful money-making Dr. G. N. Beall and Dr. Wm. Kirby of the projects the president was forced to form a University of Washington. new committee—Finance Committee—to This paper was very good, but it was help take care of our money. Hilda Lan- all in the dark so that I could not write tiere was appointed chairman and will be notes. About all I can remember from all assisted by our president, Helen Florence; of these tables was the fact that they used president-elect, Margaret Harris; treasurer, Erythromycin and Placebo without either Dorothy Maier; and past president, Gladys the pat'ents or the doctors knowing which Hanson. As you can see from the impressive was. given. It is curious to know how many list of names—our money is in good hands. Donna Ferguson, our legislative chair­ man, has reported that the Jenkins-Keogh EVERY DROP PURE HEAT Bill was passed both by the House Ways and Means Committee and the House of STANDARD Representatives. This is the bill allowing Heating Oils self-employed individuals to set aside tax- free money for retirement. Donna hopes to Call MA. 7-3171 have Dr. A. O. Adams from Spokane at the January meeting to speak more fully on this matter. Fuel Oil Service Co. If you’re interested in becoming a mem­ 816 A St., Tacoma ber of the Auxiliary, deadline for payment Mark Dolliver Jack Galbraith of dues is January 31—and please be inter­ ested. Send check to Dorothy Maier.

BULLETIN of the Pie rce Co u n t y M ed ica l S ociety 31 New Appointment Book For Surgeons Very Helpful An appointment book for surgeons—the first of its kind—designed to give the doc­ tor a complete and legible record of his surgical schedule for months in advance is now available. The book is the brainchild of Jean John­ ston Courtright, secretary to Dr. Thomas Bate of Phoenix, Arizona, and is being published by her and being distributed through leading medical book stores in the prostration are to be avoided. Replacement country. She believes that the book will be of sodium, potassium, calcium, or chloride of invaluable aid to thousands of medical ions is therefore an essential part of treatment. secretaries and to the doctors who want to FOUND determine at a glance just what they have ahead of them for the next 30 and 60 days. ELECTROLYTES found in j. W. Stacey, Inc. of San Francisco, spe­ cialists in professional and scientific books, palatable oral formulation describes Miss Courtright's book as a “ter­ POLYSAL® K-P rific help to the busy surgeon in maintain­ Oral Electrolytes with ing an efficient schedule and well-organized office.” Kaolin and Pectin Stacey’s doesn’t distribute just any old Each 100 cc. contains: book. It is quite selective and confines its Sodium Chloride, U.S.P ...... 0.83 Gm. listings to books in specialized fields. The Potassium Chloride, U.S.P ...... 0.56 Gm. Calcium Pyrophosphate...... 0.057 Gm. fact that it undertook distribution of Miss Magnesium Gluconate, 2H -0 ...... 0.13 Gm. Courtright’s appointment book is somewhat Sodium Lactate, Anhydrous...... 1.35 Gm. of a tribute since it marked the first time Kaolin, Colloidal, N .F ...... 19.44 Gm. Pectin, N.F ...... 0.87 Gm. that Stacey’s has listed a non-scientific book. Replaces lost electrolytes . Balances water A further testimonial to the book is that with electrolytes . Soothes and protects intes­ tinal mucosa • Provides demulcent, adsorbent it has been recommended to students in and detoxifying action medical secretary classes at the Missouri State Teachers College. POLYSAL® ELIXIR This new surgeon’s appointment book is oral electrolytes alone not something that Miss Courtright thought Each 100 cc. contains: of or put together overnight. Back of it are Sodium Chloride, U .S.P ...... 3 .3 3 Gm. several years of trying to keep a readable Potassium Chloride, U.S.P. . .2 .2 2 Gm. record of all the essential data the busy Calcium Lactate, N.F ...... 0.553 Gm. Magnesium Gluconate, 2H?0 .0 .5 0 Gm. surgeon needs. Since surgical appointment Sodium Lactate, Anhydrous. . .5 .0 Gm. books were unheard of, Miss Courtright had been improvising, using a regular ap­ REWARD pointment book and ruling it off to divide the vital data the surgeon needs. This Quicker return to normal with replacement of didn’t prove practical since Miss Court- electrolytes and improved retention of water. right always was running short of space. ALWAYS USE ELECTROLYTES She would abbreviate, write in the margin, EARLY use hieroglyphics that only she could in­ terpret, write in any spot the point of her Administer balanced oral electrolytes— pen would fit but still she found there was Specify Polysal K P ...... 9 oz. P olysal E lix ir...... 6 oz. a need for space. The problem wasn’t only hers but the CUTTER LABORATORIES problem of thousands of other ‘‘Miss Court- rights” working as medical secretaries. I Berkeley, California This not only became annoying but some­ *si times it was confusing and often, Miss Courtright frankly admits, it looked like a mess despite her efforts to keep the records (Continued on Page 33)

BULLETIN o f the Pierce County M edical Society 33

(Continued from Page 31) American Institute of Ultrasonics neat and legible. One day she decided she In Medicine had had enough, that she was going to At the Interim Meeting of the American devise a book that would give the medical Institute of Ultrasonics in Medicine held secretary and the doctor a complete rec­ in Philadelphia, Pennsylvania, on August ord of his surgery schedule, one that he 23rd, the following officers and members could look at and tell at a glance where of the Executive Board were elected for he would be operating at a certain time, the 1959-1960: patient, the type of operation and who Jerome Gersten, M.D. ______President would be beside him at the operating Denver, Colorado table. The surgeon’s appointment book was John H. Aides, M.D Secretary-Treasurer the result. Los Angeles, Calif. The plastic-covered, spiral bound book Executive Board has an efficient schedule for each clay of John H. Aides, M.D, Los Angeles, Calif. the year. The ADMISSIONS section has Herman Bearzy, M.D, Dayton, Ohio space for the patient’s name, the admitting William Bierman, M .D , New York, N. Y. diagnosis, the hospital and accommodation. Karl T. Dussik, M.D, Lexington, Mass. The SURGERY schedule section contains William J. Fry, M.S., Urbana, Illinois the time, the patient’s name, the operative Jerome Gersten, M.D, Denver, Colorado procedure, the hospital and a memo col­ Arthur C. Jones, M.D, Portland, Oregon umn for waiting lists, special nurses or John Kuitert, Lt. Col, M.C, Ottawa, Can. assistants. The ADMISSIONS AND DIS­ William D. Paul, M.D, Iowa City, Iowa MISSAL sections are obviously designed, Ferdinand Schwartz, M.D, Birmingham, says Stacey’s, to save your time in giving Alabama. preoperative and postoperative orders and in making hospital rounds. These headings have been set up to meet the requirements For and Proposed Now Third of all accredited hospitals. “This surgery On Labor’s Legislative Goals appointment book is most important,” says Miss Courtright, “since the doctor’s time The AFL-CIO has given high priority to is built around the surgery schedule. The pasage in the next Congress of the Forancl doctor can tell at a glance just what his proposal for hospitalization and surgical surgery schedule is for months ahead and services of OASI beneficiaries. It is now plan his time—and his vacation better.” third on a 10-point legislative program. Ahead of it, according to President George The book does much to eliminate errors Meany, are only aid to depressed areas and and omissions in scheduling, it saves time federal aid to general education. On the that the doctor can devote to surgery, gives Forand bill, Mr. Meany states: “It is still a clear view of the surgery schedule for the either impossible or too costly for our sen­ day and your elective surgery weeks in ior citizens to obtain such insurance advance. It also is a great aid to the staff through non-profit or commercial channels.” m completing a patient’s charts and insur­ Legislative goals were outlined at a press ance claims and can be used in conjunction with any bookkeeping system. conference shortly after the Congressional elections. Mr. Meany observed in a state­ ^ Dr. Bate, Miss Courtright’s boss, thinks ment: “The American people on November that his secretary’s book fills a longstanding 4 very emphatically indicated that they do need and soon will be a must in most sur­ not agree with those political leaders who geons offices. have little faith in the dynamic character of The book sells for $5 and is available our national economy. By an overwhelm­ through: J. W. Stacey, Inc., 551 Market ing vote, they elected to Congress new St., San Francisco, Calif.; Chicago Medical Senators and Representatives who want cook, 301 South Honore St., Chicago; D e­ to forge ahead and properly utilize our na­ tent Textbook Stores, In c, 135 E. Elizabeth tion’s human and natural resources to build M., Detroit, Mich.; George Eliot, Medical a better world for all. By the same vote, -.and Scientific Books, 1302 Second Ave. they retired many members of Congress New York, N. Y.; E. F. Mahady Co., 851 who have followed a stand-still policy.” pylsfon, Boston, Mass. and J. A. Majors The labor chief added that this was not epical Book, 2137 Butler, Dallas, Texas. the time to “raise false issues” but “the : Medical Society Magazine Group time to give the American people the pro­ Editorial Service gram which they have voted . .

BULLETIN of the Piekcb County M edical SociEry 35 tional Ladies Garment Workers’ Union, of some of his students at the college, and member of AMA Committee on Medi­ tabulate all the statistics for the survey. cal Care for Industrial Workers; and Two-hundred and forty-three answers have Charles L. Farrell, president, Conference been received to date, and all participants of Presidents and Other Officers of State in the survey are looking hopefully for a Medical Associations. high return of questionnaires. Antibiotics Can Now Go Mental Health Assn. News Beyond Iron Curtain The recently-formed organization, the Antibiotics and related drugs, long ban­ Tacoma Community Psychiatric Clinic, ned from shipment to Russia and satellite Inc., with Mr. H. J. Nugent, Jr. as presi­ countries, can now be shipped there pro­ dent, is at present conducting a survey to vided that individual export licenses are find out to what extent there is a vital need issued. Without giving any reason for the in Pierce County for a psychiatric clinic lifting of the ban, Commerce simply said to which adults who do not have sufficient that previously, except for research pur­ funds for adequate psychiatric care may poses and certain emergency situations, go. Over a thousand letters have been sent applications to export these commodities to to all physicians and surgeons, lawyers, the European Soviet bloc generally were clergymen, personnel managers, dentists, denied. Relaxation does not apply to Com­ chiropractors, and social agencies in the munist China, North Korea and North county by the coordinator from the Ta- Vietnam which are under total embargo coma-Pierce County Mental H ealth Asso­ from U.S. goods. Commodities include pen­ ciation, Mrs. Charles F. Wible. As the icillin, streptomycin, dihydrostreptomycin, replies come in, they will be taken over by aureomycin, terramycin and all other sim­ Dr. Eugene Maier, Chairman of Mathe­ ilar antibiotics, including sulfanomides. matics at Pacific Lutheran College, who is Commerce decided that shipments to Po­ acting as consultant and statistics super­ land can be made under a general export visor for the project. He will, with the help license.

supporting evidence s u b s t a n t ia t e s ^ G r d t r it G * . . . confidently prescribed more than 8,863,769 times

Specificity . . . the influence upon the sympathetic nervous system, with resultant reduction in blood pressure, and

Safety . . . from the hemodynamic viewpoint, by lowering the arterial pres­ sure without significantly affecting cardiac output . . .

are but two reasons many physicians find Veratrite the antihypertensive of choice in treating geriatric patients, because it can be safely used in patients who cannot tolerate stronger drugs. Veratrite, a product of continuous Neisler research, now contains Cryptena- mine, a newly isolated alkaloid fraction—which lowers blood pressure safely . . . dependably . . . and without annoying side effects. Each Veratrite tabule contains: Cryptenamine (tannates) 40 C.S.R.t Units Sodium nitrite ...... 1 gr______Phenobarbital 14 gr. W '^ jCarotid Sinus Reflex

Irwin, Neisler & Co. • Decatur, Illinois Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Mtrf/iay of March, June, Sept., Dec.—7:30 p.m. Auditorium ^f 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 PIERCE COUNTY Last Monday of egch month—6:15 p.m. TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month—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—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Third Wednesday of Nov. and Dec.—6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Friday of each month except June, July and August STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at Scotty's Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., D^c.— 12:15 p.'