PIERCE COUNTY MEDICAL SOCIETY

VOL. XXVI—No. 5 TACOMA, WASH. JANUARY - 1956 2 BULLETIN of the Pierce County M edical Society Pierce County Medical Society 1956

OFFICERS President ______Gerald C, Kohl Preliminary President-Elect____ Hillis F. Griffin Vice-President_____ Burton A. Brown Secretary-Treasurer . Arnold J. Herrmann Announcement T R U S T E E S 'i . Burton A. Brown " Louis P. Hoyer, Jr. • --Walter GrGanrerorr— Gerald C. Kohl ■—‘ « Carlisle Dietrich S. Robert Lantiere » 'I Philip Grenley Glenn G. McBride 1 The Annual Dinner Dance - Hillis F. Griffin Fay Morris Nace Arnold J. Herrmann Warren F. Smith n

D E L E G A T E S of the Jesse W. Bowen, Jr. Arnold J. Herrmann Walter C. Cameron Frank R. Maddison Philip Grenley Pierce County Medical Society ALTERNATE DELEGATES Louis P. Hoyer, Jr. Charles E. Kemp Murray L. Johnson William J. Rosenbladt Will Be Held Saturday, February 11 Warren F. Smith

COMMITTEES Ethics at the Charles H. Denzler, Chairman S. Robert Lantiere William H. Goering Grievance Tacoma Country and Golf Club Walter C. Cameron, Chairman Miles Parrott Jess W. Read House and Attendance Philip C. Kyle, Chairman Rodney Brown Mills Lawrence Glenn G. McBride L ibrary Fay Morris Nace, Chairman Robert R. Burt Joseph O. Lasby Ralph H. Huff Program John J. Bonica, Chairman Carlisle Dietrich Hugh A. Larkin Rodger Dille Stanley W. Tuell Wayne Zimmerman Public Health Charles E. Kemp, Chairman Cecil R. Fargher Louis P. Hoyer, Jr. Merrill J. Wicks Public Relations Haskell L. Maier, Chairman Samuel E. Adams Wm. W. Mattson, Jr. Herman S. Judd Warren F. Smith Civil Defense Murray Johnson, Chairman Daniel Hunt, Admiral, U. S. Navy, retired Paul E. Bondo Richard B. Link J. Robert Brooke James D. Lambing D iabetes Robert E. Lane, Chairman Joseph B. Harris G. Marshall Whitacre Entertainment Jesse W. Bowen, Chairman L. Stanley Durkin Charles P. Larson James M. Mattson Frederick J. Schwind Geriatrics J. Benjamin Robertson, Chairman Hollis Smith John L. Whitaker Legislative Douglas P. Buttorff, Chairman Homer W. Humiston Wendell G. Peterson Dumont Staatz Mental Health Committee William H. Todd, Chairman Treacy H. Duerfeldt Harlan P. McNutt George S. Kittredge F. E. Shovlain School Committee R. A. Norton, Chairman NOTICE Lester S. Baskin David T. Hellyer Woodard A. Niethammer Traffic Safety John Theodore Robson, Chairman Check back page of Bulletin for calendar Don Francis Cummings Robert A. Kallsen Louis M. Rosenbladt of special meetings Bulletin Staff E d ito r ...... -William Mattson, Jr. Business Manager ...... Shirley lmeson Auxiliary News Editor . —Mrs. Becky Bonfield BULLETIN o f the Pierce County M edical Society 3

(J a JU l t t

ional support

Each Theragran Capsule supplies:

Vitamin A .... 25,000 U.S.P. Units and Theragran gives (synthetic) therapeutic results Vitamin D .... 1,000 U.S.P. Units Thiamine Mononitrate.... 10 mg. Riboflavin ...... 10 mg. Niacinamide ...... 150 mg. Ascorbic A c id ...... 150 mg. THERAGRAN lo r more capsules daily THERAPEUTIC FORMULA VITAMIN CAPSULES SQUIBB bOttleS Of 30, 100 and 1000.

S q j j ib b ’ THEftAQRAK* IB A SQUIBp TRADEMARK BULLETIN of the Pierce County M edical Society ierce County Medical Society 1956 OFFICERS sident ...... Gerald C. Kobl Preliminary sident-EIect ...... Hillis F. Griffin e-President ...... Burton A. Brown retary-Treasurer ...... Arnold J. Herrmann Announcement TRUSTEES 'i . Burton A. Brown " Louis P. Hoyer, Jr. • - Walter G.-Cameron—• Gerald C. Kohl ------Carlisle Dietrich S " ' ' T — 1 »- _ * ------1 7 Philip Grenley G D an ce Hillis F. Griffin F Arnold J. Herrmann V

DELEGATE? Jesse W. Bowen, Jr. A Walter C. Cameron F Philip Grenle; 1 Society ALTERNATE DELI Louis P. Hoyer, Jr. C Murray L. Johnson \ W arren F . Sra ebruary 11

COMMITTEI Ethics Charles H. Denzler, I S. Robert Lantiere ' Grievance Walter C. Cameron, O Miles Parrott ] 2 House and Atten Philip C. Kyle, Ch _Q Rodney Brown ! O Glenn G. McB) Library Fay Morris Nace, C Robert R. Burt Ralph H. Huff V Program £ John J. Bonica, Cl Carlisle Dietrich rt Rodger Dille 2 Wayne Zimmej Public Heal Charles E. Kemp, ( Cecil R, Fargher Merrill J. Wi Public Relati Haskell L. Maier, ( Samuel E. Adams Herman S. Judd Civil Defen Murray Johnson, ( Daniel Hunt, Admiral. U. o Paul E. Bondo J. Robert Brooke 2 c _o D iabetes Robert E. Lane, C b -1-1rt Joseph B. Harris L,ra L- Enter tainmi _o £ 1) Jesse W. Bowen, I * m a W L. Stanley Durkin h James M, Mattson J O Q Geriatrics t» J- Benjamin Robertson, Chairman Hollis Smith John l . W hitaker Legislative Douglas P. Buttorff, Chairman Homer W. Humiston Wendell G. Peterson Dumont Staatz Mental Health Committee William H. Todd, Chairman Treacy H. Duerfeldt Harlan P. McNutt George S. Kittredge F. E, Shovlain School Committee r , „ „ ,R- A. Norton, Chairman Lester S. Baskin David T. Hellyer NOTICE Woodard A. Niethammer Traffic Safety John Theodore Robson, Chairman Check back page of Bulletin for calendai □on francis Cummings Robert A. Kallsen Louis M, Rosenbladt of special meetings Bulletin Staff William Mattson, Jr. ew M anager _____ Shirley Imeson iary News Editor -Mrs. Becky Banfield BULLETIN o f the Pierce County M edical Society 3

MMBEM

Each Theragran Capsule supplies:

Vitamin A .... 25,000 U.S.P. Units and Theragran gives (synthetic) therapeutic results Vitamin D 1,000 U.S.P. Units Thiamine Mononitrate.... 10 mg. Riboflavin...... 10 mg. Niacinamide ...... 150 mg. Ascorbic A c id 150 mg. THERAGRAN 1 or more capsules daily THERAPEUTIC FORMULA VITAMIN CAPSULES SQUIBB bottles of 30,100 and 1000.

S q j j ib b 'TKERAQRAH' IS A SQUIBp TRADEMARK NEW! ACHROMYCIN OPHTHALMIC OINTMENT with HYDROCORTISONE (Tetracycline 1% , Hydrocortisone 1.5%) Lederle’s versatile broad-spectrum antibiotic and P a c k a g e : % oz. hydrocortisone, an established anti-inflammatory agent, collapsible tube. are now combined in a lanolin-petrolatum base. This Other forms of Achromycin for dual-action ointment is useful in treating a wide ophthalmic use: variety of ocular infections, and many noninfectious Ophthalmic eye conditions, including corneal injuries. Ointment 1%: M oz. tube. Ophthalmic Solution: vial of 25 mg. with sterilized dropper v ia l.

TETRACYCLINE LEDERLE LEDERLEACHROMYCIN LABORATORIES DIVISION A M t n a n idcoMPAur PEARL RIVER, NEW YORK 'REQ. U.S. RAT. OFF. BULLETIN o f the Pierce County M edical Society 5

PROGRAM-8:15 p.m.

Pierce County Medical Society

Tuesday, January 10, 1956

“Relation of the Practicing to the Schools” Dr. Darcy M. Dayton, Director Health Services Tacoma Public Schools

“Public Health Nursing in the Schools” Miss Anola Frederick Public Health Nurse, Tacoma Schools

“Health Screening of School Children” Dr. R. A. Norton, Chairman, School Advisory Committee of the Pierce County Medical Society

# # *

FILMS (Showing Begins at 7:20 p.m.)

Nephrosis in Children . . . Color, Sound, 18 Minutes

Mitral Valve . . . Color, Sound, 14 Minutes 6 BULLETIN of the Fierce County M edical Society

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

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

I. I. MELLINGER President CREDIT TERMS OUR FUNERAL BENEFIT IF INSURANCE PLAN SA V E S Y O U C.C. Mellinger DESIRED M O N EY TOO

Underwritten by Homesteader's Life Co. of Des Moines, Iowa. Lowest rates— a n d M e m o r i a l c h u r c h W e invite comparison. 6TH & TACOMA

a g e s 1-85 BROADWXY 3268 ( 7 :3 * r N O M ED ICAL EXAMINATION!

"0 PROCTOR Tacoma Brace & L im b Co. Pharmacy Lenart C. Ceder, owner

EARL V. ACKER ☆

Expertly fitted— Com plete Orthopedic Appliances Prescription Service Artificial Limbs Surgical Belts Arch Supports PR. 2235 Trusses

☆ PROMPT FREE DELIVERY 723 South K Street 3818 North 26th Street Phone MArket 2717 B ...... BULLETIN o f the Pierce County M edical Society 7

EDITORIALLY SPEAKING...

Our hard working Pierce County Medical Society Auxiliary recently had an experience that is worthy of presentation.

Due to unforseen circumstances they were forced to change the site of their rummage sale, held December 1st, 2nd and 3rd, and a sign to that effect was placed in the door. Subsequently Helen Kittridge received reports of some strange faces behind the counters accepting rummage from doctors’ wives. Investigation disclosed that another organization had taken over the space and altered the sign left so that no mention was made of the transfer of the Pierce County Medical Society Auxiliary to another location. The party that had taken over was found not to have a permit and the place was promptly locked up. However, the Auxiliary and what it supports suffered considerable loss. Instead of the previously— (last year) earned $1000 only $455 was taken in. These funds are used for scholarships for nurses and also “The American Medical Educational Foundation Fund.”

It would seem that the Pierce County Medical Society Board of Trustees could support our Auxiliary and investigate with the thought of recovering loss, preventing misunderstanding with this organization and taking action to prevent recurrences of this situation.

WM. W. MATTSON,JR., M.D. 8 BULLETIN o f the Pierce County M edical Society

The Most Important Document You Will Ever Sign

The most important document you will sound will. And the cost may not be great. ever sign, or should sign, is your Will. No matter how large or how small your estate, Special attention should be given to nam­ you should make a Will. Why? Because a ing a bank as executor, solely or jointly with will provides the greatest financial security your wife and/ or others. for your family . . . your wife . . . your A bank’s trust department is specialized children. It provides the greatest possible in estate administration . . . and importantly, economy in settling your affairs . . . leaving a trust department is permanent and time­ more for your family. less. It will repay you many times to see an Act now . . . see an attorney . . . protect attorney. He will give your family the pro­ your loved ones . . . make your Will. It will tection of a properly drawn and legally give you a great peace of mind.

TRUST DEPARTMENT PUGET SOUND NATIONAL BANK O F T A C O M A

MAIN OFFICE • LINCOLN • K STREET • LAKEWOOD

Free Customer Parking at our Big Lot at 13th and A Streets and at Branches

MEMBER: FEDERAL DEPOSIT INSURANCE CORPORATION . FEDERAL RESERVE SYSTEM BULLETIN of the Pierce County M edical Society 9

CO. LYNN CO.

717-719 South Tacoma Avenue Phone MArket 7745

BRALEY'S, Inc. PRESCRIPTION DRUGGISTS

Catering to the Doctor and his patient

FREE DELIVERY

Medical Arts Building MArket 8116 WELL TOLERATED BROAD SPECTRUM ANTIBACTERIAL THERAPY PLUS ANTIFUNGAL PROPHYLAXIS

BROAD SPECTRUM ANTIBIOTIC THERAPY, ’ EFFECTIVE IN MANY COMMON INFECTIONS

Because it contains Steclin (Squibb Tetracycline), MYSTECLIN is an effective therappudi: agent for most bacterial infections. When caused by tecraj;, chne-susceptible organisms, the follow­ ing infections are a few of those which can be expected to re­ spond to m y s t e c l in therapy: bronchitis gonorrhea osteomyelitis pyelonephritis colitis lymphadenitis otitis media sinusitis furunculosis meningitis pneumonia tonsillitis

m y st e c l in is also indicated in certain viral infections and in amebic dysentery.

BROAD SPECTRUM ANTIBIOTIC THERAPY, WITH A MINIMUM OF SIDE EFFECTS

In clinical use, Steclin has produced an extremely low incidence of the gastrointestinal distress sometimes observed with other broad spectrum antibiotics. Mycostatin (Squibb Nystatin), as contained in m y s t e c l in , is also a particularly well tolerated antibiotic and has produced no allergic reactions, even after prolonged administration.

BROAD SPECTRUM ANTIBIOTIC THERAPY, WITHOUT THE DANGER OF MONILIAL OVERGROWTH

Because it contains Mycostatin, the first safe antifungal antibiotic, m y s t e c l in effectively prevents the overgrowth of Candida albicans (monilia) frequently associated with the administration of ordinary broad spectrum antibiotics. This overgrowth may sometimes cause gastrointestinal distress, anal pi ui ltus, vaginitis, and thrush; on occasion, it may have serious and even fatal consequences.

S q j j i b b ______...______

Each m y s t e c l in capsule contains 2 5 0 m g . Steclin Hydrochloride and 2 5 0 ,0 0 0 units Mycostatin. Minimum adult dose: 1 capsule q.i.d. Supply: Bottles of 12 and 100.

•M W tC U N ', ’STEOUN’ AND , HYCOOTAT1H’® AflC BQU10B TRADEMARKS 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 11 Washington State Medical annual State Medical Meeting, where pledge cards can be signed for the benefit of this fund. Association Reminder I am confident that the universal support of the Medical Educational Fund will be maintained; o f th e however it is our responsibility to remind our mem­ bership of its importance. MEDICAL EDUCATION Please be assured that your efforts will be CAMPAIGN FUND greatly appreciated. Sincerely yours, Dear Dr. Kohl: Arnold J. Herrmann, M.D. As a member of the Medical Education Cam­ M em ber, Medical Education paign Fund Committee of the Washington State Campaign Fund Committee of the Medical Association for the years 1955-1956 I am Washington State Medical Association taking this opportunity to advise you of the follow­ ing suggested ways to stimulate interest in order to raise funds for the American Medical Educational Foundation. Clinic for Mentally 1. That you appoint, to head this special commit­ tee, a Chairman for the Medical Educational Retarded Children Campaign Fund for your county. 2. Report to the next County Society meeting the Established following points: A new clinic for mentally retarded children 1. Memorium Gifts: At the time of the demise (The Clinic for Child Study) has been established of a doctor or a friend a memorial gift be by the University of Washington School of Medi­ arranged to donate this amount to the cine. Medical Educational Foundation in the name Purpose of the clinic is to provide complete of the deceased. medical diagnostic evaluation and help in planning 2. Another suggestion would be a service dona­ for future care and training of the retarded child. tion: Services rendered to families of a fel­ This will be done through a team composed of low physician be repaid by a gift donation pediatrician, psychologist, psychiatrist, public to the American Medical Educational Fund health nurse, hearing and speech therapist, social in place of financial payment which is often worker, nutritionist, and dental hygienist. Ortho­ an embarrassing matter. pedic and neurological consultants are also associ­ 3. The amount suggested for each doctor to ated with the clinic. All patients seen at the clinic give is $25.00 or more. This amount may be will receive a complete evaluation by the staff. divided as you desire between your various Patients may be referred by private doctors, health universities or presented to your medical department and other public agencies in Pierce school. County. All pertinent information regarding x-rays, 4. A plea should be made at the staff laboratory work, and medication is requested in meetings for donations to the Medical Edu­ the referring letter. cational Fund. Your local County Medical Auxiliary could work as canvassers for the Children under eight years will be considered Medical Educational Fund Committee using for acceptance. There is no charge for the clinic the same methods as the Community Chest service. The program will be used to prepare and the Red Cross Workers. professional personnel to work with mentally re­ The medical profession has pledged two million tarded children and their parents. Studies relating dollars annually to supply this needed money. This to several aspects of retardation are contemplated. amount is needed to maintain the high medical For further information call BRoadway 9341 in teaching standards without federal subsidies. Tacoma or VErmont 6062 in Seattle. If this donation is given in 1955 rather than in — Myroji Kass, M.D. 1956 a greater tax benefit will be obtained since 1956 should bring a definite tax reduction. Posters could be placed in the doctors dressing room or cloak room as a reminder to donate to the "Glasses as your eye Medical Educational Fund. physician prescribes them" The various County Societies that have their own society publications should ask the editor of Contact Lenses — Artificial Eyes the bulletin for a space to be inserted each month reminding the doctors of this worthy cause. Another scheme that has been used in neighbor­ Columbian Optical Co. ing states is that the local County Medical Society take out an insurance policy on its members. If Ground Floor, Medical Arts Bldg. any one member becomes deceased, the amount Medical Center of money payable from that policy is to be turned over to die Medical Educational Fund. Western Clinic Bldg. Plans are in progress for a booth at the next

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 13 . . .

was— Obligingly he took the picture— explaining ST. JOSEPH’S however he was just a doctor! © © * The St. Joseph’s Hospital School of Nursing The Future Nurses of Stadium High School have Alumni are proud of a certificate of Appreciation been spending 2-3 nights weekly reading and awarded them by the March of Dimes for com­ entertaining the patients in the Pediatric Depart­ pleting the task of stuffing and sealing over 55,000 ment, much to the enjoyment of the children. envelopes for their campaign. At least half the o © o credit goes to patients on the Psychiatric Service at The staff and employees of St. Josephs Hospital St. Joseph’s who completed approximately 22,000. wish everyone a very Happy New Year. © © 0 © © © All the Practical Nurses from the Tacoma Voca­ Doctor and Mrs. John Comfort have a baby tional School who took their examination October boy, John Gerard, born November 19. Mrs. Post’s 31st received word that they passed. Congratula­ daughter, Donna, has a new daughter born tions to all and especially to Miss Foresberg who’s November 6th. Born to Mary Anne Currier, a work with the S.P.N.’s is to be commended. daughter, October 19th. (She is a daughter of the © © o late Dr. Wm. McNerthney). Dr. Fred Wery has returned after a trip from his native Holland. We are all very happy to have him. Incidentally he has a car in place of the PIERCE COUNTY “1914” truck which graced the side entrance to the hospital two summers ago. The hospital personnel are congratulating the © © © committee of the Mutual Employees Benefit As­ At the Annual Banquet on December 19th a sociation of the Pierce County Hospital upon the special cake was sent in for the dinner. This cake most successful Christmas party which was held was in honor of Dr. Robertson’s eightieth birthday in the hospital on December 22 between the and was made to order by his son and daughter- hours of 2-6 p.m. The committee was composed in-law. of Billie Perkins, Arlene Davis, Gcorgena LaCross, Saturday, December 3rd, a very successful Warren Stimson and Carl Niwa. The decorations Winter Festival was held for the benefit of the were particularly attractive and the refreshments School of Nursing. An open house and musical were delightful. Entertainment was provided by was held from 5-9 p.m. the Heidelburg Trio, by carol singers from Lincoln Greta Von Brederlow played piano selections Park High School and St. Leo’s High School. A throughout the evening. trio of guitarists was also an enjoyable feature as Miss Laureen Sakugawa — a member of the were the solos sung by Frank Niwa. choir at C.P.S. sang a selection of songs which de­ © © © lighted the audience. The crowning event of the Miss Katherine Mooney, Superintendent of evening was the awarding of prizes to the follow­ nurses, is now the proud owner of a charming ing: Mrs. Joyce Doggett, Tacoma; Sgt. Broughton, new home facing Surprise Lake. Fort Lewis; Mrs. Cockswell, Puyallup; Shappee’s Grocery, Tacoma. The Washington Society of X-ray Technicians © © © held their Christmas party at the Top of the Ocean Mrs. Jean Pollard, a former member of the on December 7. Mary O’Neal, Betty Ann Halver­ Pediatric Staff, was a visitor in the pediatric de­ son, Joan Kirmse and Ted Trigg of the Pierce partment a few weeks ago. We hope to have her County Hospital x-ray staff, reported a most en­ back with us in the very near future. She has joyable time consisting of a pre-banquet cocktail been nursing in Santa Barbara, . party, the banquet and dancing. © © © © © © The Pediatric department was very proud of the Friends are glad to learn that Arlene Slane, picture of one of its patients in the News Tribune night supervisor of nurses, has left St. Joseph’s Hospital and is recuperating at her home. S.D. Day. Cherry Coans— a little accident patient o © © who is up in traction— posed to best advantage with her nurse, Miss Alice Theriault. A highly successful surprise party was given by © 0 © the members of the Housekeeping Department in Doctor Nelson is fast acquiring a reputation as a honor of Mrs. Ida Raser, at Mrs. Raser’s home, on photographer! Having just finished snapping a pic­ December 19. Some beautiful gifts were presented ture of an interesting Pediatric case he was ac­ to Ida, among them an old-fashioned eight-day costed by the mother of another patient who said Cuckoo clock, which the guest of honor has de­ she has had photos of all the important events in sired for a long time. A buffet supper was served her child’s life and would like a record of his to about 25 guests. © © © hospitalization as well. Giving her name and ad­ dress she asked him where his place of business (Continued on Page 15) 14 BULLETIN of the Pierce County M edical Society

AND ALL DAIRY PRODUCTS PHARMACY

Prescription ☆

Druggists Careful Mothers use Pro­ tected Milk. Pasteurized and Homogenized Milk from our own contented cows can be delivered We Carry a Complete Stock of to your home or your Biologicals and Pharmaceuticals grocer

A Favorite Dairy for over 30 years. Recommended 'When Moments Count'1 by doctors and dietitians. FUlton 2411 ☆ CALL PROMPT . . . FREE DELIVERY WAverly 8705

Stadium Hi District S a n itary 101 North Tacoma Avenue INFANT DAIRY Tacoma, Washington

Direct from Our Farm to You BULLETIN of the Pierce County Medical Society 15 (Continued from Page 13) BOOK REVIEWS Dr. and Mrs. Fernando Gorchs are being con­ gratulated upon the arrival of a seven-pound baby Pleural Apologies to the Reviewers boy, bom December 12. The young man will be 1. “A Textbook of Neurology,” by H. Houston named Fernando Arturo Gorchs. Merritt. This text was reviewed in a very concise, O 9 0 knowledgeable manner by Dr. Charles M. McGill, in the September issue of the Bulletin. Alas— the Mrs. Patt Stephens, who has been absent from omission of his name as reviewer was not noticed die Social Service Department for the past two until recently. years, has returned to the clerical office of the 2. “Sexual Hygiene ancl Pathology,” by John department. O 0 o F. Oliven; Reviewed in the December issue by Dr. S. Robert Lantiere, whose name was also omitted Mrs. Beatrice Brown and her husband are motor­ from his well-outlined contribution. Our regrets to ing to Long Beach, California, to spend the both Dr. McGill and Dr. Lantiere. Christmas season with relatives. Diseases of the Ear, Nose and It is with extreme regret that the hospital is Throat accepting the resignation of Mrs. Florence Rokahr, By W. W. Morrison for eight years the head of the Record Department This is a comprehensive book by a teacher of of the hospital. Mrs. Rokahr has been selected by Otolaryngology. It is written for the student and the Northern Pacific Railroad Beneficial Associa­ general practitioner, but the specialist in this field tion to be Supervisor of hospital record work for will also find it useful as it is new, has many il­ hospitals in St. Paul, Minnesota, Glendive, Mon­ lustrations and covers the subject thoroughly. How­ tana, Missoula, Montana, and Tacoma, Washing­ ever, it does not go into details as much as the ton. Mrs. Rokahr will maintain her headquarters in Ear, Nose and Throat man would like. Tacoma. — I. A. Drues, M.D.

Social Service held its annual Christmas dinner Soap ad seen in a New York paper: party at the Top of the Ocean on December 22. It makes a bath that refreshes, relaxes and Gifts were exchanged among the members, who stimulates. You stex> out of your tub ready to meet voted the party a complete success. all comers.

STQWELL'S... Prescriptions

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

111

FREE DELIVERY

111

BRoadway 2201 744 Market Street

Doctors Hospital Building 16 BULLETIN of the Pierce County M edical Society

McMILLAN BROTHERS, Inc.

New Address — 942 Pacific Avenue

Service to the Medical Profession and

their patients for 44 years.

We dispense only the finest of

Pharmaceuticals.

Time Tested Dependability Established 1889

R. E. Anderson & Co. Inc. INSURANCE - MORTGAGE LOANS - REAL ESTATE PROPERTY MANAGERS

747-49 St. Helens Ave. BRoadway 8475

ASK FOR W. O. JEFFERY

OFFICERS H. F. SYFORD, President J. D. POWELL, Vice President DONALD M. MOORE, Vice President (In Charge of Fire Insurance) (I„ Charge ol Casually Insurance and Bondi) E. I. POLE, Secretary (In Charge of Marine Insurance) BULLETIN of the P ie r c e C o p n t y M e d ic a l S o c ie t y 17

Excerpts from the Program from the acute pancreatitis it is frequently helpful to do an amylase study on intraperitioneal fluid obtained 41st Clinical Congress by paracentesis. Pseudocyst of the pancreas can usually be corrected by sectioning the sphincter of the American College of Surgeons of Oddi. They are usually a result of pancreatitis. A panel discussion on surgery of the thyroid There was no unanimous agreement as to the was carried on by Cattell and Anglem of Boston method of efficacy of cutting the sphincter of Oddi and Black of Mayo Clinic and Patterson of New in cases of pancreatitis. York. Superior laryngeal nerve injury never oc­ Reconstruction of the esophagus was discussed curs with thyroidectomy alone, but occasionally by Sweet of Boston. Comments were made on the occurs with radical neck dissection. The main various procedures for doing this. Construction of symptom of it, is fluid regurgitation into the a skin tube has few advantages except that it is trachea. The condition is temporary. Riedel’s easily accessible and safe. However, it is tech­ struma is the rarest disease of the thyroid. Normal nically difficult because of stricture and stenosis thyroid tissue is replaced by very dense fibrous formation. Skin attached to stomach is not good tissue. Hasnimoto’s disease occurs in the female because of these reasons. Skin from esophagus to and the symptoms it occasionally causes are usually esophagus is better. The old Torek operation is mechanical. Also, slight hypothyroidism is usually not good because no lymphatics are excised. Skin present. The condition will recede on the ad­ tubes are indicated only for short segments as in ministration of thyroid extract three grains per the neck. Stomach tubes are best for substitutions. day. All cases eventually results in myxedema. There are a few disadvantages and these are mainly physiological. There must be no duodenal A 131 therapy is excellent if it does not ulcer or adhesions and the stomach must empty cause carcinoma. So far no cases since its begin­ well. Technically the right gastric and right ning in 1947 have been found. This form of gastroepiploic artery should be saved and all other treatment is indicated in over 50 years of age vessels cut. All technical difficulties in this pro­ group unless the gland is large. It is also used in cedure result in ligating the greater and lesser cases of recurrence of toxic hyperthyroidism. Its curvature vessels. The best way to produce stric­ use may lead to myxedema. In the goiter with tures at the gastroesophageal anastomsis is by us­ multiple nodules lugol’s solution should be given ing crushing clamps, by using cautery and by using preoperatively to prevent unsuspected Graves the ocntinuous stitch. Sweet uses a three layer disease from causing trouble, 25% of the lobe inastamosis of 50 silk and he does not use crush­ should be left behind when operating for Grave’s ing clamps or cautery. Strictures are technical disease. Protein bound iodine levels are best for errors. Jejunum tube procedures have question­ detecting mild hyperthyroidism. Parathyroids may able advantages. They are difficult to do. The be identified by touching with dry gauze. They Roux-Y type is preferable and the anastomotic turn black from subcapsular hemorrhage. There arches should be preserved. The tube should be was no agreement on the indications for radical placed in an isoparastaltic fashion. End to side neck dissection in cases of thyroid cancer. and never end to end procedures should be used A panel discussion on parenteral therapy was in the jejunal tube procedure because of gangrene given by Moyer of St. Louis, Abbott of Cleveland, in the end to end types occurring when trying to Christensen of Ann Arbor and Habif of New York. straighten out the curved end. Use of the colon is The pendulum is swinging back in the cases of easier than the jejunum. Technically, the disad­ protein hydrolysates from virtual abandonment to vantages are that it requires a large incision and frequent indications for its use. Protein hydrolysate infection takes place occasionally. However, it is preparations put out by the commonly known the best procedure for by-pass operations. commercial firms are all good. They should be Gilchrist of discussed carcinoma of the used in the post stress period to correct negative anus. He compared the invasive versus the non- nitrogen balance in cases where oral alimentation invasive type of carcinoma. Areas of leukoplakia is impossible. Adequate amounts of protein sparing should be locally excised. Papillomas are also calories in the form of 10% dextrose must be locally excised if not invasive. Small basal cell given. Concentrations of dextrose above 10% are carcinoma should be excised but abdominal pe­ undesirable because of the high incidence of roneal resections should be performed for large phlebitis. For increasing the protein levels quickly ones. All patients having inguinal node involve­ as in pre-operative situations, I.V. plasma is prob­ ment in squamous cell carcinoma die of the ably superior. Gruerose in place of glucose has no disease. Lesions below the mucocutaneous junction advantage except in the diabetic patient because metastasize to the inguinal nodes. Above the white with it insulin is not required. line they metastasize upwards. In anterior lesions A panel discussion on benign lesions of the of the anus and rectum, the posterior half of the pancreas was carried on by Mulholland and vagina should go much more often than is per­ Doubilet of New York, Partington of Cleveland formed. The rectum should never be irradiated. and Warren of Boston. Symptoms of fainting, Smyth of Abbington, Penn., discussed massive coma, convulsions, together wtih blood sugars be­ duodenal ulcer bleeding. If not treated 75% of low 50 milligrams per cent or adequate indications these cases stop and 25% go on to die. There is for laparotomy and subtotal pancreatic resection 100% fatality if there is bright red rectal bleeding. for hyperinsulinism. In making a diagnosis of (Continued on Page 19) 1 8 ______BULLETIN o f the Pierce County M edical Society

Dolophine Hydrochloride’ (METHADON HYDROCHLORIDE, LILLY) An excellent analgesic, more potent than morphine

'Dolophine Hydrochloride’ offers prompt, is also alleviated), and postoperative pain. profound analgesia in all types of pain, in­ As an antitussive, 'Dolophine Hydrochlo­ cluding obstetrical labor. Minimal sedative ride’ is usually superior to codeine, because effect and relative absence of euphoria fur­ it suppresses cough for longer periods of ther enhance its usefulness in all conditions time. in which a dependable analgesic is indicated. Available in 2.5, 5, 7.5, and 10-mg. tablets; 'Dolophine Hydrochloride’ is notably ef­ single and multiple-dose ampoules; and fective for the relief of severe pain due to syrup which contains 10 mg. of 'Dolophine malignant tumors and metastases, renal col­ Hydrochloride’ per 30 cc. Narcotic order ic (in which spasm of the urinary bladder required.

E L I L IL L Y AND COM PANY INDIANAPOLIS 6, INDIANA, U.S.A. BULLETIN of the P i e b c e C o u n t y M e d ic a l S o c ie t y 19

(Continued from Page 17) The use of color television as a medium for clinical teaching has proven itself to be more than One cannot tell from the pulse or other physical just a novelty. On two large screens, each five signs if bleeding is occurring. Surgery should be feet wide, there was almost continuous presenta­ performed immediately for 2nd bleeders. In old tion of surgical procedures in progress at the same people resections should be carried on four to six time at the Research and Educational Hospitals of weeks after a spontaneous arrest and not sooner the University of . The operating surgeon because of protein depletion which leads to post­ was equipped with earphones and a microphone, operative complications. The gastro-duodenal art­ and through a co-ordinator in the TV room at the ery should be ligated first if possible before doing hotel, the viewing audience could address ques­ a subtotal resection for bleeding. The 4th or 5th tions directly to the surgeon, and hear his answers day after bleeding begins is not the time to oper­ or comments as the operation progressed. A panel ate. It should be done before or much later than of experts in each field of surgery was before this. Ligation of the gastroduodenal artery alone cameras in an adjoining room, and by the use of will not suffice because the collaterals in that split-screen techniques, members of the panel portion of the stomach are too rich for bleeding could lie seen and heard at the same time that the to be stopped. operation continued in full color on the major Ulcerative colitis was discussed by McKittrick portion of the screen. of Boston. He jxrints out that regional areas of Harry W. Southwick performed a parotidectomy colitis always develop into diffuse colitis over a for the television viewers. He denounced the pro­ period of years. The only cure is iliostomy. Sev­ cedure of simple enucleation of any mass in the enty-four percent are well with medical treatment parotid as an inadequate procedure which should but 95% get well with surgical treatment. Also never be used. For identification of the facial surgery is a cure against the likelihood of cancer nerve, he isolated a cervical branch of the nerve developing. Iliostomy under local anesthesia is first, but felt that other approaches were also satis­ very feasible and often should be performed this factory, depending on what the individual surgeon way. Subtotal colectomy with iliostomy is the might prefer. The realism of the television presen­ most frequent procedure of choice and one should tation was appealing, compared to the editing be loath to remove the rectum because any day which is done with moving pictures. Indeed, the we may find the answer to colitis and we should audience seemed to derive considerable amuse­ leave hope for a return to normal function by leav­ ment, and perhaps comfort, from noting that even ing the rectum, if possible. The best way of treat­ the big-name surgeons were not immune from ing the iliostomy stump was divised by Brooks of such minor pitfalls as encountering an aberrant England who turns back the full thickness, or artery unexpectedly, or having a suture or ligature Turnbull of this country who removes the serosa break at an inopportune moment. and turns back only the mucosa and sews it to For clarity of presentation, brevity and more skin. There is no good way to prevent prolapse of compact organization of material, the motion pic­ obstruction of the iliostomy stoma. Iliostomy dis­ tures were still a better medium than television. function is most often caused by local peritonitis There were a total of 58 motion pictures shown on or serositis and the treatment is intermittent cathe­ a full-size screen in a nearby movie theater. These ter drainage, mild digital dilation, low residue diet, showings, too, were continuous through the week, division of scar tissue, proper fluid, electrolyte, and almost invariably the surgeon featured in the cortisone, vitamin and mineral administration. film was present in person on the stage to provide Stenosis is always a matter of mechanical causes commentary and answer questions. In Dr. O. H. of various types. Beahrs presentation of parotidectomy, simple enucleation of tumors was again criticized, and he Longmire discussed trends in gastric surgery. Important proponents of the Billroth I are Har- (Continued on Page 21) kens and Wangensteen. The tally so far indicates that the mortality, the weight gain and anemia factors are favored in the Billroth II for men and the Billroth I for women. The treatment for per­ forated ulcer proposed by De Bakey is primary gastrectomy because 70% of perforated ulcers Karen Rynning develop further trouble and 35% eventuate in surgery. The mortality is only 4.5% which is com­ parable to elective resection mortality. Resection Member of at time of perforation is indicated where there is a long history of ulcers, where there are gastric American Physical Therapy Association ulcers, where there has been a previous perfora­ REFERRED WORK ONLY tion. Longmire recommends total gastrectomies to be done only in the unusual case of cancer of the stomach because of the tremendous nutritional 507 Medical Arts Building problems and the lack of proven superiority over subtotal regarding cure rates. BRoadway 2862 —Ted Haley.

BULLETIN of the P ie r c e C o u n ty M e d ic a l S o c ie t y 2 1

(Continnued from Page 19) advocated routine isolation of the trunk as the best LIBRARY CORNER method of identifying the facial nerve. Dr. Richard BOOKS RECEIVED B. Cattell demonstrated his technique in simple “The Back and its Disk Syndromes” Lewin. “Modern Nutrition ” Wohl and Goodhart. cholecystectomy through motion pictures. A rela­ “Collected Papers of I . C. Rubin ” presented to tively new procedure for die relief of chronic the library by Dr. Rubin. pancreatitis was demonstrated by Dr. Charles B. "Clinical Orthopaedics ” Volume 6. Puestow of Chicago. He accepts the theory of "Year Book of Pediatrics1* duct obstruction as the etiology of pancreatitis and “Year Book of Medicine” performs retrograde pancreaticojejunostomy so that “Year Book of and Gynecology ’ the pancreatic fluid may pass into the jejunum via “Year Book of General Surgery” the opposite end of the pancreas. Results have been “Chlorpromazine and Mental Health ” Sympo­ encouraging so far, though the number of cases is sium. o a o small. One of the most well received panel discussions was the one on carcinoma of the breast, in which Miscellaneous Herbert Willy Meyer of California and Sir Stan­ To remind you that unbound journals with the ford Cade of London, among others, emphatically library stamp are requested to be returned by opposed MacWhirter’s method of simple mastec­ January 10th in order that as many as possible tomy and irradiation for treatment of breast cancer. may be bound at this time. The standard radical mastectomy, with complete To remind you further, to have your photograph removal of the pectoral muscles and auxiliary dis­ taken, if you have not done so. section, was advocated as the only acceptable pro­ To announce that we have an up-to-date roster cedure. Dr. Meyer feels that internal mammary of Washington State available, to carry us until node dissections as in the Urban procedure were the new AMA Directory arrives. still on an experimental basis and should be done only in teaching centers where adequate follow- A famous surgeon was invited to dinner and the ups in a large number of patients, with proper re­ hostess asked him to carve the chicken. He did a porting in the literature, can eventually properly poor job and the hostess was embarrassed. “I don’t evaluate the procedure. think I’d let you operate on me, doctor.” To which —Stanley W. Tuell, M.D. he replied, “Madam, you ain’t no chicken!”

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.

T" Everything in one place OUNTAIN■ * - • • FUNERAL HOME ' CHAPEL V I F Memorial . CREMATORY I E I* park . m a u s o l e u m 4100 Steilacoom Boulevard LAkewood 2195 2 2 BULLETIN o f the Pierce County M edical Society PRESCRIPTION SPECIALISTS

HAROLD MR III IUAUMACY 1110 South 11th Harold Meyer, Owner BRoadway 5104 Open 8:30 a.m. 'till Midnight — Free Delivery 'till 8 p.m.

NEW ANABOLIC HORMONE FORMULATION DEL&DUMONE (combination of Squibb Testosterone Enanthate, Squibb Estradiol Valerate) a single injection every 2 to 4 weeks provides an enhanced therapeutic potential for • imparting1 a sense of well-being in the menopausal syndrome (with minimal likelihood of unwanted estrogenic or androgenic effects) • correcting depletion of protein and osseous tissues in the meno­ pausal sequelae and osteoporosis in males and females.

Supplied in vials of 1 and 6 ml.; each ml. containing 90 mg. of testosterone enanthate and 4 mg. of estradiol valerate. Also available: DELESTROGEN (Squibb Estradiol Valerate) for timed action that ideally matches the estrogenic phase of the normal menstrual cycle. Vials of 1 and 6 ml., each ml. containing 10 mg. estradiol valerate. DELATESTRYL (Squibb Testosterone Enanthate) depot preparation for pro­ longed anabolic and androgenic effects. Vials of 1 and 5 ml., each ml. containing 200 mg. testosterone enanthate. 'OELADUHO.IE' •DEIESTM 0CN - 'O ELATESTB*!.'® APE SOU.OO TRADEMARKS S q jjib b 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 23

ROSTER CHANGES HAPPY BIRTHDAY BUTTORFF, DOUGLAS Gynecolonv and Obstetrics— Thursdavs c Office, No. 39, Tacoma Medical Center...... BR 0559 Home, 3705 North Washington ...... - SK 1254 SMITH, PAUL B. ii: j- j r r . Eye, Ear, Nosx* and Throat ^ = t = -H— Office, 927 Medical Arls Building ...... BR 2356 H ap - py bi rth - day to you, Home, 403 North 10th ...... BR 1463

JANUARY LET’S HAVE A LITTLE FUN 2 HILLIS GRIFFIN Late one night during a rough Atlantic crossing, 3 BURTON BROWN a young lady, very seasick, was straining vainly RALPH H UFF to avert the inevitable by hurriedly undressing and 4 EDMUND KANAR getting into her bunk. 5 NORMAN MAGNUSSEN However, came the dreaded moment and in BERNARD OOTKIN blind panic she jumped up, thinking only of PAUL SMITH getting across the hall to the bathroom. As she 7 ROBERT FERGUSON rushed from her stateroom she collided with a 9 CARLISLE DIETRICH middle-aged gentleman, equally seasick, groping 10 WILLIAM BURROWS his way along the corridor. D. MARLATT “Eeek!” yelled the girl, suddenly realizing she 12 WILLIAM TODD was entirely in the nude. 16 LEO SULKOSKY “Forget it, Miss,” groaned her fellow sufferer. 18 RODERICK NORTON “I’ll never live to tell anybody.” JAMES WARD —Summit County Bulletin. 19 THEODORE APA RODNEY BROWN The first hospital in the was DON CUMMINGS erected on Manhattan Island about 1663 at the 21 FRANK PLUM request of Surgeon Hendricksen Varrevanger for 27 JOHN HAVLINA the reception of sick soldiers who had been RAYMOND ELLIS previously billeted on private families, and for the 29 HUGH KOHLER West India Company’s negroes. — Bulletin Sagamon County Medical Society. Our apologies to Dr. Robert Lantiere, whose birthday was erroneously listed last month as the 12th. Dr. Lantiere’s Happy Birthday is December 5th. > i ► LOST, STRAYED OR STOLEN PARK-N-SHOP ► 21 F BROWN BEURGER CYSTOSCOPE IN WALNUT BOX PRESCRIPTION Dr. Humiston will greatly appreciate any infor­ DEPARTMENT mation leading to the recovery of this instrument.

Patient: Doctor, I’m scared to death. This will be my first operation. O pen 24 Hours a Day Doctor: I know just how you feel. This is my first operation, too. — Summit County Bulletin, | 7 Days a Week

! ☆ ☆ ☆ STANDARD HEATING OILS THE BEST OIL FOR YOUR HOME ; NIGHT DELIVERY BY TAXI Distributed by ► Fuel Oil Service Corp. | ☆ ☆ ☆ MArket 3171 < ■ GR. 8693 98th and Pacific 1 816 A STREET TACOMA ► 2 4 BULLETIN o f the Pierce County M edical Society

Taxicabs - Ambulances for your Patients

ALL AMBULANCES ARE OXYGEN-EQUIPPED

Tacoma Yellow Cab Co.

1324 Market Street

MArket 1121 BR. 8383

ROGER R. MOLT 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

1015 SOUTH TWELFTH STREET MArket 0118 TACOMA 3, WASH. 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 2 5

3. Weekly benefits for unemployment from any SOCIAL SECURITY cause, whether inability to secure a job, sick­ Letter to the Editor: ness or accident either occupational or non- occupational; Following my brief analysis of the social security 4. Maternity benefits; act as presented at the last meeting of the Spokane County Medical Society, I have had numerous 5. A monthly payment to each family for each dependent child; inquiries from physicians as to various phases of 6. A lump-sum job separation payment; and the act and these inquiries clearly indicate that 7. National compulsory health insurance. physicians are not aware of the scope of the present social security act and its proposed exten­ The first social security act was passed by our sions. Some of the extensions that have been Congress in 1935 and the following tables indicate proposed in Congress are as vital to physicians as how it has been rapidly expanded toward the goal was the question of compulsory health insurance of the social security planners. that was debated in Congress a few years ago. 1935— The first social security act was passed. The original concept of the American people This provided only retirement income for was that social security would establish a minimum the worker and a cash death benefit to the income for retired people after the age of 65 and widow. this program was to be financed by a payroll tax 1939— Added a system of dependent and survivor divided equally between the employer and em­ benefits. ployee. This concept however is far different from 1954— Added a disability “freeze.” the ultimate goal of social security planners as Payments indicated by the following minimum standards for 1935 ______$10.00 to $ 85.00 social security as established by the International 1950 ______20.00 to 80.00 Labor Organization at its 19.52 meeting held in 1952 ______25.00 to 85.00 Geneva. 1954 ...... 30.00 to 108.50 They are: Tax Base 1. Old age and survivors benefits. The amount 1935 ...... $3000.00 of benefits, however, would provide a com­ 1950 ___ 3600.00 fortable living rather than a mere subsistence 1954 ...... 4200.00 level to be supplemented by individual ef­ Tax Schedule forts; Self- 2. Permanent and total disability benefits; Employer Employee Employed 1937 ...... 1 % 1 % 0 1950 ...... 1V2% 1 y2% 0 1954 ...... 2 % 2 % 0 1956 ...... 2 % 2 % 3 % I960 ______2 % % 2Vz% 1965 ...... 3 % 3 % 4Vz% 1970 ...... 3%% 3y2% 5V 4% 1975 ______4 % 4 % 6 % The result has been that social security has be­ come a political football and this is clearly mani­ A fested by tine actions taken in the last session of Congress. One bill (H . R. 7225) passed the House with only about 30 dissenting votes, without hear­ ings, with very little debate and under rules that prevented amendments. Also near the end of the session of Congress, 274 bills advocating the further extension of the social security act were submitted by members of Congress with little or no consideration of what the ultimate cost would be or who would pay the tax. In most instances these bills were simply political footballs and were Inncfii’i* X-ray flinty prr^priptifin files, submitted so that the respective Congressman could return to his local district and gain votes patient records^pnjl correspondence without giving the people the true social security may be stored at Bckins nt very picture. reasonable cost. They are accessible for Our present social security is in no sense of the :,'y« personal or telephone reference. word insurance for the reason that the payroll tax is not sufficient to set up adequate reserves. Congress is in effect mortgaging the future earn­ ^ 7 > • for details: ings of future generations without having sufficient actuarial information to know how large the BRoadway 1212 mortgage will be or in other words what per cent of the payroll it will be necessary for future ifa, * _ -v n (Continued on Page 27) 2 6 BULLETIN o f the Piebce County M edical Society

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

M odern and M oderate

o i

BUCKLEY-KING FUNERAL SERVICE Tacoma Avenue at South First BRoadway 2166 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

(Continued from Page 25) before moving further toward the goal of social Congresses to tax. There is also some question security planners as enumerated above. whether the program can be called security in the —Alfred 0. Adams, M.D., true sense of the definition of the word because 407 West 26th Ave., Spokane, Wash. there is no existing contract that the recipient has with the government. Any feature of the plan can Editor’s Note: Although Dr. Adams has recently be changed by any future Congress. retired from active practice, he has for years been H. R. 7225, referred to above, will probably be a student of the political and economic problems considered by the Senate early in the next session confronting physicians. At present he is a mem­ of Congress. The chief concern to physicians is ber of the Washington State Legislature serving in that portion of this bill (that proposes to extend the House of Representatives. A few weeks ago the Social Security Act) which would provide Dr. Adams represented the Washington State for the payment of benefits to recipients after the Medical Association at a committee meeting held age of 50, if they are totally disabled, in the same in Chicago which was devoted to a study of the amount as they would draw if they had become present social security act and the proposed ex­ eligible by reaching the age of 65. When the bill tensions of this act. Recently Dr. Adams addressed was drafted, it would appear that no physician both the Chelan and Spokane County Medical was consulted as to the definition of disability. The Societies on this subject. following definition is taken from the act: “The —Spokane County Medical Society. term ‘disability’ means inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impair­ INTRODUCING ment which can be expected to result in death or to be of long-continued and indefinite duration.” This definition is such that any physician could conscientiously certify an individual as being dis­ abled if he were an addict, a chronic alcoholic, a social misfit or simply if he were mentally confused and did not want to work. While Congressmen who would vote for such a bill may gain the good will of their constituents, they place every physi­ cian in their district in a position of policing the program at the expense of gaining the ill will of any patient that they might refuse to certify as being disabled. I am sure diat the members of the House of Representatives who voted for this bill had no conception as to the magnitude of this disability clause and the resultant cost to the program. The difficulties that physicians are experiencing with DR. DAVID F. DYE the numerous applications to certify disability at the present time, thereby freezing the status of the David was born in Roundup, Montana, in 1921. recipient's social security position, are nothing to He attended schools in that city before his Army what would be experienced if this H. R. 7225 tour in 1942-46. He received his medical degree should become law. at the University of Washington. Internship took Our members of Congress are now on their va­ him to Alameda County, Oakland, California, in cations. I have heard two of them talk on several 1952-53. Completing internship, he practiced in occasions but they have not mentioned social Kirkland, Washington, for almost a year before security and I have seen nothing in the press where coming to Tacoma, to take over the practice of any members of Congress have discussed this sub­ Dr. Leo Scheckner. ject in this area. Hobbies temporarily lost by the way are hunt­ I believe there is a solution to the problem. If ing, fishing and golf. our Congressmen would give the facts pertaining to David’s family includes two sons, David, 9 and social security to the people they could create a Eric 3 Vz. political atmosphere where it would not be neces­ sary for them to advocate the further extension of the social security act in order to be elected. I be­ lieve the people would insist on a more careful study and insist on the program being placed on a DAMMEIER sound financial and actuarial basis, on a pay-as- you-go basis, so to speak, without assessing a mort­ Printing Co. gage on the earnings of the future generations. I am a neophyte in politics but I believe that a BRoadway 8303 candidate can “tell the truth and cdl the truth” and be elected. The time has come for members of 811 Pacific Ave. Tacoma Congress to resurvey the entire social security act

BULLETIN o f the P i e r c e C o u n t y M e d i c a l S o c i e t y 2 9 Upjohn

Bacterial diarrheas...

Each fluidounce contains: with Neomycin sulfate 300 mg. (4% grs.) [equivalent to 210 mg. (3% grs.) neo­ mycin base] Kaolin...... 5.832 Gm. (90 grs.) Neomycin Pectin...... 0.130 Gm. ( 2 grs.) Suspended with methylcellulose 1.25% Supplied: 6-fluidounce and pint bottles

Tho Upjohn Company, Kalamazoo, Michigan 3 0 BULLETIN o f the Pierce County M edical Society

in all your p reg n an t patients

1 . Diet is important

2 . . . . and so is adequate supplementation

for prenatal vitamin-mineral protection,

choose between

new, phosphorus-free Natalins-PF M ead j phosphorus-free] prenatal vitamin-mineral capsules

Contain calcium ... no phosphorus

Natalins* Mead prenatal vitamin-mineral capules

Contain both calcium and phosphorus

Both alike in patient acceptance

• s m a l l s i z e . . .easy to swallow

« SMALL DOSAGE... just 1 capsule t.i.d. • ECONOMICAL, TOOl

| SYMBOL OF SERVICE IN MEDICINE j§ MEAD JOHNSON & COMPANY • EVANSVILLE 21, INDIANA BULLETIN of the P i e b c e C o u n t y M e d ic a l S o c ie t y 31

That I’m an ass, Nihil Desperandum And even Freud Would get annoyed Por favor, At washing gunk Doctor, Into an Ethmoid. And alack! But your beery hints Have you the miseries in your back? Will gain an extra rinse Does your head have intractable pain? In future, ’cos beer Deducing these from your contorted mein. Is dear. Or is it that you’ve been up all hours? — Bulletin Suffolk City Medical Society. Spare me please your jaundiced glowers, Slowly it filters into my ken, You can’t measure a person’s happiness by the Before me gapes the lion’s den. amount of money he has. A man with ten million God help me, he’s in a MOOD again. dollars may be no happier than one who has only Thoughts whilst waiting for my employer to nine million. get with it. A nicer boss you couldn’t find, Funny, gentle, sweet and kind. His only fault that springs to mind He talks too much, On ’phones, to folks BEALL’S Who tell each other seedy jokes, Gents, from Argentine to Puget. Oh doctor please! Tempus fugit! The Prescription Store Lament for a plugged irrigator after a fine of a can of Rheingold. This beer, 124 Meridian South Doctor dear, Is a consolation prize PUYALLUP For irritation From a plugged irrigator. Puyallup 5-6291 For sooner or later, It comes to pass,

First In The Lakes District

Your Prescription Store

FIRST IN QUALITY FIRST IN SERVICE

David Ludwig Fred Ludwig

PAY LAKEWOOD w e e k d a y s PHONE & 9 «.m. to 10 p.n GRIFFIN FUEL BILLS HERE IN THE LAKEWOOD SUNDAYS 10 A.m. to 10 p.m. CENTER BUILDING LA 2191

REGISTERED HOLIDAYS CHECKS Noon to 6 p.m. PHARMACY

Free Prescription Delivery Pierce County Medical Society Sec. 34.66, P. Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID

TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS

STAFF OF TACOMA GENERAL First Tuesday of each month— 6:30 p.m.

STAFF OF ST. JOSEPH'S Third Monday of each month—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 Monday— 12:15 Luncheon Meeting Even Months BULLETIN PIERCE COUNTY MEDICAL SOCIETY

VOL. XXVI— No. 6 TACOMA, WASH. FEBRUARY - 1956 2 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y Pierce County Medical Society HAPPY BIRTHDAY 19 5 6 OFFICERS President ...... Gerald C. Kohl President-Elect ...... Hillis F. Griflin Vice-President ...... Burton A. Brown Secretary-Treasurer ...... Arnold J. Herrmann TRUSTEES Hap- py birth - day Burton A. Brown Louis P. Hoyer, Jr. Walter C. Cameron Gerald C. Kohl Carlisle Dietrich S. Robert Lantiere FEBRUARY Philip Grenley Glenn G. McBride Hillis F. Griffin Fay Morris Nace Arnold J. Herrmann Warren F. Smith I CHARLES ARNOLD DELEGATES 3 WILLIAM HAUSER Jesse W. Bowen, Jr. Arnold J. Herrmann Walter C. Cameron Frank R. Maddison 6 AL SCHULTZ Philip Grenley ALTERNATE DELEGATES DON WILLARD Louis P. Hoyer, Jr. Charles E. Kemp 14 FRANK WILLIAMS Murray L. Johnson William J. Rosenbladt Warren F. Smith 15 PAUL BONDO COMMITTEES THOMAS WEST E thics Charles H. Denzler, Chairman 16 JOHN BONICA S. Robert Lantiere William H. Goering SCOTT JONES G rievance Walter C. Cameron, Chairman 20 GEORGE DELANEY Miles Parrott Jess W. Read House and Attendance 22 JOHN WHITAKER Philip C. Kyle, Chairman Rodney Brown Mills Lawrence 23 PHILIP KYLE Glenn G. McBride FRANK RIGOS L ibrary Fay Morris Nace, Chairman Robert R. Burt Joseph O. Lasby Ralph H. Huff Program John J. Bonica, Chairman ROSTER CHANGES Carlisle Dietrich Hugh A. Larkin Rodger Dille Stanley W. Tuell DAVIS, RICHARD T. Wayne Zimmerman General Surgery— Wednesday Public Health Charles E. Kemp, Chairman Office, No. 23, Tacoma Medical Center .MA 4323 Cecil R. Fargher Louis P. Hover, Jr. Home, 2915 No. Cedar Street...... PR 3300?,' Merrill J. Wicks Public Relations HARRELSON, ORVIS A. Haskell L. Maier, Chairman General Practice— Wednesday Samuel E. Adams Wm. W. Mattson, Jr. Herman S. Judd Warren F. Smith Office, 1035 Medical Arts Building ...... B R 2108', Civil Defense Home, 4839 No. 8th ...... SK 1816*' Murray Johnson, Chairman Daniel Hunt, Admiral, U. S. Navy, retired Paul E. Bondo Richard B. Link J. Robert Brooke James D. Lambing D iabetes Robert E. Lane, Chairman Joseph B. Harris G. Marshall Whitacre Entertainment Jesse W. Bowen, Chairman L. Stanley Durkin Charles P. Larson James M. Mattson Frederick J. Schwind Geriatrics J. Benjamin Robertson, Chairman Hollis Smith John L. Whitaker Legislative Douglas P. Buttorff, Chairman Homer W. Humiston Wendell G. Peterson Dumont Staatz Medical Education Committee Lewis A. Hopkins, Chairman J. Edmund Deming, Sr. Thomas B. Murphy Mental Health Committee William H. Todd, Chairman Treacy H. Duerfeldt Harlan P. McNutt George S. Kittredge F. E. Shovlain School Committee R. A. Norton, Chairman Lester S. Baskin David T. Hellyer NOTICE Woodard A. Niethammer Traffic Safety John Theodore Robson, Chairman Check back page of Bulletin for calendai Don Francis Cummings Robert A. Kallsen Louis M. Rosenbladt of special meetings Bulletin Staff Editor ...... William Mattson, Jr. BuwneM M anager ------S h irley Imescm Auxiliary News Editor ...... Mrs. Becky Banfleld BULLETIN o f the Pierce County M edical Society 3

Each Theragran Capsule supplies:

Vitamin A .... 25,000 U.S.P. Units and Theragran gives (synthetic) therapeutic results Vitamin D .... 1,000 U.S.P. Units Thiamine Mononitrate.... 10 mg. Riboflavin...... 10 mg. Niacinamide ...... 150 mg. Ascorbic A c id ...... 150 mg. THERAGRAN 1 or more capsules daily therapeutic FORMULA VITAMIN CAPSULES SQUIBB bottles of 30,100 and 1000.

S q j j ib b 'THERAOHAN* (0 A SQUIBB TRADEMARK 4 BULLETIN o f th e Pierce County M edical Society

■ flO N J

C,HERl?y cLAvO ^' tN US-NO

^ 5 CC TEaSPoonFOL-' ^

J y „o'('rouse/^2oz.BOTt^' s°o_

]--- 3 ---1 ACH R O M Y C I N s y r u p

ACHROM YCIN broad-spectrum • rapid difFusion • prompt control of infection • well tolerated • effective against Gram-positive and Gram-negative bacteria, rickettsiae, spirochetes, and certain viruses and protozoa.

Today’s foremost antibiotic, tested and accepted by foremost medical authorities, produced and marketed by Lederle.

Other forms of ACHROM YCIN for pediatric use: Pediatric Drops (Cherry Flavor): 100 mg. per cc. (approx. 5 mg. per drop) L E D E R L E LABORATORIES DIVISION Oral Suspension (Cherry Flavor): 250 mg. per teaspoonful (5 cc.) Am e r ic a n G fa iia m id c o m p a n y Pearl River, New York SPERSOIDS* Dispersible Powder (Chocolate Flavor): *REG. U.S. PAT. OFF. 50 mg. per rounded teaspoonful (3 Gm.)

6 BULLETIN o f the Pierce County M edical Society

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

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

J. J. MELLINGER President CREDIT TERMS OUR FUNERAL BENEFIT IF INSURANCE PLAN DESIRED S A V E S Y O U C.C.Mellinqer M O N EY TO O

Underwritten by Homesteader's Liie Co. of Des Moines, Iowa. Lowest rates— AND MEMORIAL CHURCH W e in vite 6TH & TACOMA comparison.

a g e s 1-85 BROADWAY 3268 N O M ED ICA L EXAMINATION!

0 .. "•a Tacoma Brace PROCTOR & L im b Co. Pharmacy Lenart C. Ceder, owner

EARL V. ACKER ☆

Expertly fitted— Complete Orthopedic Appliances Prescription Service Artificial Limbs Surgical Belts Arch Supports PR. 2235 Trusses

☆ PROMPT FREE DELIVERY 723 South K Street 3818 North 26th Street Phone MArket 2717

B.. •iQ BULLETIN o f the Fierce County M edical Society 7

PRESIDENT'S PAGE

GOOD FELLOWSHIP MEANS GOOD ETHICS

GOOD ETHICS MEANS GOOD PUBLIC RELATIONS

Attend

I lie Annual DINNER DANCE

TACOMA COUNTRY CLUB SATURDAY------FEBRUARY 11th, 1956

G e r a l d C. K o h l , M. D. President 8 B U L L E T I N o f the Piebcje County M edical Society

BRALEY'S, Inc. PRESCRIPTION DRUGGISTS

Catering to the Doctor and his patient

FREE DELIVERY

Medical Arts Building MArket 8116

C.O.LYNNCO.

717-719 South Tacoma Avenue

Phone MArket 7745 BULLETIN of the Pierce County M edical Society 9

EDITORIALLY SPEAKING...

SCIENCE FAIRS

This coming April 12, 13, and 14 the third annual “Science Fair” will be presented at the College of Puget Sound Field House. Locally this event is sponsored by “The Puget Sound Science Fair, Incorporated.” A non-profit organization made up of representatives of various industries, civic minded and educational groups.

Nationally, the (National) Science Fair is sponsored by “Science Clubs of America.” This organization is made up of 15,000 science clubs with a membership of 350,000 students. On May 10-12 the National Science Fail- will be held in Oklahoma City. It will be made up of the best exhibitors from each of the local fairs, (of which there were 71 last year).

The purpose of this organization is to stimulate students and get them more interested in the various sciences. It would seem the physician should do his part in attracting new talent to the various medical and related sciences.

Our national organization—the American Medical As­ sociation—has realized how worthwhile this project is. In accepting an invitation to participate in this event the A.M.A. plans to present to the high school student with the best medical exhibit a special citation. Also he or she is to be invited to be a guest exhibitor in the Scientific Exhibit at the American Medical Association Annual Meeting in Chi­ cago, June 11-15.

What can local physicians do to support this worthwhile event? There is need for doctors to serve on committees as representatives from various industries are doing to organize, conduct, and judge the exhibits. Also doctors should be available to advise and make suggestions to get the student started. It has been found that once started, their enthusiasm generally carries them through the project.

WM. W. MATTSON, JR.,M. D. the efficacy and safety of!

Pentids have been confirmed by clinical experience in

many millions of patients

P e nSquibb t 2 0 i 0 ,0 0 0 Units d Penicillin G s Potassium.,

t a b l e t s (buffered) c a p s u l e s (unbuffered!] bottles of 12 and 100 bottles of 24 and 10m S q u i b b ■pCNTIW'® 10 A DQUIDO TRADEMARK for infants and children BULLETIN of the Fierce County M edical Society 11

GUEST EDITORIAL

(CITY GOVERNMENT)

Doctors are citizens. They are professional men, but they are also voters, taxpayers, property owners, parents of children. > Naturally all of us are concerned with the City of Tacoma. As citizens we want efficiency, elimination of waste, good health conditions, clean streets, enforcement of law, honesty in government.

You are aware that on February 14th the people of Tacoma will vote on a proposed new charter. It has been printed daily in the paper. The type is too small, but it contains dynamite.

It proposes to turn over to a politician, who shall be called the Mayor, almost complete control of the city. He appoints, he fires, he dictates. He can manipulate our public utilities. There isn’t a city in the country where one man has such power. This proposed charter has been care­ lessly drawn, it is confusing, very expensive to put into operation. It is made to order for the wrong people to milk the city.

What can we do? Vote against it, talk against it, give some money to help fight it. Decent citizens are looking to the medical profession for leadership. May we not be found wanting. T. R. HALEY, M. D. 1 2 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c ie t y

Medical Arts Building and we have gone through;.^ LETTER TO EDITOR many different owners but we hope to be with.^ you as long as I live and for 25 years thereafter. Dear Dr. Mattson: Respectfully, I hope and naturally suppose, that in all my E d. H. Braleij, advertising of the two stores we have in the P.S.: I am still a young man not yet 71 years; Medical Arts Building, you will have noticed that old and I have cut my working hours down from1: we always say: “Consult your physician at the 15 to 11 hours a day. first symptoms of Illness.” But what you probably don’t know and what I would like for you to know— is this: That in the March 1924 issue of LETTER TO EDITOR the American Medical Association Bulletin on page 93, I was given a 2Vz inch writeup under the title Dear Dr. Mattson: “A druggist advertises the Doctor. It was very I would like to suggest that a real contribution flattering to me, and on October, 1926, “Editor and to the material available in our library can be ac­ Publisher” page 12, gave me all the page except complished through our membership. about three inches . . . reproducing one of niv W e would like to compile a file of reprints of “ads” complete with cut, and on January 31st, papers written by our membership. It is asked that- 1927, “Business Publications Limited”— Advertisers the library be supplied with a reprint of the paper, each week of 29 greenfield Gardens— London, a copy of the journal in which the paper appeared,; England, also devoted a page of their magazine to or if neither are available, the reference to the my advertisements. paper. In addition to recent papers, we would' I do not remember of any “Ad” we ran in all appreciate any articles written since the society those years that we did not close with “Consult was founded. your physician at the first symptoms of Illness.” We feel this project will preserve the writings of When I first started to do these ads I would say: our society for the use of the membership and for See Your Doctor— but shortly thereafter there were posterity. many different people calling themselves doctor Cordially, who were not M.D.’s so 1 changed my advertising Fay Morris Nace, M.D. to say Consult your Physician. And that’s my Chairm an story . . . this makes 31 years for us in the Library Committee

First In, The. Lakes District

Your Prescription Store

FIRST IN QUALITY fmsr in sonct

David Ludwig Fred Ludwig

PAY LAKEWOOD PHONE & GRIFFIN FUEL BILLS HERE IN THE LAKEWOOD CENTER BUILDING LA 2191 REGISTERED CHECKS PHARMACY

1 4 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

AND ALL DAIRY PRODUCTS PHARMACY

☆ Prescription Druggists Careful Mothers use Pro­ tected Milk. Pasteurized and Homogenized Milk from our own contented cows can be delivered to your home or your We Carry a Complete Stock of grocer Biologicals and Pharmaceuticals

A Favorite Dairy for over 30 years. Recommended by doctors and dietitians. 'When Moments Count" ☆ FUlton 2411 CALL PROMPT . FREE DELIVERY W Averly 8705

SanitaryJ a INFANT DAIRY. Stadium Hi District 101 North Tacoma Avenue Tacoma, Washington

Direct from Our Farm to You 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 15 HOSPITALS. . .

ever received for this annual sale. They could have MARY BRIDGE sold more if they had had time. This sale was held Thursday, Friday and Saturday of last week, CHILDREN’S at 12th and “A” Streets. Our first Christmas holiday season since we opened has come and gone. Quite a group of TACOMA GENERAL children remained in the hospital. They were Mr. Alex Babbit enjoyed a January vacation in unable to be discharged to their homes. These the southern sunshine of Arizona and California. were made as happy as possible. Volunteers, par­ a a o ents, doctors, nurses and all hospital personnel Medical Staff officers for the year 1956 are Dr. joined hands for this. Trees, decorations, music, E. J. Fairbourn, president; Dr. Miles Parrott, vice Santa Claus and presents were all provided. There president and chairman of die program committee; were gifts and then more gifts. They came from Dr. C. R. Bogue, secretary; Dr. Robert E. Lane every direction and in great abundance and large and Dr. Warren F. Smith, members at large. variety. o o o These books were added to the Medical Staff A Cleft Palate Clinic has been in the making for library during 1955: “The Hospital in Modern quite some time. It has been approved by the Society,” Bachmeyer and Hartman; “Collected Medical Staff and by the Board of Directors. The Papers,” Mayo Clinic; Varicose Veins,” McPlicet- opening is set for February 16, 1956. Cases will ers; “Roentgen Diagnosis,” Rigler; “The Pharma­ need to be scheduled through the Admission De­ cological Basis of Therapeutics,” Goodman; partment of the hospital, in the early part of “French’s Index of Differential Diagnosis,” Douth- February. a o o waite; “Differential Diagnosis of Internal Diseases,” The Out-patient Department has been officially Bauer; “The Behavior of Pulmonary Tuberculosis Lesions,” Medlar; “Surgical Forum,” Shumacker; opened. It provides for 24-hour service. The loca­ “Textbook of Neurology,” Merritt. tion is well placed, closely related to X-ray, Labor­ o o o atory, Pharmacy and Emergency Room. The latter is well equipped for emergency needs. Dr. Wm. Esdale has completed his residency in Anesthesiology and has gone to Vancouver, B.C., Orthopedic Clinic— Monday of each week, to enter private practice in this specialty. Starting beginning at 9 a.m. his residency in this department is Dr. L. B. Mc- Orthoptic Clinic— Friday of each week, Quarrie of Salt Lake City. beginning at 9 a.m. o o o Cleft Palate Clinic— Third Thursday in each month, beginning February 16, During a recent power failure in this vicinity, from 1 to 5 p.m. the auxiliary power plant got its first real trial. In All these Clinics are part of the Out-patient De­ four minutes it was functioning perfectly. partment of the hospital. O O fr Mr. and Mrs. Robert Hoff arc receiving con­ Miss Virginia Maclvor, R.N., Director of Nurses gratulations on the birth of a daughter, Linda since the hospital opened, has resigned as of Irene, bom on January 15. Mrs. Hoff, who has January 20. She is succeeded by Mrs. Gladys been employed for many years in the business Bergum, R.N., of Parkland. Mrs. Bergum was office, will not be returning to her duties here. Director of Nurses at the Good Samaritan Hospital New members of the Active Medical Staff are: in Puyallup, for two years. Recently she was with Tacoma General Hospital in the Nursing Staff Ad­ Dr. John F. Comfort, Dr. Richard T. Davis, Dr. ministration, resigning there to accept a position David L. Glenn, Dr. Dale Hadfield, Dr. Orvis A. Harrelson, Dr. James E. Iiazelrigg, Dr. Galen H. with the Mary Bridge Children's Hospital. She Hoover, Dr. Edmund A. Kanar, Dr. Alfred W. was graduated from the Tacoma General School of Reschke, Dr. Maurice Yoachim. Dr. Robert Flor­ Nursing, got her college degree from the Pacific ence, back from a residency at the University of Lutheran College, Tacoma, and her Certificate of Public Health from the University of Washington. Washington, has been transferred to the Active « o o Staff from the Associate Staff. The Tacoma Orthopedic Association has just completed another one of their annual all-city On January 21 and 28, the School of Nursing rummage sales. The many Guilds contributed held Open House for high school students who material and services which went a long way to are interested in a career in nursing. About 250 make this important occasion very successful. The girls attended the two functions. The first day total gross receipts were $3800.00, expenses was for the students of Pierce County high schools, $300.00, making a net income for the Orthopedic the second day for those of adjacent counties. Treasury of $3500.00. This is the largest amount (Continued on Page 17) 1 6 B U L L E T I N o f the Fierce County M edical Society

McMILLAN BROTHERS, Inc.

New Address — 942 Pacific Avenue

Service to the Medical Profession and

their patients for 44 years.

We dispense only the finest of

Pharmaceuticals.

Time Tested Dependability Established 1889

R. E. Anderson & Co. Inc. INSURANCE - MORTGAGE LOANS - REAL ESTATE PROPERTY MANAGERS

747-49 St. Helens Ave. BRoadway 8475

ASK FOR W. O. JEFFERY

OFFICERS H. F. SYFORD, President J. D. POWELL, Vice President DONALD M. MOORE, Vice President (In Charge of Fire Insurance) (in Charge of Casualty Insurance and Bonds) E. J. POLE, Secretary (In Charge of Marine Insurance) BULLETIN of the Pierce County M edical Society 19 INTRODUCING BOOK REVIEW Office Procedures By Paul Williamson, M.D. “We doctors are often assumed to know how to do all minor office procedures, but we frequently find that these assumptions are wrong. In my own practice, I have a constant need for a reference encompassing instructions on this office work.” This quotation from the author s preface sums up the scope and purpose of this book. A glance at the contents reveals a rather com­ plete survey of the field of medicine and surgery, each chapter dealing with one of the specialties, including one on laboratory procedures, and ro­ entgenography. Though this is not a text on physical diagnosis, it could very well serve as an outline, for while describing how to do a given procedure the author also suggests what to look for, and how. Reading this practical book is like taking a Dr. Dale Hadfield preceptorship in office practice, with the author at your side, telling you in conversational style and Dale was bom in Salt Lake City, November 24, with simple drawings what his years of experiences 1916. After finishing elementary grades there he have taught him. went on to Utah State College in Logan. His first This should be a very valuable and practical two years in medicine were obtained -at the Uni­ reference for the practitioner just opening an office. versity of Utah in 1939 and 40— a two year school The oldsters will pick up a few pearls here and —and thence went on to Louisville to finish in there too! 1942. — S. Robert Lantiere, M.D. Upon completion of his internship at Tacoma General Hospital Dale was called into the Navy. The years 1943 to 46 were spent mostly on a destroyer in the Pacific. Also some time was spent with tlie ‘Sea Bees’ in the Philipines. After his tour of duty with the Navy Dale prac­ ticed in Elko, Nevada, from 1946 to 1953. In ’53 he started his anesthesiology residency at the Uni­ versity of Utah. In 1954 lie came back to Tacoma General Hospital to complete his residency and since July 1955 has been with John Bonica s group. Dale has a family consisting of wife Josephine, an adopted daughter in nurse’s training and twelve and two year old daughters and eight and six year old sons. His hobbies are golf and flying— (having had a private license since ’49.)

BEALL’S Inactive X-ray films, prescription fifes, patient records and correspondence The Prescription Store may be stored at Bekins at very reasonable cost. They are accessible for personal or telephone reference. 124 Meridian South

PUYALLUP For details: Puyallup 5-6291 BRoadway 1212 2 0 BULLETIN o f the Pierce County M edical Society First National M o Lease Co. 624 Broadway - MA. 6171 - MA. 1279

Coupes, Sedans, Station Wagons, Convertibles

2 Year Leases - Vehicles Maintained

Cheaper Than Owning

A COMPLETE LINE OF [ South Tacoma | SUPPLIES FOR THE PHYSICIAN . . . HOSPITAL Drug Co. AND NURSING HOME = Fred Ludwig I

i ★ -k ★ I Mail or Telephone Orders Given Prompt Attention

| PRESCRIPTIONS | I !

[ DELIVERY SERVICE I SHIPMAN : ★ ★ ★ : SURGICAL CO. 741 St. Helens Ave. - BR. 6400 [ 5401 South Tacoma W ay GA 1295 ! Tacoma 2 BULLETIN of the Piekce County M edical Society 21 felt almost sheepish about the whole affair. We had Ads for the Addled never been so callous as to permit such an associa­ tion. We would cheerfully have wrung the ad In this wondrous mass production age there are man’s neck and we mentally blacklisted every ten kinds of everything. Pity, therefore, the poor ad product, present or future, manufactured by the man who must convince the public that his par­ company that hired the scoundrel. ticular item is the only one fit to use. But that wasn’t all. Scarcely had we recovered For instance, there must be several dozen from our rage when another vision of delight nationally distributed brands of cigarettes. Each is greeted our eyes. A fresh and bosomy young thing as alike as the proverbial pea in a pod and even smiled up at us from a strapless gown cut so low the fellow who made it couldn’t identify his own as to meet about the xiphoid cartilage. Shades of in the dark. Now it takes an astounding imagina­ Venus, we hadn’t felt like that in twenty-five years. tion for an ad man to hatch up a coughless variety Now here was a sight to bring pleasure to any of such virtue that all other cigarettes are down normal male.0 Again we fancifully tripped our right poisonous by comparison. way through Elysian-fields. Years and pounds fell from us. And then we saw this scandalous phrase, And if the pseudoscientific data presented in the “SHE HAS BEEN HYFRECATED.” ad (always by an extremely handsome chap with Well, maybe she has and maybe she hasn’t but white coat and stethoscope) grates a little on the why bring it up now? The revulsion that came facts then let us be tolerant. The business of prac­ over us toward that ad man tightened our coro­ ticing medicine must be simple by comparison and naries, ripped at our collagen and supercharged a certain amount of abandon and wantoness are our adrenals. If we could have afforded it we probably necessary for the ad man to remain sane would have thrown all of that company’s products at all. into the street. But there are provinces which should be sacred. Sometimes it is called propriety. Other times it The other evening we were thumbing through is called judgment. But, whatever it is called, boys, the ads in a medical journal when we chanced don’t tread on the few pleasures left to tired old upon a wonderful picture of a robust young woman men. Please take it easy. appealingly situated on a chaise lounge. And with °It has been found that most doctors are a very mischievous look in her eyes, too. normal males. Well, this started oft a marvelous train of Wilfred E. Wooldridge thoughts dating back to days of our youth. It was Reprinted from The Bulletin of the Green a very pleasant reminiscence and just as we were County Medical Society, Springfield, Missouri. going good we read the horrible words under the picture, “HEMORRHOIDS NEEDN’T HURT.” This was an awful jolt. It ruined our evening. Pfizer Golf Tournament Date An unfair advantage had been taken of us and we Thursday, May 10, 1956

for quicker recovery s t r e s s c a p Stress Formula Vitamiua LcderleS

Stresscaps are based on a formula suggested by the National Research Council. They provide adequate vita­ min supplementation for patients suffering from pro­ longed stress— surgery, bums, fractures, trauma or shock. Stress Formula Vitamins promote wound healing, and stimulate antibody production as well as providing a nu­ tritional reserve of water-soluble vitamins.

!«< ssaTeS'eapiuTee (a Led erle e x clu siv e !) fo r m ore rapid and complete absorption.

LEDERLE LABORATORIES DIVISION AMERICAN Cfanamid c sM fA jv y PEARL RIVER, NEW YORK *F

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.

Everything in one place

• FUNERAL HOME MO U NTAI N • CEM ETERY • CHAPEL Memorial • CREMATORY VIEW Park • M AUSOLEUM 4100 Steilacoom Boulevard LAkewood 2195

is!-'PRESCRIPTION SPECIALISTS

HAROLD MEYER PHARMACY 1110 South 11th Harold Meyer, Owner BRoadway 5104 Open 8:30 a.m. 'till Midnight — Free Delivery 'till 8 p.m. BULLETIN of the Piebce County M edical Society 2 3

Throughout the world

TERRAMYCINBRAND OF OXYTETRACYCLIME for the treatment of many infections diseases ... after six years of use by thousands of physicians in millions of cases ... a continuing favorite

A dosage form for every indication for broad- spectrum antibiotic therapy 2 4 BULLETIN o f the Piebce County M edical Society

Taxicabs - Ambulances for your Patients

ALL AMBULANCES ARE OXYGEN-EQUIPPED

Tacoma Yellow Cab Co.

1324 Market Street

MArket 1121 BR. 8383

ROGER B. MOLT Physicians and Hospital Supplies

We are Agents for the following Manufacturers . . . W. D. Allison Co.—Wood Furniture is 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

1015 SOUTH TWELFTH STREET MArket 0118 TACOMA 3, WASH. 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 25

interested and appreciative when notified of a HEALTH SERVICES suspected defect and we are assured of its correc­ Mrs. Anola Frederick tion. Apart from economic conditions which hinder Public Health Nurse, Tacoma Schools some, there are some parents who do not accept Public health nursing in schools has developed the statement of the nurse, and some who do not so rapidly during the past 50 years, it is interesting accept the defect itself. to look back at it’s beginning. Modern public Resources available include primarily private health nursing is a direct outcome of the work and physicians and dentists as well as public agencies teachings of Florence Nightengale. It was her as the Pierce County Hospital, Lindquist School constant hope that the word “nurse” might be asso­ Clinic, State Otologieal Clinic, Orthopedic Clinic, ciated with health rather than illness and disease, State Conservation for Blind and Deaf. and that a “health nurse” would go about in the For a preventive program, we believe each child homes in the community, not for the purpose of should be under continuous medical care. By this nursing the sick, but for the large purpose of we do not mean overdependence, but periodic teaching the principles of healthful living. examinations by physicians and dentists. This Around the turn of the 20th century, it became program, in the schools, provides for examination apparent to the school administrators that there of children, in the physician’s office, before enter­ were shockingly large numbers of children absent ing kindergarten or the first grade, and in the 4th, daily from schools because of illness and neglect. 7th, and 10th grades. To be sure, medical inspectors had been working Forms to be used by the physician to record his in the schools, but their function was merely to examination are distributed by the nurses to the inspect children in classrooms and to exclude those pupils, to be carried with a note to the parents, suffering from communicable disease. These chil­ asking them to take thd child to the doctor of their dren remained at home as long as they pleased and choice, and to return the completed form to the no attempt was made to discover whether or not school. Response by parents to this request is very they were under medical care. Many were good at the kindergarten level, but in the upper neglected and those who were not very ill played grades too many parents fail to take their children about with other children and continued to spread for examination, and too many doctors fail to the disease. realize the opportunity for health education in this Because of diis, the first nurse to do school examination as a service to the child. nursing in America was employed by the New Children who enter kindergarten without the York Schools, on a trial basis, for one month. The completed form from the family physician are experiment proved to be so successful that at the (Continued on Page 27) end of the month, 25 additional nurses were ap­ pointed by the commissioner of health and the ► force has continued to grow and progress ever ► since. Approximately one-fifth of the total population PARK-N-SHOP assemble regularly in schools across the country, ► thus it is apparent, schools become central focus for preventive public health practices. PRESCRIPTION With the present day control of communicable disease, emphasis in school nursing is put on detection of defects and securing their correction, DEPARTMENT prevention, and education. ► In Tacoma, our school health program ranks ► among the best in the country. We are a staff of 12 nurses serving a population of 28,265. We wear Open 24 Hours a Day no uniforms but are accepted as a member of a ► team, in each school, organized to best serve each child. [ 7 Days a W eek To carry out our program of detection of defects among children in the schools, we attempt a con­ tinuous program of health appraisal which includes daily observations by the teachers; a screening ’ ☆ ☆ ☆ program wherein each child in the 1st, 3rd, 5th, ► 7th, and 10th grades is given a dental check and a vision test. For the latter we use the Snellen ; NIGHT DELIVERY BY TAXI chart. Any child referred by a teacher or parent ► in any of the other grades is also tested. Hearing ’ ☆ ☆ ☆ testing is not done as thoroughly because of lack of audiometers, but we endeavor to do all referrals ► by doctors, teachers and parents. . Now, to carry out the subsequent part of this • GR. 8693 98th and Pacific ' program—in securing the correction, we run into a gamut of situations. The majority of parents are 2 6 BULLETIN o f the Piebce County M edical Society

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

M odern an j m oderate . . .

BUCKLEY-KING FUNERAL SERVICE Tacoma Avenue at South First BRoadway 2166 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 27

(Continued from Page 25) significant health data which reaches us when the noted by the nurse during the routine screening for physical examination forms are returned. defects and needs, and parents are again asked to We assist, wherever possible, in curriculum have the child examined and also to have the im­ planning and coordinating the work of the health munizing “shots” given. When the child reaches services with other school activities. Weighing and the second semester of the first grade without these measuring, a lesson in arithmetic, as well as in services from his physician, school nurses arrange science, “How we grow.” Dental checks— care of for his examination at the school by the family teeth and diet. physician. The nurse works as a liason between school and No physical examinations of pupils are made in home, and between home and physician, and it is the Tacoma Schools beyond this completion of the our conclusion there must be a closer understand­ first grade examinations except on request by a ing among these three distinct “houses.” parent ,teacher, nurse, or others for a special Knowledge of medicine and hygiene is in pos­ purpose. And then, only if the examination does session of relatively few and must be disseminated not disturb the usual patient-physician relationship. to a greater degree through the schools. An additional exception is the periodic screen­ Prejudice and lethargy, on the part of families ing by the school physician of all boys participat­ must be broken down and will be with more ing in competitive inter-school athletics. health education. Children who have reached the second semester In conclusion, let me add: We feel we do an of die first grade and have not received the usual important work in the Tacoma Public Schools and immunization against smallpox, diphtheria, tetanus that you doctors are imjjortant to that work. We and whooping cough from the family physician, appreciate the support and guidance you give our are given this service at school with the parent’s staff, and it is our desire to work toward and written consent. No recall shots are given in the develop a closer understanding and relationship schools except as noted in the first and sccond with your profession. grades, hoping the family physicians will perform this service sufficiently to prevent epidemics. Pfizer Golf Tournament Date When a child enters school a healtli record is Thursday, May 10, 1956 started for him by the nurse which follows through until he completes the 12th grade. Weights and The oldest known picture of a doctor was drawn heights are recorded three times yearly, by class on the wall of a cave in the French Pyrenees about room teachers in the elementary schools, as well as 20,000 years ago.

STOWELL'S... Prescriptions

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

i i i FREE DELIVERY

1 i i

BRoadway 2201 744 Market Street

Doctors Hospital Building 2 8 BULLETIN o f the Piekce County M edical Society

HOMOGENIZED FOR HEALTH

Rich, creamy flavor . . . added digestibility . . . economy in use . . . are direct results of cream being evenly blended throughout an entire bottle of Kreamilk.

(85. C if iJ MEDOSWEET KREAMILK MEDOSWEET DAIRIES, INC — TACOMA, WASH.

/

Prescription Optical Company

Dispensers for the Oculist

205 Medical Arts Building Tacoma, Washington Phone M A rket 4151

Branches i n ...... EVERETT — BREMERTON BULLETIN of the Pierce County M edical Society ______29 Upjohn

Cortef* for inflammation, neomycin for infection:

Each cc. contains: Hydrocortisone acetate 15 mg. (1.5% ) Neomycin sulfate...... 5 mg. (ecjuiv. to 3.5 mg. neomycin base) Preserved with myristyl-gamma- picolmium chloride 1:5000 Supplied: Bottles of 2.5 cc. and 5 cc. with dropper. I drop, Application: Useful both in the eye and the STERILE SUSPENSION external ear canal.

^REGISTER ED TRADEMARK FOR THE UPJOHN BRAND OF HYDROCORTISONE (COMPOUND F)

**HEGISTEREO TRADEMARK FOR THE UPJOHN BRAND OP HYDROCORTISONE WITH NEOMYCIN SULFATE The Upjohn Company, Kalamazoo, Michigan 3 0 B U L L E T I N o f the Pierce County M edical Society In all your pregnant patients

1 . Diet is important

2 . .. . and so is adequate supplementation

for prenatal vitamin-mineral protection,

choose between

new, phosphorus-free afalsns — li ■ Mead ^phosphorus-free] prenatal vitamin-mineral capsules

Contain calcium ... no phosphorus

Mead prenatal vitamin-mineral capsules

Contain both calcium and phosphorus

Both alike in patient acceptance

• SMALL SIZ E .. .easy to swallow

• SMALL DOSAGE just 1 capsule t.i.d.

• ECONOMICAL, TOOI

SYMBOL OF SERVICE IN MEDICINE

MEAD JOHNSON & COMPANY ■ EVANSVILLE 21, INDIANA

Local Representative — John L. Pape, 2634 North Bennett 3 1 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 PICTORIAL ROSTER LIBRARY CLOSED PROGRESS REPORT Feb. 4th thru 8th Through the efforts of the Washington State In order that the Executive Secretary may attend Medical Association and the Perler Studio we have the Medical Society Executive Secretaries’ Confer­ gathered a sizeable number of photographs for the ence to be held in Chicago February 5th through roster. Additional prints have been received from Stli, the library will be closed during that week. members. Also, there are photographs on file from the last roster (1950). If you are uncertain whether you have advised us of your preference, kindly notify the Society To Lease Office, MA. 2020, in order to be assured that you are indeed photographically represented. PARKLAND CENTER BUILDING

Space for Two Doctors Available February 1st LIBRARY CORNER Ten Rooms and Large Reception Room (New Books) Ideal for Pediatrician and Physician 1. Goepp and Flippin . . . “Medical State Board in General Practice Questions and Answers”— MRS. PEGGY GRATIAS Courtesy of Dr. George H. Hess 5807 PACIFIC AVENUE 2. “Year Book of Radiology”— HILLSIDE 1651 Holt and co-authors.

because your allergic patients need a lif t . . . a new Plimasin (tfipelennamine hydrochloride and meltiyl-phenidylaeelate CI8A) mild stimulant and antihistamine boost their sp irits. . . - relieve their allergic symptoms Each Plimasin tablet contains 25 mg. Pyribenzamine® hydrochloride (tripelen- namine hydrochloride CIBA) and 5.0 mg. Ritalin® (methyl-phenidylacetate CIBA). Dosage: One o r 2 tablets as required.

CIBA SUMMIT, N. J,

2/2244M

MEDICAL HORIZONS TV E S S S Pierce County Medical Society Sec. 34.66, P. 1. & R. Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

"Glasses as your eye physician prescribes them" STANDARD HEATING OILS THE BEST OIL FOR YOUR HOME Contact Lenses — Artificial Eyes Distributed by Columbian Optical Co. Fuel Oil Service Corp. Ground Floor, Medical Arts Bldg. MArket 3171 Medical Center Western Clinic Bldg. 816 A STREET TACOMA

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 Monday— 12:15 Luncheon Meeting Even Months BULLETIN. PIERCE COUNTY MEDICAL SOCIETY

VOL. XXVI— No. 7 TACOMA, WASH. MARCH - 1956 2 BULLETIN o f th e Pierce County M edical Society Pierce County Medical Society 195G OFFICERS President ...... 1___ Gerald C. Kohl President-Elect ...... Hillis F. Griffin Hap-py birth - day to you. Vice-President ...... Burton A. Brown Secretary-Treasurer ...... Arnold J. Herrmann TRUSTEES Burtoo A. Brown Louis P. Hoyer, Jr. Happy Birthday to You Walter C. Cameron Gerald C. Kohl Carlisle Dietrich S. Robert Lantiere Philip Grenley Glenn G. McBride March Hillis F. Griffin Fay Morris Nace Arnold J. Herrmann Warren F. Smith 4 LOUIS ROSENBLADT D E L E G A T E S GOVNOR TEATS Jesse W. Bowen, Jr. Arnold J. Herrmann 5 HOWARD PRATT Walter C. Cameron Frank R. Maddison Philip Grenley 6 STANLEY GOLDEN ALTERNATE DELEGATES EDWARD McCABE Louis P. Hoyer, Jr. Charles E. Kemp Murray L. Johnson William J. Rosenbladt 9 ROSS McPHAIL Warren F. Smitli 15 BRYCE BETTERIDGE COMMITTEES 18 ROBERT O’CONNELL Ethics Charles H. Denzler, Chairman 20 FRANZ HOSKINS S. Robert Lantiere William H. Goering ALBERT SAMES G rievance Walter C. Cameron, Chairman 22 CHARLES MARSHALL Miles Parrott Jess W. Read 24 ROBERT CRABILL House and Attendance Philip C. Kyle, Chairman 25 ROBERT BURT Rodney Brown Mills Lawrence Glenn G. McBride GERALD KOHL L ibrary 26 ROSS WRIGHT Fay Morris Nace, Chairman Robert R. Burt Joseph O. Lasby 28 CLAUDE WISEMAN Ralph H. Huff 31 FREDERIC PAINE Program John J. Bonica, Chairman Carlisle Dietrich Hugh A. Larkin Rodger Dille Stanley W. Tuell Wayne Zimmerman Public Health Miss Fullmer Retires Charles E. Kemp, Chairman Cecil R. Fargher Louis P. Hoyer, Jr. Franz P. Hoskins Merrill J. Wicks ' Miss E. Fullmer of 1514 Medical Arts Build­ Public Relations ing resigned March 1st. Miss Fullmer, an R.N. Haskell L. Maier, Chairman Samuel E. Adams Wm. W. Mattson, Jr. and a registered x-ray technician, has been in Herman S. Judd Warren F. Smith this building from the day it opened 25 years Civil Defense Murray Johnson, Chairman ago. She worked for Dr. MacRae prior to his Daniel Hunt, Admiral, U. S. Navy, retired opening the office on the fifteenth floor. Paul E. Bondo Richard B. Link J. Robert Brooke James D. Lambing Miss Fullmer was most devoted to the office D iabetes Robert E. Lane, Chairman and extremely loyal to all her doctor friends: Joseph B. Harris G. Marshall Whitacre She has probably met and dealt with more Entertainment Jesse W. Bowen, Chairman patients than any one in this building. Never­ L. Stanley Durkin Charles P. Larson theless her interest in her work is such that she James M. Mattson Frederick J. Schwind Geriatrics can recall most of the reports from memory. J. Benjamin Robertson, Chairman Hollis Smith John L. Whitaker Miss Fullmer plans on living at the Cam- Legislative bridge Apartments for some time before leav­ Douglas P. Buttorff, Chairman Homer W. Humiston Wendell G. Peterson ing to visit her sisters in Illinois and in Pennsyl­ Dumont Staatz vania. Following that she may take a trip Medical Education Committee Lewis A. Hopkins, Chairman around the world. Certainly she is most deserv-: J. Edmund Deming, Sr. Thomas B. Murphy ing of a vacation since she has not had one Mental Health Committee William H. Todd, Chairman in all these years. W e all wish her the most Treacy H. Duerfeldt Harlan P. McNutt George S. Kittredge F. E. Shovlain pleasant of time. School Committee Mrs. Ruth Sturman, an R.N. and registered! R. A. Norton, Chairman Lester S. Baskin David T. Hellyer x-ray technician will assume Miss Fullmer's* Woodard A. Niethammer position. Traffic Safety John Theodore Robson, Chairman Don Francis Cummings Robert A. Kallsen Louis M. Rosenbladt NOTICE Bulletin Staff Editor ______William Mattson, Jr. Check back page of Bulletin for calendaij Business M anager______Shirley Imesom Auxiliary News Editor ______Mrs. Becky Ban field of special meetings BULLETIN of the Pierce County M edical Society 3

Each Theragran Capsule supplies:

Vitamin A .... 25,000 U.S.P. Units and Theragran gives (synthetic) therapeutic results Vitamin D .... 1,000 U.S.P. Units Thiamine Mononitrate.... 10 mg. Riboflavin...... 10 mg. Niacinamide ...... 150 mg. Ascorbic A c id ...... 150 mg. THERAGRAN 1 or more capsules daily THERAPEUTIC FORMULA VITAMIN CAPSULES SOUIE bottles of 30, 100 and 1000.

S q u ib b 'THEftAORAH* IS A 3QUI90 TRADEMARK BULLETIN o f the Pierce County M edical Society

ACHROMYCIN now in handy, liquid pediatric drops plastic dropper-bottle

A new unbreakable rlropper-bottle makes it easier for mothers to accurately dispense Accurate dosage made easier Achromycin* Tetracycline Liquid Pediatric D aily dosage easy loo: Drops. A s a result, you can prescribe with greater confidence that your exact regimen will one drop per pound body iveigi be followed. You can be certain, also, that even Same popular cherry flavor the tiniest tot will take to the cherry flavor of this product. The drops can be squeezed directly onto the child’s longue, or mixed with milk, fruit juice, or other liquids. Potency: 100 mg. per cc. (20 drops). Of course, this is just one of the many dosage forms of Achromycin prepared for your convenience. From 21 types, you can choose the one best suited to the patient’s needs. Each provides true broad-spectrum activity, and prompt control of infection with negligible side effects.

A WIDELY UH1CD form of tetracvcline is Acmin. MYCIN C ap su les— th e on ly dry-filletl, si-uled cap su les oil th e m arke t. Advantage: rapid and complete absorp- l i n n , t a tr ip e r p r o o f c o n - te n ts . A v a ila b le in p o te n ­ cies of 50, 100, ami 250 mp.

MINOR INFECTIONS of the mouth and throat can often be controlled with Ac II HO MYCIN PlIAKYNGETS* Trnrhi*» alone. (In severe inlcctions, a systemic form o f Achromycin should also be used.) Each cherry- f l a v o r e d Phahynoets Troche supplies 15 mg. of Lederle's tetracycline.

The Lederle representative or your local pharmacist icill gladly tell you about the many other Achromycin dosage forms.

L E D E R L E L A B O R A T O R I E S D I V I S I O N a nf i fi j t «i .v c y a n a m i tt c o m P A N V PEARL RIVER NEW YORK BULLETIN of the Pierce County M edical Society 5

PROGRAM-8:15 p.m.

Pierce County Medical Society

Tuesday, March 13, 1956

“Can Physical Stress Precipitate Myocardial Infarction?”

A panel discussion of current opposing views

R o d g e r S. D i l l e , M. D., Moderator

Pro . . . Con . . . Herman S. Judd, M.D. Ralph H. Huff, M.D. Robert E. Lane, M.D. Charles B. Arnold, M.D. Clyde O. Hurst, M.D. Paul M. Mickens, M.D.

MOVIE . . . 7:30 P.M.

Two short motion pictures relating to the surgical treatment of portal hypertension. A spleno-renal anes- tomosis; a portacavil anestomosis. 6 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

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

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

I. I. MELLINGER Presid ent CREDIT TERMS OUR FUNERAL BENEFIT IF INSURANCE PLAN DESIRED SAVES YOU MONEY TOO

Underwritten by Homesteader's Life Co. of Des Moines, Iowa. Lowest rates— W e invite 6TH & TACOMA comparison.

ag es 1-85 BROADWAY 3268 NO MEDICAL EXAMINATION!

i.Q Tacoma Brace PROCTOR & L im b Co. Pharmacy Lenart C. Ceder, owner

EARL V. ACKER ☆

Expertly fitted— Complete Orthopedic Appliances Prescription Service Artificial Limbs Surgical Belts Arch Supports PR. 2235 Trusses

☆ PROMPT FREE DELIVERY 723 South K Street

3818 North 26th Street Phone MArket 2717

0 " ,.„a BULLETIN of the Pierce County Medical Society 7

PRESIDENT'S PACE

Considerable interest has been expressed by members in having dinner before meetings. It seems to me that the idea is good. Dinner meetings have proved successful in other County Societies.

Since we are now relieved of the frequency of Hospital Staff Meetings, a dinner before our regular meetings will give us a real opportunity to become better acquainted with each other and especially with our new members.

Attendance might be stimulated because of the con­ venience of having dinner in a centrally located place, rather than at our residences, from which we must return to attend the meeting.

Problems of time, place, cost and movement of projec­ tion equipment must be worked out.

If enough enthusiasm develops the proposal may be discussed at our next meeting.

G e r a l d C. K o h l , M. D. P re s id e n t 8 BULLETIN o f the Pierce County M edical Society

BRALEY'S, Inc. PRESCRIPTION DRUGGISTS

Catering to the Doctor and his patient

FREE DELIVERY

Medical Arts Building MArket 8116

C.O. LYNN CO.

717-719 South Tacoma Avenue

Phone MArket 7745 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 9

EDITORIALLY SPEAKING . . .

Physicians are still saying that they as a group should shun publicity of any type. Many tend to scoff at and ridi­ cule the “political inclinations” of the rare doctor who is civic minded and participates in local governing activities. That this is contrary to our best interests and responsibilities has been repeatedly stressed in American Medical Associa­ tion publications. Doctors should not consider themselves immune from the duties that go with being a citizen in the community.

Locally we have a physician who has contributed a great deal not only to government on a city level but also most extensively on a city and state medical level. He is now seeking reappointment to our city council. We as physicians can’t very well push a colleague to our patients nor can the medical society support him financially. How­ ever, there are two things we can do. One, we can be sure to vote and two: if the opportunity does present itself— certainly advise our friends of the administrative and execu­ tive ability and experience of Dr. Homer Humiston.

W i l l i a m W . M a t t s o n , J r ., M . D. 10 BULLETIN o f th e Pierce County M edical Society

Common Sense Advice for Everyone

Too many men do not think seriously about home. Start a savings account, no matter what will happen to their wives and families how small a start . . . then add to it regu­ after they are gone. The American husband, larly. See an attorney . . . make a will . . . in seven cases out of ten, passes to his re­ now. ward before his wife does. He frequently leaves only a small insurance policy and a Regardless of how small your worldly pos­ mortgaged home. sessions, you should have a wall drawn up by an attorney. It will cost you less than you The most important thing for a husband and think. wife to realize is that there will be less money for a woman as a widow than she There are many advantages to be gained by had as a wife. This simple and logical fact naming a bank as an executor, solely or is seldom faced squarely. It is urgent that a jointly with your wife and/or others. A husband should make plans now. E ven j man bank’s Trust Department specializes in estate should have a will. It leaves more for the management and administration. It is a wife and family. trained business manager for your estate, backed by experience. And importantly, it A plan is simple. Carry insurance . . . all is timeless and permanent. Every man should you can afford. Insure the mortgage on your have a will. See an attorney tomorrow.

TRUST DEPARTMENT PUGET SOUND NATIONAL BANK O F T A C O M A

MAIN OFFICE • LINCOLN • K STREET • LAKEWOOD

Free Customer Parking at our Big Lot at 13th and A Streets and at Branches

MEMBER: FEDERAL DEPOSIT INSURANCE CORPORATION • FEDERAL RESERVE SYSTEM 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 II Womans Auxiliary to the Pierce Martin Norgore, president of the Woman's County Medical Society Auxiliary to the Washington State Medical Association, and President-elect Mrs. Morris OFFICERS FOR 1955-1956 Hecht. President...... Mrs. George S. Kittredge # # * President-Elect...... Mrs. Treacy H. Duerfeldt Mrs. Everett Nelson is attending mid-year First Vice President—.Mrs. Robert M. Ferguson State. Board Meetings on February 24th, in Second Vice President Mrs. J. Robert Brooke Y akima. Recording Secretary...... Mrs. Robert Burt # # # Corresponding Secretary...... Mrs. Paul E. Bondo Our deepest sympathy is extended to Dr. and Treasurer...... Mrs. Haskel L. Maier Mrs. Gerald Geissler in the recent loss of their son. CHAIRMEN OF COMMITTEES Membership & Hospitality..Mrs. J. M. Mattson Program...... Mrs. Albert Ehrlich Social...... Mrs. Thomas B. Murphy Publicity...... Mrs. G. Marshall Whitacre Telephone...... Mrs. Harold D. Lueken Public Relations - ...... Mrs. Joseph B. Harris Karen Rynning Legislative...... Mrs. Herman S. Judd PHYSICAL THERAPY Today's Health ...... Mrs. Merrill J. Wicks Civil Defense Mrs. Wayne Zimmerman Member of Speakers Bureau ...... Mrs. Philip Grenley American Physical Therapy Association Mental Health Mrs. Treacy H. Duerfeldt REFERRED WORK ONLY Nurse Recruitment...... Mrs. John Flynn Rummage Sale...... Mrs. Hugh F. Kohler * * # 507 Medical Arts Building The March 16 meeting of the Auxiliary will BRoadway 2862 be held at the Top of the Ocean. A no host luncheon at 12:30 is planned. W e are happy to announce that the program will feature Mrs. “PATRONIZE OUR ADVERTISERS”

“It makes sense... Veratrite is a good prescription in hypertension.”

Physicians depend upon Veratrite in treating hyperten­ sion because—through the years—this combination has produced gratifying results in You will find that Veratrite saves the patient % the widest range of patients. the cost of medication in long-term manage­ Veratrite contains cryptenamine— ment of hypertension. In fact, the most eco­ a newly isolated alkaloid fraction nomical prescription you can write is that dependably lowers blood pressure without serious side effects. The formulation combines central-acting and local-acting agents to combat vasospasm. ^ r a t r i t e Each Veratrite tabule supplies: Cryptenamine 40 C.S.R.* Units (as tannate salt) Sodium Nitrite 1 gr. Fbenobarbital V4 gr. *Carotid Sinus Reflex IRWIN, NEISLER & COMPANY Bottles of 100, 500 and 1000 tabules DECATUR, ILLINOIS 12 BULLETIN o f th e Pierce County M edical Society

Lakes District

Your Prescription Store

FIRST IN QUALITY FIRST IN SERVICE

David Ludwig Fred Ludwig

LAKEWOOD WEEKDAYS P A Y 9 a.m. to 10 p.m. P H O N E & GRIFFIN FUEL 2Uk=s» B ILLS H ER E IN THE LAKEWOOD SUNDAYS 10 a.m. to 10 p.m. CENTER BUILDING LA 2191

REGISTERED HOLIDAYS CHECKS Noon to 6 p.m. PHARMACY

Free Prescription Delivery

JSTETW •A.IST.A.BOI j IC HORM ONE FORMULiATION DELADUMONE (combination of Squibb Testosterone Enanthate, Squibb Estradiol Valerate)

a single injection every 2 to 4 weeks provides an enhanced therapeutic potential for • imparting a sense of well-being in the menopausal syndrome (with minimal likelihood of unwanted estrogenic or androgenic effects) • correcting depletion of protein and osseous tissues in the meno­ pausal sequelae and osteoporosis in males and females.

Supplied in vials of 1 and 5 ml.; each ml. containing 90 mg. of testosterone enanthate and 4 mg. of estradiol valerate. AUo available: DELESTROGEN (Squibb Estradiol Valerate) for timed action that ideally matches the estrogenic phase of the normal menstrual cycle. Vials of 1 and 6 ml., each ml. containing 10 mg. estradiol valerate. DELATESTRYL (Squibb Testosterone Enanthate) depot preparation for pro­ longed anabolic and androgenic effects. Vials of 1 and 6 ml., each ml. containing 200 mg. testosterone enanthate.

'OCLAOUMOHC' 'DELESTROOCH' 'DELATCSTRVL*® ABE QQUIBG TRADEMARK!) S q jjib b BULLETIN of the Fierce County M edical Society 13 HOSPITALS. . .

Tacoma General College, Oakland, and received her Master’s Degree from the University of Washington. Mrs. Joan Stout has assumed her new duties * * # as Assistant Director of Nursing Service in Currently visiting in the Department of An­ charge of Medical and Obstetrical Services. esthesiology is Dr. Anthony Griffiths of New­ Mrs. Stout is a graduate of the School of Nurs­ castle on Tyne, England. Dr. Griffiths, a Fellow ing of Deaconess Hospital, Spokane, and has of the Nuffield Medical Foundation, will spend just completed studies for a B.S. degree at about seven months in the United States and Pacific Lutheran College. some time in Canada studying under this fel­ # * # lowship. Dr. Griffiths, an anesthesiologist, will Tacoma General Medical Technologists enter­ go from Tacoma to , where he will tained the Tacoma Society of Medical Tech­ be at the Children's Hospital. nologists at a Valentine party. Six guests from Olympia were present also. Dr. Arno G. Motulski, of the University of Washington De­ Medical Arts partment of Medicine spoke on "Diagnosis of The Medical Arts Hospital has been estab­ Hemolytic Anemias.” lished in their new quarters on the sixth floor ^ * of the Medical Arts Building for over four Southern California was the destination of months. All departments are functioning in Miss Borghild Robertson when she left for a proper order. few weeks’ vacation. Preparation for application to the Joint Com­ # * * mission on Accreditation of Hospitals is being Walter Huber and Mrs. Bernice Hockett made. W e are hopeful of prompt approval. braved a snowstorm to attend the quarterly Application for Staff Membership has been meeting in Everett of the American Association sent to all Pierce County Medical Society of Hospital Accountants, Washington Chapter. Doctors. The response has been very gratifying. Mr. Huber is president of the organization. In the very near future a meeting of all active # *■ * staff members is being planned. This meeting Capping ceremonies for the 47 members of will be for the purpose of organizing and the class of 1958 of the School of Nursing will electing officers and appointing committees for be on April 29, at the First Methodist Church. staff organization. # =* * Mrs. Carol Montgomery of Seattle, an experi­ We join in congratulations to Dr. and Mrs. enced Registered Record Librarian, will be in Warren Smith on the birth of a daughter, charge of the Record Department; and is a Sherry Jayne, on February 11, and to Dr. and new addition to the personnel. Mrs. William McKinley, whose daughter Maureen Anne was born on February 4. Dr. St. Joseph’s McKinley is a member of the resident staff in All the personnel of the Pediatric Depart­ Anesthesiology. # * # ment want to offer our deepest sympathy to Dr. and Mrs. Geissler on the loss of their be­ Sixty registered nurses have signed up for the loved son Neal. W e feel as if we lost one of refresher course sponsored by the Tacoma our own family, we all knew him so well. The General Hospital Alumnae Association. Classes Mass of the Angels was celebrated in St. will start on February 28, and will be held at Patrick's Church on February 6th. It was lovely Jackson Hall. The course will consist of lectures by members of the Medical Staff and the Faculty to see so many of the Medical Staff and Sisters from the hospital there. of the School of Nursing which will be coordi­ * * * nated with 48 hours of selected nursing experi­ Monday, January 30th, the Instructional staff ences on the wards. Mrs. Greta Dotson, presi­ dent of the Alumnae Association is in charge of the School of Nursing enjoyed a very delight­ of the planning. ful breakfast. Members of the medical staff who # * * have given their time to assist in the education Miss Monica Roller has joined the Dietary of the students of the School of Nursing were Staff as Assistant Administrative Dietitian. She guests. Mrs. Geo. Moosey and Mrs. Robert was graduated from Seattle University, served Brooke of the Nursing School Guild acted as her administrative dietetic internship at Mills (Continued on Page 15) 14 BULLETIN o f the Pierce County M edical Society

% AND ALL DAIRY PRODUCTS PHARMACY

Prescription ☆

Druggists Careful Mothers use Pro­ tected Milk. Pasteurized and Homogenized Milk from our own contented cows can be delivered We Carry a Complete Stock of to your home or your Biologicals and Pharmaceuticals grocer

A Favorite Dairy for over 30 years. Recommended "When Moments Count" by doctors and dietitians. FUlton 2411 ☆ CALL PROMPT . . . FREE DELIVERY WAverly 8705

Stadium Hi District SANITARY/E INFANT DAIRY. 101 North Tacoma Avenue Tacoma, Washington

Direct from Our Farm to You BULLETIN of the Piebce County M edical Society 1 5

(Continued from Page 13) bye and a safe journey as they left us to visit hostesses assisted by members of the senior other houses of the order in California and Oregon. class. The tables were very prettily decorated # # # with lovely linen and china and centerpiece of fruit in Hawaiian settings. Many of the older You may have noticed, on third South, a new members of the staff as well as many newcomers uniform and its wearer is Mrs. Dunn, Occupa­ were seen among those present. tional Therapist recently graduated from C.P.S. # # # She is in the process of starting an Occupational A Valentine Coffee Hour was held in the Therapy Program in the Psychiatric Department Lounge of the Nurses Residence for members in conjunction with a program in the Multiple of the medical staff and faculty members on Sclerosis Clinic. To her we extend a hearty February 14— from 10:00 a.m.-4:00 p.m. Stu­ welcome and hope she will enjoy her work here dents of the School of Nursing acted as host­ as much as we are pleased to have her. esses throughout the day. * * # Tacoma Academy of Internal All the graduates from our nursing school at­ tended a ' Valentine’s Party in honor of the Medicine Tacoma General Alumni in our hospital cafe­ Morning Session: Jackson Hall at Tacoma teria on February 8. This is an annual exchange General Hospital . . . affair between our two schools. There was a 9:30 a.m. Registration program and refreshments were served. W e are 10:00 a.m. Subarachnoid Hemorrhage proud that the Surgical Supervisor, Sister Ralph Huff, M.D. Evelina, is Vice President of our alumni. Con­ 10:30a.m. Migraine Headache? gratulations even though they are belated! Harold Johnston, M.D. * * & 11:00a.m. Guillan Barre Syndrome? The Medical Staff Library has a new Librar­ E. J. Fairbourn, M.D. ian, Mrs. Alga Marie Dickey. She is replacing 11:30a.m. Jackson Epilepsy, Cause? Mrs. Judith Anderson who is leaving to await R. E. Lane, M.D. the arrival of Mr. Stork. Mrs. Dickey will be These will be short case presentations some in the library from 9:00 a.m. to 12:00 noon, of which will be presented as unknowns foe Monday through Friday. Among the many new discussion and diagnosis by our guest speakers. books which have been added to our shelves in Afternoon Session: Jackson Hall . . . the past year is the latest edition of Webster’s Unabridged Dictionary. Just in case one of our 1:30 p.m. The Physiologic Basis of Psychi­ over eager M.D.’s tries to take it it is securely atric Symptoms screwed into the Library Stand. Louis G. Moench, M.D. Assistant # * # Professor of and The Future Nurses’ Clubs from St. Leo’s Medicine at the University of and Lincoln High have taken over the Patient’s Utah School of Medicine. Library. Four days a week the girls are seen 2:30 p.m. Cerebral Vascular Lesions H. Houston Merritt, M.D. on the floor with our Librarymobile. The pa­ tients eagerly look forward to meeting the girls, Prof. of Neurology Columbia U. as they take their turn distributing books to the Intermission— 3:30 to 3:40 patients on Medical and Surgical floors. 3:40 p.m. Recent Advances in the diag­ Monday and Wednesday Lincoln High girls nosis and treatment of Neurolo­ have the honor and St. Leo's on Tuesday and gic disease. Thursday. W e deeply appreciate the service Arthur A. Ward, Jr., M.D., Head they render our patients. of the division of To Mrs. William Hauser and Mrs. Darwin at the University of Washington Marlatt we say "Thank you and God bless you.” School of Medicine. They are in charge of the F.N.C. at St. Leo’s 4 :4 0 p.m. Round Table discussion with and Lincoln respectively. questions from audience. # # # Evening Session: Crystal Ballroom of Winthrop Last week Sister Frumentia and Sister Leo- Hotel balda spent a few days visiting us. Both sisters 6:30 p.m. Social Hour are from our Motherhouse in Glen Riddle, 7:30 p.m. Banquet Pennsylvania. Address: The Diagnosis and Treatment of We hope they enjoyed their visit as much as Convulsive Disorders. we did. It was with regret we bid them good­ H. Houston Merritt, M.D. 16 BULLETIN o f th e Pierce County M edical Society ■1

McMILLAN BROTHERS, Inc.

New Address — 942 Pacific Avenue

Service to the Medical Profession and

their patients for 44 years.

We dispense only the finest of

Pharmaceuticals.

Time Tested Dependability Established 1889

R. E. Anderson & Co. Inc. INSURANCE - MORTGAGE LOANS - REAL ESTATE PROPERTY MANAGERS

747-49 St. Helens Ave. BRoadway 8475

ASK FOR W. O. JEFFERY

OFFICERS H. F. SYFORD, President I. D. POWELL, Vice President DONALD M. MOORE, Vice President (In Charge of Fire Insurance) (In Charge of Casualty Insurance and Bonds) E. J. POLE, Secretary (In Charge of Marine Insurance) BULLETIN of the Pierce County M edical Society 1 7 Lecture on Allergy applicator for five minutes before taking the smear in order to get fresh material. The hista­ Lectures by Doctor Samter, Chief Allergist at mine test was of no value in allergy diagnosis. the University of Illinois under the auspices of Two kinds of allergy are now recognized: the Puget Sound Academy of Opthalmology and 1. Induced due to injection of drugs. Otolaryngology, January 14, 1956: 2. Ordinary atopy. Doctor Samter said that allergy was an in­ Drugs may act in two ways: herited trait and that about 30% of the popula­ 1. As allergens. tion was potentially allergic. On exposure to a specific antigen it took from four weeks to 2. By hooking on to certain tissues. years to develop antibodies to and symptoms The iodine molecule added to any substance from that antigen. adds greatly to its allergic activity, as in certain He felt that the history was the primary tool antibiotics. in diagnosis and treatment and that a knowl­ Aspirin may cause a very severe reaction in edge of the patient’s environment and the way susceptible individuals. Furthermore these per­ in which the allergins work was very important. sons will often develop asthma in a few years; Skin tests were of some value but sometimes and if you contemplate removing nasal polyps a positive test persisted in the skin after the on these patients it might be wise to warn allergy cleared up, also a negative test did not them that this interval may be reduced to a few necessarily mean that a person was not allergic months. to that substance. Doctor Samter pointed out a few facts whose Skin tests for food were only 5% accurate, importance is not yet clear. Cows are often seasonal pollens were 90% correct and other treated with penicillin and this will show up antigens 60% right. in their milk. Chickens are treated with aureo- Cortisone preparations did not interfere with mycin. Enriched white bread may contain the skin tests but antihistamines must be dis­ thirty-two chemicals which may cause allergy, continued a couple of days before doing the etc. tests. Is it any wonder that it is often difficult to The nasal smear was of some value if done find out what our patients are allergic to? properly. Stimulate the secretion with a cotton —I. A. Drues, M.D.

A complete, well-designed formula supplying: d-Amphetamine, to depress appetite and elevate mood; methylcellulose, to provide bulk 21 vitamins and minerals, to supplement the limited diet. Available on prescription only. 18______BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

' ^ 8

(ETHINAMATE, LILLY) the nonbarbiturate sedative with a four-hour action span

The very short action of 'Valmid’ per­ insomnia caused by mental unrest, mits your insomnia patient a quicker excitement, apprehension, or extreme onset of normal sleep and a completely fatigue, consider ’Valmid’ for gentle, refreshed awakening. 'Valmid’ also restful sleep. provides a wide margin of safety. Kid­ ney or liver damage does not contra­ d o s a g e : Prescribe 1 or 2 tablets (usu­ indicate its use. ally 1 suffices) to be taken about twenty For your next patient with simple minutes before bedtime.

E L I LILLY AND COMPANY . INDIANAPOLIS 6, INDIANA, U.S.A. 62400S

2 0 BULLETIN o f th e Fierce County M edical Society

A COMPLETE LINE OF | South Tacoma I SUPPLIES FOR THE PHYSICIAN . . . HOSPITAL Drug Co. AND NURSING HOME \ Fred Ludwig = ■ ■

| ★ * * | Mail or Telephone Orders Given Prompt Attention | PRESCRIPTIONS I j DELIVERY SERVICE j SHIPMAN j * * ★ | SURGICAL CO. 741 St. Helens Ave. - BR. 6400 = 5401 South Tacoma W ay GA 1295 [ Tacoma 2

FOR TREATMENT AND MAINTENANCE IN ANEMIA PATIENTS BULLETIN of the Pierce County M edical Society 2 J Book Review pet shows, free play with toys and many other creative activities have a wealth of meaning in Child Psychiatric Techniques by Lauretta , relation to the specific disturbance of the child. Bender, M.D., Springfield, 111., Charles C. Young children like red and other brilliant Thomas, 1952, pp. 335. colors. So do explosively aggressive ones. Brain A rule of thumb by which books on psychi­ injured and also mentally defective children atry may roughly be judged is the vividness abstract poorly and tend to be chained to their with which the human material stands out from perceptions. Gifted schizophrenic ch ild ren its pages. Works which give merely technical sometimes exaggerate features in drawing information are a poor substitute for those people, so as to make quite good caricatures. which bring the patient alive so that the reader This tendency is explained as a desperate effort actually senses the conflicts with which he is to hold on to a reality which is slipping away wrestling. Doing so is likely to be more, rather from them. than less, scientific, since feelings and passions There are several chapters on the now famous are the very stuff with which psychiatric science "Bender-gestalt” test, in which the children are deals. requested to copy eight abstract figures from This book appears for the most part cold and cards presented to them. Dr. Bender believes didactic, and therefore neither as interesting that there are specific patterns for the brain nor as informative as some of the more spirited injured, the schizophrenic and the retarded pieces of psychiatric research. It proves to be a child, and that this test has almost unlimited meandering collection of nineteen articles writ­ diagnostic value. ten over a period of a decade or more by the There is a great collection of isolated bits of staff of the children's psychiatric service at useful information of this sort to be found in Bellevue hospital, New York. I am not sure this book. I do not, however, urge anybody to what the excuse is for collecting them into a look for them unless he were actually doing a single volume. research problem on creative symbolism in I do not mean that there is nothing of value children. in the book. It is, quite literally, a goldmine of — Robert C. Murphy, Jr., M.D. information. But I prefer my gold in refined ingots, not in an ore of which a ton will ulti­ mately yield a pound when carefuly worked Book Revieiv over. There are, however, a good many nuggets "Pathology for the Surgeon,” Boyd, 7th Edi­ scattered here and there throughout its closely tion, 1955, 737 pages. packed 335 pages. Dr. Bender and her associates The book is very well put together and in it have studied and treated some 8,000 children much detail of the more important aspects of at Bellevue, and have made a strong contribu­ pathological surgical procedures is emphasized. tion to the understanding of them particularly Also the physiological relationship to the disease in two fields. One is in childhood schizophrenia, processes are included. which is a much more common condition than I believe this work is a considerable improve­ was recognized fifteen or twenty years ago. An­ ment over the previous Surgical Pathology by other is in the psychopathology and treatment the same author and will be a valuable addition of brain injured and encephalitic children, to the physician's personal library. whom they show to be just as treatable as any — W in. E. Avery, M.D. other psychiatrically ill child. This is an im­ portant point of emphasis, because frequently psychiatric help is the most important aspect in the rehabilitation of the child with an organic psychosis. Yet it is sometimes overlooked in the rather unimaginative attitude that since the damage is "physical" the "mind" cannot be BEALL’S helped. Actually, the child who has organic trouble with thinking" has an enormous psy­ The Prescription Store ; chological problem to which he must adjust, and the more he can have specialized help in 124 Meridian South ! learning to do so the better. The book contains analyses of the creative PUYALLUP j expressions of brain injured and schizophrenic children, and also those who are neurotic and Puyallup 5-6291 '> those who are feeble minded. Paintings, uses and combinations of color, clay modelling, pup­ 2 2 BULLETIN o f th e Pierce County M edical Society PRESCRIPTION SPECIALISTS

HAROLD MEYER PHARMACY 1110 South 11th Harold Meyer, Owner BRoadway 5104 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.

Everything in one place

• FUNERAL HOME MO U NTAI N • CEM ETERY • CHAPEL Memorial • CREMATORY VIEW Park • MAUSOLEUM 4100 Steilacoom Boulevard LAkewood 2195 “...clinically useful and effective...” 1

I' J 1 n ^l TiliT • I r=T 41 < 1 J I i M

BUTAZOLIDIK (phenylbutazone GEIGY)

Still another clinical report, based on a carefully analyzed series of 205 cases, has confirmed

the value of B u t a z o l i d i n in arthritis and allied disorders: "Therapeutic effects... are, as a rule, quickly obtained and are easily maintained, and are usually noted within one week."'

In short-term therapy, in such conditions

as acute gouty arthritis or bursitis, B u t a z o l i d i n generally effects complete relief of pain, and often, equally complete resolution of inflammation, within a period of a few days.

B u t a z o l id in being a potent In long-term therapy for the more chronic 'therapeutic agent, physicians arthritides, B u t a z o l i d i n in minimal required .ynfamiliarwith its use are urged dosage (sometimes as little as 100 mg. daily) ’to send for detailed literature effectively retards the arthritic process with a re prescribing it. gratifyingly low incidence of relapse.2

G .0< ; Rumly. D;, and Sorgensrol, D. M.i Am. Pracl, & Digest Treat. 6:1865, 1955. W . P.: M, Clin. North America 39:405, 1955. .{phenylbutazone GEIGY), Red coated tablets of 100 mg. G E I GY % PHARMACEUTICALS, DIVISION OF GEIGY CHEMICAL CORPORATION, NEW YORK 13, N. Y. 2 4 BULLETIN o f th e Pierce County M edical Society

Taxicabs - Ambulances for your Patients

ALL AMBULANCES ARE OXYGEN-EQUIPPED

Tacoma Yellow Cab Co.

1324 Market Street

MArket 1121 BR. 8383

ROGER R. 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

1015 SOUTH TWELFTH STREET MArket 0118 TACOMA 3. WASH. BULLETIN of the F i e r c e C o u n t y M e d ic a l S o c ie t y 25 New Approach to Public Relation At the conclusion of the meeting late in the afternoon it was our feeling that the meeting Problems was most instructive and should be an annual On Sunday, January 29, Drs. Gerald Kohl, event. Arnold Herrmann and Haskel Maier, along with — Haskel L. Maier, M.D. Mrs. Imeson, attended a conference of County Medical Society Officers and Public Relation Chairmen. This conference was held for the Interest in Science first time this year in order to acquaint the A survey just completed shows that the gen­ Society Officers with some of the problems of eral public has an impressive interest in science the Washington State Medical Association. It stories, including, of course, stories on medical was also an opportunity to present some of the science. problems that are common to all county Medical The Survey Research Center of the University Societies. Open discussion of the mutual prob­ of Michigan queried 200 people of varying lems was entered into by many of the officers backgrounds, social characteristics, and experi­ present at the meeting. ences. The survey, a pilot study, was sponsored Dr. Herrmann acted as Chairman of the by the National Association of Science Writers General Session in the morning. Some of the and New York University with the aid of a subjects discussed in the morning sessions were: grant from the Rockefeller Foundation. Duties and responsibilities of County Society The purpose was to determine whether a Officers— Dues, collections, exemptions, delin­ larger survey of this type was feasible and quency— membership, categories and records— worthwhile. All concerned agreed that a bigger malpractice, prevention and insurance. The survey would be most fruitful. medical Defense Fund. In the survey of 200, about three-fourths said The afternoon session was devoted to Public they read science news and about one-fourth Relations. During this session such things as said they read all the science news printed by the 1956 Public Relations Program, member­ their local newspapers. ship indoctrination and the Medical Discipli­ From the standpoint of the medical profes­ nary Act and several other topics were discussed. sion, one question asked was of special interest. The individuals were asked: "Would you be interested in having more science news and information presented in your local paper, or do you think there is enough now?" Almost half of the 200 wanted more such coverage. Many suggested that other types of news, including sports and society items, be curtailed to make room for wider science cov­ erage. — Bulletin Academy Medicine, Cleveland.

Pfizer Golf Tournament Date Thursday, May 10, 1956

Co-pilot on die first crossing of the English Channel in a balloon was a physician, John Jeffries.

"Glasses as your eye physician prescribes them"

Contact Lenses — Artificial Eyes

Columbian Optical Co. Ground Floor, Medical Arts Bldg. Medical Center Western Clinic Bldg. 2 6 BULLETIN of the P i e b c e C o u n t y M e d i c a l S o c i e t y

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

Modern and Moderate . . .

fS? £i .. V i . : - " II II y ’ ;i f f 4 - 7

BUCKLEY-KING FUNERAL SERVICE Tacoma Avenue at South First BRoadway 2166

28 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

HOMOGENIZED FOR HEALTH

Rich, creamy flavor . . . added digestibility . . . economy in use . . . are direct results of cream being evenly blended throughout an entire bottle of Kreamilk.

MEDOSWEET KREAMILK MEDOSWEET DAIRIES, INC — TACOMA, WASH.

/

Prescription Optical Company

Dispensers for the Oculist

205 Medical Arts Building Tacoma, Washington Phone M Arket 4151

EVERETT — BREMERTON BULLETIN of the F ie r c e C o u n t y M e d ic a l S o c ie t y 29 U pjohn R elax the nervous, t e n s e ,

Each tablet contains: Reserpine ...... 0.1 mg. or 0.25 mg. or 1.0 mg. or 4.0 mg. The elixir contains: Reserpine ...... 0.25 mg. per 5 cc. teaspoonful Supplied: Scored tablets 0.1 and 0.25 mg. in bottles of 100 and 500 1.0 and 4.0 mg. in bottles of 100 Elixir in pint bottles The Upjohn Company, Kalamazoo, Michigan 30 BULLETIN o f th e Fierce County M edical Society

because your allergic patients need a lift.. . a new Plimasin (tripelennamine hydrochloride and methyl-phenidylacetate CI8A) mild stimulant and antihistamine boost their spirits... relieve their allergic symptoms Each Plimasin tablet contains 25 mg. Pyribenzamine® hydrochloride (tripelen­ namine hydrochloride CIBA) and 5.0 mg. Ritalin® (methyl-phenidylacetate CIBA).

Dosage: One or 2 tablets as required.

CIBA SUMMIT, N. J.

STOWELL'S... Prescriptions

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

FREE DELIVERY

i 1 i

BRoadway 2201 744 Market Street

Doctors Hospital Building

Pierce County Medical Society Sec. 34.66, P. I. & R,) Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID

TACOMA, WASH. PERMIT No. 300

The Sunday school class was composed ofjj three-year-olds. The teacher asked: "D o any o i l (Continued from Page 31 ) you remember who St. Mathew was?” Noil tion which the mind can conjure up in which answer. the horn is a satisfactory substitute for thought. "Well, does anyone remember who St. Markl Twelve months and 18,000 miles of driving was?” Still no answer. attest it. More power to the Memphis experi­ "Surely, some of you must remember who I ment. The horn is a blatant, obstreperous, ob­ Peter was?” noxious, and unnecessary appendage to the Finally, came a tiny voice from the back o il modern automobile." the room: "I fink he was a wabbit!”

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 Monday— 12:15 Luncheon Meeting Even Months l ib r a r y PIERCE COUNTY BULLETIN. “ " PIERCE COUNTY MEDICAL SOCIETY

VOL. XXVI— No. N TACOMA, WASH. APRIL - I05f> 2 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y Pierce County Medical Society 1956 OFFICERS President ...... Gerald C. Kohl President-Elect...... Hillis F. Griffin Vice-President ...... Burton A. Brown Secretary-Treasurer — ...... Arnold J. Herrmann TRUSTEES Burton A. Brown Louis P. Hoyer, Jr. Happy Birthday to You Walter C. Cameron Gerald C. Kohl Carlisle Dietrich S. Robert Lantiere Philip Grenley Glenn G. McBride April Hillis F. Griffin Fay Morris Nace Arnold J. Herrmann Warren F. Smith 1 LAWRENCE SKINNER D E L E G A T E S 2 EDWIN FAIRBOURN Jesse W. Bowen, Jr. Arnold J. Herrmann Walter C. Cameron Frank R. Maddison W ILLIAM M ATTSON, JR. Philip Grenley 4 BERNARD HARRINGTON ALTERNATE DELEGATES 7 EVERETT NELSON Louis P, Hoyer, Jr. Charles E. Kemp Murray L. Johnson William J. Rosenbladt 11 LAWRENCE BRIGHAM Warren F. Smith 12 CHARLES MAY COMMITTEES 15 LEO HUNT Ethics Charles H. Denzler, Chairman DOUGLAS MURRAY S. Robert Lantiere William H. Goering 16 ROBERT OSBORNE G rievance Walter C. Cameron, Chairman CHARLES TRIMBLE Miles Parrott Jess W. Read 17 CHARLES PASCOF. House and Attendance Philip C. Kyle, Chairman 18 CLYDE G R A Y Rodney Brown Mills Lawrence Glenn G. McBride 21 H AR OLD JOHNSTON L ibrary 22 W ILLIAM AV ERY Fay Morris Nace, Chairman Robert R. Burt Joseph O. Lasby 24 EUGENE HANSON Ralph H. Huff 25 RODGER DILLE Program John J. Boniea, Chairman 27 JOHN GULLIKSON Carlisle Dietrich Hugh A. Larkin Rodger Dille Stanley W. Tuell 28 LOUIS HOYER Wayne Zimmerman RICHARD LINK Public Health Charles E. Kemp, Chairman 29 A. W. HOWE Cecil R. Fargher Louis P. Hoyer, Jr. 30 DONALD McKAY Franz P. Hoskins Merrill J. Wicks Public Relations Haskell L. Maier, Chairman Samuel E. Adams Wm. W. Mattson, Jr. Herman S. Judd Warren F. Smith Civil Defense Antibiotic Hazard Study Murray Johnson, Chairman Daniel Hunt, Admiral, U. S. Navy, retired Due to be launched in about four months is Paul E. Bondo Richard B. Link J. Robert Brooke James D. Lambing another investigation involving antibiotics, this D iabetes one dealing with incidence of severe reactions. Robert E. Lane, Chairman Joseph B. Harris G. Marshall Whitacre Henry Welch, head of antibiotics division in Entertainment Food and Drug Administration, will direct. Tease W . Bow en, Chairman L. Stanley Durkin Charles P. Larson Investigators in all 16 FDA districts will check James M. Mattson Frederick J. Schwind hospitals, health departments, physicians and Geriatrics J. Benjamin Robertson, Chairman other sources in quest of serious cases of Hollis Smith John L. Whitaker anaphylaxis following administration of anti- . 1 Legislative Douglas P. Buttorff, Chairman biotics. Homer W. Humiston Wendell G. Peterson Dumont Staatz On basis of smaller survey conducted b y ? Medical Education Committee Lewis A. Hopkins, Chairman FDA in 1953, 88 such cases were discovered, of |e| J. Edmund Deming, Sr. Thomas B. Murphy which 40 ended fatally. Projected nationaiyjfu Mental Health Committee William H. Todd, Chairman it was estimated there were 200 cases and about: Treacy H. Duerfeldt Harlan P. McNutt 90 deaths in that year. George S. Kittredge F. E. Shovlain School Committee — Washington Report on thm R. A. Norton, Chairman Lester S. Baskin David T. Hellyer M edical Science: Woodard A. Niethammer Traffic Safety John Theodore Robson, Chairman Don Francis Cummings Robert A. Kallsen Louis M. Rosenbladt NOTICE Bulletin Staff E d ito r...... William Mattson, Jr. Check back page of Bulletin for calends Businei* Manager ______-Shirley Imesan Auxiliary News E d ito r ------Beoky Banfield of special meetings BULLETIN of the Pierce County M edical Society

NEW: THERAGRAN THERAGRAN LIQUID Squibb Therapeutic Formula Vitamin Liquid Squibb Therapeutic Formula Vitamin Capsules 1 teaspoonful of Theragran The six vitamins almost Liquid is equivalent to invariably associated 1 Theragran Capsule. with chronic vitamin For patients of all ages who deficiency states. prefer liquid vitamin therapy.

Each Theragran Capsule, or 5 cc. teaspoonful of Theragran Liquid, supplies: Vitamin A (synthetic) ...... 25,000 U.S.P. Units Vitamin D ...... 1,000 U .S.P. Units Thiam ine ...... ,...... ;...... 10 mg. Riboflavin ...... ' . 10mg. Niacinamide ...... 150 mg. Ascorbic acid ...... 150 mg.

Usual Dosage: 1 or 2 capsules or teaspoonfuls daily. Infants: Not more than 1 teaspoonful daily.

THERAGRAN CAPSULES: bottles of 30, 60, 100 and 1000. THERAGRAN LIQUID: bottles of 4 ounces.

. Squibb ^ |P! Squibb Quality—the Priceless Ingredient

'IHCKADMH* 19 A 5QUI90 TRADEMARK 4 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

“The Mentally III Need Your Help . . . Join! Give!”

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

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

I. I. MELLINGER Presid ent CREDIT TERMS OUR FUNERAL BENEFIT IF INSURANCE PLAN SAVES YOU C.C.Mellinaer DESIRED MONEY TOO

Underwritten by Homesteader's Life Co. of Des Moines, Iowa. Lowest rates— AND MEMORIAL CHURCH W e invite 6TH & TACOMA comparison.

ages 1-85 BROADWAY 3268 NO MEDICAL EXAMINATION!

""'0 “ The M entally III N eed Your H elp . Join! Give!” Tacoma Braee |PROCTOR & L im b Co. Lenart C. Ceder, owner

| Pharmacy ☆ f EARL V. ACKER Expertly fitted— Orthopedic Appliances Complete Artificial Limbs Surgical Belts Prescription Service Arch Supports Trusses | ATTENTION - NEW PHONE NO. SK. 3511 ☆ 723 South K Street PROMPT FREE DELIVERY Phone MArket 2717

3818 North 26th Street “ The Mentally 111 Need Your H elp . . . Join! Give!”

•»I3 BULLETIN of the Pierce Codnty M edical Society 5

PROGRAM-8:15 p.m.

Pierce County Medical Society

Tuesday, April 10, 1956

“The Physicians’ Political and Economic Problems” b y Alfred O. Adams, M. D., Spokane This discussion, which will include die social security problem as it effects physicians should prove of great interest to all physicians and their wives. The members of the Medical Auxiliary are invited to attend this meeting.

Motion Picture 7 :3 0 p.m. “Gout and Gouty Arthritis” John H. Talbott, M. D. University of Buffalo School of Medicine, Buffalo General Hospital and Alexander B. Gutman, M.D. The Mount Sinai Hospital, New York City. The etiology, common diagnosis and common treatment of Gout (one of the most commonly missed diagnosis). 25 minutes Color Sound high antibacterial and antifungal potency

8TEROSAN CREAM AND OINTMENT (brand of chlorquinaldol)

in skin infections due to fungi and gram-positive organisms

A new iodine-free oxyquinoline derivative, S terosan has shown favorable results in controlled comparison with other recognized anti'infective medications.*

Of value in virtually all infections due to fungi and grain-positive cocci, S terosan is especially indicated in Dermatophytosis Folliculitis Furunculosis Impetigo contagiosa Impetiginized eczema Infected dermatitides Infected seborrhea Pyoderma Sycosis

The bacteriostatic and fungistatic action of S ter o sa n is not hampered by heavy bacterial concentration, pus or organic debris. Sensitization to S t er o sa n has not been observed, and primary irritation has been seen only in rare instances.

Stebosah^ (Lrand of chlorquinaldol) Cream and Ointment, tubes of 30 Gm, *Tronolcin, A. J .: J. Invest. Dormat. 13 :?19. MM9.

/ 7 n g e i g y pharmaceuticals (J£| M 1 Division of Geigy Chemical Corporation 220 Church Street, New York IS, N. Y. 5605S 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 7

EDITORIALLY SPEAKING . . .

“The Physician’s Political and Economic Problems” is going to be the topic of conversation at our next Pierce County Society Meeting Tuesday, April 10th. This is going to be a joint meeting with the Auxiliary as (obviously) our wives are equally affected and therefore interested in these problems.

The guest speaker is Alfred O. Adams, M.D., a Spokane Orthopaedic Surgeon, well known for his experience in the medical-political and economical field.

We should have no trouble filling the Medical Arts Auditorium with such vitally important issues being presented.

W i l l i a m W . M a t t s o n , J r ., M . D BULLETIN o f the Pierce County M edical Society

C.O.LYNNCO.

717-719 South Tacoma Avenue

Phone MArket 7745

BRALEY'S, Inc. PRESCRIPTION DRUGGISTS

Catering to the Doctor and his patient

FREE DELIVERY

Medical Arts Building MArket 8116 J O J E W 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 9 Polio Program Woman’s Auxiliary to the Pierce It has come to the attention of the Public County Medical Society Health Committee, that there is considerable OFFICERS FOR 1955-1956 confusion and doubt about the status of the polio vaccine program in this county and also President...... Mrs. George S. Kittredge about certain restrictions on the use of the polio President-Elect Mrs. Treacy H. Duerfeldt vaccine. It is hoped that the information to fol­ First Vice President—-Mrs. Robert M. Ferguson low will refresh the memories of the members Second Vice President Mrs. J. Robert Brooke and be useful. Recording Secretary...... Mrs. Robert Burt Doctor Salk now recommends that the vac­ Corresponding Secretary...... Mrs. Paul E. Bondo cine be given in three shots of 1 cc each, the Treasurer...... Mrs. Haskel L. Maier second to follow the first at an interval of from CHAIRMEN OF COMMITTEES 2 to 6 weeks. This may, however, be prolonged Membership & Hospitality..Mrs. J. M. Mattson under circumstances which make it inadvisable Program ...... Mrs. Albert Ehrlich to give the vaccine within the 2 to 4 week Social ______Mrs. Thomas B. Murphy period. The third shot, Doctor Salk believes, Publicity...... Mrs. G. Marshall Whitacre should not be given before 7 months after the Telephone...... Mrs. Harold D. Lueken second, but may be given from 7 to 12 months Public Relations...... Mrs. Joseph B. Harris after that shot. It has not been established at Legislative ...... Mrs. Herman S. Judd this time whether annual or biennial boosters Today's Health ...... Mrs. Merrill J. Wicks will be necessary in the future to maintain polio Civil Defense Mrs. Wayne Zimmerman immunity at a practical level. Speakers Bureau...... Mrs. Philip Grenley The vaccine is now in critically short supply, Mental Health Mrs. Treacy H. Duerfeldt and all indications point to the fact that this Nurse Recruitment ...... Mrs. John Flynn situation will continue, probably until summer. Rummage Sale...... Mrs. Hugh F. Kohler In view of this fact, your committee wishes to * # # emphasize that the U. S. Public Health Service has enlisted the cooperation of all physicians in From Our President restricting the use of the vaccine at this time It was nice to see such a large turnout for to children between the ages of 1 and 19, in­ our state president at the last meeting, held at clusive, and to pregnant women of any age. the Top of the Ocean. Our April meeting Your committee wishes to emphasize that it is promises to be of equal interest. Through the in agreement with this restriction and urges efforts of our Mental Health Committee, Dr. that in the interest of the best public relations Thomas A. Harris, Director of the Washington between the profession and the public that State Department of Institutions, will be pre­ these restrictions be rigidly adhered to. sented as guest speaker. His subject will be The committee wishes again to call your at­ "The Present Mental Health Program in the tention to the fact-that the society, in the spring State Department of Institutions.” The meeting of 1955, adopted a fee of $10 as being fair for will be held in the Auditorium of the Medical the administration of the series of 3 vaccine Arts Building April 20th at 1 p.m. Members shots. In the interest of the best relations among are urged to attend and bring a guest. the doctors of this society, the committee feels Following the program tea hostesses will be that this fee should not be varied unless and Mrs. Treacy H. Duerfeldt, Mrs. Glenn H. until the Medical Society changes it. Brokaw, Mrs. J. Robert Brooke, Mrs. Paul E. — Chas E. Kemp, M. D., Chairman Bondo, Mrs. Glenn G. McBride, Mrs. James M. Public Health Committee Mattson. * #- * “ The Menially III N eed Your Help . . Join! Give!” An announcement and invitation from Dr. STANDARD HEATING OILS Gerald Kohl, Medical Society president, reminds THE BEST OIL FOR YOUR HOME all doctors' wives of the joint Medical Society- Auxiliary meeting to be held April 10 at 8:15 Distributed by p.m. in the Medical Arts Auditorium. The speaker, Dr. Alfred O. Adams, member of the Fuel Oil Service Corp. State House of Representatives, will discuss a topic of general interest "The Physicians' MArket 3171 Political and Economic Problems.” 816 A STREET TACOMA “PATRONIZE OUR ADVERTISERS' 10 BULLETIN o f the Piebce County M edical Society

a Pfizer research contribution to clinical medicine

TETRACYNBRAND OF TETRACYCLINE broad-spectrum antibiotic, tetracycline, discovered and identified by (Pfizer)

Available in a variety of useful dosage forms including Tetrabon,* the best-tasting, ready-mixed

liquid form. ‘ Trademark. brand o f tetracycline

Pfizer Laboratories. Division, Ckas. Pfizer & Co., Inc., Brooklyn 6, N. Y. 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 11 have selected a more desirable mate. They were In Memoriam married for 61 years, and she died only six days before his death. Doctor Brady Hugh Foreman, 11-30-1870 to The Foremans had two children: Leotta, age 2-20-1956, was born at Whitehall, Illinois, 61, who married Dr. Erroll Rawson of Seattle, where his father was a practicing physician. who was voted one year as the outstanding At the age of nine, he took up checker physician in King County. The Rawsons have playing and in four years was hailed as the two children, Marion, who is with the North champion of the town. West Air Lines with offices in New York City, His next hobby was rifle shooting at which and Ralph, Lieutenant in the Air Force at he set an accuracy record for the state of Cali­ Rabat, Morocco. Dr. Foreman's other child, a fornia. During his college years, his hobby was son, Byron Star Foreman, age 57, is in the boxing, in which avocation he gained fame in candy business in Tacoma. He has three chil­ , where he lived. dren: Ann at home, Donn, Lieutenant in the Navy Air Corps, and Jeanne (Foreman) Kemp- His first two years in high school were at ers, with her husband in Germany, in the U. S. Pittsfield, Illinois, his last two at Stockton, Cali­ Army Signal Corps. She has a ten month old fornia. After high school, he entered Cooper’s daughter, the only great grandchild of the Fore­ Institute in San Francisco, which institute later was made a part of Stanford University Medical mans. Dr. Foreman was dignified and reserved. He School and Hospital. He received his medical was satisfied with nothing but the best. In degree from Cooper’s in 1893, and for the next medicine and surgery his work was outstanding seven years practiced medicine at lone, Cali­ and par excellent. Even in his hobbies he at­ fornia. In 1900, he gave up his practice and tained to the highest degree of perfection. Not entered Rush Medical School, where on account only in his play and in his work did he attain of his many high educational accomplishments, his high ideals, but he was also a sterling he was given membership in Alpha Omega friend, a devoted husband, and a loving father. Alpha, and the key, the badge of that organiza­ tion. He has always cherished and prized said — J. Benj. Robertson, M .D. key as a momento of scholastic efforts. After eighteen months of internship at Cook County Hospital, where he was interested mostly in surgery, he came to Tacoma in 1906, and for the succeeding eight years engaged in general practice. In 1914 he was admitted to I LUTHERAN I the American College of Surgeons as among the first from this state to attain said honor. He | MINOR HOSPITAL f attained more than local fame in his per­ formance of bloodless Tonsillectomies, but 0 * ☆ * fi turned his attention mostly to Gynecological surgery until his retirement from practice in 8 AN INSTITUTION J 1932. Preceeding the 1929 panic, Dr. Foreman | AVAILABLE FOR THE 0 made a careful study of the stock market and his investments in that field yielded him a | PROFESSIONAL CARE fi moderate fortune. With a portion of these B and J| gains he is said to have built and paid for his magnificent home at 4121 North Madrona | REHABILITATION fj Way, Tacoma. Since his retirement, he has de­ voted his time to looking after his business and jj of the jj financial affairs, to reading and to enjoying his B CHRONICALLY ILL fi family. His hobby during these later years has been playing billiards with his friends on his D ☆ * £r K own billiard table in his home. In 1894, at San Jose, California, he married |j 407-14th Avenue S.E. n Emma Madeline Gamer, whose father became vice president of the Olympia Brewing Com­ B Phone 5-8833 jj pany, and later moved to Tacoma. Dr. Foreman E Puyallup, Washington |j in his memoirs said that he and his wife lived very happily together and that he could not 12 BULLETIN of the P i e b c e C o u n t y M e d i c a l S o c i e t y

I t makes sense... Veratrite is a good prescription in hypertension.’

Physicians depend upon Veratrite in treating hyperten­ sion because— through the years—this combination has produced gratifying results in You will find that Veratrite saves the patient Vz the widest range of patients. the cost of medication in long-term manage­ Veratrite contains cryptenamine— ment of hypertension. In fact, the most eco­ anewly isolated alkaloid fraction nomical prescription you can write is that dependably lowers blood pressure without serious side effects. The formulation combines central-acting and local-acting agents to combat vasospasm. ^ e r a t r it e Each Veratrite tabule supplies: Cryptenamine 40 C.S.R.* Units (as tannate salt) Sodium Nitrite 1 gr. Phenobarbital V4 gf- •Carotid Sinus Reflex IRWIN, NEISLER & COMPANY Bottles of 100, 500 and 1000 tabules DECATUR, ILLINOIS

“The Mentally 111 Need Your Help . . . Join! Give!”

First In The Lakes District

Your Prescription Store

FIRST IN QUALITY FIRST IN StltVICC

David Ludwig Fred Ludwig

PAY LAKEWOOD WEEKDAYS PHONE & 9 «.m. lo 10 p.m. GRIFFIN FUEL BILLS HERE IN THE LAKEWOOD SUNDAYS CENTER BUILDING LA 2191 10 a.m. to 10 p.m. REGISTERED CHECKS HOLIDAYS Noon ta 6 p.m. 1:1 PHARMACY

Free Prescription Deliver BULLETIN of the Pierce County M edical Society 13 HOSPITALS. . .

Tacoma General * * * Dr. J. W . Boudwin attended a course on Miss Borghild Robertson has returned from "Group Psychotherapy’ at the Veterans Ad­ vacation spent partly in California, where the ministration Regional Office, San Francisco, sun shines sometimes. from February 13 through February 17 th, * # directed by Dr. D. A. Shaskan, Chief Mental Miss Helen Mar Jewett has tendered her Hygiene Clinic. resignation as Principal of the School of Nurs­ * * * ing. She would like to leave at the end of the Dr. L. J. Seeley attended a course on "Psy­ current school year. She has served the School chotherapy'' given by Dr. E. Pumpian-Mindlin as Instructor, Acting Principal, and Principal, at the Los Angeles Mental Hygiene Clinic from since August 1942. March 7 through Match 9th. # * * * * * The Washington Chapter of the Hospital Ac­ Recently Dr. Richard L. Smith of the Dental countants Association has received the Graham Service, attended a course in "Occlusal Equili­ L. Davis award for outstanding chapter achieve­ bration" at the U. of Oregon Dental School, ment. Walter Huber is Chapter president and Portland. This was given by Robert L. Platner, accepted the plaque for his group. Basis for the D.D.. of Grants Pass. Dr. Platner is a member award is points earned for chapter attendance, of study clubs and of the American Denture projects, and papers written by chapter members Society. and accepted for publication by the American * * Association of Hospital Accountants. # # * Miss Florence H. Muehlhauser, Assistant Chief, Nursing Education, was appointed by The Refresher Course sponsored by the Ta­ Governor Langlie to serve on a committee set coma General Hospital Alumnae Association is up to advise him on mental health training and most successful. 65 to 70 nurses are attending research in the State of Washington. Dr. the lectures, and 46 have signed for clinical ex­ Herbert Ripley, Head of the Department of perience, which is being coordinated by Mrs. Psychiatry at the U. of Washington Medical Marjorie Hayes. At least 30% of these nurses, School will head the committee. The group will who have not been professionally active in the include representatives of professions and insti­ last 10 years, have indicated an intention to tutions interested in and capable of advising return to nursing at least on a part time basis. the governor how preventive and treatment # * k programs for mental illness can be improved. Popular X-ray Technician, Bob Anderson, * * was married on March 24 to Miss Ernestine Nurses who have joined the staff recently in­ Burke of the Surgery Staff. Mrs. Anderson is a clude: Mrs. Erika Marchesini, who completed graduate of the Tacoma General Hospital her work for the Master's Degree at the U. of School of Nursing. In September the Ander- Washington last quarter; Miss Floy Barnhardt, sons will move to Seattle, where Bob will enter a graduate of the Methodist Hospital School of the University of Washington School of Nursing in Dallas, Texas; Mrs. Eleanor Vanden- Medicine. heuvel, who returned recently from the Panama Canal Zone where she was working at the Coco Veterans Administration Solo Hospital; and Miss Ethel Melin, a transfer American Lake, Wash. from the VA Hospital in Seattle. # * * A Panel Discussion of Juvenile and Adult Behavior Problems was held at this hospital Mr. Edgar W . Guilford, Chief, Social Work on February.28th. More than 300 persons were Service and Miss Eileen Y. Jennings, Psychiatric in attendance, with representatives from the Social Worker, were among those attending a State Department of Public Institutions, Madi- conference at VAH, Vancouver, Washington, gan Army Hospital, VA installations from in January, as well as Dr. L. S. Diamond, D i­ Spokane and Seattle, the Federal Penitentiary rector, Professional Services, and Dr. Joseph C. at McNeil Island, the Prosecuting Attorney's Tatum, Manager. Discussion was limited to office, the Tacoma school system, social workers trial visit planning for patients. Representatives from the local agencies, psychologists and psy­ from the VA in Washington, D. C., were chiatrists. (Continued on Page 15) 1 4 BULLETIN of the Pierce County M edical Society

“ The Mentally 1U Need Your H elp . . . men Join! Give!” MILK MH\ 1 M

☆ PHARMACY Careful Mothers use Pro­ tected Milk. Pasteurized and Homogenized Milk Prescription from our own contented cows can be delivered Druggists to your home or your grocer

☆ We Carry a Complete Stock of

A Favorite Dairy for over Biologicals and Pharmaceuticals 30 years. Recommended by doctors and dietitians.

☆ "When Moments Count' CALL FUlton 2411 WAverly 8705 PROMPT . . . FREE DELIVERY

&\\ITAR\ Stadium Hi District V til j) 101 North Tacoma Avenue Tacoma, Washington Direct from Our Farm to You BULLETIN of the Pjerce County M edical Society 15

(Continued from Page 13) the Sewing Department who has had to return for further surgery at St. Joseph’s hospital. present and representatives from other West # * * coast VA installations were also in attendance. # # * On February 16 the Nursing staff surprised Social Work Service welcomed Mrs. Claire Miss Katherine Mooney, Superintendent of Smith to their staff in January. She is the wife Nurses, with a house-warming shower for her new, attractive home. of Dr. Joseph Smith, presently a Madigan Army * # # Hospital staff member. The Smiths are from the East and Mrs. Smith graduated from the School News was received of the death of Mrs. Alma of Social Work at the University of Ottawa. Carlson, R.N., who for many years was head of They reside at 15005 Grant Avenue, Tacoma, the Isolation ward of the hospital. Mrs. Carlson and are becoming well known in bridge playing died on the 15th of March at her home. * # * circles. # # # Anita Preston and Doris Boyle will be dele­ Illness necessitated the resignation of Mrs. gates to the American Physical Therapy Associ­ Barbara Rubin, Psychiatric Social Worker, in ation convention to be held April 14 and 15 in December, 1955, and she has remained at home Spokane. with her husband, Dr. Rubin of the Tacoma Dr. and Mrs. Keith Senz are the proud Naval Station. She has continued her interest, parents of a baby girl born on the 16th of however, in the Tacoma Civic Orchestra, in March. The newcomer will be named Deloy which she plays the cello. Senz. * # # * # * Miss Anna Jensen, Assistant Finance Officer The Washington Society of X-ray Techni­ is spending a month on board a "Banana Boat" cians will hold its 4th annual convention on of the Great White Fleet, United Fruit Co. May 5 in the Winthrop Hotel, Tacoma. Walter She reports that the food on board ship is Kain, R.T., will be chairman and Mary O ’Neal excellent — only complaint "too much of it." of Pierce County Hospital will be co-chairman. Also reports "plenty of sunshine.” She will have Mr. Alfred B. Green, B.S., R.T., secretary of the two days in Panama before wending her way American Registry, will be the guest of honor. back up the Coast. The business meetings will be followed by a formal banquet at the hotel. Pierce County The hospital personnel deeply regrets the St. Joseph’s resignation of Miss Harriet Armstrong, who "Career Day,” an annual event held each year for 11 years served as Administrative Dietitian at the various high schools will find spe’akers of the hospital. Miss Armstrong, a graduate of from St. Joseph's School of Nursing talking to Pratt Institute, Boston, and the University of those interested in the nursing field this year. Washington, was a most efficient dietitian and # # * will be greatly missed. A coffee hour in her On March 14th, Sr. Mary Everard will talk honor was held in the hospital dining room on to the interested students at Stadium High Tuesday, March 13- She was presented with a School. One week later, Mrs. Lorenz will be gift to be used on the trip she is planning to guest speakerat Lincoln High. take in the near future. * *= * # # * The Student Body sponsored a very success­ The dining table for the affair was particu­ ful cake sale at the Bon Marche on Monday, larly attractive wtih an Easter motif prepared February 27. The money raised is to help de­ especially by Marie Witty of the Diet depart­ fray the expenses of a student representative at ment. Mrs. Witty is well known for her flower the National Student Association Convention in arrangements. Guests of the past Christmas Chicago in May. party at the hospital are still remarking about # * # the beautiful display which Mrs. Witty super­ Miss Nancy Carfee, Miss Beverly Daly, and vised. Miss Ann Maloney will leave on March 11th # * * to begin their affiliation at American Lake Vet­ Two new secretaries are among the hospital eran Hospital. employees. They are Marlene Sonneman in the * * # Record department and Doris Sigler in the The Students in enjoyed a very . Dietary department. educational day at the Rainier State School at * # # Buckley, Washington, for mentally retarded There is much concern for Sadie Miller of (Continued on Page 17) 1 6 BULLETIN o f th e Pierce County M edical Society

McMILLAN BROTHERS, Inc.

942 Pacific Avenue - - - MArket 1126

Service to the Medical Profession and

their patients for 54 years.

, W tN l-yj, % We dispense only the finest of ’ Pharmaceuticals.

1

Time Tested Dependability Established 1889

R. E. Anderson & Co. Inc. INSURANCE - MORTGAGE LOANS-REAL ESTATE PROPERTY MANAGERS

«-.lC-W :S£3 747-49 St. Helens Ave. BRoadway 8475

ASK FOR W. O. JEFFERY

. o r o a c B s r

OFFICERS H. F. SYFORD, President D. POWELL, Vice President DONALD M. MOORE, Vice President (In Charge of Fire Insurance) (In Charge of Casualty Insurance and Bonds) E. J. POLE, Secretary (In Charge of Marine Insurance) BULLETIN o f the Pierce County M edical Society 17

(Continued from Page 15) The Chief of Staff, Dr. Nelson, presided, and called for reports of the various committees. children. A word of sincere thanks to Dr. All were ready with their reports, and they Friese of the Staff of the School for the hours indicated very noticeable progress in the Medi­ of conference and instruction given these cal Staff organization and development of the students. This field trip is one of the high lights hospital. during their pediatric course. * # # * # * The Administrator of the hospital was called Third floor has a new look since the installa­ upon to make a statement report on the hospital tion of a modern desk at Third Center. This services, departmental problems, and financial brings quite a change for us, as the nurses situation. Lately the occupancy has had a station on center now carries all the Medical crowded condition. He indicated that the hos­ patients on Third .South and also includes Four Hall. This leaves the South End Desk ex­ pital was in a sound financial position and clusively for the psychiatric unit. satisfactory to the Board Directors. Among the # # # several substantial gifts since opening was a grant by Ford Foundation of $13,700.00. Mrs. Florence Anderson is replacing Mrs. Rehwinkel on Pediatric as she is staying home The annual election of officers was held and to keep the home fires burning for, the present. resulted as follows: # # * Dr. George S. Kittredge, M.D., President The business o ff i c e also has some new faces: Dr. Homer T. Clay, M.D., Vice-President Mrs. Dorothy Rockwell, who hails from Boston, and President-Elect Mass., and Georgeann Billsborrow from Aquinas Dr. T. R. Haley, M.D., Secretary Academy, who comes in after her studies to Dr. S. E. Adams, M.D., Executive Committee­ offer her typing skill. Mrs. Rockwell will be in man Tacoma at least while her husband is stationed They succeeded the officers of the past year, at McChord. Dorothy was told that we had a who were: very mild climate out here, beautiful weather Dr. Everett P. Nelson, M.D., President all of the time (oh brother!) so she left her Dr. R. A. Norton, M.D., Vice-President rubber boots in Boston. At present Dorothy has Dr. Louis P. Hoyer, Jr., M.D., Secretary but one question, "When will the sun shine so Dr. W . H. Goering, M.D., Executive Com­ that my feet will dry." mitteeman # # # # * # The Record Department welcomes three new Personal: Miss Jean Barr, R.N., has again faces: The first being Mrs. T. Arness, who been admitted to the Tacoma General Hospital. incidentally is our new librarian’s (Mrs. * * * Dickey) sister. W e are all looking forward to Mrs. Gladys Bergum, R.N., Director of Nurs­ working with her and hope that she will be ing Services, has returned to the hospital for with us for quite some time. full time since her illness. # * # * * # Patricia Jacka from St. Leo High School and Mrs. Carlson, who has served as Physical Rose Marie Doherty from Aquinas, are coming Therapist, has resigned, as she and Mr. Carlson in after school to help us with our many chores. are moving to Everett. She is succeeded by Mrs. * * * Patricia King. The following students in the School of * * * Nursing, who received scholarships for the next Mrs. Marjorie Dickson, Director of Surgery, quarter are— Miss Anne M. Rutledge— $55.00 is on duty again after an absence of one week from the Ladies of the Moose Miss Rose M. because of injuries received in an automobile Brosamer— $55.00'— from The Nurses’ Guild of accident. St. Joseph Hospital school of Nursing.

Mary Bridge Childrens “The Mentally 111 Need Your Help . . . Join! Give!” The annual meeting of the Medical Staff of the Mary Bridge Children’s Hospital was held DAMMEIER Thursday evening, February 28, in the Medical Arts Auditorium. The Auditorium was crowded, Printing Co. which indicated very keen interest among the BRoadway 8303 doctors in the Mary Bridge Children's Hospital. * # # 811 Pacific Ave. Tacoma 1 8 BULLETIN o f th e Pierce County M edical Society

more dependable oral penicillin

V-CILLIN(PENICILLIN V, LILLY)

‘V-Cillin’ waa developed by the Lilly Re­ In the duodenum, absorption of search Laboratories to fulfill the need ‘V-Cillin’ begins immediately. for an acid-resistant penicillin—for a more dependable and effective oral peni­ d o s a g e : 125 or 250 mg. t.i.d. May be adminis­ cillin. tered without regard to mealtimes.

Gastric acidity does not significantly s u p p l i e d : Pulvules—125 and 250 mg. Pediatric affect the potency of ‘V-Cillin’ (‘V-Cillin’ suspension—125 mg. per 5-cc. tea­ is an acid). In contrast, 50 percent of the spoonful. Also, Tablets ‘V-Cillin-Sulfa* potency of potassium penicillin G may (Penicillin V with Triple Sulfas, Lilly) — 125 mg. ‘V-Cillin' plus 0.5 Gm. triple be destroyed by gastric acids, in ten to sulfas. thirty minutes. Thus, ‘V-Cillin’ elimi­ nates a major variable in oral penicillin therapy, produces 50 to 100 percent higher blood levels, and makes the oral S u n use of penicillin much more feasible. "if '1 S§ I E L I LILLY AND COMPANY . INDIANAPOLIS 6, INDIANA, U.S.A.

633021 BULLETIN of the Pierce County M edical Sqcjety 1 9 Tacoma Academy of Internal listed as the third major cause of death in the Medicine United States, ranking behind only "heart disease" and "cancer.” Even so, the majority of The Sixth Annual meeting of the Tacoma patients sustaining a stroke of apoplexy do not Academy of Internal Medicine was held on die from the initial insult. Instead, they im­ Saturday, March 10, 1956. There had been some prove to a greater or lesser degree, and often doubt as to whether we could draw as much of live a number of years despite their residual a crowd with the subject of Neurology as we disabilities. had in previous years with some of the more Unfortunately, in the past the medical atti­ popular subspecialties of internal medicine. The tude toward the hemiplegic has been one of turnout was very good. There was a total regis­ hopelessness and passive acceptance. Such pa­ tration of 231. This is the second highest (last tients in municipal hospitals and chronic disease year for Gastroenterology we had 247). 104 of institutions have always posed serious disposi­ the registrants were from out of town, the tion problems and have crowded the few nurs­ largest share being from Seattle. It was gener­ ing homes and institutions for custodial care. ally agreed that the most rewarding part of the Usually, they remain in general or chronic program was the morning session and the ques­ hospitals, receiving little or no definitive care or tion and answer period in the afternoon. In the rehabilitation services that might permit both instances the guest speakers expressed them to leave the hospital or be referred to less- their opinions on specific practical clinical expensive institutions. In a recent study of 95 problems. unselected "chronic custodial" cases of which 36 Dr. Merritt indicated that the anticoagulant were hemiplegics, it was found that only 7 of therapy should be instituted in those cerebro­ the 95 were in need of continued hospitaliza­ vascular accidents in which hemorrhage could tion. be ruled out. It would be particularly useful in Experience has shown that with a dynamic recurrent thromboses or embolism. The dura­ rehabilitation approach, the hemiplegic is not a tion that such treatment should be continued is lost cause and that 92 per cent of properly arbitrary. In those cases where there has been recurrent embolism or thrombosis anticoagu­ selected patients can be taught ambulation, self- care. and urinary and fecal continence in an lants should be continued indefinitely. In his afternoon lecture, Dr. Merritt made a strong average of six to eight weeks. In addition, 30 plea for the rehabilitation of the "stroke” vic­ per cent of these can be taught to do gainful tim. He emphasized the part played by physical ■work, usually in fields related to previous work experience. Further evidence of the value of therapy. — G. M. W hitacre, M.D. * # * dynamic rehabilitation services has come from a carefully controlled study in which objective Rehabilitation of the Hemiplegic Patient quantitative analysis of comparable groups of The Pierce County Unit of the Washington patients indicated that a retrained group demon­ State Heart Association has instituted a pro­ strated over 130 per cent more gain in activities gram to facilitate the rehabilitation of "stroke of daily living than did an untrained group. The cases" confined to the home. There has been a return of range of joint motion and muscle steady increase in the utilization of this pro­ strength were also more pronounced in the gram. Most of the patients involved have been retrained group, although the increments were definitely improved. Dr. Howard A. Rusk of not as striking as in the activities of daily living. New York is probably the outstanding authority The objectives of a program of rehabilitation on rehabilitation in the world today. A short for the hemiplegic patient are (1 ) to prevent article* written by him on the dynamic ap­ deformities, (2 ) to treat deformities if they proach to the problem of the hemiplegic using occur, ( 3 ) to retrain the patient in ambulation rehabilitation technics should be of interest and elevation activities, ( 4 to teach the patient to all. ) to perform the activities of daily living and to *International Forum, Vol. 3, No. 11. work with the unaffected arm and hand, (5 ) to One of the most significant disabilities in retrain the affected arm and hand to its maxi­ terms of the number of patients seen by phy­ mum capacity, and (6 ) to treat facial paralysis sicians is the patient with hemiplegia, usually and speech disability if present. the result of brain damage following thrombo­ sis, embolism, hemorrhage, or trauma There are (To be continued next month) no definitive statistics available on the number of hemiplegics in the United States, but esti­ Congratulations! mates have been as high as 1,500,000. Mrs. Clara Goering and Dr. Homer Humiston Some idea of the magnitude of the problems for your success in being elected to the City may be gleaned from the fact that "stroke” is Council. 2 0 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c ie t y

...... 0

“ The Mentally III Need Your H elp . . . Join! Give!” A COMPLETE LINE OF SUPPLIES FOR THE | South Tacoma | PHYSICIAN . . . HOSPITAL AND Drug C o. NURSING HOME

| Fred Ludwig I Mail or Telephone Orders i ★ ★ ★ = Given Prompt Attention

[ PRESCRIPTIONS |

I DELIVERY SERVICE | SHIPMAN i * * * I SURGICAL CO. 741 St. Helens Ave. - BR. 6400 I 5401 South Tacoma Way HI 9419 I Tacoma 2

Q ......

Why Pronemia* is the most potent of all oral hematinics!

Compare this formula with that of any other hematinic, and you will find that PRONEMIA is clearly, measurably more potent. Every known hemopoietic is included, and each one is present in generous quantity. You can confidently prescribe PRONEMIA for all treatable anemias, including maintenance of pernicious anemia patients. Dosage: just one capsul^ daily!

PRONEMIAHematinic Lederle ■3flJ flllc oeoted copauiee (a Lederle exclusive!) for more rapid and complete absorption.

LEDERLE LABORATORIES DIVISION A M ER IC AS CYANAMID COMPANY PEARL RIVER, NEW YORK BULLETIN of the Puerce County M edical Society 2J Introducing at the University of Washington and subse­ quently finished medical school there in ’53. After an internship and residency at Pierce County Hospital, in July '55 he became associ­ ated with Dr. Doug Murray in orthopaedic surgery. Don and Claris’ interests are sail boating and dogs. Don plans to launch a 24 foot sailboat that he built this summer. They have two boxers as pets. Also they hope to start building this summer, on the peninsula, near the Narrows Bridge. ______— IF . W. Af.. Jr. For Sale Don and Claris Allison really need no intro­ QUALITY HOME, built by owner. North End. duction, having been in Tacoma now since 28' of plate glass marine view windows liv­ 1953. They finished University of Washington ing room and dining room. Mahogany wood­ School of Medicine that year in the same class. work down. Spacious living room with fire­ Claris was born and obtained all her school­ place and built-in bookcase. Built-in china ing in Seattle. She interned at Pierce County closet in dining room. Master bedroom, large Hospital ’53-54 and in February ’54 married cabinet kitchen, 4-pc. bath with tiled shower Don. After some residency in January 55 Claris stall down; two twin size bedrooms with full became assistant superintendent at the Pierce bath up. Eldrid finish oak floors throughout. County Hospital. Curtis storm-proof windows. Full basement, Don was born in Woolsy, South Dakota. He laundry, drying room, knotty pine sewing obtained most of his schooling in Southern room, 25’ play room, toilet and air condi­ California. After a iVz year tour of duty in tioned furnace. Breezeway to double garage. the army he worked as a brick layer a few years Landscaped. 75' rockery. in Okanogan. Don took two years of pre-med Clyde E. Gray, M. D., PR. 2446.

OFFICE SPACE

TWO LOCATIONS %

1 - Lake City Next to Drug Store 20 x 60 feet.

2 - Lower Section of a 2 level building; within 1 block of * 4 ? Lakewood Center; for 1 or two doctors or a doctor and a dentist. Inactive X-ray film^pfeserrption files, patient records and correspondence may be stored at Bekins at very Contact LES FAGG reasonable cost. They are accessible for personal or telephone reference• LA. 3950 or LA. 2179 For defol/s: Tacoma Realty, Inc. BRoadway 1212

OPIDICE FOR THE OVERWEIGHT ...REDUCES TEA-TIME TENSION Opidice offers powerful appetite control with smaller drug dosage because it contains Methamphetamine HCl, the “drug of choice,” which minimizes or eliminates undesirable peripheral effects. Opidice offers these six advantages: 1. Controls the appetite with less nervous tension, fewer side effects; 2. Elevates the mood; 3. Satisfies hunger by supplying bulk in the stomach and intestinal tract; 4. Provides needed nutrients to supplement the reducing diet; 5. Protects against hepatic damage during dietary reducing program; 6. Taken after meals, serves as an anti-depressant. Low in cost to the patient — High in results ! Each OPIDICE capsule contains: Methamphetamine HCl USP (d-Desoxyephedrine HCl)...... 5 mg. Methylcellulose ...... 225 mg. Thiamine Mononitrate ...... 1.67 mg. R iboflavin ...... 1.0 mg. Niacinamide ...... 10.0 mg. V itam in B ,2 ...... 1.0 m eg. F olic A c i d ...... 0.03 mg. Choline Bitartrate ...... 150 mg. Ascorbic A cid ...... 25 mg. Vitamin A (acetate) ...... 2500 USP Units V itam in D ...... 250 USP Units Iron ...... 2.5 m g. Iodine ...... 0.05 m g. Bottles of 100 capsules, available at all pharmacies.

KEfERFNCirS: Obesity, 7/ie Problem and Treatment:Harry S. Doug/as, M .D.,Washington, D.C., Western Jl. of Surg., O b s. and Gyn., Volume 59/5 (May,1951} 238-244, N N R, 1951, p 193. Methamphetamine Hydrochloride U.S.P.Queries and Minor N otes: J.A .M .A ., 143/14 (1950} p 1298. "The Liver in O besity," Samuel Zelman, M .D ., Arch. Int. Medicine, 90:137 (1952).

BOYLE & COMPANY . Bell Gardens, California 2 4 BULLETIN o f th e Pierce County M edical Society

O - J C i r S J

JOSHT Taxicabs - Ambulances for your Patients

ALL AMBULANCES ARE OXYGEN-EQUIPPED Tacoma Yellow Cab Co.

1324 Market Street

MArket 1121 BR. 8383

“The Mentally 111 Need Your Help . . . Join! Giver 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

1015 SOUTH TWELFTH STREET MArket 0118 TACOMA 3, WASH. BULLETIN o f the Peehce County M edical Society 2 5

“ The Mentally III Need Your Help . . . Join! Give!”

NO FUN ERAL 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.

Everything in one place

FUNERAL HOME MOUNTAIN CEMETERY • CHAPEL Memorial . c r e m a t o r y VIEW Park * m a u s o l e u m 4100 Steilacoom Boulevard LAkewood 2195 PRESCRIPTION SPECIALISTS

HAROLD MB') til PHARMACY 1110 South 11th Harold Meyer, Owner BRoadway 5104 Open 8:30 a.m. 'till Midnight — Free Delivery 'till 8 p.m. 2 6 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

“The Mentally III Need Your Help . . . Join! Give!

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

Modern an d M oderate . . .

Mh\ C I fjs . - rS |

f 0R M S-'1’

BUCKLEY-KING FUNERAL SERVICE Tacoma Avenue at South First BRoadway 2166 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 2 7 For Sale Portland Surgical Society... STAINLESS STEEL STERILIZER, like new, Ninth Annual Meeting one-third off. Surgical instruments and cabi­ Edmund A. Kanar, M.D. net, priced to sell. Clyde E. Gray, M. D., PR. 2446. The Portland Surgical Society held its annual meeting on March 9th and 10th in the audi­ torium of the University of Oregon Medical The Tacoma Surgical Club School. Among the two hundred physicians 28th Annual Meeting— Saturday, May 5, 1956 attending the meeting there were eight surgeons Presenting John M. Waugh, Professor of from Seattle and four from Tacoma. Surgery, Mayo Foundation and The guest speaker, Dr. O. Theron Clagett of Robert J. Johnson, Associate Professor of Rochester, Minnesota, briefly discussed the Anatomy, U. of Wash. School of Medicine eight papers presented by the members of the Morning Session - 9 a.m. -12:30 Portland Surgical Society. In addition, he dis­ Jackson Hall cussed the use of the Billroth I procedure for Anatomical dessections gastroduodenal lesions and outlined the treat­ Discussion of dessections by Robert J. Johnson ment in "curable hypertension." Friday after­ Luncheon— Tacoma General Hospital noon was devoted to a panel discussion of Afternoon Session - 2 p.m. - 5 p.m. "obstructive jaundice" while the evening ban­ Jackson Hall, Tacoma General Hospital quet provided Dr. Clagett with the opportunity Scientific Papers to discuss "Carcinoma of the Breast." The pro­ Surgical Treatment of Diverticulitis gram was received with spirited enthusiasm by John M. Waugh the members and guests. The forthcoming An­ Evening Session nual Meeting of the Tacoma Surgical Club was Cocktails 6:00 p.m. - Annual Banquet 7:00 p.m. announced by Dr. John F. Higginson, President Crystal Ballroom - Hotel Winthrop of the Portland Surgical Society. Address: Sphincter Conserving Operations in A brief resume of the formal scientific pre­ Carcinoma of Rectum sentations may be of interest to the members John M. Waugh of the Pierce County Medical Society. Dr. Clagett reviewed his personal experience with approximately 800 gastric resections. His “The Mentally III Need Your Help . . . beliefs regarding the Billroth I procedure can Join! Give!” be summarized as follows: 1. When an adequate amount of stomach is PARK-N-SHOP resected, the Billroth I procedure affords the same degree of protection against ulcer recur­ PRESCRIPTION rence as the Billroth II procedure. However, a longer period of follow-up of the Billroth I DEPARTMENT cases is essential to prove the correctness of this belief. (To be continued next month)

Open 24 Hours a Day Pfizer Golf Tournament Date Thursday, May 10, 1956

7 Days a Week “PATRONIZE OUR ADVERTISERS”

“The Mentally III Need Your Help . . . Join! Give!” ☆ ☆ ☆ “Glasses as your eye NIGHT DELIVERY BY TAXI physician prescribes them" Contact Lenses — Artificial Eyes ☆ ☆ ☆ Columbian Optical Co. Ground Floor, Medical Arts Bldg. GR. 8693 98th and Pacific Medical Center Western Clinic Bldg. 2 8 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

HOMOGENIZED FOR HEALTH

Rich, creamy flavor . . . added digestibility . . . economy in use . . . are direct results of cream being evenly blended throughout an entire bottle of Kreamilk.

WwvUpwftmApftJ GAESOL b MEDOSWEET KREAMILK

MEDOSWEET DAIRIES, INC. — TACOMA, WASH.

/

Prescription Optical Company

Dispensers for the Oculist

205 Medical Arts Building

Tacoma, Washington * •5. Phone M Arket 4151

Branches in EVERETT — BREMERTON BULLETIN of the Pierce County M edical Society 2 9 U pjohn

Delta-Cortef* for inflammation, neomycin

for infection ♦ •

T o p ic a l O i n t m e n t Each gram contains: Delta-l-hydrocortisone acetate 5 mg. (0.5%) Neomycin sulfate . . . ___ 5 mg. (equiv. to 3.5 mg. neomycin base) Methylparaben...... 0.2 mg. Butyl-p-hydroxybenzoate 1.8 mg. Supplied: 5 gram tubes Eye-Ear O i n t m e n t Each gram contains : Delta-l-hydrocortisone acetate 2.5 mg. (0.25%) Neomycin sulfate...... 5 mg. (equiv. to 3.5 mg. neomycin base) Supplied: oz. tubes with applicator tip

•trademark tTRAOEHARK FOB THC UPJOHN BRAND OF PREDNISOLONE ACETATE WITH NEOMfOIN SULFATE

The Upjohn Company, Kalamazoo, Michigan 3 0 BULLETIN o f the Pierce County M edical Society

for quicker recovery

STRI'SSCAPSStress Formula Vitamins Ledcrle

Stresscaps are based on a formula suggested by the National Research Council. They provide adequate vita­ min supplementation for patients suffering from pro­ longed stress—surgery, burns, fractures, trauma or shock. Stress Formula Vitamins promote wound healing, and stimulate antibody production as well as providing a nu­ tritional reserve of water-soluble vitamins.

■JJlBjlileJsealed capsules (a Lederle exclusive!) for more rapid and complete absorption.

LEOERLELABORATORIES DIVISION a m e o c m i i d co m p a n y PEARL RIVER. NEWYORK *REQ. U .S . PAT. OFF.

STOWELL'S... Prescriptions

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

1 i 1

FR EE DELIVERY

111

BRoadway 2201 744 Market Street

Doctors Hospital Building BULLETIN of the Piebce County M edical Society 3 1

FIRST NATIONAL AUTO LEASE CO.

624 Broadway - MA. 1279

Cheaper Than 2 Year Leases Owning Vehicles Maintained

Don’t overstimulate the depressed patient...

REATE A HAPPY MEDIUM tuith N E W Ritalin ... a mild cortical stimulant which gently lifts the pa­ tient out of fatigue and de­ pression without swings of reaction caused by most Supplied: Tablets, 5 mg. (yellow), 10 mg. stimulants. Ritalin counter­ (blue) and 20 mg. acts the oversedation of (peach-colored). Dosage: 5 to 20 barbiturates, chlorproma- mg. b.i.d. or zine, rauwolfia, antihista­ t.i.d., adjusted to the individual. mines .. .yet has no appreci­ RITALIN® able effect on blood pres­ hydrochloride (methyl- phenidylacetate sure, pulse rate or appetite. hydrochloride CIBA) Pierce County Medical Society Sec. 3 4 .6 6 , P. L. & Medical Arts Building U. S. POSTAGE M Tacoma 2, Washington PAID

TACOMA, WASH. PERMIT No. 300

“The Mentally IU Need Your Help . . . ! Join! Give!” ,ij

,i BEALL’S ,i Karen Rynning ] The Prescription Store PHYSICAL THERAPY j| , ' i ,i Member of i f 124 Meridian South American Physical Therapy Association j j

PUYALLUP REFERRED WORK ONLY . | Puyallup 5-6291 507 Medical Arts Building j j BRoadway 2862 I

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 Monday— 12:15 Luncheon Meeting Even Months

,\5 H ? BU LLETIN , PIERCE COUNTY MEDICAL SOCIETY

VOL. XXVI— No. 9 TACOMA, WASH. MAY - 1956 2 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y Pierce County Medical Society 19 5 6 OFFICERS President ...... Gerald C. Kohl President-Elect ...... Hillis F. Griffin Hap-py birth - day Vice-President . Burton A. Brown Secretary-Treasurer ...... 1...... Arnold J. Herrmann TRUSTEES Burton A. Brown Louis P. Hoyer, Jr. Happy Birthday Walter C. Cameron Gerald C. Kohl Carlisle Dietrich S. Robert Lantiere PhujP Grenley Glenn G. McBride May 5 ^ i Griffin Fay Morris Nace Arnold J. Herrmann Warren F. Smith 3 HERMAN JUDD D E L E G A T E S Jesse W. Bowen, Jr. Arnold J. Herrmann WENDELL PETERSON Walter C. Cameron Frank R. Maddison Philip Grenley 4 CHARLES VAUGHT ALTERNATE DELEGATES Louis P. Hoyer, Jr. Charles E. Kemp 6 ALBERT EHRLICH Murray L. Johnson William J. Rosenbladt Warren F. Smith 7 RIC H A R D B A R R O N IA N COMMITTEES STEVENS SANDERSON Ethics Charles H. Denzler, Chairman 8 CHARLES AN DERSON, JR. S. Robert Lantiere William H. Goering G rievance OR VIS HARRELSON Walter C. Cameron, Chairman Miles Parrott Jess W. Read 9 SIEGFRIED HERRMANN House and Attendance Philip C. Kyle, Chairman JOSEPH LASBY Rodney Brown Mills Lawrence Glenn G. McBride 11 LELAND BLAND L ibrary Fay Morris Nace, Chairman 12 CHARLES FARGHER Robert R. Burt Joseph O. Lasby Ralph H. Huff THOMAS MURPHY Program John J. Bonica, Chairman 18 E D W IN M UIR Carlisle Dietrich Hugh A. Larkin Rodger Dille Stanley W. Tuell JOHN ROBSON Wayne Zimmerman Public Health 19 DOUGLAS BUTTORFF Charles E. Kemp, Chairman Cecil R. Fargber Louis P. Hoyer, Jr. Franz P. Hoskins Merrill J. Wicks 20 WILLIAM ROSENBLADT Public Relations Haskell L. Maier, Chairman 22 MERRILL W ICKS Samuel E. Adams Wm. W. Mattson, Jr. Herman S, Judd Warren F. Smith 24 BURKE LAIR Civil Defense Murray Johnson, Chairman 31 HUGH LARKIN Daniel Hunt, Admiral, U. S. Navy, retired Paul E. Bondo Richard B. Link J. Robert Brooke James D. Lambing D iabetes Robert E. Lane, Chairman Joseph B. Harris G. Marshall Whitacre Roster Changes Entertainment Jesse W. Bowen, Chairman BRIGHAM, LAWRENCE L. Stanley Durkin Charles P. Larson Pediatrics— Thursday afternoon James M. Mattson Frederick J. Schwind Office, Puget Sound Medical Building...... B R i Geriatrics Home, 4808 North Lexington ______„..SK i J. Benjamin Robertson, Chairman Hollis Smith John L. Whitaker NORTON, RODERICK A. Legislative Pediatrics— Wednesday and Saturday p.n Douglas P. Buttorff, Chairman Office, Puget Sound Medical Building______0354 H Homer W. Humiston Wendell G. Peterson Home, 4216 North Mason...... 8531' Dumont Staatz Medical Education Committee (Continued on Page 19) Lewis A. Hopkins, Chairman J. Edmund Deming, Sr. Thomas B. Murphy Mental Health Committee William H. Todd, Chairman Treacy H. Duerfeldt Harlan P. McNutt George S. Kittredge F. E. Sliovlain School Committee R. A. Norton, Chairman Lester S. Baskin David T. Hellyer Woodard A. Niethammer NOTICE Traffic Safety John Theodore Robson, Chairman Don Francis Cummings Robert A. Kallsen Check back page of Bulletin for calenda Louis M. Rosenbladt of special meetings Bulletin Staff E d ito r ------William Mattson, Jr. Business Manager ------Shirley Ixnesan Auxiliary Nows Editor ______Mrs. Becky Banfleld BULLETIN of the Piehck County M edical Society

TH r'i ;

NEW: THERAGRAN THERAGRAN LIQUID S q u ib b Therapeutic Formula Vitamin Liquid Squibb Therapeutic Formula Vitamin Capsules 1 teaspoonful of Theragran The six vitamins almost Liquid is equivalent to invariably associated 1 Theragran Capsule. with chronic vitamin For patients of all ages who deficiency states. prefer liquid vitamin therapy.

T

Each Theragran Capsule, or 5 cc. teaspoonful of Theragran Liquid, supplies: Vitamin A (synthotic) ...... 25.000 U.S.P. Units Vitamin D ...... 1,000 U.S.P. Units . Thiamine ...... 10 mg. Riboflavin ...... 10 mg. Niacinamide ...... 150 mg. Ascorbic acid ...... 150 mg.

Usual Dosage: 1 or 2 capsules or teaspoonfuls daily. Infants; Not more than 1 teaspoonful daily.

THERAGRAN CAPSULES: bottles of 30. 60, 100 and 2000. THERAGRAN LIQUID: bottles of 4 ounces.

S q u i b b jffHj Squibb Quality—the Priceless Ingredient

*THCftAOflANl II A tOlflDB TRA0 CMARK 4 BULLETIN o f th e Pierce County M edical Society

“The Mentally III Need Your Help . . . Join! Give!”

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

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

I. I. MELLINGER Presid ent CREDIT TERMS OUR FUNERAL BENEFIT IF INSURANCE PLAN SA V ES YO U C.C.Mellinqer DESIRED MONEY TOO

Underwritten by Homesteader's Life Co. of Des Moines, Iowa. Lowest rates— AND MEMORIAL CHURCH W e invite 6TH & TACOMA comparison.

ag es 1-85 BROADWAY 3268 NO MEDICAL EXAMINATION!

"Q i “ The Mentally III Need Your Help . . . = = Join! Give!” : Tacoma Braee |PROCTOR| & Lim b Co. Lenart C. Ceder, owner

| P h a r m a c y | ☆

{ EARL V. ACKER 1 Expertly fitted— Orthopedic Appliances Complete Artificial Limbs Surgical Belts Prescription Service Arch Supports Trusses | ATTENTION - NEW PHONE NO. ! SK. 3511 ☆ 723 South K Street PROMPT FREE DELIVERY Phone MArket 2717 3818 North 26th Street “The Mentally HI Need Your Help . . . Join! Give!”

iiiiiiumiimiihimQ BULLETIN of the Pierce County M edical Society 5

PROGRAM-8:15 p.m.

Pierce County Medical Society

Tuesday, May 8, 1956

“Late Concepts in Handling of Disaster Casualties” Presented by Dr. Charles P. Larson

“One Community’s Answer to Civil Defense Emergency Hospital Need” Presented by Dr. Donald McKay

o a

Motion Picture 7 :3 0 p.m. “The Cardiac Patient in Stress: Work, Surgery, Pregnancy On film, Grand Rounds with Dr. Paul Dudley White, Dr. C. Sidney Burwell, Dr. Benjamin Etsten Tufts, Dr. Samuel A. Levine, Dr. Merrill C. Sosman, Dr. Samuel Proger. Color Sound 45 minutes 6 BULLETIN of the P i e b c e C o u n t y M e d i c a l S o c i e t y

You Can’t Take It With You . . . Neither Can You Leave It All Behind You can’t take your money and other the obligation to dispose of his worldly worldly effects with you . . . and more im­ goods by means of a will for the protection portantly, you can’t leave them all behind! of his wife and family. It is the widow of You can, however, leave viore behind if you modest means who most needs the help of leave your wife and family protected by a a will. A will does many things. It provides will. the greatest economy in settling his affairs. Both the federal and state governments It leaves more for his wife and family— it will want part of what you have accumu­ gives protection. lated. This will be affected to some extent Special attention should be given to nam­ by the provisions of your will. ing a bank as executor, solely or jointly with A man is more responsible to his wife your wife and/or others. A bank's trust de­ and family after he leaves this world than partment acts as a business manager for he was to the girl he married. She may be a estates. Its experience adds much to the widow ten, twenty or forty years. She lias conservation of resources. And it is timeless to make insurance money and other assets and permanent. stretch farther, and is more likely to have a Yes, every man should have a will. See an home to pay for and a family to raise. No attorney now. You’ll find a newly discovered matter how little he has to leave, a man has peace of mind.

TRUST DEPARTMENT PUGET SOUND NATIONAL BANK O F T A C O M A

MAIN OFFICE • LINCOLN • K STREET • LAKEWOOD

Free Customer Parking at our Big Lot at 13th and A Streets and at Branches

MEMBER: FEDERAL DEPOSIT INSURANCE CORPORATION • FEDERAL RESERVE SYSTEM BULLETIN of the F i e r c e C o u n t y M e d ic a l S o c ie t y 7

EDITORIALLY SPEAKING...

Tacoma’s Intern training program is really something to be proud of. That Tacoma General Hospital, St. Joseph’s Hospital and Pierce County Hospital all ob­ tained their quota (or 9,6, and 11 interns respectively) is by no means accidental or a stroke of luck.

Presently there are approximately 6,000 graduates for 12,000 available internships. Another problem that local intern committee chairmen had to contend with was the implication at many schools that University or public hospitals furnished the only good type internship.

Credit is largely due to Herm Judd, Bill Hauser and Claris Allison for all the follow through with correspond­ ence and applications, and most importantly— arranging good teaching programs. When the individual prac­ ticing physician cooperates in the teaching program by attending conferences, and making the intern a neces­ sary member of the team treating the patient, all parties benefit. The intern corresponds with his friends at Medical school — recommending the teaching program and many more applications are received. This was strikingly proven this year in that two of our hospitals have five interns coming from one medical school next year. Let’s not rest on our laurels. Everybody keep plugging to keep this program going.

W i l l i a m W . M a t t s o n , J r ., M . D. 8 BULLETIN of the Fierce County M edical Society

(.0 . LYNN CO.

717-719 South Tacoma Avenue

Phone MArket 7745

BRALEY'S, Inc. PRESCRIPTION DRUGGISTS

Catering to the Doctor and his patient

FREE DELIVERY

€ » J [ V B

Medical Arts Building MArket 8116 BULLETIN of the Pierce County M edical Society 9 HOSPITALS. . .

St. Joseph’s nurses, have been doing work as assistants to the desk nurse. It is good to see the students Seems so good to have Pauline Lamonk back on the floor after their long absence. (Carlson) back at work in the laboratory. April was convention month for Western Pauline was one of our early students (w e’re Hospitals. Seattle was host for the Spring meet­ not trying to give your age, Pauline) who went ing which was held the week of April 23rd. On to Cayugas in California to operate a big sheep Sunday, April 22nd many of our sisters at­ ranch. Her many friends around the hospital tended the Western Catholic Hospital Conven­ all welcome her back. tion which was held at Providence Hospital. A Congratulations to Dolores Herbert, who was solemn Pontifical Mass at the Cathedral opened elected President of the Tacoma Chapter Wash­ the meeting. ington State Society of Medical Technologists at Dr. Medved had his turn in the hospital last their last meeting. She will serve in this im­ week. Although three of the interns were on portant office for the coming year. Surgery floor, Dr. Medved has tried Medical. The annual Medical Technologists state semi­ O.B. reports the birth of a baby boy on April nar will be held this year at Richland on the 14th to Dr. and Mrs. Vimont, and on April 20, second week-end in May. A delegation of some a girl to Dr. and Mrs. Shay. Congratulations. 30 members from this area will attend. Vacations have started and who could blame Recovering from surgery, which took place anyone for not taking advantage of this glorious last month, is June Bendick. She is back on the weather. Dr. Baskin and his wife are on their job and doing nicely. way to Europe. Drs. Pratt and Hugh Kohler The plane accident of the Northwest Orient have been flying over the U.S., must be hard to Airline on Puget Sound Bay, April 2nd brought stay on the ground. us some language difficulties. Among the 32 rescued passengers, there was a Chinese family Mary Bridge Childrens of four children and a seven month pregnant The hospital observed its first year of service mother from Hong Kong who could not speak with an anniversary birthday party. a word of English. The mother, Mrs. Ng was One of the special features was the unveiling a patient on Second Floor, suffering a fractured of the Mary Bridge and the W . R. Rust por­ ankle, later she was transferred to Maternity. traits, now hanging in the hospital lobby. The children were in Mary Bridge at first, then The address was given by Mr. Leo Teats, two daughters came to Pediatrics. With the President of the Board of Directors. He gave a . help of Miss Chen, our Pediatrics head nurse, clear and interesting history of the A. W. originally from Peiping, China, we got along Bridge, M.D., gift for the hospital building, quite well. honoring his mother, Mary Bridge, and of W. Mrs. Gretchen Millie, formerly with C.S.R. R. Rust and his gift, placed in trust, the income and O.B. before her marriage, presented Mr. of which goes for free work and operating ex­ Christensen from the Maintenance Dept, with penses of the hospital. a grandson, born February 21st. Also, in connection with the first year anni­ Our painter, carpenter and the maintenance versary, the Board of Directors of the hospital crew are continuing with the program of re- gave a tea honoring women volunteers for modernization. New wiring has been installed services for the past year. Mrs. A. W . Taylor, in Pediatrics and the 1st floor south wing. The Chairman of the volunteers, reported that the painter has been jumping between 2nd and total number of hours contributed with 7,188, 3rd as rooms became vacant. Our next big job which averages 239 hours per month. Mrs. Max is to redecorate the laundry and also install a Krause set up a diagram with names of volun­ new vent hood over the mangle. teers, hours served, etc., now on display in the The St. Joseph Hospital Alumni meeting was main lobby. The large birthday cake was cut held on the 11th in the Nurse’s Home. Plans by two patients in the hospital, Susan Oliver are being made for the banquet in honor of the and Richard Robinson. graduate nurses of this year. H ospital R ecord: Total patients for the Miss June Bendick from the Lab Dept, was a hospital for the first year were 1,644; total recent patient but got to go home for Easter number of patient days, 7,642; total number of without her appendix. surgeries, 738; 301 patients came from com- Miss Bordman and Miss Charleson, student ( Continued on Page 11) 1 0 BULLETIN of the Pierce County M edical Society

Many Doctors (and patients) prefer the tablet form of

ACHROMYCIN* NEW DROPPER-BOTTLE makes it easy HYDROCHLORIDE for mothers to dispense Achromycin TETRACYCLINE HCl Liquid Pediatric Drops (Cherry Flavor) accurately. Drops can be squeezed Easily swallowed, quickly absorbed. Potencies of 50,100, and 250jmg. directly onto child's tongue or into a spoon or mixed with m ilk, juice, other liquid. Potency: 1 drop equals 5 mg. When modern, broad-spectrum therapy is indicated, Dosage: O ne drop per day per pound many doctors regularly prescribe ACHROMYCIN Tablets. of body weight. Their odorless, thin sugar coating quickly dissolves for prompt absorption and because of their small size, Achrom ycin Tablets are often more acceptable to patients. To meet the needs of almost any patient or regimen, Achrom ycin Tablets are offered in three potencies: 50, 100, and 250 mg. But tablets or capsules, ointment or syrup—whichever of the 21 dosage forms you prescribe, you can count on the efficacy of Achrom ycin. This outstanding antibiotic provides true broad-spectrum activity, and prompt DELIGHTFUL TASTE (cherry!) makes control of infection with minimal side effects. Achrom ycin Syrup popular with any patient, especially youngsters. As a result, yo u can feel more confident that your prescribed regimen is being followed closely. Potency: 125 mg; HIGHEST QUALITY. No m atter per 5 cc. which of the many forms of Achrom ycin you choose, be assured of its purity and potency. Every gram of Achrom ycin is produced in Lederle’s own laboratories, and offered only under the Lederle label.

IN TH E OFFICE or in the home, many physicians initiate antibiotic therapy with A chrom ycin Intramuscular, then prescribe one of the many oral forms to continue treatment. A chromycin IM is offered in convenient vials of 100 mg.

The Lederle representative or your local pharmacist will gladly tell you about the many other A chromycin dosage forms.

LEDERLE LABORATORIES DIVISION AMERICAN CVANASftn COUrANY PEARL RIVER, NEW YORK

S . PAT. OFF. 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 11 (Continued from Page 9) Womans Auxiliary to the Pierce munities outside of Tacoma; 5 children from an County Medical Society airplane wreck were cared for here. Financial Situation: Finances for the first OFFICERS FOR 1955-1956 year were quite satisfactory to the Board of President...... Mrs. George S. Kittredge Directors. The actual free work was approxi­ President-Elect...... Mrs. Treacy H. Duerfeldt mately §25,000. Income from Guilds, Rust First Vice President....Mrs. Robert M. Ferguson Trust, Tenzler Foundation, and private patients, Second Vice President- Mrs. J. Robert Brooke enable the hospital to balance its operation in­ Recording Secretary ...... Mrs. Robert Burt come and expense accounts. Corresponding Secretary...... Mrs. Paul E. Bondo Future Plans: On account of the crowded Treasurer...... Mrs. Haskel L. Maier condition at times, the Directors have appointed a committee to make a study of needs and CHAIRMEN OF COMMITTEES process for completion of the third floor. The Ford Foundation allocation of $13,700 will be Membership & Hospitaiity..Mrs. J. M. Mattson used for this purpose. Program ...... Mrs. Albert Ehrlich Social ...... Mrs. Thomas B. Murphy The maharajah of an interior Indian province Publicity ...... Mrs. G. Marshall Whitacre decreed that no wild animals could be killed. Telephone...... Mrs. Harold D. Lueken Soon the country was overrun by maneating Public Relations...... Mrs. Joseph B. Harris tigers, lions, panthers and boars. The people Legislative...... Mrs. Herman S. Judd could stand it no longer and gave the maharajah Today's Health...... Mrs. Merrill J. Wicks the heave-ho. And this was the first instance Civil Defense ______Mrs. Wayne Zimmerman on record where the reign was called on account Speakers Bureau...... Mrs. Philip Grenley of game. Mental Health Mrs. Treacy H. Duerfeldt Nurse Recruitment Mrs. John Flynn Rummage Sale...... Mrs. Hugh F. Kohler “PATRONIZE OUR ADVERTISERS” * # *

The University-Union Club will be the set­ ting for the May luncheon meeting of the Auxiliary, which will feature the installation of CLINIC BUILDING officers for the forthcoming year. FOR LEASE For Sale BURTON SPOT LIGHT with stand. Practically 1900 Square Foot Modern new. Price $15.00. — Scott S. Jones, M.D., One-floor Building BR. 3723 - PR. 2640.

Ample Parking Area Pfizer Golf Tournament Date Thursday, May 10, 1956 Located on Division Avenue

Close to STANDARD HEATING OILS BEST FOR YOUR HOME Tacoma General Hospital MArket 3171 Call ■BIBBa Fuel Oil BRoadway 7755 Service Co. For Full Information 816 A St., Tacoma Mark Dolliver Jack Galbraith 1 2 BULLETIN of the Pierce County M edical Society

“The Mentally 111 Need Your Help . . . Join! Give!”

Thfc: takes District

Y our Prescription Store

FIRST IN QUALITY FIRST IN SERVICE

David Ludwig Fred Ludwig

LAKEWOOD WEEKDAYS PAY PHONE & 9 a.m. fo 10 p.m. GRIFFIN FUEL BILLS HERE IN THE LAKEWOOD SUNDAYS 10 a.m. to 10 p.m. CENTER BUILDING LA 2191 REGISTERED HOLIDAYS CHECKS / Noon to 6 p.m. PHARMACY

Free Prescription Delivery

NEW ANABOLIC HORMONE FORMULATION DELADUMONE (combination of Squibb Testosterone Enanthate, Squibb Estradiol Valerate)

a single injection every 2 to 4 weeks provides an enhanced therapeutic potential for • imparting a sense of well-being in the menopausal syndrome (with minimal likelihood of unwanted estrogenic or androgenic effects) • correcting depletion of protein and osseous tissues in the meno­ pausal sequelae and osteoporosis in males and females.

Supplied in vials of 1 and 6 ml.; each ml, containing 90 mg, of testosterone enanthate and 4 mg. of estradiol valerate. Also available: DELESTROGEN (Sciuibb Estradiol Valerate) for timed action that ideally matches the estrogenic phase of the normal menstrual cycle. Vials of 1 and 5 ml., each ml. containing 10 mg. estradiol valerate. DELATESTRYL (Squibb Testosterone Enanthate) depot preparation for pro­ longed anabolic and androgenic effects. Vials of 1 and 5 ml., each ml. containing 200 mg. testosterone enanthate.

'OELAOUHONE' 'OeiESTrtOGEH1 ' 0 ELATE3TRYL*® AflE SQUIBQ TRADEMARKS S q j j i b b BULLETIN of the Pierce County M edical Society 13 A.M.A. Council on Scientific As an indication of the interest in the Clini­ Assembly Visits Seattle cal Session, Dr. Haven reported that close to 100 Northwest doctors have already indicated a Doctors attending A.M.A.’s 1956 Clinical desire to contribute to the program. He said, Session in Seattle, November 27-30, will find however, that while physicians in this area are the meeting one of the best in interim session being extended a special invitation to submit history. This was the consensus as members of scientific papers, the committee expects to ob­ the A.M.A. Council on Scientific Assembly tain outstanding speakers from other parts of visited the host city March 12 and 13 to confer the country as well. with the general committee in charge of ar­ As a promotional event to attract doctors rangements and inspect facilities. from throughout the United States to Seattle for Enthusiasm mounted as General Chairman the November meeting, the Washington State M. Shelby Jared of Seattle and members of his Medical Association will sponsor a hospitality committee outlined plans for a scientific pro­ room at the A.M.A. Annual Convention in Chi­ gram second to none and gave assurance that cago next June, Dr. Jared said. those attending will find the hospitality of Members of the Council on Scientific As­ Seatde and the Pacific Northwest unsurpassed. sembly visiting Seattle with Dr. McMahon were The visiting delegation, headed by Alphonse Carl A. Lincke, Carrollton, Ohio; Samuel P. McMahon of St. Louis, chairman of the Council Newman, Denver; Charles H. Phifer, Chicago; on Scientific Assembly, complimented the local Henry R. Viets, Boston, and Thomas G. Hull committee on the progress being made in plan­ (Ph.D.), Chicago, secretary. ning, and expressed confidence that the meeting Accompanying the Council delegation were will be an outstanding success. Mr. George B. Larson, assistant director, A.M.A. Members of the general committee making Bureau of Exhibits, Mr. Ralph P. Greer, secre­ reports to the Council, in addition to Dr. Jared, tary, A.M.A. Committee on Medical Motion were Hale Haven, scientific program chairman; Pictures; Mr. Robert Lyon, assistant business F. A. Tucker, television chairman; Wilbur E. manager of A.M.A.; Miss Frances Nyberg, staff Watson, housing and transportation chairman, secretary, and Mr. Lewis Lang, Smith Kline & and Eric R. Sanderson, publicity chairman. French Laboratories, Philadelphia.

MODERN BRfCK MEDICAL CENTER FOR LEASE • Choice south-end location • Facilities for 4 doctors (4 offices; 16 examining rooms) • Large, cheerful reception room • 2 laboratories; 1 X-ray room • Could be used as small hospital • Building is modern Portion of building occupied by dentists. Separate entrances and reception rooms for dental and medical areas. Inquiries invited from individual doctors or groups. WARD SMITH, Inc. BRoadway 5166 Evenings - PRoctor 1675 1 4 BULLETIN of the Pierce County M edical Society

uThe Mentally III Need Y our Help . . . Join! Giver

*< t -c^ AND ALL °n ms" DAIRY PRODUCTS

☆ PHARMACY Careful Mothers use Pro­ tected Milk. Pasteurized and Homogenized Milk Prescription from our own contented cows can be delivered Druggists to your home or your grocer

☆ We Carry a Complete Stock of

A Favorite Dairy for over Biologicals and Pharmaceuticals 30 years. Recommended by doctors and dietitians.

☆ 'When Moments Count" CALL FUlton 2411 WAverly 8705 PROMPT . . . FREE DELIVERY

SANITARY/E INFANT DAIRY Stadium Hi District 101 North Tacoma Avenue Tacoma, Washington Direct from Our Farm to You BULLETIN of the Pierce County M edical Society 1 5

j o i s i r Taxicabs - Ambulances for your Patients

ALL AMBULANCES ARE OXYGEN-EQUIPPED Tacoma Yellow Cab Co.

1324 Market Street

MArket 1121 BR. 8383

“The Mentally 111 Need Your Help . . . Join! Give!” ROGER R. MOLT Physician s 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

1015 SOUTH TWELFTH STREET MArket 0118 TACOMA 3, WASH. 1 6 BULLETIN of the Pierce County M edical Society

McMILLAN BROTHERS, Inc.

942 Pacific Avenue - - - MArket 1126

Service to the Medical Profession and

their patients for 54 years.

- »ENr^t rtf' We dispense only the finest of

MH\! Pharmaceuticals.

Time Tested Dependability Established 1889

R. E. Anderson & Co. Inc. INSURANCE - MORTGAGE LOANS - REAL ESTATE PROPERTY MANAGERS

747-49 St. Helens Ave. BRoadway 8475

ASK FOR W. O. JEFFERY

JOIW

OFFICERS H. F. SYFORD, President I. D. POWELL, Vice President DONALD M. MOORE, Vice President (In Charge of Fire Insurance) (In Charge o£ Casualty Insurance and Bonds) E. J. POLE, Secretary (In Charge of Marine Insurance) BULLETIN of the Fierce County M edical Society 17 Tacoma Academy of Internal flexes and supinates. The patient is usually afraid to place the supinated foot on the floor Medicine because of the danger of injuring the ankle or (Continued from Last Issue) falling. To prevent this foot movement, he The spastic hemiplegic patient, when lying in walks with a fixed knee joint and circumducts bed, holds the upper extremity in abduction and the lower extremity. This is a slow, awkward internal rotation, with the elbow, wrist, and gait, and, if used for a period of time, the fingers of the affected part in a flexed position. patient will develop a pattern of walking that The affected lower extremity is usually flexed will be cumbersome, fatiguing, and difficult to and abducted at the hip joint; the knee is flexed correct. and the ankle is plantar flexed and supinated. A double bar, short leg brace with a stirrup If treatment is started within a few days fol­ attachment, 90 degree ankle stop and a supi­ lowing the cerebrovascular accident, there is no nator "T” strap should be prescribed to prevent need for any special procedures to protect the plantar flexions and supination of the foot and affected limbs. If, however, the patient must give the patient confidence so that he will flex remain in bed for a period of time, procedures his knee and hip. With the brace, and a cane must be instituted to prevent deformities. in the unaffected hand for balance, most hemi- A posterior ankle splint is used to prevent plegics soon learn to walk unassisted. shortening of the heel cord. A pillow in the As a return of function in the affected upper axilla will prevent abduction and internal rota­ extremity cannot usually be expected for a long tion of the shoulder joint, a frequent residual period of time, if ever it does return, it is deformity in hemiplegia. Passive movements of essential to teach the patient to care for his the arm in abduction, external rotation, and in daily needs with his the overhead position should be performed sev­ unaffected arm. eral times a day to prevent a "frozen shoulder.” A right hemiplegia in a right-handed person The principal deformities that may occur are is a serious disability because of the sensory and a "frozen shoulder” and short heel cord. The motor aphasia and the lack of skill in the left use of heat and massage to the arm and shoulder hand to perform the activities essential for are of value in preparing the part for stretching. daily living. The training of the left hand Passive movements of the shoulder are useful should be started early, as the patient must in increasing the range of motion. become left-handed if he ever hopes to cate for The use of pulley therapy to prevent shoulder his daily needs. Simple tasks in eating and ankylosis will also aid in the development of dressing should be started. Left-hand writing reciprocal patterns in the upper extremities. must be practiced as this is an important means This can easily be managed with the use of a of communication, especially when speech is modification of an overhead frame, a "window” affected. pulley, and a length of clothesline. Experience Training of the affected arm is started while has shown that the relative return of function the patient is developing one-handed skills with in the affected arm is usually less than in the the unaffected arm. If the arm is flaccid, a re­ involved leg. The reasons for this, however, education program similar to that used in polio­ remain obscure. Accordingly, emphasis should myelitis should be started. Many of these be placed as early as possible on the use of the patients have a complete return of function if unaffected arm; this is especially true of the the muscle re-education is given carefully over relatively young patient. In addition, a triangu­ a long period of time. lar arm sling should be used to elevate the The fingers of the spastic hemiplegic patient affected arm. This is of aid in minimizing are most difficult to re-educate for any useful localized edema, which frequently supervenes in purpose. If adequate function is attained, it will the extremity, and in preventing shoulder sub­ take a great deal of time and concentrated effort luxation. by the patient. A short heel cord seldom requires operative In the rehabilitation of the hemiplegic, it is procedures. The heel cord can usually be length­ readily apparent that numerous factors will de­ ened by means of stretching and a short leg termine the degree of results obtained in ability brace with a 90 to 110 degree stop at the ankle to perform the activities of daily living. Some to maintain the gains made by stretching and patients will achieve a surprising degree of re­ ambulation. covery of function; others will be left with Flexion and extension movements at the hip varying degrees of permanent residual dis­ and knee can usually be performed by the ability. Even with these latter patients, how­ spastic hemiplegic subject who is started on ever, much can be done with the use of simple early ambulation. When, however, the hip and mechanical devices that will enable the patient knee are flexed, as in walking, the foot dorsi- ( Continued on Page 19) 1 8 BULLETIN of the P ie h c e C o u n t y M e d i c a l S o c i e t y

NEW urine sugar test of unmatched simplicity

'Tes-Tape’(URINE SUGAR TEST TAPE, LILLY)

'Tes-Tape’ completely eliminates the need for test tubes, heat, reagents, or any other paraphernalia in quantitative urine sugar determinations. Simply moisten a strip of 'Tes-Tape’ with the specimen. After ju st sixty seconds, compare it with the color chart on the 'Tes-Tape’ dis­ penser. Then read off the percentage of sugar. The selective action of ’Tes-Tape’ prevents false positive reactions, as­ sures complete accuracy. The convenient size of the 'Tes-Tape’ dispenser permits you to carry it on house calls for on-the-spot determina­ tions. Your patients also will welcome the convenience, simplicity, and accuracy of 'Tes-Tape.’ Now available at pharmacies everywhere.

E L I LILLY AND COMPANY . INDIANAPOLIS 6, INDIANA, U.S.A. 80th ANNIVERSARY 1876 • 1956 BULLETIN of the Pierce County M edical Society 19 (Continued from Page 17) Roster Changes to perform many acts of daily living either in­ (Continued from Page 2) BANFIELD, ERNEST E. dependently or with a minimum of assistance Plastic and Reconst. Surgerv— Thurs. afternoon Office, 1002 South 10th ...... -...... FU 2191 from another person. Such devices should be Home, 1202 Ventura ...... -...... SK 2869 used only when necessary, and before a device BROW N , BU RTON A. General Surgery and Diagnosis— is given to a patient, retraining in the activity Wednesday and Saturday afternoon should be attempted. Office, Puget Sound Medical Bldg., So. 4th & K .. BR 5281 Home, 3101 North 30th Street ...... — PR 2621 One of the most difficult problems in the DURKIN, L. STANLEY management of the hemiplegic is the problem Neurosurgery— Wednesday Office, 1002 South 10th ...... BR 1255 of aphasia. It is extremely important for the Home, 915 North Park Drive ...... - BR 04 9 3 physician to explain both to the patient and to GROSS, KENNETH E. Rad iology— T uesday his family what aphasia is and why the patient Office, No, 15, Tacoma Mcdical Center ...... MA 5959 is unable to speak. This should be done as soon Home, 2901 North 29th ...... PR 2223 H ARRELSO N , O RVIS A. as the patient has recovered consciousness and General Practice— Wednesday Office, 1035 Mvdical Arts Building ...... BR 2108 aphasia is noted in order that his fear of "losing Home, 4839 North 8th ...... -...... — SK 1816 his mind” may be allayed; he can be told fac­ KOHL, GERALD C. Obstetrics, Gynecology and Surgery— tually and honestly that there is no specific Thursday and Saturday p.m. medical therapy for aphasia, and can be im­ Office, Puget Sound Medical Building______B R 4251 Home, 602 North Tacoma Avenue ...... BR 1041 pressed with the necessity for retraining. KYLE, PHILIP C. Obstctrics— Thursday and Saturday Hemiplegia presents one of the most chal­ Office, Puget Sound Medical Bldg., So. 4th & K MA 1561 lenging problems in medicine today, both in Home, 701 North Yakima Avenue ...... BR 2009 MOBERG, THOMAS D. total numbers and therapeutic complexities. Radiology— Tuesday With a dynamic approach to the problem of the Office, No. 32, Tacom a M edical Center ...... BR 3157 522 Medical Arts Building ...... BR 315 7 hemiplegic, using rehabilitation technics that Home, 6864 No. 11th _____ PR 5232 STAATZ, DUMONT have been developed to meet the total needs of Orthopaedic Surgerv— Wednesday the individual, much can be offered to these Office, 919 South 9th!...... MA 7143 Home, 132S Harborview Dr. N.E., Tacoma YU 9366 severely disabled patients, and most can be trained so that they achieve lives of self-suffi­ For Roster Changes, Call the Medical Society - MA. 2020 ciency and usefulness. “PATRONIZE OUR ADVERTISERS"

STOWELL'S... Prescriptions

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

111

FREE DELIVERY

111

BRoadway 2201 744 Market Street

Doctors Hospital Building 2 0 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

A complete, well-designed formula supplying: d-Amphetamine, to depress appetite and elevate m ood; methylcellulose, to provide bulk 21 vitamins and minerals, to supplement the limited diet. Available on prescription only.

LEDERLE LABORATORIES DIVISION AMCStCAX PEARL RIVER, NEW YORK .

0.."

“The Mentalbf 111 Need Your Help . . . Join! Give!” A COMPLETE LINE OF SUPPLIES FOR THE | South Tacoma | PHYSICIAN . . . HOSPITAL AND Drug Co. NURSING HOME

I Fred Ludwig 1

Mail or Telephone Orders I ★ ★ ★ I Given Prompt Attention

I PRESCRIPTIONS [

| DELIVERY SERVICE j SHIPMAN : ★ ★ ★ I SURGICAL CO. 741 St. Helens Ave. - BR. 6400 \ 5401 South Tacoma Way HI 9419 I Tacoma 2 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 21 Portland Surgical Society . . . 2. Cushing’s Disease. Fifty cases have been treated with six post-operative deaths. How­ Ninth Annual Meeting ever, there has been only one death among the 2. The Billroth I operation is easier and cases treated wtih cortisone after operation. considerable faster than the Billroth II opera­ Where adrenal hyperplasia was present, a 90- tion in those cases where the duodenum is rela­ 95% adrenalectomy was done in most such tively uninvolved. In large, posterior, pene­ cases. The post-operative management is less trating duodenal ulcers, the advantages of the difficult, however, in those cases with total Billroth I procedure are lost and he prefers the adrenalectomy and more such operations are Billroth II procedure under those circumstances being done. — both for technical ease and safety to the 3. Obstructive Uropathies. This etiologic patient. factor is very prevalent among patients with 3. The Billroth I operation is distinctly su­ hypertension. Frequently, the relief of partial perior from a physiologic point. This has been urinary obstruction due to benign prostatic confirmed by extensive experimental and clini­ hypertrophy results in cure or alleviation of the cal observations. hypertension. Certainly more obvious obstruc­ 4. An adequate resection can be satisfactorily tive lesions should receive prompt treatment. accomplished with either the Billroth I or II 4. Coarctation of the Aorta. This is a curable operations. lesion in most instances and the only effective 5. The Billroth I procedure is the operation treatment is resection of the narrowed aortic of choice for gastric peptic lesions, selected segment. In selected cases, a graft may be duodenal ulcers, and most malignant lesions of necessary to bridge a gap where a long seg­ the stomach. However, the Billroth II operation ment of aorta is resected. 124 cases of coarcta­ is preferred for most duodenal ulcers and for tion have been operated upon without a death. those malignant lesions which involve the duo­ 75% of the cases had excellent results and 10% denal region. of the patients failed to show a satisfactory 6. Stomal obstruction, duodenal stump leak­ relief of their hypertension. N o patient with age, and anastomotic leaks are not factors which coarctation should be denied the choice of govern the selection of the type of anastomosis operative treatment: used after gastric resection. "Carcinoma of the Breast" was discussed by 7. The advantages of the Bilroth I operation Dr. Clagett in a beautifully organized presen­ are not overwhelming and the choice of opera­ tation ranging from the problem of detecting tion should be determined chiefly by the nature breast cancer to the palliative treatment of re­ of the lesion and anatomy present in the indi­ current or metastatic lesions. The classical vidual patient. radical mastectomy with postoperative X-ray Dr. H. N. Harkins of Seattle was invited to appears to be the most satisfactory and reason­ comment upon Dr. Clagett’s discussion. Dr. able mode of treatment on the basis of post­ Harkins concurred with Dr. Clagett in every operative morbidity, mortality, "survival rates” particular and emphasized the need for sound and recurrence of carcinoma. While not advo­ appraisal of the local lesion prior to using the cating simple mastectomy with X-ray treatment Billroth I operation. for breast cancer, he favored this means of The four clinical entities grouped under treatment over the super-radical type of breast curable Hypertension” by Dr. Clagett included resection which includes extensive supraclavicu­ Pheochromocytoma, Cushing’s Disease, Obstruc­ lar, internal mammary and mediastinal lymph tive Uropatheis, and Coarctation of the Aorta. node dissections. Some of the technical details in the operative technique and postoperative 1. Pheochromocytoma. The histamine test is management were described. The use of pallia­ the most reliable provacative test but must be tive operations ( including oophorectomy, adre­ used with extreme caution, if at all, in those nalectomy, and pituitary hypophysectomy) for patients with sustained hypertension. The Rege- tive test appears most reliable in reducing the recurrent carcinoma merit consideration in selected cases but no general enthusiasm was hypertension in the presence of a pheochromo­ cytoma. Sixty-one cases have been operated expressed for any of these procedures. upon at the Mayo Clinic, 14 of them being in The papers presented by the members of the the past year. 10% of the cases had bilateral Portland Surgical Society were in general excel­ tumors, 10% of the tumors were malignant. lent but unfortunately space limitations do not Twelve (2 0 % ) of the patients with pheo­ permit even a brief review of the material pre­ chromocytoma also had diabetes and cholecystic sented. disease. — Edmund A. Kanar, M.D.

OPIDICE FOR THE OVERWEIGHT ...REDUCES TEA-TIME TENSION Opidice offers powerful appetite control with smaller drug dosage because it contains Methamphetamine HC1, the “drug of choice,” which minimizes or eliminates undesirable peripheral effects. Opidice offers these six advantages: 1. Controls the appetite with less nervous tension, fewer side effects; 2. Elevates the mood; 3. Satisfies hunger by supplying bulk in the stomach and intestinal tract; 4. Provides needed nutrients to supplement the reducing diet; 5. Protects against hepatic damage during dietary reducing program; 6. Taken after meals, serves as an anti-depressant. Low in cost to the patient — High in results ! Each OPIDICE capsule contains : Methamphetamine HCl USP (d-Desoxyephedrine HCl)...... 5 mg. Methylcellulose ...... 225 mg. Thiamine Mononitrate ...... 1.67 mg. R iboflavin ...... 1.0 mg. Niacinamide ...... 10.0 mg. V itam in B 12 ...... 1.0 m eg. F olic A c i d ...... 0.03 mg. Choline B itartrate ...... 150 mg. Ascorbic A cid ...... 25 mg. Vitamin A (acetate) ...... 2500 USP Units V itam in D ...... 250 USP Units Iron ...... 2.5 mg. Iodin e ...... 0.05 mg. Bottles of 100 capsules, available at all pharmacies.

REFEREN CES: Obesity, The Problem and Treatment: Harry S. Doug/os, AA.D., Washington, D.C., Western Jl. of Surg., Obs. and Gyn., Volume 59f5 (May, 1951} 238-244, N N R, 1951, p 193. Methamphetamine Hydrochloride U.S.P. Queries and Minor Notes: J.A .M .A ., 143(14 (1950} p 1298. "The Liver in O besity," Samuel Zelman, M .D ., Arch. int. Medicine, 90:137 (1952).

BOYLE & COMPANY • Bell Gardens, California 2 4 BULLETIN o f the Pierce County M edical Society

“ The Mentally 111 Need Your Help . . . Join! Give!”

N O FU N ER A L 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.

Everything in one place

• FUNERAL HOME MO U NTAI N • CEM ETERY • CHAPEL Memorial • CREMATORY VIEW Park • MAUSOLEUM 4100 Steilacoom Boulevard LAkewood 2195 PRESCRIPTION SPECIALISTS

HAROLD MEYER PHARMACY 1110 South 11th Harold Meyer, Owner BRoadway 5104 Open 8:30 a.m. 'till Midnight — Free Delivery 'till 8 p.m. 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 2 5 Lien Law and this can be done in one of two ways. The first is to personally appear at the Auditor’s For the information of hospital business Office and sign a marginal release in the book office managers new to the state and to refresh where the lien has been recorded. For this there the memories of others, we are reprinting here­ is a fee of $.50. The second is to complete a with a good summary of the law by Dr. Alfred second form: "Satisfaction of Lien” and send O. Adams, Spokane surgeon and a state repre­ it to the County Auditor’s Office with a fee of sentative. Following Dr. Adams' statement there $1.25.” is a statement by our legal counsel, Mr. Sted- — A lfred O. Adams, M.D. man, covering additional points of the Lien Law. The Lien Law is found in Chapter 60.44 of "About 1937, the Washington State Legisla­ the Revised Code of Washington. It provides ture passed what is known as the Physicians’, that a lien shall be filed within 20 days after Hospitals’ and Nurses’ Lien Law. The complete the date of the injury or prior to settlement. Under this provision, even though the one re­ text of this law was published in the Spokane County Medical Society Bulletin in June 1947. sponsible for the accident or the insurer should make settlement with the injured individual If utilized, this law will be found to be of con­ siderable help in collecting accounts. within the 20-day period, such third person "Briefly, the essential points of this law are would be responsible to the doctor, nurse or as follows: It pertains to services rendered 'any hospital filing the lien to the extent of 25 per person who has received a traumatic injury’ cent of the amount of the settlement. except 'those cases coming under the W ork­ This 25 per cent covers all such services and men's Compensation Act’. Within 20 days of if payment has been made to any one of them the time of the accident or at any time prior to to the extent of 25 per cent, then there would settlement of the patient’s claim against the be no further liability under this statute. party responsible for the accident, the physician, Sec. 60.44.060 provides that the lien may be hospital or nurse may file a lien with the County enforced by suit within one year after the filing Auditor, the lien to be filed in the county where of the lien. In this connection, it is appropriate the service has been rendered. Forms for this that if the claim of the hospital has not been purpose can be obtained from various sources. paid within one year after the date of filing, it They can be sent to the County Auditor by mail would be appropriate to refile the lien and if the fee of $1.25 is enclosed. The lien will be thereby comply with the statute and extend the properly marked by the Auditor, recorded and lien. then returned. — L. L. Stedman, Legal Counsel, Washington State Hospital Assn. It is not necessary to notify any of the parties concerned, even the patient, although it may be Ju ly 20th, 1956 at times advisable to do so. At the time of the filing of the lien it is not necessary to state the Fishing Derby Chairman_.Dr. Charles P. Larson exact amount of the bill. Golf Tournament Chairmen...... "This protects the physicians', hospitals’ and .D r. James Mattson and Dr. Fred Schwind nurses' bills up to a total of the liens filed equivalent to 25% of the total settlement of the The Medical Society was saddened to learn claim for injury. This does not mean that the that George E. Jackson, of the Doctors’ and bills must total 25% but any additional over Dentists’ Telephone exchange, passed away and above this amount must be collected from March 13, 1955. Mr. Jackson is survived by his the patient and cannot be considered as pro­ wife, Hazel and a son, George E. Jackson, Jr. tected by this lien.

"Where a lien has been filed, it is necessary ‘T/»c Mentally II] Need Your Help . . . for the parties making a settlement to pay the Join! Give!” bills covered by the liens, and if they do not, the physician, hospital or nurse then has a claim "Glasses as your eye against the parties making the settlement rather physician prescribes them" than against the patient. Insurance adjusters and attorneys are very careful to check the court Contact Lenses — Artificial Eyes records to see whether or not a lien has been filed before a settlement is made. Therefore, Columbian Optical Co. oftentimes it is a courtesy to notify the adjustor Ground Floor, Medical Arts Bldg. or attorney that a lien has been filed. Medical Center "After the account has been paid, the physi­ Western Clinic Bldg. cian, hospital or nurse should release the lien 2 6 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

“The Mentally III Need Your Help . . . Join! Give!”

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

Modern and Moderate . . .

MH\

BWCKLEY-KING FUNERAL SERVICE Tacoma Avenue at South First BRoadway 2X66 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 2 7 Introducing fellowship in psychiatry at the University of Washington with Dr. Rushmore, a six month medical residency in Beacon Hill Veterans Ad­ ministration Hospital and two years psychiatric residency at Western State. Subsequently he has spent two years on the staff at Western State Hospital. Dr. Thai has written several papers on psy­ chiatry and neuro-psychiatry. His main interests are the theatre, concerts and ballet— also he is a "Hi Fi” enthusiast.

Introducing

Dr. Nathan Thai Nathan was born in Lithuania in 1923 and came to Vancouver, B.C., at two years of age. He received his elementary schooling in Van­ couver and then moved to Bellingham where he had one year in the School of Education at Western Washington College of Teaching. Thence he went on to the University of Wash­ ington where he finished in 1945, and Johns Hopkins Medical School which he completed in 1949. Nathan took his internship at Mt. Sinai, Baltimore. Further training includes a one year Dr. Orvis A. Harrelson Orv was born in Rutherford, N.C., May 8, 1927. He came to Tacoma at 3 years of age and went through the elementary schools here meeting his wife, Bev, at Stadium High School. After a year in the navy Orv went to the Uni­ versity of Washington where he finished in 1949. From Washington he went to Washing­ ton University at St. Louis, graduating in ’53. After one year in internship and one year surgical residency at Highland Alemeda Count)' Hospital in Oakland he came to Tacoma in July of 1955 to be associated with Dr. Woodie Niethammer. Orv has a wife Bev— (a graduate of Tacoma General Hospital School of Nursing) and a two year old son David. His main hobbies are golf and keeping up their yard.

Pfizer Golf Tournament Date Thursday, May 10, 1956

“ The Mentally HI Need Your Help . . . Join! Give!” DAMMEIER Printing Co. BRoadway 8303 811 Pacific Ave. Tacoma 2 8 BULLETIN o f th e Piebce County M edical Society

HOMOGENIZED FOR HEALTH

Rich, creamy flavor . . . added digestibility . . . economy in use . . . are direct results of cream being evenly blended throughout an entire bottle of Kreamilk.

MEDOSWEET KRE AMI LK

MEDOSWEET DAIRIES, INC. — TACOMA, WASH.

/

Prescription Optical Company

Dispensers for the Oculist

205 Medical Arts Building *

Tacoma, Washington “ % Phone M Arket 4151 *Or

Branches i n ...... EVERETT — BREMERTON f! BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y 2 9 Upjohn

Bacterial diarrheas...

Each fluidounce contains: with Neomycin sulfate 300 mg. (4% grs.) [equivalent to 210 mg. (3% grs.) neo­ mycin base] Kaolin...... 5.832 Gm. (90 grs.)Neomycin Pectin...... 0.130 Gm. ( 2 grs.) Suspended with methylcellulose 1.25% Supplied: 6-fluidounce and pint bottles

The Upjohn C ompuny, Kalamazoo, Michigan 3 0 BULLETIN of the Piehce County M edical Society

FIRST NATIONAL AUTO LEASE CO.

624 Broadway - MA. 1279

Coupes, Sedans, Cheaper Than 2 Year Leases Station Wagons. Owning Vehicles Convertibles Maintained

Don't overstimulate the depressed patient. . .

REATE A HAPPY MEDIUM with N E W Ritalin .. . a mild cortical stimulant ^ which gently lifts the pa­ tient out of fatigue and de­ pression without swings of reaction caused by most Supplied: Tablets^ 5 mg. (yellow), iQljfg stimulants. Ritalin counter­ (blue) and 20 (peach-colored);.'. acts the oversedation of Dosage: 5 to 20 . barbiturates, chlorproma- mg.b.i.d.or > zine, rauwolfia, antihista­ t.i.d., adjusted J to the individual^ mines .. .yet has no appreci­ R IT A L IN ® M able effect on blood pres­ hydrochlori

TACOMA, WASH. PERMIT No. 300

“The Mentally III Need Your Help . . . Join! Give!” BEALL’S Karen Rynning The Prescription Store PHYSICAL THERAPY Member of 124 Meridian South American Physical Therapy Association PUYALLUP REFERRED WORK ONLY Puyallup 5-6291 507 Medical Arts Building BRoadway 2862

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 Monday— 12:15 Luncheon Meeting Even Months ^IIULLETIN PIERCE COUNTY MEDICAL SOCIETY

VOL. XXVI— No. 10 TACOMA, WASH Jl'N E - 1950 2 BULLETIN o f th e Pierce County M edical Society Pierce County Medical Society 19 5 6 OFFICERS President ...... Gerald C. Kohl President-Elect . Hillis F. Griffin Vice-President------Burton A. Brown Secretary-Treasurer ...... Arnold J. Herrmann TRUSTEES Burton A. Brown Louis P. Hoyer, Jr. Happy Birthday Walter C, Cameron Gerald C. Kohl Carlisle Dietrich S. Robert Lantiere Philip Grenley Glenn G. McBride Ju n e Hillis F. Griffin Fay Morris Nace Arnold J. Herrmann Warren F. Smith 2 TREACY DUERFELDT D E L E G A T E S Tesse W . Bow en, Jr. Arnold J. H errmann 5 HELEN SMITH Walter C. Cameron Frank R. Maddison Philip Grenley JAMES VADHEIM ALTERNATE DELEGATES 7 JOSEPH HARRIS Louis P. Hoyer, Jr. Charles E. Kemp Murray L. Johnson William J. Rosenbladt 8 JACK ERICKSON Warren F. Smith 10 H AR OLD LUEKEN COMMITTEES Ethics 15 MILES PAR RO TT Charles H. Denzler, Chairman S. Robert Lantiere William H. Goering GEORGE TANBARA G rievance Walter C. Cameron, Chairman 21 JACK LEE Miles Parrott Jess W. Read House and Attendance 28 STAN DURKIN Philip C. Kyle, Chairman Rodney Brown Mills Lawrence MILLS LAW RENCE Glenn G. McBride HERBERT MEIER L ibrary Fay Morris Nace, Chairman Robert R. Burt Joseph O. Lasby Ralph H. Huif Program Roster Changes John J. Bonica, Chairman Carlisle Dietrich Hugh A. Larkin COMFORT, JOHN F. Rodger Dille Stanley W. Tuell General Practice— Fridav Wayne Zimmerman Office, 3505 South 58th....1 ...... H I 3250 Public Health Home, 6363 111th S.W ...... — LA 2427 Charles E. Kemp, Chairman Cecil R. Fargher Louis P. Hoyer, Jr. KASS. MYRON Franz P. Hoskins Merrill J. Wicks Neurology and Psychiatry— Weds. & Sat. p. m. Public Relations Office, 1427 Medical Arts Bldg ______..BR 6126?" Haskell L. Maier, Chairman Home, 4112 North 36th ...... SK 2311i • Samuel E. Adams Wm. W. Mattson, Jr. Herman S. Judd Warren F. Smith SMITH, WARREN F. Surgery— Thursday and Saturday Civil Defense Office, 1412 Medical Arts Bldg ______..FU 164$ Murray Johnson. Chairman Home, 2402 North Madison...... SK 24321, Daniel Hunt, Admiral, U. S. Navy, retired Paul E. Bondo Richard B. Link VADHEIM, JAMES L. J. Robert Brooke James D. Lambing General Surgery— Tuesday and Saturday D iabetes Office, 543 Medical Arts Bldg ______..BR 2790K Robert E. Lane, Chairman Home, 1908 North Puget Sound______PR 1195 Joseph B. Harris G. Marshall Whitacre Entertainment WARD, JAMES F. Jesse W. Bowen, Chairman Ophthalmology— Thursday L. Stanley Durkin Charles P. Larson Office, No. 9A, Tacoma Medical Center__ _BR 2660 James M. Mattson Frederick J. Schwind Home, 622 North 4th ...... BR 2688 Geriatrics J. Benjamin Robertson, Chairman Hollis Smith John L. Whitaker Legislative Douglas P. Buttorff, Chairman Pierce County M edical Society Homer W. Humiston Wendell G. Peterson Dumont Staatz Medical Education Committee DOES NOT MEET Lewis A. Hopkins, Chairman J. Edmund Deming, Sr. Thomas B. Murphy During the months of Mental Health Committee William H. Todd, Chairman Treacy H. Duerfeldt Harlan P. McNutt June, July and August George S. Kittredge F. E. Shovlain School Committee R. A. Norton; Chairman Lester S. Baskin David T. Hellyer Woodard A. Niethammer NOTICE Traffic Safety John Theodore Robson, Chairman Don Francis Cummings Robert A. Kallsen Check back page of Bulletin for calender Louis M. Rosenbladt of special meetings Bulletin Staff Editor — ...... William Mattson, Jr. Business M anager______^Shirley Tmpunn Auxiliary News E d ito r------Mrs. Becky Banfield Comparison of the effect of Raudixin (tranquilizer) and a barbiturate (sedative) on the cortical electroencephalogram

No drug.

After Raudixin. E. E. G. not altered.

After barbiturate. Typical “spindling” effect.

Because barbiturates and other sedatives depress the cerebral cor­ tex, the sedation achieved is accompanied by a reduction in mental alertness.

Raudixin acts in the area of the midbrain and diencephalon, and does not depress the cerebral cortex. Consequently, the tranquiliz- ing (ataractic) effect achieved is generally free of loss of alertness.

SquibbRAUDIXIN Whole Root Rauwolfia Serpentina

d o s a g e : 100 mg. b.I.d. initially; may be adjusted within a range of 50 mg. to 500 mg. daily. Most patients can be adequately maintained on 100 mg. to 200 mg. per day.

s u p p l y : 50 mg. and 100 nig. tablets; bottles of 100, 1000 and 5000.

Squibb Quality-the Priceless Ingredient

BULLETIN of the Pierce County M edical Society

EDITORIALLY SPEAKING . . .

THE SOCIAL SECURITY POLL

The results of the recent Washington State Social Security Poll as noted in the letter from the state society (printed in this issue of the Bulletin) show a surprising better than 3/2 majority of the doctors for social security extension to include the medical profession. A significant 13.82% of this group favored a compulsory form.

These findings are most interesting and probably significant in light of recent trends. For example in the February issue of the “King County Society Bulle­ tin” Dr. Eric Sanderson wrote of the impression gained at their symposium on “Would Social Security Benefit the Doctor in His Profession”: “The forces in favor were dealing in facts and figures which made good sense. The opposition dealt more in generalities ancl in alarmist philosophy, and they may well be right.” In a similar fashion a recent American Bar Asso­ ciation poll revealed a group of lawyers in favor of inclusion. The crux of the problem would seem to hinge on the phrases “facts and figures” and “generalities and alarmist philosophy”. Could the various interested groups— insurance companies, ABA or AMA—do some research so as to present some facts and figures to sub­ stantiate such statements to the effect our grand children are going to be paying for our social security?

W i l l i a m W . M a t t s o n , J r . 6 BULLETIN o f the Pierce County M edical Society

Throughout the world

TERRAMYCIN BRAND OF OXYTETRACYCLINE for the treatment of many infectious diseases ... after six years of use by thousands of physicians in millions of cases ...a continuing favorite A dosage form for every indication for broad- spectrum antibiotic therapy 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 7 In Appreciation rapidly and since that time has increasingly concerned the practice of Bureau members. Nearly forty years ago, in Pierce County an For twenty-six years and at the present time unusual child was born. This particular situation our Bureau Manager's daily efforts have been had been for months the subject of much dis­ limited only by the work to be done and his cussion by many physicians whose solemn pro­ supply of physical and nervous energy, which nouncements and certainities of prognosis all too frequently he has spent as though his ranged through the entire medical gamut. store of each was unlimited. During these years Fortunately the attending staff was a compact his wide and varied experiences, making for unit in consistently presenting a brave front dependable judgments, have been invaluable; during their frequent consultations, even though not only to our own Medical Bureau but also to doubts were plenty and serious whenever they our State Medical Bureau and to several more ventured into speculation as to the future of recently organized out-of-state bureaus. this desired new comer. Common to each of us there comes a time Then as now, "time marches on”, and in due when, if possible, our usual activities should course the child arrived. The mother’s name be curtailed. Continuing in his good judgment could have been Medical Care and that of the our Bureau Manager has asked that his duties father "Group Contracts". It was therefore prop­ be taken over by his able assistant as of July er and fitting that this offspring, who for the first 15. In Pierce County and the Pacific North­ time in these United States represented a pro­ west an economic-social factor in our practice gram of contract practice by a majority group of medicine will for a long time be indebted to in a county medical society, should carry on his the man who has so generously given his best young shoulders the name of Pierce County years to the physician members of the Pierce Medical and Surgical Service Bureau. This new County Industrial Medical Bureau. Our sincere and adventuring project did not meet with im­ thanks and our hopes for many happy future mediate general acceptance or cooperation, both years go now to our friend and pardner— Harry outside and within our medical society. Several H. House. — Lewis H opkins, M.D. physicians serving as Bureau presidents tried to give the plan guidance but new ideas are seldom “PATRONIZE OUR ADVERTISERS” accepted without the addition of a liberal amount of educational effort. In spite of difficulties the Medical Bureau grew and twenty-six years ago a full time lay manager was secured. His office space was modest, furnished with a roll-top desk, two chairs, a filing cabinet and a telephone; with his compensation probably as limited as was his office. However there were no limitations in the new manager’s boundless enthusiasm and in his determination to meet the ever increasing responsibilities of problems and opportunities involved in the furnishing of prepaid medical care. With a full time manager, acceptance of the Medical Bureau's plan now began to grow

To Lease

PARKLAND CENTER BUILDING Inactive X-ray films, prescription files, patient records

BRALEY'S, Inc. PRESCRIPTION DRUGGISTS

Catering to the Doctor and his patient

FREE DELIVERY

Medical Arts Building MArket 8116

CO.LYNN CO.

717-719 South Tacoma Avenue Phone MArket 7745 BULLETIN of the Pierce County M edical Society 9 Letters To The Editor the case. If he is making a partial charge for the case, I am willing to do the same with my 195 Elliot Street charges. Rochester 11,N.Y. Very sincerely yours, April 24, 1956 Charles P. Larson, M.D., C.M., Dear Bill: Vice-President I have been rather tardy in writing this letter P.S.— All of the pathologists in Pierce County for no good reason. I want you to know, are members of the Washington State Society of .though, that I appreciate very much receiving Pathologists, and consequently will be bound by the Bulletin. this Resolution. Being away a few miles certainly changes Resolution one's perspective I used to think the Bulletin W hereas, the practice of pathology, including carried a reasonable amount of news but now the diagnosis of tissues, is the practice of medi­ it appears barren. The reason, of course, is that cine and has been so designated by the House the rest contribute almost as little as I have. of Delegates of the Washington State Medical The trip to this area has been good for me Association and the American Medical Asso­ and mine in more than one way. W e have seen ciation, and some of the things that have previously been W hereas, pathologists have always served only hearsay. The Empire State Building and patients, irrespective of their financial status, as Washington, D.C., have not helped my cervi­ do other physicians, be it therefore cal disc any. Resolved, that the Washington State Society Medically, my evaluation of the hospital of Pathologists continue to pledge its mem­ here and T.G. is probably prejudiced by my bers to provide free tissues diagnosis in the long and intimate association at the latter. care of indigent patients not cared for by Actually, each has advantages and here the public agencies in the various towns, cities and teaching program is much larger. I shall stay counties of the state on the same basis as does here for one more year. the referring physician, and be it further One of the nice things that has happened to Resolved, that as a statement of policy the me here was the telephone call from Ted Haley Washington State Society of Pathologists is on his way through. opposed to the centralization of facilities for Thanks again for the Bulletin. the initial diagnosis of malignant disease by Sincerely, means of examinations of tissues, exudates or Joe Hansen bodily excretions by whatever name the pro­ oOo cedure might be called. This is specifically meant Dear Dr. Mattson: to include any exfoliative cytologic diagnostic Enclosed find a copy of a Resolution which procedure proposed as a part of any mass survey was recently passed by the Washington State conducted by federal, state or municipal govern­ Society of Pathologists. As you will see from ment or political subdivision thereof or by any reading it, it provides that all of the members private organization sponsored or supported by of the Washington State Society of Pathologists such government agency or by endowments or agree to provide free tissue diagnosis for the public voluntary contributions. care of indigent patients not cared for by public And Be It Further Resolved, that exfoliative agencies, and that this also applies to exfoli­ cytologic examinations incident to mass surveys ative cytology. I would like to see this published be done at the local level by pathologists li­ in the Bulletin of the Pierce County Medical censed to practice medicine in Washington. Should the local pathologist desire consultation, Society because very frequently I have doctors in this county asking whether we are willing to in accordance with usual custom he may refer the material to any pathologist of his choice. do tissues without cost on patients who find it difficult or impossible to make the payment therefor. This word of mouth business is not Tacoma Academy of Internal too good and I think this Resolution which 1 Medicine Elects have introduced into our State Path. Society At the April meeting of the Tacoma Aca­ would clarify the matter. An editorial com­ demy of Internal Medicine the following new ment from yourself might also add to the officers were elected: readers' interest. As far as I am personally con­ President...... Marshall Whitacre cerned, I am willing to provide any form of Vice President...... William Hauser either clinical or pathologic service to any Secretary Theodore Smith patient of any doctor's free of charge provided Rodger Dille will the Program Chairman the other physician is not making a charge for for the 1957 Annual Meeting. 10 BULLETIN o f the Pierce County M edical Society

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

1015 SOUTH TWELFTH STREET MArket 0118 TACOMA 3, WASH.

Taxicabs - Ambulances

Patients

ALL AMBULANCES ARE OXYGEN-EQUIPPED

Tacoma Yellow Cab Co.

1324 Market Street

MArket 1121 BR. 8383 BULLETIN of the Fierce County M edical Society 11 Woman’s Auxiliary to the Pierce W e have seven very active Future Nurses Clubs. County Medical Society Mrs. Florence Duerfeldt, our Mental Health OFFICERS FOR 1955-1956 Chairman, is very active on both the State and National level. It is not uncommon to see a President...... Mrs. George S. Kittredge write-up of her activities in the local newspaper. President-Elect -Mrs. Treacy H. Duerfeldt Our Rummage Sale netted $425.00. W e feel First Vice President....Mrs. Robert M. Ferguson we could have done better, but two days before Second Vice President...... Mrs. J. Robert Brooke the sale we had to find another location for Recording Secretary...... Mrs. Robert Burt the sale. Corresponding Secretary___ Mrs. Paul E. Bondo W e have a courtesy sub-committee and send Treasurer -...... Mrs. Haskel L. Maier flowers or gifts to all our members who are ill CHAIRMEN OF COMMITTEES enough to be hospitalized or who have additions Membership & Hospitality..Mrs. J. M. Mattson to the family. Program...... Mrs. Albert Ehrlich W e are sending $1.00 per member to the Social...... Mrs. Thomas B. Murphy A.M.E.F. and we will have no special fund Publicity Mrs. G. Marshall Whitacre raising project for this donation. Telephone...... Mrs. Harold D. Lueken W e hope our next four months will be just Public Relations...... Mrs. Joseph B. Harris as enriching and as enjoyable as the first four Legislative ...... Mrs. Herman S. Judd have been, and I do feel that all our members Today's Health...... Mrs. Merrill J. Wicks are Public Relations agents. Civil Defense . .Mrs. Wayne Zimmerman Mrs. George S. Kittredge, President, Speakers Bureau...... Mrs. Philip Grenley Pierce County Medical Auxiliary Mental Health...... Mrs. Treacy H. Duerfeldt 1955-56 REPORT Nurse Recruitment ...... Mrs. John Flynn Rummage Sale...... Mrs. Hugh F. Kohler Condensed from Committee Reports # * * The first board meeting was held at the home of the president in August. At that time MID-YEAR REPORT, 1955-1956 our plans for 1955-1956 were discussed and our The Pierce County Medical Auxiliary has a theme, "Active Leadership in Community paid membership of 184 members. W e con­ Health,” was chosen. tacted all eligible members by phone and also The president contacted all new members by sent them a welcoming letter. telephone cordially inviting them to join the We have worked in one program relating Auxiliary. Also many of the older members who to health problems in our community and our had been inactive were called and urged to speaker will be Dr. Harris, head of the State join and become active members. Throughout Mental Institutions. W e are asking each mem­ the year the Membership Committee served on ber to bring a guest to this meeting. the hospitality committee. They had name tags available for all the members attending the We have a write-up of our meetings in the meetings. W e had a paid membership of 196. local daily newspaper and on two occasions this year we have had an accompanying W e had a courtesy sub-committee who sent picture. flowers to our sick members and gifts to mem­ bers who had babies. Hope we didn’t miss Our telephone committee calls before every anyone. meeting to remind our members of the meeting W e had no AMEF Chairman and, as the and also for reservations. Our Public Relations Chairman is also the previous year, sent $1.00 per member from our treasury. State Public Relations Chairman. W e have sponsored a swimming session at the YW CA The program chairman, Mrs. Albert Ehrlich, and her committee selected some very interest­ for the student nurses from both hospitals. W e have provided several local physicians for speak­ ing programs for us and it was a difficult task ing engagements. W e help at the Heart Asso­ because two of our meetings were cancelled. ciation office weekly and one of our members One of the speakers originally engaged moved attends the monthly meeting of the Heart from the city and another speaker had to be Association. found to replace him. W e also had a change We have a monthly Legislative report from in our April meeting. the legislative letter sent from Washington. This was our first year of not meeting in the We have 166 subscriptions to Today’s Health homes and I feel that Mrs. T. B. Murphy, as and provide a copy for all Public and Parochial chairman of the committee, selected an excellent Schools in the county. (Continued on Page 13) 1 2 BULLETIN o f the Piebce County M edical Society

FIRST NATIONAL AUTO LEASE CO.

624 Broadway - MA. 1279

2 Year Leases

Vehicles

Maintained

First In The Lakes District

Your Prescription Store

FIRST IN QUALITY FIRST IN SERVICE

David Ludwig Fred Ludwig

PAY LAKEWOOD WEEKDAYS PHONE & 9 *.m. to 10 p.m. GRIFFIN FUEL BILLS HERE IN THE LAKEWOOD SUNDAYS 10 a.m. to 10 p.m. CENTER BUILDING LA 2191 REGISTERED HOLIDAYS CHECKS Noon to 6 p.m. PHARMACY

Free Prescription Delivery BULLETIN of the Pierce County M edical Society 13

(Continued from page 11) committee, along with many more women who so willingly gave their time, deserve a great deal place for us to have our luncheons and meetings. of credit and I feel we made more money than This was the "Top of the Ocean." I thought humanly possible under such adverse We had an average attendance of forty-eight circumstances. W e netted $426.34 on the sale! members, but I feel this was not a fair trial To my officers I feel nothing but gratitude. It this year because of the two meetings being has been a pleasure to work with them. cancelled and the change of places for our Mrs. Robert Ferguson has charge of the April meeting. Bulletin and we sold six subscriptions. I might Mrs. John Flynn, as chairman of nurse re­ add, we do not push the Bulletin except to cruitment, has had a difficult year. It has been the Board Members. very hard to get the women from Auxiliary to Mrs. Haskell Maier was the "faithful watch­ act as sponsors for our Future Nurses Clubs, of dog" of our limited funds and one of the nicest which we have seven. If we wish to maintain persons it has ever been my privilege to work these clubs we must have sponsors and it is up with. to us, as Auxiliary members, to do it. Mrs. Robert Burt is our very faithful R e­ Deanna Dyer of Stadium and Kathleen W at­ cording Secretary and was on hand for Board kins of Puyallup were awarded our two scholar­ and Regular meetings. ships. To all who helped make my year a successful Our Publicity Chairman, Mrs. Marshall W hit­ one, I say thank you from the bottom of my acre, did an excellent job. There was a write-up heart. of all our meetings in the local paper and two Respectfully submitted, write-ups were accompanied by pictures. Mrs. George S. Kittredge, President The Telephone Committee, headed by Mrs. Pierce County Medical Auxiliary. Harold Lueken, telephoned all members for reservations before each meeting. fijlHmmimninnuniiMuiminnmuitiiinnninmnnninmiiunniii>nmf«n Our Legislative Chairman, Mrs. Herman Judd, has kept us informed of medical legis­ lation through the weekly newsletter, and, as of May 14th, she and her Minute Women were | South Tacoma j called upon to telegraph our Senators regard­ ing H.R. 7225, the Social Security Bill. We had 203 subscriptions to "Today's Drug Co. Health”. Mrs. M. J. Wicks and her committee really worked hard and it shows with 203 subscriptions. § Fred Ludwig I Our Civil Defense Chairman, Mrs. Wayne Zimmerman, kept us informed about local defense plans. She distributed booklets, "Home * * * Protection Exercises". She also urged us to read the timely book, "Tomorrow”, by Philip Wylie. Our Mental Health Chairman, Mrs. T. H. PRESCRIPTIONS Duerfeldt, has the committee functioning very efficiently. Our April meeting, a guest meeting, featured Dr. Harris, head of State Institutions, DELIVERY SERVICE and who is very much interested in our Mental Hospitals. W e also had a tour of Western State Hospital, with the women of the Kitsap County ★ ★ ★ Medical Auxiliary as our guests. W e supplied many physicians as speakers for P.-T.A.’s, , and other organi­ zations. This committee was under the careful | 5401 South Tacoma Way HI 9419 [ guidance of Mrs. Philip Grenley. Last, but not least, our Rummage Sale! It was much hard labor and little "hard cash” to show in return for so much work. I am sure Mrs. Jones: "How did that naughty little boy everyone knows the gruesome details of the of yours get hurt?" Rummage Sale, so I will say no more. How­ Mrs. Smith: "That good little boy of yours ever, I do think Mrs. Hugh Kohler and her hit him on the head with a rock.”

BULLETIN of the Pierce County M edical Society 15 HOSPITALS. . .

Tacoma General Douglas, on April 22. Dr. Miller is a member of the Tacoma General Intern Staff. National Hospital Week was observed on Mrs. Margaret Miller, purchasing agent, is Sunday, May 6, by an Open House, which enjoying a vacation trip to Detroit. She is featured a tour of the Hospital, ending with planning to stop over at Toronto on her return refreshments in the dining room. trip. Capping services for 45 student nurses were Dr. David Johnson is going to Chicago to held on Sunday, April 29. The main address attend a board meeting at North Park College was given by Miss Katherine J. Hoffman, As­ and he is also going to attend the A.M.A. sistant Dean of the University of Washington meeting in Chicago and from there he is going School of Nursing. to Cincinnati to visit his daughter, Mrs. Miss Ardyce Overland, assistant nursing arts Irwin (Meryl) Groce. instructor at the Tacoma General school of nursing, was honored recendy with a S300 scholarship by the National Association of St. Joseph’s American Business dubs. Miss Overland, a Everyone seems so happy and cheerful it must junior in occupational therapy at CPS, is work­ be this glorious weather or is it the happy ing for her bachelor’s degree in occupational thought of coming vacations? Did you see the therapy. sisters taking off these last few days with their Bonita Rickards and Margaret Wallace repre­ swim suits? The water must feel cool and ex­ sented the school of nursing at the National hilarating. Student Nurse Council meetings in Chicago, May 12 th Miss Nancy Corfee took her first May 13-18. "air" trip to attend the National Student Con­ Miss Helen Johansson is vacationing in vention in Chicago. Wednesday May 9th the Minneapolis. Included in her vacation plans was Nursing School Committees of the faculty held the beautiful music of the Metropolitan Opera their last meeting of the school year and enjoy­ Company. ed a pleasant social hour. The Junior-Senior Dr. John J. Bonica, Head of the Department Prom, "Mardi Gras” sponsored by the mem­ of Anesthesiology, was recently appointed as bers of the Nursing School Guild on May 11th Consultant to the Department of Anesthesiol­ was a huge success and lots of fun. ogy of the University of Washington School of Mrs. Ivy Sylvester, 2nd North Head Nurse Medicine. Dr. Bonica has been Clinical Asso­ has vacated 237 and is now recuperating at ciate to the Department of Anatomy of the home. Do hurry back. Mary Ann Cummings has same school for the past six years. gone home from Pediatrics where she endeared Dr. H. D. Lueken went to Chicago to take herself to everyone. According to the nurses it OB and Gyn boards. From there he went to was a pleasure to take care of her as she was Pennsylvania to join his family who are visiting such a wonderful patient and so appreciative Mrs. Lueken's mother. for any small service. 1 Dr. Douglas Buttorff just returned from Congratulations to Dr. and Mrs. O'Leary on Chicago after taking his OB and Gyn boards. the birth of a son, also Dr. and Mrs. Robert Dr. Glenn McBride has a new summer home Shay a daughter. Everyone is glad to have Mrs. in Rosedale. During the weekend, he initiated Gladys Post back on the job again after spend­ the paddle boards which he made in his spare ing some time in the hospital. time. "Remodernization’’ is going on slowly but Dr. and Mrs. Chris Reynolds have just re­ surely. The north delivery room has a new tile turned from a trip to California. floor and a new coat of paint also a new table. Dr. Fay Nace recently returned from a trip The S.D.R. is now in the process of the same to Tucson, Arizona, via Los Angeles to face lifting. W e hope to have all current pro­ attend the American Academy of Obstetrics and jects completed so that we too can go and Gynecology meetings in Arizona. On the way enjoy that vacation while the "summer" lasts. back, he stopped over in Portland, Oregon for Mrs. Dickie, our Medical Librarian is still the 20th anniversary celebration of the stu­ missing a lot of books. Perhaps when some of dents in the graduating class of the medical our good doctors house clean this summer they school which he attended there. will find some of our stray books. During the We join Dr. and Mrs. Monte Miller in their happiness over the birth of a son, Mitchell (Continued on Page 17) 16 B U L L E T I N of the Fierce County M edical Society

McMILLAN BROTHERS, Inc.

942 Pacific Avenue - - - MArket 1126

Service to the Medical Profession and

their patients for 54 years.

We dispense only the finest of Pharmaceuticals.

Time Tested Dependability Established 1889

R. E. Anderson & Co. Inc. INSURANCE - MORTGAGE LOANS - REAL ESTATE PROPERTY MANAGERS

747-49 St. Helens Ave. BRoadway 8475

ASK FOR W. O. JEFFERY

OFFICERS H. F. SYFORD, President J. D. POWELL, Vice President DONALD M. MOORE, Vice President (In Charge oi Fire Insurance) (In Charge of Casualty 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) University of Illinois Medical School and Mrs. past few years the Library has acquired many Stagner is a graduate nurse from W est Suburban new and worthwhile books. Hospital, Oak Park, Illinois. Jack McDonald, our head X-Ray technician Dr. and Mrs. Donald Molinero are being has returned to us after spending three years congratulated upon the birth of a ten pound in sunny California. Welcome back, Jack. boy. Anthony Aaron joins a beautiful little Sophie Junge is back again taking our reports sister, Cheryl Sue. The proud grandparents are to their proper destinations. She has a full time Mr. and Mrs. Peter Molinero, Roslyn, and Mr. job with Raymond, Jr., who is a very beautiful and Mrs. Donald Bruner of Monroe. baby. This month has been very exciting one for Pfizer Outing the sisters. Many of them are going to con­ The Pfizer golf tournament and dinner at ventions and meetings. Sisters Valeria and Fircrest on May 10th was well attended, with 80 Evrard just returned from Chicago where they golfers braving strong winds and 111 enjoy­ attended the workshop sponsored by the Na­ ing a delicious steak dinner in the evening. tional League of Nursing. Sisters Barbara Ann Golfers were divided into two divisions, the and Patricia Francis left on May 17th to at­ first comprising those with handicaps under 16, tend the National Convention of the Catholic the second with handicaps 17 and over. As Hospital Association which was held in M il­ before, numerous fine prizes were awarded. A waukee, Wisconsin the week of May 20th. portable spectator seat went to E. Z. Jones Sisters Paul and Anthony Consilia will leave for low net score in the first division (83-12- early in June for retreat at our motherhouse in 7 1 ). Low net in the second division was shared Glen Riddle, Pennsylvania. From there they by John Steele (93-23-70) and J. C. Tatum will fly to Ireland. (93-23-70), each receiving a dozen balls. E. HAPPY VACATIONS TO ALL. D. Taylor won a putter for "closest to the hole” on No. 13, 31 inches. Long drive off the Pierce County first tee won a freezer can for F. S. Diamond Miss Alexandra Bury, R.N. from Vancouver, and a freezer chest for T. D. Moberg, in 2nd B.C., but more lately a medical record librarian and 1st division respectively. Short drive off at Providence Hospital, Seattle, has taken the the same tee won prizes also, but the winners position of head of the record department which prefer to remain anonymous. Low gross winner was left vacant by the resignation of Florence in the 2nd division was E. C. Yoder (9 0 ), Rokahr. In the meantime the position was filled who received a golf umbrella; in the 1st division most efficiently by Mary Dunlop, wife of Dr. T. D. Moberg (82) received a pair of golf Dunlop, one of this year’s interns. shoes and custody of the trophy until next Dr. and Mrs. Dunlop are being congratulated year. Dinner was preceded by the usual "relax­ on the birth of an eight pound boy born May 2, ation” period in the club rooms, and all com­ 1956. The new arrival will be christened Peter ments on the entire days activities seemed John Dunlop. The grandparents are Mr. and favorable. Although indications are that this Mrs. F. J. Heintz of Chacoga and Mr. and Mrs. will be an annual affair, a postcard or letter W. S. Dunlop of Batavia, Illinois. directed to Pfizer at 630 Flushing Avenue, Mr. and Mrs. Frank Karwoski are proud Brooklyn, N.Y., can do no harm in helping to parents of a baby girl, born May 12, 1956. Mrs. make it assured. Karwoski is the former Carol Schuler, assistant Modestly signed, chief laboratory technician. T. R. Moberg Friends of Katherine Reeky are pleased to learn that she is recovering satisfactorily from the automobile accident, at which time she EVERY DROP PURE HEAT sustained injury to her foot and ankle. Kath­ erine is now at her home after hospitalization. STANDARD Rose Knecht, chief laboratory technician, and her mother are motoring to Nevada. They will Heating Oils spend three weeks on the vacation which will be divided between Reno and Las Vegas, where Call MA. 3171 they will visit relatives. Dr. Ralph Stagner, intern, spent his recent Fuel Oil Service Co. vacation in Sycamore, Illinois and returned with 816 A St., Tacoma a lovely bride, the former Bonnie Wallace of Mark Dolliver Jack Galbraith Sycamore. Dr. Stagner is a graduate of the 18 BULLETIN of the Pierce County M edical Society

more dependable oral penicillin

V-CILLIN (PENICILLIN V, LILLY)

‘V-Cillin’ was developed by the Lilly Re­ In the duodenum, absorption of search Laboratories to fulfill the need ‘V-Cillin’ begins immediately. for an acid-resistant penicillin—for a more dependable and effective oral peni­ d o s a g e : 125 or 250 mg. t.i.d. May be adminis­ cillin. tered without regard to mealtimes.

Gastric acidity does not significantly s u p p l ie d : Pulvules—125 and 250 m g . Pediatric affect the potency of ‘V-Cillin’ (‘V-Cillin’ suspension—125 m g . per 5-cc. tea­ is an acid). In contrast, 50 percent of the spoonful. Also, Tablets ‘V-CiUin-SuIfa’ potency of potassium penicillin G may (Penicillin V with Triple Sulfas, Lilly) — 125 mg. ‘V-Cillin’ plus 0.5 Gm. t-’nle be destroyed by gastric acids, in ten to sulfas. thirty minutes. Thus, ‘V-Cillin’ elimi­ nates a major variable in oral penicillin therapy, produces 50 to 100 percent higher blood levels, and makes the oral use of penicillin much more feasible.

8 0 T)H ANNIVERSARY 1876 1956 / ELI LILLY AND COMPANY BULLETIN of the Pierce County M edical Society 1 9 Cardiovascular Study Awards gatorship, given to a limited number of scien­ tists of unusual capacity and accomplishment to Applications by research investigators for assure them of financial support throughout support of studies in or related to the cardio­ their productive lives. Career Investigators are vascular field are now being accepted by the selected on the initiative of the Heart Asso­ American Heart Association. The awards would ciation Research Committee and not from Ap­ be for the fiscal year beginning July 1, 1957, plication. Funds for the entire program are the Washington State Heart Association an­ provided from public contributions to the an­ nounces. nual Heart Fund appeal. At least half of all Application deadline for research fellowships and established investigatorships is September monies received by the American Heart Asso­ ciation national office are allocated to research. 15, 1956. For grants-in-aid, applications must Deadline for submission of abstracts of be made by November 1, 1956. Awards are in papers for presentation at the Annual Scientific the following caetgories: Established Investigatorships: Awarded Sessions of the American Heart Association is for periods of up to five years, subject to annual June 15. The Sessions will be conducted this review, in amounts ranging from $6000 to year in Cincinnati, October 26-31. Papers based $9000 per annum, to scientists of proven ability on original studies in clinical, laboratory and who have developed in their careers up to the epidemiologic research are eligible for consi­ point where they are independent investigators. deration. Abstracts must be limited to under Research Fellowships: Awarded to young 300 words and submitted on special forms. men and women with doctoral degrees for per­ Special forms for abstracts for the scientific iods of one to two years to enable them to train sessions and application forms for American as investigators under experienced supervision. Heart Association research awards are avail­ Annual stipends range from $3,500 to $5,600. able from the Medical Director, American Heart Grants-In-Aid: Made to experienced investi­ Association, 44 East 23rd Street, New York 10. gators in varying amounts up to $10,000 to provide support for specific projects. Professor (finishing long algebra problem): The Association also maintains a unique And so we find that X equals zero. form of research support, the Career Investi- Sophomore: All that work for nothing.

STOW ELL'S... Prescriptions

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

/ f /

FREE DELIVERY

i i i

BRoadway 2201 744 Market Street

Doctors Hospital Building 20 B U L L E T I N of the 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.

Everything in one place

• FUNERAL HOME M O U N T A I N • ™ • CHAPEL V | q lA f Memorial . c r e m a t o r y I E W park . m a u s o l e u m 4100 Steilacoom Boulevard LAkewood 2195

HAROLD MEYER PHARMACY 1110 South 11th Harold Meyer, Owner BRoadway 5104 Open 8:30 a.m. 'till Midnight — Free Delivery 'till 8 p.m. BULLETIN of the Pierce County M edical Society 21 The Unconscious and ing, fighting, looting, breeding unprecedented Civil Defense epidemics and dying of exposure. Even if one were somehow to manage the problems of dis­ (Or: “The Wisdom of Playing Golf’) placed populations, the radioactivity would be The scientific section of the PCMS May just as lethal out in the country as over the meeting was devoted to civil defense. Pre­ city. If, however, one were to get upwind of sented were the medical management of nuclear it (and not simultaneously downwind from the bomb casualties, and the planning for disaster next obliterated city) we still despair of safety of a community. These discussions included a from the other genocidal weapons. The methods wealth of pathological and physical data about for destroying plant and animal food supplies, nuclear warfare. poisoning water, and disseminating human There is another medical aspect to civil de­ pathogens and poison gases are each said to be fense which is at least as important and fully as effective in destroying populations as the as scientific. This is its psychiatric implication. nuclear explosives themselves. Our unconscious It is based upon the concept of a dynamic Un­ wisdom tells us anyone willing to crush the conscious, which is the wefispring of all human life out of a city is not going to start being thought and behavior. In the civil defense gentlemanly at that point. Presumably he would planning, nationally, there is a conscious de­ include in his attack these much less expensive sign for saving life on the one hand. But there and simpler devices for mass extermination. is an unconscious appraisal of the situation, on Modern weapons are adequate to destroy whole the other. These two areas of endeavor appear nations many times over. to be in sharp conflict with each other. As For anyone who may doubt that such a con­ always, in such cases, it is the unconscious flict really operates in our depths, one may find forces that are winning out. the evidence for it right in his own behavior. Consciously, we are planning largely as we Unless he is very different from most other have for past wars, not yet able to absorb the Americans, he has done nothing whatever to concept of the total destruction now possible. cooperate with civil defense planning. He hasn’t But the depths of the mind see much of truth stocked his car trunk with civil defense equip­ to which our consciousness is blind. Uncon­ ment for survival. Rather it is still carrying the sciously we know that this time neither retali­ same accumulation of medical equipment, golf ation nor flight will be likely to save us. Our clubs and old tools that it always has. He is conscious intentions make us distribute crisp very hazy about what his "escape route” should litde maps to show us how to get to Purdy or be, and has absolutely no idea of the meaning Eatonville at the right moment. They restrict of various signals on the warning sirens. When our vision to the simple logic that we may be pressed, he may pay a guilty lip-service to his bombed, that it is right and good to preserve local civil defense office. But in fact, he has life, and that therefore we should be ready to done nothing whatsoever to support it. Ration­ flee. But it is the vast ocean of unconscious life, alize though he will, and berate himself as lazy, not our puny conscious control, that ultimately he would do well to examine his non-cooper- determines what we will do. The Unconscious ation more closely. For it is not "laziness" or refuses to be bound by convention, tradition or "procrastination"; it is wisdom. It is the wisdom public opinion. It insists on seeing things as of one profoundly skeptical that any "defensive" they are, rather than as someone would like action can improve the situation in which we them to be. In our depths we view evacuation find ourselves. with despair. The underlying picture runs If we could pay more attention to these something as follows: reservoirs of wisdom, we could learn much We are told that warning times will be too more. Let the conscious mind put aside for a brief to get out of town ( and in the case of moment such precious toys as its intelligence intercontinental ballistics missies they will be and technical sophistication. Let it look into zero). We picture false alarms, in which people the source of its own being, the depths from would rush out into the country, and then have which its life springs. Then it will learn all to slink back into the city probably vowing that it needs to know of what life is about. not to get into such a foolish panic again. Or we see the evacuation going off according to the W e would learn, for instance, that it is civil defense blue print. In that case we face psychologically impossible to prepare for war the grotesque picture of a hundred and fifty and for peace both at the same time. Here is a thousand Tacomans, five hundred thousand truth so clear and sparkling, that it is almost Seatdites or twelve million New Yorkers (or beyond the reach of our muddied up conscious­ surviving fractions thereof) huddled out in ness. The little child still knows it because he lonely fields trampling grain, starving, defecat­ ( Continued on Page 23) 22 ______BULLETIN of the Pierce County M edical Society

" 1 1 „

, ‘ . iV 1 V v '• ' f’ " f t T~j ! rs r*-V ;.f' * \ f t, rsr*-V;.f' r *

X al i;: * * —-V I CIKM** /" '"V~ l i ^ trt - j * *' 1.j 1 A Fr " £r •< I w^2LTj v ^ '

i NEW: THERAGRAN THERAGRAN LIQUID CAPSULES Scjuibb Therapeutic Formula Vitamin Liquid Squibb Therapeutic Formula Vitamin Capsules 1 teaspoonful of Theragran The six vitamins almost Liquid is equivalent to invariably associated 1 Theragran Capsule. with chronic vitamin For patients of all ages who deficiency states. prefer liquid vitamin therapy.

Each Theragran Capsule, or 5 cc. teaspoonful of Theragran Liquid, supplies: Vitamin A (synthetic) ...... 25,000 U.S.P. Units Vitam in D ...... 1,000 U.S.P. Units Thiam ine ...... 10 mg. Riboflavin ...... 10 mg.

Niacinamide ...... 1 5 0 mg. Ascorbic acid ...... 150 mg.

Usual Dosage: 1 or 2 capsules or teaspoonfuls daily. Infants: Not more than 1 teaspoonful dally.

THERAGRAN CAPSULES: bottles of 30. 60, 100 and 1000. THERAGRAN LIQUID: bottles of 4 ounces.

S q u i b b Squibb Quality—the Priceless Ingredient BULLETIN of the Pierce County M edical Society 2 3

(Continued from Page 21) that the post-Stalin changes of the Soviets may really be a move toward peace. W hat has not yet set up his intelligence as an object boldness! W hat defiance! For we would have of blind worship. He does not try to mix love to fly in the face of all the columnists, states­ and hatted, because he knows they are separate. men and news analysts who demand that we But grownups lack, in many respects, the in­ must continue to hate them. It could be quite herent sanity of children. W e get to thinking, an adventure to think for ourselves, instead of for instance, that we can indulge our hatred along the lines which the newspapers and net­ and fear of the enemy on the one hand, and yet works have laid down for us. W e can do so if somehow avoid a war, on the other. The Un­ we will relearn the forgotten wisdom that still conscious knows that this is delusional, and clamors for attention within us. For this is the refuses to cooperate. It knows that to "practice” wisdom of our bold search for love, and it taking cover from an enemy whom we haven't courageously rejects all forces and loyalties that met only conditions us to hate and fear him demand we do otherwise. If we will strike out more. Running for cover crystallizes our hostil­ in the direction to which our primary uncon­ ity to him. It makes us get all the more ready to scious drives point, we can find hope and the commit against him the same atrocity we freedom to love every place we look. It is all accuse him of planning against us. W e prepare around us. All we have to do is to shake off "defensively” to go over there and destroy the complicated thinking that mixes us up, and countless families just like our own ("if nec­ essary”). The more we do so, the more panicky find the wellsprings of truth within us. For the become his preparations to destroy us ( "if nec­ Unconscious is and remains the source of all essary”). In our depths we cut cleanly through significant insight, and if we cut ourselves off from it we are blind. the delusion that the way to prepare for peace Robert C. Murphy, Jr., M.D. is preparing for war. W e know that love breeds love and that hatred breeds hatred. W e may destroy ourselves and every other living thing on the Planet trying to say it isn't so, but it still will be. Love breeds love, hatred breeds A COMPLETE LINE OF hatred. Love is stronger than even the most SUPPLIES FOR THE terrible hatred, and is its only antidote. There is no escape. PHYSICIAN . . . HOSPITAL This truth is much older than psychiatry. AND But it may appeal to those attracted by scientific NURSING HOME method to know that it is universally upheld by the analysis of man’s dynamic Unconscious. In relationships between patient and physician, ■ ■ parent and child, the cop and the juvenile de­ linquent, labor and management, the black race and the white race and all others that have Mail or Telephone Orders been studied, social scientists find it so. Love breeds love, hatred breeds hatred. W hen hatred Given Prompt Attention is permitted to accumulate between nations, war is inevitable. Getting ready to run for cover is an act of hatred in the form of fear. Offering massive retaliation” is hatred in the form of violence. No matter how fancy our reasoning about "preparation for disaster” on the one hand SHIPMAN or "deterring the enemy by force” on the other, if we hate and fear someone he will hate and SURGICAL CO. fear us. He will not be "deterred’. Neither will we. Except by friendliness. 741 St. Helens Ave. - BR. 6400 The Unconscious is a beautiful thing, in that Tacoma 2 it keeps us ready to play golf instead of to stumble around in air raid drills. But let us do it a little mote rebelliously, less bound by a St. Peter heard a knock at the door, opened guilty feeling that we are not quite doing our it, and there stood a young man. duty.” How free one may feel when he shakes "W here are you from,” said St. Peter. off, his dreary obligations to hate the "bad” "Texas." people. Imagine, for instance, daring to hope "Come on in, but you won’t like it here.”

BULLETIN nf tlw Piehck County M edical Society 25

'BUSINESS AS USUAL" FOR EXPECTANT MOTHERS .

WITH BOYLE O B n ATAL

Few expectant mothers wrestle for a living, but most have important daily schedules to maintain. This new Boyle prenatal formula provides 10 mg. of Vitamin Bi; (in tablet t.i.d.) for proper protein metabolism and to aid in preventing nausea. This is in accordance with the findings of Wachstein and Gudaitis in the “Journal of Laboratory and Clinical Medicine,” 42:1, 98-107 (1953): “It seems the growing fetus drains the maternal source of Vitamin Bn, resulting in a disturbance of normal protein metabolism. It is suggested that pregnant women be given 10 mg. of pyridoxine hydrochloride daily!’ In addition, phosphorus-free calcium lactate in the Boyle formula conforms to the findings of diet authorities Page and Page, “Obstetrics and Gynecology,” 1:94-100 (1953): “Leg cramps may be either prevented or relieved to a significant degree by the use of calcium salts free of phosphorus.” Boyle Obnatal also contains Vitamin K for hypoprothrombinemia and 60 mg. available iron. Suggested daily dose of 1 capsule-shaped tablet t.i.d. supplies:

CALCIUM LACTATE USP ...... 2.25 Gm. CALCIUM PANTOTHENATE ...... S.O m j. VITAMIN B 0 ...... 10.0 mg. VITAMIN A ...... 6.000 USP units VITAMIN K ...... 1.5 mg. (acctate) FERROUS SULFATE U SP ...... 300.0 mg. VITAMIN D ...... GOO USP units (Iron content 60 mg.) IODINE ...... 0.15 mg. VITAMIN B 1 2 ...... 10.0 meg. COPPER ...... 1.0 DIR. VITAMIN C ...... 100.0 mg. VITAMIN Bi ...... 4.0 mg. MAGNESIUM ...... 15.0 mg. VITAMIN B 2 ...... 2.5 mg. M ANG AN ESE ...... 4.5 mg. NIACINAMIDE ...... 60.0 mg. MOLYBDENUM ...... 0.15 mg. FO LIC A C I D ...... 0.3 mg. ZIN C ...... 2.25 mg.

Bottles of 100 and 1000 capsule-shaped tablets at all pharmacies.

B F BOYLEI & COMPANY Bell Gardens, California 2 6 BULLETIN of the P ie b c e C o u n t y M e d ic a l S o c ie t y

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

Modern and Moderate . . .

BUCKLEY-KING FUNERAL SERVICE Tacoma Avenue at South First BRoadway 2166 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 Nevada State Medical Association Tacoma Surgical Club Meeting P. O. Box 188 - Reno, Nevada The following is a resume of the Tacoma April 12,1956 Surgical Club’s Twenty-Eighth Annual Meet­ The Nevada State Medical Association’s An­ ing, held on Saturday, May 5, 1956. nual Meeting will be held this year, 1956, in This was the largest meeting we have ever conjunction with the Reno Surgical Society in had, the total attendance being some 315 phy­ Reno, Nevada, August 22-25. Meeting head­ sicians from Washington, Oregon, British Col­ quarters will be the Riverside Hotel. umbia, and Idaho. The dinner was held at the Applications for reservations should be sent Winthrop Hotel and was well attended. Dr. to Harry B. Gilbert, M.D., Chairman of Reser­ John Waugh, professor of surgery at the Mayo vations, Nevada State Medical Association, 241 Clinic, was the guest speaker. So. Sierra Street, Reno, Nevada. Guest speakers The morning meeting was held in the base­ include the following: ment of the Tacoma General Hospital Nurses’ Leo E. Brown, M.D., Director, Department of Home, and anatomical demonstrations and phy­ Public Relations, A.M.A., Chicago. siological demonstrations were presented, as Frederick C. Cordes, M.D., Chairman, Dept, of in previous years. Due to the number of demon­ Ophthalmology, University of California strations it makes it impossible to comment Medical Center, San Francisco. on all of them, but they appeared to be well Russell R. de Alvarez, M.D., Professor & Execu­ received. Dr. John J. Bonica had a dog anes­ tive Officer, Department of Obstetrics & thetized, showing hypothermic anesthesia meth­ Gynecology, University of Washington ods, and also showed the use of the cardioscope School of Medicine, Seattle. during surgery. Dr. S. F. Herrmann had a William C. Deamer, M.D., Chairman, Depart­ demonstration of wound disruption, wherein ment of Pediatrics, University of California he had a manner of through-and-through suture Medical Center, San Francisco. of the abdominal wall and figure-of-eight Lester R. Dragstedt, M.D., Chairman, Depart­ method, which had greater strength than the ment of Surgery, University of Chicago, usual layer-to-layer closure. It was vividly Chicago. demonstrated by the difficulty one had even in Leroy D. Fothergill, M.D., Biological Warfare tearing toilet tissue, which he had demon­ Laboratories, Fort Detrick, Frederick, Mary­ strated as the peritoneum. This certainly should land. be a great help in the prevention of wound Henry N. Harkins, M.D., Professor & Executive disruption. The other demonstrations also were Officer, Department of Surgery, University very good. Because they are not commented on of Washington School of Medicine, Seattle. does not mean that they were not without William L. Hewitt, M.D., Associate Professor, merit, inasmuch as the scope of this article will Department of Medicine, University of not permit their inclusion. California Medical Center, Los Angeles. The afternoon session started off with the Nils P. Larson, M.D., Medical Adviser, Hawai­ discussion of the anatomical demonstrations by ian Sugar Planters' Association, Honolulu. Dr. Robert J. Johnson, who covered each George F. Lull, M.D., Secretary & General Man­ demonstration very adequately and added ager, A.M.A., Chicago. greatly to the meeting. The second paper was Frederick J. Stare, M.D., Chairman, Depart­ "Fractures in Children” by Dr. Dumont Staatz, ment of Nutrition, Harvard Medical who gave case reports and showed many x-rays School. of the various types of fractures. Because the Ample facilities have been secured including periosteum is heavier in children and therefore first class hotels and deluxe motels complete peels back instead of breaking, this is a decided with swimming pools which will be of great factor in good healing, inasmuch as it is not interest to those attending accompanied by always necessary to have perfect apposition of their wives and children. the fracture ends in the child to get a good Reno is a scenic center and is only a few union and get a good result. He stated that in miles from Lake Tahoe and Lake Pyramid, greenstick fractures it is desirable to get as offering excellent fishing and water sports. near a perfect reduction as possible, inasmuch as Summertime skiing is also within the range of the deformity can increase as the child gets possibility in the High Sierra, but before bring­ older. ing your equipment, ask Headquarters for a The third paper was that of "Persistent Prob­ last minute snow report. W ater skiing is as­ lems in Colon Diagnosis" by Dr. A. A. Sames, sured for enthusiasts at Lake Tahoe. who cited the pitfalls of the x-ray examination of the ascending colon, inasmuch as it cannot be “PATRONIZE OUR ADVERTISERS’ (Continued on Page 29) 2 8 BULLETIN of the Piebce County M edical Society 1

HOMOGENIZED FOR HEALTH

Rich, creamy flavor . . . added digestibility . . . economy in use . . . are direct results of cream being evenly blended throughout an entire bottle of Kreamilk.

MEDOSWEET KREAMILK

MEDOSWEET DAIRIES, INC. — TACOMA, WASH.

/

Prescription Optical Company

Dispensers for the Oculist

205 Medical Arts Building

Tacoma, Washington

Phone M Arket 4151

Branches i n ...... EVERETT — BREMERTON BULLETIN of the Piebce County M edical Society 2 9

(Continued from Page 27) "Sphincter Preserving Operations for Carcinoma of the Rectum.” To give a short summary of the completely visualized. He gave the methods for paper, he compared statistics of the Miles the adequate preparation of the patient, and Combined operation with the three operations sometimes it is necessary to do the patient again which he does— the anterior resection, the pull- in order to observe a lesion, and even then, if through operation, and the Miles Combined one is suspicious, it is necessary to do an ex­ operation. The anterior resection has the lowest ploratory to absolutely establish a diagnosis of mortality and the lowest recurrence rate. The lesion in the right colon. He also stressed the pull-through operation is as effective as the necessity of doing proctoscopic examination at Miles Combined operation, and he cited two the time of colon examination, to rule out series of 170 cases each in comparing the oper­ lesions of the lower colon. ations, and he is satisfied in his own mind that The next paper was that of "Tracheotomy" this is as satisfactory an operation as the Miles by Dr. Louis P. Hoyer, Jr., who had surveyed Combined operation. He wished to present this the cases done in Tacoma during the past ten paper, inasmuch as to stimulate thought about years. He stated there were 77 cases of trach­ this, inasmuch as most surgeons now feel that eotomy in the past ten years, and he felt that the Miles-Combined operation is the best oper­ tracheotomy should be used in any condition ation for cancer in the upper and lower rectum. wherein there is considerable respiratory diffi­ He felt his results justify the preservation culty, and he felt that tracheotomy is not done of the sphincter, and he had sphincter control in frequently enough. He cited several cases and these patients, with a low anastomosis, which stressed the technique. was saitsfactory in about 75% of the cases. The next paper was "Bilateral Ureteral Injury The meeting was adjourned at 9 :3 0 p. m. with Extravasation" by Dr. Homer W . Hum­ — Edivard R. Anderson, M.D. iston. This was a case report of tying off both Secretary, Tacoma Surgical Club ureters following a vaginal hysterectomy and the subsequent care being a bilateral ureter­ ostomy and later anastomosis of the ureters to Research Study Club of the bladder. The patient made a good recovery Los Angeles and a good result from a rather unfortunate injury. Attended by Dr. Walter C. Cameron and The main paper of the afternoon was "Surgi­ myself from Pierce County, the two week cal Treatment of Diverticultis” by Dr. John meeting held the last two weeks in January, Waugh, our guest speaker. He surveyed the attracted speakers from all over the country. Dr. cases of diverticulitis for which it was necessary Cameron acted as discussion leader in the Eye to have surgical treatment at the Mayo Clinic. Section, presenting "New Techniques in Cata­ They are, of course, in the minority, and compli­ ract Operations.” cations are perforation, obstruction, and bleed­ The meeting consisted of one week devoted ing. In most cases he is able to do a one-stage to ear, nose and throat therapy, surgical tech­ operation, but occasionally, if the obstruction niques and the most recent advances in this is complete or there is a perforation, it is field. The second week covered newer topics necessary to do a transverse colostomy and then in diangnosis, surgery and treatment of the eye. drainage. If such is the case, the patient should The combination of an excellent program, be x-rayed in three or four weeks to rule out wonderful weather and hospitality made the carcinoma, as this is sometimes very difficult trip equally informative and relaxing. to do. If carcinoma is present, it is necessary — Charles E. Marshall, M.D. to go ahead and resect the area at that time. However, if it is felt reasonably certain that the patient has diverticulitis, he waits about three "Glasses as your eye to four months before resecting the area, then later having closure of the colostomy. physician prescribes them" A question and answer period was then held, and Dr. Waugh answered many questions and Contact Lenses — Artificial Eyes commented on the various papers, and this topped off a very enjoyable afternoon. The evening session was held at the Crystal Columbian Optical Co. Ballroom of the Winthrop Hotel and was pre­ Ground Floor, Medical Arts Bldg. ceded by cocktails. Certificates were awarded to Medical Center the incoming members, and Dr. John Waugh Western Clinic Bldg. then presented his paper of the evening, 30 BULLETIN of the P i e b c e C o u n t y M e d i c a l S o c i e t y Upjohn R elax the nervous, tense, emotionally unstable:

Reserpoid ( Pure crystalline alkaloid) - «£$ERPIHE Each tablet contains: Reserpine ...... 0.1 mg. or 0.25 mg. or 1.0 mg. or 4.0 mg. The elixir contains: ReBerpine ...... 0.25 mg. per 5 cc. teaspoonful Supplied: Scored tablets 0.1 and 0.25 mg. in bottles of 100 and 500 1.0 and 4.0 mg. in bottles of 100 Elixir in pint bottles The Upjohn Company, Kalamazoo, Michigan BULLETIN of the Pierce County M edical Society 31 Social Security Poll Results These results have been transmitted to the Announced American Medical Association, whose House of Delegates last fall recommended that all State The Washington State Medical Association Medical Associations conduct such polls. has announced the results of its poll to deter­ mine the attitude of individual members toward This expression of opinion does not establish national social security coverage of physicians. policy for the Washington State Medical Asso­ The poll was conducted during the first half ciation, inasmuch as only the House of Dele­ of April. With 1,896 votes cast, 75 per cent of gates is vested with policy making authority. the ballots sent out were returned. The ballot form was as follows: Bill had just returned to his home in New Do you favor 'extension of the Old Age and York from a vacation in Texas. He greeted his Survivors Benefits coverage of the Federal So­ wife by giving her several mink coats, 4 Cadil­ cial Security Act to physicians?—.,...... lacs, and scads of money. ( mark yes or no) "How in the world did you get all these If your answer above is "yes”, do you believe things?” she demanded. participation by physicians should be: "Shucks, honey, it was easy, I was in Houston Check one: Compulsory? □ Voluntary? □ during Hallowe’en and went out playing trick Tabulation of the ballots revealed the follow­ or treat.” ing results: Number Per Cent "No” ...... 723 38.13 "Yes” votes: Checked "voluntary”...... 890 46.94 DAMMEIER Checked "compulsory”- 262 13.82 Printing Co. No choice stated...... 11 .58 Ballots not tabulated due to BRoadway 8303 irregular replies ...... 10 .53 811 Pacific Ave. Tacoma T otal...... 1,896 100.00 Don’t overstimulate the depressed patient. . .

REATE A HAPPY MEDIUM ;;.V with N E W Ritalin ... a mild cortical stimulant ^ which gently lifts the pa­ tient out of fatigue and de­ pression without swings of reaction caused by most Supplied: Tablets, 5 mg. (yellow), 10 mg. stimulants. Ritalin counter­ (blue) and 20 mg. acts the oversedation of (peach-colored). Dosage: 5 to 20 barbiturates, chlorproma- mg. b.i.d. or t.i.d., adjusted zine, rauwolfia, antihista­ to the individual. mines .. .yet has no appreci­ RITALIN® able effect on blood pres­ hydrochloride (methyl* phenidylacetate sure, pulse rate or appetite. hydrochloride CIBA) 3 2 BULLETIN of the Pierce County M edical Society Doctor-Lawyers Annual Banquet Introducing Once again on Friday, April 27th the doctors and lawyers of Tacoma and Pierce County got together for an evening of fellowship, good food and entertainment. This was the fourth annual such gathering and this year the lawyers played host to the doctors. The evening began with a cocktail hour at 6:30 p. m. followed by a most delicious dinner. Entertainment was pro­ vided by the Varsitones, a well-known Seattle quartet. Master of ceremonies for the evening was Tom Gagliardi, who turned in an excellent performance. He was preceded by Dr. Gerry Kohl who announced the secret word for the evening. It appears to be the opinion of all concerned that these annual Doctor-Lawyer banquets are Dr. Richard T. Davis of great help in bringing the two professions Dick is another "Tacoma Boy” having been }■ closer together. They seem to be thoroughly en­ born, raised and received his elementary edu- i joyed by all who attend, and we all hope they cation in Tacoma. He attended Washington, will continue through the years. Mason and Stadium high school and thence - — Robert M. Ferguson, M.D. went on to spend two years at the University =' of Washington and two more years at Oregon : Introducing State finishing there in ’42. ii In 1942 Dick entered Northwestern Medical p School. After finishing in 1945 Dick interned g at Detroit. Receiving one year and then spent ;i the years '46-’48 in the Army. He had transport K duty— travelling between Seattle, Manilla, Yo- I kahama, the Aluetian Islands and Guam. m After his tour of duty with the Army, Dick went back to Wayne University where he was a fellow in surgery from ’48 to ’49 at Detroit Receiving Hospital. The years 1949-51 i were spent as an assistant at the Boice-Willis i Clinic in North Carolina. The year 1951-52 was spent at the Graduate School of the University ( of Pennsylvania; and 1952-54 as surgical resi- 1 dent at Allentown General Hospital. Dick re- turned to the Boice-W illis Surgical Staff from Dr. Galen H. Hoover 1954-55 prior to coming back home in August, i t Dr. Hoover was born in Sunnyside, W ash­ 1955. It was while he was at the Boice Clinic i ington in November, '23. His family sub­ in 1951 that Dick met and married his wife i sequently moved and he obtained his elementary Jane. They now reside in the northend with' I education in Blaine and later Puyallup, Wash­ 3- and 2-year old daughters and 1-year old son. ington. Galen was in the Navy in 1942-1943 here Library Corner i in Washington. After completing his service New Books . | time he went on to graduate from CPS in ’49 Masserman— Practice of Dynamic Psychiatry ' -nu, and the University of Washington Medical Jones — T h e L ife and W ork o f Sigmund Fret4j * School in '54. He interned at Tacoma General V. I. Hospital. W aldbott— Contact Dermatitis Galen resides in the north end with his wife Ciba Clinical Symposium — 1955 Patricia (whom he met while in school in Year Book of Neurology, Psychiatry and Neuro­ Puyallup) and 3 children— girls age 11 and 9— surgery. ■ « and boy 7 years old. Galen is a golfer and "Hi Fi” enthusiast ------it (having just completed building a "Hi Fi” set.) “PATRONIZE OUR ADVERTISERS” ^ ■ i , B U L L E T IN of the Pierce County M edical Society 3 3 Introducing been here in Tacoma association with Dr. Rigos and Flynn. He has made contributions to medical liter­ ature having articles in Radiology, New Eng­ land Journal of Medicine and Northwest Medi­ cine. Ken has a family consisting of wife Keatv and three children, 7 V2 , 5 and 4 weeks. Ken is a real outdoorsman. He hunts— both big game and birds. He fishes— both fresh and salt water. Also he has made several ski trips since coming to Tacoma.

British Columbia Surgical Society Meeting Victoria, B.C.— April 20-21 Dr. Kenneth E. Gross One of the most worthwhile surgical meet­ Ken was born in Newark, N.J., in 1919. He ings I have had the pleasure of attending in attended the elementary schools in Union, N.J., recent years, was that of the British Columbia and obtained his AB in 1940 at Dartmouth Surgical Society held in Victoria, April 20th and M.D. at the University of Pennsylvania in and 21st. The guest speaker for the annual 1943. scientific session was the renowned Dr. Richard From 1944 to 1946 Ken served in the Army B. Cattell, Chief Surgeon at the Lahey Clinic in at Okinawa and Leyte. After completion of his Boston. Always a drawing card, this brilliant Army duty he went into a Radiology training man contributed greatly to the discussions and program first at Dartmouth and later at Harv­ delivered two excellent dissertations dealing ard. From 1950 to 1955 he practiced Radi­ with "Changes in The Treatment of Thyroid ology in Spokane and as of January, 1955, has Disease” and "Strictures of the Bile Ducts”. While Dr. Cattell was most interesting and inspiring, he was well complemented by the other physicians appearing on the program. Indeed, without detracting at all from Dr. PARK-N-SHOP Cattell, it might be said that the local essayists were just as stimulating in the presentation of PRESCRIPTION their very scholarly and well worked-up papers. Much of the work presented was original, and represented findings of investigations carried DEPARTMENT our right here in our neighboring localities. I shall try to present in the following para­ graphs brief summaries of the principal papers Open 24 Hours a Day which were delivered. Dr. John W. Frost and Dr. Frank B. Thomp­ son, of Vancouver, discussed exploration of the 7 Days a W eek common duct, and presented a series of cases collected from the various Vancouver hospitals. In the material gathered from the larger Van­ couver institutions it was found that when the ☆ ☆ ☆ common ducts were explored— the usual clinical indications and findings at surgery prevailing— stones were not found in 60 to 80% of cases. NIGHT DELIVERY BY TAXI Because stones were being recovered in only 20 to 40%, of explored cases, these workers have tried to devise techniques for avoiding un­ ☆ ☆ ☆ necessary choledochotomy and for making the explorations undertaken more productive. To this end, pre-operative cholanograms using in­ GR. 8693 98th and Pacific travenous Cholegrafin are being routinely used on all gall bladder patients at St. Paul’s Hospital in Vancouver. Operative cholangrography,

BULLETIN of the P i e b c e C o u n t y M e d ic a l S o c ie t y 3 5

the human being is concerned although this some in aortic resections has been post-oper­ material has produced carcinoma in experi­ ative renal shutdown— 50% in the cases of mental animals. Musgrove and Colleagues. He suggested that In discussing the treatment of toxic goitre perhaps surgeons might reduce this by a series at the Lahey Clinic, Dr. Cattell stated that of measures including use of long-acting spinal propyl-thio-uracil is being used in dosages of anaesthesia, Procaine injection of the abdom­ up to 1000 mgms. per day and that Tapazol is inal sympathetics before applying the aortic being used in dosages of 60 to 120 mgms. per clamps, slow application and release of aortic day. This has been found safe and free of un­ clamps, and care in not injuring the renal veins. desirable side effects because there is no appre­ Dr. William Sutherland and Dr. Rocke ciable accumulation of these drugs. He also Robertson, Professor of Surgery in the Univer­ pointed out that side effects of propyl-thio- sity of British Columbia, presented a very com­ uracil are rarely seen. prehensive study of Gastrectomy with Vago­ So far as thyroid malignancy is concerned, tomy. Their series is large enough to be signifi­ the Lahey Clinic Group has found an incidence cant. Furthermore, it was carried out on all of about 33% in discrete nodular goitre. Dr. male veteran patients who were able to be fol­ Cattell emphasized that while small diffuse lowed well for a period of two or more years. nodular goitres should not be operated upon, The series included 320 cases of Vagotomy and if one finds a discrete nodule in the thyroid it Gastrectomy, in which a 50% resection with should always be removed at any age, by lobec­ Abdominal Vagotomy had been done (with tomy. Since 1951 the Lahey Group have dis­ the exception of five cases which had a Billroth continued radical neck dissections in carcinoma I ) . Of these 320 cases, 230 were able to be simplex because of the poor results. X-ray is assessed. There were three deaths in all, each employed here as an adjunct to surgery. In one attributed to mechanical failure. There determining malignancy Dr. Cattell does not were 81 patients (2 5 % ) listed as having com­ believe that Silverman needle biopsy is either plications, chief among which were: Thirty- advisable or reliable. three Pulmonary complications; Twenty-three wound complications; eight leaking duodenal A very excellent paper dealing with the stumps; six cases of phlebitis; three secondary various causes of intra-luminal intestinal ob­ haemorrhages (2 from the suture line); and struction was presented by Dr. A. J. Kergin, dumping. It is interesting to note that one New Westminster surgeon, in collaboration patient developed an acute appendicitis, and with Dr. J. D. McPhee, New Westminster one an acute cholecystitis in the early post-op radiologist. The subject was graphically illus­ period of hospitalization. Dumpers were classi­ trated with Roentgenograms of the various fied as "early” and "late”, the early ones exper­ cases in point being projected. iencing symptoms immediately after ingesting Dr. J. E. Musgrove of Vancouver gave the food, the late ones experiencing symptoms assembly an opportunity to review his work on after an interval of time, for example an hour the treatment of abdominal aortic aneurysms. or two, post-prandial. In the early dumpers This excellent work was most effectively illus­ there was no correlation with the blood sugar, trated by slide projections and color films taken or progress of the food bolus and the occurrence at operation. Dr. Musgrove pointed out that of symptoms. The late dumpers, however, have once a patient with an aortic aneurysm develops a carbohydrate metabolic problem. These pa­ pain, his prognosis can be measured in weeks tients have a rapid blood sugar drop a few or months before rupture occurs. In his series hours after meals. It is not the extent of the the calcium ring on plain film of the abdomen, blood sugar drop so much as its rapidity which was the most constant radiological finding. causes the symptoms. This type of dumping Wrapping of eneurysms with cellophane and syndrome can be produced almost at will in injection of di-acetyl-phosphate has not given the hospital situation and can be aborted by worthwhile results and was mentioned only having the patient ingest carbohydrates at the as a point of historical interest. Dr. Musgrove appropriate time, postprandially. has abandoned this treatment in favor of aortic homografts. Of particular interest was (To be continued next month) a case report of a congenital aneurysm of the cqmmon iliac artery in a six year old boy. The A new word has been added to our Amer­ history in this case was negative for syphilis and ican vocabulary. In describing a boy of his trauma. One other case of what was apparently acquaintance, a youth said, "He’s psycho- a congenital aneurysm of the thoracic aorta in ceramic.” a fourteen year old girl was also mentioned. A ''W hat’s that?” someone asked. serious complication which has been bother­ "Crackpot.” Pierce County Medical Society Sec. 34.66, P. 1. & R. Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

“ The Mentally III Need Y our H elp . . . Join! Give!” BEALL’S Karen Rynning The Prescription Store PHYSICAL THERAPY Member of 124 Meridian South American Physical Therapy Association PUYALLUP REFERRED WORK ONLY Puyallup 5-6291 507 Medical Arts Building BRoadway 2862

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 Monday— 12:15 Luncheon Meeting Even Months ^ RIJLLETIN PIERCE COUNTY MEDICAL SOCIETY

VOL. XXVI—No. II TACOMA, WASH. JULY - : - ■ ■. - • 2 BULLETIN of the Piebce County M edical Society Pierce County Medical Society 195 6 OFFICERS J lhai President ...... _ ...... Gerald C. Kohl "(mi. President-Elect ...... Hillis F. Griffin Vice-President ...... Burton A. Brown Hap-py birth - day to you, Secretary-Treasurer ______Arnold J. Herrmann TRUSTEES Burton A. Brown Louis P. Hoyer, Jr. Happy Birthday Walter C. Cameron Gerald C. Kohl Carlisle Dietrich S. Robert Lantiere Philip Grenley Glenn G. McBride July Hillis F. Griffin Fay Morris Nace Arnold J. Herrmann Warren F. Smith 1 PAUL MICKENS D E L E G A T E S 2 PH ILIP BA C K U P Jesse W. Bowen, Jr. Arnold J. Herrmann Walter C. Cameron Frank R. Maddison 8 JAMES LAMBING Philip Grenley ALTERNATE DELEGATES 10 CLARIS ALLISON Louis P. Iioyer, Jr. Charles E. Kemp H O M ER CLAY Murray L. Johnson William J. Rosenbladt Warren F. Smith 11 WALLACE HOYT COMMITTEES 12 ROBERT FLORENCE E thics 13 MICHAEL IRVIN Charles H. Denzler, Chairman S. Robert Lantiere William H. Goering FRANK MADDISON G rievance 21 GEORGE KITTREDGE Walter C. Cameron, Chairman Miles Parrott Jess W. Read 23 CHARLES DENZLER House and Attendance CHARLES McCOY Philip C. Kyle, Chairman Rodney Brown Mills Lawrence 24 JOHN SHEPPARD Glenn G. McBride 25 CHRIS REYNOLDS Library Fay Morris Nace, Chairman 26 ARCHIBALD HEATON Robert R. Burt Joseph O. Lasby 27 FREDERICK SCHWIND Ralph H. Huff Program 28 WILLIAM GOERING John J, Bonica, Chairman Carlisle Dietrich Hugh A. Larkin 31 MARTIN ELTRICH Rodger Dille Stanley W. Tuell F A Y NACE Wayne Zimmerman Public Health Charles E. Kemp, Chairman Cecil R. Fargher Louis P. Hoyer, Jr. Roster Changes Franz P. Hoskins Merrill J. Wicks Public Relations JOHNSON, MURRAY L. Haskell L. Maier, Chairman Surgery— Tuesday and alternate Saturdays Samuel E. Adams Wm. W. Mattson, Jr. Office, 1412 Medical Arts Building ...... FU 1643 Herman S. Judd Warren F. Smith Home, .501 North Tacoma Avenue...... MA 5697 Civil Defense FERGUSON, ROBERT M. Murray Johnson, Chairman General Practice— Thursday and Saturday p.m. Daniel Hunt, Admiral, U. S. Navy, retired Office, 1118 Medical Arts Building ___ MA 6424 Paul E. Bondo Richard B. Link Home, 3507 North Adams ______SK 4141 J. Robert Brooke James D, Lambing D iabetes CRABILL, ROBERT P, Robert E. Lane, Chairman General Practice— Wednesday Joseph B. Harris G. Marshall Whitacre Office, Lakewood Medical Center Building LA 4451 Entertainment Home, 6926 Lake Steilacoom Avenue_...... „.LA 0558 Jesse W. Bowen, Chairman L. Stanley Durkin Charles P. Larson MEIER, HERBERT H. James M. Mattson Frederick J. Schwind Obstetrics and Gynecology Office, 729 Medical Arts Building ______M A 7342 Geriatrics also, 8808 Bridgeport Way S.W . _____ ,._LA 5711 J. Benjamin Robertson, Chairman Home, 7 Barlow Road S.W...... LA 7554 Hollis Smith John L. Whitaker Legislative For Roster Changes call the Medical Society MA Douglas P. Buttorff, Chairman Homer W. Humiston Wendell G. Peterson Dumont Staatz Medical Education Committee Lewis A. Hopkins, Chairman Pierce County Medical Society J. Edmund Deming, Sr. Thomas B. Murphy Mental Health Committed William H. Todd, Chairman DOES NOT MEET Treacy H. Duerfeldt Harlan P. McNutt George S. Kittredge F. E. Shovlain During the months of School Committee R. A. Norton, Chairman Lester S. Baskin David T. Hellyer June, July and August Woodard A. Niethammer Traffic Safety John Theodore Robson, Chairman Don Francis Cummings Robert A. Kallsen Louis M. Rosenbladt NOTICE Bulletin Staff E d ito r ------W illiam Mattson, Jr. Check back page of Bulletin for calendar Business M anager------Shirley Imcson Auxiliary News Editor ...... Mrs. Becky Banfield of special meetings WHAT IS THE DIFFERENCE BETWEEN A TRANQUILIZER AND A SEDATIVE? r Comparison of the effect of Raudixin (tranquilizer) and a barbiturate (sedative) on the cortical electroencephalogram

No drug.

After Raudixin. E. E. G. not altered.

After barbiturate. Typical “spindling” effect.

Because barbiturates and other sedatives depress the cerebral cor­ tex, the sedation achieved is accompanied by a reduction in mental alertness. Raudixin acts in the area of the midbrain and diencephalon, and does not depress the cerebral cortex. Consequently, the tranquiliz- ing (ataractic) effect achieved is generally free of loss of alertness.

SquibbRAUDIXIN Whole Root Rauwolfia Serpentina

dosage: 100 mg. b.i.d. initially; may be adjusted within a range o f 50 mg. to 500 mg. daily. Most patients can be adequately maintained on 100 mg. to 200 mg. per day.

s u p p l y : 50 mg. and 100 mg. tablets; bottles of 100, 1000 and 5000.

S q jjib b Squibb Quality—the Priceless Ingredient ‘ DAUDIXIN'® JS A SQUIBB TRAOCMAR* 4 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

Tacoma Brace | South Tacoma & Lim b Co. Lenart C. Ceder, owner Drug C o.

☆ 1 Fred Ludwig Expertly fitted— Orthopedic Appliances = ★ ★ ★ Artificial Limbs Surgical Belts | PRESCRIPTIONS Arch Supports Trusses I DELIVERY SERVICE

☆ E ★ ★ ★ 723 South K Street Phone MArket 2717 I 5401 South Tacoma Way HI 9419

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

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

I. I. MELLINGER Presid ent CREDIT TERMS OUR FUNERAL BENEFIT IF INSURANCE PLAN SAVES YOU C.C.Mellinaer DESIRED MONEY TOO

Underwritten by Homesteader's Life Co. of Des Moines, Iowa. Lowest rates— AND MEMORIAL CHURCH W e invite 6TH & TACOMA comparison.

ages 1*85 BROADWAY 3268 NO MEDICAL EXAMINATIONS BULLETIN of the Pierce County M edical Society 5

Annual Pierce County Medical Society

FIELD DAY

Golf Fishing Dinner Et Cetera

Friday, July 20, 1956

TACOMA COUNTRY AND GOLF CLUB

STAN DURKIN, Chairman Golf Committee The Most Important Document You Will Ever Sign

The most import.mt document you will sound will. And the cost may not be great. cu t siun, or .should sijjn, is vour Will, No matter how larj*c or how small your estate, Special attention should he given to nam- you should make a Will. Why':' Heeause a ini' a hank as exccutor, solely or jointly with Will provides tin- greatest financial security your wile and/or others. lor y(m11 family . . . your wife . . . vour A hank’s liust department is specialized ; children. Il provides (lie greatest possible in estate administration . . . and importantly, economy in setllinu your affairs . . . leaving a trust department is permanent and time­ more for your lamily. less. It will repay yon mans times lo see an Act now . . . see an attorney . . . protect attorney. He will pve your family the pro­ your loved ones . . . make your Will. It will tect ion of a properly drawn and legally give you a great pcaee of mind.

TRUST DEPARTMENT PUGET SOUND NATIONAL BANK O F TACOMA

MAIN OFFICE • LINCOLN • K STREET • LAKEWOOD

Free Customer Parking at our Big lot at 13th and A Streets and at Branches t

MEMBER: FEDERAL DEPOSIT INSURANCE CORPORATION ■ FEDERAL RESERVE SYSTEM [ BULLETIN of the F i e r c e C o u n t y M e d ic a l S o c ie t y 7 Letter To The Editor elude that the world is not going to "Hell in a hack” nearly as fast as they would lead us to Dear Bill: believe. I was happy to see your editorial in the June W ith kindest personal regards, Bulletin regarding the Social Security Poll and Eric R. Sanderson, M.D. to find that you and I agree on the differences Editor, King County Medical in the basic presentation of the two sides of Society Bulletin the Social Security question. In theory at least, the basic training of the Medical Disciplinary Board Election medical profession has been scientific. W e are supposed to look at the problems of the world As you know, the Washington State Medical pretty "cold turkey” and say, "This is a fact, Disciplinary Board is composed of six licensed this is a fact, and therefore we come to this doctors of medicine, each of whom is elected conclusion." from one of the state's congressional districts And yet, in this debate only the one side has by the doctors residing in that district. approached the problem in a scientific manner. The Medical Disciplinary Act provides that Those who are against including physicians in Board members from even-numbered districts social security generally start back with Bis­ shall be elected in even-numbered years, and marck and view with alarm anything that has members from odd-numbered districts shall be happened in the meantime with which they elected in odd-numbered years. disagree and yet, I have never seen their argu­ Therefore, since 1956 is even-numbered, ments mustered together so that they could elections to the Board will be held this year be examined critically with a detached scientific in the Second, Fourth and Sixth Congressional approach in mind. Districts. Incumbent Board members from these I am trying not to take either side in the districts are, respectively: Dr. W . C. Moren, debate as far as the final conclusion is concerned Bellingham; Dr. J. E. Downing, Yakima, and but unless the people against inclusion in social Dr. Jess W. Read, Tacoma. These men are eli­ security come up with something more concrete gible for re-nomination and re-election. than they have in the past, I am forced to con- The State Department of Licenses has an­ nounced the following procedure and time table for the election: Candidates may be nominated by petition signed by not less than 25 licensed doctors of medicine residing in the nominee's Congres­ sional District. These petitions must be filed in the office of the Director of Licenses in Olympia by 5 p.m. August 17, 1956. Nomina­ tion forms will be deposited with each County Medical Society and County Clerk in the three Congressional Districts involved. The election will be held by secret mail bal­ lot in September. An official ballot will be sent to each doctor residing in the Second, Fourth and Sixth Congressional Districts. The ballot will contain the name or names of all nominees within the district in which the voter resides. Voting will close at 5 p.m. on September 21, 1956.

“PATRONIZE OUR ADVERTISERS” i reasonable cost. They are accessible for personal or telephone reference. DAMMEIER Printing Co. BRoadway 8303 811 Pacific Ave. Tacoma 8 B U L L E T I N of the Pierce County M edical Society I ? 1

BRA LEY'S, Inc PRESCRIPTION DRUGGISTS

Catering to the Doctor and his patient

FREE DELIVERY

Medical Arts Building MArket 8116

i

(.0. LYNN CO.

717-719 South Tacoma Avenue

Phone MArket 7745 BULLETIN of the Pierce County M edical Society 9 Dr. Haskel Maier Conducts Very Successful Indoctrination Dinner Meeting Our busy and energetic Public Relations \ AND ALL Chairman, Dr. Haskel Maier, deserves great credit. During the last two months he has con­ DAIRY PRODUCTS ducted an extensive survey of Pierce and King Counties— for all prospective members of our society. All were invited to attend an Indoctrina­ tion Dinner Meeting at the University-Union club, Thursday, June 14th. Only two or three were unable to come— and all those present felt it was most constructive. Several nice com­ ☆ ments were made by members who transferred from other county societies. The speaking panel included Mr. Robert Careful Mothers use Pro­ Knight, who discussed bookkeeping and tax tected Milk. Pasteurized problems; Mr. Huber, who reviewed the prob­ lems of hospital administration and relations; and Homogenized Milk Mr. Otten on the Welfare Program; Dr. Homer from our own contented Humiston, the Bureau; and Mr. Bob Young, the legal aspects. cows can be delivered New and prospective members present were: to your home or your Drs. Frederick M. Peters, William C. Hill, John M. Kanda, John Medved, Paul M. Gerstmann, grocer Dudley W. Houtz, Jr., Vergil Condon, Frank Wery, William A. Sullivan, Vincent Murphy. Drs. Douglas W . Erickson, Orvis A. Harrel- ☆ son, Robert A. Kraft, Kenneth E. Gross, John F. Comfort, George H. Hess, Richard T. Davis, Thomas D. Moberg, Claris Allison, Donald F. A Favorite Dairy for over Allison, James E. Hazelrigg, Edward S. 30 years. Recommended Eylander. Medical Society representatives were: Drs. by doctors and dietitians. Herman S. Judd, Gerald C. Kohl, Haskel L. Maier, and Wm. W. Mattson, Jr. ‘IF. IF. M„ Jr. ☆ Surgical Club Elects CALL New officers for 1956-57 were elected at the May meeting of the Tacoma Surgical Club. President, Louis P. Hoyer, Jr., M.D.; Vice- WAverly 8705 President, Edward R. Anderson, M.D.; Secre­ tary, Warren F. Smith, M.D.

EVERY DROP PURE HEAT SanharyH STANDARD [INFANT DAIRY! Heating Oils Call MA. 3171 Fuel Oil Service Co. Direct from Our Farm to You 816 A St., Tacoma Mark Dolliver Jack Galbraith 1 0 BULLETIN of th e Fierce County M edical Society

ROGER R. 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

1015 SOUTH TWELFTH STREET MArket 0118 TACOMA 3, WASH.

Taxicabs - Ambulances for your Patients

ALL AMBULANCES ARE OXYGEN-EQUIPPED

Tacoma Yellow Cab Co.

1324 Market Street

MArket 1121 BR. 8383 B U L L E T I N of the Pierce County M edical Society 11 HOSPITALS. . .

Pierce County ette of Shreveport, La., are the two new mem­ bers of the laboratory staff. Again it is that time of year when the hos­ Signe Kassa, Social Service, is vacationing pital bids goodbye and wishes good luck to with her family in Long Beach, California. the outgoing interns. Drs. Donald Molinero Mrs. Patricia Younie, dietitian, left to per­ and James Blankenship are entering the Navy form the same work at the Doctors' Hospital in and Drs. Clarence Benson, John Kenman, Seattle. Mr. Yonuie, recently discharged from Douglas Beath will join the U. S. Army. the Army, is entering the University of Wash­ Dr. Paul Bassford and family are returning ington as an Engineering student. to Phoenix, Arizona, where Dr. Bassford will Ronald Miller, son of Mrs. Alice Miller of have a Surgical Residency at Maricopa County the Dining Room staff is visiting his mother. General Hospital. Dr. John Reeves and family Mr. Miller is with the Geological Survey in are driving to Ohio, where they will visit rela­ California. tives, then on to Texas City, Texas where Dr. Reeves will begin his practice. Dr. Frederich Tacoma General Flannigan will also enter the Army. Dr. Ralph Stagner will remain temporarily in the north­ July 1 is the date for the coming of new west as will also Dr. Lief Kvamme. interns and the going of those who have served their year. Reporting for duty for the next Dr. John Kanda will open an office in Sum­ twelve months will be Dr. Ernie J. Chaney, Dr. ner, Washington and Dr. Keith Senz will prac­ Herbert D. Doubek, Dr. Robert L. Hamilton, tice in Sequim, Washington. Dr. John Trantow remains as a resident doctor at Pierce County Dr. John S. May, and Dr. Donald Saunders, all and Dr. John Dunlop will also do residency of the University of Kansas Medical School; Dr. Charles J. Gehlen, of the Medical School of work at the same hospital until October, at the University of Washington; Dr. Wood C. least. We are pleased that some of these out­ Hiatt of the University of Tennessee Medical standing doctors are remaining in the Washing­ ton community and regret that others must go School. Upon completion of their internships here, so far away. Dr. Buckley and Dr. Beckman will report for Mrs. Anita Preston of the Physio-Therapy residencies; the former in Pediatrics in Oak­ department will attend the World Confedera­ land, California, and the latter in Medicine at tion for Physical Therapy, New York City, Fort Logan, Colorado. Dr. Reid has his orders June 17-23. In addition, she will attend the to report to the Army at Fort Sam Houston, post-conference course at the Kessler Institute Texas. Dr. Bloomstrom will enter the Public for Rehabilitation in W est Orange, New Jersey. Health Service in Lexington Kentucky; Dr. The hospital personnel gathered for a coffee Miller reports to the Air Corps; Dr. Donnell hour honoring Mrs. Alice Cain, housekeeping has been ordered by the Navy to Washington, superintendent of the hospital for the past 12 D.C., where he will have a four months urologi­ years. Mrs. Cain is leaving to take over the posi­ cal internship before receiving further orders. tion of Chief Housekeeper at American Lake Dr. Condon reports to the Navy also, while Hospital. Mrs. Cain was presented with a beau­ waiting for orders he will take Dr. Hoskins’ tiful mantel clock from her many friends who practice while he is vacationing. Dr. Houtz is regret her departure. opening his own offices in Westgate here in Two recent weddings are of note, that of Tacoma. Ruth Hopkins to John Nagle and Janice Hop­ The annual picnic for all Tacoma General kins to Robert Turner. Both young brides are Hospital personnel was held at Ta-Ha-Do-Wa members of the clerical staff of the hospital. as it has been for many years, courtesy of Dr. Ann Ness, Emergency Room Nurse and her Schultz. Even the rain did not interfere with husband leave June 18 for a motor vacation the enjoyment of the fine food, the sociability along the Oregon coast and then to Banff, of the occasion, and the hospitality of the host. Canada. Mrs. Virginia Davies and Mrs. Georgina Gonyeau, Instructors in Nursing Arts, have Dr. Charles Chunn, D.D.S. and Dr. Robert Lukas, D.M.D., are the new members of the resigned from the faculty of the School of dental staff, Nursing. Their resignations become effective July 1. Angela Auer, formerly a technician in the Lutheran Hospital, Puyallup, and Barbara Jan­ (Continued on Page 13) 12 BULLETIN of the Pifrcf. County M edical Society

First In The Lakes District

Y our Prescription Store

FIRST IN QUALITY n m m s e rv ic e

David Ludwig Fred Ludwig

PAY LAKEWOOD WEEKDAYS PHONE & 9 «.

Free Prescription Delivery BULLETIN of the Pierce County M edical Society 13

(Continued from page 11) Both are graduates from Lincoln High School. W e hope their stay will be enlightening to Walter Huber, as president of the Washing­ them and pleasant for all of us. ton Chapter American Association of Hospital A hearty welcome is extended to Dr. Baskin Accountants, will attend the Fourteenth Annual on his return from an extended trip to Europe. Institute on Hospital Accounting. Sponsored by He visited England, France, Holland, Switzer­ the American Hospital Association, it will be land and Italy and even had the privilege of two held this year at the University of Indiana, audiences with the Holy Father, Pope Pius X II Bloomington, Indiana, from July 15-20. and also to shake hands with him. The Tacoma General Hospital Diet Manual was revised June 1. At each chart desk there is a descriptive chart of the new diets in con­ Historical Journal Received densed form. Any of these new diets in detail By Dr. Cameron may be obtained from the Dietitian, Mrs. An unusual journal of medical lecture notes Eudora Fulkerson. taken at the University of Pennsylvania in 1825 was presented to Dr. Walter C. Cameron, St. Joseph’s who has added it to the medical society library July once again brings new interns to the as an item of historic interest. hospital. We are very happy to announce six Replete with numerous references to blood interns are coming to replace our present letting, graphic descriptions of intestinal dis­ group. The new interns are: Dr. George R. orders and stark symptomatic descriptions, i.e.: Batey from the University of Tennessee, Dr. "A fly may crawl over the eye without any in­ Myeis E. McKitrich from the University of convenience to the patient”— the journal points Nebraska, Drs. John P. Liewer, W illiam L. up the general advisability of ruggedness in Rohner and Donald Rohrssen, all from the both patient and doctor during that era. University of Iowa, and Dr. William A. Silver from McGill University, Montreal, Canada. The desire to take medicine is perhaps the All are married, so we extend a very hearty wel­ greatest feature which distinguishes man from come to them all and hope they enjoy our animals. William Osier pleasant Northwest climate. From the present group of interns the Doc­ tors Son are leaving soon for Nebraska, Dr. Adamson and his family are going to West Virginia. Uncle Sam is claiming Dr. Sevenich A COMPLETE LINE OF and Dr. Medved is going to stay in Tacoma. SUPPLIES FOR THE Doctors Schmutzer and Stojicev will remain PHYSICIAN . . . HOSPITAL with us until August. The best of luck to all! Dr. and Mrs. Robert Lundeen welcomed a AND baby boy on June 19, 1956 and also Dr. and NURSING HOME Mrs. Del Kohler had a baby boy on the 20th. Mrs. Rosalie Beard had a baby girl. Mrs. Beard is an R.N. and has been working in the Nursery here. Congratulations to all. Record Department’s Dream has finally come true! Some of our girls are having quite an Mail or Telephone Orders interesting project to work on— microfilming all of the old medical records. Given Prompt Attention Mrs. Judith T. Anderson, formerly of the Medical Record Department, gave birth to a ■ ■ baby boy the 14th. Congratulations again. We are very happy to welcome back Mrs. Sylvester, R.N. She has fully recuperated from her operation. SHIPMAN Among the highlights of the hospital per­ sonnel was Miss Christine Daly’s wedding to SURGICAL CO. Jack Boze on June 2nd and Miss Ching’s wed­ ding June 9th. 741 St. Helens Ave. - BR. 6400 The two young ladies who are beginning Tacoma 2 their year of internship in the laboratory sci­ ences are Janice Jones and Shirley Jorgenson. 1 4 BULLETIN of the Pierce County M edical Society

A .M .A . New Physician’s Directory Arrives

The 19th edition of the American Medical Directory, listing almost a quarter million physicians, was published May 26 by the Ameri­ can Medical Association. The edition, the first since 1950, contains 3,122 pages and gives information on 240,638 physicians in the United States, its depend­ PHARMACY encies and Canada, according to Editor Philip; E. Mohr, of the A.M.A. directly department. It also lists American graduates temporarily in foreign countries. Since the 1950 Directory, more than 250,000; Prescription changes of address have been recorded in the files of the directory-biographical department; 4 6 ,348 names have been added; 24,225 have Druggists been deleted because of death, and 1,172 de­ leted for other reasons. In the 1950 Directory, the total number of physicians listed in the United States was 201,277; in the 1956 edition, the number is 218,061, a gain of 16,784. The Pacific states, as in 1950, show the larg­ est increase in physicians for 1956, with a gain of 23 per cent over the 1950 figures; the We Carry a Complete Stock of South Atlantic and Mountain states show gains of about 16 per cent, and the Central, Middi Biologicals and Pharmaceuticals Atlantic and New England states show small gains. California leads in the number gained^ with 20,763 physicians in 1956 as compared with 16,668 in 1950, a gain of 24.6 per cent. Florida, showing an increase of 49.8 per cent,, now has 4,530 physicians as compared with 3,025 in 1950. Texas shows a gain of 1,025- physicians; Ohio a gain of 990; Michigan, 963; "When Moments Count" and New York, 934. Among the smaller states showing a substantial increase in the number of physicians are Arizona, New Mexico, Ore­ gon, and Utah. Slight losses in the number of FUlton 2411 physicians are indicated in Arkansas, Illinois, Iowa, Missouri, Vermont, and W est Virginia. PROMPT . . . FREE DELIVERY A table showing the number of physicians by; states classified as to type of practice indicates that 30 per cent of the physicians in the United States are in general practice; 10 per cent give special attention to a specialty but do not limit their practice to it; 31 per cent limit their prac­ tice to a specialty; 11 per cent are serving in- . ternships or residencies, with an additional1 6- Stadium Hi District per cent in other full-time hospital services; 5 101 North Tacoma Avenue per cent are retired or not in practice, 4 petw, cent are not in private practice; and 3 per cent. ’ - Tacoma, Washington are temporarily in military service in various' government agencies.

“PATRONIZE OUR ADVERTISERS” 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 15 British Columbia Surgical length and width. Also the nylon became Society Meeting histologically incorporated into the adventitia in a firm fibrous coat. In order to stimulate Victoria, B.C.— April 20-21 fibroplasia the nylon-wrapped grafts were spray­ (Continued from. Last Month) ed with 10% Sodium di-cety 1-phosphate, a Stomal ulcers were suspected in 2.54% and powerful fibroblastic stimulant. In the experi­ proven in 0.86% of patients studied. In sum­ ments steel mesh was also used as a wrapping mary, these cases of Drs. Robertson and Suther­ for the grafts, but it was difficult to work with land seem to show that gastrectomy with Vago­ and invoked only a mild fibroblastic reaction. tomy offers very little which the standard 75% At the annual Dinner of the Society, Dr. resection does not. Vagotomy is perhaps to be Cattell favored the assembly with a dissertation done as a secondary procedure if a stomal ulcer on Strictures of the common bile ducts. In his develops after a standard Gastrectomy. The address he emphasized the cause of bile duct patients with 50% resection and Vagotomy are strictures, principally injury of the ducts due not better off nutritionally than those who to faulty exposure of the structures in the area have had the 75% resection only. They actually of the hepatic portal. He pointed out that ex­ lose more fat and nitrogen in the stools and are ploration of the common duct per se does not perhaps worse off. Stomal ulcers also occurred produce an increased incidence of strictures as often as when the 75% resection was done. except perhaps when the duct is so small that So far as Dr. Robertson and his group are surgery compromises the lumen. In the Lahey concerned, they will most probably abandon Clinic series the commonest sign of common Gastrectomy with Vagotomy and return to duct stricture was external biliary drainage ■doing the standard 75% resection alone. beginning approximately 48 hours post-oper- Some thought provoking predictions for the atively and continuing over a period of three to future were suggested by Dr. Marvin Dar- five weeks. It is Dr. Cattell's experience that rach's work in the Chemotherapy of Experi­ repair of common duct strictures is not an mental Tumors. The British Columbia Group emergency and that operation for their repair is working in close conjunction with other should not be undertaken until the patient has groups on the continent, including researchers been properly prepared. He stated, however, at the Sloan Kettering institution in New York. that operation should be done before a sponta­ Some of the compounds being tested show neous internal choledocto-duodenal fistula has promise of being cancerocidal, at least in the a chance to develop. In this instance there experimental animals, and may perhaps be an­ ensues an obstructive type of cirrhosis, ulti­ other step toward the ultimate goal of a chemo­ mately terminating in death. He has found the therapeutic solution of the cancer problem. most desirable type of repair to be an end to Dr. W. A. Dodds, anesthetist from the Van­ end anastomosis of the duct. In discussing "T" couver General Hospital discussed the work in tubes he said that he had had some tubes in for hypothermia in anesthesia as an adjunct to sur­ as long as nine years. It has been found that if gery which is being done at the Vancouver the patient does well for at least two years after General Hospital. The workers at this hospital bile duct repair and good biliary function per­ have been using cooling blankets to produce sists for this length of time, most probably hypothermia. It was pointed out that the tem­ good permanent results can be expected. perature may be safely reduced to 30° C. by Attendance at this annual session of the this method. It has been found out that cooling British Columbia Surgical Society was most re­ as low as 25° centigrade stops production of warding, not only from a scientific point of the 17 hydroxy-ketosteroids. At this temper­ view, but also in terms of friendships made and ature the adrenal gland cannot be stimulated renewed. I, for one, am already looking forward either by increased blood flow or by ACTH. to being present at next year's meeting of this Dr. Peter Allen of Vancouver in his Prize Society. Essay Paper gave the results of his experimental — Richard T. Davis, M.D. work on the "Feasibility of Autogenous Vein Grafts in the Replacement of Aortic Ane­ urysms.” In the experimental animal Dr. Allen AROUND TOWN resected segments of inferior vena cava and Many members had the pleasure of seeing Dr. substituted them for resected sections of the Robert M. Chambers in town during part of June. Aorta. While segments of vein, distend marked­ He has completed a postgraduate course at the ly under the Aortic pressure head, wrapping University of Pennsylvania and is now beginning his residency in Neurosurgery at the Ohio State with nylon re-enforces them and prevents this. University School of Medicine. In addition, Dr. The nylon-wrapped grafts remained constant in Chambers is associate professor of surgery there. 1 6 BULLETIN of the Pierce County M edical Society

McMILLAN BROTHERS, Inc.

942 Pacific Avenue - - - MArket 1126

Service to the Medical Profession and

their patients for 54 years.

We dispense only the finest of Pharmaceuticals.

Time Tested Dependability Established 1889

R. E. Anderson & Co. Inc. INSURANCE - MORTGAGE LOANS - REAL ESTATE PROPERTY MANAGERS

747-49 St. Helens Ave. BRoadway 8475

ASK FOR W. O. JEFFERY

OFFICERS H. F. SYFORD, President J. D. POWELL, Vice President DONALD M. MOORE, Vice President (In Charge of Fire Insurance) (In Charge of Casualty Insurance and Bonds) E. J. POLE, Secretary (In Charge of Marine Insurance) BULLETIN of the Pierce County M edical Society 17 Attend Meetings shown in which they showed the treatment of Drs. Helen and Hollis Smith Attend cystic lung disease by resectional surgery. It Washington State Tuberculosis Association was especially well done. It was the feeling that and Pacific N.W. Trudeau Meetings these cases should be operated upon because in Wenatchee if not, they became progressive and the surgery could be done with little or no danger. Again, discussion was rather lively because it was Summary of Meetings stated that they do not know the etiology of The annual meeting of the Washington State these cysts or emphysematous bullae, and even Tuberculosis Association was held in W enat­ though the blebs are resected it is impossible to chee June 14th and 15 th, followed by the get them all, and if it is progressive will they Pacific Northwest Trudeau Society meeting not recur? In the group down at the Veterans June 16th. The Thursday and Friday meetings Hospital, over a period of a few years they were given over to the discussion of Tubercu­ state they have had no recurrence to date, losis Association problems and featured two although one of the discussants had a case out of state men, Dr. Floyd Feldman, the Medi­ where blebs developed subsequently in the cal Director of the National T.B. Association, contralateral lung. It developed that surgery was New York City, and Dr. John Steele, who is quite a controversial subject and apparently connected with the Veterans Hospitals in Cali­ the case that is to be operated upon must be fornia. The Saturday meetings were strictly selected very carefully. medical, the first paper being presentation of a Dr. William Kirby of the University of case by Dr. Mattice of the Veterans Adminis­ Washington then gave his paper on staphy­ tration in Seattle, in which he reviewed a case lococcus pneumonia. It was his feeling, and he history of a 25 year old Negro. This man was was quite definite on this, that the series of first seen on Otcober 27, 1955 with an x-ray cases presented were admitted to the hospital showing a diffuse nodular infiltration through­ with other conditions and all acquired their out both lungs. On the following day he was staphylococcal pneumonia in the hospital. They admitted to the Veterans Hospital and skin had been on antimicrobial therapy for other tests for tuberculosis, coccidioides and histo­ conditions and strains of resistant staphylococci plasmosis were all negative. Lymph node biopsy developed. He went on to say that mattresses was done and the diagnosis of sarcoid con­ and blankets examined for the possibility of firmed. This individual was then started on infection just were teeming with staphylococcus Metacortin with remarkable improvement, and on culture. He feels that any case with staphy­ in January he was discharged from the hospital. lococcus infection should be put on strict Follow-up x-rays as late as June, 1956, showed isolation technique. These organisms were re­ the condition still to be inactive. sistant to all drugs except chloromycetin, ery- Considerable discussion followed this paper throcin and bacitracin. They soon become re­ because it was pointed out that many cases sistant to the first two and were only sensitive of sarcoid are benign and heal spontaneously to bacitracin. It was his feeling that 50* of very similar to the case mentioned. Cortisone is, these cases proved to be fatal. He said in exam­ however, of help but oftentimes will have to ining postmortem cases at King Count)' Hos­ be carried for a rather long period of time. pital, they would culture lung material and in Oftentimes after a two month period of treat­ two weeks a heavy growth of staphylococcal ment they will notice an exacerbation of the organisms was seen. Most of these cases de­ disease and it will have to be repeated. It was veloped acute pneumonia by x-ray, followed noted that while giving cortisone tuberculin by lung abscesses and some had positive blood skin test should be done at routine intervals cultures. He stated that the new drug, cathomy- and if the skin test changed from negative to cin, seems to be excellent against these organ­ positive during the course of the treatment, isms but the organisms become resistant chemotherapy for tuberculosis should be seri­ rapidly within three to four days. Another new ously considered. drug which is coming out is vancomycin which, The second paper was by Dr. R. M. Lane at the present time, seems very interesting as from Victoria, who talked on tuberculosis and they have been unable so far to develop staphy­ pregnancy. His study of the literature con­ lococcal resistant organisms. firmed our present concept that pregnancy is The next paper was presented by Dr. Roland not a serious complication of tuberculosis at Pinkham from the Children’s Orthopedic Hos­ this time. pital in Seattle on staphylococcal empyema in The next paper was presented by Dr. Phil children. He felt that this was different from Sauntry from the Veterans Hospital in Seattle the infection mentioned by Dr. Kirby. He felt on cystic lung disease. A short movie was (Co ntinued o n Page 19) 18 BULLETIN o f the Fierce County M edical Society

'Co-Pyronil

(PYRROBUTAMINE COMPOUND, LILLY)

. . . usually eliminates distressing symptoms without causing side-effects; allows the allergic patient to enjoy fully this "funtime” season of the year.

rapid-acting . . . relief usually Complete relief. . . more frequently noted within fifteen to thirty min­ obtained because of the complemen­ utes. tary actions of two antihistamines and a sympathomimetic. long-acting . . . relief often main­ tained for eight to twelve hours; thus Supplied as pulvules, pediatric pulvules, continuous relief is provided on a and suspension. Also, Tablets 'Pyronil’ convenient dosage schedule. (Pyrrobutamine, Lilly), 15 mg.

prescribe relief from allergy . . . prescribe 'Co-Pyronil’

T ) h A N NIVERSARY 1876 ■ 19 5 6 j ELI LILLY AND COMPANY BULLETIN of the Pierce County M edical Society 19 it was not acquired in the hospital but picked California on chest drainage following pulmon­ up on the outside, and these in no instance ary resection and after many attempts at vari­ develop positive blood cultures or lung ab­ ous methods, has determined that two cathe­ scesses. However, this was a series of only nine ters should be used, and he prefers rectal cathe­ cases from ages of one month to seven years. ters which are opaque and easily seen on the Dr. Kirby felt that more research should be x-ray. He feels that the upper catheter should done in these cases to be sure that they were be placed in the extreme apex. He says in most not hospital acquired. These cases were all instances suction is used rather than mere water- treated with catheter drainage, two requiring seal drainage, the usual amount of suction be­ open drainage and two requiring decortication. tween 10 and 20 centimeters of water. Plastic All were sensitive to bacitracin and erythro­ tubing is used from the bottles to the rectal mycin and chloromycetin, all nine showing a tube and the drainage can easily be watched. pure culture of hemolitic staphylococcas coagu- For a resection case he closes the remaining lase positive. It was the feeling of the speaker space by either phrenic or what he called a that perhaps decortication should not be done "waterfall’' thoracoplasty in which just the lat­ at the present time because so many of these eral portions of the ribs were removed, leaving eventually clear spontaneously. Dr. Steele of as much expanded lung as possible. He was California was in favor of not doing decortica­ asked how long did he wait after resection be­ tion but Dr. Jarvis of Seattle felt that decortica­ fore he did the thoracoplasty, and his reply was tion in selected cases would markedly cut down that he always did the thoracoplasty either the length of hospitalization. before the resection or at the time of the resec­ The next paper was by Dr. Arany from the tion because he wanted the lung completely Veterans Hospital in Walla Walla, who talked re-expanded as soon as possible. on rapidly and spontaneously subsiding pul­ The medical meetings were attended by Dr. monary infiltrations which he felt in many Hollis R. Smith and Dr. Helen Price Smith instances were actually cases of tuberculosis from Tacoma, and the T. B. Association meet­ and even though x-rays became negative in a ings were attended by Miss Stella Kellogg and month's time the case should be given chemo­ Mr. John Krilich. therapy for tuberculosis. Submitted by the Drs. Smith The final paper was by Dr. John Steele of per request of Editor.

STOW ELL'S... Prescriptions

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

1 1 1

FREE DELIVERY

111

BRoadway 2201 744 Market Street

Doctors Hospital Building

BULLETIN of the Pierce County M edical Society 2 1 Introducing he returned to Waterbury for one year in radiology and Minneapolis for two additional years at the Swedish Hospital. Tom was in Korea and Japan from ’52-’54 with the Army and then returned as a staff Radiologist at Swedish in Minneapolis until the end of '55. In January of this year he came out to Tacoma to be associated with Dr. Sanderson in Radiology. Tom lives on Ekyline Terrace with wife Myrna and their 4 year old son John and 6 weeks old daughter Mary. Tom is a proficient golfer, having won the recent Pfizer derby.

Library Dr. John F. Comfort N ew B o o k s John is another "Tacoma Boy," finishing Year Book of Endocrinology Garden Bellarmine in 1945 and then going to Gon- Manual of Proctology...... E. Granet zaga to graduate in ’49. He went to medical school at St. Louis and interned at Lettermen “The Office Assistant” General Hospital from 1953-54. A 350-page manual for the modern physi­ After one year dispensary type duty with cian's "Girl Friday” was made available in medi­ the Army in Michigan, John returned to Ta­ cal book stores throughout the country about coma to start practice in '55 and subsequently May 8th. took over Dr. Bob Chambers’ practice. Entitled "The Office Assistant,” the book con­ John's family consists of wife "Maggie" and tains suggestions for more efficient procedures four children, ages 5-3-2-1. They reside in and methods of handling nearly every phase of Lakewood. medical office work. Its contents are valuable to John is an enthusiastic fisherman, both fresh anyone employed in a doctor’s office— secre­ and salt water and also finds time to play golf tary, receptionist, nurse, bookkeeper, technician. —mostly at Meadow Park. The book was planned to save the doctor time, money and a vast amount of explanation in the Introducing training of an efficient office aide. Authors are: Portia M. Frederick, Instructor in Medical Office Assisting, Long Beach College, Calif., and Carol Towner, director of special services, A.M.A. Public Relations Department. The book will sell for S5.75 and orders should be sent direct to the publisher, W . B. Saunders Company, West Washington Square, Philadelphia 5, Pa. This illustrated reference manual answers such questions as: how to care for instruments and supplies, how to write a series of collection letters, how to keep a narcotics inventory, how to prepare a patient for various types of exam­ inations, and how to prepare accident and health insurance forms. About half the chapters deal with the medical assisting side of the Dr. Thom as D. M oberg office and the remainder with the business side. Tom comes from Minneapolis. After com­ pleting his elementary education he went to the A colonel was transferred to a new command. University of Minnesota where he had a com­ On reaching his depot, he found stacks of old bined college-medical school course from ’42 documents accumulated in the archives of his through 1945. After an internship in Water- predecessors, so he wired headquarters for per­ bury Hospital. Tom did six months of general ; mission to burn them. The answer came back: practice in northern Minnesota. Subsequently ' "Yes, but make copies first.”

2 4 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

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

Dealers for—

HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AND ELECTROSURG1CAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS BURDICK PHYSIO-THERAPY EQUIPMENT CAMBRIDGE ELECTROCARDIOGRAPHS WILMOT CASTLE STERILIZERS AND LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS

Modern and Moderate . . .

BUCKLEY-KING FUNERAL SERVICE Tacoma Avenue at South First BRoadway 2166 , 5 , r BULLETIN of the Pierce County M edical Society 2 5

¥ ' *. - ^ J i THE

•■ - ■ ■ ■ „ ... S

NEW: THERAGRAN THERAGRAN LIQUID CAPSULES Squibb Therapeutic Formula Vitamin Liquid Squibb Therapeutic Formula Vitamin Capsules 1 teaspoonful of Theragran The six vitamins almost Liquid is equivalent to invariably associated 1 Theragran Capsule. with chronic vitamin For patients of all ages who deficiency states. prefer liquid vitamin therapy.

Each Theragran Capsule, or 5 cc. teaspoonful of Theragran Liquid, supplies: Vitamin A (synthetic) ...... 25,000 U.S.P. Units Vitamin D ...... 1,000 U.S.P. Units Thiamine ...... , ...... 10 mg.

Riboflavin ...... 1 0 mg.

Niacinamide ...... 1 5 0 mg. Ascorbic acid ...... 150 mg.

Usual Dosage: 1 or 2 capsules or teaspoonfuls daily. Infants: Not more than 1 teaspoonful daily.

THERAGRAN CAPSULES: bottles of 30, 60, 100 and 1000. THERAGRAN LIQUID: bottles of 4 ounces.

S q u i b b Squibb Quality—the Priceless Ingredient

BULLETIN o f the Pierce County M edical Society 2 7 Assembly Held in Spokane high fever because administration of anesthesia Scientific Assembly of Washington State in the presence of liver damage may produce Academy of General Practice hepatic failure and renal shut-down. Antibiotics have also obviated the use of drains in surgery On May 25 and 26 the Fourth Annual Sci­ of the appendix. entific Assembly of the Washington Academy Unwarranted delay in surgery may result of General Practice was held in Spokane, at­ from attempts at intubation of cases with in­ tended by 242 physicians and 35 pharmaceuti­ testinal obstruction. This delay is most serious cal exhibits. Keynoting the Assembly was Dr. if strangulation is present. Early diagnosis and Jack S. DeTar, president of the national organi­ decision is also important in the newborn. zation. Dr. DeTar said that the personal gen­ Dr. Lichtman gave a second paper on the eral physician should remain responsible for "Prevention and Treatment of Traumatic In­ the overall care of a patient. The doctor should juries in Athletes." Proper training and condi­ work with and consult specialists when he en­ tioning of the athlete is the most important counters health problems beyond his own pro­ factor in the prevention of injuries. Not only fessional competence. Because some 30 mil­ is timing and coordination developed, which lion families are without a regular doctor, the keep him out of trouble, but there is a change trend in medical education is to produce general in the energy conversion mechanisms of the family physicians rather than specialists. body. B12 improves performance through bet­ In speaking of "Surgical Emergencies in Gen­ ter coordination, decreased salt loss, lower blood eral Practice,” Dr. A. Lee Lichtman, Clinical protein and diminished blood viscosity. Stimu­ Professor of Surgery at New York’s Polyclinic lants, like benzedrine, do not increase work Medical School, briefly reviewed the physiology output. They may cause accidents because of of" blood volume, electrolytes and fluid balance. misjudgment Hesperidin and Vitamin C Treatment of shock in the presence of adrenal strengthens the intercapillary cement substance insufficiency must be combatted with the entire and thereby decreases hemorrhage. The effects spectrum of corticosteroids to control inflam­ of trauma may be rapidly reduced by the intra­ mation and salt shift. Thyroid imbalance may muscular administration of Trypsin, 1 cc per sometimes be a factor in shock and it is best day. Dr. Lichtman feels that cortisone and pro­ treated with iodine or ergotrate. There may caine have no place in the treatment of injuries. also be a diabetic factor, with negative nitro­ "The First 60 Minutes After Your Coronary gen balance and acidosis, which can only be Occlusion” was the arresting title used by Dr. corrected by administration of glucose and in­ E. Grey Dimond, Professor and Chairman, sulin. Hesperidin and vitamin C is beneficial Dept, of Medicine at Kansas University. He because of reduced capillary permiability. The pointed out that the incidence of occlusion is escape of lymph from wound surfaces ( "white 4 per 1000 among M.D.s and at this rate some hemorrhage” of McHenry) will contribute sig­ 12 Washington doctors will be stricken this nificantly to shock. Administration of tetanus year. A movie film was used to show the se­ antitoxin should be a part of treatment since quence of events following experimental occlu­ this complication kills 728 persons annually. sion in dogs. Coincident with injury there is an The history is most helpful in determining immediate elevation of the RST segment. Extra the probable location and cause of gastrointes­ systoles appear with runs of premature ventric­ tinal hemorrhage. Patients on cortisone and the ular contractions which merge into ventricular aged may have "silent” ulcers. Emergency Ro­ tachycardia, arrhythmia and finally fibrillation. entgenograms using thick barium will fre­ 75% of dogs expired within 24 hours. When quently demonstrate an actively bleeding ulcer. subjected to cold hibernation all died within 10 Patients should be given "expectant" transfu­ minutes. Under the influence of tranquillizing sions while awaiting stabilization after which drugs none lived beyond 3 minutes. Morphine about 1/3 should go to surgery. with atropine reduced the mortality to 25%. Dr. Lichtman condemned the use of tests to Based upon this work. Dr. Dimond advises a confirm perforation of an ulcer. Valuable time large does of Morphine with atropine for the is wasted when immediate closure is indicated. coronary patient. W ith survival past the first Not more than 15% of these patients should have emergency resection. hour, the patient may be hospitalized and such medications as oxygen and aminophylin given. Lacerations of the liver and spleen is a In the hypotensive patient, Quinidine I-M is common emergency in children. Frequently used, followed by 6 gr. four times a day pain is referred to the shoulder. All bile and orally. Complete physical examination, daily fragments should be removed. baths, visitors, ward rounds, bed pans and other Antibiotics, rather than surgery, should be used for acute cholecystitis in the presence of (Continued on Page 29) 2 8 BULLETIN of the Pierce County Medical Society

in “ summer derm atitis'!.. a quick end to pruritus

Whether the itch is due to sunburn, irritating plant exudations or prickly heat, EURAX EURAX provides relief in minutes that lasts for hours (crotamlton GEIGY) ...long enough usually for your patient to cream and lotion sleep the night through. Nonirritating and nontoxic, EURAX may be used with safety no matter how extensive the GEIGY lesion. And because it is nonstaining and non- greasy, E urax can be used on exposed parts without fear of detection.

E u r a x ® (erotamiton G e ig y ) 10% Cream and Lotion.

GEIGY PHARMACEUTICALS DIVISION OF GEIGY CHEMICAL CORPORATION " 220 CHURCH STREET. NEW YORK 13, N.Y. BULLETIN of the F i e r c e C o u n t y M e d i c a l S o c i e t y 2 9

(Continued from Page 27) 36 hours. Exploration of the common duct is hospital routines are best omitted in these not done routinely since this increases morbid­ patients. Smoking is interdicted. ity. It should be done (1 ) when the common Dr. Frederic H. Bentley, former head of De­ duct is dilated, (2 ) when stones can be pal­ partment of Surgery at the University of Dur­ pated in the duct, or (3 ) when there is a ham, England and presently of Portland, Ore­ history of recurring jaundice. Operative injury gon, spoke on the management of Gall to the duct may be indicated by continued bile Bladder disease. If most pathology of the gall drainage beyond 10 days or by the appearance bladder is surgically removed the results will of jaundice. Reoperation is mandatory. be good. However, surgery should be avoided Dr. Melvin Aspray, radiologist of Spokane, in patients who have other serious disease or used slides to present a "Travelogue in Radiol­ illness, patient with "silent” stones who are ogy.” He stressed that pathology frequently is above 50, and patients with gall bladder symp­ not seen because it is not looked for. An image toms but normal x-ray findings. amplifier, air contrast techniques, and careful Dr. Bentley’s cholecystectomy technique be­ positioning of the patient greatly enhance the gins with traction upon Horton’s pouch. The value of radiography. That technical improve­ cystic duct is dissected free for a short dis­ ment does not always result in better diagnostic tance so that it may be clamped and divided films was demonstrated with the excellent gall under direct vision. He finds it unnecessary to bladder dye— it concentrated so well that it investigate the many anatomic variations which hid the small stones present. The old 14x17 may be present in the hepatic triangle. Succes­ film is much more satisfactory than microfilm sive clamping and cutting close to the gall for comparison of changes in pulmonary lesions. bladder serve to free it from the triangle. ”T ” In his usual brilliant manner, Dr. Robert J. tubes are rarely used but the G.B. bed is al­ Johnson, anatomist from the University of ways drained. Simple G.B. drainage is the pro­ Washington, discussed the functional anatomy cedure of choice when; (1 ) it is adherant to of the "silent” areas of the brain. surrounding structures, (2 ) it has shrunken Dr. Frederick Scheyer, senior consultant at about stones and is deeply imbedded in liver the University of Washington, talked on psy- substance and (3 ) when there is acute inflam­ chosomatics in relation to individuals sub- mation which has been present for more than i Continued on Page 31) new...a more potent, longer-acting progestational agent

I D E L A L U T 1 1 ST SQUIBB 17-ALPHA - H YD R O X Y P R O G EST E R O N E - C AP R O AT E

a single injection provides sustained progestational activity for approximately 2 weeks, when enough estrogen is present, simulating endogenous progesterone production.

VJals of 2 and 10 cc. Each cc.

provides 125 mg. of 17-alpha- Comparative effect of single subcutaneous injection of Delalutin and progesterone on hydroxyprogesterone-caproate the progestational changes (Clauberg Test) in the rabbit uterus

19 PROGESTERONE 17-ALPHA-HYOROXYPROGESTERONE-CAPROATE (DELALUTIN)

S q pibb

Squibb Quality—the Priceless Ingredient

A IQUtM HJWCMABK. U p jo h n

Delta-Cortef* for inflammation, neomycin for infection • •

T o p ic a l O in t m e n t Each gram contains: Delta-l-hydrocortisone acetate 5 mg. (0.5% ) Neomycin sulfate...... 5 mg. (equiv. to 3.5 mg. neomycin base) Methylparaben...... 0.2 mg. Butyl-p-hydroxybenzoate 1.8 mg. Supplied: 5 gram tubes

E y e -E a r O in t m e n t Each gram, contains: Delta-l-liydrocortisone acetate 2.5 mg. (0.25%) Neomycin sulfate...... 5 mg. (equiv. to 3.5 mg. neomycin base) Supplied: 34 oz. tubes with applicator tip

*TflAOEMARK tmADEMARK FOR THE UPJOHN DAANO OF PREDNISOLONE ACETATE WITH NEOMYCIN SULFATE The Upjohn Company, Kalamazoo, Michigan BULLETIN of the Fierce County M edical Society 3 1

(Continued from Page 29) jected to trauma. All psychic energy seeks bodily PARK-N-SHOP expression, according to Dr. Scheyer, and the pattern of response to pain or trauma is formed early in life. W ith excessive load upon the PRESCRIPTION psyche, the individual's response to trauma may shift to an infantile character pattern. No DEPARTMENT man has the right to say that an individual should not break under a certain circumstance, for everyone has a breaking point. Dr. Scheyer explained how trauma and Open from 8 a.m. stress warp the truth, but he emphasized that there is always a factual basis and that it is To 12 a.m. important to find this basis. Usually there is 7 Days a Week a disturbance in the family relationship. Fre­ quently resentment, self-condemnation, or a feeling of guilt result from an accident. Criti­ cism from others may increase the individual’s ☆ ☆ ☆ disability, while friendly acceptance and help­ fulness will diminish it by reducing or pre­ venting an emotional overload. There is no NIGHT DELIVERY BY TAXI specific therapy for psychosomatic disease, as there is for organic illness. A search for under­ ☆ ☆ ☆ lying factors relieves tension. The patient can learn to recognize his own weaknesses and the emotional basis for his illness. A friendly, open- minded, positive approach will go far in win­ GR. 8693 98th and Pacific ning the confidence of the patient. (To be continued next month)

your allergy patients need a lift

Worn out with sneezing or scratching, your allergic patients need relief from the depression which is often brought on by their allergy symptoms. Plimasin You can give them a lift with Plimasin, a combination of a (tripelennamine hydrochloride and proved antihistamine and Ritalin — a new, mild psycho­ methyl-phenidylacetate hydrochloride C IB A ) motor stimulant. Plimasin, while effectively relieving the symptoms of allergy, counteracts depression as well. D o a a g e : 1 or 2 tablets every 4 to 6 hours if necessary. T ablets (light blue, coated), each containing 25 mg. Pyribenzamine® hydro­ CIBA chloride (tripelennamine hydrochloride CIBA) and 5 mg. Ritalin® hydrochlo­ SUMMIT, N .J. ride (methyl-phenidylacetate hydrochloride CIBA) Pierce County Medical Society Sec. 34.66, P. L. & R. Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH, PERMIT No. 300

"Glasses as your eye BEALL’S physician prescribes them" The Prescription Store Contact Lenses — Artificial Eyes Columbian Optical Co. 124 Meridian South Ground Floor, Medical Arts Bldg. PUYALLUP Medical Center Western Clinic Bldg. Puyallup 5-6291

“PATRONIZE OUR ADVERTISERS”

MONTHLY MEETINGS

STAFF OF TACOMA GENERAL I 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. 'RULLEm PIERCE COUNTY MEDICAL SOCIETY

VOL. XXVI—No. 12 TACOMA, WASH. AUGUST - 1956

r

Comparison of the effect of Raudixin (tranquilizer) and a barbiturate (sedative) on the cortical electroencephalogram

No drug.

After Raudixin. E. E. G. not altered.

After barbiturate. Typical “spindling” effect.

Because barbiturates and other sedatives depress the cerebral cor­ tex, the sedation achieved is accompanied by a reduction in mental alertness. Raudixin acts in the area of the midbrain and diencephalon, and does not depress the cerebral cortex. Consequently, the tranquiliz- ing (ataractic) effect achieved is generally free of loss of alertness. RAUDIXIN Squibb Whole Root Rauwolfia Serpentina

dosage: 100 mg. b.i.d. initially; may be adjusted within a range of 50 mg. to 500 mg. daily. Most patients can be adequately maintained on 100 mg. to 200 mg. per day.

s u p p ly : 50 m g . and 100 m g . tablets; bottles of 100, 1000 and 5000.

S q u ib b Squibb Quality—the Priceless Ingredient

BULLETIN o f the Pierce County M edical Society 5 Letters To The Editor Although all parents of students would wel­ come a tax reduction, these bills have been Dear Bill, urged primarily as aids to education. They I feel this suitable for reprint in our Society would allow more parents to send their sons Journal. W hat do you think? and daughters to privately endowed institutions; M ike Kass would permit a larger proportion of available Editorially Speaking . . . scholarship funds to be allocated to students WANTED: Letters to Congress most in need; and would presumably increase The idea of an income tax credit for persons the total of annual giving by Alumni and paying college tuition fees appears to be making parents. some headway in Congress. The American AAC reports that two obstacles to the bills Alumni Council reports more than a hundred have developed: "The first is the Administra­ congressmen have expressed interest and sixty- tion’s unwillingness to support any tax reduc­ two have signified their support. The figures tion at this time. This makes it difficult for include only those House members who have Republican congressmen to act even though indicated their feelings directly to the Associa­ they favor the tax credit plan. The second is the tion; and although far short of a majority, they opposition of the Treasury which also is anx­ show a strong core of favorable opinon. ious to balance the budget. Several bills for a tax credit have been in­ On the more favorable side, continues the troduced in the House, including one by Tulane AAC report, "is interest being exhibited by Alumnus Hale Boggs, L’37. Senator Alexander several high government officials and the energy Wiley of Wisconsin has introduced a similar and leadership being displayed by Congressman measure in the Senate. These bills would allow Hale Boggs, a member of the Ways and Means a percentage of any tuition paid to a college or Committee. He is pushing hard for a hearing university to be deducted from the payer’s in­ on his bill (H R 4621). He appeared before the come tax for that year. The reduction would be American Council on Education’s committee on on the tax itself rather than on the reported Relationships in February to discuss the pro­ income, so that the saving in dollars would be posal and indicated that the Ways and Means the same regardless of the tax bracket. (Continued on Page 7)

Taxicabs - Ambulances for your Patients

ALL AMBULANCES ARE OXYGEN-EQUIPPED

Tacoma Yellow Cab Co.

1324 Market Street

MArket 1121 BR. 8383 6 BULLETIN of the Pierce County M edical Society

' $

a Pfizer research contribution to clinical medicine

TETRACYNBRAND OF TETRACYCLINE broad-spectrum antibiotic, tetracycline, discovered and identified by (^fizer)

Available in a variety of useful %

dosage forms including T e t r a b o n ,* the best-tasting, ready-mixed liquid form. *Trademark, brand of tetracycline ' *■'

Pfizer Laboratories. Division, Chas. Pfizer & Co., Inc., Brooklyn 6, N. Y. BULLETIN o f the Pierce County M edical Society 7

f Continued from Page 5) has by no means been restricted to medicine and Committee would hold public hearings this patients. It has covered everything from poli­ spring. He is hopeful of passage if hearings tics to religion, from chiropractic to loyalty can be expedited and the importance of the oaths. It has been a lively and fertile exchange, legislation can be impressed upon members of which leaves me a memory of affectionate good Congress. will to carry away with me to Pennsylvania. "Action is now pinpointed on the Ways and Robert C. Murphy, Jr., M.D. Means Committee. Communications in support of HR 4621 and addressed to members of the Dear Bill, Ways and Means Committee can be vital at Both your editorial in the June, 1956 Pierce this critical stage." County Medical Society Bulletin and the com­ Whether or not the bill has a chance of ments of Eric Sanderson, caught my eye. The passage this year, the ultimate success of the "facts” for the respect to myself may be of tax credit plan will depend upon the public sup­ some interest. port it receives. A Tulane Alumnus is leading At age 52 I discontinued the private practice the fight for the plan in Congress. W ho should of medicine and became the Medical Director be his staunchest and loudest supporters? of the Pierce County Industrial Medical Bureau. The Tulanian, May, 1956 As a salaried employee of the Bureau, I auto­ matically come under the provisions of the Dear Bill, Old Age and Survivors Insurance provisions of I want to express a feeling of nostalgia that the Social Security Act. Let us make the as­ keeps recurring to me, as I take leave of the sumption that I shall continue in this employ­ Pierce County Medical Society. This 3V2 years ment until age 65 and then retire. Under the has been my only experience of private prac­ existing law, 4% of $4200 per year will be paid tice. It probably will continue so, as my heart into the Social Security Administration to my really lies more in community work. But it has account. As I figure it, this would amount to been a gratifying time for me, largely because $2184 over a period of 13 years. of the casual, warm give and take that I have Upon retirement at age 65 I would begin to enjoyed with the rest of the profession. This draw $108.50 a month to be paid as long as I live. When my wife attains age 65 I would be paid an additional $54.30 a month or a total of $ 162.80 a month, as long as we both lived. Life insurance tables of longevity predict that I would live another 24 years from right now, and that my wife will live 29 years. If we hit this expectancy our combined return from the Social Security Administration after retirement at age 65, as nearly as I can compute it, is $27,999.60. This isolated example may throw a little light on the question raised in your editorial as to whether the worker, his children, or his grandchildren are going to pay for his Social Security. Respectfully, PIERCE COUNTY INDUSTRIAL MEDICAL BUREAU, INC. Homer W. Humiston, M.D., Medical Director.

Thanks, Homer, for advising us re your .reasonable cost. They are accessible for experience with the Social Security program. It !-, personal or telephone reference■ sure does make clear whose going to pay for it. The Editor.

Drunk: Ho, lady, you got two ver’ beautiful legs. Girl (snapping): How would you know? Drunk (brightly): I counted 'em. 8 BULLETIN o f the Pierce County M edical Society

BRALEY'S, Inc. PRESCRIPTION DRUGGISTS

Catering to the Doctor and his patient

FREE DELIVERY

Medical Arts Building MArket 8116

CO. LYNN CO.

717-719 South Tacoma Avenue Phone MArket 7745 BULLETIN of the Pierce County Medical Society 9 HOSPITALS. . .

Saint Joseph’s Classes have resumed as of July 3rd and are in full swing. Seven Junior Students have left A New Look! for Firlands Sanitorium in Seattle for their Have you seen all the little men standing on Tuberculosis affiliation. scaffolds hanging from our hospital? No, they On July 30th the senior class will be enter­ are not tearing us down to build an ultra-ultra tained at a farewell party at the home of Mrs. super market, they are just giving us a face lift­ Reedinger. ing operation. These are the busiest little fel­ Sister Columba came over from Spokane for lows. All day long they hang there from their the week-end. She will have finished her course scaffolds with their little putty knives puttying in Anesthesia in September. W e were all glad the cracks of the red bricks with the white to see her as she is always bushels of fun. cement. So next time you are coming to St. Sister Valeria has a beautiful new Recreation Joseph’s Hospital, don’t drive by that sparkling Room for the Intern Staff only on the Sixth clean building with the white-washed ledges, Floor. It is complete with telephone, T.V., ping it’s just our new look. pong tables, lounging chairs and everything to The illuminated cross which originally was make the well deserved leisure hours of the In­ a landmark has again assumed its rightful place terns more enjoyable. as the highest point in Tacoma, a beacon light The new Interns are doing a wonderful job to all coming into the city. keeping everybody happy, especially the visiting News from Pediatrics M.D.s. We hope they don’t change until July Vacation time is certainly around in our de­ 1st, 1957. Keep up the wonderful work. partment. Mrs. Cheng (form erly Miss Chen) came back from her honeymoon at Yosem ite Pierce County Park, California. Mrs. Margaret Johnson, Mrs. Mary Bricker and Mrs. Anna Riedell are the Pierce County Hospital is welcoming a new other vacationers who just returned to work. group of interns who began service here on Mrs. Marie Renggle, our night nurse is vaca­ July 1, 1956. Five of them are from the Uni­ tioning with her family up in Canada and down versity of Nebraska and they are Dr. Larry at the Ocean. Hurry back Marie, we miss you. Bosley, Dr. Paul Gustafsen, Dr. Philip Marsh, Welcome back Maria, our kitchen and clean­ Dr. Jack Paap and Dr. John Sage. Others are ing lady. She returned after three weeks of hos­ Dr. Howard Bowman, University of Washing­ pitalization. She looks grand. ton; Dr. Forrest Harris, University of Texas; Dr. Dan Stipe, University of Kansas; Dr. Bill From Maternity Wadell, University of Oklahoma; and Dr. Eu­ July 3rd, 1956— Baby girl born to Dr. and gene Johnson, University of Iowa. Dr. Fred- Mrs. Marlatt. erich Nesbit, lately of the University of Geneva, July 7th, 1956— Baby boy born to Mr. and Switzerland, is acting as resident physician Mrs. Lawrence Mayer. along with Drs. Trantow and Dunlop who were July 10th, 1956—Baby girl born to Mr. and members of last year’s Pierce County Hospital Mrs. A. B. Weaver. Congratulations to all! intern group. Record Department On June 20th the members of the Social The microfilming of the medical records is Service Department entertained Mrs. William­ progressing very smoothly. Already the girls son and Mrs. McKibbon in honor of their birth­ are making great progress in the intricacies of days. Many of the older retired employees of camera loading and film checking. A few more the department were present, among them- Mrs. summers and all the old records will be on McKamey who for many years was a valued film. member of that department. School of Nursing Other news from the Social Service Depart­ On July 16th, the School of Nursing had its ment includes the return of Mrs. Margaret Jonez annual picnic. Students arrived at various hours as a relief employee during the summer. Also, during the p.M. by bus and car. A most enjoy­ Mrs. Lou Hershey is spending her vacation able day of swimming, games and sunbathing with her daughter and son-in-law and grand­ was enjoyed by all. Food in abundance was children, the Scioscias, in Los Angeles, Cali­ consumed and I’m sure -we all agree it is one fornia. of the highlights of the year on the school Gloria Richards, Record Department, is visit- calendar. (Continued on Page 11) 1 0 B U L L E T I N 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.

111 FREE DELIVERY

111

BRoadway 2201 744 Market Street

Doctors Hospital Building

ROGER R. MOLT Physician s 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

1015 SOUTH TWELFTH STREET MArket 0118 TACOMA 3, WASH. B U L L E T I N of the Pierce County M edical Society 11

(Continued from Page 9) hospital is now equipped to do all types of ing her brother in Albuquerque, New Mexico. surgery for children. She also plans to visit M exico City before re­ W e have had a high patient occupancy for June, and have been to care for all seek­ turning to Tacoma. unable Friends of Eva Clarkson are pleased to know ing admission. W e have had a heavy surgery that she is recovering from her recent illness schedule, with two surgeries in operation most and can have visitors at St. Joseph’s Hospital. of the time. Beth Brennan and Mary Keith of the Dietary The Elks Department are motoring through California The Benevolent and Protective Order of Elks during their vacations. They will visit espe­ members have just closed their State meeting cially in San Francisco, Sacramento and Los held in Tacoma. They showed considerable Angeles. interest in the Mary Bridge Children’s Hospital. Mrs. Esther James of the Medical Nursing A group of delegates came to visit and inspect Department has just returned from a motor the hospital. They expressed delight over seeing trip through Eastern Washington and Oregon such beautiful grounds, building and splendid and Mrs. Clara Gratzer, head nurse of the Sec­ equipment. ond Floor has left on a similar vacation by car. Guests Dr. Clyde Hurst will substitute as Pathologist Mrs. Burns Lindsey, President, and Mrs. of the Hospital during August while Dr. John Henry Ketcham, 2nd Vice-President of the L. Whitaker is vacationing with his family at Board of Trustees of the Children’s Orthopedic the Whitaker summer home on Long Lake. Hospital in Seattle, were guests of our hospital for lunch last week. They had not seen this hos­ Mary Bridge Childrens Hospital pital before. They spent considerable time in Informational Letter looking over the entire building, and equip­ May-June ment and services. They expressed considerable Successful Year surprise over our modern set-up and made notes The annual meeting of the W om en’s Aux­ of items for use in their hospital. iliary and Guilds was held recently. Reports Inspection indicated a very busy year, also, a splendid, The Deputy State Fire Marshal and the build­ well set up organization. Mrs. Lloyd has been ing inspector for the Tacoma Fire Department re-elected for another year as President. inspected our hospital this month. This was for Total amount of money raised by the Guilds the purpose of checking up to see to what ex­ for the year was §80,484.00. Paid to Mary tent hospitals will be able to conform to the Bridge Children’s Hospital for operating ex­ new State and City standards to measure up to penses, §72,380.00. The number of days of the new law for licensing hospitals. When they service for the volunteers in the hospital totaled had finished they said: "You have a good build­ 7,188. Their membership includes 1,797 for the ing, and well planned for safety. We wish that Senior members, and 643 for the Junior all hospitals we inspect were as well situated.” members. New Project The Surgical Qub of Tacoma has requested WASHINGTON STATE MEDICAL that a Bone Bank, for grafting purposes, be ASSOCIATION ANNUAL MEETING established in the Children’s Hospital, and the SEPTEM BER 16-19, 1956 Medical Staff has approved. Gifts Recent gifts to the hospital: Bone Bank equipment, $ 1,000 from a retired doctor; DOCTOR'S OFFICE AVAILABLE $25,000 from a Tacoma citizen, for a second elevator, which is a part of the finishing of the 3 Examining Rooms and third story; $657.69 from the Elk’s Lodge in Reception Room Puyallup, for Crippled Children's service; Ford Foundation, $6,850, and another check for the NEW BUILDING same amount is forthcoming later; also numer­ Rent $100.00 Monthly ous small gifts. New General Surgical Table Steilaeoom Boulevard at Edgewater (Across from Lakewood Ice Arena) A new general surgical table has been pur­ chased and installed, and is now in use. Surgeons ate highly pleased with it. It has all of the Phone BR 0116 latest attachments for children’s surgery. This

B U L L E T I N of the P ie r c e C o u n t y M e d ic a l S o c ie t y 13

A.M.A. NEWS LETTER Doctors prefer exclusiveness at A.M.A. exhibits. A survey just completed by A.M.A. Business Manager Thomas R. Gardiner shows that both exhibitors and physicians favor the \ AND ALL new plan of limiting attendance at the A.M.A. technical and scientific exhibits to physicians 'DAIRY PRODUCTS only during certain periods. The plan was first tried at the Atlantic City meeting in 1955. Attendance one ofternoon was limited to physicians only. At the recent Chi­ cago meeting two forenoons were limited to doctors only. Since then, a number of exhibitors have said that they would prefer to have two ☆ full days set aside for doctors only. Others have reported that this is the best single im­ provement in convention attendance initiated in Careful Mothers use Pro­ many years, and hope the plan continues. tected Milk. Pasteurized Exhibitors say the physicians-only idea gives them a better chance to talk with doctors and and Homogenized Milk also they find that doctors are in a m ore recep­ tive mood for business conversation. from our own contented Mr. Gardiner said that since the Chicago cows can be delivered meeting he polled the technical exhibitors, and here are a few of the typical comments: to your home or your "We wish to compliment you on your idea grocer to limit two mornings during the week of the A.M.A. show to M.D.’s only. We trust there will be more practices like this in the future." ☆ Another exhibitor from New York said: "Your plan to restrict attendance to physicians only was extremely satisfactory . . . and pos­ A Favorite Dairy for over sibly two complete days could be given over to physicians only. All concerned would benefit 30 years. Recommended from such a plan.” by doctors and dietitians. Said a Kansas City exhibitor: "The physi- cians-only restriction is a big improvement. . . . It is an extremely difficult thing when one is ☆ displaying prescription legend items to have all sorts of people stop by requesting a few samples.” CALL An Ohio manufacturer said: "Our comments on your plan are entirely favorable. I was pres­ ent one of these mornings and felt it very WAverly 8705 definitely took the carnival atmosphere away for a long enough time to interview physicians on a very high plane." A Florida orange juice exhibitor said: "I would like to go on record as being in favor of this restriction, and hope that ths will continue S a x it a r y to be a policy of future A.M.A. meetings." INFANT MIRV So you think publicity isn't important, eh? Well, there are 28 peaks in Colorado and all are higher than Pikes Peak. Name one!

Direct from Our Farm to You Professional tennis player Pancho Gonzales has a service which has been measured at 112 miles per hour. 1 4 BULLETIN of the Pierce County M edical Society BULLETIN of the Pierce County M edical Society

A SMILE AGAIN IN JUST 12 DAYS WITH TIME-SAVING

the MODERN treatment for all 3 types of vaginitis t r i v a effectively annihilates vaginal microorganisms, restores tiiucosal integrity and accelerates healing for rapid recovery.

Non-irritant, non-toxic, non-staining, t r i v a is a safe, vaginal douche... even during pregnancy. Effective in any pH medium. Most cases of trichomonal, monilial and non-specific vaginitis become asymptomatic and organism free in 6 to 12 days.

Simple to prescribe! Just write: “ t r i v a (Boyle) sig; douche b.i.d. for 12 days!’ For complete data see Physicians’ Desk Reference, 1956, page 427. available at a ll pharm acies, in convenient packages of 24 individual 3 Gm. packets, each containing 35% Alkyl Aryl sulfonate, (surface-active, germicidal and detergent), 0.33% Disodium ethylene bis-iminodiacetate (chelating agent), 53% Sodium sulfate, 2% Oxyquinoline sulfate (bactericide, proto- zoacide) and 9.67% dispersant.

Full treatment package and literature on request.

BOYLE & COMPANY Bell Gardens, California 16 BULLETIN of the Pierce County M edical Society

McMILLAN BROTHERS, Inc.

942 Pacific Avenue - - - MArket 1126

Service to the Medical Profession and

their patients for 54 years.

We dispense only the finest of Pharmaceuticals.

Time Tested Dependability Established 1889

R. E. Anderson & Co. Inc. INSURANCE - MORTGAGE LOANS - REAL ESTATE PROPERTY MANAGERS

747-49 St. Helens Ave. BRoadway 8475

ASK FOR W. O. JEFFERY

OFFICERS H. F. SYFORD, President J. D. POWELL, Vice President DONALD M. MOORE, Vi (In Charge of Fire Insurance) (I„ Charge of Casualty Insurant* E. I. POLE, Secretary (In Charge of Marine Insurance) BULLETIN o f the Pierce County M edical Society 17 Tacoma-Pierce County Civil Defense Hess, Al. E. Hillis, G. H. Hoover, Lewis A. Medical and Health Services Hopkins, Mahlon R. Hosie, Homer Humiston. David H. Johnson, Harold Johnston, Her­ General Instructions and Assignments man S. Judd, Harold F. Kahler, Robert A. Kall- Procedure in Case of Major Disaster in sen, M. Kass, Gerald C. Kohl, G. G. R. Kunz, Puget Sound Area. Sr., George Kunz, Jr., Robert S. Lantiere, Mills 1. All physicians report to their assigned sta­ Lawrence, William H. Ludwig, H. D. Lueken, tion without further notice. In case of warning Haskel L. Maier, James M. Mattson, W. W. of impending attack, go to the nearest desig­ Mattson. Sr., I. M. Miller, Thomas B. Murphy, nated shelter unless directly contacted to do Woodard A. Niethammer. otherwise. Roderick A. Norton, Charles S. Pascoe, W en­ 2. If assigned hospital is not able to function, dell G. Peterson, Wilmot Read, Alfred W. each doctor will report to the designated alter­ Reschke, Chris Reynolds, Benj. J. Robertson, nate medical center without further notification. J. Robson, Louis M. Rosenbladt, Alfred L. Tacoma General Hospital, Doctor's Hospital, Schultz, Buel L. Sever. Medical Arts Hospital, alternate medical center Warren F. Smith, Karl Staatz, George Tan- in C.P.S. Fieldhouse. bara, James L. Vadheim, G. Marshall Whitacre, St. Joseph's Hospital, Northern Pacific Hos­ Don G. Willard, Frank L. Williams. pital, alternate medical center in Bellarmine High School. Pierce County Hospital Pierce County Hospital, Indian Hospital, al­ Mt. View Sanatorium Civil Defense Chairman...... Scott Jones ternate medical center in Stewart Intermediate Assistant Chairmen...... Hollis Smith School. John L. Whitaker 3. For closed hospital staffs, all full time Pathology ...... J. Whitaker physicians will immediately report to their X -R ay ...... C. Allen respective hospitals following any m ajor casualty. Claris Allison, Donald Allison, Horace A. Anderson, Bryce Betteridge, Robert G. Bond, The Medical Superintendent is in direct charge in each case: Northern Pacific Hospital; Paul G. Bond, Paul E. Bondo, Albertus H. Buis, Walter C. Cameron, Edwin L. Carlsen, Indian Hospital; Western State Hospital; U.S. Veteran’s Hospital, American Lake; Rainier J. Edmund Deming, Carlisle Dietrich, Rodger State School, Buckley. S. Dille, Dale Doherty, Elizabeth B. Drake, Ger­ hart A. Drucker, Isadore A. Drues, Gerald G. 4. Mobile support teams (first aid/Hospital) will be formed from personnel of the hospital Geissler, Erna Guilfoil, Dale Hadfield, David T. groups. Hellyer, Arnold J. Herrmann, Wm. E. Hill. 5. In case of evacuation of the city, the medi­ Louis P. Hoyer, Jr., Edmond Kanar, George cal centers will form at the following designated S. Kittredge, Robert Lane, Thomas B. Lawley, centers. These personnel will o f necessity be ac­ Arthur C. Leslie, Samuel E. Light, Clyde Ma- cording to evacuation r o u t e s and not gill, Jack Mandeville, D. A. Marlatt, Fay M. assignment. Nace, George Nace, Robert W. Osborne, Cyril Tacoma General Hospital B. Ritchie, Helen P. Smith, Walter Sobba, Du­ Mary Bridge Childrens Hospital mont Staatz, Wm. S. Sullivan, Leon B. Thomas, William H. Todd, John Unis. Civil Defense Chairman...... Jess Read Assistant Chairmen...... C. Larson St. Joseph’s Hospital Frank Maddison Civil Defense Chairman...... L. Baskin Pathology ...... C. Larson Assistant Chairmen...... Richard Vimont X -R ay ...... Frank Rigos C. Kem p Steve Sanderson (Mary Bridge) Pathology -...... C. McColl Charles E. Anderson, Jr., Phillip H. Backup, Richard Vimont Ernest Banfield, Julius C. Bohn, John J. Bonica, X - R a y ...... R. MacRae Jesse W. Bowen, Jr., Lawrence Brigham, Glenn J. Flynn, Charles C. McCoy H. Brokaw, Burton A. Brown, Homer T . Clay, William E. Avery, Richard F. Barronian, Darcy M. Dayton, Treacy H. Duerfeldt, David Myron A Bass, Joseph A. Benson, J. Robert F. Dye, Raymond C. Ellis, Edwin J. Fairbourn, Brooke, William C. Brown, Robert R. Burt, Robert M. Ferguson. Douglas Buttorff, J. F. Comfort, Robert Crabill, Robert M. Freeman, William H. Goering, Don F. Cummings, George A. Delaney, Stanley Stanley Golden, Mihcael Goodson, H illis F. L. Durkin, James H. Egan, Albert Ehrlich, Griffin, Kenneth E. Gross, Orvis A. Harrelson, Martin C. Eltrich, Edward S. Eylander, Rob­ William P. Hauser, J. E. Hazelrigg, Francis W . ert W . Florence, Clyde E. Gray. Hennings, Siegfried F. Herrmann, George H. (Continued on Page 19) 18 BULLETIN of the Pierce County M edical Society

allergic to pollen . . . yet fully enjoying summertime

'Co-Pyronil ( PYRROBUTAMINE COMPOUND, ULLY)

... usually eliminates distressing symptoms without causing side-effects; allows the allergic patient to enjoy fully this "funtime” season of the year.

rapid-acting . . . relief usually Complete relief. . . more frequently noted within fifteen to thirty min­ obtained because of the complemen­ utes. tary actions of two antihistamines and a sympathomimetic. long-acting . . . relief often main­ tained for eight to twelve hours; thus Supplied as pulvules, pediatric pulvules, continuous relief is provided on a and suspension. Also, Tablets 'PyroniT convenient dosage schedule. (Pyrrobutamine, Lilly), 15 mg.

prescribe relief from allergy . . . prescribe 'Co-Pyronil’

8 0 " A N NIVE R SARY 1876 ■ 1956 j ELI LILLY AND COMPANY BULLETIN of the Fierce County M edical Society 1 9

(Continued from Page 17) Philip Grenley, Joseph B. Harris, John M. Havlina, Archibald B. Heaton, George H. Hess, Franz P. Hoskins, D. W. Houtz, Archibald W. Howe, Leo J. Hunt, Michael Irvin, Hugh F. Kohler, Philip C. Kyle, Calvin R. Lantz, Hugh A. Larkin, Joseph O. Lasby, Harlan P. Mc­ Nutt, William McPhee, William W. Mattson, Jr., Herbert H. Meier. George A. Moosey, Edwin C. Muir, Robert PHARMACY Murphy, Jr., Douglas H. Murray, Everett P. Nelson, Arthur P. O’Leary, Bernard N. Oot- kin, Frederic O. Paine, Frank Plum, W . How­ ard Pratt, W illiam Rademaker, Richard I. Rich, Frederick Schwind, Lawrence E. Skinner, Joseph Smeall, Thomas A. Smeail, Govnor Prescription Teats, Joseph Turner, Elmer W. Wahlberg, James Ward, Claude Wiseman, Maurice Yoa- Druggists chim, Edwin C. Yoder. Doctors Hospital and Medical Arts Hospital Civil Defense Chairman W. Rosenbladt Assistant Chairman...... M ax Thomas ★ Pathology ...... X -R ay ______B. Harrington Douglas Erickson Samuel E. Adams, Leland Bland, Eugene W. We Carry a Complete Stock of Hanson, Cyril V. Lundvick, Glenn G. Mc­ Bride, Charles M. McGill, Ross E. McPhail, Biologicals and Pharmaceuticals Charles E. Marshall, Miles Parrott. John Shaw, Somers R. Sleep, Paul B. Smith, John F. Steele, S. Stefan Thordarson, Charles G. Trimble, Stanley W. Tuell, Ross D. Wright, ★ Wayne Zimmerman. Special Hospital Assignments Albert A. Sames, X-Ray, Northern Pacific "When Moments Count" Hospital. Thomas D. Moberg, X-Ray, Indian Hospital. Special Assignments Charles Bogue, Purdy High School, in charge, FUlton 2411 medical gathering point. Burke Lair or Wesley D. White, Buckley Hospital, in charge, medical gathering point. PROMPT . . . FREE DELIVERY Donald McKay, Orting (Old Soldiers’ Home), in charge, medical gathering point. Dr. Kraft, Puyallup, and Dr. John Kanda, will assist Dr. McKay. ★ D. M. Nevitt, Eatonville High School, in charge, medical gathering point. Puyallup General Hospital Stadium Hi District Civil Defense Chairman...... Wm. Burrows Assistant Chairmen...... C. H. Aylen 101 North Tacoma Avenue K. Sturdevant Tacoma, Washington X -R ay ...... J. Jarvis E. Blizard, Tom Clark, C. Denzler, James P. Duffy, W. Hoyt, Arnold W. Johansson, Hugh Kalkus, E. McCabe, C. Scheyer, Leo Sulkosky, Charles Vaught, Tom West.

BULLETIN o f the Pierce County M edical Society 2 1 WOMAN’S AUXILIARY %

OFFICERS FOR 1956-57 Nurse Recruitment Mrs. Orvis Harrelson President...... - Mrs. T. H. Duerfeldt 4839 North 8th— SK 1816 2905 North 28th— PR 4224 Program ______Mrs. Robert Florence President-Elect...... Mrs. Thomas B. Murphy 3306 North 22nd— PR 9703 803 Stadium Way— BR 3033 Public Relations...... Mrs. J. Robert Brooke First Vice President Mrs. Charles M. McGill 3814 North 12th— PR 7216 2101 North Stevens— PR 0034 Revisions...... Mrs. George Kittredge Second Vice President Mrs. M errill J. W icks 10215 Interlaaken Dr. S.W.— LA 9302 2214 North Tacoma Ave.— MA 6589 Telephone...... Mrs. Robert P. Crabill Third Vice President______Mrs. Hugh Kohler 6926 Lake Steilacoom Ave.— LA 0558 6456 South L— HA 6811 Today's Health...... Mrs. Glenn Brokaw Fourth Vice President...... Mrs. John Srail 3612 North 25th— PR 7277 Western State Hospital— LA 4411 Speaker’s Bureau...... Mrs. Phillip Grenley Recording Secretary....Mrs. Robert W . Osborne 710 N orth I— M A 6621 930 Aurora Ave.— SK 3312 Heart Board Rep...... Mrs. Robert A. Kallsen Corresponding Sec'y....Mrs. Wayne Zimmerman 3011 North 29th— PR 6151 3620 North Washington— SK 2466 Cancer Board Rep ...... Mrs. J. Robert Brooke Treasurer ...... Mrs. Haskell Maier 3814 North 12th— PR 7216 2707 Henry Road— BR 5216 Indian Hosp. Aux...... Mrs. Stanley Golden 319 North Tacoma Ave.— MA 1612 CHAIRMEN OF COMMITTEES Pres. Tacoma Cem. Council Mrs. John Steele 4110 North 39th— PR 6441 Publicity...... —.Mrs. Howard Pratt Tacoma City Council Mrs. Wm. H. Goering 1364 Heatherwood West— PR 4755 1545 Sunset Drive— SK 2205 American Medical...... Mrs. Phillip Backup Health Council Rep _____Mrs. Merrill J. Wicks 4629 North Mullen— PR 4332 2214 North Tacoma Ave.— MA 6589 Education Foundation Bulletin M inute W om en...... Mrs. M. E. Lawrence (National) .Mrs. Charles McGill 3537 Crestview Drive— PR 8464 2101 North Stevens— PR 0034 Civil Defense...... Mrs. Douglas Buttorff Projects— 3705 North Washington— SK. 1254 Style Show...... Mrs. Wm. Mattson, Jr. Historian...... Mrs. George Tanbara 4602 North Waterview— SK 4297 1715 South Tacoma Ave.— BR 5235 Bridge Tournament....Mrs. Merrill J. Wicks Social ...... Mrs. John J. Bonica 2214 North Tacoma Ave.— MA 6589 44 Summit Road— PR 7164 Supper Dance Mrs. Thomas B. Murphy Legislative...... Mrs. Joseph Harris 803 Stadium Way— BR 3033 10901 Evergreen Terrace— LA 2324 Members of the Board take this opportunity Membership Mrs. Chas. E. Anderson, Jr. to say, "Have a nice summer and get rested up 4711 North 31st— SK 4371 for our fall schedule." Mental Health Mrs. Paul E. Bondo 515 South 119th, Parkland— GR 7149 The crystal ball, today's trademark of the fortune-teller, once had a far different role in EVERY DROP PURE HEAT life. It was used as an amulet against illness. In some parts of Japan they are thought to ward STANDARD off dropsy and their wear is also recommended Heating Oils to guard against all "wasting diseases.” As the Japanese make many choice crystal balls, these objects are more or less familiar in that land. Call MA. 3171 However, the Yucatan Indians used quartz crystals for divining and also to insure the Fuel Oil Service Co. success of their crops. Such crystals have been 816 A St., Tacoma found in the Indian mounds of Arkansas and Mark Dolliver Jack Galbraith North Carolina, as well as other parts of the South and Southwest. n e w

a new measure in thei apy

(brond of phenmetrcizine hydrochloride)

...re d u ce s risk in reducing

A totally new development in anorexigenic therapy, P r e l u d in substar tially reduces the risks and discomfort in reducing.

Distinctive in its Chemistry: P r e lu d in is a totally new compound of the oxazim

Distinctive in Effectiveness: In three years of clinical trials P r e lu d in has consist­ ently demonstrated outstanding ability to produce significant and progressive weight loss through voluntary effortless restriction of caloric intake.

Distinctive in Tolerance: W ith P r e lu d in there is a notable absence of palpitations t or nervous excitement. It may generally be administered with safety to patients with diabetes or moderate hypertension.

For your patient's greater comfort: P r e lu d in curtails appetite without destroying enjoyment of m eals. . .causes a mild evenly sustained elevation of mood that keeps the patient in an optimistic and cooperative frame of mind.

Recommended Dosage: One tablet two or three times daily taken one hour before meals. Occasionally smaller dosage suffices.

P r e l u d in ® (brand of phenmetrazine hydrochloride). Scored, square, pink tablets of 25 mg. Under license from C. H. Boehringer Sohn, Ingelheim, mm BULLETIN o f the Pierce County M edical Society 23 Assembly Held in Spokane remedy is effective or needed. In hypochromic anemias, the gastric acidity should always be 'Scientific Assembly of Washington State determined and treated with B12 and Iron at ' Academy of General'Practice the rate of 1 microgram per day. Single doses greater than 30-50 mcgm are wasteful. Perni­ , (Continued from Last Month) cious anemia of pregnancy is a megaloblastic J Doctors Harriett E. and Fred R. Judy, col- anemia and responds to folic acid, 5 mgm. T. "hlaborating with Noreen Brandt Price, Ph.D., of I. D. A macrocytic anemia is associated with ^Spokane, reported an effort to determine the myxoedema and will respond to thyroid admin­ ■normal blood count in women. Some 7,000 istration but requires three to six months to patients were screened in finding 663 women, produce results. Specific medication should be ijhanging in age from 11 to 68, who met cri­ used to treat anemias after the basic defect has teria as "normal." Values found in these normal been diagnosed. women averaged 4,370,000 RBC (range 3.8 to Dr. Goodrich C. Shauffler, assistant clinical '".5.3) and 12.55 grams hemoglobin (range 10.2- professor of obstetrics and gynecology, ably • 'l 4 8) spoke on gynecological problems in the adoles­ fw .The clinical management of anemic patients cent. After commenting upon the advanced .‘was the subject of Dr. Samuel K. Mcllvanie of sexual knowledge of present-day teenagers, Dr. ,'Spokane. Hypochromic anemia is a common Schauffler observed that many circumstances finding in infancy and in adolescent females. are more embarrassing to the physician than the ‘ When it is found in adult males, a diagnosis adolescent. Rectal examination is more satis­ of carcinoma should always be considered. Fer­ factory than vaginal in determining pelvic path­ rous sulfate, the simplest remedy, will produce a ology. It is also useful when removing foreign ■response within three weeks and should be bodies from the vagina. Vaginitis in young maintained for four months. A lack of re­ girls is often due to lack of estrogen, just as sponse may indicate the presence o f ( 1 ) a such a lack may produce a similar vaginitis chronic infection, (2) Mediterranean anemia after the menopause. Menstrual bleeding norm­ which will respond to intravenous iron, or ( 3 ) ally may begin between the ages of eight and congenital hypochromic anemia in which no fifteen. Amenorrhea, if due to obstruction, is usually at the hymen. Priming of physiologic amenorrhea with endocrines is frequently justi­ fied. This treatment may also be effective in oligomenorrhea and dessicated thyroid quite A COMPLETE LINE OF often proves helpful. Little can be done for an SUPPLIES FOR THE infantile uterus although estrogen, when given PHYSICIAN . . . HOSPITAL early, may have some value. In such cases, ac­ cording to Dr. Schauffler, the physician never AND should give a pessimistic prognosis. Excessive NURSING HOME bleeding may be due to injury, manipulation, cervical erosion, or polyps. Estrogen, stilbes- terol, ergot, and like drugs have a place in the treatment of uterine hemorrhage. In severe cases, tying the uterine arteries has given better results recently than has hysterectomy. Mail or Telephone Orders Dr. Robert B. Hunter of Sedro Woolley spoke on hip fractures and their management Given Prompt Attention in state institutions. He favors early internal fixation of these fractures under general anes­ thesia. Displaced fractures are reduced by flexion and internal rotation of the femur, followed by abduction and extension. Dr. Hunter uses a flanged Smith-Peterson nail slip­ SHIPMAN ped over a Kirschner wire guide. In some cases a Thorton plate may be added. The patient is w SURGICAL CO. immediately mobilized without weight-bearing. Bfir The role of the general practitioner in ‘^41 St. Helens Ave. - BR. 6400 mental health was the subject of Dr. Thomas Tacoma 2 A. Harris, state director of the Department of !£*)- v Institutions. He spoke to a luncheon meeting (Continued on Page 21) 2 4 BULLETIN of the Piehce County M edical Society 4

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

Dealers for—

HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AND ELECTROSURGICAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS

BURDICK PHYSIO-THERAPY EQUIPMENT j CAMBRIDGE ELECTROCARDIOGRAPHS ft WILMOT CASTLE STERILIZERS AND LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS

BUCKLEY-KING FUNERAL SERVICE Tacoma Avenue at South First BRoadway 2166 BULLETIN of the Pierce County M edical Society 25

W i S S k M - ' 'W • k f ' M p p f 1 V

THERAGRAN THERAGRAN LIQUID Squibb Therapeutic Formula Vitamin Liquid Squibb Therapeutic Formula Vitamin Capsules 1 teaspoonful of Theragran The six vitamins almost Liquid is equivalent to invariably associated 1 Theragran Capsule. with chronic vitamin For patients of all ages who deficiency states. prefer liquid vitamin therapy.

Each Theragran Capsule, or 5 cc. teaspoonful of Theragran Liquid, supplies: Vitamin A (synthetic) ...... - 25,000 U.S.P. Units Vitam in D ...... 1,000 U.S.P. Units

Thiam ine ...... 10 mg. Riboflavin ...... 10 m g. Niacinamide ...... 150 mg. Ascorbic acid ...... 150 mg.

Usual Dosage: 1 or 2 capsules or teaspoonfuls daily. Infants: Not more than 1 teaspoonful d aily.

THERAGRAN CAPSULES: bottles of 30, 60, 100 and 1000. THERAGRAN LIQUID: bottles of 4 ounces.

SQPIBB Squibb Quality— the Priceless Ingredient

‘tHCRAQRAH’ 19 A BOUIOB m otM ABK

BULLETIN of the Pierce County M edical Society 2 7

(Continued from Page 23) Diagnosis of Congenital Heart of physicians and their wives. Dr. Harris Disease pointed out that the past ten years have seen great changes in the treatment of mental ill­ AUTHORS: Sven R. Kjellberg, Edgar Mann- ness. Use of tranquilizing drugs has been a heimer, Ulf Rudhe, Bengt Jonsson. great aid in reaching the patient and making This book is based on the clinical and roent­ possible his rehabilitation. As a result, only genologic studies of 396 cases of congenital minimal hospitalization is necessary before the heart disease as they were carried out by the patient may be safely returned to his com ­ cardiologic team of the Pediatric Clinic, Kar- munity. Since the number of psychiatrists is olwskaa Sjukhurset, Stockholm, Sweden. Be­ insufficient, the majority of discharged patients sides offering an excellent section on the car­ must be referred back to the family doctor. The diac embryology to elucidate the anatomic mal­ latter can help the patient in his readjustment formations of the heart and great vessels, the to community living. Because social and per­ authors concisely review the roentgenologic sonal relationships are so important in salvaging anatomy and physiology of the heart as they these patients, the family doctor has a greater apply to the diagnosis of congenital heart dis­ opportunity to help than does the psychiatrist. ■ ease. The techniques of phonocardiology and In the business sessions new officers were electrokymography are presented along with the elected. Dr. Mac O ’Brian, Spokane, succeeded techniques and complications of angiocardiog­ Dr. E. W . Rawson, Seattle as president. The raphy and cardiac catherization before the case new vice-president is Dr. Ralph Highmiller, material of the various forms of congenital Olympia. Dr. John C. Ely, Opportunity remains heart disease are individually reviewed and secretary-treasurer with an assistant, Dr. E. W . analyzed. As each type of anomaly is discussed, Newman, Spokane. Trustees elected are Drs. the anatomy, both gross and roentgenologic, is Michael Buckley, Bellevue, and Galen Rogers, compared with the normal. The phonocardio- Clarkston. A loan fund for Medical Students grams, electrokymograms and electrocardio­ at the University has been established in mem ­ grams are reproduced in addition to the roent­ ory of Dr. Merrill Shaw, first president of the genograms which demonstrate the cardiac sil­ Washington Chapter and a vice-president of the houette in multiple projections and angiocardio­ A.A.G.P. at the time of his death. The present graphic findings. Abundant cardiac catheriza­ $1,000 is expected to be increased to $10,000 tion data is provided. The technical procedures by individual subscriptions. and clinical data are then correlated in an at­ The Fifth Annual Scientific Assembly will be tempt to appraise the vlaue of the respective held at Olympia on the 25th and 26th of methods of investigation. The bibliography is May, 1957. extensive and the text is easily read. Although George H. Hess, M.D. this work represents a reference book primarily, in collaboration with it readily adapts to leisure reading to the reader Elmer W . Wahlberg, M.D. interested in congenital heart disease. Douglas W . Erickson, M.D. San Diego Assembly San Diego Postgraduate Assembly, San Diego The superintendent called in a roustabout to County Hospital, San Diego, California, Sep­ explain to the gang the purpose of a bolt with tember 19 and 20. Michael J. Feeney, M.D., a left-handed thread. 3415 Sixth Avenue, San Diego 3, California. This was the bewildered reply. "A bolt with "What win I if I gain the thing I seek? a left-handed thread is a bolt which the tighter A dream, a breath, a froth of fleeting joy. it's screwed the looser it gets!" Who buys a minutes m irth to wail a week? Or sells eternity to get a toy?" The barber leaned over the man he was shav­ ing and whispered, "Did you have on a red tie when you came in here?” "Why no,” said the customer. DAMMEIER "Then I must have cut your throat.” Printing Co. Patron at the bar ordered a dry martini and BRoadway 8303 watched with critical eyes as the bartender deftly added a twist of lemon peel. The custo­ 811 Pacific Ave. Tacoma mer immediately let out a shriek of protest. "If I wanted lemonade I would have ordered it.” 28 BULLETIN of the Pierce County M edical Society

t J t

in “ summer dermatitis'!..a quick end to pruritus

Whether the itch is due to sunburn, irritating plant exudations or prickly heat, EURAX EURAX provides relief in minutes that lasts for hours (crotam lton GEIGY) ...long enough usually for your patient to cream and lotion sleep the night through. Nonirritating and nontoxic, EURAX may be used with safety no matter how extensive the GEIGY lesion. And because it is nonstaining and non- greasy, E urax can be used on exposed parts without fear of detection. E u r a x ® (crotamiton G e ig y ) 10% Cream and Lotion.

GEIGY PHARMACEUTICALS DIVISION OF GEIGY CHEMICAL CORPORATION 7"" 220 CHURCH STREET, NEWYORK 13, N.Y, BULLETIN of the Pierce County M edical Society 2 9 Golf and Fishing, 1956 Library Corner Derby and Tournament THE LIBRARY WILL BE CLOSED AUGUST 6th THROUGH 10th. Volumes Newly Acquired

The Office Assistant, Frederick and Towner. Chronic Ulcerative Colitis, Bargen. Recent Advances in Neurology and Neuro­ psychiatry, 6th Ed., Brain and Strauss. Headache and Other Head Pains, Wolff. Year Book of Pathology and Clinical Path­ ology, 55-56. Dynamic Psychiatry, Ed. by Alexander and Ross. Clinical Orthopedica V 7, Tumors of the Bone. A Follow-up Study of War Neuroses, A V A Monograph. Sexuai Offender and his Offenses, Karpman. Medical Research; V 1 and 2, A Mid-Century Survey Published for American Foundation. Rubin and Novak; Integrated Gynecology, Fishing D erby Champ V I, II, III. Stan Tuell, with 15 lb. salmon A bathing beauty is a girl who is worth The Annual Fishing and Golf Derby was wading for. held July 20th. The fishing was not as success­ ful as in former years, but Dr. Stan Tuell caught one fine salmon and won rhe fishing derby. The golf this year was held in conjunction LUTHERAN with the Tacoma District Dental Society and a cup was revived that had been played for in former years. A team of six doctors managed to MINOR HOSPITAL wrest this from the dentists by a team score of 14 to 3%. This will be an annual team match and it is hoped that next year there w ill be as f ☆ ☆ ☆ T much enthusiasm as was shown this year. The Medical Society Cup was won by Dr. Stan j AN INSTITUTION j Durkin with a 75 and Dr. Thomas Moberg, a j AVAILABLE FOR THE 1 newcomer but a dangerous golfer, has taken home some hardware. I PROFESSIONAL CARE j There were about 70 present for dinner and with the beautiful weather and the good turn­ I an<^ I out a wonderful day was had by all. | REHABILITATION j J. W. Bowen, M.D. I of the I j CHRONICALLY ILL I A pretty redhead, window-shopping on Main Street, was being followed by the smooth Latin i * * * I type. Finally she turned to him and said: You’ve been following me for three blocks— r 407-14th Avenue S.E. t I saw you. Just stop it right now. I'm not the type of girl you can pick up.” | Phone 5-8833 j , ^ e suave youngman bowed and smiled. £ Puyallup, Washington I I m not picking you up, Miss. I’m picking you out.” It worked. 30 BULLETIN of the Pierce County M edical Society Upjohn

Bacterial diarrheas...

Each fluidounce contains: with Neomycin sulfate 300 mg. (4% grs.) [equivalent to 210 mg. (3% gTs.) neo­ mycin base] K a o lin ...... 5.832 Gm. (90 grs.)Neomycin P e c tin ...... 0.130 Gm. ( 2 grs.) Suspended with methylcellulose 1.25% Supplied: 6-fluidounce and pint bottles

The Upjohn Company, Kalamazoo, Michigan

I BULLETIN of the Pierce County M edical Society 31

WOULD YOU BELIEVE IT? — One doc­ tor wrote out a prescription, and the patient used it for two years as a railroad pass. Tw ice it PARK-N-SHOP got him into Radio City Music Hall and once into the Polo Grounds, and it also came in PRESCRIPTION handy as a letter from his employer to the cashier to increase his salary. To cap the climax, DEPARTMENT his daughter played it on the piano and won a scholarship to a music conservatory.

The gas distribution company in a small Open from 8 a.m. college town inserted the following ad in the To 12 a.m. local newspaper: "Wanted: Hard-boiled, beauty-proof man to 7 Days a Week read meters in sorority houses. We haven’t made a dollar there in two years.”

☆ ☆ ☆ A Texas G.I. was playing poker with some English soldiers. He drew four aces. "One pound,” ventured the Englishman on his right. NIGHT DELIVERY BY TAXI 1 "Ah don’t know how you'all count your money,” said the Texan, "but all’ll raise you a ton.” ☆ ☆ ☆ < "Two!” shouted the pint-sized umpire. "Two what," snarled the big catcher. GR. 8693 98th and Pacific ‘ "Yeah, two what?" echoed the equally large batter. "Too close to tell,” said the umpire.

your allergy p a t i e n t s need a lift

W orn out with sneezing- or scratching, your allergic patients need relief from the depression which is often brought on by their allergy symptoms. You can give them a lift with Plimasin, a combination of a Plimasin(tripelennamine hydrochloride and proved antihistamine and Ritalin — a new, mild psycho­ methyl-phenidylacetate hydrochloride CIBA) motor stimulant. Plimasin, while effectively relieving the symptoms of allergy, counteracts depression as well. Dosage: 1 or 2 tablets every 4 to 6 hours if necessary. CIBA T ablets (light blue, coated), each containing 25 mg. Pyribenzamine® hydro­ chloride (tripelennamine hydrochloride CIBA) and 5 mg. Ritalin® hydrochlo­ SUMMIT, N .J. ride (methyl-phenidylacetate hydrochloride CIBA) i/jimh Pierce County Medical Society Sec. 34.66, P. L. & R[I Medical Arts Building U. S. POSTAGE : Tacoma 2, Washington PAID TA CO M A , WASH. PERMIT No. 300

"G lasses as your eye BEALL’S physician prescribes them" ; : The Prescription Store Contact Lenses — Artificial Eyes Columbian Optical Co. 124 Meridian South Ground Floor, Medical Arts Bldg. PUYALLUP Medical Center Puyallup 5-6291 Western Clinic Bldg. 1

“PATRONIZE OUR ADVERTISERS”

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. PIERCE COUNTY MEDICAL SOCIETY ■■ --■■■ ■■ ,

VOL. XXVII—No. 1 TACOMA, WASH. SEPTEM BER - 1956

BULLETIN of the Pierce County M edical Society 3 comparison of the effect of RAUDIXIN (tranquilizer) and a barbiturate (sedative)

Raudixin acts in the area of the midbrain and diencephalon and does not depress the cerebral cortex, as can be seen in this electroencephalogram. Consequently, the tran- quilizing effect of Raudixin is generally free of loss of alertness.

Because barbiturates and other sedatives depress the cerebral cortex, as indicated by this "spindling,” the sedation is often accompanied by a reduction in mental alertness.

dosage: Usual initial dosage is 200 mg. daily. Maintenance dosage may be adjusted within a range of 50 mg. to 500 mg. daily, de­ pending on the response observed and the pos­ sible appearance of side effects. Most patients RAUDIXIN can be adequately maintained on 100 mg. to SQUIBB WHOLE ROOT RAUWOLFIA 6ERPENTINA 200 mg. per day. Because of its sustained ac­ tion, Raudixin may be given in single daily doses if desired. Note: Tranquilizing action is usually evident in 3 to 10 days; for a more S q u ib b rapid onset of effect, the patient may be giveo a priming dose of 200 to 300 mg. twice daily for the first 3 days. s u p p l y : 60 mg. and 100 mg. tablets, bottles of 100, 1000 and 5000.

‘RAUD1KIH’® IS a SQUIB9 TRADEMARK.

BULLETIN of the Piehce County M edical Society

PROGRAM PIERCE COUNTY MEDICAL SOCIETY TUESDAY, SEPTEMBER II 8:15 P.M.

Medical Arts Building Auditorium

“Recent Advances in Surgery”

Dr. Stanley W. Tuell, Moderator

General Surgery: Dr. Richard T. Davis Anesthesia: Dr. Maurice Yoachim Neurosurgery: Dr. L. Stanley Durkin Thoracic Surgery: Dr. Wm. W. Mattson, Jr.

A brief up-to-date discussion of the recent advances which have been made in the surgical specialties will be presented.

☆ ☆ ☆

MOTION PICTURE

Time and Title to be announced later. Announcements will be posted on hospital bulletin boards. BULLETIN of the Pierce County M epical Society

I

You Can’t Take It With You . . . Neither Can You Leave It All Behind

You can’t take your money and other the obligation to dispose of his worldly worldly effects with you . . . and more im­ goods by means of a will for the protection portantly, you can’t leave them all behind! of his wife and family. It is the widow of You can, however, leave more behind if you modest means who most needs the help of leave your wife and family protected by a a will. A will does many things. It provides will. the greatest economy in settling his affairs. Both the federal and state governments It leaves more for his wife and family—it will want part of what you have accumu­ gives protection. lated. This will be affected to some extent Special attention should be given to nam­ by the provisions of your will. ing a bank as executor, solely or jointly with A man is more responsible to his wife your wife and/or others. A bank’s trust de­ and family after he leaves this world than partment acts as a business manager for he was to the girl he married. She may be a estates. Its experience adds much to the widow ten, twenty or forty years. She has conservation of resources. And it is timeless to make insurance money and other assets and permanent. stretch farther, and is more likely to have a Yes, every man should have a will. See an home to pay for and a family to raise. No attorney now. You’ll find a newly discovered matter how little he has to leave, a man has peace of mind.

TRUST DEPARTMENT PUGET SOUND NATIONAL BANK O F T A C O M A

MAIN OFFICE • LINCOLN • K STREET • LAKEWOOD

Free Customer Parking at our Big Lot at 13th and A Streets and at Branches

MEMBER: FEDERAL DEPOSIT INSURANCE CORPORATION • FEDERAL RESERVE SYSTEM BULLETIN of the Fierce County M edical Society 7

PRESIDENT'S PAGE It is regrettable, owing to circumstances that cannot be circumvented, that our first Dinner Meeting at the T.A.C. must be postponed until our October meeting. The Septem­ ber meeting will be held as usual at the Medical Arts Audi­ torium, Tuesday, September 11th. The following week the Washington State Medical Association meeting will be held in Seattle. I urge that as many as possible from our Society (one of the largest in the state) attend not only the scientific meetings, but also the social, athletic and business meetings as well. Important issues regarding such subjects as the Uni­ versity of Washington Medical School Hospital; osteopathy, pre-paid medicine; dispensing opticians; social security for physicians and medical ethics will be considered. The establishment of specialty sections within the asso­ ciation, politics of an election year relating to public health and medical practice and various amendments to the Asso­ ciation Constitution will be considered by various committees and the house of delegates. We are vitally concerned with the election of three nominees to important offices from our own society. Dr. Homer W. Humiston, for re-election as Speaker of the House: Dr. Charles P. Larson, American Medical Association dele­ gate; and Dr. J. W. Bowen, Jr., as trustee from the Western district. Our delegates will be instructed to do all in their power to help these men. All Society members have the privilege of attending the meetings of the House of Delegates and may present their views at reference committee meetings. Go to these meet­ ings and use your influence and pursuasion not only in the interest of the Washington State Medical Association but also in the interest of our own component society. The more of our members who are present at these meetings the greater will be our voice in the future. W e should be, and need to be heard. As of today we have 278 members. We are therefore entitled to one additional delegate and alternate from our Society. Dr. Douglas Buttorff and Dr. Hillis Griffin have been appointed to these respective offices. Within another year we will have increased to over 300 members, which will give us an additional representative in the House of Dele­ gates. We are growing up. Let us meet our responsibilities and take our rightful place in the business and program of the Washington State Medical Association.

G e r a l d C. K o h l , M.D. 8 B U L L E T I N of the Pierce County M edical Society

BRALEY'S, Inc. PRESCRIPTION DRUGGISTS

Catering to the Doctor and his patient

FREE DELIVERY

Medical Arts Building MArket 8116

717-719 South Tacoma Avenue Phone MArket 7745 BULLETIN of the Pierce County Medical Society

EDITORIALLY SPEAKING. . .

HOSPITAL ACCREDITATION

Last May Tacoma’s excellent interne teaching pro­ gram was acknowledeged. In a few days this program is going to be put to a real test in the form of an inspection of the Tacoma Hospitals by the Joint Commission for Accreditation. The Ameri­ can Medical Association House of Delegates re­ cently agreed that hospital accreditation is a desirable activity and it should be continued. Obviously we cannot continue a good interne pro­ gram without it. A large number of incomplete charts does not contribute towards our accreditation —so, everybody—on the ball—do your part— complete your charts—

W. W. M. II

BULLETIN of the Pjerce County M edical Society 11 WOMAN’S AUXILIARY % ^Ike P&ice G

BULLETIN of the Pierce County M edical Society 1 3

(Continued from Page 11) annual convention in Seattle, September 16-19, inclusive, with the Washington Athletic Club as convention headquarters and center of MILK activities. Mrs. Martin Norgore of Seattle, Auxiliary President, has announced a program which features as luncheon speaker Tuesday, Septem­ ber 18th, Mrs. Robert Flanders of Manchester, N.H., National Auxiliary president. Dwight H. Murray of Napa, California, President of the American Medical Assocation, will speak dur­ ing the same program. The Auxiliary’s annual meeting will include ☆ Mrs. Norgore’s presidential address, pre- and post-convention board meetings, and reports of officers, committees and delegates to the na­ Careful Mothers use Pro­ tional convention. Officers for the coming year will be elected and installed. tected Milk. Pasteurized The Auxiliary Golf Tournament and lunch­ and Homogenized Milk eon will be held at the Broadmoor Golf Club on Monday, September 17 th. Golf trophy from our own contented awards will be presented that evening in the cows can be delivered Birch Room of the Washington Athletic Club, at a dinner and fashion show honoring the to your home or your National Auxiliary president, Mrs. Flanders. grocer Past presidents of the State Auxiliary will be honored at a breakfast Tuesday morning September 18th, to which the membership is ☆ invited. Other convention highlights are social and sports events planned for doctors and their A Favorite Dairy for over wives in conjunction with the convention of the Washington State Medical Association. 30 years. Recommended These include the no-host Family Dinner Sun­ by doctors and dietitians. day evening, the Fishing Derby Monday, the annual Banquet and Dance Tuesday evening, free Public Relations Luncheon Wednesday ☆ noon, and the reception honoring new presi­ dents of the Association and Auxiliary Wednesday evening. CALL

WAverly 8705 Fashion Show Reminder Be sure to save November 16th. Our Auxili­ ary is sponsoring a Fashion Show (clothes by Lou Johnson) to raise money for our Ameri­ can Medical Educational Foundation fund. Plan on coming and bringing several friends! Bianca and her committee are working hard on the &KITARV details— it's bound to be lovely but a success only if YOU come.

Direct from Our Farm to You Leaving August 24 on a round-the-world tour, Dr. Harlan P. McNutt plans to return November 19th. 14 B U L L E T I N of the Pierce County M edical Society

LINDSTROM OFFICE SPACE CABINET WORKS New office building to be built at South 38th and Paci­ 614 Baker St. BR. 4571 fic Avenue. Building to be Percy Quick, Owner of professional type and space may be arranged to Office Desk Units suit tenants who have prior leases. Examining Tables Instrument Cabinets LARGE PARKING AREA ADJACENT Custom Work for Home or Office

Free Estimates & Design Service Call . . . Mr. Bailey PR. 4372 evenings or ☆ HI. 8471 Days Direct from Manufacturer to The Bailey Company the Customer. 4702 Pacific Ave. HI. 8471 new... a more potent, longer-acting progestational agent

3D E5 L -A _ I_iT J T I 3NT S Q U I S B 17-ALPHA - HYD ROXY PRO GESTERONE-CAPROATE

a single injection provides sustained progestational activity for approximately 2 weeks, when enough estrogen is present, simulating endogenous progesterone production.

Vials of 2 and 10 cc. Each cc.

provides 125 mg. of 17-aipha- Comparative effect of single subcutaneous Injection of Delalutin and progesterone on hydroxyprogesterone-caproate the progestational changes (Clauberg Test) in the rabbit uterus

H PROGESTERONE ■ 17-ALPHA-HYDR0XYPR0GESTER0NE-CAPR0ATE (DELALUTIN)

S q u i b b

Squibb Quality— the Priceless Ingredient 1------1----1------i------i 1 ' 1 " | | I 1 I I — Days following 2 3 4 5 6 7 8 9 10 11 12 H 3 1* W 'OClALUIIM'e IS * SOUIBB FIMOEHASK. IfljeCllOD BULLETIN of the Fierce County M edical Society 10 HOSPITALS. . .

Pierce County most successful catch and display marked sun tan. Those who went were Drs. Paap, Stipe, The annual picnic for all tj,ie hospital per­ Johnson, Waddell and Bosley. It is also to be sonnel was held August 3, 1956 at Steele Lake. noted that the men are not the only real A large number including the new interns and fishermen, since Miss Lillian Wilson, assist­ their families attended. Games and swimming ant supervisor of nurses, caught a 16-lb. salmon, were enjoyed, followed by a picnic dinner. too, at Westport last Monday. Those responsible for the success of the pleasant outing were: Food Committee— Arlene Davis, M id Okano, Saint Joseph's Dorothy Arnold, Ida Rasor. Sr. Mary Antonio is the new Administrator. Games— Helen Simpson, Isabel Yeaman, Sr. Antonio is replacing Sr. Mary Valeria who Patsy Larance, Emma Delin. had served the hospital so faithfully and well Publicity—Arlene Slane. for the past six years. The new superior was Transportation — Orpha Jason, Marlene the administrator of St. Joseph Hospital in Le- Hagen. Grande Oregon. Some years back Sr. Antonio Clean-up— Arlene Davis, Emma Delin. was the surgery supervisor of this hospital as Mrs. Margaret Williamson, head of Social well as being in charge of third floor. We of Service, has just returned from a delightful the hospital staff wish to welcome Sr. Antonio vacation in Victoria, B.C. She was accompanied back to St. Joseph's and to our city and we by Mrs. Ames and family of Medford, Oregon. pledge her all the cooperation in our power to Donna Stoker of Social Service is hospital­ make her position a pleasant one. ized at Madigan Hospital for several days. Along with Sr. Antonio, we are happy to Friends are hoping for a speedy recovery. announce the return of Sr. Celene Magdalene The laboratory force held a coffee hour on from St. Anthony Hospital in Pendleton. Sr. the 14th honoring Patsy Larance who is leav­ Celene has been missed and is welcomed back ing with several other army wives to join their with open arms. Sr. Mary Maxine also from husbands in Fairbanks, Alaska. The women will LeGrande has been assigned to St. Joseph’s. fill two automobiles and travel over the Alaskan Sr. Michael Catherine, who has been Director Highway. It is with regret that the Labora­ of Nursing Service is transferred to Pendleton. tory loses Patsy. The two travellers Sister Paul and Sister Mrs. Nelle Satter has been appointed Head Anthony Consilia have returned from their trip : Housekeeper of the hospital, filling the vacancy to Ireland and are bubbling over with excite­ made by the departure of Alice Cane, who took ment and news of all our friends in far away a similar position at the American Lake Vete­ places. rans’ Hospital. Dr. Charles E. Hedges, representing the Masaharu Jinguiji, who has been doing Joint Commission of Accreditation of Hospitals laboratory technician work since Spring, will make a survey of the hospital for accredi­ leaves in September to enter his 3rd year of tation September 4 and 5, 1956. medicine in the School of M edicine at George Ruth Delle returned from her vacation which Washington University, Washington, D.C. took her through Idaho, Colorado, Utah, Ne­ Dr. Leonore W arden and D r. D on P. vada and Oregon. According to all reports she f Warden, lately of the South W estern Medical had a wonderful trip. Welcome back, Ruth! t School in Dallas, Texas, have moved to Ta- While Ruth was away, Carol Friel very effi­ " coma. Dr. Leonore Warden will do intern serv- ciently took her duties. ! ice at Pierce County Hospital and Dr. Don Congratulations Mrs. Arness on the arrival 5 Warden will be practising at the Northern of your second grandson, Kevin Michael. | Pacific Hospital. Sister Columba gave us the honor of a visit j Miss Katherine Reckey of the Nursing D e­ for the week-end. She returned to Spokane the partment left August 17 for an extended following Sunday. Her many friends in Ta­ Alaskan holiday. She, with a group of friends coma send their best wishes with her. will sail to Skagway, visiting points along the Mrs. Strommer, R.N., from 3 South is the water route, and then continue to W h ite Horse proud mother of a 7 lb. 9% oz. boy born on by rail. July 20. Congratulations! Several of the interns enjoyed a fishing trip Miss Mary Hare, S.N., had a military to Westport over the week-end and all report a (Continued on Page 17)

B U L L E T I N 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 17

(Continued from Page 15) tor, is leaving us too, we really hate to see you wedding at Ft. Lewis on July 20. T he groom go, Martha. Since the September Staff Meeting coincides is Lt. Francis Johnson now stationed at Ft. with the annual meeting of the Washington Lewis. Congratulations! State Medical Association in Spokane, our Staff From 4th floor comes news that Mrs. Post Meeting will be Monday, September 24. The is vacationing during the month of August. usual announcement cards will be sent. Mrs. Keely enjoyed a trip to Canada during her vacation. Congratulations to Dr. and Mrs. Bader on “PATRONIZE OUR ADVERTISERS" the birth of a new son July 23 and also Mr. and Mrs. Larry, a son on August 4. Among the vacationers last month was Mary Trunk, who took a trip back East. Mrs. MULTIPURPOSE McDonald, C.S.R., and daughter Rita are at present on a trip in California. Miss H. Joh n­ son spent her vacation in Canada. ANTIHISTAMINE The Surgical Floor is undergoing a face lift­ ing at present. W ard 223 is being remodeled for a Recovery Room and the private rooms on the South W ing will now be used for patients. Dr. Lee is a patient on 2 North and accord­ ing to reports is making a successful recovery. Did you say doctors are good patients? They ‘PERAZIL brand CJilorcycllzine Hydrochloride sure are the best. TABLETS Mrs. Liewer, wife of our intern, was a pa­ tient 2 weeks ago. Mrs. Sylvester, head nurse on 2 North has left for vacation. Mrs. Rose and two strengths Mrs. Nichelson just returned after 2 weeks rest. Welcome to Mrs. McDonald who is reliev­ 25 mg., sugar-coated ing 2 days in the medicine room. She is the 50 mg., scored, uncoated wife of Jack McDonald, the chef of our X-R ay Department. all-round allergy relief Our new "check” system is working pretty smoothly now. At first it seemed as though all we did was run tapes on our accounts and then patients appreciate the gratifying add and subtract millions of other little relief from allergic reactions figures from the total but it is finally making of virtually every type. sense. ~~ ~ - - r ~J Pat Jacka has transferred from the Record ! all around the clock i Department to our Business Office. Welcome j to the gang, Pat. Dorothy Rockwood is hoping to become a up to 24 hours of activity with a Mamma” soon. Marilou gave her a surprise single dose (adults 50 to 100 mg.; shower under the pretense of an "office picnic" children 25 mg.) in her back yard. Dorothy was a little stunned for a moment. Every one had fun, Dorothy exceptionally low received some beautiful gifts and the food was delicious. W e are really going to miss that incidence little "bit of Boston.” Dorothy, you must bring o f side effects Drezel” to see us often. Out little red head, Betty Petri, will soon be packing her bags for Seattle University. Mrs. Flannery is frantically trying to convince Betty that she isn't Rudy Valentino’s L A D Y IN BURROUGHS WELLCOME & CO. {U.S.A.) INC. BLACK. Tuckahoe, New York Martha Raymond, our switchboard opera­ 18 BULLETIN of the Pierce County M edical Society

allergic to pollen . . . yet fully enjoying summertime

'Co-Pyronir (PYRROBUT AMINE COMPOUND, LILLY)

. . . usually eliminates distressing symptoms without causing side-effects; allows the allergic patient to enjoy fully this "funtime” season of the year.

rapid-acting . . . relief usually C om p lete r e l i e f . . . more frequently noted within fifteen to thirty min­ obtained because of the complemen­ utes. tary actions of two antihistamines and a sympathomimetic. long-acting . . . relief often main­ tained for eight to twelve hours; thus Supplied as pulvules, pediatric pulvules, continuous relief is provided on a and suspension. Also, Tablets 'PyroniT convenient dosage schedule. (Pyrrobutamine, Lilly), 15 mg.

prescribe relief from allergy . . . prescribe 'Co-PyroniV

8 0 " ANNIVERSARY 1876 ■ 1956 j ELI LILLY AND COMPANY BULLETIN of the Piebce County M edical Society 19 7th Annual Alfred A. Strauss Lecture On October 19, 1956, Doctor Edward Delos Churchill will give the Seventh Annual Alfred A. Strauss Lecture sponsored by the Depart­ ment of Surgery of the University of Washing­ ton School of Medicine, Seattle. Doctor Churchill is the Chief of the General Surgi­ PHARMACY cal Service at the Massachusetts General Hos­ pital and is the John Homans Professor of Surgery at Harvard University Medical School. Doctor Churchill will speak on the subject, "The Nature of Wounds and Wound Healing" at 8:15 p.m. in the auditorium of the Health Prescription Sciences Building, University of Washington campus. Previous Strauss Lecturers were Doc­ tor Alfred A. Strauss, Doctor Dallas Phemister, Druggists Doctor Warren Cole, Doctor Owen Wangen- steen, and Doctor Lester Dragstadt. Doctor Churchill’s contributions to surgery include surgery of bronchiectasis, removal of lobes and portions of lobes of the lungs, and the pointing out that not all of the lobe of a lung needs to be removed in benign condi­ tions. In addition, his work on para-thyroid We Carry a Complete Stock of tumors is classical in this field. Doctor Churchill Biologicals and Pharmaceuticals is also outstanding for his training of young surgeons, and he is the Head of one of the largest and most productive surgical services, both from the clinical and from the animal experimental standpoint, in the country. Doctor Churchill's war services are also out­ standing. He was in the medical reserve in the First World War, and from 1943-1946 was a "When Moments Count" Colonel in the Medical Corps and Area Con­ sultant in Surgery, Chief Consultant in Sur­ gery, Mediterannean Theater. He received the European Theater Service Medal with four FDlton 2411 bronze stars and the Legion of Merit award. All physicians are welcome to attend the Strauss Lecture. PROMPT . . . FREE DELIVERY

EVERY DROP PURE HEAT

STANDARD Stadium Hi District Heating Oils 101 North Tacoma Avenue Call MA. 3171 Tacoma, Washington Fuel Oil Service Co. 816 A St., Tacoma Mark Dolliver Jack Galbraith

BULLETIN of the Pierce County M edical Society 21 Pacific Northwest Industrial sity; Dr. Carl Heller, Associate Clinical Health Conference Professor of Medicine, University of Oregon; Dr. James W. Reagan, Associate Professor of William C. Menninger, M.D., secretary of Pathology, Western Reserve University, and the famed Menninger Foundation of Topeka, Dr. Alexander Simon, Professor of Psychiatry, Kansas, will be a principal speaker at the University of California. Third Annual Pacific Northwest Industrial Dr. J. Lafe Ludwig of Los Angeles, a mem­ Health Conference to be held September 10-11 ber of the American Medical Association Com­ at the Multnomah Hotel in Portland, Oregon. mittee on Legislation, will moderate a panel on His subject, "Mental Health Problems in In­ "Congress, Doctors and Politics" at the Public dustry.” In addition, some 25 or 30 distin­ Relations Luncheon on Wednesday, September guished national and regional business and in­ 19. Panel members will be C. Joseph Stetler, dustrial executives, physicians, personnel direc­ LL.M., Chicago, director of the A.M.A. Law tors, safety engineers and plant nurses will Department, and R. G. Van Buskirk, LL.B., speak and lead the panel discussions. executive secretary of the A.M.A. Committee The Conference, designed for the exchange on Legislation. of ideas and information on programs for the The no-host Family Dinner on Sunday eve­ physical and mental well-being of industrial ning, September 16, will feature as speaker a workers, is sponsored by the Portland Chamber well-known clergyman, The Right Reverend of Commerce. Stephen F. Bayne, Jr., S.T.D., D.D., Bishop, Dr. Menninger heads an impressive roster of Diocese of Olympia, Episcopal. Physicians who distinguished speakers which includes such have practiced for 50 years or more will be names as Harry A. Stuhldreher, quarterback of honored at the dinner. the Four Horsemen of Notre Dame football Throughout the convention, physicians will combination of 1924; and now assistant to the be able to visualize latest advancements in president, U.S. Steel Corporation; Hedwig S. medical science and technology through the Kuhn, M.D., secretary of Joint Committee on medium of scientific and technical exhibits. Industrial Ophthalmology of the American Medical Association; Mary E. Delehanty, R.N., Important business and policy matters will be up for consideration before reference com­ president of the New Y ork State Nurses Asso­ ciation; and many others. mittees and the House of Delegates. New offi­ cers will be elected and Dr. James H. Berge Business executives, personnel directors, of Seattle will be installed as President of the safety engineers, physicians, dentists, plant Washington State Medical Association for the nurses, labor leaders, public health workers and com ing year. others wishing to attend may register by writing or calling in person at Headquarters, Pacific Other convention highlights include the an­ Northwest Industrial Health Conference, 824 nual Golf Tournament, Fishing Derby, and S.W. Fifth Avenue, Portland 4, Oregon. calendar of sparkling social events, which in­ cludes the Family Dinner mentioned above, the W.S.M.A. Convention To Feature Annual Banquet and Dance, and the Presi­ dent's Reception. Nine Outstanding Guest Speakers Heading a list of nine outstanding guest speakers in the scientific and medico-legal fields Library Corner at the Washington State Medical Association N ew B o o k s— Convention in Seattle on September 16-19, in­ 1. Goodale: Clinical Interpretation of Lab­ clusive, is Dr. Dwight H. Murray, of Napa, oratory Tests. Calif., President of the American Medical 2. A. C. Ivy; John F. Pick; W. F. Phillips; Association. Monograph: Observations on Kreboizen in the Dr. Murray, a top-flight figure in medical Management of Cancer organization work for nearly 20 years, will de­ 3. Epilepsy and the Law, Roscoe L. Barrow liver an inspirational address during the G en­ 4. 1956 New and Nonofficial Remedies eral Assembly program on Tuesday, September Periodical— 18. Disease of the Month— Allergic Dermatitis The scientific program will feature five top­ flight guest speakers from across the nation. A young man stared into the mirror one They are Dr. W illiam J. Dieckm ann, Mary C. morning and noted his bloodshot eyes, resolved Ryerson, Professor and form er Chairman, D e­ to never go into a bar again. That television, he partment of Obstetrics and Gynecology, U n i­ muttered, is ruining my eyes. versity of Chicago; Dr. Harry Gold, Profes­ sor of Clinical Pharmacology, Cornell Univer­ “PATRONIZE OUR ADVERTISERS” n e w

a neiv measurein therapy of overweight PRELUDIN (brand of phenmetrazine hydrochloride)

...re d u ce s risk in reducing

A totally new development in anorexigenic therapy, Preludin substan­ tially reduces the risks and discomfort in reducing.

Distinctive in its Chemistry: P r e lu d in is a totally new com pound of the oxazine

Distinctive in Effectiveness: In three years of clinical trials Preludin has consist­ ently demonstrated outstanding ability to produce significant and progressive weight loss through voluntary effortless restriction of caloric intake.

Distinctive in Tolerance: With Prelud in there is a notable absence of palpitations or nervous excitement. It may generally be administered with safety to patients with diabetes or moderate hypertension.

For your patient's greater comfort: P r e lu d in curtails appetite without destroying enjoyment of m eals...causes a mild evenly sustained elevation of mood that keeps the patient in an optimistic and cooperative frame of mind.

Recommended Dosage: One tablet two or three times daily taken one hour before meals. Occasionally smaller dosage suffices.

P r e l u d in ® (brand ot phenmetrazine hydrochloride). Scored; square, pink tablets of 25 mg. Under license from C. H. Boehringer Sohn, Ingelheim. BULLETIN of the Pierce County M edical Society 23 Introducing obtained his elementary’ schooling and went to Hastings College. His education was interrupted from 1946 to 1948 when he served in the Army mostly with the army of occupation in Germany. He came back to the University of Nebraska Medical School where he finished in 1954. Jim in­ terned at Pierce County Hospital ’til 1955 and subsequently has established his practice at Brow n’s Point. Chief hobbies are fishing (mostly fresh water) and photography (with a Retina II). Family includes wife, Carol and 2 children, with a third due next year.

Introducing . . .

Dr. Robert A. K r a f t Bob comes from Seattle. He went through the grade schools and University of W ashing­ ton Pre-med and Medical schools. Prior to going to the University of Washington Bob was in the service from 1943 to 1945. During this period he flew 30 missions over Germany as a navigator in a B-17. The next year, 1948-’49 was spent at North­ western University School of Theology. Subse­ quently he decided on medicine and took an additional year in pre-med and 4 years of m edi­ cine at the University of Washington. From D r . M a u r ic e Y o a c h im i 1954-1955 Bob interned at the U.S. Public Health Service Hospital on Staten Island, N.Y. "Yoke” was born in Nebraska in 1912. At Bob is in general practice, officing with Drs. the age of 2 his family moved to Alberta. He Leo Sulkosky and K en Sturdevant in Puyallup. went to school in Edmonton and finished in He resides with his w ife Robby-Lee in Puyal­ Medicine at the University of Alberta in 1937. lup, Their main interests are golf, a Hammond After internships at the Royal Alexandria in organ and table tennis. Edmonton and the General in Regina, he practiced in Cardston, Alberta ’til 1953, with Introducing the exception of the years 1944-46 in the U.S. Army. Part of his army time was in Germany. He had anesthesia residency at the Ta­ coma General Hospital from 1953 to 1954 and in Oakland from 1954 to 1955. Subsequently he has been associated with Drs. Pratt and Eylander in the Physician Anesthesiologists group- Yoke resides in Tacoma with his wife Shir­ ley and 3 boys. His hobbies are golf and some fishing.

Fried Grasshoppers For Daring Diners While people don't like dining dangerously, many must enjoy "adventurous1’ eating, Food Engineering magazine says. D r . Ja m e s E . H a z e l r ig g It reports that one importer sold 150,000 'Jim comes from Nebraska. He was born in cans of fried grasshoppers in seven months. .farney and grew up in Hastings where he — Evening Bulletin

BULLETIN o f th e Pierce County M edical Society 2 5

TH ERAGR^Ni , i

NEW: THERAGRAN THERAGRAN LIQUID Squibb Therapeutic Formula Vitamin Liquid Squibb Therapeutic Formula Vitamin Capsules 1 teaspoonful of Theragran The six vitamins almost Liquid is equivalent to invariably associated 1 Theragran Capsule. with chronic vitamin For patients of all ages who deficiency states. prefer liquid vitamin therapy.

Each Theragran Capsule, or 5 cc. teaspoonful of Theragran Liquid, supplies:

Vitamin A (synthetic) ...... 25,000 U.S.P, Units Vitamin D ...... 1.000 U.S.P. Units Thiamine ...... 10 mg. Riboflavin ...... 10 mg. Niacinamide ...... 150 mg.

. . , Ascorbic acid ...... 150 mg,

^ , Usual Dosage: 1 or 2 capsules or teaspoonfuls daily. Infants: Not more than gg-A- \ J teaspoonful dally.

THERAGRAN CAPSULES: bottles of 30, 60, 100 and 1000. ■ THERAGRAN LIQUID: bottles of 4 ounces. ■.jVit 1

S q j j i b b «k Iflifl Squibb Quality—the Priceless Ingredient

THMWHAN* I I a seuiao TftAOCMARK

B U L L E T I N of the Pierce County Medical Society 27

SACRIFICE!

Eleven Hundred Feet, thirty- eight acre waterfront estate. Modern home, three bed­ rooms, two bathrooms, five picture windows, fireplace. Divorce forces sale. Value $45,000. Accept $36,000. - f i t * * inactive ) paUt nt rpcortlt$3!$d >corrte$poiidencc may be afd re3 d^Bekins at very Russell C. Evans . reasonable cost. They are accessible for owner personal or telephone reference.

For details: Phone

BRoadway 1212 Shelton 6-8775

why PRONEMIA is the most potent of all oral hematinics!

Compare this formula with that of any other hematinic, and you will find that PRONEM IA is clearly, measurably more potent. Every known hemopoietic is included, and each one is present in generous quantity. You can confidently prescribe PRONEM IA for all treatable anemias, including maintenance of pernicious anemia patients. Dosage: just one capsule daily!

PRONEMIAHematinic Lederle

J mied seoied capsules (a L e d e rle e x c lu siv e !) fo r m ore rapid and complete absorption.

LEDERLE LABORATORIES DIVISION, AMERICAN CYANAMID COMPANY. PEARL RIVER. NEW YORK REG. U.S. PAT. OFF. 28 BULLETIN of the Pierce County M edical Society

I t makes sense... Veratrite is a good prescription in hypertension.”

Physicians depend upon Veratrite in treating hyperten­ sion because—through the years—this combination has produced gratifying results in You will find that Veratrite saves the patient Vi the widest range o f patients. the cost of medication in long-term manage­ Veratrite contains cryptenamine— ment of hypertension. In fact, the most eco­ a newly isolated alkaloid fraction nomical prescription you can write is that dependably lowers blood pressure without serious side effects. The formulation combines central-acting and local-acting agents to combat vasospasm.

Each Veratrite tabule supplies: Cryptenamine 40 C.S.R. * Units (as tannate sail) Sodium Nitrite 1 gr. Phenobarbital *A gr. •Carotid Sinus Reflex IRWIN, NEISLER & COMPANY Bottles of 100, 500 and 1000 tabules DECATUR, ILLINOIS

Taxicabs - Ambulances for your Patients i

ALL AMBULANCES ARE OXYGEN-EQUIPPED

Tacoma Yellow Cab Co.

1324 Market Street

MArket 1121 BR. 8383 BULLETIN of the Fierce County M edical Society 2 9 American Academy of contractor called in skilled artisans from vari­ General Practice ous parts of the U.S. to install it. The building is completely air conditioned One of the country’s finest and most modern and, in addition to the ample office space for medical buildings, the headquarters of the the 75 Academy employees, the first below- American Academy of General Practice, will ground floor has a dining room and kitchen, a be dedicated at Kansas City on Saturday, Sep­ large meeting room, which can accommodate tember 1. A.M.A. President Dwight H. Mur­ more than 200 persons, and space for more ray will be the principal speaker at the dedi­ general business offices. cation. Surgeon General Leonard Scheele will A floor below will be used primarily for speak at the banquet in the evening. keeping additional files and records. In a sub­ The Kansas City Star said recently that the basement are heating and air-conditioning new structure, which contains 3,000 square feet facilities. of floor space and was erected at a cost of And, incidentally, there is a novel feature $600,000, stands as "a monument to the about the building. In the sub-basement there American family doctor.” is a gushing underground spring which flows The nine-year-old A.A.G.P. has a member­ constantly at the rate of about 500 gallons a ship of 22,000 physicians, each of whom must day. It was necessary to install a pumping unit participate in 50 hours of post-graduate train­ to pump the water into sewer lines for the ing a year to maintain membership. time being, but next spring the water will be Mac F. Cahal, executive secretary of the used to irrigate the lawn and shrubs. Academy, said that the dedication program is being planned by the State Officers’ Conference, “PATRONIZE OUR ADVERTISERS” and that 400 persons are expected at the ceremonies. Lobby Walls of the 4%-story structure ( two- Next Commander of Legion May Be and-a-half levels are below the ground) are A Physician completely finished in Lido marble imported A physician may be the next national com­ from French Morocco, and Mr. Cahal said the mander of the American Legion. Dr. Garland Murphy of El Dorado, Ark., was endorsed as a candidate for that high office at the recent Arkansas Legion convention. A COMPLETE LINE OF If Dr. Murphy should be elected, it will be SUPPLIES FOR THE the first time in the history of the American Legion that a physician has ever held the office PHYSICIAN . . . HOSPITAL of national commander. AND — A.M.A. Newsletter NURSING HOME Fluoridation Begins ■ ■ August 1—Fluoridation of the municipal water system Longview, Washington, was started. This was ordered by the City Council of Longview . . . the neighboring city of Kelso Mail or Telephone Orders will hold a vote on the subject of Fluoridation Given Prompt Attention in the coming elections. — Washington State Dental Association News ■ ■

SHIPMAN DAMMEIER SURGICAL CO. Printing Co. 741 St. Helens Ave. - BR. 6400 BRoadway 8303 Tacoma 2 811 Pacific Ave. Tacoma 30 BULLETIN o f th e P i e r c e C o p n t y M e d i c a i , S o c i e t y

Relax

the nervous,

t e n s e , emotionally unstable:

( Pure crystalline alkaloid)

Each tablet contains: Reserpine ...... 0.1 mg. or 0.25 mg. or 1.0 mg. or 4.0 mg. The elixir contains: Reserpine ...... 0.25 mg. per 5 cc. teaspoonful Supplied: Scored tablets 0.1 and 0.25 mg. in bottles of 100 and 500 1.0 and 4.0 mg. in bottles of 100 Elixir in pint bottles The Upjohn Company, Kalamazoo, Michigun BULLETIN o f the F i e r c e C o u n t y M e d ic a l S o c ie t y 3 1

Teeth Cleaned with Sticks Toronto (Canadian Press)— A Red Cross offiical from Ceylon said here that Canadian PARK-N-SHOP junior Red Cross members need not send tooth brushes or tooth powder to Ceylon. The PRESCRIPTION Ceylonese, who have strong white teeth, clean them with the burned ends of sticks, and are DEPARTMENT likely to use tooth powder to powder their faces.

Dr. Howard Rondthaler once said that he Open from 8 a.m. tried for many years to think what would shock an American as much as putting ice in tea To 12 a.m. does an Englishman. The anwser that finally 7 Days a Week occurred to him was: boiled watermelon, served hot. — North Carolina Medical Journal ☆ ☆ ☆ "Doctor, what is wrong with me?” "Madame, you are too fat, you use too much rouge and lipstick, you get your hair bleached, NIGHT DELIVERY BY TAXI you smoke too much and one other thing — you are in the wrong office. The doctor is ☆ ☆ ☆ next door— I am nothing but a newspaper man.’’

GR. 8693 98th and Pacific

C I B A SUMMIT, N.J.

your “up-and-down” patient

Serpalllln(reserpine and melhyl-phenidylacetate hydrochloride CIBA) Stabilize your patients who overreact to environmental stresses. Serpatilin combines the relaxing, tranquilizing action of Serpasil with the mild mood-lifting effect of

Dosage: 1 tablet b.i.d. the new cortical stimulant, Ritalin — to induce emotional or t.i.d., adjusted to equilibrium in patients who are upset, depressed, with­ the individual. drawn, anxious or irritable.

PIERCE COUNTY MEDICAL SOCIETY

B U L L E T I N of the Fierce County M edical Society

MYSTECLIN SUSPENSION $teelin»Mycostatin (Squibb Tetracycline-Nystatin) Another form of the only broad spectrum antibiotic preparation rvith added protection against monilial superinfection

PLEASANT TASTING — Mysteclin Suspension is pleasant­ ly fruit-flavored and will appeal to taste-conscious youngsters as well as to adults who prefer liquid medication. BROADLY EFFECTIVE — Mysteclin Suspension provides well tolerated therapy for the many common infec­ tions which respond to tetracycline—and also acts to prevent monilial overgrowth. READY-TO-TAKE — Mysteclin Suspension requires no re­ constitution and can be given by simple teaspoon dosage to patients of all ages. MYSTECLIN SUSPENSION: a fruit-flavored oil suspension containing the equivalent of 125 mg. Steclin (Squibb Tetracycline) Hydrochloride and 125,000 units My- costatin (Squibb Nystatin) per 5 cc. teaspoonfuL Supplied in two-ounce bottles. Also available as Capsules (250 mg. Steclin Hydrochloride and 250,000 units Mycostatin) and Half Strength Capsules (125 mg. Steclin Hydrochloride and 125,000 units Mycostatin). SQPIBB g jjl Squibb Quality — the Priceless Ingredient

'HrSTCCUN'®, ‘STECLIN'®, AND 'MYCOSTATIN'® arc sq u ib s trademarks

BULLETIN of the Pierce County M edical Society 5

PROGRAM PIERCE COUNTY MEDICAL SOCIETY TUESDAY, OCTOBER 9th 8:15 P.M.

Tacoma Athletic Club . . . 733 Commerce

No-Host Social Horn- . . . 6:00

Dinner 6:30

☆ ☆

RECENT ADVANCES IN SURGERY (Continued)

Dr. Wayne W. Zimmerman, Moderator

Gynecology Dr. Harold D. Lueken

Ophthalmology Dr. Gerald G. Geissler

Ear, Nose, Throat Dr. Haskel H. Maier

Orthopaedic Dr. Robert W. Florence

Plastic Surgery Dr. Ernest E. Banfield 6 B U L L E T I N of the Pierce opcnth m edical society

Throughout the world

TERRAMYCIN BRAND OF OXYTETRACYCLINE

for the treatment of many infections diseases . . . after six years of use by thousands of physicians in millions of cases . . . a continuing favorite

A dosage form for every indication for broad- spectrum antibiotic therapy BULLETIN of the Pierce County M edical Society 7

PRESIDENT'S PAGE

I am pleased to report that our delegates to the Washington State Medical Association, Drs. J. W. Bowen, Jr., Walter C. Cameron, Arnold J. Herrmann, Frank R. Maddison, Philip Grenley, Douglas Buttorff and Charles E. Kemp, who served as an alternate, supported those resolutions, changes in the by-laws and policies which were in the best interests of our Society and medicine in general, as well as taking an active part in the Committee work and business of the House of Delegates.

By energetic effort, political acumen and alertness to political currents, they were able to carry successfully the election to office of Dr. J. W. Bowen, Jr. as trustee, Dr. Jess W. Read, as Delegate to the A.M.A. and the re-election of Dr. Homer W. Humiston as Speaker of the House. By placing these capable men in office we have not only done a service to our society but to the Washington State Medical Association as well.

We now have a representation in the Washington State Medical Association which is worthy of our society and we owe much to the delegates who were so conscientious and who gave of their time during the whole session of the House of Delegates.

G e r a l d C. K o h l , M.D.

BULLETIN of the Fierce County M edical Society 9

GUEST EDITORIAL

UNITED GOOD NEIGHBORS FUND

The Quota for physicians is $19,600.00 of the total goal of $1,074,936.00 for the United Good Neighbor’s Fund. Thus we are asked to contribute 1.82% of the total. You can be assured that this percentage is representative of the performance of physicians in comparable com­ munities throughout the nation. Simple arithmetic shows us that we need an average contribution of about $100.00. Some of us should and do, contribute much more, both because we want to, and because we need to, in order to bring up the average to where it belongs. Collectively we have done a pretty good job in the past. I am sure we shall continue to do so.

H o m e r W . H u m i s t o n , M.D. Chairman, Medical Division United Good Neighbors Fund I'11 1

n e w

a new measurein therapy

of ovenveigl

(brand of phenmetrazine hydrochloride)

... reduces risk in reducing

A totally new development in anorexigenic therapy, Preludin subst tially reduces the risks and discomfort in reducing.

Distinctive in its Chemistry: Pr e l u d in is a totally new compound of the oxaz

Distinctive in Effectiveness: In three years of clinical trials P r e l u d i n has con: ently demonstrated outstanding ability to produce significant and progressive wei loss through voluntary effortless restriction of caloric intake.

Distinctive in Tolerance: W ith Pr e l u d in there is a notable absence of palpilati or nervous excitement. It may generally be administered with safety to patients v diabetes or moderate hypertension.

For your patient's greater comfort: Pr e l u d in curtails appetite without destroy enjoyment of m eals...causes a mild evenly sustained elevation of mood thal ke> the patient in an optimistic and cooperative frame of mind.

Recommended Dosage: One tablet two or three times daily taken one hour bcf meals. Occasionally smaller dosage suffices.

P r e l u d in ® (brand of phenmetrazine hydrochloride). Scorcd, square, pink tablets of 25 mg. Under license from C. H. Boehringer Sohn, Ingelheim.

GEIGY PHARMACEUTICALS Division of Goiav Chemical Cnrnornti. ArrUUv/ * 1 M V CE

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 1 3

(Continued from Page 11) payment of his medical care by civilian agen­ cies. These statements apply to practically every situation except unusual cases in which a per­ MILK son is engaged in a criminal act or when un­ authorized medical care is furnished for a con­ dition that is not an emergency. Also, the assumption must be made that one service will act for the other in a matter of relaying the information to the parent organization. "Statement of account for payment may be forwarded to the commanding officer, who will transmit them to their proper destination. The processing of an account involves a matter of ☆ weeks, but payment is certain when emergency medical is rendered a bona fide member of the military serviec who is not AWOL and Careful Mothers use Pro­ who is not engaged in a criminal act. . . It cannot be overly stressed that early re­ tected Milk. Pasteurized porting of the individual to the proper mili­ and Homogenized Milk tary authorities is of the utmost importance. Any inquiries concerning the subject dis­ from our own contented cussed may be referred to my office, addressed cows can be delivered directly to the Surgeon, Headquarters Sixth Army, Presidio of San Francisco, California. to your home or your Sincerely, grocer HENRY W. DAINE, Colonel, MC, Army Surgeon ☆ Letter to the President Dear Doctor Kohl: A Favorite Dairy for over W e take great pleasure in extending to you 30 years. Recommended and the members of your association an invita­ tion to attend a two day seminar on the prac­ by doctors and dietitians. tical medical use of hypnosis, October 12th and 13 th. Two outstanding civilian consultants, Doc­ ☆ tor Irving I. Secter, Dentist, and Doctor W il­ liam S. Kroger, Obstetrician and Gynecologist, CALL both of Chicago, Illinois, will lead the sympo­ sium. A sound color film of an obstetrical patient from the first prenatal visit until de­ livery under hypnosis will be included in the WAverly 8705 program. Doctor Secter and Doctor Kroger have been active for several years in teaching hypnosis to medical groups. Bibliographies of these two gentlemen are enclosed for your consideration. Please inform us, as soon as practical, how S A N IT A R Y / 5 many of your group plan to attend. Upon re­ lINFANT DAIRY ceipt of this information, we will forward complete programs for distribution to interested members. Sincerely youts, W . L. WILSON, Direct from Our Farm to You Brigadier Generel, MC, Commanding, Madigan Army Hospital. 14 B U L L E T I N of the Pierce County M edical Society "an effective antirheumatic agent"*

nonhormonal anti-arthritic BUTAZOLIDIN' (brand of phenylbutazone) relieves pain • im proves function • resolves inflammation

The standing of B u t a z o l id in among today’s anti-arthritics is at­ tested by more than 250 published reports. From this combined

experience it is evident that B u t a z o l id in has achieved recognition as a potent agent capable of producing clinical results that compare favorably with those of the hormones.

Indications: Gouty Arthritis Rheumatoid Arthritis Psoriatic Arthritis Rheumatoid Spondylitis Painful Shoulder Syndrome B u t a z o l id in ® (brand of phenylbutazone) red coated tablets of 100 mg.

*Bunia, J. J.: Research Activities in Rheumatic Diseases, Pub. Health Rep. 69:437, 1954.

GEIGY PHARMACEUTICALS Division of Geigy Chemical Corporation, 230 Church Street, New York 13, N.Y. 1 5 BULLETIN o f the P i e r c e C o u n t y M e d ic a l S o c ie t y WOMAN’S AUXILIARY % 7/ie Pience C

B U L L E T I N of the Pierce County M edical Society 17

(Continued from Page 15) chairman, assisted by Mrs. Albert Sames and Charles P. Larson. Everyone is urged to attend and do their part in seeing that our new year gets off to a good start. The Membership Committee reports that the new Program Year Book will be ready in early October and will be handed out as the 1956-57 dues of Sf5.00 (plus SI.00 additional to cover hostess fees for those meetings which will be PHARMACY held in the homes) are paid to our Treasurer, Mrs. Haskel Maier, 2707 Henry Road. Pierce Count)' delegates to the Washington State Medical Auxiliary Convention were Mrs. Florence Duerfeldt, Mrs. Helen Kittredge, Mrs. Dorothy Maier, Mrs. Ruth Murphy and Mrs. Prescription Louise Bowen. The Medical Auxiliary is happy to announce that they will be sponsoring a Fall Style Show Druggists and Luncheon to be held Nov. 16, at W ell­ man's located at 30th and Pacific Sts., 12:30 p.m. Lou Johnsons' will furnish the styles and models and an excellent program lias been worked out for this occasion as well as an en­ joyable luncheon menu. The price of the tickets will be $3.00 and each member is urged to be responsible for the selling of five tickets to We Carry a Complete Stock of their friends and neighbors outside of the auxiliary members. This type of donation is Biologicals and Pharmaceuticals enjoyed by all and makes little work to any one group. Please bear in mind though when you sell your tickets that each reservation made, must be paid for, so should anyone wish to make the donation and not attend the show, this infor­ mation should be passed on to the ones in charge of ticket sales. Several useful door prizes "When Moments Count" will be given during the program and it is the sincere desire of those responsible for this ar­ rangement that our entire auxiliary will get behind this one plan to raise money for the FUlton 2411 needs of our organization and help 100®. Bring your mothers, sisters, and all your friends to Wellman's for luncheon on Friday, Novem­ PROMPT . . . FREE DELIVERY ber 16 and see all the doctor's wives too!!! It is so nice to welcome "back” from the beaches and summer homes those of our mem­ bers who are now settling down to life with us here in Tacoma. Also we want to take this opportunity to say ''Welcome Home" to George and Lorraine Kunz and their six chil­ Stadium Hi District dren. George has been stationed for two years in Astoria where he was a Commander in 101 North Tacoma Avenue our Navy.

Tacoma, Washington Something Humorous "My wife talks to herself.” "So does mine, but she doesn’t realize it. She thinks I’m listening.” 1 8 BULLETIN of the Piebce County M edical Society

best for baby

VI-MIX(Multiple Vitamin Drops, DROPS Lilly) the most potent formula of its kind BULLETIN of the Pierce County M edical Society 1 9 HOSPITALS. . .

Pierce County Butte, Oregon on a rock hunting expedition over the Labor Day weekend. They returned Dr. John Trantow and Dr. Frederick Nesbit, with many beautiful specimens. Residents at Pierce County Hospital, attended The Hospital Staff will certainly miss Dr. the "Symposium on Poliomyelitis” at the John Dunlop. Dr. Dunlop is presently a Resi­ Northwest Respirator Center at King County dent at Pierce County Hospital and will be Hospital in Seattle during the latter part of leaving the 1st of October to serve with the August. Air Force at Travis Field in California. The Executive Committee of the Pierce How about it? W ere the fish plentiful? County Hospital Medical Staff held a luncheon Westport seems to be a popular vacation stop in honor of Dr. Charles Hedges, the Hospital this year. Mary Wilson’s efforts weren’t in vain Inspector for the Joint Commission of Hospital for she landed an 8 lb. catch. Accreditation on September 7th. Dr. Hedges discussed the Accreditation Program during the From the Laundry Department comes luncheon. the news that: Ship-a-hoy!!! Its been good sailing weather A vacation trip to Los Angeles, California —Drs. Claris and Donald Allison spent their was taken by Mrs. Rachel Johnson to visit her vacation sailing in the San Juan Islands. Let's two sons. see—fishing, camping, beachcombing, hiking Norman Chilberg and family vacationed in —what a busy schedule. Baker, Montana with relatives. Congratulations to the happy event— Miss Sunny weather denoted vacation time for Beulah Cullum became Mrs. Murray Dunbar Maryann Rand too. She spent an enjoyable on August 20th. The newly married couple time in Canada. took a honeymoon trip to Alberta, Canada. Relatives in North Dakota were honored AH Pierce County Hospital employees ex­ with a visit from Mrs. Frances Sturn and tend their get well greeting to Mrs. Olga Cur­ family. tis and wish her a speedy recovery. The Hospital employees wish Pernie Ellison Nice to have you with us Mrs. Lehto. Mrs. a speedy recovery. Ellen Lehto, former Dietitian at the hospital is The Nursing Department reports that: filling in during vacation time for Miss Kath­ Mrs. John Krsul is being congratulated on leen Tarun, our present Head Dietitian. Hos­ her recent marriage. She took the well known pital employees extend her a hardy welcome! "step” on her vacation. It was a surprise to Mrs. Esther Byers, Mrs. Hildur Williams, everyone. The 3-11 Shift not to be outdone, and Mrs. Ruth Schelin are visiting Mrs. Byers' surprised Mrs. Krsul with a luncheon shower daughter in Portland, Oregon. From there they at the home of Mary Benedict, R.N. Mrs. Krsul plan on traveling down into California to en­ is the former Elizabeth Eklow. joy some of their sunny weather. Bowling season is once again in full swing. Mrs. Judith Dilley is a welcomed addition to The day shift and the 3-11 shift each have two the Medical Records Department. teams bowling. Knock all the pins down all Good weather provided a wonderful vaca­ the times gals; it really wrecks the average. tion for Mrs. Marlene Sonneman and husband Miss Mary Hill, R.N., who has been on who spent their time at the Hotel Gerhart in staff for two years is resigning to attend the Seaside, Oregon. University of Washington to complete her From the Dietary Department also comes work towards her Bachelors Degree. W e will the news that Anne Bartley's daughter, Mary- miss Mary. anne, has just returned home from a two year Several members of the staff are counting assignment with the American Embassy in their blessings following a freak highway acci­ Paris, France. She will be vacationing for a dent. They pushed their car off the Seattle short time and then will be taking a new as­ highway when it stalled and while they were signment with the American Consulate at waiting for help to arrive they were hit by Multa in the Mediterranean. another car with a sleeping driver. W e hope the Mrs. Preston, Head Physical Therapist, spent aching muscles and stiff backs that Corrine her vacation in the San Juan Islands. It was Mapes, Joanne Prouty and Dick Dougherty perfect camping weather. are nursing prove to be nothing serious. What a busy holiday! Mrs. Lawrence Sav­ age and family went to Heppner and Opal (Continued on Page 21)

BULLETIN o f the P i e r c e C o u n t y M e d ic a l S o c ie t y 2 1

(Continued from Page 19) vision set. It certainly has helped her fill in the long hours. The nurses enjoy it also. W e Saint Joseph’s feel quite fortunate as we can boast of 2 T.V.'s On the second anniversary of our Radioactive on our floor. Mrs. Rehwinkel has been relieving Isotope Department a new multi purpose Scin­ for Mrs. Pollard who will be back from vaca­ tillation Probe has replaced the Geiger-Muller tion this week. Our Department received many tubes in our R A I Department. This depart­ lengthy letters from Mrs. Cheng (Nancy Chin) ment is now back in full operation with in­ who is now working at St. Luke's Hospital, creased efficiency and accuracy. It is anticipated Bethlehem, Pennsylvania. that in the near future better resolution will be Dr. Rohner is our new intern. Welcome, Dr. ! available by the addition of a series of suitable Rohner! collimators. The Medical Record Department welcomes J Four new students were accepted by the X - Margie O'Connor who started to work last '' Ray Department. The new technician students week. She is replacing Carol Friel who took an all hail from St. Leo's High School and are look­ extended vacation in California. ing forward to spending a very happy and Ruth Delle returned from her vacation with profitable year with us. The students are Judy a fractured left arm but she still manages her Manza, Margaret Bloom, Margaret James, and job as Surgical Secretary. Nancy Connery. Sister Evelina and Sister Emmanuel took a The Ob. Department is very happy to have trip to Seattle last Monday. According to re­ its full crew back from vacation. From re­ ports they had a wonderful time. ports most of them did quite a bit of traveling Marilou D'Andrea is leaving us the end of during the past summer. the month to take care of Frank Vincent, the New members of their families are: latest arrival in the family. W e shall miss her Joyce Deeny Vye, a girl. around the office as she is the oldest member of Loretta Bark Smith, a boy. our staff. Dorothy Rockwood is still waiting Rosalie Wasson Beard, a girl. for her little Drezel. We hope it is a girl so :r Frances Goodwin Piksa, a boy. she will have to change the name. Ruth Harris Heaton, a boy. ' Virginia Goodwin Bickley, a boy. Tacoma General Dr. and Mrs. Herbert Meier, a girl. On September 1, Miss Ruth Kynoch assumed || Congratulations to all! the duties of Principal of the Tacoma General i1 The School of Nursing welcomed a new class Hospital School of Nursing. She is a graduate of 33 strong on September 11, 1956. Two of of the Santa Rosa Junior College School of I our Sisters are in the class. A "get acquainted Nursing in California, and holds both a Bache­ ) party” in the form of a smorgasbord was held lor of Science and Master of Science degree in ■ that evening. Members of the faculty and Nursing Education from the University of other students all gathered to make the new­ Washington. Professionally she has had a vari­ comers feel "at home.” The smorgasbord table ety of experience as staff nurse, head nurse, was laden with turkey, ham, and all the other assistant evening supervisor at Sonoma County "goodies” that make a real treat. The evening Hospital; supervisor and instructor in Pediatrics was spent playing "Pirate Bingo." It was a at Harborview Division of the University of i night that will be long remembered. Washington; Assistant Director, Santa Rosa New faculty members that have been wel­ Junior College School of Nursing; Research comed are Sr. Victorine, Science Instructor, Assistant in Basic Nursing Education at the Mrs. Plunkett, Surgical Clinical Instructor, also University of Washington Child Health Center. i Sister Alexis and Sister Melchior, also Sister She has previously spent more than a year in ! Mary Guntilda, Librarian in the School of Tacoma, at the Tacoma Indian Hospital where f Nursing. she set up an educational program in Pediatrics Sisters Margaret Catherine and Anthony for the University of Washington. j Consilia are attending the St. Louis University One of Miss Kynoch’s first responsibilities j where both are working toward a Master De- was to welcome the 1959 class of student I gree in Nursing Education. nurses. 43 students registered on September 10 • Sister Antonia attended the annual meeting which was the beginning of a week of orien­ of the A A of Hospital Administrators of tation for them. On the 17th classes began. wWeh is a member in Chicago, September Three of these students have already completed 2 years study at the College of Puget Sound The Tacoma Vocational School brought and will receive a Bachelor of Science degree Kathy Reinhart (our special patient) a Tele­ (Continued on Page 23) 2 2 B U L L E T I N of the Fierce County M edical Society

ROGER R. 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

1015 SOUTH TWELFTH STREET MArket 0118 TACOMA 3, WASH.

STOWELL'S... Prescriptions

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

i 1 1 FREE DELIVERY

1 1 1

BRoadway 2201 744 Market Street

Doctors Hospital Building BULLETIN of the Pierce County M edical Society 2 3

(Continued from Page 21) therapeutic speech clinic to meet the needs of children with various types of speech difficul­ from the College when they finish their course ties. Although the emphasis of the clinic will be in Nursing. to meet the speech needs of the cleft palate Charles C. Hedges, M.D. visited Tacoma child, children with other types of speech diffi­ General on Monday, September 10. Dr. Hedges culties may be accepted in the clinic. The is Field Representative, Joint Commission on clinic will be in session on Tuesday and Thurs­ Accreditation of Hospitals, and Staff Repre­ day afternoons beginning 12:30 p.m. It will be sentative, American Medical Association Coun­ located in the Outpatient Department of the cil on Medical Education and Hospitals. Hospital. Tacoma General Hospital is delighted that Dr. Dudley Houtz Jr. of our 1955-56 Intern The speech clinic will be under the direction Staff has decided to remain in Tacoma, and has of Mrs. Carlin Aden, M.A., assisted by Mrs. opened offices in Westgate. W e wish him Glen Shook. Both individual and group ther­ every success. apy will be available depending on the needs The doors which are being installed in the of the child. Two groups of pre-school children corridors are another step in the program to will be organized to give basic speech therapy meet all the requirements of the State Fire in normal play situation. Marshal for safety. Doctors who desire children admitted to the The Department of Physical Medicine is clinic should make direct contact with Mrs. newly equipped with an ultrasonic unit. Mr. Aden , LA. 3489, during the months of Sep­ Hill, Director of the Department, invites the tember and October. Beginning in November professional staff to inspect the machine at any children admitted to the clinic should first be time, and to make any inquiries regarding its seen at the regular Cleft Palate diagnostic purposes and uses. clinic held at the hospital on the third Wednes­ day of each month. Mary Bridge Childrens Hospital This service will be available to children in Special Announcement communities of Southwest Washington, as well September, 1956 as Tacoma, on referral by a local physician. ATTENTION PHYSICIANS, PLEASE: A. L. HOW ARTH, The Mary Bridge Children’s Hospital an­ Administrator, nounces the opening on September 11th of a Mary Bridge Children’s Hospital WHY SENSITIZE? USE ‘P0LYSP0RIN1 Poljmyniit B—Bacitracin Ointment when treating topical and ophthalmic infections A BROAD-SPECTRUM ANTIBIOTIC OINTMENT F o r top ical u se: Vi oz. and 1 oz. tubes. -fria. For ophthalmic use: Vt, oz. tubes. (

-E j BURROUGHS WELLCOME & CO. (U.S.A.) INC., Tuckahoe, New York

BULLETIN of the Pierce County M edical Society 2 5

' , . 7 f ' U < ■** -r ..V t ' WV* ^ W ? -

“V i - T t **» r W i f c

THERAGR

NEW: THERAGRAN THERAGRAN LIQUID Squibb Therapeutic Formula Vitamin Liquid Squibb Therapeutic Formula Vitamin Capsules 1 teaspoonful of Theragran The six vitamins almost Liquid is equivalent to invariably associated 1 Theragran Capsule. with chronic vitamin For patients of all ages who deficiency states. prefer liquid vitamin therapy.

Each Theragran Capsule, or 5 cc. teaspoonful of Theragran Liquid, supplies: Vitamin A (synthetic) ...... 25,000 U.S.P. Units V itam in D ...... 1,000 U.S.P. Units Thiam ine ...... 10 m g.

Riboflavin ...... 10 mg. Niacinamide ...... 150 mg. Ascorbic acfd ...... 150 mg.

Usual Dosage: 1 or 2 capsules or teaspoonfuls daily. Infants; Not more than 1 teaspoonful daily.

THERAGRAN CAPSULES: bottles of 30, 60, 100 and 1000.

THERAGRAN LIQUID: bottles of 4 ounces.

Squibb mm Squibb Quality— the Priceless Ingredient

‘WIHWIAN* II A fQI/IBI mpCMAflft

BULLETIN of the Pierce County M edical Society 2 7 A.M.A. Clinical Session suite in the headquarters hotel for three days A cordial invitation is extended to all physi­ during the session. An exhibit showing the pre­ cians in the West to attend the A.M A. Qinical paid plans' services to the public will be on display in the hospitality suite. Session in Seattle November 27-30. An out­ standing program has been arranged, and excel­ Plans have also been made for Auxiliary activities during the Clinical Session. Sight­ lent hotel accommodations are available. The center of activities will be Seattle's seeing tours and other events are on the agenda. Civic Auditorium, where scientific sessions will Physicians are urged to make their reserva­ be held and exhibits will be displayed. Con­ tions early. A reservation form will be found veniently located, the auditorium is easily ac­ in the current issue of the Journal of the A.M.A. cessible from downtown hotels, and transporta­ All reservations in Headquarters Hotel, The tion will be available for commuting to and Olympic, must be made through A.M.A. from meetings. A cafeteria will be operated in Headquarters. the auditorium for midday meals. Clinical Session headquarters will be the City of Hope Olympic Hotel, where House of Delegates ses­ The following telegram was received by Dr. sions and meetings of the Board of Trustees, Gerald C. Kohl on request for information Councils and Reference Committees will be regarding the City of Hope Medical Center: held. "This day please be advised that the City of Clinical Session headquarters will be the Hope Medical Center is accredited by the joint Olympic Hotel, where House of Delegates commission on accreditation of hospitals of the sessions and meetings of the Board of Trustees, United States and Canada this commission is Councils and Reference Committees will be comprised of representatives from the American held. College of Physicians, American College of Sur­ The scientific program will be beamed at the geons, American Medical Association, Ameri­ general practitioner, and subjects have been can Hospital Associations and Canadian Medi­ carefully chosen to be of interest and practical cal Association. Trust this information you re­ value. The program will include panel discus­ quire. Victor Carter President of the City of sions, individual papers, motion pictures and Hope Medical Center.” closed-circuit television clinics. Panel discussions will cover such subjects as hypertension, hemolytic anemia, prenatal care, problems of aging, epilepsy, low back pain, liver disease and vascular disorders. Twenty topics will be considered by panels of men prominent on the national scene and in the Northwest. There will be 45 papers, considering fluid balance, urological problems, office psychiatry, varicose veins, fractures, diabetes, heart disease, and many other subjects. Contributors will in­ clude well-known medical educators and prac­ ticing physicians from all parts of the country. The television clinics will include both wet (operative) and dry (non-operative) clinics. Talent will be drawn largely from Seattle be­ cause of the necessity of rehearsals and fre­ quent briefing. There will be clinics on block anesthesia, treatment of burns, bleeding prob­ patient record* and correspondence lems, intestinal obstruction, caesarean section, may be stored at BeMns at very- hand surgery, hysterectomy, vein stripping and other subjects. reasonable cost. They are accessible for Scientific and technical exhibits have been ar­ personal or telephone reference. ranged through A.M.A. headquarters. They promise to be as educational and interesting as ; : 1 for deiallst in die past. Eighty-five scientific exhibits of the highest caliber will be on display. BRoadway 1212 . Prepaid medical service plans of Washington, Oregon and Idaho will sponsor a hospitality

BULLETIN o f the P i e r c e C o u n t y M e d i c a l S o c i e t y 2 9 Grand Rounds Active duty as a Public Health Service You are invited to attend, on Wednesday officer fulfills the obligation of Selective Service. evening, October 17th, GRAN D ROUNDS Requirem ents for both ranks are U.S. citi­ of the Tufts University School of Medicine, zenship, age of at least 21 years, and gradua­ and The New England Medical Center, tion from a recognized school of medicine. For brought to you on Closed-Circuit Television by the rank of Assistant Surgeon, at least 7 years The Upjohn Company. of collegiate and professional training and The Borderlines of Cancer: appropriate experience are needed. For Senior Problems in the Management of Assistant Surgeon, an additional three years, for Doubtful Lesions ■a total of at least 10 years of collegiate and Clinical Leaders professional training and appropriate experi­ Dr. Lauren V. Ackerman, Professor of Sur­ ence, are required. gical Pathology and Pathology, Washington E n tran ce exam inations will include an University, St. Louis, Missouri. interview, physical examination, and compre­ Dr. Edwin B. Astwood, Professor of Medi­ hensive objective examinations in the profes­ cine, Tufts University School of Medicine, sional field. Boston, Massachusetts. A pplication forms may be obtained from Dr. Henry L. Bockus, Professor and Chair­ the Chief, Division of Personnel, Public Health man, Department of Medicine, Graduate Service, Department of Health, Education, and School of Medicine, University of Pennsylvania, Welfare, Washington 25, D.C. Completed ap­ Philadelphia, Pennsylvania. plication forms must be received in the Divi­ Dr. George Crile, Jr., Department of Sur­ sion of Personnel no later than October 13, gery, Cleveland Clinic, Cleveland, Ohio. 1956. Dr. Leo H. Garland, Clinical Professor of Radiology, Stanford University School of Medi­ Some Facts on Physicians and cine, San Francisco, California. Their Estates Dr. Philip J. Hodes, Professor of Radiology, The Hartford County (Connecticut) Medical School of Medicine, University of Pennsylvania Philadelphia, Pennsylvania. Society recently studied 144 obituaries of local physicians and probate court cases involving Dr. Alton Ochsner, Professor of Surgery, their estates. W hile the survey, of course, wasn’t Tulane University School of Medicine, New Orleans, Louisana. too large, it revealed some interesting and startling facts, including: Where you can see Grand Rounds . . . One out of 8 of the physicians who died be­ Seattle — Olympic Hotel tween 1940 and 1953 was in debt at the time 5 :00 p.m. of death. Of the 144 doctors estates studied, 1 out of U. S. Public Health Service 3 left net assets of less than $10,000. Announces Examinations The Hartford survey disclosed only 1 ex­ A competitive examination for appoint­ tremely wealthy doctor out of the 144 and ment of Medical Officers to the Regular Corps that $575,915 of his estate was consumed by of the United States Public Health Service will estate taxes and other settlement expenses. be held in various place throughout the coun­ Only 1 doctor in 8 survived his wife! try on November 27, 28, 29, and 30, 1956. The doctors ages 40 to 50 die twice as fast Appointments provide opportunities for as the general population, and in the 60-70 careers in clinical medicine, research, and pub­ bracket, the doctors' death rate was 50 per cent lic health. They will be made in the ranks of higher than the insurance table. Assistant and Senior Assistant, equivalent to Heart diseases and cerebral hemorrhage were Navy ranks of Lieutenant (j.g.) and Lieutenant. the chief causes of death. Entrance pay for both grades with de­ Expenses of settlement of the estates studied pendents is $7,498 per year. (Assistant grade ranged from a minimum of 13% to as much as entrants are assigned the temporary grade of 1/3. Senior Assistant). Qualified officers are pro­ The age of death of the physicians when moted at regular intervals. compared with life insurance mortality tables Benefits other than promotions include showed that there were 2 vulnerable periods for periodic pay increases, 30 days annual leave, medical men— 40 to 50 and 60 to 70. sick leave, medical care, disability retirement One out of 3 physicians left no will. Pay> regular retirement pay which is three- tourths of annual basic pay at time of retire­ Teetotaler: The guy who adds your golf score ment, and other privileges. as you are getting ready to drive. 30 BULLETIN of the Pierce County M edical Society

CITRA CITRA CITRA CITRA CITRA

"WELL, YOU'RE NOT GOING TO BREATHE YOUR NASTY COLD GERMS ALL OVER ME, BUSTER”

niTRA CITRA CITRA CITRA CITRA BULLETIN o f the P i e r c e C o u n t y M e d i c a l S o c i e t y 31

For common colds, coughs, hay-fever and allergies—Citra capsules or syrup! CITRA 5-way action 1. Restore and maintain capillary integrity 3 . Decongestant 3 . Antihistaminic 4 . Analgesic 5 . Antipyretic (capsules) Expectorant (syrup)

Hesperidin and Vitamin C aid in restoring and preserving normal capillary function, important in the control of colds and allergies. Phenylephrine HCI. assists in clearing nasal and bronchial tracts. Multiple anti-histamines alleviate undesirable side effects with­ out reducing antihistamine effectiveness. For analgesic and antipyretic effect, the capsu les contains a powerful “APC” group. For its analgesic effect, the syru p contains dihydroco- deinone, more potent than codeine, less constipating, with low addiction liability. Sedative expectorant action in the syrup is achieved with potassium chloride, sodium-free salt. 5 -way approach

Each CITRA CAPSULE provides: Each 5 cc. {teaspoonful) of CITRA SYRUP contains: (1) Hesperidin purified (Citrus Bioflavonoid) 100.0 mg. (1) Hesperidin Methyl Chalcone Vitamin C ...... 50.0 mg. (Citrus Bioflavonoid)...... 8.33 mg. (2) Phenylephrine H ydrochloride...... 5.0 mg. Vitamin C ...... 30.0 mg (3) Prophenpyridamine M a le a te ...... 6.25 mg. (2) Phenylephrine H ydrochloride...... 2.5 mg Methapyrilene Hydrochloride...... 8.33 mg. (3) Prcpfienpyridamine Maleate ...... 2.5 mg, Pyrilamine Maleate ...... 8.33 mg. Pyrilamine M ale ate ...... 3.33 mg (4 6 5 ) Salicyiamide ...... 200.0 mg. (4) Olhydrocodeinone Bitartrate ...... 1.66 mg Acetophenetldin ...... 120.0 mg. (5) Potassium Citrate ...... 150,0 mg Caffeine Alkaloid ...... 30.0 mg. In a flavored syrup base. Alcohol 2% Exempt Narcotic

PROFESSIONALLY PROMOTED, ONLY Both Citra formulas available at all prescription pharmacies. Citra Capsules packaged in bottles of 100 and 1000. Citra Syrup in pints and gallons. Literature on req^leBt.

BOYLE & COMPANY Los Angeles 54, California

B U L L E T I N o f th e Pierce County M edical Society 3 3

BONDO, PAUL E. Pierce County Medical Society General practice Office, 1027 Medical Arts Building...... B R 2161 Membership Roster, October, 1956 11225 Pacific Ave., Tacoma 44 ...... G R 8666 Home, 515 South 119th ___ GR 7149 Asterisk indicates application pending. BONICA, JOHN J. Anesthesiology Every effort has been made to avoid errors Office, Tacoma General Hospital ...... MA 1181 No. 14, Tacoma Medical C enter------BR 4500 or omissions: please report to the Society Home, 44 Summit Road ...... PR 716 4 Office, MA. 2020 if a change should be made, BOWEN, JESSE W., JR. Ophthalmology— Thurs. and Sat. afternoon in order that it may be published in the Novem­ Office, 907 Medical Arts Building...... MA 52 2 2 Home, 730 North Stadium Way ...... MA 322 4 ber Bulletin. BRIGHAM, LAWRENCE ADAMS, SAMUEL E. Pediatrics— Thurs. afternoon and Sat. p.m. General practice— Wednesday Office, Puget Sound Medical Bldg...... BR 035 4 Office, 401 Medical Arts Bldg...... FU 1559 Home, 4808 North Lexington ...... SK 3211 Home, 3627 North Washington------SK 1492 BROKAW, GLENN H. ALLISON, CLARIS General practice— Thurs. and Alt. Saturdays Administration Office, No. 26th and Washington ------PR 358 6 Office, Pierce County Hospital (E xt. 4 1 ) HA 3321 Home, 3612 No. 25th ...... - ...... _...PR 7277 Home, 3711 South A s h ...... _ .....— HA 05 4 8 ALLISON, DONALD F. BROOKE, J. ROBERT Orthopaedics— Thursday afternoon General practice— Wednesday and Saturday Office, No. 6, Tacoma Medical Center—...... B R 9309 Office, No. 5, Tacoma Medical Center------MA 427 2 Home, 3711 South A s h ...... HA 0548 Home, 3814 North 12th Street ___- P R 7 2 1 6 ANDERSON, CHAS. E . JR . BROWN, BURTON A. Anesthesiology General surgery and diagnosis— Wed. & Sat. afternoon Office, No. 14, Tacoma Medical Center— ...... B R 4500 Office, Puget Sound Medical Bldg ...... — B R 5281 Home, 4711 North 31st ...... SK 4371 Home, 3101 North 30th Street...... — ...... PR 2621 ANDERSON, EDW ARD R. BROWN, ROBERT W. General surgery— Friday afternoon Clinical Director Office, Northern Pacific Hospital ___ MA 6116 Office and Home— Western State Hospital...... LA 4411 Home, 619 North G Street______MA 6613 Also Cabin— 8801 Manitou-Custer Road_...... LA 899 4 ANDERSON, HORACE A. Heart Disease & Internal Medicine— Thursday BROWN, WILLIAM C. Office, 1108 Medical Arts Bldg ...... — ...... — MA 2601 General practice— Wednesday Home, 3114 North 33rd ___ PR 6771 Office, 10011 Gravelly Lake Drive...... LA 44 3 3 APA, THEODORE Home, 51 Oak Park Drive S.W ...... LA 24 0 3 Assistant Director of Public Health BURROWS, WILLIAM Office, 2324 Pacific A venue ...... BR 9341 General practice— Tuesday Home. 11914 So. L St...... GR 4601 Office, 700 No. Meridian, Puyallup„...... Puyallup 5-2374 ARNOLD, CHARLES B. Home, So. Meridian, Puyallup — ...... Puyallup 5-8281 General practice— Thursday BURT, ROBERT R. Office, 4001 South M ...... HA 3378 Surgery and Surgical Diagnosis— Saturday Home, 1224 North Tacoma Avenue______B R 5893 Office, No. 46, Tacoma Medical Center BR 4482 AVERY, W ILLIAM E . Home, 1830 North Winnifred...... SK 565 8 General Surgery— Thursday BUTTORFF, DOUGLAS Office, 1207 Medical Arts Building...... B R 1677 Gynecology and Obstetrics— Thursday Home, 724 North Yakima_ ...... MA 1747 Office, No- 39, Tacoma Medical Center...... BR 0559 BACKUP, PH ILLIP H. Home, 3705 North Washington...... SK 1254 Anesthesiology CAMERON, WALTER C. Office, No. 14, Tacoma Medical C e n te r______B R 450 0 Ophthalmology— Wed. and Sat. afternoon Home, 4629 North Mullen ...... PR 433 2 Office, 1103 Medical Arts Building------MA 1262 BANFIELD, ERNEST E. Home, 6600 Flanagan Road-...... HA 622 8 Plastic and Reconst. Surgery— Thurs. Afternoon CARLSEN, EDWIN L. (Honorary) Office, 1002 So. 10th St ...... FU 1641 General practice— Tuesday and Saturday p.m. Home, 1202 V en tu ra ____ SK 2869 Office, 5401 Va South Tacoma Way ...... HA 3331 BARRONIAN, RICHARD F . Home, 5311 South Lawrence...... HA 7330 Internal Medicine— Wednesday p.m. CLARK, THOMAS H. Office, No. 22, Tacoma M edical Center______F U 1271 General practice— Wednesday Home, 3823 West Soundvicw D r...... SK 4273 Office, 911 Kincaid, Sumner...... Sumner 3-4474 BASKIN, LEST ER S. Home, 1422 Academy St., Sumner------Sumner 3 -4 5 1 5 General practice and surgery— Thursday CLAY, HOMER T. Office, Western Clinic ..... MA 1141 Pediatrics— Saturday afternoon Home, 906 North Tacoma Avenue______MA 233 3 Office, 828 Medical Arts Building...... _ ...... B R 380 3 °BASS, MYRON A. Home, 818 North G Street...... B R 453 4 Obstetrics and Gynecology COMFORT, JOHN F. Office, 427 Medical Arts B ld g ...... _ BR 3484 General Practice— Thursday Home, 6808 South M St ______.. __HA 7643 Office, 3505 South 58th ...... HI 3256 BENSON, JOSEPH A. Home, 6363 111th S.W ______LA 2427 Dermatology— Thursday CRABILL, ROBERT P. Office, 1007 Medical Arts Building...... B R 6771 General practice— Wednesday Home, Lake Killamey ..... WA 8625 Office, Lakewood Medical Center Building LA 4451 BETTERIDGE, BRYCE Home, 6926 Lake Steilacoom Avenue...... LA 055 8 General practice— Wednesday CUMMINGS, DON FRANCIS Office, 3733 South Thompson _____ ..HA 447 3 General practice— Wednesday .Home, 2213 West Grandview...... i jo u Office, 3513% McKinley...... MA 1811 BLAND, LELAND J. Home, 912 North K ...... _....BR 2011 Surgery and Gynecology— Thurs. and Sat. p.m. DAVIS, RICHARD T. Office, Medical Arts Building ...... ___ BR 480 0 General Surgery httST^W5601 So- Ferdinand...... „ H I 430 6 Office, No. 23, Tacoma Medical Center MA 4323 BLIZARD, ELDON C. Home, 3507 No. Washington St ...... P R 7511 fojernal Medicine— Tuesday all day; Sat. p.m. DAYTON, DARCY M. (Honorary) Office, 110 4th Ave. N.W. Puyallup Puyallup 5-6645 Office, Central School Building...... _ ...... FU 1461 Home, 2710 North Huson Street...... PR 1678 BOGUE’ CIURLESVe' S‘W* PuyaUup PuyalluP 5-2283 DELANEY, GEORGE A. General nractice— Thursday and Saturday p.m. General practice— Thursday Office, Gig H arb o r...... Gig Harbor 44-2660 Office, 1401 Washington Building...... B R 1782 pn^v£°vB°x 123» G iS Harbor— Gig Harbor 44-3211 Home, 3222 North 19th Street...... PR 3 6 6 8 BPHN, JULIUS C. (honorary) DEMING, J. EDMUND (Sr.) general practice Obstetrics and Gynecology— Tues. and Sat. Office, 2602 North Proctor Street ...... „ .P R 5511 Office, 1012 Medical Arts Building ______B R 3723 North Union Avenue ___ PR 5 2 5 6 Home, Brown’s Point ...... YU 9072 BOND, ROBERT G. DENZLER, CHARLES H. General practice— Wed. and Sat. afternoon General practice— Thursday Ufflce, Bldg. 2, Tacoma M edical Center.______MA 3 534 ' Office, 911 Kincaid, Sumner...... Sumner 3-4474 Home, 521 North Yakima Avenue ...... MA 2321 Home, E. Monte Vista, Sumner...... Sumner 3-3481 34 BULLETIN o f the P i e r c e C o u n t y M e d i c a l S o c i e t y

NEW higher potency. . . 100 mg.

DIOCTYL SODIUM SULFOSUCCI NATE. MEAD* softens stools for easy passage

w i t h o u t O o la o e is now available in new higher potency l a x a t i v e Capsules, 100 mg -for greater convenience and a c t i o n dosage flexibility.

C o la c e by reducing surface tension, increases the wetting and penetrating efficiency of the intesti­ nal water, keeping stools soft.

O o la o e is indicated in the treatment and prevention of chronic constipation or fecal impaction, or whenever stool softness is required, as in patients with hemorrhoids.

usual oral dosage adults and older children 100 mg. b.i.d. for three days; then 50-100 mg. daily.

infants and children under 6 years In half a glass of milk or fruit juice or in formula: 20 mg. (2 cc. of C o la c e Liquid) b.i.d. for three days; then 10 to 20 mg. (1 to 2 cc.) daily.

Note: When bowel motility is impaired, a T h e Colace family mild peristaltic stim ulant or CoLACE-con- taining enemas m ay be needed in addition Colace Capsules 100 mg. bottles of 30, 60 and 250 to C o la c e by mouth.

Colace Capsules 50 mg. bottles of 30, 60 and 250 in e n e m a s Add 50 to 100 mg. (5 to 10 cc. C olace C o l a c e L i q u i d (1% solution; 10 mg. per cc.) bottles of 30 cc. with calibrated Liquid) to the fluid for a retention or a d rop p er flushing enema.

♦p a t e n t s p e n d in g

SYMBOL OF SERVICE IN MEDICINE

MEAD JOHNSON ft COMPANY, EVANSVILLE 21. INDIANA, U.S.A. BULLETIN of the Pierce County M edical Society 3 5

DIETBICH, CARLISLE GOERING, WILLIAM H. Dermatology— Tues., Fn. a .m . a n d Sat Orthopaedic surgery— Thursday Office, 942 Medical Arts Building------BR 36 4 5 Office, 919 South 9th ______.-.MA 71 4 3 Home, Brookdale------(?R 7532 Home, 1545 Sunset Drive ...... — ----- SK 220 5 d i l l e , b o d g e r s . °GOODSON, MICHAEL P. Internal Medicine— W ed. afternoon am p.m. Neurology and Neurosurgery— Thurs. p.m. and Sat. Office, 435 Medical Arts Building...... B R 066 0 Office, 1318 Medical Arts Building— ------B R 8121 Home, 44 Orchard Road______PR 3179 Home, Route 6, Box 276, Tacoma ...... YU 9030 DOHERTY, DALE GRENLEY, PHILIP Dermatology— W ednesday Urology— Thursday afternoon Office, No. 21, Tacoma Medical Center.. BR 1661 Office, 1216 Medical Arts Building ...... B R 8393 Home, 8503 Briggs Lane S .W ------....LA 4 5 4 8 Home, 710 North I_ ...... MA 6621 DRAKE, B. ELIZABETH GRIFFIN, HILLIS F. Diagnosis and Gynecology General practice— Saturday ... LA 38 4 7 Office, 605 Pine ...... BR 4455 -LA 3847 Home, 1506 North Union ...... P R 8343 DRUCKER, GERHART A. GROSS, KENNETH E. General practice— Thurs. and Sat. afternoon Radiology Office, 3902 South Yakima— ------HT 3064 Office, No. 15 Vs Tacoma Medical Center FU 2641 Home, 7131 Interlaaken D r— ------1 .A 8645 1514 Medical Arts Building ...... FU 2691 d r u e s , ISADORE a . Home, 2901 North 29th S t .— ...... PR 2223 Eye, Ear, Nose and Throat— Sat. and Thurs. p.m. GUILFOIL, ERNA Office, 1212 Medical Arts Building------B R 74 4 7 An esthes iolo gy Home, 1514 Femside D rive-...... SK 4640 Office, No. 14, Tacoma Medical Center .... _. BR 4502 DUERFELDT, t r e a c y h . Home, Rt 2, Box 760, Puyallup ______Puyallup 5-2090 Internal medicine, allergy— W ed. and alternate Sat. GULLIKSON, JOHN W. Office, 1108 Medical Arts Building .... MA 2601 General Surgery— Wednesday Home, 2905 North 28th______P R 4 2 2 4 Office, Northern Pacific Hospital ...... MA 6116 DUFFY, JAMES P. Home, 12617 Gravelly Lake Drive, S.W. LA 2235 General practice— Tuesday HADFIELD, DALE Office, 911 Kincaid, Sumner ...... Sumner 3 -4 4 7 4 Anesthesiology Home, 713 Wood Ave., Sumner...... Sumner 3 -4 2 0 0 Office, No. 14, Tacoma Medical Center BR 4502 DURKIN, L. STANLEY Home, 10111 Lake Steilacoom Dr., S.W ...... -L A 2995 Neurosurgery— Wednesday HALEY, THEODORE R. Office, 1002 So. 10th St...... BR 1255 General surgery— Wed. and Sat. afternoon Home, 915 North Park D rive™ ------... BR 0493 Office, No. 14, Tacoma Medical Center------B R 45 0 1 DYE, DAVID F. S808 Bridgeport W ay ...... LA 5711 General Practice Home, 3815 North 38th ...... PR 4401 Office, 5241 So. Warner ..H A 218 2 HANSON, EUGENE W. Home, 4101 North 34th St. —...... SK 218 0 General practice— Saturday EGAN, JAMES H. Office, 914 Medical Arts Building______B R 377 2 General practice— Saturday Home, 3510 North 33rd ______P R 1152 Office, 710 Puget Sound Bank Building BR 2040 HARRELSON, ORVIS A. Home, 3722 North W ashington ...... PR 1133 General practice— Wednesday EHRLICH, A LBERT Office, 1035 Medical Arts Bldg ...... BR 2108 General practice— Wednesday Home, 4839 North 8th ...... SK 1816 Office, No. 25, Tacoma Medical Center.______B R 2 6 2 5 HARRINGTON, BERNARD D. Home, 9009 Gramercy Place, S.W ...... LA 3844 Roentgenology— Wed. afternoon and alt. Sat. ELLIS, RAYMOND C. Office, 1415 Medical Arts Building.. MA 747 3 Pediatrics— Weds, and Sat. afternoon No. 9, Tacoma Medical Center__ . B R 414 9 Office, No. 42, Tacoma Medical Center MA 1880 Home, 246 South Stadium Way .. FU 1130 Home, 1018 Fairway D riv e...... SK 2638 HARRIS, JOSEPH B. ELTRICH, MARTIN C. Internal Medicine— Thursday General Practice— Wednesday Office, No. 24, Tacoma Medical Center------B R 7833 Office, 4001 South M ...... HA 337 8 Home, 10901 Evergreen Terrace ...... — LA 2324 Home, 1470 South Fife ...... - ...... MA 598 0 HATHAWAY, STILLMAN J. ERICKSON, JACK J. Physician, Western State Hospital General Practice— Wednesday Office, Western State Hospital — ...... — LA 4411 Office, 11810 Pacific Ave., Parkland______G R 4 4 8 8 Fort Steilacoom, Washington Home, 616 South 117th, Parkland— GR 5044 HAUSER, WILLIAM P. EYLANDER, EDW ARD S. Internal Medicine and Diagnosis— Wed. Anesthesiology Office, No. 33, Tacoma Medical Center...... BR 3281 Office, No. 14, Tacoma Medical C e n te r ______BR 450 2 Home, 4141 Madrona W ay ------PR 8918 Home, 6826 So. M St ...... _ ...... H I 5840 HAVLINA, JOHN M. FAIRBOURN, ED W IN J. Obstetrics and Gynecology— Tues. and Sat. p.m. Internal- Medicine— Saturday Office, No. 4, Tacoma Medical Center BR 2512 Office, 1507 Medical Arts Building______B R 3520 Home, 4017 South 7 ...... BR 3166 Home, 617 North C ______MA 85 2 6 HAZELRIGG, JAMES E. FARGHER, CEC IL R. General Practice— Thurs. and Sat. afternoons Director of Public Health— Saturday Office, Brown’s Point Med. Dental Bldg., Office, 2324 Pacific _ ..B R 934 1 Rt. 6, Box 271 ...... YU 99 6 6 Home, 712 North C . ..MA 2371 Home, 1509 Slayden Road ...... YU 9924 FERGUSON, RO BERT *M~ HAZEN, BERNICE M. General practicir —Thursday and Saturday p.m. Psychiatry Office, 1118 Medical Arts Building______MA 642 4 Office and Home, Western State Hospital LA 4411 Home, 3507 No. A dam s ...... SK 4141 Fort Steilacoom, Washington FLORENCE, ROBERT W. HEATON, ARCHIBALD B. Orthopaedic Surgery— Thurs. and Sat. afternoon Obstetrics and gynecology— week days - 1 to 5 p.m. Office, Bldg. No. 3, Tacom a M edical Center....M A 25 1 6 Office, 611 Jones Building...... MA 8471 -Jigne, 3306 North 22nd ______PR 9703 Home, 3715 North 28th Street ______P R 1191 FLYNN, JOHN R. HELLYER, DAVID T. Radiology— Wednesday Pediatrics Office, No, 15 Vb, Tacoma Medical Center F U 2641 Office, 7 2 2 South K~ B R 42 1 4 Home, 610 North Stadium Way_ BR 1675 Home, 7814 John Dower Road ...... LA 7927 FREEMAN, RO BERT M. HENNINGS, FRANCIS W. General Practice— Wednesday General practice— Wednesday University Place M edical-Dental Building Office, Western Clinic ______..MA 1141 .2704 Sunset Drive, Tacoma 66 ______SK 35 0 4 Home, 212 Eldorado . ...P R 0011 r M c f t fe253i ^ aho^ a P la c e ______SK 15 3 6 HERRMANN, ARNOLD J. GEISSLER, GERALD G. General Surgery— Wednesday OMthalmology, eyes— Friday afternoon Office, 707 Medical Arts Building...... B R 1419 8™» 1J03 Medical Arts Building- MA 1262 Home, 4620 North Verde ...... PR 463 2 or^DOT’\» North Yakima Avenue.______B R 2 8 4 0 HERRMANN, S. F. “GERSTMANN, PAUL E. General Surgery— Wednesday and Saturday p.m. Office and Home, 5 0 6 W est Pioneer, Office, 707 Medical Arts Building...... B R 141 9 Puyallup ______..Puyallup 5-7761 Home, 55 Summit Road...... P R 4 4 6 6

There’s no such thing as a small taxpayer. “PATRONIZE OUR ADVERTISERS”

BULLETIN of the Pierce County M edical Societv 3 7

HESS, GEORGE H. JUDD, HERMAN S. General Practice— Thurs. and Sat. afternoons General practice— Wed. and Sat. afternoon Office, Univ. Place Medical Dental Bldg. Office, 735 Medical Arts Building------B R 0933 2704 Sunset Drive, Tacoma 66 ._...... SK 5 659 Home, 3312 North Union ...... PR 773 8 Home, 4437 Grandview Place ...... SK 5365 KAHLER, HAROLD F. HOOVER, GALEN H. General practice and Neuropsychiatry— Sat. afternoon General Practice— Wed. and Sat. p.m. Office, 601 South K ...... B R 502 2 Office No. 2 Tacoma Medical Center .... BR 6500 Home, 622 North Cushman ...... B R 3513 Home, 4905 North 26th _____ SK 4381 KALKUS, J. HUGH HOPKINS, LEW IS A. (H onorary) General practice— Saturday and Thursday Home, 3718 North Stevens ------— PR 6340 Office, Medical Building, Fife...... W A 6451 h o s ie , m a h l o n r . Home, Puyallup ...... Puyallup 5-7241 Obstetrics— Wednesday KALLSEN, ROBERT A. Office, No. 39, Tacoma Medical C enter-...... _B R 2 1 0 6 Internal Medicine— Saturday Home, 4139 Madrona W ay...... SK 3205 Office, 1503 Medical Arts Building...... MA 52 3 3 HOSKINS, FRANZ P. Home, 3011 North 29th ______PR 6151 General practice— Wednesday KANAR, EDMUND A. Office, 5241 South W arner...... H I 930 0 General and Thoracic Surgery— Thursday Home, 2618 North W innifred______P R 0924 Office, Western Clinic ______..MA 1141 °HOUTZj DUDLEY W . Home, 7009 South Sheridan ...... HA 1520 General Practice— All dav Thurs. and Sat. afternoon “KANDA, JOHN M. Office, 5721B No. 2 6 th __ -...... PR 9330 General Practice— Closed Wednesday Home, 1310 6th Ave ...... MA 3442 Office, 907 Alder Sumner ______Sumner 3-4162 HOWE, ARCHIBALD W. Home, Route 2, Box 128 ...... Sumner 3-4436 Eye, Ear, Nose and Throat— Mondays and Sat. p.m. KASS, MYRON Office, 935 Medical Arts Building______MA 3640 Neurology and Psvehiatry— Wed. p.m. and Sat. p.m. Home. 2902 North 27th .._...... PR 2258 Office, 1427 Medical Arts Bldg...... BR 6126 HOYER, LOUIS P., JR . Home. 4112 North 36th ___ SK 2311 General surgery— Thurs. and Sat. afternoon KEMP, CHARLES E. Office, 407 Medical Arts' Building...... B R 8377 Pediatrics— Thursday and Saturday afternoon Home, 10919 Greengate Lane S.W LA 8700 Office, 722 South K ____ BR 4214 HOYT, WALLACE P. Home, 3812 North 39th ______...PR 7337 General practice— Wednesday afternoon •KENNEDY, HERBERT C. Office, Puyallup C linic...... _...... Puyallup 5-6645 Urology— Wednesday afternoon Home, 312 5th Ave. N.W., Puyallup ....Puyallup 5-6336 Office, 1512 Medical Arts 131dg...... BR . 8553 HUFF, RALPH H. Home. 6302 Regents Blvd...... PR. S471 Internal medicine and — Wed. and Sat. KITTREDGE, GEORGE S. Office, No. 16, Tacoma Medical Center. ...M A 4518 Pediatrics— Wednesday and Saturday p.m. Home, 620 North E ...... B R 2460 Office, No. 27, Tacoma Medical Center...... B R 6767 HUMISTON, HOMER W . Home, 10215 Interlaaken Drive S.W ______LA 930 2 Medical Director, Pierce County Industrial KOHL, GERALD C. Medical Bureau Obstetrics, Gynecology and Gynecologic Surgery— Office, 742 Market St...... MA 8111 Wed. and Sat. p.m. Home, 607 North Stadium Way ...... MA 560 3 Office. Puget Sound Medical Bldg...... BR 4251 HUNT, LEO J. South 4th and K St. General surgery— Saturday Home, 602 North Tacoma Avenue ____ B R 1041 Office, Puget Sound Bank Building ...... MA 8466 KOHLER, D. G. Home, 701 North J ___ MA 7535 General practice— Tuesday IRVIN, MICHAEL Z. Office, Western Clinic Building ______MA 1141 General practice— Monday Home, 3623 North Proctor ...... SK 445 2 Office, 10011 Gravelly Lake Drive, S.W .______LA 443 3 KOHLER, HUGH F. Home, 7106 Interlaaken Drive, S.W „_:...... _.L A 4 5 1 5 General practice— Wed. and alt. Sat. a.m. JAMES, FRANK H. Office, 4625 Pacific Ave...... H I 9521 County Coroner Home, 6456 South L ___ HA 6811 Private l i n e ____ FU 1137 KRAFT, ROBERT A. Office, County Court House ....M A 7 1 2 1 , Ext. 76 General practice Horae, 172 Lake Louise Dr. S.W.______LA 48 4 8 Office, 331 So. Meridian, Puyallup Puyallup 5-8818 JARVIS, JOSEPH B. Home, 1201 7th Ave. N.W., Puyallup .. Puyallup 5-8052 Radiology— Thurs. and Sat. p.m. KUNZ, GEORGE Office, 110 4th Ave. N .W ., Puyallup___ Puyallup 5-6645 General Practice— Wedne.sdav Home, Rt. 1, Box 764, Sumner______Sumner 3-3381 Office, 1209 So. 12th ...... FU 5441 JOHANSSON, ARNOLD W . Home, 21 Orchard Road ...... —...... - SK 4524 General Practice— Wednesday p.m. KYLE, PHILIP C. Office, Meridian & 2d Ave. S.W ., Puyallup Puy. 5 -5 3 0 0 Obstetrics and Gynecology— Wed. and Sat. _ Home, 305 19th St. N.W., Puyallup ...... Puyallup 5-5501 Office, Puget Sound Medical Bldg. ______MA 1561 JOHNSON, DAVID H. South 4th and K St. Obstetrics-—Saturday afternoon Home, 701 North Yakima Avenue...... B R 20 0 9 Office, No. 39, Tacoma M edical Center.______B R 2 1 0 6 LAIR, BURKE Home, 63 West R o a d ___ _ PR 1271 General Practice— Tuesday and Saturday p.m. JOHNSON, MURRAY L. Office, Buckley ...... Buckley 3281 Surgery— Tuesday and alternate Saturdays Home, Buckley ...... Buckley 5431 Office, 1412 Medical Arts B u ild in g ___ FU 1643 LAMBING, JAMES D. Home, 501 North Tacom a Avenue ___ MA 569 7 General practice— Wednesday and Saturday p.m. JOHNSTON, HAROLD B. Office, Gig Harbor ______.Gig Harbor 44-2660 Psychiatry and Neurology— Saturday Home, P.O. Box 307, Gig Harbor....Gig Harbor 44-2464 Office, 722 South K ...... _ B R 446 4 LANE, ROBERT E. T/w™5e,r.Z 29SJ>leasant Street s -w ...... LA 592 7 Internal medicine— Saturday JONES, SCOTT S. Office, 1135 Medical Arts Building...... FU 2222 Obstetrics and Gynecology— W ed. and Sat. afternoons Home, 8807 North Thome Lane S.W LA 7026 Uflice, 1012 Medical Arts Building______. . BR 3723 LANTIERE, S. ROBERT Home, 4405 North 45th Street ...... PR 2640 General Practice— Saturday Office, 1203 Medical Arts Building ...... MA 3070 Home, 3724 North 33rd ______PR 1346 LANTZ, CALVIN R. Internal medicine— Thursday p.m. Office, No. 29, Tacoma Medical Center...... B R 5200 Home, 1359 Skyline Drive______SK 54 4 5 DAMMEIER LARKIN, HUGH A. General practice— Thursday Office, 1616 Washington Building ...... B R 1064 Printing Co. Home, 705 North 5th ...... MA 7406 LARSON, CHARLES P. Pathology BRoadway 8303 Office, Tacoma General Hospital...... MA 1181 207 Medical Arts Bldg...... MA 4241 811 Pacific Ave. Tacoma Home, 3219 North 32nd ...... SK 2279 “PATRONIZE OUR ADVERTISERS” 3 8 BULLETIN of the Pierce County M edical Society

Ointment should be ap­ plied to the affected eye every two hours or oftener as the condition and response indicate.

you can control common eye infections with ACHROMYCIN Ophthalmic HYDROCHLORIDE TETRACYCLINE HCI

With Achromycin* Tetracycline Ophthalmic dosage forms in your office, you can initiate therapy in practically all ordinary eye infections, including most types of conjunc­ Use nonbuming A c h r o ­ tivitis. On your prescription, the patient can readily secure m y c i n Ointment (3%) fo r treating wounds and ointment or solution to continue treatment at home. Mild abrasions, and after infections often respond within 48 hours; stubborn or severe simple surgery. Bland, soothing, permits normal infections may require longer treatment, sometimes sup­ healing. Tubes of VS and 1 oz. plemented by oral administration of Achromycin. The ointment also serves as an excellent prophylactic following the removal of foreign bodies from the eye.

In using or prescribing any of the 21 Achromycin dosage forms you can feel confident in your choice. This true broad- K ids go fo r the candy- spectrum antibiotic has proved effective against a wide like cherry flavor of variety of disease organisms. It is rapidly absorbed, quickly Achromycin Syrup. Pre­ scribe it with confidence achieves high blood levels, and provides prompt control of that it will be taken without fuss. Potency: infection with minimal side effects. Furthermore, every 125 mg. per teaspoonful (5 c c .). gram is made in Lederle’s own laboratories and offered only under the Lederle label —your assurance of quality.

The Lederle representative or your local pharmacist will gladly

tell you about the many other A c h r o m y c i n dosage forms.

LEDERLE LABORATORIES DIVISION You’ll find Achromycin Intramuscular convenient AMERICAN CYANAMID COMPANY for initiating systemic an­ PEARL RIVER. NEW YORK tibiotic therapy —in the office or on house calls. tR E Q . U. S. PAT. OFF. Vials of 100 mg. BULLETIN of the Pierce County M edical Society 3 9

LASBY, JOSEPH o . MATTSON, JAMES M. General practice-7-Wednesday Internal Medicine— Wednesday and Saturday Office, 406 Security Building „MA 6463 Office, No. 8, Tacoma Medical Center BR 8203 Home, 916 North Tacoma Avenue------MA 4788 Home, 1410 Division ...... — ...... B R 749 2 LAWLEY, THOMAS B. MATTSON, WILLIAM W., JR. Obstetrics and gynecology— Thursday General and Thoracic Surgery Office'Western C linic ------— ...... MA 1141 Office, 441 Medical Arts Building ...... B R 3 7 0 8 Home, 7216 Interlaaken Dr. S.W ...... LA 59S4 Home, 4602 North Waterview ...... SK 4 2 9 7 LAWRENCE, MILLS r< MAY, CHARLES W. General Practice— Wednesday and Saturday a.m. General practice— Thursday Office, 3007-6th Avenue ...... B R 20 3 0 Office, Northern Pacific Hospital------MA 611 6 Home, 3537 Crestview Drive ------PR 84 6 4 Home, 252S East 72nd ------...... - ...... H I 778 8 LEE, JACK W. MEIER, HERBERT II. General practice— Friday Obstctries and Gynecology— Thursday Office, Western Clinic Building ----- MA 1141 Office, 729 Medical Arts Bide. ------MA 7342 Home, 1502 North 10th ...... B R 8126 also 8808 Bridgeport Way S.W ...... LA 5711 Home, 7 Barlow Road S.W .... LA 7 5 5 4 LIGHT, SAMUEL E. Dennatology— Tnes., Sat. and Thurs. p.m. “MONK, BENJAMIN F. Office. No. 21, Tacoma Medical Center B R 1661 Anesthesiology Home, llisO Gravelly Lake Drive S.W LA 8833 Office, No. 14, Tacoma Medical Center.... - ...... B R 450 0 Home, 3411 North Mason ___ PR 7053 LINK, RICHARD B. Obstetrics and Gynecology— Thursday MOOSEY, GEORGE A. Office, 6018 Mt. Tacoma Drive S .W ------LA 555 7 Surgery and Urology— Wednesday Home, 10020 DeKoven Dr. S .W ...... LA 556 7 Office, Western Clinic Building, 1119 A St...... MA 1141 Home, 14.18 North 10th ...... B R 286 3 LUDWIG, W ILLIAM II. Eye, Ear, Nose and Throat— Thurs. and Sat. a.m. MUIR, EDWIN C. Office, 714 Medical Arts Building------B R 1700 Internal. Medicine— Thurs. p.m. and Sat. p.m. Home, 902 South Jackson ...... PR 6369 Office, 1307 Medical Arts Building BR 1386 Home, 7314 North St. S.W ...... L A 357 6 LUEKEN, H. D. MURPHY, THOMAS B. Obstetrics and Gynecology— W ed. afternoon Surgery— Wednesday and Saturday Office, No. 43, Tacoma Medical Center------B R 1169 Home, 1222 South Ja ck so n ------SK 47 0 9 Office, 1118 Medical Arts Building ...... B R 444 0 Home, 803 Stadium Way _____ B R 303 3 LUNDVICK, CYRIL V. MURRAY, DOUGLAS H. Eye, ear, nose and throat— W ed. and Sat. afternoon Orthopaedic Surgery— Wednesday and Saturday Office, 815 Medical Arts Building ...... B R 3343 Office, No. 6, Tacoma Medical Center______B R 93 0 9 Home, 924 A urora------— ...... — ------SK 55 4 4 Home, 3435 South 272nd, Kent McBRIDE, GLENN G. NACE, FAY MORRIS General Practice— Wednesday and Saturday p.m. Obstetrics and Gynecology— Thursday and Saturday Office, 807 Medical Arts Building______B R 5385 Office, No. 43, Tacom a M edical Center.....—...... B R 1169 Home, 952 Fairview Drive ...... P R 756 4 Home, 1228 Femside Drive______P R 0 1 3 3 McCABE, EDWARD F . NELSON, EVERETT P. General practice— Thursday Pediatrics— Wednesday and Saturday p.m. Office, 700 No. Meridian, Puyallup.™ Puyallup 5 -2374 Office, 722 South K______B R 42 1 4 Home, 1810 Valley Ave., Puyallup_____Puyallup 5-8176 Home, 2232 West Boulevard ...... SK 24 0 8 McCOLL, CHARLES R. NEVITT, DONALD M. Pathologic Anatomy and Clinical Pathology General practice Office, St. Joseph’s Hospital ______MA 4101 Office, Eatonville - ...... - ...... Eatonville 23111 Home, 1906 South 4 1 s t ______HA 5413 Home, Eatonville _____ Eatonville 23116 McCOY, CHARLES C. NIETHAMMER, WOODARD A. Radiology Surgery and Gynecology— Thursday Office, Western Clinic Bldg,...... MA 1141 Office, 1035 Medical Arts Bunding ...... B R 2108 Home, 220 So- Tacoma Ave...... BR 9480 Home, 902 Fairview Drive ______P R 1787 McGILL, CHARLES M. NORTON, R. A. Industrial Medicine— Saturday Pediatrics— Wednesday and Saturday p.m. Office, Tacoma S m e lte r_____ ..PR 3551 Office, 1106 So. 4th St ______BR 0 3 5 4 Home, 2101 North S tev en s_ _P R 00 3 4 Home, 4216 North Mason ___ PR 8531 McKAY, DONALD OOTKIN, BERNARD N. General practice— Tuesdays General practice— Industrial, Thursday Office, 108 North Bridge, Orting____ Orting TW 33421 Office, Lakewod Center ...... LA 4451 Home, P.O. Box 181, Orting Orting TW 33421 Home, 10423 Brooklane S.W ...... LA 7061 “MeNERTHNEY, JAMES E. OSBORNE, ROBERT W. Obstetrics and Gynecology Urology Office, 729 Medical Arts Building...... MA 7342 Office, No. 26, Tacoma Medical Center.. MA 4686 8808 Bridgeport Way, S.W.,_...... LA 5711 Home, 930 Aurora Avenue ...... -...... -...... SK 331 2 H o m e ...... _ PR 9712 PAINE, FREDERIC O. McNUTT, HARLAN P. General practice— Thursday Psychiatry Office, 3733 South Thompson...... HA 44 7 3 Office, 1212 South 11th, Building 2 3 ...... BR 3861 Home, 512 North E ____ BR 7766 Home, 406 North Tacoma Avenue...... B R 7800 PARROTT, MILES McPHAlL, ROSS E. General practice— Wednesday and Saturday Diseases of the Chest— W ed. and Sat. afternoon Office, 1403 Medical Arts Building ..BR 5822 Office, 1317 Medical Arts Building MA 071 7 Home, 3548 Tahoma Place, 66 ...... SK 4 2 1 8 Home, 8822 Portland A venu e...... G R 3153 PASCOE, CHARLES S. McPHEE, WILLIAM Urology— Wednesday and Saturday General practice— Thursday Office, 1515 Washington Building...... MA 3832 Office, 5425 Pacific H I 7761 Home, 11415 Graveilv Lake Drive______LA 9365 Home, 3856 South D ...... H I 780 4 PETERSON, WENDELL G. MADDISON, FRANK R. Orthopaedic Surgery— Thursday and Saturday Internal Medicine and Cardiology— Thurs. p.m. and Sul. Office, 1422 Medical Arts Building ___ B R 030 9 Office, 1135 Medical Arts Building MA 2348 Home, 624 North Yakima ...... B R 8273 Home, 4151 Madrona W a y ...... PR 768 9 PETERS. FREDERICK M. MAGNUSSEN, NORMAN E . Psychiatry and Neurology General practice— Wednesday p.m. and Saturday Office, Western State Hospital ...... LA 4411 Office, 3701 6th A v en u e ______SK 5111 Home ...... - ...... LA 4411 m H2SF»- 7535 Heg™ Road______SK 3200 PLUM, FRANK A. MAIER, HASKEL L . Xeuro-Surgcry, Eye, Ear. Xuse and Throat— Monday E^> ear, nose and throat— Wed. and Sat. p.m. Office, Lakewood Medical Building, Office, 936 Medical Arts Building______MA 2331 6345 Motor Avenue S.W ...... LA 4451 .Home, 2707 Henry Road ______B R 5 2 1 6 Home, 4518 North Verde ...... SK 5241 MARLATT, D . A. PRATT, W. HOWARD General practice— Wednesday Anesthesiology Office, 3205 P a c if ic HA 3325 Office, Bldg. No. ,14, Taecima Medical Cenl.ei,....BR 450 2 .Home, 3205 Pacific ...... HA 4242 Home, .1364 Ileatherwood W...... PR 475 5 MARSHALL, CHARLES E. RACE. GEORGE A. ear» nose throat— W ed. and Sat. p.m. Internal Medicine— Wed. and Sat. afternoon Office, No. 3§, Tacoma M edical Center MA 8266 Office, 817 Medical Arts Bldg...... MA 8911 Home, 12809 Dubois Ave. S .W ...... LA 906 2 Hume, 2519 North JunetL...... SK 5454

BULLETIN o f th e Pierce County M edical Society 4 1

VAUGHT, CHARLES MEMBERS IN SERVICE General practice— Thursday p.m. GIBSON, ROBERT H. ______Army Office 110 4th Ave. N .W ., Puyallup___ Puyallup 5-6645 JOERS, LAWRENCE E. C ...... Navy Home* 1726 Tacoma Rd., Puyallup_____Puyallup 5-6215 MAKI, HENRY E...... Army VIMONT, RICHARD T . MANDEVILLE, JACK W . ___ Army O’CONNELL, ROBERT A...... _ A rm y Joseph’s Hospital— ------MA 4101 P.O. Box 444, Milton RETIRED MEMBERS Home, 1110 3rd Avenue, Milton------W A 7 0 4 2 AYLEN, CHARLES WAHLBERG, E L M E R W . 816 West Pioneer, Puyallup...... Puyallup 5' •7074 Internal medicine— Thursday BEACH, ROBERT H. Office, Western Clime Building— — ...... —MA 1141 Tacoma Country Club ...... LA 2 4 0 4 Home, 3401 North 2 7 t h ------—— ------—-----PR. 574 0 BLAIR, SAMUEL L. WARD, JAMES F. 314 North I ______BR 53 7 4 Ophthalmology— Thursday BOWLES, THOMAS K. Office, No. 9A, Tacoma Medical Center BR 2666 4624 South Yakima ..... HA 1540 Home, 622 North 4 th ------—.B R 2688 BIUS, ALBERTUS H. 3594 McKinley ...... HA 1422 WEST, THOMAS R. GRAY, CLYDE E. General practice— Wednesday 3619 North 29th St ______PR 24 4 6 Office, Rt. 12, Box 104, Tacom a------W A 6666 HARDS, HILDEBRAND J. Home. 1017 North 10th ...... MA 3521 2524 North Puget Sound ...... PR 25 2 4 WHTTACRE, G. MARSHALL HILLIS, ALBERT E. Diagnosis and Internal Medicine— W ed. afternoon 1001 North G ___ BR 86 0 4 Office, No. 31, Tacoma Medical Center. B R 6533 KANE, JOSEPH P. Home, 926 Fairv iew ______PR 070 0 1044 Bryant St., Palo Alto, California WHITAKER, JOHN L. KEHO, J. ARTHUR Pathology— Saturday 25 Summit Road Office, Pierce County Hospital .______HA 3321 KELLER, WILLIAM N. Home, 3825 South Tacoma Avenue ...... H I 3092 1602 Starling St., Steilacoom, Washington WICKS, M ERRILL J. KUNZ, GEO. G. R., Sr. Clinical Pathology— Pathological Anatomy Office, Tacoma General Hospital------MA 1181 249 Broadway ______MA 244 2 Home, 2214 North Tacoma Avenue______MA 6589 LESLIE, ARTHUR C. 864 South 37th ...... HA 8864 WILLARD, DON G. MAGILL, CLYDE Surgery— Saturday Rt. 7, Box 375, Olympia, Wash Olympia 2- 2383 Office, 1525 Medical Arts B ld g ...... BR 419 7 MacRAE, RAYMOND Home, 722 North C ______-______MA 063 0 WILLIAMS, FRANK L. 324 North E ...... _ BR 239 4 MATTSON, WILLIAM W. Surgery—-W ednesday 4602 North Water ...... PR Office, 903 Medical Arts Building______MA 2661 1877 Home, 502 North I ___ MA 6886 MITCHELL, WHITING B. WISEMAN, CLAUDE E. Altadena, California Surgery— Thursday and Saturday p.m. MORSE, RAYMOND C. Office, 1307 Medical Arts Building______MA 784 2 143 4th St. N.W., Puyallup, Wash. Puyallup 5- 6791 Home, 2118 North Warner ...... P R 239 0 N A CE, A. G EO RG E WRIGHT, ROSS D. 5824 South Puget Sound ..... HA 1131 Proctology and Surgery— W ed. and Sat. p.m. PASCOE, WELDON W. Office, 1016 Medical Arts Building...... MA 2252 15370 Pepper Lane, Los Gatos, California Home, 3108 North 3 1st ______PR 4503 PAUL, WILLIAM C. YOACHIM, MAURICE 2319 Pionsetta, Santa Ana, California Anesthesiology PENNY, WARREN B. Office, No. 14, Tacoma Medical Center______B R 4502 1002 111th Ave., N.E., Bellevue, Washington Home, 6521 So. L St...... H I 6001 SCHAEFFER, RALPH YODER, EDWIN C. Tacoma Country Club ...... LA 381 2 Surgery— Wednesday SMEALL, JOSEPH Office, Western Clinic ___ MA 1141 1402 South Pine ...... MA 3446 Home, 11915 Clover Creek Drive ___ LA 7710 SMITH, GEORGE H. ZIMMERMAN, WAYNE 506 North 4th ...... MA 3622 Orthopaedics— Thursday and Saturday TURNER, JOSEPH R. Office, 1212 South 11th _____ F U 1524 12310 Interlaaken Dr., S.W ...... „...LA 2811 Home, 3620 North Washington ______SK 24 6 6 WISLICENUS, GUSTAV A. 3502 North 29th ____ PR 6625

RESIDENTS ANNEST, L E O __ Virginia Mason Hospital BADER, BERNARD ...... University of Washington Cardiovascular Course To Be Held CHAMBERS, ROBERT M . University of Pennsylvania HANSEN, JOSEPH L Rochester General Hospital A course, "Recent Advances in Cardiovascu­ OLEARY, ARTHUR P. __...... St. Mary’s Hospital, „ San Francisco lar Diseases,” is being held at The Mount Sinai OLSON, WILFRED R. Missouri Pacific Hospital, Hospital, New York, October 8th through 12th, „_____ St. Louis HESCHKE, ALFRED W . Kaiser Foundation Hospital, 1956, under the auspices of The American Oakland, California College of Physicians. The co-directors will be Arthur M. Master and Charles K. Friedberg. The fees for members of The American Col­ EVERY DROP PURE HEAT lege of Physicians will be $30.00, non-mem- bers $60.00. Registration should be filed with STANDARD the Executive Secretary, American College of Heating Oils Physicians, 4200 Pine Street, Philadelphia 4, Pennsylvania. Call MA. 3171 WYNNE, ARK., PROGRESS: "History has Fuel Oil Service Co. shown that freedom and paternalism simply 816 A St., Tacoma don’t mix. W e hope that freedom will always Mark Dolliver Jack Galbraith be more precious to Americans than a federal hand-out.” 4 2 B U L L E T I N of the Pierce County M edical Society

“Refresher” Courses Tax Deductible Letters To The Editor To the Editor; Physicians taking postgraduate "refresher” I got a letter this morning that just 'burns courses may now deduct these expenditures me up. It was from some outfit in Seatde that from their income tax, reports the A.M.A. Law purports to be a "Citizens Committee for the Department. Preservation of Payrolls, State of Washington,” The regulation was issued recently by the urging me as a physician to vote against Ini. U.S. Internal Revenue Service. Effective August tiative 198, because if I don’t, it will automati­ 9, it provides that expenditures for education cally render null and void all union welfare are deductible if they are for a "refresher" or contracts now in force and help bring about similar type of course taken to maintain the socialized medicine. skills directly and immediately required by the I assume that all the doctors received similar physician in his employment or business. An letters— hence my letter to you. In the first educational course to be covered should be de­ place, the statements in the letter are absolutely signed for established medical practitioners to untrue. The initiative specifically states that no help them keep abreast of current developments existing contracts are changed— so no contracts in the profession; it should be of short dura­ are rendered "null and void.” In the second tion; it should not be taken on a continuing place, the initiative has nothing to do with wel­ basis, and should not carry academic credit. fare contracts— only with requiring union mem­ Education designed to prepare the practitioner to enter a specialty will not be acceptable. bership as a condition of employment. The members who are in the union can still have A physician traveling away from home pri­ marily to obtain "refresher” education will be any welfare agreements they want— nothing to able to deduct expenses for travel, meals and the contrary is mentioned in the initiative. lodging. However, expenses for personal activi­ This is a typical example of union methods ties such as sightseeing, social visiting or enter­ —not actually intimidation, but as near it as taining, or other recreation will not be they can legally get. I have talked with a num­ allowed. ber of persons who are for Initiative 198, But The regulation is the result of efforts made they say that they are afraid to come out openly by the AMA Law department over a long for it because of what the unions might do to period of time. them. This country of ours — "the home of the brave and the free" — is in a pretty sorry "Ill give you |5 if you’ll let me paint you,” state of affairs when men are afraid to express the artist told the old mountaineer, who their opinions openly because of the crushing thoughtfully shifted his tobacco from one power of the unions. This really shows how cheek to the other. "It’s easy money,” encour­ necessary legislation like this really is. The aged the artist. more the unions plaster the country-side with "No question ’bout that,” agreed the hills- false statements like "Initiative 198 will wreck man. "Was jes’ awonderin’ how to get the paint the State”— the more they are showing the off afterward." people of the State that we the common people need protection against the power of the labor, "Somebody picked my pocket.” unions and their bosses. "W hat did he get?" Fraternally, "Practice.” L. E. SKIN N ER, M.D. * * . * These are my sentiments. I got that letter and responded mentally in a similar fashion. Also, these billboards about the workman's BEALL’S bread and butter being compromised by *h>S Initiative galls me. The Prescription Store Is this "Citizen’s Committee” a labot front organization that is so deceitfully trying to get the physicians’ support—organized labor- 124 Meridian South which I gather is also pushing for compulsory national Health Insurance? Is there any propa­ PUYALLUP ganda, or perferably factual information pre­ Puyallup 5-6291 senting the other side of the story? W.W.M.Jl. ^ “PATRONIZE OUR ADVERTISERS” B U L L E T I N of the Pierce County M edical Society 4 3

m e e t i n g s ciation one-day Symposium on Oral "Insuli- noids," Highland-Alameda County Hospital October Oakland. Contact: Institute for Metabolic R e­ i 3-5—San Francisco Heart Association An- search, Highland-Alameda County Hospital. jnual Postgraduate Symposium, St. Francis 22-26—Orthopaedic Hospital and Rancho Hotel, San Francisco. Contact: Executive D i­ Los Amigos Respiratory Center jointly spon­ rector, 604 Mission St., San Francisco. sor "A Seminar in Comprehensive Patient Care for Selected Neuromuscular Disabilities.” All­ ' 4 American Cancer Society, California D i­ day sessions beginning at 9 a.m. and one eve­ vision, Annual Cancer Conference, 2-5 p.m., ning session, October 24. Contact: C. L. Low- Fairmont Hotel, San Francisco. Contact: Otto man, Orthopaedic Hospital, 2400 So. Flower PSueger, M.D., Conference Chairman, 384 Post St., Los Angeles, or John Affeldt, Rancho Los Street, San Francisco. Amigos, Hondo. 5—Herrick Memorial Hospital Medical Staff 25—Section on Eye of San Francisco Medi­ Second Annual Postgraduate Symposium, 9 cal Society to meet in auditorium at 250 Ma­ aJn.-5 p.m., Berkeley High School Little Thea­ sonic Avenue at 8 p.m. ter, Allston Way between Grove and Milvia, Berkeley, California. Contact: Administrator's Oct. 29-Nov. 2—Letterman Army Hospital, fOffice, Herrick Hospital, Berkeley, or telephone "Present Concepts in Internal Medicine," 8 THornwall 5-0130. a.m. to 4 :30 p.m. Contact: Major Max E. i 8-9-—City of Hope Medical Center, "Mental Knickerbocker, MSC, Chief of Education and Problems of Long Term Illness,” all day both Training Branch, or Colonel Paul S. Fancher, jdays. Contact: Julian Love, M.D., Director, MC, Chief, Professional Services, Letterman {Postgraduate Medical Education, City of Hope Army Hospital, San Francisco. Medical Center, Duarte. November i 8-12—American College of Surgeons Clini- ical Congress, San Francisco. Contact: American 1-2— California Medical Association Region­ ■College of Surgeons Office, 40 E. Erie St., al Conference on Physicians and Schools, Chicago. Sonoma Mission Inn, Boyes Springs. Contact: 9—San Diego County Heart Association Mr. Robert L. Thomas, Assist Executive Secre­ J Professional Symposium, U.S. Naval Hospital tary, 450 Sutter Street, San Francisco 8. ; Auditorium, Balboa Park, San Diego. Contact: 12-16— Los Angeles Urological Association 1 0. Martin Avison, Executive Director, San Postgraduate Assembly, Ambassador Hotel, Los Diego County Heart Association, 1651 Fourth Angeles. Contact: Miss Vesta Fitzsimmons, Avenue, San Diego 1. Executive Secretary, 6523 Hollywood Blvd., 10-11—Los Angeles County Heart Associa­ Los Angeles 28. tion 26th Annual Symposium on Heart Dis­ 14— Sonoma County Heart Association Car­ ease, Wilshire-Ebell Theater, 4401 W est 8th diovascular Symposium presented in coopera­ Street, Los Angeles. Contact: Edward Phillips, tion with University of California Medical Ex­ ;M.D., Chairman, Professional Symposium tension and Stanford University School of Med­ Committee, 4036 Wilshire Blvd., Los Angeles, icine, Odd Fellows Hall, Santa Rosa. Contact: or Los Angeles County Heart Association, 316 Thomas M. Torgerson, M.D., President, Sono­ ;So. Bonnie Brae St., Los Angeles 57, telephone ma County Heart Association, P.O. Box 844, DUnkirk 8-4127. Santa Rosa, California. i 12-13—California Medical Association R e­ 25-26— Interim Session, American College gional Conference on Physicians and Schools, of Chest Physicians, Benjamin Franklin Hotel, j- Santa Barbara. Contact: Mr. Robert L. Thomas, Seattle, Wash. Contact: Murray Kornfeld, Exec­ |'Assistant Executive Secretary, 450 Sutter St., utive Director, American College of Chest I San Francisco 8. Physicians, 112 East Chestnut Street, Chicago i 14-17—California Academy of General Prac­ 11, Illinois. tice 8th Annual Scientific Assembly, Hotel 27-28—California Conference of Local Statler, Los Angeles. Contact: W illiam W . Health Officers semi-annual meeting, Sacra­ Rogers, Executive Secretary, 461 Market St., mento. Contact: Donald G. Davy, M.D., State San Francisco. Dept, of Public Health, 2151 Berkeley Way, 19*20—Second1 Statewide Conference on Berkeley. Physicians and Schools, Hacienda, Fresno. Con­ Each Thursday — Veterans Administration tact: Robert L, Thomas, Assistant Executive Hospital Conference on Pulmonary Diseases. Secretary, California Medical Association, 450 Contact: William R. Haas, M.D., Director, Sutter Street, San Francisco 8. Professional Services, Veterans Administration 22—Alameda-Contra Costa Diabetes Asso­ Hospital, Oakland, Calif. Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma 1, Washington P A I D TACOMA, WASH PERMIT No. 300

"Glasses as your eye physician prescribes them" ;

Contact Lenses — Artificial Eyes

Columbian Optical Co. Ground Floor, Medical Arts Bldg. Medical Center Western Clinic Bldg.

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. ' ^BULLETIN PIERCE COUNTY MEDICAL SOCIETY

VOL. XXVII—No. 3 TACOMA, WASH. NOVEMBER - 1956 2 BULLETIN o f the Piebce County M edical Society Pierce County Medical Society 1 9 5 6 OFFICERS President ______Gerald C. Kohl President-Elect ...... Hillis F. Griffin Vice-President ______Burton A. Brown Secretary-Treasurer ______Arnold J. Herrmann Executive Secretary______Judy Gordon Happy Birthday TRUSTEES Burton A. Brown Louis P. Hoyer, Jr. Walter C. Cameron Gerald C. Kohl November Carlisle Dietrich S. Robert Lantiere Philip Grenley Glenn G. McBride Iiillis F. Griffin Fay Morris Nace 1 CH ARLES E. KEM P Arnold J. Herrmann Warren F. Smith 3 J. HUGH KALKUS DELEGATES Jesse W. Bowen, Jr. Arnold J. Herrmann GEORGE MOOSEY Walter C. Cameron Frank R. Maddison Philip Grenley Douglas Buttorff 5 W ILLIA M C. B R O W N ALTERNATE DELEGATES Louis P. Hoyer, Jr. Charles E. Kemp 8 WAYNE ZIMMERMAN Murray L. Johnson William J. Rosenbladt Warren F. Smith Hillis Griffin 9 BERNICE M. HAZEN COMMITTEES 11 K EN N ETH STU RD EV A N T E thics Charles H. Denzler, Chairman 13 DALE DOHERTY S. Robert Lantiere William H. Goering 14 THOMAS H. CLARK G rievance Walter C. Cameron, Chairman 16 GALEN HOOVER Miles Parrott Jess W. Read House and Attendance 17 THEODORE HALEY Philip C. Kyle, Chairman Rodney Brown Mills Lawrence 18 G. MARSHALL WHITACRE Glenn G. McBride L ibrary 19 CALVIN LANTZ, JR. Fay Morris Nace, Chairman Robert R. Burt Joseph O. Lasby 20 JOSEPH A. BENSON Ralph H. Huff 22 JOHN SHAW Program John J. Bonica, Chairman 23 JAMES H. EGAN Carlisle Dietrich Hugh A. Larkin Rodger Dille Stanley W. Tuell BENJAMIN MONK, JR. Wayne Zimmerman Public Health 24 DALE HADFIELD Charles E. Kemp, Chairman Cecil R. Fargher Louis P. Hoyer, Jr. 25 WILLIAM McPHEE Franz P. Hoskins Merrill J. Wicks Public Relations 26 THEODORE SMITH Haskell L. Maier, Chairman Samuel E. Adams Wm. W. Mattson, Jr. 28 EDWARD S. EYLANDER Herman S. Judd Warren F. Smith 29 WILLIAM RADEMAKER Civil Defense Murray Johnson, Chairman 30 THOMAS SMEALL Daniel Hunt, Admiral, U. S. Navy, retired Paul E. Bondo Richard B. Link J. Robert Brooke James D. Lambing D iabetes Robert E. Lane, Chairman Joseph B. Harris G. Marshall Whitacre Entertainment DON’T FORGET Jesse W. Bowen, Chairman L. Stanley Durkin Charles P. Larson James M. Mattson Frederick J. Schwind AMA CLINICAL SESSION NOV. Geriatrics J. Benjamin Robertson, Chairman 27 to 30 — SEA TTLE, WASH. For Hollis Smith John L. Whitaker Legislative detailed information refer to Oct. Douglas P. Buttorff, Chairman Homer W. Humiston Wendell G. Peterson 20, JAMA. Dumont Staatz Medical Education Committee Lewis A. Hopkins, Chairman J. Edmund Deming, Sr. Thomas B. Murphy Mental Health Committee William H. Todd, Chairman Treacy H. Duerfeldt Harlan P. McNutt George S. Kittredge F. E. Shovlain School Committee R. A. Norton, Chairman Lester S. Baskin David T. Hellyer NOTICE Woodard A. Niethammer Check back page of Bulletin for calendai Traffic Safety John Theodore Robson, Chairman Don Francis Cummings Robert A. KalLsen of special meetings Louis M. Rosenbladt Bulletin Staff E d itor ______William Mattson, Jr. Business Manager...______Judy Gordon Auxiliary News Editor ______Mrs. Howard Pratt BULLETIN o f the Pierce County M edical Society 5

PROGRAM

PIERCE COUNTY MEDICAL SOCIETY

TUESDAY, NOVEMBER 13

7:30 P.M.

Tacoma Athletic Club . . . 733 Commerce

No-Host Social Hour . . . 6:00

D i n n e r ...... 6:30

☆ ☆ ☆

SELECTED SUBJECTS IN RECENT DEVELOPMENTS IN INTERNAL MEDICINE

Dr. Rodger S. Dille, Moderator

Dr. George Race Dr. Richard F. Barronian

Dr. Charles Magill Dr. Frank Maddison

Dr. Calvin Lantz Dr. Horace Anderson BULLETIN of the Pierce c;ouniv medical society

The Most Important Document You Will Ever Sign

The most important document von will sound will. And the cost may not be great. i-\cr sign, or should sign, is your Will. No mailer how large or how small ymir estate, Spi’i iiil attention should be given to nam­ ing a liimk as executor, solely nr jointly with von should make a Will. Why? Heeausc a Will provides the greatest finaiu ial security your wife and/or others. lor your family . . . your wife . . . your A lunik's trust department is specialized ihildren. It provides ihe greatest possible in estate administration . , , mid importantly, economy in settling your affairs . . . leaving a trust department is permanent and time* more for your family. less. It will repay \ou main’ times to see an A ct now . . . se e an atto rn ey . . . protect attorney. He will give your family the pro­ your loved o n es . . . m a k e you r W ill. It will tection of it properly drawn and legally give you a great peace of mind.

TRUST DEPARTMENT PUGET SOUND NATIONAL BANK OF TACOMA MAIN OFFICE • LINCOLN • K STREET • LAKEWOOD

Free Customer Perking at our Big lot at 13th end A Streets and a) Branches

MEMBER: FEDERAL DEPOSIT INSURANCE CORPORATION e FEDERAL RESERVE SYSTEM BULLETIN of the Pierce County M edical Society 7

EDITORIALLY SPEAKING

INITIATIVE No. 198

No one could miss the billboards and widespread application of posters recently, to the effect that " 198” is going to "wreck our state" and "take our bread and butter” etc. Many physicians have received letters from the Teamsters Union "Citizens Committee for the Preservation of Payrolls” and the Seattle Central Labor Council to the effect that "198” would put an end to all health and welfare plans and would take away workers’ health and welfare checks. Those of you who were at our recent Pierce County Society meeting heard how the King County Medical Society recently adopted a resolution (by a vote of 300 to 4) criticizing these false and misleading statements. "Job Research, Inc.” is a non-profit, non-partisan Washington corporation that issues a regular series of reports on actual experience of labor and industry under right to work legislation. They present some rather interesting statistics as follows: Right to Wash. State U .S. W ork States Wages of production workers, ’50-’54 ...... 20% up 21% up 22% up Changes in per capita income, '53-'55 Rate of growth . . 1% 3% 3.5% Manufacturing employment, ’51-’54 (%gain or loss) . . 1.6% down 0.7% down 2% up Population gain, ’50-’54 (% of gain) 6.8% 1% 13.7® The Bureau of Business Research of the University of Washington reports that the Puget Sound region, from 1948 to 1953, has been lagging behind the rest of the United States. According to their figures, the Puget Sound area is about 76® as indus­ trialized as the U.S. The above-mentioned statistics are, of course— like any other statistics— subject to error in their interpretation and true significance. Yet it does seem to indicate a trend. This trend is also substantiated by what has happened to some of our industry here in Tacoma— several of our sizeable plants have had to close down. Also, if you talk to small businessmen, you do not have to inquire very far to find how much trouble some are having due to labor restrictions. Others are actually transferring their interests elsewhere. This discussion has been pretty much one-sided to date. Obviously. Unions have come a long way and done a great deal for the working man in past years enabling him to get a fair share. You can see how labor would express concern about losing control and the "free riders” reaping the benefits of the dues-paying members. We should ask ourselves: "If legal compulsion is necessary to persuade men to join unions in their own self- interest, something must be wrong— either with the leadership, salesmanship or with the conduct of union affairs.” The large sums of money spent by unions recently to propagate absolute misrepre­ sentations and misstatements is just one of many recent occurrences that should make us wonder if something isn't wrong. From the available facts, it would seem very doubtful that Initiative 198 would have any adverse effects on the local workingman. There are good reasons to believe Labor, the small businessman in particular, and our whole area may benefit by it.

WILLIAM W. MATTSON, JR. new

a new measure in therapy

of ovenveight PRELUDIN (brand of phcnmelrazine hydrochloride)

...reduces risk in reducing

A totally new development in anorexigenic therapy, Preludin substan­ tially reduces the risks and discomfort in reducing.

Distinctive in its Chemistry: Pr e l u d in is a totally new compound of the oxazine

Distinctive in Effectiveness: In three years of clinical trials P r e l u d i n has consiii- ently demonstrated outstanding ability to produce significant and progressive weigh] loss through voluntary effortless restriction of caloric intake.

Distinctive in Tolerance: With Pr e l u d in there is a notable absence of palpitations or nervous excitement. It may generally be administered with safety to patients with diabetes or moderate hypertension.

For your patient's greater comfort: P r e l u d in curtails appetite without destroying enjoyment of m eals...causes a mild evenly sustained elevation of mood that keq.* the patient in an optimistic and cooperative frame of mind.

Recommended Dosage: One tablet two or three times daily taken one hour before meals. Occasionally smaller dosage suffices.

P r e l u d i n ® (brand of phonmctrazine hydrochloride). Scored, square, pink tablets of 25 mg. Under license from C. H. Boehringer Sohn, Ingelheim.

GEIGY PHARMACEUTICALS Division of Golgy Chemical Corporation • Aidsloy, N Y BULLETIN o f the P i e r c e C o u n t y M e d ic a l S o c ie t y 9 Letters to the Editor Meanwhile, both the Teamsters and such ifthe Editor: other labor organizations as the Seattle Central Labor Council are continuing unabated their t»r want to express my appreciation to the fraudulent and misleading statements with members of the Pierce County Medical Society respect to medical considerations. "There will fof sending me the Bulletin while I am here be no health and security plans to help the Jn'.'St. Louis taking residency training. I look family in emergencies," says a current leaflet. tor-ward to each issue, and I certainly read the You and other members of the Pierce County * ‘lletin more thoroughly than I ever did when Medical Society can help correct these mis­ ip Tacoma. statements through your individual contacts, by r,'kI will be through with my residency in July, letters to the editor of your paper. A group 1957 and plan to return to Tacoma at that time resolution might also be considered, copies of to resume practice. which can be directed to the press and by let­ £ In your October, 1954 issue where you pub­ ter to your own members and to other county lished the membership roster I was surprised and state medical groups. It will be greatly ap­ ito see the names of Leo Annest, Robert Flor­ preciated if you will keep us advised of ence, and particularly Joseph Hansen listed developments. Jjiiferthe roster of residents. Yours very truly, Incidentally, I was listed as taking training WASHINGTON RIGHT TO .at the University of Washington, and consid­ WORK COMMITTEE ering the climate back here I have many times DAVID POLLOCK wished that you had me correctly listed, but I i|jave been at the Missouri Pacific Hospital in St. I.ouis, Missouri ever since I left Tacoma in Boivling f.Juie, 1953. All who are interested in bowling again this Sincerely yours, season, please call the Society office, MA 2020, and leave your name. WILFRED R. OLSON, M.D. The time and place have not as yet been set, as it was decided to determine how many are To the Editor: interested before formulating definite plans. Mr. Bill Ramsey of the King County Medi­ cal Society mentioned yesterday your expression 'of: concern over the fraudulent claims being circulated by the Teamsters and other oppo­ nents of Initiative 198 to the effect that adop­ tion of the measure would end all health and welfare plans. Spau and Dr. Skinner have, no doubt, received copy of the resolution adopted October 1 by he King County Medical Society. Enclosed is a cppy of our publicity release based on the reso- tion which was sent the next day to all news- >, radio and TV stations throughout the Comment in the Seattle papers on the .option of the resolution was negligible. One 'the greatest problems confronting the initia- ye.‘ isi the bias or apathy of the press.

EVERY DROP PURE HEAT inactive Xrt&. filmsj-pi^gri'ption files, patientrCcorthiffiftl correspondence STANDARD may be stored at Bekiit* at very Heating Oils reasonable cost. They are accessible for personal or telephone reference. Call MA. 3171

BULLETIN o f th e Pierce County M edical Society 1 1 WOMAN’S AUXILIARY ‘% i ^Ue, Pierce Ccuwttq, M ed ical 1956-57 Woman’s Auxiliary Pierce County Medical Society Officers and Chairmen President... _Mrs. T. H. Duerfeldt President-Elect™” ---""--- Mrs. Thomas B. Murphy 1st Vice-President ...... Mrs. Charles McGill 2nd Vice-President ...... Mrs. Merrill J. Wicks 3rd Vice-President— ...... Mrs. Hugh F. Kohler 4th Vice-President------— Mrs. John Srail Recording Secretary...... Mrs. Robert W. Osborne Corresponding Secretary...... Mrs. Wayne Zimmerman Treasurer______■______Mrs. Haskell Maier State Auxiliary Board Secretary...... _„Mrs. E. T. Nelson Publicity.______— ______Mrs. W. Howard Pratt American Medical Education Foundation ...... ______..M rs, Phillip PI. Backup Bulletin ...... - ...... —...... - ______Mrs. _Charles _McGill Civil Defense.... ______Mrs. Douglas Buttorff Historian------.. ..Mrs. George Tanbara Social—...... - ...... —...... -...... Mrs. John J. Bonica Legislative______- Mrs. Joseph Harris President Florence Duerfeldt and Fashion Show Membership...... Mrs. Charles E. Anderson, Jr. Chairman Bianca Mattson, admire table decora­ Nurse Recruitment —...... _.Mrs. Orvis A. Harrelson Program______Mrs. Robert Florence tion and theme for "My Lady Fair’’ fashions. Public Relations...... Mrs. J. Robert Brooke Revisions...... - ...... Mrs. George Kittredge Telephone . Mrs. Robert P. Crabill from sport clothes to the lovliest of gowns for Today’s Health ...... —...... Mrs. Glenn H. Brokaw Holiday splendor. Speaker's Bureau . Mrs. Philip Grenley Minute Women______Mrs. M. E. Lawrence Tickets are being made and donated by Heart _____ Mrs. Robert A. Kallsen Mental H ealth______Mrs. Paul E. Bondo Johnson-Cox Printing Co. Safety— ...... Mrs. Joseph B. Jarvis Decorations chairman Jeanne Vadheim was Cancer ...... Mrs. J. Robert Brooke Tuberculosis...... Mrs. Hillis Griffin hostess to 20 girls who helped make the table Healtli Council ...... Mrs. Merrill J. Wicks Crippled Children and Adults Committee...... decorations. Who’d ever think a roll of wire, ______Mrs. Wendell G. Peterson some copper screen, a few tin can tops and Rehabilitation Center Committee... Mrs. W alter C. Cameron Infantile Paralysis Committee Mrs. T. H. Duerfeldt some old jewelry could turn out forty center­ Fashion Show ...... Mrs. William Mattson, Jr.pieces for "My Lady Fair?" Just come and Bridge Tournament...... Mrs. Merrill J. Wicks Supper Dance______Mrs. Thomas B. Murphy see what a lively imagination, some old gloves Community Council ...... Mrs. John F. Steele City Council- ...... Mrs. Wm. Goering and some tine shears can do! Thanks to the following for their help: Peggy Haley, Esther Auxiliary News Avery, Dorothy Maier, Kay Anderson, Gwen Hosie, Grace Hauser, Ruth Zimmerman, Nancy Fashion Show Buttorff, Donna Ferguson, Lorna Burt, Joan Our Fashion Show will be held November Anderson, Hilda Lantiere, Martha Brigham, |jl6th (Friday) at Wellman’s, 30th and Pacific Elizabeth Thomas, Hazel Whitacre, Mavis Kall­ —luncheon at 12:30, fashions and program to sen, Chris Kanar, Beth Hennings and Beth follow. Pratt. Working with Bianca along with Jeanne The name and theme of our fashion show are Hazel Whitacre, in charge of tickets, Helen is "My Lady Fair.” Mood music will be played Florence, Patty Crabill, Dottie Read, Joan An­ by Marjorie Nace on a Hammond Organ, derson, Peggy Haley and Beth Pratt. loaned by Sherman Clay. We should all be Don't forget that the money made on this proud to have such talent in our organization! project goes in our American Medical Educa­ Chairman of "My Lady Fair” Bianca M att­ tion Fund. Tickets are $3.00 each and every son, has had,her problems but everything seems member is urged to be responsible for selling well under tontrol? She wants to give a special at least three tickets. Again we remind you that bouquet" to Rhodes for so graciously consent­ all reservations must be paid for, so, if you ing to do our show when Lou Johnson’s re- plan to support this project but cannot attend cendy decided against going ahead with it as the show, be sure to notify Hazel Whitacre. arranged early in th e summer. Rhodes helped Corrections ancl Apologies select the theme and name and is enthusiasti­ The name of Mrs. Hillis Griffin as our Tuber­ cally supplying not only the fashions and culosis representative was inadvertently omitted models but also the favors, programs and door from last month’s list of committee members prizes. Miss Coquelette. head buyer for Rhodes’ in the Bulletin and the list submitted to the Ladies Ready-to-Wear, will commentate. W e newspaper recently. SORRY! are assured of a variety of outfits— everything (Continued on Page 13) 1 2 BULLETIN o f th e Piehce County M edical Society

FIRST NATIONAL AUTO LEASE CO.

624 Broadway - MA. 1279

Coupes, Sedans, Cheaper Than 2 Year Leases Station Wagons, Vehicles Owning Convertibles Maintained

First In The Lakes District

Y our Prescription Store

FIRST IN QUALITY FIRST IN SERVICE

David Ludwig Fred Ludwig

P A Y LAKEWOOD WEEKDAYS P H O N E & f «.m. to 10 p.m. GRIFFIN FUEL B ILLS H E R E IN THE LAKEWOOD SUNDAYS 10 to 10 p.m. CENTER BUILDING LA 2191 REGISTERED HOLIDAYS CHECKS Noon to 4 |Mn. PHARMACY

Free Prescription Delivery BULLETIN o f the F i e r c e C o u n t y M e d i c a l S o c i e t y 1 5

(Continued from Page 13) Don’t Forget To Vote Nov. 6! News Off to San Franicsco to the recent American area and Ed and Jean Eylander moved into College of Surgeons meetings were the Ban- their nice, new home near Wapato Park. fieids, Vadheims, Murphys (Tom ), Haleys, The news is a little late, but did you know Averys, Reads, and Willards. The Vadheims that Sally and Bob Lane’s little Douglas Everett plan a two-week vacation and the Banfields was born this summer— July 13 to be exact. will be gone a month, with M iam i and Cuba Congratulations! highlights of their itinerary. And Dorothy and Phil Grenley’s little Robert A recent associate of Dr. Hugh Kohler's is Warren was born August 31. Congratulations Dr. H. F. Fellows from Arizona. H is wife, to you, too! Mary Ann, and five children comprise the Marjorie Cameron, member of the board of family— the fifth, a baby girl born here O cto­ trustees of the Washington State Crippled ber 8th. Children and Adults, attended the State meet­ Ruth Brooks attended the annual meeting ing at Richland, Washington, Thursday and of the Washington Division of the American Friday, Oct. 18 and 19. Cancer Society in Seattle Thursday and Fri­ Good News— Muriel Nelson was re-elected day, October 18 and 19, in her capacity as State Secretary to the Woman’s Auxiliary to Pierce County Service Chairman. the State Medical Association. Margaret Harris, UGN Section Chairman, Our Woman’s Auxiliary to the Pierce County is handling four teams in the Lakes District. Medical Society is host this year for the mid­ Hats off to Margaret! year conference of the Board of the Auxiliary A baby boy, John Arnold, was born Sept. 14 to the State Medical Association. Meetings will to Kay and Arnie Herrmann. Congratulations, be held in the latter part of February. Hazel and we hope you, Kay, are soon feeling real Whitacre is the social chairman in charge of well again. arrangements. Noreen and Frank Hoskins have moved into Let's make the Auxiliary 100% in helping their lovely new home in the Narrowmoor with the T B X -R ay survey! The Heart Association needs volunteers on Thursdays 9:00 to 12:00 and 1:00 to 4:00. Call Mavis Kallsen, PR 6151. Many thanks to Bart Huff for opening her lovely home to all of us for our membership tea. Thanks too, to the committee— Kay An­ derson, Kay Willard, Ruth Sames and Mar­ garet Larson. The musical program, "Music in the Making,” presented by Mrs. George Lor- ing, was truly a thrilling experience. It will be remembered by us all as one of the highlights of the year. And a very special thanks to Barbara Ander­ son and her committee for the good work on the membership and on the program book. Two big jobs well done! In fact, Florence says to tell everyone that each and every one of the committee chair­ men and members are doing a wonderful job and she is most appreciative.

DAMMEIER Printing Co. BRoadway 8303 811 Pacific Ave. Tacoma 16 BULLETIN o f the Pierce County Medical Society s

MnM.TTT.AN B R O T H E R S , Inc.

942 Pacific Avenue - - - MArket 1126

Service to the Medical Profession and

their patients for 54 years.

We dispense only the finest of Pharmaceuticals.

Time Tested Dependability Established 1889

R. E. Anderson & Co. Inc. INSURANCE - MORTGAGE LOANS - REAL ESTATE PROPERTY MANAGERS

747-49 St. Helens Ave. BRoadway 8475

ASK FOR W. O. JEFFERY

OFFICERS H. F. SYFORD, President J. D. POWELL, Vice President DONALD M. MOORE, Vice President (In Charge of Fire Insurance) (In Charge of Casualty Insurance and Bonds) E. J. POLE, Secretary (In Charge of Marine Insurance) BULLETIN of the Fierce County Medical Society 17 HOSPITALS. . .

Pierce County back and sincerely trust there will be no more fractures. Rose Knecht, who has been chief laboratory Dr. Blaine Johnson of the visiting dental technician for the past 3 years, has resigned and staff of Pierce County Hospital has opened his is taking a similar position in Kennewick, office in the Anderson Building. Washington. A hospital coffee hour was given Katherine Mooney, superintendent of nurses, in her honor on Friday the 12th in the hospital is on vacation. She intends spending most of dining room. A large group of hospital friends the time at her suburban home at Surprise Lake, gathered to bid Rose goodbye and to wish her but will also visit friends in various towns success in her new position. She was presented throughout Washington and Oregon. with a piece of luggage as a parting gift. On Ann Webster of the Nursing Staff has re­ her last day in the laboratory, Monday, the 15 th, turned after several months’ absence due to the members of the laboratory staff had an­ illness. other coffee hour as a more private au revoir Audrey Anderson, lately graduated from Cen­ by her co-workers. A beautifully decorated cake tral Washington College at Ellensburg, Wash­ centered the coffee table. She was given a token ington, has joined the staff of Social Service bracelet and a clock radio. workers of the hospital. Mrs. Carol Karwoski, who has been assistant Jessie Haycock, Social Service, is spending head technician has taken the position of chief her vacation at the Haycock country place on head technician of the laboratory, left vacant Hood Canal. Jessie reports that fishing and by Rose Knecht. hunting are exceptionally good at present Dr. John Whitaker attended the meeting of around Dabob Bay. the Pacific Northwest Society of Pathologists Ed Albice, who for 11 years was a member held in McCall, Idaho on September 28 and 29. of the hospital maintenance department, has On October 13, housekeepers Nelle Sater, retired and will spend his time with various Pierce County Hospital, Anna Holt, Cushman Hospital and Alice Cain, American Lake Hos­ hobbies, especially gardening about his home. He and Mrs. Albice will enjoy some of the trips pital, were co-hostesses to the Puget Sound which they have planned to various interesting Chapter and the Portland Cascade Chapter of places. The hospital will miss Ed and his the national Executive Housekeepers Associa­ pleasant personality. tion. Dinner was served in the Army and Navy Room of the W inthrop Hotel. Later the group Friends of Jessie Drake, dietary department, went to the Cushman Hospital for a short busi­ are hoping for a speedy recovery for her follow­ ness meeting and discussion of various hospital ing surgery at Tacoma General Hospital where housekeeping methods. Those attending from she was taken on October 15. Pierce County Hospital were Letha Munsel, Ida Mae Rasor, Anna Bradley, Eleanor Bighous and Saint Joseph’s Christine Sanden. The Joint Commission on Accreditation of Mrs. Alexia Bury, head of the Medical Rec­ Hospitals just notified Sister Antonia that St. ord department attended the meeting of the Joseph Hospital has received full accreditation American Association of Medical Record and commended the Administration and Medi­ Librarians at the Chinook H otel in Yakim a, cal Staff for their efforts to maintain the high­ Washington on October 10. est standards in medical care. This is the result Mary O'Neal of the X -R ay Department is of the evaluation of the hospital conducted on spending her vacation with her sister in Jack ­ September 5, 1956 by Dr. Charles C. Hedges, son, Mississippi. She left by plane on the 12th M.D., a field representative of the Commission. of October and will spend two weeks in the Once again St. Joseph’s is taking the lead South. in being the first in this locality to install a Clara Ness, Outpatient Department, has re­ POR. Ward 223 on Second South has been re­ turned from a three weeks’ vacation, most of modeled to serve as a Post-Op Recovery Room. which was spent motoring with her husband The latest equipment has been installed. There through Oregon and California. are six veri-height beds with attached I.V. Helen McKibbon, Social Service, is back at standards, side cabinets completely furnished, the hospital after a painful time with broken spot lights and adjustable lamps over each bed. ribs suffered in a fall. She had just recovered Each bed also has piped-in oxygen, piped-in from a fractured arm prior to her recent acci­ vacuum suction, wall attached sphygmomano- dent. Her hospital friends are welcoming her (Continued on Page 19) 1 8 BULLETIN o f th e P ier c e C ounty Med ic a l So ciety

best for baby 1 VI-MIX DROPS ' (Multiple Vitamin Drops, Lilly) i

the most potent formula of its kind BULLETIN of the J^i e b c e C o u n t y M e d i c a l S o c i e t y 1 9

(Continued from Page 17 j meter. Emergency drugs are available in the room and Central Supply is right across the hall. There is an Aspirator-Resuscitator, com­ plete tracheatomy set and emergency set in the room also. The oclors are aqua and pale green. Margie O’Connor, our new girl in the Medi­ cal Record Department is doing fine and finds the works very interesting. Ruth Delle, the surgical secretary has recovered from her frac­ PHARMACY tured arm and is now back on schedule again. We are very proud of our department as we made our annual contribution to the United Good Neighbor Fund. Mrs. Dickey, the Librar­ ian would like to see more of the Doctors come in and use the journals since about forty new Prescription journals are received each month. The Library has purchased an Audio Digest for the use of the staff. W e would like those M.D.s interested Druggists to stop in and make their suggestions as to the material they would like to have. St. Joseph Hospital had a very good repre­ sentation at the Washington Association for Mental Health which was held October 12-13 at the Winthrop Hotel. Many of the Sisters and employees were in attendance. The exhibit from the Psychiatric Unit depicted "Hourly Treat­ We Carry a Complete Stock of ment" by competent personnel for speeding the recovery of patients with emotional illness Biologicals and Pharmaceuticals as our "Target for Today and Tom orrow," theme of the conference. Scenes portrayed es­ sentials of an adequate treatment program. Also displayed were various projects made while discovering that one can: feel real accomplishment, release energy and tension, socialize with others, and "When Moments Count" become more interested in life during prescribed activity or Occupational Therapy at St. Joseph Hospital. The Psychiatric Unit was opened in 1954 to FUlton 2411 meet a community need in providing private facilities for early and intensive psychiatric PROMPT . . . FREE DELIVERY care. All St. Joseph Staff Doctors and other in­ terested are invited to stop on Third South and see the display. The Housekeeping Department is newly or­ ganized under the direction of Sister Theodore Joseph. That's the reason for the shiny clean halls, stairways, walls, new drapes, etc. So, if Stadium Hi District you see any of the staff chasing dust down the corridors its just the department workers 101 North Tacoma Avenue on the job. Tacoma, Washington Many new improvements are being contem­ plated in the near future, one of them is two beautiful aluminum and glass doors for the front and Emergency entrances. (Continued on Page 21)

BULLETIN o f th e Pierce County M edical Society 2 1

(Continued from Page 19) enjoyed by Dr. Charles Larson is the honor of From the Dietary Departm ent we hear of election to the presidency of the College of a new electric mixer for the main kitchen and American Pathologists. a new steam table which will be purchased in All Tacoma General Hospital dietitians will the near future. The latest type of dishes are attend at least one of the meetings in Seattle in use for serving the patients. Coffee is served of the Washington State Dietetic Association. piping hot from gallon Stanley thermos pots. Miss Monica Roller of our staff took office as The employees of the Dietary Dept, gave a treasurer of the group on November 1. Mrs. baby shower for Esther Dyson Tuesday night in Eudora Fulkerson, chief dietitian, will speak at the cafeteria. Elsie Peck has taken a two month the breakfast meeting. leave of absence to visit her daughter in Ne­ Equipment for the performance of certain braska. Harriet Kirby, one of our employees, diagnostic radioisotope studies has been added is the aunt of Don Larson one of the star play­ to the Laboratory. It has been in use since ers we've been reading about in the news. So October 15, 1956. you see why the Yankees won the World Series. The educational program of the nursing staff Maternity reports a baby boy born to Mrs. is off to a good start, with a good attendance Lois Helling, and a baby girl to Mrs. Beverly at each of the four meetings already held. Mem­ Bouffious, who are two of our nurses and to bers of the active Medical Staff have been the Dr. and Mrs. Fellows a girl. Congratulations! speakers at these meetings. Sisters Evrard, Alexis and Jam es Helene at­ An Institute on Hospital Accounting spon­ tended the National League of Nursing meet­ sored by the Association of Western Hospitals ing held in Spokane October 25th at the Daven­ was held at the Hotel Winthrop on October 25 port Hotel. They went by way o f shank' mare, and 26. This was the first such institute held Northwest Airlines and were home the follow­ in the Northwest. Walter Huber, President 'of ing day. the Washington Chapter American Association Mrs. Norma Hammond, Registered Physical of Hospitals Accountants, gave the address of Therapist is engaged full tim e Monday through welcome and presided at the opening session. Friday. Mrs. Hammond graduated from Colo­ rado University of Physical Therapy. She is a Don’t Forget To Vote Nov. 6! member of the American Registry of Physical Therapists and of the American Physical Thera­ pists Association. A COMPLETE LINE OF Tacoma General SUPPLIES FOR THE The Joint Commission on Accreditation of Hospitals has granted to Tacoma General Hos­ PHYSICIAN . . . HOSPITAL pital another three years of accreditation as AND a result of the visit to us by their representa­ NURSING HOME tive, Dr. Charles C. Hedges. Mr. Alex Babbit was elected First Vice Presi­ dent of the Washington State Hospital Associa­ ■ ■ tion at their October convention in Yakim a. Mr. Babbit, Miss Borghild Robertson, and Mr. Walter Huber represented Tacom a General Mail or Telephone Orders Hospital at this convention. Dr. Ragnild J. Wildhagen and Dr. Friedrich Given Prompt Attention G Kruse have recently joined the intern staff. They are graduates of Heidelberg University Germany. Miss Marilyn Murphy is the new Therapeutic Dietitian serving the Medical Floors. She is a graduate of Washington State College, and SHIPMAN served her internship in dietetics at the Uni- veristy of Oregon Medical School. She is a na- SURGICAL CO. tjiye of Tacoma, and was for two years a dietitian at Doctors Hospital, Seattle. She re­ 741 St. Helens Ave. - BR. 6400 places Mrs. Elaine Mlynek, who was here for Tacoma 2 « e years. Added to the long list of distinctions now 2 2 ______BULLETIN o f the P i e r c e B o u n t y m e d i c a l s o c i e t y ______

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

1015 SOUTH TWELFTH STREET MArket 0118 TACOMA 3, WASH.

STQWELL'S... Prescriptions

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

1 1 1 FREE DELIVERY

111

BRoadway 2201 744 Market Street

Doctors Hospital Building B U L L E T I N of the Pierce County Medical Society 2 3 Introducing clinic in Seattle. The years 1948 through 1955 were spent there— the latter three years as head of the department. As of April, 1956, Fred has been at Western State Hospital serving as Director of the Chil­ dren's Residential Treatment Center. Fred’s family consists of wife, Robin, and a 6-year-old boy. His hobbies are golf, music and hiking. Recently he has hiked and camped in the Goat Rocks and Olympic mountains areas.

First Dinner Meeting of Pierce County Society Is Big Success The first dinner meeting of the Society, held at the Tacoma Athletic Commission October 9, proved to be a great success. Judging from the FRED PETERS comes from the "Inland attendance, (116 as compared to the usual Empire," having been born and raised in Spo­ average of 65 to 70), it looks as if better turn­ kane. After completing his elementary educa­ outs may be expected at the dinner-type tion in that city, he went to the University of meetings. Washington, graduating in 1937. Dr. Kyle receives our vote of thanks for Thence, he went to Chicago, finishing North­ arranging the very successful meeting and we western in medicine in 1941 and interning at are indebted to Dr. Zimmerman for the well- Passavant Memorial. From 1942 to 1943 he was handled program. a medical resident at Harborview in Seattle. He then returned to Northwestern for a four- Don’t Forget To Vote Nov. 6! year fellowship in the department of nervous and mental diseases. After spending an additional year from John: "Do you know how to tell a dream 1947-1948 as a resident at Elgin State Hospital from a nightmare?” in Illinois, he came west again to become as­ Bob: "Yeah, catch her without makeup.” sociated with the U of W mental hygiene — Summit County Medical Society Bulletin FOR PAIN prevalent symptom encountered in medical practice

USE *Tabloid’ ‘EMPIRIN’ COMPOUND with Codeine Phosphate the most widely prescribed analgesic compound

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

BURROUGHS WELLCOME & CO. (U.S.A.) INC., Tuckahoe, New York 24 BULLETIN o f th e P ier c e C ounty M edica l So ciety

Modern and Moderate . . .

) - f - " •

it& - —

BUCKLEY-KING FUNERAL SERVICE Tacoma Avenue at South First BRoadway 2166

SHAW SUPPLY CO., Inc. Surgical and Hospital Supplies 755 Market Street Phone: BRoadway 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 BULLETIN of the Pierce County Medical Society 2 5

% "iff i

' kJ Y jtyW * I - frt -- ^

T H E R A G 'I N ' J v Jv M a

' s j k . r

NEW: THERAGRAN THERAGRAN LIQUID Squibb Therapeutic Formula Vitamin Liquid Squibb Therapeutic Formula Vitamin Capsules 1 teaspoonful of Theragran The six vitamins almost Liquid is equivalent to invariably associated 1 Theragran Capsule. with chronic vitamin For patients of all ages who deficiency states. prefer liquid vitamin therapy.

T

Each Theragran Capsule, or 5 cc. toaspoonful of Theragran Liquid, supplies: Vitamin A (synthetic) ...... 25,000 U.S.P. Units Vitam in D ...... 1,000 U.S.P. Units Thiam ine ...... 10 mg. Riboflavin ...... 10 mg. Niacinamide 150 mg. "• Ascorbic acid ...... 150 mg.

Usual Dosage: 1 or 2 capsules or* teaspoonfuls daily. Infants; Not more than X teaspoonful daily. jF*,V ’' • TH ER AG R AN CAPSULES: bottles of 30, 60, 100 and 1000. THERAGRAN LIQUID: bottles of 4 ounces.

b& S q u ib bm \m Squibb Qua/fty—(he Priceless Ingredient

niCRMftAN’ •* * MUI00 TRADCMARK 2 6 BULLETIN o f th e P ie r c e C o u n t y M e d ic a l So c ie t y

HOMOGENIZED FOR HEALTH

Rich, creamy flavor . . . added digestibility . . . economy in use . . . are direct results of cream being evenly blended throughout an entire bottle of Kreamilk.

*1 t m m MEDOSWEET KRE AMI LK MEDOSWEET DAIRIES, INC. — TACOMA, WASH. /

Prescription Optical Company

Dispensers for the Oculist

205 Medical Arts Building

Tacoma, Washington

Phone MArket 4151

Branches i n ...... EVERETT — BREMERTON BULLETIN o f the P ie r c e C o u n ty M ed ic a l So c iet y 2 7 Introducing . . . C. W. Knudson and H. E. Thorlakson of Se­ attle and Dr. G. H. Drumheller of Everett. The AAPS began December, 1943 in the State of Indiana by the unanimous action of members of the Lake County Medical Society (Gary, Hammond and East Chicago), all mem­ bers in good standing in their county and state societies and the American Medical Association. A resoultion was passed supporting the AAPS in our own State Medical Association in the 1946 Convention. The activities of AAPS are socio-economic in scope, fields in which scientific organizations cannot function. Thus the AAPS does not com­ pete with nor seek to replace other medical organizations, such as the AMA, but rather en­ hances and strengthens the AMA's stand ED EYLANDER, another Northwesterner against regimentation. In fact a physician must —from Arlington. After finishing the elemen­ be a member of the AMA in good standing tary grades in Marysville, he went on to the to join the AAPS. University of Washington. H is college educa­ A "Code of Medical Practice” of the AAPS tion was interrupted by the war. is published with its By-Laws and states clearly Ed was in France and Germany from 1943 the objectives of the group. It is much too long to 1946 as a unit commander in the Infantry. to quote here, but in substance states that After the war he returned to finish the Univer­ members "stand united in their convictions” sity of Washington in 1947 and the Medical on the subject of socialism, regimentation, and School in 1951. During 1951-52 he was an federal medical care programs, etc. intern at Pierce County Hospital. All officers and delegates, of which there are After six months of private practice in more than a hundred, serve without salary or Marysville, Ed went to Dayton, Ohio for a expense account. year’s residency with Dr. Bonica. H e is now One of the many activities of AAPS is the associated with Drs. Pratt and Yoachim in annual Essay Contest which was in augurated anesthesiology practice. in 1947. The subject has always been substan­ Ed’s family consists of wife, Jean, and three tially the same, "The Advantages of Private boys. His hobbies include salt-water fishing, Medical Care.” The Contest is open to high photography and woodworking. Ed has some school students and the prizes are substantial, power tools— including a lathe, drill press and first prize being $1,000.00, second prize, DeWalt saw. He has turned out some furniture $500.00, third prize, $100.00, and $25.00 each and cabinet work for his home. for fourth, fifth and sixth prizes. In addition to the prizes the Association furnishes packaged Association of American Physicians libraries without charge to participants in the Contest. and Surgeons . . . One might ask at this point, "What has all A Worthy Organization this to do with me and why should our So­ At the September meeting of the Pierce ciety, or any Medical Society go on record as County Medical Society, a resolution from the either sponsoring or opposing this Contest?" Washington State Medical Association sup­ The answer may be found in checking the Pur­ porting the Essay Contest of the Association due University poll of high school students of American Physicians and Surgeons was re­ which in 1944 found that 11% of these students jected on the grounds that the Society would favored "government providing medical serv­ be endorsing a medical society of which ices for all.” In 1948 this percentage had risen nothing was known.” Subsequently the State to 80. However, in 1950, after three Essay Association in Convention voted to pass this Contests, it had dropped to 55%. This is still resolution. too high a per centage and it is obvious that Inquiries show that there has been virtually our future citizens are being subjected to no activity in our local Society in behalf of the socialistic "brain washing.” Thus we should AAPS and that the m ajority of our members favor such contests and in addition every doc­ We unaware of its existance. Elsewhere in the tor who believes in a Free America should be State, especially in Seattle, the Association is a member of AAPS. well known. W ashington delegates are Drs. STEVE SANDERSON, M.D.

BULLETIN of the Fierce County Medical Society 3 3 Notes on American College of glycemia, hypokalemia, hypochloremia and alkalosis. Surgeons October Meeting in Also, there is hypertension present in 90 % of San Francisco cases. It may be severe. In preoperative preparation give 200 mg A very interesting panel on adrenal surgery cortisone acetate, 2 days before, one day before, was presented by Zintel, Priestley, Forsham and and the day of surgery. Because of obesity, ap­ Cope. proach should be through the flank. If you find Pheochromocytoma produces increased epine­ a tumor on the first side remove it completely phrine and norepinephrine, the two hormones and don't expose the other side. If you find an of the adrenal medulla. Normally, when the atroplaic adrenal on the first side, biopsy it and blood pressure drops only norepinephrine is remove the tumor on the other side. If hyper­ elaborated with epinephrine being produced plasia is found remove all on one side and 90% when there is hypoglycemia. W hen increased on the other. epinephrine is present the metabolic syndrome Post-operatively give cortisone 10 to 14 days. occurs with glycosuria and hypermetabolism. Results are best in begnign adenoma. In When norepinephrine is excesisve, malignant hyperplasia there is about a 10% recurrence. hypertension, intermittent in one-third of the Cushing’s disease can be reproduced in every cases and constant in two-thirds of the cases, detail by giving hydrocortisone. Adreno-genital develops. syndrome is produced by excess 17 keto-steroids. The regitine and histamine tests give many These syndromes may be pure but more often false positives and occasionally cause serious are mixtures of each. reactions. A better test is the urinary norepine­ In selected patients with metastatic carcinoma phrine and epinephrine levels. of the breast 30 to 50% will be improved by Surgical mortality is now almost nil with adrenalectomy. Adrenalectomy is being done regitine I.V. drip. for essential hypertension but sufficient time has After removal of the tumor norepinephrine not elapsed for evaluation. There was a differ- must be given for 2 to 3 days. ence of opinion as to the value of air-contrast As with almost all other endocrine excesses roentgenology in the diagnosis of adrenal the responsible lesion may be benign neoplasm, tumors. malignant neoplasm, or simply syperplasia. The Another panel discussion of interest was last can be very confusing and misleading to the on "Hiatal Hernia and Esophagitis." Most are surgeon and is still not generally recognized as the sliding or mixed types with only 15% para­ a cause of hypertension, pheochromocytoma be­ esophageal in type. Most hiatal hernias are ing an adenoma. asymptomatic and those that do produce symp­ Cushing's syndrome results from hyperplasia toms can often be managed medically. Only 1 without tumor four times out of five. W hen out of 6 require surgery. Symptoms are sug­ tumor is present it is benign in two-thirds of gestive of peptic ulcer and in the sliding type cases. Diagnosis of Cushing’s besides physical there may be acid erosion producing a chemi­ characteristics may be made by finding ele­ cal burn (esophagitis) which is worse on vated urinary corticosteroids ( over 80% of recumbency or external abdominal pressure. cases) and elevated 17 keto-steroids (20 to This is the result of the functional derangement 50% of cases). of incompetency of the esophago-gastric sphinc­ Blood studies may show leukopenia, hypo- ter. If untreated extensive ulceration, stenosis or hemorrhage may occur. Dysphagia suggests stenosis. Fortunately these complications are rare. Ulceration, which is the commonest, oc­ curs only in 5% of cases. Diagnosis depends on x-ray or esophagos- BEALL’S copy. Harrington of Rochester, Minnesota, in­ sists on both esophagoscopy and gall bladder The Prescription Store x-ray before surgery. X-ray cannot adequately evaluate the esophagitis. 124 Meridian South Surgery is indicated when one-fourth or more of the stomach is above the diaphragm, when PUYALLUP (Continued on Page 34) Puyallup 5-6291 Don’t Forget To Vote Nov. 6! 34 BULLETIN o f the Pierce County Medical Society

f Continued from Page 33) Don’t Forget To Vote Nov. 6! the esophagitis or its complications are exten­ sive, or when there is no response to medical therapy. Veterans Administration Profesional Medical treatment consists of the usual ulcer Lecture Series medication plus avoidance of obesity, tight Nov. 7, 1956, 2:00 p.m.— "Physiological clothing over the abdomen, induced vomiting. Studies of Schizophrenia,” Dr. T. L. Dorpat. The head of the bed should be elevated 4 inches. Nov. 16, 1956, 2:30 p.m.— "Psychoanalyti­ According to Allison of England the esopha­ cal Views of Character,” Dr. Douglass W. Orr. geal musculature at the sphincter must be soft N ov. 2 6, 19 5 6 , 2 :3 0 p.m.— "M arriage Coun­ and easily compressible by the gastric cardia. selling,” Dr. R. M. Stolzheise. The most important step is not the tightening Dec. 3, 1956, 4:30 p.m.— "Psychotherapy of of the hiatus but the suturing of stomach to Schizophrenia,” Dr. Robert L. Worthington. under side of diaphragm, after reduction of the Dec. 12, 1956, 3:00 p.m.— "The Family,” hernia. He does this through an incision in the Dr. Charles E. Bowerman. diaphragm after a thoracic approach. He is at Dec. 17, 1956, 4:30 p.m.— "Psychotherapy of the same time able to explore the abdomen and Schizophrenia,” Dr. Worthington. pelvis and has even removed the gall bladder Jan. 11, 1957, 2:30 p.m.— Subject—Unan­ through this incision. If a small amount of nounced, Dr. Eugene G. Goforth. stenosis is present and does not involve the Jan. 18, 1957, 2:30 p.m.— Subject—Unan­ musculature it can be dissected out, submu- nounced, Dr. Goforth. cosally. Otherwise, resection and reconstruction Jan. 23, 1957, 3:00 p.m.— "Cultural Factors with a loop or segment of intestine is employed. in Illness,” Dr. Thomas H. Holmes. A naso-gastric tube is contraindicated and a Feb. 6, 1957, 2 :3 0 p.m.— "Common Factors gastrostomy tube is inserted for at least 14 days. in Symptomatology of Mental Illness,” Dr. TED HALEY, M.D. Dr. Chas. R. Strother.

Don’t overstimulate the depressed patient...

REATE A HAPPY MEDIUM with NEW Ritalin ... a mild cortical stimulant ^which gently lifts the pa­ tient out of fatigue and de­ pression without swings of Supplied: Tablets, reaction caused by most 5 m g. (yellow), 10 mg. stimulants. Ritalin counter­ (blue) and 20 mg. (peach*colored). acts the oversedation of Dosage: 5 to 20 barbiturates, chlorproma- mg. b.i.d. or t.i.d., adjusted zine, rauwolfia, antihista­ to the individual* mines .. .yet has no appreci­ RITALIN® able effect on blood pres­ hydrochloride (methyl* I B A phenidylacetate MMIT, N .J. sure, pulse rate or appetite. hydrochloride CIBA) BULLETIN o f th e Pierce County M edical Society 3 7 Right To Work Resolution lieve that it could possibly stop reimbursement Letter to PCMS from KCM S payments to union members for medical and hospital expenses.” The King County Medical Society has Hartley said he has personally written offi­ adopted a resolution criticizing "false and mis­ cers of all county medical societies in the state leading statements regarding the effect In i­ to call their attention "to the mis-statements in tiative 198 would have on plans for providing the letters” to doctors. medical care." Dr. C. W. Knudsen, Seattle physician, said Assertions that the right to work measure "the act contains nothing, as I read it, to pre­ would put an end to all health and welfare plans vent future health-and-welfare agreements in and would take away workers’ health and union contracts.” welfare checks are contained in four pieces of Informed of the doctors’ charges, a spokes­ literature being circulated in W ashington State man for one of the union anti-198 committee to doctors, union members and members of the was quoted in the Seattle Times of September general public by the Teamsters’ Union, "C iti­ 28 as admitting that the letters to the doctors zens Committee for the Preservation of Pay­ had inadvertently "overstated” the case, and rolls” and the Seattle Central Labor Council. that the committee intends to "clarify the mat­ The King County Medical Society resolution ter” in follow up letters. took no stand on the initiative, but said "it becomes our duty to correct the mis-statements, and to protect the misrepresentation of medical Dr. Charles Larson Elected Head of matters. "The statement that Initiative 198 College of American Pathologists would bring to an end all Health and Welfare Dr. Charles Larson has honored Tacoma in Plans is untrue. Nothing in the measure could being chosen by the College of American produce such a result." Pathologists as President-Elect for 1957 and The medical society’s statement continued, President for 1958 and 1959. "We condemn the use of medical care as a The membership of the College is made up political football, and deplore tactics that use of those physicians in the practice of clinical it unfairly for political gain. and/or anatomical pathology in the United "We are also concerned over the anxiety States and Canada, and numbers about 2500 at created in the minds of our patients when they present. The objects of the College are to foster are led to fear that passage of 198 will make the highest standards in education, research their medical care less available or more and the practice of pathology; through study, expensive.” education and improvement of the economic The resolution was adopted at a general aspects of the practice of pathology to advance meeting of the K ing County Medical Society the science of pathology and to improve medical on October 1. Of approximately 300 doctors laboratory service to physicians, to hospitals present, all but three or four, or about 99%, and to the public; to maintain the dignity, pre­ voted in favor of the resolution. A motion was cision and efficiency of the specialty of pathol­ also passed to send copies of the resolution to ogy for the service of the common good. all other county medical societies throughout the .state. Dr. Larson is a Founding Fellow of the College and has served four years on the Board . "After studying Initiative 198 with con­ siderable care, I see no possible way that it of Governors, first as a member and then as could have any influence whatever on the Vice-President. He is the second President to come from West of the Mississippi River. His health-and-welfare plans," Dr. H erbert L. H art­ ley, Seattle physician, said. "Neither do I be- work should inspire his colleagues in Tacoma to aspire and work for advancing their profes­ sion through individual effort. He has shown us that one does not have to be a "big shot "Glasses as your eye from the East” to be a leader in Medicine. physician prescribes them" As my friend and I were driving downtown, Contact Lenses — Artificial Eyes we were hailed by a traffic cop. "Hey, you!” he shouted. "Pull over.” Columbian Optical Co. W e did. The next day the judge fined my friend $25 for speeding. She was anxious to Ground Floor, Medical Arts Bldg. keep her husband from learning of the inci­ Medical Center dent. And so, since he regularly examined her Western Clinic Bldg. checkbook, she marked the stub: "One pull-over —$25.” —F.C.M.S. Bulletin 38 BULLETIN of the Fierce County Medical Society

Report on American Association of tions at present is the increasing use of plastic Blood Banks Annual Meeting containers rather than glass bottles for whole blood transfusion. The Tacoma-Pierce County By M. J. WICKS, M.D. Blood Bank will be using this equipment as The Congress of the International Society of soon as a few technical difficulties can be over­ Blood Transfusion and the Annual Meeting of com e such as labeling details and adequate identification of pilot tube with the bottle. the American Association of Blood Banks took place in Boston September 3rd to 5th. This Fractionation of blood into its component followed immediately the Congress of the In­ parts, the adequate preservation thereof and ternational Society of Hematology. These meet­ the determ ination o f the specific indications ings were the first combined sessions of all for these fractions in disease states all consti­ tutes a new field opening up to medicine. To major world organizations directly concerned with blood. A tremendous amount of informa­ diagnose a specific deficiency in the clotting mechanism and to replace this with the cor­ tion was exchanged by nine days of papers and exhibits of work from all around the world. rect blood fraction is an example of the broad Countries behind the Iron Curtain were repre­ spectrum o f possibilities. Som e fractions avail­ sented as well as European and South American able on a commercial scale are albumin, fibrino­ countries, India, Isreal, Thailand and Japan. gen, and gamma globulin. The electrophoretic Although no major developments have been technics now in use give opportunity to evalu­ made in the field of blood banking and trans­ ate the deficiency and specific replacement when fusion therapy that would parallel the discovery such specifics are available, i.e., gamma globu- of sodium citrate as a preservative of the blood linemia causing repeated infections. groups, much work is being done on the. preser­ If any tangible results can be shown from vation of blood, refinements of technics of my attending these annual meetings, it would the serological aspects (blood typing, cross­ be to keep the technical level o f our transfusion matching, etc.) and particularly on blood frac­ service on a par w ith the best in the country. tions. In trying to preserve blood cells longer Surprisingly enough the science of transfusion than three weeks and with as long an in vivo therapy is not static but is actually only in its survival time as possible, much knowledge is infancy and growing in many categories to being pbtained on fundamental red cell metab­ benefit hum anity and the practice of medicine. olism. The practical result of these investiga­ Don’t Forget To Vote Nov. 6!

It m akes sense... Veratrite is a good prescription in hypertension.”

Physicians depend upon Veratrite in treating hyperten­ sion because—through the years—this combination has produced gratifying results in You will find that Veratrite saves the patient Vi the widest range of patients. the cost of medication in long-term manage­ Veratrite contains cryptenamine— ment of hypertension. In fact, the most eco­ a newly isolated alkaloid fraction nomical prescription you can write is that dependably lowers blood pressure without serious side effects. The formulation combines central-acting and local-acting agents to combat vasospasm. A f e r a t r i t e Each Veratrite tabule supplies: Cryptenamine 40 C.S.R. * Units ' (as tannate salt) Sodium Nitrite 1 gr. Phenobarbital Va gr. •Carotid Sinus Reflex IRWIN, NEISLER & COMPANY Bottles of 100, S00 and 1000 tabules DECATUR, ILLINOIS BULLETIN o f th e Fierce County M edical Society 39 New Hillhaven Convalescent purpose, many modern improvements have been included in the structure and equipment. Nursing Home in Lakew ood Ceramic tile bathrooms have free-standing tubs With the opening this month of the new or an ultra-modern wheel-in shower which per­ ; Hillhaven Convalescent Nursing Hom e at 5515 mits patients to be bathed while sitting in Steilacoom Boulevard in Lakewood, a modern movable chairs. Radiant heating in the floors 55-bed facility is made available for the care keeps temperatures even and comfortable. An of the aged, convalescent and chronically ill in efficient commercial laundry on the premises the area. The completely new building, design­ handles all linen and patients’ personal items ed especially for the purpose, has all rooms on with the exception of dry cleaning. one floor in a practiacl U-shaped floor plan with The administrative staff of Hillhaven is com­ cheerful, airy rooms arranged on three sides prised of trained personnel with many years of of a large, concrete paved patio. Doors are wide, experience in invalid care. Employees are and 8-ft. wide hallways permit the transfer screened carefully for character and ability, and of bedfast patients to any portion of the home completely trained in their duties. Strict super­ or out-of-doors. vision of personnel is maintained; the use of The Hillhaven Home is the newest unit in profanity or liquor is prohibited, and the estab­ the series of convalescent hospitals and nursing lishment is operated on a completely non-sec­ homes which the local Hillhaven Corporation tarian basis. manages in the three western states of Wash­ The convenience of the location on Steila­ ington, Oregon and California. Designed to coom Boulevard one block east of Bridgeport furnish complete care for the aged or chroni­ Way is increased by ample off-street parking cally ill when general or surgical hospital care for doctors and visitors. is not, necessary, the nursing home also pro­ vides housing for elderly guests who require little or no medical attention. It is anticipated Bulletin Advertisers that this new facility will serve the growing The Bulletin of the Pierce County Medical need of the increasing elderly population. Society wishes to express its gratitude to the Twenty-four hour care is provided under sponsors of the numerous advertisements ap­ registered nurse supervision. A t each bedside pearing on our pages since they are responsible a visual call light summons assistance at any for the continued publication of our Bulletin. hour of the day or night from a centrally lo­ Our patronage and support of their products cated nurses’ station. N o surgery or laboratory and services helps to insure the adequate adver­ facilities are provided. M edication is adminis­ tising that the monthly Bulletin requires. tered only upon prescription of patients’ physi­ THE EDITOR. cians, and charts are maintained by the regis­ tered nurse in charge. Nourishing food, a major health need of older people, is prepared in a Meeting of American College completely modern kitchen furnished with of Chest Physicians stainless steel equipment and electrical dish­ The American College of Chest Physicians washers. Special diets are followed carefully announces a very comprehensive and stimu­ when prescribed by physicians. lating program to start at 8:30 a.m. in the The majority of rooms in the new Hillhaven Hotel Benjamin Franklin, Seattle, on Novem­ home are for two patients because the experi­ ber 25. ence of management and the counsel of physi­ You are referred to the Society Library for a cians have indicated that many patients prefer listing of the papers which will be presented by not to be alone. T o assist in making patients outstanding speakers from throughout the feel at home, all rooms are decorated in pastel country. colors with furnishings, including draperies and bedspreads, harmonized to the color We Liked ’em . . . scheme. No two adjoining rooms are decorated Chaos: Four women with a luncheon check. alike. In each room, a convenient closet is pro­ Hug: Energy that has gone to waist. vided, and built-in chests of drawers are de­ Hindsight: Woman in slacks. signed without projecting hardware. Vari- height beds raise or lower, bed rails are avail­ Patient: How can I ever repay you for your able when needed, and an overbed table of kindness to me? modern design converts into a wash basin or Doctor: By cash, check, o( postal money reading stand. Sanitary formica tops are easily order.

Because the home is built especially for the “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. ji

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.

) , J BULLETIN PIERCE COUNTY MEDICAL SOCIETY

VOL. XXVII—No. 4 TACOMA, WASH. DECEMBER - 1956

£RRY CHRISTMAS t o a l l 2 BULLETIN o f th e P ier c e C ounty M edica l Society Pierce County Medical Society 1 9 5 6 OFFICERS President ______Gerald C. Kohl President-Elect ...... Hillis F. Griffin Vice-President ...... Burton A. Brown Secretary-Treasurer ...... Arnold J. Herrmann Executive Secretary ...... Judy Gordon TRUSTEES Burton A. Brown Louis P. Hoyer, Jr. Happy Birthday Walter C. Cameron Gerald C. Kohl Carlisle Dietrich S. Robert Lantiere Philip Grenley Glenn G. McBride D ecem ber Hflli6 F. Griffin Fay Morris Nace Arnold J. Herrmann Warren F. Smith D E L E G A T E S 5 ROBERT S. LANTIERE Jesse W. Bowen, Jr. Arnold J. Herrmann Walter C. Cameron Frank R. Maddison Philip Grenley Douglas Buttorff 6 HOMER W. HUMISTON ALTERNATE DELEGATES Louis P. Hoyer, Jr. Charles E. Kemp WOODARD NIETHAMMER Murray L. Johnson William J. Rosenbladt Warren F. Smith Hillis Griffin 9 STANLEY W. TUELL COMMITTEES Ethics ROBERT E. LANE Charles H. Denzler, Chairman 13 S. Robert Lantiere William H. Goering G rievance 14 DAVID H. JOHNSON Walter C. .Cameron, Chairman Miles Parrott Jess W. Read SAMUEL E. ADAMS House and Attendance Philip C. Kyle, Chairman Rodney Brown Mills Lawrence 15 W ARREN F. SMITH Glenn G. McBride L ibrary 16 ROBERT FREEMAN Fay Morris Nace, Chairman Robert R. Burt Joseph O. Lasby Ralph H. Huff MAURICE YOACHIM Program John J. Bonica, Chairman 20 WILLIAM D. VOORHEES, JR. Carlisle Dietrich Hugh A. Larkin Rodger Dille Stanley W. Tuell Wayne Zimmerman 21 GERALD GEISSLER Public Health Charles E. Kemp, Chairman PHILIP GRENLEY Cecil R. Fargher Louis P. Hoyer, Jr. Franz P. Hoskins Merrill J. Wicks Public Relations 23 CARL J. SCHEYER Haskell L. Maier, Chairman Samuel E. Adams Wm. W. Mattson, Jr. 24 JOHN R. FLYNN Herman S. Judd Warren F. Smith Civil Defense Murray Johnson, Chairman 26 FRANK E. SHOVLAIN Daniel Hunt, Admiral, U. S. Navy, retired Paul E. Bondo Richard B. Link 30 JAMES M. MATTSON J. Robert Brooke James D. Lambing D iabetes Robert E. Lane, Chairman Joseph B. Harris G. Marshall Whitacre Entertainment Jesse W. Bowen, Chairman L. Stanley Durkin Charles P. Larson James M. Mattson Frederick J. Schwind Geriatrics Have you sent in your application to the Asso­ J. Benjamin Robertson, Chairman Hollis Smith John L. Whitaker ciation of American Physicians and Surgeons? S'oti Legislative further information and applications call tftgij Douglas P. Buttorff, Chairman Homer W. Humiston Wendell G. Peterson Society office or Dr. Sanderson. S i Dumont Staatz Medical Education Committee Lewis A. Hopkins, Chairman J. Edmund Deming, Sr. Thomas B. Murphy Mental Health Committee William H. Todd, Chairman Treacy H. Duerfeldt Harlan P. McNutt George S. Kittredge F. E. Shovlain School Committee R. A. Norton, Chairman Lester S. Baskin David T. Hellyer NOTICE Woodard A. Niethammer Traffic Safety Check back page of Bulletin for e|| John Theodore Robson, Chairman Don Francis Cummings Robert A. Kallsen of special meetings Louis M. Rosenbladt Bulletin Staff E d ito r ------William Mattson, Jr. Business Manager ...... —Judy Gordon Auxiliary News Editor ______*_Mrs. Howard Pratt n e w

a new measure

PRELUDIN (brand of plienme'razinc hydrochloride)

...reduces risk in reducing

A totally new development in anorexigenic therapy, P r e l u d i n s u b s ta n ­ tially reduces the risks and discomfort in reducing.

Distinctive in its Chemistry: P r e l u d in is a totally new compound of the oxazine series.

Distinctive in Effectiveness: In three years of clinical trials P r e l u d i n has consist­ ently demonstrated outstanding ability to produce significant and progressive weight loss through voluntary effortless restriction of caloric intake.

Distinctive in Tolerance: With P r e l u d in there is a notable absence of palpitations or nervous excitement. It may generally be administered with safety to patients with diabetes or moderate hypertension.

For your patient's greater comfort: P r e l u d in curtails appetite without destroying enjoyment of meals.. .causes a mild evenly sustained elevation of mood that keeps the patient in an optimistic and cooperative frame of mind.

Recommended Dosage: One tablet two or three times daily taken one hour before meals. Occasionally smaller dosage suffices.

Pr e l u d in * (brand of phenmetrazine hydrochloride). Scored, square, pink tablets of 25 mg. Under license from C. H. Boehringer Sohn, Ingelheim.

GEIGY PHARMACEUTICALS Division of Goigy Chcmicai Corporation * Ardsley, N. Y. 4 BULLETIN of the Pierce County Medical Society

Q n m i i in i m i i m i m i mimiiimiimiiiiimiiiimiiiiiiiiih ^ Tacoma Braee & L im b C o. | South Tacoma Lenart C. Ceder, owner Drug Co. ☆ i Fred Ludwig

Expertly fitted— Orthopedic Appliances i ★ ★ ★ Artificial Limbs Surgical Belts PRESCRIPTIONS Arch Supports Trusses DELIVERY SERVICE

☆ : ★ ★ ★ 723 South K Street Phone MArket 2717 | 5401 South Tacoma W ay HI 9419

l«|l l ...... MilllllllMIIMIIIIMIIIIIIIIIIlQ

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

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

J. J. MELLINGER Presid ent CHEDIT TERMS OUR FUNERAL BENEFIT IF INSURANCE PLAN SAVES YOU C.C.Mellinaermngei DESIRED MONEY TOO

Underwritten by Homesteader's Life m m Co. of Des Moines, Iowa. Lowest rates— AND MEMORIAL CHURCH W e invite 6TH & TACOMA comparison. ^ ageB 1-85 BROADWAY 3268 NO MEDICAL EXAMINATION! BULLETIN of the Pierce County Medical Society 5

PROGRAM

PIERCE COUNTY MEDICAL SOCIETY

TUESDAY, DECEMBER II

7:30 P.M.

Tacoma Athletic Club . . . 733 Commerce

No-Host Social Hour . . . 6:00

D i n n e r ...... 6:30

☆ ☆ ☆

SELECTED SUBJECTS IN RECENT DEVELOPMENTS IN INTERNAL MEDICINE— (Continued)

Dr. Rodger S. Dilie, Moderator

Dr. George Race Dr. Robert Kallsen

Dr. Frank Maddison Dr. Max Thomas

★ ★ ★

ANNOUNCEMENT OF 1957 PIERCE COUNTY MEDICAL SOCIETY OFFICERS 6 BULLETIN o f the F ier c e C ounty Medica l So ciety

adds new certainty to antibiotic

I I I M J I 1 \/ particularly for the 90% L I! I V of the patient population I J treated in home or office— where sensitivity testing NEW is not practical

SiomamycinOLEANDOMYCIN TETRACYCLINE M

synergistically strengthened multi-spectrum therapy a new maximum in therapeutic 1 effectiveness a new maximum in protection 2 against resistance a new maximum in safety and 3 toleration C apsules: 250 mg. (oleandomycin 83 mg., tetracycline 167 mg.) D osage: 1 to 2 capsules q.i.d.

v p jt] Pfizer Laboratories, Brooklyn 6, N . T . ^ J Division, Chas. Pfizer & Co., Inc.

World Leader in Antibiotic Development and Production ^TRADEMARK BULLETIN of the Fierce County Medical Society 7

PRESIDENT'S PAGE

The time will come when our present office and library facilities will be inadequate. Moreover, with the marked shift in office locations the present library is now inconvenient for a majority of our members. We must project for the future—at least in our thinking. It seems to me that eventually the Society should build its own library and office facility or arrange for the building of such a facility on the basis of a long­ term lease. The advantages of having a centrally located building with adequate space and parking are self- evident. To have such a building as a Society building would be of tremendous help in public relations. With a designation such as “Pierce County Medical Society and Public Relations Center” we would immediately and concretely attract the public’s interest and increase the public’s esteem. From such a vantage point we could then distribute charts, films, and literature as well as arrange for speakers for any groups or organizations in the city or county. We would be, as it were, a clearing-house for the safety and the health of the community. There is no doubt that the medical profession must, in self-interest, be more dynamic and progressive in public relations or fall heir to diminishing prestige and socialization. G e r a l d C. K o h l , M.D. 8 BULLETIN of the Pierce County Medical Society

MYSTECLIN SUSPENSION Steclin-Mycostatin (Squibb Tetracycline-Nystatln)

Another form of the only broad spectrum antibiotic preparation with added protection against monilial superinfection

PLEASANT TASTING — Mysteclin Suspension is pleasant­ ly fruit-flavored and will appeal to taste-conscious youngsters as well as to adults who prefer liquid medication. BROADLY EFFECTIVE — Mysteclin Suspension provides well tolerated therapy for the many common infec­ tions which respond to tetracycline—and also acts to prevent monilial overgrowth. READY-TO-TAKE — Mysteclin Suspension requires no re* constitution and can be given by simple teaspoon dosage to patients of all ages. MYSTECLIN SUSPENSION: a fruit-flavored oil suspension containing the equivalent of 125 mg. Steclin (Squibb Tetracycline) Hydrochloride and 125,000 units My- costatin (Squibb Nystatin) per 5 cc. teaspoonfuL Supplied in two-ounce bottles. Also available as Capsules (250 mg. Steclin Hydrochloride and 250,000 units Mycostatin) and Hall Strength Capsules (125 mg, Steclin Hydrochloride and 125,000 units Mycostatin).

fltTtUMiirlfKv SQUIBB §!|M w Squibb Quality — the Priceless Ingredient

'HVSTECUN'®, '3TCCUH'®, ANO ’ MYCOSTATIN'® ARC SQUIBB TRADEMARK* BULLETIN of the Pierce County Medical Society 9

EDITORIALLY SPEAKING

The Jenldns-Keogh Bill (H.R. 9 & 10)

This Bill is one in which doctors and all the self- employed should be interested and to which they should lend their support. It tends to equalize the present unfair situation which allows executives and all the employed to have a certain portion of their actual income set aside —tax free—toward a retirement program. While taxes will eventually be paid on it, the payments will come after the peak income years and, thus, will be consid­ erably less. This favorable tax treatment is not now available to the self-employed.

This Bill differs from the Old Age and Survivors Insurance Program which is intended to provide the minimum benefits necessary for a subsistence standard of living.

W. W. M a t t s o n , J r . 1 0 BULLETIN of the Pierce County M edical society

BRALEY'S, Inc. PRESCRIPTION DRUGGISTS

Catering to the Doctor and his patient

FREE DELIVERY

Medical Arts Building MArket 8116

CO. LYNN CO, t/ H c k t u w t f y

717-719 South Tacoma Avenue

Phone MArket 7745 B U L L K T IN of trie Fierce County Medical Society 11 WOMAN’S AUXILIARY % VUe Pi&ice County M edical Society 1956-57 envelope or wrapped as a gift, and the money will be used to purchase playground equipment. Woman’s Auxiliary Let’s all help fill the Christmas Stocking! Pierce County Medical Society There will be a tree, refreshments, enter­ tainment and a treat for the youngsters to take Officers and Chairmen home— AND Hazel Whitacre will be in charge President ------„ Mrs. T. H. Duerfeldt of games, and we know that means fun for President-Elect — ...... - ...... Mrs. Thomas B. Murphy 1st Vice-President ...... Mrs. Charles McGill all! LET'S SUPPORT OUR COMMITTEE! 2nd Vice-President ------Mrs. Merrill J. Wicks SEE YOU ON THE 15TH! 3rd Vice-President ...... Mrs. Hugh F. Kohler 4th Vice-President ------Mrs. John Srail Recording Secretary __ Mrs. Robert W. Osbome CorrespondLiB Secielary------Mrs. Wayne Zimmerman Treasurer ...... —...... Mrs. Haskell Maier State Auxiliary Board Secretary — — Mrs. E . T . Nelson Publicity .______Mrs. W. Howard Pratt American Medical Education Foundation ...... Mrs. Phillip H. Backup Bulletin —* ______Mrs. Charles McGill Civil Defense ...... Mrs. Douglas Buttorff Historian______Mrs. George T anbara Social — ______Mrs. John J. Bomca Legislative — ______-,MrS; J?sePh Harris Membership ------..Mrs. Charles E. Anderson, Jr. Nurse Recruitment— ______Mrs. Orvis A. Harrelson Program ...... Mrs. Robert Florence Public Relations — ______Mrs. J. Robert Brooke Revisions------...... Mrs. George Kittredge Telephone------Mrs. Robert P. Crabill Today's H ealth __ Mrs. Glenn H. Brokaw Speaker’s Bureau ...... Mrs. Philip Grenley Minute Women------. Mrs. M. E. Lawrence H e a rt ...... Mrs. Robert A. Kallsen Mental Health — ...... ______Mrs. Paul E. Bondo S afe ty------...... Mrs. Joseph B. Jarvis Cancer ------Mrs. J. Rooert Brooke Tuberculosis ..Mrs. Hillis Griffin Health Council______. — Mrs. Merrill J. Wicks December Board Meeting Crippled Children and Adults Committee — — —...... ___ ... Mrs. Wendell G. Peterson Board Meeting for both November and De­ Rehabilitation Center Committee .. Mrs. W alter C. Cameron cember is called for December 6th, 12 o’clock Arts for Youth ...... — Mrs. Jam es W ard Infantile Paralysis C om m ittee Mrs. T . H. Duerfeldt at Scotty’s Cafe— a no-host luncheon. Fashion Show ...... Mrs. William Mattson, Jr. Bridge Tournament... . Mrs. Merrill J. Wicks Supper Dance ...... Mrs. Thomas B. Muxphy Speakers’ Bureau Community Councils ______Mrs. John F. Steele City Council______...... Mrs. Wm. Goering Dorothy Grenley recently received a letter from the "Physicians’ News Service, Inc." in New York, which reads in part as follows: "Your report on management of the Speakers' Auxiliary News Bureau in the September issue of the Bulletin December Meeting of the Pierce County Medical Society was cer­ tainly interesting. I don’t know of any other In place of our regular December meeting Auxiliary which has been given this responsi­ our Social Chairman, Emma Bonica, and Pro­ bility, and I think an account of its handling gram Chairman, Helen Florence, have planned would have wide readership among medical a Christmas party for Saturday, Decem ber 15, families. You may already be familiar with 2:30 to 4:30 p.m., in the Recreation Room "Scope Weekly,” a newspaper published solely at Jackson Hall. This is a party for our children, for doctors and their wives. I prepare the Medi­ AND a benefit for the much less fortunate cal Distaif column each week, and would like children at W estern State Hospital. It will give very much to base one of these columns on us all an opportunity to have fun with our the work of your committee.’ children and at the same tim e help teach them The letter goes on to request further details the true spirit of giving for the Christmas so that their article can be written and a season. draft sent for her approval. How about that! Helen and Emma and M iriam Bondo, M ental Mental Health Health Chairman, have contacted the hospital Mental Health today is considered one of our and learned that they need playground equip­ Nation's number one health problems. Our ment for the forty children they have in the Auxiliary is enthusiastically attempting to con- Children's Ward. It was decided that our chil­ dren could each bring a donation, either in an (Continued on Page 13) 1 2 BULLETIN of the Pierce County Medical Society

FIRST NATIONAL AUTO LEASE CO.

624 Broadway - MA. 1279

Coupes, Sedans, Cheaper Than 2 Year Leases Station Wagons, Vehicles Owning Convertibles Maintained

First In The Lakes District

Your Prescription Store

FIRST IN QUALITY FIRST IN SERVICE

David Ludwig Fred Ludwig

LAKEWOOD WEEKDAYS P H O N E & 9 « .m . to 10 p.m .

B ILLS H ER E IN THE LAKEW OOD S U N D A Y S «.m . to p.m . ■: CENTER BUILDING f LA 2191 10 10 REGISTERED CHECKS A K HOLIDAYS N oofi to k p Jit. PHARMACY

Free Prescription Delivery

1 BULLETIN of the Pierce County M edical Society 13

! (Continued from Page 11) jorie Nace making way for Sherman Clay’s beautiful organ, from which she produced won­ tinue and develop the programs initiated in derful music throughout the show— to Bianca, our State in an endeavor to share in the respon­ Hazel and Jean reluctantly packing away "My sibility of this tremendous problem. Lady Fair” table decorations and the final trek One specific program which the Auxiliary is homeward of weary, but happy, committee sponsoring this year in the field of Community wives to focus once again on family and home Mental Health Education is the "M ilestones for neglected in the clamor and crush of creating Marriage” pamphlets which have been intro­ success. duced in every high school in the County, and I are now available to each senior class in the ! sixteen high schools. This is a series of nine ; pamphlets, one for each month during the I school year, (approved by the A.M.A. and I highly recommended), aimed at stimulating I thought among the young people on this vital ' topic. They have been placed with the Family j Guidance Director of each school and will be i used as the basis of group discussion by stu- ! dents with their trained leaders. The exact plan 1 of usage will vary according to the resources and curriculum of each high school. The Aux­ iliary has furnished eighty of these sets through­ out the County. This problem is simple, but basic, to an overall Community Mental Health Program, helping to break down fears and prejudices associated with mental illness. Because of the To Rhodes Department Store and Manager, many requests made by Auxiliary members Alice Humble, for the Whole Show with door after viewing the pamphlets at the Membership prizes and Elizabeth Arden cologne; to Com­ Tea, extras have been purchased and are now mentator Norma Coquelette; Advertising Man­ available to members of the Auxiliary for $1 ager, Jerry Hurley and the lovely, lovely models, per set. They may be obtained from any mem­ we owe our unfailing gratitude for that breath­ ber of the Mental Health Committee— Chair­ taking preview of excellent and timely fash­ man, Miriam Bondo, Margaret McBride or ions. Our thanks to Hunter Johnson of John- Sandy Rosenbladt. son-Cox for the printed tickets; to Bert Perler REMEMBER! TODAY'S HEALTH WILL for pictures taken; to Anderson Printing Com­ MAKE A DIFFERENT AND WELCOME pany for programs; to Farley’s for charming CHRISTMAS GIFT TO THE HOMES OF corsages and to Wellman's for a good place to FRIENDS. meet. Our warm approval to Calvin Capener i The Fashion Show—A Towering Success for the selections from "My Fair Lady.” Our plan to have a separate table for Mrs. Medical School Support (A.M.E.F.) McNair and other Military wives who so gen­ erously supported our show, was foiled by the very early arrival of so many guests. W e sin­ cerely hope that these wives and those of the Internes and Residents of the three hospitals will meet with us often. Thank you, Mrs. G. Batey of St. Joseph's; Mrs. Howard Bowman of Pierce County, and Mrs. Ernie Chaney of Ta­ coma General for phoning your groups. West­ ern State and Veteran’s Administration had a fine showing also. May we express our appreciation to Fashion Show Chairman, Bianac Mattson; Decorations Chairman, Jeanne Vadheim; Ticket Chairman, Hazel Whitacre; Ticket Takers, Dorothy Maier ; Preceded by Beth Pratt's well-planned and and Helen Florence, and each and every com­ j effective publicity and the News Tribune co­ mittee member for the hard work and fine operation, the whole event moved like clock­ work from the early-morning arrival of Mar­ (Continued on Page 15) vf THERAGRAN THERAGRAN LIQUID CAPSULES ■I'lfl1 Squibb Therapeutic Formula Vitamin Liquid Squibb Therapeutic Formula Vitamin Capsules 0,1 1 teaspoonful of Theragran The six vitamins almost S'-' '■ Liquid is equivalent to invariably associated 1 1 Theragran Capsule. with chronic vitamin ^AribBL wttrt * - * ^ ' For patients of all ages who deficiency states. h'ii prefer liquid vitamin therapy. .t ./I sikkcs.ttC v

rMailx:.;:

■i'iEj - * w -• Zj . -' Each Theragran Capsule, or 5 cc. teaspoonful of Theragran Liquid, supplies: '' 1 nit no • Vitam in A (synthetic) ...... 25,000 U .S .P . Unit* v- • Vitam in 0 ...... 1,000 U .S .P . Units Thiamine _ 10 mg - Riboflavin ...... 10 mg Niacinamrde ...... 150 mg Ascorbic acid ...... 150 mgi

:apsules or teaspoonfuls daily. Infants: Not more than *"*»«*! HEAT

THERAGRAN CAPSULES: bottles of 30, 60,100 and 1000. stand d THERAGRAN LIQUID: bottles of 4 ounces. it «

Squibb i i Quality— the Priceless Ingredient I® *® !

""•Co. &Kv **** BULLETIN o f the P ie r c e C o un ty M ed ic a l So c iety 15

(Continued from Page 13) W e should have our entire membership cooper­ ating in this venture. We will not be called upon to do anything until about February. If you did not attend the Membership Tea, or did not sign at that time, won’t you please call Rose Griffin at PR 8343 and offer your serv­ ices? Tuberculosis is far from licked — there were 182 Pierce County residents hospitalized for this disease in 1955. Let’s all help! S a fety cooperation exhibited! W e have not forgotten Helen Jarvis, chairman of the new and Spe­ tfiat Patsy Crabill's telephone committee spent cial Committee on Safety, says the slogan for many long hours doing promotion. Last, but the year is "Heed not Speed." "Don't be caught not least, our sincere gratefulness to our A ux­ dead sitting on your seat belt” is the word from iliary members for this superb support of our the state chairman, Elsie Weiner. Safety in Traf­ Medical Schools and Edna Backup’s A.M.E.F. fic and Home necessitates that we provide Committee. safety, teach safety and practice safety. — Florence Duerfeldt. Clinical Session of A.M.A. Bridge Tournament Louise Bowen, Betty Maddison, Ruth Mur­ phy and Florence Duerfeldt helped with the Marj Wicks reports three groups of sixteen Clinical Session of the A.M.A. underway in the bridge tournament. Tuberculosis X-Ray Survey N ew s The Bonicas just returned from a three-week The goal of the Pierce County X-ray Sur­ trip to Southern California and Mexico. They vey is to X-ray everyone in the County six years of age and older. Students of high schools, report lots of lovely sunshine, but are glad to be back home again. junior high schools and college will be X-rayed Hal and Kay Lueken’s little girl, Nancy Sue, at their schools. There will be five m obile X-ray was born October 18th. This makes one boy units operating—Pierce County owns one and and two girls for the Luekens. Congratulations! the others will be loaned by other Counties. The survey will run from November 13, 1956 Congratulations, too, to the Barronians. Emily had little Dianne on November 7th. She through April 15, 1957, and the total cost will also joined a sister and a brother. amount to $59,620. This will be paid by con­ L E T ’S M A K E T H E X -R A Y SU R V E Y 100%. tributions to the Christmas Seal Sale and CALL PR. 8343 AND SAY YOU’LL HELP! through State and County taxes. The Survey is asking for cooperation of club groups and individuals in making the drive 100% successful. There are three ways we can all help: 1. W ork three hours at the U nit; 2. Canvass your own block to inform the people where the Unit is and to request that they have the X-ray taken; and, 3. Call people on the tele­ phone to remind them of the Survey. At the October tea fifty-one women signed to help.

EVERY DROP PURE HEAT

STANDARD Heating Oils

Call MA. 3171 Membership Tea — /Membership chairman, Barbara Anderson, Tea chairman, Kay Ander­ son and Bart Huff who opened her lovely home Fuel Oil Service Co. to us. 816 A St., Tacoma Mark Dolliver Jack Galbraith “PATRONIZE OUR ADVERTISERS” 16 BULLETIN of the Piebce County Medical Society

McMILLAN BROTHERS, Inc.

942 Pacific Avenue - - - MArket 1126

Service to the Medical Profession and

their patients for 54 years.

We dispense only the finest of Pharmaceuticals.

Time Tested Dependability Established 1889

R. E. Anderson & Co. Inc. INSURANCE - MORTGAGE LOANS - REAL ESTATE PROPERTY MANAGERS

747-49 St. Helens Ave. BRoadway 8475

ASK FOR W. O. JEFFERY

OFFICERS H. F. SYFORD, President J. D. POWELL, Vice President DONALD M. MOORE, Vice President (In Charge of Fir* Insurance) (In Charge of Casualty Insurance and Bonds) E. J. POLE, Secretary (In Charge of Karine Insurance) B U L L E T IN of the Pierce County Medical Society 17 HOSPITALS. . .

Veterans Administration Bordman and Miss Roberts had their basic American Lake, Washington training in Psychiatric Nursing at American Lake. Dr. James A. Paulsen recently joined our The Interdivisional Council in Pyschiatric Medical Staff, coming as a transfer from the and Mental Health Nursing held its November Veterans Administration Hospital, Palo Alto, meeting at American Lake. This group is a Calif. He received his M .D. from the Univer­ division of the Washington State League for sity of Illinois College of Medicine, Chicago. Nursing and is composed of all types of indi­ Another welcome member o f our medical viduals engaged in nursing service and nursing staff is Dr. Floyd S. Stancliffe, coming here from education, as well as members of allied profes­ Superior, Montana, where he was M ineral sions and interested citizens. County’s physician and health officer. Dr. Stan­ Dr. and Mrs. L. J. Seeley, Tudi Fern and cliffe attended college at Omaha University, Estelle Orchades, are on their way to Auck­ Iowa State College and the University of land, New Zealand. They intend touring both Chicago. the North and South Islands and possibly fly Dr. Joseph C. Tatum recently returned from to Melbourne for the Olympic Games. They attendance at the Managers' Conference held in will be visiting relatives and friends in New Salt Lake City. Dr. Tatum advised that Dr. Zealand, until their return in January. Middleton, Chief Medical Director of the Mrs. Susan Gibson, Dietitian, retired as of Veterans Administration, complimented this October 31st, after thirty years service with the hospital on its research project and also on our Veterans Administration, most of which were fine Physical Medicine and Rehabilitation spent at American Lake. During a gathering of department. fellow employees she was presented with a Dr. L. S. Diamond recently took a trip to camera and all the "fixin’s.” W e will expect to our Central Office, W ashington, D.C., to attend see some good pictures if she starts traveling a conference with representatives of many of with all this leisure time on her hands. the other VA psychiatric hospitals. This con­ Physical Medicine and Rehabilitation re­ ference was also attended by representatives of cently played host to the other services— honor­ Public Health and other agencies. The discus­ ing Richard Wallace, Corrective Therapist, who sion concerned a development of a joint chem o­ is retiring after thirty years service at American therapy research project, for the purpose of Lake VA H . evaluating the new tranquilizing drugs. Funds have been received at this hospital for Mary Bridge Childrens Hospital the purpose of setting up a Research U nit to develop various projects for the purpose of Bone Bank better understanding psychiatric problems and Sometime ago the Tacoma Surgical Club re­ treatment results. This unit is in process of quested that a Bone Bank be established in being organized. the Mary Bridge Children's Hospital for the Dr. F. C. Bowers attended the conference of use of all of the doctors of the Pierce County Admitting Physicians, San Francisco Area O f­ Medical Society and the hospitals, with the fice. The conference was well attended by idea of offering as good a surgical service to the physicians from Washington, Oregon, Nevada, surgeons as can be obtained in any other large Arizona and California. city. W e want to indicate, definitely, that it is Dr. R. I. Cutts particiapted in a panel discus­ for the use of not only the Mary Bridge Chil­ sion on "Cooperative planning for the care of dren’s Hospital and the surgeons practicing psychiatric patients.” This panel was held there, but for all surgeons in the city and under the auspices of the Washington State county, and all hospitals. League for Nursing at Spokane, Wash. The Bone Bank is to be connected with, and Recent additions to the Nursing Service Staff a part of, the surgery of this hospital. A com­ ate. Mrs. Mary Griffin, a graduate of the Mt. plete modern set-up for a Bone Bank has been Sinai School of Nursing in Baltimore, Mary­ installed, including refrigeration and equip­ land, Mrs. Gertrude Lynn, French Hospital in ment. San Francisco; Mrs. Velma Sackman from Paci­ The sources for obtaining the material for fic Lutheran; Miss Nancy Bordman from St. the Bone Bank will be from any surgeon who ; Joseph’s in Tacoma; and Miss Roberta Roberts removes bone from a non-cancerous, non-tuber- from St. Joseph’s in Bellingham. Both Miss (Continued on Page 19) 18 BULLETIN of the Piebce County Medical Society

best for baby

VI-MIX(Multiple Vitamin Drops, DROPS Lilly) the most potent formula of its kind

607029

DISTINGUISHED MEMBER OF THE BULLETIN o f th e Fierce county M edical Society 10

(Continued from Page 17) from the Motherhouse in Pennsylvania and are visiting all the houses in the West. cular patient, or from chest surgeries, urolo­ From Maternity Department comes the news gists, orthopedists, or a D.O.A., with autopsy that Mrs. Sharon (Tower) Owens is leaving permit. For this we request the cooperation of December 1st to await the stork. W e are happy the surgeons generally. to announce that a baby girl was born to Mrs. The question probably will be raised as to Helen (Sturgeon) Bronoske on October 27th, the loaning out of the bone mill. This may be Mrs. (Noble) Hopper a boy November 4th, done with the understanding that the first per­ Mrs. Lois (Ball) Helling a boy October 11 and son calling in to reserve bone should be al­ Dr. and Mrs. Apa a girl October 29th. lowed to have it. Congratulations! A service charge of $25 will be made to cover New books which have been added to the all laboratory work and other services. This fee Medical Library are: will include the cost of transportation of bone The Morphology of Human Blood Cells by from other hospitals, when such procedure is Diggs; necessary. The Textbook of Endocrinology by This project has been approved by the Medi- W illiam s; cay Staff of this hospital, and the Board of Peripheral Vascular Disease by Allen, Bark- Directors of the hospital. ert and Hines; BONE BANK COMMITTEE: The Recovery Room by Sadove and Cross; Dumont Staatz, M.D., Chairman Neuroses in Clinical Practice by Laughlin; George S. Kittredge, M.D., Clinical Hematology 4th Edition by Chief of Staff W introbe. Wm. tt. Goering, M.D., Good news for the Doctors. The library Chairman, Orthopedic Committee now has a new outlet for the "Audio Digest.” Richard Vimont, M.D., Pathologist The Future Nurses' Club of Lincoln High School are helping once again taking books Saint Joseph's around to the patients. Mrs. Edward Eylander, Thursday, November 8, 1956 the Medical our anesthesiologist is advisor to the group. Pat Record Librarian students from Providence Sellers is President. Keep up the good work, Hospital in Seattle made a tour of our hos­ girls. pital and were guests at a luncheon served for The Laboratory Department is very proud them in the cafeteria. Sister Peter Olivaint, of most recent purchase of three brand new Director of the School, accompanied the girls microscopes. Now the technicians can see their and three Sisters taking the course. W e always fields with clarity never before seen in those enjoy the girls and look forward each year to obsolete 'scopes which have been discarded. their trip. The Medical Record Department Thank you, Sister Antonia, from all of us. Staff was happy to hear from Maryann Law­ The new nurses on Second floor are: Miss less, who is attending Holy Names College in Schuler from Olympia 3-11, Miss Wilson from Spokane. Maryann worked with us two years Everett 3-11, and Miss Charleson a St. Joseph on Saturdays and summer vacations. Sharon graduate. Mrs. Christianson who worked here Viafore also paid us a visit last week. She is now has a new son. They are living in Alaska. also a freshman at the U. of W . and is active Mrs. Doane one of our R.N.'s is now working in the Newman Club. W e are proud of all our in Alaska. Mrs. Sylvester visited her daughter girls! Sharon's mother is one o f our R .N .’s on in Ellensburg last Monday and observed her Second floor. daughter teaching first graders. It was one of the Drs. Rohrssen and Rohner are on the Medi­ most enjoyable days she ever spent. cal Service. And if anyone wants to know if Our corridors look very bright and pretty they are working hard, just ask the Medical with the new colors of aqua and yellow. The Secretary. Dr. Batey is on Pediatrics and Dr. medicine room is taking on a new look slowly Silver is the Obstetrician. From reports he is and surely. being kept very busy. Taking care of Surgery Everyone must notice the lovely new begonia Service are Drs. Liewer and M cK itrick. W e are plant that we have in our solarium. It took ten glad they have a lovely recreation room where years to grow and is almost 6 feet tall. Mr. the ping pong table is given a "work-up” daily. Schwartz donated it. Wednesday, October 7, 1956 Reverend In conformity with recommendations by the Mother Mary Leandro, Superior General and National Accreditation Service we held our first Sister Clotilda, Director of Schools for the fire drill last week. This is to be a monthly oc­ Community Schools arrived here to make their currence and is to be on a different floor each triennial visit to the hospital. T he Sisters are (Continued on Page 21) 20 BULLETIN of the Pierce County Medical Society PRESCRIPTION SPECIALISTS

HAHOLD MEYER PHARMACY 1110 South 11th Harold Meyer, Owner BRoadway 5104 Open 8:30 a.m. 'till Midnight — Free Delivery 'till 8 p.m.

NO FUNERAL PROCESSION

Burials at Mountain V iew 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.

Everything in one place

FUNERAL HOME MOUNTAIN CEMETERY CHAPEL Memorial CREMATORY VIEW Park MAUSOLEUM 4100 Steilacoom Boulevard LAkewood 2195 BULLETIN o f the P ie r c e C o u n ty M ed ic a l So c iet y 21

(Continued from Page 19) Mr. and Mrs. Howard Faber (Jackie Faber, Social Service) are the proud parents of a baby month. We plan to start on the 7-3 shift and girl, Peggy Ann, born the last of October. latet it will take place on the 3-11 and 11-7 Mrs. Gertrude Gaida of Berchtesgaden, shifts. On Friday, November 9th, the warning: Germany, is the guest of her daughter Doris RAINIER, SECOND FLOOR, 215 and 216, Sigler of the secretarial department. was heard over the loudspeaker system. Mrs. The Robert Turners (Janice Hopkins Turn­ 1 Nish was on the job, ably assisted by Sister er) are in their new home in the south end Francis Edwardine, who called all the desig­ and will entertain with a family Thanksgiving nated people: Sister Antonia, Sister Evrard, Mr. party. Christensen, as well as the various hospital From the housekeeping department is re­ departments. ported the following: Several members of the Due to efficient planning by Sister Evelina housekeeping staff of Pierce County Hospital ahead of time the drill went off without a mis­ attended a most interesting meeting of the hap. All personnel had been carefully oriented National Executive Hospital Association on as to their various responsibilities and a written November 9 in the Public Health Hospital : * plan was available to all. Floor plans, drawn by , ] Nursing Home. A Board meeting was followed ' 1 ■' , 1 Miss Trudy Dieu, which highlighted fire es­ l \ by an entertaining review by Mary Northrup capes and extinguishers, were given to all per­ of her trip to Rome. sonnel in the department. Since this was our ! n, ; . , Also, Herb Ray, Eleanor Bighous, Dorothy r first drill, we decided to have a more con­ Arnold and Nelle Satter atended a benefit ■ '1 trolled situation than will exist later on. Aides bingo game party of the Association held in the and practical nurses who acted as patients were: New Washington Hotel, Seattle. The money ■■■ 1 1 s , • Mrs. Carrie Twaites, Mrs. Isabella Eaton, Mrs. raised is to be used in sending a delegate to Katherine Graham and Mrs. Lorraine Sathers. I1-' the next national congress of National Execu­ The 4 H Club of Fife, Washington "trick tive Housekeepers' Association to be held in i'■ ’i . ■' 1 ■" and treated” the patients in the department Cleveland, Ohio. ' ■ 1/ : 'v v ! ■x «n*r Ownef BRoadwiy JIW Hallowe’en Eve. Chocolate m ilk was served in 'i ■. ■1 • keeping with the standards of their club as ,| CS15P — Free Delivery 'till! p* well as candy. The group read and played games “PATRONIZE OUR ADVERTISERS” and truly gave our little ones a real treat. ■ V The girls from the Future Nurses’ Club of Stadium High School can be seen in the de­ I. . ■ partment each week reading and feeding the '7 patients. It's a pleasure to see these girls show A COMPLETE LINE OF NO FUNiUl such an interest in the children. SUPPLIES FOR THE Best wishes to all our doctors and their wives PHYSICIAN . . . HOSPITAL PROCESSION and families for a very happy and blessed Christmas. May the Christ Child and H is AND Blessed Mother reign in each home with peace NURSING HOME .. n - ' View ire^; and happiness is the wish and prayer o f Sister i>... •!; confines of ^ Is1 Antonia and all the Sisters at St. Joseph : -- c'.i prctcSion■ Hospital. j-jFirftiy .r rj frands *<<*■*’ Pierce County Mail or Telephone Orders Grace Meier of the laboratory staff became the bride of Ira McCarthy on October 26. An Given Prompt Attention informal coffee hour was given in her honor in the laboratory and Grace was presented with a gift for her home. [ctrylhin! in one pl|K Bob Rea of the laboratory is on vacation in Las Vegas, Nevada. He will return the latter part of November. , r/NEM1 hWI! SHIPMAN The David McKinnons with daughters, a I K j . CEM£ft*y . len and Linda, of Salem, Oregon, are spend­ SURGICAL CO. A I N • CHAPfl ing the Thanksgiving week w ith David's . , , «fWr0!' mwher, Helen McKinnon, Social Service. 741 St. Helens Ave. IgfllOfU1 f (lAUSO^*1 BR. 6400 Helen Simpson, Social Service, has just re­ Tacoma 2 paHt in ed from a vacation sojourn with her mother and sister in Cincinatd, Ohio. 22 BULLETIN o f th e P ie r c e b o u n t y m k p i c a l s o c ie t y

STOWELL'S... Prescriptions

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

111 FREE DELIVERY

111

BRoadway 2201 744 Market Street

Doctors Hospital Building

ROGER R. 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

1015 SOUTH TWELFTH STREET MArket 0118 TACOMA 3, WASH. BULLETIN o f the F ie r c e C o u n ty M ed ic a l So c iet y 23 Introducing . . . Introducing . . .

Dr. Benjamin F. Monk Dr. George H. Hess Ben was born in Port Naches, Texas. After Harry hails from Chicago. After completing completing high school in Beaumont, Texas, high school in the windy city, he went on to and one and a half years in Lemar Junior the University of Wisconsin getting his B.A. College, he went into the Army. During the in ’32 and his M.D. degree in ’36. period of June, ’44 to '46 he saw action in the After a one-year internship in Phoenix, 82nd Airborne Parachute group in England, Harry entered private practice in Bisby, Ari­ France and Germany. zona. In 1953 he entered the Army and was After getting out of the Army, Ben com­ stationed first at Camp Stoneman near Oak­ pleted his pre-med work at North Texas State land, California, and, subsequently, at Fort College at Denton, Texas. He completed Baylor Lewis until October '55. Medical College in June '51 and served an In January ’56, Harry started general practice Army internship at Madigan, plus an additional in the University Place district, and has also year in the Army. Subsequently, Ben did gen­ been helping out at the M.S. Clinic. eral practice one year in South Bend, Wash., His family consists of his wife, Adriana, and and two months in Olympia prior to his Resi­ four children whose ages range from 19 to 7 dency in anesthesiology with Dr. Bonica with years. The oldest son, John, is awaiting an ap­ whom he is now associated. pointment to the Naval Air School. Ben lives in the north end with his wife, Harry’s hobbies include home movies and Jeri, and two children. gardening. Ben is an enthusiastic fisherman, hunter and golfer. He is also a musician— his instrument being the violin. F O R SA LE Wheeldex— all steel, grey, rotating file 2 years old. Capacity—500 (or more) 5 x 8 cards. If November Meeting Brings interested, call HI. 9521. Good Turnout

With two dinner-meetings now under the Society’s belt, it appears as if this may be the answer to good attendance. 112 dinners were served at the November meeting and, in addi­ BEALL’S tion, an estimated 10 or 12 members came later to attend the business m eeting, making The Prescription Store this one of the largest turnouts for a Society meeting in a long, long time. Once again, our thanks go to Dr. Kyle for 124 Meridian South making the arrangements, and we are most PUYALLUP grateful to Dr. D ille for arranging the interest­ ing and informative program. Puyallup 5-6291

‘‘PATRONIZE OUR ADVERTISERS’ 24 BULLETIN o f th e P berce C ounty Medica l So ciety

M odern and M oderate

BUCKLEY-RING FUNERAL SERVICE Tacoma Avenue at South First BRoadway 2166

SHAW SUPPLY CO., Inc. Surgical and Hospital Supplies 755 Market Street Phone: BRoadway 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 BULLETIN o f the P ie r c e C o un ty M ed ic a l So c iet y 25 Pierce County Medical Society NOMINEES—1957

Ballots to be received by mail Nov. 27, 1956, and returned before 5 p.m., Tuesday, December AND ALL 11, 1956. DAIRY PRODUCTS President-Elect (Vote for one) Herman S. Judd, M .D. Philip C. Kyle, M .D.

Vice-President (Vote for one) Charles E. Kemp, M.D. Glenn G. McBride, M.D.

☆ Secretary-Treasurer Arnold J. Herrmann, M.D. Careful Mothers use Pro­ Trustees (Vote for three) tected Milk. Pasteurized Paul E. Bondo, M.D. Douglas Buttorff, M.D. and Homogenized Milk Charles H. Denzler, M.D. Robert W . Florence, M.D. from our own contented Kenneth H. Sturdevant, M.D. cows can be delivered Elmer W. Wahlberg, M.D. to your home or your Delegates (Vote for six) Douglas Buttorff, M.D. grocer Philip Grenley, M.D. Arnold J. Herrmann, M.D. Louis P. Hoyer, Jr., M.D. ☆ Charles E. Kemp, M.D. Frank R. Maddison, M.D. A Favorite Dairy for over Alternate Delegates (Vote for 6) Thomas H. Clark, M.D. 30 years. Recommended Robert W . Florence, M.D. by doctors and dietitians. Gerald G. Geissler, M.D. Murray L. Johnson, M.D. Roderick A. Norton, M.D. ☆ Bernard N. Ootkin, M.D. Wendell G. Peterson, M.D. Louis M. Rosenbladt, M.D. CALL William J. Rosenbladt, M.D. Frederick J. Schwind, M.D. Paul B. Smith, M.D. WAverly 8705 Wayne Zimmerman, M.D.

Puget Sound Medical Building has rental space available. If interested call Frank Haley, BR. 9866.

anitaryl \ a S 1 INFANT MJ IR V DAMMEIER f=n Printing Co. BRoadway 8303 Direct from Our Farm to You 811 Pacific Ave. Tacoma 26 BULLETIN of the Piebce County Medical Society

Prescription Optical Company

Dispensers for the Oculist

205 Medical Arts Building

Tacoma, Washington

Phone MArket 4151

Branches i n ...... EVERETT — BREMERTON

HOMOGENIZED FOR HEALTH

Rich, creamy flavor . . . added digestibility . . . economy in use . . . are direct results of cream being evenly blended throughout an entire bottle of Kreamilk.

MEDOSWEET KREAMILK MEDOSWEET DAIRIES, INC. — TACOMA, WASH. / v BULLETIN of the Pierce County Medical Society 27 * - The School Committee Reports . . . In any group of school children, there are likely to be a few who, for one reason or an­ other, are doing poorly. W hen such a child is discovered by his teacher, a conference is ar­ ranged with the parents. Minor difficulties may be ameliorated in this direct way. For the handling of more serious problems, the schools provide a considerable staff of professional j people including a physician, nurses, counse- I lors, psychologists, psychometrists, and speech PHARMACY ! therapists. Last month the School Committee of the Pierce County Medical Society m et with a I group of school principals and counselors in a J continuing effort to coordinate the activities of ! all those involved in the learning or behavior Prescription problems of school children. Whether or not the problem is strictly medi­ Druggists cal, the nurse will urge the parent to consult with the family physician who, in turn, is ex­ pected to arrange for such examinations and treatments as are required to remedy a physical defect, referrals for those defects which require ★ special attention, and such reports and recom­ mendations to the Department of Special Services of the Public Schools as will enable them to bring the child’s record up to date. We Carry a Complete Stock of “ The physician is urged to utilize the school l services if he feels that the child needs special Biologicals and Pharmaceuticals attention in the fields of physical education, diet, speech therapy, psychometry or coun­ selling. In attempting to help a child to have a ★ more productive school life, the key person is the parent. There will be some parents who may seem to be less interested in their chil­ dren’s problems than the rest of us are, but "When Moments Count" j; without whose cooperation no progress can be made. In any event, the parent must be in­ structed, advised, reassured or coaxed as need­ ed, if our common goal is to be reached. FUlton 2411 — School Committee

In a mountainous section, one of the in­ PROMPT . . . FREE DELIVERY habitants threw himself to the ground as a rifle ball whizzed past his head from behind him. Turning around, he discovered a neighbor calmly reloading his squirrel gun nearby. ★ Hey, 'Lonzo, what are you shooting a f me for? he asked. "I got no quarrel w ith you.” No, you ain’t," answered Xonzo. "But you Stadium Hi District sod Jubal Suggs had a feud on, didn't you?" Sure, replied the target, "but old Tubal’s 101 North Tacoma Avenue dead." Well," said ’Lonzo, "I’m executor of his Tacoma, Washington estate.”

PATRONIZE OUR ADVERTISERS’ 28 BULLETIN o f the Pie r c e C ounty Medica l So ciety

Taxicabs - Ambulances for your Patients

ALL AMBULANCES ARE OXYGEN-EQUIPPED

Tacoma Yellow Cab Co.

1324 Market Street

MArket 1121 BR. 8383

You Can Police Your Overweight Patients

* accepted reducing REVICAPS medication d-Amphetamine—Methylcellulose—Vitamins and Minerals

R e v i c a p s help patients maintain a prescribed diet—

Assign R e v i c a p s to police their appetites until they are conditioned to less food intake.

R e v i c a p s combine all three accepted adjuncts to healthy weight reduction: d-amphetamine, methyl- cellulose, vitamins and minerals.

AVAILABLE ON PRESCRIPTION ONLY

Dosage: 1 or 2 capsules Vi to 1 hour before meals.

*Reg. U. S. Pat. Oil. LEDERLE LABORATORIES DIVISION. AMERICAN CYANAHID COMPANY. PEARL RIVER. NEW YORK BULLETIN o f the Pierce County M edical Society 20 Plastic Peregrinations to the subject of tissue homotransplantation. There continues to be a fabulous amount of re­ It is usually stated that traveling is a broaden­ search being carried out in this field. Prolonga­ ing experience. W e heartily agree. After hav­ tion of homograft take in the uremic state has ing sat for some twelve thousand miles in 7’s, been found to occur. This is perhaps due to the Ambulances 6's, 6B's, and the like, and after having sat effect of kidney disease on the iso-agglutinin through approximately one hundred hours of response— perhaps related in some degree to the both stimulating as well as boringly repetitious similar effect of agammaglobulinemia on graft scientific papers, we definitely feel broadened in take. It broadens an already interesting phase » Patients more ways than one. of homotransplantation. We started our broadening travels (to the Individual tissue specificity in experimental American College of Surgeon’s m eeting in San animals has been modified by the interchange Francisco, and points South) in a most delight­ of blood between host and recipient. Thus the :v m m ful manner on W estern Airlines. W e had no survival of the transplant has been made per­ more than settled ourselves comfortably aboard manent in the experimental chick, whereas it when we were handed a brim m ing glass of has been prolonged considerably in the mam­ champagne. Several hours and at least a mag­ mal. W e firmly believe that some of our most num of bubble water later, we landed in the revolutionary discoveries in experimental medi­ Bay City. cine in the near future will appear in the field The next morning, not daring to imbibe even of tissue homotransplantation. water, lest it remind us of our trip south, we An excellent article was presented by the registered at the always beautifully organized Plastic service of the University of Kansas on differential staining of the parotid gland. They 2* HjHtef Street meeting of the American College of Surgeons. Thus we began our broadening in earnest. W e inject methylene blue dye into the duct sys­ were naturally more interested in those sessions tem of the gland. This produced a beautiful related to our own field, although we did not differentiation of gland tissue from nerve neglect other facets of the meeting. structure, thereby allowing for a faster and cleaner dissection of the gland from around the In respect to the former, most notable among the many papers presented were those confined (Continued on Page 33)

F O R P A I N the most prevalent symptom encountered in medical practice 1EVICAPS•**? .j j.,j ifepj USE ‘Tabloid’ ‘EMPIRIN’ COMPOUND with Codeine Phosphate the most widely prescribed analgesic compound

lesfoodt® - , X ■.Xi&Vt&W

.. ^ a l i W W T ',

No. l No. 2 No. 3 No. 4

& BURROUGHS WELLCOME & CO. (U.S.A.) INC., Tuckahoe, New York

-.-tie ■ - 30 ______B U L L E T IN of the Pierce County Medical Society

CITRA CITRA CITRA CITRA CITRA 1

CJITRA CITRACITRA CITRA CITRA BULLETIN o f the P i e r c e C o u n t y M e d ic a l S o c ie t y 31

For common colds, coughs, hay-fever and allergies—Citra capsules or syrup! CITRA 5-way action l i Restore and maintain capillary integrity 2 . Decongestant 3 . Antihistaminic 4 . Analgesic 5 . Antipyretic (capsules) Expectorant (syrup)

Hesperidin and Vitamin C aid in restoring and preserving normal capillary function, important in the control of colds and allergies. Phenylephrine HCI. assists in clearing nasal and bronchial tracts. Multiple anti-histamines alleviate undesirable side effects with­ out reducing antihistamine effectiveness. For analgesic and antipyretic effect, the capsules contains a powerful "A PC" group. For its analgesic effect, the syrup contains dihydroco- deinone, more potent than codeine, less constipating, with low addiction liability. Sedative expectorant action in the syrup is achieved with potassium chloride, sodium-free salt. 5 -way approach

Each CITRA CAPSULE provides: Each 5 cc. (teaspoonful) of CITRA SYRUP contains! (l) Hesperldln purified {Citrus Bioflavonoid) 100.0 mg. (1) Hesperidin Methyl Chalcone Vitamin C ...... 50.0 mg. (Citrus Bioflavonoid)...... 8.33 mg. 12} Phenylephrine hydrochloride...... 5.0 mg. Vitamin C ...... 30.0 mf. (3) Propnenpyrldamfne M a le a te ...... 6.25 mg. (2) Phenylephrine Hydrochloride...... 2 .5 m f. Methapyrllene Hydrochloride...... 8.33 mg. (3) Propnenpyrldamlne M aleate ...... 2 .5 m f. Pyrll8mlne M aleate ...... 8.33 mg. Pyrllamlne M aleate ...... 3.33 m f. (4I>5) Sallcylamlde ...... 200.0 mg. (4) Dlhydrocodelnone Bitartrate ...... 1.66 mg. Acetophenetldln ...... 120.0 mg. (5) Potassium Citrate ...... 150.0 fflf. Caffeine A lk a lo id ...... 30.0 mg. in a flavored syrup base. Alcohol 2% Exempt Narcotic

PROFESSIONALLY PROMOTED, ONLY Both Citra formulas available at all prescription pharmacies. Citra Capsules packaged in bottles of 100 and 1000. Citra Syrup in pints and gallons. Literature on request.

BOYLE & COMPANY Los Angeles 54, California 32 BULLETIN of the Pierce County Medical Society Upjohn Relax the nervous, tense, emotionally unstable:

Each tablet contains: Reserpine ...... 0.1 mg. or 0.25 mg. or 1.0 mg. or 4.0 mg. The elixir contains: Reserpine ...... 0.25 mg. per 5 cc. teaspoonful Supplied: Scored tablets 0.1 and 0.25 mg. in bottles of 100 and 500 1.0 and 4.0 mg. in bottles of 100 Elixir in pint bottles The Upjohn Company, Kalamazoo, Michigan BULLETIN o f th e Pierce County M edical Society 33

(Continued, from Page 29) ogy a newly developed renal function test utilizing I13* and a sensitive scintillator pro­ latter structures. A t the same time, tumor tissue vides an extremely accurate technique for de­ is also so well demarcated that its complete termining kidney function. This can be applied removal is enhanced. to the kidneys independently of each other. A truly stimulating portion of the meeting The use of macerated skin in the coverage of was a series of concise resumes of the recent extensive burns is being advocated. This is advances in the various specialties. These were carried out in a Waring blender. I’ll continue to presented by so-called, alleged (shades of Dr. use mine exclusively for whiskey sours. Quevli) authorities in their respective fields. Tacoma was much in evidence. It seemed It would appear that the chemists are coming that practically all of Tacoma's "slice and into their own. This is doubly true in the field parry" boys were in attendance, Drs. Vadheim, of endocrinology. Corticosteroids continue to Haley, Niethammer, and S. Herrmann, to be the drug of the hour. The hormones are mention a few. getting a big play— particularly in the field of By the last day we became acutely aware cancer therapy; uptake of diethylstilbesterol di­ of the fact that Millinery Row, etc., was seeing phosphate increased in prostatic cancer by add­ too much of my wife; so, before we were ing a radioactive phosphorous m olecule; thirty- forced into bankruptcy, we grabbed the next eight different androgens now being used for plane south. W e wended our way to the Ameri­ suppression of breast cancer; large doses of can Society of Plastic Surgery meeting in thyroxine as an aid in resolving thyroid carci­ Miami, Florida, by way of Mexico City. We noma; not to mention the more potent and spent a short and enjoyable five-day stopover intrinsically more dangerous chemotherapeutic in this mile-high capital of Mexico. W e always agents such as nitrogen mustard. This drug is enjoy seeing our foreign conferees. In Mario now being administered as an adjunct to sur­ Ulloa-Gonzalez we have one of the best. His gery in treatment of resectable lesions. own private hospital and clinic is of excep­ Neurosurgery, urology and plastic surgery tional quality, and his work is comparable. W e were also covered in an erudite amnner. Surgical were most impressed by the new University of treatment of hydrocephalus now requires not Mexico campus and buildings. The latter are only a neurosurgeon, but also the aid of a all architectural works of art— entire walls of plumbing engineer should prove indispensable. mosaic murals covering a building several They are now shunting C.S. fluid from the lat­ stories in height. Great masses of opaque win- eral ventricle to the right auricle of the heart by way of a valved polyethylene tube. In urol­ (Continued on Page 35)

for quicker recovery

STRESSCAPS Stress Formula Vitamins Lederle

Sthesscaps are based on a formula suggested by the National Research Council. They provide adequate vita­ min supplementation for patients suffering from pro­ longed stress—surgery, burns, fractures, trauma or shock. Stress Formula Vitamins promote wound healing, and stimulate antibody production as well as providing a nu­ tritional reserve of water-soluble vitamins. JL •aeleToapiufei (a Lederle exclusive!) for more rapid and complete absorption.

LEDERLE LABORATORIES DIVISION a m e m c m Cfmuntdc m f A x r PEARL RIVER. NEWYCRK *RIO. U.a. PAT. opr. to suppress infection and to hasten healing of infected dermatoses ■ t f - f / STEROSAN {chlorguinaJdgl GEIGY) ointment and cream

S teh o sa n —new iodine-free oxyquinoline derivative—yields exceptionally favor­ able results in the control of many coccal and fungal dermatoses. In a recently reported series of 124 cases,* “clearing or marked improve­ ment” was noted in 87.6 per cent of eczematous disorders, in 100 per cent of pyogenic dermatoses, and in 72.2 per cent of dermatoses of miscellaneous type. . The ointment appeared to be more sat­ isfactory for dry and scaling areas, while the cream was preferable for moist and oozing lesions.”

GEIGY ‘“M u riih y , J. C .: Rocky Mountain M. J. SJ:530P 1955. S t e h o s a n ® {chlorquinuldol G E IG Y) O in tm e n t an d C ream . Tubes of 30 Gm„ jars of 1 lb. Prescription only.

GEIGY PHARMACEUTICALS, d ivisio n ok ceiuy c h e m i c a l cori'o iia tio n , n e w yo

GS7 5> 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 35 (Continued from Page 33)

dows cut out of solid pearl-colored onyx. Truly a fabulous display. They claim an eventual stu- LUTHERAN cehf-body of two hundred thousand. Stretching I’d say. My wife’s frequent visits to the various and sundry merchants forced another MINOR HOSPITAL ]§1|'withdrawal toward Miami, where we landed after a pleasant seven-hour flight. Miami was hot and humid, so finding that our accommodations were well air conditioned wt&ppite welcome. The. subsequent five days of AN INSTITUTION the Plastic meeting were informative, as well AVAILABLE FOR THE as-intermingled with periods devoted to satis­ fying one's thirst— orange juice, you know! A PROFESSIONAL CARE couple of days were devoted to two-hour study and periods, the first hour of which was used by an authority on a given topic, while the second REHABILITATION [ hour was used for round table discussion of the topic: These were perhaps the most productive of the sessions that I have had the pleasure of attend­ CHRONICALLY ILL ing!;- They included almost all phases of our s|egialty—from hand reconstruction to cosmetic smgery; from cleft lips and palates to the various modes of skin transplantation. Cer- 407-14th Avenue S.E. ifiily exceedingly stimulating! :Most outstanding of the scientific papers Phone 5-8833 dealt with surgery of the hand, particularly along the line of thumb reconstruction by Puyallup, Washington ■ufflization of the fourth finger. Another excel- leht,.paper concerned resection of the female breast for severe cystic mastitis with preserva­ tion of the breast symmetry and contour. This was a very ingenius procedure in which the gland is removed and the breast reconstructed fin e of local skin and fat flaps. Postopera- tiAjely, a real whistle-inspiring end-result is produced. There were many other excellent but time is too short to mention | them all I sal<^ g°°dbye to Miami reluctantly, as we I "M M north into colder climes. Becky’s ■ M pier passed away in the spring, so we ' fS S p d off in Maryland for a few days. W hile l^jwaded through the accumulated flotsam of 'W E fk years, I visited a few old medical cronies ( «j|totim 0re. We arrived home some twenty- Sjj^days after our departure, definitely aware of Sjsf broadening influence, definitely poorer kgood many pesos, and, we hope, definitely

— E. E. Banfield, M.D.

iPATRONIZE OUR ADVERTISERS" Sj&f..

^^Ijjpwere all grieved to learn of Dr. Muir’s ^U^esspnd are hoping for his recovery.

“PATRONIZE OUR ADVERTISERS” Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE . Tacoma 2, Washington PAID

TACOMA, WASH. PERMIT No. 300

inactive X-ray films, prescription files, "Glasses as your eye patient record* and correspondence physician prescribes them" tnay be stored at Bekin* at iiery reasonable cost. They are accessible for Contact Lenses — Artificial Eyes personal or telephone reference. Columbian Optical Co. fo r details: Ground Floor, Medical Arts Bldg. BRoadway 1212 Medical Center Western Clinic Bldg.

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 Thixd Friday of March, June, Sept. and Dec.— 7:15 a.m. at Scotty's Safe