PIERCE COUNTY MEDICAL SOCIETY

JANUARY 1970 TACOMA, WASHINGTON V O L XLI— NO. 1

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PIERCE COUNTY MEDICAL SOCIETY REGULAR MEETING JANUARY 13 ______rittt.F.TIN of th * P-^CE County M edical Society Pierce County Medical Society 1970 OFFICERS Robert M. Ferguson President Robert \V. Florence President-Elect ...... Rtchard T. Vimont Vice-President — - - George A. Tanbara Secretary-Treasurer ------K j d Gordon Executive Secretary ----- TRUSTEES

w 't o n BlackeU°nian T h e o d o r e " S m i t h , Robert P. Crabill Richard T Vlmcmt , | | g

Robert*S^°Ferguson ^T^bara f , * Robert W. Florence Wayne W. Zimmerman DELEGATES Robert M. Ferguson K rma,i S,' ( * \ Robert W. Florence Edmund A. Kanar , , . , Kenneth D. Graham Robert W . Osborne \ Charles C. Reherger \ ALTERNATE DELEGATES \ ^ Dudley W . Houtz I). A. Marlatl >'*• Vernon O. Larson William W . Mattson, Jr. 1 Joseph G. Katterhagen John S. May ! Paul B. Smith, Jr. \ Ethics \ L. S. Baskin, Chairman \ Douglas ButtorfT G. M. Whitacre \ Grievance ^ Wayne W. Zimmerman, Chairman * \ James D. Lambing Charles P. Larson | Credentials \ John Alger, Chairman James Early E. A. Kanar J. McNerthney w m B x m m m n r n Richard T. Vimont, Chairman Public Relations Leo Annest, Chairman Public Health Harlan P. McNutt, Chairman rr> t » • C o v e r P i c t u r e : Off Point Television Defiance John Comfort, Chairman W i t h B o b K l e i n . James Billingsley Robert M. Ferguson Civil Disaster Arthur Wickstrom, Chairman Entertainment ______William Rohner, Chairman Diabetes Bernard Rowen, Chairman Legislative Stanley Tuell, Chairman Mental Health James W. Boudwin, Chairman School Health n \x Kenneth Pim, Chairman UeMaurice Moses T. Clark Alan Sobul Poison Control James L. Schneller, Chairman Health Planning James E. Hazelrigg, Chairman

Liaison Dental— Kenneth Graham Pharmacy Lt. Col. Robert G. Scherz Optometries— Paul Smith, Jr. Editorial Board Marcel M a ld e S " '" C Reberectr' Editor Robert A. Kalisen W. TueU

Auxiliary News Editor Mrs. Bernard Pipe Business Manager Judy Gordon BULLETIN o f the Piehce County M edical Society 3

How to give credit without waiting for your fee.

It works this way. We’ll supply you with BankAmericard “payoff authorization cards” which you enclose with state­ ments to your patients. The card allows your patient to authorize you to transfer your fee to his BankAmericard account —just like any other purchase. Send the drafts to your Puget Sound National Bank branch and we’ll pay you immediately. And your patient can pay us later. Ask Chuck Holmes about it. He’s the man from BankAmeri­ card at LO 4-5819. We hope he’s just what the doctor ordered. Sound National Bank © Prescription Optical Company

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Branches in . . . Madigan Hospital - Everett - Bremerton - Fort Lewis

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For information please call- Terry Brink

n o i n T V ? 0UN™ y b r o k e r s , i n c . ______“ Av‘-nuc Spanaway _ LE 7-8684 BULLETIN of the Pierce County Medical Society 5

PIERCE COUNTY MEDICAL SOCIETY MEETING

Tuesday, January 13

Medical Arts Building Auditorium

PROGRAM - - - 8:15 P.M.

"DESIGN FOR PROGRESS" Mr. Peter Wallerich

Social Hour: 6:00 Dinner: 6:45

Honan's Restaurant r n , ^ th r Ptf.hce County M ed.cal Society. January Calendar of Meetings

10

Hematology- Tac. Orthopedic C.P.C. of Surgery Grand Oncology Study Society— 6 p.m. Mary Bridge Rounds— T.G.H 8-9 a.m. Group— T.G.H. 8 a.m.

12 13 14 15 16 17

Pierce County Hematology- Medical Society OB-GYN Conf. C.P.C. of Oncology Study 8:15 p.m. T.G.H. St. Joseph’s - Group— T G H 8-9 a.m. 8:15 p.m. 8 a.m. C.P.C. of Mary Bridge— 8:15 a.m

19 20 21 22 23 24 Tacoma Surgical Club 6:30 p.m. Hemotology, Medicine Grand Oncology Study C.P.C. of Rounds— T.G.H. Group— T G H Mary Bridge 8-9 a.m. 8 a.m. 8 a.m.

26 27 28 29 30 Tacoma Acad, of 31 Internal Medicine Pierce County 6 p.m. Path. Cancer AACP— 6:30 p.m Cardiac Study Grp. Con.— T.G.H. T.G.H.— 7:30 am 8-9 a.m. C.P.C. of Mary Bridge— 8 am .

"Glasses as your eye Since 1888 . . . three quarters o f a physician prescribes them” century of dignity and service at sensible prices. Contact Lenses — Artificial Eyes • Convenient location • Two beautiful chap«ls Columbian Optical Co. Plenty of parking Ground Floor, Medical Arts Bldg. Medical Center MORLEY-MELLINGER Lakewood fu n e r a l h o m e The Tacoma Mall 6Hi & Tacoma BR 2-3268 trust

(trust) n. That which is committed or entrusted to one, as a duty, task, or charge.

To children, trust is a simple and basic Bank of Washington. matter. May we assist you in the development To you, trust —and estate—planning is of your own ambitions for strong finan­ an important step toward a financial fu­ cial security? ture that is secure. It is basic, but it is not simple. BANK OF To help define and program this secur­ ity, many men and women rely on the experience of the Trust division of WASHINGTON

NATIONAL BANK OF WASHINGTON/TACOMA, WASHINGTON / MEMBER FEDERAL DEPOSIT INSURANCE CORPORATION BULLETIN of the Pierce County Medical Society NEW OFFICERS

PRESIDENT

R o b e r t M . F e r g u s o n

PRESIDENT-ELECT

R o b e r t w . F l o r e n c e , m BULLETIN o f the Fierce County Medical Society

Each 5 cc. contain erythromycin estolate equivalent to 250 mg.

PRESIDENT When mixed as directed, each S cc. will contain erythromycin ert M. Ferguson, m.d. estolate equivalent to 125 mg. erythromycin base.

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X Editorially Speaking

WELCOME TO THE NEW EDITORIAL BOARD

A much needed editorial board has been appointed by our new president. HAIL!

The editor— Charles C. Reberger, M.D.

The editorial board— Stan Tuell, M.D. George Race, M.D. Marcel Malden, M.D. R. Kallsen, M.D.

Five stalwart re-writers will make a far better Bulletin. If you glance through some of the county medical bulletins, you will be amazed to see as many as 24 on the editorial staff. There are contributing editors, historical editors, book editors, associate editors, photography editors, etc. . . . and not to mention business managers.

So send in your contribution to the Bulletin. No one is a good writer. Some are good re-writers.

Just to be sure there is a plug for my favorite avocation, there should be a conservation editor. Doctors are great conservationists. You will meet almost as many at the Friday noon Izaak Walton League Luncheon as you do at the monthly PCMS meeting. And don’t forget the Fly Fishermen’s Club, or the Pogy Club, the Mountaineers, the Sportsmen s Club, and many, many others. V

BULLETIN of the Pierce County Medical Society ______11

When your Geriatric patient complains;

due to cerebral vascular circulation MAINTAIN ADEQUATE CEREBRAL CIRCULATION

with . . . ■ ■ RIPAVERINE ^ T (papaverine HCI, 150 mg)

Dosage: One capsule every 12 hours. In difficult cases administration may be increased to one capsule every 8 hours or two capsules every 12 hours.

RESEARCH INDUSTRIES CORP. Pharmaceutical Division / Salt Lake City, Utah 841 15 BULLETIN of the Pie r c e C o u n t y M e d ic a l So c ie t y

COLLEGE OF MEDICAL EDUCATION A Gentle Reminder! CORONARY CARE UNIT Begins Wednesday, Jan. 7

To be held each Wednesday through April 1 — 7:30 - 9:45 p.m. Thompson Hall of Science — Room 420 University of Puget Sound

Tuition — $50.00

Checks should be made out to "College of Medical Education” or “C.O.M.E.” and mailed to:

Mr. Dale Bailey Director of Public Relations University of Puget Sound 1500 No. Warner Tacoma, Washington 98416

Attendance will be limited to 35 participants (Minimum: 20 participants)

SPECIAL NOTE: A.A.G.P.: “Program is acceptable for 26 prescribed (Category 1) hours by the American Academy of General Practice.” BULLETIN o f the Pierce County Medical Society 13

Spacious, beautiful memorial chapel ed u ca tio n Choice of cemetery, mausoleum, cremation or columbarium

Choice of type or manner of service

UNIT Budget Terms Jan. 7 Available

1 — . :30 - 9:45 p.m. loom 420 B u c k ley - king nd CONVENIENTLY LOCATED • TACOMA AVE. AT SO. FIRST LARGE PARKING AREA

Jedical Education" or

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Serving The Pierce County Medical Profession Since 1904 or 26 prescribed 710 fawcett ave. A m erican tacoma 2, wash.

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The Medical Arts Building located in the heart of Tacoma—provides all the needs of the medical profession . . . fully equipped laboratories, prescription pharmacy, optical store, fine auditorium, new restaurant, Pierce County Medical Society office and library, new 70 bed Doctors Hospital— Parking 111 available in building. Your inquiry is invited. 1 I Medical Arts Building Building Office: Soife , 526

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METROPOLITAN BUILDING CORP., MGRS. B U L L E T IN o f the Pierce County Medical Society 15 Pierce County Medical Society Travel Program for all members of the Washington State Medical Association

Depart Seattle/Tacoma April 14, famed for its Inuyama Castle overlook­ Tues., 8:30 a.m., Northwest Orient Air­ ing the Kise Rapids called the “Rhine lines. of Japan”. Arrive Tokyo April 15, Wed., 12:00 INUYAMA-OSAKA April 21, Tues. p.m., Private Jet, non-stop. Today has been especially scheduled Depart Tokyo April 29, Wed., 2:50 to give you an opportunity to visit the p.m., Northwest Orient Airlines. Osaka World’s Fair, EXPO ’70. A bus Arrive Seattle/Tacoma April 29, will depart at 9:00 a.m. for the fair­ Wed., 7 ::3 0 a.m. Cross International grounds and return at 5:00 p.m. to Inu­ Date Line. yama Hotel. Plan No. 1 $350.00. Includes round INUYAMA - OKAYANA April 22, trip air only with a transfer to down­ Wed. Private motorcoach to Nagoya town Tokyo. station for journey on the new super Plan No. 2 $599.00. Includes round express train to Osaka Station. From trip air, hotel accommodations, trans­ Osaka you will depart for Okayama and fers, sightseeing, local transportation the Kurashiki Hotel. Balance of the by private motorcoach and train, Expo day free. ’70 tickets, tips to chauffers, train boys, OKAYAMA April 23, Thurs. Sleep in hotel boys, and the services of an Eng­ this morning. The afternoon features lish-speaking guide. a tour of Okayama Castle, Ikeda Indus­ trial Zoo and the Korakuen Gardens. TOKYO, April 15th 8c 16th. Trans­ OKAYAMA-OSAKA-TOKYO April 24, fer to your Tokyo hotel. On the 16th Fri. Transfer to Okayama Station for tour Tokyo visiting the Imperial Pal­ train trip to Osaka, continuing on the ace Plaza, Tokyo Tower and many other famous Bullet Train to Tokyo. Balance famous sights. An oriental barbecue of day at leisure. luncheon is included with a spectacular all-girl revue show. TOKYO April 25th-28th. These days are free for shopping or sightseeing ex­ TOKYO-NIKKO, April 17th & 18th. cursions. Train journey to Nikko, Japan’s most April 29th. Transfer to airport for popular national park. Visit Toshagu private jet home. Shrine, Kegon Waterfalls and Dragon’s IMPORTANT: This is the only year Head Cascade. See a sacred dance in the Japanese government will allow Shinto costume. Continental breakfast charters to the Orient, thereby allow­ and lunch included. Overnight at the ing this low, low package. Normally, Nikko Kanaya Hotel, return to Tokyo the all year off season rate is $684.00 on 18 th. for the air fare ALONE! TOKYO-ATAMI-KAWANA. April 19, Deposit of $100.00 per person MUST, Sun. Transfer to rail station for train to we repeat, MUST be in by January 16 Atami. Private Motorcoach for scenic and is completely refundable until time journey along the coast to Kawana, for final payment no later than Febru­ popular hotsprings resort featuring golf ary 14th. We are sending out 3500 let­ and swimming as well as relaxation. ters and only the first 80 couples will KAWANA-INUYAMA April 20, Mon. be lucky! ! ! Immediate families also 11:00 a.m. departure for Inuyama, qualify. BULLETIN of the Pie r c e C o u n t y M e d ic a l S o c ie t y 16 A valid U.S. Passport along with a Instruction at the CCU mock-up in smallpox vaccination (certified on a the Pacific Science Center will feature World Health Card) and a Visa for cardiopulmonary resuscitation, simula­ entry into Japan are the only require­ tion of cardiac emergencies and dem­ ments. If you have a passport issued onstration of equipment. The dog lab after April 29, 1965, and a smallpox experience will include defibrillation innoculation within the last 2Vz years and emergency transthoracic pacemak­ they are still valid. Two photos and er insertion. $12.00 along with proof of birth is Cardiologists will discuss approaches all that is necessary to obtain a pass­ to diagnosis, monitoring and specific port. They are issued at the Depart­ treatment for cardiac problems, and ment of State, Logan Bldg., Seattle, preceptors will also be available for in­ Washington, or the Thui'ston County dividual consultation on coronary care Clerk’s office in Olympia. topics. Physicians will have free time For further information contact Judy to visit the Cardiac W ork Evaluation Gordon, MA 7-2020, or Alice Rainey, Clinic at the University and CCU-ICU BR 2-4192. facilities in Seattle hospitals, attend rounds and specialty conferences and use the latest electronic teaching equip­ ment.

The course, directed by Stephen R. Yamell, M.D., and Werner E. Samson, Coronary Care Course M.D., is approved for 35 hours of AAGP credit. Fee is $50 and registra­ Offered to Physicians tion forms may be obtained from Dr. Yarnall, 103 Health Sciences Annex 2, A one-week coronary care course for University of Washington, Seattle physicians will be held March 23-27 98105. and May 4-8 at the University of Wash­ ington.

The refresher program, which has been given four times in the past year, Urban Coalition will feature small group lecture-discus- sions with practicing cardiologists and Summary Presented practical experience in the CCU mock- For those members unable to attend lab and UniV6rSity 0f Washington dog the monthly meeting December 9 or the Urban Coalition Workshop December 6, The course is designed for physi­ the following is presented. For those cians involved in the care of patients r n n S v 'r f summary: IN PIERCE with acute myocardial infarction- en­ OF THr Jnn D° HAVE A SEGMENT rollment will be limited to 21 to match OF THE POPULATION CALLED THF the number of instructors. Course fac­ n o w DVhA£ TAGED w h S ar? n o t ulty win consist of practicing cardiolo­ HEALTH p V 1 N G ADEQUATE gists physicians from the University of Washington Division of Cardiology and members of the CCU project sS ff nf “ V? solve t a c k l e ? h ^ AtCTION is n e e d e d t o PROBLE ™ AL HEAL™ CARE

TRANCO-GESIC

chlormezanone 100 mg. with aspirin 300 mg. t f l b l f i t i S

Pain perception... mental tension... muscle tension-spasm This trilogy of pain isfrequently implicated in your patient s over-£ discomfort. TRANCO-GESIC produces over-all rel ief because it pro\& .. .analgesia to combat pain .. .tranquilization to calm tension muscle relaxation to assure comfort and ease of movement • oral non-narcotic analgesic • dependable muscle relaxation and tranquilization —acts peripherally on the neuromuscular apparatus —acts centrally on subcortical and cortical areas • generally well tolerated • suitable for prolonged administration

Action: Pain related to spasm, particularly skeletal muscle spasm associated with injury, disease, stress, and tension, can be relieved by a muscle relaxant and tranquilizer such as chlormezanone, Chlormezanone is an orally effective muscle relaxant and tranquilizer that acts both on the central > nervous system and peripherally on the neuromuscular apparatus. In musculoskeletal hypertonic conditions the cycle of muscle spasm or splinting and pain can be interrupted. Greater relief of pain results when the relaxant and tranquilizing actions of chlormezanone are combined with the • well-known analgesic effect of aspirin. In addition, the distinct antiinflammatory action of aspirin is" helpful when pain is related to local swelling or edema, whereas its antipyretic action relieves the 4 general discomfort from any accompanying febrile reaction. Thus, in the treatment of patients with acute or chronic pain, TRANCO-GESIC provides more effective control than do aspirin or other sil— 1 analgesics alone. Contraindications: Contraindicated in patients with a history of a previous hypersensitivity reaction chlormezanone TRANCO-GESIC should not be administered to persons known or suspected to have; an idiosyncrasy to aspirin. 3 £ ! 2 5 ^ * t e u' l drowsir ess ocFur> t*!? *'f;n 1,1 iinutes after administration iand rn&

Program. p r o b l e m . .'o u n t y M e d i c a l S o c i e t y 17 Lack of adequate communications covers many problems. We are pro­ posing that the Pierce County Health Council work to enlarge the existing Crisis Center with more personnel, more phones and 24-hour voluntary IANCO-GESIC SAMPLE OFFER coverage. That it be developed into a true health coordination center with in­ formation on all available health serv­ ) receive a clinical supply ices and how to obtain them. (Doctors TRANCO-GESIC tablets, also need this information). They could mply fill in your name and address be the center for educating the disad­ id mail this reply card. vantaged and medical personnel as well. They could develop and promote a standard health history form for all people to complete to help speed up theix medical treatment. They could maintain a list of doctors willing to treat disadvantaged people. The high cost of our present hospital emergency room care is a local prob­ lem. We need a 24-hour out-patient o > O clinic for the disadvantaged, particu­ o -< 33o cu 2. larly for the non-emergent medical m CO — in CD 0 > problems to ease the load on our hos­ V) in CD 3 pital ERS. Dr. Houtz believes this CL could be accomplished with 50 primary 3 n> physicians. If they were relieved of CD n any legal worries and much of the red tape by adequate voluntary help, they o Q3_ may well be willing to serve at regular H in > c intervals donating their services. H *U m ■o The shortage of medical manpower o was recognized. We must aid in de­ H 73 veloping more paramedical personnel > 2 and be willing to utilize them more. o o The disadvantaged would be well served 6 m if we had multiple neighborhood pri­ N C£ U mary medical centers staffed by para­ o o o medical personnel who could handle □ simple medical problems and act as a sorting center to direct the more serious problems to doctors or to hospitals as indicated. This would help solve the problems of Where to go and When to go- (Contuined on Page 20) when simple analgesics TRAN are simply not enough... chlormezanone 100 Non-narcotic Pain perception... mental d TRANCO-GESIC8 This trilogy of pain is frequer tablets discomfort. TRANCO-GESIC! chlormezanone 100 mg. with aspirin 300 mg. ... analgesia to combat pail .. .tranquilization to calm analgesia ... muscle relaxation to ass to combat pain • oral non-narcotic analgesj tranquilization • dependable muscle relaxa; to calm tension —acts peripherally on tl —acts centrally on subo muscle relaxation to assure comfort • generally well tolerated and ease of movement • suitable for prolonged adr

Action: Pain related to spasm, particular stress, and tension, can be relieved by a| Chlormezanone is an orally effective mu| nervous system and peripherally on the i conditions the cycle of muscle spasm or results when the relaxant and tranquilizl well-known analgesic effect of aspirin \t helpful when pain is related to local swel general discomfort from any accompany o acute or chronic pain, TRANCO-GESIC pi CD analgesics alone. _ to {/> 09 Contraindications: Contraindicated in oa o “D ^ chlormezanone. TRANCO-GESIC should “O CD CO an idiosyncrasy to aspirin. > x Warnings: Should drowsiness occur the 7s 73 m O (/> patient should not operate a motor venir > *D Usage in Pregnancy—Safe use of thr, nr < f— as no animal reproductive i i - ' > > P =0 CD co IZ3 lactation, or in women of chiloneL- iv - o ro 2 against its possible hazards to the , n ~ h > - ° ? Adverse Reactions: Adverse r [i t H flushing, nausea, gastric div- o ro > Medication should be di^nm ; X) 5 33 Jaundice, apparently of th- - -< O chlormezanone, but was r» O Dosage and Administration daily. The dose suggested f^r ;,L -< TRANCO-GESIC is so wo I . effect. Relief of sympturr i last up to six hours or In io How Supplied: Bottles of ;

W m th ro p W[NTHR0| BULLETIN of the Pierce County M edical Society 17 Health care providers of all types in­ Lack of adequate communications cluding 24 doctors and a number of covers many problems. We are pro­ consumers attended the conference. We posing that the Pierce County Health were broken down into five or six dis­ Council work to enlarge the existing cussion groups. Crisis Center with more personnel, more phones and 24-hour voluntary Among the many problems the con­ coverage. That it be developed into a sumers mentioned were: (1) TRANS­ true health coordination center with in­ PORTATION to the source of medical formation on all available health serv­ care, particularly for the aged and ices and how to obtain them. (Doctors young mothers with many children. (2 ) also need this information). They could WHERE TO GO, (3 ) WHEN TO GO, be the center for educating the disad­ (4) the lack of primary care doctors vantaged and medical personnel as (5) lack of follow up care (6 ) lack well. They could develop and promote of preventive care, (7 ) how to find a a standard health history form for all doctor at night or on weekends (8 ) people to complete to help speed up how to obtain the prescribed drugs or their medical treatment. They could appliances (9 ) fragmentation of pres­ maintain a list of doctors willing to ent public and voluntary private or­ treat disadvantaged people. ganizations (1 1 ) the red tape of public assistance and other government spon­ The high cost of our present hospital sored programs (1 2 ) the obvious lack emergency room care is a local prob­ of a payment mechanism for approxi­ lem. We need a 24-hour out-patient mately Vs of our population (1 3 ) the clinic for the disadvantaged, particu­ complicated psychology of being poor larly for the non-emergent medical and (14) “those of us who are black problems to ease the load on our hos­ would like to be treated like human pital ERS. Dr. Houtz believes this beings in doctor’s offices and hospitals. could be accomplished with 50 primary physicians. If they were relieved of Condemning welfare recipients does any legal worries and much of the red nothing to solve their problems. They tape by adequate voluntary help, they are not on welfare by choice. They are may well be willing to serve at regular there because of inadequate education, intervals donating their services. poor health or poor nutrition when young, or by the misfortunes of trau­ The shortage of medical manpower matic injuries. was recognized. We must aid in de­ veloping more paramedical personnel Many solutions were discussed. To and be willing to utilize them more. improve transportation, the ADC moth­ The disadvantaged would be well served ers and others are trying to establish if we had multiple neighborhood pri­ car pools among themselves to help mary medical centers staffed by para­ one another. Maybe some type of health medical personnel who could handle transportation bus (like the crippled simple medical problems and act as a children’s bus) could be developed that sorting center to direct the more serious would visit different sections of the problems to doctors or to hospitals as community on different days to deliver indicated. This would help solve the the aged and others to medical centers problems of Where to go and When to and later pick them up for return to go- their homes. (Contuined on Page 20) 1 8 BULLETIN o f the Pierce County Medical Society

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January Birthdays

1 George Kunz RANKOS 2 Stevens Dimant 3 Ralph Huff PHARMACY 4 Edmund Kanar 5 Norman Magnussen 101 North Tacoma Avenue Bernard Ootkin 7 Robert Ferguson George Race William Wright Prescription 9 Carlisle Dietrich 10 William Burrows Druggists D. A. Marlatt 12 Peter Cannon William Todd 16 Wayne Bergstrom Robert Gibson ★ Leo Sulkosky 18 R. A. Norton James Ward We Carry a Complete Line of 19 Ted Apa Donald Cummings Biologicals and Pharmaceuticals J. Lawrence Smith Alan Sobul 20 Ralph Johnson Ronald Spangler ★ 21 Donald Weber 24 Rene Gay-Balmaz “When Moments Count” 26 Raymond Ellis 27 John Havlina 30 William Spaulding FUlton 3-2411 31 Virginia Larsen Robert Truckey

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HAVE YOU PAID YOUR AMPAC DUES? 20 BULLETIN of the Pierce County Medical Society (Continued from Page 17) To develop further knowledge of the problem, we can obtain from the Ta­ As dreamy idealists, we would like to coma General Hospital Library two pub­ have all patients covered by a com ­ lications placed there for this purpose. prehensive prepaid medical insurance The latest one is Prescription for Ac­ plan, such as an expanded PCMB or tion— let us act. Western Clinic plan. It would obvious­ ly increase the demand for an already —W a y n e Z i m m e r m a n , limited supply of care. Hospitals would Past President-Participant. have to expand, and as they do, we would hope they develop many differ­ ent graduations of care, each priced differently. Many more health techni­ cians and social workers will be needed. Call for Scientific Papers One elderly person mentioned “there WSMA members are invited to sub­ should be some type of hospital serv­ mit a brief two or three paragraph ab­ ice developed where an old person can stract, with title, of the scientific paper die in dignity for less than $75.00 a they would like to present at the 1970 day!” Washington State Medical Association Annual Meeting, September 20-23, in Instead of developing arguments to Spokane. Abstracts should be sent to: refute the poor, it is time we sat down J. T. Rulon, M.D., Chairman, WSMA with them at workshops to improve the Scientific Program Committee, 444 N.E. understanding of each segment. Then, Ravenna Boulevard, Seattle, Washing­ work together with local facilities and ton 98115. people to take action to help solve many of these existing problems. Drs. Tan­ Abstracts are needed as early as pos­ bara, Moses, Sparling, and Hazelrigg sible as the program committee is en­ and others have attended lots of meet­ gaged in developing preliminary plans ings. “Buck” Moses established his pe­ for the meeting. The program commit­ diatric hilltop clinic, but these gentle­ tee will review all abstracts submitted men cannot solve the problems alone. and those accepted will be scheduled Awareness and participation by all of for presentation during specialty or gen­ us is needed now. eral sessions.

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$

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Courtesy Medical Society Magazine Group B U L L E T I N of the Pierce County M edical Society 25 WOMAN'S AUXILIARY PAGE . . . AUXILIARY OFFICERS 1969-1970 Everybody . . . all together now. Let’s President - ...... - ...... Mrs. Murray L. Johnson President-Elect______Mrs. Ralph A. Johnson make a resolution to attend Medical 1st Vice-President & Program... Mrs. Herbert Kennedy Auxiliary meetings in 1970! You'll 2nd Vice-President & Dance—-Mrs. Paul B. Smith, Jr. 3rd Vice-President 8c Dance„Mrs. Max W. Brachvogel meet old friends; you’ll make new 4th Vice-President & Legislative .Mrs. Jack Mandeville friends while enjoying the interesting Recording Secretary...... Mrs. Duncan Baer Corresponding Secretary Mrs. Clarence Anderson programs and learning the varied di­ Treasurer ...... Mrs. Arthur Wickstrom rections Auxiliary activities are point­ Dues Treasurer ...... Mrs. Robert O’Connell ing. COMMITTEE CHAIRMEN MEDICAL SUPPLIES FOR MISSIONS Nominating Committee and Health Council...... Mrs. Philip Grenley At the invitation of C. Davis Weyer­ Membership- ...... Mrs. Jack J. Erickson Mrs. Richard Link haeuser, President of the Board of Med­ Safety and Disaster Preparedness...... Mrs. James R. Stilwell ical Supplies for Missions, about fifteen Historian ...... Mrs. William H. Goering Auxiliary members toured headquarters By-Laws...... „_.Mrs. Thomas A. Smeall Paramedical ...... Mrs. Roy H. Virak on K Street on December 2, to learn Mrs. Frederick Schwind just how' the donated supplies are sort­ Publicity...... Mrs. Dudley Houtz Bulletin - ...... _...... Mrs. Bernard Pipe ed, packaged and made ready for ship­ Telephone ...... Mrs. James Krueger Mrs. Edmund A. Kanar ment. Those viewing the process were Finance...... ,— Mrs. Robert W. Osborne impressed with the efficiency of the Mrs. Robert Burt AMAERF...... — ...... _.Mrs. D avid H opkins volunteers under the capable direction SociaL ...... Mrs. Thomas B. Murphy Mrs. Robert Florence of Mrs. Miller. Those of you who were Speakers Bureau . .Mrs. Francis Hennings unable to attend are invited to stop Community Health Service...... Mrs. Robert Crabill Today’s Health ...... Mrs. Ernest Randolph by, and volunteer help is welcome. Representative Council on Smoking„Mrs. Carl Ekman Representative Council on Aging... Mrs. George Moosey International Health- Mrs. Theodore R. Haley OPEN HOUSE Cook-Book ...... Mrs. David Dye President Sherry attended a pre- M rs. Joh n F. K em m an Cook-Book Tasting Luncheon Mrs. Mills Lawrence Christmas Open House and Bazaar at Mrs. Alva Miller AMPAC ...... M rs. Wayn e W. Zim m erm an Goodwill Industries. She is enthusias­ Minute W om en ...... Mrs. George Tanbara Mrs. Vernon 0. Larson tic about the work they do in rehabili­ Fashion Show — ...... Mrs. Vincent Murphy tating the handicapped.. One of the M rs. John F. K em m an Student Recognition Comm._.Mrs. Charles C. Reberger members, Mrs. Clara Goering, is Presi­ Mrs. Joseph Katterhagen dent of the Board of Goodwill.

FEBRUARY AND FOOD You ARE remembering the Cookbook Tasting Luncheon, aren’t you? You who JANUARY MEETING attended last year were enthusiastic Luncheon— 12:00 P.M. and felt it was a wonderful way to January 16, 1970 promote Cookbook sales. Mabelle Mill­ er and Edie Lawrence, Co-Chairmen, Mrs. Ralph A. Johnson, Hostess will tell you all about plans at the 7139 Interlaaken Dr. S.W. January meeting. Toni Bourne, in Co-Chairmen: charge of the Arts and Crafts display, Mrs. Ted Haley promises a wide variety of our mem­ Mrs. George C. Gilman bers’ hobbies, such as weaving, ceram­ ics, gardening, sculpture, and maybe even a few surprises. 26 BULLETIN of the Pierce County M edical Society NEW APPOINTMENT have died on our highways than died by this time last year. There is no Suzanne Pelley has been appointed doubt that the new law has had an im­ by Sherry to the Board as a represen­ pact in curbing the number of intoxi­ tative for poison-prevention. Sounds cated drivers on our streets and high­ ominous! w ays.) And last, but not least, to join forces MARCH MADNESS with all physicians’ wives to promote better health, through yearly physical The spring Fashion Show is com­ examinations, for our husbands and ing at the precise time of year when our families. we are longing for some new clothes. Wishing you health, happiness, and Co-chairmen Elizabeth Murphy and a world at peace in 1970. Shirley Kemman report that plans are progressing smoothly for this colorful —In ez M. Pipe . event at the Tacoma Country and Golf Club on March 20. Fashions by the Bon Marche. Stop pushing. W.A. P.C.M.S M INUTES NOVEMBER, 1969 GOALS FOR 1970 The Pierce County Auxiliary meet­ Last year’s president, Dorothy Gren­ ing was called to order on November ley, suggested some goals for Medical 21st at the home of Mrs. Robert O’Con­ Auxiliary to pursue in 1969. Lest we nell. Sherry Johnson, president, thanked forget, let me repeat several of the more our hostess and co-chairmen of the meaningful objectives of our group. luncheon, Mrs. Robert Ferguson and Mrs. Gordon Dean and their committee, To work closely with the Pierce Mesdames Bud Bader, Kenneth Gra­ County Medical Society, when called ham, George Tanbara. upon, in their program and projects toward the advancement of medicine The minutes of the previous meet­ and public health. ing were approved as read. To be consistently alert to the health Treasurer’s report; Dee Wickstrom problems of our community; to develop reported a balance of $1,642.39 in the a system of priorities for these needs checking account. and with the advice and consent of the County Medical Society, become in­ Treasurer’s (dues); Janet O’Connell volved in the resolution of these prob­ reported that we have 168 paid mem­ lems. bers.

To work daily to improve and main­ tain the image of the physician in our community. DAMMEIER To be alert toward all legislation in­ volving the medical profession. Printing Co. Printers and Offset Lithographers (And speaking of legislation it is interesting to note that as we near the end 0f our first year wkh the FXJ 3-4925 Implied Consent law, we are encour­ aged by the fact that 96 fewer persons 811 Pacific Ave. Tacoma 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 27 Four new members who were attend­ ing the meeting were introduced. They were Ellie Erwin, Ruth Stevens, Mimi Elmer, and Ruth Beck. Correspondence: Gloria Virak read two letters: 1. A letter from the Goodwill Indus­ tries announcing an open house to be held December 2, to which the Auxili­ ary is cordially invited. 2. A letter from the director of the Tacoma Model Cities program, Mr. Her­ man Walker, inviting anyone interested to participate in the program. Committee Reports: Dance Ginny Smith reported that 50 couples attended the auxiliary dance. The only one The total income was $1,250. Ex­ penditures, $1,055.17; Profit, $194.83. A M A-E R F like it Carol Hopkins reported that she will accept checks for AMA-ERF for our in Pierce County Christmas card project through next week. Carol said donations were com­ ing in slowly this year. We are $800 below last year as of this date. And the largest funeral home in Safety and Disaster Washington with everything in The Auxiliary has finished the defen­ one place and under one man­ sive driver training as a group. The agement. One hundred beautiful course is still available to any interested garden acres containing a ceme­ individual through the Tacoma Pierce tery, mortuary, 2 chapels, and County Safety Council. mausoleum at the same address. Result? Costs are lower and Cook Book Tasting Luncheon arrangements are easier for you Toni Bourne, chairman of the arts to make. and crafts, suggested that we enter our arts and crafts in the hobby show at the tasting luncheon. Sign-up sheets Mountain View were passed around. Funeral Home & Memorial Park Fashion Show 4100 Steilacoom Blvd. ■ JU 4-0252 Elizabeth Murphy reported that the fashion show will be held at the Ta­ coma Golf and Country Club on March 20. The Bon Marche will feature the fashions. The Country Club cannot BULLETIN o f the Piehce County Medical Society 2 8 have any publicity because it is a pri­ 3. Old Business vate club so we cannot advertise. It The box we are filling with clothes was suggested that we send out invita­ for needy children, ages three to ten, tions to ourselves and to the dental for the Hilltop area at the request of auxiliary. If each of our members were Dr. George Tanbara is two-thirds full. to invite two guests we would have a We have had this box for two months. good showing. The Country Club can There was some discussion. It was de­ accommodate three hundred guests. cided to turn this box in to Dr. Tan­ bara at this time. Nominating Committee 4. New Business It was announced that the nominat­ ing committee for next year’s slate of of­ 1. Woman of the Year ficers has been selected by the board. We are to nominate a woman from According to the by-laws the nominat­ the Auxiliary for the “Woman of the ing committee shall consist of the im­ Year”. It was suggested that we give mediate past-president (Sherry John­ this some thought and have some rec­ son), who shall serve as chairman ommendations by the January meeting. without a vote, the president-elect (Jo- Anne Johnson), two members from the membership— Florence Dean and Deva 2. State Auxiliary Donation Vaught, and two members from the Jean Judd asked for recommenda­ board— Lois Stilwell and Peggy Haley. tions for our annual state Auxiliary do­ nation. Last year’s donation went to the two kidney foundations ($500 to each). Dorothy Grenley suggested a do­ BY APPOINTMENT ONLY nation be given to the Amercian Can­ cer Society. No other recommendations A home of exceptional quality— dis­ were made. tinctively designed for splendor in living and entertaining. Jean Judd reminded us of the mid­ Located on the Peninsula's picturesque year conference to be held in Pasco, Raft Island, with a sweeping marine view across the propertys 130 feet Washington, April 22-23, 1970. of lovely beach. Tree shaded— this delightful home 5. Program for the Day has three grand bedrooms—-each with its own private bath— floor level tubs Mr. C. Davis Weyerhaeuser, presi­ in marble and gold, a den, powder room -(V 2 bath), formal and informal dent of the board of directors for Med­ dining rooms, luxurious living room ical Supplies for Missions, gave a very with floor to ceiling fireplace. interesting and informative talk on this Additional waterfront is available. Owner is moving to Europe and must very worthy organization. Mrs. William sell immediately at well below mar­ P. Miller, executive director of Medical ket value. Supplies for Missions was also present Please call Roger Snowden for an appointment to see this exceptional at our meeting. Mr. Weyerhaeuser’s property. talk encompassed the origin o f the or­ ganization, the source of the supplies BUCK & SONS REALTY CO. and medicines, all of the work involved Gig Harbor in sorting, etc., and the final destina­ 858-9901 or evenings 858-3004 tion of the materials. He invited our Auxiliary to an open house on Dec. 2 from 10 a.m. to 2 p.m. BULLETIN of the Pierce County M edical Society 29 LECTURE SERIES FOR PARENTS OF C. R. Bard, Inc., undertook a volun­ PHYSICALLY HANDICAPPED CHILDREN tary recall in September of the con­ taminated trays from its distributors The first in a series of lectures by and from hospitals in the United States various medical specialists on prob­ and Canada. FDA has determined that lems confronting parents of disabled the recall was not effective due in part children was presented at Good Samari­ to lack of cooperation by several large tan Hospital Tuesday evening, Decem­ distributors who declined to participate. ber 9, when Dr. DeMaurice Moses, pe­ diatrician, addressed the Mothers Edu­ FDA attempted to warn nursing cational Group (M EG). His subject was homes and the medical profession of “General Principles in Management of the dangers involved in the use of the Handicapped Child.” A brief ques- these trays by issuing a press release tion-and-answer period followed his on October 20, 1969. talk. FDA checks on dissemination of the The MEG, an informal organization warning have revealed, however, that of mothers of disabled children, is the the majority of nursing and convales­ spontaneous outgrowth of their desire cent homes are still unaware of the for better understanding of their chil­ recall or the health hazards of the cath­ dren’s physical and emotional needs. eter trays containing the contaminated The meetings are open to all interested detergicide. We have found them still parents, whether or not their disabled in use. children are undergoing treatment. The Within the last few days a marked group’s usual daytime meeting hour increase in severe genito-urinary infec­ was changed on this occasion to the tions associated with the use of cath­ evening, to enable fathers and working eter trays containing the contaminated mothers to attend. detergicide has been reported by hospi­ Subsequent lectures, to be held in the tal authorities. evening whenever feasible, will be an­ — General Services Administration. nounced as they are scheduled.

FDA Issues Urethral Catheter Tray Warning This is to bring to the attention of you membership an urgent health haz­ ard involving 49 types of sterile ureth­ ral catheter trays and kits produced by C. R. Bard, Inc., Murray Hill, N.J. All of these trays contain a packet of cleansing solution or ‘detergicide.’ This BEALL’S detergicide’, also called ‘prep solution’ cleansing solution’, or ‘antiseptic towel- The Prescription Store ette, has been found to contain bac­ teria of pseudomonas species, com­ 124 Meridian South monly known as EO-1, a pathogenic or­ PUYALLUP ganism which may produce severe gen- Phone Puyallup 5-8444 ito urinary infections. RTIT.T.ET1N of the Pikrcl County M edical Society ______mission of Accreditation has placed the TAIM Meeting responsibility of drug control in the hands of the pharmacist. For these rea- Scheduled March 7 sons, it has been a policy of hospitals The 1970 Annual Meeting of the Ta­ to dispense drugs to the patient through coma Academy of Internal Medicine the hospital pharmacy only, and to will be held March 7, 1970, in the au­ discourage the practice o f drugs being ditorium of McIntyre Hall, at the Uni­ brought into the hospital from other versity of Puget Sound, Tacoma, Wash­ ington, beginning at 9:00 a.m. The sources. subject will be “A Symposium on Gas­ —S r . B a r b a r a M a r i e , R. Ph. troenterological Problems”. Guest speakers will be: Eddy D. Palmer, M.D., Professor of Medicine, New Jersey College of Medi­ Lakewood cine and Chief, Gastroenterology Sec­ tion, V.A. Hospital, East Orange, New Convalescent Center Jersey. “Ad Summum Nitamur” John A. Benson, M.D., Professor of We Strive for the Highest Medicine; Head, Division of Gastroen­ Lakewood Convalescent Center, a terology, University of Oregon Medical “satellite” department of Lakewood School, Portland, Oregon. General Hospital, will be officially J. Thomas Payne, M.D., Asst. Clin­ opened January 20, 1970. The 130- ical Professor of Surgery, University of Washington Medical School, Seattle, bed center has been programmed to ac­ commodate the patient in all phases of Washington. progressive care, from restorative care to continuing care to self-care. WHAT WOULD YOU The center is an integral part of DO, DOCTOR? Lakewood General Hospital. Ancillary departments will function under the If a patient brought you a number same policies, administrative and med­ of different medications in one con­ ical staff direction as those o f the acute tainer and asked you whether he could care section of the hospital. All activi­ continue taking them? This is the ties of the convalescent center will be problem a hospital pharmacist is often administered by Lakewood General, faced with when the physician writes: and programs will be completely coor­ “Patient may take his own medication”, dinated and integrated. and the pharmacist is asked to identify them so the nurse will know what is The necessity for hospitals to meet to be given. Who would be responsible community needs in a broad range of if the patient is given a wrong medi­ medical, nursing care and paramed­ cation? ical services, concentrated in one lo­ cation, has long been recognized. Lake­ Nurses are taught not to give any wood General Hospital has planned its drug unless they know what the drug new facility to respond to the com­ is and why it is being used. Pharma­ munity need for a progressive care cen­ cists cannot dispense drugs to a patient ter which will provide total service to unless they know the specific order of the patient at a reduced cost. The pro­ the physician, neither can they label a fessional care at Lakewood Convales­ drug unless they are absolutely cer­ cent Center will be available in three tain of its identity. The Joint Com­ phases. B U L L E T I N of the Pierce County M edical Society ■31

ed to the United States Public Health 3tt JUm nnam Reserve in World War II.

He had vision regarding the prepaid system of medical care for America, and was a real pioneer in this sense at the Western Clinic— at a time before it became popular and was so eagerly accepted by the AMA. He felt always that the patient had a right to deter­ mine how he was going to pay for his medical care. Ed loved the practice of medicine and made it his great hobby, along with golf, which he so enjoyed.

Ed loved people and his many friends Dr. Edwin C. Yoder attest to this. His geniality, his com ­ mendable modesty, his high regard and Edwin C. Yoder was bom August 28, respect for his colleagues, and always 1893, a native of Sharon Center, Iowa. a fairness in all of his dealings with his He graduated from the schools in Iowa fellow man— these are traits worth re­ including his M.D. in 1917 and his M.S. membering. He was a perfect example in Surgery from the University of Iowa of a gentleman in every sense of the in 1924. He came to Tacoma in 1925 word and was a man of great personal as chief surgeon of the Western Clinic, having done general practice in the dignity. interval between 1918 and 1922 in Den­ He loved to travel and for the last nison, Iowa. He continued to practice 15 years of his life he did this a great actively for over 40 years and then had deal, making new friends everywhere 5 years of semi-retirement. in the world and was a great ambas­ He was honored by his colleagues sador for America, by election to every post and position in this medical community, including He leaves Leona, his companion and a term as president of the Pierce love of 48 years, a daughter Sally, a County Medical Society. He had mem­ son Edwin and 4 grandchildren. His sudden passing on December 23, 1969 berships in many professional societies, including charter membership in the saddens all of us. To me, he was my Tacoma Surgical Club, Fellow of the friend and this was a privilege for American College of Surgeons, member­ which I shall be always thankful. ship in the Seattle and Puget Sound Surgical Societies, and many others. — L e s t e r S. B a s k i n s , M.D.

He served his country as a medical officer in World War I and was appoint­ Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of Jan., April, July and Oct. 6:15 p.m. Doctors Hospital Cafeteria STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept. Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 7:30 p.m. STAFF OF PUGET SOUND GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA AREA CHAPTER OF AMERICAN PSYCHIATRIC ASSOC.— First Monday of October, December, February, April and June. TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 6:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August— 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Ceccanti's PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each Month except June, July and August— 6:00 p.m. STAFF OF ALLENMORE HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 pm TACOMA OB-GYN SOCIETY 3rd or 4th Thurs. of Jan,, March, May, Sept., Nov. PIERCE COUNTY MEDICAL SOCIETY BULLETIN FEBRUARY 1970 TACOMA, WASHINGTON VOL. XLI NO. 2

PIERCE COUNTY MEDICAL SOCIETY REGULAR MEETING FEBRUARY 10 BULLETIN of the Fierce County M edical Society 3

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It works this way. We’ll supply you with BankAmericard “payoff authorization cards” which you enclose with state­ ments to your patients. The card allows your patient to authorize you to transfer your fee to his BankAmericard account —just like any other purchase. Send the drafts to your Puget Sound National Bank branch and we’ll pay you immediately. And your patient can pay us later. Ask Chuck Holmes about it. He’s the man from BankAmeri­ card at LO 4-5819. We hope he’s just what the doctor ordered. Puget Sound National Bank (p BULLETIN of the Fierce County M edical Society 5

PIERCE COUNTY MEDICAL SOCIETY MEETING

Tuesday, February 10

Medical Arts Building Auditorium

PROGRAM - - - 8:15 P.M.

MEDICAL MALPRACTICE LITIGATION SEMINAR

Social Hour: 6:00 Dinner: 6:45

Honan's Restaurant 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 February Calendar of Meetings

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Tac. Orthopedic Society— 6 p.m. C.P.C. of Surgery Grand Pierce County Hemotology, Mary Bridge Rounds— T.G.II. Pediatric Society Oncology Study Tacoma Chapter 8 a.m. 8-9 a.m. 6 :0 0 p.m. Group— T G H of American Psychiatric Assoc.

10 11 12 13 14

Pierce County Medical Socicty OB-GYN Conf. Hematology- 8:15 p.m. T.G.H. Oncology Study 8-9 a.m. Group— T.G.H. C.P.C. of Mary 8 a.m. Bridge— 8 a.m.

16 17 18 19 20 21 Tacom a Surgical Club 6 :30 p.m. C.P.C. o f Hematology- Medicine Grand St. Joseph’s— Oncology Study C.P.C. of Rounds— T.G.H. 8 :15 p.m. G roup— T G H Mary Bridge 8-9 a.m. 8 a.m. 8 a.m.

23 24 25 26 27 28 Tacoma Acad, of Internal Medicine Handling Pierce County 6 p.m. Path. Cancer Em otional Hematology- AAGP—6:30 p.m Cardiac Studv Grp. Con.— T.G.H. Problems in Oncology Study T .G .II.—S - 9 a.m. S-9 a.m. Office Practice Group— T.G.H. 6:30 - 7:30 p.m. C.P.C. of Mary Bridge— 8 a.m.

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Now may be the time to pay a visit to at your Bank of Washington Banking a Trust officer at Bank of Washington. ('enter. He and your attorney can often help strengthen your financial future and the future of those close to you. BANK OF Trust service is a personal service. Experience is always available to you WASHINGTON

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WASHINGTON STATE MEDICAL ASSOCIATION MEDICAL DEFENSE COMMITTEE

MEDICAL MALPRACTICE LITIGATION SEMINAR

Medical Arts Building — Auditorium 740 St. Helens Tacom a Tuesday Evening February 10, 1970 8 :1 5 p.m.*

PROGRAM

I. PURPOSE OF SEMINAR Session Moderator: Stanley W. Tuell, M.D., Tacoma Member, WSMA Medical Defense Committee

II. PROFESSIONAL LIABILITY INSURANCE Panel Members: William Sacre, Seattle, Underwriting Manager Phil Bollard, Seattle, Claims Manager, Atena Life & Casualty

A. Underwriting Results and Premium Effects B. Present Trends in Malpractice Defense C. Case Examples III. MALPRACTICE — WORKING WITH THE LEGISLATURE Robert L. Reeves, M.D., Olympia Member, WSMA Public Laws Committee IV. PREVENTION OF MALPRACTICE LITIGATION — A PANEL (Question and Answer Session) Panel Members: : Stanley W. Tuell, M.D., Moderator Robert L. Reeves, M.D., Olympia Gerald Palm, Seattle, Legal Counsel, Williams, Lanza, Kastner & Gibbs Bill Sacre, Seattle Phil Bollard, Seattle V. ADJOURNMENT

o host refreshments 6:15 p.m., dinner 7:00 p.m. in Honan’s Restau­ rant, 739V2 Saint Helens, Tacoma. Meeting begins at approximately 8:15 p.m. in the Auditorium of the Medical Arts Building. BULLETIN of the Pierce County M edical Society 9

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An easy, accurate test-paper method for the qualitative and quantitative determination of urine glucose

Additional information available upon request.

Eli Lilly and Company • Indianapolis, Indiana 46206 RUr.T.ETIN o f th e Pierce County Medical Society Editorially Speaking Air Pollution in Patients' Rooms The welcoming in of a new decade tends to suggest a time for reform. Possibly this will initiate for some a more carefully watched diet, a program of progressive exercise or a rejection of some old un­ wanted habits. These are personal actions which may help to prolong the individual’s health and life. Smoking is one habit which has already been rejected by many doctors. Ten years ago it was expected that the CPC or any other medical conference would be enjoyed through the haze of acrid blue smoke. Now one lights up with a certain sense of embarassed aloneness. At a recent Mary Bridge Conference, the speaker com­ plained about the fumes from a nurse’s cigarette—the only one being smoked in a room of 30 people. That same week a postoperative patient across the street was moved from a two bed room to a private room. The reason for this was that not only was the adjacent patient chain smoking (and in bed), but the visitors, eight at one time, were all in the room smoking and turning the air into a clawing irritant. This produced the expected, namely coughing and pain in the fresh operative site. The man who got moved to the more expensive room is a considerate gentleman who would not knowingly inconvenience anyone, but he paid for the thoughtlessness of the smoker and his callous visitors. This is unfair. Why should the innocent pay, literally for the sins of others? Why do we remove the cigarette dispensers from our hospitals and still condone smoking in the patient's rooms? Such inconsistency needs correction. A few claim that the policy of no smoking in the patient’s rooms is impossible to enforce. The Good Samaritan Hospital in Puyallup, however, has made a real effort to do just this and the policy has been successful. The patients who have listened to the warnings about smoking hazards can, at the Good Sama­ ritan Hospital, enjoy unpolluted air and realize that their doctors and nurses support their attempts to preserve their health. Whether a doctor or nurse or visitor or patient smokes is not the question. This is a personal matter and the individual has the right to abuse his own system as he sees fit. But where the smoking is done is the real issue. Why cannot we have in the Tacom a Hospitals a rule for no smoking in patients rooms unless permission is given by the doctor m wiiting with a supplemental rule of no smoking at all for visitors. a patient must pollute the air, let him do so in a private room and pay the bill for the privilege. ^arnai^tan has shown that a policy of no smoking in patients’ cnrrmHi"3)11 ^^ile we permit air pollution in hospital rooms our Tt it t' n s a °ut tlie smelter and the tideflat industries fall weakly flat, is time to clean up our patients’ air.

—C h a r l e s C. R e b e r g e r , m .d. BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y 11

When the G.I. tract is tied up by anxiety

Anxiety frequently exerts its force in the G.l. tract. ‘Combid’ Spansule capsules can control that anxiety as well as the painful spasm and excess secretion— continuously with b.i.d. dosage. Combid" Spansule" capsules Trademark m brand of sustained release capsules ® Each capsule contains 10 mg. of Compazine® (brand of prochlorperazine), as the maleate, and 5 mg. of Darbid* (brand of isopropamide), as the iodide.

Before prescribing, see complete prescribing informa­ Opisthotonos, oculogyric crisis, hyperreflexia, tion, including symptoms and treatment of over­ dyskinesia, sometimes lasting months or years; g ra n d dosage, in SK&F literature or PDR. m a i convulsions; altered cerebrospinal fluid proteins; Contraindications: Patients with glaucoma, pyloric cerebral edema; potentiation of C.N.S. depressants, obstruction, prostatic hypertrophy, bladder neck atropine, heat and phosphorus insecticides; head­ obstruction, obstructive intestinal lesions and/or ileus. ache, adynamic ileus, inhibition of ejaculation; re­ Nausea and vomiting associated with intestinal activation of psychotic processes, catatonic-like obstruction or brain tumor, states, hypotension (sometimes fatal): cardiac arrest; pancytopenia, thrombocytopenic purpura, eosino- Precautions: Caution patients about activities philia; lactation, galactorrhea, gynecomastia, requiring mental alertness (driving, hazardous menstrual irregularities, false positive pregnancy occupations). Keep patients under regular observa­ tests; photosensitivity, itching, erythema, urticaria, tion. Additional depressant effect is possible when eczema, exfoliative dermatitis; asthma, laryngeal used with other C.N.S. depressants. Patients sensitive to other drugs may be more liable to have a reaction edema, angioneurotic edema, anaphylactoid reac­ to prochlorperazine. Use with caution in elderly tions; peripheral edema; reversed epinephrine effect; patients. Use in pregnancy, lactation, and in women hyperpyrexia; pigmentary retinopathy; with prolonged of childbearing age only when necessary. Dis­ administration of substantial doses, skin pigmentation, continue one week prior to I131 uptake and PBI tests, epithelial keratopathy, and lenticular and corneal deposits. as the iodine in isopropamide iodide may alter results. Adverse Reactions: Drowsiness, dizziness, amenor­ EKG changes—particularly nonspecific, usually re- rhea, skin reactions, dry mouth, blurred vision, urinary reversible 0 and T wave distortions—have been retention, dilated pupils, photophobia, constipation reported, but relationship to myocardial damage is and tachycardia. Palpitation, nausea, dysphagia, fever, not confirmed, Sudden discontinuance in long-term and nasal congestion, rarely. Hypotension, agranulo­ patients may cause temporary nausea, vomiting, cytosis, cholestatic jaundice, leukopenia, extrapyram- dizziness, tremulousness, idal symptoms (motor restlessness, dystonias, NOTE: Sudden death has been reported though a pseudo-parkinsonism) have occurred with prochlor­ relationship to phenothiazine administration has not perazine. been determined. In some cases the cause ap­ Other Adverse Effects reported with one or more peared to be asphyxia due to failure of the cough phenothiazines: Some adverse effects are dose- reflex; in others, no cause could be determined. related, others involve patient sensitivity, some occur Supplied : Bottles of 50. frequently in patients with special medical problems, for example, mitral insufficiency or SK pneochromocytoma. SrF Smith Kline & French Laboratories BULLETIN of the Pierce County Medical Society 12 discussions. Non-members will pay a American Fertility Society $20.00 registration fee for the Annual Schedules Meetings Meeting. For additional information, please contact: The American Fertility Society an­ The American Fertility Society nounces its Third Post Graduate Herbert H. Thomas, M.D., Sec. Course in conjunction with the Annual 944 South 18th Street Scientific Meeting to be held at the Washington-Hilton Hotel, Washington, Birmingham, Alabama 35205 D.C., March 18, 19 and 20, 1970. Members and non-members are in­ vited to participate in this excellent re­ view and educational program. The post-graduate course is offering eight All-Day Workshop seminars with nationally and interna­ Wednesday, March 4th, 8:30 a.m. to tionally known moderators participat­ 3 :30 p.m. ing and leading each session. The titles are as follows: Subject: “Community Resources for Education of the Handicapped” Course I. The Physiology and Treat­ ment of Ovulatory Defects Place: Pacific Lutheran University— Xavier Hall. II. Surgical Approach to Infertility Problems Registration: 8:30-9:00

III. How to Evaluate the Infertile Registration forms and programs Couple may be obtained in advance by con­ tacting Mrs. Kay Thompson, 4340 IV. The Male Factor South J, GR 4--2185. V. The Role of the Brain and Ner­ vous System in Human Reproduction VI. Advances in Basic Reproductive Physiology

VII. Chromosomal Abnormalities & 9th National Conference Genetic Counselling in Infertility Prob­ lems On Therapies for

VIII. Family Planning and Prob­ Advanced Cancers lems of Contraception August 20-22 (Thursday-Saturday), Each course will have a limited 1970, University of Wisconsin Post- number of participants. Certificates Graduate Center. will be awarded upon completion of the course. Registration fee for the Sponsor: Division of Clinical Oncol­ Post-Graduate course will be $75.00 to­ ogy, University of Wisconsin. tal (including meals). Chairman: Fred J. Ansfield, M.D., The Annual Scientific Meeting of the Professor of Clinical Oncology American Fertility Society will follow Information from program coordina­ e Post-graduate course with an ex­ tor: R. J. Samp, M.D., University Hos­ cellent program to include round table pitals, Madison, W isconsin 53706. BULLETIN of the Fierce County M edical Society 13

" r ^iuonal Spacious, beautiful memorial chapel Choice of cemetery, mausoleum, ^••AniencinFffij,.,^ ntrbert H. Thoma? \in- cremation or columbarium ^ ■' ',ouih 18th Strm - ^ T L -n g h i m . Alabama J B Choice of type or manner of service

Budget Terms Available A ll-D ay Workshop

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i J j - i . l i .

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• Your choice of the finest lines manufactured. • Experienced fitting for both men and women . . . Surgical Supports . . . Belts . . . Hosiery . . . 9th National Conte • Large selection of nurses’ uniforms and doctor gowns. O n Therapies for • Complete rental service for sick room supplies . . . Pick up and Delivery Service . . . Advanced Cancels • Factory trained repair service in our own shops. iThuisb^ Serving The Pierce County Medical Profession Since 1904 Center-

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ftlS E l --

1 'r : Tacoma's Largest Medical Building w- i 11 [f a a ff -?E©ad , r a a The Medical Arts Building located in the heart \1 a a 4ti r of Tacoma—provides all the needs of Es dill' [\ - ■ = p■Ij a a a a i i the medical profession . . . fully equipped a a i a i laboratories, prescription pharmacy, optical i a b q i i store, fine auditorium, new restaurant, a a h 1 1 i •to 1 1 i Pierce County Medical Society office and i 1 1 1 1 i 111 library, new 70 bed Doctors Hospital— Parking i i 1 i i n n i h i n I i i n n available in building. Your inquiry is invited. q i h 1 1 1 i i i n ' 1 q i n 1 1 1 ii i n 11 *1i 1 1 t U- -i 1 1 1 in Medical Arts Building P Building Office: Suite 1526

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METROPOLITAN BUILDING CORP., MGRS. BULLETIN of the Pierce County M edical Society 15 Power Boat Racing, Scientific Program for Anyone? WSMA Annual Meeting

The Tahoma Drag and Ski Club is Spokane members of the WSMA Sci­ entific Program Committee have been in need of the aid of a doctor to be working on preliminary plans for the present at each of our races for the Scientific Program at the 1970 WSMA coming year, the dates of which will Annual Meeting since November 15, be: May 24, July 12, and August 23, 1969. The meeting will be held at 1970. There is also a possibility that the Davenport Hotel, Spokane, on Sep­ we will hold another race either the tember 20-23, with the Scientific Pro­ gram scheduled for September 21, 22 first or second Sunday in April. and the morning of the 23rd. The pro­ gram committee would like to develop The races we hold are drag and circle a program which will include general boat races, and the locations have not scientific sessions, specialty sessions, a been finalized as of this date. We do general practice session for prescribed know, however, that the July race will credits, round table discussions and be held on Capitol Lake near Olym­ several courses. pia. All races are APBA sanctioned. Abstract of Papers Requested Early Physicians who plan to submit ab­ We are a small non-profit organiza­ stracts of papers for consideration are tion, and at this time unable to offer encouraged to submit the abstract as soon as possible. This will allow an much in the way of a fee for these early determination of the specialty services, save an honorary membership sessions which will be presented. Mem­ to our club. This matter is open for bers of the WSMA Scientific Program discussion before the club, and we are Committee are: confident that something could be J. Thomas Rulon, M.D., Chairman— worked out. ENT Richard E. Ahlquist, M.D.— Surgery Anyone interested in helping us out Michael A. Donlan, M.D.— Pediatrics C. Gordon Edgren, M.D.—Psychiatry could contact this club by mail at the Thomas H. Jones, M.D.— General address given below, or by phone at Practice SK 2-7628 evenings, or GR 4-3076 dur­ Robert C. Maher, M.D.— Opthal- ing working hours. Any assistance mology would be greatly appreciated. John A. Moyer, M.D.— OB-GYN John H. Phillips, M.D.— Internal Ellen Curtis, Secretary Medicine Tahoma Drag and Ski Club Richard L. Pokorny, M.D.— Anes­ thesiology 4909 North 29th Copies of abstracts submitted to Dr. Tacoma, Wa. 98407 Rulon at the Washington State Medical Association Office, 444 N.E. Ravenna Boulevard, Seattle 98115, will be for­ warded to committee members for con­ HAVE YOU PAID YOUR AMPAC DUES? sideration at the next meeting of the committee in Spokane. 1 6 BULLETIN of the Pierce County Medical Society

“We don’t treat fractures like that A GOOD SAMARITAN? any more, that's obsolete.” by J a m e s L. V a d h e i m , m .d . “I’ll get you a good doctor!”

A “Good Samaritan” is thought of as “You’re all full of wire sutures—no one who renders aid, performs acts of wonder you hurt.” mercy, or lends a hand when the oc­ casion demands. Most members of the “All that wire will have to come out. medical profession believe they have a We don’t use that any more.” moral obligation to fulfill this role of a “Good Samaritan”. Unfortunately, the These phrases are a'few of the num­ actions of a small number of physicians ber which have been called to my atten­ in their relationship to other doctors tion through discussions with local col­ does not qualify them for this role. The leagues. Other examples of our lack of appalling increase in medicolegal suits ethical behavior to each other in a with the resulting exorbitant cost of third party situation can best be posed protective insurance is too familiar to as the following questions: all of us. A number of these lawsuits (a ) Do you render treatment beyond can be traced to third party actions. that necessary for the emergency situa­ The third party could be a nurse, a tion and do you fail to return the patient ward aide, an elevator girl, or anyone to his physician when the latter is avail­ rendering patient care in the hospital. able? The patients often assume anyone who renders service is capable of answering (b) Do you subject the patient to a their questions. We have little or no number of expensive and often unnec­ control over the behavior of individuals essary procedures knowing full well who provide hospital service. However, that the attending physician would per­ we should be able to depend on con­ form the same services for little if any structive support from our fellow phy­ cost to his patient? sicians. I wonder if this is always true: We are all aware of the fact that com­ (c) Do you create in the mind of the plications can occur following any ill­ patient antagonism towards his physi­ ness, that these are particularly fre­ cian by either derogatory remarks or quent in the surgical field, that they hints that he has been mistreated, aban­ often arise following dismissal from the doned, or overcharged? hospital, and that the attending physi­ cian may not be available when they (d) Do you fail to notify the attend- occur. When a second physician is ing physician of the patient’s complica­ called his attitude may well influence tion? the confidence that patient has in the original doctor. (e ) Lastly, do you make statements of fact without having the complete With the above considerations in knowledge of the original situation and mind I would like to pose the following its subsequent management? question: On seeing this patient do you make remarks similar to the fol­ If you are guilty in any manner of ding, each one of which has been one or all of the above questions, no he basis for a threatened or an actual matter how heroic you may appear in legal action? the eyes of the patient, you will never “WHO sewed be classed as a “Good Samaritan” by you up like that?’ your colleagues. THE ADVENTURES O F I EDDERJCK DELEHANTY J. RODERICK D E L E w m ADDRESSES W E COUMTY SO CIETY ~:'r- that's i ’fe

'ou a N fei0!

e 111 M l of ftte E :cu huit.’

■-•-1 K ne will have;■■ -AMD NOW GENTLEM EN, A MAN - - ;*t u>e tnatanv mote; WHO NEEDS NO INTRODUCTION ■;x Phases areaienoit TO THIS d istin gu ish ed <3*oup- ’■c^h hive been railed;oc YOUR FRIEND AND WINGERS ~ :u|i dKoisaoisjij. X RODERICK WHAT'S HIS NAME-

Cc!U'«lCr [0 ciLri tu : :in v situation can lest " i -a-wing qoestkas:

; Do vou render treacMy ::e:essiry ici die emerp^: ^r.d do vou fail toretumthe;. ; r-hvslcian vrhen thelattetj r. D o v o u su bject the paten:, " .c o r o i e x p e n s iv e iDQ ofteac ,r. procedures ii ■j-r attending physician wi! the same senates tor l f r t; has patient1

Do vou create in -.rtj'jon iiin tov.aro: " ^ -“either derogatory ie ® ■ be has been m isted or overcharged'

- Do youj fail w notiiy tit o f the patient's -.hvsician

- dv do vou mate , :• La'u-' . Lvmo- the *

;ln...... in anvany ^11 . :'oU ^ above or all oU jnav lfy

,,esoi^P^Ur iU«i as 2 ' colleague CAN Y O U HEAR ME |u FACT THAT W l MG-EL |< ACCOUNTS FOR. ITS RAF VOL/ ARE INTERESfB> IT NEUTRALIZES 3 0 0 TI* 5TDM^CM AC/D. W/H|Q| d TO ME ON M V W/Ay' HE££

WWO's THE PBQ&RWfl

^ xxrwc mat!' your colleagues. ? UH WHERE WAS I ? O H ,YES/THE- TABIUZED SHORT POLYMER PffoBABLV^ *TWITHOUT ACID RE60UMD. X KNOW C GrOOD TASTE AMD IN THE. FACT THAT !tIV £ lUGR&DIEWT V\/ef(SHT lM 4 OP a FUMWV TMIW<^ T-HAT HAPP£AJEP THERE WA5 TH(5- UH. • • • AS PROGRAM CHAIBMAW, DELEHANTYf 1 M A V E A FBEUAJG / GREAT SPEECH, THAT I 'M f DELEHAMTY. BY GOIUG- IQ WEED I THE WAV,DO YOU NO CEPtfiCTIOM \ HAVE ANY" CW YOUR V WlMGEL Obi YOU? PU6L/C SPEAKJWfr, delbw w ty BUT il/k e ' WINGEL BETTE/?.

:S!t

How about you? Could you use some WinGel? Just write J. Roderick Delehanty c/o Winthrop Laboratories Dept. CB-1, 90 Park Avenue, New York City. Rod will expedite a clinical supply of both the liquid and the non*gritty tablets.

W in G el1' i and liquid hi w°lJT ^ I,'!e.d„ ! l.Un]i.nUrn ma«ne=i""i cgnesium hydroxidesnydroxmes j~j/\J/n ff}ra p p LABORATORIES, NEW YORK, N.Y. 10016 %

"lilt

*™0 1“ «P like that?” your colleagues" B U L L E T I N of the Pierce County M edical Society 17 I do not advocate deliberate misrep­ man— this at a time in our history resentation to a patient. I do believe when our public relations is at a very that honesty must be the rule, as all of low ebb indeed. us do. I would like to suggest, though, a few rules for the profession to follow in the above-mentioned situation. Ad­ Malpractice Rates herence to these would eliminate one Getting You Down? of the causes for medicolegal excesses of our times and would make for a Get Answers Feb. 10 healthier working relation among com­ Will your malpractice insurance rates petitors within our professional com­ keep going up, up, up, UP? munity. If you’re one of those physicians who 1. Render an opinion only after the has been unhappy — and who isn’t? — facts are completely familiar to you. about the drastic increase in profes­ 2. Do everything you can to enhance sional liability insurance premiums, the stature of the attending physician better show up at the Medical Society in the mind of his patient. meeting on Tuesday, Feb. 10. Come 3. Render only the measures which loaded with your questions and expect are necessary at the least possible ex­ to get some straight-from-the-shoulder pense to the patient. answers. 4. Make certain that the patient is On hand to answer questions will returned to his physician when the lat­ be representatives from Aetna Insur­ ter becomes available. ance Co., which carries the coverage 5. Inform the attending physician as on the vast majority of physicians in to the sequence of events which oc­ Washington State. Also on the hot seat curred during his absence. will be an attorney from the law firm that counsels the Washington State 6. Never make either derogatory re­ Medical Association, plus a represen­ marks or critical statements. You were tative of the Public Laws Committee not present at the initial management of the State Association. of the patient and only the physician The meeting will not be just a list­ who rendered that management is the final authority on the situation. ing of excuses for the recent premium increases, but will also present some If you follow these rules you have of the potential solutions to the prob­ retained the leading role of a “Good lem that have been tried in other areas. Samaritan not only to the layman but The panel will also discuss measures also to your fellow physician. which local physicians might carry out As a last and summarizing statement, to reduce the threat of malpractice remember that anything you either do suits in this area, as well as to stem sky­ or say to provide the spark which ig­ rocketing insurance rates. nites the flame of a medicolegal action Aetna representatives will be William reflects indirectly upon you. Not only Sacre, Underwriting Manager, and Phil oes cause an increase in your mal­ Bollard, Claims Manager, both of Se­ practice insurance cost; but, far more attle. Dr. Robert Reeves will be the rep­ important, is the fact that your Pro­ resentative from the Public Laws Com­ fession’s diSnity and integrity has been mittee, and the attorney on the panel urther lowered in the eyes of the lay­ will be Mr. Allen Billett of Tacoma. 18 BULLETIN of the Pierce County M edical Society

DOCTORS7 OFFICES Tacoma Brace FOR RENT & Limb Co. Lenart C. Ceder, owner in new building ☆

Parkland Area Expertly fitted— Artificial Limbs Specialists Preferred Orthopedic Appliances Surgical Belts Reasonable Rent Arch Supports Trusses Utilities Furnished ☆ Call TH 5-8467 between FUlton 3-4439 11 a.m. and 2 p.m. 723 South K Street B U L L E T I N of the Pierce County Medical Society 19

February Birthdays

1 Charles B. Arnold RANKOS David W. Millett 2 Arthur P. Wickstrom PHARMACY 3 William P. Hauser 6 Herbert C. Kennedy 101 North Tacoma Avenue Don G. Willard Alfred L. Schultz 7 Donald A. Graham 10 Ronald J. Beck Lawrence P. Cutner Prescription Michele Maddalosso 15 Paul E. Bondo Druggists Thomas R. West 19 James L. Schneller 20 George A. Delaney Ada Van Dooren ★ 21 Robert Costleigh 22 Charles J. Galbraith 23 Philip C. Kyle We Carry a Complete Line of Frank J. Rigos 24 James E. Hazelrigg Biologicals and Pharmaceuticals 25 Axel Lindstrom 27 David M. Gimlett Thomas R. McDonnell ★ 28 Viola S. Van Patter

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COLUMBIA RIVER SANDY BEACH 30 ACRE INVESTMENT AND FUN OPPORTUNITY 18 miles south of Wenatchee, one mile to million dollar golf and marina. Great hunting, boating, camping or subdivision location. 180 view, private road and boat ramp in. SACRIFICE 5% DOWN, $37/FRONT FOOT. OWNER 1212 Buena Vista, Tacoma. LO 4-9878

Courfesy Medical Society Magazine Group BULLETIN of the Pierce County M edical Society 2 1

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DRUGSTORES BULLETIN of the Pierce County M edical Society 23

Time Tested Dependability Established 1889

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•'Aft Gr LAO W£ HAD T I41S l i t t l e CHAT, D O CTO R ---- I t>\ t>N 'T REALIZE HOW NAIVE YOU WERE I* » Courtesy Medical Society Magazine Group BULLETIN of the Pierce County M edical Society 25 WOMAN'S AUXILIARY PAGE . . .

AUXILIARY OFFICERS 1969-1970 WHAT’S NEW President- ______Mrs. Murray L. Johnson Being human, and average house­ President-Elect ...... —Mrs. Ralph A. Johnson 1st Vice-President & Program....Mrs. Herbert Kennedy wives as we all are (well, maybe YOU 2nd Vice-President 8c Dance....Mrs. Paul B. Smith, Jr. are above average), we often find our­ 3rd Vice-President & Dance_Mrs. Max W. Brachvogel 4th Vice-President & Legislative..Mrs. Jack Mandeville selves in a cooking rut . . . the same old Recording Secretary ______Mrs. Duncan Baer stand-bys day after day. Along comes Corresponding Secretary...... Mrs. Clarence Anderson Treasurer ...... „Mrs. Arthur Wickstrom the Tasting Luncheon and voila, what’s Dues Treasurer ...... M rs. R obert O’C onnell new? Answer: Some great dishes! COMMITTEE CHAIRMEN After last year’s luuncheon I scurried home to bake the Crab Lasagne . . . Nominating Committee and Health Council ...... Mrs. Philip Grenley it’s now one of our favorites. I’m look­ Membership ...... M rs. Jack J. E rickson Mrs. Richard Link ing forward to “tasting” something I Safety and Disaster haven’t tried yet . . . we all love sur­ Preparedness - Mrs. James R. Stilwell Historian ...... Mrs. William H. Goering prises! The Committee has promised By-Laws ...... Mrs. Thomas A. Smeall a wide variety of “tastes” this year, Paramedical..... ______Mrs. Roy H. Virak Mrs. Frederick Schwind along with two lines to speed serving. Publicity-— ...... Mrs. Dudley Houtz Bulletin ------Mrs. Bernard Pipe Come along and bring one favorite Telephone------Mrs. James Krueger guest on Friday, February 20. Mrs. Edmund A. Kanar Finance—...... _..Mrs. Robert W. Osborne Mrs. Robert Burt AMAERF— ----- Mrs. David Hopkins Social...... Mrs. Thomas B. Murphy DIAL YOUR HOSTESS Mrs. Robert Florence Speakers Bureau . Mrs. Francis Hennings “Many are called, but some don’t ar­ Community Health Service...... Mrs. R obert Crabill rive.” Forgive me for tampering with Today s Health ...... — Mrs. Ernest Randolph Representative C ouncil on S m ok in g.M rs. Carl Ekm an the Scripture but this is to emphasize a Representative C ouncil on A ging... M rs. George M oosey reminder from your Hospitality Com­ International Health...... Mrs. T heodore R. H aley Cook-Book ...... Mrs. David Dye mittee. They ask that if you indicate M rs. John F. Kem m an Cook-Book Tasting L u n ch eon M rs. M ills Law ren ce to the Telephone Committee you will Mrs. Alva Miller be at the meeting and then find you AMPAC— ...... Mrs. Wayne W. Zimmerman Minute W om en ------.....Mrs. George Tanbara must miss, please notify your hostess Mrs. Vernon 0. Larson Fashion Show ...... Mrs. Vincent Murphy at least twenty-four hours before the M rs. John F. K em m an meeting. When 89 are expected and Student Recognition C om m ..M rs. C harles C. Reberger Mrs. Joseph Katterhagen 72 arrive, there is preparation of extra food, a waste of time and money. Un­ derstandably there will be unexpected FEBRUARY MEETING emergencies, but for other reasons, FRIDAY, FEBRUARY 20, 1970 please consider the problems of the 12:00 Noon Hospitality Committee. COOKBOOK TASTING LUNCHEON St. Mary’s Episcopal Church 10630 Gravelly Lake Dr. S.W. AMA-ERF Co-Chairmen: AMA-ERF Chairman Carol Hopkins Mrs. Alva Miller reports receiving 66 donations at Christ­ Mrs. M. Edward Lawrence mas for the sum of $2,185.00. Con­ Program gratulations to the Pierce County Med­ Arts and Crafts Display ical group for their support, and to Chairman Carol for her efficient organization of Mrs. Marilyn Bourne the project. 26 BULLETIN of the Pierce County M edical Society FASHIONS THE “AYES” HAVE IT Liz Murphy and Shirley Kemman, Have you ever been a member of Co-Chairmen of the March 20th Fash­ the Nominating Committee? If so, you ion Show, plan to have tickets available understand this committee’s difficult at the Tasting Luncheon. If you are not task. President Sherry suggests that you going to be there and want tickets, con­ respond to them in the affirmative, if tact Grace Kanda, 1716 Academy, Sum­ you are called. Remember the old say­ ner, Wa. 98390. This exciting spring ing, “A busy child is a happy child.” It gala wall be held at the Tacoma Coun­ applies to adults, too. Did I just make try and Golf Club with no-host cock­ that up? tails at 11:30 a.m. Luncheon will be served at 12:30 with the Bon Marche CONDOLENCES presenting the fashion show at 1:30. Tickets are priced at $5.50. Reser­ Auxiliary wishes to extend deep sym­ vations are limited and tickets will be pathy to Margaret McBride whose fath­ on a first come, first served basis, ac­ er died recently. cording to Shirley. —In e z M. Pipe .

WOMAN OF THE YEAR SKI AND STAY OVERNIGHT at Alpental; Auxiliary has nominated our highly- condominium No. 3113. Sleeps 7; qualified member, Ruth Brooke, as our kitchen; $28 per night for four people. choice for Tacoma’s Woman of the Call Snoqualmie Pass 434-6511 Year. President Sherry reports that we have also suggested that the American Cancer Society is our preference for our share of State philanthropic funds. BEALL’S NEW BOARD MEMBER Vivienne Ehly has been appointed by The Prescription Store Piesident Sherry as Auxiliary’s repre­ sentative to the Mental Health Board. 124 Meridian South Vivienne, the wile of psychiatrist Jay P U YA LLU P Ehly, is a nurse, having a Master’s De­ gree from Boston University in Child Phone Puyallup 5-8444 Psychiatric nursing. She shares an of­ fice with her husband, working part- time, and is also the mother of Dean, 2, and Dianna, 5 months. The Ehly’s have been Tacoma residents for two DAMMEIER yeais. Florida is their native state. i AtJ t1h,e J?nuary meeting Auxiliaries Printing Co. leard Dr. Ehly's discussion of the drug Printers and Offset Lithographers problem in our community. Such was t ic interest in his definitive talk that FU 3-4925 his scheduled 20-minute speech was prolonged by a question-and-answer pe­ riod into one hour. 811 Pacific Ave. Tacoma BULLETIN of the Pierce County M edical Society 27

PERSONAL ENURESIS SERVICE Burien Professional Building 801 S.W. 150th Street, Suite G Seattle, Washington 9S166

Dear Doctor: As you know, the “conditioned re­ sponse devices” for the management of Nocturnal Enuresis have been gaining greatly in popularity for many years. Personal Enuresis Service now has available a ‘'Physicians Prescribed Program” utilizing the latest devel­ oped transistorized device, which in­ corporates an oscillator tone and high-intensity lamp as awakening agents (the single-surface pad em­ ployed with the unit increases the sensitivity for quick awakening re­ sp o n se ). The “Physicians Prescribed Program”, The only one as mentioned, now' permits your pa­ tients to use the unit (with a well- oriented Supervised- program ) at ap­ like it proximately One-third t h e usual “commercial” fee— if You, as their physician, participate in the arrang­ ing of the program. To obtain this in Pierce County savings for your patient, we have available a simple “Medical Clear­ ance Form” for your signature. This will Automatically eliminate any pro­ And the largest funeral home in gram being utilized with the patient Washington with everything in First having had a thorough check-up one place and under one man­ by you as their physician, and all or­ ganic problems ruled out. (Note: agement. One hundred beautiful For any patients in institutions, i.e. garden acres containing a ceme­ orphanages, etc., referred by the staff tery, mortuary, 2 chapels, and physician, there will be No Fee mausoleum at the same address. charged, in order to offer the same Result? Costs are lower and program for children where there are no available funds. arrangements are easier for you For any additional information re­ to make. garding our Program, please tele­ phone Personal Enuresis Service at Seattle, CI-I 2-4048. Local physician references arc also available upon re­ Mountain View quest. Funeral Home & Memorial Park Sincerely, 4100 Steilacoom Blvd. ■ JU 4-0252

Francis A. W oodcock, President Personal Enuresis Service BULLETIN of the Pierce County M edical Society 2 8 AUXILIARY MINUTES OF membership book will be called for food JANUARY MEETING donations. Sign up sheets for volun­ teers to cook were also passed around The Pierce County Auxiliary meet­ at the meeting. There is a limit of one ing was called to order January 16, guest per member. 1970, at 12 noon at the home of Mrs. B. Fashion Show Philip Grenley. Sherry Johnson, presi­ Elizabeth Murphy reported that the dent, thanked our hostess and the co- price for the fashion show has been chairmen of the luncheon, Mrs. Ted set at $5.50 per ticket. Tickets will be Haley and Mrs. George Gilman and on sale at the cookbook tasting lunch­ their committee, Mrs. James Hazelrigg, eon. Mrs. Arthur Wickstrom, and Mrs. Leo C. AMP AC Annest. Marilyn Mandeville reported that AMPAC membership dues are now The minutes of the previous meeting $20.00 annually for the husband and and the treasurer’s report were deferred. $5.00 for the wife. I. Committee Reports II. Announcements A. March of Dimes A. Cookbook Tasting Luncheon. Hellen Kittredge, chairman of the Edith Lawrence reported that the March of Dimes, made a plea to indi­ luncheon will be held at St. Mary’s Epis­ viduals to support the March of Dimes. copal Church on Friday, February 20. Helen said there has been no major fund raising drive since 1966. She announced that names from the B. Legislative Day Marilyn Mandeville announced that legislative day for the State Auxiliaries is Wednesday, January 28th, at 10 a.m. BY APPOINTMENT ONLY at the State Capitol. C. Nominating Committee A home of exceptional quality— dis­ tinctively designed for splendor in It was announced that the nominat­ living and entertaining. ing committee would meet in the next Located on the Peninsula's picturesque few days to nominate a slate of officers Raft Island, with a sweeping marine view across the propertys 130 feet for 1970-71. of lovely beach. III. Old Business Tree shaded— this delightful home A. W oman of the Year has three grand bedrooms— each with its own private bath— floor level tubs It was moved and seconded that in marDle and gold, a den, powder Ruth Brooke be our candidate for the room (V 2 bath), form al and inform al dining rooms, luxurious living room “Woman of the Year.” with floor to ceiling fireplace. B. State Auxiliary Donation Additional waterfront is available. A motion was made by Dorothy Owner is moving to Europe and must Grenley that our suggestion for the sell im m ediately at w ell below m ar­ ket value. State Auxiliary annual donation be the Please call Roger Snowden for an Cancer Society. Helen Whitney sec­ appointment to see this exceptional onded this motion.— Motion Carried. property. IV. Program for the Day BUCK & SONS REALTY CO. Dr. Jay Ehly, a Tacom a psychiatrist, gave a very topical and informative Gig Harbor talk entitled “Drug Abuse.” His com­ 858-9901 or evenings 858-3004 ments regarding parent-child relation­ ships were of special interest. BULLETIN of the Piebce County M edical Society 29 Please encourage pharmacies to use WE NEED these containers, by signing the en­ YOUR HELP closed cards and mailing them to the pharmacies most frequently used in The goal of the Poison Information your practice. It should be remembered Center, and the Pierce County Medical that in the cases of Parkinsons, paraly­ Society Poison Prevention Committee, sis, arthritis, etc., the regular contain­ is to reduce the number of ingestions ers may still be obtained by asking for of this type by encouraging the wide­ them on the prescription. Usually this spread use of these children-resistant type of patient is the only group of containers by our local pharmacies. adults that experience difficulty with the child-resistant containers. As they The Poison Information Center, at represent a small percentage of the Mary Bridge Children’s Hospital, has population, it does not warrant the con­ consistently had a significant number tinued widespread use of the regular of children under the age of 5 years, container. accidently ingesting prescription medi­ According to our information, Wash­ cation in the past 6 months. ington State Medical Society has en­ Most of these medications were pre­ dorsed the labeling of all prescriptions, scribed for adults, and it is usually as to drug and dosage. If you desire these medications which are most to have all your prescriptions labeled harmful to the little ones. this way, also check the box provided Our records show that none of these for this purpose on the cards. prescriptions were in the child-resistant Thank you for your co-operation. containers, such as Libby-Owens or Sincerely yours,

Palm-N-Turn. These containers have M a r y B r i d g e C h i l d r e n ’s H o s p i t a l shown, repeatedly, in local and na­ James L. Schneller, M.D. Chairman: tionwide studies, to reduce the num­ Poison Information Center Committee, ber of accidental ingestions of this type. M.B.C.H.; Chairman: Pierce County The additional cost of these contain­ Medical Society Poison Prevention Com­ ers is minimal (,5c more). mittee.

SAVE THE DATE! PHYSICIAN - DENTIST FIELD DAY FRIDAY, MAY 22 TACOMA COUNTRY & GOLF CLUB Mark Your Calendar NOW! "I do this at every party soon as it gets out I'm a doctor."

Courtesy Medico/ S o ciety Magazine Group B U L L E T I N of the Pierce County M edical Society

M kn/ow just Exactly h o w y o u FEEL— I goUGHT THE SAME S-TOCK\" C o u rte sy Medico/ Society Magozine Group Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 paid TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of Jan., April, July and Oct.— 6:15 p.m. Doctors Hospital Cafeteria STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept. Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 7:30 p.m. STAFF OF PUGET SOUND GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA AREA CHAPTER OF AMERICAN PSYCHIATRIC ASSOC.— First Monday of October, December, February, April and June. TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 6:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August— 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Ceccanti's PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each Month except June, July and August— 6:00 p.m. STAFF OF ALLENMORE HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAI

i M^uiviA UB-GYN SOCIETY 3rd or 4th Thurs. nfof Jan.,.Ian March, May, Sept., Nov. PiERCE COUNTY MEDICAL SOCIETY BULLETIN MARCH 1970 TACOMA, WASHINGTON V O L XLI— NO. 3

PIERCE COUNTY MEDICAL SOCIETY REGULAR MEETING MARCH 10 2 BULLETIN of the Fierce County Medical Society Pierce County Medical Society 1970 OFFICERS President - -...... Robert M. Ferguson President-Elect ...... Robert W. Florence Vice-President ...... -...... — Richard T. Vimont Secrelary-Treasurer ...... —...... _...George A. Tanbara Executive Secretary ...... Judy Gordon TRUSTEES Richard F. Barronian John M. Kanda W. Ben Blackett Theodore J. H. Smith Robert P. Crabill Richard T. Vimont Dale D. Doherty Lion G. Willard Robert M. Ferguson George A. Tanbara Robert W. Florence Wayne W. Zimmerman D ELEG ATES Robert M. Ferguson Herman S. Judd Robert W. Florence Edmund A. Kanar Kenneth D. Graham Robert W. Osborne Charles C. Reberger ALTERNATE DELEGATES Dudley W. Houtz D. A. Marlatt Vernon O. Larson William W. Mattson, Jr. Joseph G. Katterhagen John S. May Paul B. Smith, Jr. Ethics L. S. Baskin, Chairman Douglas Buttorff G. M. Whitacre Grievance Wayne W. Zimmerman, Chairman James D. Lambing Charles P. Larson Credentials John Alger, Chairman James Early E. A. Kanar J. McNerthney Program Richard T. Vimont, Chairman Public Relations Leo Annest, Chairman Public Health Harlan P. McNutt, Chairman Television Cover P h oto : Near Grand Coulee- John Comfort, Chairman James Billingsley Robert M. Ferguson Banks Lake— State Highway 155. Civil Disaster Arthur Wickstrom, Chairman Entertainment William Rohner, Chairman Diabetes Bernard Rowen, Chairman Legislative Stanley Tuell, Chairman Mental Health Harlan P. McNutt, Chairman School Health r-v »t >?• A- Harrelson, Chairman DeMaurice Moses t. Clark Alan Sobul Poison Control James L. Schneller, Chairman Health Planning Robert B. Whitney, Jr., Chairman

Liaison Dental— Kenneth Graham Pharmacy—Lt. Col. Robert G. Seherz Optometries— Paul Smith, Jr. Editorial Board Martel C ' Reberger. Editor Robert A. Kallsen geot'e A.' I^ce" Auxiliary News Editor Mrs. Bernard Pipe Business Manager Judy Gordon BULLETIN of the Pierce County M edical Society 3

How to give credit without waiting for your fee.

It works this way. We’ll supply you with BankAmericard "payoff authorization cards” which you enclose with state­ ments to your patients. The card allows your patient to authorize you to transfer your fee to his BankAmericard account —just like any other purchase. Send the drafts to your Puget Sound National Bank branch and we’ll pay you immediately. And your patient can pay us later. Ask Chuck Holmes about it. He’s the man from BankAmeri­ card at LO 4-5819. We hope he’s just what the doctor ordered. Sound National Bank © BULLETIN of the Pierce County Medical Society 4

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PROGRAM - - - 8:15 P.M.

1. PANEL DISCUSSION OF THE ANSWERING SERVICE Dr. J. Kanda Dr. G. Hoover Mrs. Lorna Jacobson Mrs. Gladys Ryder Any questions or situations for discussion may be submitted to Dr. Vimont either in writing or by verbal communication prior to March 10. r f ? 2. MOVIE PRESENTATION: “ALDOSTERONE” % Story of a “Hormone” with monographs and self evaluation forms.

Social Hour: 6:00 Dinner: 6:45 %

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0 0 0 9 0 BULLETIN of th e P ierce C oun ty M e d ica l Society 6 March Calendar of Meetings

THURSDAY FRIDAY SATURO MONDAY TUESDAY WEDNESDAY . ";Vi 5 6 7 1 2 3 4 Staff of Pierce County Tacoma General— Pediatric Society Hemotology, 6:30 p.m. Surgery Grand 6:00 p.m. Rounds— T.G.H. Oncology Study Tac. Orthopedic Group— TGH Society— 6 p.m. C.P.C. of 8-9 a.m. C.P.C. of Mary Bridge St. Joseph’s— 8 a.m. 8 a.m. 8 a.m.

10 11 12 13 9 Hematology- Pierce County Oncology Study Medical Society OB-GYN Conf. Group—-T.G.H. Staff of 8 a.m. Good Samaritan 8:15 p.m. T.G.H. 7:30 p.m. 8-9 a.m. C.P.C. of Mary Staff of Allen- Bridge— 8 a.m. more Hospital— 7:15 a.m.

16 17 18 19 20 i Tacoma Surgical Club Staff of 6:30 p.m. C.P.C. of Hematology- St. Joseph’s Medicine Grand St. Joseph’s— Oncology Study 7:30 p.m. C.P.C. of Rounds— T.G.H. 8 a.m. Group— TGH Mary Bridge 8-9 a.m. 8 a.m. j 8 a.m. CM CO 27 23 24 25 26 Tacoma Acad, of Hematology- Internal Medicine Oncology Study Group— -T.G.H. 6 p.m. Path. Cancer Pierce County Tacoma OB-GYN 8 a.m. AAGP— 6:30 p.m. Cardiac Study Grp. Con.— T.G.H. 8-9 a.m. Society T.G.H.—8 - 9 a.m. Staff of C.P.C. of Mary Mary Bridge Bridge— 8 a.m. 12:15 p.m. \ 30 31

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n a t io n a l b a n k o f Wa s h i n g t o n / t a c o m a , W a s h i n g t o n / m e m b e r f e d e r a l d e p o s i t i n s u r a n c e corporation 8 BULLETIN of the Pierce County M edical Society President's Page

Most of the physicians in the Seattle-Tacoma area are aware of overtures made by the Upjohn Company (and others) during the past year or two to introduce Multiphasic Health Evaluation programs into this part of the country. There is little doubt in anyone’s mind that the advances made in recent years in automa­ tion, data processing and storage and computer tech­ niques will in some fashion find their ways into the practice of medicine— hopefully to the benefit of both patient and physician. The only question is how, by whom, in what form, and under whose direction.

On the evening of February 20th, an invitational meeting was held in Seattle concerning this subject, hosted by a Seattle law firm of which Gordon S. Clinton is senior partner. This firm has been retained by the Upjohn Company to represent it in its efforts to establish a non-profit Foundation composed of representatives of organized medicine in this area. It is envisioned that this Foundation would in turn direct the Upjohn Company in its efforts to establish Multiphasic Health Evalua­ tion centers in the Seattle-Tacoma area. Present at the meeting were;

Drs. Thomas F. Sheehy, King County Medical Society; B. T. Fitzmau- rice, King County Medical Bureau; Arnold J. Herrmann, Pierce County Medical Bureau; Robert M. Ferguson, Pierce County Medical Society; Donal R. Sparkman, Washington-Alaska Regional Medical Program; Leon Aller, Washington State Academy of General Practice; William Hamlin, Washington State Society of Pathologists; George Tanbara, J. G. Katter­ hagen, Sherman Williamson, Boeing Company; S. P. Lehman, King County Screening Committee; Mr. William Watts, Chairman of the Execu­ tive Committee; Mr. Richard N. Schwenk, Snohomish County Medical Bureau.

It was not expected that those invited to the meeting would ulti­ mately constitute the membership of the “foundation”. The proposals of the Upjohn Company were set forth by Dr. Edward M. Wood of Tacoma.

This concept has far-reaching ramifications— medical, social and economic. It will be discussed at the next regular meeting of the Medical ociety, at which time it is hoped that the membership will express itself, either pro or con, regarding this proposal.

—R o bert M. Fe r g u so n , m .d. BULLETIN of the Pierce County M edical Society 9

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In the old Doctors Hospital it was customary to use the Chief Nurse’s office as a place to console a grieving relative. It was a business office and it looked like what it was. In the new Doctors Hospital there is a chapel, the Rosenbladt Memorial, which is small, intimate and tastefully furnished.

The Doctors Hospital, however, is nondenomina- tional even though its patients, doctors and nurses are not. The taking up of valuable floor space for an obvi­ ously religious purpose might be questioned by some, but the chapel has proved its worth. It has provided privacy for receipt of unhappy news, dignified discussion of delicate family matters and simple meditation.

The functional use of a chapel in a non-denomina- tional hospital suggests a look at religion and medicine in general. About four years ago the Medical Society had a program devoted to this subject. This discussion and subsequent activities con­ tributed in large measure to the expansion of the hospital chaplaincy program now conducted by the Tacoma Volunteer-Hospital Chaplaincy Association.

Initially these ministers rotated on a day to day basis, but the need for improved continuity resulted in a shift to rotation on a week- long tour of duty. The interest remains high and the patients appreciate these services. The weak points of the program were reviewed in a seminar held at TGH last February 10.

This seminar indicated that we have gone a long way from the polarization of doctors and preachers at each extreme of the healing ministry. This time it was the physician panelists who emphasized the need for meaningful spiritual support and it was the preachers who warned of adding to the patients’ fears with threats of hell fire and brimstone and to their feelings of guilt with chastisement for their sins.

It was generally agreed that there remains much to be done: train­ ing of paramedical personnel in what to do until the chaplain comes, consulting with physicians and nurses in ministering to patients’ needs, as one of the physician panelists brought out, occasionally minister­ ing to t e needs of nurses and physicians. The focus of this seems to BULLETIN of the Pierce County M edical Society 11

be obvious: a trained, smooth chaplain with fulltime responsibility as a hospital minister acting as religious consultant, coordinator and edu­ cator.

TG would seem to be a good place to start. Possibly Medicare and insurance groups might frown on a non-denominational hospital’s pro­ viding a chapel and office space to a “nonscientific” chaplain. But the seminar panelists agreed that the care of the sick, their friends and their relatives is often less a science than an art. And the art involves both the spirit and the soma.

The healing team concept has real merit. If you would like to par­ ticipate in future seminars, please contact Rev. Grenville Daun, Chair­ man, Tacoma Volunteer-Hospital Chaplaincy Association. He can be reached at Bethany Presbyterian Church, but LDS’s, RC’s, AC’s, GO’s, SDA’s, Zionists, Anti-Zionists, et al. are welcome.

— C. C. R. 12 BULLETIN of the Pierce County Medical Society OD1-UGN Summer D R U G -D R U G Campership INTERACTIONS An increasing number of mechan­ The ODI-UGN summer campership isms have been found where one drug committee has met twice and has asked modifies the action of another. Some me to thank all the physicians for of these interactions involve one drug their previous excellent cooperation in being prevented from reaching the site examining the boys and girls prior to of action. Three such mechanisms are: their summer camp experience. Your 1. Interference with absorption (cu- continued assistance is much needed. emid-thyroxine), 2. Induction of hepatic microsomal Any examination in the previous enzymes (phenobarbital-coumadin), twelve months should suffice unless 3. Inhibition of transport into adre­ there has been a medical change and nergic neurons ( imipramine-guanethe- of course this exam should be adequate dine). for the following twelve months for Alertness to the possibility of such school, athletics, swimming, etc. interactions is required, especially in The recommended Pierce County hospitalized patients or inout-patients Medical Society forms will be used. Re­ with chronic diseases where multiple cruiters from each of the multiservice drugs are commonly employed. Since centers ( Hilltop, South side, East side, the large number of drug-store inter­ R.E.O. and M.O.R.E.) will contact the actions challenges the memory capa­ physician’s office. All effort will be made city, an understanding of the mech­ to have the child go to his own personal anisms is essential if they are to be physician. It is again asked that these anticipated and dealt with. The Jour­ examinations be donated. All attempts nal American Medical Association, June will be made to schedule these well 9. 1969. ahead of time, but please be tolerant. For this reason we are compiling in­ formation on drugs in the pharmacy so It has been recommended that these that it will be available for the med­ children be brought into the year- ical profession. round program for Girl Scouts, Camp­ —T o m Jo n e s , R. Ph. fire Girls, Boy Scouts, YMCA and Boys St. Joseph Hospital Pharmacy Club rather than just for a one or two week camp experience. It is also hoped that the physician will consider them PARENTS WITH as regular patients. OUTSTANDING KIDS, If this is distributed among the large numbers of physicians as has been ATTENTION! done in the past, no one office should You can read this, too! have a sudden large influx of patients. If you have a college-bound high school senior see that he or she obtains —G e o r g e A. T a n b a r a , m .d . and fills out an application blank for the Women’s Auxiliary Student Recog­ nition cash award. The small amount of this award will not endanger your income tax status. College counselors HAVE YOU PAID YOUR AMPAC DUES? at all Pierce County high schools have application blanks NOW. ^ V , . .

BULLETIN of the Pierce County M edical Society 13 ^G-DRUG

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METROPOLITAN BUILDING CORP., MGRS. BULLETIN of the Pierce County M edical Society 1 5 sonal achievements and when he was IN MEMORIAM the recipient of praise, he frequently S. F. Herrmann tried to modify such recognition by cit­ A noticeable void in medical circles ing his failure, as he was his own great­ occurred a few years ago when S. F. est critic. Herrmann retired, and now death has Perhaps Sig’s outstanding quality was ended the career of this man who was a thirst for knowledge that was never indeed a rarity. He had medical judg­ completely satisfied. Amazingly, the ment and surgical ability far superior to purpose of his last trip, a trip to Mexico, most, and a wide variety of interests was to attend an art school at an insti­ outside the medical field, which he pur­ tution which granted him full college sued with diligence. credit on completion of the course. How­ His friends called him “Sig.” He was ever, aside from his frequent role as a loved and admired by all those who student, he was a fine teacher himself knew him well and held in high esteem and shared his knowledge freely with and respect by professional men and those about him. As a consultant he had laymen alike. We are all aware of the no equal. His opinion was often sought recognition as a surgeon which was ac­ after and he always responded with corded him locally, and there are few thoughtful and helpful answers. He at­ medical families in the Tacoma area tended many medical meetings and his whose surgical needs were not attended meticulous review of the program high­ to, at some time, by Doctor S. Herr­ lighted many a session. mann. This recognition extended to Next to Dr. Herrmann’s outstanding other boundaries as well, as he was one ability and proficiency as a surgeon and of the true instigators of real surgical his passion for the getting and giving progress throughout this area and set of knowledge, stands his dedication to standards to which we all should aspire. the goal of world peace. He actively par- He was highly thought of by the fellow ticipted in organizations which dealt members of the various out-of-town sur­ with that subject and freely gave him­ gical groups to which he belonged and self to peoples throughout the world. his absence at any of the meetings was His travels under the auspices of “The always a matter of concern and disap­ People-to-People Program” and his mis­ pointment. He was truly a “Surgeon’s sions on the “Hope Ship”are examples of Surgeon.” his dedication to make this a better The strict discipline of his youth was world. Few of us will forget Sig; and, followed throughout his life. He pos­ certainly not those of us who had the sessed a most orderly mind and filled privilege of enjoying his companion­ each day with productive and stimulat­ ship, as I did, in the years we officed ing activities. Only perfection was ac­ together. His loss is a loss not only to ceptable to him and he expected the the community but to the surgical and same from those about him. Mediocrity, medical professions in general and par­ complacency, and dishonesty were not ticularly to the Pacific Northwest. But, tolerated. He was a man of high integ­ he left so many things—a wonderful rity, completely honest with himself family, a multitude of grateful patients, and his contemporaries. He expressed a widespread recognition, and a host of his opinion readily and was remarkably friends wherever he went. We should frank in his conclusions. He was quick be grateful that he was spared to us to recognize and congratulate the suc­ this long. cess of others. He never boasted of per­ —J a m e s L. V a d h e i m 16 ______BU LLETIN of the P ie r c e C oun ty M ed ical Society have regarded this as rhabdomyosarco- ■ Allenmore ma, liposarcoma, or myxosarcoma. The j Grand Rounds microscopic similarity of these tumors was emphasized and also the dismal At noon on the third Friday of each prognosis of these tumors when they month Grand Rounds are held at the occur in the extremeties. Allenmore Hospital Doctor’s Lounge. A This patient was presented as a two- light lunch is provided and the pro­ year followup. She is still doing well gram usually consists of two separate and has no evidence of the recurrence presentations of cases or medical sub­ of her lesion. This case will be report­ jects. At the last meeting held on Feb­ ed, since it is apparently the first lesion ruary 20, 1970, the case presentations of this kind to occur in the lung paren- , were made by Dr. Galbraith and by chyma. ! Dr. McNerthney. Case No. 2: Dr. McNerthney pre­ Case No. 1: Dr. Galbraith presented sented a 29 year old Gravida III, Para a 55 year old woman with loss of III woman in her second marriage. She j weight extending over three months be­ had delivered about eight weeks before | fore she was seen. A flocculent density she was seen with her present illness, 1 was apparent in the left lower lobe with and two weeks before she had been ! decreased breath sounds. There was seen for her six-week check and that J no change following a two-week follow- examination was normal. I up with antibotics. On bronchoscopy material was found in the left lower Her chief complaint on admission '■! lobe bronchus which resembled a for­ was low abdominal pain. Her pulse was eign body and when this was removed 116 and she was moderately febrile. some purulent exudate appeared from KUB and chest films were normal. The , behind this material. Pathologically this CBC showed a 28,000 white count with ? material appeared to be necrotic tissue. 10 grams of hemoglobin. | Although the patient was to return The question was raised of possible j in one week, she came back in two PID. During the night her tempera- i months and a repeat x-ray was similar ture rose to 101°. She was on antibi- 1 to that seen previously. She refused otics continually. The white count fell J bronchoscopy and several days later re­ to 13,700 and the hemoglobin also fell J turned cyanotic with clouding of the to 9 grams. The hemoglobin check at | whole left lung. The bronchoscopy was 8:00 P.M. revealed an 8.5-gram level. I permitted and this time the lesion The progressive fall in hemoglobin 1 looked like a cyst below the carina. A was felt to be significant and the abdo- I biopsy of this revealed undifferentiated men was tapped. There was no return | sarcoma, classed as a myxosarcoma. at first. The tube was permitted to 1 This patient was explored. No adhe­ run into the receptacle and shortly later 1 sions of note were encountered. The the receptable became filled with blood. J hilar nodes were not enlarged. The left The patient was taken to the Operat-1 lower lobe was completely indurated by ing Room and through a low abdominal 1 the neoplasm and a left pneumonec­ incision a ruptured corpus luteum fol- | tomy was done. licle was found along with about 200 The gross and microscopic findings cc. of blood in the cul-de-sac. The cor­ were presented in photographs and pus luteum was not felt logically to slide projections. Various investigators account for the large amount of blood

TRANCO-GE chlormezanone 100 mg. with aspirin 300 mg.

Pain perception...mental tension... muscle tension^spasrn This trilo g y o f p a in is frequently implicated in your patient’s o discomfort. TRANCO-GESIC produces over-all relief because’j ... analgesia to combat pain .. .tranquilization to calm tension ... muscle relaxation to assure comfort and ease of moveme • o ra l non-narcotic analgesic • dependable muscle relaxation and tranquilization —acts peripherally on the neuromuscular apparatus —acts centrally on subcortical and cortical areas • g e n e ra lly well tolerated • su ita b le for prolonged administration

Action: Pain related to spasm, particularly skeletal muscle spasm associated with injuryydif stress, and tension, can be relieved by a muscle relaxant and tranquilizer such as chlormpl Chlormezanone is an orally effective muscle relaxant and tranquilizer that acts both on>th' nervous system and peripherally on the neuromuscular apparatus. In musculoskeletal hyU conditions the cycle of muscle spasm or splinting and pain can be interrupted. Greater r^lif results when the relaxant and tranquilizing actions of chlormezanone are combined wijhlf well-known analgesic effect of aspirin. In addition, the distinct antiinflammatory action o| helpful when pain is related to local swelling or edema, whereas its antipyretic action rejig general discomfort from any accompanying febrile reaction. Thus, in the treatment of pn acute or chronic pain, TRANCO-GESIC provides more effective control than do aspiring^ analgesics alone. m Contraindications: Contraindicated in patients with a history of a previous hypersensiti| chlormezanone. TRANCO-GESIC should not be administered to persons known or susg * an idiosyncrasy to aspirin. Warnings: Should drowsiness occur, the dose should be reduced; and if this should coi patient should not operate a motor vehicle or any other dangerous machinery whiie tax Usage in Pregnancy—Sale use of this preparation in pregnancy or lactation has not Ije as no animal reproductive studies have been performed; therefore, use of the drug Inf lactation, or in women of childbearing age requires that the potential benefit of the a l against its possible hazards to the mother and fetus. ° r Adverse Reactions: Adverse effects reported to occur with TRANCO-GESIC include din flushing, nausea, gastric distress, drowsiness, depression, edema, inability to voiM Medication should be discontinued or modified as the case demands. ,:j£ Jaundice, apparently of the cholestatic type, has been reported a$ occurring rarejy«c chlormezanone, but was reversible on discontinuance of therapy. vs Dosage and Administration: The usual adult dose is 2 tablets of TRANCO-GESIC'tl daily. 1 J t The dose suggested for children from 5 to 12 years is 1 tablet tfijpe or four tlnte TRANCO-GESIC Is so well tolerated that it may usually beteken^n an empty,! effect. Relief of symptoms is often apparent in fifteen tonhirty minntesarate last up to six hours or longer. How Supplied: Bottles of 100 and 1000 tablets, ^ j l

\W / n th r v p WINTHROP LABORATORIES^ Ng

ie projections. Various investigators account for the large amount of blood Bo u n t y M e d i c a l S o c i e t y 17 Notes From the Hematology-Oncology Study Group RANCO-GESIC SAMPLE OFFER Much advance has been made in the treatment and prognosis of malignant lymphomas. One of the major factors d receive a clinical supply responsible for the improvement in fTRANCO-GESIC tablets, prognosis has been the acceptance of mply fill in your name and address the concept of staging. nd mail this reply card. “Staging” refers to defining as accu­ rately as possible the location and ex­ tent of disease prior to treatment. There are various systems of staging, but the Hematology-Oncology Study Group has accepted the following as a guideline to its program.

Stage I— Disease limited to one no­ dal area, e.g., single cervical node or O "O CD single inguinal node. Stage II— Disease limited to contig­ uous nodal areas on one side of the diaphragm, e.g., cervical and medias­ tinal involvement.

Stage III—disease on both sides of the diaphragm without extension into non-nodal areas, e.g., cervical, medias­ tinal and retoperitoneal node involve­ ment.

Stage IV — Extensive involvement above and below the diaphragm with extension into other organs, such as liver, lung parenchyma, etc.

Staging the patient thoroughly be­ fore treatment dictates the selection of treatment modalities which in turn im­ prove the accuracy of prognosis.

Next month these notes will include the various diagnostic tools and pro­ cedures that are used in staging.

— J. G. K a t t e r h a g e n , m .d . when simple analgesics are simply not enough... TRAN t - chlormezanone lOOj Non-narcotic Pain perception... mental t TRANCO-GESIC* This trilogy of pain is frequej tablets discomfort. TRANCO-GESIC, chlormezanone 100 mg. with aspirin 300 mg. .. .analgesia to combat pal . . . tranquiiization to calml analgesia ... muscle relaxation to asj to combat pain • o ra l non-narcotic analges tranquiiization • dependable muscle relaxa to calm tension —acts peripherally on t —acts centrally on subc muscle relaxation i to assure comfort • g e n e ra lly well tolerated ' and ease of movement i • su itab le for prolonged adr

Action: Pain related to spasm, particular stress, and tension, can be relieved by a Chlormezanone is an orally effective mu nervous system and peripherally on the conditions the cycle of muscle spasm or results when the relaxant and tranquilizi well-known analgesic effect of aspirin. Ir helpful when pain is related to local swel general discomfort from any accompany o acute or chronic pain, TRANCO-GESIC p CD analgesics alone. [ to chlormezanone. TRANCO-GESIC should •J3 > an idiosyncrasy to aspirin. 1 zo Warnings: Should drowsiness occur, the 7s r+IS £/) > patient should not operate a motor vehic < -z. Cfl P 73 Usage in Pregnancy—Safe use of this pr ■ 2 > ',j|j as no animal reproductive studies have t -< /— CD OJ CJ lactation, or in women of childbearing ai ' rn Q r\i 2 against its possible hazards to the mothi o > P? Adverse Reactions: Adverse effects repor - i 2 O flushing, nausea, gastric distress, drows 33o (D > Medication should be discontinued or m -CO Jaundice, apparently of the cholestatic t O chlormezanone, but was reversible on di Dosage and Administration: The usual ad daily. The dose suggested for children from 5 TRANCO-GESIC is so well tolerated that il effect. Relief of symptoms is often appai last up to six hours or longer. How Supplied: Bottles of 100 and 1000t< I

WINTHROPLABORA

w ere— preseiTireci - in ' pxiuLOgr; . lure^rn was not teit logically to slide projections. Various i: •ccount for the large amount o f blood 7

BULLETIN o f th e Pierce County Medical Society 17 and palpation of the abdominal organs revealed a soggy bleb on the spleen. A Notes From the new incision was made and the spleen Hematology-Oncology was found to be split. Study Group The patient had denied blunt trauma to the abdomen but apparently there Much advance has been made in the had been a family scufflle and it was treatment and prognosis of malignant presumed that during this the spleen lymphomas. One of the major factors had been injured. responsible for the improvement in This presentation pointed out the prognosis has been the acceptance of advisability of leaving the peritoneal the concept of staging. tube in even though the first return is “Staging” refers to defining as accu­ clear. Dr. Galbraith indicated that if rately as possible the location and ex­ spontaneous appearance of blood was tent of disease prior to treatment. not obtained even after waiting, an ab­ There are various systems of staging, dominal Irrigation with Ringer’s solu­ but the Hematology-Oncology Study tion would have been advisable before Group has accepted the following as considering the tap negative. The other a guideline to its program. emphasis here was the necessity to con­ duct a thorough search for multiple Stage I— Disease limited to one no­ points of bleeding. dal area, e.g., single cervical node or single inguinal node.

Stage II—Disease limited to contig­ uous nodal areas on one side of the IN MEMORIAM diaphragm, e.g., cervical and medias­ Leland J. Bland tinal involvement.

Word has been received here of the Stage III— Disease on both sides of death of Dr. Leland J. Bland on Febru­ the diaphragm without extension into ary 19, 1970, at the Mayo Clinic where non-nodal areas, e.g., cervical, medias­ he had been under treatment since tinal and retoperitoneal node involve­ January 11, 1970. ment.

Dr. Bland was born on May 11, 1904 Stage IV — Extensive involvement in St. Louis, Missouri, and graduated in above and below the diaphragm with 1932 from Rush Medical College. He extension into other organs, such as took a residency at Cook County Hos­ liver, lung parenchyma, etc. pital and moved to Tacoma in 1943 where he was in general practice. He Staging the patient thoroughly be­ continued in this practice until shortly fore treatment dictates the selection of before his death. treatment modalities which in turn im­ prove the accuracy of prognosis. Dr. Bland was a respected member of the Pierce County Medical Society Next month these notes will include and will be missed by the members of the various diagnostic tools and pro­ this group. cedures that are used in staging.

—R o b e r t A. O’c o n n e l l , m .d . — J. G. K a t t e r h a g e n , m .d . 18 BU LLETIN of the Pierce County Medical Society

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March Birthdays

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DRUGSTORES BULLETIN of the Pierce County M edical Society 23

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I fM E >O C TO R W as PEC. 1&E> T o STOP BAC>G££|NJO US F^R HIS FEE T B I £ BILL SAYC 'FINAL IMOTIC. E ' J * Courtesy Medical Society Magazine Group BULLETIN of the Pierce County M edical Society 25 WOMAN'S AUXILIARY PAGE . . .

AUXILIARY OFFICERS 1969-1970 After the very successful Tasting

President -...... Mrs. Murray L. Johnson Luncheon last month, we are now look­ President-Elect ...... Mrs. Ralph A. Johnson ing forward to the March 20th Lunch­ 1st Vice-President 8c Program ...Mrs. Herbert Kennedy 2nd Vice-xPresident & Dance....Mrs. Paul B. Smith, Jr. eon and Fashion Show, co-chairmaned 3rd Vice-President & Dance-Mrs. Max W. Brachvogel by Liz Murphy and Shirley Kemmen. 4th Vice-President & Legislative..Mrs. Jack Mandeville R ecording S ecretary- —...... — M rs. D u n ca n Baer Tickets were sold at the Tasting Lunch­ Corresponding Secretary...... Mrs. Clarence Anderson eon, and if you don’t have yours at this Treasurer-...... Mrs. Arthur Wickstrom Dues Treasurer ...... Mrs. Robert O’Connell late date, you may contact Grace Kanda, 1716 Academy, Sumner 98390. Mem­ COMMITTEE CHAIRMEN bers and guests will gather for no-host Nominating Committee and cocktails at 11:30 a.m., luncheon at Health Council ...... Mrs. Philip Grenley Membership-...... Mrs. Jack J. Erickson 12:30, and the fashion show, presented Mrs. Richard Link Safety and Disaster by the Bon Marche, at 1:30 p.m. Tickets Preparedness _ Mrs. James R. Stilwell are $5.50. Historian ...... Mrs. William H. Goering By-Laws—______Mrs. Thomas A. S me all Paramedical ______Mrs. Roy H. Virak Mrs. Frederick Schwind WELL-BABY CLINIC Publicity...... — ...... Mrs. Dudley Houtz Bulletin ______Mrs. Bernard Pipe Telephone...... Mrs. James Krueger You should know about the Well-Baby Mrs. Edmund A. Kanar Clinic, which began operation Febru­ Finance- ...... -.Mrs. Robert W. Osborne Mrs. Robert Burt ary 19 at St. Mary’s Episcopal Parish AMAERF ...... Mrs. David Hopkins Social______Mrs. Thomas B. Murphy Hall in Lakewood. Future clinics will be Mrs. Robert Florence held the first Thursday of each month Speakers Bureau . Mrs. Francis Hennings Community Health Service Mrs. Robert Crabill starting April 2, 1970, at 9:00 a.m. Today's Health ...... Mrs. Ernest Randolph Representative Council on Smoking..Mrs. Carl Ekman The clinic staff will include Mrs. Re­ Representative Council on Aging... Mrs. George Moosey International Health Mrs. Theodore R. Haley becca Tarry and Mrs. Margaret Osborn, Cook-Book ...... Mrs. David Dye public health nurses; Mrs. Joyce Per­ M rs. Joh n F. K em m an Cook-Book Tasting Luncheon ___ Mrs. Mills Lawrence ry, licensed practical nurse; and Drs. Mrs. Alva Miller AMPAC ...... Mrs. Wayne W. Zimmerman David Sparling and William Coyner. Minute Women ______Mrs. George Tanbara Additional help will be provided by the Mrs. Vernon O. Larson Fashion Show...... Mrs. Vincent Murphy Lakewood Junior Women’s Club. Mrs. John F. Kemman Student Recognition Comm...Mrs. Charles C. Reberger Mrs. Joseph Katterhagen Children between the ages of 3 weeks and 5 years from low-income families or those families unable to afford a visit to their own physicians are eligible. All SDPA supported children are ac­ “A light exists in spring cepted, including foster children. Not present on the year At any other period, TIDBITS When March is scarcely here.” Did you know that . . . Emily Dickinson’s poetic expression Kathleen Skrinar has been appointed on the joys of spring finds a sympa­ to the board of The Human Relations thetic audience at this time of year Commission for the city of Tacoma . . . when each sunny day promises an Norma Smith, mother of six, is pursu­ unusually early blossoming for our ing a degree in Sociology at the Uni­ Puget Sound country. versity of Puget Sound . . . 26 BU LLETIN 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 Jeanne Judd and husband are touring HELP the South Sea Islands . . . There is a problem for patients look­ Phyllis Erickson is on the State Board ing for a physician to take care of his of the League of Women Voters . . . medical needs. If a private patient has to contact 5 or 6 physicians before be­ Lorna and Bob Burt will fly to France ing able to obtain care, a public as­ in early summer to join their daughter, sistance or a patient unable to pay for Carolyn, who has been studying in Ren­ his care has a tenfold problem. If any­ nes this year with the UPS Studies one doubts this, try using a pseudonymn Abroad program . . . to obtain medical care. Bev and Kenneth Graham are welcom­ As a result of a questionnaire circu­ ing a baby son, their fourth child, born lated among the Pierce County physi­ February 9th . . . cians last Fall, the following physicians have indicated that they will be willing Joanne Johnson, our president-elect, to see patients regardless of finances. was once an instructor in medical-surgi- Their names will be given to the De­ cal nursing at Mayo Hospital . . . partment of Public Assistance, military Helen and Bob Florence’s daughter, service centers, Public Health Depart­ Jane, is a Daffodil princess, represent­ ment and hospitals. Any omissions or ing Stadium High School . . . the second others desiring to have their names add­ of their lovely daughters to be so hon­ ed please notify the Pierce County Med­ ored. ical Society office. It is realized that each office already cares for these pa­ tients in their own manner and this NOMINATED certainly is appreciated. This list is to be hopefully used to avoid further frus­ Nominating Committee Chairman tration for the patient. Dorothy Grenley has presented the fol­ Doctors Anwar, Banfield, Betteridge, lowing slate of officers for 1970-1971: Bond, Brigham, Dodge, Duffy, Dye, President, Joanne Johnson; President­ Ehly, Ekman, Ellis, Gilman, Godfroy, elect, Nadine Kennedy; 1st Vice-Presi­ K. Graham, Haley, D. Johnson, M. dent, Judy Brachvogel; 2nd Vice-Presi- Johnson, Kase, Katterhagen, Kemp, dent, Rena Link; 3rd Vice-President, Klein, Lawrence, Mattson, Millett, Mis- Phyllis Erickson; 4th Vice-'President, kovsky, Moses, Origines, Osborne, Span­ Carol Hopkins; Recording Secretary, gler, Tisdale, Tanbara, Tuell, M. Voze- Janet Anderson; Treasurer, Dee Wick- nilek and Zimmerman. strom; Dues Treasurer, Florence Dean. —G e o r g e A. T a n b a r a , m .d . —I n e z M. P i p e .

DAMME 1 E R BEALL’S Printing Co. Printers and Offset Lithographers The Prescription Store

F U 3-4925 124 Meridian South P U YA LLU P 811 Pacific Ave. Tacoma Phone Puyallup 5-8444 T

BULLETIN of the Pierce County M edical Society 27

PERSONAL ENURESIS SERVICE

Burien Professional Building 801 S.W. 150th Street, Suite G Seattle, Washington 98166

Dear Doctor: As you know, the “conditioned re­ sponse devices” for the management of Nocturnal Enuresis have been gaining greatly in popularity for many years. Persona] Enuresis Service now has available a “Physicians Prescribed Program” utilizing the latest devel­ oped transistorized device, which in­ corporates an oscillator tone and high-intensity lamp as awakening agents (the single-surface pad em­ ployed with the unit increases the sensitivity for quick awakening re­ s p o n s e ). The “Physicians Prescribed Program”, The only one as mentioned, now permits your pa­ tients to use the unit (with a well- oriented Supervised program) at ap­ like it proximately One-third the usual “commercial” fee—if You, as their physician, participate in the arrang­ ing of the program. To obtain this in Pierce County savings for your patient, we have available a simple “Medical Clear­ ance Form” for your signature. This will Automatically eliminate any pro­ And the largest funeral hom e in gram being utilized with the patient Washington with everything in First having had a thorough check-up one place and under one man­ by you as their physician, and all or­ ganic problems ruled out. (Note: agement. One hundred beautiful For any patients in institutions, i.e. garden acres containing a ceme­ orphanages, etc., referred by the staff tery, mortuary, 2 chapels, and physician, there will be N o F ee mausoleum at the same address. charged, in order to offer the same Result? Costs are lower and program for children where there are no available funds. arrangements are easier for you For any additional information re­ to make. garding our Program, please tele­ phone Personal Enuresis Service at Seattle, CH 2-4048. Local physician references are also available upon re­ Mountain View quest. Funeral Home & Memorial Park Sincerely, 4100 Steilacoom Blvd. ■ JU 4-0252

Francis A. W oodcock, President Personal Enuresis Service 28 BU LLETIN of the Pierce County Medical Society C.O.M.E., Progress Report BY APPOINTMENT ONLY The College of Medical Education A home of exceptional quality— dis­ formed by the Continuing Education tinctively designed for splendor in Committee of the Pierce County Med­ living and entertaining. ical Society and the University of Pu­ Located on the Peninsula's picturesque Raft Island, with a sweeping marine get Sound is currently conducting two view across the propertys 130 feet courses at the University campus. of lovely beach. The course for physicians “Coronary Tree shaded— this delightful home Care” has proved successful and was has three grand bedroom s— each with its own private bath— floor level tubs therefore offered the second time. This in marble and gold, a den, powder class meets every Wednesday evening room C/2 bath), formal and informal dining rooms, luxurious living room and will continue through April 1. with floor to ceiling fireplace. The Continuing Education program Additional waterfront is available. for nurses “Current Drug Therapy” also Owner is moving to Europe and must sell immediately at well below mar­ meets every Wednesday evening and ket value. will terminate March 11. The attend­ Please call Roger Snowden for an ance at this course is heavy and con­ appointment to see this exceptional tinued demands indicate that it should property. be repeated for others. BUCK & SONS REALTY CO. The overall response to the Continu­ ing Education Program has been en­ Gig Harbor thusiastically received by both nurses 858-9901 or evenings 858-3004 and physicians. Future courses will soon be announced.

— J . G . K a t t e r h a g e n , m .d .,

LAKEWOOD CONVALESCENT CENTER "Ad Summum Nitamur" We Strive for the Highest

Extended care, nursing home care and self-care units make up this health care complex. Services are tailored to meet patient needs by means of a broad range of medical, nursing and paramedical programs. Standards are set high to insure continuity of care consistent with the quality of care in the acute care section of Lakewood General Hospital. The 130 bed center is directed by the Lakewood General Hospital Staff, Board of Governors and Administration.

5702 -100th Street, Southwest Tacoma, Washington 98499 JU 8-1711 JU 2-3777 JU 2-3778 BULLETIN of the Pierce County M edical Society 29 ence. This has brought about the capa­ Last Month's Meeting bility of bringing suit just about any­ An unusually filled auditorium greet­ time. Mr. Sacre stressed that if a risk ed the participants in the Medical Mal­ cannot be rated it is not insurable. The practice Litigation Seminar. The read­ erasure of the statute of limitation pre­ ing and approval of the minutes closed vents rating. This “tail” of malpractice out the business of the Society. Panel liability means that the premiums paid moderator Stan Tuell warned us that in 1960 must cover a claim made in one of every five in the auditorium 1980 or 1990 for the alleged misdoing would be faced with a malpractice suit way back when the rates were lower. before retirement. Essentially, said he, people now ex­ William Sacre, Underwriting Man­ pect good health as a constitutional ager for Aetna Life and Casualty Com­ right and will sue if they don’t get it. pany, pointed out the rising malpractice insurance rates and explained that the The case presentation by Phil Bol­ insurance companies are not trying to lard, Claims Manager for Aetna, gouge doctors. Rather there is a whole­ brought out the rising cost of closing sale flight by insurance companies away out claims where there isn’t even a set­ from handling medical malpractice at tlement or a suit. Now, there seems to all. Aetna has been serving without be no way of really closing these out. interruption in the Tacoma area since What seemed to be an unreasonable 1913. Mr. Sacre read some paragraphs claim yesterday may seem a reasonable from the National Observer article on one tomorrow. "How do you adjust the malpractice problems in California premium for 1970,” he asked, “to take which labeled this as a crisis. Attorneys, care of the case which finally comes to he read, concede that the most import­ light in 1986?” In some of these old ant causal factor has been the liberal cases the doctors have retired, the attitude of the courts not only in nurses may have died or moved away, breathtaking awards but in stretching and the office records may be faded or the statute of limitation into nonexist­ even irretrievable.

SAVE THE DATE ! PHYSICIAN - DENTIST FIELD DAY FRIDAY, MAY 22 TACOMA COUNTRY & GOLF CLUB Mark Your Calendar NOW! 30 BU LLETIN of the Pierce County M edical Society

Phil Bollard, Claims Manager for Aetna Life and Casualty in Seattle, discusses awards and costs of medical defense in medical malpractice litigation trials. Panelists seated at the table (left to right) are: William Sacre, Underwriting Manager for Aetna Life and Casualty, Seattle, Allen Billett, Defense Attorney, Tacoma and Robert L. Reeves, M.D., Olympia, member WSMA Public Laws Committee.

Occipital view how many can you identify? This picture puzzle of assorted bald spots shows a portion of the excellent attendance at the malpractice seminar at the February $oetety- mootiag,______^ \ 7

•— - — —

BULLETIN o f the Pierce County M edical Society 31

Bob Reeves, a member of the Wash­ In response to the question of con­ ington State Medical Association Public tingency fees, Mr. Billett expressed Laws Committee, stressed the detrimen­ disapproval of the practice. This seemed tal effect of the malpractice climate. to originate with the automobile insur­ The patient has to pay, however indi­ ance litigation and has been trouble­ rectly, for the rising malpractice costs; some in this area of insurance also. Bill the doctor can’t even dare to practice Mattson asked about using a trip-type without coverage and, even if coverage insurance machine, possibly installed in is available, a bad malpractice climate the hospital, for the patients but it was discourages the influx of new doctors. pointed out that even if the patient had He outlined the many activities of the a bad trip and collected his machine WSMA Public Laws Committee and insurance, he still had the right to sue stressed the importance of doctors’ tak­ the doctor, hospital or whatever. The ing the time to discuss the proposed questions went on and on, and small legislative changes with their elected discussion groups could be seen on St. representatives. The American Trial Helens and Market Street long after the Lawyers, he said, are opposed to prac­ meeting ended. tically any change. Allan Billett, Tacoma attorney, joined the other three panelists for questions. Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. PERMIT No. 300

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MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of Jan., April, July and Oct.— 6:15 p.m. Doctors Hospital Cafeteria STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept. Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 7:30 p.m. STAFF OF PUGET SOUND GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA AREA CHAPTER OF AMERICAN PSYCHIATRIC ASSOC.— First Monday of October, December, February, April and June. TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 6:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August— 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Ceccanti's PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each Month except June, July and August— 6:00 p.m. STAFF OF ALLENMORE HOSPITAL Third Friday of March, June, September, December—■ 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. TACOMA OB-GYN SOCIETY 3rd or 4th Thurs. of Jan., March, May, Sept., Nov. I PIERCE COUNTY MEDICAL SOCIETY

PIERCE COUNTY MEDICAL SOCIETY REGULAR MEETING APRIL 14 BULLETIN 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 of the Pierce County Medical Society 1970 OFFICERS „ »jt Robert M. Ferguson P-I^Ulect R^ardWT.“

g , oW a Executive Secretary — Jud’' '-ornon t r u s t e e s Richard F. Barronian John M. Kanda - W . Ben Blackett Theodore J. H . Sm,lh Robert P. Crabill Richard T. Vimont Dale D. Doherty Don G. Willard Robert M. Ferguson George A. lanbara Robert W. Florence Wayne W. Zimmerman D E LE G A TES Robert M. Ferguson Herman S. Judd PnhoH VV Florence bdmund A. Ivanar Kenneth D Grahnam Robert W. Osborne Charles C. Reberger ALTERNATE DELEGATES Dudley W. Houtz D. A. Marlatt Vernon O. Larson William W. Mattson, Jr. Joseph G. Katterhagen John S. May Paul B. Smith, Jr. Ethics Douglas P. Buttorff, Chairman G. Marshall Whitacre Lawrence Brigham Grievance Wayne W. Zimmerman, Chairman James D. Lambing Charles P. Larson Credentials James F. Early, Chairman Edmund A. Kanar Ralph Johnson Frederick J. Schwind Program Richard T. Vimont, Chairman Public Relatfons Paul B. Smith, Jr., Chairman Public Health Harlan P. McNutt, Chairman Cover photo courtesy of Lee Merrill. Television John F. Comfort, Chairman D. T. Baer Gordon Dean Orvis A. Harrelson Civil Disaster Arthur Wickstrom, Chairman Entertainment William Rohner, Chairman Diabetes Bernard Rowen, Chairman Legislative Stanley Tuell, Chairman Mental Health James W. Boudwin, Chairman School Health O. A. Harrelson, Chairman DeMaurice Moses T. Clark Alan Sobul Poison Control James L. Schneller, Chairman Health Planning James E. Hazelrigg, Chairman Liaison Thomas H. Skrinar, Chairman Pharmacy—Lt. Col. Robert G. Scherz Optometries— Paul Smith, Jr. Medical-Legal Review Board Edftorial Board Wayne W. Zimmerman, Chairman M arcel M alden Stanley W . Tuell Robert A. Kallsen George A. Race Medical Education .L* t Katterhagen, Chairman Auxiliary News Editor Marcel Malden Glenn Brokaw Mrs. Bernard Pipe George Barnes Robert Crabill Business Manager Richard Vimont James DufTy Judy Gordon BULLETIN of the Pierce County M edical Society 3

How to give credit without waiting for your fee.

It works this way. We’ll supply you with BankAmericard “payoff authorization cards’’ which you enclose with state­ ments to your patients. The card allows your patient to authorize you to transfer your fee to his BankAmericard account — just like any other purchase. Send the drafts to your Puget Sound National Bank branch and we’ll pay you immediately. And your patient can pay us later. Ask Chuck Holmes about it. He’s the man from BankAmeri­ card at LO 4-5819. We hope he’s just what the doctor ordered. Puget Sound National Bank © 4 BU LLETIN of the Pierce County M edical Society <

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on Optical PIERCE COUNTY MEDICAL SOCIETY MEETING ipany Tuesday, April 14

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MONDAY TUESDAY WEDNESDAYTHURSDAYFRIDAY SATUljj 1 2 3 Pierce County 4 1 Pediatric Society Surgery Grand 6 :0 0 p.m . Hemotology, Rounds—T.G.H. Oncology Study 8-9 a.m. C .P.C . of Group— TGH St. Joseph’s— 8 a.m. 8 a.m.

6 7 8 9 10 Hematology- 11 1 Tac. Chap. C.P.C. of Mary Oncology Study American Bridge—8 a.m. OB-GYN Conf. Group—T.G.H. Psychiatric T.G.H. Assoc. 8-9 a.m.

13 14 15 16 17 Pierce County 1 8 1 Medical Society Hematology- Staff of Doctors 8 :1 5 p.m . C.P.C. of Oncology Study Hospital Medicine Grand St. Joseph’s— Group— TGH 6 :1 5 p.m . C.P.C. of Rounds—T.G.H. 8 a.m. 8 a.m. Mary Bridge 8-9 a.m. 8 a.m.

20 21 22 23 24 25

Tacoma Hematology- Surgical Club Path. Cancer Oncology Study 6 :3 0 p.m . Tacoma OB-GYN Group—T.G.H. Con.—T.G.H. ' I 8-9 a.m. Society 8 a.m. C.P.C. of Mary Bridge—8 ajn.

27 28 29 30 Tacoma Acad, of Internal Medicine 6 p.m . Medicine Grand Pierce County Rounds—TGH AAGP—6:30 p.m. C.P.C. of 8-9 a.m. Mary Bridge 8 a.m.

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"I do this at every party soon as it gets out I'm a doctor." Courtesy Medical Society Magazine Group 11 BULLETIN of the Pierce County M edical Society “The treatment of tibial shaft frac­ SURGICAL CLUB TO tures.” Loy E. Cramer, M.D. HOLD ANNUAL MEET “Cholecystectomy without drainage. Charles J. Galbraith, M.D., and (by in­ vitation) William S. Sullivan, M.D. “Spontaneous rupture of the esopha­ gus.” J. Lawrence Smith, M.D. “The use of Epsilon Aminocrapoic Acid (AMICAR) to reduce blood loss after trans-urethral resection of the prostate.” Robert W. Osborne, M.D. “Metabolic aspects of peripheral nerve repair.” L. Stanley Durkin, M.D. “Diagnosis and treatment of Slipped Upper Femoral Epiphysis.” George C. Gilman, M.D. The evening session, the annual banquet at the Winthrop Hotel in Ta­ coma, will begin with a social hour at 6:30 p.m. and dinner at 7:30 p.m. The address of the evening will be “Limb Replantation” by Doctor Frank, presenting experience in this field at the University of Oklahoma Medical Gael R. Frank, M.D. Center. The 39th Annual Meeting of the Tacoma Surgical Club will be held Sat­ urday, May 2, 1970. The guest speak­ er will be Gael R. Frank, M.D., Associ­ MEDICAL OFFICE ate Professor of Orthopaedic Surgery ASSISTANTS TRAINING and Fractures, University of Oklahoma Clover Park Education Center is cur­ Medical Center. rently training medical office assistants. The morning session will be held in We feel that a well prepared assistant Thompson Hall at the University of Pu­ can help to free the registered nurse get Sound. The registration fee of from many receptionist and clerical du­ $5.00 is waived for interns and resi­ ties. Our students are also being trained dents. Anatomical dissections and to directly assist the physician with his demonstrations which make this meet­ patients. ing unique will be shown from 9:00 The curriculum for medical office as­ a.m. to 12 noon. It is planned that sistants is comprehensive in both the demonstrations relating to athletic in­ medical and clerical aspects. Actual juries may be seen. clinical experience in the physician’s of­ Luncheon will be held in the Stu­ fice plays an integral part in this pro­ dent Union Building at the University gram. of Puget Sound, and the afternoon ses­ We are presently seeking permanent sion, beginning at 2:00 p.m., will in­ or temporary employment for these stu­ clude the following: dents. If you are interested, please “Anatomy of the knee related to di­ phone JU 4-7611, extension 64 between agnosis and treatment of knee injuries 8:00 am. and 3:30 p.m. on weekdays. in the athlete.” Gael Frank, M. D. — ( m r s .) Marie H a l l , r .n . "V

1 2 BULLETIN of the Pierce County M edical Society CONSUMER CREDIT Notes From The COUNSELING SERVICE Hematology-Oncology The Consumer Credit Counseling Study Group Service of Taeoma-Pierce County is now operating at 2220 6th Avenue, In the last issue of “The Bulletin” Tacoma, Washington. This is a non­ were discussed malignant lymphoma profit community service and was born and the processes of staging. Staging from the effort of a group of Tacoma has become of great importance in de­ credit people who have for some time ciding the treatment of the patient. In been concerned about the rising rate Stage I, II, and most Stage III situa­ of personal bankruptcies in the Pierce tions the patients are candidates for County area. The service provides radiation therapy, either cobalt or Ce­ guidance for people with credit prob­ sium. On the other hand, all Stage IV lems in paying their debts, and coun­ patients become candidates for consid­ seling on budgets to help them re-es- eration for chemotherapy. tablish themselves after a debt problem. The staging requires the usual his­ The staff selected to operate the tory and physical examination, CBC, service consists of Wayne C. Koecke platelet count, reticulocyte determina­ and Mellie Simonson. Mr. Koecke has tion, Coombs test, crest x-ray, intrave­ a background of banking and finance nous pelography, bone marrow and dating back to 1953 Over fourteen of retroperitoneal lymphangiography. Re­ these years were with the Capital Fi­ cently some of us have been using the nance Company as manager. Mrs. Si­ abdominal exploration in selected pa­ monson is well known in the Medical tients to differentiate accurately those and Dental professions. She has 25 patients in Stage I or II from those in years experience in medical office man­ Stage III ( “Cancer”, October, 1969). agement and collection positions. Staging is critical in answering die The new office is open to the public question as to whether cure is to be and referrals may be sent at this time. obtained or merely control of the dis­ Any overburdened patient should be in­ ease. A patient with a malignant lym­ formed of this service. With budgeting phoma should not be treated either with advice, hopefully a program can be radiotherapy or drugs until complete worked out to allow them to resolve staging has been done. their problem without resorting to the bankruptcy courts. Further informa­ In the next issue the role of abdomi­ tion regarding this service may be ob­ nal exploration in this staging process tained by calling the office at FU will be discussed further. 3-3826. — J. G. K a t t e r h a g e n , m .d . —D a v i d L. S p a r l i n g , m .d .

Note: The program is well conceived Editor’s Note: Dr. Katterhagen sends and directed. Similar programs have this report from Houston, Texas. He been very effective in Portland and Se­ claims he wrote it in the airplane fly­ attle and for longer in Eastern cities. ing at 32,000 feet over Arizona. He Support by the Medical Society is be­ has asked for comments from the read­ ing considered by the Executive Com­ ers in regard to the retroperitoneal node mittee. examination by surgical exploration. <; J

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METROPOLITAN BUILDING CORP., MGRS. BULLETIN of the Pierce County M edical Society another team, then switched to coach­ JOHN STEELE ing the Division baseball team in the by Spring. Most of his ball players were George A. Race from the various teams of the old West­ Note: The Editorial Board of the Bul­ ern Association and, to put it mildly, letin felt it wise to honor the retired they knew a little more about baseball members of our Society while they are than John. Graciously, or perhaps alive. The customary obituaries will wisely, he pretty much let them run continue, but this is the first of a series their own show. of articles on our retired members. Horseback riding was featured at Camp Dodge and, after the flu epidemic In pursuing his career, John Steele waned, he had more time to drill and has criss-crossed the United States to ride. He received a Certificate of many times. Almost symbolically, he Equitation for excellence in riding. The was born near the geographical center final test for this certificate consisted of the country — in Perry, Iowa, and of going over a four foot hurdle with this was but the beginning of a travel­ both feet out of the stirrups and hands ling career which first brought him and clasped behind the neck. Many a bruise his family to Olympia, Washington, accumulated before he was able to do where he received his high school edu­ this feat. cation. He graduated there in 1909, While at camp, 90 doctors were bil­ went south to the University of Cali­ leted in his barracks. A new transfer fornia for his medical school training, arrived one day who was a country then headed for Rochester, New York, doctor and accustomed to rising with for his internship. the roosters. At 4:30 of his first morn­ He must have lived on trains at this ing, he jumped out of bed and bel­ stage of his life, for he returned to the lowed, “Rise and Shine.” One hour then Camp Lewis just long enough to later, all the other medics were still be sworn in as first lieutenant in the busy sorting out the shoes they had Medical Corps of the U. S. Army and thrown at their “country cousin.” was promptly sent first to Ft. Riley, John was busy doing orthopedic sur­ Kansas, for indoctrination and then to gery at Camp Dodge when he devel­ Camp Dodge, Iowa, where he was per­ oped tuberculosis and was sent to Den­ manently stationed. In these days of ver for six months. The cure was for­ jet travel, it is difficult to recall the tunately permanent. He then entered amount of arduous traveling he must the Reserve Corps of the U. S. Public have done in those slow trains with Health Service and was sent first to their hard seats, smoke and layers of Denver and then to the old Cushman coal dust. Hospital here in Tacoma. He was in­ John’s Army service included several strumental in changing Cushman from interesting highlights. In 1918, he was an Indian School to a Veterans’ Hospi­ gathered with his division in Iowa wait­ tal. ing to go overseas when the great flu His brother, Glenn, was in general epidemic hit the country. He was kept practice in Tacoma at that time, and behind to care for the local troops. John John joined him. As an active side still shakes his head sadly as he re­ interest, he was the medical director of calls, “We lost 850 wonderful boys the Mountain View Tuberculosis Sana­ from that one outfit.” torium which took care of about 100 While still in the Army, he played adults and 30 children. Having learned basketball on one team while coaching the technique of arificial pneumothor­ BULLETIN of the Fierce County Medical Society ax while at Denver, he became the first sional timing. He’s heard the cry of doctor to perform this procedure in “let’s hear one more story from his au­ Pierce County. Over the years, he’s diences time and time again and he’s given thousands of them, as well as never failed to leave them laughing. pneumoperitoneums. In 1928, he went For the past 47 years, he has limited back to Saranac Lake in New York to his practice to diseases of the heart take a course in the care of T.B. He and lungs, and this sub-specialty has brought back with him one cc. of Pe­ kept him well occupied. During these trie's tuberculin and thus chalked up years, he has been a member of nu­ another first — the first Mantoux test merous medical organizations. In ad­ in this area. Tuberculosis in those days dition, hs was president of the Pierce was a fairly common disease and he County T.B. Association for five years, and a visiting nurse conducted T.B. president of the Washington T.B. As­ clinics all over Pierce County once a sociation for two years, and president year. of the Pierce County Medical Society John wTas affiliated with his brother for one year. A series of recent illness­ for 25 years. He well remembers an es, however, forced his retirement from old Swede who was one of Glenn’s pa­ practice, and he is now recuperating tients in a little hospital called the Ta­ at home with his wife Mary. coma Sanatorium run by a Dr. Blair. It Next to medicine, golf has been his was located about where Buckley King second love and he has played it with is now. The Swede was to have a gas­ much pleasure over the years. He is an tric operation for a peptic ulcer and, honorary member of the Fircrest Golf about the time they wfere to take him and Country Club. The recent spring in for surgery he came walking weather has really awakened the old through the main entrance of the hos­ instincts and Mary has already com­ pital dressed in his street clothes. plained about the number of glasses “Where have you been and what he’s broken while practicing putting in have you been doing?” fumed Glenn. the living room. As soon as his strength “Val,” replied the Swede, “yew would­ returns, he’s heading back to that first n't give me any breakfast here today, tee to crank up his driver and send sew I vent home and had some there. another screamer down the fairway. Now, let’s yust operate.” “Needless to say,” adds John, “we postponed it a day.” Another man of about 86 came into his office complaining that his sex life Nurses Receive Awards was “falling off.” Scholarships from the Medical Soci­ “When did you first notice this?” ety Scholarship Fund were awarded to asked John. twelve students in March. "Twice last night and once this The following recipients, all stu­ morning,” replied the old fellow. dents at St. Joseph’s Hospital, were John swears this is true. But apoc­ recommended by the hospital’s scholar­ ryphal or not, it points up one of his ship committee: Evelyn Bowen, San­ most lovable traits. For years, he has dra Birch all, Phyllis Brooks , Linda been known as a first class raconteur Dickerson, Laurel Gunnarson, Janice a local Georgie Jessel. He has never John, Sally Johnson, Christine Oberg, been at a loss for a story or an appro­ Gwenda Piety, Mary Selleck, Jeanette priate quip, all delivered with profes­ Bricker, and Tamie Williams. V______- / THE ADVENTURED OF X RODERICK DELEHANTY

j RODERICK DELEHAWTY ADDRESSES T h £ COUNTY SOCIETY

( f —AMD NOW GENTLEMEN, A MAN WHO NEEDS NO INTRODUCTION TO THIS DISTINGUISHED <3f>OUP— YOUR. FRIEND AND W1 NOEL'S X RODERICK WHAT'S HIS NAME— CAN YOU HEAR ME IWTHER’f FACT THAT WIM&EL IS HEjfl'T® ACCOUNT'S FDR. ITS RAPID EF1® y o u A RE INTE RESTED /m 17# IT NEUTRALIZES 300TIMES it1'' STOM ACH ACIO- WHICH REM& TO M E ON M V WAV' HfiEETOMi^

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I TOLD THEM\ w e o U G H T T O ) PAV FOR.OUR / SPEAKERS V f 7 r ____

SAY, pELEHANTT, PIN HER. LEFT ME- A LITTLE. f GREAT SPEECH OUT OF 50ET5. / DELEHAWTY- _ CAW YDL| SF^RE- NO REFLECTION \ THE WAY,DO YOU A COUPL& OW YOUR \ HAVE ANY _ OFTMOS^ PUBLIC \ WIM6BL0M YOU? mom-g b it t y SPEAWMQy t a b l e t s ? DELEHAW/Y. BLIT I LIKE WINGEL BETTER.

How about you? Could you use some WinGel? Just write J. Roderick Oelehany c/o Winthrop Laboratories Dept. CB-i, 90 Park Avenue, New York City. Rod expedite a clinical supply of both the liquid and the non-gritty tablets. r' rr W inG el* anlacid ...vored ,ab„,s and „q«id b i b i Pi juiicKei, ana ramie Williams. BULLETIN of the Piebce County M edical Society 17 nel, specialists, and population in all "Foundation" Answers communities throughout the state. Federal Planners For 2. Established “Medex”, a program You; Better Back It! for training physicians’ assistants to take over many of the routine duties What chance has the doctor against that use up a physician’s valuable time. the professional planner? Well, in Medex in Washington State is now Washington State, through the “Foun­ making use of 15 such assistants, dation”, he has a chance to meet the drawn from the 30,000 trained corps- professional planner on even terms. men who are discharged from the The average individual practicing armed services each year. The trial physician has been so busy doing a program here has drawn national rec­ great job of caring for his patients that ognition. (See Medical World News, he hasn’t applied himself to solving Jan. 23, 1970) the complex social and economic prob­ 3. Completed an extensive survey of lems that are intertwined with the continuing medical education as pur­ problem of delivery of adequate health sued by physicians of this State. care to the greatest number of citizens. 4. Completed a statistical review of That’s where the professional planner infant mortality in the United States, comes in— with his computers, his with a comparison to other nations, charts and his statistics— to show the and also comparing Washington State doctors a better way to do it. To keep with other states. professional planners, commissions and councils from taking over the practice 5. Conducted a special seminar on of medicine, doctors must be knowl­ comprehensive health planning attend­ edgeable. They must be able to match ed by 170 physicians. fact with fact, idea with idea, knowl­ 6. As a special contract, conducted edge with knowledge. a survey of the medical facilities in That’s why, in November of 1966, the Grand Coulee area of Washington. the Washington State Medical Educa­ Other projects are underway or be­ tion and Research Foundation was set ing considered, all with the intent of up by the Washington State Medical broadening the scope of knowledge Association. about subjects related to the delivery “What’s That?” of adequate health care. Unfortunately, too many Washington When government health planners State physicians still say “What’s that?” come to Washington State, you— the when the Foundation is mentioned, physician— will be able to meet them even though it has been an actively on even terms, through the efforts of functioning organization for over three your Washington State Medical Edu­ years. Here are a few of the Founda­ cation and Research Foundation. Just tion’s accomplishments, some as joint call it "The Foundation”. efforts: Such worthwhile ventures can’t func­ 1. Set up a “Data Bank”, a compila­tion without financial support. Physi­ tion of statistics about distribution and cians of Washington State will do well availability of physicians, hospitals, to actively support their Foundation medical facilities, paramedical person­ when the opportunity arises. 18 BU LLETIN of the Pierce County M edical Society

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BULLETIN of the PIERCE CouNTY MEDICAL S0c1ETY 19

April Birthdays l Lawrence Skinner 2 Edwin J. Fairbourn William W. Mattson, Jr. RANKOSPHARMACY 4 B. D. Harrington 5 Clinton A. Piper 101 North Tacoma Avenue 6 W. Ben Blackett 10 James M. Blankenship David N. Goodson 11 Lawrence Brigham Byron Dodge 12 Z. Joseph Vozenilek Prescription 15 Leo J. Hunt 16 Robert W. Osborne Druggists 20 John F. Comfort 21 Harold B. Johnston 22 William E. A very 23 Richard E. Huish 24 Eugene W. Hanson * 25 Rodger S. Dille 28 James B. Boudwin Richard B. Link We Carry a Complete Line of Louis P. Hoyer, Jr. 29 A. W. Howe Biologicals and Pharmaceuticals 30 Nicolas Godfray Donald F. McKay

EKG for sale. Sanborn 500. Viso-Cardiette. * Half and half solid state. Two-plus years old. "When Moments Count" Small basement medical office s ace for rent. Corner So. 12th & L Medica f Center. Ideal for marriage counselor, physical therapist, etc. George Kunz, M.D., FU 3- FUiton 3-2411 5441.

PROMPT ... FREE DELIVERY Need an experienced receptionist while your regular girl is on summer vacation? Call Cathy Elliott, SK 9-1707. 20 BU LLETIN of the Pierce County Medical Society

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Courfesy ''~ rf ",ociety Magazine Group BULLETIN of the Pierce County M edical Society 21

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M K rtO W ' J U S T &XAO T L y HOW YOU FBBL —’ I goi/6HT THE SAME & T O C K !" Courtesy Medical Society Magazine Group BULLETIN of the Pierce County M edical Society 25 WOMAN'S AUXILIARY PAGE

AUXILIARY OFFICERS 1969-1970 Now that we have enjoyed the “light­ er side” of Auxiliary with the last two President- ______Mrs. Murray L. Johnson President-Elect ...... — Mrs. Ralph A. Johnson events, namely, the Tasting Luncheon 1st Vice-President & Program.-Mrs. Herbert Kennedy 2nd Vice-President & Dance... Mrs. Paul B. Smith, Jr. and the Fashion Luncheon, we have a 3rd Vice-President & Dance. Mrs. Max W. Brachvogel change of pace in April with a business 4th Vice-President 8t Legislative. Mrs. Jack Mandeville Recording Secretary ...... Mrs. Duncan Baer meeting and a fine program. Nadine Corresponding Secretary------Mrs. Clarence Anderson Kennedy, Program Chairman, has Treasurer -...... Mrs. Arthur Wickstrom Dues Treasurer ...... Mrs. Robert O’Connell asked Dr. Thomas Morgan, Assistant Dean of Curriculum at the University COMMITTEE CHAIRMEN of Washington Medical School, to speak

Nominating Committee and on die general changes in medical ed­ Health Council ...... Mrs. Philip Grenley Membership...... — ...... M rs. Jack J. E rickson ucation. According to current litera­ Mrs. Richard Link ture, they are many indeed. Some of Safety and Disaster Preparedness______Mrs. James R. Srilwell you have sons planning a medical ca­ Historian -...... -...... Mrs. William H. Goering By-Laws...... Mrs. Thomas A. Smeall reer. It will be most interesting and Paramedical ...... -—Mrs. Roy H. Virak Mrs. Frederick Schwind enlightening to hear just what is ahead Publicity ...... Mrs. Dudley Houtz in new types of medical education. Bulletin...... Mrs. Bernard Pipe Telephone______Mrs. James Krueger President Sherry announces that Dr. Mrs. Edmund A. Kanar Robert Ferguson, President of Pierce Finance—...... Mrs. Robert W. Osborne Mrs. Robert Burt County Medical Society, and our two AMAERF ______Mrs. David Hopkins Social______——Mrs. Thomas B. Murphy advisors, will be invited to attend this Mrs. Robert Florence meeting. Speakers Bureau...... Mrs. Francis Hennings Community Health Service...... Mrs. Robert Crabill Today’s Health ...... Mrs. Ernest Randolph Representative Council on Smoking..Mrs. Carl Ekman BOARD MEETING Representative Council on Aging _ Mrs. George Moosey Tntemational Health...... - Mrs. Theodore R. Haley The Tacoma Lawn Tennis Club is Cook-Book...... Mrs. David Dye Mrs. John F. Kemman the place, and the time is Monday, Cook-Book Tasting Luncheon Mrs. Mills Lawrence April , at 10:30 a.m., for the spring Mrs. Alva Miller 6 AMPAC ...... Mrs. Wayne W. Zimmerman Board Meeting, at which all committee Minute Women ...... Mrs. George Tanbara Mrs. Vernon O. Larson reports are due. So Chairmen, get busy Fashion Show ...... Mrs. Vincent Murphy Mrs. John F. Kemman at that typewriter and sum up the year’s Student Recognition Comm.. Mrs. Charles C. Reberger accomplishments of your committee. Mrs. Joseph Katterhagen

WITH MAY FLOWERS While we are speaking of meetings LUNCHEON MEETING just a reminder of the May meeting at the Tacoma Golf and Country Club. Friday, April 17, 1970— 12 Noon This annual luncheon is the traditional Mrs. Marcel Malden, Hostess time to honor Pierce County Auxiliary 4139 Madrona Way past presidents and all are encouraged to attend on Friday, May 15, at noon. Co-Chairmen: THE “MIDI" Mrs G. W. Bischoff If you would like to avoid April Mrs. James Billingsley showers this year, how about a trek Program Speaker, Dr. Thomas Morgan east of the mountains to Pasco? Oh, it 26 BU LLETIN o f the Pierce County Medical Society rains there, too? Well, anyway, Mid- CASUALTIES Year Conference, April 22nd and 23rd Ski injuries to date . . . Vivienne at the Red Lion Inn in Pasco, will be Ehly in a cast from a knee injury . an enjoyable occasion and an opportu­ Also Norma Smith’s husband, Larry, nity to see friends from all over the recovering from surgery, following a ski state. Pierce County members who will injury at Sun Valley. Be careful! brighten the scene are Jeanne Judd, Dorothy Grenley and Lorraine Sulkosky. SOM EW HERE IN APRIL MORE BUSINESS Your correspondent will be on the “high seas” when this Bulletin arrives President Sherry wants you to re­ . . . I hope to send you my impressions member that the nominating of offi­ of Expo ’70, if all goes well. Sayonara! cers for Auxiliary is a democratic pro­ —In e z M. Pip e . cess and anyone is free to nominate from the floor at the April meeting. The only requirement is that you have the permission of the person nominated that she will serve. Also, it is reported that the Nominating Committee had its DAMMEIER chores made easier by the pleasant af­ Printing Co. firmative response of everyone contact­ Printers and Offset Lithographers ed for office. Aren’t you the nicest people? FU 3-4925

FORGET-ME-NOTS 811 Pacific Ave. Tacoma Even though we are a month late with our thank-yous, Auxiliary wishes to extend thanks to Mabelle Miller, Edith Lawrence and Toni Bourne, for a beautifully executed and most suc­ cessful Tasting Luncheon and Hobby Show. Your organization and hard work, along with the fine foods prepared by BEALL’S skillful Auxiliary cooks, made the event a memorable one. Bow gracefully, girls! The Prescription Store We have “thank-yous” too for Liz Murphy and Shirley Kemman for 124 Meridian South March’s Fashion Luncheon. The daffo­ P U YA LLU P dil decorated Tacoma Country Club was Phone Puyallup 5-8444 a lovely setting for a variety of spring fashions, presented by the Bon Marche. Only someone who has handled the my­ riad details of such a production can realize the time and effort our Chair­ men expended for such a smooth-sail­ HAVE YOU PAID YOUR AMPAC DUES? ing afternoon. Two more bows, please! BULLETIN of the Pierce County M edical Society 27 Letter to the Editor: Dear Sir: I think all of us should read the memo we received regarding the legis­ lative news and the wrapup of the 1970 special session. It is extremely illumi­ nating to read what was accomplished and I think it gives a greater hope that all of us can accomplish more in a legislative way if we all get behind those bills which are obviously essential to good modern medicine I think particu­ larly we should note the bills that we were instrumental in defeating, but we must also remember that these are pe­ rennial bills which we must constantly be fighting at almost every session. I am surprised, of course, not at the statement that the chiropractic bill, SD 103, legislating for payment for chiro­ The only one practic into all disability programs failed, but that we were the only group opposing the bill. It seems almost in­ like it credible that insurance companies also were not in the forefront in defeating such an obviously obnoxious and un­ in Pierce County reasonable bill. I don’t know how many of us realize that continual attempts are being made And the largest funeral home in to require our own medical bureaus to Washington with everything in include osteopaths and chiropractors as one place and under one man­ “members”. agement. One hundred beautiful I thought I would just write this let­ garden acres containing a ceme­ ter stating that it certainly gave me a tery, mortuary, 2 chapels, and little more respect for our legislators mausoleum at the same address. to hear that these bills were defeated Result? Costs are lower and and that we did help in creating the arrangements are easier for you passage of those bills which obviously to make. needed our help. I would even go so far as to suggest that most of this memo be read at our next County Society Mountain View meeting for the sake of those who failed Funeral Home & Memorial Park to receive or failed to read the news­ 4100 Steilacoom Blvd. ■ JU 4-0252 letter. Sincerely yours,

—R odger S. D il l e , m .d . 28 BULLETIN of the Fierce County Medical Society there is or there is not sufficient evi­ Board Of Trustees dence to substantiate probable negli­ Approve Formation of gence on the part of the physician or hospital and ( 2 ) if there is probable New Prereview Panel negligence there is or there is not any The board of trustees of the Pierce permanent disability resulting there­ County Medical Society approved the from. formation of a joint Medical-Legal pre- The conclusions are provided to the review panel. The panel will include patient and to the doctor involved. The six members from the Bar Association panel makes no estimate of financial and six physicians appointed by the amounts needed to settle such actions President of the Medical Society and and its deliberations are not available will also have two representatives from for subsequent court actions that may the Pierce County Hospital Council. follow. The expenses of the panel wiil If it functions as expected it will be shared by the patient and the doctor ameliorate two specific problems: ( 1 ) involved. it will lessen the number of actual suits Further, if there is negligence and filed against physicians and ( 2 ) it will the patient does not have an MD ex­ solve the “Conspiracy of silence” re­ pert in that field, the Medical Society garding medical testimony for patients will provide an expert to work with with legitimate malpractice claims. the patient and the attorney thus avoid­ It will meet informally and hear in ing the “conspiracy of silence”. confidential fashion the facts presented It is proposed the panel function for by the patient and his attorney and the one year and then evaluate its true facts from the doctor’s side of the alle­ value. gations then with thorough delibera­ W a y n e W . Z im m e r m a n , m .d. tion will reach two conclusions. ( 1 ) Chairman, pro-temp.

LAKEWOOD CONVALESCENT CENTER "Ad Summum Nitamur" We Strive for the Highest

Extended care, nursing home care and self-care units make up this health care complex. Services are tailored to meet patient needs by means of a broad range of medical, nursing and paramedical programs. Standards are set high to insure continuity of care consistent with the quality of care in the acute care section of Lakewood General Hospital. The 130 bed center is directed by the Lakewood General Hospital Staff, Board of Governors and Administration.

5702- 100th Street, Southwest Tacoma, Washington 98499 JU 8-1711 JU 2-3777 JU 2-3778 BU L LE TIN of the Pierce County Medical Society 29 Unusual Cases Presented Last Month At the Hematology-Oncology Study BY APPOINTMENT ONLY Group Meeting on March 6, Dr. Kenney discussed the side effects of radiation A home of exceptional quality— dis­ therapy. His discussion of marrow sup­ tinctively designed for splendor in living and entertaining. pression was illustrated by the presen­ tation of a 69-year-old man with lymp- Located on the Peninsula's picturesque Raft Island, with a sweeping marine adenothapy. Histologically these were view across the propertys 130 feet of lympoblastic lymphosarcoma type. of lovely beach. Two weeks later therapy was started Tree shaded— this delightful home has three grand bedrooms— each with but it was then noted that he had some its own private bath— floor level tubs mediastinal widening. The therapy was in marble and gold, a den, powder room C/2 bath), formal and informal aimed at the inguinal and pelvic ports dining rooms, luxurious living room to include the deep pelvic nodes. Dosage with floor to ceiling fireplace. was 200 rads per day for five days each Additional waterfront is available. Owner is moving to Europe and must week with a total of 4000 rads being sell immediately at well below mar­ given over a thirty-day period. Custom­ ket value. ary white count done at one week after Please call Roger Snowden for an initiation of therapy was 4000. appointment to see this exceptional property. On the eleventh week from the time of diagnosis therapy was started aimed at the mediastinal and supraclavicular BUCK & SONS REALTY CO. nodes. Therapy was limited to 150 rads Gig Harbor per day in consideration of the low 858-9901 or evenings 858-3004 DBC, and over a week the WBC went from 4100 to 2800 to 1900. Therapy was discontinued at the end of this week and it was anticipated that the WBC and platelets would pop back as they usually do after a rest period for

SAVE THE DATE! PHYSICIAN - DENTIST FIELD DAY FRIDAY, MAY 22 TACOMA COUNTRY & GOLF CLUB Mark Your Calendar NOW! 30 B U L L E T IN of the Pierce County Medical Society the patient. Therapy was resumed to that pulmonary origin was more likely complete a 4000-rad delivery. The he­ than pancreatic. moglobin also fell from 15 grams at the It was noted that the undifferentiated beginning of this completion period to character of the lesion suggested a good 11 grams. potential radiation response with over­ This process proceeded to pancyto­ all very poor prognosis. The treatment penia over a period of eight months. plan will be Cesium therapy. Refer­ He was transfused, given Halotestin ence was made to a British series and steroids (prednisone). The WBC where with bronchogenic carcinoma, continued to fall below 1800, and the 500 patients were treated with surgery platelets fell below 40,000 The mar­ and 500 patients were treated with row showed a complete washout of nu­ 5000 roentgens. Statistically the sur­ cleated cells. vival seemed better on the radiation This case was of considerable inter­ side. The patient had been seen at the est because it was the only one known University of Washington and there it to show this kind of complication fol­ was suggested if regression is obtained, lowing this degree of radiation therapy. resection should be considered. The To balance this case, another patient main problem here is no one knows was presented who also had lymphosar­ where the primary is and there is some coma without radiation but who even­ question o f what to resect, if anything tually wound up with the same type is to be resected. This confusion in of aplastic marrow. therapeutic planning suggested to the The latest therapy for total marrow group that possbily it would be better aplasia was discussed. Being investi­ to prevent bronchogenic carcinoma gated currently is the use of a marrow than to try to find ways to treat it. bank. The patient must be treated The incidence of priapism with mal­ drastically before such bank marrow im­ ignancy is low, but in the last sixteen plantation, namely, by a total “kill” dose cases of priapism reported in the litera­ of Cytoxin prior to the implantation of ture, all were accompanied by malig­ the marrow. nancy. These were white patients. Very Two other rather unusual cases were rarely this also occurs in thrombocyto­ presented. One of these was a 34-year- sis and is not unusual in Negroes with old man who started smoking at age SS hemoglobin. The case emphasizes 13 at a rate of two packs per day. His the importance of considering malig­ presenting complaint was recurrent nancy in any patient with priapism. thrombophlebitis with priapism. The Another unusual case presented was latter required a vascular shunt, but it the one of a 60-year-old woman with was necessary to keep this patient con­ multiple myeloma with no protein in tinuously heparinized in order to pre­ the urine and no myeloma spike in the vent recurrence of the priapism. For serum on electrophoresis. the time being, he was regarded as a She presented feeling perfectly well hypercoagulable state victim with cause but had a bump on her head and a unknown. Four months later he came lump in the angle of the jaw. X-rays in with a dry cough and a small mass showed extensive mottling of the head in the supraclavicular area which on bones, but the lump in the jaw proved tissue examination proved to be ana­ to be a soft tissue mass. The bone plastic carcinoma There was only marrow was full of myeloma cells and slight mediastinal widening. There had the tumor on the head was also my­ been no back symptoms, and with the eloma. T-4 was moderately compressed. unusual history of smoking it was felt Immune protein electrophoresis showed BULLETIN of the Pierce County M edical Society 31 a wipeout of IGA and IGM with a nor­ to hazardous duty assignments, disabili­ mal IGG. ty retirements, physical evaluations to In spite of these alterations the pa­ determine ability to continue to work, tient continues to feel well. etc. The Dispensary has facilities for X-ray therapy was recommended for minor surgical procedures only. Patients the local lesions with tangential direc­ requiring major surgical care or hospi­ tion of Cesium radiation to the jaw. talization for any cause are referred to Cyclic alkaran will also be used in a the U. S. Naval Hospital and are man­ dosage schedule of 2 mg/kilogram for aged by its staff. four days. This will be done each month The staff of the Industrial Dispensa­ and supplemented with Prednisolone at ry works a 5-day, 40-hour week. It has 60 mg per day. 3000 roentgens will be every night and weekend completely delivered to each lump. Procarbozene free, enjoys 8 Federal holidays a year, will probably be added to this regimen. and accrues annual and sick leave at a There was some discussion about the generous rate. Retirement benefits, life lack of usefulness of nitrogen mustard insurance, and hospitalization insur­ and it was felt by the study group that ance and other fringe benefits are also if nitrogen mustard is given cyclically, available at minimal expense. The this might work as well as Alakaran. It starting salary for the position now was also felt that in myeloma Cytoxin open is $20,028 per year, with periodic might have a useful role if administered increases for satisfactory performance. cyclically. A good general practitioner, surgeon, The usefulness of such intense thera­ or internist will have no great difficulty py was challenged facetiously by one in adapting to the requirements of this of the group. It was the general con­ position. sensus that everyone treated will even­ For a physician who is weary of the tually die in spite of the statement now 7-day, 168-hour week, and the associ­ seemingly repeated more often than ated pressures of private practice, ever before that good health is a consti­ whose family and financial obligations tutional right which will be guaranteed are largely resolved, who is not ready by the Federal Government. to completely retire, but wishes to prac­ tice medicine at a reduced tempo with­ out professional stagnation, and who Physician Sought By is interested in a new field of medical practice, the position now available here Industrial Dispensary should be of interest. The Industrial Dispensary of the Pu­ Anyone in your Society who is inter­ get Sound Naval Shipyard has a posi­ ested in further information concerning tion available at this time for a com­ this position may contact by mail or petent physician. telephone, E. W. McBratney, M.D., This letter is being written with the Medical Department, Industrial Dispen­ thought that possibly some member of sary, Puget Sound Naval Shipyard, your Society might be interested if he Bremerton, Washington 98314, tele­ were aware of the situation. phone 478-2258, Area Code 206. The functions of the Industrial Dis­ pensary include, in general, medical Sincerely yours, and surgical care of occupational ill­ E. W. M c B r a t n e y , m .d . nesses or accidents occurring in the Medical Director Shipyard, pre - employment examina­ By direction of the Shipyard tions, and special examinations relating Commander Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of Jan., April, July and Oct.— 6:15 p.m. Doctors Hospital Cafeteria STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept. Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 7:30 p.m. STAFF OF PUGET SOUND GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA AREA CHAPTER OF AMERICAN PSYCHIATRIC ASSOC.— First Monday of October, December, February, April and June. TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 6:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August— 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Ceccanti’s PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each Month except June, July and August— 6:00 p.m. STAFF OF ALLENMORE HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. TACOMA OB-GYN SOCIETY 3rd or 4th Thurs. of Jan,, March, May, Sept., Nov. PIERCE COUNTY MEDICAL SOCIETY REGULAR MEETING MAY 12 0 BU LLETIN of the Pierce County Medical Society Pierce County Medical Society 1970 OFFICERS President ...... Robert M. Ferguson President-Elect ...... - Robert W. Florence Vice-President ...... Rfchard T. Vimont Secretary-Treasurer ...... George A. Tanbara Executive Secretary ...... Judy Gordon TRUSTEES Richard F. Barronian John M. Kanda VV. Ben Blackett Theodore J. H. Smith Robert P. Crabill Richard T. Vimont Dale D. Doherty Don G. Willard Robert M. Ferguson George A. Tanbara Robert W. Florence Wayne W. Zimmerman D E LE G A TES Robert M. Ferguson Herman S. Judd Robert W. Florence Edmund A. Kanar Kenneth D. Graham Robert W. Osborne Charles C. Reberger ALTERNATE DELEGATES Dudley W'. Houtz D. A. Marlatt Vernon O. Larson William W. Mattson, Jr. Joseph G. Katterhagen John S. May Paul B. Smith, Jr. Ethics Douglas P. ButtorfF, Chairman G. Marshall NVhitacre Lawrence Brigham Grievance Wayne W. Zimmerman, Chairman James D. Lambing Charles P. Larson Credentials James F. Early, Chairman Edmund A. Kanar Ralph Johnson Frederick J. Schwind Program Richard T. Vimont, Chairman Public Relatrons Paul B. Smith, Jr., Chairman Public Health Harlan P. McNutt, Chairman C o v e r P i c t u r e : Skiing in the North­ Television John F. Comfort, Chairman west at White Pass. D. T. Baer Gordon Dean Orvis A. Harrelson Civil Disaster Arthur Wickstrom, Chairman Entertainment William Rohner, Chairman Diabetes Bernard Rowen, Chairman Legislative Stanley Tuell, Chairman Mental Health James W. Boudwin, Chairman School Health ~ x, O. A. Harrelson, Chairman DeMaunce Moses T. Clark Alan Sobul Poison Control James L. Schneller, Chairman Health Planning James E. Hazelrigg, Chairman Liaison Thomas H. Skrinar, Chairman Pharmacy— Lt. Col. Robert G. Scherz Optometries— Paul Smith, Jr. Medical-Legal Review Board Editorial Board Wayne W. Zimmerman, Chairman Robert B. Whitney, Jr., M.D., Editor Marcel Malden Stanley W. Tuell Medical Education Robert A. Kallscn George A. Race

Marcel Ma,^' cS'Raw Auxiliary News Editor Mrs. Bernard Pipe Business Manager Judy Gordon BULLETIN of the Pierce County M edical Society 3

How to give credit without waiting for your fee.

It works this way. We’ll supply you with BankAmericard “payoff authorization cards” which you enclose with state­ ments to your patients. The card allows your patient to authorize you to transfer your fee to his BankAmericard account — just like any other purchase. Send the drafts to your Puget Sound National Bank branch and we’ll pay you immediately. And your patient can pay us later. Ask Chuck Holmes about it. He’s the man from BankAmeri­ card at LO 4-5819. We hope he’s just what the doctor ordered. Sound National Bank © 4 BU LLETIN o f the Pierce County Medical Society

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For information please call: Terry Brink

TOWN & COUNTRY BROKERS, INC. 17007 Pacific Avenue, Spanaway — LE 7-8684 BULLETIN of the Pierce County M edical Society 5

PIERCE COUNTY MEDICAL SOCIETY MEETING

Tuesday, M ay 12

MADIGAN OFFICERS CLUB

Scientific Program Presented by Staff of Madigan General Hospital

Social Hour: 6:30 Dinner: 7:00 6 BULLETIN of the Pierce County Medical Society May Calendar of Meetings |

1

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURQ^

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Hemotology, Oncology Study Group— TGH 8 a.m. 7 Pierce County I Pediatric Society 6 :0 0 p.m . 8 4 5 6 9 1 Mary Bridge Hematology- C.P.C. of Mary Surgery Crand Cardiac Conf. Oncology Study 6 : 3 0 a.m. I Tai'. ( h'tlinprilic Bridge— 8 a.m. Rounds—T.G.H. Group—T.G.H. Society—() p.m. 8-9 a.m. 8 a.m. C .P.C . of St. Joseph’s— 8 a.m. ■i CO 11 12 13 14 15 Pierce County Medical Society Hematology- 6:30 Mary Bridge Oncology Study OB-GYN Conf. Cardiac Conf. Group— TGH C.P.C. of T.G.H. 6 :3 0 a.m. 8 a.m. Mary Bridge S-9 a.m. 8 a.m.

18 19 20 21 22 Mary Bridge 2 3 '

25 26 27 28 29 30 Tacoma Acad, of Internal Medicine >: 6 p.m. Path. Cancer Mary Bridge Pierce County Con.—T.G.H. Cardiac Conf. AAGP—0:30 p.m. Cardiac Study 8-9 a.m. 6 : 3 0 a.m. 1 Croup TCI 1 8 a.m.

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Courtesy Medical Society Magazine Group 11 BULLETIN of the Pierce County M edical Society The Case of the Ouoja Board

By GEORGE A. RACE, m .d . upwards. Two other boys, one about twelve, the other about seventeen, were “Get down on your knees! Get down kneeling on the floor of the upstairs and pray to the Lord Jesus Christ! You hallway, with their hands clasped in must pray to be saved! Get down, chil­ prayer. They, too, were covered with dren. Are you praying, John? Are you blood and their hair was matted with praying, Frank? Henry, pray with us. it. I swept the upstairs scene with my You’ve got to have faith! You’ve got to eyes, I happened to look straight above have faith in the Lord Jesus Christ! We me, and what I saw froze me with must pray to be saved or we will all fright. For Greg was leaning over the go to Hell! Hell, do you hear me, Hell” balustrade, holding a glass pitcher di­ These words came screaming from rectly over my head. the second floor of a farmhouse as I The early morning hour, the eerie stood on the front porch waiting to be atmosphere, the hysterical screaming, admitted. The time: two A.M. I had the unexplained blood and now this received a telephone call a half hour were all I needed. I hurried back earlier from John H., a distracted through the kitchen and out the door young man who said that his mother to my car. I backed up with a gnash­ was “not feeling well.” I asked what ing of gears and as I drove out of the the trouble was and he answered that farmyard, I could see Greg in my rear ► she was “a little bit upset.” I could view mirror frantically waving to me. hear her strident screams even over I drove swiftly to town, called the the telephone and it was obvious his sheriff’s office and explained the cir­ calm words didn’t truly describe what­ cumstances to them. Within fifteen ever was really going on out there. I minutes, a sheriff’s car with two depu­ dressed right away and drove to the ties and I drove into the yard and the } house. men joined me as I re-entered the In answer to my knock, a boy of house. We went up the stairs, where about nine came to the door. His ap­ the boys were still kneeling in prayer, pearance shocked me for he had on a and while the men stood in the hall­ loosely-tied, blood-stained bathrobe and way, I opened the door of the bed­ his face was covered with blood. Blood was dripping from his hair and hands room, from w'hich the screaming con­ and he regarded me with a wild, haunt­ tinued unabated. ing stare. The scene I found was unworldly. A double bed was stripped to the mat­ “Hi,” he said simply, “I’m Greg.” I tress, with the blankets and sheets piled asked him what was the trouble and in soggy lumps on the floor. Water, he, too, remarked, almost casually, stained with blood, flowed over the Something’s wrong with mother.” floor. On the bed, from the light of a Meanwhile, the harsh screeching con­ single, dull lamp which glowed in a tinued from upstairs. “Peace! Our sal- corner, I could see the husband of the ^ vation is in peace! Pray, children! patient lying on his back, stark naked, Pray for peace! Kneel down and pray covered from head to toe with blood. to the Lord Jesus Christ!” His wife sat on his stomach, and she, I asked Greg to show me the way too, was completely nude. While she and he led me through the kitchen screamed, she emphasized her remarks and preceded me up a flight of stairs. by pounding him in the chest with her > 1 stopped for a minute and glanced fists. She occasionally shoved his head BULLETIN of the Pierce County Medical Society 12 back into the mattress, as she implored him in a near-by hospital to suture a him to save his soul and those of his few of his deeper wounds. Then he put children. Now and then, she grabbed on a bathrobe and we went downstairs a frightened puppy from the floor, and sat in the living room with the pushed it into her husband’s face and boys. Herman shook his head slowly screamed, “Save the puppy! The dog from side to side. loves you, Herman! Save the puppy, “It was a nightmare,” he said finally, save yourself!” The dog would squirm “a regular nightmare. Who’d have ever and scratch, finally jump out of her guessed it would turn out like this?” arms and cower in the corner, only to “What,” I asked. be grabbed by her a minute later. “That ouija board,” he explained. I relaized I could never treat her “That damn ouija board! That was at under these hysterical conditions and the bottom of the whole trouble.” He that it would be best to remove her to stopped again. “I brought a ouija board more restricted surroundings. I asked home a month ago,” he explained to the sheriffs to take her to the county me. They were on sale at a local dis­ hospital, which had restraining facili­ count house, but it was more of a joke ties. They entered the bedroom with than anything else. She latched onto me and advanced towards her with an it as if it contained all the secrets of open blanket, hoping to envelope her the universe. She would ask it all sorts in it. But with screams, kicks and wild­ of questions and carefully spell out the ly waving arms, she kept the men away. answers. After a while, it told her After much scuffling, the sheriffs final­ there was an urgent need for spiritual ly half-dragged, half-carried her out of salvation; that if we weren’t saved, we the bedroom by her legs and pulled would all die. And it went on to say her down the stairs, her hips bumping that the only way we could be saved on each step. She continued a constant would be for all of us to be baptized in barrage of exhortations as she was my blood.” pulled through the house and out into He cradled his head in his hands the yard. and again shook his head from side to When they reached the patrol car, side in disbelief. the men tried to put her into the back “This religious frenzy of hers got seat but she stiffened her body so that stronger and stronger until she finally her arms stuck out from one side of decided that tonight was the night. She the car and her legs from the other. took a glass pitcher, cracked it against Whenever the sheriffs would fold up a wall to produce a sharp edge, and one set of extremeties, the other set then ...” would shoot out, so that they were un­ “You see,” interrupted Greg, “that’s able to close both back doors at the what I was trying to show you.” same time. They struggled with this “Yes,” continued his father, “she took “now you have her, now you don’t” rou­ this roughened pitcher and cut my tine lor several minutes, finally got both chest to make me bleed. Then she aims and both legs folded at the same forced each of the boys to kneel in time, locked both doors and drove away front of me while my blood dripped with her to the hospital. over them and she baptized them in I went back into the house where the name of the Lord.” He stopped a the three boys and the husband were moment to rest, then went on. “I know busy washing themselves. I gave Her­ you’ve been wondering how she could man. who seemed to be the only wound­ ed one, first-aid and arranged to meet (Continued on Page 17) BU L LE TIN of the Pierce County Medical Society 13

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METROPOLITAN BUILDING CORP., MGRS. BULLETIN of the Pierce County M edical Soclety 1 5 for him to accept the fact that the law­ Quote Without Comment: yer’s contingent fee system is ethical A noted legal scholar has resolutely in every state in the country. defended the lawyers’ contingent fee system as protecting doctors from un­ Second, the medical “grapevine” founded or weak medical malpractice quickly carries news of large dollar claims. amounts being sought in malpractice suits, but little or nothing about the David J. Sharpe, Professor of Law smaller settlements before trial, the ma­ at George Washington University, jority of jury findings in favor of de­ stated that every plaintiff’s attorney fendant doctors, and verdicts compris­ must carefully screen claims of mal­ ing a fraction of the original amount practice, because he simply can not sought. afford the expense of taking a losing case. These make up an overwhelming ma­ jority of malpractice actions. Sharpe Writing in TRIAL, the nation’s only insists, but "none of these limitations legal newsmagazine, published by the ever catches up with the first grapevine American Trial Lawyers Association, report that Dr. X has been sued for Sharpe pointed out: “Every plaintiff’s a million dollars.” attorney is aware, as he listens to a potential client tell his story of alleged The notion that big verdicts are swol­ malpractice, that the contingent fee is len by big contingent fees, thus swell­ contingent on winning. Whatever the ing the physician’s malpractice insur­ percentage the attorney charges, he gets ance bill, completely overlooks the fact nothing if his client wins nothing.” that the average malpractice insurance payout is small, according to available “Moreover,” he said, “if the client figures. loses, the attorney gets nothing for his time, and yet he pays in full for all the Finally, Sharpe notes, physicians expensive overhead costs.” seem to forget that the lawyer’s con­ tingent fee is contingent upon winning, While some claimants may turn to and that losing costs the attorney a lot other attorneys, and a few eventually of his own money, to cover the ex­ get representation, Sharpe notes that penses of trial preparation. most claimants who have been turned down by an attorney are persuaded that they have no cases or can’t win, or “Nobody can make a physician like the contingent fee system in medical they simply get discouraged by the time, effort and uncertainty of the whole liti­ malpractice litigation,” Sharpe con­ gation process. cludes. “But he could understand that the system protects many physicians Physicians’ hostility to lawyers, espe­ from a lot of weak malpractice claims, cially plaintiff’s lawyers, Sharpe said, if he will just remember what the plain­ are based on major misunderstandings tiff's attorney knows: that 30 per cent of the legal world of medical malprac­ of nothing is nothing.” tice cases.

First, because it is unethical for a doctor to make his fee contingent upon —American Trial Lawyers Associa­ the outcome of litigation, it is difficult tion news release. o f th e Pierce County Medical Society 16 BULLETIN com e to policy makers in the future. TGH Doctor— Since all those invited have something Director Conference to give or gain, a large attendance is expected- Each is urged to return his Members of the Medical Staff, Taco­ registration card immediately if he has ma General Hospital, will meet Satur­ not already done so. day, May 23, 1970, at the Hilton Inn with the Hospital Board of Directors to —M e r r i l l J . W i c k s , m .d . discuss problems of mutual interest.

Planning and development confer­ ences of this type have been held in 1962 and 1964- Some of the results of Notes From The these discussions are now seen in the intensive care and specialty wards of Hematology-Oncology the hospital, the comprehensive pro­ gram of medical education with active Study Group library support, and outpatient emer­ In the last issue of the Bulletin we gency services. discussed the tools used in “staging” In a rapidly developing and increas­ of the malignant lymphomas. ingly complicated world of medical care An area of controversy has built up those with responsibility for guiding around the concept of abdominal ex­ these changes find communication to be ploration as a useful tool in the staging a necessity. Great advances have been process. One school of thought main­ made in medical skill, emphasizing the tains that even after such examination imperative need for efficient delivery as retro peritoneal lymphography and of these skills to the community. Cer­ liver scanning we cannot be sure that tainly community leadership as repre­ there is or is not malignant lymphoma sented on the Hospital Board must be below the diaphragm and that a careful continually aware of the attitudes and concerns of the doctors. abdominal exploration will give a 90 to 95 per cent accurate picture. Hospital economics are strained, oft­ The opponents of this concept bring en because doctors may make demands arguments forth concerning unnecessa­ that result in costly and inefficient serv­ ry surgery with questionable effects on ice. Busy with an office practice, the the long term prognosis. doctors have little energy to guide hos­ pital administrators in becoming more From a personal standpoint I favor efficient. They are, however, especially abdominal exploration on selected cases qualified to do so. A pattern of coopera­ and I would refer you to the article by tive building is to be sought with the Kaplan et al concerning this subject ultimate good of the patient and all (“Cancer” Oct. 1969). those concerned foremost in considera­ tion. — J. G. K a t t e r h a g e n , m .d .

A tentative program distributed to the conferees lists doctors, Board mem­ bers and those concerned with admin­ istration and planning. Formal presen­ HAVE YOU PAID YOUR AMPAC DUES? tations are expected to lead to general discussion from which guidance will BULLETIN o f the Piebce County M edical Society 17

(Continued from page 1 2 ) “But I’ll bet, after all this business, you’ve got a pretty good idea how reli­ do this. I’m a man and I’m larger than able these ouija boards really are.” she is. But I tell you, doctor, tonight To my surprise and utter dismay, she had the strength of ten men. I he answered, “You know, Doc, they’ve don’t know where she got it, but I could really got something there. I asked it no more fight her off than I could fly. several questions and, by gosh, it gave There was something hypnotic about me the right answer every time!” her, too. She had these boys in the palm of her hand. She actually had them believing that what she was say­ ing was right and true. It’s been a night­ New Relative Value Study The 1969 California Relative Value mare,” he concluded as he had begun, Study will be considered by the WSMA "a long, steady nightmare. And I’m sure Committee on Relative Value Study. glad it’s over.” John H. Lindberg, M.D., Seattle, is I went over and put my hand on his Chairman. The Committee will call on shoulder. No words were necessary. all specialty organizations. County Med­ He had been through a horrible ex­ ical Societies and Bureaus in the perience and I knew that his emotional course of its study. The 1969 RVS is wounds, and those of the boys, would designed to keep up with changing sci­ take much longer to heal than the cuts entific environment and economy and he had. includes 1,200 more procedures than “I’m glad I could be of some help,” appeared in the 1964 edition- The Com­ I said rather lamely. mittee will make a preliminary report “Do you think that hypnotism had to the WSMA House of Delegates in something to do with it, D oc?” asked Spokane in September, 1970 and prob­ John, the oldest boy. ably will submit a final report and rec­ “What do you mean?” ommendations at the Annual Meeting “You know— that time you hypno­ in September, 1971. tized Ma a couple of years ago.” And then I remembered. She had been allergic to all the caine deriva­ Drug Abuse . . . tives and had to have six teeth extract­ The WSMA is in the process of pre­ ed. She had asked me about the use­ paring suggestions on how County Med­ fulness of hypnotism, which I did oc­ ical Societies and individual physi­ casionally. I did hypnotize her and her cians can be effective in assisting and extractions were simple and painless. in providing leadership to communi­ But I realized then that that was the ties, where desirable, in tackling prob­ last time I had seen her until tonight. lems of drug abuse. In the meantime, ‘No,” I said, “I don’t think the hyp­ the WSMA Central Office has Drug notism had anything to do with this Abuse Information and Speakers’ Kits episode.” available to individual members who re­ That’s the only reason we called quest them. The Kits contain reprints you, John said. “You know— to take from the literature; bibliographies; mod­ the spell off her.” el speeches for delivery before high Wouldn’t you have had me come if school students and other youth groups you didn’t think she had a spell?” . . . and to civic clubs and other adult Naw, Doc. She’d have got over it groups; and television and radio panel in time.” scripts. BULLETIN of the Pierce C o u n ty M ed ical Society 1 8

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S 19 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 May Birthdays

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★ Special One-Day Institute For Physicians and "When Moments Count" Hospital Administrators On Sunday, June 28, 1970, Seattle University and the Washington State Department of Health will co-sponsor a FUlton 3-2411 special institute on alcoholism for phy­ sicians and hospital adminstrators, as a part of a five-day institute for all con­ PROMPT . . . FREE DELIVERY cerned disciplines. Write for detailed brochure to Institute On Alcoholism, Se­ attle University, Seattle, Washington 98122. o f th e Pierce County Medical Society 20 BULLETIN ued. Patient’s prothrombin de­ Anticoagulant termination was 13.5%.

Potentiation—A Danger Day 5— No W arfarin given- All oth­ In Drug Therapy er medications continued. Pro­ thrombin determination was The following patient profile indi­ 15% content. cated the significance and importance of drug interactions in clinical therapy: Day 6—Phytonadione 10 mg. I.M. All other medications continued Day 1—Meprobamate 400 mg. qid; except Warfarin. Chloramphenicol 250 mg. qid; APC with Meperidine prn. Day 7 — Chloramphenicol discon­ tinued. Phytonadione 10 mg. Day 2 — Phenylbutazone 100 mg. IM. qid; Heparin 5000 units stat and in 8 hr. Warfarin 50 mg. The above is presented to point out Prothrombin determination the importance of drug interactions, es­ 76% . pecially with Warfarin. Expected re­ sponses to single drug therapy may be The pharmacist noted that Phenyl­ exaggerated by concomitant adminis­ butazone interacts with Warfarin re­ tration o f other drugs and their effects sulting in an elevated prothrombin may be prolonged or reduced- time. Other interactions with Warfarin included possible potentiation by Chlor­ With current patient profiles and amphenicol and the Aspirin in APC available information we shall attempt with Mereripine; also possible antagon­ to alert the physician as to any pos­ ism by Meprobamate. This informa­ sible interaction occurring. tion along with a publication on W ar­ Reference: Hansten, Philip D.: Oral farin interactions was placed on the patient’s chart for the physician. Anticoagulant Drug interactions, (Hospital Formulary Manage­ Day 3— Warfarin 25 mg.; all other m ent), January 1969 pp 20-22. medications continued. Proth­ rombin determination was 54 %. — Tom Jones, R. Ph. Day 4—Warfarin discontinued. All Assist. Director of Pharmacy other medications were contin­ St. Joseph Hospital

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AUXILIARY OFFICERS 1969-1970 The following slate was presented

President______Mrs. Murray L. Johnson and approved at the April meeting. President-Elect______.... Mrs. Ralph A. Johnson 1st Vice-President & Program - Mrs. Herbert Kennedy President— Mrs. Ralph Johnson 2nd Vice-President & Dance.. Mrs. Paul B. Smith. Jr. 3rd Vice-President & Dance Mrs. Max W. Brachvogel President-Elect— Mrs. Herbert Ken­ 4th Vice-President & Legislative. Mrs. Jack Mandeville Recording Secretary ______Mrs. Duncan Baer n ed ) Corresponding Secretary...... Mrs. Clarence Anderson Treasurer.— ____ —...... - —Mrs. Arthur Wickstrom 1st V ice -P re sid e n t— .Mrs- M ax Dues Treasurer ______Mrs. Robert O'Connell B ra ch v og el

COMMITTEE CHAIRMEN 2nd Vice-President— Mrs. Richard

Nominating Committee and Link Health C ouncil ..... — —...... — Mrs. Philip Grenley Membership Mrs. Jack J. Erickson Mrs. Richard Link 3rd Vice-President— Mrs. Jack Safety and Disaster E rickson Preparedness______Mrs. James R. Stilwell Historian . ______Mrs. William H. Goerine By-Laws______Mrs. Thomas A. Smeall 4th Vice-President— Mrs. David Paramedical ______Mrs. Roy H. Virak H op k in s Mrs. Frederick Schwind Publicity ...... Mrs. Dudley Houtz Bulletin______.__ .... M rs. B ernard Pipe Recording Secretary— Mrs. Duncan Telephone-.. . Mrs. James Krueger B aer Mrs. Edmund A. Kanar Finance ____ Mrs. Robert W. Osborne Mrs. Robert Burt Corresponding Secretary— Mrs. Clar­ AMAERF_ ...... Mrs. David Hopkins ence Anderson Social------Mrs. Thomas B. Murphy Mrs. Robert Florence Speakers Bureau ...... Mrs. Francis Hennings Treasurer— Mrs. Arthur Wickstrom Community Health Service. Mrs. Robert Crabill Today’s Health— ------Mrs. Ernest Randolph Dues Treasurer— Mrs. Gordon Dean Representative Council on Smoking Mrs. Carl Ekxnan Representative Council on Aging_. Mrs. George Moosey International Health Mrs. Theodore R. Haley Discussion on Resolution rebutting Cook-Book...... Mrs. David Dye recent adverse publicity accorded the M rs. John F. K em m an Cook-Book Tasting Luncheon .._ Mrs. Mills Lawrence medical profession. Mrs. Alva Miller A M P A C _.. ------Mrs. Wayne W. Zimmerman Contributions have been made to the Minute W om en ....------Mrs. George Tanbara Mrs. Vernon O. Larson Poison Control Center and Tacoma Fashion Show - Mrs. Vincent Murphy Mrs. John F. Kemman Youth Symphony. Student Recognition Com m . M rs. C harles C. Reberger Mrs. Joseph Katterhagen Thanks to Mrs. Vincent Murphy and Mrs. John Kemman for a fine job of running the Fashion Show. And thanks also to Mrs. Mabelle Miller and Toni In the absence of Mrs. Pipe and Mrs. Bourne— the Cookbook Tasting Lunch­ Baer, who are vacationing, the follow­ eon was a smashing success. ing notes were provided by Janet An­ A thousand of the cook books are on derson. hand to sell. Cookbook chairmen are MAY MEETING Mrs. David Dye and Mrs. John Kem­ m an . Friday, May 15— 12 Noon Tacoma Country & Golf Club Luncheon $3.25 HAVE YOU PAID YOUR AMPAC DUES? (Must pay if reservation made) 26 BULLETIN o f the Pierce County Medical Society prehensive Health Planning Act, envi­ COLLEGE OF MEDICAL sioned a sweeping review of medical EDUCATION OFFERS care including such things as environ­ mental needs, manpower, alcoholism, THREE COURSES perinatal mortality and services to In­ Currently, the College of Medical Ed­ dians and migrants. Implementing leg­ ucation (C.O.M.E.), the joint venture islation has now mandated health plan­ by the Pierce County Medical Society ning. We are therefore forced to seek and the University of Puget Sound, is development of different systems or im­ sponsoring three individual courses in position of different systems from those the area of medical education. The fol­ in common use today. lowing are the courses being offered Mr. Thomas pointed out that the this Spring. health care package in the United . "Doctor to Teacher about School 1 States is now running about sixty bil­ Children”— A course for school nurses lion dollars per year and it is antici­ and teachers covering such subjects as pated that this will triple by 1980. It epilepsy, psychometric tests, emotional is expected that fourteen to fifteen per aspects of school under-achievement, cent of the total tax money will be reading and writing disabilities, phys­ spent in the medical care complex. He ically handicapped children. sees, as a result of the Federal activi­ 2. "Current Drug Therapy” — The ties, a creation and support of ambula­ second time that this course has been tory services, diagnostic and treatment offered: covering cancer drugs, anti­ centers, and general relocation of med­ biotics, cardiac drugs, contraceptives ical practice out of offices to a hospital and other pharmaceuticals. base. The triage center idea is popular 3. “Dealing with Emotional Prob­ with the Government in order to keep lems in Medical Practice”— A seminar patients out of hospital beds. Other type course for physicians. Federal priorities include consideration — J. G. K a t t e r h a g e n , m .d . of all levels of subacute care with in­ terest in providing progressive levels Last Month's Meeting of care in single institutions. The pro­ With some interest being displayed gram also includes high priority for locally in the manner of approaches to mental health and a cradle to grave more efficient handling of the ever in­ type of practice, including visual checks creasing outpatient visits in the local and dental examinations and hygiene. hospitals, Program Chairman Dick Vi­ The diagnostic and treatment center mont asked Mr. Robert Thomas, ex­ concept brings concern to planners. ecutive director of Regional Health There are forty-three hospitals in the Planning Council, Inc., to provide us four counties of the Puget Sound Re­ with a survey of what's going on in gion; and, if these hospitals cannot de­ health planning. velop, in cooperation with their medical Mr. Thomas explained that his own staffs, these “improved” methods of de­ organization had its origins with the livery, the Government will impose Federal matching lund program and them. at the outset its primary obligation was Ambulatory care, he said, is the kick- to explore health delivery systems and off point of these programs. The group to provide information to medical fa­ practice aspect is expected to be fixed cilities. principally, in their programs by 1980. The Government is showing oi building and development. President great favoritism to the Kaiser type Johnson, he said, in signing the Com­ health programs. The question now is, BULLETIN of the Fierce County M edical Society 27 how to initiate such programs, and to relate them to the Federal Government’s pressures and also to local community needs. He asked whether major facili­ ties locally can join forces to create in Tacoma a working diagnostic and treat­ ment center or centers. Specifically, he asked whether the Pierce County Medical Society could reach a common base to provide direction to this kind of establishment. No other body, he explained, than the Medical Society can really effect a change of this type satisfactorily. There is a general tendency to splintering within various medical societies and this, he warned, is poor business. He cited the Federal franchise of hospitals as being in the offing. This is already a fact in California where no hospital can do anything without the approval by a local planning body. Medicare and The only one other funding agencies provide the muscle to enforce this program by re­ fusing to reimburse nonconformants. like it Other services will be seriously affect­ ed by this Federal attitude. Emergency, pediatric and obstetric practice are all in Pierce County coming under the gun in the very near future. Region X is already being es­ tablished in Seattle by the Department And the largest funeral hom e in of Health, Education and Welfare, and Washington with everything in this single office will have a staff of one place and under one man­ four hundred ready to go to work in agement. One hundred beautiful September in an attempt to bring these garden acres containing a ceme­ programs to realization. tery, mortuary, 2 chapels, and The discussion which followed this presentation was lengthy. Mr. Thomas, mausoleum at the same address. acting as the harbinger of troubled Result? Costs are low er and times, occasionaly had his role confused arrangements are easier for you to make. by the audience and several times had to explain which side he was on. Our Society, however, had, at the Executive Committee meeting several hours be­ Mountain View fore, voted to continue our contribution Funeral Home & Memorial Park to the planning group represented by 4100 Steilacoom Blvd. ■ JU 4-0252 Mr. Thomas. Five-sixths of the Pierce County Medical Society membership missed one of the most objective, un­ biased and informative presentations for some time. 28 BULLETIN o f th e Pierce County Medical Society most memorable political conventions, AMA Annua! Convention is fully air conditioned and its expanse Offers Top Program permits presenting the entire AMA sci­ entific program on one floor under one To Interest All roof. Chicago, the city with a proven knack Over 10,000 physicians in general for news and a demonstrable warmth practice and all the specialties are ex­ of reception for all, will host the 119th pected to attend, together with another Annual Convention of the American 20,000 allied health professionals and Medical Association June 21-25. guests. Combining the world’s largest med­ Approximately 450 scientific and in­ ical meeting with the nation’s conven­ dustrial exhibits will be staffed by phar­ tion capital provides the ideal oppor­ maceutical manufacturers and suppli­ tunity to present a comprehensive sci­ ers of medical materials and services entific program in incomparable facili­ and by many of the world’s most promi­ ties. For the “medical fam ily,” it will nent medical researchers and practi­ all be there— postgraduate education tioners. All 23 sections of the Scientific presentations for physicians, commu­ Assembly will be represented. Four gen­ nity service stimuli for their wives in eral scientific meetings will be ad­ the Woman’s Auxiliary concomitant dressed to Coma and the Diagnosis of meeting, and recreational diversions for Death, Conception Control and Abor­ their sons and daughters. tion, The Role of Allied Health Profes­ The hub of the Scientific Program sions in the Delivery of Health Care, (which is published in its entirety and Family Life and the Physician. in the May 4 issue of JAMA) will be Am ong the special exhibits will be the International Amphitheatre on Chi­ fresh tissue pathology, fractures, pul­ cago’s Near South Side. This huge monary function, resuscitation, arthri­ complex, site of many of America’s tis, and laboratory medicine.

LAKEWOOD CONVALESCENT CENTER "Ad Summum Nitamur" We Strive for the Highest

Extended care, nursing home care and self-care units make up this health care complex. Services are tailored to meet patient needs by means of a broad range of medical, nursing and paramedical programs. Standards are set high to insure continuity of care consistent with the quality of care in the acute care section of Lakewood General Hospital. The 130 bed center is directed by the Lakewood General Hospital Staff, Board of Governors and Administration.

5702- 100th Street, Southwest Tacoma, Washington 98499 JU 8-1711 JU 2-3777 JU 2-3778 BULLETIN of the Pierce County M edical Society 2 9 Seven sessions under the Section of Special Topics will cover suicide, ad­ verse reactions, drug interactions, neu­ rological surgery, occupational diseases, BY APPOINTMENT ONLY plastic and maxillofacial surgery, and nuclear medicine. In addition, the 10th A home of exceptional quality— dis­ Multidiscipline Research Forum will tinctively designed for splendor in living and entertaining. present 50 papers prepared by promi­ nent scientists. Located on the Peninsula's picturesque Raft Island, with a sweeping marine view across the propertys 130 feet The AMA Annual Convention is also of lovely beach. the time for honoring those who have Tree shaded— this delightful home made major contributions to medicine. has three grand bedroom s— each with Among the citations to be conferred its own private bath— floor level tubs in marble and gold, a den, powder are the Hektoen and Billings Awards, room C/2 bafh), formal and informal the Joseph Goldberger Award in Clin­ dining rooms, luxurious living room with floor to ceiling fireplace. ical Nutrition, the Distinguished Serv­ Additional waterfront is available. ice Award, the Scientific Achievement Owner is moving to Europe and must Award, and the Citation of a Layman sell immediately at well below mar­ ket value. for Distinguished Service. Please call Roger Snowden for an The scientific program will also fea­ appointment to see this exceptional property. ture an extensive motion picture pro­ gram, the high school student winners of AMA honors for their exhibits pre­ BUCK & SONS REALTY CO. sented at the 1970 International Sci­ Gig Harbor ence Fair, and the winning exhibitors 858-9901 or evenings 858-3004 from the Student American Medical As­ sociation competition. The Fireside Grand Rounds are still another out­ standing opportunity for physicians to discuss medical interests with eminent colleagues.

SAVE THE DATE! PHYSICIAN - DENTIST FIELD DAY FRIDAY, AAAY 22 TACOMA COUNTRY & GOLF CLUB Mark Your Calendar NOW!

BULLETIN o f the Pierce County M edical Society 3 1 Population Problems Professional Liability . . . Film Recommended . . . Practically all sections of the state have now been covered by WSMA-spon- The Clark County Medical Society, sored Seminars on Malpractice. Heavi­ at its March meetnig, showed the film est attendance in county society history “Beyond Conception” produced by the has been recorded. Doctors should make Population Dynamics Co.. 13201 Ninth it a point to talk often with State Legis­ Avenue, N-W., Seattle, Wash. 98177. lators in their areas about seriousness The film, in color and of 20 minutes of problems and point out that WSMA in length, was received so enthusias­ will present a package of “relief” leg­ tically that the Society purchased the islative bills at 1971 Session. Insur­ film from the Population Dynamics Co., ance companies explained their prob­ for $275.00; and plans to make it avail­ lems at Seminars and their future in able to any recognized groups in the field is not bright. AMA is working on Vancouver area, such as Clark College possibility of national program but this classes, P.T.A., and to the Clark County presents many problems. Other consid­ Health Department for showings. eration is transferring this to casualty The film starts with a general discus­ insurance system financed by consum­ sion of the population explosion in the ers with awards based on loss or im­ Northwest, the limited resources of the pairment schedule regardless of cause land and what will happen if the popu­ of damage or injury. But best current lation continues to grow as it has in the bet is to talk often with Legislators and past. The second half of the film is exercise caution in practice. on specific methods of birth control, such as the pill, the loop, etc. with dia­ grams. It is a diagrammatic description of ways to prevent conception. The film has been widely acclaimed by the groups that have accepted it for view­ DAMMEiER ing. The Society makes no rental charge. Printing Co.

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FU 3-4925 Abuse of Talwin (brand of pentazocine). . . 811 Pacific Ave. Tacoma The Department of Labor and Indus­ tries has experienced some difficulty with drug dependence resulting from prescription of the subject drug, par­ ticularly in its injectible form. The BEALL’S WSMA Committee on Industrial Insur­ ance and the WSMA Executive Commit­ The Prescription Store tee urge physicians to exercise desirable caution contained in the drug package 124 Meridian South insert and in the letter sent to all phy­ PUYALLUP sicians by Winthrop Laboratories on Au­ gust 28, 1969. Phone Puyallup 5-8444 Pierce County Medical Society B U L K RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. J PER M IT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of Jan., April, July and Oct.— 6:15 p.m. Doctors Hospital Cafeteria STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept. Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 7:30 p.m. STAFF OF PUGET SOUND GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA AREA CHAPTER OF AMERICAN PSYCHIATRIC ASSOC.— First Monday of October, December, February, April and June. TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 6:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August— 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Ceccanti's PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each Month except June, July and August— 6:00 p.m. STAFF OF ALLENMORE HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. TACOMA OB-GYN SOCIETY 3rd or 4th Thurs. of Jan,, March, May, Sept., Nov. I k PIERCE COUNTY MEDICAL SOCIETY | BULLETIN JUNE 1970 TACOMA, WASHINGTON VOL XLI—NO. 6

PIERCE COUNTY MEDICAL SOCIETY NO MEETING JUNE, JULY, AUG. 2 BULLETIN o f th e Pierce County Medical Society Pierce County Medical Society 1970 OFFICERS President ...... Robert M. Ferguson President-Elect...... — ...Robert W. Florence Vice-President ...... Richard T. Vimont Secretary-Treasurer_..... George A. Tanbara Executive Secretary ...... Judy G ordon TRUSTEES Richard F. Barronlan John M. Kanda W. Ben Blackett Theodore J. H. Smith Robert P. Crabill Richard T. Vimont Dale D. Doherty Don G. Willard Robert M. Ferguson George A. Tanbara Robert W. Florence Wayne W. Zimmerman D E L E G A T E S Robert M. Ferguson Herman S. Judd Robert W. Florence Edmund A. Kanar Kenneth D. Graham Robert W. Osborne Charles C. Reberger ALTERNATE DELEGATES Dudley W. Houtz D. A. Marlatt Vernon O. Larson William W. Mattson, Jr. Joseph G. Katterhagen John S. May Paul B. Smith, Jr. Ethics Douglas P. Buttorff, Chairman G. Marshall Whitacre Lawrence Brigham Grievance Wayne W. Zimmerman, Chairman James D. Lambing Charles P. Larson Credentials James F. Early, Chairman Edmund A. Kanar Ralph Johnson Frederick J. Schwind Program Richard T. Vimont, Chairman Public Relatfons Paul B. Smith, Jr., Chairman Public Health Harlan P. McNutt, Chairman C o v e r P i c t u r e : A view from the top Television John F. Comfort, Chairman — Seattle opening day. D . T . Baer Gordon Dean Orvis A. Harrelson Civil Disaster Arthur Wickstrom, Chairman Entertainment William Rohner, Chairman Diabetes Bernard Rowen, Chairman Legislative Stanley Tuell, Chairman Mental Health James W. Boudwin, Chairman School Health O. A. Harrelson, Chairman DeMaurice Moses T. Clark AJan Sobul Poison Control James L. Schneller, Chairman Health Planning James E. Hazelrigg, Chairman Liaison Thomas H. Skrinar, Chairman Pharmacy—Lt. Col. Robert G. Scherz Optometries— Paul Smith, Jr. Medical-Legul Review Board Editorial Board Wayne W, Zimmerman, Chairman Robert B. Whitney, Jr., M.D., Editor Marcel Malden Stanley W. Tuell Medical Education Robert A. Kallsen George A. Race J. G . Katterhagen, Chairman Auxiliary News Editor Marcel Malden Glenn Brokaw Mrs. Bernard Pipe George Barnes Robert Crabill Richard Vimont Business Manager James Duffy Judy Gordon BULLETIN of the Piebce County M edical Society 5 TACOMA MALL OFFICE BUILDING

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John S. Leavitt, President Center Offices, Inc. Tacoma Mall Office Building Tacoma, Washington 98409 Telephone: 206-475-9611 BULLETIN of the Pierce C o u n ty M ed ical Society June Calendar of Meetings

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

Tac. Orthopedic Staff of Mary Bridge Society— 6 p.m. Tacoma General— Cardiac Conf. Hemotology, 6:30 p.m. 6:30 a.m. Oncology Study Tac. Chap. Group— TGH American C.P.C. of Mary C.P.C. of 8 a.m. Psychiatric Bridge— 8 ajn. St. Joseph’s - As9oc. 8 a.m.

10 11 12 13

Hematology- Staff of C.P.C. of Mary Bridge Oncology Study Good Samaritan Mary Bridge Cardiac Conf. Group— T.G.H. 6:30 p.m. 6:30 a.m. 8 a.m.

15 16 17 18 19 20

Staff of Allen- more Hospital— C.P.C. of Staff of C.P.C. of St. 7:15 a.m. Staff of Mary Bridge Lakewood General Joseph’s— St. Joseph’s 8 a.m. 6:30 p.m. 6:30 a.m. Hematology- 7:30 p.m. Oncology Study Group— TGH 8 a.m.

22 23 24 25 26 27 Staff of Mary Bridge 12:15 p.m. Cardiac Study Group TGH Doctor-Lawyer 8 a.m. Golf Tourney T. C. & G. C. C.P.C. of Mary Bridge— 8 a.m. Hematology- Oncology Study Group— T.G.H. 8 a.m. 29 30

C.P.C. of Mary Bridge 8 a.m.

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Gentlemen: I trust you will believe me when I say there is more than one doctor in Pierce County and, I am sure, the country over who was angered and frustrated by the “documentary” on health care presented in April. At the risk of using a trite device, I would remind CBS that Webster defines documentary as having an objective quality. There are few practicing physicians of any experience who would not readily admit that American medicine has many shortcomings, and in some areas and in some situations they are relatively glaring. Other aspects of medicine in the United States are second to none in the world— a fact given token, if any, recogni­ tion in the CBS programs. Those vitally and knowledge­ ably concerned with health care delivery— physicians, hospital administrators and boards, medical educators, State agencies— are concerned about the problem, are working very hard toward possible solutions, have been doing so a good deal longer than has the production staff of CBS, and with considerably less sensational­ ism. The presentations of April 20th and 21st were typical contemporary marvels of truths, near-truths and falsehoods, all bound expertly together with bias and innuendo.

It is interesting to conjecture whether the considerable resources and energies of The Columbia Broadcasting System might ever be directed toward reporting the countless committee meetings and seminars of “or­ ganized medicine” going on all over the country on local, state and na­ tional levels regarding the problems of health care delivery. Physicians are not blind to these problems. The doctors are not all rich, fat and unfeeling. The complexities of bringing adequate health care to the entire population of this country are staggering, and they will not be brought one step closer to solution by “National Health Insurance”, the panacea most obviously left in the minds of most viewers of those programs.

The membership of the Pierce County Medical Society most strongly urges that some provision be made, on television, to present some very pertinent facets of the problem of American health care as a public serv­ ice in the true sense.

Very truly yours,

R o bert M. F e r g u so n , m .d ., President Pierce County Medical Society. BULLETIN o f the Piebce County M edical Society 9

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Properly fitted and serviced in good faith by an experienced and honest agent, the hearing aid is an indispensable therapeutic tool in the hands of a physician. With it, he can rehabilitate many a patient whose personality, good nature, social contacts and job security are threatened by a deafness he often will not admit. PLEASE NOTE: FREE HEARING TESTS for Your Patients When you refer a hard-of-hearing patient to your local Sonotone representative, the patient does not suddenly become somebody’s customer; he remains your patient. A careful audiometric chart will be made of your patient’s hearing and the chart will be sent to you for filing with your case records. SONOTONE OF TACOMA 760 St. Helens Ave. Telephone MA 7-6421 ELMER TRIPPEL Certified Hearing Aid Audiologist Owner-Manager

PERSONAL ENURESIS SERVICE A service that works closely with both physician and his patient. By incor­ porating the Pavlovian Theory of “conditioned reflex,” P.E.S. establishes home therapy programs helpful in correction of nocturnal enuresis when not caused by organic defects or disease. Patients must first obtain written medical clearance from the physician in order to avail themselves of our services. PERSONAL ENURESIS SERVICE has: •The latest in "dual-system’' sensor units. • Well-oriented individual programs. • Complete personal supervision. • Periodic program reports to the attending physician. CH 2-4048 or M A 2-6900 Burien Professional Building, 801 SW 150th, Suite G, Seattle, Wa. 98166 BULLETIN o f the Pierce County M edical Society

IN MEMORIAM Dr. Joseph B. Harris June 7, 1915-M ay 18, 1970

We were saddened to learn of the death of our colleague and friend, Dr. Joseph B. Harris, who died suddenly at his home on May 18th. joe was known to all of us as a cheerful, friendly man devoted to his patients and family. His passing leaves a void in our community. Dr. Harris was born in Midlothian, Texas, on June 7, 1915. He graduated from Washington University Medical School and took his internship at St. Louis City Hospital. In 1941 he entered the Army and served until 1946 here and overseas. After the war he was a member of the reserves and attained the rank of Lieutenant Colonel. Dr. Harris took his residencies in internal medicine at the Veteran’s Administration Hospital at Temple, Texas, and at Houston. He practiced briefly in Texas and began practicing in Tacoma in 1952. He was a member of the Pierce County, Washington State and American Medical Associations. He was a member of the Tacoma Academy of Internal Medicine, Washington Heart Association, Washington Diabetes Asso­ ciation and the Northwest Society for Clinical Research. He was also a member of the Elks Lodge and the Tacoma Country & Golf Club. He is survived by his wife, Margaret, his daughter, Lael (Mrs. Robert Schock), a son, Joseph, and two grandchildren. His passing grieves us deeply. We shall miss our friend, remem­ bering the words of John Donne, “. . . any man’s death diminishes me, because I am involved in mankind; therefore never send to know for whom the bell tolls; it tolls for thee.”

—George S. Kittr e d g e , m .d . 1 2 ______BULLETIN o f th e P ie r c e C o un ty M edical Society______that our student body be expanded im­ Contracts Awarded for mediately. Support of the voters was U.W. Hospital Complex voiced in Referendums 15 and 17, and in additional appropriations by the The University of Washington Board State Legislature.” of Regents recently awarded contracts Financing of the project, the Uni­ totaling more than $24 million for the versity’s largest single construction first two phases of new teaching space job to date, is approximately half from to be provided in the Health Sciences- local and state funds and half from University Hospital Complex. federal sources. The award of the con­ The Howard S. Wright Construction tract is subject to the concurrence of Co., was awarded a $17,803,050 con­ the U.S. Public Health Service. tract for the first phase, which will be a The project, spread over five phases, seven-story addition to the Health Sci­ will have a total estimated cost close ences Building with five stories above to $45 million, which includes major grade. The addition will be built in additions to the University Hospital and front of the present structure, along the School of Dentistry, as well as re­ N.E. Pacific Street. It will provide ad­ modeling of areas vacated by those ditional classrooms and teaching lab­ moving to new quarters. oratories, headquarters for the School The Division includes the Schools of of Nursing and an enlarged Health Sci­ Medicine, Dentistry, Nursing, Social ences Library. Included in the project Work, Pharmacy and their allied pro­ is a new pedestrian bridge across N.E. fessions. It was established by the 1945 Pacific Street. Legislature. Baugh Construction Co., was award­ Features of the new construction in­ ed a $6,418,000 contract for the sec­ clude self-teaching carrels in several ond phase, which will provide addi­ departments, a communications center tional teaching and departmental space which will use new audio-visual meth­ for the clinical medical departments by ods to prepare teaching materials, and adding eight stories to the BB Wing of additional space for service depart­ the Health Sciences Building, adjacent ments such as the vivarium and stores. to the Hospital. Classrooms and laboratories can be Estimated completion of these phas­ converted to larger or smaller space as es is the summer of 1972, when the dictated by class requirements. University can begin accepting addi­ Dr. Van Vitters pointed out that tional qualified students in all health- many W ashington residents qualified related professions. By total comple­ for medical school last year could not tion of all phases, expected in 1974-75, be admitted to the University of Wash­ the health sciences student body will ington because of a shortage of facili­ be approximately doubled from 2,700 ties. Other schools and colleges in the full-time students to about 4,000. health field, similarly affected by short­ “This expansion will help us meet ages, also were turning away qualified the growing health needs of the state,” applicants. said Dr. Robert L. Van Citters, dean Project architects are Naramore, of the School of Medicine and chairman Brady, Bain & Johanson, who were of the Division of Health Sciences. “The also architects for the original Health critical shortage of trained health work­ Sciences Building and University Hos­ ers in Washington makes it essential pital. BULLETIN o f the Pierce County M edical Society 13

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METROPOLITAN BUILDING CORP., MGRS. 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 15 thinking that has in this case actually QUALITY CONTROL? produced a problem which was non-ex­ To The Editor: istent previously. Although the present Commissioner of the FDA is a physi­ As physicians, we are all vitally con­ cian, it is apparent that those making cerned with quality control for our pa­ decisions should perhaps be less sub­ tient’s care. In recent times, federal ject to political pressures and more sub­ agencies, in this case the Food and ject to physician influence. Obviously Drug Administration, have increasing­ decisions will have to be made less im­ ly played a role in determining what is pulsively and supported by more ade­ officially “right”. Unfortunately this quate data both laboratory and clinical type of committee government does in nature. not always result in the hoped for uto­ —K e n n e t h E . G r o s s , m .d . pia of quality. This has been proven by incidents such as the proscription of tannic acid, cyclamates and current­ ly even the Pill. In these cases, the Editorially Speaking proof of human toxicity was based on at most, sketchy evidence. It is ironic AMPAC Your attention is drawn to the recent that there are so many other poten­ mailing from AMPAC regarding activi­ tially dangerous environmental hazards ties nationally and in the State of whereas they have been picked for na­ Washington. tion wide emphasis. Whatever your political persuasion, Recently, on April 17, 1970, there it is evident that this is the time (if appeared a sequel to these misadven­ not already too late) to organize ac­ tures. As one of the increasing num­ tivities relative to the 1970 elections. ber of “drug warnings” arriving on phy­ One point in particular bears empha­ sicians’ desks, this warned of the use sis that was reported in the AMPAC of certain radiographic contrast ma­ Political Stethoscope, namely, that it terial in specific forms of angiography is the legislature elected at this Fall’s which has in fact been used for many elections that will have the privilege years by numerous teaching institu­ and power of redistricting based on the tions and others in practice with fairly 1970 census. This will inevitably mag­ uniform reports that this was the con­ nify the effect of those elected and be trast material of choice. reflected in legislation passed in the next decade. As it turned out, the contrast ma­ terial is indeed safe in its previous for­ As with AMA, AMPAC is no more mulation but unfortunately, the FDA and no less than its membership makes insisted on a change in formulation it. Those who can and wish to, be which has now resulted in the death of active politically. Those who cannot at two patients and many other episodes least be well informed! Did you know of complications. Fortunately the num­ Tacoma has two members on the State ber of patients involved is limited be­ of Washington AMPAC Board of Di­ cause of the fortuitous lack of wide rectors? As listed in the AMPAC bul­ availability of this medium, particular­ letin, they are Dr. C. J. Galbraith, and ly at the level of the practicing physi­ Dr. J. M. Shaw. It is this board that cian. determines which candidates receive AMPAC support so be sure to let them Here, Big Brother” has made a de­ know your choices. cision apparently based on arm chair —R o b e r t B. W h i t n e y , J r ., m .d . 1 6 BULLETIN o f th e Pierce County Medical Society the predilection of recruit populations Joint Medical Society to develop meningococcemia and men­ Meeting at Madigan ingitis. Appropriate treatment mea­ General Hospital sures were discussed. The final presentation was an in­ The May meeting of the Pierce teresting review of Madigan General County Medical Society was held on Hospital’s new prenatal program pre­ Tuesday, May 12, 1970, at Madigan sented by Lieutenant Colonel William General Hospital in conjunction with Mcllroy. The program is designed to the Thurston-Mason County Society. A minimize physician time expended and no-host social hour at 6:30 p.m. was at the same time to increase the length followed by a buffet dinner and an o f time the expectant mother is actual­ excellent scientific program presented ly in contact with the physician in a by Madigan Hospital staff physicians. counseling role. The use of pre-record­ Following the social hour and din­ ed films for teaching purposes is em­ ner, the meeting was adjourned to the phasized and with multiparaous pa­ Medical Auditorium where the joint tients, certain visits were limited to rou­ meeting, which was well attended by tine laboratory checks and blood pres­ civilian and military physicians, was sure recording. opened by Colonel David L. Deutsch, Acting Commander of Madigan Gen­ The meeting was then adjourned eral Hospital. with no business session being held. The professional program was intro­ The meeting was well attended and duced by Colonel Albert W. Stratton, the papers well received. Chief of the Department of Surgery at — R. B. W. Madigan, and three papers were pre­ sented. The first paper reported three cases of traumatic occlusion of the internal carotid artery. The clinical history and Administrator Tours findings commonly associated with this lesion was discussed by Major Albert Children's Hospitals Zilkha. He pointed out that this is a Fred A. Pritchard, Mary Bridge Chil­ grave lesion prognostically but with dren’s Hospital Administrator, recently early detection and surgery, some sal­ completed a 10 -day tour of various chil­ vage can be obtained. The typical le­ dren’s hospitals on the West Coast. sion was described as occurring just Pritchard visited hospitals in Denver, cephalad to the bifurcation of the com­ Salt Lake City, Los Angeles, Fresno, mon carotid artery, and in the current­ Oakland, San Diego and Seattle. ly reported series of three cases, there Purpose of the tour, Pritchard said, was one survivor. Other reported cases was to study the overall layout of the of occlusion of the common carotid various hospitals with special attention artery have been intracranial and are not amenable to surgery. to intensive care units, bums centers The second presentation was given and staffing procedures. by Lieutenant Colonel Joseph A. Ionno Pritchard became administrator of and was an excellent discussion of the Mary Bridge Children’s Hospital on Army’s experience with acute menin­ March 30. He previously served for gococcal disease. As yet, no adequate three years as assistant administrator explanation has been forthcoming for at Yakima Valley Memorial Hospital. _n icr A n v /P M tl IRES O F J- RODERICK DELEHANTY X RPDERICK DELEHANTY AT THE COUNTY SOCJETY

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liao ubcu lortncom ing tor at Yakima Valley Memorial Hospital. BULLETIN of the P i e r c e C o u n t y M e o i c a l S o c i e t y 17 zation of the information obtained. WSMA Holds Special ( 6 ) A data bank to permit compari­ Meeting on Screening son with past data as necessary and to allow the capability of epidemiologic A special Washington State Medical studies. Association meeting was held on April The panel discussion included many 2, 1970, in Seattle regarding the Multi- pros and cons with the general con­ phasic Health Evaluation program pro­ census being that some method of in­ posed by the Upjohn Company. This creasing volume of health care deliv­ meeting was a successor to the earlier ery was necessary. It was generally special meeting described by Dr. Fer­ agreed that this would in no way reduce guson in the “President’s Page of an the average physician’s workload but earlier issue of the Bulletin. could indeed increase substantially a The meeting was attended by a wide demand for follow-up services. range of representatives, primarily The conference was summed up by from Western Washington, who repre­ Dr. Parker, President of the Washing­ sented most phases of medicine related ton State Medical Association, follow­ to Multiphasic screening. Tacoma’s ing which he designated Dr. Lauer and representation included Drs. Ferguson, his Washington State Medical Associa­ Herrmann, Katterhagen, Charles Lar­ tion Committee on Multiphasic Screen­ son, Reberger, Tanbara, and Whitney. ing to further consider data obtained at Dr. Wood was present in his capacity this meeting and to report to the State as representative of Upjohn Company. Medical Society. The “Foundation” con­ The meeting consisted of a presen­ cept was not generally endorsed and tation by Dr. Wood followed by com­ no action was taken on this proposal ments from a panel consisting of Dr. by Dr. Wood which would have set up Paul R. Lauer, Everett; Dr. Robertson, a body to advise industry on applica­ Dr. Watts, and Dr. Katterhagen. tion of Multiphasic Health Evaluation. Dr. Wood requested a specific or — R. B. W. general endorsement of the concept of Multiphasic Health Evaluation. His concept of this form of evaluation in­ News From the College cludes the following points: Of Medical Education (1) Evaluation and application of new instrumentation and technologies (COME) including not only baseline testing but No courses will be offered over the stress testing. summer months. However, in the July ( 2 ) Automated medical histories de­ Bulletin the curriculum for this Fall signed not only to identify medical will be announced. problems but also to localize social and I know through personal conversa­ emotional difficulties. tion that many of you have ideas per­ (3) Identification of “at risk” popu­ taining to the “C.O.M.E.” in regard to lation for various types of disease. topics, speakers, dates, etc. Please (4) Capability of rechecking abnor­ jot them down and send them to malities through an on-line computer, “C.O.M.E.”, University of Puget Sound, thereby reducing false positives. c /o Mr. Dale Bailey, Tacoma Wash­ (5) A system of follow-up through ington. the medical community to allow utili­ — J. G Katterhagen, m.d. DOCTORS' OFFICES Tacoma Brace & Limb Co. FO R RENT Lenart C. Ceder, owner in new building ☆ Parkland Area Expertly fitted— Artificial Limbs Specialists Preferred Orthopedic Appliances Surgical Belts Reasonable Rent Arch Supports Trusses

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2 Treacy Duerfeldt William L. Rohner RANKOS Lewis Litvin 5 James Vadheim PHARMACY 8 Jack J. Erickson 10 Harold Lueken 101 North Tacoma Avenue 11 Jack Mandeville 12 David BeMiUer 13 Ema Guilfoil 14 Karl Humiston Thomas O. Murphy Prescription John Stutterheim 15 S. R. Krishnamoorti Druggists George Tanbara 16 Juan Cordova 20 George Batey John Kennedy Robert Voynow ★ 21 Leo Annest Jack Lee 22 Thomas Elder We Carry a Complete Line of Marcel Malden 24 George Barnes Biologicals and Pharmaceuticals 25 James Early John Merrick Thomas Miskovsky 28 L. Stanley Durkin ★ Mills E. Lawrence H. Herbert Meier

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22 BULLETIN o f th e Pierce County Medical Society

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• Meet the Personal and Professional • The Suicidal Patient Challenge of the 1970’s • Drug Interactions and Adverse Reactions These scientific sessions, special programs, • Occupational Diseases of Current Interest exhibits and films will help you practice better • Plastic and Maxillofacial Surgery medicine. Plan now to attend the AMA • Nuclear Medicine Convention. • Daily Showing of newest Medical Films • The Comatose Patient and the Diagnosis of • 250 Scientific Exhibits—the latest research Death • Multidiscipline Research Forum • Conception Control and Abortion Complete details of the Scientific Program are • Delivery of Health Care—The Role of the in the May 4, 1970 issue of the Journal of the Allied Health Personnel American Medical Association. • The Role of the Physician in Family Life, Education, etc. Check it carefully. Then use the housing and advance registration forms appearing in JAMA • Kidney Disease and the American Medical News to insure your • Hepatitis place at the world’s largest medical convention.

X BULLETIN o f th e Pierce County M edical Society 2 5 WOMAN'S AUXILIARY PAGE . . .

AUXILIARY OFFICERS 1969-1970 first President. Several Past-Presidents

President-______- ______Mrs. Murray L. Johnson were being honored at this meeting. President-Elect _____- ...... Mrs. Ralph A. Johnson Kathleen Skrinar gave a report on 1st Vice-President 8c Program Mrs. Herbert Kennedy 2nd Vice-«President & Dance.._Mrs. Paul B. Smith, Jr. the mid-year conference in Pasco. High­ 3rd Vice-President & Dance..Mrs. Max W. Brachvogel lights of her reports covered ideas from 4th Vice-President & LegislativeM rs. Jack MaudeviUe Recording Secretary______- ...... Mrs. Duncan Baer various county auxiliaries from fund Corresponding Secretary- Mrs. Clarence Anderson raising projects to community services. Treasurer______Mrs. Arthur Wickstrom Dues Treasurer______Mrs. Robert O’Connell She suggested that, for a better under­ standing of the state auxiliary, attend­ COMMITTEE CHAIRMEN ance at a mid-year conference is most Nominating Committee and informative, Health C ouncil...... Mrs. Philip Grenley Membership______Mrs. Jack J. Erickson The Auxiliary supplied Tacoma Gen­ Mrs. Richard Link Safety and Disaster eral Hospital with coffee and cookies Preparedness______Mrs. James R. Stilwell for two days during National Hospital Historian______Mrs. William H. Goering By-Laws______Mrs. Thomas A. Smeall Association Week. Paramedical ______.______Mrs. Roy H. Virak Mrs. Frederick Schwind Helen Kittredge made a plea for the Publicity------Mrs. Dudley Houtz March of Dimes Program for a mass Bulletin— ______Mrs. Bernard Pipe Telephone------„ ------Mrs. James Krueger immunization against rubella. There Mrs. Edmund A. Kanar was some discussion. Dorothy Grenley Finance— ------Mrs. Robert W. Osborne Mrs. Robert Burt had received correspondence from the AMAERF------Mrs. David Hopkins Social------„— ------Mrs. Thomas B. Murphy Executive Director of the Tacoma Mrs. Robert Florence March of Dimes, Mr. Willard Jones, Speakers Bureau ------Mrs. Francis Hennings Community Health Service______Mrs. Robert Crabill requesting our support. There can be Today’s Health ------_„Mrs. Ernest Randolph no mass immunization until it is origi­ Representative Council on Smoking..Mrs. Carl Ekman Representative Council on Aging....Mrs. George Moosey nated by the State Health Officer. Doro­ International Health Mrs. Theodore R. Haley thy Grenley made a motion that the Cook-Book ------.------Mrs. David Dye Mrs. John F. Kemraan Auxiliary send a letter to the State Cook-Book Tasting L u n ch eon M rs. M ills L aw ren ce Mrs. Alva Miller Health Officer strongly encouraging the AMPAC_ ...... Mrs. Wayne W. Zimmerman Minute Women------Mrs. George Tanbara prompt implementation of this very vi­ Mrs. Vernon O. Larson tal immunization program. Edna Back­ Fashion Show------Mrs. Vincent Murphy Mrs. John F. Kemman up seconded the motion, motion car­ Student Recognition Com m ,..M rs. C harles C. R eberger Mrs. Joseph Katterhagen ried. Sherry Johnson then handed the gavel to the new President, JoAnn Johnson. JoAnn introduced the new GENERAL MEETING, MAY 15, 1970 Executive Board to the membership. It was explained that due to the size of The May meeting of the Women’s the full board (30 or so members), the Auxiliary to the Pierce County Medical Executive Board will meet once a Society was called to order at 1:2 0 p.m. month, and there will be three general by President Sherry Johnson at the Ta­ Board meetings for the year. coma Golf and Country Club on May A brief report on the Joint Board 15, 1970. y meeting (Pierce County Medical So­ The hostesses were Mrs. Thomas ciety and the Auxiliary) was given. Murphy and Mrs. Robert Florence. JoAnn reported that there was an ex­ Sherry introduced Mrs. Ralph change of ideas. We were reassured Schaeffer, who was the Auxiliary’s by the Society on some of our pro­ 2 6 B U L L E T IN o f th e Pierce County Medical Society grams. It was decided to look into the Ann points out that Pierce County So­ Nursing Scholarship Program and, last, ciety is the second largest society in but not least, we were reassured that the state but Pierce County Auxiliary the Annual Dance is a worthwhile is NOT the second largest Auxiliary. function. It was announced that the As we are the only ones who can re­ September meeting will be a coffee. verse these figures, it is a challenge There will be a speaker from the for the membership to seek others who League of Women Voters to give us a might enjoy the participation in Auxili­ brief resume on the ballot issues. Also, ary work. we hope to have speakers pro and con on the pending abortion bill. SEPTEMBER SONG Committee Chairmen for the com­ Although the September meeting ing year were announced by JoAnn seems far in the future during the long, Johnson. There being no further busi­ lazy days of summer, it will arrive as ness, the meeting was adjourned at surely as men on the moon, and this 2 :3 0 p.m. one is being planned as a general meet­ — Maryln Baer, Secretary. ing for all, including prospective mem­ bers. You’ll want to com e for the usual reasons and for the fine program your Auxiliary’s year begins and ends committee is preparing. More details with the lovely May luncheon. It is later. also a welcome opportunity to honor the many past presidents who attend. The feeling of “a job well done” by TH E TIM E IS NOW Sherry Johnson and her Board, was in Dues Chairman Florence Dean soon the air at the May 15th meeting at the will be reminding you that now is the Tacoma Country Club. Co-Chairmen time for all good gals to come to the Helen Florence and Ruth Murphy aid of their Auxiliary. Her reminder planned a beautiful affair for which will be in the form of a notice of dues we all say “thank you.” Entertainment payable. You could make it easier for by the four Youth Symphony members her by sending your check now. Her was a definite plus. President-Elect address is: 4234 West Soundview JoAnn Johnson was installed by Pres­ Drive, Tacoma 98466. ident Sherry. JoAnn then introduced her committee chairmen and gave a brief summary of projected plans for MUSICAL KIDS 1970-71. A few changes contemplated, Tacom a is justly proud of the selec­ according to JoAnn, will include the tion of her Youth Symphony to par­ review of some board positions to make ticipate in the festival in Switzerland a tighter and more workable group; this summer. Auxiliary is also proud the Executive Board of elected officers of the three members of that organi­ will meet monthly and the General zation representing medical families. Board will meet the required number Alice Reberger, a W ilson High School of times; closer communication be­ sophomore, who plays the cello, is the tween the Medical Society and Auxili­ daughter of Dr. and Mrs. Charles Re­ ary will be maintained so that mis­ berger; Joe Pembroke, viola player, is understandings in medical policy will the son of Dr. and Mrs. Thomas Law- not occur; and there will be an empha­ ley, and Wade Thuline, French horn sis on increased membership in the player, is the son o f Dr. and Mrs. Thu­ coming year. Regarding the latter, Jo­ line of Buckley. BULLETIN o f th e Pierce County M edical Society 2 7 EXCHANGE OF IDEAS At the instigation of our new presi­ dent, JoAnn Johnson, a group from the Medical Society met with represen­ tative Auxiliary members recently to discuss issues relevant to both. JoAnn reports that subjects under discussion were nursing scholarships with updat­ ing information about such, and the possibility that the two groups could combine funds to use them to the best advantage. The Para-medical commit­ tee will look into this further. Other areas of discussion included the smok­ ing and drug problem, the Abortion resolution, and the Anti-Pollution mea­ sures. This meeting was considered in­ formative and helpful, and there was unanimous agreement to have similar meetings in the future. The only one REMEMBER THE COOKBOOKS like it Lorraine Sulkosky’s enthusiasm for selling Pierce County Cookbooks is something we will always have with in Pierce County us, like . . . say, smog? But unlike smog, her enthusiasm creates a re­ freshing, exhilarating atmosphere, and And the largest funeral home in because of it, she really sells Cook­ Washington with everything in books . . . thirty-five in the last two one place and under one man­ months . . . can any of us equal that? agement. One hundred beautiful Because of Lorraine’s long association garden acres containing a ceme­ with the Cookbooks her name is syn­ onymous with them and when anyone tery, mortuary, 2 chapels, and wants one, it is Lorraine’s phone that mausoleum at the same address. rings. Result? Costs are lower and arrangements are easier for you Kit Larson and Kimi Tanbara are to make. taking over as Cookbook chairmen now and their combined enthusiasm will have to reach great heights to equal Mountain View that of Lorraine. However, if you will Funeral Home & Memorial Park tuck a few Cookbooks in that travel luggage this summer, you might find 4100 Steilacoom Blvd. ■ JU 4-0252 someone who hasn’t heard of the Pierce County Cookbook ,and think of the pleasure you’ll bring her. Pierce County M edical Society 2 8 BULLETIN of the CONDOLENCES Since 1888 . . . three quarters of a Auxiliary members were saddened to century of dignity and service at hear of the sudden death of Dr. Jo­ sensible prices. seph Harris on May 18. We extend our • Convenient location deepest sympathy to Margaret and • Two beautiful chapels family. • Plenty of parking MORLEY-MELLINGER FUNERAL HOME THANKS, JANET 6th & Tacoma BR 2*3268 Janet Anderson kept us afloat with news in the Bulletin last month dur­ ing my absence. Nicely done, Janet!

"Glasses as your eye CRUISING physician prescribes them” A five weeks’ cruise on the S.S. Lur- Contact Lenses — Artificial Eyes line practically ruins one for ever re­ turning to the grim realities of life. I Columbian Optical Co. am “coming to” again slowly so bear Ground Floor, Medical Arts Bldg. with me. Expo ’70 is everything great Medical Center that you’ve heard about it, but the Lakewood Japanese people are the really wonder­ The Tacoma Mall ful show.

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Extended care, nursing home care and self-care units make up this health care complex. Services are tailored to meet patient needs by means of a broad range of medical, nursing and paramedical programs. Standards are set high to insure continuity of care consistent with the quality of care in the acute care section of Lakewood General Hospital. The 130 bed center is directed by the Lakewood General Hospital Staff, Board of Governors and Administration.

5702 - 100th Street, Southwest Tacoma, Washington 98499 JU 8-1711 JU 2-3777 JU 2-3778 BULLETIN o f th e Pierce County M edical Society 29 Surgical Club Hears Of Limb Replants;

BY APPOINTMENT ONLY Mattson New Prexy The 54-member Tacoma Surgical A home of exceptional quality— dis­ tinctively designed for splendor in Club awarded new membership certifi­ living and entertaining. cates to three Tacoma surgeons at its Located on the Peninsula's picturesque 39th annual clinical meeting on Sat­ Raft Island, with a sweeping marine view across the propertys 130 feet urday, May 2. Another feature of the of lovely beach. evening banquet session at the Win- Tree shaded— this delightful home throp Hotel was the address by the has three grand bedrooms— each with guest speaker, Dr. Gael R. Frank, Asso­ its own private bath— floor level tubs in marble and gold, a den, powder ciate Professor of Orthopedic and Frac­ room (V2 bath), formal and informal ture Surgery at the University of Okla­ dining rooms, luxurious living room with floor to ceiling fireplace. homa. Additional waterfront is available. Owner is moving to Europe and must Dr. Frank showed fascinating movies sell immediately at well below mar­ of replantation of a right upper ex­ ket value. tremity that had been tom off at mid­ Please call Roger Snowden for an humerus in a high-speed laundry mach­ appointment to see this exceptional property. ine. A cosmetically excellent, partially functioning limb was preserved. Dr. Frank’s group had prepared themselves BUCK & SONS REALTY CO. for such a venture by performing 16 Gig Harbor replants of limbs in the dog laboratory. 858-9901 or evenings 858-3004 An interesting observation was that the rate of limb survival was significantly better in those limbs separated from the host for 4 to 6 hours than it was in those separated for only one to 4 hours.

DOCTOR - LAWYER GOLF TOURNAMENT FRIDAY, JUNE 26TH TACOMA COUNTRY & GOLF CLUB 30 BULLETIN o f th e Pierce County Medical Society Avery Wins Award Man may escape from rope and gun Club President Wayne Zimerman Nay, some have outliv’d the doctor’s announced that Dr. Bill Avery won the pill. award for the best dissection at the morning session of anatomical demon­ — John Gay (1685-1732) strations. Dr. Avery had demonstrated the radical dissection of the groin. Sec­ Antimicrobial agents have resolved ond place award went to Bob Yekel many perplexing problems, but they and Les Salmon of Bremerton for their have created others. The list of un­ neck dissection. toward effects is enormously long; New members inducted were Del there are many reasons for this rising Prewitt, Jose Garzon, and Jim Stilwell. incidence. Certainly the number of ■,[ lad agents available for use and the num­ -.3J crnrf' - Secretary Art Wickstrom announced ber of people exposed to these drugs that 140 physicians attended the all­ is increasing daily. Furthermore, peo­ day meeting. 158 nurses and other ple are experiencing repeated exposure _ j;® s'Jic L -■ para-medical personnel were on hand to some agents over an extended span for the Friday afternoon demonstration of time. This may exert a conditioning of the anatomical dissections. influence upon patients for the future

In the final brief ceremony of the emergence of adverse reactions. As : :.r.. .1 - time goes on, physicians seem more in­ day, Dr. Zimmerman relinquished the (r:: d u: Presidency to Dr. Bill Mattson, who an­ clined to switch antibiotics or experi­ nounced that he is already laying plans ment with drug doses, routes and du­ for the 1971 meeting. ration of therapy. Often such proced­ Ik;

ures are detrimental to patients. Obvi­ ill'll ‘ ously, greater awareness and better documentation and reporting of drug I-:: reactions by physicians had added a Whitacre Named State factor. But it would seem there is a true ever-increasing incidence of ad­ Medical Examiner verse drug reactions. ••Kf-tkcsr j;.; ;; G. Marshall Whitacre, Tacoma In­ ginerai ternist, has been appointed to a three- One word of caution concerning any year term as a member of the State new so-called nontoxic antimicrobial 0! if - - agent must be given. The full poten­ Board of Medical Examiners. The ap­ 'Niki Jg 0: pointment was made by Governor Ev­ tial o f any drug to demonstrate its ca­ pacity to produce adverse effects re­ ultii^ k ans from a number of candidates rec­ .■IT.; , ...... ommended by the Washington State quires time; when larger numbers of Medical Association. people are exposed to the drug for a longer interval— then we may make ra­ Dr. Whitacre graduated from North­ tional judgments on its efficiency and/ western University School of Medicine or toxicity. ir. in 1943 and his office is at the Tacoma Medical Center. He was President of —Diseases of Medical Progress: A the Pierce County Medical Society in Study of Iatrogenis Disease — Edited * Ho:. r. 1962 and until recently was a Trustee of the Washington State Medical As­ by Robert H. Moser, M.D., F.A.C.P. sociation. wmbLr..

X BULLETIN o f th e Pierce County M edical Society 31 The improved statistics in malignant Notes From The lymphoma are really due to three main Hematology-Oncology reasons: 1. General adoption of the staging Study Group process.

In recent issues of the Bulletin, we 2. The development of the “high en­ have been discussing the workup or ergy” machine—cesium and cobalt— using tumorcidal doses over extended “staging” of lymphoma. Using the fields. technique of “staging” as previously described, we divide it into Stage I - IV. 3. Newer chemotherapeutic drugs, used aggressively, in combination and Stage I, II and some stage III pa­ series. tients are all, generally speaking, theat- — J. G. K a t t e r h a g e n , m .d . ed with irradiation—either cesium or cobalt. Some stage III and practically all stage IV patients are treated with chemotherapy. HAVE YOU PAID YOUR AMPAC DUES? When we elect to treat malignant lymphoma with cobalt or cesium we are shooting for an extended remis­ sion or “cure”. Using tumoricidal doses of irradiation with extended fields, our 10-year survival for stage I and II Hodgkins is 90% to 60% respectively. DAMMEIER A patient with Hodgkins disease who Printing Co. survives 10 years has no greater likeli­ Printers and Offset Lithographers hood of re-developing his or her dis­ ease than the general population. FU 3-4925

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MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of Jan., April, July and Oct.— 6:15 p.m. Doctors Hospital Cafeteria STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept. Dec.— 6:30 p.m. STAFF OF ST. JOSEPH’S Third Monday of March, June, Sept., Dec.— 7:30 p.m. STAFF OF PUGET SOUND GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA AREA CHAPTER OF AMERICAN PSYCHIATRIC ASSOC.— First Monday of October, December, February, April and June. TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 6:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August— 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Ceccanti's PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August PIERCE COUNTY PEDIATRIC SOCIETY First Monday of each Month except June, July and August— 6:00 p.m. STAFF OF ALLENMORE HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. TACOMA OB-GYN SOCIETY 3rd or 4th Tues. of Jan., March, May, Sept., Nov. PIERCE COUNTY MEDICAL SOCIETY | BULLETIN AUGUST 1970 TACOMA, WASHINGTON VOL. XLI—NO. 8

PIERCE COUNTY MEDICAL SOCIETY NO MEETING JUNE, JULY, AUG. 9 BULLETIN of the Fierce County Medical Society Pierce County Medical Society 1970 OFFICERS P resident—...... __ Robert M. Fergoson President-Elect ...... Robert W. Florence Vice-President...... „ Richard T. Vimont Secretary-Treasurer ...... George A. Tanbara Executive Secretary...... _...... Judy Gordon TRUSTEES Richard F. Barronian John M. Kanda W. Ben Blackett Theodore J. H. Smith Robert P. Crabill Richard T. Vimont Dale D. Doherty Don G. Willard Robert M. Ferguson George A. Tanbara Robert W. Florence Wayne W. Zimmerman DELEGATES Robert M. Ferguson Herman S. Judd Robert W. Florence Edmund A. Kanar Kenneth D. Graham Robert W. Osborne Charles C. Reberger ALTERNATE DELEGATES Dudley W. Houtz D. A. Marlatt Vernon O. Larson William W. Mattson, Jr. Joseph G. Katterhagen John S. May Paul B. Smith, Jr. Ethics Douglas P. Buttorff, Chairman G. Marshall Whitacre Lawrence Brigham Grievance Wayne W. Zimmerman, Chairman Janies D. Lambing Charles P. Larson Credentials James F. Early, Chairman Edmund A. Kanar Ralph Johnson Frederick J. Schwind Program Richard T. Vimont, Chairman Public Relations Paul B. Smith, Jr., Chairman Public Health Harlan P. McNutt, Chairman Television John F. Comfort, Chairman C o v e r P i c t u r e : Historic Fort Nisqual- D. T, Baer Gordon Dean Orvis A. Harrelson ly at Point Defiance as viewed from Civil Disaster the air. Arthur Wickstrom, Chairman Entertainment William Rohner, Chairman Diabetes Bernard Rowen, Chairman Legislative Stanley Tuell, Chairman Mental Health James W. Boudwin, Chairman School Health r» w • ,?• A- Harrelson, Chairman DeMaunce Moses t . C lark A lan Sobul Poison Control James L. Schneller, Chairman Health Planning James E, Hazelxigg, Chairman Liaison Thomas H. Skrinar, Chairman Pharmacy—Lt. Col. Robert G. Scherz Optometries—Paul Smith, Jr. Medical-Legal Review Board Editorial Board Wayne W. Zimmerman, Chairman Robert B. Whitney, Jr., M.D., Editor Marcel Malden Stanley W. Tuell Medical Education Robert A. Kallsen George A. Race Marcel M alde^' Kattcrhaeen’ Chairman Auxiliary News Editor George Barnes ^ nn Brokaw Mrs. Bernard Pipe Richard Vimont Robert Crabill Jam es DulTy Business Manager Judy Gordon ______BULLETIN of the Pierce County Medical Society ______3

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MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY: 1 } 1

Hemotology, Oncology Study Group— TGH 8 a.m. J

fi

3 4 5 6 7 8 1

Hematology- C.P.C. of Oncology Study Mary Bridge Group— T.G.H. 8 a.m. 8 a.m. in 10 11 12 13 14

C.P.C. of 1 lematology- Mary Bridge Oncology Study 8 a.m. Group— TGH 8 a.m.

17 18 19 20 21 22 ij

4 C.P.C. of Hematology- Mary Bridge Oneology Study 8 a.m. Group—T.G.H. 8 a.m. '

24 25 26 27 28 29

C.P.C. of Mary Bridge llematology- 31 8 a.m. Oneology Study Croup—T.G.H. 8 a.m. trust (trust) n. That which is committed or entrusted to one, as a duty, task, or charge.

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NATIONAL BANK OF WASHINGTON/TACOMA, WASHINGTON / MEMBER FEDERAL DEPOSIT INSURANCE CORPORATION 8 B U L L E T I N of the Pierce County M edical Society Tick Paralysis Arthopod-Borne Encephalitis

On May 19, a 4-year-old boy was hospitalized near Spokane with flaccid One human infection with St. Louis paralysis of his legs and marked weak­ encephalitis virus and none with West­ ness of the upper extremities. He was ern Equine encephalitis (WEE) virus afebrile and had been in good health were confirmed in Washington during until the onset of symptoms the pre­ 1969. Surveillance conducted through vious night. Cerebro-spinal fluid was the Washington State Department of normal. Total body scrutiny revealed Agriculture in cooperation with the an engorged wood tick attached to the U.S. Animal Health Division revealed scalp amidst a thick crop of hair. The 22 confirmed and 92 clinically com­ tick was removed; following 24-36 patible cases of WEE in horses. These hours of supportive therapy, the boy occurred in most parts of eastern had returned to full strength. The Washington and were most frequent in child’s family gave a history of an out­ July and August. The apparent rarity ing in some nearby woods several days of WEE in humans during a year of prior to the onset of illness. apparent high incidence in horses is Tick paralysis, a rare and serious unexplained. disease, has been recognized in many The degree of risk which will pre­ parts of the world, including the North­ vail in eastern Washington this sum­ western United States and adjacent mer is unknown. Prevention in man parts of Canada. During the past 25 is by mosquito control and individual years, 14 cases with one fatality have protection against mosquito bites. Phy­ been reported in Washington. Symp­ sicians suspecting this infection are toms are attributed to a neuro-toxin urged to submit acute and convalescent secreted by the female Dermacentor serum specimens for confirmation. andersoni. Complete and rapid recov­ ery can be expected following removal of the tick from the afflicted individual, Experience in medical care of emer­ if paralysis has not progressed too far. gent problems outside the hospital is This incident serves as a reminder extensive in military organizations. In that ticks, people and the sun have all communities within the continental come out in the open. Other tickborne United States, people who are suddenly diseases known to occur in the North­ struck by injury or severe illness often west at this time of year include Rocky are further from a hospital in time and Mountain Spotted Fever, Colorado Tick further from treatment than a wound­ Fever, Tularemia and Relapsing Fever. ed GI in the jungles of a combat zone Persons frequenting fields and woods half a world away. Basic to the differ­ should dress protectively and thor­ ence is the use of trained paramedical oughly check themselves for ticks at personnel to deliver early care beyond the end of each day. ordinary first aid. BULLETIN of the Pierce County M edical Society 9 In investigating an improvement of assist the physicians in those commu­ our current systems, St. Joseph’s Hos­ nities as an emergency service. At the pital is initiating a trial program in present time, corpsmen who have been cooperation with several local and State serving in various medical fields in the agencies. The plan involves one year military have limited capabilities for of training of military corpsmen who employment or careers in our civilian have left the service. These people will system. We hope that this will allow be introduced to the unique situations a gateway through which interested of civilian practice and problems of men may be exposed to health careers emergencies within our own commu­ in surgical technician, respiratory care, nity. They will work in the emergency laboratory technology and x-ray tech­ room, in areas of surgery, in respira­ nology fields. The inclusion of college tory care and have a formal college credits in this basic one-year program level program at Tacoma Community allows the individual an opportunity to College. These people will be schooled progress and to develop in any of the in evaluation of emergent problems so careers to which he is exposed and that patient’s critical situations can be becomes interested subsequent to this stabilized and temporarily checked to initial training. allow evacuation to a medical treatment Certainly the utilization of this re­ center. The major difference in ap­ source in improving the numbers of proach to this emergency medical tech­ people in medical care will benefit all nician is that of delivery of emergency of us in the medical field. care to an injured or ill patient prior — J a m e s G. B illin gsley, m.d. to evacuation back to the hospital. The military helicopter evacuation system and private means currently in effect at St. Joseph’s Hospital, will sup­ Regional Library plement this program. It is the intent Giving State M.D/s of those organizing the formal E.M.T. teaching that this program will support Prompt Service all hospitals in the community. The Doctors of this State, including plan currently under evaluation in­ those in Pierce County, are making cludes an emergency kit and the pres­ increasing use of the new Pacific ence of the properly trained emergency Northwest Regional Health Sciences Li­ medical technician on a 24-hour basis brary at the University of Washington, at St. Joseph’s Hospital. An emergency now' completing its second year. The call will bring the transporting helicop­ library received 12,800 requests for ar­ ter to the hdspital to pick up this indi­ ticles or books in its first year of op­ vidual and his air mobile kit. They will eration and this figure increased to then go to the scene under the direc­ 22,768 in the 1969-70 year. Of these, tion of the local authorities and High­ 22,386 requests were accepted and way Patrol and the individual will as­ nearly all of these filled, either at the sess the immediate needs, doing what­ library or from a related source. ever he can to best stabilize the patient Service has been prompt. 76 per prior to his removal to a hospital. cent of the requests were filled within We visualize the system as the first 2 days after the request was received, step in training an increasing number and 82 per cent filled within 3 days. of personnel in this medical field hop­ Local physicians may make requests ing that they can serve in communities for references from the library through isolated from full medical coverage and any of our local medical libraries. 10 BU LLETIN of the Pierce County Medical Society

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PERSONAL ENURESIS SERVICE A service that works closely with both physician and his patient. By incor­ porating the Pavlovian Theory of "conditioned reflex,” P.E.S. establishes home therapy programs helpful in correction of nocturnal enuresis when not caused by organic defects or disease. Patients must first obtain written medical clearance from the physician in order to avail themselves of our services. PERSONAL ENURESIS SERVICE has: •The latest in "dual-system'' sensor units. • Well-oriented individual programs. • Complete personal supervision. • Periodic program reports to the attending physician. CH 2-4048 or M A 2-6900 Burien Professional Building, 801 SW 150th, Suite G, Seattle, Wa. 98166 BULLETIN of the F i e r c e C o u n t y M e d i c a l S o c i e t y 11

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Study Group Perhaps unknown to most of us, a very personal people to people program Little good can be said for the cig­ is being fostered by the World Medical arette habit; at a recent session of the Association with the full cooperation Hematology-Oncology group another of the American Medical Association. damning fact was brought forth against It recognizes the great need for the the cigarette industry. sharing of knowledge and technical in­ It would seem that of all physicians, a formation not only among developing urologist is as far anatomically removed nations but also among larger indus­ from the ill effects of cigarette smoking trial nations. as possible. Recently, however, Doctor A program has therefore been de­ Herbert Kennedy, when, speaking on vised whereby current medical litera­ cancer of the bladder, strongly incrimi­ ture is supplied by American doctors nated cigarette smoking as a causative to overseas physicians. An attempt is factor. He cited strong evidence that made to “match” doctors in the same those who smoke have a much greater field of medicine or of a subspecialty, chance of developing this carcinoma and the journals are then sent overseas than a non-smoker. on a regular basis, with the donor This is just another nail being driven providing the postage. into the coffin of the cigarette smoker. It is recommended that the maga­ All physicians accept cigarette smok­ zines be sent periodically and not in ing as a causative factor in the de­ bulk, as this may involve customs prob­ velopment of cancer of the tongue, lems for the recipient. It is also re­ larynx and lungs. The relationship be­ quested that only current journals be tween cigarette smoking and these tu­ sent regularly. These may be mailed in mors appears to be the direct contact a large manila envelope or rolled in of the cigarette smoke on the epitheli­ wrapping paper and tied with string. um of these organs. However, it now appears that the end metabolites of the The donor physician is encouraged smoke that is absorbed through the to write a letter of introduction when lung and finally excreted in the urine sending his first journals. He may wish also has the abliity to promote cancer­ to describe his medical interests and ous growth. some personal data in order to estab­ lish greater rapport. By this means, it So, if you are a resident of “MARL­ is hoped to establish better internation­ BORO COUNTRY" over and above a al communication within the medical regular chest x-ray possibly a yearly urinalysis would be in order. profession. Should you be interested in partici­ Support your local urologist through a cancer checkup. pating in such a program, write to the A.M.A. Doctor to Doctor Program, 535 No. Dearborn, Chicago, Illinois 60610, — J . D. K a t t e r h a g e n , m .d . and be sure to send them the names of specialty journals and/or other med­ ical periodicals which you receive on HAVE YOU PAID YOUR AMPAC DUES? a regular basis. BULLETIN of the Pierce County M edical Society 1 3

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METROPOLITAN BUILDING CORP., MGRS. BULLETIN of the Pierce County Medical Society 15 ision of Family Practice, University of Dr. David Wilhyde Joins Washington School of Medicine, will St. Joseph's Path. Team discuss family practice and the medical school; Dr. Richard A. Smith, Director Dr. David Wilhyde recently joined of the MEDEX program, will present the staff of the St. Joseph Hospital a progress report during a General Ses­ Pathology Department. sion Tuesday morning, September 22. A native Tacoman, Dr. Wilhyde is Specialty Sessions include ENT, a 1952 graduate of the University of Ophthalmology, General Practice, In­ Puget Sound (College of Puget Sound ternal Medicine, OB-GYN, Orthopedics then), where he earned his Bachelor’s and Surgery. Three courses and two Degree in Chemistry. He attended demonstrations will be offered. Courses medical school at the University of include Chromosome Analysis, Elec­ Washington, earning his M.D. in 1960. trocardiography and Sports Medicine. He interned at the University of Chi­ A Cast Application Demonstration is cago Clinics and served his residency scheduled Tuesday afternoon and Wed­ in Anatomic Pathology at the Univer­ nesday morning, and the Washington/ sity of Washington Affiliated Hospitals. Alaska RMP, Education and Support Since that time his career has taken Unit, will offer new approaches to con­ him to Children’s Hospital Research tinuing medical education Monday Foundation in Cincinnati, Ohio, where through Wednesday. he was a Fellow in Pediatric Pathology, Twelve scientific exhibits will be dis­ and to Dayton, Ohio, where he served played each day from 9:00 a.m. as Director of Pathology in the new through 5:00 p.m. in the Elizabethan Children’s Hospital there. Room of the Davenport Hotel. Tech­ In 1969 he returned to the Pacific nical Exhibits will be located in the Northwest. Here he changed his field Hotel Lobby and Mezzanine area. from Anatomic Pathology to Clinical Pathology, serving his residency at Ta­ coma General Hospital. Dr. Wilhyde resides with his wife, Other Events Alice, and their two children. The Annual Meeting of the Auxiliary to the Washington State Medical Asso­ ciation will be held in the Ridpath Ho­ Scientific Program tel, Spokane, concurrently with the Set Mon. Thru Wed. WSMA Annual Meeting. The golf tournament of the Wash­ The WSMA Scientific Program Com­ ington State Medical Golf Association mittee has arranged a program begin­ will be held at the Spokane Country ning Monday morning September 21, Club with morning and afternoon tee- and ending Wednesday noon, Septem­ off times, Monday, September 21. For ber 23. General Scientific Sessions are the first time, a tennis tournament is scheduled all day Tuesday and Wednes­ scheduled on the same day. No fishing day morning. General sessions will in­ derby is planned. clude Round Table Discussions and a Physicians are invited to exhibit oils, program on drug abuse. Dr. Robert L. water colors, sketches, pen and ink, VanCitters, Dean, University of Wash­ pastels, graphics, sculpture or salon ington School of Medicine, will discuss photographs. Photographs should be new directions in medical education; mounted on 16” x 20” exhibit board. Dr. Theodore J. Phillips, Director, Div­ Wives of physicians who do work in one 16 BULLETIN of the Pierce County Medical Society of the above media also are welcome to and will include sessions on general submit their work. The exhibits are non­ practice and all the major specialties. competitive and you should contact The fascinating MEDEX program which Edward V. Johnston, M.D., 312 8th has brought national recognition to Avenue, Spokane 99204, concerning Washington State will be discussed by entries you would like to submit this the “father” of the program, Dr. Richard year. Accepted works wil be displayed A. Smith, of the University of Washing­ in the Davenport Hotel during the ton. Dr. Robert L. VanCitters, new Dean WSMA Annual Meeting. at the University Medical School will be on the program discussing the re­ volutionary new trends in medical edu­ cation.

While the doctors meet at the Daven­ Golf, Tennis, Art, port Hotel, the women’s auxiliary of Science, On WSMA the State Association will hold a con­ current meeting at the Ridpath Hotel, Program in Spokane also in Spokane. For the first time in its history, the Washington State Medical Association will include a tennis tournament in its sports program at the annual meeting to be held in Spokane September 20-23. Health Sciences Library Monday, September 21, will be sports Announces New day for both the tennis players and the golfers, with latter having both morning Bibliographic Service and afternoon tee-off times. There will The Pacific Northwest Regional be no fishing derby. Health Sciences Library, which serves The hot subject of “Relative Values” the states of Washington, Oregon, Alas­ for fee schedules will get a thorough ka, Montana, and Idaho, is pleased to going over on Sunday, Sept. 20, at a announce a new bibliographic service seminar on this subject. called AIM-TWX.

Likewise, the subject of Quality Con­ We are now able to submit refer­ trol will be reviewed during the first ence questions by means of a TWX session of the House of Delegates on connection directly to a computer and Sunday afternoon. receive a small number of citations immediately. The data base is that of Your Chance to Sound Off the Abridged Index Medicus, from 1966 to date. As always, the best place for individ­ ual members to sound off will be in the This is an index to 100 clinically ori­ reference committee sessions, where all ented English-language journals. Re­ resolutions and committee reports to quests may be sent to us for answer come before the House of Delegates by return mail. will be reviewed and subject to informal Please send your questions to: discussion. Reference committees will MEDLARS Center, Pacific Northwest meet on both Monday and Tuesday. Regional Health Sciences Library, Uni­ The scientific session will last from versity of Washington, Seattle, Wash­ Monday morning to Wednesday noon, ington 98105. the: adventures o f j . Roderick delhmanty I J RODERICK DELEHANTV AT THE COUNTY S O C J E 7 Y

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Monday morning to Wednesday noon, ington 98105. BULLETIN of the Pierce County M edical Society 17 WSMA Annual Meeting Aid In Settling Claims Sept. 20-23, in Spokane The newly published second edition of the Current Procedural Terminology The 81st Annual Meeting of the (CPT) is now offered to physicians as Washington State Medical Association an aid in settling claims for compensa­ will be held in the Davenport Hotel, tion through insurance companies or Spokane, September 20-23, 1970. The Medicare and Medicaid. It is a uniform July issue of con­ Northwest Medicine system of terminology and coding tains the preliminary scientific program which provides a method to describe offered during the Annual Meeting. A diagnostic or therapeutic procedure. “Desk Copy” of the general and scien­ The format of this second edition is tific program will be mailed to WSMA similar to the first in its alphabetical members in the first half of August. and numercal listing of procedures and A survey of County Medical Soci­ the use of special headings and sec­ tions. CPT is priced at $2, less 50 per eties, Medical Service Bureaus, Special­ cent discount on medical society orders; ty Groups, State Agencies and the from American Medical Association, Health Insurance Council resulted in 535 North Dearborn Street, Chicago, considerable interest being shown in Illinois 60610. Checks must accompany the 1969 California Relative Value orders. Study. Physicians and third party pay­ ers are reviewing the second edition Consent For Treatment of the Current Procedural Terminology, published in 1970 by the AMA. Also Of Minors , . . under review is the 1970 Blue Shield During ’69 and ’70 sessions of Wash­ Coding and Nomenclature Manual The ington Legislature the following laws seminar will provide physicians an op­ were enacted (with WSMA support) relating to medical treatment of minors. portunity to hear reports and discus­ 1969 laws in effect, permit minors sion on the advantages and disadvan­ fourteen or older to seek treatment for tages of the 1969 California RVs, the venereal disease, allow an 18-year- AMA’s CPT and Blue Shield’s Coding old to donate blood to voluntary, non­ and Nomenclature Manual. compensatory blood program, eighteen year olds and older to donate all or The First Session of the House of parts of body for transplant, research Delegates is scheduled for Sunday af­ or education. ternoon, September 20. A special pro­ Effective May 14, law enacted during ’70 special session permits eighteen gram on Quality Control will be in­ year old to consent to medical treat­ cluded in the opening session. Refer­ ment without need for approval or con­ ence Committees will meet Monday, sent by parent or guardian. (See Page September 21, and Tuesday, Septem­ 273, April issue Northwest Medicine, ber 22, offering all members the oppor­ for full text of law.) tunity to discuss resolutions and com­ A note of caution— the WSMA Legal Counsel has warned that physicians mittee reports. The final session of should take extra care in being sure the House of Delegates will begin Wed­ patient in above categories understands nesday morning, September 23. nature and purpose of treatment. 1 8 BULLETIN of the Pierce County Medical Society

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from tee to cup without touching a Lawyers Outdrive, blade of grass. Tom Murphy again Out-Putt Doctors; helped uphold the honor of the doctors by being closest to the pin on the same Sink Hole-ln-One hole, amongst the high handicappers. Paced by attorney Stan Burkey with Perennial long-driver Marsh Whit­ a low net of 65 for the day, Tacoma acre wasn’t in line when they passed lawyers dominated the fairways and out the prizes for long drives. Chuck greens at the Tacoma Country and Golf McClure led the low handicappers on Club when they clashed with the phy­ both the 9th and 14th fairways. Dr. sicians at their annual field day on Horace Anderson had long drive on 9 June 26. Burkey shot an even par 72. in the second division, but attorneys Aside from a tie for low net in the 16- led all divisions on hole 14. and-over handicappers division by Dr. Tom B. Murphy, the lawyers held un­ disputed firsts in each division. Murphy tied with Ray Graves, each with a net 69.

Chuck McClure led the low handi­ cappers with a net 68, followed closely by Dr. John Comfort with 69. Charles Fogg had a net 66 in the 10-15 handi­ cap division, with a physician again coming in second— Horace Anderson with 67. Lawyer Dick Monaghan won Jen-y Kohl , left, congratulates George the Callaway division with an unmen­ Gagliardi on his hole in one, while tionable gross and a net of 70. tournament chairman Larry Ghilar- ducci looks on. Stan Burkey, low net Hole in one champ is on the right. Dr. Marsh Whitacre was closest to The doctors really couldn’t lose every­ the pin on the 6th hole amongst the thing in the “Horserace” putting comp­ low handicappers, but his victory was etition held in the evening, since each overshadowed by the most spectacular team of two was made up of a doctor event of the day, a 148-yard tee shot by and a lawyer. Horace Anderson teamed barrister George Gagliardi that flew with Stan Burkey to edge the field in this competition.

George Gagliardi kisses his hole-in-one- ball Horace Anderson and Stan Burkey take putting honors BU L LE TIN of the Pierce County Medical Society 21

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September 20 21, 22, 23, 1970 ANNUAL CONVENTION

Washington State Medical Association Davenport Hotel, Spokane BULLETIN of the Pierce County Medical Society 2 5 WOMAN'S AUXILIARY PAGE . . .

AUXILIARY OFFICERS 1970-1971 Randolph for taking care of all the details. President____ —-______Mrs. Ralph A. Johnson President-Elect and Representative to President’s Council______Mrs. Herbert Kennedy On the same library shelves is a copy 1st Vice-President & Program Mrs. Max Brachvogel of TODAY’S HEALTH GUIDE, an ac­ 2nd Vice-President & Membership____ Mrs. Richard Link 3rd Vice-President & Legislative Mrs. J. J. Erickson credited medical text from the AMA for 4th Vice-President & Social ...... Mrs. David Hopkins the general public. Authored by phy­ Recording Secretary ...... Mrs. Duncan Baer Corresponding Secretary- Mrs. Clarence L. Anderson sicians from all over the country, it is Treasurer______Mrs. Arthur Wickstrom highly recommended. We are fortunate Dues Treasurer------Mrs. Gordon Dean in being able to buy it, or sell it, for COMMITTEE CHAIRMEN $5.00 and some of this money remains

Nominating Committee______—Mrs. Murray Johnson in Auxiliary treasury. If you would like Historian & By-Laws -----.------Mrs. Robert Whitney a copy for your library, or need a use­ Finance & Pierce County Health_____ Mrs. Philip Grenley ful gift, place your order through the Community H ealth...... M rs. George Moosey Publicity (Bulletin)------Mrs. Bernard J. Pipe Auxiliary. Publicity (Newspapers) ...... Mrs. J. Lawrence Smith Telephone ------Mrs. Edmund A. Kanar Mrs. Harry Camp CHRISTMAS IN AUGUST Para-Medical & Medical Health Science ------Mrs. James Stilwell Today’s Health------Mrs. Ernest Randolph Our Christmas card project results in Mrs. J. W. Lee close to $2,000 which we contribute to AMAERF------—...... —Mrs. Marvin L. Bourne Representative—Council on Alcoholism _ Mrs. Carl Ekman AMAERF. As you know, this money is Representative—Council on Mental Health.------Mrs. Jay H. Ehly for medical students and medical Representative—Poison Prevention schools in the way of the Student Loan Commission------Mrs. John W. Pelley Student Recognitions & Awards.,... Mrs. J. G .Katterhagen Guarantee Fund. In fact, each dollar Mrs. Charles Reberger Cookbook ---— ------M rs. Vernonwe Larson give puts $12.50 to work in loans Mrs. George Tanbara made by a commercial bank, giving Dance------Mrs. Ralph V. Stagner Mrs. Ronald Spangler, Jr. the medical student adequate credit to Tasting Luncheon ...... Mrs. K. Royce Hansen Mrs. David W. Millett guarantee his bank loan. Speakers Bureau _ ------Mrs. Kiyoaky Hori Toni Bourne is chairman of this committee and will be contributing her creative talents in designing the card for this year. Toni is being kept busy President JoAnn Johnson has some this summer taking care of the dona­ informative words for us all regarding tions that arrive and are welcome at TOADY’S HEALTH, AMAERF, MED­ all times. This is an appropriate way to ICAL SERVICE DIRECTORY, AMPAC, say “thank-you” to another physician and, well, read on . . . for his care, or to send a memorial. It does seem fitting indeed when you con­ TODAY’S HEALTH sider it in terms of individuals, perhaps Did you know that Pierce County your children, or any talented young Medical Society and Auxiliary is con­ person who desires to become a phy­ tributing to every school in the county? sician. This is done by giving a subscription for TODAY’S HEALTH to the school MEDICAL SERVICE DIRECTORY libraries, where students and teachers Patsy Crabill has finally begun to alike use it for reference and occasional enjoy summer after distributing thous­ assignments. Our thanks to Charlotte ands of copies of the Medical Service T----- V

26______B U L L E T IN of the Pierce County Medical Society ______

Directory. This was a tremendous job well done . . . and last week we received a request from the Department of Pub­ lic Assistance for 300 more copies. The Directory is very well received and' appreciated. We are investigating fur­ ther methods of reproducing the infor­ mation on a mass scale. AMPAC The seventies are really here . . . and so is campaign time again! Let’s help AMPAC. They’ve helped us by promot­ ing over 80% of the attempted legis­ lation in our behalf. Please call me (this is JoAnn speaking) if you’re inter­ ested in working on AMPAC.

WANT A JOB? Anyone interested in helping with the Explorer’s group? Warning . . . these The only one are young adults with keen inquiring minds bent on a scientific career and have already decided on a medical or like it medically allied profession. Again call JoAnn.

in Pierce County STUDENT RECOGNITION Our first attempt at student recogni­ tion for a member of a medical family And the largest funeral home in had this response from one of the Washington with everything in recipients, Kevin Duffy from Sumner. one place and under one man­ He states: “I am writing to thank you agement. One hundred beautiful for the award you bestowed upon me on garden acres containing a ceme­ the night of my graduation. It was tery, mortuary, 2 chapels, and truly a welcoming shock to hear my mausoleum at the same address. name called at graduation. When I fill­ Result? Costs are lower and ed out the questionairre earlier this arrangements are easier for you year, I thought I had a very slim chance to make. of winning.” As Kevin thanks the med­ ical proup, I would like to thank the committee who did a fine job in select­ Mountain View ing the candidates. Funeral Home & Memorial Park 4100 Steilacoom Blvd. ■ JU 4-0252 SEPTEMBER COFFEE HOUR Save the date of Friday, September 18, at 10 a.m., for meeting new mem­ bers and greeting old friends. You will BULLETIN of the Piebce County Medical Society 27 be informed of the location and the necessary signatures for the implied program via your faithful committee. consent legislation. Lest you forget . . . dues are due! Included in the “Resolution on Health Care of the Poor,” passed by the AMA, NATIONAL AUXILIARY a paragraph read, “RESOLVED, that The National Medical Auxiliary is a the Woman’s Auxiliary to the American working force of great potential. Have Medical Association recommend that you ever really thought about it the Program Development Committee When this group convenes yearly at implement this program on Health Care the same time as the AMA convention, of the Poor to include Indian, migrant more than 1,000 physicians’ wives are and ghetto care.” This places a direct in active attendance. Many have been responsibility on all Auxiliary members working months in advance preparing to be aware of the health needs in her for the success of this meeting. community. Speakers repeatedly em­ phasized the goal of Auxiliary as “Ser­ During the 1970 convention held at vice in the Seventies,” adding that the the Drake Hotel in Chicago, from June focus of the group this next year will 21-25, Auxiliary President Mrs. John be on the responsible adult in the health M. Chenault of Decatur, Alabama, pre­ picture. sented a check for $498,950.69 to Dr. Robert C. Long, president of the Ameri­ Mrs. G. Prentiss Lee of Portland, can Medical Association Education and Oregon, is the new president-elect, and Research Foundation. The contribution Mrs. Willard C. Scrivner of East St. represented an increase of $70,000 over Louis, 111. first vice-president. Director last year. Mrs. Chenault noted that Phy­ for the Western area is Mrs. Lyle F. sicians’ wives contributed a total of Murphy of Long Beach, California. $4,196,083.46 to the foundation since On a smaller scale the Washington the Auxiliary adopted the project in State meeting in September will give 1951. How is that for an achievement? you an opportunity to see your state Largest contribution to the current Auxiliary in action. Dates are Septem­ total came from the California Auxili­ ber 20, 21, 22, 23, at the Davenport ary—$72,514. Auxiliaries in Nebraska, Hotel, Spokane, Washington. Louisiana, Hawaii, and Maryland re­ —I n e z M. P i p e ceived awards for having the highest percent of increase over the past year, while West Virginia, Michigan, Tenn­ essee, and Wyoming Auxiliaries were CRUISE DOCTOR cited for the largest per capita dona­ tions. Six County Auxiliaries received We were two days out of Hong Kong, achievement awards, one of which was steaming steadily along at 22 knots on Grays Harbor from our own state. the cruise ship S. S. Lurline, the morn­ ing I awoke head-achey, throat-achey, Let it be noted that Washington State and speechless. Auxiliary was honored for its outstand­ ing work in the field of traffic safety. I need more help than we packed in Mrs. Ruth Roos, chairman-elect of the our travelling medical kit, I thought as Women’s Conference of the National I made my way aft on “A” deck toward Safety Council, presented the Council’s the comforting sign “Doctor” showing Award of Honor to the Washington dimly down the passageway. Although Auxiliary for its aid in obtaining the it was just 10:00 a.m. and the ship’s 28 B U L L E T IN of the Pierce County Medical Society

bulletin listed doctor’s hours from “I got the job by applying for it,” 10:00 to 11:00 a.m., a half dozen continued the Los Angeles physician patients were ahead of me, leaning and surgeon. “One of the main require­ against the corridor wall. I later learned ments of a ship’s doctor is that he be a that two more were inside the tiny cub­ qualified surgeon.” He told us that the icle of a waiting room which was just ship’s doctor is hired as physician to the large enough for two chairs and a table crew and he draws his salary for that. holding packets of Marezine sporting His care of the passengers is extra. Dr. a sign, “Take one.” du Roy has scheduled office hours of one hour in the morning and two hours As the line lengthened Nurse “Jolly” in the afternoon. He is available at all popped out periodically taking names times for emergencies by a call to the and temperatures and checking new ship’s telephone operator. arrivals. “Just a short wait, dears,” she promised. In the meantime we felt very The ship’s doctor on the S. S. Lurline much in the way of various crewmen, has something over 1,000 people in his stewards, waiters, and others using the care . . . and how would you like to corridor in the line of duty. However, keep that many stomachs steady in a I finally reached the inner sanctum, raging Pacific storm? Or how would an office, slightly larger than the wait­ you like to operate or set a bone with ing room. The nurse indicated that I your feet on an unsteady deck? Or seat myself on the end of the examin­ remove an appendix or diagnose meas­ ing table. les with no laboratory to back you up? Dr. du Roy considers all of these pos­ Dr. Robert du Roy, a tall, sun-tanned sibilities as part of his job and has had man in mid-years, writing at his desk, to cope with all of them at some time suddenly turned to me, perfectly serious during his several cruises on Matson faced, and asked, “Burial at sea, I pre­ ships. sume?”

“The sooner the better,” I croaked Dr. du Roy is a graduate of the back at him. University of Colorado Medical School and has had several residencies at east­ My husband and I had met Dr. du ern hospitals. He considers geriatric Roy several evenings earlier in the problems such as heart disease, one of ship’s lounge, the doctor in a talkative the main cares of the ship’s physician. mood, and I, in good health, so I was With so many senior citizens aboard not too surprised by his dry humor, cruise ships he must be alert to the having had a sample of it previously. problems confronting them on strenu­ "Tell us about the routine of a ship’s ous tours ashore where they often over­ doctor,” I had asked of him that even­ tax themselves. Stomach upset incurred ing. on foreign shores is another common ailment. Its a great life, I love it,” he enthus­ ed. Where else could you live on a A number of colds and respiratory glamorous cruise ship for six to eight infections plagued the passengers weeks, enjoy a party every evening, aboard the Lurline’s Expo ’70 cruise. free room and board, and clear $1,000 After all, in such “togetherness” aboard a month? And if you are handsome that floating hotel that type of infection and fancy-free like Dr. du Roy, I spread rapidly. However, it ran its thought, also enjoy the company of the course and all turned up happy and attractive widows and divorcees aboard? healthy for sight-seeing in Japan, Tai- BULLETIN of the Pierce County Medical Society 29 wan, Hong Kong, the Phillipines, Guam and the Hawaiian Islands. From where we sat Dr. du Roy’s position as a ship’s officer seemed very pleasant indeed. He was seeing the world with new ports of call intriguing him on every voyage. He mentioned especially the extensive cruise to the South Seas including stops in Australia and New Zealand. A Seattleite, Dr. Arthur Lewis signed on as ship’s doctor for the Lurline’s South American cruise last winter. He admits he was very busy during the eight weeks’ at sea but pleasantly entertained, and satisfied with the ex­ perience. Dr. Lewis’ leave of absence from his Seattle practice was capably covered by his son, Dr. Arthur Lewis, ACTION AT THE MAY AUXILIARY Jr., who is in practice with him. MEETING—Jo Ann Johnson (President), — Inez M. Pipe Dee Wicks trom (Treasurer) and Nadine Kennedy ( President-elect).

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T m TAKIMS y o o OFF W0N&E*. D*06S Courtesy Medical Society Magazine Group

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X B U L LE TIN of the Fierce County Medical Society 31

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Extended care, nursing home care and self-care units make up this health care complex. Services are tailored to meet patient needs by means of a broad range of medical, nursing and paramedical programs. Standards are set high to insure continuity of care consistent with the quality of care in the acute care section of Lakewood General Hospital. The 130 bed center is directed by the Lakewood General Hospital Staff, Board of Governors and Administration.

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MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of Jan., April, July and Oct.— 6:15 p.m. Doctors Hospital Cafeteria STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept. Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 7:30 p.m. STAFF OF PUGET SOUND GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA AREA CHAPTER OF AMERICAN PSYCHIATRIC ASSOC.— First Monday of October, December, February, April and June. TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 6:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August— 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Ceccanti’s PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August PIERCE COUNTY PEDIATRIC SOCIETY First Monday of each Month except June, July and August— 6:00 p.m. STAFF OF ALLENMORE HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. TACOMA OB-GYN SOCIETY 3rd or 4th Tues. of Jan., March, May, Sept., Nov. PIERCE COUNTY MEDICAL SOCIETY REGULAR MEETING SEPTEMBER 8 BU LLETIN of the Pierce County Medical Society Pierce County Medical Society 1970 OFFICERS President _ Robert M. Ferguson President-Elect ...... Robert W. Florence Vice-President...... Richard T. Vimont Secretary-Treasurer ...... George A. Tanbara Executive Secretary...... _...... Judy Gordon TRUSTEES Richard F. Barronian John M. Kanda VV. Ben Blackett Theodore J. H. Smith Robert P. Crabill Richard T. Vimont Dale D. Doherty Don G. Willard Robert M. Ferguson George A. Tanbara Robert W. Florence Wayne W. Zimmerman DELEGATES Robert M. Ferguson Herman S. Judd Robert W. Florence Edmund A. Kanar Kenneth D. Graham Robert W. Osborne Charles C. Reberger ALTERNATE DELEGATES Dudley W. Houtz D. A. Marlatt Vernon O. Larson William W. Mattson, Jr. Joseph G. Katterhagen John S. May Paul B. Smith, Jr. Ethics Douglas P. Buttorff, Chairman G. Marshall Whitacre Lawrence Brigham Grievance Wayne W. Zimmerman, Chairman James D. Lambing Charles P. Larson Credentials James F. Early, Chairman Edmund A. Kanar Ralph Johnson Frederick J. Schwind Program Richard T. Vimont, Chairman Public Relatfons Paul B. Smith, Jr., Chairman Public Health Harlan P. McNutt, Chairman Television Cover picture courtesy Tacoma Cham­ _ _ ^ John F. Comfort, Chairman ber of Commerce. D. T. Baer Gordon Dean Orvis A. Harrelson Civil Disaster Arthur Wickstrom, Chairman Entertainment William Rohner, Chairman Diabetes Bernard Rowen, Chairman Legislative Stanley Tuell, Chairman Mental Health James W. Boudwin, Chairman Scboot Health >?* A* Harrelson, Chairman ueMaurice Moses t . C lark AJan Sobul Poison Control James L. Schncller, Chairman Health Planning James E. Hazelrigg, Chairman Liaison Thomas H. Skrinar, Chairman Pharmacy—Lt. Col. Robert G. Scherz Optometries—Paul Smith, Jr. Mcdical-Legal Review Board Editorial Board Wayne W. Zimmerman, Chairman Robert B. Whitney, Jr., M .D., Editor Marcel Malden Stanley W. Tuell Medical Education Robert A. Kallsen George A. Race Marcel M alto’’' Katterh^ .

B U LLETIN of the Pierce County Medical Society

Bank with a friend. e Puget Sound National Bank The hometown bank. 4 B U L L E T IN of the Pierce County Medical Society

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Branches in . . . Madigan Hospital - Everett - Bremerton - Fort Lewis

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John S. Leavitt, President Center Offices, Inc. Tacoma Mall Office Building Tacoma, Washington 98409 Telephone: 206-475-9611 6 BULLETIN of the Pierce C oun ty M ed ica l Society September Calendar of Meetings

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY '

1 2 3 4 5 J

Pierce County Hemotology, Staff of Pediatric Society Oncology Study Tacoma General— 6 p.m . Group— TGH 6 : 3 0 p.m . 8 a.m. j 7 8 9 10 11 12 1

Cardiac Study Group TGH Hematology- P ierce C ounty Oncology Study Medical Society Group—T.G.H. 8 :1 5 p.m . 8 a.m.

C.P.C. of Mary Bridge

14 15 16 17 18 19 | 1

Hematology- i Tacoma Surgical Staff of Oncology Study StafF of Club—6:30 p.m. Lakewood General Group— TG H 1 Good Samaritan 7 : 3 0 p.m . 8 a.m. 6 :3 0 p.m. C.P.C. of Mary Mary Bridge StafF of i Allenmore Hospital 7 : 1 5 a.m.

21 22 23 24 25 26

WSMA Staff of Hematology- 1 St. Joseph’s Tac. Acad, of Oncology Study 7 :3 0 p.m. Internal Medicine Group—T.G.H. 6 :3 0 p.m . WSMA 8 a.m. WSMA ANNUAL Cardiac Staff of MEETING Study Group Mary Bridge TGH—7:30 a.m. 12 :1 5 p.m .

28 29 30 31

Pierce County AAGP c

StafF of Puget Sound General Hospital

------1 trust

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8 BULLETIN of the Pierce County Medical Society

PIERCE COUNTY MEDICAL SOCIETY MEETING

Tuesday, Sept. 8

Medical Arts Building Auditorium

PROGRAM - - - 8:15 P.M.

Discussion by W.S.M.A. Delegates of Problems and Resolutions to Be Considered at the State Meeting

© © © o ©

Social Hour: 6:00 Dinner: 6:45 Honan's Restaurant BULLETIN of the Pierce County Medical Society 9

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SONOTONE THE MOUSE OF

Properly fitted and serviced in good faith by an experienced and honest agent, the hearing aid is an indispensable therapeutic tool in the hands of a physician. With it, he can rehabilitate many a patient ichose personality, good nature, social contacts and job security are threatened by a deafness he often will not admit. PLEASE NOTE: FREE HEARING TESTS for Your Patients When you refer a hard-of-hearing patient to your local Sonotone representative, the patient does not suddenly become somebody’s customer; he remains your patient. A careful audiometric chart will be made of your patient’s hearing and the chart will be sent to you for filing with your case records. SONOTONE OF TACOMA 760 St. Helens Ave. Telephone MA 7-6421 ELMER TRIPPEL Certified Hearing Aid Audiologist Owner-Manager

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Eli Lilly and Company • Indianapolis, Indiana 46206 12 BU LLETIN of the Pierce County M edical Society Hot Dogs Aplenty At St. Jo's Annua! Picnic at Hidive There were plenty of hot dogs and heaps of potato salad available all day long at Picnic Area No. 1 at Hidive Resort on Surprise Lake on Thursday, July 23, when St. Joseph’s Hospital held its annual picnic for staff and employees. Besides nurses and other hospital employees, a considerable number of staff doctors were there Art O’Leary, Gale Ketterhagen, Bud with their wives and families. Dr. Bader. Frank James again helped to spark­ plug the affair.

Handicapped Swim Water Safety Program

Like to swim? Like to see children having fun? Come lend a hand in the handicapped swim program at the YMCA. Mondays during the school year, physically handicapped young­ sters from the public schools are taught to be water safe. For some, this is their Five picnickers with movie-star glass­ only form of recreation. No. experi­ es and smiles to match: Jan O’Connell, ence is needed — only willingness to Pauline Bader, Eloise McNerthney, hold, either in the water or in the Anne Katterhagen and Emily Barro- dressing room. You will be trained on nian. the job and a babysitter is available for your pre-school children. Some doctors’ wives who have par­ ticipated enthusiastically in this heart­ warming activity are Loes Gay-Balmaz, Jeanne Judd, Marilyn Mandeville, Betty May, Edith McGill, Evelyn Osborne, Donna Prewitt, Barbara Teats, and Helen Whitney. Barbara Barronian was among the teenagers who carried on the program during the summer months.

Orientation will be at the YMCA Bill Avery, Stephanie Tuell, Marga­ Monday, September 28th, at 9:30 p.m. ret and Tom West, and Esther Avery. Come, find out what it’s all about. BULLETIN of the Piebce County M edical Society 13

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PHYSICIANS' AND HOSPITAL SUPPLIES 16 BU LLETIN of the Pierce County Medical Society teacher in the mission school who “What will our meeting be like!” Ta­ could read, write and speak English. taua had often written in his letters Tataua’s letters for the next two years and now it was really happening. Lead­ were a constant source of excitement. ing us to the shade of the palms at the Written in a beautiful Spencerian side of the runway, he introduced us to script, each one told about his island, his family and friends, who waited his family, his work and his fishing. near an ancient flat bed truck on Packages of clothing, toys for the chil­ which two straight chairs had been dren, supplies for the school were sent placed as seats of honor for the ride to him by surface mail when they were to Ukiangang village where we would too heavy and by airmail when light live. Squatting and sitting on the rest enough to be within our budget. Fi­ of the truck bed the smiling and soon nally, in the spring of 1969, an ex­ singing Gilbertese rode along. Four cited Tataua wrote that they were start­ times in the six miles to the village the ing an airstrip on his island. Immedi­ old truck had to stop for water for its ately Jeanne and I began making plans leaky radiator. We needn’t have wor­ and eventually Quantas and Fiji Air­ ried about meeting another vehicle on ways agreed to accept our passage. the narrow coral road, there aren’t any! Our South Pacific trip began from As the old truck wheezed to a stop Los Angeles February 21st with a long in Ukiangang village, Tataua pointed overnight flight to Tahiti. Following to a beautiful, brand new thatched Tahiti came visits to Moorea and Bora house and said, “There your house. I Bora, the home of Bali Hi, then on to hope you are comfortable to live in.” New Zealand and Australia and finally We could hardly believe our eyes. Fiji. After a few days rest we boarded Eighteen by thirty-six feet in dimen­ the twin prop-jet Hawker Siddley long sions, our house had two rooms, one before dawn for the long hop to Tara­ half was living room and one half bed­ wa, stopping for fuel at Funafuti. After room. The walls were made of straight a night’s stop on Tarawa we took off vertical pandanus poles lashed togeth­ in an even smaller aircraft for the fi­ er with cocoanut fibre twine. The roof, nal morning hour’s run to the goal of a thick thatch of pandanus grass shed our years of dreaming— Butaritari. the rain completely and insulated us Approached from the air, Butaritari from the tropical sun. The floor was of resembles in shape a hockey stick with pressed coral and covered with woven its broad southern base and long curv­ pandanus matting. Into the living ing handle stretching eleven miles to room came the chairs from the truck the north. Covered with a dense forest to accompany a rough hewn table and, of cocoanut palms, the atoll is a dark in the corner, of all things, an old but green on the powder blue tropical serviceable kerosene refrigerator, ocean. The airstrip, hacked out of the stocked with tinned Australian butter, luxuriant palm forest, is a brilliant a roasted chicken, tinned cheese, fresh white of pressed coral. Despite the il­ eggs from their chickens, young cocoa- lusion that there never would be nuts for their milk, papaya— tree-rip­ enough room to land, the little plane ened and up to two feet long and even succeeded and soon we were shaking a half dozen cans of Australian beer, hands with Tataua and his wife Buriti, probably bartered off of the last copra he dressed for the occasion in a white boat. shirt and a pair of trousers I had sent In the bedroom the women of the to him and she in a pretty dress that village unpacked our luggage and tied once had belonged to Jeanne. up our mosquito netting over our beds B U L L E T I N of the Pierce County M edical Society and spread the sheets we had brought. and the taro and breadfruit, prepared “Bring your own mosquito netting and several different ways, resembled sweet your sheets”, Tataua had written. “We potatoes, scalloped potatoes or the best have not these. The mosquitos do not mashed potatoes or potato chips you bite bad but bring your mosquito net­ ever ate. For the farewell feast the ting”, he had warned. night before our departure a pig was killed with much ceremony and the Behind our house was a thatched roast pork was out of this world. bath house and latrine built for us alone and spotlessly clean. A piece The five days we spent on Butaritari of plywood covered the coral floor to as the first “tourists” ever to go there protect our bare feet while we sloshed were some of the most exciting and water onto ourselves from three large memorable days of our lives. As the tubs A short distance away was the little plane banked low over Ukiangang cook house where Tataua’s daughter village we waved to the upturned faces Mosarin cooked our meals whenever it of our Gilbertese friends whom we had was not a village feast which occurred come to know as the happiest people at least once each day. we have ever met. Possessing perhaps, less material wealth than any race of “While you here we have— what you people on earth, they have, instead, a call it— ” here Tataua stopped, search­ happiness that is constantly reflected ing for the word in English. “Holiday?” in their songs, their dances and their we suggested. “Yes, yes, that is it— smiles— a happiness that springs from holiday” he answered. “Just singing, their love of their children, of each dancing and feasting!” True to his other and of their fellow man and of word, there was no school, no work a simplicity of life on their little island, and the native singing and dancing blessed as it is with a never ending went on, it seemed, almost endlessly. supply of natural foods and all the The harmony of their voices is mar­ raw materials they need for their sus­ velous and while we could not un­ tenance and economy. If ever there derstand the words we understood in were a paradise on earth it would have general their meaning. Since our re­ to be— Butaritari. turn, Tataua has sent us a translation of the Gilbertese song they composed, painfully extracted from his Webster’s dictionary. The song is about our house which they built for us, its name “Tacoma in Ukiangang”, about the men and women who worked on it and how we came on the “big bird” to live in it. “Ukiangang” is the Gilbertese word for where the wind always blows. The native foods were, for the most part delicious. Tree ripened papaya and bananas were plentiful. Silver col­ ored fish were some of the best we have ever eaten and reminded us of the pike of northern Minnesota. The chick­ en was tough always, no matter how it was coooked. All the cooking was Butaritari Island from window of ap­ done over open fires of cocoanut husks proaching plane. 1 8 B U L L E T IN of the Pierce County Medical Society

Antekana airfield, Butaritari Island, Red beach, where I first set foot on the thatched terminal building, daughters Island during its invasion in World of Tataua Kauriri, Mosarin on my War II. wife’s right and Mary on her left.

Old Japanese bomber on Yellow Beach The people of Ukiangang, they love to just as I had seen it 27 years ago. have their pictures taken.

“Tacoma in Ukiangang”, the beautiful A typical Gilbertese thatched home. thatched house built for our arrival by the natives of Ukiangang village. BU L LE TIN of the Pierce County Medical Society 19

The author and his wife with host Ta- Butaritari ilsand’s medical service: two taua and his wife Buriti in front of pretty Gilbertese nurses. ‘Tacoma in Ukiangang”.

Native dancer at the Maneaba, Gilbert­ Saying farewell at the airstrip: Tataua ese community meeting house. and his family.

Tataua Kauriri and the “old man’ Ukiangang village. 2 0 BU LLETIN of the Pierce County Medical Society

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September 20 21, 22, 23, 1970 ANNUAL CONVENTION

Washington State Medical Association Davenport Hotel, Spokane 2 5 BULLETIN of the Pierce County Medical Society WOMAN'S AUXILIARY PAGE . . .

AUXILIARY OFFICERS 1970-1971 This luncheon helps to publicize and President______Mrs. Ralph A. Johnson sell our cookbooks. President JoAnn President-Elect and Representative to President’s Council Mrs. Herbert Kennedy Johnson reminds us that the Cookbook 1st Vice-President & Program ...... Mrs. Max Brachvogel sale is our only money raiser this year 2nd Vice-President & Membership Mrs. Richard Link 3rd Vice-President & Legislative...... Mrs. J. J. Erickson and asks that we give it an “all out” 4th Vice-President & SociaL...... Mrs. David Hopkins promotion. Recording Secretary...... Mrs. Duncan Baer Corresponding Secretary —Mrs. Clarence L. Anderson Treasurer______Mrs. Arthur Wickstrom STUDENT RECOGNITION Dues Treasurer ...... - ...... Mrs. Gordon Dean COMMITTEE CHAIRMEN Last month the name of Kevin Duffy, one of the students selected for Nominating Committee ...... Mrs. Murray Johnson recognition by the Auxiliary, was pub­ Historian & By-Laws______Mrs. Robert Whitney Finance & Pierce County Health...... -M rs. Philip Grenley lished in the Bulletin. We would like Community Health...... Mrs. George Moosey to add the name of Mary Sobba, daugh­ Publicity (Bulletin)...... M rs. B ernard J. Pipe Publicity (Newspapers) ...... Mrs. J. Lawrence Smith ter of Dr. and Mrs. Walter L. Sobba, Telephone ...... Mrs. Edmund A. Kanar the other student selected. Mary wrote Mrs. Harry Camp Para-Medical & Medical Health that it was a great honor for her to Science...... Mrs. James Stilwell Today's Health______Mrs. Ernest Randolph receive the recognition and that she Mrs. J. W. Lee plans to enroll in the School of Nursing AMAERF------Mrs. Marvin L. Bourne Representative—Council on Alcoholism .. Mrs. Carl Ekman at the University of Washington. Representative—Council on Mental Health...... Mrs. Jay H. Ehly Representative—Poison Prevention Commission ...... Mrs. John W. Pelley YEAR-BOOK Student Recognitions & Awards Mrs. J. G .Katterhagen Mrs. Charles RebeTger The Year-book will be ready for dis­ Cookbook ...... Mrs. Vernon Larson Mrs. George Tanbara tribution at the September meeting. Dance ...... Mrs. Ralph V. Stagner Mrs. Ronald Spangler, Jr. President JoAnn wishes it emphasized Tasting L un ch eo n ...... Mrs. K. Royce Hansen that the Auxiliary year runs from June Mrs. David W. Millett Speakers Bureau ------Mrs. Kiyoaky Hori to June and that dues should be paid pronto. Please send your check to Flor­ ence Dean.

COFFEE HOUR MEETING STUDENT NURSES NEW MEMBERS WELCOME Friday, September 18, 10:00 a.m. The outstanding young women chos­ Hostess:: Mrs. George Kunz en to receive the Auxiliary nursing 21 Orchard Road scholarships will be introduced at the November meeting. From St. Joseph’s Hospital, Linda Dickerson, with a grade CIRCLE OCTOBER 16 point of 3.54, is the junior recipient, and Janice Sutton, with a 3.3, is the Again we are reminding you of the senior chosen. Mrs. Sara Semmons is October Tasting luncheon. Co-Chair­ the junior and Mrs. Cheri Lyman, the men Genevieve Hansen and Roberta senior, from Tacoma General, both Millett are working on preparations for girls are outstanding academically, Pa­ the best-ever luncheon and are depend­ cific Lutheran University girls chosen ing on your support. Christ Church, 310 are Barbara Laine, junior, and Linda North K, is the new location this year. Nelson, senior. Congratulations! 2 6 B U L L E T IN of the Pierce County Medical Society

TACOMA FEATURED ON TV Tune in the 9 a.m. Telescope show on KING-TV, Thursday, September 10, to hear host Howard Hall recognize some of the outstanding community projects of our city. President JoAnn, active in the Town Hall lecture series, will discuss the distribution of Town Hall funds to such groups as the Taco­ ma Youth Symphony, Ambylopia Screening program of Kappa Delta, Hilltop Center, and Lakewood Youth Center.

SPOKANE BOUND A number of Tacom a physicians and their wives will be attending the state meet in Spokane, Sept. 20. Among del­ egates to the Auxiliary sessions will be: Jeanne Judd, Dorothy Maier, Don­ na Ferguson, Dorothy Grenley and The only one Helen Florence. like it RUBELLA The Governor’s Rubella Immuniza­ tion Campaign will get underway in in Pierce County October. Five to eight-year-olds are the first group to be considered in the planning planning. President JoAnn announces that Auxiliary help will be And the largest funeral home in needed, with specified information to Washington with everything in be discussed in the near future. one place and under one man­ agement. One hundred beautiful —I n e z M. P i p e garden acres containing a ceme­ tery, mortuary, 2 chapels, and mausoleum at the same address. Notes From the Result? Costs are lower and arrangements are easier for you Hematology-Oncology to make. Study Group It becomes quite amusing at times Mountain View to see the over-reaction of certain seg­ Funeral Home & Memorial Park ments o f the public population and also certain arms of our Federal Govern­ 4100 Steilacoom Blvd. ■ JU 4-0252 ment. This was beautifully exempli­ fied in the recent furor over cycla- mates. There was sketchy evidence that possibly cyclamates in certain ex- ______BULLETIN of the Fierce County M edical Society______perimental animal populations would cigarettes and it appears paradoxical produce bladder tumors and possibly on our part that in some hospitals of other neoplasms. This evidence was the Pierce County area cigarettes are only gained after feeding these animals still sold in the lobbies; while on the extremely high doses of cyclamates floor above, a young father might be that, for all practical purposes, would dying of advanced pulmonary emphys­ be almost impossible to reproduce ema or lung cancer. In a recent article within the human population. Never­ of the “Annals of Internal Medicine” a theless, on the basis of this evidence, letter of interest from a physician of cyclamates through one means or an­ another part of the country noted that other, have been withdrawn from the their local Medical Society was instru­ consumer’s table. mental in removing the sale of cigar­ The over-reaction is exceedingly in­ ettes from all hospitals within their teresting because we have had in our County. midst now for many years, another, in “CANCER CURES SMOKING”. a sense, food substance in which the — J. G. K a t t e r h a g e n , m .d . evidence is overwhelmingly in favor of this substance causing or accentu­ ating many morbid conditions and fa­ tal diseases. This substance is tobacco which is capable of causing or accen­ T.G. Short Stay tuating diseases within the oral cavity, Unit Offers Better the lungs, the heart, the urinary blad­ der, etc. Care, Less Expense Over the last 5-10 years good statis­ A new experiment that is intended tical data has accumulated that cig­ to increase the efficiency of patient care arette smoking causes or aggravates — and hence reduce the overall cost of cancer of the tongue and oral pharynx; health care in the community— is un­ cancer of the larynx and also notori­ derway at Tacoma General Hospital. It ously bronchogenic cancer of the lung. is the new “short stay unit”, housed The high incidence of chronic bronchi­ in the newly remodeled 3-B wing of tis and obstructive pulmonary emphys­ the hospital. Staffed by three nurses ema amongst cigarette smokers leaves during daytime hours only, the unit litde for debate. The association of will provide short stay bed-patient care cigarette smoking and atherosclerotic mainly for patients who are in the hos­ heart disease appears quite clear and pital for a few to several hours for sur­ most recently, as was noted in a previ­ gical procedures done under local or ous issue of the Bulletin, there is now block anesthesia, or in some instances suggestive evidence that cancer is also for minor or brief surgical procedures incriminated in transitional cell carci­ done under general anesthesia. noma of the urinary bladder. A flat rate fee will be charged for If the F.D.A. can remove cyclamates the use of the short stay unit, consid­ from the market shelves, it would seem erably under the daily rate for other that they could do more than place a hospital beds. Two previous inequities simple warning on cigarette packs that will be corrected by the new system, it it might be “hazardous to your health” is hoped. One is the full daily charge and also ban cigarette advertising from previously made to a patient who came television. However, we as physicians into the hospital as a bed patient for also have a responsibility to our pa­ only part of the day. The other is the tients and their families in regard to fact that patients who had minor sur- 2 8 BULLETIN of the Piebce County Medical Society

gery often had skilled hospital person­ nel attending them for 2 or 3 hours — dressing, undressing, waiting and be­ ANNOUNCEMENT ing observed—with no compensation to the hospital for these services. Fur­ thermore, much-needed beds will be Mr. P.E. “ Ted” Goodwin released for full-time patients through­ announces the out the rest of the hospital. formation of Mr. Robert Flynn, hospital adminis­ Economika trator, emphasies that the new system Data is on a trial basis, in regard to serv­ ices, personnel, hours, and fees Corporation, charged, and further adjustments may a new concept be necessary in order to attain the goal in computerized of maximum efficiency and quality of billing and patient care at as low a cost per pa­ general ledger. tient as possible.

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Notes From the College tion of effort. of Medical Education Econom ika’s error-free sys­ C.O.M.E. has announced the start­ tem of billing and general ing dates for several courses this fall. ledger, including income The first course is “Current Drug Ther­ and expenses, produces the apy for L.P.N.’s”. It will start Monday facts to make intelligent evening, September 21, 1970 at 7:30 decisions in the fields of investment, estate tax and p.m. This course is open only to business planning. L.P.N.’s and is similar in structure to the Current Drug Therapy Course of­ Call or write Ted Goodwin fered for R.N.’s this Spring. for further information

“Current Trends in Medicine” is the second course and it will also start on Monday evening, September 21, 1970 at 7:30 P.M. This covers current de­ velopments in many areas of clinical Economika Data Corporation medicine and is open to all paramedi­ 7714 Greenwood Avenue North Seattle, Washington 98103 cal personnel including R.N .’s, L.P.N.’s, (206) 784-7070 medical technologists, x-ray technolo­ Ont of tht u holly o u n td mbudiartti of Economika, Inc., a (ompUlt gists and all other associated paramed­ financial Jtn ict Corporation Medically orunit d. Chtnl controlitil ical personnel.

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— J .G . K a t t e r h a g e n , m .d . BULLETIN of the Pierce County M euical Society 29

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ANNUAL MEETING WASHINGTON STATE MEDICAL ASSOCIATION SEPTEMBER 20-23 SPOKANE

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Extended care, nursing home care and self-care units make up this health care complex. Services are tailored to meet patient needs by means of a broad range of medical, nursing and paramedical programs. Standards are set high to insure continuity of care consistent with the quality of care in the acute care section of Lakewood General Hospital. The 130 bed center is directed by the Lakewood General Hospital Staff, Board of Governors and Administration.

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Printing Co. A home of exceptional quality— dis­ Printers and Offset Lithographers tinctively designed for splendor in living and entertaining. Located on the Peninsula's picturesque F U 3-4925 Raft Island, with a sweeping marine view across the propertys 130 feet 811 Pacific Ave. Tacoma of lovely beach. Tree shaded— this delightful home has three grand bedrooms-— each w ith its own private bath— floor level tubs in marble and gold, a den, powder room (V2 bath), formal and informal dining rooms, luxurious living room with floor to ceiling fireplace. Additional waterfront is available. Owner is moving to Europe and must sell immediately at well below mar­ ket value. "Glasses as your eye Please call Roger Snowden for an physician prescribes them” appointment to see this exceptional property. Contact Lenses — Artificial Eyes Columbian Optical Co. BUCK & SONS REALTY CO. Ground Floor, Medical Arts Bldg. Gig Harbor Medical Center 858-9901 or evenings 858-3004 Lakewood The Tacoma Mall Pierce County Medical Society B U L K RATE Medical Arts Building U. S. POSTAGE Tacom a, Washington 98402 PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of Jan., April, July and Oct.— 6:15 p.m. Doctors Hospital Cafeteria STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept. Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 7:30 p.m. STAFF OF PUGET SOUND GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA AREA CHAPTER OF AMERICAN PSYCHIATRIC ASSOC.— First Monday of October, December, February, April and June. TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 6:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August— 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Ceccanti’s PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August PIERCE COUNTY PEDIATRIC SOCIETY First Monday of each Month except June, July and August— 6:00 p.m. STAFF OF ALLENMORE HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. TACOMA OB-GYN SOCIETY 3rd or 4th Tues. of Jan., March, May, Sept., Nov. ie r c e c o u n t y m e d ic a l s o c ie t y 7 4 e BULLETIN OCTOBER 1970 TACOMA, WASHINGTON V O L XLI— NO. 10

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Nov- i/a SeP1- REGULAR MEETING PIERCE COUNTY MEDICAL SOCIETY OCTOBER 13

X" 2 BULLETIN of the Pierce County Medical Society Pierce County Medical Society 1970 OFFICERS President ...... Robert M. Ferguson President-Elect...... -Robert W. Florence Vice-President ...... Richard T. Vimont Secretary-Treasurer... George A. Tanbara Executive Secretary.. ______Judy Gordon TRUSTEES Richard F. Barronian John M. Kanda W. Ben Blackett Theodore J. H. Smith Robert P. Crab 111 Richard T. Vimont Dale D. Doherty Don G. Willard Robert M. Ferguson George A. Tanbara Robert W. Florence Wayne W. Zimmerman DELEGATES Robert M. Fergason Herman S. Judd Robert W. Florence Edmund A. Kanar Kenneth D. Graham Robert W. Osborne Charles C. Reberger ALTERNATE DELEGATES Dudley W. Houtz D. A. Marlatt Vernon O. Larson William W. Mattson, Jr. Joseph G. Katterhagen John S. May Paul B. Smith, Jr. Ethics Douglas P. Buttorff, Chairman G. Marshall Whitacre Lawrence Brigham Grievance Wayne W. Zimmerman, Chairman James D. Lambing Charles P. Larson Credentials James F, Early, Chairman Edmund A. Kanar Ralph Johnson Frederick J. Schwind Program Richard T. Vimont, Chairman Public Relations Paul B. Smith, Jr., Chairman Public Health Harlan P. McNutt, Chairman C o v e r P i c t u r e : Summer recreation on Television John F. Comfort, Chairman Puget Sound. D. T. Baer Gordon Dean Orvis A. Harrelson Civil Disaster Arthur Wickstrom, Chairman Entertainment William Rohner, Chairman Diabetes Bernard Rowen, Chairman Legislative Stanley Tuell, Chairman Mental Health James W. Boudwin, Chairman School Health _ O. A. Harrelson, Chairman DeMaurice Moses T. Clark Alan Sobul Poison Control James L. Schneller, Chairman Health Planning James E. Hazelrigg, Chairman Liaison Thomas H. Skrinar, Chairman Pharmacy—Lt. Col. Robert G. Scherz Optometries—Paul Smith, Jr. Medical-Legal Review Board Editorial Board Robert B. Whitney, Jr., M.D., Editor W ayne W . Zimmerman, Chairman Marcel Malden Stanley W. Tuell Medical Education Robert A. Kallsen George A. Race Marcel Malta,0 ’ Auxiliary News Editor gp” ? ®?.rnes Mrs. Bernard Pipe Richard Vimont jamcs Duffy Business Manager Judy Cordon ______BULLETIN of the Piebce County Medical Society ______3

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MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY 1 2 3 Mary Bridge Cardiac Conf. 6:30 a.m. Hemotology, Pierce County Oncology Study Pediatric Society Group— TGH 6 p.m. 8 a.m.

C.P.C. of St. Joseph’s— 8 a.m. 5 6 7 8 9 10

Cardiac Study Tac. Orthopedic Group— TGH Hematology- Society— 6 p.m. 8-9 a.m. Surgery Grand Mary Bridge Oncology Study Rounds— T.G.H. Cardiac Conf. Group— T.G.H. C.P.C. of Chapt. 8-9 a.m. 6:30 a.m. 8 a.m.Tac. Am. Psych. Mary Bridge Assoc.

12 13 14 15 16 17 ■'>

Pierce C ounty M edical Society Mary Bridge 8:15 p.m. OB-GYN Conf. Cardiac Conf. T.G.H. 6:30 a.m. Hematology- Neurology Study 8-9 a.m. Oncology Study Group— TGH C.P.C. of Group— TGH 8-9 a.m. St. Joseph’s 8 a.m. 8 a.m. C.P.C. of Mary Mary Bridge

19 20 21 22 23 24 I Tacoma Surgical Club Mary Bridge ■3 6:30 p.m. Cardiac Conf. Medicine Grand 6:30 a.m. Hematology- Cardiac Study Rounds— T.G.H. Oncology Study Group— TGH 8-9 a.m. Trauma Conf. Group— T.G.H. 8-9 a.m. St. Joseph’s Hosp. 8 a.m. 8 a.m. C.P.C. of Mary Bridge

26 27 28 29 30 31

Tac. Acad, of Internal Medicine 6:30 p.m. Pierce County Path. Cancer Mary Bridge AAGP Neurology Study Con.— T.G.H. Cardiac Conf. Group— TGH 8-9 a.m. 6:30 a.m. 8-9 a.m.

C.P.C. of Mary Bridge trust (trust) n. That which is committed or entrusted to one, as a duty, task, or charge.

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PIERCE COUNTY MEDICAL SOCIETY MEETING

Tuesday, Oct. 13

Medical Arts Building Auditorium

PROGRAM 8:15 P.M.

"Five Years of Medical and Surgical Experience in East Africa" Kenneth H. Sturdevant, M.D.

Social Hour: 6:00 Dinner: 6:45 Honan's Restaurant BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

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PERSONAL ENURESIS SERVICE A service that works closely with both physician and his patient. By incor­ porating the Pavlovian Theory of “conditioned reflex,” P.E.S. establishes home therapy programs helpful in correction of nocturnal enuresis when not caused by organic defects or disease. Patients must first obtain written medical clearance from the physician in order to avail themselves of our services. PERSONAL ENURESIS SERVICE has: •The latest in “dual-system” sensor units. • Well-oriented individual programs. • Complete personal supervision. • Periodic program reports to the attending physician. CH 2-4048 or MA 2-6900 Burien Professional Building, 801 SW 150th, Suite G, Seattle, Wa. 98166 11 BULLETIN of the Pierce County Medical Society

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Additional information available upon request. Eli Lilly and Company, Indianapolis, Indiana 46206. 1 2 BULLETIN of the Pierce County Medical Society To The Editor: I am most interested in hearing from anyone who would like to con­ It is my pleasure to announce the tribute a $5,000 medical scholarship to second winner of the Gordon Medical one of their local premedical students Scholarship Program (see American through their local medical society. Medical Netvs, Dec. 1, 1969, p. 3 and With warm personal regards, I am April 20, 1970 p. 6; Modem Medicine, Sincerely yours, Dec. 15, 1969, p. 64 and June 1, 1970 p. 175; Rocky Mountain Medical Jour­ M a u r i c e B. G o r d o n , m .d . nal, Dec. 1969, p. 4; Medical Annals 6917 Atlantic Avenue Ventnor, N.J. 08406 of the District of Columbia, Jan. 1970, p. 68 and May 1970 p. 284; North Carolina Medical Journal, Dec. 1969 p. 502). Volunteer Physicians Robert Petrusky of Linwood, New Needed For Tacoma Jersey, has been chosen the recipient Rescue Mission of the 1970 Dr. Benjamin Lee and Reverend Raymond L. Marvin, the Dorothy Gordon Memorial Scholarship. Executive Director of the “Tacoma Mr. Petrusky, a Phi Beta Kappa gradu­ Rescue Mission”, is nearing completion ate of Rutgers, has received $5,000 to of his out patient facilities at 1512 attend the Medical School of the Uni­ Pacific Avenue. This out patient fa­ versity of California at Los Angeles. cility will provide basic and preventa­ This has been awarded by the Scholar­ tive medicine for the indigents who use this facility for their needs. ship Committee of the Atlantic County Medical Society. It is expected that this facility will be open approximately 2 days a month The Dr. Benjamin Lee and Dorothy to provide the out patient needs for Gordon Memorial Scholarship has been these people. If you are so inclined to donate a few hours a month for this donated by the undersigned and has needy cause, please contact Rev. Ray­ been used as a model to encourage mond L. Marvin at his office, which is physicians to donate similar $5,000 FU 3-4462, or at his home, MA 7-3620. scholarships through their County — J. G. K a t t e r h a g e n , m .d . Medical Society to enable worthy lo­ cal pre-medical students to attend med­ ical school. R.N. WANTS part time office position. The first winner of the Gordon Med­ Have experience in G.P.’s office. Will provide references. Call 582-9360. ical Scholarship was Nicholas P. Lang. His scholarship was donated by Dr. Anderson Nettleship and Dr. Mae Ban- IF YOU NEED experienced reception­ well Nettleship. Mr. Lang is now at­ ist or bookkeeper to work part time tending the Medical School of the Uni­ or for vacations, call Thelma Miller, versity of Arkansas. SK 9-4510. BULLETIN o f th e Pierce County M edical Society 1 3

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METROPOLITAN BUILDING CORP., MGRS. 1 5 BULLETIN o f the Piebce County M edical Society I had some vague expectations as to Dr. J. H. Ehly Writes what I might be confronted with at Gov. Daniel J. Evans Re: the festival. Looking back now I thought I would see some brightly at­ Sky river Rock Festival tired college intellectuals with long September 11, 1970 hair and beards lying around a grassy The Honorable Daniel J. Evans meadow indulging in the use of mari­ Governor juana, wine or beer, and listening to State of Washington rock music. I even anticipated that Capitol Building some of the more far out individuals Olympia, Washington might be “tripping” on LSD. Part of my motivation for being in attendance Dear Governor Evans, was to learn first hand how to deal ef­ I am writing to share with you my fectively with a patient on a “bad trip.” concern over events which I observed As I approached the gate to the fes­ first hand on Sunday, September 6, tival area, traffic was held up. To 1970, at the Skyriver Rock Festival pass the time I took out a movie cam­ near Washougal, Washington. I have era to photograph these conditions. I been a psychiatric consultant to the was promptly warned by a departing Narcotics Center of Tacoma - Pierce participant that I had better put my County for the past year and one half camera away. He explained that when and in this capacity have worked ex­ he had taken a picture inside the festi­ tensively with addicts and drug abus­ val grounds his life had been threat­ ers of many kinds. As such, I felt I ened by a young man with a drawn ten was going to the festival with a cer­ inch hunting knife. He further report­ tain knowledge of, or feel for, the atti­ ed that to his amazement, the forty tudes, values, and behavior patterns of or so people who were witnessing this the typical drug users. As it turned incident made no move whatsoever to out this experience in no way prepared restrain the individual who was threat­ me for the scenes and events which ening him with the knife. T witnessed at the festival. For the most part the people who were in at­ I had responded, along with a num­ tendance on that Sunday afternoon ber of other Tacoma physicians, to a were a lawless group of individuals request for volunteer medical assist­ interacting in a style in which the ance at the fair. Having been fur­ crudest most wanton behavior; blatant­ nished with a medical pass, entrance ly repudiating American values, mor­ lo the festival grounds was uneventful. als and ethics; was the order of the Passing between two of the booths day. The progressive feeling of shock, which had been erected in a semicircle disbelief, fear, and total alienation ringing the central area of the festival, which I registered during the five or so I entered the fair grounds. It is diffi­ hours I was at the fair (m y first rock cult to convey the feelings which were lestival) may reveal my own naivete evoked in this situation. Milling around regarding the happenings at these and roaming through the area were events. After carefully reviewing news­ hundreds or thousands of shabbily paper articles describing the fair dur­ dressed young adults. Some were open­ ing its first week of operation, how­ ly selling drugs of all descriptions in­ ever, I cannot but feel that my lack cluding heroin, cocaine, and “mexican of preparedness was partially based on reds,” a small candy-like pill which the inaccuracy of this press coverage. proved to contain some form of poison 1 6 BULLETIN of the Pierce County Medical Society in a small amount to jolt the nervous dition found him incredulous when I system, (probably strychnine or arse­ informed him that my experience with nic. ) These drugs were being sold the effects of the hallucinogenic drugs with the hard sell technique of a fair was in the treatment of the long term grounds hawker. The people were sul­ psychotic reactions which they some­ len, not smiling. The “flower children” times produce. He did not argue with or intellectuals were nowhere in sight. this revelation but simply avoided any There was an air of nervous expect­ further communication with me dur­ ancy and rebellion. I felt the mood of ing the remainder of my time at the this mass of people was volatile and clinic. dangerous to say the least. There were several principles which I made my way to the medical tent the personnel at the clinic seemed to where I expected to be able to relax be guided by in their treatment of pa­ having sought out a situation with tients at the festival which eventually which I would be familiar, i.e., treat­ led to my leaving. One object of treat­ ing medical illnesses. This was not the ment seemed to be to keep the person case. The medical facilities were pro­ in condition to remain at the festival. vided by the Open Door Clinic of Se­ For instance, antibiotics were being attle. As a vlounteer physician not af­ given on a day to day basis with no filiated with that organization, I ex­ encouragement to either seek outside pected to be augmenting the existing medical help or to provide treatment medical staff. As it turned out on my for a period of time which would ef­ arrival at the clinic there was no other fectively treat the illness. All attempts physician present. The personnel there were made to keep the participants were, however, treating patients with­ within the festival grounds. It was out the guidance or supervision of a with great reluctance that one young physician. In charge was a young man woman, very ill with pneumonia, was named “Doctor Ron,” a former mili­ taken by ambulance to a nearby hos­ tary corpsman, who was diagnosing pital. and treating illnesses, performing mi­ nor surgery, as well as prescribing and The general lack of professionalism administering drugs both orally and by in the clinic personnel as well as the injection. In short, he was openly illegal practicing of medicine by “Doc­ practicing medicine without a license. tor Ron,” and the misguided principles under which the clinic was being op­ I had anticipated the personnel of erated, eventually led me to question the clinic facility to have a sympathetic my usefulness under those circum­ attitude toward the drug users. What stances, and I left the area short of I found, however, was not only sympa­ the time I had intended to spend there. thy but support for the use of these il­ Since returning to Tacoma I have been legal and dangerous substances. A clin­ in touch with a number of the other ic official who was present by the name local physicians who worked in the of J. D. informed another volunteer clinic as I did. The observations, opin­ physician that he was not to treat “bad ions, and emotional reactions expressed trips” with the use of tranquilizers or above for the most part reflect those sedatives because “it interferes with experienced by the other doctors To the learning process.” I had occasion a man they were concerned by the fair 10 check out this belief with Mr. D. in activities themselves and in particular my conversation with him and in ad­ the operation o f the Open Door Clinic. BULT.FTIN of the Pierce County M edical Soclety 17 In these fast changing times it is dif­ will include applications of computers ficult for an individual to accurately in medicine, modern rehabilitation pro­ discern the meaning of a particular in­ cedures, technical advancement in ra­ cident or event in our society. I shud­ diology, nuclear medicine, etc. der however, when I consider the so­ This Fall the College did not sched­ cial, moral, and political implications ule any structured courses for physi­ of events such as the Skyriver Rock cians. We felt that we would like to Festival. I would hope that interven­ encourage physicians to attend at clin­ tion or control of rock festivals could ical meetings in various hospitals. By be effectively brought about at the state providing actual clinical cases at these level. The large numbers of young conferences we hope to offer our col­ people who are magnetically drawn to leagues practical experience in dealing these events, and who are physically, with various clinical situations. We morally or psychologically vicitimized hope that all will participate and any by them, dictates that control meas­ physician who has a case suitable for ures be developed and enforced. a conference can contact the Coordi­ Yours truly, nator for that particular conference and will have an opportunity to pre­ J a y H. E h l y , m .d . sent this case for further discussion. These conferences will be held at Editor’s Note: Published with per­ Tacoma General Hospital, at St. Jo­ mission of Dr. Ehly. seph’s and elsewhere in accordance with published announcements. We are anxious to make the point that these conferences do not represent just a hospital conference but are meant From the College of to be presented as an effort of the whole medical community of Pierce Medical Education County. The actual place where the The College of Medical Education conferences are held simply represents started the Fall quarter of 1970 with convenient physical arrangements. two courses late in September. The The Mary Bridge Children’s Hospi­ first of these courses is designed for tal grand rounds will continue to be practical nurses and it deals with drug presented at 8 o’clock in the mornings therapy. This course has previously on Tuesdays weekly. In addition on been successful when attended by phy­ Tuesdays at 8 o’clock in the morning sicians and was given twice for reg­ at Tacoma General Hospital cardiology istered nurses. It has now been modi­ conferences will alternate with neurol­ fied and adapted to give to an audi­ ogy conferences. Clarence Anderson is ence of licensed practical nurses. Coordinator for the cardiology confer­ The second course, which also start­ ences and Marcel Malden for the neu­ ed in September, is designed for work­ rology conferences. Wednesday morn­ ers in various paramedical fields. It is ings will continue to see grand rounds designed to offer information about re­ at Tacoma General Hospital. There cent developments in various fields of will be clinical pathology conferences medicine, developments concerned not on alternate Thursdays at St. Joseph’s only with diagnosis and treatments, but Hospital. Friday mornings at Tacoma especially with various technical inno­ General Hospital the oncology group vations in medicine. Subjects discussed will meet as before. 1 8 BULLETIN of the Pierce County Medical Society As you can see a rather varied in­ The cardiac equipment is there and tellectual fare is offered to all and your your patients will receive pre-exercise wide participation is invited. Later on testing, a graduated supervised stress we hope to hear from you about these program under the care of a physical conferences and what you would like education instructor and an M.D. us to do in order to improve them. We accept patients who are postcoro­ In January the College will offer a nary infarcations for at least three formal ten weeks course in Sexuality months and will take the long term and Sex Education for the Physician. invalid cardiac off your hands ( to some This course will differ from others in extent). Referrals are through physi­ that it will be managed by Dr. Nath­ cians only. aniel Wagner of the University of Washington exclusively and will be of­ Please help us help your patients. fered more in the form of a round table Simply have them phone the YMCA. presentation and discussion rather Sincerely, than a formal ex cathedral lecture. Further information about it will be —J i m B i l l i n g s l e y and G e o r g e K u n z mailed to all as soon as it becomes available. Also in January we hope to repeat the highly successful course for teach­ ers and for April we are planning an­ other discussion course on controver­ Institute Offered By sial subjects in medicine. There is Operating Room Nurses plenty of time for you to make sugges­ tions in relation to the latter and we The Association of Operating Room will welcome suggestions both as re­ Nurses in the Evergreen area will be gards topics and discussants. The Co­ presenting a Regional Institute on Op­ ordinator in the course on controver­ erating Room Nursing October 23 and sial subjects in medicine will be George 24, 1970, at the Winthrop Hotel. Na­ Barnes. tional and local speakers will be pres­ All the members of Committee on ent for the two-day Institute. Continuing Medical Education are rea­ A.O.R.N. Evergreen includes the sur­ dily available to you and will be glad rounding cities of Olympia, Bremerton, to discuss any topics with you. Aberdeen, Puyallup, Shelton and Ta­ —M a r c e l M a l d e n , m .d . coma. Lucille M. McDonald, R.N., Op­ erating Room Director of Tacoma Gen­ eral Hospital, is the General Chairman Rehabilitation Aid for the Institute. Prominent local phy­ sicians participating in the program are Offered for Coronary, Drs. W. Zimmerman, K. Gross, E. Ka- Lung Disease Patients nar, G. Kenney, R. Osborne, and J. Stil­ well. Internists and General Practitioners: Let us offer you rehabilitation help on The membership is continually striv­ your coronary or chronic lung disease ing for excellence and is most proud patients. that the president-elect for National The YMCA has Dr. Jim Billingsley A.O.R.N. is Ruth Bramhall, R.N., Op­ and Dr. George Kunz and a three-day- erating Room Supervisor at Mary a-week supervised -exercise program. Bridge Children’s Hospital. BU L LE TIN of the Pierce County Medical Society 19 the Washington and Oregon Confer­ St. Joseph Hospital ences of the Catholic Hospital Associa­ Gets New Administrator tion. Sister Margaret Hudon was former­ ly known in Tacoma as Sister Patricia Francis. In keeping with recent changes in the church, she has adopt­ ed her baptisimal name. St. Joseph Hospital, founded in 1891 by the Sisters of St. Francis of Glen Riddle, Pa., has 245 beds, a psychiat­ ric care unit of 24 beds, a medical staff of 200, and 600 employees. Sister Colma, who also came to Ta­ coma from Pendleton, directed the planning of a new facility construc­ tion program which is rapidly nearing completion. She had been Administra­ tor since 1964.

Sister Margaret Hudon has been named Administrator of St. Joseph Hospital, Tacoma, succeeding Sister Mary Colma, who has been transferred PUGET SOUND to Baker, Oregon, to assist in the open­ COLLECTIONS, INC. ing of a new hospital facility. Sister Margaret has come “home” to WASHINGTON BLDG. • SUITE 1301 Tacoma after spending five years in 11TH & PACIFIC AVE. administration at St. Anthony’s Hos­ pital in Pendleton, Oregon. She had SERVING THE previously spent twenty-five years in • MEDICAL hospital management at St. Joseph. Sister Margaret is a native of Sand- • DENTAL point, Idaho, and joined the Sisters of • PROFESSIONAL St. Francis in 1940. She has served • COMMERCIAL as Hospital Treasurer, Accountant, Per­ sonnel Officer, Purchasing Agent, and Since 1960 Comptroller prior to becoming Admin­ MEMBER OF istrator. AMERICAN COLLECTORS ASSN. She is a member of the American MEDICAL-DENTAL-HOSPITAL BUREAUS Hospital Financial Management Asso­ OF AMERICA ciation and served as President of the COMPLETE COLLECTION AGENCY Washington Chapter. She is also a SERVICES member of the National Association for Hospital Development and has FU 3-5011 served on the Executive Boards of both FRANK ROSSITER, MGR. 2 0 B U L L E T IN of the Pierce County Medical Society October Birthdays 2 Dudley Houtz Graham Watkins 3 Lester S. Baskin RANKOS M. R. Hosie 4 E. R. Anderson PHARMACY Arnold J. Herrmann 5 J. Robert Brooke David F. Dye 101 North Tacoma Avenue Kenneth E. Gross Thomas B. Lawley 7 Haskel L. Maier Richard I. Rich 9 Lucien J. Coquet Prescription 10 Donald M. Nevitt John Pelley Druggists Dewey D. Stephens 11 Myron Kass 12 Robert A. Kallsen 13 G. W. Bischoff Sumiho Wada ★ 14 Robert G. Bond Frank H. James James E. McNerthney 15 Harold Mayer We Carry a Complete Line of 16 Murray L. Johnson 17 S. L. Sheimo Biologicals and Pharmaceuticals C. B. Ritchie 19 Marvin L. Bourne David T. Hellyer Vincent M. Murphy ★ 20 Dumont Staatz 21 Buel L. Sever 22 James K. Symonds “When Moments Count" 23 Horace A. Anderson Terrance C. Tisdale 24 Giulio di Furia 25 Charles McGill FUlton 3-2411 28 Ray L. Miller 31 John F. Kemman John Srail PROMPT . . . FREE DELIVERY

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AUXILIARY OFFICERS 1970-1971 Those of us familiar with this an­ nual affair are beginning to drool in President . Mrs. Ralph A. Johnson President-Elect and Representative expectancy, and this year there will to President’s Council.....— Mrs. Herbert Kennedy be an even greater variety in the re­ 1st Vice-President & Program Mrs. Max Brachvogel 2nd Vice-President & Membership .....Mrs, Richard Link cipes. According to Co-Chairmen Gen­ 3rd Vice-President & Legislative Mrs. J. J. Erickson evieve Hansen and Roberta Millett a 4th Vice-President & SociaL Mrs. David Hopkins Recording Secretary—.— __Mrs. Duncan Baer member may bring one guest and ob­ Corresponding Secretary- ..Mrs. Clarence L. Anderson tain tickets at the door for $1.50 each. Treasurer . Mrs. Arthur Wickstrom Dues Treasurer______Mrs. Gordon Dean The location is Wells Hall, 310 North K Street. Entrance is on the K Street COMMITTEE CHAIRMEN side, and please note the signs. Those Nominating Committee- ...... Mrs. Murray Johnson bringing food will have a five-minute Historian & By-Laws ...... Mrs. Robert Whitney Finance & Pierce County Health Mrs. Philip Grenley parking privilege to deliver their con­ Community Health ...... Mrs. Georgetribution Moosey at the 3rd Street entrance. Publicity (Bulletin) ...... Mrs. Bernard J. Pipe Publicity (Newspapers) Mrs. J. Lawrence Smith Again note signs for your convenience. Telephone ..... — ------Mrs. Edmund A. Kanar The Chairmen have added several at­ Mrs. Harry Camp Para-Medical & Medical Health tractions to the luncheon, including a Science------Mrs. James Stilwell Today’s Health...... Mrs. Ernest Randolph listing of the name of each recipe Mrs. J. W. Lee served. These lists will be found at AMAERF — ------— Mrs. Marvin L. Bourne Representative—Council on Alcoholism—Mrs. Carl Ekman the Cookbook counter. Last year 82 Representative—Council on Mental H ealth._— ______Mrs. Jay H. Ehly members “cooked” for the luncheon. Representative—Poison Prevention Your telephone committee will be call­ Commission. ______Mrs. John W. Pelley Student Recognitions & Awards-... Mrs. J. G .Katterhagen ing soon. Mrs. Charles Reberger Cookbook ------_ --- Mrs. Vernon Larson With one thousand Cookbooks to be Mrs. George Tanbara Dance— ...... Mrs. Ralph V. Stagoer disposed of this year we are well on Mrs. Ronald Spangler, Jr. Tasting Luncheon ...... Mrs. K. Royce Hansen our way toward that $3,000, as Mrs. David W. Millett $150.00 already has been collected in Speakers Bureau .______Mrs Kiyoaky Hori September. Another plus added to the luncheon will be a talk on flower arranging by 1 saw old Autumn in the Mr. Wayne Peepers of Mountainview misty morn Florists. Stand shadowless Like Silence, listening Oh, oh, lest we forget AMAERF! To silence. Toni Bourne will have a display of Christmas cards and stationery at the

—T h o m a s H o o d (1827) Tasting Luncheon. This is a satisfy­ ing way to get a head-start on Christ­ mas. Be sure to take time to see the The definitive spell of autumn ar­ samples available. rives with the month of October. In Auxiliary our introductory September meeting to welcome new members is ATTENTION PLEASE past and we are launched on the year’s An informal Board meeting will be projects, the first being the much an­ held at 10 a.m. on Tuesday, October ticipated Tasting Luncheon on Friday, 13, in the Doctor’s Staff room at Al- October 23, at 12 o’clock. lenmore Medical Center. 2 6 BULLETIN of the Pierce County Medical Society

STATE VISITORS The November meeting gives us the opportunity to greet our state Presi­ dent, Mrs. Marion Phillips of Spokane. After a completely social meeting such as the Tasting Luncheon, a nice change of pace is afforded the membership by hearing from the state President. Con­ vention reports, too, will bring us up to date on the serious business of Auxili­ ary. Let’s have a large turnout to meet Marion Phillips.

WHAT IS YOUR OPINION? “You are a physician’s wife; what is your opinion?” At some time or anoth­ er most of us have been asked to ex­ press an opinion relating to medical matters because we are physician’s wives. W e are not always ready with an answer. Be it woman’s lib, abortion, The only one sex-education or any of the related sub­ jects it is expedient to be informed and to have some thoughts on the topic like it and to be able to give correct informa­ tion. Perhaps you have not made up your mind about Referendum 20, but in Pierce County you should have more than a hazy idea that “it’s something about abortion.” Whatever your opinion, do be know­ And the largest funeral home in ledgeable and able to discuss the Ref­ Washington with everything in erendum with your friends outside of one place and under one man­ the medical profession. agement. One hundred beautiful garden acres containing a ceme­ THIS ’N’ THAT tery, mortuary, 2 chapels, and Good news to hear that the UW mausoleum at the same address. Medical School has increased its en­ Result? Costs are lower and tering class to 102 from a top of 84, arrangements are easier for you this to meet the demands for more phy­ to make. sicians. This year’s class will include 13 women and 10 minority students. The school has received a four million Mountain View dollar Federal grant, given to all med­ Funeral Home & Memorial Park ical schools establishing a division for 4100 Steilacoom Blvd. ■ JU 4-0252 family medicine specialty. And this . . . All of you who aren’t winter vacationing in chilly January, do plan to hear Sallie Sue William- BULLETIN o f th e Pierce County M edical Society 27 son from Bellevue at the January meet­ purposes and are strictly confidential. ing. Mrs. Williamson is a vivacious, A thank-you card from AMA-ERF will sparkling personality and gives a show also be sent to all contributors. that will leave you limp from laughing. What amount should you send? I've known Sallie Sue since college days Any amount, or the amount of money when she was a dancer and actress, it would cost for cards and postage to and like a rare wine, she improves send to your physician friends and col­ with age. Pardon me, Sallie, they’ll leagues in the community. The amount love you. you send, whether it is small or large, —I n e z M. P i p e . is acceptable; is appreciated and is used for a great purpose. THE PIERCE COUNTY CHRISTMAS Prior to submitting the contributors’ CARD PROJECT OR WHY AMA-ERF? names to the printer, contributions must be in by the deadline date of No­ AMA-ERF is for the purpose of pro­ vember 15; however there will be a viding financial assistance to medical schools and the betterment of public one week’s grace period for anyone who health through scientific and medical does not send their contribution in by research (Institute of Biomedical Re­ the 15th. Your tax deductible check search ). should be made out to AMA-ERF and sent to: The Woman’s Auxiliary to the Pierce County Medical Society seeks funds for Mrs. Marvine L. Bourne AMA-ERF. Experts estimate that the 1537 Weathervane Ct. U.S.A. will need 100,000 more phy­ Tacoma, Washington 98466 sicians by 1975, but many qualified people are being turned away from A gift contribution to AMA-ERF is medical schools because of inadequate a wonderful way to remember a par­ facilities. Schools with large endow­ ticular friend or colleague who may ments have much of their funds ear­ just happen to receive one too many marked for other special projects and ties or boxes of chocolates at Christ­ mas. find themselves in somewhat the same situation as the schools who do not have any funds to provide more facili­ ties. AMA-ERF provides flexible finan­ cial aid to these schools or the school To The Editor: you may specifically designate to re­ For the past few years the medical ceive your contribution. Community of North America has par­ We hope you feel AMA-ERF is as ticipated in all sorts of discussions cen­ worthwhile a project to support as does tering on the issue of Continuing Med­ the Woman’s Auxiliary. All you need ical Education. In order to establish do is send in your tax deductible gift the best method of imparting new in­ contribution for AMA-Educational Re­ formation to all physicians and in order search Foundation and the Auxiliary to give them an opportunity to refresh will address and mail for you a special their knowledge, various methods were Christmas card to each physician in tried in order to determine which is Pierce County with the names of all most effective. Lectures, demonstra­ contributors printed on it, thus leav­ tions, panels, round table discussions, ing you more time to enjoy the holiday large conventions, small conventions, season. Records of individual contri­ all these and others were tried. The butions are kept only for accounting search is continuing for a single best BULLETIN of the Pierce County M edical Society 2 8 method and has not yet been found. Policy and Background Relating to In the last year or two Medical Educa­ the Oregon Medical Association Post­ tion Shows destined for physicians but graduate Education Program, 1970, transmitted on the commercial televi­ as adopted by the Association’s House sion channels were widely employed. of Delegates in April, 1970, has been Movie programs to be viewed either in­ published in booklet form. dividually or in small groups via spe­ This 24-page document tells how cial transmitters have also been tried. the Oregon Medical Association Post­ Such a transmitter and a large number graduate Education Program was de­ of movie films relating to the diagno­ veloped and gives details of the poli­ sis and treatment of cardiovascular, cies and procedures for administering neurological and gynecological disor­ the Program. Two of the most inter­ ders are available in Pierce County. esting features of this Program are: The equipment has been available in 1. This is the only set of standards all hospitals in turn and is presently now available that were conceived with again in the medical library of Taco­ prior knowledge that they would be a ma General Hospital. requirement for membership in the or­ ganization. In addition, your own Continuing 2. It is the only set o f standards Medical Education Committee has ar­ where specialty groups have individu­ ranged lecture courses, demonstrations ally established their own standards. and other programs. There is great variation between the There are forces at work in the requirements established by the differ­ medical community which feel that ent specialties, as well as between such arrangements and the voluntary them and the general requirements. attendance at such lectures and dem­ Some activities are credited by one spe­ onstrations is not enough. Voices have cialty group and not by others. Where risen to indicate that a periodic reex­ the same type of activity is credited, amination of physicians for relicensure it frequently does not carry the same or establishment of compulsory criteria credit value, and it may or may not for attendance at medical courses are be a Required or Elective activity. necessary. One of the states which has Some types of continuing medical edu­ established a compulsory program for cation activities have credit limits for attendance at post-graduate medical some specialties and either no limit or courses is Oregon. Below is printed a a different limit for others. An ex­ summary of the rules and regulations ample of these differences is the credit set out by the Oregon State Medical value allowed for presenting an origi­ Association. Whether or not similar nal paper presented at a state or local compulsory regulations are set up in meeting: Anesthesiology allows 25 the State of Washington will depend credits maximum with no designation on all of us and our attitude to contin­ of the value of an individual paper; uing medical education. Neurology allows 10 credits for each presentation; and Pathology allows 3 After you have read the summary credits for each presentation. you may wish to obtain the document Two of the specialties, General Prac­ in full and the address is provided. tice and Neurology, have divided their Any comments would be welcomed by requirements into Required and Elec­ the undersigned. tive categories. The specialty of Gen­ eral Practice has adopted the require­ —M a r c e l M a l d e n , m .d . ments of the American Academy of B U L LE TIN of the Piebce County Medical Society 2 9 General Practice, except that the re­ 15. Surgery: 100 credits required. quirements for the OMA are based on For single copies of this interesting the credits earned each year, instead document, write to: of over a three year period of time, Council on Medical Education as for the AAGP. The specialty of Oregon Medical Association Neurology uses many of the same cate­ 2164 S,W. Park Place gories used for the AMA Physicians’ Portland, Oregon 97205 Recognition Award, with the exception of different credit limits in some of the categories. Two other specialties, Neurosurgery ANNOUNCEMENT and Otolaryngology, allow their mem­ bers credit for preparing and taking the Mr. P.E. “ Ted” Goodwin American Specialty Board for the pur­ announces the pose of becoming Board Certified. The formation of OMA anticipates that other specialties E conom ika such as Cardiology, Urology, Allergy, Dermatology, and Thoracic Surgery, Data will set up requirements for next year’s Corporation, program. a new concept The following is a list of the special­ in computerized ties which established standards and billing and the total credit requirements to be met general ledger. by each specialty each year: 1. General Requirements: 50 Using direct transmission, credits required. (For special­ ists who do not have require­ Economika is inexpensive ments established by their spe­ and involves no duplica­ cialty or sub-specialty.) tion of effort. 2. Anesthesiology: 50 credits re­ quired. Economika’s error-free sys­ 3. General Practice: 50 credits tem of billing and general required. ledger, including income 4. Internal Medicine: 100 credits and expenses, produces the required. facts to make intelligent decisions in the fields of 5. Neurology: 50 credits required. investment, estate tax and 6. Neurosurgery: 50 credits re­ business planning. quired. 7. Obstetrics and Gynecology: 100 Call or write Ted Goodwin credits required. for further information 8. Ophthalmology: 50 credits re­ quired. 9. Otolaryngology: 50 credits re­ quired. 10. Pathology: 100 credits required. Economika Data Corporation 11. Pediatrics: 100 credits required. 7714 Greenwood Avenue North 12. Preventive Medicine: 100 cred­ Seattle, Washington 98103 its required. (206) 784-7070

13. Psychiatry: 50 credits required. Ont of ibt wholly owned mbudiariti of Economika, Inc., a (ampltli 14. Radiology: 50 credits required. financial itrvict Corporation. MtJtcaHy onrnitd. Chtni conlrol/td V

30______BULLETIN of the Pierce County Medical Society

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MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of Jan., April, July and Oct.— 6:15 p.m. Doctors Hospital Cafeteria STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept. Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 7:30 p.m. STAFF OF PUGET SOUND GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA AREA CHAPTER OF AMERICAN PSYCHIATRIC ASSOC.— First Monday of October, December, February, April and June. TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 6:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August— 8:1 5 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Ceccanti's PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and August— 6:00 p.m. STAFF OF ALLENMORE HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. TACOMA OB-GYN SOCIETY 3rd or 4th Tues. of Jan., March, May, Sept., Nov. PIERCE^COUNTY MEDICAL SOCIETY

REGULAR MEETING NOVEMBER 10 0 BULLETIN of the Pierce County M edical Society Pierce County Medical Society 1970 OFFICERS President ...... R o b ert M . Ferguson President-Elect...... ______RobertW. Florence Vice-President ...... R fchard T. V im ont Secretary-Treasurer...... George A. Tanbara Executive Secretary...... ______...... Jody Gordon TR U ST EE S Richard F. Barronian John M. Kanda \V. Ben Blackett Theodore J. H. Smith Robert P. Crabill Richard T. Vimont Dak D. Doherty Don G. Willard Robert M. Ferguson George A. Tanbara Robert W. Florence Wayne W. Zimmerman D E L E G A T E S Robert M. Ferguson Herman S. Judd Robert W. Florence Edmund A. Kanar Kenneth D. Graham Robert W. Osborne Charles C. Reberger ALTERNATE DELEGATES Dudley W. Houtz D. A. Marlatt Vernon O. Larson William W. Matlson, Jr. Joseph G. Katterhagen John S. May Paul B. Smith, Jr. Ethics Douglas P. ButtorfF, Chairman G. Marshall Whitacre Lawrence Brigham G rievance Wayne W. Zimmerman, Chairman James D. Lambing Charles P. Larson Credentials James F. Early, Chairman Edmund A. Kanar Ralph Johnson Frederick J. Schwind Program Richard T. Vimont, Chairman Public Relatfons Paul B. Smith, Jr., Chairman Public Health Harlan P. McNutt, Chairman C o v e r P i c t u r e : Heritage Museum in Television John F. Comfort, Chairman Leningrad. D. T. Baer Gordon Dear Orvis A. Harrelson Civil Disaster Arthur Wickstrom, Chairman Entertainment William Rohner, Chairman D iabetes Bernard Rowen, Chairman Legislative Stanley Tuell, Chairman Mental Health James W. Boudwin, Chairman School Health O. A. Harrelson, Chairman DeMaurice Moses T. Clark Alan Sobul Poison Control James L. Schneller, Chairman Health Planning James E. Hazelrigg, Chairman Liaison Thomas H. Skrinar, Chairman Pharmacy—Lt. Col. Robert G. Scherz Optometries— Paul Smith, Jr. Medical-Legal Review Board Editorial Board Robert B. Whitney, Jr., M.D., Editor Wayne W. Zimmerman, Chairman Marcel Malden Stanley W. Tuell Medical Education Robert A. Kallsen George A. Race J. G. Katterhugen, Chairman Auxiliary News Editor Marcel Malden Glenn Brokaw Mrs. Bernard Pipe George Barnes Robert Crabill Richard Vimont Business Manager James DufTy Judy Gordon BULLETIN of the Pierce County M edical Society ______3

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SCHERER COMPANY Medical and Scientific Supplies Build in g 2 • Unit A • 309 Overmyef Drive • Seattle. Washingion 9B 188 ■ ( 206) C H 24850 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 November Calendar of Meetings

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY 2 3 4 5 6 7 Pierce County Pediatric Society Cardiac Study 6:30 p.m. Tacoma Group— TGH Hemotology, Orthopedic 8-9 a.m. Surgery Grand Mary Bridge Oncology Study Society— 6 p.m. Rounds— T.G.H. Cardiac Conf. Group— TGH C.P.C. of 8-9 a.m. 6:30 a.m. 8 a.m. Mary Bridge C.P.C. of St. Joseph’s 8 a.m. ’ 9 10 11 12 13 14

Pierce County Medical Society 8:15 P.Mi Hematology- OB-GYN Conf. Mary Bridge Oncology Study Neurol. Study T.G.H. Cardiac Conf. Group— T.G.H. Croup—TGH— 8-9 a.m. 6:30 a.m. 8 a.m. 8-9 a.m.

C.P.C. of Mary Bridge

16 17 18 19 20 21

Tacoma Surgical Club Mary Bridge 6:30 p.m. Cardiac Conf. Medicine Grand 6:30 a.m. Hematology- Neurol. Study Rounds— T.G.H. Oncology Study Croup—TGH— 8-9 a.m. C.P.C. of Group— TGH 8-9 a.m. St. Joseph’s 8 a.m. < 8 a.m. C.P.C. of Mary Bridge

23 24 25 26 27 28

Tac. Acad, of Internal Medicine 6:30 p.m. Path. Cancer Hematology- Pierce County Cardiac Study Con.— T.G.H. THANKSGIVING Oncology Study Chapter AAGP Group— TCH 8-9 a.m. DAY Group— T.G.H. 6:30 p.m. 8-9 a.m. 8 a.m.

C.P.C. of Mary Bridge

30

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PIERCE COUNTY MEDICAL SOCIETY MEETING

Tuesday, Nov. 10

Medical Arts Building Auditorium

PROGRAM - - ■ 8:15 P.M.

Panel Discussion on the SKY RIVER ROCK FESTIVAL By a Group of Physicians Who Were in Medical Attendance

Social Hour: 6:00 Dinner: 6:45 Honan's Restaurant BULLETIN o f th e Piebce County M edical Society 9

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Eli Lilly and Company • Indianapolis, Indiana 46206 1 0 BULLETIN of the Pierce County M edical Society Guest Editorial IT'S YOUR OWN OUTFIT The decor of the Marie Antoinette Room of the Davenport Hotel in Spokane is, naturally, French provincial with its deep red velvet drap­ eries and multi-tiered crystal chandeliers accenting the white of the walls and ironwork of the balcony. The 81st Annual Convention of the Washington State Medical As­ sociation is being called to order by Speaker of the House of Delegates, Stan Tuell. The murmur of the voices of old and new friends greeting each other subsides to be replaced by the call of “here” by each delegate or alternate delegate as the roll is called. Following the announcement by the secretary that the delegates have been seated the business of the 81st Annual Convention begins. The first session of the House of Delegates is primarily to receive reports such as the address of charming Mary Ellen Vaugh, President of the Women’s Auxiliary, who briefly sketched some of the worthwhile activities our wives have been doing in the past year, the awarding to Past President Charlie Mueller the Annual Community Service Award for 1970 for the splendid work he has done for youth and his community of Bremerton and, finally, the assignments of other committee reports, resolutions and work to the various reference committees. The reference committee is where the work of your State Associa­ tion is really accomplished with the assimilation of committee reports, the hearing of testimony for and against resolutions and the final prepa­ ration of the reference committee report advising acceptance, rejection or modification by the House of Delegates at its second and final ses­ sion on the closing day of the Convention, often taking long into the night. For over 80 years this program of events has taken place in a similar format. Each year seems to bring new and more difficult prob­ lems for solution. Many years ago the delegates pondered the ethics of physician-owned pharmacies, what constituted “fee-splitting” and the role of the General Practitioner in the staff of the hospital. At its 81st Annual Meeting in September, 1970, the House of Delegates had to decide whether to support, reject or take no action on Referendum 20, the so-called abortion law; this along with other decisions involving civil defense, emergency medical services, medical aspects of sports, pro­ fessional liability insurance, special programs for the handicapped child, industrial insurance, pre-paid medical insurance, peer review, relative value fee schedules and multi-phasic screening. Pierce County can be proud of the roll played by its membership in the 81st Annual Convention. Wielding his gavel with authority but with absolute fairness and with a superb insight into the potential prob­ lems of the House of Delegates as well as an astute familiarity with Roberts Rules of Order, Stan Tuell was one of the finest to ever chair the Speaker of the House of Delegates. No less excellence was evident in the work of those delegates from Pierce County who served on Ref­ erence committees as members or chairmen. BULLETIN of the Pierce County M edical Society 11

True, the Annual Convention is also a fun thing— meeting old friends from other towns and cities, some of whom you only see but once a year, getting together with constituents of your own county medical society for breakfast or for coffee, attending the excellent scientific programs always presented and viewing the many scientific and technical exhibts which fill the hotel lobby and special rooms. Unfortunately, only Spo­ kane and Seattle have facilities large enough to accommodate the WSMA so far, so that the annual meeting is held for three successive years in Seattle, at the Olympic Hotel and on the fourth year at the Davenport in Spokane, as this best fits the apportionment of the medical population in our state. More important than the fun to be had is the opportunity that comes each year to every member of the State Medical Association to participate in the deliberations of his Association and to provide a helping hand in the shaping of the destiny of organized medicine in his community, his state and even his nation. No one is ever denied the privilege of speaking for or against a matter being considered by one of the reference com­ mittees even though they work long into the night, sometimes, to hear all who would speak. Any member of the association, even though he may not be a delegate, may have the privilege of the floor of the House of Delegates to speak to an issue under consideration, provided his re­ quest is honored by a majority of the delegates present. Most of all, the annual convention gives us all an opportunity to meet our colleagues, to exchange ideas, to discuss problems and to work together to improve the quality of care which we give our patients which, in the final analysis, is the whole purpose of our Washington State Medical Association and its Annual Convention. After all is said and done, it’s YOUR own outfit! What the WSMA does for you will depend on what you do for it. Want to complain about something? Go to the House of Delegates or a reference committee and tell them about it or submit a resolution that you think will improve the situation. Want to know how to take a new dog home on an airplane? Ask Bob Osborne. Want to know what it feels like to forget you had invited your wife to a luncheon? Ask Bob Ferguson! Want to join the fun and be a part of what is going on in medicine? Be a delegate or an alternate to your Washington State Medical Association Annual Conven­ tion. It’s fun, it’s rewarding and it’s work.

—H e r m a n S. J u d d , m .d . 12 BULLETIN o f th e Pierce County M edical Society

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METROPOLITAN BUILDING CORP., MGRS. BULLETIN of the Pierce County M edical Society 15 17,000 miles in USSR alone, a tribute to SIBERIA AND RETURN the jet age. “Ah, Bravo, Figaro”, sung in Russian We went by jet airplanes, by aging sounded strange to us even in an oasis river boats, by buses that backed into in Southern Russia. It was a hot Sep­ parking lanes on the street when they tember evening in Tashkent, USSR, as were not jouncing over dusty Siberian we sat through the Barber of Seville in roads and curbs on city streets, by sub­ the Opera House, fighting off sleep lost way, by train, by hydrofoil, by prop jets the night before on our flight from with balding tires and seatbelts that lo­ Moscow. The urge to miss nothing on cal people ignored or that broke and, this go-go trip through Russia and Si­ when they worked, by elevators. We beria had persuaded us to spend this stayed in hotels where the heat is not evening with local culture rather than turned on until October in spite of au­ to bed. tumnal chill and where the plumbing Travel through the back door of Si­ in each room is determined to exert beria and through fourteen time zone its own unique and most contrary per­ changes in three days had thrown our sonality. If there was running water, circadian rhythm completely off sched­ chances are it would be cold or flood ule. We moved in an unknown world, onto the floor from a toilet with no seat of which we had been able to learn or fill the room from the showers, none little in the library at home, making of which have shower curtains. the dream-picture more complete. Autumn with its colorful foliage had Last summer we joined one of the arrived in the northern areas at the time pioneering groups sponsored by Alaska of our visit. Air Lines in Anchorage. After an eight- hour flight to Khabarovsk in Far East Russia we spent fifteen days of intense activity at eight major stops behind the Iron Curtain. The vastness of the country soon be­ came apparent with our second flight of eight hours, this time and subse­ quently by Aeorflot, from Khabarovsk to Moscow. Here and in Leningrad we enjoyed the European atmosphere of metropolitan cities, then to be quickly Khabarovsk, our first stop, is a city transported south and east to the color­ about the size of Seattle on the large ful Arabian Nights State of Uzbeckistan salt-filled Amur River about twenty-five at Tashkent and Samarkand. After a miles from Red China. An industrial pit stop ’ in Alma Alta and an unsched­ complex, until recently this was a for­ uled few hours in Novosibirsk, the “Sci­ bidden city. We were allowed to roam ence City”, we arrived in Irkutsk and freely through leafy streets filled with Siberia just north of Mongolia. Side curious and friendly folk and to sail the trips to Bratsk in the Northern Forests river photographing everything. Sum­ (the Taiga) and then to Lake Baikal, mer is short here and we found people a natural lake which holds more water wearing contemporarily drab clothing than all the Great Lakes, emphasized — except for an occasional miniskirt— the great space that is Siberia. Return­ suited to the chilling air. Generally na­ ing to Khabarovsk completed the circle ture provided the color with changing tour in which we had covered about autumnal hues, however we never 1 6 BULLETIN of the Pierce County M edical Society seemed to be out of sight of large, stamps and forms. Elaborate documen­ brightly adorned posters of Lenin cele­ tation of flight number, time of depart­ brating the centenary of his birth. ure and seat numbers seemed to naught Here we found the shops on Karl when frequently flights were oversold Marx avenue and our first experience and once aboard one sat wherever he with local mores. Each shop, in the could. Planes always flew filled to ca­ European manner, has a limited num­ pacity, yet every airport had its cluster ber of items; dairy products here, meat of empty, unused planes sitting around (mostly fish) there, and canned goods the field. Passengers deposited assorted elsewhere. The clothing shops are simi­ packages and heavy objects in overhead larly separated and also with limited racks and neglected seat belt advice selection. After choosing an item one contrary to rules in America. The “No finds a cashier for payment and then Smoking” sign was continually on, how­ returns to the clerk to pick up the pur­ ever, irritating many nervous smokers. chase. Frequently the stores are busy Hard candies served on takeoff and and this means standing in at least two landings with watered down apple juice lines for each purchase. Tourists are in flight were standard. Occasionally near the top of the pecking order in time to surreptitiously lace the latter Russia, however, and may spend fo­ with Vodka helped the general effect. reign currency at special shops (Berios- The stewardess sitting casually on the ka) for items not always available to galley table without seat belt during the local people and at markedly re­ takeoff will be hard to forget. duced cost ($6.00 Vodka for $2.00). The people of Intourist made the trip Juniorsized capitalists were also avail­ go without seeming difficulty as long able on the streets trading Lenin but­ as there were no interruptions. Changes tons for a stick of gum. Then, too, in any detail must be approved by Mos­ there were sidewalk ice cream cone cow but are possible, given enough vendors (offering a tasty vanilla flavor time. An apparent exception was the only) who carefully weighed one’s pur­ efficient finding of dormitory accommo­ chase. The local tavern proved to be dations for us near the airport in No­ a tank trailer of beer parked on the vosibirsk when our plane was delayed sidewalk with communal or “bring your by fog one night. own” glasses. We explored Red Square alone the Our evening at the local circus with morning we arrived in Moscow. The dancing bears and all was a special rising sun seems to emphasize the aus­ highlight in Khabarovsk. terity of the Kremlin and Lenin’s Tomb,

Aeroflot gave us another opportunity while giving a special beauty to St. Ba­ to see Soviet life, a system with an in­ sil’s Cathedral with its bouquet of nine finite rat’s nest of passes, controls, ink onion domes. One finds the clutter of B U L L E T I N of the Pierce County M edical Society 17 the GUM Store a fascinating mixture of planes to the Middle East while we were gone.

humanity and confusion. Later there were visits inside the Kremlin halls, The Uzbek people in Tashkent are museums, Moscow University and the modern-Moslem with colorful dress and industrial park with rides on the river friendly manner, at home in their ba­ and subway. The ballet at the Bolshoi zaars and mud houses, reminding us Theater followed by Balalaika music of Tehran more than Moscow. History in a cafe provided one of several out­ dominates the area, being even more standing evenings. apparent in nearby Samarkand. This

A side trip by train to Leningrad Asian oasis is 2500 years old and in­ was too short. This city of art and his­ filtrated by buildings of lacelike mo­ tory, built on picturesque canals and saic. Competing with the Taj Mahal is waterways, demands more than one day the beautiful Tomb of Tamerlane, the of exploration. Next year the tour will greatest Asiatic conqueror since Ghen- start here and give it more time. gis Khan. One of our local Intourist Leaving Moscow our plane was de­ guides resented an implication that she layed an hour while we sat aboard in was Russian. She pointed out that they the heat and distinctive Aeroflot odor feel the present is only one of many reminiscent of a felt pen with no ven­ periods of conquest by outsiders which tilation. Soon we found the delay to in the past included Alexander the be due to an altercation in the forward Great and Gengis Khan. We are hoping compartment involving the crew and a for a return visit to this very special man. He eventually ran from a hail of part of the world. fisticuffs from a policeman who had Irkutz is more truly ‘Siberian” by come aboard. Were we to be hijacked? heritage and architecture. On old China Not having news in English available trade routes and rivers like the An­ anywhere on our trip, it was only later gara, the city dominates an area of we learned of the hijacking of several forests and rolling hills. Old wooden 1 8 BU LLETIN o f the Pierce County M edical Society buildings are distinctive with a rich ples with strange ways of life is not adornment of carvings on trimmings altered by visiting, it is only enhanced. and shutters. Colonized only in the Experiences come with variety and ex­ last three hundred years to hunt the hausting rapidity so that one wants sable and work the mines, some of to return, if only to savor them more these settlers went on to Alaska, or fully and with more leisure. We would as they say, Russian America. A bus especially like to spend more time in driver maintained that “when the Amer­ the southern areas, including the Black ican lease was up” Alaska would return Sea area with a return to the Caspian to Russia. None of our Alaska trav­ Sea, which we visited on an earlier trip. elers seemed concerned. There was not time for extended visits Nearby Lake Baikal reminds one of to medical facilities and the quick a wide Lake Chelan without the Cas­ view afforded has only made us more cade Mountains. The deepest lake in curious. the world, it holds a great variety of A strong feeling of thanks manifested sea life including seals, landlocked fol­ by a loud cheer overwhelmed each of lowing a past age when Siberia was us when our Boeing 707 left the run­ ocean bottom. After our ride here on way at Khabarovsk for the return to a hydrofoil we survived a gala lunch­ Anchorage. We all returned with a eon which, like gala dinners, means much stronger faith and love for the copious quantities of Vodka washed American system and way of life.

down with champagne. One develops —J i m a n d M a r g e W i c k s . the feeling of immortality during these events. The feeling of vast spaces and lone­ liness of Siberia finally became truly TV Continuing Med. Ed. apparent on a side trip to the North Country around Bratsk. Those who Washington-Alaska Regional Medical Program Tuesday 7:35 and 8 :05 a.m. Chan­ nel 9. November 10: Office Management of Vascular Tension Headaches. November 17: Management of Or­ ganic Headache. November 24: No telecast.

work in this backwood station of hydro­ 27-YEAR-OLD R.N. desires office nurs­ electric dams (including one twice the ing, preferably part time. 5 yrs. ex­ size of Grand Coulee), in lumbering perience large E. R. room. Call Janice and in Russia’s biggest pulp mill get Arleth, SK 2-7526. special pay and vacation privileges be­ cause of the harsh climate. For those who hunt and fish, the area has abun­ GENERAL PRACTITIONER wanted dant big game and no limits. for a busy practice near Seattle-Taco- Our journey partially satisfied an ma. Salary at first and association. abiding curiosity about Russians and D. A. Tait, M.D., P.O. Box 164, Buck­ their way of life. A fascination for peo­ ley, Wash. BULLETIN of the Pierce County M edical Society 19 and Speaker of the House Stan Tuell. Tacomans Help Spark The latter three were re-elected to the WSMA Meet; Face same positions for the coming year. Issues In Caucus The Pierce County Medical Society Joint Reactions Following delegates were on hand and in action Rubella Vaccine at the September meeting of the Wash­ Experience in rubella immunization ington State Medical Association in programs elsewhere has revealed that Spokane. For the first time in many a mild joint reactions are relatively com­ year, delegates from this County held a mon following vacination, occurring in breakfast caucus meeting on the morn­ 5-15% of vaccinees. Arthralgias most ing of the day of the final session of frequently involve the knees and hands, the House of Delegates, to review all are occasionally accompanied by swell­ issues that were at stake and discuss ing, numbness and tingling, and are the pro’s and con’s of each. self-limited. The onset of symptoms is Society President Bob Ferguson not usually 2-8 weeks after vaccination; du­ only organized and presided at the ration is 1-8 days, rarely several weeks. County Caucus, but he served ably in In some instances symptoms have re­ one of the key positions in the State sulted in extensive evaluation for rheu­ meeting— that of Chairman of Refer­ matic fever or rheumatoid arthritis. ence Committee “A”. State Trustee Dr. Physicians a n d patients should be Jim Hazelrigg, also from Pierce, served aware of the benign, self-limited na­ on Reference Committee “D”. The four ture of these possible reactions to avoid main reference committee meetings unnecessary anxiety and expense. are the basic areas of confrontation Less common reactions include mild where individual members are sounded fever, transient rash and occasional out in the effort to establish policies of lymph adenop athy. the State Association. Final decisions are polished up and voted on in the House of Delegates, where Dr. Fergu­ son presented the report of his com­ mittee. PUGET SOUND Dr. Herman Judd, as chairman of COLLECTIONS, INC. WASHINGTON BLDG. • SUITE 1301 the Necrology Committee, rose before the House of Delegates and read with 11TH & PACIFIC AVE. dignity the names of the 43 Washington SERVING THE State physicians who had expired dur­ • MEDICAL ing the year, including 7 from Pierce • DENTAL County. • PROFESSIONAL • COMMERCIAL Delegates representing Pierce County Since 1960 were, besides Dr. Ferguson, Robert W. MEMBER OF Florence, Kenneth D. Graham, Herman AMERICAN COLLECTORS ASSN. S. Judd, Edmund Kanar, Robert W. Os­ MEDICAL-DENTAL-HOSPITAL BUREAUS OF AMERICA borne, and Charles Reberger. Also help­ COMPLETE COLLECTION AGENCY ing to represent our area in the House SERVICES of Delegates were Association Vice Pres­ ident Charles P. Larson, Trustees FU 3-5011 James E. Hazelrigg and Del Lambing, FRANK ROSSITER, MGR. 20 BU LLETIN of the Pierce County M edical Society November Birthdays

1 Charles E. Kemp 3 Carl O. Granqulst RANKOS J. Hugh Kalkus George A. Moosey 5 William C. Brown PHARMACY Joseph H. LaTona 6 J. G. Katterhagen 101 North Tacoma Avenue Sherman S. Pinto 7 G. W. Bissonette 8 Ray M. Lyle Wayne W. Zimmerman 11 William T. Ritchie Prescription 13 Dale Doherty Paul E. Gerstmann Druggists 14 Thomas H. Clark Kiyoaky Hori 16 Kurt Brawand Galen Hoover 17 T. R. Haley ★ 18 James D. Krueger G. M. Whitacre 19 Calvin A. Lantz 21 Ronald G. Gallucci We Carry a Complete Line of 22 Michael Doel Vernon O. Larson Biologicals and Pharmaceuticals John M. Shaw 23 Ralph V. Stagner 24 John R. Alger 25 William McPhee ★ 26 Kenneth S. Kilborn Theodore Smith 29 John Colen “When Moments Count” 30 Thomas A. Smeall

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AUXILIARY OFFICERS 1970-1971 and her presentation of state auxiliary affairs will be of much interest. Mrs. President ______-____Mrs. Ralph A. Johnson President-Elect and Representative Phillips will discuss programs of the to President’s Council Mrs. Herbert Kennedy county auxiliaries and outline plans for 1st Vice-President & Program Mrs. Max Brachvogel 2nd Vice-President & Membership Mrs. Richard Link the year. She will be accompanied by 3rd Vice-President & Legislative...... Mrs. J. J. Erickson the State President-Elect. 4th Vice-President & SociaL...... Mrs. David Hopkins Recording Secretary...... Mrs. Duncan Baer President JoArrn Johnson reminds us Corresponding Secretary Mrs. Clarence L. Anderson that we shall also meet the nursing Treasurer...... Mrs. Arthur Wickstrom Dues Treasurer ...... Mrs. Gordon Dean scholarship recipients at the November COMMITTEE CHAIRMEN meeting, plus there will be a report by the newly formed “ad hoc” committee Nominating Committee ...... Mrs. Murray Johnson on possible money raising projects. This Historian & By-Laws ...... Mrs. Robert Whitney Finance & Pierce County Health Mrs. Philip Grenley committee will bring us an explanation Community Health ___ Mrs. George Moosey of the Tacoma General Hospital School Publicity (Bulletin) ...... Mrs. Bernard J. Pipe Publicity (Newspapers)...... Mrs. J. Lawrence Smith of Nursing Educational Round Table. Telephone...... —___ Mrs. Edmund A. Kanar You’ll want to be informed. Mrs. Harry Camp Para-Medical & Medical Health Science ------„---- Mrs. James Stilwell Today's Health...... Mrs. Ernest Randolph Mrs. J. W. Lee DUES REMINDER AMAERF______Mrs. Marvin L. Bourne Lest you think we are nagging, we Representative—Council on Alcoholism - Mrs. Carl Ekman Representative—Council on won’t say a word about dues. Two Mental Health______Mrs. Jay H. Ehly Representative—Poison Prevention months have passed . . . you wouldn’t Commission...... Mrs. John W. Pelley want to be left out as a non-contribut­ Student Recognitions & Awards.... Mrs. J. G .Katterhagen Mrs. Charles Reberger ing member. Florence Dean is the gal Cookbook ---- Mrs. Vernon Larson Mrs. George Tanbara for whom you are looking! Dance------.----- Mrs. Ralph V. Stagner Mrs. Ronald Spangler, Jr. Tasting Luncheon —---- Mrs. K. Royce Hansen Mrs. David W. Milieu “GRACIAS” Speakers Bureau — ...... Mrs. Kiyoaky Hori TODAY’S HEALTH is a gift much ap­ preciated by the Tacoma and Pierce County schools. Our President’s mail­ NOVEMBER MEETING box has been brimming with thank-you Luncheon — 12 Noon notes from librarians, principals, and Mrs. James Stilwell, Hostess school personnel who find this informa­ 1244 South Fairview tive magazine an excellent supplement Program — Mrs. Marian Phillips, for their classroom work. It comes to State President them through the courtesy of Medical Auxiliary. BUSINESS ONLY What’s it all about, Alfie? You’ll find NOMINATING COMMITTEE out at the November meeting from our Sherry Johnson, who is chairman of State President Marian Phillips of Spo­ the nominating committee, will be as­ kane. The lady directing State Med­ sisted by Board representatives Jean ical Auxiliary has not just happened Camp and Helen Florence, and mem­ upon that office, as we all know. By bership representatives Keaty Gross and hard work, dedication and expertise the Linda BeMiller. If you have sugges­ State President capably holds the reins, tions for them please call Sherry. 2 6 BU LLETIN of the Pierce County M edical Society VOLUNTEER NURSES Community Health Chairman Jane Moosey represents Auxiliary as a mem­ ber of the steering committee handling the Rubella program in Pierce County from October 26th to 30th, and in the Tacoma schools November 4th and 5th. Auxiliary w a s asked for volunteer nurses with 54 members responding to the call. The State Health group in­ volved with the project was most ap­ preciative of the generous response.

AMA-ERF DEADLINE Deadline date for the AMA-ERF Christmas card project is November 15th. Toni Bourne is offering a one week’s grace period, but not one min­ ute longer. Your tax deductible check should be made out to AMA-ERF and sent to: Mrs. Marvin L. Bourne, 1537 The only one Weathervane Ct., Tacoma 98466. Sta­ tionery is available at this time and throughout the year. Ask Toni.

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in Pierce County COOK BOOK STATIONS PUYALLUP Mrs. Walter Arthur, 1314 10th Ave. N.W., TH 5-5542 And the largest funeral home in Mrs. Leo Sulkosky, 1403 5th St. S.E. Washington with everything in TH 5-8264 one place and under one man­ SUMNER agement. One hundred beautiful Mrs. John Kanda, 1716 Academy St. garden acres containing a ceme­ UN 3-9184 tery, mortuary, 2 chapels, and Mrs. John Kemman, Rt. 1, Box 617-B mausoleum at the same address. UN 3-7231 Result? Costs are lower and TACOMA arrangements are easier for you Mrs. Hanif Anwar, 915 So. Huson to make. SK 2-2665 Mrs. Marvin Bourne, 1537 Weathervane Mountain View Court, LO 4-4696 Funeral Home & Memorial Park Mrs. Max Brachvogel, 1724 Fernside 4100 Steilacoom Blvd. ■ JU 4-0252 Drive, LO 4-4308 Mrs. Robert Burt, 6638 Hilltop Lane S.W. JU 4-1813 Mrs. Gilbert Chartier, 5007 Sunset Dr. LO 4-3553 BULLETIN of the Pierce County M edical Society 27 Mrs. Russell Colley, 10905 Evergreen Billed as the “first annual Washing­ Terrace S.W. JU 8-2447 ton State Physician-Nurse Conference”, Mrs. Gordon Dean, 4234 West Sound- the meeting was set up by Dr. Harold E. view Drive, LO 4-1945 King and Dolores Little, R.N., co-chair­ Mrs. David Dye, 3611 No. Washington man of the WSMA-WSNA liaison com­ SK 2-2180 mittee. Mrs. Jack Erickson, 616 South 117th Keynote speakers at the meeting were LE 7-5044 J. W. Walker, M.D., a member of the Mrs. Murray Johnson, 501 North Ta­ AMA Committee on Nursing, from coma Ave., MA 7-5697 Jacksonville, Florida, and Hildegard Mrs. Herman Judd, 8505 Woodlawn Peplau, R.N., the scholarly President of Ave., S.W. JU 8-2686 the American Nurses Association, from Mrs. Vernon Larson, 1889 No. Hawth­ New York. orne Drive, SK 9-4655 Representing local factions on the Mrs. Richard Link, 3016 North 28th program were Tim Hayes, President of SK 2-8801 the State of Washington Associated Mrs. Herbert Meier, 7 Barlow Road Nursing Students (SWANS); Anne JU 8-7554 Rohweder, R.N., Coordinator, Nursing Mrs. Alva Miller, 9619 Lk. Steilacoom Program, Olympic College in Bremer­ Drive S.W. JU 8-4677 ton; Madeline Leininger, R.N., Ph.D., Mrs. Bernard Pipe, 12629 Gravelly Dean of the School of Nursing at the Lake Drive S.W. JU 4-0825 University of Washington; Richard A. Mrs. Thomas Skrinar, 424 North C Smith, M.D., Director of the Medex BR 2-0486 Program; and Roy Schwarz, M.D., As­ Mrs. Paul Smith, Jr., 3404 No. Adams sistant Dean of Admissions at the Uni­ SK 2-6201 versity of Washington. Mrs. George Tanbara, 710 No. Yakima Sponsors of the affair felt the joint Ave., BR 2-5235 meeting was a fruitful one and antici­ Mrs. Stanley Tuell, 3650 Browns Pt. pate a more aggressive interest in the Blvd., WA 7-1117 next annual meeting of the logical coa­ litions of professions. Three physicians from Pierce County attended the meetings. Doctors, Nurses Air Grievances, Problems Alligators in New York At Joint Confab By G e o r g e A. R a c e It was the beginning of an every-day Fifty doctors and 50 nurses got to­ kind of day at the office. I sat down at gether at a long-overdue all-day get-ac­ the desk and lit my pipe. My nurse, Ei­ quainted session at the Sea-Tac Motor leen Wanous, came in, put the mail on Inn on Saturday, Oct. 17. The joint the desk with a cheery, “Good morning, meeting of representatives from the Boss,” then casually dropped a bomb Washington State Medical Association in my lap. and the Washington State Nurses Asso­ “Did you know,” she asked with stu­ ciation was the first meeting of its kind died unconcern, “that there are alli­ in an effort to establish better rapport gators in New York City?” She started and understanding between the two in­ to leave. timately-allied but sometimes loosely- “Now wait one cockeyed minute,” I coordinated professions. said, yanking the pipe from my mouth. 2 8 B U L L E T I N of the Piebce County M edical Society “What’s so surprising?” She raised Eileen didn’t exactly say, “I told you her eyelashes as if to say, “Any fool so,” but she spent the rest of the day would certainly know that.” purring like a satisfied feline. “What’s so surprising?” I echoed. “I A perusal of Berger’s book revealed lived in New York for twenty-six years a brief reference to a Mr. Teddy May, and there are absolutely no alligators a former New York Sewer Commission­ in . . wait . . oh . . ha, ha . . Guess you er. It mentioned that, besides recover­ almost got me there. Why of course ing murder weapons and robbery loot, there are. In the Bronx zoo, in the he had cleaned the sewer system of a Central Park zoo, in the . .” rash of alligators. “No,” she said. “What I mean is, I was puzzled by such brief mention there are alligators in the sew ers of of an enticing subject, so I sent a letter New York.” to the New York Department of Sanita­ “Eileen,” I said, as gently as I could. tion. The reply, I felt, more than “You’re crazy.” evened the score with Eileen. They “But a friend of mine read about wrote that this matter was properly un­ them in a book.” der the jurisdiction of the Office of the “Book, shnook. The fount of all Borough President of Manhattan, but knowledge is the Tacoma News Trib­ enclosed an article from SWEEP, the une. If anyone should know, they Department’s monthly bulletin: should.” “We have previously checked this We sent a letter of inquiry to the matter through official sources, and Trib and an answer came back in a have talked to engineers and others few days. Eileen and I read it together. who have been in the public works field “Several reputable authors have stat­ for decades. But never have we been ed that alligators have been found in able to obtain eye-witness confirmation the sewers of New York City. We do that reptiles have survived gasses and not have specific information as to how other hazards and have taken up abode this came about, but it seems prob­ in our sewer system. Lack of evidence able that some pet alligators escaped has forced us to conclude that alleged or were let free by their owners.” Ap­ alligators are perhaps poor relations of parently they started as small pets in an the Loch Ness branch of the family.” aquarium, but gradually grew to bath­ An uneasy truce pervaded our office tub size. They were no longer cuddly for the next few weeks, during which pets but snapping beasts. The owners time Eileen and I were extra-polite to were reluctant to kill them or to de­ each other. I had the feeling that it posit them in a garbage can. What wouldn’t last. And I was right. I came simpler means was there for getting rid to work one day and found a book on of them than to flush them down a my desk by Robert Daley entitled, “The toilet? Some of them supposedly sur­ World Beneath the City.” There was vived the swift currents, found their a marker at page 187 and the tide of way to a warm, dead-end tunnel and the chapter was, not surprisingly, “Alli­ thrived there on sewage. gators in the Sewers.” “For further information,” the Trib­ Won’t that girl ever give up, I won­ une concluded, “we suggest you read dered. Meyer Berger’s New York”. Here, too, Teddy May was the hero A copy of an advertisement for the of the hour. Following claims by his book was enclosed with the provoca­ inspectors that there were alligators in tive title, “Where in the world are there the sewers and that sometimes the in­ alligators in the sewers?” spectors had escaped from the beasts BULLETIN of the Pierce County M edical Society 2 9 by the narrowest of margins, Mr. May A tie! Face had been saved on either swore his checkers were drunk and at side. You know, I’d never admit it to first checked the checkers for clandes­ Eileen. But the concept of big game tine drinking. But he finally descended hunting by flashlight deep in the bow­ to the area they described and, “by the els of New York City fascinated me. beam of his own flashlight, spotted al­ Hmmm. It couldn’t all be fallacy, could ligators whose length, on the average, it? was about two feet.”

The book went on to describe how Teddy May finally eliminated them. ANNOUNCEMENT Some succumbed to rat poison. Others were harassed into swimming into main Mr. P.E. “ Ted” Goodwin lines where the swift current washed announces the them out to sea. And a few were hunted down by the inspectors with .22 rifles formation of and pistols in what must have been the E conom ika most unusual hunting on earth— a sew­ Data er safari. Corporation,

Eileen purred again. Sweetly, she a new concept said not a word about alligators, but in computerized the balance of power had definitely billing and shifted. general ledger.

In desperation, I remembered the suggestion of the Sanitation Depart­ Using direct transmission, ment and wrote to the president of the Economika is inexpensive Borough of Manhattan. Whereas all our and involves no duplica­ previous correspondence had been a joint effort, I sneaked this one out un­ tion of effort. der the cover of night. For if the an­ swer gave her any more satisfaction, I Economika’s error-free sys­ tem of billing and general was sure I’d have to abdicate. ledger, including income The answer was five weeks in arriv­ and expenses, produces the facts to make intelligent ing and the office situation was rapid­ decisions in the fields of ly deteriorating. But Mr. Anthony De- investment, estate tax and nargo, the chief engineer of the office business planning. of Borough Works, by one fell swoop, restored my status and evened the score. Call or write Ted Goodwin for further information “We wish to inform you that over the past years we have had many in­ quiries on this subject, prompting in­ vestigation of every record available to establish the authenticity of these re­ ports. To date we have not been able Economika Data Corporation 7714 Greenwood Avenue North to find one shred of evidence to sub­ Seattle, Washington 98103 stantiate the claim that any such con­ (206) 784-7070

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MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of Jan., April, July and Oct.— 6:15 p.m. Doctors Hospital Cafeteria STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept. Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 7:30 p.m. STAFF OF PUGET SOUND GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA AREA CHAPTER OF AMERICAN PSYCHIATRIC ASSO C.— First Monday of October, December, February, April and June. TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 6:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August— 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Ceccanti's PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and August— 6:00 p.m. STAFF OF ALLENMORE HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. TACOMA OB-GYN SOCIETY 3rd or 4th Tues. of Jan., March, May, Sept., Nov. S PIERCrCOUNTY MEDICAL SOCIETY

PIERCE COUNTY MEDICAL SOCIETY REGULAR MEETING DECEMBER 8 Q BU LLETIN of the Fierce County M edical Society Pierce County Medical Society 1970 OFFICERS President ______^ Robert M. Ferguson President-Elect ...... - ...... Robert W. Florence Vice-President ...... Richard T. Vimont Secretary-Treasnrer ...... George A. Tanbara Executive Secretary-— ...... — .— ______Judy Gordon TRUSTEES Richard F. Barronian John M. Kanda W. Ben Blackett Theodore J. H. Smith Robert P. CrabiU Richard T. Vimont Dale D. Doherty Don G. Willard Robert M. Ferguson George A. Tanbara Robert W. Florence Wayne W. Zimmerman DELEGATES Robert M. Ferguson Herman S. Jodd Robert W. Florence Edmund A. Kanar Kenneth D. Graham Robert W. Osborne Charles C. Reberger ALTERNATE DELEGATES Dudley W. Houtz D. A. Marlatt Vernon O. Larson William W. Mattson, Jr. Joseph G. Katterhagen John S. May Paul B. Smith, Jr. E thics Douglas P. Buttorff, Chairman G. Marshall Whitacre Lawrence Brigham G rievance Wayne W. Zimmerman, Chairman James D. Lambing Charles P. Larson Credentials James F. Early, Chairman Edmund A. Kanar Ralph Johnson F rederick J . Schwind Program R ichard T. Vimont, Chairman Public Relatftms Paul B. Smith, Jr., Chairman Public Health Harlan P. McNutt, Chairman C o v e r P i c t u r e : Ships from around the Television John F. Comfort, Chairman world load and unload cargo at Pier 7, D. T. Baer Gordon Dean Orvis A. Harrelson Port of Tacoma. Civil Disaster Arthur Wickstrom, Chairman Entertainment William Rohner, Chairman D iabetes Bernard Rowen, Chairman Legislative Stanley Tuell, Chairman Mental Health James W. Boudwin, Chairman School Health O. A. Harrelson, Chairman DeMaurice Moses T . C lark A lan Sobul Poison Control James L. Schneller, Chairman Health Planning James E. Hazelrigg, Chairman Liaison Thomas H. Skrinar, Chairman Pharm acy—L t. Col. Robert G. Scherz Optometries—Paul Smith, Jr. Editorial Board Mcdical-Legal Review Board Robert B. Whitney, Jr., M.D., Editor Wayne W. Zimmerman, Chairman Marcel Malden Stanley W. Tuell Medical Education Robert A. Kallsen George A. Race Mirrei A/i i ^atterhagen, Chairman Auxiliary News Editor Marcel Malden Glenn Brokaw George Barnes Mrs. Bernard Pipe Robert Crabill Richard Vimont Business Manager James Duffy Judy Gordon BULLETIN of the Pierce County M edical Society 3

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I 6 BU LLETIN of the Pierce County M edical Society December Calendar of Meetings

MONDAYTUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

1 Staff of Pierce County Tacoma General- Pediatric Society 6:30 p.m. 6:30 p.m. Hemotology, Cardiac Study Surgery Crand Mary Bridge Oncology Study Group— TGH Rounds— T.G.H. Cardiac Conf. Group— TGH 8-9 a.m. 8-9 a.m. 6:30 a.m. 8 a.m.

C.P.C. of C.P.C. of Mary Bridge St. Joseph’s

8 10 11 12

Pierce C o u n ty Tacoma M edical Society Orthopedic 8:15 P.M. Hematology- Society— 6 p.m. OB-GYN Conf. Mary Bridge On cology Study Neurol. Study T.G.H. Cardiac Conf. Group— T.G.H. Tacoma Chapter Group— TGH— 8-9 a.m. 6:30 a.m. 8 a.m. of American 8-9 a.m. Psychiatric Assoc. C.P.C. of Mary Bridge

14 15 16 17 18 19

Tacoma Surgical Club Mary Bridge 6:30 p.m. Cardiac Conf. Staff of Medicine Grand 6:30 a.m. Hematology- Good Samaritan Cardiac Study Rounds— T.G.H. Oncology Study 8-9 a.m. ■ 6:30 p.m. Group— TGH C.P.C. of Group— TGH *-3 8-9 a.m. St. Joseph’s 8 a.m. n 8 a.m. C.P.C. of i Mary Bridge

21 22 23 24 25 26

Tac. Acad, of Internal Medicine 6:30 p.m. Staff of Path. Cancer St. Joseph’s Neurol. Study Con.— T.G.H. 7:30 p.m. Group— TGH- 8-9 a.m. ■* 8-9 a.m.

C.P.C. of Mary Bridge

28 29 30 31

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PIERCE COUNTY MEDICAL SOCIETY MEETING

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I 1 0 B U L L E T I N of the Fierce County M edical Society Hospital. Dr. Vimont was born in Ta­ Medical Staff coma and graduated from St. Louis Officers Elected University School of Medicine in 1945. President-elect of the professional Dr. Maurice Origenes has been elect­ staff of the Doctors Hospital is Dr. ed president of the Mary Bridge Chil­ James Hazelrigg who was born in Neb­ dren’s Hospital Professional staff. Dr. raska and graduated from the Univer­ Origenes graduated from the Catholic sity of Nebraska in 1954. University of the Philippines Medical President of the medical staff of School in 1954 and interned at Buffalo Good Samaritan Hospital for the com­ General Hospital. He joined the Mary ing year is Dr. Walter M. Arthur, who Bridge staff in 1967. is a 1962 graduate of the University Dr. James Schneller was elected vice- of Nebraska. president and president-elect. A native of Montana, Dr. Schneller graduated from St. Louis University Medical School in 1956 and interned at St. Vin­ "Where's Tacoma?" cent Hospital, Portland. He has been Jack Hilger's Paper on staff here since 1968. Dr. Robert Whitney was elected sec­ Prevents Shutout retary. Born in Springfield, Mass., Dr. Tacoma physicians contributed qua­ Whitney studied medicine at Yale, grad­ lity, but a minimum of quantity, to the uating in 1955. He served his intern­ scientific sessions of the Washington ship at University of Minnesota Hospi­ State Medical Association meeting in tal and joined the Mary Bridge staff Spokane in September. There were 105 in 1965. physicians from our state listed in New executive committeeman of the the “Index of Speakers” in the program. staff is Dr. Stanley Tuell. A native The “score” for the three metropolitan Tacoman, Dr. Tuell graduated from cities in Washington was as follows: Northwestern University Medical Seattle ______59 speakers School in 1944 and interned at Swe­ Spokane _____ 54 speakers dish Hospital, Seattle. He has been on Tacom a______1 speaker the Mary Bridge professional staff since The only Tacoma doctor presenting 1955. a paper at the meeting was John R. Hil- President of the medical staff of ger, who presented a paper on “Nasal Lakewood General Hospital is Dr. Her­ Deformity and Its Consequences” dur­ man Judd, a native of Tacoma and a ing the ENT Scientific Session on Wed­ graduate of the 1941 class of Creigh­ nesday morning, the last day of the ton University. Dr. Ted Haley, who was meeting. also born in Tacoma, is president-elect. Any Tacoma physicians who feel dis­ He graduated from the University of heartened by this lack of scientific ini­ Rochester in 1947. tiative by this medical community can Dr. Herbert C. Kennedy is president take heart in the fact that numerous of the professional staff of Allenmore other communities in the State each Hospital. Dr. Kennedy was born in provided only one contributor to the Aurora, Indiana, and is a graduate of program. Among others, there were the Indiana University School of Medi­ Cheney, Enumclaw, Kennewick, and cine, class of ’51. Sedro-Woolley. Dr. Richard T. Vimont is president­ There, that makes you feel better, elect of the medical staff of St. Joseph’s doesn’t it? BULLETIN of the Pierce County M edical Society 11 Yakima, Spokane and Wenatchee. News From Committee These programs hope to acquaint physi­ On Continuing cians in residency training with the ways medicine, surgery, family practice Medical Education and others are conducted in major com­ munity hospitals which are distant from The attendance at the clinical con­ the university and its unified courses. ferences held weekly in Tacoma Gen­ We welcome Doctor Stevenson to Ta­ eral Hospital has been at times encour­ coma and hope that this program will aging, but many of you may wish to continue successfully. know that there is plenty of room avail­ able, even for late arrivals, although Finally, let me remind you that mem­ we especially invite you for 8 o’clock bers of the Committee on Continuing and gladly provide coffee and dough­ Medical Education are always ready to nuts. listen to any of your suggestions and to help you in any way they can. This fall quarter there has been no formal course for physicians at the —M a r c e l M a l d e n , m .d . University of Puget Sound but a course will be starting on the 6th of Janu­ ary, on Wednesday, and will run week­ ly from 7:30 to 9:30 for ten weeks. Arterial Catheterization This course is on Sexuality and Sex Education for Physicians and will be Danger Reported By guided by Professor Nathaniel Wagner. Tacoma Surgeons It’s a highly practical course and prom­ ises to be most helpful to all of us in Fellow surgeons were warned of the practice. We have already received potential hazards of arterial catheteriza­ many applications and, as the number tion in a paper presented by Doctors of places is limited, we urge you to Thomas O. Murphy and Clinton A. Pi­ apply early. per at the North Pacific Surgical Asso­ The two courses which have been ciation during its annual meeting in currently held at the University of Pu­ Spokane, November 13 and 14. The get Sound, one on current drug thera­ Tacoma surgeons commented on the in­ py for licensed practical nurses and one creasingly commonplace usage of this on modern developments in medicine for allied health personnel, have both and similar procedures by a number of been over-subscribed and seem to have different specialties, noting that the been highly successful. They will ter­ relative simplicity of the technique minate within the next two weeks. might lead some physicians to ignore On the first of November, Doctor the possibility of significant complica­ Bruce Stevenson started his two months’ tions. residency training in internal medicine at Tacoma General Hospital. This is The entire range of complications the result of a special arrangement be­ was reviewed and discussed. Dr. Wil­ tween the Regional Medical Program, University of Washington and your lo­ liam R. Sweetman, Portland surgeon, cal committee on continuing medical was formal discussant for the paper, education. There are other participat­ which stimulated considerable informal ing hospitals in the state, notably in discussion. 12 BU LLETIN of the Pierce County M edical Society

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METROPOLITAN BUILDING CORP., MGRS. BULLETIN of the Piebce County M edical Society 1 5 Act of 1966 (P. L. 89-749), Partner­ PIERCE COUNTY ship for Health Amendments of 1967 HEALTH COUNCIL (P. L. 90-174). Planners: The Pierce County Health Council is County— Pierce County Health Coun­ the locally and regionally recognized cil. health planning organization for Pierce Regional— Puget Sound Government­ County. It is the local arm of the Pu­ al Conference Comprehensive Health get Sound Comprehensive Health Plan­ Planning Committee. ning Council. State— Comprehensive Health Plan­ The Pierce County Medical Society ning Advisory Council. has participated in the council’s orga­ Objectives: nization and development with the ac­ 1. To represent the interests of con­ tive involvement of Paul Bondo, James sumers and providers of health serv­ Hazelrigg, 0 r v i s Harrelson, Stanley ices, the planners and participants of Mueller, George Tanbara, Charles Re- health programs and the voluntary and berger, Richard Vimont and others. official agencies and institutions in All council activity to date has been Pierce County. accomplished by the membership with­ 2. To promote and develop a coor­ out any staff assistance. Planning dinated planning program involving money now generated in Pierce County representatives from all the segments and funneled through the Pierce Coun­ of the community mentioned above. ty Health Council to the regional body 3. To conduct research, to identify will provide matching funds from the needs for and analyze the effective­ regional federal grant for local staff ness of existing programs of health services. services, health education and health The membership of the health coun­ facilities within Pierce County. cil is convinced that the planning for 4. To recommend goals, policies and the health needs of our community is priorities for developing and improv­ important and can be realistically ac­ ing health programs, services and faci­ complished with the staff services of lities. a planner. 5. To provide a community forum The following includes the objec­ for discussion and planning to meet tives and history of the health council needs for health services, health edu­ organization and activity to date: cation and health facilities within Membership: Community wide rep­ Pierce County. resentation of health care consumers 6. To coordinate efforts with the ap­ and providers with 51% minimum propriate regional and state health plan­ membership of the consumer group. ning organizations to implement Public Purpose: To promote and improve Law 89-749. the quality of life for people in Pierce 7. To develop coordinated plans for County. the guidance of community effort to M echanism: Comprehensive planning meet personal and environmental —health education, facilities, manpow­ health needs— including but not lim­ er and services — through cooperation ited to the utilization of medical, dental and coordination among all agencies, and health service organizations, volun­ groups and individuals involved in the tary health organizations, labor, gov­ health field. ernmental agencies, educational insti­ Legislation: Comprehensive Health tutions and business and industry re­ Planning and Public Health Services sources. 16 BU LLETIN o f the Pierce County M edical Society 8. To provide to the public and to Liaison established with Human Re­ those in the health field information lations Commission, Urban Coalition, with regard to community health needs Model Cities Design for Progress. and resources and, where necessary, Proposals reviewed for acquisition of stimulate and/or contract for appropri­ Mountain View General Hospital and ate action. presented recommendations on bidding History Organization specifications. 1968— Concerned people in the com­ REO given assistance with grant ap­ munity agreed Health Council should plication for a project to assess health be organized. needs in rural Pierce County. Steering Committee selected. 1970— Local Health information By-Laws presented— Delayed for in­ compiled. clusion of components to meet require­ System developed f o r identifying ments for CHP (Comprehensive Health health issues, investigating and propos­ Planning). ing alternative solutions. 1969— Reviewed all possible organi­ Health issues tackled during 1970: zational structures. Transportation as a barrier to health Decided to organize formally with care. major purpose of Comprehensive Health Coordinated information and refer­ Planning. ral service. Recognized by PSGC (Puget Sound Grant proposals from Pacific Luth­ Governmental Conference) as Compre­ eran University, School of Nursing and hensive Health Planners for Pierce community mental health center re­ County. viewed. By-Laws accepted. Continuing dialogue between major Pierce County Health Council Incor­ hospitals in relation to future plans to porated, Board elected— officers elected meet community needs. — representatives to Regional Health Pierce County Health Council Planning Steering Committee selected. 649 County-City Building Recommended to PSGC names for Tacoma, Washington 98402 Pierce County delegates-at-large for re­ Telephone: FU 3-3311, Ext. 385 gional steering committee. Reorganized Council structure for future action. News From C.O.M.E. 1970— Recognized by Resolution of Shortly your College of Medical Edu­ the Pierce County Commissioners as cation will complete its two current the Comprehensive Health Planning Or­ courses. The courses have been “Cur­ ganization for Pierce County. rent Trends in Medicine” and “Drug Activities Therapy for the L.P.N”. 1968— Community agencies and or­ All physicians are invited to attend ganizations sharing health information and participate in “Sexuality and Sex and plans. Education For the Physician”. This will Action Committees established . . . begin Wednesday, January 6, 1971, School Health — Health Directory — from 7:30 P.M. to 9:30 P.M. and will Smoking and Health — Sex Education continue every Wednesday thereafter — Comprehensive Health Planning. for 10 weeks. All Action Committees developed Further courses both for physicians projects affecting the community. and other health professionals will be 1969— Action Committees continue announced for this winter and spring.

projects. •— J . G. K a t t e r h a g e n , m .d . THE ADVENTURES OF J. RODERICK DELEHANTY J I RODERICK DELSHANTY AT T H E COUNTY MEDICAL SOCIETY

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projects. — J . G . K a t x e r h a g e n , m .d . CAMt FIGURE IT OUT. I BROUSWTALLTMB WlMGEL AMP MO ONES HERE. WHAT AM I GOINS TO DO WITM ALL THIS ACID* DEVOURI MG LIQUID AMD ALL THESE RELIEF-GIVING, NON-GRITTY TABLETS I REQUISITIONED JUST FDR.THIS MEETING? SUCH A SHAME THEY CANT SEE FOR THEMSELVES HOW W7MGEL IS THE MIDDLE-OF-THE-ROAD AMTA2ID- DOESN'T TEKlD TO SWING TOWARD DIARRHEA OR CONSTIPATION...

ror a six year penoa, arter wmcn re- uy junctors uimaui anu ueiyaius evaluation and re-certification will be spectively. GOOD O LE DELEHANTY 1( THERE HE GOES AGAIN. f MY MUR5E \ 1/ 5A Y5 DELEHWiyZ ) t] I ALWAYS "IN / V ( I THE PINK." J a s a n t

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projects. - J . G. K a t t e r h a g e n , m .d . BULLETIN of the Pierce County M edical Society 17 necessary by a similar type of examina­ American Board tion as the original test. Of Family Practice Future training for this Family Prac­ tice specialty might be best summar­ Family Practice was recognized and ized by a quotation from E. Morris Back- approved as a specialty in February ett from the conference sponsored by 1969, by a joint action of the Liason the Family Health Care Program in the Committee of the Advisory Board for Harvard Medical School: Medical Specialties and the Council on “The family doctor should be trained Medical Education of the American in the medical school and post-gradu­ Medical Association. In February 1970, ate courses to be patient-oriented or 2,078 physicians took the first board family-oriented and not disease-orient­ examination, which was a two-day ex­ ed. He needs to be trained to keep a amination given in various parts of the continuous and comprehensive medical country. 81% of those taking the ex­ picture of his families, not waiting for amination passed. These physicians, his patients to approach him in a crisis. together with the passing candidates He needs to become a specialist in fam­ from the second exam, to be given in ily medicine and to concentrate his February 1971, will constitute the training and efforts on family-centered Charter Members of the American medicine.” Board of Family Practice. In summary, a number of national Eligibility to take this examination medical and community reports have is determined by three different cate­ led to the recognition of Family Prac­ gories : 1) Successful completion of a tice as a specialty. This specialty is three year family practice residency. recognized as the twentieth primary 2) Current membership in the Ameri­ specialty. It is hoped that through can Academy of General Practice with creation of this new board that a new re-certfiication in the immediate past meaning will be given to the primary six years, which means that 300 hours physician and that young men enter­ of approved continuing medical edu­ ing medicine will be further interested cation courses must have been attend­ in entering this field, now that it has ed. 3) The third is a combination of certification status along with the rest the residency and practice require­ of the specialties. ments. —J a m e s M. B l a n k e n s h i p , m .d . Two unique provisions of the new specialty are: 1) No grandfather clause and 2) periodic re-certification. The examination given in February Notes From the 1970, consisted of multiple choice test­ Hematology-Oncology ing, film testing and program testing. Thirty-six major medical centers Study Group throughout the United States were des­ During the months of November ignated as testing sights. Each candi­ and December, the study group has date for certification was tested by the concerned itself with neurological mani­ same procedures regardless of his clas­ festations of hematological and neo­ sification (i.e. resident or practicing plastic diseases. Several excellent re­ physician). Certification by the Ameri­ views concerning brain tumors and can Board of Family Practice is valid pituitary tumors have been presented for a six year period, after which re- by Doctors Dimant and Delyanis re­ evaluation and re-certification will be spectively. 18 BU LLETIN of the Pierce County M edical Society From these presentations and the Judging from sales statistics, cham- ' ensuing discussions, it has become pagne bottle corks will be popping off quite obvious that there has been no about 20 times as often during the com­ great “chemotherapeutic” breakthrough. ing holiday season as they do during The key to success with these tumors the rest of the year and, according to remains as before, with early diagnosis records compiled by the National Soci­ and then the primary therapeutic path­ ety for the Prevention of Blindness, the ( way being the surgical approach. In cork zooms from the bottle at a speed some cases of primary brain tumor and/ of 45 feet per second. Many cases of or pituitary tumors radiotherapy con­ permanent visual impairment from fly­ tinues to maintain a place in the thera­ ing corks were reported to the Society peutic regime. during the past year, along with numer­ As always, the last 15 to 20 min­ ous cases of temporary injuries. utes of the hour have been reserved for In a case in New York State, the cases of current interest. Many ex­ jury ruled in favor of the plaintiff who ceedingly interesting hematological and suffered a permanent eye injury when neoplastic cases have been presented struck by a flying cork and sued the during the last month by the physi­ bottler, claiming that the cork came out cians in attendance. Dr. Hopkins pre­ as he loosened the retaining wire. sented a follow-up of a young woman with far advanced choriocarcinoma, me­ The plastic stoppers used atop many tastatic to the lungs, who was near domestic champagne bottles are even death at Tacoma General Hospital in more dangerous than the conventional ( the Spring of this year and who cur­ type, and should be handled with ap­ rently now is apparently disease free propriate care. Proper technique in­ and living a normal life on therapeutic volves chilling the bottle first, which re­ doses of Methotrexate combined with duces the pressure, then keeping the hysterectomy. cork covered with a napkin while eas­ All physicians are encouraged to at­ ing it off. | tend this conference and particularly to bring forth their interesting prob­ lem cases at the end of the hour for A CONTRAINDICATION TO presentation and consideration by the RUBELLA VACCINATION group. Just simply contact Miss Von Rubella vaccine should not be given Brooke prior to the conference and tell to pregnant women because of its un­ her of your case and it will be put on known but possible teratogenicity. If the docket. vaccination of a woman of child-bear­ — J . G. K a t t e r h a g e n , m .d . ing age is contemplated, her suscepti­ bility to rubella should first be shown by serologic test. If susceptible, the Watch That Cork! patient may be vaccinated if she is not pregnant and follows a medically ac­ It Could Put Your ceptable regimen for the prevention of Eye Out; Here's How pregnancy for at least 2 months after vaccination. If they ever put a health-hazard If, despite these precautions, a pa­ warning on champagne bottles, it’ll tient is found to have become pregnant probably read: “Warning: the cork shortly before or after vaccination, we from this champagne bottle can cause request that her physician notify his blindness.” local health department. BULLETIN of the Pierce County M edical Society 19 MEDICAL SOCIETY Finch Proposal On OFFICERS NAMED Part C for Medicare . . HEW Secretary Finch has made a proposal to the House Ways and Means Committee calling for an additional op­ tion to current Medicare arrangements, in what he describes as “health main­ tenance organizations” (essentially closed panel groups of physicians linked to facilities and providing care financed on a per capitation basis). AMA proposed to the House Ways and Means Committee that the Committee carefully examine the existing opportu­ nities under present laws for govern­ ment - funded experiments ( such as Health Insurance Plan of New York City) to determine the validity of Dr. Robert W. Florence will be the claims made for this option before tak­ 1971 president of the Pierce County ing a further step. The complete pre­ Medical Society. Serving with him will sentations of Secretary Finch and the be the following officers selected by the AMA are available to interested mem­ Nominating Committee: bers upon request to the WSMA Cen­ tral Office.

PUGET SOUND COLLECTIONS, INC. WASHINGTON BLDG. • SUITE 1301 11TH & PACIFIC AVE. SERVING THE • MEDICAL • DENTAL • PROFESSIONAL • COMMERCIAL Dr. Lester S. Baskin, president-elect; Since 1960 Dr, James T. Hazelrigg, vice-president; MEMBER OF Dr. George Tanbara, secretary-treasur- AMERICAN COLLECTORS ASSN. er. New members of the board of trus­ MEDICAL-DENTAL-HOSPITAL BUREAUS tees axe Drs. John Kemman, John OF AMERICA Liewer and John Comfort. Dr. Herman COMPLETE COLLECTION AGENCY SERVICES Judd was named delegate and Dr. Thomas Clark, alternate delegate, both FU 3-5011 for a two-year -term. FRANK ROSSITER, MGR. 2 0 B U L L E T I N of the Pierce County M edical Society December Birthdays

1 David S. Hopkins Charles Reberger RANKOS 3 Bernard R. Rowen 4 C. L. Anderson PHARMACY 5 S. Robert Lantiere 6 Homer W . Humiston 101 North Tacoma Avenue Woodard A. Niethammer

9 Stanley W. Tuell 12 Arthur P. O’Leary 14 Samuel E. Adams Prescription David H. Johnson 15 Warren F. Smith Druggists 16 Robert M. Freeman Kenneth J. Ritter Maurice Yoachim

20 Loy E. Cramer ★ 21 Philip Grenley 23 Carl J. Scheyer 24 John R. Flynn We Carry a Complete Line of 28 Kenneth L. Pirn 30 Biologicals and Pharmaceuticals Gordon Dean Milan Pazourek 31 Hanif Anwar Lewis A. Hopkins ★

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4 2 2 BU LLETIN of the Pierce County M edical Society

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BULLETIN of the Pierce County M edical Society ______23

Time Tested Dependability Established 1889

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COLUMBIA RIVER SANDY BEACH 30 ACRE INVESTMENT AND FUN OPPORTUNITY 18 miles south of Wenatchee, one mile to million dollar golf and marina. Great hunting, boating, camping or subdivision location. 180 view, private road and boat ramp in. SACRIFICE 5% DOWN, $37/FR0NT FOOT. OWNER 1212 Buena Vista, Tacoma. LO 4-9878 BULLETIN of the Pierce County M edical Society 2 5 WOMAN'S AUXILIARY PAGE . . . While your mind is considering the AUXILIARY OFFICERS 1970-1971 January meeting (we hope the Farmer’s President______-Mrs. Ralph A. Johnson Almanac is wrong), let us again assure President-Elect and Representative you that Mrs. Williamson is a most to President’s Council Mrs. Herbert Kennedy 1st Vice-President A Program Mrs. Max Brachvogel entertaining and knowledgeable speak­ 2nd Vice-President & Membership Mrs. Richard Link er. Hats have been an avocation with 3rd Vice-President & Legislative_____ Mrs. J. J. Erickson her since college days when she ap­ 4th Vice-President & Social ___ Mrs. David Hopkins peared at the U. of W. football games Recording Secretary------Mrs. Duncan Baer with a conversation piece atop her Corresponding Secretary ~ Mrs. Clarence L. Anderson Treasurer______Mrs. Arthur Wickstrom head. Her hats were always clever and Dues Treasurer...... Mrs. Gordon Dean always her own creation. Her interest COMMITTEE CHAIRMEN in hat-making led her to the wider in­ terest of the history and collection of Nominating Committee______Mrs. Murray Johnson period hats. Her large assortment now Historian & By-Laws ...... Mrs. Robert Whitney includes hats from every period of our Finance & Pierce County Health.. Mrs. Philip Grenley country’s history and from all regions Community Health______Mrs. George Moosey Publicity (Bulletin)______„Mrs. Bernard J. Pipe including the Southern belle’s finery to Publicity (Newspapers)______Mrs. J. Lawrence Smith the sun-bonnet of the Western plains. Telephone------Mrs. Edmund A. Kanar We think you’ll have a most entertain­ Mrs. Harry Camp Para-Medical & Medical Health ing afternoon with this lovely and vi­ Science______Mrs. James Stilwell vacious lady. Mark the date! Today’s Health------Mrs. Ernest Randolph Mrs. J. W. Lee AMAERF— ------.------Mrs. Marvin L. Bourne CHRISTMAS SHOPPING BLUES? Representative—Council on Alcoholism .. Mrs. Carl Ekman Do your Christmas shopping the easy Representative—Council on Mental Health______„ ______Mrs. Jay H. Ehly way. Call Kit or Kimi (SK 9-4655 or Representative—Poison Prevention BR 2-5235). They have THE Cook­ Commission --- Mrs. John W. Pelley book gift-wrapped and ready for mail­ Student Recognitions & Awards^... Mrs. J. G .Katterhagen Mrs. Charles Rebexger ing and will take the work and worry C o o k b o o k _ „ ------— — ------Mrs. Vernon Larson Mrs. George Tanbara off your mind.. You know it’s always D a n ce _ ------... Mrs. Ralph V. Stagner a most welcome gift. Consider it for Mrs. Ronald Spangler, Jr. your hard-to-buy-for bachelor friends. Tasting Luncheon ------_----- Mrs. K. Royce Hansen Mrs. David W. Millett MERRY CHRISTMAS TO ALL! Speakers Bureau ------Mrs. Kiyoaky Hori —I n e z M. P i p e .

Speaking of the Cookbook leads me to the Tasting Luncheon report of 143 attendees and 69 Cookbooks sold. Co- NO MEETING IN DECEMBER Chairmen Gen Hansen and Roberta Millett planned well for convenient Friday, January 15, 1971 serving from the “groaning” buffet Luncheon — 12:00 table. Compliments floating around Tacoma Golf and Country Club from members and guests alike, mingled with the tantalizing aromas Tri-Professional Meeting of the gourmet dishes. Medical-Dental-Legal Since the luncheon, two super sales­ women, Dorothy Grenley and Audrey Program—Mrs. Don Williamson of Hori have sold 22 and 44 books re­ Bellevue— “The Hat and I” spectively. Great work. 26 BU LLETIN of th e 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 WERE YOU THERE? A disappointing turnout greeted State President Marian Phillips and Presi­ dent-Elect Peg Mosiman at the Novem­ ber meeting at Lois Stillwell’s. Marian had praise for the work of the Child Treatment Center at Western State Hos­ pital which she visited. She cited the value of this center which is the only one of its kind in the state. Peg Mosi­ man stressed the importance of giving more attention to the proper feeding of our families. Even in so-called pros­ perous homes there is often a nutri­ tional lack. Did you know that the Basic 7 has been changed to the Basic 4? This is what they are teaching the elementary school children, and for those of us who no longer have school children to inform us, here it is:: 1. For building muscles: Milk and milk products. The only one 2. To glow: Meat and eggs. 3. To make ready: Vegetables and fruit. like it 4. To grow: Bread and cereals. Ah ha! Not wishing “to grow”, it’s in Pierce County plain to see what to avoid. MEDICINE FOR MISSIONS Emilie Irvin (JU 8-4515) asks that And the largest funeral home in you remember the supplies needed by Washington with everything in Medicine for Missions. Please take one place and under one man­ some time before Christmas to ask your agement. One hundred beautiful doctor husband to check his discarded garden acres containing a ceme­ Journals or extra samples which are tery, mortuary, 2 chapels, and so welcomed by our friends over-seas. mausoleum at the same address. Emilie will guide you to the collection Result? Costs are lower and office. arrangements are easier for you to make. HOMES FOR YOUTH At this season when your own home Mountain View is happy with Christmas anticipation consider the many dependent children Funeral Home & Memorial Park in need of a secure home. Reporting 4100 Steilacoom Blvd. ■ JU 4-0252 at the November meeting, Dorothy Grenley discussed the preliminary work of the Tacoma non-profit group seek­ ing homes for these young people. She BULLETIN of the Pierce County M edical Society 27 said that a home has been purchased, could not be determined, 23 persons furnished and staffed with house par­ whose contacts with these skunks con­ ents for this purpose. More homes are stituted possible rabies exposures were in the planning. You may join the work given antirabies treatment. of this organization by sending $5.00 For severe rabies exposure, includ­ to Pierce County Homes for Youth, P.O. ing bites on the hand, neck or head, Box No. 872, Tacoma, 98401. recommended prophylaxis is passive immunization with antirabies serum, WHITE HOUSE CONFERENCE and active immunization by a prima­ ry series of 21 doses of duck embyro Dr. Nicolas A. Godfroy has been ap­ rabies vaccine followed by two booster pointed representative from this area doses. to the White House Conference for Children, Dec. 11th to 16th, 1970. This Of the 62 suspect skunks sold, 39 conference will draw representatives are known to have bitten someone. from all over the United States to con­ Unlike cats and dogs, skunks may sider proposals regarding the health transmit rabies weeks before manifest­ and education of children. The pre­ ing any clinical signs of the disease. pared questionnaire distributed to Aux­ Therefore the Public Health Service, iliary members at the November meet­ the APHA and the World Health Orga­ ing would produce a sampling of the nization Expert Committee on Rabies female opinion on various questions to all advise that any wild animal— in­ come before the group. cluding one kept as a pet— known to have bitten a person should n ot be confined and observed, but should im­ mediately be sacrificed and examined Public Health Notes for evidence of rabies infection. SKUNK RABIES Many skunks offered for sale in this state have been imported from areas In July a Seattle woman was bitten of the U. S. where skunk rabies is by her pet skunk which was later prov­ epidemic. The incubation period of ra­ en to be rabid. This animal was one bies in a skunk is variable; periods of of 70 shipped to stores in Seattle and over 5 months have been reported. Pordand from a skunk farm in Wolf The keeping of skunks as pets is haz­ Creek, Oregon. These skunks were the ardous and should be discouraged. offspring of 14 wild, pregnant females which had been trapped in southern Oregon. The 14 litters were inter­ mixed in shipment. Thus, any of the Hippocrates on Regimen in Acute skunks might have: (a )— acquired ra­ Diseases: bies from the same source as the rabid When pain seizes the side, it will pet; (b )— been infected by the rabid not be improper to try to disolve the animal. pain by hot applications. The most All 70 suspect skunks were eventu­ powerful is hot water in a bottle or ally traced. Eight died in pet stores bladder, but first apply something soft prior to being sold. Fifty were exam­ to the side to prevent pain. Barley and ined and found negative for rabies by tares may be infused and boiled in di­ flourescent antibody test. Twelve died lute vinegar . . . and may then be sewed or escaped after being sold and were into bladders and applied. Venesection, not available for examination. Because however, does not alleviate the pain un­ the rabies status of these 12 animals less when it extends to the clavicle. 2 8 BU LLETIN o f the Pierce County M edical Society . . . When you suspect strong heavi­ ness of the head, or mental alienation, you must abstain entirely from wine, and in this case use water, or give weak, straw-colored wine, entirely de­ void of bouquet, after which a little water is to be given in addition; for thus the strength of the wine will less af­ fect the head and the understanding.

For watery eyes: Take one drachm of ebeny and nine oboli of burnt cop­ The buffet table awaiting guests per, rub them upon a whetstone, add three oboli of saffron, pour in Attic he- mina of sweet wine, and then place in the sun and cover up; when sufficiently digested, use it.

Auxiliary members at the October Tasting Luncheon at Christ Episcopal Church. Help yourself.

Helen Florence and Dorothy Grenley Nadine Kennedy and Mr. Wayne Peep­ greeting guests at the buffet table. ers of Mountainview Florists.

Cookbook Chairmen Kimi Tanbara and President JoAnn Johnson and Co-Chair­ Kit Larson display the Pierce County man Gen Hansen deep in discussion. Auxiliary Cookbook. V

BULLETIN of the Pierce County M edical Society 29

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FUlton 3-4439 723 South K Street 3 0 BU LLETIN of the Pierce County M edical Society

SEXUALITY and SEX EDUCATION —for the physician

Nathaniel N. Wagner, Ph.D., Professor of Psychology and Obstetrics/Gynecology, University of Washington, will begin each session with a brief presentation followed by a round table discussion and exchange of knowledge.

January 6, 1971 Introduction— How to Deal With Sexual Problems January 13, Development of Human Sexuality January 20, Morality and Sexual Ethics January 27, The Adolescent Patient

February 3, Marital Counseling February 10, Sexual Problem Areas— Impotence and Frigidity February 17, Sexual Problem Areas— Homosexuality February 24, Contraception, Sterilization and Abortion

March 3, The Role of the Physician in Sex Education March 10, Open for Discussion

Each Wednesday Evening for 10 Weeks: Beginning January 6, 1971— 7:30-9:30 p.m., and Ending March 10, 1971.

Registration Fee $50.00

Enrollment Limited

For further information or registration contact:

COLLEGE OF MEDICAL EDUCATION UNIVERSITY OF PUGET SOUND 1500 N. WARNER TACOMA, WASHINGTON 98416 SK 9-3521 EXT. 748 31 BUT.T.KTIN of the Pierce County M edical Society

LAKEWOOD CONVALESCENT CENTER "Ad Summum Nitamur" We Strive for the Highest

Extended care, nursing home care and self-care units make up this health care complex. Services are tailored to meet patient needs by means of a broad range of medical, nursing and paramedical programs. Standards are set high to insure continuity of care consistent with the quality of care in the acute care section of Lakewood General Hospital. The 130 bed center is directed by the Lakewood General Hospital Staff, Board of Governors and Administration.

5702 - 100th Street, Southwest Tacoma, Washington 98499 JU 8-1711 JU 2-3777 JU 2-3778

DAMME I E R BY APPOINTMENT ONLY

Printing Co. A home of exceptional quality— dis­ tinctively designed for splendor in Printers and Offset Lithographers living and entertaining. Located on the Peninsula's picturesque FU 3-4925 Raft Island, with a sweeping marine view across the propertys 130 feet of lovely beach. 811 Pacific Ave. Tacoma Tree shaded— this delightful home has three grand bedrooms— each with its own private bath— floor level tubs in marble and gold, a den, powder room C/2 bath), formal and informal dining rooms, luxurious living room with floor to ceiling fireplace. Additional waterfront is available. Owner is moving to Europe and must sell immediately at well below mar­ ket value. “Glasses as your eye Please call Roger Snowden for an physician prescribes them” appointment to see this exceptional property. Contact Lenses — Artificial Eyes Columbian Optical Co. BUCK & SONS REALTY CO. Ground Floor, Medical Arts Bldg. Gig Harbor Medical Center 858-9901 or evenings 858-3004 Lakewood The Tacoma Mall Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma, Washington 98402 PAID TACOMA, WASH. PERMIT No. 300 Q a . . f y - s

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MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of Jan., April, July and Oct.— 6:15 p.m. Doctors Hospital Cafeteria STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept. Dec.— 6:30 p.m. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 7:30 p.m. STAFF OF PUGET SOUND GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA AREA CHAPTER OF AMERICAN PSYCHIATRIC ASSO C.— First Monday of October, December, February, April and June. TACOMA ORTHOPEDIC SOCIETY First Monday of each month— 6:00 p.m. PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July and August— 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month at Top of the Ocean TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Ceccanti's PIERCE COUNTY ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July and August PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and August— 6:00 p.m. STAFF OF ALLENMORE HOSPITAL Third Friday of March, June, September, December— 7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. STAFF OF LAKEWOOD GENERAL HOSPITAL Third Wednesday of March, June, September, December— 7:30 p.m. Dinner— 6:30 p.m. TACOMA OB-GYN SOCIETY 3rd or 4th Tues. of Jan., March, May, Sept., Nov.