•• •• •• Alberta • • Medical Bulletin t- .>-: c;: October, 1943 . N,....., t: .po [f. (j} c+ ...... ~ ;.< :3 0 c+ .-- ro ~ (1) t-' '<: ()'q !l> Cl <: - '"S <1> ~ . - > .~ t-' .. cT .Pl

PUBLISHED QUARTERLY WEST PRINTING Co., LIMITED Jrinitrs a:nh ~httinners

225A:227A SEVENTH AVENUE WEST CALGARY ALBERTA

PHONE M 4006

For a period extending over thirty years this firm has held a reputation for quality and service. T

"Ever'f)thing for the Office." Wqt i\lbrrtn :!lrhirnl ilullrtin PUBLISHED QUARTERLY BY The College of Physicians and Surgeons of Alberta Calgary, Alberta Vol. 8 OCTOBER, 1943. No. 4 COLLEGE OF PHYSICIANS AND SURGEONS OF ALBERTA 504 Southam Building, Calgary. Dr. W. G. Anderson, President, Wardlow, Alberta. Dr. S. M. Rose, Vice-President, Lethbridge, Alberta. Dr. R. Parsons, Red Deer, Alberta. Dr. L. M. Rogers, Camrose, Alberta. Dr. A. E. Archer, Lamont, Alberta. Dr. W. A. Lincoln, Calgary, Alb-2rta. Dr. T. H. Field, Edmonton, Alberta. Dr. George R. Johnson (Registrar), Calgary, Alberta. W. G. Hunt (A ~ sis tant to Registrar), Calgary, Alberta. Canadian Medical Association, Alberta Division President ...... Dr. J. Lester Clarke, Didsbury. President-Elect ...... Dr. H. H. Hepburn, Edmonton. Librarian ...... Dr. H. C. J amieso .. , Edmonton. Hon. Secretar y-Treasurer ...... Dr. G. R. J ohnson, Calgary.

BOARD OF DIRECTORS-CANADIAN MEDICAL ASSOCIATION (Alberta Division) Dr. J. Lester Clarke, Didsbury ...... President. Dr. H. H. Hepburn, Edmont on ...... President-Elect . Dr. H. C. Jamieson, Edmonton ...... Librarian. Dr. G. R. Johnson, Calgary ...... Hon. Secretary-Treasurer. Dr. W. G. Anderson, Wardlow ...... Represe ntative of Council. Dr. S. M. Rose, Lethbriclge ...... : .... :.. :...... Representative of Council. Dr. A. E . Archer, Lamont ...... ~ :. Chairman, Executive Com., C.M.A. Dr. F. T. Campbell, Calg ary ...... Executive Committee of C. M. A. Dr. F. S. McEwen, Medicine Hat ...... District No. 1 Dr. W. R. Haig , Lethbridge ...... District No. 2 Dr. F. Coppock, Eckville ...... District No. 3 Dr. J. Yak, Vegreville ...... District No. 4 Dr. F. H. Sutherland, P eace River ...... District No. 5 Dr. G. D. Townsend ...... District No. 6 Dr. M. R. Levey, Edmonton ...... Di strict No. 7 Dr. T. R. Ross, Drumhell er ...... District No. 8 Dr. T. W. E. Henry, Ft. Saskatchewan ...... Di strict No. 9 W. G. HUNT, Associate Secretary 504 Southam Building, Calgary Official Organ: THE CANADIAN MEDICAL ASSOCIATION JOURNAL, Montreal.

REPRESENTATIVE ON EXECUTIVE COMMITTEE OF THE C. M.A. Dr. A. E . Archer, Lamont ...... Chairman Executive Committee. Dr. F. T. Campbell, Calgary ...... Delegate. Dr. J . W. Scott, Edmonton ...... Alternate. REPRESENTATIVES ON COUNCIL OF C. M.A. Dr. J. Lester Clarke Dr. Roy Anderson Dr. M. R. Levey Dr. D. N. MacCharles Dr. F. T. Campbell Dr. G. R. Johnson Dr. H. H. Hepburn Dr. W. A. Lincoln Dr. F. Coppock E DITORIAL BOARD C. M. A. Dr. G. E. Learmonth Dr. S. M. Rose Dr. C. R. Bunn Dr. E. I. Little Dr. B. C. Armstrong Dr. P. H. Sprague Dr. G. D. Stanley MEDICAL SUPERINTENDENTS-GOVERNMENT INSTITUTIONS Dr. R. R. Maclean, Gen. Medical Supt...... Mental Institutions, Ponoka. Dr. W. J. McAlister ...... Mental Institute, Edmonton. Dr. D. L. McCullough ...... Provincial Training School, Red Deer. Dr. A. H. Baker ....- ...- ...... - ...... Central Alberta Sanatorium, Calgary. Dr. G. R. Davison ...... -...... - ...... T.B. General Hospital, Edmonton. 2 ALBERTA MEDICAL BULLETIN

New Medical Districts or Constituencies The Council of the College of Physicia ns and Surgeons at its last meeting re­ arranged the Medical electoral constituencies because in the dry areas of the Province, owing to the settlers having moved away, the physicians had moved away also. The new arrangement makes provision fo r more nearly equal voting strength. The new constituencies are outlined elsewhere in this Bulletin.

Provincial Electoral Districts COLLEGE OF PHYSICIANS AND SURGEONS OF ALBERTA For the purpose of electing members to the Council of the College of Physicians and Surgeons of Alberta, the Province shall be subdivided into seven (7) medical elec­ toral districts, the same being groupings of the Provincial Electoral Districts as per the map of 1939, Province of Alberta, Canada, constituencies under re-distribution, 1939. District No. !-Medicine Hat:-Medicine Hat, Cypress, Bow Valley, Empress, that part of Arcadia-Coronation, south of the northern boundary of Town­ ship 32, Hand Hills, Drumheller, Didsbury, Gleichen, and Banff-Coch­ rane. District No. 2-Lethbridge:-Warner, Taber, Lethbridge, Little Bow, Macleod, Cardston, Pincher Creek, Crow's Nest, and Okotoks-High River. District No. 3-Red Deer:-Red Deer, Rocky Mountain House, Lacombe, Ponoka, Olds, Stettler, Acadia-Coronation, north of the north·ern boundary of Township 32. District No. 4-Camrose:-Camrose, Wetaskiwin, Leduc, Sedgewick, Wainwright, Alexandra, Vermilion, Bruce and Vegreville. District No. 5- Northern Alberta:-Stony Plain, Lac Ste. Anne, Edson, Pembina, St. Albert, Clover Bar, Red Water, Willingdon, Beaver River, St. Paul, Athabasca, Grouard, Peace River, Spirit River and Grande Prairie. District No. 6-City of Calgary. District No. 7-City of Edmonton. On motion, the above constituencies of electoral districts were established.

Scholarships The following won the scholarships granted to the medical students of the Uni- versity of Alberta at the September convocation: Final year medicine ...... Simeon Armant Weaver, Castor Final year surgery ...... Charles Alexander Allard, Edmonton Second and Fourth years physiology ...... Richard Crofton Blakely Corbet, Edmonton First and Second year anatomy ...... George Edward Sleath, New Westminster, B.C. First year proficiency ...... Walter Raymond Duncan, Victoria, B.C. Alvin Willis Mooney, Edmonton

Health Rules The Canadian Doctor gives the following ten rules for the enjoyment of good health: Eat less, chew more; ride less, walk more; clothe less, bathe more; worry less, work more; idle Jess, play more; talk less, think more; go Jess, sleep more; waste less, give more; scold less, laugh more; preach less, practise more.

When purchasing from Advertisers, ment'ion that you saw Advertisement in the Alberta Medical Bulletin. ALBERTA MEDICAL BULLETIN 8

Notice According to the late Act under which the Workmen's Compensation Board is operating, the following mandatory section is of interest to the members of the medical profession: "No account for medical services shall be recognized by the Board or be recov­ erable, unless the account is filed with the Board within three months from the discharge of the workman by the physician who gave the medical care in the case, or within three months of the date upon which the workman returned to work following the accident, whichevel' period is the shorter." As you have already been advised of this special clause by a letter from the Board of the consequence,,; that will follow your failure to present your account within the three months period, it will be regrettable if having rendered the service a physician lo ses the opportunity to get paid for his work.

Convention Notes It was noted that many wives of medical men attended the convention with their husbands and very much enjoyed their trip to Calgary. This is the largest num­ ber so far reported. 226 medical men registered at the Convention which is also the largest number attending a convention in Calgary, and 126 of them attended the banquet.

Outside Women Registered at the Convention Mrs. D. N. MacCharles, Mrs. J. S. Madill, Mrs. J. B. T. Wood, Mrs. J. Lester Clarke, Miss A. Lunn, Mrs. Frank Law, Mrs. Morley Young, Mrs. J. O'Donnell, Mrs. W. R. Haig, Mrs. Stewart, Mrs. Sclater Lewis, Mrs. H. C. Dixon, Mrs. MacGougan, Mrs. A. E. Archer, Mrs. M. M. Sereda, Mrs. Niewchas, Mrs. Chas. Hemmings, Mrs. H. H. Hepburn, Mrs. J. Verchomin, Mrs. J. H. Sutherland, Ml's. C. H. Hurlburt, Mrs. E. Wershof, Mrs. J. A. Tolmie, Mrs. D. B. Leitch, Mrs. M. Marmar, Mrs. W. M. Adams, Mrs. Gordon Patton.

Convention Resolutions-September 13th, 1943 Resolved that the Council of the College of Physicians and Surgeons be asked to review with the Honorable, the Minister of Health of Alberta, the whole matter of the care of Cancer patients with particular reference to:-- 1. Palliative treatment of those cases deemed incurable. 2. The schedule of fees allowed by the Cancer Commission. 3. The need of referring to the Cancer Commission cases of obvious malignancy.

It was resolved that the Board of Directors be requested to include in the archives of the Division, a biographical sketch of each member of the College.

It was resolved that power be given to the Procurement and Assignment Board to freeze doctors in positions where they were required, and to move others to where there was a need.

HEALTH INSURANCE The Division decided that when Health Insurance was adopted it should include everyone in the Province, and voted against the plan of pre-selection of the family physician before his services were needed, decided that the key man in the plan should

Help this Bulletin by patronizing our Advertisers. 4 ALBERTA MEDICAL BULLETIN be the family physician, and he should be the man t o: advise the patient as to th~ selection of the Specialist necessary. They recommended that the Royal College of Physicians and Surgeons of Canada should be the body to· designate who were to be classed as Specialists and the contribu­ tory principle should be the basis of Health Insurance.

Memorandum re Round Table Conference on Non-Tuberculous Pulmonary Disease The discussion concerned itself with a number of those conditions which simulate pulmonary tuberculosis and which present similar symptoms such as cough, sputum, fever and frequently pain in the chest. Doctor W. H. McGuffin; of Calgary, discussed pneumonitis, outlining the clinicai findings and stressed the necessity of X-ray of the chest in the diagnosis of this condi­ tion. He further pointed out the inefficacy of the sulphonamide drugs in this condition. Doctor B. C. Armstrong, of Medicine Hat, dealt with the differential diagnosis of pneumonitis and also emphasized the importance in Alberta of using the tuberculin test as a means of ruling out tuberculosis in cases which show areas of pulmonary fibrosis, the nature of which is not entirely clear. Doctor H. H. Stephens, of the Central Alberta Sanatorium, brought out the salient points particularly in connection with the etiology and general nature of bronchiectasis. Doctor L. M. Mullen, of the Central Alberta Sanatorium, discussed carcinoma of the lungs, using as the basis of his remarks the series of cases which have been observed at the Sanatorium. He emphasized the seriousness of the problem, showed the more characteristic X-ray patterns of the condition by using a large number of plates and finally pointed out that any hope whatever in this condition lay in the early recognition of the lesion when it was still confined to a single lobe and therefore made lobectomy a possibility. The Chairman of the discussion, Doctor E. P. Scarlett, of Calgary, covered in brief outline the question of silicosis as it is commonly met with in practice in this province. Except in rare circumstances, the condition does not originate in Alberta because of the nature of the rock in which our miners work and also because of the absence of large industries involving the silica hazard. It was noted that in a review of all the available calses of silicosis over a considerable number of years in this province, 85% of the patients suffering from the disease had been exposed to silica dust for a significant period of time before coming to Alberta.

New Registrants Dr. Aaron Magid ...... Magrath Dr. Ernest Ray Poulsen ...... Lethbridge

The Red Cross Donor Clinic in Lethbridge is in charge of Dr. S. M. Schmaltz. They have a good staff and building and expect to commence in October. * * * Drs. J. Wray, George Leech, W.R. Haig, John Madill and William Strome, from Lethbridge District, attended the convention in Calgary.

War Benevolent Fund ,.I The members of the Profession are urged to consider the necessity of further grants to the above Fund. All monies .may be sent to the Registrar, George R. John­ son, M.D., 504 Southam Bldg., Calgary. ALBERTA MEDICAL BULLETIN 5 URINE-SUGAR TESTING BECOMES A MATTER OF SECONDS WITH • • • CLINITEST The New Tablet Method 0 Drop in tablet

DEPENDABLE RESULTS-Clinitest Tablet Method is based on same chemical principles involved in Benedict's test · • . except • • • no external heating required, and active ingredients for test contained in a single tablet. Indicates sugar at 0%, ~% , Yz%, %:%, I% and 2% plus.

A PRACTICAL ECONOMY-Complete set (with tablets for 50 tests). Retails to the patient for $2.00. Tablet Refill (for 75 tests)-$2.00.

Write for full descriptive literature. Clinitest Urine-Sugar Test and Clinitest Tablet Refill are avail­ able through your surgical supply house or prescription pharmacy.

EFFERVESCENT PRODUCTS INC.

Sole Canadian Distributors FRED. J. WHITLOW & CO., LTD ., 187 DUFFERIN STREET, TORONTO 6 ALBERTA MEDICAL BULLETIN

Edmonton Sanatorium Word was received this Summer that the Sanatorium which was to have been erected on the University campus had to be postponed on account of lack of material and it was suggested that it would be a good thing t o have it furnish employment for the men after the war.

Hospitalization for Cancer Patients It was found after the grant was made by the Provincial Government for hos ­ pitalization of Cancer patients, which was passed by the Cancer Services Committee, the fund was insufficient to cover full hospitalization so for 1943 only partial hospital care was possible.

Pneumonia Control The Committee on Pneumonia Control of the North Dakota State Medical Associ­ ation reported that since 1939 there has been a marked improvement in reporting cases to the Depar tment of H ealth. In the three years prior to 1939 there were an average of 312 cases r eported yearly but since the average has been 1880, the number in 1942 being 2944 cases. Mortality h as declined from 400 annually to 202 in 1942 though there were many more cases. The Committee r ecommended:- 1. That the State should assume the r esponsibility of providing part of the funds to continue the programme. 0 2. The State Depart ment of Health shoulcl continue to furnish serum, sulfadi­ azine and sul fathiazole, but discontinue sulfanilamicle and sulfapyridine. 3. The fees for roentgenog rams should be r educed for Children in order to con­ tinue the X-Ray service for all cases in the control group.

Social Security The Special Co mmittee on Social Security of the House of Commons in its 28th report of proceedings states as follows :- "The Committee approves of the General principles of Health Insurance set forth in the H ealth Insurance Bill, respecting public health, health insurance, and pre­ vention of disease and other matters relative thereto. "The Committee recommends:- !. That before the Bill is approved in detail or amended and finally reported full information r egarding its provisions be made available to all the Provinces. 2. That to provide this information, officials of the various government depart­ ments concerned be instructed to vi sit the various provinces, and to give full details of the proposed legislation to the provincial authorities. 3. That if possible before the next session of Parliament a conference of the representatives of the governments of the various provinces and the Dominion be held to discuss certain complex problems involved, especiall y financial and constitutional , questions. 4. That in the light of all the information meanwhile obtained, study of the Bill be continued by a committee of the House and by the Advisory Committee' on Health Insurance. 5. That the Government r eview the existing r egulations governing Old Age Pensions, Pensions for the Blind, and War Veterans' Allowance and consider the ad­ visability of adjusting the eligibility age to a lower level and of increasing the amount .J, of pension."

Help this Bulletin by patronizing our Advertisers. ALBERTA MEDICAL BULLETIN 7

For Maximum Response in Sex Hormone Therapg OESTROFORM Trade Mark

... and . • • PROGESTIM B.D.H.

The extensive us·e of Oestroform and Progestin B. D. H., both in private practice and in research units, has clearly established the fact that the administration of these sex hormone preparations produces a specific effect in every case associated with hypofunction of the ovarian follicle and of the corpus luteum respectively.

By reason of the established clinical efficacy of both Oestroform and Pro­ gestin B. D. H., as well as their chemical purity and accurate standardisa­ tion, the practitioner can rely upon obtaining a maximum thera peutic re­ sponse whenever they are administered for the treatment of any of the many conditions in which they are specifically indicated.

OESTROFORM, the natural cestrogenic hormone standardised in interna­ tional and international benzoate units, is indicated for the relief of meno­ pausal symptoms, delayed puberty, amenorrhcea, oligomenorrhcea, sterility and dysmenorrhrea due to uterine hypoplasia, pruritus and kraurosis vulvre.

PROGESTIN B. D. H., the hormone of the corpus luteum standardised in international units, is indicated in habitual and threatened abortion, menorr­ hagia and metrorrhagia.

Stocks of OESTROFORM and of PROGESTIN B. D. H. are h1ld by leading druggists throughout the Dominion, and full padiculars are obtainable from

THE BRITISH DRUG HOUSES (CANADA) LTD. TORONTO CANADA

SHor / Oan/ 4310 8 ALBERTA MEDICAL BULLETIN

News Items Dr. G. Gushue Taylor, of Bonnyville, has resigned his position with the K. H. P. hospital and moved to Qualicum Beach, B. C. * * * Dr. Isabelle MacTavish, of Newdale, Man., has taken charge of the Mission Hos­ pital in Bonnyville. * * Dr. R. Guy Williams, son of Dr. R. G. Williams, Calgary, is interning in the Holy Cross Hospital, Calgary. * * * Dr. John Aikenhead, son of Dr. A. E. Aikenhead, of Calgary, is an intern in the Holy Cross Hospital, Calgary. * * * Dr. W. Robert Bell, who has been at Norman Wells with the Imperial Oil Co., before the project was turned over to the American Army, is relieving Dr. M. E. Tiffin, of Edson. * * * Di. Morris Schreiber, who practised at Magrath, has sold out to Dr. A. Magid. * * * The second class to graduate in medicine at the University of Alberta this year finished in September. There were 35 in all, none of whom are available for civil practice at the moment. * * Dr. F. T. Campbell, who has been confined to his house through illness, is report · eel as recovering nicely. * * * The town of Brooks reports opening a new hospital. This town, which is in the centre of an irrigation belt, where some of the best seed grain in Canada is grown, is to be congratulated on providing such an up-to-elate building for the care of the sick. * * * CONVENTION GOLF TO URN AMENT The Gold Tournament for the Kennedy Cup was hotly contested in as much as Dr. J . K. Mulloy and Dr. A. Fettes scored equall y with 71, while Lt. Dave Bell was a runner-up with a score of 72. The McEachern Cup was won by the Calgary men with a score of l'l/z points over the men from Edmonton. Hidden Holes 4 and 13 were won by Dr. F. F . Law-18 strokes. * * * Major Colin D. L. Cromar, M.D., has been transferred from Calgary to New­ foundland. * * * Dr. E. W. Svarich has mov~d from Vi lna to Vegreville, where he has opened an office with Dr. Yak. * * * Dr. C. E. Goleman has gone to B. C. to open a practice. * * * Dr. Richard Parsons, who has been ill for two months, is recovering. * * * Dr. John Melling , who was at Ft. Chipewyan for some time, is after a holiday going to Ft. Smith, N.W.T. While on a holiday he assisted Dr. Parsons, of Red Deer. * * * Major W. C. Whiteside, M.D., Capt. Samuel Hanson and Capt. J. A. MacPherson recently went overseas with another contingent.

Help this Bulletin by patronizing our Advertisers. HE use of cow's milk, water and carbohydrate mixtures represents the T one system of infant feeding that consistently, for three decades, has received universal pediatric recognition. No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as Dextri·Maltose. 10 ALBERTA MEDICAL BULLETIN National War Finance Committee The Committee has put two questions to a cross-section of the Dominion's pop­ ulation and has tabled the answers: 1. If the War were to end tomorrow, and you were to lose your job, for how long a period of time could you get along on your present savings? "The results showed the length of time the people could get along on thei:r present savings:- · Less than one month ...... 15.6% From % to 3 months ...... 12.9 % · From 3 to 6 months ...... 13.4% From 7 to 12 months ...... 9.1 % From 1 to 1'1h years ...... 2.7 % From 1 % to 2 years ...... 4.3 % From 2 to 3 years ...... 3.8 % For over 3 years ...... 6.4% No opinion expressed ...... 31.8% Further analysis shows that 30 % of the urban residents would exhaust their savings at the end of three months; while 25 % of the r ural residents would exhaust their savings in the same time?" The Board concludes that more people should buy wa1• bonds and thus have some reserve in case of necessity.

News Items Alberta Senior Members in the C.M.A.: Dr. P. M. Campbell, Lethbridge; Dr. A. M. Lafferty, Lethbriclge; Dr. G. H. Malcolmson, Edmonton; Dr. J. S. McEachern, Calgary. * * * Promotions in the Air Service Wing Commander J. D. Goddard, M.D., from Squadron Leader. Squadron Leader G. 0. Prieur, M.D., from Flight Lieutenant. Squadron Leader D. M. Bruser, M.D., from Flight Lieutenant. . * * * P1·omotions in the Army From Lieutenant to Captain: Capt. J. Bugis, M.D.; Capt. A. J. K. Elliott, M.D.; Capt. J. R. Fowler, M.D.; Capt. P. B. Rose, M.D.; Capt. J. M. Sinclair, M.D.; Capt. J. A. D. Thompson, M.D. Officers who have proceeded Overseas: Major C. D. L. Cromar, to Newfoundland; Major R. C. Cross; Capt. G. R. Blott; Capt. F. G. Day; Capt. E. A. Dobson; Capt. J. W. Love; Capt. A. H. Maclennan; Capt. H. L. Nix. Captain Arvid N. Johanson, M.D., officer commanding Mewata Park military hos­ pital, Calgary, has been raised to the rank of Major.

Dr. R. F . Stewart has returned to Blairmore where he replaced Dr. J. H. Blair on the Mine Contract, the latter having gone to Ontario. * * * Dr. A. J. Cook, formerly of Alliance, is now in Vancouver, B.C. * * * Dr. J. C. Bennett, formerly of High Prairie, who went to Tacoma, is reported as returning to Canada and will settle at the Coast. ..

When purchasing from Advertisers, mention that you saw Advertisement in the Alberta Medical Bulletin, ALBERTA MEDICAL BULLETIN 11 Victory Bonds The Federal Government is urging that all purchasers of Bonds retain them and the certificates until after the wat, bolh in the interests of the Government and in the interest of the investors. Too much loose money to spend causes a rise in the cost of living with all the evils attendant thereto.

News Items Captain A. H. Hardy, of Edmonton, formerly associated with Dr. T. H. Field, serving overseas, is reported as having been wounded on September 8th. He has been overseas for about two years.

Annual Reports The Committee on Education, owing to the success of the Refresher courses in Edmonton, has suggested that it might be a good thin ~ to have similar refresher cour.ses in the Southern part of the Province so those who had not been able t o attend the meetings in the North could get the benefits nearer home.

BULLETS FOR DAD An offi ce boy at regional headquarters' of the C.N.R. set an example for his elders when he pledged himself for a $150 Victory Bond through the payroll savings plan. "My Dad's over there," he said in explanation, "and when he goes into action I want him to have all the bullets he can fire !"

Alpha Evaporated Milk

FOR INFANT FEEDING

Our Government, realizing the value of Evaporated milk for infant feeding, has instituted a mild form of rationing, in order that all young children, now on evaporated milk, can be assured of a sufficient supply for their needs and further, a sufficient supply of evap­ orated milk is being set aside to take care of any Doc­ tor's prescription to any mother, at any time. There will be no shortage of Alpha evaporated milk for infant feeding.

Central Alberta Dairy Pool Red Deer Alberta

Help this Bulletin by patronizing our Advertisers. 12 12 ALBERTA MEDICAL BULLETIN Basic Science Laws Sometimes the question is asked, "Why basic science laws?" The answer was recently given by the statement made that the confessed aim of all healing cults is the relief of human suffering and the nature of ailment is not altered by the manner of treatment. Diseases cannot be properly treated unless correctly diagnosed and well understood. Accepting this fundamental principle many States in the Union have enacted legislation, as a public health measure, requiring all persons desiring to practise any form of the healing art, to pass cer tain examinations before a pplying to the special cult for registration as a practitioner. The fi rst States which passed Basic Science Laws were Wisconsin and Connecti­ cutt in 1925, then in 1927 Minnesota, Nebraska, Oklahoma and Washington passed sim­ ilar legislation. Now 17 States have such Acts on their statute books. As sickness is not a matter of geography, and ill persons know neither place time nor climate so legislation is not confined to any special location in the United States. Three Atlantic States and two Pacific States have such legislation, though the middle western states are the largest connected group, such as Michigan, Wisconsin, Minnesota, South Dakota, Iowa, Nebraska and Kansas. It is therefore stated without fear of contradiction that wherever there are people ill those who are called upon to treat them should have a common knowledge of the nature of the disease, its possible effect on the individual and the looked for results if properly handled. The Basic Science laws for the most part call for examinations in Anatomy, Physiology, Bacteriology, Pathology and Chemistry, though some States add Hygiene.

A Court Decision Recently a British Columbia physician was fined for negligence in treating a patient ~ho was suffering from diabetes. The findings of the trial judge were that the doctor had not exercised reasonable and proper care and skill in treating his patient, as he knew the treatment he was giving was a dangerous one.. The question went to "appeal" and the Appeal Court agreed with the judgment of the Trial Court, and the physician was obliged to pay damages to the patient.

Medical Course in Saskatchewan At the recent annual meeting of the Saskatchewan College of Physicians and Surgeons, h eld at Regina, the resolution was pass·ed urging that plans be made for a full medical course in the University of Saskatchewan, as at the present time only the pre-medical course is given there.

Applications for Anti-Freeze Arrangements have been completed whereby physicians may get anti-freeze or a substitute therefor by making application on special forms, which should be avail­ able at all gasoline stations. If such are not available where. some physicians get their fuel supply, by writing to the Registrar forms may oe supplied. A four gallon capacity cooling system for protection to 34 degrees below zero requires two gallons Ethyliene Glycol anti-freeze concentrate. This costs $3.00 per Imperial gallon, F.O.B. Toronto.

When purchasing from Advertisers, mention that you saw Advertisement in the Alberta Medical Bulletin. ALBERTA MEDICAL BULLETIN 13

ahout Anemias of lRr.egnancy treated with HEMAT/HfC P£ASTl/LES Tit.I.DC MAltK REG . IN CANADA

Following are three important points taken from clinical evidence covering 881 cases of anemia of pregnancy c1>. * HEMOGLOBIN LEVELS: Hemoglobin levels were readily established and maintained with Hematinic Plastules. Patients in the control group had an average R.B.C. of 3.01 M and hemoglobin of S6.25%, while those in the treated group had an average R.B.C. of 4.09 M :ind hemoglobin of 80.05% on admission to labor. * MORBIDITY: Morbidity was considerably less in the treated group. Patients who were given H.P. prenatally were better able to with­ stand the effects of labor than those who entered labor with anemia. * HOSPITALIZATION: The period of hospitalization was reduced from 11.05 days in the control group to 10.35 days in the group on ·Hematinic Plastules.

The anemias of pregnancy ~ as well as other types of secondary anemia. respond rapidly to treatIJ!ent with Hematinic Plastules. Three Hematinic Plastules Plain daily are all that are usually required to produce optimal hemoglobin results. The small gelatin Plastules are easy to take, readily assimilated and exceptionally well tolerated, even in cases of achlorhydria. Treatment with Hematinic Plastules costs only a few pennies per day.

(1) John S. Labate, B.S .. M.D.: Classification and Treatment of the Anemias of Pregnancy, AmC>1ic an Journol of Obstetrics and Gynecology, Vol. 38, (No. 1 48-56) July, 1939.

Hemallnle Plnl11lu Pl1in Hematinlc Pluh1ln •Ith ll¥tr In bot,ru ol 75 . Ct11cutr1tc 111 bottle' of 50.

Walkerville, Ontario . 14 ALBERTA MEDICAL BULLETIN

Grants to Medical Students When the question was raised as to the fin ancial assistance given to· medical students, the following information was obt ained :- The amount granted the student depends upon the student 's need and his aca­ demic standing. The average amount given a student is from $100 to $200 and does not exceed $300.00. In general a student must have an average of at least 65 % . While the money is available to medical stud ents, it is only in extreme cases that it is awarded in the junior years. It is g ranted to students resident in Alberta who are expecting to a ttend the Unive rsity of Alberta . It is only awarded to students attend­ ing other Universities who are not quite able t o get the course they wish in their own University. The majority of the money is given in the form of g rants which are not repayable. If loans are granted it is 2t the rate of 111/zo/c per annum. All applica­ tions for financial assistance should be addressed to the University of Alberta.

Physicians as Artists "From time immemorial, medicine and art have been closely associated. The same skill that makes the surgeon's fin gers cl eft with scalpel and ligature is at work in the beautiful examples of scu lpture and carving shown in this book. The eye that. so quickly .and accurately evaluates the gradations in color and t exture between normal and pathologic tissue co-ordinates the hand that wields the painter's brush. The man who chooses medicine as his life's work is lar gely motivated by a love for his fellow man, else he would select a vocation offering greater monetary reward. From the beginning, he is trained to exercise his powers of observations, and in time develops imagination, sympath y, understanding, philosophy and reverence, all of which are t he very essence of art. Moreover, he deals with that most exquisite form of divine art and beauty, the human body. "An artist-physician has said: 'The tendency of most persons is to regard the artist with awe as a superman endowed with talents not vouchsafed to the ordinary mortal. Most doctors have a latent artistic sense which may be developed to a re­ markable degree by constant practice. When opportunit y affords, slip away to thf) park or country, sit down on a camp-stool and practise sketching from nature. At first the results may not be satisfying , but in course of time you will be gratified tu notice a marked improvement. An ample sketching kit may be purchased for a small sum and any local artist will be glad to give you instruction.' "At the least, every physician is able to develop a sensitiveness to and an ap­ preciation for fine art. He can also cultivate a hobby, which, if not one of the fine arts, is in the class of 'work by the side of work'. Dr. Charles A. Da na, who has always stressed the value of cultural medicine, has advised: 'Be a collector, for example, of stamps or automobiles, or old books, or neckties or pins; or find diversion in some collateral branch of science; the lore of birds, of fi shing and shooting. Make a garden or cultivate shrubs and flowers. These kinds of activities will make _your life happier and your professional character more attractive and effective'." --quoted from "Parergon," published by Mead J ohnson & company, Evansville, Ind. Free copy available to physicians on request.

A HORSE'S TEETH It has been stated that the greatest obstacle to human progress was the scientific knowledge about which we are most positive. Things about which we are the most positive may be wrong. Aristotle told how many teeth a horse had. It was 1400 years before somebody looked into a horse's mouth to verify this and found that Aristot1°. had counted only one horse's t eeth some of which were missing. DR. A. T. McCORMACK. ALBERTA MEDICAL BULLETIN 16

Repol't of Nominating Committee-Adopted President ...... Dr. J. Lester Clarke President-elect ...... Dr. H. H. Hepburn Librarian ...... Dr. H. C. J amieson Hon . Secretary-Treasurer ...... Dr. Geo. R. J ohnson MEMBER OF COUNCIL OF C. M. A. Dr. J. Lester Clarke Dr. Frank Coppock Dr. D. N. MacCharles Dr. H. H. Hepburn Dr. Roy L. Anderson Dr. M. R. Levey Dr. George R. Johnson Dr. W. A. Lincoln Dr. F. T. Campbell EDITORIAL BOARD, C. M. A. JOURNAL Dr. G. E. Learmonth Dr. S. M. Rose Dr. E. I. Little Dr. B. C. Armstrong Dr. C. R. Bunn Dr. P. H. Sprague Dr. G. D. Stanley COMMITTEE ON FINANCE Dr. Geo. R. Johnson Dr. W. E. Ingram Dr. T. H. Field Dr. W. H. McGuffin Dr. H. H. Hepburn COMMITTEE ON ARCHIVES Dr. Heber G. J amieson Dr. G. E. Learmonth Dr. Harold Orr Dr. G. D. Stanley Dr. A. H. Baker COMMITTEE ON PUBLIC HEALTH AND MENTAL HYGIENE Dr. A. C. McGugan Dr. G. M. Little Dr. D. L. McCullough Dr. R. R. Maclean Dr. W. H. Hill Dr. H. Siemens Dr. M. G. Adamson COMMITTEE ON ECONOMICS Dr. J. K. Fife Dr. H. V. Morgan Dr. P. H. Sprague Dr. C. R. Bunn Dr. F. Coppock Dr. D. N. MacCharles Dr. F. W. Gershaw Dr. Gordon Townsend COMMITTEE ON PHARMACY AND HOSPITAL SERVICE Dr. I. R. Bell Dr. H. Orr Dr. T. H. Fi·eld Dr. H. N. J ennings Dr. W. S. J ohns Dr. A. E. Archer 3 from Hospital Association COMMITTEE ON CANCER Dr. W. H. McGuffin Dr. W. D. Dixson Dr. L. McLatchie Dr. G. H. Malcolmson Dr. W. R. Haig Dr. A. Couillard Dr. M. R. Bow Dr. J. W. Richardson Dr. R. R. Ross Dr. Harold Orr Dr. W. E . Ingram Dr. Howard Dixon COMMITTEE ON MATERNAL WELFARE Dr. J . Ross Vant Dr. J. A. Alton Dr. W. C. Campbell Dr. F. D. Wilson Dr. A. J . Fisher Dr. L. M. Rogers Dr. W. G. Anderson Dr. W. A. Lincoln COMMITTEE ON LEGISLATION, CONSTIT UTION AND BY-LAWS Dr. T. H. Field Dr. W. A. Lincoln Dr. J. Lester Clarke Dr. A. E. Archer Dr. W. G. Anderson Dr. Geo. R. Johnson Dr. H. H . Hepburn COMMITTEE ON EDUCATION Dr. W. F. Gillespie Dr. J. J. Ower Dr. S. M. Rose Dr. E. L. Pope Dr. E . P. Scarlett Dr. T. H. Field Dr. A. E. Archer Dr. L. M. Rogers

A WAR-TIME CURE-ALL Take one or two war bonds in regular doses, Keep calm and avoid an unhealthy psychosis. Get plenty of exercise salvaging steel; Be sure what you eat is a nutritive meal. Stay cheerful-yes, even when paying your taxes, And work with your neighbour to help smash the Axis ! 16 ALBERTA MEDICAL BULLETIN

Rep01·t of Committee on Maternal W elfa1·e During the year 1942 there were born in the province 18,266 babies. This report deals with 41 maternal deaths for which the forms are available. A. DEATHS ASSOCIATED WITH NON-VIABLE PREGNANCY: 10 3 P.M.'s 1. Where Operation performed : 4 cases Haemorrhage, D. & C. - 2 cases. Post-operative Cholecystectomy, Pernicious Vomiting - 1 case. Tubal Pregnancy, Laparotomy, Pulmonary Embolism - 1 case. 2. No Operation performed: 6 cases Self-induced - septicaemia - 3 cases. Spontaneous - septicaemia - 2 cases. Spontaneous -H aemorrhage - 1 case. B. DEATHS ASSOCIATED WITH VIABLE PREGNANCY: 31 1 P.M.'s 1. Post-partum Haemorrhage: Placenta Praevia - Manual removal - 2 cases. 5 cases No P.M. Low Forceps ( xToxic) - 3 cases. 2. . Septicaemia: 6 cases No P.M. Spontaneous - Endocarditis Typhoid Febrile - 5 cases Obstruction Retained Placenta Low Forceps - Endocarditis - 1 case 3. Caesarian Section: 3 cases No P.M. Elective Section - Disproportion - Em bolus Gastric Haemorrhage - 2 cases Trial Labor, Section, Ileus - 1 case 4. Pulmonary Em bolus : 6 cases No P.M. Spontaneous - 2 cases Placenta Praevia - 1 case Breech, Dry labor - 1 case Twins - 1 case Low Forceps - 1 case 5. Inversion of Uterus: 2 cases 1 P.M. Spontaneous bleeding, shock - 1 case Low Forceps, shock - 1 case 6. Eclampsia: 5 cases No P.M. Undelivered: - 2 cases 1 normal Foetus 1 Macerated Foetus Convulsions: - 2 cases Convulsions with cerebral Haemorrhage _.:___ 1 case 7. Miscellaneous: 4 cases No P.M. Childbirth - Indians - 2 cases Post.-op. - Appendix - 1 case Tuberculosis, Pulm. - 1 case

When purchasing from Advertisers, mention that you saw Advertisement in the Alberta Medical Bulletin. ALBERTA MEDICAL BULLETIN 17

Diethyl-stilboestrol dipropionate, A synthetic oestrogen for oral administration

E.B.S., the dipropionate of diethyl­ stilboestrol, has been found to Diethyl - stilboestrol be less toxic, and to give effective relief, for dipropionate is prov­ longer periods, than the parent compound, ing especially valuable diethyl-stilboestrol. (Freed, Eisin, and Greenhill, In the treatment of J.A.M.A., Vol. 119, No. 17, p. 1412-1414). Prostatic Neoplasms. Under its definitely The Council on Pharmacy and Chemistry of the anti - androgenic American Medical Association accepted, over a influence, prostatlc year ago, *(J.A.M.A., June 20, 1942) the use of growths soften and diethyl-stilboestrol, for the following conditions: diminish In size, urinary retention de­ Senile Vaginitis Kraurosis Vulvae creases, and patients Gonorrhoeal Vaginitis Infantilism in Women report easing of pain. Menopausal Symptoms ORESTOL E.B.S. *Since the above report was published, extensive research, in U.S.A. particularly, is corroborating the findings of is available in bottles earlier investigators that the oral administration of of 100 or 500. diethyl-st ilboestrol and its derivatives is of definite value C. C. T. #530 - 0. 5 mg. in treating: Suppression of lactation, breast engorgement, C.C. T. #531 - 1.0 mg. dysmenorrhoea, amenorrhoea, habitual abortion, hyper­ C. C. T. #532 - 5.0 mg. sexuality in the male, and prostatic neoplasms.

When Prescribing THE E. B. SHUTTLEWORTH CHEMICAL CO. LIMITED Specify E.B.S. TORONTO MANUFACTURING CHEMISTS CANADA 18 ALBERTA MEDICAL BULLETIN COMMITTEE REPORTS

The 1943 Report of the Cancer Committee, Alberta Division, Canadian Medical Association The Cancer Committee has had very little to do during the past year and the report of our accomplishments is small, therefore it occurred to your Committee that a review of the programme for dissemination of information to the lay public and the facilities for the medical care of the cancer patient, coupled with certain recommenda­ tions, would be of interest to the medical profession of this and other provinces. The following is the personnel of our Committee: Dr. M. R. Bow ...... Edmonton Dr. H. Orr ...... Edmonton Dr. G. H. Malcolmson ...... Edmonton Dr. W. R. Haig ...... Lethbridge Dr. W. E. Ingram ...... Calgary Dr. W. D. Dixson ...... Stettler Dr. Lola McLatchie ...... Calg·ary Dr. J. "\V . Richardson ...... Calgary Dr. L. J. O'Brien ...... Grande Prairie Dr. H. C. Wallace ...... ! ...... Wainwright Dr. A. Couillard ...... Vegreville Dr. G. N. Ellis ...... Edmonton Dr. W. H. McGuffin ...... Calgary (Chairman) The problem of cancer control still looms large in the thoughts of those inter­ ested. These are trying times, probably the worst since the beginning of modern civil­ ization-requiring men, money and supplies for global war. The physical and psycholo­ gical strain is terrific, and it is a case of the survival of the fittest at home as well as on the war fronts. The question of health has taken on a new meaning. The citizens of the world are in a receptive mood to learn the facts about conditions which might undermine their well being. This is an opportune time for the medical profession to take stock of the situation, and of cancer in particular, to see how best to cope with the scourge and how the lay public can be encouraged and their co-operation secured in the control programme. A definite cure has not been discovered, but early recognition and prompt adequate care utilizing the means at hand, will go a long way towards controlling the disease. Ignorance among the laity and lack of information relating to means of diagnosis and methods of election in the management of the cancerous lesion by the medical profession must be overcome by all the means at our command. Research, too, must go on. The people of Alberta are favoured by interlocking organizations prepared to wage war on cancer. In this province we have three forces attacking on the cancer front: (1) The Canadian Society for the Control of Cancer, a lay society, working without profit along all possible avenues to bring to the people the early manifestations of malignant diseases. (2) The medical profession of the province, ready and willing whenever and wherever needed. (3) The Health Department of the Provincial Government, supported by mem­ bers of parliament, which is providing aid for cancer patients.

Help this Bulletin by patronizing our Advertisers. ALBERTA MEDICAL BULLETIN 19

PLANT POWER ~ ~ 'P(Uf)Qt 'Ptaa

ROM seedling to harvest and on are available-1, 0.6 and 0.3 Interna­ Fthrough processing and standardi­ tional units, respectively, and repre­ zation contents of each DIGIFORTIS* senting 15, 10 and 5 minims Tr. Digitalis Kapseal* are handled meticulously. C. F. Careful supervision results in a medica­ DIGIFORTIS Kapseals are supplied in ment of highest therapeutic value, fat­ bottles of 100 and 500. Other Digifortis free, containing ALL cardioactive prin­ products include ampoules, tablets and ciples of Digitalis leaf. liquid. Air is excluded by hermetically-sealed •rrade-morks Reg . gelatin capsules to guard against deteri­ oration-to maintain in DIGIFORTIS Kap­ BUY WAR BONDS • A ND S TAM PS $eals the most stable form of Digitalis. Original potency of DIGIFORTIS Kap­ PARKE, DAVIS & COMPANY seals has been continued by use of the WALKERVILLE, ONTARIO International standard and lethal dose frog method of assay. Three strengths 20 ALBERTA MEDICAL BULLETIN

LAY CANCER ORGANIZATION Within the province there is a branch of the Canadian Society for the Control of Cancer. '!'here are a number of sub branches of the Society operating in the main centres, so that contacts with all the people can be assured. From the larger ceritres such as Edmonton and Calgary, radio broadcasts and special newspaper articles are instituted periodically. In September of this year, an enthusiastic group of Calgary citizens are conducting a "Cancer Week" which will be opened by a proclamation of the mayor. Throughout the week the medical men will be given an opportunity of speaking before many clubs and organizations of every nature, disseminating informa­ tion about cancer. 'l'he success of this venture will determine whether such a procedure can be introduced into other centres. It is recognized by all authorities upon malignant disease, that the control of cancer with our present knowledge and means of treatment is largely dependent upon the co-operation of the public. The only stage at which cancer can be eradicated in any large percentage of cases is when the case is early local, and therefore the public must be made aware of the danger signs of beginning cancer. In addition to being aware of incipient cancer, the public must be advised to consult with their medical doctors promptly. MEDICAL CANCER ORGANIZATION In the Province of Alberta there are: (1) The Cancer Committee, Alberta Division, Canadian Medical Association. (2) Cancer study groups within hospitals. (3) Provincial Cancer Clinics. The Cancer Committee, Alberta Division, Canadian Medical Association, consists of medical men who have shown interest in the control of the disease. Up to, and at the present time a large part of the responsibilities of the members of thisi committee1 have been concerned with giving assistance to the district councils and the Provincial Branch of the Canadian Society for the Control of Cancer. The committee is also giving assistance in the organization of cancer study groups within the medical staffs of the, larger hospitals. Cancer Study Groups. Each of the larger hospitals within the province has a cancer committee or study group, whose duty it is to review cancer case histories and report each month at the medical staff conferences. From the review the cancer com­ mittee is privileged to comment upon any phase of the subject which appears to be advantageous in the management of cancer. Brief talks are prepared for presentation, giving emphasis to the cardinal diagnostic signs and symptoms, and the modern methods of care of the lesion. Provincial Cancer Clinics. (The Cancer Treatment and Prevention Act regula­ tions are set out in the following, dated Edmonton, May 26th, 1942.) His Honour the Lieutenant Governor, by and with the advice of the Executive Council, has been pleased to order (under authority of the Cancer Treatment and Pre­ vention Act, being Chapter 10 of the Statutes of Alberta, 1940,) that the following regulations be, and are hereby made and established: (1) The function of each Cancer Diagnostic Clinic is to examine each patient and make a diagnosis as to whether the patient has cancer or not, and to decide what form of treatment, if any, is to be recommended in the best interests of the patient. (2) The staff of each clinic shall consist of : a. The director of Cancer Diagnostic Clinics b. A surgeon c. An internist d. A pathologist e. A radiologist f. A consulting specialist on call g. A secretary. (3) The secretary of each clinic shall have charge of all histories, records and follow-up records of each case. ALBERTA MEDICAL BULLETIN 21

( 4) Only those patients who are referred by their attending physicians as hav­ ing, or who are suspected of having cancer, shall be admitted to the clinics. (5) Application for a dmission to a clinic shall be made in writing to the clinic by the attending physician on forms supplied and approved by the Director of Cancer Diagnostic Clinics. ( 6) Tissue examinations shall be made by a qualified pathologist of all tumours wherever possible, except in those cases in which obtaining tissues for such examina­ tions is likely to be detrimental to the welfare of the patient. (7) No fee shall be charged to any patient by the clinic for examination and diagnosis. (8) The result of the examination shall be made known to the attending physi­ cian in writing. (9) The patient shall remain the patient of the attending physician following the consultation with the Cancer Diagnostic Clinic. (10) Certain

The Diagnostic Cancer Clinics have been functioning under the direction of Dr. Geo. H. Malcolmson since January, 1941. In 1941, 1142 new cases were examined, and there were 869 re-examinations. Fifty per cent of the cases were diagnosed as can­ cer. In 1941, 417 cases were referred for radiotherapy. In 1942, 429 cases were refer­ red for radiotherapy. In 1942, from August 1st to December 31st, 100 cases were re­ ferred for surgery. The Clinic members meet at the Provincial Bldg., Edmonton, at 9 a.m. on Tues­ day of each week, and at the Holy Cross Hospital, Calgary, at 2 p.m. on Friday of each week. 22 ALBERTA MEDICAL BULLETIN

DESIRABLE SERVICES REQUIRING SERIOUS CONSIDERATION Recent parliamentary legislation indicates that free hospitalization is to be provided. As mentioned in our 1942 Cancer Committee report, we look forward hopefully to the day when provision will be made for such additional services as: Free transportation. Assistance for improved home conditions for cancer patients. Free drugs and d'ressings. Free institutional care of convalescing and incurable cancer patients. Social service nurses. Social Service Nurse. Your Cancer Co mmittee has been giving some thought to the question of the social service nurse. The social service nurse can obtain follow­ up information about patients who have been reported as having cance1·. It! is the opinion of the Committee that such a nurse should be associated with each cancer clinic. The nurse could keep in touch with patients diagnosed as positive for cancer by the clinic. She could also follow up cases reported by hospitals and doctors, but who have not attended the clinic. The geographical field of her activity should include that part of the province covered by the clinic. In this manner, valuable data would be available as to the progress of the cancer patients, and the success of various forms of treatment. The social service nurse could also co-operate with the Canadian Society for the Control of Cancer. She could put into effect the programme instituted by the Manitoba Cancer Relief and Research Instit ute, which is affiliated with the Canadian Societ y for the Control of Cancer. The nurse could carry on educational work in all outlying districts. She could arrange for group discussions, exhibits and m o vi~ demonstrations. The outstanding feature of her connection with the control of cancer effort consists in her personal contacts. She could go right into places where the dissemination of cancer knowledge is most needed. Your committee feels that the Government of the Province would be making a worth-while contribution towards the success of cancer control by employing social service nurses. They would aid the Cancer Clinics and the Hecords Department. The government would be aiding the Canadian Society for the Control of Cancer by furthering the educational aims of the Society. REPORTING CANCER CASES The following hospitals and institutions report new cancer cases for 1942, to the Department of Health, Provincial Government, Edmonton, and the Department of Cancer Control, Canadian Medical Association: No. 211 Drumheller Municipal Hospital ...... No. 212 Red Deer Municipal Hospital ...... 11 No. 210 St. Michael's General Hospital, Lethbridge 12 No. 204 University of Alberta Hospital, Edmonton ...... 174 No. 213 Lamont Hospital, Lamont, Alberta ...... 32 No. 205 Royal Alexandra Hospital, Edmonton ...... 138 No. 203 Calgary General Hospital, Calgary ...... 83 No. 206 Misericordia Hospital, Edmonton ...... 46 No. 202 Holy Cross Hospital, Calgary ...... 180 No. 209 Galt Hospital, Lethbridge ...... 22 No. 207 Edmonton General Hospital, Edmonton ...... 64 No. 208 Medicine Hat General Hospital, Medicine Hat ...... 40 No. 2Ql Radium and X-Ray Institute, Calgary ...... 181

When purchasing from Advertisers, mention that you saw Advertisement in the Alberta Medical Bulletin, ALBERTA MEDICAL BULLETIN 23

THE FIVE IMPORTANT FACTORS IN STABLE ~~s~M

.,(/s a result of chemical investigations still further progress in vitamin therapy has been made. Now, in one ampul, there are available the following synthetic factors:

Thiamine hydrochloride (vitamin 8 1) ••• 10 mg.

Riboflavin (vitamin 8 2f ...... ·. : . . 5 mg.

Pyridoxine hydrochloride (vitamin 86 ) . 5 mg. Calcium pantothenate . . ... : .. ·•...•• _5 mg. Niac:inamide (nicotinic acid amide). : . ~. 50 mg.

Supplied in boxes of 3 one! 10 ampuls. Dissolve in 2 cc. of sterile ·distilled water. If increased vitamin B, is desired.' use a~· s.olvent any Betaxin parenteral solution (available in I 0 cc. vials conlaining in each I cc. either 10 mg., or 25 mg., or 50 mg., or 100 mg.).

Betasynplex may be administered . ~~~ . ~ BETASYNPLEX- "NIPH~ Reg . U.S. Pot. Off. & Canada

General offices: WINDSOR, ONT. Professional service office: Montreal, Que. "*Niphanoid," trademark, Winthrop Ci.. col 24 ALBERTA MEDICAL BULLETIN

By statute., cancer is a reportable disease in the Province of Alberta. The government has never used drastic measur es to enforce the Act, but has heretofore depended upon the integrity of the medical profession to comply with their obligations. The results have not been very satisfactory. It is difficult to see how the reporting of cancer cases can be thoroughly done except by placing doctors upon their honour, or by pen­ alizing delinquents. The latter may be the only solution. At the present time the larger hospitals are co-operative, and are reporting all cancer cases admitted. While realizing that the majority of cancer cases are cared for at some time during their illness in a hospital, still there are a large number of cases which never reach a hos­ pital. The only knowledge that the Records Department has of such cancer cases is when the Department of Vital Statistics learns of the death of a cancer case. Thus no idea of the total number of cases is given, nor the treatment utilized in cured cases. In fact, the essential features so valuable in compiling diagnostic and other data is lost. It is only by repeated clarification of certain features in successive case :reports tJhat satisfactory clinical criteria for the diagnosis of any disease or. disorder can be established. When certain findings occur sufficiently often, they warrant mention as a characteristic of the disease. For the sake of study of the cancer problem, complete records are extremely im­ portant. No detail should be neglected or considered as having no bearing on the case. Until we know more about cancer, no doctor should anogate to himself a power of judgment he does not possess. Therefore, all information that can be elicited from the patient suffering with cancer should be recorded. Some day this data will be required for an analysis of questions and theories which may arise pertaining to cancer of a particular site or cancer in general. It has been agreed that the cancer report forms of the Department of Cancer Control, Canadian Medical Association, are acceptable. The forms can be obtained from the Provincial Department of Health, Edmonton, or the Secretary, Alberta Divi­ sion, Canadian Medical Association, Southam Building, Calgary. CANCER DEATHS IN ALBERTA FOR 1942 Cancer deaths in Alberta in 1942, as recorded by the Vital Statistics Branch, was 690. The number of new cancer cases in the province handled by all medical men in 1942 is not available, but if we assume that there are three existing cases for ever y cancer death, we can compute that there were 2070 plus 690, a total of 2760 cases of cancer in existence in the province during 1942. FACILITIES FOR TREATMENT OF CANCER PATIE 'TS IN ALBERTA Medical and Surgical. The medical and surgical care of cancer cases is in good hands. Hospitals in the province, where the major cancer practice is conducted, are well equipped, but do not provide special cancer wards. The number of cases in any one hospital at any one time does not warrant such provision. Pathological Services. In Edmonton there is a provincial laboratory with which are associated the names of Dr. J. J. Ower and Dr. J . McGregor. The provincial laboratory provides pathological services for the University Hospital, Misericordia Hospital and the General Hospital. Dr. M. E. Hall is the pathologist for the Royal Alexandra Hospital. In Calgary, Dr. Lola McLatchie is pathologist for the City of Calgary General Hospital and associated hospitals. Dr. R. C. Riley is pathologist at the Holy Cross Hospital. The foregoing hospitals are equipped to provide immediate biopsy sections. It is a very great service to the attending surgical staff, to- receive immediate reports upon suspected malignant lesions in certain body sites, particularly new growth of the mammary gland. Radiotherapeutical Services. The irradiation procedures demanded today for the treatment of cancer are well taken care of in the several provincial centres. Radiotherapy embraces the utilization of x-rays and radium.

Help this Bulletin by patronizing our Advertisers. ALBERTA MEDICAL BULLETIN 25 The following hospitals, institutions and private offices have approved equipment and personnel: X-ray equipment Radium Medicine Hat Hospital ...... _...... 135 K.V.P. Lethbridge: St. Michaels ...... 135 K.V.P. Galt ...... 200 K.V.P. Stuart Rose ...... 100 mgms. Calgary: Holy Cross Hospital ...... 135 K.V.P. General Hospital ...... 135 K.V.P. Radium & X-Ray Inst...... (220 K.V.P. Dr. W. H. McGuffin & ...... (200 K.V.P. Dr. R. W. Boyd ...... (Chaoul Contact 130 mgms. Edmonton: Universit y Hospital ...... 200 K.V.~. 161 mgms. Dr. R. Proctor ...... Roy.al Alexandra Hospital ...... 400 K.V.P. Private offices- Dr. P. Malcolmson ...... 200 K.V.P. 100 mgms. Drs. A. D. Irvine & M. Mallett ...... 200 K.V.P. 100 mgms. Dr. H. Orr ...... _...... Phillips Contact 60 mgms. RADIUM The radium element available within the province can be further augmented by the procurement of radon, which is readily obtainable from sources in our sister provinces. Such conveniences make it unnecessar y for Alberta to spend large sumr:; of money on the purchase of radium, or the installation of an emmenation plant for production of radon. Protection of the Public. As a commendable protection for the public, the Gov­ ernment of the Province has made it prohibitive for anyone within the Province to engage in the application of radium or radon without special authorization from the University. (Senate of the University). The Amendment to the Public Health Act reads as follows: "No person shall use for the therapeutic treatment of human beings, any radium or radon or any derivatives of radium, unless such person is the holder of a certificate issued by the Senate of the University, certifying that he is qualified so to use the same." HEALTH INSURANCE The Federal Gove.rnment, in its study of social security, has included socialized medicine, and one section relates to cancer. Your Cancer Committee neucleus, resident in Calgary, assisted by Dr. J. S. McEachern and Dr. George H. Malcolmson, reviewed the recommendations of the Board of Directors, Department of Cancer Control, Cana­ dian Medical Association. The result of our committee's deliberations was forwarded to the central office in time for the preparation of a memorandum which was presented to the Health Insurance Committee of the Canadian Government. A copy of the mem­ orandum is printed in the Canadian Medical Journal of March, 1943. Vol. 48-No. 3 -Page 260. INVESTIGATION OF CANCER CURES It is the concerted opinion of your Cancer Committee that the investigation of so-called cancer cures should be conducted under the direction of the Department of Health of the Federal Government. Such would obviate duplication of investigation within the provinces. In conclusion, the foregoing report has been prepared after considerable study of the present cancer situation in Alberta. We have made suggestions for advances in our attempt to meet the challenge of an increasing number of cancer cases, all of which is respectfully submitted. W. H. McGUFFIN, Chairman, Cancer Committee, Alberta Division, Canadian Medical Association. 26 ALBERT A :MEDICAL BULLETIN Report of the Committee on Economics, Canadian Medical Association, Alberta Division. During the past year available members of the Committee have met on several occasions. Their discussions have dealt with health insurance, particularly with a view to formulating an opinion as to the characteristics of the enabling legislation to be introduced in the Dominion House in Ottawa. It has been the hope of the Com­ mittee on Health Insurance of the C. M. A. to have expressions of opinion from all portions of the Dominion. Your Committee has attempted in its meetings to sound out the opinion of several interested individuals of the medical profession and has met with these on several occasions. Members of the Committee have also met with the Dean and members of the teaching staff of the University of Alberta to consider ways and means of obtaining an adequate supply of teaching material under the proposed health insurance legislation. In as much as regulations to insure these supplies may affect payment for ser­ vices of physicians and surgeons a copy of the digest of certain representations made at a joint meeting of r epresentatives of the Faculty of Medicine of the Alberta Division of the C. M. A. and the Committee of Economics is appended. · In the early part of December meetings were held at Edmonton to specifically discuss with Dr. Archer "Selected Problems Relating to Health Insurance Legislation" submitted to divisional committees on economics by the C. M. A. as of November, 1942. As a result of these meetings a report was prepared and sent to Dr. Harvey Agnew, Toronto. This report may be taken to summarize the opinions of the members of your Committee who were available and of those members of the profession locally who were known to be interested and who met with them. This report is prepared following a review of the submission made entitled "Selected Problems Relating to Health Insurance Legislation". This unfortunately was just received ten

Maintaining the alkali re­ serve may call for active alkalization beyond what diet alone can provide. readily assimilable forms of carbo­ In such cases, as in febrile conditions nates, citrates and phosphates, Alka­ and during sulfonamide medication, Zane serves the dual purpose of the use of Alka-Zane will prove alkalization and fluid intake. A tea­ definitely helpful. spoonful of Alka-Zane in a glass of Composed of the four principal bases water or added to fruit juices or milk, of the alkali reserve-sodium, potas­ makes a zestful, refreshing drink. sium, calcium and magnesium in the To determine for yourself how effi­ cient and pleasant-to-take Alka-Zane is, may we suggest that you write for a complimentary supply? ALKA-ZA .NE WILLIAM R. WARNER & CO., LTO., 727 KING ST. WEST, TORONTO, ONTARIO 28 ALBERTA MEDICAL BULLETIN

With regard to the certification of specialists, it is the opinion of the Committee that this could best be done by some Dominion wide body so as to assure uniformity of rating, and that attention must be drawn to the differences in the present emergent situation and that of the future when specialists may be developed over a period of time with standardized requirements. The Committee felt that this scheme of certifi­ cation should be set out in the act. The Committee felt that the insured person should have the right of selecting his Doctor, and that his specialist, if required, should be from a panel as advised by his medical advisor. It was felt that the insured person should be able to consult a specialist directly when the medical condition is in that specialist's specialty. If it is not, then the special­ ist is acting in the capacity of a medical advisor. It is also felt that the variation of conditions in different areas makes the de­ termination of consultation fees a Provincial matter. It was felt that any additional services such as special services, should ordinarily be obtained upon the recommendation of the medical advisor. It was the opinion of the Committee that the insured person might be asked to name his medical advisor for public health purposes only, and that there should be :::ome control of the number of medical advisors the insured person could see in a given period, but that this control be not too rigid. Accessory services, such as provision of ambulance and medical or surgical ap­ pliances, should be included in the benefit when ordered by the medical advisor. It is felt that the remuneration of the physician should be by f ee for services, and in certain areas it might be necessary to augment this because of the wide dispersal of a small number of people in the area where professional services must be divided.

Teaching Material and Proposed Health Insurance Legislation-­ Federal and Provincial. Those who seek the greater socialization of medical services should be motivated by two primary considerations, namely: "How best may adequate medical services be made available to all the people?" "How best may a system which ensures adequacy and availability be financed?" With members of University and Teaching Hospital staffs lies the responsibility of assuring adequacy of medical services. While teachers and administrators in medi­ cal schools as citizens may have a very real interest in the availability, utilization and financing of medical services, th~ broad general principles and the details of these three phases primarily concern the statesmen, the public health educators and the economists. Obviously, if we are to produce competent medical doctors, dentists, and nurses we must not only provide a thorough academic training but we also must provide teach­ ing hospitals suitably equipped and staffed in which students may observe and practise their chosen professions. If all the people are to receive the best treatment which medical science has to offer then it is imperative that all or a great part of the people co-operate and consent to act as clinical materiaL. At present it is not difficult to obtain the consent of patjents to become clinical material when minor treatments only are involved and when impersonal exposures only are required. AVAILABILITY OF TEACHING MATERIAL At present teaching material is available in hospitals from two sources, namely: (1) The "pay-patient" who consents to act as clinical material. (2) The "non-pay patient", usually admitted through the Out-Patient Depart­ ment, who must consent to act as clinical material. At present most patients go to teaching hospitals because they believe that they will get better services in those hospitals or because they wish to take advantage of such services as are provided free in teaching hospitals. ALBERTA MEDICAL BULLETIN 29

The principle of economic coercion or discrimination is not in harmony with the trend of thought of the times or the spirit of health insurance as one interprets that .. trend" and that "spirit". Under a Health Insurance plan there will be fewer people who cannot finance their own medical services and fewer to be admitted through Out-Patient Departments. Presumably less clinical material will be available. If the patient is to have free choice of doctor and if doctors are to be paid for every patient it would appear that clinical material may become very scarce. Either the patient must be attracted by. the promise of some form of bonus or the prospect of better s·e·rvices in the teaching hos­ pitals in payment for his consent to act as clinical material or there must be statutory provision r equiring him to act as clinical material. STAFF PRIVILEGES ON WARDS The clinical material may be obtained either by statutory compulsion requiring that: Either (1) All patients who have not paid their share of the contribution re­ quired under the Act either in whole or in part shall act as clinical materia l; Or (2) Ali public wan.I patients whether pay or non-pay shall be available for clinical teaching; Or (3) Patients may be induced to volunteer as clinical material. RELATIONSHIP OF TEACHING HOSPITALS TO THE PRIVATE PHYSICIAN It would appear to be essentia l that teaching hospitals be " closed" .hospitals. Each teaching hospital should be subject to rigid inspection and should only be classed as a teaching hospital if it maintains the highest type of medical ser vices. It would be necessary for teaching hospitals to be divided into departments and those depart·· ments to be direcled and served by the most competent specialists available. The staff of the teaching hospital should act as a consultant group to which the private physician could come with his problems. On the staffs of the teaching hospitals should rest the responsibility of informing the general profession by contributions to medical literature aml by r efresher courses. THE CAPITATION BASIS OF PAYMENT OF THE PRIVATE PHYSICIAN AND THE REMUNERATION OF TEACHING STAFFS. On the "F ee for Services Rendered" basis the practitioner has an economic mo­ tive to give as much service as possible, even unnecessary service, and to delay refer­ ence as long as possible. On the ''Capitation" basis, it is in the interests of the physician to keep the patient well and to r efer the patient to a speci alist as soon a s an indication for refer­ ence appears. It would appear that the best interests of all would be served were members of teaching staffs employed on a full-time salary basis. It would appear further that the term "specialist" should be replaced by some other less pretentious designation and the designation should be reserved for full-time employees of teaching hospitals. EXTRA PAYMENTS TO HOSPITALS PROVIDING TEACHING FACILITIES Obviously if teaching hospitals are to be expected to employ a full-time staff whose services are to be available to beneficiaries of a Health Insurance plan th.,en it will be necessary to classify teaching hospitals according to the services which they provide and to pay those hospitals adequately. J:;'UNDS FOR RESEARCH No University or Medical School can progress without an active research pro­ gramme. Perhaps the chief criticism of socia lized medicine projects in other countries is that under these plans research has not progressed as actively as under the private practice system. Certainly such a claim could not be maintained were it applied to the experience of Russia during the past decade. Without an active research depart-

Help this Bulletin by patronizing our Advertisers. 30 ALBERTA MEDICAL BULLETIN

ment any organization must fail. It wouid appear that ample support for research, perhaps under the direction of the National Research Council, should be available an

Committee on Education Your Committee reports the Refresher Course which was provided by the Univer­ sity Medical Faculty and the Association last September. One hundred and four doc­ tors attended the school and heard papers provided by Dr. R. R. Graham, Toronto, Dr. G. F. Strong, Vancouver, and Major C. E. Anderson, Edmonton, as well as members of the staff. Last May the University Faculty of Medicine and the Association sponsored another Course, designed primarily for the physicians who are in the services within the pro-vince, but free to· all docton;. Through the courtesy of the heads of the three armed services most of the speakers were provided from the prominent medical officers of the services. In all 224 registered for the Course. This number consisted of 2 Navy officers, 75 Army officers, 62 Air Force officers and 85 civilian physicians. These refresher courses are generally considered to be a boon to the busy prac­ titioners, particularly so now because of the restrictions in travelling and the increasing weight of practice which discourage distant journeys to conventions. A study of the attendance records shows that an increasing number of Alberta doctors are attending these courses, but many of our practitioners have not yet been reached. A spier · '.d suggestion is that the doctors in the South should arrang•e a course annually in one of the southern centres, such as Calgary, Lethbridge, Macleod and Medicine Hat. This would provide meetings which could be attended by doctors of these localities with much Jess loss of valuable time in travel. If adequate enthusiastic leadership were offered in organization and direction, the1•e should be no difficulty in obtaining speakers from the Navy, Army and Air Force as was done last May. W. F. GILLESPIE,, Chairman.

Report of Finance Committee-C. M. A. Alberta Division Particular 1938 1939 1940 1941 1942 Meeting Board of Directors ...... $ 154.95 $ 189 .56 $ 141.05 $ 181.37 $ 227.48 District Meetings ...... 458.33 510.00 590.51 57 4.10 500.06 Delegation C. M. A...... 450.00 300.00 237.05 154.50 150.00 C. M. A. Member-Journal ...... 3500.00 3433.00 3566.50 3788.00 3613.50 Print!ng - Stationery ...... 221.97 188.20 189.09 248.17 568.28 Office Sundry Expense ...... 51.98 91.78 23.26 76.50 6.80 Annual Convention ...... 146.05 247.22 266.32 405.20 155.93 Refresher Course ...... 22.47 133.01 140.44 256.39 Fim Expenses Convention ...... 30.36 28.15 Expenses Convention Speakers ...... 300.00 184.10 66.50 Adv. Military Committee ...... 120.15 Jasper Convention Committee ...... 654.32 ---- -·--- $5313.64 $5166.33 $5241.44 $5688.43 $6132.76 GEORGE R. JOHNSON, Chairman. ALBERTA MEDICAL BULLETIN 31

My boss used to be as grumpy as a bear. He'd growl and bang around and his wife said: "Poor George, he's working too hard. It's wearing him down to a frazzle!" So, I told her a !ew plain facts: ... how I'd discovered the most amazing thing . . . that physicians who prescribe S.M.A. actually have more time for other things . . . because it isn't necessary to change the formula throughout the entire feeding period. (She sat up at that.) .. . how S.M.A. eliminates many unnecessary questions that mothers usually ask about other modified milk formulae. When I had finished, she said she would cer­ tainly speak to George about using S.M.A. as a routine formula. Just because my boss turned over a new leaf . . . he wants everybody to pat him on the back for it. But he's not fooling us ... we know how he got to be such a nice man.

BUSY DOCTORS TO-DAY PRESCRIBE S.M.A. . S.M.A. IS EASIER TO PREPARE.

S.M.A. Biochemical Division ' The infant food that is John Wyeth & Brother nutritionally complete. (Canada) Ltd. Walkerville, Ontario 32 ALBERTA MEDICAL BULLETIN

Repol't of the Legislative Committee The more important of the several changes in provincial legislation, assented to on March 30th, 1943, affecting the medical profession were covering the Workmen's Compensation Act and briefly are.:- 1. ACCIDENT - 2 (a) The definition of "accident" is extended to include "disablement arising out of and in the course of employment." 2. WAITING PERIOD - 19 (4): The provision now authorizes payment of compensation for the first three days of disability when the workman is disabled for more than fourteen days (in­ stead of thirty days as heretofore). 3. MEMBERS OF THE FAMILY - 20 (1): It is only the members of the family of an employer "dwelling in his house" that are now excluded from the right to compensation. 4. APPEAL - 27: In certain cases an injured workman now has a right of appeal against an award of the board to a specialist whose finding on the question submitted to him is final "unless the Board at any time directs otherwise." 5. SETTLEMENTS - 31 ( 4): Where a lump sum payment has been paid to an injured workman in satis­ faction of his claim, it now extends only to the

Report of Committee on Pharmacy and Hospital Service There has been very little to report since the last meeting. No serious crisis has developed in the supply of essential drugs. The particular matter for the comin)!." year would seem to be the consideration of a Formulary at the suggestion of the Cana­ dian Medical Associations Committee on Pharmacy, who feel that with the introduction of the proposed National Health program some such formulary would be necessary or desirable. Dr. Henderson, chairman for this committee, has suggested, for di scussion at least, that this be arranged in sections such as: Infectious fevers, blood disorders, cir­ culatory disorders, skin, etc. Each of these sections would be preceded by a brief anJ authorative statement of the therapy indicated as could be agreed upon. A majority of our committee here, however, feel that this is going too far and would probably lead to much disagreement and restriction of remedies. The general practice of dealing with these disorders varies a good deal in different sections of the country and it would be difficult to put together such a formulary which would be acceptable. Therefore, we feel that a more simple and possibly broader classification based more on the pharma­ cologicall and therapeutic effects of drugs, listing the more common preparations and prescriptions, would have more general use and appeal. Your committee, therefore, was taking this stand in our correspondence and meetings with the Central Committee. A very abbreviated skeleton for consideration is listed below.

When purchasing from Advertisers, ment'ion that you saw Advertisement in the Alberta Medical Bulletin. ALBERTA MEDICAL BULLETIN 33

Preparations for Local Use: Astringents, Antiseptics, etc. Protectives, Emollients, etc. Counter-Irritants. Ophthalmic Preparations. Aural Preparations. Rectal. Etc. Etc. Etc. Gastro-Intestinal System: Stomachics, Digestants, etc. Antacids, Adsorbents, etc. Cathartics and Laxatives. Etc. Etc. Genitto-lJ rinary System: Diuretics (Alkaline and SedatiYe). Diuretics (Acid). Diuretics (Mercurial). Central Nervous System: Various sub divisions. Autonomic and Peripheral Nervous System: Various sub divisions. and so on including specifically acting drugs, serums and vaccines. Vitamins, glandula~ products and intravenous solutions, etc. This of course is just a suggestion and could be extended or shortened as the Committee would feel. Respectfully submitted. IRVING BELL.

Public Health and Mental Hygiene

Your Committee begs ! ~ave to suggest to the annual convention that it go on record as recommending:- 1. Province-wide Pasteurization of milk intended for sale. 2. More control of venereal diseas·e, especiall y measures for its prevention and public enlightenment. 3. Control of Tuberculosis. 4. Increase in the number of Health Units in the Province, which units have been doing so much good work in the field of Preventive medicine. 5. Provision for Homes for the Aged and the chronic, incurable physically ill.

R. R. MACLEAN, Chairman.

Help this Bulletin by patronizing our Advertisers. 34 ALBERTA MEDICAL BULLETIN

Health Insurance-Round Table Conference-Sept. 13th, 1943

SOME INFORMATION RE HEALTH INSURANCE

STATE MEDICINE is a system of medical care' in which the whole cost of all necessary health services is paid by the State, out of the consolidated revenue, and in which those rendering the services are in the employ of the State and the institutions rendering :;;e·rvices are or tend to become State institutions. "Free" medi· cal services are provided in this way.

CONTRIBUTORY HEALTH INSURANCE, or State Controlled Contributory Health Insurance, is a system for the provision of all necessary health services in which a fund is created by contributions from various' sources, such as the Federal Government, the Provincial Government, the employer and the Insured person. Out of this FUND payments are made for all necessary Health Services as required; thus providing "free" medical services.

The Medical Profes$ion in Alberta endorse the principle of Contributory Health Insurance, under State Control. They will assist in the development and operation of such a plan, provided the plan adopted offers full medical services of a high stan­ dard, and gives adequate opportunity for research and preventive medicine, and pro­ vided these services are to operate under conditions which are fair to all concerned, both the insured and those individuals and institutions rendering the services.

The members of the Medical Profession are opposed to State Medicine for a number of reasons which include the following:-

1. This system would largely interfere with the right of choice of the patient of the doctor or institution which could be secured to render the necessary services.

2. It would tend to regimentation and'. "political" control of all health per- sonnel.

3. It would interfere with individual initiative in this important field where every stimulus to the greatest individual effort should be quickened.

4. It would be difficult to carry out" the desire of all interested in the develop­ ment of a system of socialized medical care; namely. to improve the quality and avail­ ability or medical services to the people of this Province.

5. If the conditions of the service were not attractive it would be increasingly difficult to enroll in the ranks of the professional services the bright minds from among our young people.

6. It would seriously interfere with the valuable and necessary doctor-patient relationship.

7. In the long run anything that tends to standardize and to destroy individual initiative, individual responsibility, and interfere with a reasonable degree of freedom and opportunity for development and the stimulus of ambition, would check the fine extension of knowledge in this vitally important field.

When purchasing from Advertisers, mention that you saw Advertisement in the Alberta Medical Bulletin. ALBERTA MEDICAL BULLETIN 85

Prescription De pa rt 11'.1 en t

llf We Employ Only Graduate Pharma­ 'jJ cists. Highest Quality Drugs and Chemicals Used. Every Prescription Double Checked.

Phone M85 ~x-~T EATON C 0 a vv E •_; T E >.o N L ! M !Tf_:J CALGARY CANADA

T• STARR'S AMBULANCE SERVICE LIMITED (E. H. STARR, Prop., late of Gen. Hos. Staff, Calgary) 25 Years' Experience 102-14th Ave. E. Res. Phone--M2035 M2428 Our Motto:- RELIABLE and EFFICIENT SERVICE Distance No Object Independent of Funeral Homea Medical Phone Service: M 2428 36 ALBERTA MEDICA L BULLETIN

SOME QUESTIONS TO BE DISCUSSED 1. Who should be included in such a plan in this Province? The' entire population? Or onl y those with incomes below a cer tain specified level? 2. How should Doctors be paid ? By fees for services r endered? By capitation ? By Salary? What are the advantages of each method? The Disadvantages? May it be necessary to use each of these in certain parts of the P rovince? 3. The Draft Provincial Act provides1 for the selection of the general practitioner by whom he wished to be treated. If the method of payment selected is by fees what are the reasons for carrying out of this allocation? What are the disad­ vantages? How can the interests of the men in the Services be safeguarded, in this respect in any province, in the event of Health Insurance being instituted before the end of demobilization? How would new graduates secure patients? 4. In what way should the services of the Specialist be made available to the assured? Can he go direct to the specialist of his choice? Must he be referred to the Specialist by the General practitioner? What are the arguments for and against each proposal? 5. H ow should Specialists be determined and by whom? 6. The Draft Act proposes that if any individual, except in emergencies, or in certain areas performs services which are outside "his competence" as shown by the lists set up that )'le should not be paid for these services. What are the advantages and disadvantages of this proposal ? 7. How can the teaching hospitals in this Province be assured of an adequate num­ ber of patients for clinical observation under a system in which there are no "non-pay" patients? Should all patients covered by insurance be avail able for clinical observation, sub· ject of course to r egulations which could be set up to safeguard individual rights '? 8. H ow can the increased emphasis on preventive ser vices be made effective? How can the general practitioner be utilized to the best advantage? 9. What is the proper fi eld of service for the Department of Public Heallh and what that of the Commission of Health Insurance? How can these services be most advantageously integrated? 10. What is the best method of Administration? By Commission? By the Dept. of P ublic Health? If by a commission, what kind of a commission? Do you approve of the type of commission suggested in the draft Provincial Act ? What degree of independence is it possible to secure for the Commission? 11. Do you approve of the "contributory" principle? What are the advantages? Particularly in such a scheme as proposed in the Draft Act? 12. Our profession has not accepted any responsibility for the financial clauses of the proposal, except to say that the funds supplied should be adequate. Are we ready to make it more easily possible for the actuaries to analyse the fi gures of t he necessary funds to be supplied, by deciding whether we are going to ask for remuneration on the fee for service method or any other method and if so in what amount'! What should the income of a general practitioner amount to? Should there be a provision for a reserve or in lieu of such reserve, a governmental guarantee that the funds would be sufficient to pay for services which had been rendered?

When purchasing from Adver t isers, mention that you saw Advertisement in the Alber ta Medical Bulletin. ALBERTA MEDICAL. BULLETIN n IN PREGNANCY

SUGGESTm FOR , TREATMENT OF THREATENED OR HABITUAL ABORTION DUE TO VITAMIN E DEFICIENCY

e Each capsule contains 50 milli­ e Each capsule of Viophate-D grams of mixed tocopherols, contains 4.5 grains Dicalcium equivalent in vitamin E activity Phosphate, 3 grains Calcium Glu­ to 30 milligrams of a-tocopherol. conate and 330 units of Vitamin Tocopherex contains vitamin E D. The capsules are tasteless, and d erived from vegetable oils by molecular distillation, in a form contain no sugar or flavouring. more concentrated, more stable Where wafers are preferred, Vio­ and more economical than wheat phate-D Tablets are available, germ oil. pleasantly flavoured with winter­ For experimental use in preven­ green. tion of habitual abortion (when due to Vitamin E Deficiency): 1 to One tablet is equivalent to two 3 capsules daily for 8V2 months. capsules. In threatened abortion: 5 capsules within 24 hours, possibly continued How supplied: for 1 or 2 weeks and 1 to 3 capsules Capsules-Bottles of 100 and daily thereafter. 1,000. Tocopherex capsules are supplied in bottles of 25 and 100. Tablets -Boxes of 51 and 250.

For literature, write 36 Caledonia Road, Toronto

E·R:SQUIBB &.SONS OF CANADA.Ltd. MANUFACTURING CHEMISTS TO THE MEDICAL PROFESSION SINCE 1858. 38 ALBERTA MEDICAL BULLETIN A1·chives Your Commi.ttee begs leave to report and that with regret that the foll owing Twenty-one Alberta registrants1 have passed away, fifteen have lived over six decades, seven of whom have passed three score years and ten. Of the number deceased only four were residing outside .the province. An obituary of each member will be fo und in the Canadian Medical Associatio11 Journal or the Alberta Quarterly Bulletin. Name Address Age Graduated RegistereJ George Arthur ...... -...... Lavoy, Alta. 76 Man., 1908 1911 Velentine E. Barrow ...... Whitecourt, Alta. 77 Edin., 1891 1904 Norman T. Beeman ...... Kingsville, Ont. 60 Tor., 1910 1912 Samuel V. Carmichael ...... Strome 60 Queens, 1908 1910 Robert A. M. Cook ..... _...... Calgary 62 Tor., 1903 1904 Herman Goldberg ...... Edmonton 51 Warsaw, 1917 1931 Edwin H. Freeze ...... Champion 65 McGill, 1903 1919 John J . Knoll ...... Vermilion 62 McGill, 1915 1917 Robert K. Knowles ...... Vegrevill e 65 Harvard, 1902 1913 William A. McConkey ...... Edmonton 67 Man., 1906 1920 William H. McFarlane ...... Calgary 55 London 1910 (West.) 1919 Peter McLaughlin ...... Paris, Ont. 82 Trin., 1888 1905 Erroll A. Neff ...... Cyprus Western, 1914 1919 Robert W. Neill ...... Preeceville, Sask. 76 McGill, 1905 1906 Nick E. Nykiforuk ...... Edmonton 31 - Alta., 1934 1935 William A. Scanlon ...... Edmonton 61 Tor., 1904 1914 Arthur W. Scott ...... Toronto 41 Tor., 1927 1928 Henry B. Stackpool ...... Cardston, Alta. 70 Man., 1905 1906 Robert B. C. Thomson ...... Lethbridge 70 Western, 1900 1903 Charles W. Wilson ...... Edmonton 76 McGill, 1886 1907 Margaret J . Wilson ...... Ponoka, Alta. Man., 1921 1922 (Mrs. Goodwin) GEORGE E. LEARMONTH, Chairman.

Deceased DR. HERMAN GOLDBERG On May 8th, 1943, the above physician passed away in his home in Edmonton, where he had moved on account of ill health. He was born in Lithuania in 1892 when it was part of the Russian Empire and studied medicine in Breslaw and Prague, graduating from the University of Warsaw in 1917. He practised in Russia from 1917 until 1922. In 1922 he returned to the boundary of Germany and Lithuania then took post-graduate work in skin and ven­ ereal diseases in Germany, later specializing in internal medicine. He came to Canada in 1928 but not speaking the English language he was un­ able to take the examinations of the Medical Council of Canada until 1930 when he passed and was registered in Alberta the next year. After registration he practised for a while in Onoway, Spirit River, Lethbridge and finally at Bellevue where, owing to ill health he retired to Edmonton. He is survived by his wife, a former nurse in Ukraine, and one son, Julius, who is attending the University of Alberta taking a course in medicine, to whom the sym­ pathy of the many friends in Alberta is extended.

DR. EDWIN HERBERT FREEZE On August 22nd, 1943, death took Dr. Edwin Herbert Freeze, of Champion, at the age of 65. Heart failure. Born at Ponobsquis, New Brunswick, of a family which settled there before the ALBERTA MEDICAL BULLETIN 89

U. E. Loyalists came over from the United States after the revolutionary war, his primary education was received in his native village and his high school work in Wolf­ vill e, N.S. Having chosen for his ife work the medical profession, he entered McGill Uni­ versity from which he graduated in the class of 1903. He then opened an office in Bristol, N.B., where he remained for one year, after which he went to Edinburgh for post-graduate work and then to Sloan Hospital, Dublin, following it with a term in the London General Hospital. On completion of his special training he returned to Canada where for three years he practised in Wolfville, N.S., going from there to Missoula, Montana. When the war of 1914 broke out he returned to Canada and joined the Forces in Calgary. While overseas he was attached to the hospitals in Bramshott and Scarboro. In 1919 he r eturned to Calgary where he practised for a year and in 1920 he went to Champion where he remained until he died. Surviving are his widow, one brother, Alderman Frank Freeze, of Calgary, an

Dr. Henry H ook Olclright passed away in Edmonton on March 15th, 1943. Born in Toronto, son of Prof. William Oldright, of Toronto Medical School. He graduated in 1891 and registered that year in Ontario. For some years he practised in St. Cather­ ines, Ont., but came to Alberta and registered in 1906. He opened an office in Calgary but soon moved to Stettler where he remained several years. He was overseas in Great War No. 1 and on his return opened an office in Donald a. While there he took ill from which he did not recover, though he ling.ered more than 20 years.

Medical Library Accessions, July-September, 1943 American Medical Association. Council on pharmacy and chemistry. Useful drugs. 13th ed. 1942. BEST, C. H. and TAYLOR, N. B. The physiolog ical basis of medical practice. 3

COMMUNICABLE DISEASE REGULATIONS Alberta, June, 1943.

Qua rantine of Susceptible House DISEASE Isolation of Case Contacts Quarantined Placard

SMALLPOX 28 days 16 days Yes Yes

DIPHTHERIA 21 days - Close to Lab. 7 days or after rece1v1ng Yes Yes may release on 2 neg. a prophylactic dose af an- swabs at 24-hour intervals t i toxin and showing one from both nose and throat. n eg. swab f rom nose and t hroat.

DIPHTHERIA Release only on strength of Same as above. Yes Yes CARRIER cultures as above.

SCARLET 28 days at least and until 7 days Yes Yes FEVER a ll suppurating lesions are healed.

POLIOMYELITIS 21 days 14 days Yes Yes

CEREBRO- SPINAL Until Clinical recovery. 14 days or until 2 succes- Yes Yes MENINGITIS sive cultures f rom nose a nd t hroat a re reported n~g. Only possible when very close to Lab.

CHICKENPOX Unt.il a ll scabs at" off a nd No quarantine. No No until all lesions are healed.

MEASLES 10 days and until clinical 14 days No Yes recovery.

No RUBELLA 8 days No quarantine No

No No MUMPS 16 days and until a ll swell- No quarantine ing subsides.

No Yes WHOOPING COUGH 21 days 10 days

No Yes TYPHOID and Until Clinical recovery and No quarantine PARATYPHOID until 2 samples of stools a nd urine have been re- ported negative. Stools to be collected 72 hours apart following a cathartic dose of epsmn salts. J7j' IME presents problems to the pro­ W fessional fraternity ... Birks pre­ sent Time without problems ... Cased for men whose time is valuable. Doctor's Watch, stainless steel case, leather strap, Birks-Omega movement, with large second hand $35.00

Nationally Serviced

Henry Birks & Sons (Western) -Limited 314 8th Avenue West Calgary, Alberta.

DEPENDABLE As dependable as the quality and goodness of Union Milk is its appearance on the door­ step every morning • . . year in and year out. - A SERVICE YOU CAN RECOM­ MEND WITH CONFIDENCE I UNION MILK CO. LIMITED Phone M4686 We Invite You to Give Our Service a Trial---. Many doctors of Alberta have been using our services regularly for many years, with complete satisfaction to themselves and their patients. It is our desire to co-operate with the medical men of the province, and if you have not as yet given our service a trial, we invite you to take advantage of it when in need of Made-to-Order WALKING CALIPERS, LEG BRACES, SPINAL BRACES, CELLULOID CORSETS, ABDOMINAL SUPPORTS, CERVICAL SPLINTS, EXTENSION BOOTS, ARCH SUPPORTS, TRUSSES, ETC. Over twenty years of Practical Experience in the manufacture and Fitting of Prosthetic Appliances enables us to give Expert Attention to Your Requirements. PATRONIZE ALBERTA INDUSTRIES

Calgary Artificial Legs Are Widely Recognized as the Best COMFORT and CONTROL­ Giving Limbs on the Market Today. BECAUSE

BELT leg, for above-the-knee ampu­ tations, offers a new and vutl7 llUPerior method of suspension and control. Eliminates cumber10D1e 1houlder straps, gives freedom to shoulders, cheat and dlarhram. thus aiding correct posture and health ; and allows transfer of "muscle control" to limb, thua affording a measure of COMFORT and CONTROL impossible to achieve with the old st;vle of limb.

Our CUSIIlON SOCKET leg, for below-the-knee amputations, provides a unique CUSIDON for the bearing surface of the stump, over which the weight ia EVENLY distributed. thus eliminating undue pres­ sure on protruding bones, preventing sores, with their dangers of infection and FURTHER AMPUTATIONS and providing COMFORT such u the old .t;vle of eocket CANNOT give. Of particular advantage in new amputation casee where the stump must become ac...... tomed to bearing the weight.

Calgary Artificial Limb Factory 605 FIRST ST. EAST, CALGARY