1LLIGOIS

September, 1951

Citizenship Responsibilities of Medical Men

>

Unipolar Electrocardiography

and the General Practitioner

(See page 5 for Table of Contents)

Detail of the Labyrinthine Structure

"The prophylactic value of Dramamine was conclusively demon- strated among 170 passengers who volunteered the information AC that they were unusually susceptible to motion sickness. . . . There was complete relief (freedom from any signs or symptoms of airsickness) in 152 cases or 89.5 per cent;...." FC

—tTuttle, A. D.: Special Breakdown of Case Histories, presented at the Airlines Medical Directors Association Meeting,

New York, N. Y., Aug, 28, 1949. ?

DRAMAMINE® Brand of Dimenhyd:inate

For the prevention or treatment of motion sickness caused by auto-

mobiles, streetcars, ships, planes, trains and other vehicles.

Supplied in 50 mg. tablets and in liquid form.

INVE

SEARLE ="

RESEARCH IN THE SERVICE OF MEDICINE Disabil

; é P Entered as Second-Class Matter July 21, 1919, at the Post Office, Oak Park, Illinois, under the Act of March 8, a

Acceptance for mailing at special rate of postage provided for in section 1102, Act of October 8, 1917, authorized July 15, 400 Fir

1918. Office of Publications, 715 Lake Street, Oak Park, Ill.

TABLE OF CONTENTS

A indicates advertising section

SEPTEMBER, 1951 Vol. 100, No. 3

COUNCEL MEETING MINUTES ..ccccecsess 211

ORIGINAL ARTICLES Medical Men Their Citizenship Responsibility, C. Paul White, M.D., Kewanee .............. 17.

Unipolar Electrocardiography and_ the General

Practitioner. B. E. Malstrom, M.D., William Johnson, M.D., and E. G. Behrents, M_D., Gales- :

WARE ISoh f o-o AE RO ES Aa alae diss 8040 LENE SET 78

X-Ray Findings in Adult Urological Conditions. Paul R. atiese. ee; SCORE. . ...4.s va cs cee es 1

Corrosive Pyloric Stenosis, Ralph Gradman, M. D, AC S., Samuel T. Gerber, M.D., and Pocmnk Rais, PETA GINCATO sc vcrvesececvetenreneges

Established Use of the Antibiotics. PE OUWMNEE EER SERIGREO XS Sreiadis 00 05 5a Qe keine OES 192

The Lost Art of Diagnosing with the Eyes and Ears. Walter C. Alvarez, M.D., Chicago ...... 197

An Intramedullary Epidermoid Tumor, Case Re- port. Milton Tinsley, M.D., and Archibald D., WiC Og,. ae,” CUNCARG ~ 6. so. ewe ee tieet see

EDITORIALS

Planning for Emergency Medical Calls .......... 165

“Doc Schpeiter Dae esccccecivvess pengeeannte 166

WN IN Oise Ps ced pakcceaen rinceeonsd ees 74A

MEDICAL ECONOMICS

The Committee Seeks Advice ............0.0005 17]

The Counterpart of Hoarding ................... 172

CORRESPONDENCE

“Your Mental Hospitals’ The National Mental SONU FU VUNG ANE be 50 0 vines cr eansak Ne ebbaa 168

President's. Message to the Woman’s Auxiliary 1951-

69 Clinics for Crippled Children Listed for October . 169

Mississippi Valley Trudeau Society ............-- 170 Fiske Fund Prize Dissertation ........:ccccecees 170

Chicago Medical Offers Two Postgraduate Courses 170 PATHOLOGY CONFERENCES

Presentation of Three Cases. Edwin F. Hirsch, Chicago. Reticulum Lymphosarcoma Invasion of the Lung 203

Acute Caseous Tuberculous Pneumonia ...... 206 Savings tie: De 5. ogo s wo awa ees eccen 208 PHYSICAL MEDICINE ABSTRACTS ...... 52A NEWS QF. FH sr, wcuceccus ras Lancet nee

ACCIDENT - HOSPITAL - SICKNESS

INSURANCE

FOR PHYSICIANS, SURGEONS, DENTISTS EXCLUSIVELY

PHYSICIANS SURGEONS

DENTISTS

COME FROM

$5,000.00 accidental death $8.00 $25 weekly indemnity, accident and sickness Quarterly $10,000.00 accidental death $16.00 550 weekly indemnity, accident and sickness Quarterly $15,000.00 accidental death $24.00 37S weekly indemnity, accident and sickness Quarterly $20,000.00 accidental death $32.00 $100 weekly indemnity, accident and sickness Quarterly ALSO HOSPITAL EXPENSE FOR MEMBERS WIVES AND CHILDREN

Cost has never exceeded amounts shown.

85c out of each $1.00 gross income used for members’ benefit

$4,000,000.00 $17,000,000.00 INVESTED ASSETS PAID FOR CLAIMS

$200,000.00 deposited —— State of Nebraska for protection our members. Disability need hag oe “incurred in line of duty—benefits from eginning day of disability

PHYSICIANS CASUALTY ASSOCIATION PHYSICIANS HEALTH ASSOCIATION

10 49 years under the same management First National Bank Building OMAHA 2, NEBRASKA

Tested by TIME Proved by EXPERIENCE

He Finer

Jame iN

(ents coplives.

WHITTAKER LABORATORIES, INC. Peekskill, New York

ee

For September, 1951

sn’t this the picture

1 itol’ sodilati ermits Nitranitol’s safe, gradual, prolonged vasodilation p

hypertensives to resume more normal lives

What's more, therapeutic dosages of NITRANITOL can be maintained over long periods of time . . . without frequen!

checkups . . . without worry about possible toxic effects.

Is it any wonder that NITRANITOL is the universally pre:

‘Sa ‘tension: scribed drug in the management of essential hypertensio

New York ¢ CINCINNATI e Toronto

M : Il , Merre

PLA MED

Th medi been | societ out 1 popul provi

Th can

of the

and ning Th this ; phone SeTVIC Mei separa center are ke on we aftern paper when : cian. the na tation. himse!

For Se;

mits

an be

quent

ots.

ly pre:

‘a sion:

She

Harold M. Camp, EDITOR.

Vol. 100, No. 3

PLANNING FOR EMERGENCY MEDICAL CALLS

The responsibility of providing emergency medical service for the people of this country has been assumed in most areas by the county medical societies. The various plans developed through- out the United States vary according to the population and the size of the medical society providing the service.

The Council on Medical Service of the Ameri- can Medical Association has prepared a resumé

-of the plans of sixteen county medical societies

and published the material in a booklet ‘“Plan- ning for Emergency Medical Calls”.

The three general types of plans included in this material are: (1) Society operated tele- phone answering services, (2) Emergency Call services, (3) Privately operated services.

Mercer. County, Pennsylvania has set up separate systems in each of the four population centers in the county at the local hospitals. Lists are kept of all physicians willing to be on “call” on weekends and holidays, nights and Wednesday afternoons. The public is informed by news- paper advertisements to call their local hospital when they are unable to contact their own physi- cian. The hospital switch board operator gives the name and number of the physicians, in ro- tation. to the person calling, and the individual himself calls the physician. Each physician can

For September, 1951

ILLINOIS Medical 4 Se

Official Journal of the Illinois State Medical Society

Theodore R. Van Dellen, ASSOCIATE EDITOR.

EDITORIAL BOARD James H. Hutton, Chairman, Frederick H. Falls, Josiah J. Moore, Edwin M. Miller, Chauncey C. Maher, Harry Culver, Walter Stevenson, Raymond W. McNealy, Arkell M. Vaughn, Edwin F. Hirsch, Charles G. Farnum

September, 1951

go on or off the list as he desires the service is purely voluntary.

The Cincinnati Academy of Medicine has maintained a twenty-four hour telephone service for the benefit of the public since November 1933. The charge for the telephone service on a flat rate basis, costs the Academy $33.00 a month for three independent lines. This con- stitutes the maximum cost of the phone servi. except a little extra for keys and extensions. The physicians frequently will have the line “If no answer, call the Academy of Medicine, PA 2345” under their names in both the white and yellow sections of the telephone directory. ‘The physi- cian pays for this printing himself, but pays nothing to the Academy for handling calls for him. Every active member of the Academy automatically is listed as a user and subscriber to the Academy’s twenty-four hour telephone service without payment of anything extra.

The Medical Society of the District of Colum- bia has a telephone answering service which op- erates as a non-profit agency of the Society. The Medical Bureau offers two types of coverage listing service and telephone secretarial serv- ice. The listing service is on the basis “If no answer, call Medical Bureau”. The secretarial service consists of a private line connecting the physician’s offfice or residence with the Bureau and providing complete twenty-four hour cover-

165

age. When the physician wishes to transfer his calls, he throws a switch on his telephone and the call is automatically transferred to the Bureau. 'The fee for this service is $8.00 month- ly, payable every two months. In both the serv- ices there is a charge of five cents for each message over sixty per month in addition to the fee listed.

Other systems which are outlined include the setups in Cleveland, Toledo, Harrisburg, Mil- waukee, San Diego, etc. Emergency call services in San Francisco, Indianapolis, Detroit, Erie and Sharon, Pa., are outlined.

Privately operated services as established in Los Angeles, and Oklahoma City, are described in detail.

Among the 16 plans perhaps the solution to your local problems can be found. The im- portance of emergency medical call service can- not be stressed too often. Each society, no matter how small, should work out some means to provide emergency medical care for everyone at the time it is needed, without delay and with- out fail. This is one of the most important phases of public relations between the physician and his patients. By solving this problem at the local level contributes materially to the public relations picture at the national level.

Has your county medical society established such a program for the residents in your area?

“DOC SCHREITER DAY’”’

Savanna, Illinois honored Dr. Joseph B. Schreiter on Wednesday, August 8, the day being officially designated as “Doc Schreiter Day”. Dr. Schreiter, after graduating from Rush Medical College, came to Savanna to start his practice in 1896 and has practiced contin- uously in that city for the past 55 years. He was elected Coroner of Carroll County in 1900, which position he held for 48 consecutive years. He was commissioned as 1st Lt. in World War 1, was in France 22 months, and reached the rank of Major. He was later retired as Colonel.

Dr. Schreiter became interested in all com- munity activities, served as city health officer, member of the Board of Education, and was chief of staff of the local hospital. He is an cfficer in the Savanna Savings Building and Loan Association and also of the National Bank of Savanna. During his 55 years in the practice

166

Dr. Andy Hall, principal speaker and Dr. and Mrs. Joseph B. Schreiter as they appeared on “Doc. Schreiter Day.”

of medicine he has officiated at the birth of more than 4,000 babies.

The city of Savanna and surrounding territory participated- in celebrating the “Doe Schreiter Day” on Wednesday, August 8, starting with a parade in the downtown area, then a two-mile parade to the city’s Old Mill Park, where the afternoon program was presented. Luncheon was served to the many invited guests and there was free coffee for all. babies were present to pay their respects to their doctor. Among these was Wayne King, the “Waltz King’, who was in the parade and ap- peared as a speaker in the afternoon.

For the afternoon program, Dr. Edward C. Turner, Savanna, and one of Dr. Schreiter’s babies, acted as master of ceremonies. A number of distinguished guests were introduced who spoke briefly. Wayne King paid his respects to Dr. Schreiter and the medical profession in general for the fine work which has been done to alleviate human ailments, and lower mortality and morbidity rates.

C. Paul White, as President of the [Illinois State Medical Society, gave the felicitations and best wishes to Dr. and Mrs. Schreiter for the Society’s official delegates and the 10,000 in- dividual members.

Illinois Medical Journal

Many of Dr. Schreiter’s-

IM T

goin in a Hea

mun el.”

imm each men cauti Othe an e ocula icate Publ:

For §.

Mrs. reiter

more

itory eiter ith a -mile » the heon there

iter’s -

their ~ the 1 ap-

d C. iter’s mber who ts to n in ne to tality

linois s and r the 0 in-

he principal address was given by Andy Hall, Mt. Vernon, who had been invited to come 362 miles from his home to pay his respects to the physician he had known for many years, and like- wise convince a large audience that a mere 55 years of practice does not necessarily mean that a physician is on his way out. Dr. Hall, in his convincing manner, told of the many advance- ments in medical knowledge during recent dec- ades, improvements in vital statistics, and what might be expected in the future, if medicine is permitted to be carried on as a private enter- prise.

Business houses in Savanna were closed, so the managers and employees alike could be pres- ent to aid in honoring their number one citizen of the day. It was the general feeling as ex-

pressed by several speakers, that it is much better to honor a distinguished citizen while he is well and able to appreciate how highly his services were appreciated rather than to eulogize his memory after he is gone.

It was estimated that perhaps 3,000 people were present to hear the talks that warm after- noon, and it was quite obvious that everyone present was prompted by their high regards for the physician who has been their friend for so many years,

The Council of the Illinois State Medical Society had named the President, C. Paul White ; Chairman of the Council, Charles P. Blair; Councilor for the 1st District, Joseph S. Lund- holm; Vice President, J. Howard Maloney; and the Secretary-Treasurer, Harold M. Camp, as official delegates, and all of this group of officers were present.

The City of Savanna should be complimented for setting aside one day to honor a physician who had given good service over a long period of years, and who still enjoys good health. The business district was well decorated, and as it was stated in Savanna that day, everything was closed except the post office and the railroad station.

IMMUNIZATION FOR TRAVELERS

The latest facts on immunization for travelers going to every section of the world are detailed in a booklet just released by the U. S. Public Health Service. The title of the booklet is “Im- munization Information for International Trav- el.” It includes official information on the immunizations required and recommended by each country and the immunizations recom- mended by the Public Health Service as a pre- cautionary measure for persons traveling abroad. Other items of importance to the traveler include an explanation of the procedure for having in- culations recorded on the International Certif- icate of Inoculation and Vaccination; a list of Publi Health Service facilities where vellow

For S-ptember, 1951

fever inoculations can be obtained; and maps showing the yellow fever endemic areas of the world.

All changes in immunization requirements made after the publication of this booklet will be given in the weekly “Communicable Disease Summary,” released by the Public Health Serv- ice, under the heading “Quarantine Measures.” Travelers can obtain this information from local and State health departments.

The booklet may be purchased from the Super- intendent of Documents, Government Printing Office, Washington, D. C. for 20c a copy. A twenty-five per cent discount is allowed on orders of 100 copies or more delivered to the same ad- dress.

‘““YOUR MENTAL HOSPITALS” THE NATIONAL MENTAL HEALTH ACT

At the last legislative session a bill was passed which was signed into law designating the Illi- nois Department of Public Welfare as the mental health authority for the State of Illinois. As the mental health authority, the Department of Public Welfare will .dispense funds which are granted to the State by federal appropriation. This year the funds will amount to approximately $160,000 and, as in the past three years, this will be expended for mental health education, out- patient psychiatric clinics, and training of psychiatric personnel. An advisory committee on National Mental Health Funds was appointed by the Illinois Department of Public Welfare, consisting of the following: Dr. Paul Hletko, Chief Medical Officer, Department of Public Welfare; Mrs. Margaret Platner, Psychiatric Social Service; Representative Bernice T. Van der Vries, Illinois Society for Mental Hygiene ; Dr. David Slight, Mental Health Clinics; Dr. F. G. Norbury, Illinois State Medical Society ; Dr. Donaldson F. Rawlings, Illinois Department of Public Health; Dr. Groves B. Smith, Super- intendent, Beverly Farm Home and School, God- frey, Illinois; Dr. Louis Jacobs, United States Public Health Service; Mr. Ray Graham, Di- rector, Education of Exceptional Children, Of- fice of Superintendent of Public Instruction ; Mr. Bertram L. Smith, Institute for Juvenile Re- search Advisory Board.

168

CORRESPONDENCE

In addition to the advisory board, a committee of consultants were appointed consisting of: Dr. Lewis Pollock, Chairman of Department of Nervous and Mental Diseases, Northwestern Uni- versity Medical School; Dr. Nathaniel F. Apter, Professor of Psychiatry, The University of Chi- cago School of Medicine; Dr. Francis J. Gerty, Head of Department of Psychiatry, University of Illinois College of Medicine; Dr. John H. Madden, Chairman, Neuropsychiatry, Loyola University School of Medicine; Dr. H. H. Garner, Department of Nervous and Mental Dis- eases, Chicago Medical School.

Several meetings of the advisory committee have been held to formulate plans and consider requests for funds from various psychiatric clinics throughout the State.

In addition to the above clinics, the Illinois Department of Public Health and the Illinois Department of Public Welfare will use part of the money available for the training of qualified psychiatric social workers and other individuals in the field of mental health. A certain amount of money will also be available to foster pre- ventative and educational activities in the field of mental health. It is hoped that by this com- bined approach, Illinois will forge ahead and ex- plore new avenues in the entire field of mental health.

George A. Wiltrakis, M.D. Deputy Director

Illinois Medical Journal

PRESIDENT’S MESSAGE TO THE WOMAN’S AUXILIARY 1951-1952

During the Vacation Season many have tried their luck fishing, others have been mountain climbing, still others motored here and there and enjoyed themselves in their favorite forms of rec- reation.

Now that our Vacations are over, let us give back to humanity some of the accumulated energy in service to our Auxiliary and the Public. We want to make this a record year for our organi- zation. I have felt for some years that we need pay more attention to Ethics. We might read and study about this for months without effect, for it’s something that we must feel and live, in other words, it must come from the heart, for the basis of Ethics is courtesy; kindness; unselfish- ness; honesty; sincerity and justice, and no group can succeed “With flying colors” without using many, if not all of these factors. How can we attain these qualifications? By practicing them in our everyday lives; in our homes; during our shopping; riding on a crowded bus; streetcar or train; driving an automobile and in everything we do.

As we start another year may we as members realize the influence that we have in the adjust- ment of some of the vital problems of this ever changing world. Let us take what knowledge we have and use it. There has never been such atime as this. Let us try to have misunderstand- ing replaced with understanding and distrust re- placed with trust. May there be no shadows ; Let the candles burn brightly, leading us on.

An important point to keep in mind always is the fact that the Woman’s Auxiliary, at all three levels, National, State, County, is one organization with one main program to follow. This program is given to us by the American Medical Association. The main fields are Pub- lie Relations, Nurse Recruitment, Legislation, Promote the sale of Today’s Health, Civil De- fense, Bulletin. Every member should be a subscriber, it’s our “workbook”.

Here in Illinois we have our own Benevolence. You have been most generous in previous years and I am hoping for a continued support. We now have our own Auxiliary news, remember this is your edition. Help us make it an out- standing publication. We will welcome sug- gestions. As you perhaps know the Auxiliary is increasing each year in numbers, but Growth is

For September, 1951

not in numbers alone; what have we contributed individually? A parent takes pride in the devel- opment of its child; so our Auxiliary takes pride in the development of its members. As your President for the coming year I realize fully the position which calls for courage, thoughtful choices and the will to follow through, with the kind thoughts of Auxiliary members and the ever helpful Chairmen and Officers and Coun- cilors and the sound Council of our Advisory Committee, I will do my best to carry on, re- membering always the President is a servant of all.

Mrs. James M. McDonnough, President Woman’s Auxiliary to the I]linois State Medical Society .

CLINICS FOR CRIPPLED CHILDREN LISTED FOR OCTOBER

Twenty-four clinics for Illinois’ physically handicapped children have been scheduled for October by the University of Illinois Division of Services for Crippled Children. The Division will conduct 19 general clinics providing diag- nostic orthopedic, pediatric, speech and hearing examination along with medical social and nursing services. There will be 4 special clinics for children with rheumatic fever and 1 for cerebral palsied children.

Clinics are held by the Division in cooperation with local medical and health organizations, both public and private. Clincians are selected among private physicians who are certified Board mem- bers. Any private physician may refer or bring to a convenient clinic any child or children for whom he may want examination or may want to receive consultative services.

The October clinics are:

October 3 Joliet, Will Co. TB Sanitarium

October 3 Alton, Alton Memorial Hospital

October 9 Peoria, St. Francis Hospital

October 9 E. St. Louis, St. Mary’s Hospital

October 10 Hinsdale, Hinsdale Sanitarium

October 11 Cairo, Public Health Building

October 11 Springfield, St. John’s Hospital

October 11 Elmhurst (Rheumatic Fever), Memorial Hospital of DuPage County

October 12 Chicago Heights (Rheumatic Fever), St. James Hospital

October 16 Danville, Lake View Hospital

October 16 Pittsfield, Illini Community Hospital

October 17 Chicago Heights, St. James Hospital

October 18 Rockford, St. Anthony’s Hospi- tal

October 18 —- Litchfield, St. Francis Hospital

October 23 Peoria, St. Francis. Hospital

October 23 Flora, Clay Co. Memorial Hos- pital

October 24 Elgin, Sherman Hospital

October 25 Mt. Vernon, Masonic ‘Temple

October 25 Normal, Brokaw Hospital

October 25 Glenview, Village Hall

October 26 Chicago Heights (Rheumatic Fever), St. James Hospital

October 30 Effingham (Rheumatic Fever), Douglas Township Building

October 31 Springfield (Cerebral Palsy), Memorial Hospital

October 31 Aurora, Copley Hospital

MISSISSIPPI VALLEY TRUDEAU SOCIETY

The annual meeting of the Mississippi Valley Conference on Tuberculosis and the Mississippi Valley Trudeau society will be held October 4, 5, and 6 in Chicago at the Sherman hotel.

The two groups will meet jointly on Thursday for the opening of the meeting and a_ public health session. The subject of the Friday morn- ing Trudeau session will be “A Study of Cases Coming to Pulmonary Resection Including Medi- cal, Roentgenological, Surgical and Pathological Features,” by Drs. J. W. Gale, A. R. Curreri, D. M. Angevine, and L. W. Paul.

At the Friday afternoon session, Dr. Sol Roy tosenthal will speak on “Immunization with BOG,” and Dr, John Skavlem will discuss “Pathogenesis of Tuberculosis.” Following these, “Patient Education Regarding Tuberculosis” will be diseussed by Miss Elizabeth Kennedy, R.N., Miss Lois Plaunt, R.N., and Dr. M. C. Thomas.

The final session, Saturday morning will in- clude the following topics: ““Management of the Silicotic Patient”; “Crushing Injuries of the Chest”; “The Rationale of Early Surgical Ap- proach to Osseous Tuberculosis and Its Compli- cations” ; “Genito-Urinary Tuberculosis” ; “Wid- ening Front in the Treatment of Tuberculosis”. Speakers wil) be: Dr. Frank Princi, Cincinnati, Onio; Dr. N. K. Jensen, Minneapolis, Minn. :

Dr, Edward T, Evans, Minneapolis, Minn. ; Dr.

170

William Baum, Ann Arbor, Michigan and Dr, James J. Waring, Denver, Colorado.

All interested physicians are invited to attend the sessions.

Dr. W. J. Bryan, Rockford is president of the Conference and Dr. D. F. Loewen, Decatur is president of the Trudeau society.

FISKE FUND PRIZE DISSERTATION

The Trustees of the Caleb Fiske Fund of the Rhode Island Medical Society announce the following subject for the prize dissertation of 1951: “The Present Status Of Adreno-Cortical Hormone Therapy Its Uses And Limitations.”

For the best dissertation a prize of $200 is offered. Dissertations must be submitted by December 2, 1951, with a motto thereon, and with it a sealed envelope bearing the same motto inscribed on the outside, with the name and ad- dress of the author within. The successful author will also agree to read his paper before the Rhode Island Medical Society at its Annual Meeting in May, 1952. Copy must be type- written, double spaced and should not exceed 10,000 words. For further information write the Rhode Island Medical Society, 106 Francis Street, Providence 3, Rhode Island.

CHICAGO MEDICAL OFFERS TWO POSTGRADUATE COURSES

The Chicago Medical Society continues its postgraduate program by offering two courses of a complementary nature during October. The first, Endocrine and Metabolic Diseases, is sched- uled for the 15th to 19th and the second, Ob- stetrics and Gynecology, the 22nd to 26th.

The registration fee of $60 includes mid- morning and mid-afternoon refreshments. and one dinner meeting.

With an outstanding faculty, and an unusually comprehensive program, these courses will appeal to all physicians, and since each course is limited to 100 participants, early registration is advised.

A complete program may be had by writing Chicago Medical Society, 86 E. Randolph St., Chicago 1, Illinois, Checks covering registration may be sent to the same address and should be

made out to the Society.

Illinois Medical Journal

phy cial indi

Toat

mitt The mont Thro the kept

For s.

Dr. tend

f the ir is

N f the the n of ‘tical ons.” )0 is 1 by and notto 1 ad- ithor the mual type- ‘ceed write ANCis

tion

1 be

MEDICAL ECONOMICS

The Medical Economics Committee. Chauncey C. Maher, Chairman, John R. Wolff, Co-

Chairman, Edwin F. Hirsch, Carroll Birch, Hubert L. Allen, Frederick W. Slobe, Edward

W. Cannady, Ford K. Hick, W. Robert Malony, Roland R. Cross, Alfred P. Bay, Frederic T. Jung.

The Committee Seeks Advice

During the depression years of the early ‘30’s when the New Deal policies were initiated, each physician became acutely aware of how economic trends and government planning were effecting the practice of medicine. The development. .of welfare agencies within the federal government, in the state, county and city, all presented hither- to unknown problems concerning the patient- physician relationship. The trend toward spe- cialization, the subjects of preventive medicine, industrial medicine, group practice, and the in- roads made by the government into the practice of medicine were avenues of new thought to the

busy doctor. Our friend, Dr. Edwin 8. Hamilton of Kanka-

kee, was alert to these problems and envisioned the necessity of disseminating information to the doctors in the state on these vital economic prob- lems. In 1934, the officers of the State Medical Society appointed a “Medical Economics Com- mittee.” Dr. Hamilton served as the Chairman. The purpose of this committee was to provide monthly articles on economics in this Journal. Through the untiring efforts of Dr. Hamilton,

the committee served the Society well. We were

Kept up-to-date on the multitude of changes

For September, 1951

occurring in the economic aspect of medical

practice. Dr. Hamilton continued his excellent work through most of the war years.

In 1944 Dr. Rollo K. Packard of Chicago be- came Chairman of the Committee. He continued the good work, and in 1945 was succeeded by Dr. Chauncey C. Maher of Chicago. Dr. Maher stimulated the committee to continue the publi- cation of timely articles. Voluntary health in- surance programs, the Beveridge report, the Wagner-Murray-Dingell bills for compulsory health insurance, the relationship of the path- ologist, radiologist and anesthetist to the hospital and the patient, and many other problems of current importance were discussed in this forum.

Now a new committee has been formed and a new chairman appointed. Your new committee is greatly indebted to its prodecessors for having established the tradition of preparing articles on subjects of interest to all doctors, Each physician has been aided by the fine work: ac- complished by former Medical Economics Com- mittees. The responsibility to you is“well rec- ognized, and the tradition shall be carried on.

Your new committee enters its activities with

a humble realization of what has gone before

and a hope for a productive future. It is our desire to prepare worthy reports on subjects of interest to the physicians of Illinois. The sub- ject of medica) economics is a very broad one, Essentially anything that helps to better the care of the patient improves the economy of the patient and the doctor. We shall endeavor to

discuss such matters with you. We have now under way discussions on emergency and night

calls, anesthesiology as a specialty, opportunities for service in state mental institutions, country practice, group practice, women in medicine, and doctors in insurance work,

Your committee welcomes suggestions and criticisms from you. We want to help you with your economic problems. Write us, talk to us frankly and freely, and we will do our utmost to

serve you well.—J.W.

The Counterpart of Hoarding

‘he American public has been wel) indoctri- nated with the idea that hoarding is bad. Hoard- ing is now firmly associated in the American mind with the idea of profiteering. These are, however, negative ideas. It is urgent that they be supplemented by something positive. The economy of the United States has survived what- ever strains it may have suffered during the flurry of buying last summer. The time is ripe for the development of a program of economiz- ing, storing, stock-piling, provisioning, preserv- ing, or whatever else on wishes to call the posi- tive, constructive, and necessary counterpart to hoarding. Some aspects of this problem impinge directly on the broad subject of public health. Others, as will appear below, have an equally direct bearing on the subjects of medica) econom- ics and emergency medical service.

One of the most immediately urgent needs in the event of a large-scale disaster is water clean enough for drinking and washing. ‘There are two reasons for this: the possibility of failure of water-pumping systems (especially in large cities and in high buildings), and the possibility of radioactive contamination of such reservoirs as Lake Michigan, Large segments of the popu- lation are scarcely aware of the fact that depri- vation of water is a much more serious emergency for the human body than is deprivation of food. Every family unit should have a non-leaking, non-corroding clean, covered metal receptacle containing 48 hours’ supply of water in a pro- tected but accessible place.

172

A second most urgent need is an ample supply of necessary foodstuffs in accessible places. A central storehouse can hardly be called accessible when delivery systems break down, private auto- mobiles cannot be run for lack of gasoline, and frantic people have to spend hours of time (which is at least as valuable in wartime as in peace time) waiting in line for the inspection and punching of ration cards. In this respect the government of Switzerland has set a most ad- mirable example. Each household must be stocked with at least two months’ supply of basic foods, and people who need a loan to fi- nance this arrangement can obtain one at low rates of interest. The American government might well go further than this. Using data available to the Department of Agriculture it would be easy to release, each week, a list of those food supplies that happen to be abundant and whose purchase is advisable. These weekly statements could point out the types of foods that are most easily stored or preserved and which lend themselves most readily to the prep- aration of balanced diets. It is still not gen- erally appreciated that some easily kept and valuable foods, like sugar, may be pernicious in a diet if not balanced by other food stuffs, espe- cially those containing nitrogen. The American public, perhaps the best nourished on earth, has been inclined to feel that fussing about calories

and vitamins is something for professors and

over-solicitous mothers; people need to be awak- ened to the fact that in wartime the avitaminoses

Illinois Medical Journal

AN

gener; Willia like ti as wh “Tt

of the time i eviden or his public him!

the sp and ft:

For Sey

n0ds and rep- gen- and s in spe- ican

has ries and wak- 108eS

urnal

become stark realities. For years the Depart- ment of Agriculture has printed information on subjects ranging from the best recipe for pretzels to the optimum cooking temperature for Brus- sels sprouts. Now, by all means, is the time to come forward with simple, concrete directions for the best foods to store and the optimum methods of storage. , Finally, there is need for instructions regard- ing first aid supplies in the home. The need for these has recently been emphasized by reflec- tions on the Cocoanut Grove disaster in Boston, where the city’s hospitals were found scarcely able to cope with a number of casualties that seems infinitesimal compared with the number that resulted from the single atomic explosion over Hiroshima. It is obvious that every house- hold must contain some resources for medical self-help. The publicity given to the use of plasma, while advantageous in some respects,

has built up in the popular mind a pathetically exaggerated faith in the virtues of plasma trans- fusion, and the mental picture engendered by a reading of newspapers and magazines is that of a blast victim gracefully waiting, with only a

slightly haggard expression on his face, for the

arrival of a neatly uniformed team of rescuers

with a flask of plasma. It is time that this no-

_ purposes sterile.

tion was offset by a reminder that the patient may not need either plasma or cigarettes so much as a drink of clean water.

Likewise a survey of first aid kits reveals a distressing predominance of useless antiseptics, cathartics, headache tablets, and proprietary remedies for stomach ache. Again, this should be corrected by emphasis on the usefulness, the supreme importance perhaps, of simple materials for dressings. Many housewives do not appreci- ate the fact that the domestic flatiron, whether electric or otherwise, is a remarkably efficient sterilizer, and that clean pieces of cotton or linen cloth, properly folded during and after the

ironing, and properly stored, are for practical Moveover, they are usable for

a great variety of purposes as swabs, pads,

packs, bandages, tourniquets, slings, and cover- ings for less washable bedding.

There have been complaints about the appar- ent apathy of the American public in the present situation. This state of mind can result from preoccupation with negative ideas like that of hoarding. It can be corrected by the inculcation of positive ideas and simple plans for action. A well-planned program of provisioning for Ameri- can homes will give everyone a greater feeling of security.—F.T.J.

AN OLD STORY

.. -My own belief regarding the position of the general practitioner was so ably stated by Sir William Osler nearly 50 years ago that I would like to quote his words, which are as true today as when they were written :

“Tt is amusing to read and hear of the passing of the family physician. There never was a time in our history in which he was so much in evidence, in which his prospects were so good or his power in the community so potent. The public has even begun to get sentimental over him! He still does the work; the consultants and the specialists do the talking and the writing,

and ivke the fees! By the work, I mean that

For September, 1951

great mass of routine practice which brings the doctor into every household in the land and makes him, not alone the adviser, but the valued friend. He is the standard by which we are measured. What he is, we are; and the estimate of the pro- fession in the eyes of the public is their estimate

of him. A well-trained, sensible doctor is one

of the most valuable assets of a community, worth today, as in Homer’s time, many another man. To make him efficient is our highest am- bition as teachers; to save him from evil should be our constant care as a guild.” Excerpt: Keeping Abreast of Medical Progress, Wallace M. Yater, M.D., Washington, D..C., Pa, M.'J.,

May, 1951.

ORIGINAL

ARTICLES

/

Medical Men Their Citizenship Responsibility

C. Paul White, M.D., President, illinois State Medical Society Kewanee

In choosing this subject as the caption of my remarks this evening, I am not unmindful of the danger of being accused as a dictator, or of in- vading an individual’s right to form his own opinions in controversial questions affecting citizenship.

Let it be understood in the very beginning that such is not my purpose, but rather am I concerned only with presenting certain historical facts and traditions, comparing these with our present day pattern of living and thinking in order to understand this modern era of govern- ment planning, and</