Texas Osteopathic Physicians Journal Volume 9,

Transcription

1 Universiy of Norh Texas Healh Science Cener UNTHSC Scholarly Reposiory Texas Oseopahic Physicians Journal Special Collecions Texas Oseopahic Physicians Journal Volume 9, Number 5 Texas Oseopahic Medical Associaion Follow his and addiional works a: hp://digialcommons.hsc.un.edu/opjournal Par of he Oseopahic Medicine and Oseopahy Commons Recommended Ciaion Texas Oseopahic Medical Associaion, "Texas Oseopahic Physicians Journal Volume 9, Number 5" (1952). Texas Oseopahic Physicians Journal. Paper 117. hp://digialcommons.hsc.un.edu/opjournal/117 This Aricle is brough o you for free and open access by he Special Collecions a UNTHSC Scholarly Reposiory. has been acceped for inclusion in Texas Oseopahic Physicians Journal by an auhorized adminisraor of UNTHSC Scholarly Reposiory. For more informaion, please conac Tom.Lyons@unhsc.edu.

2 STEOPATHC PHYSCANS Volume X FORT WORTH, TEXAS, SEPTEMBER, 1952 Number 5 Page Managemen of Facial Laceraions Presiden's Commission on Healh Needs of Naion 3 Washingon News Leer 8 Oseopah Praises Care Given in Texas Hospials lniuries of he Hand 3 Auxiliary News 24 News of he Disrics 25

3 TEXAS ASSOCATON OF OSTEOPATHC PHYSCANS AND SURGEONS OFFCERS Dr. Elmer C. Baum, Pre~ aden, Ausin, Texas Dr. Samuel F. Sparks, mmedaac Pas Presiden, Saan, Texas Dr. M rlc Griffm, Presiden Elec, Corpus Chrasi, Tcxa!i Dr. D. D. Beyer, Vicc-Prcsadc. n, For Worh, Tc,as Dr. Phil R. Russell, Execuive Secreary, For Worh, Te,as BOARD OF T R USTEES Dr. R. H. Peerson, Wichia Falls, Texas Dr. Sherman P. Sparks, Rockwall, Texas Dr. Wayne M. Smih. Jacksonville, Texas Dr. A. L. Garrison, Por Arliur, Texas Dr. Rober J. Brune, Corpus Chrisi, Texas Dr. J. R. Alexander, Houson, Texas Dr. Lige C. Edwards, San Anonio, Texas Dr. M. G. Holcomb, El Paso. Texas Dr. T. D. Crews, Gonzales, Texas HOUSE OF DELEGATES Dr. Rober H. Lorenz, Sp( aker, Dallas, Texas Dr. D\\. igh H. Cox, Vice-Speaker, Hedley, Te::\.as COMMTTEES DEPARTMENT OF PROFESSONAL AFFARS DR. ROBERT E. MORGAN. Chairman A. BUREAU OF PROFESSONAL DEVELOPMENT: DR. WAYNE M. SMTH, Chairman 1. Professional Educaion 2. Ehacs 1 Meeings (a ) Program (b) Facahles (c) Exhibiors 4. College Liaason 5. Saascs and Locaions B. BUREAU OF ORGANZATONS: 1. Membership Sae 2. Membershap A.O.A. 3. Membershap nsurance 4. Edorial ') Charers 6. Conc;auion and By-La\\ S A. BUREAU OF PUBLC HEALTH : 1. Una Conac Sae 2. Una Conac A.O.A. 3. Sae E"ecuave Dcpo;. 4. Sae Dep of Healh Dr. Glc. nn R. Sco, Chairman Dr. Rober J. Brune, Chairman Dr. Willis L. Cre\\S, Chairman Dr. A. L. Garrison, Chairman Dr. Gordon S. Beckwih. Chairman Dr. Phil R. Russell, Chairman Dr. H. H. Edwards, Chairman Dr. Daniel D. Beyer, Chairman DR. ROBERT J. BRUNE, Chairman Dr. Rober H. Lorenz, Chairman Dr. Wm. H. Van de Grif, Chairman Dr. Milon V. Gafney, Chairman DEPARTMENT OF PUBLC AFFARS DR. C. RAY NELSO!':, Chairman Dr. Phil R. Russell, Edior ~ sk Dr. A. Ross McKinney, Chairman Dr. R. H. Peerson, Chairman Dr. Evere W. Wilson. Chairman Dr. Evere W. Wilson, Chairman Dr. Phal R. Russell, Chairman Dr. Sam F. Sparks, Chaarman Dr. L. C. Ed'' ard!., Chairman Dr. Sanley E. Hess,.Jr. B. BUR EAU OF PROFESSONAL AND PUBLC WELFARE: Dr. George J. Luibel, Acang Chairman 1. '!'\c,, spapers 2. Speakers 3. Vocaional Guidance 4. Educaaonal Leraurc c;. 0-.eopahic Pro~re ss Fund 6. Organazaaonal Conacs (a) Labor (b ) ndusries (c) nsauional 7. Radao C. BUREAU OF NSURANCE:. Ho-.paal 2 Compc. nsaaon 3. Lafc 4. Group Jn,uranc 1. Publac: Gral'\ancc 2. Emcrgl ny Dasa.,>r 3. Cnmmare on Sae Offacc 4. S l c:i\ c Sen ace 5. \''cran' AHaars 6. Bur au of ConH naonc; Chairman Dr. H. G. Grainger, Chaarman Dr. Wiley B. Rounree, Chairman Dr. Carl R. Sraon, Chairman Dr. Leser J. Vack. Chaarman Dr. Roy B. Fisher, Chairman Dr. Joseph L. Love, Chairman Dr. Henry A. Spvcy, Chairman Dr. R. 0. Brennan, Chairman Dr. Charlrs Sill, Jr., Chairman Dr. Milon V. Gafney, Chairman Dr. Gordon S. Beck" ih, Chairman Dr. Merle Griffin, Chaarman Dr. Walers R. Russc. ll, Chai man Dr. Earle H. Mann, Chairman UNASSGNED COMMTTEES Dr. G( orgc F. Peasr. Chairman Dr. V..Ma L opold, Dr. R. B. Beyer Dr. Sh rrnan P. Sparks, Chaarman Dr. J. R. Ale,and r, Chairman Dr. Rober E. Morgan, Dr..J. Franc:is Bro\\ n Dr. John B. Donovan, Chairman - Dr. ra F. Ken,ood, Chaarman Dr. J. R. Alc::\..andcr, Chaarman Dr. J. Francis Bro\\ n, Dr. Les'r L. Hamrlon

4 OU naf OFFCAL PUBLCATON OF THE TEXAS ASSOCATON OF OSTEOPATHC PHYSCANS AND SURGEONS PUBLCATJO ~ OFFCE: 1837 HLLCREST FORT \XORTH, TEXAS EDTOR. DR. PHL R. RUSSELL ASSOCATE EDTORS: DR. J. W. MCPHERSON. OR. K. E. ROSS. DR. GEORGE LUBEL ADVERTSNG RATES UPON REQUEST. ALL ADVERTSNG CUTS TO BE SENT WTH COPY \'ol ME X FORT WORTH, TEXA NUMBER 5.. l\1anagemen of Facial Laceraions By JEROME ARNOLD FNER, D. 0. One n1us ahvays remember in handling facial laceraions ha he end cosn1eic re ul \\'ill aain eiher praise or criicisn1 from laymen \vho readily lend heir comn1ens. K eeping in n1ind ha he paien bears \viness o hese con1mens hroughou life, one realizes he imporance of his raher simple n1inor surgical procedure. Undoubedly he general praciioner 1n rural areas does more of his ype emergency work han he urban physician whose paiens are usuallr aken o he hospial emergency room. Graned such o be he case i is herefore a necessiy for he-e physicians o acquain hemselves \vih a echnic ha \vould be applicable for an office procedure. 1 o aemp \vill be made in his paper o di cuss oher raumaic facial injuries e. g., conu ~i ons, abrasions, avulsions, ec. The e are considered a differen eniy and managemen hould be \vrien a a eparae reaise. a. H crnorrhage..., n DCC of facial laceraion- pa ing hrou h our emergency room, he bleedin i conrolled by he phy-iologic cloing nechani n1. n he presence of fr nk hemorrhage, pre--ure may be applied o iniiae hemo asis. f bleed ng hen per-i mo-quio cun ed kelly hemo a... hould be employed o grasp he bleeder and he Yes el lil!aed wih._, pemher No. 4-0 plain suure. Under no circun1- sances, should a hemosaic subsance e. g. (hemopack, oxycel, gelfoan1) be inerposed beween he incised edges. b. \\'ound Preparaion niial anisepsis wih sainless n1erhiolae irrigaion should be insiued preparaory o local anesheic infilraion. The anisepic of choice is a soluion of merhiolae 1 : 1000 \\'hich \vill cause he paien minirnal discomfor due o is non alcoholic properies. The local aneshesia is hen effeced wih a 1,..f: soluion of procaine hydrochloride using 5 cc. luer lock syringe wih a 24 gauge 1 V 2 " needle. The needle is hen insered and procaine injeced beneah he incised edge abou he periphery of he wound raher han o cause he producion of muli pie cuaneous puncures. Care n1us be aken no o over infilrae and cause issue disorion wih he re ulan malalignmen of skin edges.!for example, his problem exiss \\'hen infilraing he arseolar issues abou he eye. \X'ih he aneshesia no\\' complee, any hair presen is shaved and a horough clean ing is permied v. ih incure of green soap, saline ]a, age and incure merhiolae 1:1000. Anr debridemen if necessary hould hen be con en'ai\ ely done, also a horough probing of he \\ ound is no o be Page 1

5 negleced if one suspecs any foreign body o be embedded. c. Sururing Technic The axiom, "a man is only as good as his ools" can no be over en1phasized in he reanen of facial laceraions. Many fauly repairs have been he direc resul of a poor choice of in~runens. Wih his in mind, a mosquo needle holder and eye fixaion forceps are he insrumens of choice. The suure maerial should consis of No. 4-0 or No. 5-0 black silk on an araumaic cuing needle. nerruped maress ype suures are now placed in he skin. Spa: ings of lcm. beween he su~u~s. 1s usually sufficien. n order o mnmze he eversion of he skin margins, one should place he suure immediaely below he dermal layer. The suure is o be ied firm bu no igh for danger of a slough is always presen. d. Dressings and Afer Care Upon compleion of he suuring, he laceraion is sponged wih 1: 1000 ineure of merhiolae. f he paien is o remain non-ambulaory, serile gauze squares held in place by :oiler banda~e may be applied. A 10r r warm bone acid soluion is applied direcly o he wound hrough he bandages a hree hour inervals. Wih he paien remaining ambulaory and coninuing his daily rouine, a serile vaseline gauze square held secure by elasoplas (Duke Laboraory) will suffice. Teanus Anioxin when indicaed is now given. The applicaion of sulpha crysals or powder is conra-indicaed in he managemen of hese condiions, for we n1us avoid excessive granulaion and scarring for cosmeic reasons. Anibioics, if indicaed, may be given by oher roues. n fory-eigh hours every oher suure is removed ~nd he remaining suures are o be removed he following day or seveny-wo hours afer he repar. n renoving he suures, a pair of small scissors and humb forceps are o Page 2 be employed. Excellen resuls hus ~ar ( aained may be compleely los wh careless removal of he suures. A small mediplas (Duke Laboraory) dressing is now sufficien. n he presence of any disconinuiy of issue, incure of benzoine is applied on eiher side of he wound and he issue is reapproximaed wih flame adhesive sraps. The adhesive is hen removed when adequae healing has aken place. Wihin wo o hree weeks, cocoa buer may be lighly massaged wih he finger ips over he cicarix o produce a local eryhema and sofening of he issues involved. Conclusion The five facors considered fundanenal in nanaging facial laceraions are: 1. Anisepsis 2. Adequae aneshesia 3. Proper insrumens and fine suure maerial 4. Good skin approxiinaion 5. Early renoval of suures Announcemen Of Basic Science Examinaion The Texas Sae Board of Exan1iners in he Basic Sciences announces ha he nex exam has been se for Ocober 17 and 18. Applicaion blanks and informaion may be obained by wriing o he office. of he board, 407 Perry-Brooks Budding, Ausin, Texas. To be eligible for he exam, he applicaion nus be compleed a week before he exam dae. The exam will be given in Ausin and in Galveson, Texas, and each applican may have his choice. HENRY B. HARDT Presiden Texas Sae Board of Examiners in he Basic Sciences Sepember, 1952 \Vl

6 '"' ashingon 1 e'vs Leer Presiden s Commission on H ealh Needs of he N aion By n\ a a on of he Presaden\ Conln1a~saon on Healh Needs of he Naion. Dr Ale~ander Le' 1, Chaun1an, AOA Bureau of Re..,earch. ~ en ed as a n1en1ber of he Comn11~~ on s Joan Panel on Re!)ear h and Educaion o Ph}!) Clan~. Deniss, Nur-.,e::, and Para-n1ed1al Per..,onnel \\ h!ch n1e n \X'a'>hngon oda} H1.., recon1n1enda10ns were 1. Tha he Naonal n!)aues of Healh and he Na ronal Suence Foundaon ~un ey he '>uden body n he o-.,eopahic and oher healh ranang n-,iuron::, or ds CO\ enng, nurunng and finanuall} adang suden-., "ho gve pron11..,e a!) suenfic 1nves1gaor-;. 2 Tha en1por.uy publk finanual as~ a sance be nude a\ adable o 1 nsluaons rainng oseopahic phys1uan~ and surgeon-,, 3. Tha Arn1ed Forces and \ 7 eerans Adn11 nj'>raron hospaab and oher ax-suppored hospals be n1ade a\ alable for nern ranng and resdenq r;llnng o o~eopahk graduaes. 4. Tha he publk requare ha all ax-::,uppored hospials be open o ~en Ke of all rnen1ber!) of he publk b) he paien'~ choace o praioners "ho ~~ adequae!} raned n ho~pal proledure and duly lacen::ed o prace, - Tha o~eopaha represenaon on hea[h ad' ~ory con1n1aees a all go' crnn1en le' eb be ncluded for.ull uahza1on of oseopahc re~ource~ The Con1m~son has ~heduled publc heanng-., an egh c&le' (Phaladelpha, Aug ll, Dallas, Aug. 1 S, Ralegh, Aug 25, 11nneapol~~ Sep J, S. Lous. Sep 15, Cle\ eland, Sep 22, De ro, ~Lp 2 ~, San Franc so. Sep 29) for gnb~ roob con1cnen on. 1. Curren ~horage' n healh per~onnel, 2 The adequacy of local publll healh un!), 3 The pre"en ~aus and adequaly of n1edcal re... earch. 4 The degree o "'h ch hospals and d 1n1-, n1ee ex~ang needs, ". The exen o whch people are able o afford adequae n1edcal care, wh parcular reference o pre!)en healh Jn-,ur.lnce plans and her adequ.1cy. 6 The adequacy of Federal, Sae, and local healh program~, wah empha\j!) upon he desrrable level of ~uch expendure::, * * * Dallas Regional Conference There were SX reg1onal hearings ~e up by has Conm~SOn. They made a firs effor o se one up n Hou~on and were urned down by he Hou~on 11edcal AssoCJaon They finall} aranged hrough he Texa~ Healh Counul o se up a meeng n Dallas, Texa~, Augu!) 18, Your execuavc: sec.reary, Dr. Raben E lvforgan. AOA rusee, and ~frs Rub (.r E lvforgan, 1mmed rae pas pre)jden o he naaonal auxl1ary, aended has n1ee1ng Caroline Sree 1308 Throckmoron S. f HOUSTON. TEXAS FORT WORTH. TEXAS f ~ ~ ~ epember, 195:2 Page 3 f

7 We did no receive a personal inviaion, nor was he associaion invied o appear on he program as i was in he sae of Pennsylvania. Howen:r. knowing ha he conference was going o be held, we conaced Mr. Jerome K. Crossman of Dallas and was old Lha we would be welcome o appear. seems ha he program had been made up by he medical sociey of Dallas. Those who aended, o he b.::s of my observaion, were no oo well impressed by he program. was a rehash of many hings well known o he medical and oseopahic profession. There were very few suggesions as o how hey should be correced. Your execuive secreary filed a brief wih he Commission, as many people had been requesed o do. We were able o make several good conacs and while we did no speak or ener ino he discussion, we feel ha i was a worhwh ile projec for he Texas Associaion of Oseopahic Physicians and Surgeons. r r SAN ANTONO ~ ~ OSTEOPATHC ~ HOSPTAL,! OSTEOPATHC MEDCNE, ' SURGERY f a n d f ~ OBSTETRCS f * 1033 MAN AVENUE f SAN ANTONO, TEXAS f! +---~ P.l~ i Tbe follou ing is Jbe progrcwj as presened. ll'bicb is follou ed b) be brief as presened b) he Tex,lJ Assooaon. PROGRAl\1 THE PRESDENT'S COMMSSON ON THE HEALTH NEEDS OF THE NATON SOl:THWEST REGONAL HEARNG Dallas, Texas Augus 18, 1952 Dallas Room, Firs Naional Bank Building Jerome K. Crossman, Dallas, Texa, Chairman 9:00 A. M.: Call o order. nroducion of Presiding Chairman, Leser W. Burke, M. D., D.D.S., Dean of Uni\ ersiy of Pennsylvania School of Denisry and Member of The Naional Commission-Jerome K. Crossman. Dr. L. P. Waler, Sae Direcor of Local Healh Sen ices, Ausin, Texas: Public Healb Needs and Publc Healb Researcb E. W. Seel, Professor of Saniary Engineering, The Universiy of Texas, Ausin, Texas: Public Healb Educaion V. M. Ehlers, Direcor, Texas Bureau of Saniary Engineering, Ausin, Texas: Em'ironmenal Heal/; NeedJ Vicor F. Grima, Direcor of ndusrial Relaions, Texas Manufacurers' Associaion, Houson, Texas: lndujirial Healb NeedJ Moody Moore, Direlor, Division of Hospials, Arkansas Sae Board of Healh, Lile Rock, Arkansas: R11ral Commml),md be HoJpi,l 1\eedJ Daniel Russell, Presden, Texas Rur.ll Healh Counul, College Saon, Texas R11rcl Healh Problems,wd _\f:'n!j ll Texa1 Ferde Deering, Edior. THr. FAR.Ml.Re ember, 19~2

8 TO KMA or, Oklahon1a CiJ, Oklahon1a; Tbe T=m 111er s Healb Dr. Allen J! ieu s on R11ral e\var. Regional Olairnan & 1\fen1ber, Council on Rural Healh, An1erican 1\{edical A ociaion, Lubbock, Texas: How o Ge Docors for R~ al A,.eas 1\1r. 1\iarguerie L. Hay~, Chairn1an, Gonuniee for n1proving r ursing ervice. Fourh Disric, Graduae lursing A- ociaion, Dalla, Texa~: reeds for bnproe1jle11 of.. TllfSing Sen ices Dr. \Xlillard Ogle ecreary, Texas Denal A ociaion, Dallas, Texa-: Denal Healb i\ 1 eeds C. D. co, nsurance Execuive, Dalla, Texa : H ealb lns11rance Paul Gray, Pre iden, Texas Sae ndu~rial \Xf orkers Union, For \Xlorh, Texa : Co1nplee Prepaid Afedical Proecion Under Allspices of A1edical Scbools Rober B. ~Glacr, nernaional Ladie- Gannen \Xlorkers Union, Dallas, Texa : Texas' eeds for Con1plee Prepaid Healb Progra111 Dr. Chauncey D. Leake, \ lice Pre i den and Dean of he ~{edical Branch of he UniYer iy of Texas, Galveson, Texa : 7 eeds for a Coordi11aed Healrb Tea111 Dr. \X'iHianl \Y/. Frye. Dean, Loui-iana Sae Univer-iy School of 1\1edicine e\\' Orlean~, Louisiana: Tbe J)fedical Scboos ResponJibili) in Con il) Healb 12 :00 1 oon: Adjourn for lunch. 1 :00 P. L: Recon, ene. Dr. Ozro \Y/ ood. Chairman, Emer ~ency fedical ervice Commiee. Dallas Couny iedical Sociey. Dallas Texas:.... eed of ProjeJJJonal Organizaion epember, for Co JUJ Enel'genc) H alb Sen 1ces Dr. \Y/. K. FO\\'er, Jr. Dall. Tex~1s: ' ' ' ' Tbe 1 egro Healb p,oble111 1i \ 7irginia Huff eler, on ulan in Pupil Per onal en ice, Te a~ Educaion Agency, Au in, Texa : Tbe Scbool Child's 1 eed fol J)fenal H ealb Dr. A. Q. '"'"arain, Profe or and Head, Deparn1en of P~ychology, "ouhern ~fehodis Universiy, l)allas Texas: J\ 1 eed of PsJcbiric Care for Cbildre11 ~1rs. \ 'an Hook Subbs, Presiden, Texas Federaion of \Von1en's Club, \Y/ orhan1, T ex a-: J\1enal H ealb for Teen-Agers Dr. Guy \Xi, Chairn1an, Depar Jnen of Psychiary, Souhwesern 11edical chool, Dallas, Texas: J\ 1 eeds for Tfeal1nen of be J' fenally ll. Dr. George W. Jackson, ~ f edical Direcor, Board for Texas Sae Hos- OTTAWA ARTHRTS SANATOR ~UM and DAGNOSTC CLNC OTTAWA, LLNOS E. C. ANDREWS, D. 0. DRECTOR Phone 381 FOUNDED 1933 A s~rv l c~ ' ' for OsfeopCJflfc Phy,fdans by OsreopCJlfc PhyslciCJs ' We will be pleased o forward informaion on reques and o serve you and your paiens. i Page 5 ' ' ' '

9 pials and Special Schools, Ausin, Texas: Healh Needs of be Aged ~1iss Pansy Nichols, Execuive ecreary, Texas Tuberculosis Associaion, Ausin, Texas: reed of Beller Tuberc11losis Conrol General D iscussion. * * * Prepared Saen1en of he Posiions of he Texas Associaion of Oseopahic Physicians and Surgeons o be Presened o he Presiden's Conunission on Healh Needs of he Naion a is Hearing in Dallas, T exas, Aug. 18, The Texas Associaion of Oseopahic Physicians and Surgeons desire, in order o conserve ime, o presen he following brief and reques an opporuniy of filing any supplen1enary daa. The Texas Associaion of Oseopahic Physicians and Surgeons is a divisional sociey of he Anerican Oseopahic Associaion and is official represenaive of hi~ organized profession in he Sae of Texas. There are 62 5 oseopahic physicians icensed and pracicing in lw S.e of Texas, approxirnaely one per 10,000 pop~la ion. Fory ( 40) per cen of he pol e~ ion is locaed in ciies of or more. Sixy ( 60) per cen of he profes ion is locaed in rural areas and smaller loininuniies. n order o obain a l iccnse o pracice 1nedicine in he Sae of 1"exas he oseo P h i physician n1us ake he idenical exarnin. ion given o he l\fds by a l o npo~ie bo,ud of 1 icensed physicians, hree of whon1 are oseopahic. Upon pa~~ing he cxaninaion he receives he ~ a me J icense o pra ice rnedicine and ~ urgery wih e 1u.ll righ and privileges ~ he old ~chool of n1edicine ('"Ds). To gain adn1is ion o he exam in. ion for liccn ing, he i required o luve no le~ h.. n wo year prcprofe sion, col c JC \\'Ork. \vih 1 e ific requiren1enl in 1 hysi :' hcn1i ry nd biology. four year ~ n n. pproved college of o eo- P.~c 6 pahy. He mus al o obain a ba ic science icense f rorn he Texas Board of Exan1iners in Basic Sciences. nasn1uch as he o~eopahic profe - ion is loc.ed in sojne 175 ciie~ and owns in he sae, a number of which are wihou faciliies of local public healh unis, we advocae in he inere of prevenive rnedicine he esablishn1en of local public healh uni in all areas which are no currenly sufficienly served by he presen facil ies. '\(/ e believe he esabli.shmen and n1ainenance of such unis j ~ a re-ponsibiliy of he sae and he localiy involved. We are advised ha legi ~ laion has been pending during he la~ wo Congresses offering federal conribuion by \Vay of incenive and financial assisance of local pub ic healh unis, and we believe ha inersae ravel and 1nigran endencies of he populaion are sound prcn1ises for federal inere!'i and en (Ouagemen provided ha such inere and encouragernen do no infringe on he inheren powers of he ae in he regulaion of healh maer. There is a crying need for personnel rained in he scienific n1ehod!) of n1edical resc:.uch, boh basic and applied. The pecuniary inducenens or providing pracice o persons wih he proper aiude for scieni fie research con iue a handicap o he ~upply of enrans in he research field ha can only be couneraced by public sipend which \vill enable he proper scale of ub!sisence o persons adaped o dedi ca ion in he field of research. \V/e believe h he ae hould follow he lead of he Naional cience Foundaion in providing uch financial as i ance. The co of laboraory and oher reearch faciliies is prohibiive o 010 research insiuion, including he o - eopahic colleges, \vhich arc currenly receiving gran fro1n n. ional in iue of healh of he federal go' ern men for in1provemen in cancer ea hin~. Thi gran i no coupled wih ~ ny righ of he federal go,ernn1en o di ae adn1in- - i ra ive ~ ower~. \Vl e ~ d' o,le 1nore U(h gran. :pember, 19~2

10 n he n1aer of he degree o which clinic and hospial n1ee he need of he exi ing populaion, he oseopahic profession of Texa~ is colnpcllcd o poin ou ha no n1ore han 40 per cen of he oseopahic physicians i censed o pracice rnedicine in he sae of Texas have access o hospial faciliie, and he enire oseopahic profession, hough licensed o pracice n1edicine and urgery, is denied access o ax suppored ho-pials. The ciizen of he sae of Texas, who are paiens of oseopahic physician and surgeon~, are denied he use and con1for of heir oseopahic physicians and surgeons in Texas hospials \vhich hey suppor by heir axes and which are available only on he enns ha he paien ~hall surrender heir choice of physicians and surgeons, unless he physician and surgeon holds he degree l\.1. D. and belongs o he Al\1A, nowihsanding he fac ha under he Texas law he legalized scope of pracice of oseopahic physicians and surgeons is he same as he physician holding he M. D. degree. The shorage of physicians and he Jack of proper rned ical care on he par of a considerable segn1en of he sae populaion is due o his denial of hospial righs o ciizens v.'ho are he paiens of oseopahic physicians and surgeons. This is prirnarily a 1naer for correcion a he ae level bu he curren resuling condiion is par of a picure of adverse influences injurious o he naion's healh which are believed o be of ineres o he Presiden's Comn1ission in collecing and assessing he facs. A specre of hospial cos for unpredicable illness salks he average individual and we advocae he principle of prepaid insurance for such purposes. We are prepared o cooperae on a local, sae or naional basis for he aainrnen of such an nsurance objecive, provided he radiional physician-paien relaionship shall ren1ain inviolaed. The freedom of choice of physician of whaever licensed school of rned ic i ne is preserved and freed om o paricipae or no is guaraneed o all such licensed physi(lans. By such advocaion he oseopahic profession does no seek o escape is responsibiliy o care for he sick and wounded, regardless of financial circun1sance'). The in surance principle encourages all persons o seek in1ely advice and aenion which hey are relucan or fail o do o he derimen of he collecive healh in he absence of he applicaion of he insurance principle. Wih regard o he desirable level of federal, sae and local governn1en healh expendiures, we have already ' ' ' & A Subsidiary of The S. S. Whie Denal Mfo. Co. A Complee Une of oma~ SURGCAL AND HOSPT A'L SUPPLES AND EQUPMENT MEDCAL ARTS FORT WORTH, TEXAS BULDNG ~ = epember, 1952 Page 7 ' ' ' ' ' '

11 advocaed an increase in expendiures for medical research purposes and for purposes of local public healh unis. n addion, we advocae public financial assisance o insiuions raining physicians and surgeons. nasmuch as he produc of hese insiuions is eligible and does qualify for pracice in saes generally, wihou regard o he locaion of he raining insiuions and inasmuch as here is reporedly a scarciy of physicians in saes beyond he produciviy of he schools locaed in hose saes, i appears logical for he federal governmen as well as he sae of residence o manifes an ineres in he preservaion and exension of adequae raining insiuion. Any governmen ineres should be manifesed wih proper safeguards for mainaining he righ of he insiuion agains any dicaion or any inerferences relaing o is curriculum or process of raining. Tuiion in an oseopahic college as in oher medical colleges, accouns for only 25 per cen of he cos. The remainder consiues a nighmare of dependency on conribuions and clinical fees. Medical schools conneced wih sae universiies ge subsidies from sae revenues bu he oseopahic schools and many medical schools do no receive subsidies from any sae revenues and hey are he insiuions which are he hardes hi during he imes of advancing cos of building and equipmen and faculy salaries. We believe ha he firs responsibiliy for healh needs develops on he individual, hen on his local governmen, hen on his sae governmen and, if need be, he firs hree proving inadequae, federal governmen in he areas, firs, of medical research, second, professional educaion, hird, esablishmen of healh unis, and fourh, he inauguraion of insurance plans for priyae healh care. P. R. RUSSELL, D. 0. Exemlil'e Secrelar). TAOP&S Sauory auhoriy for he employmen of D.O.s and M.D.s as inems in Army hospials (Public Law 580, 77h Congress) was due o expire on Ocober 28, 1952 (Six monhs afer erminaion of World War ), bu along wih cerain oher emergency legislaion was exended o April 1, by he Emergency Powers Coninuaion Ac, Public Law -!50, approved July 3, The Public Healb Serz ice commissioned corps los is miliary saus as of he close of July 3, 1952, because of omission from he above-menioned Emergency Powers Coninuaion Ac. Resoraive legislaion will be considered early nex Congress. PHS became a miliary sen ice by Execuve Order 9575 on July 29, 19!5, during ~ae of war, and was coninued!>o by Acs of Conwess unil July -1, l9'i2. Loss of mliarr saus docs no inerfere wih P.g s Washingon News Leer "docors bonus" pay under he Career Compensaion Ac. Furhermore, an officer, subjec o he general draf, is exemp from furher service afer hree years service wih he Public Healh Service. VA regulaions implemening he l' elerans' Readjusmen Assisance Ac of 1952, provide: " An eligible veeran raining for he objecive, physic ian (docor of medicine or docor of oseopahy), may upon graduaion from school be provided an inernship." House Repor 1375, 82nd Congress, expressly acknowledges he cooperaion rendered by he AOA o he CongressiOnal Commiee invesgang benefis under he G Bill of Righs. The Feder,f Trade Commi.uion has is~ued a complain agains he American AssoCaon of Orhodonss for unfair mehods lmiing compeion in he manuf.u.ure, s,lle and disribuion of '>epl'mber, 1952

12 denal and orhodonal equipmen in inersae commerce. n anoher acion, he Commission defined minimum raining for pracical nurses as: "A course or curriculum of insrucion in pracical nursing of no less han nine monhs of 44 hour weeks of supervised insrucion, of which a subsanial amoun is in an insiuion for he care of he sick." Naional nsiue of Pracical Nursing e al, April 30, On Augus 14, 1952, he Federal Food and Drug Adminisraion announced decision o coninue disribuion of cblorol!l) cein under revised labeling cauioning physicians agains prolonged or inermien adminisraion of he drug unless afer adequae blood sudies. * * * Sandards For Blood Ceners On Augus 20, 1952, he Naional nsiues of Healh amended is minimum requiremens applicable o licensed blood ceners, as follows: Minimum Requiremens: Normal Human Plasma Sec Source-Deerminaion of he suiabiliy of he donor shall be THE RESPONSBLTY OF A LCEN SED PHYSCAN AND SHALL BE DONE BY HM OR UNDER HS SUPERVSON WTH THE ASSS- TANCE OF THE NECESSARY TRANED ATTENDANTS. Sec. 2.1 The bleeding clinic-drawing blood from he donor shall be THE RESPONSBLTY OF A LC ENSED PHYSCAN AND SHALL BE DONE BY HM OR UNDER HS SUPERVSON wih he assisance of he necessary rained aendans. Mini mum Requi rem en s: Ciraed Whole Blood (Human) Sec. 2.1 The bleeding clinic-de TERMNATON OF THE STABL TY OF THE DONOR AND drawing blood from he donor shall be THE RESPONSBLTY OF A LC ENSED PHYSCAN AND SHALL BE DONE BY HM OR UNDER HS SUPERVSON wih he assisance of he necessary rained aendans. n his ransmial leer o us, Dr. W. G. Workman, Chief, Laboraory of Biologics Conrol, Naional Microbiological nsiue, NH, said: "You will see ha he essenial change made by hese amendmens is o change docor of medicine' wherever hese words occur o 'licensed physician'. is he policy of his office no o exclude any licensed physician recognized by he law of any sae from he operaion of a ,. + ' WHY NOT Take Advanage of Your Membership in Your Sae Associaion by f Enrolling in he Special Sick and Acciden Plan f Appr~~~~i~~:;~n~eS~~:~~~if~;oi~s o!~~~~;.a hic ' MURRAy AGENCY, GENERAL AGENTS F 0 R a WASHNGTON METROPOLTAN ' Naional nsurance Company Casualy nsurance Company f of New York f ' 1733 Brownlee Blvd. Corpus Chrisi, Texas! +~ Sepember, 1952 Page 9 f

13 licensed blood bank. This change in language has been made for he purpose of making his policy clear o all paries concerned.' The Federal Civil Defense Adminisraion's Technical Manual on "Blood and Blood Derivaives Program" requires: "A licensed physician should always be presen in he blood bank or a he rnobile uni operaion when blood is being colleced and when donors are resing following donaion." (Procedure developed for join use by Red Cross, Deparmen of D efense, and FCDA. wih concurrence o Laboraory of Biologics Conrol of he Naional nsiue of Healh.) Locaions by D. D. BEYER, D. 0. Chairman, Saisics and Locaions JOAQUN, Shelby Couny, Texas: Splendid opporuniy for a docor. Abou 3,000 populaion from which o draw pracice. Oil and gas field and mos everyone has rnoney. Las docor had o reire accoun healh. Conac J. S. LaFie, The Corner Drug Sore, Joaquin, Texas. Cancer Vicims Launch Fund Raising Crusade CEDAR RAPDS, A. (AOA) One hing in common brough 200 men and won1en ogeher here a a public n1eeing. All had been vicin1s of cancer and all had been cured by surgery, x-rays or radium. The occasion was a Cancer Thanksgi, ing Celebraion saged as par of he An1enlao Cancer Sociey's fund raising crusade. The 200 were liying proof ha \!lrl} d agno'is and rean1en can defea c.ncer. The ciy has a popula10n of 72,000, which s JUS abou he nun1- ber of An1ericans sa\ ed from cancer each year. Wih arler decion and reainen, he number could be doubled wih he nehods of rearn<.:n now in use. P:ge 10 Take Easy Did you know ha i akes 6,000,000 sleeping pills o pu Americans o sleep every nigh? and, did you know ha here has been an alarming rise in he number of adminisraive people sufferog from hear aacks and nervous breakdowns? f hese facs are rueand we have no reason o doub hemi would seem ha our mos dread disease is no cancer, uberculosis, or paralysis-bu jus plain TENSON. We are living oo fas a pace for our bodies and probably for our souls also. The faigue ha leads o cardiac and menal disorders ofen creeps up on a man unnoiced. You may hink you have a sufficien supply of reserve energy o carry you hrough wihou a leup. Bu lile by lile, nervous srain and en1oional ension ake heir oll, and before you are conscious ha anyhing serious is happening you find yourself in rouble. Remember ha hear disease accouns for more han half of all deahs occurring afer 45. Menu Key To Keeping Paiens Happy Hospial Dieicians Learn CHCAGO (AOA) - Giving hospial paiens a selecive menu is no expensive, bu economical, and one of he bes public relaions insrumens a hospial can have," Harold Praher, adminisraor of he Eas Tennessee Bapis Hospial, old he American Dieeic Associaion. Paiens ake a keen ineres in food, he says, and o some he serving of a meal is he only pleasure of he hospial day. f he food service is ~oo~, he day is a disapponrnen. f s properly cooked and aracively served i plays a large par in creaing a favorable aiude oward he hospial. "11any paiens may no possess he knowledge o evaluae heir rnedical and nursery care, bu hey cerainly are capable of knowing when hey are plc:as<:d wih heir food," he said. Sepember, 1952

14 FoRT \X' orth STAR TELEGRAM Sepember 1, Sar-Telegram Phoo. TEXAS OSTEOPATHS AND GUESTS-Dr. Dale Pearson, cener, of Erie, Pa., inspecor for he bureau of hospials of he Amencan OseopahC Associaion, ells Dr. Milon Gafney of Dallas, lef, and Dr. Roy Fsher of For Worh abou h1s our of Texas oseopahic hospials. Dr. Gafney S succeeding Dr. Fisher as presiden of he Texas Oseopahic Hospial As~ociawn. Oseopah Praises Care Given n T exas Hospials Texas Oseopahic Hospials Associaion men1bers heard heir hospials praised here Sunday by an exper on he subjec who has been ouring his area during he las week. Dr. Dale Pearson of Erie, Pa., inspecor for he bureau of hospials of he American Oseopahic Associaion, old he associaion convenion in is principal speech Sunday ha he has found he care, professional and oherwise, of paiens o be above average in Texas oseopahic hospials. Dr. Pearson, who is pas presiden of he American Oseopahic Associaion, a member of he Americ.an College of Oseopahic Surgeons and c.harman Sepember, 1952 of he deparmen of surgeons of Erie Oseopahic Hospial, visied hospials in For Worh, Dallas, Houson and Corpus Chrisi las week. "The hospials are well-supervised and care of paiens reflecs he desire on he par of oseopahic physicians and surgeons working in hese hospials o give he bes possible service," he repored. Dr. Pearson also said he Texas hospials are conduced on a sound business basis as well as an adequae professional basis. The eigh oseopahic hospials in Texas whic.h are approved for inern 1aining and ohers regisered wih he Page 11

15 American Oseopahic Associaion funcion under supervision of he associaion hrough he bureau of hospials. Dr. Pearson will repor o he bureau on he care paiens are receiving in Texas hospials. The hospial associaion, w h i c h opened is wo-day meeing a Hoel Texas Saurday in conjuncion wih he Texas Oseopahic Surgical Sociey, has as is incoming presiden Dr. Milon Gafney of Dallas. Dr. Roy Fisher of For Worh is reiring head of he associaion. Oher new officers are D r. R. 0. Brennan of Houson, vice presiden, and D r. C. Knauss of Dallas, secrearyreasurer. D r. George Miller of Dallas, presiden-elec, will ake office nex summer. 'Sickness A Luxury' Labor Leaders T ell Presiden's H ealh Commission PHLADELPHA (AOA)- Means of overcoming he economic barriers o he kind of healh services workers require for hemselves and heir families mus be found, represenaives of organized labor old he Presiden's Commission on he Healh Needs of he Naion. "Sickness is a luxury financially beyond he means of workers,'' declared Dr. Morris A. Brand, medical direcor of he Sidney Hillman Healh Cener, New York, represening he New York Sae Congress of ndusrial Organizaions Council and he Amalgamaed Clohing Workers of America. He saed ha while he C.. 0. council did no wan sae medicine, i did feel ha a complee medical care program, induding preveniye medical EXCELLENT OPPORTUNTY for general pracice. Wrie Dr. J. H. Ch an dler, 1206 Norheas Eighh Sree, Amarillo, Texas. care as well as curaive and dagnosic care, was imperaive. The organizaion and he de, elopmen of a naional comprehensive medical care insurance program, he said, would "mean a decrease in he number of persons who become disabled and ill, a decrease in he lengh of illness and complicaions, he prolongaion of lives, a decrease in human suffering." "Furhermore," he assered, "i will reduce wased manpower and loss of wages and will eliminae borrowing o mee he unpredicable coss of medical care." D r. Gilson Colby Engel, presiden of he Pennsylvania Healh Council, old he commission ha healh deparmens and heir personnel should be divorced from poliical conrol. An efficien paern could be se a he Federal level, he suggesed, if healh services were aken away from he Federal Securiy Agency and placed under a new healh adminisraion headed by a Secreary of Healh wih cabine saus. The American Oseopahic Associaion has oulined is posiion on a naional comprehensive medical care insurance program in a pamphle called "Healh nsurance," available from he D ivision of Public and Professional Welfare. New Program Developed For Hygiene Of Aging WASHNGTON, D. C. (AOA) A new program on he hygiene of aging was formerly announced on June 23 by he Surgeon-General, Leonard A. Scheele. Adminisraively he new program will fall wihin he Division of Chronic Disease and Tuberculosis of he Bureau of Sae Sen ices of he U. S. Public Healh Sen ice. The general purpose of he program ''ill be o adyise healh deparmen\ offering healh gudanle for older people. He! p will be gi' en o healh deparmens consdering he needs and problems of he aging groups in.dl hcr progr.1ms. epemhu, 19~2

16 njuries Of The Ha11d by DR. LOUS GUSTAVE ~fancuso We hear daily of hand injuries occuring in indusry, he facory, foundry and shop, bu son1e of he nos disabling accidens occur in he hon1e and on he farn1. The naure of he work being done accouns for n1uch of he conan1inaion a~ he work usually.involves he presence of dir, grease and dus on he skin surface. The absence of underlying sof issue permi injury of underlying srucures such as joins, Yessels, nerves, bone and endon. Compound hand injuries, when firs seen, n1us be rapidly appraised and judgrnen exercised as o he major repair problem. Tendon division can usually be rapidly deermined and if presen or suspeced, operaing roorn peparaions should be made for furher definiive reamen. The san1e procedure applies o ampuaions, compound fracures, or exensive skin laceraions wih muscle or join involvemen and nerve severance. Under such circurnsances, serile pressure dressings are applied o he enire hand, morphine or some oher suiable analgesic adminisered and x-rays aken if desired. A general anesheic is o be preferred because i allows for he applicaion of a blood pressure cuff for Gonrol of bleeding. The echnique of wound cleansing en<jompasses he washing of he surrounding area of he hand firs, using coon, \Varnl, whie soap soluion, waer, and inennien and final washing \vih saline. Genleness is a all ines exercised when inspecing he recesses, crevices, and exension of he 'vound. A definie plan of repair can be forrnulacd as he cleansing of he wound is carried ou. A careful inspec in his inerval will re\ eal any injuries of deeper lying srucures ha n1igh oherwise be overlooked. The viabiliy of he injured issues can also be ascerained. A clean wound, once obained, is he bes possible insurance of primary healing as well as a finn foundaion for opposiion of injured srucures. Aenion o refinemens of echnique in handling he issues will lend some force o he characer and rae of healing. Such refinemens are only hose of meiculous surgery anywhere, bu ofen hey are no oo closely adhered o and, in hand wounds paricularly, hey are quie imporan. These refinemens include he clamping and ligaion of all bleeding poins including only lhe bleeding vessels and no overuse, of suure n1aerial of sufficien srengh bu fine calibre, painsaking suuring, and sure dressing wih adequae splining. Cerain common injuries should be discussed in some deail, paricularly heir definiive reamen. While oher sies of injury are no o be lighly dismissed, he area of greaes difficuly is he division of flexor endons in he proximal phalanges and paijn. The endons are deep-lying ~ ~ X-Ray Equipmen & Supplies X-RAY SALES & SERVCE CO. ' 2800 THANNSCH ST. C. A. McGEE FORT WORTH. TEXAS Sepember, Page 13

17 in his locaion and he injuries, consequenly, are usually sharp, deep laceraions. Exposure is imporan and he 01 iginal wound opening is seldom sufficien. Exension of, or addiional incision, is usually required and care mus be exercised in following naural skin folds and creases in making hem. The proximiy of nerves, blood vessels, and endons in he palm muliplies he number of injured srucures, adds o he confusion of idenificaion, and increases he amoun of fibrosis in healing ha one wishes o avoid. The commones error in repair in his area is he aemp o suure all of he endons severed. The flexor sublimis and he flexor profundus are raher snugly enclosed in a common endon sheah. When severed hey are divided a he same poin. f suured, he bulk of issue presen prevens covering hem adequaely wih endon sheah maerial. Subsequen swelling furher increases he conen of he endon sheah wih a likelihood ha he sheah will separae even if suured. The endons are likely o become adheren and he end resul is funcionally a poor one. Therefore, one endon, preferably he flexor sublimis, should be sacrificed by cuing i as far back as possible. The flexor profundus is suured and adequae sheah proecion provided. A saisfacory endon suure will usually resul in a good funcional finger. Silk suures have given good resuls, in he hands of mos surgeons, for endon repair and heir coninued use can be recommended. Two suures placed as visualized will usually suffice for approximaion. These may be reinforced afer hey are ied wih addiional small approximaing suures a he immediae line of division. f he suure is done under local aneshesia or regional block, he rengh of he endon suure may be: immediaely esed by asking he paen o conrac he involyed muscle. A suure ha will hold under such Circumsances can be consdered enird).\dcl]u.le for.1 splned exremiy. Wh P.l:e 1 1 he endon ends adequaely anchored. he gliding surface mus be lef, because wihou gliding abiliy he endon will be usele s. Normally, he endon is provided wih an adequae sheah. This sheah is injured wih he endon and i is quie difficul o obain sufficien coverage in he repair. Neverheless, such a covering is essenial for normal recovery of he underlying endon. Exensor endons of he hand deserve equally imporan care in reamen. However, wih he same principles in suuring, he repair will be compleed wih greaer faciliy and ease on he dorsal surface of he hand because of he comparaive greaer ease of exposure and idenificaion. The primary endon and wound closure is usually possible if he wound is less han welve hours old, excep in such insances as gross conaminaion which would make i unwise. n such case, he wound is lef open and imporan srucures may be agged wih suures. Tendon suuring is done in hree weeks bu if wound infecion occurs, hree monhs should elapse before repair is aemped. (Operaive Procedure-Ehicon Suure Division of J & J. P. 93). Ampuaion of he finger is a mos common caasrophe and he decision mus be made immediaely as o he mehod of repair ha will foser a funcionally inegraed hand. The facors governing his laer resul are he degree of movemen remaining in he join proximal o he ampuaion and he covering of he ampuaed sump. nelligence in he applicaion of a repair ailored o he paricular damage will deermine he excellence of he resul. The same echnique applied o every ampuaed finger will shoren many of hem needlessly and render hem useless. (Oper(l/n e procedflre- P. 92). One of he four procedures JS applicable o a parially ampuaed fingcr: 1. A. kin graf may be applied. An oblique ampuaion caused by a sharp S:pemher, 19~.:!

18 cuing insrun1en or n1achine, paricularly hose hrough he disal phalanx o full hickness skin graf. Norn1ally he finger requires a coyering of heavy skin, herefore, as a permanen covering, a full hickness graf is necessary. This graf may be cu by a sharp scalpel dissecion f ron he forearm, arm, back or abdon1en. The under surface of he graf n1us be cu very sharply f ron1 he underlying fa so ha none of he fa is adheren o he graf. The donor sie can hen be suured. The finger end is covered wih he graf and inerruped suures are placed abou he edges a spaced ineryals. The graf is of such a size when suured i \vill be under sligh ension. A coninuous fine suure on a small sharp needle is placed enirely around he graf aking up he gaps beween he inerruped suures, approximaing he edges accuraely. The iniial dressing o\ er he graf is very fine mesh gauze so ha in ren1o, al i will no end o become adheren o he suures or graf. Follo\\ ing he suure, a pressure dressing is applied over he graf abou he fingers and anchored securely o he hand. This dressing becomes sauraed \\'ih serum and becomes quie firm, \'ery much like a cas. is lef inac for as long as en days, if no evidence of complicaions are noed. ( 0 peral i 1 e P1'oced11res-P ). ( Gra; 's Ana/01l1J-23rd Ed.). 2. The second mehod of reaing ampuaion sumps is by wound closure v.rihou shorening of he remainder of he finger. Many ampuaions which, on firs appearance, seem o need considerable shorening. can on careful planning and use of exising remaining sof issue and skin be dosed \Vih a saisfacory resul and no shorening. ( D. H oe1'11l1n1-personal Communicaion). (Dr. Forbess-Personal Conlnlunicaion). 3. The classical finger ampuaion v.rih is nea, rounded, well padded sump \vih suure line poserior, away Sepember, 1952 fron1 he pressure-bearing area, is oo weh known o amplify. 4. The fourh possibiliy of reaing finger ip an1puaions is by sinplc cleansing and serile dressing. They require f ro1n five o en weeks o heal sponaneously, bu he final resuls are saisfacory. Auon1obile door an1puaions are frequenly of he ype which may be reaed by his laer n1ehod, paricularly in children. The problem of reaing conpound fracure is a sudy in iself, hough he problems are no peculiar from hose encounered in compound fracures else \\'here. Oher srucures such as endons and nertes are usually injured o complicae he problem and he repair of hese srucures are equally irnporan o ha of he fracure, whereas, in oher pars of he body he reamen of he fracure is usually prirnary. Fine sainless seel wire is used when necessary o hold he fracure reducion. Accurae splin iming is of grea imporance in hand injuries because of he fibrosis and siffening ha may resul from over splining or he loss of union ha may resul from inadequae splining. n endon suure hree weeks is uc;ually sufficien for a srong union and rnovemens of he fingers nay be gradually sared afer his ine. n compound fracures he period may be longer and he x-ray aid as well as clinical judgmen mus be he crieria of movemen ime. The molded plaser splin is ha of choice in ha i may be varied in lengh and srengh depending on he purpose o be accomplished. can be used for endon suures, fracures, nerve repair or a combinaion of any of hese. Ligh alurninum splins are likewise very saisfacory and can be adjused o any desired posiion by bending hern o ui he conour of he hand and posiion desired. Tha period follo"'ing he rernoval of splins and suures i- nos imporan o he paien for i is in his inerval ha he can and should be encouraged Page 15

19 o ake an acive par in he reamen. Careful explanaion and demonsraion will be of grea aid in securing cooperaion and ineres so essenial o prevenion of disabling fibrosis from disuse. When healing is secured, funcion mus begin wih gradually increasing empo and frequency. Arerial injuries may be considered under he following caegories: ( 1) complee division; ( 2) parial division: ( 3) conusion, wih or wihou hrombosis, and ( 4) compression. Complee division of a major arery, even associaed wih a large wound, does no necessarily lead o exsanguinaing hemorrhage. Reracion of he ends of he injured vessel wih he aendan arerial spasm may permi forn1aion of a hronbus which effecively seals he lurncn. Low blood pressure from shock favors he developmen of such hrombosis. As long as neiher he paien's life nor he life of he hand or digi is in danger, i is beer o wai. Only he prospec of deah from hernorrhage or he probabiliy of a crippled ischen1ic digi warrans carl y inervenion. The firs secondary hemorrhage is no usually faal, bu i should be regarded as a "red signal''. is ar. "inexorable indicaion for exploraion of he wound." ( Freen1an, N.E.: Secondary Hemorrhage Arising from Gunsho wounds of he peripheral Blood Vessels, Ann. Sur g. 122: 63 1, 1945). As regards he funcional sae of he d ij!i, progressive nerve darn.1ge,,1s shown by he paralysis and increasin~ aneshesia of he disal p.us, should be aken as an urgen in J ica ion for inervenion. The crippling effecs of ischen1ia afer acue injuries o he n1ajor areries can be pr~vened only by early diagnosis and adequae reainen. n conclu ion, i can be saed ha her~e are ix facors of in1porance in he re~ n1en of con1pound hand injurie : 1. The con1plee diagnosis of he exen of he injury. 2. Thorough le. n ing of he wound wih mild oap an waer ~ eluion. 3. Prin1ary do ure P.1ge 16 of he wound by skin graf, if necessary. 4. Meiculous aenion o deail in he surgical repair. 5. Proper splining, and 6. Supervised follow-up following he immediae healing period, including oseopahic manipulaion o he affeced par. BBLOGRAPHY 1. C cil-1\ xbook of.medicine. 2. Chri ophrr-t xbook of Major Surgcr}'. 3. Duk. Uni\Crsiy-The Compl a Pcdiarcinn. 4. Elkin, D. C.: Va~cular lnjuri of Warfnl', Ann. Surg. 120: 284, Gray-Texbook Anaomy-23rd Ed. G. Op. raiw Proc dures-ehicon Suur<' Div. of J. & J. 7. Smuh, S : Sudic-. in Exp rim nal Vascular Su ~ ry. Sur~ ry 18: B. Snyder. ]. ~1.: Vascular Wounds, Surg ry 21: i7, Pulmonary Hyperension n Children Due To Congenial Hear Disease ADAMS, JOURNAL OF PEDATRCS 40: Four basic eiological ypes of pulmonary hyperension are noed. 1. Nonnal feal hyperension. 2. Those condiions wih a disproporion beween pulmonary blood flow and pulmonary vascular capaciy. A. Congenial hear ma1forrnaion wih increased pulmonary blood flow. B. Condiions wih inrapulmonary pahology (i.e. emphysema, cysic fibrosis, silicosis ec.) 3. Those inra and exra cardiac condiions which produce an impaired venous reurn from he lungs (i.e. n1iral disease, consrucive pericardiis ec.) 4. Those congenial hear condiions, rnalformaions, wih a comn1on venicular ejecal force in he absence of pulmonary senosis. 220 hear caherizaion have been done for diagnosic purposes. 31 of his group had puln1onary hyperension. A clinical eniy and is value as a clinical problen1 is presened. A disinc relaion beween he severiy of he paien yn1poms and he degree of hyperension een1ed o exis. Pahological changes occurred in areries of he lung of children \Vih pulmonary senosis. Sepember, 1952

20 ormu\a N nanges 'n o 'use mohers or o onl babies wih... Baker's mees he requremens of mos bole-feedng case!>, eher complemenary o, or enrely n place of moher's mdk... no formula change s requred as baby grows older-merely ncrease he quany of each feedng. LQUD FORM-generally pre:>cnbed for mo:; bolefeedmg a)e~ because of he Slmphoy of formula POWDER LQUD Made from Grode A Milk preparaion-jus dilue w1h equal parb of waer 1 pre\ JOus} bo1led POWDER FORM-.generaH} preferred for premaure and d1fucuh or dehcae cases Also preferable for complemen.h} and supplemcnar} feedwg v. hen baby ~~ akmg less han 11 ounces of formula per da} The powder form 1s more con\ enjen, oo, "hen u.nelmg or \\hen refngeralon S no a\allable To p111 JOin b.:jbej 011 Bake1 r Jllf lec:r e n1fi11ui011! a be hosp11al u r1/le fo1 (01lJplee del(11p/011 and Ja'Jnples f-lnoz>z.'uj..><.l.nu;z;zo:uuaw w,u.jum 'Z' 'Z! '1211".!."'', 'Oll..JWJ '" :1.:1. J,' XJ JlWW.:zi)2~DJJ"" ~ BAKER'S MODFED MLK ~ TH E laker LAB O R AT OR E S N C. ~ 01vis1on Off1ces Alana Dallas Den- ~ Main Office Cleveland Oh1o ver Greensboro N C Los Angeles Plin; Eas Troy, Wi"onsm San Francisco SeaHie ~ n99sv8?v?j':?n?lum>'{{n'i l97i"&?i7..'l 6 1 'h, < d _,., Zil?i ;:;::,,1 ru l( 1, epember Page; 17

21 C\ \' Baby ncubaor K eeps Ouside Air 'Ou' JE K TOW, PA. (AOA)-A baby incubaor designed o preven air f1om he roorn geing inside, e'en while he child is being ended, has been paened by Sarnuel V. Gibbon. Air frorn he incubaor comes from ouside he room and is kep a a pressure higher han ha in he room, so ha wh~n he incubaor is opened, he air end o 1nove ou raher han ino he incubaor. Openings are equipped wih closure sleeves o ha an aendan's serilized hand can be passed ino he incubaor \Vihou conaminaion frorn roon1 air. 1\'lak 1\1 in ' '~'e ll l) onc' CH ""'AGO, Ll.. (AOA) -Cook lho e han1burger well, i he advice of l)r. J cque 1\L ~1~ y, direcor of he ~1 ~dical Geogr~ phy Deparlnen, An1eri ~..an -,eographical ociey. The rea on fo he exra cooking is o avoid richino~i, or worm infecion fron1 pork which n1, y be conained in han1burger. Norh An1erica, Dr. 11:ay ays, has a higher rae of richina is han any oher ~..oninen. n New York Ciy is is e in1aed ha one in four per on is infeced, ofen wihou kno,ving i. Trichina i n1, y be he cau e of faigue and ore n1us les. California is..~e ond in nurnber of ca~e, bu he 1 iddlc \V/ e ha ~ cornparaively fe,v e. Jn he iiddle \'X'e hog~ are f. ened on corn, while in he Ea!\ and Far \\fes hey are fed on garbage. o or H ave hanged, nd on"' 1.,he \-\'or e For ' )A LA, TE.~T. (AOA)-"Do ors h 'e hanged. 1on: do or are n1eeang he ne\\ ~p.1penn n od ) han e'er before 1 he) Jr bre kang ino pnn, ' n '' ah hc.lh ad' 1e, nd re none h '' ors for a, a~ er a olun1na n h ugu ( h-sue of he DALLA 1 R <. '\ '.1 l Poining ou ha he docor is now "more public-spiried," he new paper coninue, He realizes ha he i no a cienis in an i' ory ower, bu is charged wih helping keep he healh and aniy of his con1muniy. f he can conribue by public informaion or ad' ice, all he beer. ''Advance of medical -cience ha ~ been so rapid ha public informaion has been nece~ ary. People den1and i," he newspaper concluded. Anihi an1ine Before Tran fu ion Cu Fever nd Allergic ~'A HJNGT01, D. C. (AOA) Pu an anihi an1ine drug ino blood before a ran fu ion and allergic reacions and fe,er are cu o a 1ninimun1. n a repor in he AMERCAN PRACTTON ER AND DGl: T OF TREATMENT, do or fron1 George Washingon Universiy Ho pial aid hey found only one allergic reacion afer giving 607 pins of blood pre-reaed wih he drug, conpared o 52 allergic kick-ups or fevers afer giving 742 pins wihou he drug. Plan To Produce e'v ni-tb Drug Rae of 100 Million Tables Per 1onh EW YORK, N. Y. (AOA)-f he den1and warrans he new ani-uberculosi drug, i oniconic acid h) drazide \viii be produced on he ba i of 100,000,000 ables per monh, John E. fckeen, pre iden of Pfizer & Co. announced recenly. Pfizer i already producing i r den1arked form of he TB drug "Conin ' zin'' fron1 co ar ource. The} ex- 1 o re c h an oupu of 0,000,000 able b) he end of fa}. onin zan v. ill be for ale oon he ne\\ drug applaca10n no\\ on file "1h he Food nd Drug Adn raion ha been ppro' ed. 1.. ble '' 1l1 be O-n1Jlhgran1 ze. epember, 19~1

22 Cancer Ho pia) udic omic 1edicine OAK RDGE, TENN. (AOA) T\\'0 new aon1ic rnedicines for cancer are under udy a he cancer ho pia] here operaed by he Oak Ridge n lue of Nudear udie. One i radioacive galliun1 67, under es as a rnehod of reaing bone un1or. Apparenly, gauiun1 67 concenraes in bony un1ors. give off "sof" x-rays ha n1ay be u eful in rying o reduce or conrol bone uinors. econd is a din1e-sized \vafer of a noher arificiauy radioacive n1eal, ce ium, \\'hich ernis hard x-rays equal o hose frorn a n1illion vol x-ray n1achine. T1e cesiurn is encased in a lead po, \\'ih an opening o [e ou he x-rays. udies are being underaken o deermine he shape and inensiy of he bean1 i e1nis. Anirnal sudies al o \\'ill have o be made before i is kno\\'n ju hov.' useful cesium will be o earch ou deep cancer \Vih rninin'lunl dan1age o he kin and ouer. 1 ue. Children \'\'ill Ea -f l ro Forced CHCAGO, LL. (AOA)-A child' refusal o ea is pracically alwa}'s due o forced feeding, unles he has son1e organic disease, Dr. R. S. llingworh declares in he Journal of be Royal l11jii111e of P11blic Hea!Jh a11d Hygiene. v.rould be surprising if naure failed o equip human beings wih an appeie ~ ufficien for heir needs-and ye had ren1e1nbered lambs. calves, and oher anin1als. One does no see animals being forced o ake heir food. The absolue essenial in reamen is o sop forcing. There mus be no coaxing, no persuading, no anxious looks a he plae, no bribing, no forcing, no hreaening, and no punishn1en ' ' EOSTENE ~ ( Mehylmzdrosmediol, Miller) ~ ' Green\ ille DALLAS 6, TEXAS forilie N ON-ANDROGENC APPLCATONS! OF TESTOSTERONE.!' Los Angeles, California DETROT, ~fichgan PONEERS FOR 0\'ER A QUARTER-CE TURY ~ epember, 1952 Page 19 '

23 Warns Agains X-Rayed Foods LOS ANGELES, CALF. (AOA) Be on guard agains foods ha ha\ e been serilized wih x-rays, such as fay meas, milk, buer, salad oils, cerain grains, and seeds, warns Dr. James F. Mead, chief of he bio-chemisry division of he Aomic Energy Projec a he Universiy of California a Los Angeles School of Medicine. A chain of free radicals is released, according o experimens conduced by Dr. Mead, when such foods are irradiaed. This desroys no only essenial fay acids, and viamins, bu acing on oher subsances presen i produces poisonous peroxides. U. S. Olympic Physicians Approve Phog For Sars CHCAGO, LL. (AOA)-n he morning he's Phog Allen, assisan coach of he American Olympic baskeball learn, bu afernoons and evenings he is known as Forres C. Allen, Oseopah, an Associaed Press sory daelined Helsinki says. Wih he approval of he U. S. Olympic physicians, Phog, a licensed oseopahic physician, has aken care of he aches and pains of his own boys as well as of n1embers of he women's gymnasics ean1s. Sar Cross-Eyed Treamen Early NEW YORK, N. Y. (AOA) Treamen for crossed eyes should sar before he age of four, if possible. The earlier i is begun he beer he chances are ha J. child will no lose par or all of his eyesigh. Childrn will no ougrow crossed eyes. Older children and grownups oo can have hc:ir c:yc:s sraighened, says a pan1phk rclasd by he Naional Sociey for he Prevenion of Blindness, even hough i may be oo lae o in1- prove eyesigh. Pa~e 20 The four mehods lised by he pamphle for correcing crossed eyes are: 1. Glasses-if youngser is nearor far-sighed. 2. Placing a pach over he good eye-his forces he weak eye o work, increasing is vision. 3. Exercises for he eye muscles. 4. Surgerywhich is no dangerous... effec, he sa n1e as a onsil removal. Obserical Floor Opened The obserical floor of he Kirksville Oseopahic Hospial, which occupies he second floor of he wes 'ving of he hospial srucure and represens he alered second floor of he old A.S.O. Hospial, was opened recenly. opens off he second floor corridor of he cener secion of he new hospial and is adjacen o he nursery and he quarers occupied by he deparmen since he new hospial opened las spring. The rooms add nine beds o he deparmen and are decoraed in pink and blue. The delivery suie consiss of wo labor rooms, wo delivery rooms, wo nurses work rooms, docors dressing room wih shower, room for anesheic gases and uiliy room. Oher feaures of he obserical floor include bah wih shower, especially a1 - propriae for obserical paiens and he "expecan faher's labor room'' siuaed nex o he delivery room, which as Dr. W. 0. Reynolds, head of he deparmen of Obserics and gynecology, poined ou, is well supplied wih ash rays and sof chairs and has a subsanial floor covering. $4,600,000 A,varded For Research By U. S. Public Healh Service WASHNGTON, D. C. (AOA) The U.S. Public Healh Service awarded ;;4,600,000 in research assisance gran o hospials, universiies, medical schools, and oher insiuions during he second half of Sepember, 195 2

24 Lighning Claims More Vicims n Summer NEW YORK (AOA)- Lighning akes approximaely 300 lives a year in he U.S. Abou hree-fourhs of hem are in he summer season. The vicims are nainly men and boys, which according o he Slalu/Jcal B111le!Jn of he Meropolan Life nsurance Company reflecs heir greaer exposure o his work hazard because of oudoor work and recreaion. Lighning deahs are four mes as frequen among n1ales as females. The chances of being faally injured by lighning are fare higher in rural han in urban areas. Cry dwellers are proeced o some exen by he all, seel frame buildngs which safely conduc he lighning o he ground. When sudden hundersorms occur, safe sheler is usually more readily a hand in he ciy. Mounain saes have he greaes inc.idence of deah from lighning. Approximaely 60 per cen of he vicims are killed beween 12:00 and 6:00 p.n1. P&PW Now Preparing Scienific News Release CHCAGO (AOA) - A monhly scienific news release based on aricles appearing in Tbe Jollrnal of!be Anler CJJ Osleopa!JJc Aoonaon and OrleopabJc Magazine now s being wnen and disnbued by he Divson of Public and Professional Welfare. General news of he oseopahic profession also i~ carried in he release. The semi-monhly news clip will coninue o repor iems of ineres in he field of he healing ars. Copies of he new news release are being sen o science ediors of leading newspapers and magazines hroughou he counry. The firs release was mailed from Cenral Office Augus 17. f you dd no receive a copy and wish o be placed on he mailing lis address Jack Koen, Division of Public and Professional Welfare, American Oseopahic Assocraion, 212 Eas Ohio Sree, Chicago 11, llinois. Appoin Public Relaions Men For Each Sae Disric CHARLESTON, W.VA. (AOA) The Wes Virginia Oseopahic Sociey voed o appoin a local public relaions chairman for each disric of he sae. has requesed he cooperaion of he Auxiliary in he program and ha all professional publiciy be cleared hrough he public relaions commiee. Aomic Cockails Used n Thyroid Treamen CHCAGO, LL. (AOA) -A group of Universiy of Chicago surgeons repor over-aciviy of he yroid gland has been successfully reaed by ((aomic cockails" of radioacive iodine. 1 MALPRACTCE NSURANCE EXCLUSV:~;' ;:~;;;~ ; ;;";;~'"~.~:~: 9 ;.NCE 1934 f ~r!~rib~::j ;~;;; ;~;~~i:~b::~:+d ~; ~~~~~~\~r;:::;!o;:~::!~ f financial posiion-presen and fuure. THE NETTLESHP COMPANY f 1212 Wilshire Blvd. Los Angeles 17, Calif ~-~ Sepember, 1952 Page

25 Physical Evoluion Of Man Ended, nernaional Symposium Concludes NEW YORK, N.Y. (AOA)-The fuure holds lile bu degeneraion for he physical body of homo sapiens, i was repored a he Wenner-Gren Foundaion nernaional Symposium on Anhropology. Afer housands of years of progress i now appears ha only he evoluion of he human brain migh sill proceed and ha evoluion of social skills and culure migh coninue. Dr. George S. Carer, Professor of Biology a Corpus Chrisi College, Cambridge Universiy, England, suggesed ha despie he end of man's physical evoluion, he remained lile more han a babe in he woods among mammals. "One of he mos sriking feaures ha disinguishes man's body from he bodies of oher 1nammals is is exraordinary foealisaion," Dr. Carer said. Adul man looks like a feal raher han an adul n1ammal, he observed. For his reason, Dr. Carer suggesed, nan mus be considered a special case in evoluion. Man evolved as did oher nan11nals, bu some unusual facors were in he evoluionary paern. Perhaps hese facors were culural and social, oher speakers said. Wesern Saes Las Sronghold For Men NEW YORK, N. Y. (AOA)-The ra10 of nales o fen1ales in he U. S. has been dec. reasing seadily for abou four decades. n 1910 here were 1,097 men o every 1,000 women a he age of 20 and over. By 1940, he sexes were nun1erically balanced, and a decade laer he nen were ounurnbered-966 o every 1000 women. Men are sill in he majoriy in some pars of he counry. They ounumber women in all he wesern saes excep Colorado and California. The sex raio is lowes in he easern par of he counry, paricularly in he New England and Middle Alanic saes. The Souhern saes generally have sex raios only slighly below ha for he counry as a whole. Though more boys han girls are born each year, he higher deah rae of men diminishes heir advanage. Wih he lenghening of he life span of boh sexes in he U. S., he sex raio definiely ends o favor he women. Emoional Problems Deermined By Caroon Examinaion CHCAGO (AOA)-A Mirh Response Tes (MRT), afer is firs rials appears o be a promising aid in diagnosing psychopahological condiions, Drs. F. C. Redlich, J. Devine, and T. P. Sohler wrie in he Anzencan J O!lrnal of Orlbo-pJ;cbJalr;. How people respond when hey are shown 36 popular caroons is he basis for MRT. involves Freud's heory ha humor gives an index o dynamic forces in a person's personaliy, and ha how he reacs gives clues o his en1oional problems MATTERN X-RAY APPARATUS ALSO ULTRA VOLET & NFRA RED LAMPS-EKG SHORTWAVE DATHEMES & f GALVANC MACHNES-X-RAY FLMS & SUPPLES C "Service when you need i" SOUTHWEST & JOHNSON X-RAY co. 1_:.~_:>:~:~~~ --~~::.:.~~::-~L-L_A_S ~~XAS 1 P.ge 22 Sepember, 195 2

26 End Dispue A Hospial GUTHRE CENTER, A. (AOA) The doors of he new $380,000 Guhrie Couny Menorial hospial will be open o oseopahic physicians wishing o use he hospial faciliies. Tha was he decision Tuesday of he hospal's seven men1ber board of rusees, who me o hear proess of a group of oseopahic physicians who said he board earlier had linied he hospial saff o eigh nedical docors. J. E. Baschele, secreary of he hospial board, denied he board had said oseopahic physicians could no pracice in he hospial. Bu he said he board did no know for sure wheher oseopahic physicians were qualified for such pracice. The oseopahic physicians who appe,lred before he board included Dr. Don R. Hickey and Dr. T. P. McWillians, Bayard; Dr. Vicor Mallory, Yale, and Dr. Howard P. L. Dolyak, Suar. A fifh Guhrie Couny oseopahic physician, Dr. R. B. Bunn, was unable o aend. owa law specifies ha a ax-suppored hospial shall have a board of rusees made up of laynen o nake rules and regulaions dealing wih adminisraion of he hospial. Bu he law also provides ha n1anagen1en of ciy and couny hospials s~~ll no discriminae "agains he praciioners of any recognized school of n1edicine. '' The owa code adds ha ''each paien shall have he righ o employ a his expense any physician of his choice." The oseopahic physicians argued ha if oseopahic physicians could no use he hospial faciliies, paiens would be denied he righ o enploy oseopahic physicians if hey wished o do so. T he rusees issued a saen1en which said: "The board feels docors of oseopahy should be permied o use he couny hospial. Rules and regulaions Sepember, will be adoped by he board a a subsequen n1eeing. Consideraion will be given o applicaions of docors of oseopahy a a neeing in he near fuure."-fronl he DEs MONES TRB UNE. Beyond The Call Of Duy HARRSBURG, PENNA. (AOA) Dr. John J. Covolus of Lancaser was eleced sae surgeon of he Pennsyl \ ania Veerans of Foreign Wars. Ground Broken For $640,000 Hospial Addiion LANCASTER, PENNA. (AOA) Ground was broken July 27 for he new $640,000 addiion of he Lancaser Oseopahic Hospial. Henry H. Hanon and Fred A. Wiker, <.barer znembers and pas presidens of he board of direcors, urned he firs spadeful of earh a ceren1onies aended by abou 2 50 persons. f f f f PORTER CLNC HOSPTAL LUBBOCK, TEXAS G. G. PORTER, D. 0. L. J. LAU F, D. 0. RCHARD M. MAYER, D. 0. BEN J. SOUDERS, D. 0. J. A. FNER, D. 0. COMPLETE HOSPTAL AND CLNCAL SERVCE An Oseopahic nsiuion l Page 23 f ' ' f

27 +.._..._..~.._.. ~.._..._..._....._..._....._..._..._..._..._..._..._..._..._ _. ~..._..._..._.~.._.._.!AUXLARY NE S! _ _...~.._..._..._ _..._..._._.._..._ _.._.._.._ Auxiliary Disric Six 1fe1nbcrs of he Souhca' Texas AssoLiaOn enjoyed a garden supper, arrj.ngcd by hc Women's Auxiliary, a he hon1e of Dr. and ~fr,. Ralph Cunninghan1 l.1..; Saurday, Scpember n. Proceeds were o '>Well he di~ric fund for O.P.F., SLholarship, c. Doy Choae ( ~1r,. J. J.) raffled a Schaeffer pcn and pencil se hereby helping her Ways and ~fcan~ progran1. New and in<:resing n1embers presen \\ere: Dr. and?vfrs. ~furphy Webb, laely arrived from Deroi, 1\fich. Dr. Webb being a general surgeon; Dr. and ~frs. R. A. l\fccliinans. forn1erly of Denon, Texas, and special guesh, Dr. and Mrs. Wason L. Gran. Dr. Gran i~ sen ing an inernship in he Houson Oseopahic Hospial. An orchid o Caherine Vinn (Mrs. Edward) for n1os of he planning and arranging, and also for serving her second enn as presiden of disric six auxiliary-by reques. By CECLE PLATT, Reporer. Auxiliary Disric Ten Auxiliary o Souh Plains Associaion of Oseopahic Physicians and Surgeons. Execuive n1eeing, Augus 27, 19)2. ~.1os recen prescripion for creaing an enhusasll' backdrop for a Wednesday morning execui\ e n1eeing is o gree your com1niee in an arona of ho ginger bread and srong, black coffee. Beli<:\ e 1ne, girls, such a sage scng does nore o promoe kindred spiris han he suble approach of Channel No. 5! Tha Arab who brewed he firs po of "gahwah" from a handful of ropical seeds had no a hing on Mrs. R. Z. Abel as she poured second cups of he seaming beverage for Mesdames B. J. S~uders, J orace A. Emery, Jack E. Cox, Rchard?vi. Mayer, Wallace S. Williams and Ja1nes A. Fannin, Jr. Over he Page 24 coffee cups Evangeline Abel explained her aims as Presiden of he Auxiliary o 0 is ric No. 10, asking for suggesions and counsel and inviing criicis1n from he group. Believing ha securiy cones a~ a re ~ul of social solidariy raher han isolaed individual effor, she saed ha in add i ion o he consnkive prograrn co mmon o n1os Oseopahic women's organizaion!), her chief objecive of he rear is o pronoe a closer relaionship among auxiliary 1nembers. The oseopahic auxiliary of he Souh Plains is a recen organizaion as Texas auxiliaries go, and he execuive body readily agreed ha our irs duy is o ourselves; ha ile can be accomplished on a sae and naional level unless we have more han a formal speaking-acquainanceship locally. The soluion o nany an imporan problem has been posponed unil all n1eri vanished-oblieraed by he March of Tin1e. No grea degree of inimacy is possible when we mee only a he regular quarerly n1eeings so i was agreed ha n1onhly ge-ogehers, following a mos informal paern, \\ ould surely encourage a more cordial relaionship and wih i a desire o share responsibiliy. And, if, in an ambiious momen, Ways and 11eans should be d sc us sed which resuled in a generous check o he O.P.F., who among us could say, "Time's a Peddler who deals 10. d us. " By VOLET L. Cox (Mrs. Jack E.) Offer Free Blood Typing Service CHECOTAH, OKLA. (AOA)-A free blood yping service was offered o every residen of Mcinosh Couny during July by he Checoah Oseopahic hospial, Dr. N. E. Cornsuble announced. Sepember, 1952

28 ~ ~-._-+ DSTRCT TWO Dr. George Grainger spoke o he deparrnen of inernal n1edicine of he Sevens!Park and Dallas Oseopahic Hospials on l\1onday, Augus 25, He covered very well he neurological a~pecs of polio. Dr. Buxon of For \Xlorh will discuss liver funcion e~s a he nex n1eeing a he Sevens Park Hospial on l\1onday, Sepernber 22, a 8 p Dr. and 1\frs. Paul Graham are he proud parens of a ne\\' daugher, Cheryl Ann: born Augus 20. Dr. Graham is inerning. Rumor has i ha Dr. and 1\irs. R. B. Beyer and Dr. and 1lrs. Carl E. Evere are leaving Sepen1ber 19 o aend he ~onolulu Oseopahic Associaion n1eemng. Dr. 1\fargare Poole of Dighon, 1\{ass., is visiing h-r daugher, Dr. \ 1 irginia Ellis. Dr. Ballard is busy socking his ranch in Hood Couny which he has recenly purchased. The Dr. Ray Fishers ha\ e recenly reurned from vacaioning in l\1ichigan and \Xfisconsin. Dr. and.lvfrs. George Pease have been vacaioning in Boson, ~fass. Dr. and?vfrs. Hodshire have recenly reurned frorn heir vacaion, \\'hich was spen in New Orleans and Houson. B) DR. CATHERJNE K. CARLTON DSTRCT FOUR Dr. John Duncan's broher, Harold Duncan, Jr., has locaed his la\v pracice in El Pa o, Texas. Congraulaions o Delgado Hospial! The edior in looking over vial saisics as published in El Paso, discovered he following facs: Tha in Souhwesern General Hospial a El Paso here were five babies born, and in he Providence 1\iemorial Sepember, 1952 Hospial here were wo, in he Hoel Dieu Hospial here was one birh, and in he Delgado Green Cross Hospi,ll ( 0'\eopahic) here were 16 birhsaln1os double in he oseopahic hospial han in any of he oher hospials in El Paso. DSTRCT SX Sepenber 3 and had o ge ino a c and collar, sor of squeaky as we husle along; hose nan1e brand shirs don' look like he ads a all. No place for he exra chins or oher addenda. This sumner was a ough bale bu \\'ih he help of Fedders, Carriers, Philco and Frigidaire we all made i. Hope you are he: sane. Dr. Jaffe is now driving a big aspen green Packard. was a used car, had been driven hree miles before he gave he check for he difference. He should have purchased he vehicle on or abou S. Parick's Day. My own secre desire is o have a purple Packard and a place in back for he ail gunner. A small own revivalis unburdened his menaliy concerning a more han slighly used auo ha he had acquired, "1 urned he sarer and sepped on he key and no response." Dr. :vf. Webb is off o a good sar in najor surgery, in Houson. Firs case a ubal pregnancy and four oher majors he second week in own. Overheard in he halls of H. 0. H., ''\X'ih your knowledge of he subjec and my effronery, we could go places." The Eisencras of Texas are aggluinaing raher rapidly. Folks in his sae are beginning o ac like 'norherners'. They'll voe o sui hen1selves. Dr. \X'm. Durden repors ha he sn1all animals in his park have had a good summer. The docor has been busy wih posgraduae urgery in Kirk \ ijje. Page 25

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30 \ 7 er ) ry Dorenburg, Mr. and Mrs. Chas. Zimmerman and Mr. and Mrs. Reno Leisner, all of Vicoria. (Mr. Leisner, incidenally, " maserminded" he preparaion of hose "ou of his world" barbecued chickens. The R. L. Sraons spen he monh of July up Yankee Way. Daughers Chris and D ebbie visied maernal kinsfolk in owa while Daddy submied o a renovaion projec of his 'innards' a Kirksville Oseopahic Hospial. ( He repors a nice recovery, his wife repors ypical docor's misbehayior during convalescence! ) The T. D. Crews and he Elmer Gusafsons spen wo weeks in Durango, Colorado. Dr. T. D. repors "fish in hem har hills". You guessed i-he managed o incorporae a bang-ail wih his fishing-pack rip o Emerald Lake. Don' you know he's siing prey? The J. V. Moneys paid a fishing visi o Por Aransas. There are now 22 fewer red fish finning hrough he Bay. The Paul Pinksons visied his broher and wife, D r. and Mrs. John Pinkson in Joplin, Missouri, business and pleasure. The disaff side of he Tannen and Money households repors grea jnroads ino he peach and grape supplies of ha area o he glorificaion of heir panry shelves. Bravo! Mary and Anne-we'll ake ho rolls wih ours. The Alan Poages spen a weekend coas fishing. The big one n1usa' go a way, leaswise Dr. Alan is planning his nex aack. 1:frs. W. L. Crews and Cermen journeyed wes sigh-seeing from Carlsbad o Caalina and didn miss a canyon! They bring idings of New ~fexico' s wondrous caverns and o\vering nounains, of he nagnificence of Arizona's canyons and is 1nysic expanse of desser, of California's hospialiy unlin1ied, bu choose above i all he feel of he good Texas mesa and ha old Texas sun smiling down. Sepember, 1952 The Auxiliary exends is sincere syn1- pahy o Mrs. Carl Sraon in he loss of her moher. Mrs. McKee passed away June 26. nermen was in Cuero. Our disric 9 was saddened by a message received during he n1eeing elling of he grave illness of Dr. Mills' faher in Rapid Ciy, Souh Dakoa. By MARY K. CRE~'S, (Mrs. W. L.) for Mrs. D.!vf. Mills. Blue Shield Adds 845,717 New Members n Firs Three Monhs Of 1952 CHCAGO (AOA ) - During he firs hree monhs of 1952, membership growh in he 78 approved Blue Shield plans oaled a ne of 84 '5, 717 new members. This growh brough he oal 1nen1bership in Blue Shield o 21,976,713, of which 9,200,561 are subscribers (41.98 per cen) and 12,- 717,535 are dependens ( '58.02 per cen) _..._..._..._ _.._... + : ' Prining... 1 ~ob:s~::d:~~~ manufacured in our plan for fas efficien f service. f JJY rie for Prices.. F. L _Moheral Co Y our JOUfu"'\JAL Priner! 512 S. Main For Worh Page 27 f

31 PROFESSONAL CARD DRECTORY H. H. EDWARDS, D. 0. L. C. EDWARDS, D. 0. PHYSCANS AND SURGEONS 3814 Broadway SAN ANTONO, TEXAS ROBERT J. BRUNE, D. 0. L. EARL ELSEA, D. 0. PHYSCANS AND SURGEONS R. J. Brune Clinic Third Sree Corpus Chrisi, Texas PATRCK D. PHLBEN, D Columbia Avenue DALLAS, TEXAS PRACTCE LMTED TO PEDATRCS K. E. ROSS, D. 0. SURGEON Peoples Naional Bank Bldg. TYLER, TEXAS W. H. VAN de GRFT, D. 0. DEPARTMENT OSTEOPATHC MEDCNE STEVENS PARK CLNC AND HOSPTAL DALLAS, TEXAS G. STUKEY, D. 0., A. C. 0. S. LAUGHLN HOSPTAL Kl RKSV LLE, MO. THORACC AND CARDOVASCULAR SURGERY LESTER J. VCK, D. 0. PROCTOLOGY Pos Graduae Classeslas Week February F.rs Two Weeks June 80 W. Tenh S. AMARLLO, TEXAS LUBBOCK OSTEOPATHC HOSPTAL Horace A. Emery, D. 0. Geo. G. C lark, D. 0. Gener<!ll Prac1ce General Pracice Procology Pediarics Wallace S. W illiams, Ed 5 s. Davidsuon, 1 D. 0. D. o. urgery - ro ogy General Pracice S G.. J K D 0 Obserics.. mac en11e,.. R" h d M E. E. N. T. C ar D. o.mayer, James A. Fannin, D. 0. General Pracice General Prac1ce S. l. Baker, M. T. Obser1cs X-ray and laboraory 2405 Broadway Lubbock, Texas JOHN C. BAKER, D Ro c ~: Sree FORT WORTH, TEXAS PRACTCE LMTED TO EYE, EAR, NOSE, THROAT AND RHNOPLASTY Phone V A-1739 LESTER. TAVEL, D. 0., F.A.O.C.Pr. Dl PLOMATE A.O.B.P. Pracice limied o Procology 4921 San Jacino Houson 4, Texas P.agc 28 Sepember, 195 2

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33 we can weigh a gna's eyebrou,! We have \Cales n our conrol laboraones ha wll wegh ac<.uraely 1/ 283,- 500h of an oun<.e. We need he~e super-accurae s<.ales n our assay work. Many imes hese exremely delcae balan<.es ad us n deermnng he poen(.ies and bologcal acves of V amnerals' formulae. To wegh such mnue quaniies wih posve accura<. y n our conrol laboraones enable us o guaranee <.omplee sandardizaion and absolue uniformiy n all Viamneral producs furher assuran<.c o you of consisen high qualiy in manufacure and formulaion. TAMNERALS NC. G/, nlal, ( alaforna DENNS & SMTH RAYMOND S. NGERSOLL RA C. SEYMOUR Personal Se vke By: 322 W. Jefferson, Dallas, Texas, Telephone: YU-6318 Box 6634 Alamo Heighs Saion, San Anonio 1, Texas 4319 Monrose Blvd., Houson 6, Texas