Texas Osteopathic Physicians Journal Volume 13, Number 8
Transcription
Texas Osteopathic Physicians Journal Volume 13, Number 8
University of North Texas Health Science Center UNTHSC Scholarly Repository Texas Osteopathic Physicians Journal Special Collections 12-1-1956 Texas Osteopathic Physicians Journal Volume 13, Number 8 Texas Osteopathic Medical Association Follow this and additional works at: http://digitalcommons.hsc.unt.edu/topjournal Part of the Osteopathic Medicine and Osteopathy Commons Recommended Citation Texas Osteopathic Medical Association, "Texas Osteopathic Physicians Journal Volume 13, Number 8" (1956). Texas Osteopathic Physicians Journal. Paper 168. http://digitalcommons.hsc.unt.edu/topjournal/168 This Article is brought to you for free and open access by the Special Collections at UNTHSC Scholarly Repository. It has been accepted for inclusion in Texas Osteopathic Physicians Journal by an authorized administrator of UNTHSC Scholarly Repository. For more information, please contact [email protected]. TEOPATHIC PHYSICIANS Volum e XIII FORT WORTH , TEXAS, DECEMBER, 1956 Number 8 ln This IssuePage Editorial Page __________ _ The Treatment of Common Communicable Diseases The Texas Osteopathic Radiological Society Presents Program _ ___ President Witt Reports on Visitation Crusading Doctor Warns Aga inst Hospital ization Insurance Abuse American College of Osteopathic Obstetricians and Gynecologists To Meet Washington News Letter Auxiliary News News of the Districts 2 I0 II 13 16 19 23 26 TEXAS ASSOCIATION OF OSTEOPATH IC PHYSICIANS AND SURGEONS OFF ICERS john L. Witt, D.O., President Groom , Texas Wayne M. Smith, D.O., Immediate Past President JacksonvJlle , Texas Lester I. Tavel , D.O. , President Elect Houston , Texa } . Natchcr Stewart, D.O., Vice President Dallas , Texas Phil R. Russc]! 1 D.O .t Executive Secretary Fort worth, BOARD OF TRUSTEES George F. Pease, D.O ., Fort Worth , Texas Ralph I. McRae D.O. Dallas, Texas Harlan 0 . L . Wright, b .O., Sundo"n, Texa' T . D. Crews, D.O ., Gonzales, Texas G. W. Tompson, D.O. , Houston, Texas M. G. Holcomb, D.O ., El Paso , Texas Charles H. Bragg, D.O. , Big Sandy, Texas Glenn R . Scott D.O., Amardlo, Texas Gordon S. Beckwith, D.O. , San Antonio, Tc,as exas HOUSE OF DELEGATES T. M. Hobart, D.O. , Vice Speaker Dallas, Texas Charles C. Rahm , D.O., Speaker Brownsboro) Texas COMMITTEES DEPARTMENT OF PROFESSIONAL AFFAIRS (lect T. D . Crews , D.O., Chariman I. Professional Education and Meetings 2. Ethics , Censorship , and Public Grievance 3. Annual Program...... .. ................ .. 4. Facilities and Exhibitors 5. Sclecti,·e Service .. 6. Statistics and Locations 7. Membership 8. Constitution, By-Laws and Charters 9. Editorial Policy and Journal Publications ..... J. N. Stewart, D.O. , Chairman ]. ] . Latini, D.O. Lester I. Tavel , D.O., Chairman .Myron S . .Magen, D.O., Chairman ............ Phil R. Russell , D .O., Chairman .... Roy D. Kirkland, D.O. , Chairman . Henry A. Spivey, D.O ., Chairman C. E. Dickey, D.O., Chairman ..... R . L. Stratton, D.O ., Chairman ..... George J . Luibcl, D.O. , Chairman Rall?h I. l\fcRae D.O . Phtl R. Russell , D .O DEPARTMENT OF PUBLIC AFFAIRS :Ill. G. Holcomb , D.O. , Chairman l. Public Htalth 2. Publ i<· and l'~<>fe» i o n a l Welfare J . O str upathi<' Ptogres. Fund 4 5 Vrt<-J.IllS ."dfain H o,pit.d , .\nu ln>urance . Elmer C. Baum. D.0 . Chairman 1 Everett W ~ihon , D 0 . Stanley E . He>S . Jr. , D 0 . Samuel F Spat k, D 0 . Phil R . Ru"dl, D .O . Charles H . Bragg. D .O. Chairman A. L. Gar rison, D.O. , Chatrman L. N. ).f!'A nally, D .O , chaitman G. \\ . Tornp,.>n , D .O .. Cha•ruun G,-,,.g~ E. ).Iillot , D 0 . Got dun S. Beck" llh , D .O . on.;;i'' ' f~ I~R Al PAbf ®r :e :efitt!JS The holiday season of the year is at hand. The Yuletide Season engenders good will and good fellowship. Joyous occasions will be prevalent throughout the land. This is the season when men forget their differences and band together to give reverence to the great Physician. This is the time of year when all men should forgive the mistakes of others, forget their own mistakes, and press onward to greater achievements of the future. ~Let us all live today to its fullest! Yesterday and tomorrow will care for themselves. ~May the officers of your Association and your employed staff wish all of you "A Very Merry Christmas and A Happy and Prosperous New Year!" D ecemb€'r, 1956 Page 1 TEXAS ASSOCIATION OFFICIAL PUBLICATION OF THE OF OSTEOPATHIC PHYSICIANS AND SURGEONS PUBLICATION OFFICE: 512 BAILEY STREET, FORT WORTH 7, TEXAS EDITOR - - - PHIL R. RUSSELL. D. 0. ASSOCIATE EDITORs, GEORGE J. LUIBEL. D. 0., RALPH I. McRAE, D. 0. ADVERTISING RATES UPON REQUEST. ALL ADVERTISING CUTS TO BE SENT WITH COPY VoL. XIII FORT WORTH, TEXAS , DECEMBER, 1956 NuMBER 8 The Treatment of Common Communicable Diseases MYRON S. MAGEN, D. A new concept of disease con:rol was ushered in with the recognition of the role of the microscopic organi3m as the major factor in etiology and transmission.1 As more organisms were identified and methods of transmission became understood attention was focused on methods of prevention and treatment. Probably the most significant development of the past decade has been the acceptance of the chemo-therapeutic and antibiotic agents as means of treating the various infections and communicable dis eases. 2 It has been said that we are in an era of promiscuous therapeutics. The use of antibiotics and chemo-therapeutics have increased until their use is second only to that of aspirin. 2 For this the physician must share the blame with an "enlightened" public. The publicity given to so called wonder drugs , new vaccines etc., has exposed the physician of today to much extrinsic pressure for the admini tration of one of these wonder preparations. Who among us has not bowed to the clamor and acceded to a patient's request knowing that if we didn't gi' e it some one else would? Suffice it to S<ty, that used without justification tbe:,e substances may be dangerous. The purpose of chemo-ther.tpy is es entially to preYent, abort or interfere with the p.lthogene -is of the infective process so P.t,gt 2 0. that the body may make its recovery .2 During the past ten years we have seen a truly remarkable recession in the common communicable diseases. 3 Most of us who have come out of school within the past five years have never ..{ , seen a case of diphtheria or smallpox. cti Lobar pneumonia is becoming a rarity. Scarlet fever is on the wane. But as one is conquered, another springs up to take its place. Infectious hepatitis increases in incidence each year and new strains of resistant organisms continue to plague us . While the bacterial diseases are leaving the limelight, the viral diseases are coming to the fore. "To cure a disease is praiseworthy; to prevent it is a finer accomplishment." 4 The goal of modern medicine is prevention. No where have we made greater progress than in the common communicable diseases. Prevention is the physician's responsibility. Utilized intelligently we have within our hands a potent weapon and new developments herald significant advances in this sorrtetime neglected field of medicine. We will of necessity devote most of our attention to those common communicable di seases caused by Yiruses. While today we have a cure or me~hods of con- :. 1 trol for practically all actenal mfect1ons0 • tl we are much poorer in respect to our armamentarium against the viruses, exDtcembtr, 1956 ~ cept the larger ones, such as psittacosis and trachoma." Logically, infection with living viruses gives better and longer lasting immunity than does vaccination with killed virus. Living but attennated virus vaccines give an immunity about egual to infection with the actual diseases. We have attennated virus vaccines against smallrox and yellow-fever. We have killed virus vaccines against influenza A and B, some of the encephalitides, rabies and now poliomyelitis . The usual period of immunity following inje€tion of these vaccines is about six to twelve months. 5 It remains to be seen how long-lasting will be the immunity fol lowing the use o.f the polio vaccine. Gamma globulin is a potent aid in the prevention andjor modification of measles, infectious hepatitis and possibly rubella, mumps and poliomyelitis. Gamma globulin is 1 /2 5 the volume of whole plasma and does not transmit serum hepatitis. 5 With the decline of diphtheria as a public health problem a smaller number of mothers have an immunity to the disease. Therefore enough antibodies are not transmitted to the child for protection to occur. 3 At one time immunization against diphtheria was begun at n;ne months. It was felt that immunization before this age did not offer sufficient antibody protection. We now know, that if necessary, immm1izations can be begun on the first day of life. It is the policy in some centers to begin immunization at five weeks. Under ordinary circumstances the rec.::ommendation of the American Academy of Pediatrics is that the immunization series begin· at three months of age. Schick testing is not necessary following immunization with the standardized vaccines in use today. In the occasional case of diphtheria that may be seen, the treatment is 20,000-50,000 units of diphtheria antitoxin intramuscularly. Penicillin is the antibiotic of choice and is of value in freeing the carrier of organisms. It is imperative that treatment December, 1956 be started early. We have had the opportunity of treating three children without signs .of clinical diphtheria but with a baG:terial endocarditis due to corynabacterium diphtheriae. The diagnosis was proved by culture and guinea pig inoculation. Massive doses of penicillin were instrumental in affecting a clinical and bacteriological cure. In one of these cases, examination, revealed the father, who had supposedly had diphtheria in his youth, to be a carrier. Penicillin was ineffective in relieving the carrier state but oxytetracycline (terramycin) was effective. As yet we have no method of active immunization against mumps. This is often thought of as a disease of childhood without complications. Let it be emphasized that this is far from the truth. The meningo-encephalitis of mumps is not unwmmon and can be fatal. It is felt that mumps is a systemic disease that may affect any of the organ systems of the body. Pancreatitis, orchitis and oophoritis are r:elatively common mmplications and hold serious consequences for the adult. Parotid swelling is not an essential comp<ment of mumps and a meningo-encephalitis may occur befeHe parotid enlargement is present. The mumps antigen skin test may be of marked value in the suspected case of mumps without parotid involvement. O.lcc is given subcutaneously and an area of erythema 1.5cm in diameter indicates a positive test. A positive test is presumptive evidence of immunity or present disease. It would be wise to skin test adults exposed to mumps in whom a history of previous parotitis is absent or vague. A negative skin test in an adult male exposed to mumps calls for the use of Diethylatilbesterol 2mg b.i.d. for the prophylaxis of orchitis. It is extremely effective. Once orchitis has occurred, bed rest is essential. In the usual case it is not necessary to suggest this. The patient on his own accord is already in bed. Cold applications and support to Page 3 the testis are useful. Diethylatilbesterol 2mg t.i .d. is given for fiv€ days. It rel'eves the pain and swell ing within lwenty-four hours. It is felt that it inactivates testicular function and temporarily returns the testis to the pre-pubertol state where orchitis is practically unknown.3 There is no specific therapy for the meningo-encephalitis. Treatment is symtomatic with the control of convulsions paramount. We have been impressed wi th the value of sodium pendothal. Given in small do-ses rectally, or intravenously when necessary, it has been possible to more easily control the convulsive state. It is suggested that this ~ubstance be used in consultation with the Dept. of Anesthesiology as profound respiratory depression and laryngeal spasms may occur. Sodium pentobarbital and sodium luminal are useful between convulsions in combatting the restlessness and in prolonging the convulsive free state. We have observed an 8 yr. old w j m who as a complication of mumps developed a meningo-encephalitis and acute glomerulonephritis. Fortunately recovery was complete. Let us emphasize again that this socalled benign disease of childhood may have serious consequences. Ch lo rtet racy 1i ne, (Aureomycin), Oxytetracycl ine (terramycin) and chloramphenicol ( chloromycetin) have proven valueless in the treatment of parotitis or its complications .0 7 8 X-ray therapy over the parotid yields marked relief of swelling and pain. Morphine sufate, atropine derivatives and the ganglionic blocking agents are helpful in the acute pancreatitis. The usual type of gamma globulin is of no proven value in the treatment, modification or prevention of mumps. Jn an Army series the incidence of orch :_ tis was reduced from 28o/c to 8 % by the usc of gamma globulin from the blood of convalescent mumps cases.'l A commercially avai lable mumps convalescent serum gives equivocal results. Under one year of age Pertuss is is a Page -i killer. It accounts for more deaths in this age group than any other entity, excepting congenital malformations. In 1940 the Committee on Immunizations recommended that they be started at three months of age and completed by six months. "At that time it was believed there was a poor antigenic respon:e in early infancy and prophylaxis could not be attained until after age six months. It has recently been shown that prevention is possible when injections of pertussis vaccine are begun as early as the fifth week or sooner." 3 It may be possible to transmit antibodies to the unborn child and active immunization of the mother late in the last trimester of pregnancy may be worthwhile during an epidemic of whooping cough. 3 In 1948 the mouse protection test for the standardization of pertussis vaccines was instituted at the National Imtitute of Health. Therefore, beginning in tl ~ 1953, the potency of all pertussis vac- \ctJ cine must be expressed in terms of "antigenic units. " Fluid vaccines must contain 12 antigenic units and three units must be provided by no more than 96 billion organisms. Since alum-precipitated vaccines are more antigenic they are limited to 48 billion organisms in 12 antigenic units. 5 Although whooping cough vaccine has caused convulsions and an occasional case of encephalitis the mortality of pertussis is so high that the risks should not interfere with immunization. 3 5 In the treatment of the infant with whooping cough oxygen is of marked value. It is better to supply it early rather than to wait until the onset of cyanosis. Whatever method of oxygen administration is used, higher temperatures and higher humidities must be used in the child than in the adult due to the lower production of heat, moisture and carbon dioxide in the child. The dura- .lSl . tion of oxygen administration varies with the condition of the child . In the sil infant, o~ may on occas ion be necessary for six weeks. 0 In addition to o~ we D ecember, 1956 have found Alevaire (Winth repStearns) bubbled thru a #40 De Vilbiss nebulizer to be an aid in liquifying secretions. Alevaire by reducing the surface and interfacial tension lowers the viscocity and liquifies the secretions. On occasion the addition of antibiotics to the nebulized Alevaire is of value. It is compatible with all antibiotics except oxytetracycline (Terramycin) .10 Due to the vomiting, nutrition may be a problem. In the infant it is suggested that following an emesis they be fed again within 15-20 minutes. In the older child 4-5 small meals a day often solve the problem. Early antibiotic therapy, and by early we mean in the preparoxysmal stage, is of definite value in amelioration of symptoms and preventing complications. Given later, their effect is not as marked. Even when given late in the disease, the antibiotics eliminate-bacteriotf logically-the infecting organisms. The failure to observe concomitant cessation of symptoms, suggests that once B. pertussis infection sets in, it starts a train of events that are not greatly affected by elimination of the organismsY At the present time Chloramphenicol (Chloromycetin) appears to be the antibiotic of choice although Chlortetracycline (Aureomycin), Oxytetracycline (Terramy- cin) and Streptomycin give favorable results. 12 13 Pertussis antisera can be lifesaving particularly in infancy. Rabbit antiserum and human serum from innumized donors may be used. None is equal to the human hyperimmune pertussis serum. There is commercially available a highly refined concentrated human hyperimmune serum, 2.5cc of which are equivalent to 30cc of the unconcentrated serum.'J 12 It is available from the Cutter Laboratories under the name of Hypertussis. It may be given subcutaneously or intramuscularly in a dose of 2.5cc every other day for 3 to 4 doses . I have had impressive results in infancy with its use. The severity of the paroxysma are diminished markedly. The only objection to its use is the expense involved. The efficiency of any treatment in pertussis may be influenced by three factors, the age of the patient, the severity of the infection, and the duration of the disease. Prompt recovery can be anticipated only when effective therapy is instituted early in the course of the disease prderably the preparoxysmal stageY The work of Gregg in Australia pointed to the dangers to the fetus following Rubella (German Measles) infection of the pregnant female during the first trimester. The evidence appears WHY NOT Take Advantage of Your Membership in Your State Association by Enrolling in the Special Sick and Accident Plan Approved by the Texas Association of Osteopathic Physicians and Surgeons for its members. MURRAY AGENCY, GENERAL AGENTS F 0 R GUARDIAN GENERAL Life Insurance Company 1733 Brownlee Blvd. December. 1956 METROPOLITAN Casualty Insurance Company of New York Corpus Christi, Texas Page 5 conclusive that congenital malformations, particularly blindnes:; and congenital disease of the heart occur with alarming frequency in these children. Since this is the case it is illogical to attempt to prevent exposure of the young female to the disease. We suggest that young girls be exposed to Rubella in early childhood since at this age the disease is relatively innocuous. There is no treatment for German mcasels. The duration of the disease is rarely over one week. Many authorities feel that induced abortion should be done in the pregnant female with Rubella during the first trimester. As yet this is an unanswered question. Gamma Globulin seems to be of value for prevention and modification. In women with early pregnancies who have been exposed-12cc of gamma globulin, as soon after exposure as possible should be administered. 5 Antibiotic therapy is useful in preventing complications. One of the few acute infectious diseases that is far from being conquered is Rubeola. (measles) We have no means of giving an artificial active immunity. The disease is uncommon before six months and rare before four months. 3 Appendicitis is not a rare complication of measles. It should be kept in mind in any patient with a history of recent measles complaining of abdominal pain. Encephalitis is a more common complication for which we have no treatment. Again, control of the convulsions with the barbiturates and maintenance of adequate nutrition are paramount. Penicillin, Chlortetracycline ( Aureomycin), Oxytetracycline (Terramycin), and Chloramphincol ( Chloromycetin) are valueless against the primary disease but effective against the complications of bronchopneumonia and otitis media. 1 ·1 15 It has been our practice for some time to administer penicillin both by the intramuscular and oral routes to all patients with measles . We feel that this is effective therapy. Human convalescent serum is of value Page 6 • for prophylaxis but is ineffective for treatment. 3 Gamma globulin in a dose of 0.1ccj1b given within three days of the time of exposure will prevent the disease. After three days in a dose of .02 ccj1b of weight it may modify the disease, which will yield a permanent immunity. It has been suggested that due to the ever present danger of encephalitis that any susceptible person who has been exposed should be given at least a modifying dose of Gamma Globulin no 1-:1atter what their age." While scarlet fever is not the problem that it once was the dange;: of hemolytic streptococci infection is still with us. It is important to eradicate this type of infection to prevent rheumatic fever and acute glomerulonephritis. It has been shown that both the onset and recurrence of rheumatic fever ?.re due to the beta-hemolytic streptococci. Therefore, prevention depends { upon adequate, early treatment of all ~ 0 streptococci infections. It is suggested that two weeks following the supposed eradication of a streptococeal infection the urine, C-Reactive protein and Antistreptolysin Otiter be checked. Penicillin is the drug of choice with the object being to maintain effective blood levels for ten days. Only in this way can one be certain of the eradication of the hemolytic streptococcus. Oral or parenteral therapy are equally efficacious. For intramuscular administration Benzathine Penicillin G ( Bicillin R) or Procaine Penicillin with Aluminum Nonestearate in oil may be used. The adult dose is one 1M injection of 600,000900,000 units of Bicillin. In children it is one 1M injection of 600,000 U. For procaine Penicillin with Aluminum Nonostearate, in children, one 1M injection of 300,000 U every 3rd day for 3 dose>. In adults one 1M injectio11 of 600,000 U every 3rd day for 3 doses. • J With oral penicillin the dose for both ~oadults and children is 200,000-250,000 units t.i.d. for 10 days. It is essential, no matter which treatment schedule is December, 1956 followed, that it be prolonged over a 10 day period even though symptoms are alleviated earlier. For prophylaxis 1,200,000 units of Bicillin IM once a month, or 200,000 to 2 50,000 units of oral penicillin once a day, or 0.5-lOm of Sulfadiazine once a day is recommended. In the patient with a history of rheumatic fever this is a year round life-long regime. 16 Varicella (Chickenpox) attacks all age groups from infancy to old age. The newborn is just as prone to infection as the school-age child. It has been suggested that the virus causing Varicella is the same as the one causing herpes. Convalescent serum and gamma globulin appear to have no value in treatment or modification. Penicillin is an aid in prevention of bronchopneumonia. It is also useful, pa.rticularly in females, in clearing up the secondary infection and in minimizing scarring. The prurutis - may be controlled by the liberal applicat tion of antihistaminics locally, orally and parenterally if necessary. The anesthetic properties of Pyribenzamine R are impressive for this purpose. It is also suggested that the fingernails be cut short. Recently, Protamide R a sterile colloidal solution of processed and denatured proteolytic enzyme obtained from glandular layer of hog stomach has been used. Since it appeared to be of value in herpes Zoster it was tried for varicells. It is given intramuscularly in a dose of 0.6-1.3 cc daily for 2 days. The best results are obtained when treatment is started early in the disease. It has been reported that the lesions dry up earlier and there is an alleviation of the pru· ritis. 17 I have had no personal experience with this medication . The treatment of the patient with non-paralytic poliomyelitis may be supervised at home. There is no treatment outside of bed rest. The spinal and bulbar types require highly specialized types of care which it is outside the scope of this paper to discuss . Gamma globulin is of only equivocal value. It is given in a dose of 0.14cc j lb of body weight. The best indications for the use of gamma globulin are for small communities-such as summer camps-where exposure to an actual case has taken place. In pregnant women, in children who must undergo tonsillectomy, in children who must receive an injection and in those sick with upper respiratory infection, an injection of Gamma globulin is recommended. There are three antigenically different types of poliomyelitis virus. Type 1 or Brunhilde accounts for most epidemics. Type 2 or Lansing caused many subclinical infections. Type 3 or Leon caused only S% of all epidemics. There is no cross protection between the various typesY It has been estimated that in the U.S. 60 % of the children 6-8 yrs. ( 1,2, and 3 grades) show no antibody to any type. S% have antibodies to all three types. SO % of the adults 18 yrs. and over show antibodies to all three types. It is obvious then, that as increasing age yields Service Sales YEAGER X-RAY COMPANY San Antonio I, Texas 3337 Fredericksburg Road "As near as your telephone " PE 3-940 I D ecember, 1956 Page 7 more opportunity for exposure and infection more antibodies are naturally .1 cguired." Since the polio Yiruses grow be t on the living tissue of primates , preferably the monkey, due to the expen e invo lved it was impractical to attempt to mass produce any vaccine until this was overcome. ]. F. Enders, T. H. Weller and F. C. Robbins of the H arvard School of Public Health paved the way by developing a method of keeping tissues alive after removal from the healthy animal. For this they were awarded the 195-1 Nobel Prize in medicine.'n According to Stimson the requirements of a polio virus vaccine are that, 1. It be effective clinically against all three types. 2. It be long lasting in effect. 3. It can be positively killed. 4. It can be productible in bulk. 5. It contain no pathogenic agent such as another virus. 6. It contain no allergenic or other harmful agent. 7. It be unable to cause paralysis. 8 . It be unable to mutate, to change in virulence. 9. It be unab le to infect others if excreted." These problems have evidently been so lved by Dr. Jonas Salk of the School of Publi c Health of the University of Pittsburgh. An injection of Salk" vaccine produces neutralizing antibodies against al l three types of virus. An injection given in the presence of only a I ittle antibody yields a boo ter response with a leve l above that which follows an attack of the disease." In l 9'i4, 1,830,000 2nd grade child ren took part in a clinical trial of thi vaccine. -140,000 received the polio 1accine. 1,390,000 received an injection of <1 sub tance without medic,ll properties . Dr. Thomas Francis Jr. of the Unl\crsity of Michigan was 111 charge of the e1 Jill<ltion of l 14,000,000 items of 111 form.lt ion necessary to tell if the 1 .1curH: was effccti1 e. A we .111 know the Yanme \\.IS 'uccessful. i\[uch re- • mains to be learned. It appe.u~ ro bt: mnocuous to the patient. The recommended dose 1 lee li\f followed br lee in two-four weeks followed by lee in six to seven months. While meningitis is not J. common communicable disea e it occur often enough both by it elf .md in combination with other disea es so that it i- by no means uncommon. In addition meningococcal infections if treated early and effectively can be cured. According to public health reports we may expect an epidemic of meningitis next year. Every 9-10 years there is a meningitis epidemic preceded by 1-2 years of gradually increasing incidence. ~u M eningococcal infection is a medical emergency . Even before the diagnosis is conf irmed treatment is stJrted. Oram stain, culture and sensitivity tests of the spinal fluid are of ine ·timable aids in intelligent treatment. Parenteral penici llin , sulfadiazine and streptomycin are ~ started immediately. As results of culture and slide become kno1vn other more specific ant ibioti cs are utilized. Intrathera l therapy is not necessary. Under 5 yea rs of age most cases are due to N emoph ilus influenze type B meningitis. In these cases Penic illin although it is the most act ive in vitro on a weight basis, is much less effective clinically because of the very high do age necessary to sustain the bacterididal levels in the blood and tissues and because of its poor penetration into the cerebrospin.d fluid. Chlorumphenicol is the most <lCtive in relation to tancentrations attain.. ble in blood and cerebrospin:d fluid, and therefore appears to be the <llltibitic of choice in this type of meningitis." 1 Under 1 ye<~r of age anti-influenza! type B rabbit serum is at times of value anJ is used in dose of 'i0-1 OOmg TV. 1 About 2-4r r of all cases of menm~ococliC infection are tamplicateJ br the \Xlaterhou e- Fridemhson '} nJront. Tt 1s more common 1n thildn:n .111d pre- e~cnt a pilturc of ,1n .ltute 1nfedion with T profounJ cirtu!Jtor} wll.1psc In 19-10 the hrst casl w1th ~un 11.d 1\\h reportf:d. Dcn mht·r, !'" (, Since that time antibiotics, norophephrin e and adrenal extracts have improved the mortality." 2 In a recent case of ours we found intrasternal hydrocortone to be life saving. Since meningitis and its complications can be cured it is essential that the practitioner be alert to the possibilities of this infection and institute adequate and early treatment . Infectious hepatitis is a subacute viral infection in which there is diffuse involvement of the liver. It is world-wide in distribution and is probably contracted via the alimentary tract. t s Its incidence is increasing in the U.S. In a recent epidemic in Des Moines, Iowa, it was possible by plotting the incid ence of the disease, to show that areas of th e city without sew ers but with cesspools had many more cases of the disease. ~ 3 Evidently ad equate disposal of waste is a factor in the incidence . The virus has been recovered from feces. The di sease is milder in children than in adults and usually the old er the patient the more severe the di sease. Gamma Globulin is effective in yielding protection when given as late as 6 days before the onset of the disease. As little as O.Ol ccj lb of body weight is effective . This passive protection lasts 6-8 weeks. Passive immunization is recom mended for all familial contacts and to interrupt th e course of epidemi cs in institutions or camps. 1 R Treatment is symptomati c. Most important are adequate bed rest a nd ad equate nutrition. By ad equate bed rest we mean from the first possible day of the disease until the liver fun ction tests are normal and the liver itself is normal in size and non -tender."·' In the average case this is four weeks. Ambulation too early brings about the possibility of a chroni c hepatitis with eventual ci rrho sis and makes a " medical cripple" out of the patient. The diet should be high protein and high calori e with enoug h ' fat in it to be palatable. I. Ande rson , 0 . W. , Arn stein , M .O .; Communicabl e Disease Contro l, The Ma c Mill a n C o. D ece mber, 1956 2. F eldm a n , Em. H. · M ode rn C hemotherap y of Infec ti o us Diseas:"! s. Im plica ti o ns a nd Sig nifi- ca nce; Diseases of the C hes t , 26: 1 Jul y 1954. 3. H ayn:! , Archibald L . , Brown , Rowine H ayes; Nl odc rn Trea tme nt o f C ontag io us Diseases; M ed . C lin. of N . Amcr. 34: 138 , J a n . 1950. 4. K na uf, Eve ly nn e G. : C o mmun ica ble Diseases , Ca lifornia M edicine 72:79, F eb. 1950 . 5 . Stimson , Ph illip: R ece nt D evc lo pm!: nts in th e Co mmon Contag ious Diseases, J . Pedia t. 45:1 01, Jul y 1954. 6 . Bome r, Le R oy , D ono van , W. N . : Auromycm in Mumps, J .A. N .A. 150: 465 O ct . 4, 1952 7. N ic ke rson , G. , W o rde n , E .M.: Chloromyc e tin in the Treatme nt o f Mumps, Ca n . M ed. Assoc . J ourn. 66:1 7 J a n. 1952. 8. Sutliff, W .B., Ba rnes, Z .B.: Auromycin , Chlora mphe n icol a nd O xy te tracyclin " (T erram ycin ) in Mum ps, A.M .A. Arc h o f Int. M ed. 91:68 , J a n. 1953. 9. Fischer Alfred E .: Inha la ti ona l ther a py in Acute R es pi ra to ry lnfccti ons: Measles , Whooping Cough a nd Pn e umo nia , Bull. of :'>I .Y. Acad. o f M ed . 26:468 , Jul y 1950 . 10. Rave nel Samuel F .: New T echniq ue o f Humidifi ca tion in Pcdi a lri cs , ] .A.M .A . 151:70 7, Feb. 28, 1953. II . Trea tme nt o f Whooping C oug h with Antibioti cs, La nce t , 1: 11 09 , June 6, 1953. 12. Ames, R. G ., Cohe n , S.M. , Fischer , A.E ., R ohn , J., M cPherso n, A.Z ., M arlow , J. , Rutzley, ].. a nd Alexander , H a ttie E .: Compa ri so n of the Therapeutic Efficacy o f F ou r Age nts in P e,·tuss is, Pedi a tries, II :323, Ap r il 1953. 13. Bell , J oseyh A. , Pittm a n , M a rga ret , a nd Olson , Byro n, .f. : Pe rtu ss is a nd Aureom yc in , Pub. Hea lth R epo rts, 64: 589, M ay 13, 1949. 14. C ia ffa ri , M a rie S . : C hloram ph en ico l in M eascls, Arch o f Ped. , 69:469 D ec. 1952. 15. Karc litz, S., Kink , H ., C urtis, B., a nd Wechse l , M1 : Use o f Aureom yc in and Pe nic ill in in th e Trea tm e nt o f Rubeo la in th e Pre-Erupti ve a nd Early Phase, Pcd . 7: 193, F eb. 1951. 16. Ci rc ul a tion : 11 :3 17, F eb . 1956 . 17. Le hrer , H.W ., Le hre r , D.E. , Lehre r , H. C .: A New Trea tme nt for C hi c ke npox a nd Other Viru s Disrascs: Pre li m ina ry Re po rt , Ohi o State M ed. J ourn . , 47 :44, J a n . 1951. 18, Ri vers, Thom as N. : Vira l a nd Ri ckettsia l Infe c t io n> o f M a n, J.H. Lippin co tt Co. 19. Po liom ye litis Vaccine: Eli Lill y a nd Co. 20. R edri ch , A.W.: R e-ce nt Tre nds in M e ningococca l Disease , Pub . Hea lth R e p. , 67:411 , 1952. 2 1. Love , Pe n, D el. Finl a nd , M axwe ll ,: Susceptib ility of Rece ntl y Iso la ted Stra ins o f H em ophilns Influc nzae to El eve n An tibio ti cs in Vilro , J. Of Fed . 45:536 1ov . 1954. 22. G riffin , J .W ., D at·sc hner, C. Wm .: M e ningococca l Infec tio ns; With P a rtic ula r Refe re nce to 'Nl l' nngococcl ini a ( W a tc rhou sc F u linna tin g Fri dc ric hson Syndrornc·) T rea te d w ith Cortiso ne a nd Norc pne phrine , J . o f Ped. 45:27 1, Sep t. 1954. 23. C c.·lpl' rin . A.: Pt rso na l Communica ti o n. 24. S timso n, Phillip N.: H om ohelo us Se rum J a undice. ] . o f p,.cJ ., 4:i: 606, Nov . 19:i4. APOLOGY The office regrets that the name of Dr. W . D. Blackwood, of Comanche, T exas was omitted from the list of members of th e T exas Association who atLcnd ed the Ameri ca n College of Surgeon s meeting in D et roit, Mi chigan, O ctober 28-Novembe r 1, 1956. Page 9 THE TEXAS OSTEOPATHIC RADIOLOGICAL SOCIETY PreJents A SYMPOSIUM ON GASTROINTESTINAL DIAGNOSIS THE SHAMROCK-HOUSTON, TEXAS JANUARY 19 AND 20, 1957 Progrctm SATURDAY, JANUARY 19 7:30 p.m.- Dinner party for Registrants , Lecturers, and their Guests. Emera ld Room-Shamrock (The expenses for this affair wi ll be paid individually) SUNDAY, JANUARY 20 9:00a.m.- Regist ration The Shamrock 9:30a.m. to 10: 30 a.m.- X-ray Diagnosis of Lesions of the Esophagus and Stomach. John B. Rushing, M.D., Radiologist, Community Hospital. 10 :30 a.m. to 10 :45 a.m. Informal Discussion-Opal Robinson , D.O., Moderator. 10: 45 a.m. to ll :cl'i a.m.- X-ray Diagnosis of Lesions of the Duoden um and Small Bowel. John B. Rushing, M.D. 1 L :-15 a.m. to 12 :1 S p.m. Informal Discuss:on: Charles D . Ogilvie, D.O ., Moderator. 11: l '5 p.m. to 1:30 p.m. Luncheon lll1 Hotel Shamrock (Regi~trants and Guests) 1:30 p.m. to 2:00p .m. - Meeting of Texas Osteopathic Radiological Society. Ellis L. Miller, D.O., President. - :00 p.m. to 3:00p.m.- X-r..ty Diagno is of Lesions of the Colon. H.ury M . Grice, D.O. 3 :00 p.m. to 3:30 p.m. Informal D1scussion-Charles L. Curry, D .O ., Moderator. Registution Fee-S 10.00 (Luncheon Included) . Interne · and Resident - A progum \\ dl be pro\ tded for the LJ.dlt on 1'..<! Ill ht o RegJstratJOn Fee. u11day. Dcccmbtr, 19~6 President Witt Reports on Visitation To Districts 5, 6, 8, and 9 By JOHN L. I have just completed another tour of part of our great state of Texas. It was a most enjoyable trip, and I feel that it was a profitable trip as far as public relations is concerned. On November 14, 1956, It was my privilege to meet with the Dallas Osteopathic Association at the Statler Hotel, at which they gave an informal party for their senators and representatives. If my count is not wrong, there were seventeen senators and representatives present. Doctors and other guests present made a grand total of seventythree. About two hours were spent getting acquainted and enjoying good fellowship with these good people. Following this period, we were served a very good meal and after dinner our Attorney General, Will Wilson , gave a very good talk on the necessity of education. It is my understanding that this will be an annual program, sponsored by District V. I would like to tell District V that I think this is a wonderful work, and I would recommend that other districts in the state take notice and plan a program similar to this one. In this meeting our senators and representatives were informed that we did not want anything from them except what was good for the health of the general public. The real purpose of the meeting was to let them see what type WITT, D. 0. of people we were and give us a chance to get acquainted with them. After the meeting, I spent the night with Dr. and Mrs. Phil R. Russell in Fort Worth. The following morning we spent a short time in the state office and then started on our tour by car to Victoria, Texas, where District IX was having their meeting that night. That group met in the home of Dr. Paul E. Pinkston, and we had a very good program. The program consisteci of the many problems that face the osteopathic physician and his duties in the district organization. As we drove from Fort Worth to Victoria, we visited in the offices of every doctor on the road who was not over thirty miles out of our way. I found that most of them were doing a good JOb of serving the public. In each town we would stop and ask questions about the doctor and good reports followed in every instance. You know, this makes me feel mighty proud to be a member of this great organization of ours. This was the one district I have visited that had hospitals that did not seem to be having trouble with them. I would like to tell you why these hospi·tals were not having trouble. They are owned and operated by individual doctors. This just means one thing and that is our hospital governing boards must keep closer records on the indivi- MATTERN X-RAY APPARATUS AL~O ULTRA VIOLET & INFRA RED LAMPS-EKG SHORTWAVE DIATHERMIES & GALVANIC MACHINES-X-RAY FILMS & SUPPLIES "Service when you need it" Si SOUTHWEST & JOHNSON X-RAY CO. 2615 OAKLAWN AVE. Telephone JU-2056 DALLAS 4, TEXAS J December. 1956 Page 11 dual doctor and see that everyone follows the rules and regulations or gets off the staff. Our work has grown to the point that we must have hospitals to care for our patients, so we must respect the rules that govern the hospital that we use. The best hospitals in the state are those hospitals that set up rules and regulations to govern our doctors and make them stick. I would like to give jll3t a word of warning to our hospital administrators. Watch and see that all records are kept up to date. If the records are not in order, stop everyth:ng until the records are right. Leaving Victoria the next morn;ng, we went to Corpus Christi and visited the hospital. They have a nice hospital that has iust made some recent improvements. This hospital seems to be doing a good job with most of their records, as well as the administration . The staff members as a whole are the youngest group of doctors I have found in the state. Thev are very eager to do a good job, and build their practice to the point they would like ro have. There are enou~h of the older doctors on the staff to a·dd plenty of stabilization to it. They are starting plans to build a new and larger hospital in the near future. The remainder of the day was spent visiting doctors in their offices in Corpus Christi. That night the district meetin~ was in Aransas Pass. The meeting had competition with an outstanding football game, and they only had about fifty percent representation. It was a great meeting, as the doctors were very eager to know more about our state organization. There was a full hour spent, after my talk, in questions and answers. As the meeting came to a close, the ladies came in asking questions about the auxiliary. These ladies were wanting to organize for the first time, and they were eNcouraged to do so. I advised them to have Mrs. Carr, the state president, meet with them in January Page 12 and get organized in the right way from the beginning. If the remainder of my trip had been a failure, this was worth all the time and money spent. In Aransas Pass they have a very nice fifteen bed hospital that is being operated b7 three young doctors. This hospital has had difficulty getting registered due to the fact that the administrator was confused about how to make application for registration. With the excepf·:on of this one point, the hospital is be;ng operated in a n'anner that is a credit to the profession. Saturday morning we left Aransas Pa~s and drove to Houston where we visited the three hospitals. All of the ho:;pitals are running to capacity, and they are needing more room. One of the hospitals has plans to start building rr.ore rooms in the near future. That night I met with the Houston group, and they were a very courteous n~ aud:ence as I spoke to them about the work that is being done in the state organization. From an organizational standpoint, I feel tha-t this group is one of the best in the state. They know what they want and are do:ng something about it. I left Houston Sunday morning and went to San Angelo for a meeting with District IV. This is the weakest district in the state as far as numbers are concerned and has had a feeling that it had been neglectf'd due to the few doctors it has. There are only seven doctors in the district, and all were present with the exception of one who was sick and one who had to stay atr home due to lack of cooperation of an obstetrical patient. These doctors were so eager to hear about th-= work of our state organization that we spent the entire afternoon talking about osteopathy and its accomplishments. Their final words were, "We are small, but you can depend on us to do our part everytime." Hh• I enjoyed. my trip, and I appreciate the many courtesies that were shown me everywhere I went. December, 1956 TALKS TO OSTEOPATHS ... Crusading Doctor Warns Against Hospitalization Insurance Abuse From the PoRT ARTHUR NEws Friday, Novemb\\!r 30, 1956 Abuses of hospitalization insurance can result in destruetion of the voluntary health insurance system and bring into being socialized medicine, acc~ncling to Dr. Phil R. Russell of Fort Worth. Dr. Russell Wednesday night concluded a three-day stay here on a l€!cture in the interest of public health. A retired osteopathic physician and surgeon and executive secretary . of the Texas Association of OsteopathK Physicians and Smgeons, h€! served 12 years on the Texas State .!Board of Medical Examiners, and was a m€'mber od' the Texas State BoaFd of Health four years. Me also is a past president of the American Osteopathic Associati0n. Conducting Crusade Since retiring from active practice six years ago, Dr. Russell has been conducting a crusade against socialized medicine and the practices i.sly which some of the very ones who oppose it may luring it about. He makes speaking tours over the state, talking to civic clubs, insu.rance groups, osteopathic doctors and hospital staffs, and other groups. Dr. Russ(dl said, "There has n€!ver been a bill introdue<;~ d into Congress that was a truly socialized medicine bill. They all have been compulsory health insurance bills. Doctors, hospitals, insurance companies and the public are against compulsory health insur;tnce because they feel it is a step toward soC!alized medicine. " About four years ago Dr. Russell organized a state-wide committee to serve as a mediator between doctors, hospitals and insurance companies. He said the situation has shown improvement since formation of the committee. Speaks at A irport Wednesday night he spoke at a meetDecember, 1956 ing of District 12, Texas Ass0ciation of Osteopathic Physicians and Surgeons, held at the Flying Chef restaurant at the county airport. Wednesday Dr. Russell spoke to students at Lamar Tech on vocational guidance. Tuesday noon he spoke at the Silsbee Lions dub luncheon, and Tuesday fligmt l!o the directors of Doctors' hosjpital in Groves. The executive committee of Mughen School for Crippled Children was his audience Monday night, and Monday aftemoon he talked to t11e staff of Doctors' hospita~ and ofifice nurses of area osteopathic physicians. Unnecessary hospitalization of pati(mts could result eventually in forcing premiums to go so high that the system of voluntary health insurance could not continue to function, Dr. Russell stated. The public, doctors, hospitals, and insmance companies' p€!rsonnel all contnbute some of the abuses which could destroy the voluntary system, the doctor pointed out. Me stated, "People don't rush to collect on their life or fire insurances, but l@t them buy a hospitalization insurance policy, and if they sneeze or have a toeache, they want to go to the hospital." Doctors contribute their bit toward weakening the system when they send patients to hospitals unnt"cessarily, to convenience thems@lves, rather than because the patient actually needs treatment and care he could get only in a hospital. Hospitals which charge patients the maximum amount allowed in their policies, even if more than the hospital's customary charge are doing their part in tearing down the system. And finally, there are the incompetent or unscrupulous representatives of insurance companies who misrepresent the provisions of policies. Page 13 CITRA CITRA CITRA CITRA CITRA " NOT 'TIL YOU GET OVER THAT NASTY COLO' " llL. CITRA Page 14 CITRA CITRA CITRA CITRA D ecember, 1956 For common colds, coughs, hay-fever and allergies-Citra capsules or syrup! 5 way action 1. Restore and maintain capillary integrity 2. Decongestant 3 . Antihistaminic 4. Analgesic 5. Antipyretic (capsules) Expectomnt (sy1·up) Hesperidin and Vitamin C aid in restonng and preserving normal capillary function, important in the control of colds and allergies. Phenylephrine HCI. assists in clearing nasal and bronchial tracts. Multiple anti-histamines alleviate undesirable side effects without reducing antihistamine effectiveness. For a nalgesic and antipyretic effect, the capsules contains a powerful "APC" group. For its analgesic effect, the syru p contains dihydrocodeinone, more potent than codeine, less constipating, with low addiction liability. Sedative expectorant action in the syrup is achieved with potassium chloride, sodium-free salt. 5 way approach Each CITRA CAPSULE provides: (1 ) Hesperidin purified (Citrus Bioflavonotd) 100.0 Vitamin C . . . . . . . . . . . . . . . . . . . . 50.0 (2 ) Phenylephrine Hydrochloride . • . . • . 5.0 (3) Prophenpyridamine Maleate . • . . . . . 6.25 8.33 Methapyri lene Hydrochloride . . . . . . . . 8.33 Pyrilam i ne Maleate . (4 & 5) Salicylamide . . .200.0 Acetophenetid in . . 120.0 Caffeine Alkalol d 30.0 mg. mg. mg. mg. mg. mg . mg. mg. mg. Each 5 cc. (teaspoonful) of CITRA SYRUP conta i ns: (1) Hesperidin Methyl Chalcone (Citrus Bioflavonoid).. Vitamin C . . . . . . . . . . . . . . . . . 8.33 mg. 30.0 mg. (2) Pheny.lephrine Hydrochloride . (3) Prophenpyr idamine Ma l eate . . 2.5 mg. 2.5 mg. Pyril am i ne Maleate .. 3.33 mg . {4) Dihydrocodeinone Bitartrate . . . 1.66 mg. (5) Potassium Citrate ..... . ........... . . 150.0 mg. In a flavored syrup base. Alcohol 2% Exempt Narcotic PROFESSIONALLY PROMOTED, ONLY Both Citra formulas a,·ailable at all prescription pharm acies. Citr a Capsules packaged in bottles of 100 and 1000. Citra Syrup in p ints and gallons. L iteratu-re on request. BOYLE & COMPANY L os Angeles 5~, California e D ecember. 1956 Page 15 American College of Osteopathic Obstetricians and Gynecologists to Meet The annual convention of the American College of Osteopathic Obstetricians and Gyn<'=cologists will be held in Philadelphia February 18 through 20, 1957 at the Bdlevu€-Stratford Hotel. Previous to the meeting of the College, the American Osteopathic Board of Obstetrics and Gynecology will hold its annual meeting, and followin,g the convention, the Philadelphia College of Osteopathy will hold a post-graduate course in obstetrics and gynecology. Professional program will contain both obstetrics and gym:cology. Some of the subjects to be discussed are as follows: Diabetes and Pregnancy, Pediatric and Adolescent Gynecological Endocrinology, Psychosomatic Obstetrics and Gynecology, Physician's Role in PreMarital Counseling, Prevention of Preg- nancy Wastage due to Erythroblastosis Foetalis, Psychosomatic Aspects of Practice, Sub-clinical Cerebral Trauma of the New Born, Breech Deliveries, Hypnosis, its Use and Application in Obstetrics. Several new innovations will be used tbli·s year; one being a breakfast roundtable discussion on "Care of the New Born Infant, " a special dinner for the discussion of hospital obstetrical and gynecological problems will also be held. Some of the subjects to be discussed will be in the form of panels while others will be individual presentation . Social activities will again be one of the highlights of the program with the annual banquet being the greatest highlight. Daacing and entertainment will also be featured one of the evenings. Named to New Post ics and is a candidate to the American College of Osteopathic Surgeons for certification in orthopedic surgery. Dr. Charles M. Hawes, recently named to the post of chairman of the department of orthopedic surgery at the Kirksville OsteopMhic Hospital and Cliaic, has assumed his new duties. Dr. Hawes was graduated from the Kirksville College of Osteopathy amcl Surgery in 19'44. He did his preosteopathic study at Texas Technological College at Lubbock, T exas. Following graduation, Dr. Hawes served an internship at Sparks Hospital in Dallas, Texas then established practice in Denison, Texas. In 1949, he began a two-year residency in general surgery at Dallas General Hospital in Dallas, Texas and completing that he went on to Detroit Osteopathic Hospital , D etroit, Michigan, for a two-year residency in orthopedic surgery. Since 19 5 3, he has served on the surgical staffs of Dallas Osteopathic Hospital and Fort Worth Osteopathic Hospital. Dr. H awes is a member of the America n Osteopathic Academy of OrthopedPage 16 g Kirksville Elects Trustees Two new trustees were elected and a member reelected at the annual meeting / of the Board of Trustees of the Kirksville College of Osteopathy and Surgery in October. The new members are Dr. W. D. Henceroth of Grove City, Ohio, who succeeds Dr. Ralph S. Licklider of Columbus, Ohio, and Dr. J. 0. Carr of Marceline, Missouri, who succeeds Dr. D. A. Squires of Fulton, Missouri . Reelected Trustee was Mr. Floyd L. Collop of Kirksville, first elected in 1950 and reelected in 1953. Dr. C. Robert Starks of Denver, Colorado was elected vice-chairman to succeed Dr. Squires in the post. Dr. A. C. 1it' Johnson of Detroit was reelected Board Chairman and Mr. Frank R. Truitt of Kirksville was reelected secretary D ecember, 1956 • HONORED H. Murphy Webb, D.O. . Houston , Texas William V. Durden, D.O. Houston, Texas Dr. H. Murphy Webb and Dr. WiiLam V. Durden were elected to membership in the College of Surgeons. Executive Secretary Visits District 12 On November 26, the executive secretary began a three-day publi c relations visitation in District 12 for the com mitte on Publi c and Professional Welfare. This proved to be a most interesting and valuable district contact. The morning was spent in conference with the administrators, doctors, and employed staff of the Doctors Hospital in reference to hospital problems. This hospital has been in operation for approximately six months under the ownership of nine doctors and of course had many complications and problems to straighten out. The executive secretary sincerely hopes that his visit to the hospital and his advice will prove valuable to this splendid institution which is operating in the interest of the public. At 3:00 p.m. on November 26, the executive secretary spoke before the entire employed staff of the hospital and t·o doctor's nurses, and assistants who attended this meeting. His talk was well received as it dealt not only with the hospital but also with doctors, nurses, and secretaries. That evening, the executive secretary had an engagement to speak before the December, 1956 executive committee of the Hughes Home for Crippled Children. Fortunately, there were other interested persons and the audience soon grew to about 15. This institution is devoted to the care of crippled children and is rendering an invaluable service to the people of Texas. There seems to have been some misunderstanding as to the osteopathic physicians and their relationship to this institution. While the executive secretary was supposed to speak to this group for only 30 minutes, the meeeting lasted until after 9:00 p.m. The meeting was most successful and appreciated by the executive committee of the home as well as by the members of the osteopathic profession. On Tuesday morning, November 25, the executive secretary again reported to the Doctors Hospital to check into records in preparation for a talk to the directors of the hospital. At noon, he spoke before the mem- SAN ANTONIO OSTEOPATHIC HOSPITAL * OSTEOPATHIC MEDICINE , SURGERY a n d OBSTETRICS * l 1033 M AI N A VEN UE SAN ANTONIO, TEXAS ----~--- ---~----~---J Page 17 bers of the Silsbee, Texas Lion 's Club and was enthusiastically rece ived. Following this talk, the executive secretary visited with several doctors in their offices. That evening he met with the owners and directors of the Doctors Hospital from 7 :30 p.m. until midnight, discussing the management and operation of hospitals, and the necessity for certain procedures in the interest of insurance and the public. He stressed the fact that the hospital should by all means become registered immediately. Wednesday morning, November 26, was spent visiting other doctors in their offices, and at 2 :00 p.m. the executive secretary spoke before the science class of the Lamar Jr. College, following which he continued his visits to doctors offices. That evening he addressed the members of District 12 and the Auxiliary of the district. Your executive secretary feels that this was a worthwhile visitation from which much good will come to District 1 2 and to the profession . Miss Archanna Morrison to Address General Practitioners February 24, 1957 Miss Archanna Morrison, a well known lecturer in dental and medical economics will present a lecture covering the economic phases of office management. Miss Morrison has spent many years in this field, has written a text book on the subject for denti sts, is a member of the fa culty of several leading eastern universities, and has given courses to dentists in office management throughout the nation. We have been fortunate in securing her to appear on ,t eminar in office and personnel management to be held at the Rice Hotel, in Houston, Sunday, February 24, 1957, under the joint auspices of the Texas ociety of General Practi tioner in Osteopathic Medicine and Surgery and the Harris County Society of 0 teopathic P.1ge 1 Medici ne. This seminar will be an outstanding opportunity for every doctor and his office and nursing personnel to obtain training. NATIONAL SECURITY LIFE and Accident Insurance Company 1603 MAIN STREET • DALLAS , TEXAS November 19, 1956 Dr. Phil R. Russell 51 2 Bailey Street Fort Worth, Texas D ear Dr. Russell : Your letter addressed to Mr. Armstrong is rece ived for which we thank you. In our previous correspondence, we stressed that we felt we were taking a liberal attitude in accepting the osteopathic hospitals registered with the American Osteopathi c Association under our policies stipulating that only hospitalization in hospitals recognized by the Ameri ca n Hospital Association of the American Medical Association is covered. After considering the matter thoruughly, we do not see where we can alter our previous handling. However, when the hospitals are recognized and registered by the American Osteopathic Association, we would appreciate your advising us, should this occurr prior to the issue date of your annual Directory. We have expressed our appreciation numerous times for your splendid cooperation. Please advise when we can reciprocate at any time. Yours truly, L. LS: jw p, SYFE LT Claim Department Finishes Post-Graduate Courses Dr. H azen V. Anderson of Colorado Springs, Colorado has just finished a two-week post-graduate course in cardiology. Dr. Anderson , a 1935 KCOS Graduate did his work with Dr. D avid W. Boone, division of cardiology, of the K irksvi lle Osteopathic Hospital. December, 1956 it • Washington News Letter Defense Policy on Commissions November 5, 1956 t Section 201 (g) of the Army-NavyPublic Health Service Medical Officer Procurement Act of 1947, as amended by the Act of July 24, 1956, providing for commissioning of doctors of osteopathy in the Medical Corps of the Armed Services, calls for implementary regulations first by the Secretary of Defense and then by the Seo:etaries of the three Services . Enclosed is copy of the implementary regulations prescribed by the Secretary of Defense, under date of October 24, 1956. You will note that of the six requirements of the · Defense policy, the first three are takeJ.:l verbatim from the law and the remaining three are superimposed by D efense under authority of the law. Before commissions for D.O.s can be available, however, it will be necessary for the Secretaries of the three Services to amend their respective regulations in consonance with this October 24th Defense Secretary policy. Indications are that additional months will intervene before the individual Secretaries act. In the meantime, applicants will undoubtedly continue to be informed that their applications cannot be considered until such time as implementary regulations are established by the Service involved. Department of Defense lllStruction Number: 1205.2 Date: October 24, 1956 Subject: Appointment of Doctors of Osteopathy as Medical Officers. I. PURPOSE The purpose of this instruction is to implement the provisions of Public Law THE AMERICAN SAVINGS LIFE INSURANCE COMPANY Old Line-Legal Reserve DOCTORS OF OSTEOPATHY ARE PRIVILEGED TO SUPPORT A LIFE INSURANCE COMPANY Designed to Benefit Profess io nal Education Ll FE IN SURANCE PLANS AVAILABLE Ordinary Endowment Limited Pay Term Mortgage Cancellation Retirement Ed uca t ion Family Income BUY TO BUILD-FROM THE COMPAN Y WITH A PURPOSE THE AMERICAN SAVINGS LIFE INSURANCE COMPANY a Di vision of the MEDICAL FOUNDATION INVESTMENT CORPORATION si Home Address: 3810 Almeda Housto n 4, Texas December, 1956 Tel.: JA6-1501 Mail Address: P. 0 . Box 8445 Hou st on 4, Texas Page 19 763, 84th Congress, relating to the appointment or clodors of ost;eopathy as medical officers. II. POLICY In the interest of obtaining maximum uniformity, the foUowing criteria an~ established for the app<i»intment of doii:to-rs of osteopathy as medical officers: To be elig~bJe for appointmemt as Medical Corps officers in the Army amd Navy or designated as ooedical 0ffice£s ilil tlle Air Fmce, a cloctor of osteopathy must: 1. Be a citizen of the United States; :2. Be a graduate of a college {!lf oste0pathy whose graduates an~ eligible ~or li:censure to pt:actice medicine OF surgery in a majority of the States, at:J.d be licensed to p£actice medicine, surgery, or osteopathy in ome of the States oF Territolfies of the UID i~ed States or in the District of Columbia; 3. Possess such qualifications as the Secretary concerned may prescribe fe>r nis service, after considering the recommendations for such appointment by the Surgeon Gem~ral of the Army or the Air Force ot: the Chief of the Bureau of Medicine and Surgery of the Navy; 4. Have completed a minimum of three ( 3) years college work prior to entrance into a coUe~e of osteopathy; 5. Have completed a four-year course with a degree of Doctor of Osteopathy from a school of osteopathy approved by the American Osteopathic Association; and 6. Have had subsequent to gt:aduation from an approved school of osteopathy 12 months or more of intern or residency training approved by the American Osteopathic Association. Frank B. Berry, M.D. Assistant Secretary of Defense (Health and Medical) Page 20 November 13, 1956 Enclosed is copy of Defense Regulations implementing the Dependents' Medical Care Act 0f Ju!!Je 7, 1956 (Public law 569), effective December 7, 1956, as published in the November 8, 195~, issue of the FecleFal Register. The program, popularly known as Medicare, pFovides for use of civilian facilities for hospitalization and Felated medical care only of the spouses and dependent children of active-duty members of the uniformed services who do not have access to Government medical facilities. Sim:e the program essentiaHy depends on hospitalization, it will involve little if any osteopathic services in States other than those having osteopathic hospitals supplying general medical and surgical services. For that reason, participation is restricted to unlimited practitioners and hospitals staffed by unlimited practitioners. Note the definitions of "Physician" and "Hospital" in g the Regulations. The Act calls for negotiation of contracts for civilian services, and the Army is Rxecutive Agent for the purpose. In vi.ew of invoJved record-keepin.g, claim processing, a.nd fiscal op<'!rations, and the d@nmitions of "Phy£ician" and "Hospital," abov€-mentiof!lerd, the Government at this stage felt ~t expedient to letr only one contrali:t for pfofessional or hospital seFvices, as the cas€ may Joe, for a given geographical area. In other words, a. contractor for a given gcwgraphical area has to assume responsibility for proc€ssing the bills of both M.D.s and D.O.s for professional services or for medical alil.d osteopathic hospitals, as the case may be. Private insurance companies are contracting to handle hospital bills in N. Dak., S. Dak., Neb., Kans., Okla., Tex., Minn., Ia ., Mo., Ark., La., Wise., Ill., Ind. , S. C., Ga., and Fla . In the remaining States Blue Cross is the contractor. Each such contractor agrees to provide "ti all hospitals (as defined in the Regulations) within the geopra phi cal area of the contract with adequate information. D ecember, 1956 t ' Th€ State medical sooet1€S are contracbn£ ( li) to 1Wcemrage physicjarrs (as d€fined in the Regulations) to participat€, and ( 2) to maintaifl commiEtees, wh€tre t€quired, to r€view wm.phimts. Wli€re such coJ:Emittees hav€ frlO cognizam:e o.f the subject matt€~r or over the physician invol"Ved, the matter will be forward€d to the Go¥ernment for comid€raJtion. In tfu12 same contract Blue Shield' undertakes to supply physkians (as d€fined in th€ Regulations) with cmremt information and to process afld pay physicians' bills, and rendel' monthly invoices a.nd provide budgetary, statisticaL or proc€ssing cost information to the Gov12mment. The same fee schedttl€s will apply to M.D.s and D.O.s. Contracts am forr D€cember 7, 1956, to June 30, 195 '7 , sUJbject to renegotiation. Dif.liicw.ltries flOt resolved at till€ local orr Stat€ levd should be bwught tro the att€ntiom of fhe AOA Department 0f Public Relations. General Electric Installs New X-Ray Machine A new weapon against dis€ases has be€-n installed atr the Kirksville Osteopatlflic Hospital and Clinic. It is a Regeflt X-ray DiagJj}ostic Unit recently installed and put into use. The new x-ray machine is designed to provide a wide range of se£vices frot;n x-ray pictures for diagnosing many illnesses and injuries to obs€rving directly the intricate internal organs by means or£ its fluoroscopic equipment. It contains many special features such as auto.t'Da.tic, spot-film devic€, which makes it possible feF the radiologist to take x-ray films while fluoroscoping the paritmt. The new x-ray unit was sl!lpplied and imstalled by the General Electrtc Company. Abstracts D.O. The Peutz Syndrome: M;elanin Spots of Peculiar Distribution Associated with PolyposiJ-G. F. Klostermann Schweiz Med. WSCHR 86(1956) P51. LOUIS GUS':FAVIE MANCUSO, A very i n.~tetresting case is described showing the association of th€ penrhar pigmentation <'>f the skim and mu_cous with intestinal p®lyposis. Photographs sfugw the characteristic distribution of small pi,!gment spots involving the oral mucos and vermilliom border. The face on the cheeks, eyes aadl mouth and the extemor surfaces @f the joints of the limbs show pigrneatration. It is however 1rnost constant im. the oral mucosa. lt was the authors patient and there were net any syruptems he>wever there was rad:iograpbiic evidence of po'lYl%· Many of the 60 cases described in me<Thica 1 literature had marked symptoOOJ.s of trhe in~estriro.al tract with a marhd pre•hLection of polyps of the 1ejumeum. It is to be notecl at this time that MY COST ATIN is the first aBtibiotic to show unquestionable and constant effects e>n expe•imero.tal Histoplasmosis without causing toxic effects. This was discussed in a: paper by; E. Dmuhet, ]. Schwarz and E. Bingham. (Anti-biotics a.l!ld Chemothe!iapy. 6-23-35, Jan. 1956. l X-Ray Equipment & Supplies X-RAY SALES & SERVICE CO. 2800 THANNISCH ST. C. A. McGEE Decembt'! r, 1956 ~ORT WORTFI, TEXAS Page 21 Osteopathic Physician Honored Ralph M. Connell, D.O. Dr. Ralph M. Connell was named the Outstanding Kiwanian for 1956 by the North-Dallas Park-Cities Kiwanis Club and awarded a Bronze Plaque for his outstanding work for the year. He is a member of the board of the club and also a past president of the Kiwanis Club in Davis, Oklahoma. Good Locations WHITEHOUSE, Smith County, Texas: Population 1000 with a trade area of 3000. Needs good osteopathic physician. 10 miles south of Tyler, Texas. 3 miles from new $15,000,000 GE plant which will employ 1500 persons. Modern conveniences. Good schools and churches. If interested, contact W. W. Rousseau, Whitehouse Pharmacy, Whitehouse, Texas. FRANKSTON, Anderson County Texas: Population about 1300 with large trade territory in all directions. Good churches, schools, strong bank. Good hospital in Tyler and one in Athens. N ew dam to start soon on Neches River about 3V2 miles from Frankston . Ranchers, farmers, pulp wood and lumber, an oil well two miles from town. Brand new office building built for doctor' office per doctor 's speciftcations-7 rooms and bath, a lavatory in P.1ge ~~ each room except two waiting rooms , one for whites and one for colored people, and 4 treatment rooms. Complete prescription drug store in business for over 55 years and people will assist in every way in getting doctor established. Town has always had two doctors but only one now, of middle age and does not care to make house calls which is necessary at times. If interested contact P. W. Burtis Jr., % Burtis-Garner Drug Co., Frankston, Texas. KCOS Founder's Day A record attendance of 170 marked the Founder's Banquet, October 16, opening Founder's Day observance which continued through the 17th. Classes of 1906 and 1931 were honored at the banquet. Features of the second day included the convocation at which President Morris Thompson delivered his annual report on affairs of the college and Dr. R. C. McCaughan, pre>ident elect of the Kirksville Osteopathic Alumni Association delivered the Founder's Day address. Both speakers emphasized the place of leadership the college holds in osteopathic education and the history of the healing arts and urged an increased support of all osteopathic colleges which must include public support at federal, state and local levels. A unique feature really opened the annual celebration on the event of the 15th when KOAA President Margaret Raffa and Junior Delegate at Large Paul E. Wilson, met with members of the Student Academy of Applied Osteopathy and other students to a total of more than 100 for a sess ion on osteopathic manipulative technic. The event attracted so mu ch favorable attention that it bids fair to become a regular event in the annual observance of Founder's Day. D ecember, 195 6 lj l AUXILIARY NEWS 1 Auxiliary District One Mrs . Jerry 0. Carr of Fort ~orth, Texas, President of the Auxtltary to Texas Association of Osteopathic Physicians and Surgeons was the guest of Auxiliary to District One Association of Osteopathic Physicians and Surgeons on Sunday afternoon, November 11 , at the home of Mrs . E. H. Mann in Amarillo. Her talk before the group was an inspirational one in which she stressed community responsibilities, and told of the work with scholarship projects. During the business meeting, at which Mrs. Glen Robinson, o( Happy, President, presided, the 195 7 Osteopathic Child Health Clinic was discussed, and ways tr~ of making money were considered. The program consisted of a roll call, under the direction of Mrs. E. W. Cam, program chairman, with each member telling of something interesting and new about the Osteopathic profession. Prior to this meeting the auxiliary had enjoyed dinner with the doctors at the XIT Room of the Herring Hotel. Dr. E. W. Cain, President of District One Association of Osteopathic Physicians and Surgeons presided. Dr. J. Francis Brown introduced Mr. Cal Farley, director of Amarillo 's famed Boy's Ranch. Mr. Farley told of the vocational program being pursued at the Ranch in connection with the building expansion, and in particular of the new dormitory unit where the boys are doing all the building-under direction- from surveying to completion. When they are old enough to leave the Ranch , they are equiped to hold good jobs. There are now some 228 boys at the Ranch from 38 states, and a long waiting list for others who would like to come, but must wait for additional accommodations to be completed. About sixty percent of the boys at the Ranch had been previously D ecember, 1956 in some sort of trouble. Dr. Glen Scott introduced Dr. Lester Tavel, of Houston, President-elect of the Texas Association of Osteopathic Physicians and Surgeons who spoke briefly to the group. He addressed the doctors, later, during their meeting. In addition to Mrs. Carr, guest, there were seventeen members of District One Auxiliary present: Mesdames E. H. Mann, J. H . Chandler, L. V. Cradit, Don Eakin, Lester Vick, Eugene Augter, Glenn Scott, J. Francis Brown, Raymond Mann, Maurice Mann, W. R. Ballard, E. W. Cain, E. L. Rossman, and John Kemplin, all of Amarillo, Glen Robinson of Happy, Robert Clayton, of Follett, and John London, of Groom. The next meeting will be held the second Sunday in February, 195 7. PORTER CLINIC HOSPITAL LUBBOCK, TEXAS • G. G. PORTER, D. 0. L. J . LAUF, D. 0. HARLAN 0. L. WRIGHT, D. 0. S. G. MacKENZIE, D. 0. J. WALTER AXTELL. D. 0. R. E. SEVERIN, D. 0. F. 0. HARROLD, D. 0. • COMPLETE HOSPITAL AND CLINICAL SERVICE l An Osteopathic Institution ------------------~~--------~) Page 23 Dr. Robert Clayton and family have moved to Follett, Texas-Amarillo's loss, but good wishes for success go with them. Mrs. Raymond Beck recefltly underwent minor surgery at the Amarillo Osteopathic Hospital. She is progressing nicely. Dr. Lester J. Vick won a new 1956 Plymouth sedan, on a mofley-raising project of the Americam Business Club recently. Dr. Earle Mann won a nice sum of money for selling Dr. Vick the winning ticket. How about that! During her visit to Amarillo, Mrs. Jerry Carr, President of Auxiliary to Texas Assoc~ation 0f Osteopathic Physicians and Surgeons was house guest of Dr. and Mrs. L. J. Vick. George Vick, son of Dr. and Mrs. L. J. Vick has jo•ined the Dominican Order and is located in Ross, California. He returned in July from St. Maximin, France, where he had studied for the past three years at Ecole of Theology. The Amarillo Osteopathic family is happy to welcome Dr. and Mrs. Eugene Augter, and sons, Gary and Gregory. Dr. Augter recently finished a residency in general surgery at Osteopathic Hospital and Conley Maternity Hospital in Kansas City, Missouri. The Augters live at 116 Wayside Drive, Amarillo, and Dr. Augter' s fine new office is in the West Hills Center. Mrs. John L. Witt, of Groom, took a group of young people (including son Dan) to the A.C.C. Homecoming at Abilene, the weekend of November 10. Sandra London , daughter of Mr. and Mrs. John London, also of Groom, was with the group, and visited her sister, Sylvia, sophmore student at Abilene Christian College. Dr. Glen Robinson, of Happy, enjoyed a weekend of lake fishing at Cheretta, New Mexico, in September. He returned with a good catch, and one 18Y<I inch rainbow trout. Dr. Robinson holds the title of "His Honor-the Mayor" of Happy - the " little town Page 24 without a frown." He was appointed to fill an unexpired term. Dr. E. L. Rossman had minor surgery by Dr. L. J. Vick in Amarillo Osteopathic Hospital, recently. Dr. and Mrs. Earle H. Mann, and Dr. and Mrs. Raymond Mann have returned from an interesting trip which included the convention of the American College of Osteopathic Surgeons held in Detroit, Michigan, October 29-31 . On the way home they stopped for a visit in Kansas City, Missouri, and also went through the new hospital wing at Tulsa. While they were gone, Mrs. Raymond Mann 's mother, Mrs. Burt Coate of Pharr, Texas did the baby-sitting honors, keeping an eye on Bobby and Steve Mann for two weeks. Glenn R. Scott, D.O. flew to Detroit, Michigan wh€'re he attended the convention of the American Osteopathic College of Anesthesiologists October 27 -November 2. John Robert Cain, son of Dr. and Mrs. E. W. Cain was recently initiated into Alpha Epsilon Delta, national honorary fraternity for pre-medical students. He is also a memoer of Sigma Alpha Epsilon, social fraternity, and Phi Eta Sigma, scholastic fraternity . John Robert "Jackie" Cain is a junior student at Oklahoma University, Norman, Oklahoma. Mrs. John Kemplin is attending class at Amarillo Center of West Texas State College, working on her M .A. degree. Mrs. John London is continuing study, by correspondence this semester, towards a B.A. degree at W .T.S.C. Mrs. J. H . Chandler received her M . Ed. degree at W€'st Texas State College, Canyon, Texas, last August 24. The Auxiliary to District Oie, under the direction of Jo Mann (Mrs. Raymond) plans to sell engagement calendars, the profits to go into the treasury for the assistance of the Osteopathic Child Health Clinic. A post-graduate course in advanced ophthalmological surgery at the College of Osteopathic Physicians and Surgeons, D ecember, 195 6 g ti Los Angeles, which was limited to fif. teen certified specialists in this field, was attended by Dr. L. V. Cradit. The course held September 24 to October 6, was conducted by a not€d professor of Ophthalmology from Paris University, in Milan, Italy, Dr. Cradit was able to observe some of the construction of the new 500 bed, $10 million hospital, which Los Angeles County is building for the Osteopathic Unit of the County Hospital. The Osteopathic profession is well represented in Southern California, from a hospital standpoint, there being thirteen Osteopathic Hospitals in the Los Angeles area, alone. Both state and county funds, and public subscriptions have made these hospitals possible. FLORA CHANDLER (MRs. J. H.) Reporter • • • Auxiliary District Five Dr. and Mrs. Myron Magen have returned to Iowa and I'm sure all their Dallas friends and associates wish them every success. Congratulations to Dr. Ralph Connell, who just this we~k was awarded the Kiwanis Bronze Plaque for the outstanding member of 1956. Dr. Connell is a member of the North Dallas-Park Cities Kiwanis Club and was elected to the board of directors for the coming year. This is not only a personal tribute to Dr. Connell but to the profession as well. Dr. and Mrs. M. V. Gafney attended the Surgeons Convt5ntion in Detroit. There's no escaping a certain number of broken bones where small boys are concerned. Among the casual ties are: Johnny Sl Baldwin-£ ractured arm, Joe De Petris -fractured shoulder. We are happy to report that our reD ecember, 1956 cent rummage sale was a huge success. I cannot say how much time and effort was expended in planning the sale but our super saleswomen sold out in 3 hou(s! Your reporter hopes she will be forgiven for a bit of neglect. I have been suffering from moving into a new home, two sick children and two sets of house guests. EDNA M. KRATZ Publicity • • • Auxiliary District Ten Dr. and Mrs. Brown of Idalou have just returned from visits with former classmates. They spent some time with Dr. and Mrs. C. R. Blackburn, Indianapolis, Indiana, and with Dr. and Mrs. Homer Harris, Dayton, Ohio. Then they continued on to Kansas City, Missouri, for a visit with Dr. Brown's family. This was a "just for fun" trip. Guests in the Brown home recently were daughter Ann and a friend from Dallas. The Browns are anticipating lots of company for Christmas; so they are adding another room to their home. Mayor and Mrs. Wright of Sundown have two new riding horses. That sounds interesting. If you call Lynn and get no answer, call a little later. She is probably down the road feeding the horses and will be back soon. We of District 10 are proud of what Dr. and Mrs. Wright are doing in Sundown. Dr. and Mrs. E. L. Parker are among th€ fortunate ones who are expecting company for Christmas. Mrs. Parker's mother, Mrs. Jenness Apspach, from South Bend, Indiana, is planning to spend Christmas with them. Dr. and Mrs. Nobles plan to go to Dallas for Christmas. Going home for Christmas, or having home folks come are equally nice. Page 25 l~N...___._EW_S,__...O~F~T----H_E.....---D~I-ST____R_I_C~T~S--.Jl DISTRICt ONE The meeting of DistFict 1 was held held at the Herring Hotel on Novemb12r 10, 1956. Mr. Cal Farley, founder and President of "Boy's Ranch," spoke to the ~roup on the work bein~ done at Boy's Ranch. Dr. Lester Tavel, President-deGt of the 'fAOPS, spoke to the group on "Tumors of the Rec;:tal Area." Election was held and the new cgff,ic;:ers of the di·strict are as follows: President _____ ____ __ __ _E. H. Mann, D.O. President-elect __ L. V. Cradit, D.O. Vice-President E. R. Mayer, Jr., D.O. Sec.-Treastrre.r __ ___ _R. E. Mann, D.O. Delegates _____ __ ____ L. V. Cradit, D .O. E. H. Mann, D.O. J. P. Price, D.O. G. L. Robinsoill, D.O. Alternate Odegates: E. R. Mayer, Jr., D.O. J. F. Brown, D.O. L. J. Vick, D.O. E. W. Cain, D.O. Dr. Robert Clayton and family have moved to Follett, Texas. We hear that he is very popular and is receiving enthusiastic support from the people of that area. Dr. Clayton was previously associated with Dr. Ed Rossman in Amarillo. Drs. Raymond Beck, Maurice Mann, John Kemplin and John Witt are attending the seminar at Austin on December 7-8. Marjorie Ann Cloninger was killed instantly in a car-truck collision north of Amarillo November 27. Marjorie was the daughter of Roy Cloninger of Amarillo, a prominent insurance man and member of the Amarillo Osteopathic Hospital Board of Trustees. Our sinPage 26 cere sympathy is extended to the Cloninger family and ft-iends. The annua1 Christmas party of the Amari11G Osteopathic Hospital staff will be held at the Amarillo Country Club on December 18. Dr. Joe Suderman of McLean will be host to the Groom Osteopathic Hospital staff December 11. Gm~sts will be the mayor, city councilmen, druggists and a :representative newspaperman, all from McLean. Mr. J. L. Davis is doing a fine job as our new hospital administrator here in Amarillo. The new bookkeeping system is going smoothly. Redecoration and remodeling of the hospital is progressing steadily. Dr. Cain has smffered a very sore shemlder sit1e:e his return fr0m Utah. We understamd his horse had something to do wi·th it. Dr. Dick Mayer visited his brother, Dr. Ed Mayer, Jr., in Amarillo over the Thanksgiving holidays. Mr. and Mrs. Sharron French, parents of Mrs. Don Eakin, were guests of the Eakins over Thanksgiving. We are sorry to hear that Dr. London is hospitalized in Amarillo Osteopathic Hospital. Hope he is up and around soon. Dr. Glen Robinson's sister is also hospitalized in Amarillo Osteopathic Hospital. The R. E. Manns and E. H. Manns thoroughly enjoyed the Detroit convention. Several days were spent in Kansas City on the way home. Dr. Scott and the Manns saw Minnesota upset Michigan at Ann Arbor before attending the Surgeons and Anesthesiologist's Convention at Detroit. R. E. Mann, D .O. Secretary, District 1 December, 1956 g tJ DISTRICT THREE Your reporter herewith extrends his sincere apologies to Dr. K. E. Ross, who appeared on the panel on burns at the last meeting of the East Texas Osteopathic Association held in Winnsboro. It was erroneously reported that Dr. Jim Calabria, of Dallas, participated on this panel. Dr. Ross replaced Dr. Calabria at a late date, and the news had already been reported to the journal. Dr. Ross' efforts contributed heavily to a highly successful and extremely informative program that so many members missed. The Secretary had failed to send notices of the meeting, but spent several hours (and quite a few dollars of his personal money) on the telephone Friday night and Saturday morning before the meeting to be sure all regularly attending members were informed of the meeting. in District 3 was well represented at the post-graduate course in Austia early this month. We all missed Dr. Coats, who had to attend the Medical Board meeting in Fort Worth that week-end. Dr. Tom Gilchrist, our regular paying member from across the state line in Shreveport? r~ports. that he spent ThanksglVlng m Illmois enjoying the snow and rabbit hunting. Dr. and Mrs. Jones attended the Surgeons Convention in Detroit in October and on the way home visited Niagra Falls, and came down thru West Virginia, where they visited friends. They rested up from their vacation for a few weeks and then left DecerBber 1 for Estherville Iowa, where they visited Dr. Jones~ parents. Dr. Alan Fisher reports that he is progressing steadily on his project of en- dermatoses eczema pruritus diaper rash external ulcers (traumatic, diabetic, varicose) wounds burns Almost complete healing with Panthoderm Cream applied twi ce dally, covered with sterile gauze, for thr·ee weeks. u.s. vitamin corporation Casimir Funk Laboratories, Inc., (aff,iliate) 250 East 43rd Street, New York 17, N.Y. D ecember, 1956 Page 27 couraging all D.O.'s to have a pnysical examination onc@a year. Dr. R. B. Bun.n reports that he has not been. called! to active duty, bUtt has merely been assigned to a reserve lHilit He applied for " ready reserve" status, which required a physical examination, for' whicn the examinin.g M .D. in Kilgore, Texas, charged him $4.00 (Dr. Fisher: please not@ that Dr. Bunn is the first D.O. to follow your advice ancl have a physical). A special news iotem hom Mt. Pleasant ind·icates that the Mary Leigh Legg School of Vocationai Nursing, which is operated in conjunction with ~nd by the Currey Clinic and Hospital in Mt. Pleasant, is enjoying much success. The second class of this school recently took the State examinations, and one of the students had an average of 95.6, and was on.e of tme top ten 1n. the state. The school itself ranked among the to·)p 1 ~ in the state. The third dass is fnlOW €nrolled, with eleven studmts. Mrs. Golda George, R.N., chief imtructor, has just completed some additional training ilil the school for instructors at the University of Texas in Austin. . Dr. Palmore CuH€y, who forgot about the last meeting of district 3, reGently gave a talk on Men..tal Health tlo tlh.e members of the " Fin.e Arts Club" C>f Mt. Pleasant. Next time he will talk on "How to ImpFove Your Memory. " Dr. Henry Hensley, of Big Sandy, was recently seen in Tyler trying to find some good samaritan to tow his Modd T home. It seems he "tore up a rod," , whatever that means. He and the family spent the Thanksgiving holidays in Odessa, where he went blue <quail hunting with his bow and arrow, but didn't kill any. (How do these fellows find time to go deer and quail hunting?) Dr. Rahm recently performed his first total gastrectomy. Everything came out nicely, including about half the pancreas. His excuse was that the light over the autopsy table wasn 't bright enoLigh. Dr. J. W. McCorkle, the working member of the team McCorkle & Jones, Page 28 of Mineola, and his fami~y spent Thanksgiving with his parents in Saratoga, Arkansas. (How does he find time to go anywhere with Jones always runfi~ng around the col.!lntry ?) The Wayne S.tniths have a few additional gray hairs, m will have soon, since th.ey have their littLe grand-daughter with them. S<On Jerry will be home from Kirksville for Christmas and reclaim her. Dr. Ross recently operated on one of Dr. Rahm' s old patients, and it turned out to be an exceedingly interesting case, but he won't wri•te it up for the journal because he says nobody will believe it. Mrs. Rahm and Ml,'s. Ross attended the last meeting o£ district 3 at Winnsboro and repent a m<Ost interesting discussion on burns. Merry Christmas to all. • • • DISTRICT SIX 0' 0 The district was pleased to mav.e Drs. Phil Russell an.d John L. Witt visit at our last meeting. Dr. Witt pres<mted an inte!lesting address. The annLial business meeting was held and the followin.g officers and delegates were elected: Dr. Loren R. Rohr __ President Dr. James E. Cary . --·- Presicl.ent-elect Dr. Jgs~ph S. Carpenter __ ___ Vice-Pres . Dr. Patty J. :Bricker ____ Sec.-Treasurer Ddegates: Dr. Joseph S. Carpenter . __ Chairman Dr. James E. Cary Dr. Warren V. DiSantis Dr. G. W. Thompson Dr. J. Ralph Cunningham Dr. Jack P. Leach Dr. Loren R. Rohr Dr. and Mrs. Jerry 0. Carr of Fort Worth, attended the TCU-Rice football game and an after-the-game buffet supper, sponsored by the auxiliary. Dr. and Mrs. LePere visited their son in London, England, an M.D., who is taking post-graduate work. D ecember, 1956 tl' N ow that hunting season is here, on e of th e biggest items of news is that D r. Joe Car penter is actually going to open h is of.ice a fe w days durin g D ecembe r. Cal Lyons bagged onl y on e dee r during his Colorado hunting trip, whil e wi f e Johnn ie got two. R OBE RT P. K ELLY, D .O. Reporter • • • DISTRICT SEVEN D r. Schook took hi s moth er home to Brooksfield, Misso uri . She was down here for eye surge ry. So far o nly Dr. Gord en Bec kwith got h is deer. M any have tri ed but no luck. D r. Tamez atten ded the T exas, A&M game and then went fis hing. H ad extremely good luck. D r. Dullye had the Staff Solial last n ight. T hose of us who were the re had t r~ a most en]·oya bl e eventn · g. 1 Dr. Va rdaman is coming alo ng rea l fast. N ever re fu ses a hou se ca ll and is always smiling. W e are indeed gl ad to have him as on e of us. s: nce I was able to get a good new off:ce gi rl I'll try and get the news in every month . The greatest loss to District Seven and esp ec iall y we in San Antonio is the passing away of Dr. I. T. Stowell. We all know what a fin e man and doctor he was and loved him . But his absen ce makes us all the more aware of the place he held amongst us. We are p lanning to attend the Publ ic H ealth Conference in Austin tomorrow . w ALD EMA R D. • • S C HAEF E R, D.O. • DISTRICT EIGHT Distri ct 8 met at Little Bob's Cafe, Aransas Pass November 16, 1956. Our state as ociation pres id ent, Dr. John L. Witt, Groom, T exas and the executive secretary, Dr. Phil Russe ll both gave inte res ting talk s. M embers prese nt were : Drs. J. M . A uten and Gladys Auten, Ingleside; SUNLAND PHARMICAL CO .. LTD. P . 0 . Box 5 I 8 7 SAN ANTONIO Dtrc:mlx ·r, 1956 I, TEXAS Page 29 Drs. John E. Kaye and Dr. W. N. Tinnetman, Aransas Pass; an-d Drs. Jim Shy, Earl Elsea, T. M. Bailey, R. E. Bennett, .B. A. Burton, Sam Calise, Jack Vinson, W. A. Jones, Fr€d Logan, J. J. Shultz, D. R. Rich of Corpus Christi. The ii!Gcto•FS and their wives enjoy€d a: @inner together. During the District meeting, the wives had a social roour. Followin£ dil€ meeting, all preselil!t proceeded to the home gf Dr. and Mrs. John E. Kaye for coffee. Drs. T. M. Rowlett, Sam Calise and Jack Vinc€nt have recently opened offices in CGrpus Christi. • • • DISTRICT NINE The NGvember meeting of district 9 was held November 15, at tbe home of Dr. P. E. Pinkston of Victoria. Members present were the host, Drs. T. D. Crews, J. BGyd, C. Booher, R. MoGrebead, H. Tann€n, T. StrattGn and J. Burt. Visitors indltded J. l.. Witt, D.O., president of tbe T.A.O.P.S. and P. R. Russell, D.O., €Xemtive secretary, Dr. Otey of Victoria who is new and not in activ€ practice was also a guest. Dr. Stratton open€d the meeting with a report on his request for n~districting so that district 9 would include many gf th€ doctors who have taken part in our district organizatiomal aotivities, some of them fo·r many years. Dr. Pbil brought our attention to the fact that reOFganization of district boundries could be affected only at the discretion of the Board of Trustees meeting December 8 and 9. Representation from each district will probably remain in the ratio 1-26. Dr. Phil was then given the floor for bringing some news of organizational importance and some new views on proposed measures for the advancement and progress of the profession. Dr. Phil's previous experiences in many of these endeavors were reviewed with great interest and was of benefit to the group's Page 30 thinkil'lg and attitudes. His views were aw~pted. Dr. Phil's interest, straight forwardness, and experience are a trem€ndous asset to our profession and our district wishes to publically express our appreciation for his work. Dr. Phil then introduced Dr. Witt and with great interest we heard his report <Df state and national orgalilizational policy, progress, and future program planning. Dr. Witt brought attentiem to facts that were more deserving of greater individual and group attention; facts which we were all more or less knew but were not fully aware of what th€ scope and application of these policies mightr mean to our profess·ion in the futme. We wish to thank Dr. Wittt for the very fine job he is doing a1:1d for being our president and leader in Texas. We aw proud of men of his caliber in the osteopathic profession-they are our botilders. BdGre trhe meeting, the group assemb1ed at the hGJme of Dr. and Mrs. Pinkstal'! for cocktails and a trip a~ound Gussie's wcmderful table of app€tizers. Following which we moved to the cow.ntry club as the Pinkston's guests for a delicious baked chicken dinner. After dinner we returned to the Pinkston manor for our meeting and had so much fun it was roearly midnight before we arrived home to find how many house calls were yet to be made. Here's wishing everyone A Happy Yuletide and Bright New Year! C. L. BoEHER, D.O. Secretary • • DISTRICT TEN g • District 10 of the Texas Association 0f Osteopathic Physicians and Surgeons met with Dr. and Mrs. W. Brown at the club house in Idalou, Texas, on Tuesday evening November 27, 1956. The doctors and their wives enjoyed coffee and doughnuts and talking. Business meet- t1 ings of both groups followed. Dr. and Mrs. Kennith Gregory from Comanche spent the weekend with Dr. December, 1956 and Mrs. Fannin. Dr. Gregory, who is interning in Comanche, is lookin g over Texas for a possibl€ locat ion following his internship . Drs. McCorkle, Nobles, Wright, and Brown will be among the doctors attending the Seminar in Austi n Friday and Saturday. Lubbock's new coliseum with its basketball games is a likely p lace .to find the doctors these evenings. Seen en joying the games with Kansas State and T .C. U. were Drs. D avidson, Abell , Dr. and Mrs. James Fannin and Dr. and Mrs. Horace Emery. Osteopathic Physicians Take Texas Boards Six O steo pathic Physicians took the examinations for Texas licenses given by the Texas State Board of M edi cal Examiners at the Hilton Hotel, Fort tn.• Worth, Texas on Decembe r 6, 7, 8, 1956. The exam in ees were: Dr. Dale P . Bondurant, Dr. Phillip P. Saperstein , and Dr. James R. Winslow, graduates of the Kansas City Co ll ege of Osteopathy and Surgery, Kansas C ity, Missour i; and Dr. Salvatore ]. Ca li se, Dr. John R. Ruffle, and Dr. Lewi s R. Guenther, graduates of the Kirksvi ll e Co ll ege of O steopathy and Surgery, Kirksv ill e, Missouri. Someone Has Said: Oh where can I find a Cap for my knee, and a key for the lock in my hair? Can my eyes be called an academy , because there are pupils there? In the crown of my head, what jewels shine forth ? Who travels the brid ge of my nosel What can I use for shingling the roof of my mouth? The nai ls f rom th e end of my toes? Can the crook in my elbow be sent to si(\ jail ? And if so, what did it do? ....../ And where can I sharpen my should er blades? I'll be damed if I know , do you? D ecemb er, 1956 Good Public Relations UNITED FUND 314 Danc iger Bldg., Fort Worth,Texas, Phone EDS -3~73 November 20, 1956 To AU M embers of the Tarrant County Osteopathic Association: The O steopathic Section of the United Fund this year, under the leadership of Dr. Elbert P. Carlton, was the first section in the United Fund to exceed its quota. On behalf of the ent ire United Fund of Fort Worth and Tarrant County, I wish to express my appreciation to the members of the Tarrant County Osteopathic Association for the outstanding example which they set thi s year for the entire community. Very truly yours, 0. C. Carlson, President UNITED FUND OGC:mb Printing ... lithfJg rap!ling . . Write us for quotation on the next job your loca l printer cannot handle. You will appreciate our serv1ce. F. L. Motheral Co. Yo"' JOURNAL Printer 512 S. Main • Fort Worth Page 31 PROFESSIONAL CARD H. H. EDWARDS, D. 0. L. C. EDWARDS, D. 0. DIRECTORY HENRY A SPIVEY, D. 0. General Surgery and Orthopedics PHYSICIANS AND SURGEONS 9104 Garland Road 38 14 Broadwa y SAN ANTONIO, TEXAS DALLAS , TEXAS DANIEL D. BEYER, D. 0. GEORGE E. MILLER, D. 0. Physician and Surgeon OBSTETRICS GENERAL PRACTICE Pathologist 1800 Vaughn Blvd. Phone JE 5-3234 FORT WORTH 5, TEXAS ROBERT L. HODSHIRE, B. S., D. 0. Physician and Surgeon 1509 Northwest 25th Street FORT WORTH 6, TEXAS G. STUKEY, D. 0. Ill MAXEY ROAD HOUSTON 15, TEXAS DALLAS OSTEOPATHIC HOSPITAL 5003 Ross Ave.-:- Phone Vl -3071 DA LLAS , TEXAS ADVERTISE IN YOUR JOURNAL LUBBOCK OSTEOPATHIC HOSPITAL Phones GL 3-2192 or OR 2-250 I Horace A. Emery , D. 0. General Practice Proctolog y THORACIC Ed S. Davidson, D. 0 . Surgery. Urology James A. Fannin , D. 0 . General Pract ice Obstetrics S. l. Bake r, M. T. X-ray and laboratory AND CARDIOVASCULAR SURGERY JOHN C. BAKER, D. 0. 3007 Race Street FORT WORTH, TEXAS PRACTICE LIMITED TO EYE, EAR, NOSE, THROAT AND RHINOPLASTY Phone TE 1-1739 2408 Broadway • Lubbock, Texas LESTER I. TAVEL, D. 0 ., F.A.O.C.Pr. DIPLOMATE AO .B.P. Practice limited to Proctology 4921 San Jacinto Houston 4, Texas Dt:~em bt: r , 1 ')~{, Officers of the District Associations of the TEXAS ASSOCIATION OF OSTEOPATHIC PHYSICIANS AND SURGEONS, Inc. DISTR ICT l .... ........... ... .................... President .......................... President-Elect ...... Vice-President ......... Secretary-Treasurer Dr. Dr. Dr. Dr. E. W. Cain , Amarillo .................... . M. F. Achor , Hereford ... . Earle H. Mann , Amar illo . J. Francis Brown , Amarillo ... Dr . Dr. Dr. Dr. DISTRICT 2 Wallace S. Will iams, Fort Worth . Raymond D. Fisher, Fort Worth .. Carl E. Everett, Fort Worth ..................... . Elbert P . Carlton, Fort Worth . ............ ....... ..... President .. President-Eie<Ot ............. ....... . Vice-President Dr. Dr. Dr. Dr. DISTRICT 3 Ralph A. 0. Kull, ,Winnsboro....... .................. . Palmore Currey , Mount Pleasant Joseph G. Brown , Tyler ..................... . Charles C. Rahm. Brownsboro .... . ...................... ..... ...... Pcesi<ient . Presiden t-Elect ....... Vice-President Secretary-Treasurer . . .... Secretary-Treasurer DISTRICT 4 .................. Presi<ient Dr. V. M ae Leopold, Odessa .. Dr. Wiley B. Rountree, San Angelo Secretary-Treas urer DISTRICT 5 Dr. C . D. Ogilv i e~ , Dallas ............... .. Dr. Augustus V. Manskey, lrvong ...... . Dr. Carl 0. Haymes, Dall as ...... .. Dt . James A. Vaughan Jr. , D all as ... Dr. Myron S. lvlagen , Dallas . President .. . President-Elect .. ................. Vice-President ........... Secretary DISTRICT 6 Warre n V. DiSanti s, Galena Pa rk John R. Horan, Hou ston ....................... . Loren Rohr , Houston ......................... .. Pa tti Jane Bricker , Houston .. ....................... . ... President .. ......................... Presidnt-Elect .. ............................... Vice-President Dr. Dr . Dr. Dr. DISTRICT 7 Dr. William J. Mosheim , San Antonio ........................ . Dr. B. C. Ri chards, Aus!in ... .. ................... .. Dr. Waldemar D. Schaefer, San Antonio ... ..... .................. Treasurer ............................ Secretary-Treasurer Pres ident ...... . ... . .. Vice-President ..... .. ......... Secretary-Treasurer DISTRICT 8 Dr. John M. Auten, Ingl eside ...... Dr . Lyle Earl Elsea, Corpus Chr isti Dr . John E . Kaye, Aransas Pass Pres ident Vice-President Secre tary DISTRICT 9 Dr. Dr. Dr. Dr. Carl R. Stratton, Cuero ..... Harry L. T annen , Weiner .. J acques C. Burt, Moulton .. Cla rence L. Booher, Blooming ton Pres ident .. .. PPes idcnt-Elect Vice-President ..... ..... Secretary-Treasurer DISTRICT 10 Dr. J ames A. Fannin , Lubbock. Dr . William H. Brown , Id alou Dr . J. W. Axtell , Lubbock President .. Vice-President Secretary-Treasurer DISTRICT 11 Dr . Owen Vowell , El Paso Dr. Rudolfo C. Valdivi a, El Paso Dr . Leroy H. L yons Jr. , El Paso ... I . President Vice-Pres iden t Secre tary-Treasurer DISTRICT 12 Dr. Kenneth R. Watkins, Groves Dr . Wayn e M. Steve nson, Vidor Jack K. Taylor , Port Arthur ... Pres ident ..... Vice-President Secretary-Treasurer ~------------------------------------------------------------· I Jt The star that guided the Wise Men of the East on the first of all Christmases is symbolized by the Christmas Candle. The mellow rays of this Christmas symbo l help to dispel the darkness of despair, the gloom of doubt, the murk of uncertainty, and it becomes a beacon of joy and hope for all within the circle of its cheerful radiance. To all our Doctor friends , it is our heart-felt wish that the radiance of your Christmas candle will glow merrily upon a scene of Christmas happiness and that it will foretell for you a new year of good health, contentment and prosperity. GLENDALE> '-/I TA...rvtii"'..J E R..A..L..S, INC:. m CALIFORNI" Personal S ert•ice By: DENNIS & SMITH R-\YMOl':D S. ll':GERSOLL \\'ILSON \\' Oli!ACK . ............. 1905 S. Edgefield St., Dallas, Texas, Phone: YU-6318 .............. Box 66 34 Alamo Heights Sta., San Antonio 1, Texas 3930 Perdue, Houston, Texas, Phone: MA 3-9911