Field of X-Ray in Treatment Constantly Being Enlarged and Portland Has -Successful Practitioners H,T, l i j , i ' ' . t''Vi VJ Si fPSSS i - .;;!.fV'A r Ji4 Jf if 1 BT DeWITT HARRY. JUST last month Dr. Royal S. Cope land of New York made rather an Interesting commentary on the tendency on the part of doctors of this day and aero to "hide their light tinder a basket. Many prac titioners grant that some of his statements have a certain applica tion, -while denying their general aptitude. Dr. Copeland was com menting on the visit of Dr. Adolph Lorenz, the Austrian specialist, and said that there "were a score of sur geons In New York fully as skilled" as the foreigner, but that the story of their achievements had not been given to the public. Dr. Copeland argued that there hould be more publicity given to medical science, that more stories of the doctor's achievements should be published. However criticism of the high ethical standards of this pro fession fails to make any favorable Impression either with the public or the doctor themselves. Many doc tors grant the Justification of the New York expert in his stand that not enough publicity is given to much medical research and achievement, but they argue on the other hand that It is unjustifiable to adopt tac tics of the propagandist In spreading stories of marvelous cures, many of them illusive to a great extent, and thus arousing the hopes of the ill and suffering. We must grant that there Is a great deal of truth in this, for It is difficult to imagine anything more cruel than the arousing of the expectation for health only to find that It is Impossible. The condition of th sufferer is rendered all the more deplorable in this case, for he or ehe must feel hopeless when a cure regarded & certain fails to material ize. Many Hopes Are Daubed. This Introduction was thought nec essary for fear that some readers of the following account of some of the seemingly marvelous cures being ef fected by "X" and electric rays in Portland might take undue encour agement thereby. This is one phase of activities that the League for the Conservation of Public Health will not permit under Its sanction, and this article, and the one that pre ceded last Sunday, were prepared with the approval of the league. So far as possible merely the bare facts of what Is being done will be told, and readers are warned not to place thereon their own interpretation, but to read Just what is said so as not to arouse any false hopes. The X-ray as used In treatment is accomplishing some astounding re sults, but Just what Us limitations are or where the use will eventually lead, no one ventures to prophesy. The field is too vast and vague at Just this time to be clearly defined. Some of Its results are well enough known and controlled as to be of in valuable assistance to the physician but unwarranted ventures into realms that are not fully explored are not encouraged. Some results have seem ingly been accidental and should not be accepted as a stated rule,, one to be expected in every case, or even in cases nearly similar. The difficulty is that even the experts, while they can see what they are doing, cannot bind themselves to produce the same reaction or result in every case. They know that something is happening, know very nearly Just what it is, are learning more every day. but as yet cannot venture to actually define their, capabilities or limitations. Use In Treatment Gaining. One fact has been firmly estab lished, that the X-ray is death to certain parasitic cellular growths. Twenty years ago the X-ray possibly enjoyed nearly as high a reputation in diagnosis as today, and the newer development has been nearly all along the line of treatment, opening tap new and unexplored fields. Skep tics are gradually being converted 9 the virtues of the X-ray in treatment in view of recent results. During the decade or more that the X-ray has been in use it has enjoyed a varied career, its reputation fluctuating as the faith of the profession and the laymen varied. Of late experiments being done with the Coolidge tube show it possible to dispatch rays gen erated by an electric current of from 200,D00 to 300,000 volts. It is evident that this tremendous force has some effect on tissues, especially when the ray's enmity to the parasitic cells is realized. However, it is too early to say just what development will come from the use of this terrific force. Optimists venture on marvelous predictions, but the experimental work is just now being done. It would be cruel to raise many hopes only to have them dashed. The facts are that much of the experimental work is being con fined to cancer cases, in which it is impossible to operate. Startling re sults have been obtained in some of these cases, in others the patients have not fared so well. In any event the X-ray is not expected to take the place of the surgeon in the treatment of cancer. Ray Destroys Parasitic Cells. In Portland the X-ray is being used with good success in the alleviation of pain and some very rare and as tounding results have been obtained, though not sufficient to be made the basis for any definite conclusions. In many skin-disease cases the X-ray has proved to be not only a palliative but has effected cures to all indica tions permanent in their nature. Not only is the ray being used as a post operative prophylaotic treatment after the removal of cancer, but sometimes is used before the oper ation. In this manner it has proved beneficial in blocking off zones for treatment and in killing stray cells. The rays are also being used in con junction with radium in cancerous and other , conditions. In this work some fine success has been had In relieving pain and reducing masses. In some of the eastern experiments (and here the reader is warned not to take too much for granted, for the cases are far from proved) the infor mation is to the effect that some large growths of the stomach and breast have been either cured or held under control with no apparent re currence for nine months. When it is stated that cancer is not held eradi cated until five years has elapsed without any signs of recurrence, the reason for non-complete backing of the X-ray as a sure cure is apparent. In the treatment of some cases of in fected and diseased tonsils the X-ray has proved valuable, producing fi brous tissue that does not permit any infection to be harbored. The new apparatus for the X-ray at high voltage for treatment is greatly similar to the ordinary Cool idge tube, with the exception that it is 30 inches in length with the termi nals farther apart. By the use of this machine the approximate wave length of the gamma rays, the rays that sicken the enemy cell and get in the destructive action, is fully under control. Thus it is possible for the cells taking the cure to absorb an enormous amount of ray and at the same time to keep the rays from breaking down the healthy cells near by. New foreign growths have their strength sapped and lose their power. In giving the X-ray treatments under the latest conditions the laboratories filter the rays through copper sheets of varying thickness or through alu minum so as to take away any dan ger of burns and at the same time to make them as fully efficient as possible. During the time the human body is being submitted to the action of the rays the flesh of the portions not under treatment Is either pro tected .by lead sheets or by treated fabrics that absorb the rays and pre vent burns. Th lesson of this i that beore the THE SUNDAY OREGONIAN, PORTLAND. FEBRUARY 19, 1923 sd MjY w tj j) Pw'8,HNi ' , recent tests were verified under the old system short wave lengths were administered, unchanged by meta filters. Under present conditions it is extremely rare, with the use of ex ceedingly high voltages, to get any skin reaction. The conditions are nearly the same as in the use of ra dium. The radium used in the labo ratories is put up in plaques wherein it is distributed through a porcelain like substance, In needles of steel in the shaft of which the powder is con tained, or it is used in tubes con taining varying amounts. It is either applied to the surface to be treated or buried in the tumor mass. In the latter case the needles or tubes are used. The general treatment rules for the THE LAST (Continued From Page 2.) the Turks plunged by me and took to the stairs. The sailors sat On two or three and hit another with a chair. But Rlfat Hasan and Mustafa All didn't move. They were the ones who were facing what I held) in my right hand. They didn't even bat an eye." The sergeant grinned over his tri umph. "Then I looked behind them and I hate to tell you what I saw. There was the girl I have told you we called Bussia Anna, nude. Her yellow hair had fallen over her shoul ders. She was standing tied on a scale such as you'd weigh flour or barrels on. My eyes fairly bulged in my head. I heard two of the sailor lads at my side gasp. " 'That's the girl,' the tallest 1 of them said. The others called him Jack. For the love of . WeUi he swore in a fine way, I can tell you, for all his being so young. He went to the corner of the room and picked up some clothes lying there in a heap and draped them on the girl. Then untied her hands. She was crying, of course, by now, and she almost fell to the floor when the cords that held her up fell loose. "I looked at Bifat Hasan and Mus tafa Ali. I can't tell you, miss, what went roaring through my head, but it was a terrible feeling. I was like a bull elephant when he gets wild. I've seen them in India, at the canton ments, and they would tear up trees as big around as your hat and throw them here and there like tentpegs when a rage moved them. I felt like they do when they start on the trees. I looked at those Turks and I could have killed them. "I ordered the lrl sent oat fit the X-ray are simple, the foundation be ing that the rays pick out certain cells that are more susceptible and work out their life-deterrent act'on thereon. It penetrates the tissues, and, properly administered, does no harm to the healthy cells. In this manner the X-ray has nearly the same action as radium, therefore the frequent concurrent use of the two remedies. In the treatment of skin diseases or abnormal conditions the blood supply to the affected area is greatly increased, the blood vessels dilated and the nutriment therefore is greater, and along with this comes an added resistance to disease. Here must come in the skill of the prac titioner, for if too large dosage is ad ministered the result is an enormous STRONGHOLD OF SLAVERY - By Mary Symons room. Some sailor lad took her and three of them must have stayed be hind, though I wasn't seeing any thing at the moment but the faces of those two Turks. I asked which of them had started the sale of the girl on the scales and after a silence the old man grunted. A Deserved Beating. "There didn't seem to be any ques tion of his lying about what . he wasn't ashamed of having done. I sent another sailor out for a British Tommy to take charge of what I was going to leave behind me in the room when I got through and unstrapped my bait "The old man took off his shirt. It was my idea. 'T dare say," the ser geant said slowly, "that after that I forgot myself for a moment, miss. For several moments, maybe. I re member one of the little sailor chaps trying to catch my arm as it went up and down, and hearing him beg me to quit, that the old man was groan ing so pitiful. Then I remember the sailors pulling me off and hearing Bifat Hasan crying in his corner. He was white as dust, that Turk. I dare say he feared for his hide. "For a minute I didn't know any thing. The girl, they told me, had gone with Bob, the. sailor who first departed. In a moment Tompkins, the British soldier man I had sent another sailor out to fetch, would be here to take charge of the two or three lumps, of men lying on the floor where the sailors had knocked them. These men suddenly began coming to, and the room was filled with a fine noise. They were groan ing like stuck pigs. "Then X bent Jo look, at my xaajir. yVLis-j-? r Si?0?J&' ?yyxJZ'p'-iz-j&?y JTvz7-X dilatiojr of the blood vessels, the skin becomes red and may become in flamed and if carried too far the re sult may be the creation of ulcers, the healthy tissues being destroyed and burned. However, there is no ground for alarm, for the experts who have dedi cated their lives to X-ray work, and there are several of them in Portland, know just what is the proper dosage and one man, in over ten years' con stant experience, has yet to have his first case of burning. In certain chronic low-grade skin infections, an increase of the blood supply and the ensuing stimulation of the glands enables the human body itself to combat and throw off the infection by the super-natural proc ess. In acne and eczema or chronic itchy skin the X-ray gives the epi dermis and its co-operating glands and cell3 a kick or boost by increas Miitafa Ali. 'You've killed him," Jack whispered. 'Sergeant, you've killed him, as sure as I'm alive.' I jerked the old Turk on his back and listened to his heart " Not quite,' " I says. " "Let me think.' 'You see, killing people, even Turks, is hardly permitted by head quarters, miss.' And my having belted him so hard and I dare say I hit him a bit with my fists, was rather In the line of an unofficial duty. Though my heart told me I'd done the right thing. 'Stay here 'til Tompkins comes,' I told one of the two lads. 'And guard those five birds here. And you, Jack, come with me. Grab his dirty feet, there.' Hide Injured Man. "We struck Mustafa in a passing cab and I gave an address I knew well. It was that of a little shanty by the Bosphorus water-front with a bare upper room where I could put my friend to recovery. I had cleaned the house of sneak thieves the week before and knew it was unoccupied stilL Jack came with me and helped me put Mustapha on a cot in the top of the house I mention. We stood at his head by the window and stared out The black wafers of the Bos phorus ran directly below, the cur rent sucking and pulling bits of wood and rotting fruit that floated here s.nd there. It gives me the creeps, that water does,' Jack said and shud dered. "When I think of all the bodies that have been tossed into it at night in the past.' " 'And some of those that may get tossed Into it In the future," I said, laughing grimly. For, miss, I wasn't worrying about what to do with, old ing the action and blood flow way above normal that often completes the cure permanently. As a control method for skin affections from ob scure causes, measured doses of X-rays are efficient In abnormal conditions the vital glands are stimu lated and hyper-actlvity is the result causing a resumption of their proper functioning and restoration to nor mal conditions. Sprfsee Cancers Cnred. Many surface or skin cancers can be cured in their incipient stages by this means.' It merely creates natural normal physical changes by hyper activity of the epidermis. The X-ray in those cases where cures have been effected slowed up the dangerous ac tion and enabled a return to healthy normality. Parasitic cells were de stroyed and rapidly degenerated, be ing replaced by healthy tissue. The Mustapha Ali at all. Though he wasn't good enough to die. "I staid with my patient that night Jack, of course, went back to the ship. The night was long and at first the old man groaned a lot But about dawn he became quieter. It made me a little nervous like. I knelt by the bed and listened. His wicked old heart was pumping as feeble as a frog's. Then I got up and opened the window. Below me was the Bosphorus, gray and quiet in the dawn. No boat was passing. No little tug was in sight. No one lived in the part of the house below me, I well knew. What Turks had seen me go in with the old man I would tell to mind their own business and that we had taken him away at night when they were all asleep, if they started asking questions. I walked to the bed and considered. "A bad Turk more or less,' I said to myself, 'don't count in this world, after all.' "Then he groaned again and shiv ered. I- propped the window open and made ready to chuck him out. A dead Turk is as well buried one place as another, is what I thought about the matter in hand. Turk Recovers. "About three hours later , Jack came in. He was white and scared looking, but plucky as ever. He tip toed in and lopked out at the river. This is a terrible tough town,' he said and shivered. 'Say, me for little old Rhode Island." "You have a state like that, haven't you?" the ser geant asked. " T could hardly sleep in my hammock last night. In my dreams I saw the girl's hair, and the dark stair and the Turks' faces when we jammed the door In," and her standing there and you with that entire success or failure however de pends on an absolute .understanding of the nature of the disease and the proper selection of the quality of the rays to be used. In analyzing the results of the X-ray, that is those that are proved, it can easily be seen that it has a vast field of action. As yet the remedial angle of electricity, ap plied by this means, may be said to be in its infancy, but the vista is al luring to those who have the de velopment of the science of medicine at heart. They are putting forward every effort to make the full develop ment of the X-ray possible, but find they must move with caution in the unexplored fields they are entering. In the diagnostic side of surgery and medicine the X-ray is already firmly established and regarded as invalu able. Its progress into new realms is steady and interesting. belt raised In your hand.' Ho shiv ered again. This is a rough town, believe me." T asked him about Russian Anna. Had she found her Alexis, her aunt and her pearls? It seems she had found them all in front of The Bear where the sailor lad had taken her. Her aunt and her husband had been there since the night before, having been told that she had centered her Inquiries for them at that restaurant She had fainted on meeting them, and at 2 o'clock on the sidewalk of Pera street! The busiest hour and the busiest boulevard in all Constanti nople. Quite a scene, I dare say. "Then Jack, when he was through with his informing me of the events I had missed, turned to look at the bed. 'He looks awfully sick, yet,' he whispered. 'Do you think he'll pull through all right? Do you think hell really get well?' " 'At about dawn, 1 don't mind say ing I thought he was going to go west. But now,' and I reached for my cap and tunic where I had hung them on the door the night before, 'I regret to inform you that I think your suspicions are well-founded. I fear the old beggar will get well.' "And arm in arm, we strolled out into the bright morning sunlight of wicked old Constantinople.'' Irish Karnes Only Wanted. DUBLIN. English names of numer ous streets and bridges here will be changed to Irish ones in the near future if a proposition which is be fore the Dublin corporation is car ried. The Dall Elreann has asked members of Sinn Fein cluba to emols only; Irish cigarettes. ft 4