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Ttio Medical Roundup
Emeritus Coniulunt IB Jhladlela.
Mayo l-lu.le
Emarltul Prolesiur of Mldlcta.
Uaj CUbM
Sudden Death in Children
One of the most distressing
happenings in life is the sud
den death of a lovely child,
Jk"!T perhaps d u r
X.H I in a minor
W ) f I operation. Of
I I ten, then, it
I JJRrIT, ,J takes years
IST 'A-il for the par-
I y.JSi.1;sr ents and the
ftV if J doctor to get
II ""Jr 'J I over the shock
iftC'jr i ' lne occur"
y' I r n c e . The
Dii. alvabez parents and
the doctor keep wondering
what could have caused the
death; they keep blaming
themselves, and wondering if,
in some way, the disaster
could have been foreseen and
avoided. In many cases even
a careful autopsy has failed
to show why the child died.
Now comes Dr. Louis Good
man of Pittsburgh to describe
how, in some cases, with spec-
ial technics, a p a t h o 1 o gist
(who studies the tissues with
a microscope) can show the
presence of a disease called
endomyocardial fibroelastosis,
which scars and greatly weak
ens the heart muscle. In five
cases, an infant was found
dead in its crib, and the poor
mother was filled with a ter
rible sense of guilt because
she thought the child had suf
focated with the bed-clothes
over its nose and mouth. But
at each autopsy there was
found the peculiar form of
heart disease, plus a little
pneumonia just enough to
trigger the death. Other chil
dren with this disease died
with a beginning measles, or
during a tonsillectomy, a spi
nal tap, or a very minor oper
ation. In one case, a 14-year-old
boy collapsed and died
after running to catch a ball.
As Dr. Goodman said, we
do ,not yet know Just what
disease leaves the scars and
the weakness in the heart
muscle. What has impressed
me much, of late, has been
the discovery that some of the
viruses that commonly give
children a fever tend to at
tack and injure the muscle of
the heart. They can leave the
heart so weakened that it
takes only a very little extra
infection to cause death.
Regional Enteritis
There Is a strange, puzzling,
and fortunately rare disease
in which the wall of a short
segment of the small bowel
becomes thickened and chron
ically inflamed. Unfortunate
ly, the cause Is not known,
nnd even the strongest anti
biotic."! have no curative ef
fect. In one scries of cases,
the average age at onset was
24 years. The earliest symp
toms are likely to be crampy
abdominal pair, with much
gas, and perhaps vomiting
and diarrhea and some fever.
The diagnosis usually can be
made with the help of x-ray.
Recently, there appeared an
authoritative article by Drs.
B. P. Colcock and J. H. Van
sant of the Lahey Clinic, of
Button. They reported the re
sults of treating 36 patients
with this disease. Of these,
88 per cent were operated on.
Of the 304 who were operated
on at the Lahry Clinic, with
removal of the diseased seg
ment, 76.3 per cent got a good
result. Some of the patients
had to be operated on a sec
ond or a third time, but 52.2
per cent of them eventually
got a good and lasting result.
Evidently, then, although the
disease is usually a severe and
dangerous one. in perhaps one
in six cases the palienl can
get by on medical treatment,
and in three out cf four of
the patients operated on, a
good result can be obtained
by an able surgeon.
A Foreign-Born Child
Dr. Morris A. Wessel of
New Haven, Connecticut has
recently written a fine study
of some of the problems of
adopting a child. As he says,
in this country, in 1057, some
100.000 unmarried mothers
were reported to birth regis
tration authorities. Of these
mothers one in five was under
the age of 18. Many came
from college campuses.
Naturally, there are many
terrible problems that face
these girls when their baby is
born. Some don't want to see
(he baby and some do. Often
the girl's parents are terribly
distressed over what has hap
pened. Under these circum
stances, a wise and kindly
physician can do much to help
the girl and her family to de
cide what to do with the baby.
The women in a fine "place
ment agency" can help even
more. It the child is to be
given for adoption, the sooner
this is done the better. It it
not good for a child to be left
a while in an "orphan asyl
um." if an infant is to develop
a normal temperament he
should have frequent atten
tion from a loving woman.
Dr. Wessel advises against
people's adopting, a sighl-un
seen, perhaps "a malnourish
ed, frightened, uncommunica
live Korean waif." Many fam
ilies who have tried this sort
of thing have found the ex
perience disappointing and
even unbearable, and the end
result has been hard on. the
child.
Dr. Alvarez' booklet on
heart trouble may be obtained
1 AAlb TO AJgl, )..
1VA 'ridiy. y e, Met
Project Echo
Shot Postponed
Cap Canaveral, rla. IIPB
The United States is expected
to try again next week to get
I trouble-ridden space rocket
into the skies with its "radio
mirror" balloon satellite
Echo I.
The shot, which had been
set for today, was grounded
for the week end by a balky
second stage in the new
rocket.
Scientists first had hoped
to get the 100-foot sphere
into the skies Thursday. Then
came one 24-hour delay and
finally Thursday'! indefinite
postponement.
Indications were that the
launching, first In the Project
Echo series to develop a sys
tem of global communica
tions, would be attempted
"sometime next week." No
definite date was mentioned.
An auto-pilot in the second
stage of Ihe 92-foot tall Thar-
Delta rocket, which will be
making its space duty debut
was blamed for the postponements.
Once the balloon is in orbit
1.000 miles up, scientific ra
dio stations will try to span
the continent via radio by
bouncing signals from it.
To Back Davidson
Reedspnrt - HTB - Douglas
county Democratic Chairmae
Clyde Dewitt Sr. announced
today that he is supporting
National Committeeman C.
Girard Davidson in hii bid
for reelection.
Dewitt is party chairman
in the home county of Stat
Rep. AI Flegel, Roseburg.
who it seeking Davidson's
seat on the Democratic Na
tional committee.
Dewitt said Davidson, a for
mer assistant secretary of the
interior under President Tru
man, "hat turned the nation'
eyes to Oregon for leadership
in the field of natural re
sources.
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o
Ground doves, the tiniest pi
geons around, are believed to
mate for life,
BIG-SPENDING MAYOR
Nashville, Tenn. (UPfl -
truck hauling a 90-foot mis
sile got caught briefly in traf
fic Thursday before the home
of Mayor Ben West. City
Councilman Charles Bram
mell happened along and
shouted to West, "my gosh,
Mayor, what have you bought
now?"
by sending 21 cents and a
large, stamped, self-addressed
envelope with your request to
Dr. Walter A. Alvarez, Dept.
MMT, The Register and Trib
une Syndicate, Box 957, Des
Moines 4, Iowa.
(Released by The Register and
Tribune Syndicate, 1980)
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