The Medical Roundup
by,
MEDFOHP MAIL TRIBUNE, MEDFOHD, OREGON
1 II V I
iBIMtui ConralUM la Meelclae
Mayo clinic
EBerltus Profauor of Medlcla
Mayo CUnle
(Reiuter u Tribuu traaicate.
ItSJ)
I. Shir
H. M.
Modern Obstetric AiMithw.it
Those millions of women
who ire in their child-bearing
years would doubtless b in-
terested in an
article by Drs,
D. M.
line,
Epstein and
I E. Sey mour
Burge, all o(
Northwestern
University
-j Medical school
in Chicaco.
: Through the years, there
nave been so ..lany changes
from one type of obstetrical
anesthesia to another, it is in
teresting ' now to see what
method has been use of late
in. the big Evanston. 111., hos
pital.
From '1957 to 1960, over 2
600 so-called single injection
caudal (near the . "tailbone")
anesthetics Were given. These
. represented 32 per cent of all
the obstetric anesthetics given
. during tnat period, in i860, a
. little more than half of the pa
tients were having deliveries
'with this single-injection tech
I'nic, and it was becoming the
favorite method of the ancs-
vthetists and obstetricians.
j After a woman has been
T given the caudal injection, she
! t quickly' loses the ability to
feet pain in the muscles that
w are being dilated by the child;
J the anesthesia then lasts for
90 -minutes. This means that
the woman "experiences a
I' painless termination to labor
i 'and delivery."
5 A big advantage of this tech'
nic is that because of the good
relaxation, of the perineum,
the head of the infant is not
t subject to so much pressure
i-and molding as is the case
J wherfthe mother is not helped
J witb a local anestnetic.
2 Declined in Popularity
J During the four years when
-.the, study was maae, z.uau
" "spinal anesthetics" were giv
en at. the. Evanston Hospital;
- in the last nine years, the "low
-spinal:' block anesthesia" has
7 declined In popularity for sev--eral
reasons.
'Also, during the four-year
1 period, general anesthesia - in
which the woman is uncon-
scious was used in from 22
t to 27 per cent of the cases. In
' ? some 2 per cent of the cases,
.-no anesthetic was given, either
because the woman elected to
thave -a "natural child-birth,"
- or because she had her baby
p, so fast there was no time to
' give her an anestheticl
'Tie Doloureux '
- Tic doloureux (tri-facial neu-
ralgia) is a fairly rare disease,
but I do get many letters from
-women asking me about it.
-Persons with this disease,
1 from time to time, perhaps
I after' eating or talking, have a
brief paroxysm of excruciat
ing pain, usually on only one
Z side of the face. It appears to
be due to a malfunctioning of
' the ganglion (nodule of nerve
' ' tissue) from which the three
" parts of the fifth nerve run
.I-out, to supply the face with
'. sensation.
Usually, the disease attacks
women who are over 50, but
1 sometimes it attacks younger
'1 people, and it can attack a
" man. Usually, the first thing
'T that Is done by a neurosur
geon is to inject gome alcohol
' into the. ganglion. This is like
')y to give relief, but it may be
'for only six months or so.
If an operation is needed,
ithere are two or three types
which can be done. They gen
erally give complete relief
'from the terrible pain, but
:they are difficult operations,
and hence, must be performed
'by. in expert nerve surgeon.
) .The original operation was
bad in that it left one side of
the face numb, and also left
the front of one eye numb.
Sometimes this "numb" eye
was injured by dust or sand
that got in between the lids.
With the new operation, there
isn't so much danger of injury
tq the eye.
Some years ago, a drug was
found which some felt was the
answer to the problem of cur
ing this disease. It has a ten
dency to injure the function
of the fic'al nerve, and there
by to cause relief of the pain
in it. Often it does relieve the
pain, but I have here a letter
from Dr. John B. Erich of the
Mayo Clinic, who specializes
in this field, and he says that
they have discontinued the use
of the drug at the clinic. In
their experience, the distress
es which are left in the face
are often regarded by the pa
tient as worse and more an
noying than the original pain.
. Dr. Erich says he has seen
several patients who, after
taking the- drug, got these
paresthesias (abnormal sensa
tions) on rboth sides of the
face, and are now complaining
more about these feelings than
they used to do about their
pain. Dr. Erich went on to say
that some doctors are still en
thusiastic about the use of the
drug, but at the Mayo Clinic 1
the neurologists have not been
impressed with its usefulness.
Parkinson's disease is a
slowly progressive disease
which arises in a certain part
of the brain. It is characteriz
ed by much stiffness of certain
muscles with a resultant slow
ness it. a person's movements.
More information about this
sickness may be found in Dr.
Alvarez' booklet on "Parkin
son's Disease or Shaking Pal
sey." You may obtain a copy
of this booklet by sending 25
cents and a stamped, self-addressed
envelope with your re
quest to Dr Walter C. Alva
rez, Dept. MMT, BOX 937, UeS
Moines. 4, Iowa.
Portland Chosen for
Legion Convention
Portland - (ITPD - Portland
got word Wednesday it has of
ficially been picked for the
1966 American Legion nation
al convention. The convention
is expected to attract upwards
of 40,000 persons.
FREEDOM IS TOUGH
London (l(fD Charles Per
ry, 64, who found he couldn't
adjust to freedom, was sent
back to prison Wednesday for
12 years of preventive deten
tion. Perry, who had been re
leased from prison March 19,
told police tie broke into a
shop because he wanted to go
back to jail.
THURSDAY. MAY 1. 1983
BLM State Advisory Committee to Meet Irs Portland Monday
Portland The bureau of I vase sales, and revised timhrr I harl boon niH mri i,nih . mm.. ..,m . , ., . '
A 3
land management's 18-mem-ber
state advisory board for
the Oregon and California
Grant Lands will met in Port
land Monday, May 6, at the
BLM state office, Director
Russell E. Getty has an
nounced. Two members from the
Medford district, Eric W. Al
len Jr., and Mrs. Edward C.
Kelly plan to attend.
The board, headed by for
mer Gov. Charles A. Sprague,
will discuss with the BLM the
emergency timber salvage
program in western Oregon,
possible changes in timber
measurement methods on sal
vage sales, and revised timber
sale regulations for the O and
C. Some of the current issues
involving the O and C may be
discussed, Getty said.
More Than Allowable Cut
About 1.5 biilioii board feet
of timber was blown down on
the 2.2 million acre O and C
forest during the Columbus
Day storm. This is more than
a full year's normal allowable
cut. Last November, BLM
launched an intensive salvage
program to get the blowdown
cleaned up and out of the
woods by the spring of 1964.
Last week the bureau re
ported that 300.436,000 board
feet of storm damaged timber
had been sold and another
976,489,000 board feet of salv
age and intermingled green
timber was ready for sale.
A committee to investigate
the two principal methods of
measuring timber for sale,
timber cruising and log scal
ing, and determine which
could be better applied to the
BLM timber salvage program
on the O and C was appointed
at the last advisory board
meeting in January.
To Report Findings
The committee Is headed
by Darrell Jones, Clackamas
county commissioner, and
president of the Association
of O and C counties. The com
mittee will report its findings
at the Monday meeting, ac
cording to Getty.
Most BLM timber is sold by
tree measurement or timber
cruising. Such sales are com
monly referred to as lump
sum sales because all of the
merchantable timber Is paid
for in advance. The other
common method of selling
timber is by log scaling. This
involves the measurement of
the timber as it is removed
from the sale, and the timber
is paid for as it is removed.
Graham Said Eyed As GOP Candidate
Dallas, Tex.-IWD-Billlonaire
H. L. Hunt said Wednesday
night he would "not now com
mit myself as favoring any
one for president in 1964."
A Dallas newspaper said
Wednesday that Hunt was
anxious to boom evangelist
Billy Graham for the Republi
can presidential nomination
in 1964. The Dallas Times
Herald said leading Baptists
in Dallas have confirmed that
Hunt, who has sponsored con
servative political activities
for years, is "very much
enamored" with the idea.
Scaling, however, is used
in cases where the timber is
severely damaged or defective.
THE ,
DANMOORE
HOTEL
1217 SW Morriion St.
PORTLAND, OREGON
All tnniiant buiin. All tkM. wit.
Mmr, return. Rates not high, not
aw. net garaga, naw location Vi
block from hotel. Open until 10
a.m. TV' nJk J,n. an...lj.-
for clcanlineia.
CHILDREN UNDER
SEVEN NO CHARGE
Navy Schedules
Thresher Tests
Portsmouth, N.H. -flJPD- The
Navy was scheduled to con
duct tests today on simulated
submarine compartments in
an attempt to find the cause
of the Thresher disaster.
Vice Adm. Bernard L. Aus
tin, head of the court, said
Wednesday the tests will be
conducted at Port s m o u t h
Naval Shipyard to show what
a rush of water would do to
submarine equipment. Offi
cials said the tests may be pri
vate but a statement probably
will be issued afterward.
The Navy apparently was
trying to find out if a bursting
pipe could have disabled the
submarine's controls, causing
it to drop to the ocean bottom.
Earlier testimony to the
court indicated that similar
tests had been, conducted at
Vallejo, Calif.
The court of inquiry also
was expected to go behind
closed doors again today to
gather classified evidence it
hoped would solve the April
10 sinking of the submarine
with 129 men aboard.
At sea, 220 miles off Cape
Cod, a six ship flotilla of
Navy and oceanographic ves
sels resumed the search for
the Thresher's watery grave.
Capt. Frank A. Andrews,
in command of the search,
said the same 10 square mile
area would be covered again.
Leighton, England-flJPD-The
firm of George Garside, Ltd.
is exporting sand to Egypt. A
spokesman said it was "a
very special sand" for use in
cement for the Aswan High
Dam.
a marvelous
variety of gifts to
titillate her every whim.
the Colonial House
t Trowbridge Electric .
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