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THURSDAY. OCTOBER 17, 19KI
MLDKORD MAIL TRIBUNE, MEDFORD, OREGON
MEDFORD MAIL TRIBUNE. MEDFORD. OREGON
Dennis the Menace
THURSDAY, OCTOBER 17, 1963
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The, Medical Roundup
By
Xmerltug consultant in Medicine
'Mayo clinic
Xmerltuf Professor of Medicine
Mayo Clinic
(Register and Tribune Syndicate.
J003).
Penicillin Can Do Harm
T do hope thai the day will
soon come when people who
have a trace of fever or a few
sniffles will not expect their doc
tor to inject a big dose of peni
cillin into them. I also look for
ward to the day when every doc
tor, before injecting a full dose
of penicillin, will check with
a tiny dose to see if the patient
is highly sensitive to the drug.
Better yet, the day may come
when die drug will almost al
ways be given by mouth. This
is said by experts to work just
as well as does injecting it into
the muscles, and giving it by
mouth greatly reduces the dan
ger of getting a severe or even
fatal reaction. Experts tell us
that today probably nine in 10
injections of penicillin were
hardly necessary, because the
patient almost certainly could
have recovered easily without
the medicine.
I recently read that the Food
and Drug Administration ex
perts in Washington have now
demanded that some 200 patent
preparations, designed mainly
lor me treatment of colds, and
most of them containing peni
cillin, be taken off the market.
As the government physicians
said, and all well-educated phy
sicians know, penicillin does not
affect the viruses that produce
colds.
Three Excuses
I imagine we doctors have
some three excuses for giving
penicillin for colds; one is that
it is the custom; another is that
people expect it and would feci
neglected if they did not get it;
and another is that if the patient
should go ahead and get a pneu
monia, the drug might help him.
But if the cause of his pneu
monia should happen to be a
virus, the penicillin would not
help.
One of the sad things about
giving penicillin to everybody
for every little cold is that as a
result, a large number of very
dangerous pus-producing germs,
called penicillin-resistant sta
phylococci, have developed, es
pecially in hospitals. When they
get into a hospital operating
room or obstetric department,
they can cause trouble, because
penicillin has no effect on them.
When I get a cold it never
occurs to me to take penicillin.
As I always say, I would prefer
to remain insensitive to the
drug so that someday, if I get
a pneumonia, my doctor can
give me large doses of it with
out running the risk of killing or
nearly killing me.
I wish people who love to be
injected with penicillin could
read some of the letters that
people are sending me. For in
stance, here is a letter from a
man, a business executive, who
says that one night he had a
little sore throat and a little
stuffiness in his nose.
He didn't want to do any
thing, but his wife was anxious,
and so she insisted that the
doctor come. He gave the man
a big injection of penicillin. Un
fortunately, the patient was
highly sensitive to the drug, and
as a result he nearly died. His
skin broke out all over his body
with welts as big as silver dol
lars. He itched terribly, he had
a high fever, he was toxic and
he might have gone on to get
one of the very serious so-called
collagen diseases perhaps a
serious inflammation of one of
his arteries. Fortunately, after
a couple of weeks of strenuous
treatment in a hospital, he recovered.
Here iS a lnttitr rn. .nnHi.i.
man who had a similar experi
ence, but was less fortunate; he
begs me to write this column
protesting against (he indiscrim
inate injection of people with
penicillin, esneeiallv wilhnul
preliminary testing for sensi
tiveness. Itohbcd of Livelihood
He says. "One iniection of
the drug has ruined my life;
it has robbed me of mv liveli-
hood; it has robbed me of my
sleep; it has condemned me to
torment by day and by night;
ii nas reduced me to poverty.
. . . 1, wno was formerly so !
social, now have to stay in my
room alone because my skin j
from my head to my feet is cov-,
cred with red blotches which I
itch so terribly that I cannot
stop to talk to people. At times
t feel as if I had been immersed
in gasoline and had had the
stuff ignited. It tortures me just
to sit, or to lie down, or some
times even to stand. This condi
tion has been present now for
nearly four years. Everything
doctors have tried on me so far
to relieve my suffering has done
no good."
Recently I read that in this
country, every year, many peo
ple die of severe reactions to a
big shot of penicillin, which
was not needed to save the
man's lite.
Mysterious head noises can
drive you to distraction. Dr. Al
varez tells you what to do about
them in his booklet, "Head
Noises and Dizziness." To ob
tain your copy send 25 cents
and a stamped, self-addressed
envelope with your request to
Dr. Waller C. Alvarez. Dept.
MMT, Box 957, Des Moines,
Iowa, 50304.
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Your Money's
Worth
By SYLVIA PORTER
CTffct. Hill Syndicut, Inc.
WHAT THE TAX BILL MEANS TO YOU-1X
(9th In a series of 10 columns.)
"Income averaging" would become a brand new tax break
for us next year if the 1963 tax bill is passed.
While this new type of benefit was originally intended to
...j, jiiuicaoiui.ai auueies, entertainers, writers and others who
have sharply fluctuating incomes, the provision in the 1963
tax bill also would give the same break to businessmen, pro
fessional men and employes.
It could save taxes for vnu. wriBthnr unn o i.
. . a pai inci
in a business enterprise, an individual proprietor or a cor
poration executive. It would work for you, whether your in
come is from salaries, commissions, hnmispx sals nt nnh...
dise or dividends.
More specifically, it could save taxes for you if vou are
an employe In line for a big bonus next year; or if you are a
commission salesman who hits the sales jackpot next year;
or If you are a lawyer who receives the biggest fee of his
career next year.
Here is why Income averaging would help so many
taxpayers. Our Income tax rates are applied under a so
called "progressive" bracket system meaning that while
urn uoinr amouni oi income in eacn may be precisely the
same, the rate of tax goes up with each bracket.
For instance, under our present rates a married man
filing a joint return pays 20 per cent on the first $4,000 of
taxable income and 22 per cent on the next $4,000. If he had
the $4,000 in each of two years, his total tax would be $1,600.
But if he had the entire $8,000 of taxable income in one year
and no income in the other, his tax would be $1,680. It would
cost him $80 more on the same amount of income just because
the money is piled into one year instead of being spread
oyer two. Also, this extra tax for piling up gets progressively
bigger as the income gets bigger.
The Income averaging provisions in the 1963 tax bill would
cut down the extra tax when income is pyramided into one
year by treating the unusually large amount as if it were
received over five years. The Research Institute of America
gives the following brief summary of how you would use this
provision in 1964 if the 1963 tax bill becomes law:
(1) Check your average taxable income for the year
1960-63. Say this comes to $6,000.
(2) Multiply your average by 113 13 per cent. The result
on the example comes to $8,000.
(3) Now check your taxable income for 1964. If the total
doesn't exceed the figure you reached in step 2 by more than
$3,000, you would not qualify for relief. But, say because of a
sudden bononza, your 1964 income is $20,000. Since this ex
ceeds $8,000 by $12,000, you would be entitled to income
averaging relief on the $12,000.
(4) Instead of computing your tax on the $20,000 received
In the one year, you would compute your tax as though you
had received $12,000 of your $20,000 1964 income over five
years. With the help of this averaging provision you would
pay only $4,300 in 1964 instead of the $4,720 tax you would
pay under the 1963 tax bill without averaging. You would save
$420 by averaging, in addition to what you would save because
of the lower 1954 tax rates.
This new tax break Is contained in a highly complex
clause In the 1963 tax bill and the reasonably simple job
of averaging Income would become even more complicated
If you have capital gains or income from inherited property
or you receive property is a gift.
In fact, the already overburdened accountant is going to
be overloaded more at tax time If this provision becomes law.
To make sure that his client doesn't miss out on the possible
tax advantage of income averaging, the accountant will have
to compare his client's current income with his average of
the past four years, and probably he'll have to make some
exceedingly complicated computations.
Despite the complications, the income averaging break
makes It important generally for you to try to defer into
1964 any unusually big bonuses, fees, commissions, etc., which
you otherwise would expect to receive between now and the
end of 1963.
Next: Dividends, sick pay, business Investments.