12 A
THURSDAY. DI'XE.MIIKK l. I'M
MEDFORD MAIL TRIBUNE, MEDFORD. OREGON
Dennis the Menace
The Medical Roundup
MR. KRIS SAYS:
By V
,'i. MrHHl I'.HHISIMON"
.BHVaaMfl AIIRIAVIII All
1 c?,
"13
l.mrrilus I'nnsiilUiU In Mertirine
Mawi i hnjc
l; merlins I'rofrssor of Medicine
Mm vii ("linir
(Hrgiftcr and Tribune Syndicate,
I96J). '
'. . .AN' I'll LEAVE A PIATE 0' SAMWWES CW THE KITCHEN 1ABIE,
'CAUSE I CWSKWRtAaSWTW.
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DIVERTICULITIS
OF THE COLON
Hardly a day passes thai
somcune doesn't ask me anx
iuusly aboul Die treatment (or
diverticulitis. A little reading
ol the persuns's letter and I lind
that what he has is the harm
less diverticulitis, which per
haps 40 per cent uf us men and
women have alter we are 50.
Until a lew years ago, no one
paid any attention to it. At
the Mayo Clinic, where I worked
fur 25 years, our X-ray men did
not bother to report it, any more
than they would bother to re
port thai the person had gray
hair. 1 have had diverticula
(little pea-sized pouches on the
side ol my colon) for 40 years;
they have never bothered me,
and it would never occur to me
to change my diet or my way
I of living because of them,
j Unlortunolely, in recent years
' "diverticulitis" has become a
fashionable disease. Hundreds
of us physicians started diag
nosing it; treating it, and even
operating for it. Thank good
ness, I can see from my huge
pile of mail that the fad is
beginning to pass. I wonder
what will come next.
I can head many people ask
ing, "But why should you doc
tors always have a 'fashionable
disease'.'' " The answer is that
sometimes it is much needed lo
get a highly neurotic and very
lussy woman out of the office
quickly, and satisfied. To illus
Irale: une .Saturday noon I spenl
a whole hour trying to get a
young woman who was close to
a nervous breakdown lo see thai
all her aches and pains, head
aches, indigestion, and diarrhea,
were due to her inherited frail
body and very (ussy and irri
table nervous system. Every
thing annoyed her and caused
her to complain. Twice sur
geons had operated, and re
moved her appendix and later
an ovary, and still her life was
one long misery. Most of this
was due to her inability to live
sensibly.
As I talked to the woman, 1
could sec I was not getting any
where; 1 was only getting her
I angry with me, but 1 kept on
trying lo help, because 1 lelt so
I sorry tor her nice young Hus
band; 1 so wanted to get him
lo understand what the basic
trouble with her was.
Finally, the woman said
angrily. "But you say that I
haven't any sign of a true
colitis, and that all of my trou
bles are due to my constant
fussing at everything; why,
then did my doctor say that I
have colitis?" And I said sadly
that obviously he had more
sense than I did, because with
a little stratagem he had gotten
her out of his office in a few
minutes, pleased and satisfied;
I had spent an hour, and all 1
had done was lo earn her dis
like and distrust. I hadn't got
ten anywhere. Her next doctor
might tell her in 10 minutes that
she had a 'hiatus hernia" (an
other fashionable diagnosis). He
could operate for it and make
her happy for a few weeks.
Dozens of times, my dear
friend Dr. H. E. Robertson, the
pathologist at the Mayo Clinic,
at autopsies would point out lo
me the perfectly normal lining
of the little pouches, and would
marvel that Ihcy practically
never became inflamed. In his
enormous experience there was
practically no such disease as
diverticulitis ("itis" meaning in
flammation). Very rarely would
he find one pouch that had
perforated, and caused an acute
and dangerous peritonitis. Pa
tients with the peritonitis often
had lo be operated on. Dr.
Robertson never found any evi
dence to indicate that cancer
starts in one of the little
pouches on the colon.
Dr. Alvarez discusses sonic of
the causes of shortness of
breath and suggests some help
ful ideas in his booklet. "Pul
monary Emphysema." To ob
tain your copy send 25 cents
and a stamped, self-addressed
envelope with your request (or
the booklet lo Dr. Walter C.
Alvarez, Dept. MMT, Box 057,
Des Moines, Iowa 50:104.
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