Medical Self-Care issue # 1, 1976

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Medical
Self-Care
Access to Medical Tools
NUMBER

1/

$2.50

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Y

Editor's Page
Welcome to our fhst issue. Her€'s the kind of iDfoirnation we'I
Reviews of the best popular modical books.

try to provide:

1
2 A.ticles t€aching basic paramedical clhical skils-how to take a blood Dressure,
examine a sore thoat, listen to a friend's luDss.
3 Sources for hard-to-s€t rnedical equipment.
4 Access to the "nedical literaturc"-nedicd textbook, joulrrls, bookstor$, rd
libraries.

Accounts of the smwing health corsuner/patient education moveEert trking plfte
both inside and ourside the health professioo.
Future issues witl be loDsei, coDtain a good deal of rcade! Ieedbeck, and hopetu y be
less of a one-man show. We welcome your sugsestions, oiticisN, and advice.
I never planned to edit a nasuine. I'n a 4th tea! medicel studert planninA to becon€ a

5

family praetitioner. But doring my tilst yeel on the hospihl wads, I wB cortinually
amazed by how little responsibility nost patients took for theb os''r health.
About ha.l{ the patienh I s&w that year had a preventable ilness. Evory time I saw s
snoker vith lung cancer oI eDphysema, a heara drbher with liver disee€e, a fet,
sedentary businessnaD with a heart atiack, or a woman who'd oDly come to the doctor
whon her breast carcer wd loDg past any chance of cule, I rcalized that nedical carc i!
not somethiDa to be left to docto$ and other health workeB.
This rnagazine is dedicated to those patients, and to those of oui reedsrs who wil profit
by their example and avoid becomins patieDts at aI.
Torn Ferg$on

Yaie Medical School
June 15, 19?6

Asea,^t Editt Lee A@Nkm
E.dth Jdra rz€a

Wonen s
Medical

Constrn.rism

A Dnecdon,Ilyout

m S'?tr

& Cdve! D€sUn

Illust arions on FFs 3 &

I

Typesetiing and Printing
The A.looete Pre.s, New

E@n

Contents

Medical
Self-Care

4
6
6
?

Suhder l9?6

8
I

B€in8 Your 0w[ Prralnedic
How to Be Your Own Doctor (Sometimes)
The WeI Body Book

A Beef@t Ddtor's Meual
Medic8.l Passport/You Health Cue and How to Manase

It

Your Bblk Blg
Tweezers/Thermometer/Stethoscope/Tone!€Blades
Blood Pre$ur€ Cuff/Tlashlight/Otoscope
Vaginal Speculum/R€flex Hammer
Bedside Diasnostic Examination

10 OuI Bodies, Olrselves/heast Cancer
11 For Yourse[: The Fuli msnt of lemale Sexuality
The Monthly Exhact/Liberating Masturbation

Mer's H€rlth

12

Man's Body/Type A Behavior and voul

Hoat

E.tir8
13

The Anerican Heart Association C@k Book
One Bowl A Sinple Concept for Contrcliing Body Weight

Aembics/The New Ae.obics
Aembics lor Wonen/The Zen of Rundina
Kids

14 Teaching Medicine to Kids/Yosa for Children
15 T.A. lor Tots/Between Parcnt & Child
Hor

l.oDA

W

You Live

16 How to Practice Pr$pective Medicine/How to

Save YouI

Life

On Snokins

D.og"
1? The Medicine Show/Offthe

Sauce

The New Handbook of Prescription Ditgs
Cop'ns

18
19

How to Be Your Own Best Friend/Stress without Dishess
The Relaxation Response/How to Get Conhol of Your Time and LiIe
Madn€ss Net ork News Reader

The Medi.rl Lirersturo
20 The Merck Manual/Medieal Libraries/The White

Shop

C.oss-Cultud Medicire
21 Roling Thunder/AFay with A[ Pests
DodinS

rith

Doctors

22 MenaaiDs You. Docior/Finding
Medlcal Sell Crre MageiDe

A non p.ofit n.saine publish€d lour tin€s

rombd,t

Frdftnriar offic*
Box 31 9 San Franckco CA 94131

Additmnil dpieolrhisi$lcll

Eehinns subsc.ipiions

a

rou

pcrp.id

126

Sushinng $bscnplions tl00
(NMes ol rebi.ina &d susidninq sub$ribers
will b. pdnt€d uhle$ requesidd oth€rwi5e)

CopFisht O 19?3 by M€dical SeII CN Mi8ain€

a

Doct ./On Workins with Docto.s

Modical Cl$ss Io. LryPeople
23 List ofPeople Teaching Classes/Ihe Activated Patient
Wouldn't you Like to Have a Doctor Like Watr Stol

% Foedb&L

enjouabla, h;shlv reallobla u@k tlnt
takes U& salelg m$ into tetitory Uou
nAv h@e thousht ol u lor d.octns onh.
Hh sexetu-page chaptet caAod, "A Note to

Being Your Own
Paramedic

Phusiciatlt" d.$eru6 to be ,erored @d.
sent to erery d.octt lou |autu.
Irr. Sehnert lbit$ that a paperb@k
edition uiA be out thh sLrntuer.

-TF
Bow To B€ Yorr own Do.t

r

Many of my patients already are their

owr doctors-sometines. They've
Iearned to hardle mino. illne$es d

lsoE.drcsl

Keith W Sehnzrt wilh
goiltwtl Ehenoerg

ernergencies witnout help, and majo! ones

without panic. They have "blact bags" of

thei. own, with ever)'thing Imn stetho'
scope to sphygmornanorneter in them.
They ex&mire their yougsters' eal3 i.ith
otoscopes when thsy complain of earaches. They check hwbands' ed wives'

heertbeale and neishbors' blood pres-

Strang€ bwiness? Yes, they are nen'
bers of thet blard'Dew beed, the Acti-

vrted Patient-a kind of heady hybrid
who is th.ee-quarters patient and onequarter physician. They've leamed to

Tal{e the sphy8momanometer, for ex-

ample-another instruDert that no hone
should be without. When I gave then t
patients in my m$tly black class et

Northeast-Georgetown Medical Cent€! ir
Washington, I knew they'd turn up pledty
of hyperteNion, because it runs rampant
in the bl.ck conrnunity. So that wa! Iny
honework assiSrment: "Take thes blood

Try thent out on
Iarily n€Dbers, ftiends, acqraintancssprsssure cuffs hoDe.

each oI you check a mininum of haff

dozen peoplo."

Natunly, statistics

high blood pressule are

60,6

!

oD

for whites and

four times that for bla.ks, butreted a!
they are by inne! city stresses ald
tensioDs. My students exceeded natioml
figures. A startling 300,6 of thos€
exanined had this aptly naDed "silent
disease" hypeltensioD-lnd rnost didnt
BI-OOO PRE€iSJRE TOOI

S

lpeak the doctor's own lan8llag€, and ask
him questions rathe! thar passively sit,
honor and obey. They've leamed to check
vital si8ns, the fbst si8Ds of r @mnary,
and how to tel whether a siDN problein is
m atlergy o. a eonunon cold by the color ol

the mucous membrane of the

noso.

They've learned Body Talk-that special
laDSl]ase oI synptoms th&t embles them
to ktrow what ar ache or pah is $ying.

And they a.e playing an important and
needed role in a health parinership with
1916; 3&9 p38€3
110.70 postpaid lrord

From p€rsonal medical experience, 20
teI you thet lor the busy
doctor, theE s rothing wol8e than the
years of it, I c{n

Gmsset & Dunlap, Inc
Bo: 941 Madison Squarc Strtion

N€w York NY 10010

Ih;s book tuAs !o1t hou to so abdrt
bec@tins

&ltr

oun par$ned,h. Probablu

the b6t sinstz r$ource aao rhl.e for foths
sharlns the soah of thit
"ns@i@.
Keith Sehnzrt has been tea.hins med.iclr.a to wtients sirce 1970. The lint
sexenreen chapteft of thit book pr4ent
hit coru:ept of the "@tiaateil patipnt," a
hupenon trained, in batia clinbd shi0t
ad, capablp ol padnipatins ,n the n&t
asement of hb ,y her olrm heal.th care.
The rest of the booh-128 blue wses in

buh-cwbts

of the SeV-EeIp Medig
calc1ti.l,e, the textbook Dr. S. llf€s
the

ir.

patient who cslls atrd say8 rvith pinpoint
inaccuEcy, "I ache aI over." Or equany
helpful, "I feel !o siek." A phone cr llom
a patient who knows how to take vital
signs-pulss, rcspiration, tempelatur€,
blood pressure-and to leport relevart

obseflations

lite

inflaned

thuts

o!

reddened eardrums is fai more meaningful. I can make a judg€nent on whether
the patient ought to come into the ofice,
or go straight to a hospital. I can usualy
Fescribe confidently on the phone.

I seamed her hea.lth history and looked
up. "A@oding to this, Nancy," I said,

Hishly salted foods like dehydrated
soups and bouilons, pretzels and potato

chips should be less hequent visitors to
Take the sugar bowl and saltshaker off
th€ table. Use some selt in cookins, but
cut down the uourt the recipe cals for.
Nore should be routinely added when the

meal

is served-consciously tly to

use

"you're 39 years old."
She lo8t her sef-assurance: "Oh, there

covte lor pation*. It stua datailed,
directions lot dodins Dith the n6t
cotnnon ilbwsses, Mci.Ienk, trnd enet

nust b€ some mistake. I'n only 34."
"Therc's no mistake," I said, "Yoor

Difren fM inet rned,ical suidebooks
in that it a$und the reader ia capabl2 ol
kannns sone basic c4ni.ol me,l.icine. An

aging faster than you are.

chm.olosical ase is 34. What I'n talking
about is you rca.l ag€, ba-sed on your
lile-style and body condition. Your body is

Medi.al Sell.Cre. Sumne.

19?6

aeins You.0*D

It.

patches on

WoI Body Book
tum)l'b, MD ,t'd Ed Bm@tt

Mike

Clothes to @ttre hone to. Tight clothes
not only can ch"Je and upset the nornal
bala&e ol your skin, they also slow down
tbe ciculation of blood in your body by
pressina eaai$t and constricting, sna
blood vessels ad capilalies. It's a Sood
idsa, if you hsve to we{ tishi clothes or
you! job durins the day, or fo! other sial
.*soDs, to have loo8e litting cloth€s to

to. ff yo'tE . naD, take off
your neckti€ &Dd loosen your belt; if
come homs

Pesnedic

the tonsils. Record in

5

the

Physical Oxamination Report.
Th€ pharynx is the fleshy area that you
wil see turthest to the bsck of the thoat.
l,ike other mucffal tbsue, it should be

noist and pink. Note anything here that
looks .ed, oI swouen, or any white or
yelow patches, Mucous draining doi'n
along the pharrrx

wi

usualy appea!

whitish to yelowish, in the fo.n of a thin
mating; you miaht al-so describe it as

stlingy or veiny. Record your obsoIvations in th€ Physicat ExadriDatior Repod.

youte

e woman, remove your girdle il you
wear oDe. Fird something that realy feets
good next to yolrr skin, clothes that are
Ioose and which please you aesthoticaly.

THE

WELL

BODY
BOOK

1973; 350 paAe!
17.75 postpaid lrom

ReDdoD House

20r E 50th Stieet
New York NY 10022

Alreoty udels kraun

d,n

eA be.

loved, thit beaut;l1rlu d,es;sned, book ht8
becw so pory)4r its easg to ouerbok
hoto sood,;t reau!

Check the cufis of your sleeves. ff you
can slide two fingers betveen the doth
and your skin, they are okry. ff not, they
ale tight enough to causo skin initation
aDdlo. restrict the cncdation of blood t
and lrom yollr hsnds. Check for elastic
nalks amund the t ps o{ your so.ks,
waist, and the le8s, armholes, and neck of
underweer. Ifyou see any mark8 on your
skin ftom the pressure oI tho elastic, that
|!e& is plom to rash and lest ct€d blood

Breasts: The

b.

Conbiws a deep
emphaAit t . the feehns t;de ol thinssseri,s;tir;tv, coping, coi.nuai@tim - uit h
exceuznt sectiora on prerenthe medic;ne
ad, d,iosrwsis aon ueatnent. Thei, sec.
t;on on the phVsi.al eran,imtion b the
Mike Samueb

W$t

Coast

peoplz,

pftctia* medbhe at

sides, brealts utrcovered. Study hor

slightly larger than the other-which mry
or Day not be immodiately perceptibl€. In
spite of the size ditrer€nces they wil b€
shaped about the sa[le, one side matchina
the other even thoush differcnt in size.
That'! the synnetry you w&[t to look for.

a

med,icine

Lack of symmetry ![ea[s dimples or

There ere common medical compkints
that doctoB see every day which cen very
olten be baced to clothing: heat rashes

from dothes that !E too hot; alergies
ielrted t the fab c the clothes are rnado
oi alergies related to the detersEnh l€ft
in the clothes hom washins; nechanical

ir

clothi[si ':ock rot" Irom wearing pants
that are t o tight aDd {abric! thet dor't
b.erthe; vaginal infections frord wesring
dylon uderyrrts that dort breathe;
ralhes md chafing fmn eoa$e-textured
clothes on dolicate skin sudaces such a3
the genital areas, mderarms, bleasts and
neck; fungus infections ol the feet from
wearins non'brathing 8ho€s; blisteft and
inlections f.om bliste* on the leet as a

r€sult

ol

badly-desisDed

tt

the othe!. Note sym[lotly and lsylrr,
metry. Most wonen have one breast

ne^, colnr heal4rc, tuui 3 LLD.'g."
.TF

chafing flom tight clothes or the elastic

exam

breasts lor e moment, comparing ore

lree cttnie stalfed bs "inssase

fuith heolers, In'lian

fbst pa.t of this

is visual. Have the pemon sit faciDa you
with her arrns harsiDs loossly at her

or il-fittirs

bulges which sppeu in one brea€t but not

Now cxahine the tltmet. Have the
peBon open their mouth $'ide and sey
"ahhh!" If necessuy, take your butte.
knile and we the flat lide of the blade as a
tongue depr$ser to press down the back
ol the tonpe so that you car see int
Tonsils are masses oI lymphoid tbsue
which in childhood probably help protect
the body frotrt irjection. Their size vuies,
but the color is pink Iike other healthy
mucosa. II a person ha-! had theb tonsils
removed, you won't, oI course, see the

tonsils. Also, in adults, tonsils [lay be
norroalty sh.udker ud difficult to see.
Note red, swolen, or white to yeuow

in the other. Note these and write them
dom iD the Physical Exuinstion Report.
White the person is sittina up, elarunc
he. nipples elose up. Nipples vuy in

shape, size and coloration hom persor to
person. The color ol the nipples, as wel as
the size of the breasts, may changE during
neNtruation. Tenderness oI the bre3ets
may eko occur. Note ed record any
redness, dischargs, or sores.

6

B€ns You Own PlEnedic

A Bs€loot Doctor'!

Mrlud

Instihtte of Traditnlnnl Chtnese Med,n inz
ol Hinw. Poat6e, Peode's newbue of
Chi,ur

4

between the second htercostal space.
Ove! the bicuspid valve: located slightly
to the risht of the lower sterDub.
The solrds provided by the punpiDg ol

({led the ,eart somd!.
The lbst heart sound is caused by
codraction of the heart chanber whers

the heA't ,re

the tricuspid &Dd bicuspid valves suddenty

dose add nus.Ies oI the left and right
ventricle contract. At the apex of the
h€art, on€ ean he a "tury-tuDg" soud.
The second healt sound is produced by
vibration rssulting lrorD venhicular dia'
stolo md sudden closue of the ptllnonlfy
fnd aortic valves. At the b8se ol the
heart, that is, over the pulmonary aortic
valve and the aoriic valve, one can hear a

Seven'Lealed Lotus lch'iyeh Lien)

Properties and, ortrbar Warm-natured,
tastes bitter sweet. Relax$ muscles tnd

aciivat$ sinews, reduc$ sweling

and

Corditiom used most lor:
I Rheumatoid arthralsiai
2 tEumatic damaAe
3 wound caused bleediDs.

Prepmtion:Stems and leav$ Ior n€dicinal use, 5 ch'ien to 1 Iiang each tim€,
prepared aB decoction. For external us€,
crush fresh leaves for poultice to be
applied over afiected parh.

The interval between the fbst and
second

hea{

sounds

is

conparatively

short. Fron the second heart sound to the
eppeaEnce of the first head sound the

Heart souDds of a nolnat Person are
reSrlar, head at the rate of 60-80 times

per rninute in an adult. In

ilness,
nulrnurs may be heard during dialtole or

1974; 960 paSes

i9.75 postpsid fron
Superirtendent of Documents
US Govemnent hi[thg Office
WashirstoD DC 20402

This phon2book-sized, treature bbrAa
oru?ltvture wul tn/ttsase Dith clalfinl
Chinpse, heftol, Mn Westm oeproacheg
to med&:he. Sectit?ls ol Undzntandrnq
th2 Elri.on Bodu, Huqk u, Dhernstia
ann Iher&pelttic

Tectuicw,

Mh

Cot-

bol" rreatflent of Coflnon llhtesses, ann
we of Chinzse

a 400'pa4e sednm orl the

Medici,,nl Plants. Treatment se.ti0a$

acwuntture, hetbd'

ud Wetten

Ibt

rene-

d,ia for eqah iuness.

Soltg ot the methodt and. rndern*
lpea.h kenels, ltiol2u, roaated cTocodilz,

aAktoorn cocolmtl Eolntd

Wttg

erotio.

ow wova ol med,icinz
,|,1tt hokjuAt at arbitrary ann uhinricol
1,Ia*ea you redize

'lF

Social Facto$

Pube Diagrosis

The pulse is senerally felt at the
"ts' uD k'ou" (over the radial dtery at tle
wfist.i Different pube findings supplernenting data obtained by other diagmstic
techniques, may uncover the nature of
pathologic chanse in the hffoan body, and
help make a proper diagrosis.
Techniqg: Beiore the patient's pube is
checked, the patieni should be restins,

and the phFician should be.elaxed.
During the pulse taking, the patient's
wrist is placed resting on its side, r'hile
the physician plac$ htu index, middle and

Thb i! an important tschnique wed in
examining for heart ailmsnt8. It is gpner3Iy performed over four areas:

ring fingers over the "ts'un-k'ou," ieeling
first tle "kuan-mai" site on the inner
aspect of the bony proninence (tle ulrar
proninence) with his niddle finger. Then
he places the other two lingers over the

bicwpid valve: locatsd at the

anterior and

Aus.ultation of the Heart

1 Over the

apex oI the hoart.
2 Over the aotic v&lve: loceted alons the
right bord€r of the sternun between the
s€cond

i.t€rcostal

sPace.

3 Over the pulraonlry ao.tic vltve: loc{t€d along the left border oI the stemurn

"tsun"

.rd "chih" sites,

posierior to the middle fhs€r. If the
patient's dms are sho.t, placenent of the
three finge.s should be adjusted, but tle
same amount of pres8ure (light, nedium,

heavy) is used to detect pulse conditions

over the ts'un, kuan, and c)'ih

sites

Differences in the sociel system often
have a 8reat etrect on the incideDce a[d
eliniDation of certair diseas$. Chitra ha!

ehninated cholera, smallpox, vere.erl
disease, plasue, etc. With respect to
certain diseases with more serious cors€quences, such a! malaria, schistosomi$i!,

etc., better preventioD and trsrtm€nt
trteasues have g"eatly reduced the
disease incidence. Therefore, wheD causeg

of disea-le a.e analyzed, s"eat emphali!
must be given to the social systen.

Promotins Late Mar.iase

Il

the young people talk about love,
aDd havirF children et too eally

malriase
an as€,

thei

ener8:ies

affectins theb work

will be dissipated,

od theb

study.

Furtherno.e, f.om ihe standpoint of
physieal developnent, roost youDg people
do not attain all .ound matu ty until sfier
25 years oI age. Prenatue narriage and

Ioi

the

Medical Sell Cee- Snnner

1S76

procreation are not beDeficid

young and succeeding geneHtion.

Beins Your O*n

You H€rlth C&. &d Eor
I$!,reneLWeedMD

Use of Condons

A

contracsptive d€vice used

[lale,

it b

simple

by the

to use, with

good

results. Its selectior depends on the size
of the e.ect p€nis. B€fole inte.cou$e, the
coDdob should be blown up to tsst for
le3ks. Th6n eii at tho tip should bs
expeled b€fore fitting it on the peni!.
Alt€r ejrculation, and befole the penis

b€com6 conpletely soft, the condom
should b€ r€moved by pdling at the
operirs, to prevent its retention in the
vasina. Wash ard cloan after ws. Dry,
lDd check lor ble!k!. Dust with talc, wrap
and put aw3y fo.lat€r u.e.

To

M.r.gs

It

YOUR
HEATTH
CARE
and HOW To Manage It

P!..medic

?

lrou

to doiDg some oI thern at aI. Ii ij
t, hrve e physician who may
rememter less, but who looks thinF up in
time and always sets th€ dght thing dono
in one way or another. Isn't that e'ht
patients want? So patierb must denlld
evidence that a docto. pey'ou5 vell, Dot
jwt that he rememberu wel.

b€tter

A

superb specialkt becene t taly

pleoccupied with an exelert piec€ of
vdula. surge.y on a blood vessel in a
pstient's lsg, and ind€ed did .elieve the
patient'! cunent symptom. He kept no

ti!t, and a nodule
in a prostat€ on an admi$ion

complet€ problen
d€t€ct€d

phFie-al examination was never stated as
a problem and no plar was formulated,

Mqlicd Htstory B@Llct

Two ye8rs hter th€ patiedt died of
clrtinoma of the pmstate. There is no
a$llrance that earlier detection would

32.00

have prolon8€d his

life-but it could have.
The patient hrd no way of knowing the

Medidl Pi3sFrt
$4.00

The Medical Passpo( Foundrtion
P O Box 820

Dehnd

rh

S2?m

T ete peopb pet ottt tuo tshabb o'!ds
lor n dicat sell-care:
I A sef-adninbtered medical history

2

physiciaD's lack of system, and may havo

1976; 191 pase!
$3.80 postpaid fiom

A"medical passport"-s waltet-sized,
pl8tic-covemd booktet ir phich you
ed your doct r relord yolll @npl€t€
rnedic3l history, physi$l firdings, lab
.esolts. and a liletime historical and

diagrostic suMa.y.
1he mediaal hbtoty lonn E3'3 ol1 the
of hea].th care
suest jltg lo1tr

should, atk in the coltne of o complete
"rotaer
phw;cal Fiuinlt it out uowselJ util she
yo a sood, sente ol vow present heolth

t

lor

teu hou compre.
he6ive the med;cal carc vtu Me receix;ns
status a,ul

iU

help

Pr$entins the completed, histuv lom
at sov rleat olfue aisit mau yrooid,e uour

drctt tith u)ubb intonnat{an-and, h;s
M her red.t;e uiu ceddinl! gfue !o1t
some in3ight into lotr .Ioctt. me medi-

cal paJspoft @s'ff6 Uolr of cortiruitu of
nnd,ieal care uhib trawlins, ot ih emer-

beer Dde. the iEpression that someone

ws takina totel car€ of him. Often
petients believe care is complete, wheir in
reality it rargly is.

PROMIS Lsbo.rrory
Unive.sity of VermoDt

Burlinsto. VT

06401

O,tz ol the ,eal eye-opeien in soins
throxsh tuedAd tchool has been the uau

medial reco A are kept. Ou-Jaahnned
bctort wed, to keep all then recodt an
their hean^, and nwq yesent records are
kept in tuh d ung that 01 u the dnctor
bho urote them con teL uhot they sag.
I hereb! @iiate Di. Lalnetue Weed,
lM a NobeL Prize tn nled,icitlz Jot dzub?ins the Probtzm Oriented, Medical
Recod IPOM&) Svstem, o staul4rdized,
Jonnat lor keepins nedicol recoTl' bhi.h
i't l'.d$ the roce$ of th;nking lour
d.o.ttr 906 through in ftaching a dbgnosi6 anl, cmvit g otut treatment.
In this booh, Dr. Weed. etplaiB hou
lou cM leam to url,erstand that thought
yoc*s ad chech it 16 m b! keepins
copiet of uour otn nedia.l rec(td
Patients de beginning to realize that
the fact that lheb physician happeDed to
sraduate

{bst in his

class

at

nedical

college and wrote b.iliantly on his exams
do€sn't 8larantee that he will give them

cee. Hlving a good lneDory
and answeri.g medical questio.s cor,
.€ctly on pape. is as different fron
top'notch

.TF

actualy listening to a heari or examinins
ears, a! taking you. w tten driver's test
is f.om actually d.iving through tBtrie. It
do€s tle patient little aood ifthe physician
knows ihe riAhr thinAs but is extrebely
inefficient in doinS ihed, or do€sn r sei

ln

a routioe history the patient told the

house office! at the hospital that he had
had a chanse in his bowel habits and some
bl@d in his stools. The sp*ialist in chalse
put down onty tle ploblem fioh hi3

specialty und€r his "impression." Tll€re

wa! no

complet€ problein

list.

The

syrnptoms trom the bowel were forgotten.
A carcinona of the colon was rnissed and

pieked up later under condit ns which

wer€ not advantageous to the pati€nt.
Another instance of avoidable sufieling
and percious tine lost because someone
had the ilusion that it was rnore efficient
to pmceed without aI thc fact€.

that the tips poini toward the ftont. fhe
sp ng connecting the two edpieces cu
be beni in or out to make tle earpiec$ fit

Your Black Bag

snuAly but comfortably.

Good

for ljstenins to heads,

lungs,
abdomens, and takins blood pressures.
Ask a medical worker friend to slow you
how, o. consuli one ofthe b@ks.eviewed

check blood pressuEs on your Liends,

you ll be pretty certain to be doirg sone of

A booklet on taking a blood pr$sure is
available f.ee from your local A.nedcan
Heari Association, or from the NatioDal
Office at 44 East 23rd Street, New York,

NY

10010.

The most lrequentiy used item in my
black bas. Both ol our kids seem to attract

splinte$.
Get a Aood pair and don't use them Ior
tiahtening soews, etc. Theres rothing
more infuriaiing tlan havins a sobbing
cbild siretched out agoss thecouch with a
splinterin his or her foot, and discove.ing

thai you. tweeze$ dont quite

come

it dry and in its case.
For tiny splinteB I use a pocket

toAether. Keep

m&glifier I bought in a photo shop for 75c.
Tweeze.s are available in nost drug-

Tonsue BLd6E

At
About $2 in any drug store Always

it.
Oral for inlants and child.en, rectal Io.
iniants. (Always use a lubricant wiih a
clean wiih cold water, as hot may break

hospital supply stores. Usually it's

not necessary to use anything to hold the
tongue down at all. Try askin8 the pe.son
to open his o. her mouih wide and pant in

In a pinch, use the handle of a

clean

rcctalihe.momeier.)
You. iempeFture goes up after exercising and immedistely after a woman

Penlights are more convenient to carry,
and for eheckirs pupil size, but the big
oDes last lorger and can do double duty
around the house or when you so cam-

pins. They'rc better fo. t@kins into
throats, the thing they'll p.obably be usd

ovulates-a handy way to det€rmine
when you'rc fedile (see Our Aodt€s,
Amebes, p.10).
Oral the.mometer sbould be placed
urde. the tongue ior at least th.ee
minutes. The person shouldni have just
lad anythinA to eat or drink.
Most docto$ don't consider a temper
ature under 1000 F- a fever.

Flssldisht

Useful too for examinins noses, looking
in eyes for fo.eign matter, providirg light

while .emoving splinters,

dd

fi.ding

d.opped contact lerses. (Turn the room
liglts o and shine ibe flashlight across

the floor. The lens will make a tiny
Blood Pressue Cufi

dnllin4*F{.T'wre

Theserun about $25 and up. A few drug
stores are bealnnins to cany kits with
slethoscopes d,, blood p.essure cuffs.
(You need both to take a blood pressue.)

Stetho3cope

column and dial (shown). Tlre mercury

Five dollars ard up ftom your local
or medical supply store, Seals,
wards, your local ned school b@kstore,
or ih.ough your local druggest, or the
hospital

Whiie Shop (seep. 20). Edmund Scientific
is a.other good mail-order sou.ce (Bai'
rinston, New Je.sey 08007).
Get one wiih a diaphragm-a .ound.
ilrt disk on the end. which is more useful
thaD the hoUow, bell shaped chestpiece.
The ea.piece of most stethoscopes are
sei at sn angle. Put them in your ears so

Cxffs come

in two types-me.cury

nodels s.re unnecessuily cumbersome
and expensive. The dial nodels are
handier and work fine-thoush you should
check them against your doctor's for
Emotional facto.s (1ike beirs at the
d@tor's office) can cause your blood
pressure to shoot up, so bl@d pressures
should always be taken when theperson is
comlortable and .elaxed.
1506 of the population has hish blood
pressure. Il you buy a cuff and routinely

Recommended for homes with children,

or adults with recuning ear infections.
The veU Bod,s Book recommends a 50c
ear speculum wiih a tushlisht, but I have
a ha time seeins an)'thing ilis way. A
battery in the'handle model cGts $30 or
This is an inst.ument to be used ver.lr
people yrith steady hands.

cdeluly by

Medical SelI Ca.., Sumn.r 1376

I d reconmend learnhg to use ons

fron a

to about 90". With th€ hip

B€ituid€ Dirsro.tic Etldtn tior
Elner L Decou,ha MD
Rbh$d, L DeGol,ia MD
513.80, postpaid lrom

innmobils,

attenpt to eneDd the knee. In nenills€al
iritation, this atternpt is r$isted and
ceuses pain in the hemstri!8E.

Bruilrbski'! sig[. With the patient

The White Shop
4:l Colego Streot
New Eaver CT 06510

M! laoorite nled,bal booh the B;bL ol
phyticol ercniwtion, freqv,entlry 6een in

supine &Dd the linbs extended, prssively
flex the necki this produces fleE m ol the
Jtlbs, r sign oi n€ning€al initetior (Fig.

u39).

the uhite coat pockek of rned;cal students
ard, thtems. Cbinnd ne.licine o"shized
by the partu ol the bod,y. Briel, terse, atd,

to the p,rint.

YouA n ed

a

nad.i'ol

Ihe?e's a ph'[te heqtehtls heo"d, amons bwv howe offi.ers on the uvds,

It meant quit tpeainting,
theoreiizal Stieh to the ba*ia,

"cut the neat."

d!'Ll

thit

Vigilll Spocdu
Used increasingly by y"onen
examination with

a

be so

hand

for

book c-*ts the neat.

.TF

t
Fia. 11-39. Brudzinski's sign. With the
patient supbe and the chost held firrnly to

the bed, attenpt to f,ex th€ n€ck. In
meningeal initation, this maneuvor
causes involuntary flenon oI the hips.

soE-

rnimr. Ask your

nuBe or midwife to show you how. O!
make an educational appointment with
your gynecologist-go with a friond &nd
have the doctor show you how to do a

Sigrls oI MeniDseal Irritation

pelvic exan on each other.

Meninsitis, meninsismw, subarechloid
hemonhase, posterior lossa tlmorst and
the Esults of increased intlacanial pre!sue eaw€ rbnorrnal spasrns oI various

Cons]']t Ov Bod;es, O1LneI06. Whttever you do, us this (and all the instru-

specjal physical si8a3.

Available at hGpital and medical supply
houses, or lor $2 pNtpaid lron New Moon
Communicatiom, Box 3488, Ridgeway
Station, Stanjod, CT 06905.

mus.Ie 8"oups which are appalert

as

Nuchd Rtidity. The patient c&mot
place the chin upon his chest. Passive
fleiion of the neck is liEited by involuntary mNcle spasm. Testing ths pa$ive
flexion induces involuntary hip tlexion
(Brudzinski's !isn).
Spilsl RiSldity. Movemenb of tho spine

are limited by spasns of the Drect r
Spinae. In €xtreme ca*s, ths spiral

muscles are iD tetanic conbaction, pro
ducins risid hyperext€nisor of the ent e
spinei the head is forced backward, tho
tiunk forward; the condition is termed

Kcrds's Sig[. With the patient supine,
passively flex the hip to 90o (Fi8. lrfg).
With the hip kept in flexion, attempts to

enend the knee prodces poin in the
hanrsl,lhr$ and resbtMe to tutthet
extension. This is a reliable si$ of menin'
g€al initationi but it may occur with her'
niated disc or tumols o{ the cauda equina.

BlDn€r
Rarely nedicaly

n€fl€x

necessary-uDless

ir your household has e neulolo'
gical disease-but lots of tur Dd highly
educationsl to use. About 35 at msdical
soneone

Fig. 11{A: Xemis's si8n. With tho
patient supine, flex the hip and knee each

Fig. 7-1. Precordial projections of the
onterior surface of the heart. Note the
entie ceDt.al area of the p*eordiun is

the proiection of the right ventricle. The
left bolder and apex are fomed by the left
vertriclei the risht at.ium coDstitutes the

risht boder.

not pe.missible to lind out ioo much. The
taboos were strongest in the area of
rcproduction and sex. which is why our

Women's Health

book concentrates on them.

Oui Bodies. Ou.€lves second edition
B6ton lvonen s Hedth Book Collectioe

oUR B0D|ES.
OURSETVES
A BOOK
BYAND

UN/IE

FOR
WOMEN

'Wlen someone fbst said to me two
yea$ aao, "You can feel the ead ol your

own cenix with your finger,"

I w3

interested but flustered. I had hardly eve.
put my finger in my vagina at all, and felt
squeanish about touching myself there, in

that place "resened" for lovers and
doctors. It took ne two nonths to get up
my neNe to tly it, and then one
altem@n, pretty nervously, I squatted
dom in tle bathroom and put ny li.8€r
in deep, back into my vlgina. Thele it wa!
(!), feeling slippery and rounded, with an

indentation atthe center th.ougb which, I
realized, my menst.ual flow came. lt was
both very exciting and beautifuly ordin
ary at the same time. Last we€k I bought
a plastic speculum so I can l@k at my
cervix. Will it take as long this tilne?

Bimanurl Pelvic Exam

FEliTfi Til

slhost

as soon a5

th.t

treatment was started),

over the weeks of tleatnent I
was involved in every aspect of planning

but

the caE. X rays wele sh.red with me, and
I was also helped to giv€ certaiD parls of
the treatment to myself between vi!it.s-!

form of seu-help-and to recognize my
body. The whole encounter wa5 so
difierent f.on the usual medieal experience, where passive dependercy snd
drugs are encou.saed rnd you aE rlno€t
never beated tike ad dult. Thele w.s !
deep respect for power of the body to he
it3ell; it helpd me to evsluate other types

lDvortiSltiv€ R€port
19?5; 400 prges
$10.00 postpaid ftom

Harcourt, Brace, Jovuovich
757 3rd Avenue
New York NY 1001?

Sinon &nd Schuster

R6e Kuhtur

New Yo.k NY 10020

Jound,

a

ht

np in her
tte

brcast in J1me, 1974. Ttis book telb

storl! of her er:peAewea up to ond
fo ouins the remooal ol her breatt.
Ms. Kuhn2r it a medicd rqeDcher.
k som M .he h4d. recol)ered h@t her
mortectmy, she 6et hereelf the tath o!
uttiting a book tho.t uollld. explnrc the

Va.ticol. dolim.to.earth
su;ile to uonens medici'tz. Th;s ww
edit;on k tirtv pages Lmger and. Me
that ha$ Mu. Ex"adad eectiN on
Setldita, Tak;ng CMe oJ Ouftelau,
Birth Control, Menop@se, Paftnthood,
reon/rble,

and. Women atut Health Care. F@hnl
inlollnLtion is ;tupeccably acartute ard
complete. ControuersioJ med.i.d xws

treo,tnent ol breast cancer o.nd
abrnrnal pap smearcl ate .laarly i'lenti

like

dis$sed.
Treats uonen as uhola bein$ daer-

Jied and thoroushly

..)ins of personali.ed care.

.JK
Recmmenned. reodins in the sV2colosu rotation at Yole Medical SchooL

.TF
Until ee beaan to prepar€ this material
for a course for women, many ol us didn t
know lhe nanes oI parts of our anatomy.
Some ol us had learned bits and pieces of
inforrnation aboui specilic body functions
{menstruation, for

to be both helpful and interested. The
most inpressive paft of ihe experience
was not thal the pain went away (it did

Br€..t C.r.er: A Pssoml Xitt ry .rd

TET#YIFIT'

1976; 383 pages
$5.45 (clinic copies available at dilcount)

A

I had sufieled from lower back pain lor
years. Most docto$ to whom I mentioned
it weren't interested, so I rlways assumed
nothins could be done. WheD I conphined
of lny discontort to a lriend, she s&v€ rne
the nane of a chiloprsctor who tuned out

exuple), but it

The other day

I

was iaking a bath with

my almost-three-year-old dauglter. I we!
lying down and sle was sitting b€iween

my less, which wele sprcad apart. She

said, "Momhy, you don't have a penis."

I

said, "That's right, nen have penises and
women have clitorises. All calm and

fine-then, "Mommy, wbere is your
clito s?" Okay, Dow what was I going to
do? I took s deep heath {fo. courrse or
something), tried not to blush. spread ny

mediea sociol econonic, a pychowical atpects ol breoat ccn er.
The book interuearet her our. eryeri.
encu as a potient uith the redt ol her
feseafch. The ftsult it a cof,wsioate,

objectbe

rnrftthe that shoad gtlid.e

other bomen tttuxsh the confsing jt',tgI2
ol fa.ts ann rejud,;ces she etuolrhtered in
her olrn search lot help.

.TF

vulva apad, and showed her my clitoris.
It didn't feel so bad. "Do you want to see
you.s?" I asked. Yes." That was quite a
tlick to get he. to look over her fat
stomach and see he.s, especialy when she
staded laughing as I first put my fiDS€r
and then beB on her clitoris.

was
Medical

sellod€, Sunn€r

1976

lhG

ftltilE.nt olFon l€ Soiudity

v"W*
elttality
As idt

t

o

attieLi 4!'aen...

-A ru-ltklht bu,k thnt

b.tadnotrrrrnn
tt 4t t'rt Lt th.) !,r .8
Nhrnkl

th

rc,;t,ht

n; y

'Barbqi:h

19?6; 191 paSes (paperback)

t1.?6 pastpaid ftom
N€w ADerican Library
P 0 Box 999
B€r8enfield NJ 0?621

La'm;e Eatboah co-lzadt s"o1'ps lor
y*org,umi. uonen at the Un vertita ol
Calilottrh edicol Schoot in San Ftun.
chco. This book adrbesses both the "hout

to" and the 'thy bothet" ol lenule

A wry

at"pott;xe booh cined ar
feart and utuieties our cltlt@e
hu inposed on uomen and, their se?u.
dity. Lamb l|{t hes.d aA the m!th.,
han 'eat4l beha"ior cornet ,nh!ftltu,,
to "rer i& auvcesstr lot uunzn as it
it lor ngn " a^d, carefi!,llu, gentlu ditpel!
the

Encouaget unnerr to tahe olter re.partulit's Jor their oum bodias by the
oPetL ad hee eqnesrion ol thzn oun

.JK
uorkho u a set tbercDiJt
belore start;no med schooL This is tho
be.t book on ser themp! he seen.
Spenl a Vear

.'1,F

It 8€erbs only natual that we shoutd
itnqine the illicit durinS sexual Ianrasy,
for hasn

t

with ser

fantasies. Try enjoying the flnta5y IuIy
a[d heely ed see iI anything cblrg€s lor
you. AIso, Ietasies chang€ ove. tiEe.
Whrt is exciting this month may beode
rnundene a-e new snd different sexull
tun-ons arc eiplored. FaDtesy is clearly
on€ of the ways you can eide. your serual
€).periences without actualy iDdulgins iD
acts thrt may te unacceptable to you. lt is
also a vory positive way to locus your
mind during sexual activity so thst you

LibsstilA M.ltulbrtlo!

Bettu Dodtal

can concentrate completely on serual
pleasures. Not al of us have th€ ability to
fantrsize with ease at the besinning, and
Iew of us wil eve! expe.ience an orgasm
by lantaly alor€, but you rnay be ebl€ to
develop the abilitr to fantaliz€ which nay

8reltly enhance you! lerual feelin8!.

n

T'oruti,r: Garfleld,

.d.ins

Why don't we stop psychoan&lyzing our

sex and everythihs associated
alwrys bee! somehow illicii?

Malters and Johnson found thst the
orgasms produced by mastubatioD occuned mo.e dependably, noro repidly,
ed w€re of sreater intensiiy then those
achieved th.oush stimulation by a pa.tner. Coropee this situation to eating.
Someiirnes you [lay b€ hunSrr when your
partn€r bn't around; you night preler to
eat with hirn, but you wouldn't consider
stNing just so you could eat togethe!.
You can satisfy your buD8€r for food by
you.self with a me8l or a snack and you
can still join your pariner later on if you
like. This is also true of sexuat hunS€r.

Some wonen pr€fe! diroct rnd hed
stinulation of the glans ol the clito.is or
the sunounding area, while others find
this kind of stimulation irit&ting and
erioy a lishter touch. Prelererces for
timing and sequence, for setting and Elood
also vsry f.om woftan to woman. As my
co-worke. Leah Potts puts it, "Il you want
t balrc beautilul rnusic with m€, you'I
hrve to lerrn my song."

1974; 60 plg€s
13.60 postplid from

BodFsx DosiSrs
121 Madison Avenue
New York NY 10016

A

slim, cirty.pase 'tneditatiotu on $U-

Iow." Ollers the same messace oa Fot
lolurcelh that nathtbatkm is an impot
tmt ua!! tor both men ddimmen to bafl
about the;ro mbod;4s. Dodtolit orti.ti.flamboyan, EaAt Cotst, self+ebualh
oricnted. Barbo.h is bu.keyed scbntitu,
W$t Coatt, hetero.emalh
^ienteil
n@tmted bith jiftan erq'ititeU
d,ran genital po'''lnts of uomen in her
Bod,uter vrotkshops.

JK
She

wr! sixtr,eight, Iiving llone,

a

widow oI s€velal year5. I str.ted right off

Ite

MoDtl'ly

with, "Mother, aie you masturbating to
orgsn?" There $a! a sputt€ring psuse

Extn t

and th€n she caEe riaht back with, "Why,

$5.50 per year (birnonthly) from
New Moon Communications

Bor 3488

Betty Ann, of courso not.
that sort of thina."

I'n

too old lor

Ou n€xt

conve$ation-some two
bte!-was b€auiitul, Y€sl shs had
succ€gsfuly ard very sa3ily n$turbat€d
weeks

Ridgewar Station

Stanford CT 06905

CalTies infotlt@t*,a neus, and
etuourasened lor uo@'s .elf-beta ctini$ and ssrDcotosiad sev-carc. Inlnnal
arn poit;cal. uith lnts of thaftd er

periedc$ hom reoders.

-TF

to orgasm, and it was extremely pleasant.
She lelt lhs had slepi nor€ loundly sfter,

Men's Health

c An individual act of will and selfassertion. Probably the best way to
a Fe'arrangEd day or on the
spur ol the monent. Which of these
three methods would be best for You
depends or your personality and on
whether you smoke for supPort in

sive up on

Mar'i Body: Ar Own€!'E M.!ud
The Diasran Group

moments oI ltress: out of habit; fo.
physical gratification; to prcmote re-

laxation;

or

bectuse you

a.e trulY

addicted.

Effecte of Givins Up

Withh ten yeals of giving up the tile

expectancy of an ex srooker (up to 19 cisa'
rettes a day) is the sa]ne as that of a
nor-snoke.. But the beneficial etrects can
be seen within two weeksr no nde cough:
better taste and smell; increased vitality;
and nore money to spare.

hin. sive

confidence and security to him,
rather than to goad, iEitate, and infurilte
as with the Type A nan.

we have .epeatedly advised our olfn
Type A patient! to atteinpt reading

houst's seven-volune Do'iel The Renumb@e ol Thinss PMt, not because it i3
one of the Sreat mode.n clatsics (which it
is), but beceuse the authm reeds several

chapters to deseibe an event that most
Type A snbjects would h|ve handled in a
sentence or two. houst cannot be hur'
ried. When a Type A attempts to !kim, he
is likely to fiDd hinser totaly lost in 3
pageful of Proustia.n pmse. lt is only by
deliberate acquieseence io Ploust'! pace
that the reader can uDderstand and enjoy
the novel, and it is this acquiescence that
mak* such readins a dri[.

Eating

Typo A Behrvior ud Your H€.rt
Meyer Frie&tu,a MD ann
nav H R6ennan, Ml)
1974i 3rg pages (paperback)
$2.30 pGtpaid fron
Mail Order Department

ra$cett Publications. Inc

1976; 256 pa8€s
16.96 postpaid f.orn

Greenwich CT 06830

The Paddington Press
Two Continents Publishins Group
30 E 42nd Street
New York NY 100r?

F@t-phlced erclclaped,in on the nutlz

Tlo Amortc.n Helft

The ax,thors present elriileroe that
speeil!, inpo.ttent, highlu competitiDe
men l:Ivpe At @e at irctea:ed, rbk fot
heart d.i.seose, then tel aou hou to 3lo1x
do1/n, becme bs conpetithe anl leam

body. Lots of sood, siraphs ann pbt@6.
Briel caputa sutmnries o,t a ui.le ranse

of topiu Jron ohc$ses ro ue ab fewr.
Eiahlv reuhblz, thtttgh i$ stri.ct aootdtnre of personal o? poUt;ca.l .omftnt
siaes it a certcin school-booh qaalitv.
Good lo teerls ot fie-teew oJ both sex4,
ot es a,refercnae booh.

Are there ar! mens groury @t thera
uo,hins a,, o, nulz wrsi@ o/ Ol1I Bodies,
Ourse]jes? we Med one, and thh ;n t it.

.TF
Ways of Civins

a

Up Snoking

Group sessions, wheE the new ex'
snoker gives and Eceives suppot i.
his attempt to stop. Somo groups are
olganized on

a

volurtary basis. Others

are operated by rnedical and health orsanizations. A doctor, libruy or local
infomation service caD advise you on

b

Individual nedica.l care, in which the
ex-smoker receives the personal attention ed help oI a physician.

Arloci,rthn

CooLbook
1975; 403 pag€s (paperback)
$2.?5 postpaid fron
Balantine Cash Sales
P O Box 505
Westminister MD 2115?

Good health! reciPizs
Type A Behavior Patterr is an action'
emotior cornplex that can be observed in
any peBon who i! ogg'rsdo€ry irvolved
i^ a .b@i, irgessont sttuggle to achieve
moE and mo.e in less and leg3 tine, and iI

-TF
Eat before shopping. ff you go to th€
store hunsry, you are likely to make
unnecessa.y pu.chases.

.equired to do so, agdnst the opposils
efforts of other thinSs o. other pelsons.

The Dersotr with TYPe

B

Bel'avior

PatteD is the exact oppcjte of the TJT€
A subject. He, unlike the Type A permn,
is .arely har.ied by desies to obtain a

wildly inoealing nuErber of things or

participate in an endlessly srowing seri€F
ot events in an ever dec.easing amouDt of
tine. His intelis€nce may be a! good as or
eveD better than that ol the Type A
snbjeet. Sinilarlu, hb

gftat ot

anbitim

n?nu be

at

el)en gredter thm that of h;s
Twe A co!.nterpqt. He n]ay also have a

corside.sble ainount ol "drive," but its
character is such that it s€ems to steady

Buy polyunsatumted vegetable oils and
use them for cooking. Safilower oil is the

most polyunsaturated with soybean, sun-

flower, corn, cottonseed and sesane oils

folowins in descendins order.

M.di.il Sell.Cue. Snnher

1976

I

I

One Bowt A Simple Corcept lor
CoDtrolitrs Body Weight

tl.*tMce, d ueU oa nec*sar! saJetu
yecautiom. hpecialls sood Jor uonen

Exercise

haliing tronble gettrng into erercLs$ bho

Just Io& week I JoMn atuther book
ne in a d.eeper. nore
irdivinw.L poeti ua!. It's collzd'fhe Zen
of Rundina. It d$cribes the uEiter's
erpeierces in f:nd.ins his o,rn, M,;ryA
wau of rutmins lhou and uhere-in the
co1lnhv, barefoot on the be@hl @ul
encoumges the read,er to awroorh runnins aA a Epi*ual e,ercise. Ih|tmted, bu
photu of the author rwtuins thfush in'
s pirins Cal,iforn;a. hntu cap a.

whirh speaks to

Kemeth H Cooper, MD, MPE
1968; 182 pages lpaperboakl
$2.0a p$twid

Kerneth 1I Cooper, MD,

WE

pagd IpaperbtEkl
82.25 p6tpai.l
Aembics lor wpE€D
Miwred, Cooper anl Kenneth H
MD
1970i 191

Cooper,

19?2; 160 pages lpaperbaek)
$2.00 postpaid from

The Zer of Rurning

Bantarn Books, Inc
414 East Cu{ Road
Des Moines lll 60016
Tella hou to test uour Wesent lzbel ol
phvsicol fit@ss lby seeins hob l@ uou can
tun in tNoehe minut6l, then help ?tou
plan a tailor-nurne erercise Foyam that

i6htle rumins, lLvl,kins, auintuins,
lwnins, h@td,bdl, or
sqwh. Letuhica yesents the bd,eic pros'{r'i" The New Aercbies add,t more
can

bihins, statiorery

1974; 56 pages (pape.back)
$2.00 postpaid f.on

Random House

contplete .hArts, oAJ ional infonnqtim,

tip,

ad. safetu precau*na.
Best books aroLnn m getting, and

201 E 50ih Street

New York NY 10022

A be@tifuI At e book abtut setthq ;n
to@h 1,ith food.-feeL;nss. Eatins aa medi
tat;on. Pag in g at t entiol,

What is the distance yoo can cover in

12

.TF
. ,.eating besins with the very ftst
tiny vib tion of hunger inside ne-a
vibation that Srows until I an set into
notion, huntins food. I see that eatins
includes deciding what food I want to eet,
the way I preparc it, under what cbcum
stances I eat it. how fast or slow I chew
and swallow, and the process of disestion
and assimilation that goes on without my
conscious diection durirs and after the

Eat whenever you are hungry, as often
as you are hunSry, but stop the rninute

When you get hunSry, nake a seafth
to lind just the right {ood you want to eat

If

you

coos
nile
miles
rnil$
miles
more

less than 1.0
1.0 to 1.24
1.26 to 1.49
1.50 to 1.?4
1.?5 nile! or

Fitn63 catesory
Ve'Y Poor
Foor

Fair
Good

Excelent

1974i ?8 pages
$4.45 postpaid
201 E

0! R|uits
I'd tzter

fron

Random House

sfth Strcet

New York NY 10022

trie,l. rwtuins unt;l a leu

ueelcs aso, bhen Tom conuitu:ed me to
come dnn to the trark with him. I uaa
in no tine. CL@l! dmcins ua.sn't
entltgh
"uffins to keep me in shape.

Soon aftetuvd, a hiend, Ioaned, me a
.ops ol M;l'lred. Coop€rb Aerobics lor
Wonen. Sre tdhs about her oM ann
other bonens elperiewes in ruming. I

md e@h'rasins. It
saw mE M idea o! dhtan et ad, tinet
aprornie b n! ase ani bbel ol Jitnqs.
There are tabbs thd &A you hou tutLy
caLni4 uou blrn w nnning a giuen

folnrd, it uery prat:tical

"I advocate the iife-style oI th€
marathon runner aDd moDito. sutopsi€s

oD distance NnneB in an effort to b.hg
the lons€vity of the Hunza into our
nodern cities. Thus Iar. I have lound no

reports oi death due to (cororary artery
disease, enphysena, or cirhosis) uons

those who have covered 42 kn (26 iniles)
on f@t at any tirne in their life."

Dr. fhon&-s J. Bc'$lzr, M;ting in the
1976 i$ue of the Wettem Med,ical,

&riL

able-"Thrt's

Kids

it

a

good qusstioD. Lot's

wlitt

lule to !!l tlle vet
visit th€ ldrnd ho3pitd,"

do{,n so

*e'I

bo

when wo
We wero ro.€sulld by

![

Yosr lo. Chldrcn
Eoe Dbhln

ths qu€stions

ws codd sftwer. This c,a! one of ou!

Isvoritesr'Adolesc€Dce ilnt lonsthi4
you hsv€ to go t th€ doctor Io!, i! it?"

T@hitrs M€dlcino t l(ldg
Tot Fersatat ad Lee Ammidol

MakinS Your Puls€ Go Faster

This i,s a! lctive €rercire belt done d
the end of a claslloom s€lsion, The
children count theb pubes fo! tweDty

TEACIIING
MEDICINE

&e

DiC<in

socon&, lnd mcord th€ r€sult, thon 80 to
the nealest open sp!!e rld cxercb€
vigoE sly for 9-5 mbut?s. (We hld them
run arcund the buildinS.) then thsy court

I'O KII'S

thei! puls$

&gein.

StetholcoD€s

A stothos.op€ cobblncs . powerful
imese, & valuable nedicat tool, snd s
favoite toy. hovidina st€tholcope! for
youl childr€n's use wil alow ttem to
Ssther a 8r€at deal ot iDtornatior about
thsir own and each other's bodid. Abo
Sood tor listeDing t reiiSsrrto! motors,
conversation! ir th€ Deti rcom, rnd
puFing c!ts.

J€ny Rol

1976 {papsrbrck)
$8.00 postpaid

Hsff'hou videotape:
lent $35, buy t75 hon

1976; m8 p!8p! (pap€rback)
44.22 pogtpdd hon

ItrdeD€ld€nt Nel's Co Inc
?5 Rocketel€r Phrr:r

Nev York ltY

10019

Au of the thirgt we leerred. tea.hins
nedbi^. to hat,@?[ hopm@h they looed
tuhts Uogi" Eat! tte?-bg-ttep dircdnn
toith bts ol pirures,
.TT

Medical Sell-Cale MaSaziDe
P O Box 31549
Sm lrancisco CA 94181
Lee a d I uorked uith a croa9 o! fiitt
and second. srodera lor aisht ueekt,
trVing to ligltre ou, how uou llotild, oo
ab@t teaatin4 mEdnine ,o ki.h,

The vidzotape shou. uhat happerAd. in
that gttup. me nm1nl, Eltggestt bays
uou can tea.h lNils ned.icine in yow homa
or ctatroom, @d conUtins or. swtdei

r.$L4e.l'hlA.!.,{h.h!.4'

bibuosnryhs of child"en'. booht on heddn
and

mo

nedid aitwcts.

Me, Teach Medicine?

That's whet we wondered beforo st&!'
ting this ploject. Whst if they a8ked
questioD q,e couLln't lnsw€r?
We ne€dn't h&ve worfi€d. We t'ust
never pretended to be exporis. W6
lealned to sly, "I don't know. How do you
suppN we would 80 about linding out?"
We help€d the kids us€ the libriry to
answer iheir own questioDs, Iorrned to
m&tch qudtions to the resoorcos avail-

r

M.iliol S.lf Ce, Suber rsr6

I{is

T.A. lor Tots
Abw M Freed PhD

a loi. of

of boys and girls are frightened by
thinas. Did you know that? Lots of

grown'ups too.

;t1"'/r'l/

I

often feel ftigltened.

about the personality of the child.

People a.e frightened about being left
alone or beins alone in the dark. or a.lone

(".'".'t,',,,,ky|ll

Consturctive c ticism confires itseu to
pointing out how to do what has to be
done, entirely omitting neaative .enark!

with peopl€ they don't know, o. being
jumped out at. Tlese are sca.y feelings. I
guess you can see that the things we are
afraid ol most ue being alone and not
One way to get over leelinS afraid is to

.-

The reed.for individuality and uniqueness rnay push a clild into lailure,

resa.dless of pa.enial plessu.e and pun'
one chiid said, "They can take
away the TV 4.nd the alowance, but they
' atnnot take away ny failing srades."

.6hhent. As

to people you leel care aboui you and
who give you good strokes. Tellthemyour
Ao

lears and ther you will not feel

alone

19?3; 232 pages {paperback)
16.55 postpaid fion

Spanking relieves suilt too easily: the
-ahild, havins paid for hb misbehavior,
feels f.ee to rcpeat it.

JALMAR Press, lnc

391 Munro€ Street
Saoanento CA 95825

'.
Betw@D Parert & Child
Hahn G Ginott

b.
How ce you set a wa.m fuzzy? One
way is to ask for one. SaY, "Monny,
please hold me. I want a lr,or,n

''Please rub my back."

i?z?,"

Bedtime for older children should be
flexible: "Berdtirne is between eight and
nine (or nine a'd ien). You decide exactly
wlen you wana to be in bed."

To p.event unnecessary grilt, p4rents
should deal witi clildren's transsressions
the way a good mecnanic deals wiih a car
that b.eaks down. He does not shame the
owner; he points out what has io be

or,

Have you ever done something to aet a

cow

z bad stroke? Did vou get

sDanked or yelled at or hit? IIow did that
"rickle,

hippen? Talk about

that llow did

vou

feel? Tell what bappened.

19?2; 223 pages (paperback)
$1.?5 postpaid f.om

Mail orde. Department

f 55th St
New York NY 10019
250

How to tdk l&m/tneL! to ch;Aren. Since
d.iscorerins this book, I haw been able to
han e ahnost dl the conhontario6 that

the! argu,e, w ;n?d8e
duals u.sed to be to either sto? the
Mswent or tr! to settlz it. Nou I help
tlLem uork out the# oun solution. Itg
anazins the elfect one senterce can
haw-it twns a bitter, resentful arsu-

j- i

@ise. When
Sometimes you get ang"y. Your enger
is real. You have a right to Jeel ansry and
to tetl other people about it.

Talkingaboutit helps you be less angry
and to be happier afterwads.

ment into a

shting er?erience

-'

t.i

roake it up at dinner. The stimuli are very

How Long lVill
You Live

Ade.iGcleroiic kelrr Dis€ase

High lat diel, no exercis€
Risk oldeaih wnhin r0

yers

Viso.ous exeRise, low Ia1 di€!
Bisk

oldedh wiihin

strons. At the sight of the colned beef, I
can aciua.lly feel ny jaw working. My
habit tu very deep indeed. And then aD
inage of my father's face as I last saw it
flalhes before me. I arn appal€d. I try to
turn off the pictue by moving away fton
the hot table. I take a selad. The picture
retums. I shout silently to trtyseli Stopl I

t.y to think ol something pl€asant: my
Iorthcomins trip to Europe, a happy

10 yeais

afternoon with lty littlo daughter. . .arythins to get that hospital sceDe otr th€

Hor to Prsctice Prospestive Mdicile
Lebb C nobbins

soeen of my mind. But note:

How to Ssve You Lilo
E@l (IbeU

l9?0; 100 paaes
U2.50 postpaid
Infornation. free f.om
Health ltazard Appraisal
Methodist Hospital of Indiana
16{X North Capito! Avenue
Indianapoltu, Indiana 46202

I

ended up

with the salad rathe! than the corDsd
beeI. And it happened day afte. day.

In one study of dietins rnetr, the nost
lor not foloi'ing a pr€scribed diet was that the wile lailed to
pitch in and hslp.

the dtirnnre refeftNe n'wal fot

?retentbe meilithlz. Lk'l the fulrteen
nost Ukalu catses ol death for your ase,
ser, and rare. reus uhieh ol the lourteen
vou can rcdure by ch$ging vtur beha'
vior. AU'ws aot to Jisure v@r ritk with
behal,ior, u,n IBI nodified
IAI
"resenl

Or SdoHry
Some of the new "low nicotin€" ci8!rettes may be mo'e dang€rous to your
health than the reerrlar khd, accoiding to
an atide in the M&y, 19?6 issuo of
Conslsnat Repo?tt. SiDce a si8lificent
prcpoltion oI lmokers 8le addicted to

'rF

10

Year Deaths Pe. 100,000
whfte

r Malsnani Ncoprssd ol brelst
2 Art€ oscl.Elt.Dis. ind Chr. Endddd
3 Vasculu Lesions Afie.tina CNS
4 Maliqnant Neoplsh oI Ulerus
5 Chonic Rheudalic Hcei Dhea*
6 Ci..hosis ol Liv*
? Mal. Neop. oI Inle ines and Feciun
3 Molor Vehicle Accidents
10
11

l2

nicotine, they'I need ,?tt€ cigalettes ard
thus inhale s'edtet quantiti$ of tar and

rdje- &€ r'o

Mlliprn! Noplasnofl,uDgs

Pneuncnia

Hypcflensiv? H€art

D'sease

u oir'.l.cu*".

351

carbon nonoxide

29?
200
13r
133
133
109
103

i.2n

1973; 308 pas€s (pap€rback)
$2.75 postpaid hom

Penguin B@ks, Inc.

239
239

I

Olher Hype.rensiv€

Dis.iss

The author's father, a lat, sedent l!
smoher m a h;sh-lat d,iet, d,ied, oJ a heart
att6k o,t o,se forty-four. Thb ;t the atorv
ol EorI Ubeu's surcush eflorts to ch@se
h;t Ufestslz so as to aooid a sinilt fate.

r93

Weu.documented

4?9
399

193

10 orhe. Diseases of th€ H€ari
11 Nephlilis and Neph.cis

r4

t47
Mal. N€o. of Ini.siines aDd Reciun

126

1r3

16 Moior vchicle Arciderls
1? Chronic Rheumaiic Hea.r Disease
Total Colses

1la
2.42)

irui

altogether.

The article is ca ed "Ciga*ttes: l,es!
Tar, Less Nicotine-Is That Good?" ne'
prints ue available ftom Consaarcr Re-

New York NY 10011

Malisnant N.oplsm ot Urerus
Mdisrant Neoplasn of Brelst

than 0.3 mg), you'le rcally otr
youl way to reducing your Dicotin€ intako
and irnproving your chances of quitting

Sa.r?rs (less

72 5th Avenue
Arledosd. H.i, Dis. andChr. Endd.rd.
Va*llar i,esions Atlectitrs CNS
Hrp.rt€Nive Hea DG$se

nicotine'

Tlere is hope, though. IJ you 6n
narase to do leith one of the "super-lo$'
ricotin€" brands like Cdt ton 70b or Kins

9r
60
60
49

with "low

brands like Dordt or ?"ae than *,ith theit
regdar brands (and pay more to do it).

hie htu readnblz.

.TF

ports, 256 WashinSton Street, Mt. VernoD

NY 10550.

'Nonn Silber

Num Silber, a consdtMt to Contumer
Reports, is 11'titins his PhD thetb on the
medknl, conswr morernerd.

Lunchtine. A cafeteria. The salad counter. The hot tabte with corned beef, hankfulters. French-fried potato$. Like ar
addict, I an drawn to the hot table. I
a.toaly hear the rationalization in my
mind: WeI, it d@sn't matter today. I've
been good so far. . .only 300 cslo.ies. I'I
M€disl S€llcue, Sume.

1976

l7

e ptions such as nosquito
ckly heat, or poison ivy.

mild skin

Ilrugs

bites,

p

he d@sn't sco.e. Don't laugh!

It

could

,{,fir€prtc

(see Chapier 2).
Deconsestant isee Chzprer 2).
I,@oroe (see Chapter 8).

The best way to stay sober is to attend

A.A. neetinss resdely. Noi

so

nuch for

what you hea. as for what you /eel there.
When I walk into that smoky L-shaped

Ofi the S6uce

The Medicire Show

B!! the editon

oJ

room we rent from the Knishts oI
Columbus I leel the way a pe$on is
supposed to feei when he walks iDto a
g"eat c{thedral. Somethiry bisser thsn
rne is ia that roorn, and while I an there I

Conxtner Repc'tts

arn a part of that biglless.

Tho New HEdb@k ol Po$.rtptior Dru83
Richtrd. Burork, MD with

Fftd J Fox, MD
1975; 4() pases (paperback)
$2.45 postpaid hom
BalentiDe Book!
201 E 50th Street
New York NY 10022

LEWIS
MEYER

ExpLtitts wr"osd, sine elfects, and
altemI;Des to the most comrtuMlU-yesfiibed nediadt;o6. Good treatment of
plutnureutinl a&)ertitins ann the drus

conpad6'roh in

keepins dr,ts

"ricet

h;sh.

.TF
The imnensity ofthis advertising effod
is best appreciated by considering that it

co8ts the drug industry

1974; 384 pages (paperbaekl

i4.00 postpaid from
Pantheon B@ks, Inc
201 E 50th Street
New York NY 10022

1967; 1Zd paaes tpape.Dack,
$2.45 postpaid Lom

Colier B@ks

Drugs to Keep on Hand

Atal,s$ia/Antiwrctic lsee Chapter 1).
Buy the least costly aspi n tablets you
Ant@id. (see Chapter 7). Sodiun bicd

is useful fo. the treatment of
heartbun o. other symptoms
of simpte indigesiior except for those on
bonate

occasiona.l

Antid,iMhed Rened?l lsee Chafiet

a)

Antiprbitic see Chapter 13). Ordinary
calanine lotion can be used fo. the .elief of

le&st

thrce thousand advertiling dollars

866 3rd Avenue

Maids non?retcription dnss. Ctap.
ten m6pirh, eUewhes, colds, cwghs,
sttre thrcah, ;nd.igqtioa Mrlvith, dntzdfl,fr. &efu|, prutiaal infomtun. You
can set th;t book hee bith a subcaiptiotu
to Consuner neporfi.
.TF

at

1600

million annually. Since there are apFoxi'
mately 200,000 presoibins d@to.s, the
drus companies are spending nore than
each

year on each docto!!

New York NY 10022

A

tough, horcet littk book about
ad stauins sober. Aboho|es
Atmryna$ lron the in"tide.
-7Y
d,rinkins

It is time to remind medical students.
doctors-in-training, and all oI tle concerned public th&t the aims of the dns
manuJacturers

ue ditrerent from the aims

Sudden sobriety is a sho.k to a man's
slands, hormones, and libido. After years

of Don Juanins it at baE and over
highbaus, he's sober. He goes to

meetinss, he d@s twellth step work, he
makes his fbst closed meetins talk. His
skin's clearer, lis eyes a.e brighter, hi!
breath is sweeter, his digestion'8 peachy,

his snile's s€nuine-but he's sexualy

ftushated. He's Old I'umble Fh8€rs and
he can't get started. He used to score aI
the time when he could use the exeuse:
l{oDey, we we.e tisht. Now he hasn't sot
that excuse and he hasn't got

a

l{orey and

Valiun (di@pm) is a beModiazepino
sedative, best known 6 a 't.anquilizer,"
and is ,n€ most prescibed drua in the
U.S. for several years nning...thevast
ndket lor 'tranquilize.s" that haa developed in reent yeals seems disproportionate to the ned. Indeed, the Eannbook
leek that this ma.ket developed laryely in
response to rnassive advertisins on the
part oI Roche and othem.

wher they'€ hun8ry and when they hurt.

Coping

Eow

t

Be Your

But when we'E smal, othe.

P€oPle's
voiees are so rnuch louder and surer thaD
our own. It's easiest to ao along with whst

On

Beet Fri€nd

others say. They've 8ot it a.I fig!rcd out
already, and we're just starting to put the
pieces tog€ther. Besides, it's their side the
bread is buttered on. ff we listen to them,
we get room and board. What can we ofier

ourselves to conpete with that? It's
another story of what we had to do to
survive as children, but we dont Deed t
keep on doing those same thirss anY

long€r.
Tunins in ag€in takes practice; we have
to encou.age ourselves to speak up. ff
we've stopped listening to our own voicss
ior a long time, that voice m&y be vsry
faint; it nay have hall giveD up. It mey
also be prctty angry for having beer shut
up so lors.

Stro3, without Dtutrd8
Eans seUe

cations eams as much 8@dwill and love as
pompous artilicielity eans disiike.
On the train ove. the Andes, between
Mendora and Santiago, I set talking to a
adlivien fdmer. and asked him whether
he utilized node fediMeE to inclease

hi! haNests. "Oh, no," he said, "that

would odly cleate dissatisfaction in rny
neishbols. I prefer a nodest harvest to be
on good terrns with them." You rnay say
he eamed the love of his neishbors by not

trying to be t@ eflicient.
Flolu the point of view oI its stlessprcducins or stressor activity,;t i8 it t tu,
terill tuhether the ogent ot sit ntion ue
that
laie ;s plea.tant @ lotplzasant;
^ll
counts is the intensity oI the denand fo!
readjustment or adaptation. The noth€!
who i! sudde.ly told that her odly son di€d
in battle sufiels a tenible nentat shock; if
years later it turns out that the news was
fslse and the son uDexpectedly walks into
her room alive and s,ell, sne experiences
extreme joy. The specific Esults oI tbe
two events, sorfow and joy, arc cou''
pletely different, in fact, opposit€ to each
other, yet thei. stressor etrect-the ron'
specific denand to readjust h€rseff t an
entirely nsw situation-may be the sam€.
helpless drunk qho
showcrs you wiih in6ulcs but is obviowlv
auite unable io do you harm, mthing witl
happen if you iake a "synhoxic atti'
tude-so past and isbore hiD. However'
iI you respond catetoxically and fight' or

lf you ms€t a

1971; 96 pssps (paperback),
$2.00 postpaid from
Balentine Cash sales
P O Box 505
westninbter Marylaid 21157

:Iakins r*pu,.ribiutu

for

even only prepare io

uo11r oun

neNous system will become alarmed and
tense in preparation lor combat.
ff you happen to be a coronarY candi'

,TF

date (because of age, arteriosclerosis,
obesity, a high blood'cholesterol level),
the result may be a frtal brain homoFhag€ or head attack. In ihtu case,

One fundemental thing, for exanple, i3

to meet yolr own expectations. If you
h3ve housevork or hoin€work o! somo

other work to do, end you are ternpted to
tet it slide. ask youlsell how you will feel iI
you put it off. Il you senss.ihat you i/il be
a little disgusted with yeutsetl, thon go
ahead and do the job, and let yourseu
savo. the feeli4 you 8€t flom having
doDe it. Enjoy the experlence oI boins ir
charge oI youlsell. It's

qdte eihil&reting.

1974; 171 pages
$7.45 postpaid frorn

J B Lippincott Company
E washinston Square
Philadelphia PA 19105

impodant
ouselves. Most

to lean to listen to
of us le8rn to tune

oui
clear;,babies k[ow

ourselves out. We start out Fceiving

nessases loud

ad

who was the murderer? The druD} didrt
even touch you. This is biolosical suicide!
Death is caused by choosins the wrona

Scientifu ann perso,nl, conchtsions bu

the pkneer

It's

fight, the result mav

be tmsic. You will discharge adleD.lintype hormones, which i.$€ase blood
pressure and pulse rate, shile your Pholo

ol strc9t rc|earch.
"TF

Do not under€stimate the delisht of real

sinplicity in your life style. Avoidance of

all a.trectations and unnecessary compli-

M.di.rl Sell.Cue. Snnn€r 19'6

Tho R€luation Rolponse

Eerbert BeNo4 MI)

repeating "ONE."

with practice, the

lespons€ should come with little etrolt.

or twice
daily, but not within ts,o hours alter
Practice the tehnique oDce
any meal, sirce the

dig$tive processes

sern to interfere with the elicitation ol
the Relrxation Response.

Hor t G€t CoDtrol
Alnt laLein

oI Your TlDs

lld

l,trs

Makirs "nistakes" can be a Feat

tine'saver. You find out what work8 by
tryins. You g€t rid of umealistic goals by

h.ving tried and failed to accomplisl

M.d&ss Network News Rasder
Shera! Eircch et o)

MADNESS
9Ncts
or.k Ne s s ltcurle r

19?5; 158 pa8€!
t6.45 postpaid from

William Monow & C{
105 Madison Avenue
New York NY 10016

Meditation in pltin, .bar lans'nse. Itt
hirtor!, hol to do it, uhnt it does for vou.
b. BenAon b a hwertetlsion specidist at

Emanl,

Med,iaal, School.

.TF

1974; 194 pages
$s.95 postpaid Irom

Glide Publications

1 Sit quietly in a comforiable position.
3 Deeply rclax atl you. muscles, besinning at your feet and Fogressing up to
your lace. Keep them *laxed.
4 Breathe through your nose. Become
awarc of your breathing. As you
brcethe out, say the word, "ONE,"
silently to yourslef. For example,
breathe IN.. .OUT, "ONE'; IN.. .
OUT, "ONE"; etc. Breatle easily and

5

Continue for 10 to 20 minutes You may
ope. your eyes to check the time, brt
do not use an alarm. lvhen you finish,

sit quietly for several ninutes, at fusi
with your eyes closed and l&ter with
your eyes opened. Do not stand up for

6

Do not worry about whether you are
successful in achievins e deep level of
relaxation. Msint.in a passive attitude
and permit .elaxation to occur at its
own pace. When distractina thoushts
occu., try to i8!o.e them by not

dwelins upon them and Etu.n to

3i]0 Ellis Sheet
SaD Franci€co CA 99102
1973i lttu

pst€!

12.00 pGtpaid from

New American Libmry Inc
1301 Averue ol the Ane.icrq
New York I.IY 10019

Best book Ibe teen on getting organlsussested b! Lebis Engetl

M.dnosd Network News
$4.00 pe! year (6 issues)
2150 Market Street
San Francisco CA 94114

A neuspaper

bU

ex-psy.h;atrb patientt

trying to nnke Bone chmges. AngW.
Eishtfinh so.

.rF

.TF

I

I build

Miss Huey began

Save Time

on success.

How

to talk in a

1ow,

tle salve on my
temptes and fitting the smau €lectric
soothing voice. smoothing

I don't wast€ my tine leeling grilty about

buttons on eitler side oi my head. "You'li

time tor the inportaut things. If it's
inpoltmt I'll make the tine to do it."
Ig€tup at5 a.m. during the week (and go

down, and darkness wiped me out like

what I don't do.
I rcmind myseltr "There is alway! enoush

to bed errly).
I hlvo a light lunch

so

I dor't set sl€epy in

be perlectly all right, you won't leel a
thins, just bite down. . ." And sh€ set
somethina on my tonsle and in panic I bit
chalk on a blackboard.

a relaxing €nvironrnsnt. Smokirg imme-

The Medical

diately b€for€ meab should be probibittd,
tood should bc elt€ll in mod€rate smourts, mal following r merl, th€ ptient
should avoid excitsmsnt.

Literoture

Its

Merck Mrnud

ltc!ryy tsefth

of

DLgnosb

rrd

edition
Da)id N Holuey, MD Edito"

An @ute lnfednm of the aIoeoLD tpa.es
o/tne &rng. Involv6m6nt of ,n entire lobe
ia ca]Jed bbar pEw.o b; of plris of the
lobe only, bddar lot cew.zntal) ?ie1lrn'dr When the irfoction is lestricted to
alveoli contiSuous t! blonchi, it i! cdled

It is probrbly most
useful to speak of the dtuease as brcterial
bn nthopnewwia.

o! nonbacterial pn6umod!, or, wh6n the
spe.inc etiologic ag€nt is kDown, to refer

t it

accordinAty

{e.g-

pneuEonococcal

pneumoni!, friedllnder's pDeumoni!,
mycoplalm8l prcumonh,vbrlpn6umoni&).

Prenelstrud Tension

A condiiion charactorized by n€lvousness, irritabililty, omotional imtability,
deple$ion, frequent h€adaches, g€neralized edena, and mastalgtu, $hich occurs
periodicrly and cyclicaly duriry the ? to

i! applied. In male!, !I 8€ne! oD
ths X chromosome, whether lec€sive or
dominmt, aI€ explessedi hence th€ pre-

zsgor.r

donin&nce of nsles in X-linked coditions. An affscted lemale must be honorySous lor the mutant alleloi i.e., it must
be present in both ol her X chronoGones.

Thi! can heppen oDly if her fsih€r i!
atfected &d her mother is either hetsrozygous or elss homozygous for the

nutent

allsle. Since rnost X-lhked mutarts 316
!lr€, afiected f€males ale very rare.

P€di8re€s todl larse famili€s with xlinked rec€ssiv€ trsiL! hav€ shoea lh!t,
on the average, sbout on€.half of the
mrternal uncld of the proband wiu be
affecied; sincs one-half of the mat€lml
suDts
b€ ctl!ie6, some of th€ probsnd's male mstemal filst cousiDs wil
abo be aff€cted.

sil

On occaiion, females known to b€
heterozygous for X-linLed mutstiors shoe
vsrying d€gre6 of expr€$rion, but rarely

a! s€ver€ly as the atrected (herdizrgpus)

(se ma Lton Ewottesi.t helow,
nndet Se, Chromosone Abermtiottl.

male

10 days prior to m€nstruatior but dis'
appsarc s few hours afts! the onset ol

M.di(d Librrd€.
X-Link€d B€c€ssivs Inhe;tarce

$?2:

Ir

senersl, the lollowing rules applyl

1 Ne$ly !U atrected pelsoDs a!€ fttles,
2 Th€ trait is ali,ay3 treDsmitted thlougn

1964 p!8eg

$.m postpaid lron
Tho Whit€ Shop

the heterozyaous mother, who i! phen'
typic6lly normal.
3 An aff€cted male n€vsl transmik the

43 Colese Sheet
New Haven CT 06510

TLb tlene, pocket$ized .,ned;cd tert@ Bibb papa bs the
booh is
Merck Pharnaoeutiaol Conpanu oa a hno"vbli.hed.

intiod?l

A typictl p€digee is shown in FiA. 41.

set"viae to the ned,bol

yol$-

s;on. Ihev uon't seu to laweople d,irect,
but uour bcal medical school bookatte lor
the White thop - see bettrul till be hA?U

4

Th€ crrrier femsl€ irrnsmits th€ trait to

oI her sons. Non€ of her
daughters wil Ehow the hait, but oneone-hslf

half will be carrie$.
5 AI daught€rs of an &ffected dtal€ vil be

A q&rter ol the price oJ malru ned,iral
tertbooh. Eosier to reui th'n nttt,
thoesh !tu noy sti[ neetl a,ned.icol dictioncg 6 d relentue.

lron siains taupeopb nadbd Worndnm
lot lear ;t m;sht be a patient gsllaring
evidzn e trr a ndpra.tbe t!,it.
The rab Medicd Libraru, lihe those of
nost prhate nedicoJ schook, h clated, to
the |rs wblic. State med,icol, Bchool
Ubmrios tend to be a Uttla morc opeL

Antotu lclow ol rcd.icol Abr$ics thst
uebome lqrfiopb? Anu ned;cal Ubrv.
io.ns

out there have anU &gg$tbns?

.TT

Thc Whit! Shop

Thir;s uhere I b{v Mst ol rry nedhal
hmn)hs

-rp

boohs @ul equipment. TheUU be
m$t of the books in thl;s issvz.

Ab FreeieL

Dyspepsia-"Indig€stion"

A symptorn complex ircluding Daus€a,
h€aftbun, upp€r abdorninal pair, tbt!lence aDd .uctrtion, a sense of fullne$,
and a Ieeling of abdominsl distention,
occmiDg during o! alter the ing€stion of
tood.

Treatnent: The patient should

normal balanc€d diet, without

Otz of the Yalz medical l;brarnht, Irto
uants to stav orlonw A, bo,t bu:ing ne
that med;csl Ubrcricw uere diacowased

hste

st !

and in

'xeLones

nuiL ordets d,td

-1:F
More tlan 60 t!3its. nost ol which are
diseales (€.8.. inborn eFo.s of m€tabolism), lre a rcsult oI mutant senes on the
X chromosome. Since the human male has

The White Shop
43 Colese Street
N€w Haven CT 06510

only one X chmmosome, tho tetm tumi-

Medicrl

s.ll.Ce.

Sunmer rY|6

Cross-Cultural
Medicine

Ifyou have a sense oi opposition-tlat
is, iI you leel contempt for others-you're

in a

perfect position

to

receive their

contempt. The idea is not to be a receiver.
You people have such d8€. Dd fee ed
contempt for your so'called crininals that

c me rate goes up snd up. Your
societt has a high crime rate because it is
in a perlect position to receive crime. You
should be worki.a urti- these people, not
in opposition lo them. The idea is to have
coniempt for c me, not for people.
your

Rolllla
Dous

t bed, readi.g newspapeB t
them, keoping thsm company and becoming lanilia! with their rledicll aDd
social prcbleG. I couduct a wa.d round i.
a diffe.ent wa sach day lnd es I do s,I
confined

Ttudor

W

Rolling, Thunder,like Swami Rama and
perhaps all "medicine people," sives first

p.iority to the capacity to @rtrol the

attention, to maintain "one-pointedness of

mind." There can be no healing, no
meditation, no nearinsful spiritual erperiente without that highesi of disciplines.

"It's noi like an organization. It's not a
resimented or aD organized thing. This is
the way IndiDs do things: It's meant to
be, it happens. and that's it."

usually collect a.etinue ol patients who go

with ne, look and listen ald

oft?n

volunteer information. At first I thought
this wa! m intrusioD on th€ patient's
privacy, but later I discov€red thrt they
accompanied ne not out ol idle curiosity
but because of a genuine concein for their
fellow patients and thrt it often help€d t

put me fuly in ths pictu€.

I recently visited a coal-mine in Shanli
piovince where I pas t ld ihat the min€!!
objected to having to obt&in a doctor'3

certificate ir order to so or sick leave,
They said that this obsolete Egdrtion
reflected distrust of the wolkels. Accor'
dingly, it was abolish€d snd ths inter-

estins thing is thst since then, the runb€r
of workers absent for health reasors h.r

falen sharply.
Those senior nurses who are selected

lo! training as doctors are lelieved of !I
otle. duti€s for at least six morths |nd go
throuah an iDtensive cru8e of rnedicrl
Aw.y with AI P€.t6
Dr. Jostua S Horn

The former head rurse

in our hed

1969; 192 paaes
$2.95 postpaid florn

Monthly Review Press
116 W 14th Street
N€w York NY 10011

1974: ?7:l p!8!s
$3.95 postpaid f.om
DeI Publishing Co

often ask hor que€tions and she impresses

A lo1,ins, pqtasan a.count ol Chiwse
mediciw onn Ufe sinre the reoolution b! d
Britkh sDseonuho Awd there fot Jifteen

O.e Das HammaNkjold Plaza
New Yolk NY 1001?

Dds-to-da! Ule uith a contemporary
Anedcan Innhn hedar, rich in patie6e
arn ud,ersta"l.ins, neftaes to neke
seprutions betueea medici@ dnd. rcA.TF
When you come to people who a.€
happy and who laugh, join with them.
that's the only Dedicine.

There are

surg€.y ward

lsussested ba JeM Anne8on)

.TF

I had not been lons at work before it
became clear that meetinss, big dd
small, played a very important prrl h the
lje of t;e hospital staff. Some we.e
eonfined to a siDsle wa!d, others involved
everyone in the hospital, from the di.ectorc to the leund.y workerE.

a lot of dcto$-medical

d@tors and psychiat.ists, especially the
youns ores and the new ones-who e
thinking in new ways, entirely dilfe.enl
Irom the old establishn€nt. Some of our

The patients olten sel€ct representatives to convey theb opinions and sugge!tions to teams of docto.s, Du.ses and
orderli$ who have dsy to-day .esponsibi'

dd they'll

patients. These teams meet daily to plan
tle day'swo.k. Ambulant patients play an
active pa.l in ward affairs. They take

people will be workins with tlese people

b€ coopelating with us.

A! I

ssid befo.e, we have knowledge and
capabilities that they de going to need,

tley have some abilities and techniques that we could learn about, too.
and

Iity in relation to

specilied sroups of

thei. meals in the wed diniDs roon ad
many oI them help patients who are

hs.s

now become a doctor in

the same ward. During ward routin$,

ne with her 8tasp of the

I

conplicated

anstony and physiolo8y of the hnd. She
assists othe. su.geons in ditricult op€rations and chey assist he! ir simple or€s.

She is mod$t, keen to l€am &nd dex'
terous, and I m sure that within & few
years she wil become a codp€ient surgeon in tlis field.

Dealing with
Doctors

because we don'i wani anybody

ln

io tell

us

libla.y belore pu.chasing one, since they

den't very inter
health. They'.e much more

gene.al. doctors

ested

in

inte.ested in illness, lor their traininA and
practic€ ue in the cure of disease.

. . .now you musi fird out if there's a
proper fit between You and the new

MDiging Your Doctor
Dr ArtLnr S Fre6e

docto.. Areyou both in aseement that Ie
is to lun the slow and you don't want io
be involved in any decisions? 0r do you

wani to share responsibility lor your
h€alt} care ed ior all necessary decisions
with your new doctor? And does the
doctor aglee to your involvement?
Whenany nor-ladiologist wants to take
ofyou-your G.P. or intemist or

an x ray

whatever-ssk iI

CIBN

he's had special training

Need d doctar but dan t knou hau ta sa
abo t findins one? CoI the emergekc!
rcon oJ Aow local hospito.l atul. 6h to
speak to the intem an d.utv. The best time
to call is betueen 8 and 1A AM- tllell ll be
hethly rested. md nol too busu. IThat's

the best time ta 9o to an emergerlcA roam

too.l
TeU the

arn

ask

Ior

intem

bh! lo

nee.I d doctor

d coryle al tumes.

InLem

see

.l.octors at theb best md. borst, md the!
lrnou uho the sood an.s are. Thes'U olaa
be so Jltttered that louI set a lood

recomnetulation. Nobod! erer

6ks

an

in radiolosy and whether he has a radio'
logist check on his inrerpretation, to make
sure nothins is missed. If his answers
a.en't "yes," you a.e beins subjected to
radiation unnec€ssarily.

with Docior6
Docto$ are treate.l wrv cviouslv in
this tultue. Theare lored Md respected
OD Working

To cope with d@tors, you mDst be pre
pared io check on the nedical jargon, the
term!, the vagre comments they make,
and tbis can be done only by accumulatinA
a lib.ary of your own. Then the.e are
othe. b@ks which you should at least look
over and become faniliar wiur, so ihat you
can use them if the occasion a.ises. Laier
you may want to buy some of these if you
find you are comfortable with ihem and

19?5; 191 pag€s
$8.45 posipaid lrom

Stein and Day

Briarcliff Manor NY

Let's start firsi with the basic books

10510

MiAIs nucktukins book about fitutins
.TF
Only when doctors evahateone anotier

*ill

healtl-cflre quality'cont.ol eve. be
attained-and the medical p.ofession is
lightins hard to prevent it. Wher you
hea. about peer .eview or PSRO (holessional Standads Review Orsanization)

this refers to the p.oposal ihat otler

doctors check on the private praciitjone..
One G.P., who sees some sixty patients a
day, nea.ly became hysterical when dis'
cussing this idea. "Filling out lorns just
like in tle }ospitat, thai's wlat PSRO is
all aboui. we have to fight these things. I
don't want to lill out more than one record

just like I've been doins. Everybody in
our medical society voted to fisht ii

tlat

you should own.

The Stein a.d Day International Medical
Encyclopedia

JACBT1M
New York: Stein and Day, 1972
Ladies' Home Journal Medical Guide
A E NoMse
New York: Harper ard Row, 1973
Book ol Hea]th
Third edition

RLCL-kandRWCuntea
New York: Van Nost.andReinhold Conpany, 19?3
These books are excelteni and autho.i

trtive, witi broad coveraqe. The Book oJ
Eea.lt, is a little mo.e scientific, perhaps,
with more history, while the others may
put slightly more €mphasis on newer
nedical problems such as sbo ion. Its
best to compa.e them in the bookstore or

@ri feved. ann hatud. Theule a|eruorked, orerpaid, aul nol alabed ta

Doctors h@e L'een tredted as gods lar a
tine. Thdt stbting to change nau,
and. it s jusr 6 htd lor dacta,s to adfust
to the change 6 it is for pattentslong

Lalpeople Mil doctors htue to h.lp
ea.h othcr co.r.l)). into ,.,) rol.s i,
which the lalperson cm lnau a little

mare nedicine.

@..1

the d.octor can be a

IJ aot'd be interested. in shorikg Aout
etperiences bith tl.octors-gaod at
bad-ue d, be glo1l to he@ th.m.

Medical Classes
for Loypeople

Wonldn't You Like to H6ve s D@tor

Wslt

lile

Dear Tom,

Thanks

fo.

askina about our patient

My office provides each new Patient
with

a

set of ielephone triage sheets so as

to save time on tle ielephone by thei.
knowing what information to hale ready
belore they call in. I also make audiovisual

Eere a Ust

oJ people teothing or
plmnins @urses in nedicine lot lnspeot b. Il uou hear oJ others, Iet us k@uPublic Health Department

seli-instnctional proSlams for my

pa_

One.oon in my office is equipped with
simple diasnostic tools (which we teach
pstients to use) so they can Aather more
valid obs€.vations before decidins whe

Minneapolis, Minn 55415

ther to interact with our stafl. Fo!
example, a mother miglt brina her clild

Keith Sehneft. M.D.

ad

Fourih Streei

250 South

Box 7268

Arlinston, VA

2220?

Dr. Eva Salber
Duke Unive.sity
615 Chapel Drive
Durham, NC 2??06

Ceol Thomas, R.N.
Unive.sity

of

Utah

Division of Continuins Education
University & South Second Streets
Sali Lske City, Utah 84u2

Walt Stoll. M.D.
805 South Limestone
Lexine:ion, KY 40506

in to look inio }is ear or listen to his cbest

tnez decide whether he needs to be
seen by the nurse, P.A., or M D, or if

sinple symptomatic reliel is indicated for
a few nore days. This se.vice is f.ee to
the patient and requies only thai they
dictat€ their visit io. their own lecords.
We also provide each patient with a
.unning copy of his o. hq clart for thei.
infornation and as a cleck on o'f accu
ncy in observins and recordin8 Tlis has
been invaluable as a tool of conrnunica

tion. Patients can lill out their own
insurance iorms too-the advantages go
Please keep in touch. I think what you
are doins could be an important step
towald the day when everyone realizes
a tull)ow important the patient,
^s
fledsed nenber, is in the health care

Walt Stoll, MD
Lexington, KY

Health Services
Unive$itY of Nevada
Reno, NV 89507
Chsrles Whitfield

Southen Illinois University
Scbool ol Medicine

The Activsted PstieDt: A Coule Guid€

Box 3926

Ke;th W Sehnert MD

linois 62?08
$15.00 postpaid lrom

Center fo. Contiruins Health Education

Ked

College of New JeEey

GeorAetown Unive.sity

Box ?268
Wood-Ridse NJ 0?083

Arlington VA 2220?

Edward Saitz
Westen Pennsylvaria Regional

ned.icine

Medical

Pro$an

200 Meyran Avenue

Pittsburg PA
Ma$hall

w

15213

Kreuter PhD

Division of Health Sciences
UniveBity of Utah
Salt Lake City 84112

Session4: Should

a

PatieDt Take His

OM

Ston?

Course suid.e to the 16-session

cL$ in

for b,weoplz tfught b! Dr.
Keith SehtErt at Georgetom Uniuer-

situ's Center Jor Contituins Eedth Ed,uco.ti.n. H.tnd.outs diltributed to students
at eoth cl./rss Me iwlud,ed.
Should be useful either in orsanizins a
ct As in uou connnuit! or l$ er-saltu.
1:F

Des$iption: This p.esents a rcview of
hypeftension dd of the anatomy of tle
cardiovascular system. An initial demoD
stration session is held in which blmd
pressures are taken by patients and brief
use made of the stetloscope ir] checking
sross head and lung sou.ds. The dass

iben does a home project in which the
blood pressure of family, friends and

neiglbors a.e tested.
Denowtration: This portion is added to
sive ile beneiit of hdds on" experience
for the students. By now, in tle fourth
week of classes, the siudents know e&I
other and can approach such a demonstlation with mutual interests.
The class is divided into seveEl groops
and the mdiments of usina the splygmo'
manometer and stethoscope arc demon'
strated by the physicians, nurses, a'dlo.
physician's assistanis ieaching the ses
The students ihen leam to take eacl
other's bl@d pressure and to count tie
heart .ate and listen to breathing sounds.
The total demonshation time is 45 min_

Tley a.e then asked to take the
appa.atus home to test the blood pressu.es of family, friends,

dd

neiglbors,

while keepins a rcco.d of pdsibb nyperiensives they locate.

Reconmended Non Presc.iption D.ugs

Feedback
Ow job is to InoDide aon uith qrc6' to
med.;cal toolA and inJomation vou coh
help ba checkins the topits bhih woulll
be oJ m6t interest to Uou

A btter uould,

be eoen tuicer.

Medical SeU-Care Magazine
Box 717

Invemers,

CA

94937

tr
tr

tr Alcoholisrn
n Appendieitis
n tuthritis

!
!
!
.
!
!
!

! Backache
n Being you ow! paranedic
! Btth conhoi pi1ls
. Bladder infections
! Bloody nose
! Broken w st
i Brcrchitis
! Burns
D Bursitis
! Careers in medicine

E
tr

!
!
!

C

D Chest pai!
D Conmon gynecologicel problens

n

!

Conhaception

D Convulsions
D Coping
Cuts

tr

Earache

Death and dying

Druss

objeci in eye
Occupational health
Old sge

Parenthood
Physical examination
Pink eye
Poisoning

P.epaid health plans

Rurnins
Senility
Sex

n
n

Empiysema

tr Findins a docior
tr Fbst aid
tr Healtl insurance

Vaginal discharge
Vitamins

n

C Eatins

!

Nutrition

n Sex tlempy
! Shock
. Splinte.s
n Stonach fl!
! Stuffy nose
! Teachins nedicine to kids
n Teachina our doctors

Colds

n
tr
tr

Menop.use
Men's health
Mental health

Yosa

!

You. black bas

D Hea.t attack

!
!

n

Hish blood pressure
Home deliveries
How lona wiu you live?

Tl IIow d..rtors arc l.ained

! How to take a blood pressure
! Insect bites ard stings
n Inegrlar heaftbeat
n Kids
! Keeping your own nedical rccords

n I

su8gest you review the folowing

tr,Learning ftom illness

tr
tr

!
!

yonie imited, to become a charter subsd;ber to Med.icd Sell-Care Maltozi@ .

Medical classes for laypeople
Medicai lite.ature
Medical schools
Medical traditions in otler cultureg

M€dical Sell-Care Magazine
Box ?17
Invemess,
Enclosed

b

CA

94937

$?. Plea!€ si8! me up as

a

charter subsc.ibel.

Stleet

Ciiy
State

zip

Medical Self-Care issue # 1, 1976

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Medical Self-Care issue # 1, 1976