European Stars And Stripes (Newspaper) - August 8, 1977, Darmstadt, Hesse Page 18 the stars and stripes August As a practising physician who tees daily in his 1 find myself a Little ambivalent about health advice in general and this column i 1 belief that patients should educate them selves about of Weir bodies and about and i think that we practising physicians a specific responsibility to help them do but 1 am also concerned about needlessly frightening or concerning no prac to lying physicians who give medical advice Are frequently unaware of the ways in which simple a device As a medical column can re bound and work against the patients in Terest a patient and his wife came into my the patient had had High blood pressure and was being successfully treated for i m general health was Excel finl he bad pm and although it was not seemed quite concerned about after t had us decided that All be needed was a Sll 1 explained to was not serious and that it resulted from a minor alteration in his mood pressure when he changed he Stoni seemed concerned and brought his wife in to talk to me As i opined again to and i could Tell from her expression that she was sceptical if not disbelieving she wanted additional diagnostic procedures none of which seemed appropriate finally 1 asked her what was bothering her and she produced a medical column written by an excellent physician journalist the was about strokes and mentioned in passing is Bossy by True that As a fro Van inter puny of the balance mechanisms in the ear the ctr Culau by the Brau and the a any one of these can produce slight virus invest Atlanta i api illnesses resembling Dengue which in sol appeared in Epi Demic proportions in the since the arc being investigated in nine slates and the District of the National Center for disease control previous suspect cases had been reported in Louisiana and new the cd said additional cases Are being investigated in Virginia and blood samples from patients in these states Are being studied at the cd tropical diseases laboratories in san a spokesman Dengue causes Eye severe muscle pains and is accompanied by a it lasts for about a week but Seldom causes passenger ships and travel Agen cies live been advised by the cd to notify travellers to where illness is that should take precautions to avoid Mosquito bites and that they should advise their physicians of any acute virus illness occurring within iwo weeks after leaving Public health officials had warned earlier of a possibility of the disease spreading in the inlets in 9 std Fei Southeast because of the prevalence of the aedes a Egypt the Only Way disease can spread is through the bite of that All cases so far occurred in per sons who have recently returned from Jamal there Are aedes log Ypil mosquitoes in All the Southeastern and theoretically there could be an epidemic in All of these said David an epidemiologist at the that what were trying to Avolia Chain reaction could this has happened in the and in the 1930s and mos there were epidemics in most of the coastal Southeastern he said there is Little Chance of the disease causing epidemics in arean outside of the Southeast because it is limited to the habitat of the aedes achy pal the cd said blood Sicsu do not conclusively identify one previously reported suspect Case at As but Clini Cal and history of the patient suggests that u is Only one or two cases have been reported in most with three being reported in new York and the District of the another risk that of raising Falie Hopes in que holy a read or at least a not received the Paru Cular in Edirne men called Grill conf of his own phys daa what has frequently the physician his for reasons particular Ual Case has realized thatt Wai completely or surgery heart disease has become increasingly g me an dwt it was the most i the inc the Ever heart of Ann a disease has become increasingly effective figure of speech you Are and increasingly in the past five to me As a second wife i surgery has probably not mentioned to Many a aliens with Coro nary heart disease because they Are what the surgeons Call unacceptable candidates for Suft surgery an unacceptable candidate can be anyone from a patient whose disease b so minor that surgery is not necessary to patient whose disease is so severe that surgery would be too the physician has decided that surgery la out of the question but has not explained to the patient Why it should not be considered there Are other ways of raising false Hopes through medical Tow physician May have read about a new treatment for your Dis ease but not mentioned it because it has not yet been generally or because he May wish to get further information about it if a medical columnist mentions the same the patient May feel that doctor is ignorant of the latest the Assumption is often a mistaken thus every time t mention a new form of therapy in this i want to make Clear that such treatments any treatments Are Seldom universally applicable and May have significant drawbacks for the individual a the about whether in apply treatments or diagnostic new or must be left up to the individual physician treating the individual id mrw Yort Tom i across i perform 4 come in 8 Spanish dining Hall ii mans name 13 showy Dower 14 cupid 15 Start for rent or 16 heavy Black 19 freshet 40 Newt l War god it tempos 18 trumpet blares 33 an myme 14 tibetan priests w never 37 grasslands 39 Fiu of ill temper 41 strike and rebound 43 unusual 44 in Law in Public warehouse 50 tease 51 modern is Indus emotion a Mountain horns i word for word 1 Money of account Start Lor make Tare 8 he was to z philippine Island Toby hand form Irish sea god Down 1 River islands Cere or Taa z6 Pem Urt t italian 71 natives of Reyal House a Gulf la b seasoned 9 in France 10 Pate 91 land it eng Newlum silicate 29 Seaward to close 31 capital of Yemen is main and Broad 39 Sally so Lull Lleti n 40 soak Fui a culpa u old card game measure 17 new the i Riding who Stern burned up Over your to the Bride who what to do fathers number two you hid if your is As terrific As you she will have the Grace and common sense to stay away from the pre nuptial dinner and the knowing How your Mother would feel about her my husbands first wife is quite a Tricky she would t she to have him though she Doest have t wherever my husband 1 that induces the weddings of his Chat if 1 am not Welcome he ought to stay a wife comes first in her Hus bands life and this Means ahead of i Hope you have come to your senses after that Rouen 1 will look for a through enough dear enough dont stand on one foot waiting for a i meant what cant let your Bisband attend nit Oak Guleri wedding without you Lor fear his might get him vow marriage if pretty Tad a who would refuse to it Lew us Daog efs we dim Bee Auw us pretty poor tar is dear Ann recently you ran a letter in your column signed very it was or Ellen by an unhappy Del 20yearold daughter Unfer Fensley hardly to him he was expressing his you told him it was too bad he didst give her a feeling of dose Ness when she was younger that the time to build relation ships with children is when they Don you realize that the father was asking what he should do mow he cant turn the clock Back and undo his whys didst you offer some suggestion la on How he might ii Provette situation maybe if he told ids daughter Bow he or even showed Ber that it might help you flubbed thai very lonely Buttry tto dear yer advice to better than i Hope tint tuber sect in thanks Tor Hallai me up Short inc Mac i had it
