European Stars And Stripes (Newspaper) - August 18, 1978, Darmstadt, Hesse                                Page 18 the stars and stripes Node Nedime  August 1978 painful leg muscle ruptures often torment i Felt As though someone had just shot me in the my patient explaining the injury that had brought his afternoon of touch football to an abrupt the whom i promptly referred to an had suffered an increasingly Well recognized and apparently More fre quent injury rupture of a leg the or those lists report eventually showed he had experienced the most common of this kind of a partial tear of the Gastrocnemius muscle in the rupture of a muscle anywhere else in the body is an unusual but the calf Muscles seem to be particularly the pow Erful group of Muscles that Bend the leg at the knee and form the bulge we Call the calf Are prone to abrupt apparently when a Arden Strain is put upon them before they have been adequately what happens is that a band of muscle Breaks and curls up underneath the often times producing a slight but very tender the rupture usually occurs As the victim is engaged in an Active often As he is push ing Elf hard with the a sudden snap and tearing frequently Felt As though someone had hit or shot the victim from is followed by intense pain and then weakness in the some people attempt to continue to but pain and weakness usual study claims medicaid not making doctors Rich Boston up medicaid is providing genuine help for poor people and contrary to popular belief is not making Many Doc tors Rich at taxpayer a study of the nations largest medicaid system has report the doctors who do make a lot of Money from medicaid Are mostly graduates of for eign medical the study the report in the new England journal of Medicine focused specifically on psychiatric care in new York where 13 percent of the nations medicaid Money is the study is part of a larger ongoing study of new Yorks believed to be the most comprehensive look at How the medical care welfare program has worked since it was started in it was conducted by Barry Perl Arthur Martin Paris and others at the mount Sinai school of poor people historically have needed More mental treatment than Rich people but what Little care Treyve received has been in crowded Public clinics by poorly trained Doc tors Many of our findings were counter Intuit Perlman said in a Telephone interview the fact that the poor have been brought into the the fact that doctors have not be come medicaid at least in psychiatry that Means that in Large medicaid is the Range of psychiatrists treating medi Caid patients ranges from the most distinguished psychiatrists to those who Are just out there making a Perlman Schwartz said the study failed to find much evidence of Ripoff in the four years it was found that 90 percent of the doctors who had some medi Caid patients received less than in medicaid payments that was during a time when total medicaid payments to private psychiatrists in new York City More than tripled to million in 60 percent of those who made More than annually from medicaid were foreign trained the study for the study two so called medicaid Mills in one year received 13 per cent of the cites medicaid payments to Pri vate eighty percent of the Doc tors at those facilities were whether foreign trained doctors provide worse care than doctors is Debat Perlman and Schwartz said their study Hast progressed far enough to try to answer that their report noted contradictory evidence on the Issue several studies have shown that foreign graduates do worse on medical licensing but a recent study of actual clinical practice found no difference Between foreign and its not our intent to smear Perlman maybe the foreign graduates Are maybe there the but these Are questions that have to be invest by make this leg muscle rupture is especially common in men Between the Ages of 25 and who have previously been Active and therefore Nave Strong Muscles but who have not been engaged in regular athletics often they set put to play touch football or Tennis without adequate Warmup and stretch ing of the when they Start they push off forcefully with one leg and snap the a stretched muscle in women Are less Likely to suffer this perhaps because they dont have the strength in their other leg Muscles to pop the unrelated Gastrocnemius or plantar is none the i have seen cases of Teg muscle rupture in sports Medicine specialists report this is an increasing phenomenon As women become More and More Active in Tennis and other it int Only the weekend athlete who is susceptible to this the Washington red skins first string quarterback Sonny Jurgenson was sidelined for several months at age Well before the end of his playing when he snapped a calf its the occasional athlete rather the the regular exerciser who is most Likely to have this joggers rarely Are perhaps because they not Only exercise regularly but because the motion of with out an exceptionally hard downward int Strong enough to rupture the treatment consists of avoiding All forceful pushing off motions with the leg for a period of at least and sometimes Washington orthopaedic surgeon Stephen who concentrates on sports feels that the injury is often under treated be cause the victim is too anxious to get Back to his or her regular occupation or if weight bearing int avoided for two or three weeks by Means of the torn muscle fails to heal properly and provides a continuing source of pain and More important than is in our eagerness to get out on the Tennis court or to show our friends or our children that were still up to those shifty Bro Kenfield running Maneu vers in touch foot we weekend athletes often skip the occasional athlete do bending and stretching exercises in try lean ing against a Wall with outstretched hands and stretching the calf Muscles to the Maxi or lie on the Back and raise the legs As far in the air As they will Muscles that get preliminary stretching will not during the fun and excitement of Active com Al Newyork time across 1 suppuration 4 Nursery inventor Down u slender i Robe of office 11 pub drink 11 Aid and 14 herons relative 15 warlike leg 17 Sab of Bike Day u swindlers victim u hindu guitar m evade s refrain intones m medieval is qualified 1 dance step it woe is me Mark robber tree wind thus Bony Iscore Tenli indicator human 4 looked out for b Duel Wampum 9 comply with n Girlfriend Tod oif is crossword in 41jal to bristle shaped 7 mend 47 Irish Ules in to educational Painter org death sicilian i monster resort 11 biblical tribe h Tennis Ace 11 portion of in keep watch the Eye average a option time 8 in Cannes Sis Ejabat falconry m certain h Ulk a scottish gaelic ii fishes with booking bait a film m King of a captor Alto twined be Klafer b part of a French River Burden ardor Mountain he bitter vetch 44 rival to word with answer to Dayan Fak dear aant around the i work of Sot no this nutty u Lar yet no 4 who does Graffiti a tunnels and the ceiling often the be done i it that  dear and Bow rate the it me the dear Ann i advice f wife of the rate you note him and self out i let me i with a though he always 1 make i say and Dot Hen from t Over the ters advised i so t suffered i nervous i and Gall Tor said All m brought on my husband i self f per outbursts primal scream t in the and sick All years of i lows our i As soon As i they i our e was has been ment for i my 1 per neighbors 1 he  children i per 4 your Kat shool