European Stars And Stripes (Newspaper) - May 24, 1986, Darmstadt, Hesse                                Saturday May 24, 1986 the stars and stripes Page 9 health & science news 3 indicted in probe of illegal steroid sales Washington a Federal authorities have announced three indictments in a coast to coast probe of what they say is a $100 trillion a year Black Market Trade in steroids and other muscle developing drugs. So far in the year old investigation agents from the Fri and food and drug administration have seized s2 million in prescription steroids and hormones in 13 searches in six slates officials said thursday. The seizures have taken place in California new Jer sey Ohio and Michigan As Well As Texas and Florida. On wednesday in Dallas a Federal grand jury accused James r. Haga or. And Cecil c. Kennedyjr. In an 18 count indictment of operating a business of distributing without a prescription anabolic steroids and androgenic hormones with a wholesale value of More than $1 million. The indictment said that starting in 1983, Kennedy bought Large quantities of steroids hormones and other drugs intended both for human and veterinary use to sell without a prescription. Haga joined the conspiracy in a gust 1984 and handled Telephone orders for the steroids said the indictment. The two were charged with conspiring to violate the digest smoking kills 11,000 a year in new York Agency reports new York a smoking kills 11,000 new yorkers and costs residents $2.5 billion each year says a department of health report but a spokesman for the tobacco Industry has called the findings blatant  the department issued the findings to Stoke up support for mayor Edward i. Koch s proposal to ban or curtail smoking in Many Public places which he has said would be the toughest in the nation. The ment spokesman Marvin  is a health Survey. This is not a  but the tobacco Institute an Industry Trade group that is opposing Koch s plan saw the report As intellectual dishonesty based on faulty data and issued As an anti cigarette publicity gimmick said spokesman Scott Stapf. It s a pretty blatant propaganda document Stapf said. What you be got published at considerable taxpayer expense is a City department being used As a Public relations Mill to promote the mayor s  the study which Bogner said Cost $950, estimated that 7,294 men and 3,954 women in new York older than 20 die each year from causes directly attributable to smoking. The deaths Cost $1 billion a year in lost income and productivity smoking related health care costs another is billion and $500 million is lost income and productivity from smoking related illness it said. Smokers harmful to others lung association speakers stress Kansas City to. A studies show that non smokers Are adversely affected by cigarette smoke and children of smokers suffer significant increases in chronic respiratory problems according to speakers at the Ameri can lung association s annual meeting. The area remains controversial but smoking hurts the people around you said Edwin b. Fisher jr.,. Assistant pro fear of psychology at Washington University in St. The physicians and scientists attending the meeting said smoking by pregnant women and Mot non i in the Home appears to have the most dramatic effect on children. Or Scott t. Weiss associate professor of Medicine at Havvard University c led a University of Michigan study thl Wildren from Homes where smoking was prevalent had a scant increase in chronic respiratory prob Ems. A David in Coultas of the University of new Mexico said a study he directed showed non smokers Are affected a both in children and non smoking Adu table col nine Levels that incise with the number of smokers in the Home said Coultas. Cosine which is produced by the absorb Ion of me Otine from tobacco in the body can be found in saliva or Thea Caton says approximately 70 percent of th7children inthe United states live in Homes where at food drug and cosmetic act and felony mis branding. The conspiracy charge could result in up to five years imprisonment and a $250,000 Fine on conviction while mis branding carries a maximum three year prison term. In another part of the investigation James Bradshaw of los Angeles was indicted May 13 by a Federal grand jury in fort Lauderdale fla., on 23 counts of dispensing Ster oids without a prescription. Each count carries a Maxi mum $250,000 Fine and three years in prison on conviction. Before the latest indictments five people and one corporation were charged in the investigation and one distributor in California was sentenced to 414 years in prison for smuggling steroids into the United states said Eugene Thirolf a Justice department attorney coordinating the investigation. The probe is continuing. While athletes believe steroids enhance their performance the drugs should be considered life threatening in some situations because some people Are taking them at Many times the Normal dosage said Gloria Troendle a senior Fra medical officer. Anabolic steroids androgenic hormones and other strength building substances Are prescription drugs. The legitimate use of steroids is limited because of Side effects such As liver cancer stimulation of cancer of the prostate and effects on blood clotting and scrum cholesterol. Officials said the drugs arc distributed illegally nation wide through a Loose knit underground network at body building gyms health clubs and through Street sales. The Federal government has issued a drug Alert Bulle tin to the nation s pharmaceutical companies asking them to Check to Sec that All their customers Are properly licensed and to prohibit any who Aren t from receiving Ster Oid shipments. Some estimates indicate the retail value of All the Black Market activity is More than $100 million a year but inaccurate total is impossible to measure Thoroll said. The officials said steroid use predominates in the Power sports such As weight lifting and that in som cases veterinary drugs Are being used by the athletes. The investigation revealed that in some instances the drugs arc being illegally diverted from Legal . Manufacturers in other cases they Are being produced illegally Here and in still others assembled outside the United states and smuggled into the country illegally. Three ways of coping with criticism criticism your Boss says you be been doing Sloppy work and goofing off  outcome you lie in bed. Avoid work and put yourself Down. You sink deeper into he Quicksand of depression. You Are put on probation at work. Chugo int amt can. Source pm Fang Kaaa by 0. C d by ii outcome you Are fired on the spol. You fume Lor Days constantly telling yourself the world is no Damn Good. You Learned nothing and poisoned your relationship with your Boss. Outcome the problem is defined and a solution is proposed. You experience sell esteem and mood Elevation. Your Boss is satisfied with How you handled his complaint. Doctors Aren f Good listeners interrupt patients study finds syndrome. Detroit a a study of 74 conversations be tween doctors and patients found that physicians Are not Good listeners and As a result sometimes Don t learn everything they should know about a patient s ailments researchers say. The study found physicians Are Quick to interrupt patients describing symptoms and rarely allow patients to explain completely what is bothering them said or How Ard b. Beckman of the Wayne state medical school. We found that most patients have Between one and five things that they want to talk about. If you interrupt the person after the first thing they May not get Back to their other problems. In fact in our subsequent analysis we found in Only half the visits do people get All their symptoms out Beckman said. Beckman and sociologist Richard Frankel videotaped the conversations at the primary care internal Medicine practice at the University Between 1980 and 1982. In those interviews doctors interrupted patients after 18 seconds on average. Only 23 percent of patients said they were Able to Complete their opening statement Beckman said. The old clinical adage is if you let the persons Tell you what s wrong they will people have forgotten that Beckman said. We found that three us huhs can get doctors a tremendous amount of information if they can just be quiet a Little  Beckman is a member of a National task Force research ing ways to make Medicine More personal by improving interview techniques used by primary care doctors such a family doctors paediatricians and interns. He said patients should take a More Active role in Mak ing their concerns known to doctors. A physician with the University of Rochester school of Medicine in new York who also has researched doctor patient interviews says physicians often Overlook psycho logical and social factors that contribute to an illness. There s great room for improvement because the importance of interviewing has been neglected for years said or. George l. Engel. The interview is the key to the whole thing. When physicians begin to listen to patients they wiil discover themselves the importance of psychological and social  research done before Beckman and Frankel s study found patients often withhold discussing psychological or social factors that May be linked to an illness. Beckman said doctors should make an Effort to draw this information from the patient. Beckman said physicians often interrupt patients be cause they think the first symptom mentioned is the most significant one. Sometimes the interruption is done in the interest of time he said. With the current reimbursement system doctors get paid for going fast. The Way you succeed monetarily in a practice is not by going slow he said. Beckman teaches fledgling doctors at Wayne state the approach to Medicine developed by Engel which says Doc tors need to consider social and psychological factors to properly diagnose a patient s illness. I a in essence teaching that nothing happens in a vacuum said Engel professor emeritus of Medicine and psychology