Utah Medical Association Bulletin

Utah Medical Association Bulletin: Devoted to Medical Improvement in Utah. The Utah Medical Association Bulletin, published since 1953, is now known as the Utah Physician. This publication is filled with the information Utah doctors need to know about Utah medical and socioeconomic issues.

MfUICAL LIBRARY ·~\l\{ 1 6 19~ LI:J_o 'Itt lJN!Vtr.('lf} Of {114ft !11 1 • r J SALT LA At Cl TY ::'\'o. 2 _Wateh Your Malpraetiee (See Page 5 ) ~ , ~otnntittees -- ~hairnten For 1953 (See Page 16) ... Natural bile acids help restore natural biliary function e 'Bilron' contains natural conjugated bile acids combined with iron. e 'Bilron' -a potent, true choleretic-produces bile of natural composition and consistency. e 'Bilron' is chemically enteric. It is soluble in the alkalinity of the intestine, where bile is normally released. Eli Lilly and Company Indianapolis 6, Indiana, U.S.A. 'Bilron' is indicated in gall-bladder-type i. indigestion, constipation, biliary j dyskinesia, andfollowing cholecystectorn.v . PULVULES • 1 ron I .. EDITOR'S PAGE Dr. Bauer Outlines Progrurn Louis H. Bauer, M. D., President of the A. M. A., recently came up with some good advice which is well worth the consideration of all physicians. They are: 1. Work with rural communities to establish facilities for physicians, so that we shall have a better distribution of physicians. 2. See that good medical care for the indigent is available everywhere, just as it is in some states. 3. Extend public health coverage to areas lacking it. 4. Develop plans for the care of the chronic invalid. 5. Expand our voluntary insurance program, not only to cover more persons, but to cover those over age 65 and those suffering from illness of long duration. 6. Clean our own house, by disciplining those physicians who are tarnishing the reputation of the whole profession by their unethical acts of overcharging, accepting kick-back, and making commercial arrangements with pharmacists. 7. See that the public is protected so that they can always obtain the services of physicians. 8. Revitalize our county societies and make them leaders in their communities in all health matters. 9. Inculcate the newly trained physicians in the tradition and ethics of medicine. Remember a united profession can accomplish much while a disunited profession can accomplish nothing, and by working towards these suggestions of Dr. Bauer's the profession as a whole will receive much benefit. Physiciuu-Putient BelutionsldJI Of particular interest to new members of the Society, as well as the older ones, would be copies of the following booklets, available at MIRACLES To us the prescription department means more than jars, pills, medicants. It means your patients' health. Liquids and solids can do miracles ... and for that reason we feel we are in the miracle business. So have your patients visit us-the store where prescriptions can be charged-the store that believes in miracles. Call 9-7012. ZCMI PRESCRIPTIONS-Street Floor UTAH MEDICAL BULLETIN - FEBRUARY, 1953 1 THE UTAH MEDICAL ~uttett~e of the Utah State Medical 4ss'n. l~ol. I 1953 t'EBRUARY Officers fJ tah State Medical Association President .......... .......... K. B. Castleton, M.D. President-Elect ... ..... Frank K. Bartlett, M.D. P ast President.. .. ................ L. W. Oaks, M.D. Hon . President ..... .Ralph T. Richards, M.D. 1st Vice-President.. ...... J. J . Galligan, M.D. Secretary .................... Homer E. Smith, M.D. Exec. Secretary .......... .. Mr. Harold Bowman Treasurer ............................ J. R. Miller, M.D . Counc. 1st District.. .... .... R. 0 . Porter, M.D. Counc. 2nd District .... Vincent L. Rees, M.D. Counc. 3rd DistricL .. ....J. E. Dorman, M.D. Delegate to A.M.A. 1952 & 1953 .............. Geo. M. Fister, M.D. Alternate Delegate to A.M.A. 1952 & 1953 .... J . J . Weight, M.D. Editorial Boar•d K. B. Castleton, M D. L. Paul Rasmussen, M.D. T. C. Bauerlein, M.D. George H. Curtis,M.D. Managing Editor• Harold Bowman at the office of the Utah State Medical Association: "Winning Ways With Patients." "The AMAZING Story." "Putting PR to Work." "Your Money's Worth m Medicine." These booklets are all products of the A. M. A. and are commended to your attention. "Winning Ways With Patients", is a must with your office secretary and "Your Money's Worth in Medicine" answers many of the questions arising in the minds of the public regarding your charges. Rotun For• lrnproverncnt A Doctor as near as the telephone. That is the desire of the Medical Association whose members are making every effort to be available at all times. Your Executive Secretary made a visit to the Telephone Answering Service, located in the Beason Building, which also serves as an emergency call service for doctors in Salt Lake City. He came away with the impression that physicians should cooperate a little more closely with the switchboard operator. If the physician would call the Answering Service and inform the operator where he may be reached at all times it would greatly facilitate function of the Service. If he is not going to be available, he should then advise the operator and WE SPECIALIZE IN: Amalgamated Sugar Utah Power & Light Equity Oil First Security Corp. Mountain Fuel Supply Utah Southern Oil Investment Funds Information and Markets on Request EDWARD L. BURTON & CO. 160 South Main St. 2 Established 1899 5-2914 Salt lake City, Utah UTAH MEDICAL BULLETIN - FEBRUARY, 1953 advise her to call someone else. He should then be sure to check with the operator for any calls that might have been left while absent. The Answering Service is anxious to do a good job and by closer contact many of the minor wrinkles can be ironed out. If there are any physicians who would like to be placed upon the emergency call list, please contact the office of the Executive Secretary. AR~fY REVIEWING PH,-Sif' AI. RECORD OF I ~000 PRIORITY 3 PHYSICIANS . The Army Surgeon General has asked area surgeons in the U. S. to review records of about 1,000 priority 3 physicians who were deferred for physical reasons prior to lowering of physical standards. A number of doctors in this group are expected to be found fit for duty. Under lowered standards announced last month, each case is decided on its own merits. Generally, the armed services are taking the position that if a doctor is physically able to carry on a private practice then he is fit for military service. Since the Defense Department announcement on lowered standards, the Army has sent to Selective Service for re-evaluation the names of 739 deferred physicians in priorities 1 and 2. Of this group, 487 have received physical examinations. Carwer Panels Available Through the cooperation of the Cancer Committee of the Utah State Medical Association and the Utah Division of the American Cancer Society, panels consisting of a pathologist, a radiologist, and internist, and a surgeon or gynecologist, are available to present clinical programs on subjects relating to malignant tumors at tounty Medical Society meetings. UTAH MEDICAL BULLETIN - For information, contact either Dr. John Carlquist, Chairman of the Cancer Committee of the Utah State Medical Association, or the Utah Division, American Cancer Society. The Third Biennial Conference of Anesthesiologists will be held April 8, 9 and 10, 1953 at the Ambassador Hotel in Los Angeles, California. TB SY~n•OSIU~I FOR GP'S The Second Annual Tuberculosis Symposium for General Practitioners will be held in Saranac Lake, N. Y. from July 13 through 17, 1953. It is approved by the American Academy of General Practice for 26 hours of formal credit for its members. The Symposium is sponsored by the Saranac Lake Medical Society and the Adirondack Counties Chapter of the New York State Academy of General Practice. The registration fee is $40 for A. A. G. P. members and $50 for non-members. Registration is limited to 100 doctors . Many physicians who attended last year's symposium brought their families to Saranac Lake. So that families might have use of the car to enjoy the many recreational facilities of the Adirondack Mountains, free bus transportation was provided for physicians from Saranac Lake to the various meeting places. This practice will be followed again this year. Esther• Gr·oss Heu.ds Pediatr·ie Society The Intermountain Pediatric Society, at their annual business meeting, held at the Ambassador Club, January 20, 1953, installed Esther Gross, M.D., as president, to succeed John T. Mason, M.D., Robert S. Rothwell, M.D., as president-elect, and L. Paul Rasmussen, M.D., as secretary and treasurer, for the coming year. FEBRUARY, 1953 3 , One of the most important pieces 'of legislation from the standpoint of the medical profession to be introduced into Congress in recent years is the ReedKeogh Bill. Essentially it is a bill to provide a voluntary pension system for self employed persons who cannot be covered under the terms of Section 165 (a) of the Federal Internal Revenue Code, and who are not covered and cannot expect to receive pensions from their employer. The purpose is to bring about a degree of equity for the taxpayers who are not now covered by pension plans with those who are now covered by pension plans, approved under Section 165 (a), by pension plans of local, state or federal units of the government, or by plans of non profit organizations. Among those who would benefit would be self employed physicians, dentists, architects, attorneys, accountants and several other groups. The bill was prepared by the American Bar Association with the cooperation of the American Medical Association and several other interested organizations. It provides that those who are eligible under the provisions of the bill would be permitted, if desired, to invest 10% of their earned net income or up to $7,500 per year, whichever is the lesser, in some approved pension plan on a tax deferred basis. This money would be tax free until it was returned to the individual in the form of a pension and would then be taxable at the existing rates, but since the income of the individual would probably be much less at that time there would be a very substantial tax saving. The total amount which would be permitted to so invest would be $150,000.00 in a lifetime. The money could be placed in a retirement annuity contract purchased from an insurance company, provided that the insurance contract contains the same restrictions as the restricted retirement fund, or be invested in a trust fund established 4 , by a professional association for the exclusive benefit of its participating members. Eligible taxpayers over 55 years of age would be permitted to exclude more than 10% of their earned net income for a period of 20 years. Funds could not be withdrawn until death, retirement or disability, at which time an income tax would be paid on the money as received. The basis and rationale of this plan is about as follows. Most employees are, of course, covered by social security and for more than ten years corporations have been allowed to establish pension funds for their employees out of tax free money. The number of years in which a physician earns an income is substantially less than that of the average business man. It takes years longer to obtain his education and training and his retirement is often necessarily earlier. During the first few years of his practice his income is usually very low. It then rises and reaches a peak. When he retires it suddenly stops. He cannot sell out perhaps for a substantial amount like a business man who might also be able to retain his business and yet turn it over to others for management and still retain a substantial income from it. When a physician retires his income stops at once. So here again his income is concentrated over a relatively few years and because it is relatively high during those few years he pays a much higher income tax than a comparable business man, for example, who might have the same income but distributed over a longer period of time. The AMA is greatly interested in this bill and is urging its passage. Your state officers have discussed it and we feel that it is one of the most hopeful signs on the tax horizon for a physican and we, therefore, urge our members to write or wire our congressional delegation and urge its passage. -K;nneth B. Castleton, President. UTAH MEDICAL BULLETIN- FEBRUARY, 1953 . "' COUNCIL HOLDS ~~sCHOOL'' The first "school" for newly elected presidents of the Component Societies of the Utah State Medical Association was held under the auspices of the State Council at the January meeting. Despite the heaviest snow storm in Utah since 1901, attendance was good. Those in attendance were: Drs. K. B. Castleton, J. R. Miller, George M. Fister, V. L. Rees and L. W. Oaks, members of the Council. Also, James Z. Davis, Drew M. Peterson, H. B. Fowler and L. W. Sorenson, Presidents of Jam Component Societies and Dr. Charles Ruggeri, Chairman of the Legislative Committee of the Utah State Medical Association. President Castleton called on Dr. L. W. Oaks who gave a discussion on the "Need for Self Discipline Among Members of the Association." Dr. Oakes stressed the need for continued study on the part of physicians in practice and urged obedience to all laws. He pointed out that there had been some misunderstanding throughout the profession regarding sterilization operations, stating that it was not permissable to perform such operations at the doctor's will. He further stressed malpractice, pointing out that r a tes recently had risen sharply due to the increased number of suits brought against members of the profession. He urged that all members support prepaid insurance plans, stating that such programs had been worked out exceptionally well in the Utah County area. Dr. Oaks then warned against display of wealth by physicians and urged members to refrain from trying to build the finest homes and drive the finest cars. He urged that new members take a personal interest in their patients and to work over and above the call of duty. Dr. Miller was then called upon to discuss, "Keeping Your Society UTAH MEDICAL BULLETIN - Strong and the Value of an Adequate Treasury." Dr. Miller suggested a change in the date for the collection of dues. He pointed out that they now become delinquent January 31st of each year, hitting the doctors at a time when other expenses are high and collections at a low ebb. He then pointed to the advantages of a strong Association a nd outlined the program which is now being carried on in the field of Public Relations, Legislation and Public Education, etc. He stated that after investiga tion he found that money paid into the Association welcomes suggestions, questions a nd criticisms at all times . Dr. Castleton then asked Dr. Fister to discuss Highlights of the House of Delegates Meeting of the A. M. A . held at Denver m December. Dr. Fister said that one of the strongest recommendations brought out at the meeting was the matter of disciplining members in order that the relations of the Profession with the public could be improved. He said that the Delegates strongly disapproved of any business relations between doctors and pharmaceutical organizations and said tha t all doctors were urged to furnish complete medical attention to p a tions whether they had money or not. He stated that the Veterans problem and the Doctors Draft Law came in for much discussion. Dr. Vincent Rees then discussed the "Importance of Keeping Proper Records, Itemizing Bills and the Narcotic Menace." Dr. Rees stated that it was absolutely necessary to keep proper records in order to give proper service to a patient and warned that in view of the increasing number of malpractice suits, records were mandatory. He stated that many cases had been lost b ecause of inadequate records which w ere tending to push costs of insur- FEBRUARY, 1953 5 Enjoy these benefits when you save at STATE HIGHEST EARNINGS ... Consistently highest paid in this area on insured savings. FULLY INSURED SAFETY ... Every account insured to $10,000 by tho Federal Savings and Loan Insurance Corp. CONVENIENT LOCATION ..• At 56 South Main in the heart of the down· town shopping district. SAVE· BY-MAIL .•. Many members enjoy the convenience of saving the "first class" way, in State's handy pre·addressed envelopes. 56 So. Main • Salt Lake TEMPERATURE .•• NORMAL Just as you take for granted the accuracy of your clinical thermometer, we hope you will come to accept the integrity and dependability of the Heinz Apothecary, which specializes in the careful, accurate compounding of your prescriptions. 11 1 (, 1/ , u'~ t£'1 J // lr 1/ Ill/ May we say too, that your own requirements both office and personal will receive QJ the careful attention of our~ registered and reliable phar-~ '-- ~ macists. Serving the medical profession and the community since 1929 HEINZ Apothecary 508 East So. Temple Phone 9-8607 6 ance higher and higher. He stated that the records brought in in some cases were pitiful. He then pointed out that it was necessary to keep records for the filling out of necessary insurance forms. Dr. Rees then pointed to the narcotic situation and said that there was much to be desired m this direction. He further stressed the itemizing of all bills rendered to all patients. Dr. Castleton then discussed "Public Relation." He pointed out that one of the most common complaints against the profession which was hurting the doctors in the eyes of the public was fees. He advised doctors to sit down and discuss medical costs with the patient, particularly where a maJOr operation was involved. It was his thought that much good could come through active participation of the Board of Supervisors m any and all complaints. He then outlined the program of public relations now being carried on through the Press, over the radio and television. He recommended that something be done to indoctrinate new members regarding fundamentals of medical ethics and private practice. He also suggested that office girls be given a course on public relations, recommending that each doctor obtain a copy of "Winning Ways With Patients," a publication originated in the office of the A. M. A., He concluded by referring to suggestions of Dr. George F. Lull, Secretary of the A. M. A., that each Component County Society watch the news columns for criticisms of the medical profession and then handle the complaint immediately. Dr. Charles Ruggeri then outlined the Legislative Program and various sections which had come up for discussiOn and criticisms from segments of the Association. UTAH MEDICAL BULLETIN - FEBRUARY, 1953 t ,/ _, ~raftsJDan's Pay The following editorial appeared in the January issue of Medical Economics, reprinted with their permission. It brings forth some interesting figures regarding doctors' income. It is reproduced as follows: "Those doctors - why, they're making a mint! Even family doctors are netting close to $15,000 a year." Most of us get a mite irritated when we hear people talk like that. We think of the years of training. We think of the responsibility and the strain. In the light of these factors, medical incomes seldom strike us as being daproportionately high. Most lay people take no such broad view. Nor can they really be expected to, since they lack our frame of reference. Medical training and medical responsibility are unfamiliar quantities to them. But there's one quantity they can appreciate, and that time spent on the job. Are doctors' incomes exorbitant when matched against the extra hours they work? Though the concept of overtime work at overtime pay is familiar to Americans in general, it's seldom applied to a profession like medicine. Just to see what happens, let's apply it here. Let's compute the typical doctor's hourly base pay, assuming he gets time-and-a-half for overtime, double-time on Sundays: According to our latest survey, the family doctor works an average of sixty-two hours a week. Twentytwo of these hours must be counted as overtime; perhaps five of these hours represent Sunday work. For pay purposes, therefore, he'd be credited with about seventy-five hours a week, or 3,750 hours a year. Also according to our latest survey, the average family doctors nets $14,098 annually. Divide this figure by his hourly credits for the year (3,750) and you get the equivalent of hourly base pay. It turns out to be $3.76 an hour. UTAH MEDICAL BULLETIN - PRESCIPTION Center 360 - 24th Street OGDEN, UTAH Phone 4436 IN OGDEN DINE AT THE BEAUTIFUL CANTON CAFE Finest American and Chinese Foods For the ultimate in dining pleasure visit our beautiful new PEACOCK ROOM Banquets and Private Parties telephone for reservations 2550 WASHINGTON BLVD. OGDEN, UTAH FEBRUARY, 1953 PHONE 2-6124 Open 11 :30 to 2 :30 A .M . 7 ~ow, the interesting thing about this figure is its strong resemblance to current base pay for skilled union labor. Many bricklayers, for example, get $3.25 an hour nowadays. And if other workers earn less, and if medical specialists earn more, isn't this explainable in terms of degree of specialized skill? Don't misunderstand us: We're not saying that union and medical working conditions are anywhere near alike. We are saying that the skilled laborer and the typical doctor get roughly comparable hourly returns, assuming all overtime work is done at overtime pay. Skilled craftsmanship, after all, d eserves a skilled craftsman's pay. It may be news to our critics, but that's just about what most doctors are getting. H. S. Baketel, M.D. Sltrgeons to Meet The American College of Surgeons h as extended an invitation to members of the U. S. M. A. to attend sectional meetings to be held at the Utah Hotel, Salt Lake City, Utah, March 20 and 21, 1953. The program will include Symposia on Trauma, Cancer and Gynecology; Panel Discussions on Diseases of the Colon, Anus and Rectum, Problems of Fluid and Electrolyte Balance, and Biliary Tract Surgery; Papers on The Present Status of Antibiotic Therapy, Differential Diagnosis of Jaundice, Surgery of the Spleen, Abdominal Emergencies in Infants, and The Present Status of Carcinoma of the Pancreas. Several new surgical motion pictures will be shown, including selections from the 1952 Cine Clinics, and two stereoscopic movies on "Radical Resection for Carcinoma of the Stomach" and "Mediastinal Tumors". 8 LD.S. Holds Meet The Annual Dinner Meeting given by the Board of Trustees for the Medical Staff of the L. D. S. Hospital, was held at the Hotel Utah Roof Garden early in January. Dr. H. R. Reichman, outgoing staff president, spoke on problems faced by the Staff during the past year. These, he pointed out, included reorganization of the anesthesia department, obtaining more nurses and a vigilance which all doctors must exert in order to preserve their freedom of practice. He warned against the trend toward socialized medicine, stating that many medical students now look for security rather than opportunity. Dr. Reichman also expressed concern about unity among doctors themselves. He urged that each doctor be a physician primarily and not a specialist. Committee reports stressed a concern over bed shortages in the various hospitals and the Nursing Staff at the L D. S Hospital was commended for the cooperation shown in view of the shortage. Clarence Wonnacott, Hospital Administrator, expressed concern about the nursing shortage and indicated that a long range solution was imminent with the expansion of the Brigham Young Nursing School program. Staff Committee chairmen of the Hospital announced for the year 1953 are as follows: Surgical Committee Dr. S. S. Smith Medical Committee Dr. L. G. Moench Obstetrics and Gynecology Committee - Dr. M. S. Sanders General Practice Committee - Dr. Val Sundwall Credential Committee-Dr. Spencer Snow Pathology and Necrology Committee - Dr. W. R. Rumel Intern-Resident Committee Dr. Cyril Vance UTAH MEDICAL BULLETIN - FEBRUARY, 1953 • -- POSTGRADUATE COURSES «'ollege of lUedicine Unh·ersity of U~ah GENERAL PRACTICE: March 9 through 13, 1953 This course is designed for the general practitioner as a review of the accepted advances in medicine and surgery during the past year. It will be presented by the various clinical departments of the College of Medicine and proportioned in such a way that registration for either part or all of the course will be feasible. This course is designed to discuss only those advances in medical knowledge which are of interest in the everyday practice in medicine. On Thursday evening, March 12, a banquet under the sponsorship of the Alumni Association of the College of Medicine will be held. Fee for the course: $50.00 ($10.00 per day) . OFFICE GYNECOLOGY: April 17 and 18, 1953 This course, given under the sponsorship of the Department of Obstetrics and Gynecology of the College of Medicine, will deal with the various problems encountered in the office practice of Gynecology. It will deal extensively with the diagnostic procedures which have been recently developed and found to be practical in the office. Fee for the course: $15.00. PSYCHIATRY: April 10 and 11, 1953 This course is designed to discuss the management of the various psychiatric problems which are encountered in the general practice of medicine. Dr. Theodore Lidz of Yale University School of Medicine will be a guest lecturer for this course. Fee for the course: $20.00. PUBLIC HEALTH and POLIOMYELITIS: July 8 through 11, 1953 This course will be given as the final two days of a course in Public Health. Those interested may register for the entire course, which will extend over the four days, or for either the Public Health or Poliomyelitis sections alone. The first section will be of interest particularly to those who carry a responsibility as a local health officer. The section on Poliomyelitis will stress our newer knowledge on diagnosis, management and reha bilitation of the patient with this disease. This is deliberately timed to come in the summer, inasmuch as it would be immediately before our a nticipated peak incidence of poliomyelitis. This course is given under the co-sponsorship of the College of Medicine and the Utah State Health Department. DELIVERIES DAILY from each of the Three HARMON DRUG STORES * * * 51 So. Main St. - Dial 5-2875 3rd Ave. Bet. H & I - 5-3626 880 W. No. Temple - 9-3881 HARMON DRUCS SALT LAKE CITY UTAH MEDICAL BULLETIN - FEBRUARY, 1953 ·9 Salt Lake C o unty Societ y News N o tes PRESIDENT'S LETTER One year ago, the first of January last, the State Board of Health you want fin ancial security, and the Salt Lake City Health Demonthly income and a minimum partment discontinued their Veneof speculation, our special" Investreal Disease Clinic in Salt Lake City and in other areas throughout the ment Program For Doctors" is the state. This work was then turned right prescription for you. over on a fee basis to the physicians in the state. Consult with our staff of investment Since that time there has been an specialists today. Take advantage of increase of 100 percent in the V.D. current market opportunities. Visit, rate in the state. Members of your . City Board of Health and State call or wnte our office nearest you. Board of Health, in assessing the probable cause for such increase, have felt, perhaps, there may be • • • some need for an upper revision in Estab. 191 5 fees, and that perhaps the State \!embe rs : New York Stock Exchange, Board of Health should pay for the Salt Lake Exchange and other principal exchanges examination of contacts. Jn this 132 S. Main St. 2380 Washington Ave. way, possibly more contacts might Salt Lake City, Utah Ogden , Utah be examined. In any event, we of the County Society must help our local Board of Health to work out a satisfactory program. A part of the satisfactory program which we can do at this time is the prompt reporting of all new cases and contacts. This I POSTURATOR SHOES strongly urge every physician to do. FOR WEAK FEET Every physician in the County With Full A NATOMICAL Society should contact the legislator FEATURES from his district, and his state senator, and let them know that he is concerned with the favorable action on the following legislation: State Medical Examiners Law Change in the State Hospital Laws State Anti-Pollution Law Built to No Filler Avoid to Shift, and Revision on the State Health Crowding Bunch or Laws Toes. Stiffen. Your president recently spent a very pleasant and profitable evening as a guest of the members of the Council of the State Association. One-Piece Back- No Tearing, No Sagging 'T here were a number of interesting discussions, the central them-e of which was "Improved Public Rela269 SO. STATE 2015 SO. liTH EAST tions" It is my opinion that if every JF J A HOGLE & Co ~7~ Youthful Shoes 10 UTAH MEDICAL BULLETIN - FEBRUARY, 1953 ...I member of our Society conducts himself in such a way as to assure the best public relations for himself, he will surely be doing his part to assure the best public relations for the Society. It would be quite educational and helpful if every member of the County Society would spend a day with the Legislature. In order to obtain the most good from a day spent with the Legislature, it would be well for the member to fami'liarize himself with the legislation in which we are interested. The response to date with material for our medical news letter has been disappointing . Will the secretaries of all the specialty groups formulate and assign subjects, get the letters written and forward to the County Society office without delay. James Z. Davis, President S. L. County Medical Society 1\-l e dieal Group For10s The Utah Society of Internal Medicine, comprising specialists in internal medicine, psychiatry, dermatology and allergy, from Salt Lake City, Ogden and Provo, was organized last month at a meeting in the University Club. Dr. Elmer M. Kilpatrick was named president and Dr. James F . Orme was elected president-elect to take office next year. Dr. Robert D. Beech is retiring as president of the Predecessor organization. Dr. John Z. Bowers, Dean of the University of Utah, School of Medicine, was featured speaker at a luncheon meeting of the Salt Lake Lion's Club recently in the liotel Utah. He discussed his recent trip to India and the i<'ar East. -% 0 interest per . . year on savings up to $10,000. The CONTINENTAL BANK AND MEMBER TRUST FEDERAl DEPOSIT ACCOUNTS UTAH MEDICAL BULLETIN - C 0 M PA .N Y INSURANCE INSURED UP FEBRUARY, 1953 TO C ORPO RATION $10,000 11 Applications For Mentbership Salt Lake County Medical Society Any member of the Society who knows a good and sufficient reason why an applicant is not eligible to membership is requested to communicate at once in writing with the Secretary. FIRST READING February 9, 1953 JOHN L. CRENSHAW, JR., M.D. 115 East So. Temple Salt Lake City, Utah. Endorsed by: Drs. George B. Ely and L. Feinauer DEE WILLIMS CALL, M. D. 511 Medical ~ts Bldg. Salt Lake City, Utah Endorsed by Drs. N. F. Hicken and Robert H. Hall. RICHARD H. GALLANT Garfield, Utah Endorsed by Drs. James K. Palmer and Owen G. Reese. ROBERT E. JONES, M. D. 465 E. So. Temple Salt Lake City, Utah Endorsed by Drs. R. W. Sonntag and Spencer Snow. ELECTED Feb. 9, 1953 as Associate Member JOHN FRANCIS STUCKI RADIO, T-V PROGRAMS lltah Health Council KSL TV - EVERY MON. AT 10:30 P.M. Feb. 16th-CANCER Feb. 23rd-ANESTHESIOLOGY March 2nd-BRAIN AND NERVES March 9th-ON BEING A MOTHER March 16th-WHAT THE LABORATORY DOES FOR YOU March 23rd-ORTHOPEDIC SURGERY March 30th-YOUR EYES (PROVO PHYSICIANS) (Programs subject to change.) KUTA - EVERY SAT. AT 5:45 P.M. Feb. 14th-IMMUNIZATION Feb. 21st-THE NERVOUS BREAKDOWN Feb. 28th-ULCERS March 7th-YOUR CHANGE OF LIFE 12 March 14th-LET'S LOOK AT YOUR BRAIN March 21st-FLUORIDATION OF WATER March 28th-HERE'S YOUR PRESCRIPTION KALL - SAT. AT 9:45 A.M. Feb. 14th-KIDS HAVE HEARTS TOO Feb. 21st-WHEN THE DOCTOR EXAMINES YOU Feb. 28th-WHAT MAKES BULLIES AND SISSIES March 7th-HI FATTY! (Obesity in Children) March 14th-GIVE ME THE NEEDLE (On Immunity ) March 21st-KIDS WITH GLASSES March 28th-HIKING AWAY FROM THE HOSPITAL (Health and Safety while Hiking ) KNAK-WEDS. AT 7:00 P.M. Feb. 18th-WHAT ABOUT MY GLANDS Feb. 25th-WHAT'S NEW WITH RHEUMATIC FEVER March 4th-MEET MR. AND MRS NEUROTIC March 11th-MEET YOUR ULCER March 18th-WHY YOU EAT March 25th-THE ANTIBIOTICS (Programs Subject to Change ) "Ask the Doctor" is now heard over these stations: KMUR: Murray, Every Mon. 7:00p.m. KOVO: Provo, Every Sat. 5:45 p.m. KBUH: Brigham City, Every Sunday 9:30 a.m. Schedules will soon be announced for both Ogden and Logan. Special Notice to Members of the Salt Lake County Medical Society and Their Guests Dr. Edward D. Churchill, Professor of Surgery at Harvard University and Chief of General Services at the Masschusetts General Hospital, will be t h e principal speaker at the regular monthly meeting of the Salt Lake County Medical Society, March 9, 1953. Dr. Churchill's appearance here is being sponsored by the Salt Lake Surgical Society, and he will also speak at a dinner to which members of the association are invited. Please mark this date on your calendar. UTAH MEDICAL BULLETIN - FEBRUARY, 1953 A record you can be proud of ... Since 19.H , the nation's infam mortality rate has been cur by about one half. ImportaiH reasons for this remarkable decline include widespread use of chemotherapy, increased use of immunization, greater use of hospitals for confinement and illness, extended prenatal programs, improved infant feeding and care. A principal factor in this record of progress is the unique cooperation in America between medicine and industry in doing and sharing scientific research, in the application of research findings to expansion and improvemem of medical facilitiesthe tools and apparatus-the knowledge and service which contribute to public health. That's one reason so many physicians favor Sego Evaporated Milk. They know, of course, that Sego Milk is good milk for babies. They know, too, that the Sego Milk Company stands for and aids the kind of research and service that make this a better and safer world for babies. Favored Form of Milk For Infant Formula Sego Milk Company Salt Lake City, Utah UTAH MEDICAL BULLETIN- FEBRUARY, 1953 13 Southern Society Holds Seutinar The first Rural Seminar was held by the Southern Utah Medical Society at its first regular meeting for 1953 January 17th at Cedar City, Utah. The following members were present: W. J. Reichmann, L. V. Broadbent, R. W. Farnsworth, P. K. Edmunds, A. L. Graff, S. J. Prestwich, R. G. Williams, E. C. Mcintire, Jesse E. Simons, Eugene N. Davie, E. S. McQuarrie, L. W. Sorenson, G. A. Monnet. The Seminar began at 4:30 p.m. with the general subjects of discussion taken up as follows: Dr. Ralph Richards spoke on "Surgical Emergencies" - Dr. John F. Waldo on "Medical Emergencies" and D. Richard Barton on "Obstetrical Emergencies." All three of these doctors were from the University of Utah College of Medicine. The Seminar was recessed for a one hour dinner period at 7:00p.m. During the dinner hour, Minutes were read by Dr. Eugene N. Davie, Secretary and matters of business were taken up as usual. After dinner the Seminar was continued until 10:30 p.m. and proved to be extremely interesting. The Society voted to support the resolutions passed by the House of Delegates of the Utah State Medical Association. (1) To go on record as favoring immediate construction of sewage disposal plants and water purification facilities at v a r i o u s places in Utah, and that legislation be passed by the next session of the Legislature to guard against water pollution according to modern standards. (2) To recognize the critical need for an adequate new Medical School building; that the Board of Regents of the University of Utah be requested to establish the construction of a Medical School Building as the first priority on their building program; that the Utah State Medi14 cal Association desires to join with the Board of Regents in seeking the requisite fund at the 1953 session of the Legislature; that, in view of the urgency of this problem and its importance in the status of health in Utah, the Utah State Medical Association respectfully requests that it be informed as to the attitude of the Board of Regents in this matter. The next regular meeting of the Southern Utah Medical Society was set for March 28, 1953 at Cedar City, Utah with the subjects of "Psychosomatic Medicine" chosen as the next topic for discussion. . Color·ado Clinics Set For Feb. 17-20 The Eighteenth Annual Midwinter Postgraduate Clinics conducted by the Colorado State Medical Society will be held in Denver on February 17-20 with seven excellent guest speakers. While designed primarily for the general practitioner the Midwinter Clinics also always have much of interest for the specialist. Regarded as one of the best meetings in the area it occupies a permanent place in the postgraduate medical education program of the Rocky Mountain region. As in the past, morning clinics will be at one of the Denver hospitals with roundtable luncheon discussions and afternoon sessions at the Shirley-Savoy hotel. K. B. Castleton, M.D., President of the Utah State Medical Assn., will preside at the Wednesday afternoon session. The American College of Chest Physicians will meet on Tuesday, February 17, and the annual entertainment and stag smoker for the Clinic group will be that evening also. UTAH MEDICAL BULLETIN- FEBRUARY, 1953 Dr. ~furplty Heads Radiu1n Group Dr. Arthur J. Murphy, Salt Lake City physician and surgeon, last month was elected President of the Radium Company, a non:oprofit organization formed a number of years ago to make radium available to doctors for treatment of patients. Dr. Murphy succeeds Dr. Robert T. Jellison. Dr. Wm. M. Nebeker was named Vice-President and Ralph D. Cowan, trust officer, First Security Bank of Utah was elected secretary-treasurer. In addition to these, Dr. Angus K. Wilson, W. E. Myrick, Fred E. Smith, John D. Rice and Dr. James Z. Davis, constituted the Board of Directors. lJ Schedules Hutchins The 103rd anniversary of the founding of the University of Utah will be celebrated this month. The event of interest to U .S.M.A. members is the appearance, as guest speaker, of Robert Maynard Hutchins, former president of Chicago I); University and now co-director of the Ford Foundation. Mr. Hutchins will be speaker at a banquet to be held Friday, February 20th at 7:00 P.M. in the Union Building on the University of Utah ·c ampus. Although sponsored by the Alumni Association, all friends of the University are invited. $3.00 per plate. Semi-formal. Reservations may be made by telephone, postcard or letter addressed to the University of Utah Alumni office. W o•ueu's Auxiliu•·y The Woman's Auxiliary of the Salt Lake County Medical Society, held its monthly meeting January 19, 1953 at the Ladies Literary Club, 850 East So. Temple . John Stansfield, federal narcotics agent in Utah discussed "Narcotics in Utah." Decorations were under the direction of Mrs. Joseph R. Evans, chairman; Mrs. Jay Jenderson, Mrs. L. Gurr McQuarrie, Mrs. D. C. Bernson and Mrs. Robert Ogilvie. For Prompt Prescription Delivery __ ~Of4t.-s 4-4446 COMPLETE PRESCRIPTION SERVICE * ECONOMY DRUG 15th East and 15th South UTAH MEDICAL BULLETIN- FEBRUARY, 1953 Salt Lake City 15 CHAIRMEN FOR 1952-53 COMMITTEES, Following is a list. of committees of the Utah State Medical Association for the year 1952-53: BOARD OF SUPERVISORS - Earl L. Skidmore, M.D., Chairman, Salt Lake City ; J . C. Hubbard, MD., Price; J. G. Olsen, M.D., Ogden; C. J. Daines, M.D., Logan; R. E. Jorgenson, M. D., Provo ROCKY MOUNTAIN MEDICAL CONFERENCE CONTINUING COMMITTEE T. R. Seager, M. D., Chairman, Vernal; R. P. Middleton, M.D., Salt Lake City; U. R. Bryner, M.D., Salt Lake City; Heber C. Hancock, M.D., Ogden; Wm. H. Moretz, M.D., Salt Lalte City. SCIENTIFIC PROGRAM COMMITTEE Homer E. Smith, M.D., Chairman, Salt Lake City. MEDICAL DEFENSE COMMITTEE Wm. M. Nebeker, M.D., Chairman, Salt Lake City; John B. Cluff, M.D., Richfield ; Wendell Thomson, M.D., Ogden; Fuller Bailey, M.D., Salt Lake City; Reed Harrow, M.D., Salt Lake City; H. R. Reichman, M.D. , Salt Lake City; G. S. Francis, M.D. , Wellsville; Donald Poppin, M.D., Provo. MEDICAL EDUCATION & HOSPITALS COMMITTEE-Harry J. Brown, M. D., chairman, Provo; T. C. Bauerlein, M.D., Salt Lake City; E. R. Crowder, M.D., Salt Lake City; Galen 0. Belden, M.D., Salt Lake City; L. K. Gates, M.D., Logan; K. A. Crockett, M.D., Salt Lake City; R. V. Larsen, M.D., Roosevelt; Mark B. Jensen, M.D., Castle Gate; J . B. Cluff, M.D., Richfield; W. J. Reichman, M.D., St. George; John Waldo, M.D., Salt Lake City; E. D. Zeman, M.D., Ogden ; P . M. Gonzales, M.D., Price. MEDICAL ECONOMICS COMMITTEE Ralph N. Barlow, M.D., Chairman, Logan; Hugh 0 . Brown, M.D., Salt Lake City; Silas S. Smith, M.D., Salt Lake City; Geo. C. Ficklin, Tremonton; J. H. Milburn, M.D., Tooele. PROCUREMENT AND ASSIGNMENT COMMITTEE - Eliot Snow, M.D., Chairman, Salt Lake City; Frank K. Bartlett, M.D., Ogden; John J. Galligan, M.D., Salt Lake City; John H. Clark, M.D., Salt Lake City; J . Russell Smith, M.D., Provo. SPECIAL COMMITTEES ALLIED TO PUBLIC HEALTH GENERAL COMMITTEE ON PUBLIC HEALTH-A. A. Jenkins, M .D., Chairman, Salt Lake City; John Bowen, M.D., Provo, R. P. Morris, M.D., Salt Lake City; James Orme, M.D., Salt Lake City; 0 . E. Grua, M.D., Ogden. COMMITTEE ON FRACTURES - Louis Perry, M.D., Chairman, Ogden; Norman Beck, M.D., Salt Lake City; Burke M. Snow, M.D., Salt Lake City. CANCER COMMITTEE--J. H. Carlquist, 16 M.D., Chairman, Salt Lake City; Richard Call, M.D, Salt Lake City; Ralph R. Meyer, M.D., Salt Lake City; Ralph C. Ellis, M.D., Ogden; Ray T. Woolsey, M.D., Salt Lake City. COMMITTEE ON SEWAGE AND WATER POLLUTION - Glenn R. Leymaster, M.D., Chairman, Salt Lake City; Michael E. Murphy, M.D., Salt Lake City; John Bourne, M.D., Provo; Alma Nemir, M.D., Salt Lake City; Paul Clayton, M.D., Salt Lake City; John Smith, M.D., Duchesne; G. B. Madsen, M.D., Mt. Pleasant. COMMITTEE ON TUBERCULOSIS AND CARDIO VASCULAR DISEASES Geo. H. Curtis, M.D., Chairman, Salt Lake City; Preston Cutler, M.D. , Salt Lake City; Fred W. Clausen, M.D., Salt Lake City; Drew M. Peterson, M.D., Ogden; Warren R. Rupper, M.D., Provo ; D. 0 . N. Lindberg, M.D. , Ogden. COMMITTEE ON RURAL HEALTH R. W. Farnsworth, M.D., Chairman, Cedar City; Raymond M. Ma louf, M.D., Richfield; George A. Monnet, M.D., Panguitch; Paul Stringham, M.D. , Roosevelt. COMMITTEE ON SCHOOL HEALTHRobert Rothwell, M.D., Chairman, Salt Lake City; R. W . Sonntag, M.D., Salt lake City; Wallace E. Hess, M.D. , Salt Lake City; George Ely, M.D., Salt Lake City; Roy A. Darke, M.D., Salt Lake City; Manley Utterback, M.D., Ogden; Roy Hammond, M.D., Provo. COMMITTEE ON MENTAL HEALTHChas. H. Branch, M.D., Chairman, Salt Lake City; L. G. Moench, M.D., Salt Lake City; Wm . D. O'Gorman, M.D., Ogden ; Owen P. Heninger, M.D. , Provo; E. M. Kilpatrick, M.D. , Salt Lake City. INDUSTRIAL HEALTH COMMITTEE Frank J . Winget, M.D., Chairman, Salt Lake City; Geo. A. Spendlove, M.D., Salt Lake City; L. H. Merrill, M.D. , Hiawatha; H C. Jenkins, M.D., Bingham Canyon; Paul S. Richards, M.D., Salt Lake City; Byron Daynes, M.D. , Salt Lake City; Ralph Tingey, M.D. , Salt Lake City; Rulon Howe, M.D., Ogden. SPECIAL COMMITTEES ALLIED TO PUBLIC RELATIONS GENERAL COMMITTEE ON PUBLIC RELATIONS - W. E. Peltzer, M.D., Chairman, Salt Lake City; N. F. Hicken, M.D. , Salt Lake City; L. V. Broadbent, M.D., Cedar City; George Gasser, M.D., Logan; V L. Stevenson, M.D., Salt Lake City; Charles R. Cornwall, M.D., Salt Lake City; John Z. Bowers, M.D., Salt Lake City; Ralph Pendleton, M.D., Salt Lake City. LEGISLATIVE COMMITTEEE- Charles Ruggeri, M.D. , Chairman, Salt Lake City; F. D. Gunn, MD., Salt Lake City; John Z. Bowers, M.D., Salt Lake City; Geo. A. Spendlove, M.D., Salt Lake City; L. V. UTAH MEDICAL BULLETIN - FEBRUARY, 1953 ./ Broad bent, M.D., Cedar City; D. T. Madsen, M.D., Price; J . G. McQuarrie, M.D., Richfield: Ray E. Spendlove, M.D., Vernal; Eugene L. Wiemers, M.D., Provo; Robert Budge, M.D., Smithfield; Clark Rich, M.D., Ogden. CON:mflTTEE ON UTAH HEALTH COUCIL - Dean Spear, M.D., Chairman, Salt Lake City; N. F. Hicken, M.D., Salt Lake City: Drew Peterson, M.D., Ogden; Paul Cla:y1:on, M.D., Salt Lal ~e City. COMM!TTEE ON RELATIONS WITH PRESS, RADIO AND TELEVISION Wallace Brooke, M.D., Chairman, Salt Lake City; Donald Moore, M.D. , Ogden; R. H. Wakefield, M.D., Provo; J. Clare Ha)'\vard, M.D., Logan; L. H. Merrill, M.D., Hiawatha; Irving Ershler, M.D. , Salt Lake City. COMMITTEE ON INSURANCE PLANSJohn Z. Brown, Jr., M.D., Chairman, Salt Lake City; Robt. D. Beech, M.D., Salt Lake City: Robert G. Snow, M.D., Salt Lake City: John H. Clark, M.D., Salt Lake City; Nephi Kezerian, M.D., Provo. NEWSPAPER HEALTH COLUMN COMMITTEE - James Z. Davis, M.D., Chairman , Salt Lake City; Erwin D. Zeman, M.D.. Ogden; L. W. Oaks, M.D., Provo; R. W. Farnsworth, M.D., Cedar City; G. J. Harmston, M.D., Logan; E. G. Holmstrom, M.D., Salt Lake City; U. R. Bryner, M.D. , Salt Lake City; Val Sundwall, M.D., Mur ray: W. H. Horton, M.D., Salt Lake City; R. !11. Muirhead, M.D., Salt Lake City; H. H. Hecht, M.D., Salt Lake City; Wm. H. Bennion, M.D. , Salt Lake City; Wm. Ray Rumel, M.D., Salt Lake City; Ralph Pendleton, M.D., Salt Lake City; F. H. Raley, M.D. , Salt Lake City; Galen 0. Belden, M.D., Salt Lake City; Paul Clayton, M.D., Salt Lake City; James R. Miller, M.D ., Salt Lake City; Geo. Diumenti, M.D., Bountiful; Merritt H. Egan, M.D., Salt Lake City. SPECIAL COMMITTEES CIVILIAN DEFENSE COMMITTEE Leslie J. Paul, M.D., Chairman, Salt Lake City ; S. M. Budge, M.D., Logan; LeRoy A. Wirthlin, M.D., Salt Lake City; L. W. Benson, M.D., Ogden ; Riley G. Clark, M.D., Provo; Geo. A. Spendlove, M.D., Salt Lake City. CONSTITUTION AND BY -LAWS COMMITTEE - J . Russell Smith, M.D., Chairman, Provo; Geo. H. Lowe, M.D., Ogden; W. W. Barrett, M.D., Helper; R. 0. Johnson, M.D., Murray; Garner B. Meads, M.D. , Salt Lake City; Heber Hancock. M.D. , Ogden; James Cleary, M.D., Salt Lake City. FEE SCHEDULE COMMITTEE - Wm. Ray Rumel, M.D., Chairman, Salt Lake City. BLOOD BANK CON:mflTTEE - M. M. Wintrobe, M.D., Chairman, Salt Lake City. Plus the chairman of the Blood Bank Coro.mittee of each Component Society. UTAH MEDICAL BULLETIN - ADVISORY COMMITTEE TO WOMAN'S AUXILIARY K. B. Castleton, M.D., Chairman, Salt Lake City; Frank K. Bartlett, M.D., Ogden; L. W. Oaks, M.D., Provo; Homer E. Smith, M.D., Salt Lake City; J.R. Miller, M.D., Salt Lake City; R. 0. Porter, M.D, Logan; Vincent L Rees, M.D., Salt Lake City; J. E. Dorman, M.D., Price . NECROLOGY COMMITTEE- James K. Palmer, M.D., Chairman, Salt Lake City. SPECIAL ADVISORY COMMITTEE TO THE UMWA- D. T. Madsen, Price; L. H. Merrill, M.D., Hianatha; W. W. Barrett, M.D., Helper; V. L. Rees, M.D., Salt Lake City; K B. Castleton, M.D., Salt Lake City; E. M. Kilpatrick, M.D. , Salt Lake City; Rulon M. Howe, M.D., Ogden. Telcph.tuu! Tcchniqr&c How is the telephone answered in your office? Brusquely and loftily, or pleasantly and with implication that the patient is important? T h o u g h t given to telephone answering will be immediately helpful in your own relationship with patients, and ultimately in shaping the public attitude toward medicine. For Example: 1. Initial response to ringing telephone: WRONG: "Doctor's office." "Just a minute, please." "Hello." RIGHT: "Doctor Jones's office, Miss Briarly speaking." "Garfield 0-0000" (if there are several physicians using the same number) . "Doctors Jones and Black; may I help you?" 2. On making appointments: WRONG: "I can give you Thursday at two." "Doctor can see you Monday morning." "Wednesday afternoon is the doctor's day off." RIGHT: "Could you make it on Thursday at two?" "Monday morning would be a good time if that is convenient." "Doctor Jones will not be able to see you on Wednesday afternoon; could you come in Thursday?" FEBRUARY, 1953 17 W ATCD YO·U R MALPRACTICE The recent increase in the malpractice insurance r a t e s h a v e prompted Dr. Wm. M. Nebeker, Chairman of the Medical Defense Committee, to issue a warning to members of the Utah State Medical Association. His statement follows: Malpractice is the failure of the physician to perform his duty in the capacity of a professional relationship to his patient, and this failure results in some injury to the patient. Thus the establishment of mal practice depends upon the proof of two facts. (1) The physician failed to do his duty, and (2) as a result of this failure, injury to the patient resulted. If either of the above essentials is not proved, there is no established malpractice. The physician's duty begins with the implied contract with his patient to render services. This contract implies that the physician has reasonable skill and will apply this skill in the treatment of the patient. As applied to the physician in a more specific sense, mal practice means bad, wrong, or injudicious treatment or neglect of treatment resulting in injury, unnecessary suffering, want of professional skill, disregard of established rules or principles, neglect, or a malicious or criminal intent. From a legal standpoint the physician implies in his acceptance of the patient's care that he possesses and will exercise that reasonable and ordinary degree of skill and learning which has been established by his fellow practitioners in the same or like community in the care of similar cases and always exercising his best judgment. If any one of the above causes injury, unnecessary suffering, or death of the patient, a malpractice suit my result. Physicians may (1) Apply bad, wrong, or injudicious Rx from 18 (a) Ignorance (b) Carelessness - (c) Want of proper professional skill (d) Disregard of established rules or principles (e) Neglect Any one of which may cause in the patient (a) Injury (b) Unnecessary suffering (c) Death Most malpractice suits would fit into the above small diagram, but but when one considers the various sub-groups in each and the fact that the resultant combinations go by geometrical proportions, malpractice ceases to be a simple matter. Add to this the pressure used by some members of our legal professions, and it fast is becoming a serious handicap to the physician. To illustrate some of the various ramifications covered in the physicians' legal duties, the following are taken from Regan's book, "The Doctor and The Patient and The Law," taken from actual case reports. 1. The physician must not neglect or a bandon his patient. 2. He must give his patient sufficient attention. 3. He must not experiment. 4 . He must proceed diligently, without unnecessary delay. 5 . He must follow good practice, common practice in diagnosis and treatment. 6. He must find or anticipate any condition reasonably determinable or reasonably likely to develop. 7. He must utilize indicated diagnostic aids. 8. He must obtain legal consent to operate and for autopsy. UTAH MEDICAL BULLETIN - FEBRUARY, 1953 ,;.. 9. He must give proper instructions for the care of the patient and for the protection of those coming in contact with the patient. 10. He must fulfill the terms of a special contract if he makes one. For the purposes of this paper, malpractice may be considered as synonymous with negligence. Most of the malpractice suits which have come before your Committee for evaluation have been based on negligence. Negligence in diagnosis may be as much a part of a suit as negligence in treatment. A presents himself to Physician B with a history of a skiing accident with a resultant fracture of the left tibia. A cast was applied by a physician at the lodge, and patient a sked to see orthopedic surgeon on arrival in his home city. B replaced the cast, but did not take X-Rays, gave A instructions regarding the treatment. Patient, a bout 48 hours later, talked with the physician complaining of pain a nd tha t the cast felt too tight-and he was given further instructions. Two days later, physician went on vacation without leav ing patient informed of further medical care or referring to another physician. Patient consulted another physician who took an X-Ray and found a deformity at the fracture site. This became very painful and necessitated continuous use of crutch and cane. Malpractice suit was filed alleging negligence. Analysis of the above case brings out the following points: (1) Failure to use all diagnostic methods (X-Ray). (2) Failure to see patient regularly after being informed of pain. (3) Abandonment of patient. ( 4) Resultant injury and delay in recovery. From start of care to final termination in malpractice, case was not handled according to the medical standards expected when the patient engaged the physician and the implied contract started by the physician's acceptance of the responsibility. UTAH MEDICAL BULLETIN - TRAVEL TO THE 1953 MEDICAL CONVENTIONS in Europe, the Near East, Central and South America UNIVERSAL TRAVEL SERVICE Hotel Temple Square (Mezzanine) Phones 5-6552 or 5-5924 Make light work of writing work with AU00GRAPH Doctor, are you slowed down with cumbersome , involved dictation methods? With the light, compact and electronic GRAY AU D 0 G RAP H, sound writing memos, medical histories and reports and correspondence is so easy it's a pleasure! -n /L . ~-"~ ~~· remM~J~~ Since 111) • 14 East lroodway Supplies~ Stottonery. Gifts and OHice Solt Lake City 1. Utah Dial 4-.1414 I CALL TODAY FOR DEMONSTRATION FEBRUARY, 1953 19 -------- /' ----~ Partners in Heolth Utah's physicians, hospitals and Blue Cross-Blue Shield are working together toward the same goal - better health for our people. Each makes an important contribution to the partnership. The physician devotes his time and skill for diagnosis and treatment. The hospital provides the physician facil ities for more efficient carrying out of the physician 's treatment. And Blue Cross and Blue Shield, through service benefits that pay in full for a wide range of services, relieve the patient of much of the financial burden of hospital and surgical care. With each performing a vital function , the physician , the hospital and Blue Cross-Blue Shield are a partnership fighting a successful battle to raise the general health level of our entire state. * BLUE CROSS- BLUE SHIELD Phone 5-6261 • 20 .-' ' \.. 24 Y2 East 1st South Salt Lake City, Utah UTAH MEDICAL BULLETIN- FEBRUARY, 1953 Women's Auxiliary Off.i cers Get NEW LIFE for President.. .............. Mrs. Vernal H. Johnson Ogden Pres. Elect ..................Mrs. A. M. Okelberry Salt Lake Immed. Past Pres .......Mrs. J . Russell Smith Provo 1st Vice Pres ................... Mrs. H. David Rees Provo 2nd Vice Pres ............... Mrs. P . M. Gonzales Helper Recording Sec'y ...... Mrs. Thomas M. Feeny Ogden Corresponding Sec'y....Mrs. Leo W. Benson Ogden Treasurer ......... ....... ........ Mrs. Roy A. Darke Salt Lake Auditor .......................... Mrs. M. S. Sanders Salt Lake Historian ..................Mrs. Roy B. Hammond Provo Parliamentarian .......... Mrs. Glen F. Harding Ogden The Woman's Auxiliary to the Utah State Medical Association is still campaigning for passage of the needed legislation pertaining t o water purification and sewage treatment. The response to the 1,000 letters sent throughout the state to the women's organization has been most gratifying. The February meeting of the Auxiliary to the Weber County Medical Society features Dr. Geo. Spendlove, whose subject is pertinent to this present problem of sanitation. The county auxiliaries are engaged in the sale of "Today's Health." Carbon County Auxiliary this month was rated nationally in first place in their membership bracket in the "More Exclusive Group" with a subscription percentage of 409 % of quota. Doctors who do not have "Today's Health" in your office, please place a subscripion with your county auxiliary. "Today's Health" is the medical profession's own magazine for the general public. Doctors whose subscriptions are expiring, please renew through your auxiliary in order that the auxiliary may receive credit in the magazine contest. Utah County Auxiliary will hold a rummage sale the latter part of UTAH MEDICAL BULLETIN - your car .. · Finer performance, with UTOCO GASOLINE • UTOCO Premium MOTOR OIL Let's Go-With UTOCO! UTAH OIL REFINING CO. GUARD MEDICINE BOTTLES Check your medicine cabinet. Keep dangerou s contents out of children 's reach. Every year there are deaths caused by accidenta l poi so ning. Evans 8 EarlH FEBRUARY, 1953 MORTUARY 21 Febru:1ry in Provo to raise funds for its projects. In previous years proceeds from this sale have gone to nurse scholarships. Utah County Auxiliary this month contributed $25 to the American Medical Education Fund, University of Utah recipient. This is in addition to the contribution of the Auxiliary to Utah State Medical Association of $50 to the Center and $50 to the Fund. to go into their nurse recruitment fund. Thus the Woman's Auxiliary t his February is active in the fields of legislation, public health, education, and nurse recruitment. It is hoped that these activities are contributing to good public relations. Weber County Auxiliary presented $100 nursing scholarship to St. Benedicts Hospital and $100 addition to the student nurse loan fund at the Dee Hospital in Ogden. D•·· Fowle•· Heads Uintah Basin Society Dr. H. B. Fowler, of Vernal, Utah, Carbon County Auxiliary is financing a student nurse through her entire training period. Salt Lake County Auxiliary at its February meeting will present a panel on "Why Are We Short of Nurses." The members will conduct a cake and cookie sale, the proceeds ATHLEEN B. JOHNSON Pres. Woman's Auxiliary to Utah State Medical Assn. was elected president of the Uintah Basin Medical Society at a meeting recently. Dr. John Smith, of Duchesne, Utah was elected VicePresident, Dr. C. L. Piper, of Vernal, Utah, Secretary-Treasurer and Dr. T. R. Seager of Vernal, Utah, Delegate to the House of Delegates of the Utah State Medical Association. BONDED ADJUSTMENT BUREAU and "DOCTORS CREDIT ASS'N" 35 YEARS EXPERIENCE COLLECTING DOCTOR BILLS 506 Phillips Petroleum Bldg. SALT LAKE CITY, UTAH Phone [phone] UTAH MEDICAL BULLETIN - FEBRUARY, 1953 ~ .. :\"otice To All Members Your memberships in the Utah State Medical Association and the American Medical Association, will expire on Dec. 31 - Here's How to Renew Them. MAXIMUM COVERAGE at a MINIMUM COST DOCTOR: do you know that you can obtain insurance benefits through your own p rofessional g roup insurance p lan at a t re me ndous sa ving? Don't wait longer to take advantage of this sickness and ac· cident Group Insurance C ove rage available only to mem be rs of the Utah State Medical A ssn. It' s time for all members to pay 1953 membership dues . . . local, stat e, and national. Mail your check immediately for dues to the SECRETARY-TREASURER OF YOUR COUNTY MEDICAL SOCIETY. U tah State Medical Association dues are $45.00. A.M.A. membership dues are $25.00. If you don't know the amount of your County Medical Society dues, check with your local Secretary-Treasurer. Many members probably will want to send one check to cover local, state and national dues. MAKE CHECK PAYABLE TO YOUR COUNTY MEDICAL SOCIETY. If you do tender a separate check for A.M.A. dues, make it payable to your County Medical Society and mark on the check the wor ds, "For 1953 A.M.A. dues." Your local Secretary-Treasurer will forward state and national dues for you and other members to the offi ce of the Utah State Medical Association. That office will transm it A. M.A. dues to Chicago. REMEMBER: AS A PART OF THE PRIVILEGES AND SERVICES OFFERED TO ALL MEMBERS BY THE A.M.A. YOU WILL RECEIVE A YEAR'S SUBSCRIPTION, WITHOUT EXTRA COST TO THE JOURNAL OF THE A.M.A. Memberships and subscriptions are on a calendar year basis. Both expire on December 31. Renewal must be made before Feb. 1, 1953. FELLOWSIDP IN PEDIATRIC CARDIOLOGY - Applications are being accepted for a fellowship in pediatric cardiology, to begin in Phone or write for Application Blank ~£~ ~EL ~clson 608 Beneficial Life Bldg. Phone 4-840 I Salt Lake City, Utah Complete Stocks of Surgical Equipment, Instruments and Hospital Supplies Your Oldest Instrument Dealer At Your Service THE Physician's Supply COMPANY 48 West 2nd South Salt Lake City, Utah P. 0. Box 1013 UTAH MEDICAL BULLETIN- FEBRUARY, 1953 Phone [phone] July, 1953, at the University of Utah School of Medicine, Salt Lake City. Applicants may write to Dr. Hans H. Hecht, associate professor of medicine, University of Utah School of Medicine, University St., Salt Lake City. How Yo••r $25.00 Is Being Spent What becomes of your $25.00 A.M.A. dues? Dr. Louis H. Bauer, president of the A.M.A, went to the books of the A.M.A for the answer. This is what he found, and we quote: "If we allocate the $25.00 paid by the individual member in 1951, we shall find that it was distributed as follows: $15.00 went to cover the cost of his subscription to "The Journal"; $5.14 to the scientific and semiscientific activities; $1.06 to administration; $0.39 to biographical and membership records: $1.07 to public relations, the Washington Office and the Bureau of Legal Medicine; $1.07 to the capital of the Association; and $1.27 to the National Education Campaign. In 1953 the amount allotted to the National Education Campaign will probably be divided among the other activities in relative proportion." Supplementing the above, Dr. Bauer emphasized the vital part of the A.M.A. in bringing about and maintaining high-standard medical education, high standards in therapeutic agents and apparatus, high quality of hospitals, protection against fraudulent remedies and charlatanism, high standards of medical care and the right to practice in a free state, and added: "Can any member think of any way i.n which to spend $25.00 and obtain greater return for his money?" It would seem as if Dr. Bauer's data constitutes a conclusive answer to his own question. WESTERN OPTICAL COMPANY The new and en!arged quarters, the installation of the finest and most m<>dern machinery at The Western Optical Company .. together with the extremely high standards of ability, integrity and service assures you that your prescription will be filled with the utmost precision and care. WESTERN OPTICAL CO. MANUFACTURING OPTICIANS PRECISION GRINDING and FINISHING 24 West Second South Street Salt Lake City, Utah PHONE [phone] UTAH MEDICAL BULLETIN - FEBRUARY, 1953 ( .. and two stores are better than one for COMPLETE service to the medical profession. I • SURGICAL SUPPLY CENTER 357 S. 2nd East - Salt Lake City Dial 22-5555 FOR THE DOCTOR . every need from a suture needle to a complete office. Surgical Supply Center is designed exclusively for QUICK, ACCURATE, streamlined service to the medical profession and hospitals. Robinson's Medical Mart 331 SOUTH MAIN - SALT LAKE CITY - DIAL 4-5594 , FOR THE PUBLIC . .. Skilled technicians fill doctor's prescriptions to the letter for Oxygen, Orthopedic Fittings, etc . . . . supply wheel chairs, hospital beds . . . every sickroom need. uncomplicated progress The uncomplicated nutritional progress 1 of infants fed Lactum® speaks for its sound ration~ ale. Lactum is a liquid formula made from whole milk and Dextri-Maltose® . . . dis~ tinguished by a generous protein content and balanced proportions of fat and carbohydrate. When Lactum is fed in the suggested amounts, the infant receives the Recommended Daily Allowance of protein with an additional mar~ gin of safety. Lactum is convenient and easy to preparesimply mix equal parts of Lactum and water for a formula supplying 20 calories per fluid. ounce. 1. Frost, L. H., andjackson, R. L.:J. Pediat. 39: 585·592, 1951 • .. Lac tum MEAD JOHNSON & COMPANY Evansville 21, Ind., U.S.A. ' ! ~ l