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Show Page Twelve FRIDAY, OCTOBER Genealogical Association Slates Annual Convention 10, 1975 THE SALT LAKE TIMES Cause of the Medical Malpractice Insurance Problem is Lack of Communication Between Doctor and Patient A Major Advance reservations, which inEunice Barnard Haden, clude the luncheon, are available Editor of the DAR Patriot Index, October 25 at $8.00 for to and former National DAR Chairprior UGA members and $10.00 for man of Lineage Research, will be the featured speaker at the 5th Registrations at the door will be of the Utah Annual Convention accepted, but will not include the luncheon where Miss Genealogical Association. The conon will held be vention Saturday, Haden is the featured speaker. c November 1, 1975 at the Travel Lodge in Salt Lake City. Miss Haden will speak at the noon luncheon on DAR Genealogical Records and Services," and will accept the Annual Utah Genealogical Association Award on The official 1975 Bicentennial behalf of the Daughters of the commemorative medal, authorized American Revolution. Records of by the Congress, went on sale the National DAR Library are now October 1. available to residents of Utah Available in bronze ($3.50) and through a cooperative filming prosilver ($15.00), the medal is issued ject with the LDS Church Genealby the American Revolution Bicenogical Society. tennial administration (ARBA) and Miss Haden is a native of Washproduced by the United States ington D.C., and graduated from Mint. Oberlin College, Ohio where she Orders for the medal should be was elected to Phi Beta Kappa and sent to the American Revolution did graduate work in Personnel Bicentennial Administration, P.O. Administration. She is a recognized Box 1976, San Francisco, California genealogist, author, artist, and 94101. A check or money order experienced administrator. She is should be enclosed. listed in Who's Who in American The medal commemorates the Art, Whos Who in the South and famous ride of Paul Revere and Southwest," and Whos Who of the Minuteman Statue on American Women. She has served depicts Lexington Common as a tribute to for over 20 years as a volunteer the small band of volunteers who genealogist for both the Daughters "faced the shot heard round the of the American Revolution and the world." Sons of the American Revolution. Net revenues from the sale of the Miss Haden will also give an medals are used primarily to supafternoon lecture on U.S. Migraport state and local Bicentennial tion Trails." Other convention topprograms around the nation. Order forms for official 1975 ics will be, Irish Research," North Carolina Court Records," commemoratives can be obtained English Pedigree Analysis," U.S. from local chapters of the Disabled Land Records," Research Analysis American Veterans, who have Tools, Publishing a Family His- joined hands with the ARBA to help raise funds for Bicentennial tory, Note Keeping, and "TeachBasic projects and prograMS. ing Genealogy." Miss non-member- Tri-Ar- 1975 Bicentennial Medal Available MEDICINE by H. BOSWELL YORK. R. PH. Are there any space age drugs as a result of our space program? - C.K. Yes. One drug is procarbazine, which is derived from a rocket fueL It is used in combination with other drugs in the treatment of a form of cancer called Hodgkins disease. With regard to high doses of vitamin C in one of your previous articles, would you please specify how many milligrams would be a high dosage? M.C. Daily multiple vitamins contain from 60 to 500 milligrams of vitamin C. People who take vitamin C in high doses to fight the common cold take 1,000 to 4,000 and more milligrams per day. Most medical people consider these dosages high. How long is it safe to keep a multiple vitamin, and does refrigeration make them last longer? - J.D. Most name brand vitamins have a expiration date on - them. After that date the manufacturers do not the of these vitamins. Refrigeration is guarantee potency of little value. Have you read that a diet low in cholesterol can lead to a longer life? - C.H. According to the findings of a research team in Ecuador it would appear that way. The team found a group of villagers living high in the Andes who had little animal fat in their diet. The oldest resident was 121 years old. Electrocardiograms of the 20 oldest of the villagers showed that only two had any signs of cardiovascular disease. Is that not food for thought? FIRST AID: There are times when you wish your children could be raised in a padded cell - that would protect them - for they are their own worst enemy. Splinters and scrapes, bites and burns - you name it they will get. s. (This is the fifth of a series of six articles concerning the medical professional liability (malpractice) insurance problem in Utah. The material was prepared by the Utah State Medical Association whose 1,375 practicing physicians make up 99 percent of the nongovernment doctors in Utah.) Contrary to popular talk, many physicians do make house calls. And, monitors and computers have not become substitutes for nurses and physicians. One does not do a better job than the other; they do different jobs and complement each other. But, as in so many other areas, progress has meant a degree of depersonalization in the field of medical care. With a population of more than 210 million, each asking for more medical attention, there just arent enough doctors in America. If todays physician is to see as many patients as he must, he just doesnt have time for the neighborly small talk of yesteryear. Such are the facts of medical life in America in the latter part of the 20th Century. Yet, Americans today are the beneficiaries of the finest medical care in the world. But, the need is still there for the doctor to know the background of his patient and to fully explain the patients illness and treatment to him, Dr. Howard G. McQuarrie, president of the Utah State Medical Association, said. The nurse who thinks the monitor or computer is doing her job and the physician who simply fails to take the time to fully explain things to his patients are just kidding themselves, and we as a profession should make no apologies for them, he said. One of the prices of progress, however, has been the demise of the "family doctor," the friendly neighborhood physician who could go out in the dark of night and come to your home to see about little Johnny's cough. And, the medical advances of recent years have led to a degree of specialization among doctors that means that a specialist may need to see you only once or twice for a specific procedure and that he probably never is going to treat you again for anything. In many hospitals in Utah, the vital signs of a patient are monitored electronically by a computer that flashes a danger signal at critical times. While these new electronic gadgets are tremendous aids to the doctors and nurses, they dont talk to you, tell you about your condition, or reassure you. Medical costs are rising in Utah because more doctors are being sued by unhappy patients, and the cost of these suits is increasing the cost of the professional liability insurance every physician and hospital must carry. "We acknowledge that one of the major causes of unhappy patients and the lawsuits they bring is that the doctor didnt take the time to talk with them," Dr. Howard G. McQuarrie, president of the Utah State Medical Association, said. In all candor, let me acknowledge that the doctor is trying to see as many patients as he can, and he may be rushed. This is not just to increase his income as we hear so often, but simply because there are so many patients who must be seen," Dr. McQuarrie said. But, increased patient load, in- creased specialization, and increased mechanization notwith standing, doctors simply must take get regular rest. Uur relaxation is the time to talk with their patients, disturbed regularly. We have periand the Utah State Medical Asso- ods where we are up late at night ciation is doing everything it can to with emergincies, in surgery in the remind its members of this respon- morning, and then off to the office, and we are just plain tired, he sibility, he said. The Utah medical profession is said. All doctors knew this would be aware of the problems of the their inlifestyle when they entered waiting room, which in many stances is truly that a waiting the profession, and the rewards, room. Many Utah doctors have both personal and financial, comconsulted with efficiency experts in pensate for it. But the irregularity an attempt to make sure their time of our personal schedules is an imis fully utilized while minimizing inportant factor in our communicaconvenience to the patient, Dr. tions with our patients, and it would be helpful if they were more McQuarrie said. We are aware that many patients aware of it, he said. The answer, then, is for the feel they cannot get through to their doctor on the telephone. But, doctors to take more time to talk most Utah doctors would prefer not with their patients and for the to practice medicine over the tele- patients to be more aware of the phone unless it is a dire emergency, pressures on doctors, he said. Depersonalization of medicine and would prefer that the patient come into the office so he or she can may be a necessary evil which will be seen," according to Dr. Mc- tend to lessen the personal doctor-patien- t relationship, but we cannot Quarrie. allow depersonalization to destroy The normal priority that that a doctor puts on the demands for his that relationship. To save that unique relationship, however, will attention is emergency and cases first, office patients take more time and a greater effort second, and telephone calls last," on the part of doctors and patients alike, Dr. McQuarrie said. he said. Doctor-patien- t communications in-hos- pital street. While physicians need to be constantly remindis a two-wa- y ed to take more time with their patients, patients have responsibilities, too," Dr. McQuarrie said. The doctor has the responsibility to tell the patient the nature of his illness, the proposed treatment, alternative treatments, and the risks involved and chances of failure of the various alternatives, including no treatment at all, the Utah medical leader said. The patient has the responsibility to be honest with the doctor, to tell him as specifically as possible what his complaint is, and be understanding of the fact that he is not the only patient the doctor is treating," Dr. McQuarrie said. Doctors are people too," he said. We dont lead normal lives as most people understand them. We dont By Jack Houia, Tha Diractor Taachar'i Scotch Information Centra THE WAY OF AN EAGLE Every keen golfer has heard of the famous Scottish golf centre, Gleneagles. 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