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A Kansas City gastroenter-ologist warned here Monday that freezing of duodenal ulcers can prove both dangerous and fatal. Dr. Arthur P. Klotz of Kan-City said he realizes this a controversial issue and that some physicians will not with him. ''But after carrying on experiments with 300 volunteer patients over a six months period, I would certainly advocate discontinuance of this method of treatment," he said. "Not only could it prove dangerous, but the good it accomplishes is only temporary." Dr. Klotz was a featured speaker at the 27th annual meeting of the N. 0. Graduate Medical Assembly, which opened Monday at the Roosevelt Hotel. Interviewed between assembly sessions, the physician said! he believes the enthusiasm! Cont. in Sec. 1, Page 37^CoT~li w h i c h initially greeted ulcer freezing is dying down. "X think we should go back to the usual method of medical management in which anti-acids are combined with acid-suppressing drugs," he added. "If such a program of treatment is followed properly, almost 100 per cent of the patients will be entirely pain-free and, in a short time, the ulcer will be completely healed without surgery." Dr. Klotz said each one of th< 300 volunteers went through th( standard 45 minutes of freez< ing. "Each one swallowed an un-inflated stomach-shaped balloon to which rubber tubing was attached. The other end of the tubing was hitched up to the freezing machine which circulated 700 to 900 cubic centimeters of cooling fluicj from the balloon back to the machine and from machine back to the balloon." 17 BELOW ZERO Dr. Klotz said temperature of the fluid, going back into the balloon, was minus 17 degrees below zero, Centigrade. "This freezing," he explained ' 'decreases acids formed in the stomach. Relief, however, is only temporary. In about three weeks the acids are back. Why not freeze the ulcer every three weeks? Because, in my opinion, this is a very dangerous procedure since the temperature cannot be safely controlled. If the fluid becomes too cold, then the entire lining or wall of the stomach could be destroyed. Only 13 per cent of our 300 patients were completely relieved through freezing." Other speakers at the convention, which is attracting about 1000 persons to the various sessions, said: 1. Since most adolescents dread the idea of going to a psychiatrist the family doctor should try to help them with their problems. 2. Leukemia cells, trapped in the brain, don't respond to most leukemia drugs. 3. When people are facing death, its' up to the doctor to decide whether or not they can be told the whole truth. Dr. J. Roswell Gallagher, of Boston, Mass., said most adolescents need someone to listen to them sympathetically during the trying teen-age years. FAMILY DOCTOR "I think the family doctor can do a good job here," added the physician, who is chief of the Adolescent Unit at Children's Hospital Medical Center. "Of course if the family doctor can make no progress, | the possibility of sending the j adolescent to the psychiatrist! has to be considered. But onlyl as a last resort. Most adolescents react badly to the 'headj shrinker'," as they call him. They say " 'Aw, Doc, if I go to him, people will think I'm nuts'!" Dr. Gallagner said if the adolescent is obviously suffering from a psychiatric disorder the family doctor can prepare him for his visit to the psychiatrist by explaining to him that there's actually "nothing queer or unreasonable about such a visit." Dr. Gallagher said he enjoys dealing with adolescents. "If these young people think you're their friend, they're most appreciative," he added. "They need someone to listen sympathetically to them during the years in which they are trying to break away from their parents." LEUKEMIA DISCUSSED Central nervous system leukemia, a leukemia involving the brain or the covering of the brain, was discussed at the convention by Dr. Margaret Lyman, of New York city, the only woman speaker at the convention. Dr. Lyman, whose youth and beauty belie the high reputation she has gained as a leukemia expert, said "often leukemia cells become trapped in the brain." "Leukemia, as you know, is generally in the blood stream. But blood goes to the brain. So leukemia can also be in the brain," explained the physician, who is instructor of the department of pediatrics, Cornell University Medical College. Dr. Lyman said "when we send drugs, used to treat other leukemias, into the blood stream in quest of the leukemia cells in the brain, the brain keeps them out." "Why? Because the brain is very particular about what it lets in," the pediatrician explained. "For certain chemical and physical reasons, many drugs just don't get into the brain, Yet these same drugs are the ones which are proving effective in helping leukemia of the liver or leukemia of the bone marrow." Dr. Lyman said fortunately there is a drug called predni-sone, which will help leukemia of the brain, as will injections into the spine of a drug called methotrexate, she added. X-RAY THERAPY 1 'Methotrexate," e x p 1 ained the pediatrician, "will flow over the covering of the brain and destroy the leukemia cells. A third method is X-ray therapy for the head and spine." Dr. Lyman said although today's leukemia patient can live as long as 14 months, compared wtih the four-months-life-span of 1958, there's still no (cure for this disease. "I may be indulging in a dream," the woman pediatrician added, "But I cannot help but hope that some day a breakthrough may come in the field of immunity. Say the body could be made to cure itself by rejecting cancer cells in much the same way that people today reject the foreign tissue of transplants." Dr. Lyman said most older children realize they are suffering from a fatal disease and this is especially true when they refuse to talk about it. Another speaker, Dr. John B. Reckless, Durham, N. C, discussed the problem of how much to tell a person who has been stricken with a fatal disease. 'DEPENDS ON PATIENT' "It all depends on the patient," said Dr. Reckless, who is associate in psychiatry at Duke University Medical Center. "Some people want to know everything about their illness so they can make proper arrangements for themselves and for their families. As a rule) such people can be told the truth about their condition. And although they may not like the idea of dying, they feel more peaceful with the knowledge. They are grateful that they have been given a chance to prepare themselves." Dr. Reckless said at the other extreme are the patients who go into mental depression or extreme panic when they learn they are facing death. "Wifh them," said the psychiatrist, "the family faces a very serious decision. How much of the truth can they take without^ panicking? I advocate telling* such people as much as they can safely handle. I don't believe in lying. But if you realize that the patient in question does not really want to know the truth, you can say, 'This condition can be fatal but in your case we cannot be sure."
|Title||Freezing duodenal ulcer dangerous, doctors told|
|Contact Information||John P Isché Library - LSU Health Sciences Center New Orleans - 433 Bolivar St. New Orleans, LA 70112 ~ Send Inquiries to firstname.lastname@example.org|
Hartwell, Ralph, Dr.
Congresses as Topic
New Orleans Graduate Medical Assembly
|Call Number||1964 p35-36|
|Identifier||See 'reference url' on the navigational bars.|
|Source||John P Isché Library - LSU Health Sciences Center New Orleans ~ http://www.lsuhsc.edu/no/library|
|Coverage-Spatial||New Orleans (La.)|
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|Object File Name||index.cpd|