Cedar Rapids Gazette (Newspaper) - July 16, 1974, Cedar Rapids, Iowa
For Better Health
Doctors Should Keep Trying
To Help Uncooperative Patient
By Dr. S. L. Andelman
What does the doctor do with a patient who refuses to follow his doctor’s orders? Should he just charge him off as “uncooperative” or should the doctor keep trying to persuade the patient to do what he should do?
By all means keep trying, doctors. That advice, which I strongly believe myself, comes from the American Medical Assn The AMA says that patient noncompliance with a doctor s orders is a serious medical problem in itself — one that deserves more attention from the medical profession.
Studies show that at least one-third of the patients studied failed to do as their doctors suggested; in some studies as many as half the patients failed to follow their doctors' orders. Not doing as his doctor says not only reduces the benefits a patient could could get from medical care but is expensive — in both economic and human terms —
S. L. Andelman
and is frustrating for the doctor
That's why the AMA is suggesting several techniques that doctors can use to get the problem patient to follow medical adv ice
Tackle the problem patient from four angles, the AMA says, taking into consideration the factors that have been found to be at the root of the problem — psychological factors, environmental and social factors, the therapeutic regimen and the physician-patient relationship
Patients who resist medical directions for psychological reasons often see themselves as less susceptible to illness.
I hey tell themselves it won t happen to mc
Env ironmental and social factors influencing the problem patient include poverty and unemployment Lath of money, lack of transportation. family problems at home all contribute* to neglect of the doctor's orders Here s where social agencies can often help
A realistic therapeutic regimen is also suggested — that is, one* that doesn't entail too drastic a change in lifestyle. Physicians can also improve a patient’s treatment by taking the time to establish a friendly rapport with him, so that patient respects and likes the doctor. It s also important for the doctor to educate his patient as to the exal t physical condition and the reasons for following medical advice
lf you're one of those patients who doesn’t follow your doctor's orders, think about the above. You may even want to discuss it with your doctor
By Oswald & James Jacoby
The game was match point duplicate. West s opening two-spade bid was one of those weak two-bids that have become quite popular in tournament and some rubber bridge circles.
The bid would have worked out very well if East had not been greedy. Two spades would not make and with normal play thiee clubs would have been down one, but East elected to make one of those match-point doubles designed to pick up 200 points if lucky.
A K 106
▼ KQ10 7 4
A A Q J 9 8 4
V A J 8 3
A J 9 7 2
♦ QID 8 5
♦ Q J 8 6
A A K 3
♦ AK 10 9 4
Pass 3 A
The Investors Quide
He wasn't lucky. West opened the nine of hearts The queen was played from dummy and after prolonged thought East let it hold. South led a trump from dummy and East played low quickly, but unsuccessfully. South believed the double and finessed his IO After this it was a simple matter for South to cash his top diamonds; ruff the last one; cash his ace and king of trumps, and eventually wind up with nine tricks and the top score East had hoped for.
East blamed his partner for not opening and continuing spades, but that defense would not have worked either provided South played East for both club honors as he surely would have against whatever line of defense was used against him
The bidding has been West North East
I N T Pass
You, South, hold 4 A Q 6 5 4 f A Q 6 5 4 4 A K A 2 What do you do now’’
A —Bid three hearts. You want to be in game and this jump in a new suit is forcing.
TODAY 8 QUESTION
Your partner continues to three notrump What do you do now'*
ON THIS DATE in 1971. a former White House aide, Alexander Butterfield, disclosed that President Nixon had secret listening devices in the White House.
For the Finest in Paints
Bv Sam Shulsky
Q — You have mentioned
that a large block of stock may
be traded without much price
movement on the ticker
because the trade represented
a transfer of stock between two
large institutional investors,
arranged by a few brokers —
or even only one broker lf the
transfer is handled by one
broker wouldn't it follow that
“nothing happened ”? Doesn't
that mean that the old adage
that there is a buyer for every
seller is a sham?
A — I’m not sure I follow
lf Mutual Fund A decides to
get rid of HNI.(MNI shares of XYZ
stin k (because it wants to take
a profit, or establish a loss, or
has found a better investment)
and Mutual Fund B takes the
stock because its analysts say
it is a good buy, I'd say
something ha* happened. A
and B have swapped a large
block of stock for money. And
there was a buyer (B) for the
The only thing that hasn t
happened is that HNI.(MMI shares
of XYZ were not dumped on the
open market, disrupting the
market and causing, most
likely, an exaggerated and
unrealistic price movement.
It is true that a single broker
may have arranged the
transfer, but that doesn't mean
that he set the price, nor does it
alter the fact that he did find a
buyer for a seller, both of
which relied on their own
* * *
Q — I would appreciate your comments on the enclosed stock-buying booklet from our bank We are in our early 40s, home mortgaged, modest income but no current debts. Eve asked about this before, but have received no answer.
A — Personal answers go out to readers who supply stamped, self-addressed, return envelope's Your question has been discussed here before — and favorably.
The program is one offered by quite a few commercial banks — a periodic purchase of stinks through small monthly payments I like it because
1 — The list of stocks thus being offered is made up entirely of blue chip issues — shares of companies which have been in existence for years, have been successful in offering long-term capital growth and or dividends
2 — Periodic purchases are just about the best way for the average earner to acquire stocks.
3 — Investments may be modest in size.
4 — Habit is one of the best investment ingredients.
Questions such as yours are almost always accompanied by queries “Are the fees fair? I haven’t studied all the fee schedules offered by various hanks, or even by stock exchange member firms which
offer a similar service I suppose some are higher than others, but I don't think that in any case does the fee affect materially the wisdom of the program for those who find it
comfortable. I say — go to it.
* * *
On short selling dangers: In
a recent column I pointed out
that if you sell stink short you
may have to pay dearly for the
stock if you are forced to
deliver. Larry Botts of
Thomas, Haah and Botts, put
and call dealers, points out
correctly that (his risk can be
limited by simultaneously
buying a call option. Also, he
points out, an alternative to
short selling is to buy a “put”
option which limits the loss to
the amount of the premium * « #
Q — I am a widow, late 70s. receiving social security plus SKM) a month from a pension. Must I pay income taxes’*
A — The Internal Revenue Service information bulletin, under the heading of “filing requirements.“ says a single person must file a return if gross income is at least $2,050. Social security income is not taxable income. And part of your pension may not be taxable. This you must determine at the pension source. You may
or may not be subject to tax.
* * *
CALLABLE: A bond issue which may lie redeemed before maturity , in part or iii its entirety by the issuing corporation under specific conditions. The term is also applied to preferred shares which may be called in and paid off at a fixed price by the issuing corporation.
Mr Shulsky welcomes written ques tions. but be will be able to provide answers only through the column bor lists of growth and dividend stocks please include a self addressed, stomped en vetope Address your requests to Sam Shulsky, care of The Careme
Hopes Smoking Goes Down
NEW YORK (UPI) - Warn-mg: Smoking in a New York City elevator may be hazardous to your wallet.
By a 31-9 vote, the city council outlawed smoking in passenger elevators, despite objections that such a law couldn’t be enforced
If approved by Mayor Beanie, the bill would require the posting of “no smoking” signs in the elevators, and penalties of up to 15 days in jail and a $50 fine could be levied for violations.
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