Lethbridge Herald, The (Newspaper) - September 20, 1974, Lethbridge, Alberta
iHt LEiHBRIDGt HERALD Friday, September 20, 1974 Lawrence Lamb M.D. Dear Dr. Lamb I am so angered by your reply to the parent of the 16 year old girl who died of subaortic stenosis that for the first time in my life I am motivated to write to a newspaper. For 17 years I'd been told by several of New York City's best cardiologists that, though surgery was known for this condition, the mortality rate was too high to subject my son to it. He was an active, alert, bright in- dividual who could lead a nor- mal life, with periodic checkups by a doctor. At 17 he suffered an aortic aneurysm and after an ex- cruciating week he died in 1967 Obviously when seven years later a 16 year old girl succumbs to the same condi- tion the medical profession knows no more now than it did then' How can you assert that subaortic stenosis can go un- noticed by the victim? Dear Reader You need to appreciate that subaortic stenosis (obstruction to the outlet of the heart) is an unpredictable disease. Your doctors gave you the best advice available at that time. I checked my own experience with the leading text on heart diseases and note that in 1968 the death rate for aortic stenosis at surgery or in the next four years following sur- gery was about 20 per cent. With these odds most heart specialists then agreed it was not wise to subject a person to surgery unless he already had You say your son suffered no ill effects and was active, so it is quite under- standable that his doctors did not recommend surgery at that time. Open heart surgery was just beginning around 1955 The risk 17 years ago was very great indeed. The problem is quite different if the patient has symptoms As soon as there is some evidence that the obstruction in the heart is great enough to cause the patient to have symptoms then the risk of sudden death is high enough that most heart specialists think surgery should be done right away, un- less there are other problems. The doctor has to balance the risk of operation against the risk of not having the operation. In unpredictable disorders of this type and sometimes because of sudden changes in the patient's con- dition, it is not possible to always make the right choice, regardless of training or ex- perience. Hindsight is so much better than foresight. I think you are being un- necessarily hostile about some matters in which you are not adequately informed. There has been some im- provement in surgery in the past seven years and better in- formation about when to operate. But still there is no foolproof way to be absolutely sure. Now, about my stating that a patient may not notice the condition. I have seen men in the service in uniform, some of the doctors, who had this problem and had been un- aware of it until an abnormal sound in the heart led to its discovery. It is simply a state- ment of well established fact that if the obstruction is mild that it may cause no symp- toms at all. So the person will first find out about its presence when the doctor notices it on an examination. I'm sure you did all that could reasonably be expected for your son. It was just a series of unfortunate and unpredic- table events. Send your questions to Dr. Lamb, in care of this new- spaper, P.O. Box 1551, Radio City Station, New York N.Y. 10019. For a copy of Dr. Lamb's booklet on cholesterol, send 50 cents to the same address and ask for the "Cholesterol" booklet. (Newspaper Enterprise ASSN.) FIRM'S PARTNER DIES NEW YORK (AP) Norman Proctor Smith, a retired partner in Merrill Lynch, Pierce, Fenner and Smith, died Friday at age 74. Smith died at his retirement home in Boca Grande, Fla. Goren on Bridge BY CHARLES H. GOREN t The CKicaio Tribune Neither vulnerable. East deals. NORTH J974 AKQ J6 K543 WEST EAST Q2 AK83 4KQ75 4Q1087 SOUTH 1065 1062 A108 AJ96 The bidding East South West North 1 Pass Pass Dble. Pass 1 NT Pass 2 NT Pass 3 NT Pass Pass Pass, Opening lead: Two of Declarer pieced together various dues evident in the auction and defense with the and patience of Sherlock Holmes. his deductions h.'.i-- done honor thai famous sleuth. North's reopening double could ha'v e been made on slighter so he felt 10 show that he had a full opening by h-.s partner to two no tr-imp. "vuilh ijair full in his intermediate cards and the favt that his hand mjijhi armaJly he bet- ter than it was because he as er 1 he bidder. and -Aer' on H.ITTH- >d his. dia captured %vuh the ace n tr-'-V.s Tvvw ther" lor 1 h< for thi- jat-'k ten of diamonds guaranteed a second trick in the suit. If clubs broke 3-2 and East held the queen, a finesse in that suit would produce the two additional tricks South need ed for his contract. Before committing himself to that line of play, declarer decided to see what he could learn about the unseen hands. From the opening lead, it appeared that the diamonds were divided 4-4. and this suspicion was re- affirmed when South re- turned a diamond at trick two. East won the king and played another diamond, while West followed with the three and four. Declarer's next move was to cash two high hearts, and on the second round East discarded a spade. Declarer donned his think- ing cap. for East's discard had been most revealing. Since East had opened in a four card suit, he surely could not hold ,t higher rank ing five card suit. Yet he was marked with eight cards m spades and Hubs, for he held only 5 in the red suits. If de- clarer's deductions were cor reel. East had to four or five clubs, so a simple finesse in clubs would not good enough in pick up the suit. Suiting the deed thought. declarer proceeded to cash the king of Hubs and, when no honor appeared from the West hand, <-on tirujed with a low Hub to tin- nine. His analysis was vin dirated failed to follow. It was now a simple of TOSS to dummy's remaining heart honor and the Hub finesse for a game. ABO Your horoscope By tone Diim SATURDAY, SEPT. 21 Your birthday today: Finds you taking on increasing responsibility; make sure it's really yours to carry. You meet a great many people, develop a wide range of con- tacts that produce all sorts of relationships, often involving conflicts and competition for your time and attention. Today's natives are hungry for knowledge, will study and travel to get it. ARIES (March 21-April Close associates are sensitive, disagree over almost anything and even more tensions mount tomorrow. Do only what you know how to do; keep all negotiations simple. TAURUS (April 20-May A touch of formality is very helpful with complex personal relations now. Caution with machines. GEMINI (May 21-June Find a common ground between generosity and ex- travagance, avoid extreme behavior or attitude. Your attention is likely to be scattered. Leave nothing to chance in unfamiliar areas. CANCER (June 21-July Go slowly, be sure of what you're doing and reap all the benefits. Prepare to set straight past errors as soon as possible and whatever the cost. LEO (July 23-Aug. Your indiscretion and overdo- ing comes all too easily in the rush of today's cross-currents. Pause for meditation; accept guidance from intuition. VIRGO (Aug. 23-Sept. Even carefully plotted moves have to be made in a hurry. Financial steps should be con- firmed to well-researched, familiar fields and kept to a minimum. LIBRA (Sept. 23-Oct. Aim for serenity through a changing scene, despite possi- ble clashing personalities. You needn't commit yourself to settling any concerns but your own. SCORPIO (Oct. 23-Nov. There are factors not readily visible in almost any phenomenon. Take nothing for granted. Get an outside opi- nion (not that you'll follow it, but you might SAGITTARIUS (Nov. 22- Dec. Friends are useful, but unlikely to be accom- modating or flexible. Finan- cial opportunity isn't what it seems, mainly from wishful thinking. CAPRICORN (Dec. 22-Jan. Contingencies may arise for which you have no provisions. Get away from business or commercial tran- sactions where possible. Intui- tion brings last-minute in- sight. AQUARIUS (Jan. 20-Feb. Stay clear of complex arrangements, unusual cir- cumstances and odd luck. Let your friends sort out their own problems. PISCES (Feb. 19-March Be thrifty and prudent; there is always a terrific bargain. Fully understand before you make moves in- volving shared resources. Ask Andy CAMELS Andy sends a complete 20 volume set of the Merit Students Encyclopedia to John Simon, age 12, of Sioux City. Iowa for his question: Why do camels have humps? Scientists have traced the camel's family tree way back through fifty million years. The orginal ancestors were small, humpless animals who lived where food and water were plentiful. But for reasons unknown they were wanderers and through the ages some of them wandered to the arid deserts of Asia. There they gradually developed humps and other adaptations to store extra food, water and energy. Textbooks written twenty years ago tell us that the camel stores food in his hump and water in his stomach. Chances are, there were diagrams showing small pockets in the walls of two of his four stomachs, his extra water was supposed to be stored. Then, in the 1950's a team of researchers went to the Sahara Desert to re study the camel's storage secrets. And the famous old stories must be re written. The experts studied the one humped Arabian camel of Africa. This more familiar animal is a fairly recent cousin of the two humped Bactrian camel of the Gobi Desert region of Asia. In ten minutes, a thirsty camel can drink more than 25 gallons of water and after a period of feasting he adds about 100 pounds of fat to his hump. Then he can go several days without a drink. If he munches on dewy desert vegetation he can keep going for more than two waterless weeks. The record is 34 days. The camel's economical systems for storing food, water and energy are related to each other and very com- plicated As other animals lose moisture, water is lost from the blood stream and they soon become exhausted. The huge drink goes not to his stomach, but spreads through the tissues of his en- lire body This tissue water is used up in the thirsty desert. while his blood stream is left provide oxygen as usaai. He loses weight and his hump dwindles, but he remains ac- tive until the end. Some biologists have suggested that the 100 pounds of fat in his hump could be converted into 30 gallons of water. But to perform this miracle, the camel would use so much extra oxygen that more than 13 gallons of moisture would be lost in the breathing process. Experts now agree that the fat in his hump is converted into the steady energy that keeps him trudging through the desert wasteland. The amazing camel also has other built in conveniences to keep him going without food and water. He sweats very lit- tle and his thick, silken coat insulates his body from the worst of the desert heat. Dur- ing the cool desert night, his body temperature drops and he usually remains comfor- tably cool until noon. asked by chil- dren of Herald readers should be mailed to Ask Andy, P.O. Box. 765, Huntington Beach, California 92648. (Copyright Chronicle Publishing Co. 1973) Pun with figures By J.A.H. Hunter "So you sold the two tables you bought at the sale." said Ruth. "I thought you liked them." "I did. but they were really too big." Joe told her. "Mike paid me a hundred bucks for each, so 1 made a profit of on one and a Joss of only 207f on the other. I didn't do too badly." What was the net result from the two double transac- tions?