Janesville Daily Gazette from Janesville, Wisconsin • Page 26

Daily Septemker 8, 1966 Second of a Series mphysema Patients Describee. As Helpless; No Cure Is Known EDITOR'S NOTE A chronic cough? Short of breath? It may be nothing at all. But it may also be symptoms of early emphysema, a lung disease causing increaskg concern among doctors. The following, second in a four-part series on emphysema, tells of some new advances in treatment. By FRANK CAREY AP SOENCE WRITER WASHINGTON (AP) You have an area equivalent of two temiis courts inside your chest and health authorities are growing increasingly worried about a lung disease, emphysema, which puts "holes in the tennis courts." It does its lethal work by attacking tiny, bubble like sacs numbering 750 million in the tissue of the lungs.

If the walls of these air sacs were spread out in a sheet, they'd occupy the area of two tennis courts. A whisker-thin sheet of tissue sliced lengthwise from an emphysema-ridden lung that is, an advanced like a motheaten scari. A slice as thick as a piece of steak shows large transparent areas that resemble the remains of a jellyfish tossed up on a beach. They contrast sharply with dense areas of still healthy tissue around them. Neglected Till Now Doctors of the U.S.

Public Health Service recently formed Chronic Respiratory Diseases Program contend that emphysema together with its frequent fellow traveler, chronic bronchitis constitute a category of ills "which has been neglected by both official and private medicine largely due to a mixture of misinformation and defeatism." They grant that no drug or other cure has yet been unearthed for emphysema and no easy way to reverse the ac- ition of its stealthy sidekick, chronic bronchitis. As a result, "both patients and physicans have come to regard them as virtually hopeless." But, says Dr. Wilfred David, acting chief of the Health Service Division of Chronic Diseases which organred the program, advances have been made by a few investigators and hospitals in treating sufferers especially late-stage cases and in rehabilitating significant numbers of them. So the job now, he and other officials say, is to see to it that the message gets around, to demonstrate the value of establishing additional detection and treatment clinics, to make sure doctors everywhere are kept abreast of the latest information; and finally, to combat "the pessimism of all too many practitioners." But what's this disease all about? It dates back at least to the ancient Greeks and Romans, medical historians say. It wasn't until more than 125 years ago that Laennec, the first physician to employ the newly developed stethoscope, noted a form of breathing obstruction that later became known as emphysema.

That's the Greek word for inflation, or blown up. And emphysema means a blown-up lung. Think of a Tree To understand it, think first of a tree placed upside down in your chest with the trunk extending into your throat. That's your "bronichial tree" the lifeline for your breathing. Tlie trunk is your windpipe.

From it shoot two main branches called bronchi one going to the right lung, the other to the left. From each, withui the lung, even smaller offshoots branch off, with the smallest, or twigs being called bronchioles. BY JAY BECKFR West dealer. side vulnerable. NORTH 4 A 10 6 853 4 J8 4k973 WEST EAST 4bQ83 VKQ7 V64 4AK74 4985 4 10 854 SOUTH 74 A 10 9 2 Q1032 A2 The bidding: West North East South 1 NT Pass Pass 2 Pass 3 Pass 4 Dble Opeing of diamonds Dear Mr.

Becker: I have been reading your column for years and I must admit that I have learned a great deal from it. I am not saying that I always do the right thing when I play bridge, but every once in a while I do manage to do something good. For example, take this band where I was South. I know you will not approve of my bidding, but I am by nature an optimist and I could not resist the temptation to by to make four the opening one notrump bid. West doubled, of course, and started out with the K-A of diamonds.

He then played another diamond at the same time settling back comfortably in his chair, confident that he would easily defeat the contract with his two trump tricks. I discarded a spade from was a rather important then took a spade finesse, the ten winning the trick. After cashing the ace of clubs and A-K of spades, on which I discarded my club loser, I ruffed a club. I then trumped the queen of diamonds in dummy with the eight, and next ruffed the last club. By this time ten tricks had been played and my hand consisted of only the A-J -10 of trumps.

West's last three cards were the K-Q -7 of trumps. Of course you can see what happened now. I led the jack of hearts and West took it with the queen. I can't say exactly what took place next, because just then my wife woke me up and said that it was time to get up and go to work. This was somewhat frustrating for me because I never did complete the trump endplay, but just the same I am rather proud of having discarded a spade from dummy at trick three, even though I did it only in my sleep.

Very cordially yours, Constant Reader. At the end of each of thousands of bronchioles is a nest of air sacs called alveoli. The sponge-like lung expands upon inhalation because these alveoli sop up air instead of water. Moreover, these tiny air sacs are the lungs' real work horses. They're the end of the line for the air you inhale with every breath and act as exchange de pots for life-sustaining oxygen carried in your mhaled breath, and waste carbon dioxide con tained in exhaled breath.

Through the membranous walls of the air sacs, oxygen passes into the tiny blood vessels capillaries that enmesh the sacs. And carbon diox ide is automatically tapped from the blood vessels. Walls Eaten Away In emphysema, the walls of the air sacs begin to be eaten away, though the extent and rate differs in individuals. This results in groups of ruptured air sacs combining to form larger sacs which tend to trap stale air containing carbon dioxide inside the lung. Also, the lung begins to lose its wondrous elasticity, like an old rubber band, and becomes blown up.

Moreover, some of the small airway bronchioles which ordinarily pass expired air up through the bronchial tree collapse inward and become partially blocked to expired airflow. Upshot is that the swollen lung becomes inefficient in its life-sustaining pumping action; roadblocks form for expired air; the body's tissues become partly starved for oxygen; and noxious carbon dioxide can pile up in the blood. In severe cases, the heart can be affected. Strangely, inhalation is not obstructed by emphysema's deviltry. However, as more air comes in from outside, and becomes partly trapped, the increased pressure causes larger air traps called bullae to form inside the lungs.

Add Bronchitis Also, if the emphysema patient also has chronic bronchitis, he's in for further trouble. As Dr. James W. Raleigh, medical director of the National Tuberculosis Association explains it: Bronchitis involves a thickening of the inner Iming of the bronchial tubes, especially the larger ones, so the airway passages are narrowed. Also, there's an oversecretion of mucus, the normal lubricant of the passages, and a clogging of the whiplike, tiny hairs called cilia, which usually act to move unwanted irritants, like dust particles, out of the airways toward the mouth.

Mostly, the airway obstructing action of bronchitis affects outward airflow. So, that's the anatomical picture of emphysema. What's it look like from the outside, in its effect on the patient? There may be a chronic cough. Shortness of breath called dyspnea by the medics may vary from mild distress upon exertion in early or not extensive cases to severe gasping episodes and a blueing of the lips and other areas from insufficient oxygen even when the patient is resting. Some patients cough up mucus.

"These people even work hard breathing when they're asleep," Dr. Sumner Cohen of Mt. Sinai Hospital, Minneapolis, told the reporter. How do the patients themselves react? Sen. Richard B.

Russell, D- 69, second-ranking member me LITTLE BOOTIE! Look who's here! It's the lively little bootie, flashed with brilliant shades of suede, then caught up and tied for all the rollicky, frolicky fun! Choose Animal Red, Squash, Ceylon or Black Suede uppers. AS SEEN IN SEVENTEEN. SLIPPER SHOP 1 E. Milwaukee St. of the Senate from the seniority standpoint, says: Quit Smoking "I've learned to live with it.

I thuik mine is an arrested case dating from 1958 when it was first diagnosed and I quit smoking, although I had been real short of breath since about 1955. "A doctor before that had told me I had asthma, and he told me to quit smoking, but I didn't and I'd been smoking to two packs of cigarettes a day for almost 40 years. "But when a doctor diagnosed it as emphysema in 1958, he told me it would contuiue to get worse, and possibly take away, unless I quit smoking. "As long as I'm at my desk, I'm okay. But it cuts my breath if I overexert myself.

"Yes, every morning right after I get up, I take those medicines you sqmrt down your throat decongestants or bron- chodilators as they're called. They make kind of a mist. And I try to blow all the air out of my lungs. I can't get started in the morning until I do that. "But, during the rest of the day, I don't have any great deal of difficulty." Says Elizabeth Hayes, 57, Minneapolis, who had to give up her job as a grocery clerk because of her illness, and is an outpatient at Mt.

Sinai Hospital in that city: "Some days are worse than others. Sometimes, I have all I can do to walk to the bathroom from the bedroom. I go to prepare something to eat, and then I'm too exhausted to eat it. "Shortness of breath? Sometimes you feel almost as though you're going to suffocate, especially during hot spells, or again when it's very cold. And you get so doggone nervous and the more nervous you get, the worse you breathe.

I try not to panic because when you do, there again your breathing gets worse." Next: Light from the lungs of the dead. TODAY In History By THE ASSOCIATED PRESS Today is Thursday, Sept. 8, the 251st day of 1966. There are 114 days left in the year. Today's highlight in history: On this date in 1900, Galveston, and many surrounding towns were damaged by one of the worst hurricanes and floods in U.S.

history. On this date: In 1636, Harvard College was established. In 1934, the luxury liner Morro Castle burned off the coast of New Jersey with a loss of 134 lives. On 1935, Sen. Huey Long of Louisiana was assassinated in Baton Rouge, the state capital.

In 1939, President Franklin D. Roosevelt declared a limited national emergency. In 1945, American troops began the formal occupation of Tokyo. Ten years Soviet government announced its first minimum wage law would go into effect Jan. 1, 1957.

Five years ago Soviet Premier Nikita S. Khrushchev said he was ready to negotiate with President John F. Kennedy on the Beriin crisis. WATERBORO, MAINE 'MIDGET' REFUSES TO GROW Despite a fancy diet of tuna fish and plenty of loving care, "Midget," a three-month-old kitten, measures only a scant six inches, minus tail, and weighs only a few ounces. is.

on a Maine vacation with Lisbeth Tompkins, 5, of Waltham, peeking at camera. "Midget" was the only kitten alive of a litter of three when found. She's healthy enough, but refuses to grow. They're staying at the camp of Lisbeth's grandparents, the Lloyd Dodges of Weston, on Lake Ossippee. (AP Wirephoto) Disgruntled Spouse Has nign nopes lor juaicare WASHINGTON-The war on poverty has been experimenting with a new legal aid program called Judicare.

It was thought that most poor people would take advantage of Judicare to get legal advice on unfair housing, welfare, credit and consumer rackets. But it turns out in the pilot program in 26 northern counties in Wisconsin that 84 per cent of the people who took advantage of Judicare wanted advice on how to get a divorce. The head of the project, Joseph Preluznik, said that many poor people have wanted divorces for years but they never knew how to go about getting them. I was fortunate to talk to a poor person the other day in a bar who, thanks to Judicare, was now sold on the poverty program. "You know," he said, "I never thought much of the poverty program with all that stuff about Head Start and the Job Corps training, but I must say this dicare program really makes sense.

If there is any area that we poor people have been culturally deprived in, it's in getting a divorce." "How do you figure that?" I asked him. "Well, you have to be poor to know what it's like to live in the same three-room apartment with the same woman, year in and year out. Now you rich people who live in fancy houses, you've got room to move around in. You get into an argument with your wife, and she rushes off into her bedroom or the library, locks the door and has a good cry. "You don't have to talk to each other for days if you don't want to.

But poor people when By Art Buchwald they have a fight have to keep circling around and around the same room, and it's pretty hard to break off if neither of you have any place to go." "I imagme this is true," I said, "but don't you feel that the fact that you couldn't afford to get a divorce made your marriage stronger than the upper classes who did not have same financial problems?" "Not necessarily," the man said. "When a poor person has a fight with his wife, everyone in the neighborhood hears it, and the only way a guy can save any face on his block is if he belts her one. You can't have a strong marriage if you have to keep belting your wife." "I never thought of that," I admitted. "But let us suppose under Judicare you can get a divorce. Since a poor person can hardly afford one apartment how can he afford two?" "The war on poverty is going to have to provide apartments for poor divorced people.

I think it would be ridiculous to let poor people get divorced and then not provide decent housing for them. You know a poor woman can't go home to her mother when she breaks up with her husband, because her mother is usually living with her in the first place." "I suppose the war on ty would have to provide alimony as well?" "I should hope so," the man said. "You can't show someone how to get a divorce and not provide the tools that go with it." "Will you get a divorce now that it's available to you?" "Nah, I'm too tired. And just the idea I can get one makes me feel good. I had a fight with my wife an hour ago, and I told her if she didn't shut up I was going down to Judicare and get a divorce.

It scared her something awful." "What did she do?" "She asked me to belt her instead." Sweet Enough If you serve whipped cream with Pecan Pie, don't sweeten the garnish! Pecan Pie is quite sweet enough as is. EVE RY prnv "t's Too Late Now To Retrain Pushy Daughter DEAR ANN LANDERS: You hear a lot these days about overbearing mothers. How about married daughters who think they are entitled to mother's services and all the privileges of the home they left? When our daughter was first married she had a habit of helping herself to our Christ- By Ann Landers mas ornaments, Unens, pots and she wanted. Finally I told her I would not touch her things if she agreed not to touch mine. She snapped, "I'm shocked that you would be so petty," and added, "After all, I used to live here." Yesterday my neighbor came over in a state of shock.

Her daughter had telephoned to say she was leaving her children with "Gram" while she and her husband took a two week vacation. "Gram" told her she was sorry but she and "Gramps" were taking a vacation, too, and she'd have to make other arrangements. Her daughter shouted, "Well, if you don't care about your grandchildren I'll see to it that you aren't bothered with them in the future," and hung up. Please print this letter and tell mothers what to do. We hate to lose our daughters just because they marry, but we hate to be taken advantage of, too.

Where's the line? INQUIRER DEAR HONEST: The line is where a mother draws it. Some girls would leave their Idds forever and move oat the whole house if they could get away with it. It's a safe bet that the daughter who ran roughshod over her mother when she lived at home will continue to do so marriage. In such families, the children have framed the parents. Where there is love, respect and room for honest expression, yoa will not find the kind of exploitation and emotional blackmail yow neighbor Is experiencing.

DEAR ANN LANDERS: What do you have against unmarried females anyway? In a recnent column (you were addressing yourself to a self-pitying wife) you said marriage had given her "respectability." Are you suggesting that without marriage a woman can't be respectable? Do you believe that all unmarried girls are out catting around? You also said "Marriage gives a woman security." If married women are so secure why do so many married women work? Your last line was a gas: "Marriage is not for everyone." You can say that again. Of the 15 married people in this office marriage means nothing to 9 of them. 20-20 VISION DEAR VISION: Since your vision is so good I hope yon can see something decent in the world. I saw no evidence from yonr letter. Thanks for writing.

DEAR ANN LANDERS: Yesterday my husband took his mother and me to lunch in a restaurant. I picked up an onion ring with my fingers, which I admit was poor manners, but I did it and I am sorry. My husband glared at me and said, "Put that down and eat with a knife and fork or I'll move to another table. I'm ashamed to be seen eatbig with you." I nearly cried. If this had occurred when the two of us were alone he wouldn't have said anything.

Why must he always wait until he has an audience to correct me? DEAR Because he wants to add to your discomfort. You violated a rule of etiquette, but he did something worse. He violated a marriage one that reads, "To love and to death do us part." Modern Man No Longer Has Strict Moral Code The most unportant words I have read all summer were not contained in the weighty tomes I took along on my vacation, nor in the mystery books I actually read, nor in the blatant headlines of the newspapers. They were tucked away ir the back pages of a small4own weekly in a story quoting the warden of a nearby prison. The warden said: Strictly Personal By SYDNEY J.

HARRIS "My hardest Job is to convince the young delinquent that he has done anything wrong." It is this lack of belief in an absolute standard of right and wrong that is a greater menace to the future of mankind than communism, fascism, or any other ism in the lexicon of human history. And it is not merely the delinquent, or the criminal, who has forsaken this belief; it is the average decent, respectable, law-abiding citizen. It is, in short, Modern Man. Modern Xan will tell you that "right" and "wrong" are purely relative ideas. What is right in one society is wrong in another.

He will tell you that morality differs in different cultures. He will tell you it is all a matter of taste, of geography, of degree. In this, he is partly right. But he is more wrong than right. He ignores the fact that the same moral truths have existed in every society in every part of the world; that all religions have basically the same ethical code; and that when men violate this code they destroy the very fabric of civilization.

The young delinquent (and the respectable citizen) has been betrayed by a smattering of education. The anthropologist has shown him different customs at work. The psychologist has shown him different interpretations of human behavior. The physical scientist has shown him that absolute space and time do not exist. And so, when the old social certainties go, and the mental certainties go, and the physical certainties then the old moral certainties begin to go, too.

"Right" and "wrong" become obsolte words, and "justice" becomes merely the power to enforce the law or to defy on who you are, where you stand, or what you make. It is this cynicism, this subjective attitude, this loss of moral certainties, this shallow repudiation of the past, that creates the young delinquent. Is it unfair of me to suggest that he is only acting out the philosophic convictions of Modern Man? WHAT YOUNG PEOPLE THINK Most Teens Can't See School for 4-Year-Olds By NANCY GILBERT President Gilbert Youth Research, Inc. Nursery schools, which youngsters attend before they are old enough to go to regular schools, have been around for a long they cost money. The government's Head Start program, which also applies to pro- school children, affects only a small part of the population.

It is the contention of many educators that school attendance at the age of 4 should be compulsory for all. Should It? Adults are greatly divided on the issue, as evidenced by letters to newspaper editors and by debates withm Parent-Teacher organizations. We asked 1 ,140 teen-agers how they felt about it. Did they fa- vor such a plan? Fifty four per cent said they did not; 41 per cent said they did; the remainder weren't sure. Mike Sprin- stead, 18, of Detroit, was agamst 4 year olds starting school because "school Is not interesting enough to make the kids start earlier and they would just become bored quicker." But Joey Wande, 17, of Portland, thought the earlier beginning "would teach them to learn easier and adapt them to school." It developed that 36 per cent of those we questioned had themselves attended nursery schools.

More than 56 percent said they liked it; 29 par cent said they didn't; the rest had no definite opinion. More specifically, did they think nursery schools had done them good or harm? "Good," said 68 per cent. "Harm," said 13 per don't know," said the others. One 16-year-old girl thought an early school start might n- tensify the dropout problem. Doris Scheetz, of MitcheU, S.

thought most weren't "mature enough" for school and foresaw the possibility of "earlier dropout future years." Joann Lublin, 17, of Silver Spring, remamberlng her dayg in nursery school, said "it was fun because there was varied activity and it was a new experience." Aim Britzfcldio, 19, of Washington, D.C., who expects to be a teacher, said: "The younger the kids are, the more they can leam." But 15-year-old Doris Doreen, of New York City, thought that compulsory education at an earlier age would do more harm than good "because I don't remember doing anything but going to school." Among the boys who attended nursery schools, 16-year-old Bob Williams of Miami, was sure it had helped him "be ready for first grade." A similar opinion came from Bill Weiss, also 16, of New Haven, who said it "made me able to get along with other children." Diane Rossie. 17, of Detroit, was In favor of an er educational start. She bered that her sister had attended a nursery school and that "she would always come home excited and eager to tell us just everything that happened that day; she had so many experiences that she could not have had at home.".