Tucson Daily Citizen from Tucson, Arizona on May 1, 1963 · Page 8
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Tucson Daily Citizen from Tucson, Arizona · Page 8

Tucson, Arizona
Issue Date:
Wednesday, May 1, 1963
Page 8
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WEDNESDAY EVENING, MAY I, 1963 T U C S O N D A I L Y C I T I Z E N PAGE DR. ALVAREZ Modern Obstetric Anesthesia Dr. Alvarez Is emeritus consultant In medicine of the Mayo Clinic and emeritus professor of medicine of the Mayo Foundation. By WALTER C. ALVAREZ, M.D. Those millions of women who are in their child-bearing years would doubtless be interested in a fine article by Drs. D. M. Shirline, H. M. Epstein and E. Seymour Purge, all of Northwestern University medical school, Evanston, 111. Through the years there have been so many changes from one type of obstetrical anesthesia to another, it is interesting now to see what method has been used of late In the big Evanston hospital. From 1957 to 1960 more than 2,600 so-called single injection caudal (near the "tailbone") anesthetics were given. These represented 32 per cent of all the obstetric anesthetics given during that period. In 1960 a little more than half the patients were having deliveries with this single injection technique and it was becoming the favorite method of the anesthetists and obstetricians. After a woman has been given the caudal injection, she quickly loses the ability to feel pain in the muscles that are being dilated by the child; the anesthesia then lasts for 90 minutes. This means that the woman ''experiences a painless termination to labor and delivery." A big advantage of this technique is that because of the good relaxation of the perineum the head of the infant is not subject to so much pressure and molding as is the case when the mother is not helped with a local anesthetic. During the four years when the study was made, 2,959 "spinal anesthetics" were given at the Evanston hospital; In the last nine years the "low spinal block anesthesia" has declined in popularity for several reasons. Also, during the four-year period, general anesthesia -In which the woman is unconscious--was used in from 22 to 27 per cent 'of the cases. In some 2 per cent of the cases no anesthetic was given, either because the woman elected to have a "natural childbirth" or because she had her baby so fast there was no time to give her an anesthetic! Hebertleii's Nodes Many a middle aged woman (almost never a man) wonders about the unsightly little nodules which she has on the joints near the ends of several of her fingers. One glance and the doctor knows that she has "Heberden's nodes." Interestingly, if one reads Dr. Heberden's original comments made some 100 years ago, one finds that all he said was, "What are these nodules that women have near the ends of their fingers?" What is sad is that today we doctors still don't know much more about the nodules than Heberden did. The disease seems to be a special, mild form of localized arthritis which probably will never bother the woman very much. In only a very rare case will a little fluid form in a nodule and then it has to be removed, perhaps through a hypodermic needle. Most of these nodules do not hurt and they never "turn into" anything. They may make a finger a little stiff at the end. Some elderly women hate them because they are unsightly, but I know of nothing to do about them. ROEBUCK AND CO A, Sale Its Name ^ TM»»^~ --·^^·····^v- ---Modern 3-Piece Studio Lounge ff " IB" 11 * A "· "^ ^TM* /* School Adds Classrooms Construction of a new $82,644 classroom nddition is under way at the Arizona School for'the Deaf and Blind, Dr. E. W. Tillinghast, superintendent, reported today. The structure will contain five classrooms and a general purpose room. Completion date is set for Aug. 23. The addition, constructed out of brick and stucco to match the present campus buildings, is being erected by the Commercial Construction Co. Place Place architects designed the one-story build- toft TillinRhast said that only one additional teacher would be added to the staff because of the new construction. "We are Just getting needed elbow room," he said. "We have been doubling up on ·ome of our present facilities." «£ · eeTM ,,. FREE 24*2 SV W tttKiarsX Exceptionally Comf ortable Exceptional Value Sears Days Special HURRY... SALE ENDS MONDAY J* \ yri w ** fXif-T/na Z»S.r- NO MONEY DOWN Ultra modern group Includes 2 studio couches that open into comfortable single beds . Serofoam seat and back cushions. Smart combination stripe and plain tapestry cover. ,, ,. With Approved Credit . plus c o r n e r bolster. Reversible Terrific Value! NOW SAVE *30.07! Our Finest TV Recliner 1 'V rl, U Regular $149.95 OS, ^^_« Manufacturers' Closeout Reg. 8.98 to 10.98 Values Big spring selection of beautifully styled bedspreads of Chrome- fast acetate. Shirred flounces. Resists fading. Choose colors in prints or solids. 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