_ . I Questions arise on whether to relate news to dying patients By ALTON BLAKESLEE . AP Science Editor DETROIT (AP) - Telling some terminally ill patients of their fate may be as cruel as keeping a prisoner on death row before his execution, a Philadelphia psychiatrist says. Dr. Edward Gottheil made the statement Thursday in proposing a study of one of the medical world's most important questions: Should a terminally ill patient be told he or she is dying? In a report to the American Psychiatric Association, he called for research to develop guidelines as to who can be told safely. Gottheil questioned the current school of thought that it is more humanitarian to be truthful with the fatally ill, "treating knowledge of impending death as a human right." Some people sink into depression or fear when told, while others take the news calmly, the psychiatrist said. Others react with anger and some refuse to "hear" the message, he said. Gottheil said he and his associates had found an increase in cases of mental depression paralleling the increasing practice of informing dying patients of their fate. Telling a patient so he can wind up his affairs may be welcomed by some, Gottheil said. But someone too ill to take a last trip to see a new grandchild might have his or her hope shattered. And he said hope is a strong ally in the patient's will to fight. "We have all observed patients who, notwithstanding their medical condition, have given up and died, or fought and lived," he said. The -Philadelphia team included Wealtha C. McGurn, a registered nurse, and Dr. Otto Pollak, a University of Pennsylvania sociologist, Gottheil said. He suggested research to develop "guidelines and principles which could be judiciously applied to specific cases to promote less depression, more communicator! and increased survival time." Questions he said should be studied included: What should patients be told? Which patients should be told (using evaluated against actual out- personality tests and other comes, including'the degree of measurements)? When should happiness or despair, or length they be told? How should they of survival, Gottheil said, be told (with finality or holding out hope new research might change the odds)? Who should tell them? Those variables can be manipulated or controlled and then A companion dilemma is whether family members or nurses should know, he said. Gottheil asked: Is it easier for them to know and engage in deceit if the patient doesn't know, or easier if they don't know?' jars China HONG KONG (AP)-A major earthquake jolted an area of southwestern China early today, the Royal Observatory reported. 'Oie Observatory said the quake struck 192 miles southwest of the city of Chungking, about 400 miles north of the border with North Vietnam. A spokesman said the quake measured seven on the Richter Students interrupt Regents meeting Fergus Falls (Mo.) Joyrnal Saturday, May 11, 1974 MINNEAPOLIS, Minn. lAI'i — A meeting of thi' University (if \Jiiinesota Board of Hvgenls WHS interrupted Friday by students demonstrating against UK.' use of certain grapes and lettuce in campus cafeterias. Demonstrators wanted the university administration to stop buying grapes or lettuce scale, and was capable of caus- ' rom California growers who incf TL'idapnT'nii^ slnrvt n .» n * «ir« 1 ntrril t'fwl in I* I^VIT" /11 CHI if I* ing widespread damage. Journalism ethics reviewed Food for Thought* A diet you can live with By JKAN MAYER Professor of Nutrition, Harvard University (First in a four part series on dieting) As summer approaches, thoughts of countless Americans turn not to love—or not just to love—but to weight reduction. Beaches, tennis courts and boats are beckoning. But those summer clothes! How little of you can be hidden by tennis shorts or bikinis! Most of us want to emerge from our winter wool cocoons as Beautiful People—as lean as a Robert Bedford, or as trim as a Mary Tyler Moore- embodiments of the quintessential American ideal. 'If this is the kind of thing you've been thinking lately, then I can try to help you. _ In a series of columns following'this one, I will be introducing diets that should help you take off that winter weight and start you on the road to a sleek spring and summer. The count-down on calories has become of prime importance to millions of Americans. And it has bred an army of "authorities" on nutrition, in general, and weight reduction in particular. Yet the only scientific and workable diet is still based on good old simple arithmetic. And arithmetic is what physicians and dieticians use to select the amount and kind of food to include in a sensible, well-balanced diet. First, you determine how many calories of food you should take in to cover your daily energy needs. Then you cut that amount little every day so that you'll get some of those needs by burning up fat that is stored in your body. But at the same time, you must make sure that cutting calories doesn't cut needed nutrients. We know that a pound of fat tissue is equal to 3500 calories. If you cut out 500 calories a day, that will total 3500 a week—or a pound of weight lost. A reduction of 1000 calories a day will allow you to lose two pounds of fat a week. You can see that you could carry that arithmetic still further—but it isn't advisable without the supervision of a physician. Unless you arc a very large person, or an unusually active one (rare among the overweight) you're almost bound to cut out required healthful nutrients if you cut more than 1000 calories from your daily diet. Incidentally, cutting down on the number of calories you consume is not the only way to lose weight. An hour's energetic cycling is the quivalcnt of 500 calories, for example. So you should take exercize, into account when you are computing your needs. We also know what numbers you have to start from—your required daily energy needs— or at least we know average daily needs as calculated by the National Research Council: CALORIC NEEDS FOR WOMEN Age Wl. Ht. Calories (years.) (Ibs.) (in.) (daily) 15-18 119 65 2100 19-22 128 65 2000 2MO 128 65 2000 51+ 128 05 1800 CALORIC NEEDS FOR MEN 15-18 134 69 3000 19-22 147 69 3000 23-50 154 '69 2700 51+ 154 69 2400 Now all you have to do to lose weight is to choose a diet that eliminates 500 to 1000 calories a day from your consumption — depending on whether you want to lose a pound a week, or two. To that end, we have compiled three separate four-week diet plans at 1200, 1400 and 1600 calorie levels. These menus are not only low in calories, but also low in cost while being high in nutrition and taste. In choosing a diet, be sure to remember that energy js a key factor. Suppose you are a woman who chooses a 1400 calorie a day diet in order to lose a pound a week. That will work fine, if you continue expending energy in your usual way. But you can give yourself a break. Simply use up 200 extra calories a day in added activity — 40 minutes worth of walking at a moderately fast pace — and you can allow yourself 1600 calories a day instead. Please, though, follow the diets by the rules. The important thing about these diets is not simply that they cut calories. The recommended items are also there for nutritional reasons — so if you want to substitute, choose an item with the same number of calories from the same food group — for example, leafy green or yellow vegetables; citrus fruits, tomatoes and salad greens; potatoes, other vegetables and fruits; milk and milk products; meat, poultry, fish, eggs, dried peas and beans and nuts; bread, flour and cereals; butter, fortified margarine, polyunsaturated fats. Remember, even if you succeed in losing weight, you won't have accomplished much if you are thin but flabby, or thin and unhealthy. I^t's really do it right, and be slim, trim and fit! MINNEAPOLIS, Minn. (AP) — A former national editor of the Washington Post told persons attending a regional meeting of the Society of Professional Journalists Friday night that "Ethics can't continue to be business as usual." Ben Bagdikian suggested three things that could make the media more creditable to the public: Working journalists, he said, should have more voice in the operation of newspapers and broadcast stations. He said reporters should participate j in setting policies and selecting editors; Both news corporations and reporters should disclose outside interests so that the public knows there is no conflict of interest in what is reported; And, voluntary news councils should be established so that people who have complaints about the media can be heard. Bagdikian said it is ironic that the media in the past five years has come under attack from the Nixon Administration. However, he said the media has more of an obligation for high ethics than any other business because it has a direct access to the community and the minds of the people. "If we cheat, it affects all other businesses, institutions and citizens. We must set the standard for high ethics," said Bagdikian. Bagdikian criticized newspapers for making special sections such as food, religion, fashion and real estate into what he termed puff sheets catering to advertisers. And, he was critical of broadcast management for being overly concerned about license renewals. "Nine out of 10 broadcasters are afraid of incumbent administrations because they fear for their license," he said. He said journalists are plagued by evils and must rid themselves of them, pointing to what he termed arrogance about admitting mistakes and listening to citizens' complaints. Earlier, A Detroit newspaper executive told a panel on ethics that the news media has helped to create increasing public scrutiny of ethics in the business and it ought to respond to the challenge with forthrightness. Paul Poorman, managing editor of the Detroit News, said, • L We created this new public awareness just as surely as we created Ralph Nader. "The appearance of impropriety is just as bad as the actual fact of it." Poorman, chairman of the Associated Press Managing Editors committee studying ethics in journalism, said a study made of possible free loading that could be available to Detroit News staffers in a year totaled some $50,000. "That's how much we could pick up if we had wanted to," he said. Management at the News, said Poorman, has ordered staffers not to accept offers .such as free tickets, promotional junkets, and so on. Richard Leonard, editor of the Milwaukee Journal, said the Journal's written ethical code for staffers to abide by "is damned tough." He estimated if Journal reporters were to accept the "freebees" available, these might total about ?10,000 a year. are involved in a labor dispute with the United Farm Workers. The fuss calmed down when President Malcolm Moos agreed during a recess to meet with the protestors Monday morning to try to reach an accord. In its major action of the day, the l»ard approved the appointment of an interim president and the resignation of two vice presidents. The regents named Speech Prof. E.W. Ziebarth, G3, who was dean of the University's College of Liberal Arts for 10 years, as interim president for three months this summer, after Moos leaves the post. Moos will leave in June and C. Peter Mcgrath will become president in September. The regents also approved changes in duties for Stanley J. Wenberg, 55, vice president for state and federal relations, and Paul H. Cashman, 49, vice president for student affairs, who resigned from their vice presidential positions. Sumi' university sources in- ilicated that Wenberg and ('ashman are leaving their postsin the change of command that ushered out Moos. Wenlx.'rg's salary has been $«,000 and he will serve as consultant to the university administration Iwginning Jan. 1 at a salary of 125,000. Cashman, who also has taught speech and communications, is taking a vein's leave of absence. In his student uffuirspost he received 541,000. An estimated $762.5 million of grain will be produced in 1973 in Alberta, Canada. YOUR FRIENDLY BUILDING MATERIALS DEALER STENERSON LUMBER GO. 505 South Cascade Fergus Falls Phone 736-2018 mosl BILLY JACK Open-pit mine approval sought DULUTH, Minn. (AP) - International Nickel Co. (1NCO) says it has asked the U.S. Forest Service for approval of open-pit copper and nickel mining on federal lands in northern Minnesota. ! <•)•;.<. 'Diggers' warned of buried lines "If you happen to be 'a 'digger* in the spring, keep in mind the number of telephone wires and cables that are underground," E.P. Riviere, Northwestern Bell manager, advises. Cutting of an underground cable could disrupt service for many, including emergency services, hospitals, schools and homes. Warning signs indicate the general location of cables. However, anyone who plans to do any sort of digging should contact the local telephont office or dial "Operator" and ask for Zenith 2345 beforehand, Riviere said. "When we receive these calls we immediately dispatch a technician to pinpoint the exact location of buried facilities," Riviere said. "Calling us can save expense for the digger as well as protect the convenience of telephone users." If approved, the mine site southeast of Ely would be less than one mile square, with a much larger area for tailings disposal. A company spokesman said Friday there were numerous technological, economic and environmental considerations still to be yet and a final decision by the firm would not come until mid-1975. However, he said the request. was another step and indicated INCO's interest in the development is "very high." In effect, the request will result in an environmental impact statement from Superior National Forest officials. A Forest Service spokesman estimated it will take 18 months to 'complete the impact statement. The site selected by INCO, called the Spruce Ore deposit, is 12 miles southeast of Ely on the south bank of the Kiawi- shiwi River. Tentative plans given to Superior Forest personnel indicate the mine will cover 530 acres in the wilderness area, with a plat and service area of 100 acres and tailings disposal of 2,900 acres. Mining could begin as early as late in 1978, with an estimated work force of 800. About 40,000 tons of ore would be mined daily. The open pit mine envisioned would be 6,600 feet long, 3,200 feet wide and 1,000 feet deep. BELTONE Hearing Aid Counselor TO HOLD FREE HEARING AID CONSULTATION River Inn Hotel, Fergus Falls, Minn. Tuesday, May 14-11 a.m. to 1p.». Cords, Batteries and Repairs on all Hearing Aids IF HEARING IS YOUR PROBLEM BELTONE IS YOUR ANSWER BELTONE HEARING AID SERVICE 300 Main-Suite D, Fargo, N.O.—Ph. J37-9977 VERNON C. MJELDE, Distributor Certified Hearing Aid Audiologist FARGO WEST FARGO MOORHEAD Center Mall GLYNDON BEMIDJ1 FERGUS FALLS DULUTH GRAND FORKS Treat the entire family to a delicious meal on Mother's Day. FREE Carnation for all Moms! THIS SUNDAY. TAKE MOM TO HIGHWAY HOST IAUGHLIN • DELORES MOR .» WURKMMM Sumb, H FUW M li * S* MKTU • M«ri t, WHY KBC SOW • tai'M t, l.C FBUX NOW SHOWING! FERGUS FERGUS FALLS, MINN. NO PASSES SHOW TIMES: Week Nights at 7:00 and 9:00 p.m., SUNDAYS at 1:00-3:00-5:00-7:00 and 9:00 p.m. ffjl IX. f, I family center itKt) dm,,,, 130 WEST CAVOUR AVENUE IN FERGUS FALLS SUNDAY AND MONDAY PLENTY OF CONVENIENT FREE PARKING MAY 12 and 13 OPEN SUNDAYS 12 NOON TO 6 P.M. BEDDING PLANTS PETUNIAS ALL KINDS, ALL COLORS This year try Cascade Petunias they flow out and over Now In 5 colors that last YOUR CHOICE 47 BASKET Limit 4 Baskets Price on Petunias good Sunday only. ALL OTHER BEDDING PLANTS AT 57c BASKET This year try "Magic" Petunias for color all summer Now in * wWf rangr ol colors SECRET DEODORANT 7-Oz. Aerosol Can 88' CAN Limit One RAIN BARREL FABRIC SOFTENER Giant 70 Oi. Bottle $127 Limit One OUR OWN GOLDEN "T" LAWNMOWERS 22"ROTARY . 3-1/2 HP Biiggs & Straiten engine with aulo \rnalic ch<Ae 4 letoil staler Mean slee! deck. Ironl discharge "T"-st»!e handle >Mlh salely lock. ACTION-CARD' SAFETT FIATURES! *W0904 MFC BY M.T.D. I PRODUCTS CO ANACIN T PJUN *f tit f - Botlleof 100 Tablets 78' Limit One Bottle ByM.T. RIDING LAWN MOWER 30" cut. Twin Blades, 8 H.P. •» Cycle, Briggs & Slrattcn Engine, Reg. S499.00.
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