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I1C -July 18, 1976 Sunday Gtuette-Matt ChÂ«rlÂ«fon, wÂ«l Vlrglnl* Ounces of Prevention , . . Open Minds Woman Worried About Surgery Dear Open Minds: I have a tender lump in my breast. A surgeon told me that if I decide to have it removed, it can be done in an outpatient clinic. I shouldn't eat any breakfast that morning because be wanted me completely asleep. Just what should I expect? What safeguards or test should be done to assure that I can take that much anesthetic? I am really frightened that I will be dumped semiconscious into my husband's arms for him to take care of me, and he has enough to do taking care of the kids. By the way, one of my kids is allergic, on medication and restricted diet so can't be left anywhere overnight. Must every breast lump be removed? Obviously this one must not be serious to be considered for the outpatient clinic. Ready to forget it Respondent: Dear Ready to Forget: Your-letter immediately brought to mind a comment by a world reknown physician, Sir William Osier. "That the practice of all medicine is concerned with the psychosomatic." The physician should treat the whole patient, not just the illness. In these days of awesome laboratory, tests and computers, what has happened to the art of medical practice? Where is the family phys- ician of yore who wass both doctor and counselor? I feel that physicians should take time to explain to patients procedures to be done in words patients will understand and to answer questions. Perhaps more important than this is to listen to the patients fears, to allow him to ventilate and to show concern and interest. Your concern about anesthesia is common. Often people fear losing consciousness and conscious control more than surgery. What -to expect from an anesthesia should be explained before surgery. In your letter you implied a fear of cancer. This is a common fear. I feel physicians should discuss such possibilities with patients honestly if they seem to want an answer. Fear of the unknown is often our greatest fear. If questions asked or implied are evaded the patient will know. Robert A. Jenkins, M. D. Clay County Human Services Center Box 355, Main Street Clay, W.Va. 25043 Phone: 587-4205 Dear Ready to Forget It: I would recommend to you that you not. "forget it." Every breast lump should be thoroughly evaluated. However, it seems you feel underinformed regarding the proposed surgery. The questions you asked in your letter should be directed straight forwardly to your surgeon. He is best able to tell you his plan and his reasons for that plan. Also, asking him to refer you to another surgeon for a second opinion is not only acceptable but desirable. If your husband has not yet been involved in your discussions with the doctors, involve him. This must be a stressful time for him and his anxiety can be lessened if he is a knowledgable partner in the proceedings. By all means, pursue the evaluation of your breast mass until the diagnosis is established. But be sure you are clear as to procedures and results every step of the way and that your husband is also. Sincerely, David Walker, M. D. Charleston Area Medical Center, Inc. Dept. of Behavior Medicine P.O. Box 2867 Charleston, W.Va. Phone* 348-7695 Have a problem and want expert opinion? Write to Open Minds, 1217 Lee St. E., Charleston, W.Va., 25301. This column is a serice of the Sunday Caiette-Mail and the Community Mental Health Center of Region 111, which provides mental health care for Boone, Clay, Kanawha and Putnam counties, We are unable to answer all letters in this column. However, a mental health professional from Region Ill's staff will reply to alt letters, provided the writer includes a stamped, self-addressed envelope. The opinions expressed are those of the professionals named and in no way necessarily reflect the opinions by the Sunday Gaiette-Mail or the Community Mental Health Center of Region III. Stimulation Important to Children By Marion Wells American Physical Fitness Research Institute What parent hasn't been amazed at the way t o t s m a n a g e to "get i n t o everything?" Equally amazing is how much they can get out of their early experiences and contacts with people. Most experts agree that "... the first five years are the most important formative ones in a child's life." Learning can be importantly influenced long before that anxiously awaited first report card. The magazine Changing Times, reporting on the Harvard Preschool Project, noted that "... keeping a child confined for long periods discourages curiosity and reduces opportunities to learn. The Harvard study found that effective mothers organize their homes so that large areas are safe and stimulating for young children to explore." A YOUNGSTER starts very early in life to find out about the world through his senses, according to a University of Chicago report. Is your child exposed to a variety of colors, sounds, objects and textures? Is he or she given time and atention by adults? Do you keep plenty of magazines and books in your home? Another hint based on observations from the Harvard study: "Use words as often as possible, selecting vocabulary that may be a little' too hard as well as words the child understands." Do you talk to your tot in a way that encourages thinking? In his position as chairman of the committee on Human Development, University of Chicago, Dr. Robert D. Hess reportedly suggested that ABC's of Health "... the mother who uses words to relate a child's behavior to his surroundings, to the future, and to possible consequences, is teaching her youngster problem-solving strategies which will be useful in other situations." . FOR EXAMPLE, "keep quiet," simply communicates an order. Asking a child, "Please wait a minute, I'm trying to hear what the man on television is saying" encourages him to relate his actions to a time period and consider how his behavior affects someone else. Try to take your toddler to interesting places (the zoo, the park, shopping). Give him a chance to watch people doing interesting jobs (the glassblower, an artist sketching). Discuss and explain these experiences and encourage questions. As he becomes ready, allow him to share in your interests and in planning family activities. Turn daily routines and irritations into learning opportunities. Small blocks of time -- minutes spent washing dishes, a wait at the doctor's office -- can be used to play a word game with your youngster, or draw for each other on a magic slate. Could your child be doing more for himself? If you choose low toy shelves, perhaps he can put his own paythings away. When another adult asks your child a question, do you try to let him answer for himself? Encourage a good self-image. Since small children tend to believe what parents say about them, take advantage of opportunities to emphasize the positive Capacity Crowd Sees Kiss Show By Jim Carnes The 9,500 people who attended the Bob Seeger/Kiss concert at Charleston Civic Center Saturday night were treated to one of the loudest, brightest, tighest run (and, parenthetically, best) rock shows this season. Bob Seeger and the Silver Bullet Band is a no-nonsense, good ole rock'n'roll band, and as opening act, the group presented tough, mean music. The band played unadorned rock'n'roll, just music, no frills. It got a reception that was much cooler than it deserved, owing primarily to the fact that the audience had come to see Kiss and that's all. Among Seeger's best tunes were "Ramblin' Gamblin' Man," a hit of his dating from 1969, and an oldies medley that did stir some audience response. Â· * * IT WAS KISS, however, that brought the capacity crowd to life. From the moment the act began-with explosions on either side of the stage and smoke and lights galore-there was pandemonium. Throughout a long set and four encores-FOUR-the band didn't let up. Kiss plays heavy metal rock'n'roll. There's no time for foolishness like love songs and ballads; this is mean, movin' music. And the best Kiss rock songs are about the music itself: "In Rock City," "Rock'n'Roll Party," "Rock'n'Roll All Night." Gene Simmons' bpss is menacingly be- Review hind it all; Ace Frebley's lead guitar rages periodically atop the mass, while Paul Stanley prowls the stage sensually, adding licks almost as the spirit moves. Sitting behind the madness is drummer Peter Criss, expending energy as if he had an endless supply. Criss was playing Saturday night with a fractured thumb. The thumb was wrapped in tape, and he wore no glove on that hand. It didn't interfere with his playing a bit. Frehley contributed an exciting guitar solo that was surprisingly free of gimmicks. It was interesting in its use of echo and reverb and kept short enough not to drag. The undisputed highlight of the set, however, came at the end of the final encore when Criss' drum rise began to elevate. Climbing 16 feet into the atmosphere, taking him to the top of the suspended "KISS" logo light, the drummer kept up a steady drumbeat, punctuated with flashes of fire from various points on the stage. Red, white and blue lightning bolts split the air until, with the final blasts, all went black. ., and praise your youngster for what he does well: "You've arranged your closet very neatly. Could you do the same with the rest of your room?" WHEN POSSIBLE, structure new experiences so your youngster has some success in the early stages. It's easier for a child to fill his glass from a small pitcher than from a large one. Be patient if learning is messy at times. Does your child feel "safe" in risking failure? "The major obstacle to learning is fear: fear of failure, fear of criticism, fear of appearing stupid," said psychologist Haim Ginott. Suppose a child who's struggling with a skill is told, "You can do it, it's easy"? According to Ginott, the youngster may reason, " 'Big deal. Even if I work my hardest, I'll only prove that I can do something easy. But. if I fail, it'll be a real disgrace -- an admission that I am stupid . . . I can only lose by trying.'" A child whose ideas are not laughed at, but taken seriously, discussed with him, and used by the family when possible, is reinforced to continue thinking creatively. Tended with time and tender loving care, the seeds of a small child's curiosity can grow into a lifetime love of learning. Mondale's Birthplace Makes Front Page BCOLOMBO, Sri Lanka (AP) - Sen. Walter Mondale's birthplace of Ceylon, Minn., made front-page news in Sri Lanka -- formerly Ceylon -- on Saturday. Colombo's Daily News featured Mondale's selection as the U.S. Democratic party's vice presidential candidate under the headline "Ceylonese in Jimmy Carter's wagon." Although this Indian Ocean island republic officially changed its name to Sri Lanka in 1972, the old name of Ceylon is still widely used. Dupont High School Classes Set Reunion The Dupont High School classes of 1940 through 1955 will hold a joint reunion in the West Virginia Room of the Civic Center on Sept. 4. Any member of those classes who hasn't been contacted by the reunion committees may contact Don Hedrick, general chairman, at 925-1620, or Harry Jarrett, vice chairman, at 343-3906. FOR QUICK RESULTS USE GAZETTE AND DAILY MAIL WANT ADS PH, 348-4848 teays farms probably the best answer Grand Opening 2p.m. until 7p.m. Saturday Sunday July 17th and 18th Home properties ranging from three to seven acres offering privacy without isolation. We have created teays farms for those who 'simply want a quiet protected home property in an undisturbed natural setting offering clean air, threes, rocks, wildlife, a chance to keep some livestock and a lot of room. teavs farms -- where relaxation is a right not a reward. */-- --Â·-- Â· o teays farms, int.