Brytheville (Ark.) Courier News - Friday, September 9, 19« -• Pa«e Sevet Institute in Colorado Makes Progress in Emphysema Fight EDITOR'S NOTE - Emphy- tema ii a disease of the lungs, a disease rapidly becoming one of the country's worst cripplers. There is no drug or cure for emphysema, but some hospitals are finding success in rehabilitating and helping victims. By FRANK CAREY AP Science Writer DENVER, Colo. (AP) - In a laboratory within sight of the Rockies' foothills there's a mechanical apparatus that looks and sounds like a prop for a chiller-movie on the late-late- late TV show. It's a breating exhibit of two human lungs taken from the bodies of dead men, but now working for science. : Encased in a glass chamber, and powered by an airflow pump, the two bodyless lungs hang side by side and alternately inflate and deflate .— swell and droop — just as the living lung does. Neither is pretty to see. Upon inflation, each looks like a grotesque, roughly triangular, flying machine that has nothing but wings. Deflated, each resembles a limp jelly fish. But there's a difference between them. One is a normal lung — from the body of a 70-year-old auto mechanic who died of a brain tumor but had healthy lungs throughout life. The other is a diseased lung — taken from the body of a 77- year-old laborer who had suffered for years from a tissue- destroying lung disease callec emphysema. * * Although emphysema is a where the breath of life rally ails ,and death ca noccur from uffocation, or failure of a heart aboring itself to breathe. As yet there's no drug or oth- ir cure for emphysema — and •ictims of it can go for years, lattling for reatments common killer, this man died 01 something else. But scientists here at Webb- Waring Institute for Medica Besearch —for the University oi Colorado Medical Center — say his lung reveals many of the telltale grim legacies of emphy sema. For example: —Even at rest, It's abnormal ly distended and lacks the elas ticitiy of a normal lung. -When it exhales, it empties much more slowly, and much less completely, than does thi lung on the other side of thi chamber. It still holds trapped air ,-r a hallmark of emphy sema. —its surface is richly and nastily spotted with a coal black pigment — another characteris tic of most emphysematoui lungs — whereas the norma lung in the exhibit has few Such spots. * * * The eerie demonstration is used to help teach medical students about emphysema. It's also used by Webb-Waring Scientists to help spread to lay- rh.en visitors, including school children, their readily offered breath. Certain are available, hough, to ease their plight. Nevertheless, it is respiratory 'ailure that kills emphysema victims —and the Colorado hospital is cited by the U.S. Public lealth Service as having one of he best reported records in saving such emergency cases. One of the physicians sums up he record: "In this hospital, up to two years ago, some 80 per cent of these emergency, acutely ill patients used to die in the hospital. Now, since the organization of the respiratory care unit, we've reversed this picture. Eighty per cent now get out — and that's good." * * * He says the hospital is employing some pioneering modulations of existing emergency techniques such as: — More frequent use of tr* cheostomies — the cutting of a hole into the windpipe and inserting a breathing tube. — Use of various mechanical ventilators, including a still experimental one, to deliver an increased volume of air to the lung. — Encouraging patients to get out of bed for brief periods daily as soon as possible after their emergency — and walk up Utt down a ward corridor "so as to exercise their breaming mus cles, and also get a look at the Rockies to help their morale." Greater use of oxygen, in low and controlled concentra tions, for treating both emer gency cases and patients a home — including still-experi mental portable liquid oxygen tanks which some patients car ry constantly away from the hospital. Dr. Mitchell says the mos important finding emerging si far from postmortem lung am related studies at Webb-Waring is this: onditlons has been identified as he collapsibility of the intermediate and large air tubes. 3. The size of the fully inflated ung - both during life and after, death — is the best available method, short of examining the ung tissue sections, to ascertain he degree of involvement with emphysema. And this may help octors in diagnosing the condition. 4. New information about pink puffers" and "blue bloa- ers" — a rough categorization of emphysema-bronchitis suffer- "The * + ' * respiratory condition gospel that heavy smoking, especially tobacco cigaret smoking, is at least an aggra- vant of emphysema — if not, indeed, one of its' contributory causes. "The diseased lung in this exhibit is from a man who smoked heavily all' his life," said Dr. Roger Sherman Mitchell, whose campaign against cigarette smoking is such that when he has a chain smoking visitor, he offers an ashtray containing mounted pieces of noi'mal and diseased lung. which almost invariably wa labeled 'emphysema' five to 1 years ago — and was often looked upon as hopeless, if not indeed, misdiagnosed as a cere bral stroke, pneumonia or hear failure ^- is actually a multipji city of five interrejted cond: tions, more than one of whic may be present at one time. "And four of these — chroni bronchitis; pulmonary embol ism or thromboses (blood clot in the lung arteries); bronchioli tis (obstruction of the ver. small air tubes) and asthma •*are treatable and reversible. "It's true that the emphysemi component, which involves ac tual destruction or loss of tissue, is so far nonreversible and not specifically treatable But you can do things for th emphysema part, as well •*• lik teaching patients to breathe evenly and slowly, so as to get the most benefit from their lungs. "And so — and we're very excited about this =• we have found that the group of condir tions as a whole is not a hopeless one. And this is important, because many doctors are still ers according to their outward,They also have high percentages of'carbon dioxide in their blood. They don't suffer so appearance, "Pink puffers" tend to be slender people who are very short of breath but have no heart failure. They maintain relatively normal levels of oxygen and carbon dioxide in their blood — thus giving them the pinkish appearance of apparent health. * * * "Blue bloaters" tend to be overweight people, with a chronic blueness of lips and ears, indicating low oxygen. •••••ID Ju ear much from shortness of breath, but they do have a history of serious heart involvement. Post-mortem studies at Webb- Waring on both types - 'as well as on intermediate types — indl' much more likely to derive most of their trouble from changes in their air tubes, as distinguished from destruction of lung tissue that characterizes emphysema. And this, too, may help family doctors in diagnosis. 'Sticky Fingers' Need Help (Jan dfuran Mini • ». DEAR ABBY: I have a rath er sticky problem. Sticky fingers. I "collect" books. I am a college graduate and my hobby is reading, so I spend a lot,of time browsing in book stores. I usually buy a book or two, then walk out with another (unpaid for) under my arm I can well afford to buy the books I pick up, so I can't lay the blame on need. Nor can I say I take them for "kicks," because I take the type of books I enjoy, Zen, psychology and the classics. Suggesting professional help would be useless for I am only slightly embarrassed by this tendency, but I would not like to get caught. What to do? "STICKY FINGERS" IN S.F. DEAR STICKY: Since you yourself have ruled out kleptomania, you appear to be a confessed petty thief. And since you enjoy re a d i n g, "pick up" (and PAY FOR!) a psychology book and learn something of "unconscious motivations and maschocl- sm." Some people steal because they have an unconscious desire to be caught and punished. And eventually they are. DEAR ABBY: According to a well - known marriage counselor, ninety per cent of all divorces start in the bedroom. Would you say this was true? CURIOUS DEAR CURIOUS: Which bedroom? DEAR ABBY: I usually side with you, but when you say it's all right for a pregnant woman to stand in the front row of a choir, that's where I draw the line. After all, let's have a little respect for a crowd of mixed sexes. It is embarrassing to see a pregnant woman, flaunting her condition. Sure, I have two kids, but I didn't go out and throw myself at people and force them to look at me. Whoever says a pregnant woman is "beautiful" is a liar and you know it. Let's be realistic about this and admit the truth. A MOTHER DEAR MOTHER: .All right, let's be realistic. Ev- oiryone on this earth got here via the same route - a pregnant woman. So why the embarrassm«nt? "Beauty," they say, "lies in the eye of the beholder." And to many a pregnant woman It indeed beautiful. DEAR ABBY: Will you please say something to people who bring their wedding gifts to the Church when they come for the wedding. Invitations are sent out three weeks before the wedding, which is plenty of time to buy a gift and have it delivered to the bride's home. My daughter was recently married in a beautiful big church wedding, and she sent 400 invitations. About 200 guests brought their gifts to the church. Now, Abby, there is no time between the ceremony, dinner and reception for a bride to open 200 gifts. And afterwards she leaves immediately for her honeymoon. So that leaves all those gifts unopened and unacknowledged. And the people who bring their gifts to the church are the first to complain because they weren't thanked soon enough. BRIDE'S MOTHER The Volkswagen Squareback Sedan. Any questions? "The normal lung came from I labeling all cases of chronic ah> a man who had smflked three or | ways obstruction as emphysema four cigarettes per day for 50 and hopeless." years — hut haled." had never in- At Webb-Waring institute - itemed Mr two pioneering Colorado physicians who helped spearhead the control Of tuberculosis in the United States the lungs of the dead, in various other ways, are helping scientists slowly to unveil some basic anatomical and physiological riddles oj emphysema and its satellite maladies, a brigade of fOes often as fearsome as tuberculosis ever was. And, across the roadway at the medical center's great general hospital, doctors report lifesaving advances are being made in treating emphysema and allied disease patients who reach the potentially last ditch stage 6f acute respiratory failure. The lattej condition - » constant threat to'almost any emphysema patient - the stage Findings like this are emerging from another lab'ora. tory project — called the Emphysema Registry. Started in 1986, it involves attempting to collect living subjects suffering from chronic airways obstruction, keep tabs On them throughout life and. whenever possible, examine their Jungs grossly and microscopically after death — including giving breathing tests to the bodyless lungs. The * 1 * registry now Includes records on 392 subjects — pe«- ple in all walks of. life from a coal miner to a chef — of whom about 125 have died. Among other findings: I. "There is an almost direct relationship between heavy cigarette smoking s e m a-chronie and emphy bronchitis," Webb-Waring scientists s*y. i. 'A major factor Impairing air flew tut at the lungs la these 1. Hew much? For you, $2295. Plus £125 lor steel sunroof, if you lik«. 2. II looki bigger than the beetle. It it? Yes. Outside and in. Outside, It'* only & inches longer. But inside, there's room for 5. Or, you con fold down ths rear seat and carry 2 people plus 42.4 cubic fest of things. (More than the trunks in 1h» biggest sedans.) A (unsized bed slides in. There's also 6.5 more cubic feet of trunk space under the hood. .3. How many miles to the ' gallon? About 28, en regylqr gds. 4. It It more powerful than the regular Volkswagen? A touch. The Squareback can beat the beetle ot o stoplight, end has a higher top speed, too. (84 mph vs. 75.) 5. Saw* kind of engine? Yes: eir-ceeled (so it e'en'! freeze up or boil over) and in the back (for g'ood traction in bod weather). 6. Same kind of suspension? Yes: each wheel has its own independent torsion bor. So .when one wheel hits e bump, only one wheel hits o bump. 7. Some kind of stick shift? Yup: same kind of stick shift. Four forward speeds. Synehromesh in ell four gears. 8. Isn't anything different? The lilt is endless, the Square* back has disc brakes in frortt, for example. You can cheek the oil without even locking at the engine. Inside doer handles are recessed so you won't catch your clothing, f her* ar# 49 seating positions. Plus e padded dashboard and padded cowling all around the inilrumenU. Big pockets en 'both doors to store oil those glove comportment type things that never seem to fit in the glove compartment (like gloves). And (somewhat curiously for a company that once considered a gas gauge unnecessary) on electric clock. 9. What about part* end terv> ice? Silly question. We've never sold ears where we couldn't service them. (Over 900 Volkswagen dealers had ports on hand long before they had th» cars.) There is g Squareback shortage right now/ but no shortage ef Squareback parts. 10. It cost* more than the beetle, put is it as goed? Cor and Driver magozih* says: "No. one can fault this Volkswagen en q'uality of construction, no matter what standards they employ. No mere solid amalgam ef mitals ever rode on four wheels ond none likely ever will. Volkswagen has o hard-earned reputation fer toughness and this one doesn't stand a chance ef marring the family name ... You simply can't buy a better- built, low-priced sedan." Th^nk you for asking. CENTRAL MOTOR SALES 1300 S. Division Blythevilic, Ark. PO 3-1*12 (Eurepee,* BeUveriM Astrological * Forecast * -an^n.-1-u-^.-L------ 8» CAHKOli KlUm to teunuM roui nmciu HUM UcNiium MMKnpb opposite d«t«i, wUcb <mdude roar blrtb d*u SATURDAY GENERAL TENDENCIES: very active day and evening o get everything In perfect working order and to handle whatever has to do wifii finan- ial ventures and activities of :11 kinds, so be up early and jave a most constructive day jutting into motion all possible lans and then tonight you can lave a wonderful time as you appreciate most. ARIES (Mar. 21 to Apr. 19) Ian now to put your surroundings in such, fine order that riends can be highly impressed n P.M., when you invite them ut. Listen to suggestions of kin. Talk over your ideas very calmly. TAURUS (Apr. 20 to May 20) )iscuss with others what your deas are and gain their sup- lort. Keep appointments early, hen do some important shop- ling. The future can be far nore successful .if you truly apply yourself. GEMINI (May 21 to June 21) Your intuition tells you ho\y to jet the backing of persons who agree witfi.your finest practical deas. Make those improvements, etc. to residence that mprove its value, comfort. Be >recise. MOON CHILDREN (June 22 to July 21) You arise feeling fine if properly attuned astrologically and you can accomplish almost anything you set out to do. Be more positive in your dealings. Show others your very finest capabilities. EO (July 22 to Aug. 21) A good day to get your mechanical tools or instruments in fine order, cleaned, sharpened, etc., so that you have them ready for any important work. Get much done. Then have a fine, romantic evening. VlRUrj (Aug. 22 to Sept. 22) Being with congenials at t h e sports most.enjoyed by all can keep you fit as well as bring other friends within your orbit of influence. Tonight can be fine socially, too. Be sure you dress well.. . LIBRA (Sept. 23 to Oct. 22) Handling duties tiiat c a n be done only on Saturday is easy if you schedule yoyur time and activities early. Once you get bills paid, do public work, you can have a .wonderful time with friends. Be cheerful. SCORPIO (Oct. 23 to Nov. 21) Some new ideas can give you the inspiration you need to go ahead with it to a remarkable success: Take care of out-of- town correspondence early, since it can bring in fine benefits. Be- highly ambitious. SAGITTARIUS (Nov. 22 to Dec. 21) Better get at those dull chores and make Ihem pleasant"" by using tome new method, awing something of interest to them, etc. Be of a* more romantic turn of mind. Then you make this a very happy evening. CAPRICORN (Dec. 22 to Jan. 20) If you are attuned to your proper planets you can have a most active and worthwhile day, especially if you plan your activities well. Others around you want to work. Make the mostiof this unusual mood. if ^ AQUARIUS (Jan. 21 to FebUi 19) This is an ideal day to visits with those charming persons fora whom you have had little times, lately. You can impress theme with your finest capabilities.^ Something very important could occur from such visits. " : ;, PISCKS (Feb. 20 to Mar. W" Higher-ups are observing yo ; u :: keenly and it behooves you r toi accept their ideas for greater- success in the future. Tohigftt^ should be spent quietly at horiie'-' after a very busy day. Foi-ge- ; ahead with sureness. ! IF YOUR CHID IS BORN \ TODAY ... he, or she, is : des- 1 fined to have a happy life, but; early there is a desire for pro-» crastination in this nature that can be eliminated by g i v i rig sports, other interests that reak; ly fascinate, and then the pace' changes and the chart beconfes? a successful one. Any profession.; that has to do with the public'.Ms general whether in sales, maav-v ufacturing, dealing with prop-:' erty, insurance,'etc.-is fine. >'•"• WHY PAY MORE? Get the BEST ..Look In Your Newspaper for: Local, State, National and International News Social Happenings and Fashion Tips Interesting Accounts and Pictures oi Happenings in the Sports Field Bargains and Special Services Offered in the Classified and Display Ads BLYTHEVILLE COURIER NEW?
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