DISEASES OF THE CHEST
elderly member in the group with the chronic cough. It is needless to counsel that when the source of infection is discovered, the future health of the child demands that the contact be broken. The welfare of the community demands that this source of infection be dammed up or C. h. h. isolated. PHILADELPHIA In the November, 1937, PLAN BECOMES issue of DISEASES PENNSYLVANIA OF THE CHEST, was PLAN! outlined the Philadelphia Plan of Tuberculosis Organization within Organized Medicine. The Pennsylvania State Medical Society has endorsed this plan and its President, Doctor Frederick J. Bishop of Scranton, Pa., has appointed the Chairman of the Tuberculosis Committee of the Philadelphia Society to the Chairmanship of the new Tuberculosis Committee of the State Society. A member will be appointed to this Committee from each of the twelve Councilor Districts of the State. The Subcommittees of the State Tuberculosis Committee will be formed along the same pattern as the Philadelphia County Medical Society Committee. An effort is being made to have similar committees in every county in Pennsylvania. When this organization is completed, then, we will have Subcommittees for every phase of our work in every county of the State, bound together by a similar subcommittee of the State Society Tuberculosis Committee. It is hoped that the Fellows of the American College of Chest Physicians throughout the United States will take a leading part in organizing Tuberculosis Committees in every County Medical Society and State Medical Society. These committees should by united effort help to locate the weak spots in the Tuberculosis program of their respective states, determine a plan of action to correct the deficiencies, and then "carry through" until their objective is reached. For example, in Pennsylvania we are faced with woeful inadequacy in thenumber of physicians inour state sanatoriums. Correction of that condition will be one of our first 6
December
objectives. To organized medicine falls the duty of upholding standards of treatment and a balanced tuberculosis program. We are receiving excellent cooperation and advice from the component societies of the National Tuberculosis Association, The Philadelphia Health Council and the Pennsylvania Tuberculosis Association, Only by the sincerest cooperation with all tuberculosis agencies can we successfully carry out our program. We believe that the National Tuberculosis Association deserves our fullest active, organized support in their educational program and that they should have had it these many years. The American College of Chest Physicians has the duty of standardizing and improving tuberculosis education inmedical schools and keeping the physician tuberculosis conscious both as to early diagnosis and modern treatment. F. w. b.
WHAT TO READ
The American College of Chest Physicians through its journal, Diseases of the Chest, is happy at any time to lend wise counsel both to its members and readers, Heading material on tuberculosis is a rather important question;and itis therefore the purpose of this particular editorial to refer to a few works whichhave made their advent into the literature more or less recently. Just off the press is the admirable work, "The Colapse Therapy of Pulmonary Tuberculosis," edited by Dr. John Alexander. It is a massive work but should be in the library of everyone engaged in collapse therapy. This reviewer has not yet completed a thorough reading of it, having had it for only a few days; but he has reviewed it to an extent sufficient to appreciate the tremendous value it affords to the specialist, medical and surgical alike. The Book contains 705 pages,andis publishedby Charles C. Thomas. Dr. Fred Heise, of Saranac Lake, has compiled into an attractive little book of 232 pages a thousand questions and answers on Tuberculosis, and the work goes under that name. The questions were the
DISEASES OF THE CHEST representative ones submitted by patients. If the doctor does not have bottles on hand It is valuable therefore to the doctor in before the patient comes in, there is a that itreflects the questions turning over temptation to neglect the sputum examin the minds of his patients, in giving an ination which he knows perfectly well insight into their reactions, interests,and should be made. The bottle should be curiosities toward their disease. The sum addressed to the laboratory, so the doctor total of the answers provides quite a com- is freed of all annoyance. plete array of informative data on tuberIn a statistical survey of 361 tuberculoculosis. The value is obvious as an answer sis cases made by Ruth Abelson Seder, to the questions of present, past, and published by the National Tuberculosis prospective patients. This fine little book Association in 1934, it was noted that but should be in the possession of all doctors. JJf per cent of those who received a physiItis published by The National Tubercu- cal examination only, received their diaglosis Association. nosis of Tuberculosis within two w eeks of Thelastbook to be recommended in this their first visit to the doctor, but that of present editorial (and others are to fol- those patients who had a physical examinlow) is that excellent book by Fred ation and a sputum test, 84 per cent were Holmes — "Tuberculosis". This again is positively diagnosed within two weeks of P. w. B. an excellent book for both the doctor and their first visit. the tuberculosis patient. It is written in an attractively lucid style and is a com- CHANGES IN Beginning with the Januplete running story of the patient with DISEASES OF ary, 1938 issue; DISEASES OF THE CHEST tuberculosis from the initial examination THE CHEST will take on anew appearon through the whole gamut of subsequent experiences. Any one knowing Fred ance. The cover will be more attractive, Holmes, who himself went through the the inside paper will be heavier, and the mill, can feel the force of bis striking journal will be abit wider in format. The scientific papers will remain of the personality on every page. This book not high standard as heretofore pubsame only imparts an enormous amount of lished; and they will be contributed by information, but serves to bring doctor recognized authorities in the specialty of and patient into a closer, more intimate, chest diseases. The editorial policy will more understanding relationship. It concontinue to stress the cooperation between tains 311 pages, and is published by D. specialist the and the physician in the Appleton-Century Co. c. C. H. H. H. general practice of medicine ; and the keyIMPORTANCE OF The least expensive note of the journal will continue to be procedure in Tubercu- early diagnosis and proper treatment for SPUTUM TESTS IN DIAGNOSING losis Diagno s is is chest diseases. PULMONARY sputum examination. We trust that you will celebrate with TUBERCULOSIS Everv state in the us this new and improved DISEASES Country has facilities OF THE CHEST by renewing your subfor free performance of this test for those scription to the journal. F. f. W. w. B. b. unable to pay for it. Italone can "clinch" BAYARD Itis with deep regret that we the diagnosis beyond reasonable doubt. Every physician should provide himself T. CRANE announce the death of Dr. Bayard T. Crane of Rutland, with plenty of bottles from private and free laboratories, and use the appropriate Massachusetts, Medical Director of the one for every patient who coughs up Central New England Sanatorium. Dr. sputum, irrespective of the duration of Crane devoted all of his life to the probthe cough. Many chronic tuberculosis lems of the tuberculous. His latest patients only expectoratenoticeably when achievement was the establishing of a they have a cold, and yet spray enough rehabilitation project in connection with tuberculosis germs to give the baby tuber- his Sanatorium at Rutland. Dr. Crane culous meningitis and cause other mem- passed away at his home on August 14th bers of the family to break down later on. at the age of 59. C. m. M. H. c. h. 1937
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