national health journal • vol.93 no. 1 • S1 WHAT DO WE MEAN BY MENTAL HEALTH? HOW TO PREVENT SERIOUS DRUG REACTION rII•1i f ~ WORTHINGTON Customers keep asking for them, so we've brought them back. Saucettes. Delicious Saucettes from Worthington have an all new sausage-like flavor and texture your family will love. Saucettes sizzle up extra big, extra juicy, for ra good taste, nourishment and value. And their hearty flavor makes them perfect for casseroles and other family-pleasing recipes, too. Vegetable protein Saucettes are pre-cooked, completely meatless and free of preservatives. Look for new Saucettes at your favorite store today. WWORTHINGTON Putting Good Taste Into Good Nutrition. national health journal LITEMEALTH LEO VAN DOLSON, Ph.D., M.P.H. Editor JAN CHURCH HAFSTROM Assistant Editor BYRON STEELE Art Director BONNIE PAINTER REED Editorial Secretary RICHARD KAISER Braille Editor GARY WEDEMEYER, M.S.P.H. Marketing/Advertising EDMUND M. PETERSON Circulation Manager SAMUEL L. DE SHAY, M.D. J. WAYNE MCFARLAND, M.D. Medical Consultants 94th Year of Publication Volume 93, Number 1 January, 1978 14 5 Benjamin Kovitz, M.D. Klein and Elliott 8 Diane Klein, M.D. 11 12 Jean E. Stephenson Nearsighted viewpoint "I knew I existed someplace behind that blur." Patti Feldman Will that dog bite me, Mom? That dog's bite may be worse than his bark. Warm beverages for health and enjoyment A warm drink increases the feeling of relaxation and comfort. My stubborn father Riding with him at the wheel is an unforgettable experience. Your child may grow back a finger tip A new method of treatment makes it possible for the tip to regrow. Getting into circulation Walking is the best exercise— providing you can dodge those who aren't. What can we do about hiccups? What happens and why. 20 Beckman 0 Better Life 2 Gazette Are you creative? Creativity can be threatening to others, but it makes life worth living. accompanied by a self-addressed and stamped reply envelope are returned. advance data on copy and product to the Marketing and Advertising Department (Gary Wedemeyer). your copy or from a wrapper in which you received the magazine. BRAILLE: Selections available in Braille. Write LIFE AND HEALTH, P.O. Box 6097, Lincoln, Nebraska 68506. SUBSCRIPTION PRICE: $9.00, one year. Single copy, $1.00. Price may vary where national currencies differ. CHANGE OF ADDRESS: Send to LIFE AND HEALTH, Circulation Department, 6856 Eastern Avenue NW., Washington, D.C. 20012, at least 30 days before date of the issue with which it is to take effect. When writing about your subscription or changing your address, please enclose the address clipped from LIFE & HEALTH is published monthly and copyrighted cLn 1977 by the Review and Herald Publishing Association, 6856 Eastern Avenue NW., Washington, D.C. 20012. (202) 723-3700. Second-class postage paid at Washington, D.C. Vol. 93, No 1. All rights reserved. Title registered in U.S. Patent Office. 0 Martha J. MANUSCRIPTS: LIFE AND HEALTH gives consideration to unsolicited manuscripts provided they meet certain requirements. Submissions can be up to eight double-spaced typewritten pages; brevity is encouraged. Articles should be health oriented, properly researched, scientifically documented, and written in an interesting style for nonprofessionals. Emphasis is on prevention. Only those articles How to prevent serious drug reaction There's no guarantee you won't get allergic symptoms. Everything you always wanted Toss the lettuce lightly to know about the world's most popular salad plant. 21 Dorothy Carey Audrey Carli 23 24 Albert E. Shirer OBJECTIVE: A family magazine featuring reliable health information. The official journal of the Home Health Education Service. What do we mean by mental health? Understanding what it means is not as easy as it seems. Ruth Adler 14 Vivian Buchan 16 Selma Chaij Rhys, R.D. 26 21 CONSUMER SAP-ETV: Since Life & Health is written for the lay person, we take great effort to screen those products and services that are felt to be harmful to our readers, although the companies who advertise take actual responsibility for their products or services. ADVERTISING: Life & Health accepts those advertisements that have been found to be compatible with the aims and objectives of the journal. Those wishing to advertise should submit Q Man and his spirit I ,"Life is too short to be little" LIFE AND HEALTH—IANUARY 1978 3 c pacoallal itllaptt5 this month's MENIAL HEALTH FL RE Once again Life and Health plans to give, over a 12-month period, special emphasis to one particular facet of total health. During each month of 1976 at least one major article appeared dealing with the physiology of the human body. During 1977 the vital topic of human nutrition was given thorough treatment. This year, 1978, the journal will deal with a subject of universal concern, mental health. The plan is not merely to present a collection of articles on the topic at hand, but to approach the matter systematically. If the reader carefully follows the subject in each monthly issue, by the end of the year he will have a comprehensive layman's understanding of the field of mental health. We begin this series this month with a background article entitled "What Do We Mean by Mental Health?" Each article in the series will be written by a professional competent in dealing with the subject of mental health. The reader will not want to miss a single presentation in this fascinating area of common concern. Statement of Ownership, Management, and Circulation of LIFE & HEALTH, published and printed monthly at 6856 Eastern Avenue NW., Washington, D.C. 20012. The names and addresses of the publisher, editor, and managing editor are: Publisher—Review and Herald Publishing Association, 6856 Eastern Avenue NW., Washington, D.C. 20012; Editor—Leo R. Van Dolson, 6856 Eastern Avenue NW., Washington, D.C. 20012; Managing Editor—none. The owner is the General Conference of Seventh-day Adventists, 6840 Eastern Avenue NW., Washington, D.C. 20012, a nonprofit, charitable corporation. There are no bondholders, mortgagees, or other security holders owning or holding 1 percent or more of total amount of bonds, mortgages, or other securities. 4 LIFE AND HEALTH—JANUARY 1978 Average No. Copies Single Issue Each Issue During Nearest to Preceding 12 Months Filing Date Total number copies printed Paid circulation through agents, etc. Paid circulation to term subscribers Free distribution Total number copies distributed 98,605 97,539 None None 83,391 4,107 89,498 78,052 4,763 82,815 I certify that the statements made by me above are correct and complete. E. M. PETERSON, Circulation Manager SKIP BA KE R By Benjamin Kovitz, M.D. WHAT DO WE MEAN BY MENTAL HEALTH? The difficulty begins with the words themselves. Each term, health and mental, carries more than one The phrase is simple, but the facts are meaning. Health, for example, may not, and lengthy discourses have not mean an ideal state of functioning, or found it easy to do this topic full an absence of illness, or the average justice. The following reflections can condition of the population at large. only suggest one point of view in the The word mental is especially enigsearch for deeper understanding of a matic. Sometimes it is equated with conscious life; sometimes it includes complex human problem. • t may seem strange that so popular I a subject of discussion as mental health should be so difficult to define. psychological processes that are unconscious; and to many people it suggests an intangible something, presumably distinct from the body yet mysteriously intimate with it, that sometimes controls it and is sometimes controlled in turn. The best medical thinking, however, has given up the assumption that a human being can be split into two LIFE AND HEALTH-JANUARY 1978 5 this month's MENIAL HEALTH FELF1J such diverse fragments. The mind is not something separate from the body. Both terms refer to complementary dimensions or interwoven strands of the total organism. Body refers to the physical aspect of the organism, with the mental aspect arbitrarily left out. Mind, on the other hand, refers to the capacity of the organism to function as a unit, to its property of acting as a living whole. Mental qualities are those which can be found only in the whole person rather than in any part. A muscle contracts; the organism desires or acts. The heart beats faster or slower, or stops; only the whole human being feels joy or anger, or dies of a broken heart. Changes in the body are mirrored in the mind, and the fortunes of mental life always write their physical record. Our bodies behave one way when we are frightened or discouraged, in an altogether different way when we are happy and confident. In short, the mental and physical are inseparable and complementary views of a single reality. Two mind functions Therefore, the mind has two fundamental tasks: to give the personality unity or wholeness, and to interact with the outer world. These two functions of the mind underlie two different concepts of mental health. According to one view, mental health is primarily a matter of adjustment, of accommodation to the surrounding world. The emphasis is on adapting, on meeting the requirements of society and surviving in a complex universe. But 6 LIFE AND HEALTH-JANUARY 1978 important as such adaptation may be, not everyone equates it with health. Simply adjusting to the world, the objection runs, can lead to the surrender of our individuality and to the sacrifice of our health or our principles. Instead of adjustment, the goal of mental health should presumably be self-fulfillment. Proponents of this latter view like to talk of self-realization or self-actualization, with the assumption that health demands, above all, being true to our inner nature and expressing our unique potentialities. The second concept makes up for the shortcomings of the first, but it poses still other problems. If taken as final or absolute, it seems to approve the self-centered expression of any and every potentiality. There would then be no selective concern for the better or the worse, but a blind self-will pursuing the indiscriminate gratification of every impulse. And appealing as the prospect of unlimited self-expression may appear at first, in the end it must prove not only detrimental to health but incompatible with reality. Obviously we are not restricted to these two extreme alternatives, yet neither one can be ignored. A third, more balanced view expects the mentally sound person to order life according to a scale of values, obeying some impulses and rejecting others in accord with a rational ideal. But as soon as we make this reasonable assumption, still other problems arise. If we are to approve some impulses and deny others, we are caught in an inner conflict that divides us against ourselves. A paradox appears: the ef- fort to achieve mental health entails an inevitable mental strain. But if we are to be discriminating in our choices and concerned about consequences, we cannot escape such inner contradiction. We can never successfully evade the challenge of two pressing dilemmas: the first, of weighing immediate against ultimate satisfactions, and, the second, perhaps even more critical, of choosing between our own wishes and the wishes of others. We achieve mental health in any real sense by facing these dilemmas in a straightforward fashion. We cannot avoid them except at serious cost to the personality. How we resolve them determines, it is worth noting, not only our mental but also our physical well-being, for misguided living can damage our organs as well as our minds. The predicament, often difficult and at times agonizing, of having to live at the same time for ourselves and for others, turns out to be one of the basic sources of anxiety. The dilemma here springs from a fundamental human need; everyone, at least potentially, is concerned not only about himself but also about the reactions of everyone significant in his life. The problem is how to reconcile these two concerns. The ideal was set down long ago in Leviticus 19:18 (R.S.V.): "You shall love your neighbor as yourself," but the fulfillment of this great commandment has never been easy. To despair of the reconciliation is to renounce hope of genuine mental health. Confrontation This line of reasoning has led us to a definition of mental health as a twin reconciliation: between the contrary forces within us, and between ourselves and the world around us. Every infant faces this twofold problem from the moment of birth but he may take a lifetime to achieve a solution. (Tolstoy gives us an unforgettable example in his story "The Death of Ivan Ilyich.") Daily experience teaches us that we cannot achieve this ideal merely by saying the right words or professing the proper intentions. It is a matter of how we live, as well as what we think. What the ideal requires of us may be termed respect, but respect in the larger sense of an instinctive regard for human beings, an affirmation of their value and our own in actual practice, whether or not it is put into words. Unfortunately, such an attitude cannot be commanded at will, and herein lies the difficulty of winning mental health by sheer intellectual effort or by the recital of appropriate sentiments. Genuine health of the mind, of the personality, and ultimately of society demands a real capacity to tolerate differences and to reconcile or transcend contradictions. It requires the faith that we can endure our inevitable conflicts, and that we can live our lives without destructive sacrifice of others or of ourselves. Self-knowledge A long tradition, going back at least as far as the Delphic oracle, has emphasized insight or self-knowledge as the touchstone of mental health. To be mentally well we should know what we are, what we want, what we feel, and what we are really doing (in contrast to what we think we are doing). Without question the capacity to know ourselves and to foresee consequences plays a fundamental part in healthy living. But even this capacity is not enough. It needs to be backed by the will to take responsibility for our decisions. Total consciousness or self-awareness is impossible in any case, even if it were desirable. Some self-deception and some ignorance of self is ingrained in everyone. What counts in the end is to live by the principle that we all have intrinsic value—that you and I both matter. Mental health is necessarily never a finished state but a continual process, a lifelong striving toward inner and outer harmony. The symptoms of mental disorder, other than the direct results of brain or body disease, betray a failure to live successfully either for one's own sake or for the sake of others. A vast range of disturbed living becomes intelligible as a defense and as a signal of distress, as an effort to conceal yet confess the trouble we are having in coming to terms with life. Such symptoms are largely foredoomed attempts to mask anxiety (which means evading our dilemmas) by behavior that is impulsive, unrealistic, or even pseudomagical. On the other hand, as we struggle toward honesty with ourselves, toward mutual respect, and toward realistic decision in the face of conflict, we are moving toward health. Mental health cannot assure us freedom from strain or anguish; it does mean the courage to face the mistake and pain of existence with all our resources and with a living sense of responsibility for our fellows and ourselves. The foregoing has all been in a general and philosophical vein. It remains to say a few words about the visible evidence of mental health in everyday life. With their remarkable ingenuity in self-concealment, people can, of course, do an impressive and at times astonishing job of hiding their emotional difficulties. But somehow, sooner or later, the lack of genuineness makes itself known in physical if not in psychological forms. When mental health is a reality, we see it in a natural, unforced zest for living and in productiveness without exhaustion or depression. People show it in the success and stability of their work, in the freedom and innocence of their play, in the unaffected sincerity of their manner, in the flexibility that accompanies healthy conscientiousness, in the fortitude with which they endure failure or adversity, and in the dignity with which they tolerate insult. The marks of true health are not limited to individuals in isolation; we can see the signs in the faces of their children and their mates, and in the reaction of all those whom their lives have touched. Benjamin Kovitz, M.D., is professor of psychiatry at Loma Linda University, Riverside, California. LIFE AND HEALTH-JANUARY 1978 7 0 0 z 0 z e How to prevent serious drug reaction By Diane Klein and Elliott Klein, M.D. T he sky was slate gray that afternoon in February. Michael Ross, a 36-year-old engineer, walked slowly into the doctor's crowded waiting room. His head ached, he felt hot and feverish despite the freezing weather, and his throat was so swollen and raw he could barely swallow. "Mr. Ross, I don't like the look of those white spots on your tonsils and you've got a fever. I'd like to give you a shot of penicillin. Have you ever taken it before?" "Yes, I think so, Doc, in the Navy." "Any reaction to it?" asked the 8 LIFE AND HEALTH-JANUARY 1978 harried doctor as he prepared the needle. "No, not really," Michael replied quickly, eager to get some relief from his misery. Yet within minutes after the wonder drug entered his bloodstream, Michael Ross was dead—a rare victim of the dreaded allergic reaction, anaphylactic shock. Despite all of the blessings that modern drugs have bestowed on mankind, the relief of untold sufferings and the prevention of millions of tragic deaths, drugs themselves are now among our most common causes of serious allergic reactions.1 Although fifty or sixty years ago there were few chemical weapons available to physicians to fight disease, there are, presently, hundreds of drugs and combinations of drugs in the doctor's arsenal. In fact, the discovery of antibiotics has been one of the greatest miracles in the thousands of years that man has lived upon the earth. Yet any one of these wonder drugs has been proved to have a harmful effect on a person who is sensitive to it.2 According to research studies, five or ten out of every one hundred Americans have an allergic reaction, at one time or another, to penicillin.3 And even the common aspirin can cause serious stomach problems in some of us or bring about a violent asthmatic attack in people who suffer from asthma.4 But, as Allergist Dr. William Sherman points out, "These reactions rarely, if ever, follow the first dose of the drug." Sensitization develops through use, and the severe immediate reactions generally occur after previous milder ones have been ignored.5 Therefore, it's important that each person know his own medical history and be fully aware of any drug sensitivities. Modern medicine has changed enormously within the past few decades.. Americans move their homes and families with an ease that would have astounded their grandfathers. Also the complexity of medicine with its specialists, medical groups, and clinics makes it even more urgent that we develop a sense of responsibility with regard to our own drug usage. Most of us will see many different doctors for various ailments during our lifetime. Hundreds of new drugs are being introduced in an attempt to alleviate suffering and to lengthen our lives. Unfortunately, when a new medication is used, it is sometimes only by sad experience that we learn what hostile reactions it may produce. A drug can be perfectly safe and even lifesaving for thousands of patients, yet for others a drug reaction can develop. The drug then acts as an irritating substance. The tiny cells in the tissues produce material, called antibodies, which attack the substance. Once these antibodies have been formed, further contact with the drug produces irritations in sensitive tissues such as the skin, the bronchial tubes, and the digestive tract.6 Though doctors are unsure as to whether every drug reaction is really allergic in origin, the symptoms often mirror such a reaction. What are the symptoms? Fortunately, the most common symptom is a skin rash, a visible warning such as hives, inflammation, peeling, itching eczema, or purpura, which are small hemorrhages of the skin.7 Our own youngster developed severe purpura after only two oral doses of a longacting sulfa preparation. Although it was seven years ago, it's a sight we'll never forget. Her little body was covered from head to toe with a deep-purple-tinged rash that invaded even her ears and the insides of her mouth. The rash persisted for twelve frightening days before it faded. But not every skin reaction is so dramatic. Therefore, any change in the skin, even the mildest of rashes when you're on medication, should be reported to your doctor immediately. Moreover, some types of allergic reaction can cause not only a skin reaction but also other distressing symptoms. Serum sickness, for example, is a delayed reaction to foreign animal serum such as tetanus tolcoid. It may produce hives, joint pains, fever, and weakness. The reactions generally occur within one to ten days after the injection, and it can even affect the kidneys and the circulatory system. 8 Another example of delayed drug reaction is known as "drug fever." It's most often seen on the fifth to seventh day of treatment and can cause a high temperature until the drug is stopped and completely eliminated from the body. Although it's usually associated with other allergic symptoms, fever can sometimes be the only warning signal. The most notorious cause of drug fever is sulfa, but quinidine, certain antihypertensive medicines, and antithyroid medications can also be the culprits.9 It's also possible to develop upper respiratory symptoms from sulfa, or abdominal cramps and diarrhea from antibiotics, as well as sores inside the mouth. Obviously, drug reactions can attack almost any part of our bodies and almost any drug can cause a problem. Nevertheless, the most feared drug reaction is anaphylaxis. This is an immediate severe response that results in a drastic drop in blood pressure and shock. These alarming symptoms are most frequently seen after injections of penicillin or sulfa, or less often, other drugs. 10 Fortunately, such dangerous reactions occur only in a very small number of people. But not only can drugs themselves cause medical problems at times, patients react violently not merely to the drug itself but to hidden additives, such as preservatives or coloring in the coating of pills and capsules. Often the coloring or flavoring agents are made of coal-tar derivatives or other chemicals that sometimes produce allergic reactions. It's because of these additives that one brand of drugs may be different from another. n Another complication in prescribing medication is the fact that many patients need to take more than one drug at a time. In recent years, we've become increasingly aware of drug interaction, because studies of laboratory animals have shown certain medicines can increase or decrease one ahother's effectiveness or dangers. 12 Can doctors test drug sensitivity? It's a sad fact that skin testing is of doubtful value in revealing possible allergic drug reaction. This method is rarely successful and, according to New York allergist Dr. Richard Snyder, may involve a severe risk for LIFE AND HEALTH—JANUARY 1978 9 someone who's highly sensitive. Or the skin test itself can show no reaction though it may be enough to trigger a response when the drug is actually used. For instance, the teen-age daughter of a physician nearly died in spite of a negative response to a skin-test for tetanus-antitoxin. Within minutes after being injected with the actual medication, the youngster keeled over and went into shock. Fortunately, she was revived quickly with an immediate injection of adrenalin. Doctors constantly hear these statements from patients. "Doc, can you renew the green pill you gave six months ago, or was it last summer?" "You know, Doctor, the yellow and green capsule I took three years ago that made me sick." "I got a rash from an orange pill when I was in service. Are you giving me the same medicine?" It's almost impossible to guess the drug history of some patients with such clues. Therefore, it's vitally important that all medications be clearly labeled by the druggist. And each of us should remember the names of the medicines we take, as well as what's being prescribed for our children. In New York State, labeling of medication is mandatory, and the American Medical Association has strongly encouraged physicians all over the country to see that drugs are precisely labeled by the pharmacist. 13 Another way you can help safeguard yourself and your family from serious drug reaction is to tell not only your own doctor about any drug sensitivities but also the nurses and house staff, if you or your youngster require hospitalization. In addition, when you're given drugs, either in the hospital or by prescription in the doctor's office, How can I protect myself? 10 LIFE AND HEALTH—JANUARY 1978 ask for example, "Do these eye drops contain sulfa?" (if that's your sensitivity). Mistakes can happen and it's wise to see they don't happen to you. And the fact that you've tolerated a drug on a number of previous occasions is no guarantee you won't get allergic symptoms with the next dose. So, if you have any peculiar reaction whatever to medication, stop taking it immediately and call your doctor. What symptoms require immediate attention? If you notice swelling of the face, lips, or eyes, heaviness in the chest, difficulty in breathing, palpitation, pounding in the chest, faintness, or a cold sweat and pallor, act at once." Have someone call your doctor and go to the emergency room of the nearest hospital as quickly as possible. Tell the nurse you're having an acute allergic reaction and insist upon seeing the house physician immediately, if your own doctor isn't available. Explain to the doctor what drugs you've taken and you'll be treated promptly with an injection of either cortisone, ephedrine, an antihistamine, and possibly oxygen, if necessary. Medic Alert In 1958, the young daughter of a California surgeon, Dr. Marion Collins, had a frightening brush with death after receiving a test for tetanusantitoxin. Dr. Collins and his wife were determined some way must be found so that others could avoid such dangerous situations. Out of their concern and compassion, the idea of Medic Alert was born. The Medic Alert Foundation is a charitable nonprofit organization whose main purpose is to educate and encourage people to wear identification of medical problems that should be known in an emergency.' There are now 650,000 members of Medic Alert all over the world. Each member wears either a bracelet or a disc with his or her hidden medical problem and the emergency phone number of Medic Alert. The central file is at P.O. Box 1009, Turlock, California 95380, and there's an international phone number to call for data. The organization will accept collect emergency calls twenty-four hours a day from doctors and hospitals anywhere in the world. The fee, paid once, for lifetime protection is minimal and tax deductible. The stainless steel bracelet, including registration, costs $7.00. But why should this be necessary? Perhaps there may be a time when someone you love cannot speak for himself because of unconsciousness, shock, hysteria, loss of speech, et cetera. And there are people, for example, for whom a shot of penicillin, dilantin, codeine, or tetanus could prove deadly. REFERENCES ' Howard C. Rapaport, M.D., and Shirley Motter Linde, M.S. The Complete Allergy Guide. Simon and Schuster, 1970, chapter 12, pp. 278-310. 2 John E. Kasik, M.D., Ph.D., and John S. Thompson, M.D. Allergic reactions to antibiotics. Medical Clinics of North America, vol. 54, No. 1, January, 1970, pp. 60-62. 3 Rapaport and Linde. Op. cit., p. 283. 4 William B. Sherman, M.D. Drug Allergy. Southern Medical Journal, vol. 64, No. 1, January, 1971, p. 24. 5 Answers to some Questions About Allergy and Allergic Diseases. Published by Allergy Foundation of America, 801 Second Ave., New York. ° Rudolph L. Baer, M.D. Hints for diagnosis of skin reactions. Medical World News, April 12, 1%3, pp. 62, 63. Emile Somekh, M.D. A Parent's Guide to Children's Allergies. Charles C. Thomas, 1972, p. 153. Drug Allergy: Causes, Symptoms, Diagnosis, Treatment. Published by Allergy Foundation of America, 801 Second Ave., New York. 9 Kasik and Thompson. Op. cit., p. 61. 10 Rapaport and Linde. Op. cit., p. 280. " Harvey Baker, M.D., and John Almeyda, M.D., Drug reactions and interactions. British Journal of Dermatology, Quarterly Review, September, 1970, pp. 425-427. 12 AMA Drug Evaluation, 2d ed. Acton, Mass., Publishing Science Group, Inc., 1973. Kasik and Thompson. Op. cit., pp. 61, 62. 14 H. W. Bottomley, M.D. Allergy: Its Treatment and Care. Funk and Wagnalls, 1968. .5 This Could Save Your Life. Published by Medic Alert Foundation, P.O. Box 1009, Turlock, Calif. 95380. VERNON TOOLEY III Toss the lettuce lightly By Ruth Adler T he world's most popular salad plant, lettuce, recently made the headlines in a syndicated newspaper when seedsmen in Atlanta, Georgia, named it the "Vegetable of the Year." They decided on the loose-leaf variety for three main reasons: one, it is easy to grow, as the seeds can be sown directly into the garden and the mature leaves will be ready to pick in fifty days; two, its cost is reasonable, as a 35-cent packet of seeds will yield hundreds of plants; and three, no garden should be without lettuce, as the frilly loose-leaf plant can be planted among the flowers, making the garden more decorative. The reasons are valid enough to suggest that we get out the rake and hoe and start digging. However, some types of lettuce are almost always available in the produce department of the local market or at the grocery. The cultivated lettuce grown in this country is closely related to the wild lettuce from which it derives. It was popular among the Romans about the beginning of the Christian Era, and even by that time had been brought to an advanced state of culture and development. Ancient physicians used the milky juice extracted from the lettuce plant as a sedative. The name is derived from the French laitue, the root word of which means "milk." And lettuce was among the first garden seeds sown in every European colony on this continent. It is a fairly good source of vitamin A, which raises our resistance to infections, gives a feeling of well-being, preserves skin health, and promotes tooth development. Lettuce is a source of vitamin Bi (thiamine), vitamin B2 (riboflavin), and potassium. Because it is so low in calories, it is excellent for those seeking to control their weight. Among the different varieties of lettuce are asparagus lettuce, which has long narrow leaves and tall, thick, succulent edible stems. Cos lettuce, commonly called romaine, is dark green, and forms an erect, compact rosette of elongated leaves near the head. Its name indicates an Italian origin. Bibb and butterhead lettuce are light green. Curled lettuce has a loose rosette of crisped leaves, and iceberg lettuce is a heavy, greenish white and has a firmly packed head. Most of the lettuce in the markets today is not the loose-leaf type that is grown in vegetable gardens, as the latter is highly perishable after harvesting. Loose-leaf lettuce is rarely grown in the Ppited States for commercial purposes. Instead, we buy the New York variety or several of the Imperial strains of lettuce produced in the Imperial Valley in California. People mistake these strains for the iceberg variety, which has red-tinged leaves. For maximum benefit from the vegetable, carefully choose fresh lettuce with a well-shaped head and a minimum of wrapper leaves, which should not be discolored. All lettuce should be crisp, served raw either alone or as a hearts-of-lettuce salad. The vegetable may be cooked as any other green vegetable, or made into a soup. LIFE AND HEALTH-JANUARY 1978 11 \EARSIGHTD VIEWPOI\T T blundered gleefully through my youth in a state of perpetual activity, never giving a thought to the future. My only sorrow, lurking behind garish blue plastic perched on my nose, was that I didn't know what I looked like. It wasn't that I didn't want to know, and it wasn't through lack of effort. I spent many an emotiondrenched session in front of the mirror, sans spectacles, peering intently into the glass. But by the time I got far enough away from the mirror to be able to see my entire face, I couldn't see! Oh, the agony! The pain of knowing I was there, lost to sight through a quirk of nature. I knew I existed someplace behind that blur, behind the anonymity of plastic ear pieces and thick concave lenses. I wanted out! Besides, vanity soon raised its sinister head. A boyfriend told me that my eyes were my best feature. If they were better than my figure, which I could appraise with no difficulty with my glasses on, I wanted those eyes out in the open! But time passed. I married and became a mother. One day our small daughter snatched off my glasses and threw them on the floor once too often. They shattered, and my freedom took shape from those sharp splinters of glass. By Jean E. Stephenson I 12 LIFE AND HEALTH-JANUARY 1978 The pain of knowing I was there, lost to sight through a quirk of nature! As long as I had to get new glasses anyway—why not contact lenses? I ran—or rather, had my husband lead me—to the nearest optometrist, and my new life began. I was 24 years old, released at last from obscurity. My first look into the mirror was something of a disappointment. Removing the glasses hadn't lengthened my nose or eliminated any freckles. Everything was basically the same— except the eyes. I had to admit, they helped. My morale zoomed up fifty points. Liberated from my inhibitions, I found that life took on new meaning. I could look people in the eyes without first having to push my glasses up on my nose. Cooking became a thing of joy, without my trying to work through steamed glass. And my poor nose and ears, tired from years of carrying around the heavy frames, got a well-deserved rest. Fifteen busy years went by. Life was full of fun and activity. Then came the day I was sitting in the ophthalmologist's chair, hearing the words I'd been dreading. "Your eyes are tired. That happens sometimes when you get older. The only thing you can do is stop wearing contact lenses." So there I was—back where I started. My fifteen-year reprieve was over. I had finally surfaced, only to be driven back by tired eyes. The future looked dim. I walked through the door in my new modern-shaped lenses, turning defiantly toward my husband. He kissed my cheek as I glared up at him. "Welcome back, Honey. I've missed you all these years." My son came bounding through the room. "Hey, Mom, you look weird! What's for dinner?" Nobody knew I was different. I did the same things, and my family treated me as they always had. There wasn't time to convince people that I had retreated to my former self. Someday I'll get around to that. But I'm keeping the contact lenses. When days get long and my spirits sag, I'll know what to do. With my lenses in place I'll look in the mirror to find what everybody else has always known. I've been there all the time! Jean Stephenson, who has a son and a daughter, is a homemaker who became increasingly interested in writing. Among other things, she says she enjoys reading and camping. V ERNONTOOLEYIII I knew I existed somewhere behind that blur! LIFE AND HEALTH-JANUARY 1978 13 WILL THAT DOG BITE ME, MOM • 110 By Vivian Buchan 14 LIFE AND HEALTH-JANUARY 1978 H ow do you answer a child who asks that question? Tell him Yes, and he'll develop a fear of dogs. Tell him No, and he'll approach any strange dog. So what do you tell him? The trauma I had when my 10year-old son came crying into the house some years ago, holding his hand over a bleeding face is something no parent should have to experience. He'd reached down to pet a strange dog that had leaped up and had bitten his upper lip until it took eleven stiches to close the laceration. It was days before we located the strange dog that we feared might be rabid. Although it wasn't, dog bites are serious nonetheless. Now that so many people keep dogs for protection, we should teach our youngsters neither to fear nor trust strange dogs, but to respect them. Most cities have laws to prevent dogs from running loose, but dogs still do so. And State-wide laws demand that dogs be given rabies shots, but there are strays everywhere that could be rabid. The U.S. Disease Control Center in Atlanta estimates that at least one million people are bitten by dogs every year in this country alone. Other authorities believe it could be twice that number. And the incidence of dog bites is going up, not down. The cost of treating dog bites runs up to some $50 million a year. Dog bites are topped only by gonorrhea among the reported diseases and injuries. A survey made in New York City between 1965 and 1972 showed that 52 percent of the victims of dog bites were under 20 years of age. And 64 percent of facial bites were those inflicted on children under 10. Dog bites began to rise in March, reaching a high point in summer, and declining after August. In 79 percent of the cases, the dog was known to the victim, and only 11 percent of the people bitten were bitten by a stray. In 16 percent of the cases the dog belonged to the family. Dogs can be temperamental Susan Welsh of the Humane Society auxiliary in a Midwestern city, issued a warning that strange dogs can be a threat. Youngsters who have dogs of their own come to believe that all dogs are as friendly and affectionate as their pets. But dogs vary in temperament just as people do, and need to be treated with respect and understanding. Lost or strayed dogs often follow children on their way to school, but even a playful and friendly dog can become a threat if it's teased, threatened, or frightened. Ms. Welsh said, "If you see a dog loose on the playground or on your way to school, report it to the principal or your teacher. You'll be doing the dog a favor, as well as yourself and your playmates, if you report it. It's far kinder to do that than to let it roam the streets and perhaps be struck by a car." A dog that bites someone puts its owner into jeopardy and sometimes writes "the end" to its life. So a dog that has jumped over its fence or slipped its leash needs to be returned to its home. The owner will be grateful, and the dog will be protected from harming itself or someone else. Nothing delights some dogs more than chasing a moving object such as a car, a bicycle, or a running person. Attacking a bicycle is lots of fun, for its easier to catch hold of the person on it. Advise your child that if a dog does approach him as he's riding his bike to get off at once to avoid being tipped over, bitten, or having his What if you're sauntering along minding your own business and a dog rushes at you growling and snarling? What do you do? Nothing! Just stand perfectly still, no matter how scared you might be, with your hands hanging at your sides. The worst thing you could do would be to start screaming and running away. The next worst thing would be putting out your hands toward the dog or over your head. Nothing alarms a dog quicker than such movements. If he doesn't become bored by your playing statue and slink off, he may lose his fear of you. He may cautiously approach you (still growling) and begin sniffing at your hands and feet. Don't move. Talk softly and slowly to him without making any attempt to touch him. He may begin to trust you—then, again, he may not—so stand absolutely still until he either goes away or someone calls him off or comes to your rescue. advice to respect strange dogs and said to me, "Ha, all dogs like me. I can make up with the crossest or strangest dog you'll ever see. Look at that big shepherd sitting in that truck over there. Just watch me make friends with him." As he reached his hand through the half-opened window of the truck, the dog gave one low growl that made me step back. But Randy just kept reaching through the window. "Come on, fella, I'm your friend," he said. Without another sound of warning, the dog's jaws clamped around Randy's right hand. And before he could get loose, his thumb was almost torn off. People are so security conscious these days that more and more big dogs are seen walking beside people, some on leashes, others not. Dogs pace behind link-chain fences, stand guard on front porches, and protect cars and children from strangers, or even from people they know, if they are alone with their charges. Most of them are prepared to attack without warning, and most of them are wary and suspicious of any stranger. Even friendly little dogs who trot up to anyone can become unfriendly if they're threatened by someone making quick movements that startle them. So it's wrong to say "No, that dog won't bite you," because it just could. And it's not sensible to say, "Yes, that dog will bite you," for that generates fear in a child that may carry over into a phobia. It's far better to say, "I don't know if that dog would bite you or not. All dogs require respect and understanding, so that's how you act if you do encounter a strange dog anywhere." Randy's a brash teen-ager who laughed at the Vivian Buchan is a free-lance author, and frequent contributor to Life and Health. clothes ripped. The cyclist should keep his twowheeler between him and the dog, using it as a shield as he walks quietly along. If he keeps saying calmly, "Go home, now, go on home," or "No, No," the dog may tire of the inaction and go trotting off to find something more exciting to do. But if it does persist in threatening his quarry, keep walking slowly along until someone comes to help. Another way to respect a dog is to keep your hands off him. Never, never, never reach out your hand to a strange dog. And never, never, never reach over a fence to pat one confined to quarters. Any threat or invasion of a dog's territory is asking for trouble. Play statue Respect those dogs LIFE AND HEALTH-JANUARY 1978 15 /,,olf-Eyb NA. Warm beverages for health and enjoyment 16 LIFE AND HEALTH-JANUARY 1978 By Selma Chaij Rhys W hen the temperature outside drops and every attempt to get some fresh air sends a chill into our lungs, we treasure those moments relaxing at home in front of a fire. What comfort to curl up cozily in our favorite nook while we hear the wind and rain or watch the snow come down. It's the time to enjoy popping corn over the fire, relaxing, sipping a warm beverage slowly, sharing quiet moments with family and friends. A warm drink increases the feeling of relaxation, and seems to comfort the spirit as well as the body. It can also contribute to good health and resistance against disease. Certain fruit beverages, for example, have been found to have antibacterial and antiviral properties. During winter there is less opportunity to be in the fresh air and sunshine, so sickness is more common and frequent. This is an excellent opportunity to benefit from the health-giving virtues of fruit beverages. Two Canadian food virologists reported in a recent issue of Science that some fruits—and fruit juices—such as grapes, strawberries, and raspberries, may be of value as antiviral agents. * This is owing to certain naturally occurring tannins and phenols. Some juices, such as grape juice, are very active against viruses that cause disease, said this report. This is especially true of red-grape juice—more than white, which is apparently because the skins, which contain most of the phenols, are removed in making white-grape juice. Fruits and juices should be included in our diet every day. They are good sources of many vitamins and minerals. Among these are vitamin C, vitamin Bs, potassium, iron, copper, chromium, and traces of most other nutrients. This balance of nutrients is absent from fruit-flavored sugary beverages. For your health, and that of your family, read the labels and buy only pure, unsweetened fruit juices. Here are some piping-hot fruit drinks you can make this winter: Golden wassail 1 qt. apple juice 1 qt. pineapple juice 1 12 oz. can apricot nectar 1 cup orange juice 5 inch stick cinnamon 1 tsp. whole cloves 1/4 tsp. crushed cardamon seeds In saucepan combine all ingredients. Cover and simmer 15 minutes. Strain and serve in mugs with cinnamonstick muddlers. Makes 9 cups. Hot berry lemonade 2 12 oz. packages frozen strawberries or raspberries 1/4 cup honey 1 6 oz. can frozen lemonade concentrate 3 cups water 2 tbsp. mint leaves In saucepan combine all ingredients. Cover and simmer 10 minutes. Put in blender to purée berries or serve with berries slightly crushed. Makes 8 cups. Hot grape punch 1 qt. grape juice 1 qt. cranberry-apple juice 3 inch stick cinnamon 1 tsp. whole cloves 1 lemon, thinly sliced In saucepan combine juices, cinnamon and cloves. Cover and simmer for 10 minutes. Strain and serve over lemon slices. Makes 8 cups. Sweet dreams warm-up This drink is good at any time of the day—at breakfast, after dinner, or as a nightcap. Research suggests that there is some truth to the idea that milk may help us sleep better. Studies with animals found that the amino acid tryptophan seemed to trigger sleepiness. This amino acid is found abundantly in milk. Since the following recipe has no caffeine or other stimulants or irritants such as those found in cocoa, tea, or coffee, it may in fact be an excellent relaxant. The molasses is a rich source of iron,. one of the minerals lacking in milk, so that it not only adds a flavorful sweetness, but complements the milk nutritionally. hot skim milk instant cereal beverage such as Posturn, Pero or Sano-Caf molasses For each serving place a teaspoon of cereal beverage and a teaspoonful of molasses in each cup. Pour hot skim milk into cup and stir to dissolve well. Sip and enjoy. * Jack Konowalchuk and Joan I. Speirs. Science, vol. 190, p. 1074, June 3, 1977. LIFE AND HEALTH—JANUARY 1978 17 null mon do ogbio?ia " Life is too short to be little" By Annie Laurie Von Tungeln n the delightful story of her life, the famous writer Pearl S. Buck characterized a servant she had in China as one of those women "who battle whatever they do." In cleaning, she "opposed" and "attacked" the furniture, and the destruction of a spider web in the beams of a ceiling called for "mutterings and threats." 1 I too am inclined sometimes to indulge in a sort of pseudobusyness. When I attack the room where I write—with its clutter of papers, books, card and clipping files—I am given to mutterings and threats, though I try to keep them discreetly tucked under my breath. Although on such occasions my industry is little more than bustling fussiness, there are times when I actually have too much to do—and not busywork, either. Many persons face a similar situation. They range from young mothers who care for their families and at the same time hold jobs outside their homes, to retirees who have bitten off too many volunteer "do-good" activities (and I don't say that in a derogatory way) or who are harassed to serve on committees or as callers for organizations of all sorts. It is possible to wear ourselves out with good works, as well as with our regular occupations. In our eagerness to accomplish a great deal we may be like the man who felt so good after the I 18 LIFE AND HEALTH-JANUARY 1978 first dose of medicine the doctor prescribed—to be taken one teaspoonful every day—that he swallowed the whole bottle the following morning, with near-disastrous results. Perspective The insight that enables us to sort out the essentials from the nonessentials is one of the most useful qualities we can develop to keep our lives from becoming cluttered. In the words of Benjamin Disraeli, nineteenth century prime minister of Great Britain, "Life is too short to be little." 2 And yet, it's often the little, apparently trivial things that keep us so busy. Petty demands and imaginary obligations crowd in on us inexorably, gnawing away at our time and energy. It's then that we need to recall the injunction "Catch the foxes, the little foxes, before they ruin our vineyard in bloom" (Song of Songs 2:15, T.E.V.).3 On the other hand, little things that seem only a mass of everydayness may be of vast importance, the very essence of a good life. We dare not cast them aside too lightly. It takes wisdom to distinguish between the two: the best test of what is important or what is inconsequential is whether it has enduring values. It is important for young people to learn early in life to be selective. A bright high school student may have opportunities to participate in athletics, the band and orchestra, the debate club, class plays, the student council. Obviously, he cannot do justice to all these activities, worthy as they are. The choice becomes a matter of not letting the good crowd out the best. Most of us, young and old, can usually tell when we have selected the work that is most vital, because we experience such a feeling of satisfaction. Organization can also do wonders in eliminating overbusyness. Although I don't work well by a rigid schedule, once I have formulated one I feel annoyed if I deviate from it by a split second—I do like a flexible plan. My mother taught me a great deal. As a farm wife she accomplished more work than seemed possible for one rather frail human being—and all with so little fuss or fanfare. Her secret lay in organization. Although our house was small, she had a place for everything and kept everything in place. There was a time for everything too. Some tasks, such as preparing meals for the family and the hungry farmhands, gathering the eggs, and making beds, had to be done daily. But there were assigned days for other major activities, although Mother could cheerfully accept a necessary The secret of organization M01../ILA r lltf %,t , Ay VV t 1)141 ..t1 A 'V • Av Stitt v •••,, tor , • •, QR /1) 0'1 VI V i 70A. N ‘,)••, t•• I AA 1,1.1.I'• l IS I, /kW . • .5) h ' rlit.f.,1 • r •/ f r•Ilet • I II is ccp4op , rig.* perm& rcee -.Now n Per Pe-1ry e • • • t, "'°"' . r/4. •••I3'13.4% ;,,, Ds LI u 15 111`4;4. L J V ER c'-' Vacs o1.) ECL_S" Wirr.4.1-$ CI 41 (.4..)111"--S 20 •s% / /,4 BAK IN6- 3 ,,r,r (FOR13.4. Ci-Pt s As-) 314.4.0 / 0,6 '‘) 1°- 7f.t. to -Hor,,$) 9 ' s SG-ttoo C4t1215111‘PK -PAR-rli (-zoom. 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CI, mr....s ... 3-cf,,,,,,,, ) 7°--Qpyge -;545.er.r3 (Or rtr II, ". 14 : Curs ' I. • '''''"•4••• , J,••••• 5.11.) .•••••• ..•., nn s Y. rbfr mot:Li r so * ref' gir-e44Its/ ft. yjs f, Cr-Hoe' Cjjr'.17:;%4 1 • .•••• • I.4••••• rt•• Cv0/1.inekA,-; -I In Al f? i1 13 q•-" ,.... ccu.rAr 14.:R is o ,,,,•••• • I e • •••••••• pa, Ti ..ttt /• 11.1 iv , • t4 t•, tt, 4 5 A h 1 t0 '14 LIFE AND HEALTH—JANUARY 1978 19 null 2,rspdi o2Ant/, ©Mt change in her routine. Sunday was a day of worship; Monday was washday; Tuesday was devoted to ironing, Thursday and Friday to cleaning, Saturday to baking, I'm not sure which special day Wednesday was—maybe sewing and mending—but I know that it was used for a definite purpose. Mother did things in order with careful attention to what would facilitate each step in any process. She had a way of first pitching into hard tasks or ones she disliked, whether it was windowwattling or writing a "just-right" note of sympathy or congratulations. She had a rare facility for using fragments of time. She might glance at a newspaper or a magazine, sew on a button, or dust the end tables between major tasks. (By following her example in the use of bits of time, I find sometimes that I have more than I thought I had.) Some people require a certain atrnosphere to work at their best—a particular setting or an accompaniment of music. I don't need any special background and I don't wait for the right mood. But I do accomplish more if I create some semblance of order—even clearing my cluttered desk (in all honesty it's an old bridge table) can be a help. Learning to say No Besides perspective and organization in keeping us from overfilling our lives, consideration for self is important. That doesn't mean an egocentric refusal to share our lives and make our lives worth sharing. It does mean recognizing that we can't do everything and learning to decline unreasonable or overtaxing demands on our time and strength. God accepts our limitations; we can do no less. 20 LIFE AND HEALTH—JANUARY 1978 Much has been said and written recently about assertiveness training. Some of the statements are amusing, some selfish, but others make good sense. To achieve our highest potential without scattering our forces or overdoing does require a certain amount of controlled assertiveness. Several years ago a young friend of mine was faced with so many activities and responsibilities—from den mother to president of the P.T.A.— that she had all too little time for her family or herself. As she laughingly tells it now, she couldn't find time to attend a class in assertiveness, but she still had a little common sense. One morning when the telephone rang, she thought to herself, No matter what I'm asked to do, the answer is No. The caller was her friend Alma. "Since you're such a marvelous cook, I thought maybe you wouldn't mind baking a couple of cakes for that little club I belong to," she said. "We're having a food bazaar." "Thank you for the compliment, but I'm busy," Mary answered before her friend could add that it was for a good cause. At first Alma was insistent and obviously annoyed. But when Mary persisted courteously but firmly in her refusal, Alma said, "I shouldn't have bothered you. I know you are busy." Mr. and Mrs. Roberts, a couple who retired recently from their small business, were called on for so much baby-sitting with grandchildren that, until they mastered some assertiveness, it kept them busier and more tied down than when they were working. When the Robertses assured their daughter that they loved the grandchildren dearly and would be happy to baby-sit on occasion but not every evening, she realized the justice of their reasoning and helped them plan an excursion to a part of the United States they had long wanted to visit. Another way to avoid feeling harried is to take the long view. It is possible to concentrate on an object close to our eyes for so long that we have trouble focusing until we look away for a while. Likewise, we may need to look away from our work for a while so we can see it in proper perspective. According to a Chinese saying, "Of the thirty-six ways of escape, the best is to run away." 4 The proverb probably refers to running away from something one fears, a physical danger, perhaps, but when things pile up we may need to run away from work or responsibility. (Running away isn't cowardly so long as it means self-renewal, and not an evasion of duty.) Ways and places of escape vary with individuals. Some of us like to escape through a good book. Relying on Isaiah's comforting words "In quietness and in confidence shall be your strength" (Isa. 30:15), some folks prefer aloneness and meditation. We may even need to escape, body and all, for a little vacation from too many pressures. The motto of the renowned sports columnist Grantland Rice was "You're here only a short while. Don't hurry, don't worry and don't forget to smell the flowers." 5 That is still good advice. REFERENCES Pearl S. Buck. My Several Worlds, pp. 248, 155. 2 Quoted in The Upper Room, April 28, 1972, p. 68. 3 Bible text credited to T.E.V. is from the Good News Bible—Old Testament: Copyright C) American Bible Society 1976, New Testament: Copyright © American Bible Society 1966, 1971, 1976. 4 Buck. Op. cit., p. 155. Quoted in Reader's Digest, December, 1965. John N. Wheeler. "My Most Unforgettable Character," p. 103. V ER NONTOOLEYIII MY STUBBORN FATHER By Dorothy Carey M y father, at 85, is at an age where a person ought to be allowed to be a little foolish, which he is, to do pretty much what he wants to, which he does, and be protected against his own folly, which I try to do. It is in connection with protecting him from his folly that I have the most trouble. It was after a harrowing ride in his car that I decided something must be done. "Daddy," I said hesitantly, "perhaps the time has come—uh—when you should—uh—give up driving." I was shocked into silence by the sheer audacity of my words. "Give up driving?" he asked in the horrified tones of one who had just received a suggestion to cut off his arm. "Give up driving?" he repeated. "Why, if I gave up driving I might as well be dead!" which is what he will be if he keeps it up (driving, that is). When I pointed out he could easily kill himself on the road he jauntily said he'd had a good long life anyway and if he were going to die he might as well die while doing what he wants to, which is to drive. I pointed out that while he might have lived his four-score-plus years, there were those of us who had not reached our quota and might like co stick around a while. Unfortunately, he thinks he is a good driver. Since he lives in a small town where everyone knows him, when they see him driving his car they usually get off the road. (Maybe even the sidewalks!) He sails past stop signs, apparently thinking they are meant for other people, the kind responsible for all accidents—those that speed, which he considers anyone to be doing if they go more than forty miles an hour. Riding with him at the wheel is an unforgettable experience, one likely to give a person nightmares for months. The last time I rode with him I thought it might really be my last LIFE AND HEALTH-JANUARY 1978 21 ride. He asked me to tell him when he should head into traffic—I don't have depth perception. When I finally got courage to say Go his reaction was so slow the cars were almost upon us. I felt as though we'd entered the Indianapolis speedway. I was in a state of near collapse. My father, however, blithely drove along as if this were a part of everyday living, which it probably is. When we reached the main shopping area, there were two lights on. He stopped the car in the middle of the street. "What does a green arrow and a red light mean?" he asked. Since I don't drive I don't pay attention to things like stop lights. I didn't really know. However, from the cacophony created by drivers behind us leaning heavily on car horns, I deduced it must mean Go. Which he did. The exhilaration of whizzing along in traffic at 40 miles an hour while everyone else does 60 has to be experienced to be appreciated. "Speeders," Dad muttered under his breath, while I closed my eyes and braced myself for the crash. Through some miracle we reached home safely. I felt like kissing the soil, much as early-day sailors did on surviving a hazardous journey. My husband, noticing my state, suggested I stop drinking coffee. It seemed to be affecting my nerves. From that day forward I tried to think of reasons to keep Dad from driving. Since death held no fear for him, I had to think of something else. "You could be scarred from an accident," I said. Now this really stopped him. Dad is a vain man, proud of making a good appearance, and the idea he might be scarred for life (however short) scared him. Once when he was a youngster of 75 he injured his leg. We worried about whether he could walk or not again. Did that worry him? No. Of course, he could walk again. His chief worry was the accident might leave a scar. Since he was 75 22 LIFE AND HEALTH-JANUARY 1978 years old and a man, I didn't figure anyone was likely to be looking at his legs anyway. And since he doesn't wear shorts, I couldn't see that a scar on his leg could be all that drastic, but it was to him. While the possibility of being scarred was serious enough to be taken into consideration, he said he always wore his seat belt and insisted anyone riding with him wear theirs. He said he had driven sixty-some years without a serious accident and he was a better driver now than he was at 25, which, if true, leads me to believe that there really are modern-day miracles. He mentioned also that it was necessary for him to have a car. For one thing he needed it to see his lady friend, which is, of course, true. For though there are widows by the dozen in his hometown he imprudently chose as lady friend a widow who lives 100 miles away—and not on a bus line yet. So it is, as he pointed out, absolutely essential that he drive. However, he tried to assuage my worry by saying when he reached her house she did all the driving and that she's a good driver. I was somewhat reassured until I learned she was a spring chicken of 83. This led me to believe she might not be a much better driver than he was. But, if I had a choice of drivers, I was willing to bet on her. She couldn't but be a better driver, I thought. However, that was before the time we stopped at a lumber yard to pick up boards so Dad could build her a new garage door. "What happened to the old one?" I asked. And, without thinking, my father innocently mentioned his lady friend had crashed through it one day when she was pondering something else and forgot to open the door. Somehow this doesn't give me much confidence in her as a driver, either. I try to get my father to take the bus when he comes to visit us. However, he says that to catch the bus he has to ask someone to drive him eight miles to a nearby city, and he's not about to do that. I told my husband I can't understand why he should not get someone to drive for him, since Dad has driven for every funeral held in town as long as I can remember. Surely someone must owe him a ride. But, as my husband pointed out, those people are all in the cemetery. Recently Dad planned to visit my sister out West. After much urging he agreed to take an airplane. He had a through trip on the way out. But on the way back he had to change at Chicago's O'Hare Airport. Fearing he might get lost since he was changing from an airline at one end of the terminal to one at the other, my sister arranged for a guide to meet him in Chicago. Dad was relieved and pleased by this arrangement. Then my sister made the mistake of telling him they would probably have a wheel chair for him. "A wheel chair!" he exploded. "That's for old people. I'm not a cripple. I will not ride in a wheel chair!" "Why not?" my sister asked. "If someone wanted to wheel me where I wanted to go, I'd let them," she said. Though he was afraid of not finding his airline at O'Hare, he absolutely refused to let a guide help him. Because time was short he practically ran from one end of the terminal to the other, frantically asking people where to go. As he reached the correct terminal he was hot and perspiring. When he got on the plane he became chilled from the air-conditioning and spent several days in bed when he arrived at home. But he had not used a wheel chair in O'Hare. He'd shown us! Someday, God willing, I, too, may reach his age. And I intend to be foolish sometimes and to do pretty much what I want to also. And, when others try to protect me from my folly, I will thwart them at every pass. For I'll know how. I've had a master for a teacher. le Your child may grow back a linger tip By Audrey Carli I f your child, under age 11, loses a finger tip in an accident, you will rush him or her to a hospital for complicated emergency treatment. Soon that treatment may be simpler all over the world. In England and Australia, for example, a new treatment method in dealing with a child's finger tip amputation involves the use of a mitten. If the lost finger tip is not below the first joint, the child may even grow back a new finger tip. It has happened many times in the accident and emergency department of Children's Hospital in Sheffield, England, reports Dr. Cynthia M. Illingworth, M.R.C.P., consultant in pediatric accident and emergency. Originally, treatment for a child's accidentally amputated finger tip involved suturing while using a general anesthetic. Before the new treatment, too, a retrieved finger tip was sutured and treated like other trapped-finger injuries. If there was no tip, but there was sufficient pulp, a small graft was applied to receive it. Or if the bone of the terminal phalanx protruded, it was shortened. Then a surgical procedure took place to tidy the tip. Dr. Illingworth reports that a child with a cut-off finger tip, whom the senior house officer planned to send to a plastic surgeon, had the finger covered with a simple dressing. Because of an error, the child was not sent to the surgeon. Several days later, when he was again examined, the doctors found that the finger was healing nicely. Eventually there was complete regrowth of the tip. 8 0 "We now know that this happens in young children," says Dr. Illingworth. "Some months afterward I found that this had also been noticed in Australia." Of the 300 to 350 cases of trapped fingers seen by Dr. Illingworth and the staff at Children's Hospital in Sheffield, there were all degrees of severity, including amputation of the tip. "We have adopted simple methods of dealing with them, which are completely effective and inflict very little discomfort," explains the pediatrician. First, she states, never suture trapped fingers. Instead, hold in position with Steristrip or Ethistrip, then cover with a nonstick dressing and a mitten-type bandage. The injury then is examined after one week, and the strips are removed after the second week. By then almost all injured fingers are healed. Dr. Illingworth says the results are excellent. "No antibiotics are given." * What is done if the bone protrudes in an accidental finger tip amputation? At the Children's Hospital in Sheffield, they do nothing except clean the area gently. Then it is covered with a thick layer of Tulle-gras and a mitten bandage. This stays on for about two weeks. Parents are told not to expect an attractive finger at the time of the first dressing. But excellent results are assured. Again, no antibiotics are prescribed. How many dressings are used and how long will it take for regrowth of the tip and nail? Treatment at the Sheffield Children's Hospital includes three or four dressings. After the first two, there is usually a four-week span between the final dressings. "Full repair in a young child takes about eleven or twelve weeks. We have treated dozens of cases by this method, with consistently good results," says Dr. Illingworth, who adds that even finger whorls are restored. B. S. Douglas, in Australia, has learned, in independent findings, that it is possible for the finger tip to regrow along with the nail by using the proper treatment. Dr. Illingworth points out that the top age limit for successfully using this lost-finger-tip treatment is not known. "The oldest child treated in this way was 11 years old, but we see comparatively few older children with trapped fingers." * Journal of Pediatric Surgery, vol. 9, No. 6, December, 1974. LIFE AND HEALTH—IANUARY 1978 23 By Albert E. Shirer getting into circulation bout five years ago, my doctor suggested that I walk a good distance every lunch hour to stimulate circulation, since my job requires a good deal of sitting. This advice has not only accomplished its purpose but has revealed and developed several enjoyable side effects. The program that evolved from this could prove both enjoyable and beneficial to anyone who has one hour off for lunch. Industry Week Magazine, in its September, 1975, issue quoted from "Walk Away Your Worries," by Terry Warren, in the January, 1975, LIFE AND HEALTH magazine. "No matter what ails you, one of the best cures may be a good walk, said the article. Walking helps to overcome fatigue and aids circulation by speeding blood to the heart against the pull of gravity. And a brisk walk has a soothing effect on the nervous system; it creates rhythmic contractions that drain anxiety and tension and melt away frustration." Here's a ten point system for making a one-hour lunch break a healthy activity: 24 LIFE AND HEALTH-JANUARY 1978 ❑ I—The walking route Since there are five working days each week, select five different walking routes. Determine a turn-around point at exactly one mile from the start as indicated on your car's odometer. This establishes a two-mile walking course that experience tells me can be walked at a brisk pace in 40 minutes. That is 20 minutes out and 20 back. Having five routes is for variety—and to prevent boredom. 0 ❑ III—Light reading Select a good, inspirational-type paperback book and tear it up into 40 to 50 page sections. This gives you something to do with your eyes while you eat, instead of staring aimlessly. The tornup sections fit easily into your pocket and are always available. I I § Locate within these five routes, five fast-service (but nutritional food) restaurants, or carry your food. Walking two miles consumes 40 minutes, which leaves 20 minutes for lunch. ❑ II—Eating out ❑ IV—Watch where you're going Train yourself to look about you as you walk and get involved with the world around you. Look and see children, houses, buildings, flowers, grass, and clouds in the sky. ❑ V—Go alone Resolve that this routine is to be a solitary activity. This way the walking time allows your mind to float and to forget business for one full hour during a working day. This divides an eight-hour day into two much-easier-handled four-hour segments. ❑ X—Tension free Resolve that your lunch hour is going to be a health-building, relaxing, tension' free experience with the side benefit of expanding your reading time. In the ❑ VIII—Rain or snow Determine past year, I read 11 books, all with to make this a daily routine all year more than 200 pages each that I know round—summer, winter, spring, and I never would have found time to read fall. It can be warm, cold, hot, without my "walk and read" lunchwindy, snowy, but still walk. On hour program. rainy days, take a day to take care of Some people prefer jogging for exneglected errands, away from your ercise, but it is far too strenuous and routine. would "sweat up" traditional office clothing. Besides, Dr. Joseph Beninson, 57, a specialist at Detroit's Henry Ford Hospital, said at a health semi00 nar: "Walking is better exercise than ❑ VI—Shoes Wear substantial jogging because of less risk of damshoes and comfortable socks. aging your back. When you jog, you come down on your heel and squash your back like an accordion. . . . Only walking satisfactorily promotes blood circulation." So why not start on this program? It will not only improve your blood circulation but will put you into a wonderful world of books and the ❑ IX—Check your mileage outdoors—where breezes blow, flowKeep a running tally every day of ers bloom, children laugh, and birds accumulated walking mileage. Imagsing. ine, in the usual 200 days that approximate a working year, at two Al Shirer is manager at Envirotech Cor❑ VII—Clothing Dress warmly in miles a day, you can cover 400 miles! poration and has just branched out into free-lance writing. This is his first artithe winter (or coolly in summer), but That's farther than walking from cle sold. He is also active in his comallow for increased body heat during Washington, D.C., to Cleveland, munity, and has been married for 31 the brisk walk. Ohio—a distance of only 351 miles. years to another free-lance writer. H. AROBERT O LIFE AND HEALTH-JANUARY 1978 25 NBACH KURTREICHE By Patti Feldman WHAT CAN WE DO ABOUT HICCUPS? 26 LIFE AND HEALTH-JANUARY 1978 U nlike other physiological commonplaces—coughing clears the throat, sneezing opens the nose, and belching relieves the bloated stomach (and some say, compliments the chef)—hiccups are useless. Hiccups, technically a spasmodic contraction of the diaphragm, the thin sheet of muscle separating the chest from the abdominal cavity, are usually a passing phenomenon. People can and do get them from any situation that causes them to swallow air, such as laughing after eating too much food or using or chewing tobacco or gum. Hiccups often accompany indigestion or other forms of gastric irritation. Known medically as singultus, the name "hiccups" (or "hiccoughs") comes onomatopoetically from the sound of the explosive interruption that results when the diaphragm's rhythmic movement is hindered and an involuntary intake of air is abruptly checked by the glottis—part of the windpipe—snapping shut. Like heirlooms and skeletons in the closet, every family has a special cure for hiccups. Even the ancients did, for hiccups are as old as gluttony and poor eating habits themselves. As far back as the fourth century B.C., Plato, in his Symposium, noted the plight that must to this day occasionally plague public speakers, actors, singers, and lawyers in court. He observed, "The turn of Aristophanes was next, but either he had eaten too much, or from some other cause, he had the hiccough." The playwright was advised by a companion to " . . . hold your breath, and if after you have done so for some time the hiccough is no better, then gargle with a little water; and if it still continues tickle your nose with something and sneeze; and if you sneeze once or twice, even the most violent hiccough is sure to go." It worked. Hippocrates documented the cure in his clinical tome, Aphorisms. "If sneezing is produced, the singultus being temporarily suppressed, the singultus will be cured." As the old doctor noted, induced sneezing and similar respiratory methods work effectively to break the rhythm of the hiccups. Depending on where relatives are from and who believes whom, most families believe in their own favorite home remedies. Some might work well. Others may seem to work well because they coincide with the hiccups having run their course. Folk remedies include drinking water rapidly from the far rim of the cup, swallowing bread or crushed ice, holding the tongue, applying pressure on the eyeballs, or chilling the right ear lobe. The last two—if they do work—must draw some potency from the power of mind over matter. Many people are sure they have been helped by breathing air deeply from a paper bag, which amounts to inhaling more and more carbon dioxide concentration. Several doctors believe this is the simplest effective method. Several of the more popular home cures are based on indirectly shocking the nervous system into normal behavior by introducing a stimulus stronger than the original stimulus of hiccups—thus interrupting their contractions. Collaborators, however, are essential for such cure methods as frightening the sufferer, thumping his back, or slamming your shoe on the table before him. Of course, no one would hit a baby or try to scare him merely to eliminate hiccups. Instead, for babies already started on solids, try a teaspoon of sugar, which may make the infant gasp and, hopefully, resume normal breathing. Adults can upgrade the recipe to a small amount of vinegar for themselves if they can stomach it. A symptom If hiccups last as long as a couple of days, they may become serious, causing discomfort, fatigue, exhaustion, and interference with eating, resting, and sleeping. Although the connections are not at all clearly defined, persistent hiccups may be symptomatic of more serious pathologies. Prolonged attacks are more prevalent than chance would have it in victims also suffering from toxic conditions such as uremia, gout, and malaria, from thoracic diseases such as pneumonia, pleurisy, and pericarditis, and from meningitis, encephalitis, syphilis, and brain and spinal-cord tumors. No one, of course, should suspect these conclusions merely because of hiccups. Hiccup spasms in the more tenacious cases can reach up to one hundred hics, or tics of the diaphragm, per minute. Such cases— which may endanger the sufferer's physical and mental well-being or worsen his already poor condition if he is otherwise ill—are frequently treated with ether, which acts as a form of hyperventilation, or by sedation with barbiturates, morphine, and other depressants that act to relax the nervous system. Serious hiccups are sometimes triggered during surgery, especially of the upper abdomen, perhaps partly because of inadequate ventilation during anesthesia. On-the-spot treatment varies according to the doctors present. One option is to increase the depth of anesthesia, another to hyperventilate the patient. Some doctors use muscle relaxants to stop the hiccups. A more direct method practiced in some operating rooms is to physically block the vagus nerve in the neck. While these actions often seem to do the job, skeptics may wonder if the hiccups would not stop spontaneously anyhow. One group of doctors has developed an almost guaranteed technique for managing hiccups in conscious or anesthetized patients. It involves stimulation of the pharynx with a catheter introduced through the nose. In 84 of 85 sufferers, 65 of whom were anesthetized, the hiccups stopped immediately. In those cases where the hiccups recurred, the same maneuver worked again, at least providing temporary relief. The validity of relating hiccups to the pharynx is gaining recognition. Those folk cures based on forcible traction of the tongue and swallowing may in fact depend upon pharyngeal stimulation to alter the abnormal respiratory pattern of hiccups. But hiccups can also result from psychogenic factors stemming from psychological or emotional conditions such as addiction, hysteria, grief, anxiety, enuresis (involuntary discharge of urine), and malingering. And there seems to be some distinction by sex. In a study of 220 people with stubborn hiccups, conducted at the Mayo Clinic from 1935 to 1963, 92 percent of the otherwise healthy females had psychogenic hiccups, and 93 percent of the males had one or more organic diseases, each one by itself capable of producing or frequently coinciding with hiccups. Although hundreds of cases of prolonged attacks have been documented in recent years, doctors have yet to agree on either what actual physical phenomenon turns hiccups on, or what physical act best shuts them off. Until medical research concurs on a sure cure, folk medicine, potluck, and pragmatism will have to do. Patti Feldman is a free-lance writer with articles on medical and general topics published frequently in such national publications as Diversion, Medical Dimensions, National Enquirer, Ski, and several in-flight airline magazines. LIFE AND HEALTH-JANUARY 1978 27 NEW DISCOVERY RESPIRIZER® ARE YOU CRENIPE? emphysema colds-flu asthma air pollution allergies migraine and sinusitis other headaches bronchitis PROVIDES THERAPEUTIC VAPOR FOR DIRECT INHALATION Complies with federal law, medical device requirements for family and clinical use. After twelve years of development, this new concept designed for home care therapy and clinical use was introduced in January, 1977. Thousands who do not respond to other therapeutic devices or drugs are being helped. A mixture of medicated steam and air produces sub-micron moisture particles (gas) which are directly inhaled through a mask or a nozzle held under the nose. This breakthrough is the only known method of penetrating the sinuses, respiratory tract and lungs. Headaches due to sinusitis are gone with a 10-minute treatment; mucous is liquefied and disposed of. Medicare Reimbursement SHIPPED C.O.D. or Send $126.00 (Checks Accepted) You may also write us or call in Master Charge or Bank Americard Number for immediate delivery. FREE TRIAL GUARANTEE Guaranteed to help you as nothing else can, or return for full refund less shipping and handling charge after you have tried the Respirizer for 10 days. Campillary Systems, Inc., Dept. LH 912 Sunset Avenue Gettysburg, PA 17325 • (717)334-1478 By Martha J. Beckman C an you give me ten ideas about what you like? Do you do something about your ideas? Chances are, then, that you are a creative person. You may pay a price for your creativity. Studies show that a person who has ideas that would change things threatens others, usually the people closest to him—his wife, his employer, his teacher, his friends. People who are not creative want to keep the status quo, the things they are familiar with. Yet creative people don't usually care if they are held back from success or fame as a result of using their imaginations. Their creativity gives them so much pleasure it makes life worth living. University of California at Berkeley scientists have come up with eight "criteria" for creativity. I. Sensitivity—A love of seeing, hearing, touching everything, and a recognition of hidden meanings and flexibility of use in what one sees. 2. Fluency—A flow of ideas, constantly changing, that makes a person laugh or cry or see a new way to solve a problem. Have you ever told your child a bedtime story created from your own mind? 3. Flexibility—It means making lemonade out of a "lemon," not being stymied by a problem or accident, but seeing angles that turn it into good use. If someone spills grape juice on your best tablecloth and you can't get the stain out, then tie-dye the whole tablecloth in grape juice! 4. Originality—It's the opposite of conformity. Ideas that spring from a person's mind, using his own special knowledge, plus imagination, give uncommon answers. He marches to a different drummer, and he likes it that way. 5. The ability to redefine and rearrange—Using something known for something uncommon. 6. Analysis—It can mean breaking down a whole into details and seeing how it all fits together, spotting differences in people, as well as seeing the whole person, an attention to detail that enriches experience. How many separate colors can you see in a rainbow? 7. Synthesis—It is the opposite of analysis, by putting details into a whole, sometimes in unusual ways— like making a new recipe from the leftovers in the refrigerator. 8. Coherence of organization— Arranging something to suit yourself—moving furniture to make a room different or hiring new employees to make a new product. Why should we foster creativity in our children? Why should we give free rein to our own ideas? Because no one has too much joy in life, and creating is just plain fun! kr" 'Better Life (44 ,, **•k N2 GazetteirtLa 2%4 Focus aart 11-lealth highlights1 Stress and illness People subjected to high levels of stress caused by "litechange events" exhibit increased psychiatric symptoms and may be more susceptible to illness, according to a University of Utah study. Dividing the population into nine age groups, Dr. Thomas Timmreck found that stress levels are highest during the ages 19 to 24,40 to 44, and over 60, and lowest between the ages of 30 and 34. Two tests were administered to 450 employees to measure neuroses and the frequency of "life-change events," such as a loved one's death, a divorce, or financial problems as precursors to illness. Dr. Timmreck says his survey indicates "the younger years, the older years and a middle-aged range of 40 to 44 show an association of high stress and negative mental-health status." Young people are subjected to stress, according to Dr. Timmreck, because their lives are at a stage of uncertainty and transition. Their "life-change events" may include marriage, assuming a major debt for a home, starting or finishing school, and in-law trouble. On the other hand people in their forties may be under pressure from a job promotion that increased responsibility, or troubled by the departure of a son or daughter from the home or by sex difficulties resulting from menopause. Strain or tension among people in their early sixties often can be traced to the death of a spouse, or retirement or concern over its imminence, he says. Dr. Timmreck said one of the major implications of his findings is that stress does not increase as age increases. Cancer of the colon A significantly large number of tests for cancer of the colon or rectum proved positive when a "captive" audience of 1,155 patients over 40, hospitalized for totally unrelated conditions, were screened. Six hundred and seventyfour patients were women, and 481 were men. Malignant disease was found in seven, four of them men. Benign polyps, indicating the possibility of future cancer and alerting patients to the need for annual rechecking, were found in 83 patients. Such screening is of great value in locating colorectal cancer in its early stages and should be administered routinely, according to a report by J. Harris Joseph, D.O., in the July Journal of the American Osteopathic Association. MATERNITY "Relax .. . this is the laundry." LIFE AND HEALTH-IANUARY 1978 29 new?:,6 EARN EXTRA CASH IN YOUR SPARE TIME Floss away Thermometer with a memory A new product, the Day & Night Thermometer, records the most recent temperature extremes, as well as showing the present temperature. Markers inside two capillary tubes are pushed up by the mercury, then remain at points of low and high temperature measurements until the user turns the knob at the bottom of the thermometer to reset the recording mechanism. The black plastic case has a full-length clear face lens, and attaches to a nine-way mounting bracket. All working parts are enclosed and rustproof, and users get a one-year warranty. Centigrade as well as Fahrenheit scales are shown. Mounted outside a door or window, the Day & Night Thermometer can be used inside a greenhouse, where it shows when temperatures at night are approaching freezing, or when daytime temperatures are getting too high for optimum growth. It is also helpful for people who enjoy outdoor sports. The thermometer costs $18.50 and is available from some nurseries and outdoor supply stores or from Lab Systems, 1330 Grove St., Berkeley, California 94709. The makers of the Oral-B tooth-gum brushes have developed an improved Oral-B unwaxed soft-spun dental floss and the new Oral-B Lite-waxTM soft-spun dental floss. The unwaxed floss is designed to minimize breakage and shredding in use; the Litewax has just enough wax to help it glide easily between tight teeth and cover more tooth surface. Available where Oral-B toothbrushes are sold. dental floss Write your own gardening book The Plant and Gardening Record Book lets you know exactly what works best in your own garden; which fertilizers, plant varieties, and products perform best for you and when; what to use, where, how much, and how often. This can let you cultivate success through your own gardening experience (and maybe let you become an author at the same time). Price $7.95 plus $1.00 for postage and handling. La Crosse Associates, Dept. F.D., Golden, Colorado 80401. Get the dust out! Breath-Easy face masks are superior protection from dust, droplets, pollens, germs! Comfortable, light weight, foolproof, double protection. Inexpensive. Sample bag of 25 face masks - $5.50 postage paid. Larger quantities at lower prices. RCF Developments, Dept.LH, 2509 Browncroft Blvd., Rochester, New York 14625. Dealer/Distributorships available. 30 LIFE AND HEALTH-JANUARY 1978 You can earn $100... $200... or more a month in a few hours telling your friends and neighbors about the amazing new UN-SKRU—the clever new invention that every housewife buys on the spot. The UN-SKRU mounts under cabinet or shelf, opens screw top jar lids from 1/2" to 31/2" with one hand. Recommended by doctors and therapists for physically handicapped and arthritis patients. Write for FREE details. Or send $2.00 for sample (retails $3.95). H. Hutson, 2731 S. Colo. Blvd., P.O. Box 1415, Denver, CO 80201. Unsuitable? By Corinne Adria Bariteau I've bought myself a new fall suit That's just one size too small; Now I'll be forced to follow suit And shrink that much by fall! Write away Vision—yours and your child's The following pamphlets are available free from the American Optometric Association: "Do you know these facts about vision and school achievement?" This pamphlet gives, with other information, a list of the symptoms to watch for as indications of a child's possible vision problems. "A teacher's guide to vision problems" gives a list of symptoms for a teacher to watch for. "Reading takes seeing"— what does Johnny see when he can't see? "Visual and perceptual checklist for the retarded child"—such a child doesn't need an additional handicap. This gives a good checklist of visual considerations. Send a self-addressed, stamped envelope to: Public Information Division, American Optometric Association, 7000 Chippewa Street, St. Louis, Missouri 63119. A 1r TEACHER'S GUIDE TO VISION PROBLEMS "First the good news.... The left foot and ankle and the right inner ear seem to be in perfect order . .." PRESCRI PTIONs "This is a wonderful new drug. .. . It's cured over 200 rats, 150 guinea pigs, and 75 white mice." LIFE AND HEALTH-IANUARY 1978 31 „,Book review,,` Thin From Within, by Jack D. Osman, Ph.D., Hart Publishing Company, Inc., New York, $9.95. There are many books written today on weight control. It would seem that this subject has been approached from every angle possible. Thin From Within is different. Within the pages of this book there are innumerable suggestions that would undoubtedly motivate the majority who would need motivation. Dr. Jack Osman is at present associate professor of health science at Towson State College in Baltimore, Maryland. He has conducted research, taught classes, and lectured about weight control, nutrition education, and sexual education. This book could really be used as a workbook, as there are a variety of interesting psychological strategies in every chapter. All through the book Dr. Osman gives clear evidence that he understands not only the overweight problem but also meets it with a balanced, logical, and optimistic approach for solution. There is no question hut that this book definitely would aid not only the overweight reader but also the individual who is interested in a healthful life-style. It would also give excellent help, especially with motivational ideas, to those leading weight-management programs. It is refreshing to find a book of this caliber, prepared by a health educator who uses an intelligent, balanced approach to healthful living.— Reviewed by Ella May Stoneburner, R.N., M.S., associate director, Department of Health, General Conference of Seventh-day Adventists. ACHES AND PAINS GETTING YOU DOWN? Relief is just a snap away Moist heat provides soothing temporary relief from the minor aches and pains of arthritis, rheumatism, backaches or muscle soreness. The Battle Creek' Thermophore is an automatic moist heat pack that provides all the benefits of an old-fashioned hot compress, with just the snap of a switch. Available at surgical supply houses or better pharmacies. Or mail coupon below. BATTLE CREEK Equipment Co. Dept. 70M 307 W. Jackson ST. Battle Creek, Mich. 49016 Mr./Mrs./Ms. Street "Of course it isn't covered it!” 32 LIFE AND HEALTH—JANUARY 1978 there—Reader's Digest just dis- City \,..2tate Zip 5 3 Total Juicesu', hot soups, all grain cereals, flour, instant dinners, salads, hamburgers, cakes, peanut butter, baby foods, bland diets, purees, party drinks, chopped ice, freeze "ice cream." SAVE MAKE BREAD "3600" VITA MIX® makes them all INSTANTLY ... SIMPLE AS ONE, TWO, THREE . . . 1. MERELY PUT FOOD IN PATENTED "SPLASH GUARD ACTION DOME"® Always wide open. Safe for hot liquids! Your "3600" juices, freezes, cooks boiling soup, porridge, pudding, etc. in a never-ending stream as long as you continue to add food through the wide open top. The one that throws NOTHING away! Now is the time to start saving money and the nutrition in your food Use patented "impact" method—not old separation "throw-away" method. U.S. Dept. Agriculture handbook says: LEMONS (VIT. C) ORANGES (VIT. C)** '•Fresh, ripe Cal. Valencias extracted juice only. peel and everything• 90 mg. 109 mg. 346 mg. 319 mg. 2. FLIP FULL-IMPACT LEVER — THAT'S THE DIFFERENCE! Hammer blades revolve and reverse — smash into foods up to 1,000 times harder than any one-way appliance that just pushes food around. •per pound of fruit 3. OPEN THE PATENTED PRESSURIZED SPIGOT serve Total Juice® "ice cream", hot soup—over 800 recipes— by dish, glass or by gallons. No lifting, pouring or lid handling. Continuous usage for the first time — right at the table. Large or small quantities. Now you can get up to the nutrients shown above the Vita Mix way. ("Peel and everything" is the VITA MIXe way) SUPER 3600 STAINLESS STEEL VITA MIX., BREADMAKER Free Recipe Book The easy way to make home made bread — not only fresh-baked but of fresh-ground grain with precious, fragile vitamin oils retained for that yummy "3-minute fresh" flavor. Only VITA-MIX® can grind grain, mix and knead the bread all in one easy 3-minute operation.° No need for old fashioned, oversized bowls, kettles, dough hooks or stone grinders that clutter your kitchen and take so much time. TOTAL JUICES! COOKS! FREEZES! 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LH 178 8615 Usher Road, Cleveland, Ohio 44138 YOUR NAME ADDRESS CITY STATE ZIP CODE LIFE&HEALTH HEALTH SERVICES DIRECTORY In order to maintain a state of high-level wellness, it is necessary to take a preventive approach to healthful living. Seventh -day Adventist health service centers throughout the country are staffed with qualified personnel happy to advise you in preventive health maintenance. Charges, if any, are modest. In calling any of the numbers listed, ask for the Health Service Director and indicate your interest in any of the following: Personal Exercise Programs • How to Save Money on Food Simple Treatments for the Home • Dental Hygiene • Stress and Tension Control Heart Disease Prevention • Physical Fitness Evaluation • Weight Control • Stop Smoking Clinic Cancer Prevention • Coronary Risk Screening • High Blood Pressure • Backache Nutrition for Health • Alcohol and Drug Abuse Low Cholesterol Meals • Health Appraisal Alabama (205) 272-7493 Alaska (907) 279-2455 Arizona (602) 244-9851 Arkansas (318) 865-1483 California (408) 297-1584 Central (415) 687-1300 Northern (714) 689-1350 Southeast (213) 240-6250 Southern Colorado (303) 733-3771 Connecticut (617) 365-4551 Delaware (302) 461-9100 Florida (305) 898-7521 Georgia (404) 629-7951 Hawaii (808) 524-3160 Idaho (208) 375-7524 Illinois (312) 485-1200 Indiana (317) 844-6201 Iowa (515) 223-1197 Kansas (913) 478-4726 Kentucky (615) 859-1391 Louisiana (318) 865-1483 34 LIFE AND HEALTH-JANUARY 1978 Maine (207) 797-3760 Maryland General (301) 461-9100 D.C. Area (301) 439-8000 Massachusetts (617) 365-4551 Michigan (517) 485-2226 Minnesota (612) 545-8894 Mississippi (205) 272-7493 Missouri (816) 353-7113 Montana (406) 587-3101 Nebraska (402) 488-2323 Nevada (702) 322-6929 New Hampshire (207) 797-3760 New Jersey (609) 392-7131 New Mexico (806) 353-7251 New York (315) 469-6921 Northern Southern (516) 627-9350 N.Y. City (212) 586-2336 North Carolina (704) 535-6720 North Dakota (701) 252-1431 Ohio (614) 397-4665 Oklahoma (405) 721-6110 Oregon (503) 233-6371 Pennsylvania (215) 374-8331 Rhode Island (617) 365-4551 South Carolina (704) 535-6720 South Dakota (605) 224-8868 Tennessee (615) 859-1391 Texas Eastern (817) 921-6181 Western (806) 353-7251 Utah (702) 322-6929 Vermont (207) 797-3760 Virginia (703) 886-0771 General D.C. Area (301) 439-8000 Washington Eastern (509) 326-1550 Western (206) 632-5862 West Virginia (304) 422-4581 Wisconsin (715) 344-1800 Wyoming (307) 237-2503 Canada Alberta (403) 276-4491 B.C. (604) 853-5451 Man.-Sask. (306) 244-9700 N.B.-N.S. (506) 855-8622 Nfld. (709) 576-4051 Ontario (416) 725-6543 Quebec (514) 651-4240 Breading¢ MEMOS Meal Wge-Bit$ Cedar Lage NO MSG NO ARTIFICIAL COLORINGS MEATLESS Quality Vegetable Protein Foods Free product recipe brochure available at your market or from our .lant u on re uest. CEDAR LAKE FOODS P.O.BOX 116 CEDAR LAKE, MI 48812 DAILY PORTIONS Vegetable-fruit group four or more servings Citrus fruits, tomatoes, cabbage, peppers, melons, berries, dark- green or deep-yellow vegetables, potatoes, and others Bread- cereal group four or more servings Breads, cereals, and other grain products made from whole (preferred ), enriched, or restored grains GROUPS Protein group two or more servings Dry beans, dry peas, lentils, garbanzos, nuts, peanuts, peanut butter, eggs, cottage cheese, soy cheese, vegetable proteins Milk group children- - 3 to 4 cups adults- -2 or more cups Whole, evaporated, or skim milk, reconstituted dry milk, buttermilk, or soybean milk Eat additional food as needed for more calories Offer expires August 31 1978 Is your kitchen suffering from the decorative "ho-hums"? Do you want to brighten things up and at the same time have a daily reminder of your nutritional needs? Life & Health is making available to you this beautiful full-color poster on the basic food groups for only $1.00. Order your 17" x 28" poster today! City leview and Herald Publishinc
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