MALCOLM S. M. WATTS, MD, Editor
THE WESTERN LLOYD H. SMITH,-JR., MD, AssociatvEditor
DAVID GREER, Managing Editor
Journal of Medicine
Since 1902 * Formerly California Medicine
BARBARA T. ROONEY, Assistant Managing Editor
editorial communications to:
MALCOLM S. M. WATTS, MD, Editor
Owned and Published by the California Medical Association business communications to:
731 MARKET ST. * SAN FRANCISCO, CA 94103 * TELEPHONE (415) 777-2000 DAVID GREER, Managing Editor
Official Journal of the California Medical Association, the Idaho Medical Association and MARY KAY COWANS
the Nevada State Medical Association Advertising Production Manager
Editorial Board Policy Committee-Editorial Board
Nuclear Medicine NICHOLAS P. KRIKES ................... San Bernardino
Chairman of the Board C. JOHN TUPPER ........................... .. Davis
Joseph P. Kriss, Stanford, Ca GLADDEN V. ELLIOTT .. La Mesa
Malcolm S. M. Watts, San Francisco, Ca SAMUEL HOROWITZ .. Los Angeles
Obstetrics and Gynecology BRAD COHN .... ............... San Francisco
Special Editor for Idaho SANFORD E. FELDMAN ................... San Francisco
Ralph C. Benson, Portland, Or MALCOLM S. M. WATrS .................. San Francisco
E. R. W. Fox, Coeur d'Alene, Id Ralph W. Hale, Honolulu, Hi
W. LeRoy Heinrichs, Stanford, Ca
Morton A. Stenchever, Seattle, Wa Advertisements-THE WESTERN JOURNAL OF MEDICINE
Special Editor for Nevada published the first week of each month. Advertising copy
must be received not later than the first of the month pre-
Thomas J. Scully, Reno, Nv Ophthalmology ceding issue. Advertising rates will be sent on request.
Acceptance of advertising is contingent upon approval by
David 0. Harrington, San Francisco, Ca the Advertising Committee.
Allergy Robert S. Hepler, Los Angeles, Ca
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EAST: MIDWEST:
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Chest Diseases Pathology
Roger K. Larson, Fresno, Ca Richard L. Kempson, Stanford, Ca Copyright, 1978, by the California Medical Association
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All material subject to this copyright appearing in TB
Pediatrics WESTERN JOU.VRNAL OF MEDICINE may be photocopied fodr
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General and Family Practice Volumes begin with the first of January and the first of
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General Surgery Physical Medicine and Rehabilitation
CONTRIBUTIONS OF SCIENTIFIC AND ORIGINAL ARTiCLES
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Fred M. Anderson, Reno, Nv Glenn G. Reynolds, San Jose, Ca Responsibilities for Statements and Conclusions in OrJ*
Daniel T. Cloud, Phoenix, Az nal Articles-Authors are responsible for all statemen
Paul A. Ebert, San Francisco, Ca conclusions and methods of presenting their subjects. Thes
Lucius D. Hill, Seattle, Wa Plastic Surgery may or may not be in harmony with the views of tM
Frank G. Moody, Salt Lake City, Ut editorial staff. It is aimed to permit authors to have s
Richard L. Dakin, Greenbrae, Ca wide latitude as the general policy of the journal and tb
N. John Wilde, Fresno, Ca demands on its space may permit. The right toed
Industrial Medicine and Toxicology revise or reject any manuscript is always reserved.
Psychiatry Exclusive Publication-Articles are accepted for pub'
Thomas H. Milby, Berkeley, Ca cation on condition that they are contributed solely to
Carl Eisdorfer, Seattle, Wa journal. Ordinarily contributors will be notified within 6
Leon J. Epstein, San Francisco, Ca days if a manuscript is accepted for publication. Ever
Internal Medicine Alan I. Levenson, Tucson, Az effort will be made to return unused manuscripts.
Helen Tausend, Los Angeles, Ca Length of Articles-Ordinarily articles should not
Robert J. Bolt, Davis, Ca
J. David Bristow, San Francisco, Ca ceed 3,000 words (approximately five printed pages). Un
Robert L. Hare, Portland, Or Public Health exceptional circumstances only will articles of over 4,
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Robert G. Petersdorf, Seattle, Wa J. M. Stubblebine, Greenbrae, Ca Manuscripts-Manuscripts should be typewritten
Helen M. Ranney, San Diego, Ca lrma M. West, Sacramento, Ca double spaced, and the original typescript plus one
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Neurology Robert B. Engle, Laguna Beach, Ca this may have to be paid for by the author.
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Pierre M. Dreyfus, Davis, Ca
Robert A. Fishman, San Francisco, Ca order: name of author, title of article, name of periodi
Phillip D. Swanson, Seattle, Wa Urology and volume with inclusive pages, month and year-lae
Lee GS: The heart rhythm following therapy with.
Thomas F. Conroy, San Mateo, Ca talis-In theory and practice. Arch Int Med 44:554-
Neurosurgery Dec 1942. They should be listed in the order in w
Consiultant in Medical Services they are cited in the text, numbered in sequence
John R. Green, Phoenix, Az and Health Care punctuated as above.
Arthur A. Ward, Jr., Seattle, Wa Reprints-Reprints must be paid for by the author
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"Entered as second class matter at the post office in San Francisco and additional mailing offices under the Act of March 3, 1879." Acceptance
mailing at special rate of postage provided for in Section 1103, Act of October 3, 1917, authorized August 10, 1918. Publication Number 0
4 THE WESTERN JOURNAL OF MEDCI
EPITOMES-RADIOLOGY
sible to detect cystic degeneration of these adrenal computed tomography would appear to be the
tumors. Alteration in the configuration of the method of choice in the initial evaluation of sus-
adrenal gland has been shown in patients with pected adrenal abnormalities. A normal study
hyperaldosteronemia secondary to small adrenal would virtually exclude an adrenal mass lesion,
adenomas and in cases of adrenal metastasis. while detection of an adrenal abnormality may
Computed tomography also provides information indicate the need for further more invasive diag-
about the extent of adrenal abnormality and for nostic procedures such as adrenal angiography
determining if disease has spread to the liver or venography. ALBERT MOSS, MD
or retroperitoneal structures. REFERENCE
Because conventional techniques of imaging Sheedy PF 2d, Stephens DH, Hattery RR, et al: Computed
tomography of the body: Initial clinical trial with the EMI
the adrenal gland all have distinct disadvantages, prototype. Am J Roentgenol 127:23-51, Jul 1976
ADVISORY PANEL TO THE SECTION ON RADIOLOGY
GABRIEL WILSON, MD, Chairman
CMA Scientific Board
University of California, Los Angeles
PETER E. KANE, MD JAMES SLATER, MD A. R. MARGULIS, MD
CMA Section on Radiology Loma Linda University University of California, San Francisco
Chairman
Oakland RONALD CASTELLINO, MD JAMES HALLS, MD
MARSHALL ROWEN, MD Stanford University University of Southern California
CMA Section on Radiology Los Angeles
Secretary PHILIP PALMER, MD
Orange ROBERT H. REID, MD
University of California, Davis Los Gatos
LEON KASEFF, MD
CMA Section on Radiology
Assistant Secretary ERIC MILNE, MD JOACHIM BURHENNE, MD
Burlingame University of California, Irvine San Francisco
ROBERT ENGLE, MD
CMA Scientific Board ROBERT N. BERK, MD JOHN BYFIELD, MD
Laguna Beach University of California, San Diego San Diego
336 APRIL 1978 * 128 * 4
CONTINUING MEDICAL EDUCATION
California, Hawaii * Oregon * Washington, Montana, Alaska, Idaho
CALIFORNIA and HAWAII September 1 1-15-Postgraduate Institute for Emergency Phy-
sicians, Symposium I. UCSD at Town and Country Hotel,
THIS LISTING of contnuing education programs in California San Diego. Monday-Friday. 40 hrs. $325.
and Hawaii is supplied by the Committee on Continuing
Medical Education of the California Medical Association. All MEDICINE
courses and meetings listed have been approved for Category
I credit toward the CMA Certificate in Continuing Medical Edu- April 15-16-Basic Approaches to the Rheumatoid Condition.
cation. To hav accredited,courses isted here, please send DREW at Incline Village, Lake Tahoe. Saturday-Sunday.
information at least two months in advance to Committee on April 15-22-Chronic Obstructive Pulmonary Disease-From
Continuing Medical Education, California Medical Association, the Beginning to the End. International Center for Postgrad-
731 Market Street, San Francio 94103; or phone (415) 777- uate Medical Education at Kona Surf Hotel, Hawaii. One
2000, ext. 146. For a list of organizations approved for Cate- week. 25 hrs. Contact: Ms. Kym Westenberg, ICPME, 3969
gory I credit toward the CMA Certificate in Continuing Medical Cuervo, Santa Barbara 93110. (805) 967-0497.
Education or for more Information on accreditation or certi- April 19-21-Echocardiographic Solutions to Clinical Cardio-
fication, please write to the above address. vascular Problems. American College of Cardiology and
UCLA at Century Plaza Hotel, Los Angeles. Wednesday-
ANESTHESIOLOGY Friday. Contact: Miss Mary Anne Mclnerny, Dir., Extra-
April 16-21-California Society of Anesthesiologists-2nd mural Prog. Dept., Div. of Cont. Ed., ACC, 9111 Old
Hawaii Seminar. Hyatt Regency Hotel, Waikiki-Honolulu. Georgetown Rd., Bethesda, MD 20014.
Sunday-Friday. 20 hrs. Contact: CSA, 100 E. Ellsworth Ave., April 19-22-California Blood Bank System-26th Annual
Suite 806, San Mateo 94401. (415) 348-1407. Meeting. Hilton Hotel, Fresno. Wednesday-Saturday. Con-
May 6-7-American Society of Anesthesiologists Workshop. tact: CBBS Central Office, P.O. Box 1340, Long Beach 90801.
St. Francis Hotel, San Francisco. Saturday-Sunday. Con- April 24-29-American Academy of Neurology - Annual
tact: ASA, 515 Busse Highway, Park Ridge, IL 60068. Meeting. Bonaventure Hotel, Los Angeles. Monday-Saturday.
June 1-4-California Society of Anesthesiologists-Annual
Scientific Meeting. Sahara Tahoe Hotel, Lake Tahoe. Thurs-
day-Sunday. Contact: CSA, 100 S. Ellsworth Ave., Suite 806, KEY TO ABBREVIATIONS AND SYMBOLS
San Mateo 94401. Medical Centers and CMA Contacts
September 8-9-Update of Anesthetic Drugs and Monitoring. * for Information
STAN. Friday-Saturday. I CMA: California Medical Association
I Contact: Continuing Medical Education, California
Medical Association, 731 Market Street, San Francisco
CANCER 94103. (415) 777-2000.
DREW: Charles R. Drew Postgraduate Medical School
May 6-Pediatric Oncology. PMC. Saturday I
I
Contact: Duane Dillman, PhD, Director, Office of I
Continuing Education, Charles R. Drew Postgraduate I
May 10-Carcinoma of the Cervix: Diagnosis and Treatment. I Medical School, 1621 East 120th Street, Los Angeles I
90059. (213) 603-3091. 1
LLU. Wednesday. 4 hrs. $25. * LLU: Loma Linda University
June 19-23-Head and Neck Oncology. UCLA. Monday-Fri- Contact: Varner J. Johns, Jr., MD, Associate Dean for
Continuing Medical Education, Loma Linda University
day. School of Medicine, Loma Linda 92354. (714) 796-7311,
I Ext. 2400.
June 29-30-Oncology Conference. USC at Disneyland Hotel,
PMC: Pacific Medical Center
Anaheim. Thursday-Friday. Contact: Martin Brotman, MD, Chairman, Education
June 30-July 1-International Endocurietherapy Symposium. Committee, Pacific Medical Center, P.O. Box 7999, San
* Francisco 94120. (415) 563-4321, ext. 2761.
USC at Hotel Bonaventure, Los Angeles. Friday-Saturday. STAN: Stanford University
22 hrs. I Contact: Edward Rubenstein, MD, Associate Dean for
I Postgraduate Education, Stanford University School of
Medicine, 300 Pasteur Drive, Stanford 94305. (415)
EMERGENCY MEDICINE 497-5594.
April 15-22-Emergency Medicine. USC at Royal Lahaina
UCD: University of California, Davis
Contact: Neil C. Andrews, MD, Chairman, Depart-
Hotel, Maui, Hawaii. One week. 29 hrs. $300. ment of Postgraduate Medicine, University of California,
Davis, School of Medicine, Davis 95616. (916) 752-0328.
May 8-12-Postgraduate Institute for Emergency Physicians, I UCI: University of California, California College of Medicine,
Symposium I. UCSD at Vacation Village, San Diego. Mon- I Irvine
Contact: Robert Combs, MD, Associate Dean, Con- i
day-Friday. 40 hrs. $325. tinuing Medical Education, University of California,
Irvine-California College of Medicine, Irvine 92717
May 8-13-Topics in Emergency Medicine, UCSF at Ralph K. (714) 833-5991.
Davies Med. Center, San Francisco. Monday-Saturday. i UCLA: University of California, Los Angeles
Contact: Martin D. Shickman, MD, Director, Continu-
May 10-12-Emergency Room Radiology. See Radiology, May ing Education in Medicine and the Health Sciences, P.O.
10-12. Box 24902, UCLA, Los Angeles 90024. (213) 825-7241.
UCSD: University of California, San Diego
June 3-4-Critical Care Monitoring. UCLA at Airport Marina Contact: David Allan, MD, Associate Dean for Con-
Hotel, Marina Del Rey. Saturday-Sunday. | tinuing Medical Education, University of California, San
Diego, School of Medicine (M-017), La Jolla 92093.
June 10-Plastic Surgery for Emergency Physicians. UCI. Sat- a (714) 452-3708.
urday. UCSF: University of California, San Francisco
Contact: Malcolm S. M. Watts, MD, Associate Dean
June 26-30-Trauma-Major and Minor. USC. Monday-Friday. and Director, Extended Programs in Medical Education,
School of Medicine, University of California, San Fran-
July 24-28-Postgraduate Institute for Emergency Physicians, cisco 94143. (415) 666-4251.
Symposium II. UCSD. Monday-Friday. 40 hrs. $325. USC: University of Southern California
Contact: Phil R. Manning, MD, Associate Dean, Post-
August 7-1 1-Postgraduate Institute for Emergency Physicians, graduate Division, University of Southern California
Symposium IIL UCSD at Islandia Hyatt- House, San Diego. School of Medicine, 2025 Zonal Avenue, Los Angeles
90033. (213) 226-2047.
Monday-Friday. 40 lhrs. $325. _----------------------------------------
26 THE WESTERN JOURNAL OF MEDICINE
$35, members; $55, nonmembers. Contact: Mr. Stanley A. June 29-Renal Stones. PMC. Thursday. 6 hrs. $85.
Nelson, Exec. Dir., AAN, 4015 W. 65th St., Suite 302, August 25-27-Dermatomycology. UCSF. Friday-Sunday.
Minneapolis, MN 55435. (612) 920-3636.
April 27-Rehabilitation Symposium. American Heart Assn., OBSTETRICS AND GYNECOLOGY
Greater L.A. Affiliate, at Biltmore Hotel, Los Angeles.
Thursday. 6 hrs. Contact: Nancy Brown, AHA, Greater L.A. May 10-Carcinoma of the Cervix: Diagnosis and Treatment.
Affiliate, 2405 W. 8th St., Los Angeles 90057. (213) 385-4231. See Cancer, May 10.
April 29-Advances in Cardiology: A Practical Approach for May 19-Introduction to Colposcopy and Evaluation of Early
the Primary Physician. UCD at Royal Bay Inn, Vallejo. Cervical Neoplasia. UCD at Woodlake Inn, Sacramento.
Saturday. 7 hrs. $55. Friday. 71/4 hrs. $45.
May 1-Current Problems in Neuromuscular Disease. PMC
at Hyatt on Union Square, San Francisco. Monday. 6 hrs. PEDIATRICS
$95. May 1-5-Pediatric Review. USC. Monday-Friday.
May 4-5-Cuffent Concepts in Medicine: Stroke. UCSF at May 6-Pediatric Oncology. See Cancer, May 6.
Fairmont Hotel, San Francisco. Thursday-Friday. 13 hrs.
$200. May 11-13-Annual Pediatric Course. UCSF. Thursday-Satur-
day.
May 4-7-American Society of Internal Medicine -Annual
Meeting. Hyatt Regency, San Francisco. Thursday-Sunday. May 13-20-Pediatric Workshop. USC at Royal Lahaina, Maui,
Contact: ASIM, 535 Central Tower Bldg., 703 Market St., Hawaii. One week. 28 hrs. $300.
San Francisco 94103. (415) 777-1000. May 19-The Child With Heart Disease: The Practitioner's
May 13-Cardiology Update. DREW at Bonaventure Hotel, Role. UCD at Woodlake Inn, Sacramento. Friday. 6 hrs.
Los Angeles. Saturday. May 20-21-Neuropediatrics. UCLA. Saturday-Sunday. 11 hrs.
May 13-Controversies in Internal Medicine-2nd Annual. $165.
San Jose Hosp. and Health Center, Inc., at Marriott's Great May 27-29-American Academy of Pediatrics, California
America, Santa Clara. Saturday. 6 hrs. $35. Contact: Stanley Chapter I, District IX. Hyatt House, Monterey. Saturday-
Skillicorn, MD, Dir. of Med. Ed., San Jose Hosp. and Health Monday. Contact: Martin Gershman, MD, 595 Buckingham
Ctr., Inc., 675 E. Santa Clara, San Jose 95112. (408) Way, San Francisco 94132.
998-3212.
May 31-June 2-Advances in Child Neurology: Chronic Neu-
May 16-Common Skin Problems Seen in Office Pracfice. rological Disorders in Childhood and Adolescence. See Medi-
Eskaton Colusa Healthcare Center, Colusa. Tuesday. 2 hrs. cine, May 31-June 2.
$20. Contact: Vincent C. Sansone, MD, 199 E. Webster St.,
Colusa 95932. (916) 458-5844. June 8-9-Pediatric Allergy and Immunology. USC. Thursday-
Friday.
May 19-American Heart Association, California Affiliate-
Physicians' Scientific Sessions. Vacation Village, San Diego. September 20-21-Brennemann Memorial Lectures-35th An-
Friday. Contact: Marilyn Probst, AHA, Calif. Affiliate, 805 nual. Los Angeles Pediatric Society at Hilton Hotel, Los
Burlway Rd., Burlingame 94010. (415) 342-5522. Angeles. Wednesday-Thursday. Contact: Los Angeles Pedi-
atric Society, P.O. Box 2022, Inglewood 90305. (213)
May 19-The Child With Heart Disease: The Practitioner's 757-1198.
Role. See Pediatrics, May 19.
May 20-Pulmonary Artery Catheters and Ventilators. PMC. PSYCHIATRY
Saturday. 6 hrs. $300. April 15-16-The Nature and Management of STes UCLA
May 22-26-Advances in Internal Medicine. UCSF at Hyatt and UC Extension, Santa Cruz, at Monterey Conference
on Union Square, San Francisco. Monday-Friday. Center, Monterey. Saturday-Sunday. 12 hrs.
May 22-27-Comprehensive Nephrology Review Course-3rd April 17-19-Stress Reduction and Self-Management Tech-
Biannual. Cedars-Sinai Medical Center at Marriott Hotel, niques. UCLA and UC Extension, Santa Cruz, at Ahwahnee
Los Angeles. Monday-Saturday. $400. Contact: Andrew J. Hotel, Yosemite. Monday-Wednesday. 14 hrs. $200.
Lewin, MD, Hypertension Research, Cedars-Sinai Med. Ctr., May 19-21-Treatment of Schizophrenia. UCSF. Friday-Sun-
8700 Beverly Blvd., Los Angeles 90048.
day.
May 29-June 2-Advances in Internal Medicine. UCSF. Mon- June 2-3-Psychosocial Care of the Dying Patient. See Of
day-Friday. Interest To All, June 2-3.
May 31-June 2-Advances in Child Neurology: Chronic Neu-
rological Disorders in Childhood and Adolescence. UCSF. June 17-18-Practical Applications of Biofeedback in the
Wednesday-Friday. Health Sciences-5th Annual Seminar. See Of Interest To
All, June 17-18.
June 3-Infectious Disease Symposium. Kaiser Foundation
Hospital, Sacramento, at Kaiser Center, Oakland. Saturday. June 26-30-Comparative Psychotherapies. USC. Monday-
5 hrs. Contact: Onera Roberts, Education Office, Kaiser Friday.
Foundation Hosp., 2025 Morse Ave., Sacramento 95825. June 30-July 1-Human Problems: Ordinary and Extraordinary
(916) 486-5965. -3rd Don D. Jackson Memorial Conference. Mental Re-
June 10-Advances in Cardiology: A Practical Approach for search Institute at Sir Francis Drake Hotel, San Francisco.
the Primary Physician. UCD at Waystation, South Lake Friday-Saturday. Contact: Peggy Smith, MRI, 555 Middle-
Tahoe. Saturday. 7 hrs. $55. field Rd., Palo Alto 94301. (415) 321-3055.
June 14-Acute and Chronic Diarrhea. LLU. Wednesday. RADIOLOGY AND PATHOLOGY
4 hrs. $25.
June 15-17-Echocardiography: Fundamentals and New De- April 21-22eminar and Wet Tissue Workshop. USC. Fri-
velopments in Cardiac Ultrasound. American College of day-Saturday.
Cardiology at Sheraton Harbor Island Hotel, San Diego. May 4-5-New Concept in Medicine: Stroke. See Medicine,
Thursday-Saturday. Contact: Mary Anne Mclnerny, Dir., May 4-5.
Extramural Prog. Dept., Div. of Cont. Ed., ACC, 9111 Old May 10-12-Emergency Room Radiology. UCSF at Hyatt on
Georgetown Rd., Bethesda, MD 20014. Union Square, San Francisco. Wednesday-Friday. 15 hrs.
June 24-Allergy for the Office Practice. PMC Saturday. $160.
ADVERTISING * APRIL 1978 n
May 13-Radiology Symposium. UCD at Red Lion Motor Inn,
Sacramento. Saturday. 71½2 hrs. $50.
June 3-4-Leo Rigler Radiology Seminar. UCLA. Saturday-
Sunday.
June 18-23-Pathology of the Lung. UCSD. Sunday-Friday. 50
hrs. $400.
July 30-August 5-Ultrasound and Computed Tomography.
American College of Medical Imaging and American Insti-
tute of Ultrasound in Medicine at Mauna Kea Beach Hotel,
Kamuela, Hawaii. Sunday-Saturday. Contact: ACMI, P.O.
Box 27188, Los Angeles 90027. (213) 275-1393. Tablets
September 7-9-American Electroencephalographic Society-
Annual Meeting. Hyatt Regency, San Francisco. Thursday-
Percodan® C
DESCRIPTION Each yellow, scored tablet contains
Saturday. Contact: American EEG Society Executive Office, 4.50 mg. oxycodone HCI (WARNING: May be habit
38238 Glenn Ave., Willoughby, OH 44094. (216) 942-9267. 'forming), 0.38 mg. oxycodone terephthalate (WARN-
ING: May be habit forming), 224 mg. aspirin, 160 mg.
September 9-Gastrointestinal Radiology. Southern Calif. Per- phenacetin, and 32 mg. caffeine.
INDICATIONS For the relief of moderate to moderately
manente Medical Group at Century Plaza Hotel, Los An- severe pain.
geles. Saturday. 7 hrs. $30. Contact: Shirley Gach, Educa- CONTRAINDICATIONS Hypersensitivity to oxyco-
tion and Research Dept., SCPMG, 4747 Sunset Blvd., 4th done, aspirin, phenacetin or caffeine.
Floor, Los Angeles 90027. (213) 667-4241. WARNINGS Drug Dependence Oxycodone can pro-
duce drug dependence of the morphine type and,
therefore, has the potential for being abused. Psychic
Postgraduate Videotape Programs in Diagnostic Radiology. dependence, physical dependence and tolerance may
Developed by Dept. of Radiology, UCSF. 15 programs in all develop upon repeated administration of
PERCODAN5, and it should be prescribed and admin-
aspects of diagnostic radiology. Outstanding group of na- istered with the same degree of caution appropriate to
tional and international guest lecturers in addition to UC the use of other oral narcotic-containing medications.
Like other narcotic-containing medications,
staff present basic approaches to radiographic interpretation PERCODANA is subject to the Federal Controlled Sub-
and technique as well as new research and clinical advances. stances Act.
Contact: Aveleen Blumenstock, Videotape Coordinator, Dept. Usage in ambulatory patients Oxycodone may
impair the mental and/or physical abilities required for
of Radiology, UCSF, San Francisco 94143. (415) 666-1988. the performance of potentially hazardous tasks such
as driving a car or operating machinery. The patient
using PERCODAN sshould be cautioned accordingly.
SURGERY Interaction with other central nervous system
depressants Patients receiving other narcotic anal-
April 15-22--Orthopedic Review. USC at Mauna Kea Beach gesics, general anesthetics, phenothiazines, other
tranquilizers, sedative-hypnotics or other CNS depres-
Hotel, Kamuela, Hawaii. One week. 29 hrs. $300. sants (including alcohol) concomitantly with
PERCODAN9 may exhibit an additive CNS depres-
April 18-Orthopaedics-Common Office Problems and Treat- sion. When such combined therapy is contemplated,
ment. Eskaton Colusa Healthcare Center, Colusa. Tuesday; the dose of one or both agents should be reduced.
7:30-9:30 p.m. $20. Contact: Vincent C. Sansone, MD, Cont. Usage in pregnancy Safe use in pregnancy has not
been established relative to possible adverse effects
Med. Ed., Eskaton Colusa Healthcare Ctr., 199 E. Webster on fetal development. Therefore, PERCODANtshould
St., Colusa 95932. (916) 458-5844. not be used in pregnant women unless, in the judg-
ment of the physician, the potential benefits outweigh
April 20-21-Current Concepts of Macular Structure, Func- the possible nazards.
tion and Disease-9th Annual Jules Stein Lecture and Post- Usage in children PERCODANS should not be
administered to children.
graduate Seminar. Jules Stein Eye Institute and UCLA at Salicylates should be used with caution in the pre-
Century Plaza Hotel, Los Angeles. Thursday-Friday. $225. sence of peptic ulcer or coagulation abnormalities.
Contact: Lu Hendricks, Jules Stein Eye Institute, 800 West- PRECAUTIONS Head injury and increased intra-
cranial pressure The respiratory depressant effects of
wood Plaza, Los Angeles 90024. (213) 825-4617. narcotics and their capacity to elevate cerebrospinal
fluid pressure may be markedly exaggerated in the
April 20-21-Current Problems in Intensive Care: The Cardiac presence of'head injury, other intracranial lesions or a
Surgical Patient. UCSF at Fairmont Hotel, San Francisco. pre-existing increase in intracranial pressure. Further-
more, narcotics produce adverse reactions which may
Thursday-Friday. 11 hrs. $125. obscure the clinical course of patients with head
injuries.
April 21-22-Vitrectomy Microsurgery Workshop. VA Hospi- Acute abdominal conditions The administration of
tal, San Francisco. Friday-Saturday. 15 hrs. $350. PERCODAN® or other narcotics may obscure the
diagnosis or clinical course in patients with acute ab-
April 28-29-Vitrectomy Microsurgery Workshop. See above, dominal conditions.
April 21-22. Special risk patients PERCODAN® should be given
with caution to certain patients such as the elderly or
April 29-May 6-Management of the Surgical Patient. STAN debilitated, and those with severe impairment of hepat-
ic or renal function, hypothyroidism, Addison's disease,
at Mauna Kea Beach Hotel, Kamuela, Hawaii. One week. and prostatic hypertrophy or urethral stricture.
25 hrs. $275. Phenacetin has been reported to damage the kidneys
when taken in excessive amounts for a long time.
May 4-5-New Concepts in Medicine: Stroke. See Medicine, ADVERSE REACTIONS The most frequently
May 4-5. observed adverse reactions include light-headedness,
dizziness, sedation, nausea and vomiting. These
May 6-Flexible Bronchofibroscopy. PMC. Saturday. 6 hrs. effects seem to be more prominent in ambulatory than
in nonambulatory patients, and some of these adverse
$300. reactions may be alleviated if the patient lies down.
May 6-Retinal Surgery Workshop. Jules Stein Eye Institute, Other adverse reactions include euphoria, dysphoria,
Los Angeles. Saturday. 8 hrs. $200. Contact: Lu Hendricks, constipation and pruritus.
DOSAGE AND ADMINISTRATION Dosage should be
Jules Stein Eye Institute, 800 Westwood Plaza, Los Angeles adjusted according to the severity of the pain and the
90024. (213) 825-4617. response of the patient. The usual adult dose is one
tablet every 6 hours as needed for pain.
May 11-12-Office Orthopedics. USC. Thursday-Friday. DRUG INTERACTIONS The CNS depressant effects
of PERCODANO may be additive with that of other
May 20-22-Neurosurgery--8th Annual Course. UCSF. Satur- CNS depressants. See WARNINGS.
day-Monday. DEA Order Form Required.
May 28-Surgical Management of the Traumatized Patient-
3rd Annual Clarence E. Stafford Memorial Surgical Sym-
posium and Lecture. White Memorial Medical Center and
LLU at Bonaventure Hotel, Los Angeles. Sunday. 81/2 hrs.
&idoPuerto Rico 00701
Manati,
Inc.
$75. Contact: Dir. of Cont. Ed., White Memorial Med. Ctr., Subsidiary of Endo Laboratories, Inc.
1720 Brooklyn Ave., Box 127, Los Angeles 90033. (213) Subsidiary of the DuPont Company
269-9131.
(Conttnued on Page 30) (O OT
26
(Continued from Page 28) May 2-30-Overview of Integral Medicine. UCLA. Tuesday
evenings.
June 2-3-Intraocular Lens Implantation Course. Santa Monica
Hospital. Friday-Saturday. $600. Contact: Intraocular Lens May 3-4-Pesticide Protection Seminar for Health Personnel.
Implantation Course, SMH, 1225 15th St., Santa Monica Calif. Dept. of Health at Bakersfield. Wednesday-Thursday.
90404. (213) 451-1511, ext. 2148. 14 hrs. Contact: Laboratory Training Office, Dept. of Health,
2151 Berkeley Way, Room 338, Berkeley 94704. (415) 843-
June 2-4-Soft Tissue Surgery. USC. Friday-Saturday. 7900, ext. 260.
June 5-16-Temporal Bone Surgical Dissection Course. Ear May 6-Critical Care Medicine-7th Annual Symposium.
Research Institute, Los Angeles. Two weeks. $1200 for South Coast Community Hospital, South Laguna. Saturday.
otolaryngologists; $900, residents. Contact: Antonio De La Contact: Sol Sloan, MD, FACP, Dir. of Med. Ed., South
Cruz, MD, Dir., Temporal Bone Surgical Dissection Course, Coast Community Hosp., 31872 Coast Highway, South
ERI, 256 S. Lake St., Los Angeles 90057. Laguna 92677. (714) 499-1311, ext. 136.
June 9-10-Ophthalmology Update VI. PMC at Golden Gate- May 12-13-Alumni Days. UCSF. Friday-Saturday.
way Holiday Inn, San Francisco. Friday-Saturday. 6 hrs.
$225. May 12-14-Resources in Human Sexuality. National Sex
Forum and Institute for Advanced Study of Human Sex-
June 10-Strabismus Surgery Workshop. Jules Stein Eye Insti- uality at Towne House, Fresno. Friday-Sunday. 15 hrs. $110.
tute, Los Angeles. Saturday. 8 hrs. $200. Contact: Lu Hen- Contact: Cont. Ed., Nat'l Sex Forum, 1523 Franklin St.,
dricks, Academic Prog. Admin., Jules Stein Eye Institute, San Francisco 94109. (415) 928-1133 or (213) 990-0774.
800 Westwood Plaza, Los Angeles 90024. (213) 825-4617.
May 13-Clinical Pharmacology. STAN and Palo Alto Medi-
June 11-15-American Society of Colon and Rectal Surgeons- cal Clinic at STAN. Saturday. $15.
Annual Convention. San Diego. Sunday-Thursday. Contact:
Harriette Gibson, Admin. Sec., ASCRS, 615 Griswold, No. May 13-14-Aging. UCLA. Saturday-Sunday. 11 hrs. $90.
516, Detroit, MI 48226. (313) 961-7880. May 15-21-Diving Medicine. UCSF at VA Hospital, Fresno.
June 15-17-Hip Course. UCLA. Thursday-Saturday. One week.
June 15-17-Highlights of Ophthalmology. PMC at Golden May 19-21-Health Aspects of Human Sexuality. Human Sex-
Gateway Holiday Inn, San Francisco. Thursday-Saturday. uality Program, UCSF. Friday-Sunday. Contact: John Hol-
16 hrs. $195. land, Human Sexuality Prog., UCSF, 350 Parnassus Ave.,
Suite 700, San Francisco 94143. (415) 666-4787.
June 29-Renal Stones. See Medicine, June 29.
August 4-5-Intraocular Lens Implantation Course. Santa M7ay 20-21-Human Sexuality. DREW. Saturday-Sunday.
Monica Hospital, Santa Monica. Friday-Saturday. $600; $300, May 21-26-Orthopaedic Synmposium for the Family Practi-
residents and military. Contact: Intraocular Lens Implanta- tioner. UCD at Stanford Sierra Camp, Fallen Leaf Lake.
tion Course, SMH, 1225 15th St., Santa Monica 90404. (213) Sunday-Friday. 40 hrs. $225.
451-1511, ext. 2148. June 2-3-Management of Medical Problems. PMC. Friday-
Orthopaedic Audio-Synopsis Foundation. A non-profit service Saturday. 15 hrs.
for Orthopaedic Surgeons publishing monthly recorded June 2-3-Psychosocial Care of the Dying Patient. UCSF at
teaching programs which include summaries of pertinent Golden Gateway Holiday Inn, San Francisco. Friday-Satur-
literature and excerpts from national and international ortho- day.
paedic meetings. Monthly c-6Q cassette tapes. Annual sub-
scription rate $75 ($37.50 for residents). Contact: A. Harris, June 3-4-Human Sexuality. DREW. Saturday-Sunday.
Man. Ed., OASF, 1510 Oxley St., So. Pasadena 91030. (213) June 3-4-Nutrition: Myths and Realities. UCSF and Institute
682-1760. for the Study of Human Knowledge. Saturday-Sunday.
June 7-8-Pesticide Protection Seminar for Health Personnel.
OF INTEREST TO ALL PHYSICIANS Calif. Dept. of Health at Holiday Inn, Carmel. Wednesday-
April 15-16-The Nature and Management of Stress. See Psy- Thursday. 14 hrs. Contact: Laboratory Training Office, Dept.
chiatry, April 15-16. of Health, 2151 Berkeley Way, Room 338, Berkeley 94704.
(415) 843-7900, ext. 260.
April 16-22.-Diving Medicine. John A. Burns School of Medi-
cine, Univ. of Hawaii, at King Kamehameha Hotel, Kailua- June 7-9-Dermatology for the Family Practitioner. UCD at
Kona, Hawaii. Sunday-Saturday. 25 hrs. $250. Contact: Hyatt Lake Tahoe, Incline Village. Wednesday-Friday. 141/2
Hawaii Conference Services, P.O. Box 22670, Honolulu hrs. $100.
96822. (808) 373-3045 or (808) 373-3745. June 8-10-Nutritional Care of the Hospitalized Patient
April 17-19-Stress Reduction and Self-Management Tech- UCSF. Thursday-Saturday.
niques. See Psychiatry, April 17-19. June 8-10-Development of Occupational Health and Safety
April 18-19-Hypertension. USC. Tuesday-Wednesday. Services. PMC. Thursday-Saturday.
April 20-21-Health, Science and Society: Scientific Solutions June 10-11-Practical Infectious Diseases for the Primary Care
and Human Problems. UCSF at Sheraton-Palace, San Fran- Physician. UCLA. Saturday-Sunday.
cisco. Thursday-Friday. $80. June 16-18-San Diego Chapter, California Academy of
April 22-23-Practical Dermatology for the Primary Care Family Physicians-22nd Annual Postgraduate Symposium.
Physician. UCLA. Saturday-Sunday. Town and Country Hotel, San Diego. Friday-Sunday. 15
hrs. Contact: Don Wilson, MD, 233 A St., Suite 1005, San
April 22-29-Diagnostic and Therapeutic Skills. USC at Mauna Diego 92101.
Kea Beach Hotel, Kamuela, Hawaii. One week. 29 hrs. June 17-18-Practical Applications of Biofeedback in the
$300. Health Sciences-5th Annual Seminar. UCLA at Hyatt
April 28-29-San Joaquin Counties Postgraduate Institute. Hotel, Los Angeles Airport. Saturday-Sunday. 121/2 hrs. $185.
CMA at Ahwahnee Hotel, Yosemite. Friday-Saturday. June 18-24-Family Practice Refresher Course-9th Annual.
Contact: Charlotte Newhart, CMA. UCI at South Coast Plaza Hotel, Costa Mesa. Sunday-
April 28-30, May 5-7-Introduction to Sex Counseling Prin- Saturday.
ciples. UCSF Human Sexuality Program. Two weekends. 50 June 20-Hypertension-Rationale for Appropriate Work-Up
hrs. $175 per person; $300 per couple. Contact: Human and Advances in Therapy. Eskaton Colusa Healthcare Cen-
Sexuality Program, 350 Parnassus Ave., No. 700, San Fran- ter, Colusa. Tuesday. 2 hrs. $20. Contact: Vincent C. San-
cisco 94143. (415) 666-4787. sone, MD, Cont. Med. Ed., Eskaton Colusa Healthcare Ctr.,
April 29-30-Sports Medicine. UCLA. Saturday-Sunday. 199 E. Webster St., Colusa 95932. (916) 458-5844.
30 THE WESTERN JOURNAL OF MEDICINE
July 10-21-Intensive Workshop in Sex Therapy Skills. UCSF MEDICAL GRAND ROUNDS
Human Sexuality Program. Two weeks. $400. Contact: University of Oregon Medical School, Department of Internal
Human Sexuality Program, 350 Parnassus, No. 700, San Medicine, 3181 SW Sam Jackson Park Road, Portland
Francisco 94143. (415) 666-4787. 97201:
July 22-25-Allergy and Clinical Immunology for Non-Aller- Every Tuesday, 8:00 a.m. to 9:00 a.m.-Internal Medicine
gist Physicians. American Assn. for Clinical Immunology and
Allergy at Newporter Inn, Newport Beach. Saturday-Tues- Grand Rounds. Library Auditorium, University of Oregon
day. 26 hrs. $260. Contact: AACIA, P.O. Box 912, Omaha, Health Sciences Center, Portland. Contact: Stephen R.
NE 68101. (402) 551-0801. Jones, MD, Department of Internal Medicine, University
of Oregon Health Sciences Center, 3181 SW Sam Jack-
July 31-August 11-Intensive Workshop in Sex Therapy Skills. son Park Road, Portland, 97201.
See above, July 10-21.
Good Samaritan Hospital and Medical Center, 1015 NW 22nd
August 12-23-Annual Postgraduate Refresher Course. USC Avenue, Portland 97210:
at Hawaii. 12 days.
Every Wednesday, 8:00 a.m. to 9:00 a.m. Medicine Grand
August 13-18-Family Practice Refresher Course 6th Annual. Rounds. Contact: Chris Cobb, Good Samaritan Hospital
UCD at Del Monte Hyatt House, Monterey. Saturday-Thurs- and Medical Center, 1015 NW 22nd Avenue, Portland
day. 30 hrs. $225. 97210.
September 25-28-American Academy of Family Physicians. Providence Medical Center, 700 NE 47th Ave., Portland 97213:
Brooks Hall, San Francisco. Monday-Thursday. Contact:
AAFP, 1740 W. 92nd St., Kansas City, MO 64114. Every Wednesday, 8:00 a.m. Medical Grand Rounds. Con-
tact: Martha Regan, MD, Providence Medical Center, 700
Audio-Digest Foundation. A nonprofit educational subsidiary of NE 47th Ave., Portland, 97213.
the California Medical Association. Twice-a-month tape-
recorded summaries of leading national meetings. Services Salem Hospital, 665 Winter Street SE, Salem 97301:
by subscription in: Anesthesiology, Family Practice, Internal First and third Thursday of each month 7:15 a.m. to 8:15
Medicine, Obstetrics/Gynecology, Ophthalmology, Otorhino- a.m. Medical Live Audit Conference. Memorial Audi-
laryngology, Pediatrics, Psychiatry, Surgery. ($90.00 per year torium. Contact: Diane Eyerly, Salem Hospital, 665 Win-
for 24 one-hour cassettes or reels.) New catalog of lectures ter St. SE, Salem 97301.
and panel discussions in all areas of medical practice also
available, as well as cassette album condensations of the fol- Every Friday, 7:30 a.m. to 8:30 a.m. Friday Grand Rounds.
lowing 1977 specialty meetings: postgraduate courses from Memorial Auditorium. Contact: Diane Eyerly, Salem Hos-
the annual meeting of the American Psychiatric Assn., work- pital, 665 Winter St. SE, Salem 97301.
shops from the annual meeting of the American College of
Physicians, and postgraduate courses from the annual sessions FAMILY PRACTICE
of the American College of Obstetricians and Gynecologists.
For further information on subscriptions, catalogs and special Every Wednesday, 11:00 a.m. to 12:00 Noon. Family Practice
courses, contact Mr. Claron L. Oakley, Editor, 1577 E. Chevy Grand Rounds. Family Practice Center, University of Oregon
Chase Dr., Glendale 91206. Health Sciences Center. Contact: William A. Fisher, MD,
University of Oregon Health Sciences Center, Department of
Videotape Postgraduate Course for the Primary Care Physician. Family Practice, 3181 SW Sam Jackson Park Road, Port-
UCSF, School of Medicine, Div. of Ambulatory and Com- land 97201.
munity Medicine. 24 Category I hrs. upon completion of
course as designed-12 programs each year. Contact: Ms. May 4-7--Oregon Academy of Family Practice Annual Scien-
Estelle Nelson, UCSF, Rm. 432-A, 400 Parnassus Ave., San tific Assembly and Northwest Regional Scientific Assembly.
Francisco 94143. (415) 666-1445. Jantzen Beach Thunderbird, Portland. Contact: Skippie Pat-
Health Research Group of the American Institutes for Research. terson, Oregon Academy of Family Physicians, 2153 SW
A not-for-profit research corp. CME research project seeks Main, Portland 97205.
physician input. Physicians in general or family practice in
non-urban areas of Calif. may be contacted to participate in INTERNAL MEDICINE
a major research project on development of a continuing
medical education system for doctors in office practice. Project Every Tuesday, 8:00 a.m. to 9:00 a.m.-Internal Medicine
will offer, without charge, up to 30 hrs. Category I credit in Grand Rounds. Library Auditorium, University of Oregon
return for trying out and critiquing a newly developed set Health Sciences Center, Portland. Contact: Stephen Jones,
of instructional materials. These materials, entitled "Manage- MD, Department of Internal Medicine, University of Oregon
nment of Adult Asthma: for General and Family Physicians," Health Sciences Center, 3181 SW Sam Jackson Park Road,
and the delivery system to be tried out were developed by Portland 97201.
the Health Research Group of the American Institutes for May 31-June 3-Oregon Society of Internal Medicine and
Research under contract to the National Heart, Lung, and Oregon Chapter, American College of Physicians Annual
Blood Insitute/National Institutes of Health. Contact: Muriel Meeting. Salishan Lodge, Gleneden Beach. Contact: Joyce
H. Bagshaw, MD, Project Dir., Health Research Group, Gullixson, Oregon Society of Internal Medicine, 5210 SW
American Institutes for Research, P.O. Box 1113, Palo Alto Corbett Avenue, Portland 97201.
94302; (415) 493-3550.
PEDIATRICS
May 11-13-State Pediatric Society Annual Meeting. Red Lion
Motor Inn, Medford. Contact: Neil R. West, MD, 927 NW
Grant Avenue, Corvallis 97330.
OREGON
COUNCIL ON MEDICAL EDUCATION OF INTEREST TO ALL PHYSICIANS
THIS BULLETIN of information regarding continuing educa- April 27-Circuit Course Program on Disorders of the Lower
tion programs and meetings of various medical organiza- G.I. Tract. Recreation Cafe, The Dalles. Contact: Joyce Gul-
tions in Oregon is supplied by the Council on Medical lixson, OMA Headquarters, 5210 SW Corbett Avenue, Port-
Education of the Oregon Medical Association. In order land 97201.
that they may be listed here, please send communications
relating to your future meetings or postgraduate courses May 3-Circuit Course Program on Current Problems in Pedi-
two months in advance to Council on Medical Education, atrics. Douglas Community Hospital, Roseburg. Contact:
Oregon Medical Association, 5210 SW Corbett Ave., Port- Joyce Gullixson, OMA Headquarters, 5210 SW Corbett
land, OR 97201; or phone (503) 226-1555. Avenue, Portland 97201.
ADVERTISING * APRIL 1978 31
May 4-Circuit Course Program on Current Problems in
Pediatrics. Thunderbird Courtel, Coos Bay. Contact: Joyce Brief Summasy of Prescribing Infonuation
Gullixson, OMA Headquarters, 5210 SW Corbett Avenue, Combined TEGOPENe (cloxacillin sodium)
Capsules and Ora Solution
Portland 97201. For complete information, consult Official Package
Circular. ( 12) TEGOPEN 9/11/75
May 12-13-The Special Problems of the Injured Worker. Inliations: Although the principal indication for cloxa-
Cosmopolitan Airtel, Portland. Contact: NW Pain Center, cillin sodium is in the treatment of infections due to
penicillinase-producing staphylococci, it may be used to
10615 SW Cherry Blossom Drive, Portland 97216. initiate therapy in such patients in whom a staphylococcal
infection is suspected. (See Important Note below.)
May 17-Circuit Course Program on Causes and Prevention of Bacteriologic studies to determine the causative organ-
Stroke. Presbyterian Inter-Community Hospital, Klamath isms and their sensitivity to cloxacillin sodium should be
Falls. Contact: Joyce Gullixson, OMA Headquarters, 5210 performed.
Important Note: When it is judged necessary that treat-
SW Corbett Avenue, Portland 97201. ment be initiated before definitive culture and sensitivity
results are known, the choice of cloxacillin sodium should
May 18-Circuit Course Program on Office Gynecology. St. take into consideration the fact that it has been shown to
Charles Medical Center, Bend. Contact: Joyce Gullixson, be effective only in the treatment of infections caused by
OMA Headquarters, 5210 SW Corbett Avenue, Portland pneumococci, Group A beta-hemolytic streptococci. and
penicillin G-resistant and penicillin G-sensitive staphy-
97201. lococci. If the bacteriology report later indicates the
infection is due to an organism other than a penicillin
May 18-Circuit Course Program on Current Problems in G-resistant staphylococcus sensitive to cloxacillin sodium.
Pediatrics. Pacific Communities Hospital, Newport. Contact: the physician is advised to continue therapy with a drug
other than cloxacillin sodium or any other penicillinase-
Joyce Gullixson, OMA Headquarters, 5210 SW Corbett Ave- resistant semi-synthetic penicillin.
nue, Portland 97201. Recent studies have reported that the percentage of
staphylococcal isolates resistant to penicillin G outside
May 25-Circuit Course Program on Current Problems in the hospital is increasing, approximating the high per-
Pediatrics. Josephine General Hospital, Grants Pass. Con- centage of resistant staphylococcal isolates found in the
hospital. For this reason, it is recommended that a peni-
tact: Joyce Gullixson, OMA Headquarters, 5210 SW Corbett cillinase-resistant penicillin be used as initial therapy for
Avenue, Portland 97201. any suspected staphylococcal infection until culture and
sensitivity results are known.
May 31-Circuit Course Program on Disorders of the Lower Cloxacdillin sodium is a compound that acts through a
mechanism similar to that of methicillin against penicillin
G.I. Tract Columbia Memorial Hospital, Astoria. Contact: G-resistant staphylococci. Strains of staphylococci resis-
Joyce Gullixson, OMA Headquarters, 5210 SW Corbett tant to methicillin have existed in nature and it is known
Avenue, Portland 97201. that the numberof these strains reported has been increas-
ing. Such strains of staphylococci have been capable of
producing serious disease, in some instances resulting in
fatality. Because of this, there is concern that widespread
use of the penicdillinase-resistant penicillins may result in
the appearance of an increasing numberof staphylococcal
strains which are resistant to these penicillins.
Methicillin-resistant strains are almost always resistant
to all other penicillinase-resistant penicillins (cross-
WASHINGTON, ALASKA, resistance with cephalosporin derivatives also occurs
frequently). Resistance to any penicillinase-resistant peni-
MONTANA AND IDAHO cillin should be interpreted as evidence of clinical resis-
tance to all, in spite of the fact that minor variations in
order to have future activities listed here or to receive
In in vitro sensitivity may be encountered when more than
one penicillinase-resistant penicillin is tested against the
Information on these and other activities, please write Ms. same strain of staphylococcus.
Joan M. Kelday, Information Specialist, Continuing Medical Co alndoeatm: A history of a previous hypersensi-
Education, WAMI Program, University of Washington School tivityreactiontoanyof thepenicillins isacontraindication.
Warning: Serious and occasionally fatal hypersensitivity
of Medicine, Health Sciences Building, SC-64, Seattle, (anaphylactoid) reactions have been reported in patients
Washington 98195. Phone: (206) 543-6995. on penicillin therapy. Although anaphylaxis is more fre-
quent following parenteral therapy it has occurred in
April 21-22-First Annual Spring Medical-Surgical Conference. patients on oral penicillins. These reactions are more apt
to occur in individuals with a history of sensitivity to
Friday-Saturday, Elks Club, Lewiston, Idaho. 14 hrs. Fee: multiple allergens.
Before Apr. 1, $75; after Apr. 1, $90. Contact: Kenneth L. Therehave been well documented reports of individuals
Judy, MD, St. Joseph's Hospital, P.O. Box 816, Lewiston, with a history of penicillin hypersensitivity reactions who
have experienced severe hypersensitivity reactions when
ID 83501. (208) 743-2511. treated with a cephalosporin. Before therapy with a peni-
cillin, careful inquiry should be made concerning previous
April 24-25-Gynecologic Oncology-Univ. of Wash. Obstetrics hypersensitivity reactions to penicillins, cephalosporins,
and Gynecology Program in Idaho and Washington. Mon- and other allergens. If an allergic reaction occurs, the drug
should be discontinued and the patient treated with the
day, April 24, Boise. Contact: David M. Barton, MD, usual agents, e.g., pressor amines, antihistamines, and
999 N. Curtis Rd., Boise, ID 83704. (208) 385-9391. Tues- corticosteroids.
day, April 25, Spokane. Contact: Wm. Harvey Frazier, MD, Safety for use in pregnancy has not been established.
Precautio: The possibility of the occurrence of super-
West 101 8th Ave., Spokane, WA 99204. (509) 838-8347. infections with mycotic organisms or other pathogens
should be kept in mind when using this compound, as with
April 24-25-Pulmonary Disease, Part II-Univ. of Wash. In- other antibiotics. If superinfection occurs during therapy,
ternal Medicine Review Sessions in Washington. Monday, appropriate measures should be taken.
As with any potent drug, periodic assessment of organ
April 24, Wenatchee. Contact: William M. McKee, MD, system function, including renal, hepatic, and hemato-
P.O. Box 489, Wenatchee, WA 98801. (509) 663-8711. Tues- poietic, should be made during long-term therapy.
day, April 25, Yakima. Contact: Harry R. Kimball, MD, Adveae Reactons: Gastrointestinal disturbances, such
as nausea, epigastric discomfort, flatulence, and loose
Yakima Medical Center, Suite 5, Yakima, WA 98902. (509) stools, have been noted by some patients. Mildly elevated
575-7666. SGOT levels (less than 100 units) have been reported in a
fewpatientsforwhompretherapeutic determinations were
April 26-Pacemaker Indicaftons, Selection and Follow-up- not made. Skin rashes and allergic symptoms, including
wheezing and sneezing, have occasionally been encoun-
Univ. of Wash. General Medicine Program in Anacortes, tered. Eosinophilia, with or without overt allergic mani-
Washington. Contact: Harry Eiesland, MD, 24th and "M" festations, has been noted in some patients during therapy.
Usual Dosage: Adults: 250 mg. q.6h.
Ave., Anacortes, WA 98221. (206) 293-3101. Children: 50 mg./Kg./day in equally divided doses q.6h.
Children weighing more than 20 Kg. should be given the
April 26-28-Interpretation of Cardiac Data, Valvular Heart adult dose. Administer on empty stomach for maximum
Disease-Univ. of Wash. Internal Medicine Review Sessions absorption.
in Montana. Wednesday, April 26, Great Falls. Contact: Mr. N.B.: INFECTIONS CAUSED BY GROUP A BETA-
HEMOLYTIC STREPTOCOCCI SHOULD BE
John Breeden, P.O. Box 2829, Great Falls, MT 59403. (406) TREATED FOR AT LEAST 10 DAYS TO HELP PRE-
453-1493. Thursday, April 27, Billings. Contact: Mrs. Fran- VENT THE OCCURRENCE OF ACUTE RHEUMATIC
FEVER OR ACUTE GLOMERULONEPHRITIS.
ces Burt, Continuing Medical Education, Marillac Hall, Supplied: Capsules-250 mg. in bottles of 100, 500 mg. in
Billings, MT 59101. (406) 657-7083. Friday, April 28, bottles of 100. Oral Solution- 125 mg./5 ml. in 100 ml. and
Missoula. Contact: Mrs. Janet Perrin, 500 West Pine, Mis- 200 mi. bottles.
* soula, MT 59801. (406) 549-3782. BRISTOL LABORATORIES
(Continued on Page 34) SRtIS SyracuDivision ofNew York 13201Company
Syracuse,
Bristol-Myers
32
(Continued from- Page 32) lows and Junior Fellows, $175; all others, $225. Contact:
Morton Stenchever, MD, Chrmn., Dept. Ob-Gyn, School of
May 1-4-Pediatric Orthopaedics-Univ. of Wash. Pediatrics Medicine, RH-20, University of Washington, Seattle, WA
Sessions in Idaho, Montana, Washington. Monday, May 1, 98195. (206) 543-3580.
Pocatello. Contact: Robert H. Judd, MD, 527 S. 12th Ave.,
Pocatello, ID 83201. (208) 232-1443. Tuesday-Wednesday, June 26-27-Inflammatory Bowel Disease-Univ. of Wash.
May 2-3, Spokane. Contact: Frank Reynolds, MD, WAMI Internal Medicine Review Sessions in Washington. Monday,
Office, 3 North, Sacred Heart Medical Center, Spokane, WA June 26, Wenatchee. Contact: William M. McKee, MD,
99204. (509) 455-8220. Wednesday-Thursday, May 3-4, Great P.O. Box 489, Wenatchee, WA 98801. (509) 663-8711.
Falls. Contact: Jerrold Eichner, MD, 1220 Central Ave., Tuesday, June 27, Yakima. Contact: Harry R. Kimball, MD,
Great Falls, MT 59401. (406) 454-2171. Yakima Medical Center, Suite 5, Yakima, WA 98902. (509)
575-7666.
May 5-6-ENT Head and Neck. Friday-Saturday. Glasier Audi-
torium, Swedish Hospital and Medical Center, Seattle. Con- July 20-22-Cardiology Symposium: American College of Chest
tact: Dept. of Med. Ed., Swedish Hospital and Medical Physicians-Pacific Northwest Chapter. Thursday-Saturday.
Center, 747 Summit Ave., Seattle, WA 98104. (206) 292- Virginia Mason Medical Center Auditorium, Seattle. Con-
2266. tact: Kenneth Wilske, MD, Dir. CME, Virginia Mason
Medical Center, 1100 Ninth Ave., Seattle, WA 98101.
May 8-9-Advances in Contraception-Univ. of Wash. Obstet- (206) 223-6898.
rics and Gynecology Program in Idaho and Washington.
Monday, May 8, Boise. Contact: David M. Barton, MD, 999 August 17-18-Difficult Problems in Pediatric Orthopaedics.
N. Curtis Rd., Boise, ID 83704. (208) 385-9391. Tuesday, Thursday-Friday. Washington Plaza Hotel, Seattle. 14 hrs.
May 9, Spokane. Contact: Wm. Harvey Frazier, MD, West Fee: $150. Contact: Dept. of Orthopaedics, ZC-10, Childrens
101 8th Ave., Spokane, WA 99204. (509) 838-8347. Orthopedic Hospital and Medical Center, P.O. Box C5371,
Seattle, WA 98105. (206) 634-5250.
May 11-12-Practitioner's Approach to Renal Disease. Thurs-
day-Friday. Virginia Mason Medical Center, Seattle. Con-.
tact: Kenneth Wilske, MD, Dir. CME, Virginia Mason Medi-
cal Center, 1100 Ninth Ave., Seattle, WA 98101. (206) 223- Index to
6898. The Western Journal of Medicine
May 12-14-Pacific Northwest Radiological Society Annual Advertising
Meeting. Friday-Sunday. Empress Hotel, Victoria, BC, 10
hrs. Contact: Henry Jackh, MD, 140-1900 Richmond Ave.,
Victoria, BC, Canada V8R-4R2. Bank of America
Business Services .......................... 3
May 19-20-Medical Applications of Diagnostic Ultrasound. Professional/Executive ............ .......... 11
Friday-Saturday. Virginia Mason Medical Center, Seattle.
Contact: Kenneth Wilske, MD, Dir. CME, Virginia Mason Beth Israel Hospital
Medical Center, 1100 Ninth Ave., Seattle, WA 98101. (206) Aspen Mushroom Conference ....... ......... 25
223-6898. Breon Laboratories, Inc.
May 22-23-Radiologic Aspects of Renal Disease-Univ. of Spirometer ............................. 35, 36
Wash. Internal Medicine Review Sessions in Washington. Bristol Laboratories
Monday, May 22, Wenatchee. Contact: William M. McKee, Tegopen .............................. 32, 33
MD, P.O. Box 489, Wenatchee, WA 98801. (509) 663-8711.
Tuesday, May 23, Yakima. Contact: Harry R. Kimball, MD, Classified ............................. 22, 24, 25
Yakima Medical Center, Suite 5, Yakima, WA 98902. (509) Defenders Mutual Insurance Company ...... ..... 23
575-7666. Eli Lilly
May 24-26-Clinical Rheumatology-Univ. of Wash. Internal Kefzol .............. ............... 21
Medicine Review Sessions in Montana. Wednesday, May 24, Endo Laboratories
Great Falls. Contact: Mr. John Breeden, P.O. Box 2829, Percodan ............................. 28, 29
Great Falls, MT 59403. (406) 453-1493. Thursday, May 25,
Billings. Contact: Mrs. Frances Burt, Continuing Medical Geigy Pharmaceuticals
Education, Marillac Hall, Billings, MT 59101. (406) 657- Brethine ............................. 8, 9, 10
7083. Friday, May 26, Missoula. Contact: Mrs. Janet Perrin, Hawaiian Conference Services
500 West Pine, Missoula, MT 59801. (406) 549-3782. Seminar in Pathology ........................ 25
June 2-Management of Acute Medical Problems. Friday. Vir- Mead Johnson Laboratories
ginia Mason Medical Center Auditorium, Seattle. 7 hrs. Fee: Colace/Quibron ......... ......... 17, 18, 19, 20
$75. Contact: Kenneth Wilske, MD, Dir. CME, Virginia Medical World News .......................... 7
Mason Medical Center, 1100 Ninth Ave., Seattle, WA 98101.
(206) 223-6898. Merck Sharp & Dohme
Hydrodiuril ............................. 14, 16
June 5-6-Infertility-Univ. of Wash. Obstetrics and Gyne-
cology Program in Idaho and Washington. Monday, June 5, Presto Foods
Boise. Contact: David M. Barton, MD, 999 N. Curtis Rd., Mocha Mix ............................. 12
Boise, ID 83704. (208) 385-9391. Tuesday, June 6, Spokane. Roche Laboratories
Contact: Wm. Harvey Frazier, MD, West 101 8th Ave., Librax ......................... 2nd Cover, 1, 2
Spokane, WA 99204. (509) 838-8347. Valium ...................... 3rd and 4th Covers
June 7-9--Osteoporosis and Metabolic Bone Disease Scan- Smith, Kline & French Co.
ning-Univ. of Wash. Internal Medicine Review Sessions Dyazide ....... ................ 6
in Montana. Wednesday, June 7, Great Falls. Contact: Sidney
Pratt, MD, Box 2829, Great Falls, MT 59403. (406) 453- The Upjohn Co.
1491. Thursday, June 8, Billings. Contact: Mrs. Frances Tolinase ....... ................ 6
Burt, Continuing Medical Education, Marillac Hall, Billings, Warren-Teed Laboratories, Inc.
MT 59101. (406) 657-7083. Friday, June 9, Missoula. Con- Kaon Elixir ......... .............. 13
tact: Mrs. Janet Perrin, 500 West Pine, Missoula, MT 59801.
(406) 549-3782. White Memorial Medical Center/Loma Linda
University School of Medicine
June 8-10-Clinical Genefics-American College of Obstetri- Symposium: Surgical Management of the
cians and Gynecologists. Thursday-Saturday. Washington Traumatized Patient ...................... 16
Plaza Hotel, Seattle. 25 ACOG cognates. Fee: ACOG Fel- i
34 THE WESTERN JOURNAL OF MEDICINE