national health journal • feb 77.$1 NOSTALGIA AND NUTRITION How to get the most from your doctor Understanding and caring for restored teeth Fiber-victim of progress GOOD HEALTH IS MORE THAN MEDICAL BILLS LIFE AND HEALTH answers questions on family care, the high cost of living, food and nutrition, exercise, and a way of life that can keep you happy and healthy longer. The $8.00 you spend today on LIFE AND HEALTH will save you time and money in days to come! ood health is for me! I enclose $8.00 for a 12-month subscription to LIFE AND HEALTH. name (please print) address SEND TO: LIFE AND HEALTH, Washington, D.C.20012. Offer expires August 31, 1977 national health journal TH ; LIFE DON HAWLEY Editor JAN CHURCH HAFSTROM Assistant Editor IRVING JONES, M.D. Editorial Associate KAAREN KINZER Designer BONNIE REED Editorial Secretary RICHARD KAISER 22 14 9 Braille Editor EDMUND M. PETERSON Circulation Manager J. WAYNE MCFARLAND, M.D. Medical Consultant 93rd Year of Publication Volume 92, Number 2 February, 1977 9 14 16 18 R. J. Wassersug, Ph.D., J. D. Wassersug, M.D. How to get the most from your doctor . . . by really trying. Vivian Buchan The lefties are left out could use recognition. William Carl, D.D.S. Understanding and caring for restored teeth know enough about your new teeth? Rose Stoia, R.D. Nostalgia and nutrition great—or was it? 22 25 30 33 5 An oppressed group that Do you In the good old days, food was A warm story of a crow, Carsten Ahrens In the twinkling of a crow a man, and their friendship. Gary W. Langston, M.D. Fiber—victim of progress What is the role of fiber in your diet? Are you deprived? Ruth Jaeger Buntain Pale faces, pounding hearts and negative reactions. Beatrice Levin For Valentines: one heart Better Life Gazette Fear can create positive A meaningful gift of love. 2 Q Man and His Spirit U A matter of self-esteem q The Undaunted A Soaring wings COVER PHOTO: SKIP BAKER OBJECTIVE: A family magazine featuring reliable health information. The official journal of the Home Health Education Service. 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 accompanied by a self-addressed and stamped reply envelope are returned. ADVERTISING: LIFE AND HEALTH accepts a limited amount of advertising, which must be compatible with the aims and objectives of the journal. Readers understand that products or services advertised are bought entirely at the purchaser's responsibility. BRAILLE: Selections available in Braille. Write LIFE AND HEALTH, P.O. Box 6097, Lincoln, Nebraska 68506. 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 sub- scription or changing your address, please enclose the address clipped from your copy or from a wrapper in which you received the magazine. SUBSCRIPTION PRICE: U.S. Currency, U.S. and U.S. possessions, 1 year, $8.00. Price may vary where national currencies differ. Single copy, $1.00, U.S.A. LIFE AND HEALTH is published monthly and copyrighted © 1976 by the Review and Herald Publishing Association, 6856 Eastern Avenue NW., Washington, D.C. 20012. Second-class postage paid at Washington, D.C. Vol. 92, No. 2. All rights reserved. Title registered in U.S. Patent Office. LIFE AND HEALTH—FEBRUARY 1977 3 STOP WASTING FOOD, Time, Energy, Money Total JuicesR, 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. 'per pound of fruit Now you can get up to the nutrients shown above the Vita Mix way. BREAOMANER 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. 00.S AlletS 3 ("Peel and everything" is the VITA MIX° way) SUPER 3600 STAINLESS STEEL VITA MIXR BREADMAKER 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. 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-MIVw can grind grain, mix and knead the bread all in one easy 3-minute operation.* TOTAL JUICES! COOKS! FREEZES! IMPACT LEVER No need for old fashioned, oversized bowls, kettles, dough hooks or stone grinders that clutter your kitchen and take so much time. 3 minutes for us 5 minutes for you if you are new at it ❑❑❑❑❑❑ ❑ CHECK THESE FEATURES Full 5 Year Parts Replacement U.S. Made, Nation-Wide Service Self Cleaning Commercial Super Powered Motor Save Food, Time, Money—Now! uL Listed — Commercial Quality 265 MPH Blade Tip Speed—Instant head-on impact in safe, heavy, stainless steel concussion chamber ❑ Safest Stainless Steel Construction ❑ No Other Appliance Has Vita Mix® Features r WRITE TODAY! — OR PHONE (216) 235.4840 — outside Ohio call TOLL FREE 800-321-2790 We will RUSH TO YOU A GIANT FOLDER giving you the complete, never-before, exclusive details ... plus WHERE TO BUY information . . . and SPECIAL PRICE. SPEED IS IMPORTANT - Supplies are limited. We will do everything possible to prevent slowdowns due to lack of materials. WE WILL FILL ORDERS AS THEY ARE RECEIVED — on a strict and fair first-come basis . SEND THIS COUPON TODAY to: VITA MIX® Corporation: "3600" Division, Dept. LH 277 8615 Usher Road, Cleveland, Ohio 44138 YOUR NAME ADDRESS CITY STATE ZIP CODE 'Better Life tgA r" e . .4cA avPazette u Quotes 1/04 Everybody's drug problem Consumers spend almost $9 billion every year on medicines that don't always give better health. According to the Food and Drug Administration, we have a major drug problem that stems from the misuse or excessive use of medicines. The FDA offers this advice: Don't buy medicine every time you don't feel well. Don't mix different drugs together without knowing whether you might have an unfavorable reaction. Medicines may lose or increase their strength as time passes, so don't feel that the largest size is the best buy. And if you buy overthe-counter drugs, read the label first; also ask your pharmacist's advice, he may direct you to a lower-priced brand than the one you chose. Everybody's Money, Winter, 1975-1976, vol. 15, No. 4. "It looks like virus X all right." other foods (usually under social or commercial pressures) may be a contributor to obesity. Although he does not recommend use of solid foods during the first three months, Dr. Myron Winick, director of the Columbia University Institute of Human Nutrition, says that they should be started after four or five months, or else growth rate falls off. Weight Watchers magazine, October, 1976, quoting the New York Times. Obesity starts early BYCHA RL ESCOO K IL LUSTRATED A study of 130 infants by a team of pediatricians at Johns Hopkins University presented to the American Public Health Association by David M. Paige, M.D., showed that at the age of two months, 97 per cent of the infants were receiving cereal and 70 per cent strained fruit. On the average, the infants were consuming 29 per cent more calories than the recommended daily allowance. The researchers noted that breast milk, milk, or formula will adequately supply the dietary needs of infants, and the use of LIFE AND HEALTH—FEBRUARY 1977 5 Did you know? "A survey released in 1975 by the U.S. Department of Health, Education, and Welfare reveals that the average American father of a subteen-age child sees his offspring 12 1/2 minutes daily," said Dr. James Chesbro, a professor of speech at Temple University, Philadelphia, Pennsylvania. A smile a day A fine is a tax for doing wrong. A tax is a fine for doing well. Sign on office bulletin board: "In case of fire don't panic. Simply flee the building with the same reckless abandon that occurs each day at quitting time." Change of address According to a new policy of the U.S. Postal Service, undelivered issues of periodicals cannot be forwarded to new addresses. Issues returned to the publishers are charged a fee of 25 cents per copy. Therefore, if you are moving, it is important for you to send us your new 6 LIFE AND HEALTH—FEBRUARY 1977 "This could hardly be called the basis for meaningtul communication," he said. "Compare this pathetic 12 1/2 minutes with the hours this same child spends watching TV and you'll begin to realize how little true communication there is among members of the average American nuclear family today," he said. Temple University, Philadelphia, Pennsylvania. At an interview on his 100th birthday a man was asked, "To what do you attribute your good health and long life?" "Don't know yet," he replied. "I'm still negotiating with a breakfast cereal company and a vitamin manufacturer." 5f 4 t, Focus 4ark What's vegetable oil? American consumers will soon be able to determine the specific types of vegetable oils used in shortenings and other foods, as the result of a new labeling regulation of the Food and Drug Administration (FDA). The new regulation will allow persons on low-saturated-fat diets to avoid consuming some foods containing tropical vegetable oils, which are excluded from their diets because of the high-saturated-fat content. These oils—namely palm oil, coconut oil, and palmkernel oil—have a saturatedfat content similar to lard. But until now, regulations have allowed food processors to use them in many foods and identify them only as "vegetable oil" on the label. The imported tropical oils have saturated-fat contents ranging from 52 per cent to 92 per cent. This compares to 14 per cent for soybean oil, the most widely used oil in U.S. food processing. The push for better label- ing on foods containing edible oils has come at a time when U.S. imports and consumption of tropical vegetable oils are rapidly increasing. Palm-oil consumption in 1975, for example, was more than double the amount consumed in 1974. A large portion of the imported palm oil has gone into shortening production, replacing soybean oil and other U.S.-produced oils. The FDA regulation goes into effect on January 1, 1978. Practice When they say he's a "born executive," they mean his father owns the business. address immediately, allowing about five weeks from the approximate time you expect to receive your mail at the new address. Incidentally, should any issue not arrive to you as usual, kindly notify us so we can replace any missing number immediately. E. M. Peterson Circulation Manager By Audrey Kastris The thing about a broken leg And walking with a crutch Is just when you get good at it It's time to give it up. illealth highlights1 Healthy snacking Weight Watchers magazine has suggested several alternatives to sweets for the obese, those watching their banana, mashed) and 1/4 cup evaporated, chilled skimmed milk. Whip until frothy." Weight Watchers magazine, October, 1976. a hand-controlled batterypowered transmitter that triggers the impulse. Dr. Seymour Kilstein, a Pennsylvania osteopathic urologist and urologic surgeon, has implanted the pacemaker in several patients. Without the device, people with impaired bladder function must be catheterized at least four times a day, an uncomfortable, time-consuming, and expensive procedure. Babies and foot health intake of sugars, and simply for the health conscious. * "Celery or chopped lettuce makes a crunchy, easy to carry treat. * "Dehydrated snacks, such as vacuum-dried apples, are also good choices. * "Fresh fruit is a perfect pick-me-up. An apple, for example, is crunchy and contains nature's own sweetness. * "Dietary dessert makes a refreshing substitute for ice cream. * "Dietetic sodas come in a wide variety of flavors, are sweet to the taste, and filling. * "'Milk shake'—combine 3/4 cup of skim milk with 3/4 cup of dietetic soda and ice cubes in a blender. * "'Egg cream'—put two tablespoons and two teaspoons of nonfat dry milk in a glass. Add 3/4 cup dietetic soda and stir. 'sundae'— * "Summer combine your favorite fresh fruit (1/2 cup of blueberries, or two small plums, or 1 medium Electronic acupuncture Help may be available for those who suffer from chronic back pain. An electronic device called a transcutaneous stimulator can block pain impulses by electronically immobilizing that portion of the brain controlling pain. Dr. Allan R. Crosby, a Wisconsin osteopathic physician, used the device on himself when a plane crash left him with seven fractured ribs and a cracked sternum right before a major speaking engagement. "It's like electronic acupuncture," said Dr. Crosby. One of the advantages of this method is that the pain can be controlled without heavy doses of narcotics or other drugs. Bladder pacemaker A pacemaker that has nothing to do with heart function stimulated the bladder to contract and empty by means of a small device implanted in the patient's abdomen and The softness of the infant's feet in the first twelve months, combined with the rapid-growth process at this time, makes it possible for certain foot deformities to develop if cautions are not observed, said Dr. Edwin J. Harris, staff pediatric consultant at the Illinois College of Podiatric Medicine. Dr. Harris lists five basic rules to follow to aid in proper foot and leg development: * Don't bind the bed covers over baby's feet, as this restricts movement and can retard growth. * Allow the child to lie uncovered by sheets and blankets for some time each day so that he has an opportunity to kick and strengthen the feet and legs. * Change baby's position several times during the day, as lying in one position can put excessive strain on the feet and legs and can cause deformities. * Don't carry your baby on your hip or back, as the child's feet will be forced out of proper position. * Practice preventive podiatry by having your child's feet checked annually so that any maladies will receive early attention. Hire a community doctor Mound City, Kansas, hadn't had a doctor since 1963. So residents raised enough money to help Garret Duckworth complete his education at the Kansas School of Osteopathic Medicine and subjected their potential candidate to merciless grilling about his personal life-style. The town and the doctor meshed; today Dr. Duckworth happily practices in Mound City. La Cygne, a nearby community, was so impressed with the results that a similar program has been instituted. Dr. Duckworth is helping La Cygne residents find their doctor. LIFE AND HEALTH-FEBRUARY 1977 7 Focus Silt Astronaut food While three square meals a day are taken for granted by most Americans, getting even one balanced meal each day is a problem for some of the nation's elderly. Food technology and packaging techniques developed by the NASA Johnson Space Center, Houston, Texas, to feed Apollo and Skylab crews during space flight are being applied in a pilot program to help provide balanced meals to the elderly who live alone. nutritionists, Physicians, and biomedical engineers at the center work together to design and develop a meal system to supplement the existing National Nutrition Programs for the Elderly. Surveys have shown, said Project Engineer Gary R. Primeaux, that many elderly Americans do not receive adequate nutrition because of a lack of single-serving products, limited mobility, loss of skills needed to prepare balanced meals, limited finances, and often a sense of loneliness or rejection that reduces the incentive to cook and eat nutritious meals alone. Programs for home-delivered hot lunches for the elderly are being tried in several cities, however, there is usually no weekend service and the spoilage risk is high. The NASA team developing the meal system is striving to come up with a shelf-stable, multimeal package that can be distributed by several methods—even parcel post —to senior citizens who live beyond the range of hotmeal delivery. The program is expected to cost $240,000, of which NASA will fund $125,000; Johnson School of Public Affairs, $90,000; Texas Research Institute of Mental Sciences, $8,000; and United Action for the Elderly, Inc., $17,000. "ARE YOU, BY CHANCE, ON ANOTHER L tti CALORIE KICK? Write away Eye information The American Optometric Association has released two pamphlets on visual care for children, and has a number of others available on eye disease, vision care for people over 50, and so on. One of the pamphlets for parents is "Check Your Child's Vision," and the other is "Your Baby's Eyes." Each gives a helpful list of signs and symptoms to look for in determining a child's visual well-being. Both of these pamphlets and others on such topics as glaucoma and far-sightedness are available for free by sending a self-addressed, stamped envelope to: Public Information Division, American Optometric AssoChippewa ciation, 7000 Street, St. Louis, MO 63119. 8 LIFE AND HEALTH-FEBRUARY 1977 Arthritis "Doctor, Do I Have Arthritis?" is the title of a short pamphlet answering questions about arthritis. It is distributed, free of charge, by Eli Lilly and Company, Dept. MC339, 307 East McCarty Street, Indianapolis, Indiana 46206. HOW TO GET THE MOST FROM YOUR DOCTOR By Richard J. Wassersug, Ph.D., and Joseph D. Wassersug, M.D. A bit of intelligent forethought can make your visit to the doctor more effective. 'll never go back to Dr. Alexander," I Mrs. Morrissey complained. "It's the last time. He didn't seem to listen at all and rushed me out after I waited almost two hours to see him. I never even got around to mentioning the headache I had last weekend. He gave me a prescription for my stomach and told me to come back next month." Mrs. Morrissey's frustrating experience with her doctor may not have been solely his fault. All doctors are busy these days, and it is increasingly difficult to keep all patients satisfied, even if the doctor tries his hardest. The relationship between doctor and patient should be two way. Perhaps Dr. Alexander failed to listen to Mrs. Morrissey, or perhaps she failed to present her problems clearly and directly. What does the doctor need to know? In the initial interview the doctor needs to know as much as possible about you, as it relates to your ailments. This is the medical history, and although informal and brief it is the first step at arriving at a diagnosis. The sooner a correct diagnosis, the quicker we can get effective therapy. The second step toward a diagnosis is a physical examination. Pertinent, reliable laboratory tests constitute the third step. Skillful medical history can sometimes be more diagnostic than the subsequent examination or the battery of laboratory tests that is so impressive. An experienced internist may have his younger associate give the medical examination but continue to take his own medical histories. He quite likely may learn more about the patient from the history than from the examination. Keep the medical history simple— pains and aches should be described to the best of your ability, but suggestions as to underlying causes should be avoided. If you can point out the painful area, that is most helpful. Your interpretation of what and why LIFE AND HEALTH-FEBRUARY 1977 9 You might consider your doctor as a medical detective—give some helpful clues. it hurts may mislead the doctor. There is a natural phenomenon called referred pain, in which a deep organ that is sore or injured "refers" its pain to some other region of the body. Appendicitis is an example. Here pain is felt in the center of the abdomen rather than on the right side near the infected appendix. The patient who insists the pain originates deep in the middle of the belly could hinder diagnosis. It is all too easy to self-diagnose. Hardly ever does a gout patient come to a doctor without some history (retrospectively) of having stubbed or injured his toe. The patient never thought of gout as a possibility. PracFacing up to the problem tically no one, even doctors, can face the early acceptance of a serious personal disorder. Studies made on physicians having heart attacks show that the doctor's initial reaction to the pain is both that of anxiety and rejection. The first self-diagnosis is "ulcer," "indigestion," or "gallbladder attack." Even a heart specialist may fail to interpret his own symptoms properly. Youngsters around 11, said one physician, are old enough to speak their mind but young enough to give an accurate, unembellished description of their ills. Older patients 10 LIFE AND HEALTH-FEBRUARY 1977 come to the doctor with their symptoms, fears, anxiety, false rationalizations, and interpretations. However, most doctors understand this when they take the medical history. Misunderstandings between doctor and patient can be alleviated with a little forethought. Older, forgetful patients can bring a younger relative to help recall the doctor's orders later. A language problem can be solved with a skilled interpreter, preferably a bilingual member of the patient's family. Further misunderstandings may arise when the patient tries to describe the medicines being taken. If you are going to the doctor for the first time, be sure to take all your medicines with you. This avoids confusion. For example, Aldomet is not Aldoril nor Aldactone. Medicines that sound somewhat alike may be far different in their action. Some that sound different are identical, varying only with their trade names. Valdol is Tylenol is Dularin is Neotrend, and so on. All are different brands of acetaminophen, a mild pain remedy. Medicines may also be of distinctive color or shape, helping the doctor to identify them. Keep your medicine in the bottle just as it was dispensed by the pharmacist. Prescription bottles give the doctor information on dosage and how often the drugs are taken. Should the doctor change medicines, he can make a better judgment by noticing just how many of the old tablets or capsules are still in the bottle. Or he may let you finish the old prescription before changing, saving you money. And there is less chance of a serious, accidental mix-up of medication. What will the doctor ask? Before you make your visit think about what questions the doctor might ask. There are several ways he may direct his questions: for example, the method called "chief complaint," or "What's bothering you most?"; the "problem-orientation," or "What are your problems—one, two, three?" But no matter what the approach, the doctor will ask: Where does it hurt? and How long? He may ask for a history of the development of the pain or illness; for example: "Did it start with a head cold or a sore throat?" "Was it accompanied by chest pain?" Foreign travel and other environmental factors can be important clues to your illness. As best you can, try to remember how your symptoms started and how they progressed before you try to tell the doctor the problem. It also pays to think about your family tree before going to the doctor. Some diseases such as gout, diabetes, asthma, to name a few, are inherited. If you know that your father and two of your aunts have or had diabetes, tell the doctor. If you know that your mother suffered from severe migraine headaches until her menopause, the doctor will be interested. Some older relative may remember family-related diseases you don't know about. Job-related illness If there are special hazards related to your job, tell the doctor. A coal miner might suffer from "black lung," a pipe coverer, from asbestosis. Strangely, if you had been a welder working next to a pipe coverer deep in the hold of a ship, you might have asbestosis, too, having inhaled asbestos from the sheets used to cover pipes. Working in granite quarries or granite sheds might give you silicosis. What is true of occupational hazards is also true of your total environment. Foreign travel may expose you to diseases unfamiliar to your home area. Cases are commonly reported in medical journals where persons have amoebic abscesses of the liver, echinococcus cysts of the lung, malaria, and so on. The infections acquired in foreign countries may remain dormant for years, and then show up mysteriously later. Tell the doctor of any out-ofthe-way places you may have visited. The camping trip in Yucatan twelve years ago may be responsible for your bellyache today. Not all doctors ask identical questions. Should you be consulting an orthopedic surgeon, the inquiry will be about your accidents, your boneand-joint injuries, your problems in locomotion. A gynecologist will be concerned with your pelvic complaints and the irregularity of your menstruation. There is a sharp line between telling the doctor all that is pertinent and overdoing it. Someone who comes to the doctor with a 12-page written résumé probably has greater psychological than physical problems. However, psychiatrists may be able to extract pertinent data from such a mass of seeming irrelevancies. Body language important Most doctors watch patients and see what gestures they use to describe their discomfort. Even the tone of voice offers clues. Several good statistical studies in hospitals have shown that a large portion of the population fail to follow details of doctors' prescriptions. Doctors know of these statistics. They know patients often eat too much and sometimes drink too much. The relationship between doctor and patient, however, must be based on mutual trust and honesty. The need for honest revelation is always important, perhaps more so when the basic problem is emotional. An impending divorce can make almost anyone sick. A child on drugs can drive any parent to the doctor. A hostile or nagging boss can be more harmful than an ulcer. If you recognize any such factors, you should report the circumstances to the doctor. No physician wants a patient like Mrs. Morrissey to be dissatisfied with the attention or care that she gets in his or her office. Most doctors want to get along with the patients they serve. Most patients want to like their doctors. It takes only a little effort and a little preparation to get the most, and the best, from your doctor. LIFE AND HEALTH-FEBRUARY 1977 11 the to Soaring wings By Doris Nelson I n 1946, Minnesota suffered the worst polio epidemic in its history. All through the summer months newspapers listed the number of new cases and deaths each day. The totals numbered in the hundreds. All beaches were closed. Even the grand, exciting Minnesota State Fair was canceled to prevent the epidemic from spreading. People were urged to stay away from large gatherings. Still it raged on. Two floors of the contagion department at County Hospital were filled with polio patients. Iron lungs pumped on day and night. In spite of the precautions, the epidemic didn't begin to diminish until late September. It was then that my 18month-old niece, Kathy, was taken to the hospital, her right arm paralyzed. Two days later she was in an iron lung. One week later I woke in the middle of the night with a stiff back and a severe headache. I was frightened, but when I tried to touch my chin to my chest and couldn't—I was terrified. The next day my family drove me to the hospital to confirm or rule out the possibility of polio. The spinal tap was positive. I had poliomyelitis. "Just a mild case, I'm sure," encouraged the kind, young intern in the admitting room. He was wrong. Twenty-four hours later I was totally paralyzed and in an iron lung. The paralysis had come on suddenly, starting in my legs and moving upward until my whole body was immobile. My breathing became more and more difficult and finally 12 LIFE AND HEALTH—FEBRUARY 1977 impossible. I gave up the struggle and welcomed death. Suddenly, the whirring of a motor and a deep breath made me realize I was in an iron lung and alive. I wanted to laugh out loud, but instead I smiled up into the mirror above my head at the reflection of my mother, who was standing in the doorway. Next the nurse turned my head to where Kathy lay, in the iron lung next to me. Nothing in my twenty-one carefree years of living had prepared me for a traumatic experience like this. The following days were a nightmare. With a high fever, triple vision, and inability to move, I fought for my life. I repeated the twenty-third psalm to myself as I lay there, too weak to speak aloud. But after two long weeks I was off the critical list and out of quarantine, although still completely paralyzed except for a slight movement in my left hand and right foot. I lived in continual fear that the iron lung would malfunction or the electric power fail. The special-duty nurses by my side twenty-four hours a day were compassionate sentinels, answering kindly my barrage of questions concerning my recovery—but I wanted the truth. One day a very young, dedicated nurse gave me a straight answer. "Doris," she said seriously, "the polio virus attacks the cells in the central nervous system. The motor nerves pass through these cells from the brain to the muscle. The paralysis depends on the extent of the damage that ocWhat were my chances? curs in these cells. Only time will tell." I had my answer, but I felt terribly depressed. Somehow I had to strengthen my breathing muscles again. "Keep on trying, a few minutes at a time," everyone urged. A large pocket watch was hung on my iron lung to encourage me to push myself a little longer each time. Two minutes were an eternity. By the time they ticked by, the whole room was throbbing in my head. George, another polio patient, said, "If you can make it up to five minutes, it will get easier." "O.K.," I announced, "five minutes is my goal." It seemed impossible. The second hand on my pocket watch moved so slowly. I wanted to smash it into a million pieces. Someday, I thought. After many months in the iron lung, I felt like its prisoner. I just couldn't bear it anymore. I cried and I couldn't brush the tears away. I prayed—pleading prayers, demanding prayers, bargaining prayers—but it seemed that God had abandoned me. Finally, in desperation I prayed, "God, give me peace of mind and courage to face life, whatever it is to be." "One Year in an Iron Lung" was the newspaper story about me. The other polio patients had gone to rehabilitation centers—I was still at County Hospital because I constantly needed the iron lung. Kathy had recovered, except for the paralysis in her right arm, and returned home. About this time the March of Dimes provided me with a special nurse, who was just great. She coaxed but never forced; she praised but never scolded. it 2 With her encouragement I was able to take a breath deep enough to make a whisper of sound without the iron lung's help. I was overjoyed. Soon I was being lifted onto a hospital bed for 10 to 15 minutes a day. My breathing was still very labored—but I was breathing. After many, many more months of persistent effort, I was able to exist without the iron lung for several hours. I felt maybe I could make it at home. I talked the idea over with my mother. She said, "I'll buy an iron lung!" Now I was torn between the longing to go home and the fear of leaving the security of the hospital. I made the decision and was home for Christmas. After two years and three months of drab hospital walls, my home, decorated with a myriad of twinkling lights and Christmas decorations, seemed like a palace. The aroma of home cooking drifted in from the kitchen. Now I really knew I was home. After several months I faced my first crisis. I caught a terrible chest cold. Mother had to stand by my iron lung all night, pushing on my diaphragm to help me cough because I didn't have enough strength to do it myself. I had many penicillin shots, but an old-fashioned remedy (an onion poultice on my chest) seemed to help the most. Chest colds are still a major problem. It took a long time and many sacrifices on the part of my family before my life at home began to run smoothly. Since I couldn't keep busy physically, I had to concentrate on mental activity to prevent boredom. I learned to use a mouthstick to turn pages for reading and to write letters on an electric typewriter. I sought out more interesting TV programs and encouraged friends to visit and bring their friends. I took some correspondence courses and entered contests. And so the days and the years passed. Through the mirror on my iron lung I have watched many seasons come and go—the seasons of the year and the seasons of life. The nieces and nephews, who were so little the first Christmas I returned from the hospital, are now married and have youngsters of their own. Kathy does too. My mother, whose image has faithfully been reflected there always, is now 87. My once carefree, active life, full of plans for marriage, a home, and family, was suddenly snatched away by a virus so infinitesimal that scientists had not detected it with a microscope at that time. I have had a life of confinement to an iron lung, a hospital bed, and a portable respirator. Somehow, through it all, I have endured, not always on soaring wings but at least above the level of despair. For this I have to thank my family, my friends, and my God. From 1944 to 1955, 20,000 to 50,000 persons a year had polio in the United States. Then in 1955 Salk vaccine became available. In 1974 there were only seven reported cases. But now that polio has just about become extinct, a certain apathy has developed concerning the disease. "What's polio?" people ask. This is probably the reason that only 64.9 per cent of the population under 19 has received the required dose of polio vaccine. The new vaccine, trivalent, is administered in three doses at twomonth intervals. Each dose consists of two drops, and several boosters are recommended—a very small precaution for a serious threat to life. & LIFE AND HEALTH-FEBRUARY 1977 13 By Vivian Buchan A left-handed child is one of about 20 million people.coping with a right-handed society. Very little attention has been given to this minority group, which constitutes some 8 to 10 per cent of the world's population. It deserves both attention and understanding. Coercing a left-handed child to use his right hand creates emotional and physical problems far more serious than the frustrations encountered in using right-handed products. Dr. Bryng Bryngelson, a University of Minnesota speech pathologist, spent forty years studying the link between handedness and speech disorders. He learned that ambidexterity training can be disastrous. "Man's neural systems work best when one side strictly dominates the other," he said. "Everyone has a native side, dictated by the brain. In left-handed people, the right cerebral hemisphere takes the lead in directing functions like speaking, writing, and reading. In righthanded people, the left hemisphere is dominant. "Trying to shift your child's handedness can lead to stuttering, squinting, bed-wetting, and emotional maladjustments," he said. "Leave the left-handed child alone" is his advice. Although a right-hander himself, Dr. Bryngelson invented the "pull-method" of writing whereby a lefthanded child is taught to slant his paper to the right side and hold his left hand below the line as he writes. This keeps him from rubbing his hand over what he's written, and smearing it. I mentioned to one teacher, "I see you have some lefthanders in your class." The teacher looked around and said, "Where? I didn't know I had any." 14 LIFE AND HEALTH-FEBRUARY 1977 The teacher, who had been with the children for almost a whole term, had not noticed the problems her lefthanded pupils were having. Undoubtedly, the frustrations they were experiencing were greater than they realized themselves and might have been alleviated by an observant teacher. Left-handers not only cope with products designed for right-handers but have difficulty learning skills. Scissors, can openers, pencil sharpeners, corkscrews, wrist watches, cameras, sewing machines, and musical instruments are difficult to handle. Even something as trivial as opening a chewing-gum wrapper creates frustration. A left-hander trying to learn to knit, weave, crochet, or sew would find it difficult—directions are for righthanders. Frustrating as all of this is, the more serious problem is fitting the left-hander into a profession. A lawyer told me recently, "I wouldn't hire a left-handed secretary. Everything in my office is laid out for right-handed typists, bookkeepers, and my colleagues. It would mean a complete rearrangement of everything for that one woman and a handicap to the others." Realizing that left-handedness does create problems in many types of work, the Human Engineering Laboratory in Chicago considers this in evaluating native aptitudes and guiding people into careers. It was once thought that handedness was determined by eyedness, but this theory was disproved by the Family Economics Bureau. It was learned that earedness, footedness, and the whorls and patterns in the palms of the Buy left-handed hands must be put together in a composite to determine the degree of handedness, whether it be right or left. Counselors take this into consideration when they guide people into careers. Not many athletes are left-handed and far fewer are musicians and photographers. If you have ever seen a left-hander playing a guitar, violin, cello, or banjo, the instrument was either a special order from the factory or was restrung to accommodate the musician. The shutter release on all cameras is for right-handed people, making it awkward to operate for the lefthander. Even sitting down to a meal causes problems for left-handers. Everything has to be shifted from right to left to avoid spilling food. And then they're constantly bumping the elbow of the right-hander sitting next to them if they don't coordinate their movements properly. Despite these problems—leave your left-handed child alone. Training such youngsters to use their right hand creates emotional problems, because the brain is forced into alien patterns. Their native sidedness is thrown out of kilter. They confuse their right hand with their left, so that if you ask them to raise the right hand, they'll be apt to raise the left. In giving directions, they may say "turn right" when they really mean "turn left," simply because their brain is confused. handed. This gave him a closer and more direct view of the pitcher and the ball. Not only that, he had the advantage of running a shorter distance to first base. Dr. Bryngelson theorized that Babe had the same advantage a right-handed batter would have if he could run straight to third base instead of to first. Until recently, left-handers wanting products designed for them could get them from Anything Left Handed, Ltd., in London, and the Left Hand Shop, 140 West 22nd Street, New York, NY 10011. But that left millions of lefties out. In 1971, Peter B. Neiman established a mail-order business catering to left-handed people. He named his business at 9 Rice Lane, Westport, CT 06880, Aristera Organization because aristera in Greek means "left" as well as "the best"—as in aristocrat. The catalog is sent around the world. Fifty-five articles designed for lefthanded use include a left-handed ruler with the numbers ascending to the left instead of to the right that's sent to clients free of charge. Left out though your lefty may feel—and be—it's still far better to leave the left hand alone and help cope with the frustrations and problems of being left-handed. This is easier than coping with speech disorders, emotional problems, or brain confusion. So, if you or someone in your family is left-handed, Babe had an advantage There's one place a lefthander has an advantage: playing baseball. Dr. Bryngelson unite and stand up for your lefts. Al studied Babe Ruth during an afternoon double-header in New York in 1931 when Babe hit five home runs. Vivian Buchan has taught creative writing at the University Between the games the doctor ran onto the diamond and of Illinois and the University of Iowa. Now free-lancing full asked Babe if he could test him for eyedness. Sure enough, time, she has had some 250 articles published during the Babe's right eye was dominant, even though he hit leftpast four years. LIFE AND HEALTH-FEBRUARY 1977 15 Understandi and cari for restored teeth By William Carl, D.D.S. H erman Junker, a dental historian, described a gold-wire splint used in approximately 2500 B.C. for stabilizing a loose lower molar. Museums display specimens of the simplest form of a fixed partial denture, consisting of gold bands around remaining teeth and the missing teeth supplied with carvings from ivory or like material. They are believed to date from 400 to 500 B.C. The science and art of restoring teeth with prostheses that cannot be readily removed by either patient or dentist is called "fixed partial prosthodontics." A fixed prosthesis may be a single crown, a bridge supplying one or more missing teeth, or a splint stabilizing loose teeth. Modern fixed partial prosthodontics is the most sophisticated type of dentistry. Its aims are several: the correction of abnormal oral conditions; the restoration of part or all of the chewing mechanism; the maintenance of that mechanism in a healthy condition; and the prevention of further injury to the mouth and its components. A fixed prosthesis has to be carefully planned and constructed. If the balance between mechanical and biological values is not maintained, irreversible harm can be done to the teeth being restored and to the tissues supporting them. Only teeth that cannot be restored by conservative means should have crowns or other type cast restorations. 16 LIFE AND HEALTH-FEBRUARY 1977 For example, teeth with large silver amalgam fillings and teeth that have lost much of their enamel structure fall into that category. Teeth that need extensive build-up to be made functional should also have cast-gold restorations. Once root canal therapy has been performed on a tooth, the enamel becomes very brittle. A crown is a good preventive restoration against fracture. When a tooth needs a crown it must first be prepared for it. This means that a certain amount of enamel and dentine has to be ground away. Highspeed instruments have taken much of the labor and discomfort out of this procedure, and once an impression has been made, most of the work can be done outside of the mouth (Fig. 1). If you have lost one or two teeth between other teeth, frequently a Figure 1 Cross Section of Gold Crown on Lower First Molar 1 5 1. Gold Crown 4. Margin 2. Prepared Part of Tooth 5. Dental Pulp 3. Contact Area fixed bridge can be made to close the gap. This is preferable to a removable partial denture, which requires a metal frame to be attached to teeth on the other side of the mouth. The segments of a fixed bridge are called units. All of them are linked together by solder joints that are in the areas where teeth would normally be in contact with each other. The teeth that are being supplied by a fixed bridge are called pontics. They attach to retainers that, like a single crown, fit accurately on prepared teeth on either side of the gap (Fig. 2). Crowns and bridges for front teeth require different considerations. Since the process of baking porcelain onto gold has been perfected by modern dental research, achieving matching esthetics is no longer a great problem. The new esthetics Figure 2 A Four-Unit Fixed Bridge for the Lower Jaw Supplying Missing Second Premolar and First Molar 1. Retainers 2. Pontics 3. Connectors 4. Abutment Teeth A tooth that is to be restored with a porcelain-to-gold bonded crown needs, however, more reduction or "grinding down" than one for an all-gold crown. Enough enamel and dentine have to be removed from the front surface so that a layer of gold about one-half millimeter thick and a layer of porcelain of about one millimeter can be accommodated. Otherwise, it is impossible to match the color and contour of the adjacent teeth (Fig. 3). Figure 3 Cross Section of Upper Front Tooth With Bonded Porcelain Veneer Crown 1. Porcelain 2. Gold Backing 3. Prepared Part of Tooth The porcelain-bonded-to-metal crown also requires a special type of gold with a high platinum content. The laboratory procedure is complicated and expensive. If artistically done, however, the restoration will match the natural teeth perfectly. Shortly after your crown or bridge has been inserted it should feel as if it had always been part of you. The bite should be comfortable and you should be able to make all jaw movements without interference of the new prosthesis. The contour should be in harmony with the other teeth, and the margin where restoration and the natural tooth joins must blend in without step or catch. The metal must be highly polished so that the gum tissue, cheek, and tongue are not irritated. You should be able to pass dental floss through the contact areas with light pressure. If the contact is open, food impaction takes place. Successful dental prostheses are made so that they can be easily maintained. On your final visit the dentist should give you instructions in proper care. But it is really up to you to protect your investment. Regardless of how well made the crown, there is always a line of transition where the restoration and the tooth meet, even though it may not be noticeable to the eye or the sensitive tip of the tongue. The margin is the most vulnerable area of a restoration and, whether it is above or below the gum line, must be kept clean. The best method of brushing I know is the Bass technique. You hold a soft toothbrush (I would suggest "Oral B," 179 Pro-perio) at an angle of about 45 degrees between the teeth and the gum line and move it horizontally along the row of teeth in short strokes. That way the crevices surrounding the teeth are kept clean and deposition of plaque, marginal breakdown, and gum disease are discouraged. Many useful oral-hygiene aids are now available. I always recommend an interproximal brush to all my crown and bridge patients. It can be attached to a thin handle and allows easy and efficient cleaning between teeth and under bridges where it is difficult to use dental floss (Fig. 4). The success of dental treatment hinges to a great extent on its maintenance, and the real price of dental and oral health is proper hygiene. A shiny gold crown is no guarantee against decay or gum disease. In fact, oral hygiene becomes more important, because even our best techniques are still very imperfect when compared with the excellence of nature. To make our teeth last a lifetime they need help, from the dentist and especially from yourself. Dr. William Carl is associate professor in fixed prosthetics at the School of Dentistry in Buffalo, New York. He also serves as senior dental surgeon for cancer at Roswell Park Memorial Institute, staff prosthodontist at the regional center for maxillofacial prosthetics and is a prosthodontic consultant for J. Sutton Regan Cleft Palate Foundation. Figure 4 Position and Movement of Brush in the Bass Technique of Oral Hygiene 5, I, a. Brush Moved in Short Horizontal Strokes b. Brush Moved in Short Horizontal Strokes Protect your investment BY THE A UTHOR c. Brush Is Held at an Angle of About 45° .•I - 0.. d. Use of Interproximal Brush LIFE AND HEALTH-FEBRUARY 1977 17 Nostalgia and nutrition By Rose Stoia, R.D. W ay back when, great-greatgrandma churned thick Jersey cream into golden flakes of sweet butter to be spread on steaming-hot bread. Your great-great-grandfather cracked last fall's black walnuts for the traditional black-walnut layer cake. Pork and beans bubbled lazily on the shiny, black stove top, and the hearty aroma of strong, freshly ground coffee filled the air. "Those were the good old days," you say. "If only . . ." How natural to assume that such a simple diet is far superior to today's artificial food. How shocking to discover what eating was really like in the "good old days." Our Pilgrim Fathers' menu was often lean. According to an ancient record, "They learned what tasty dishes can be made of corn, beans, and peas by boyling these all to pieces into a broth." To this splendid meal the Pilgrims, following Indian instructions, added bitter acorn "milk," a wild root called groundnut, yellow pond lily roots gathered from mosquito infested swamps, and "lumps of dowishe bread" from coarse corn meal. Governor William Bradford, reporting the "Starving Time" in early Jamestown, said they endured "a miserable life for five days together, with only the parched grain of maize." Later, Bradford reports that a few grains of maize were "as good as a feast," after three months of subsisting on a few clams and sparse groundnuts. 18 LIFE AND HEALTH-FEBRUARY 1977 By the early 1700's many acres of fertile land cleared for farming could have offered ample food variety for an adequate diet, but instead, colonial farmers, nutritionally ignorant, grew foods that kept well through the winter and provided "a hearty meal." It was thought a waste of labor and garden space to raise greens and leafy vegetables, which were not classified as "hearty" and would not keep out of season. Peaches rotted on the ground or became hog food, because preserving methods were either unknown or too expensive. Salt became the most common method of preserving food and was a precious and expensive commodity. Daniel Boone often staked his reputation as a frontiersman on his knack for finding salt licks. Kentuckians preferred salted meat, and generally considered all fresh meat "unwholesome" because it was so often tainted. Although summer provided a variety of fruit and vegetables, eggs, and a little milk, during most of the year colonial farm families existed on corn in several forms and on salt pork. Winter's meager menu provided exaggerated amounts of sodium and cholesterol, but scanty amounts of vitamins C, D, E, and most minerals. City dwellers had even greater problems. In Boston's steaming summers, Isaac Weld, of London, wrote home that meat became tainted in a day, that poultry should not be killed until about four hours before it was wanted, and that milk turned one to two hours after it was taken from the cow. A 1798 recipe records one attempt to keep milk from spoiling: "To make a fine syllabub [drink) from the cow. Sweeten a quart of cyder with double refined sugar, grate nutmeg into it, then milk your cow into your liquor, when you have thus added what quantity of milk you think proper, pour half a pint or more, in proportion to the quantity of syllabub you make, of the sweetest cream all over it." Poverty, lack of knowledge, slow and inadequate transportation, and primitive farming practices promoted this limited diet in many parts of early America. Even as late as 1870 Laura Ingalls Wilder, describing a hungry winter in the Da- This month's NUTRITION feature kota Territory, told how she set beans to cook for a supper of bean soup and salt pork with white-flour biscuits. She carefully added a large scoop of baking soda to the beans and watched it froth and foam. She didn't realize she was destroying the family's best source of B vitamins. Laura also may not have realized that her family had no good source of vitamin C that winter. However, SKIP BAKER in Florida, John Bartram, an eighteenth-century naturalist who toured America, reported orange groves so thick a man could not walk through them. The ingenious Seminoles sliced the top off the tart oranges, made a hole down the center of the fruit and filled it up with honey. After letting this stand a bit, Bartram ate one and labeled it "delicious." As America established herself, a time of plenty emerged for some. In the 1790's George Washington at Mount Vernon was famous for his Christmas dinner menu. Promptly at 3:00 P.M. dinner was served in three courses and on two tablecloths. The bustling servants presented four appetizers, three fish dishes, six entrees, seven vegetables, three relishes, four kinds of pie, and five of puddings, cake, ice cream, fruit, nuts, raisins, and wine. The meal and toasts lasted until 9:00 P. M. , at which point Mrs. Washington rose and said, "The General always retires at nine, and I usually precede him." When Thomas Jefferson entered the White House it was written that "never before had such dinners been given in the President's house . . ." His superb banquets deftly prepared by a French chef were occasionally equaled but seldom excelled. One feast offered: Deviled Eggs With Anchovies Celery Radishes Olives Small Green Onions Sorrel Soup Standing Ribs of Beef au Jus Horseradish Sauce Spinach Timbales Scalloped Tomatoes Small Roast Potatoes Macaroni and Cheese Pudding Salad Pots de Creme Coffee Nuts Did all this fine eating ensure a nutritionally sound diet and vibrantly healthy people? It did not. Think of the amount of food and cholesterol the above menu offered, to say noth- ing of the calories. During this period dyspepsia (what colonials called a multitude of stomach ailments) was universal, and obesity was almost synonymous with wealth. Fashion-minded fat ladies in desperation bought Allan's Anti-Fat, a "concentrated fluid extract of sea lichens." Historian Clement Eaton accuses grand Southern dinners as playing a deciding role in the Civil War. He suggests that several Southern generals performed poorly and sometimes missed battles completely because of severe dyspepsia following huge meals. Paradoxically, at this same time and in the same cities, the poor often existed on much less. A Philadelphia canal laborer's large family in 1833 purchased mostly bread (as they had no facilities nor fuel to bake their own), a small quantity of meat, one-half bushel of potatoes, a little sugar, and about 3 pints of milk a week. And how about the cuisine of the glamorized American cowboy? "The grub consisted of some [corn) meal and salt. . . . That taller [tallow, meat fat) mixed up with meal, water and salt made good corn bread," reported one wizened Texan. "Taller is mightly healing, and there's nothing like it to keep your stumick greased-up and in good working orLIFE AND HEALTH-FEBRUARY 1977 19 FOUR FOOD GROUPS This is the foundation for a good diet. Use more of these and other foods as needed for growth, activity, and desirable weight. Use daily: Protein group: 2 or more servings Meats, fish, poultry, eggs, or cheese—with dry beans, peas, nuts as alternates. Meat analogs can also be utilized in this group. Milk group: Children-3 or more glasses milk (smaller glasses for children under 8) Teen-agers-4 or more glasses Adults-2 or more glasses Cheese, ice cream and other milk-made foods can supply part of the milk. Fortified soy beverages can also supply the needs in this group. Vegetables and fruits: 4 or more servings Include dark green or yellow vegetables, citrus fruit or tomatoes. Breads and cereals: 4 or more servings Enriched or whole grain. Added milk improves nutritional values. der." Sourdough and hardtack, the sole bill of fare for most cowboys, left much to be desired nutritionally. America had everything—everything from seven-course dinners to monotonous, greasy salt pork and fried potatoes for weeks at a time; from pompous wealthy to sallow poor; from slave-served Southern plantation feasts to all hands dipped into one bean pot in a claim shanty. Americans had a variety of eating habits, few of which were nutritionally wise. All of this opened wide the door for reformers, faddists, and prejudices. During the 1849 cholera epidemic, the Chicago Journal condemned the city council at great lengths for not forbidding the sale of fresh produce, as many other cities had already done. To "scientifically" confirm the correlation between fresh produce and cholera the Chicago Daily Democrat of July 7, 1849, featured a story of two boys who "partook freely" of oranges and coconuts and then went to the circus. "In a short time one was a corpse and the other reduced to the last stage of the cholera." 1 Pilgrim Edward Winslow doctored dying Chief Massasoit by forcing some jelly, "a confection of many comfortable conserves," between his clenched teeth. To everyone's amazement, especially Winslow's, the chief sat up and asked Winslow for some good English pottage. Early American cookbooks of the late eighteenth century contributed curative recipes. "Receipt for the Surrup Watter good in a Consumption of Jaundis to clear the Skin or Revive ye spirits" contains such appetizing ingredients as a peck of ground garden snails (shells and all), a quart of earthworms split and "scowered" with salt, herbs, flowers, and four gallons of the "strongest Ale you can get." Tomatoes, an excellent source of vitamin C, were called "love apples" and were considered poison. Robert Gibbon Johnson stood on the steps of Salem County Courthouse in New Jersey one day in 1820 and ate a whole tomato before gasping spectators. Egocentric and opinionated George Bernard Shaw preached the gospel of vegetarianism for purely philosophical reasons from his twenty-fifth birthday until his ninety-fourth. Fletcherism "chewed" its way across America. "Nature will castigate those who don't masticate," sang Horace Fletcher while grinding each mouthful thirty to forty times. The age of "scientific eating" spread across the ocean to America between 1800 and 1916. It was nurtured by such men as Justus von Liebig and G. J. Mulder. In America, Graham instituted the use of unbolted flour, Wilbur Atwater, professor at Wesleyan University, analyzed foods for their fat, carbohydrate, and protein, and Prof. Louis Agassiz, of Harvard, assured consumers that fish was brain food. Mark Twain helped propagate this idea to an enthusiastic but untalented author: "Yes, Agassiz does recommend authors to eat fish, because the phosphorus in it makes brains. So far you are correct. But I cannot help you to a decision about the amount you need to eat . . . at least, with certainty. If the specimen composition you send is about your fair, usual average, I should judge that perhaps a couple of whales would be all you would want for the present." 2 In 1911 Casimir Funk, a Polish chemist, discovered what he thought was an amine vital to life. He labeled it a vitamine. So emerged the now celebrated vitamins. Since then a virtual explosion of nutritional knowledge has swept America. Nutritionists and biochemists discovered the importance of daily consuming controlled amounts of carbohydrate, fat, and protein, plus almost fifty vitamins and minerals in intricate ratio to one another. Nationally available are pictorial nutrition information brochures for the illiterate, braille nutrition texts for the blind, inexpensive paperback books and free brochures of nutrition for the poor, and a host of accurate nutritional material for Mr. and Mrs. Average. Besides the written word, films, slides, tapes, lectures, curriculum for all ages, posters, and games are available at moderate cost or no cost. As we begin our third century, are we superbly nourished specimens of unexcelled health? Most of us are not—too many choose to ignore currently recommended simple eating guides as "too limiting," "too bothersome," or "not important." The average American diet is high in sugar, high in animal fat, low in fiber, and provides a nominal amount of vitamins and minerals, resulting in coronary heart disease, dental caries, disorders of the gastro-intestinal tract and other such diseases which increase daily. Of those who are interested in nutrition, too many seek out the more exciting but less factual advice of misinformers. Paperback racks offer numerous books that promise to cure polio with minerals, and sore throat with coconut milk. Indiscriminate eaters consume millions of antacid tablets and tons of coatingaction liquids yearly to nullify overloaded stomachs. Sophisticated twentieth-century intellects who smile smugly at Allan's Anti-Fat sealichen extract should note that today's Americans spend $200 million annually on "medicated" candy, tonics, protein tablets, dehydrated cider-vinegar pills, and numerous other worthless reducing aids. Good nutrition for century three can have a beginning as simple as one, two, three, four. Successive articles in LIFE AND HEALTH will carefully outline specific nutrient needs that can be met by carefully applying the principles of the Four ffi Food Groups. 2 The American and History Food, pp. 43, 44. "Memorand," Galaxy, XI (January, 1971), p. 159. LIFE AND HEALTH—FEBRUARY 1977 21 in the twinkling crow By Carsten Ahrof a horty McMahon always rushed STaupe into my office at Taupe and Enterprises at 4:00 P.M. to empty my wastepaper basket. I always knew when he whirlwinded in that just an hour remained of the afternoon. I'd always answer, "Hi, McMahon," when he'd say, "Hi, Mr. Parks." It seemed incongruous to call him Shorty as the other men did, for McMahon was over six—very slender —feet tall. He constantly wore neat, blue denim coat and pants and a hat of the same material. That hat or cap had such a long pointed visor that his face was constantly in its shadow. By the time we'd exchanged greetings he had emptied my wastebasket into the large pasteboard carton he towed and had disappeared into the second of our three-room-office suites, where Angie typed. Angie always looked a bit dreamy-eyed after McMahon vanished, but they seldom had anything to say. Never during the three years he had been with us had I seen him saunter. He traveled about Taupe and Taupe as though he had just had a summons from the president. So I was a bit surprised a month or so back when, instead of sailing in and out with the refuse of many desks, he sat down in a chair facing me. He wasn't towing his carton. It wasn't 4:00 P.M., it was a few minutes before noon. His long-beaked cap was twisted around so that his face was in direct light. I noticed he was much younger 22 LIFE AND HEALTH-FEBRUARY 1977 than I had supposed . . . perhaps 35. His wide-set eyes were brown and challenging: "Mr. Parks, they tell me you used to teach biology." "Yes . . . two years . . . I taught at Lincoln High . . . I liked teaching biology. Why do you ask?" "Did you ever have a tame crow?" "No, but I knew a chap who did. Why?" "Well, at noon yesterday I went for a walk . . ." McMahon always took a walk at noon across the farm lands that edged town in our section. I'd see him leap a fence and head for a wooded hilltop, but I never would have attempted to match his tempo. He always hiked as though he had an appointment with destiny. "I walk at noon because after work I have to take over at home, and then I'm tied up until work the next morning . . ." I remembered hearing gossip when he first began work that his married sister, Gertrude, helped care for their widowed father, who was bedfast. She was on duty with the old man during the day and McMahon stayed with him the rest of the time. She was supposed to be a dominating sort of kill-joy, and we used to kid Angie about McMahon. We'd tell her to set her cap for him and get him away from Gertrude. Angie would just flush furiously . . . that was the easiest thing she did. Lenny, in the third office, kept her blushing most of the time he was in: he wasn't very selective in his telephone conversations. "If I didn't walk at noon, I wouldn't get my exercise and I'd be It's hard to believe that one ordinary crow could so completely change the personality of a human admirer. as flabby as most of the staffers around here—no offense personally directed," he added, seeing my smile. "None taken. Where's the crow?" "I'd come up over the top of Cooper's Hill where there are lots of white oaks. The acorns are falling now. And under the biggest tree, right near the path, was a big black tame crow. He didn't fly. His tail feathers were cut square, but his wings weren't docked. "He walked about as sober as a judge, pecking at the acorns. No, not just pecking at them, either. It was sorta like a game . . . croquet, maybe. He'd use his neck, head, and bill like a mallet and send the acorns a considerable distance beyond the tree's shade. "When I got near him, he made no attempt to get away. I sat down and he walked right up my leg and sat on my knee. I talked to him to see if he'd talk back. I thought maybe somebody had slit his tongue, see? He never made a sound . . . just looked at me with one eye and then turned his head and looked at me with the other. I went on talking, stood up, and he flew to my shoulder." "Did he show any sign of training?" I asked. "When I was talking, some word or other must have made sense to him —he jumped from my shoulder to the ground and climbed on my shoe. "I took a careful step, and that seemed to be exactly what he wanted. He perched sidewise and rode quietly when I walked slowly, and when I walked fast he waved his wings and gripped my shoe so hard I could feel his claws. "I sat down again and we ate my lunch. We ate everything . . . even a candy bar." "Did you take him home?" "My father and Gert have never allowed me to have pets, not even a cat. Gert drowned a kitten I brought home once. Do you think, Mr. Parks, the crow might be there today?" "Maybe . . . hardly likely though. His master could have found him, or a dog, fox, owl, a hawk, maybe." "His master, yes, but none of the others would ever bother him. He'd do them in. He's what you'd call powerful. He walks like me. When he goes someplace, he goes. He has three great toes pointing forward and one aft." And the bird was there when McMahon's long-legged stride carried the handy man to Cooper's Hilltop. The crow stalked down the slope to meet him. Soon they were having lunch. McMahon underwent a curious metamorphosis. No insect ever threw off its chrysalis to become such a completely different sort of a creature. He had been so absorbed by his simple tasks and the endless affairs at home that to him we were just objects with names. Most of us in turn were hardly aware he existed—we thought of him only at the regularly appointed moment he brought soap or towels or When I walked fast, he waved his wings and gripped my shoe so hard I could feel his claws. came to fulfill some other routine act. Now the long-beaked cap disappeared to be replaced with a dashing straw sporting a black feather. Then came bright plaid shirts and matching socks. He talked with various vicepresidents as though they were all equals in the brotherhood of bird watchers. They learned the idiosyncrasies of the crow, especially its amazing food habits. McMahon never left at noon for the hilltop but that he carried handouts from half a dozen offices—popcorn balls, candy bars, potato chips, and so on. For a while some of the men ridiculed the handy man—but he never seemed to notice their snide remarks. He was so enthusiastic that his zeal became contagious. Lenny, of all LIFE AND HEALTH-FEBRUARY 1977 23 That bird assumed the wingspread of a condor, the hues of a peacock, and the wisdom of a Solomon. KARIN AHRENS DESTEFANO people, brought him a bag of cheap finger rings with huge sets. He'd read that crows have caches for brightly colored trash. This crow had everything. Angie, our clerk, was a bird watcher of long standing. She had a feeding tray outside the window of her oneroom apartment, and she was becoming a part of McMahon's world. He began walking her home regularly after work, evenings, and made the acquaintance of birds at her feeder— titmice, chickadees, juncos, and woodpeckers. Of course, he was a bit condescending; after all, these were just dime-a-dozen wild birds! And, somehow, the bird on Cooper's Hilltop had ceased to be merely a crow to us. Even President Taupe was sending little boxes of raisins for the bird. It had assumed the wingspread of a condor, the hues of a peacock, and the wisdom of a Solomon. The entire building made a pet of a creature we had never seen and a sort of Mercury of McMahon. He carried our gifts to the important creature on Cooper's Hilltop. The handy man never wearied of discussing the paragon—he became so late on his rounds that it was often near closing time before he appeared towing his carton to empty my trash basket. 24 LIFE AND HEALTH-FEBRUARY 1977 "Hi, Parky," he greeted me one noon. "Do crows migrate?" The establishment knew the bird was going to live with him. He was having a carpenter redo the shed on his lot. It was an ancient structure that sounded from description like a carport. Gertrude parked her car in it during the day. McMahon was having the side boarded up, a door built in, and a number of windows added to his aviary. "Won't your folks object?" I asked. "What about your sister?" "I just told them, 'Love me, love my bird!' Gert said she wouldn't come home anymore, and I said I wouldn't either. Then the old man started to blubber. I told them that I was old enough to know what I was doing. But say, do crows migrate?" Angie joined us, and when I hesitated, she spoke up shyly at first, and then with more assurance. "Not in the ordinary sense," she said. "They don't fly south to some place in Brazil or Argentina, as some birds do, and return again in spring. Crows move about a lot, but mostly stay in one area if they have food. Your crow will stay, for you've given him plenty to eat." "I hope he stays till the birdhouse is ready for him. Gert calls it the chicken coop." I suppose we were responsible for the fate that overtook the bird. McMahon carried much more food to Cooper's Hilltop than any bird could consume. There must have been considerable extra that scented the air and lured other hungry creatures to the grove. And one bleak November day McMahon came in and slumped down in my chair. "He's gone. Dead. Pulled to pieces, eaten up . . . feathers all over the place." "Oh . . ." Angie moaned. McMahon disappeared for the rest of the week, and when he returned he was wearing his old denim uniform, his long-visored cap. Gone was the glow. The bloom had rubbed off. There was the mechanical handy man making mechanical rounds. Rumor has it that Gert had the side of the shed taken down and her car has a port again. There's no explaining what that bird had done for Taupe and Taupe Enterprises. For a two-month period production and sales soared, and autumn isn't usually our peak season. The charts showed an amazing upturn and then an abrupt return to the old levels. That fall during the local fund drive the employees gave more than $2,000, twice as much as they had ever contributed before . . . or since. Once again now I was Mr. Parks, and McMahon arrived at exactly 4:00 P. M. to empty my basket. The whole establishment gradually slumped into the old monotonous rut again. It didn't seem possible that one touch of wilderness, or something, could have brought such changes. We drifted into our old selves once more . . . cynical, weary, bored. For McMahon it was the death of a personality that had blazed into a Roman-candle existence, lighted up everything in our little world, and then . . . had gone out.8? Carsten Ahrens has written for LIFE AND HEALTH before. A retired high school biology teacher and summer national park ranger-naturalist, he has traveled as far as Africa on expeditions. dairy products, or most commercially prepared meat substitutes. Fiber is composed of cellulose, hemicellulose, digestible lipids, waxes, nitrogens, and some trace elements such as zinc, chromium, and magnesium. A deadly art Today, wealthier and more highly industrialized countries have mastered the art of eliminating fiber from food through refinement and processing. Poorer countries have not had the technical skills to deprive themselves of the necessary fiber. The number one killer in the United States is ischemic heart disease. Approximately 750,000 Americans die every year with acute coronary thrombosis. One of the major risk factors for this is an increase in serum chon the early 1800's food processors began to deplete lesterol. And two of the minor risk factors are obesity and bran from grains. It was found that flour could be diabetes mellitus, which are conditions influenced by sifted and separated according to its color. The whiter flour the amount of fiber in the diet. was more in demand than the darker flour—so the whiter A certain amount of cholesterol is essential for normal flour was given a higher price. There was one miller body functions. Cholesterol is the precursor for certain in London who separated his flour into five categories hormones (estrogen, progesterone, testosterone, cortisol). according to color, from white to brown. The wealthier It is necessary for maintaining the integrity of cell mempopulation bought the whitest flour and the poorer, the branes, and is used in the production of bile salts. However, only about 150 mg. of cholesterol is needed each day darker. The difference in fiber was 2 per cent for the white to 12 to 13 per cent for the darker. to take care of essential body functions. (This is half the Fiber, bran, and bulk are different names for the same amount of cholesterol found in one egg.) substance. It is neither digested nor absorbed, and yet Excess cholesterol in the blood stream is laid down on there are several diseases associated with a lack of this the walls of both large and small arteries. Continuing substance. A lack is associated, for example, with ischemic build-up leads to calcification of the cholesterol plaques, heart disease (insufficient blood circulating), cancer of the which critically narrows and eventually leads to complete colon and rectum, abdominal polyps of the large bowel, blocking of the arteries. When the arteries of the heart appendicitis, gallstones, hiatal hernia, hemorrhoids, are blocked, a heart attack occurs that may be fatal. varicose veins, and—surprising to some people—obesity. Fiber affects cholesterol in several ways. First, a diet Fiber is plant residue that is not broken down by acid high in fiber is probably a diet already low in cholesterol. or alkali, undigestible, unabsorbable, that passes through Excess cholesterol in the diet comes from meats, eggs, the digestive tract unchanged. It is found only in vegeand dairy products such as cheese, milk, and butter. tables, fruits, and whole grains. White flour has had most High-fiber diets cause foods to travel faster through the of the fiber, or bran, removed. Only 2.4 per cent of white GI tract, and there is less opportunity for food to be flour is fiber, whereas whole-wheat flour contains up to broken down and absorbed. Fiber binds bile salts so they 10 to 12 per cent at dry weight. There is none in meat, are not reabsorbed. New bile salts must be synthesized victim of progress DONSATTERLEE I from cholesterol to replace those which were lost in the stool because of their attachment to fiber. This lowers the total body pool of cholesterol, probably slowing up the hardening of arteries. In addition, most gallbladder disease is related to gallstones-and most gallstones are composed of cholesterol. rectal cancer, diverticular disease, spastic colon, and irritable bowel syndrome? These diseases are closely associated with, if not directly related to, lack of fiber in the diet. In diverticular disease, spastic colitis, and irritable bowel syndrome, doctors frequently prescribe a high-residue diet, and often order pharmaceutical fiber to be taken every day. It is ironic to buy fiber-free processed food and then turn around and buy the same fiber from Fiber fights obesity High-fiber-content foods fight obesity. Eating foods high in fiber means there are fewer pharmaceutical companies to treat diseases associated with the lack of fiber in the diet. calories for the same quantity of food. The calories that Diverticular disease is an outpouching or herniation are present have less time to be broken down and absorbed, owing to faster transit time. Highly refined foods of the wall of the colon. This is thought to occur because of an increase in pressure inside the colon. Fiber is conthat lack fiber-such as honey, sugar, and confectionssidered by many investigators to lower the pressure inside tend to increase the likelihood of developing diabetes. the colon and thus there is less chance of herniation. If you have a family history of adult-onset diabetes, you may be able to postpone the onset of the diabetes or Cancer of the colon and rectum is thought to result even control it on a high-fiber diet lacking in free sugar. from chronic irritation of the bowel or exposure to carcinoWhat about appendicitis, bowel polyps, colon and genic (cancer forming) chemicals. The slower the transit Nuts Almonds Brazil nuts Cashews Chestnuts (fresh) (dried) Hazelnuts Macadamia nuts Peanuts: raw with skin roasted Pecans Pistachios Walnuts: black English 2.6 3.1 1.4 1.1 2.5 3.0 2.5 2.4 2.7 2.3 1.9' 1.7 2.1 Miscellaneous Sunflower seeds Sesame seeds Peanut butter Meats Chocolate: bittersweet sweet Milk chocolate Carob flour Cocoa Malt Popcorn Yeast (dry active) Zwieback 3.8 6.3 3.8 0 1.8 .5 .4 7.7 4.3 5.7 2.2 1.7 .3 FIBER CONTENT IN 100 gm. PORTIONS: 100 gm. = 3 1/2 oz. Fiber Content Grains Biscuits .2 Boston Brown Bread .7 Bran: with added sugar and malt extract 7.8 40% Bran Flakes 3.6 Bran Flakes with raisins 3.0 Breads: cracked wheat .5 French .2 raisin .9 toasted 1.1 1.1 pumpernickel .2 white Buckwheat: 9.9 whole grain 1.1 flour (dark) Cereals: trace Cream of rice trace Farina 1.2 Oatmeal (dry) .2 (cooked) .5 Wheatena Shredded Wheat Wheat germ Corn meal Flour: all-purpose bread flour cake flour Grits (dry form) (cooked) Noodles (dry) (cooked) Macaroni (dry) (cooked) Millet Rice: brown (raw) (cooked) white (raw) (cooked) Spaghetti (dry) (cooked) Waffles 2.2 2.5 .8 .3 .3 .3 .4 .1 .4 .1 .3 .1 3.2 .9 .3 .3 .1 .3 .1 .1 Annabel L. Merrill and Bernice K. Watt. Composition of Foods: Raw, Processed, and Prepared, U.S. Department of Agriculture, Agriculture Handbook No. 8, December, 1%3, pp. 6-66. time of food through the GI tract, the longer the irritating Bran, or fiber, sprinkled on junk food still leaves junk food. Sugars and sweets need to be eliminated in favor of breakdown products of food are in contact with the GI foods containing more fiber. Satisfy a sweet tooth with tract. These are thought to be carcinogenic. With an sweet vegetables and fruits containing fiber, and eat less increase of fiber in the diet fewer of these are produced, low-residue foods such as meat and dairy products. owing to faster transit, and less carcinogenic agents are Stay away from white flour, including white rice and formed, with less contact with the colon. oats. Substitute dairy products and meat with protein-rich Fiber, then, counteracts disease in three ways: • Fiber binds bile salts, leading to an over-all decrease whole grains in meals that have most of the bran left in them. Whole grains are about 12 to 14 per cent bran. in the body's cholesterol pool. In a nutshell-don't put fiber on your foods, eat foods The higher the residue diet, the higher the less di• with fiber. gestible and absorbable food, with less fat, sugar, cholesterol, and calories. BIBLIOGRAPHY • Faster transit in the lower GI tract gives a decrease Burkitt, Dennis. American Medical News, October, 1974. Eastwood, M.A. Lancet, 1974, p. 1029. in breakdown of digestible foods and a decrease Heaton, K. W. Lancet, 1973, p. 1418. in absorption of digestible foods. This reduces the Lancet, 1974, p. 49. likelihood of obesity. It also decreases contact in the Dr. Gary Langston is in his third year of family practice colon of harmful breakdown products that may be residency at the Washington Adventist Hospital, Washington, D.C. carcinogenic as well as irritating. Fruits 4101 Apples (not pared) (pared) Apple butter Apple juice Applesauce Apricots (raw) (dried) Bananas Cherries Coconuts (fresh) (dried, shredded) Cranberries (raw) (sauce) Currants (red and white) Vegetables Asparagus (raw) (cooked) Artichokes (raw) (cooked) Avocados (raw) Beans: snap green (dry) white lima black kidney pinto yellow wax Beets (raw) 1.0 .6 1.1 .1 .6 .6 3.0 .5 .4 4.0 3.9 1.4 .2 3.4 Dates 2.3 Peaches (raw) Elderberries 7.0 (canned) Figs (raw) 1.2 Pears (unpeeled) (canned) .7 (canned) (dried) 5.6 Pineapples (raw) Fruit Cocktail .4 (canned) Grapefruit (all varieties, raw) .2 Prunes (raw) Grapes (cooked) .6 Guavas 5.6 Raisins Kumquats (raw) 3.7 Raspberries: Lemons (unpeeled) .4 black (raw) (peeled) .3 red (raw) .5 Rhubarb (raw) Limes (raw) (cooked) Nectarines (raw) .4 .6 Strawberries Oranges (unpeeled) .5 Tangerines (raw) (peeled) (canned) Beets, greens (cooked) .7 Broccoli (cooked) .7 Brussels sprouts (cooked) 2.4 Cabbage (raw) 2.4 Carrots (raw and cooked) 1.6 Cauliflower Celery 1.0 Chick-peas 4.3 Corn 1.8 Cucumbers (raw) 4.2 Lentils (cooked) 4.3 Lettuce 4.4 Mushrooms (canned) 1.1 Mustard greens (raw) .8 Okra .5 1.1 1.5 1.6 .8 1.0 1.0 .6 5.0 .7 .6 1.2 1.7 .6 1.0 1.0 Olives (ripe) Onions Parsnips Peas (green) Peppers Potatoes (baked) (mashed) Kelp Soybeans Spinach Squash: summer winter Sweet potatoes Tomatoes Turnips .6 .4 1.4 .7 .4 .3 2.2 .8 .9 5.1 3.0 .7 .6 1.0 .5 3.8 .6 2.0 2.0 1.4 .7 .5 6.8 1.4 .6 .6 1.4 .9 .6 .9 llk MED'irloi`k A matter of self-esteem The following article is one of a series, abstracted from Dr. James Dobson's most recent best-selling book, What Wives Wish Their Husbands Knew About Women (Tyndale, 1975). The theme of this series focuses on the emotional needs of Christian wives and mothers amid society's rapidly changing values and attitudes. By James Dobson, Ph.D. P erhaps the most inescapable conclusion I have drawn from psychological counseling of women concerns the commonness of depression and emotional apathy as a recurring fact of life. The 1950's were called an age of anxiety and stress; the seventies have already been termed an age of depression. The majority of adult females seem to experience these times of despair, discouragement, disinterest, distress, despondency, and disenchantment with circumstances as they are. I have come to call this condition "the D's" for obvious reasons. A counselee will say, "I have the D's today," and I know precisely what she means. In order to ascertain the causes of this feminine depression, I developed a brief questionnaire on which a sampling of women indicated the greatest 28 LIFE AND HEALTH-FEBRUARY 1977 irritants in their lives. Believe it or not, low self-esteem was indicated as the most troubling problem by the majority of the Christian women completing the questionnaire. More than 50 per cent of the group marked this item above every other alternative on the list, and 80 per cent placed it in the top five. This finding is perfectly consistent with my own observations and expectations: even in seemingly healthy and happily married young women, personal inferiority and selfdoubt cut the deepest and leave the most wicked scars. This same old nemesis is usually revealed within the first five minutes of a counseling session; feelings of inadequacy, lack of confidence, and a certainty of worthlessness have become a way of life or, too often, a way of despair for millions of American women. What does it mean to have low self-esteem? What does one experience when struggling with deepseated feelings of inadequacy? Perhaps I can express the troubling thoughts and anxieties that reverberate through the back roads of an insecure mind. It is sitting alone in a house during the quiet afternoon hours, wondering why the telephone doesn't ring, wondering why you have no real friends. It is longing for someone to talk to, soul to soul, but knowing there is no such person worthy of your trust. It is feeling that "they wouldn't like me if they knew the real me." It is becoming terrified when speaking to a group of your peers, and feeling like a fool when you get home. It is wondering why other people have so much more talent and ability than you do. It is feeling incredibly ugly and sexually unattractive. It is admitting that you have become a failure as a wife and mother. It is disliking everything about yourself, and wishing—constantly wishing —you could be someone else. It is lying in bed after the family is asleep and pondering the vast emptiness inside and longing for unconditional love. It is intense self-pity. It is reaching up in the darkness to remove a tear from the corner of your eye. It is depression! At this point I offer a message of great importance to every husband who loves and wants to understand his wife. Whereas men and women have the same needs for self-worth and belonging, they typically satisfy those needs differently when the wife is not working. A man derives his sense of worth primarily from the reputation he earns in his job or profession. He draws emotional satisfaction from achieving in business, becoming financially independent, developing a highly respected craft or skill, supervising others, becoming "boss," or by being loved and appreciated by his patients or clients or fellow businessmen. The man who is successful in these areas does not depend on his wife as his primary shield against inferiority. Of course, she plays an important role as his companion and lover, but she isn't essential to his self-respect day by day. By contrast, a housewife approaches her marriage from a totally different perspective. She does not have access The more isolated a housewife becomes, the more vital her husband is to her sense of self-worth. to other sources of self-esteem commonly available to her husband. She can cook a good dinner, but once it is eaten, her family may not even remember to thank her for it. Her household duties do not bring her respect in the community, and she is not likely to be praised for the quality of her dusting techniques. Therefore, the more isolated she becomes, as we have discussed, the more vital her husband will be to her sense of fulfillment, confidence, and well-being. That spells trouble with a capital T. Let's reduce it to a useful oversimplification: husbands derive selfesteem by being respected; housewives feel worthy when they are loved. This may be the most important personality distinction between the sexes. This understanding helps explain the unique views of marriage as seen by men and women. A man can be content with a kind of business partnership in marriage, provided sexual privileges are part of the arrangement. As long as his wife prepares his dinner each evening, is reasonably amiable, and doesn't nag him during football season, he can be satisfied. The romantic element is nice—but not necessary. However, this kind of surface relationship drives his wife utterly wild with frustration. She must have something more meaningful. Housewives yearn to be the special sweethearts of their husbands, being respected and appreciated and loved with tenderness. This is why a housewife often thinks about her husband during the day and eagerly awaits his arrival home; it explains why their wedding anniversary is more important to her; and why he gets clobbered when he forgets it. It explains why she is constantly "reaching" for him when he is at home, trying to pull him out of the newspaper or television set; it explains why Absence of romantic love in my marriage ranked near the top as a source of depression among women, whereas men would have rated it somewhere in the vicinity of last place. God understands the emotional needs of the men and women He created. Thus He inspired the apostle Paul to write: "So again I say, a man must love his wife as a part of himself; and the wife must see to it that she deeply respects her husband—obeying, praising and honoring him" (Eph. 5:33, T.L.B.).* There is certainly no room for masculine oppression within that formula. The husband is charged with loving leadership within the family, but he must recognize his wife's feelings and needs as being one with his own. When she hurts, he hurts, and takes steps to end the pain. What she wants, he wants, and satisfies her needs. And through all this, his wife deeply respects, praises, and even obeys her loving husband. If this one prescription were applied within the American family we would have little need for divorce courts, alimony, visiting rights, crushed children, broken hearts, and shattered lives. • From The Living Bible, Paraphrased (Wheaton: Tyndale House Publishers, 1971). Used by permission. Dr. James C. Dobson, Jr., is a widely known psychologist on the West Coast. He is a professor of pediatrics (child development) at the University of Southern California School of Medicine, director of behavioral research and director of child development for the Children's Hospital of Los Angeles, and the assistant director of the Department of Education at the American Institute of Family Relations in Los Angeles. No stranger to the art of parenthood, he lives with his wife and two active children in Arcadia, California. LIFE AND HEALTH—FEBRUARY 1977 29 Pale faces, potindin hearts`- Each of us is sometimes assailed by fear. We need to learn how to come to grips with this specter. 30 LIFE AND HEALTH-FEBRUARY 1977 By Ruth Jaeger Buntain A ccording to an ancient legend, Cholera went riding on his camel. He met a curious Bedouin who asked him where he was going. "I am going to Baghdad to kill 20,000 people," Cholera replied. Later, the two met again. The Bed- ouin scolded Cholera. "You didn't tell me the truth; not 20,000 died in Baghdad but 100,000." "I told the truth," Cholera answered. "I killed 20,000. Fear killed the rest." It is a well-known fact that fear is a killer. There are persons who have died purely from fright after being bitten by a nonpoisonous snake. In his book The Physiology of Faith and Fear, Dr. William Sadler relates how the fear of certain diseases will sometimes actually produce physical symptoms of disease. He tells about a woman who died because of a cancer that she never had. She thought that she had cancer, and so she died, although there were no indications she had the disease.1 Most often, fear does not kill outright but, rather, slowly and insidiously. It is a poison that creates a state of mind of anxiety, unease, dread, terror. And, like all rebel emotions, it affects the body. There are unharmful fears, of course. Protective fears that cause us to stop when we come to the end of a cliff, to lock our doors, to look both ways before we cross a street. These aren't the fears that destroy health and well-being. The fears that haunt the mind are the fear of failure, of insanity, of losing love, of poverty, of rejection, of illness, of old age, and of loneliness and death. Such fears hamper the mental processes. Your mind goes blank—you have stage fright, you forget your name. Fear can be so pronounced that anxiety is converted to a bodily symptom—a crippling pain in the head or abdomen, blindness, a paralyzed arm. Fear and anxiety often cause headaches—the commonest complaint of modern man. Ralph F. Waddell, M.D., said, "Most headaches result from the wrong use of the mind, from anxiety, mistrust, fear, tension, and hypersensitive personalities. These produce vascular changes, tense muscles, and deranged body functions." 2 Fear is one of the nine factors listed by heart-attack specialists as the cause of coronary heart trouble, our number one killer.3 The extent to which fear is a part of our lives is shown by the fact that the most widely prescribed drug in America last year was the antianxiety agent Valium.4 bushes and trees to escape gunfire— at a speed he had never before equaled. When he reached safety, the nervous and chemical reactions subsided, and his body processes became normal. Take another example in Jim's life. He is seated at his office desk, and he answers his telephone. One of his largest business The body's alarm response Fear and its protective or destructive re- orders has been canceled. When he puts down the telephone, actions are shown in this hypothetical case: Jim went into the woods for an he is fear-ridden. That order was outing. As he was enjoying the re- counted on to weather the business laxation he became aware that a man slump and to pay creditors who were was lookifig at him from behind a pressuring him—he faces the possibility of business failure. tree. A quick glance indicated the His body instantly reacts in the stranger was a questionable type, an precise way it reacted to the unkown unshaven, oddly dressed person. At threat in the woods. His body is mothe same time Jim noticed the bilized for flight or fight. But he can stranger's gun he remembered a news- choose neither. Fight? Whom? paper article reporting the escape of a Start running? Where? Around the seriously disturbed male patient from office? a nearby mental hospital. The fight is in his mind, and it canUnarmed and unprotected, Jim felt not be settled quickly. Consequently, panic-stricken—fear triggering two the chemical reactions do not subside tiny adrenal glands, one located on and his body processes cannot return top of each kidney. They were in- to normal until his fears and anxieties stantly stimulated to produce extra have been dispelled. quantities of adrenalin; the body was If they persist, the adrenalin secrein a state of full alert. tion—invaluable as an emergency The adrenalin circulating in the stimulant—becomes a chronic poison. blood temporarily turned off his The accumulated effects of the contindigestive processes, making additional uous stress can lead to exhaustion. blood available where it was more Depending on Jim's individual stress urgently needed. It shut down skin level, they can lead to chronic disease, blood vessels—Jim paled—so that ranging from asthma to a coronary. extra blood could be sluiced into musIn addition, studies show that fear cles and internal organs. is as contagious as any communicable It triggered his liver to release disease—a mother can transmit fear more blood sugar—instant energy— to her child, even though the child is into his blood stream. It stimulated unaware of what is happening. pulse, respiration, and blood presJust to be near a fear-ridden person sure, and quickened the clotting causes a vague uneasiness, and listentime of his blood—in case of injury. ing to voice recordings of such a perAll this happened in seconds. son will cause tension.5 Jim became an instant superman; he could run faster, hit harder, lift Do something about fear The first heavier, and jump farther than he thing to do about fear is to begin normally would or could do. He was decisive action. Discuss your fear with mobilized for flight or fight. He someone in whom you have confidence chose flight. Zigzagging behind and trust. If your fear is of a specific Civilized fear People can die from fright alone. LIFE AND HEALTH-FEBRUARY 1977 31 kind choose someone who is knowledgeable about your problem. As you share your fears with an understanding person, you will be surprised how much better you feel. Even though your confidante does not minimize your problem, you will now be able to attack it realistically rather than emotionally. Be sure to choose a person who will not betray your trust and with whom you will always feel secure. While you are in the throes of your problem, be physically active. You need distraction from your morbid thoughts, and physical activity will help blank them out. Pull weeds, mow the lawn, paint the toolhouse, go for a long, brisk walk. Muscular fatigue will also prepare you for a good night's rest. Dr. Henry Link once advised someone to exert himself physically to get rid of an obsessive idea. "You have put too much of your physical energies into imagining," he said. "If you run hard enough, you will automatically Arrest Gas and Toxins That Can Cause Discomfort and Diarrhea activated charcoal USP 3 gr. Usual dose: Two capsules after meals, or as directed by physician. Charcotabs activated charcoal USP 5 gr. Usual dose: One or two tablets after meals, or as directed by physician. distributed by Requa Manufacturing Company, Inc. 1 Seneca Place, Greenwich, CT 06830 32 LIFE AND HEALTH—FEBRUARY 1977 relax and go to sleep. You have thought yourself into this fear with your mind; you can run yourself out of it with your legs." 6 And he did. People plagued by nagging fears are usually more introverted than extroverted. They may be more sensitive to disapproval, and may be self-critical and introspective. If they can turn their self-absorption toward other people, as they develop a true concern for others they make a positive step toward mental and emotional health. Whatever our nagging fears— speaking in public, losing our jobs, insanity, rejection—we should be aware that to change the current of our thoughts is not easy. We need to remember this so that when results do not come as quickly as we had anticipated we will not become discouraged. To overcome "first this fear and then that," it is best to use a step-bystep approach to your fear—when it is of a general nature. Each step in the We are all susceptible to contamination of one kind or another in the foods we eat or in the water we drink. What it amounts to is a form of poisoning which may cause or contribute to discomfort, cramping, flatulence, diarrhea. Activated charcoal is without equal as an adsorbent antidote for swallowed poisons because of its ability to seize and hold toxic substances and carry them harmlessly through the digestive tract. In a similar manner it is able to adsorb many of the toxins that may be ingested in food and water. Activated charcoal also offers the unique ability to adsorb intestinal gas. Most of us have occasional times of distress from flatulence, and lessening the amount of gas by adsorption can provide welcome relief. The deodorizing properties of activated charcoal are helpful in reducing offensive odors. Activated charcoal cannot be assimilated from the digestive tract into the blood stream, so it is relatively harmless even when taken in very large doses. However, it should not be taken for more than three days because it can adsorb valuable nutrients and enzymes as well as offending toxic substances and gas. Its use should be reserved for the acute or occasional need. It will act as an antidote for many drugs, so it should not be taken the same time a prescription drug is being taken, except to nullify the effect of the drug as in a case of accidental drug overdosage. Available as 3 grain capsules and 5 grain tablets in strip packs of 30. conquest of fear requires an act of the will. For example, a painfully shy person could begin with simple overtures to others. Initially, he may not be ready for a complete plunge. Dr. Link told of a young patient so anxiety-ridden he could hardly talk out loud. He worked in a large bank, in association with a dozen employees in his department. However, as he went to his desk in the morning, he spoke to no one. As the first step in overcoming his shyness, he was counseled to start the day by speaking to the people with whom he worked. No matter how painful this was for him, he was to say a cheerful greeting to each employee he passed on the way to his desk: "Good morning, Frank!" "Hello, Keating!" "Good morning, Mr. Eaton." He did this, and found the results gratifying. He was then ready to accept more difficult assignments of outreach. In time, he developed self-confidence and lost his shyness. By doing the thing he feared, he had made certain the death of fear.? To have a sound mind—an unhaunted mind—we need to come under divine influence. Then we can be transformed by the renewal of our mind. Fear can no longer haunt us, because it cannot exist in the presence of the God who said, "Fear not, for I am with thee" (Genesis 26:24). IV REFERENCES ' I. E. Gibson. How to Stay Alive and Alert. National Research Bureau, Inc., booklet (1973), p. 11. 2 R. F. Waddell, M.D. Let's Talk About Health. Review and Herald, Dec. 12, 1974, p. 9. 3 Signs of the Times, October, 1974, p. 8. 4 D. A. Sugarman. What Are You Afraid Of? Reader's Digest (September, 1974), p. 130. ° Gibson. Op. cit., p. 9. 6 H. C. Link, Ph.D. Do the Thing You Fear. Reader's Digest Anthology (1948), p. 73. Ibid., pp. 75, 76. Ruth Jaeger Buntain, for 27 years a public school educator, is an author who lives in Angwin, California, with her husband, a retired school principal. She has, in addition to writing magazine articles, published two books for children. ne in five white American males may have a heart attack before 60, and one in 10 to 15 will die of such an attack. What doctors call atherosclerotic cardiovascular disease is occurring more often in younger age groups, and half the number who die of heart attack do so before reaching medical care. The incidence among women is also on the increase. Medical studies implicate many factors, including a high-cholesterol diet, cigarette smoking, high blood pressure, coffee drinking, and stress. A certain amount of stress has to be met and handled almost every day, but home can be a haven where a O By Beatrice Levin person can relax on territory where there are no threats. You can make clear to your spouse his or her value as an individual apart from the role extensions of mother or father of children, wage earner, provider—and a strong burden of stress is eliminated. You may not be able to eliminate the everyday frustrations of traffic, tax time, and office politics, but you can make sure he or she feels personally cared for. In addition, you may both enjoy tennis, bicycling, or swimming. Walking is the best exercise of all, however. Don't just stroll along. Stride. At first you may not be able to walk fast, but after a few weeks of daily walking you'll enjoy a brisk pace. As for any particular way to hold your body or move your arms or legs LIFE AND HEALTH-FEBRUARY 1977 33 or a way to breathe, there isn't any. "No matter what you have heard," says Dr. Harry J. Johnson, "there is only one way to breathe—in and out." A nightly stroll as husband and wife could find you talking to each other in ways you haven't since your courtship. It may not only save your life—but your marriage. The relationship built on such walks promotes self-disclosure, spontaneity, and openness. Psychotherapists claim that such disclosure gives a sense of well-being. An oldfashioned warmth grows between you. The walks bring you closer, STAINLESS STEEL Home Water Distillers. DISTILLATION LIFTS WATER from etteAtifola and, lotpwaim! HOME SAFETY EQUIP. CO., INC. P.O. Box 691, New Albany, Ind. 47 150 Toll Free Hotline -1.800-457-9183 Send complete information on distillers. No obligation — no salesman will call. ELECTRIFY YOUR BIKE! PEDALPOWER exciting new bike drive tames tough hills. Be independent. Shop when you want. Fits all Bikes, Adult Trikes. Installs in minutes. Thousands sold. Recharges overnite. Travels 100 miles for a dime. Send for FREE illustrated booklet. GENERAL ENGINES CO., 5014 Mantua Blvd., Sewell, N.J. 08080 34 LIFE AND HEALTH—FEBRUARY 1977 help you sleep, and may perhaps keep one of you from having a coronary. Start with walking around one block, and increase this until you go around several. You don't have to get out in drenching rain, of course, or in scorching heat. Don't be rigid or have too many rules. If you've gone shopping or to the grocery or hardware store and have walked a good distance from your car, that may be enough exercise for the day. A husband who offers to help with the housework not only wins his wife's heart but helps his own. He may exercise muscles that otherwise never get used. Don't rush out and join a costly health spa or club on the theory you can get your exercise there. Don't buy a rowing machine or one of those bicycles that go nowhere. These expensive exercise gimmicks usually clutter up your closet and make you feel guilty every time you see them. "Let's have another cup of coffee and let's have another piece of pie," is a song outmoded in style and directive, because if you don't watch those cups of coffee and pieces of pie, you are inviting a coronary. Physicians from Boston University Medical Center report that people who drink more than five cups of coffee a day are twice as likely to suffer heart attacks as people who drink no coffee at all. The link between coffee and a coronary was stronger than that of cigarette smoking and a heart attack. Doctors suggest that regular walking will help keep you slimmer. A person who is 30 pounds overweight is in the position of carrying around a 30-pound suitcase all day; he can't be in a very good mood at the end of ten or twelve hours of lugging that fat around. Use a little imagination and you can make dietary changes that won't make your meals less interesting, tasty, or attractive. Use skim milk, whey cheeses, cottage cheese, corn or safflower oil margarines (instead of butter), sherbet instead of ice cream. Instead of sausage or bacon and eggs for breakfast, serve cereal and fresh fruit. Eliminate sugar as much as possible from your diet. Recent studies suggest that not only does sugar lead to diabetes but that there is also a link between diabetes and heart attack. Dr. Aharon Merdechai Cohen, chief of the diabetic unit of the Hadassah-Hebrew University Medical Center in Jerusalem, revealed that his experiments indicate people who are genetically prone to diabetes can prevent the disease by excluding sugars from their diet, thus reducing the risk of heart attack caused by diabetes. In addition to regular exercise, consider these as your valentine present for your spouse in 1977: —don't smoke. —don't eat too much. —cut down on saturated fats in your diet. —don't eat egg yolks. —eat plenty of fresh fruit and vegetables. —have your blood pressure checked annually. You might even consider buying a dog—see that he gets walked every night in good weather. After all, a dog needs exercise. Dietary information can be obtained without cost from the following: The American Health Foundation, 2 East End Ave., New York, NY 10021. The American Heart Association, 44 East 23rd St., New York, NY 10010. Chiffon Margarine, P.O. Box 34, Dallas, TX 75221. CPC International, Inc., Englewood Cliffs, NJ 07632. Fisher Cheese Co., Dietary Cheese, P.O. Box 12, Wapakoneta, OH 45895. Fleischmann's Margarines, Box 1180, Elm City, NC 27822. Food Protein Council, Suite 314, 1225 Conn. Ave., NW., Washington, D.C. 20036. General Mills, Dietetic Specialties, 4520 W. 77th St., Minneapolis, MN 55435. National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20010. Loma Linda Foods, Riverside, CA 92505. Worthington Foods, Worthington, OH 43085. Beatrice Levin, a writer of eight books and more than four hundred articles and short stories, also teaches creative writing for an adult education program in Houston, Texas. shy Be Vegetarian? Now, as never before, the question of vegetarianism looms large on the minds of families everywhere. Some homemakers are questioning: Can a vegetarian diet supply the nutritional needs of a growing family? We would invite you to look at LIFE AND HEALTH'S first supplement, entitled "Vegetarianism," which answers many of the questions that either you or your friends and neighbors may have on the subject of vegetarianism. It has beautiful full-color illustrations from its attractively designed cover to the last page and is full of information. Order today. LIFE AND HEALTH Washington, D.C. 20012 Only $1.50 This offer expires August 31, 1977. NAME ADDRESS CITY STATE ZIP NM if it was the maraschino cherry?' Extra pounds . . . who doesn't fret about them? They seem to appear from nowhere, little by little, until you find yourself covering your eyes before you can get up enough courage to peek down at the bathroom scale. Or you put the scale in the closet to avoid it entirely! But now there's something you can do about it. OBESITY, the latest word on the subject from the editors of LIFE AND HEALTH magazine, presents a simple, down-to-earth approach to slimming down permanently. For practical help towards a svelte silhouette and a well-deserved feeling of accomplishment, order your copy today! LIFE &HEALTH Washington, D.C. 20012 E Please send me copies of OBESITY, at $2.00 each. El I enclose $ print name address city state zip This offer expires September 1, 1976 OB 205
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