The Waterbury Democrat., 1932-08-31
THE ECONOMY OF AMBULANT.
 TREATMENT

Within inc mast ten years progressive physi- clans have developed satisfactory technlc TOT the ambuant treatment of several conditions which formerly required disqualification and confinement to bed for periods of days or weeks By ambulant treatment We mean treat ment which Is successfully employed whlle the patient keeps at his ordinary work or activi, ties First came the injection or chemical oblitcraton of varicose veins. Then the dio- tncrmy extirpaton of infected tonsiis. Tbcn the infection treatment Of lnternal heInor- rhoids Then the injection treatment of hernia
 It is only fair and right to say that, in com petent hands, every ono of these modern me thods is giving at least as satisfactory results as the older standard surgical treatment gives in competent hands. I think the risks tn- volvcd are rather less In ambulant treatment than they are in the older methods or operat- ing. So far as onn learn the prospect or re currence or of failure to cure or give lasting relief is no greater when ambulant treatment Is selected than 1t is when the standard opera tion' is done. tt
 Some physicians of good standing and reputc still dsapprove. condemn or advise patients against having ambulant treatment, mainly ] fear, because these good physicians have not had an opportunity to see such treatment ap- piled by a man who has made q proper study of the method and received adequate clinical instruction in the technic know this Is the basis of the unfavorable view taken by some throat surgeons of the diathcrmy method TOT tonsils. From the character of inquiries l have received from clinical surgeons in rel ercncc to the ambulant treatment of hernia know they, too, base their prejudice upon their ignorance of such treatment The inJecuon treatment of hernia has been most bitterly condemned by well meaning but nevertheless ignorant surScons--ignorant of this modern method. Here and there these surgeons are high horse and seeking clinical instruction in seeing the light and even gettin6 down son the the ambulant method from colleagues who have mastered the technlc..
 Many throat surgeons now advocate the use of the diathermy method for cleaning up tags of tonsil tissue left in the throat after the radi cal tonslcctomy--somchow they prefer to fall back the diathermy method rather tam break the news to the patient that he must un- dergo another operation. l may be dumb, H. logical and blind to all the amenities, but 1t does seem to me that If the dathermy method is all right for removing what the guiliotins and snare leaves behind 1t ought to be the choice in the first place.
 Insurance carriers find that hernia case treated by the standard operation, costs around $400--hospital expense. doctors fees, and com pcnsation for eight weeks disability. The am- bulant treatment can be given for less than half that total cost--nQ hospital charges to pay no loss of time for the patient. Some large industrial corporations are beginning to take m interest in this. and physicians and surgeons Investigating the method for such corporations are constrained to report that 1t loes effect of hernia. In the circum- stances 1t behooves the profession to keep m open mInd-whch Is something our would-be medical leaders too often lack.
 QUESTIONS AND ANSWERS
 Powder for Athletes Foot
 You once mentioned dustIng powder which prevents rngwOrm or Athletes foot e.. l. @
 Answor-Athicte's foot, ringworm. fungus, tricoph hytosis, foot itch. trench foot. cpldermo- phytosis This powder freely used in the shoes and stockings is a good preventive, perhaps q cure in some recent eases:
 One ounce of sodium hyposulphte (thiosul- phatc) four ounces 0 fboric acid. Mix the two powders thoroughly and apply as you would tacum powder.
 How Much Water?
 Is it possible for healthy person Co drink too much water? OP. l. O.
 Answer--One may drink from quart to a gallon of water daily, depending on atmos- pheric conditions, state of activity, amount of sweat, thirst Take the water cold. but not Ice cold when you are very warm A glass or two of water shortly before a meal or in the course If n meal If you feel thirsty. stimulates secre- ton of gastric juice and promotes good diges- tion Some persons mpke tho mistake of avoid Ing water m hot weather because they imagine it causes excessive sweating One who drinks water Cor fresh fruit beverages or tuices) freely will always be more comfortable in very hot weather.
 Sand in tbe Chard
 While canning Swiss chard | f0und . small quantity OT nnsid in bottom Of enc Of tlic ycs. sells tlte cisard was cooked in. Had bestcr dis. card tie bmteiiY Thc leaves wePe very cFiap and s0nse nntd nliist have escaped the wasIs- ing. tsirs q. x. O.
 AnHwer--Not for that rcason The sand is fresh and not bruised by handling. h ia GO to can and cut.
 tcopyrisht John '. Diis Col