North Carolina medical journal

1102 Pages·1991·111.5 MB·English

by  North Carolina Medical Society

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ErnestCraige,M.D.
The Halcyon Days of Youth, Part
II:
The Second Year at the “New” UNC Medical School
John B. Graham, M.D.
Also in this issue: Hepatitis C • Physicians and Nuclear War • A Nurse’s View of the Nursing Shortage
Contents page 2
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NORTH CAROLINA MEDICAL JOURNAL
For Doctors and their Patients January 1991, Volume52, Number 1
PublishedMonthly as theOfficial OrganoftheNorthCarolinaMedical Society (ISSN0029-2559)
/ STAFF Jane Whalen The appearanceofanadvertisement in thispublicationdoesnotcon-
ERtu.ge1n,eBAo.x S1t9e4a.d,BuJlr.l,ocMk.D. EDDuIrThOaRImAL ASSISTANT stituteanyendorsementofthe subjectorclaimsoftheadvertisement.
EDITOR George E. Moore
919/693-4531 Raleigh
Francis A. Neelon, M.D. BUSINESS MANAGER The Society is not to be considered as endorsing the views and
Durham opinionsadvancedbvauthorsofpapersdeliveredattheAnnualMeet-
ASSOCIATE EDITOR —ingCoonrstpituubtliiosnhaedndiBnyltahwesoofffitchiealNorptuhblCiacraotliionnaoMfedtihcealSSoocciieettyy., \
F. Maxton Mauney, Jr., M.D. EDITORIAL BOARD Chapter IV, Section 3, page 4.
Asheville
Charles W. Styron, M.D.
ASSOCIATE EDITOR
Eben Alexander, Jr., M.D. CHAIRMAN
Winston-Salem NORTH CAROLINA MEDICAL JOURNAL
ASSOCIATE EDITOR Luwin VY Monroe, M.D. Box 3910, Duke University Medical Center, Durham, NC 27710
Greenville (919/684-5728). isownedandpublishedbyTheNorthCarolinaMed- ;
Chapel Hill WRoibnesrttonW-.SaPlreicmhard, M.D. Tichael SNoocritehtyCaurnodleirnathMeeddiicraecltiSooncioeftyits19E8d8i.torAidadlreBsosarmda.nuCsocpryirpitgshtan©d
WAaSlStOeCrIAJT.EPoErDiIeTsO,RM.D. LouiS uc . Channel, ivi.u craotmems,uneitcc.a,titoontshereMgaarndaignignegditEodriitaolrmaattttehres,Daudrvehratmisiandgd,ressusbscrAlilptiado-n
Greenville Winston-Salem vertisementsareacceptedsubjecttotheapprovalofascreeningcom-
ASSOCIATE EDITOR Jay Arena, M.D. mittee ot the State Medical Journal Advertising Bureau, 711 South
Blvd., Oak Park, Illinois 60302 and/or by a Committee ofthe Edi-
EDduwrahradmC. Halpenn, M.D. Jack Hughes, M.D. tloocnaallBadovaerrdtiosfintgh.eNIonrstthruCcatiroonlsintaoMaeudtihcoarlsJaopuprneaalriinnreesapcehctitsosusetri(csteley
ASSOCIATE EDITOR Durham tableofcontents).AnnualSubscription,$12.00(+ taxinNC).Single
William B. Blythe, M.D copies, $2 00. Publication office: The Ovid Bell Press, Inc., 1201-
Durham Chanel Hill 05 Bluff St.. Fulton, MO 65251. Second-classpostagepaidat Ra-
MANAGING EDITOR Margaret N. Harker, M.D. lmeaisgthe.r:NSoretnhdaCdadrroelsisnacha2n7g6e1s1taonNdoratdhdiCtairoonlailnamaMieldiincgalofSfoiccieest.y,Po2s2t2- J
919/684-5728 Morehead City N. Person St., Raleigh, NC 27611.
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NCMJ/January 1991, Volume52Number1 1
North Carolina Medical Journal
FOR DOCTORS AND THEIR PATIENTS
Contents / January 1991, Volume 52, Number 1
Coverillustration by Ernest Craige, M.D. See "The Halcyon Days ofYouth, PartII," page 44.
SCIENTIFICARTICLES
4 Hepatitis C: ANew Virus for anOld Disease J. Gregory Fitz
10 AllThatWheezes Is Not Asthma
FrederickH. Taylor, RichardW. ZollingerII,ScottA. Kremers,ArthurR. Cohen, andVittalB.Shenoy
17 ACaseofLeukemiaDue to HTLV-1: A Virus ofRegional Significance
EvelyneM. DavidsonandPeterC. Ungaro
EDITORIALS
20 Physicians andNuclearWar DanielT. Young
25 ANurse’s ViewoftheNursing Shortage MaryAnnPeter
FOR PATIENTS: HEALTH WATCH
27 Mental Illness: Mind andBody NorthCarolinaMedicalSociety
MODERN MEDICINE
33 DedicatedOphthalmic Research BanksAnderson
36 TheOptimum UseofLaboratoryTests inthe Surgical Patient
RobertRutledge, ColinG. Thomas,Jr., FaridF.Muakkassa, andAlfredR.Hansen
CAROLINA HISTORY
44 The Halcyon Days ofYouth, PartII: The Second Year atthe“New”UNC Medical School
JohnB. Graham
LETTERS TO THE EDITOR BULLETIN BOARD
50 Comments on the SpecialIssueonPreventiveMedicine 52 NewMembers
End-of-lifedecisions 53 Instructions to Authors
51 Primarycarepractitioners: “endangeredspecies” 54 ContinuingMedicalEducation
Doctor seeks stop-smoking information 55 ClassifiedAdvertisements
56 Index to Advertisers
NCMJ/January 1991, Volume52Number1