The Burlington Free Press from Burlington, Vermont • Page 11

Medical Peer Review Law isAAdministrative Nightmare' criteria, and then monitor the factors, such as complications personnel. It provides a checklist nightmare." illnesses. i Tennis Lobber Popular 11 Dr. Stanley Hoffman, a "Once these were established, consulting surgeon at Gifford they were fed to the computer to and clinical assistant professor serve as the standard, which was of surgery on the University of drawn up by our own group of -Vermont medical faculty, doctors, for future use in caring became aware of the difficulties for these ailments." created by the peer review An example of the system in requirement and joined forces operation might be the case of a with Vermont Technical College normal, healthy, pregnancy. The length of stay." Although many doctors across the nation oppose peer review and more standardized medical practices, such is not the case at Gifford.

"We had a peer review committee before this all began," said Levesque, "and our doctors were more than willing to assist Dr. Hoffman in trying out his idea." Medi-Scan is still in its infancy, and eventually programs will be written for well over 100 illnesses. "And once this system is off the ground," Levesque noted, "we at Gifford can look back and recall where it all began." which may arise. But if all has gone well and the patient and child have received their treatment according to schedule, the computer informs both the doctor and the hospital business office when the mother and infant can be discharged. "Many people think we're tying to make the computer into a doctor or tell doctors exactly how to practice, but that's not so," said Calter, the president of medical computation and author of a college textbook on computer programming.

Calter said this service, which has been successful in preliminary runs at Gifford recently, is mainly a reminder to doctors and other medical that a physician can consult for diagnosis, and then it plots the steps needed for treatment. And. at the same time, a complete record is being made that will make peer review easier and help satisfy federal PSRO requirements. "There are numerous benefits here," said Calter, "such as aiding the doctor in being thorough and keeping down medical expenses from unnecessary tests and hospitalization." Dr. Hoffman agreed adding.

"The objective of the law is to establish norms, standards, and criteria for various disease entities, admit patients according to the established RANDOLPH An experiment is under way at Gifford Memorial Hospital that could greatly alter the administration of medical care in hospitals throughout the nation. The program, known as Medi-Scan, is a computer service designed to help hospitals meet standards established in the 1972 Professional Standards Review Organization (PSRO) Act. The federal law sets up peer review for physicians and requires every U.S. hospital to have a mechanism so doctors can evaluate their colleagues' medical performance. "Of course, the paper work and the time needed to carry out this continuing review is just incredible," said Gifford administrator, Philip Levesque recently.

"This law is the government's first major step toward the control of medical care, but it is an administrative -D 9 a a. a. a criteria for hospital care have been set by the Gifford physicians and programmed according to Medi-Scan. When a woman enters the hospital to deliver her child, additional personal data such as age and a medical history are combined with the normal pregnancy program, and the computer prints out the treatment schedule and length of hospital stay for that patient. Each day information is added to the computer, which may revise its recommended care plan depending on several mathematics professor Paul Calter.

The result was a small, Randolph-based firm known as Medical Computation Service, which used information provided by Gifford in an attempt to enlist the computer's aid in streamlining medical care. "It seems complicated at first," explained Levesque, "but it's really not. What happened here at Gifford is that our doctors worked with Dr. Hoffman and arrived at a set of agreed upon standards for diagnosis and treatment of eight Advice In Case of Lightning MONACO I was invited to play in a pro-celebrity tennis tournament in Monaco last week. It was one of the events scheduled to celebrate the 25th anniversary of the reign of Prince Rainier.

The reason I was invited is that Prince Rainier was trying to bring the lob back to Monte Carlo. Since this is a tennis stroke that I have become famous for. he insisted I be part of the tournament. For those who do not play tennis, the lob is one of the most beautiful and difficult shots in tennis. The object is to hit the ball gently in the air over Uhe head of the opponent and still keep it in the court.

All the world loves a lobber, and wherever tennis is played he is the most talked-about person on the court. The lob shot was invented in 1893 by a Polish count named Leopold Lob. Leopold had studied to be a violinist, but when he bet his Stradivarius "on black at the Monte Carlo casino one night and ball dropped in the red slot of the roulette wheel, he had no choice but to give up music and become a tennis pro. He played tennis like he played the violin and 'pretty soon he was hitting the ball high in the air the first time anyone had ever done it. In his honor.

Prince Rainier's grandfather named the shot "the lob" or "le lob" as it is known in France. BY SHEER COINCIDENCE, my grandfather had taken four lessons from Leopold Lob while vacationing one summer in Monaco and brought it back to his village in what was then the Austro-Hungarian Empire. When my grandfather wasn't being beaten up by Hungarian Cossacks, he practiced the lob and taught it to my father. My father brought it to the United States just before World War I. After I was born he took me out to Coney Island every Sunday and made me practice it.

(Since we were playing on the sandy beach it was actually the only shot you could hit without the ball going dead.) Prince Rainier had heard about my proficiency at the lob through Princess Grace, who still has relatives in Philadelphia. He explained when I arrived why he was trying to bring the lob back to Monte Carlo. For years Monaco had attracted the best-looking and richest lobbers in Europe. But in the "50s they started drifting away to other resorts such as St. Tropez, the Italian Riviera, the Costa Brava in Spain and Acapulco in Mexico.

Lobbers, you must understand, are not only great tennis players but they are voracious gamblers as well as big spenders. One lobber will spend four times as much on tennis balls in one day as a backhander will spend in a week. Lobbers also attract the most beautiful women. For some reason a woman just can't keep her hands off a man who hits a tennis ball up in the air. Prince Rainier told me if he could bring back the lob to Monte Carlo, he was certain his principality would once again become the most important resort in the world.

THE DAY I accepted the invitation to play in his pro-celebrity tournament. Prince Rainier built a new $10 million casino. He didn't waste his money. On the first morning of the tournament I drew Gardnar Mulloy as my partner. As soon as I got on the court and started to lob Dan Rowan and Dennis Ralston, the word went all the way down the Riviera, "Lobbing has come back to Monte Carlo." By afternoon all the roads leading to Monaco were jammed with millionaire tennis players.

Every yacht in the Mediterranean within 300 miles changed course and returned to the principality. Not since the early days of the century had Monaco seen anything like it. Although Mulloy and I were eliminated on the first day, a grateful prince and princess presented me with the first issue of a new Monacan stamp. It was a two-franc airmail stamp with a beautiful etching of Count Leopold Lob hitting his first tennis ball high, high in the air. Be alert for the classic danger signs.

Tingling skin or hair standing on end indicate an electrical charge. This may mean that lightning is about to strike. "If you feel these sensations, drop to the ground immediately," he recommends. If someone near you is struck by lightning, proper first aid and artificial respiration sometimes revive the victim. Although victims receive severe electrical If you're traveling in an electrical storm, stay in your car.

Rubber tires offer excellent insulation and protection. That's the advice of Vemon Tuxbury, Extension emergency preparedness coordinator at the University of Vermont. If you're out walking, go to the nearest building. If no buildings are within reach, take shelter in a cave, ditch or other depression in the ground. By Elisha P.

Douglass influence than any other book. A man is never wise in the broadest sense until he has made an honest attempt to learn something of God's wisdom. FAMILY PRAYER "If the Son, then, sets you free, you are really free!" (John 8:36) PRAYER: Our Father, help us in their lives they studied the Bible closely, to the great surprise of all of their friends and supporters they renounced their skepticism and became noted apologists for the faith. Here were two outstanding intellectuals of their day, yet they were ignorant of the Word i mi shock and-or burns, they do not carry an electrical charge and can be handled safely. Anyone inside during an electrical storm should stay there, Tuxbury advises.

He offers these precautions for outdoors: Don't work on fences or metallic objects of any kind Don't handle golf clubs, fishing rods, or flammable materials in open containers Get off tractors and move away; Get out of water and small boats; Avoid wire fences, metal clothes lines and similar elevated objects that conduct electricity. If you're caught out in the open, avoid the highest object in the area, Tuxbury suggests. SKEPTICS PERSUADED The story is told that two famous English skeptics. Gilbert West and Lord Littleton, decided once that they would write a series of articles exposing what they believed to be the superstitions of the Christian religion. West was to show the absurdity of the resurrection, and Littleton the ignorance and bigotry in the theology of Paul.

Naturally they had to betake themselves to the Bible for their material. When for the first time oi uou. ine same situation is t0 seek honestly and receive true in our own time. Many who gladly the freedom You give us, pose as intellectuals know little not abusinf, it but usine it Antiques Series on ETV Will Begin on Sunday i or nothing about the book which has been reprinted more than any other and has had more always to do what You want us to do. In Jesus' spirit.

Amen. 1 UPPER ROOM George Michael returns to Vermont ETV with a new "Antiques" series on Sunday at 7 p.m. First show in the series will Cancer: Don't Rush MM' (i dfattdeho biologists explain their interest in the Mariner 9 mission and the distinct pictures it beamed back from the red plant on MARS: "The Search Begins" July 11 at 7:30 p.m. Ninety minutes of highlights from the Fifth International Jazz Festival in Montreaux. Switzerland.are seen on "Jazz a la Montreaux" July 11 at 9 p.m.

The Peabody Conservatory Contemporary Jazz Ensemble performs the works of Richard Rodney Bennet, highly-acclaimed film composer on "Performance: Classical" July 12 at 7:30 p.m. 72 Answers Your Problems Our new menus will do for us what '76 did for America. For copies of all our exciting new menus, write or call 583-2301 Manchester, N.H. The American Brass Quintet begins a series of programs on Monday at 7:30 p.m. "New Music in Brass" examines the musical potential of the brass quintet in lecture-demonstration and performance.

The first two programs are devoted to the solo trumpet. Zubin Mehta conducts the Los Angeles Philharmonic in a performance of Mahler's Symphony No. 1 in Major, "The Titan" on Tuesday at 7 p.m. The show also will be seen Sunday at 5 p.m. Dr.

Rudolf Dreikurs' series, "Counseling the Adolescent," will start July 10 at 7.30 p.m. CLOSED FOR AQUARIUS (Feb. 19-March 20): Family communications improve. What was suppressed comes out in open. You are able to deal with situation that you previously skipped, ignored or pretended did not exist.

Domestic situation is due to stabilize. PISCES 19-March 20): Accent is on friends, hopes, wishes and your ability to do something about it. Techniques are refined. You have opportunity to choose quality. Pisces and Virgo persons are likely to be in picture.

An associate inadvertently does you a favor. IF TODAY IS YOUR BIRTHDAY you are sensitive, artistic, fond of travel, overweight and have ability to laugh, especially where your own foibles are concerned. April was important August finds you on a journey. You draw to you persons born under Gemini and Sagittarius. You are fun to be around you enjoy life, even if you have a weight problem.

INVENTORY THE SUGARBUSH INN UNTIL JULY 8 Watch For Our Ad on July 8 printed a letter from a woman who got caught naked as a radish while doing her laundry in the basement and was surprised by the meter-reader. That woman wasn't nuts. She explained she was tired of ripping her pockets on doorknobs and described how gloriously free she felt as she whipped through the housework unencumbered by clothing. In the second place, it is not uncommon for a woman of ANY age to flip over a much younger man. I've received stacks of letters from teen-age girls who view their mothers as serious competition.

Moreover, some girls have stated frankly that their mothers are extremely aggressive and "up to plenty." In the third place, there's no such thing as a dull day in my office. The notion that I have to fabricate letters in order to put together a lively column is absurd. A person would have to be psychotic to make up those letters. Eighteen years of this work has taught me that nothing is so far out, or bizarre, that somebody, somewhere, won't do it. Dear Ann Landers: A few days ago there was a big discussion in our office about that woman who did her housework in the nude and then enjoyed a little skinny-dipping in her own private pool.

It seems she was infatuated with her daughter's 17-year-old boyfriend and one day he showed up beside the pool and surprised her. She was embarrassed to death and he wanted to put her at ease, so he took off his clothes and swam with her. The girls in our office talked about that letter all day. In the first place, what kind of nut does her housework in the nude? In the second place, what sort of woman in her 30s would have a yen for a kid 17? In the third place, there were a few of us imyself included) who decided that the situation was so far out that you probably made up the letter on a day when the mail was dull. How about answering these questions in the press, madame? Inquisitive in Illinois Dear Ink: In the first place, thousands of women do their housework in the nude.

I learned this when I gesture of friendship. Be receptive. VIRGO (Aug. 23-Sept. 22): Lunar aspect points to romance, emotional explosions, problems concerning young persons.

You may not find a bed of roses, but you are making progress. Know it and stick to principles. Leo is going to lend a hand in meaningful manner. LIBRA (Sept. 23-Oct.

22): Home, security, building these areas are spotlighted. Aquarius. Leo individuals figure prominently. Property values are discussed. Don't sell short.

What seems an upset boomerangs and you could arrange financial coup of sorts. SCORPIO (Oct. 23-Nov. 21): You get where you're going, but what you find is of surprising nature. Means be flexible, versatile, able to utilize material at hand.

Emphasis is on change, messages, calls, relatives who garble meanings and tend to confuse issues. SAGITTARIUS (Nov. 22-Dec. 21): Money, love, emotional responses co-mingle. Conditions are anything but settled.

There is apt to be a tearing-down process. Your task is to remodel, rebuild. Aquarius, Leo. Taurus and Scorpio persons are in picture. CAPRICORN (Dec.

22-Jan. 19): Lunar cycle is such that your judgment comes in on target. You make advances. It is important also to make personal contacts. Wear bright colors.

Be conspicuous. Refuse to be backed into corner by one who has little talent but plenty of bluff. By SYDNEY OMARR ARIES (March 21-April 19): Be sure promises are put in writing. Circumstances now tend to upset agreements. Legal matters require close scrutiny.

Don't attempt to be your own lawyer. Dig deep for information. One in authority is well-meaning but could neglect to notify underlings of his intentions. TAURUS (April 20-May Don't push, force, cajole. You gain most now through diplomacy.

Another Taurus and a Libran could figure prominently. Accent is on study connected with travel. Open lines of Communication. Review foreign language. Be aware of potential.

GEMINI (May 21-June 20): Emotions could dominate. Know it and do something about it. Means give logic equal time. Otherwise, you could give up something of value for nothing. Member of opposite sex may play significant role.

See persons as they are remove rose-colored glasses. CANCER (June 21-July 22): Conservative approach now serves your best interests Do more listening than talking observe and learn. Older individual wants to aid but also wants to be asked. Decision is your own. Time is on your side.

Don't rush. LEO (July 23-Aug. 22): Go back to past: review lessons and resolutions. Applies specifically to work and health areas. Aries.

Libia persons could figure in important ways. Best now to finish rather than to start something new. Associate makes The with a discussion of Democratic Evolution Society." Physicists, geologists Sugarbush Access Road Warren, Vermont of and Different savings plans for people who want flexibility, availability and generous interest, too. 251st Semi-Annual Statement JUNE 30, 1974 RESOURCES Loans: 1 1,422 Mortgages on Vermont Residences (I to 4 Family) 8,460 Conventional 106,001,703.01 932 100 Insured by Federal Housing Administration 14,081,305.07 2,030 Guaranteed or Insured by Veterans Administration 23,034,279.28 1 08 Mortgages on Vermont Multi-Family Housing 4,000,072.67 2,43 1 Other Residential Mortgages, Serviced by Agents 20,082,320.29 667 Mortgages on Business Property 31,144,595.71 1 78 Mortgages on Farm Property 1 ,730,02 1 .36 1 90 Mortgages for Building Construction 4,066,764.1 0 946 Student Loans, Guaranteed or Insured 1,051,795.82 1 ,529 Other Collateral, Personal and Miscellaneous Loans 4,752,243.85 Obligations of United States Government and Governmental Agencies 17,168,335.34 Corporate Securities 6,1 78,01 1 .33 Bank Property 1,989,415.98 Other Assets 5,158,602.12 Interest Accrued 1 ,674,654. 1 4 Cash on Hand and in Banks 860,501.33 Make This Your Year to Discover Basin Harbor Club.

242,974,621.40 LIABILITIES AND SURPLUS Deposits: 46,039 Regular Savings Accounts 1 2,102 Notice Accounts and Certificates of Deposit 8,256 School Savings and Club Accounts 4,632 Mortgagors' Escrow Accounts Advances from Federal Home Loan Bank (See note) Other Liabilities Total Liabilities Subordinated Capitol Notes Surplus, Reserves and Undivided Profits, (Including Interest Accrued Less Deferred Tax Liabilities) 143,144,774.45 73,013,208.88 356,881.02 1,268,131.83 6,000,000.00 1.407.109.00 225,190,105.18 3,500,000.00 14,284,516.22 242,974,621.40 3X VI REGULAR SAVINGS ACCOUNT for day-to-day expenses and emergencies. Regular Savings Accounts earn Every Day Interest at the rate of 5' per year with a balance of five dollars or more. Your interest is compounded continuously ond credited to your account at the end of every quarter. SAVINGS CERTIFICATE ACCOUNTS for investment of 90 dayi or longer at higher rates. Savings Certificates con earn from 5V to 7Vi depending on the minimum and term.

On time deposits, however, federal regulations require a substontiol interest penalty for withdrawal before maturity. NOTES: Advances from Federal Home Loan Bank secured by pledge of 1,077 Federal Housing Administration loans valued at $7,81 1,300.54 i Market Value of Government and Corporate Securities $20,905,954.00 Bonus Accounts for systematic saving as well as many other savings plans are also available. Spend a fabulous vacation at one of Vermont's finest resorts. Swim in our terraced pool, or relax in the sun. Play golf on our 18 hole course.

Enjoy sailing, water skiing, tennis. Superb food. Entertainment nightly. 18 HOLE GOLF COURSE RANGER ROOM MUSIC FOR DANCING BASIN HARBOR CLUB Robert H. Beach, Manager VERGENNES, VERMONT Phono 475-23 1 1 or Writ Box 8 for rntrvotiont.

Burlington Savings Bank 148 College Street Essex Junction: 27 Railroad Avenue North Burlington: Brattlehoro: Ethan Allen Shopping Center 132 Main St. vermontjfederal aving The Savings Loan Association in Burlington, Rutland and Montpelier Member Federal Deposit Insurance Corporation v..