April 8, 1970 (12 pages)

Medical Sersiee ‘Aids Physicians _ In Diagnosin y Rare Barth Defects “Every: week physicians around the country, write to us for help in. diagnosing rare and unfamiliar birth defects,” says Dr. Murray Feingold, co-director of the Syndrome Identification and Consultation Service at Boston Floating Hospital for Infants and Children. This unique service was established last January to facilitate such requests. Dr. Feingold and Dr. Sydney S. Gellis, co-directors of the Service, are distinguished pediatricians and editors of a monthly feature on pediatric abnormalities which appears in the “American Journal of Diseases of Children.” Dr. Feingold, assistant professor” of pedriatrics, Tufts University, also is ef of ambulatory services and “director of the March of Dimes Birth Defects Center at the. Hospital. Dr. Gellis, professor and chairman of the pediatrics department at.Tufts, is hospital pediatrician-in-chief. Both were concerned with the urgent need for a central source of information about unusual congenital malformations and genetic abnormalities. To meet this demand, the Massachusetts Bay Chapter of the March of Dimes provided a grant for photographs and medical histories of such patients to be circulated throughout several medical centers for comment and opinion. First of Its Kind The Syndrome pig er and Consultation Service, firs of its kind, vailable hysicians without bg During its first year of operation, requests have been handled from all parts of the United States .and abroad. Doctors seeking advice submit their patient’s case _history, signihesat information Black and white hotographs of physical characteristics are a DR. MURRAY FEINGOLD, co-director of the Syndrome Identification and Consultation Service at Boston Floating Hospital for Infants and Children, studies material pertaining to a rare birth defect. The Service reteives requests from physicians here and abroad for assistance in diagnosing unusual cases. / aie ri up 10 per cent The’ preliminary Nevada county budget for the 1970-71 fiscal year is up almost 10 per cent, but most of the increase falls in only three areas. The budget total is $7,686,033 at the moment but doubtless will ‘be altered as the supervisors continue their two member persusals and then swing into the study of the department requests by the full board. The requests made by departments are $680,940 above the . amount appropriated” for county expenditures to date this year. And all but about $50,000 of that increase is in the general categories of salaries, support of persons and cost applied, according to a breakdown compiled by The Union from figures provided by the auditors office. Salaries are listed at ed to run county government next year in other areas followed by increase or decrease from the 1969-70 appropriation: Temporary salaries — $388,229, up $73,760; retirement benefits, $386,055, up $45,910; group insurance — $25,120, down $2,198; agriculture (pesticides) — $1,625, down $360; clothing — $7,260, up $350; communications — $48,777, up $3,985; reissued supplies (cost of reissuing) — $50,000, down $4,171; food — $16,500, down $875; household (toilet paper etc.) — $13,234, up $955. Insurance — $169,910 — up $46,210; jury and witnesses — $15,000, up $1,000; equipment maintenance — $119, 015, up $9,640; structure maintenance$25, 050, down $8,212; laboratory supplies ~ $3, 600, down + by »; ba * ba r ; included along with any appropriate X-ray films. Color slides were sought at first, but they proved less satisfactory than black and white pictures. The material is duplicated and mailed to five other consultants in medicine, pediatTics, genetics and dentistry. Their evaluation, together with original reports _and_photographs, is returned ‘to the referring cag as quickly as possible. The opinions may suggest additional testing or treatment and genetic advice -. to parents, When the consultants know of a specialist concerned ‘with the particular cian is informed. Consultants in the Syndrome Information ‘Service . are: Dick Hoefnagel, assistant professor of trics, Dartmouth Medical ool; Dr. Victor A. McKusick, professor of medicine and chief, division of medical enetics, The Johns Hopkins niversity; and Dr. John M. Opitz, assistant ‘professor of pediatrics and medical. genetics, University of Wisconsin. are associated et . condition, the referring physi. with National FoundationMarch of Dimes Birth Defects Center programs. Also on the panel are Dr. Robert J. Gorlin, division of oral pathology, University of Minnesota School. of Dentistry, and Dr. David W. Smith, professor of pediatrics, University of Washington, Seattle. According to Dr. Gellis, the results of this expanding study. have far-reaching value. Specialists Help MDs “Some syndromes are so rare that many physicians may not have encountered the condition previously,” he notes. “The Identification Service makes available the roa of a group of specialists who have an extensive interest in Dr.}. these disorders. For the first time we have the opportunity to gather and disseminate this kind of information.” Dr. Feingold believes that the Service has great potential. It will probanty require computerization to enable retrieval and diagnosis of rare disorders of genetic origin. It should serve to assist in the elucidation of new syndromes. Old route may be Twin The "old road" between Grass Valley and Nevada City henceforth could. be called "Twin Cities Road." County supervisors Tuesday . set April 14 as the day of a public hearing for residents of the Golden Empire to express their sentiments concerning that name which was first choice in a Lions Club ‘contest to. select a designation for the highway replaced by the Golden Center Freeway. The state has abandoned the old road to the county. The Grass Valley and Nevada City clubs co-sponsored the con-test and offered a $50 prize to the author of the winning desig“nation. John Phillips and Harry Some may have Some taxpayers ‘in Glenbrook Basin area may have overpaid their 1966-67 taxes and have small refunds coming to them. Supervisor Robert Long Tuesday noted that April 10 is the final date that requests for refunds may be filed with the tax ‘ collector. According to Lou, in 1966 when the Glenbrook Basin district was formed sewer assessments were levied against personal as well as real property. The personal assessment was in error. The audit for 1966-67 reported the error. Property owners: ‘who owed the 5a, Oe Ge refund coming largest amounts of taxes have filed for, and received rebates, according to Tax Collector Marcella Carson, The majority of unpaid refunds are in amounts averaging from two to five dollars, she said. The statute of limitations for claiming refunds has run out for those who paid their total tax bills by Dec. 10, 1966. However those who paid in installments, with the second payment made April 10, 1967 have until April “10 of this year to file for their > peak nd from both . city councils. Cities Road Hider were contest chairmen for the Grass Vailey and Neva~ da City cluos respectively. Tommyknocker Road and Northern Mines Road were runners up in the contest. Chairman Willie Curran, who represents he eastern portion of the county, didn’t believe itis his prerogative to become involved in naming 2 road in the western "Tl really don't care what you: call it, but I am fascinated with Tommyknocker Way," he said. However, the chairman did confess that ge doen't know "what it means. (Editor's note-In days that are now history Tommyknockers were fictitious fun-loving little characters who worked ~the mines with the men from Cornwall. They both protected and -played tricks on their friends in the mine.) According: to Phillips, 450 names for the road were sub_ mitted to a five-member judging panel composed of representatives of the county and Gold Cities chambers of commerce $2,769,549 next year, UP $75; memberships — $3,525, up $253, 893 from the current bud$280; office supplies — $1 14, HB, get. That increase is caused yp $18,486; professional serstrictly by normal movements. i Zz $470, 613, up $46,871; upward on the salary schedule pyplications — $14, 910, up $1, i and does not count the raise 860, requested by employes, but not ar granted ae ae ae Equipment rental — $89,946, Support of persons, most of UP $4,184; structure rental — which involves the welfare bud$159,546, down $6,561; small get, will increase $249,960, if tools — $3,936, up $697; spethe current figures hold, The cial departmental expense — total in this category for next fer 165, up $47,209; transporyear is $2,774,540, tation — . $58,002, up $4,891. Cost applied between county Utilities — . $33,568, down departments is the only other $514; agency contributions (when category with an increase in law requires the county to conexcess of $100,000, This catetribute to another agency) — tf is listed “at $949,199, up $390,723, up $39,300; rights of 128,110. way — $71,000, up $9,850; strucHere arethe amounts requesttures — ‘$60, ‘231, up $5,123. Be patient census taker will visit you Not every resident of the Golden Empire had a visit from the census taker Wednesday. There are just too many of us to be.catmaased ae day. sids Although April 1 was designated: ‘as. “éensus day”, the actual process of picking up the forms sent: citizens earlier will take about two weeks, said Berniece Blake. She and Faye Wells are the crew leader corps here, They have 29 workers going from house to house getting the forms and making certain people filled them out correctly. Longer forms asking more detailed questions are being used at every fifth house, Mrs, Blake exp!ained. The census worker attempts to ask these questions during her visit to avoid a callback, If no one is at home when the enumerator calls, he or she. will return. If it is learned everyone in the family is working during the daytime, the census taker will try to visit that house in the evening. Census takers also are easily identified, said Laura Kvick, district manager. Each census taker will wear a red, white, and blue identification card. This card bears the seal of the Department of Commerce, and the words “Census Enumerator, Official Credential” are printed across its face. It bears the census taker's signature and certifies that she is authorized to perform the duties of a census enumerator and has swornto keep confidential all census information you provide. Persons purporting to be census takers who do not have this identification card should be reported immediately to the local police or to the census district office, which is located at 1240 High St., Auburn, Census takers will be further identified by the portfolio their supplies. The portfolio is blue and bears the legend, "1970 Census." In the portfolio, the census taker carries her supplies of report forms, maps, pencils, and other tools necessary for her work, The district manager pointed out that residents can speed inate et tk ee ee Se ng nthe op SHO Ne ge

Medical Sersiee ‘Aids Physicians _ In Diagnosin y Rare Barth Defects “Every: week physicians around the country, write to us for help in. diagnosing rare and unfamiliar birth defects,” says Dr. Murray Feingold, co-director of the Syndrome Identification and Consultation Service at Boston Floating Hospital for Infants and Children. This unique service was established last January to facilitate such requests. Dr. Feingold and Dr. Sydney S. Gellis, co-directors of the Service, are distinguished pediatricians and editors of a monthly feature on pediatric abnormalities which appears in the “American Journal of Diseases of Children.” Dr. Feingold, assistant professor” of pedriatrics, Tufts University, also is ef of ambulatory services and “director of the March of Dimes Birth Defects Center at the. Hospital. Dr. Gellis, professor and chairman of the pediatrics department at.Tufts, is hospital pediatrician-in-chief. Both were concerned with the urgent need for a central source of information about unusual congenital malformations and genetic abnormalities. To meet this demand, the Massachusetts Bay Chapter of the March of Dimes provided a grant for photographs and medical histories of such patients to be circulated throughout several medical centers for comment and opinion. First of Its Kind The Syndrome pig er and Consultation Service, firs of its kind, vailable hysicians without bg During its first year of operation, requests have been handled from all parts of the United States .and abroad. Doctors seeking advice submit their patient’s case _history, signihesat information Black and white hotographs of physical characteristics are a DR. MURRAY FEINGOLD, co-director of the Syndrome Identification and Consultation Service at Boston Floating Hospital for Infants and Children, studies material pertaining to a rare birth defect. The Service reteives requests from physicians here and abroad for assistance in diagnosing unusual cases. / aie ri up 10 per cent The’ preliminary Nevada county budget for the 1970-71 fiscal year is up almost 10 per cent, but most of the increase falls in only three areas. The budget total is $7,686,033 at the moment but doubtless will ‘be altered as the supervisors continue their two member persusals and then swing into the study of the department requests by the full board. The requests made by departments are $680,940 above the . amount appropriated” for county expenditures to date this year. And all but about $50,000 of that increase is in the general categories of salaries, support of persons and cost applied, according to a breakdown compiled by The Union from figures provided by the auditors office. Salaries are listed at ed to run county government next year in other areas followed by increase or decrease from the 1969-70 appropriation: Temporary salaries — $388,229, up $73,760; retirement benefits, $386,055, up $45,910; group insurance — $25,120, down $2,198; agriculture (pesticides) — $1,625, down $360; clothing — $7,260, up $350; communications — $48,777, up $3,985; reissued supplies (cost of reissuing) — $50,000, down $4,171; food — $16,500, down $875; household (toilet paper etc.) — $13,234, up $955. Insurance — $169,910 — up $46,210; jury and witnesses — $15,000, up $1,000; equipment maintenance — $119, 015, up $9,640; structure maintenance$25, 050, down $8,212; laboratory supplies ~ $3, 600, down + by »; ba * ba r ; included along with any appropriate X-ray films. Color slides were sought at first, but they proved less satisfactory than black and white pictures. The material is duplicated and mailed to five other consultants in medicine, pediatTics, genetics and dentistry. Their evaluation, together with original reports _and_photographs, is returned ‘to the referring cag as quickly as possible. The opinions may suggest additional testing or treatment and genetic advice -. to parents, When the consultants know of a specialist concerned ‘with the particular cian is informed. Consultants in the Syndrome Information ‘Service . are: Dick Hoefnagel, assistant professor of trics, Dartmouth Medical ool; Dr. Victor A. McKusick, professor of medicine and chief, division of medical enetics, The Johns Hopkins niversity; and Dr. John M. Opitz, assistant ‘professor of pediatrics and medical. genetics, University of Wisconsin. are associated et . condition, the referring physi. with National FoundationMarch of Dimes Birth Defects Center programs. Also on the panel are Dr. Robert J. Gorlin, division of oral pathology, University of Minnesota School. of Dentistry, and Dr. David W. Smith, professor of pediatrics, University of Washington, Seattle. According to Dr. Gellis, the results of this expanding study. have far-reaching value. Specialists Help MDs “Some syndromes are so rare that many physicians may not have encountered the condition previously,” he notes. “The Identification Service makes available the roa of a group of specialists who have an extensive interest in Dr.}. these disorders. For the first

time we have the opportunity to gather and disseminate this kind of information.” Dr. Feingold believes that the Service has great potential. It will probanty require computerization to enable retrieval and diagnosis of rare disorders of genetic origin. It should serve to assist in the elucidation of new syndromes. Old route may be Twin The "old road" between Grass Valley and Nevada City henceforth could. be called "Twin Cities Road." County supervisors Tuesday . set April 14 as the day of a public hearing for residents of the Golden Empire to express their sentiments concerning that name which was first choice in a Lions Club ‘contest to. select a designation for the highway replaced by the Golden Center Freeway. The state has abandoned the old road to the county. The Grass Valley and Nevada City clubs co-sponsored the con-test and offered a $50 prize to the author of the winning desig“nation. John Phillips and Harry Some may have Some taxpayers ‘in Glenbrook Basin area may have overpaid their 1966-67 taxes and have small refunds coming to them. Supervisor Robert Long Tuesday noted that April 10 is the final date that requests for refunds may be filed with the tax ‘ collector. According to Lou, in 1966 when the Glenbrook Basin district was formed sewer assessments were levied against personal as well as real property. The personal assessment was in error. The audit for 1966-67 reported the error. Property owners: ‘who owed the 5a, Oe Ge refund coming largest amounts of taxes have filed for, and received rebates, according to Tax Collector Marcella Carson, The majority of unpaid refunds are in amounts averaging from two to five dollars, she said. The statute of limitations for claiming refunds has run out for those who paid their total tax bills by Dec. 10, 1966. However those who paid in installments, with the second payment made April 10, 1967 have until April “10 of this year to file for their > peak nd from both . city councils.. Cities Road Hider were contest chairmen for the Grass Vailey and Neva~ da City cluos respectively. Tommyknocker Road and Northern Mines Road were runners up in the contest. Chairman Willie Curran, who represents he eastern portion of the county, didn’t believe itis his prerogative to become involved in naming 2 road in the western "Tl really don't care what you: call it, but I am fascinated with Tommyknocker Way," he said. However, the chairman did confess that ge doen't know "what it means. (Editor's note-In days that are now history Tommyknockers were fictitious fun-loving little characters who worked ~the mines with the men from Cornwall. They both protected and -played tricks on their friends in the mine.) According: to Phillips, 450 names for the road were sub_ mitted to a five-member judging panel composed of representatives of the county and Gold Cities chambers of commerce $2,769,549 next year, UP $75; memberships — $3,525, up $253, 893 from the current bud$280; office supplies — $1 14, HB, get. That increase is caused yp $18,486; professional serstrictly by normal movements. i Zz $470, 613, up $46,871; upward on the salary schedule pyplications — $14, 910, up $1, i and does not count the raise 860, requested by employes, but not ar granted ae ae ae Equipment rental — $89,946, Support of persons, most of UP $4,184; structure rental — which involves the welfare bud$159,546, down $6,561; small get, will increase $249,960, if tools — $3,936, up $697; spethe current figures hold, The cial departmental expense — total in this category for next fer 165, up $47,209; transporyear is $2,774,540, tation — . $58,002, up $4,891. Cost applied between county Utilities — . $33,568, down departments is the only other $514; agency contributions (when category with an increase in law requires the county to conexcess of $100,000, This catetribute to another agency) — tf is listed “at $949,199, up $390,723, up $39,300; rights of 128,110. way — $71,000, up $9,850; strucHere arethe amounts requesttures — ‘$60, ‘231, up $5,123. Be patient census taker will visit you Not every resident of the Golden Empire had a visit from the census taker Wednesday. There are just too many of us to be.catmaased ae day. sids Although April 1 was designated: ‘as. “éensus day”, the actual process of picking up the forms sent: citizens earlier will take about two weeks, said Berniece Blake. She and Faye Wells are the crew leader corps here, They have 29 workers going from house to house getting the forms and making certain people filled them out correctly. Longer forms asking more detailed questions are being used at every fifth house, Mrs, Blake exp!ained. The census worker attempts to ask these questions during her visit to avoid a callback, If no one is at home when the enumerator calls, he or she. will return. If it is learned everyone in the family is working during the daytime, the census taker will try to visit that house in the evening. Census takers also are easily identified, said Laura Kvick, district manager. Each census taker will wear a red, white, and blue identification card. This card bears the seal of the Department of Commerce, and the words “Census Enumerator, Official Credential” are printed across its face. It bears the census taker's signature and certifies that she is authorized to perform the duties of a census enumerator and has swornto keep confidential all census information you provide. Persons purporting to be census takers who do not have this identification card should be reported immediately to the local police or to the census district office, which is located at 1240 High St., Auburn, Census takers will be further identified by the portfolio their supplies. The portfolio is blue and bears the legend, "1970 Census." In the portfolio, the census taker carries her supplies of report forms, maps, pencils, and other tools necessary for her work, The district manager pointed out that residents can speed inate et tk ee ee Se ng nthe op SHO Ne ge