Friday, December 28, 1945
THE JEWISH NEWS
Treating Illness Through Diet:
ed that his diabetes was not un-
der control.
In an interview it was learned
that in cool weather he could
keep certain foods such as milk,
vegetables and fruit, in his room.
During the hot weather this was
impossible.
Dorothy Hacker, Dietitian for North End Clinic and Nutri-
Despite planning it was evi-
tion Consultant for Visiting Nurse Group, Describes
dent that his allowance was in-
adequate and he was referred to
How Proper Foods Aid in Cures
the medical social worker with
an estimate of the required addi-
By DOROTHY B. HACKER
Dietitian, North End Clinic, and Nutrition Consultant,
tional food allowance. Through
Visiting Nurse Association
her efforts an increased allow-
Editor's Note: North End Clinic. local health agency of the Jewish Welfare
Federation, owes its record of community service not only to its outstanding ance was obtained. Within two
staff of medical men, but also to its well-developed system of auxiliary depart- weeks the patient's diabetes was
ments. In this article Miss Hacker describes one of the most important of these
under control.
departments—the Diet Therapy Service.
Diet is used as a part of medical treatment, particularly in
Weight Reduction Diets
Diabetes, Obesity, Malnutrition. Allergy and Disturbances of the
The next largest group of pa-
Gall Bladder and the Intestinal. Tract.
tients are those referred for
All diets, with the exception of
weight reduction as an aid to re-:
that for the underweight patient, pain in his stomach, what caused lieving arthritis, high blood pres-
necessitate some restriction
of
the
help sure, and other conditions. Many
it and how the
diet
would
usual food intake either in the to relieve distress.
of these are women. When a pa-
kind or amount of food or the
He was skeptical and could not tient actually follows the diet
way in which it is prepared.
planned with her, she can lose
- On the other hand, most people see how a diet similar in consist- an average of one to two pounds
ency
to
that
fed
his
six
months
eat the way they do because they
each week. '
prefer particular foods, and it old son could help his stomach.
It is a substitute often for many
Eventually,
hOwever,
he
agreed
creates a . problem for them when
deprivations. Both minor and ma-
the physician asks them to change to try to follow it.
jor disturbances in their lives,
Breakfast All Right
their diets. Since it is much easier
whether merely a cold or the
Beakfait
was
all
right
because
for the patient to follow his diet
death of a member of the fam-
he
usually
ate
fruit,
cereal,
milk,
if it is planned in terms of his
ily, may result in failure to fol-
usual eating habits and carefully toast and coffee. He at first low the diet. Having the patient
explained to him, the Diet Ther- thought it imposSible to carry a come to the clinic each week to
apy Service at North End Clinic, lunch which would fit in with have weight and food intake
during the past twenty years, has his diet requirements. This is checked, helps them to observe
become one of the most impor- what he finally decided to take. the diet more consistently.
hard cooked (not boiled) eggs,
tant departments of the clinic.
Relieve Back Pains
cottage or creamed cheese, toast-
Good Medical Practice
Mrs. Z., who weighed over 200
ed or day old enriched white
In line with good medical prac- bread wit'i plenty of butter; a jar pounds, was referred by the Arth-
tice, the North End Clinic physi- of strained fruit, custard or pud- ritis Department for a reduction
cian writes an individual pre- ding and either milk or a- cream diet. She was aware that loss of
scription for each patient's diet soup in his thermos bottle.
weight combined with other med-
just as ..he does for medication.
ical treatment might help to re-
He said he could buy milk lieve back pains about which she
Then it is the responsibility of
where
he
worked
so
that
took
the dietitian to plan the diet, so
complained. For a while she re-
that it fills the prescription and care of the midmorning and mid- ported each week with a steady
afternoon
feedings
of
milk.
He
as .nearly as possible follows the
loss of weight. Her pain les-
patient's food habits. The dieti- agreed to carry buttered • crack- sened. Within six months she had
tian first asks the patient what ers to eat with the milk.
reduced to her normal weight
Dinner without meat seemed a and was put, on a diet to main'
he usually eats for breakfast; din-
ner, supper, at bed time or - be- poor . meal for a working man. taro this weight. Then she began
tween. meals. She then plans his When Mr. S. understood that he to gain weight.
could have baked or mashed -po-
diet.
With help, however, she lost
The patient is always given a tatoes, share the strained vege- this weight in a few weeks and
copy of his diet with as much ex- tables, pudding dessert or returned to her maintenance diet.
At about the same time Mrs.
planation as possible so he can strained fruit with his baby son
refer to it at home. Inasmuch as and have buttered toast and milk W. was referred to the Food Clin-
some patients must depend upon besides, he was 'more satisfied. ic with a similar history. Al-
friends or relatives to read the When Mr. S. returned of the clin- though the first week she lost
diet list to them, planning in ic a week later, his pain had dis- weight, the second week the
terms of customary meals helps appeared and he was feeling weight was stationary; the third
the patient to remember his diet. much happier. He was impressed week she gained a little. It was
by the fact that diet and medica- known that her husband had been
Eating Habits Important
tion had given him the relief he
It is important to be familier hoped for; surprisingly enough injured in an automobile acci-
with eating habits and methods this had happened in a short dent and she was very discour-
aged about his condition.
of food preparktion of various time.
Although she reported fre-
nationalities, even of different
Diabetes as a Diet Problem
quently for a considerable period
regions of the United States. For
The largest group to receive
example, the southerner's habit diet treatment at North End Clin- of time there was little improve-
ment in her weight picture.
of cooking vegetables with fat
is made up of diabetic pati- When her husband appeared to
meat can add an appreciable num- ic
ents. Diet is probably the most improve, the diet was followed.
ber of calories to a reduction diet. important
part of their treatment
Became Discouraged
Consequently, the obese patient since many of them can be treat-
When
she became discouraged
must be instructed to prepare ed by diet alone. Therefore it is
vegetables without fat and en- extremely important (1) that the about him she stopped dieting.
couraged to try vegetables cooked physician's prescription for the The medical social worker's as-
sistance has been sought, and it
in plain salt water.
diet be explained to the patient is hoped that through an under-
He must persist in eating them very clearly and (2)- that the diet standing of Mrs. W's emotional
until he really enjoys their fla- follow the patient's usual eating needs, plus encouragement, prog-
vor. Knowing the recipe for a habits as nearly as the prescrip- ress can be made.
favorite food, for example tion permits.
It is the aim of North End
borscht, and showing how it can
Mr. R., a diabetic patient, lives Clinic to offer to each patient,
be included in the diet makes in a rented room and eats his through its facilities, the physi-
many a diabetic patient much meals in restaurants. He had been cian's diet prescription translated
happier. He is pleased not only -trying to control his diabetes by into a diet which fits, insofar as
because he can have a favorite diet. On a visit to North End possible,. the patient's own food
food but because the dietitian Clinic during the summer, how- habits, his income and his rou-
knows about and likes the same ever, laboratory studies indicat- tine of every day living.
foods t•-o.
There are many problems as-
sociated with following a special
New Office Hours
diet, such as the cost. For the pa-
Monday—Friday,
5 to 8 p. m.
Saturday, 9 a. m. to 5 p. m.
tient whose limited income can
not cover the cost of the diet the
medical social worker is asked to
find a community resource which
1314 Eaton Tower
Detroit 26 CA. 1351 MA. 6202
will supplement the income. She
W. A. Goldberg, Ph. D., Director
also attempts to assist the patient
with those problems which are
Personal Problems Exclusively
disturbing him to such an extent
that he is unable to utilize the
advice of the doctor and dietitian
in following his diet rigidly.
Planning An Ulcer Diet
Some of the problems met with
at North End Clinic can best be
illustrated by specific cases. Mr.
S. was referred to the Food Clinic
with a prescription for an ulcer
diet. This required six feedings
a day, and excluded meat, fish
and poultry. All fruits and vege-
tables were to be strained.
The patient did not see how he
could do a day's work on such a
diet. Furthermore, he had to car-
ry his lunch to work. Time was
spent in discovering what he us-
ually ate as well as the diet of
the rest of the family. The dieti-
tian talked with himabout the
Eating Habit a Vital Part
Of Good Medical Treatment
COUNSELLING SERVICE
Page Thirfeeri
Pioneer Women's
Donor on Jan. 8
Final arrangements have been
completed for the 15th annual
donor event of the Pioneer Wom-
en's, Organization to be held on
Tuesday, Jan. 8, at 1:30 p. m. at
the Masonic Temple, with Helen
Waren as guest speaker and Ger-
trude Ribla as soloist.
It is estimated that over 2,000
donors are expected to partici-
pate in the annual fund-raising
project.
Word has been received from
the Working Women's Council in
Palestine that the erection of the
second of a series of 25 children's
homes has begun at Kfar Saba.
Marie Syrkin, noted journalist
and member of the national exe-
Jewish Center
Activities
Mrs. Adler to Review
Adamic's Latest Book
Mrs. Morris Adler will review
Louis Adamic's "A Nation of Na-
tions" at the tea-talk in the audi-
torium of the Jewish Center on
Sunday, January 6, 3:30 p. m.
The musical program will be fur-
nished by Marion Ruskin, pian-
ist. Mrs. Leonard H. Weiner is
chairman. Refreshments will be
served.
Mothers' Club
The various Mothers' Clubs are
pre-occupied with plans for the
celebration of the 25th anniver-
sary. Individual clubs are con-
ducting their social and cultural
programs as usual.
Select Social Club
The Select Social Club will
continue to meet the first and
third Saturday evening of the
month at social gatherings and
the second and fourth at cultural
meetings. Men and women over
40 are welcomed to attend.
A Rainy Day on Chimu Bay
By Ensign Edward A. Fletcher
(Written while on Buoy Watch
on Chimu Bay)
It's a rainy day on Chimu Bay.
The fog hangs thick like lead.
A low grey cloud, a heavy shroud
Covers the' carefree dead.
Carefree? Yes ! Their worries gone—
No strikes, no work, no pay.
It matters not if the sun is hot.
It's neither night nor day.
They fought like men and died like
men
Through mire and stench and gore.
They stood the mud and spilled their
blood
And then came back for more.
cutive of the Pioneer Women's
Organization, is shown here sign-
ing the foundation scroll.
They gave their lives that. we might
live,
This children's home is to be
And trapped the long lost dove.
the entire project of the Pioneer They
lost their chance to take and give
Women's groups in Detroit. The Their share of joy and love.
forthcoming donor will supply No planes, no ships, no cannons roar,
the major sum in behalf of this No bayonets or \ strife,
No holes, no caves need they explore.
building project. -
No breath, no pain, no life.
Donors are asked to call in
their pledges, if they have not
JOHANNESBURG—The South
their pledges to TY. 7-2880 or African Jewish War Appeal has
TO; 8-1239.
allotted, in addition to a one-
time
grant of $40,000, an addi-
"You can buy advice but you
tional $100,000 for OSE work in
can't buy common-sense."—Yid- Poland in cooperation with the
dish Proverb.
Joint Distribution Committee.
Do You Want A Foreign Government
to Inherit Your Estate?
MAKE A WILL
'
A. A. ROSENFELD
Special Agent, Prudential Insurance Co.
CH. 3100
Now on Display
ORDERS ACCEPTED
ACCEPTED
1946 HUDSON
The one "DIFFERENT" Automobile
of the New Year . . . Bringing You
Features 'That Are Years Ahead.
"BARNEY"
"HERB"
Fully Equipped
Service Dept.
Staffed by
Expert
Mechanics
You Are Invited to Our "Coming Out" Party,
Tuesday, Jan, 8.
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PL. 2480
'7641 GRATIOT NEAR VAN DYKE