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1974 Correspondence G
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Originally Processed With FOIA(s):
FOIA Number:
S
S
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the George Bush Presidential
Library Staff.
Record Group/Collection: Donated Historical Materials
Collection/Office of Origin: Bush, George H.W., Collection
Series:
Personal Papers
Subseries:
China File, Correspondence File
OA/ID Number:
25870
Folder ID Number:
25870-007
Folder Title:
1974 Correspondence G
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Row:
Section:
Shelf:
Position:
G
6
22
1
1
October 29, 1974
Honorable Arthur J. Goldberg
1101 Seventeenth Street, N.W.
Washington, D. C.
Dear Arthur:
It's with considerable embarrassment that I belatedly
answer your letter of September 27. There was a
1
massive foul-up. The letter and my dictated reply
were sent from the State Department to Peking, but
they just arrived here on October 28. A thousand
apologies.
Photocopy from George Bush Presidential Library
Regarding Professor Stanley Lubman, he is well and
favorably known to those who deal with China in the
Department. However, at this time, there does not
appear to be an opening in the U.S. Liaison Office
which would be appropriate for Professor Lubman.
We have a very small mission -- fortunately there's
GOUDDERS, Artnur J.
an awful lot of expertise in this building -- but
there are not many slots, and the only thing I might
suggest is that he keep in close touch with our very
able China Desk Officer Oscar Armstrong in case there
is a change.
I do hope you understand, Arthur. Thank you for your
interest in this, and, again, a thousand apologies for
being so late in replying.
Yours very truly,
George Bush
GBush: 1z (POUCH)
$
ARTHUR J. GOLDBERG
SEP 30 RCD
September 27, 1974
Dear George:
A former colleague of mine, Professor David Feller, of the
University of California Law School at Berkeley, wrote to
me the other day asking if a colleague of his, Professor
Stanley B. Lubman, could call upon me.
Mr. Lubman did so the other day, and I found that he is
an outstanding authority on Chinese affairs. He has left
the University and is practicing international law,
Photocopy from George Bush Presidential Library
particularly Chinese law, in Washington. In the course of
a rather lengthy conversation, I was impressed with his
insights into Chinese developments; and it occurred to me
that, if you are searching for a personal assistant with
language and academic qualifications, you might be interested
in interviewing him.
I want to emphasize that my knowledge of him is limited to
Professor Feller's recommendation, which I value highly, and
to the discussion I had with Professor Lubman at my office.
I also read some of his publications about China and, in my
lay way, thought well of them. I am enclosing his
curriculum vitae and some of the material he left with me.
If you have any interest at all in interviewing him, he
can now be contacted by telephone in Washington at 244-2700.
With every good wish to you and Mrs. Bush, I am
His Excellency
Cordially yours, of finding
George Bush
Department of State
Washington, D. C.
November 8, 1974
Edward D. Gates, President
Beaver College
Glenside, Pennsylvania 19038
Dear Ed:
Many thanks for forwarding the honorary degree
citation from two years ago. I too look back with
great pleasure to that Commencement Day at Beaver
College.
Photocopy from George Bush Presidential Library
China so far has been just a great experience.
It's another whole world with so much to learn and,
hopefully, accomplish. Your words of encouragement
mean a lot to me.
With best wishes,
Sincerely,
George Bush
EXEC:BMcKinley : jeh
George Herbert Walker Bush
Doctor of Laws
GEORGE HERBERT WALKER BUSH: diplomat, statesman, legislator, humanitarian, business and
civic leader, during your distinguished career you have addressed yourself to numerous vital
issues of our rapidly changing world and have dedicated yourself to finding solutions to the
Photocopy from George Bush Presidential Library
manifold problems of "this beleaguered earth." In keeping with a family tradition you chose a life
of public service and in 1966 you were elected to the 90th Congress to represent the Seventh Dis-
trict of Texas and you were re-elected in 1968.
During your terms of office in Congress you promoted legislation designed to provide jobs
for the unemployed and for bilingual education and you drafted legislation proposing the estab-
lishment of a Joint Select Committee on Population and Family Planning. You also served as
Chairman of the Task Force on Earth Resources and Population established by Congress.
Serving as a delegate to the Mexican-United States Inter-Parliamentary Congress brought
you into the international arena, and in December 1970 you were appointed by the President of
the United States as Permanent Representative of your country to the United Nations, where
currently you serve as President of the Security Council.
You have already distinguished yourself as an able diplomat, a dedicated public servant,
an outstanding military leader, a humanitarian who understands global needs and problems and
who recognizes the interdependence of all nations as we learn to live together on this tiny planet.
In honoring you, Beaver College acknowledges your vital role in national and international
government, and we proudly join with others in paying tribute to your dedication, your leader-
ship, and your signal achievements.
One Hundred and Nineteenth Commencement
May 21, 1972
Beaver College
Glenside, Pennsylvania
B edder C ollege / Glenside / Pennsylvania 19038
OFFICE OF THE PRESIDENT
October 10, 1974
Dr. George H. W. Bush
5161 Palisade Lane N. W.
Washington, D.C. 20016
Dear Dr. Bush:
Photocopy from George Bush Presidential Library
Going through our files we came
across this citation read at the time we had
the privilege of presenting you with an honor-
ary degree. I greatly apologize for this long
delay in sending it to you. Be assured, how-
ever, that we still remember with great
pleasure your Commencement address. To
have you here was really a memorable occasion
for us.
I want to add my own personal word
of congratulations to you on your new appoint-
ment to China. We take added pride in count-
ing you as an honorary alumnus of Beaver
College.
With every good wish for your
continued success,
Most No sincerely,
Edward D. Gates
EDG:jkt
Enc.
B Mct
write
PAN
Photocopy from George Bush Presidential Library
Tom Mr. Dear Cillemater
examle we erc you ese Lias
November 8, 1974
Mr. Edgar M. Gillenwaters
Vice President/Director
National Athletic Health Institute
575 East Hardy Street
Inglewood, California 90301
Dear Ed:
Tom Lias sent me a copy of your letter of October 15
and his reply. As an avid amateur athlete myself, I read
with great interest about the work of your Institute.
Furthermore, I concur emphatically that sports and sports
Photocopy from George Bush Presidential Library
medicine are likely areas for the development of fruitful
exchanges with the Chinese.
Although naming Dr. Jobe as an honorary sports
medicine advisor to the Liaison Office is probably not in
the cards, I do believe the invitation to Dr. Chu Mien-yu
is right on target, especially since he specifically asked
for concrete ideas. If Dr. Chu accepts this invitation, it
will be a clear signal that the All China Sports Federation
wants to follow up on your initial contacts.
In the meantime there are several other channels you
might wish to employ. Here in China, you might wish to
send copies of your correspondence to the Chinese Medical
Association, Peking, People's Republic of China. And in
the States, you might want to get in touch with the
Committee on Scholarly Communication, National Academy of
Sciences, 2101 Constitution Avenue, Washington, D.C. 20418.
This group sponsors visiting delegations in the fields of
science and also medicine and should be of considerable
assistance to you.
-2-
Please keep me closely informed of your progress
particularly in regard to that invitation.
With best wishes.
Sincerely,
George Bush
Photocopy from George Bush Presidential Library
Republican
National
Committee.
Mary Louise Smith
Chairman
October 21, 1974
Mr. Edgar M. Gillenwaters,
Vice President/Director
National Athletic Health Institute
575 East Hardy Street
Inglewood, California 90301
Dear Ed:
Photocopy from George Bush Presidential Library
Thanks for your letter bringing me up to date on your activities.
Your operation sounds like an interesting one.
Your letter got here just as Ambassador Bush was leaving for
China, but I will forward it to him for his information.
If you aren't already doing so, you should be in communication
with the Peoples Republic of China Liaison office here in
Washington. They are at 2300 Connecticut Avenue, N.W. I
know that Ambassador Bush will be interested in what has already
transpired, and your letter will be useful in filling him in.
-
If there is anything more I can do, please contact me, or you can
write to the Ambassador as follows:
Ambassador George Bush
Chief, U.S. Liaison Office
Peking, Peoples Republic of China
Department of State
Washington, D.C. 20521
The State Department will then send your letter to the Chairman via
the diplomatic pouch.
Thanks again for writing.
Sincerely,
Tom Don Lias
This
Chairman Bush (w /ends.)
Dwight
D
Fisenhower
Republican
National Athletic Health Institute
575 East Hardy Street, Inglewood, CA 90301 (213) 674-1600
October 11, 1974
GUT 15 1974
Mr. Tom Lias
Republican National Committee
Dwight D. Eisenhower Republican Center
310 - 1st Street, S.E.
Washington, D. C. 20003
Dear Tom:
Photocopy from George Bush Presidential Library
After quite a long hiatus, it's good to get back in touch with you!
I've been following George Bush's successes through that unfathomable
Washington maze these past few years and admire him greatly for bring-
ing leadership wherever he's been in command in spite of the contro-
versies the Party and the Government have suffered. I know you have
contributed extensively to his efforts.
Eighteen months ago I left the Reagan Administration to form the
National Athletic Health Institute, a privately funded non-profit
institute for research and education in sports medicine and recreation
health. Our effort is summarized in the enclosed brochure and our
Board of Directors is listed on the inside back cover. You will rec-
ognize a great many of the names from prior years. Have also enclosed
a one-page fact sheet summarizing the Institute and a list of our
activities and accomplishments too.
Last May we met here with Dr. Chu Mien-yu, Chief Surgeon of the All-
China Sports Federation in Peking. The State Department and the
University of Southern California requested the meeting and Dr. Chu
was accompanied by quite an entourage of medical and athletic leaders
from the Peoples Republic of China. As a result, our Board Chairman,
Dr. Frank Jobe, is most desirous of pursuing a relationship between
our Institute and the All-China Sports Federation. The exchange that,
occurred during our meeting here revealed a great many areas of common
medical and health improvement interests in the field of sports medicine.
As George Bush moves into his new role as U.S. Ambassador to the Peoples
Republic of China, I wanted to explore the proper channel for pursuing
the medical exchange between the All-China Sports Federation and our
National Athletic Health Institute, and for gaining our Chairman,
Dr. Frank Jobe, an honorary advisory position in sports medicine to the
A Non-profit Institute for Research and Education in Sports Medicine and Recreation
-2-
Ambassador. It occurs to me that the response reflected in the en-
closed exchange of correspondence between Doctors Chu and Jobe could
be of great value to the Ambassador as he works to develop relation-
ships and common ground in the Peoples Republic of China.
The field of sports and recreation and the field of medicine and
health have all the earmarks of good common ground. I have enclosed
Dr. Jobe's curriculum vitae for the Ambassador's review. Dr. Jobe is
nationally recognized as a leader in sports medicine and as his cre-
dentials show, is well qualified for consideration.
Photocopy from George Bush Presidential Library
Hope to be on the East Coast before the end of the year but in the
meantime, please call or write as your time permits. Jane joins in
sending best wishes.
Warm regards,
Ed
Edgar M. Gillenwaters
Vice President/Director
EMG/ip
Enclosures
FRANK W. JOBE, M.D.
CURRICULUM VITAE
PERSONAL DATA
Name:
Frank Wilson Jobe
575 East Hardy Street
Inglewood, Ca. 90301
Telephone: (213) 674-5200
Home address:
6424 Holt Avenue
Los Angeles, Ca. 90056
Telephone (213) 776-1952
Photocopy from George Bush Presidential Library
Date of birth:
July 16, 1925
Place of birth:
Greensboro, North Carolina
Citizenship:
U.S.A.
Sex:
Male
Marital status:
Married
Wife's first name:
Beverly
Number of
children:
Four
EDUCATION
High school;
1943
graduated
College: degrees
La Sierra College, A.B., 1949
and year granted:
Medical school;
Loma Linda University, M.D., 1956
degree and year:
Internship:
1956-1957, Los Angeles County Hospital
Residencies:
1960-1964, Los Angeles County Hospital
Licensure:
State of California
Board
American Board of Orthopaedic Surgeons,
Certification:
January 18, 1968.
-2-
PROFESSIONAL BACKGROUND
Academic appointments:
Instructor, Orthopaedic Surgery
University of Southern California.
Hospital appointments:
Vice President, Board of Trustees,
Centinela Valley Community Hospital,
Inglewood, Ca., and member of medical
staff.
Member of medical staff, Daniel Freeman
Hospital, Inglewood, Ca.
Military service:
Army, S/Sgt., Europe, 1943-1946
Positions held:
Orthopaedic Consultant for the Los
Angeles Dodgers.
Photocopy from George Bush Presidential Library
Associate Orthopaedic Consultant for
the Los Angeles Kings; Lakers, Rams and
California Angels.
President and Director of the National
Athletic Health Institute, 575 East Hardy
Street, Inglewood, Ca. 90301.
Past President, National Association of
Professional Baseball Physicians.
SOCIETY MEMBERSHIPS:
Founding Member, American Orthopaedic
Society for Sports Medicine.
Member, American Academy of Orthopaedic
Surgeons.
Member, Western Orthopaedic Association.
Fellow, American College of Surgeons.
RESEARCH ACTIVITIES AND PUBLICATIONS:
"Electromyographic Evaluation of the Pes Anserinus Transfer Process
for Rotary Instability of the Knees", Perry, Jacquelin, M.D.;
Fox, James M. M.D.; Kerlan, Robert K. M.D.; Jobe, Frank W. M.D.;
Blazina, Martin E. M.D.; Carter, Vincent S., M.D.; Shields,
Clarence L., Jr., M.D., Orthopaedic Research and Education
Foundation, Chicago, Illinois - $4,000, April 1974-1975.
-3-
RESEARCH ACTIVITIES AND PUBLICATIONS (CONTINUED)
"Jumper's Knee", Blazina, Martin E., M.D.; Kerlan, Robert K., M.D.;
Jobe, Frank W., M.D. ; Carter, Vincent S., M.D.; and Carlson,
G. Joanne, R.N.; Orthopaedic Clinics of North America, July
1973.
Projected Proposal:
"Dislocating Subluxating Patellar", - A Review of 163 Surgical
Procedures from 1969-1973, Fernandez, Ernesto, M.D.; Kerlan,
Robert K., M.D.; Jobe, Frank W., M.D.; Blazina, Martin E., M.D.;
Carter, Vincent S., M.D.; Shields, Clarence L., Jr., M.D.
Photocopy from George Bush Presidential Library
To be Published:
"Throwing a Ball Can Be Harmful To Your Health", Emergency
Magazine, New York.
"Patients' Evaluation of the Pes Anserinus Operation", Fox, James
M., M.D.; Kerlan, Robert K., M.D.; Jobe, Frank W., M.D.; Blazina,
Martin E., M.D.; Carter, Vincent S., M.D., Shields, Clarence L.,
Jr., M.D.; Carlson, G. Joanne, R.N.
"Osteochondritis of the Capitellum", Brown, Robert, M.D.; Kerlan,
Robert K., M.D.; Jobe, Frank W., M.D.; Blazina, Martin E., M.D.;
Carter, Vincent S., M.D. Carlson, G. Joanne, R.N. ( to be published
in the Journal of Sports Medicine).
PROGRAMS IN WHICH PARTICIPATED - (1972 to date)
"Diagnosis and Treatment of Achilles Tendon Injuries", University
of Southern California, School of Medicine, Sports Medicine for
Physicians, Coaches and Trainers Seminar, Los Angeles, Ca. March,
1972.
"Playable and Non-Playable Injuries in Athletics", Sports and
Physical Fitness Clinic, Orange County Medical Association, Orange
Ca. June, 1972.
"The Throwing Arm", Prevention and Treatment of Common Athletic
Injuries Clinic, Loma Linda University Medical Center, Loma Linda,
Ca., January, 1973.
"Achilles Tendon Injuries", Southern California Athletic Trainers
Association, Anaheim, Ca., August, 1973.
-4-
PROGRAMS IN WHICH PARTICIPATED (CONTINUED)
"The. Pitching Mechanism in Baseball", Symposium on Upper
Extremity Injuries in Sports, sponsored by Committee on Sports
Medicine of the American Academy of Orthopaedic Surgeons,
New York, September, 1973.
Sports Medicine for Physicians, Coaches and Trainers Seminar,
University of Southern California, School of Medicine,
Postgraduate Division, Los Angeles, Ca., October, 1973.
Physical Fitness Seminar, Loma Linda University Medical Center,
Loma Linda, Ca., November, 1973.
Photocopy from George Bush Presidential Library
Panel Discussant on Physical Fitness in Baseball Players, National
Association of Professional Baseball Leagues, Houston, Texas,
December, 1973.
"Injuries to the Medial Aspect of the Elbow in Athletics",
Symposium on Elbow Injuries, American Academy of Orthopaedic
Surgeons, Dallas, Texas, January, 1974.
"Shoulder Injuries", Student Trainers' Emergency Sports Medicine
Seminar, National Athletic Health Institute, Los Angeles, Ca.,
March, 1974.
December 7, 1973
Dr. Chu Mien-Yu
All-China Sports Federation
9, Tiyukuan Road
Peking, China
Dear Dr. Chu:
Thank you for your good letter of September 21. I was
happy to learn of your safe return home, and especially
of your interest in further contacts.
Photocopy from George Bush Presidential Library
I have been giving considerable thought and study to ways
and means of maintaining close association with you in
the field of sports medicine, and in exchanging ideas and
publications relating thereto. As a positive step in that
direction, I would like to invite you to be a featured
speaker at the American Academy of Orthopedic Surgeons -
Postgraduate Course on Sports Medicine, to be held in Los
Angeles, July 27 through 30, 1975. This would be an
excellent opportunity for us to share ideas and experiences
in an effort to improve the status of sports medicine for
all peoples of the world.
I will send you additional information as our plans are
formulated. In the meantime, I look forward to hearing
from you in this regard.
I am still thinking of a trip to China in the not too dis*
tant future, and will certainly work toward that goal.
Warm personal regards.
Sincerely,
Frank W. Jobe, M.D.
FWJ:McQ
my
ALL-CHINA SPORTS FEDERATION
FEDERATION NATIONALE DES SPORTS DE CHINE
9, TIYUKUAN ROAD, PEKING, CHINA
TELEGR.: SPORTSCHINE PEKING
Sept. 21, 1973
Dr. Frank W. Jobe
575 East Hardy Street
Inglewood
California 90301
U. S. A.
Photocopy from George Bush Presidential Library
Dear Dr. Jobe,
Thank you very much for your friendly letter
dated June 29.
It always gives me a feeling of great exhilaration
to recall my visit to your beautiful land and the
profound friendship of the American people towards
the Chinese people. As doctors of sport medicine,
Dr. Lin Fu-mei and I can never forget the warm hospitality
you and your colleagues accorded us when we visited
your National Atheletic Health Institute. We understood
each other so easily in the preliminary discussions
we had on problems of sport injury. I believe that
it would be very beneficial to the development of sport
medicine in both our countries if we could have oppor-
tunities in future to exchange our experiences in the
practice of sport medicine. What do you think of it?
I would like to know what concrete ideas you have.
With best regards,
(Chu Mien-yu)
ROBERT K. KERLAN, M.D.
FRANK W. JOBE, M.D.
VINCENT S. CARTER, M.D.
MARTIN E. BLAZINA, M.D.
575 EAST HARDY STREET
INGLEWOOD, CALIFORNIA 90301
TELEPHONE 674-5200
PRACTICE LIMITED TO ORTHOPEDIC SURGERY
June 29, 1973
Dr. Chu Mein-Yu
c/o All China Sports Federation
Peking
Peoples Republic of China
Dear Dr. Chu:
It was both an honor and pleasure to visit with you, Dr. Lin and your
interesting traveling companions here in Los Angeles on May 31, 1973.
My associates and I were very pleased with your own work and your under-
Photocopy from George Bush Presidential Library
standing of our endeavors in the areas of sports medicine and injury
research. Members of our new National Athletic Health Institute and I
are looking forward to maintaining a liaison with you and the All China
Sports Federation in Peking, and we hope you will honor us by remaining
in contact by mail and by more personal visits over the years ahead.
Hopefully, several of us will have the opportunity to visit you and other
appropriate members of your medical community and the All China Sports
Federation in the near future. If such a visit from us would fit in with
your plans and inclinations, we would be very grateful to hear from you.
In the meantime, should you have any pertinent published material avail-
able that we may study, we would enjoy having the opportunity to review
it. And, if you would like us to forward any data relating to the areas
of sports medicine, please let us know and we will do our best to comply.
On behalf of my medical associates and the Institute, I want to thank you
again for taking time to visit here. We felt the meeting was of con-
siderable value. I look forward to hearing from you at your early
convenience.
Best wishes,
cc: Dr. Franz K. Bauer
Dean, University of Southern California School of Medicine
Dr. Robert Kerlan
Medical Director, National Athletic Health Institute
Mr. Edgar M. Gillenwaters
Vice President/Director; National Athletic Health Institute
July 27, 1973
Mr. Alfred le S. Jenkins
Director, Peoples Republic
of China Desk
Assistant Secretary for East
Asia and Pacific Affairs
Photocopy from George Bush Presidential Library
U. S. Department of State
Washington, D. C. 20520
Dear Mr. Jenkins:
I wanted you to be advised of our direct communi-
cation with Dr. Chu Mein-Yu of the All China Sports
Federation, Peking. We had a most productive
meeting on sports medicine here on May 31st.
Members of our Institute are most interested in
receiving a formal invitation to visit Dr. Chu Mein-Yu
and his associates following the Doctor's verbal over-
ture to travel to Peking to exchange medical views.
Attached is a copy of correspondence pertinent to our
meeting.
Sincerely,
Frank W. Jobe, M.D.
President
FWJ/ip
Enclosure
NATIONAL COMMITTEE ON UNITED STATES-CHINA RELATIONS, INC.
777 UNITED NATIONS PLAZA, 9B, NEW YORK, NEW YORK 10017 (212) 682-6848
JUL 2 3 1973
July 11, 1973
BOARD OF DIRECTORS
Dr. Frank Jobe
Chairman
Chairman and President
W. MICHAEL BLUMENTHAL
National Athletic Health Institute
Vice Chairmen
575 Hardy Street
ROBERT W. GILMORE
RALPH LAZARUS
Englewood, California 90301
JOHN W. LEWIS
LUCIAN W. PYE
BAYARD RUSTIN
Dear Dr. Jobe:
Secretary
MRS. WM. M. CHRISTOPHERSON
On behalf of the United States Gymnastic Federation
-
and the National Commitee on United States-China Relations,
A. DOAK BARNETT
MRS. LOUISE B. BENNETT
I wish to express our appreciation for everything that you,
EVERETT CASE
Mr. Gillinwaters and Drs. Blazina and Carter did to make the
Photocopy from George Bush Presidential Library
JEROME A. COHEN
WILLIAM A. DELANO
recent visit of China's Gymnastic Team to your hospital SO
JOHN DIEBOLD
successful an occasion. Your willingness to host the Chinese
ALEXANDER ECKSTEIN
Doctors fulfilled one of the most important objectives of their
JOHN K. FAIRBANK
DONALD A. GAUDION
mission--to further their knowledge of sports medicine in the
SANFORD D. GREENBERG
C.T. Hu
U.S. Dr. Chu Mien-yu and Miss Lin Fu-mei learned a great
CHALMERS A. JOHNSON
deal about their field of interest from you and your colleagues,
PHILIP M. KLUTZNICK
DANIEL E. KOSHLAND
and we are most grateful for your contribution to the betterment
FREDERICK O'NEAL
of understanding between China and the United States.
MICHEL OKSENBERG
EDWIN O. REISCHAUER
ROBERT V. ROOSA
We hope that we may rely on your energy and interest
ROBERT A. SCALAPINO
EUSTACE SELIGMAN
on the occasion of further exchanges between the People's
CARL F. STOVER
Republic of China and the United States. The positive response
STEPHEN THOMAS
of both our Chinese visitors and the Americans who received
JAMES C. THOMSON, JR.
DANIEL TRETIAK
them indicates that the-future of people-to-people contacts
TANG Tsou
PETER VAN NESS
between the two countries is indeed promising.
RICHARD L. WALKER
ALLEN S. WHITING
Again, my sincere thanks and best wishes,
STAFF
President
Sincerely,
CHARLES W. YOST
Vice President
DOUGLAS P. MURRAY
Charles yosr
Program Associates
Charles W. Yost
JAN CAROL BERRIS
ARNE J. DE KEIJZER
ARLENE S. POSNER
CWY clr
Program Assistant
ROBERT GOLDBERG
Thank for the lat minute
arragement you made on
behalf of the doctors- I'm
only sorry that we tent to
have a few esta days
spend with you transing
sport medicine & enjoying
FACTS ABOUT
THE NATIONAL ATHLETIC HEALTH INSTITUTE
NAHI is a non-profit Institute for research and education in sports medicine
and recreational health.
NAHI is a program directed to help active people achieve a longer life
through optimal health.
NAHI programs are designed to reduce athletic and recreational injuries
through extensive research, equipment testing and sophisticated train-
ing and educational programs.
NAHI is an eminent Board of Directors, a prestigious Medical Advisory Board,
a popular Sports Advisory Committee and a professionally recognized
Media Advisory Committee - all made up of dedicated physicians, business
leaders, athletes and other sports and health-conscious individuals.
Photocopy from George Bush Presidential Library
NAHI is the solution to serious problems in sports medicine including a clear-
ing house for knowledge in the field, incentive for research, financial
support for training of physicians, coaches and trainers in sports-related
medical procedures, advancement of facilities for professional sports
medicine treatment and rehabilitation, establishment of a sports medicine
library, public education in prevention of disability and injury in sports
and recreation health.
NAHI conducted the nation's first basic medical education program on sports-
related injuries for high school student trainers; created "The Sports
Doctor", a syndicated newspaper column reaching over 10 million readers
authored by the Institute's Medical Director, Dr. Robert K. Kerlan and
developed the nation's first educational seminar for women interested in
becoming professional athletic trainers.
NAHI is the leading- institute for training orthopedic Fellows, Residents and
medical students in sports medicine and recreational health.
NAHI developed the Physical Evaluation and Performance Program. With its Per-
formance Center, this program is designed for the average man and woman,
the young athlete, and persons in executive or other stress occupations
as well as the professional and amateur athlete who want to determine
their precise state of dynamic health and improve their level of perfor-
mance.
NAHI is a professionally administered institute with a national program
effectively conducted on a modest budget of approximately $200,000 per year.
NAHI receives its total support from contributions from concerned corporations,
individuals and foundations throughout the world.
National Athletic Health Institute
575 East Hardy Street, Inglewood, CA 90301 (213) 674-1600
REVIEW OF RECENT ACTIVITIES
STUDENT TRAINERS SEMINAR
The first program to provide basic medical education for high school
student trainers in the nation was conducted by the National Athletic Health
Institute recently in Los Angeles. Over 375 student trainers, coaches,
school nurses and physical education instructors participated in an intensive
two-day course. More than 400 had to be turned away because of physical
limitations. Renown sports medicine physicians donated their time to pres-
ent lectures and lead group discussions while professional trainers re-
Photocopy from George Bush Presidential Library
presenting major universities and professional teams demonstrated practical
aspects of preventing and treating athletic injuries. Success of the pro-
gram prompted other communities throughout the United States to conduct
similar courses of their own. The program received funding from the Los
Angeles County Medical Association plus the endorsements of the Los Angeles
City Unified School District, the California Interscholastic Federation and
the President of the United States.
NATIONAL STUDENT TRAINERS CERTIFICATION PROGRAM
Encouraged by the success of the first Student Trainers Seminar, the
Institute has developed a nationwide 6-week 48-hour course leading to official
certification as a qualified high school student trainer. Major objectives
of this program are to reduce athletic injuries in high schools and encourage
participants to pursue careers in sports medicine. Funding for the program
is now being sought from private foundations. The program includes an initial
course developed in California and extended nationally on a no-tuition basis.
"THE SPORTS DOCTOR"
Beginning September 30, 1974, daily newspapers throughout the United
States and Canada will carry a new sports medicine column, "The Sports Doctor"
written by the Institute's co-founder and medical director, Robert K. Kerlan,
M.D. Syndicated by the Chicago Tribune-New York Daily News Syndicate, this
three-times-weekly column will emphasize the practical aspects of sports
medicine, explaining how to avoid common injuries as well as proper treatment
and equipment. Once the column becomes established nationwide, the Institute
plans to distribute a series of related books and brochures.
A Non-profit Institute for Research and Education in Sports Medicine and Recreation Health
-2-
SPORTS MEDICINE ON TV
As an extension of the sports medicine columns, the Institute is work-
ing with Television News Inc. of New York to produce a series of TV spots
dealing with sports and recreational health. No similar medical show has
ever been presented and TVN producers have expressed enthusiasm regarding
the popular reception of this program.
ABC SPECIAL
This fall, ABC Documentary Unit will present a 1-hour television special
on sports medicine and athletic injuries. The National Athletic Health
Institute worked closely with ABC's science editor on the research and pro-
duction of this program with both Doctors Kerlan and Jobe traveling to New
York to work on the initial preparation. Dr. Kerlan was later interviewed
in his Los Angeles office and will play a featured role in the special.
Photocopy from George Bush Presidential Library
"ATHLETIC HEALTH"
The first edition of "Athletic Health", the Institute's newsletter, was
published and dealt with the student trainers seminar. Five thousand issues
were distributed free. Future newsletters will communicate Institute activity
and keep the issues of sports medicine before the public.
NEW PUBLICATIONS
Because of the success of the Institute's first educational brochure,
"Taping and Wrapping the Ankle in Athletics" (10,000 copies distributed free
throughout the state) the- Institute-published a companion,- "Taping and
Wrapping the Knee" and plans additional brochures as funding becomes available.
Both publications are out of print at the present time, however, the Institute
expects to go into a second printing as soon as possible.
TRAINING SEMINAR FOR WOMEN
A special 8-week training seminar is being conducted for women interested
in becoming professional athletic trainers or physical education instructors.
Many parts of the program have been incorporated into the Institute's program
for national certification of high school athletic trainers. This is the first
such program in the nation.
STUDY ON FEMALE ATHLETES
At the request. of the American Medical Association, members of the Insti-
tute's Medical Advisory Board are preparing the first report ever dealing with
injuries sustained by women athletes.
-3-
AUDIOVISUAL TRAINING MODULES
Medical Advisory Board members have completed the first of several
audiovisual casettes for training members of the medical community in the
specific handling of athletic injuries. Subjects include: (1) Wrapping
and Taping of the Ankle and Taping of the Knee, (2) Introduction to the
Knee, consisting of basic anatomy and basic examination, (3) Field Exami-
nation (2 parts), (4) Head Injuries and (5) Elbow Injuries in Throwing.
SPORTS MEDICINE FELLOWS AND RESIDENTS TRAINING PROGRAM
Orthopedic Fellows, Residents and medical students are receiving train-
ing at the Institute in sports medicine and recreation health. One Fellow
developed the Student Trainers Seminar plus innovative research, in ortho-
pedic surgical techniques. In this way, the Institute is interesting young
orthopedic surgeons and other physicians in pursuing careers in sports medicine.
Photocopy from George Bush Presidential Library
ELECTROMYOGRAPHIC EVALUATIONS
Through a grant from the Orthopaedic Research and Education Foundation,
the Institute completed a study of evaluation procedures recording electrical
activity of muscle transplants of the knee. Such information has proven
valuable to surgeons throughout the United States facing increasing knee in-
juries in need of surgical repair.
MEASUREMENT OF HEALING RATES
A major study is underway to measure the healing rate of common athletic
injuries to determine the opportune time for reentry into physical activity.
Knowledge in the research of athletic injury healing will be applied to similar
injuries sustained through other accidents. Dr. Jacquelin Perry of Rancho Los
Amigos Hospital and a member of our Medical Advisory Board is principle in-
vestigator of this study.
PHYSICAL PERFORMANCE PROFILE
A sophisticated set of parameters against which athletic and physical
performance may be measured has been developed by the Institute's Medical
Advisory Board in conjunction with several professional teams. These measure-
ments allow trainers, coaches and athletes at all levels to determine exactly
where their best levels of performance lie and which areas they need to develop
for maximum conditioning and injury prevention. The physical performance
profiles are already being used by the Los Angeles Rams and are under con-
sideration by many other teams. Ultimate application in public schools, Little
League and other amateur groups is anticipated.
-4-
PHYSICAL EVALUATION AND PERFORMANCE PROGRAM AND CENTER
Perhaps the most ambitious program developed by the Institute is the
Physical Evaluation and Performance Program and Center. As an extension of
the concepts developed in the Physical Performance Profile, this program is
designed for the layman, the young athlete and people in stress occupations
as well as for the professional and highly trained athlete. With the opening
of the Performance Center, a multi-purpose medical-research facility, the
program will provide people interested in knowing the positive condition of
their health the ability to determine how healthy they actually are and to
what degree they should perform a specific physical activity. Funding of
the program is currently being explored with several firms and foundations
including Howard Hughes' Summa Corporation, the Irvine Foundation, Western
World Medical Foundation, Hollywood Park Turf Club and Searle Laboratories.
ON-FIELD EXAMINATION GUIDELINES
Photocopy from George Bush Presidential Library
A series of practical guidelines for the examination of an injured player
on the playing field has been written by the Institute's Director of Clinical
Research, Dr. Martin Blazina, and is being prepared for publication and dis-
tribution to the medical community, public school nurses and student athletic
trainers.
THROWING FILM
Negotiations are underway with the Commissioner of the National Baseball
League for funding of a 30-minute film on the proper throwing technique for
baseball. The concept was developed by the Institute's President, Dr. Frank
Jobe, and has been published in both scientific and popular medical journals.
A companion "How To" brochure is also being prepared. Future films are planned
activities. to provide the latest knowledge and technique for other popular sports and
NATIONAL INSTITUTE FOR ALCOHOL ABUSE AND ALCOHOLISM (HEW PROJECT)
The Institute is preparing a major two-phase study on the affects of
alcohol abuse on athletic performance and a public service program to dissuade
excessive use of alcohol by sports and recreational participants. In con-
junction with the NIAAA, the National Athletic Health Institute will serve
as principle investigator and communications medium for this federally-funded
program that will range between $100,000 and $200,000.
OTHER NATIONAL ATHLETIC HEALTH INSTITUTE ACTIVITIES & RESEARCH PROJECTS
1. "My Coach Says"
Book designed for Little League on the psychology of children - affects
100,000 Little Leaguers. Awaiting funding.
2. California Interscholastic Federation Project Sports Pre-Participation Exam"
Cooperative research study program with CIF member high schools (487.
schools; 500,000 students). Awaiting funding.
-5-
13. Conditioning and "How To" Manuals
A broad public education program to explain safety and conditioning
requirements for recreation and athletics, i.e., tennis, skiing, Little
League, jogging, etc. Films and video tape to augment printed materials.
4. Direction Sports Program
Cooperative $10,000 grant proposal for Federal funds (HEW) to give pre-
participation examinations to intercity children in 17 cities, beginning
with Los Angeles as the model city - Under HEW review.
5. Audiovisual Program
Technical slides, film strips and video tapes for sports medicine library.
6. Public Broadcasting Series
Periodic programs on Los Angeles TV, Channel 2 co-sponsored by NAHI and
health. Los Angeles County Medical Society dealing with athletic injuries and
Photocopy from George Bush Presidential Library
7. Drug Use and Abuse
Research into use and abuse of drugs both for treatment of athletic in-
juries and those used ill-advisedly in competition to enhance or alter
performance - project under development
8. Playing Surface and Equipment Research
Study of artifical playing surfaces, field and protective athletic and
recreation equipment - project under development.
9. Inflammatory Response to Micro Trauma
Study of common conditions of inflammation such as tennis elbow and
tendonitis, delving into the ultra microscopic structures of tissues through
use of an electron microscope - project under development
Word
Sports
5/22/73
By BUD FURILLO
Making up the board of directors are Robert H. Ahman-
Herald-Examiner Sports Editor
son, Bavasi, Hon. Yvonne Braithwaite Burke, Jack Kent
Edgar M. Gillenwaters, the director of the National Athlet-
Cooke, Joseph Coors, Justin Dart, Mrs. Marjorie 1. Everett,
ic Health Institute, looked over the impressive audience in
Jerry Fine, J. Robert Fluor, Hon. Gerald R. Ford, Gillenwa-
the Dodger Stadium Club. It included interested personalities
Ters, E. Gregory Hookstratten, Dr. Jobe, Dr. Kerlan, Cyril
who had come from Maine (Sandy Koufax) to Southern Cali-
Magnin, John L. Notter, Peter O'Malley, Carroll Roseubloom
fornia (Anthony Davis.)
and Charles Wacker
Gillenwaters said: "I'm a weekend tennis player. My wife
The medical advisory board is made up of Dr. Kerlan, Dr.
beats me. So you can understand how I feel standing up here
Franz K. Bauer, Dr. H. Paul Bauer, Dr. Fred Behling, Dr.
talking to a group like this about sports health."
Lawrence Birnbaum, Dr. Martin E. Blazina, Dr. Vincent S.
If Gillenwaters was uneasy, he didn't remain that way
Carter and Dr. Robert B. Chesne.
very long as he launched into a definitive explanation of what
Koufax flew in from his home in outer Maine to be at the
NAHI Inc., is all about.
luncheon reception for NAHI.
Gillenwaters felt strongly enough about the pioneer organ-
The list of those attending included John Wooden, John
ization to resign his post as Director of Commerce for the
Forsythe, Fred Astaire, Ken Geddes, Tom Mack, Joe Scibelli,
Clate of California to join it. He had previously served as the
Phil Kreuger, Bill Shoemaker, Aileen Eaton, Tony Trabert,
Photocopy from George Bush Presidential Library
State's Deputy Director of Finance.
Glenn Davis, K.C. Jones, Pete Newell, Alex Groza, Von Josh-
"We do not intend to make a study of illnesses that cause
ua, Jim Brewer, Tommy John, Jim Bush, Rod Dedeaux,
death. We seek funds to make living more productive," Gil-
Stuffy Singer, Elgin Baylor, Danny Kaye, Chuck Knox, Vince
lenwaters began.
Edwards, Jon Arnett, Rink Babka, Anthony Davis, Debbie
"Germany is ahead of us in sports health. There has been
Meyer, Walter Matthau, Don Newcombe, Olga Connolly, Bill
little research and education.
Toomey, Charley Whittingham, Creighton Hale, Les Joseph-
"Americans now spend more than $100 billion each year
son, Don Klosterman, Keith Erickson, Tom LaSorda, Bill
on leisure activities.
Buhler, Ducky Drake, Frank O'Neill, Gary Tuthill, George
"There were 17 million people hurt last year in sports and Menafee, Rod Sherman, Mrs. Mary Jones, and Mervyn Le-
recreation, The physicians on our board are deeply concerned Roy.
about that.
"This is the greatest gathering of personalities I've ever
"There are five bills pending for the establishment of an seen in the Stadium Club," said Arthur (Red) Patterson, a
agency or commission to assist in what the Institute is trying Dodger vice president.
: to do. I've been involved in state and federal government.
Following
are
some
of
the
points
outlined
by
the
National
This is not where things of this natured are solved. There is a Athletic Health Institute in its brochure.
need for free enterprise expertise."
Fitness has become an American obsession. We work it in
The NAIII was incorporated last November and has re-
cieved phenomonal support from concerned citizens. It's
with our spectator sports when we have time. Along with a
a
non-profit organization.
thousand active ways to use our new leisure. Including cheer-
The Institute, now based at Centinela Valley Hospital, In-
ing (and badgering) our children through mini-careers in Pop
Warner and Little League.
glewood, hopes to serve as the potential solution for the fol-
lowing pressing needs, in the emerging role of sports medi-
Take the jogger: Some shouldn't jog, but don't know il. We
cine, according to Gillenwaters.
take our cards in for computer checks to see if they need
A clerical house for knowledge in the field,
work. We don't take the same trouble with our bodies. Using
Incentive for research.
telemetry and computers that helped take us to the moon, we
Financial support for training of physicians, coaches and
can wire you with a small radio transmitter and monitor you
trainers in sports-related medical procedures.
while you jog or play tennis or golf. We can tell how much
Establishment of a sports medicine library.
stress your body will take without damage: what exercise
Public education in prevention of disability and injury in
should make you healthier, and what might cause death. We
sports recreation.
can, but we are a long way from being able to do it for many
Gillenwaters introduced Dr. Robert Kerlan, Medical Direc-
people. In a nation where everybody is off doing something,
tor of the Institute.
wouldn't it make sense to have a way of checking out your
"The Institute is concerned with education and research,"
body for action?
said Dr. Kerlan.
Take the professional athlete. Pressures on him are awe-
"That research will include studies into various drugs and
some. If he is a superstar he has exquisite medical care. But
their effect on athletes. There has not been much research.
there are injured players who come back before they are
"The
use
of
drugs
by
athletes
has
been
well
publicized,
ready:
Abuses
in
use
of
drugs
and
medication
are
well
How much is factual isn't known. Maybe there are plus and known. Medical expenses in pro football have been estimated
minus points for these drugs. We do know that drugs taken
at
about
$2,000,000
a
year.
purely for stimulative purposes are not beneficial and
Take your own child, or that grown-up. kid off at school.
shouldn't be used. Priorities for study will be determined by
An average of fourteen American boys died each year be-
the medical advisory board."
tween 1931 and 1965 in sandlot and high school football. In
Dr. Frank W. Jobe is president and acting chairman of the
Little League, some estimate that up to 100,000 boys develop
board of directors for the institute,
chronic elbow strain in a single year.
Our needs and goals involve more than fun and games.
Injury is only one area of concern in adult recreation. We
We're talking about the national health. More than the pros
will undertake public education in diet, training, and general-
and jocks. It's you and your family.
health practices. Through combined efforts we believe il pas-
sible to reverse the present pattern of spiraling injury and
disability.
The teenage athlete is not yet receiving adequate medical
Jerry Stovall, the former defensive back for the SL Louis
care in much of America. The level of care has advanced
Cardinals, once told a group of sportswriters: "I've had a
more rapidly in other fields than in his. In some cases his is
broken nose, a fractured right cheekbone, five lost teeth and
the poorest care given to any group in our society.
a broken right clavicle. I have had a ripped stermum, seven
High school football can be a premature imitation of the
broken ribs, and a calcium deposit in my right arm that
game played by the pros. But the player is not yet as skilled.
keeps me from straightening it. I broke my right big toe
His immature bones and muscles are more vulnerable than
three times. I've had eleven broken fingers. I'm not too
the mature, well-conditioned body. He is more prone to injury
smart but I know I've broken one finger twice."
that will damage his sight, hearing, or his brain. His equip-
Yet it was a bad knee that finally forced Stovall out of
ment may need further refinement. On the high school play-
football.
ing field football can become lethal.
Some study of the problem has begun. In 1971 the Ameri-
can Medical Association completed a survey of 3,019 college
football players from 44 campuses in every major conference
For millions of professional football fans and for those
Il showed 46 percent of the players injured during the season
more closely involved, the exhilaration of the game is bitter-
sweet, tempered by such memories as the great Gale Say-
half of them severely enough to necessitate hospitalization.
ers being earried off the playing field. There is no team sport
One of the urgent goals of the National Athletic Health In-
played anywhere in which the injury rate is greater than in
stitute IS to participate in a thorough and objective nation-
American football. Hockey and basketball are close behind.
Photocopy from George Bush Presidential Library
wide study of the status of young athletes from sandlot to
Among sports fans, the case of Sandy Koufax's elbow, the
campus: the quality of their equipment, playing conditions,
knees of Jerry West or Willis Reed or Bill Walton have been
medical care, injury records, and rehabilitation.
matters of everyday speculation. But the plights of those less
Granted such research, education; and proper supervision,
well known is often more grini. In September, 1972, 3,765
as Harvard's Dr. Arlie V. Bock has written, parents and.
emergency room admissions associated with team sports
faculties would do well to focus their attention, not on possi-
were reported to the U. S. Bureau of Product Safety by 119
ble injuries, but on the positive benefits that team play in
hospitals. Yet hospital emergency room treatments account
sport brings to young men."
for only 38 percent of all injuries. The team sports injury rate
exceeds any other. (Bicycle-related cases are next.)
The injury rate continues to rise in professional athleties.
The role of sports medicine is increasing, but it has SO far
Physical recreation plays an increasingly important part
been more involved in treatment and rehabilitation than in in-
in our lives. Most of us believe that exercise leads to good
jury prevention and health care for the athlete. Professional
health. But there is no medical study that offers conclusive
athletes are just now being involved in some modern tech-
proof. We have learned that very personal factors determine
niques for conditioning and therapy. The new science of exer-
both the kind and amount of exercise that one should take
cise physiology offers hope for avoiding exposure to predicta-
The capability for exercise varies widely among individuals
ble injury and making the athlete better able to escape inju-
because of genetic and adaptive factors. With weekend ath-
ry
letes multiplying, it is time to make available the means of
The excessive and secretive use of drugs by some athletes
testing individual needs for exercise, and individual limits be-
you! which it can be dangerous. The technique has been de-
seems to be increasing; unless controlled, this is likely to
veloped through telemetry systems first devised in support of
shake public confidence in sports. Unlike horse racing, few
our space exploration. Physical recreation must be made safe
major American athletic organizations amateur or profes-
sional have any meaningful drug control standards.
as well as enjoyable.
Across America, physicians report increased case loads
The National Athletic Health Institute will be involved in
resulting from recreation exercise. The college or profession-
research of drug use and effect, injury causes and preven-
al athlete is a minor factor in most medical practice. (In 1972
tion, rehabilitation methods, and in the proposal of new.
the number of tennis players alone in America was estimated
standards for equipment, training, and injury control. Il is
at 11,000,000). Doctors' waiting rooms are often filled with pa-
our intent to work toward curbing present excesses which we
tients complaining of chronic tennis elbows, lower back pain,
believe threaten the well-being of professional athletes and
knee and ankle strains. To the mutual frustration of doctor
the stature of professional sports. Through research, medi-
and patient, many of these symptoms are recurrent. The ten-
cine, and rehabilitation, we propose at the same time to serve
nis player who comes back repeatedly for elbow treatment
the athlete and all those involved in active recreation.
believes the physician has failed to cure his problem; the
doctor, from his point of view, sees a patient who has gone
back on the court and done the same thing and received the
same inflammatory response because the doctor now knows
no way to halt that response.
December 5, 1974
Mr. Roy G. Gonzalez
Gonzalez International Services
P.O. Box 828
Houston, Texas 77002
Dear Roy:
Thank you for your good letter of November 11.
Sounds like you're very busy indeed.
I just want to let you know that it was a
pleasure hearing from you again. All's well
Photocopy from George Bush Presidential Library
here in China. Barbara and I like it
immensely, though, of course, I miss politics
and particularly our family.
Warm regards from Peking.
Yours very truly,
George Bush
GBush:hek
REPLY MESSAGE
THIS FORM AVAILABLE FROM GRAYARC CO.. INC., 882 THIRD AVE., BROOKLYN. N.Y. 11232
FROM
TEL 227-8273-8274
TO
GONZALEZ INTERNATIONAL SERVICES
FOREIGN FREIGHT FORWARDERS
AIR FORWARDERS- EXPORT CONSULTANTS
P. O. BOX 828 619 PETROLEUM BUILDING
HOUSTON, TEXAS 77002
SUBJECT:
DATE: Nov, 11, 1974.
FOLD
Dea r George: We have so many shipments that it has been impossible to write but
I like to congratulate you for your new possition and I hope you call on me any time I can
be of help, since you many need something from the U.S. and I will be glad to send it to
you via Air or Ocean since that's my Field. I am attaching hereto a few reports, and with
Photocopy from George Bush Presidential Library
my kindest personal regards to you and your wonderful family, I remain
P.S. Elections just passed and Bill Archer come out
Very truly yours
good.
PLEASE REPLY TO
Roy G.Gonzalez.
SIGNED
DATE:
SIGNED
GRAYARC CO., INC., BROOKLYN, N.Y. 11232
THIS COPY FOR PERSON ADDRESSED
UNITED STATES LIAISON OFFICE
Peking, People's Republic of China
November 5, 1974
Honorable Robert P. Griffin
United States Senate
Washington, D. C. 20510
Dear Bob:
Today I received your letter of 16 October regarding
Shen Ning Chan and his relatives in China who wish
to emigrate to the United States.
Photocopy from George Bush Presidential Library
The Chinese Government is sensitive about its pre-
rogatives concerning Chinese citizens resident in
China even if they have a relative in the United
States. For us to intervene in a matter such as this
could very easily be misconstrued by the Chinese as
interference in their internal affairs. What I am
saying is that an approach on our part on this kind
of a matter would not necessarily help the case of
Mr. Shen, and it is our policy not to do SO.
The best thing that they could do is to continue to
pressure the Chinese Government here and for Mr. Shen
to write to the People's Republic of China Liaison
1 1201 Relft
Office at 2300 Connecticut Avenue, N.W. Washington,
D. C. 20008. The Chinese have told us this is the
route to go if. you want to get action on this kind
of a case. I think this has the best chance of
working.
Sincerely,
George Bush
Chief
CONS: JRLilley nilly dh: 11/5/74
Mr. Blackburn
ROBERT P. GRIFFIN
MICHIGAN
Lilley
United States Senate
OFFICE OF
THE ASSISTANT MINORITY LEADER
WASHINGTON, D.C. 20510
October 16, 1974
Honorable George Bush
Chief Liaison Officer of the
United States of America
Peking, Peoples Republic of China
Dear George:
Mr. Shen Ning Chan, a highly respected constituent
of mine living in Muskegon, Michigan, has been trying to
bring three of his brothers to his home in Michigan. The
Photocopy from George Bush Presidential Library
Immigration Service has processed their requests as far as
possible, and docket numbers have been assigned. The names
and dates of birth of the brothers of Mr. Chan, and their
docket numbers, are:
Wing Chong Chan, born March 25, 1951, A 20-655-314
Chung Wai Chan, born October 25, 1953, A 20-655-315
Quong Oak Chan, born May 25, 1955, A 20-655-316
All three brothers reside in the village of Toysun in
the Peoples Republic of China.
Mr. Chan has asked my assistance, and I, in turn, ask
yours to request the government of the Peoples Republic of
China to act upon the applications of these people, so that
they may proceed to Hong Kong for further processing of
their visas.
Bro
Sincerely,
Robert P. Griffin
U. S. Senator
rpg/jsb
The National Athletic Health Institute, Inc.
A NON-PROFIT INSTITUTE FOR RESEARCH AND EDUCATION
IN SPORTS MEDICINE AND RECREATION HEALTH
National Athletic Health Institute
575 East Hardy Street, Inglewood, CA 90301 (213) 674-1600
THE NEED; OUR GOALS
more than fun and
Fitness has become an American obsession. We work it in with
our spectator sports when we have time. Along with a thousand
games. We're talking
active ways to use our new leisure. Including cheering (and badger-
ing) our children through mini-careers in Pop Warner and Little
about the national
League.
Suddenly we are spending more than $100 billion each year on
health. It's you and
leisure. New problems come with such change, and not many
of us have considered them. Just one example: an estimated 17
your family.
million of us were injured in 1972 in sports and recreation.
Take the jogger. Some shouldn't jog, but don't know it. We
take our cars in for computer checks to see if they need work.
We don't take the same trouble with our bodies. Using telemetry
and computers that helped take us to the moon, we can wire you
with a small radio transmitter and monitor you while you jog or
play tennis or golf. We can tell how much stress your body will
take without damage: what exercise should make you healthier,
and what might cause death. We can, but we are a long way from
being able to do it for many people. In a nation where everybody
is off doing something, wouldn't it make sense to have a way
of checking out your body for action?
Take the professional athlete. Pressures on him are awesome.
If he is a superstar he has exquisite medical care. But there are
injured players who come back before they are ready. Abuses
in use of drugs and medication are well known. Medical expenses
in pro football have been estimated at about $2,000,000 a year.
One team owner believes a higher cost is that of salaries for injured
players, as much as $3,000,000 a year. We could spend a little
to reduce injuries and improve rehabilitation. Or to educate athletes
about the risks of drugs.
Take your own child, or that grown-up kid off at school. An
average of fourteen American boys died each year between 1931
and 1965 in sandlot and high school football. In Little League,
some estimate that up to 100,000 boys develop chronic elbow strain
in a single year. We can make athletics safer for young people,
and speed their recovery when they are hurt. We might even make
parents smarter about such matters. But it requires research and
education.
These are some of the concerns of the National Athletic Health
Institute. Our needs and goals involve more than fun and games.
We're talking about the national health. More than the pros and
jocks. It's you and your family.
For sources and citations, see CHAPTER NOTES on Page 20.
For photo identification, see inside back cover.
1
SPORTS MEDICINE FOR YOUTH
The teenage athlete
The teenage athlete is not yet receiving adequate medical care
in much of America. The level of care has advanced more rapidly
is not receiving
in other fields than in his. In some cases his is the poorest care
given to any group in our society. It cannot be blamed alone on
adequate medical care
the doctor, or on parents or coaches. Pressures on our young
people to compete are strong. Often they are not ready.
in much of America.
High school football can be a premature imitation of the game
played by the pros. But the player is not yet as skilled. His immature
bones and muscles are more vulnerable than the mature, well-
conditioned body. He is more prone to injury that will damage
his sight, hearing, or his brain. His equipment may need further
refinement. On the high school playing field football can become
lethal. The extent of injuries is not reliably known. Only deaths
are accurately tabulated. Physicians often have traced crippling
deformities to high school injuries. The ratio of injury and death
at high school level surpasses that in college and professional foot-
ball, where athletes are larger and impact is greater.
Some study of the problem has begun. In 1971 the American
Medical Association completed a survey of 3,019 college football
players from 44 campuses in every major conference. It showed
46 percent of the players injured during the season, half of them
severely enough to necessitate hospitalization.
We believe the situation far more disturbing in athletic competi-
tion at the lower age levels, but little reliable data is available.
Nor is football the sole sport in which current practices merit
attention.
One of the urgent goals of the National Athletic Health Institute
is to participate in a thorough and objective nationwide study of
the status of young athletes from sandlot to campus: the quality
of their equipment, playing conditions, medical care, injury
records, and rehabilitation.
With the facts in hand, we will aid in developing standards for
equipment and health practices for our young people. A nationwide
panel of physicians who specialize in sports medicine will offer
recommendations. With proper funding, a program can be under-
taken to inform parents, educators, athletic officials, and players
of existing abuses and ways to correct them.
Granted such research, education, and proper supervision, as
Harvard's Dr. Arlie V. Bock has written, "parents and faculties
would do well to focus their attention, not on possible injuries,
but on the positive benefits that team play in sport brings to young
men."
3
ADULT RECREATIONAL REHABILITATION
The human anatomy
Physical recreation plays an increasingly important part in our
lives. Most of us believe that exercise leads to good health. But
is not adapted
there is no medical study that offers conclusive proof. We have
learned that very personal factors determine both the kind and
to the games
amount of exercise that one should take. The capability for exercise
varies widely among individuals because of genetic and adaptive
people play.
factors. With weekend athletes multiplying, it is time to make avail-
able the means of testing individual needs for exercise, and
individual limits beyond which it can be dangerous. The technique
has been developed through telemetry systems first devised in sup-
port of our space exploration. One goal of the National Athletic
Health Institute is to press for adaptation of these systems to
existing medical facilities and a network of facilities in which it
will be possible for physicians to provide individual analysis of
exercise needs and capabilities. We believe it is vital to the na-
tional health to do so promptly. Physical recreation must be made
safe as well as enjoyable.
Across America, physicians report increased case loads resulting
from recreation exercise. The college or professional athlete is
a minor factor in most medical practice. (In 1972 the number of
tennis players alone in America was estimated at 11,000,000.) Doc-
tors' waiting rooms are often filled with patients complaining of
chronic tennis elbows, lower back pain, knee and ankle strains.
To the mutual frustration of doctor and patient, many of these
symptoms are recurrent. The tennis player who comes back
repeatedly for elbow treatment believes the physician has failed
to cure his problem; the doctor, from his point of view, sees a
patient who has gone back on the court and done the same thing
and received the same inflammatory response because the doctor
now knows no way to halt that response. We believe that with
research and testing of individual response to micro-trauma it is
possible to determine which persons are prone to inflammatory
response and, with treatment and training, to reduce the individual's
chances of sustaining symptoms. More sophisticated techniques
can be developed for prevention and treatment of most common
recreation injuries. The potential of further research in this field
seems rich.
Injury is only one area of concern in adult recreation. We will
undertake public education in diet, training, and general health
practices. Through combined efforts we believe it possible to
reverse the present pattern of spiraling injury and disability.
5
ARCO
PROFESSIONAL ATHLETE HEALTH CARE
"Players would
Jerry Stovall, the former defensive back for the St. Louis Cardi-
nals, once told a group of sportswriters: "I've had a broken nose,
get hurt even if
a fractured right cheekbone, five lost teeth and a broken right
clavicle. I have had a ripped sternum, seven broken ribs, and
we played on
a calcium deposit in my right arm that keeps me from straightening
it. I broke my right big toe three times. I've had eleven broken
marshmallows."
fingers. I'm not too smart but I know I've broken one finger twice."
Yet it was a bad knee that finally forced Stovall out of football.
For millions of professional football fans and for those more
-Hank Stram.
closely involved, the exhilaration of the game is bittersweet, tem-
pered by such memories as the doomed Gale Sayers being carried
off the playing field. There is no team sport played anywhere in
which the injury rate is greater than in American football. Hockey
and basketball are close behind. Among sports fans, the case of
Sandy Koufax's elbow, the knees of Jerry West or Willis Reed
or Bill Walton have been matters of everyday speculation. But
the plight of those less well known is often more grim. In September,
1972, 3,765 emergency room admissions associated with team
sports were reported to the U.S. Bureau of Product Safety by
119 hospitals. Yet hospital emergency room treatments account
for only 38 percent of all injuries. The team sports injury rate
exceeds any other. (Bicycle-related cases are next.)
The injury rate continues to rise in professional athletics. The
role of sports medicine is increasing, but it has so far been more
involved in treatment and rehabilitation than in injury prevention
and health care for the athlete. Professional athletes are just now
being involved in some modern techniques for conditioning and
therapy. The new science of exercise physiology offers hope for
avoiding exposure to predictable injury and making the athlete
better able to escape injury.
The excessive and secretive use of drugs by some athletes seems
to be increasing; unless controlled, this is likely to shake public
confidence in sports. Unlike horse racing, few major American
athletic orgainzations-amateur or professional-have any mean-
ingful drug control standards.
The National Athletic Health Institute will be involved in
research of drug use and effect, injury causes and prevention,
rehabilitation methods, and in the proposal of new standards for
equipment, training, and injury control. It is our intent to work
toward curbing present excesses which we believe threaten the
well-being of professional athletes and the stature of professional
sports. Through research, medicine, and rehabilitation, we propose
at the same time to serve the athlete and all those involved in
active recreation.
7
THE EMERGING ROLE OF SPORTS MEDICINE
"(This is) a most
The field of sports medicine is unfamiliar to most laymen. Medical
manuscripts in praise of exercise have been preserved from the
important moment
time of the Ayur-Veda, written in India more than 800 years before
Christ. But it was not until 1911 that modern physicians interested
in the development
in athletics defined a separate specialty. In 1928 at Amsterdam,
281 physicians from twenty nations attended the First International
of the sciences and
Congress of Sports Medicine, which has since met biennially
throughout the world.
The American College of Sports Medicine was founded in 1954
medicine of sports."
to include physicians and others engaged in studies of physical
and health education and physiology. This group sponsors confer-
- Prince Philip. Duke of Edinburgh
ences and was the impetus in the publication in 1971 of an En-
cyclopedia of Sport Sciences and Medicine.
In 1954 the American Medical Association established the stand-
ing committee known today as the Committee on the Medical
Aspects of Athletics, which sponsors national conferences on
sports medicine and has worked to establish standards for preven-
tion of injury. In addition, the prestigious American Academy
of Orthopedic Surgery has established an active Committee on
Sports Medicine and an affiliate known as the Society of Sports
Medicine. Through periodic conferences, their members exchange
new knowledge within their specialties.
The scope of sports medicine, which has long been a prominent
specialty in Europe, has grown rapidly with the acceleration of
interest in professional athletics and the increasing physical activity
of our leisure time. Some medical schools now offer departments
of sports medicine in which specialists are trained.
Despite this developing attention to a long neglected specialty,
we believe serious gaps exist in the present structure of the study
and practice of sports medicine. With an already long medical
involvement in the field, we have turned to the National Athletic
Health Institute as the potential solution to pressing needs. These
include:
A clearing house for knowledge in the field.
Incentive for research.
Financial support for training of physicians, coaches and
trainers in sports-related medical procedures.
Advancement of facilities for preventive sports medicine,
treatment, and rehabilitation.
Establishment of a sports medicine library.
Public education in prevention of disability and injury in sports
and recreation.
9
she
2
F
SUMMARY OF PURPOSE
THE NATIONAL ATHLETIC HEALTH INSTITUTE is a non-profit
institute for research and education in sports medicine and recrea-
tion health. Unlike most research organizations, we seek funds
not to study illnesses that normally cause death, but to make living
more productive. Several European nations have moved in this
field ahead of the United States and Great Britain. "It is a remark-
able fact,' wrote Britain's Sir Arthur Porritt of his nation in 1957,
"that in a country where games are such an essential part of national
life, the subject of sports injuries has received relatively so little
attention
yet their significance, not only from the athletic but
also the economic point of view, is of the greatest importance."
NAHI seeks to help put the United States in the forefront in
sports medicine. Its founders and directors are from both the East-
ern and Western United States, and as a result, it is nationwide
in scope. Its work will affect everyone who participates in athletic
activity of any sort. It will study athletic and recreational activity
and those injuries and medical problems involved with them at
all levels from playground to professional competition-as well
as the diverse activities of the adult weekend athlete. It will conduct
basic and clinical research and seek to disseminate information
nationally through the media and in close liaison with other
established groups.
The business of the Institute is governed by a board of directors,
the members of which are listed on the inside front cover of this
booklet. Also listed there are initial members of the medical advis-
ory board, whose role is to carefully select projects in regard to
priority of need and expected contribution to sports medicine and
recreation health. This board will insure that Institute programs
are staffed at all levels with individuals trained in research and
teaching.
The sports advisory board, whose initial members are also listed,
counsels with the board of directors in all sports-related activities.
Each member is polled as to opinions in areas of concern to his
specific field. Each member will help to establish priorities of proj-
ects in prevention and treatment of injury.
The goal of the Institute, in summary, is to reduce injury and
raise the level of athletic and recreation health. This includes
research in medicine, physiology, and equipment, as well as
rehabilitation and education. At the medical level, our goals include
research and education in all areas pertinent to sports, coordinated
with basic and clinical research and assistance in the education
of young physicians in sports medicine.
11
12
SPORTS MEDICINE EDUCATION
The Fosbury Flop is not
There is an entirely different vocabulary in sports medicine,
like the Fosbury Flop. But it's not yet a large enough vocabulary
a playwright's opening
to serve the need, nor are there enough who speak its language.
(The Fosbury Flop is a style in which the high jumper lands on
night; it's one way for
the top of his spine, but that's only one side of the matter; recent
research proves that the most common damage to high jumpers'
a high jumper to fall.
knees occurs on lift-off.) Information like that needs to be refined
and sorted, and a great deal more of it should be accumulated
in every athletic activity. Then comes the problem of spreading
the word. That's where the education goals of the National Athletic
Health Institute come in.
The need grows. These days many athletic trainers have special
preparation in physical education or physical therapy. Membership
in some professional organization is common, demanding strict
compliance with standards. But as standards have risen, so has
the volume of need. The number of persons meeting those standards
has not risen so rapidly as the demand. Today there is a shortage
of qualified persons at almost every level of sports medicine. As
a result, their functions are sometimes carried out by others less
qualified. One of the goals of the Institute is to encourage training
and appropriate accreditation for paramedic personnel to assist
in sports medicine.
Many medical schools are moving as rapidly as possible toward
meeting the need for trained medical specialists in the field. But
at this level the shortage is even more acute.
The National Athletic Health Institute will establish professional
relationships with major medical schools and hospitals. Members
of its medical advisory board already have conducted training pro-
grams for residents who as a formal part of their schooling have
served tenures in sports-related medicine. In addition, members
of the medical advisory board have participated in an orthopedics
fellowship program recognized by the American Academy of
Orthopedic Surgery.
We expect to expand such training programs in cooperation with
medical schools and to suggest curricula standards prompted by
research projects now under way.
Other educational activities will be directed to athletes them-
selves, coaches, school officials, and parents. We envision produc-
tion of public service films and television cassettes which we hope
will contribute toward athletic injury prevention and rehabilitation.
An immediate goal is a heightened national awareness of the prob-
lem and the need.
13
I
THERAPY AND REHABILITATION
"I don't understand why
Tennis elbows and lower back pain are badges of the weekend
activist. The best specialists still can't tell you much about them.
we can put people on the
We have much to learn about the body. But with proper research,
we believe we can help to minimize such injuries. Such pains are
moon but you can't cure
the most common complaint of non-professional athletes, the mil-
lions of Americans who find their way to physicians' offices as
my tennis elbow
a result of casual-but often intense-participation in sports. We
can only guess how many people are crippled in later years in
part, at least, as the result of early athletic injuries.
- Overheard in orthopedist's office
The complaint about the tennis elbow and the moon seems like
an old refrain. Such symptoms have come to rank with the common
cold as frustrating and distressing syndromes of today's active
life. But talk about the moon happens to be relevant. The systems
of physiological radio transmission (telemetry) devised by NASA
for the Apollo program are ready for adaptation to diagnosis, treat-
ment, and rehabilitation of citizens everywhere. It is one of the
goals of the National Athletic Health Institute to expedite that
use.
With treadmills, biomechanical devices and telemetry, it is possi-
ble to measure an athlete's condition more accurately than ever
before. With water-submerged weighing techniques, we can quickly
compute the body's fat content; this is beginning to be of significant
value in determining the most effective playing weight of athletes.
The biomechanical aspects of human function can be reduced now
to engineering phenomena: torques, stress, strain, vectors, foot
pounds. (Puzzled flooring manufacturers, for instance, came to
know that ladies' spike heels measuring one-quarter inch square
exerted a devastating pressure of 1,920 pounds per square inch
when worn by a woman weighing 120 pounds.) This is the physics
of sports-personal physics-a science which has begun to open
portals to greater athletic achievement. It allows precise appraisal
of individual physical potential.
It seems distressing, however, that such state-of-the-art proce-
dures as these will not likely be available-at least for some time-to
many of our young people, especially those several million who
participate in organized athletics from Little League years into
college. For it is here that medical supervision is often most lax.
We believe it is both feasible and urgent to disseminate new
information throughout the athletic pyramid, and to use funds and
information channels to instruct those responsible for young
athletes in new techniques that will avoid maimed bodies and help
to restore the injured without permanent damage.
15
SPORTS MEDICINE RESEARCH
Our goals in research
Its research capacity will make the National Athletic Health
Institute unique. We will establish affiliations with major medical
are ambitious;
colleges, hospitals, and research facilities. We will work in coopera-
tion with the American Academy of Orthopedic Surgeons and
we believe the need
its committee on sports medicine. We will maintain the highest
professional standards and ethics.
has become critical.
Our base in California, with its reservoir of scientists and techni-
cians and its pattern of innovation, makes it possible for us to
move quickly into fields where the adaptation of present knowledge
to sports medicine can be most beneficial.
Our goals in research are ambitious; we believe the need is
now crucial. Our program will be divided between basic and clinical
research. Other projects will test sports equipment: helmets,
gloves, artificial turfs, and protective devices. We will not shy
away from controversial topics such as the relative injury potential
of artificial turfs; such issues are vital to athletic health and merit
independent scientific analysis.
In basic research, with the aid of electron microscopy, we hope
to learn more about inflammatory response to micro-trauma-the
phenomenon that causes, among many other conditions, tennis
elbow. In this connection, we believe that the histologic study
of the structure of cells and the biochemical evaluation of collagen
response may help us to understand the complicated factors
involved in the development of arthritic phenomena. Other basic
research projects of high priority involve the nature of healing.
In clinical research, we will pursue studies of ligament injuries,
articular cartilage damage, and the capability of prosthetically
replaced joints to withstand athletic activity. The use of telemetry
facilities will allow us to study human activity of all sorts without
any interconnecting apparatus. So that subjects may be clinically
monitored as they go about games, we will seek, as a part of
our research program, facilities for athletic and recreational stress
tests: a swimming pool, tennis court, gymnasium, indoor games
court, and a playing field constructed to laboratory standards.
Basic to the research program will be the establishment of a
sports medicine library. We will contribute to the effort for standard
nomenclature and classification data of sports injuries throughout
the nation. The Institute will serve as a clearing house for research
and will disseminate relevant information. The goal will be to foster
athletic health by encouraging proper conditioning, better coaching
and officiating, use of proper protective equipment, medical super-
vision of competition, and effective care of the injured.
17
THE NEED FOR FUNDING
Most medical research
The booms in recreation and professional sports patronage have
seemed almost immune to recent dips in the American economy.
funds go to the study
Americans now spend more than $100 billion each year on a panoply
of leisure activities. The National Geographic Society estimates
of illnesses that cause
that 7,000,000 Americans jog regularly. In 1972 the pleasure boat
industry reported a 25% sales increase over the prior year. Tennis
death; we seek funds
equipment sales were up 20%; bicycles, 15%; ski equipment, 10%;
and there were large boosts in spending for equipment in golfing,
surfing, snorkeling, riding, bowling, racing, snowmobiling, and
to make living
other leisure activities. Current projections are for continuing
increases.
more productive.
In doctors' offices across the nation, the results of this surge
of physical activity are all too apparent. Injury data reported to
the United States Bureau of Product Safety by 119 statistically
selected hospital emergency rooms points convincingly to leisure
activities as the prime source of injury. Many of these victims
are crippled for the rest of their lives. We believe it to be a vital
national concern to reduce this soaring injury rate. It can be done
through research and education techniques proposed by the
National Athletic Health Institute and' described in this booklet.
Most medical research funds presently go to study illnesses that
cause death; we seek funds to make living more productive. Too
little attention has been given most illness that causes the patient
to seek medical attention. Yet if we can halt some of these athletic
injuries, we will reduce medical costs to the individual and to
the taxpayer, and lost work-hours to the employer. We will also
free more physician-hours for research and education. This is a
goal that could receive considerable public support, we believe,
as well as charitable and federal grant support.
Among specific needs of the Institute at this time are funding
and endowments to make possible the following: a fellows program,
residents program, library, chair of pathology, therapy and training
gym and pool, exercise physiology laboratory, playing fields, safety
equipment research, telemetry testing facility, classroom facilities,
visual education department, and electron microscopy program.
The Institute is a non-profit corporation. The Internal Revenue
Service has ruled that contributions to the Institute are deductible
as charitable contributions for federal income, estate, and gift tax
purposes. The Institute is exempt from federal income tax under
IRC Section 501 (c) (3) in accordance with an IRS determination
letter dated February 7, 1973. In addition, the Institute has been
determined to be an organization of the type described in IRC
Section 170 (b) (1) (A) and 509 (a) (1). As a result, the Institute
is not classified as a "private foundation."
19
CHAPTER NOTES, SOURCES, AND SUGGESTED READING
PAGE 1: Leisure expenditures computed from Department
Encyclopedia of Sport Sciences and Medicine (page xvii).
of Commerce data and Copley News Service (April 14, 1973).
For more on history of sports medicine see Dr. Allan J.
They include second homes as well as sports attendance and
Ryan, ibid, pps. xxxiii-xlvi.
all forms of leisure and athletic participation. Total injuries
for 1972 from Dept. of Health, Education, and Welfare's
PAGE 11: Quotation from Sir Arthur Porritt from his
Bureau of Product Safety. Estimated medical expenses in
foreword to Donald F. Featherstone's Sports Injuries: Their
pro football and salaries for injured players from Medical
Prevention and Treatment (Bristol: John Wright & Sons Ltd.,
World News quoted in Sports Illustrated (Feb. 24, 1969).
1957).
Amateur football fatalities from American Football Coaches
PAGE 13: High jumpers' injuries on lift-off are discussed
Association statistics. See Encyclopedia of Sport Sciences
by Dr. Arthur L. Dickinson in Encyclopedia of Sport Sciences
and Medicine (The American College of Sports Medicine.
and Medicine, pps. 576-577.
New York: Macmillan Co., 1971), paper by Dr. Allan J.
Ryan, pps. 525-532. Estimate of Little League elbow strains
PAGE 15: For data on adaptation of NASA telemetry
from Newsweek (April 2, 1973).
techniques to athletic use see The Physiological Basis of Phys-
ical Education and Athletics by Donald K. Mathews, D.P.E.
PAGE 3: Comparative injury and death rates in football from
and Edward L. Fox, Ph.D. (Philadelphia: W. B. Saunders
Encyclopedia of Sport Sciences and Medicine (see above cita-
Co., 1971). Flooring stress data from Riddell Inc., 1151 W.
tion). American Medical Association injury survey reported
Roscoe St., Chicago, III. 60657.
in Sports Illustrated (Jan. 4, 1971). For quotation from Dr.
Arlie V. Bock, see his foreword to Dr. Augustus Thorndike's
PAGE 19: National Geographic Society estimates of jogging
Athletic Injuries: Prevention, Diagnosis and Treatment
also reported in Copley News Service (April 14, 1973). Sports
(Philadelphia: Lea & Febiger, 1962. Fifth edition.)
equipment spending from Dept. of Commerce and Copley
News Service (April 14, 1973). Emergency room data from
PAGE 5: Estimate of number of U.S. tennis players from
NEISS News (Oct., 1972).
Los Angeles Times (May 6, 1973).
PAGE 7: Hank Stram quotation from Sports Illustrated (Sept.
Suggested further reading includes the long-standing work
18, 1972). Emergency room admissions report and injury rate
by Dr. Augustus Thorndike of Harvard University, thletic
data from Dept. of Health, Education, and Welfare: Bureau
Injuries (Philadelphia: Lea & Febiger, 1962. Fifth edition);
of Product Safety NEISS News (Oct., 1972).
and an interesting comparative treatment of British conditions
by Donald F. Featherstone, Sports Injuries: Their Prevention
PAGE 9: Quotation from Prince Philip from foreword to
and Treatment (Bristol: John Wright & Sons Ltd., 1957).
20
New Health Institute De-emphasizes Disease
to Concentrate on Qualities of Good Health
A well-known executive of a major cor-
men themselves and numbering among
rect benefits for everyone active in any
poration had just undergone an extensive
themselves physicians for all major pro-
form of athletics or physical recreation.
physical examination for a $1 million life
fessional teams in the LA area, including
Funded entirely by private contribu-
insurance policy and happily told his regu-
the Lakers, Dodgers, Rams, Kings,
tions, the institute sponsors sports
lar doctor that he had been given a "clean
California Angels, and the LA Strings -
medicine seminars for team physicians,
bill of health" with a near perfect EKG.
the new World Team Tennis franchise.
athletic directors, coaches, and trainers to
Twenty minutes later he dropped to the
But more than that, Kerlan, who serves as
bring them up to date on the latest know-
floor with a massive heart attack that
medical director for the institute, main-
ledge and techniques for maintaining a
nearly killed him.
tains that athletic activity and physical re-
healthy team. In addition, it publishes pre-
Incidents such as this are what bother
creation embody all the parameters of
cise guidelines for pre-participation ex-
men like Dr. Robert K. Kerlan about the
good health.
aminations for anyone planning to engage
ability of today's medicine to accurately
"By directing our fundamental research
in a sport and for on-field examination
measure the degree of a person's health.
into sports and recreation, we will be able
procedures of the athlete injured in the
Kerlan is one of the leading sports
to measure the factors and collect the data
game, plus specific brochures on subjects
medicine physicians in the country and has
that correlate with the essential items on
as fundamental as Taping and Wrapping
been working for years to develop a new
the positive end of the health scale," he
the Ankle in Athletics.
concept of health that emphasizes physiol-
explains.
For the participant in physical recrea-
ogy over pathology - the phenomena of
Initial research studies by the institute
tion, the institute is preparing a broad pub-
health over those of disease.
deal with everything from the use of drugs
lic education program to explain safety and
"Medicine can do a good job of telling
to enhance athletic performance to in-
conditioning requirements for such popu-
you how sick you are, or how free from
flammatory response to micro trauma - a
lar leisuretime activities as skiing, tennis,
disease you may be," says the acclaimed
doctor's way of talking about maladies like
golf, soft ball - even hiking and jogging.
orthopedic surgeon from Los Angeles,
tennis elbow and tendonitis. But underly-
From sandlot to Super Bowl, from the
"but we have no way in hell of telling you
ing all research into what comprises a good
care of the ruptured patellar tendon of Wilt
how healthy you are.
health is the Physical Performance Profile
Chamberlain to that of the tennis elbow of
"After a thorough physical examination
- known as "Triple P" to those involved
the weekend athlete, the National Athletic
a patient may know that he is not suffering
in the program.
Health Institute hopes to make the game
from a disease, but only subjective deter-
Basically, Triple P begins with the
more enjoyable by making it safer and by
minations can be made about the relative
measurement of an individual's physiolog-
improving the health and physical ability
state of his real health. It's like plotting a
ical parameters, including body composi-
of the player.
value along a line from minus ten to plus
tion, nutrition, reflex action, stamina,
Kerlan foresees the day when the active
ten. We can determine the degree of health
general health, and psychometric evalua-
person will be able to measure how healthy
from minus ten to zero, but no criteria is
tion. The institute plans to collect this in-
he is, not just whether or not he is sick.
available on which to make a valid judg-
formation from thousands of individuals
When he will know the limits of his ability
ment on the positive side of zero."
representing all demographic groups in a
and stamina so that he can be energetically
Fortunately this problem has bothered
continuous study that eventually will have
active without fear of dropping from ex-
Kerlan and his colleagues long enough and
followed some subjects literally from the
haustion or a coronary. And when a person
deeply enough for them to do something
cradle to the grave.
can stay in top physical shape so that he
about it. In mid-1973 they formed the Na-
By discovering the maximum and op-
will not have to cut back on an active life
tional Atletic Health Institute, a unique
timum conditions of physical perfor-
simply because he is getting older.
nonprofit foundation to establish research
mance, Kerlan and his staff hope to be able
and education in all aspects of sports
to establish objective criteria by which to
medicine and recreational health.
determine "how healthy.' But the ramifi-
Why sports and recreation?
cations of their research go far beyond
Reprinted from HEALTHNEWS
Well, for one reason, Kerlan and his
collecting data and making statements
California Dept. of Health
team of orthopedic surgeons, internists,
about health. They include recommenda-
Jan., 1974
and physical therapists are sports medicine
tions for immediate programs offering di-
MEDICAL ADVISORY BOARD
JAMES HORST, M.D.
Assoc. Clinical Professor of Orthopedic Surgery, USC;
Chairman, Dept. of Orthopedic Surgery, Centinela Valley
ROBERT K. KERLAN, J.D., Chairman
Community Hospital
Asst. Clinical Prof. of Orthopedics, USC;
FRANK W. JOBE, M.D.
Orthopedic Consultant, LA Rams, Lakers, Kings
Pres., NAHI; Orthopedic Consultant, LA Dodgers, Assoc.
LOYAL DAVIS, M.D., Special Consultant
Consultant, LA Kings, Lakers, Rams, Angels; Instructor,
NAHI Medical Advisory Board;
Orthopedic Surgery, USC
Emeritus Professor of Surgery,
THOMAS P. JOHNSON, M.D.
Northwestern University Medical School
Psychiatric consultant to Little League Baseball;
FRANZ K. BAUER, M.D.
Member, Bd. of Directors, Little League
Dean, USC School of Medicine; Professor of Medicine
LOUIS W. KANG, M.D.
H. PAUL BAUER, M.D.
American Bd. Orthopedic Surgery & American Academy
Team Physician, San Diego Padres; Assoc. Professor,
Orthopedic Surgery; private practice, White Memorial
School of Medicine, UC, San Diego
Medical Center Orth. Residency Program
FRED L. BEHLING, M.D.
JAMES F. KLECKNER, M.D.
Assist. Clinical Professor of Orthopedics, Stanford University
Assist. Clinical Professor of Ophthalmology, Jules Stein
School of Medicine; Team Physician, Stanford
Eye Institute, UCLA; Sr. Partner, Century City Eye
LAWRENCE BIRNBAUM, M.D.
Medical Group
Consultant, LA Rams, Lakers, Kings; Clinical Instructor
JOHN L. MARSHALL, D. V.M., M.D.
in Plastic & Reconstructive Surgery, USC School of Medicine
Assist. Prof. of Surgery & Anatomy, Cornell U. Medical
MARTIN E. BLAZINA, M.D.
College: Dir., Sports Medicine, Hospital for Special Surgery,
Director, Clinical Research, NAHI; Member, Committee on
NYC; Ortho. Consultant, NY City Public School Athletic
Sports Medicine, American Academy of Orthopaedic Surgeons
League and Cornell U. Health Services
JOANNE CARLSON, R.N.
RONALD S. MATSUNAGA, M.D., D.D.S.
Clinical Research Coordinator, NAHI
Facial Plastic & Maxillofacial Surgeon; Assoc. Clinical
Professor, Dept. of Otolaryngology, USC Medical School
PAUL W. CARTER, M.D.
Attending Orthopedic Surgeon, Centinela Valley
LLOYD J. MILBURN, M.D.
Community Hospital
Team Physician, San Francisco 49ers; Chairman, Dept. of
Surgery, St. Mary's Hospital
VINCENT S. CARTER, M.D.
Assoc. Orthopedic Consultant, LA Dodgers, Kings, Lakers,
VERNON L. NICKEL, M.D.
Rams; Asst. Clinical Prof. Dept. of Orthopedic Surgery, USC
Clinical Professor, Orthopedic Surgery, USC; Chief,
Surgical Services, Rancho Los Amigos Hos.; Co-director,
ROBERT B. CHESNE, M.D.
Rehabilitation Engineering, RLAH-USC
Director of Cardiology, Daniel Freeman Hospital;
JOHN OLSEN, M.D.
Assistant Professor of Medicine, USC
Plastic Surgery Consultant to LA Rams, Lakers, Kings;
ANTHONY F. DALY, JR., M.D.
Diplomate, American Board of Plastic Surgery
Medical Director, National Amateur Athletic Union;
JACQUELIN PERRY, M.D.
Assistant Clinical Professor, UCLA
Chief of Kinesiology, Rancho Los Amigos Hospital;
BLAIR C. FILLER, M.D.
Professor of Orthopedic Surgery, USC
Assist. Clinical Professor, USC; Chief, Orthopedics,
JULES RASINSKI, M.D.
Centinela Valley Community Hospital
Team Physician, California Angels
JAMES FOX, M.D.
TELFER B. REYNOLDS, M.D.
Orthopedist; Sports Medicine Fellow, NAHI
Professor of Medicine, USC School of Medicine
TOBY FREEDMAN, M.D.
CLARENCE SHIELDS, M.D.
Director, Fundamental Research, NAHI; Assoc. Clinical
Assoc. Orthopedic Consultant, L.A. Dodgers, Rams, Lakers
Professor, Preventive Medicine, UCLA & Ohio State;
& Kings; Clinical Professor of Orthopedic Surgery,
Internal Medicine Consultant, LA Rams, Lakers, Kings
Martin Luther King Hospital
ADRIAN B. GOODMAN, M.D.
EUGENE N. SMOLEY, M.D.
Assoc. Clinical Professor, USC; Member, American Board
Assist. Clinical Professor, UC Davis Medical School
of Internal Medicine
HERBERT H. STARK, M.D.
J. PAUL HARVEY, JR. M.D.
Member, American Academy of Orthopedic Surgeons;
Professor and Chairman of Orthopedic Dept., USC
American Society of Surgery of the Hand
Medical School
J. GORDON WELLS, Ph.D.
BLAIR J. HENNINGSGAARD, M.D.
Coordinator, Fundamental Research, NAHI; Fellow,
Team Physician, Football; Doctor of Internal Medicine
Aerospace Medical Association; Associate Fellow,
American Institute of Aeronautics & Astronautics
SIDNEY D. ZUCHERMAN, M.D.
Assoc. Clinical Professor of Radiology, USC School of Medicine
National Athletic Health Institute
575 East Hardy Street inglewood, CA 90301 (213) 674-1600
OFFICERS:
E. GREGORY HOOKSTRATTEN
SPORTS ADVISORY BOARD
Attorney, Beverly Hills
FRANK W. JOBE, M.D.
LAMAR HUNT
RINK BABKA
President and Acting Chairman
President, Kansas City Chiefs. Kansas City
LARRY BARKSDALE
EDGAR M. GILLENWATERS
ELGIN BAYLOR
FRANK W. JOBE, M.D.
Vice President/Institute Director
DON CARTER
President, National Athletic Health Institute:
SHERM CHAVOOR
ROBERT K. KERLAN, M.D.
Orthopedic Consultant, LA Dodgers:
MARGARET COURT
Medical Director
President. Association of Professional Baseball
WILLIE D. DAVIS
JERRY FINE
Physicians, Los Angeles.
ROD DEDEAUX
Secretary and Treasurer
ROBERT K. KERLAN, M.D.
DANNY GOODMAN
Medical Director, National Athletic Health Institute:
BOB HARMON
Chairman, N.B.A. Team Physicians: Orthopedic
DON KLOSTERMAN
BOARD OF DIRECTORS:
Consultant, LA Kings. Lakers, Rams and
SANDY KOUFAX
California Angels: Los Angeles
ROD LAVER
ROBERT H. AHMANSON
JOHN McKAY
ROBERT A. LURIE
First Vice President, Home Savings
DEBBIE MEYER
President, The Lurie Company, San Francisco
and Loan Association, Los Angeles
J.D. MORGAN
E.L. McNEELY
DON NEWCOMBE
E.J. "BUZZIE" BAVASI
President, San Diego Padres, San Diego
President, The Wickes Corporation, San Diego
PETE NEWELL
WES PARKER
CYRIL MAGNIN
HONORABLE YVONNE B. BURKE
BOB PULFORD
U.S. House of Representatives (37th Dist.-Calif.).
Chairman, Joseph Magnin, San Francisco
LARRY REGAN
Washington, D.C.
JOHN L. NOTTER
PATRICIA RINALDI
JACK KENT COOKE
Chairman, Finance Committee, National Bulk
BOB ROSBURG
President, California Sports. Inc.: Owner, LA Lakers,
Carriers, Inc., New York
BILL SHARMAN
LA Kings; First Vice President, Washington
PETER O'MALLEY
WILLIE SHOEMAKER
Redskins: Trustee, Little League Foundation: Los Angeles
President. Los Angeles Dodgers, Los Angeles
BART STARR
BILL TOOMEY
JOSEPH COORS
LEON W. PARMA
TONY TRABERT
Executive Vice President. Adolph Coors Co.,
Group Executive. Teledyne. Inc., San Diego
MAURY WILLS
Golden. Colorado
ROBERT O. REYNOLDS
JOHN WOODEN
JUSTIN DART
President, California Angels, Los Angeles
Chairman and President, Dart Industries, Inc.,
CARROLL ROSENBLOOM
MEDIA ADVISORY BOARD
Los Angeles
President, Los Angeles Rams Football Co.,
MRS. MARJORIE L. EVERETT
DICK ENBERG, KMPC
Los Angeles
Director, Executive Committee, Hollywood Park
BUD FURILLO. LA Herald-Examiner
KEIZO SAJI
Turf Club, Los Angeles
JOE GILMARTIN, Phoenix Gazette
Chairman. Suntory Limited. Osaka, Japan
KURT GOWDY. ABC
JERRY FINE
LOUIS G. SPADIA
JOHN HALL. LA Times
Attorney: Co-owner. LA Strings-World Team
Tennis, Los Angeles
President, San Francisco Forty Niners, San Francisco
TOM HARMON, KTLA
TOM HAWKINS, KABC
STUART K. SPENCER
ROBERT J. FLUOR
CHIC HEARN. The Lakers
Chairman and Chief Executive Officer. The Fluor
Partner, Spencer-Roberts and Associates, Los Angeles
KEITH JACKSON, KABC
Corp., Los Angeles
ELWOOD TEAGUE
LEONARD KOPPETT. New York Times
HONORABLE GERALD R. FORD
Chairman, United Financial Corp., Chairman.
CHARLES MAHER. LA Times
Vice President of the United States
Citizens Athletic Foundation. Los Angeles
STU NAHAN, KABC
ROSS PORTER, KNBC
Washington. D.C.
VERNON O. UNDERWOOD
SHIRLEY POVICH, Washington Post
EDGAR M. GILLENWATERS
President. Young's Market Company. Los Angeles
VIN SCULLY. LA Dodgers
Vice President/Institute Director,
CHARLES WACKER, III
ART SPANDER, San Francisco Chronicle
National Athletic Health Institute. Los Angeles
Financier, Chicago and Los Angeles
JACK TOBIN, Sports Illustrated
Brochure text and production by Neil Morgan / Design, Robert Perine / Typography, Linotron / Lithography, Frye & Smith., Ltd., San Diego, Ca.
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