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Kayenta, ArizTo the Editor.\p=m-\Therecent MEDICAL NEWS article (230:803, 1974) on the problems and rewards of medical practice on an isolated Indian reservation pleased me very much. The reactions of other physicians have been pouring in from all over, and I believe that Kayenta won't have any recruitment problems for a couple more years! People have offered to help us out during their vacations; a physician in the Food and Drug Administration (at the GS-15 level) called me and said he'd "give up the $100,000 house and his city life if we had a physician slot open"! Two medical students requested that we "save them spaces" here in two or three years.Mr. Sampson represented my opinions in a truly skillful, thoughtful, and professional manner. The article is

A 54-year-old woman had a permanent catheter placed connecting the cavity of an inoperable recurrent cystic craniopharyngioma and an extracranial reservoir for easy decompression by aspiration. The cyst refilled so frequently that radiation was given to the cystic tumour. Almost four years after radiation treatment, the patient has been well and no aspirations have been required. The cyst "dried out" and a year after radiation injection of isotope through the reservoir showed that the intracranial end of the catheter was now lodging in ventricular or cisternal space.