Tag: Diseases
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Walter Russell Brain DM FRCP FRS (1895–1966)
JMS Pearce East Yorks, England Russell Brain (Fig 1) was born at Clovelly, Denmark Road, Reading, on 23 October 1895, the only son of Walter John Brain, solicitor, and his wife, Edith Alice. A quiet, reserved man of enormous intellect and integrity, he was revered as an eminent neurologist, philosopher, and author. At Mill Hill School…
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Not-so-natural history
Anthony PapagiannisThessaloniki, Greece Physicians learn about chronic disease by watching its natural history and attempting to modify it with therapies. Cardiologists record episodes of ischemic disease, oncologists follow the progression of malignancies, and pulmonologists note changes in respiratory function over time. When patients are first seen, the disease is often already established. It is less…
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Thriving in the face of uncertainty
Sally MatherChris MillardIan SabroeSheffield, England The experience of uncertainty has appeared as a frequent narrative in articles, autobiographies, and memoirs written by doctors over the last century. A persistent belief that better training, tests, evidence, and pathways will reduce uncertainty has not been borne out in the experience of contemporary clinicians. Beliefs about uncertainty in…
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Great expectations
Anthony PapagiannisThessaloniki, Greece “Doctor, I want you to treat her as a forty-year old!” What is the appropriate answer to a demand like that from a daughter about the treatment of her eighty-eight-year-old mother? Any suggestion that her mother might not do well even with the best treatment in the world is anathema to her.…
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Epidemic encephalitis lethargica
JMS PearceHull, England, United Kingdom Table 1. QUARANTINABLE DISEASES Cholera Diphtheria Infectious tuberculosis Plague Smallpox Yellow fever Viral hemorrhagic fevers Severe acute respiratory syndromes Influenza pandemic From the Centers for Disease Control and Prevention. Legal authorities for isolation and quarantine. Source The pandemic Covid-19 infection, first reported from China in December 2019, reminds us of many…
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The paradox of blood donation
Beukou SteveLimbe, South-West Cameroon “Please I urgently need a donor who is blood group O rhesus negative for my sister to be operated. Please tell any of your friends.” These types of messages have become the newest type of notifications on our social media platforms in Cameroon. The notifications, while made up of different combinations…
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What’s hormones got to do with it? The medicalization of menopause in postwar America
Pavane GorrepatiIowa City, Iowa, United States Introduction From menstruation to menopause, there appears to be a deliberate and constant medicalization of the stages of a woman’s life. Menopause, a biological process every woman experiences, has been cast in a negative light, a time to be wary rather than to be celebrated. This has led the…
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Dialogues of comfort
Anthony PapagiannisThessaloniki, Greece My patient is a veteran physician, quite advanced in years but mentally lucid and fully aware of his condition. His disease is incurable, and he is in need of a chest aspiration for symptomatic relief of his breathlessness. He is also impatient. “How much fluid have you drawn?” he asks gruffly every…
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Flyfishing and medicine
James StollerCleveland, Ohio, United States I am one of the many doctors who relish the zen of flyfishing. Standing in a stream, reading the clues for what type of fly to cast and where to cast it, and focusing incessantly on a dry fly drifting lithely to entice a hungry trout, flyfishing invites self-reflection through…