Hektoen International

A Journal of Medical Humanities

Tag: Nephrology and Hypertension

  • The modern drug treatment of hypertension

    1. Introduction The history of hypertensive therapy with drugs goes back to around 1900 or even earlier, when physicians began to prescribe a variety of medicines such as sodium thiocyanate, nitrites, alkaloids of ergot, pyrogens, rauwolfia, veratrum virile, barbiturates, bismuth, bromides, hexamethonium, or tetramethylammonium chloride. Most of these agents were ineffective and many were poorly…

  • The eponymous tumors of the kidney: Wilms and Grawitz

    In a time when diseases were often named after the first person to describe them, kidney tumors were classified into Wilms tumors for children and Grawitz tumors for adults. Both names supposedly honored the memory of these pioneers, and unlucky candidates sitting for medical examinations were sometimes expected to know who these people were. Max…

  • The discovery of urea and the end of vitalism

    Mostafa ElbabaDoha, Qatar In history, ancient chemistry is known as “alchemy.” It is different than modern chemistry since it was mixed with philosophy and pseudoscience, although it is considered a protoscience. Alchemy failed to explain the nature of matter and its transformations. However, by experimentation and recording the results, alchemists set the stage for modern…

  • Frank Parsons—A hemodialysis pioneer

    Eric WillUnited Kingdom “Disillusion can become itself an illusion if we rest in it.”— TS Eliot Frank Maudsley Parsons (1915–1989) was an English pioneer of hemodialysis in the mid-1950s. His contribution is well known to nephrologists, but came at a personal cost in recognition that he expressed in his published journal affiliations. Context Leeds General…

  • Sir George Pickering and the low salt diet

    Nicolas Roberto RoblesBadajoz, Spain As a young man George Pickering was interested in his native Northumbrian countryside and intended to study agriculture. Persuaded later to read for a degree in biochemistry or physiology, he obtained a scholarship in basic sciences at Pembroke College, Cambridge, then decided to study medicine. He went to St. Thomas’s Hospital…

  • Sympathectomy for hypertension

    Sympathectomy for essential hypertension was introduced in the late 1920s at a time when no effective medical treatment was available. It consisted of resecting several sympathetic neurons that exit the spinal cord from the mid to lower spinal cord and are arranged in two columns of nodules called ganglia on either side of it. Sympathetic…