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practice of medicine 491 In my own practice as a gastro-enterologist I would guess off-hand that probably fifty per cent of the patients that I see have various indigestion symptoms, such as gas, belching, heart-burn, nausea, vomiting, and so on, not as a result of organic gastro-intestinal disease, but simply as an aftermath of prolonged nerve strain, for instance, sexual maladjustment, marital difficulties, economic worries, prolonged sickness in the family, one thing or another that produces a condition that places the patient under a constant emotional strain. Sooner or later the patient breaks down with some type of symptom, and it happens to be my misfortune that the symptomatology very frequently is directed at the gastrointestinal tract. Now, in the therapy of these patients, of course, the first thing is to decide by means of careful investigation or careful history and careful study that the condition is not an organic one, and then to begin the therapy, which is largely psychotherapy. There isn't any royal road to the cure of these patients, and they certainly tax the ingenuity and patience of the physician to the very utmost. I, personally, think that it is far more important that we develop an understanding, a sympathy, and an ability to treat these patients than it is to learn to treat gallstones or duodenal ulcer. It is relatively easy to take care of an ulcer, but it is a darn difficult thing to take care of a patient who is having symptoms because her husband is a chronic drunk and is running around with other women. That is the thing I have to contend with every day and is the thing that is going to cause gray hairs sooner than any other one condition, I am sure. (Applause) Chairman Mitchell: Is there any further discussion of Dr. Mac-Millans paper? If there is no further discussion, I will ask Dr. MacMillan to close the discussion. Dr. MacMillan: I don't have anything to add. I am very grateful for the understanding discussion of this paper by the gentlemen who responded. Thank you. Chairman Mitchell: The next paper we have is "Milk Sickness" by Dr. Hardin of Banners Elk. Is Dr. Hardin in the room? . . . The Chairman was advised that Dr. Hardin was ill in the hospital and unable to attend. . . Chairman Mitchell: I am very sorry that we haven't Dr. Hardin's paper. The next paper on the program is by Dr. Turrentine, of Kinston, "The Clinical Application of Certain Procedures in the Diagnosis and Management of Allergic Cases." . . . Dr. Turrentine presented his prepared paper. . . (Applause)
Object Description
Rating | |
Fixed Title * | NCHH-16: Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1937 |
Identifier | NCHH-16-084 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 84 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-084.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-084 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
Description
Fixed Title * | Page 491 |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1937 |
Identifier | NCHH-16-084-0531 |
Form General | Periodicals |
Page Type | all; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | transactions841937medi_0531.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 84 |
Page Number | 491 |
Health Discipline | Medicine |
Full Text | practice of medicine 491 In my own practice as a gastro-enterologist I would guess off-hand that probably fifty per cent of the patients that I see have various indigestion symptoms, such as gas, belching, heart-burn, nausea, vomiting, and so on, not as a result of organic gastro-intestinal disease, but simply as an aftermath of prolonged nerve strain, for instance, sexual maladjustment, marital difficulties, economic worries, prolonged sickness in the family, one thing or another that produces a condition that places the patient under a constant emotional strain. Sooner or later the patient breaks down with some type of symptom, and it happens to be my misfortune that the symptomatology very frequently is directed at the gastrointestinal tract. Now, in the therapy of these patients, of course, the first thing is to decide by means of careful investigation or careful history and careful study that the condition is not an organic one, and then to begin the therapy, which is largely psychotherapy. There isn't any royal road to the cure of these patients, and they certainly tax the ingenuity and patience of the physician to the very utmost. I, personally, think that it is far more important that we develop an understanding, a sympathy, and an ability to treat these patients than it is to learn to treat gallstones or duodenal ulcer. It is relatively easy to take care of an ulcer, but it is a darn difficult thing to take care of a patient who is having symptoms because her husband is a chronic drunk and is running around with other women. That is the thing I have to contend with every day and is the thing that is going to cause gray hairs sooner than any other one condition, I am sure. (Applause) Chairman Mitchell: Is there any further discussion of Dr. Mac-Millans paper? If there is no further discussion, I will ask Dr. MacMillan to close the discussion. Dr. MacMillan: I don't have anything to add. I am very grateful for the understanding discussion of this paper by the gentlemen who responded. Thank you. Chairman Mitchell: The next paper we have is "Milk Sickness" by Dr. Hardin of Banners Elk. Is Dr. Hardin in the room? . . . The Chairman was advised that Dr. Hardin was ill in the hospital and unable to attend. . . Chairman Mitchell: I am very sorry that we haven't Dr. Hardin's paper. The next paper on the program is by Dr. Turrentine, of Kinston, "The Clinical Application of Certain Procedures in the Diagnosis and Management of Allergic Cases." . . . Dr. Turrentine presented his prepared paper. . . (Applause) |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-084.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-084 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
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