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512 SOUTHERN MEDICINE AND SURGERY September, 1933 Finally, any unscrupulous and hungry lawyer who heard of the fight with her husband might try to persuade her to sue him, and would make much capital of the headache following the injury. And our legal system is so constructed that she could bring a pauper suit which would cost her nothing, but which months or years hence could force me to come back for 200 miles to testify as a witness; and with the pleasant possibility that the trial might be postponed several times, necessitating my making a separate trip for each false start the lawyers made. The time of the average lawyer is worth so little that he evaluates the time of every one else on the same basis. So 1 trust I was not such a boor as I seemed. There were more reasons behind my hesitation than were apparent on the surface. OBSTETRICS Henry J. Lancston, M.D.. Editor, Danville. Va. The Eye As An Index of Systemic Patholck.v (B. J. Lurktn, Indianapolis, in JI. of Med., Sept.) The possession ol" an ophthalmoscope should be taken as much lor granted as the owning of a blood-pressure ap-jiaratus. In order to use it one docs not have to have the lung apprenticeship required for proper handling of most special instruments. Intelligence and accurate powers of observation may be required in interpreting the findings, but with patience and perseverance this will be accomplished. If the services of a trained ophthalmologist are at hand, a practitioner not skilled in interpreting eye findings will do well to consult with him; but any graduate of an accredited medical school shoidd be able to read his own danger signals. The Pupillary Sign of DeatiI (Editorial in WyominR Sec. of Colorado Med., Sept.) Separate the lids, and make pressure on the eye ball. In a living person the pupil will still retain its shape; if death has occurred the pupil will take different shapes depending on just what pressure is made on the eye. If a linger is applied to each side of the eye ball the pupil will become ovular perpendicularly. If three points of pressure are ap-I)lied to the pupil after death, it takes on a triangular shape. We know of no sign more easily made or more sure in its findings. Antenialakials (O. W. Bethea. in Int. Med. Dieest. Aug.) While plasmochin, atabrine, neoarsphenamine and even some other drugs may have therapeutic efficacy as antimalarials, my e.xperience, as well as that of a host of others, with quinine in treating this disease has been such lhat I have not found any other specific drug necessar>'. Bromide Therapy and Intoxication (R. A. Solomon, IndianapoUs, in Jl. Indiana State Med. Assn.. Sept.) One should not wait for skin eruptions as they are more often absent than present in bromide intoxication. The question of bromide intoxication must be considered in the differential diagnosis of puzzling delirious states and obscure mental conditions. In these cases the qualitative test for bromide in the urine should be done first. If this is neglected, the bromide intoxication can be ruled out. If positive, the quantitative estimation of the blood bromide should be done. Doctors' Problems While taking a rest for the past few months I have been roaming around in reading, and thinking and wondering how the Obstetrical Department of our Journal can be made more practical and useful to physicians and their patients, especially with reference to physicians planning, working and thinking toward better babies each successive year, and how to leave mothers in a perfectly normal physical condition with the proper outlook, plan and dream for their offspring. Since the beginning of my services in this department, I have endeavored to submerge iiKtst of the time my own |>ersonal oi^inions about matters obstetrical and have endeavored to transmit information and facts which would heli^ the general practitioner be of the greatest service to his families. If my Chief does not sit on me too hard 1 may within the next few months give the readers of this Department a good many of my personal opinions, which I hope they will find to be based on a solid foundation of practice and principle. It has been expressed by many writers within the last few months that the physicians as a whole have maintained their high standard of service during the past three or four years of national and international depression. The fact that we have this reputation should not make us feel too comfortable, for I feel that there are many difficulties ahead of us as private physicians, difficulties which we may soon encounter, and it may be that a majority of us will be unprepared for them. There is a feeling in certain of our groups of medical practice that many of the physicians who are doing general work and who do by far and large the majority of our obstetrical work are incompetent. I do not share this feeling. I have frequently found the general practitioner to be alert to the fundamental principles of i)ractice. even though there are a great many valuable things being practiced by the obstetrical specialist that can be done by the general practitioner. There is nothing peculiar or strange about the action of drugs for the specialist: they will perform the same function for the general practitioner. � All he needs to do is to get acquainted with their action and know the symptoms which are produced by them. There is much talk of various forms of legislation for this thing and that; if we do not keep our eyes op>en and watch the laity, before we know it there will be a yoke about our necks as to how we shall practice medicine. Socialism, as such, is a splendid thing, but for the State to put on social medicine is not in my opinion a step forward. Today, there is much talk about various kinds of clinics. This
Object Description
Rating | |
Fixed Title * | NCHH-22: Southern Medicine and Surgery [1921-1953] |
Document Title | Southern Medicine and Surgery [1921-1953] |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Publisher | Charlotte, N.C. : Charlotte Medical Press, 1921-1953. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1933 |
Identifier | NCHH-22-095 |
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 | 95 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-22/nchh-22-095.pdf |
Document Sort | all; group-e; nchh-22 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-22-095 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-22 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2542543 |
Revision History | keep |
Description
Fixed Title * | Page 512 |
Document Title | Southern Medicine and Surgery [1921-1953] |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Publisher | Charlotte, N.C. : Charlotte Medical Press, 1921-1953. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1933 |
Identifier | NCHH-22-095-0524 |
Form General | Periodicals |
Page Type | all; report/review |
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 | southernmed951933char_0524.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 | 95 |
Issue Number | 9 |
Page Number | 512 |
Health Discipline | Medicine |
Full Text | 512 SOUTHERN MEDICINE AND SURGERY September, 1933 Finally, any unscrupulous and hungry lawyer who heard of the fight with her husband might try to persuade her to sue him, and would make much capital of the headache following the injury. And our legal system is so constructed that she could bring a pauper suit which would cost her nothing, but which months or years hence could force me to come back for 200 miles to testify as a witness; and with the pleasant possibility that the trial might be postponed several times, necessitating my making a separate trip for each false start the lawyers made. The time of the average lawyer is worth so little that he evaluates the time of every one else on the same basis. So 1 trust I was not such a boor as I seemed. There were more reasons behind my hesitation than were apparent on the surface. OBSTETRICS Henry J. Lancston, M.D.. Editor, Danville. Va. The Eye As An Index of Systemic Patholck.v (B. J. Lurktn, Indianapolis, in JI. of Med., Sept.) The possession ol" an ophthalmoscope should be taken as much lor granted as the owning of a blood-pressure ap-jiaratus. In order to use it one docs not have to have the lung apprenticeship required for proper handling of most special instruments. Intelligence and accurate powers of observation may be required in interpreting the findings, but with patience and perseverance this will be accomplished. If the services of a trained ophthalmologist are at hand, a practitioner not skilled in interpreting eye findings will do well to consult with him; but any graduate of an accredited medical school shoidd be able to read his own danger signals. The Pupillary Sign of DeatiI (Editorial in WyominR Sec. of Colorado Med., Sept.) Separate the lids, and make pressure on the eye ball. In a living person the pupil will still retain its shape; if death has occurred the pupil will take different shapes depending on just what pressure is made on the eye. If a linger is applied to each side of the eye ball the pupil will become ovular perpendicularly. If three points of pressure are ap-I)lied to the pupil after death, it takes on a triangular shape. We know of no sign more easily made or more sure in its findings. Antenialakials (O. W. Bethea. in Int. Med. Dieest. Aug.) While plasmochin, atabrine, neoarsphenamine and even some other drugs may have therapeutic efficacy as antimalarials, my e.xperience, as well as that of a host of others, with quinine in treating this disease has been such lhat I have not found any other specific drug necessar>'. Bromide Therapy and Intoxication (R. A. Solomon, IndianapoUs, in Jl. Indiana State Med. Assn.. Sept.) One should not wait for skin eruptions as they are more often absent than present in bromide intoxication. The question of bromide intoxication must be considered in the differential diagnosis of puzzling delirious states and obscure mental conditions. In these cases the qualitative test for bromide in the urine should be done first. If this is neglected, the bromide intoxication can be ruled out. If positive, the quantitative estimation of the blood bromide should be done. Doctors' Problems While taking a rest for the past few months I have been roaming around in reading, and thinking and wondering how the Obstetrical Department of our Journal can be made more practical and useful to physicians and their patients, especially with reference to physicians planning, working and thinking toward better babies each successive year, and how to leave mothers in a perfectly normal physical condition with the proper outlook, plan and dream for their offspring. Since the beginning of my services in this department, I have endeavored to submerge iiKtst of the time my own |>ersonal oi^inions about matters obstetrical and have endeavored to transmit information and facts which would heli^ the general practitioner be of the greatest service to his families. If my Chief does not sit on me too hard 1 may within the next few months give the readers of this Department a good many of my personal opinions, which I hope they will find to be based on a solid foundation of practice and principle. It has been expressed by many writers within the last few months that the physicians as a whole have maintained their high standard of service during the past three or four years of national and international depression. The fact that we have this reputation should not make us feel too comfortable, for I feel that there are many difficulties ahead of us as private physicians, difficulties which we may soon encounter, and it may be that a majority of us will be unprepared for them. There is a feeling in certain of our groups of medical practice that many of the physicians who are doing general work and who do by far and large the majority of our obstetrical work are incompetent. I do not share this feeling. I have frequently found the general practitioner to be alert to the fundamental principles of i)ractice. even though there are a great many valuable things being practiced by the obstetrical specialist that can be done by the general practitioner. There is nothing peculiar or strange about the action of drugs for the specialist: they will perform the same function for the general practitioner. � All he needs to do is to get acquainted with their action and know the symptoms which are produced by them. There is much talk of various forms of legislation for this thing and that; if we do not keep our eyes op>en and watch the laity, before we know it there will be a yoke about our necks as to how we shall practice medicine. Socialism, as such, is a splendid thing, but for the State to put on social medicine is not in my opinion a step forward. Today, there is much talk about various kinds of clinics. This |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-22/nchh-22-095.pdf |
Document Sort | all; group-e; nchh-22 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-22-095 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-22 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2542543 |
Revision History | keep |
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