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January, 19+6 SOUTHERN MEDICINE & SURGERY 19 —"Surgical Relief of Post-Traumatic Pain, Including Painful Scars.'' Dr. George R. Wilkinson, Greenville — ''Rheumatic Fever.'' Dr. Charles X. Wyatt, Greenville — ^'Medical Conditions as Found in the IMiddle East." Dr. David Cayer, Bowman Gray School of ]\Ied-icine, Winston-Salem—"The Laboratory Diagnosis of Deficiency Diseases." Dr. Clyde Gilmore, Greensboro — "Functional Cardiovascular Disturbances." Dr. Walter Kempner, Duke University School of Medicine, Durham—"Some effects of the Rice Diet Treatment of Hypertension." Dr. J. Powell Williams, Dr. Alexander Brown, III, Dr. St. George Tucker, Jr. (Med. Col. of Va.), Richmond—''^Malaria as Observed in North Africa and Italy." Dr. Robert P. :\Iorehead (Bowman Gray School of Med.), Winston-Salem—''Mixed Tumors of the Salivary Glands." Dr. Sylvan A. Steiner, Washington—''Studies on Essential Hypertension." Dr. Jas. W. Watts and Dr. Walter Freeman, Washington—"Psychosurgery—Factors Influencing the Prognosis." Dr. Chas. Stanley White, Washington—"Intravenous Protein Solutions in Surgical Practice." Dr. Russell Buxton, Newport News—"The Use of Penicillin in the Treatment of Tetanus." Dr. J. Shelton Horsley & Dr. Guy W. Horsley, Richmond—"Results of Treating Cancer of the Breast With Radical Amputation and Bilateral Oophortectomy." Dr. Linwood D. Keyser, Roanoke — "Present-day Treatment of Urinary Stone." Dr. R. L. Raiford, Franklin, Va.—"Intravenous Anesthesia." Dr. Chas. R. Robins, Richmond—(subject not given us as yet). Guest Speaker—Dr. Matthew T. Moore, Philadelphia—"Some Usual and Unusual Mechanisms of Abdominal Pain." President s Address—Dr. George H. Bunch, Columbia. No risk of overstatement is run by saying that this program will supply the solution for more of your pressing problems of practice than has any program you have listened to, or are likely to be privileged to listen to, in a long, long time. Make your arrangements for getting away. Make your hotel reservations. Then come and bring along a doctor friend. WHAT TO DO FOR A PATIENT WITH INOPERABLE CANCER For a number of years there was a North Carolina School for the Feebleminded! Imagine being obliged, if you would write to your afflicted child, to address your letter to The School for the Feebleminded; and reading the address on each communication from the child, or from those in charge of your child. Mercifully, through the efforts of some person or persons with humane instincts, the name was changed to The Eastern Carolina Training School. Virginia has had for at least half a century a Home for Incurables! This is not only harsh 'and unfeeling; it is an unjust designation. Cure means care, with hope in most cases of restoration to health, but primarily and essentially, care. Our Yankee friends are commonly accused of being hard-hearted; we Southerners claiming tenderer sensibilities. A New York Surgeon^ presents evidence to the contrary. He tells us that 75 per cent of patients who came to the surgeon with inoperable cancer die within four years after the diagnosis is made; that outside of New York City 35 per cent of the cancer deaths occur in institutions; that 2.5 per cent of the total admissions to general hospitals in his section are for malignant disease; that the present development of special cancer facilities has not yet influenced favorably either the morbidity or the mortality from this disease. And he goes on: Cancer mortality in New York State during 1944 was 177 per 100,000 population; for South Carolina the rate the same year was 50 per 100,000. Many factors must be appraised for such a broad difi"erence. Treves realizes that the problem is the problem of the practitioner who ministers to these patients in their homes, that informing the relatives that the disease has reached an incurable stage is a duty of the general practitioner, who has had the patient returned to him following treatment by surgery or radiation therapy by the specialist. Treves believes it to be better not to tell the patient the nature of his disease. As he well says, many patients who will ask to be told the worst are least fitted to know the truth. Even against what appear to be hopeless odds there may be spontaneous regression and even disappearance of an advanced cancer. In all cases where there is no doubt as to the diagnosis some relative should be told the nature of the disease. The specialist and the family physician should keep each other advised, so that each may accomplish his part of the work to the immense advantage of the patient and the family. "Never tell a cancer patient or his friends that ]. Norman Treves, Xew York City, in IV. Fa. Med. Jl., Aug.
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 | 1946 |
Identifier | NCHH-22-108 |
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 | 108 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-22/nchh-22-108.pdf |
Document Sort | all; group-e; nchh-22 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-22-108 |
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 19 |
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 | 1946 |
Identifier | NCHH-22-108-0033 |
Form General | Periodicals |
Page Type | all; editorial |
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 | southernmed1081946char_0033.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 | 108 |
Issue Number | 1 |
Page Number | 19 |
Health Discipline | Medicine |
Full Text | January, 19+6 SOUTHERN MEDICINE & SURGERY 19 —"Surgical Relief of Post-Traumatic Pain, Including Painful Scars.'' Dr. George R. Wilkinson, Greenville — ''Rheumatic Fever.'' Dr. Charles X. Wyatt, Greenville — ^'Medical Conditions as Found in the IMiddle East." Dr. David Cayer, Bowman Gray School of ]\Ied-icine, Winston-Salem—"The Laboratory Diagnosis of Deficiency Diseases." Dr. Clyde Gilmore, Greensboro — "Functional Cardiovascular Disturbances." Dr. Walter Kempner, Duke University School of Medicine, Durham—"Some effects of the Rice Diet Treatment of Hypertension." Dr. J. Powell Williams, Dr. Alexander Brown, III, Dr. St. George Tucker, Jr. (Med. Col. of Va.), Richmond—''^Malaria as Observed in North Africa and Italy." Dr. Robert P. :\Iorehead (Bowman Gray School of Med.), Winston-Salem—''Mixed Tumors of the Salivary Glands." Dr. Sylvan A. Steiner, Washington—''Studies on Essential Hypertension." Dr. Jas. W. Watts and Dr. Walter Freeman, Washington—"Psychosurgery—Factors Influencing the Prognosis." Dr. Chas. Stanley White, Washington—"Intravenous Protein Solutions in Surgical Practice." Dr. Russell Buxton, Newport News—"The Use of Penicillin in the Treatment of Tetanus." Dr. J. Shelton Horsley & Dr. Guy W. Horsley, Richmond—"Results of Treating Cancer of the Breast With Radical Amputation and Bilateral Oophortectomy." Dr. Linwood D. Keyser, Roanoke — "Present-day Treatment of Urinary Stone." Dr. R. L. Raiford, Franklin, Va.—"Intravenous Anesthesia." Dr. Chas. R. Robins, Richmond—(subject not given us as yet). Guest Speaker—Dr. Matthew T. Moore, Philadelphia—"Some Usual and Unusual Mechanisms of Abdominal Pain." President s Address—Dr. George H. Bunch, Columbia. No risk of overstatement is run by saying that this program will supply the solution for more of your pressing problems of practice than has any program you have listened to, or are likely to be privileged to listen to, in a long, long time. Make your arrangements for getting away. Make your hotel reservations. Then come and bring along a doctor friend. WHAT TO DO FOR A PATIENT WITH INOPERABLE CANCER For a number of years there was a North Carolina School for the Feebleminded! Imagine being obliged, if you would write to your afflicted child, to address your letter to The School for the Feebleminded; and reading the address on each communication from the child, or from those in charge of your child. Mercifully, through the efforts of some person or persons with humane instincts, the name was changed to The Eastern Carolina Training School. Virginia has had for at least half a century a Home for Incurables! This is not only harsh 'and unfeeling; it is an unjust designation. Cure means care, with hope in most cases of restoration to health, but primarily and essentially, care. Our Yankee friends are commonly accused of being hard-hearted; we Southerners claiming tenderer sensibilities. A New York Surgeon^ presents evidence to the contrary. He tells us that 75 per cent of patients who came to the surgeon with inoperable cancer die within four years after the diagnosis is made; that outside of New York City 35 per cent of the cancer deaths occur in institutions; that 2.5 per cent of the total admissions to general hospitals in his section are for malignant disease; that the present development of special cancer facilities has not yet influenced favorably either the morbidity or the mortality from this disease. And he goes on: Cancer mortality in New York State during 1944 was 177 per 100,000 population; for South Carolina the rate the same year was 50 per 100,000. Many factors must be appraised for such a broad difi"erence. Treves realizes that the problem is the problem of the practitioner who ministers to these patients in their homes, that informing the relatives that the disease has reached an incurable stage is a duty of the general practitioner, who has had the patient returned to him following treatment by surgery or radiation therapy by the specialist. Treves believes it to be better not to tell the patient the nature of his disease. As he well says, many patients who will ask to be told the worst are least fitted to know the truth. Even against what appear to be hopeless odds there may be spontaneous regression and even disappearance of an advanced cancer. In all cases where there is no doubt as to the diagnosis some relative should be told the nature of the disease. The specialist and the family physician should keep each other advised, so that each may accomplish his part of the work to the immense advantage of the patient and the family. "Never tell a cancer patient or his friends that ]. Norman Treves, Xew York City, in IV. Fa. Med. Jl., Aug. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-22/nchh-22-108.pdf |
Document Sort | all; group-e; nchh-22 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-22-108 |
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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