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British nurse pioneer Christianity and Scientific Investigation It may seem a strange principle to enunciate as To discover and to teach are distinct functions; the very first requirement in a Hospital that it they are also distinct gifts buy cardizem 120mg mastercard, and are not commonly should do the sick no harm cheap cardizem 60mg line. Notes on Hospitals Preface On the Scope and Nature of University Education Preface Never be afraid of open windows cardizem 60 mg on-line. Notes on Nursing Sir Harold Nicholson – My life now is as unlike my Hospital life when English writer I was concerned with the souls and bodies of men One of the minor pleasures in life is to be slightly ill. Observer () Letter to Revd Mother Bermondsey () The first possibility of rural cleanliness lies in Delbert H. The patient suffered from chronic remunerative Letter to Medical Officer of Health, November () appendicitis. The care and government of the sick poor is a Attributed thing totally different from the government of paupers. German philosopher and poet Reprint Society () Insanity in individuals is something rare – but in It makes me mad to hear people talk about groups, parties, nations and epochs it is the rule. There is a justice according to which we may Reprint Society () deprive a man of life, but none that permits us to deprive him of death: that is merely cruelty. Alexander Harvey) – German-born Viennese professor of medicine The most dangerous physicians are those who can act in perfect mimicry of the born physicians. Oakley – In the mortality bills, pneumonia is an easy second, British physician, King’s College Hospital, London to tuberculosis; indeed, in many cities the death-rate is now higher and it has become, to use the phrase Man may be the captain of his fate, but his also of Bunyan, ‘the Captain of the men of death. Aequanimitas, with Other Addresses ‘Medicine in the Transactions of the Medical Society of London :  () Nineteenth Century’ Julien Offray de la Mettrie – I desire no other epitaph (than) that I taught French philosopher and army surgeon medical students in the wards, as I regard this as by far the most useful and important work I have The brain has muscles for thinking as the legs been called upon to do. Aequanimitas, with Other Addresses ‘The Fixed Period’ L’Homme machine The human body is a machine which winds its The trained nurse has become one of the great own springs: the living image of perpetual blessings of humanity, taking a place beside the movement. Aequanimitas, with Other Addresses ‘Nurse and Patient’ Sir Heneage Ogilvie – Medicine is the only worldwide profession, Consulting Surgeon, Guy’s Hospital, London following everywhere the same methods, actuated A misleading symptom is misleading only to one by the same ambitions, and pursuing the able to be misled. Writing of ‘Imhotep’, an Egyptian healing divinity British novelist The essence of being human is that one does not A physician who treats himself has a fool for a seek perfection. Bean) Sir William Osler – One of the first duties of the physician is to educate the masses not to take medicine. Canadian physician and Oxford professor of medicine Sir William Osler: Aphorisms Ch. Aequanimitas, with Other Addresses ‘Teaching and Thinking’ Sir William Osler: Aphorisms Ch. Adhesions are the refuge of the diagnostically Aequanimitas, with Other Addresses ‘Chauvinism in destitute. Aequanimitas, with Other Addresses ‘Chauvinism in Medicine’ Science :  () It is astonishing with how little reading a doctor Dysentery has been more fatal to armies than can practise medicine, but it is not astonishing powder and shot. Appleton, Aequanimitas, with Other Addresses ‘Books and Men’ New York ()     ·   Varicose veins are the result of an improper I am no better in mind than in body; both alike are selection of grandparents. Montreal Medical Journal :  () Attributed In its more aggravated forms diffuse scleroderma is one of the most terrible of all human ills... God and the Doctor we alike adore Journal of Cutaneous Diseases :  () But only when in danger, not before; The natural man has only two primal passions, to The danger o’er, both are alike requited, get and beget. A general practitioner can no more become a Science and Immortality specialist than an old shoe can become a dancing Specialism, now a necessity, has fragmented the slipper. Sir James Paget – Address, Classical Association, Oxford, May () English surgeon Patients rarely die of the disease from which they As no two persons are exactly alike in health so suffer. Bartholomew’s Hospital Reports :  () estimate of the personal character, or the constitution of the patient. Did we not believe Galen implicitly for 1500 years and Hippocrates more than 2000? Stephen Paget – Attributed English surgeon, writer and reformer Talk of the patience of Job, said a Hospital nurse, Job was never on night duty. Constable and Co Ltd, London () Walter Lincoln Palmer – Whether we should destroy the mother to save the Don’t refer a patient to a psychiatrist as if you are child is a deplorable dilemma which should telling him to go to hell. So he whose belly swells with dropsy, the more he Attributed as his last words drinks, the thirstier he grows. A clear conscience, Enough Rope ‘News Item’ Desire to learn and to gather experience, A gentle heart and a cheerful spirit, James Parkinson – Moral manner of life and sobriety in all things, Greater interest in being useful to his patient than English general practitioner to himself. Norbert Guterman in Selected that a physician seldom obtains bread by his Writings) profession until he has no teeth to eat it. Symonds () does not consist of compounding pills and plasters; Involuntary tremulous motion, with lessened it deals with the very processes of life, which must muscular power, in parts not in action and even be understood before they may be guided. Therefore it behoves medicine to thinking, the pre-eminence must be assigned in follow the will of nature.

One form of zinc deficiency is the diet or taking over-the-counter lactase supplements hereditary skin disease acrodermatitis enteropath- before eating foods that contain lactose discount 60mg cardizem with amex. The metabolic disease in the baby’s liver deformation A change from the normal size or apparently causes the fatty liver disease in the shape of a structure produced by mechanical forces mother buy cardizem 120mg with mastercard. See also acute Deformations occur most often late in pregnancy fatty liver of pregnancy effective 60 mg cardizem. For example, a twin pregnancy can cause deformations due to crowding of the twins deficiency, long-chain-3-hydroxyacyl-CoA late in pregnancy. An example is the cri du chat (cat cry) syndrome, which is due to loss of part of chromo- degeneration, macular See macular degener- some 5. Symptoms include uncontrol- may partially or completely dehisce after surgery, lable trembling, hallucinations, severe anxiety, depending upon whether some or all of the layers of sweating, and sudden feelings of terror. Diseases of the gastrointestinal tract that cause vom- iting or diarrhea may lead to dehydration. Symptoms include increasing thirst, dry mouth, weakness or lightheadedness delta cell, pancreatic A type of cell located in (particularly when it worsens on standing), and a tissue that is called the islets of Langerhans in the darkening of or decrease in urination. Delta cells make somatostatin, a hor- dration can lead to changes in the body’s chemistry, mone that inhibits the release of numerous hor- kidney failure, and death. It contracts to move the arm up from out a prescription as a “nutritional supplement. Although most people have ment, language, motor and spatial skills, and func- experienced this feeling at one time or another, in tion. By definition, dementia is not due to major some people sensations of déjà vu are part of a depression or schizophrenia. Alzheimer’s disease is seizure or migraine aura; in others, the sensations the most common cause of dementia. Toothache can be caused by a problem that does not originate demulcent An agent that forms a soothing, pro- from a tooth or the jaw. For example, mucilage and oils dentin The hard tissue of the tooth that sur- are demulcents that can relieve irritation of the rounds the central core of nerves and blood vessels bowel lining. Demyelination exposes these fibers and appears to cause problems in nerve impulse Depo-Provera A contraceptive that is injected conduction. It contains the hormonal dendrite A short, arm-like protuberance from a compound medroxyprogesterone acetate. Depression is not the same as a ervation include disease, chemical toxicity, physical passing blue mood. It is not a sign of personal injury, or intentional surgical interruption of a weakness or a condition that can be wished away. Without treatment, dengue fever An acute mosquito-borne viral ill- symptoms can last for weeks, months, or years. The presence of depression include loss of interest in activities that fever, rash, and headache (the “dengue triad”) is were once interesting or enjoyable, including sex; characteristic. Dengue fever is endemic throughout loss of appetite, with weight loss, or overeating, with the tropics and subtropics. Also called breakbone weight gain; loss of emotional expression (flat fever, dandy fever, and dengue. Victims of dengue affect); a persistently sad, anxious, or empty mood; fever often suffer temporary contortions due to the feelings of hopelessness, pessimism, guilt, worth- intense joint and muscle pain. Other cal problems such as headaches, digestive disor- symptoms are bleeding with easy bruising, blood ders, or chronic pain that do not respond to spots in the skin, vomiting of blood, blood in the treatment, and thoughts of death or suicide or sui- stool, bleeding gums, and nosebleeds. Most called major depression, dysthymia, and bipolar deaths occur in children and infants are at particu- disease (manic-depressive disease). The disease tends to be associated with obesity and is dermatome 1 A localized area of skin that about five times more frequent in females than in receives its sensations via a single nerve from a sin- males. The fatty tumors are most often located on zoster) typically affects one or several isolated der- the trunk and limbs. The purpose of dermabrasion is with patches of slightly raised reddish or scaly rash. Chemical skin peels are an alterna- When inflammation of the muscle (myositis) occurs tive to dermabrasion. Dermatitis most common symptom is muscle weakness, usu- has many causes, including direct contact with an ally affecting the muscles that are closest to the irritating substance; allergic reaction to an inhaled, trunk of the body (proximal). Trouble with swal- ingested, or injected allergen; eczema; or underly- lowing may occur. Some patients develop include redness, itching, and in some cases, blister- hardened bumps of calcium deposits under the ing. Other treatments include detergents, especially those with perfumes; including immunosuppressing drugs, such as aza- chemicals used in photo development; ammonia thioprine and methotrexate, may be prescribed. Physical therapy is usually Treatment involves identifying and avoiding sub- recommended to preserve muscle function and stances that cause attacks and, during attacks, using avoid muscle atrophy. Dermatitis herpetiformis is asso- ciated with a disorder of the small intestine called dermatophytic onychomycosis See ony- celiac sprue.