Res Medica (E-Journal)
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North American Frontline Medical Care as Experienced on a Fifth Year Elective
Get PDFWhen planning my elective I wished to experience Medicine in North America as it is often at the forefront of medical developments. This would also allow me to make comparisons with our National Health Service. I arranged a four week attachment in cardiology in Toronto and a similar period at Columbia University Hospital in New York in the Medical Emergency Room. As an undergraduate, no formal USMLE qualifications were required for elective periods at these locations, and in order to work in America all doctors must have these qualifications. As I do not intend to obtain this qualification this was the only opportunity for me to experience the healthcare system in North America from the inside
Book Reviews
Get PDFMedical Teaching in Edinburgh during the 18th and 19th centuries, Matthew H. Kaufman, The Royal College Surgeons of Edinburgh 2003Medical Microbiology – Third Edition, Cedric A Mims (Editor
On the Shoulders of Giants
Get PDFCullen, Syme, Simpson, Lister, Littlejohn, Lauder Brunton, Dunlop; all names synonymous with the history of medicine, all names synonymous with the history of Edinburgh medicine, all names synonymous with the history of the Royal Medical Society
PathCAL - The Saga So Far
Get PDFMany Edinburgh medical students will be familiar with the set of computer assisted learning programs (CALs) called PathCAL, which help the user understand the basic pathological principles of disease. Currently we have approximately 110 programs running on the Web, available to anyone with access to the Edinburgh Electronic Medical Curriculum (EEMeC). These programs did not spring into being overnight: their gestation was long and frustrating. I am taking up the offer to relate it, although I am acutely aware that writing about the history o f anything from personal experience is a real sign of advancing years
Book Reviews
Get PDFReview of Medical Physiology, Twenty-first Ed. ,William F. Ganong and Robbins & Cotran Pathologic Basis of Disease - Seventh Ed., V.Kumar. N . Fausto, A . Abba
Cardiac Function in Patients with Angina
Get PDFIt is a great honour and pleasure for me to be invited to this meeting, commemorating the introduction by your former member, T. Lauder Brunton, of amyl nitrite as a potent remedy for anginal pain, one hundred years ago.For some years, I have been interested in the haemodynamic consequences of coronary heart disease, the most common cause of anginal pain. That this symptom is due to an improper balance between the myocardial demand for energy and the supply available from the coronary circulation has been more or less generally accepted for a long time. This view seems, for instance, to have been held by Allan Burns in his book on cardiology printed in this city in 1809. The exact cause of the pain is still uncertain. It seems, however, to be linked to inadequate delivery of oxygen to the myocardium, either generally or locally. And metabolic studies (Cohen el al. 1965) have indicated changes probably due to hypoxia in patients with coronary heart disease not only during but also in the intervals between attacks of angina pectoris. If reduction of the coronary circulation and abnormal metabolism are common in these patients, it is reasonable to expect a reduction in ventricular function as well. However, one of the main symptoms of impaired left heart function, namely dyspnoea, has not been generally regarded as a feature of this condition (P. Wood 1953)
The Society
Get PDFThe Presidents’ Annual Dinner, with guest of honour Sir Ma x Rosenheim, attained its traditional level of elegant conviviality. Wine and wit flowed merrily enough and once more it became hard to imagine how the Society could ever have conducted such an evening without the grace (and organising ability!) ofthe ladies. The formality of the dinner has always occasioned the wearing of white ties and tails by the chief guests and hosts. However this year continued the trend towards the wearing of the simpler black tie and dinner jacket and although a certain uniformity of dress is aesthetically preferable it would be a pity if any difference of opinion about what constitutes suitable attire were to blossom into a big-enders versus little-enders struggle
The Society
Get PDFAs a result of a recent debate in the Society, during which many of the Royal Medical’s most hallowed offices and operations came under criticism, a small committee was set up to examine the Society’s role and procedure, and in particular to determine which traditions of the Society arc detrimental to its smooth-running and optimum membership
Tissue Transplantation
Get PDFThe transplantation of tissues from one site to another has been the subject of surgical endeavour for many centuries. Simple flap procedures for the repair of defects in the skin of the nose, mouth and cars were known to the Greeks and Romans of the first century A.D., and a form of rhinoplasty was carried out by Indian surgeons, using local flaps, more than two thousand years ago. A more sophisticated technique of rhinoplasty, involving the transfer of a pedicled skin flap from the arm, was used by Tagliacozzi in the fourteenth century. Powerful opposition to such interference in the works of the Almighty came from the Ecclesiastical authorities, and not only was Tagliacozzi discredited, but further progress in this field was firmly suppressed until the eighteenth century.In 1785, in Edinburgh, a series of experiments of some interest were carried out by a certain Mr. Fife and other members of the Royal Medical Society, and their work is recorded in the Society’s Experimental Committee Records for that year. They were interested in the possibility of blood transfusion, and used as their experimental subjects pairs of calves, one of each pair being bled via the carotid artery into a jugular vein of the other. In one instance they used as a conduit a pair of ivory cannulae connected by a piece of intestine which they had previously removed from a cat, and on other occasions they used simple metallic tubes
Diagnostic Problem
Get PDFSUBJECT: Female, age 51.HISTORY: Pain for nine months of a sharp, gripping nature lasting a few seconds at a time and occurring several times per day. No relation to meals, etc.ON EXAMINATIONA large mass in the right inguinal fossa was noticed by her General Practitioner on the evening of admission. Some tenderness and guarding was present. Patient was afebrile.P.V.: Pelvis empty but lower pole of mass palpable high up on right side the mass having a soft consistency.B.S.: Present