Res Medica (E-Journal)
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Editorial
Get PDFIn the Royal Medical Society’s long and illustrious history there have been many eras. Last year the RMS saw the curtain fall on one such era. Patricia Strong was a stalwart and a guardian of the RMS for some thirty years in her role as permanent secretary
Editorial
Get PDFThe possibility of a major bioterrorist attack on the British Isles is thankfully remote. Nevertheless, it casts a disproportionately large shadow. The policy and practice of many major institutions has changed dramatically in the wake of anthrax attacks in the USA last year, and public awareness of such action has soared. In this issue, Professor Crawford discusses the use of viruses as agents of mass destruction (p3).
JJC Cormack LVO, MD, FRCGP, FRCPEd 1934-2002 Socius Librorum Custos
Get PDFWhen the history of the Royal Medical Society in the second half of the twentieth century comes to be written, a name which is certain to feature prominently in it will be that of Jack Cormack, whose death on 7 July 2002 is a most grievous loss not just to the Society but to the entire Edinburgh medical community. There was never a more faithful champion of the Society\u27s highest ideals and it was this which inspired his incomparable service to it in many different capacities.
Terrorism - a health sector response
Get PDFTerrorism and war are and always have been public health issues. Health professionals are in a unique position to act on this, being able to take a public health perspective on such issues
Peter David Handyside’s Diploma as Senior President of the Royal Medical Society
Get PDFOver the last few years, the author of this article was fortunate to be offered and purchased two diplomas dating from the first half of the 19th century. Both were awarded to Peter David Handyside1 (1808-81). He had graduated in medicine in 1831 with the Edinburgh M.D. degree. Shortly after he graduated, he pursued his anatomical studies, initially in Paris and then in Heidelberg under the distinguished physician Friedrich (or Frederick) Tiedemann (1781-1861). It is believed that his earlier apprenticeship under James Syme (1799-1870) had stimulated his interest in both Anatomy and Surgery. He was awarded the FRCS Edin. (Fellowship of the Royal College of Surgeons of Edinburgh) diploma in August of 1833, and was for most of the rest of his career a practising surgeon. The subject of his probationary essay was Osteo-aneurism, and this was dedicated to Tiedemann. He commenced the teaching of Anatomy in Edinburgh in the summer of 1834, and was, on and off, for over 45 years a teacher of this subject at the Edinburgh Extra-mural School. He taught this subject until a few weeks before his death. While a medical student, he was elected Senior President of the Royal Medical Society during the Society’s 92nd Session (1828-29). He had also been awarded the Harveian Society medal in 1827, and was in 1837 appointed Secretary of the Harveian Society. During the same year, he was elected to a Fellowship of the Royal Society of Edinburgh, while in 1871 he was elected President f the Medico-Chirurgical Society of Edinburgh
History of Angina
Get PDFLadies and gentlemen, Angina Pectoris was first brought to the notice of the medical profession by William Heberden in 1772, although references to pain in the breast and arm in relation to disease affecting the heart and occurring on exercise are found in ancient Egyptian and Roman literature, and more particularly in the 17th and early 18th centuries. It was not until 1768, however, when Heberden read his paper entitled, “Some Account of the Disorder of the Breast”, before the Royal College of Physicians in London, that the condition was given the name of “Angina Pectoris”. Heberden’s observations were based on a study of twenty cases and by the time he had incorporated the description in his book, “Commentaries on the History and Cure of Diseases”, this number had grown to one hundred of which three were women, one was a boy twelve years old, and the rest were men of fifty years of age or over. In one or two of the patients mentioned original pain lasted for some hours; in one case the first attack continuing all night. Some died suddenly but these were more probably cases of myocardial infarction; in fact he mentioned that if the disease goes on to its height, the patients suddenly fall down and perish almost immediately
The Pathology of Angina Pectoris
Get PDFMr. Chairman,First let me express my deep appreciation of the honour which you have done me in inviting me to take part in this historic occasion. When speaking of the pathology of angina it is fitting not only to consider recent information but also to review some of the fundamental contributions of earlier workers.In this respect my task is made lighter by the able presentation of historical aspects of angina by Miss Leach, and I should like to compliment her upon it.Lauder Brunton and his contemporaries advanced many theories about the origin of cardiac pain. Brunton himself favoured weakness of the heart in the face of excessive load (Brunton, 1891). Nowadays few would question that the pain has its origin in the myocardium under conditions of ischaemia; and that this affects the heart when “the supply of energy and its expenditure do not balance each other” . In this statement of the modern concept I have borrowed the words of the Scottish anatomist Allan Burns, 1809
Second Discussion
Get PDFDr. Adams: I would like to ask Dr. Gorlin whether the formation of polypeptides in the area of ischaemia has actually been demonstrated. He spoke of kallikrein, but is this based on actual demonstration? One would expect some of these substances to form in an area of injury where intracellular lysozymes liberate their hydrolytic enzymes.Dr. Gorli
Is Angina Preventable?
Get PDFLast week I looked through some of the earlier records of the hospital where you, Sir, and I and most of us here had our training. You may like to know that the interest in ischaemic heart disease which Lauder Brunton established 100 years ago is being actively perpetuated in the same ward. The area where we established the first major Coronary Care Unit in Britain a year ago is very probably the same as that where young Brunton made his classical observation concerning the use of nitride of amyl.Prevention of ischaemic heart disease, whether we are considering angina or myocardial infarction, must be taken to mean the prevention of the premature onset of the disease. Death from a heart attack at an advanced age would not necessarily seem undesirable
Interstitial Lung Disease in Rheumatoid Arthritis: A Clinical Dilemma
Get PDFRheumatoid arthritis (RA)–associated interstitial lung disease (RA-ILD) is an increasingly common extra-articular cause of mortality and morbidity in RA. Here, we present the case of an 82-year-old female suffering from RA-ILD. She presented with a 20-year history of RA with new-onset progressively worsening dyspnoea, pyrexia, and dry cough, which were not responsive to initial antibiotics. Moreover, she had been on long-term methotrexate, which can cause pulmonary disease. Investigations revealed raised inflammatory markers, restrictive lung patterns, and radiological features of ILD. She was treated with a tapering course of oral prednisolone and home oxygen, which provided some symptomatic improvement. Diagnosis of RA-ILD can be challenging due to several contributing factors. Optimal treatment is controversial, and corticosteroids have been widely used but with limited effects. There is evidence directed at potential therapeutic benefit from a number of newer agents, which are discussed.