Res Medica (E-Journal)
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Opera Occulta: Interrupted Fertility
Collected from the Society’s ArchivesMrs Buff, wife of Mr Buff, silk weaver in Fashion Street in Spitalfields, London, aged twenty-seven years, the mother of several Childrine, on 27th of July 1774, having gone her usual time of pregnancy, was attended by her midwife several days, but the labour pains ceasing, the midwife left her promising to return soon, but did not fulfill her promise, Mrs B. not being delivered of her child, thought she might have a month longer to go & went about her domestic affairs as usual
The Society’s Library
Amongst all the inventions,attainments and discoveries which have marked Man’s strange progression from Darwinian prehistory to this modern, hectic but stimulating civilisation, the realisation of his ability to communicate his thoughts and ideas in permanent form must rank extremely high. Few will deny that the discovery of writing, the manufacture of paper and the invention of the printing press are among the greatest landmarks in human history. Certainly in Medicine we can consider books to be amongst the most useful and basic of the tools of our trade—for here we can draw upon the wisdom and learning of preceding ages and it is here that we have contact with the minds of those generations of our predecessors who have risen and passed away. We in this Society rightly value the traditions of our past and I make no apology in presenting briefly some facts and some thoughts on that greatest of our links with the past— and not only with the past but with the future as well—our Library. I should like to tell you something of its history and of its present state; I should like to whet your appetite for exploration by exhibiting a few of its treasures and I should like to evaluate the place of the Library in the Society’s life, and its prospects for the future
Hypotensive Drugs
Based on a Dissertation read before the Royal Medical Society on Friday, 23rd October 1959.The arterial blood pressure is controlled by the autonomic nervous system. Information about the level of the arterial pressure is obtained by the stretch receptors of the aortic arch and the carotid sinus. An increase in pressure is registered as an increase in sensory discharge frequency and vice-versa. The sensory impulses reach the medulla by the carotid sinus nerves, the cardia-aortic nerves and the vagi. The central nervous mechanisms are such that changes in the arterial pressure evoke compensatory changes in the dynamics of the circulation. A fall in carotidsinus pressure, for example, evokes peripheral arteriolar constriction, an increase in venous tone and an increase in heart rate. Generalised arteriolar constriction increases total peripheral resistance. An increase in venous tone tends to increase the venous tilling pressure and the stroke volume of the heart. The combined increase in stroke volume and heart rate produces a rise in cardiac output, which, together with the increase in peripheral resistance,restores the original arterial pressur
Doctors and Artists
In "The Doctor\u27s Dilemma," Bernard Shaw suggests that there is more antagonism than attraction between the doctor-scientist and the painter. The average doctor may, however, make some claim to be an artist. In his professional work,art plays some role, even if it is restricted to that much maligned professional accessory the bedside manner. Doctors in their hobbies sometimes display a wider taste in art-for instance as painters or collectors.It is, however, my desire in this article to deal less with the links between doctors and art than with those between certain doctors and their artists. From the introduction of printing these links have been very close. The medical text-book has always required skilled illustration to make intelligible a letterpress which has not always been artistic. Many works of great medical importance owe their lasting fame as much to the perspicacity and skill of the illustrator as to any other inherent merit
Bright and Bright’s Disease
Richard Bright was born in 1789, the year in which George Washington became first President of the United States of America and France suffered a revolution. His father was a banker living in Bristol, an important city resting on the laurels of five centuries of maritime enterprise. The circumstances of his arrival were but the first of Bright\u27s fortunes for he was a man on whom the sun consistently shone. He had the very best education, locally in Bristol and subsequently at the school of medicine in Edinburgh; he achieved early and continuous success in medicine and lived to enjoy its reflection; he travelled extensively; he had the largest general practice in London and the best facilities for clinical and pathological research; he was a copious author and a delicate artist; he retired young to enjoy his leisure and he died unobtrusively in his 70th year. During his lifetime he was associated with some of the greatest names in medicine; he became himself one of the greatest names in medicine.As he is indubitably a giant figure in our medical history, I think it is worthwhile to examine his biography more minutely before going on to describe his contributions to medicine, and, more particularly to renal disease
Auscultation of the Heart II
So sang Gilbert 50 years ago and so might some sing today with regard to triple rhythm, particularly, perhaps, physicians brought up before the days of modern analysis but not, let us hope, the student of today who has the opportunity to start aright. Triple rhythm signifies that three heart sounds can be heard instead of the usual two and therefore this term should not be used to include splitting of the first or second heart sounds nor for extra-cardiac sounds. The added sound of true triple rhythm falls during diastole
Reflections
Memory, as those of us who sit examinations well know, is a lying jade at the best of times. Thus any subjective review of events occuring in the past session must be fragmentary and impressionistic. What follows is not a considered analysis of progress made and future objectives, but an armchair reverie.Dr. David Stafford Clark opened the 224th session with a most elegant address which captured the imagination of the audience that filled \u27the debating hall. This was a successful start and the promise of an excellent series of dissertations, talks and addresses to follow was entirely maintained. It is not however, the public face of the society which concerns me here, the articles of this journal are sufficient testimony of its workings. I shall attempt briefly to cast a lingering look behind and summon up the more personal impressions gleaned in the past session.The vigour with which the members engage in "Private Business" is the essential measure of the success or otherwise of a session. In this respect the 224th was unusually fortunate. However there is room for improvement and all too often members look on the society as a lending library with an optional lecture course. This apathetic attitude must be dispelled. "The more a member puts into the society the more he derives from it," is admittedly an old Tory jingle but experience repeatedly proves it to be true
Royal Medical Society Appeal Fund
Up to the date of publication the fund stands at £ 3,362 9s 10d, made up subscriptions and covenant subscriptions as follows:
Res Medica, Spring 1964, Volume IV, Number 2
TABLE OF CONTENTSTHE DESIGN OF THE ORGANISM: Professor R.B. FisherNATIONAL HEALTH SERVICE – SOME ACHIEVEMENTS: Hugh A. RaeburnSURVIVAL IN COLD WATER: J.R. RobertsonRES MEDICATHE STATUS OF ANTIBIOTICS: J.A. RaeburnPHYSICAL SIGNS IN THE CHEST Pt. II: Professor J. CroftonBOOK REVIEW
Res Medica
On Wednesday, February 19th, the triennial meeting for the revision of laws was held and as usual the question of admitting ladies was brought up. But this time, something unusual happened. By an overwhelming majority it was decided that ladies be admitted to the public business of the society. So it was that ladies were present at Professor Sir Dugald Baird’s address on the following Friday. It must be noted that on two or three previous occasions ladies have in fact been present at meetings of the society, so that precedent had been set for this decision.The society must now decide on the admission of ladies to full membership, and a motion proposing this will be brought before the society at the start of the next session. If ladies are to be admitted to full membership, this motion will have to be passed by a two-thirds majority at two consecutive business meetings. The widest publicity will be given for these meetings, and the first will take place at private business on the night of the inaugural address of the 228th session, in October of this year. It is hoped that a really good attendance will be registered at these important meetings