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archive:fun:medicine
                                   Chapter 9
                         MEDICINE AND THE HUMAN MACHINE
                               A Medical History
            In  ancient  Japan, teeth were extracted by dentists who used
       only their fingers.
            Hundreds of years ago, Chinese doctors were not paid by their
       sick patients, but only by those who they kept healthy.
            In the times of  Aristotle,  the  Greek  philosopher,  people
       thought  that the liver, not the heart, was the center of emotion.
       Now we know that it is not the heart, either.
            Before giving up on a patient they couldn't cure, doctors  in
       the  Middle  East  used  to  display that patient in the center of
       town, in case a passerby might speak up with a cure.
            After reading the books that interested him, Hippocrates (for
       whom the Hippocratic oath of medicine is named) supposedly  burned
       down  a  library, so that his competitors would not have access to
       the same information.
            The barber's pole dates from the time when barbers were  also
       surgeons. It represents a bandage wrapped around an injured arm.
            The   Rx   sign  that  pharmacists  use  was  originally  the
       astrological sign for Jupiter.
            While Europeans were dying by the thousands, the Chinese were
       using a vaccination  against  smallpox.   They  would  inhale  the
       powdered material from the sores of a smallpox victim.
            One  of  the remedies recommended for the Black Plague was to
       put the intestines of young pigeons or puppies on the forehead.
            A medical curiosity was David Kennison, who was born in  1736
       and   participated  in  the  Boston  Tea  Party.  At  the  age  of
       seventy-six, serving in the War of 1812,  he  lost  a  hand  to  a
       gunshot  wound.   Later,  a  tree  fell  on him, and fractured his
       skull.  Some years later, while training soldiers in the use of  a
       cannon,  something went wrong and an explosion shattered his legs.
       He recovered. Yet later,  a  horse  damaged  his  face.   He  died
       peacefully in 1851 at the age of 115.
            Cataract surgery (removal of lens from eye) was first done in
       1748. But the first anesthesia wasn't until 1842!
            In 1809, a woman had a twenty-two pound ovarian tumor removed
       without anesthesia.
       Here is some advice from a book 132 years  old: (this is no longer
       corsidered correct)
            "DROWNING.  - Attend to the following  essential  rules:
            -  1. Lose no time. 2. Handle the body gently.  3. Carry
            the body with the head gently raised, and never hold  it
            up   by   the  feet.  4.  Send  for  medical  assistance
            immediately, and in the  meantime  act  as  follows:  1.
            Strip the body, rub it dry: then rub it in hot blankets,
            and  place  it in a warm bed in a warm room. 2.  Cleanse
            away the  froth  and mucus from the  nose  and mouth. 3.
            Apply  warm  bricks,  bottles,  bags of sand, &c. to the
            arm-pits, between the thighs and soles of the  feet.  4.
            Rub the  surface of the body with the hands  enclosed in
            warm dry worsted socks. 5. If  possible,  put  the  body
            into  a warm bath. 6. To restore breathing, put the pipe
            of a common bellows into one nostril, carefully  closing
            the  other  and  the  mouth;  at  the same  time drawing
            downwards, and pushing gently  backwards the upper  part
            of  the windpipe, to allow a more free admission of air;
            blow the bellows gently, in order to inflate the  lungs,
            till the  breast be raised a little;  then set the mouth
            and nostrils free, and press gently on the chest; repeat
            this until  signs  of life  appear.   When  the  patient
            revives  apply  smelling-salts  to  the  nose, give warm
            wine or brandy and water.  Cautions.  1. Never  rub  the
            body  with  salt  or spirits.  2. Never roll the body on
            casks. 3. Continue the remedies for twelve hours without
            ceasing."
            And from that same old book:
            "LEECHES AND THEIR APPLICATION. -  The  leech  used  for
            medical  purposes  is  called the hirudo Medicinatis, to
            distinguish  it  from  other  varieties,  such  as   the
            horse-leech  and the Lisbon leech. It varies from two to
            four inches in  length,  and  is  of  a  blackish  brown
            colour,  marked  on  the back with six yellow spots, and
            edged with a fellow line on each side. Formerly  leeches
            were supplied by Sweden but latterly most of the leeches
            are  procured  from  France, where they are now becoming
            scarce.
                 When leeches are applied to a part,  it  should  be
            thoroughly  freed  from down or hair by shaving, and all
            liniments, &c., carefully and effectually  cleaned  away
            by  washing.  If  the leech is hungry it will soon bite,
            but sometimes great difficulty is experienced in getting
            them to fasten on. When this is the case, roll the leech
            into a little porter, or  moisten  the  surface  with  a
            little  blood,  or milk, or sugar and water, Leeches may
            be applied by holding them over the port with a piece of
            linen cloth or by means  of  an  inverted  glass,  under
            which they must be placed.
                 When  applied  to the gums, care should be taken to
            us a a leech glass, as they are apt to  creep  down  the
            patient's  throat;  a large swan's quill will answer the
            purpose of a leech glass. When leeches are  gorged  they
            will  drop  off  themselves;  never tear them off from a
            person., but just dip the point of  a  moistened  finger
            into some salt and touch them with it.
                 Leeches  are supposed to abstract about two drachms
            of blood, or six leeches draw about an ounce;  but  this
            is independent of the bleeding after they have come off,
            and more blood generally flows then than during the time
            they are sucking."
            One  hundred  years  ago (1890), in Connecticut, Idaho, North
       Carolina, Oregon, Tennessee, Texas and West Virginia, it was legal
       to practice medicine with no training whatsoever.  Texas, however,
       required a high school diploma.
            Surgeons used to have to operate quickly, before the patients
       died of extreme pain or blood loss. Robert Liston worked  so  fast
       that  one  day  he accidentally cut off his nurse's fingers. It is
       not known whether the rest of the operation was a success.
            As  late  as  34  years  after  the  public  introduction  of
       anesthesia,  some  doctors  refused  to use it. Some said that the
       shock of pain is a necessary ingredient to recovery.  Others  were
       afraid,  because  some preachers said that anesthesia was the work
       of the devil.
            Most people  don't  realize  that  Charles  Lindbergh  was  a
       pioneer  in  medical  technology. He worked on an early heart-lung
       machine.
            The flu mutated into a killer in 1918 and killed  20  million
       people. Over half a million Americans died.
            In 1976, doctors in Los Angeles went on strike because of the
       rising   cost   of   malpractice   insurance.   All  elective  and
       non-emergency surgery and medical attention were canceled.  During
       that time, eighteen percent less people died than usual.
            From  all  our  exposure  to  unnecessary  penicillin through
       medication as well  as  through  treatment  of  cattle  and  pork,
       life-threatening  bacteria  have grown resistant to our number-one
       line of defense.  In 1960, 13% of  staphylococci  infections  were
       resistant to penicillin. Now, 91% are resistant to penicillin.
            There  were 1,647 heart transplants in 1988. There were 1,700
       liver transplants in 1988.
            In the future people will be able to regrow missing  arms  or
       legs  like  a  salamander can grow a new tail.  Research has shown
       promising results in getting bone to grow with the application  of
       electricity.  Children under age five who lose the tip of a finger
       up to half-way to the outermost  joint,  if  left  untreated,  the
       finger  will  completely  regrow. If medical attention is applied,
       stitches for example, the child's finger will not regrow.
            In   Tibet,   monks   occasionally  performed  brain  surgery
       successfully.  They would bore a hole through a person's  forehead
       and  insert a tube into their pineal gland, at the bottom of their
       brain. This was to induce a "mystical state of consciousness."
                             Medical Miscellaneous
            Dr. James Muatt lived to the age of 120 and spent 95 years in
       the practice of medicine.
            Two of every five Americans have never been to a dentist.
                                Modern Medicine
            One  out  of  every eight Americans will spend some time as a
       patient in a hospital this year.
            There is a phenomenon  called  noscomial  disease.  It  means
       coming to a hospital for some reason, and catching another disease
       while  in the hospital.  Hospitals are not healthy places. One out
       of every 21 Americans admitted will catch  something  else  merely
       from  being  in the hospital.  Every year, 15,000 Americans die of
       something other than what they were admitted for.
            Of all the people who  work  in  hospitals,  only  1.78%  are
       doctors. 17.27% are clerical workers. So there are nine times more
       people  involved  with  the  paperwork, than those involved in the
       actual work!
            An  average  person in America who is over 65 years old takes
       between ten and twenty prescription pills every day.
            A woman started showing a  bunch  of  general  symptoms  that
       doctors  could  not diagnose. She went from one doctor to another.
       One recommended that she have her uterus  removed.   Finally,  her
       problem  was  relieved  by  a  dentist.   He  discovered  she  was
       suffering mercury poisoning from her  fillings.   He  removed  the
       fillings and substituted another material.
            EEG  and  EKG  machines  are  not  perfect.  In one study EKG
       machines indicated a heart problem in healthy people  20%  of  the
       time.   Sometimes  in  a  room with more than one EKG, one machine
       will read the electrical leaks of another.   In  another  study  a
       researcher  hooked  up an EEG to a mannequin whose head was filled
       with lime jello and the EEG found signs of life.
            The average doctor goes to medical school for four years, yet
       gets only two and a half hours of education  on  nutrition  as  it
       applies to preventive medicine or curative medicine.
            16 out of every 100 doctors will be sued this year.
            A  sociologist  did  a  study  that turned up some mortifying
       results.  It seems that the people who work in hospital  emergency
       rooms  are  more  likely  to  administer resuscitation attempts on
       patients who are brought in dead on arrival who are good  looking,
       than on those patients who are uglier.
            Anyone  who  thinks Western medicine is a joke should realize
       that in Guinea, where modern medicine is not practiced,  over  75%
       of the people die before the age of 50.
                                    Surgery
            Theoretically,  a human can survive without the stomach, most
       of the intestines, one kidney, 3/4 of the  liver,  and  one  lung.
       Furthermore,  the  legs  and  arms  and  sex organs can be removed
       successfully. Don't try this at home.
                        A Case of Do-it-Yourself Surgery
            In the 1600's a locksmith was suffering from bladder  stones.
       Being  a locksmith, he was used to logical repairs to problems. He
       took matters into his own hands, and removed his own bladder stone
       with a kitchen knife.
            In  Kenya,  African  fire  ants are what doctors use to close
       surgical wounds in place of sutures. The ant is  induced  to  bite
       the two sides of the wound with its mandibles, and hang on.
            The  longest  operation  on  record  took  96  hours.  During
       February 4 - 8, 1951, surgeons in Michigan removed an ovarian cyst
       from a woman.  When they were done, she weighed 308 lbs less.
            Joseph Ascough who was born in 1935 holds the record for  the
       most  major  operations. He has had 327 surgeries for warts in his
       windpipe.
            Sometimes  doctors  make  mistakes  that  are   like   simple
       bookkeeping errors.  Surgeons once removed a kidney from a man who
       had  a  kidney  tumor.  The problem was that they removed the good
       kidney. And they have been known to  saw  the  wrong  leg  off  an
       amputee.
            Sometimes  surgeons  take  an  organ totally out of a person,
       overhaul it on a workbench, like a car mechanic working on a power
       steering unit, then re-install it. This is done  most  often  with
       kidneys to remove difficult tumors.
            Want  to improve your vision without using glasses or contact
       lenses.  Here's what you do: 1. Get a donated cornea. 2.  Cool  it
       to  -70 degrees. 3. Fasten it on a lathe and trim it to the proper
       shape to refocus light. 4. Stitch it on over your present  cornea.
       -  Or have an eye surgeon do it for you. This new technique is now
       in frequent use.
            One out of every 243 Americans will have plastic surgery this
       year.
            There is a new twist in plastic surgery. Surgeons can take  a
       bone  from  your body, smash it into paste, then mold it like clay
       into a new shape and replace it.  This  has  been  done  with  one
       seven-year-old  boy  whose skull was  misshapen. They  removed the
       whole top of his head, pulverized it, then re-formed it and put it
       back on.  The headache the boy suffered was less than the ones  he
       was  otherwise  doomed  to  due to the previous shape of his head.
       Perhaps surgeons of the future should be encouraged to  play  with
       Play-Doh when they are growing up.
                                     Birth
            Scientists are working on the possibility of removing a dying
       woman's ovaries and save the eggs so that the woman can still have
       children, even after she is dead.
            If  you split a human embryo when it is less than a week old,
       identical twins will develop. This is already done with cattle.
            Fetuses have gills.
            One out of every 88 births is twins.
            One out of every 512,000 births is quadruplets.
            One out of every 16 children are born with defects.  Most  of
       these  are  minor, such as the babies born with tails. When a baby
       is born with a tail, the doctors  cut  it  off  right  away.  Most
       people do not know if they had a tail.
            "Ten  years  ago  80%  of underweight, premature babies died,
       while today 80% survive." - Allan Maurer
            "If you're pregnant, you go to the doctor and he  treats  you
       as  if  you're sick. Childbirth is a nine-month disease which must
       be treated, so  you're  sold  on  intravenous  fluid  bags,  fetal
       monitors, a host of drugs, the totally unnecessary episiotomy, and
       -  the  top  of  the line product - the Caesarean delivery!" - Dr.
       Robert S.  Mendelsohn, from his book,  Confessions  of  a  Medical
       Heretic
            The  infant mortality rate in Canada is 25 percent lower than
       in America.
            In 1793, in France a true cyclops was born. She  was  a  girl
       who lived to fifteen years old. She had a single eye in the middle
       of her face.
            In  Finland  babies were born in saunas until the 1920's. The
       babies probably were more comfortable arriving  in  a  dark,  warm
       room than in a bright, cold hospital room.



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