Word: internist
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Dates: during 1950-1959
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Lieut. Commander Lay M. Fox, 31, an internist from Baltimore, got the same story of chills and fever, noted a pustule on the right ankle. In Sakacs' right groin he found two groups of enlarged lymph nodes, each about one inch by two inches. Like 99.9% of U.S. physicians, young Dr. Fox had never seen a case like it. But on the strength of the fleabite and the buboes, he made a quick diagnosis: bubonic plague...
Says Early: "There's no reason for a doctor to send Johnny off to a pediatrician to have a boil lanced or a sliver removed, just because Johnny is under twelve. Yet an internist is supposed, ethically, to send all patients under twelve to pediatricians. There's no reason why a general practitioner can't do most minor surgery and most obstetrics. If there's anything unusual about a case he'll call in a specialist anyhow." General Practitioner Early starts practice this week in Lemon Grove (pop. 20,000), nine miles from San Diego...
...Page most is that overspecialized modern medicine has not organized itself properly over the years to take broad-front action. Not only the disease but the patient has been senselessly partitioned. A man's brain, if he had a stroke, was in the province of the general internist. The gangrenous toes of his friend who suffered from Buerger's disease went to the angiologist. His heart belonged to the cardiologist, who grudgingly took responsibility for high blood pressure-but could do little for it. His kidneys were annexed by the urologist. Pleaded Dr. Page at New Orleans this...
...pressure-raising chemical isolated by Page and colleagues) makes a strip of rat uterus contract, and the ways in which serotonin and other body chemicals cancel each other's effects. Dr. James McCubbin is probing breakdowns in nerve impulses that throw blood-pressure control out of kilter. Famed Internist Willem Kolff, who invented the artificial kidney when his native Netherlands was under Nazi occupation, has developed a $14 model in a gallon can. Dr. Page himself spends two or three days a week in the lab-last week he was testing the effects of new chemicals on blood pressure...
Alert merchandisers are selling the U.S. books of the month, shows of the month, even fruit of the month. Latest item: disease of the month. Thought up by Boston Internist Mark Aisner, the new service offers a series of monthly booklets on the symptoms and care of interesting diseases (February selection: Essential Hypertension). The Disease-a-Month pamphlets are written by experts, distributed by Chicago's Year Book Publishers, Inc., and come with a handy orange-colored binder. They are designed for doctors, but subscribers (10,000 to date) presumably include a few lay hypochondriacs. Price per year...