Word: patients
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Dates: during 1960-1969
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...operating room at Danang East, two green-gowned Navy surgeons wielded their scalpels as Medical Corps technicians hovered around the table. But the patient was not one of the U.S. Marines for whose after-battle care the big Navy hospital was primarily in tended. She was Hoi Pham Tri, a tiny, frail Vietnamese girl...
...urge to climb to the tower and kill people several months before the event took place. "Thousands of people?and I mean literally thousands," says University of Chicago Psychiatrist Robert S. Daniels, "talk to doctors about having such feelings. Nearly all of them are just talking." Deciding which patients mean it is still more art than science. Doctors tend to take a patient seriously, of course, if he relates his threat to a particular happening or circumstance ("The next time they read my mind, I will . . .") or has the immediate means and resources to carry out his threat (a chemist...
Medical reluctance to call in the police is rooted both in therapeutic practice and the practicality of the law. Successful treatment of mental illness depends on the confidence of the patient in the therapist. If doctors were expected by the public and their patients to report every threatening remark, they would soon have few patients. Moreover, as New York's Deputy Police Commissioner Sylvan Fox noted last week, "we can't arrest people because they are ill." Adds New Jersey Psychiatrist Henry A. Davidson: "We are in a situation now where there is enormous pressure for civil rights. The idea...
Some states empower a doctor to order commitment to a mental hospital when he thinks a patient dangerous?at least long enough to subject him to a thorough examination by psychiatrists. Other states insist that the individual commit himself voluntarily, that his family commit him or that the courts remand him into hospital care. In such situations, the doctor can only try to persuade, though the psychotic is not notably amenable to having himself locked up. Nor, often, is his family, who may still regard mental illness as a shameful smirch and resist formal commitment to an institution until...
About one-fourth of all dysautonomic children die by age ten, Dr. McKusick reports. After that the death rate mounts steadily; the oldest patient on record is 36. The usual cause of death is the very problem that the infant encounters at first feeding: inhalation of food into the lungs, causing pneumonia, often coupled with heart failure. So far, the best palliative treatment for dysautonomia consists of using tranquilizers to help control the intense vomiting that characterizes the disorder. There is no cure...