Heart and blood

AT THE SURGICAL CLINIC

I am the attending surgeon of four patients whose lesions (traumas) required surgical approach. They had the most serious operations, e.g., excision or cutting out a swelling, incision in the flank for exposure of the kidney, and so on.

The postoperative care of surgical patients requires concerted work of the surgeon and the nurses, who know their responsibilities.
Patient O. 's condition is quite satisfactory. He looks and feels much better. His temperature and pulse are normal and the best regimen for this patient is: (1) to get him out of bed on his feet, (2) to give him an entirely normal diet, and (3) to have out – of – door physical exercise.
Patient P.'s condition continues to improve. His symptoms are not severe, though pains in his stomach still persists, but they are less severe. He complains less and keeps more quiet.
Patients S. is not worse though his temperature is higher; his blood pressure is lower and pulse is more audible. However, there is still an impairment of some of the functions of his body that results from a severe shock, which he had two days ago.
Patient R. continues to complain of a bad headache. He has aortic incompetence due to strain in excessive athletic exercise. His headache is nervous as he is unduly excitable and hates to keep the bad.

FROM the HISTORY of MEDICINE THE CONQUEST of SMALLPOX

In the 18 ^th century smallpox was one of the main causes of death. Young and old caught this disease. Children of poor parents died before they were five years old. Edward Jenner was an English physician. He was born in England in town. Jenner studied medicine in London and in 1773 he returned to his native town.

Once a milkmaid said to Jenner - “I shan’t catch smallpox as I have already bad cow-pox”. Jenner asked the country people about cow-pox and found that many men and women thought it like the milkmaid. For more than 20 years Jenner studied cow-pox and experimented on animals.
In 1976 a young woman came to Jenner. “What is the matter with you?” Janner asked her. “Please, look at my hand, doctor”, answered the woman. I have got a sore on it. I think I have caught it from a sick cow. The doctor examined her hand. He pressed out some of the matter from one of the pock-marks; then he cut the skin on the area of an 8 years old boy rubbed some cow-pox mater into his arm. The name of the boy was James. Every day he visited the boy and several days later Jenner inoculated the boy with smallpox matter. Time passed but the boy’s health didn’t suffer.
He never caught smallpox. It was a great conquest. The experiment was successful. The terrible disease was beaten.
Jenner called his new method “vaccination” from the Latin word “vacs” which means a cow. Janner received many awards from all over the world. He built a house for James Phipps and planted roses there. To his last days the “country doctor” lived simple, vaccinating free of change anyone who come to him. He died at Berkley in 1823. There is a monument in London which shows Janner vaccinating a child.