59 - Cry of the Suffering Organs
Bedside Rounds30 Nov 2020

59 - Cry of the Suffering Organs

Diagnosis is arguably the most important job of a physician. But what does it actually mean to make a diagnosis? In this episode, we'll explore this question by tracking the development of the "classical" model of diagnosis and pathological anatomy and discussing three cases over three hundred years. Along the way, we'll ponder the concept of the lesion, iatromechanistic theories of the human machine, the birth of the International Classification of Diseases, and the rise and decline of the autopsy.

You can sign up for the iMED Digital Education conference at cmeregistration.hms.harvard.edu/digitaleducation.

Sources:

  1. Hooper R, The Physician's Vade-Mecum: Containing the Symptoms, Causes, Diagnosis, Prognosis and Treatment of Diseases. 1812.
  2. Holdman L et al, The Value of the Autopsy in Three Medical Eras. N Engl J Med 1983; 308:1000-1005.
  3. Cabot RC et al. CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITALANTE-MORTEM AND POST-MORTEM RECORDS AS USED IN WEEKLY CLINICO-PATHOLOGICAL EXERCISES. Case 9431. Boston Med Surg J 1923; 189:595-599.
  4. Shojania KG and Burton EC, The Vanishing Nonforensic Autopsy. N Engl J Med 2008; 358:873-875
  5. Morgagni GB. The seats and causes of diseases investigated by anatomy in five books, containing a great variety of dissections, with remarks. To which are added ... copious indexes. 1769. Retrieved online: https://openlibrary.org/works/OL15821973W/The_seats_and_causes_of_diseases_investigated_by_anatomy
  6. Castiglioni A, GB Morgagni and the Anatomico-pathological Conception of the Clinical. Proceedings of the Royal Society of Medicine, November 7, 1934.
  7. Thiene G, Padua University: The role it has played in the History of Medicine and Cardiology and its position today. European Heart Journal, Volume 30, Issue 6, March 2009, Pages 629–635.
  8. Zampieri F et al, Origin and development of modern medicine at the University of Padua and the role of the "Serenissima" Republic of Venice. Glob Cardiol Sci Pract. 2013; 2013(2): 149–162.
  9. Conner, Annastasia (2017) "Galen's Analogy: Animal Experimentation and Anatomy in the Second Century C.E.," Anthós: Vol. 8: Iss. 1, Article 9.
  10. Zampieri F et al. The clinico-pathological conference, based upon Giovanni Battista Morgagni's legacy, remains of fundamental importance even in the era of the vanishing autopsy. Virchows Arch. 2015 Sep;467(3):249-54.
  11. Ghosh SK, Giovanni Battista Morgagni (1682-1771): father of pathologic anatomy and pioneer of modern medicine. Anat Sci Int. 2017 Jun;92(3):305-312.
  12. O'Neal JC, Auenbrugger, Corvisart, and the Perception of Disease. Eighteenth-Century Studies Vol. 31, No. 4, The Mind/Body Problem (Summer, 1998), pp. 473-489
  13. Brown TM, THE COLLEGE OF PHYSICIANS AND THE ACCEPTANCE OF IATROMECHANISM IN ENGLAND, 1665-1695. Bulletin of the History of Medicine Vol. 44, No. 1 (JANUARY-FEBRUARY 1970), pp. 12-30
  14. Roos AM, Luminaries in Medicine: Richard Mead, James Gibbs, and Solar and Lunar Effects on the Human Body in Early Modern England. Bulletin of the History of Medicine Vol. 74, No. 3 (Fall 2000), pp. 433-457 (25 pages)
  15. Frith J, History of Tuberculosis. Part 1 – Phthisis, consumption and the White Plague. JMVH. 2014; 22(2).
  16. World Health Organization, History of the development of the ICD. https://www.who.int/classifications/icd/en/HistoryOfICD.pdf
  17. Laennec RTH, A treatise on diseases of the chest and on mediate auscultation. 1834. Retrieved from: https://archive.org/details/b21987002.
  18. Marinker M, Why make people patients? J Med Ethics. 1975 Jul; 1(2): 81–84.
  19. King LS, Medical Thinking: A Historical Preface. Princeton University Press, 2016.

Det här avsnittet är hämtat från ett öppet RSS-flöde och publiceras inte av Podme. Det kan innehålla reklam.

Avsnitt(86)

74 - R2D2

74 - R2D2

What does it mean when a computer can make better medical decisions than a human? The progress in large language models, and in particular the popularity of ChatGPT, has brought these questions to the...

3 Sep 202333min

73 - Seadragon

73 - Seadragon

What happens when a patient far from surgical care – say, at the bottom of the Pacific ocean on a submarine, or at a research base in Antarctica in the middle of the winter – develops a surgical abdom...

26 Juni 202327min

72 - Problems

72 - Problems

American doctors spend the majority of their time during the day on the computer, either writing or reading notes about their patients; only a small fraction is spent with the human beings in their ca...

20 Mars 202352min

71 - A Doctor's Work, part 2

71 - A Doctor's Work, part 2

In the past episode, cultural and medical historians Lakshmi Krishnan and Mike Neuss discussed the history of the actual work of the doctor – Holmesian detective, data entry clerk, or something else a...

16 Jan 202337min

70 - A Doctor's Work

70 - A Doctor's Work

What do doctors actually do? Are they Sherlockian detectives, hunting down obscure clues to solve intractable cases? Are they virtuosic experts, training for half a lifetime to bring the latest scienc...

19 Dec 202249min

69 - The Database

69 - The Database

How do doctors actually think? And if we can answer that, can we train a computer to do a better job? In the post-WW2 period, a group of iconoclastic physicians set about to redefine the nature and st...

31 Okt 202248min

68 - The History

68 - The History

Internal medicine physicians like to pride ourselves on our clinical reasoning – the ability to talk to any patient, pluck out seemingly random bits of information, and make a mystery diagnosis. But h...

25 Juli 202239min

The Facemaker with Dr. Lindsey Fitzharris (#histmedconsultservice)

The Facemaker with Dr. Lindsey Fitzharris (#histmedconsultservice)

Modern plastic surgery was born out of the horrors of trench warfare in World War I. In this episode, Adam interviews historian Lindsey Fitzharris about her new book The Facemaker, about the life of s...

7 Juni 202251min

Populärt inom Hälsa

somna-med-henrik
inga-beiga-morsor
rss-jossan-nina
rss-bara-en-till-om-missbruk-medberoende-2
johannes-hansen-podcast
rss-vuxna-pa-latsas
not-fanny-anymore
sexnoveller-deluxe
angestpodden
rss-viktmedicinpodden
sova-med-dan-horning
rss-the-house-podcast-3
sa-in-i-sjalen
brottarbroder
rss-basta-livet
rss-sjalsligt-avkladd
rss-traningsklubben
sag-det-bara
rss-hos-psykologen
rss-the-house-podcast-4