DOCSLIB.ORG

Pohlman, Elizabeth Dissertation Final

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Pohlman, Elizabeth Dissertation Final UCSF UC San Francisco Electronic Theses and Dissertations Title Ethics and Politics of Caring and Curing: The Case of Down Syndrome and Alzheimer Disease Permalink https://escholarship.org/uc/item/21k037c8 Author Pohlman, Elizabeth Grace Publication Date 2010 Peer reviewed|Thesis/dissertation eScholarship.org Powered by the California Digital Library University of California Copyright 2010 by Elizabeth Grace Pohlman ii ACKNOWLEDGMENTS No anthropological project would be possible without the people who participated in making it. I am indebted to those who spent time with me in interview and conversation, and who let me in to observe their meetings and other collaborations. In equal measure, I am indebted to my academic mentors, who witnessed me through my intellectual process and catalyzed all sorts of lessons, intended and unintended. Among these, I am especially grateful for the insights and friendship of Patrick Fox, Co-director of the Institute for Health and Aging at the University of California San Francisco, who served as my dissertation committee Chair. His constant encouragement made an important conceptual space for doubt, confusion, and creativity. I could not have designed a better mentor for my research process. In addition to Patrick Fox, I have appreciated the other members of my dissertation committee to a great extent: Lawrence Cohen, University of California Berkeley; Christie Kiefer, University of California San Francisco; and Dorothy Porter, University of California San Francisco. Their unique perspectives and support sustained me throughout the research and writing adventure. However, academic support seldom ends at the boundaries of one’s committee. I have been also been blessed with many others who have expressed interest in my work and helped me on my way. I include among these Vincanne Adams, Sharon Kaufman, Adele Clarke, Guy Micco, Judith Barker, and Linda Mitteness. Administrative supporters, Claire Dunne and Kimberly Bissell, organized the endless requirements of deadlines and forms. At the University of Arizona, I benefited from the mentorship of the late Theodore Koff, Mark Nichter, Ana Ortiz, and Susan Phillips. At the University of Minnesota, I enjoyed learning from Kathy Barlow, Tim iii Dunnigan, and especially Professor Mischa Penn. I want to thank Paul Rabinow, University of California Berkeley, for his kind recognition of my intellectual naïveté. The late Gay Becker, with whom I worked for two years as a graduate research assistant at the Institute for Health and Aging at UCSF, encouraged my initial impulse to apply to the UCSF-UCBerkeley Joint Program in Medical Anthropology. My first meeting with her at the annual AAA meetings in 2000 was the catalyst for the doctoral challenge, and I remember her very fondly. My doctoral coursework was supported with generous funding from the University of California San Francisco Graduate Dean’s Health Science Fellowship and Regents Fellowships. The field research and writing for this project were supported by the Agency for Health Care Research and Quality Health Services Research and Training Program Pre-doctoral Fellowship, supported by grant number 5 T32 HS000086. My fellowship mentor, Dan Dohan, was a valuable support during the fellowship. I also benefitted from the numerous opportunities for presentation and interdisciplinary interaction this fellowship offered me. Fellow students I met along the way enhanced my experience. I especially thank Ben Hickler, Ippolytos Kalofonos, Jennifer Liu, and Thurka Sangaramoorthy all from the University of California San Francisco and my class cohort. At the University of Arizona, I remember my colleague and fellow student Deb Wilkerson, whose integrity and stamina awed me. Her untimely death was a potent reminder to enjoy all that is. And last but not least: family. My very impulse to education is grounded in my family’s youth, when education was valued. I have my parents, and their parents, to thank for that. Recently, I have sustained support from my aunts Anne and Susan. My brother iv Greg Horton, actor extraordinaire, has been my comrade in navigating our parents’ respective complexities. The treasure we found was our friendship. My husband Don, with whom it has been a joy to share my life, suffered through this adventure as only a partner can - on the frontlines of care. It was he who endured the vicissitudes of graduate school with me, from uncertainty and doubt, to hope and completion. I dedicate this dissertation to my great-aunt, Alice Schilling. She wished for me to get an education. Alice was my muse in the midst of uncovering what that might actually mean. v ETHICS AND POLITICS OF CARING AND CURING: THE CASE OF DOWN SYNDROME AND ALZHEIMER DISEASE ELIZABETH GRACE POHLMAN ABSTRACT This anthropological project investigates the confluence of social advocacy, science, and medicine as it relates to cognitive difference or disability for two conditions: Down Syndrome and Alzheimer’s Disease. Grounded in multi-sited ethnographic methods, this research includes observation and interview in laboratory and clinic, conference, workshop, residential, advocacy, fundraising, and legislative sites. This dissertation tells two stories. The first details the emergence of cognitive enhancement for individuals with Down Syndrome. This is a relatively new endeavor for scientific study that is growing from within research on Alzheimer’s Disease and its genetic risk factors. As advocates contemplate the possibility of cognitive enhancement through pharmaceutical means, their encounter with ethical concerns poses novel predicaments, potentially altering an advocacy politics previously devoted to care and change in cultural attitudes towards Down Syndrome. Drawn into this narrative is the unique pressure that prenatal testing and abortion represent in the lives of those living under the description of Down Syndrome. The second narrative tracks new representations of Alzheimer’s Disease, made possible through the activities of science and medicine and resulting from diagnosing Alzheimer’s Disease at its earlier stages. This shift has led not only to the creation of more patients, and more subjects for research, but also the possibility that individuals vi diagnosed with Alzheimer’s Disease might represent themselves publicly. This is a sea change in the advocacy movement associated with the disease, and also carries the potential to alter advocacy politics and its commitments to curing disease. This dissertation details the paths advocates are arguing and practicing in their pursuit of recognition and justice in these two scenes of advocacy. I explore their interactions with science and medicine, and with scientists and medical doctors. This work is important because it illuminates the continuing power of normality and competence in everyday life, and the pressures it brings to bear on those caught in its crosshairs, individuals living under descriptions associated with abnormality and incompetence. vii TABLE OF CONTENTS PROLOGUE...........................................................................................................1 CHAPTER ONE: MAKING RESEARCH ..........................................................3 Background .........................................................................................................4 Choosing ..............................................................................................................6 Designing and Doing...........................................................................................7 When Ethnography Blurs ................................................................................12 Writing...............................................................................................................14 Chapter Overview.............................................................................................16 Anthropological Experiments..........................................................................19 CHAPTER TWO: MAKING DISEASE..............................................................23 Medicalization and Biomedicalization, Neurodiversity.................................27 Is It Alzheimer’s?..............................................................................................42 What Is Down Syndrome? ...............................................................................52 Down Syndrome and Alzheimer’s Disease .....................................................60 Caring and Curing: Medicalization Dilemmas ..............................................65 CHAPTER THREE: MAKING HUMAN...........................................................68 Being and Becoming Human ...........................................................................70 J. Langdon Down and His Ideas......................................................................74 viii Human or Non-human? Life at the Borders ..................................................81 Asserting Human Status...................................................................................86 Genetics Discourse as a Strategy of Advocacy ...............................................87 ACOG: Prenatal Testing................................................................................103 Cognitive Disability Under Another Description.........................................110 CHAPTER FOUR: MAKING MEMORY......................................................112 Memoro-Politics ..............................................................................................113
Load more

Recommended publications
  • The History of the Relationship Between the Concept and Treatment of People with Down's Syndrome in Britain and America from 1866 to 1967
    THE HISTORY OF THE RELATIONSHIP BETWEEN THE CONCEPT AND TREATMENT OF PEOPLE WITH DOWN'S SYNDROME IN BRITAIN AND AMERICA FROM 1866 TO 1967. BY Lilian Serife ZihniB.Sc. P.G.C.E. FOR THE DEGREE OF DOCTOR OF PHILOSOPHY IN THE HISTORY OF MEDICINE UNIVERSITY COLLEGE LONDON 1 Abstract This thesis fills a gap in the history of mental handicap by focusing on a specific mentally handicapping condition, Down's syndrome, in Britain and America. This approach has facilitated an examination of how various scientific and social developments have actually affected a particular group of people with handicaps. The first chapter considers certain historiographical problems this research has raised. The second analyses the question of why Down's syndrome, which has certain easily identifiable characteristics associated with it, was not recognised as a distinct condition until 1866 in Britain. Subsequent chapters focus on the concept and treatment of Down's syndrome by the main nineteenth and twentieth century authorities on the disorder. The third chapter concentrates on John Langdon Down's treatment of 'Mongolian idiots' at the Royal Earlswood Asylum. The fourth chapter examines Sir Arthur Mitchell's study of 'Kalmuc idiots' in private care. The fifth considers how Down's and Mitchell's theories were developed by later investigators, with particular reference to George Shuttleworth's work. Archive materials from the Royal Albert, Royal Earlswood and Royal Scottish National Institutions are used. The sixth focuses on the late nineteenth century American concept and treatment of people with Down's syndrome through an analysis of the work of Albert Wilmarth.
    [Show full text]
  • Some Reflections on the Genetics of Mental Disorder by INGRAM F
    Some Reflections on the Genetics of Mental Disorder by INGRAM F. ANDERSON. M.B.B.Ch.(RancL) Department of Medicine and Clinical Genetics Unit, Johannesburg General Hospital. "Heredity, the only one of the Gods whose real Whereas psychiatric genetics previously name we know . brings gifts of strange tem- appeared to be an empiric exercise and its peraments . and impossible desires." — applications in mental disease were thought Oscar Wilde. to denote a state of irreversibility, it now A study of aberrant mental mechanisms provides a point of vantage for research and involves consideration of the interaction of therapeutic application. Thus a genetically the soma, psyche and multiform environ- determined biochemical disturbance may not ment. Such a vast field cannot be surveyed only point the way to new means of diag- critically or even adequately in a disserta- nosis but offers possibilities of correction at tion of this nature. The title of the paper is the molecular level. thus employed advisedly: "some" because With these introductory remarks it will be the scope is necessarily limited, "reflections" propitious to pass on to a consideration of because here are mirrored my thoughts and (A) Mental Deficiency and (B) The Psychoses. those of others which may not be true images, "genetics" indicates etiologic restric- (A) MENTAL DEFICIENCY. tion and "mental disorder" is used in the broad sense. About one out of every thousand whites in The average medical-man, like the man in this country is in a mental asylum because the street, has very little occasion to come of mental deficiency. The problem comprises up against cases of mental abnormality.
    [Show full text]
  • Down's Syndrome
    J Med Genet: first published as 10.1136/jmg.26.5.294 on 1 May 1989. Downloaded from Journal of Medical Genetics 1989, 26, 294-298 Fertility in a male with trisomy 21 RICHARD SHERIDAN*, JUAN LLERENA JR*, SALLY MATKINS*, PAUL DEBENHAMt, ANDREW CAWOODt, AND MARTIN BOBROW* From *the Paediatric Research Unit, Division ofMedical and Molecular Genetics, United Medical and Dental Schools of Guy's and St Thomas's Hospitals, London SEJ 9RT; and tCellmark Diagnostics, ICI Chemical Industries plc, Blacklands Way, Abingdon, Oxfordshire OX14 IDY. SUMMARY We review the published reports on reproduction in cases of non-mosaic trisomy 21 (Down's syndrome) and present the first fully documented case of a non-mosaic male with Down's syndrome fathering a pregnancy, a fact which has important implications in the light of caring for these people in the community. The Down's syndrome female has ovaries contain- (table 1), states that "there appears to have been ing a reduced number of small follicles, which have a reason to believe that the father was also a mongol, greatly increased rate of atresia.1 Twenty-six non- but this cannot be confirmed". Other than this very mosaic trisomy 21 females, in 29 pregnancies, have brief anecdotal aside, we can find no reference in produced 10 offspring with Down's syndrome, two published reports to a non-mosaic male with trisomy spontaneously aborted fetuses whose status could 21 who has fathered a child. not be evaluated, and 18 (including one monozygo- copyright. tic twin pair) chromosomally normal offspring. Case report Of these, two are mentally retarded, four have other congenital malformations, and three were Our patient is a 29 year old man with trisomy 21, either spontaneously aborted or died of prematurity showing some of the classical features of Down's (table 1).
    [Show full text]
  • Hyoscyamus Niger (Henbane) Henbane Belongs to the Solanaceae Family
    114 Holland, Oliver 17 Mann DMA. Alzheimer's disease and Down's syndrome. Histopathology 40 Prasher VP, Corbett JA. Onset of seizures as a poor indicator of longevity J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.59.2.114 on 1 August 1995. Downloaded from 1988;13: 125-37. in people with Down syndrome and dementia. International Journal of 18 Takashima S, Iida K, Mito T, Arima M. Dendritic and histochemical Geriatric Psychiatry 1993;8:923-7. development and aging in patients with Down's syndrome. _7 Intellect 41 Schapiro MB, Haxby JV, Grady CL. Nature of mental retardation and Disabil Res 1994;38:265-73. dementia in Down Syndrome: study with PET, CT, and neuro- 19 Mann DMA, Esiri MM. The pattern of acquisition of plaques and tangles psychology. NeurobiolAging 1992;13:723-34. in the brains of patients under 50 years of age with Down's syndrome. 42 Kesslak JP, Nagata SF, Lott I, Nalcioglu 0. Magnetic resonance imaging _7 Neurol Sci 1989;89: 169-79. analysis of age-related changes in the brains of individuals with Down's 20 Mann DMA. Association between Alzheimer disease and Down syn- syndrome. Neurology 1994;44:1039-45. drome: neuropathological observations. In: Berg JM, Karlinsky H, 43 Schapiro MB, Luxenberg JS, Kayes JA, et al. Serial quantative CT analy- Holland AJ, eds. Alzheimer disease, Down syndrome and their relationship. sis of brain morphometrics in adults with Down's syndrome with differ- Oxford: Oxford University Press, 1993. ent ages. Neurology 1989;39:1349-53. 21 Whalley U. The dementia of Down's syndrome and its relevance to aetio- 44 Murata T, Koshino Y, Omori, et al.
    [Show full text]
  • Chapter Three a Pathological Embodiment This Equivocal Being
    Chapter Three A Pathological Embodiment This equivocal being, who seems to have been placed by nature on the very confines of humanity . Philippe Pinel The denial of intellectually disabled people's capacity for mutuality and sociality, for meaningful and intentional interaction, was underlined in my siblings' records. These records included a combination of medical, psychiatric, psychological, educational and behavioural reports. They also included the daily observations made by staff at the institution where two of my siblings went to live. My family has had to negotiate these professional interpretations and practices; interpretations and practices that have the power to shape the social world within which intellectually disabled people reside. This is not to suggest, however, that there is unity and uniformity amongst these professional reports. They are diverse but are also linked together by an implicit "symbolic scheme" (Sahlins 1976). In Culture and Practical Reason, Marshall Sahlins (1976) argues against materialist and utilitarian interpretations of culture, claiming instead that culture operates according to a "symbolic scheme". As Sahlins explains, his argument: . takes as the distinctive quality of man not that he must live in a material world . but that he does so according to a meaningful scheme of his own devising . It therefore takes as the decisive Chapter Three: A Pathological Embodiment page 102 quality of culture—as giving each mode of life the properties that characterize it—not that this culture must conform to
    [Show full text]
  • View Article
    Cronicon OPEN ACCESS EC MICROBIOLOGY Review Article Types, Symptoms and Complications of Down syndrome Dahook Abdullah Abualsamh1*, Lujaine Mushabab Alqahtani2, Yaqoub Yousef Alhabib3, Baraah Ahmed Aldeera4, Hadeel Mosaad Almotiri5, Amro Sulaiman Aljuhani6, Abdulrahman Yousef Tashkandi7, Anas Jamal Algethmi8, Abdul- lah Abdulaziz Alghamdi9, Zafer Ali Alshahrani10, Sarah Jaber Shuaylah11 and Ahmed Hamzah Almakrami12 1Department of Pediatric, Pediatric Consultant and Clinical Genetics, East Jeddah General Hospital, Jeddah, Saudi Arabia 2Maternity Children Hospital, Abha, Saudi Arabia 3Collage of Medicine, Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia 4Collage of Medicine, Almaarefa University, Riyadh, Saudi Arabia 5Collage of Medicine, Qassim University, Qassim, Saudi Arabia 6Collage of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia 7Department of Pediatric, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia 8Department of Pediatric Intensive Care Unit, East Jeddah General Hospital, Jeddah, Saudi Arabia 9Department of Emergency Medicine, Al Aziziyah Children Hospital, Jeddah, Saudi Arabia 10Collage of Medicine, King Khalid University, Abha, Saudi Arabia 11Collage of Medicine, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia 12Collage of Medicine, Najran University, Najran, Saudi Arabia *Corresponding Author: Dahook Abdullah Abualsamh, Department of Pediatric, Pediatric Consultant and Clinical Genetics, East Jeddah General Hospital, Jeddah, Saudi Arabia. Received: January 08, 2020; Published: January 16, 2021 Abstract Background: Down syndrome (DS) is by far the most common chromosomal anomaly. It is caused by the involvement of one or half of the third copy of chromosome 21. An extra copy of chromosome 21 that can be either complete or partial based on the type, causes deformity and related morphological and physiological abnormalities in the body systems.
    [Show full text]
  • Genetics of Down Syndrome: a Review
    International Journal of Scientific Research and Review ISSN NO: 2279-543X Genetics of Down Syndrome: A Review Kamal Mehta Asst. Professor, P.G Department of Zoology, Jagdish Chandra D.A.V College, Dasuya (Punjab)-144205, India. Email: [email protected] Abstract--Down syndrome is one of the most common chromosome abnormalities in humans genetically recognized as autosomal aneuploidy associated with physical growth delays, characteristic facial features, poor immune system and mild to moderate intellectual disability with average IQ value 40. It is associated with the development of multiple phenotypic as well as physiological effects such as congenital heart defect, epilepsy, leukemia, thyroid diseases, and mental disorders. It can be caused by different genetical mechanisms such as trisomy 21, translocation and mosaicism. Down syndrome can be identified during pregnancy by prenatal screening followed by diagnostic testing or after birth by direct observation and genetic testing. Key Words: Autosomal aneuploidy, 21 Trisomy, Maternal Age, Nondisjunction, Mental disability, Prenatal Screening. I. INTRODUCTION Down syndrome is one of the most common chromosome abnormalities in humans genetically recognized as autosomal aneuploidy associated with physical growth delays, characteristic facial features, poor immune system and mild to moderate intellectual disability with average IQ value 40, equivalent to the mental ability of an 8 or 9-year old child [1,2]. A number of health problems such as congenital heart defect, epilepsy, leukemia, thyroid diseases, and mental disorders are more frequently found in such individuals. Down syndrome accounts for occurrence of 8% congenital malformations. It is named after John Langdon Down, a British doctor who fully described the syndrome in 1866[3].
    [Show full text]
  • On the Antiquity of Trisomy 21: Moving Towards a Quantitative Diagnosis of Down Syndrome in Historic Material Culture
    ISSN 2150-3311 JOURNAL OF CONTEMPORARY ANTHROPOLOGY RESEARCH ARTICLE VOLUME II 2011 ISSUE 1 On the Antiquity of Trisomy 21: Moving Towards a Quantitative Diagnosis of Down Syndrome in Historic Material Culture John M. Starbuck Ph.D. Candidate Department of Anthropology The Pennsylvania State University University Park, Pennsylvania Copyright © John M. Starbuck On the Antiquity of Trisomy 21: Moving Towards a Quantitative Diagnosis of Down Syndrome in Historic Material Culture John M. Starbuck Ph.D. Candidate Department of Anthropology The Pennsylvania State University University Park, Pennsylvania ABSTRACT Down syndrome was first medically described as a separate condition from other forms of cognitive impairment in 1866. Because it took so long for Down syndrome to be recognized as a clinical entity deserving its own status, several investigators have questioned whether or not Down syndrome was ever recognized before 1866. Few cases of ancient skeletal remains have been documented to have Down syndrome-like characteristics. However, several forms of material culture may depict this condition. Within this paper the history of our understanding of Down syndrome is discussed. Both skeletal remains and different forms of material culture that may depict Down syndrome are described, and where relevant, debates within the literature about how likely such qualitative diagnoses are to be correct are also discussed. Suggestions are then made for ways in which a quantitative diagnosis can be made to either strengthen or weaken qualitative arguments for or against the diagnosis of Down syndrome in different forms of historic material culture. Starbuck: On the Antiquity of Trisomy 21 19 INTRODUCTION Down syndrome was first described in the medical literature by John Langdon Down in 1866.
    [Show full text]
  • Spring 2015 Table of Contents
    Sabiduría Spring 2015 Table of Contents The Applications of Calculus in Pharmaceutical Sciences Susan Daniels– Page 2 The Effects of Antidepressant Drugs on the Brain Maria Valdez Palomino – Page 7 The Eugenics Movement and its Modern Day Counterpart Rebecca Seide – Page 10 Lake Worth Campus Insanity: A Discussion of the Use and the Success Rates of the Insanity Plea Dear Readers, Jessica Ondrizek – Page 17 We are pleased to present the Spring 2015 edition of Sabiduría: Hey Baby! Come Read my Paper: The Dr. Floyd F. Koch Honors College Peer-Reviewed Journal. The Street Harassment on College selection process was rigorous, and the standard was high, but after Campuses a long process, we selected six manuscripts worthy of publication. Olivia Lowrey – Page 21 We congratulate Susan Daniels, Maria Valdez Palomino, Rebecca Seide, Jessica Ondrizek, Olivia Lowrey and Neysa Blay on being Substance Abuse: Understanding the selected authors. Addiction as a Disease We thank the writers who submitted their work and the peer- Neysa Blay – Page 25 reviewers for their tireless work in reviewing the submissions. It is the Honors College students who make Sabiduría possible by getting Sabiduría Staff – Page 30 involved in the peer-review process. In keeping with the mission of Palm Beach State College, the purpose of Our gratitude is also extended to Marcella Montesinos, and Dr. the Dr. Floyd F. Koch Honors College is to provide a challenging and Matthew Klauza, for their dedication and support. supportive academic environment in which students are encouraged to As each issue of Sabiduría is published, we hope the publication think critically, demonstrate continues to grow, improve, and represent the best that the Honors leadership, and develop ethical College has to offer.
    [Show full text]
  • Cellular Immunity in Children with Down Syndrome (Trisomy-21)
    Utah State University DigitalCommons@USU All Graduate Theses and Dissertations Graduate Studies 5-1985 Cellular Immunity in Children with Down Syndrome (Trisomy-21) Roger Lee Noble Utah State University Follow this and additional works at: https://digitalcommons.usu.edu/etd Part of the Biology Commons, Immunology and Infectious Disease Commons, and the Microbiology Commons Recommended Citation Noble, Roger Lee, "Cellular Immunity in Children with Down Syndrome (Trisomy-21)" (1985). All Graduate Theses and Dissertations. 4640. https://digitalcommons.usu.edu/etd/4640 This Dissertation is brought to you for free and open access by the Graduate Studies at DigitalCommons@USU. It has been accepted for inclusion in All Graduate Theses and Dissertations by an authorized administrator of DigitalCommons@USU. For more information, please contact [email protected]. CELLULAR IHHUNITY IN CHILDREN WITH DOWN SYNDROME (TRISOMY-2 1) by Roger Lee Noble A dissertation submitted in partial f•tlfillment of t he requirements for the degree of DOCTOR OF PHILOSOPHY in Biology ( Hlc robi ology / Immunology) Approved : UTAH STATE UNIVERSITY Logan , Utah 1985 ii ACKNOWLEDGEMENTS I must thank Dr. Reed P. Warren, my major professor and mentor for his enthusiasm for immunology and his influence and support as I have pursued my goals. I appreciate the members of my committee, Dr. Frederick J. Post, Dr. John R. Simmons, Dr. Stanley D. Allen and Dr. Mark C. Healey for their friendship and willingness to help. I am grate~1l to Dr. Donald V. Sisson for his valuable assistance with matters statistical. Other friends who have been especially supportive, Nancy Pace and Dr. Nadine Margaretten, I thank for their technical support and incite.
    [Show full text]
  • Of Rhythm, Is Very Amiable, Has a Good Memory, and Is 2 Usually Contented
    Dr. Gordon . New, Rochester, Minn. : I was much inter¬ probably exists everywhere; and no white race is ested in the case Dr. Beck reported, but, as the group I am exempt." were all it was not included. reporting malignant cases, The case described here illustrates that mongolian Regarding the retromaxillary group, I have seen several cases idiocy occurs in the race, and the with secondary involvement of the nasopharynx from retro¬ Mongolian Mongolian features of mongolian idiocy are not masked by the maxillary malignancy. I believe these are entirely different features from those I mention in The I am Mongolian of the Mongolian race. Indeed, my paper. group reporting the are primarily nasopharyngeal tumors and are usually in Rosen- family of the affected boy testified that "his eyes müller's fossa. I did not mention treatment because I felt are more slitlike than those of the other children." that if I did I would get away from the question of diagnosis. CASE We have seen many of these patients who were treated with REPORT OF radium continue well for three or four years, and feel that it From the mother it was learned that the child was born is the only treatment that offers relief. When surgery has at term. No instruments were used, and there was no been attempted, most patients have been made worse. asphyxia. The child was breast fed. The first tooth appeared at 11 months. The child crawled at 13 months, sat up at 14 months, and walked at 2 years. The other children of the family walked at 1 year.
    [Show full text]
  • The Mongolian Idiot
    \ Ma THE MONGOLIAN IDIOT A PRELIMINARY NOTE ON THE SELLA TURCICA FINDINGS WALTER TIMME, M.D. N EW YORK R epriutcd from the Archiv es of N eHrology a11d Psychiatry M ay, 1921, Vo l. V, pp. 568-571 CoPYRIGHT , 1921 AMERICAN MEDICAL Asso c iATION FrvE H uN DRE D AN D TniRTY·l-;- IVE N o RTH DEARBORN STREET CH ICAGO THE MO!\GOLI.\ .\" IDIOT .\ I'l~ I:LI :1111'\ AR 1 l\ OT E 0:\ THE SCLL.\ T lj J{ C I C \ FJ ND l NGS \\":\LT E IZ Tl.\1.\IL. :-LD . ::-i E\\' \."O IU.: In the past year it ha ~ beei1 my g reat pri vil ege to exami ne a num ber o f :\longolian defecti1·es at \\·a ,·erl e)· . :\I ass., at the im·itation o f Dr. \\.alte r .! ~ . Ferna ld. T he case reports, complete clinical data, biochemical find ings a nd the resul t of t reatment on a n endocrinologic basis \\·ill be the substa nce of a later communication by Dr. F e rna ld a nd myself. 1 desire to ma ke at this time a p relimina ry p ublication of t he find ings of the roentgenologic examination of many of the skulls for the reason that it may stimulate the ma king of such examina tions in many centers with possibl e corrobo ration of my findings. F urther­ more. if necropsy mate ri a l is avail able, a specia l effort mig ht be made, on the basis of the sell ar changes shown in the ra d iographs.
    [Show full text]