DOCSLIB.ORG

With All the Attention on the Nation's Health Care Policies These Days, It

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
With All the Attention on the Nation's Health Care Policies These Days, It With all the attention on the nation's health care policies these days, it seems appropriate to look back one hundred and twenty years ago, to 1890 when medical problems of local citizens were treated by health care workers plying their trade in Menomonie. With city's population approaching the 5,000 mark it was necessary to have competent medical doctors to care for everyday ills and more serious medical needs. There was a hospital providing aid for expectant mothers that was operated by a Mrs. Finley, perhaps one of a handful of midwives in town. However most hospitals established in the second half of the 19th century were primarily established to provide care, not treatment, of the inhabitants. Physicians customarily diagnosed and treated illness, delivered babies, and even performed surgery in their patients' homes or in their offices. By the late 1880s and early 1890s Menomonie had eight physicians; E. O Baker, E. H. Grannis, E. P. Wallace, F. R. Reynolds, D. H. Decker, J. V. R. Lyman, W. F. Nichols, and much to the relief of lady patients, there was a woman doctor, Miss Kate Kelsey, ready to serve. However many families at that time relied on home remedies that had been handed down by family tradition, and the newspapers and magazines of the time were filled with advertisements of such products as the Kickapoo Indian Sagwa. It was a blend of roots, herbs, and bark, concoction that "purifies the blood, and cures all diseases of the stomach, liver, and kidneys." A "Dr. Buckland" produced a "Scotch Oats Essence" that would cure, " sleeplessness, paralysis, an opium habit, drunkenness, neuralgia, sick headaches, sciatica, nervous dyspepsia, locomotor ataxia, headache, ovarian neuralgia, nervous exhaustion, epilepsy, and St. Vitus's dance." Who need a doctor when a one dollar bill is all you need to get a bottle of Dr. Buckland's Essence? W. R. Smart, a simple private citizen of Dodgeville, was a man he proved you didn't need the moniker "DR." to sell his "Smart's Rheumatic & Neuralgic Paste". This "cure all" would eliminate "toothache, nervous headache, neuralgia, pain in the back, chilblains, and catarrh." His "paste" was made of "oil of angleworm, cayenne pepper, a frog [or part of one?], and gum camphor"! If his remedy didn't cure there were hundreds of other possible products available throughout the market. Now it is quite possible that some of these concoctions actually worked, and perhaps some true medical doctor might find recommending them for an ailing patient, but more likely than not, the physician would write a prescription that could be filled by a local pharmacist. Menomonie had six drugstores operating in town in 1890. In past articles I've written about O. K. Ranum, an early druggist who operated his store on the ground floor and the western half of the former Goodrich Furniture Store on the southwest corner of Main, Crescent, and Fourth Streets. He was also manager of the Menomonie Telephone Company that maintained its switchboard on the floor above. George Tonnar operated his drugstore in the 300 block of Main Street near Ranum's store, and perhaps on the same side of the street. G.E. Godding maintained his drugstore in the 600 Block of South Broadway. Alfred Pillsbury established his pharmacy in the West Side Hotel. Unfortunately because of the dozen or more hotels in Menomonie's business district at that time, and because the names of many hotels changed when new owners took over, I am not sure at this time where that hotel was located. William Hewett maintained his pharmacy in a home on the northwest corner of today's Main and 9th Street, and Francis D. Johnson operated out of a home on the corner of 12th Street and Main. It appears that the city and its doctors had ready sources for medical remedies in the liquid, powders, and pills in stock on hand in these drugstores. While most of the pharmacies mentioned here dealt primarily in on prescription drugs, and very little in other lines of products not related to medical needs, O. K. Ranum's advertised not only "Pure Drugs, Medicines and Chemicals", he also sold "Fancy goods, Toilet Articles, Cigars, Pocket Cutlery, Stationery, Perfumery, etc." It appears that Menomonie, with its eight medical doctors and six drugstores, was adequately prepared for almost any health emergency. Well, that wasn't quite true. When in the first decade of the twentieth century the tuberculosis death rate per 10,000 was in Dunn County, according the book Wisconsin Medicine, the county "nearly equaled that of the state as a whole. Incidence of the disease in at least several Dunn County townships equaled that reported for Milwaukee." It is true that one cannot take good health for granted. This late 1880s photograph is of the management and employees of a local drugstore in Menomonie, but there is no indication who was the proprietor. Note the shelves along the walls filled with medicinal cures and reference books. Note the glass case on the left that is filled with boxes of cigars, especially the popular Optimo brand that is still popular today. A large white sign hanging above advertises another brand of cigar, perhaps one of Menomonie's cigar maker's product. Boxed chocolates and other candies are displayed in the glass case on the right. Note the stuffed while pelican, an annual visitor to the Menomonie area lakes each spring. In this case the poor bird never got further north than Menomonie .
Load more

Recommended publications
  • WITH SUPPLEMENT. SATURDAY, JULY 17, 1920. the SURGERY Of
    s1~ M-1- t1t Br Med J: first published as on 17 July 1920. Downloaded from The Journal of the British Medical Associaton. INCLUDING AN EPITOME OF CURRENT MEDICAL LITERATUfhr WITH SUPPLEMENT. No. 3107.- SATURDAY, JULY 17, 1920. Price 1/- ~~ ~ ~ ~ ~ ~ ~ NEW EDITION, THOROUGHLY REviSED. By FREDERICK W. PRICE, M.D., F.R.S.(Edln.), The SURGERY of the HEART. Physieian to the Great Northern Central HospitaL http://www.bmj.com/ By Sir CHARLES A BALLANCE, K.C.M.G., THE ESSENTIALS OF HISTOLOGY: Physician to the National Hospital for Diseases C.B., M.V.O., M.S., F.IC.C.S., Deseriptive and Practieal. of the Heart, London. Conisulting Surgeon to St. Thomas's Hospital, etc. For the Use of Students. 8 vo. net. By Sir EDWARD SHARPEY SCHAFER, LL.D., DISEASES OF THE HEART. Illustrated by 48 figures. Demy 10/6 D.Sc., M.D., F.R.S., Professor of Physiology Their Diagnosis, Prognosis, and Treatment MACMILLAN & CO. and Histology in Edinburgh University. by Modern Methods. With many Illustrations, several of which are With a Chapter on the Blectro-Cardiograph. By A. C. MAGIAN, M.D., Coloured. ELEVENTH EDITION. 8vo. 14s. net. Surgeon to the Manchester Prench Hospital and to Deny 8vo, 484 pp. Veryfully Illustrated. 218. net- the Wood Clinic for Genito-Urinary Diseases. LONGMANS, GREEN & CO Lancet.-"By great care, and by the use of an MANUAL OF VENEREAL DISEASES. 39, Paternoster Rtow, London, B C. 4. amazing amounit of material, he has accomplished 2ND EDITION. With 61 Illustrations. 10s. 6fd. net. what many readers have been waiting for, giving on 26 September 2021 by guest.
    [Show full text]
  • 9Th Srca Symposium on the Cerebellum Taipei, May 2018
    The Cerebellum (2019) 18:1–21 https://doi.org/10.1007/s12311-018-0953-2 ABSTRACTS 9TH SRCA SYMPOSIUM ON THE CEREBELLUM TAIPEI, MAY 2018 PP1 1Departments of Neurology, Maynei Hayeshua Medical Center , Bnei Barak , Israel Different types of multiple-synapse boutons in the cerebellar cortex 2 Meir Medical Center, Kfar-Saba, Israel between physically enriched and ataxic mutant mice 3 The Sackler Faculty of Medicine, Tel-Aviv University, Israel Kim H. 1,OhS.1, Lee S.1,NaJ.1, Lee K.J.2, Rhyu I.J.1 Corresponding author’s e-mail: [email protected] 1Department of Anatomy, Korea University College of Medicine, Seoul Objective: To describe the clinical and epidemiological features of the 02841, Korea Jewish Yemenite pocket of Machado-Joseph disease in Israel 2 Laboratory of Synaptic Circuit Plasticity, Department of Structure & Background: Machado-Joseph Disease known also as SCA3 is an Function of Neural Network, Korea Brain Research Institute, Daegu 700- autosomal dominant progressive neurologic disorder due to a hetero- 010, Korea zygous (CAG)n trinucleotide repeat expansion encoding glutamine repeats in the ataxin-3 gene (ATXN3; on chromosome 14q32 , char- Corresponding author’s e-mail: [email protected] acterized principally by ataxia, spasticity, and ocular movement ab- normalities (OMIM # 109150). Traditionally, all patients were consid- Objectives: Experience-dependent synapse remodeling is associated with ered as the offspring of two Portuguese families who lived in the information storage in the nervous system. Neuronal synapses show alter- Azorean islands i.e. the Machado and the Joseph families. Therefore, ation in various neurological and cognitive disorders in their structure and the disease was first known as Azorean Degeneration.
    [Show full text]
  • Study Protocol
    2017N317982_00 CONFIDENTIAL 2018N388745_00 GlaxoSmithKline group of companies 206899 TITLE PAGE Protocol Title: A Phase IIa Single-Center, Open-Label Study Evaluating the Pharmacokinetics of Repeat Oral Doses of Gepotidacin (GSK2140944) in Adult Female Participants With Uncomplicated Urinary Tract Infection (Acute Cystitis) Protocol Number: 206899 Short Title: Phase IIa Pharmacokinetic Study of Oral Gepotidacin (GSK2140944) in Participants With Uncomplicated Urinary Tract Infection (Acute Cystitis) Compound Number: GSK2140944 Sponsor Name and Legal Registered Address: GlaxoSmithKline Research & Development Limited 980 Great West Road Brentford Middlesex, TW8 9GS UK Sponsor Contact Address: GlaxoSmithKline 1250 South Collegeville Road PO Box 5089 Collegeville, PA 19426-0989 USA Medical Monitor Name and Contact Information can be found in the Study Reference Manual Regulatory Agency Identifying Number: IND 111885 Approval Date: 10-MAY-2018 Copyright 2018 the GlaxoSmithKline group of companies. All rights reserved. Unauthorized copying or use of this information is prohibited. 1 2018N388745_00 PPD PPD 2017N317982_00 CONFIDENTIAL 2018N388745_00 206899 TABLE OF CONTENTS PAGE 1. SYNOPSIS...............................................................................................................6 2. SCHEDULE OF ACTIVITIES ...................................................................................8 3. INTRODUCTION....................................................................................................11 3.1. Study Rationale
    [Show full text]
  • A Simulation Case for Emergency Medicine Residents
    Open Access Technical Report DOI: 10.7759/cureus.2984 Neurosyphilis: A Simulation Case for Emergency Medicine Residents Chana Rich 1 , Dimitrios Papanagnou 2 , David Curley 3 , Xiao Chi Zhang 2 1. Emergency Medicine, Alpert Medical School of Brown University , Providence, USA 2. Emergency Medicine, Thomas Jefferson University, Philadelphia, USA 3. Emergency Medicine, Alpert Medical School of Brown University, Providence, USA Corresponding author: Xiao Chi Zhang, [email protected] Abstract Neurosyphilis is a dangerous and increasingly more prevalent sexually transmitted infection of the central nervous system caused by the bacterium Treponema pallidum that can present during the advanced stages of the disease (tertiary syphilis). Health care providers must remain vigilant in screening for syphilis in patients with high-risk behaviors as a delay in diagnosis and treatment may lead to symptom progression and debilitating sequelae years later. To date, there have been no published simulation case studies on neurosyphilis. This simulation case, based on a real patient encounter, is written for emergency medicine residents to diagnose and manage a patient presenting with the sequelae of neurosyphilis. This case was run for four separate iterations at a simulation center with two residents and an attending physician acting as confederates. Following the case, learners were provided with bedside debriefing, and a question and answer session. Based on post-simulation qualitative assessment, junior residents alone were less likely to perform a comprehensive integumentary exam without the presence of senior residents, although both groups failed to elicit pertinent sexual history until they discovered syphilitic lesions. After case completion and debriefing, all learners were able to demonstrate the understanding of the primary learning objectives.
    [Show full text]
  • The Journal of Osteopathy June 1903
    The Journal of Osteopathy June 1903 Reproduced with a gift from Jane Stark, B.Sc., Dip. S.I.M., C.A.T. (c), D.O.M.P. Still National Osteopathic Museum © May not be reproduced without the permission of the Still National Osteopathic Museum KIRKSVILLe, MO•• ,JUNe, 1903. LOCOMOTOR ATAXIA. Calvin M. Case, M. D., D.O., St. Louis, Mo. A GREAT deal has been said and written about the results gotten by com­ petent osteopaths in locomotor ataxia and otber diseases of the spinal cord, but I think considerable more should be sa"id if our position is to be made clear to bonest investigators. While I would not go so far as to say that no case of locomotor ataxia exists that is so bad, so far gone, that osteopathic treatment would not benefit it, I am sure I can honestly advise almost anyone so affiicted to give it an intelligent trial, for there is always a prospect of benefit or cure and no pos­ sibility, if tbe osteopath is well informed and sensible, of auy detrimeut. Can as much be said for more heroic measures, such as the use of large doses of strong medicines, for instance? Acting on this hypothesis I never refuse to try to benefit or cure an ataxic. Sometimes I get what seems to be a good cure, sometimes I get a vast improvement, sometimes I check a case that had been getting worse steadily and sometimes I do no perceptible good. I fancy the experience of other practicing osteopaths is not materially different.
    [Show full text]
  • Overview of Gynecologic Oncology
    Overview of Gynecologic Oncology “The Blue Book” R. Kevin Reynolds, MD 11th Edition, Revised February 2010 www.med.umich.edu/obgyn/gynonc Gyn Oncology.......................................................................734-764-9106 Cancer Center Answer Line ...............................................800-865-1125 Contents Gyn Tumors Page Breast Cancer ......................................................................... 1 Cervical Cancer 6 Endometrial Cancer................................................. 17 Gestational Trophoblastic Neoplasia 24 Ovarian Cancer ....................................................... 29 Sarcomas 44 Vaginal Cancer........................................................ 51 Vulvar Cancer 53 Associated Treatment Modalities Nutrition, Fluid and Electrolytes 66 Radiation Therapy ................................................... 71 Chemotherapy 75 Perioperative Management ..................................... 94 Tools and Equipment for the Art of Surgery 108 Appendix Out-of-Date Staging Rules .................................... 123 GOG Toxicity Criteria 125 Performance Status............................................... 129 Web Resources 130 Special thanks to William Burke, MD, and to Catherine Christen, PharmD Favorite Quotes "Statistics are no substitute for judgment." Henry Clay "A leading authority is anyone who has guessed right more than once." Frank A. Clark "Well done is better than well said." Ben Franklin "Trust me. I'm a doctor" Donald H. Chamberlain, MD "To err is human; to repeat the
    [Show full text]
  • The Incidence of Venereal Diseasein Interwar
    Medical History, 1993, 37: 167-186. MEASURING "THE SOCIAL EVIL": THE INCIDENCE OF VENEREAL DISEASE IN INTERWAR SCOTLAND by ROGER DAVIDSON * THE CONTEXT The celebrated conclusion of the Royal Commission on Venereal Diseases in 1916 that "the number of persons... infected with syphilis, acquired or congenital, cannot fall below 10 per cent of the whole population in the large cities, and the percentage affected by gonorrhoea must greatly exceed this proportion"' continued to inform the social politics surrounding the administration of sexually transmitted diseases in Scotland for much of the interwar period. It fuelled contemporary crisis perceptions of the incidence of the "social evil" and of its implications for the health, efficiency, and social morality of the nation, and continued to be quoted by Scottish public health administrators well into the 1920s.2 In the Scottish popular and medical press, in the proceedings of Scottish local authorities and the Convention of Royal Burghs, and in the representations of medico-moral pressure groups operating north of the Border, VD remained for many years a menacing "scourge" and "hidden plague" sapping the vitality of the race.3 Similar perceptions served in part to underpin the sustained campaign in interwar Scotland for more stringent local authority powers to combat the spread of venereal disease, including the introduction of compulsory notification and/or compulsory treatment for those infected.4 Armed with the rhetoric of "national efficiency" and * Roger Davidson, Ph.D., F.R.Hist.S., Senior Lecturer in Economic and Social History, University of Edinburgh, 50 George Square, Edinburgh EH8 9JY. I am indebted to Dr Michael Barfoot, Archivist of Lothian Health Board's Medical Archive Centre, for his generous advice on primary sources, and to Dr A.
    [Show full text]
  • Journal of Postgraduate Medicine N
    President, Staff Society Journal of Postgraduate Medicine N. A. Kshirsagar Volume 49, Issue 2, April-June, 2003 Editor Atul Goel Print ISSN 0022-3859 CD ISSN 0972-2823 Contents Associate Editors Sandeep Bavdekar Editorial Lakshmi Rajgopal Antibiotic resistance: Unless we act soon! Consulting Editors Bavdekar SB ...................................................................................................................................... 107 Nithya Gogtay Original Article Original Articles Sanjay Mehta Recruitment of subjects for clinical trials after informed consent: Does gender and Vinita Salvi educational status make a difference? Managing Editor Gitanjali B, Raveendran R, Pandian DG, Sujindra S .......................................................................... 109 D. K. Sahu Brief Reports Members Human immunodeficiency virus type 1 infection in patients with severe falciparum Amita Athavale malaria in urban India Abhay Dalvi Khasnis AA, Karnad DR ..................................................................................................................... 114 Sucheta Dandekar Hemant Deshmukh Antimicrobial-induced endotoxaemia in patients with sepsis in the field of acute Anil Patwardhan pyelonephritis Preeti Mehta Giamarellos-Bourboulis EJ, Perdios J, Gargalianos P, Kosmidis J, Giamarellou H ............................. 118 Nalini Shah A comparison of intravenous ketoprofen versus pethidine on peri-operative analgesia Lalita Tuteja and post-operative nausea and vomiting in paediatric vitreoretinal surgery Pradeep
    [Show full text]
  • Can Imagination Picture Virchow Making a Quo¬ Tation in a Report
    Can imagination picture Virchow making a quo¬ lated for having made such a wise selection of his tation in a report, and expressing disapproval by contributors, and the profession may be congratu¬ ' ' The above is all bosh?' ' We doubt if Virchow lated that the editor did not assign the subject of has left footsteps, for any one to follow, in which his paper to some one else. he shows absolute intolerance and sinks almost to personal abuse of one holding an opinion op¬ Dissolution and Evolution and the Science posed to his. Dr. Billings has a great field in of Medicine: An Attempt to Co\l=o"\rdinatethe which to work, and we have no doubt that he necessary facts of Pathology and to establish will take advantage of his opportunities ; we hope, the first principles of Treatment. By C. Pit- meanwhile, that a more tolerant and scientific field Mitchell, M.R.C.S., England, etc. 8vo, spirit will pervade his future writings. pp. xvi, 246. London: Longmans, Green & Co. 1888. Chicago: W. T. Keener. A System of Obstetrics. American Au- By As we have said the remark is thors. Edited by Barton Cooke Hirst. before, though not original with us, what is worth doing at all is Volume 1, 8vo, pp. xiv\p=m-\808.With a colored worth well. A book that is worth the Plate and on wood. Phila- doing 309 Engravings is of an and it is difficult Lea Brothers & Co. 1888. printing worthy index, delphia: to conceive how any author or any publisher can can be but doubt that this work There little issue a scientific work without an index, nor do will find the same favor with the profession that we know of excuse that can such " any justify has been accorded the System of Medicine, by " negligence.
    [Show full text]
  • Article the Story of a Surgeon
    ANOTHER DIMENSION The Medical Kipling—Syphilis, Tabes Dorsalis, and Romberg’s Test Setu K. Vora* and Robert W. Lyons† orn of expatriate parents in Bombay, India, in 1865, William Osler (Regius Professor of Medicine at Oxford) a BRudyard Kipling was the first English author to win copy of Rewards and Fairies with a letter thanking Osler the Nobel Prize for literature. He received this honor when for inspiring the story. Another story, Marklake Witches, he was not yet 42 years old. Indeed, Kipling’s career is which features Rene Laennec, the inventor of the stetho- remarkable for its precocious success. His collection of scope, also drew on the life of William Osler. verse Departmental Ditties was published when he was 20 Kipling had many other physician friends. He acknowl- years old. When he first went to England in 1889, he was edged the help of his personal physician, James Conland, already a well-known writer. whom he called “the best friend I made in New England,” In his short story Love-o’-Women, published in 1893 in for helping him create an authentic American setting for the collection Many Inventions, Kipling gives a clinically his adventure story Captains Courageous. Kipling’s most accurate description of tabes dorsalis and what is probably famous poem, “If,” was a tribute to yet another physician the only literary description of Romberg’s test. Love-o’- friend, Leander Starr Jameson. Jameson was involved in Women was published when Kipling was 27, a year after the Boer Wars in South Africa and eventually became he had married Caroline Balestier, an American woman, prime minister of the Cape colony.
    [Show full text]
  • BOOK REVIEWS to Have Depicted the Manipulations in Accord with the Author's Prin- Ciples
    Br J Vener Dis: first published as 10.1136/sti.3.2.149 on 1 April 1927. Downloaded from BOOK REVIEWS to have depicted the manipulations in accord with the author's prin- ciples. Thus we note on p. 2I2 a worker pipetting off serum for intra-spinal injection with the aid of a mouth tube (a risky method, we always think), the attendant is wearing no mask, and the bottles for reception of the serum appear not to be capped, though they are standing upright. In the figure on the opposite page the workers engaged in salvarsanising the serum are masked and capped, but figure 99, on p. 2II, shows a worker without mask or cap, and with ungloved hands manipulating an instrument to loosen a clot in a tube, which is held nearly upright. An error appears to have crept into P. I93, where mention is made of " Neoarsphenamin " being " sold in a concentrated glucose solution for use in tropical countries (English manufacture, Boot)." We presume the author is here referring to the combination of the arsenobenzol base, " 592 " with glucose, which is sold as Stabilarsan. We are not inclined now to agree with the state- ment on p. 248 that sodium thiosulphate nullifies the therapeutic effect of arsenobenzol compounds, since Dale showed that solution of " 9I4 ". in sodium thiosulphate did not raise its curative dose in experimental trypanosomiasis, and Clements, at the St. Thomas's Hospital centre, found that the same solution did not seem to interfere with the power of " 9I4" to cause rapid disappearance of Sp.
    [Show full text]
  • Milestones in Ataxia
    REVIEW Milestones in Ataxia Thomas Klockgether, MD1,2* and Henry Paulson, MD, PhD3 1Department of Neurology, University Hospital Bonn, Bonn, Germany 2German Center for Neurodegenerative Disorder (DZNE), Bonn, Germany 3Department of Neurology, University of Michigan, Ann Arbor, Michigan, USA ABSTRACT: The past 25 years have seen enor- include protein aggregation, failure of protein homeosta- mous progress in the deciphering of the genetic and sis, perturbations in ion channel function, defects in DNA molecular basis of ataxias, resulting in improved under- repair, and mitochondrial dysfunction. The clinical pheno- standing of their pathogenesis. The most significant mile- types of the most common ataxia disorders have been stones during this period were the cloning of the genes firmly established, and their natural history is being stud- associated with the common spinocerebellar ataxias, ied in ongoing large observational trials. Effective thera- ataxia telangiectasia, and Friedreich ataxia. To date, the pies for ataxias are still lacking. However, novel drug causative mutations of more than 30 spinocerebellar targets are under investigation, and it is expected that ataxias and 20 recessive ataxias have been identified. In there will be an increasing number of therapeutic trials in addition, there are numerous acquired ataxias with ataxia. VC 2011 Movement Disorder Society defined molecular causes, so that the entire number of distinct ataxia disorders exceeds 50 and possibly Key Words: ataxia; clinical scale; DNA repair; ion approaches 100. Despite this enormous heterogeneity, a channel dysfunction; mitochondrial dysfunction; poly- few recurrent pathophysiological themes stand out. These glutamine disorders Ataxia literally means absence of order and denotes approach to the ataxias inspired by the seminal work a clinical syndrome of incoordination caused by of Holmes and Greenfield prevailed, and classifications lesions of the cerebellum and its afferent or efferent based on neuropathological categories, such as olivo- connections.
    [Show full text]