Modern Medicine: c1900-c2000 Flashcards
Context: CLASS SYSTEM (2)
- 3 Classes, unbalance of power
- 1980s still underclass relying on state for benefits
Modern Treatment: ALEXANDER FLEMING: Before and During WW2
1928: returned to find mild in petri dish with staphylococci dead around mold
1929: published work
1940: Florey & Chain saw and tested on rats then humans
1943: incentive to mass produce
Modern Treatment: ALEXANDER FLEMING: After WW2 (2)
- Used to cure bronchitis, pneumonia, tonsillitis, syphilis, boils etc
- Florey, Chain, Fleming Nobel Prize for Medicine 1945
Modern Treatment: ALEXANDER FLEMING: Significance (2)
Short term: other illnesses prevented Long term: other antibiotics : new vaccines : tranquillisers : birth control pill
Age of Pills: THALIDOMIDE DISASTER (3)
- Mild sleeping pill safe for pregnant women 1950s
- 1962 before link made and company compensated vics.
- Positive outcome: led to stricter testing and approval process for new drugs
Age of Pills: COMING TO AN END (3)
- More and more bacteria becoming resistant to antibiotics
- Antibiotics can’t kill superbugs eg. MRSA
- Reform hospitals to be more ‘Victorian’ to fight superbugs
Age of Pills: ALTERNATIVE TREATMENTS (3)
- Holistic: based on traditional treatments
- Not all agree: British Medical Association- ‘witchcraft’
- Chief Scientific Advisor- ‘nonsense’
War & Tech on Surgery: TECHNOLOGICAL STRIDES (4)
- Mobile X-Ray Units
- Blood Transfusions
- Leg Splints
- Convalescent Wards
War & Tech on Surgery: SHELL SHOCK STATISTICS (2)
- 1914-18: 80,000 with symptoms
- 306 commonwealth soldiers executed
War & Tech on Surgery: SHELL SHOCK TREATMENT (3)
- Talking Cure: William Rivers
- Treated mental illness
- Occupational therapy
War & Tech on Surgery: SKIN GRAFTS (3)
- Harold Gillies first plastic surgeon
1917: hospital to reconstruct facial wounds - 750,000 men treated by Gillies
War & Tech on Surgery: X-RAY TECHNOLOGY (3)
- 1895: Wilhelm Roentgen by accident- refused to patent it
- Edison: images on glass
- 1918: x-ray film
Tech on Surgery: BLOOD TRANSFUSIONS: (1901, 1914, 1915, 1921, 1939, 1940)
1901: Karl Landsteiner discovered blood types
1914: first anticoagulants
1915: first ‘blood banks’
1921: British Red Cross set up voluntary blood donation scheme
1939: Army blood supply depot in Bristol
1940: plasma blood
WW2 & Beyond: SIR ARCHIBALD McINDOE (3)
- work on burns included pilots
- improved Gillies technique for skin grafting
- spent time helping patients reintegrating into society
WW2 & Beyond: SIR HAROLD RIDLEY (2)
- continued improvements to blood transfusions
- cataract surgery: Perspex splinters not always rejected by eye
WW2 & Beyond: PREVENTATIVE MEASURES (4)
- mepacrine: anti-malaria
- rationing: balanced diet
- gas masks: chemical warfare
- deep shelters: bombings
WW2 & Beyond: FUTURE WARS
- Mobile Army Surgical Hospital units
Korea/ Iraq/ Afghanistan: surgeons as near as battle as possible: reduce time between injury & treatment
Types of Surgeries: RADIATION THERAPY (1)
C20th
- Treat cancerous cells
Types of Surgeries: KIDNEY TRANSPLANT (Date)
1952
Types of Surgeries: FIRST HEART PACEMAKER (Date)
1961
Types of Surgeries: FIRST HEART TRANSPLANT (Date)
1967
Types of Surgeries: HIP REPLACEMENT (Date)
1972
Types of Surgeries: FIRST TEST TUBE BABY: (2)
1978
- Louise Brown