Showing posts with label SBE. Show all posts
Showing posts with label SBE. Show all posts

Wednesday, August 21, 2013

War medicine was from Mars, Social medicine from Venus ?

The very word "war" medicine seems to stir something vaguely Mars-like, deep within the soul of the chickenhawk doctor or scientist.

Successfully conceiving ,in an academic lab at the University of  Chicago, a way to reduce combat deaths from shock seems to transport one almost up to the frontline evacuation hospitals, directly under hostile fire.

Being there, doing it, roughing it , all sweaty and virile-like : medical science with the smell of the locker room and the men's shower stall about it.

By contrast, what can any doctor - any real doctor - actually do about those dying of subacute bacterial endocarditis (SBE) ?

These hopeless cases shouldn't even be occupying an acute hospital bed - particularly in wartime.

They should be handled by women - nurses - in a secondary hospice or in a palliative care situation at home.

And arthritis 'care' - not really medicine is it ? Helping impoverished old ladies too frail to bend over properly to get dressed and to do their toiletry.

Again - women's work. A job for personal care assistants and social work case workers. Social medicine.

But (Martin) Henry Dawson persevered , hung on in there , all through the war, treating those chronically ill with arthritis and the very 4Fs of the 4Fs, those dying of SBE .

Perhaps because he was that rarity : an American medical researcher in 1940 who already had a stirling war record in the front lines (in the medical corp, infantry and artillery), with a medal for valour and two serious war wounds to back him up.

The Military Cross winner from Venus, as it were ......

Tuesday, August 20, 2013

Henry Dawson, Champion of the Second Chance ... and the Second Glance

Manhattan-based doctor (Martin) Henry Dawson championed the smallest, weakest and poorest of beings all his life.

On one hand, they were human beings, such as the institutionalized chronically ill at Goldwater Hospital.

Or discarded young people , dying needlessly from subacute bacterial endocarditis (SBE).

In both cases, he wanted to give them a second chance at a near normal life in what was, after all, the famed City of the Second Chance.

Wednesday, July 31, 2013

A Presbyterian with a Monstrance of Penicillium Mold

Devout Presbyterian layperson and wartime penicillin researcher Gladys Hobby recounts in her book "Penicillin : Meeting The Challenge" of  her rounds carrying a petri dish containing a big circular 'wedged' penicillium mold, every day through the wards at Presbyterian-Columbia Hospital.

This daily pilgrimage served no medical or scientific purpose, but it did serve the moral purpose of helping to sustain the spirits of the young SBE patients there.

They all knew that faced imminent and inevitable death from their disease, unless the tiny team of which she was a part of could produce in time enough of the natural penicillin to save their lives.

Anyone who has even seen an artistic rendering of  such 'wedged' penicillium mold and an artistic rendering of a Monstrance is immediately struck, as I was, that the two paintings are very hard to tell apart.

As a Catholic, I particularly relish the image of a Calvinist Protestant dutifully carrying a monstrance, so alien to her religious traditions ( and albeit a monstrance of penicillin-hope), daily through the pain-filled wards.

Truly, God works in mysterious ways ....