Showing posts with label patients. Show all posts
Showing posts with label patients. Show all posts

Tuesday, September 9, 2008

A Course of Treatment by Egyptian Doctors in 1300 BC

A Course of Treatment by Egyptian Doctors in 1300 BC
Egyptian doctors were well aware of their limitations, however, and were told not to inflict unnecessary suffering on their patients, so there were many case where they had to say at least – ‘An ailment not to be treated’. They were recommended to take note of the treatments and medicines they used and of their effects, so that they had a record for similar cases in the future.

There were medicines to be taken internally, other to be applied to the outside of the body, and others still to be inhaled. Egyptian ingredients that can be identified today appear to be sound herbal remedies. However, some medicines had ingredients such as mice, beetles and dung, which aimed to drive out the demons causing the illness.

The Egyptians had a remarkable knowledge of the way the body worked, and knew about its internal arrangements through mummifying the dead. For them, the heart was the most important organ; they new that it pumped blood round the body, and that the pulse ‘spoke the messages of the heart’. They also knew that injuries to one side of the brain affected the opposite side of the body.

Doctors sometimes used surgery as well as medicine to treat patients, and opened injured skulls to relieve pressure in the brain. Before an operation the surgeon gave his patient a drink, presumably a painkiller, ‘to render it agreeable’. In the New Kingdom the painkiller might have been opium, imported from Cyprus. Because of the importance the Egyptians attached to ritual purity the surgeon and his assistants washed themselves and purified the instruments in fire before the operation. Both of these would cut down the risk of infection.

The Egyptians were a deeply religious people and prayers would always be used as well as medicines, even for the simplest ailments. In difficult cases, magic might be employed. It was also possible to visit temple of a deity associated with medicine, such as Imhotep, which had priests trained as a doctors. At some temples the sick could spend a night close to the god’s sanctuary. During such stay, called ‘incubation’, the patient might be cured by the deity, or dream of the god and receive instructions for treatment. Even if no help was forth coming, the sufferer was spiritually comforted.
A Course of Treatment by Egyptian Doctors in 1300 BC

Friday, July 4, 2008

History of Anesthesiology

History of Anesthesiology
Anesthesiology is a knowledge or study how to have a condition of having sensation blocked. Other definition is “reversible lack of awareness”. This will allow patients to undergo surgery and procedures without feel pain.

In ancient Incas, shaman coked up chewed coca leaves and drilled holes in the heads of their patients while splitting into the wounds they’d inflicted.

Dated in 4200 BC, Sumerian people used opium poppies as herbal remedy. Opium then was introduced to China in 330 BC and India in 600 BC.

Assyrian and Egyptian physicians obtained artificial sleep for their patient by quickly compressing the Carotid vessels of their neck. This practice was followed as well by the Greek physicians. Arab translation of the Greek medicine helped to make Islamic physicians supreme in the middle ages.

Abulcasis and Avicenna wrote about anesthesia in their book: Al-Tasrif and The Canon of Medicine. Baghdad at that time became the world’s leading medical and drug center. With the skill of the Arab Alchemists, the art of drug making began to evolve into the science of Pharmacology. Western physicians emerging from the Middle Ages found the Arab pharmacopoeia, in which a list of medicinal plants composed the anesthetic armamentarium.

British Chemist Humphry Davy in 1799 discovered a nitrous oxide or a laughing gas that have anesthetic quality. The discovery was ignored until Connecticut dentist Horace Wells began to experiment using nitrous oxide as an anesthetic during tooth surgery.

In 1846, dentist, William Thomas Green Morton performed the first public demonstration of diethyl ether (then called sulfuric ether) as an anesthetic agent, for a patient undergoing an excision of a vascular tumor from his neck. Chloroform was introduced as a surgical anesthetic by Scottish obstetrician James Young Simpson in 1847. Although it can eased pain of labor, chloroform had higher risks than those associated with ether.

The first effective local anesthetic was cocaine. Isolated in 1859, it was first used by Carl Koller, at the suggestion of Sigmund Freud, in ophthalmic surgery in 1884.

Chemical substance that has a morphine-like action, Opioids was first used by Racoviceanu-Piteşti, who reported his work in 1901.
History of Anesthesiology

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