By C. Timmermann
The 1st entire heritage of lung melanoma from round 1800 to the current day; a narrative of medical professionals and sufferers, hopes and fears, expectancies and frustrations. the place such a lot histories of drugs specialise in growth, Timmermann asks what occurs while clinical development doesn't appear to make a lot distinction.
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Additional resources for A History of Lung Cancer: The Recalcitrant Disease
Case histories, clinical judgement and diagnostic decisions based on gross morphology and the appearance of lesions continued to be central to diagnostic practice well into the age of cellular pathology. Detailed, individual case histories continued to feature in journal articles on lung and other cancers, while microscopic observations, if at all, were covered in a sentence or two. Even where these were undertaken, the language and terminology used was sometimes Laennec’s, with carcinomas characterized as encephaloid.
The graphic, almost visceral description of an attempted lobectomy for bronchiectasis by the American surgeon Samuel Robinson included in his presidential address to the American Association for Thoracic Surgery in Washington in 1922, may convey some of the tension, the surge of adrenaline associated with operations of this kind, where a surgeon often worked on the contents of the chest without seeing what he was doing, trying to ﬁnd the right place to separate the diseased parts of the affected lung – ﬁlled with pus – from those that were healthy; under his hands a patient whose condition was becoming rapidly more distressing.
Ivan Magill, for example, consultant anaesthetist to the Brompton Hospital from 1921 to 1950, worked closely with the hospital’s surgeons during this phase of rapid expansion. The increasingly important role played by Magill or fellow anaesthetist Michael Nosworthy at St Thomas’s Hospital, illustrates the shift of focus away from the lone, heroic surgeon to the surgical team. Magill developed new methods of intubation and artiﬁcial ventilation that were to become essential to modern chest surgery, as they allowed the selective ventilation of one lung, while the other was operated on.
A History of Lung Cancer: The Recalcitrant Disease by C. Timmermann