вторник, 4 ноября 2008 г.

This stream of the published news

This stream of the published news, some of which were inexact, and
Some simply mismatched true, have caused to doctor Dik-Read ultram online 100mg
It is much more harm, than it is possible to present only. On December, 19th, 1948, in
Day when he has left England, millions inhabitants of Brighton have read the false
Heading "": "to the Doctor refuse in homing".

News has flown about all world, acquiring hearings and gossips, and on March, 26th, 1949
In "" details have appeared in time:

"The doctor about Harley - the persona non grata in Southern Africa

To the British accoucheur, doctor Grantli Dik-Read who has relieved all women from
Pains at sorts, it is given up in reception by the South African Medical Council.

Council has made this decision at meeting of Committee and later has confirmed it on
Open session. To make comments on this decision officials of Council
Have refused. "

The charges which have been put forward by Council against doctor Grantli, consisted that
He has addressed for advertising to a secular press, and, besides, was the person with
"Bad character" so, at all did not approach to be
Registered in Southern Africa as the doctor. Doctor Dik-Read has employed the lawyer for
Appeal preparations. While proceeding, it proceeded
Remained out-of-pocket to existence, to it have forbidden to practise. Though in it
It is a high time it overcame calls of hundred the women begging it to visit of them
Labours. Its house even was watched by spies, whether it accepts patients secretly.

Eventually, Medical Council suited the special commission, that
To familiarise with the appeal which A.Izrail should represent, one of
The most outstanding lawyers of Southern Africa:

"... Exhaustive proofs, that doctor Grantli Dik-Read are presented you
Is the famous expert in the field of obstetrics... It is correct or not
Its method, not to me and not to you to judge. The given statement does not concern it
Question. I speak to you about it simply because I know, that in Council is
People who wish to present doctor Grantli Dik-ri-yes as the person,
Nothing made in medicine. They have shown it on an occurring
Executive committee. I will not speak and about a moral aspect of the such
Acts...

With documents we have put numerous letters-responses of leaders to a folder
Experts-gynecologists about a method of doctor Dik-Read. There and the letter
The Lord Chancellor from England, and doctor Tomsa, the head of obstetric unit
University in , letters from Medicine School in Boston, letters from Canada
And many other things places where works of doctor Grantli Dik-Read are widely known and
On advantage are estimated, where it concern with the big respect, because
Understand importance of its works for obstetrics development. vpxl 300mg

So really in this country its work consider such unnecessary, that with contempt
Wave away from its desire to work here?

... the chairman, I think, that I will not violate the truth, if
I will tell, that on Executive Council to doctor Grantli Dik-Read have arranged
Formulated interrogation though on it Council did not have any right. However the doctor
Has answered all questions put before it and has answered directly. Unless already it
One does not prove, that its charge in bad character mismatches
To true? "

After perusal of the text of the appeal voting has begun. From nineteen
The person only one has refrained, eighteen has voted against
Permissions to doctor Grantli Dik-Read to practise in Southern Africa! Remained
Only one way to address for the help - the appeal in the Supreme Court Southern
Africa. Has as a result taken place three hearings of business and, at last, on June, 23rd 1941
Year the Supreme Court has decided, that to Grantli Dik-Read should be given out
The certificate on registration without any delay.

In the meantime plans of building of new hospital have been thrown for a long time. But all
Possibility to practise in has been given doctor Dik-Read
In small, but well equipped hospital, nuns
Dominican Award. Nuns have invited to come, promising all
Support. He has answered them: "I think, we will not have problems with patients.
More likely, we will have a problem how to extend, to satisfy all
Wishing to get to our hospital ". Its predictions have come true.

понедельник, 3 ноября 2008 г.

Caisson disease.

The clinic, Caisson disease develops owing to penetration of nitrogen of tissues into blood at transition from under the raised pressure (2-5 ) to the normal. Passing from tissues in vascular system, nitrogen causes a gas vascular embolism. Arising emboluses, merging, can have foamy structure. In other cases gas blisters frame conditions for ultram 100mg formation of an occlusive thrombus from formulated elements of blood. Thus, the caisson disease proceeds or in the form of an aeroembolism, or an aerothrombosis.
Illness can be acute and chronic. Acute forms of a caisson disease are caused by an aeroembolism, chronic - an aerothrombosis. Chronic forms can be primary and secondary. Initially-chronic forms arise slowly, pass the long latent period and are caused by an aerothrombosis. The osteoarthrosis and a myocardial dystrophy concern them. Again-chronic forms are caused by an aeroembolism before which elimination in a nervous tissue there were deep irreversible pathological changes.
There is a certain dependence of gravity of a current of symptoms on the sizes and quantity of gas emboluses. In this connection among acute forms of a caisson disease it is necessary to distinguish easy, moderately severe, serious and lethal. Easy forms are characterised by convertibility after elimination of blockade of a circulation and influence of emboluses. It is necessary to carry the aeroembolisms which elimination is accompanied by the insignificant residual phenomena to moderately severe forms. Serious forms develop at insufficiently timely elimination of embolic action of gas or at massive aeroembolisms. They come to an end with the expressed defect of functions of organs. In case of massive flooding by aeroemboluses serious forms of a caisson disease can become lethal. Lethal forms of a caisson disease are observed at full blockade of a pulmonary circulation, acute insufficiency of work of heart or circulation disturbance in an oblong brain.
From the moment of the termination of decompression (transition from under the raised pressure to normal) and before occurrence of the first symptoms of a caisson disease passes usually not less a half an hour. Than above pressure and degree of a saturation of an organism (saturation by gas) and the more shortly decompression, the will come a gas embolism more likely. If saturation degree is low, for development of a gas embolism more long time is necessary, and disease will be expressed in easier form. vpxl 200mg
Osteoarthralgias concern easy forms, a neuralgia and dermal lesions (an itch, and a skin emphysema).
The basic symptom of an osteoarthralgia is the pain which is localised in bones and joints of extremities. Quite often pains are preceded by paresthesias. Intensity of pains can have alternating character. Sometimes pains are accompanied by cramps and fibrillar twitchings in extremities, a tumescence with exudate presence in joints. At a palpation the crepitation is taped. Rise in temperature can be observed.