Jefferson Medical College - Clinic Yearbook (Philadelphia, PA)

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sim, l , l , . A i , l , ' 5 Q. N chest wall He was supposed to have an ankylosis of the shoulder and the X ray plates were thought to show certain changes in the bones and joint which would account for the disability As massage electricity and exercise had accomplished nothing after months of use operation was advised From the general muscular rigidity whenever the patient attempted abduction and from the fact that when this was overcome by persuasion certain movements could be easily carried out a diagnosis of hysterical spastic palsy was made and in ten minutes this boy was carrying the arm up in full extension over his head Massage electricity apparatus operation all have their place but are harmful in this condition since they only prolong it and because it can be quickly cured by psychotherapy An important point is that patients should not be allowed to get into this condition and it is easily prevented. In this connection I would advise all young surgeons to read Colonel Hurst s article in the Osler Memorial Volume on 'What the War Has Taught us About Hysteria. One who doubts the effect of mind over matter should read Klauder's paper Q . A. M. A., November 28, 19251 on the Cutaneous Neuroses, in which he shows among other interesting tests, that by suggestion blisters can be made with postage stamps. The diagnostic habit needs to be cultivated by the surgeon and the young man needs to be taught that there is a something more in the art of surgery than operative skill and technic. The link between surgery and psychology is too important to be neglected. Lawrence Sterne said ofhis teachers at Cambridge that they were men of reading who .z a p : fa II ' , X . . . . - . - . . l i , . Il I WJ i u K 1 pf fi i gl thought that 'wisdom can speak in no other language than Latin and Greek,' and I sometimes think there are too many practitioners of medicine who, in making a diagnosis, depend too much on the laboratory findings and fail to recognize many perfectly patent signs and symptoms which one experienced in the att sees at a glance. The wise practi- tioner knows his Latin and Greek of the laboratories and uses them, but he does not start or stop with them. Cans: thou not minister to a mind diseas'd, Pluck from the memory a rooted sorrow, Raze out the written troubles of the brain, And with some sweet oblivious antidote Cleanse the stuff'd bosom of that perilous stuff Wliich weighs upon the heart? Page Ninety-:ix

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aizfd 147313-.f1augN I7------.-,.N., CLASS OF 1927