Long Island College Hospital - Lichonian Yearbook (Brooklyn, NY)

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1 lil . , .1 f l . I ggi FN' . Q il ll L l ll , x l Fl li. ilu ll, f-:x ' ll k'.SH0 '5!Ef l- 9 - A fbi. JOHN C. CARDVVELL Professor of Physiology, flaring Professor of Plmrzzmcology. M.D., New York University, 1888, Assistant in Physiological Laboratory, University of the City of New York, 1888-1889, Fellow in Physiology, Clark University, 1889- 18915 Instructor in Physiology, Harvard Medical School, 1891-18935 Lecturer in Physiology, Brooklyn College of Pharmacy, 1894-1898, Assistant to the Chair of Nervous Diseases, L. I. C. H., 1897, Chief of Clinic for Nervous Diseases, Polhemus Clinic, 18985 Demonstrator in Physiology, L. I. C. H., 1889g Associate Director of Department of Physiology, Hoagland Laboratory 18995 Instructor in Physiology, L. I. C. H., 19003 Lecturer in Physiology, L. I. C. H., 1905, Assistant Professor of Physiology, L. I. C. H., 19083 Adjunct Professor of Physiology, L. I. C. H., 19105 Associate Professor of Physiology, L. I. C. H., 1911, Professor of Physiology, L. I. C. H., 1913g Professor of Physiology and Pharmacology. L. I. C, H., 1914. Con- tributions to the literature:-The History of Physiology and the Development of American Physiology, fMedical Library and Historical journaljg The History of Physiology. flincyclopedia Americanaj 3 other papers dealing with Cerebellum, Nerve Mechanismsf' etc. Page lwrufg

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J 01911314 2160 171 3 PROFESSOR POLAK and his Secfion in Gynecology

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c. .T-www? l fe:-335-15:1wgwfwc-r-mf:-4-ip-.,-wF:11 , . I V on 4 ,M - - - '.:e.a.rl.J:.. 34.2 '.1:u1: .LL-5:g,i..3! guna l l J knowledge of 'lnlfllll physiology is of value chiefly because it furnishes the nrtural basis upon which Ins mplazzatzrizzs of dlbelbc states rest Patients affected by disease are daily before himg the signs and symp- ' toms they present occurring in more or less distinctly organized groups known as syndromes, These syndromes result from reactions of the previously healthy individual organism to environmental changes Qwhich may be termed patho- logic stimulinj of such magnitude and nature as to detectably injure one or more of the tissues or tissue-systems involved in those reactions or to disturb their harmonious interrelations. From this physiologic viewpoint, disease is, essentially, a disturbance of the dynamic equilibrium of some portion of a living individual, a disturbance of such trend and magnitude as to cause temporary or permanent discomfort to, or actually handicap the individual in the struggle for continuance of existence. To remove, diminish, or bring about compensation for such discomfort or handicap is the aim of the medical practitioner. lVith this end in view he endeavors, by detailed, intensive study of the presented syndrome, to ascertain the locus, nature and cause, or causes of the disturbance of which the syndrome is the outward manifestationg having accomplished which he has diagnosed the case-an essential preliminary to intelligent treatment of it. 4 1 - RONI the viewpoint of the busy practitioner of medicine or surgery, a 14, 2 L if f '. ' ' z - . xg X : . -- X Q2 Because adequate diagnosis of disease involves determination of the location, direction, magnitude and nature of those deviations from the standard, normal state which characterize it, precise knowledge of the normal state is prerequisite for its accomplishment, the degree of accuracy, completeness and, hence, the utility of such diagnosis depending, ultimately, upon the soundness and thoroughness of thc diagnostician's knowledge of the normal course of those processes the disturbed state of which is responsible for the syndrome presented. This conception furnishes a guid- ing principle for the planning and conduction of courses of instruction in physiology in medical schools, in accordance with which instructors should endeavor to instil into the prospective practitioners an actual acquaintance with the subject sufficiently sound, detailed and extensive for ready and reliable application at the bedside. Por' tions of the subject not thus applicable need not be included in such courses or, if included, elaborated to a degree suflicient, only, to make clear whatever indirectly applicable facts or principles may result from their consideration. just what, indeed, to include and what exclude requires, at times, both nicely balanced judgment and cultivated foresight. For the history of medicine furnishes some striking examples of subsequent clinical application of the yieldings of physiologic studies which, during the heyday of their pursuit appeared far too abstract for inclusion in medical curri- -cula. Such, for example, were the elaborate investigations of lVIatteucci, du Bois- Paqc 1'-welity-om'