Document VjDz9JNv3pjMpZR1KMJywanKZ

FILE NAME: Asbestos in Surgery (ASUR) DATE: 1965 Oct 18 DOC#: ASUR002 DOCUMENT DESCRIPTION: Journal Article - Pleurectomy VOL 194, NO 3 Ht 3AV1 L W1EM0RIAL ME31GAL ySRAsi OCTOBER 18, 1965 THE JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION ORIGINAL CONTRIBUTIONS PETIT MAL EPILEPSY 227 Sam uel Livingston, MD, Ilum inada Torres, MD, L. L. P a u li, MD, and R. V. Rider, S c D , B a ltim o re SURGICAL CURE OF MALIGNANT HYPERTENSION 233 W. L. S tric k le r, MD, Boston GONOCOCCAL ARTHRITIS IN CHILDREN 237 C. W. Fink, MD. D alla s SPIROMETRY IN A MEDICAL CLINIC 239 S. W. R o sn e r, MD, Sidne y A b raham , and C. A. Caceres, MD, W ashington, DC TRANSIENT OCCLUSION OF MIDDLE CEREBRAL ARTERY 243 S. A. Holfin, MD, and Allen Silverstein, MD, New York INACTIVATED MYCOPLASMA PNEUMONIAE VACCINE 248 K. E. Jensen, PhD, L. B. Senterfit, ScD, Te rre H aute, Ind, R. M. Ch an o ck. MD, C. B. Sm ith, MD. and R. H. Purcell. MD, Bethesda, Md PRELIMINARY COMMUNICATION PLEURECTOMY Jo hn Helwig, Jr., MD, Rachel Ash, MD, Sidney Friedm an, MD, T. G. Daughtridge, MD, and Ju lia n Johnson, MD, Philadelphia 253 CLINICAL SCIENCE ANTIBODIES AND IMMUNOGLOBULINS 255 II. NORMAL DEVELOPMENT AND CHANGES IN DISEASE J. L. Fahey, MD. B ethesda, Md SPORTS CONTRIBUTIONS SPORT PARACHUTING AND SKY DIVING 259 A. J. Ryan, MD, M adison, Wis, and C. L. Thom as, MD, W ilbraham , Mass PARACHUTING FOR SPORT 264 Maj F. W. Kiel. MC, U SA , W ashington , DC MATHEMATICAL BIOLOGY MODELS AND MATHEMATICS 269 J. T. Apter, MD, PhD, Chicago CURRENT CONCEPTS IN CANCER-NO 8 CANCER OF CERVIX, STAGE IV AND RECURRENT 273 Philip Rubin, MD, Rochester, NY, Alexander B ru n sch w ig , MD, and E, W. M unneil, MD, New York, W aiter Murphy. MD, Buffalo, and J. C. Batem an, MD, W ashington, DC NEGATIVE RESULTS CANCER TREATMENT BY THE METHOD OF REVICI David L y a ll, MD, M. S. Sch w artz, MD, F. P. H erter, MD, P. 8. H ud so n, MD, J. C. W righ t, MD C. W. F in d lay, MD, New Yo rk, J . M. G alb raith , MD, Glen Cove, NY, A. P. Stout, MD, and C. D. Haagensen, MD, New York 279 LEGAL MEDICINE A SURVEY OF THE LAW OF MEDICAL PRACTICE 281 IV. NEGLIGENCE IN THE PRACTICE OF MEDICINE Sidney Shindell, MD, LLB , Pittsburgh BACTERIAL IMMUNOFLUORESCENCE CONTENTS CONTINUED AND "COVER STORY" Adv Page 5 . zogS5 * aowc i aAGsiMi aovhn'aa CH3aHiimaMon aa6 P666 0 9lO&Z.h9Z000 9Z009SCd tcehniasilvaertpeurlimesotnoarbye-veanslcaurlgaerddiaslesoasienwciatshes of hyper1 Preliminary Communication aorctcelruiseisongaovfe pruislemotonartyhina-rwtearlileesd. bTrhaenscewhiedsseysswpterhmeiacidhc Lenietbeorewd athned lHunegatpharseungcgheysmtead. tThhaet othbesseervasytisotnesmiocf Pleurectomy pmuolmnaorynarayrtearniaoslatormoobsesstruwcteiroen doisftatlhetsoe tphaetiepnutls SidneJyoFhrnieHdmelawni,g,MJDr.,, MT.DG, iRffainchDeal uAgshht,riAdIgDe,, MD, lwatiethd ptuolmdoenvaerylophypbeyrtepnlseiuornecatonmd ym, igahst hbeasstbimeeun shown to be effective in patients with pulmonary and Julian Johnson, MD leurectomy was used to stimulate systemic- steTnhoesrise.fore, the rationale of the currently pro P pmduiselemnatsoenfoarrwypitaahtnieapsntutoslmmwoosinteahsrycaysahnayoptpeicartlelcinaostniivogene.ntirtaTelaotheoaurrtpipnortesoceadtphipellraoprciueelsdmuaornendairshyetncocirecbutroliantgiinocncroealaltsaettehrtehalelebavlmeolooduofnftltohowef kcnipolwe,lesduggeg,esttheed stoucucsesbsfyulBaerpnpilciecaWtioenduomf ,thMisD,prhians uinntsearftaucrea.ted blood flow past the capillary-alveolar noPt ahteireentotsforweitbheenpurlempoorntaerdy. hypertension associ ated with a right-to-left shunt within the heart Report of a Case A girl, born on Jan 13, 1947, was admitted to the Chil hdaevcreeassyesdtemefifcechtiyvpeopxuialmdouneartoy bthloeocdofmlobwinsaetcioonndoafrya dprseenud'soHtruonspcuitsalarotferPiohsiluasdewlapshima aidne.19T4h8e afnirdstaPdoitatg'snoospies raof tion done at the Children's Hospital was performed, and ttohetheeffemcteschoafnitchael priuglhmt-otnoa-lreyf-tarstheruinoltaritsbellof.ckAasnda result of pulmonary arteriolar obliterative changes, tphoestaonpaesrtaotmivoelsyis swheaswmaasdpein4kmamndindiddiaemxetrteemr.eIlmy mweeldl.iaTtehlye marked improvement in clinical status was to portend the apbrolygrethsseivreesduelvt eolfoptomoenltarogfe paulsmyostneamryic-hpyuplemrtoennasriyona,nparsotbo For editorial comment, see page 290. mwaossisa.dmBietcteadusteo othfeinHcorsepaistianlgofdtyhsepnUenaivaenrdsitycyoafnoPseisn,nssyhle tthheanputhlme osnyasrtyemriecsisretasniscteanicse.eqInualeftfoecto, rmgurletaipteler gvraandiae ilneftSecpatredmiabcerca1th96e4teraitzawtihoincsh wtimeree rpigerhftoramnedd.reTtrhoe diagnosis of pseudotruncus arteriosus was confirmed by perIinph1e9r4a9l ,"BpualrmreotntaaryndstDenaoleseys1"deexsicsrti.bed pleurec hpeumlmoodnyanraymiacrtearnyd wcaisneianntguiboactaerddiobgyrapwhaiyc osftudthiees. PoTtht'es btolomoyd afslowa minetphoatdienfotsr iwncitrheasciynagnothtiec pcuolnmgoennaitrayl heart disease with a decreased pulmonary blood aannadstpoumlmosoisnairny-aartreertyrogprraedsseurfeasshwioenr,e afnodunbdottho bthee 1a1o0r/t7i0c mhemmaHtogc. rTithreeahdeimngo,g6lo0b%in. lBevoethl wthaes p18a.t4iegnmt a/1n0d0hcecr amndoththeer fdloewmonanstdratleodw thpeulmdeovnealroyp-maretenrtyofprleasrsguer,ese.ffeTchtievye bronchopulmonary anastomoses with considerable wonertehemroigsthtansixdieouwsasthpaetrfsoormmeetdhinong Sbeepdt o2n8e,. 1P96le4u, raencdtomthye surface of the lung was sprinkled with powdered asbestos. cthlienicyaelarism, pthroisvemmeetnhtodinofthpeasleliaptiaotnienhtass. bTehernouemgh Ta hperopgaretsiesinvtehinadcreaanseuinneveexnetrfcuisleptoosletorapnecraet.ivIen cMoaurrcseh w19i6th5 she was readmitted to the University of Pennsylvania Hos pshlouynetds cionulpdantioetntbse ipnerwfohrommedBfloarlotcekchnoircaPl orteta's pital for rvaluation. At this time, the patient could scoonrrsecatnivde wsuhrogerwye.re not amenable to open-heart 1. Preoperative chest x-ray film, Sept 21, 1964. Post operative chest x-ray film, March 8, 1965, was un onLstireabtoewd abnyd ihnijsecctoiownorskteurdsi'ehsavtheebebaruotnifcuhlolypudlmemo changed except for pleural thickening on right side. nusaerythaenatsetrommobsreosncinhiahleaalrttheraiensdtodisienacsleu.de(Walel swyisll tleumngics, aarstedrioeess tLhiaetboswup.)plTyhoersebepcroemcaeprielllaartyedantoastthoe mmoasyesbeacroemdeifvfiecruylt ltaorgedeimn oonbsltirtaetreatiivnehdeiasletahsebuotf tmhoenlaurnyg-asrtoerryinprteestrsaulroegs.y HofeaFthal3loftouwnidththloewbrpounl- ofFtrhoemUtnhieveCrsaitrydioovfasPcuenlanrsyClvlainniicaa;l tRheeseCarhcilhdrCene'nsteHr,osHpoitsaplitoafl Polhoiglayd, ealpnhdias;uragnedryt.hSecdheopoal rotmf eMntesdiocfinme,edUinciinvee,rspiteydiaotfriPcse,nnrasydli vSaenctiiao.nP, hGielardmealpnhtoiaw.nDDri.spHeenlswairgy iasnndoHwowspitithalt,hPehCilaadrdeilopvhaiasc.ular (DRr.epHreinlwt irge)q.uests to Germantown Hospital, Philadelphia 19144 JAMA, Oct 18, 1965 o Voi 194, No 3 o 139 iy 2 2. Selective right middle intercostal film-changer arteri- ography demonstrates rapid filling of pulmonary veins 1/2 second after injection (upper left), seconds ctolimsubrgoenrey,fliaghctliomfbstoafirsonwlyithfoouurt dstyesppsnecaa,uswehderseiagsn,ifpicraionrt ldeyssspcnyeaa.noOtinc pahnydsitchael ehxemamoignloatbiionn,lesvheel wwaass c1o6.n2sigdmer/a1b0ly0 cficlmand(Fitghe1)heamnadtoeclreitctrreoacdairndgiogwraasm56w%er.eTehsesecnhtieasltlyx-urany cHhgan(g7e8d%. Hsaetruraarttieorni)alcooxmypgaernedprtoesasuprreeo(pPeora2)tivweasPo42omf 3m3 mfilmm-Hchgan(g6e4r%arstaetruiroagtrioapnh).y Sdeleemctoivnestrraetterodgrsaidgenifiinctaenrct osctoall ltaetreiersal toblotohde flluowngfrwomith theearliynteorpcaocsitfailcaatinodn borfontchheialrigahrt ptiuvlemsotnuadryy wveaisnsdo(nFeigo2n)l.yC5ol/n2simdeorninthgsthfoaltlotwheingpopstloeupreerca- tomy, the degree of collateral circulation was remarkable. Comment strTathieoncloinfisciaglnciofiucrasnet ainnddutcheed acnoglliaotgerraaplhciicrcduelmatioonn tgoentihtealrhigehatrtludnisgeaosfethaendpaptuilemntonwairtyh hcyyapneortteicnscioonn, lsitartoivneglybesnuegfgite.stTthheatanpgleiougrercamtosmydewmaosnosftrraeteal cpoanl ccliurcsiuvlealtyionthatht rboluogohd nthowe fplouwlmsofnraormy thpaeresnycshteymmiac - into the pulmonary veins. Although preoperative 140 7.yz after injection (upper right), seconds after injection (lower left), and 4 seconds after injection (lower right). ifnatcetrctohsatatl naortesriigongirfaicmasnt waedrheesnioonts obbetatwineeedn, tthhee pexacrileutdaelsatnhde pvoisscseibraillitpyletuhraat walelrtehefocuonldlataetraslusrwgeerrye mduaerkteodprceheaxnisgteinginbrosnycshteimaliccololaxtyegraelns aslaotnuer.atTiohne sutnrodnerggloyessuogxgyegsetsnattihoant atthitshecaollvlaetoelraarl lebvleolo.d flow paOtienntt,hewebabseilsieovfe tahecaoubtisoeurvsaftiuornthsemr atrdieal oonf tthhiiss procedure is indicated. graTnhtisHEst-u0d6y352waasndsubpypothrteedJoihnn pAa.rHt abrytfoPrudbFliocunHdeaatlitohn.Service References Lu1n.gBBarloreotdt, SWup.Rp.l,y ainndCDyaalneoyt,icRC.:onAgeMniettahloHd eoafrtInDcirseeaassien,gBtrhiet Med J 1:699-702 (April 23) 1949. of2B. rLoinecbhoiwa,l tAo.AP.;ulHmaolneas,ryMV.Ra.s;cualnadr TBrloeoe,m"eirn, WAd.Eam.: s,"RWe.l,atainond VSteriathtt,on1,. In(ecd.,s1.)9:59P, puplm7o9-n9a8r.y Circulation, New York: Grune & Re3s.pHonesaetht,o DP.u:lm"SotnraurcytuHraylpAerltteenrasitoionn,"s ionf APdualmmos,naWr.y, aVnedssVelesithin, IIn. c(.e, d1s9.5)9:, pPpul1m22o-n1a2r5y. Circulation, New York: Grune & Stratton, JAMA, Oct 18, 1965 Vol 194, No 3