Document rBo5yzDqav0MzprrqYwpDex5J

FILE NAME: Smoking (SMOK) DATE: 1965 Oct DOC#: SMOK053 DOCUMENT DESCRIPTION: Journal Article - Pleurectomy VOL 194, NO 3 OCL iHt UAVffl L MEMORIAL MESOL UBRA** OCTOBER 18, 1965 THE JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION ORIGINAL CONTRIBUTIONS PETIT MAL EPILEPSY 227 Sam uel Livingston, MD, llum 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 ano ck. MD, C. B. Sm ith, MD. and R. H. Purcell, MD, Sethesda, Md PRELIMINARY COMMUNICATION PLEURECTOMY Jo hn Helwig, Jr., MD, Rachel Ash, MD, Sidney Frie d m an , MD, T. G, D au gh trid ge , MD, arid 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, an d E. W. M unnell, MD, New York, W alter Murphy. MD, Buffalo, and J. C. Batem an, MD, W ashington, DC NEGATIVE RESULTS CANCER TREATMENT BY THE METHOD OF REVICI D avid L y a ll, MD, M. S. Sch w artz, MD, F. P. Herter, MD, P. 8. H ud so n, MD, J. C. W righ t, MD C. W. Findlay, MD, New York, 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 CONTENTS CONTINUED AND "COVER STO RY" Adv Page 5 . Z 095S oaia s mnhcbHwimhniae 3 P666 0 9feaZwl06AZBhCi9MZo&ne009Z400i9aSoSa3 Preliminary Communication ctehnmsilvaertpeurlimesotnoarbye-veanslcaurlgaerddiaslesoaseinwciathsews oifdJeivs iiSSWr' k occlusion of pulmonary arteries. These aerntteerrieeds tghaevelunrigsepatroentchhiynm-waa.llTedheborbansecrhveasstyisowtnehsmicoihcf Lpuielbmoownaarnyd aHnaesattohmosusegsgewsteerde thdiasttatlhetsoe tshyestepmuilc Pleurectomy SidneyJoFhrnieHdmelawni,g,MJDr.,, MT.DG, iRffainchDealuAgshht,riMdgDe,, MD, mwiothnapryulmaortneariroylahrypoebrtsetnrusciotinonandofmtihgehstebepasttiiemnuts lated to develop by pleurectomy, as has been and Julian Johnson, MD sshteonwonsist.o be effective in patients with pulmonary Plpeuulrmecotnoamryy awnaasstoumseodsestoasstiampualalltieatisvyesttermeaict poTsehderpefroorcee,dutrhee israttioonbarliengofcotlhlaetercaulrrbelnotolyd pflroow diseamseentwfitohr ppautlimenotnsarwyithhycpyearntoentisciocno.ngTeonitaoluhr eartipnrteocatphiellapriuelsmaonndarhyenccirecutolatiinocnreaatsethteheleavmelouofntthoef kcinpolwe,lesduggeg,esttheed stoucucsesbsfyulBaerpnpilciecaWtioenduomf,thMisD,prhians uinntsearftaucrea.ted blood flow past the capillary-alveolar noPt ahteireentotsforweitbheenpurlempoorntaerdy. hypertension associ Report of a Case ahtaevde swyistthemaicrhigyhpto-txoia-ledfutesthounthte wcoitmhibnintahtieonheoafrat dreAnsgirHl,obspoirtnalonof JPahnila13d,el1p9h4i7a, iwnas19a4d8maintdteda tdoiatghneosCishiolf tdoectrheeasemdecehffaencitcivael ppuullmmoonnaarryy-balrotoerdioflloawr bseloccokndaanrdy tpisoenuddootnruenactusthaerteCrihoisldursenw'sasHmoasdpeit.aTl hweasfirpsterPfoortmt'sedo,pearnad the anastomosis was made 4 mm in diameter. Immediately trheseuletffoefctpsulomfotnhaeryriagrhtetr-itool-alerftobslhituenrattiivteselcfh.anAgsesa, mpoasrtkoepderiamtivperolyvesmheenwt ains pcliinnkicaanl dstadtiuds ewxtarsemtoelpyorwteelnl.d Tthhee For editorial comment, see page 290. apbrolygrethsesivreesduelvt eolfoptomoenlat rogfe paulsmyostneamryic-hpyuplemrtoennasriyona,nparsotob mosis. Because of increasing dyspnea and cyanosis, she the pulmonary resistance is equal to or greater wvaansiaadimn itSteedptetomtbheer H1o9s6p4itaatl owfhtihceh Utinmiveerrsiigthyt oafnPdenrnestryol tphearniphtehreal s"ypsutelmmoicnarreysisstteannocese. s"Inexeisffte. ct, multiple In 1949, Barrett and Daley1 described pleurec dgiraagdneosliesft ocfarpdsieaucdoctartuhnectuersizaartitoernisosuwserewaps ercfoonrfmiremde. dThbey hpeumlmoodnyanraymiacrtearnyd wcaisneianntguiboactaerddiobgyrapwhaiyc osftudthiees. PoTtht'es btolomoyd afslowa minetphaotdienfotsr iwncitrheasciynagnothtiec pcuolnmgoennaitrayl aanndastpoumlmosoisnairny-aartreertyrogprraedsseurfeasshwioenr,e afnodunbdottho bthee 1a1o0r/t7i0c hfleowart adnidsealsoew wpiuthlmaondaerycr-eaartseerdy ppurlemssounraersy. bTlhoeoyd mhemmaHtogc. rTithreeahdeimngo,g6lo0b%in. lBevoethl wthaes p18a.t4iegnmt a/1n0d0hcecr amndoththeer were most anxious that something be done. Pleurectomy dberomnocnhsotpruatlemdontahrey daenvaesltoopmmoesnets owfitlhargceo,nseidffeercatbivlee sounrftahcee roigfhtthesidluenwgaws apsersfporrimnkeldedonwSitehppt o2w8,de1r9e6d4,aasnbedsttohse. t cthlienicyaelarism, pthroisvemmeetnhtodinofthpeasleliaptiaotnienhtass. bTehernouemgh ployed in patients in whom Blalock or Pott's Ta hperopgraetsiesinvte hinadcreaanseuinneveexnetrfcuisleptoosletorapnecraet.ivIen Mcoaurrcseh w19i6th5 / sphitealwafsorrearedemviatltueadtitoon.theAUt ntihviesrstiitmy eo,f Ptheennpsyaltvieanntia cHouolsd ssohnusntsancdouwldhonowtebree npoertfoarmmeendabfloer ttoechonpiecna-lhreeaart 1. Preoperative chest x-ray film, Sept 21, 1964. Post corLrieecbtoivwe asnudrgheirsy.coworkers' have beautifully dem operative chest x-ray film, March 8, 1965, was un changed except for pleural thickening on right side. noanrsytraatneadstobmy oisnejescitnionhesatluthdieasndthdeisbearosen.ch(oWpuelmwoill utesme itcheartteerrimes bthroantcshuipalplayrtoerribeescotomeinrceluladteedaltlostyhse mluonsgess, aasredodeisffiLciuelbtotwo.)dTemheosnestprraetceapinillahreyalatnhasbtuot mthaeylubnegcosmoer ivnerytetrlaarlgoegyinofobFlaitlelorattiwveithdilsoewasepuolf monary-artery pressures. Heattd found the bron- ofFtrhoemUtnhieveCrsaitrydioovfasPcuenlanrsyClvlainniicaa;l tRheeseCarhcilhdrCene'nsteHr,osHpoitsaplitoafl Polhoiglayd, ealpnhdias;uragnedryt,hSecdheopoal rotmf eMnetsdiocfinme,edUinciinvee,rspiteydiaotfriPcse,nnrasydli vSaenctiiao.nP, hGielardmealpnhtoiaw.nDDri.spHeenlswairgy iasnndoHwowspitithalt,hPehCilaadrdelipovhaiasc.ular (DRr.epHreinlwt irge).quests to Germantown Hospital, Philadelphia 19144 JAMA, Oct 18, 1965 o Vo! 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 ctolimsburgoenrey,fliaghctliomfbstoafirsonwlyithfoouurt dstyesppsnecaa,uswehderseiagsn,ifpicraionrt ldeyssspncyeaa.noOtinc pahnydsitchael hexemamoginloatbiionn,lesvheel wwaass c1o6.n2sigdmer/a1b0l0y cficlma n d(F itgh e 1)h eamnadtoeclreitctrreoacdairndgio gwraasm 56w%er.eTehsesecnhtieasltlyx -urany cHhgan(g7e8d%. Hsaetruraarttieorni)alcooxmypgaernedprtoesasuprreeo(pPeora2)tivweasPo42omf 3m3 mfilmm-Hchgan(g6e4r%arstaetruiroagtrioapnh).y Sdeleemctoivnestrraetterodgrsaidgenifiinctaenrct osctoall ltaetreiersal toblotohde flluowng frwomith theearliynteorpcaocsitfailcaatinodn borfontchheialrigahrt ptiuvlemsotnuadryy wveaisnsdo(nFeig o2n)l.y C5ol/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