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Updated: June 23, 2025
His head ached and a sense of some great impending evil came upon him. His skin was suddenly a detestable garment to wear. He took his temperature with a little clinical thermometer he kept by him and found it was a hundred and one. He telephoned hastily for Dr. Martineau and without waiting for his arrival took a hot bath and got into bed. He was already thoroughly ill when the doctor arrived.
The clinical features resulting from the injection of the venom vary directly in intensity with the amount of the poison introduced, and the rapidity with which it reaches the circulating blood, being most marked when it immediately enters a large vein. The poison is innocuous when taken into the stomach.
Concerning clinical teaching, we have the following statement: "The clinical teaching in an American hospital is comprised in the following routine: Once or twice a week, from one to five hundred men being congregated in an amphitheatre, the professor lectures upon a case brought into the arena, perhaps operates, and when the hour has expired the class is dismissed.
The clinical facts for such a supposition are those in which the occurrence of an emotion is followed by flushing of the face, acceleration of the pulse, hot or cold perspirations, phenomena all indicative of dilatation of the blood-vessels, with temporary paralysis of their nerves and of their vaso-motor centre.
I will quote a few paragraphs from his book, setting forth his views: "Taking into consideration the pathological conditions described, together with the clinical experience, the likelihood of a recurrence after an attack if no operation is performed, and the likelihood of a complete and permanent recovery if the diseased organ is removed under favorable circumstances, we can come to but one conclusion, namely, that if the desired condition can be obtained the diseased appendix should be removed."
Repeated hæmorrhages into a joint may result in appearances which closely simulate those of tuberculous disease. Recent hæmorrhages into the cellular tissue often present clinical features closely resembling those of acute cellulitis or osteomyelitis.
The clinical features of osteomyelitis in an amputation stump are those of ordinary pyogenic infection; the involvement of the bone may be suspected from the clinical course, the absence of improvement from measures directed towards overcoming the sepsis in the soft parts, and the persistence of suppuration in spite of free drainage, but it is not recognised unless the bone is exposed by opening up the stump or the changes in the bone are shown by the X-rays.
"How about that, Jake? Did you see the morning papers? This thief not only steals our work, he splashes it all over the countryside in red ink." Dr. Jacob Miles coughed apologetically. "What Phillip is so stormed up about is the prematurity of it all," he said to Coffin. "After all, we've hardly had an acceptable period of clinical trial." "Nonsense," said Coffin, glaring at Phillip.
Faced with this dilemma psychiatrists have either called recoveries “remissions” or, like E. Meyer, claimed that one-fifth or one-fourth of catatonics really get well. As a matter of fact it seems clear that stupor is a psychobiological reaction that can occur in settings of quite varied clinical conditions.
If we were to draw a present-day comparison, we might point to investigators who had both the M.D. and the Ph.D. degrees, who had both clinical and laboratory training, and who practiced medicine partly in the clinical wards, partly in the experimental laboratories. Boyle, of course, did not have either degree, but he did have a status as the leading virtuoso of his day.
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