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The Rise and Fall of Modern Medicine

Page 53

by James Le Fanu


  12.Merton Sandler, ‘Monoamine Oxidase Inhibitors in Depression: History and Mythology’, Journal of Psychopharmacology, 1990, Vol. 4, pp. 136–9. See also G. E. Crane, ‘Psychiatric Side Effects of Iproniazid’, American Journal of Psychiatry, 1956, Vol. 112, pp. 494–501; H. P. Loomer, J. C. Saunders and N. S. Klein, ‘A Clinical and Pharmacodynamic Evaluation of Iproniazid as a Psychic Energiser: Psychiatric Research Report No. 8’, American Psychiatric Association, 1958, pp. 129–41.

  13.C. P. J. Tyrer, ‘Benzodiazepines on Trial’, BMJ, 1984, Vol. 288, pp. 1101–2. See also F. Kraupel Taylor, ‘The Damnation of Benzodiazepines’, British Journal of Psychiatry, 1989, Vol. 154, pp. 697–704.

  14.L. H. Sternbach, ‘The Benzodiazepine Story’, Progress in Drug Research, 1978, Vol. 22, pp. 229–66.

  15.H. Mohler and T. Okada, ‘Benzodiazepine Receptor: Demonstration in the Central Nervous System’, Science, 1977, Vol. 198, pp. 849–51.

  16.Edward Shorter, A History of Psychiatry (Chichester: John Wiley & Sons, 1997).

  17.Hans J. Eysenck, The Decline and Fall of the Freudian Empire (Penguin, 1985). See also Richard Webster, Why Freud Was Wrong (HarperCollins, 1996).

  18.Aaron T. Beck, Cognitive Therapy and Emotional Disorders (Penguin, 1989). See also Gavin Andrews, ‘Talk That Works: The Rise of Cognitive Behaviour Therapy’, BMJ, 1996, Vol. 313, pp. 1501–2.

  INDEX

  abdominal surgery 448

  acetazolamide 243

  actinomycetes 50

  actinomycin C 166–7

  Acute Lymphoblastic Leukaemia (ALL) 157, 158, 159–60, 174

  see also leukaemia

  acyclovir 242

  ADA deficiency 340

  Adams, Henry 418

  Addison’s disease 31

  adrenal hormones 31, 32

  affluence 355, 402–3

  ageing

  biomedicalisation of 440–1

  cancer 383, 384, 387, 397

  degenerative diseases 120, 419, 425–6, 440

  population increase 6, 440

  solid tumours 176

  surgery 450–3

  AIDS 56–7, 413

  alcohol consumption 401–2

  Alexander, Albert 14–15, 21

  Alexander, Franz 206

  Alexander, Stewart 162

  allopurinol 242, 502

  alternative medicine 6, 424–5

  American Heart Association (AHA) 366, 369

  Ames, Bruce 392–3

  amino acids 315

  aminopterin 166

  anaesthetics 92–3

  Anderson, French 341–2

  Angell, Marcia 466, 471–2, 473

  angina 153, 284

  anti-cancer drugs 486–9

  combining drugs 169, 170–1, 173–4

  development 162–9

  evaluation 168–9

  genetic engineering 332

  leukaemia 157–8, 159, 166, 169, 171, 173, 242

  rheumatology 502

  solid tumours 177

  treatment problem 161

  anti-inflammatory proteins 269

  antibiotics

  anti-cancer 166–7

  chemistry 22

  discovery 13, 21, 23, 49

  nature of 264–5

  penicillin 13–21

  rheumatic disorders 498–9

  role of 219–20

  streptomycin 24, 25

  and sulphonamides 242

  anticoagulants 370

  antidepressants 475–80, 504, 507–9

  anxiety 404, 510

  Appleton, William 477

  arthritis 121–2, 127

  see also rheumatoid arthritis

  arthroplasty 121–30

  artificial ventilation see ventilation

  aspirin 11, 52, 380

  asthma 34, 35, 220, 269, 283

  autoimmunity 498

  Avastin 487, 488

  azathioprine 133, 144, 145, 146, 242

  Bachetta, Matthew 451

  bacteria

  antibiotics 21–2, 24

  as cause of disease 205, 407, 411

  chlamydia 381

  competitive inhibition 50

  genes 319, 320

  genetic engineering 325, 326

  helicobacter 202, 210, 211, 212, 411

  soil 24, 50

  streptococcus 239, 240

  Bailar, John, III: 384

  balloon catheters 445–6

  Baltimore, David 320, 321

  Barnard, Christian 99–101, 119

  Bavister, Barry 188

  Bayer 238

  Beeson, Paul 234–5

  Beg, Colin 177

  Bell, John 312

  Bell’s palsy 412

  bendrofluazide 242

  benzodiazepines 504, 510–11

  Bernheim, Frederick 52

  beta blockers 152–3

  Beyer, Karl H. 152

  ‘Big Idea’ (population strategy) 401, 402

  Big Pharma 466, 493–4

  Big Science 491, 492–3

  Binns, V. C. 127

  biological therapies, cancer 487–8

  biology of life 462–4

  biotechnology 457

  see also genetic engineering

  Bjork, Viking 119

  Bjorneboe, Mogens 88

  Black, Sir James 153, 284, 467

  Blalock, Alfred 104, 230

  bleomycin 167

  blockbuster drugs 284–5, 467–71, 485

  blood pressure 147, 150

  see also hypertension

  Bodley-Scott, Sir Ronald 279

  bone marrow 146

  Boyer, Herbert 325, 326, 327, 328, 329

  Bradford Hill, Sir Austin

  career 42–4, 46, 69

  causation 71–3

  clinical trials 53, 54, 58, 59, 70–1

  cohort studies 65–6, 68–9

  epidemiology 397

  smoking and cancer 59, 61, 64, 65

  statistics 42, 46, 61, 358, 432

  breast cancer 176, 337, 487

  British Medical Association 352

  British Medical Journal 302–3

  Brock, Sir Russell 104

  Brown, Lesley 181, 199

  Brown, Louise Joy 179, 181, 199

  Brukhonenko, S. S. 109

  Burnet, Sir MacFarlane 318

  Bush, Vannevar 215, 218

  Bywaters, Eric 224–5, 231

  Cade, John 504–6

  Calne, Roy 136, 143–4, 145

  cancer

  biological therapies 487–8

  breast 176, 337, 487

  and diet 383, 385–8, 397

  genetic testing 336–7

  keyhole surgery 449

  lung 41, 59, 60, 71, 176

  oncology 176–8

  Social Theory 355, 356, 383–8

  stomach 211

  treatment 2, 161

  see also anti-cancer drugs; leukaemia

  Cancer Chemotherapy National Service Center 168–9

  cardiac surgery

  closed-heart surgery 97

  development 96, 102–8

  open-heart surgery 96–102, 108–12, 113–19, 450–1

  post-operative care 94

  Carrel, Alexis 138

  Carson, Rachel 389–90

  case-control studies 62–5

  Cassidy, Sir Maurice 361–2

  Castell, Donald 468

  cataracts 251

  catheters 229–30, 231, 445–6

  causation 71–3

  cells 237, 267–8, 311

  see also genes

  cerebral palsy 292, 294, 295

  Chain, Ernst 17, 18–19, 21

  Chamberlain, Austen 223

  Chang, Judy 333

  Chang, Min 184, 188

  Charlton, Bruce 491

  Charnley, John 121, 123–30

  Charpentier, Paul 81

  Chasis, Herbert 151

  chemicals

  in environment 390, 392–4

  new chemical entities (NCEs) 278–9, 281r />
  see also drugs

  chemistry 237–8, 243

  chemotherapy see anti-cancer drugs

  childbirth see foetal monitoring

  chlamydia 381

  chlorambucil 164

  chlorothiazide 151, 152, 155

  chlorpromazine

  Delay and Deniker 81, 282

  discovery 507, 508

  schizophrenia 76–8, 81, 282, 504, 510

  workings of 74

  cholera 204

  cholesterol 156, 482–3

  drugs 374, 376–9, 480–4

  heart disease 362–4, 381, 403

  cholestyramine 377

  Churchill, Edward 109, 110

  Churchill, Winston 241

  cimetidine 208, 210, 284

  cisplatin 168

  Clareman, Gerald 512

  Clark, David 75–6

  Clark, Michael 291

  Clegg, Hugh 40

  Cleland, Bill 106, 277

  Clinical Research Centre (CRC) 304

  clinical science

  decline 300–6

  Holman 228

  new ideology 221, 226, 230, 233

  patients 232–3

  clinical trials 471–3

  anti-cancer drugs 169

  cholesterol-lowering drugs 377, 482

  heart disease 370–2, 401

  principle 53–4

  Randomised Controlled Trial 58, 59, 70–1

  tuberculosis 53–6

  Clinton, Bill 455

  Clomiphene 200

  closed-heart surgery 97

  clots (thrombus) 361, 367–8, 370, 379–81

  cognitive therapy 504, 513

  Cohen, Stanley 326

  cohort studies 66–9

  Colebrook, Leonard 240

  Collins, Francis 456, 458

  Collins, Rory 482

  colon 449

  colonoscopes 259

  Comings, David 322

  competitive inhibition 50, 52, 141, 165, 241–2

  connective tissue disorders 498

  Connolly, Cyril 57–8

  contraceptive pill 189, 190, 191

  Copenhagen polio epidemic 84–90

  coronary angioplasty 444–7

  coronary disease see heart disease

  cortisone 27–39

  benefits 34

  discovery 27–33, 266–7, 497

  inflammation 27, 37, 39, 269–70

  role of 219

  side-effects 33–4

  therapeutic potency 35–7

  Upjohn 245, 247

  see also steroids

  coxsackie B 412

  Crampton-Smith, A. 91

  Craven, Harry 127–8

  Creuzfeldt-Jakob disease 413

  Crick, Francis 215, 313, 316, 455

  cross circulation, open-heart surgery 115–16

  crush syndrome 224–5

  curare 92

  Curtiss, Larry 258

  Cutler, Elliott 104, 106

  Cutshall, Cynthia 340, 341

  cyclophosphamide 159, 164

  cyclosporine 146

  cystic fibrosis 316, 334, 335–6, 342, 343, 348

  cystoscopes 259–60

  Dack, Gail 204

  Dale, Sir Henry 40

  Dameshek, William 142

  dapsone 243

  daunomycin 167

  Davidson, Stanley 499

  definitive moments 2, 3, 7, 180, 216–17, 244

  degenerative diseases of ageing 120, 419, 425–6, 440

  Delay, Jean 81, 82, 282, 503

  Deniker, Pierre 81, 82, 282, 503

  Denton, Michael 267–8

  deoxyribose 313

  depression, classification of 476–7, 478

  DeWall, Richard 116

  Dexter, Michael 456

  diabetes 31, 243, 325, 412

  diagnosis 11, 236

  diagnostic technology 2, 249, 289–91, 420

  dialysis 137–8, 248

  diet

  and cancer 383, 385–8, 397

  as disease cause 352, 355

  and heart disease 364–6, 368–74, 376, 381–2

  digoxin 11

  diseases

  disease mongering 469–71

  pattern of 12

  therapeutic revolution 212–13

  unknown causes 203, 283, 306, 352, 407–13

  see also Social Theory (of disease); specific diseases

  diuretics 243

  DNA 313–22, 412

  anti-cancer drugs 167, 168, 174

  structure of 216, 455

  text-cutters 319, 326, 333

  doctors

  diagnosing 11

  disillusioned 4–5, 417, 423

  and patients 230, 233, 434

  and pharmaceutical industry 433, 473–4

  specialists 275–7

  see also prescriptions

  Doll, Sir Richard

  causes of cancer 385, 386–8

  food consumption review 355

  smoking 61–2, 63, 64, 65, 69

  Dollery, Colin 277–8

  Domagk, Gerhard 238–9, 242

  Dotter, Charles 445

  Drinker, Philip 86

  drug companies see pharmaceutical industry

  drugs

  accidental discovery 236–8

  anaesthetics 92

  anticoagulants 370

  antidepressants 475–80, 504, 507–9

  blockbuster 284–5, 467–71, 485

  cholesterol-lowering 374, 376–9, 480–4

  clots 380

  contraceptive 189, 190, 191

  development time 283

  effectiveness 285

  evaluating 471–3

  fertility 189, 190, 200

  genetic engineering 330–1

  hypertension 148, 151–3

  immunosuppressants 133, 142, 144, 145, 146

  innovation 271, 282, 284, 485–6

  lifestyle 286

  new 278–9, 281–7

  non-steroidal anti-inflammatory drugs (NSAIDs) 500–1

  numbers of 221

  peptic ulcers 208

  prescriptions 441, 465, 474–5, 476

  psychiatric illnesses 74, 80–2, 503–11

  regulation 282

  resistance to 56

  rheumatology 498–502

  sulphonamides 152, 238–44

  withdrawal syndrome 479

  see also anti-cancer drugs; antibiotics; clinical trials; side-effects of drugs

  dying 296–8

  ear 250

  Edwards, Robert (Bob) 180–1, 182, 185–9, 193–200, 217

  eggs see IVF

  elderly see ageing

  electric shock therapy (ECT) 79

  electrocardiogram 227

  Eli Lilly 328, 330

  Elion, Gertrude 133, 141, 144, 167, 241, 284

  Elkes, Joel 76–7, 82

  Ellis, Laurence Brewster 106–7

  embryology 221

  endocrinology 221

  endoscopes 249, 254–62, 448

  endoscopy 291

  environmental pollution 356, 389–95, 397

  ‘epidemic of anxiety’ 404

  epidemiology 309, 397, 398–402

  epilepsy 285

  Epstein, Samuel 355, 389

  Epstein, Stephen 381

  Erlichman, James 329

  erysipelas 240–1

  eugenicist ideology 339

  evolution 310, 358

  Eysenck, Hans 503

  factor VIII: 325, 334, 335

  fallopian tubes 180, 183, 184, 192, 193, 198

  Fallot, Etienne Louis 103

  Fallot’s Tetralogy 103–5, 107, 115, 116, 117, 231

  Farber, Sidney 165, 166, 171, 175

  Faroe Islands 409

  Farr, William 45

  Feinstein, Alvin 398–9

  female reproductive hormones 189–92

  fertility drugs 189, 190, 200

  see also IVF

  fibreoptic endoscopes 257–9

  finasteride
285

  first order kinetics 173

  Fisher, Ronald 45–6

  Fleming, Alexander 15–17, 21

  Fletcher, Charles 14, 21

  Florey, Howard

  career 17–18, 21, 216

  and Chain 19, 21

  Domagk’s experiment 242

  penicillin manufacture 20, 25, 218

  foetal monitoring 291–5

  folic acid 165, 241

  follicle stimulating hormone (FSH) 189, 190, 191

  Franco, General 296–7

  Frei, Emil, III: 170, 173

  Freireich, Emil 170, 173

  Freudian psychoanalysis see psychoanalysis

  Friedmann, Theodore 341

  fruit 392–3

  frusemide 243

  Gadsden, Henry 467

  Gainsborough, Hugh 256

  gall bladders 261

  Gallo, Robert 413

  Galton, David 158

  Galton, Francis 44

  Gardner, Mrs 28

  gastritis 209, 210

  gastroscopes 255, 256

  Gee, Samuel 226

  Geigy 500, 507, 508

  Gell, Philip 349–50

  gene therapy 324, 339–44, 345

  Genentec 327, 328–9, 330

  genes

  breast cancer 337

  complexity 347–9, 462

  gene therapy 324, 339–44, 345

  genome sequencing 458, 459

  haemoglobin 322

  Human Genome Project 455–6

  insulin 321, 322, 328

  proteins 332

  regulatory 463

  working of 313–23

  see also DNA; New Genetics

  genetic diseases 316, 334–5

  complexity 348–9

  single-gene disorders 324, 339, 457, 459

  genetic engineering 324, 325–32, 345

  genetic screening 333–6, 345

  genetic testing 336–8

  genetics see New Genetics

  genome sequencing 458, 459

  Genome Wide Association Studies (GWAS) 460

  George V: 223

  Gibbon, John 98, 108–14

  gifts from nature 264, 266

  Gilbert, Walter 322

  Gillick, Muriel 297

  Gillies, Sir Harold 252, 253

  Gilman, Alfred 162–3, 217

  Girolami, Paul 467–8, 469

  GlaxoSmithKline 479

  gold 499

  Goldberg, Elsa 207

  Golden Ages, knowledge 418

  Goldstein, David 462

  Goodman, Louis 162, 217

  gout 502

  Gow, Jim 259–60

  Gray, T. Cecil 92–3

  Greenwood, Major 42, 43, 44, 46

  Greuntzig, Andreas 445–6

  Griffin, John 286

  Griffith, Howard 92

  Guillan-Barré syndrome 91

  Guthrie, Woody 334

  gynaecology 192, 261, 448

  haemoglobin 322, 333

  haemophilia 325, 334–5

  Hamburger, Jean 145

  Hare, Ronald 16, 17

  Harken, Dwight 106–7, 218

  Harvey, William 454

  health care, costs of 6–7, 425–6, 439

  Healthism 5–6

  heart 96

  blood loss 225–6

  catheters 229–30, 231

  Fallot’s Tetralogy 103–5, 107, 115, 116, 117, 231

 

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