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The Act of God designation on all insurance Bartlett’s Unfamiliar Quotations policies; which means tenormin 50mg on line pulse pressure 65, roughly buy cheap tenormin 100 mg online blood pressure chart based on height and weight, that you cannot be insured for the accidents that are most likely to Sir Edward Cook – happen to you. Editor of the Westminster Gazette The Lady from Stalingrad Mansions ‘A Short History of Insurance’ The doctors all say we eat too much. Sir Astley Paston Cooper – The Great Doctors—A Biographical History of Medicine p. Dover Publications, New York English surgeon, Guy’s Hospital, London and President of () (original W. Ltd ) the Royal College Surgeons (Eng) (1827 and 1836) The best surgeon, like the best general, is the one Bill Cosby who makes the fewest mistakes. They are pale, skinny people who look half I do not believe, that from the first dawn of dead. Penguin Books, London ()   ·    Nathaniel Cotton – Quentin Crisp – British physician and poet English-born writer Would you extend your narrow span, Life was a funny thing that occurred on the way And make the most of life you can; to the grave. Would you, when medicines cannot save, The Naked Civil Servant Descend with ease into the grave; Calmly retire, like the evening light, Colin Cromar –? Every day, in every way, I am getting better and A History of Colostomy () better. As a doctor you would be well advised to acquaint Abraham Cowley – yourself with your patients’ interests if not their English poet prejudices. Persons living very entirely on vegetables are seldom of a plump and succulent habit. A Short View of the Importance and Respectability of the Quoted on ‘neurosis’ in The Oxford English Dictionary Science of Medicine. An address to the Philadelphia Medical Society,  February () Bishop Richard Cumberland – Creole proverb Bishop of Peterborough, England Sickness comes riding upon a hare, but goes away It is better to wear out than to rust out. The Duty of Contending for the Faith, by Bishop George Horne Sir James Crichton-Brown Marie Curie – – Polish-born doctor and scientist British physician and psychiatrist In science we must be interested in things, not in There is no short-cut to longevity. Vincent Sheean) The Prevention of Senility Thomas Curling – President of the Royal College of Surgeons of England Francis H. Lancet : – () (first description of a colostomy in Letter to his son, Michael Crick,  March () English)    · . Daar English Conservative politician Contemporary medical anthropologist My message to businessmen of this country when Medicine cannot be practised without reference to they go abroad on business is that there is one thing social and cultural values, even in this post- above all they can take with them to stop them modern era. Current British Minister of State for Health as quoted in The Anthropology : – () Observer  February () The strongest possible piece of advice I would give J. Chalmers Da Costa – to any young woman is: Don’t screw around, and Surgeon and writer don’t smoke. They have The Observer ‘Sayings of the Week’,  April () one trait in common, that is, a most unfortunate tendency to longevity. Dubois) keen disappointments, the baffling perplexities, There is only one ultimate and effectual preventive the dread responsibilities, and the numerous self- for the maladies to which flesh is heir, and that is reproaches of one who spends his life as an death. The Medical Career and Other Papers ‘Medicine at the The Trials and Triumphs of the Surgeon Ch. A man who has a theory which he tries to fit to The Medical Career and Other Papers ‘Medicine at the facts is like a drunkard who tries his key Crossroads’ haphazard in door after door, hoping to find one I would like to see the day when somebody would it fits. Letter to Dr Henry Christian,  November () Scottish surgeon and discoverer of ulcerative colitis Nature saw fit to enclose the central nervous The affected bowel gives the consistence and system in a bony case lined by a tough, protecting smoothness of an eel in a state of rigor mortis and membrane, and within this case she concealed a the glands, though enlarged, are evidently not tiny organ which lies enveloped by an additional caseous. Crohn’s disease for the first time) Neurohypophysial Membrane From a Clinical StandpointYale University Press () Danish proverb Fresh air impoverishes the doctor. Darlington – The observer listens to Nature; the experimenter British geneticist questions and forces her to unveil herself. A large proportion of mankind, like pigeons and Attributed partridges, on reaching maturity, having passed through a period of playfulness or promiscuity, establish what they hope and Czech proverb expect will be a permanent and fertile mating Small children stamp on your lap, big ones on relationship. Life was originally from so simple a beginning Quoted by Marvin Corman in Classic articles in colonic and (that) endless forms most beautiful and most rectal surgery. Diseases of the Colon and Rectum : – wonderful have been and are being evolved. Self-destruction is the effect of cowardice in the Letter,  March () highest extreme.

Symptom severity and attitudes towards medication: impacts on adherence in outpatients with schizophrenia discount tenormin 50mg overnight delivery arrhythmia dizziness. The research team is interested in finding out about your experiences of taking medication tenormin 50mg sale blood pressure chart uk pdf. If you choose to take part, you will be involved in a one-to-one interview with a researcher. You will be asked about your experiences of medication taking and what strategies you believe could be helpful in improving medication taking amongst people with Schizophrenia. The interview should take no longer than 1 hour to complete and refreshments will be provided. If, after gaining more information, you remain keen to take part a time can then be arranged for the session to occur. One vertical stick of the H is the dividing line for anatomical right/left lobe and the other vertical stick is the divider for vascular halves. Quotations are listed under author, with an index of keywords that permits the reader to access a number of quotes with the same keyword. Wherever possible, biographical information about the author and whence the quote originated are included, although it is acknowledged that there are several omissions in this regard. When the original source is not clear, the secondary source has been substituted if it was thought useful for further study for the reader. If the quotation was deened to merit a place in the Dictionary even without full reference being available, it was included. Indeed, it is not necessary for an author to be particularly well known to be in the dictionary if he or she had given birth to a bon mot or a succinct phrase. The majority of the quotations come from the English-speaking medical worlds of Great Britain, Ireland, and North America but several quotes from other rich medical cultures have been included in translation. Whether readers are looking for a suitable quotation on surgery, science, kidneys, or kindness, they should find much here to satisfy. Medicine is both the narrowest and broad- est of subjects, and I have included examples of both the specific and the general. If I have failed to find that favourite concise quote, please send it fully referenced and it will be included in the next edition. Any corrections of birth dates and deaths will be most wel- come and acknowledged in subsequent editions. This page intentionally left blank Contents Quotations  Bibliography  Index  How to Use the Dictionary The sequence of entries is by alphabetical order of author, usually by surname but with occasional exceptions such as imperial or royal titles, authors known by a pseudonym (‘Zeta’) or a nickname (Caligula). In general authors’ names are given in the form by which they are best known, so we have Mark Twain (not Samuel L. Collections such as Anonymous, the Bible, the Book of Common Prayer, and so forth, are included in the alphabetical sequence. Within each author entry, quotations are arranged by alphabetical order of the titles of the works from which they are taken: books, plays, poems. These titles are given in italic type; titles of pieces which comprise part of a published volume or collection (e. For example, Sweeney Agonistes, but ‘Fragmert of an Agon’; often the two forms will be found together. All numbers in source references are given in arabic numerals, with the exception of lower-case roman numerals denoting quotations from prefatory matter, whose page num- bering is separate from that of the main text. The numbering itself relates to the beginning of the quotation, whether or not it runs on to another stanza or page in the original. Where possible, chapter numbers have been offered for prose works, since pagination varies from one edition to another. In very long prose works with minimal subdivisions, attempts have been made to provide page references to specified editions. Unless otherwise stated, the dates thus offered are intended as chronological guides only and do not necessarily indicate the date of the text cited; where the latter is of significance, this has been stated. Where neither date of publication nor of composition is known, an approximate date (e.

Supraclavicular lymph node metastases generally are from cancer sites below the clavicles generic tenormin 50 mg line hypertension urgency treatment. Keep in mind buy 50mg tenormin mastercard hypertension blood pressure readings, however, that lung cancer can and does spread anywhere (see Algorithm 11. Palpation of the thyroid gland is best performed by facing the patient, placing the index finger on the thyroid cartilage (Adam’s apple) to stabilize it while curling the fingers of the opposite hand around the sternocleidomastoid muscle, resting the thumb on the thyroid isthmus. When the patient is asked to swallow, the thyroid lobe slips up and down between your fingers and thumb, allowing you to appreciate a nodule in that thyroid lobe. A moistened, gloved finger gently sweeps over the gum surfaces, the floor of the mouth, and the tongue, searching for rough or tender areas. With the patient breathing through the mouth, one quickly can sweep across the base of the tongue to the epiglottis. Bimanual examination especially is useful for the floor of the mouth and can be used for cheek surfaces and for the tongue. Special Examination Techniques Special examination techniques are performed by surgical oncologists and head and neck surgical specialists. Fiberoptic laryngoscopes are passed through the nose for direct examination of the vocal cords and nearby areas. A complete examination, searching for a primary cancer site, requires general anesthesia. The examination relies on the use of fiberoptic instruments to look into and at all surfaces that can be reached, 184 J. Agnese including the nasopharynx and sinuses, and the performance of appropriate biopsies. Esophagoscopy and bronchoscopy are added when the primary cancer site has not been found: about 3% of patients with metastatic cancer found in a cervical lymph node will have a final unknown primary classification. Adenocarcinoma diag- nosed by cervical lymph node biopsy indicates the need for further studies, possibly including mammography and endoscopy. Ultrasound can deter- mine whether a lesion is cystic or solid: a thyroid lesion demonstrated on ultrasound is benign if it is entirely cystic. Radioisotope scanning also may be useful; nodules that take up less isotope than the sur- rounding thyroid tissue are termed “cold” and have a much higher chance of being malignant than “hot” nodules (1% incidence of cancer in “hot” nodules). Using local anes- thetic, the lump (nonpulsatile) is fixed between fingers of the non- dominant hand, and a needle attached to a small syringe (for best suction) is passed into the lesion, then quickly passed in and part way out of the mass, “chopping” firm tissue to free cells to be aspirated. The presence of abundant colloid or lymphocytes suggests benign disease, with the indication for surgery resting on factors other than suspicion of malignancy. Biopsy of an intraoral lesion can be taken with a scalpel or using a dermal “punch” biopsy technique. Head and Neck Lesions 185 be obtained with needle aspiration or needle core biopsy. An open biopsy in the neck always is done by a surgeon familiar with the plan- ning for possible neck dissection, because a diagnosis of squamous cell cancer in a node mandates the excision of the biopsy incision site as part of a curative operation. On the face, surgeons plan to take a little normal-appearing skin with the biopsy, while cosmetically planning the best approaches for removal of a suspected cancer. In assessing a pigmented lesion anywhere on the skin, a possible melanoma, “shave” biopsy is never appropriate because the depth of invasion determines the plan for surgical cure. Punch biopsy at the thickest part of the lesion or exci- sional biopsy with a tiny margin is preferred as the initial diagnos- tic biopsy when melanoma is suspected. The patholo- gist described the cytology as “follicular neoplasm,” and an operation was recommended to the patient. He concurred, after learning about the options, the procedure, and the significant risks. A preoperative ultrasound study of the neck revealed no abnormality except for a left thyroid lobe solid nodule, 1. Benign Lesions of the Head and Neck Congenital Thyroglossal duct cysts are in the midline, may enlarge quickly with infection, and elevate with tongue protrusion (see Algorithm 11. These lesions are removed completely (including the central portion of the hyoid bone) with general anesthesia. It is important to recognize that this might be the only functional thyroid tissue present; this means that normal thyroid must be identified by scanning technique before any surgical intervention is planned. Dermoid cysts, consisting of elements from all three germ cell layers, are rare in the head and neck. First branchial cleft sinus or cyst presents in the preauricular skin, lying close to the parotid gland.