HISTORY OF PAIN Prof Mehdi Hasan Mumtaz EARLY
- Slides: 22
HISTORY OF PAIN Prof. Mehdi Hasan Mumtaz
EARLY d PAIN v Demons. v Evil humors v Dead spirits d TREATMENT v Block entry v Transferring v Removal
PAIN Punishment from God Pain – Latin word “Poena” (Punishment)
SOURCE OF PAIN d Ongoing mystery. d Aristolte (384 -322 BC). “Sensorium Commune”
SOURCE OF PAIN th 18 century two Schools of Thought “HEART vs BRAIN”
SOURCE OF PAIN d Ancient Egyptians View. d Ancient Indians View. d Ancient Chinese View.
SOURCE OF PAIN “views” d d d d Alcmaeon Pythagorus Hippocrates Democritus PLATO Aristolte Herophilis Erasistratus (500 BC) (566 – 497 BC) (460 – 370 BC) (460 – 362 BC) (427 – 347 BC) (315 – 280 BC) (310 – 250 BC)
SOURCE OF PAIN d d Celsius Observation. Galen (AD 130 – 200) William Havvey (1628) Descartes (1664) Melzack & Walls (1965) “Article in Science”
MEDICINE d Opium poppy d Thomas Sydenham (1624 – 1689) d Sir William Osler (1849 – 1919) d Missionaries in China d Friedrich Wilhclm Adam Sertuerner (1783 – 1841). (4000 BC)
MEDICINE Local Anaesthetics d Procain – Alfred Einhorn (1856 -1917) d Albert Niemann (1860) d Karl Koller (1884) d Francesco Pizarro (1533)
MEDICINE COX – 2
MEDICINE d d Aspirin Salicin Ancient Egyptians Myrtle Leaves (Myrtus Communis) Hippocrates Winter Willow bark. (Salix Alba) Druids Meadow Sweat. (Filipendula Ulmanria)
MEDICINE d Methyl Salicylate. v Sweat Birch. (Betula lenta) v Wintergreen (Oil wintergreen)
MEDICINE SALICIN ASPIRIN (Bayer) “Filipendula Ulmaria” or Spirea Ulmaria Suffix “in” common Aspirin = Acetyl (a) spirea (spir) & (in)
MEDICINE DIACETYL MORPHINE “Bayer” (Heroin)
PAIN CLINICS First Multidisciplinary Pain Clinic Temple of Aesculapius “Greek God of Medicine”
MODES OF TREATMENT d Magic potions – Nepenthe. d Bandages. d Medical, physical procedures. d Mystical & transcendental energies.
PAIN CLINICS d d 1948 – E. A. Rovenstine “ E. M. Paper
PAIN CLINICS d 1944 – John Bonica (1917 -1994). d Pain control – Madigan Army Hospital Washington. d Orthopedist, Neurosurgeon, Psychiatrist.
PAIN CLINIC “JOHN BONICA” d d d 1947 – “ 1960 - Multidisciplinary clinic. Tacoma General Hospital. Moved to University of Washington
PAIN CLINIC d 1947 – William K. Livingston d Pain Project – University of Oregon
PAIN CLINIC “Sever chronic pain is massive economic and social problem” d What we are achieving? d How can we improve the service? d What does the patient expect?
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