Fifty years of growth; Each according to his skill

Thanks. American people searching for health protection of the public health is a responsibility of the Private Practice see medical medical profession institutions such as the hospitals and the health department and private citizen. American people searching for health. A physician a nurse a public health office and private citizen responsibilities for all. Sure Connie. The technology of the medical laboratory progress in research and diagnosis of disease applications and experiment adjusting to the changing health of the public. Technology and services in medicine hoping to overcome the complex relationships between health and people. Preventive medicine.

Drug use. X-ray nutrition tools and machinery therapy and the social changes in medicine increasing the complexity of relationships specialization and teamwork. This document of major changes in the health of the public was produced and recorded by the University of Southern California under a grant from the Educational Television and Radio Center in cooperation with the National Association of educational broadcasters. Tools and processes of laboratory analysis the micro tone slicing sections of tissue the complex nature of the medical technology revealed in the specialized tool of analysis progress in medicine matching rates of scientific advancement in the 20th century.

Determination to control disease to render services to find cures. The human relationship of doctor and patient made more difficult to attain in the social shuffle of mid-century medicine. The complexity of relationships among people activities and machinery engaged in the health of the public. The gap between doctor and patient is filled with nurses technicians that epis specialists major operations demand more people more advanced technology than before. As technology advances and demands for public health services increase relationships become more complex. As more. Equipment is. Operating. Equipment which. To me semi automatically automatically. Record certain logical processes

going on in the patient during the operation. More individuals are needed to monitor these. Physiological changes on the on the machines and of course as the technical. The technical advances the operations. Become. More. And. More detailed. So all these years it is required number of personnel to take care of all of these changes so many. More nurses and. More assistance during the operation. Pizzey. Operational longer requires less time which is an important factor as far as the patient is concerned. Present complexities of surgical procedures and the physician is dependent upon more people. Each one's knowledge and skill contributing to the welfare of the patient. And yet teamwork

teamwork striving for efficiency typical people involved. First the surgeon. And really has an assistant. Thank you for helping me. Operation. Side these two individuals are. Second Assistant services if. Needed. And some of the some of the more complicated operations. And there is ordinarily one or two nurses available. To. Help in handling the instruments and the quick search for the operation. Besides it is a very important member of the team this is. An anesthetist. Ordinarily of. Ministers anesthesia. And keeps a constant check on the. Patient. Ordinarily the team

has worked. Together. For such a length of time that each member of the team is familiar. To. Each Other wants him. There is no problem with scars. Jobbies when asked for. The operating room. They are large enough to stand. For. A little problem. As far as being with any elements of this team. Nursing a growing social awareness in the late years of the last century. The para medical professions contributing to the complexity of the 20th century. Discoveries and trends in fields allied to medicine helping the growth of medicine and contributing to its social changes. Radiology

mental health nursing and Preventive Medicine Department of Public Health. Oh yeah that thing very well. Yes Yankton does look good under the microscope controls are improvements in methods and laboratory processes development of discoveries made in the last century. Not entirely within the boundaries of America. The formulation of methods clinical and surgical that assisted the growth of medicine. Basic technology and social awareness. The foundations of mid-century medicine. Major changes in medical technology and social awareness changes

reflecting wider dissemination application and development of basic discoveries and research of the last century. Patients in hospitals receiving the benefits of progress in medicine. Continued research and improvement contributing to the health of the public. X-ray diagnosis and therapy. Drug discovery and preparation preventive medicine endocrinology. The glands of the body. Specialisation and medical ethics. Changes in medicine. Changes in technology and social awareness. And impression of integration in the electronic intensity of the X-ray lab. The knowledge and treatment of our body systems improved with changes in X-ray

diagnosis and there. Are more. Penetrated the patient there. Therefore don't get to buy so much scattering of the rays that are detail and for more safety devices built and there isn't the danger of patients getting shot for your patients that you think there was some of the earlier ones were extra chores like treasure. First you said you were 18. 95 just cover the rent again I think with them for say vs. carried by Virgin and it's back out again. Sure let me get this right what they were actually doing diagnostics were sort of thing like

that very short time after that right. Yes when I came out of it taken by a few machines huge machines electronic machines. I wonder how the patient ready access to the machines of medicine. I frequent other A-lister because in this room when we were taking x rays I say the stomach and colon were first building which means that there would be in the dark over first but so the fact that they're getting something in there and made us some type of test they probably haven't gone through for and they can see what you're doing a little bit. Mr about what about the third side of it but the reaction was a little more serious stuff from my actual physical reaction to psychological suffering. Well first there are serious conditions there we're treating Mac Baren malignancies. You

said that I only see the facial verra very well the stor. Diagnosis and no one came except rather casually if someone tells them they have a really good condition they're usually pretty. Pretty well upset about it. Ordinarily before they've been able to adjust to it psychologically like we see them for treatment so they are usually quite anxious to have a lot of question in primary care. Chance of curing me. That way things. Are my. Changes in drug discovery and preparation as the antibiotics penicillin American technological genius and organization giving large scale practical applications to basic research ideas in other nations changes in pharmacy since the early years of the century sort of prove.

Your make up and make up comparative drug you made up. Coming up unlike some with no money no money. You know this for public health offering services to people more services than available in the early years of the century services that attempt to improve the health of the public. Well one health department function using described as a six basic services controlling communicable disease including immunizations public health nursing which

are services rendered to families in the field and the field of environmental sanitation which water supply and milk supply food supplies to resist and waste disposal is supervised regulated and laboratory services which include all of the laboratory services needed to protect the public health. Mainly in the field of infectious and communicable diseases. Health Education and CA education on the public information to the profession as well as to the. The individual citizen and then we also operate services for the recording of Vital Records first deaths and also only certain services for handicapped children crippled children we often call them. Those are your basic public health services.

Well there's always been some that always been some public health services rendered and in fact many of them are done now on part by the physician the family physician and all physicians nurses laboratory personnel thank everyone with any of the nursing. Ask any of the medical scale has a certain amount of responsibility to the public health. So that actually legally everybody is a health officer putting the individual on a private citizen who also has some responsibilities as well. But public health services have been developed formally. Sense bacteriology came into being back in the 60s 70s 80s of the last century and stretching out into this century as a jazz discovery as has occurred why then the application of that why his hand certainly up occasions in the field of public health. It's been a gradual

growth gradual progression from the informal sort of thing which the old county physician study physician as you sometimes call render a certain number of. Public health services. The only public health service is a quarantine which we call quarantine because it's all random in 40 days in Latin and the usual quarantine was for 40 days. The length of time that they require the ship to remain outside the port before they would permit them to do the BART guard who unloaded preventive medicine. Significant concern of public health departments. Changes in the you know preventive medicine contributing to the health of the public. Preventative medicine refers to anything which by its application will prevent the development of the spread of disease

that might be in the field of sanitation by the purification of water supply and by the proper disposal of. Domestic waste by the protection of food supply refrigeration for instance is an example of a preventive medical procedure which is commonly applied and which protects the consumer by protecting the food from contamination and from spoilage more specifically we think of prevention as applying to vaccines and preparations which give and which when given to the individual will immunize him against certain communicable diseases such as hooping cough diptheria poliomyelitis smallpox are the common ones to which we minimize strides forward and preventive medicine improved methods major discoveries benefiting the

patient. I think the principal gains that we have. In the field of preventive medicine first of all a bacteriological refinements which enable us to identify the cause of an other disease first of all and then in the second place either to treat it effectively are to prevent it and. In the field of treatment the antibiotics of course have been our greatest gain. Because we can now for instance prevent rheumatic fever by using antibiotics at regular intervals. Far as long as. The individual is susceptible or likely to develop the disease. Then they. Are on the preventive side by then developments such as assault back same.

Of course nothing short of spectacular something I never expected to live to see. But now the last one I had has happened so that is an example of a I have a strict labor Brevetti procedure which is sooner or later I'm going to give his victory over Want to a serious cripple of childhood. Changes in the medical area of Endocrinology applications and experiments contributing to medical progress in the 20th century. Manor House is not a new field as such. Anatomically normal glands of the body and. Elements of his body. Farms for a number of years however there have been a great advance in understanding. Of the function of clients in relationships of all the plants in the body to. No.

Logical function that no dislodging function so that within the past 10 years I say there's been a great increase in their knowledge of oh gee. Directly in the work of many individuals. One pioneer in this field or. Was one said you can't. Stress these. Are all rather as in life as. A medical professional. As far as the stress phenomena is concerned. In relation to the genome why and in general to attorney. Access. To this. Stimulus to the study human cloning. We all know it's a game. That's. 10 to 20 years on the you know relationships these climbs. In recent labor the

chemical techniques the isolation of the. Principals on these plans and the experimental use. Of these principles. Transform hormones. Unable to. Understand a great deal more about their function and their interaction on the part of. The major trend of specialization more benefits to the patient and more men and machines between the doctor and the patient. Patients become fearful and anxious but specialization reveals an increased concern for the welfare of the patient. Specialization was something that had to come. As the knowledge of medicine increases this is almost impossible for one man to you know really feel surly. So that. It was natural that a man would. Thanks often to

various. Specialized fields and fields in medicine. And become fairly proficient in these fields. It. Was. Better the practice of medicine in general. Sure it offers. To the general practitioner who is ordinarily in charge of patient means of. Consultation and expert advice whenever. There's. Actually a. Child. Or an interest. Concern for the entire. You know knowledge of. Ophthalmology or diseases they are one. This presents itself as a problem. He prefers this problem more in the patient or to an ophthalmologist for definitive care. This is Joel Pete man Holmes. Surgeon

and all the major specialties involved. I think specialization has actually made the facts better from the standpoint of physicians and also from the standpoint of patients. Patients get better care now than. It did many years ago. Not only for that reason but. For. Many reasons. One we know more about medicine today than we did 50 years ago. But. Specialization has helped. To bring increased knowledge of medicine. I think it has helped others practice medicine greatly. And increased social awareness. The profession of medicine is showing a greater concern for the patient and for itself. Mainly I can say that 50 years ago. When I was doing was strictly a family physician might become an old country doctor something like country towns across the country across the

United States. And. I certainly don't believe there was much of a problem as far as my request is concerned he was. Actually doing the best he could at all times. And. If he didn't know better it wasn't his fault it was the fault of. Medical knowledge at the time. Sure I really don't believe there's been much of a problem. As I say we find some individuals who aren't quite as honest say as some of the others but. They don't present a very great problem to the question today. People children and their parents demanding more from medical services. The growing right to health medical

progress causing more demands which in turn insist upon greater progress. Young people deserve immunization from childhood diseases. And the old with an increased lifespan. The problems of care and treatment of the elderly. Actually the mechanics of handling elderly. Have not been. Well worked out. Some excellent work has been done and particularly at Oxford. In the field of geriatrics and I found for instance that they could by having the proper sort of facility far. Handling the aged they could handle a vast majority of them at home and did not have to put them in institutions that has been handled as part of a public health administrative program. In England and therefore such projects going on in England today. We feel that in.

The United States that we have not yet found the answers we are looking with a great deal of interest toward the work done by such men as Dr. Lynell Cosin at Oxford where they have done a splendid job of classifying and providing the type of facilitates was in some cases the rehabilitation and others a better adjustment of the patient both at home and in the institution. Need developing changes in medical technology and social awareness better medical services require better communication of information new information concerning discoveries and practices in the field of medicine. The practicing physicians and the public health officer often are submerged in the mass of new information in their field of communication

research discoveries to the doctor. We use the usual medical channels of those magazines and scientific meetings. Manage public health why as a physician trained in the same way that any other physician is trained and simply has as his specialty or love of activity so we our library contains. A very familiar battery of scientific periodicals laboratory and. Medicine but more particularly in the fields of which we have a direct responsibility a field of environmental sanitation public health nursing. And a public health administration. All the fields in which we stock our library most heavily. For run. Education and all the training of our staff. It is not easy for any busy position to keep up

and so all of us need. Refreshing and we need to know what's going on not only in our own fields but also in others as well. So to be a well-rounded physician is almost a full time job. And other needs telling the public about the new developments. The need for discipline and control in disseminating information about preventive medicine. Greater cooperation between community agencies and professional societies. The cautious use of mass media in health education. Presenting problems honestly. And with care. For the public is interested in its health. The American people are searching for help. The physician the nurse the public health officer the private citizen.

Responsibilities for all each according to his skill. Institutions and people cooperating in the production of this program were St. Joseph's Hospital. The Orange County Department of Public Health and physicians of the Orange County Medical Association. This program was written by Don Price directed and rated by the root and produced by Stuart Cooney. Each according to his skill was recorded by the University of Southern California under a grant from the Educational Television and Radio Center. This program is distributed by the National Association of educational broadcasters. This is the AMA E.B. Radio Network.