Nightmares are dreams with a disturbing content. I like to distinguish the following categories: 1. Nightmares that are frightening during the dream. 2. Violent dreams, however without the expected level of pain or fear. 3. Dreams that ... Read more of Nightmares at My Dreams.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Soap M'clinton's

Those of our readers who have followed out in practice the sug...

Varix And Angioma Of The Esophagus

These lesions are sometimes the cause of esophageal hemorrhag...

Stokes Adams Treatment

The treatment of true Stokes-Adams disease is unsuccessful. I...

Sitting (or Sitz) Bath

This bath, in whatever form administered, is essentially a sit...

Band Flannel

A piece of fine new flannel made to cover the whole back, and ...

Wounds Soothing

During the process of healing, wounds often give a great deal ...

The Ammonium Carbonicum

recommended by Peart, has been considered by many as a specif...

Mind Training

IT will be plainly seen that this training of the bod...

About Voices

I KNEW an old German--a wonderful teacher of the spea...

Small Pox - Variola

This disease begins with pain in the head and back, chilly se...

The Poor Start

For this reason it makes sense to take vitamins and food sup...

Treatment

The present 100 per cent mortality in cancer of the esophagu...

Gastroscopy

The stomach of any individual having a normal esophagus and n...

Bruises Case Xviii

Mrs. C. aged 40, was detained on a journey by a bruised wound...

Wet Compress

The wet compress on the throat in torpid cases should not be ...

Enlargement Of Liver

Take A D current, with medium force. Place N. P., some three ...

Priessnitz's Method The Wet-sheet-pack

a remedy which, alone, is worth the whole antiphlogistic, dia...

Chloroform

See Child-bearing. ...

Night Sweats

This distressing symptom, which accompanies various illnesses,...

The Three Great Classes Of Food-fuel

Food is Fuel. Now what is the chief quality which makes one k...



Acquiring Skill





Category: ACQUIRING SKILL
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Endoscopic ability cannot be bought with the instruments. As with all
mechanical procedures, facility can be obtained only by educating the
eye and the fingers in repeated exercise of a particular series of
maneuvers. As with learning to play a musical instrument, a
fundamental knowledge of technic, positions, and landmarks is
necessary, after which only continued manual practice makes for
proficiency. For instance, efficient use of forceps requires that they
be so familiar to the grasp that their use is automatic. Endoscopy is
a purely manual procedure, hence to know how is not enough: manual
practice is necessary. Even in the handling of the electrical
equipment, practice in quickly locating trouble is as essential as
theoretic knowledge. There is no mystery about electric lighting. No
source of illumination other than electricity is possible for
endoscopy. Therefore a small amount of electrical knowledge, rendered
practical by practice, is essential to maintain the simple lighting
system in working order. It is an insult to the intelligence of the
physician to say that he cannot master a simple problem of electric
testing involving the locating of one or more of five possibilities.
It is simply a matter of memorizing five tests. It is repeated for
emphasis that a commercial current reduced by means of a rheostat
should never be used as a source of current for endoscopy with any
kind of instrument, because of the danger to the patient of a possible
grounding of the circuit during the extensive moist contact of a
metallic endoscopic tube in the mediastinum. The battery shown in Fig.
8 should be used. The most frequent cause of trouble is the mistake of
over-illuminating the lamps. The lamp should not be over-illuminated
to the dazzling whiteness usually used in flash lights. Excessive
illumination alters the proper perception of the coloring of the
mucosa, besides shortening the life of the lamps. The proper degree of
brightness is obtained when, as the current is increased, the first
change from yellow to white light is obtained. Never turn up the
rheostat without watching the lamp.





Next: Testing For Electric Defects

Previous: Retrograde Esophagoscopy



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1033