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them Order Geodon that the phases of disease which they will meet will be different than those they have seen in the hospitals. Consequently there is an urgent need Purchase Geodon for a definite course of training students in their last year as to how they should conduct their practices as panel doctors. If there was a scheme by which they could learn how to question a pa- tient intelligentlv, how to make short but accurate LONDON LETTER. 637 notes, how to watch the patient as he passes from one phase of disease to another, the working of the Insurance Act would year by year be greatly facilitated, while a great impetus would be given to the investigation of those dark fields of medicine which only the general practitioner can Buy Ziprasidone explore. The memorandum goes on to point out that the system of specialization at present prevalent enables the specialist only to see disease at a late stage. Moreover, as in ill health there are reactions af- fecting several organs or systems, a man who restricts himself to the study of but one organ or .system cannot acquire the power of detecting the primary cause of the patient's ill health. It is rec- ognized that a general practitioner who makes a special study of the diseases of one organ or sys- tem is better qualified in that he has a wider experi- ence and can therefore take a broader outlook of Buy Geodon his patient's complaint, besides having an oppor- tunity for seeing disease at an Buy Cheap Ziprasidone early stage. The following are the methods pursued at St. Andrew's Institute. 1. Each clinician has a private room in the institute. This is reserved from eleven to one on Mondays, Wednesdays, and Thursdays for re- search cases. During the rest of the day each practitioner may use his private room as a private consulting room. An index file and cards are pro- vided in each room upon which brief notes are kept of each private or panel patient. These cards will, in Buy Ziprasidone Online time, form records of the life history of each pa- tient. In the event of a patient removing to another district these notes can be sent to his new attendant. 2. Cases for research are selected from his own practice by each member of the clinical stafl?. These are first seen by him and he is at lib- erty to consult Sir James Mackenzie or any col- league at any stage of the case. If any special investigations are required, these are carried out by the staflf of the special departments. 3. On Tuesday afternoons some special subject, arranged beforehand, is discussed by a general meeting of all members of the staff. 4. On Friday afternoons the whole staff discuss the cases seen during the week and any suggestions for investigation of any case made at that meeting Order Ziprasidone are proceeded with and added to the record. * * * In an article on the Municipalization of Hospitals, published recently in the British Medical Journal. Dr. Charles Ruttar describes the Mimicipal hospital in Bradford, emphasizing the importance of a study by the medical profession of the methods by which this institution was brought into existence and the proposals for its management. Dr. Buttar goes on to say that for a long time there were no medical men in the city who Generic Ziprasidone confined themselves to purely consulting and specialist work and that, more than ten years ago, it was recognized that the buildings of the Royal Infirmary, where much of the institutional work was done, were out of date and insufficient, and a site for Cheap Geodon a new infir- mary was acquired. But the £200,000 then thought necessary was never collected and the war interfered with the proposals for building. It Purchase Ziprasidone appears prob- able that the project of the Bradford Municipal Hospital is to he legitimized by a clause in the ^Ministry of Health bill. A site has been leased where there will be as little overcrowding of build- ings, and as much open space as possible. This new hospital is expected to have 1,148 beds in ten pa- vilions ; the medical ward to accommodate 502, and the surgical, 324 patients. To maternity cases 90 beds will be allotted, to children 84 and to infants 40. The remaining 108 are Buy Geodon Online for venereal cases. In order to build up the hospital on modern lines, it is proposed that the institution should consist of a number of small units, each composed of senior part time officer, physician or surgeon, an assistant ( part Order Ziprasidone Online time ) and a resident officer. The City Coim- cil, which is responsible for the management, will delegate the care of the hospital to the Public Health Committee. The medical staff will consist of part time senior and assistant medical, surgical, and gynecological officers, Purchase Ziprasidone Online and of the residents attached to the imits. It is proposed that the senior officers

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