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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