Heroic medicine: Difference between revisions

From Citizendium
Jump to navigation Jump to search
imported>Howard C. Berkowitz
(Right now, thinking out loud)
imported>Howard C. Berkowitz
No edit summary
Line 1: Line 1:
{{subpages}}
{{subpages}}
{{TOC|right}}
'''Heroic medicine''' has several meanings, depending on the era of discussion. In the pre-scientific period, it referred to such things as belief all disease was believed to be due to overstimulation, or to an imbalance [[humors]], which needed to be balanced or released by bloodlettin or other means. Later, it referred to using extremely toxic treatments, without strong justification, for ill-defined illnesses.
'''Heroic medicine''' has several meanings, depending on the era of discussion. In the pre-scientific period, it referred to such things as belief all disease was believed to be due to overstimulation, or to an imbalance [[humors]], which needed to be balanced or released by bloodlettin or other means. Later, it referred to using extremely toxic treatments, without strong justification, for ill-defined illnesses.


Today, it can refer to two quite dissimilar things. One is treatment that really needs to be recognized as [[futile care]] with no hope of improving quality of life. The other is exceptionally high-risk treatment where risk is proportional to benefit.
Today, it can refer to two quite dissimilar things. One is treatment that really needs to be recognized as [[futile care]] with no hope of improving quality of life. The other is exceptionally high-risk treatment where risk is proportional to benefit.
==Early usage==
==Early usage==
[[Benjamin Rush]], in [[The Enlightenment]], pushed bloodletting, purging and other harsh methods to reduce overstimulation. <ref>{{citation
[[Benjamin Rush]], in [[The Enlightenment]], pushed bloodletting, strong and toxic laxatives such as [[calomel]] and other harsh methods to reduce overstimulation. <ref>{{citation
  | url = http://www.utoledo.edu/library/canaday/exhibits/quackery/quack2.html
  | url = http://www.utoledo.edu/library/canaday/exhibits/quackery/quack2.html
  | publisher = University of Toledo
  | publisher = University of Toledo
Line 10: Line 11:
  | author = Barbara Floyd,
  | author = Barbara Floyd,
}}</ref>
}}</ref>
[[Homeopathy]], introduced [[homeopathy]] as an alternative to 19th century heroic medicine. <ref>{{citation
| Dr. Hahnemann's cure for 'heroic' medicine - Samuel Hahnemann, homeopath
| journal = FDA Consumer | date = March, 1985
| url = http://findarticles.com/p/articles/mi_m1370/is_v19/ai_3664132/}}</ref>  Homeopathic practitioners often obtained better survival rates than their heroic counterparts, but, from the contemporary medical perspective, this was due to the homeopaths' not administering actively dangerous treatments.
==Transition==
==Transition==
==Modern period==
==Modern period==

Revision as of 16:38, 7 October 2010

This article is developing and not approved.
Main Article
Discussion
Definition [?]
Related Articles  [?]
Bibliography  [?]
External Links  [?]
Citable Version  [?]
 
This editable Main Article is under development and subject to a disclaimer.

Heroic medicine has several meanings, depending on the era of discussion. In the pre-scientific period, it referred to such things as belief all disease was believed to be due to overstimulation, or to an imbalance humors, which needed to be balanced or released by bloodlettin or other means. Later, it referred to using extremely toxic treatments, without strong justification, for ill-defined illnesses.

Today, it can refer to two quite dissimilar things. One is treatment that really needs to be recognized as futile care with no hope of improving quality of life. The other is exceptionally high-risk treatment where risk is proportional to benefit.

Early usage

Benjamin Rush, in The Enlightenment, pushed bloodletting, strong and toxic laxatives such as calomel and other harsh methods to reduce overstimulation. [1]

Homeopathy, introduced homeopathy as an alternative to 19th century heroic medicine. [2] Homeopathic practitioners often obtained better survival rates than their heroic counterparts, but, from the contemporary medical perspective, this was due to the homeopaths' not administering actively dangerous treatments.

Transition

Modern period

Futility

High-risk

  • Leucovorin rescue
  • Pelvic exenteration

References

  1. Barbara Floyd,, Scientific Medicine, University of Toledo
  2. FDA Consumer, March, 1985