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HEALTHCARE 101. …ology and … itis - Making Sense of Medicine. J Lim 3 Aug 2011. OVERVIEW. Medical terms in a nutshell Evolution of modern medicine and the genesis of specialization Questions?. MEDICAL LINGO. TTFO FON LOBNH CNS-QNS “Pumpkin positive” . Told to Fu_ _ Off

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    1. HEALTHCARE 101 …ology and …itis- Making Sense of Medicine J Lim 3 Aug 2011

    2. OVERVIEW • Medical terms in a nutshell • Evolution of modern medicine and the genesis of specialization • Questions?

    3. MEDICAL LINGO • TTFO • FON • LOBNH • CNS-QNS • “Pumpkin positive” • Told to Fu_ _ Off • Full Of Nonsense • Lights On But Nobody Home • Central Nervous System - Quantity Not Sufficient • Shine light through mouth, whole head lights up

    4. SERIOUSLY… • -ology: the study or science of • -scopy: from Italian scopo “watch and see” which was from the Greek skopos “to aim/ target” • -itis: inflammation • Iatrogenic: caused by healthcare professional (iatros- Greek for the healer) • Idiopathic: arising spontaneously or from an obscure or unknown cause (idios- Greek one’s own; pathos- suffering)

    5. If you know Greek, you know medicine lingo… • Prostate- gland within the male reproductive system that is located just below the bladder; Greek prostates (to stand before) • Hysterectomy- removal of the womb; hystera- uterus, “-ectomy”- removal of ‘the animal within them [women] is desirous of procreating children, and when remaining unfruitful long beyond its proper time, gets discontented and angry, and wandering in every direction through the body, closes up the passages of the breath, and by obstructing respiration, drives them to extremity, causing all varieties of disease …’ Plato

    6. MODERN MEDICINE • Robert Koch (1890): Germs cause diseases • Alexander Fleming (1928): Discovery of penicillin, the first antibiotic • Framingham Study: High blood pressure, high cholesterol as risk factors for heart disease • Barry Marshall (1985): Peptic ulcers caused by bacteria

    7. SPECIALIZATION • “More and more about less and less”

    8. Academic divisions but care increasingly provided in disease-focused teams

    9. “No organization can depend on genius; the supply is always scarce and unreliable. It is the test of an organization to make ordinary human beings perform better than they seem capable of, to bring out whatever strength there is in its members, and to use each man's strength to help all the others perform. The purpose of an organization is to enable common men to do uncommon things.” Peter Drucker

    10. Next Session: Why are doctors unmanageable? • Question: Why is a hospital CEO like a graveyard supervisor? • Answer: He’s on top of everybody but nobody’s listening