Clinical disorders of the pulmonary circulation

Clinical disorders of the pulmonary circulation

Volume 14 Number 3 “The spirit of research BOOK is to a university REVIEWS 377 what morale is to an army.” “The conflict between the administra...

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Volume 14 Number 3

“The spirit of research

BOOK

is to a university

REVIEWS

377

what morale is to an army.”

“The conflict between the administrator and the educationalist is very similar to that between the farmer and the gardener, between the ready-made and the made-to-measure tailor.” “It often gives me some quiet satisfaction biographically, biologically you are nothing thinks of his friends as old cronies.]

to realize that whatever you may think of yourselves but a lot of clones.” [One wonders whether Platt

“Man’s native curiosity atrophies by disuse. The reasons for the persistence curiosity into adult life in some individuals are quite unknown.”

of childlike

“The-e are no more rugged individualists in the world than a group of investigators in a medical school. They make the members of the National Association of Manufacturers look like SO many ball bearings in a box.” “The man who decides to study for the rest of his life simply because he enjoys learning things and has a capacity for having intellectual adventures will do far better than another man who backs into academic life in search of what has been called by Cyril Connoly ‘a womb with a view.’ ” One Emall cavil: Why the hysterical attack by Walsh on ‘I. . . that furtive and loathsome creature, the anonymous semen donor.” Surely it is hyperbolic to label donors “a fitting symbol of the disintegration of Christian civilization.” Come, now, sir! Louis Lasagna

CLINICAL DISORDERS OF THE PULMONARY CIRCULATION. Edited Dale>, M.A., M.D., John F. Goodwin, M.D., and Robert E. Steiner, M.D. Little, Brown & Company. Pp. 364, indexed. Price $14.00.

by Raymond Boston, 1960,

Clinical Disorders of the Pulmonary Circulalion by a distinugished group of British physicians provides an excellent review of cardiopulmonary physiology. There are chapters on anatomy of the pulmonary vasculature, hemodynamics, pulmonary function, pulmonary hypertension, radiologic aspects, pathology, electrocardiography, the effects of various forms of heart disease, the effects of various forms of pulmonary disease, and experimental pulmonary edema. Although it is impossible to publish a completely up-to-date textbook in a field which is progressing SO rapidly, this book provides an excellent summary and critical review of data up to 1959. In the generally excellent chapter on the effect of mitral valve and left atria1 disease on pulmonary circulation, Dr. Goodwin makes the statement that left heart catheterization is rarely necessary except in particularly difficult cases. Much of his discussion of the hemodynamics is based on pulmonary capillary venous pressure measurements. The widespread use of the various techniques of left heart catheterization, and their unquestioned superiority over pulmonary cap% lary wedge pressures in accurate measurements of left atrial hemodynamics makes this statement seer. a little old-fashioned for a textbook with a 1960 publication date. This is a minor criticism, and the chapter is quite well written and very informative. In a few cases, the illustrations appear to have been hastily assembled and the reproduction is of poor quality, but generally, the illustrations are adequate. This book is of special importance to students of the cardiac or pulmonary physiology, and there is appropriate coverage of the various aspects of clinical management of cardiopulmonary disorders, :so that the book will be of interest to the practicing physician as well. J. M. Criley EVA4LUATION AND MANAGEMENT OF THE BRAIN-DAMAGED S. To%, M.D., and Milton Lowenthal, M.D. Springfield, Ill., Publisher. Pp. 109, not indexed. Price $6.00.

PATIENT. 1960, Charles

By Jerome C Thomas,

In the care of patients with brain damage, the emphasis in the past has been primarily on diagnosis. This monograph attempts to shift the emphasis to evaluation and management in terms of what can be done to increase the patient’s independence, once the diagnosis has been established. The book is simply written and illustrated. Hemiplegia, Parkinson’s disease, cerebral palsy, and multiple sclerosis are considered in detail. It will be particularly helpful to physicians