Wednesday, February 26, 2014

Hoffman Ch.1-5

When I started reading Hoffman I noticed that the writing style is more narrative and it gives more examples which I am able to relate to and understand more easily, compared to the past readings. The first chapter in Hoffman is titled, "A Crisis Of Access". The first chapter, I thought was very informative and explanatory about the Great Depression and the health care and medical need during that time was also explained. The Great Depression was what highlighted the start of charity clinics and the idea of the government really getting involved with families personal medical needs. Throughout chapter two the New Deal is defined and explained in the terms of healthcare. President Roosevelt created the new deal, and in my personal opinion the New Deal encouraged the interaction and aid of the government to the citizens, especially in healthcare. Some government intervention is beneficial but not all and it showed be limited, and the New Deal widened the doorway connecting the government to the public and their personal lives. In chapter three WWII was highlighted and the writing made it clear that during WWII and after the public were more aware and passionate about how they all deserved adequate healthcare and the government shouldn't hesitate to give it to them. Chapter four goes more in detail about post WWII and the feelings that arose about hospitals. Not all people were for hospitals, there was a percentage that didn't feel comfortable with the expansion of healthcare and hospitals. Finally, chapter five discusses the private healthcare insurance sector. This idea sprang out in the 1930's on, so once again WWII had a role in the development of healthcare insurance.

Wednesday, February 19, 2014

Howell Ch. 6-8

    Howell begins chapter six with blood and blood counts. Two specific techniques are thoroughly discussed in chapter six, which includes viewing the blood through a microscope and measuring it in other ways. Also in chapter six the iodine reaction was used for differentiating of change in white blood cells. I noticed that throughout this chapter the importance of white blood cells is at large. By the characteristics of white blood cells physicians could tell the habits and healthiness or any abnormalities of blood.
     Chapter seven continues into the same field as chapter six somewhat. The topics of blood and diseases were discussed, such as: pneumonia, typhoid fever, and appendicitis. The white blood cell count once again is discussed with great importance because it shows the signs of diseases, such as the one I mentioned previously.
    Chapter eight talks about, broadly, medicine and machines. The way that technology effected the health care system and society as well is discussed at length in chapter eight. Historical analysis is used in chapter eight as well because of the connection between technology and health care, which shows results throughout time.
    Overall I enjoy reading "Technology in The Hospital" by Joel D. Howell. I was broad in some terms but specific in others and i found all the topics discussed interesting enough to hold my attention.

Monday, February 17, 2014

Howell Ch. 3-5

   Chapter three through chapter five we very interesting to me. All three of these chapters talk abut the advances of technology which is what the book is centered about. The main advances in medicine and hospitals are throughout these chapters I believe, which include urinalysis and the new idea of the x-ray.
    The book moved from administrative offices, to clinical wards, and then through more until chapter three got to diagnostic laboratories. One of the main focuses on chapter three was urinalysis. This was not a new idea at all, it just became more advanced. People were able to tell if someone was sick or ill or diseased by the color, froth, smell, and taste of urine. There was no special equipment needed or training involved. However things became more advanced. In chapter three Howell examines Pennsylvania and New York hospitals by using graphs and tables. The advances made by the urinalysis and the steps that were taken in diagnostic laboratories throughout time is incredible.
     Throughout chapter four the x-ray was discussed. A German man named Wilhelm Conrad Rontgen vaguely invited the idea of the x-ray. Although the idea was advanced and made into a machine and developed, this was the man who first gave the first idea of an x-ray.
      Chapter five furthers the idea of the x-ray by developing it. Also chapter five focuses on how people read x-rays. At first an x-ray was able to be taken and looked at but nothing could b derived from these pictures. If you think about it, before the x-ray was invited no one had actually seen a set of era bones in a real person, who was still living at least. So the knowledge of healthy bones and how to read and assess x-rays correctly was a daunting task.
    Throughout these three chapters I feel like a lot of important medical things were explained and so was the history behind them all.

Monday, February 10, 2014

Howell Ch 1&2

      The first thing I noticed when beginning this book was the difference between the way Howell explains things and the way Humphreys explains things. Th
      Throughout the first chapter of Technology Transforming Medicine there were a lot of graphs. The way the organization of hospitals in the 1900's through 1925 was explained in a very scientific way, by expanding on the different machines and progress that had developed with machines throughout twenty five years. The different tools that were used to make things more efficient and quick were also mentioned in chapter one.
     In chapter two, Howell talks about the organization, and different levels of work in the hospital. Also chapter two talks about and compares different areas and the hospitals in those different areas. The way hospitals were organized was systematic in separating administers. The organization used in the 1900-1925 was the beginning process of helping hospitals run more efficiently and quickly.
     Although the writing style of Technology Transforming Medicine is completely different than Marrow's Tragedy, it still explains medicine in a chronological and systematic way.