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The Basic Ideas
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Foundations
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CHAPTER
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Terms of Anatomy, Anesthesia, and Surgery
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1 provided us with a general introduction to the basic ideas or themes in this book Now, starting with 2, we will begin to focus upon the main meat of medical terminology: lists of medical words grouped by their topic or area of study In particular, 2 will focus upon some key terms in the areas of anatomy, anesthesia, and surgery We will work and practice with these words as we progress through the chapter In this way, we shall demystify the terms and really come to know them!
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Foundations
Background and History
1 informed us that medicine is at least 10,000 years old How do we know this Part of the proof comes from unearthing ancient fossils of human remains The bones of the human skeleton particularly those of the skull can survive as fossils for many centuries! Thus, when surgery was performed upon such bones, the resulting anatomical (an-ah-TAHM-ih-kul) changes in their structure were often preserved The word surgery derives from early Greek and literally means hand work Basically, the hand work of surgery involves treating various diseases, deformities, and injuries by means of operations Such operations are more formally called operative procedures An operation is a process of working Therefore, operative (AHP-er-ah-tiv) literally pertains to (-ive) work (operat) And it is quite appropriate to consider surgery as hand work, because operations involve surgeons working with their hands In summary, since operations (operative procedures) are performed by surgeons, they can technically be called surgical (SUR-jih-kul) procedures This is because they pertain to (-ical) hand work (surgic)
TREPHINATION: ONE OF THE EARLIEST FORMS OF SURGERY WAS HOLE-ISTIC MEDICINE !
Evidence of such intricate surgical hand work has appeared in human fossils that are prehistoric (pree-hiss-TOR-ik) [Study suggestion: Using the 1 example of premedical, identify the pre x in the word prehistoric Now, note that the suf x is -ic, which, according to 1, means what Employing this information, you would translate prehistoric to exactly mean The root in prehistoric, , obviously means history After you write in the answers for these blanks, check them against the text that follows] By prehistoric, we literally mean pertaining to (-ic) something that happened before (pre-) recorded history (histor) In this case, we mean an operation or surgical procedure that occurred prior to recorded (written) history The skulls and bones of prehistoric peoples, while they cannot talk, certainly provide distinct anatomical testimony that such cutting did, indeed, take place! Among the oldest prehistoric surgical fossils ever found are the skulls of the ancient Peruvian (peh-ROO-vee-an) Indians These cranial (KRAYnee-al) or pertaining to (-al) skull (crani) operations may date back 10,000 years! Like many early peoples, the Indians of Peru developed a
Anatomy, Anesthesia
sophisticated type of surgery called trephination (tref-uh-NAY-shun) or trepanation (trep-uh-NA-shun) Trephination (or trepanation) literally means the process of (-tion) boring (trephin or trepan) Among these ancient Indians, skull fractures were very common, mostly because people fought each other with slingshots and heavy clubs When a person s skull is fractured, uid often builds up within the area superior (soo-PEER-ee-or) to the brain This is a particular anatomical area one which (-or) is located above (superi) the brain Trephination (trepanation) was probably done most often, therefore, to bore a hole in the fractured skull and relieve trapped uid This excessive uid pressure upon the soft, fragile brain often creates a monstrous headache for its victims Such heavy pressure, if left untreated, can result in permanent brain damage
The coming of anesthesia
Imagine an ancient Indian, with a severe skull fracture, crying and thrashing with severe pain Before any operation could be done, the person would have to be sedated (seh-DAY-ted) or quieted down Such a sedation (seh-DAYshun) or process of (-ion) quieting (sedat), is also a normal part of modern preoperative (pree-AHP-er-ah-tiv) care This care occurs before (pre-) an operation Sedation is often an early part of a schedule of anesthesia (an-es-THEEzhee-uh) for patients nowadays that eventually results in a condition (-ia) without (an-) feeling (esthes) The Indians had to use natural sources of anesthesia that were available locally These natural sources included the coca (KOH-kah) plant, which grows as shrubs on the sides of South American mountains The coca leaves are chewed until softened, after which the juices are sucked out and swallowed Coca leaves are the natural source of cocaine (koh-KAYN), an extremely powerful narcotic (nar-KAHT-ik) drug The word narcotic pertains to (-ic) sleepiness or numbness (narc) By chewing and sucking coca leaves, therefore, the natural narcotic cocaine acts to narcotize or produce (-ize) a state of benumbing (narcot) in the injured patient And as the skull-fractured Indian chewed the coca leaves as part of his preoperative treatment, a progressive narcosis (nar-KOH-sis) abnormal condition of (-osis) benumbing (narc) would occur (Consult Figure 21, A) Using modern terminology, we could say that the narcotized Indian was undergoing a natural regimen of preop (preoperative) anesthesia After the distressed patient was suf ciently narcotized and sedated, the actual operative phase of trephination (trepanation) could proceed (See Figure 21, B) Various types of scalpels (SKAL-pels) or surgical knives were
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