Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · May 2006
Biography Historical Article[Ibsen's last years of life--the physicians and the demanding patient].
Henrik Ibsen's last six years were characterized by disease, and the relationship between the famous patient and his doctors during these years has a certain historical interest. Ibsen was a demanding patient, partly due to his personality and social situation, gradually also due to the clinical picture. Ibsen had great and almost unreasonable expectations and demands on his doctors, but if the doctor won Ibsen's confidence, he followed the ordinances with great accuracy. ⋯ Bull and Ibsen were close friends during the last three years of Ibsen's life. The story about Ibsen's doctors illustrates challenges in the doctor-patient-relationship. Edvard Bull's patience, great human and sympathetic insight, and the fact that he from the very beginning saw Ibsen as an individual and not only the diseases, represents a thought-provoking example.
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Syphilis was previously termed "the great imitator" because so many of the signs and symptoms are indistinguishable from those of other diseases. This role has been taken over by drugs, and this also applies to adverse drug reactions in the oral region. Accordingly, a careful drug history, including identification of any prescription, over-the-counter, or herbal medicines used, may give an important clue to the differential diagnosis of oral diseases when the aetiology is not apparent. ⋯ This article briefly describes some of the presentations and mechanisms of oral manifestations of drug therapy and the drugs that most commonly are responsible. Just like approved pharmaceuticals, herbal medicines are also associated with adverse oral manifestations. Finally we comment on some of the more recent reports on osteonecrosis of the jaws associated with the use of bisphosphonates.
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Homologous transfusion implies a risk for transmission of infectious diseases and transfusion reactions. The aim of the present study was to compare homologue transfusion with mechanical autotransfusion perioperatively in prosthetic hip surgery. ⋯ The use of perioperative blood collection and retransfusion significantly reduces homologue blood transfusion in prosthetic hip surgery.