People in urology · Brother Jacques Beaulieu (1651 — 171) · Arnold Belker, MD (1934 —) · Christian Albert Theodore Billroth (1829 — 189) · Philipp Bozzini (1773 —. An official website of the United States government The. gov means it's official. Federal government websites usually end up in.
government or. grand. Before sharing sensitive information, make sure you're on a federal government site. The procedure for crushing a bladder stone is known as lithotrition, as opposed to open lithotomy, the proverbial “cut” to obtain the stone.
The first lithotripsy was carried out by Jean Civiale in France in 1824 (Figure 2B2B). Another harbinger of the subsequent development of urology as a specialty was the practice of “casting with water”, which consisted of diagnosing a variety of diseases with the simple resource of observing the patient's urine in a jar; these professionals were known as uroscopists or water throwers (Figure 3). Perhaps one of the things that helped separate urology from general surgery was the development of the cystoscope in the 19th century. Starting in 1807, several instruments were designed to observe body cavities, but it wasn't until 1877 that Max Nitze (Figure 4), in collaboration with an instrument manufacturer in Dresden, manufactured the first cystoscope.
The cystoscope, in particular the Nitze system, was improved over the next few years; only after the invention of the incandescent lamp by Thomas Edison in 1880 and the subsequent miniaturization, was an instrument similar to the one used today developed. Soon after, 2 other doctors were added to Baylor's urology staff, Drs. Rex Van Duzen and Edward White, who practiced active practices until the 1950s. Howard Lee Cecile and Paul Matthews joined the Baylor staff.
Williams, it is believed that they were the first to receive formal training in urology. Other active members of the urology staff during the 1930s were Drs. Baird partnered with Dr. Spence at the Dallas Medical and Surgical Clinic.
Pace, who had offices in the Medical Arts Building, trained at the Mayo Clinic; he stood out for his use of the cold punch technique for transurethral resection of the prostate. Spence served in the United States Navy during World War II and had a distinguished record in the South Pacific. Upon his return in 1945, he rejoined Dr. Baird in practice, and quite quickly, became the recognized preeminent figure in Dallas urology.
He was internationally recognized for his work in this field and was a member of all the prestigious urological organizations, including some abroad. He was an avid traveler and an avid sailor. This writer spent many happy hours on ships with Harry in Switzerland, England, the West Indies, Maine and the Chesapeake Bay (figure 7). We had several boats together and enjoyed a lot of happy times on small freshwater lakes in the Dallas area.
Spence and Ware prepare for a race. After World War II, Baylor's urology service began to receive increasing recognition, and this was inevitably accompanied by a significant increase in the number of patients and staff members. The outstanding additions to the staff were Drs. Joseph Mitchell, Ken Mooney, Eugene St.
Lesley Bush, Rhodes Mustain, Foster Fuqua and Charles Fromm. David Reisman, Mel Kadesky, Arthur Shannon, Elgin Ware, John Denman, Bill Hoffman, Ben Schnitzer, Terry Allen, Myron Fine, George Hurt and Richard Dulaney joined the staff; most recently, Drs. Eugene Todd, Troy Scott, Don Johnson, Scott Coffield, Phillip Riley and Mike Goldstein joined. Some of these doctors have already died, and several others are now practicing in other places.
Finally, the most recent additions to the urology staff are Drs. Steve Frost, Key Stage, Robert Schoenvogel, Keith Newman, John Ware, Josh Fine and David Ewalt. It has been a privilege for me to have lived this story and to have met most of the members of the urology staff, starting with Dr. Each one helped create one of the most outstanding departments in the country.
The recognition of urology at Baylor as a distinct entity began during the Folsom years, when designated rooms or divisions were established for use by urology staff members and their patients. Some 60 years ago, when the main hospital in the Baylor complex was the Minnie B. The Veal building, a 20- or 30-bed room, was located in an area on the fourth floor, toward the west end of the building. This room, division 4A, was reserved for (and was usually full of) patients of Dr.
Folsom, who was head of service. The rest of the staff competed for patient beds in division 3A, one floor down. The Folsom ward was presided over by a nurse, Pat Patterson, who, from the beginning and perhaps by nature, had adopted many of his boss's authoritarian mannerisms and methods of operation. One of their established customs was to administer a daily enema to all patients in the ward, whether they were needed or not.
At least once, this practice caused the colon to rupture; however, it apparently continued. There were no recovery rooms in those days, and patients were taken directly to their room after surgery. There were frequent setbacks in the immediate postoperative period, and bleeding and catheter occlusion were not uncommon in patients who had undergone a prostatectomy. Several urology technicians earned their living working as special nurses for these patients, sometimes treating up to 3 or 4 patients at a time; they became experts in adjusting and irrigating catheters.
The most outstanding and strongest of them were Carlos Soria, Louis Bright and Cecil Croomes, and when one of them called to report excessive bleeding several hours after surgery, the treating physician rarely contradicted the technician's judgment when deciding to return the patient to the operating room. The development and improvement of the urology service began to accelerate after World War II, following the rapid development of new techniques for the diagnosis and treatment of urological diseases in general, and these were combined with significant growth in all departments of the Baylor complex. The addition of Hoblitzelle Hospital and, later, Jonsson Hospital significantly improved the number of patient beds available, as well as the additional space that was much needed for ancillary services, including hospital specialties, such as radiology and hematology. Urology, as a Baylor service, has always quickly taken advantage of new diagnostic modalities, such as ultrasound, computed tomography and magnetic resonance imaging, in addition to newer treatment methods, such as endoscopic techniques, lithotripsy and, more recently, laparoscopic surgery.
With its alert and forward-thinking staff and the prompt and consistent cooperation of the hospital administration, Baylor's urology service has been recognized as one of the best in the country and bodes well for continuing this tradition of excellence in the future. The close association of the Baylor urology service with renowned medical schools, first the Baylor University School of Medicine and later the Southwest School of Medicine, dates back to the early years of the 20th century. In 1920, the Baylor University School of Medicine and the Texas Memorial Baptist Sanatorium (which that year was renamed Baylor Hospital) merged with a single board of trustees in Dallas. Much of the interest in medical education at Baylor can be traced back to Dr.
Folsom began the first urology residency program in Texas. By the year 2000, it had become one of the most important educational centers in the country, partly due (at least in the early years) to the clinical faculty comprised of private doctors or “city men”, many of whom were and are members of Baylor's urology staff. During the years after World War II, there were plans to establish a full-time accredited residency in urology at Baylor, but it never materialized; Dr. Spence considered that there should only be one teaching center in the metropolitan area run by a single director, but using other hospitals besides Parkland.
Therefore, over the years, Parkland residents have been through the Baylor service for a period of 3 or 4 months at least twice during their training. This agreement has been mutually beneficial to Baylor and the residency program. Prior to this agreement, there were some regularly organized and scheduled internal and general surgery rotations, and from the beginning an attempt was made to establish a system similar to the current one. Enrique Garazo, a native of Spain and a urology resident in Parkland from 1956 to 1958, was the first resident to be assigned to Baylor for a 6-month rotation.
This concept subsequently languished until Dr. Paul Peters became head of service in Parkland and the current system of rotating Parkland residents through the Baylor service was instituted. Three doctors who established offices in countries that did not require formal certification from established residency programs were trained at Baylor under the auspices of Baylor staff. Guillermo Ramos Ochoa (1957—195), Juaquin Baeza Del Monte (1959—196) and Roy Fanconi (1963—196).
Ramos and Baeza returned to Mexico to establish successful offices in Guadalajara, and Dr. Fanconi became a medical missionary in Africa. He later practiced psychiatry in Dallas. The Baylor service continues to enjoy a cordial working and teaching relationship with the faculty and administration of the Southwest Medical School and Parkland Hospital.
In 1998, with the initiative and financial assistance of a private Baylor patient and with additional financial support from the Baylor and Seeger Foundations, the Baylor Urological Research Institute was created. Mike Goldstein was the head of service at the time, and the patient, who was under his care, intended to turn Baylor into one of the most important urology centers in the country, with an active research program. Baylor's large patient base provides abundant material for clinical research, and manuscripts on topics such as the retrospective evaluation of prostate cancer outcomes and treatment have already been prepared in collaboration with faculty members at the Southwest School of Medicine. Research has been completed or is underway on aspects as diverse as the effectiveness of catheters coated with antibodies and a comparison of costs between different methods of treating urinary tract stones.
The service is cooperating with Dr. Jacques Banchereau talks about projects that involve basic concepts in cancer research. These efforts receive the unconditional and enthusiastic support of all urology staff, both in groups and on an individual level. With this forward-thinking attitude, coupled with hard work, a spirit of collegiality and the full support of hospital management, the future of urology at Baylor seems assured.
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