It is the first case I could find of penicillin being used to save a life in Canada : 70 years ago this week, Mrs Frank Oxford dying in a Hardisty hospital of childbirth fever was given penicillin specially flown all the way from the Banting Institute in Toronto.
The Americans a week earlier had specially flown penicillin ( in a bomber no less !) to save a dying girl and the Canadians authorities scurried to play me-too catchup.
A life and death story involving women and children that successfully and repeatedly made it to the front pages of North American newspapers that usually only told the life and death stories of men - men fighting overseas.
Let us see if the Edmonton Herald et al misses this anniversary of this historical story .....
Showing posts with label banting. Show all posts
Showing posts with label banting. Show all posts
Friday, September 13, 2013
Sunday, December 9, 2012
George Redmayne Murray : moral predecessor to Dawson,Duhig & Pulvertaft's penicillin efforts
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moral predecessor to Henry Dawson |
Thyroid conditions in his day, the 1890s, were started to being treated by grafting new thyroid glands from animals into the bodies of people with diseased ones.
It sort of worked - heroic medicine indeed.
This concept was more or less how Banting originally planned to cure diabetes.
But when Murray read of one such effort is Lisbon, he noted the results came far too immediately - the same day in fact - for new blood vessels to have had time to grow for the organ to spread the juice of the gland into the body.
The juice must have diffused outward from the new organ, on its own.
In which case, the juice alone, from ground-up animal organs, might work - without the need for an expensive and dangerous major operation to insert the organ itself.
(And let us not go into rejection problems !)
And here is where the application to chivalrous penicillin came in : he immediately extracted the juice of animal thyroid, added a little of a bog-common preservative to the juice to kill off any bacteria within, and injected it cautiously, just under the skin, into a patient with thyroid disease.
It worked -- she recovered her strength- and the first ever successful hormone deficiency treatment had happened for the price of a hot dinner, and in about the same time period it takes to eat a hot dinner !
Insight and drive - not money - more often than not, really drives medical advances
Dawson, Duhig, Pulvertaft also injected their crude substance (penicillin juice) via this method : cautiously just under the skin ( the safest form of injection) and with a simple common preservative to kill any potential pathogens.
Advances in medicine don't always require armies of the ambitious (more eager to produce endless papers than to help patients) and factories full of equipment.
It sometimes just takes deep insight and a moral drive : Murray , like Dawson, clearly had both....
Saturday, December 1, 2012
Florey vs Dawson : penicillin to be perfect & a war medicine OR an imperfect but universal medicine ?
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Baby Patty Malone helped the whole world discover penicillin |
Penicillin-the-molecule was ignored in June 1929, firstly by Alexander Fleming himself and secondly by the world.
This was because Fleming on that date indirectly denied any possibility of penicillin ever becoming a lifesaver, ie a systemic ( spread through the blood system) medication.
As a result, Fleming - and the world - yawned.
Contrast this with Banting team's excited, animated, passionate announcement --- at a Boxing Day medical conference just a few years earlier -- that it was just two weeks away from injecting insulin-the-lifesaver into a dying patient.
(What a Boxing Day present for millions of diabetics and their familes !)
You can just bet that insulin-the-lifesaver and insulin-the-molecule were discovered together, by the entire world, at that moment.
What about Howard Florey then ? Didn't he play some role in penicillin ?
Yes, some role.
But Florey ,along with Fleming, and along with the British and American governments together with the leading firms in the pharmaceutical world, was convinced that penicillin first must be perfected (100% pure, industry-made, probably synthetic, tested-onto-death) before being used on humans .
And even then 'humans' really meant 1A military personnel only, at least during the war.
In addition, they all only saw penicillin as an useful supplement to the existing sulfa drugs - mostly for use in sulfa-resistant staph infections.
Truly a perfectionist and limited vision of wartime penicillin.
One can only begin to imagine the high prices that would be charged governments and patients for such perfect material.
Chain deserved less credit for his chemistry and more for his pushiness , in forwarding the penicillin story to a happy conclusion...
By way of total contrast, only five weeks after learning of penicillin's lifesaving potential (and here Florey and above all Chain deserve the credit) , Dawson was injecting life-saving penicillin into 4F civilians ( Negroes ! Jews !) dying from a strep infection (SBE) , using imperfect , impure, hospital-made, natural, penicillin made by slimey molds.
Yes, like Banting's first insulin injections, Dawson's first penicillin injections 'stung like a bee', from natural impurities still in it. The stings, in both cases, did no permanent (or even temporary) harm.
To Dawson (and to Banting, his model) saving dying patients today with imperfect, impure medication was preferable to letting them die so we can maybe save dying patients, years from now, with a perfected pure medication.
These clashing visions of penicillin ran throughout the war with Florey's vision overwhelming dominant until Dawson's success with -stolen - government issue penicillin on SBE patients inspired another local doctor (Dante Colitti) to jump over the traces for his dying patient as well.
The resulting heart-stirring story of baby Patty Malone ( late August - early September 1943) broke the media floodgates and the entire civilian world began to "ACT UP" and demand Dawson-style penicillin - now !
By 1944, the Allied governments, dragging the still reluctant Big Pharma firms along with them, had caved.
Semi-purifed, semi-perfect - CHEAP- natural penicillin was being mass produced and being made available for all, as fast as that was humanly possible.
And not just Allied civilians as well as Allied military personnel , but for Axis POWs , Neutral nation civilians and ultimately even Axis civilians.
Canadians Banting and Dawson and Canadian Medicare : there is a pattern here : a strong belief in medical care that is universal in theory as to who is permitted to receive it (everyone, anywhere) and universal in practise (as a result of being very inexpensive).
But it wasn't something simply discovered and instantly received with acclaim by everyone - as science historians want you to believe how science works : as a totally bloodless affair.
Instead, it was invented by some humans and contested fiercely by some other humans until finally most humans accepted it.
Invented by people like Banting, Dawson and Douglas ...
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