A pneumothorax is an abnormal collection of air in the pleural space between the lung and the chest wall. Symptoms typically include sudden onset of sharp, one-sided chest pain and shortness of breath. In a minority of cases, a one-way valve is formed by an area of damaged tissue, and the amount of air in the space between chest wall and lungs increases; this is called a tension pneumothorax. This can cause a steadily worsening oxygen shortage and low blood pressure. This leads to a type of shock called obstructive shock, which can be fatal unless reversed. Very rarely, both lungs may be affected by a pneumothorax. It is often called a "collapsed lung", although that term may also refer to atelectasis.
Hospital medicine is a medical specialty that exists in some countries as a branch of family medicine or internal medicine, dealing with the care of acutely ill hospitalized patients. Physicians whose primary professional focus is caring for hospitalized patients only while they are in the hospital are called hospitalists. Originating in the United States, this type of medical practice has extended into Australia and Canada. The vast majority of physicians who refer to themselves as hospitalists focus their practice upon hospitalized patients. Hospitalists are not necessarily required to have separate board certification in hospital medicine.
A sanatorium, also sanitarium or sanitorium, is a historic name for a specialised hospital for the treatment of specific diseases, related ailments, and convalescence. Sanatoriums are often in a healthy climate, usually in the countryside. The idea of healing was an important reason for the historical wave of establishments of sanatoria, especially at the end of the 19th- and early 20th centuries. One sought, for instance, the healing of consumptives especially tuberculosis or alcoholism, but also of more obscure addictions and longings of hysteria, masturbation, fatigue and emotional exhaustion. Facility operators were often charitable associations such as the Order of St. John and the newly founded social welfare insurance companies.
Muirdale Tuberculosis Sanatorium, also called Muirdale Tuberculosis Hospital, was built in 1914–15 by Milwaukee County, Wisconsin. It was located near the corner of Highway 100 and Watertown Plank Road in Wauwatosa and named after noted Wisconsin naturalist John Muir. Maximum capacity in 1923 was 350 patients, but in later years this figure rose to over 600, including a 100-bed Children's Cottage, or Preventorium, devoted to the treatment of young children.
City of Hope is a private, non-profit clinical research center, hospital and graduate school located in Duarte, California, United States. The center's main campus resides on 110 acres (45 ha) of land adjacent to the boundaries of Duarte and Irwindale, with a network of clinical practice locations throughout Southern California, satellite offices in Monrovia and Irwindale, and regional fundraising offices throughout the United States.
Multidrug-resistant tuberculosis (MDR-TB) is a form of tuberculosis (TB) infection caused by bacteria that are resistant to treatment with at least two of the most powerful first-line anti-TB medications (drugs): isoniazid and rifampicin. Some forms of TB are also resistant to second-line medications, and are called extensively drug-resistant TB (XDR-TB).
Carlo Forlanini was a medical doctor and professor at the Universities of Turin and Pavia. He was also the inventor of artificial pneumothorax, which was the primary treatment method of pulmonary tuberculosis for the first half of the 20th century and remained in use for severe cases of tuberculosis into the 1970s.
The Boston Sanatorium is a historic tuberculosis hospital in the Mattapan neighborhood of Boston, Massachusetts. It consists of a complex of eighteen historic buildings on 52 acres (21 ha) of land. Most of these buildings were built between 1908 and 1932, although the Superintendent's House predates the hospital's construction; it is an Italianate house built c. 1856. They are predominantly brick buildings that are Colonial Revival in character, although the 1929 main administration building has a variety of different revival elements. Several of the buildings on the campus—The Administrative or Foley Building; The Doctor's Residences, Dormitories and Wards; and The Power House—were designed by the renowned architectural firm Maginnis and Walsh. The complex was the largest tuberculosis hospital in the state, built in response to reports that the disease was responsible for more deaths than any other in the city. The facility was used for the treatment of tuberculosis through the middle of the 20th century, and then stood largely vacant until 2002, when plans were laid to rehabilitate the property for other uses.
The history of tuberculosis encompasses the origins of the disease, tuberculosis (TB) through to the vaccines and treatments methods developed to contain and mitigate its impact.
Pondville State Hospital, located in Norfolk, Massachusetts, opened in 1927 as a state-operated hospital to treat cancer patients and do research on the prevention and cure of cancer. It was located in buildings of the former Norfolk State Hospital, which served the mentally ill and drug-addicted from 1914 to 1919. Pondville provided surgical services, residency training, training for Licensed Practical Nurses, and outpatient care. From the 1920s to the 1960s, facilities included on-site housing for many employees in separate multi-unit "cottages". New hospital buildings were constructed in the 1960s but as the state deemphasized direct patient care, it was agreed to sell the facility to the privately owned Norwood Hospital in 1981.
The Minnesota State Sanatorium for Consumptives, also known as the Ah-Gwah-Ching Center, was opened in 1907 to treat tuberculosis patients. The name "Ah-Gwah-Ching" means "out-of-doors" in the Ojibwe language. The center remained a treatment center for tuberculosis until January 1, 1962. During that time, it treated nearly 14,000 patients. In 1962, it became a state nursing home known as the Ah-Gwah-Ching Nursing Home, serving geriatric patients with various mental and physical illnesses. At its peak in the 1970s, the nursing home had as many as 462 patients.
The Indian hospitals were racially segregated hospitals, originally serving as tuberculosis sanatoria but later operating as general hospitals for indigenous peoples in Canada which operated during the 20th century. The hospitals were originally used to isolate Indigenous tuberculosis patients from the general population because of a fear among health officials that "Indian TB" posed a danger to the non-indigenous population. Many of these hospitals were located on Indian reserves, and might also be called reserve hospitals, while others were in nearby cities.
Government Hospital of Thoracic Medicine, popularly known as the Tambaram TB Sanatorium, is a major state-owned hospital situated in Chennai, India. The hospital is funded and managed by the state government of Tamil Nadu. It was founded in 1928.
The town of Colorado Springs, Colorado, played an important role in the history of tuberculosis in the era before antituberculosis drugs and vaccines. Tuberculosis management before this era was difficult and often of limited effect. In the 19th century, a movement for tuberculosis treatment in hospital-like facilities called sanatoriums became prominent, especially in Europe and North America. Thus people sought tuberculosis treatment in Colorado Springs because of its dry climate and fresh mountain air. Some people stayed in boarding houses, while others sought the hospital-like facilities of sanatoriums. In the 1880s and 1890s, it is estimated that one-third of the people living in Colorado Springs had tuberculosis. The number of sanatoriums and hospitals increased into the twentieth century. During World War II, medicines were developed that successfully treated tuberculosis and by the late 1940s specialized tuberculosis treatment facilities were no longer needed.
Treatment as prevention (TasP) is a concept in public health that promotes treatment as a way to prevent and reduce the likelihood of HIV illness, death and transmission from an infected individual to others. Expanding access to earlier HIV diagnosis and treatment as a means to address the global epidemic by preventing illness, death and transmission was first proposed in 2000 by Garnett et al. The term is often used to talk about treating people that are currently living with human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) to prevent illness, death and transmission. Although some experts narrow this to only include preventing infections, treatment prevents illnesses such as tuberculosis and has been shown to prevent death. In relation to HIV, antiretroviral therapy (ART) is a three or more drug combination therapy that is used to decrease the viral load, or the measured amount of virus, in an infected individual. Such medications are used as a preventative for infected individuals to not only spread the HIV virus to their negative partners but also improve their current health to increase their lifespans. When taken correctly, ART is able to diminish the presence of the HIV virus in the bodily fluids of an infected person to a level of undetectability. Consistent adherence to an ARV regimen, monitoring, and testing are essential for continued confirmed viral suppression. Treatment as prevention rose to great prominence in 2011, as part of the HPTN 052 study, which shed light on the benefits of early treatment for HIV positive individuals.
The Firland Sanatorium was Seattle's municipal tuberculosis treatment center. It opened on May 2, 1911, and closed on October 30, 1973.
Vasodilatory shock, vasogenic shock, or vasoplegic shock is a medical emergency belonging to shock along with cardiogenic shock, septic shock, allergen-induced shock and hypovolemic shock. When the blood vessels suddenly relax, it results in vasodilation. In vasodilatory shock, the blood vessels are too relaxed leading to extreme vasodilation and blood pressure drops and blood flow becomes very low. Without enough blood pressure, blood and oxygen will not be pushed to reach the body's organs. If vasodilatory shock lasts more than a few minutes, the lack of oxygen starts to damage the body's organs. Vasodilatory shock like other types of shock should be treated quickly, otherwise it can cause permanent organ damage or death as a result of multiple organ dysfunction.
Eleanor Soltau (1877–1962) was an English doctor who led the first unit of the Scottish Women's Hospitals for Foreign Service in Serbia.
Montefiore Home Country Sanitarium was an American sanatorium located in Bedford Hills, Westchester County, New York. Opened in September 1897, it was under the same management as the Montefiore Home for Chronic Invalids at Manhattan, New York. The country sanitarium was situated in a sheltered situation on the Berkshire Hills, at an elevation of about 450 feet (140 m), and was 60 miles (97 km) from New York City or one and a half hours by rail.
