Group Title: History of Medicine lecture series
Title: A Mayo clinic : rural health care in Florida
CITATION PDF VIEWER THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
STANDARD VIEW MARC VIEW
Permanent Link: http://ufdc.ufl.edu/UF00095036/00001
 Material Information
Title: A Mayo clinic : rural health care in Florida
Series Title: History of Medicine lecture series
Physical Description: Book
Language: English
Creator: Reynolds, Richard
Publisher: College of Medicine, University of Florida
Place of Publication: Gainesville, Fla.
Copyright Date: 2006
 Record Information
Bibliographic ID: UF00095036
Volume ID: VID00001
Source Institution: University of Florida
Holding Location: University of Florida
Rights Management: All rights reserved by the source institution and holding location.

Downloads

This item has the following downloads:

gainesville ( PDF )


Full Text

MONTHLY PREVALENCE ESTIMATES OF ILLNESS

IN THE COMMUNITY


Adult Patients Referred to
Another Physician per Month


4-No.


4 -


5J


Adult Population at Risk

Adults Reporting One or
More Illnesses or injuries
per Month
Adults Consulting a
Physician One or More
Times per Month


Adult Patients
9 Admitted to a
Hospital per Month
1 Adult Patient
Referred to a
University Medical
Center per Month




PERCENTAGE OF RESPONDENTS IN EACH SOCIAL
CLASS RECOGNIZING SPECIFIED SYMPTOMS AS
NEEDING MEDICAL ATTENTION

Symptom Class I Class II Class III
Continued coughing 77 78 23

Persistent Joint and Muscle pains 80 47 19
Blood in urine 100 83 69
Excessive vaginal bleeding 92 83 54
Loss of weight 80 56 21
Persistent headaches 80 56 22

Pain in chest 80 51 31
Lump in breast 94 71 44

Note: Class I represents people of high income and educational attainment in the community. Class
II characterizes the middle class of the community. Class III includes those with minimal incomes,
little education, and unskilled jobs. Source: Adapted form Koos, 1954




ILLNESSES AMONG FIRST 300 PATIENTS SEEN AT
LAFAYETTE COUNTY HEALTH CENTER,
JANUARY 1969

ACUTE

Upper respiratory infection, presumably viral 117
Bacterial pharyngitis, sinusitis 35
Gastrointestinal disorders 15
Pneumonia 10
Trauma 9
Urinary tract infections 8
Muscular skeletal disorders 7
Other 21

TOTAL 231




ILLNESSES AMONG FIRST 300 PATIENTS SEEN AT
LAFAYETTE COUNTY HEALTH CENTER,
JANUARY 1969

CHRONIC

Hypertension and / or arteriosclerotic cardiovascular
disease 29
Chronic lung disease 20
Psychiatric disorders 12
Arthritis 11
Allergy 8
Diabetes 7
Headache 6
Other 14

TOTAL 107





PRESENTING SYMPTOMS OF 284
CONSECUTIVE PATIENTS


Pain: Chest-6, Abdomen-8, Extremity-16, back-8, other-8 44
No complaints (follow-up or P.E.) 35
Skin rash 30
Cold 29
Other 29
Results of trauma 28
Sore throat 20
Cough 20
Anorexia, nausea, vomiting 15
Headache 14
Diarrhea 11
Difficulty with urination 9





Types of Drugs Prescribed for

284 Patients


Antibiotic 95
No Drugs 50
Other 47
Analgesic 45
Expectorants 36
Tranquilizers - sedative 31
Digitalis 22
Antihistamines 22
Bronchodilators 18
Diuretics 14


TOTAL


407


Hypoglycemic agent - oral 7

Antihypertensive 5
Oral contraceptive 4
Antihelminthic 4
Hypoglycemic agent 2
Anti-Parkinson 2
Antispasmodic 2
Steroids 1





The patient population is unselected, with
the physical and emotional, the benign
and the morbid, and the sub-clinical and
the end stage of disease thrown together.
A knowledge of human behavior and
culture is essential in order to function
efficiently in such a setting. Skill is
required in the practice of meeting the
needs of the patient as the patient sees
them and in being able to withstand the
anxiety, both yours and the patient's, of
not being able to call the patient's difficulty
by name or arrive at a diagnosis.




.-..~..... .�.�.-.-.�.�t.
:::::rlrl:::.:-:::::::::::::::::::::::::.-~-.�.�.�.-.-.-.�.�.�.-.�.�:�:�:�:�:�: ;I::t:r:I:r:I:-:::::::::�i:I:::i:i:~::t:
;:::�:-:.::r:;::::1I::::::::�:�:�:.:�:-::I:~::::::�I1;�:�:�:-:-:�:�:�:-:.:�:.:.:
::::I:::::-:-:�:�::�:-:�:-:�:�:�:�:�:::- ~ii~jj~::'i:i:i:i:i:i:i:f :.:t:::l:i:i:1 :i:~I:I:I:~:lllq::::::::-:;:::::i:;::::
:::::::::i:::i:I:!:i:I:::::f :I::::::::::::::::::::::::::::i:::::::i: ::::::::::::::�:�:::I:.:.:.:`:.:;:;:
:::::::::::::::::::::::r:::::i:i:~:-:l:i :i:�:�:-x :f:~:~:::i:i:i:.:::(:I:l:li::'iili:::i~:
::::::I: ::::::I:::::::::I: r:I:l:'~- :�:�:�:�:�:-:�:�'t�:-:-:-'�
:;:::-::::::::::r:I:�:::':':':I :':-I-I�:�:�:-:-:.:;:;:-:-:;:; �:�:�:~a; ::~.::::::::�:: ;-r�;�s~-:�:�:�
f�: r�:� i:::::'Ii:i:i:.:::::::'~:�::�:
:-::II::::::::':�:::�:-:-:�:�:-:�:�:�: :~-:-:
..
-:-:-:.:-:-:-:.:.:;;;:;:::::::;::::':~:' :�:�:�:�:-:
:���.-.�.�.�--.-...:.�.:.:�:.:.:::::::::
:::::I1::�:::.:.:�:�:�:�:-:� ::::rl 1;
:�:�:�:�:
::::�~
':�:-:�:�:�;�;�:-:�:�:-:-'�:�:�'�';:�::::::::::::::::::::::::::::::i:i;i:i:i:j:f :j:i:r:~:~:l:::~:~:l::;I;i:l:~~:;;; �:-
-:�:�:':-:�:�:�:�:-:�:�:�:-:-:�:�:�
...
:i:i:i:i:i:i:trl:i:':f :::::I:::::::::::::::::i:i:i:i:i:i:l:i:I
::::::::::::::::::::::::::: :::i::~:1.;~:~:i~:;;~;;;:
�:�:�:�:-:�:�:�:-I-:�:�:�:-I.

::::::::::::::::::::::::::: :�.�.;�;-r ?~�-:�:-:�:�:�:� :.:-:.:;: 8~:i:::
:-:: I:;:::::::::::I:::::: iiili�Piiiiii~4 s:e �:-;:-:�:�:� :�:::~ ~::1:::1:~:::~::: :::~:':'I~ C~i~li:iti~i
~:~:i:i: i:::�:::': I::::::::: :::::::::1~ :;~I?
I:I:-:(::::: :::I:r:::::::I: -�-����--�-�.��--�.�.�.�.-.-.-.�.�.�:�.� ;�.�.�.-.-.�.�.�;�
~':::::::::::::::1:::::i:;:r:;:;:::;:::: ~�:�:-:�:�:�:-:�:;:�:
5-::::i::::::::::i:::i~' I:-:-:`:':':-:�:':�:�:-:-:::::;:':;:::::
:;':`:.:�:.:.:.:.:.:.:�:.::~�'~'~' ::-:':':.:.:;:�:;I;:;:':::;::::::T:1:r:::::-:.:.:-:�:�:;:;:;:::::;:;:;:::;::::j:
�...---;�.�;-.-1-;�;�;�;�:�:�;�r-1-:�:�:
:I:~:~:�:~i:~:~:�:�:�:-:�:�:�:�:-:�:�:�
.:.1-:�;�:-:-:�:�:�:�:�:�:�: :1:::::::I:::::::r:r:i:i:;:�:::::::::;;: ;�:~ :;: ;::::::::: :::':::::::::::-: ~::::i:::':~:':':i:;:::;:::::::::::::::
.-..�:.-:�.�....:L:�:�:�:-:�:�: �:::::::�::I:':1:-:�:�:':.:.:.:-::.:.:.:
:':�:r:.:;:;:.:.:::::;::::: 5:�:�;::::::::; ~;s~tl:I:i:r%:;:;:~;Ei~:;:;~�~r~i~::::::

:::I: is::i:;~
:::::::::::i:::i:i:i:::t:i:f :I~:
:�:�: ::-:�:�: f:.:i:~i~ I::::::::
::: :~ ~:::~:i:i:i:::::i:;:::::::::r;~::'::::j
:: �:r:-:�~ I:. :�:�:-:�:�:�:-
::::::�:�:�:�:-:�:-:�:�:-:�: i: :�:
~�~�'�:�:-:-:�:�:-~�`�'�'�
:(:i:::l:::::I:I::::::: ::::: :::: :::; :�r�:�:�: :�::-:�:�:�:
:::::::::::::-:�:�:�:�:-:;:; :�:�:~~�~ ~5~1~;:.:-:�: �:;:;:::::::::::::::: :i:::::::::I
�.�~-.�.�.�.�......-�.....;- I�:�
I:::::.:-:.:�:�:.:�:.:.:�:-: �--��-��� ::i: i :::I:�:~::::::: ��:::::i:i:i:;:i:i :i:i:~~:i:i:.:l: I:-:.:I:::::::I::: ::::::::::::: ::::i:i 1;:::'::::: ::::::::::::::::::
:::::::::�:1:::.:.:.:~:.:.:; .-.---...�-- ��- � ����- � 1:�:-:-:�:�:.:-:�:�:�:::::::::::::::::::
':-:�:�:�:�:�:-:�:�:-:-:-:�'
�.�.�.-.�:�:�.�.-.-.�:�:�:-'
�'�~� -~-~�'�'�'-'-~�'�'�~-' �1�:-I�I������.�.�.���.�.�;�.�.�.�.�:�r :::
.�~�.�.�.�~-.�.�.�.�_-.�.�;�
�~-:�:�:-I-1�:�:��.I�:�:�~-~-1-1�~.~.-.� :::;::::::;;;;;r:i:::~;r;i:I:�:~ �-�-���-�--�
-�-.�.�,�.---.�.�.�.-.-.-r ~:::::5 �.. ;;::::::::::::::::~;::i:i:::�d :.:.:-:- �:�:�: :::::
::::::::::::::::::::::;~; �:�:-. :�:�:�:�:�:-:�:�:�:�; :-:�: Ic::::::::::::::::: -.�.�, :;:�:� �:�:-:�
:�:�:�:�:�:�:.:�:;:;:;s�:: .'.'. ' :::::::::::::::: ::::I:.:.:; ~:::
--.���-�.�.�.-.�.�.�.- �:�:�:� :::j::::::::I:I:i i:::::I ':- �::::::::::::::::r:I:�:::. ' '
:�: �.�.�.�.-.�.�.-.--.� :::::::
�.1.�.�.---~�.�.-~--�; �-��
:::::::::::;::::i:i:4 ::::::: ::::: ::::::::::::I:I:~; :�:�:-: ~.~.~.~~~~~.~~~~~~~~~~~ .:�:�: I::::::: -:�:�:�: �:�:�:
:�:-:-:�:�:�:.:;: �����; ::::::, :�:;:.:- :::I:::
-:�:�:�:-:�:�:�:-:-r� :�:-:-: �.�.�.�.�.�.�.�- �:-:-: :�:�:�:. :�:�:
�I�:�:�I-�-��:�-.-.�;~:
5::;::::::1::::::: :::i:~ :�:�:- ~::;::::::::::::: �:�:�: -. ::::::::::::r:I:::-:;:i::�
:-:�:-:� :-:-:�: �:�:~ :::::: ;:�:�: ~.~.~.._.~....._.; :�:�:�:�
�� �:�:�:-: :~:�: :�:�:�:�]
5:�:�:� :�:�:-:�:�:�:-:-:�:;: .-�.�-
:::::::::~
�I�:�-�~;'�~.~.';-;�;�:�:';':�:�:�:�:-:�
.�.� -.-.�.-----.�.�.�.-.�.-.�,�.�.�.�.�-�.- �� �:�- ���.-.-.--.�.-.-
-~- � ����-� �---.�-�---..�.�.-.-.�.�.�.-
���-� ��-�-�-�-~-.-.-�-.�.-.-.-.� � �.�.�.�.�.�.--�.�:��-�-�-�--.�.�.----�.�
�:-:�:�:�:�:�I�I�I���-.~.~.��'.-.�.~.~.�
�'�~�'�'-'��~�`-~�'�~�'�'-'.'.'.'.-.'.�. ��� �--�-�-�--~�'�'�'�----'�' '---�-� � �-�����~� �-�~�~-'�`�'-~�'-'-'

:::::a�:::�I�:��-:-:���.�~-~.�.�.�.�.�.�
:�:�:~ �;�:�:�:�:�I-:�:�~�:-:�����~�~-~.�.�
�'�'�'�'-~-`�~�'�-�-�~�~-'�-��-�.~
I:::::::::::::::::::::::I::::::::::::i! r �:�:� '�~�~ i::: ::::::j::::::::i:j
';-:.": ::::~: :�:- ::::: �: �:�:�:�:�:�:�:�:�:-:- :::::::.:::::: :::::::::::::: ::::::-:�:::::�:�:�:::::::
~-`�~�'�'--.-;~�'�'-�.�-';';�~�
::::::::::::::I:::::: :::::::;::::: �'�~:~:~::�-�~-~ �~.-:�:�.~ .�:�:�:-:�:�:�
;::::::::::~:::::I:I:1:.:~:.:-:�:.:-:-:.
:�:�:- ::::::::::::�:�::I::; :.:.;�:�:':;:
::r -:-r.�.��-.-.� :�.�.�. s�:�:-:-:-:�:�:�:�
" ""' "-� -:�:�--1���'�'-~.';'�'�-.-.-.';�;-;�
�:�~�~-~-'�'� '"' -�.f':.:;:�;�:�:�:-.�.�:�:-:-:�:�:-:-l;f -��- ��~�~�~�~�'-'�'�~�~�~-��~�~�~-��-�-�-- -�l�1�r---�.�.-
:-I-:�:�:�---.�.-.-.-.-.�.�.�.-~�.�.� �.- ��� �-���- --�-�-~-,-.��---.�.�.'.-.�.� ��-� �~�~-~-�`�'�~-~-�'�~;-`.'.'.
'�' ''''''"" ~~-~--�~�'�~-~�~�'�~- '''~'' '~:�:�:�:-:�~�'-'-~-`.':'-'-~~' '�''-~-'~~~'-'�~-`�'�'-~�'�'�'�'�~-`�'�'
-.-.-.�.�.�.�;�.�;-r�:-l�:�r---I�:�:�-.-
�:�:-:�:�:-:�:�I-I�:-:�-���I�.�.�-�.�.�. i
.:�:-:~:�'-'-'-'�'-'"-'-' '~'~"'-~-'�'�'''-'�'�'�' ~~"~'` ` ~''` ~ ''~'''~~~'''~'~.:.�.�:�:�:-:-r��-:-:�l;�;�-'-�.�;':�r�;
~ �;�:�I�;���'-~-~�'�'�'�~�'�'�'-'-`-'�I�' ...- -.�.-.-.-.�.�.-.-.-.�.�.-.-.�




I A-,&














































EL







........





"MaitiAPD


F' i


El








-��I~'p


pp-~




~'L.dj .~


.e
,��;





I II111











r

I
1


^ "' ....


:i .

























i-,.


I-


.4.
- -


S - 6


-4-


--O





--- ~.r


--- :-


r
I�'
r..
,r


i~f~f" '~



.,. L�
















Wfr


\ I


A"


�i


v ;


























lip
SOL
































































�Oil











ISi












































:;f I
f ~', ;;i









.c�






i;ii~





















77






























































































































































































..........










I






�1 :X


I^^F~~ J^J'aJ^^^^^I~^^^^






















































































.Sh









-Ar




University of Florida Home Page
© 2004 - 2010 University of Florida George A. Smathers Libraries.
All rights reserved.

Acceptable Use, Copyright, and Disclaimer Statement
Last updated October 10, 2010 - - mvs