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Pathology in Britain
Guy’s Hospital, situated near London Bridge, was established by a businessman, Thomas Guy in 1726 (Fig 1). Three of the most famous physicians at Guy’s Hospital were Thomas Addison (1793 – 1860), Thomas Hodgkin (1798 – 1866) and Richard Bright (1789 – 1858) (Fig 2). The Museum of Pathological Specimens is housed in a building called the Gordon Museum after Robert Gordon, a businessman who was on the Board of Governors of Guy’s Hospital from 1898 – 1918. In 1905 he donated the money which established the Museum that now bears his name
The Gordon Museum contains displays of the first cases of Addison’s
Disease (Fig 4), Hodgkin’s Disease (Fig 6&7) and Bright’s
Disease (Figs 12-15). In the displays in the Museum which commemorate
each of these three distinguished physicians, there are fixed specimens
from some of their original cases.
Directly across the road (St Thomas’s Street) from the entrance
to Guy’s Hospital there is a small church – St Thomas’s
Church. It was built to a design of the architect, Christopher Wren and
opened in 1703. In the attic of this church there is the oldest operating
theatre in Britain. It was commissioned in 1821 as the female operating
theatre for St Thomas’s Hospital, and closed in 1862 when the hospital
was moved to its present site on the South bank of the river Thames, opposite
the Houses of Parliament.
As can be seen in Figure 9, the whole room is built of wood. The operating table has a “pull-out” shelf for lower limb amputations. The chair allowed the surgeons to be seated while performing lithotomies and haemorrhoidectomies. A box full of sawdust was kept under the table so that it could be placed strategically to collect blood from the operations. The instruments were stored in cupboards and on tables. Students crowded into the circular galleries and jostled each other for a view of the proceedings from these “standing room only” observation galleries.
Figure 10 - “Anaesthetic” for leg amputations
Original Cases of Bright’s Disease
THE IAP IN ACTION
News from the Divisions as reported to Business Meetings of the I.A.P. Executive during 2002
There are 54 Divisions of
the I.A.P. Reports were presented during the year by 12 of these. All
Divisions reported active educational programmes within their own territories.
Many of them also engaged in activities with other Divisions in their
region. Some activities that have not been highlighted in recent News
Bulletins are as follows:
They regularly support Arab Division meetings and meetings of the French Speaking African Division. The Bulletin is published twice a year with colour pictures of illustrative areas of cases presented at their slide seminars. They now circulate one CD Rom slide seminar each year.
Actively supports the Arab Division meetings and is funding an Arab/British School of Pathology, supplying 2 - 3 lecturers each year. The first such “school” was held in Beirut, December 9 - 13, 2002. They support the pathologists in Southern Africa and they provide a number of travel scholarships to the United Kingdom for young pathologists. Applications for these scholarships can be made to the British Division Secretariat. Email: firstname.lastname@example.org
Hong Kong Division
In 2001, the Hong Kong Division of the I.A.P. officially merged with the Hong Kong Society of Pathology ( a much older organisation). The latter then ceased to exist. Professor David Hardwick was elected an Honorary member of the Hong Kong Division for his enormous contribution to pathology education in Hong Kong and mainland China. Dr Phil Allen is the other Honorary member. The Fourth Annual Meeting of the Association of Directors of Pathology of China was held in Changchun, August 10 - 12, 2002. Changchun has been called the capital of Northeast China (formerly Manchuria). For the first time, the official, government sponsored Chinese Society of Pathology attended the meeting. The next meeting will be held in Changchun July 19 - 20, 2003. These meetings are co-sponsored by the Hong Kong Division of the I.A.P., the University of British Columbia Visiting Scholar Program, and a private foundation. At the USCAP meeting in Washington March 20 - 26, 2003 there will be the first International Symposium of Chinese Pathologists. This aims to promote collegiality and co-operation amongst Chinese pathology groups and IAP Divisions in China, Hong Kong, Macau, North America, Taiwan and the Asia-Pacific regions.
The Mexican Division recently amalgamated with the Mexican Association of pathology and the Federation of Anatomic Pathology of the Republic of Mexico. This gives the Division 180 affiliated members. The Mexican Board of Pathology lists 845 certified pathologists, and it is calculated that there are about 1,400 pathologists in Mexico. 400 pathologists attended National Meetings in the past three years, and 30 attended International Meetings. The main reason for these low attendances is the bad state of the economy.
The Division is running an Intra European Conference in Athens May 8 - 10, 2003. It was successful in its bid to host the International Congress of the I.A.P. in 2008.
The Division currently has 301 members. They have started a Program of Board Certification and Recertification in Pathology. This is tied in with a program of continuing education.
South African Division
They have been actively working with the British Division to have lecturers visiting Southern Africa. They continue to work with pathologists in all the countries of Southern Africa. Pathologists in Zimbabwe cannot afford to buy journals or books because they have no access to foreign exchange. Anyone who can help may contact Dr Martin Hale in Johannesburg. Email: email@example.com
The XVI Annual Meeting of the Division was held in association with the Chilean Society of Pathology in the Chilean city of Arica. The Division has an active program of Continuing Education planned for 2003 with slide seminars arranged for each month.
Arab Division of the I.A.P. 15th Congress
Cairo, Egypt, October 14 - 16, 2003
Secretariat: Dr Shahenda El Hawary
Phone: (202) 302 3642 Fax: (202) 302 7672
Current Concepts in Surgical Pathology