By I. Mamuk. Hamilton College. 2018.

Congressional aides could not even remember who had sug- gested adding the civil rights protection discount 120 mg cardizem mastercard. But the wording clearly was copied straight out of the Civil Rights Act of 1964 generic 120mg cardizem overnight delivery, which ruled out discrimination in federal programs on the basis of race, color, or national origin. Members of Congress were either unaware of it or con- sidered it “little more than a platitude” for a sympathetic group. In April 1977 frustrated disability activists, lead by wheelchair users, took over federal offices in San Francisco, holding them for twenty-five days. When one administration official suggested setting up “separate but equal” facilities for disabled people, the proposal, with its unfortunate phraseology, backfired. The civil disobedience tactics surprised the nation, but this victory marked “the political coming of age of the disability rights movement” in the United States (Shapiro 1994, 68). The di- versity of disability advocates and difficulties identifying with each other occasionally threatened their success. Political fears about costs, litigation, and burden on business posed perhaps the biggest hurdle. The ADA is unique in the context of civil rights legislation because it requires that businesses and government do more than just cease discriminatory actions. They must also take proactive steps to offer equal opportunity to persons with disabilities, commensurate with their economic resources. Most people either have a disability or know someone who does: the cause seems universal. The full legacy of the ADA is still unfolding (Francis and Silvers 2000), with the U. Unlike prior civil rights legisla- tion, the ADA requires businesses to take positive steps, to make “reasonable Society’s Views of Walking / 55 accommodations,” which they assume will cost money. Some accommoda- tions cost nothing, as when the Supreme Court required the Professional Golfers Association to allow Casey Martin, who has painful swelling of his right leg, to ride a cart while competing in tournaments.

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Their accomplishments have all as being “physically and morally an English but eliminated hematogenous osteomyelitis discount cardizem 60mg mastercard, gentleman generic 180 mg cardizem overnight delivery. Baker WM (1877) On the formation of synovial cysts in the leg in connection with disease of the knee joint. Bartholomew’s Hospital Report 13:245 19 Who’s Who in Orthopedics these he operated upon without delay, working the operating theater staff as never before, and achieving a record turnover. He liked the actual business of operating more than any other aspect of his work, and right to the end of his career he thought the ideal way of spending a day was an 8-hour operating session. In 1911, Bankart was appointed in quick suc- cession surgeon to the Maida Vale Hospital for Nervous Diseases, assistant surgeon to the Royal National Orthopedic Hospital, surgeon to the Belgrave Hospital for Children and surgeon to the Queen’s Hospital for Children. That was at a time before the modern surgical specialties had devel- oped, and he was practicing simultaneously in orthopedic surgery, in neurosurgery and in the surgery of children. He must indeed have been a busy man and small wonder he learned to work so quickly and acquired the characteristic walk Arthur Sidney Blundell that was almost a run and was the despair of gen- BANKART erations of house surgeons who could barely keep up with him. He always preferred to run up 1879–1951 several flights of stairs rather than to wait a minute for the lift. The First World War found Arthur Sidney Blundell Bankart was born in Bankart working harder than would be possible 1879, son of James Bankart, FRCS, of Exeter. He for most men; so he was not taken into the army, was educated at Rugby School, at Trinity College, but instead he added a number of the smaller mil- Cambridge, and at Guy’s Hospital. Qualifying in itary hospitals to his burden; and, after Shepherd’s 1906, he served first as house physician and then Bush was opened, Robert Jones brought him into as house surgeon at his own hospital, and later the fold to work there as well. He must have His appointment as surgeon to the Maida Vale been attracted to surgery from the first because he Hospital for Nervous Diseases in 1911 marked lost no time in obtaining the academic qualifica- the beginning of an interesting phase in his career. During this period he came under the pedic surgeon to the Middlesex Hospital, he per- influence of Arbuthnot Lane, who was then per- formed as well, at the behest of Dr. Campbell fecting the “no touch” technique, and this stimu- Thomson, neurologist to the hospital, much of the lated his interest in bone and joint surgery to such neurosurgical work there, and continued with it effect that, in 1909, he became the first surgical almost up to the beginning of the last war. He was registrar at the Royal National Orthopedic Hospi- perhaps more interested in spinal than cranial tal, which had that year been formed by amalga- surgery. He was certainly very successful with mation of the Royal Orthopedic Hospital spinal operations and was one of the first in in Hanover Square, the National Orthopedic Hos- this country to perform lateral cordotomy for the pital in Great Portland Street, and the City Ortho- relief of pain.

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If you think you don’t have any faith discount cardizem 180mg with mastercard, consider the ancient proverb: “When you breathe discount cardizem 60mg without a prescription, you hope. Frankly, if you are reading this book, I’d say you still have some faith, even if it is in tatters. Finding Meaning and Purpose Through the Three Gs Most people want to know their life has meaning and purpose. Those of us with mystery maladies are being given a unique opportunity to find ours. For mystery malady patients who are physically limited in some way, we need to focus on finding purpose in things that do not require large 236 Living with Your Mystery Malady amounts of strength and physical energy. Here are my three Gs for finding meaning and purpose: Giving It is so easy to become wrapped up in yourself when you are ill. There are so many small ways to give that don’t require much except to come out of your preoccupied self-focus and be aware of others. Pay a compliment, give a smile, utter words of encour- agement, make someone a cup of tea, or laugh at someone’s joke. It is not as altruistic as it seems, because giving usually recirculates. Someone smiles back at you, returns the favor, gives you a hug, expresses their admiration. The gift of caring is the greatest gift that can be offered, and if you decide to give it, you will boost your own spirit. In so many ways, giving is putting our love into action, especially when the giving is done without expecting something in return. Somehow we find that when we give with loving intent, we actually gain self-esteem by doing something of value. Loving others becomes part of loving ourselves, and we can delight in ourselves and our relationships even though we are not feeling well physically. Even when our gifts are small because they are limited by our health, they are gifts nonetheless, and the return can be sur- prisingly big.

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The Graduate Medicine Education Na- tional Advisory Committee targeted PM&R as one of three medical spe- cialties facing personnel shortages (Pope and Tarlov 1991 180 mg cardizem amex, 231) order cardizem 60 mg with visa. Established medicine came late to rehabilitation (Berkowitz and Fox 1989, 146). Treating wounded World War I soldiers gave orthopedics credibility and catalyzed initial medical rehabili- tation efforts—designing prosthetics and orthotics to improve mobility of injured veterans. Between world wars, improving function for polio sur- vivors gained attention, although the greatest advances involved non- physicians in Warm Springs, Georgia: Franklin Delano Roosevelt and the physical therapist Helena Mahoney. In the mid 1920s Roosevelt requested endorsement from the American Orthopedic Association (AOA), but the AOA refused to allow Roosevelt even to address their annual convention in Atlanta: “He was told he was a man without standing. Some disability rights ac- tivists argue that rehabilitation specialists further the medicalization of disability, exhorting people to “fit in or cope with ‘normal’ life and expec- tations so that they did not become a burden on the rest of society” (Barnes, Mercer, and Shakespeare 1999, 20). Leading PM&R specialists, however, assert their aims of assisting people to find and fulfill their own “desires and life plans. Patients, their families, and their rehabilitation teams work together to determine realistic goals.... Rehabilitation is a concept that should permeate the entire health-care system” (DeLisa, Cur- rie, and Martin 1998, 3). If patients can’t walk, the physiatrist’s job is to help find alternatives. If what’s causing [the mobility problem] is not easily reversible, then you’ve got to face up to the fact: “I’ve got an irreversible condition here, and I’ve got to compensate for it. So trouble with mobility is a very 162 / Physicians Talking to Their Patients complicated psychological and physical problem. Despite that, early on in my rehabilitation training, we often said that mobility prob- lems were the easiest things to rehabilitate. Fundamentally, the per- son still has their mind, they are a human being with their social re- lationships. It’s this nasty problem with physically moving their body from point A to point B.