Friday, December 06, 2019

Decreasing number of Autopsies

Decreasing number of Autopsies
Religious stupidity ,greed of Insurance companies and Spineless academicians of the present day.

Who pays for the Autopsy?

If it is part of a police investigation the DA or PD pick up the tab; if the insurance company requests it they pick up the tab; If the family wants one done, they pay for it. If someone died for an unknown reason in a hospital, the hospital eats the cost.


AUTOPSY — literally to see for oneself — is the
dissection and examination of a dead body to
determine the cause of death and establish the
evolution of a disease. It was coined in 1678, while
its Synonym •post-mortem examination' (or post,
mortem for short) was first used in 1850 and
'necropsy' in 1856. Although the term 'post-
mortem examination' is appropriate etymologi-
call", autopsy is more commonly used. Autopsy
forms the cornerstone of PATHOLOGY and has
made an important contribution to our current
understanding of disease. It has the ability to
recognize the mistakes made by doctors and
thereby improve their diagnostic skills. At first
limited to gross and microscopic anatomy, it may
now also make use of specialized techniques such
as microbiology, electron microscopy, radiology,
toxicology, and chromatography.


In 1410 Pope Alexander V died suddenly and
was autopsied. Towards the end of the 15th
century, Pope Sixtus permitted students to dissect
human bodies to learn anatomy. One of the ear-
liest autopsies recorded, performed by Bernard
Tornius in the 15th century, is that of a child.
Antonio Benivienni, a 15th century Florentine
physician, correlated his findings with clinical
features in 15 cases. The idea that bodies could
display clues to diseases that ravaged them began
around the 16th century. The impetus given by
Andreas VESALIUS (p 846) in 1543 to normal
human anatomy dissection led to a change.
Theophile Bonet published his Sepulchretum Sive
anatomia practica in 1679; it comprised 3000
autopsies but subscribed to the theory of HUMORS
and thus missed the opportunity to recognize the
anatomic-pathologic correlation. In 1724 Hermann
ROERHAAVE (p 121) documented the first case of


At the birth of medicine, millennia ago, diagnosis (the identification of the patient’sdisease) and prognosis (the understanding of the disease’s likely course and outcome) were the most effective tools a doctor brought to the patient’s bedside. But beyond that, little could be done to either confirm a diagnosis or alter the course of the disease. Because of this impotence in the face of illness, the consequences of an incorrect diagnosis were minimal. The true cause of the illness was often buried with the patient. In more recent history, medicine has developed technologies that have transformed our ability to identify and then treat disease. The physical exam—invented primarily in the nineteenth century—was the starting point. The indirect evidence provided by touching, listening to, and seeing the body hinted at the disease hidden under the skin. Then the X-ray, developed at the start of the twentieth century, gave doctors the power to see what they had previously only imagined. That first look through the skin, into the inner structures of the living body, laid the groundwork for the computerized axial tomography (CT) scan in the 1970s and magnetic resonance imaging (MRI) in the 1990s. Blood tests have exploded in number and accuracy, providing doctors with tools to help make a definitive diagnosis in an entire alphabet of diseases
starting point. The indirect evidence provided by touching, listening to, and seeing the body hinted at the disease hidden under the skin. Then the X-ray, developed at the start of the twentieth century, gave doctors the power to see what they had previously only imagined. That first look through the skin, into the inner structures of the living body, laid the groundwork for the computerized axial tomography (CT) scan in the 1970s and magnetic resonance imaging (MRI) in the 1990s. Blood tests have exploded in number and accuracy, providing doctors with tools to help make a definitive diagnosis in an entire alphabet of diseases

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