LIFE SPACE……… Tinsley Randolph Harrison was born in Talladega, Alabama, on March 18, 1900.
His father, Groce Harrison, was a sixth- generation physician, a student of William Osler who inculcated Osler’s values into his son from an early age.
Tinsley earned his undergraduate degree from the University of Michigan and his M.D. from Johns Hopkins School of Medicine. After a medical residency at the Peter Bent Brigham Hospital in Boston, where he developed his life-long interest in cardiovascular science and medicine, and additional training at Hop-kins Hospital….
Dr. Harrison served as chief medical resident and then joined the faculty of Vanderbilt University School of Medicine. His Chief of Medicine there, Canby Robinson, described him as “a human dynamo with unbounded energy.”
He also served as Dean of Southwestern and the University of Alabama and as Chief of Cardiology at the latter. Dr. Harrison died in Birmingham, on August 4, 1978.
Harrison authored or co-authored almost the entire cardiovascular section. By 1950, the ﬁrst edition of Principles of Internal Medicine was published.
Lines by him……. “No greater opportunity or obligation can fall the lot of a human being than to be a physician. In the care of the suffering he needs technical skill, scientific knowledge, and human under- standing. He who uses these with courage, humility, and wisdom will provide a unique service for his fellow man and will build an enduring edifice of character within himself. The physician should ask of his destiny no more than this, and he should be content with no less”……
Book contents……….. The book is divided into parts and further as sections.. There are about 16 parts, totally….
PARTS……. Part 1: Introduction to Clinical Medicine. Part 2: Cardinal Manifestations and Presentation of Diseases. Part 3: Genes, the Environment, and Disease. Part 4: Regenerative Medicine. Part 5: Aging. Part 6: Nutrition. Part 7: Oncology and Hematology.
Part 8: Infectious Diseases. Part 9: Terrorism and Clinical Medicine. Part 10: Disorders of the Cardiovascular System. Part 11: Disorders of the Respiratory System. Part 12: Critical Care Medicine.
Part 13: Disorders of the Kidney and Urinary Tract. Part 14: Disorders of the Gastrointestinal System. Part 15: Disorders of the Joints and Adjacent Tissues. Part 16: Endocrinology and Metabolism.
Part 17: Neurologic Disorders. Part 18: Poisoning, Drug Overdose, and Envenomation. Part 19: High-Altitude and Decompression Sickness.
Part 1: Introduction to Clinical Medicine. Part One, “Introduction to Clinical Medicine,” contains a new chapter that provides practical information about the screening approaches that every internist should consider for routine health maintenance. This chapter discusses the principles and guidelines used in screening for common conditions such as cancer, hypertension, lipid disorders, and osteoporosis. Another new chapter offers a pragmatic approach to the medical evaluation of patients who are about to undergo surgical procedures.
The famous statement of Dr. Francis Peabody is that “ THE SECRET OF THE CARE OF THE PATEINT IS IN CARING THE PATEINT”……
Part 2…. Serves as a comprehensive introduction to clinical medicine as well as a practical guide to the care of patients with these manifestations. Each section focuses on a particular group of disorders, examining the concepts of patho physiology and differential diagnosis that must be considered in caring for patients with these common clinical presentations. Major symptoms are reviewed and correlated with speciﬁc disease states, and clinical approaches to patients presenting with these symptoms are summarized.
Part 3…. The material included in this edition is strongly geared toward clinical practice, in which genetic information increasingly comes into play. The new chapter on stem cell and gene transfer in clinical medicine addresses a timely and controversial topic, deﬁning different types of stem cells and discussing their potential clinical applications.
Part 4… Over's nutritional considerations related to clinical medicine. Areas of focus include nutritional and dietary assessment, nutritional requirements, protein-energy malnutrition, eating disorders, obesity, and enteral and parenteral nutrition therapy.
Part 5… Includes four chapters by new authors. An increasing proportion of patients who develop cancer are being cured. It is important to detect late consequences as early as possible in their natural history to optimize outcome.
Part 6…. Summarizes the latest information on pathology, genetics, and epidemiology while focusing sharply on the needs of clinicians who must accurately diagnose and treat infections under time pressure and cost constraints. In particular, the inclusion of dozens more illustrations in full color provides easily accessible information to assist clinicians with these challenges.
Part 10….. “Critical Care Medicine,” is a new section of Harrison’s that is devoted to the provision of optimal care in this medical setting of growing importance. Topics covered in previous editions, this part deals with three main areas: respiratory critical care, shock and cardiac arrest, and neurologic critical care.