{"id":349,"date":"2017-08-02T11:32:47","date_gmt":"2017-08-02T10:32:47","guid":{"rendered":"http:\/\/www.scottishmedicalhumanities.org\/human\/?p=349"},"modified":"2018-04-22T22:31:45","modified_gmt":"2018-04-22T21:31:45","slug":"penicillin-then-penicillin-now","status":"publish","type":"post","link":"https:\/\/www.scottishmedicalhumanities.org\/human\/penicillin-then-penicillin-now\/","title":{"rendered":"Penicillin then, Penicillin now"},"content":{"rendered":"<p><strong>Use of Penicillin in 1945, Miguel Torga<\/strong><\/p>\n<blockquote><p><strong>Coimbra, 1 February 1945 <\/strong><\/p>\n<p>Penicillin. I too want to try out the last panacea invented by science. On a young boy burning up with fever, pus running out of his ears and terrible pain. In the old days, the tympanic membrane would be doused with milk from a wet nurse which cured it radically. Now it&#8217;s penicillin.<\/p>\n<p>When I went to look for it in the house of a patient who had some left over, the father didn&#8217;t want to let go of his treasure. He was in possession of a talisman of health, and he didn&#8217;t want to sell it or to give it to anyone at all. He was drunk: perhaps that was why he believed with a supernatural force in the magic of this drug. His wife, who was steadier, intervened and they finally gave me the holy viaticum.<\/p>\n<p>At my other patients&#8217; house they were waiting for the miracle treatment in their prayers. And I gave the injection, both in humility and in humiliation. On one hand I knew that the yeast in question would have become ridiculous fifty years hence; on the other I knew that it represented the highest point so far reached by the ingenuity and hope of man.<\/p>\n<p>What would you say about that, you Greek philosophers, who didn&#8217;t believe in achievements! You who restricted yourselves to speculation, comprehension, beauty and natural health!<\/p><\/blockquote>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1314186\/pdf\/11766866.pdf\" target=\"_blank\" rel=\"noopener\">Extract from Miguel Torga&#8217;s diary<\/a>\u00a0&#8211; pages 18-22 of the pdf, translated from Portuguese by Iain Bamforth<\/p>\n<h3>Commentary<\/h3>\n<p>During the time of Torga&#8217;s diary entry, it may not have been uncommon for Penicillin to be seen as he described, \u201cthe highest point so far reached by the ingenuity and hope of man\u201d. As a serendipitous discovery in 1928 by Sir Alexander Fleming, Penicillin was seen as a \u2018wonder drug\u2019 for a variety of conditions from children\u2019s ear infections to soldiers\u2019 wound infections in World War 2.<\/p>\n<p>In the current\u00a0century, the growing impact of antibiotic resistance can be felt globally by governing bodies, doctors and most importantly, patients. Torga\u2019s writing style \u2013 personal and descriptive, compels us to share his excitement of using Penicillin. However, it may also make us wonder of the possibility of an antibiotic to be described (in the future), synonymously to the words from the extract \u2013 \u201cthe treasure\u201d, \u201cthe holy viaticum\u201d and \u201cthe talisman of health\u201d.<\/p>\n<p>Miguel Torga (pseudonym of Adolfo Correia da Rocha) was a Portuguese physician and writer. As a distinguished writer of the 20<sup>th<\/sup> century, he wrote short stories, poems, theatre and a 16 volume diary, mostly set in Portugal. Bringing in an element of depth and wisdom unique to his life experiences, his rural upbringing only added more flavour to his writings.<\/p>\n<p>More evident in some of his other diary entries, Torga was protective of his patients, not just in terms of keeping them alive and well but, of their dignity as a human being. Despite the low-resource setting, he strived to provide the best form of care possible for them. \u201cMedicine is a duty, Literature a discipline\u201d, Torga had said. His written work does indeed reflect both, his duty and discipline.<\/p>\n<p><span style=\"font-size: 24px;\">Further info<\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/www.britannica.com\/biography\/Miguel-Torga\" target=\"_blank\" rel=\"noopener\">Miguel Torga<\/a>\u00a0&#8211; A brief biography<\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27386682\" target=\"_blank\" rel=\"noopener\">Medicine in Torga&#8217;s literary work<\/a>\u00a0&#8211; Abstract on PubMed highlighting some medical elements in Torga&#8217;s work<\/li>\n<li><a href=\"https:\/\/en.wikipedia.org\/wiki\/History_of_penicillin\" target=\"_blank\" rel=\"noopener\">History of Penicillin<\/a>\u00a0&#8211; A timeline of events leading to the discovery<\/li>\n<li><a style=\"font-size: 1.5rem;\" href=\"http:\/\/www.historylearningsite.co.uk\/world-war-two\/medicine-and-world-war-two\/\" target=\"_blank\" rel=\"noopener\">Penicillin in the World War 2<\/a><span style=\"font-size: 1.5rem;\"> &#8211; Some history on Penicillin&#8217;s crucial role during the war<\/span><\/li>\n<li><a href=\"http:\/\/www.iwm.org.uk\/\" target=\"_blank\" rel=\"noopener\">Imperial War Museum (IWM) <\/a>&#8211; Main website with the museums&#8217; addresses, \u00a0a list of their events and exhibitions. They have <a href=\"https:\/\/commons.wikimedia.org\/wiki\/Category:Artwork_of_medical_services_at_the_Imperial_War_Museum\">several works of art<\/a> depicting medical services during war.\n<ul>\n<li><a href=\"http:\/\/www.iwm.org.uk\/collections\/item\/object\/10200\" target=\"_blank\" rel=\"noopener\">Featured image<\/a>: A child receiving penicillin treatment (IWM, London)<\/li>\n<li><a href=\"https:\/\/www.google.co.uk\/search?q=A_Child_Bomb-victim_Receiving_Penicillin_Treatment_Art.IWMARTLD5775.jpg&amp;rlz=1C5CHFA_enSG698SG698&amp;oq=A_Child_Bomb-victim_Receiving_Penicillin_Treatment_Art.IWMARTLD5775.jpg&amp;aqs=chrome..69i57j69i60.301j0j9&amp;sourceid=chrome&amp;ie=UTF-8#q=sir+alexander+fleming+art+war+museum\" target=\"_blank\" rel=\"noopener\">Sir Alexander Fleming : \u00a0<\/a>A portrait of the Scottish scientist behind the discovery of Penicillin<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"http:\/\/www.who.int\/antimicrobial-resistance\/en\/\" target=\"_blank\" rel=\"noopener\">Antimicrobial resistance (AMR)<\/a> &#8211; WHO website for more up-to-date information and learning<\/li>\n<\/ul>\n<h3>Contributed by<\/h3>\n<p>Lekaashree Rambabu<\/p>\n<h3>Rate this post<\/h3>\n\n<p>&nbsp;<\/p>\n<h3>More like this<\/h3>\n","protected":false},"excerpt":{"rendered":"<p>Use of Penicillin in 1945, Miguel Torga Coimbra, 1 February 1945 Penicillin. I too want to try out the last panacea invented by science. On a young boy burning up with fever, pus running out of his ears and terrible pain. In the old days, the tympanic membrane would be doused with milk from a <a class=\"more-link\" href=\"https:\/\/www.scottishmedicalhumanities.org\/human\/penicillin-then-penicillin-now\/\">Read More &#8230;<\/a><\/p>\n","protected":false},"author":2,"featured_media":366,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"wpupg_custom_link":[],"wpupg_custom_link_behaviour":[],"wpupg_custom_link_nofollow":[],"wpupg_custom_image":[],"wpupg_custom_image_id":[],"yasr_overall_rating":0,"yasr_post_is_review":"","yasr_auto_insert_disabled":"","yasr_review_type":"","footnotes":""},"categories":[50],"tags":[11,13],"class_list":["post-349","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-infectious-diseases","tag-doctor-experience","tag-prose"],"yasr_visitor_votes":{"stars_attributes":{"read_only":false,"span_bottom":false},"number_of_votes":1,"sum_votes":4},"_links":{"self":[{"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/posts\/349","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/comments?post=349"}],"version-history":[{"count":34,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/posts\/349\/revisions"}],"predecessor-version":[{"id":544,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/posts\/349\/revisions\/544"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/media\/366"}],"wp:attachment":[{"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/media?parent=349"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/categories?post=349"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/tags?post=349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}