Biomedical subjects
R L Perkin
Publications and source records attributed to R L Perkin.
Acute hemolytic anemia secondary to infectious mononucleosis.
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Tonsillectomy and adenoidectomy.
Tonsillectomy and adenoidectomy is the definitive treatment for chronic tonsillitis and adenoid hypertrophy. It is most important to determine if the patient has chronic tonsillitis--a diagnosis that can only be made between acute attacks when the patient is clinically well. Decisions regarding the need for a tonsillectomy and adenoidectomy should be made only at this time and never during an episode of acute tonsillitis. Frequency of acute attacks should not by itself be the indication for surgery. The family physician who performs tonsillectomy and adenoidectomies has an opportunity to correlate the preoperative and postoperative clinical course of the patient with the findings at the time of surgery. In my experience, patients carefully selected for tonsillectomy and adenoidectomy on the basis of these criteria do benefit from the surgery, and the clinical improvement is sustained in the long-term follow up of these patients.
Family practice in Canada.
Family practice in Canada is significantly different in many ways from practice in the United States and is similar in others. This article describes Canada's comprehensive, government-controlled health care system, in which patients have free access to care, and most physicians are still paid on a fee-for-service basis. The status of medical manpower in Canada and medical education for future family physicians in the 16 Canadian medical schools are described. The multiple roles of the College of Family Physicians of Canada are outlined. The article concludes with a description of the nature of family practice in Canada, comparing it with the United States.