Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, CambridgeRolleston, Humphry Davy, Sir
Science
Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, Cambridge
Rolleston, Humphry Davy, Sir
Geriatrics; Linacre lecture, St. John's college, Cambridge; Longevity
of the grinding is low,” is considered by Jastrow to mean impaired
hearing, and by Smith as a lowered rate of metabolic processes, such
as assimilation, blood formation, and various secretions. “And he
shall rise up at the voice of the bird,” implies, according to Smith
and Mead, the early waking of the elderly; “and all the daughters of
music shall be brought low” signifies to Laurentius the failure of
voice, to Mead deafness, and to Smith all the organs concerned with
sounds, namely the lips, tongue, larynx, and the auditory apparatus.
“Also when they shall be afraid of that which is high, and fears shall
be in the way” is regarded by Smith as describing the general mental
attitude of anxiety for things both small and great and a bad head for
height, but a more modern commentator suggests that “afraid of that
which is high” refers to dyspnoea on climbing a hill. “And the almond
tree shall flourish” is by Laurentius, Hall, and Smith thought to
refer to the white hair or “churchyard flowers” of the old, but Mead
argued that loss of smell is meant. “And the grasshopper shall be a
burden” has been very variously interpreted: Hall is content to accept
the literal meaning that the least weight is a nuisance; Laurentius
and Lowe understand oedema of the legs; John Smith that the aged body
undergoes the reverse change of shrivelling, hardening, and angularity;
Mead suggests scrotal hernia, and Jastrow, as according to the Talmud
the grasshopper is a symbol for the male sexual organ, considers that
the sentence refers to the loss of sexual activity. In the sixth verse
the words “Or ever the silver cord be loosed,” refers, according to
Laurentius, Lowe, Mead, and Jastrow, to kyphosis, but Smith translates
them into paralysis of the spinal cord and nerves. “Or the golden bowl
be broken,” signifies cardiac failure to Laurentius and Lowe, but
cerebral haemorrhage to Smith, who thus explains the next line, “or the
pitcher (the veins) be broken at the fountain (the right ventricle),
or the wheel (the arterial circulation) broken at the cistern” (the
left ventricle), and therefore concludes that King Solomon was
perfectly acquainted with the circulation of the blood discovered by
William Harvey in 1616. “The pitcher” is regarded as the vena cava by
Laurentius, and as the urinary bladder by Mead and Jastrow; “the wheel
broken at the cistern” suggests the kidneys and bladder to Laurentius
and Lowe, cardiac failure to Mead, and intestinal and hepatic
insufficiency to Jastrow.
IX
DISTINCTION BETWEEN HEALTHY AND MORBID OLD AGE
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