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December 1965

Clinical Features of the Older Patient.

Author Affiliations

Compiled and edited by Joseph T. Freeman, MD, FACP. Price, $10.75. Pp 491, with no illustrations. Charles C Thomas, Publisher, 301-327 E Lawrence Ave, Springfield, Ill 62703, 1965.

Arch Intern Med. 1965;116(6):965. doi:10.1001/archinte.1965.03870060163049

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This book is essentially the product of the deliberations of the Commission on Geriatrics of the Pennsylvania Medical Society. The authors of the several chapters are specialists who pitch their productions at the specialist level or above. Some of the concepts appear to be at the super-research level, but there are some at the clinician's level. Emphasis on susceptibility to overreaction to sedation is timely, as is also overreaction to sodium depletion, and increased reaction to insulin. Overreaction to insulin may actually produce nocturnal angina. Salicylate therapy may produce blood loss. Promethazine (Phenergan) hydrochloride may potentiate other sedatives, analgesics, or narcotics. In severe infections the steroids may help the action of specifically selected antibiotics. Placebos have as high a rate of effectiveness as in younger aged groups. Pharmacological particularity is rather important. Gerontological research has been of great volume but much remains to be done.

The chapter on hypertension is

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