William osler and comparative medicine

During the last thirty years of the nineteenth century, comparative medicine deeply influenced veterinary education in Montreal, New York and Philadelphia. Of the many physicians and veterinarians involved in this movement, Sir William Osler has attracted the most biographical and historical attention. However, his contributions to comparative medicine have been characterized inexactly, partly because of his later prominence as a clinician and partly because little has been written about the history of veterinary education in Quebec.

Osler's teaching and research in comparative medicine as well as his efforts to promote a veterinary profession are described and set alongside the work of other physicians and veterinarians who were his contemporaries. As a result, Osler's contributions to comparative medicine are seen to be many and important but by no means unique. Other Quebec veterinarians, including Duncan McEachran, Orphyr Bruneau, Victor T. Daubigny and J.A. Couture, and such physicians as T. Wesley Mills and J. George Adami made as many, and in some cases greater, contributions to veterinary education in Quebec than did Osler. That they have not received the degree of recognition that Osler has received reveals Osler's ability to represent values and ideals and draws attention to some essential features of late nineteenth-century comparative medicine.

     

Some aspects of clinical pharmacokinetics in veterinary medicine. I

This series of two review articles deals with general aspects of the mechanisms which govern absorption and distribution of drugs within the body, and the kinetics of drug metabolism and excretion. Emphasis is given to the verification of pharmacokinetic principles in domestic animals, and the clinical applications which proceed therefrom. In the first part, the concept of the two compartment and three compartment models for drug disposition are introduced and developed to demonstrate the mathematical models which may be derived to describe the kinetics of drug distribution and elimination. In the second part bioavailability and drug dosage will be considered.     

Only one medicine: the future of comparative medicine and clinical research

This article reviews the roots of comparative medicine and argues that during the 20th century it failed to realise its full potential. New opportunities arise from the growing availability of precise, minimally invasive, clinically compatible techniques, which enable us to benefit from the availability of spontaneous analogues of human disease in animals. Particularly with multifactorial diseases, these offer a unique blend of authenticity and acceptability. To realise the full benefits to both animals and humans, we need much closer alignment of human and veterinary clinical medicine.