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TWO DOCTORS DESCRIBED ANOREXIA A YEAR APART
The Full Name Of The Diagnosis Is Anorexia Nervosa
A Loss Of Appetite Is What The First Word Means
The Doctor Who Named It Was Not Describing Hunger Alone
He Examined His Patients And Found No Organic Disease
A Physician In Paris Had Written About It Too
Their Papers Were Published A Year Apart
Anorexia Nervosa Was Not The Only Name They Offered
This Part Covers The Cases And The Name They Produced
THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.
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WHAT GULL PUT IN WRITING 🖋️
William Gull Worked As A Physician In London
He Mentioned The Condition To The British Medical Association In 1868
Oxford Was Where That Address Was Given
His Term Then Was Hysteric Apepsia
That Name Is No Longer Used
In 1873 He Presented Two Cases
He Called Them Miss A And Miss B
An Addendum Added A Further Case Called Miss C
A Fourth Case Called Miss K R Was Added Later
Those Cases Were Published In 1874
The Published Term Was Anorexia Nervosa
He Listed Apepsia Hysterica As An Alternative
Anorexia Hysterica Appeared As Another
Only Anorexia Nervosa Is Still In Use
He Described Who The Condition Appeared In
The Subjects Are Mostly Of The Female Sex In His Words
Chiefly Between Ages Of 16 And 23 Is How He Bounded It
His Published Cases Ran From 14 To 18
That Age Range Was An Observation And Not A Rule
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WHAT HE RULED OUT 🩺
Gull Examined The Body Before Naming Anything
His Patients Had Lost Significant Weight
Examination Of The Chest And Abdomen Found Nothing Abnormal
No Organic Disease Appeared In The Cases He Published
A Patient Losing Weight With A Normal Chest Needed An Explanation
Weight Loss With No Organic Pathology Marked Out The Diagnosis
Tuberculosis Was The Obvious Candidate At The Time
The Condition Differs From Tuberculosis In His Words
Tuberculosis May Subsequently Arise Was His Caveat
The Pulse Was One Of The Signs He Used To Separate Them
He Found It To Be 64 And The Breathing 16
Then He Stated Where He Thought It Came From
The Want Of Appetite Is Due To Morbid Mental State In His Words
Its Origin Is Central And Not Peripheral Is How He Put It
Central Meant The Mind Rather Than The Stomach
He Was Writing In 1874
Then He Set Out What He Would Advise
Warm Clothing Came First In His Advice
Some Form Of Nourishing Food Every Two Hours Followed
Milk And Cream And Soup Were Named
Eggs And Fish And Chicken Completed The List
Feeding The Patient Was The Prescription
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WHAT PARIS PUBLISHED IN 1873 📰
Gull Was Not Working Alone On This
A French Physician Described The Same Syndrome
Charles Lasegue Was Based In Paris
His Paper Appeared In 1873
De L Anorexie Hysterique Was Its Title
Archives Generales De Medecine Published It
Anorexia Hysterica Is How That Title Translates
Lasegue Described The Syndrome Of Anorexia In That Work
Neither Man Was Copying The Other
Two Independent Descriptions Emerged In One Year
Hysteria Appeared In Both Of The Names They Offered
That Word Was The Medical Vocabulary Of The Period
Gull Said He Preferred The More General Term Nervosa
Nervosa Is The Half That Stayed
Hysterica Is The Half The Field Dropped
The Condition Had Two Formal Descriptions By 1874
That Date Matters For What Gets Blamed Today
It Did Not Begin With Social Media
Photo Sharing Apps Did Not Produce It Either
The Documented Description Predates Both By More Than A Century
What Changed Since Then Is The Explanation And Not The Existence
