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  • R Sky
  • Canadian family physician Médecin de famille…
  • 1977
Multiple sclerosis is difficult to diagnose since it develops over a period of time and the symptoms and signs are scattered throughout the central nervous system. Because there is no specific treatment, the problems of management are especially challenging.Case histories are presented to support the concept that multiple sclerosis is a family and community(More)
Terminal care has specific goals for the attending medical team. In truth, most dying patients do not expect miracles. What they ask for is assurance that they will not be abandoned or discarded because they have an incurable condition. Truth can be gentle and merciful, and not necessarily without hope. Grieving is normal for patients, families, nurses and(More)
  • R Sky
  • Canadian family physician Médecin de famille…
  • 1972
Strokes account for five out of every 1,000 general hospital admissions. Postoperative care can be frustrating, but with judicious use of allied health workers, and careful assessment of the patient's condition, most patients who survive can be rehabilitated to a considerable degree of self-care. The patient's family must be included in the team, and his(More)
  • R Sky
  • Canadian family physician Médecin de famille…
  • 1977
The middle years are stressful for many specific reasons. Our vigor is beginning to decline. Our patients are aging and developing ominous problems. We have the commonly identified difficulties of coping with the frustrations of our younger patients and relatives. The burden of caring for aged members of the community is increasing. Fortunately we can also(More)
  • R Sky
  • Canadian family physician Médecin de famille…
  • 1977
Breastfeeding is emotionally and physically desirable for infant health. The physician can encourage a woman to nurse her baby by discussing the subject early in the prenatal visits. Some practical suggestions are briefly outlined to help the doctor help a new mother.
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