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Rapid Responses: Rapid Responses published:
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Eponymous terms
- Michael G Bamber, NG33 5NJ (23 December 2006)
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And the point of it is......
- Dr Adil Kadri (2 January 2007)
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Do the sword swallowers swallow the whole sword or just the blade?
- Yaser Dorri, Biji T. Kurien (4 January 2007)
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GORD Fighting
- Michael D Aicken (6 January 2007)
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Bonus Malus occupational injury compensation for sword swallowers
- Peter A Noone (7 August 2007)
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Re: Do the sword swallowers swallow the whole sword or just the blade?
- Riley Schillaci (29 September 2008)
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Michael G Bamber, general practitioner Colsterworth, Lincolnshire, NG33 5NJ
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Editorial control producing the phrase "Kilian's dehiscence" suggests the contribution of Gustav Killian has been forgotten in the frenzy to remove all eponyms from modern undergraduate teaching. Competing interests: I repeatedly failed anatomy examinations |
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Dr Adil Kadri, Psychiatrist Cefn Coed Hospital, Swansea NHS Trust, Swansea, Wales SA2 0GH
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A very interesting piece of research which I am sure will be read with great interest by sword swallowers around the world but from a personal point it seemed a bit pointless (no pun intended). Competing interests: None declared |
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Yaser Dorri, Research Technician Oklahoma Medical Research Foundation, Okc, Ok, 73104, Biji T. Kurien
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Dear Editor, The article by Brian Witcombe et al.(1) describing the side effects of sword swallowing and associated medical problems, although fascinating, is misleading in some ways. The authors have not clearly made a distinction whether the whole sword was swallowed (including the hilt) or just part of the sword (the blade) was swallowed. A sword consists of three parts; a) a point for thrusting, b) a blade with one or two edges for striking and cutting , and c) a hilt (2). If the blade is swallowed, then the term “sword swallowing” is misleading since they would have swallowed only part of the sword, not the whole sword. Another confusion about this study is that the authors have not clearly described whether the swords are one-edged or two-edged and whether they have sharp edges or not. Also they do not specify the duration of the sword in the esophagus and the stomach. Overall the study is very interesting but the details of the sword is not well described. 1) Brian Witcombe., Dan Meyer. Sword swallowing and its side effects. BMJ 2006; 333: 1285-1287 2) Sword, available at: http://en.wikipedia.org/wiki/Sword Competing interests: None declared |
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Michael D Aicken, F1 Doctor, General Surgery Antrim Area Hospital, Northern Ireland
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Having recently undergone an extremely uncomfortable endoscopic exploration of my own oesophagus and stomach I have learned that I have a small hiatus hernia. This perhaps explains why I still have ‘the worst’ acid reflux despite my religious use of esomeprazole 40mg and an array of ‘lifestyle’ measures. I read the sword- swallowing article with great interest especially the discussion on how sword swallowers must train themselves to voluntarily exert control over normally involuntarily controlled sphincters. I wonder if sword swallowers could teach GORD (gastrooesophageal reflux disease) sufferers to control their lower oesophageal sphincter thereby giving themselves relief of sometimes very resistant symptoms? Competing interests: None declared |
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Peter A Noone, Consultant Occupational Physician Health Service Executive Dublin North East Region
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Is the fact that Sword swallowers; ie "injured performers have a better prognosis than patients who suffer iatrogenic perforation", further example of the 'powers of concentration over compensation' for this occupation? Like the hen's teeth incidence of whiplash in Latvia after RTA's as they have no third party fault compensation. As we know[1] the results of medical treatment are notoriously poor in patients with pending litigation after personal injury or disability claims, and for those covered by compensation programs. Although some instances of overt malingering can be documented by surveillance videos, exaggerated illness behaviour in compensation situations can take place because of a combination of suggestion, somatisation, and attributional rationalisation. A distorted sense of justice, victim status, and entitlement can further the exaggerated sick role. Adversarial administrative and legal systems challenge claimants to prove repeatedly that they are permanently ill and harden the conviction of illness thus inducing often lifelong disability in misguided defence of a claim. Perhaps the risk management economic incentivising of concentration over compensation for sword swallowers has a much wider resonance given increasing levels of 'illness' and less objective medical evidence of impairment in Europe. Refs 1. Bellamy B "Compensation Neurosis Financial Reward for Illness as Nocebo" CLINICAL ORTHOPAEDICS AND RELATED RESEARCH 1997;336:94-106, 2. "Compensable Injuries, and Health Outcomes, The Royal Australasian College of Physicians, Sydney 2001,www.racp.edu.au/afom, [accessed 5.12.06] 3. Weighill V.E. "COMPENSATION NEUROSIS’: A REVIEW OF THE LITERATURE", Journalof Psychosomatic Research 1983; 27(2):97-104. 4. WOODYARD J.E, "Injury, Compensation Claims and Prognosis: Part II" J. Soc. Occup. Med. 1980;30:57-60. 5. Gaine W.J. "No-fault compensation systems" BMJ 2003;326;997-998 Competing interests: None declared |
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Riley Schillaci, Sword Swallower 14580
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Historically the art had been called "sword swallowing", despite the sword swallower only swallowing the blade. Competing interests: None declared |
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