Hugh Owen Thomas (1834-1891) is considered to be the father of British orthopedics. Hugh Owen Thomas came from a bonesetting family in Anglesey, Wales. Although raised and taught in the methods of bonesetting, he, later on, came to harshly condemn bonesetting, both by unqualified bonesetters and qualified medical practitioners as well. Writers on Hugh Owen Thomas's life questioned his harsh condemning of bonesetting, as this method of treatment helped many patients, and wondered why he was so critical of it. This paper discusses Hugh Owen Thomas's views on bonesetting and gives some discussion on why he was so critical, critical to the point of being polemic and argumentative on the subject.
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Kimberly P. Howe is corporate director of academic affairs, Northside Medical Center, Youngstown, Ohio. John M. Clochesy is a professor, University of South Florida College of Nursing, Tampa, Florida. Lawrence S. Goldstein is medical director of the medical intensive care unit, Northside Medical Center, and an associate professor at Northeastern Ohio Universities College of Medicine, Rootstown, Ohio. Hugh Owen is a pharmacist at Northside Medical Center.
Background: Many patients each year require prolonged mechanical ventilation. Inflammatory processes may prevent successful weaning, and evidence indicates that mechanical ventilation induces oxidative stress in the diaphragm, resulting in atrophy and contractile dysfunction of diaphragmatic myofibers. Antioxidant supplementation might mitigate the harmful effects of the oxidative stress induced by mechanical ventilation.
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